Thermo-mechanical degradation of composite restoration photoactivated by modulated methods-a SEM study of marginal and internal gap formation

Objective. To evaluate the influence of thermal-mechanical degradation on superficial and internal gap formation of composite restorations photoactivated using modulated methods. Materials and methods. An experimental composite was prepared using a resin matrix containing 65wt% Bis-GMA and 35wt% TEGDMA. Camphorquinone (0.5wt%) and dimethylaminoethyl-methacrylate (0.5wt%) were dissolved in the resin as a photo-initiator system and 65wt.% silanized glass fillers were added to the matrix. Ground buccal surfaces of bovine lower incisors were used to make 160 preparations (3 mm x 3 mm x 2 mm in depth). An adhesive system (Adper Single Bond 2) was applied and the specimens were assigned into 16 groups (n = 10), according to the photoactivation method [high intensity (HI), low intensity (LI), soft-start (SS) and pulse-delay (PD)] and the degradation protocol [(control/no degradation; thermal cycling (TC); mechanical loading (ML); thermo-mechanical loading (TC+ML)]. Marginal and internal interfaces of bonded restorations were replicated in epoxy resin and analyzed by SEM. Gaps were expressed as a percentage of the total length of the margins. Data were submitted to 2-way ANOVA and Tukey's test (alpha = 0.05). Results. For the control group no significance was noted among the photoactivation methods. TC had no effect in gap formation. ML and TC+ML increased the incidence of superficial gaps for both HI and SS groups as well as increased the internal gaps for all groups. Conclusion. Although photoactivation methods do not influence gap formation at first, composite restoration photoactivated by low intensity or modulated methods showed improved resistance to thermo-mechanical degradation. Mechanical loading is determinant for interfacial degradation of composite restorations, while thermal cycling has no effect on gap formation.7151341134

Compatibility between silorane adhesive and simplified methacrylate-based adhesive systems

Fundação de Amparo à Pesquisa do Estado de São Paulo (FAPESP)Conselho Nacional de Desenvolvimento Científico e Tecnológico (CNPq)The purpose of this study was to evaluate the impact of replacing P90 primer with simplified adhesive systems (with a conventional, two-step adhesive or a self-etching, one-step adhesive) on bond strength to dentin in Class I restorations. The interfaces were also analyzed using confocal microscopy by adding a fluorophore to the adhesive components and SEM using silver nitrate for nanoleakage investigation. X-ray diffraction (XRD) characterized the chemical interaction of the adhesives. Failure mode and nanoleakage varied among groups. Characteristic micromorphology and higher nanoleakage were noted for silorane combinations. On the other hand, no signs of phase crystallization in the silorane adhesive combinations were noted. Replacing the silorane primer with simplified adhesives proved successful as the modified systems provided bonding to dentin comparable to that of the unmodified silorane systems. However, the dedicated adhesive exhibited signs of degradation immediately after application, which may impact the longevity of restorations in short periods.322263273Fundação de Amparo à Pesquisa do Estado de São Paulo (FAPESP)Conselho Nacional de Desenvolvimento Científico e Tecnológico (CNPq)Fundação de Amparo à Pesquisa do Estado de São Paulo (FAPESP)Conselho Nacional de Desenvolvimento Científico e Tecnológico (CNPq)FAPESP [2010/16289-1-PI MSS]CNPq [479744/2010-6, 163102/2011-2-PI PHPD

Effectiveness of self-adhesive luting cements in bonding to chlorhexidine-treated dentin

Fundação de Amparo à Pesquisa do Estado de São Paulo (FAPESP)Objectives. The aim was to investigate the microtensile bond strength (mu-TBS) and failure pattern of self-adhesive luting cements (SLC) to dentin pre-treated with different concentrations of chlorhexidine (CHX) solutions. Methods. The occlusal enamel was removed from 30 extracted sound human molars in order to expose a flat dentin. Resin-composite (Filtek Z250, 3 M ESPE) discs (12 mm in diameter, 6.0 mm thickness) were cemented to the smear layer-covered dentin using the SLC [RelyX U100, 3 M ESPE (U100); Multilink Sprint, Ivoclar Vivadent (MS)] with 0.2% or 2.0% CHX solutions. Results were compared with the control, untreated dentin. Six groups were then created based on the SLC and dentin pre-treatment (n = 5). After 24 h of water storage, restored teeth were serially sectioned into beams with a cross-sectional area of 0.8 mm(2) at the bonded interface. Subsequently, specimens were tested in tension with a crosshead speed of 0.5 mm/min in a universal testing machine, and the failure patterns were classified. Two-way ANOVA and Tukey's tests were performed (alpha = 0.05). Additionally, 18 teeth were subjected to energy-dispersive X-ray spectroscopy (EDS) analysis and micromorphology characterization of the smear layer-covered dentin and 0.2% or 2.0% CHX-treated dentin surfaces. Results. The mu-TBS obtained for both control groups were significantly higher, regardless of the CHX concentration and/or the cement used. Bond strengths were significantly higher for U100 than for MS, except when 2.0% CHX was applied. Fractographic analysis indicated that most failures in the control groups occurred cohesively in the SLC. Pre-treated dentin with 0.2% and 2.0% CHX solutions presented higher incidences of adhesive failures. EDS/SEM analysis exhibited varied concentrations of chlorine ions and crystal-shaped precipitates, depending upon the CHX concentration. Significance. Pre-treatment of dentin with 0.2% or 2.0% CHX adversely affects the bonding efficacy when associated with the SLCs tested. (C) 2011 Academy of Dental Materials. Published by Elsevier Ltd. All rights reserved.285495501Fundação de Amparo à Pesquisa do Estado de São Paulo (FAPESP)Fundação de Amparo à Pesquisa do Estado de São Paulo (FAPESP)FAPESP [2010/12538-7