Load bearing capacity of minimal invasive direct and indirect veneers bonded to maxillary incisors with severe wear: effect of preparation design and material type

This study evaluated the load bearing capacity of direct and indirect veneers vs. full-coverage crowns and classified the failure types after fracture load. Sound human maxillary incisors (N = 108, n = 12 per group) were randomly divided into nine groups to receive one of the following restoration types: Group 1: Intact tooth, Group 2: Direct resin composite, Group 3: Lingual: Indirect composite veneer, Labial: Ceramic veneer, Lingual overlap: Ceramic, Group 4: Lingual: Indirect composite, Labial: Ceramic, Lingual overlap: Indirect composite, Group 5: Lingual: Direct composite, Labial: Ceramic, Group 6: Lingual: Ceramic, Labial: Ceramic, Group 7: Feldspathic ceramic crown, Group 8: Metal-ceramic Crown, Group 9: Lithium disilicate crown. Teeth were prepared simulating the erosion/wear conditions in each group. After cementing, the specimens were stored in distilled water at 37 °C for 2 months and then loaded to failure from the lingual surface at 105° inclination in the Universal Testing Machine (1 mm/min). Failure types were classified as irreparable or repairable. Data were analyzed using one-way ANOVA, Sheffe and Bonneferroni tests (α = 0.05). Mean fracture strength (N) of Groups 1, 4, 8, and 9 (558 ± 278 – 880 ± 319) were significantly higher than those of other groups (348 ± 101–421 ± 162) (p < 0.05). Lingual veneering with direct/indirect resin composite or ceramic did not significantly affect the results (p > 0.05) but lingual overlap with indirect composite increased the results (p < 0.05). Group 1, 2, 4 and 5 presented more repairable failures. Restoration of eroded teeth could best be achieved with direct composite veneer at the lingual and ceramic veneer on the labial surface.     

Degree of conversion and adhesion of methacrylate-based resin cements with phosphonic or phosphoric acid acrylate to glass fiber posts at different regions of intraradicular dentin

This study evaluated the degree of conversion (DC) and adhesion of methacrylate-based resin cements to glass fiber posts at different regions of intraradicular dentin. Single-rooted teeth (N?=?24, n?=?12 per group) were cut at the cement–enamel junction (CEJ), endodontically treated and post space (depth?=?8 mm) was prepared. Teeth were randomly divided into two groups according to the resin cements: (a) Group ML: methacrylate-based cement with phosphonic acid acrylate (Multilink Automix, Ivoclar Vivadent); (b) Group RXU: methacrylate-based cement with phosphoric acid acrylate (RelyX Unicem 2 Automix, 3 M ESPE). Fiber-reinforced composite root posts (RelyX Fiber Post, 3 M ESPE) were cemented according to the manufacturers’ instructions of the resin cements. Root slices of 2-mm thickness (n?=?3 per tooth) were cut below the CEJ 1, 3, and 5 mm apically. The DC of each section was analyzed with micro-Raman spectrometer and push-out test was performed in the Universal Testing Machine (0.5 mm/min). After debonding, all specimens were analyzed using optical microscope to categorize the failure modes. While data (MPa) were statistically evaluated using Kruskal Wallis, Mann–Whitney U tests for DC data 3-way ANOVA and Tukey’s tests were used (α?=?0.05). Regardless of the resin cement type, the mean push-out bond strength results (MPa), were significantly higher for the coronal slices (ML: 9.1?±?2.7; RXU: 7.3?±?4.1) than those of the most apical ones (ML: 7?±?4.9; RXU: 2.89?±?1.5) (p?=?0.002). Resin cement type and (p?p?=?0.002) significantly affected the DC values, while the interaction terms were not significant (p?=?0.606). Overall, DC was significantly higher for ML (67?±?8.2%) than RXU (26?±?8.8%) (p?相似文献   

Adhesion of bulk-fill resin composites as core and intraradicular post materials only versus the use of glass-fiber posts in different regions of root dentin

This study assessed adhesion of bulk-fill resin-composites as core and post materials only versus the use of fiber resin composite (FRC) posts. Human teeth (N?=?84) were cut at the CEJ and endodontically treated and randomly divided into seven groups: TP: Titanium post (Flat Head T); SFRC: S2-glass FRC (Pinpost); EFRC1: E-glass FRC (GC Everstick) directly bonded; GFRC: E-glass FRC (Glassix Nordin); EFRC2: E-glass FRC (Everstick); BF1: Bulk-fill resin (Surefill SDR); BF2: Bulk-fill resin (SonicFill). Groups TP, SFRC, EFRC and GFRC were cemented (Panavia 21), while other groups were bonded directly to the intraradicular dentin. The core parts were constructed using a resin composite (G-aenial) except for Groups BF1 and BF2. The core-cervical dentin interface was loaded under shear forces. Push-out tests were performed in a Universal Testing Machine (1?mm/min). Data (MPa) were analyzed using two-way ANOVA and Tukey`s tests (α?=?0.05). Not the root level (p?>?0.05) but the type of core and post material significantly affected shear and push-out bond results (p?<?0.001). BF1 (9.2?±?2.1) and BF2 (9.3?±?3.1) showed significantly lower bond strength to the cervical dentin (p?<?0.05) compared to other groups (11.6?±?2.5–19?±?6.8). FRC post types did not show significant difference being higher than those of TP, BF1 and BF2 (0.57?±?0.37–2.34?±?1.98) (p?>?0.05). Partial cohesive core fracture was more common while BF1 and BF2 showed exclusively adhesive failures. Cohesive failure in the cement was frequent in Group TP (53%) compared to other groups (3–24%). BF1 and BF2 presented exclusively complete adhesive failure of the bulk-fill material.     

Effect of different air-abrasion protocols on topography,surface wettability and adhesion of MDP monomer-based resin cement to zirconia

This study evaluated the effect of air-abrasion protocols on the topography, surface wettability and adhesion of resin cement to zirconia. Ceramic specimens (N?=?49; n?=?7) (15?mm × 2?mm) were randomly allocated to seven groups to be treated with: (1) Air-abrasion with 45?μm Al₂O₃ (A45), (2) 80?μm Al₂O₃ (A80), (3) 30?μm Al₂O₃ coated with SiO₂ (CoJet) (C30), (4) 30?μm Al₂O₃ coated with SiO₂ (Rocatec Soft) (R30), (5) 110?μm Al₂O₃ coated with SiO₂ (Rocatec Plus) (R110); (6) R110R30 (Rocatec) (R110R30) and (7) control, no conditioning (NC). Air-abrasion was performed using a chairside air-abrasion device (2.5?bar, 10?mm, 90?s). Contact angle measurements were performed using goniometry (n?=?5). MDP-based dual resin cement (Panavia F2.0) was bonded on four locations after air-abrasion protocols (n?=?20 per group). Half of the specimens were tested after 24?h and the other half after thermal cycling (×3000, 5–55?°C). Data were analyzed using 1-, 2-way ANOVA and Tukey’s test (alpha = 0.05). Significantly lower contact angle values were observed for groups C30 (62.6?±?0.91), R30 (61.91?±?1.05) and R110R30 (61.54?±?1.02) compared to those of other groups (65.5?±?0.9–110.61?±?0.9) (p?<?0.05). In dry conditions, surface conditioning methods tested did not show significant effect on bond strength (MPa) (10.57?±?1.42–16.86?±?2.54) (p?=?0.238). After thermocycling, bond strength results decreased significantly (p?<?0.05) (12.6–51.2%). R110 (7.18?±?1.34) and A80 (4.92?±?1.53) showed significantly higher bond strength compared to other groups (2.13?±?0.73–4.16?±?1.34) (p?<?0.05). The best wettability and adhesion results with MDP-based resin cement to zirconia was achieved with A80 and R110 air-abrasion.     

Effects of chemical and physico-chemical surface conditioning methods on the adhesion of resin composite to different mineral trioxide aggregate based cements

This study investigated the adhesion of resin composite to mineral trioxide aggregate based cements after different chemical and physico-chemical surface conditioning methods. Mineral trioxide aggregate based cements (Biodentine, ProRoot MTA, Imicryl MTA) were embedded in Teflon disks (N?=?180). After storing at 37?°C at 100% humidity for 72?h, substrate surfaces were polished using silicon carbide papers. Specimens were allocated to 3 groups to be conditioned with one of the following (n?=?15 per group): a) Adhesive resin (Clearfil SE Bond, CSE), b) Adhesive resin (Adper Single Bond 2, SB2), c) air-abrasion with 30?μm alumina coated with silica?+?silane?+?adhesive resin (ALB), d) no surface conditioning, control group (CON). Microhybrid resin composite (Filtek Z250) was applied on the conditioned substrate surfaces and photo-polymerized. After storage at 37?°C at 100% humidity for 24?h, adhesive interfaces were loaded under shear (1?mm/min) in a universal testing machine. After debonding failure types were analyzed. Data were analyzed using 2-way ANOVA and Tukey’s test (alpha = 0.05). SBS results were significantly affected by surface conditioning (p?<?0.05) and materials (p?<?0.05). Interaction terms were significant (p?<?0.05). Biodentine-ALB resulted in significantly higher SBS values (3.96?±?1.24) compared to those of other combinations, while ALB and SB2 resulted in no significant difference for ProRoot MTA and Imicryl MTA (p?>?.05). CSE (1.36?±?0.5- 1.98?±?0.76) did not significantly increase SBS for all MTA materials compared to the control group (0.8?±?0.52 – 2?±?0.91) (p?>?9.05). While CON groups resulted in exclusively adhesive failures, ALB presented the highest incidence of mixed failures for all materials tested (60–100%).     

Effect of surface conditioning methods on the microtensile bond strength of repair composite to indirect restorative materials

This study evaluated the effect of surface conditioning methods on the microtensile bond strength (µTBS) of a restorative composite to indirect restorative materials. Blocks (5?×?5 × 4?mm³) (N?=?72) of (a) Zirconia (In-Ceram Zirconia, Vita) (ZR), (b) lithium disilicate glass ceramic (IPS Empress II, Ivoclar Vivadent) (LD), (c) Indirect resin composite (Gradia, GC) (GR) were fabricated (n?=?24 per group) and divided randomly into three groups: 1-Control: no conditioning, 2-Silane coupling agent, 3-Hydrofluoric acid (9.5%) (HF)+silane. Each block was duplicated in resin composite. The adhesion surfaces were conditioned with airborne-particle abrasion (110?µm Al₂O₃ particles). Half of the conditioned blocks received no bonding and the other half one coat of bonding (ED Primer II, Kuraray). Each conditioned block was bonded to a composite block with a resin luting agent (Panavia F2.0, Kuraray). The blocks were sectioned into 1?mm² microsticks and tested for microtensile bond strength (µTBS) (0.5?mm/min) in a μTBS testing machine. Failure types were evaluated under stereomicroscope and Scanning Electron Microscope (SEM). Data were analyzed using three-way ANOVA, Bonferroni corrected and independent sample t-tests (p?<?0.05). Significant effect of the bonding (p?<?0.001) and surface conditioning (p?<?0.001) were observed in all groups. The highest mean bond strength values were obtained in the bonded, HF etched and silanized groups of ZR, LD and GR (12.4?±?2.9, 28.1?±?1.5 and 27.2?±?2?MPa, respectively). HF acid?+?silane increased the repair bond values in all materials. Majority of the failure types were adhesive for ZR group, whereas HF?+?silane conditioned LD and GR groups presented predominantly cohesive failures in the cement.     

A study of compressive strength between zirconia framework and veneering ceramic as a function of thermal expansion coefficient using Shell–Nielsen test method

This study investigated the adhesion between zirconia framework and four veneering ceramic (VC) materials with varying coefficients of thermal expansions (CTE). Zirconia rods (N?=?40) (ICE Zirkon) (diameter: 4 mm, height: 20 mm) were milled and sintered. After firing, the zirconia rods were air-abraded and cleaned. They were randomly assigned to receive four VCs (n?=?10/group), namely (a) Vita VM9 (VZ; 9–9.2?×?10^?6? K^?1), (b) Cerabien ZR (CZ; 9.1?×?10^?6 K^?1), (c) Matchmaker ZR (MM; 9.4?×?10^?6?K^?1), and (d) Ice Zirconia Ceramic (IZ; 9.6?×?10^?6?K^?1). The VCs were then fired onto zirconia rods (height: 2 mm, thickness: 2 mm) circumferentially and were thermocycled for 6000 times (5/55 °C, dwell time: 30?s). Specimens were loaded from the top of the zirconia rods (0.5 mm/min) in a universal testing machine until debonding. Shell–Nielsen bond strength values were calculated (MPa). Failure types were evaluated under SEM. The data were statistically analyzed (one-way ANOVA, Tukey’s; α?=?0.05). Weibull distribution values including the Weibull modulus (m) (0.05) was calculated. The highest mean bond strength (MPa) was obtained for CZ (42.08?±?4.08), followed by VZ (41.77?±?4.92), MM (40.7?±?3.64), and IZ (40.05?±?5.78). While mean bond strength for VZ, MM, and IZ were not significantly different (p?>?0.05), CZ was significantly higher than that of IZ (p?<?0.05). The lowest shape value was for VZ (m?=?16.94) and the highest for MM (m?=?20.16). Mainly, adhesive failures followed by mixed failures were observed. VCs with a greater mismatch of CTE with the zirconia framework exhibited similar Shell–Nielsen bond strength to those with fewer mismatches. CTE mismatch did not affect the results of CZ (9.1?×?10^?6 K^?1) and IZ (9.6?×?10^?6 K^?1).     

Adhesion of resin cement to contemporary hybrid ceramic and polymeric CAD/CAM materials: effect of conditioning methods and ageing

This study assessed the effect of different surface conditioning methods and ageing protocols on adhesion of resin cement to hybrid ceramic and polymeric CAD/CAM materials. CAD/CAM materials (n?=?360, n?=?30 per group), namely (a) Lithium disilicate (IPS e.max CAD-LIS), (b) Zirconia (IPS e.max ZirCAD-ZIR), (c) Polymer (Lava Ultimate-LAV), (d) Polymer infiltrated ceramic network (Enamic-ENA), (e) Polymer infiltrated ceramic (Experimental-1-CS1), (f) Polymer infiltrated ceramic (Experimental-2-CS2), (g) Lithium disilicate reinforced alumina (n!ce-NIC) were cut into slices (3?×?6 × 8?mm³) and conditioned: (a) Method 1: 5% hydrofluoric acid etching (H)+silane and (b) Method 2: Silica coating (CoJet (A)+silane). Group LIS was conditioned with only Method 1 and Group ZIR only with Method 2 (control). Resin cement (Variolink Esthetic II) was bonded onto the conditioned specimens and photopolymerized. One-half of the specimens was subjected to ageing (thermocycling 5–55°, 5000 cycles) and the other half was stored in distilled water (37?°C, 24?h). The resin-substrate interface was loaded under shear forces in a Universal Testing Machine (1?mm/min). Data (MPa) were analyzed using two-way ANOVA and Tukey`s tests (α?=?0.05). Substrate type, conditioning method and ageing had a significant effect on adhesion values (p?<?.05). In aged conditions, ENA-H, ENA-A, LAV-H, LAV-A, CS2-A (15?±?4 – 11.6?±?5) showed no significant difference (p?>?.05), with the CS2-A (15?±?4) showing the least reduction (5.5%) compared to all other groups (5.8–62.6%). CS1-A (100%) followed by ENA-H, ENA-A (93%), CS2-A (80%) presented the highest incidence of cohesive failures after ageing.     

Adhesion potential of relining materials to polyamide and PMMA-based denture base materials: effect of surface conditioning methods

This study evaluated the bond strength of relining materials to different denture base materials polyamide and polymethylmethacrylate denture base materials after various surface conditioning methods. Denture base resin specimens (N?=?128; n?=?8 per group) (10?×?10?×?2.5?mm³) were fabricated out of injection-moulded thermoplastic polyamide resin (POL) (Deflex) and heat-polymerized polymethylmethacrylate (PMMA, Dura Dent) (HC). The specimens were randomly divided into 4 main groups according to different surface conditioning methods: (a) No conditioning, control (C), (b) grinding with green stone (G), (c) application of primer (V), (d) silica coating with Al₂O₃ particles coated with SiO₂ (Rocatec) (R). Half of the specimens in each group received auto-polymerized hard relining resin (GC, GC Reline Hard) and the other half PMMA based relining resin (SC, Dura Dent). After thermocycling (×5000), the bonded specimens were tested under tensile forces (0.5?mm/min). Data (MPa) were analyzed using Mann–Whitney U and Kruskal–Wallis tests (alpha = 0.05). Bond strength of relining resins were significantly higher to PMMA than to POL, regardless of the conditioning method (p?<?0.05). While R positively affected the bond strength results (p?<?0.05) (4.99?±?1.65–3.27?±?1.31), application V or G did not show significant effect to POL-relining resin adhesion. After R conditioning, bond strength values were significantly higher in HC-GC group (7.48?±?2.32) than POL-GC group (3.27?±?1.31) (p?<?0.05). Adhesion of auto-polymerized relining materials to thermoplastic polyamide or polymethylmethacrylate denture resins could be improved after surface conditioning with silica-coating.     

The shear bond strength of repaired high-viscosity bulk-fill resin composites with different adhesive systems and resin composite types

This study compared the effect of different adhesive systems and composite resins on the shear bond strength (SBS) of repaired high-viscosity bulk-fill composites(Tetric EvoCeram Bulk Fill) and investigated failure modes. One hundred twenty cylindrical bulk-fill composite blocks (diameter 5?mm) were fabricated and thermocycled for 5000 cycles (5–55?°C). Specimens were roughened by diamond bur and divided into 8 groups (n?=?15). Bulk-fill blocks were repaired with the same material or nanohybrid composite resin(Tetric EvoCeram Nanohybrid) (diameter 3?mm) using different adhesive systems:Tetric N-Bond Universal (TSE);37% phosphoric acid etching?+?Tetric N-Bond Universal (TER); Clearfil SE Bond (CSE); 37% phosphoric acid etching?+?Adper^TMSingle Bond 2(SB). After repair procedures, all specimens were thermocycled again. The shear bond strengths were measured for all specimens using a universal test machine (crosshead speed of 1?mm/min). Cohesive strengths of bulk-fill composites were measured and described as control group. Debonded surfaces were observed with a stereomicroscope under 10x magnification to determine mode of failure. The SBS data of all groups was statistically analyzed by two-way ANOVA and Bonferroni correction test (p?<?0.05). The specimens repaired with bulk-fill composites showed significantly higher SBS values (25.86?±?5.74, 27.05?±?4.93, 24.49?±?6.95MPa) than those with nanohybrid composites (20.41?±?3.70, 22.08?±?6.37, 18.74?±?6.40?MPa) for TER,CSE,SB, respectively (p?<?0.05). There were no significant differences in SBS according to the type of adhesive systems for both repair materials (p?>?0.05). The predominant mode of failure was a mixed type in the restorative material except for the ones repaired with nanohybrid composites using Adper^TMSingle Bond 2. High-viscosity bulk-fill composites could be successfully repaired with the same materials. SBS of repaired bulk-fill composites reached cohesive strength for all tested groups.     

An investigation of atomic force microscopy,surface topography and adhesion of luting cements to zirconia: effect of silica coating,zirconia primer and laser

This study evaluated the effect various surface conditioning methods on the surface topography and adhesion of luting cements to zirconia. Zirconia blocks (N?=?25) were randomly assigned to five groups according to the surface conditioning methods: (a) No conditioning, control (CON), (b) tribochemical silica coating (TSC), (c) MDP-based zirconia primer (ZRP), (d) coating with nano aluminum nitride (ALN) (e) etching with Er: YAG laser (LAS). The conditioned zirconia blocks were further divided into five subgroups to receive the luting cements: (a) MDP-based resin cement (Panavia F2.0) (PAN), (b) 4-META-based cement (Super Bond) (SUB), (c) UDMA-based (GCem) (GCE), (d) bis-GMA based (Bifix QM) (BIF) and (e) polycarboxylate cement (Poly-F) (POL). Cements were applied in polyethylene moulds (diameter: 3?mm; height: 2?mm). The bonded specimens were first thermocycled for 5500 cycles (5–55?°C) and then adhesive interface was loaded under shear (0.5?mm/min). The data (MPa) were analyzed using 2-way ANOVA, Tukey’s and Bonneferroni tests (alpha?=?0.05). Regardless of the cement type, TSC resulted in significantly higher bond strength (p???0.05) (13.3?±?4.35–25.3?±?6.3) compared to other conditioning methods (2.96?±?1.5–5.4?±?5.47). Regardless of the surface conditioning method, no significant difference was found between MDP, 4-META and UDMA based cements (p?>?0.05) being significantly higher than those of bis-GMA and polycarboxylate cements (p???0.05). Failure types were frequently adhesive in all groups. Tribochemical silica coating provided superior bond results compared to other conditioning methods tested on zirconia especially in conjunction with UDMA- and 4-META-based resin cements.     

Efficacy of a nootropic spearmint extract on reactive agility: a randomized,double-blind,placebo-controlled,parallel trial

Background

Proprietary spearmint extract (PSE) containing a minimum 14.5% rosmarinic acid and 24% total phenolic content, has evinced positive effects on cognition in individuals aged 50–70 with memory impairment after chronic supplementation. To address the growing interest in connecting mental and physical performance, the present study examined whether the nootropic effects of PSE translate into changes in reactive agility following daily supplementation with PSE.

Methods

Utilizing a randomized, double-blind, placebo-controlled, parallel design, healthy, recreationally-active men and women (n?=?142) received 900?mg of PSE or placebo (PLA) daily for 90?days. Reactive agility, our primary outcome, was determined by measuring the number of hits and average reaction time (ART) on a Makoto Arena II, a 360⁰ audio-visual device that measures stationary, lateral, and multi-directional active choice reaction performance. Safety was evaluated using complete blood count, comprehensive metabolic panel, and blood lipids. Measurements were evaluated on days 7, 30, and 90 of supplementation.

Results

An overall treatment effect (p?=?0.019) was evident for increased hits with PSE on the stationary test with footplates, with between group differences at Day 30 (PSE vs. PLA: 28.96?±?2.08 vs. 28.09?±?1.92 hits; p?=?0.040) and Day 90 (PSE vs. PLA: 28.42?±?2.54 vs. 27.02?±?3.55 hits; p?=?0.002). On the same task, ART improved (treatment effect, p?=?0.036) with PSE at Day 7 (PSE vs. PLA: 0.5896?±?0.060 vs. 0.6141?±?0.073?s; p?=?0.049) and Day 30 (PSE vs. PLA: 0.5811?±?0.068 vs. 0.6033?±?0.055?s; p?=?0.049). PSE also significantly increased hits (treatment effect, p?=?0.020) at Day 30 (PSE vs. PLA: 19.25?±?1.84 vs. 18.45?±?1.48 hits; p?=?0.007) and Day 90 (PSE vs. PLA: 19.39?±?1.90 vs. 18.66?±?1.64 hits; p?=?0.026) for the multi-directional test with footplates. Significant differences were not observed in the remaining Makoto tests. PSE was well tolerated as evidenced by no effects observed in the blood safety panels.

Conclusions

The findings of the current study demonstrate that consumption of 900?mg of PSE improved specific measures of reactive agility in a young, active population.

Trial registration

clinicaltrials.gov, NCT02518165. Registered August 7, 2015 – retrospectively registered.

     

Combined extracts of <Emphasis Type="Italic">Garcinia mangostana</Emphasis> fruit rind and <Emphasis Type="Italic">Cinnamomum tamala</Emphasis> leaf supplementation enhances muscle strength and endurance in resistance trained males

Background

A proprietary composition GMCT contains extracts of two popular Asian herbs viz., Garcinia mangostana (GM) fruit rind and Cinnamomum tamala (CT) leaf. We systematically evaluated physical performance and muscle strength enhancing ability of GMCT in a preclinical mouse model followed by a 42-days double-blind placebo controlled human trial in resistance trained adult males.

Methods

Four groups of Swiss albino mice (20–30 g body weight) (n?=?6) were fed a standard laboratory diet and given Carboxymethylcellulose sodium (CMC), 150 mg/kg GMCT (GMCT-150), 300 mg/kg GMCT (GMCT-300) or 50 mg/kg Oxymetholone (OXY) via oral gavage for 21 days. On day 22, the animals’ physical performance and muscle strength were assessed in a forced swimming test (FST) and forelimb grip strength experiment, respectively.In the human trial, thirty-eight resistance-trained young adults (mean age 26.32?±?4.39 years, body weight 67.79?±?12.84 kg, BMI 22.92?±?3.54 kg/m²) completed the trial. The participants received either GMCT (n?=?19; 800 mg daily) or matched placebo (n?=?19) for 42 days. As primary variables, 1-RM bench press, 1-RM leg press, and leg extension repetitions were measured at baseline and on days 14, 28 and 42 of the intervention. Anthropometric parameters and serum markers such as free testosterone, insulin-like growth factor 1 (IGF-1), insulin and lactate were also measured before and after the intervention.

Results

GMCT-300 mice showed significant improvement in swimming time (GMCT: 395.3?±?81.70 s vs. CMC: 271.6?±?56.86 s; p?=?0.0166), distance (GMCT: 341.22?±?65.88 m vs. CMC: 260.84?±?49.15 m; p?=?0.0461) and grip strength (GMCT: 43.92?±?6.97 N vs. CMC: 35.0?±?6.92 N; p?=?0.0490), compared with the CMC group.At the end of the 42-day human trial, the per protocol analyses reveal that mean changes from baseline 1-RM bench press (GMCT: 23.47?±?10.07 kg vs. PL: 3.42?±?2.06 kg; p?<?0.0001), leg press (GMCT: 29.32?±?16.17 kg vs. PL: 5.21?±?1.72 kg; p?<?0.0001), number of leg extension repetitions (GMCT: 6.58?±?2.57 vs. PL: 2.05?±?1.22; p?<?0.0001) in GMCT group were significantly improved, compared with placebo. Intergroup difference analyses show that the changes from baseline left arm (GMCT: 1.09?±?0.36 cm vs. PL: 0.68?±?0.42 cm; p?=?0.0023), right arm (GMCT: 1.50?±?0.44 cm vs. PL: 1.11?±?0.43 cm; p?=?0.0088) circumference and lean mass (GMCT: 2.29?±?2.09 kg vs. PL: 0.52?±?2.58 kg; p?=?0.0404) in GMCT group were also significantly improved, compared with placebo. In comparison to placebo, GMCT supplementation did not improve free testosterone, IGF-1, insulin or lactate levels. Parameters of clinical biochemistry, hematology, urine and vital signs of the participants were within the normal range.

Conclusion

GMCT supplementation is effective in increasing muscle strength, muscle size and, total lean mass, as well as endurance performance.Trial Registration.Clinical Trial Registry of India (CTRI/2015/01/005374), Registered on Jan 07, 2015; CTRI Website URL - http://ctri.nic.in

     

Effect of material and fabrication technique on marginal fit and fracture resistance of adhesively luted inlays made of CAD/CAM ceramics and hybrid materials

This study evaluated the fracture resistance and marginal fit of CAD/CAM ceramic and composite inlays. Molars (N = 80) were prepared to receive Mesio-occlusal-distal (MOD) inlays and randomly divided into four groups to be restored depending on the materials: (a) HLD: heat-pressed lithium disilicate ceramic (IPS e.max Press), (b) CLD: CAD/CAM-fabricated lithium disilicate ceramic (IPS e.max CAD), (c) NC: CAD/CAM nano-ceramic resin (Lava Ultimate), (d) RC: Indirect resin composite (Filtek P60). Each group was randomly divided into two subgroups regarding the resin cement: (a) High-viscosity resin cement (Syntac, Variolink II), (b) Self-adhesive low-viscosity cement (RelyX Ultimate). After marginal gap and cement thickness measurements, specimens were loaded to fracture in a Universal Testing Machine (1 mm/min). Intact molars acted as the control group (n = 10). Data were analyzed using one-way and two-way ANOVA, Tukey’s tests (α = 0.05). Before cementation, CLD group showed significantly lower mean marginal gap (65 ± 22.4 μm) and after cementation, cement thickness was again the lowest with CLD (82.6 ± 24.6 μm) and the highest with HLD (108.4 ± 21.3 μm) (p < 0.001). The mean marginal gaps of inlays at the gingival margin were significantly higher than at the occlusal and the axial margins (p < 0.05). While material type significantly affected the mean fracture resistance (p < 0.001), the cement type had no effect on the results (p = 0.083). NC group (2486 ± 40 N) showed significantly higher mean fracture load compared to those of other three groups (1997.5 ± 60–2007 ± 30) (p < 0.05). The mean fracture resistance of control group with the intact teeth was significantly higher than those of all groups (p < 0.05) except for NC (p > 0.05).     

Compressive strength and failure types of cusp replacing direct resin composite restorations in previously amalgam-filled premolars versus sound teeth

This study evaluated the fracture resistance of cusp replacing direct resin composite restorations (DCR) in premolars that had been previously filled with amalgam mesial–occlusal–distal (MOD) restorations and compared their fracture resistance with those made on sound dentin and intact teeth. Recently extracted human premolars with either MOD amalgam restorations or sound/intact ones were selected for the study. Cavities with cusp reduction were made for the following groups: (a) Group 1: DCRs on previously amalgam-affected dentin (n = 11), (b) Group 2: DCRs on sound dentin (n = 10), and (c) Group 3: intact premolars (n = 9). Teeth in Groups 1 and 2 were restored with a 3-step etch and rinse adhesive (Quadrant Unibond) and filled with hybrid composite (Clearfil Photo Posterior). All specimens were thermocycled for 5000 cycles (5–55 °C). The buccal cusps of the teeth were loaded until fracture under compression at 45° to the long axis of the teeth in a universal testing machine (1 mm/min). Data (N) were statistically analyzed using one-way ANOVA and Student’s t-test (α = 0.01). Intact teeth (Group 3) showed significantly higher fracture resistance (893 ± 196) compared to both restored groups (p < 0.01). No significant difference was found between the DCRs made on amalgam-affected dentin (Group 1: 607 ± 166) and sound dentin (Group 2: 588 ± 183) (p > 0.01). More than half of the teeth of Groups 2 and 3 showed unrepairable fractures with pulp exposure.     

The effect of two β-alanine dosing strategies on 30-minute rowing performance: a randomized,controlled trial

Background

β-alanine (βA) supplementation has been shown to increase intramuscular carnosine content and subsequent high-intensity performance in events lasting <?4?minutes (min), which may be dependent on total, as opposed to daily, dose. The ergogenic effect of βA has also been demonstrated for 2000-m rowing performance prompting interest in whether βA may be beneficial for sustained aerobic exercise. This study therefore investigated the effect of two βA dosing strategies on 30-min rowing and subsequent sprint performance.

Methods

Following University Ethics approval, twenty-seven healthy, male rowers (age: 24?±?2?years; body-height: 1.81?±?0.02?m; body-mass: 82.3?±?2.5?kg; body-fat: 14.2?±?1.0%) were randomised in a double-blind manner to 4?weeks of: i) βA (2.4?g·d^??1, βA1); ii) matched total βA (4.8?g on alternate days, βA2); or iii) cornflour placebo (2.4?g·d^??1, PL). Participants completed a laboratory 30-min rowing time-trial, followed by 3x30-seconds (s) maximal sprint efforts at days 0, 14 and 28 (T1-T3). Total distance (m), average power (W), relative average power (W·kg^??1), cardio-respiratory measures and perceived exertion were assessed for each 10-min split. Blood lactate ([La-]_b mmol·L^??1) was monitored pre-post time-trial and following maximal sprint efforts. A 3-way repeated measures ANOVA was employed for main analyses, with Bonferonni post-hoc assessment (P?≤?0.05).

Results

Total 30-min time-trial distance significantly increased from T1-T3 within βA1 only (7397?±?195?m to 7580?±?171?m, P?=?0.002, ?p²?=?0.196), including absolute average power (194.8?±?18.3?W to 204.2?±?15.5?W, P?=?0.04, ?p²?=?0.115) and relative average power output (2.28?±?0.15?W·kg^??1 to 2.41?±?0.12?W·kg^??1, P?=?0.031, ?p²?=?0.122). These findings were potentially explained by within-group significance for the same variables for the first 10?min split (P?≤?0.01), and for distance covered (P?=?0.01) in the second 10-min split. However, no condition x time interactions were observed. No significant effects were found for sprint variables (P?>?0.05) with comparable values at T3 for mean distance (βA1: 163.9?±?3.8?m; βA2: 161.2?±?3.5?m; PL: 162.7?±?3.6?m), average power (βA1: 352.7?±?14.5?W; βA2: 342.2?±?13.5?W; PL: 348.2?±?13.9?W) and lactate (βA1: 10.0?±?0.9?mmol·L^??1; βA2: 9.2?±?1.1?mmol·L^??1; PL: 8.7?±?0.9?mmol·L^??1).

Conclusions

Whilst daily βA may confer individual benefits, these results demonstrate limited impact of βA (irrespective of dosing strategy) on 30-min rowing or subsequent sprint performance. Further investigation of βA dosage >?2.4?g·d^??1 and/or chronic intervention periods (>?4–8?weeks) may be warranted based on within-group observations.

     

The influence of retention hole and adhesive systems on the shear bond strengths of resin composite to amalgam

The aim of the study is to evaluate the influence of surface-treatment methods with and without the use of a retention hole on the shear bond strength of a resin composite adhered to amalgam using an adhesive system. Amalgam specimens were divided into six groups. Group 1 (Bur) specimens were roughened with a diamond bur, Group 2 (Al₂O₃) specimens were sandblasted with a 50?μm aluminum oxide powder, Group 3 (CoJet^®) specimens were sandblasted with 30?μm CoJet^® Sand, Group 4 (Bur?+?Rh) specimen surfaces were prepared with a retention hole 1?mm in diameter and 1?mm deep and roughened with a diamond bur, Group 5 (Al₂O₃?+?Rh) specimens were also prepared with a retention hole and sandblasted with 50?μm aluminum oxide powder, and Group 6 (CoJet^®?+?Rh) surfaces were prepared with a retention hole and sandblasted with 30?μm CoJet^® Sand. Resin composite cylinders were bonded onto the amalgam surfaces using Xeno^® IV, Optibond? All-In-One, Clearfil? SE Bond, Adper? Single Bond Plus, and Scotchbond? Multi-Purpose adhesive systems. In addition, silane (Monobond S) was used for Groups 5 and 6. The shear bond was determined and statistically analyzed using two-way analysis of variance and post hoc Tukey’s tests (p?≤?0.05). The surface treatment significantly affected the shear bond strengths of the adhesive systems. The shear bond strengths of Optibond? All-In-One (2.661?±?0.48?MPa) in Group 1 and Scotchbond Multi-Purpose (3.818?±?0.98) in Group 4 were significantly higher than those of the other adhesive systems. Silica coating of the amalgam surface significantly improved the shear bond strength of the resin composites. The addition of a retention hole on the amalgam affects the bonding strength of the composite adhesion.     

Incorporation of EGCG into an etch-and-rinse adhesive system: mechanical properties and bond strength to caries affected dentin

This study evaluated how a matrix metalloproteinase (MMP) inhibitor (EGCG) incorporated into an etch-and-rinse adhesive system (AS) affects the long-term microtensile bond strength (MTBS) to caries affected dentin (CAD) and flexural strength (FS) of AS. Forty CAD surfaces received acid conditioning and were randomly divided into four groups (n?=?10): EGCG-PRE – dentin treatment with 200?μg/mL EGCG solution; EGCG-INC – 200?μg/mL EGCG solution incorporated into SA; CHX-PRE – dentin treatment with 2% digluconate solution; NT – no treatment. The AS (Adper Single Bond 2, 3M ESPE) was applied and resin composite blocks were built on the dentin. Beam-shaped specimens (0.8?mm²) were obtained submitted to MTBS testing following 24?h, 6 months or 1 year of water storage (WS). Adhesive interface was analyzed by SEM. FS testing was performed by preparing specimens with the adhesive system, with or without the EGCG solution (200?μg/mL) (n?=?10). Tests were carried out in a universal machine (0.5?mm/min). MTBS data were submitted to two-way ANOVA and Tukey’s test, whereas FS data, to the Student’s t-test (α?=?0.05). MTBS values were not affected by EGCG application, either incorporated or used as a dentin treatment agent, regardless of the WS period; however, CHX negatively affected MTBS to CAD (p?<?0.001). WS significantly reduced MTBS values (p?<?0.001) from the 6-months time point. FS was not affected by EGCG incorporation into the SA (p?=?0.2527). EGCG incorporation into AS was unable to maintain bond stability to CAD over time, whereas it did not compromise adhesive’s property.     

Dietary intake and stress fractures among elite male combat recruits

Background

We examined the effect of four weeks of ??-alanine supplementation on isometric endurance of the knee extensors at 45% maximal voluntary isometric contraction (MVIC).

Methods

Thirteen males (age 23?±?6 y; height 1.80?±?0.05?m; body mass 81.0?±?10.5?kg), matched for pre-supplementation isometric endurance, were allocated to either a placebo (n?=?6) or ??-alanine (n?=?7; 6.4?g·d^-1 over 4?weeks) supplementation group. Participants completed an isometric knee extension test (IKET) to fatigue, at an intensity of 45% MVIC, before and after supplementation. In addition, two habituation tests were completed in the week prior to the pre-supplementation test and a further practice test was completed in the week prior to the post-supplementation test. MVIC force, IKET hold-time, and impulse generated were recorded.

Results

IKET hold-time increased by 9.7?±?9.4?s (13.2%) and impulse by 3.7?±?1.3 kN·s^-1 (13.9%) following ??-alanine supplementation. These changes were significantly greater than those in the placebo group (IKET: t ₍₁₁₎?=?2.9, p ??0.05; impulse: t ₍₁₁₎?=?3.1, p????0.05). There were no significant changes in MVIC force in either group.

Conclusion

Four weeks of ??-alanine supplementation at 6.4?g·d^-1 improved endurance capacity of the knee extensors at 45% MVIC, which most likely results from improved pH regulation within the muscle cell as a result of elevated muscle carnosine levels.     

Effect of 2% chlorhexidine gluconate cavity disinfectant on microtensile bond strength of tooth-coloured restorative materials to sound and caries-affected dentin

This study evaluated the effect of 2% chlorhexidine gluconate-based cavity disinfectant (CHX) on the microtensile bond strength (μTBS) of glass ionomer, resin-modified glass ionomer and packable resin composite to sound and caries-affected dentin. Sound and occlusal caries-affected human third molars (N?=?36, n?=?3 per group) were randomly divided into three experimental groups to receive one of the following restorative materials. (a) Glass ionomer (Ketac Molar, 3 M ESPE; GI), (b) resin-modified glass ionomer (Vitremer, 3 M ESPE; RMGI) and (c) packable resin composite (Surefil, Dentsply; PRC) with a bonding agent (Prime Bond NT, Dentsply De Trey). Caries was removed using a caries-detecting dye (Caries Detector, Kuraray Medical Ltd.) and flat dentin surfaces were achieved by finishing up to 1200-grit silicon carbide abrasive. Half of the teeth in each group received 2% CHX (Consepsis, Ultradent). Dentin surfaces were built-up with the respective materials incrementally and were sectioned with a slow-speed saw into multiple beams. The beams were subjected to μTBS test (0.5 mm/min) in a Universal Testing Machine. The data were analysed using two-way analysis of variance and Tukey’s tests. For each restorative material, μTBS results were not affected by the application of CHX (p?>?0.05) on both sound and caries-affected dentin (p?>?0.05). PRC in combination with the corresponding bonding agent showed significantly higher results (p?<?0.05) than those of GI and RMGI, on sound and caries-affected teeth, respectively. Cohesive failure in dentin was not observed in any of the groups. The use of 2% chlorhexidine-based cavity disinfectant did not impair the adhesion of the restorative materials tested to either sound or caries-affected dentin.