Surface detail reproduction and dimensional accuracy of molds: influence of disinfectant solutions and elastomeric impression materials / Reprodução de detalhes da superfície e estabilidadedimensional de moldes: influência das soluçõesdesinfetantes e elastômeros

This study compared the surface detail reproduction anddimensional accuracy of molds after disinfection using 2% sodium hypochlorite, 2% chlorhexidine digluconate or 0.2% peracetic acid to those of molds that were not disinfected, forfour elastomeric impression materials: polysulfide (Light Bodied Permlastic), polyether (Impregum Soft), polydimethylsiloxane(Oranwash L) and polyvinylsiloxane (Aquasil Ultra LV). Themolds were prepared on a matrix by applying pressure, using aperforated metal tray. The molds were removed followingpolymerization and either disinfected (by soaking in one of thesolutions for 15 minutes) or not disinfected. The samples werethus divided into 16 groups (n=5). Surface detail reproductionand dimensional accuracy were evaluated using opticalmicroscopy to assess the 20 ­µm line over its entire 25 mm length. The dimensional accuracy results (%) were subjectedto analysis of variance (ANOVA) and the means were comparedby Tukey’s test (α=5%). The 20 ­µm line was completelyreproduced by all elastomeric impression materials, regardlessof disinfection procedure. There was no significant difference between the control group and molds disinfected with peraceticacid for the elastomeric materials Impregum Soft (polyether)and Aquasil Ultra LV (polyvinylsiloxane). The high­leveldisinfectant peracetic acid would be the choice material for disinfection.

Este estudo comparou a reprodução de detalhes da superfície e estabilidade dimensional de moldes obtidos após desinfecção utilizando hipoclorito de sódio 2%, digluconato de clorexidina 2%, ou ácido peracético 0,2% a moldes que não foram desinfetados com quatro elastômeros: polissulfeto (Light Bodied Permlastic), polieter (Impregum Soft), silicona reação porcondensação (Oranwash L) e silicona reação por adição (Aquasil Ultra LV). Os moldes foram preparados sobre matriz conten dolinhas de 20, 50 e 75 µm realizado sob pressão com moldeirade metal perfurada. Os moldes foram removidos após a polimerização e desinfetados (utilizando uma das soluções porimersão, armazenados em frascos fechados durante 15 minutos)ou não desinfetados. Assim, as amostras foram divididas em 16grupos (n=5). A reprodução detalhes da superfície e a precisão dimensional foram avaliadas usando microscopia óptica na linha 20 µm com 25 mm de comprimento, de acordo com a norma ISO 4823. Os resultados de precisão dimensional (%) foram submetidos à análise de variância (A NOVA) e as médias comparadas pelo teste de Tukey com 5% de nível de significância. A linha de 20 µm foi completamente reproduzida por todos os elastômeros, independentemente do processo de desinfecção. Não houve diferença estatisticamente significativa entre o grupo controle e moldes desinfetados com acido peracético para os elastômeros Impregum Soft (polieter) e Aquasil Ultra LV (siliconareação por adição). O desinfetante de alto nível ácido peracético seria o material de escolha para a desinfecção.

Pino anatômico com resina composta: relato de caso / Anatomic fiber post with composite resin: case report

O protocolo restaurador de dentes tratados endodonticamente é um desafio na odontologia adesiva atual, já que existem vários tipos de retentores intrarradiculares à disposição no mercado, com características ópticas e mecânicas que promovem um tratamento satisfatório. Dessa forma, a técnica de pino de fibra anatômico reembasado com resina composta direta torna-se eficiente para uso na clínica odontológica, especialmente em casos de condutos largos e tamanho reduzido de férula. Para tanto, o pino é limpo, aplica-se o silano e adesivo, além da resina composta não polimerizada para moldar o conduto radicular. Após, o pino é tratado novamente e cimentado com uma pequena espessura de linha de cimentação. Nesse artigo, o caso clinico abordará as etapas necessárias para a confecção do pino anatômico, além das estratégias de cimentação adesiva e a restauração com resina composta, trabalhando os conceitos da manutenção de uma delgada linha de cimentação para uma adequada reabilitação dental mantendo biomecânica e retenção do pino de fibra no interior do conduto radicular.

The restorative protocol for endodontically treated teeth is a challenge in adhesive dentistry, since there are several available types of intracanal posts with optical and mechanical characteristics that promotea satisfactory treatment. Thus, the anatomical fiber post technique is efficient for the use in dental practice, especially in cases of large root canals and small dental ferrules. So, the post is cleaned and then the silaneagent and adhesive system are applied, followed by the placement of the non-polymerized composite for root canal modeling. After this, the anatomical fiber post is treated again and followed by the luting procedure, showing a small cementation thickness. In this paper, the case report will address the necessary steps to realize the anatomical fiber post technique using strategies and adhesive cementation with composite resin restoration, working the concepts of maintaining a thin cement line and an adequate dental rehabilitation.

Luting glass ceramic restorations using a self-adhesive resin cement under different dentin conditions

OBJECTIVES: The aim of this study was to investigate the bond strength of ceramic restorations luted using a self-adhesive resin cement (RelyX Unicem, 3M ESPE) under different dentin conditions. MATERIAL AND METHODS: In the experimental groups, ceramic restorations were luted to bovine incisors with RelyX Unicem under the following conditions: [Dry dentin]: surface was dried using air stream for 15 s; [Moist dentin]: excess dentin moisture was removed with absorbent paper; [Bonding agent]: Clearfil SE Bond (Kuraray) self-etching adhesive system was previously applied to dentin. In the Control group, cementation was done using an etch-and-rinse adhesive (Excite DSC) and Variolink II resin cement (Ivoclar Vivadent). Photoactivation of the resin cements was performed with UltraLume LED 5 unit (Ultradent). The restorations (n=5 per group) were sectioned into beams and microtensile testing was carried out. Data were subjected to ANOVA and Tukey's test (p<0.05). Failure modes were classifed under Scanning Electron Microscopic (SEM) (x120 magnifcation). RESULTS: The bond strength was dependent on the moisture status of the dentin. Bond strength in the "dry dentin group" was signifcantly lower than that of all other groups, which showed similar results. A predominance of mixed failures was detected for the control group, while a predominance of adhesive failures was observed for the "bonding agent" and "dry dentin" groups. The "moist dentin" group presented predominantly cohesive failures within the luting material. The previous application of a self-etching adhesive showed no signifcant effect. CONCLUSIONS: Only excess dentin moisture should be removed for the cementation of ceramic restorations with self-adhesive resin cements.

SEM evaluation of marginal sealing on composite restorations using different photoactivation and composite insertion methods.

Aim: This in vitro study evaluates the influence of marginal sealing methods in composite restorations with different adhesive systems submitted to mechanical load. Materials and Methods: Eighty bovine incisor crowns were embedded in Polyvinyl chloride (PVC) molds with the buccal surface exposed, where cavities (4mm x 4mm x 3mm) were made. Samples had the adhesive systems, Single Bond or Clearfil SE Bond, applied according to the manufacturer's recommendations. The cavities were filled with a Z-250 composite according to the restoration technique (bulk filling or three increments) and photoactivation (conventional, soft start, pulsatile light or light-emitting diode [LED]). The samples were duplicated with epoxy resin for scanning electron microscopy observations. Samples were also submitted to mechanical load (200,000 cycles; 2 Hz) and new replicas were made. Results: The results, in percentages, were submitted to ANOVA followed by Tukey's test (P < 0.05). There was statistical difference between the cycle group (23.84%) and the non cycle group (18.63%). Comparing the restoration technique, there was no statistical difference between bulk filling (19.62%) and three increments (22.84%). There was no statistical difference among the groups: Pulsatile light (24.38%), soft start (22.75%), LED (21.47%) or conventional (16.34%). Furthermore, there were no statistical differences between the adhesive systems: Clearfil SE Bond (21.32%) and Single Bond (20.83%). Conclusions: The photoactivation methods, the restorative techniques and the adhesive systems did not influence gap formation.

Comparative study of tubular diameter and quantity for human and bovine dentin at different depths

This study compared the tubular dimensions and distribution of human and bovine dentin. Ten human molars and 10 bovine incisors were ground with a high-speed handpiece to obtain 3 sections at different dentin depths (superficial, middle and deep). The specimens were sputter-coated with gold to be examined under scanning electron microscopy (SEM). Three SEM micrographs were recorded randomly for each dentin depth. The number of tubules was counted and the diameter of 5 tubules selected at random was measured in each SEM micrograph. Data were analyzed statistically by ANOVA and Tukey's test (a=0.05). In bovine teeth, superficial dentin (4.21 μm) and middle dentin (3.98 μm) had a significantly greater (p<0.05) diameter than deep dentin (3.14 μm) tubules. In human teeth, superficial dentin tubule diameter (2.42 μm) was significantly smaller (p<0.05) than deep dentin (2.99 μm) and middle dentin (2.94 μm) tubule diameters, which did not differ significantly from each other (p>0.05). The number of tubules per square millimiter, regardless of the region, was significantly greater in human dentin (22,329) than in bovine dentin (15,964). There was a clear difference in tubule structure and morphology between human and bovine dentin.

Este estudo comparou a dimensão e a distribuição tubular da dentina humana e bovina. Dez molares humanos e 10 incisivos bovinos foram desgastados com alta rotação para se obter 3 secções de diferentes profundidades de dentina (superficial, média e profunda). As amostras foram cobertas com ouro em um metalizador para a observavação em MEV. Três micrografias foram tiradas aleatoriamente para cada profundidade de dentina. O número de túbulos foi contado e o diâmetro de 5 túbulos selecionados aleatoriamente foi medido para cada micrografia. Os resultados foram submetidos à análise de variância e ao teste de Tukey (a=0.05). Em dente bovino, a dentina superficial (4,21 μm) e a dentina média (3,98 μm) apresentaram diâmetro estatisticamente superior (p<0,05) à dentina profunda (3,14 μm). Em dente humano, o diâmetro dos túbulos da dentina superficial (2,42 μm) mostrou-se significativamente menor que a dentina profunda (2,99 μm) e média, (2,94 μm) as quais não diferiram entre si. O numero de túbulos por mm2, independente da região, foi significativamente maior para a dentina humana (22,329) que para dentina bovina (15,964). Houve uma clara diferença na estrutura tubular e morfológica entre dentina humana e bovina.