Desenvolvimento e avaliação do uso de um objeto virtual de aprendizagem com simulação virtual sobre alginato / Development and evaluation of the use of a virtual learning object with virtual simulation on alginate

O objetivo do presente estudo foi desenvolver um Objeto Virtual de Aprendizagem (OVA) sobre materiais de moldagem, com ênfase no alginato, e avaliar a influência do seu uso sobre o aprendizado teórico e habilidade clínica de estudantes de Odontologia, assim como sobre as propriedades física e mecânica material. Sessenta e quatro estudantes receberam aula teórica expositiva sobre alginato e posteriormente foram divididos em 2 grupos, Controle (n=30) e OVA (n=34). O grupo OVA teve acesso à ferramenta educacional composta de conteúdo teórico e simulação de espatulação do alginato, sendo sua habilidade avaliada. Todos os participantesrealizaram um pré-teste após a aula teórica, assim como testes de habilidade de manipulação do material,o qualfoi submetido a ensaio de resistência à compressão e reprodução de detalhes. Uma avaliação pós-teste foi realizada após quinze dias. Os resultados dos grupos foram comparados pelo teste t, modelo de regressão logística e as variáveis significativas foram incluídas no modelo de regressão múltipla. Todas as análises foram conduzidas com significância de 5%. Na simulação do OVA 75% dos usuários obtiveram nota máxima e os resultados das avaliações teóricas não indicaram diferença estatística entre os grupos. O uso do OVA está relacionado à maior habilidade clínica, com 3,76 mais chances de correta incorporação do pó. No ensaio de resistência à compressão a média dos grupos foi superior ao preconizado pela norma, OVA 0,86±0,03 e Controle 1,09±0,04. A ferramenta desenvolvida exerce influência positiva sobre a habilidade clínica e propriedade mecânica do material estudado, constituindo-se como promissora estratégia de aprendizagem virtual (AU).

The aim of the present study was to develop a Virtual Learning Object (VLO) on impression materials, with emphasis on alginate, and to evaluate the influence of its use on the theoretical learning and clinical skills of dental students, as well as on the physical properties and material mechanics. Sixty-four students received a theoretical lecture on alginate and were later divided into 2 groups, Control (n=30) and VLO (n=34). The VLO group had access to the educational tool composed of theoretical content and simulation of alginate mixing, and their ability was evaluated. All participants performed a pre-test after the theoretical class, as well as tests of ability to handle the material, which was subjected to a compressive strength test and detailreproduction. A post-test evaluation was performed after fifteen days. The results of the groups were compared by the t test, logistic regression model and significant variables were included in the multiple regression model. All analyzes were conducted with a significance of 5%. In the VLO simulation, 75% of the users obtained the maximum score and the results of the theoretical assessments did not indicate a statistical difference between the groups. The use of VLO is related to greater clinical skill, with 3.76 more chances of correct incorporation of the powder. In the compressive strength test, the mean of the groups was higher than that recommended by the standard, VLO 0.86±0.03 and Control 1.09±0.04. The developed tool has a positive influence on theclinical ability and mechanical property of the material studied, constituting itself as a promising strategy of virtual learning (AU).

Avaliação de soluções antifúngicas de guanidina para resina base de dentadura: um estudo in vitro / Evaluation of guanidine antifungal solutions for denture base resin: an in vitro study

Background: The purposes of this study were: (1) to formulate polyhexamethylene guanidine hydrochloride (PHMGH) solutions at different concentrations; (2) to evaluate their antifungal activity against a mature biofilm of Candida albicans on acrylic resins; (3) to evaluate possible effects on acrylic resins flexural strength and surface roughness. Methods: PHMGH solutions were formulated with distilled water and 0.125, 0.250, or 0.5 wt.% of PHMGH. One group without PHMGH was used as control. For antifungal activity analysis, acrylic resin specimens were contaminated with C. albicans. Specimens were immersed in PHMGH solutions or distilled water for 5 or 10 min. Ultimate flexural strength and surface roughness of acrylic resins were evaluated. Results: All PHMGH solutions at 5 or 10 min showed antifungal activity compared to the control group (p<0.05). The group with 0.5 wt.% of PHMGH showed no countable colonies regardless of the time of contact with the acrylic resins. After 10 min, all PHMGH solutions had antifungal effect without differences from 0.125 to 0.5 wt.% of PHMGH. All groups showed high flexural strength after contact with the solutions compatible with ISO 20795-1:2013 recommendation. The values of surface roughness always remained low, from 0.01 to 0.04 µm for all groups. Conclusion: Within the limitations of this study, it was concluded that the use of a solution composed by distilled water and 0.5 wt.% of PHMGH for 5 min was effective as a disinfectant agent against mature biofilm of C. albicans , maintaining acceptable roughness and flexural strength.

Antecedentes: Os objetivos deste estudo foram: (1) formular soluções de cloridrato de polihexametileno guanidina (PHM-GH) em diferentes concentrações; (2) avaliar sua atividade antifúngica contra biofilme maduro de Candida albicans em resinas acrílicas; (3) avaliar efeitos na resistência à flexão e rugosidade da superfície. Métodos: Soluções de PHMGH foram formuladas com água destilada e 0,125, 0,250 ou 0,5% em peso de PHMGH. Um grupo sem PHMGH foi usado como controle. Para análise da atividade antifúngica, amostras de resina acrílica foram contaminadas com C. albicans, e imersas em soluções de PHMGH ou água destilada por 5 ou 10 min. Resistência à flexão final e rugosidade da superfície foram avaliadas. Resultados: Todas as soluções de PHMGH aos 5 ou 10 minutos apresentaram atividade antifúngica em comparação ao grupo controle (p <0,05). O grupo com 0,5% em peso de PHMGH não mostrou colônias contáveis, independentemente do tempo. Após 10 minutos, todas as soluções de PHMGH tiveram efeito antifúngico sem diferenças de 0,125 a 0,5% em peso de PHM-GH. Os grupos apresentaram alta resistência à flexão após o contato com as soluções compatíveis com a recomendação ISO 20795-1: 2013. Os valores de rugosidade da superfície permaneceram baixos, de 0,01 a 0,04 µm para todos os grupos. Conclusão: Dentro das limitações deste estudo, concluiu-se que o uso de uma solução composta por água destilada e 0,5% em massa de PHMGH por 5 min foi eficaz como agente desinfetante contra o biofilme maduro de C. albicans, mantendo rugosidade e resistência à flexão aceitáveis.

Guanidine derivative inhibits C. albicans biofilm growth on denture liner without promote loss of materials' resistance.

To reduce the burden of denture stomatitis and oral candidiasis, an aqueous solution containing polyhexamethylene guanidine hydrochloride (PHMGH) was investigated as an antifungal disinfectant against the leading cause of these oral conditions, Candida albicans. The solutions formulated with concentrations ranging from 0.125 to 0.50 wt% enabled increasing disinfection at the initial 5min-contact with 72h-mature candida biofilms formed on denture liner specimens. After 10 min-contact, the solution at lower concentration has reached total fungal elimination. The results also indicated that the denture liners preserved their mechanical property after the maximum contact time with the solution at the highest tested concentration. The PHMGH aqueous solutions at 0.125 wt% could be applied to promote interim denture liner disinfection without promoting the loss of materials' mechanical property.

Quaternary ammonium compound as antimicrobial agent in resin-based sealants.

OBJECTIVES: The aim of this study was to evaluate the influence of [2-(methacryloyloxy)ethyl] trimethylammonium chloride (METAC) in the physico-chemical properties, antibacterial activity and cytotoxicity of an experimental resin-based sealant. MATERIALS AND METHODS: An experimental resin-based sealant was formulated with dimethacrylates and a photoinitiator system. METAC was added at 2.5 wt.% (G2.5%) and 5 wt.% (G5%) into the experimental resin-based sealant, and one group remained without METAC as control (GCTRL). The resin-based sealants were analysed for polymerization behaviour and degree of conversion (DC), Knoop hardness (KHN) and softening in solvent (ΔKHN), ultimate tensile strength (UTS), contact angle, surface free energy (SFE), immediate and long-term micro-shear bond strength (µ-SBS) and antibacterial activity and cytotoxicity against human keratinocytes. RESULTS: The experimental resin-based sealants presented different polymerization behaviours without significant differences in the DC (p > 0.05). There was no significant difference for initial KHN (p > 0.05). The ΔKHN ranged from 51.62 (±3.70)% to 62.40 (±4.14)%, with higher values for G5% (p < 0.05). G2.5% and G5% had decreased µ-SBS between immediate and long-term tests (p < 0.05) without significant differences among groups in the immediate and long-term analyses (p > 0.05). There were no significant differences for UTS, contact angle and SFE among groups (p > 0.05). G2.5% and G5% presented immediate and long-term antibacterial activity (p < 0.05) without cytotoxicity compared to GCTRL (p > 0.05). CONCLUSION: The addition of METAC provided antibacterial activity to the experimental resin-based sealant. CLINICAL RELEVANCE: METAC is an effective quaternary ammonium compound as an antibacterial agent for resin-based sealants without cytotoxic effects against human keratinocytes.

Influence of N-(2-hydroxyethyl)acrylamide addition in light- and dual-cured resin cements.

OBJECTIVE: To develop experimental light-cured (L) and dual-cured (D) resin cements containing N-(2-hydroxyethyl)acrylamide and evaluate the physicochemical and optical properties. METHODS: Experimental resin cements were formulated using bisphenol A-glycidyl dimethacrylate (70%) and 2-hydroxyethyl methacrylate (30%), in the control groups, and, bisphenol A-glycidyl dimethacrylate (70%) and N-(2-hydroxyethyl)acrylamide (30%). Polymerization kinetics were evaluated by differential scanning calorimetry (n = 3), softening in solvent (ΔKHN) evaluated by the difference of Knoop microhardness before (KHN1) and after (KHN2) ethanol solution immersion (n = 5), radiopacity in mmAl (n = 5), film thickness (n = 3) and color stability were evaluated. Mechanical properties as ultimate tensile strength (UTS) and micro-shear bond strength (µSBS) were analyzed immediately and after 6 months. Results were analyzed using ANOVA, Tukey's test and Student's t-test (α = 0.050). RESULTS: The LHEAA1 group had no statistical difference from the control group regarding polymerization kinetics, KHN1, ΔKHN and color stability (p > 0.050). In dual-cured cements, the acrylamide groups presented a lower degree of conversion and higher ΔKHN than the DHEMA0.6 group, which obtained a higher rate of polymerization (p < 0.050). There was no statistical difference in radiopacity and film thickness (p > 0.050). Dual-cured cements with N-(2-hydroxyethyl)acrylamide showed higher color change than methacrylates. Immediate mechanical properties were lower for acrylamide groups (p < 0.050), with higher hydrolytic stability. CONCLUSIONS: The addition of N-(2-hydroxyethyl)acrylamide negatively affected the properties of the dual-cured resin cements. LHEAA1 did not differ in physicochemical and optical properties from the control, with higher hydrolytic stability. CLINICAL SIGNIFICANCE: The results of the study indicate that acrylamides increased mechanical properties over time independently of the curing system mode, with more hydrolytic stability. The clinical performance of experimental resin cements should be evaluated.

CAD/CAM or conventional ceramic materials restorations longevity: a systematic review and meta-analysis.

PURPOSE: This systematic review and meta-analysis aimed to evaluate the difference in longevity of tooth-supported ceramic prostheses designed by conventional and computer-aided design/computer-aided manufacturing (CAD/CAM) techniques. STUDY SELECTION: Two reviewers searched the Web of Science, PubMed, SCOPUS and LILACS databases between 1966 and October 2017. Clinical studies that compared the survival rate of CAD/CAM against conventional restorations were included. RESULTS: Eleven randomized controlled trials and three prospective studies were included, n=14. Three types of tooth-supported restorations were searched in the included studies: single crown, multiple-unit and partial ceramic crown. The follow-up of patients in the studies ranged from 24 to 84 months. A total of 1209 restorations had been placed in 957 patients in the included trials, and failures were analyzed by type and material restoration. From a total of 72 restoration failures, the CAD/CAM system resulted in a 1.84 (IC95%: 1.28-2.63) higher risk than conventional manufacturing of ceramic restoration. Nevertheless, when drop-outs were included as a failure risk, the CAD/CAM system resulted in a risk of 1.32 (IC95%: 1.10-1.58). Multilevel analysis of tooth-supported ceramic restorations, considering drop-outs as successes, resulted in rates of 1.48 and 2.62 failures per 100 restoration-years for the controls and CAD/CAM groups, respectively. Considering drop-outs as failures, we found rates of 4.23 and 5.88 failures per 100 restoration-years for the controls and CAD/CAM groups, respectively. CONCLUSIONS: The meta-analysis results suggest that the longevity of a tooth-supported ceramic prostheses made by CAD/CAM manufacturing is lower than that of crowns mad by the conventional technique.

Impact of shelf-life simulation on bonding performance of universal adhesive systems.

OBJECTIVES: To evaluate the micro-tensile bond strength to dentin (µTBS), the degree of conversion (DC) and nanoleakage expression (NL) of eight dental adhesives considering their expiry date (as-received, half-life and or end of shelf-life) after shelf-life simulation. METHODS: Five universal adhesives (Single Bond Universal, SBU; Tetric Bond Universal, TBU; OneCoat Universal, OCU; OptiBond Universal, OBU; and Prime&Bond Elect, P&B), two two-step self-etch adhesives (Clearfil SE, CSE; and AdheSE, ASE) and one two-step etch-and-rinse adhesive (Adper Singlebond 2, ASB) were evaluated. Shelf-life was simulated by storing the materials in an acclimatization chamber for different periods of time. The µTBS was tested in accordance with ISO/TS 11,405. DC was evaluated by means of FTIR spectroscopy. NL was evaluated after ammoniacal silver challenge. The significance level of α=0.05 was used for all statistical analyses. RESULTS: The µTBS to dentin of TBU, P&B, ASE, and ASB adhesive systems remained stable throughout the shelf-life periods evaluated, while for SBU, OCU, OBU, and CSE, decreased significantly after evaluation in the 'half-life' or 'end of shelf-life' condition (p<0.05). Except for P&B, ASE and OBU, the degree of conversion significantly decreased after the shelf-life simulation (p<0.05). OCU, ASE, and CSE showed significantly increased percentage of silver deposition within the adhesive layer (p<0.05). SIGNIFICANCE: Storing conditions and progressively longer storage time affect the performance of universal adhesives systems.

Antibacterial, chemical and physical properties of sealants with polyhexamethylene guanidine hydrochloride.

The aim of this study was to evaluate the influence of polyhexamethylene guanidine hydrochloride (PHMGH) in the physico-chemical properties and antibacterial activity of an experimental resin sealant. An experimental resin sealant was formulated with 60 wt.% of bisphenol A glycol dimethacrylate and 40 wt.% of triethylene glycol dimethacrylate with a photoinitiator/co-initiator system. PHMGH was added at 0.5 (G0.5%), 1 (G1%), and 2 (G2%) wt.% and one group remained without PHMGH, used as control (GCTRL). The resin sealants were analyzed for degree of conversion (DC), Knoop hardness (KHN), and softening in solvent (ΔKHN), ultimate tensile strength (UTS), contact angle (θ) with water or α-bromonaphthalene, surface free energy (SFE), and antibacterial activity against Streptococcus mutans for biofilm formation and planktonic bacteria. There was no significant difference for DC (p > 0.05). The initial Knoop hardness ranged from 17.30 (±0.50) to 19.50 (± 0.45), with lower value for GCTRL (p < 0.05). All groups presented lower KHN after immersion in solvent (p < 0.05). The ΔKHN ranged from 47.22 (± 4.30) to 57.22 (± 5.42)%, without significant difference (p > 0.05). The UTS ranged from 54.72 (± 11.05) MPa to 60.46 (± 6.50) MPa, with lower value for G2% (p < 0.05). PHMGH groups presented no significant difference compared to GCTRL in θ (p > 0.05). G2% showed no difference in SFE compared to GCTRL (p > 0.05). The groups with PHMGH presented antibacterial activity against biofilm and planktonic bacteria, with higher antibacterial activity for higher PHMGH incorporation (p < 0.05). PHMGH provided antibacterial activity for all resin sealant groups and the addition up to 1 wt.% showed reliable physico-chemical properties, maintaining the caries-protective effect of the resin sealant over time.

Antibacterial, chemical and physical properties of sealants with polyhexamethylene guanidine hydrochloride

Abstract The aim of this study was to evaluate the influence of polyhexamethylene guanidine hydrochloride (PHMGH) in the physico-chemical properties and antibacterial activity of an experimental resin sealant. An experimental resin sealant was formulated with 60 wt.% of bisphenol A glycol dimethacrylate and 40 wt.% of triethylene glycol dimethacrylate with a photoinitiator/co-initiator system. PHMGH was added at 0.5 (G0.5%), 1 (G1%), and 2 (G2%) wt.% and one group remained without PHMGH, used as control (GCTRL). The resin sealants were analyzed for degree of conversion (DC), Knoop hardness (KHN), and softening in solvent (ΔKHN), ultimate tensile strength (UTS), contact angle (θ) with water or α-bromonaphthalene, surface free energy (SFE), and antibacterial activity against Streptococcus mutans for biofilm formation and planktonic bacteria. There was no significant difference for DC (p > 0.05). The initial Knoop hardness ranged from 17.30 (±0.50) to 19.50 (± 0.45), with lower value for GCTRL (p < 0.05). All groups presented lower KHN after immersion in solvent (p < 0.05). The ΔKHN ranged from 47.22 (± 4.30) to 57.22 (± 5.42)%, without significant difference (p > 0.05). The UTS ranged from 54.72 (± 11.05) MPa to 60.46 (± 6.50) MPa, with lower value for G2% (p < 0.05). PHMGH groups presented no significant difference compared to GCTRL in θ (p > 0.05). G2% showed no difference in SFE compared to GCTRL (p > 0.05). The groups with PHMGH presented antibacterial activity against biofilm and planktonic bacteria, with higher antibacterial activity for higher PHMGH incorporation (p < 0.05). PHMGH provided antibacterial activity for all resin sealant groups and the addition up to 1 wt.% showed reliable physico-chemical properties, maintaining the caries-protective effect of the resin sealant over time.

Acrylamides and methacrylamides as alternative monomers for dental adhesives.

OBJECTIVE: Synthesize and characterize a methacrylamide monomer for adhesive system and evaluate the physicochemical properties of the adhesive resin. METHODS: The liquid methacrylamide monomer N,N',N″-(nitrilotris(ethane-2,1-dyil)tris(2-methylacrylamide) (TMA) was prepared by reaction of methacrylic anhydride and tris(2-aminoethyl)amine with 60% yields. The TMA structure was analyzed by 1H NMR, 13C NMR, ATR-FTIR and UHPLC-QTOF-MS. Experimental adhesive resin containing bisphenol-A glycidyl methacrylate (BISGMA), 2-hydroxyethylacrylamide (HEAA), 2-hydroxyethylmethacrylate (HEMA) and TMA were formulated. Polymerization kinetics of neat TMA and experimental adhesive resin (TMA33%/HEAA66%, TMA50%/HEAA50%, TMA66%/HEAA33%, TMA50%/HEMA50%, BisGMA/HEAA/TMA and BisGMA/HEMA) were evaluated using Differential Scanning Calorimetry. Physiochemical properties for BisGMA/HEAA/TMA and BisGMA/HEMA adhesives were evaluated by cytotoxicity, ultimate tensile strength (UTS), softening in solvent (ΔKHN), contact angle (θ), microtensile bond strength (µTBS) and failure analysis. A primer was also formulated with H2O/HEAA/AMPS (2-acrylamido-2-methylpropane sulfonic acid) and the pH value was verified and compared to commercial primer. RESULTS: Adhesive resin with only HEAA and TMA (TMA33%/HEAA66%, TMA50%/HEAA50%, TMA66%/HEAA33%) showed lower conversion and polymerization rate after 40s of light activation. Conversion up to 60% was found for BisGMA/HEAA/TMA and BisGMA/HEMA adhesive resin without significant difference between groups, p>0.05. Cytotoxicity, UTS, µTBS, ΔKHN and θ showed no statistical difference, p>0.05, between BisGMA/HEAA/TMA and BisGMA/HEMA adhesive resin. SIGNIFICANCE: In this study, the proposed synthetic route resulted in a tris(methacrylamide). A new primer composed without acrylates or methacrylates was formulated for 3-step etch-and-rinse adhesive system without the presence of HEMA monomer. Physicochemical properties and cell viability of BisGMA/HEAA/TMA adhesive resin represents an alternative adhesive resin without HEMA monomer.

Influence of dye and nylon fibers on microwave-cured acrylic resin properties / Influência de corante e fibras de nylon nas propriedades de uma resina acrílica polimerizada por micro-ondas

ABSTRACT Objective: The aim of this study is to analyze if both color and nylon fibers have an influence on microwave-cured acrylic resin properties. Methods: Rectangular and disk-shaped specimens were prepared using acrylic resins; medium pink with and without nylon fibers and colorless without nylon fibers. To obtain the rectangular specimens, a stainless steel die was used with the following dimensions: 64 X 10 x 3 mm (± 0.5mm). To obtain disk-shaped specimens, a die 50mm (±0.5mm) in diameter and 0.5mm (±0.05mm) thick was employed. They were randomized to form groups: control (colorless acrylic) and experimental (medium pink, with and without nylon fibers), with each group consisting of ten (10) specimens rectangular in shape and five (5) disk-shaped. They were analyzed in six (6) assays (izod impact strength, n=10; Knoop hardness, n=10; glass transition temperature, n=3; water sorption and solubility, n=5; degree of monomer/polymer conversion, n=1; flexural strength and flexural modulus, n=10). All variables were subjected to the analysis of variance test followed by Tukey's multiple comparison test, at a 5% level of significance. Results: The analysis of the monomer/polymer degree of conversion did not reveal any difference between the three groups of resins (medium pink, with and without nylon fibers and colorless resin); it was approximately 88%. The results did not show significant differences between the groups for each variable (p>0.05). Conclusion: The results showed that color and presence of nylon fibers in acrylic resins did not affect the properties analyzed in this study.

RESUMO Objetivo: Analisar se corantes e fibras de nylon influenciam nas propriedades de uma resina acrílica ativada por energia de micro-ondas. Métodos: Espécimes retangulares e em forma de disco foram confeccionados em resina acrílica rosa médio com e sem fibras de nylon e incolor sem fibras. Para obter os espécimes retangulares, foi utilizada uma matriz de aço inoxidável com as seguintes dimensões: 64 X 10 X 3 (± 0,5mm) e para obter os espécimes em forma de disco, foi utilizada uma matriz com 50mm (± 0,5mm) de diâmetro e 0,5mm (±0,05mm) de espessura. Os mesmos foram randomizados para formar os grupos controle (acrílico incolor sem fibras) e experimentais (rosa médio com e sem fibras), sendo cada grupo composto por dez (10) espécimes retangulares e cinco (5) em forma de disco. Foram os mesmos então submetidos a seis (6) ensaios (resistência ao impacto izod, n=10; dureza knoop, n=10; temperatura de transição vítrea, n=3; sorção e solubilidade, n=5; grau de conversão, n=1; resistência à flexão e módulo de flexão, n=10). Todas as variáveis foram submetidas à análise de variância seguida pelo teste de comparações múltiplas de Tukey, com nível de significância de 5%. Resultados: O grau de conversão foi de 88% para os 3 grupos de resinas e os resultados não mostraram diferença estatisticamente significativa entre os mesmos para cada variável (p>0,05). Conclusão: Os resultados mostraram que o corante e a presença de fibras de nylon em resina acrílica não afetaram as propriedades analisadas nesse estudo.

One-year aging effects on microtensile bond strengths of composite and repairs with different surface treatments.

The present study aimed to evaluate effects of different surface treatments and aging of composite cylinders on bond strength of composite resin repair. Thirty-two composite cylinders were produced and divided into four groups according to type of surface treatment and storage time of composite cylinder and repair. Cylinder surface of control group (Gcontrol) received no treatment before composite repair. Other groups were sandblasted with aluminum oxide (GAl2O3), followed by silane (GAl2O3sil) or adhesive (GAl2O3ad). Composite cylinders were stored in artificial saliva for either 24 hours or 1 year. Repairs were performed and stored in artificial saliva for 24 hours or 1 year and repair strength was evaluated using microtensile bond strength test. Data were submitted to Student's t test, two-way ANOVA, and post hoc test for storage time and treatment (α = 0.05). Gcontrol group showed lower values of aging of composite cylinder and storage time of repair (24 hours or 1 year for both) compared with other groups (p < 0.05). GAl2O3ad and GAl2O3sil groups did not exhibit decreased microtensile bond strength with aged repairs (1 year; p > 0.05). Polymer degradation was significant for composite cylinders during the first year of storage in Gcontrol, GAl2O3, and GAl2O3ad groups (p < 0.05). In GAl2O3sil group, storage time of composite cylinders was not significant (p > 0.05). Aging of composite resin influenced bond strength of restoration repair for up to 1 year. Sandblasting with Al2O3, followed by application of silane layer, produced high bond strength after composite or repair aging.

One-year aging effects on microtensile bond strengths of composite and repairs with different surface treatments

Abstract The present study aimed to evaluate effects of different surface treatments and aging of composite cylinders on bond strength of composite resin repair. Thirty-two composite cylinders were produced and divided into four groups according to type of surface treatment and storage time of composite cylinder and repair. Cylinder surface of control group (Gcontrol) received no treatment before composite repair. Other groups were sandblasted with aluminum oxide (GAl2O3), followed by silane (GAl2O3sil) or adhesive (GAl2O3ad). Composite cylinders were stored in artificial saliva for either 24 hours or 1 year. Repairs were performed and stored in artificial saliva for 24 hours or 1 year and repair strength was evaluated using microtensile bond strength test. Data were submitted to Student’s t test, two-way ANOVA, and post hoc test for storage time and treatment (α = 0.05). Gcontrol group showed lower values of aging of composite cylinder and storage time of repair (24 hours or 1 year for both) compared with other groups (p < 0.05). GAl2O3ad and GAl2O3sil groups did not exhibit decreased microtensile bond strength with aged repairs (1 year; p > 0.05). Polymer degradation was significant for composite cylinders during the first year of storage in Gcontrol, GAl2O3, and GAl2O3ad groups (p < 0.05). In GAl2O3sil group, storage time of composite cylinders was not significant (p > 0.05). Aging of composite resin influenced bond strength of restoration repair for up to 1 year. Sandblasting with Al2O3, followed by application of silane layer, produced high bond strength after composite or repair aging.

Influence of adhesive system on quartz fiber post dislocation resistance in endodontically treated teeth

Aim: To evaluate the dislocation resistance of the quartz fiber post/cement/dentin interface afterdifferent adhesion strategies. Methods: Forty bovine lower central incisors were selected andprepared with K-files using the step-back technique, and irrigated with 3 mL of distilled waterpreceding the use of each instrument. Prepared teeth were stored at 37ºC and 100% humidity for 7days. The roots were prepared and randomized into 4 groups. The quartz fiber post was cementedwith an adhesion strategy according to the following groups: GBisCem- BISCEM; GOneStep±C&B- OneStep ± C&B; GAllBond±C&B- AllBond3 ± C&B; GAllBondSE±C&B- AllBondSE ±C&B with a quartz fiberpost. Cross-sectional root slices of 0.7 mm were produced and stored for 24 h at 37° C beforebeing submitted to push-out bond strength. Results: The mean and standard deviation values ofdislocation resistance were GBisCem: 1.12 (± 0.23) MPa, GOneStep±C&B: 0.81 (± 0.31) MPa, GAllBond±C&B:0.98 (± 0.14) MPa, and GAllBondSE±C&B: 1.57 (± 0.04) MPa. GAllBondSE±C&B showed significantly highervalues of dislocation resistance than the other groups. Conclusions: Based on this study design,it may be concluded that adhesion strategies showed different results of quartz post dislocationresistance. Simplified adhesive system with sodium benzene sulphinate incorporation providedsuperior dislocation resistance.

Influence of hydroxyethyl acrylamide addition to dental adhesive resin.

OBJECTIVE: to determine the physicochemical properties of experimental adhesive resins containing hydroxyethyl acrylamide. METHODS: Three groups of experimental resin were formulated, GHEAA33% (33.3wt% HEAA+66.6wt% BisGMA), GHEAA50% (50wt% HEAA+50wt% BisGMA), and GHEAA-FREE (33.3wt% HEMA+66.6wt% of BisGMA). The polymerization process of each adhesive resin group, as well as for the homopolymers, BisGMA, HEMA, HEAA, HEMA* without EDAB, and HEAA* without EDAB, was characterized through differential scanning calorimetry (DSC). Elution of monomers was evaluated by (1)H NMR. Dynamic mechanical analysis (DMA) was used to collect the glass transition temperature (Tg), the storage modulus (E') and the reticulation degree (ρ). Flexural strength was calculated by three-point bending test with 0.75mm/min. Softening in solvent was calculated through hardness before and after immersion in water or ethanol. RESULTS: GHEAA50%, GHEAA33%, GHEAA-FREE presented higher polymerization rate ( [Formula: see text] , 12.3 and 5.3mmolg(-1)s(-1), respectively) than homopolymers HEMA, HEMA* and HEAA*. Group with HEAA presented higher degree of conversion (GHEAA50%=64.07%>GHEAA33%=55.82%>GHEAA-FREE=49.02%; p=0.008) All groups presented low elution of monomers (p>0.05). The values of E' were higher on GHEAA33% than GHEAA-FREE (p=0.034). Tg and flexural strength values of GHEAA-FREE were higher than acrylamide groups (p=0.022 and p<0.001, respectively). Hardness varied from 27.05 to 34.78 for water and from 63.27 to 68.51 for ethanol with no difference for ρ values. SIGNIFICANCE: The addition of HEAA increased the materials reactivity and, consequently, improved the maximum rate of polymerization, degree of conversion and the storage modulus of experimental adhesive resin.

Acrylic resin disinfection by peracetic acid and microwave energy / Avaliação da efetividade do ácido peracético e da irradiação por microondas na desinfecção de resina acrílica

Objective: The objective of this study was to evaluate the effectiveness of disinfection methods in microwave and immersion in peracetic acid in heat-cured, self-cured and microwave-cured acrylic resin, contaminated with Candida albicans.Methods: Five specimens were prepared for each type of acrylic resin. All were infected with Candida Albicans, incubated at 37°C for 24 hours. The group which underwent microwave energy was irradiated with a power of 840W for 1 minute and the other group underwent disinfection by soaking of 0.2% peracetic acid for 5 minutes.Results: All samples proved to be contaminated after the incubation period. After the different processes of disinfection, both immersion in 0.2% peracetic acid as microwave irradiation were effective in disinfection of the 3 types of acrylic resins contaminated by Candida Albicans.Conclusion: Concluded that soaking in 0,2% peracetic acid for 5 minutes with microwave irradiation power 840W for 1 minute are effective methods for disinfecting heat-cured acrylic resin, self-cured acrylic resin and microwave-cured acrylic resin, contaminated with Candida Albicans.

Objetivo: Avaliar a eficácia dos métodos de desinfecção em microondas e imersão em ácido peracético em resina acrílica termopolimerizável, autopolimerizável e resina acrílica polimerizada por microondas, contaminadas com Candida albicans.Métodos: Cinco amostras foram preparadas para cada tipo de resina acrílica. Todas foram infectadas com Candida Albicans, incubadas a 37 ° C durante 24 h. O grupo submetido a energia de microondas foi irradiada com uma potência de 840W durante 1 minuto e o outro grupo foi submetido a desinfecção por imersão de ácido peracético a 0,2% durante 5 minutos.Resultados: Todas as amostras mostraram estar contaminadas depois do período de incubação. Depois dos diferentes processos de desinfecção, tanto a imersão em 0,2% de ácido peracético, como a irradiação de microondas foram eficazes na desinfecção dos 3 tipos de resinas acrílicas contaminados por Candida Albicans.Conclusão: Concluiu-se que a imersão em ácido peracético 0,2% durante 5 minutos e a irradiação de microondas com potência de 840W durante 1 minuto são métodos eficazes para a desinfecção de resina acrílica termopolimerizável, resina acrílica autopolimerizável e resina acrílica polimerizada por microondas, contaminados com Candida Albicans.

Chlorhexidine application in adhesive procedures: a meta-regression analysis.

PURPOSE: To evaluate the association between chlorhexidine application and the bond strength of an adhesive system to dentin and to assess the association among eight other variables. MATERIALS AND METHODS: Laboratory studies evaluating the use of chlorhexidine on dentin that verified the immediate and longitudinal bond strength were included. The terms were selected according to the Medical Subject Headings (MeSH) for PubMed and adapted for the other databases accordingly. Systematic searches were conducted in 3 electronic databases in December 2010: PubMed, EMBASE, and LILACS. Languages were limited to English, Spanish, and Portuguese. RESULTS: All longitudinal bond strength studies were analyzed in accordance with the inclusion/exclusion criteria, totaling 16 articles. A meta-regression analysis was performed with articles containing complete mean bond strength data (n = 14 articles). CONCLUSION: Our results showed that the association between the concentration of chlorhexidine and the bond strength is, apparently, not linear. Therefore, future large-scale studies should be developed to investigate the association between the chlorhexidine concentration and hybrid layer preservation.

Influence of delayed pouring on irreversible hydrocolloid properties

The aim of this study was to evaluate the physical properties of irreversible hydrocolloid materials poured immediately and after different storage periods. Four alginates were tested: Color Change (Cavex); Hydrogum (Zhermack); Hydrogum 5 (Zhermack); and Hydro Print Premium (Coltene). Their physical properties, including the recovery from deformation (n = 3), compressive strength (n = 3), and detail reproduction and gypsum compatibility (n = 3), were analyzed according to ANSI/ADA specification no. 18. Specimens were stored at 23ºC and humidity and were then poured with gypsum immediately and after 1, 2, 3, 4, and 5 days. The data were analyzed by two-way analysis of variance (ANOVA) and Tukey's test at p < 0.05. All of the alginate impression materials tested exhibited detail reproduction and gypsum compatibility at all times. Hydro Print Premium and Hydrogum 5 showed recovery from deformation, as established by ANSI/ADA specification no. 18, after 5 days of storage. As the storage time increased, the compressive strength values also increased. Considering the properties of compounds' recovery from deformation, compressive strength, and detail reproduction and gypsum compatibility, irreversible hydrocolloids should be poured immediately.

Influence of delayed pouring on irreversible hydrocolloid properties.

The aim of this study was to evaluate the physical properties of irreversible hydrocolloid materials poured immediately and after different storage periods. Four alginates were tested: Color Change (Cavex); Hydrogum (Zhermack); Hydrogum 5 (Zhermack); and Hydro Print Premium (Coltene). Their physical properties, including the recovery from deformation (n = 3), compressive strength (n = 3), and detail reproduction and gypsum compatibility (n = 3), were analyzed according to ANSI/ADA specification no. 18. Specimens were stored at 23ºC and humidity and were then poured with gypsum immediately and after 1, 2, 3, 4, and 5 days. The data were analyzed by two-way analysis of variance (ANOVA) and Tukey's test at p < 0.05. All of the alginate impression materials tested exhibited detail reproduction and gypsum compatibility at all times. Hydro Print Premium and Hydrogum 5 showed recovery from deformation, as established by ANSI/ADA specification no. 18, after 5 days of storage. As the storage time increased, the compressive strength values also increased. Considering the properties of compounds' recovery from deformation, compressive strength, and detail reproduction and gypsum compatibility, irreversible hydrocolloids should be poured immediately.