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1.
J Contemp Dent Pract ; 21(1): 73-77, 2020 Jan 01.
Artigo em Inglês | MEDLINE | ID: mdl-32381805

RESUMO

AIM: The present study aimed to evaluate the sealing potential and marginal adaptation of different root canal sealers to dentin. MATERIALS AND METHODS: A total of sixty human lower premolars of the permanent dentition that were extracted were used for this study. The visible debris and calculus were removed from the extracted teeth ultrasonically and were kept for 2 hours in 2.5% sodium hypochlorite and stored in normal saline till next use. A low-speed diamond disc was used to section all the teeth samples at the cementoenamel junction. Later, cleaning and shaping of the canals was done. Based on the sealer used, the samples (each group consisting of 20 samples) were divided randomly into three groups: group I-bioceramic sealer, group II-resin-based sealer, group III-MTA-based sealer. All split samples were visualized under scanning electron microscope (SEM) at apical and coronal thirds of root canal, the marginal gap at root dentin and sealer interface were assessed. RESULTS: The highest marginal adaptation (5.60 ± 0.12) was demonstrated by EndoSequence BC sealer, followed immediately by ProRoot MTA sealer (4.48 ± 0.12) and EndoREZ sealer (2.10 ± 0.54). A statistically significant difference (p = 0.001) was seen between the EndoSequence BC and ProRoot MTA sealer for apical and coronal marginal adaptation. Also, a statistically significant difference (p < 0.05) was found between EndoSequence BC sealer vs EndoREZ sealer at coronal and EndoSequence BC sealer vs EndoREZ sealer and EndoREZ sealer vs ProRoot MTA sealer at apical third. CONCLUSION: The present study concluded that significant and better sealing ability and marginal adaptation was demonstrated by EndoSequence BC (bioceramic sealer) when compared to ProRoot MTA sealer (MTA-based sealer) and EndoREZ sealer (resin-based sealer). CLINICAL SIGNIFICANCE: Numerous endodontic sealers enter the market with various factors to attain acceptable seal. According to current study bioceramic sealer, is the appropriate sealer that hermetically seals all the margins.


Assuntos
Cavidade Pulpar , Dentina , Humanos , Microscopia Eletrônica de Varredura , Tratamento do Canal Radicular , Raiz Dentária
2.
J Contemp Dent Pract ; 21(1): 91-96, 2020 Jan 01.
Artigo em Inglês | MEDLINE | ID: mdl-32381808

RESUMO

AIM: The aim of this study was to assess if the curing mode and the etching mode could affect the push-out bond strength of different post cementation systems using two universal adhesives. MATERIALS AND METHODS: A total of 100 single-rooted teeth were divided into Prime & Bond Elect (PBE), Prime & Bond Active (PBA), and Prime & Bond XP (PBXP) as a control. The PBE, PBA, and PBXP were used in the self-etch (SE) and etch and rinse (E&R) mode. Post cementation was performed using Core X flow used in dark-cure and in light-cure. Data were analyzed using the one-way ANOVA test and post hoc Bonferroni and Dunnet tests. The Student's t test was performed to find significance between two independent groups. RESULTS: Bond strength was significantly influenced by the adhesive strategies. The PBE and PBA obtained higher values when used in the SE mode (p < 0.001). Light-cured groups obtained significantly higher values (p < 0.001) compared to dark-cured groups. The post space region also had a significant effect on the bond strength; the apical third recorded lower values in all groups (p < 0.001). CONCLUSION: The PBA and PBE universal adhesives obtained higher PBS values when used in the SE mode and followed by the light-curing of resin cement. CLINICAL SIGNIFICANCE: Universal adhesives represent a good alternative to the conventional total-etch adhesive system for fiber post cementation. Since they perform better in SE, they would be recommendable in clinical practice, as they can be used with a simplified technique.


Assuntos
Colagem Dentária , Adesivos Dentinários , Cimentos Dentários , Dentina , Humanos , Cimentos de Resina
3.
J Contemp Dent Pract ; 21(2): 119-123, 2020 Feb 01.
Artigo em Inglês | MEDLINE | ID: mdl-32381813

RESUMO

AIM: The aim of this study is to compare the efficacy of dipotassium oxalate and potassium nitrate to occlude dentinal tubules. MATERIALS AND METHODS: This study utilized Parkinson model of longitudinal dentin tubule occluding properties of dentifrices under a 4-day acid challenge. Dentin disks of approximately 1.5 mm thick were sectioned from the crowns of the freshly extracted molars. The disks were randomized into three sets of 15 and treated with dipotassium oxalate, potassium nitrate, or used as a control. The disks were then subjected to a 4-day acid challenge and evaluated by scanning electron microscopy (SEM). RESULTS: On days 1, 2, and 3, dipotassium oxalate showed significant occlusion of dentinal tubules. On day 4, no significant difference was observed between dipotassium oxalate and potassium nitrate. Both test groups showed better occlusion properties in comparison to the control. CONCLUSION: Through the use of a 4-day acid challenge, this study demonstrates that both agents can indeed occlude dentinal tubules. Initially, dipotassium oxalate does occlude dentinal tubules faster than potassium nitrate. However, at the conclusion of the acid challenge, minimal differences were observed in occlusion rate among the two agents. Further studies should be conducted to determine the efficacy of these two agents. CLINICAL SIGNIFICANCE: Both dipotassium oxalate and potassium nitrate can help treat patients with dentinal hypersensitivity.


Assuntos
Permeabilidade da Dentina , Ácido Oxálico , Dentina , Humanos , Nitratos , Compostos de Potássio
4.
Indian J Dent Res ; 31(2): 305-311, 2020.
Artigo em Inglês | MEDLINE | ID: mdl-32436913

RESUMO

Background: Abfraction is a loss of tooth structure along the gingival margin and manifests with different clinical appearances. It has multifactorial etiology and may occur due to normal and abnormal tooth function and may also be accompanied by pathological wear, such as abrasion and erosion. The theory behind the abfraction is that the tooth flexure in the cervical area is caused due to occlusal compressive forces and tensile stresses. This results in the fractures in the hydroxyapatite (HA) crystals. It is also caused by the low packing density of the Hunter-Schreger band (HSB) at the cervical area. Unfortunately, there is a lack of evidence regarding the outcome of abfraction with or without intervention. The aim of this review is to collect clinical information from the literature and discuss the etiology, pathogenesis, clinical representation, and management. Also, search databases for clinical studies that describe the role of sclerotic dentine in non-carious cervical lesions (NCCLs) are becoming a clinical challenge. Methods: The literature was searched that described the etiology, pathogenesis, clinical representation, and management of the abfraction lesions. Also, a specific question regarding the formation of sclerotic dentin in the NCCL lesion was described and searched for evidence that challenges etching, bonding, and successfully restoring NCCLs. The databases PUBMED, SCOPUS, MEDLINE, WEB of SCIENCE, and EMBASE were searched using the key terms. The inclusion criteria were the randomized controlled clinical trial, cohort studies, and cross-sectional studies that aimed at determining the role of sclerotic dentine in NCCLs and its effect on etching, bonding. Results: One clinical study was retrieved according to the PRISMA flowchart and PICO format. The longer etching time, total-etch adhesive system, and EDTA pre-treatment of the sclerotic dentin of cervical wedge-shaped defects could improve the bonding strength in lesions like NCCL's. Conclusion: In conclusion, clinical challenges that occur due to NCCLs are better managed by a proper understanding of factors like etiopathogenesis, ultra-structure of enamel, and dentine and their effect on the bonding of restorations of the tooth.


Assuntos
Colo do Dente , Doenças Dentárias , Estudos Transversais , Esmalte Dentário , Dentina , Humanos
5.
Stomatologiia (Mosk) ; 99(2): 7-10, 2020.
Artigo em Russo | MEDLINE | ID: mdl-32441068

RESUMO

The purpose of the study was to evaluate the degree of purification of the deltoid root canal branching during endodontic treatment of teeth. Morphological assessment of dentine of 14 extracted incisors and premolars in patients aged from 24 up to 56 years with the diagnosis chronic apical periodontitis was conducted in two experimental groups: main (1 group, 7 teeth) and control (2 group, 7 teeth). In the 2 group conventional root canal treatment was carried out with processing of 3% solution of sodium hypochlorite and final sealing with gutta-percha pins by lateral condensation. In the 1 group root canals were additionally irrigated by 3% sodium hypochlorite solution by means of the RinsEndo device. Based on the study results we recommend using the hydrodynamic method of irrigation of root canals with 3% sodium hypochlorite solution in endodontic treatment of patients with chronic apical periodontitis.


Assuntos
Periodontite Periapical , Materiais Restauradores do Canal Radicular , Cavidade Pulpar , Dentina , Humanos , Pessoa de Meia-Idade , Irrigantes do Canal Radicular , Obturação do Canal Radicular , Preparo de Canal Radicular , Hipoclorito de Sódio
6.
Stomatologiia (Mosk) ; 99(2): 21-25, 2020.
Artigo em Russo | MEDLINE | ID: mdl-32441071

RESUMO

OBJECTIVE: To study the hydrodynamics of the dentinal fluid along the dentinal tubule in the event of its opening as a result of mechanical and acid treatment of the dental crown dentin. Material and methods: A licensed version of the ANSYS / FLOTRAN computer program was used, which is a software tool for solving various problems of hydrodynamics, including laminar and turbulent flow of an incompressible or compressible fluid. RESULTS: The results of computer simulation showed that 1.5 ms after drying of the dentin tubule (length 6 mm) it is refilled with dentin fluid, which then begins to accumulate on the treated surface of the dental hard tissues. Reducing the length of the dentinal tubule as a result of the cavity preparation leads to an increase in the speed and mass of pulp fluid released through it.


Assuntos
Líquido Dentinal , Hidrodinâmica , Simulação por Computador , Coroas , Dentina
7.
J Contemp Dent Pract ; 21(3): 242-248, 2020 Mar 01.
Artigo em Inglês | MEDLINE | ID: mdl-32434968

RESUMO

AIM: To determine the effect of three different cavity disinfectants (2% chlorhexidine gluconate, 2.5% sodium hypochlorite, and 2% iodine solution) on microleakage in a seventh-generation dentin-bonding system. MATERIALS AND METHODS: Class V cavity was prepared on 50 extracted molars (n = 50). The respective experimental groups were treated with cavity disinfectants and Adper Easy One Bond. Preparations without cavity disinfectants worked as negative control and those with neither disinfectant nor dentin-bonding resin application worked as positive controls. After the cavity preparations were restored with resin composite (Filtek™ Z 350), the teeth were then subjected to dye leakage tests. Microleakage was assessed for both occlusal and gingival margins, using a stereomicroscope. Data were analyzed using (ANOVA; Kruskal-Wallis) test. RESULTS: No statistically significant differences were observed among 2% chlorhexidine gluconate, 2.5% sodium hypochlorite, and 2% iodine and also no statistically significant differences were observed between occlusal and gingival margins of groups. CONCLUSION: (1) 2% chlorhexidine gluconate, 2.5% sodium hypochlorite, and 2% iodine produced significantly higher microleakage when used with seventh-generation dentin-bonding agent. (2) 2% chlorhexidine gluconate produced lesser microleakage in comparison with 2.5% sodium hypochlorite and 2% iodine. (3) The gingival margins exhibited greater microleakage than occlusal margins. CLINICAL SIGNIFICANCE: The application of cavity disinfectants on prepared tooth before the application of dentin-bonding agent could help to reduce the potential risk of residual caries and postoperative sensitivity.


Assuntos
Infiltração Dentária , Desinfetantes , Restauração Dentária Permanente , Dentina , Adesivos Dentinários , Humanos
8.
J Adhes Dent ; 22(3): 255-264, 2020.
Artigo em Inglês | MEDLINE | ID: mdl-32435766

RESUMO

PURPOSE: To evaluate the influence of application protocol on the shear bond strength (SBS) and nanoleakage of simplified adhesives over 18 months. MATERIALS AND METHODS: 810 dentin slices were obtained from 405 caries-free human molars. They were randomly assigned to 54 experimental groups resulting from the combination of "adhesive" (Adper Scotchbond 1XT [S1XT], Solobond M [SM], Scotchbond Universal Adhesive in etch-and-rinse mode [SUER] and self-etch mode [SUSE], Adper Easy Bond [EB], Clearfil S3 Bond Plus [CS3]), "application protocol" (manufacturer's instructions [MI], two extra layers of adhesive [EL], hydrophobic resin layer [HL]), and "aging time" (24 h [24H], 6 months [6M], and 18 months [18M] in water). SBS tests were carried out using a Watanabe device followed by failure mode analysis. For the nanoleakage study, specimens from 54 additional molars were prepared as previously described, immersed in ammoniacal silver nitrate, and evaluated with SEM. SBS data were analyzed with ANOVA followed by Tukey's post-hoc tests; failure mode data were analyzed using chi-squared tests (α = 0.05). Nanoleakage data were analyzed with the Kruskal-Wallis test followed by LSD tests (α = 0.05). RESULTS: After 18M, S1XT and SUSE achieved the highest mean SBS (p < 0.05). Regarding the application protocols, EL and HL provided higher mean SBS than those obtained with MI (p < 0.05). HL resulted in the highest mean SBS and the lowest mean nanoleakage after 18M. CONCLUSION: Simplified adhesives may need an extra hydrophobic resin layer to achieve a stable and durable adhesive interface. The self-etch approach should be recommended for the universal adhesive.


Assuntos
Colagem Dentária , Cimentos Dentários , Dentina , Humanos , Teste de Materiais , Resistência ao Cisalhamento
9.
J Adhes Dent ; 22(3): 285-296, 2020.
Artigo em Inglês | MEDLINE | ID: mdl-32435769

RESUMO

PURPOSE: To investigate the long-term effect of 0.05% or 0.1% caffeic acid phenethyl ester (CAPE) on dentin matrix stability and hybrid layer stability, using an etch-and-rinse (Adper Scotchbond Multipurpose/ASB) or a self-etch adhesive (Clearfil SE Bond/CSE). MATERIALS AND METHODS: Dentin matrix specimens were assigned to five groups: 0.05% or 0.1% CAPE, green tea (GT), and the controls distilled water (DW) and dimethyl sulfoxide (DMSO). Following immersion of specimens for 1 h, modulus of elasticity (ME) and dentin mass change (MG) were determined at 3 post-treatment time points: immediately afterwards and at 3 and 6 months. Collagen solubilization (CS) was estimated by hydroxyproline (HYP) quantification. Resin-dentin interfaces with both adhesives were assessed with in situ zymography tests to evaluate gelatinolytic activity (GA). The dentin pretreatments were actively applied for 60 s. The sealing ability of aged resin-bonded slices was assessed by nanoleakage tests. RESULTS: GT increased immediate ME, which decreased significantly after 3 months (p < 0.0001). The CAPE groups did not differ from the control groups. GT provided a significant increase in dentin matrix mass after treatment (p < 0.0001). No significant differences regarding MG were observed for CAPE 0.1%, CAPE 0.05%, DW, and DMSO groups after 3 and 6 months. Cumulative HYP release revealed that CAPE groups and GT were statistically similar to DW and DMSO; the GT group exhibited statistically significantly less HYP release than did CAPE groups (p = 0.0073). Treatment with 0.05% or 0.1% CAPE presented lower GA when applied to ASB before acid conditioning (p < 0.05), but no differences were detected when the CAPE groups were applied to CSE. CAPE at 0.1% significantly reduced nanoleakage for CSE, and 0.05% CAPE with CSE presented levels of nanoleakage similar to those of the CSE control group. CONCLUSION: CAPE at 0.05% or 0.01% did not influence ME, MG, or CS, but reduced GA when applied to ASB before acid conditioning. CAPE at 0.1% with CSE promoted adhesive layer integrity.


Assuntos
Colagem Dentária , Adesivos Dentinários , Ácidos Cafeicos , Cimentos Dentários , Dentina , Teste de Materiais , Álcool Feniletílico/análogos & derivados , Resistência à Tração
10.
J Adhes Dent ; 22(3): 297-309, 2020.
Artigo em Inglês | MEDLINE | ID: mdl-32435770

RESUMO

PURPOSE: To evaluate the remineralization effects of Bioglass 45S5 (BAG) on dentin composition, adhesive-dentin bond strength, as well as interface and diffusion zone thickness. MATERIALS AND METHODS: Dentin specimens were assigned to a control group (CG), in which the adhesive was applied following the manufacturer's instructions, and a remineralized group (RG), in which remineralization treatment was carried out by rubbing a remineralization solution (0.015 g of BAG with 1.35 ml of distilled water) on the etched dentin surface for 30 s before applying the adhesive. For bioactive analysis (n = 10), control and remineralized dentin were investigated using micro-Raman spectroscopy (mRS) and scanning electron microscopy (SEM). Stick specimens prepared with a three-step etch-and-rinse adhesive were submitted to a microtensile bond strength (µTBS) test (n = 10) after 24 h (24 h) and eight months (8 m). Micro-RS 3D-maps (n = 10) characterized the adhesive-dentin interface composition and diffusion zone thickness, and SEM images (n = 10) evaluated interface thickness. Data were analyzed using Student's t-test or two-way ANOVA and Tukey-Kramer's post-hoc test (α = 0.05). RESULTS: Remineralization treatment increased the mineral content of dentin. Mean µTBSs were statistically different at 24 h, with RG higher than CG; however, this difference was not significant at 8 m. When the adhesive was applied on remineralized dentin, its penetration was reduced, its physical interaction with phosphate was improved, and its degree of conversion increased. The diffusion zone in the CG did not differ from that of the RG, and interface thickness values of the CG did not differ from that of the RG. CONCLUSION: Remineralization treatment promoted mineral growth on the dentin surface, improved the interaction of dentin with adhesive monomers, and consequently resulted in higher immediate bond strengths.


Assuntos
Colagem Dentária , Cimentos Dentários , Dentina , Adesivos Dentinários , Humanos , Resistência à Tração
11.
J Adhes Dent ; 22(3): 311-320, 2020.
Artigo em Inglês | MEDLINE | ID: mdl-32435771

RESUMO

PURPOSE: To evaluate the effects of double application of resin cement primers to dentin prepared with different diamond burs on the cement-dentin bond strengths. MATERIALS AND METHODS: Sixty flat dentin surfaces were prepared and divided into 12 groups (n = 5) according to three experimental factors: 1. resin cements: RelyX Ultimate (RU), Multilink Automix (ML), and Panavia V5 (PV); 2. resin cement primer application: single or double; 3. dentin surface preparation with regular or superfine diamond burs. Cement-dentin sticks (1 mm2) were prepared for and underwent microtensile bond strength testing (µTBS). Statistical analysis was performed using three-way ANOVA and Duncan's test (α = 0.05). Fractured surfaces and cement-dentin interfaces were observed using SEM. Additional teeth were used to observe the demineralization effect of resin cement primers with SEM and transmission electron microscopy (TEM). RESULTS: All tested factors demonstrated significant effects on µTBS (p < 0.001). The combination of PV with superfine-grit bur and double application yielded the highest bond strengths. Surfaces prepared with superfine-grit burs demonstrated higher µTBS than did the regular-grit group, but a significant effect was not observed for all groups. The double application of primer significantly increased the bond strength for most combinations, except for PV with superfine-grit bur-prepared dentin. CONCLUSIONS: PV showed higher bond strengths than other resin cements. Double application of primer improved the bond strength of all cements to dentin. Bond strengths were higher when dentin was prepared with a superfine-grit bur.


Assuntos
Colagem Dentária , Cimentos de Resina , Dentina , Adesivos Dentinários , Diamante , Teste de Materiais , Propriedades de Superfície , Resistência à Tração
12.
J Adhes Dent ; 22(2): 161-172, 2020.
Artigo em Inglês | MEDLINE | ID: mdl-32322837

RESUMO

PURPOSE: To evaluate 1. the microtensile bond strength (µTBS) and in situ degree of conversion (DC) of adhesives applied using two bonding strategies after silver diamine fluoride (diamine) application on carious dentinal lesions, and 2. dentin etching patterns using SEM and energy dispersive x-ray spectroscopy. MATERIALS AND METHODS: Human molars were randomly divided into 12 experimental groups according to: 1. application of a silver diamine fluoride solution (carious dentinal lesion without silver diamine fluoride treatment [control], with 12% silver diamine fluoride [diamine 12%] or 38% silver diamine fluoride [diamine 38%]); 2. adhesives (Clearfil Universal Bond Quick [CUQ] and Scotchbond Universal [SBU]); 3. adhesive strategy (etch-and-rinse [ER] and self-etch [SE]). After restoration, the specimens were sectioned and submitted to µTBS testing. Sticks from each tooth were used for DC evaluation. To examine the changes induced by diamine before and after phosphoric acid treatment, SEM/EDX analysis was performed. Data from the µTBS and DC tests were analyzed using three-way ANOVA and Tukey's test (α = 0.05). RESULTS: Both concentrations of diamine resulted in a statistically significantly higher mean µTBS compared to the control (p < 0.0001). Diamine 38% showed a statistically significantly higher mean µTBS for both adhesives in SE mode compared to diamine 12% (p < 0.0001). The application of diamine to carious dentinal lesions did not significantly influence the mean DC values for either adhesive (p = 0.72). SBU showed a higher mean DC compared to CUQ (p = 0.03). After diamine treatment, there was an increase in the Ca peak intensity and the presence of residual silver ions mainly when diamine 38% was applied along with the SE approach. CONCLUSION: Independent of the adhesive application approach, the use of diamine may be a promising alternative to increase µTBS without jeopardizing the DC of the two adhesives in carious dentinal lesions.


Assuntos
Colagem Dentária , Cimentos Dentários , Dentina , Fluoretos Tópicos , Humanos , Compostos de Amônio Quaternário , Compostos de Prata , Resistência à Tração
13.
J Adhes Dent ; 22(2): 215-224, 2020.
Artigo em Inglês | MEDLINE | ID: mdl-32322842

RESUMO

PURPOSE: To evaluate interfacial gap and fracture resistance of endodontically treated maxillary premolars, restored with different glass-fiber reinforced materials. MATERIALS AND METHODS: Eighty-four extracted intact premolars were endodontically treated and MOD cavities prepared. Specimens were divided into 7 groups (n = 12 for each) as follows: sound teeth (G1); no restoration (G2); direct composite restoration with fiber-reinforced composite (everX Posterior GC) (G3); direct composite restoration (Filtek Supreme XTE, 3M Oral Care; "FSXTE") (G4); a horizontal layer of high-viscosity flowable composite (G-ænial Flow, GC) was placed on the pulp chamber floor, 10 mm x 3 mm glass fibers (everStick NET, GC) were inserted into the cavity (G5); same procedure as in group 5 except the direct restoration was made incrementally with FSXTE (3M Oral Care) (G6); composite overlays were placed (G7). Specimens were scanned with micro-CT to evaluate 3D interfacial gaps before and after chewing simulation using Mimics software to calculate voids between restoration and tooth (dentin and enamel). These data (in mm3) were collected for statistical analysis. Thereafter, specimens were loaded to fracture using a universal testing machine. Maximum breaking loads were recorded in Newton (N). The data obtained were analyzed using two-way ANOVA and post-hoc Tukey's test (p < 0.05). RESULTS: ANOVA showed that horizontal glass-fiber insertions statistically significantly reduced interfacial gaps after chewing simulation. No differences in fracture resistance were found between Filtek Supreme XTE and everX Posterior; moreover, glass-fiber insertion did not significantly improve fracture resistance in either case. Composite overlays achieved significantly better fracture toughness than did direct restorations. CONCLUSIONS: For the direct restoration of endodontically treated premolars, the insertion of glass fibers into direct composite restorations was unable to guarantee a significant increase in the fracture resistance or a significant change in the fracture pattern. However, it significantly reduced interfacial gap volume after cycling fatigue.


Assuntos
Fraturas dos Dentes , Dente não Vital , Dente Pré-Molar , Dentina , Humanos , Software
14.
J Appl Oral Sci ; 28: e20190499, 2020.
Artigo em Inglês | MEDLINE | ID: mdl-32348441

RESUMO

Enzymatic degradation of the hybrid layer can be accelerated by the activation of dentin metalloproteinases (MMP) during the bonding procedure. MMP inhibitors may be used to contain this process. Objective To evaluate the degree of conversion (DC%), dentin bond strength (µTBS) (immediate and after 1 year of storage in water), and nanoleakage of an experimental (EXP) and a commercial (SB) adhesive system, containing different concentrations of the MMP inhibitor GM1489: 0, 1 µM, 5 µM and 10 µM. Methodology DC% was evaluated by FT-IR spectroscopy. Dentin bond strength was evaluated by µTBS test. Half of beams were submitted to the µTBS test after 24 h and the other half, after storage for 1 year. From each tooth and storage time, 2 beams were reserved for nanoleakage testing. Data were analyzed using ANOVA and Tukey's test to compare means (α=0.05). Results All adhesive systems maintained the µTBS after 1 year of storage. Groups with higher concentrations of inhibitor (5 µM and 10 µM) showed higher µTBS values than groups without inhibitor or with 1 µM. The nanoleakage values of all groups showed no increase after 1 year of storage and values were similar for SB and EXP groups, in both storage periods. The inhibitor did not affect the DC% of the EXP groups, but the SB5 and SB10 groups showed higher DC% values than those of SB0 and SB1. Conclusions The incorporation of GM1489 in the adhesive systems had no detrimental effect on DC%. The concentrations of 5 µM GM1489 for SB and 5 µM or 10 µM for EXP provided higher µTBS than groups without GM1489, in the evaluation after 1 year of storage; whereas the concentration of inhibitor did not affect adhesive systems nanoleakage.


Assuntos
Cimentos Dentários/química , Dentina/química , Inibidores de Metaloproteinases de Matriz/química , Metacrilatos/química , Polietilenoglicóis/química , Ácidos Polimetacrílicos/química , Análise de Variância , Colagem Dentária/métodos , Corrosão Dentária/métodos , Infiltração Dentária , Dentina/efeitos dos fármacos , Humanos , Teste de Materiais , Valores de Referência , Reprodutibilidade dos Testes , Espectroscopia de Infravermelho com Transformada de Fourier , Estatísticas não Paramétricas , Propriedades de Superfície , Resistência à Tração , Fatores de Tempo
15.
Quintessence Int ; 51(6): 440-446, 2020.
Artigo em Inglês | MEDLINE | ID: mdl-32253393

RESUMO

OBJECTIVES: To compare the microhardness and ion content of three glass-ionomer cements (GICs) during setting and up to 15 days, to composite resin-based material in vitro, and after 5 to 10 years in vivo. METHOD AND MATERIALS: Disks of three GICs, EQUIA Fil, Riva Self Cure, and Ketac Molar were examined in vitro for microhardness using Vickers indentations after 15 to 60 minutes, 24 hours, and 8 and 15 days, and compared to composite material, Spectrum. The ion content of the GIC and composite was analyzed using the energy dispersive spectroscopy program of a scanning electron microscope. A primary second molar restored with GIC normally exfoliated after 5 years, and a third molar restored with GIC extracted due to periodontitis after 10 years, were sliced through the restoration buccolingually, and the microhardness of the restoration and of the dentin was measured. RESULTS: In comparison to composite material, the Vickers value for the GICs were similar or better after 24 hours to 15 days. The amount of fluorine was three times higher in EQUIA Fil and Riva Self Cure in comparison with Ketac Molar, after 20 days. After 5 years in vivo, the microhardness of GICs was similar to dentin and after 10 years it was significantly higher than that of the dentin. CONCLUSION: The microhardness of GICs was comparable to composite material after only 24 hours. In vivo the microhardness of GICs increased and after 10 years in vivo it was higher than that of the dentin. After 20 days the amount of fluorine was still high in Riva Self Cure and EQUIA Fil.


Assuntos
Resinas Compostas , Cimentos de Ionômeros de Vidro , Dentina , Fluoretos , Teste de Materiais , Cimentos de Resina , Dente Decíduo
16.
J Clin Pediatr Dent ; 44(2): 112-115, 2020.
Artigo em Inglês | MEDLINE | ID: mdl-32271657

RESUMO

The present case report describes a rare case of dens evaginatus on the labial surface of mandibular incisor and interdisciplinary management including endodontic and periodontal treatment. A 10-year-old girl presented unusual whitish tubercle-like structure penetrated through the buccal gingiva of mandibular later incisor. In cone-beam computed tomographic view, pulpal tissue was extended from the principal root to the tubercle. Following full thickness flap reflection, the tubercle was carefully removed, resulting in dentin and pin-point pulp exposure. In order to prevent pulp necrosis and facilitate periodontal attachment to this area, Biodentine and enamel matrix derivative were applied. Gingival defect was compensated using a collagen matrix. Up to 2 years, harmonious gingiva state and no loss of tooth vitality were observed. In summary, dens evaginatus on mandibular later incisor could be successfully treated by means of interdisciplinary approach.


Assuntos
Necrose da Polpa Dentária , Incisivo , Criança , Tomografia Computadorizada de Feixe Cônico , Esmalte Dentário , Dentina , Feminino , Humanos
17.
Oral Health Prev Dent ; 18(2): 145-152, 2020.
Artigo em Inglês | MEDLINE | ID: mdl-32238986

RESUMO

PURPOSE: To evaluate the microtensile bond strength of dentine/self-adhesive resin cement interface after several treatments on a dentine surface. MATERIALS AND METHODS: Twenty-eight human molars were selected and divided into four groups: no treatment (control (C)); 2% chlorhexidine digluconate (CHX); 25% polyacrylic acid (PA); and 23 ppm dispersive solution of silver nanoparticle (SN). Prepolymerised TPH resin composite (Dentsply) blocks were luted on the dentine surface using RelyX U200 self-adhesive resin cement (3M ESPE). Microtensile bond strength was measured (MPa) in a universal testing machine 24 h and 6 months after the bonding process. The fractured specimens were examined in an optical microscope and classified according to the fracture pattern. A representative sample of each group was observed by scanning electronic microscope. Data were submitted to analysis of variance (ANOVA) and Tukey's test to compare the mean among the groups (p <0.05). RESULTS: The highest microtensile bond strength values after 24 h were found for the PA group (13.34 ± 6.36 MPa), with no statistically significant difference for the C group (9.76 ± 3.11 Mpa). After 6 months, the highest microtensile bond strength values were found for the C group (9.09 ± 3.27 Mpa), with statistically significant difference only for the CHX group (2.94 ± 1.66 MPa). There was statistically significant difference only for the PA group when comparing the periods studied. Regardless of the surface treatment applied, there were more adhesive failures in both periods of time. CONCLUSION: Dentinal pretreatment with PA, as well as use of SN before the bonding procedure of self-adhesive resin cement to dentine, may be alternative bonding protocols.


Assuntos
Colagem Dentária , Nanopartículas Metálicas , Resinas Compostas , Cimentos Dentários , Análise do Estresse Dentário , Dentina , Adesivos Dentinários , Humanos , Teste de Materiais , Cimentos de Resina , Prata , Propriedades de Superfície , Resistência à Tração
18.
Indian J Dent Res ; 31(1): 31-36, 2020.
Artigo em Inglês | MEDLINE | ID: mdl-32246678

RESUMO

Aim: : To estimate the age by evaluating the length of dentin translucency in ground sections of extracted teeth using digital scanner and tools of GIMP 2.8 software for dental age estimation. Materials and Methods: Fifty extracted single-rooted permanent teeth from 50 different individuals and their 0.25-mm thick sections were prepared. Each tooth section was scanned and the length of dentin translucency was measured in GIMP 2.8 software. Results: A linear relationship was observed between dentin translucency and age in the regression analysis. Pearson's correlation analysis showed that there was positive correlation (r = 0.93, P = 0.001) between dentin translucency and age, and the difference between the chronologic age and real age is ± 4.88 years. Conclusion: Dentin translucency in the apical part of the tooth can be used for estimating the age of an individual. A method to digitally select and measure translucent root dentin length was used here. This software method is easy to use and less time-consuming. The measurements obtained using this method are more precise and thus help in more accurate age estimation. Considering these benefits, this study recommends the use of digital method to assess translucency for forensic purpose.


Assuntos
Determinação da Idade pelos Dentes , Dentina , Humanos , Análise de Regressão , Software , Raiz Dentária
19.
Pediatr Dent ; 42(2): 110-115, 2020 Mar 15.
Artigo em Inglês | MEDLINE | ID: mdl-32276676

RESUMO

Purpose: The purpose of this split-mouth, randomized, controlled clinical trial was to assess the progression of early proximal carious lesions on primary molars after resin infiltration. Methods: Twenty-eight children presenting two primary molars with proximal carious lesions detected radiographically (on the outer half of the enamel up to the outer one-third of dentin) were included. Baseline assessments consisted of standard digital bitewing radiographs, Visual Plaque Index (VPI), Gingival Bleeding Index (GBI), and visual examination of caries. Proximal lesions were randomly allocated into two groups: (1) resin infiltration (test) and (2) no infiltration (control). Reassessments were performed after two years. Lesion progression was considered when the radiographic score increased. Results: A significant difference in lesion progression was observed between test (54.1 percent) and control (79.2 percent) groups after two years (McNemar's test, P=0.03). Logistic regression for matched pairs showed that the test group had an 82 percent lower risk of caries progression (odds ratio equals 0.18, 95%CI 0.29 to 0.31). Conclusions: Infiltrating proximal lesions decreases radiographic caries progression in primary molars after a two-year follow-up period.


Assuntos
Cárie Dentária , Dente Decíduo , Criança , Esmalte Dentário , Dentina , Progressão da Doença , Humanos , Dente Molar
20.
Am J Dent ; 33(2): 64-68, 2020 Apr.
Artigo em Inglês | MEDLINE | ID: mdl-32259409

RESUMO

PURPOSE: To evaluate the effect of dentin biomodification on the long-term strength of sound and caries-affected (CA) dentin as a strategy to stabilize the dentin matrix. The biomodification strategy utilized a naturally occurring proanthocyanidin-rich Vitis vinifera grape seeds (Vv), and compared with glutaraldehyde (GD). METHODS: Dentin from sound and carious human molars were sectioned from mid-coronal dentin. The temperature denaturation (Td) was assessed using differential scanning calorimetry in sealed pans. The inhibitory effect of the agents on the activity of recombinant MMP-2 and -9 were assessed using colorimetric assay. The ultimate tensile strength (UTS) of demineralized dentin were determined 24 hours after treatment and after 12 months storage in simulated body fluid. Data were statistically analyzed using ANOVA and post-hoc tests ( α= 0.05). RESULTS: There was no statistically significant difference in the Td between sound and CA dentin (P= 0.140); however, Vv and GD significantly increased the Td of both substrates (P< 0.001), indicating formation of collagen cross-linking. The activity of MMP-2 and MMP-9 were reduced by Vv and GD in a concentration dependent manner. The UTS of dentin matrix was significantly affected by treatments and storage times (P< 0.001). After a 12-month period, a significant decrease in UTS was observed for sound and CA, with complete solubilization of the CA dentin matrix. Vv and GD stabilized the UTS of both dentin substrates (P< 0.05). Sound and CA dentin matrix were susceptible to degradation after the 12-month period. Degradation of dentin matrix due to endogenous proteases activity was more pronounced in CA dentin. Dentin biomodification strategies increased the thermal stability and enhanced the long-term mechanical properties of both sound and CA dentin matrix. CLINICAL SIGNIFICANCE: Carious dentin matrix is more susceptible to breakdown over time than sound dentin; however, the degradation process can be impaired by dentin biomodification. This biomimetic strategy increases the long-term tensile strength of the dentin matrix. Reinforcement of caries-affected dentin may increase longevity of adhesive interfaces.


Assuntos
Colagem Dentária , Cárie Dentária , Biomimética , Dentina , Adesivos Dentinários , Humanos , Teste de Materiais , Dente Molar , Resistência à Tração
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