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.

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.

Fracture resistance of teeth restored with the bonded amalgam technique.

This study evaluated the fracture resistance of maxillary premolars with MOD Class II cavity preparations restored with silver amalgam (G1), Scotchbond Multi Purpose Plus and silver amalgam (G2) and Panavia F and silver amalgam (G3). After the restorations were made, the specimens were stored at 37 degrees C for 24 hours at 100% humidity and submitted to the compression test. Statistical analysis of the data (ANOVA and Tukey Test) revealed no significant differences among the three groups that were studied.

How wet should dentin be? Comparison of methods to remove excess water during moist bonding.

PURPOSE: The aim of this study was to evaluate the shear bond strength of two adhesive systems when applied on dentin surfaces with different degrees of wetness. MATERIALS AND METHODS: Two-hundred ten dentin specimens were used. After conditioning with 35% phosphoric acid gel and washing, seven methods of drying dentin were used: 30 s air spray (groups 1 and 2), 5 s air spray (groups 3 and 4), dry cotton pellets (groups 7 and 8), wet cotton pellets (groups 9 and 10), microbrush (groups 11 and 12), absorbent paper (groups 13 and 14). The last group was not dried; the dentin surfaces were left overwet (groups 5 and 6). Prime & Bond 2.1 adhesive was applied on the odd-numbered groups and Scotchbond Multi Purpose on the even-numbered groups. Z100 composite cylinders were bonded to the adhesive and the specimens were subjected to a shear bond test. RESULTS: The Least-Squares Means test was used to compare the following results, where different letters indicate significantly different mean values: Group 9 (G9) = 23.2 MPa (a), G3 = 21.3 MPa (ab), G2 = 19.5 MPa (bc), G10 = 18.6 MPa (bc), G14 = 16.3 MPa (cd), G8 = 16.1 MPa (cd), G4 = 14.6 MPa (de), G13 = 14.0 MPa (de), G11 = 13.9 MPa (de), G7 = 13.5 MPa (de), G12 = 12.1 MPa (e), G1 = 8.2 MPa (f), G5 = 2.7 MPa (g), G6 = 2.4 MPa (g). CONCLUSION: The adhesion values were affected both by the degree of dentin wetness and by the adhesive systems.