Harmonização do sorriso com cirurgia plástica gengival e coroas cerâmicas ­ relato de caso / Smile harmonization with periodontal plastic surgery and ceramic crowns ­ case report

Alterações no contorno gengival e restaurações deficientes em dentes anteriores afetam sobremaneira a estética do sorriso e a autoestima do paciente. Os constantes e significativos avanços em Odontologia permitem solucionar casos dessa natureza com altíssimas taxas de sucesso e satisfação dos pacientes. Resultados ainda melhores podem ser obtidos combinando conhecimentos e técnicas das diversas áreas da Odontologia. O presente trabalho exemplifica os benefícios desta abordagem multidisciplinar integrando conhecimentos das áreas de periodontia e prótese (AU).

Alterations in the gingival contour and deficient restorations in anterior teeth greatly affects patient's smile aesthetics and his self-esteem. The constant and significant advances in Dentistry allow solving cases of this nature with very high rates of success and patient satisfaction. Even better results can be obtained by combining knowledge and techniques of Dentistry different areas. The present work exemplifies this multidisciplinary approach benefits, integrating periodontics and prosthesis knowledge (AU).

Effects of solvent evaporation on water sorption/solubility and nanoleakage of adhesive systems.

OBJECTIVE: To evaluate the influence of solvent evaporation in the kinetics of water diffusion (water sorption-WS, solubility-SL, and net water uptake) and nanoleakage of adhesive systems. MATERIAL AND METHODS: Disk-shaped specimens (5.0 mm in diameter x 0.8 mm in thickness) were produced (N=48) using the adhesives: Clearfil S3 Bond (CS3)/Kuraray, Clearfil SE Bond - control group (CSE)/Kuraray, Optibond Solo Plus (OS)/Kerr and Scotchbond Universal Adhesive (SBU)/3M ESPE. The solvents were either evaporated for 30 s or not evaporated (N=24/per group), and then photoactivated for 80 s (550 mW/cm2). After desiccation, the specimens were weighed and stored in distilled water (N=12) or mineral oil (N=12) to evaluate the water diffusion over a 7-day period. Net water uptake (%) was also calculated as the sum of WS and SL. Data were submitted to 3-way ANOVA/Tukey's test (α=5%). The nanoleakage expression in three additional specimens per group was also evaluated after ammoniacal silver impregnation after 7 days of water storage under SEM. RESULTS: Statistical analysis revealed that only the factor "adhesive" was significant (p<0.05). Solvent evaporation had no influence in the WS and SL of the adhesives. CSE (control) presented significantly lower net uptake (5.4%). The nanoleakage was enhanced by the presence of solvent in the adhesives. CONCLUSIONS: Although the evaporation has no effect in the kinetics of water diffusion, the nanoleakage expression of the adhesives tested increases when the solvents are not evaporated.

Effects of solvent evaporation on water sorption/solubility and nanoleakage of adhesive systems

Objective: To evaluate the influence of solvent evaporation in the kinetics of water diffusion (water sorption-WS, solubility-SL, and net water uptake) and nanoleakage of adhesive systems. Material and Methods: Disk-shaped specimens (5.0 mm in diameter x 0.8 mm in thickness) were produced (N=48) using the adhesives: Clearfil S3 Bond (CS3)/Kuraray, Clearfil SE Bond - control group (CSE)/Kuraray, Optibond Solo Plus (OS)/Kerr and Scotchbond Universal Adhesive (SBU)/3M ESPE. The solvents were either evaporated for 30 s or not evaporated (N=24/per group), and then photoactivated for 80 s (550 mW/cm2). After desiccation, the specimens were weighed and stored in distilled water (N=12) or mineral oil (N=12) to evaluate the water diffusion over a 7-day period. Net water uptake (%) was also calculated as the sum of WS and SL. Data were submitted to 3-way ANOVA/Tukey's test (α=5%). The nanoleakage expression in three additional specimens per group was also evaluated after ammoniacal silver impregnation after 7 days of water storage under SEM. Results: Statistical analysis revealed that only the factor "adhesive" was significant (p<0.05). Solvent evaporation had no influence in the WS and SL of the adhesives. CSE (control) presented significantly lower net uptake (5.4%). The nanoleakage was enhanced by the presence of solvent in the adhesives. Conclusions: Although the evaporation has no effect in the kinetics of water diffusion, the nanoleakage expression of the adhesives tested increases when the solvents are not evaporated. .