Interfacial Stress and Bond Strength of Bulk-Fill or Conventional Composite Resins to Dentin in Class II Restorations.

The aim was to evaluate the microtensile bond strength (mTBS) to dentin and interfacial stress in a class II cavity restored with bulk-fill or conventional composite resins and the margin interfaces. Vertical slot class II cavities in the mesial face, with the gingival end in dentin, were prepared in 72 third molars, being divided into groups (n=24): G1-Tetric N-Ceram; G2-Tetric N-Ceram Bulk-Fill; G3-SonicFill. Clearfil SE Bond adhesive system was used in all groups. Half of the teeth in each group (n=12) were submitted to thermo-mechanical cycling (TMC). Restored teeth (n=9) were cut perpendicular to obtain beams, which were submitted to a mTBS test in an EMIC machine. The cervical margins in dentin of the restored teeth (n=3) were assessed using SEM through epoxy resin replicas as well as the section of the restoration. Interfacial stresses after load application were calculated by 2D finite element analysis. The mTBS means-MPa followed by different letters represent statistical difference by ANOVA and Games-Howell's test (p<0.05): Without TMC: G1-15.68±6.10a; G2-10.08±5.21ab; G3-7.98±3.76b. With TMC: G1-9.70±5.52a; G2-5.79±1.42a; G3-4.37±1.87a. Interfacial stress (MPa) was 4.4 for SonicFill, 3.9 for Tetric N-Ceram, and 3.5 for Tetric N-Ceram Bulk-Fill. SEM images showed continuous margins for all composite resin restorations. It was possible to conclude that SonicFill obtained a slightly higher interfacial stress and lower bond strength to dentin in comparison with Tetric N-Ceram and Tetric N-Ceram Bulk-Fill. Continuous margin interfaces were obtained for Tetric N-Ceram, Tetric N-Ceram Bulk-Fill, and SonicFill. However, voids were observed in the SonicFill restorations.

Effect of Dentin Preparation Mode on the Bond Strength Between Human Dentin and Different Resin Cements.

The aim was to evaluate the influence of different dentin preparation mode in the smear layer characteristics (SL), hybrid layer (HL), and microtensile bond strength (µTBS) to dentin with two resin cements. The occlusal dentin of 120 third molars was exposed. The teeth were divided into 4 groups (n=30) according to the dentin preparation mode: 1- fine grain diamond bur; 2- coarse grain diamond bur; 3- multi laminate carbide steel bur; and, 4- ultrasonic CV Dentus diamond bur. Each treated dentin group was divided into 2 sub-groups (n=15) according to the resin cement: (1) RelyX U200 and (2) RelyX ARC. Resin composite blocks were cemented on dentin. After storage at 37o C for 24 h, beams with a cross section area of 1.0 mm2 were obtained, and tested in a universal testing machine at a crosshead speed of 0.5 mm/min. Two additional teeth for each sub-group were prepared to analyze the SL and HL on a scanning electron microscopy. According to Kruskal-Wallis test and Dunn tests, there was no significant difference in µTBS among the rotary instruments within each resin cement group. RelyX ARC obtained higher µTBS values compared to RelyX U200 (p<0.05). RelyX ARC formed evident HL, which was not observed for RelyX U200. The dentin mode preparation did not influence the µTBS of the resin cements. The SL was different for all instruments. The cementing agent is more determinant in the hybrid layer formation and bond strength to dentin than the instruments applied on dentin.

Effect of dentin preparation mode on the bond strength between human dentin and different resin cements

Abstract The aim was to evaluate the influence of different dentin preparation mode in the smear layer characteristics (SL), hybrid layer (HL), and microtensile bond strength (µTBS) to dentin with two resin cements. The occlusal dentin of 120 third molars was exposed. The teeth were divided into 4 groups (n=30) according to the dentin preparation mode: 1- fine grain diamond bur; 2- coarse grain diamond bur; 3- multi laminate carbide steel bur; and, 4- ultrasonic CV Dentus diamond bur. Each treated dentin group was divided into 2 sub-groups (n=15) according to the resin cement: (1) RelyX U200 and (2) RelyX ARC. Resin composite blocks were cemented on dentin. After storage at 37o C for 24 h, beams with a cross section area of 1.0 mm2 were obtained, and tested in a universal testing machine at a crosshead speed of 0.5 mm/min. Two additional teeth for each sub-group were prepared to analyze the SL and HL on a scanning electron microscopy. According to Kruskal-Wallis test and Dunn tests, there was no significant difference in µTBS among the rotary instruments within each resin cement group. RelyX ARC obtained higher µTBS values compared to RelyX U200 (p<0.05). RelyX ARC formed evident HL, which was not observed for RelyX U200. The dentin mode preparation did not influence the µTBS of the resin cements. The SL was different for all instruments. The cementing agent is more determinant in the hybrid layer formation and bond strength to dentin than the instruments applied on dentin.

Resumo O objetivo deste estudo foi avaliar a influência de diferentes modos de preparação da dentina nas características da smear layer (SL), da camada híbrida (CH) e na resistência de união à microtração (RUµT) à dentina com dois cimentos resinosos. A dentina oclusal de 120 terceiros molares humanos foi exposta. Os dentes foram divididos em 4 grupos (n=30) de acordo com o modo de preparação da dentina: 1 - ponta diamantada de granulação fina; 2 - ponta diamantada de granulação grossa; 3 - ponta de carboneto de aço multilaminada; 4 - ponta diamantada ultrassônica. Cada grupo foi subdividido em dois subgrupos (n=15) de acordo com o cimento resinoso: (1) RelyX U200 e (2) RelyX ARC. Blocos de resina composta foram cimentados na dentina. Após armazenamento a 37 °C por 24 h, as amostras foram cortadas para obter palitos com área de 1,0 mm2, os quais foram testados em máquina de ensaio universal com velocidade de 0,5 mm/min. Dois dentes adicionais por subgrupo foram preparados para analisar as características da SL e da CH em microscópio eletrônico de varredura. De acordo com o teste de Kruskal-Wallis e o teste de Dunn, não houve diferença significativa na RUµT entre os instrumentos rotatórios para cada cimento resinoso. RelyX ARC obteve maiores valores de RUµT em comparação ao RelyX U200 (p<0,05). RelyX ARC formou uma CH evidente, o que não foi observado para o RelyX U200. O modo de preparação da dentina não influenciou na RUµT dos cimentos resinosos. A SL foi diferente para todos os instrumentos. O agente de cimentação foi mais determinante na formação da camada híbrida e na resistência de união do que os instrumentos utilizados para preparar a dentina.

Plataforma reduzida, uma solução estética. Revisão de Literatura / Platform switching: an aesthetic solution. Literature review

O objetivo da presente revisão da literatura foi avaliar a influência do uso de plataformas reduzidas sobre os níveis de crista óssea considerando-se o tipo de conexão, carga mastigatória e necessidades estéticas. De acordo com a literatura pesquisada, concluiu-se que a plataforma reduzida mantém a crista óssea em níveis satisfatórios em torno de implante tanto hexágono externo, interno e cone Morse, implantes com carga imediata com plataforma reduzida em regiões que não sofrem cargas excessivas mantêm a crista óssea em níveis satisfatórios. A utilização de plataforma reduzida em áreas estéticas é uma opção para manter o nível da crista óssea, garantindo a manutenção das papilas e melhorando os contornos dos tecidos peri-implantares.

The purpose of this literature review was to evaluate the influence of using platforms switching considering the levels of bone crest, type of connection, masticatory load and aesthetic needs. According to the literature, it was concluded that the platform switching keeps the bone crest at satisfactory levels around the implant both external hexagon, internal hexagon and Morse taper, with immediate loading implants with platform switching in regions that do not suffer from excessive loads maintains the crest bone at satisfactory levels. The use of the platform switching in aesthetic areas is an option to keep the bone crest level, ensuring the maintenance of the papillae and improving tissue contours periimplant.

Influence of ceramic primers on microshear bond strength between resin cements and zirconia-based ceramic

This study evaluated the effect of a coupling agent ceramic primer (CP) on the microshear bond strength (ìsbs) between luting cements and zirconia-based ceramic. Methods: Zirconia discs (Cercon) were made and finished with silicon carbide paper and submitted to air abrasion using 50 μm aluminum oxide particles (Al2O3) under 4 bar pressure. Zirconia disks were randomly assigned to four groups (n=10): (G1) ResiCem luting cement + Porcelain Primer, (G2) ResiCemluting cement only, (G3) Clearfil Esthetic Cement + Clearfil Ceramic Primer and (G4) Clearfil Esthetic Cement only. The luting cements were prepared according to manufacturers’ recommendations and inserted in an elastomeric mold positioned onto a zirconia disc. Each specimen was photoactivated by 20 s. The specimens were stored at 100% relative humidity and 37ºC for 24 h. The ìsbs test was performed using universal testing machine at a crosshead speed of 0.5 mm/min. An optical microscope was used to analyze the failure modes and illustrative images were captured with a scanning electron microscope. The ìsbs data were analyzed by two-way ANOVA (p<0.05). Results: No significant difference was found among the four groups G1 (17.4±6.8), G2 (17.1±5.5), G3 (15.6±5.5) and G4 (14.2±3.5), all of which showed 100% of adhesive failures. Conclusions: CP showed no increase in the ìsbs between zirconia-based ceramic and resin luting cements.

Influence of the internal conditioning of indirect restorations of resin composite in relation to microleakage using LEDs and QTH units.

The current study evaluated in-vitro microleakage of indirect composite inlays fixed with flowable composite and resinous cement and cured by LEDs and QTH units, thus modifying the internal conditioning of the inlays. Thirty-two non-carious teeth were selected and 64 cavity preparations were performed in both enamel and cementum. These teeth were divided into four groups: I--Elipar FreeLight appliance and Filtek Flowable composite; II--Ultralux appliance and Filtek Flowable composite; III--Elipar FreeLight appliance and RelyX cement and IV--Ultralux appliance and RelyX cement. The inlays were internally sandblasted with aluminum oxide, etched with 37% phosphoric acid, washed and silanized. The dental etching was carried out with 37% phosphoric acid for 15 seconds in dentin and 30 seconds in enamel. After being washed and dried, Single Bond dentinal adhesive was then applied, and the inlays were fixed with their respective luting agents, cured in close contact with their surfaces for 60 seconds, thermocycled and immersed in 0.5% basic fuchsine solution. The teeth were then washed and sectioned through the center of the restoration in order for the microleakage readings to be performed using the Image Tool Software. Then, ANOVA and Tukey's statistical tests were applied. In enamel, there was no significant difference for both groups with regard to microleakage; in cementum, the significant difference was 5% (p > 0.005). In agreement with the results, the inlays can be fixed with RelyX and Filtek Flowable resins.

O condicionamento ácido prévio ainda é indispensável para a odontologia adesiva? / Is previous total etching still indispensable for the adhesive dentistry?

O objetivo deste trabalho foi avaliar as características dos sistemas adesivos disponíveis atualmente considerando a aplicação ou não do condicionamento prévio com ácido fosfórico. O conhecimento das estruturas e o tratamento adequado do substrato dental são fundamentais para utilização dos adesivos convencionais. Os sistemas adesivos autocondicionantes possuem técnica simplificada dispensando o condicionamento ácido prévio. O profissional deverá ter conhecimento dos mecanismos de adesão ao substrato dental, experiência clínica e domínio da técnica de aplicação do adesivo escolhido. O condicionamento ácido prévio não deve ser considerado indispensável na Odontologia adesiva atual.

Comparação da microdureza de resina polimerizada por diferentes LED's e luz halógena / Comparison of composite's microhardness using different LED's and halogen light

O objetivo deste trabalho foi avaliar a microdureza da resina composta polimerizada por LEDs e luz halógena. Foram usados cinco aparelhos de luz divididos em cinco grupos, Grupo I – KM 200R, Grupo II – KM 100R, Grupo III – Ultraled II, Grupo IV – Ultrablue II, e Grupo V – Ultralled III. Para cada grupo foram confeccionados quatro corpos-de-provas, polimerizados em íntimo contato com a superfície da resina por 20 segundos, utilizando uma matriz de aço de 4mm de diâmetro por 2mm de profundidade. As leituras no topo e base do corpo-de-prova foram realizadas através do microdurômetro. Aplicou-se o teste estatístico de Kolmogorov-Smirnov para verificar a normalidade e, posteriormente o teste t-Student comparando-se a dureza entre topo e base dos corpos-de-prova, de acordo com os aparelhos utilizados. A dureza dentro de cada uma das regiões entre os cinco aparelhos foi analisada pelo teste ANOVA-F, seguido pelo teste de comparação múltiplas de Tukey, ao nível de significância de 5%. Observou-se que em todos os aparelhos a dureza Vickers apresentou-se com níveis médios superiores na região do topo em relação à base, exceto quanto ao aparelho Ultrablue II, onde esta superioridade não foi estatisticamente significativa (p=0,46). Quando analisada a dureza Vickers em cada uma das duas regiões entre os cinco aparelhos, verificou-se que houve diferença significativa entre todos na base (p<0,0002), não sendo significativas estas diferenças no topo entre os aparelhos Ultrablue II e III (p=0,46). Observou-se ainda que os LEDs testados apresentaram uma dureza menor quando comparados com os aparelhos de luz halógena, onde o aparelho Ultraled apresentou menor dureza entre os LEDs comparados

Avaliação in vitro da infiltração marginal em inlays de resinas compostas em função de tipos de fontes de luz e agentes de cimentação / Evaluation in vitro of composite resin inlays in function of types of light units and luting agent

O objetivo deste trabalho foi avaliar a infiltração marginal da resina Flow Filtek e do cimento resinoso dual RelyX na fixação de inlays de cerômeros fotoativados com LEDs e Luz Halógena. Foram selecionados 32 dentes íntegros recém-extraídos armazenados em solução de soro fisiológico no freezer, divididos em quatro grupos: Grupo I - aparelho Elipar FreeLight e resina Flow Filtek; Grupo II - aparelho Ultralux e Resina Flow Filtek; Grupo III - aparelho Elipar FreeLight e cimento resinoso RelyX e Grupo IV - aparelho Ultralux e cimento resinoso RelyX. Foram feitos 64 preparos cavitários com término em esmalte e cemento a 1 mm acima e abaixo da junção amelo-cementária respectivamente. As inlays foram jateadas internamente com óxido de alumínio de 100 um com 40 Bar de pressão e, posteriormente foi feito o condicionamento das superfícies das inlays com ácido fosfórico a 37 percento durante 60 segundos, as quais foram lavadas e silanizadas. Após o condicionamento das inlays, foi feito o preparo da superfície dental com ácido fosfórico a 37 percento durante 15 segundos, as quais foram lavadas, secas com papel absorvente, tendo sido aplicado o...