Your browser doesn't support javascript.
loading
Mostrar: 20 | 50 | 100
Resultados 1 - 20 de 49
Filtrar
Mais filtros










Intervalo de ano de publicação
1.
Biomed Res Int ; 2021: 9987860, 2021.
Artigo em Inglês | MEDLINE | ID: mdl-34195290

RESUMO

Purpose: The potential of UV-mediated photofunctionalization to enhance the resin-based luting agent bonding performance to aged materials was investigated. Methods: Sixty samples of each material were prepared. Yttria-stabilized zirconia (YZr) and Pd-Au alloy (Pd-Au) plates were fabricated and sandblasted. Lithium disilicate glass-ceramic (LDS) was CAD-CAM prepared and ground with #800 SiC paper. Half of the specimens were immersed in machine oil for 24 h to simulate the carbon adsorption. Then, all of the specimens (noncarbon- and carbon-adsorbed) were submitted to UV-mediated photofunctionalization with a 15 W UV-LED (265 nm, 300 mA, 7692 µW/cm2) for 0 (control groups), 5, and 15 min and subjected to contact angle (Ɵ) measurement and bonded using a resin cement (Panavia™ V5, Kuraray Noritake, Japan). The tensile bond strength (TBS) test was performed after 24 h. The Ɵ (°) and TBS (MPa) data were statistically analyzed using two-way ANOVA and Bonferroni correction tests (α = 0.05). Results: In the carbon-adsorbed groups, UV-mediated photofunctionalization for 5 min significantly decreased Ɵ of all materials and increased TBS of YZr, and UV for 15 min significantly increased the TBS of LDS and Pd-Au. In noncarbon-adsorbed groups, UV-photofunctionalization did not significantly change the Ɵ or TBS except YZr specimens UV-photofunctionalized for 15 min. Conclusion: UV-mediated photofunctionalization might have removed the adsorbed hydrocarbon molecules from the materials' surfaces and enhanced bond strengths of Panavia™ V5 to YZr, LDS, and Pd-Au. Additionally, UV-mediated photofunctionalization improved the overall TBS of YZr. Further investigation on the optimum conditions of UV photofunctionalization on indirect restorative materials should be conducted.


Assuntos
Ligas Dentárias , Fotoquímica/métodos , Cimentos de Resina/química , Adsorção , Carbono , Cerâmica , Desenho Assistido por Computador , Colagem Dentária , Porcelana Dentária , Análise do Estresse Dentário , Ouro/química , Humanos , Hidrocarbonetos/química , Teste de Materiais , Paládio/química , Estudos Prospectivos , Propriedades de Superfície , Resistência à Tração , Raios Ultravioleta , Ítrio/química , Zircônio/química
2.
Polymers (Basel) ; 13(7)2021 Mar 25.
Artigo em Inglês | MEDLINE | ID: mdl-33805907

RESUMO

This study evaluated an experimental two-step self-etch adhesive (BZF-29, BZF) by comparing it with a reference two-step self-etch adhesive (Clearfil Megabond 2, MB) and a universal adhesive (G-Premio Bond, GP) for microtensile bond strength (µTBS) and resin-dentin interfacial characteristics. Twenty-four human third molars were used for the µTBS test. Bonded peripheral dentin slices were separated to observe the resin-dentin interface and measure the adhesive layer thickness with SEM. µTBS data of the central beams were obtained after 24 h and 6 months of water storage. Fracture modes were determined using a stereomicroscope and SEM. Nine additional third molars were used to determine the elastic modulus (E) employing an ultra microhardness tester. Water storage did not affect µTBS of the tested adhesives (p > 0.05). µTBS of BZF and MB were similar but significantly higher than GP (p < 0.05). BZF achieved the highest adhesive layer thickness, while GP the lowest. E of BZF and MB were comparable but significantly lower than GP (p < 0.05). Except for GP, the predominant fracture mode was nonadhesive. The superior bonding performance of BZF and MB could be attributed to their better mechanical property and increased adhesive thickness imparting better stress relief at the interface.

3.
J Esthet Restor Dent ; 33(6): 874-883, 2021 09.
Artigo em Inglês | MEDLINE | ID: mdl-33188588

RESUMO

OBJECTIVE: To evaluate the shade matching ability of a novel supra-nano filled esthetic resin composite employing structural color technology using simplified simulated clinical cavities. Filler morphology and light transmittance characteristics were also evaluated. MATERIALS AND METHODS: One-hundred and twenty frames of resin composite were built in A1, A2, A3, and A4 shades to simulate Class I cavities (diameter = 4 mm, height = 2 mm). For each shaded frame, cavities were filled with three different types of filler containing resin composites (n = 10): supra-nano filled (SN filled) resin composite, microhybrid filled (MH filled) resin composite, and clustered-nano filled (CN filled) resin composite. Color parameters were calculated using CIELAB (△Eab ) and CIEDE2000 (△E00 ). Data were analyzed using one-way analysis of variance (ANOVA), followed by Duncan's test (α = .05). Filler morphology and light transmittance characteristics were measured to explore the role of structural color on shade matching. RESULTS: △Eab and △E00 of SN filled resin composite were significantly lower in A2, A3, and A4 shades (P < .05). CONCLUSIONS: The SN filled resin composite showed better shade matching with A2, A3, and A4 shades of resin composite frames compared to MH filled resin composite, and CN filled resin composite. CLINICAL SIGNIFICANCE: Universal-shade resin composites, which were expected to match nearly all shades, simplify the restorative procedure. Resin composite, which contained spherical supra-nano filler particles, could contribute most to its shade matching by stimulating structural color. Structural color technology may provide additional benefits for shade matching of resin composites.


Assuntos
Cárie Dentária , Estética Dentária , Cor , Resinas Compostas , Humanos , Teste de Materiais
4.
Dent Mater J ; 40(2): 538-546, 2021 Mar 31.
Artigo em Inglês | MEDLINE | ID: mdl-33328395

RESUMO

This study evaluated the effects of remaining dentin thickness (RDT), different smear layers, and aging on the microtensile bond strength (µTBS) of universal adhesives to dentin when applied in self-etch mode. Ninety-six human third molars were randomly allocated to 12 groups (n=8) based on adhesives: ClearfilTM SE Bond 2 (SE, control), ClearfilTM Universal Bond (CU) and ScotchBondTM Universal Adhesive (SB); smear layers: prepared either with 600-grit SiC paper (P) or regular diamond bur (B); and aging: stored in distilled water at 37ºC for 24 hours (24h) or 1 year (1y). µTBS was significantly affected by the type of adhesives, smear layers, and aging (p<0.001). A statistically significant and positive linear relationship was also observed between µTBS and RDT (p<0.05) in all the tested groups, except for SEB1y and CUB24h (p>0.05). RDT, smear layer types, and aging can influence the bonding performances of universal adhesives when applied in self-etch mode.


Assuntos
Colagem Dentária , Camada de Esfregaço , Adesivos , Envelhecimento , Cimentos Dentários , Dentina , Adesivos Dentinários , Humanos , Teste de Materiais , Cimentos de Resina , Resistência à Tração
5.
Braz Oral Res ; 34: e020, 2020.
Artigo em Inglês | MEDLINE | ID: mdl-32236317

RESUMO

This in vitro study aimed to assess the effects of different pretreatments used to adapt glass-fiber posts cemented to root canals with different resin cements, regarding porosity percentage and bond strength. Twelve bovine incisor roots were prepared with Largo drills. After post space preparation, the specimens were randomized into two types of pretreatment groups (n = 3): water-wet bonding and ethanol-wet bonding. After the post were cemented, the roots were stored in 100% humidity at room temperature for 7 days. The samples were scanned by microcomputed tomography (micro-CT). Images were reconstructed by NRecon software, and CTAn software was used to analyze the porosity percentage (%) at the luting interface. Evaluation of the push-out bond strength was performed by serially cutting the roots, and submitting the slices to testing. Additionally, the resin cement post-gel shrinkage values (%) were measured using the strain-gauge method (n = 10). Data were analyzed by two-way ANOVA, Tukey's test and Student's t test (a = 0.05). The roots prepared with ethanol-wet bonding using RelyX™ U200 had significantly lower porosity in the coronal and apical thirds (p < 0.05). The group prepared with ethanol-wet bonding using RelyX™ ARC presented better bond strength results in the coronal and apical thirds (p < 0.05). RelyX™ ARC (0.97%) produced a higher post-gel shrinkage value than RelyX™ U200 (0.77%). Canals pretreated with ethanol-wet bonding presented better outcomes in regard to porosity percentage and push-out bond strength.


Assuntos
Adesivos Dentinários/farmacologia , Etanol/farmacologia , Técnica para Retentor Intrarradicular , Cimentos de Resina/química , Raiz Dentária/efeitos dos fármacos , Animais , Bovinos , Colagem Dentária , Materiais Dentários/química , Cavidade Pulpar , Vidro , Teste de Materiais , Porosidade , Irrigantes do Canal Radicular/química , Microtomografia por Raio-X
6.
Jpn Dent Sci Rev ; 56(1): 24-31, 2020 Dec.
Artigo em Inglês | MEDLINE | ID: mdl-31827652

RESUMO

Microtensile bond strength (µTBS) test was introduced in 1994. Since then, it has been utilized profoundly across many bond strength testing laboratories, making it currently one of the most standard and versatile bond strength test. Although it is a static and strength-based method, together with the morphological and spectroscopic investigations, it has been contributing immensely in the advancement of dentin adhesive systems. µTBS test has a greater discriminative capability than the traditional macro-shear bond test. During the early stage of its development, the authors predicted that this testing method would enable evaluation of the adhesive performances of resins to excavated carious or sclerotic dentin and the regional bond strengths of various portions of the cavity. In addition, they also stated the possibility of comparing the long-term stability of resin adhesion at various portions of the cavity walls on teeth extracted at various times after insertion of bonded restorations. In this review, we discussed the historical background, inception and the application of the µTBS test and proposed directions for further improvement of this testing method.

7.
Arq. odontol ; 56: 1-8, jan.-dez. 2020. tab
Artigo em Português | LILACS, BBO - Odontologia | ID: biblio-1087806

RESUMO

Objetivo:O objetivo do estudo foi verificar, in vitro, a alteração de cor da resina composta Beautiful-Bulk®, exposta aos líquidos pigmentantes. Métodos:Foram confeccionados 60 espécimes da resina (15,0 mm de diâmetro e 1,0 mm de espessura, n = 5) nas cores A2, B2 e C2. Os espécimes foram mantidos em uma sala escura por sete dias, em ambiente seco, a 37 °C e, em seguida, foram fotografados com aparelho celular iPhone 6S®. Os espécimes foram divididos aleatoriamente e submetidos a ciclos de imersão em quatro líquidos: água destilada (controle), suco de açaí, Coca-Cola® e molho de tomate. As imersões foram realizadas em sete e quatorze dias de forma cíclica, após a confecção dos espécimes, três vezes ao dia, durante 20 minutos. Ao fim de cada ciclo, novas fotografias foram realizadas. As imagens foram analisadas no programa Adobe Photoshop® e os dados convertidos em L*a*b através de um histograma. A variação de cor (∆E) foi analisada pela escala CIE-Lab. Resultados:A análise dos resultados (One-way ANOVA, Teste de Tukey, p < 0,05) demonstrou que o grupo controle produziu maior alteração de cor (p < 0,05) em sete e quatorze dias na cor A2. A cor B2, no ciclo de quatorze dias, apresentou maior alteração de cor (p < 0,05) para os espécimes imersos em molho de tomate sem diferença estatística (p > 0,05) do controle. Para a cor C2, os espécimes imersos em molho de tomate tiveram maior alteração de cor (p < 0,05) em sete dias. Conclusão:Conclui-se que todas as substâncias pigmentantes e a água destilada foram capazes de produzir grandes alterações de cor na resina Beautifil Bulk®. Existe uma interação significativa entre a cor da resina e agentes pigmentantes.


Aim: This study sought to verify, in vitro, the color change of the nanoparticle composite resin, Beautiful Bulk®, exposed directly to pigmented liquids. Methods: Sixty test specimens were made in a Metal matrix (15.0 mm X 1.0 mm) using composite resin (n = 5) in colors A2, B2, and C2. The specimens were photographed with a smartphone (iPhone 6S®) seven days after the preparation. The specimens were kept in the dark for seven days, dry, at 37°C. The specimens were then randomly divided and immersed in four liquids: distilled water (control), açaí juice, Coca-Cola®, and tomato sauce. The immersions were performed in seven and fourteen days cyclically, three times a day, for 20 minutes. At the end of each immersion cycle, new photographs were taken with the same smartphone. The images were analyzed in the Adobe Photoshop® program, and the data was converted to L* a* b* through a histogram. The color variation (∆E) was analyzed by the CIE-Lab scale. Results: Analysis of the results (Tukey's test, p < 0.05) showed that the control group produced a greater color change (p < 0.05) in seven and fourteen days in the A2 shade. The B2 shade, in fourteen days, showed a greater color change (p < 0.05) for the specimens immersed in tomato sauce with no statistical difference (p > 0.05) of the control. For the C2 shade, the specimens immersed in tomato sauce presented a greater color change (p < 0.05) at seven days. Conclusion: It could therefore be concluded that there is a significant interaction between the composite resin and pigment agents. All pigmented substances produced color changes in the composite resin.


Assuntos
Resinas Sintéticas , Pigmentação , Cor , Resinas Compostas , Materiais Dentários , Imersão
8.
Int J Mol Sci ; 20(21)2019 Oct 29.
Artigo em Inglês | MEDLINE | ID: mdl-31671751

RESUMO

The removal or modification of smear layers that cover the dentin is critical to allow the penetration of adhesive molecules and to ensure a strong bond between resin and dentin. Aiming to establish a model for clinically-relevant dentin-bond testing, we evaluated the effects of smear layers created by abrasives having similar coarseness (180-grit SiC paper; fine-grit diamond bur) and application modes (single application; double application) on the microtensile bond strengths (µTBS) of two currently available universal adhesives (G-Premio Bond; Scotchbond Universal Adhesive) and a two-step self-etch adhesive (Clearfil Megabond 2). Sixty extracted human third molars were used for the µTBS test. Data were analyzed by three-way ANOVA and Tukey's test (α = 0.05). Fracture modes were determined using stereomicroscopy. An additional 24 third molars were prepared for observation of the resin-dentin interface by TEM and adhesive-smear layer interaction by SEM. µTBS was significantly affected by the adhesives and their application modes (p < 0.001), implying that the double application of universal adhesives should be recommended to improve their performance. The effect of smear layers was not significant (p > 0.05), indicating that 180-grit SiC papers could be used to prepare dentin as a substitute for fine-grit diamond burs for dentin-bond testing in laboratory settings.


Assuntos
Adesivos/química , Colagem Dentária/métodos , Adesivos Dentinários/química , Camada de Esfregaço/química , Estresse Mecânico , Resistência à Tração , Resinas Compostas/química , Dentina/ultraestrutura , Humanos , Teste de Materiais , Microscopia Eletrônica de Transmissão , Dente Serotino , Cimentos de Resina , Propriedades de Superfície
9.
J Adhes Dent ; 21(5): 413-421, 2019.
Artigo em Inglês | MEDLINE | ID: mdl-31624806

RESUMO

PURPOSE: To evaluate the potential of an additional application of two novel hydrophobic experimental adhesive resins with or without bioactive zinc fluoride glass to promote the bond strength of a one-step self-etch universal adhesive. MATERIALS AND METHODS: Three self-etch universal adhesives, G-Premio Bond (GPB), Scotchbond Universal (SBU) and Clearfil SE Bond 2 (SE2), and two experimental adhesive resins, BZF210 and BZF21, were used in this study; thus, five groups were formed: GPB, GPB+BZF210, GPB+BZF21, SBU, and SE2. The adhesives were applied to flat dentin surfaces according to each manufacturer's instructions. The microtensile bond strengths (µTBS) were evaluated after 24-h water storage. The fracture modes and interfacial structures were analyzed using SEM, while elemental analysis was performed using SEM-EDS. The data were analyzed using one-way ANOVA and the Games-Howell test (p < 0.05). RESULTS: Significantly higher µTBS was achieved by additional application of BZF210 (48.68 ± 6.59 MPa) and BZF21 (58.58 ± 2.84 MPa) compared with GPB (33.57 ± 4.22 MPa) alone. Most failures occurred above the smear layer in GBP, while more cohesive and mixed failures were observed in GBP+BZF210, GPB+BZF21, SBU, and SE2. The interfacial structures revealed that GBP+BZF210 and GPB+BZF21 had more and longer resin tags than did GPB. SEM-EDS showed a particularly high peak of zinc in GPB+BZF21. CONCLUSIONS: The bond strength of GPB was significantly improved by the additional application of BZF210 and BZF21. Using an additional bioactive hydrophobic layer on a one-step, self-etch universal adhesive can significantly improve its bonding efficacy and extend its clinical options.


Assuntos
Colagem Dentária , Resinas Compostas , Cimentos Dentários , Dentina , Adesivos Dentinários , Teste de Materiais , Cimentos de Resina , Resistência à Tração
10.
J Adhes Dent ; 21(5): 423-431, 2019.
Artigo em Inglês | MEDLINE | ID: mdl-31624807

RESUMO

PURPOSE: To evaluate the effect of human and bovine root dentin age on the bond strength of fiber posts fixed with resin cements. The degree of conversion (DC) of the resin cements in different root thirds also was evaluated. MATERIALS AND METHODS: Ninety-six single-rooted teeth were divided into groups according to the origin and age: young human (20-30 years), old human (over 60 years), young bovine (24-36 months) and adult bovine (over 48 months). The teeth were endodontically treated, and fiber posts were cemented with resin cements (RelyX Ultimate and RelyX U200). After 24 h, the teeth were sectioned perpendicularly and the push-out test was performed in a universal testing machine at a speed of 0.5 mm/min, until failure. One specimen from each third from each group (n = 6) was selected, and the DC of the resin cements was analyzed by FT-Raman spectroscopy. RESULTS: For both resin cements, the young human root dentin group presented the highest bond strengths and the old human root dentin group presented the lowest (p < 0.05). The bond strengths of bovine root dentin groups were not affected by aging (p > 0.05). For the DC of resin cements, there were differences among the root thirds (p < 0.05), with the lowest values observed in the apical third. CONCLUSIONS: The bond strengths were higher in the young human root canal than in the bovine substrate, with a negative effect of aging in the human substrate. The DC of dual-curing resin cements decreased from the coronal to apical root thirds.


Assuntos
Colagem Dentária , Técnica para Retentor Intrarradicular , Adulto , Animais , Bovinos , Análise do Estresse Dentário , Dentina , Humanos , Teste de Materiais , Cimentos de Resina , Adulto Jovem
11.
Oral Health Prev Dent ; 17(5): 403-412, 2019.
Artigo em Inglês | MEDLINE | ID: mdl-31612158

RESUMO

PURPOSE: To compare the clinical efficacy of toothpastes containing Pro-Argin and NovaMin as dentin hypersensitivity (DH) treatment. MATERIALS AND METHODS: A systematic review and meta-analysis based on PRISMA was conducted (PROSPERO registration CRD42018095367). Electronic searches were performed in Pubmed, Scopus, Cochrane Library, Web of Science, Virtual Health Library and Open Grey until June 2018, with the terms [pro-argin OR arginine] AND [novamin OR calcium sodium phosphosilicate OR calcium sodium phospho silicate]. Randomised and non-randomised clinical trials comparing DH reduction in adults given Pro-argin-containing toothpastes and NovaMin-containing toothpastes were included. Study selection and quality assessment with Cochrane tool were performed. In the meta-analysis, the comparison between desensitising toothpastes was assessed by standardised mean difference (SMD) with 95% confidence intervals (CI). Certainty of evidence was evaluated with GRADE. RESULTS: Five studies fulfilled the inclusion criteria. In four included studies, a reduction in the DH under tactile stimulus between baseline and post-application times for both toothpastes was demonstrated. Three studies were suitable for meta-analysis. No statistically significant difference between the two toothpastes for DH reduction was observed at immediate (SMD = -1.05, CI = -3.52;1.41), 2-week (SMD = -0.55, CI = -2.59;1.48) and 4-week (SMD = -0.49, CI = -2.78;1.81) follow-up. Certainty of the evidence was very low. Included studies presented a high risk of bias. CONCLUSIONS: Pro-argin-containing and NovaMin-containing toothpastes showed effectiveness for DH reduction. No statistically significant difference between the two toothpastes was found. Thus, both can be prescribed to treat DH in adults with equivalent effectiveness up to four weeks.


Assuntos
Dessensibilizantes Dentinários , Sensibilidade da Dentina , Adulto , Arginina , Carbonato de Cálcio , Fluoretos , Vidro , Humanos , Fosfatos , Cremes Dentais , Resultado do Tratamento
12.
J Clin Exp Dent ; 11(4): e353-e359, 2019 Apr.
Artigo em Inglês | MEDLINE | ID: mdl-31110615

RESUMO

Background: The increasing demand of tooth bleaching has also increased the need of researches focusing on the durability of the resultant color. The aim of this study was to evaluate the effect of a system based on calcium silicate, sodium phosphate and sodium monofluorophosphate (Regenerate™) on color maintenance of bleached enamel considering two waiting times for the contact with a cola drink. Material and Methods: This in vitrostudy was performed on bovine enamel specimens (n = 100), bleached with 35% H2O2 and treated with: G1 Distilled water; G2 Artificial saliva; G3 RegenerateTM Serum and Toothpaste; G4 RegenerateTM Toothpaste; G5 RegenerateTM Serum. The groups G3, G4 and G5 received one application of the respective products for 3 min, in 3 consecutive days. The color parameters (ΔE, L*, a*, b*) were evaluated by spectrophotometry before and after bleaching and after surface treatments and immersion (15min) in cola drink, on the waiting times of 24 hours (T1) and 7 days (T2). The effect of surface treatments and waiting times was evaluated by Two-Way ANOVA, Kruskal-Wallis, Wilcoxon and T test (p<0.05). Results: There was no significant effect of the surface treatments (p=0.57), waiting times (p=0.97) and their interaction (p=0.47) considering ΔE. The analysis of repeated measures of the color coordinates L*, a* and b* showed a decrease of chromaticity (a*, b*) for G3, G4 and G5 and an increase of lightness (L*) for G5, after immersion in cola drink, suggesting some protection against bleached enamel pigmentation. Conclusions: RegenerateTM has a potential protective effect on bleached enamel color maintenance. The waiting times of 24 hours and 7 days for the contact with the cola drink did not influence bleached enamel color maintenance. Key words:Tooth bleaching, hydrogen peroxide, spectrophotometry, pigmentation.

13.
Contemp Clin Dent ; 10(3): 561-564, 2019.
Artigo em Inglês | MEDLINE | ID: mdl-32308338

RESUMO

Dental implants are a common and successful option for the rehabilitation of edentulous areas. However, there are some limitations to their use. The present clinical report describes a 5-year follow-up of maxillary rehabilitation using an attachment-retained removable partial denture (RPD) associated with fixed partial denture (FPD) units as an alternative to orthodontic treatment associated with orthognathic surgery and dental implant placement. Rehabilitation with fixed prosthodontics associated with a removable partial prosthesis was proposed. For greater precision and stability, a gold attachment was prepared. The patient was very satisfied with the rehabilitation and has been clinically followed for 5 years. In cases where the use of dental implants and/or conventional FPDs is limited or not indicate the association between an FPD and an RPD by means of attachments remains an important alternative to conventional clasp-retained RPDs.

14.
Oral Dis ; 25(6): 1446-1464, 2019 Sep.
Artigo em Inglês | MEDLINE | ID: mdl-30338628

RESUMO

OBJECTIVE: To evaluate studies assessing the prevalence of dental caries and developmental defects of enamel (DDE) in individuals with chronic kidney disease (CKD) in comparison with individuals without CKD. MATERIALS AND METHODS: Electronic searches were performed in PubMed, Web of Science, Scopus, Medline via Ovid, and ProQuest databases from their inception date until February 2018. Two review authors independently selected the studies, extracted data, and assessed the methodological quality. Meta-analysis was performed. RESULTS: Twenty-seven studies were included in this study. For permanent teeth, 14 studies found that individuals without CKD had higher dental caries scores than those with CKD. However, only five studies presented results with a statistically significant difference between groups. Among the studies evaluating primary teeth, five showed that individuals without CKD had higher dental caries scores than those with CKD. Five studies showed that individuals with CKD had a significantly higher prevalence of DDE than individuals without CKD. The meta-analyses showed that individuals without CKD had significantly higher scores of dental caries teeth and surfaces than individuals with CKD. For DDE, no statistical difference between groups was observed. CONCLUSIONS: Individuals with CKD present lower dental caries scores and a higher prevalence of DDE in comparison with individuals without CKD.


Assuntos
Cárie Dentária/epidemiologia , Esmalte Dentário/anormalidades , Insuficiência Renal Crônica/complicações , Insuficiência Renal Crônica/epidemiologia , Anormalidades Dentárias/epidemiologia , Estudos de Casos e Controles , Cárie Dentária/etiologia , Humanos , Prevalência , Anormalidades Dentárias/complicações , Dente Decíduo
15.
J Adhes Dent ; 20(6): 471-479, 2018.
Artigo em Inglês | MEDLINE | ID: mdl-30564794

RESUMO

PURPOSE: To assess whether bovine teeth can be used as viable alternatives for human teeth in tensile and shear bond strength testing. MATERIALS AND METHODS: Articles were selected from Web of Science, PubMed, Scopus, LILACS-Bireme, and BBO electronic databases using keywords obtained from Medical Subject Headings (MeSH). Of 1540 potentially eligible studies, 157 were selected for full text analysis. Five independent reviewers (Kappa = 0.89) selected the studies, abstracted information, and assessed quality based on standardized scales. After the analysis, 78 studies comparing bovine teeth to human teeth were found. Only 18 studies comparing bovine and human substrates in bond strength tests were included in the systematic review and 13 in the meta-analysis. Two authors independently selected the studies, extracted the data and assessed the risk of bias. Mean differences were obtained by comparing tensile and shear bond strengths between human and bovine teeth (permanent and deciduous) and considering enamel and dentin separately (subgroup analysis). Statistical analysis was performed using RevMan5.1, with a random-effect model, at a 5% significance level. RESULTS: No significant difference was found between human and bovine teeth in tensile tests (p = 0.41) for dentin (p = 0.86), but there was a difference for enamel (p = 0.01). Regarding shear bond strength, no significant difference was found between human and bovine teeth (p = 0.16) either for enamel (p = 0.07) or dentin (p = 0.68). Regarding shear bond strength on deciduous teeth, no significant difference was found between human and bovine substrates (p = 0.54), either for enamel (p = 0.42) or dentin (p = 0.05). Most studies were at high (low or unclear) risk of bias. CONCLUSIONS: In shear bond strength testing, bovine teeth can be a suitable alternative for permanent and deciduous human teeth, for both enamel and dentin substrates. However, they may not be suitable for enamel tensile bond strength testing. The findings are based on low quality studies (considerable heterogeneity) and should be interpreted with caution.


Assuntos
Colagem Dentária , Esmalte Dentário , Dentina , Resistência ao Cisalhamento , Resistência à Tração , Animais , Bovinos , Adesivos Dentinários , Humanos , Técnicas In Vitro , Teste de Materiais
16.
Eur J Dent ; 12(4): 590-593, 2018.
Artigo em Inglês | MEDLINE | ID: mdl-30369808

RESUMO

This clinical report describes an 8-year follow-up evaluation using different thicknesses of porcelain laminate veneers of diastema and malformed anterior teeth. Minimally invasive treatment with no preparation or minimal reduction options could be considered and chosen based on the characteristics of each case. Laminate veneers with or without reduction can offer an excellent result regarding esthetics and function. Despite its failure without reduction, this treatment is indicated because it can be applied regardless of the structure of the teeth. At first, no tooth preparation with rotatory instruments was performed, and porcelain laminates of minimum thickness were made for the four maxillary anterior teeth. After 6 years, the adhesive interfaces were stained, and the patient was unsatisfied with the esthetics of her smile. Therefore, at that time, the professional decided to prepare the anterior teeth for porcelain laminate veneers. Diastema closure and/or correction of malformed anterior teeth using porcelain laminate veneers is a viable option for the clinician because it restores esthetic harmony. The patient was very pleased with the new laminate veneers.

17.
Contemp Clin Dent ; 9(1): 123-127, 2018.
Artigo em Inglês | MEDLINE | ID: mdl-29599598

RESUMO

Implant therapy has become a common practice and esthetic demands have tremendously increased, especially in the replacement of anterior teeth in patients with a high lip line. This report presents a gingival veneer as a viable treatment modality to mask peri-implant marginal gingival defects. An impression of the upper arch was made and the gingival veneer was waxed, and clinical confirmation was obtained, followed by laboratory processing, finishing, and polishing. After installing, it adapted to the proximal niches and exhibited good stability. A gingival veneer can be a feasible alternative with excellent esthetic results, when indicated and correctly executed to mask possible defects in the peri-implant marginal gingiva associated with a malpositioned single dental implant.

18.
J Adhes Dent ; : 517-523, 2017 Dec 21.
Artigo em Inglês | MEDLINE | ID: mdl-29292408

RESUMO

PURPOSE: To evaluate the effect of sodium fluoride and chlorhexidine digluconate on the composite-dentin bond strength of a self-etch adhesive after thermocycling. MATERIALS AND METHODS: Eighteen human third molars were prepared to expose a flat dentin surface and were divided into 3 groups (n = 6) according to the 3 cavity cleaning solutions: distilled water, 2% chlorhexidine digluconate (CHX), or 1.23% sodium fluoride (NaF). Solutions were rubbed onto dentin surfaces for 60 s, followed by bonding with Clearfil SE Bond, and a 5-mm-thick composite crown buildup. Bonded teeth were stored in distilled water for 24 h and then longitudinally sectioned to obtain bonded sticks. Half of the specimens were immediately tested in tension at 0.5 mm/min, while the remaining specimens were tested after 60,000 thermal cycles. Data were analyzed using two-way ANOVA and the Holm-Sidak method. RESULTS: There was no significant difference between the groups after 24 h (p > 0.05). Thermocycling resulted in significant bond strength reduction for distilled water and CHX (p < 0.05). When 24 h bond strengths were compared to the thermocycling group, NaF maintained its bond strength (p > 0.05), while significant reductions were observed for distilled water and CHX (p < 0.05). CONCLUSIONS: Pretreatment with NaF maintained the bond strength of Clearfil SE Bond to dentin after 60,000 thermal cycles, but pretreatment with CHX did not.

19.
J Adhes Dent ; 17(4): 337-45, 2015 Aug.
Artigo em Inglês | MEDLINE | ID: mdl-26258176

RESUMO

PURPOSE: This study evaluated (1) the dentin bond strength of fluoridated restorative systems following aging and (2) the enamel/dentin microhardness around restorations after a pH-cycling regimen. MATERIALS AND METHODS: Sixty-four human third molars and four restorative systems were used. A resin-modified glass ionomer (GC Fuji II LC) was used as a fluoride-containing material in the positive control group, while Adper Easy Bond adhesive and Filtek Z350 XT composite resin, which are not fluoridated, were used together in the negative control group. Beautifil II composite resin and FL-Bond II adhesive, both fluoride-containing materials, were compared to Bond Force and Estelite Sigma Quick restorative system, which only contain fluoride in the adhesive. For dentin bond strengths, specimens of each material were fabricated for two test groups (n=8): group 1: tested after 24 h; group 2: tested after 1 year of storage in artificial saliva. Both groups were tested using a microtensile method. For the cross-sectional microhardness test, standardized Class V cavities were prepared and filled with the different restorative systems. After experiencing repeated thermocycling and being subjected to pH-cycling, the teeth were sectioned. The microhardness was measured in enamel and dentin at 50 µm from the cavity wall and at six depths in relation to the surface subjected to pH cycling. RESULTS: None of the restorative systems showed decreased bond strength after storage for one year in artificial saliva. No significant differences in microhardness were observed among the restorative materials on enamel and dentin. CONCLUSION: All the restorative systems evaluated presented stable bond strength after one year of storage. The pH cycling caused a reduction in the superficial enamel microhardness close to the cavity wall. In dentin, the demineralization affected the superficial and sub-surface areas.


Assuntos
Cariostáticos/química , Colagem Dentária , Materiais Dentários/química , Restauração Dentária Permanente , Dentina/ultraestrutura , Fluoretos/química , Desmineralização do Dente/patologia , Bis-Fenol A-Glicidil Metacrilato/química , Cariostáticos/farmacologia , Resinas Compostas/química , Esmalte Dentário/efeitos dos fármacos , Dentina/efeitos dos fármacos , Adesivos Dentinários/química , Fluoretos/farmacologia , Cimentos de Ionômeros de Vidro/química , Dureza , Humanos , Concentração de Íons de Hidrogênio , Teste de Materiais , Cimentos de Resina/química , Resinas Sintéticas/química , Saliva Artificial/química , Estresse Mecânico , Resistência à Tração , Fatores de Tempo
20.
Curr Drug Deliv ; 11(6): 719-28, 2014.
Artigo em Inglês | MEDLINE | ID: mdl-25469778

RESUMO

Dental disorders, such as caries, periodontal and endodontic diseases are major public health issues worldwide. In common, they are biofilm-dependent oral diseases, and the specific conditions of oral cavity may develop infectious foci that could affect other physiological systems. Efforts have been made to develop new treatment routes for the treatment of oral diseases, and therefore, for the prevention of some systemic illnesses. New drugs and materials have been challenged to prevent and treat these conditions, especially by means of bacteria elimination. "Recent progresses in understanding the etiology, epidemiology and microbiology of the microbial flora in those circumstances have given insight and motivated the innovation on new therapeutic approaches for the management of the oral diseases progression". Some of the greatest advances in the medical field have been based in nanosized systems, ranging from the drug release with designed nanoparticles to tissue scaffolds based on nanotechnology. These systems offer new possibilities for specific and efficient therapies, been assayed successfully in preventive/curative therapies to the oral cavity, opening new challenges and opportunities to overcome common diseases based on bacterial biofilm development. The aim of this review is to summarize the recent nanotechnological developments in the drug delivery field related to the prevention and treatment of the major biofilm-dependent oral diseases and to identify those systems, which may have higher potential for clinical use.


Assuntos
Biofilmes/efeitos dos fármacos , Odontologia , Sistemas de Liberação de Medicamentos , Doenças da Boca/tratamento farmacológico , Doenças da Boca/microbiologia , Nanotecnologia , Humanos
SELEÇÃO DE REFERÊNCIAS
DETALHE DA PESQUISA
...