Influência de dois tipos de retentores intra-radiculares e do tipo de coroa total na resistência e modo de fratura de raízes de incisivos superiores

O objetivo neste estudo foi avaliar e comparar a resistência à fratura de incisivos centrais restaurados usando dois tipos de pinos intra-radiculares: núcleo metálico fundido e pinos de fibra de quartzo, reconstruídos com diferentes tipos de coroas. A hipótese nula testada foi que a resistência a fratura desses corpos de prova não apresentariam diferença quanto ao tipo de pino e tipo de coroa. Sessenta incisivos centrais superiores foram divididos em 6 grupos: G1- núcleo metálico fundido + coroa em cerômero, G2- núcleo metálico fundido + coroa metalo-cerâmica, G3- núcleo metálico fundido + coroa em e-max, G4 – pino de fibra de quartzo e pinos acessórios + coroa em cerômero, G5- pino de fibra de quartzo e pinos acessórios + coroa metalo-cerâmica e G6- pino de fibra de quartzo e pinos acessórios + coroa em e-max. Todos os espécimes foram submetidos à ciclagem mecânica com freqüência de 2 Hz e 500.000 ciclos com carga de 3Kg. Os corpos de prova foram submetidos a teste de compressão em uma máquina universal de ensaios (Emic) com velocidade de carga de 1,0 mm/min até a sua fratura. Os valores de resistência à fratura foram G1- 47.44 ± 10.39, G2- 54.74 ±7.76, G3-49.71 ± 8.66, G4- 54.97 ± 8.67, G5-73.50 ± 11.83 e G6- 55.47 ± 10.62. A análise de variância (ANOVA) (p<0,05) mostrou diferença estatisticamente significante para os pinos. Quanto à análise de fratura, os núcleos metálicos fundidos apresentaram o maior número de amostras com fratura desfavoráveis quando comparados os pinos de fibra de quartzo. O conjunto pino de fibra restaurados com coroa metalo cerâmica, apresentou valor de resistência à fratura estatisticamente maior quando comparado aos demais grupos segundo o teste de Tukey (5%), Metalo cerâmica - 64,12±13,69 kgf, difere estatisticamente das demais coroas metal free - 52,59±9,88 kgf e cerômero - 51,20±10,08 kgf que...The aim of this study was to compare the fracture resistance and failure of maxillary incisors restored using fiber post and metallic post under different types of full-coverage crowns. The null hypothesis tested was that fracture resistance and the failure pattern of these teeth were not affected by the use of fiber post, metallic post and typo of full coverage crown. Sixty maxillary incisors were divided into 6 groups of 10 each. G1- metallic post + metallic ceramic crowns, G2- metallic post + e-max system, G3- metallic post + cerômeros, G4- Fiber post and accessories post + metallic ceramic crowns, G5- Fiber post and accessories post + e-max system and G6- Fiber post and accessories post + cerômeros. The specimens were submitted a mechanical loading at a frequency of 2 Hz for a total of 500.000 cycles. After were taken to the Universal Test Machine for the fracture resistance at 1,0 mm/min speed. The fracture resistance values were G1- 47.44 ± 10.39, G2- 54.74 ±7.76, G3-49.71 ± 8.66, G4- 54.97 ± 8.67, G5-73.50 ± 11.83 e G6- 55.47 ± 10.62. Results show statistically significant differences in relation to the type of the posts (ANOVA) (p<0,05). Fracture analyses about metallic post showed the most unfavorable fracture and fiber post restored with metallic crown showed statistically significant difference in relation to the others groups. Tukey test (5%) showed Metallic-crown - 64,12±13,69 kgf, is statistically difference than the other crowns metal free - 52,59±9,88 kgf and Sinfony crowns - 51,20±10,08 kgf that was not different between itself. The result of this study indicate that the use of fiber posts increase their resistance to fracture and improve the prognosis in case of fractur

Altura de los tallados coronales en la retención de prótesis parcial fija

La altura y convergencia de las paredes axiales, el diámetro de los tallados, la presencia de surcos para mejorar la retención y el tipo de cemento son algunas de las condiciones que influencian el ajuste y la retención de las restauraciones fundidas. El objetivo de este trabajo fue verificar la relación de la cantidad de retención con el aumento gradual de la altura de los tallados coronales. Usando 11 troqueles y 11 cápsulas metálicas, fresados y perfectamente adaptados, con alturas desde 3mm hasta 8mm, con el aumento gradual de 0,5mm. Todas las capsuladas fueron cementadas de forma estandarizada y luego de 24 horas fueron sometidas a la prueba de tracción (EMIC - 1000). Los resultados mostraron que incrementos de 0,5mm en la altura del tallado aumentaron en promedio de 7N la resistencia a tracción de los cuerpos de prueba, por tal motivo se puedeconcluir que existe una influencia de la altura del tallado en la capacidad retentiva de los troqueles

Pulpal temperature increase with high-speed handpiece, ER : YAG laser and ultrasound tips

The aim of this study was to compare intrapulpal temperature increase produced by high-speed handpiece, Er:YAG laser and CVDentus ultrasound tips during cavity preparation. Thirty bovine mandibular incisors with an enamel/dentin thickness of 4 mm at buccal surface had their roots amputated and were allocated to the following groups (n=10): Group I- high-speed handpiece; Group II- noncontact Er:YAG laser (250 mJ/4Hz); and Group III- CVDentus ultrasouns tips. All devices were used with water cooling. Class V cavities were prepared to a depth of 3.5 mm, measured with a periodontal probe. A type T thermocouple was placed inside the pulp chamber to determine the temperature increase (degrees C), which was recorded by a data acquisition system ADS 2000 IP (Lynx Technology) linked to a notebook computer. Data were analyzed statistically by oneway ANOVA and Tukey's test (p=0.05). The mean temperature rises were: 1.10 degrees C ( 0.56) for Group 1, 0.84 degrees C (0.55) for Group II, and 3.00 degrees C (1.34) for Group III. There were no statistically significant differences (p > 0.05) between Groups I and II, but both of them differed significantly from Group III (p < 0.05). In conclusion, the use of Er:YAG laser and high-speed handpiece for cavity preparation resulted in similar temperature increase. Although ultrasound tips generated significantly higher intrapulpal temperature increase, it remained below the critical value of 5.5 degrees C and may be considered safe for use

Effects of cement-curing mode and light-curing unit on the bond durability of ceramic cemented to dentin

The aim of this study was to evaluate the effects of different light-curing units and resin cement curing types on the bond durability of a feldspathic ceramic bonded to dentin. The crowns of 40 human molars were sectioned, exposing the dentin. Forty ceramic blocks of VITA VM7 were produced according to the manufacturer's recommendations. The ceramic surface was etched with 10% hydrofluoric acid / 60s and silanized. The dentin was treated with 37% phosphoric acid / 15s, and the adhesive was applied. The ceramic blocks were divided and cemented to dentin according to resin cement / RC curing type (dual- and photo-cured), light-curing unit (halogen light / QTH and LED), and storage conditions (dry and storage / 150 days + 12,000 cycles / thermocycling). All blocks were stored in distilled water (37&#176;C / 24h) and sectioned (n = 10): G1 - QTH + RC Photo, G2 - QTH + RC Dual, G3 - LED + RC Photo, G4 - LED + RC Dual. Groups G5, G6, G7, and G8 were obtained exactly as G1 through G4, respectively, and then stored and thermocycled. Microtensile bond strength tests were performed (EMIC), and data were statistically analyzed by ANOVA and Tukey's test (5%). The bond strength values (MPa) were: G1 - 12.95 (6.40)ab; G2 - 12.02 (4.59)ab; G3 - 13.09 (5.62)ab; G4 - 15.96 (6.32)a; G5 - 6.22 (5.90)c; G6 - 9.48 (5.99)bc; G7 - 12.78 (11.30)ab; and G8 - 8.34 (5.98)bc. The same superscript letters indicate no significant differences. Different light-curing units affected the bond strength between ceramic cemented to dentin when the photo-cured cement was used, and only after aging (LED > QTH). There was no difference between the effects of dual- and photo-cured resin-luting agents on the microtensile bond strength of the cement used in this study

Influence of the coloring agent concentration on bleaching gel and pulp chamber temperatures during dental bleaching

This study evaluated the Influence of the coloring agent concentration on the temperature of the gel layer and pulp chamber during dental bleaching with an LED/laser light source. Ten human incisors and a digital thermometer with K-type thermocouples were used. Using a high-speed spherical diamond bur, endodontic access was gained through openings on the lingual faces until pulp chamber was exposed. One end of the thermocouple was placed on the labial surface (immersed in bleaching gel) and the other end in the pulp chamber. The same 10 specimens were used in the 12 groups, according to the type and concentration of bleaching gel. Each bleaching gel was used in four different concentrations: manipulated without coloring, with normal quantity recommended by the manufacturer, with double the recommended amount of coloring, and with triple the recommended amount of coloring. The temperature rise was measured every 30 seconds for three minutes with a K-type thermocouple. The data were analyzed by ANOVA to examine the concentration and type of bleaching gel. This test was followed by Tukey's test, which was performed Independently for the gel at the labial surface and the pulp chamber (a = 5%). For both surfaces, values of p = 0.00 were obtained for all factors and for the Interaction between them. The varying concentrations of coloring agent produced statistically significant differences in terms of temperature increase for both the gel layer and the pulp chamber during activation