Comparación de la actividad antimicrobiana de cementos selladores en endodoncia / Comparison of the antimicrobial activity of sealing cements in endodontics

Introducción: la persistencia de microorganismos en los conductos radiculares es uno de los principales factores del fracaso endodóncico. Por ello la importancia de conocer las propiedades antimicrobianas de los distintos tipos de selladores. Objetivo: realizar una comparación con base en la evidencia disponible sobre la actividad antimicrobiana de los diferentes cementos selladores en endodoncia. Material y métodos: la información fue recopilada de las bases de datos PubMed y Google Académico en el idioma inglés y español, publicados en el periodo 2014-2023. Resultados: un gran número de microorganismos se encuentran presentes en los diferentes tipos de infecciones de origen endodóncico, se han identificado más de 500 especies microbianas, entre ellas bacterias, hongos, arqueas y virus. Los cementos selladores se pueden clasificar según su composición química, en cementos a base de óxido de zinc-eugenol, hidróxido de calcio, a base de ionómero de vidrio, silicona, resina y biocerámicos. Conclusión: los cementos selladores que mostraron mayor actividad antimicrobiana contra los microorganismos persistentes fueron los cementos a base de óxido de zinc-eugenol, resina y biocerámicos. Sin embargo, se identificó que cada autor utilizó diferentes métodos y tiempos, por lo tanto, no es posible lograr definir con exactitud qué cemento sellador posee la mejor capacidad antimicrobiana (AU)

Introduction: the persistence of microorganisms in root canals is one of the main factors of endodontic failure. Therefore, the importance of knowing the antimicrobial properties of the different types of sealants. Objective: to make a comparison based on the available evidence on the antimicrobial activity of the different endodontics sealers. Material and methods: the information was collected from PubMed and Google Academic databases in English and Spanish, published in the period 2014-2023. Results: a large number of microorganisms are present in the different types of infections of endodontic origin, more than 500 microbiological species have been identified, including bacteria, fungi, archaea and viruses. Sealer cements can be classified according to their chemical composition, into cements based on zinc oxide-eugenol, calcium hydroxide, based on glass ionomer, silicone, resin and bioceramics. Conclusion: sealer cements that showed the highest antimicrobial activity against persistent microorganisms were zinc oxide-eugenol, resin, and bioceramic-based cements. However, it was identified that each author used different methods and times, therefore, it is not possible to accurately define which sealer cement has the best antimicrobial capacity (AU)

Microtensile bond strength of resin cements to 3-D printed and milled temporary restorative resins / Resistencia de unión en microtracción de cementos resinosos a resinas para provisionales impresas y fresadas

Abstract To evaluate the microtensile bond strength (µTBS) of two resin cements to 3D printed and milled CAD/CAM resins used for provisional fixed partial dentures. Blocks (5 x 5 x 5 mm) of three 3D-printed resins (Cosmos3DTemp / Yller; Resilab3D Temp / Wilcos and SmartPrint BioTemp, / MMTech) were printed (Photon, Anycubic Technology Co.). A milled material (VitaCAD-Temp, VITA) was used as control. Half the specimens were sandblasted and the rest were untreated. Two blocks were bonded with the corresponding resin cement: PanaviaV5 (Kuraray Noritake) and RelyX Ultimate (3M Oral Care). After 24 hours, the bonded blocks were sectioned into 1 x 1 mm side sticks. Half the beams were tested for µTBS and the other half was thermocycled (5000 cycles, 30s dwell-time, 5s transfer time) before µTBS testing. A four way Generalized Linear Model (material*sandblasting*cement*aging) analysis was applied. VITA exhibited the lowest µTBS, regardless of the cement, sandblasting and thermocycling. Sandblasting significantly improved the µTBS of VIT, especially after aging, but did not improve the µTBS of 3D printed resins. Sandblasting was not beneficial for 3D printed resins, although is crucial for adhesive cementation of milled temporary resins. Airborne particle abrasion affects the integrity of 3D-printed resins, without producing a benefit on the microtensile bond strength of these materials. However, sandblasting is crucial to achieve a high bond strength on milled temporary resins.

Resumen Evaluar la resistencia adhesiva en microtracción (µTBS) de dos cementos resinosos a resinas CAD/CAM impresas y fresadas indicadas para restauraciones provisionales. Bloques (5 x 5 x 5mm) de tres resinas impresas (Cosmos3DTemp / Yller; Resilab3D Temp / Wilcos and SmartPrint BioTemp, / MMTech) y una resina fresada (VitaCAD-Temp, VITA) fueron fabricados. La mitad de los especímenes fueron arenados y el resto no recibió tratamiento mecánico. Dos bloques con condiciones de tratamiento iguales fueron cementados con cemento resinoso (PanaviaV5 / Kuraray Noritake y RelyX Ultimate / 3M Oral Care). Después de 24 horas los bloques fueron seccionados en palitos de 1 mm² de área. En la mitad de los especímenes se midió la TBS inmediatamente y el resto fue termociclado (5000 ciclos, 30s remojo, 5s transferencia) antes de la prueba de TBS. Se aplica un análisis estadístico por Modelo Linear General con 4 factores (material*arenado*cemento*termociclado). La resina VITA presentó la menor µTBS, independientemente del cemento usado, el arenado y el termociclado. Sin embargo, el arenado aumentó la µTBS de VIT, especialmente después del termociclado. Por otro lado, el arenado no resultó en un aumento significativo de la µTBS de las resinas impresas. El arenado no fue beneficiosos para las resinas impresas, aunque es un paso crucial para la cementación adhesive de las resinas fresadas. El arenado afecta la integridad de las capas de las resinas impresas, sin generar un beneficio en la TBS.

Bond strength comparison among 10-MDP-containing and non-10-MDP-Containing adhesives in different degrees of dental fluorosis / Comparación de fuerza de unión entre adhesivos que contienen y no contienen 10-MDP en diferentes grados de fluorosis dental

Dental fluorosis can cause changes in the enamel surface, conditioning its functionality and esthetics. The application of dental adhesives is a treatment option; however, their use on fluorotic teeth can result in limitations. The aim of this study was to compare the shear bond strength of two different adhesives, one with 10-MDP and one without 10-MDP, in different degrees of dental fluorosis.This is an in vitro study on dental enamel samples, a total of 180 samples with the inclusion criteria were treated, randomly divided into two groups of 90, according to the type of dental adhesive, where each group was again divided into three groups of 30 samples, representing different degrees of dental fluorosis according to the Thylstrup-Fejerskov index (Group I: TF1 and TF2; Group II: TF3; Group III: TF4). Normality tests, two-factor ANOVA, and post-hoc tests were used to determine differences between the groups, with a significance level of 95%. As results, a statistically significant difference was shown between the use of dental adhesive with 10-MDP and the three groups of dental fluorosis (p=0.011), in addition, a Tukey post-hoc test on the groups treated with 10-MDP adhesive revealed a statistically significant difference between group I versus group II, and group I versus group III, (p=<0.05). It is concluded that the use of adhesive systems with 10-MDP presents a better shear bond strength on enamel with dental fluorosis grades I and II in the Thylstrup-Fejerskov index.

La fluorosis dental puede ocasionar cambios en la superficie del esmalte, condicionando su funcionalidad y estética, la aplicación de adhesivos dentales es una opción de tratamiento, sin embargo, su uso en dientes fluoroticos puede resultar en limitaciones. El objetivo de este estudio consistió en comparar la fuerza de adhesión a la cizalladura de dos diferentes adhesivos, uno con 10-MDP y otro sin 10-MDP, en diferentes grados de fluorosis dental. Se trata de un estudio in vitro en muestras de esmalte dental, un total de 180 muestras con los criterios de inclusión fueron tratadas, aleatoriamente divididas en dos grupos de 90, de acuerdo al tipo de adhesivo dental, donde cada grupo fue dividido nuevamente en tres grupos de 30 muestras, representando diferentes grados de fluorosis dental según el índice de Thylstrup- Fejerskov (Grupo I: TF1 y TF2; Grupo II: TF3; Grupo III: TF4). Para determinar diferencias entre los grupos se utilizaron pruebas de normalidad, ANOVA de dos factores, y pruebas post-hoc, con un nivel de significancia de 95%. Como resultados, se mostró una diferencia estadísticamente significativa entre el uso de adhesivo dental con 10- MDP y los tres grupos de fluorosis dental (p=0.011), además, una prueba post hoc de Tukey sobre los grupos tratados con adhesivo 10-MDP revelaron una diferencia estadísticamente significativa entre el grupo I frente al grupo II, y el grupo I frente al grupo III, (p=<0.05) Se concluye que el uso de sistemas adhesivos con 10-MDP presentan una mejor resistencia de adhesión al cizallamiento en esmalte con grados de fluorosis dental I y II en el índice de Thylstrup-Fejerskov

Color stability and degree of conversion of amine-free dual cured resin cement used with two different translucencies of lithium disilicate ceramics / Estabilidade de cor e grau de conversão de cimento resinoso dual sem amina usado com duas translucidezes diferentes de cerâmica de dissilicato de lítio

Objective: The present study aims to evaluate the color stability and degree of conversion of amine-free dual cured resin cement compared to light cured and amine-containing dual cured resin cements used with two different translucencies of thin esthetic restorations. Material and Methods: A total of 120 specimens were prepared for color stability testing (n=60). The specimens were divided into three main groups according to the resin cement type. Group 1: amine-free dual cured, Group 2: light cured, Group 3: amine-containing dual cured. Each group was further subdivided according to the ceramic translucency into two subgroups: high and low translucency. Color stability was assessed by a spectrophotometer before and after thermal aging. For the degree of conversion assessment (n=60), Fourier transform infrared spectroscopy was used at three different time intervals. Statistical analysis was performed using multi-factorial ANOVA, followed by one-way ANOVA with Bonferroni correction. Results: Amine-containing resin cement showed significantly higher ΔEab and ΔE00in both translucencies (4.5±0.3, 3.5±0.3 respectively for high translucency ceramic and 3.8±0.4, 3.0±0.3 respectively for low translucency) than the other tested cements (p<0.001). The highest degree of conversion (DC) was shown after 2 weeks by the amine-free dual cured resin cement (86.27±0.74). Conclusion: Amine-free dual cured resin cement can be an alternative to light cured one for cementation of thin veneers since it showed comparable color stability and high degree of conversion (AU)

Objetivo: O presente estudo tem como objetivo avaliar a estabilidade de cor e o grau de conversão do cimento resinoso dual sem amina em comparação com cimentos resinosos fotopolimerizáveis contendo amina usados com duas translucidezes diferentes em restaurações estéticas definitivas. Material e Métodos: Um total de 120 espécimes foram preparados para teste de estabilidade de cor (n=60). Os espécimes foram divididos em três grupos principais de acordo com o tipo de cimento resinoso. Grupo 1: polimerização dupla sem amina, Grupo 2: fotopolimerização, Grupo 3: polimerização dupla contendo amina. Cada grupo foi ainda subdividido de acordo com a translucidez da cerâmica em dois subgrupos: alta e baixa translucidez. A estabilidade da cor foi avaliada por um espectrofotômetro antes e após o envelhecimento térmico. Para a avaliação do grau de conversão (n=60), a espectroscopia de infravermelho com transformada de Fourier foi usada em três intervalos de tempo diferentes. A análise estatística foi realizada usando ANOVA multifatorial, seguida de ANOVA um faot com correção de Bonferroni. Resultados: O cimento resinoso contendo amina apresentou ΔEab e ΔE00 significativamente maiores em ambas as translucidezes (4,5±0,3, 3,5±0,3 respectivamente para cerâmica de alta translucidez e 3,8±0,4, 3,0±0,3 respectivamente para baixa translucidez) do que os outros cimentos testados (p< 0,001). O maior grau de conversão (DC) foi mostrado após 2 semanas pelo cimento resinoso dual sem amina (86,27±0,74). Conclusão: O cimento resinoso dual sem amina pode ser uma alternativa ao cimento polimerizável na restauração de facetas finas, uma vez que apresentou estabilidade de cor comparável e alto grau de conversão. (AU).

Mechanical behavior of different machinable ceramic crowns using vertical and horizontal preparations: an in-vitro study / Comportamento mecânico de diferentes coroas cerâmicas usináveis usando preparos verticais e horizontais: um estudo in vitro

Objective: the aim of this study was to compare the mechanical behavior of different ceramics when used in thin vertical preparations versus traditional horizontal preparation. Material and Methods: two stainless-steel dies were milled to simulate a minimally invasive vertical preparation (VP) and a traditional horizontal preparation (HP) for an all-ceramic crown of a maxillary first premolar. The stainless-steel dies were duplicated using epoxy resin. Eighty monolithic crowns were milled and divided into 2 groups according to preparation design. Each design group was subdivided into 4 sub-groups according to material (n=10): IPS e.max CAD (lithium disilicate), Bruxzir shaded zirconia (full contour zirconia), CeraSmart (resin nanoceramic) and CEREC Tessera (advanced lithium disilicate). The crowns were cemented on their relevant epoxy resin dies using self-adhesive resin cement. All specimens were subjected to 15,000 thermocycles and then loaded to fracture in a universal testing machine. Data were analyzed using two-way ANOVA and Tukey pair wise comparison test. Results: the fracture resistance mean values of the VP (1344 + 118 N) was significantly lower than the HP design (1646 + 191 N). Ceramic crowns made of full contour zirconia had higher fracture resistance mean values (2842 + 380 N) than advanced lithium disilicate (1272 + 125 N) followed by lithium disilicate crowns (983 + 52 N) and resin nanoceramic (882 + 61 N). Conclusion: both vertical and horizontal preparations, regardless the different ceramic materials, showed clinically acceptable fracture resistance values. (AU)

Objetivo: o objetivo deste estudo foi comparar o comportamento mecânico de diferentes cerâmicas quando utilizadas em preparos verticais finos ou preparos horizontais tradicionais. Material e Métodos: dois modelos de aço inoxidável foram fresados para simular um preparo vertical minimamente invasivo (PV) e um preparo horizontal tradicional (PH) para uma coroa totalmente em cerâmica de um primeiro pré-molar superior. As matrizes de aço inoxidável foram duplicadas usando resina epóxi. Oitenta coroas monolíticas foram fresadas e divididas em 2 grupos de acordo com o desenho do preparo. Cada grupo foi subdividido em 4 subgrupos de acordo com o material (n=10): IPS e.max CAD (dissilicato de lítio), zircônia Bruxzir (zircônia de contorno total), CeraSmart (resina nanocerâmica) e CEREC Tessera (dissilicato de lítio avançado). As coroas foram cimentadas em suas respectivas matrizes de resina epóxi usando cimento resinoso autoadesivo. Todos os espécimes foram submetidos a 15.000 ciclos térmicos e então carregados até a fratura em uma máquina de teste universal. Os dados foram analisados usando ANOVA com dois fatores e teste de comparação por pares de Tukey. Resultados: os valores médios de resistência à fratura do PV (1344 + 118 N) foram significativamente menores do que PH (1646 + 191 N). As coroas de cerâmica feitas de zircônia de contorno total apresentaram maiores valores médios de resistência à fratura (2842 + 380 N) do que dissilicato de lítio avançado (1272 + 125 N), seguido por coroas de dissilicato de lítio (983 + 52 N) e resina nanocerâmica (882 + 61 N). Conclusão: preparos verticais e horizontais, independentemente dos diferentes materiais cerâmicos, apresentaram valores de resistência à fratura clinicamente aceitáveis. (AU)

Influence of medium-translucency monolithic zirconia thicknesses and light-curing time on the polymerization of dual-cure resin cements

Aim: To investigate and compare the effects of different thicknesses of medium-translucency monolithic zirconia and light curing times on the polymerization of two types of dual-cured resin cement. Methods: A total of 200 cement specimens were prepared from TheraCem and RelyX U200 cement. The specimens were divided into 5 groups: Group I, without interposing zirconia; Group II, 0.50 mm thickness; Group III, 1.00 mm; Group IV, 1.50 mm; and Group V, 2.00 mm thickness. Each group was subdivided into (1) RelyX U200 and (2) TheraCem. Each subgroup was subdivided according to the light-curing time into (a) 20 s and (b) 40 s (n =5). The polymerization was tested using Fourier-transform infrared (FTIR) spectroscopy and a Vickers microhardness tester. The data were statistically analyzed using ANOVA, an independent sample t-test, and Tukey's test at a significance level of 0.05. Results: The control group had the highest values of DC and VMH, followed by 0.50, 1.00, and 1.50 mm, respectively, while the 2.00 mm group showed the lowest values. The specimens irradiated for 40 s had greater DC and VMH than those irradiated for 20 s. RelyX U200 revealed higher values for both parameters compared to TheraCem cement. Conclusion: The polymerization of selfadhesive cement depends on the thickness of the monolithic zirconia, the light curing time, and the composition of the cement. The cement should be irradiated for a longer period than recommended to overcome the light attenuation of zirconia. TEGDMA-based self-adhesive cement showed a higher DC and VMH than BISGMA-based cement

Interplay between resin cements and surface-treated Poly-Ether-Ether-Ketone (PEEK): effect of aging

Aim: This study assessed the effect of thermal aging on the interfacial strength of resin cements to surface-treated PEEK. Methods: Ninety-six PEEK blocks were allocated into 4 groups (n=24), according to following surface treatments: SB - sandblasting with aluminum oxide; SA - acid etched with 98% sulfuric acid; CA ­ coupling agent (Visio.link, Bredent) and CO - control group (untreated). Surface roughness (Ra) was measured and one cylinder (1-mm diameter and height) of Rely-X Ultimate - ULT (3M/ESPE) and another one of Panavia V5 - PAN (Kuraray) were constructed on the treated or untreated PEEK surfaces. Half of the samples of each group were thermal aged (1,000 cycles). Samples were tested at a crosshead speed of 1 mm/min in shear mode (µSBS). Ra and µSBS data were compared using one- and three-way ANOVA, respectively, and Tukey's tests. Results: SA and SB samples had the roughest surfaces, while CA the smoother (p<0.001). Thermal aging reduced µSBS regardless the surface treatment and resin cement used. There was interaction between surface treatment and resin cement (p <0.001), with ULT showing higher µSBS values than PAN. SA provided higher µSBS than SB for both resin cements, while for CA µSBS was higher (PAN) or lower than SB (ULT). Conclusion: Aging inadvertently reduces interfacial strength between PEEK and the resin cements. If ULT is the resin cement of choice, reliable interfacial strength is reached after any PEEK surface treatment. However, if PAN is going to be used only SA and CA are recommended as PEEK treatment

Effect of adhesive primer application on shear bond strength of self-adhesive cement to tooth structure and two different CAD/CAM milled blocks / Efeito da aplicação do primer adesivo na resistência ao cisalhamento do cimento autoadesivo à estrutura dentária e a dois diferentes blocos fresados CAD/CAM

Objective: This study was conducted to evaluate the influence of the G-CEM ONE adhesive enhancing primer on the shear bond strength of self-adhesive resin cement (G-CEM ONE) to both tooth structure and two different CAD/CAM blocks (GC Initial LiSi and Cerasmart 270). Material and Methods: Forty specimens (cylindrical-shaped, 5 mm in diameter and height) were milled from both CAD/CAM blocks (20 specimens from each block type). Forty sound upper premolars were sectioned to the level of peripheral dentin, then randomly divided into four groups (n = 10): A1: GC Initial LiSi without adhesive enhancing primer; B1: Cerasmart 270 without adhesive enhancing primer; A2: GC Initial LiSi with adhesive enhancing primer; B2: Cerasmart 270 group with adhesive enhancing primer application. The CAD/CAM blocks were cemented on teeth using a self-adhesive resin cement (G-cem one). The shear bond strength was assessed using a computerized universal testing machine. A digital microscope was used to study the mode of failure. The shear bond strength values data were analyzed statistically using paired t-test and independent t-test at the significance level of (0.05). Results: A significant difference was shown in the shear bond strength values among groups (P =0.000). The highest shear bond strength value was revealed in group A2, while group B1 exhibited the lowest shear bond strength value. Conclusion: Using the adhesive enhancing primer on the tooth's surface improved the resin cement's bond strength to CAD/CAM blocks. Additionally, GC Initial LiSi exhibited higher bond strength than Cerasmart 270, with or without the primer (AU)

Objetivo: Este estudo foi conduzido para avaliar a influência do primer adesivo G-CEM ONE na resistência ao cisalhamento do cimento resinoso autoadesivo (G-CEM ONE) tanto na estrutura dentária quanto em dois diferentes blocos CAD/CAM (GC Initial LiSi e Cerasmart 270). Material e Métodos: Quarenta corpos de prova (formato cilíndrico, 5 mm de diâmetro e altura) foram fresados em blocos CAD/CAM (20 corpos de prova de cada tipo de bloco). Quarenta pré-molares superiores sadios foram seccionados até o nível da dentina mais externa e, em seguida, divididos aleatoriamente em quatro grupos (n = 10): A1: GC Initial LiSi sem primer adesivo; B1: Cerasmart 270 sem primer adesivo; A2: GC Initial LiSi com primer adesivo; B2: Grupo Cerasmart 270 com aplicação de primer adesivo. Os blocos CAD/CAM foram cimentados nos dentes com cimento resinoso autoadesivo (G-CEM ONE). A resistência ao cisalhamento foi avaliada utilizando uma máquina de ensaios universal computadorizada. Um microscópio digital foi utilizado para estudar o modo de falha. Os dados dos valores de resistência ao cisalhamento foram analisados estatisticamente por meio do teste t pareado e teste t independente ao nível de significância de (0,05). Resultados: Foi demonstrada diferença significativa nos valores de resistência ao cisalhamento entre os grupos (P =0,000). O maior valor de resistência ao cisalhamento foi revelado no grupo A2, enquanto o grupo B1 exibiu o menor valor de resistência ao cisalhamento. Conclusão:A utilização do primer adesivo na superfície dentária melhorou a resistência de união do cimento resinoso aos blocos CAD/CAM. Além disso, o GC Initial LiSi apresentou maior resistência de união que o Cerasmart 270, com ou sem primer.(AU)

The Effect of Immediate Dentin Sealing on the Marginal Adaptation of LithiumDisilicate Overlay Restorations using different types of luting agents / Efeito do selamento imediato da dentina na adaptação marginal de restaurações overlay de dissilicato de lítio utilizando diferentes tipos de agentes de cimentação: estudo in vitro

Objective:This study evaluated the effect of immediate dentin sealing on the marginal adaptation of lithium disilicate overlays with three different types of resin-luting agents: preheated composite, dual-cure adhesive resin, and flowable composite. Materials and Methods: Forty-eight maxillary first premolars of similar size were prepared with a butt joint preparation design. The teeth were separated into two primary groups, each with twenty-four teeth: Group DDS: Delay dentin sealing (non-IDS) teeth were not treated. Group IDS: dentin sealing was applied immediately after teeth preparation. Each group was subsequently separated into three separate subgroups. Subgroups (DDS+Phc, IDS+Phc): cemented with preheated composite (Enamel plus HRi, Micerium, Italy), Subgroups (DDS+Dcrs, IDS+Dcrs): cemented with dual-cured resin cement (RelyX Ultimate, 3M ESPE, Germany) and Subgroups (DDS+Fc, IDS+Fc): Cemented with flowable composite (Filtek supreme flowable, 3M ESPE, USA). Using a digital microscope with a magnification of 230x, the marginal gap was measured before and after cementation at four different locations from each surface of the tooth, and the mean of measurements was calculated and analyzed statistically using the independent t-test, one-way ANOVA test, Bonferroni correction at a significance level of 0.05. Results: The samples that were immediately sealed with dentin bonding agent showed lower marginal gaps than delayed dentin sealing, both pre-and post-cementation for all subgroups, with a statistically significant difference (p˂0.01). The marginal gap was significantly lower in the IDS+Fc (48.888 ±5.5 µm) followed by the IDS+Dcrs group (53.612 ±5.8 µm) and IDS+Phc (79.19 9±6.9 µm) respectively, while the largest marginal gaps were observed in the DDS+Phc group (86.505 ±5.4 µm). Conclusion: Generally, the teeth with IDS showed better marginal adaptation than teeth without IDS. The marginal gap was smaller with flowable composite and dual-cure resin cement than with preheated composite (AU)

Objetivo:Esse estudo avaliou o efeito do selamento imediato da dentina na adaptação marginal de overlays em dissilicato de lítio com três tipos diferentes de agentes de cimentação resinosos: resina composta pré-aquecida, adesivo resinoso dual e resina fluida. Materiais e métodos: Quarenta e oito primeiros pré-molares maxilares com tamanho similar foram preparados com término em ombro. O dente foi separado em dois grupos primários, cada um com vinte e quatro dentes: Grupo DDS: retardado selamento da dentina (non-IDS) dente não foi tratado. Grupo IDS: selamento dentinário foi aplicado imediatamente após a preparação do dente. Cada grupo foi separado de modo subsequente em três subgrupos. Subgrupo (DDS+Phc, IDS+Phc): cimentado com resina pré-aquecida (Enamel plus HRi, Micerium, Italy), Subgrupo (DDS+Dcrs, IDS+Dcrs): cimentado com cimento resinoso dual (RelyX Ultimate, 3M ESPE, Germany) e Subgrupo (DDS+Fc, IDS+Fc): cimentado com resina fluida (Filtek supreme flowable, 3M ESPE, USA). Usando um microscópio digital com magnificação de 230x, o gap marginal foi medido antes e após a cimentação em quatro diferentes localizações de cada superfície do dente e a média das medidas foi calculada e estatisticamente analisada através do uso do teste ANOVA um-fator e teste independente de Tukey e correção Bonferroni com nível de significância de 0,05. Resultado: As amostras que foram imediatamente seladas com agente adesivo dentinário apresentaram menores gaps marginais do que o selamento dentinário retardado, ambos pré e pós cimentação para todos os subgrupos apresentaram diferença estatística significante (p˂0.01). O gap marginal foi significativamente menor para IDS+Fc (48.888 ±5.5 µm) acompanhado do IDS+Dcrs group (53.612 ±5.8 µm) e IDS+Phc (79.19 9 ±6.9 µm) respectividamente, enquanto o maior gap marginal foi observado no grupo DDS+Phc (86.505 ±5.4 µm). Conclusão:Geralmente, o dente com IDS apresentou melhor adaptação marginal do que o dente sem IDS. O gap marginal foi menor com resina fluida e cimento resinoso dual do que com a resina composta pré-aquecida (AU)

Effects of thermal cycling on bonding properties of novel low-shrinkage resin adhesive / 华西口腔医学杂志

OBJECTIVES@#The current study aimed to investigate the bonding properties of a novel low-shrinkage resin adhesive containing expanding monomer and epoxy resin monomer after thermal cycling aging treatment.@*METHODS@#Expanding monomer of 3,9-diethyl-3,9-dimethylol-1,5,7,11-tetraoxaspiro-[5,5] undecane (DDTU) as an anti-shrinkage additive and unsaturated epoxy monomer of diallyl bisphenol A diglycidyl ether (DBDE) as a coupling agent were synthesized. A blend of DDTU and DBDE at a mass ratio of 1∶1, referred to as "UE", was added into the resin matrix at the mass fraction of 20% to prepare a novel low-shrinkage resin adhesive.Then, the methacrylate resin adhesive without UE was used as the blank control group, and a commercial resin adhesive system was selected as the commercial control group. Moreover, the resin-dentin bonding and micro-leakage testing specimens were prepared for the thermal cycling aging treatment. The bonding strength was tested, the fracture modes were calculated, the bonding fracture surface was observed by scanning electron microscope (SEM), and the dye penetration was used to evaluate the tooth-restoration marginal interface micro-leakage. All the data were analyzed statistically.@*RESULTS@#After aging, the dentin bonding strength of the experimental group was (19.20±1.03) MPa without a significant decrease (P>0.05), that of the blank control group was (11.22±1.48) MPa with a significant decrease (P<0.05) and that of the commercial control group was (19.16±1.68) MPa without a significant decrease (P>0.05). The interface fracture was observed as the main fracture mode in each group after thermal cycling by SEM. The fractured bonding surfaces of the experimental group often occurred on the top of the hybrid layer, whereas those of the blank and commercial control groups mostly occurred on the bottom of the hybrid layer. Micro-leakage rating counts of specimens before and after thermal cycling were as follows: the experimental group was primarily 0 grade, thereby indicating that a relatively ideal marginal sealing effect could be achieved (P>0.05); meanwhile, the blank control group was primarily 1 grade, and the penetration depth of dye significantly increased after thermal cycling (P<0.05); the commercial control group was primarily 0 grade without statistical difference before and after thermal cycling (P>0.05), while a significant difference was observed between the commercial control group and experimental group after thermal cycling (P<0.05).@*CONCLUSIONS@#The novel low-shrinkage resin adhesive containing 20%UE exhibited excellent bonding properties even after thermal cycling aging treatment, thereby showing a promising prospect for dental application.

Applications of collagen extrafibrillar demineralization in dentin bonding / 中华口腔医学杂志

The existing dentin bonding systems based on acid-etching technique lead to the loss of both extrafibrillar and intrafibrillar minerals from dentin collagen, causing excessive demineralization. Because resin monomers can not infiltrate the intrafibrillar spaces of demineralized collagen matrix, degradation of exposed collagen and resin hydrolysis subsequently occur within the hybrid layer, which seriously jeopardizing the longevity of resin-dentin bonding. Collagen extrafibrillar demineralization can effectively avoid the structural defects within the resin-dentin interface caused by acid-etching technique and improve the durability of resin-dentin bonding, by preserving intrafibrillar minerals and selectively demineralizing extrafibrillar dentin. The mechanism and research progress of collagen extrafibrillar demineralization in dentin bonding are reviewed in the paper.

Effect of S. mutans biofilm on the hybrid ceramic-resin cement bond strength assessed by different methods

Aim: The purpose of this study was to investigate the biofilm effect on the hybrid ceramic-resin cement bond strength (BS) by comparing two methods. Methods: Teeth were distributed into groups (n=5), according to the resin cement (Maxcem Elite-(MC) or NX3 Nexus-(NX)) and degradation method (24h or 7 days in distilled water; 7 or 30 days incubated with biofilm and 30 days in sterile media). Treated surfaces of Vita Enamic blocks (5x6x7mm) were luted to treated or no treated dentin surfaces and light-cured. After 24h, beams were obtained (1x1x10mm) and stored accordingly. The flexural bond strength (FBS) was assessed by four-point bending test. Additional beams were obtained from new teeth (n=5), stored for 24h or 7 days in distilled water, and submitted to a microtensile bond strength (µTBS) assay. Failure modes were determined by scanning electron microscopy (100X). The flexure strength of the cements (n=10) was assessed by a four-point bending test. Data were analyzed by 1 and 2-ways ANOVA, and Tukey's test (α=0.05). Results: There was no significant difference between the degradation methods for the FBS groups. For the µTBS, the significant difference was as follows: NX 7days > NX 24h > MC 7days = MC 24h. Failure mode was mainly adhesive and mixed, but with an increase of cohesive within cement and pre-failures for the MC groups assessed by µTBS. NX had better performance than MC, regardless of the method. Conclusions: The biofilm had no effect on the materials BS and FBS test was a useful method to evaluate BS of materials with poor performance

Clinical follow-up at 18 months of two bulk fill occlusal composite resins: a double-blind randomized clinical study / Seguimiento clínico a 18 meses de dos resinas compuestas oclusales bulk fill: estudio clínico aleatorio doble ciego

Objetive: To compare the clinical behavior of two types of Bulk Fill composite resins and a nanohybrid resin at 18 months in occlusal restorations. Material and Methods: Three occlusal restorations were performed in each one of the 55 participants. They were randomly distributed into three groups, TN: Tetric-N-Ceram Bulk-Fill, FK: Filtek Bulk-Fill, and Z350: Filtek Z350XT. Adhesive techniques and restorative procedures were performed according to the manufacturer's instructions for each restorative material used. In TN and FK an increment of 4mm was applied, and in Z350 increments of ≤2mm depth were applied. Two calibrated operators evaluated the restorations at baseline and at 18 months using the FDI World Dental Federations system (1: excellent, 2: good, 3: satisfactory, 4: unsatisfactory, 5: poor) for clinical marginal staining (MS) properties, fracture-retention (FR), superficial texture (ST), marginal integrity (MI), postoperative sensitivity (PS) and caries (C). Kruskal-Wallis and Wilcoxon were used to compare the 3 groups at 18 months (5% significance). Results: 38 patients with a total of 114 restorations were assessed, being evaluated with excellent clinical behavior; MI, 78.9% in Z350, 89.51% in TN and 81.6% in FK; ST 73.5% in Z350, 86.8% in TN, and 84.2% in FK; MS 84.2% in Z350, 84.2% in TN, and 91.2% in FK; PS 100% in Z350 and 97.3% in TN and FK; in C and FR, 100% in the 3 groups. There were no significant differences between the three groups (p>0.05). Conclusion: The three resins studied presented a good clinical performance at 18 months without showing significant differences in the clinical properties evaluated.

Objetivo: Comparar el comportamiento clínico a 18 meses en restauraciones oclusales entre dos tipos de resinas compuestas Bulk Fill y una resina nanohíbrida. Material y Métodos: En 55 participantes se realizaron 3 restauraciones oclusales en cada paciente, distribuidas aleatoriamente en 3 grupos, TN: Tetric-N-Ceram Bulk-Fill, FK: Filtek Bulk-Fill y Z350: Filtek Z350XT. Las técnicas adhesivas y procedimientos restauradores fueron realizados según las instrucciones de los fabricantes de cada material restaurador utilizado. En TN y FK se aplicó un incremento de 4mm y en Z350 se aplicó incrementos ≤ 2 mm de profundidad. Dos operadores calibrados evaluaron las restauraciones al baseline y a los 18 meses mediante el sistema FDI World Dental Federations (1: excelente, 2: aceptable, 3: suficiente, 4: insatisfactorio, 5: inaceptable) en las propiedades clínicas de tinción marginal (TM), fractura-retención (FR), textura superficial (TS), integridad marginal (IM), sensibilidad postoperatoria (SP) y caries (C). Se utilizó Kruskal-Wallis y Wilcoxon para la comparación de los 3 grupos a 18 meses (significancia de 5%). Resultados: Se controlaron 38 pacientes con un total de 114 restauraciones, siendo evaluados con comportamiento clínico excelente; IM, 78.9% en Z350, 89.51% en TN y 81.6% en FK; TS 73.5%, en Z350, 86.8% en TN y 84.2% en FK; TM, 84.2% en Z350, 84.2% en TN y 91.2% en FK; SP 100% en Z350 y 97,3% en TN y FK; en C y FR 100% en los 3 grupos. No hubo diferencias significativas entre los 3 grupos (p>0,05). Conclusión: Las 3 resinas estudiadas presentaron un buen desempeño clínico a 18 meses sin mostrar diferencias significativas en las propiedades clínicas evaluadas.

Effect of liners on composite resin microleakage after selective carious lesion removal: an experimental study / Efecto de los recubrimiento en la microfiltración de resina compuesta después de la eliminación selectiva de lesiones cariosas: un estudio experimental

Objetive: To evaluate microleakage of composite resins (CR) placed over different cavitary liners after managing deep caries lesions through selective removal of soft carious tissue to soft dentin (SRCT-S). Material and Methods: Fifty four human teeth were collected for microleakage testing. Each assay comprised ICDAS 5 or ICDAS 6 carious lesions and sound teeth for controls. Sound teeth were prepared with cavities that mirrored the carious teeth cavities, which were prepared with SRCT-S. Sound and carious teeth were further randomly assigned to one of the three experimental groups: Group A: universal adhesive (UA) + CR, Group B: glass ionomer cement liner + UA + CR, and Group C: calcium hydroxide + UA+ CR. Occlusal microleakage (OM) and cervical microleakage (CM) was classified within one of 5 depth categories. ANOVA and Chi-square tests were computed (p<0.05). Results: OM and CM were similarly distributed across subgroups (p>0.05). All Group C samples with carious lesions presented some degree of microleakage. However, no statistically significant differences were observed between groups and within each group (p>0.05). Conclusion: Teeth restored with CR after SRCT-S using calcium hydroxide as a liner material seem to exhibit higher microleakage than those restored using glass ionomer or UA alone. Further clinical research is needed to deepen these findings. Clinical significance: The application of calcium hydroxide as a liner under a composite resin may reduce the longevity of a restoration after performing selective or partial removal of carious tissues. Clinicians should rethink the need of using calcium hydroxide for this application, albeit the lack of clinical evidence.

Objetivo: Evaluar la microfiltración de resinas compuestas (RC) colocadas sobre diferentes liners cavitarios después del manejo de lesiones de caries profundas mediante la remoción selectiva de tejido cariado blando hasta dentina blanda (SRCT-S). Material y Métodos: Se recolectaron 54 dientes humanos para pruebas de microfiltración. Cada ensayo comprendía lesiones cariosas ICDAS 5 o ICDAS 6 y dientes sanos para los controles. Se prepararon dientes sanos con cavidades que reflejaban las cavidades de los dientes cariados, que se prepararon con SRCT-S. Los dientes sanos y cariados se asignaron al azar a uno de los tres grupos experimentales: Grupo A: adhesivo universal (AU) + RC, Grupo B: revestimiento de cemento de ionómero de vidrio + AU + RC, y Grupo C: hidróxido de calcio + AU+ RC. La microfiltración oclusal (MO) y la microfiltración cervical (MC) se clasificaron dentro de una de las 5 categorías de profundidad. Se calcularon las pruebas ANOVA y Chi-cuadrado (p<0,05). Resultados: La MO y MC se distribuyeron de manera similar en los subgrupos (p> 0,05). Todas las muestras del Grupo C con lesiones cariosas presentaron algún grado de microfiltración. Sin embargo, no se observaron diferencias estadísticamente significativas entre grupos y dentro de cada grupo (p>0,05). Conclusión: Los dientes restaurados con RC después de SRCT-S usando hidróxido de calcio como material de revestimiento parecen exhibir una mayor microfiltración que aquellos restaurados usando ionómero de vidrio o AU solo. Se necesita más investigación clínica para profundizar estos hallazgos. Relevancia clínica: la aplicación de hidróxido de calcio como revestimiento debajo de una resina compuesta puede reducir la longevidad de una restauración después de realizar la eliminación selectiva o parcial de los tejidos cariados. Los médicos deberían reconsiderar la necesidad de usar hidróxido de calcio para esta aplicación, aunque no haya evidencia clínica.

Comparación de la fuerza de adhesión a dentina de cementos de autograbado vs grabado total / Comparison of bond strength to dentin of self-etching cements vs total etching

Los sistemas cementantes han mejorado notablemente, los objetivos que persiguen los nuevos cementos es que la adhesión sea duradera y conseguir siempre que sea posible una interface cerrada con un sellado perfecto. Se han podido desarrollar nuevas técnicas y nuevos materiales de cementación que han ido perfeccionando la unión del material restaurador al diente. En el presente estudio se compara la fuerza de adhesión a dentina de cementos de autograbado y cementos de grabado total para comprobar los efectos positivos en el grabado de la dentina. Para el estudio se utilizaron dos cementos a base de resina (RelyX U200 Clicker 3M y RelyX Ultimate 3M). Se encapsularon 40 molares en acrílico en dos grupos de 20 muestras para la aplicación de dos sistemas cementantes de autograbado (grupo 1) y de grabado total (grupo 2), respectivamente, se desgastaron hasta descubrir la dentina; siguiendo las especificaciones del fabricante se colocó el cemento en cada grupo, y después se sometieron a pruebas de cizalla en una máquina de ensayo universal Instron. La medida expresada en megapascales (MPa) fue: grupo 1 = 7.5569 y grupo 2 = 12.6444. En este caso fueron analizados dos grupos, tomándose la primera significancia bilateral. Se realiza la prueba en t de Student, con 95% de intervalo de confianza en la diferencia, demostrando así que el cemento RelyX Ultimate 3M tiene mayor fuerza de adhesión que el cemento RelyX U200 Clicker 3M. Nuestra investigación fue factible y llegamos a nuestro propósito, en el cual comprobamos la mayor adhesión de cementos de grabado total, los cuales son sometidos a un previo tratamiento del diente (AU)

Cytotoxicity Comparison of a Calcium Silicate-Based Resin Cement versus Conventional Self-Adhesive Resin Cement and a Resin-Modified Glass Ionomer: Cell Viability Analysis

Abstract Objective: To compare the cytotoxicity level of a new calcium silicate-based resin cement (TheraCem) with two commonly used cements, including a conventional self-adhesive resin cement (Panavia SA) and a resinmodified glass ionomer cement (FujiCem2), on the human gingival fibroblast cells after 24 and 48 hours. Material and Methods: Twelve discs of each cement type were fabricated. The extract of cement disks was made by incubating them in the cell medium. Human gingival fibroblast cells were cultured and exposed to cement extracts for 24 h and 48 h. MTT assay was performed on extracts and optical density and cell viability rates were calculated by the spectrophotometer device at 570 nm. Data were analyzed using ANOVA and Tukey HSD tests. Results: The cell viability rates after 24 hours and 48 hours were as follows: TheraCem: 89.24% and 85.46%, Panavia SA: 49.51% and 46.57% and FujiCem2: 50.63% and 47.36%. TheraCem represented the highest cell viability rate. However, no significant difference was noted between Panavia SA and FujiCem2. Time had no significant effect on cell viability. Conclusion: TheraCem exhibited the best results among three tested cements and was considered non-toxic. Panavia SA and FujiCem2 were not significantly different regarding the cell viability rate. Time had no significant effect on the cytotoxicity level of cements (AU).

Influência da espessura e diferentes graus de opacidade do dissilicato de lítio no grau de conversão e resistência de união de cimentos resinosos / Influence of thickness and different degrees of opacity of lithium disilicate on the degree of conversion and bond strength of resin cements

O objetivo desse trabalho foi avaliar a influência de diferentes graus de opacidade e espessuras do dissilicato de lítio no grau de conversão de dois cimentos resinosos e na resistência de união dos mesmos à cerâmica. Duzentos e quarenta amostras cerâmicas de dissilicato de lítio (6x6 mm) foram obtidos a partir de blocos de IPS E-max CAD (Ivoclar Vivadent, Schaan, Liechtensten), nas opacidades HT (alta translucidez), LT (baixa translucidez) e MO (média opacidade), nas espessuras de 0,3 mm, 0,7 mm, 1,2mm, 1,7 mm, 2,0 mm. Para as análises do grau de conversão (n=9) e resistência de união (n=8) foram utilizados um cimento de ativação física (Variolink Esthetic LC) e um cimento dual (Multilink N). Para análise do grau de conversão, as amostras de cimento foram fotoativadas sob as amostras de cerâmica e levadas a um espectrômetro Raman confocal. Para o teste de resistência de união foram confeccionados cilindros de cimento resinoso sobre as amostras cerâmicas e submetidos ao ensaio de microcisalhamento. Os resultados mostraram que o aumento das espessuras causou diminuição no grau de conversão dos dois cimentos em todas as condições estudadas, porém só influenciou negativamente a resistência de união do cimento Variolink Esthetic LC quando unido à cerâmica na opacidade MO. Na comparação entre as opacidades, de maneira geral, a cerâmica de maior translucidez HT apresentou maiores valores de grau de conversão em comparação às outras opacidades. Já para resistência de união, em algumas espessuras as cerâmicas LT e MO apresentaram os maiores valores. O cimento dual Multilink N apresentou os maiores valores nas duas análises comparado ao cimento fotoativado Variolink Esthetic LC. Portanto, o aumento da espessura e da opacidade do material cerâmico podem promover uma diminuição no grau de conversão do cimento. A resistência de união também sofre uma diminuição com o aumento da espessura de cerâmicas mais opacas. No entanto, a maior translucidez do material não garante valores mais altos dessa mesma propriedade(AU)

This research aims to evaluate the influence of different degrees of opacity and thicknesses of lithium disilicate on the degree of conversion of two resin cements and on their bond strength to the ceramic. Two hundred and forty lithium disilicate ceramic samples (6x6 mm) were obtained from IPS E-max CAD (Ivoclar Vivadent, Schaan, Liechtensten), in HT, LT and MO opacities, with thicknesses of 0.3 mm, 0.7 mm, 1.2 mm, 1.7 mm, 2.0 mm. For degree of conversion (n=9) and bond strength analysis (n=8) a light cured (Variolink Esthetic LC) and a dual cured resin cement (Multilink N) were used. To analyze the degree of conversion, the cement samples were light cured under the ceramic samples and taken to a confocal Raman spectrometer. For the bond strength test, resin cement cylinders were made on the ceramic samples that were later subjected to a microshear. The results showed that the increase in thickness caused a decrease on degree of conversion of both cements in all the conditions studied, but it only had an influence on bond strength of Variolink LC cement for MO ceramic. Comparing the opacities, for the degree of conversion, the most translucent ceramics had higher conversion values compared to the less translucent ones in some thicknesses. As for bond strength, in some thicknesses the LT and MO ceramics showed the highest values. The dual cement Multilink showed the highest values of conversion degree and bond strength compared to Variolink Esthetic LC light-cured cement. The Multilink dual cement showed the highest values in both analyzes compared to the Variolink LC light-cured cement. Therefore, increasing the thickness and opacity of the ceramic material can promote a decrease in the degree of cement conversion. The bond strength also suffers a decrease with increasing thickness of more opaque ceramics and the greater translucency of the material does not guarantee higher values of this same property(AU)

Novo sistema de retentor pré-fabricado perfurado e de iluminador em fibra óptica: estudo da resistência mecânica frente a variação dos cimentos resinosos / New system of hollow prefabricated post and optical fiber illuminator: study of the mechanical strength by varying resin cements

O presente estudo teve por objetivo avaliar a resistência à flexão de um pino experimental de fibra de vidro vazado, e a resistência adesiva entre este pino experimental à dentina radicular, associando a utilização de um dispositivo iluminador em fibra óptica, sob o processo de envelhecimento, além de determinar a distribuição de tensão pela Análise de Elementos Finitos (FEA). O pino experimental e o dispositivo iluminador de fibra óptica têm por finalidade aumentar a efetividade de fotoativação dos cimentos resinosos nos terços médios e apicais dos canais radiculares. Para o teste de flexão de 3 pontos, estritamente do pino de fibra de vidro, as amostras foram divididas em 4 grupos (n=10): pino convencional (pc), pino experimental sem preenchimento (pp), com preenchimento de cimento resinoso (ppc) e com preenchimento de fibra óptica (ppf). Para o teste de resistência adesiva Pull-out, 100 raízes de dentes bovinos foram restauradas com retentores intrarradiculares e coroas de resina composta, distribuídos em 10 grupos (n=10), tendo como variáveis: o tipo de pino de fibra de vidro [convencional (C) ou perfurado (P)], o sistema de fotoativação [com ou sem o iluminador de fibra óptica (O)], o tipo de cimento resinoso [fotoativado (F) ou polimerização dual (D)] e o envelhecimento das amostras [com e sem ciclagem mecânica (C)]. O processo de envelhecimento foi realizado através da ciclagem mecânica e as amostras foram submetidas ao teste de resistência adesiva Pull-out. A análise do modo de falha foi realizada em Estereomicroscópio. A Análise em Elementos Finitos avaliou a distribuição de tensão pela análise de von Mises, deformação total e tensão máxima principal no Software Ansys 19.3. A análise estatística foi constituída pelo teste de normalidade Shapiro-Wilk, análise de variância (ANOVA) 1, 2 e 3 fatores e teste Tukey 5%. As médias e desvios padrão de resistência à flexão foram (MPa): pc = 677 ± 81,1; ppc = 419 ± 23,2; ppf = 200 ± 32,5 e pp = 177 ± 32,8. As médias e desvios padrão de resistência adesiva foram (MPa): CD = 12,2 ± 1,21; PD = 11,1 ± 1,32; PF = 10,9 ± 1,29; POD = 13,7 ± 1,16; POF = 11,9 ± 1,48; CDC = 10,1 ± 1,33; PDC = 9,25 ± 1,11; PFC = 8,37 ± 1,25; PODC = 10,8 ± 0,95 e POFC = 9,82 ± 1,02. Os resultados do modo de falha foram: adesiva entre pino e cimento (56%), mista predominantemente adesiva entre cimento e dentina (22%), adesiva entre cimento e dentina (14%) e a mista predominantemente adesiva entre pino e cimento (8%). Concluiu-se que entre os pinos experimentais, o grupo do pino perfurado preenchido com cimento resinoso obteve o maior valor de resistência à flexão, a utilização do dispositivo iluminador aumentou os resultados de resistência adesiva nos grupos dos pinos perfurados e não houve diferença na distribuição de tensões entre os grupos. (AU)

The present study aimed to evaluate the flexural strength of an experimental hollow glass fiber post, and the bond strength between this experimental post and root dentin, associating the use of an optical fiber illuminating device, under the aging process, in addition to determine the stress distribution by Finite Element Analysis (FEA). The experimental post and optical fiber illuminating device are intended to increase the polymerization effectiveness of resin cements in the middle and apical regions of root canals. For the 3-point bending test, strictly of the fiber post, the samples were divided into 4 groups (n=10): conventional post (pc), experimental post without filling (pp), with resin cement filling (ppc) and with optical fiber filling (ppf). For the Pull-out test, 100 roots of bovine teeth were restored with intraradicular retainers and composite resin crowns, distributed into 10 groups (n=10), with the following variables: glass fiber post type [conventional (C) or hollow (P)], the photocuring system [with or without the optical fiber illuminating device (O)], the type of resin cement [light cured (F) or dual cured (D)] and aging of the samples [with and without mechanical cycling (C)]. The aging process was performed by mechanical cycling and the samples were submitted to the Pull-out bond strength test. Failure mode analysis was performed using a stereomicroscope. Finite Element Analysis evaluated the stress distribution by von Mises analysis, total strain and maximum principal stress in Ansys Software 19.3. Statistical analysis consisted of the Shapiro-Wilk normality test, 1-, 2- and 3-way analysis of variance (ANOVA) and Tukey test 5%. The means and standard deviations of flexural strength were (MPa): pc = 677 ± 81.1; ppc = 419 ± 23.2; ppf = 200 ± 32.5 and pp = 177 ± 32.8. The means and standard deviations of bond strength were (MPa): CD = 12.2 ± 1.21; PD = 11.1 ± 1.32; PF = 10.9 ± 1.29; POD = 13.7 ± 1.16; POF = 11.9 ± 1.48; CDC = 10.1 ± 1.33; PDC = 9.25 ± 1.11; PFC = 8.37 ± 1.25; PODC = 10.8 ± 0.95 and POFC = 9.82 ± 1.02. The failure mode results were: adhesive between post and cement (56%), mixed predominantly adhesive between cement and dentin (22%), adhesive between cement and dentin (14%) and mixed predominantly adhesive between post and cement (8 %). It was concluded that among the experimental posts, the hollow post group filled with resin cement obtained the highest flexural strength value, the use of the illuminating device increased the results of bond strength in the hollow post groups and there was no difference in the stress distribution among the groups (AU)

Estudio microtomográfico de la porosidad en la cementación de postes de fibra / Microtomographic study of the porosity in the cementation of fiber posts

El objetivo de este estudio fue evaluar con microto-mografía los poros existentes entre el cemento de resina, poste de fibra y paredes del conducto en los distintos tercios radiculares en premolares inferio-res. Se utilizaron 15 premolares inferiores unirra-diculares humanos recientemente extraídos. Se les realizó el tratamiento endodóntico, y se obturó con conos de gutapercha y cemento endodóntico a base de resina. Una vez desobturados se procedió a la ce-mentación de los postes. Cada muestra se posicionó en un accesorio personalizado y se escaneó utilizan-do un Microtomógrafo. Con el software CTAn v.1.12 (Bruker-microCT) se analizaron las microtomografías para obtener el volumen de interés (VOI) que permi-tió calcular el área de superficie (mm2) y volumen de cada poro (mm3) entre la dentina y el poste a nivel co-ronal, medio y apical. Los datos fueron analizados me-diante las pruebas estadísticas de Friedman o ANOVA de medidas repetidas. El volumen de los poros entre los tres tercios radiculares mediante la prueba de Friedman, encontró una diferencia global significativa (F = 30,00; p < 0,05). El tercio en donde los poros presentaron un mayor volumen (mm3) fue el tercio coronal (mediana: 0,29250), seguido por los tercios medio (mediana: 0,03200), y apical (mediana: 0,00140). La comparación de la superficie de los poros entre los 3 tercios brindó un resultado análogo al de la comparación del volumen. La mayor superficie (mm2) correspondió al tercio coronal (media ± DE = 1,66377 ± 0,27175), seguido por los tercios medio (media ± DE = 1,16210 ± 0,20343) y apical (media ± DE = 0,41074 ± 0,12641). La microtomografía permitió realizar un análisis cuantitativo y cualitativo de los poros en toda la muestra, sin deterioro de la misma. Se puede concluir que el tercio coronal presenta más poros que el tercio apical con la técnica de cementación utilizada. En cuanto a la superficie y volumen de los poros, los resultados encontrados son similares a los reporta-dos por diversos autores (AU)

The aim of this study was to evaluate with microtomography the existing pores between the resin cement, fiber post and canal walls in the different in thirds of the canal, in single-root lower premolars. Fifteen recently extracted human single root lower premolars were used, endodontically treated, and filled with gutta-percha cones and resin-based endodontic cement. Once unfilled, the posts were cemented. Each sample was positioned on a custom fixture and scanned using a Microtomograph. Each sample was evaluated using CTAn v.1.12 software (Bruker-microCT) to obtain the surface area (mm2), volume of interest (mm3) of each pore between dentin and post at the coronal, middle and apical levels. Data were analyzed using Friedman's tests or repeated measures ANOVA. The volume of the pores between the three root thirds using the Friedman test, a significant global difference was found (F = 30.00; p < 0.05). The third in which the pores presented a greater volume (mm3) was the coronal third (means: 0.29250), followed by the middle (means: 0.03200) and apical (means: 0.00140) thirds. The comparison of the pore surface between the 3 thirds gave an analogous result to that of the volume comparison. The largest surface area (mm2) corresponded to the coronal third (mean ± SD 1.66377 ± 0.27175), followed by the middle (mean ± 1.16210 ± 0.20343) and apical (mean ± 0.41074 ± 0.12641) thirds.Microtomography allowed a quantitative and qualitative analysis of the pores in the entire sample without deterioration. It can be concluded that the coronal third has more pores than the apical third with the cementation technique used. Regarding the surface and volume of the pores, the results found are similar to those reported by various authors (AU)

Clinical assessment of two inlay -retained bridge designs (proximal box-shaped and inlay shaped) in missing posterior teeth cases. (Randomized Clinical Trial) / Avaliação clínica de dois modelos de ponte fixa inlay (forma de caixa proximal e em forma de inlay) em casos de dentes posteriores ausentes. (Ensaio clínico randomizado)

Objective: This study aimed to evaluate the clinical performance of two inlay-retained bridge designs (proximal shaped and inlay shaped) in single missing posterior teeth cases. Material and Methods: A total of 70 cases with missing single posterior teeth were included in this study and divided into two groups with a 1:1 allocation ratio (n = 35 for each group). Group 1 (the control group): this group received an inlay retained bridge with inlay design on both abutments. Group 2 (the intervention group): this group received an inlay retained bridge with a proximal box on both abutments. PMMA resin (YAMAHACHI PMMA) was used for the try-in stage and monolithic zirconia (Katana, Kuraray) was used for the final restorations. The restoration surfaces were treated using sandblasting and Z-prime S (Bisco) and the cementation was done by using self-adhesive resin cement (Bisco). Fracture, marginal adaptation, postoperative sensitivity, caries, and gingivitis were assessed using the modified United States Public Health Service for restoration clinical assessments (MUSPHS standards) over 12 months of follow-up. Results: The results show there was no significant difference between the two groups. Kaplan-Meier survival curve was constructed to calculate the mean survival estimates of the two groups and we found that the two groups were clinically successful during a one-year follow-up. Conclusion: Both designs of inlay retained fixed dental prostheses revealed successful clinical performance in terms of Fracture, marginal adaptation, postoperative sensitivity, caries, and gingivitis (AU)

Objetivo: O objetivo deste estudo foi avaliar o desempenho clínico de dois modelos de ponte fixa por inlay (formato proximal e formato inlay) em casos de dentes posteriores perdidos. Material e Métodos: Um total de 70 casos com perda de um único dente posterior foi incluído neste estudo e dividido em dois grupos com uma razão de alocação de 1: 1 (n = 35 para cada grupo). Grupo 1 (grupo controle): Este grupo recebeu uma ponte fixa por inlay com deseho de inlay em ambos os pilares. Grupo 2 (grupo intervenção): Este grupo recebeu uma ponte fixa inlay com uma caixa proximal em ambos os pilares. Resina de PMMA (YAMAHACHI PMMA) foi usada para a etapa de try-in e a zircônia monolítica (Katana, Kuraray) foi utilizada para as restaurações finais. As superfícies das restaurações foram jateadas com Z-prime S (Bisco) e a cimentação realizada com cimento resinoso autoadesivo (Bisco). Fratura, adaptação marginal, sensibilidade pós-operatória, cárie e gengivite foram avaliadas usando o Serviço de Saúde Pública dos Estados Unidos modificado para avaliações clínicas de restauração (padrões MUSPHS) ao longo de 12 meses de acompanhamento. Resultados: Os resultados mostraram que não houve diferença significativa entre os dois grupos. A curva de sobrevida de Kaplan-Meier foi construída para calcular as estimativas de sobrevida média dos dois grupos e foi concluído que os dois grupos foram clinicamente bem-sucedidos durante um acompanhamento de um ano. Conclusão: Ambos os modelos de próteses dentárias fixas de inlay revelaram desempenho clínico bem-sucedido em termos de fratura, adaptação marginal, sensibilidade pós-operatória, cárie e gengivite(AU)