Results from clinical studies suggest that more than half of the 166 million dental restorations that were placed in the United States in 2005 were replacements for failed restorations. This emphasis on replacement therapy is expected to grow as dentists use composite as opposed to dental amalgam to restore moderate to large posterior lesions. Composite restorations have higher failure rates, more recurrent caries, and increased frequency of replacement as compared to amalgam. Penetration of bacterial enzymes, oral fluids, and bacteria into the crevices between the tooth and composite undermines the restoration and leads to recurrent decay and premature failure. Under in vivo conditions the bond formed at the adhesive/dentin interface can be the first defense against these noxious, damaging substances. The intent of this article is to review structural aspects of the clinical substrate that impact bond formation at the adhesive/dentin interface; to examine physico-chemical factors that affect the integrity and durability of the adhesive/dentin interfacial bond; and to explore how these factors act synergistically with mechanical forces to undermine the composite restoration. The article will examine the various avenues that have been pursued to address these problems and it will explore how alterations in material chemistry could address the detrimental impact of physico-chemical stresses on the bond formed at the adhesive/dentin interface.

The ratio of the double-bond content of monomer to polymer, i.e. degree of conversion (DC) has been used frequently as a convenient means of comparing the behavior and properties of dental composites and adhesives. The purpose of this investigation was to study the relationship of photopolymerization processes, bulk properties, and structure using model dentin adhesives cured in the presence of different ethanol content as an example. There was little difference in the DC of model BisGMA-based adhesives cured in the presence of ethanol concentrations ranging from 0 to 40 wt %, but there were substantial differences in the mechanical properties. Ultimate tensile strength (UTS) and modulus of elasticity decreased with an increase in ethanol content. Polymer structure was revealed by thermal behavior in the glass transition temperature (T g ) region; these measurements were obtained by modulated temperature differential scanning calorimetry (MTDSC) technology, which removes the competing irreversible effects associated with release of volatiles and residual curing. Glass transition temperature of model adhesives decreased substantially with an increase in ethanol content. The DC based on the quantity of remaining double bond has been used extensively to characterize and provide a relative assessment of the quality of dentin adhesives and dental composites. Since polymers differing in linearity, and therefore crosslink density, may have a similar degree of conversion, the measurement of monomer/polymer conversion does not necessarily provide complete representation of the quality or durability of the polymer structure.

Pantographic metamaterials: an example of mathematically driven design and of its technological challenges Abstract In this paper, we account for the research efforts that have been started, for some among us, already since 2003, and aimed to the design of a class of exotic architectured, optimized (meta) materials. At the first stage of these efforts, as it often happens, the research was based on the results of mathematical investiga-tions. The problem to be solved was stated as follows: determine the material (micro)structure governed by those equations that specify a desired behavior. Addressing this problem has led to the synthesis of second gradient materials. In the second stage, it has been necessary to develop numerical integration schemes andDipartimento di Ingegneria Strutturale e Geotecnica, Università degli Studi di Roma "La Sapienza.", Via Eudossiana 18, 00184 Rome, Italy E-mail: barchiesiemilio@gmail.com the corresponding codes for solving, in physically relevant cases, the chosen equations. Finally, it has been necessary to physically construct the theoretically synthesized microstructures. This has been possible by means of the recent developments in rapid prototyping technologies, which allow for the fabrication of some complex (micro)structures considered, up to now, to be simply some mathematical dreams. We show here a panorama of the results of our efforts (1) in designing pantographic metamaterials, (2) technology of rapid prototyping, and (3) in the mechanical testing of many real prototypes. Among the key findings that have been obtained, there are the following ones: pantographic metamaterials (1) undergo very large deformations while remaining in the elastic regime, (2) are very tough in resisting to damage phenomena, (3) exhibit robust macroscopic mechanical behavior with respect to minor changes in their microstructure and micromechanical properties, (4) have superior strength to weight ratio, (5) have predictable damage behavior, and (6) possess physical properties that are critically dictated by their geometry at the microlevel.

Click here to access/download;Manuscript;Advances in Pantographic Structures.pdf Click here to view linked References Francesco dell'Isola et al.