RESUMEN
This randomized controlled clinical trial evaluated the color change of teeth bleached with either hydrogen peroxide (HP) or ozone (OZ). A total of 26 patients with a mean age of 36.2 years (SD, 8.7 years) who met the inclusion criteria were enrolled in the study. The subjects were randomly assigned to receive chairside bleaching using 40% HP or gaseous OZ. Maxillary dental arch vacuum trays were constructed with circumferential openings in the middle portion of the maxillary incisors at their labial surfaces. These trays were used for measuring color-first at baseline and then immediately and 48 hours after postbleaching-and were not used in bleaching. Changes in color were determined using CIE L*a*b* coordinates. Analysis of the data revealed that, while overall color change (ΔE*) values of the HP and OZ groups did not show statistically significant differences immediately after bleaching (P = 0.114), ΔE* values were significantly different 48 hours postbleaching (P = 0.00). Visible color changes were not obtained with either HP or OZ immediately postbleaching. The greatest visible color change occurred with HP 48 hours postbleaching.
Asunto(s)
Peróxido de Hidrógeno/uso terapéutico , Ozono/uso terapéutico , Blanqueadores Dentales/uso terapéutico , Blanqueamiento de Dientes/métodos , Adulto , Color , Femenino , Humanos , Masculino , Persona de Mediana Edad , Decoloración de Dientes/tratamiento farmacológico , Adulto JovenRESUMEN
STATEMENT OF PROBLEM: Welding or soldering of metal frameworks negatively affects the overall bond strength between the veneering ceramic and metal. PURPOSE: The purpose of this study was to evaluate the effect of soldering and laser-welding procedures on the bond strength between ceramic and metal. MATERIAL AND METHODS: Thirty Ni-based metal specimens (Wiron 99) (8 × 4 × 4 mm) were fabricated and divided into 3 groups; soldered (S), laser welded (L), and control (untreated cast alloy) (n=10). In S and L specimens, a notch (1 × 1.5 mm) was prepared longitudinally on the surface of each specimen and filled with compatible alloy (Wiron soldering rods and Wiroweld NC, respectively). Vickers hardness measurements were made after polishing the surfaces with a metallographic polishing kit. A veneering ceramic (VITA VMK 95) was vibrated, condensed in a mold, and fired on the metal frameworks. The specimens were sectioned in 2 axes to obtain nontrimmed bar specimens with a bonding area of approximately 1 mm². Forty bars per block were obtained. Each bar was subjected to microtensile bond strength (µTBS) testing with a crosshead speed of 1 mm/min. The µTBS data (MPa) were recorded, and SEM was used for failure analysis of the tested bars. The measurements were statistically analyzed using a 1-way ANOVA and Tamhane tests (α=.05). RESULTS: The mean differences in µTBS of veneering ceramic to soldered (10.4 ±2.4 MPa) and laser-welded (11.7 ±1.3 MPa) metal surfaces were not significantly different and were significantly lower than that of the cast alloy (25.4 ±3.6 MPa) (P<.05). The mean Vickers hardness of cast alloy was significantly higher (236 ±17 HV) than soldered (114 ±9 HV) and laser-welded groups (129 ±11 HV) (P<.05). CONCLUSIONS: Soldering and laser welding significantly decreased the µTBS of a veneering ceramic to a base metal alloy.
Asunto(s)
Recubrimiento Dental Adhesivo , Porcelana Dental/química , Soldadura Dental/métodos , Láseres de Estado Sólido , Aleaciones de Cerámica y Metal/química , Óxido de Aluminio/química , Compuestos Inorgánicos de Carbono/química , Aleaciones de Cromo/química , Aleaciones Dentales/química , Revestimiento para Colado Dental/química , Grabado Dental/métodos , Pulido Dental/métodos , Soldadura Dental/instrumentación , Análisis del Estrés Dental/instrumentación , Coronas con Frente Estético , Módulo de Elasticidad , Elasticidad , Dureza , Humanos , Ensayo de Materiales , Microscopía Electrónica de Rastreo , Níquel/química , Compuestos de Silicona/química , Estrés Mecánico , Propiedades de Superficie , Temperatura , Resistencia a la TracciónRESUMEN
OBJECTIVE: This study compared the color changes of five novel resin composites polished with two one-step polishing systems when exposed to coffee solution. METHODS: The resin composites tested were Filtek Supreme XT, Grandio, CeramX, Premise and Tetric EvoCeram. A total of 150 discs (30/resin composites, 10 x 2 mm) were fabricated. Ten specimens/resin composites cured under Mylar strips served as the control. The other samples were polished with PoGo and OptraPol discs for 30 seconds using a slow speed handpiece and immersed in coffee (Nescafé) for seven days. Color measurements were made with Vita Easyshade at baseline and after one and seven days. Repeated Measures ANOVA and Bonferroni tests were used for statistical analyses (p< or =0.05). RESULTS: The differences between the mean DeltaE* values for the resin composites polished with two different one-step systems were statistically significant (p<0.05). After one week, all materials exhibited significant color changes compared to baseline. All Mylar finished specimens showed the most intense staining (p<0.05). There were no significant differences between the OptraPol and PoGo polished groups. Mylar-finished specimens of CeramX, Tetric EvoCeram, Premise and Filtek Supreme XT presented the greatest staining (p<0.05). For Grandio, there were no significant differences between the Mylar and PoGo groups, while the most stain resistant surfaces were attained with OptraPol. CONCLUSION: Removing the outermost resin layer by polishing procedures is essential to achieving a stain resistant, more esthetically stable surface. One-step polishing systems can be used successfully for polishing nanocomposites.