Silver Nanoparticles in Dental Biomaterials

Silver has been used in medicine for centuries because of its antimicrobial properties. More recently, silver nanoparticles have been synthesized and incorporated into several biomaterials, since their small size provides great antimicrobial effect, at low filler level. Hence, these nanoparticles have been applied in dentistry, in order to prevent or reduce biofilm formation over dental materials surfaces. This review aims to discuss the current progress in this field, highlighting aspects regarding silver nanoparticles incorporation, such as antimicrobial potential, mechanical properties, cytotoxicity, and long-term effectiveness. We also emphasize the need for more studies to determine the optimal concentration of silver nanoparticle and its release over time

Biomechanics analysis of restored teeth with cast intra-radicular retainer, with and without ferrule

O objetivo foi avaliar a influência de variações no formato da férula dada por núcleo estojado sobre as tensões desenvolvidas na raiz em um modelo tridimensional de um segundo pré-molar superior submetido a quatro condições de carregamentos: cunha, alavanca vestibular, alavanca proximal e torção. Seis modelos foram confeccionados a partir das dimensões médias obtidas na literatura. Um deles representou o dente hígido, e outros cinco dentes restaurados com coroa e retentor intra-radicular fundido: um simulou núcleo simples, sem férula (E2A0), e em quatro modelos variou-se o tamanho do espelho (E) em 1/3 da espessura da parede radicular (E1) ou 2/3 (E2) e a altura (A) da férula foi equivalente a E1 (A1) ou a E2 (A2); ou seja: os modelos E1A1 e E2A2 tiveram 45º de inclinação do bisel da férula. Todas as estruturas foram consideradas homogêneas, isotrópicas e lineares elásticas. Os resultados permitem afirmar que a férula não parece necessária para melhorar a distribuição de tensões e que, exceto para o caso de carregamento longitudinal (que demonstrou ser o menos danoso), o cimento ficou submetido a tensões que justificam sua fratura e a dentina apresentou tensões de tração compatíveis com fraturas longitudinais (com início na crista óssea), especialmente para a alavanca vestibular.The aim was to evaluate the influence of variations in the radicular ferrule format given by the casing core on stress developed in the root in a three-dimensional model of one upper second premolar submitted to four load conditions: wedge, vestibular lever, proximal lever and torsion. Six models were built according the average dimensions obtained from the literature. One of them represented the sound tooth, and other five restored teeth with cast radicular retainer and crown: one simulated simple core, without ferrule (E2A0), and in four models the mirror (E) size was varied in 1/3 of the radicular wall thickness (E1) or 2/3 (E2) and the ferrule height (A) was equivalent to E1 (A1) or E2 (A2); or be: E1A1 and E2A2 had 45º inclination of the ferrule bisel. All the structures were considered homogeneous, isotropic and linear elastic behavior. The results allow to affirm that the ferrule doesn\'t seem necessary to improve the stress distribution and that, except for the longitudinal load case (that demonstrated to be the least harmful), the cement was submitted to stress that justify his fracture and the dentine presented compatible tensile stress with longitudinal fractures (with beginning in the bone crest), especially for the vestibular lever

Abfraction lesions reviewed: current concepts

Non-carious cervical lesions are characterized by structural loss near the cementoenamel junction, without the presence of caries. Anumber of theories have arisen to explain the etiology of such lesions, although the real causes remain obscure, as is reflected by the contradictory terminology used in the literature. In addition to describing acidic and abrasive processes documented as etiological factors, attention is given to the role of mechanical stress from occlusal load, which is the most accepted theory for the development of abfraction lesions. Considering that tensile stress leads to the failure of restorations in the cervical region and that this is a fruitful area for future research, the present study has highlighted diagnosis, prognosis and the criteria for treatment

Three Dimensional Finite Element Analyses of Oral Structures by Computerized Tomography

Our aim was to document the benefits of three dimensional finite element model generations from computed tomography data as well as the realistic creation of all oral structures in a patient. The stresses resulting from the applied load in our study did not exceed the structure limitations, suggesting a clinically acceptable physiological condition.Rio de Janeiro State Foundation (FAPERJ)Federal Flurninense University (LEFO

Silver Nanoparticles in Dental Biomaterials

Silver has been used in medicine for centuries because of its antimicrobial properties. More recently, silver nanoparticles have been synthesized and incorporated into several biomaterials, since their small size provides great antimicrobial effect, at low filler level. Hence, these nanoparticles have been applied in dentistry, in order to prevent or reduce biofilm formation over dental materials surfaces. This review aims to discuss the current progress in this field, highlighting aspects regarding silver nanoparticles incorporation, such as antimicrobial potential, mechanical properties, cytotoxicity, and long-term effectiveness. We also emphasize the need for more studies to determine the optimal concentration of silver nanoparticle and its release over time

Stress distribution in the cervical region of an upper central incisor in a 3D finite element model

The aim of this study was to evaluate the stress distribution in the cervical region of a sound upper central incisor in two clinical situations, standard and maximum masticatory forces, by means of a 3D model with the highest possible level of fidelity to the anatomic dimensions. Two models with 331,887 linear tetrahedral elements that represent a sound upper central incisor with periodontal ligament, cortical and trabecular bones were loaded at 45º in relation to the tooth's long axis. All structures were considered to be homogeneous and isotropic, with the exception of the enamel (anisotropic). A standard masticatory force (100 N) was simulated on one of the models, while on the other one a maximum masticatory force was simulated (235.9 N). The software used were: PATRAN for pre- and post-processing and Nastran for processing. In the cementoenamel junction area, tensile forces reached 14.7 MPa in the 100 N model, and 40.2 MPa in the 235.9 N model, exceeding the enamel's tensile strength (16.7 MPa). The fact that the stress concentration in the amelodentinal junction exceeded the enamel's tensile strength under simulated conditions of maximum masticatory force suggests the possibility of the occurrence of non-carious cervical lesions such as abfractions