Evolution and development: engine-driven endodontic rotary nickel-titanium instruments / 国际口腔科学杂志·英文版

Various engine-driven NiTi endodontic files have been indispensable and efficient tools in cleaning and shaping of root canals for practitioners. In this review, we introduce the relative terms and conceptions of NiTi file, including crystal phase composition, the design of the cutting part, types of separation. This review also analysis the main improvement and evolution of different generations of engine-driven nickel-titanium instruments in the past 20 years in the geometric design, manufacturing surface treatment such as electropolishing, thermal treatment, metallurgy. And the variety of motion modes of NiTi files to improve resistance to torsional failure were also discussed. Continuous advancements by the designers, provide better balance between shaping efficiency and resistance to of NiTi systems. In clinical practice an appropriate system should be selected based on the anatomy of the root canal, instrument characteristics, and operators' experience.

Mercury Loss From Dental Amalgam Fillings

Abstract Objective: To compare the amount of mercury in new and old dental amalgam restorations. Material and Methods: This study analyzed twenty samples of dental amalgam restorations, dividing into two groups. Group 1 consisted of samples of new dental amalgam restoration (n=10) and group 2 consisted of samples of old dental amalgam restoration (5-years old) (n=10). In each group, the mercury involved in the dental amalgam restoration was calculated using the cloud point extraction (CPE) method. The new dental amalgam restorations are taken from the patients' mouth after condensation and analyzed directly after setting. The old dental amalgam restorations are removed from the patients' mouth, after 5 years of use by the patients, and then they are analyzed. The independent-samples t-test was used to analyze the differences (p<0.05). Results: For new amalgam restorations, the mean of mercury was 0.1281 µg/mL, while for old restorations it was 0.1029 µg/mL. There was a significant difference between the new and old amalgam restorations in the amount of mercury available (p<0.001). Conclusion: There is a significant loss of mercury over a five years period in the patient mouth.

Torsional fatigue strength of reciprocating and rotary pathfinding instruments manufactured from different NiTi alloys

Abstract To evaluate the torsional properties of engine-driven pathfinding instruments manufactured from different NiTi alloys - R-Pilot (tip size 12.5;.04 taper; M-Wire) and One G (tip size 14;.03 taper; Conventional NiTi). A total of 40 NiTi instruments from engine-driven pathfinding instruments (n = 20) were used. The torsion tests followed ISO 3630-1 (1992). Three millimeters of each instrument tip was fastened to a small load cell by a lever arm linked to the axis of torsion. During the test, the torsion testing machine software measured the maximum torsional strength and angle of rotation (0) before instrument failure. The fractured surface of each instrument was assessed by scanning electron microscopy (SEM). In addition, a supplementary examination was performed to measure the cross-sectional area and the metal mass volume of each instrument 3 mm from the tip. Data were analyzed using a t-test, with significance level set at 5%. R-pilot had significantly higher torsional strength than did One G (p < 0.05). Regarding the angle of rotation to fracture, One G had higher angles than did R-Pilot (p < 0.05). The supplementary examination showed that R-Pilot had the highest cross-sectional area and volume of metal mass at 3 mm from the tip (p < 0.05). R-pilot (M-Wire NiTi alloy) had a significantly higher torsional strength and One-G (superelastic NiTi alloy) had the highest angle of rotation to fracture.

Antibacterial effect of titanium alloys with copper nanoparticles: in vitro study

Objective: To evaluate the in-vitro antimicrobial effect of Titanium alloys with Copper Nanoparticles (CuNP) against Streptococcus mutans and Phorphyromonas gingivalis. Materials and Methods: An in vitro study was carried out. The unit of analysis corresponded to 10 healing abutments. In 5 abutments Copper nanoparticles (CuNP) electrodeposition was applied. The remaining 5 abutments corresponded to control. The healing abutments were then immersed in culture medium for S. mutans and P. gingivalis for 14 days. Results: The agar plates with CuNP-coated abutments showed a lower growth, statistically significant for both bacterial strains. Conclusion: There is a statistically significant lower growth of S. mutans and P. gingivalis in healing abutments with CuNP.

Effect of two erosive protocols using acidic beverages on the shear bond strength of orthodontic brackets to bovine enamel

Abstract Objective: To assess the short-term effect of two in vitro erosive challenge protocols on the bond strength of metal orthodontic brackets on bovine enamel. Methods: Sixty bovine incisors were selected and randomly divided into six groups: AS7 (artificial saliva - 7 days, Control Group); CC7 (Coca-Cola™ - 7 days); LJ7 (lime juice - 7 days); AS30 (artificial saliva - 30 days, Control Group); CC30 (Coca-Cola™ - 30 days); LJ30 (lime juice - 30 days). Microhardness testing was performed prior to the erosive challenge to verify the standardization of samples. Immersion was performed 4x/day for five minutes, for either 7 or 30 days. After immersions were concluded, the brackets were bonded and shear bond strength was assessed after 48 hours. The Adhesive Remnant Index (ARI) was also assessed. Data were analyzed by two-way ANOVA, followed by Tukey's post-hoc and Student's t test for paired samples, and the Kruskal-Wallis non-parametric test (α = 5%). Results: The mean and standard deviation of microhardness testing of total samples were 281.89 ± 44.51 KHN. There was no statistically significant difference in shear bond strength for the time factor (7 or 30 days; F5.54= 0.105; p = 0.901). However, there was a statistically significant difference for the solution factor (F5.54= 6.671; p = 0.003). These differences occurred among solutions of Saliva x Coca-Cola™ (p = 0.003) and Coca-Cola™ x Lime Juice (p= 0.029). The assessment of the Adhesive Remnant Index showed no significant difference between groups. Conclusions: The immersion time used in the erosion protocols did not affect the bond strength of brackets to teeth. Coca-Cola™ induced significantly higher shear bond strength values than lime juice and artificial saliva. However, the short term effects of 7/30 days in this in vitro study may not be extrapolated for in vivo ones. Clinical studies should be conducted, substantiating the laboratory results.

Resumo Objetivo: avaliar o efeito de curto prazo de dois protocolos de desafio erosivo, in vitro, na resistência adesiva de braquetes ortodônticos metálicos em esmalte bovino. Métodos: Sessenta incisivos bovinos foram selecionados e divididos aleatoriamente em seis grupos: SA7 (saliva artificial - 7 dias, Grupo Controle); CC7 (Coca-Cola® - 7 dias); SL7 (suco de limão - 7 dias); SA30 (saliva artificial - 30 dias, Grupo Controle); CC30 (Coca-Cola® - 30 dias); SL30 (suco de limão - 30 dias). Foi realizado o teste de microdureza antes do desafio erosivo, para verificar a padronização das amostras. A imersão foi realizada quatro vezes ao dia, por cinco minutos, durante 7 ou 30 dias. Finalizadas as imersões, os braquetes foram colados e, após 48 horas, foi avaliada a resistência ao cisalhamento. O Índice de Adesivo Remanescente (IAR) também foi avaliado. Para análise dos dados, foram utilizados os testes ANOVA dois fatores, seguido do post-hoc de Tukey e teste t de Student para amostras pareadas, e o teste não-paramétrico de Kruskal-Wallis (α?#8197;= 5%). Resultados: a média e o desvio-padrão do teste de microdureza das amostras totais foi igual a 281,89 ± 44,51 KHN. Não houve diferença estatisticamente significativa na resistência ao cisalhamento para o fator tempo (7 ou 30 dias; F5,54= 0,105; p= 0,901). Contudo, houve diferença estatisticamente significativa para o fator solução (F5,54=6,671; p= 0,003). Essas diferenças ocorreram entre as soluções de Saliva x Coca-Cola® (p= 0,003) e Coca-Cola® x suco de limão (p= 0,029). Ao avaliar o Índice de Adesivo Remanescente, não foi possível verificar diferença significativa entre os grupos. Conclusões: o tempo de imersão utilizado nos protocolos de erosão não afetou a resistência de união dos braquetes aos dentes. A Coca-Cola® induziu valores de resistência ao cisalhamento significativamente mais altos do que o suco de limão e a saliva artificial. No entanto, os efeitos em curto prazo de 7 e 30 dias, nesse estudo in vitro, não podem ser extrapolados para os estudos in vivo. Estudos clínicos devem ser conduzidos, fundamentando os resultados laboratoriais.

Evaluation of shear bond strength and shear stress on zirconia reinforced lithium silicate and high translucency zirconia

This study evaluated the shear stress distribution on the adhesive interface and the bond strength between resin cement and two ceramics. For finite element analysis (FEA), a tridimensional model was made using computer-aided design software. This model consisted of a ceramic slice (10x10x2mm) partially embedded on acrylic resin with a resin cement cylinder (Ø=3.4 mm and h=3mm) cemented on the external surface. Results of maximum principal stress and maximum principal shear were obtained to evaluate the stress generated on the ceramic and the cylinder surfaces. In order to reproduce the in vitro test, similar samples to the computational model were manufactured according to ceramic material (Zirconia reinforced lithium silicate - ZLS and high translucency Zirconia - YZHT), (N=48, n=12). Half of the specimens were submitted to shear bond test after 24h using a universal testing machine (0.5 mm/min, 50kgf) until fracture. The other half was stored (a) (180 days, water, 37ºC) prior to the test. Bond strength was calculated in MPa and submitted to analysis of variance. The results showed that ceramic material influenced bond strength mean values (p=0.002), while aging did not: YZHT (19.80±6.44)a, YZHTa (17.95±7.21)a, ZLS (11.88±5.40)b, ZLSa (11.76±3.32)b. FEA results showed tensile and shear stress on ceramic and cylinder surfaces with more intensity on their periphery. Although the stress distribution was similar for both conditions, YZHT showed higher bond strength values; however, both materials seemed to promote durable bond strength.

Nickel-titanium instruments in endodontics: a concise review of the state of the art

Abstract: The introduction of automated instrumentation in endodontics represented a major advance in progress for this specialty, with improvements in the quality and predictability of root canal preparation and a significant reduction in procedural errors. In recent years, endodontic instruments have undergone a series of changes brought about by modifications in design, surface treatments, and thermal treatments. In addition, new movements have also been incorporated to offer greater safety and efficiency, optimizing the properties of the NiTi alloy, especially through eccentric rotary motion. An understanding of the mechanical properties of these new NiTi instruments and their effect on the clinical performance of root canal preparation is essential if dental practitioners are to select the instruments that provide optimal clinical outcomes, especially in curved or flattened canals. The objective of this literature review is to present and discuss the characteristics of the NiTi alloys used in the major instrumentation systems available in the market, as well as the influence of the metallurgical and mechanical properties of NiTi instruments and the movements that drive them, to enable more accurate and predictable planning of root canal preparation.

Stability of beta-titanium T-loop springs preactivated by gradual curvature

ABSTRACT Objective: Evaluate changes in the force system of T-Loop Springs (TLS) preactivated by curvature, due to stress relaxation. Methods: Ninety TLSs measuring 6 x 10 mm, produced out with 0.017 x 0.025-in TMA® wire and preactived by gradual curvature, were randomly distributed into nine groups according to time point of evaluation. Group 1 was tested immediately after spring preactivation and stress relief, by trial activation. The other eight groups were tested after 24, 48 and 72 hours, 1, 2, 4, 8 and 12 weeks, respectively. Using a moment transducer coupled to a digital extensometer indicator adapted to a universal testing machine, the amount of horizontal force, moment and moment-to-force ratios were recorded at every 0.5 mm of deactivation from 5 mm of the initial activation, in an interbracket distance of 23 mm. Results: The horizontal forces decreased gradually among the groups (p< 0.001) and the moments showed a significant and slow decrease over time among the groups (p< 0.001). All groups produced similar M/F ratios (p= 0.532), with no influence of time. Conclusions: The TLSs preactivated by curvature suffered a gradual deformation over time, which affected the force system, specifically the moments, which affected the horizontal forces produced.

RESUMO Objetivo: avaliar as mudanças no sistema de forças das molas T pré-ativadas por curvatura, devido ao alívio de tensão estrutural. Métodos: noventa molas em forma de "T", medindo 6 mm x 10 mm, confeccionadas com fio de beta-titânio TMA® de 0,017" x 0,025" e pré-ativadas por curvatura gradual, foram distribuídas aleatoriamente em nove grupos, de acordo com o momento de avaliação. O Grupo 1 foi testado imediatamente após a pré-ativação da mola e liberação do estresse, por meio de simulação da ativação. Os outros oito grupos foram divididos conforme o intervalo de tempo testado: após 24, 48 e 72 horas; 1, 2, 4, 8 e 12 semanas. Usando um transdutor de momentos acoplado a um indicador digital para extensometria e adaptado a uma máquina universal de ensaios, as magnitudes da força horizontal, do momento e da proporção momento/força (M/F) foram registradas a cada 0,5 mm de desativação a partir da ativação inicial de 5 mm, utilizando-se uma distância interbraquetes de 23 mm. Resultados: as forças horizontais reduziram-se gradualmente nos grupos (p< 0,001) e o momento apresentou uma queda lenta e significativa ao longo do tempo (p< 0,001). Todos os grupos tiveram proporções M/F semelhantes (p= 0,532), não influenciadas pelo período de tempo. Conclusões: as molas pré-ativadas por curvatura gradual sofreram deformação progressiva ao longo do tempo, o que afetou o sistema de forças - especificamente o momento -, alterando as forças horizontais produzidas.

Effect of Metal Primers on Bond Strength of a Composite Resin to Nickel-Chrome Metal Alloy

Abstract This study evaluated the effects of three metal primers and one multi-mode adhesive system on the shear bond strength (SBS) of a flowable composite resin to nickel-chrome metal alloy (Ni-Cr). Ninety plates were cast from Ni-Cr and divided in nine groups (n=10). The surfaces were sandblasted with Al2O3 and primed with three adhesive primers: Alloy Primer (AP), Universal Primer (TP) and RelyX Ceramic Primer (CP), and a multi-mode adhesive (Scotchbond Universal, SU). The Adper Single Bond Plus (SB) and SU adhesives were also combined with adhesive primers. Control group did not have any surface treatment. The groups were: AP, AP+SB, AP+SU, TP+SB, TP+SU, CP+SB, CP+SU and SU. Composite cylinders were built on alloy surface. After 24 h, half the specimens were subjected to SBS and the other half to thermal cycling before testing. Data were analyzed by two-way ANOVA and Tukey’s test (a=0.05). Failure modes were assessed by SEM observation. Higher SBS were obtained with AP and TP combined with adhesives at 24 h and the lowest one for control group. Thermocycling reduced SBS for AP, CP+SU and SU. Combination between TP and SU resulted in the highest SBS after the thermocycling. TP groups showed all types of failures and high incidence of mixed failures. The use of AP and UP metal primers before application of SU and SB adhesive systems increased the SBS of composite to Ni-Cr. These combinations between metal primers and adhesives had the highest SBS after thermocycling.

Resumo Este estudo avaliou os efeitos de três primers para metais e um sistema adesivo multi-mode na resistência da união por cisalhamento (SBS) de um compósito resinoso de baixa viscosidade a uma liga niquel-cromo (Ni-Cr). Noventa placas Ni-Cr foram divididas em 9 grupos (n=10). As superfícies foram jateadas com Al2O3 e condicionadas com três primers adesivos: Alloy Primer (AP), Universal Primer (TP) e Rely X Ceramic Primer (CP) e um adesivo multi-mode (Scotchbond Universal, SU). Os adesivos Adper Single Bond Plus (SB) e SU foram combinados com os primers para metais. O grupo controle não recebeu nenhum tipo de tratamento superficial. Os grupos foram: AP, AP+SB, AP+SU, TP+SB, TP+SU, CP+SB, CP+SU e SU. Cilindros de resina foram construídos na superfície da liga. Após 24 h, metade dos espécimes foi submetido ao SBS, a outra metade foi termociclada previamente. Os dados foram analisados pelos testes ANOVA dois fatores e Tukey (a=0.05). Os tipos de fraturas foram determinados utilizando microscopia eletrônica de varredura (MEV). Os maiores valores de SBS foram obtidos com AP e TP combinados com adesivos após 24 h e o menor valor foi obtido no grupo controle. A ciclagem térmica reduziu a SBS para AP, CP+SU e SU. Combinação entre TP e SU resultou em altos valores de SBS após termociclagem. Os grupos TP apresentaram todos os modos de fratura e alta incidência de fraturas mistas. O uso dos primers AP e UP para metais antes da aplicação dos sistemas adesivos SU e SB aumentou a SBS entre o Ni-Cr e a resina composta. Essa combinação entre primers e adesivos mostrou os maiores valores de SBS após a termociclagem.

Influence of NiTi alloy on the root canal shaping capabilities of the ProTaper Universal and ProTaper Gold rotary instrument systems

Abstract Objective This study aimed to evaluate the influence of the NiTi wire in Conventional NiTi (ProTaper Universal PTU) and Controlled Memory NiTi (ProTaper Gold PTG) instrument systems on the quality of root canal preparation. Material and Methods Twelve mandibular molars with separate mesial canals were scanned using a high-definition microcomputed tomography system. The PTU and PTG instruments were used to shape twelve mesial canals each. The canals were scanned after preparation with F2 and F3 instruments of the PTU and PTG systems. The analyzed parameters included the remaining dentin thickness at the apical and cervical levels, root canal volume and untouched canal walls. Data was analyzed for statistical significance by the Friedman and Dunn’s tests. For the comparison of data between groups, the Mann-Whitney test was used. Results In the pre-operative analysis, there were no statistically significant differences between the groups in terms of the area and volume of root canals (P>.05). There was also no statistically significant difference between the systems with respect to root canal volume after use of the F2 and F3 instruments. There was no statistical difference in the dentin thickness at the first apical level between, before and after instrumentation for both systems. At the 3 cervical levels, the PTG maintained centralization of the preparation on the transition between the F2 and F3 instruments, which did not occur with the PTU. Conclusion The Conventional NiTi (PTU) and Controlled Memory NiTi (PTG) instruments displayed comparable capabilities for shaping the straight mesial root canals of mandibular molars, although the PTG was better than the PTU at maintaining the centralization of the shape in the cervical portion.

Assessment of rotary and reciprocating movements in root canal filling material removal / Análise dos sistemas rotatórios e reciprocante com diferentes ligas na desobturação em retratamento endodônticos

The aim of this study was to evaluate the effects of preparation, filling removal material, reinstrumentation and reobturation of root canals with different Ni-Ti alloys in endodontic retreatment. Firstly, the selection and pairing of mesial root canals of mandibular molars (n = 45) were performed by computerized micro-tomography (micro-CT). After pairing, the specimens were divided into three groups (n = 15), instrumented with the Mtwo® (up to file 25.06), ProDesign Logic (25.06) and ProDesign R (25.06) systems. After this, the specimens were scanned again for root canal deviation analysis at 2, 4, 6, 8 and 10 mm from the apex and the volume increase of these root canals was evaluated through CTan Then, the root canals were filled with Endofill® with 0.1% rhodamine B and scanned in micro-CT once again. For the retreatment of the specimens, 3 groups were established according to the system used (Reciproc®, Hyflex® and ProDesign Duo Hybrid®). During the retreatment, the specimens were scanned in micro-CT in two more phases, after removal of filling material and after reinstrumentation of the root canals. All the images obtained previous and post-retreatment were compared to evaluate the capacity of removal filling material of each system through the volume of material remaining at 3mm in the apical third. Possible deviation of the root canal was assessed at 2, 4, 6, 8 and 10 mm from the apex. In addition, the times of preparation, removal filling material and reinstrumentation of these files were also evaluated. After the removal filling material and reinstrumentation of the root canals, they were refilled with AH Plus with 0.1% fluorescein. The specimens were sectioned crosswise into 2 mm slices to be analyzed by a confocal laser scanning microscope (CLSM) at 1, 3 and 5 mm from the apex, where the volume of material was evaluated through LAS X 3D and 2D software. The time of preparation, removal filling material and reinstrumentation of the root canals between the different systems was measured by a digital timer. The evaluation of canal volumetric increase and preparation time between Mtwo and ProDesign Logic systems were conducted using Student t-test analysis. Non-parametric Wilcoxon test was used to the intragroup comparison at the 2, 4, 6, 8 and 10 mm levels and non-parametric Mann-Whitney test was used to the comparison between groups in the root canal transportation in all sections of the root canal. The intra-group comparison regarding the presence or absence of root canal deviation after removal of root canal filling material and re-instrumentation was submitted to the parametric T-paired statistical test, since it had a normal distribution. The working time with the different alloys used to removal filling material an reinstrumentation was analyzed through parametric ANOVA e Tukey statistical test. The analysis of the remaining material present in the root canals was performed with nonparametric Kruskal-Wallis and Dunn tests. For the intra-group comparison between the different slices (1, 3 and 5 mm), the data were submitted to nonparametric Friedman and Dunn tests. The level of significance was established at 5% in all analysis. After the initial preparation of the root canals, the ProDesign Logic system proved to be faster than Mtwo system, with statistical difference between them (P <0.05). There was no statistical difference in root canal deviation after initial preparation and after retreatment (P> 0.05). In addition, the groups did not present a significant statistical difference to the volume increase of the root canals after the initial preparation or to the volume of filling material remaining after the retreatment (P> 0.05). The Reciproc system proved to be the fastest system for the removal filling material and reinstrumentation of the root canals (P <0.05). The present study demonstrated that the Prodesign Logic and Mtwo systems presented similar capacity of preparation of mesial root canals. The Reciproc, Hyflex and ProDesign Duo Hybrid systems are similar in the removal of filling material, preserving the original root canal shape in endodontic retreatment. However, Reciproc was the fastest compared to the other groups.(AU)

O presente trabalho teve como objetivo avaliar os efeitos decorrentes do preparo inicial, desobturação, reinstrumentação e reobturação de canais radiculares com diferentes ligas de Ni-Ti em casos de retratamento endodôntico. Primeiramente, foi realizado a seleção e o pareamento da anatomia de canais mesiais de primeiros molares inferiores (n=45) através de micro-tomografia computadorizada (micro-CT). Após o pareamento dos espécimes, os mesmos foram divididos em três grupos (n =15), instrumentados com os sistemas Mtwo® (até a lima 25.06), ProDesign Logic (25.06) e ProDesign R (25.06) sendo escaneados novamente para análise de desvio do canal radicular a 2, 4, 6, 8 e 10 mm, além do aumento de volume desses canais, avaliados através do CTan. Em seguida, os canais radiculares foram obturados com o cimento Endofill® acrescido de 0,1% de rodamina B e escaneados em micro-CT mais uma vez. Para o retratamento dos espécimes, foram estabelecidos 3 grupos, de acordo com o sistema utilizado (Reciproc®, Hyflex® e ProDesign Duo Híbrido®). Durante o retratamento, os espécimes foram escaneados em micro-CT em mais duas etapas, após a desobturação e a após a reinstrumentação dos canais. Todas as imagens obtidas referentes ao pré e pós retratamento foram confrontadas com o intuito de avaliar a capacidade de remoção de material obturador de cada sistema através do volume de material remanescente nos 3 mm apicais, além de avaliar possíveis desvios dos canais a 2, 4, 6, 8 e 10 mm do ápice. Foram avaliados também, o tempo efetivo de preparo, desobturação e de reinstrumentação desses instrumentos. Após a desobturação e reinstrumentação dos canais, os mesmos foram reobturados com cimento AH Plus acrescido de 0,1% de fluoresceína. Os espécimes foram seccionados transversalmente em fatias de 2 mm para serem analisados em microscópio confocal de varredura a laser (MCVL) a 1, 3 e 5 mm do ápice, onde foi avaliado, através do software LAS X 3D e 2D, o volume de material obturador antigo. O tempo de preparo, desobturação e reinstrumentação dos canais entre os diferentes sistemas foi marcado através de um cronômetro digital. A análise do aumento volumétrico e tempo de preparo entre os sistemas Mtwo e ProDesign Logic foi feita através do teste estatístico Student t. Para a análise do desvio do canal radicular após o preparo inicial, o teste não-paramétrico Wilcoxon foi utilizado para a comparação intra-grupos nos níveis a 2, 4, 6, 8 e 10 mm do ápice, enquanto o teste não-paramétrico Mann-Whitney foi utilizado para comparação entre os grupos nos mesmos níveis. Para a análise do desvio do canal radicular após a desobturação e reinstrumentação dos canais, os dados foram submetidos ao teste paramétrico T-pareado. O tempo de desobturação e reinstrumentação com os diferentes sistemas foi analisado através do teste ANOVA e Tukey. Os dados referentes ao remanescente de material obturador foram analisados através dos testes não-paramétrico Kruskal-Wallis e Dunn. Para a comparação intra-grupos entre os diferentes níveis (1, 3 e 5 mm) foram utilizados os testes não-paramétricos Friedman e Dunn. O nível de significância foi estabelecido a 5% em todas as análises. Após o preparo inicial dos canais, o sistema ProDesign Logic demonstrou ser mais rápido que o sistema Mtwo, havendo diferença estatística entre eles (P < 0.05). Não houve diferença estatística quanto ao desvio do canal radicular tanto após o preparo inicial quanto após o retratamento (P > 0.05). Além disso, os grupos também não apresentaram diferença estatística significante quanto ao aumento do volume dos canais após o preparo inicial, nem em relação ao volume de remanescente de material obturador após o retratamento (P > 0.05). O sistema Reciproc demonstrou ser o mais rápido dentre os sistemas quanto à desobturação e reinstrumentação dos canais (P < 0.05). O presente trabalho demonstrou que os sistemas Prodesign Logic and Mtwo apresentaram capacidade similar de preparo dos canais mesiais de molares inferiores. Os sistemas Reciproc, Hyflex e ProDesign Duo Híbrido são parecidos quanto à remoção de material obturador, preservando o formato original do canal em casos de retratamentos entodônticos. Entretanto, Reciproc foi o mais rápido comparado aos outros grupos.(AU)

In Vitro Cytotoxicity Test and Surface Characterization of CoCrW Alloy in Artificial Saliva Solution for Dental Applications

Abstract In order to evaluate its application as a dental prosthesis material, a CoCrW alloy was subjected to in vitro cytotoxicity test, surface characterization and electrochemical studies performed in artificial saliva and 0.15 mol.L-1 NaCl medium. The used techniques were: anodic polarization curves, chronoamperometric measurements, electrochemical impedance spectroscopy (EIS), scanning electron microscopy (SEM), energy dispersive X-ray spectroscopy (EDS) analysis and X-ray photoelectron spectroscopy (XPS). Cytotoxicity test was also performed. The electrochemical behavior of CoCrW alloy was compared in both studied media, from corrosion potential (Ecorr) to a 600 mV anodic overvoltage. From the electrochemical measurements it was observed that the CoCrW alloy in both media presents only generalized corrosion. SEM and EDS analysis showed that the alloy presents carbide niobium and silicon and manganese oxides as nonmetallic inclusions. XPS results indicated that cobalt does not significantly contribute to the passivating film formation. Cytotoxicity test showed no cytotoxic character of CoCrW alloy. These results suggest that the CoCrW alloy can be used as biomaterial to be applied as prosthesis in dental implants.

Resumo Estudos eletroquímicos, caracterização de superfície e teste de citotoxicidade in vitro foram realizados da liga CoCrW em meios de saliva artificial e NaCl 0,15 mol.L-1, com o objetivo de avaliar a sua aplicação como material de prótese dentária. Foram usadas como técnicas, curvas de polarização anódica, medidas cronoamperométricas, espectroscopia de impedância eletroquímica (EIE), microscopia eletrônica de varredura (MEV), espectroscopia por energia dispersiva de raios X (EDS) e espectroscopia fotoeletrônica de raios X (XPS). O teste de citotoxicidade também foi realizado. O comportamento eletroquímico da liga CoCrW foi comparado nos dois meios estudados desde o potencial de corrosão (Ecorr) até uma sobretensão anódica de 600 mV. Foi observado, a partir de medidas eletroquímicas, que a liga CoCrW se encontra passivada em uma ampla faixa de potencial e que a sobretensões mais elevadas apresenta apenas corrosão generalizada nos dois meios. Análises por MEV e EDS mostraram que a liga apresenta inclusões não metálicas de carbeto de nióbio, de óxidos de silício e de manganês. Os resultados de XPS indicaram que o cobalto não contribui significativamente para a formação do filme passivo. O teste de citotoxicidade mostrou que a liga CoCrW não se apresenta citotóxica. Estes resultados sugerem que a liga estudada pode ser usada como biomaterial a ser aplicado como prótese sobre implantes dentários.

Effect of cantilever length and alloy framework on the stress distribution in peri-implant area of cantilevered implant-supported fixed partial dentures

ABSTRACT Because many mechanical variables are present in the oral cavity, the proper load transfer between the prosthesis and the bone is important for treatment planning and for the longevity of the implant-supported fixed partial denture. Objectives To verify the stress generated on the peri-implant area of cantilevered implant-supported fixed partial dentures and the potential effects of such variable. Material and Methods A U-shaped polyurethane model simulating the mandibular bone containing two implants (Ø 3.75 mm) was used. Six groups were formed according to the alloy’s framework (CoCr or PdAg) and the point of load application (5 mm, 10 mm and 15 mm of cantilever arm). A 300 N load was applied in pre-determined reference points. The tension generated on the mesial, lingual, distal and buccal sides of the peri-implant regions was assessed using strain gauges. Results Two-way ANOVA and Tukey statistical tests were applied showing significant differences (p<0.05) between the groups. Pearson correlation test (p<0.05) was applied showing positive correlations between the increase of the cantilever arm and the deformation of the peri-implant area. Conclusions This report demonstrated the CoCr alloy shows larger compression values compared to the PdAg alloy for the same distances of cantilever. The point of load application influences the deformation on the peri-implant area, increasing in accordance with the increase of the lever arm.

Comparison of frictional resistance among conventional active and passive solf-ligating brackets with different combinations of arch wires: a finite element study

The aim of this study was to compare frictional resistance among conventional, passive and active selfligating brackets using Finite Elements Analysis (FEA). Seventynine (79) slide tests were performed by combining an upper first bicuspid conventional bracket, 0.018” stainless steel wires and 0.010” ligature by means of an INSTRON 3345 load system to obtain average maximum static frictional resistance (MSFR). This value was compared to the FR (frictional resistance) obtained by simulation of a slide of the same combination by FEA following conventional bracket modeling by means of Computer Aided Design (CAD). Once the FEA was validated, bracket CADs were designed (upper right first bicuspid conventional, active and passive selfligating bracket) and bracket properties calculated. MSFR was compared among conventional, active and passive selfligating brackets with different alloys and archwire cross sections such as 0.018”, 0.019” x 0.025”and 0.020” x 0.020”. Passive selfligating brackets had the lowest MSFR, followed by conventional brackets and active selfligating brackets. In conventional brackets, a 0.018” archwire produced a linear pattern of stress with maximum concentration at the center. Conversely, stress in 0.020 x 0.020” and 0.019 x 0.025” archwires was distributed across the width of the slot. The highest normal forces were 1.53 N for the 0.018” archwire, 4.85 N for the 0.020 x 0.020” archwire and 8.18 N for the 0.019 x 0.025” archwire. Passive selfligating brackets presented less frictional resistance than conventional and active selfligating brackets. Regardless of bracket type, greater contact area between the slot and the archwire and the spring clip increased frictional resistance.

El objetivo de este estudio fue comparar la resistencia friccional entre brackets convencionales, de autoligado pasivo y activo por medio del método de elementos finitos (MEF). Se realizaron setenta y nueve (79) deslizamientos combinando brackets convencionales de primer bicúspide superior con arcos de acero de 0,018” y ligadura metálica de 0,010” en una máquina INSTRON 3345, obteniendo el promedio de la resistencia estática máxima (REM). Este valor fue comparado con la resistencia friccional obtenida por simulación de un deslizamiento de la misma combinación por medio de MEF previo diseño asistido por computador (CAD) del bracket convencional. Una vez se validó MEF, se realizaron diseños CAD de los brackets (convencional, autoligado activo y pasivo de primer bicúspide superior derecho) y cálculos de sus propiedades. Se realizó una comparación entre brackets convencionales, brackets de autoligado activo y pasivo con diferentes aleaciones y secciones cruzadas de alambre 0.018”, 0.019” x 0.025” y 0.020” x 0.020”. Los brackets de autoligado pasivo mostraron la menor REM, seguidos de los brackets convencionales y finalmente los brackets de autoligado activo. En los brackets convencionales, el arco de 0,018” produjo un patrón lineal de stress en el fondo de la ranura, con su máxima concentración en el centro. Por el contrario, los arcos de 0.020” x 0.020” y 0.019 x 0.025” tuvieron una distribución de esfuerzos a través del ancho de la ranura. La mayor fuerza normal en los brackets convencionales fue para el arco 0.019”x 0.025” (8.18N), seguido por el arco 0.020 x 0.020” (4.85N) y finalmente el arco 0.018” (1.53N). Los brackets de autoligado pasivo presentaron menos resistencia friccional que los brackets convencionales y autoligado activo respectivamente. Independiente del tipo de bracket, una mayor área de contacto entre la ranura del bracket y el arco, y el spring clip aumentaron la resistencia friccional.

Four chemical methods of porcelain conditioning and their influence over bond strength and surface integrity

OBJECTIVE: To assess four different chemical surface conditioning methods for ceramic material before bracket bonding, and their impact on shear bond strength and surface integrity at debonding.METHODS: Four experimental groups (n = 13) were set up according to the ceramic conditioning method: G1 = 37% phosphoric acid etching followed by silane application; G2 = 37% liquid phosphoric acid etching, no rinsing, followed by silane application; G3 = 10% hydrofluoric acid etching alone; and G4 = 10% hydrofluoric acid etching followed by silane application. After surface conditioning, metal brackets were bonded to porcelain by means of the Transbond XP system (3M Unitek). Samples were submitted to shear bond strength tests in a universal testing machine and the surfaces were later assessed with a microscope under 8 X magnification. ANOVA/Tukey tests were performed to establish the difference between groups (α= 5%).RESULTS: The highest shear bond strength values were found in groups G3 and G4 (22.01 ± 2.15 MPa and 22.83 ± 3.32 Mpa, respectively), followed by G1 (16.42 ± 3.61 MPa) and G2 (9.29 ± 1.95 MPa). As regards surface evaluation after bracket debonding, the use of liquid phosphoric acid followed by silane application (G2) produced the least damage to porcelain. When hydrofluoric acid and silane were applied, the risk of ceramic fracture increased.CONCLUSIONS: Acceptable levels of bond strength for clinical use were reached by all methods tested; however, liquid phosphoric acid etching followed by silane application (G2) resulted in the least damage to the ceramic surface.

OBJETIVO: avaliar quatro métodos de condicionamento químico da superfície cerâmica, previamente à colagem de braquetes, e seu impacto sobre a resistência ao cisalhamento e a integridade da superfície ao descolamento.MÉTODOS: quatro grupos experimentais (n = 13) foram delineados de acordo com o método de condicionamento da superfície cerâmica empregado: G1 = ácido fosfórico a 37%, seguido da aplicação de silano; G2 = ácido fosfórico líquido a 37%, seguido da aplicação de silano sem lavagem prévia do ácido; G3 = ácido fluorídrico a 10%; e G4 = ácido fluorídrico a 10%, seguido da aplicação de silano. Após o condicionamento da superfície, braquetes metálicos foram colados à porcelana utilizando-se o sistema Transbond XP (3M Unitek). As amostras foram submetidas a ensaios de resistência ao cisalhamento, em máquina de ensaio universal, e as superfícies cerâmicas foram posteriormente avaliadas em microscópio, com magnitude de 8X. Testes ANOVA/Tukey foram realizados para verificar-se a diferença entre os grupos (α = 5%).RESULTADOS: os maiores valores de resistência ao cisalhamento foram encontrados nos grupos G3 e G4 (22,01 ± 2,15MPa e 22,83 ± 3,32Mpa, respectivamente), seguidos por G1 (16,42 ± 3,61MPa) e G2 (9,29 ± 1,95MPa). Quanto à avaliação da superfície após a descolagem do braquete, a utilização de ácido fosfórico líquido seguido da aplicação de silano, sem lavagem do ácido (G2), produziu menores danos à porcelana. Quando ácido fluorídrico e silano foram aplicados, o risco de fraturar a cerâmica aumentou.CONCLUSÕES: níveis aceitáveis de resistência de união para uso clínico foram alcançados por todos os métodos testados. No entanto, o condicionamento com ácido fosfórico líquido, seguido da aplicação de silano (G2), resultou em menor dano à superfície cerâmica.

Evaluation of stiffness and plastic deformation of active ceramic self-ligating bracket clips after repetitive opening and closure movements

OBJECTIVE: The aim of this study was to assess whether repetitive opening and closure of self-ligating bracket clips can cause plastic deformation of the clip.METHODS: Three types of active/interactive ceramic self-ligating brackets (n = 20) were tested: In-Ovation C, Quicklear and WOW. A standardized controlled device performed 500 cycles of opening and closure movements of the bracket clip with proper instruments and techniques adapted as recommended by the manufacturer of each bracket type. Two tensile tests, one before and one after the repetitive cycles, were performed to assess the stiffness of the clips. To this end, a custom-made stainless steel 0.40 x 0.40 mm wire was inserted into the bracket slot and adapted to the universal testing machine (EMIC DL2000), after which measurements were recorded. On the loading portion of the loading-unloading curve of clips, the slope fitted a first-degree equation curve to determine the stiffness/deflection rate of the clip.RESULTS: The results of plastic deformation showed no significant difference among bracket types before and after the 500 cycles of opening and closure (p = 0.811). There were significant differences on stiffness among the three types of brackets (p = 0.005). The WOW bracket had higher mean values, whereas Quicklear bracket had lower values, regardless of the opening/closure cycle.CONCLUSION: Repetitive controlled opening and closure movements of the clip did not alter stiffness or cause plastic deformation.

OBJETIVO: o objetivo deste estudo foi avaliar se a abertura e o fechamento repetitivo do clipe de braquetes autoligáveis podem causar deformação plástica do clipe.MÉTODOS: três tipos de braquetes autoligáveis ativos/interativos estéticos (n = 20) foram testados: In-Ovation C, Quicklear e WOW. Um dispositivo realizou, de forma controlada e padronizada, 500 ciclos de abertura e de fechamento do clipe, com instrumentos e técnicas adequadas, tal como recomendado pelo fabricante de cada tipo de braquete. Dois ensaios de tração, um antes e um depois dos ciclos repetitivos, foram realizados para se avaliar a rigidez dos clipes. Para o ensaio de tração, um fio de 0,40 x 0,40mm de aço inoxidável foi inserido no slot do braquete e adaptado em uma máquina universal de ensaios (EMIC DL2000), sendo as medições registradas. Na porção retilínea da curva de carregamento dos clipes, a inclinação é definida por uma equação de primeiro grau, determinando o coeficiente de elasticidade (rigidez) do clipe.RESULTADOS: os resultados quanto à deformação plástica não mostraram nenhuma diferença significativa entre os tipos de braquetes, antes e depois dos 500 ciclos de abertura e de fechamento (p = 0,811). Foram encontradas diferenças significativas na rigidez entre os três tipos de braquetes (p = 0,005): o braquete WOW demonstrou valores médios mais elevados, e o braquete Quicklear demonstrou valores mais baixos, independentemente do ciclo de abertura e fechamento.CONCLUSÃO: movimentos repetitivos controlados de abertura e de fechamento do clipe não alteraram a rigidez ou causaram deformação plástica.

Nuevas características cinemáticas para la instrumentación endodóntica: sistema TF Adaptive / New kinematic characteristics for endodontic instrumentation: the TF Adaptive system

La preparación quirúrgica de los conductos radiculares es uno de los pasos más importantes del tratamiento endodóntico. Los objetivos de limpieza y conformación son condicionados por la patología, la anatomía y las características de los recursos disponibles para conseguirlos. Los instrumentos de aleaciones de níquel-titanio se presentan como una opción valedera dadas sus características que les confieren gran potencial en los procedimientos quirúrgicos mecanizados, con la aplicación de cinemáticas de operación que buscan otorgarles eficiencia y seguridad en el empleo. En el presente trabajo se describe el sistema de instrumentación TF Adaptive (Axis - SybronEndo, Texas, Estados Unidos). Está compuesto por dos series de tres instrumentos cada una, diseñadas para trabajar en conductos de diferente anatomía. Las características diferenciales de estos instrumentos son el tratamiento térmico de la aleación con que son fabricados, la elaboración por torsión y el tratamiento de su superficie. Son empleados por medio de un motor que confiere dos tipos de cinemática, de acuerdo con la necesidad quirúrgica. Se describe como tecnología Adaptive motion la que provee un forma automática rotación horaria interrumpida o acción reciprocante. Se presentan dos casos clínicos realizados con la utilizaición de la tecnología descripta...

Deformações geradas no intermediário e região peri-implantar após aplicação de cargas inclinadas em coroas unitárias / Deformation generated in the abutment and peri-implant bone after application of an oblique load or metal-ceramic crowns

A reabilitação protética de pacientes desdentados é uma área da Odontologia amplamente estudada por pesquisadores do mundo todo, e com o desenvolvimento dos implantes osseointegrados surgiram muitas perguntas sobre o desempenho das próteses instaladas sobre estes. Conhecer o comportamento mecânico do conjunto coroa unitária, intermediário, implante e tecido de suporte é importante para entender o processo de transmissão de forças e suas consequências, processos estes que ainda não estão totalmente compreendidos. O objetivo deste trabalho foi verificar a deformação gerada no intermediário e no osso peri-implantar após aplicação de uma carga inclinada sobre coroas unitárias metalocerâmicas. Foi utilizado um modelo mestre de poliuretano, simulando o osso mandibular, com um implante hexágono externo de 3,75mm x13 mm de comprimento, no qual foi fixado um intermediário multi-unit. O trabalho foi realizado com 3 grupos de 4 coroas cada, divididos de acordo com o tipo de cilindro e liga de fundição (cilindros de ouro sobrefundidos com liga de PdAg, cilindro de acrílico fundido com liga de NiCoCr e cilindros de CoCr usinado sobrefundidos com liga de NiCoCr). Cada corpo de prova foi submetido cinco vezes à aplicação de carga oblíqua de 15 e 30 graus no centro da oclusal de cada coroa com uma força de 300N em uma máquina universal de ensaios. Foram realizadas leituras das deformações geradas no intermediário e no poliuretano, com o uso de extensômetros lineares elétricos (strain gauges) os quais foram colados em três faces do intermediário (Disto lingual, Mesio lingual, Vestibular) e nas superfícies mesial, vestibular, distal e lingual do osso simulado ao redor do implante. Os dados obtidos foram submetidos à análise de variância a 3 critérios (ANOVA) e o teste de Tukey, utilizando um nível de significância (p<0,05). Os resultados mostraram que entre as duas angulações utilizadas existiram diferenças estatísticas significantes. Os valores médios de deformação se...

The prosthetic rehabilitation of edentulous patients is a dental area widely studied by worldwide researchers, and through the development of dental implants, appear many questions about the performance of prostheses installed on them. Knowledge of the mechanical behavior of the integration between single crown, abutment, implant and support tissue is very important to understand the forces transmission process and its consequences but these processes are not fully understood. The objective of the present study was to evaluate the deformation generated in the abutment and simulated peri-implant bone after application of an oblique load on metal-ceramic crowns. A polyurethane master model was used to simulate the jawbone with an implant external hexagon 3.75 mm x13 mm length, which was fixed in a multi-unit abutment. The study was conducted with twelve metal ceramic crowns divided according to type of cylinder and casting alloy, Group 1: Gold cylinder cast with PdAg alloy; Group 2: Acrylic cylinder cast with NiCoCr alloy; Group 3: CoCr cylinder cast with NiCoCr alloy, thus forming three groups of four sample each. Each specimen was subjected five times the application of oblique load of 15 and 30 degrees in the center of the occlusal of each crown with a 300N force in a universal testing machine. Readings were taken of the deformations generated in the abutment and bone simulated by polyurethane, with the use of electric linear strain gauges which have been positioned on three sides equidistant to each other to measure microstrains at abutment (disto-lingual, meso-lingual, Vestibular) and the simulated bone around each implant received four strain gauges, positioned on the mesial, distal, buccal and lingual aspects. The data were submitted to analysis of variance to 3 criteria (ANOVA) and Tukey test, using a significance level (p <0.05). The results showed that between the two angles tested there were significant statistical differences...

The effects of binge-pattern alcohol consumption on orthodontic tooth movement

OBJECTIVE: This study aimed to assess tissue changes during orthodontic movement after binge-pattern ethanol 20% exposure. METHODS: Male Wistar rats (n = 54) were divided into two groups. The control group (CG) received 0.9% saline solution, while the experimental group (EG) received 20% ethanol in 0.9% saline solution (3 g/kg/day). On the 30th day, a force of 25 cN was applied with a nickel-titanium closed coil spring to move the maxillary right first molar mesially. The groups were further divided into three subgroups (2, 14 and 28 days). Tartrate-resistant acid phosphatase and picrosirius were used to assess bone resorption and neoformation, respectively. Data were compared by two-way ANOVA, Tukey's HSD, Games-Howell and chi-square test. Significance level was set at 5%. RESULTS: There was a decrease in the number of osteoclasts in EG at day 28. The percentage of collagen showed no interaction between group and time. CONCLUSION: Binge-pattern 20% ethanol promoted less bone resorption at the end of tooth movement, thereby suggesting delay in tooth movement. .

OBJETIVO: objetivou-se avaliar as alterações teciduais decorrentes da administração de etanol a 20% no padrão binge, durante o movimento ortodôntico. MÉTODOS: foram utilizados ratos Wistar machos (n = 54), divididos em dois grupos, sendo Grupo Controle (GC), com administração de soro fisiológico a 0,9%; e Grupo e Experimental (GE), com administração de etanol a 20% em soro fisiológico a 0,9%, no volume de 3g/kg/dia. Após o 30º dia de administração, foi aplicada força de 25cN com mola fechada de níquel-titânio para mover o primeiro molar superior direito para mesial. Os grupos foram subdivididos nos subgrupos 2, 14 e 28 dias, correspondendo ao número de dias de movimentação dentária. Utilizou-se as colorações de fosfatase ácida-tartarato resistente e picrosírius para avaliar reabsorção óssea e neoformação óssea, respectivamente. Os dados foram comparados por ANOVA a dois critérios, Tukey HSD e Games-Howell, ao nível de significância de 5%. RESULTADOS: verificou-se diminuição no número de osteoclastos no GE II no 28º dia. A percentagem de colágeno não demonstrou alteração na interação grupo x tempo. CONCLUSÕES: o etanol no padrão binge a 20% promoveu menor reabsorção óssea no final da movimentação dentária, sugerindo atraso na movimentação dentária. .

Effect of adhesive remnant removal on enamel topography after bracket debonding

INTRODUCTION: At orthodontic treatment completion, knowledge about the effects of adhesive remnant removal on enamel is paramount. OBJECTIVE: This study aimed at assessing the effect of different adhesive remnant removal methods on enamel topography (ESI) and surface roughness (Ra) after bracket debonding and polishing. METHODS: A total of 50 human premolars were selected and divided into five groups according to the method used for adhesive remnant removal: high speed tungsten carbide bur (TCB), Sof-Lex discs (SL), adhesive removing plier (PL), ultrasound (US) and Fiberglass burs (FB). Metal brackets were bonded with Transbond XT, stored at 37oC for 24 hours before debonding with adhesive removing plier. Subsequently, removal methods were carried out followed by polishing with pumice paste. Qualitative and quantitative analyses were conducted with pre-bonding, post-debonding and post-polishing analyses. Results were submitted to statistical analysis with F test (ANOVA) and Tukey's (Ra) as well as with Kruskal-Wallis and Bonferroni tests (ESI) (P < 0.05). RESULTS: US Ra and ESI were significantly greater than TCB, SL, PL and FB. Polishing minimized Ra and ESI in the SL and FB groups. CONCLUSION: Adhesive remnant removal with SL and FB associated with polishing are recommended due to causing little damage to the enamel. .

INTRODUÇÃO: na finalização do tratamento ortodôntico, torna-se relevante o conhecimento da ação dos métodos de remoção do remanescente resinoso sobre o esmalte. OBJETIVO: o objetivo do estudo foi avaliar o efeito de métodos de remoção do remanescente de resina após a descolagem do braquete e do polimento na rugosidade (Ra) e topografia (ESI) do esmalte. MÉTODOS: foram selecionados 50 pré-molares humanos, divididos em cinco grupos, de acordo com o método empregado para a remoção da resina residual: broca carbide tungstênio em alta rotação (BCT), discos Sof-Lex (SL), alicate removedor de resina (AL), ultrassom (US) e pontas Fiberglass (PF). Braquetes metálicos foram colados com Transbond XT, armazenados a 37° por 24 horas antes da descolagem com alicate removedor de braquete, sendo aplicados posteriormente os meios de remoção e executado o polimento com pasta de pedra-pomes. Realizou-se análises qualiquantitativas, com avaliações antes da colagem dos braquetes, após a descolagem e após o polimento, sendo os valores obtidos submetidos à análise estatística com teste F (ANOVA), de Tukey (Ra) e testes de Kruskal-Wallis e Bonferroni (ESI) (p < 0,05). RESULTADOS: a Ra e o ESI do US foram significativamente maiores do que BCT, SL, AL e PF. O polimento reduziu a Ra e ESI dos grupos SL e PF. CONCLUSÃO: a remoção do adesivo resinoso com SL e PF associados ao polimento são os métodos mais indicados por ocasionarem as menores alterações do esmalte. .