Efeito do laser Nd:Yag no pré-tratamento dentinário e selamento marginal, em restaurações de cimento de ionômero de vidro resina modificado

The purpose of this study was to evaluate the marginal sealing of resin modified glass ionomer cement restorations after the application of the Nd:YAG laser on the primer, light cured or not, and on the margins of the restoration using the micro leakage test. 120 class V restorations on the vestibular and lingual surfaces of each tooth were performed, divided into six groups in which the effects of the Nd:YAG laser on the denun and on the margins of the restoration were obseved. The specimens were thermocycled at 5°C and 55°C, ± 2°C, and immersed in 50% silver nitrate solution. A cut in the center of the restoration in the vestibular lingual direction to determine the degree of microleakage in the occlusal and gingival margins of each specimen was performed. The statistical methods Kruskal-Wallis, non-parametric, and the Wilcoxon's Paired Signed Rank Test were used at 5% significance level. The methodology used to evaluate the marginal leakage made it possible to conclude that: all groups presented similar micro leakage results for the occlusal and gingival margins and were not statistically different between them; when the degrees of micro leakage were compared between the occlusal and gingival margins it was observed that groups II and Ill did not present significant statistical difference, while groups I, IV, V and VI presented significant statistical differences; when the occlusal margin was compared to the gingival, a smaller gingival marginal leakage was observedO objetivo deste estudo foi avaliar o selamento marginal de restaurações com cimento de ionômero de vidro resina modificado ap6s aplicação do laser Nd:YAG sabre o primer, fotopolimerizado ou não, e nas margens da restauração empregando-se o teste de microinfiltração. Foram realizadas 120 restaurações classe V nas superfícies vestibular e lingual de cada dente, divididas em seis grupos onde foram observados os efeitos do laser Nd:YAG sabre a dentina e nas margens das restaurações. Os corpos de prova foram tenmociclados em temperaturas de 5°C a 55°C, podendo variar de ± 2°C, e imersos em uma solução de nitrato de prata a 50%. Realizou-se um corte no centro da restauração no sentido vestíbulo lingual para determinar o grau de micro infiltração nas margens oclusal e gengival de cada corpo de prova. Foram empregados os métodos estatísticos Kruskal-Wallis não paramétricos e o teste de sinais de pastas de Wilcoxon com nível de significância de 5%. A metodologia empregada para avaliar a infiltração marginal permitiu concluir que: todos os grupos apresentaram resultados semelhantes de micro infiltração para a margem oclusal e gengival não diferindo estatisticamente entre si; quando comparamos as graus de micro infiltração entre a margem oclusal e gengival observamos que os grupos II e III não apresentaram diferenças estatisticamente significantes, enquanto que os grupos I, IV, V e VI apresentaram diferenças estatisticamente significantes; comparando a margem oclusal com a gengival observamos uma menor infiltração na margem gengiva

Smoking enhances bone loss in anterior teeth in a Brazilian population: A retrospective cross-sectional study

The aim of the present study was to radiographically evaluate the effect of smoking on bone loss resulting from chronic periodontitis. Periapical radiographs were analyzed of 80 patients with chronic periodontitis (40 current or former smokers and 40 never-smokers) that attended a private periodontal practice. The smokers or former-smokers with a minimum consumption of 10 cigarettes/day for a period of over 10 years were selected. Interproximal radiographic bone loss was considered as the distance between the cementum-enamel junction and the alveolar bone crest. Bone loss for smokers was higher than that observed in never-smokers (p < 0.05) (3.33 ± 1.09 mm and 2.24 ± 0.76 mm; mean ± standard deviation for smokers and non-smokers, respectively). When each region of the mouth was comparatively evaluated, it was observed that the smokers' incisors presented the highest bone loss when compared with the other groups of teeth (p < 0.01). Within the limits of the present investigation it can be concluded that smoking enhances the bone loss resulting from periodontitis and that the incisors are the teeth most affected

Influência da angulação e desajuste vertical na avaliação de microdeformações ao redor de implantes

Objective: This in vitro study was to evaluate micro strains around of implant, under the influence of angulations and vertical misfit in three-element implant-supported fixed partial dentures during axial loading by using strain gauge analysis. Material and Methods: Three external hexagon implants with straight configuration and three external hexagon implants with angled (17°) configuration were inserted into two polyurethane blocks. To measure micro strain, four strain gauges were bonded onto the surface of each block. Plastic copings were adapted to a standard wax pattern and cast. An axial load of 30 kgf was applied on the center of each implant for 10 seconds, using a load application device. The vertical misfit was measured at six different points by using a stereo microscope with 100-X magnification. Results: The results showed that the values for different implant angulations were significant (P = 0.0086). The Pearson’s correlation test between micro-strain and vertical misfit revealed no correlation between angled configuration (P = 0.891) and straight configuration (P = 0.568). Conclusion: The micro strain was higher for angled implants; no correlation was found between the vertical misfit and the strain values

Microscopic evaluation of implant platform adaptation with UCLA-type abutments: in vitro study

Abstract Introduction The fit between abutment and implant is crucial to determine the longevity of implant-supported prostheses and the maintenance of peri-implant bones. Objective To evaluate the vertical misfit between different abutments in order to provide information to assist abutment selection. Material and method UCLA components (N=40) with anti-rotational system were divided as follows: components usinated in titanium (n=10) and plastic components cast proportionally in titanium (n=10), nickel-chromium-titanium-molybdenum (n=10) and nickel-chromium (n=10) alloys. All components were submitted to stereomicroscope analysis and were randomly selected for characterization by SEM. Result Data were analyzed using mean and standard deviation and subjected to ANOVA-one way, where the groups proved to statistically different (p=<0.05), followed by Tukey&#8217;s test. Conclusion The selection of material influences the value of vertical misfit. The group machined in Ti showed the lowest value while the group cast in Ni Cr showed the highest value of vertical misfit

Microscopic evaluation of implant platform adaptation with UCLA-type abutments: in vitro study

Abstract Introduction The fit between abutment and implant is crucial to determine the longevity of implant-supported prostheses and the maintenance of peri-implant bones. Objective To evaluate the vertical misfit between different abutments in order to provide information to assist abutment selection. Material and method UCLA components (N=40) with anti-rotational system were divided as follows: components usinated in titanium (n=10) and plastic components cast proportionally in titanium (n=10), nickel-chromium-titanium-molybdenum (n=10) and nickel-chromium (n=10) alloys. All components were submitted to stereomicroscope analysis and were randomly selected for characterization by SEM. Result Data were analyzed using mean and standard deviation and subjected to ANOVA-one way, where the groups proved to statistically different (p=<0.05), followed by Tukey’s test. Conclusion The selection of material influences the value of vertical misfit. The group machined in Ti showed the lowest value while the group cast in Ni Cr showed the highest value of vertical misfit