Diphosphonate immobilization on hydroxyapatite-coated titanium--method description.

PURPOSE: The aim of this study was to promote the immobilization of a bone activity biomodulator (diphosphonate) on titanium, commonly used in implant dentistry, to provide a local method of delivering this drug during the osseointegration process. METHODS: The implant material used in this study was commercially wrought titanium (Ticp), 99.9 mass%, grade II. From this material, discs of 15 mm diameter and 1 mm thick were fabricated. These discs underwent 3 sequential surface modification processes: (a) acid-etching, (b) hydroxyapatite coating, and (c) immersion in disodium pamidronate solution. Scanning electron microscopy, X-ray fluorescence, and X-ray diffraction analyses were carried out to characterize the surface created. RESULTS: The results of these analyses demonstrate that the acid-etching process, followed by the sintering of hydroxyapatite particles and immersion in a solution of disodium pamidronate were effective for diphosphonate immobilization on the titanium surface. CONCLUSIONS: The methodology used in this study allows us to conclude that immersion of hydroxyapatite-coated titanium in a solution of diphosphonate was efficient to promote the immobilization of this drug on the titanium surface.

Evaluation of bond strength and internal adaptation between the dental cavity and adhesives applied in one and two layers.

This research evaluated the influence of the number of adhesive layers of three adhesive systems on microtensile bond strength (microTBS) to dentin and the internal adaptation between the dental structure and the resin composite restoration. Two cavities (C-factor = 3) were made on the buccal surfaces of 30 bovine incisors. Scotchbond Multi-Purpose (MP), Adper Single Bond 2 (SB) and Clearfil SE Bond (CSB) were applied in one layer (MP-I, SB-I and CSB-I) and in two layers (MP-II, SB-II and CSB-II). The cavities were restored with Z250 resin composite. After 48 hours, beams were obtained (n = 15/group) for microTBS testing, and slices containing the two restorations were obtained for internal adaptation analysis. The beams were submitted to the microTBS test on a universal testing machine (EMIC DL-2000) and the failures were analyzed by SEM. The slices were analyzed under an optical microscope and the types and amounts of internal failures (gap, crack, rupture) were classified. The mean values of microTBS (MPa) were: MP-II: 56.92; MP-I: 52:23; CSB-II: 47:71; CSB-I: 42.25; SB-I: 35.12 and SB-II: 34.69. According to two-way ANOVA (alpha = 0.05), the independent variables adhesive system (p = 0.001) and the number of layers (p = 0.025) presented significant difference. The mixed failure was predominant in all groups. For the internal adaptation analysis, the Kruskal-Wallis test (alpha = 0.05) showed statistical differences for cracks and ruptures between the adhesive systems. SB-I and II were shown to have the highest values for cracks, and MP-I demonstrated the lowest. SB-II showed significantly higher values for rupture. The application of two layers promoted a slight increase in microTBS for Scotchbond MP and Clearfil SE Bond, but it did not improve the internal adaptation for the tested adhesive systems.

Evaluation of tensile strength of different configurations of orthodontic retraction loops for obtaining optimized forces.

The aim of this study was to analyze the mechanical behavior of different orthodontic retraction loops. Two designs of orthodontic loops for closing space were analyzed: teardrop-shaped (T) and circle-shaped loop (C), of two different heights (6 and 8 mm), and two types of orthodontic wires (stainless steel - 0.19' x 0.25'; TMA - titanium molybdenum alloy - 0.016' x 0.016'). The sample consisted of 80 loops, divided into 8 groups determined by the combination shape/height/type of wire, which were submitted to tensile testing at a speed of 2 mm/min., to measure the quantity of force generated when activated in the interval of 0.75 mm and 2.25 mm. The results were submitted to the ANOVA and Tukey statistical tests to compare the groups, and the Student's-t test to compare the means of two groups. Statistically higher values were observed for the size 6 mm, circle shape and stainless steel composition. The group "teardrop-8 mm-TMA" together with the group "circle-8 mm-TMA" presented the lowest mean value, differing statistically from all of the other groups. It was concluded that the alloy of the wire and the height of the loop would be more important than the loop design.

Achieving surface chemical and morphologic alterations on tantalum by plasma electrolytic oxidation.

BACKGROUND: Search for materials that may either replace titanium dental implants or constitute an alternative as a new dental implant material has been widely studied. As well, the search for optimum biocompatible metal surfaces remains crucial. So, the aim of this work is to develop an oxidized surface layer on tantalum using plasma electrolytic oxidation (PEO) similar to those existing on oral implants been marketed today. METHODS: Cleaned tantalum samples were divided into group 1 (control) and groups 2, 3, and 4 (treated by PEO for 1, 3, and 5 min, respectively). An electrolytic solution diluted in 1-L deionized water was used for the anodizing process. Then, samples were washed with anhydrous ethyl alcohol and dried in the open air. For complete anodic treatment disposal, the samples were immersed in acetone altogether, taken to the ultrasonic tank for 10 min, washed again in distilled water, and finally air-dried. For the scanning electron microscopy (SEM) analysis, all samples were previously coated with gold; the salt deposition analysis was conducted with an energy-dispersive X-ray spectroscopy (EDS) system integrated with the SEM unit. RESULTS: SEM images confirmed the changes on tantalum strips surface according to different exposure times while EDS analysis confirmed increased salt deposition as exposure time to the anodizing process also increased. CONCLUSIONS: PEO was able to produce both surface alteration and salt deposition on tantalum strips similar to those existing on oral implants been marketed today.

Evaluation of inorganic particles of composite resins with nanofiller content.

The purposes of this study were evaluate by energy dispersed X-ray (EDS) and scanning electron microscopy (SEM) the inorganic particles of three nanofilled composite resins, comparing particles sizes, shape and composition, and the filler weight content by thermogravimetric analyzes (TGA). Three composite resins classified as nanofilled were selected to this study: Esthet-X; Grandio; Filtek Supreme XT. The shade was standardized (A2) for enamel (E) or dentin (D). Ten samples with 20 mg (±10 mg) of each composite resin were submitted to thermogravimetric analyzes (TGA) in order to record the filler weight content (wt%). The amount of inorganic phase ranged from 75.75 to 87 wt%, to Esthet-X (D) and Grandio (D), respectively. The filler composition was analyzed by energy dispersed X-ray (EDS), and the size and shape were evaluated by scanning electron microscopy (SEM). The filler average size (µm) obtained by SEM were: Esthet-X (E) 1.16; Esthet-X (D) 1.39; Filtek Supreme XT (E) 0.6 (nanocluster); Filtek Supreme XT (D) 1.14 (nanocluster); Grandio (E) 2.05 and Grandio (D) 3.1. Silica (SiO2), Ba and Al were observed through EDS. The shape of Esthet-X and Grandio fillers showed similar characteristics with high quantity of irregular inorganic particles and heterogeneous filler. However, Filtek Supreme XT showed spherical and regular particles with homogeneous distribution and sizes. Based in the analysis of nanofilled composites inorganic phase, inconsistencies of weight content, composition, shape and size can be stated between the literature and manufacturer's instructions.

Artificial teeth: evaluation of wear resistance, microhardness and composition / Dentes artificiais: avaliação da resistência ao desgaste, microdureza e composição

Objective: To evaluate the Knoop hardness, composition, and wear resistance of acrylic-resin artificial teeth exposed to mechanical toothbrushing.Methods: Artificial teeth from three commercial brands - Biotone, Trilux, and Soluut PX - were used. From each brand, 10 teeth were selected for wear evaluation after mechanical brushing, 10 for microhardness testing, and 5 for composition analysis. Specimens underwent 55,000 brushing cycles, under a 200-g load and at a frequency of 250 cycles per minute, using a soft-bristled toothbrush (IndicatorPlus 30, Oral-B) soaked in a 1:1 toothpaste/water slurry (Oral B Pró Saúde). Microhardness testing was performed using a 25-g load for 15 seconds in an HMV-2 hardness tester (Shimadzu). The composition of teeth from different brands was determined by scanning electron microscopy with energy-dispersive X-ray spectroscopy (SEM/EDS) (Jeol JSM 5800).Results: Wear results after mechanical brushing were compared by means of the paired t-test, whereas those obtained in microhardness testing were compared by ANOVA with Bonferroni correction. There was no statistically significant difference between brands in either trial.Conclusion: Composition analysis revealed that all of the artificial teeth analyzed contain carbon and oxygen. Trilux and Soluut PX brand teeth also contain silicon; however, the presence of filler particles did not result in increased resistance.

Objetivo: Avaliar a microdureza Knoop, composição e resistência ao desgaste de dentes artificiais de resina acrílica submetidos ao ensaio de escovação mecânica.Métodos: Foram selecionados 10 dentes para o ensaio de escovação mecânica, 10 para microdureza e 5 para determinação da composição, de três marcas comerciais: Biotone, Trilux e Soluut PX. As amostras foram submetidas a 55.000 ciclos de escovação, sob carga de 200g e frequência de 250 ciclos por minuto, utilizando escova dental macia (IndicatorPlus 30, Oral-b), imersas em solução de dentifrício/água destilada na proporção de 1:1(Oral B Pró Saúde). O ensaio de microdureza foi realizado sob carga de 25 gramas durante 15 segundos em microdurômetro (HMV-2, Shimadzu). A composição das diferentes marcas comerciais foi determinada em MEV 5800, utilizando EDS que permite a análise química por meio de raios-x.Resultados: Os resultados obtidos no ensaio de escovação mecânica foram submetidos ao teste t pareado e aqueles obtidos no ensaio de microdureza Knoop foram submetidos à Análise de Variância e teste de BONFERRONI. Não houve diferença estatisticamente significativa entre as marcas em ambos os ensaios.Conclusão: A análise da composição revelou que todos os dentes artificiais possuem carbono e oxigênio. Os dentes das marcas Trilux e Soluut PX apresentam também silício em sua composição, entretanto, a presença de partículas de carga não resultou em aumento da resistência.

Cumulative effect of disinfection procedures on microhardness and tridimensional stability of a poly(methyl methacrylate) denture base resin.

Microwave irradiation has been used for disinfection of dentures instead of chemical solutions; yet, its effect on resin properties after repeated procedures still is unclear. This study evaluated the cumulative effect of two disinfection methods on Knoop microhardness and tridimensional stability of a poly(methyl methacrylate) denture base resin. For the microhardness measurement, 24-resin discs received mechanical polishing and were submitted to the following treatments: (1) control (no disinfection), (2) chemical disinfection (immersion in 100ppm chloride solution for 24h), or (3) microwave disinfection (irradiation at 690 W for 6 min). Disinfection procedures were performed twice (T1, T2) with a 7-day interval. Knoop microhardness was recorded after polishing (T0) and after T1 and T2. For the dimensional stability test (measured by the adaptation of the denture bases), 36-maxillary denture bases were obtained from type III dental stone casts duplicated from a metallic master model and submitted to the disinfection treatment. Adaptation of denture bases was measured at baseline (T0) and after T1 and T2 by weighing a vinyl polysiloxane film reproducing the gap between resin base and master model. Data were analyzed by ANOVA GLM for repeated measures and Bonferroni's test, alpha = 0.05. Knoop microhardness was not modified by any disinfection procedure but decreased over time. Denture resin bases submitted to microwave disinfection had gradual increase of distortion over time, while bases immersed in chloride solution did not differ from the control group and remained dimensionally stable from T1 to T2.

Orthodontic bonding to porcelain surfaces: in vitro shear bond strength / Colagem de acessórios ortodônticos a superfícies de porcelana: resistência ao cisalhamento in vitro

PURPOSE: To evaluate in vitro the shear bond strength of orthodontic accessories to porcelain, under different porcelain surface treatment protocols, and the resultant failure pattern after debonding. METHODS: The sample consisted of 80 feldspathic porcelain discs, divided into 4 groups: Group 1 - 37% Phosphoric acid etching; Group 2 - 10% fluorhydric acid; Group 3 - 37% Phosphoric acid and silane application; Group 4 - 10% fluorhydric acid and silane application. The samples were submitted to the shear bond strength test in a universal test machine to record the maximum rupture force. RESULTS: Group 1 showed lower results, and Group 4 presented higher results than the other tested groups.There was no statistical difference between Groups 2 and 3. Groups 1 and 3 presented exclusively adhesive failures between porcelain and resin, whereas Groups 2 and 4 showed cohesive failures in porcelain. CONCLUSION: The use of phosphoric acid followed by silane application was the best protocol for bonding orthodontic accessories to porcelain surfaces, since it was capable of resisting the forces applied during orthodontic treatment without causing irreversible failures in restorations.

OBJETIVO: Avaliar, in vitro, a resistência ao cisalhamento de acessórios ortodônticos colados à porcelana, sob diferentes protocolos de adesão, e o padrão de falha resultante após a descolagem desses acessórios. METODOLOGIA: A amostra foi composta de 80 pastilhas de porcelana feldspática, divididas em 4 grupos:Grupo 1 - Ácido fosfórico a 37%; Grupo 2 - ácido fluorídrico a 10%; Grupo 3 - ácido fosfórico a 37% e silano; Grupo 4 - ácido fluorídrico a 10% e silano. A amostra foi submetida a teste de cisalhamento em máquina de ensaios universal para registro da força máxima de ruptura. RESULTADOS: O grupo 1 teve resultados inferiores aos demais grupos testados, bem como o grupo 4 apresentou resultados superiores. Não houve diferença entre os grupos 2 e 3. Os grupos 1 e 3 apresentaram falhas exclusivamente de caráter adesivo entre porcelana e resina, enquanto que nos grupos 2 e 4 registrou-se a ocorrência de falhas coesivas em porcelana. CONCLUSÃO: Conclui-se que a utilização de ácido fosfórico e silano representa o melhor protocolo de adesão de acessórios ortodônticos a superfícies de porcelana, uma vez que é capaz de resistir às forças aplicadas durante o tratamento ortodôntico sem causar falhas irreversíveis à restauração.

Development of glass ionomer cement modified with seashell powder as a scaffold material for bone formation / Desenvolvimento de cimento de ionômero de vidro modificado com pó de conchas como material estrutural para formação óssea

PURPOSE: The present study examined the possibility of modifying the structural properties of glass ionomer cement by adding seashells to form a possible 'scaffold' material for cases of bone formation. METHODS: White and black seashells were ground into a fine, homogeneous powder. To analyze their composition, the seashell samples were submitted to EDX and X-Ray diffraction. The ground seashells were mixed with the glass ionomer cement at either 1, 5 or 10 percent concentrations (in weight). Samples without any seashells were used as the control group. Solutions and GIC samples were analyzed for pH measurement. The structural and superficial analysis of samples was performed by using scanning electron microscopy (SEM). RESULTS: There was no difference in pH values among the tested solutions with different seashell concentrations (1, 5 and 10 percent). In the GIC samples with the shells, the pH values were close to 7.0. The EDX and X-Ray diffraction showed calcium carbonate (CaCO3) peaks for the shell samples. The superficial SEM analysis demonstrated that the samples containing seashells had framework formations in their structures. CONCLUSION: Although there is a need for biocompatibility and cellular cytotoxicity testing in vitro, as well as in vivo evaluation, seashells could be used in glass ionomer cement aiming at the development of a 'scaffold' material for bone grafting or osseointegration.

OBJETIVO: Este estudo examinou a possibilidade de modificar as propriedades estruturais do cimento de ionômero de vidro (CIV) pela adição de conchas para formar um material estrutural, com objetivo de uso em casos de formação óssea. METODOLOGIA: Conchas de cor branca e preta foram transformadas em um pó fino e homogêneo e sua composição foi analisada por EDX e difração por RX. O pó de concha foi misturado a CIV nas concentrações de 1, 5 ou 10 por cento (em peso) para a confecção das amostras. Amostras sem pó de concha foram usadas como grupo controle. Foram realizadas medições de pH de soluções do pó de conchas e das amostras de CIV. A análise estrutural e superficial das amostras foi realizada por microscopia eletrônica de varredura (MEV). RESULTADOS: Não houve diferença de pH entre as soluções testadas com diferentes concentrações de pó de concha (1, 5 ou 10 por cento). Nas amostras de CIV com conchas, os valores de pH foram próximos a 7,0. Os métodos de EDX e difração por RX mostraram picos de carbonato de cálcio (CaCO3) para as amostras com conchas. A análise por MEV demonstrou que as amostras com pó de conchas tinham formações estruturais diferentes do controle. CONCLUSÃO: Embora haja necessidade de testes de biocompatibilidade e citotoxicidade celular, assim como avaliação in vivo, as conchas poderiam ser utilizadas como material de modificação estrutural do cimento de ionômero de vidro em casos de material para enxerto ósseo ou osseointegração.

Influence of calcinable cylinders cast in cobalt-chromium alloy on the passivity of implant-supported frameworks / Influência de cilindros calcináveis fundidos em cobalto-cromo na passividade de próteses implanto-suportadas

Purpose: This study aimed to determine the effect of using calcinable cylinders on the passivity of a framework that simulates a three-unit fixed partial prosthesis on two implants. Methods: Two 3.75 x 10 mm external hex implants were used, with their abutments set on a steel base forming the master model. Ten cobalt-chromium alloy frameworks were manufactured by the induction casting technique. Two groups were established: Group 1 used premachined cylinders to cast five frameworks; Group 2 used plastic calcinable cylinders to cast five frameworks. Passivity evaluation was accomplished by using strain gauges placed in the cervical and occlusal regions of the framework pontics. The measurement was performed during screwing of the second prosthetic screw with a torque of 10 Ncm. Data were analyzed by Student's t test (α = 0.05). Results: The mean (standard deviation) values were 39.16 (24.74) mV/V for Group 1 and 43.76 (21.13) mV/V for Group 2. There was no statistically significant difference between groups (P = 0.815). Conclusion: The results suggest that the use of calcinable cylinders had a similar degree of passivity compared to the use of premachined prosthetic cylinders.

Objetivo: Este trabalho avaliou a influência da utilização de cilindros calcináveis no grau de passividade de infra-estruturas que simulam uma prótese parcial fixa de três elementos sobre dois implantes. Metodologia: Foram utilizados dois implantes de hexágono externo de 3,75 mm×10 mm, com seus respectivos pilares intermediários, fixados numa base de aço, formando o modelomestre. A partir disto, foram fabricadas dez infra-estruturas em liga de cobalto-cromo através da técnica de fundição por indução. Foram criados dois grupos: Grupo 1 utilizando cilindros pré-usinados para a fabricação de cinco infra-estruturas; Grupo 2 cinco infra-estruturas fundidas com cilindros de plástico calcináveis. Para avaliação da passividade foram utilizados extensômetros colados na região oclusal e cervical do pôntico das infra-estruturas. A medição foi realizada no momento do aperto do segundo parafuso protético com torque de 10Ncm. Os dados foram analisados pelo teste t de Student (α=0,05). Resultados: As médias (desvio-padrão) dos grupos foram de 39,16 (24,74) mV/V no Grupo 1 e 43,76 (21,13) mV/V no Grupo 2. Não houve diferença estatisticamente significante entre os grupos (P=0,815). Conclusão: Considerando-se as limitações deste trabalho, sugere-se que o uso de cilindros calcináveis obtém o mesmo grau de passividade que o uso de cilindros pré-usinados.

Marginal fit of implant-supported fixed prosthesis frameworks with prefabricated and calcinable cylinders / Adaptação marginal de infra-estruturas de prótese fixa implanto-suportada com cilindros pré-usinados e calcináveis

Purpose: The aim of this study was to evaluate the vertical marginal misfit of the metal framework of an implant-supported prosthesis. Methods: Ten frameworks were made of cobalt-chromium alloy (Co-Cr), simulating a three-element fixed prosthesis on two implants. Five frameworks were constructed using prefabricated cylinders, and the other five were constructed using calcinable cylinders. All frameworks were cast by the induction technique and laser-welded. Marginal misfit was measured by means of scanning electron microscopy with the frameworks subjected to the single-screw test. Twenty-five measurements of marginal fit were recorded per abutment and averaged for statistical analysis (ANOVA, alpha=0.05). Results: There was no statistically significant difference in marginal fit between the groups tested. The only difference found was when comparing the abutments with and without screw. Conclusion: It was concluded that there is no difference in marginal fit between frameworks cast in Co-Cr with calcinable and prefabricated cylinders using induction casting, laser-welding, and single-screw test.

Objetivo: O objetivo deste trabalho foi avaliar o desajuste marginal vertical de infra-estruturas metálicas de prótese fixa sobre implantes. Metodologia: Foram confeccionadas 10 infra-estruturas em liga de cobalto-cromo (Co-Cr), simulando uma prótese fixa de três elementos sobre dois implantes, com o auxílio de uma matriz metálica. Cinco infra-estruturas foram confeccionadas com cilindros pré-usinados. Outras cinco foram confeccionadas com cilindros calcináveis. Todas as infra-estruturas foram fundidas pela técnica de indução e soldadas a laser. As leituras do desajuste marginal foram realizadas através de microscopia eletrônica de varredura, utilizando a técnica do parafuso único, totalizando 25 medições em cada cilindro. As médias de desajuste marginal de cada cilindro foram utilizadas para a análise estatística (ANOVA, alfa=0,05). Resultados: Não houve diferença estatística no grau de desajuste marginal entre os grupos testados. Apenas houve diferença quando comparados os cilindros com e sem parafuso. Conclusão: Foi concluído que não há diferença de adaptação marginal entre as infra-estruturas fundidas em Co-Cr com cilindros calcináveis e pré-usinados, utilizando fundição por indução, soldagem a laser e teste do parafuso único.