Ortodontia minimamente invasiva auxiliando a reabilitação estética dos incisivos superiores ­ relato de caso / Minimally invasive orthodontics can help aesthetic rehabilitation of the upper anterior teeth ­ a case report

Resumo Esse artigo descreve o tratamento de um diastema na região anterior da maxila utilizando uma abordagem multidisciplinar. Paciente do gênero feminino, 38 anos, procurou atendimento odontológico na Clínica Faculdade de Odontologia da Universidade Nove de Julho, com queixa estética devido ao diastema da linha média maxilar. Após exame clínico e tratamento periodontal, verificou-se a necessidade de alinhamento e nivelamento dos dentes anteriores. O excesso de papila gengival entre 11 e 21 foi submetido à exérese, e um aparelho ortodôntico fixo foi instalado em 12, 11, 21 e 22. Após três semanas, quando os dentes estavam posicionados em condições mais favoráveis, uma contenção Hawley foi adaptada para pequenas correções no sentido vestíbulo-lingual. Para a restauração dos dentes, foi feito um molde diagnóstico e enceramento para permitir a construção de uma matriz de silicone. Um compósito nano-híbrido e um micro-híbrido foram escolhidos e colocados seguindo a matriz de silicone ajustada ao lado palatino dos dentes. Após os procedimentos de acabamento e polimento, o resultado estético foi muito satisfatório tanto para o paciente quanto para a equipe odontológica. A relevância clínica desse caso indica que é possível treinar alunos de Graduação para alcançar o sucesso no tratamento de diastemas adversos da linha média em um curto período de tempo, com planejamento e interação entre diferentes especialidades odontológicas. (AU)

Abstract This manuscript described the treatment of anterior maxillary diastema using a multidisciplinary approach. A female patient, 38 years old, looked for dental treatment at the University Nove de Julho Dental School Clinic with an esthetic complaint due to maxillary midline diastema. After clinical examination and periodontal treatment, the necessity of alignment and leveling of the anterior teeth was verified. Excess of gingival papilla between 11 and 21 underwent exeresis and an orthodontic fixed appliance was installed in 12, 11, 21, and 22. After three weeks, when the teeth were positioned in a more favorable condition, a Hawley retainer was adapted for small corrections in buccolingual direction. For teeth restoration, a diagnostic cast and wax-up was made to allow the construction of a silicone matrix. A nanohybrid and a microhybrid composite were chosen and placed following the silicone matrix adjusted to the palatal side of the teeth. After finishing and polishing procedures, the esthetic result was very satisfactory for both the patient and the dental staff. The clinical relevance of this case indicates that it is possible to train undergraduate students to achieve success treating adverse midline diastema in a short period of time throw planning and interaction among different dental specialties (AU)

Effect of Surface Treatment with CO2 Laser on Bond Strength in Composite Resin Restorations.

Objective: Evaluate the bond strength of repairs made on composite resin following the treatment of the surface of the flaw with different bonding agents and/or CO2 laser. Background: The influence of CO2 laser and its interaction with other bonding agents on the surface of the flaw is not yet known. In this study, CO2 laser was chosen to treat the surface of the flaw due to its capacity to promote irregularities on the surface that enhance mechanical micro-retention. Methods: A block was created with Vitra APS nanohybrid composite resin (color: A3; FGM, Joinville, Brazil) measuring 5 mm in width, length, and depth (volume: 125 mm3). The surface of the flaw was treated before the repair with an adhesive, silane bonding agent, and/or CO2 laser. Six specimens were created in composite resin for each group (total: n = 36): G1: resin+resin; G2: adhesive+resin; G3: laser+adhesive; G4: laser+silane+adhesive; G5: silane+adhesive; G6: laser+silane. After the repair, the surfaces of the fracture of all specimens, which were submitted to the microtraction test, were analyzed under an optical microscope. Bond strength values obtained according to the type of surface treatment were tabulated and submitted to the Kruskal-Wallis test. Dunn's test was used to compare means. Results: G3 and G4 had significantly higher bond strength values compared to all other groups tested. Adhesive fractures predominated in all groups. However, G3 and G4 had a higher percentage of cohesive fractures compared to the other groups. Conclusions: The application of CO2 laser as a surface treatment led to greater bond strength of composite resin repairs in comparison with the groups that only received treatment with a burr and silanization. The groups submitted to CO2 laser also had a significantly lower number of adhesive failures when submitted to the microtraction test.

CO2 laser for dental alumina ceramic framework welding / O laser de CO2 para a soldagem de infraestruturas cerâmicas de alumina

Objective: Despite the increase of all-ceramic prosthesis in dental practice there is no evidence of the possibility of welding these structures if necessary. The objective of this study was to use CO2 laser (λ = 10.6 µm) as a welding agent to fuse dental polycrystalline alumina ceramic. Methods: Ceramic blocks of pre-sintered alumina were sectioned into 20 bars (10.0 x 1.5 x 1.5 mm) and sintered to the final cross section dimension of 1.2 x 1.2mm. The bars were adapted to an LHPG (Laser Heated Pedestal Growth) system device where the bars could be fixed in pairs and have their ends irradiated with CO2 laser to fusion. The ring-shaped laser beam (300 µm thickness) was directed with the aid of mirrors to reach samples' ends. The laser was continuously applied (40 W nominal power, 5 seconds). After welding, the samples were analyzed in stereomicroscope and SEM. A diffraction analysis was carried out with one sample. Results: CO2 laser was able to fuse the ceramic bars, but some of them showed some shape distortion in the fusion zone. The aspect of the fused alumina differed in color and translucency from the original sintered material. SEM evidenced the presence of porosity and voids in the center of the fusion zone. X-ray diffraction pointed to a reduction in crystallite size by two to four times in the welded region of samples. Conclusions: This study points to CO2 laser as a possible welding agent to polycrystalline alumina dental ceramic. Porosity observed in the molten zone gives cause for concern regarding weld resistance. (AU)

Objetivo: Apesar do aumento no número de próteses totalmente cerâmicas na prática clínica, não há evidência da possibilidade de se soldar essas estruturas se necessário. Este estudo testou o laser de CO2 (λ=10.6 µm) como um agente de solda para estruturas cerâmicas de alumina policristalina. Métodos: Blocos cerâmicos de alumina pré-sinterizada foram seccionados na forma de barras (10,0 x 1,5 x 1,5 mm) e sinterizados na dimensão final de 1,2 x 1,2 mm. As barras foram adaptadas a um sistema de crescimento de fibras cerâmicas (LHPG ­ Laser Heated Pedestal Growth) onde as barras foram fixadas em pares e tiveram suas extremidades irradiadas com laser de CO2 até a sua fusão. O feixe de laser foi direcionado com a ajuda de espelhos para atingir as extremidades das barras. O laser foi aplicado de forma contínua (40 W de potência nominal, 5 segundos). Depois da solda, os espécimes foram analisados em estereomicroscopia e MEV. Teste de difração foi conduzido com um espécime. Resutados: O laser de CO2 foi capaz de fundir as barras cerâmicas, mas algumas delas mostraram uma distorção da forma na zona de fusão. O aspecto da alumina soldada diferiu em cor e translucidez do material original. O MEV evidenciou a presença de porosidade no centro da zona de fusão. A difração por raio-x apontou para uma redução no tamanho dos cristalitos de duas a quatro vezes na região da solda. Conclusões: Esse estudo mostrou ser possível usar o laser de CO2 como um agente de solda para uma cerâmica policristalina de alumina. A porosidade observada na zona de fusão traz preocupação quanto à resistência da solda. (AU)

In-Office Bleaching During Orthodontic Treatment.

OBJECTIVE: To demonstrate that it is possible to pursue teeth whitening treatment protocols during orthodontic treatment with no esthetic loss. CLINICAL CONSIDERATIONS: Many patients undergoing orthodontic treatment desire to have a straight and well aligned dentition, but also whiter teeth. For many years, it was believed that carrying out a whitening treatment with positioned orthodontic brackets in place would result in localized spots on the enamel labial surfaces of teeth. However, a deeper understanding of the bleaching process suggests that the oxidation caused by products, which results from hydrogen peroxide decomposition, are able to diffuse peripherally into the tooth structure and reach even that under the cemented brackets. Two in-office-bleaching treatments were performed in patients using orthodontic fixed braces in two or three 40-minute sessions using a 35% hydrogen peroxide. CONCLUSION: In-office bleaching is possible and effective, even with orthodontic brackets in position. The teeth were successfully bleached despite the presence of brackets. All biological criteria have been fulfilled satisfying patients' expectations of aligned and whitened teeth in less time than if treatments had been performed separately, with satisfactory results and no esthetic loss. CLINICAL SIGNIFICANCE: The whitening of teeth is possible during orthodontic treatment with fixed braces without any esthetic loss. The in-office bleaching treatment with brackets in position also may act as a motivation factor, preventing patient withdrawal or treatment interruption. Therefore, at the end of the orthodontic treatment, the patient is able to display an aligned, functional and whitened smile. (J Esthet Restor Dent 29:83-92, 2017).

Effect of whitening dentifrices on surface roughness of dental nanofiller-based composites. Stereomycroscopyand AFM analysis / Efeito de dentifrícios clareadores na rugosidade superficial de compósitos de nanoparticulados. Estereomicroscopia e AFM

Objective: the aim of this study was to assess the effects of whitening dentifrices on the surface roughness of three commercial nanofiller-based composite. Material and Methods: two optical analyses were performed: stereomicroscopy and atomic force microscopy (AFM). Disks (8.0 diam. x 2.0 mm thick.) of the nanocomposite Z350 (3M ESPE) and two nano-hybrid composites (EsthetXHD, Dentsply and Premisa, Kerr) were submitted to in vitro brushing (1000 cycles) with three whitening dentifrices (Colgate Luminous White, Oral-B 3D White e Close-Up Diamond Attraction) and a control (Colgate Total12). The results were analyzed by stereomicroscopy and rated according to the following criteria: 0 – no observed roughness, 1 – average roughness, 2 – great roughness. Data was submitted to Kruskall-Wallis non-parametric test followed by Tukey test (p = 0.05). Z350 specimens were assessed by AFM. Results: the surface roughness of composites brushed with whitening dentifrices was statistically higher than the roughness found in specimens brushed with conventional dentifrice. AFM analyses showed that, at a submicrometric scale, there was an increase in the number of peaks and irregularities in specimens brushed with whitening dentifrices. Conclusion: Whitening dentifrices may have an impact on the longevity of dental composites by an increase in its roughness. It is strongly recommended that clinicians guide their patients, warning them about the risks and consequences of their use.

Objetivo: o objetivo deste estudo foi avaliar os efeitos da abrasão produzida por dentifrícios clareadores sobre as superfícies de três marcas comerciais de resinas compostas contendo partículas nanométricas. Materiais e Métodos: A resina nanoparticulada Z350 (3M ESPE) e as resinas nano-híbridas EsthetXHD (Dentsply) e Premisa (Kerr) foram submetidas à escovação in vitro com três diferentes dentifrícios clareadores (Colgate Luminous White, Oral-B 3D White e Close-Up Diamond Attraction). Os espécimes de resina foram confeccionados com 8mm de diâmetro e 2mm de espessura. Foram produzidos 45 corpos de prova para os grupos experimentais e mais 15 espécimes para o grupo controle (dentifrício Colgate Total12). Após a realização de 1.000 ciclos de escovação, os espécimes foram armazenados em saliva artificial. A análise das superfícies escovadas foi obtida por estereomicroscópio. As rugosidades foram mensuradas segundo os critérios: 0 – sem rugosidade, 1 – média rugosidade e 2 – com muita rugosidade. Os dados obtidos foram analisados estatisticamente por teste não-paramétrico de Kruskall-Wallis seguido pelo teste de Tukey (p < 0,05). Os espécimes confeccionados com Z350 foram avaliados por microscopia de força atômica (AFM). Resultados: A rugosidade superficial dos espécimes de resina composta foi estatisticamente maior quando escovados com os dentifrícios clareadores em relação ao dentifrício controle convencional. Análise por AFM demonstrou, em uma escala submicrométrica, um aumento no número de picos na superfície dos espécimes da resina em que foi realizada a escovação com dentifrícios clareadores em comparação com o grupo controle. Conclusão: Os dentifrícios clareadores aumentaram a rugosidade superficial das resinas compostas podendo, assim, diminuir a sua longevidade.

Surface treatment of dental porcelain: CO2 laser as an alternative to oven glaze.

This work tested continuous CO2 laser as a surface treatment to dental porcelain and compared it to oven glaze (auto-glaze) by means of roughness and color parameters. Three commercial veneering porcelains with different crystalline content were tested: VM7, VM9, and VM13. Porcelain discs (3.5 × 2.0 mm, diameter × height) were sintered and had one side ground by a diamond bur (45 µm) simulating a chairside adjustment in a clinical office. Specimens (n = 7) were divided into the following groups: C--control (no treatment), G--auto-glaze (oven), and L--surface continuous irradiation with CO2 laser (Gem Laser, Coherent; λ = 10.6 µm). Laser was tested in three exposure times (3, 4, or 5 min) and two irradiances (45 and 50 W/cm(2)). Roughness parameters (Ra, Rz, and Rpm/Rz) were measured using a rugosimeter (Surftest 301, Mitutoyo). Color differences (ΔE) between the G and L groups were calculated (VITA Easyshade); ΔE values up to 3.3 were considered as not perceivable. A surface analysis was conducted by stereomicroscopy (Olympus SZ61) and SEM (Stereoscan 440, LEO). Crystalline content of specimens from groups C and L (50 W/cm(2), 5 min) was assessed by X-ray diffraction and then compared. Surface roughness (Ra and Rz) observed for laser-irradiated groups was similar to G for all studied porcelains. Rpm/Rz ratios were near 1.0 for all groups that indicated a sharp ridge profile for all specimens. Only one laser condition studied (50 W/cm(2), 3 min) from VM7 porcelain resulted in color difference (ΔE = 3.5) to G. Specimens irradiated with 50 W/cm(2) for 5 min presented the smoother surface observed by SEM, comparable to G. X-ray diffraction data revealed an increase in leucite crystallite size for VM9 and VM13 porcelains after laser treatment. Regarding roughness, continuous CO2 laser applied on porcelain surface was as effective as conventional oven auto-glaze.

Sintering dental porcelain with CO2 laser: porosity and mechanical characterization / Sinterização de porcelanas dentárias com o laser de CO2: porosidade e caracterização mecânica

Objective: This study investigated CO2 laser sintering of dental porcelain as an alternative to a conventional furnace by means of porosity, density, fracture toughness and microhardness tests. Methods: Two commercial veneering porcelains were chosen for this study: VM7 and VM9 (VITA Zahnfabrik). 25 porcelain green discs (4.1 mm dia. x 2.4 mm) of each commercial brand were confectioned and divided into 5 groups: a control group (oven-glazed specimens) and 4 groups of specimens sintered by continuous CO2 laser (Coherent, USA – 35 W e λ= 10.6 μm) with different fluences: 6000, 6900, 12000 and 13800 J/cm2. After sintering, the discs had one of their surfaces mirror polished until the final dimension of 3.5 mm x 2.0 mm was achieved. The amount of superficial pores (%) was assessed by the Image J software through images obtained from an optical microscope (Shimadzu - 100x). Apparent density was measured by the Archimedean’s method. Microhardness and fracture toughness (Indentation Fracture - IF) were determined with a Vickers indenter (Shimadzu). Results: Porosity ranged between 4.0 to 5.9% for the irradiated specimens; the control group had 6.0 and 4.7% of porosity for porcelain VM7 and VM9, respectively. The density of the VM7 porcelain irradiated in 13800 J/cm2 fluence was significantly higher than the control group. The microhardness and fracture toughness of the irradiated specimens were similar to the control. The indentation marks of some irradiated groups were not possible to achieve because the surface cracked during the test. Conclusions: Porcelain sintered with CO2 laser in studied fluences produced a material with superficial porosity similar to that obtained in a conventional oven. Depending on the commercial brand and/or the laser fluence, the irradiated specimens presented a density, fracture toughness and microhardness results that differed from the control group.

Objetivo: Este estudo testou o laser de CO2 como um agente de sinterização de porcelanas dentárias e o comparou ao forno convencional por meio das seguintes caracterizações: porosidade, densidade, tenacidade à fratura e microdureza. Materiais e métodos: Duas porcelanas comerciais foram escolhidas para o estudo: VM7 e VM9 (VITA Zahnfabrik). 25 discos (4,1 mm dia. x 2,4 mm) de cada porcelana foram confeccionados e divididos em 5 grupos: 1 grupo controle (espécimes sinterizados no forno) e 4 grupos de espécimes sinterizados pelo laser de CO2 de forma contínua (Coherent, USA – 35 W e λ= 10,6 μm) em diferentes fluências: 6000, 6900, 12000 e 13800 J/cm2. Após a sinterização, os discos tiveram uma de suas faces polidas. A dimensão final dos espécimes foi de 3,5 x 2,0 mm. A contagem de poros superficiais (%) foi feita pelo programa Image J (domínio público) através de imagens obtidas em um microscópio óptico (Shimadzu - 100x). A densidade aparente foi medida por Arquimedes. A microdureza e a tenacidade à fratura (método IF - Indentation Fracture) foram determinadas por um indentador Vickers (Shimadzu). Resultados: A porosidade variou entre 4,0 e 5,9% para os espécimes irradiados; o grupo controle apresentou a porosidade de 6,0 e 4,7% para o grupo controle das porcelanas VM7 e VM9, respectivamente. A densidade da porcelana VM7 irradiada na fluência de 13800 J/cm2 foi significantemente maior do que a observada no grupo controle. A microdureza e a tenacidade à fratura dos espécimes irradiados foram similares ao grupo controle, porém em alguns grupos não foi possível se obter as marcas de indentação devido ao trincamento da superfície, o que inviabilizou o teste. Conclusões: A sinterização com o laser de CO2 produziu uma porcelana com porosidade superficial semelhante àquela obtida em forno convencional. Dependendo da marca comercial ou da fluência do laser, os resultados de densidade, tenacidade à fratura e microdureza diferiram dos do grupo controle

Tratamento de superfície de porcelanas dentárias pela irradiação com laser de CO2 / Surface treatment of dental porcelains with CO2 laser

Este estudo teve como objetivo testar o laser de CO2 como um agente de tratamento de superfície de porcelanas dentárias. Material e Métodos: O estudo foi dividido em duas etapas: na primeira etapa, discos de porcelana (3,5 mm diam. x 2,0 mm espess.) das marcas VM7, VM9 e VM13 (VITA) foram sinterizados e tiveram uma de suas faces asperizadas por uma ponta diamantada 2134F para acabamento. Os espécimes foram então divididos em grupos de acordo com os seguintes tratamentos: nenhum (C), auto-glaze em forno (G) e irradiação com laser (L) de CO2 (Coherent, = 10,6 m, 35 W) de forma contínua com 40, 45 ou 50 W/cm2 nos tempos de 3, 4 ou 5 minutos (n=7). Nesta primeira etapa, as caracterizações das amostras constaram de: difratometria por raios-X, diferença de cor (Easyshade VITA), rugosidade superficial (Surftest 301, Mitutoyo) e análise visual por meio de esteromicroscopia e MEV. Um espécime de VM9 de cada grupo foi polido e levado a um exame por microscopia de força atômica (MFA). A segunda etapa consistiu na sinterização de discos das três porcelanas nas mesmas dimensões da etapa anterior, porém submetidos a um polimento de uma das superfícies com soluções diamantadas de granulação decrescente até 1 m. Os grupos testados foram os mesmos da primeira etapa, com exceção dos grupos irradiados com 40W/cm2. As caracterizações que se seguiram foram (n=10): microdureza Vickers, tenacidade à fratura, porosidade superficial, razão de contraste (RC) e capacidade de mascaramento (CM).

Resultados: A rugosidade de espécimes asperizados foi diminuída pela aplicação do laser nas irradiâncias de 45 e 50 W/cm2, similar ao auto-glaze em forno, sem alteração de cor perceptível para a quase totalidade dos grupos irradiados. Houve um aumento do conteúdo cristalino das porcelanas VM9 e VM13 após a irradiação com o laser. As micrografias (MEV) demonstraram padrão de superfície homogêneo para os espécimes dos grupos irradiados a 50 W/cm2 e G. Os resultados da segunda etapa apontaram para alterações na microdureza e tenacidade à fratura na dependência da marca comercial e das irradiâncias estudadas. Quanto à porosidade, as porcelanas VM7 e VM13 apresentaram um aumento na fração volumétrica de poros, enquanto a porcelana VM9 irradiada apresentou-se semelhante a G. As médias de RC e CM indicaram um aumento na opacidade das porcelanas VM7 e VM13 irradiadas com o laser. Conclusão: Em condições específicas, o laser de CO2 é capaz de produzir uma lisura de superfície semelhante ao auto-glaze, com pequenas alterações nos aspectos ópticos e mecânicos. As diferentes marcas comerciais de porcelana apresentaram comportamentos distintos em relação aos tratamentos aplicados.

Glazing porcelain is an important procedure in dentistry that leads to surface smoothness, to less plaque accumulation and to brightness, especially after a chair side adjustment. Despite a good absorption of CO2 laser wavelength by dental porcelain it has not yet been tested as an alternative to oven glaze. Aim: This study tested CO2 laser as a heat source in surface treatment of dental porcelains. Material and Methods: This study was divided in two stages: at the first stage porcelain discs (VM7, VM9, VM13 VITA; 3.5 diam. x 2.0 mm thickness) were sintered, machined and had one of their sides grounded by a diamond bur (2134F KG Sorensen) simulating a chair side adjustment in clinical office. Specimens were then divided into groups according to treatment: no treatment (C); auto-glazed in conventional furnace (G) and submitted to CO2 continuous laser irradiation (Coherent, = 10.6 m; output power = 35 W, 0.5 cm laser beam) in 40, 45 or 50 W/cm2 for 3, 4 or 5 minutes (n=7). Specimens were supported by a ceramic refractory. At this first stage, the characterization consisted of X-ray diffraction (RU-200B, Rigaku), color difference (E) (Easyshade VITA), roughness (Surftest 301, Mitutoyo) and analysis of images achieved by stereomicroscopy (SZ61, Olympus) and SEM (Stereoscan 440, LEO). A VM9 specimen of each group had one of their side polished and was submitted to atomic force microscopy (AFM) Nanoscope IIIA (Veeco). In the second stage discs with the same dimension described above were sintered and polished with diamond solutions (Ecomet 3; 1 m). The same groups were tested except 40W/cm2 irradiance. Specimens were submitted to the following characterizations (n=10): Vickers microhardness test, fracture toughness by indentation fracture (HMV, Shimadzu), surface porosity (HMV, Image J software), contrast ratio (CR) and masking ability (MA) (CM-3770d, Konica Minolta).

Porcelain monolayers and porcelain/alumina bilayers reinforced by Al2O3/GdAlO3 fibers.

AIM: This work tested the effect of the addition of Al(2)O(3)/GdAlO(3) longitudinal fibers in different contents to veneering porcelain of two dental all ceramic systems. METHODS: Fibers (0.5 mm diameter) obtained by the Laser Heated Pedestal Growth (LHPG) method were added to bar-shaped specimens made by veneer porcelain (monolayers) or both the veneer and the core ceramic (bilayers) of two all-ceramic systems: In-Ceram Alumina-glass infiltrated alumina composite (GIA) and In-Ceram 2000 AL Cubes-alumina polycrystal (AP) (VITA Zahnfabrik). The longitudinal fibers were added to veneering porcelain (VM7) in two different proportions: 10 or 17 vol%. The bars were divided into nine experimental conditions (n=10) according to material used: VM7 porcelain monolayers, VM7/GIA, VM7/AP; and according to the amount of fibers within the porcelain layer: no fibers, 10 vol% or 17 vol%. After grinding and polishing the specimens were submitted to a three point bending test (crosshead speed = 0.5 mm/min) with porcelain positioned at tensile side. Data were analyzed by means of one-way ANOVA and a Tukey's test (α=5%). Scanning electronic microscopy (SEM) was conducted for fractographic analysis. RESULTS: Regarding the groups without fiber addition, VM7/AP showed the highest flexural strength (MPa), followed by VM7/GIA and VM7 monolayers. The addition of fibers led to a numerical increase in flexural strength for all groups. For VM7/GIA bilayers the addition of 17 vol% of fibers resulted in a significant 48% increase in the flexural strength compared to the control group. Fractographic analysis revealed that the crack initiation site was in porcelain at the tensile surface. Cracks also propagated between fibers before heading for the alumina core. CONCLUSIONS: The addition of 17 vol% of Al(2)O(3)/GdAlO(3) longitudinal fibers to porcelain/glass infiltrated alumina bilayers significantly improved its flexural strength. 10 vol% or 17 vol% of fibers inclusion increased the flexural strength for all groups.

Influência da inserção de fibras de Al2O3/GdAlO3 na resistência mecânica de monolayers e bilayers de cerâmicas odontológicas / Flexural strength of ceramic monolayers and bilayers bars reinforced by Al2O3/GdAlO3 fibers

O presente estudo avaliou a adição de fibras cerâmicas de 0,5mm de diâmetro de Al2O3/GdAlO3 obtidas por fusão a laser (método LHPG - laser heated pedestal growth) em porcelanas de cobertura dos sistemas In Ceram Alumina, In-Ceram 2000 Al Cubes e In-Ceram 2000 YZ Cubes para CEREC (VITA Zahnfabrik). Barras confeccionadas apenas com a porcelana de cobertura (VM7 ou VM9 - monolayers) ou constituídas por ambas a cerâmica da infraestrutura e porcelana de cobertura (bilayers) receberam as fibras dispostas longitudinalmente nas proporções de 10 ou 17% vol. Barras que não receberam fibras serviram como controle dos grupos. Os corpos-de-prova (CP) com fibras assim como os do grupo controle foram submetidos a um teste de flexão em três pontos. Foram calculadas as médias para a densidade e resistência à flexão dos CP, assim como para as fibras isoladamente. A tenacidade à fratura das fibras também foi mensurada. Em todos os casos a análise de variância de um fator e o teste de Tukey com 5% de significância foram aplicados. Microscopia eletrônica de varredura foi utilizada para caracterização microestrutural das fibras e para estudo fractográfico. Foram realizadas análises de difratometria por raio-x dos materiais cerâmicos nos estados pré e pós-sinterização, assim como foram determinados os coeficientes de expansão térmico-linear das porcelanas de cobertura por dilatometria. Os CP monolayers da porcelana VM9 contendo fibras apresentaram, após a sinterização, trincas e falhas, o que impediu a continuidade dos testes com os grupos de cerâmicas do sistema In-Ceram 2000 YZ Cubes. Os CP com fibras adicionadas à porcelana VM7 em 17% vol. apresentaram resistência à flexão aumentada em 43% comparados aos CP do grupo controle, sem fibras. Nos grupos bilayers as fibras propiciaram aumento apenas numérico da resistência à flexão do conjunto, porém de forma não significante

This study evaluated the addition of 0.5mm of diameter Al2O3/GdAlO3 fibers obtained by LHPG (Laser Heated Pedestal Growth) to veneering porcelains of the following materials: porcelain monolayers: VM7 and VM9; Bilayers: In-Ceram Alumina + VM7, In-Ceram 2000 AL Cubes + VM7 and In-Ceram 2000 YZ Cubes for CEREC + VM9 (VITA Zahnfabrik). The specimens (bars) were composed by only the veneer porcelain (monolayer) or both the veneer and the framework (bilayer). The new ceramic composites contained longitudinal fibers in 10 or 17% vol. Specimens without fibers were used as control. A metallic device was developed for the standardization of the fibers position inside the specimens. The means of the fracture toughness, density and flexural strength of the developed fibers were calculated as well as the density and flexural strength of the composites. One way ANOVA and a Tukey test (5%) were applied. Characterizations of fiber/porcelain interface and fractographyc analysis were carried out after scanning electronic microscopy (SEM) of bars. X-ray difratometry and dilatometry were also performed. Vm9 porcelain showed incompatibility with the fibers, probably due to differences between the coefficients of thermal expansion of fibers and porcelain. VM7 monolayers with the addition of 17% of fibers in volume showed significantly higher resistance in relation to control. It was concluded that the inclusion of ceramic fibers of Al2O3/GdAlO3 to veneer porcelain improves its flexural strength