The influence of a dentin desensitizer on the microtensile bond strength of two bonding systems.

A laboratory study evaluated the influence of a dentin desensitizer (D/Sense 2) on the microtensile bond strength of two adhesive systems: a self-etching primer (Bistite II SC) and a one-bottle adhesive (Prime & Bond 2.1). Sixteen crown dentin discs were obtained from extracted sound human third molars. Dentin surfaces were ground with 600 grit silicon carbide (SiC) abrasive papers to produce a standardized smear layer. Teeth were randomly divided into four groups (n=4). G1-D/Sense 2 + Prime & Bond 2.1; G2-D/Sense 2 + Bistite II SC; G3- and G4-dentin surfaces were bonded with Prime & Bond 2.1 and Bistite II SC, respectively, with no previous treatment with D/Sense 2. Eight mm high resin composite crowns (TPH Spectrum) were incrementally built-up on the treated surfaces. One sample from each group was prepared for evaluation of the hybrid layer on SEM. The specimens for the microtensile test were serially sectioned perpendicular to the adhesive layer to obtain 1 mm2 bounded sticks. Then, each stick was submitted to the microtensile test performed at a 0.5 mm/min crosshead speed. One-way ANOVA and Tukey test showed statistically significant differences among the groups (p<0.05). Values in MPa were: G1-17.85; G2-9.88; G3-35.16; G4-15.57. Based on the results of this study, it can be concluded that the D/Sense 2 desensitizer decreased the bond strength of Prime & Bond 2.1 and Bistite II SC bonding systems.

Multidisciplinary approach for the treatment of extensive external cervical resorption after dental trauma.

External cervical resorption (ECR) is a sequela of dentoalveolar trauma that may cause functional, esthetic, and psychologic alterations. The aim of this study was to report a successful multidisciplinary treatment approach performed in a 12-year-old patient who presented with posttraumatic ECR associated with extensive opened cavity, pulp necrosis, and periapical lesion of tooth number 9, with an initial unfavorable prognosis. Crown lengthening was done to enable restoration of vestibular surface with resin composite, forming a barrier that allowed endodontic treatment. Afterwards, a prefabricated fiberglass post was cemented and esthetic restoration was performed using the adhesive technique and direct composite veneer. Reconstructive periodontal surgery was performed to correct irregular gingival contour. After treatment and successive follow-up sessions, it was concluded that although the tooth had been indicated for extraction, low invasive direct techniques were effective to recover function and esthetics and to maintain the tooth in the oral cavity.

Porcelain veneers as an alternative for esthetic treatment: clinical report.

This case report describes the restoration of the anterior dentition with porcelain laminate veneers. The advances in bonding of porcelain to tooth structure make this treatment a feasible alternative to restore teeth with alteration in shape and position in cases in which the esthetic demand is high. The rationale for various choices in this treatment protocol is detailed with reference to the pertinent literature. Thus, the clinical success of the technique depends on the correct identification of a case for which this treatment is appropriate and the successful execution of the clinical steps involved.