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17 protocols using k etchant gel

1

Comparative Evaluation of Fissure Sealants

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The present study used the following three fissure sealants: Teethmate F-1 2.0 (TM; Kuraray Noritake Dental, Tokyo, Japan), a conventional resin-based fissure sealant; BeautiSealant (BS; Shofu, Kyoto, Japan), an S-PRG filler-containing resin-based fissure sealant; and Fuji III LC (IIILC; GC, Tokyo, Japan), an RMGIC-based fissure sealant. Additionally, according to typical methods, the following tooth surface treatment agents were used: K-Etchant Gel (Kuraray Noritake Dental) for TM, an included primer (Shofu) for BS, and cavity conditioner (GC) for IIILC (Table 1).
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2

Evaluation of Dental Adhesive Protocols

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Table 1 lists the compositions, manufacturers, and batch numbers of the materials employed in this study. Two 2-step SEAs (SE2 and XTR) and one universal adhesive used in etch-and-rinse and 1-step SEA modes (SBU) were the materials selected for the study. K-etchant gel (Kuraray Noritake Dental), 40% phosphoric acid, was used with SBU when it was used in etch-and-rinse mode. The bonding procedures of each group are listed in Table 1.
Caries-free extracted human third molars were obtained under a protocol approved by the Ethical Committee at Tokyo Medical and Dental University (No.725). Before use, the teeth were cleaned of debris and stored in physiological saline containing 0.1% thymol at 4°C and used within 6 months after extraction.
Experiment 1 -µTBS 1. Tooth specimen preparation Forty-five human third molars were selected for this part of the study. For each tooth, the coronal portion was removed to expose a flat, mid-coronal dentin surface using a low speed water-cooled diamond saw (Isomet 1000, Buehler, Lake Bluff, IL, USA). The exposed dentin surface was finished using 600-grit silicon carbide abrasive paper under a water stream for 60 s to produce standardized smear layers.
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3

Dental Fissure Sealant Placement and Evaluation

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The sealant material (Teethmate F-1, Kuraray Noritake Dental, Tokyo, Japan) was placed by the reference operator (SI), according to the manufacturer's instructions. A clear shade of sealant material was used.
First, the fissures were cleaned without prophylaxis paste using a brush cone attached to a low-speed handpiece and thoroughly washed with a high-pressure stream of water and air spray. The fissures were then etched with a 40% phosphoric acid gel (K-Etchant gel, Kuraray Noritake Dental) for 40 s, rinsed thoroughly with water, and gently air dried until the occlusal surfaces appeared frosty. The applicator nozzle of the sealant was placed against the fissures, and the barrel of the container was gently squeezed for precise sealant placement. A sealant applicator instrument (Sealant applicator, GC) was used to carefully spread the sealant if necessary. The sealant material was light cured for 20 s with a halogen light curing unit (OptiLux 501, Kerr, Orange, CA) with an output of 600 mW/mm 2 . Following sealant placement, observations were performed with SS-OCT to evaluate the completeness of sealant penetration into each fissure depth.
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4

Cementation and Color Evaluation of Veneers

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The tooth surfaces of laminate veneers were prepared for cementation according to the manufacturer's recommendations. Zirconia veneers were air abraded with silica-modified 110 μm diameter aluminum oxide particles (Rocatec Plus, 3 M ESPE, St. Paul, MN). LiSi veneers were etched for 20 s (K-etchant gel, Kuraray Noritake Dental), rinsed, and dried. Subsequently, the surfaces were treated with a conditioning agent (Ceramic Primer Plus, Kuraray Noritake Dental). A translucent resin cement (Panavia V5 Clear, Kuraray Noritake Dental) was applied to each veneer, placed on a resin die (L = 77.1, a = 1.4, b = 18.4), and seated with finger pressure for 1 min. The excess cement was then removed, and the restoration was light cured for 20 s from labial and palatal surfaces.
After cementation, final L, a, b values of the restorations were measured twice by a spectrophotometer, and the average value was taken. The color difference between the veneers of different thicknesses was calculated with the CIEDE2000 formula [23 (link)].
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5

Fabrication of FRC Post Abutments

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Before abutment build-up, 40% phosphoric acid (Ketchant GEL, Kuraray Noritake Dental, Tokyo, Japan) was applied to each FRC post (1.6 mm in diameter, Fiber post, GC, Tokyo, Japan); these were washed with water, dried, then silane coupling agent (CERAMIC PRIMER II, GC) was applied. A bonding agent (Clearfil ® Universal Bond, Kuraray Noritake Dental) was applied to the root canal walls, aired for 10 s with mild air, and then irradiated for 10 s with an LED irradiator. An abutment was built up via direct method using the FRC post and resin (Clearfil ® DC Core Automix ® ONE, Kuraray Noritake Dental). The height of the build-up was 3 mm from the margin. Each specimen was light irradiated for 40 s from 5 directions. The abutment tooth was prepared at an axial inclination of 6° with deep chamfer preparation using a surveyor and diamond bur (101 LRD, Shofu).
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6

Dental Bonding Material Composition

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The material compositions used in this study are listed in Table 1. KATANA AVENCIA (KATANA AVENCIA BLOCK, Kuraray Noritake Dental, Tokyo, Japan) is a CRB and PANAVIA V5 (PV5, Kuraray Noritake Dental) is a resin cement with its tooth primer. Forty percent phosphoric acid (K-etchant gel, Kuraray Noritake Dental) was used to clean up the CRB surface. Clearfil Ceramic Primer (Ceramic Primer, Kuraray Noritake Dental) was used as a silane coupling agents for the CRB surfaces.
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7

Dentin Surface Preparation for Microleakage Assessment

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A total of 24 caries-free human teeth stored in distilled water after extraction were prepared as in experiment 1 (n = 8 in each group). After water storage for 24 h, the coronal and apical sides were removed so that microleakage was not disturbed by the resin core at the coronal side or the gutta-percha points at the apical side. The abraded surface was treated with 40% phosphoric acid (K etchant gel, Kuraray Noritake Dental) for 3 min to remove the smear layer [17] . Then, a nail varnish was carefully applied to the root surface to avoid contact with the adhesive interface between the dentin and resin.
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8

Dentin Surface Treatment Protocols for Adhesion

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Three human non-caries molars were stored in HBSS and used within 6 months after extraction. Mid-coronal dentin surfaces were obtained by removing the occlusal third of the molar crowns using the low-speed diamond saw under water cooling. A standard smear layer was prepared using 600 grit SiC paper (Fig. 1a). The dentin surface was divided into four sections and each surface was treated as follows:
1. No treatment (Cont).
2. Etching: Etch the dentin surface for 15 s using 37% phosphoric acid (K-Etchant gel, Kuraray Noritake Dental), rinse, and air dry. 3. NC: Etch the dentin surface using phosphoric acid, rinse, air dry, and apply 10% NaClO gel (AD gel, Kuraray Noritake Dental) for 60 s. 4. NC+AC: Etch the dentin surface using phosphoric acid, apply NaClO gel and sulfinic acid sodium salt (Accel, Sun Medical) for 15 s, and air dry (Fig. 1g). Specimens were then observed by SEM (Fig. 1h).
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9

Glass Fiber Post Cementation Protocol

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The glass fiber posts (Clearfil Fiber Post #4, Kuraray Noritake Dental) were cut 3.0 mm above the finish line of the crown. The glass fiber posts were etched with 40% phosphoric acid gel (K-etchant GEL, Kuraray Noritake Dental) for 5 s and cleansed with distilled water. Subsequently, glass fiber posts were air-dried and coated with a ceramic primer (Clearfil Ceramic Primer Plus, Kuraray Noritake Dental). An automix composite resin was injected into the post spaces of the surface-treated experimental roots, and the posts were inserted into these spaces. The abutment was built and adjusted as described above.
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10

Evaluation of Core Build-up Systems

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Three types of core build-up systems were used (Fig. 3): composite resin core (RC), composite resin core with fiber posts (FC), and composite resin core with a prefabricated zirconia tube (ZC). Each group comprised eight specimens. The surfaces of the experimental roots were subjected to 40% phosphoric acid gel (K-etchant GEL, Kuraray Noritake Dental) for 5 s, cleaned with water, and dried with air and paper points. Subsequently, the surface of the coronal tooth structure and post spaces were applied with a ceramic primer (Clearfil Ceramic Primer Plus, Kuraray Noritake Dental) and dried with air and paper points. The surface of the coronal tooth structure and the post spaces of the specimens were applied with a bonding agent (Clearfil Universal Bond Quick, Kuraray Noritake Dental) for 10 s. Mild air was applied to the post spaces to spread a thin layer of the bonding agent, and the surplus bonding agent of the post spaces was removed using paper points. The surfaces of the experimental roots were cured using curing light with an intensity of 650 mW/cm 2 for 20 s using a light-curing unit (Blueshot, Shofu, Kyoto, Japan). The mold was fabricated using a transparent high-strength addition-cure-type silicon impression material (KE-1603-A/B, Shin-Etsu Chemical Co., Ltd.) to maintain the shape of the core.
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