Estudo comparativo in vitro da resistência ao cisalhamento de sistemas adesivos em dentina humana: uso de hipoclorito de sódio em sistemas convencionais ou primers acidificados

The aim of this study was to investigate comparatively in vitro the shear bond strength of conventional adhesive systems with and without collagen removal using 10 % sodium hypochlorite and self-etch adhesives. 48 human's molars were extracted for surgery and orthodontic reasons and after cleaning, they were stored in freezers (-18º C). The teeth were sectioned in an axial plan (mesio-distal), separated in two halves, vestibular and lingual. The teeth were mounted in self-cure resin and the labial and lingual surfaces were ground with sequential abrasive sandpaper to standardize the smear layer and expose the dentin with 2 mm of the thickness. The adhesion surface was delimited in 3 mm of diameter, the specimens were separated into six groups in accordance with adhesive system and dentin treatment: OBF - self-etch adhesive One-Up Bond F (Tokuyama); CSEB- self-etch primer Clearfil SE Bond (Kuraray); SB - Single Bond (3M); SBMP - Scotchbond Multi Uso Plus (3M); SBH - after acid etching was used at 10% sodium hypochlorite (AD Gel - Kuraray) during one minute and then Single Bond was used; SBMPH - after the acid etching sodium hypochlorite at 10% was used (AD GelKuraray) during one minute and then Scotchbond Multi Uso Plus was used. The composite resin Z-100 (3M) was inserted by incremental technique with a metallic matrix on a prepared surface. The shear test was realized in an lnstron Universal machine at 0,5 mm/min speed. The fractured surfaces were classified in stereomicroscopic (Karl Zeiss). The data obtained was analyzed by ANOVA and Tukey tests. The data showed the following values (in MPa): CSEB- 24,362; SB- 20,956; SBH - 17,825; OBF - 17,355; SBMP - 17,218; SBMPH- 14,169. We concluded that self-etch adhesive CSEB showed bond strength significantly higher than OBF and SBMP adhesives; the self-etch adhesive with acidificate primer showed bond strength statistically higher than where...O objetivo deste estudo foi avaliar comparativamente, in vitro, a resistência adesiva ao cisalhamento de sistemas adesivos convencionais come sem a remocão do colágeno com hipoclorito de sódio a 10% e adesivos autocondicionantes. Utilizou-se 48 molares humanos extraídos por indicacão cirúrgica ou ortodôntica que, após a limpeza, foram armazenados em freezer a -18°C. Os dentes foram seccionados em urn plano axial mésio-distal separando-os em duas metades, vestibular e lingual. Após o embutimento em resina acrílica, tiveram as superfícies vestibular e lingual desgastadas com lixa numa sequência de granulacão decrescente para padronizar a smear layer e expor a dentina até a espessura de 2 mm. A área de adesão foi delimitada em 3 mm de diâmetro. Os espécimes foram divididos em seis grupos, de acordo com o sistema adesivo e o tratamento dentinário realizado: OBF - adesivo autocondicionante One-Up Bond F (Tokuyama); CSEB - primer autocondicionante Clearfil SE Bond (Kuraray); SB -Single Bond (3M); SBMP - Scotchbond Multi Uso Plus (3M); SBH – após o condicionamento ácido foi utilizado o hipoclorito de sódio a 10% (AD Gel - Kuraray) durante um minuto e em seguida utilizado o Single Bond; SBMPH - após o condicionamento ácido foi utilizado o hipoclorito de sódio a 10% (AD Gel - Kuraray) durante um minuto e, em seguida, utilizado o Scotchbond Multi Uso Plus. A resina composta Z-100 (3M) foi inserida pela técnica incremental, em matriz metálica, sobre a área preparada. 0 ensaio mecânico de cisalhamento foi realizado em uma máquina lnstron Universal à velocidade de 0,5 mm/min. As superfícies fraturadas foram analisadas em estereomicroscópio (Karl Zeiss). Os dados foram submetidos à análise estatística, empregando-se os testes ANOVA e Tukey. Os resultados demonstraram os seguintes valores em MPa: CSEB - 24,362; SB - 20,956; SBH- 17,825; OBF - 17,355; SBMP - 17,218; SBMPH-14,169. Concluimos que..

Effect of Nd:YAG Laser with/without Graphite Coating on Bonding of Lithium Disilicate Glass-Ceramic to Human Dentin

This study evaluated the effect of different surface treatments on the tensile bond strength between lithium disilicate glass-ceramics, resin cement, and dentin. Fifty truncated cone-shape glass-ceramics were divided into five groups (n = 10): G1, control: 10% hydrofluoric acid (HF); G2, Nd:YAG laser + silane; G3, Sil + Nd:YAG laser; G4, graphite + Nd:YAG laser + Sil; and G5, graphite + Sil + Nd:YAG laser. Fifty human third-molars were cut to cylindrical shape and polished to standardize the bonding surfaces. The glass-ceramic specimens were bonded to dentin with a dual-cured resin cement and stored in distilled water for 24 h at 37ºC. Tensile testing was performed on a universal testing machine (10 Kgf load cell at 1 mm/min) until failure. The bond strength values (mean ± SD) in MPa were G1 (9.4 ± 2.3), G2 (9.7 ± 2.0), G3 (6.7 ± 1.9), G4 (4.6 ± 1.1), and G5 (1.2 ± 0.3). Nd:YAG laser and HF improve the bond strength between lithium disilicate glass-ceramics, resin cement, and dentin. The application of a graphite layer prior to Nd:YAG laser irradiation negatively affects this bonding and presented inferior results

Effect of Remineralization Pretreatments on Human Dentin Permeability and Bond Strength

This study aimed to evaluate Nd:YAG laser, calcium phosphate, and adhesive system effect as different pretreatments in different protocols on dentin permeability (DP) and bond strength (BS). Fifty human dentin discs were used (4 mm in diameter and 1,5 mm in height). Specimens were divided into five groups (n = 10): (A): adhesive system (control); (AL): adhesive system + Nd:YAG laser; (LAL): Nd:YAG laser + adhesive system + Nd:YAG laser; (PAL): calcium phosphate-based dentin desensitizer TeethMate + adhesive system + Nd:YAG laser; and group (PLAL): Nd:YAG laser + calcium phosphate-based dentin desensitizer + adhesive system + Nd:YAG laser. All materials were used according to the manufacturers’ instructions. The specimens were submitted to artificial aging (5,000 thermal cycles and 12 × 104 mechanical cycles) then a bond test was performed. DP was measured using the split chamber model. Data were submitted to one-way analysis of variance (ANOVA), paired t-test, RM ANOVA, and Tukey test (p<0.05). All treatments were effective in DP reduction. For BS, the groups PAL and PLAL had improved BS with a statistically significant difference of the control group (A). Nd:Yag laser irradiation and calcium phosphate-based desensitizing agents significantly reduced DP, and the association between them could improve the BS on resin–human dentin interface

pH-changes during intracoronal bleaching: An in vivo study

Objectives: This study aimed to measure pH changes during 14 days intracoronal bleaching with hydrogen peroxide/sodium perborate and carbamide peroxide/sodium perborate. Materials and methods: Twenty patients presenting endodontically treated central maxillary incisors with color alterations were divided in two groups (n = 10): Group CP + SP: 37% carbamide peroxide + sodium perborate paste; Group HP + SP: 30% hydrogen peroxide + sodium perborate paste. The pH values were measured using a digital microprocessor at different times: Baseline, 2, 7 and 14 days. Data were analyzed with two-way ANOVA followed by Tukey's test (α = 0.05). Results: ANOVA showed p < 0.00 which indicated significant difference between the groups. The mean values (± sd) and the results of the Tukey's test were: HP + SP/14 days-7.98 (±0.58)a; HP + SP/7 days-8.59 (±0.18)b; HP + SP/2 days-8.83 (±0.32)bc; HP + SP/Baseline-8.83 (±0.01)bc; CP + SP/Baseline-8.89 (±0.01)bc; CP + SP/14 days-9.11 (±0.58)cd; CP + SP/7 days-9.54 (±0.16)de; CP + SP/2 days-9.66 (±0.08) de. The group HP + SP resulted in significantly lower pH values compared with group CP + SP. Conclusion: It can be concluded that both associations showed alkaline pH values; however, there was significant reduction in the pH values of the 30% hydrogen peroxide associated with sodium perborate after 14 days. Clinical Significance: The association of hydrogen peroxide and carbamide peroxide with sodium perborate paste presented alkaline characteristics during the 14-day evaluated period. Thus, regarding pH changes, both associations can be considered safe as intracoronal bleaching agents