Article

Marginal Adaptation and Color Stability of Four Provisional Materials

Journal of Prosthodontics (Impact Factor: 0.91). 01/2008; 17(2):97 - 101. DOI: 10.1111/j.1532-849X.2007.00256.x
Source: PubMed

ABSTRACT Purpose: A number of provisional restorative materials exist on the market. This study tested marginal fit and color stability of three provisional restorative materials and a control.Materials and Methods: Two auto-cure materials, Protemp Garant and Integrity, and one dual-cure material, Luxatemp Solar, were tested against SNAP, a polyethyl methacrylate control. A maxillary right central incisor ivorine tooth was prepared for a full coverage all-ceramic crown, with a 1.5-mm chamfer margin. Four points were engraved at a point 1 mm below the facial, lingual, mesial, and distal margins, and replicas (n = 40) were produced by the manufacturer. Provisional crowns (n = 10 × 4) were fabricated on the individual replicas using a polyethylene coping template. The crowns were trimmed under magnification using an acrylic bur. The distance from the crown margins to a point tangent to the engraved markings was measured under 10× magnification and recorded. For color stability, 10-mm diameter × 2-mm thick discs (n = 10 × 4) were fabricated and immersed cyclically in tea for 1 week in a Tucillo/Nielson apparatus. Color measurements were recorded for each specimen at baseline and after staining. ΔE values were calculated to determine the extent of the color change.Results: The means of the four marginal discrepancy measurements for each specimen were analyzed using a 1-way ANOVA and Tukey post-hoc comparison. Luxatemp Solar had statistically significant marginal discrepancy (319 μm, p < 0.05) when compared to the other provisional materials. A significant color change (ΔE = 4.33, p < 0.05) was found for Protemp Garant.Conclusion: The dual-cure temporary material (Luxatemp Solar) exhibited significantly more discrepancy at the margin than the auto-cure bis-acryl materials or acrylic control. Protemp Garant exhibited a clinically noticeable change in shade after 1 week in staining solution, whereas the other materials did not exhibit a clinically noticeable change.Clinical Implications: Provisional crowns fabricated from SNAP, Protemp Garant, and Integrity exhibited similarly low marginal discrepancy. SNAP, Luxatemp Solar, and Integrity did not demonstrate a clinically detectable change in shade after 1 week in a staining solution.

Full-text

Available from: Gisele Neiva, Jun 05, 2015
4 Followers
 · 
247 Views
  • [Show abstract] [Hide abstract]
    ABSTRACT: Background: Acrylic and bisacryl resins are widely used both during the temporization phase as well as for provisional restorations and the effect of external agents on dentin sensitivity can be reduced by the obliteration of the tubules. Objective: The purpose of this study was to evaluate diffusion of methyl methacrylate monomer through dentin by high performance liquid chromatography (HPLC) after three different desensitizing procedures during the fabrication of two different provisional crown materials. Materials and Methods: Forty extracted restoration and caries free human premolar teeth were used in this study. Thermoplastic vacuum formed material was used as a matrix to fabricate provisional restorations for each tooth before crown preparation. Teeth were prepared for a metal supported ceramic crown with 1 mm shoulder margins and then crown parts were separated from cementoenamel junction with a carborundum disk perpendicular to the long axis of the teeth. To the cementoenamel junction of each tooth a polypropylene chamber was attached that contains 1.5 cm 3 of deionized distilled water. Prepared teeth were divided into four groups ( n = 10) including control, desensitizing agent (DA) application, neodymium-doped yttrium aluminum garnet (Nd: YAG) laser irradiation (LI), and LI after DA application groups. After application of DA (except control) each group were divided into two subgroups for fabrication of provisional restorations ( n = 5). Two autopolymerizing provisional materials (Imident (Imicryl) and Systemp C and B (Ivoclar, vivadent)) were used to fabricate provisional restorations using the strips. Water elutes were analyzed by HPLC at 10 min and 24 h. Results: The monomer diffusion values varied statistically according to desensitizing procedures, provisional resin systems, and the time periods. Monomer diffusion through dentin surfaces desensitized with Nd: YAG LI after DA application was the lowest. Conclusions: Nd: YAG LI in association with DA application is an effective combination to eliminate monomer diffusion through dentin to pulpal chamber.
    Nigerian journal of clinical practice 07/2014; 17(4):407-12. DOI:10.4103/1119-3077.133970 · 0.41 Impact Factor
  • Source
    [Show abstract] [Hide abstract]
    ABSTRACT: This study evaluated the colour stability of temporary prosthetic restorations with different thicknesses submitted to artificial accelerated aging. The occlusal surfaces of 40 molars were grinded to obtain flat enamel surfaces. Twenty acrylic resin specimens [Polymethyl methacrylate (Duralay) and Bis-methyl acrylate (Luxatemp)] were made with two different thicknesses, 0.5 mm and 1.0 mm. Temporary restorations were fixed on enamel and CIE L*a*b* colour parameters of each specimen were assessed before and after artificial accelerated aging. All groups showed colour alterations above the clinically acceptable limit. Luxatemp showed the lowest colour alteration regardless its thickness and Duralay showed the greatest alteration with 0.5 mm.
    The European journal of prosthodontics and restorative dentistry 12/2013; 21(4):187-90.
  • Source
    [Show abstract] [Hide abstract]
    ABSTRACT: Purpose: Oral rinses are widely used to promote periodontal health with provisional restorations during the interim period. The aim of this study was to compare the discoloration of provisional restoration materials with different oral rinses. Material and Methods: A total of 140 disc-shaped specimens (shade A2) (10 mm x 2 mm) were prepared from one PMMA-based (TemDent Classic®) and three different bis-acrylic-based (Protemp II®, Luxatemp® and Fill-In®) provisional restoration materials (n=7). The color values (L*, a*, and b*) of each specimen were measured before and after exposure with a colorimeter, and the color changes (∆E) were calculated according to the CIE L*a*b* system. The specimens were immersed in each of the 4 oral rinses (alcohol-containing mouthwash, chlorhexidine, benzydamine HCl, benzydamine HCl and chlorhexidine) twice a day for 2 minutes. After 2 minutes of immersion in the oral rinses, the specimens were immersed in artificial saliva. The specimens were exposed to the oral rinses and the artificial saliva for 3 weeks. Two-way ANOVA, the Bonferroni test and the paired sample t-test were used for statistical analyses (p<0.05). Results: Comparison of the discoloration from the oral rinses after immersion for three weeks revealed no significant differences (p>0.05). The lowest color change was observed in PMMA-based Temdent in all oral rinses (p<0.05). There were no significant differences between the bis-acryl composites after immersion in saliva or the mixture of benzydamine HCl and chlorhexidine and the alcohol-containing mouthwash for 3 weeks (p>0.05). After immersion in chlorhexidine, the color change values of Protemp II and Fill-in showed significant differences (p=0.018). Protemp II also showed less discoloration than the other bis-acryl composites, and this color change was statistically significant (p <0.05). For all oral rinses, the L* value decreased while b* values increased, and this color change was found to be statistically significant (p <0.05). A* values were found to be significantly higher with oral rinses (p<0.05), except Protemp II immersed in benzydamine HCl or alcohol-containing mouthwash. Conclusions: The type of the oral rinse did not affect the discoloration process. For long-term esthetic results, choosing MMA-based materials for provisional restorations appears to be more effective.
    International journal of medical sciences 08/2013; 10(11):1503-9. DOI:10.7150/ijms.6647 · 1.55 Impact Factor