Efeito da contaminação por saliva humana na interface adesiva: resistência de união, análise de camada híbrida e conversão de sistemas adesivos / Effect of human saliva contamination on adhesive interface: bond strength, hybrid layer analysis and conversion of adhesive systems

Este estudo teve como objetivo analisar o efeito da contaminação por saliva humana na resistência de união (RU) da interface adesiva em dentina por microtração, nas características morfológicas da camada híbrida (CH) em microscopia confocal e no grau de conversão (GC) de 2 sistemas adesivos: Adper Single bond 2 (SB) e Single Bond® Universal (SU). Cento e oitenta dentes terceiros humanos hígidos foram divididos em 12 grupos (n=10), de acordo com o sistema adesivo utilizado, a presença de saliva e o tempo de armazenagem. Após o procedimento adesivo e aplicação da resina composta Filtek Z250, os dentes foram mantidos em água destilada em estufa a 37°C por 48 horas, 6 meses ou 12 meses antes de serem seccionados em palitos (0,8mm x 0,8mm, aproximadamente) para serem levados à máquina de ensaios universal Instron para os testes de microtração. Para à análise da interface adesiva em microscopia confocal de varredura a laser para verificação e mensuração de alterações internas na interface foram utilizados 60 dentes divididos em 6 grupos (n=10) de acordo com os tempos de 48 horas, 6 meses, e 12 meses respectivamente, empregando os sistemas adesivos (SB) e (SU). O efeito da presença de saliva também foi avaliado pelo grau de conversão dos adesivos, empregando-se espectroscopia de infravermelho transformada de Fourier empregando os sistema adesivos (SB) e (SU) com incorporação de saliva humana na sua composição (n=5) com concentrações 10%, 25% e 50% em vol. Para a comparação das variáveis: RU, (GC), espessura da CH, na presença de saliva e tempo de armazenamento foram utilizados os testes de Análise de Variância a três critérios e de comparações múltiplas de Tukey (p<0,05). Os valores de RU (MPa±dp: 48horas/6meses/1ano) foram: SB (43,53 ±6,0; 40,10±3,4; 38,59±5,4); SalSB (43,09±6,2; 39,86±6,6; 37,255,8); SU (42,98±4,3; 39,30±3,6; 40,44±5,7); Sal SU (44,39±4,2; 42,26±2,5; 38,26±5,7). Os Valores médios da CH (MPa±dp: 48horas/6meses/1ano) foram: SalSB (3,59±0,8; 3,59±1,0; 2,08±1,5). SalSU (1,26±0,5; 1,73±0,8; 1,07±0,3). Os valores de GC (MPa±dp: 10%/25%/50%vol) foram: SB (85,59±3,4; 49,68±12,8; 38,56±11,8); SU (85,52±3,3; 86,27±3,5; 57,82±11,1).Conclui-se, portanto, que a contaminação por saliva humana não interferiu na RU da interface dentina/resina composta após 48 horas, 6 meses e 12 meses. A morfologia da camada hibrida foi alterada pela presença da saliva nos períodos 6 e 12 meses,. O GC dos sistemas adesivos foi afetado pela presença de saliva após a polimerização imediata. Entretanto o fator tempo foi determinante para a deformação da interface dentina/resina para ambos os sistemas adesivos.(AU)

The objective of this study was to analyze the effect of human saliva contamination on bond strength of the dentin/adhesive interface, morphology of the hybrid layer by confocal microscopy and SEM analysis and degree of conversion of 2 adhesive systems: Adper Single bond 2 (SB) and Single Bond® Universal ( SU). One hundred and eighty healthy human third teeth were divided into 12 groups (n = 10), according to the adhesive system used, the presence of saliva and the storage time. After the adhesive procedure and placement of resin composite (Filtek Z250), the teeth were stored in distilled waterat 37 ° C for 48 hours, 6 months or 12 months before being cut into sticks (0.8mm x 0.8mm, approximately) to the microtensile strength tests. For the analysis of the adhesive interface in confocal microscopy of laser scanning for verification and measurement of internal interface changes, 60 teeth were used divided into 6 groups (n = 10) according to the storage time: 48 hours, 6 months, and 12 monthsand (SB) and (SU). The effect of the presence of saliva was also evaluated by the degree of conversion of the adhesives using Fourier transform infrared spectroscopy employing adhesive (SB) and (SU) systems incorporating human saliva in its composition (n = 5) with 10%, 25% and 50% vol. For the comparison of the variables: bond strength, degree of conversion, and hybrid layer thickness in the presence of saliva and storage time, the three criteria Variance Analysis and Tukey multiple comparisons tests (p <0.05) were used. The values of bond strength (MPa ± dp: 48hours / 6meses / year) were: SB (43.53 ± 6.0, 40.10 ± 3.4, 38.59 ± 5.4); SalSB (43.09 ± 6.2, 39.86 ± 6.6, 37.255.8); SU (42.98 ± 4.3, 39.30 ± 3.6, 40.44 ± 5.7); SU salt (44.39 ± 4.2, 42.26 ± 2.5, 38.26 ± 5.7). The mean values of hybrid layer thickness (MPa ± dp: 48hours / 6meses / year) were: SalSB (3.59 ± 0.8, 3.59 ± 1.0, 2.08 ± 1.5). SalSU (1.26 ± 0.5, 1.73 ± 0.8, 1.07 ± 0.3). The values of degree of conversion (MPa ± dp: 10% / 25% / 50% vol) were: SB (85.59 ± 3.4, 49.68 ± 12.8, 38.56 ± 11.8); (85.52 ± 3.3, 86.27 ± 3.5, 57.82 ± 11.1). It was therefore concluded that human saliva contamination did not interfere on bond strength of the dentin/adhesive interface after 48 hours, 6 months and 12 months. The morphology of the hybrid layer was altered by the presence of saliva after 6 and 12 months. The degree of conversion of adhesive systems was affected by the presence of saliva immediately after polymerization. However, the time factor was determinant for the dentine/resin interface deformation for both adhesive systems.(AU)

Effect of resin-modified glass-ionomer cement lining and composite layering technique on the adhesive interface of lateral wall

Interface integrity can be maintained by setting the composite in a layering technique and using liners. Objective The aim of this in vitro study was to verify the effect of resin-modified glass-ionomer cement (RMGIC) lining and composite layering technique on the bond strength of the dentin/resin adhesive interface of lateral walls of occlusal restorations. Material and Methods Occlusal cavities were prepared in 52 extracted sound human molars, randomly assigned into 4 groups: Group 2H (control) – no lining + two horizontal layers; Group 4O: no lining + four oblique layers; Group V-2H: RMGIC lining (Vitrebond) + two horizontal layers; and Group V-4O: RMGIC lining (Vitrebond) + four oblique layers. Resin composite (Filtek Z250, 3M ESPE) was placed after application of an adhesive system (Adper™ Single Bond 2, 3M ESPE) dyed with a fluorescent reagent (Rhodamine B) to allow confocal microscopy analysis. The teeth were stored in deionized water at 37oC for 24 hours before being sectioned into 0.8 mm slices. One slice of each tooth was randomly selected for Confocal Laser Scanning Microscopy (CLSM) analysis. The other slices were sectioned into 0.8 mm x 0.8 mm sticks to microtensile bond strength test (MPa). Data were analyzed by two-way ANOVA and Fisher's test. Results There was no statistical difference on bond strength among groups (p>0.05). CLSM analysis showed no significant statistical difference regarding the presence of gap at the interface dentin/resin among groups. Conclusions RMGIC lining and composite layering techniques showed no effect on the microtensile bond strength and gap formation at the adhesive interface of lateral walls of high C-factor occlusal restorations. .