Avaliação da contração de polimerização de três resinas compactáveis, medida por picnômetro a gás

Modern restorative dentistry has been playing an outstanding role lately since composite resins, allied to adhesive systems, have been widely applied on anterior and posterior teeth restorations. The evolution of composite resins has mostly been verified due to the improvement of their aesthetic behavior and the increase in their compressive and abrasive strengths. In spite of these developments, the polymerization shrinkage inherent to the material has been a major deficiency that, so far, has been impossible to avoid. Using a gas pycnometry, this research investigated the polymerization shrinkage of three packable composite resins: Filtek P60 (3M), Prodigy Condensable (Kerr), and SureFil (Dentsply/Caulk), varying the distance from the light source to the surface of the resins (2 mm or 10 mm). The pycnometer Accupyc 1330 (Micromeritics, USA) precisely records helium displacement, allowing fast and reliable measurements of the volume of composite resin immediately before and after polymerization, without interference of temperature or humidity. Results were not found to be statistically different for the three tested resins, either for 2 mm or 10 mm-distance from the light source to the composite surface.A Odontologia Restauradora moderna tem se destacado nos últimos anos e as resinas compostas, aliadas aos sistemas adesivos, têm sido muito empregadas para restaurações de dentes anteriores e posteriores. A evolução das resinas compostas tem sido constatada na melhoria do seu comportamento estético e no aumento da sua resistência à compressão e à abrasão. Apesar dos avanços mencionados, a contração de polimerização, inerente a esse material, continua sendo uma grande deficiência e, por enquanto, impossível de ser evitada. Nesta pesquisa a contração de polimerização de três resinas compostas compactáveis, Filtek P60 (3M), Prodigy Condensável (Kerr) e SureFil (Dentsply/Caulk), variando-se a distância entre a fonte de luz e a superfície das resinas em 2 mm e 10 mm, foi avaliada pelo método da picnometria a gás. O aparelho picnômetro Accupyc 1330 (Micromeritics, EUA) mede o deslocamento de gás hélio com grande precisão, permitindo medições rápidas e fiéis do volume das resinas compostas antes e após a polimerização, sem interferência da temperatura e da umidade. Os resultados mostraram que não houve diferenças estatisticamente significantes entre as três resinas avaliadas. Independentemente do tipo de resina composta, também não houve diferenças significantes para as distâncias de polimerização de 2 mm e 10 mm

Caries progression in non-cavitated fissures after infiltrant application: a 3-year follow-up of a randomized controlled clinical trial

Objectives To evaluate the efficacy of a conservative treatment to prevent the progression of caries using an infiltrant on non-cavitated pit and fissures. Material and Methods This controlled clinical trial selected 23 volunteers with clinically and radiographically non-cavitated occlusal caries among patients presenting a “rather low” to “very high” caries risk. Eighty-six teeth were randomly divided into two experimental groups: teeth receiving a commercial pit-and-fissure sealant (Alpha Seal-DFL) and contralateral teeth receiving Icon infiltrant (DMG). Caries progression was monitored by clinical (laser fluorescence caries detection) and radiographic examination at 12-month intervals over a period of 3 years of monitored caries progression. Probing the sealing materials to detect areas of retention was also used to evaluate marginal integrity. Results Statistical analysis showed no difference in caries progression using laser fluorescence caries detection when both materials were compared, regardless of the evaluation times (p>;0.05). No significance was observed when the marginal sealant integrity of both materials was compared, regardless of the evaluation time (

Effect of Camphorquinone Concentration in Physical-Mechanical Properties of Experimental Flowable Resin Composites

The aim of this study was to evaluate the effect of camphorquinone concentration in physical-mechanical properties of experimental flowable composites in order to find the concentration that results in maximum conversion, balanced mechanical strength, and minimum shrinkage stress. Model composites based on BISGMA/TEGDMA with 70% wt filler loading were prepared containing different concentrations of camphorquinone (CQ) on resin matrix (0.25%, 0.50%, 1%, 1.50%, and 2% by weight). Degree of conversion was determined by FTIR. Surface hardness was assessed before and after 24 h ethanol storage and softening rate was determined. Depth of cure was determined by Knoop hardness evaluation at different depths. Color was assessed by reflectance spectrophotometer, employing the CIE-Lab system. Flexural strength and elastic modulus were determined by a three-point bending test. Shrinkage stress was determined in a Universal Testing Machine in a high compliance system. Data were submitted to ANOVA and Tukey's test (alpha = 0.05). The increase in CQ concentration caused a significant increase on flexural strength and luminosity of composites. Surface hardness was not affected by the concentration of CQ. Composite containing 0.25% wt CQ showed lower elastic modulus and shrinkage stress when compared to others. Depth of cure was 3 mm for composite containing 1% CQ and 2 mm for the other tested composites. Degree of conversion was inversely correlated with softening rate and directly correlated with elastic modulus and shrinkage stress. In conclusion, CQ concentration affects polymerization characteristics and mechanical strength of composites. The concentration of CQ in flowable composite for optimized polymerization and properties was 1% wt of the resin matrix, which allows adequate balance among degree of conversion, depth of cure, mechanical properties, and color characteristics of these materials.Fundacao de Amparo a Pesquisa do Estado de Sao Paulo (FAPESP)Conselho Nacional de Desenvolvimento Cientifico e Tecnologico (CNPq)Univ Fed Sao Paulo, Inst Ciencias Ambientais Quim & Farmaceut, Diadema, SP, BrazilUniv Anhanguera Sao Paulo UNIAN, Sao Paulo, SP, BrazilCSIC, ICTP, Madrid, SpainUniv Metropolitana Santos UNIMES, Santos, SP, BrazilUniv Mogi das Cruzes, NPT, Mogi das Cruzes, SP, BrazilUniv Fed Sao Paulo, Inst Ciencias Ambientais Quim & Farmaceut, Diadema, SP, BrazilFAPESP: 2015/16569-8Web of Scienc

Finite elements study of the Flexi Post and Flexi Flange post systems in a maxillary central incisor

A utilização de pinos intra-radiculares tem se mostrado uma excelente alternativa para dentes endodonticamente tratados. Este trabalho teve como objetivo avaliar, utilizando o Método dos Elementos Finitos (MEF), como pinos intra-radiculares pré-fabricados metálicos podem alterar o padrão das tensões geradas de von Mises e de máxima tração e compressão na raiz dental. A comparação foi realizada entre os pinos pré-fabricados Flexi Post/Flexi Flange de aço inoxidável e titânio com preenchimento coronário em resina composta. Os pinos intra-radiculares foram fixados com um cimento resinoso e recobertos por uma coroa total cerâmica. A partir de fotografias da peça anatômica e dos pinos estudados, foram criados modelos matemáticos bidimensionais no programa MSC/Nastran 4.5 e, após aplicação de uma força de 100 N a 45 graus na superfície palatina dos modelos, foi avaliada a distribuição das tensões geradas. Com base nos resultados obtidos, pode-se concluir que os pinos intra-radiculares alteram o padrão das tensões geradas dependendo do desenho do pino intra-radicular e do tipo de material constituinte.The use of post and core systems has become an excellent alternative for restoring endodontically treated teeth. The aim of this study was to evaluate the von Mises, maximal compressive and tensile stresses distribution using the Finite Element Method (FEM) on human teeth restored with different post and core systems. The analysis was made on endodontically treated maxillary central incisors. The post systems used in this investigation were the stainless steel or titanium Flexi Post/Flexi Flange. Composite resin was used as core material and resin cement was the cement material of choice to seat a full porcelain crown. The bi-dimensional mathematical model was created from pictures taken from an intact human maxillary central incisor and prefabricated posts. This image was transferred to a personal computer in the MSC/Nastran 4.5 software. A static and linear analysis treatment was performed when a 45º load of 100 N was applied on the lingual surface of the tooth. Based on the results obtained, it can be concluded that the post design and its material can alter the stress pattern distribution

Combination of an analgesic and anti-inflammatory to avoid bleaching-induced tooth sensitivity: a randomized, triple-blind clinical trial / Combinação de um analgésico e antiinflamatório para evitar a sensibilidade dental induzida pelo clareamento: um ensaio clínico randomizado triplo-cego

induced tooth sensitivity (TS). This trial assed if the combination of an analgesic and an anti-inflammatory could reduce bleaching-induced TS. A parallel, placebo-controlled, triple-blind, randomized trial was conducted on 115 healthy adults. The patients received the association of acetaminophen 750 mg/ ketorolac tromethamine 10 mg or placebo, 1 h before the in-office bleaching (35% hydrogen peroxide), and extra doses every 8 h for 48 h. The TS was recorded on VAS 0-10 and NRS 0-4 scales, during bleaching and 1 to 48 h post-bleaching. The color was measured before and one month after dental bleaching using two visual shade guides and spectrophotometer. An intent-to-treat analysis was used to analyze data from all patients who were randomly assigned. No significant difference (p=0.41) in the absolute risk of TS between the acetaminophen/ketorolac group (72%; 95% CI 60 to 82) and placebo (79%; 95% CI 68 to 89) with a relative risk of 0.92; 95% CI 0.7 to 1.1. The mean difference in intensity of TS for VAS was lower in the acetaminophen/ketorolac group in the periods 12 to 24 h (-0.7) and 24 to 48 h (-0.4). A whitening effect was observed in both groups with no statistically significant difference (p>0.05). The administration of the association ketorolac/acetaminophen prior to in-office bleaching did not reduce the risk of TS but reduced the intensity of TS after 12 h in a very small magnitude. clinicaltrial.gov NCT03343392.

Effect Of Photoinitiator Concentration On Marginal And Internal Adaptation Of Experimental Composite Blends Photocured By Modulated Methods.

The aim of this study was to evaluate the influence of photoinitiator concentration on marginal and internal adaptation of composites photocured by modulated methods. Composites based on BisGMA/triethylene glycol dimethacrylate and 65 wt% of filler were prepared with different concentrations of camphorquinone/amine (C1-0.5%, C2-1%, C3-1.5%). Cavities were prepared (3 mm × 3 mm × 2 mm) on the buccal surface of 120 bovine incisors and the adhesive system Adper Single Bond 2 was applied following manufactures instruction. Specimens were then distributed according to type of composite (C1, C2, C3) and photoactivation method (high-intensity - 750 mW/cm(2) for 40 s; low intensity - 150 mW/cm(2) for 200 s; soft-start - 150 mW/cm(2) for 10 s + 750 mW/cm(2) for 38 s; pulse-delay - 150 mW/cm(2) for 10 s + 3 min dark + 750 mW/cm(2) for 38 s). Superficial and internal margins were analyzed by scanning electron microscopy, using the epoxy replica technique. The length of gaps was expressed as a percentage of the total length of the margins. Data were submitted to two-way analysis of variance and Tukey's test (α =0.05). Modulated curing methods did not influence gap formation regarding both superficial and internal adaptation. The composite with the lower initiator concentration (C1) presented higher gap formation when compared with those with higher concentrations (C2 and C3). Modulated photoactivation methods did not reduce gap formation for the experimental composite restorations evaluated. However, higher photoinitiator concentrations promote better marginal seal.7S1-

Dentistry Courses position in the international ranking

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22nd Meeting of the Brazilian Group of Restorative Dentistry Professors

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