This study evaluated the effect of cleanser solutions on the color of heat-polymerized acrylic resin (HPAR) and on the brightness of dental alloys with 180 immersion trials. Disk-shaped specimens were made with I) commercially pure titanium, II) nickel-chromium-molybdenum-titanium, III) nickel-chromium molybdenum, and IV) nickel-chromium-molybdenum beryllium. Each cast disk was invested in the flasks, incorporating the metal disk into the HPAR. The specimens (n = 5) were then immersed in solutions containing: 0.05% sodium hypochlorite, 0.12% chlorhexidine digluconate, 0.500 mg cetylpyridinium chloride, a citric acid tablet, one of two different sodium perborate/enzyme tablets, and water. The color measurements (∆E) of the HPAR were determined by a colorimeter in accordance with the National Bureau of Standards. The surface brightness of the metal was visually examined for the presence of tarnish. The results (ANOVA; Tukey test-α = 0.05) show that there was a significant difference between the groups (p < 0.001) but not among the solutions (p = 0.273). The highest mean was obtained for group III (5.06), followed by group II (2.14). The lowest averages were obtained for groups I (1.33) and IV (1.35). The color changes in groups I, II and IV were slight but noticeable, and the color change was considerable for group III. The visual analysis showed that 0.05% sodium hypochlorite caused metallic brightness changes in groups II and IV. It can be concluded that the agents had the same effect on the color of the resin and that the metallic alloys are not resistant to the action of 0.05% sodium hypochlorite.

The aim of this prospective clinical study was to evaluate patient rehabilitation with two immediately loaded implants and bar-retained mandibular overdentures after 48 months of follow-up. Twenty patients were treated with two implants each; of these, 17 patients were re-evaluated for comparison. Gender, age, plaque index, gingival inflammation, keratinized mucosa, probing depth, bleeding, and implant loss data were recorded, and periapical radiographs were obtained for measurement of marginal bone loss. The results were statistically analyzed with one-way analysis of variance (ANOVA) followed by Student’s t-test and Pearson’s correlation test. To compare the data at baseline and after 48 months, a Wilcoxon Signed Rank Test was performed (α = 0.05). One implant failed (2.9%) during the first year and was replaced. A total of 35 implants were evaluated. Bone loss values were 0.52–2.89 mm (mean, 1.46 mm). Probing depth was 1.75–3.75 mm (mean, 2.22 mm). Correlations were found between bone loss and plaque index and between bone loss and gender, but bone loss did not correlate with gingival inflammation, keratinized mucosa, probing depth, or age. The overall survival rate of the implants was 97.1%. Based on these results, the use of two immediately loaded splinted interforaminal implants to retain an overdenture with a bar attachment is a clinically viable option with a high survival rate.

Este estudo analisou a perda de massa e rugosidade superficial causadas em corpos de prova de Plexiglass por dentifrícios convencionais (Sorriso, Colgate e Close Up) e específicos (Corega e Dentu Creme) para higienização de próteses totais. Os corpos de prova de Plexiglass foram distribuidos em 6 grupos (n=6), sendo um controle (água destilada - AD) e grupos experimentais. A escovação foi realizada em máquina de escovação com escovas macias e suspensões de dentifrícios ou AD, de acordo com os diferentes tempos de escovação (50, 100, 200 e 250 min -18.000, 36.000, 72.000 e 90.000 ciclos, respectivamente, calculados para corresponder a 1, 2, 4 e 5 anos de escovação regular). Os resultados de perda de massa e rugosidade superficial foram analisados por meio de ANOVA e teste de Tukey com 5% de significância. Em todos os tempos analisados, a AD teve efeito insignificante. Os dentifrícios diferiram significativamente da AD no período inicial. O dentifrício Corega causou maior perda de massa em todos os tempos estudados, seguido por Close Up. No tempo de 50 min, todos os dentifrícios causaram rugosidade superficial semelhante à AD. Nos outros tempos, Sorriso, Colgate e Corega causaram maior rugosidade superficial em relação à AD. Conclui-se que os dentifrícios específicos causaram maior perda de massa, porém menor rugosidade superficial que os dentifrícios convencionais.

This study analyzed the weight loss and surface roughness caused in Plexiglass specimens by conventional dentifrices (Sorriso, Colgate and Close Up) and specific dentifrices used for cleaning of dentures (Corega and Dentu Creme). Plexiglass specimens were divided into 6 groups (n=6) including: a control (distilled water - DW) and experimental groups. Brushing was performed in a toothbrushing machine with a soft brush and a dentifrice suspension and DW according to different brushing times (50, 100, 200 and 250 min -18,000, 36,000, 72,000 and 90,000 cycles, respectively, calculated to correspond to 1, 2, 4 and 5 years of regular brushing). The results of weight loss and surface roughness were analyzed by ANOVA and Tukey’s test at 5% significance level. In all tested times, the effect of DW was insignificant. Dentifrices differed significantly from DW in the initial period. Corega dentifrice caused greater mass loss in all studied times, followed by Close Up. Dentifrices resulted in a surface roughness similar to the DW at 50 min. In the other times, Sorriso, Colgate and Corega caused more surface roughness than DW. In conclusion, specific dentifrices caused larger mass loss and lower surface roughness as conventional dentifrice.

Desinfetantes químicos são normalmente associados a métodos mecânicos para remover manchas e reduzir a formação do biofilme. Este estudo avaliou o efeito de desinfetantes na liberação de íons metálicos e na rugosidade superficial do titânio comercialmente puro, ligas metálicas e resina acrílica termopolimerizável, simulando 180 ensaios de imersões. Espécimes em formato de discos foram confeccionados com titânio comercialmente puro (Tritan), liga de níquel-cromo-molibdênio-titânio (Vi-Star), liga de níquel-cromo (Fit Cast-SB Plus) e liga de níquel-cromo-berílio (Fit Cast-V). Os espécimes (n=5) foram imersos nestas soluções: hipoclorito de sódio a 0,05%, Periogard, Cepacol, Corega Tabs, Medical Interporous e Polident. Como controle, foi utilizada a água deionizada. A análise quantitativa de liberação de íons metálicos foi realizada por meio de espectrometria de massa com plasma indutivamente acoplado (ELAN DRC II). O rugosímetro (Surftest SJ-201P) foi utilizado para medir a rugosidade superficial (µm). Os dados foram registrados antes e depois das imersões e avaliados por ANOVA com dois fatores e teste de Tukey (α=0,05). A liberação de níquel provou ser mais expressiva nas ligas Vi-Star e Fit Cast-V após a imersão em Medical Interporous. Houve diferença significante na rugosidade superficial da resina (p=0,011) após a imersão. O Cepacol causou maior rugosidade superficial de forma significativa. Os produtos de imersão não influenciaram nos resultados da rugosidade do metal (p=0,388). Pode-se concluir que as ligas metálicas testadas podem ser consideradas seguras para a fabricação de próteses removíveis, mas as soluções desinfetantes como o Cepacol e a pastilha Medical Interporous para a imersão diária da prótese devem ser utilizados com cautela, pois causaram maior rugosidade superficial da resina e maior liberação de íons, respectivamente

Chemical disinfectants are usually associated with mechanical methods to remove stains and reduce biofilm formation. This study evaluated the effect of disinfectants on release of metal ions and surface roughness of commercially pure titanium, metal alloys, and heat-polymerized acrylic resin, simulating 180 immersion trials. Disk-shaped specimens were fabricated with commercially pure titanium (Tritan), nickel-chromium-molybdenum-titanium (Vi-Star), nickel-chromium (Fit Cast-SB Plus), and nickel-chromium-beryllium (Fit Cast-V) alloys. Each cast disk was invested in the flasks, incorporating the metal disk to the heat-polymerized acrylic resin. The specimens (n=5) were immersed in these solutions: sodium hypochlorite 0.05%, Periogard, Cepacol, Corega Tabs, Medical Interporous, and Polident. Deionized water was used as a control. The quantitative analysis of metal ion release was performed using inductively coupled plasma mass spectrometry (ELAN DRC II). A surface analyzer (Surftest SJ-201P) was used to measure the surface roughness (µm). Data were recorded before and after the immersions and evaluated by two-way ANOVA and Tukey's test (α=0.05). The nickel release proved most significant with the Vi-Star and Fit Cast-V alloys after immersion in Medical Interporous. There was a significant difference in surface roughness of the resin (p=0.011) after immersion. Cepacol caused significantly higher resin roughness. The immersion products had no influence on metal roughness (p=0.388). It could be concluded that the tested alloys can be considered safe for removable denture fabrication, but disinfectant solutions as Cepacol and Medical Interporous tablet for daily denture immersion should be used with caution because it caused greater resin surface roughness and greater ion release, respectively.

As próteses parciais removíveis (PPR) exigem higienização específica e a associação da escovação com imersão em soluções químicas tem sido o método mais recomendado para controle do biofilme. Entretanto, os efeitos destas soluções não são amplamente reportados em componentes metálicos. Este estudo avaliou o efeito de diferentes agentes de higienização na superfície dos componentes de uma PPR. Foram confeccionados 5 espécimes (disco metálico de 12 x 3 mm centralizado em uma tira de resina com 38 x 18 x 4 mm) para cada situação experimental: 6 soluções [Periogard (PE), Cepacol (CE), Corega Tabs (CT), Medical Interporous (MI), Polident (PO), hipoclorito de sódio 0,05% (HS) e água destilada (AD) como controle)] e 2 ligas de cobalto-cromo [DeguDent (DD) e Vera PDI (VPDI)] foram utilizadas para cada situação experimental. Foram simuladas imersões de 180 dias. As aferições de rugosidade (Ra, μm) tanto em porção metálica quanto em resina acrílica termopolimerizável foram submetidos ao ANOVA e ao teste de Tukey. As alterações superficiais e manchas foram examinadas por meio de microscopia eletrônica de varredura (MEV). Áreas de interesse foram submetidas à espectrometria por energia dispersiva por raios X (EDS). Visualmente, puderam ser verificadas manchas nas superfícies metálicas quando utilizados HS e MI. A rugosidade dos materiais não foi afetada pelas soluções (p>0,05). As fotomicrografias evidenciaram que HS e MI ocasionaram alterações superficiais. As análises de EDS revelaram a presença de oxigênio nos grupos HS e MI, o que pode sugerir que estas duas soluções causaram oxidação das superfícies, provocando pontos de corrosão. Dentre as limitações do presente estudo, pode-se concluir que estas soluções não são apropriadas para a higienização das PPR.

Removable partial dentures (RPD) demand specific hygienic cleaning and the combination of brushing with immersion in chemical solutions has been the most recommended method for control of biofilm. However, the effect of the cleansers on metallic components has not been widely investigated. This study evaluated the effect of different cleansers on the surface of RPD. Five disc specimens (12 mm x 3 mm metallic disc centered in a 38 x 18 x 4 mm mould filled with resin) were obtained for each experimental situation: 6 solutions [Periogard (PE), Cepacol (CE), Corega Tabs (CT), Medical Interporous (MI), Polident (PO), 0.05% sodium hypochlorite (NaOCl), and distilled water (DW) control] and 2 Co-Cr alloys [DeguDent (DD) and VeraPDI (VPDI)] were used for each experimental situation. A 180-day immersion was simulated and the measurements of roughness (Ra, µm) of metal and resin were analyzed using 2-way ANOVA and Tukey’s test. The surface changes and tarnishes were examined with a scanning electronic microscopy (SEM). In addition, energy dispersive x-ray spectrometry (EDS) analysis was carried out at representative areas. Visually, NaOCl and MI specimens presented surface tarnishes. The roughness of materials was not affected by the solutions (p>0.05). SEM images showed that NaOCl and MI provided surface changes. EDS analysis revealed the presence of oxygen for specimens in contact with both MI and NaOCl solutions, which might suggest that the two solutions promoted the oxidation of the surfaces, thus leading to spot corrosion. Within the limitations of this study, it may be concluded that the NaOCl and MI may not be suitable for cleaning of RPD.

Este estudo avaliou a estabilidade de cor, rugosidade superficial e resistência à flexão de resina acrílica polimerizada por microondas após desinfecção em hipoclorito de sódio, simulando 20 min de desinfecção diária durante 180 dias. Quarenta espécimes circulares (15 x 4 mm) e 40 retangulares (65 x 10 x 3 mm) foram preparados em resina acrílica polimerizada por microondas (Onda-Cryl). As amostras foram imersas em hipoclorito de sódio a 0,5%, hipoclorito de sódio a 1%, Clorox/Calgon e água destilada (controle). Medidas de cor foram determinadas por um espectrocolorímetro portátil. Três linhas paralelas, separadas por 1,0 mm, foram registradas em cada amostra antes e depois dos procedimentos de imersão para analisar a rugosidade superficial. A resistência à flexão foi medida utilizando um teste de flexão por 3 pontos em uma máquina universal de ensaios com uma célula de carga de 50 Kgf e uma velocidade de 1 mm/min. Os dados foram analisados estatisticamente por ANOVA e teste de Tukey (?=0,05). Não houve diferença estatisticamente significante (p>0,05) entre as soluções para cor, rugosidade superficial e resistência à flexão. Pode-se concluir que a imersão em soluções de hipoclorito de sódio, simulando um uso diário de curta duração durante 180 dias, não influenciou a estabilidade de cor, rugosidade superficial e resistência à flexão de resina acrílica polimerizada por microondas.

This study evaluated the color stability, surface roughness and flexural strength of a microwave-polymerized acrylic resin after immersion in sodium hypochlorite (NaOCl), simulating 20 min of disinfection daily during 180 days. Forty disk-shaped (15 x 4 mm) and 40 rectangular (65 x 10 x 3 mm) specimens were prepared with a microwave-polymerized acrylic resin (Onda-Cryl). Specimens were immersed in either 0.5% NaOCl, 1% NaOCl, Clorox/Calgon and distilled water (control). Color measurements were determined by a portable colorimeter. Three parallel lines, separated by 1.0 mm, were registered on each specimen before and after immersion procedures to analyze the surface roughness. The flexural strength was measured using a 3-point bending test in a universal testing machine with a 50 kgf load cell and a crosshead speed of 1 mm/min. Data were analyzed statistically by ANOVA and Tukey's test (?=0.05). There was no statistically significant differences (p>0.05) among the solutions for color, surface roughness and flexural strength. It may be concluded that immersion in NaOCl solutions simulating short-term daily use during 180 days did not influence the color stability, surface roughness and flexural strength of a microwave-polymerized acrylic resin.

The aim of this study was to evaluate the integrity of the external hexagon of an implant system with internal and external hexagons but with prosthetic connection through the external hexagon (Internal Torque, IT) in comparison with that of an implant system with external hexagon with mount (External Hexagon, EH). A device was made to measure the rotational freedom angles between implant and abutment hexagons in 10 implants from each group after the application of surgical placement torques of 45, 60 and 80 Ncm simulating implant locking. The distances between the vertices of the external hexagon were also obtained. Rotational freedom data were subjected to ANOVA and Tukey's test (P < .05) showing no significant difference between the angles of the intact implants (EH - 3.31 ± 0.41° and IT - 3.30 ± 0.17°) and after application of a 45 Ncm torque (EH - 3.27 ± 0.38° and IT - 3.31 ± 0.22°). However, after application of a 60 Ncm torque there were significant differences (IT - 3.40 ± 0.20° and EH - 4.03 ± 0.54°). After application of a 80 Ncm torque, the IT implant presented values of 3.39 ± 0.21° whereas the EH did not support the torque, suffering deformation of its external hexagon. Within the limits of this study, it can be concluded that the IT implant system may be preferable in clinical situations where implant placement within a certain bone density could generate torques higher than 60 Ncm.