Propriedades mecânicas dos materiais dentários restauradores: contribuição relativa dos ensaios laboratoriais

Uma grande variedade de produtos odontológicos que são lançados no mercado faz da seleção do material uma difícil tarefa. Apesar das propriedades mecânicas não representarem necessariamente o seu real desempenho clínico, os testes são utilizados para orientar os efeitos das alterações das composições do material ou a evolução das suas propriedades. Além disso, estas propriedades podem ajudar o clínico de alguma forma na seleção correta, uma vez que a comparação entre as formulações anteriores e as mais recentes, assim como as líderes de mercado são mais destacadas pelos fabricantes. Este artigo apresenta uma revisão dos testes laboratoriais mais importantes. Desta forma, o conhecimento destes ensaios fornecerá uma opinião crítica relacionada às propriedades dos diferentes materiais dentários.A wide variety of dental products that are launched on the market becomes the correct selection of these materials a difficult task. Although the mechanical properties do not necessarily represent their actual clinical performance, they are used to guide the effects of changes in their composition or processing on these properties. Also, these tests might help somehow the clinician to choose once comparisons between former formulations and new ones, as well as, with the leading brand, are highlighted by manufactures. This paper presents a review of the most important laboratory tests. In this manner, the knowledge of these tests will provide a critical opinion related to the properties of different dental materials

Effect of light-curing units and activation mode on polymerization shrinkage and shrinkage stress of composite resins

The aim of this study was to evaluate the polymerization shrinkage and shrinkage stress of composites polymerized with a LED and a quartz tungsten halogen (QTH) light sources. The LED was used in a conventional mode (CM) and the QTH was used in both conventional and pulse-delay modes (PD). The composite resins used were Z100, A110, SureFil and Bisfil 2B (chemical-cured). Composite deformation upon polymerization was measured by the strain gauge method. The shrinkage stress was measured by photoelastic analysis. The polymerization shrinkage data were analyzed statistically using two-way ANOVA and Tukey test (p<0.05), and the stress data were analyzed by one-way ANOVA and Tukey's test (p<0.05). Shrinkage and stress means of Bisfil 2B were statistically significant lower than those of Z100, A110 and SureFil. In general, the PD mode reduced the contraction and the stress values when compared to CM. LED generated the same stress as QTH in conventional mode. Regardless of the activation mode, SureFil produced lower contraction and stress values than the other light-cured resins. Conversely, Z100 and A110 produced the greatest contraction and stress values. As expected, the chemically cured resin generated lower shrinkage and stress than the light-cured resins. In conclusion, The PD mode effectively decreased contraction stress for Z100 and A110. Development of stress in light-cured resins depended on the shrinkage value

Effect of light-curing units and activation mode on polymerization shrinkage and shrinkage stress of composite resins

The aim of this study was to evaluate the polymerization shrinkage and shrinkage stress of composites polymerized with a LED and a quartz tungsten halogen (QTH) light sources. The LED was used in a conventional mode (CM) and the QTH was used in both conventional and pulse-delay modes (PD). The composite resins used were Z100, A110, SureFil and Bisfil 2B (chemical-cured). Composite deformation upon polymerization was measured by the strain gauge method. The shrinkage stress was measured by photoelastic analysis. The polymerization shrinkage data were analyzed statistically using two-way ANOVA and Tukey test (

A retrospective study of Traumatic Dental Injuries in a Brazilian dental urgency service

Epidemiologic aspects of traumatic dental injuries (TDI) were evaluated in the permanent dentition in a sample of 847 patients treated at the Dental Urgency Service of the Dental School of the Federal University of Goiás, Brazil, between May 2000 and May 2008. The statistical treatment analyzed data from frequency distribution and chi-square test. The level of significance was set at 5% for all analyses. The results showed a higher incident among males (610; 72.01%) with mean age of 6-10 year-old. Uncomplicated crown fracture (without pulp exposure) (502; 26.95%), avulsion (341; 18.30%) and complicated crown fracture (with pulp exposure) (330; 17.71%) were the most prevalent TDI. The prevalence of trauma throughout the years showed proportionality, being observed a larger number of cases between July and September (249; 29.39%). The most affected teeth were the maxillary central incisors (65.65%), followed by the maxillary left lateral incisors (19.67%). In 311 participants (18.25%), only one tooth was involved, while in most patients (536; 81.75%), TDI occurred in more than one tooth. Significant proportion (82.27%) of traumatized teeth presented completely formed root apex. The main etiologic factors involved in TDI were falls (51.71%), traffic accidents (22.90%) and violence (5.67%). Based on the obtained data, it may be concluded that accurate policies of TDI prevention must be established, capable of stimulating the exposure of appropriate protocols for management of these lesions. The prevalence of TDI in Goiânia subpopulation is compared to the prevalence reported in epidemiological studies in others populations.Nexte estudo, avaliou-se os aspectos epidemiológicos das injúrias traumáticas na dentição permanente em uma amostra de 847 pacientes atendidos pelo Serviço de Urgência da Faculdade de Odontologia da Universidade Federal de Goiás, entre os anos de 2000 e 2008. O tratamento estatístico analisou os dados frente à distribuição de freqüência e qui-quadrado. O nível de significância foi de p<0,05. Os resultados mostraram uma maior ocorrência entre os indivíduos do gênero masculino (72,01%), na faixa etária 6-10 anos. A fratura coronária sem exposição do tecido pulpar (502; 26,95%), avulsão (341; 18,30%) e fratura coronária com exposição pulpar (330; 17,71%) constituíram nas injúrias traumáticas mais prevalentes. A prevalência das injúrias traumáticas ao longo dos meses do ano mostrou-se proporcional, sendo observado um maior número de casos entre os meses de julho a setembro (249; 29,39%). afetado foi o incisivo central superior (65,65%), seguido pelo incisivo lateral superior esquerdo (19,67%). Em 311 participantes (18,25%) apenas um dente estava envolvido, enquanto que a maioria dos pacientes (536; 81,75%), injúrias dentárias ocorreram em mais de um dente. Significativa proporção (82,27%) dos dentes traumatizados apresentava os ápices radiculares completamente formados. Os principais fatores etiológicos envolvidos nos traumatismos dentários foram as quedas (51,71%), acidentes automobilísticos (22,90%), e violência (5,67%). Adequadas políticas de prevenção de traumatismos dentários devem ser institucionalizadas, capaz de divulgar protocolos apropriados para o manejo destas lesões. A prevalência de traumatismos dentários em uma subpopulação de Goiânia é comparável a prevalência reportada em estudos epidemiológicos de outras populações.(CNPq) Nacional Council for Scientific and Technological Developmen

Influence of pulse-delay curing on sorption and solubility of a composite resin

The purpose of this study was to evaluate the sorption and solubility of a composite resin (TPH³; Dentsply) cured with halogen light due to different storage media and curing modes. The methodology was based on the ISO 4049 standard. Two independent groups were established according to the storage time (7 days-G1; 60 days-G2). A stainless steel mould (2 mm x 8 mm Ø) was used. The selected curing modes were: I (Conventional - C): 40s - 600 mW/cm²; II (Pulse I - PD): 3 s - 200 mW/cm² + 2 min (delay) + 39 s - 600 mW/cm²; III (Pulse II): 10 s - 200 mW/cm² + 2 min (delay) + 37 s - 600 mW/cm²; IV (Pulse III): 3 s- 600 mW/cm² + 2 min (delay) + 37 s -600 mW/cm². The media used were: distilled water, 75% ethanol and 100% chlorophorm. Five repetitions were made for each group. The specimens were placed in a desiccator at 37ºC for 24 h and, after that, at 23ºC for 1 h to be weighed until a constant mass (m1) was obtained. The discs were immersed separately into the 3 media for 7 days (G1) and 60 days (G2), and thereafter reweighed (m2). The reconditioning in the desiccator was done until a constant mass (m3) was obtained. Sorption and solubility were calculated and the data of G1 and the sorption data of G2 were subjected to two-way ANOVA and Tukey's tests (p=0.05). The solubility data of G2 were analyzed by Kruskal-Wallis test (p=0.05). For G1 and G2, no statistically significant differences were found in sorption among curing techniques (p>;0.05). The solubility values were negative, which means that there was mass gain. Regarding the storage media, in G2 chlorophorm had the highest sorption values. It may be concluded that the curing modes (C and PD I, II and III) did not affect the sorption of the tested composite resin. However, different storage media influenced sorption behavior. The solubility test demonstrated negative data, masking the real solubility

Influence of pulse-delay curing on sorption and solubility of a composite resin

The purpose of this study was to evaluate the sorption and solubility of a composite resin (TPH³; Dentsply) cured with halogen light due to different storage media and curing modes. The methodology was based on the ISO 4049 standard. Two independent groups were established according to the storage time (7 days-G1; 60 days-G2). A stainless steel mould (2 mm x 8 mm Ø) was used. The selected curing modes were: I (Conventional - C): 40s - 600 mW/cm²; II (Pulse I - PD): 3 s - 200 mW/cm² + 2 min (delay) + 39 s - 600 mW/cm²; III (Pulse II): 10 s - 200 mW/cm² + 2 min (delay) + 37 s - 600 mW/cm²; IV (Pulse III): 3 s- 600 mW/cm² + 2 min (delay) + 37 s -600 mW/cm². The media used were: distilled water, 75% ethanol and 100% chlorophorm. Five repetitions were made for each group. The specimens were placed in a desiccator at 37ºC for 24 h and, after that, at 23ºC for 1 h to be weighed until a constant mass (m1) was obtained. The discs were immersed separately into the 3 media for 7 days (G1) and 60 days (G2), and thereafter reweighed (m2). The reconditioning in the desiccator was done until a constant mass (m3) was obtained. Sorption and solubility were calculated and the data of G1 and the sorption data of G2 were subjected to two-way ANOVA and Tukey's tests (p=0.05). The solubility data of G2 were analyzed by Kruskal-Wallis test (p=0.05). For G1 and G2, no statistically significant differences were found in sorption among curing techniques (p>0.05). The solubility values were negative, which means that there was mass gain. Regarding the storage media, in G2 chlorophorm had the highest sorption values. It may be concluded that the curing modes (C and PD I, II and III) did not affect the sorption of the tested composite resin. However, different storage media influenced sorption behavior. The solubility test demonstrated negative data, masking the real solubility

Evaluation of internal adaptation of Class V resin composite restorations using three techniques of polymerization

OBJECTIVE: The purpose of this in vitro study was to evaluate the internal adaptation of Class V composite restorations to the cavity walls using three different techniques of polymerization. METHODS: Standard cavities were prepared on the buccal and lingual surfaces of 24 extracted human third molars with margins located above and below the cementoenamel junction. Restorations were placed in one increment using two restorative systems: 3M Filtek A110/ Single Bond (M) and 3M Filtek Z250/ Single Bond (H) in the same tooth, randomly in the buccal and lingual surfaces. Resin composites were polymerized using three techniques: Group 1 - Conventional (60 s - 600 mW/cm²); Group 2 - Soft-start (20 s - 200 mW/cm² , 40 s - 600 mW/cm²); Group 3 - Pulse Activation (3 s - 200 mW/cm², 3-min hiatus, 57 s - 600 mW/cm²). Buccolingual sections were polished, impressions taken and replicated. Specimens were assessed under scanning electron microscopy up to X1000 magnification. Scores were given for presence or absence of gaps (0 - no gap; 1 - gap in one wall; 2 - gap in two walls; 3 - gap in three walls). RESULTS: The mean scores of the groups were (±SD) were: G1M-3.0 (± 0.0); G2M-2.43 (± 0.8); G3M- 1.71 (± 0.9); G1H- 2.14 (± 1.2); G2H- 2.00 (± 0.8); G3H- 1.67 (± 1.1). Data were analyzed using Kruskal-Wallis and Dunnet's tests. No statistically significant difference (p>;0.05) was found among groups. Gaps were observed in all groups. CONCLUSIONS: The photocuring technique and the type of resin composite had no influence on the internal adaptation of the material to the cavity walls. A positive effect was observed when the slow polymerization techniques were used

Polimerização de um cimento resinoso dual através de uma porcelana: LED vs lâmpada halógena

The aim of this study was to investigate the influence of light source, LED unit and halogen lamp (HL), on the effectiveness of Enforce dual-cured cement cured under a ceramic disc. Three exposure times (60, 80 and 120 s) were also evaluated. Two experimental groups, in which the polymerization of the dual-cured cement was performed through a ceramic disc, and two control groups, in which the polymerization of the dual-cured cement was performed directly without presence of ceramic disc were subdivided into three subgroups (three different exposure times), with five specimens each: G1A- HL 60s; G1B- HL 80s; G1C- HL 120s; G2A- LED 60s; G2B- LED 80s; G2C- LED 120s; and control groups: G3A- HL 60s; G3B- HL 80s; G3C- HL 120s; G4A- LED 60s; G4B- LED 80s and G4C- LED 120s. Cement was applied in a steel matrix (4mm diameter, 1.2mm thickness). In the experimental groups, a ceramic disc was placed on top. The cement was light-cured through the ceramic by a HL and LED, however, the control groups were cured without the ceramic disc. The specimens were stored in a light-proof container at 37ºC for 24 hours, then Vickers hardness was determined. A four-way ANOVA and Tukey test (p&pound; 0.05) were performed. All specimens cured by LED for 60s showed inferior values compared with the halogen groups. In general, light-curing by LED for 80s and 120s was comparable to halogen groups (60s and 80s) and their control groups. LED technology can be viable for light-curing through conventional ceramic indirect restorations, when curing time is increased in relation to HL curing time.O objetivo deste estudo foi estudar a influência da fonte de luz, LED e lâmpada halógena (LH), na efetividade de polimerização do cimento resinoso dual Enforce fotoativado sob um disco de porcelana. Três tempos de exposição (60, 80 e 120 segundos) foram também avaliados. Dois grupos experimentais, na qual a polimerização do cimento resinoso foi feita através de um disco cerâmico, e dois controles, polimerização direta do cimento, sem presença do disco cerâmico foram subdivididos em três subgrupos, com cinco amostras em cada: G1A- LH 60s; G1B- LH 80s; G1C- LH 120s; G2A- LED 60s; G2B- LED 80s; G2C- LED 120s; e grupos controles: G3A- LH 60s; G3B- LH 80s; G3C- LH 120s; G4A- LED 60s; G4B- LED 80s e G4C- LED 120s. O cimento resinoso foi inserido em uma matriz de aço (4 mm de diâmetro e 1,2 mm de espessura). Nos grupos experimentais um disco de porcelana (6 mm de diâmetro por 2 mm de espessura) foi colocado sobre o cimento. Este foi fotoativado através da porcelana pela lâmpada halógena e pelo LED, por outro lado nos grupos controles a luz foi aplicada sem o disco de porcelana. As amostras foram armazenadas em um frasco que impedia a passagem de luz a 37(0)C por 24 horas, para que depois a dureza Vickers fosse determinada. Os dados foram submetidos à análise de variância a quatro critérios seguido pelo teste Tukey (p&pound; 0,05). Todas as amostras polimerizadas pelo LED por 60s mostraram valores inferiores quando comparadas com as do grupo da lâmpada halógena. Em geral, a fotoativação realizada por 80 e 120 s com o LED foi estatisticamente similar à fotoativação com a lâmpada halógena (60 e 80 s). A tecnologia LED pode ser viável para a fotoativação de restaurações indiretas de porcelana quando o tempo de polimerização é aumentado

Silver nanoparticles in resin luting cements: antibacterial and physiochemical properties

Background: Silver has a long history of use in medicine as an antimicrobial and anti-inflammatory agent. Silver nanoparticles (NAg) offer the possibility to control the formation oral biofilms through the use of nanoparticles with biocidal, anti-adhesive, and delivery abilities. This study aims to evaluate the antibacterial effect of resin luting cements with and without NAg, and their influence on color, sorption and solubility. Material and methods: NAg were incorporated to two dual-cured resin cements (RelyX ARC (RA) color A1 and RelyX U200 (RU) color A2) in two concentrations (0.05% and 0.07%, in weight), obtaining six experimental groups. Disc specimens (1x6mm) were obtained to verify the antibacterial effect against Streptococcus mutans in BHI broth after immersion for 1min, 5min, 1h, 6h, and 24h (n=3), through optical density readings. Specimens were evaluated for color changes after addition of NAg with a spectrophotometer (n=10). Sorption and solubility tests were also performed, considering storage in water or 75% ethanol for 28 days (n=5), according to ISO 4049:2010. Data were subjected to statistical analysis with ANOVA and Tukey (p=0.05). Results: The optical density of the culture broths indicated bacterial growth, with and without NAg. NAg produced significant color change on the resin cements, especially in RA. Solubility values were very low for all groups, while sorption values raised with NAg. The cements with NAg did not show antibacterial activity against S. mutans. They also showed perceptible color change and higher sorption than the materials without NAg. Conclusions: The resin luting cements with NAg addition did not show antibacterial activity against S. mutans. They also showed perceptible color change and higher sorption than the materials without NAg

Diagnóstico, plan de tratamiento y restauración de un diente con el síndrome del diente fisurado: reporte de caso y seguimiento de siete años

Se describe y reporta el diagnóstico, tipo de tratamiento y seguimiento de un caso con el síndrome del diente fisurado. Una paciente de 26 años acusaba sensibilidad a los cambios térmicos y a la oclusión en el lado izquierdo de la mandíbula. Al examen clínico se observó dos grietas o fisuras pigmentadas en las superficies bucales y linguales de la pieza 36. La colocación de una restauración directa con resina compuesta resolvió los síntomas y alivió por completo el dolor. Dicha situación persistió incluso en el control realizado 7 años después. El diagnóstico y tratamiento para el caso descrito dio como resultado un completo alivio y mantenimiento de la situación alcanzada siete años después