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1.
J Prosthet Dent ; 129(5): 703-709, 2023 May.
Artigo em Inglês | MEDLINE | ID: mdl-34702586

RESUMO

STATEMENT OF PROBLEM: One of the most frequent complications in participants with fixed partial dentures (FPDs) is the apical migration of the gingival margin, which may be associated with factors such as fit, gingival margin location, or tooth preparation type. The prevalence of the complication in participants restored with FPDs prepared by using the biologically oriented preparation technique (BOPT) is unclear. PURPOSE: The purpose of this prospective clinical trial was to evaluate the clinical and biologic outcomes of FPDs on teeth prepared by using the BOPT, over a 6-year follow-up period. MATERIAL AND METHODS: Tooth-supported zirconia FPDs in the anterior region prepared by using the BOPT were evaluated. Each participant was monitored annually for 6 years by evaluating plaque index, probing depth, vestibular gingival thickness, and gingival margin stability. Biologic and/or mechanical complications were also recorded. Patient satisfaction was measured by using a visual analog scale (VAS). RESULTS: A total of 25 FPDs supported by 70 teeth in 24 participants were analyzed. Low plaque index values and stable probing depths were observed, whereas the gingival index was 0 for most of the teeth. Teeth treated by using the BOPT presented significant increase in gingival thickness, and the gingival margin was found to be stable in 100% of the treatments. FPD survival was 100%. CONCLUSION: Tooth supporting FPDs prepared by using the BOPT presented good periodontal health and gingival margin stability, without recession and with a 100% survival rate during a 6-year follow-up.


Assuntos
Produtos Biológicos , Dente , Humanos , Estudos Prospectivos , Planejamento de Dentadura , Prótese Parcial Fixa , Seguimentos , Falha de Restauração Dentária
2.
J Oral Rehabil ; 48(8): 927-936, 2021 Aug.
Artigo em Inglês | MEDLINE | ID: mdl-33977548

RESUMO

BACKGROUND: The efficiency of the mandibular advancement device (MAD) in patients with obstructive sleep apnoea syndrome (OSAS) has been demonstrated. Nevertheless, the behaviour of the upper airway once MAD is placed and titrated, and its correlation with the apnoea-hypopnoea index (AHI) is still under discussion. OBJECTIVES: To analyse the morphological changes of the upper airway through a bi- and three-dimensional study and correlate it with the polysomnographic variable, AHI. METHODS: Patients were recruited from two different hospitals for the treatment of OSAS with a custom-made MAD. A cone-beam computer tomography and a polysomnography were performed at baseline and once the MAD was titrated. RESULTS: A total of 41 patients completed the study. Treatment with MAD reduced the AHI from 22.5 ± 16.8 to 9.2 ± 11.6 (p ≤ .05). There was a significant increase of the total airway volume with MAD from 21.83 ± 7.05 cm3 to 24.19 ± 8.19 cm3 , at the expense of the oropharynx. Moreover, the correlation between the improvement of the AHI and the augmentation of the volume of the upper airway was not statistically significant. CONCLUSIONS: The oral device used in this prospective study increased the mean upper pharyngeal airway volume and significantly reduced the AHI. Future studies that measure the muscular tone are needed to completely understand the association between the AHI and the physiological and anatomical response of the upper airway.


Assuntos
Avanço Mandibular , Apneia Obstrutiva do Sono , Humanos , Placas Oclusais , Polissonografia , Estudos Prospectivos , Apneia Obstrutiva do Sono/diagnóstico por imagem , Apneia Obstrutiva do Sono/terapia , Resultado do Tratamento
3.
J Clin Periodontol ; 47(5): 614-620, 2020 05.
Artigo em Inglês | MEDLINE | ID: mdl-31860133

RESUMO

OBJECTIVE: Measuring soft tissue thickness after mucogingival surgery has traditionally been performed by means of a calibrated transgingival probe. The main aim of this study was to apply a non-invasive technique based on digital images formatted as Standard Tessellation Language (STL) files to quantify soft tissue volume after connective tissue grafting. CLINICAL INNOVATION REPORT: Ten patients who presented Cairo Class I gingival recession were selected for connective tissue grafting using the tunnel technique. In all patients, the initial position of the gingiva and quantity of keratinized tissue were recorded, and gingival recession was scanned with an intra-oral scanner. Six months after surgery, the same intra-oral parameters were recorded and compared with the initial registers using digital volumetric analysis software. RESULTS: Complete root coverage was obtained in most patients (90%), mean coverage being of 2.70 mm with a mean increase in volume of 115.49 mm3 in the treated areas. No pattern was identified that indicated a statistically significant relation between gingival recession and coverage volume in mm3 . CONCLUSIONS: Digital processing of pre- and post-treatment images makes it possible to measure the volume of tissue gained after tissue graft surgery simply and non-invasively. The technique is an objective and reproducible method for measuring soft tissue thickness.


Assuntos
Retração Gengival , Raiz Dentária , Tecido Conjuntivo/diagnóstico por imagem , Seguimentos , Gengiva/diagnóstico por imagem , Retração Gengival/diagnóstico por imagem , Retração Gengival/cirurgia , Humanos , Projetos Piloto , Retalhos Cirúrgicos , Resultado do Tratamento
4.
Medicina (Kaunas) ; 56(3)2020 Mar 18.
Artigo em Inglês | MEDLINE | ID: mdl-32197479

RESUMO

Background and Objectives: To evaluate in vitro the fracture resistance and fracture type of computer-aided design and computer-aided manufacturing (CAD-CAM) materials. Materials and Methods: Discs were fabricated (10 × 1.5 mm) from four test groups (N = 80; N = 20 per group): lithium disilicate (LDS) group (control group): IPS e.max CAD®; zirconium-reinforced lithium silicate (ZRLS) group: VITA SUPRINITY®; polymer-infiltrated ceramic networks (PICN) group: VITA ENAMIC®; resin nanoceramics (RNC) group: LAVA™ ULTIMATE. Each disc was cemented (following the manufacturers' instructions) onto previously prepared molar dentin. Samples underwent until fracture using a Shimadzu® test machine. The stress suffered by each material was calculated with the Hertzian model, and its behavior was analyzed using the Weibull modulus. Data were analyzed with ANOVA parametric statistical tests. Results: The LDS group obtained higher fracture resistance (4588.6 MPa), followed by the ZRLS group (4476.3 MPa) and PICN group (4014.2 MPa) without statistically significant differences (p < 0.05). Hybrid materials presented lower strength than ceramic materials, the RNC group obtaining the lowest values (3110 MPa) with significant difference (p < 0.001). Groups PICN and RNC showed greater occlusal wear on the restoration surface prior to star-shaped fracture on the surface, while other materials presented radial fracture patterns. Conclusion: The strength of CAD-CAM materials depended on their composition, lithium disilicate being stronger than hybrid materials.


Assuntos
Desenho Assistido por Computador/instrumentação , Restauração Dentária Permanente/métodos , Teste de Materiais/métodos , Estudos de Casos e Controles , Cerâmica/uso terapêutico , Materiais Dentários/uso terapêutico , Porcelana Dentária , Humanos , Nanoestruturas/uso terapêutico , Resistência à Tração , Zircônio
5.
Eur Arch Otorhinolaryngol ; 275(7): 1903-1911, 2018 Jul.
Artigo em Inglês | MEDLINE | ID: mdl-29679154

RESUMO

PURPOSE: This study aimed to determine the effectiveness of a mandibular advancement device in a sample of obstructive sleep apnea syndrome patients by the evaluation of respiratory and neurophysiologic parameters and clinical symptoms. Second, the influence of certain predictor factors related with the patient and the intraoral device, were considered in the final response with this treatment option. METHODS: Forty-one patients constituted the final sample. Outcomes were measured using polysomnography, Epworth sleepiness scale and an analogue visual snoring scale, before treatment and once the device was properly titrated. RESULTS: Mean apnea-hypopnea index decreased from 22.5 ± 16.8 to 9.1 ± 11.6 (p ≤ 0.05), influencing only gender and Fujita index as predictor factors. The oxygen saturation, arousal index, percentages of sleep stages and sleep efficiency significantly improved with the mandibular advancement device (MAD) placement. The snoring index improved in absolute terms in 6.1 units and the excessive daytime sleepiness was reduced from 12.2 ± 4.7 to 8.5 ± 3.8 (p ≤ 0.00). CONCLUSIONS: The successful treatment rate with the MAD was 65.8%. The placement and posterior regulation of the intraoral appliance efficiently reduced the apnea-hypopnea index, improved the sleep quality and the clinical symptomatology associated. Obstructive sleep apnea syndrome is a highly prevalent disease. and dentists should be aware of the benefits enhanced by this prosthetic device, considered the first treatment option by certain physicians.


Assuntos
Avanço Mandibular/instrumentação , Apneia Obstrutiva do Sono/cirurgia , Adulto , Idoso , Feminino , Humanos , Masculino , Pessoa de Meia-Idade , Polissonografia , Estudos Prospectivos , Apneia Obstrutiva do Sono/complicações , Apneia Obstrutiva do Sono/fisiopatologia , Fases do Sono , Ronco/etiologia , Ronco/terapia , Resultado do Tratamento
6.
J Prosthet Dent ; 113(6): 578-84, 2015 Jun.
Artigo em Inglês | MEDLINE | ID: mdl-25794906

RESUMO

STATEMENT OF PROBLEM: Because of the high mechanical strength of zirconium dioxide, the metal in fixed partial prostheses can now be replaced. However, the material is susceptible to aging or hydrothermal degradation and to chipping of the feldspathic veneer. PURPOSE: The purpose of this prospective study was to evaluate the survival (without failure) and success (survival without any complication or failure) rate and clinical efficacy of anterior zirconia partial fixed dental prostheses. MATERIAL AND METHODS: Twenty-seven anterior partial fixed dental prostheses of 3 to 6 units were fabricated. All participants were examined after 1 month and 6 months, then annually for 7 years. RESULTS: Three partial fixed dental prostheses failed and had to be removed: 2 because of secondary caries, which increased failure significantly (P=.001) and 1 because of severe chipping. Six partial fixed dental prostheses had complications: 2 debonded, 3 had chipping, and 1 had periapical pathology. All veneer porcelain fractures occurred in 6-unit fixed partial prostheses (P=.002). The clinical success rate was 88.8% after the 7-year follow-up. CONCLUSIONS: The clinical behavior of partial fixed dental prostheses with a zirconium dioxide core in the anterior region provides an adequate medium-term survival rate. The main cause of failure was secondary caries. The most frequent complication was chipping, which was directly related to the number of units of the prosthesis.


Assuntos
Materiais Dentários/química , Prótese Parcial Fixa , Zircônio/química , Adulto , Idoso , Desenho Assistido por Computador , Cárie Dentária/etiologia , Porcelana Dentária/química , Falha de Restauração Dentária , Facetas Dentárias , Planejamento de Dentadura , Retenção de Dentadura , Feminino , Seguimentos , Humanos , Masculino , Pessoa de Meia-Idade , Doenças Periapicais/etiologia , Estudos Prospectivos , Recidiva , Propriedades de Superfície , Análise de Sobrevida , Resultado do Tratamento
7.
Med Oral Patol Oral Cir Bucal ; 20(1): e94-102, 2015 Jan 01.
Artigo em Inglês | MEDLINE | ID: mdl-25129253

RESUMO

INTRODUCTION: Implant-supported prostheses have to overcome a major difficulty presented by the morphology and esthetics of peri-implant tissues in the anterior sector. Diverse therapeutic techniques are used for managing the mucosa adjacent to the implant and the most noteworthy is immediate/deferred fixed provisionalization. OBJECTIVES: In vitro testing of strength and deformation of implant prosthetic abutments made from different materials (Titanium/PEEK/methacrylate). MATERIAL AND METHODS: Forty Sweden & Martina® implant prosthetic abutments (n=40) were divided into five groups: Group MP: methacrylate provisional abutments with machined titanium base; Group PP: Polyether ether ketone (PEEK) provisional abutments; Group TP: titanium provisional abutments; Group TAD: titanium anti-rotational definitive abutments; Group TRD: titanium rotational definitive abutments. Their mechanical behavior under static loading was analyzed. Samples were examined under a microscope to determine the type of fracture produced. RESULTS AND CONCLUSIONS: Definitive anti-rotational titanium abutments and definitive rotational titanium abutments achieved the best mean compression strength, while PEEK resin provisional abutments obtained the lowest. The group that showed the greatest elastic deformation was the group of titanium provisional abutments.


Assuntos
Dente Suporte , Implantes Dentários , Fenômenos Biomecânicos , Teste de Materiais
8.
Med Oral Patol Oral Cir Bucal ; 19(5): e426-32, 2014 Sep 01.
Artigo em Inglês | MEDLINE | ID: mdl-23986018

RESUMO

OBJECTIVE: This study aims to determine whether bruxism and the use of occlusal splints affect the survival of porcelain laminate veneers in patients treated with this technique. MATERIAL AND METHODS: Restorations were made in 70 patients, including 30 patients with some type of parafunctional habit. A total of 323 veneers were placed, 170 in patients with bruxism activity, and the remaining 153 in patients without it. A clinical examination determined the presence or absence of ceramic failure (cracks, fractures and debonding) of the restorations; these incidents were analyzed for association with bruxism and the use of splints. RESULTS: Analysis of the ceramic failures showed that of the 13 fractures and 29 debonding that were present in our study, 8 fractures and 22 debonding were related to the presence of bruxism. CONCLUSIONS: Porcelain laminate veneers are a predictable treatment option that provides excellent results, recognizing a higher risk of failure in patients with bruxism activity. The use of occlusal splints reduces the risk of fractures.


Assuntos
Bruxismo , Porcelana Dentária , Falha de Restauração Dentária , Facetas Dentárias , Teste de Materiais , Placas Oclusais , Adolescente , Adulto , Idoso , Feminino , Humanos , Masculino , Pessoa de Meia-Idade , Estudos Retrospectivos , Adulto Jovem
9.
J Prosthet Dent ; 110(4): 239-42, 2013 Oct.
Artigo em Inglês | MEDLINE | ID: mdl-24079557

RESUMO

The rehabilitation of the atrophic maxilla by means of implant-supported prostheses cannot always be achieved with fixed prostheses because of anatomic, esthetic, or economic issues, so for some patients the treatment of choice is a removable prosthesis. This article analyzes a new design for implant-supported overdentures with horizontal or faciolingual insertion. Its retention system is based on frictional forces or stepped interlocking horizontal surfaces and is appropriate for patients with skeletal Class II or III relationships with severe maxillary atrophies. The design facilitates implant-prosthetic hygiene and improved esthetics in patients with nonparallel implants by hiding abutment screws.


Assuntos
Prótese Dentária Fixada por Implante , Planejamento de Dentadura , Prótese Total Superior , Revestimento de Dentadura , Atrofia , Projeto do Implante Dentário-Pivô , Retenção de Dentadura/instrumentação , Retenção de Dentadura/métodos , Estética Dentária , Fricção , Humanos , Má Oclusão Classe II de Angle/reabilitação , Má Oclusão Classe III de Angle/reabilitação , Maxila/patologia , Higiene Bucal
10.
Med Oral Patol Oral Cir Bucal ; 18(1): e115-23, 2013 Jan 01.
Artigo em Inglês | MEDLINE | ID: mdl-22926485

RESUMO

OBJECTIVES: The aim of this study was to evaluate bond strengths of zirconium-oxide (zirconia) ceramic and a selection of different composite resin cements. STUDY DESIGN: 130 Lava TM cylinders were fabricated. The cylinders were sandblasted with 80 µm aluminium oxide or silica coated with CoJet Sand. Silane, and bonding agent and/or Clearfil Ceramic Primer were applied. One hundred thirty composite cement cylinders, comprising two dual-polymerizing (Variolink II and Panavia F) and two autopolymerizing (Rely X and Multilink) resins were bonded to the ceramic samples. A shear test was conducted, followed by an optical microscopy study to identify the location and type of failure, an electron microscopy study (SEM and TEM) and statistical analysis using the Kruskal-Wallis test for more than two independent samples and Mann-Whitney for two independent samples. Given the large number of combinations, Bonferroni correction was applied (α=0.001). RESULTS: Dual-polymerizing cements provided better adhesion values (11.7 MPa) than the autopolymerizing (7.47 MPa) (p-value M-W<0.001). The worst techniques were Lava TM + sandblasting + Silane + Rely X; Lava TM + sandblasting + Silane + Multilink and Lava TM + CoJet + silane + Multilink. Adhesive failure (separation of cement and ceramic) was produced at a lesser force than cohesive failure (fracture of cement) (p-value M-W<0.001). Electron microscopy confirmed that the surface treatments modified the zirconium-oxide ceramic, creating a more rough and retentive surface, thus providing an improved micromechanical interlocking between the cement and the ceramic. CONCLUSIONS: Best results were provided by dual-polymerizing cements associated with sandblasting or silica coating and a bonding agent containing MDP.


Assuntos
Cerâmica , Resinas Compostas , Colagem Dentária , Materiais Dentários , Cimentos de Resina , Zircônio , Teste de Materiais
11.
J Clin Med ; 11(14)2022 Jul 15.
Artigo em Inglês | MEDLINE | ID: mdl-35887880

RESUMO

OBJECTIVE: The main objective of this study aimed to evaluate the response to treatment in implants with peri-implantitis regarding the presence or absence of keratinized mucosa. MATERIALS AND METHODS: One hundred implants with peri-implantitis were treated non-surgically at the Prosthodontics and Occlusion Teaching Unit of the University of Valencia. Records were registered at day zero (recession, bleeding on probing, suppuration, probing depth, bone loss and plaque index), at 1, 3 and 6 months. RESULTS: In both groups, a slight increase in recession and disappearance of suppuration took place, and no bone loss was observed during the following 6 months. However, after an initial reduction, probing depth, bleeding on probing and plaque index increased again in the group without keratinized mucosa (KM). CONCLUSIONS: Implants with KM presented better results after non-surgical treatment as well as in their medium-term evolution, although it would be advisable to increase the number of samples in order to achieve greater scientific evidence and standardization in the treatment protocol. CLINICAL RELEVANCE: The role of keratinized mucosa in the development of peri-implantitis has been mentioned in many publications, but less has been emphasized regarding its influence on the success of the treatment of this pathology. The presence of keratinized mucosa has been found to play a key role in the evolution of the non-surgical treatment of peri-implantitis. The amount of keratinized mucosa should be considered in the treatment of peri-implantitis, as well as when planning connective tissue grafts accompanying the decontamination of implants in the absence of keratinized mucosa.

12.
J Clin Med ; 10(16)2021 Aug 06.
Artigo em Inglês | MEDLINE | ID: mdl-34441778

RESUMO

OBJECTIVES: The aim of this study was to analyze the behavior of the periodontal tissues around teeth in the anterior region when restored with zirconia single crowns, using a biologically oriented preparation technique (BOPT), over a 6-year follow-up. METHODS: The study investigated tooth-supported single crowns in the anterior region that were fabricated with a zirconia core and feldspathic ceramic covering, in 34 patients. Follow-up analysis took place annually for 6 years, assessing periodontal responses by evaluating the following variables: plaque index (PI); probing depth (PD); gingival index (GI); gingival thickness adjacent to the restoration; and stability of the gingival margin (MS). Any (biological and mechanical) complications were also recorded, as well as the patients' satisfaction with the treatment. RESULTS: After 6 years' follow-up, a low mean plaque index was obtained, probing depth was stable, and gingival thickness and margin stability had increased. Complications (biological and mechanical) did not present a statistically significant incidence and a crown survival rate of 97.2% was achieved. Patients' satisfaction obtained a mean VAS score of 9.04 under 10. CONCLUSION: Teeth that are prepared with BOPT in the anterior region present good periodontal behavior around the restored teeth, particularly in terms of the stability of the gingival margin and increased gingival thickness. Single crowns prepared with BOPT obtain an excellent clinical survival rate, as well as a high score in patients' satisfaction after 6 years.

13.
J Clin Med ; 10(22)2021 Nov 11.
Artigo em Inglês | MEDLINE | ID: mdl-34830533

RESUMO

BACKGROUND: The effectiveness of mandibular advancement devices has been solidly demonstrated in the past. They are considered a valid alternative treatment to continuous positive airway pressure for patients with obstructive sleep apnea. Nevertheless, the relationship between polysomnographic parameters and the increase in the volume of the upper airway in patients with obstructive sleep apnea syndrome has not been clearly established so far. This study aimed to determine the impact of these oral appliances upon the volume of the airway after the device titration phase and correlate it with the degree of mandibular advancement and the improvement of polysomnographic parameters. METHODS: All patients were diagnosed by polysomnography and were treated with a customized, titratable mandibular advancement device. Three-dimensional volumetric measurements were performed using cone beam computed tomography. RESULTS: The present study included 45 patients diagnosed with obstructive sleep apnea hypopnea syndrome (mild in 23 patients, moderate in 11 and severe in 11). Forty-four percent of the patients presented with an apnea hypopnea index <5/h at the end of treatment. The volume of the upper airway increased an average of 4.3 ± 5.9 cm3, this represents a percentage increase of 20.9%, which was significantly correlated with an apnea hypopnea index and a minimum oxygen saturation improvement. CONCLUSIONS: The mandibular advancement device used was found to be effective in improving polysomnographic parameters. Moreover, the oral appliance was able to significantly increase the tridimensional dimensions of the upper airway. Moreover, this finding was correlated with a reduction in the apnea hypopnea index (p = 0.007) and an increase on minimum oxygen saturation (p = 0.033).

14.
Med Oral Patol Oral Cir Bucal ; 15(3): e531-7, 2010 May 01.
Artigo em Inglês | MEDLINE | ID: mdl-20038893

RESUMO

OBJECTIVE: The objective of this study was to evaluate the clinical results of 323 porcelain laminate veneers over a period of 3 to 11 years. MATERIAL AND METHOD: This study included 70 patients, aged between 18 and 74 years. Of the 323 total veneers, 124 were of a simple design and 199 were of a functional design. The condition of the soft tissues and hygiene, in addition to the condition of the abutment teeth, the restorations and patient satisfaction were all clinically examined. In carrying out the statistical analysis, a descriptive approach was taken in analyzing the data. The Kaplan Meier method was used for statistically analyzing the survival rates of the porcelain laminate veneers. RESULTS: Analysis of the soft tissue revealed marginal recession in 7.7% of the cases, and in 21.6% of the cases, bleeding was detected on probing. Analysis of the condition of the abutment teeth revealed secondary caries and hypersensitivity in 3.1% of the cases, and changes in pulp vitality were observed in 2.8% of the cases. In studying the condition of the restorations, marginal integrity was observed to be excellent in 98% of the cases, slight marginal pigmentation was present in 39.3% of the cases, fractures were present in 4% of the cases and decementation in 9% of the cases. The degree of patient satisfaction was considered to be excellent in 97.1% of the cases. CONCLUSIONS: Porcelain laminate veneers are a predicable treatment option that offer excellent results.


Assuntos
Porcelana Dentária , Facetas Dentárias , Adolescente , Adulto , Idoso , Feminino , Humanos , Estudos Longitudinais , Masculino , Pessoa de Meia-Idade , Fatores de Tempo , Adulto Jovem
15.
Med Oral Patol Oral Cir Bucal ; 15(3): e523-5, 2010 May 01.
Artigo em Inglês | MEDLINE | ID: mdl-20038897

RESUMO

With the appearance of all-ceramic systems, providing a choice of framework porcelains and allowing the same material to be used for the veneer, it is now possible to select the ideal structure in terms of both function and aesthetics. Silicate ceramics allow porcelain laminate veneers and crowns to be used in the anterior region, providing excellent aesthetics; while for the posterior area, where function takes precedence, oxide ceramics, specifically zirconium oxide, are preferred. The IPS e.max ceramic system, heir-apparent to the IPS Empress 2 system, combines the advantages of zirconium oxide ceramics (IPS e.max Zircad) with the excellent aesthetic qualities of silicate ceramics (IPS e.max Press). This paper presents a clinical case requiring complete maxillary rehabilitation for aesthetic purposes. An overview of some of the porcelains used in this system, analyzed from both the clinical and laboratory perspective is provided. The aesthetic advantages of a single ceramic veneer, the need to select appropriate ceramics for anterior and posterior regions, and cementation and surface treatments are discussed.


Assuntos
Cerâmica , Coroas , Prótese Parcial , Humanos , Maxila , Pessoa de Meia-Idade
16.
Med Oral Patol Oral Cir Bucal ; 15(1): e95-100, 2010 Jan 01.
Artigo em Inglês | MEDLINE | ID: mdl-19680171

RESUMO

UNLABELLED: To evaluate bond strengths of different resin cements to two aluminum oxide-based ceramics. METHODS: One hundred ten ceramic cylinders were produced and given four different surface treatments. Resin cement cylinders were then bonded to the ceramic cylinders using different resin cements and the bond strength was determined by shear testing to the breaking point. We were thus able to obtain results for the different combinations of porcelain, surface treatments and cements. All data was analyzed using the Kruskal-Wallis test for more than two independent samples and the Bonferroni correction applied (a=0.01). An optical microscopy study was carried out to analyze the type of failure, and an electronic microscopy examination was carried out in order to evaluate the changes produced in the ceramic by the different surface treatments. RESULTS: The best values corresponded to the control group, composed of silicate ceramics combined with Variolink II resin cement. In-Ceram Alumina showed no significant differences with respect to the type of cement applied. Procera AllCeram obtained the best values when silica coated using the CoJet System and applying Variolink II, or when sandblasted and applying Clearfil SE Bond + Porcelain Bond Activator and Panavia F cement. SIGNIFICANCE: Surface treatment modifies the ceramic surface and influences the bond strength, as does the type of cement used. Silica coating is recommended to improve adhesion to Procera AllCeram, applying Variolink II, or sandblasting plus resin cement containing MDP (Panavia F).


Assuntos
Óxido de Alumínio , Cerâmica , Colagem Dentária , Teste de Materiais , Cimentos de Resina
17.
J Clin Exp Dent ; 12(6): e597-e602, 2020 Jun.
Artigo em Inglês | MEDLINE | ID: mdl-32665820

RESUMO

BACKGROUND: The aim of this study was to conduct histological analysis of a human tooth resected with the periodontal insertion apparatus intact following treatment using biologically oriented preparation technique (BOPT). MATERIAL AND METHODS: This descriptive histological dento-periodontal study used an anterior tooth extracted with the surrounding periodontal tissues intact, following prosthetic restoration with BOPT. The sample patient was recruited from among those attending the Department of Dental Medicine at the Faculty of Medicine and Dentistry, University of Valencia (Spain). Eight serial sections of the restored tooth were processed. The relative location and histological characteristics of the cemented prosthetic crown, the dental tissues of the tooth prepared by BOPT technique, and the periodontal tissues were analyzed. RESULTS: Structural analysis of the neoformed junctional epithelium showed that the number of layers decrease apically until there was a single row of cells perfectly adhered to the acellular cementum, and beneath the epithelium a connective tissue evidently free from inflammation. The tissues of the neoformed periodontium (gingival ligament, sulcular epithelium, junctional epithelium) presented histologic normality. CONCLUSIONS: Biologically oriented preparation technique is a reliable alternative to conventional horizontal finish lines. Key words:Vertical preparation, prosthetic cementoenamel junction (PCEJ), finish line, BOPT, crown.

18.
J Clin Exp Dent ; 12(12): e1189-e1195, 2020 Dec.
Artigo em Inglês | MEDLINE | ID: mdl-33282141

RESUMO

BACKGROUND: The aim of this systematic review was to analyze the types of human chewing simulator described in scientific literature. MATERIAL AND METHODS: An electronic search was conducted in the databases PubMed, Embase and Scopus. The search strategy included 10 search terms: "in vitro"; "dental materials"; "shear strength"; "fatigue fracture"; "bite force"; "prosthetic materials"; "chewing simulator"; "chewing machine"; "simulated mastication"; and "dental wear simulator." Two researchers worked independently to assess the titles and abstracts of the articles. The quality of the in vitro trials selected was evaluated by means of the Consolidated Standards of Reporting Trials scale. RESULTS: The electronic search identified 80 articles related to the topic of interest. After reading the full texts, ten works were selected. The articles focused mainly on the design of chewing simulators. Most of them were considered of moderate quality. Regarding the characteristics that an ideal chewing simulator should encompass, the devices described in articles varied greatly in terms of movement, periodontal ligament simulation, force sensors, and the materials tested. CONCLUSIONS: No chewing simulator offers all the characteristics necessary to reproduce human masticatory movements and forces under the humidity and pH conditions of the oral cavity. A simulator that encompasses all these characteristics would make it possible to standardize trials involving simulated mastication. Key words:In vitro, dental materials, dental wear simulator.

19.
J Clin Med ; 9(3)2020 Mar 20.
Artigo em Inglês | MEDLINE | ID: mdl-32245069

RESUMO

BACKGROUND: Calculus accumulation varies widely between individuals. Dental calculus has been associated with the principal periodontal diseases. The aim of this study was to analyze individual characteristics, and salivary and microbiological parameters among patients considered to be rapid calculus formers and patients who form calculus slowly. METHODS: Individual characteristics were recorded in a sample of 74 patients (age, sex, smoking, periodontal diagnosis, and dental crowding), as well as salivary parameters (unstimulated saliva flow, pH, and biochemical analysis of saliva) and microbiological parameters (by means of semi-quantitative polymerase chain reaction (PCR) analysis). RESULTS: A statistically significant association (p = 0.002) was found between the rate of calculus formation and the diagnosis of periodontal disease. A greater presence of dental crowding was observed among the group of rapid calculus formers. Urea and phosphorus levels were higher among rapid calculus formers. Regarding microbiological parameters, differences were found in Streptococcus mutans, this being higher in the group of slow formers. CONCLUSIONS: Rapid calculus formation appears to be linked to patients diagnosed with more severe periodontal diseases. Rapid calculus-forming patients present more dental crowding and a lower proportion of S. mutans.

20.
Med Oral Patol Oral Cir Bucal ; 14(12): e628-34, 2009 Dec 01.
Artigo em Inglês | MEDLINE | ID: mdl-19680187

RESUMO

OBJECTIVE: To define the clinical and radiological characteristics of the four most common presentations of temporomandibular dysfunction-myofascial pain (MFP), disc displacement with reduction (DDWR), disc displacement without reduction (DDWoR), and osteoarthrosis (OR)-and to identify the differences among them. MATERIAL AND METHODS: The study comprised a series of 850 patients (121 males and 729 females) seen between May 2003 and December 2006 in Valencia University General Hospital (Valencia, Spain) for temporomandibular joint disease (TMJD). An analysis was made of the possible etiological factors (stress, traumatisms, sleep disturbances, parafunctional habits, reason for consultation), possible pain sensations in response to palpation of the masticatory muscles, joint sounds, etc. A panoramic X-ray study was made on a routine basis, and in some patients (n = 54) the study was completed with a magnetic resonance imaging scan of the temporomandibular joints and related tissues. The differences between qualitative variables were examined by means of the chi-square test with R x C contingency tables and the Z-test, while quantitative variables were contrasted by analysis of variance (ANOVA) and post hoc testing (Scheffe). RESULTS: The variables showing statistically significant differences among the four diagnostic categories were: patient age, sleep disturbances, stress, parafunctional habits, nibbling on hard objects and "other parafunctions", reason for consultation, mandibular movements, "non-evaluable" molar and canine relationship, ligament hyperlaxity, and panoramic X-ray alterations.


Assuntos
Transtornos da Articulação Temporomandibular/diagnóstico , Adolescente , Adulto , Idoso , Idoso de 80 Anos ou mais , Feminino , Humanos , Masculino , Pessoa de Meia-Idade , Radiografia , Estudos Retrospectivos , Transtornos da Articulação Temporomandibular/diagnóstico por imagem , Adulto Jovem
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