Bond strength of composite resin/universal adhesive to dentin submitted to radiotherapy / Fuerza de unión de resina compuesta/adhesivo universal a dentina sometida a radioterapia

Aim: To evaluate the bond strength of a universal adhesive system to dentin submitted to radiotherapy. Materials and Methods: Sixty extracted human teeth were divided into two groups (n = 30): without radiotherapy (control); with radiotherapy, according to the adhesive protocol (n=15): ER-etch-and-rinse (acid + Single Bond Uni-versal); SE-self-etch (Single Bond Universal). The analyzes were shear bond strength (SBS) (n=10), failure pattern (n=10) and scanning electron microscopy (n=5). Data was analyzed by a two-way ANOVA (α =0.05). Results: The radiotherapy decreased SBS of the restorative material to dentin (p<0.0001). The ER protocol provided lower bond strength values (p<0.001). The predominant type of fracture without radiotherapy was mixed (SE), cohesive to the material (ER). Both protocols presented adhesive failures with radiotherapy. Teeth had a hybrid layer and long resin tags (without radiotherapy) and few tags (with radiotherapy). Conclusions: The SE adhesive mode favors the shear bond strength of resin to dentin in teeth submitted to radiotherapy.

Objetivo: Evaluar la fuerza de adhesión de un sistema adhesivo universal a la dentina sometida a radioterapia. Materiales y Métodos: Sesenta dientes humanos extraídos se dividieron en dos grupos (n = 30): sin radioterapia (control); con radioterapia, según protocolo adhesivo (n=15): ER-grabado y enjuague (ácido + Single Bond Universal); autograbado SE (Single Bond Universal). Los análisis ejecutados fueron resistencia al cizallamiento (SBS) (n=10), patrón de falla (n=10) y microscopía electrónica de barrido (n=5). Los datos se sometieron al test de ANOVA de dos vías (α =0,05). Resultados: La radioterapia disminuyó la SBS del material restaurador a la dentina (p<0,0001). El protocolo ER proporcionó valores de fuerza de unión más bajos (p<0,001). El tipo de fractura predominante sin radioterapia fue mixta (SE), cohesiva al material (ER). Ambos protocolos presentaron fallas adhesivas con radioterapia. Los dientes tenían una capa híbrida y colas de resina largas (sin radioterapia) o pocas colas de resina (con radioterapia). Conclusión: El modo adhesivo SE favorece la resistencia al corte de la resina a la dentina en dientes sometidos a radioterapia.

Color stability and degree of conversion of amine-free dual cured resin cement used with two different translucencies of lithium disilicate ceramics / Estabilidade de cor e grau de conversão de cimento resinoso dual sem amina usado com duas translucidezes diferentes de cerâmica de dissilicato de lítio

Objective: The present study aims to evaluate the color stability and degree of conversion of amine-free dual cured resin cement compared to light cured and amine-containing dual cured resin cements used with two different translucencies of thin esthetic restorations. Material and Methods: A total of 120 specimens were prepared for color stability testing (n=60). The specimens were divided into three main groups according to the resin cement type. Group 1: amine-free dual cured, Group 2: light cured, Group 3: amine-containing dual cured. Each group was further subdivided according to the ceramic translucency into two subgroups: high and low translucency. Color stability was assessed by a spectrophotometer before and after thermal aging. For the degree of conversion assessment (n=60), Fourier transform infrared spectroscopy was used at three different time intervals. Statistical analysis was performed using multi-factorial ANOVA, followed by one-way ANOVA with Bonferroni correction. Results: Amine-containing resin cement showed significantly higher ΔEab and ΔE00in both translucencies (4.5±0.3, 3.5±0.3 respectively for high translucency ceramic and 3.8±0.4, 3.0±0.3 respectively for low translucency) than the other tested cements (p<0.001). The highest degree of conversion (DC) was shown after 2 weeks by the amine-free dual cured resin cement (86.27±0.74). Conclusion: Amine-free dual cured resin cement can be an alternative to light cured one for cementation of thin veneers since it showed comparable color stability and high degree of conversion (AU)

Objetivo: O presente estudo tem como objetivo avaliar a estabilidade de cor e o grau de conversão do cimento resinoso dual sem amina em comparação com cimentos resinosos fotopolimerizáveis contendo amina usados com duas translucidezes diferentes em restaurações estéticas definitivas. Material e Métodos: Um total de 120 espécimes foram preparados para teste de estabilidade de cor (n=60). Os espécimes foram divididos em três grupos principais de acordo com o tipo de cimento resinoso. Grupo 1: polimerização dupla sem amina, Grupo 2: fotopolimerização, Grupo 3: polimerização dupla contendo amina. Cada grupo foi ainda subdividido de acordo com a translucidez da cerâmica em dois subgrupos: alta e baixa translucidez. A estabilidade da cor foi avaliada por um espectrofotômetro antes e após o envelhecimento térmico. Para a avaliação do grau de conversão (n=60), a espectroscopia de infravermelho com transformada de Fourier foi usada em três intervalos de tempo diferentes. A análise estatística foi realizada usando ANOVA multifatorial, seguida de ANOVA um faot com correção de Bonferroni. Resultados: O cimento resinoso contendo amina apresentou ΔEab e ΔE00 significativamente maiores em ambas as translucidezes (4,5±0,3, 3,5±0,3 respectivamente para cerâmica de alta translucidez e 3,8±0,4, 3,0±0,3 respectivamente para baixa translucidez) do que os outros cimentos testados (p< 0,001). O maior grau de conversão (DC) foi mostrado após 2 semanas pelo cimento resinoso dual sem amina (86,27±0,74). Conclusão: O cimento resinoso dual sem amina pode ser uma alternativa ao cimento polimerizável na restauração de facetas finas, uma vez que apresentou estabilidade de cor comparável e alto grau de conversão. (AU).

Degree of conversion of resin-cements (light-cured/dual-cured) under different thicknesses of vitreous ceramics: systematic review.

PURPOSE: This systematic review synthesized and analyzed the scientific evidence on the degree of conversion (DC) obtained by Fourier-transform infrared spectroscopy (FTIR) of light-cured and dual-cured resinous cements, photopolymerized under different thicknesses of vitreous ceramics. STUDY SELECTION: The study protocol of this systematic review was registered at the International Prospective Register of Systematic Reviews (PROSPERO) (CRD42017069319). A comprehensive search (PubMed/MEDLINE, Scopus, EMBASE, and LILACS) was performed for papers including an in vitro design and indexed from January 2007 to December 2020 according to the study purposes. A quality appraisal (specific instrument) and descriptive analysis of the articles that met the inclusion criteria were conducted. RESULTS: Nine included studies were analyzed. Two of them used feldspathic ceramics, six used lithium disilicate, and one used both (comparing different types and opacities of ceramics). Three studies found a higher DC in dual cements, while one did not find any significant differences, and five studies found a higher DC in light-cured resin cements. Light-cured cements showed a better DC in relation to dual-cured cements in vitreous ceramic restorations with thicknesses up to 2 mm. CONCLUSION: According to the findings, the use of good photoactivation is the most relevant variable to achieve an adequate DC in light-cured and dual-cured resin cements. The use of vitreous ceramic restorations with a thickness of less than 2 mm (light-curing cements) shows a better DC. Standardized in vitro studies are required to generate accurate scientific evidence.

[Light-curing effectiveness using led lamps: a review]. / Efectividad de fotopolimerización usando lámparas led: una revisión.

Introduction: LED lamps have a new light-curing technology which can be monowave or polywave, which allows it to reach more initiators such as camphorquinone, Lucirin TPO and Propanodione, which have a wide variety of advantages and disadvantages. These lamps have evolved over time, as have different ergonomics, longevity, systems and quality standards. Objective: The objective of this literature review is to improve the clinician on the proper use of different LED lamps and how they influence the efficiency of resin photopolymerization. Material and methods: Extensive research has been carried out in the existing literature on this topic. From the beginning of this information until April 18, 2022, the bibliographic search carried out includes 86 articles published in the Medline database through PubMed, LILACS, Science Direct and SciELO, and there is no language restriction. Results: The photopolymerization effects of Polywave and Monowave LED lamps present significant differences between the compressive strength of the light-cured resin, with single-wave and polyvalent LED lamps where the types of light and lamp directly influence the compressive strength of the resin. composite resins. Conclusion: The type of light and lamp directly affects the efficiency of the photopolymerization of the composite resin, so it is concluded that LED lamps with single wave technology (Monowave) produce a greater depth of photopolymerization than those with multiple wave technology (Polywave).

Spectrophotometric evaluation of restorative composite shades and their match with a classical shade guide.

OBJECTIVES: The aim of this study was to verify the match between 5 shades of composites from different manufacturers with a shade guide and among the systems using a portable spectrophotometer. MATERIALS AND METHODS: Shade measurements were performed on specimens of Z350 XT (3M ESPE), Charisma Diamond (Heraeus Kulzer GmbH), Esthet X-HD (Dentsply Caulk), and Empress Direct (Ivoclar-Vivadent) for shades A1, A2, A3, B1, and C3 using a Vita Easyshade spectrophotometer (Vita Zahnfabrik) against a white background. Corresponding shades of Vitapan Classical (Vita Zahnfabrik) guide were measured likewise and shade variation (ΔE) was calculated based on International Commission on Illumination L*a*b* parameters. The ΔE of the composites in each shade was compared by one-way analysis of variance and Tukey's post hoc test (α = 0.05). RESULTS: All composites presented ΔE > 3.7 compared with the shade guide. Variation in shades A3, B1, and C3 was significantly different for all composites. ΔE of Z350 XT was significantly lower for A1 than for the other shades, whereas ΔE of Z350 XT and Charisma Diamond were significantly lower for A2 than for the other shades. CONCLUSIONS: No composite shade matched with the shade guide. Equivalent shades of the restorative composite from different manufacturers may show clinically noticeable ΔE.

Shrinkage Stress and Temperature Variation in Resin Composites Cured via Different Photoactivation Methods: Insights for Standardisation of the Photopolymerisation.

The literature has shown that there is no consensus regarding the best resin composite photoactivation protocol. This study evaluated the efficiency of the conventional, soft-start, pulse-delay and exponential protocols for photoactivation of resin composites in reducing the shrinkage stress and temperature variation during the photopolymerisation. The photoactivation processes were performed using a photocuring unit and a smartphone app developed to control the irradiance according each photoactivation protocol. These photoactivation methods were evaluated applying photoactivation energies recommended by the resins manufactures. Three brands of resin composites were analysed: Z-250, Charisma and Ultrafill. The cure effectiveness was evaluated through depth of cure experiments. All results were statistically evaluated using one-way and multi-factor analysis of variance (ANOVA). The use of exponential and pulse-delay methods resulted in a significant reduction of the shrinkage stress for all evaluated resins; however, the pulse-delay method required too long a photoactivation time. The increases on the temperature were lower when the exponential photoactivation was applied; however, the temperature variation for all photoactivation protocols was not enough to cause damage in the restoration area. The evaluation of the depth of cure showed that all photoactivation protocols resulted in cured resins with equivalent hardness, indicating that the choice of an alternative photoactivation protocol did not harm the polymerisation. In this way, the results showed the exponential protocol as the best photoactivation technique for practical applications.

Universal adhesives and dual-cured core buildup composite material: adhesive properties

Abstract Dual-cured buildup composites and simplified light-cured adhesive systems are mixed with a chemical activator to prevent the incompatibility between them. Objective: To evaluate microshear bond strength (μSBS) and nanoleakage (NL) of three universal adhesives used under buildup composites using different curing modes, at baseline and after 6-months (6m). Methodology: Dentin specimens of 55 molars were assigned to: Clearfil Universal Bond[CFU], Prime&Bond Elect[PBE] and One Coat 7 Universal[OCU]. All-Bond Universal[ABU] and Adper Scotchbond Multi-Purpose[SMP] were used as controls. CFU, PBE, and OCU were: light-cured [LC], dual-cured using a self-curing activator [DC], and self-cured, using a self-curing activator and waiting for 20 min [SC]. Upon the application of the adhesive, transparent matrices were filled with a dual-cured buildup composite and light cured, then tested in mSBS. For NL, the specimens were submersed in ammoniacal silver nitrate and sectioned to observe under the SEM. Three-way ANOVA and Tukey's test were applied (α=0.05). Results: OCU/LC-PBE/LC resulted in higher mean μSBS than ABU/LC. For SMP/DC higher mean μSBS were obtained than for both CFU/DC and OCU/DC (baseline). No universal adhesive was significantly affected by curing mode or storage time. CFU, PBE, and OCU did not undergo significant changes in any curing mode (p>0.05). NL (baseline) PBE/LC resulted in higher %NL compared to ABU/LC. SMP/DC resulted in higher %NL than CFU/DC-OCU/DC. CFU/LC/DC resulted in lower %NL than CFU/SC. PBE/SC resulted in lower %NL than PBE/DC. OCU/LC/SC showed lower %NL than OCU/DC. OCU showed significant lower %NL than CFU and PBE. All CFU groups, as well as OCU/SC, resulted in increased %NL at 6m when compared with baseline. Conclusion: For universal adhesives used in etch-and-rinse mode, self-cured activator and different curing modes did not influence μSBS. However, some interactions were observed for NL, but this influence was material-specific.

Comparação do efeito de diferentes protocolos de polimento na rugosidade superficial de restaurações de resina composta / Comparison of the effect of different polishing protocols on surface rugosity of composite resin restorations

Objetivo: o objetivo do presente estudo foi comparar a influência de diferentes protocolos de polimento sobre a rugosidade superficial de uma resina composta nanoparticulada. Metodologia: foram confeccionados 30 corpos de prova (1,5 mm espessura e 6 mm diâmetro), divididos em 3 grupos (n=10), de acordo com o tipo de polimento realizado: 1. Grupo controle; 2. Borrachas abrasivas em 3 granulações (grossa, média, fina); 3 Borracha abrasiva de granulação única. Todos os grupos receberam acabamento com lixa d'água, simulando uma ponta diamantada fina, sendo que o grupo controle não recebeu o polimento com borracha, após esse acabamento. Após o polimento dos grupos 2 e 3, a rugosidade superficial de cada corpo de prova, dos três grupos, foi avaliada em 3 medidas, através de rugosímetro, sendo calculada a média aritmética dos 3 valores picos e vales. A análise estatística inferencial foi feita por meio da ANOVA a 1-critério e teste de Tukey, para comparações múltiplas, com nível de significância de 5%. Resultados: observaram-se maiores valores de rugosidade no grupo controle (3,31µm), seguido do polimento de 1 passo (1,53µm) e 3 passos (0,48µm). Conclusão: diante disso, observa-se alta rugosidade superficial no acabamento com pontas diamantadas, simulado pelo grupo controle, e sua redução após o polimento. Entretanto, apenas o sistema de 3 passos foi capaz de produzir uma lisura superficial clinicamente aceitável.

Aim: the aim of the present study was to compare the influence of different polishing protocols on the surface roughness of a nanoparticulate composite resin. Methodology: Thirty specimens (1.5 mm thickness and 6 mm diameter) were made and divided into 3 groups (n = 10), according to the type of polishing performed: 1. Control group; 2. 3 grit abrasive rubs (thick, medium, thin); 3 Single grain abrasive rubber. All groups were finished with sandpaper, simulating a fine diamond tip, and the control group did not receive rubber polishing after this finish. After groups 2 and 3 polishing, the surface roughness of each specimen of the three groups were evaluated in 3 measurements by means of roughness, and the arithmetic mean of the 3 peaks and valleys (Ra) values were calculated. Inferential statistical analysis was performed using one-way ANOVA and Tukey test for multiple comparisons, with a significance level of 5%. Results: higher roughness values were observed in the control group (3.31µm), followed by 1-step (1.53µm) and 3-step (0.48µm) polishing. Conclusion: therefore, it is noticed a high surface roughness in the diamond-tipped finish, simulated by the control group, which was reduced after polishing. However, only the 3-step system was able to produce a clinically acceptable surface smoothness.

Influence of activation mode, fatigue, and ceramic interposition on resin cements' diametral tensile strength

Abstract This study evaluated the influence of activation modes, on Diametral Tensile Strength (DTS) of dual cured resin cements subjected to a Mechanical Fatigue test (MF). Four dual-cured resin cements (RelyX UNICEM [U], RelyX ARC [A], ENFORCE [E] and Nexus 2 [N]) were activated by three different curing modes as follows: Self-Curing (SC), Dual Cure activation with photoactivation executed directly (DC) and Dual Cure activation with Photoactivation Through Porcelain (DCTP). After 24 hours, half of the sample was subjected to 30.000 fatigue cycles at 1 Hz frequency and 12 N load. Then, all specimens were subjected to DTS test in Instron Universal Testing Machine and data were analyzed by three-way ANOVA and Tukey's Test (5%). The results of DTS test means (MPa) and standard deviation, for each cement factor activated by SC, DC and DCTP was respectively: U (28.12 ± 5.29; 37.44 ± 6.49 and 40.10 ± 4.39), A (49.68 ± 8.42; 55.12 ± 5.16 and 63.43 ± 6.92), E (49.12 ± 3.89; 56.42 ± 8.88 and 56.96 ± 6.45) and N (61.89 ± 11.21; 59.26 ± 9.47 and 62.56 ± 10.93). Turkey's test indicated that DC is related to the highest DTS values; Nexus 2 DTS remained the same independently of activation mode and that the Porcelain disk interposition enhanced DTS only for RelyX ARC the ANOVA statistical test indicated that MF didn't alter the DTS values for all experimental groups. MF results clinical implication is that all cements tested exhibited, in an immediate loading, good cross linked bonds quality.

Fluorescence of natural teeth and restorative materials, methods for analysis and quantification: A literature review.

OBJECTIVE: This review integrates published scientific information about the fluorescence of natural teeth, dental resins and ceramics, and the main methods of analysis and quantification presented in the literature. OVERVIEW: Fluorescence is an emission of light (photons) by a substance that has absorbed light of higher energy. In natural teeth, it is more intense in the dentin than in the enamel and presents a bluish-white color. In dental resins and ceramics, fluorescence is obtained by the incorporation of materials that contain rare-earth luminescence centers (more precisely lanthanide luminescence centers), which allows these artificial materials to simulate natural teeth in a more beautiful and vital-looking way. However, the lack of knowledge about this optical phenomenon on the part of professionals indicates the need for more scientific studies and dissemination on this topic. CONCLUSIONS: Aesthetic materials have variable spectral compositions and fluorescence intensities, which are not always compatible with natural teeth. The fluorescence of teeth and restorative materials can be influenced by several factors, such as aging, temperature, and bleaching. Several devices for fluorescence evaluation and quantification are used in studies under different methodologies, but the small number of studies on the subject make it difficult to compare their results. CLINICAL SIGNIFICANCE: Fluorescence is a fundamental optical property for aesthetic rehabilitations since its presence and intensity in the restorative materials allows achieving an aesthetic result much closer to reality. However, the fluorescent behavior of natural teeth and aesthetic restorative materials is not yet fully understood by researchers and clinicians. Greater understanding of this phenomenon will contribute to the selection, indication, and clinical use of these materials.

Influence of Class V preparation on in vivo temperature rise in anesthetized human pulp during exposure to a Polywave® LED light curing unit.

OBJECTIVE: This in vivo study evaluated pulp temperature (PT) rise in human premolars having deep Class V preparations during exposure to a light curing unit (LCU) using selected exposure modes (EMs). METHODS: After local Ethics Committee approval, intact first premolars (n=8) requiring extraction for orthodontic reasons, from 8 volunteers, received infiltrative and intraligamental anesthesia and were isolated using rubber dam. A minute pulp exposure was attained and sterile probe from a wireless, NIST-traceable, temperature acquisition system was inserted into the coronal pulp chamber to continuously monitor PT (°C). A deep buccal Class V preparation was prepared using a high speed diamond bur under air-water spray cooling. The surface was exposed to a Polywave® LED LCU (Bluephase 20i, Ivoclar Vivadent) using selected EMs, allowing 7-min span between each exposure: 10-s in low (10-s/L), 10-s (10-s/H), 30-s (30-s/H), or 60-s (60-s/H) in high mode; and 5-s-Turbo (5-s/T). Peak PT values and PT increases over physiologic baseline levels (ΔT) were subjected to 1-way, repeated measures ANOVAs, and Bonferroni's post-hoc tests (α=0.05). Linear regression analysis was performed to establish the relationship between applied radiant exposure and ΔT. RESULTS: All EMs produced higher peak PT than the baseline temperature (p<0.001). Only 60-s/H mode generated an average ΔT of 5.5°C (p<0.001). A significant, positive relationship was noted between applied radiant exposure and ΔT (r2=0.8962; p<0.001). SIGNIFICANCE: In vivo exposure of deep Class V preparation to Polywave® LED LCU increases PT to values considered safe for the pulp, for most EMs. Only the longest evaluated EM caused higher PT increase than the critical ΔT, thought to be associated with pulpal necrosis.

Structural and mechanical properties of a giomer-based bulk fill restorative in different curing conditions

ABSTRACT Objective: The main goal of this study was to compare the polymerization degree of bulk-fill giomer resin cured with three different light-curing units (LCUs): a polywave third-generation (Valo); a monowave (DemiUltra: DU); and a second-generation LED (Optima 10: Opt) LCUs by using structural and mechanical properties. Material and methods: Giomer samples of 2 and 4 mm cured with three LCUs were employed in vitro analysis. The degree of curing (DC%) was determined with Fourier-Transform Infrared Spectroscopy (FTIR). Microstructural features were observed with scanning electron microscopy (SEM). Flexural strength (FS), compression strength (CS), elastic modulus and fracturing strain were determined for mechanical properties. Surface microhardness (SMH) values were also measured. Oneway ANOVA, two-way analysis of variance and Tukey multiple comparison tests were used for statistically analyzing the FS and SMH. Results: DC% values were 58.2, 47.6, and 39.7 for the 2 mm samples cured with DU, Opt., and Valo LCUs, respectively. DC% values of the 4 mm samples were 50.4, 44.6, and 38.2 for DU, Opt, and Valo, respectively. SMH values were Valo, Opt<DU at top of the samples; Valo<DU, Opt at 2 mm, and DU, Valo<Opt at 4 mm depth. Giomer samples cured with Opt and DU exhibited higher FS values than Valo. CS values were similar but compressive modulus and fracturing strain (%) varied depending on the curing protocol. Conclusions: Based on the results, it can be concluded that curing device and protocol strongly affect crosslinking reactions and thus DC%, SMH, compressive modulus and strain at break values. Consequently, it can be deduced that curing protocol is possibly the most important parameter for microstructure formation of highly-filled composite restoratives because it may bring some structural defects and physical frailties on restorations due to lower degree of polymerization.

Effect of thickness on fluorescence of resin composites and dental substrates / Efeito da espessura sobre a fluorescência de resinas compostas e substratos dentais

Objective: This study evaluated the effect of thickness on fluorescence of resin composites and tooth substrates (enamel and dentin). Material and methods: Ninety bovine incisors were used, resulting in 45 dentin and 45 enamel disks (6 mm diameter and 0.5, 1, or 1.5 mm in thickness). Ninety discs of Charisma, Filtek Z350 and IPS Empress Direct (for enamel and dentin) resins at same dimensions were built. Fluorescence measurements were performed using a fluorescence spectrophotometer (RF-5301PC, Shimadzu Corp) with excitation at 365 nm. Data were submitted to 2-way ANOVA and Tukey’s post hoc tests (α = 0.05). Results: The 2-way ANOVA revealed statistically significant differences for all factors, as well as the interaction between them (p <0.05). Dentin specimens (1.5 mm) showed highest fluorescence (128.33 A.U.), while Filtek Z350 (dentin - 1.0 mm) showed the lowest fluorescence (29.84 A.U.). Thickness influenced fluorescence values of enamel substrate. Conclusion: The thickness influenced fluorescence of enamel and all resin composite assessed showed fluorescence lower than natural dentin.

Objetivo: Este estudo avaliou o efeito da espessura de resinas compostas e substratos dentais (esmalte e dentina) sobre a fluorescência. Materiais e Métodos: Noventa incisivos bovinos foram utilizados, resultando em 45 discos de dentina e 45 discos de esmalte (6 mm de diâmetro e 0,5, 1 ou 1,5 mm mm de espessura). Noventa discos das resinas compostas Charisma, Filtek Z350 e IPS Empress Direct (para esmalte e dentina) foram confeccionados com a mesma dimensão. A fluorescência foi analisada por meio de espectrofluorímetro (RF-5301PC, Shimadzu Corp) com excitação de 365nm. Os dados foram submetidos ao teste ANOVA dois fatores e Teste de Tukey (α = 0,05). Resultados: O teste ANOVA dois fatores revelou diferenças significativas para todos os fatores, bem como para interação entre eles (p < 0,05). As amostras de dentina (1,5 mm) apresentaram alta fluorescência (128,33 A.U.), enquanto a resina composta Filtek Z350 (dentina - 1,0 mm) apresentou menor fluorescência (29,84 A.U.). A espessura influenciou os valores de fluorescência para o substrato esmalte. Conclusão: A espessura influenciou na fluorescência do esmalte e todas as resinas compostas avaliadas apresentaram uma fluorescência menor do que a dentina natural.

Effect of the photoinitiator system on the properties of a dental material based on a hybrid polymer / Efeito do sistema fotoiniciador sobre as propriedades de um material dentário baseado em um polímero híbrido

Objetivo: Nesse estudo, foram avaliados os efeitos de dois diferentes protocolos de cura sobre as propriedades de um compósito usando um polímero híbrido como resina dentária. Material e Métodos: Dois compósitos diferentes foram preparados, um contendo uma mistura de TEGDMA/Bis-GMA (50:50) e, outro contendo uma mistura de TEGDMA/p-MEMO (50:50), [p-MEMO: precursor oligomérico inorgânico]. Ambos compósitos foram reticulados com lucirin e canforoquinona. Os compósitos foram preparados com 70% em massa de carga inorgânica. Resistência flexural foi avaliada com uma máquina de testes universal e o grau de conversão calculado por espectroscopia na região do infravermelho. Um picnômetro a gás hélio foi usado para obter os dados de contração de polimerização. Testes de sorção foram feitos e microscopia eletrônica de varredura foi usada para avaliar efeitos deletérios sobre as superfícies das resinas. Resultados: A amostra constituída com TEGDMA/p-MEMO reticulada com lucirin (L-T/p) apresentou os melhores valores das propriedades monitoradas. Conclusão: Lucirin é o sistema fotoiniciador mais adequado para compostos dentários contendo polímeros híbridos.

Objective: In this study, the effects of two different cure protocols upon the properties of composites using a hybrid-polymer as dental resin were evaluated. Material and Methods: Two distinct dental composites were prepared, one containing a mixture of TEGDMA/bis-GMA (50:50) and, another containing a mixture of TEGDMA/p MEMO (50:50), [p-MEMO: oligomeric inorganic precursor]. Both composites were polymerized with lucirin and canphorquinone as photoinitiators. The composites were made with a 70 % wt of inorganic filler. Flexural strength was evaluated with a universal test machine and the degree of conversion was measured by infrared spectroscopy. A helium pycnometer was used to obtain polymer shrinkage data. Sorption tests were performed and SEM microscopy was used to show deleterious effects upon the resins’ surfaces. Results: The sample based on TEGDMA/p-MEMO polymerized with lucirin (L-T/p) showed the best values of the monitored properties. Conclusion: Lucirin is the most suitable photoinitiator for dental composites containing hybrid polymers.

Formation of functionalized nanoclusters by solvent evaporation and their effect on the physicochemical properties of dental composite resins.

OBJECTIVE: The aim of this work was to study the effect of silica nanoclusters (SiNC), obtained by a solvent evaporation method and functionalized by 3-methacryloxypropyltrimethoxysilane (MPS) and MPS+octyltrimethoxysilane (OTMS) (50/50wt/wt), on the rheological, mechanical and sorption properties of urethane dimethylacrylate (UDMA)/triethylenglycol dimethacrylate (TEGDMA) (80/20wt/wt) resins blend. METHODS: Silica nanoparticles (SiNP) were silanized with MPS or MPS+OTMS (50/50wt/wt) and incorporated in an UDMA-isopropanol mix to produce functionalized silica nanoclusters after evaporating the isopropanol. The effect of functionalized SiNC on resins rheological properties was determined by large and small deformation tests. Mechanical, thermal, sorption and solubility properties were evaluated for composite materials. RESULTS: The UDMA/TEGDMA (80/20wt/wt) resins blend with added SiNC (ca. 350nm) and functionalized with MPS showed a Newtonian flow behavior associated to their spheroidal shape, whereas the resins blend with nanoclusters silanized with MPS+OTMS (50/50wt/wt) (ca. 400nm) showed a shear-thinning behavior due to nanoclusters irregular shape. Composite materials prepared with bare silica nanoclusters showed lower compressive strength than functionalized silica nanoclusters. MPS functionalized nanoclusters showed better mechanical properties but higher water sorption than functionalized nanoclusters with both silane coupling agents, MPS and OTMS. SIGNIFICANCE: The solvent evaporation method applied to functionalized nanoparticles showed to be an alternative way to the sinterization method for producing nanoclusters, which improved some dental composite mechanical properties and reduced water sorption. The shape of functionalized silica nanoclusters showed to have influence on the rheological properties of SiNC resin suspensions and the mechanical and sorption properties of light cured composites.

In vivo temperature rise in anesthetized human pulp during exposure to a polywave LED light curing unit.

OBJECTIVES: This in vivo study evaluated pulp temperature (PT) rise in human premolars during exposure to a light curing unit (LCU) using selected exposure modes (EMs). METHODS: After local Ethics Committee approval, intact first upper premolars, requiring extraction for orthodontic reasons, from 8 volunteers, received infiltrative and intraligamental anesthesia. The teeth (n=15) were isolated using rubber dam and a minute pulp exposure was attained. A sterile probe from a wireless, NIST-traceable, temperature acquisition system was inserted directly into the coronal pulp chamber, and real time PT (°C) was continuously monitored while the buccal surface was exposed to polywave light from a LED LCU (Bluephase 20i, Ivoclar Vivadent) using selected EMs allowing a 7-min span between each exposure: 10-s either in low (10-s/L) or high (10-s/H); 5-s-turbo (5-s/T); and 60-s-high (60-s/H) intensities. Peak PT values and PT increases from baseline (ΔT) after exposure were subjected to one-way, repeated measures ANOVAs, and Bonferroni's post hoc tests (α=0.05). Linear regression analysis was performed to establish the relationship between applied radiant exposure and ΔT. RESULTS: All EMs produced higher peak PT than the baseline temperature (p<0.001). The 60-s/H mode generated the highest peak PT and ΔT (p<0.001), with some teeth exhibiting ΔT higher than 5.5°C. A significant, positive relationship between applied radiant exposure and ΔT (r(2)=0.916; p<0.001) was noted. SIGNIFICANCE: Exposing intact, in vivo anesthetized human upper premolars to a polywave LED LCU increases PT, and depending on EM and the tooth, PT increase can be higher than the critical ΔT, thought to be associated with pulpal necrosis.

BAPO as an alternative photoinitiator for the radical polymerization of dental resins.

OBJECTIVES: This study evaluated the performance of phenylbis (2,4,6-trimethylbenzoyl)-phosphine oxide (BAPO) as an alternative photoinitiator in the polymerization kinetics (PK), flexural strength (σ) and elastic modulus (E) of a model dental resin. METHODS: A monomer mixture based on Bis-GMA and TEGDMA was used as model dental resin. Initially a screening was performed to evaluate BAPO concentrations (0.125, 0.25, 0.50, 1, 2, and 4 mol%). Photoinitiator systems were formed with the combination of camphorquinone (CQ), ethyl-dimethylamino benzoate (EDAB), diphenyliodonium hexafluorophosphate (DPIHFP), and BAPO. Groups with unitary photoinitiator systems (BAPO and CQ), binary (BAPO+EDAB, BAPO+DPIHFP and CQ+EDAB), ternary (BAPO+CQ+EDAB, BAPO+CQ+DPIHFP, BAPO+EDAB+DPIHFP and CQ+EDAB+DPIHFP) and quaternary (BAPO+CQ+EDAB+DPIHFP) were formulated for evaluation. Real-time Fourier transform infrared spectroscopy was used to investigate the PK and test mini-bending to evaluate σ and E. RESULTS: When only CQ was used, a slow polymerization reaction was observed and a lower monomer conversion. When only BAPO was used as photoinitiator an increase in the polymerization rate was observed and conversion was higher than CQ+EDAB. The ternary system (BAPO+EDAB+DPIHFP) showed the highest polymerization and conversion rate, in short photo-activation time. SIGNIFICANCE: BAPO it is a potential photoinitiator for the photopolymerization of dental materials.

Anterior composite restorations in clinical practice: findings from a survey with general dental practitioners

Objectives: The aim of this study was to assess technical preferences of general dental practitioners when restoring anterior composite restorations. How the level of clinical experience or post-graduate training infuenced their options was also tested. Material and Methods: A cross-sectional study was performed using a questionnaire with general dental practitioners (GDPs) (n=276) in Southern Brazil. Information regarding post graduation training (specialization, master's or PhD degree) and linical experience (years since completing graduation) were gathered. The options regarding anterior composite restorations (type of composite, adhesive system, light curing unit, polishing procedures and rubber dam use) were collected. Data were submitted to descriptive analysis and associations were tested. Results: Response rate was 68% (187). GDPs selected microhybrid composite (52%) and 2-step total etch adhesive system (77%). LED was the preferred method of activation for 72.8%. Immediate polishing was preferred by 75%, using a combination of techniques. Most of the respondents (74.3%) did not use rubber dam. More experienced clinicians used more halogen lights (p<0.022), performed more light monitoring (p<0.001) and were resistant to use rubber dam (p<0.012). Dentists with post-graduation training used 3-etch-and-rinse system more frequently (p<0.04), usually monitored light intensity (p<0.014) and placed rubber dam more frequently (p<0.044). Conclusions: Hybrid composite, simplifed adhesives, LED units and immediate polishing were preferred by Southern Brazilian dentists for anterior composite restorations. Few dentists used rubber dam to perform composite restorations in anterior teeth. Clinical experience and post-graduation training infuenced the dentists' choices. .

Effect of activation mode on flexural strength in dual-polymerized resin cements / Efeito do modo de ativação na resistência a flexão de cimentos resinosos duais

Objective: To compare he influence of two activation modes on two similar dual-polymerized resin cements. Methods: Bars (2 × 2 × 12 mm) of RelyX ARC (3M ESPE, MN, USA) (ARC) and Enforce (Dentsply, Rio de Janeiro, Brazil) (ENF) were prepared, and three types of polymerization method were tested: (1) L: LED photoactivation/40 s; (2) H: halogen Light activations/40 s, and (3) C: chemical activation only (Complete absent of light). The groups were ARC-L; ARC-H, ARC-C, Enf-L, Enf-H, and Enf-C (n = 8). After 24 h, the specimens were tested using the 3-point bending method on a universal testing machine. Results: The ARC cement showed superior flexural strength results. The mode of activation revealed similar results on both cements tested, but lightactivated groups (with LED or Halogen light) showed higher flexural strength values than did the chemical-activation-only group. Conclusion: (1) RelyX ARC cement showed superior flexural strength when compared with Enforce; and (2) light activation resulted in better flexural strength values when compared to chemical activation on dual-polymerized resin cements.

Objetivo: Comparar a influência do modo de ativação de dois cimentos semelhantes, porém de fabricantes distintos. Métodos: Barras (2 x 2 x 12 mm) dos cimentos RelyX ARC (3M ESPE, MN, USA) e Enforce (Dentsply, Rio de Janeiro, Brasil) (ENF) foram confeccionadas com auxílio de uma matriz de teflon bipartida, e três modos de fotopolimerização foram testados: (1) L: fotoativação por LED / 40 segundos; (2) H - fotoativação por luz halógena / 40 segundos; e (3) Q - apenas ativação química (ausência total de luz). Os grupos formados foram: ARC-L; ARC-H; ARC-Q; Enf-L; Enf-H e Enf-Q, com 8 amostras cada. Após 24 horas, o teste de miniflexão de três pontos foi aplicado em máquina universal de testes. Resultados: O cimento ARC apresentou resultados de resistência superiores ao cimento Enf. O modo de ativação agiu de forma semelhante nos dois cimentos testados, sendo que a ativação por luz, seja L ou H, aumentou a resistência para ambos, comparada a ativação Q. Conclusão: (1) O cimento RelyX ARC (3M ESPE, MN, USA) apresentou maior resistência à flexão de três pontos quando comparado ao cimento Enforce(Dentsply, Rio de Janeiro, Brasil); e (2) a ativação por luz aumentou a resistência para cimentos resinosos duais.

Difference in the color stability of direct and indirect resin composites

Indirect resin composites are generally regarded to have better color stability than direct resin composites since they possess higher conversion degree. OBJECTIVE: The present study aimed at comparing the changes in color (ΔE) and color coordinates (ΔL, Δa and Δb) of one direct (Estelite Sigma: 16 shades) and 2 indirect resin composites (BelleGlass NG: 16 shades; Sinfony: 26 shades) after thermocycling. MATERIAL AND METHODS: Resins were packed into a mold and light cured; post-curing was performed on indirect resins. Changes in color and color coordinates of 1-mm-thick specimens were determined after 5,000 cycles of thermocycling on a spectrophotometer. RESULTS: ΔE values were in the range of 0.3 to 1.2 units for direct resins, and 0.3 to 1.5 units for indirect resins, which were clinically acceptable (ΔE<3.3). Based on t-test, ΔE values were not signifcantly different by the type of resins (p>0.05), while ΔL, Δa and Δb values were signifcantly different by the type of resins (p<0.05). For indirect resins, ΔE values were infuenced by the brand, shade group and shade designation based on three-way ANOVA (p<0.05). CONCLUSION: Direct and indirect resin composites showed similar color stability after 5,000 cycles of thermocycling; however, their changes in the color coordinates were different.