Development and validation of new methodologies for teaching preparations in fixed partial prosthesis.

CONTEXT: Students can have some issues in the comprehension and execution of coronal preparations in fixed partial prosthesis (FPP). Some issues pertain to the amount of reduction, the inclination, and the positioning, all of which are important for the execution of an ideal preparation while respecting the required biomechanical principles. OBJECTIVE: The present study's aim was to evaluate the main problems experienced by graduation students regarding coronal preparation in FPP and to suggest teaching skills to help students and professors. DESIGN: A total of 87 students, who were enrolled in the 3rd year of Dentistry at the FPP course - in the Institute of Science and Technology, São Paulo State University, between 2017 and 2018, participated in the study. Two methodologies were developed, applied, and validated: first, a mannequin with a scheme of colors to help students visualize the coronal preparation; second, a comparison of different didactic methods. RESULTS: Only 54.02% of the students answered the questionnaire, and the main problem identified by the respondents was the amount of reduction required (78.2%). In the second place, 50.9% of the students stated that they had problems with the inclination and angle of the preparation. The mannequin method with color schemes was approved by 91.5%. The favorite didactic method was a live demonstration (face to face), with 61.8%. In the second place, 47.3% of the students stated that live projection was also adequate. CONCLUSIONS: Both auxiliary didactic methods were approved by the students and they reported that it helped them to visualize the amount of reduction necessary and the sequence of the preparation. Hence, it was concluded that the mannequin with color schemes and the live projection were approved as auxiliary didactic resources for teaching FPP.

Effect of different polymerization devices on the degree of conversion and the physical properties of an indirect resin composite.

Polymerization of indirect resin composites (IRC) is carried out in the 'laboratories using special photo-polymerization devices to achieve a higher degree of conversion (DC). Such devices present variation in chambers and light output which may have consequences on the chemical and physical properties of IRCs. This study evaluated the effect of different polymerization devices on the flexural strength, Vickers microhardness and DC of an IRC. Specimens were prepared from an IRC material, Sinfony (3M ESPE), using special molds for flexural strength test (N=30) (25 x 2 x 2 mm, ISO 4049), Vickers microhardness test (N=30) (5 x 4 mm) and for DC (N=30) utilizing Micro-raman Spectroscopy. All specimens were submitted to initial polymerization with a Visio Alpha unit (3M ESPE) and then randomly divided into three groups (n=10/ group). Specimens in Group 1 (control) received additional polymerizations using a Visio Beta Vario device (3M ESPE), and those in Group 2 and Group 3 using Powerlux (EDG) and Strobolux (EDG) devices, respectively. DC and mechanical tests were then conducted. For the mechanical tests, the data were analyzed using ANOVA and Tukey's tests (p < 0.05) and for DC, one-way ANOVA was used. Polymerization in Strobolux (Group 3) resulted in significantly lower flexural strength (MPa) values (134 +/- 27) compared to Visio Beta Vario (165 +/- 20) (Group 1) (p < 0.05). The lowest microhardness values (Kg/mm2) were obtained in Group 3 (30 +/- 1) (p < 0.05). DC was similar in all groups (75 +/- 1, 91 +/- 5, 85 +/- 7% for Visio Beta Vario, Powerlux and Strobolux, respectively) (p = 0.1205). The type of polymerization device may affect the flexural strength and Vickers hardness of the IRC tested. DC also seems to be affected by the type of polymerization device but the results were not significant.

Effect of different polymerization devices on the degree of conversion and the physical properties of an indirect resin composite

Polymerization of indirect resin composites (IRC) is carried out in the laboratories using special photo-polymerization devices to achieve a higher degree of conversion (DC). Such devices present variation in chambers and light output which may have consequences on the chemical and physical properties of IRCs. This study evaluated the effect of different polymerization devices on the flexural strength, Vickers microhardness and DC of an IRC. Specimens were prepared from an IRC material, Sinfony (3M ESPE), using special molds for flexural strength test (N=30) (25x2x2 mm, ISO 4049), Vickers microhardness test (N=30) (5x4 mm) and for DC (N=30) utilizing Micro-raman Spectroscopy. All specimens were submitted to initial polymerization with a Visio Alpha unit (3M ESPE) and then randomly divided into three groups (n=10/ group). Specimens in Group 1 (control) received additional polymerizations using a Visio Beta Vario device (3M ESPE), and those in Group 2 and Group 3 using Powerlux (EDG) and Strobolux (EDG) devices, respectively. DC and mechanical tests were then conducted. For the mechanical tests, the data were analyzed using ANOVA and Tukey's tests (p<0.05) and for DC, one-way ANOVA was used. Polymerization in Strobolux (Group 3) resulted in significantly lower flexural strength (MPa) values (134±27) compared to Visio Beta Vario (165±20) (Group 1) (p<0.05). The lowest microhardness values (Kg/mm2) were obtained in Group 3 (30±1) (p<0.05). DC was similar in all groups (75±1, 91±5, 85±7 % for Visio Beta Vario, Powerlux and Strobolux, respectively) (p=0.1205). The type of polymerization device may affect the flexural strength and Vickers hardness of the IRC tested. DC also seems to be affected by the type of polymerization device but the results were not significant.

As polimerizacoes de resinas compostas indiretas (RCI) sao realizadas em Laboratorio em dispositivos fotopolimerizadores especiais para que seja alcancado um maior grau de conversao (GC). Estes dispositivos apresentam variacoes nas cameras e nas lampadas polimerizadoras as quais podem gerar consequencias nas propriedades fisicas e quimicas das RCIs. Este estudo avaliou o efeito de diferentes unidades polimerizadoras na resistencia a flexao, dureza Vickers e GC de uma RCI. Amostras da RCI Sinfony (3M ESPE) foram preparadas, utilizando matrizes especiais para o teste de resistencia a flexao (N=30) (25x2x2 mm, ISO 4049), teste de microdureza Vickers (N=30) (5x4 mm) e para o GC (N=30), utilizando a espectroscopia Micro-raman. Todas as amostras foram submetidas a polimerizacao inicial na unidade Visio Alpha (3M ESPE) e em seguida elas foram divididas aleatoriamente em tres grupos (n=10/por grupo). As amostras do Gr1 (controle) tiveram sua polimerizacao final realizada na unidade Visio Beta Vario (3M ESPE), e as do Gr2 e Gr3 nas unidades Powerlux (EDG) e Strobolux (EDG), respectivamente e entao os testes mecanicos e do GC foram conduzidos. Para os testes mecanicos, os dados foram analisados utilizando a analise de Variancia (ANOVA) e o teste de Tukey (p<0.05) e ANOVA 1-fator para o GC. A polimerizacao na unidade Strobolux (Gr3) gerou valores de resistencia a flexao (MPa) significativamente inferiores (134±27) comparado a unidade Visio Beta Vario (165±20) (Gr1) (p<0.05). Os menores valores de microdureza (Kg/mm2) foram obtidos para o Gr3 (30±1) (p<0.05). O GC em todas as unidades polimerizadoras (75±1, 91±5, 85±7 % para Visio Beta Vario, Powerlux e Strobolux, respectivamente) foi semelhante entre os grupos (p=0.1205). O tipo de unidade polimerizadora afetou a resistencia a flexao e a dureza Vickers da RCI testada. O GC tambem foi afetado pelo tipo de unidade polimerizadora, mas a diferenca nao foi significativa.

Surface degradation of glass ceramics after exposure to acidulated phosphate fluoride

OBJECTIVE: This study evaluated the surface degradation effect of acidulated phosphate fluoride (APF) gel exposure on the glassy matrix ceramics as a function of time. MATERIAL AND METHODS: Disc-shaped ceramic specimens (N = 120, 10/per ceramic material) were prepared in stainless steel molds (inner diameter: 5 mm, height: 2 mm) using 6 dental ceramics: 3 indicated for ceramic-fused-to-metal (Vita Omega 900, Carmen and Vita Titankeramik), 2 for all-ceramic (Vitadur Alpha and Finesse® Low Fusing) and 1 for both types of restorations (IPS d.SIGN). The specimens were wet ground finished, ultrasonically cleaned and auto-glazed. All specimens were subjected to calculation of percentage of mass loss, surface roughness analysis and topographical description by scanning electron microscopy (SEM) before (0 min) and after exposure to 1.23 percent APF gel for 4 min and 60 min representing short- and long-term etching effect, respectively. The data were analyzed using two-way ANOVA with repeated measures and Tukey's test (a=0.05). RESULTS: Significant effect of the type of the ceramics (p=0.0000, p=0.0031) and exposure time (p=0.0000) was observed in both surface roughness and percentage of mass loss values, respectively. The interaction factor between both parameters was also significant for both parameters (p=0.0904, p=0.0258). Both 4 min (0.44±0.1 - 0.81±0.2 mm) and 60 min (0.66±0.1 - 1.04±0.3 mm) APF gel exposure created significantly more surface roughness for all groups when compared to the control groups (0.33±0.2 - 0.68±0.2 mm) (p<0.05). There were no significant differences in percentage of mass loss between the ceramics at 4 min (p>0.05) but at 60 min exposure, IPS d.SIGN showed the highest percentage of mass loss (0.1151±0.11). The mean surface roughness for Vita Titankeramik (0.84±0.2 mm) and Finesse® Low Fusing (0.74.±0.2 mm) was significantly higher than those of the other ...

Influence of surface treatment on the shear bond strength of ceramics fused to cobalt-chromium.

PURPOSE: To evaluate the influence of surface treatment on the shear bond strength between a Co-Cr alloy and two ceramics. MATERIALS AND METHODS: Forty-eight metal cylinders were made (thickness: 4 mm, height: 3.7 mm) according ISO TR 11405. The 48 metallic cylinders were divided into four groups (n = 12), according to the veneering ceramic (StarLight Ceram and Duceram Kiss) and surface treatments: air-particle abrasion with Al(2)O(3) or tungsten drill (W). Gr1: StarLight + Al(2)O(3); Gr2: StarLight + W; Gr3: Duceram + Al(2)O(3); and Gr4: Duceram + W. The specimens were aged using thermal cycling (3000x, 5 to 55 degrees C, dwell time: 30 seconds, transfer time: 2 seconds). The shear test was performed with a universal testing machine, using a load cell of 100 kg (speed: 0.5 mm/min) and a specific device. The bond strength data were analyzed using ANOVA and Tukey's test (5%), and the failure modes were analyzed using an optical microscope (30x). RESULTS: The means and standard deviations of the shear bond strengths were (MPa): G1 (57.97 +/- 11.34); G2 (40.62 +/- 12.96); G3 (47.09 +/- 13.19); and G4 (36.80 +/- 8.86). Ceramic (p= 0.03252) and surface treatment (p= 0.0002) significantly affected the mean bond strength values. CONCLUSIONS: Air-particle abrasion with Al(2)O(3) improved the shear bond strength between metal and ceramics used.

Coroa metalocerâmica com coping em eletrodeposição: relato de casos clínicos / Metalloceramics crown with electroforming coping: clinical reports

Eletrodeposição é a deposição galvânica de ouro puro para utilização dental, tendo como princípio a eletrólise. O "coping" resultante da eletrodeposição pode ser fabricado com uma espessura de 0,2 mm e com um desajuste cervical menor que 20 mm, resultando uma maior espessura de cerâmia, quando comparada com a fundição de "copings" convencionais. Como resultado, pode ser obtida uma melhor estética, devido a uma aparência mais natural, através da forma da coroa e da melhor qualidade da cor obtida