Fluoride-modified implant surfaces improves osseointegration in the tibias of rats with induced diabetes.

This study evaluated the influence of a fluoride-modified titanium surface on osseointegration in rats with induced diabetes. One hundred and eighty rats were randomly allocated into 3 groups with 60 animals each: Control group (C): Animals without diabetes; Diabetes Group (D): Animals with uncontrolled induced diabetes; Controlled Diabetes Group (CD): Animals with diabetes induced controlled by the insulin administration. Diabetes was induced by streptozotocin injection. Each animal received 2 implants in the proximal tibial metaphysis, one with the machined surface (M) and the other one with a fluoride-modified titanium surface (F), after 4 weeks of induction of diabetes. The animals were submitted to euthanasia 2, 4, and 6 weeks after the implant placement (n = 20 animals/group). The osseointegration was evaluated by the implant removal torque test and the histometric analysis of the non-decalcified histological sections: 1) Contact bone/implant (%BIC); 2) Bone tissue area between implant threads (%BBT). Implants with F surface showed a higher removal torque than implants with surface M in all groups. There was no difference in %BIC between the groups regardless of the surface used. The F surface showed a tendency to present higher %BBT values for the 3 evaluation periods in the D group. The fluoride-modified implant surface has no impact on the %BIC and %BBT. However, the fluoride-modified implant surface increases the locking of the implants with the bone. The hyperglycemia was associated with lower removal torque values despite the surfaces of the implant used.

Fluoride-modified implant surfaces improves osseointegration in the tibias of rats with induced diabetes

Abstract This study evaluated the influence of a fluoride-modified titanium surface on osseointegration in rats with induced diabetes. One hundred and eighty rats were randomly allocated into 3 groups with 60 animals each: Control group (C): Animals without diabetes; Diabetes Group (D): Animals with uncontrolled induced diabetes; Controlled Diabetes Group (CD): Animals with diabetes induced controlled by the insulin administration. Diabetes was induced by streptozotocin injection. Each animal received 2 implants in the proximal tibial metaphysis, one with the machined surface (M) and the other one with a fluoride-modified titanium surface (F), after 4 weeks of induction of diabetes. The animals were submitted to euthanasia 2, 4, and 6 weeks after the implant placement (n = 20 animals/group). The osseointegration was evaluated by the implant removal torque test and the histometric analysis of the non-decalcified histological sections: 1) Contact bone/implant (%BIC); 2) Bone tissue area between implant threads (%BBT). Implants with F surface showed a higher removal torque than implants with surface M in all groups. There was no difference in %BIC between the groups regardless of the surface used. The F surface showed a tendency to present higher %BBT values for the 3 evaluation periods in the D group. The fluoride-modified implant surface has no impact on the %BIC and %BBT. However, the fluoride-modified implant surface increases the locking of the implants with the bone. The hyperglycemia was associated with lower removal torque values despite the surfaces of the implant used.

Resumo Este estudo avaliou a influência de uma superfície de titânio modificada com flúor na osseointegração em ratos com diabetes induzida. Cento e oitenta ratos foram distribuídos aleatoriamente em 3 grupos com 60 animais cada: Grupo controle (C): Animais sem diabetes; Grupo Diabetes (D): Animais com diabetes induzida descompensada; Grupo Diabetes Controlado (CD): Animais com diabetes induzido controlado pela administração de insulina. O diabetes foi induzido por injeção de estreptozotocina. Cada animal recebeu 2 implantes na metáfise proximal da tíbia, um com superfície usinada (M) e outro com superfície de titânio modificado com flúor (F), após 4 semanas de indução do diabetes. Os animais foram submetidos à eutanásia 2, 4 e 6 semanas após a colocação do implante (n = 20 animais/grupo). A osseointegração foi avaliada pelo teste de torque de remoção do implante e pela análise histométrica dos cortes histológicos não descalcificados: 1) Contato osso-implante (%BIC); 2) Área de tecido ósseo entre as roscas do implante (%BBT). Os implantes com superfície F apresentaram maior torque de remoção do que os implantes com superfície M em todos os grupos. Não houve diferença no %BIC entre os grupos independente da superfície utilizada. A superfície F mostrou tendência a apresentar maiores valores de %BBT para os 3 períodos de avaliação no grupo D. As superfícies de implantes modificadas com flúor não influenciaram nos dados de %BIC e %BBT. Entretanto, essas superfícies aumentaram o travamento dos implantes no tecido ósseo. A hiperglicemia foi associada a menores torques de remoção dos implantes independentemente do tipo de superfície de implante utilizada.

Surface topography of resorbable porcine collagen membranes, and their effect on early osteogenesis: An in vitro study.

OBJECTIVE: Guided tissue regeneration (GTR) is based on the use of different membranes that function as sealants and barriers in specific clinical situations. Among the several tissue production methods and origins, resorbable porcine-derived membranes are the most commonly used. Because these membranes are so diverse, and have several different clinical applications, doubts linger as to their effect in stimulating osteogenesis. The objective of this study was to make an in vitro evaluation of the viability and differentiation of osteoblastic cells cultured on the surface of the following collagen membranes: Jason® (Botiss Biomaterials), Collprotect® (Botiss Biomaterials), and Bio-Gide® (Geistlich). MATERIAL AND METHODS: Fragments of the 3 resorbable collagen membranes (5 × 5 mm) were used, and pre-osteoblastic SAOS-2 cells (ATCC, USA) were plated on their porous surfaces. Evaluation of the membranes was performed at 3, 5 and 7 days, considering the following parameters: (1) topographic analysis of the different surfaces by scanning electron microscope; (2) cellular viability by MTT, (3) quantification of type I collagen and osteopontin by Elisa. The quantitative analyses were carried out using a significance level of 5%. RESULTS: Collprotect® and Jason® membranes presented a rough surface with an irregular aspect on both sides, while double-layered Bio-Gide® had one layer with a smooth surface and the other with a rough surface along each respective length. The viability assays revealed that the cells cultured the cells grown on Collprotect® showed higher viability than those grown in Bio-Gide® or Jason®, especially after 5 and 7 days. After 3 and 5 days, evaluation of type I collagen showed that the cells plated on the Jason® and Collprotect® surfaces had greater collagen secretion than those plated on BioGide®. After 7 days, an increase in osteopontin levels was observed when the cells were plated on all the experimental membranes, compared with the control group. CONCLUSION: All the tested membranes were suitable for use in GTR clinical procedures. Their indication in specific regenerative cases depends on the mechanical and biological properties of their originating tissues, thus enabling better results and assertive choices by dental professionals.

Evaluation of the occlusal contact area of molar dental implants comparing two different thicknesses (16 µm and 200 µm) of articulating occlusal papers and forces (200 and 250 N): a pivot in vitro study

Introduction: The goal of this pilot study was to evaluate the differences between checking occlusion on implants crowns using 16 or 200 µm thickness of articulating occlusal paper, and to compare the stained occlusal area between the groups after bite forces of 200 and 250 N. Methods: It was included 10 casts of articulated-type IV gypsum, 10 NiCr crowns, articulating occlusal papers (16 µm and 200 µm thick), and a compression test machine. Compressive forces (200 and 250 N.mm) were applied on models, to check the occlusal contact area of fixed and cemented crowns. The contact areas on the crowns were measured through images obtained by the scanning electron microscope. Statistical tests were performed considering the significant level of 5% (p≤0.05). Results: The stains found using 200 µm of articulating paper were higher than those with 16 µm, independent of the force applied. However, the stains obtained in lower teeth with different strengths (200 and 250N) marked with 16 µm articulating paper were not possible to score. The articulating paper variable had significant statistical results (p=0.002), while the variables force (p=0.443) and articulating paper-force interaction (p=0.607) were not significant. The mean area found in staining using the 200 µm and 16 µm papers was, respectively, 8.3380 mm2 and 3.4759 mm2. Conclusion: It was possible to confirm that 200 µm of articulating occlusal paper showed better and significant results to stain the occlusal area, permitting a more accurate adjustment independent of the force applied.

Comparison between different fracture toughness techniques in zirconia dental ceramics.

Vickers indentation (IF) and single-edge-V-notched beam (SEVNB), to measure the fracture toughness (KIC ) of zirconia-based dental ceramics and mathematical models were proposed to establish a correlation between both. Zirconia (ZrO2 ) stabilized with 3 mol. % of Y2 O3 (3Y-TZP) and 5 mol% of Y2 O3 (5Y-PSZ) were compacted (n = 42) and sintered for 2 h at different temperatures (1475°C, 1500°C, 1550°C, or 1600°C). After sintering, they were characterized by relative density using the ASTM C373-88 standard, X-ray diffraction (XRD) and scanning electron microscopy (SEM). The average grain size was measured according to the ASTM E1382-97 standard. The fracture toughness (KIC ) was determined using two methods: Vickers indentation fracture toughness (KIC-IF ): method based on mathematical modeling that considers the parameters used for the Vickers hardness test and Fracture toughness by the single-edge-V-notch-beam (KIC-SEVNB ): method proposed by ISO 23146:08. The main phases of the 3Y-TZP and 5Y-PSZ ceramics were ZrO2 -tetragonal and ZrO2 -cubic, respectively. The 3Y-TZP specimens showed equiaxed grains with average grain sizes ranging from 0.55 to 0.79 µm. The grain sizes of 5Y-PSZ of specimens sintered at 1475°C and 1600°C were 0.62 and 2.32 µm, respectively. For all ceramics the crack size ratio was c/a < 2.5, suggesting a Palmqvist-type crack system. The fracture toughness measured by the Vickers indentation method (KIC-IF ) and by the SEVNB method (KIC-SEVNB ) was the same when the experimental data were fit to a mathematical model.

Influence of Heat Treatment of Nickel-Titanium Instruments on Cyclic Fatigue Resistance in Simulated Curved Canals.

OBJECTIVE: The aim of this study was to compare the cyclic fatigue of heat-treated and non-treated instruments. MATERIALS AND METHODS: Twenty instruments with and without heat treatment from Bassi Logic were evaluated (n = 10). All instruments were subjected to dynamic cyclic fatigue through continuous rotations inside a stainless-steel tube (1.4-mm diameter, 9-mm curvature with 6-mm radius, and 90° angle) using a custom-made device, which performed 1 axial oscillation every 2 seconds with an amplitude of 3 mm, powered by a torque-controlled motor (Silver Reciproc, VDW, Germany), with speed adjusting to 950 rpm and torque to 4 N, according to manufacturer's guidance. The groups were compared using the Mann-Whitney test. RESULT: The fracture time of the heat-treated instruments (97.20 ± 39.94 second and non-treated instruments (14.30 ± 6.78 seconds had statistical differences [p < 0.05]). Heat-treated instruments were 6.8 times more resistant to fatigue than non-treated instruments (p < 0.05). CONCLUSION: Heat treatment provides increased fatigue resistance of NiTi alloy with the same design.

Protein interactions with osseointegrable titanium implants

This review aims to present the mechanisms of protein interactions with titanium dental implant surfaces. Methods: the analyses were based on searches of scientific articles available in English and Portuguese in PubMed (MEDLINE), Bireme (LILACS), Scielo, Web of Science and Google Scholar. Results: titanium dental implant treatments success rates (95-98%) are mainly due to the biocompatibility of titanium oxide on the implant surface, surgical techniques adopted, good implants manufacturing processes and biomechanical knowledge of the systems. Studies in past decades has empirically developed implant surfaces with significant changes in morphologies, roughness, wettability, surface energy, chemical composition, and chemical groups density or deposited molecules. These changes promoted better protein adsorption, osteoblast adhesion, and changes in the mechanisms involved in osseointegration. Thus, the time to put the implant in function has been reduced and the success rates have increased. In the osseointegration process, at the nanoscale, there is no contact between the bone and the implant surface, but there is the formation of a protein anchorage between the periosteum and the implant with an interface formed by proteins. In all the reactions between the body and the implant surface, the activities of fibronectin and integrin are essential, since they are responsible for transmitting information to the cell for its differentiation, adhesion and mobility. Conclusion: thus, the analyses of protein-implant interactions are indispensable for a better understanding of the performance of osseointegrated dental implants

Influência da pressão dos alicates na rugosidade superficial de fios ortodônticos / Influence of gripping with pliers on the surface rugosity of orthodontic wires

Resumo Proposição: avaliar in vitro a rugosidade superficial de fios ortodônticos antes e após a compressão com pinças ortodônticas. Material E Métodos: 30 fios 0,014" de níckel-titânio termoativados (Neosentalloy, GAC) e 30 fios 0,019 x 0,025" de aço foram usados nos experimentos. Avaliou-se a rugosidade superficial com rugosímetro (NewViewTM 7100, Zygo), antes e após a compressão com alicate Weingart do lado esquerdo e pinça Mathieu do lado direito (Dentaurum). Foram determinados os parâmetros de rugosidade Ra (µm), Rq (µm), PV (µm), Srmax Iso (nm). Testes estat´siticos Wilcoxon foram realizados para analisar a variação dos parâmetros da rugosidade com nível de confiança de 95% e p<0,05. Resultados: Os fios redondos de NiTi apresentaram diferenças significaticas dos parâmetros Ra e Rq antes e após a compressão com pinça Mathieu. O emprego do alicate Weingart não alterou a rugosidade dos fios redondos. Os fios retangulares apresentaram diferenças significativas em todos os parâmetros com uso das duas pinças. As médias das diferenças dos parâmetros entre o alicate Weingart e a pinça Mathieu nos fios redondos, não foram estatisticamente significativos. Os fios retangulares apresentaram maior rugosidade com o emprego do alicate Weingart, com diferenças significativas. Conclusão: O uso do alicate tipo Weingart e da pinça tipo Mathieu aumentam a rugosidade dos fios de NiTi e de aço (AU)

Abstract Proposition: the surface roughness of orthodontic wires was evaluated in vitro before and after gripping with two different orthodontic pliers. Material And Methods: Units were made of 30 round heat-activated Nickel Titanium alloy wires 0,014" (Neosentalloy, GAC), and another group with 30 rectangular steel wires 0,019 x 0,025". The surface roughness was evaluated with a rugosimeter (NewViewTM 7100, Zygo), before and after gripping with Weingart plier on the left side and Mathieu plier on the right side (Dentaurum), in addition to the average difference in roughness between groups of the same types of wires with parameters Ra (µm), Rq (µm), PV (µm), Srmax Iso (nm). The variation of parameters with different clamps was evaluated (Wilcoxon test); different alloys by the same clamp, 95% confidence level and p<0.05. Results: The round wires showed significant differences (Ra and Rq) before and after being gripped with Mathieu plier. The roughness was higher after being gripped. Weingart pliers and round wires obtained the same results, with greater roughness after being clamped. Rectangular wires showed significant differences in all parameters, with both clamps. The means of the differences in the parameters between the Weingart pliers and the Mathieu forceps on the round wires were not statistically significant. In the rectangular wire, the values between the tweezers showed greater roughness with the grip of the Weingart pliers, with significant differences.Conclusion: After securing the orthodontic wires, the Weingart pliers and the Mathieu tweezers increased the roughness parameters (AU)

Titanium Coated with Graphene and Niobium Pentoxide for Biomaterial Applications.

Graphene and niobium oxide are used in biomaterial coatings. In this work, commercially pure titanium (cp Ti) was coated with graphene oxide (GO), niobium pentoxide (Nb2O5), and a mixture of both materials (NbGO) by the electrochemical deposition method. The surface morphology, roughness, wettability, and degradation of coated and uncoated samples were analyzed by scanning electron microscopy, interferometry, and contact angle. The results showed that the specimens coated with NbGO (cp Ti-NbGO) showed the highest surface roughness (Ra = 0.64 µm) and were hydrophobic. The contact (θ) angle between water and the surface of uncoated specimens (cp Ti), coated with GO (cp Ti-GO), coated with a mixture with GO and Nb2O5) (cp Ti-NbGO), and coated with Nb2O5 were 50.74°, 44.35°, 55.86°, and 100.35°, respectively. The electrochemical corrosion tests showed that coating with graphene oxide increased the corrosion resistance and coating with Nb2O5 decreased the corrosion resistance. The negative effect of the effect of Nb2O5 coating in corrosion resistance compensated for the release of Nb2O5, which helps osseointegration, increasing cell viability, and proliferation of osteoblasts. The NbGO coating may be a good way to combine the bactericidal effect of graphene oxide with the osseointegration effect of Nb2O5.

A Lip Repositioning Technique Using Polyester Threads for Gummy Smile Treatment.

A new technique is proposed in this study to correct the gummy smile (GS) with myotomy, combining lip repositioning with the insertion of polyester threads at the surgical site to act as a physical barrier and control relapse. 11 patients were clinically assessed (30.2 ± 7.43 years old, 90.9% females and 9.10% males). All patients presented gingival display (GD) greater than 4 mm. Hypermobile upper lip (HUL), vertical maxillary excess (VME) + HUL, altered passive eruption (APE) + HUL, and VME + APE were the etiologies identified. Three polyester threads were inserted in each patient one month after the surgery. The GS was measured before, 6 months, and 12 months after the surgery. The results showed a reduction in the mean GD of the patients, 4.42 mm after 6 months (p value = 0.000) and 4.13 mm after 12 months (p value = 0.000). The largest relapse was 0.29 mm and was not statistically significant (p value = 0.07). The Friedman test with pairwise comparisons was used to determine the existence of statistically significant differences in GD between the periods analyzed. The results showed that the proposed technique was successful in treating GS, presenting significant reductions in the GD 12 months after surgery and controlling the relapse.

Effect of cigarette smoke on aesthetic brackets: an in vitro study.

OBJECTIVE: The objective of this study was to evaluate the effect of cigarette smoke (CS) on physical and mechanical properties of ceramic, polycarbonate and alumina ceramic brackets. The null hypothesis tested was that aesthetic brackets would not be influenced by CS. METHODS: Ninety aesthetic brackets were allocated to three groups (n = 30): ceramic (GCE), polycarbonate (GCO) and alumina ceramic (GPS). Ten samples of each group were assigned to color and surface roughness analysis, performed before (T0) and after (T1) exposure to CS; and twenty samples were allocated into control and experimental groups (n = 10) (not exposed and exposed to CS, respectively) for shear bond strength test (SBS). Exposure to CS followed an adaptation of the method described by Le Mesurier. Colorimetric reading, surface morphology and roughness, SBS and adhesive remnant index (ARI) were assessed. Statistical analysis comprised independent and paired t-tests, ANOVA/Tukey and Fisher's exact tests (α = 0.05). RESULTS: Changes were observed in brackets' color (NBS: GCE = 2.4; GCO = 1.9; GPS = 2.1), surface roughness (ΔRa: GCE = 1.1 ± 0.8 µm; GCO = 1.9 ± 1.5µm; GPS = -0.3 ± 0.1 µm / ΔRz: GCE = 1.4 ± 1.0 nm; GPS = -0.5 ± 0.1 nm); and SBS (GPS - experimental = 221.8 ± 48.6 N) after exposure to CS (p< 0.05). CONCLUSIONS: Exposure, in vitro, of aesthetic brackets to CS resulted in changes of color to darker and more opaque shades, surface roughness alterations, and higher SBS values. ARI scores were not associated with exposure to CS.

Physical Properties and Color Stainability by Coffee and Red Wine of Opaque and High Translucency Zirconia Dental Ceramics after Hydrothermal Degradation.

The objective was to evaluate the bending strength, phase transformation, roughness, and color stainability by coffee and red wine of opaque and high translucency yttria-stabilized zirconia before and after hydrothermal degradation in saline solution or oral mouthwash. Presintered zirconia blocks with medium opacity (ZrO2-3 mol. % of Y2O3) designed as ZrOp and high translucency zirconia (5.2 mol. % of Y2O3) designed as ZrTrans were used. Specimens (n = 80/group) were cut and sintered at 1500°C for 2 h. The specimens were hydrothermally degraded in an autoclave (134°C-1.8 kg/cm2) for 20 h in saline solution (0.5 g/L) and oral mouthwash solution (0.02% sodium fluoride, without alcohol and with 21.6% alcohol). After hydrothermal degradation, the samples were immersed in containers with coffee or red wine for 14 days to determine their color stainability. The results showed that the ZrOp had a higher bending strength than the ZrTrans before and after hydrothermal aging. In ZrOp and ZrTrans, the roughness increased after hydrothermal degradation. ZrOp samples had a higher Ra roughness than the ZrTrans samples. Roughness did not change after immersion in coffee or red wine. The X-ray diffraction (XRD) results showed that ZrOp samples underwent a tetragonal to monoclinic phase transformation, while ZrTrans samples were unchanged. Both ZrOp and ZrTrans samples changed color after immersion in coffee and red wine.

Assessment of frictional resistance and surface roughness in orthodontic wires coated with two different nanoparticles.

Several mechanical and biological factors may change the orthodontic wire frictional resistance (FR). Titanium dioxide (TiO2 ) and silica dioxide (SiO2 ) nanoparticle (NP) coatings may be used to improve the characteristics of materials, reducing FR between archwire and bracket. This in vitro study aimed to evaluate the FR of orthodontic wires with and without coating in both dry and wet environments and measure the surface roughness (SR). One hundred and eighty segments of rectangular Cr-Ni orthodontic wires (Morelli Co, Brazil) were divided into three groups according to the NP coating applied: TiO2 group; SiO2 group; and control group. The SR parameters were measured in an optical profilometer, the surface morphology was analyzed with scanning electron microscopy (SEM), and FR was performed in a universal testing machine in dry and wet environments (n = 30). The statistical analysis was performed using the Generalized Estimated Equations model with a Bonferroni post-test (α = 0.05). It was observed that SiO2 NP coating decreased FR significantly when compared to the TiO2 and control groups, in both environments (p < .001). The SiO2 and TiO2 groups presented statistically lower SR than the control group and were similar to each other (p < .001). The SiO2 group presented the lower depth of Valley parameter than the TiO2 group (p < .001). The SEM showed that the TiO2 coating had the most heterogeneous surface morphology than the SiO2 and control groups. The orthodontic wires with NP coating modified the FR and morphology. The SiO2 coating reduced FR in both dry and wet environments and decreased SR. Titanium dioxide (TiO2 ) and silica dioxide (SiO2 ) nanoparticles coatings may be used to reduce frictional resistance (FR) between archwire and bracket as well as to improve surface morphology. The SiO2 coating reduced FR in both dry and wet environments and decreased the SR of Cr-Ni orthodontic wire. The TiO2 coating promoted the most heterogeneous surface morphology of Cr-Ni orthodontic wire.

Surface Characteristics and Microbiological Analysis of a Vat-Photopolymerization Additive-Manufacturing Dental Resin.

The wide application of additive manufacturing in dentistry implies the further investigation into oral micro-organism adhesion and biofilm formation on vat-photopolymerization (VP) dental resins. The surface characteristics and microbiological analysis of a VP dental resin, printed at resolutions of 50 µm (EG-50) and 100 µm (EG-100), were evaluated against an auto-polymerizing acrylic resin (CG). Samples were evaluated using a scanning electron microscope, a scanning white-light interferometer, and analyzed for Candida albicans (CA) and Streptococcus mutans (SM) biofilm, as well as antifungal and antimicrobial activity. EG-50 and EG-100 exhibited more irregular surfaces and statistically higher mean (Ra) and root-mean-square (rms) roughness (EG-50-Ra: 2.96 ± 0.32 µm; rms: 4.05 ± 0.43 µm/EG-100-Ra: 3.76 ± 0.58 µm; rms: 4.79 ± 0.74 µm) compared to the CG (Ra: 0.52 ± 0.36 µm; rms: 0.84 ± 0.54 µm) (p < 0.05). The biomass and extracellular matrix production by CA and SM and the metabolic activity of SM were significantly decreased in EG-50 and EG-100 compared to CG (p < 0.05). CA and SM growth was inhibited by the pure unpolymerized VP resin (48 h). EG-50 and EG-100 recorded a greater irregularity, higher surface roughness, and decreased CA and SM biofilm formation over the CG.

Effect of cigarette smoke on aesthetic brackets: an in vitro study

ABSTRACT Objective: The objective of this study was to evaluate the effect of cigarette smoke (CS) on physical and mechanical properties of ceramic, polycarbonate and alumina ceramic brackets. The null hypothesis tested was that aesthetic brackets would not be influenced by CS. Methods: Ninety aesthetic brackets were allocated to three groups (n = 30): ceramic (GCE), polycarbonate (GCO) and alumina ceramic (GPS). Ten samples of each group were assigned to color and surface roughness analysis, performed before (T0) and after (T1) exposure to CS; and twenty samples were allocated into control and experimental groups (n = 10) (not exposed and exposed to CS, respectively) for shear bond strength test (SBS). Exposure to CS followed an adaptation of the method described by Le Mesurier. Colorimetric reading, surface morphology and roughness, SBS and adhesive remnant index (ARI) were assessed. Statistical analysis comprised independent and paired t-tests, ANOVA/Tukey and Fisher's exact tests (α = 0.05). Results: Changes were observed in brackets' color (NBS: GCE = 2.4; GCO = 1.9; GPS = 2.1), surface roughness (ΔRa: GCE = 1.1 ± 0.8 µm; GCO = 1.9 ± 1.5µm; GPS = -0.3 ± 0.1 µm / ΔRz: GCE = 1.4 ± 1.0 nm; GPS = -0.5 ± 0.1 nm); and SBS (GPS - experimental = 221.8 ± 48.6 N) after exposure to CS (p< 0.05). Conclusions: Exposure, in vitro, of aesthetic brackets to CS resulted in changes of color to darker and more opaque shades, surface roughness alterations, and higher SBS values. ARI scores were not associated with exposure to CS.

RESUMO Objetivo: O objetivo do presente estudo foi avaliar os efeitos da fumaça do cigarro (FC) nas propriedades físicas e mecânicas de braquetes cerâmicos, de policarbonato e de cerâmica de alumina. A hipótese nula testada foi de que os braquetes estéticos não seriam influenciados pela FC. Métodos: Noventa braquetes estéticos foram alocados em três grupos (n = 30): cerâmica (GCE), policarbonato (GCO) e cerâmica de alumina (GPS). Dez amostras de cada grupo foram designadas para análise de cor e rugosidade superficial, realizada antes (T0) e após (T1) exposição à FC, e vinte amostras foram alocadas nos grupos controle e experimental (n = 10) (não expostos e expostos à FC, respectivamente) para o teste de resistência ao cisalhamento (RC). A exposição à FC foi realizada de acordo com o método descrito por Le Mesurier. Leitura colorimétrica, morfologia e rugosidade de superfície, RC e índice de adesivo remanescente (ARI) foram avaliados. A análise estatística foi realizada por meio dos testes t independente e para amostras pareadas, ANOVA/Tukey e teste exato de Fisher (α = 0,05). Resultados: Foram observadas alterações na cor (NBS: GCE = 2,4; GCO = 1,9; GPS = 2,1), rugosidade superficial (ΔRa: GCE = 1,1 ± 0,8 µm; GCO = 1,9 ± 1,5 µm; GPS = -0,3 ± 0,1 µm / ΔRz: GCE = 1,4 ± 1,0 nm; GPS = -0,5 ± 0,1 nm) e RC (GPS - experimental = 221,8 ± 48,6 N) dos braquetes após exposição à FC (p< 0,05). Conclusões: A exposição in vitro de braquetes estéticos à FC resultou em mudanças na cor, para tons mais escuros e mais opacos; alterações na rugosidade superficial e maiores valores de RC. Os resultados do ARI não foram associados à exposição à FC.

Ultrastructural and Physicochemical Characterization of a Non-Crosslinked Type 1 Bovine Derived Collagen Membrane.

In this work, in vitro testing was used to study the properties of non-crosslinked type 1 bovine derived collagen membranes used in bone regeneration surgery. Collagen membranes were prepared, their surface roughness was quantified by interferometry, their morphology was observed by scanning electron microscopy (SEM) and transmission electron microscopy (TEM), their wettability was measured by the contact angle technique, their mechanical properties were investigated by tensile testing, their phase transformation temperatures were measured by Differential Scanning Calorimetry (DSC), and their biocompatibility was evaluated by immunological testing. The calorimetry tests showed that the membrane is formed only by type 1 collagen. The SEM observations showed that the morphology consists of layers of highly organized collagen fibers and patterns of striated fibrils typical of type 1 collagen. The small contact angle showed that the membrane is hydrophilic, with the possibility of rapid absorption of body fluids. The tensile tests showed that the membrane has enough elasticity, ductility, and mechanical strength for use in tissue regeneration. With the immunostaining technique, it was possible to confirm the membrane biocompatibility.

Comparison of feldspathic veneer surface treatments on ceramic bracket SBS, ARI and surface roughness after different debonding/polishing methods: An in vitro study.

OBJECTIVES: To analyse, in vitro, surface properties and the shear bond strength after debonding and polishing procedures of ceramic brackets directly bonded to 0.3-0.5-mm thick feldspathic veneers. MATERIALS AND METHODS: Fifty six feldspathic ceramic veneers samples (0.3 to 0.5-mm thick) were allocated into groups according to veneers surface treatment procedures: (S) glaze layer was retained; (SHF) hydrofluoric (HF) acid etch; (SOXA) Al2O3 sandblasting; and (SB) diamond burs roughening. Specimens were treated with silane Monobond N® and ceramic brackets bonded with Transbond XT®. Shear bonding strength (SBS) was assessed with a universal testing machine and ARI evaluated under a stereomicroscopic coupled to a digital camera. Remaining bonding composite was removed using a porcelain polishing kit and surface roughness assessed with a stylus profilometer. RESULTS: No statistically significant differences were identified for SBS among the study groups (S, SHF, SOXA and SB) (P>0.05). The majority of the specimens presented ARI scores 3 and 2 (P>0.05). All of the study groups presented increased surface roughness after debonding and polishing procedures (P<0.05), with significant greater values observed in SB group (RaF: 1.27±0.41; RzF: 6.23±1.82), (P<0.05). CONCLUSIONS: Surface treatment with hydrofluoric acid etch, Al2O3 sandblasting and diamond bur did not enhance SBS of orthodontic brackets bonded to ceramic veneers. Ceramic surfaces treated with diamond burs presented significantly increased roughness after adhesive removal.

In vitro analysis of prosthetic abutment and angulable frictional implant interface adaptation: Mechanical and microbiological study.

The aim of this study was to evaluate, in vitro, the microbiological sealing at the implant and different angles frictional prosthetic abutment interface, submitted or not to mechanical cycling, as well as the deactivation force and evaluation of the implant-abutment interface by scanning electron microscopy. For this study, the sealing capacity of eighty sets of abutments/implants of each angle, with and without mechanical cycling, with internal conical connection (locking tapper) (4.3 mm × 9.0 mm) constituted in Titanium alloy (Ti6Al4V), and stainless steel angled prosthetic abutment was evaluated (18Cr14Ni2.5Mo) according to ASTM F138-13a (Arcsys, FGM, Joinville, Brazil), 6 mm high and 4.2 mm in diameter at the coronary portion, and 3.5 mm high transmucosal, in 4 different angles (0, 5, 10 and 20°). After in vitro tests, 100% biological sealing was observed at the implant / prosthetic abutment interface within cycled and non-cycled conditions, for the straight, 5, 10 and 20° inclination groups. There was no statistically significant difference in the removal force of the prosthetic abutments at different angles, under non-cycled conditions; however, under mechanical loading, the deactivation force was significantly higher for straight prosthetic abutments than with 10 and 20° of angulation. Surface analysis revealed good adaptation between implants and abutments, and the presence of wear areas, independently of mechanical loading. It is concluded that the analysis of implant and prosthetic abutment interface revealed good adaptation between the parts, for all analyzed samples.

Influência da orientação das ranhuras superficiais na flexão rotativa de fios de níquel-titânio / Influence of surface grooves orientation on the cyclic fatigue resistance of NiTi wire

Objetivo: Testar a hipótese nula de que a orientação das ranhuras superficiais não influencia na vida em fadiga de fios de níquel-titânio (NiTi). Material e Métodos: Segmentos de fio de NiTi (Moreli, Sorocaba/SP, Brasil) medindo 30mm e com diâmetro de 0,40mm foram utilizados. As ranhuras foram criadas em relação à direção longitudinal, em 45 e 90 graus. O fio foi analisado sob microscopia eletrônica de varredura e a rugosidade, quantificada por interferometria. O número de ciclos para a fratura (NCF) foi determinado pelo teste de flexão rotativa. Resultados: A rugosidade entre os grupos de 45 e 90 graus apresentou diferenças estatisticamente significativas (p<0,05). O grupo sem ranhuras apresentou o maior NCF (p<0,05). O grupo com ranhuras em 45 graus apresentou maior NCF, em comparação ao grupo com 90 graus (p<0,05). Conclusões: A direção das ranhuras possui influência na vida em fadiga dos fios de NiTi. O NCF aumenta com a redução do ângulo das ranhuras em relação ao longo eixo do fio, independentemente da profundidade das ranhuras (AU).

Objective: this study tested the null hypothesis that the surface grooves orientation does not influence the NiTi wire cyclic fatigue. Material and methods: Segments of NiTi wire (Moreli, Sorocaba, Brazil) measuring 30mm and with a 0.40mm of diameter were used. Grooves were created in the longitudinal direction, at 45 degrees and 90 degrees. The wire was analyzed with SEM and the roughness was quantified by interferometry. The number of cycles until fracture (NCF) was determined by the cyclic fatigue test. Results: the roughness between 45 and 90 degrees groups presented differences (p<0.05). The group without grooves presented the highest NCF (p<0.05). The group with 45 degrees grooves presented better NCF in comparison to the group with 90 degrees (p<0.05). Conclusions: the direction of the grooves influences the fatigue life. The NCF increases with the reduction of the angle of the grooves in relation to the long axis, regardless of the depth of the grooves (AU).

Miniscrew-assisted rapid palatal expansion (MARPE): how to achieve greater stability. In vitro study.

OBJECTIVE: Assess the influence of mono- and bicortical anchorage and diameter of mini-implants (MIs) on the primary stability of these devices. METHODS: 60 self-drilling MIs were distributed in six groups according to diameter (1.5mm, 1.8mm or 2.0mm) and type of anchorage (monocortical and bicortical) in bovine rib. The primary stability was evaluated by insertion torque, micromobility and pull-out strength tests. ANOVA and/or Tukey analysis were used to conduct intergroup comparisons (p< 0.05). Non-parametric statistics (Kruskal-Wallis and Mann-Whitney) were performed when normality was not found (p< 0.05). RESULTS: MIs with larger diameters and bicortical anchorage showed greater primary stability regarding insertion torque (p< 0.05) and micromobility (p< 0.05). Only MI diameter had an effect on the pull-out strength test. Larger diameter MIs presented better retention in pull-out strength tests (p< 0.001), regardless of mono- or bicortical anchorage. CONCLUSIONS: MI primary stability is dependent on its diameter and type of anchorage. Bicortical anchorage showed greater stability when compared with monocortical anchorage, independently of other variables.