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1.
Stomatologiia (Mosk) ; 99(3): 7-10, 2020.
Artículo en Ruso | MEDLINE | ID: mdl-32608941

RESUMEN

OBJECTIVE: To study the dynamics of changes in the adhesion between the composite and dentin of the tooth when using different volumes of a single-component adhesive system in case of contamination of it with human blood plasma. MATERIAL AND METHODS: To achieve this goal, the following were used: extracted human teeth, XP Bond one-component adhesive systems (DENTSPLY, Germany), Esthet X HD micrometric restoration material (DENTSPLY, Germany), and centrifuged blood plasma. The strength of the adhesive bond between the composite material and the hard tissues of the tooth was studied using a shear test machine Zwick Roell Z 010 («Zwick¼, Germany). RESULTS: The use of a single-component adhesive system in an amount of 17.7 mg (1 drop from a dispenser) for treating open dentin makes it more resistant to contamination compared to using the same adhesive, but in an amount of 6.6 mg (the amount of adhesive that adsorbs a medium-sized dental take). A decrease in the adhesion force between the composite material and tooth hard tissues from 1.5 to 17.7% occurs when a single-component adhesive system weighing 17.7 mg of blood plasma simulating a dentinal fluid weighing from 0.2 to 2.0 mg enters. The ingestion of the same amount of blood plasma in a single-component adhesive system weighing 6.6 mg leads to a decrease in its adhesion from 4.3 to 43%.


Asunto(s)
Recubrimiento Dental Adhesivo , Resinas Compuestas , Cementos Dentales , Análisis del Estrés Dental , Dentina , Humanos , Ensayo de Materiales , Cementos de Resina , Resistencia al Corte
2.
Shanghai Kou Qiang Yi Xue ; 29(1): 36-39, 2020 Feb.
Artículo en Chino | MEDLINE | ID: mdl-32524118

RESUMEN

PURPOSE: To investigate the effect of ultrasonic scaling on micro-leakage of all-ceramic crowns. METHODS: 48 first premolars of the similar shape and size were collected and prepared by one attending doctor. Two groups were randomly divided (zirconia crown group and glass ceramic crown group, with 24 in each group), and each group was randomly divided into two subgroups (resin cement group and resin modified glass cement subgroup, n=6). After the crowns were bonded and solidified for 24 h, 3 samples were randomly selected from each subgroup for ultrasonic scaling for 60 s, and the other 3 samples were used as the negative control group. After all samples were soaked in 5% fuchsin solution at room temperature for 48 h, buccal and lingual incisions were made, and double-blind scoring was performed for micro-leakage at the crown edge of each sample. SPSS 17.0 software package was used for statistical analysis. RESULTS: There were significant differences between the negative group and the ultrasonic group in micro-leakage of crowns which were cemented with resin modified glass cement(P<0.05), but there was no significant difference between the negative group and the ultrasonic group in micro-leakage of crowns which were cemented with resin cement(P>0.05). When the same adhesive was used, there was significant difference in microleakage between the zirconia crown and the glass-ceramic crown, whether ultrasonic supragingival scaling was performed or not(P<0.05). CONCLUSIONS: Ultrasonic scaling had significant effect on micro-leakage of crowns which were cemented with resin modified glass cement, and but had no significant effect on micro-leakage of crowns which were cemented with resin cement.


Asunto(s)
Filtración Dental , Cementación , Cerámica , Coronas , Cementos Dentales , Cementos de Ionómero Vitreo , Humanos , Ensayo de Materiales , Cementos de Resina , Ultrasonido
3.
Hua Xi Kou Qiang Yi Xue Za Zhi ; 38(3): 256-262, 2020 Jun 01.
Artículo en Chino | MEDLINE | ID: mdl-32573131

RESUMEN

OBJECTIVE: This study aimed to develop novel self-adhesive resin cement with antibacterial and self-healing properties. Furthermore, the dentin bonding strength, mechanical properties, self-healing efficiency, and antibacterial property of the developed cement were measured. METHODS: Novel nano-antibacterial inorganic fillers that contain quaternary ammonium salts with long-chain alkyls were synthesized. These fillers were added into self-adhesive resin cement containing self-healing microcapsules at mass fractions of 0, 2.5%, 5.0%, 7.5%, or 10.0%. The dentin shear bonding test was used to test the bonding strength, whereas the flexural test was used to measure the flexural strength and elastic modulus of the cement. The single-edge V-notched beam method was used to measure self-healing efficiency, and human dental plaque microcosm biofilms were chosen to calculate the antibacterial property. RESULTS: The dentin shear bond strength significantly decreased when the mass fraction of the nano-antibacterial inorganic fillers in the novel cement reached 7.5% (P<0.05). The incorporation of 0, 2.5%, 5.0%, 7.5%, or 10.0% mass fraction of nano-antibacterial inorganic fillers did not adversely affect the flexural strength, elastic modulus, fracture toughness, and self-healing efficiency of the cement (P>0.1). Resin cement containing 2.5% mass fraction or more nano-antibacterial inorganic fillers significantly inhibited the metabolic activity of dental plaque microcosm biofilms, indicating strong antibacterial potency (P<0.05). CONCLUSIONS: The novel self-adhesive resin cement exhibited promising antibacterial and self-healing properties, which enable the cement to be used for dental applications.


Asunto(s)
Recubrimiento Dental Adhesivo , Cementos de Resina , Antibacterianos , Cementos Dentales , Análisis del Estrés Dental , Dentina , Humanos , Ensayo de Materiales , Resistencia al Corte , Propiedades de Superficie
4.
Braz Dent J ; 31(2): 179-185, 2020.
Artículo en Inglés | MEDLINE | ID: mdl-32556018

RESUMEN

The aim was to evaluate, in vitro, the influence of pH cycling on microtensile bond strength (µTBS) and percentage of nanoleakage (%NL) in the dentin-adhesive interface. Flat dentin surfaces were obtained in 56 extracted third molars. The teeth were randomly divided into four groups (n=14): G1- Single Bond Universal (etch-and-rinse mode); G2- Single Bond Universal (self-etch mode); G3- Scotchbond Multi-Purpose; G4- Clearfil SE Bond. A block of composite was built on the adhesive area. Eight tooth/resin sets were cut parallel to the tooth's long axis to obtain 48 beams (0.8 mm2) for each group. Half of the beams were submitted to four cycles of pH cycling (demineralizing solution for 6 h and remineralizing solution for 18 h). The samples were submitted to µTBS test in a universal testing machine. Six tooth/resin sets were cut parallel to the tooth's long axis to obtain three slices of the central region (1.0 mm thickness). Half of the slices were submitted to pH cycling. The nanoleakage methodology was applied to obtain the %NL at the adhesive interfaces. According to two-way ANOVA, the interaction between factors (adhesive system x storage) was significant (p=0.0001) for µTBS and %NL. After pH cycling, there was a significant decrease in µTBS and a significant increase in %NL for all adhesives. The adhesives applied in the self-etch mode obtained lower %NL, differing significantly from the etch-and-rinse adhesives. It was concluded that the pH cycling negatively influenced the µTBS and %NL for all adhesives evaluated. However, self-etch adhesives allowed less %NL.


Asunto(s)
Recubrimiento Dental Adhesivo , Recubrimientos Dentinarios , Cementos Dentales , Dentina , Ensayo de Materiales , Cementos de Resina , Resistencia a la Tracción
5.
Braz Oral Res ; 34: e045, 2020 May 08.
Artículo en Inglés | MEDLINE | ID: mdl-32401935

RESUMEN

This in vitro study aimed to evaluate the effect of a silane-containing universal adhesive used with or without a silane agent on the repair bond strength between aged and new composites. Forty nanohybrid composite resin blocks were stored in distilled water for 14 d and thermo-cycled. Sandpaper ground, etched, and rinsed speciments were randomly assigned into four experimental groups: silane + two-step etch-and-rinse adhesive system, two-step etch-and-rinse adhesive system, silane + silane-containing universal adhesive system, and silane-containing universal adhesive system. Blocks were repaired using the same composite. After 24 h of water storage, the blocks were sectioned and bonded sticks were submitted to microtensile testing. Ten unaged, non-repaired composite blocks were used as a reference group to evaluate the cohesive strength of the composite. Two-way ANOVA and Tukey's tests were used to analyze average µTBS. One-way ANOVA and Dunnet post-hoc tests were used to compare the cohesive strength values and bond strength obtained in the repaired groups (α = 0.05). The µTBS values were higher for the silane-containing universal adhesive compared to the two-step etch-and-rinse adhesive system (p = 0.002). Silane application improved the repair bond strength (p = 0.03). The repair bond strength ranged from 39.3 to 65.8% of the cohesive strength of the reference group. Using universal silane-containing adhesive improved the repair bond strength of composite resin compared to two-step etch-and-rinse adhesive. However, it still required prior application of a silane agent for best direct composite resin repair outcomes.


Asunto(s)
Resinas Compuestas/química , Cementos Dentales/química , Cementos de Resina/química , Silanos/química , Análisis de Varianza , Recubrimiento Dental Adhesivo/métodos , Ensayo de Materiales , Valores de Referencia , Reproducibilidad de los Resultados , Propiedades de Superficie , Resistencia a la Tracción , Factores de Tiempo
6.
J Contemp Dent Pract ; 21(3): 220-226, 2020 Mar 01.
Artículo en Inglés | MEDLINE | ID: mdl-32434964

RESUMEN

AIM: The aim of this research was to determine whether sterilization and reutilization of impression copings had an impact on the accuracy of casts made for multiimplant restorations. MATERIALS AND METHODS: Four master casts embedded with five implant analogs were fabricated. Polyvinyl siloxane (PVS) impressions of the master cast with copings attached to the analogs were made and poured in dental stone. The impression copings were subjected to cleaning and sterilization. These processes were repeated 30 cycles for each of the two groups of five impression copings: one without modification and one with modification that included air abrasion and PVS adhesive. A coordinate measuring machine (CMM) was used to measure relative angles and distances between the reference analog and analogs. The relative angles and distances measured on the stone casts were compared to the master resin cast to obtain positional and angular displacements. RESULTS: For impression copings that were not modified, a significant difference was detected for both positional and angular displacements. For impression copings that were modified, a significant change was observed only for positional displacement. The maximum discrepancies measured for positional and angular displacements after 30 cycles of reuse were only 81 µm and 0.46°, respectively, regardless of the modification. CONCLUSION: Within the limitations of this study, unmodified impression copings that have undergone 30 cycles of cleaning and sterilization appeared to incur more impression inaccuracy than those impression copings that were modified by airborne-particle abrasion and PVS adhesive. CLINICAL SIGNIFICANCE: Impression copings used in this study can likely be recycled up to 30 times without reducing the accuracy of the impression to a level that may be considered clinically significant.


Asunto(s)
Materiales de Impresión Dental , Técnica de Impresión Dental , Adaptación Psicológica , Abrasión Dental por Aire , Cementos Dentales , Modelos Dentales , Propiedades de Superficie
7.
J Adhes Dent ; 22(3): 255-264, 2020.
Artículo en Inglés | MEDLINE | ID: mdl-32435766

RESUMEN

PURPOSE: To evaluate the influence of application protocol on the shear bond strength (SBS) and nanoleakage of simplified adhesives over 18 months. MATERIALS AND METHODS: 810 dentin slices were obtained from 405 caries-free human molars. They were randomly assigned to 54 experimental groups resulting from the combination of "adhesive" (Adper Scotchbond 1XT [S1XT], Solobond M [SM], Scotchbond Universal Adhesive in etch-and-rinse mode [SUER] and self-etch mode [SUSE], Adper Easy Bond [EB], Clearfil S3 Bond Plus [CS3]), "application protocol" (manufacturer's instructions [MI], two extra layers of adhesive [EL], hydrophobic resin layer [HL]), and "aging time" (24 h [24H], 6 months [6M], and 18 months [18M] in water). SBS tests were carried out using a Watanabe device followed by failure mode analysis. For the nanoleakage study, specimens from 54 additional molars were prepared as previously described, immersed in ammoniacal silver nitrate, and evaluated with SEM. SBS data were analyzed with ANOVA followed by Tukey's post-hoc tests; failure mode data were analyzed using chi-squared tests (α = 0.05). Nanoleakage data were analyzed with the Kruskal-Wallis test followed by LSD tests (α = 0.05). RESULTS: After 18M, S1XT and SUSE achieved the highest mean SBS (p < 0.05). Regarding the application protocols, EL and HL provided higher mean SBS than those obtained with MI (p < 0.05). HL resulted in the highest mean SBS and the lowest mean nanoleakage after 18M. CONCLUSION: Simplified adhesives may need an extra hydrophobic resin layer to achieve a stable and durable adhesive interface. The self-etch approach should be recommended for the universal adhesive.


Asunto(s)
Recubrimiento Dental Adhesivo , Cementos Dentales , Dentina , Humanos , Ensayo de Materiales , Resistencia al Corte
8.
J Adhes Dent ; 22(3): 265-274, 2020.
Artículo en Inglés | MEDLINE | ID: mdl-32435767

RESUMEN

PURPOSE: To investigate whether dental adhesives modified with polyacrylic acid copper iodide particles could inhibit esterase activity in vitro and the copper release rate from resin matrices, as well as the correlation between the two variables. MATERIALS AND METHODS: Different concentrations of copper iodide (0.1, 0.5 and 1.0 mg/ml) were incorporated into three commercially available adhesives representative of each type. Disk specimens (n = 3) were fabricated and incubated in cholesterol esterase and pseudo-cholinesterase solutions for 16 days (37°C, pH 7.0). The enzymatic activity and rate of copper release from resin matrices were evaluated at different 4, 8, 12, and 16 days with a UV/visible-light spectrophotometer. RESULTS: Increased copper release and reduced enzymatic activity were observed with higher concentrations of copper iodide (p < 0.001). Greater copper release with reduced enzymatic activity was also demonstrated at the earlier time periods with this relationship reversing over time (p < 0.001). A moderate negative correlation between the variables was evident (-0.441; p = 0.01). CONCLUSIONS: Adhesives containing copper iodide can inhibit esterase activity in a dose- and time-dependent manner. The correlation between the variables suggests that enzymatic activity may depend on the availability of copper.


Asunto(s)
Cementos Dentales , Yoduros , Cobre , Esterasas , Ensayo de Materiales
9.
J Adhes Dent ; 22(3): 285-296, 2020.
Artículo en Inglés | MEDLINE | ID: mdl-32435769

RESUMEN

PURPOSE: To investigate the long-term effect of 0.05% or 0.1% caffeic acid phenethyl ester (CAPE) on dentin matrix stability and hybrid layer stability, using an etch-and-rinse (Adper Scotchbond Multipurpose/ASB) or a self-etch adhesive (Clearfil SE Bond/CSE). MATERIALS AND METHODS: Dentin matrix specimens were assigned to five groups: 0.05% or 0.1% CAPE, green tea (GT), and the controls distilled water (DW) and dimethyl sulfoxide (DMSO). Following immersion of specimens for 1 h, modulus of elasticity (ME) and dentin mass change (MG) were determined at 3 post-treatment time points: immediately afterwards and at 3 and 6 months. Collagen solubilization (CS) was estimated by hydroxyproline (HYP) quantification. Resin-dentin interfaces with both adhesives were assessed with in situ zymography tests to evaluate gelatinolytic activity (GA). The dentin pretreatments were actively applied for 60 s. The sealing ability of aged resin-bonded slices was assessed by nanoleakage tests. RESULTS: GT increased immediate ME, which decreased significantly after 3 months (p < 0.0001). The CAPE groups did not differ from the control groups. GT provided a significant increase in dentin matrix mass after treatment (p < 0.0001). No significant differences regarding MG were observed for CAPE 0.1%, CAPE 0.05%, DW, and DMSO groups after 3 and 6 months. Cumulative HYP release revealed that CAPE groups and GT were statistically similar to DW and DMSO; the GT group exhibited statistically significantly less HYP release than did CAPE groups (p = 0.0073). Treatment with 0.05% or 0.1% CAPE presented lower GA when applied to ASB before acid conditioning (p < 0.05), but no differences were detected when the CAPE groups were applied to CSE. CAPE at 0.1% significantly reduced nanoleakage for CSE, and 0.05% CAPE with CSE presented levels of nanoleakage similar to those of the CSE control group. CONCLUSION: CAPE at 0.05% or 0.01% did not influence ME, MG, or CS, but reduced GA when applied to ASB before acid conditioning. CAPE at 0.1% with CSE promoted adhesive layer integrity.


Asunto(s)
Recubrimiento Dental Adhesivo , Recubrimientos Dentinarios , Ácidos Cafeicos , Cementos Dentales , Dentina , Ensayo de Materiales , Alcohol Feniletílico/análogos & derivados , Resistencia a la Tracción
10.
J Adhes Dent ; 22(3): 297-309, 2020.
Artículo en Inglés | MEDLINE | ID: mdl-32435770

RESUMEN

PURPOSE: To evaluate the remineralization effects of Bioglass 45S5 (BAG) on dentin composition, adhesive-dentin bond strength, as well as interface and diffusion zone thickness. MATERIALS AND METHODS: Dentin specimens were assigned to a control group (CG), in which the adhesive was applied following the manufacturer's instructions, and a remineralized group (RG), in which remineralization treatment was carried out by rubbing a remineralization solution (0.015 g of BAG with 1.35 ml of distilled water) on the etched dentin surface for 30 s before applying the adhesive. For bioactive analysis (n = 10), control and remineralized dentin were investigated using micro-Raman spectroscopy (mRS) and scanning electron microscopy (SEM). Stick specimens prepared with a three-step etch-and-rinse adhesive were submitted to a microtensile bond strength (µTBS) test (n = 10) after 24 h (24 h) and eight months (8 m). Micro-RS 3D-maps (n = 10) characterized the adhesive-dentin interface composition and diffusion zone thickness, and SEM images (n = 10) evaluated interface thickness. Data were analyzed using Student's t-test or two-way ANOVA and Tukey-Kramer's post-hoc test (α = 0.05). RESULTS: Remineralization treatment increased the mineral content of dentin. Mean µTBSs were statistically different at 24 h, with RG higher than CG; however, this difference was not significant at 8 m. When the adhesive was applied on remineralized dentin, its penetration was reduced, its physical interaction with phosphate was improved, and its degree of conversion increased. The diffusion zone in the CG did not differ from that of the RG, and interface thickness values of the CG did not differ from that of the RG. CONCLUSION: Remineralization treatment promoted mineral growth on the dentin surface, improved the interaction of dentin with adhesive monomers, and consequently resulted in higher immediate bond strengths.


Asunto(s)
Recubrimiento Dental Adhesivo , Cementos Dentales , Dentina , Recubrimientos Dentinarios , Humanos , Resistencia a la Tracción
11.
Indian J Dent Res ; 31(2): 236-240, 2020.
Artículo en Inglés | MEDLINE | ID: mdl-32436903

RESUMEN

Aims: Considering new ceramic systems, doubts about the appropriate combination of ceramics and cement are common. Settings and Design: To evaluate the influence of the elastic modulus (E) of cement agents associated with different indirect veneers on the stress distribution using finite element analysis. Methods and Materials: The finite element analysis was applied to evaluate the stress distribution on the structures. For that, a computer-aided design software was used for a three-dimensional (3D) modeling of an upper central incisor with preparation for an indirect veneer. The model was imported into the analysis software in STEP (Standard for Exchange of Product data) format. Tetrahedral elements formed the mesh. Solids were considered isotropic, linearly elastic, homogeneous, and with ideal contacts. Load application (100N, 45°) occurred on the lingual face. Cement agents have their E classified as low, intermediate, and high. The ceramic materials used were a hybrid ceramic, a zirconia reinforced lithium silicate and a lithium disilicate. Results: It was observed that none of the factors significantly influenced the stress concentration in dentine. Groups with high E cementing agent showed the highest stress peaks. The E of restorative material was significant for the stress generated in the veneer, and groups with hybrid ceramic presented more homogeneous stress results. Conclusions: The higher E of the cement agent and the ceramic, the higher the stress concentration, suggesting that hybrid ceramic associated with low elastic modulus resinous cement has superior biomechanical behavior.


Asunto(s)
Porcelana Dental , Incisivo , Cerámica , Cementos Dentales , Materiales Dentales , Análisis del Estrés Dental , Análisis de Elementos Finitos , Ensayo de Materiales , Estrés Mecánico
12.
Indian J Dent Res ; 31(2): 291-296, 2020.
Artículo en Inglés | MEDLINE | ID: mdl-32436911

RESUMEN

Context: In-vitro studies of microleakage are an initial screening method to assess the maximum theoretical loss of sealing ability in-vivo. Aims: Our objective was to determine and compare microleakage patterns of conventional glass ionomer cement (GIC) and resin-modified GIC (RMGIC) for band cementation. Methods: Forty caries-free second primary molars were randomly divided into two groups of 20 teeth each. Preformed molar bands in the two groups were cemented to enamel with one of two types of cement: Conventional GIC (Fuji I, GC Corporation; Tokyo, Japan) and RMGIC (Fuji Plus, GC Corporation; Tokyo, Japan). A dye penetration method was used for microleakage evaluation. Microleakage was determined by a stereomicroscope for the cement-band and cement-enamel interfaces. Statistical Analysis Used: Statistical analysis was performed with Kruskal-Wallis and Mann-Whitney U tests. Results: The mean microleakage value for conventional GIC (Fuji I) at cement-band and cement-enamel interfaces was 2.41 mm and 2.15 mm, respectively. The mean microleakage value for RMGIC (Fuji Plus) at cement-band and cement-enamel interfaces was 0.44 mm and 0.46 mm, respectively. Compared to conventional GIC, RMGIC showed less microleakage at both cement-band and cement-enamel interfaces. P < 0.001 and it was statistically highly significant. Conclusions: Bands cemented with RMGIC had significantly less microleakage between the cement-band and cement-enamel interfaces than conventional GIC.


Asunto(s)
Filtración Dental , Cementos Dentales , Esmalte Dental , Cementos de Ionómero Vitreo , Humanos , Cementos de Resina , Diente Primario
13.
Stomatologiia (Mosk) ; 99(2): 17-20, 2020.
Artículo en Ruso | MEDLINE | ID: mdl-32441070

RESUMEN

OBJECTIVE: To assess the degree of influence of human blood plasma simulating dentinal fluid on the composite resin adhesion to dental hard tissues. MATERIAL AND METHODS: The strength of the adhesive bond between the composite material and dental hard tissues was studied using a shear test machine Zwick Roell Z 010 («Zwick¼, Germany) on extracted human teeth. XP Bond one-component adhesive system and XENOV self-etching adhesive system (DENTSPLY, Germany), high-definition micrometric restoration material Esthet X HD (DENTSPLY, Germany), as well as centrifuged blood plasma were used. RESULTS: Adhesion strength decreased by 26-78% when blood plasma weighing from 0.2 to 2.0 mg mixed up the self-etching system (weight 6.6 mg). A significant decrease in the adhesion force occurred when plasma with a mass of 0.7 mg or more mixed up with the monomer (a decrease in adhesion by 19.1%). A critical decrease in the adhesion force (43% or more) occurred with the mixture of blood plasma weighing 2.0 mg or more.


Asunto(s)
Recubrimiento Dental Adhesivo , Grabado Ácido Dental , Resinas Compuestas , Cementos Dentales , Análisis del Estrés Dental , Humanos , Ensayo de Materiales , Cementos de Resina , Resistencia al Corte , Propiedades de Superficie
14.
Int J Esthet Dent ; 15 Suppl 1: S68-S87, 2020.
Artículo en Inglés | MEDLINE | ID: mdl-32467938

RESUMEN

An unfavorable relationship between the form and dimension of the dental arch and the number, dimension, and shape of the existing teeth can pose several esthetic, biologic, and functional problems. In this article, the various restorative options are discussed based on clinical and scientific evidence: Gap closure and substitution of missing teeth: restorative transformation of substituted teeth into homologous teeth with odontoplasty, direct composite, etched pieces or porcelain veneers. Gap opening and tooth replacement with all-ceramic adhesive bridges, including pontic site development. Gap distribution and restorative compensation with direct composite restorations, etched pieces or porcelain veneers. Gap shifting and restorative compensation with all-ceramic adhesive bridges, composite, etched pieces or veneers. Gap compensation by reconstructive compensation without orthodontics. The reconstructive tools including composite restorations, ceramic veneers, and adhesive bridges are discussed, and numerous cases are presented to illustrate the concepts.


Asunto(s)
Porcelana Dental , Coronas con Frente Estético , Cerámica , Resinas Compuestas , Cementos Dentales , Estética Dental
15.
J Contemp Dent Pract ; 21(1): 91-96, 2020 Jan 01.
Artículo en Inglés | MEDLINE | ID: mdl-32381808

RESUMEN

AIM: The aim of this study was to assess if the curing mode and the etching mode could affect the push-out bond strength of different post cementation systems using two universal adhesives. MATERIALS AND METHODS: A total of 100 single-rooted teeth were divided into Prime & Bond Elect (PBE), Prime & Bond Active (PBA), and Prime & Bond XP (PBXP) as a control. The PBE, PBA, and PBXP were used in the self-etch (SE) and etch and rinse (E&R) mode. Post cementation was performed using Core X flow used in dark-cure and in light-cure. Data were analyzed using the one-way ANOVA test and post hoc Bonferroni and Dunnet tests. The Student's t test was performed to find significance between two independent groups. RESULTS: Bond strength was significantly influenced by the adhesive strategies. The PBE and PBA obtained higher values when used in the SE mode (p < 0.001). Light-cured groups obtained significantly higher values (p < 0.001) compared to dark-cured groups. The post space region also had a significant effect on the bond strength; the apical third recorded lower values in all groups (p < 0.001). CONCLUSION: The PBA and PBE universal adhesives obtained higher PBS values when used in the SE mode and followed by the light-curing of resin cement. CLINICAL SIGNIFICANCE: Universal adhesives represent a good alternative to the conventional total-etch adhesive system for fiber post cementation. Since they perform better in SE, they would be recommendable in clinical practice, as they can be used with a simplified technique.


Asunto(s)
Recubrimiento Dental Adhesivo , Recubrimientos Dentinarios , Cementos Dentales , Dentina , Humanos , Cementos de Resina
16.
Rev. cient. odontol ; 8(1): e010-e010, ene.-abr. 2020. tab.
Artículo en Español | LILACS, LIPECS | ID: biblio-1095508

RESUMEN

El presente trabajo busca realizar una revisión de la literatura para dar a conocer al personal ocupacionalmente expuesto a radiaciones ionizantes las ventajas y propiedades del concreto simple y la baritina para justificar su aplicación como materiales de blindaje en el diseño y construcción de muros en áreas donde se utilizan rayos X de uso odontológico, ya que estos, al no ser utilizados de manera segura, pueden tener efectos perjudiciales en la salud de las personas. En este trabajo también se describen las características generales de los rayos X que los hacen nocivos para la salud del personal ocupacionalmente expuesto, así como del público en general, por lo que surge en este punto el término de atenuación. Se encontró poca información sobre el tema, por lo que se desarrolló la relación existente entre ambos materiales y su importancia para dar información que pueda ser útil a todas las personas. Se concluyó que ambos materiales tienen la capacidad de bloquear y reducir la intensidad de la radiación, ya que el concreto actúa como un absorbente para reducir los efectos biológicos de la radiación y la baritina funciona como blindaje basado en el coeficiente de atenuación, por lo que ambos ofrecen una mayor resistencia y, al ser aplicados en conjunto, brindan una mayor protección para aquellas personas que puedan estar expuestas a rayos ionizantes. (AU)


The safety of the use of radiation in odontology must be guaranteed in order to avoid adverse effects to the health of dental staff and patients. The present study is a review of the literature on exposure to ionizing radiations and the advantages and properties which simple concrete and barite provide as shielding material in wall design and construction in areas of odontology in which X-rays are used. The general characteristics of X-rays which make them harmful to exposed workers and the general public are described. An attenuation coefficient is the fraction of an x-ray beam that is absorbed or scattered per unit thickness of the absorber. There is little information on this subject, however, it was found that both concrete and barite are able to block and reduce the intensity of radiation, with concrete acting as an absorbent to reduce the biological effects of radiation and barite acting as a shield. Based on the coefficient of attenuation these two materials provide greater resistance and their combined use allows greater protection against exposure to ionizing rays. (AU)


Asunto(s)
Humanos , Rayos X , Cementos Dentales , Materiales Dentales
17.
Artículo en Inglés | MEDLINE | ID: mdl-32233200

RESUMEN

The purpose of the present study was to (1) investigate the micro-shear bond strength and failure mode of a novel methacryloxydecyl-dihydrogen-phosphate (MDP) calcium-fluoride-releasing self-adhesive resin cement (TheraCem, BISCO) to a tooth structure (enamel and dentin) and to yttrium-stabilized zirconia after thermocycling, and to (2) compare the results with a universal non-MDP-containing self-adhesive resin cement (RelyX Unicem, 3M ESPE) as a control. Enamel and dentin specimens (20 discs each) were obtained by using a diamond saw (IsoMet 4000, Buehler) with copious water coolant. Twenty zirconia plates were obtained from IPS e.max ZirCAD blocks (Ivoclar Vivadent) and sintered in an inFire HTC speed high-temperature furnace (Dentsply Sirona). Resin-cement micro-cylinders were created on the bonded surface and filled with the tested cements (n = 10 for each surface/cement combination): Group A (control) used non-MDP-containing RelyX, whilegroup B (tested cement) used MDP-containing TheraCem MDP. Cements were left to self-cure for 5 minutes. All specimens were thermocycled for 5,000 cycles (THE-1100, SD Mechatronik). Micro-shear bond strength was measured using a universal testing machine, and debonded surfaces were examined for failure mode analysis with all morphologic and ultrastructure changes using a scanning electron microscope (Quanta 250 Field Emission Gun, FEI) attached with an energy dispersive x-ray (EDX) unit. The results were statistically analyzed. TheraCem had a slightly higher micro-shear bond strength (MPa) value than RelyX. Within enamel, TheraCem (6.46 ± 1.37 MPa) had a significantly higher mean µ-SBS value than RelyX (3.04 ± 0.99 MPa) (P = .002). Similarly, TheraCem in dentin (10.67 ± 1.27 MPa) had a significantly higher mean value than RelyX (6.46 ± 1.74 MPa) (P = .014). As for zirconia, TheraCem (39.76 ± 1.18 MPa) had a significantly higher mean µ-SBS value than RelyX (27.04 ± 1.92 MPa) (P < .001). Using MDP-containing calcium-fluoride-releasing self-adhesive resin cement (TheraCem) may improve bond strength to all tested substrates (enamel, dentin, and zirconia) and can be considered a promising cement for many clinicians. Further clinical studies are required to provide long-term clinical success data.


Asunto(s)
Recubrimiento Dental Adhesivo , Cementos de Resina , Calcio , Fluoruro de Calcio , Cementos Dentales , Análisis del Estrés Dental , Fluoruros , Ensayo de Materiales , Resistencia al Corte , Propiedades de Superficie , Circonio
18.
Oral Health Prev Dent ; 18(2): 145-152, 2020.
Artículo en Inglés | MEDLINE | ID: mdl-32238986

RESUMEN

PURPOSE: To evaluate the microtensile bond strength of dentine/self-adhesive resin cement interface after several treatments on a dentine surface. MATERIALS AND METHODS: Twenty-eight human molars were selected and divided into four groups: no treatment (control (C)); 2% chlorhexidine digluconate (CHX); 25% polyacrylic acid (PA); and 23 ppm dispersive solution of silver nanoparticle (SN). Prepolymerised TPH resin composite (Dentsply) blocks were luted on the dentine surface using RelyX U200 self-adhesive resin cement (3M ESPE). Microtensile bond strength was measured (MPa) in a universal testing machine 24 h and 6 months after the bonding process. The fractured specimens were examined in an optical microscope and classified according to the fracture pattern. A representative sample of each group was observed by scanning electronic microscope. Data were submitted to analysis of variance (ANOVA) and Tukey's test to compare the mean among the groups (p <0.05). RESULTS: The highest microtensile bond strength values after 24 h were found for the PA group (13.34 ± 6.36 MPa), with no statistically significant difference for the C group (9.76 ± 3.11 Mpa). After 6 months, the highest microtensile bond strength values were found for the C group (9.09 ± 3.27 Mpa), with statistically significant difference only for the CHX group (2.94 ± 1.66 MPa). There was statistically significant difference only for the PA group when comparing the periods studied. Regardless of the surface treatment applied, there were more adhesive failures in both periods of time. CONCLUSION: Dentinal pretreatment with PA, as well as use of SN before the bonding procedure of self-adhesive resin cement to dentine, may be alternative bonding protocols.


Asunto(s)
Recubrimiento Dental Adhesivo , Nanopartículas del Metal , Resinas Compuestas , Cementos Dentales , Análisis del Estrés Dental , Dentina , Recubrimientos Dentinarios , Humanos , Ensayo de Materiales , Cementos de Resina , Plata , Propiedades de Superficie , Resistencia a la Tracción
19.
Rev. Odontol. Araçatuba (Impr.) ; 41(1): 47-52, jan.-abr. 2020. ilus
Artículo en Portugués | LILACS, BBO - Odontología | ID: biblio-1102380

RESUMEN

O tratamento endodôntico frequentemente leva à perda de parte coronária de um elemento dentário, seja pelo enfraquecimento de sua estrutura, por lesões traumáticas ou por cárie. Desde que em condições favoráveis, esses dentes podem ser restaurados por meio de retenção adequada provida por meio de retentores intrarradiculares. Os pinos de quartzo utilizados como retentor intrarradicular surgiram com os avanços da odontologia adesiva, sendo uma opção relevante com inúmeras vantagens. A literatura odontológica aponta que a adaptação do pino às paredes do conduto radicular, somada a técnica de cimentação adesiva, são fatores essenciais para a longevidade do tratamento, sendo necessário em alguns casos sua personalização, para garantir melhor assentamento e promover prognóstico favorável. Objetivou-se neste artigo apresentar a técnica de preparo, personalização e cimentação do pino de quartzo na reconstrução de um dente tratado endodonticamente ilustrado por meio de caso clínico. Através de um protocolo ordenado e meticuloso da técnica de aplicação, foi possível alcançar o resultado desejado(AU)


Endodontic treatment often leads to loss of the coronary part of a tooth, either by weakening its structure, by traumatic lesions or by caries. Since under faborable conditions, these teetn can be restored by means of the biomechanical reinforcement promoted by the intraradicular retainers. The quartz posts have appeared with the advances of restorative dentistry, being a relevant option with numerous advantages. The dental literature indicates that the adaptation of the post to the root canal walls, together with the adhesive cementation technique, are essential factors for the longevity of the treatmet, being necessary in some cases its personalization, which guarantees its better settlement, avoiding the impression of undesirable forces to the tooth anf promoting better prognosis. The objective was to present the technique of preparation, personalization and cementation of the quartz post in the reconstruction of an endodontically treated tooth. Through an orderly and meticulous protocol of the application technique, it was possible to achieve the desired result(AU)


Asunto(s)
Humanos , Femenino , Adulto , Cuarzo , Materiales de Obturación del Conducto Radicular , Cementos Dentales , Pins Dentales , Diente no Vital
20.
J Appl Oral Sci ; 28: e20190499, 2020.
Artículo en Inglés | MEDLINE | ID: mdl-32348441

RESUMEN

Enzymatic degradation of the hybrid layer can be accelerated by the activation of dentin metalloproteinases (MMP) during the bonding procedure. MMP inhibitors may be used to contain this process. Objective To evaluate the degree of conversion (DC%), dentin bond strength (µTBS) (immediate and after 1 year of storage in water), and nanoleakage of an experimental (EXP) and a commercial (SB) adhesive system, containing different concentrations of the MMP inhibitor GM1489: 0, 1 µM, 5 µM and 10 µM. Methodology DC% was evaluated by FT-IR spectroscopy. Dentin bond strength was evaluated by µTBS test. Half of beams were submitted to the µTBS test after 24 h and the other half, after storage for 1 year. From each tooth and storage time, 2 beams were reserved for nanoleakage testing. Data were analyzed using ANOVA and Tukey's test to compare means (α=0.05). Results All adhesive systems maintained the µTBS after 1 year of storage. Groups with higher concentrations of inhibitor (5 µM and 10 µM) showed higher µTBS values than groups without inhibitor or with 1 µM. The nanoleakage values of all groups showed no increase after 1 year of storage and values were similar for SB and EXP groups, in both storage periods. The inhibitor did not affect the DC% of the EXP groups, but the SB5 and SB10 groups showed higher DC% values than those of SB0 and SB1. Conclusions The incorporation of GM1489 in the adhesive systems had no detrimental effect on DC%. The concentrations of 5 µM GM1489 for SB and 5 µM or 10 µM for EXP provided higher µTBS than groups without GM1489, in the evaluation after 1 year of storage; whereas the concentration of inhibitor did not affect adhesive systems nanoleakage.


Asunto(s)
Cementos Dentales/química , Dentina/química , Inhibidores de la Metaloproteinasa de la Matriz/química , Metacrilatos/química , Polietilenglicoles/química , Ácidos Polimetacrílicos/química , Análisis de Varianza , Recubrimiento Dental Adhesivo/métodos , Grabado Dental/métodos , Filtración Dental , Dentina/efectos de los fármacos , Humanos , Ensayo de Materiales , Valores de Referencia , Reproducibilidad de los Resultados , Espectroscopía Infrarroja por Transformada de Fourier , Estadísticas no Paramétricas , Propiedades de Superficie , Resistencia a la Tracción , Factores de Tiempo
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