Search Results (52)

This study investigates whether Yuan Dynasty Jingdezhen Luanbai glaze can support cobalt-blue coloration under conditions relevant to early blue-and-white porcelain production. Comparative analyses of archaeological Luanbai and blue-and-white specimens show that the two glaze types have similar average thicknesses, approximately 0.20 mm, and comparable basic chemical compositions, especially in their SiO₂ and Al₂O₃ contents. These results suggest that they belong to related high-temperature calcium–alkali glaze traditions rather than completely isolated technological systems. Simulated firing experiments using five cobalt pigments of different compositions further indicate that Luanbai glaze can support cobalt-blue coloration at 1300 °C in a reducing atmosphere. Compared with unglazed controls, Luanbai-glazed samples showed a more consistent blue appearance and clearer pigment–glaze interaction. XPS and SEM-EDS line-scan analyses revealed differences in the near-surface chemical environment and cross-sectional distribution of Co, Mn, and Fe between glazed and unglazed samples, supporting the role of glaze coverage in color development. Refiring experiments on authentic Yuan sherds further supported the feasibility of cobalt-blue coloration on historical Luanbai glaze surfaces. Overall, the results suggest that the opalescent appearance of Luanbai glaze is not an inherent barrier to underglaze cobalt decoration. This work provides experimental evidence for reassessing the technological relationship between Luanbai and early blue-and-white porcelain. Full article

Background: The aim of this study was to evaluate the whitening efficacy and long-term stability of different in-office bleaching agents containing high concentrations of hydrogen peroxide (HP). Methods: Records of 50 patients who underwent in-office bleaching treatment at the Department of Restorative Dentistry, Ege University, were retrospectively analyzed. Five bleaching agents were evaluated: Opalescence (40%HP), FGM Whiteness HP (35%HP), FGM Whiteness HP Blue (35%HP), Biowhiten (40%HP) and Powerbright (35%HP). Color measurements were obtained using a spectrophotometer (VITA Easyshade V, VITA Zahnfabrik, Bad Säckingen, Germany) and standardized intraoral photographs at baseline, immediately after treatment, at 1 week, 6 months, 12 months, and 18 months. Color change (ΔE₀₀) was calculated using the CIEDE2000 formula, and shade differences were assessed using ΔSGU values. Statistical analyses were performed using repeated-measures ANOVA and Kruskal–Wallis tests, followed by post hoc comparisons where appropriate (p < 0.05). Results: Baseline age distribution, initial color parameters, and patient-related behavioral factors were comparable among the groups, with no statistically significant differences observed. All bleaching agents resulted in significant color improvement at the 1-week evaluation (ΔE₀₀ range: 3.67–6.34; p < 0.05), exceeding clinically acceptable thresholds. At 6 months, slight, non-significant reductions in ΔE₀₀ values were observed in the Powerbright, FGM Whiteness HP Blue, and FGM Whiteness HP groups (p > 0.05). At 18 months, ΔE₀₀ values remained within a clinically acceptable range (3.56–4.74), with no significant color regression in most groups (p > 0.05), except for a significant decrease in the FGM Whiteness HP group (p < 0.05). Conclusions: High-concentration (35–40%) in-office bleaching agents demonstrated effective short-term whitening and maintained clinically acceptable and stable color outcomes over 18 months. Although material-dependent differences were observed, bleaching efficacy and long-term color stability appear to be influenced by multiple factors beyond hydrogen peroxide concentration alone. These findings support the clinical reliability of in-office bleaching procedures and highlight the importance of long-term follow-up. Full article

We report the case of a 68-year-old man presenting with rapidly progressive left cervical swelling, sialorrhea, and dysphagia. Imaging revealed a cervical fluid collection extending into the anterior mediastinum, initially suggestive of descending mediastinitis. Broad-spectrum antibiotic therapy was initiated, and surgical drainage was planned. Intraoperative exploration, however, revealed opalescent, milky fluid consistent with chyle, leading to a revised diagnosis of spontaneous chylocervical collection associated with chylothorax. Cultures were negative, and biochemical analysis confirmed markedly elevated triglyceride levels. Conservative management with total parenteral nutrition and a nil per os regimen achieved rapid resolution. Lymphangiography demonstrated normal thoracic duct anatomy without leakage. The patient was discharged in good condition, and follow-up imaging showed complete recovery. This case highlights the diagnostic challenge of differentiating chylous from infectious mediastinal collections, particularly when clinical presentation mimics descending mediastinitis. Accurate intraoperative assessment and multidisciplinary management are essential to avoid unnecessary invasive procedures. Rare etiologies such as idiopathic chylothorax should be considered in atypical presentations of cervical and mediastinal fluid collections. Full article

This study investigates the influence of different sintering protocols and resin cement shades on the optical properties of monolithic zirconia restorations. Zirconia, widely used in dentistry for its superior mechanical strength and esthetic potential, demonstrates phase transformations influenced by stabilizing oxides and processing conditions. While increasing yttria content enhances translucency, it compromises mechanical durability. Factors such as sintering temperature, grain size, porosity, and cement selection further affect translucency parameter, contrast ratio, and opalescence. In this research, 36 zirconia samples were divided into three groups according to sintering procedure performed; conventional, fast, and super-fast sintering. Each was tested with two shades of dual-cure resin cement (yellow and transparent). Optical parameters including translucency parameter (TP), contrast ratio (CR), and opalescence parameter (OP) were measured using a spectrophotometer under controlled conditions. Statistically significant differences in OP values between the conventional sintering protocol and both the rapid and super-fast sintering protocols were found. A statistically significant difference was observed in OP values between the yellow and transparent cement groups. Neither the main effects of the sintering protocol nor the cement type were statistically significant on TP and CR values. However, a statistically significant interaction effect between the sintering protocol and cement type was observed for CR values. The findings highlight that both processing parameters and cement selection interaction play crucial roles in optimizing the TP and CR values of zirconia restorations, enabling improved esthetic outcomes in clinical practice. Full article

The development of collagen-based composite materials for bone tissue engineering requires a comprehensive understanding of their rheological and structural behavior to ensure processability and functional stability. This study investigates the viscoelastic and morphological properties of nanocomposite slurries composed of hydroxyapatite (HA) nanoparticles dispersed in acetic acid solutions of bovine or fish-derived collagen peptides. Frequency and strain sweep tests revealed solid-like behavior and shear-thinning characteristics consistent with printable bioinks. Both formulations yield stresses between 0.7 and 1.5 kPa, values comparable to those reported for 3D-printable HA composites. Over ten days of aging, fish-based formulations retained higher viscosity and modulus, indicating improved temporal stability relative to bovine-based ones. Drop-casting tests confirmed the formation of homogeneous, highly opalescent films, with surface profilometry showing lower waviness for the fish-derived blend, suggesting enhanced microstructural uniformity. These results demonstrate that acetic acid-mediated collagen–HA interactions generate stable, high-fidelity slurries suitable for additive manufacturing applications. The superior rheological properties of fish collagen formulations highlight the influence of peptide source on network evolution, offering valuable insight for optimizing collagen–ceramic composites in regenerative and biomedical applications. Full article

Background/Objectives: To evaluate the modality-specific impact of cataracts on the detection of hydroxychloroquine retinopathy. Methods: In this retrospective cohort study, 202 eyes (101 patients) with confirmed HCQ retinopathy were included; analyses focused on 141 cataractous eyes from 72 patients. At each visit, the severity of cataracts in 141 eyes was graded using the Lens Opacities Classification System III (LOCS III), with clinically significant cataracts defined as a LOCS III grade ≥ 3. Screening was performed using swept source optical coherence tomography (OCT), ultrawide field fundus autofluorescence (FAF), and Humphrey visual field (HVF) tests. The detection rates of abnormalities on OCT, FAF, and HVF were compared between minimal (at the time of diagnosis or after cataract surgery) and maximal cataract severity as well as between eyes with clinically significant cataracts and others. Multivariate logistic regression was performed to identify the factors associated with the detection of retinopathy-associated abnormalities across each screening modality. Results: Of the 141 eyes with cataracts, 52 (36.9%) developed clinically significant opacities during the monitoring period, and 23 (16.3%) underwent cataract surgery. OCT detected ellipsoid zone disruptions in 100% of cataractous eyes, while visual fields revealed characteristic paracentral scotomas with comparable sensitivity regardless of cataract severity. In contrast, FAF sensitivity was significantly lower in eyes with clinically significant cataracts (61.5%) compared to those with mild cataracts (92.1%, p < 0.001). Sensitivities were also reduced at maximal versus minimal severity in eyes with clinically significant cortical opacities and nuclear opalescence (both p < 0.05). Multivariate analysis demonstrated that higher cortical opacity (odds ratio [OR] 0.43 per grade increase, 95% CI 0.22–0.85) and nuclear opalescence (OR 0.21, 95% CI 0.07–0.66) independently decreased FAF detection, whereas greater retinopathy severity was positively associated with detection on both FAF (OR 4.85, 95% CI 1.40–16.9) and HVF (OR 3.37, 95% CI 1.17–9.71). Conclusions: Cataracts impaired the FAF-based detection of hydroxychloroquine retinopathy, while OCT and HVF remained reliable despite significant lens opacities. Therefore, clinicians should consider cataract severity when interpreting FAF results and prioritize OCT and HVF assessments in patients with clinically significant cataracts. Full article

Background and Objectives: The rapid increase of whitening products use raises questions about enamel safety. We compared three high-concentration protocols—Opalescence Quick (45% carbamide peroxide ≈ 15% H₂O₂), Opalescence Boost (40% H₂O₂), and BlancOne Ultra (35% H₂O₂ + LED)—under controlled conditions to balance color change (ΔE) with enamel integrity (microhardness, FTIR). We also constructed a qualitative cytotoxicity risk profile from published data; no biological assays were performed in this study. Methods: Seventy-two matched half-crowns were randomized to Control or one of the three protocols. Outcomes were a change in Vickers microhardness, spectrophotometric color difference, and FTIR carbonate-to-phosphate ratio after 24 h in artificial saliva. We also compiled a qualitative cytotoxicity risk profile from published evidence; no biological assays were performed. One-way ANOVA with Tukey HSD on Δ-scores, Shapiro–Wilk and Levene’s tests for assumptions, Welch’s t-tests for tooth-class comparisons, and Pearson correlation between ΔE and ΔMH. Results: All active protocols produced clearly visible whitening (mean ΔE 5.7–6.3). Hydrogen-peroxide gels showed greater hardness loss and carbonate depletion than the carbamide-peroxide gel under similar contact time. The association between greater shade change and hardness loss was moderate and not predictive for individuals. Conclusions: Under harmonized conditions, all systems whitened effectively. Pursuing changes beyond ~6 units offered little extra benefit while increasing enamel impact. Carbamide-based Opalescence Quick achieved comparable aesthetics with lower acute enamel effects. Clinicians should individualize exposure time and pair in-office whitening with short-term remineralising care. Cytotoxicity comments are qualitative and literature-based only. Full article

Background and Objectives: Chairside bleaching can alter enamel morphology and mineral content. This in vitro study compared surface changes and elemental shifts after three in-office protocols using scanning electron microscopy (SEM) and energy-dispersive X-ray spectroscopy (EDS). Materials and Methods: Forty-two human premolars/molars were sectioned; matched halves served as control or received Opalescence Quick 45% carbamide peroxide (CP), Opalescence Boost 40% hydrogen peroxide (HP), or BlancOne Ultra+ 35% HP with light activation. Gels were applied per manufacturers’ instructions. SEM assessed topography (×500–×1100); EDS quantified atomic percent of O, Ca, P, C and trace elements. One-way ANOVA compared Ca and P between bleached groups (α = 0.05). Results: Controls showed compact surfaces with preserved Ca and P. After Quick, SEM revealed roughness, fissures and microcracks; Ca fell from 11.5 to 12.5 to 9.53–11.73 at% and P from 7.5 to 8.9 to 7.41–8.59 at%. Boost produced mild superficial restructuring and granular deposits with variable Ca 13.80–27.94 at% and P 7.32–14.65 at%. BlancOne Ultra+ caused diffuse erosion and loss of prismatic clarity with marked demineralization (Ca 1.42–7.85 at%, P 1.22–6.71 at%); C rose locally to 46.61 at%. Across bleached groups, Ca and P differed significantly (both p < 0.001). Oxygen remained dominant (~39–50 at%) in all spectra; occasional Al/Si/Cl/K likely reflected residues or preparation artifacts. Conclusions: All protocols produced surface and compositional alterations, with a severity gradient: BlancOne Ultra+ > Boost > Quick. High-concentration, light-activated HP yielded the largest Ca/P losses. Clinically, neutral-pH, non-activated or chemically activated regimens and immediate post-bleach remineralization should ideally be used when feasible, particularly before adhesive procedures. Full article

Background/Objectives: In-office bleaching commonly employs high concentrations of hydrogen peroxide (HP) or carbamide peroxide (CP), which may compromise enamel integrity. This in vitro paired-design study aimed to compare the chemical and mechanical effects of three commercial bleaching agents—Opalescence Boost (40% HP), Opalescence Quick (45% CP), and BlancOne Ultra+ (35% HP)—on human enamel. The null hypothesis assumed no significant differences between the control and treated samples. Given the ongoing debate over pH, active ingredients, and enamel impact, comparing whitening systems remains clinically important. Methods: Forty-two extracted teeth were assigned to three experimental groups (n = 14) with matched controls. Each underwent a single bleaching session per manufacturer protocol: Opalescence Boost (≤60 min), Opalescence Quick (15–30 min), and BlancOne Ultra+ (three light-activated cycles of 8–10 min). Enamel chemical changes were analyzed by Fourier transform infrared (FTIR) spectroscopy (phosphate and carbonate bands), and surface hardness by Vickers microhardness testing. Paired t-tests (α = 0.05) assessed statistical significance. Results: FTIR analysis revealed alterations in phosphate and carbonate bands for all agents, most notably for Opalescence Boost and BlancOne Ultra+. Microhardness testing showed significant reductions in enamel hardness for Opalescence Boost (control: 37.21 ± 1.74 Hv; treated: 34.63 ± 1.70 Hv; p = 0.00) and Opalescence Quick (control: 45.82 ± 1.71 Hv; treated: 39.34 ± 1.94 Hv; p < 0.0001), whereas BlancOne Ultra+ showed no significant difference (control: 51.64 ± 1.59 HV; treated: 51.60 ± 2.34 Hv; p = 0.95). Conclusions: HP-based agents, particularly at higher concentrations, caused greater enamel alterations than CP-based products. While clinically relevant, the results should be interpreted cautiously due to in vitro limitations and natural enamel variability. Full article

Background/Objectives: Tooth bleaching is a widely requested aesthetic procedure in modern dentistry. However, the structural effects of high-concentration peroxide-based bleaching agents on enamel remain insufficiently understood. This study aims to evaluate and compare the effects of three in-office bleaching agents—Opalescence Boost (40% hydrogen peroxide [HP]), Opalescence Quick (45% carbamide peroxide [CP]), and BlancOne Ultra + (35% hydrogen peroxide [HP])—on enamel surface characteristics and color change using confocal laser scanning microscopy (CLSM) and spectrophotometric analysis. Methods: Forty-two extracted human teeth were sectioned and divided into experimental and control halves. Each experimental specimen underwent bleaching according to the manufacturer’s protocol. Color measurements were conducted at baseline, immediately post-treatment, at 3 days, 7 days, and 6 months following treatment using the Vita Easyshade^® spectrophotometer. Color differences were calculated using the CIEDE2000 (ΔE₀₀) formula. Enamel surface morphology was assessed by CLSM. Data were analyzed using Wilcoxon and Kruskal–Wallis tests (p < 0.05), performed with SPSS v23. Results: All bleaching agents produced clinically perceptible color changes (ΔE₀₀ > 3.3). Opalescence Boost achieved the highest and most consistent whitening effect (mean ΔE₀₀ > 11), while Opalescence Quick showed moderate efficacy (ΔE₀₀ ~6–8), and BlancOne Ultra+ induced milder changes (ΔE₀₀ ~4–5). CLSM imaging revealed surface alterations in all bleached samples, with more pronounced changes observed in specimens treated with higher peroxide concentrations. Conclusions: All three bleaching systems were effective in improving enamel color, with Opalescence Boost delivering the most substantial and durable effect. CLSM analysis confirmed morphological changes in enamel without evidence of severe damage. These results underscore the importance of selecting bleaching protocols that balance efficacy with enamel safety. Further in vivo studies are recommended to validate long-term structural effects and support clinical decision-making. Full article

The aim of this study was to evaluate the effect of different bleaching protocols, including laser-assisted techniques, on the microhardness, surface roughness, and tribological resistance of selected light-cured composites. Three Estelite Universal Flow composites with different flow properties and G-aenial Universal Flo composites were tested. Each group underwent bleaching procedures using Opalescence agents at 10%, 16%, and 40% concentrations, with and without laser activation. Surface microhardness was assessed using the Vickers method, roughness was measured with 3D confocal laser microscopy, and friction coefficients and wear patterns were evaluated using tribological testing. All bleaching protocols resulted in reduced microhardness and increased surface roughness. The most significant changes were observed after treatment with 40% hydrogen peroxide. Laser application, particularly at 16% concentration of carbamide peroxide, helped to partially mitigate these effects in some materials. Bleaching procedures, especially those involving high peroxide concentrations, significantly deteriorated the surface properties of dental composites, which may have clinical implications for the patients. Full article

The incorporation of essential oils into the oil phase of oil-in-water microemulsions is an emerging strategy for the development of stable water-based topical formulations. The introduction of a suitable polymer to formulate film-forming microemulsions may improve topical administration; however, the effect of formulation variables on film quality attributes has not been studied. In this study, thermodynamically stable microemulsion concentrates consisting of surfactant (Kolliphor^® RH40), alone or in combination with cosurfactant Transcutol^® at surfactant-to-cosurfactant mass ratio 7:3, cosolvent (propylene glycol), and synthetic oils (medium-chain triglycerides or isopropyl myristate) with tea tree, cinnamon, or thyme essential oil were formulated and diluted with hypromellose solution in a water/isopropanol mixture (1:1 w/w) to produce film-forming microemulsions. The type and concentration of synthetic and essential oils and cosurfactant influenced the dynamics of structural transformations upon dilution as well as the rheological behavior, viscosity, and pH of film-forming microemulsions. Films obtained by casting film-forming microemulsions were opalescent, smooth, flexible, and swellable in artificial sweat and water. The weight and yield of films increase with the synthetic oils present and without cosurfactant added. Optimizing the ratio of essential oil/synthetic oil, the type of synthetic oil, and the inclusion/exclusion of cosurfactant allows for achieving the targeted film attributes for cosmetic and pharmaceutical applications, including wound treatment. Full article

(1) Background: The intra-oral behavior of clear thermoplastic dental materials can be influenced by various intrinsic and extrinsic factors. Aim: The purpose of this in vitro study was to evaluate the optical properties, color changes and whiteness variations of four thermoplastic polymers used for dental appliances, in a simulated oral environment. (2) Methods: Customized thermoformed specimens of four PETG thermoplastics were selected and investigated in this study: Leone [L], Duran [D], Erkodur [E] and Crystal [C]. The thermoplastic samples were divided into three groups related to pH values (neutral, acidic and basic). A period of 14 days was simulated. Five stages resulted: I. dessicated specimens; II. hydrated in artificial saliva; III. subsequent desiccated; IV. artificial aged; V. further dessicated. Optical CIE L*a*b* coordinates were determined and optical properties, like TP (translucency), OP (opalescence) values, color differences ΔE-NBS, white indexes in dentistry WI_D and white index differences ΔWI_D were calculated for all stages of the study, for each group of the materials. Statistical analyses were performed. (3) Results: Optical properties of PETG clear thermoplastic materials, like TP and OP, increase in a simulated oral environment and the changes become significant after artificial aging. Related to pH values, the optical behavior between the materials is significantly different. During artificial aging, the tested materials behave significantly differently in terms of optical properties. (4) Conclusions: After the simulated period of 14 days, TP and OP values increase, with a migration of the color towards red and yellow. Color changes in some cases even reach the level of extremely marked. Whiteness increases, and the differences are mostly perceptible, but partially exceed the limit of acceptability. Full article

This study aimed to evaluate the micro-nanostructure and color changes of dental enamel after treatment with new gel formulations containing papain or bromelain. Eighty caries-free, extracted human teeth were randomly divided into two groups (n = 40) and stained by immersion in either coffee or Tedi juice for 4 h daily over five consecutive days. After staining, the samples were washed and stored in artificial saliva at 37 °C. The stained samples were then treated with four different whitening gels (GC, G1, G2, and Opalescence 15%) for 4 h daily. Following each treatment, the samples were rinsed and stored in artificial saliva. Color changes were measured using a digital spectrophotometer to assess CIEL*a*b* ΔE* and the Whiteness index (WI). The enamel micro-nanostructure was analyzed using SEM and AFM. Data were statistically analyzed using one-way ANOVA followed by Tukey’s HSD test. The results showed that gels containing papain and bromelain were more effective than the commercial gel in removing stains. SEM and AFM analysis indicated that papain was particularly effective for removing coffee stains, while bromelain was better for stains from natural juices. Healthy enamel has a Ra value of approximately 10 nm, which increases to about 40 nm after staining. Papain restored enamel roughness to approximately 8 nm for coffee stains and bromelain restored it to 11 nm for juice stains, delivering optimal results, while commercial gel ensures a roughness of about 15 nm after stain removal. CIELAB reveals notable changes in ΔE and WI after bleaching, revealing that papain gel is optimal for coffee stain removal and bromelain gel is optimal for natural juice stains. In conclusion, dental stains should be assessed by a dentist to determine the most suitable gel for achieving optimal results. Full article

In-office teeth bleaching is an esthetic dental procedure performed to whiten teeth. A desensitizing procedure often requires prior in-office bleaching to relieve tooth hypersensitivity. The objective of this study was to evaluate the bleaching efficiency of teeth specimens pre-treated with different desensitizing agents by analyzing the color parameters. A total of 25 bovine specimens were stained and divided into five groups (n = 5). The specimens were pre-treated with GLUMA, ICON, bonding, or fluoride varnish according to the manufacturer’s instructions. Subsequently, the samples underwent three consecutive 20 min bleaching sessions using an in-office bleaching product. Color values in the CIE L*, a*, and b* color space were initially recorded, both before any treatment and after each bleaching session. The color difference (ΔE) was then computed. The data were analyzed using SPSS 24.0 software. The color alteration after pre-treatment was analyzed using a one-way ANOVA test, and the color alteration in each bleaching session was compared using a repeated-measure ANOVA test. A one-way ANOVA analysis showed a statistically significant difference in the bleaching efficiency of teeth specimens pre-treated with different desensitizers (p < 0.001). The repeated-measure ANOVA analysis showed no statistically significant difference in additional bleaching sessions (p = 0.133). The ICON and bonding pre-treatment showed the color alteration of teeth specimens before the bleaching procedure. Although the different desensitizer pre-treatments showed significant differences in bleaching efficiency, the differences in color parameters of the teeth specimens at the end of three bleaching sessions were statistically insignificant. Desensitizer pre-treatment influenced the degree of color change during multiple bleaching sessions; however, the outcome of bleaching was not affected by desensitizer pre-treatment. Full article