Resumo: O objetivo deste estudo foi avaliar diferentes protocolos de condicionamento e a aplicação sônica/ultrassônica de uma resina infiltrante (RI) em lesões de mancha branca produzidas artificialmente (LMBA). As superfícies vestibulares/linguais de 48 molares foram induzidas à formação de LMBA e divididas em 6 grupos, de acordo com os protocolos de condicionamento e técnica de aplicação da resina infiltrante: ácido hidroclorídrico 15% (AH) + aplicação manual da RI; AH + ácido fosfórico 37% (AF) + aplicação manual da RI; AH + aplicação ultrassônica da RI (U); AH + aplicação sônica da RI (S); AF + AH + S; e AF + AH + U. para o grau de penetração (GP), condicionou-se as coroas com AH por 120 s. A RI Icon® (DMG) foi aplicada de acordo com as instruções do fabricante. As coroas foram coradas (rodamina B 0,1% por 12 h) e clareadas com peróxido de hidrogênio 30% por 12 h. os discos foram imersos em solução de etanol 50%, contendo 100 µM de fluoresceína sódica. O GP (em µm) foi mensurado por meio de microscopia confocal a laser (20´). A resistência de união (RU) foi calculada pelo teste de microcisalhamento (0,5 mm/min). Os dados foram submetidos ao teste ANOVA 2 fatores e Tukey (α=0,05). Para RU, a interação não foi significante (p>0,05). Para GP, os fatores principais foram significantes (técnica de aplicação - p<0,001; protocolos de condicionamento - p=0,003). A aplicação U mostrou os maiores valores de GP. AF+AH demonstrou resultados superiores ao grupo AH. As aplicações sônica/ultrassônica e o uso do ácido fosfórico antes do ácido hidroclorídrico aumentaram o GP da resina infiltrante. Os protocolos de condicionamento ou as técnicas de aplicação não influenciaram os valores de RU.

Abstract The aim of this study was to evaluate different conditioning protocols and sonic/ultrasonic application of an infiltrant resin (IR) in artificial white spot lesions (AWSL). the V/L surfaces of 48 molars were induced to an AWSL and divided in 6 groups, according to the conditioning protocols and application technique: 15% hydrochloric acid (HA) + manual application of the IR; HA + 37% phosphoric acid (PA) + manual application of the IR; HA + ultrasonic application (U) of the IR; HA + sonic application (S) of the IR; PA+HA+S; and PA+HA+U. For the Penetration Depth (PD), the crowns were etched with HA for 120s. The IR Icon® (DMG) was applied according to the manufacturer`s instructions. The crowns were dye penetrated (0.1% red fluorophore rhodamine B isothiocyanate for 12h) and bleached with 30% hydrogen peroxide for 12 h. The discs were immersed in a 50% ethanol solution, containing 100 µM of sodium fluorescein. The PD (in µm) was measured using confocal laser scanning microscopy (20x). The bond strength (BS) was performed by michoshear test (0.5 mm/min). Data were submitted to 2-way ANOVA and Tukey (α=0.05). For BS, the interaction was not significant (p>0.05). For PD, the main factors were significant (application - p<0.001; conditioning technique - p=0.003). The ultrasonic application showed the highest PD values. PA+HA presented higher results than HA. The sonic/ultrasonic applications and the use of phosphoric acid prior to hydrochloric acid improved PD of the infiltrant resin. Conditioning protocols or application techniques did not influence BS values.

Abstract The aim of this study was to compare in vitro the bond strength (BS) between fiberglass posts and flared root canals reinforced with different materials. The roots of 48 premolars were endodontically treated. After one week, the root canals were prepared to simulate an oversized root canal, except for the positive control group (PCG), which was cemented with a prefabricated fiber post (PFP) compatible with the root canal size, simulating an ideal adaptation. The other samples (n=8/group) were used to test alternative restorative techniques for filling root canals: negative control group (NCG [PFP with a smaller diameter than of the root canal]), composite resin group - CRG, bulkfill group - BFG, self-adhesive cement group - SAG, and glass ionomer group - GIG. The posts were cemented and after 1 week, each root was sectioned transversely into six 1-mm thick discs and the push-out test was done to evaluate the BS. Data were analyzed by two-way repeated measures ANOVA and Tukey's tests (α=0.05). The highest BS value was observed for PCG. The NCG and the GIG groups showed the lowest BS values. Root reinforcement with conventional and bulk-fill composite resins showed the highest BS values; however, the bulk-fill resin was the only treatment able to maintain high BS values in all regions of the root canal. The self-adhesive cement showed intermediate results between CRG and GIG. Root reinforcement with bulk-fill composite resin is an effective option for flared root canals before cementation of a prefabricated fiber post.

Resumo Analisar o efeito do co-iniciador alternativo 4,4’bisdimetilaminobenzidrol (BZN) no grau de conversão (GC) e nas propriedades mecânicas e biológicas de resinas compostas experimentais. O co-iniciador BZN foi utilizado em três concentrações (0,2, 0,5 e 1,2), e o co-iniciador DMAEMA como controle, nas mesmas concentrações acima. A concentração molar entre canforoquinona (CQ) e os co-iniciadores foi mantida constante (1:1). As resinas compostas foram manipuladas e submetidas aos testes de microdureza (VHN), resistência à compressão e flexural (em MPa), módulo de elasticidade (em GPa), GC (em %, por meio de espectroscopia micro-Raman e FTIR com KBr), citotoxicidade in vitro (frente às células fibroblásticas 3T3) das resinas experimentais. Os resultados foram submetidos ao teste ANOVA 1 fator e pós-teste de Tukey (α=0,05). As resinas compostas experimentais com o BZN apresentaram GC e propriedades mecânicas satisfatórias, além de serem consideradas atóxicas a fibroblastos 3T3. A inclusão do co-iniciador BZN à resina composta foi considerada não tóxica frente a células fibroblásticas 3T3 e sem comprometer o grau de conversão e as propriedades mecânicas da mesma.

Abstract To examine the effect of the alternative coinitiator 4,4’bis dimethylamino benzydrol (BZN) in degree of conversion (DC), mechanical and biological properties of experimental composites. The coinitiator BZN was used in three concentrations (0.2, 0.5 and 1.2%), and the coinitiator DMAEMA was used as control at the same concentrations as above. The molar concentration of camphorquinone (CQ) and coinitiators was kept constant (1:1). The composites were manipulated and submitted to microhardness test (VHN), flexural and compressive strength (in MPa), elastic modulus (GPa), DC (FT-IR) and in vitro cytotoxicity (against 3T3 fibroblastic cells) of the experimental resins. Data were subjected to two-way ANOVA and Tukey post-test (α=0.05). The experimental composite resin with BZN showed higher DC values compared to control DMAEMA groups. For the mechanical properties, microhardness values were higher in BZN groups; flexural strength and elastic modulus were similar between all the groups. Compressive strength for groups BZN0.5 and DMAEMA0.5 were not statistically different, being the lowest values attributed to group BZN0.2. The experimental resins with BZN and DMAEMA were considered nontoxic against 3T3 fibroblasts. The inclusion of the coinitiator BZN in experimental composites was considered nontoxic against 3T3 fibroblast cells, without compromising DC and mechanical properties.

Abstract Objectives To evaluate the influence of two curing techniques on the degree of conversion (DC) of resin cements and on bond strength (BS) of fiber posts in different regions of root dentin. Material and Methods Twenty single-rooted premolars were endodontically treated, and the post spaces were prepared. The roots were randomly divided into two groups (n=10), according to the activation mode of the resin cement RelyX™ U200 (3M ESPE Saint Paul, MN, USA): conventional (continuous activation mode) and soft-start activation mode (Ramp). The posts (WhitePost DC/FGM) were cemented according to the manufacturer’s recommendations and, after one week, the roots were cross-sectioned into six discs each of 1-mm thickness, and the cervical, medium, and apical thirds of the root canals were identified. The DC was evaluated under micro-Raman spectroscopy and the BS was evaluated by the push-out test. The data were analyzed by two-way ANOVA and Tukey’s test (α=0.05). Results Neither the activation mode nor the root regions affected the DC of the resin cement. Higher BS was achieved in the soft-start group (p=0.036); lower BS was observed in the apical third compared to the other root regions (p<0.001). Irrespective of the activation mode and root region, the mixed failure mode was the most prevalent. Conclusion The BS of fiber posts to root canals can be improved by soft-started polymerization. The DC was not affected by the curing mode.

Resumo O objetivo desse estudo foi avaliar o efeito da aplicação passiva ou ativa do ácido fosfórico após o tratamento com ácido hidrofluorídrico na resistência de união ao microcisalhamento entre cimento resinoso e dissilicato de lítio. Trinta discos foram confeccionados com IPS Emax 2 (10 mm de espessura e 10 mm de diâmetro). Os espécimes foram divididos em três grupos (A: aplicação do ácido hidrofluorídrico 9,6%; AF: aplicação do ácido hidrofluorídrico 9,6% + limpeza com ácido fosfórico 37% em modo passivo; AFF: aplicação do ácido hidrofluorídrico 9,6% + limpeza com ácido fosfórico 37% no modo ativo). Para o teste de microcisalhamento, quatro tygons (0,9 de diâmetro e 0,2 mm de altura) foram preenchidos com cimento resinoso (RelyX Ultimate) e dispostos sobre os discos de cerâmica. Após o teste, os modos de fratura foram examinados por microscopia eletrônica de varredura. Os dados foram analisados estatisticamente por ANOVA e pós-teste de Tukey (α=0,05). Os valores de resistência de união foram significativamente superiores para o grupo AFF (11,0±2,5 MPa), comparado ao grupo A (8,1±2,6 MPa) (p<0,002), mas este não estatisticamente diferente do grupo AF (9,4±2,5 MPa). Concluiu-se que a aplicação ativa do ácido fosfórico 37% após o uso do ácido hidrofluorídrico 9,6% aumenta a resistência de união entre o cimento resinoso e a cerâmica de dissilicato de lítio.

Abstract The objective of this study was to evaluate the effect of passive or active phosphoric acid (PA) application after hydrofluoric acid (HA) treatment on the microshear bond strength of lithium disilicate. Thirty ceramic discs were made with IPS Emax 2 (10 mm thick and 10 mm diameter). The specimens were divided into 3 groups, A: 9.6% HA application; AF: 9.6% HA application + cleaning with 37% PA in passive mode and AFF: 9.6% HA application + cleaning with 37% PA in active mode. For the microshear test, four tygons (0.9 mm diameter and 0.2 mm high) were filled with resin cement (RelyX Ultimate) and placed on the ceramic disks. After testing, the fracture modes were examined under scanning electron microscopy. Data were analyzed by one-way ANOVA and Tukey's post test (α=0.05). The bond strength values were significantly higher in Group AFF (11.0±2.5 MPa) compared with group A (8.1±2.6 MPa) (p<0.002). AF group was not statistically different (9.4±2.5 MPa) from Group A. It was concluded that the active application of 37% PA after 9.6% HA increases the microshear bond strength values between the resin cement and lithium disilicate ceramic.

Abstract Aim: To evaluate the effect of different in-office bleaching agents on the permeability, roughness and surface microhardness of human enamel. Methods: For evaluation of roughness and microhardness, 40 hemi-faces of 20 premolars were subjected to initial roughness (Ra parameter) and microhardness (VHN) measurements. Thirty-two premolar's crowns were used for permeability test. Then, all specimens were randomly divided into four groups: C - without bleaching (control), HP35 - bleaching with 35% hydrogen peroxide (HP), HPF38 - 38% HP+fluoride, HPC35 - 35% HP+calcium. Final roughness (FR) and microhardness (FM) measurements were evaluated. For permeability, the 32 crowns were immersed in 1% sodium hypochlorite (20 min) and silver nitrate solutions (2 h) and subjected to developing solution under fluorescent light (16 h). Three sections from the crowns were analyzed in light microscope (100x) to evaluate the scores of permeability: Score 0 - no tracer agent penetration; Score 1 - less than half the thickness of enamel penetration; Score 2 - tracer agent reaching half the enamel thickness; Score 3 - entire enamel depth penetration, without reaching dentin and Score 4 - tracer agent reaching dentin. For roughness and microhardness evaluation were used one-way ANOVA and Dunnet post-test for independent samples, and t test for paired samples. For permeability, the data were analyzed by Kruskal Wallis and Dunn tests. Results: A significantly higher permeability and surface roughness were observed in groups HP35, HPF38 and HPC35 compared to the C group, as well as decreased microhardness (p<0.05). Conclusions: All bleaching agents increased permeability and surface roughness, and decreased microhardness of human enamel; thus, the addition of fluoride or calcium was not beneficial.

Objetivo Avaliar a liberação e a capacidade de recarga de flúor de diferentes cimentos de ionômero de vidro, durante a simulação de desafio cariogênico. Material e método Foram confeccionados 12 corpos de prova para cada grupo experimental, com cimentos de ionômero de vidro convencionais – Maxxion R (FGM), Ketac Molar EasyMix (3M ESPE); cimento de ionômero de vidro modificado por resina – Vitrebond (3M ESPE), e resina composta, Filtek™ Z350XT (3M ESPE), como controle negativo. Os corpos de prova foram imersos alternadamente em sistema de ciclagem de pH, permanecendo 6 horas na solução de desmineralização e 18 horas na de remineralização, sendo mantidos em estufa a 37°C. Liberação de flúor foi verificada 1, 2, 7 e 14 dias antes e após a recarga com flúor, com eletrodo específico acoplado ao aparelho analisador de pH/fluoretos, calibrado a cada medição com soluções de fluoreto de sódio a 1 e 10 ppm, preparadas com TISAB II. Para leitura, foi adicionado 0,5 mL da amostra a igual volume de TISAB II. Recarga foi realizada com flúor neutro 2% por 4 minutos nas amostras, lavadas e imersas novamente nas soluções do sistema de ciclagem de pH. Os dados foram submetidos à análise de variância e ao teste de Tukey (α=0,05). Resultado A liberação inicial de fluoreto (μgF/cm2) foi de 45,36; 37,49, e 26,35 para Maxxion R, Vitrebond e Ketac Molar EasyMix, respectivamente. Diferenças estatísticas significativas entre os materiais foram verificadas antes e após a recarga (p=0,001). Após a aplicação tópica de flúor, os cimentos de ionômero de vidro apresentaram capacidade de recarga de flúor. Conclusão Cimentos de ionômero de vidro avaliados foram capazes de liberar flúor em soluções de ciclagem de pH e podem recarregar flúor através da aplicação tópica.

Objective To evaluated the ability to fluoride release and recharge in the different glass ionomer cements during simulation of cariogenic challenge. Material and method Twelve samples were made for each experimental group: conventional glass ionomer cements, Maxxion R (FGM), Ketac Molar EasyMix (3M ESPE); resin modified glass ionomer cement, Vitrebond (3M ESPE); and composite resin Filtek™ Z350XT (3M ESPE), negative control. The samples were immersed alternately in pH cycling method, remaining 6 hours in demineralization solution and 18 hours in remineralization solution and maintained at 37 °C. Fluoride release was measured 1, 2, 7, and 14 days before and after recharging with specific electrode coupled to the analyzer apparatus pH/fluoride, each measurement with calibrated solutions of sodium fluoride to 1 and 10 ppm, prepared with TISAB II. For reading was added 0.5 mL of sample to an equal volume of TISAB II. Recharging was made with neutral sodium fluoride to 2% for 4 minutes in the samples, washed and again immersed pH cycling solutions. Data were subjected to two-way ANOVA and Tukey’s post-hoc test (α = 0.05). Result The initial fluoride release (μgF/cm2) was 45.36 ; 37.49 and 26.35 for Maxxion R, Vitrebond and Ketac Molar EasyMix, respectively. Significant differences between the materials before and after recharging were observed (p=0.001). After topical application of fluoride, both showed ability to recharge. Conclusion The glass ionomer cements evaluated were capable of releasing fluoride in pH cycling solutions and may recharge through of a topical application.

Este estudo clínico randomizado avaliou o potencial clareador de cremes dentais disponíveis no mercado. Materiais e Métodos: Foram selecionados 60 pacientes, os quais foram divididos aleatoriamente em 4 grupos (n=15): GI - controle - Colgate Total 12; GII- Close-up White Now; GIII - Oral-B 3D White; GIV - Colgate Luminous White. Foram realizadas 3 escovações diárias pelo tempo de 2 a 3 minutos, durante um período de 15 dias. Os pacientes tiveram a cor de seus dentes avaliados antes e após o término do tratamento através do espectrofotômetro Vita EasyShade (escala CIE L*a*b*) Os valores de L* foram analisados por ANOVA um fator para amostras independentes e teste t para amostras pareadas. ∆E também foi calculado para verificar alterações de cor, de acordo com os critérios NBS. A média (desvio padrão) dos valores iniciais foi: GI: 82,9(4,9); GII: 83,9(5,8); GIII: 83,9(7,2); GIV: 86,4(3,4); e os valores finais - GI: 84,1(6,3); GII: 84,6(6,1); GIII: 84,2(7,1); GIV: 88,2(2,8), concluindo-se que os dentifrícios analisados neste estudo não apresentaram ação clareadora sobre dentes vitais, com exceção do dentifrício Colgate Luminous White, porém de acordo com os critérios do NBS, não houve alteração visível a olho nu para nenhum dos grupos

This randomized clinical trial evaluated the whitening potential of commercially available toothpastes. Sixty patients were selected and randomly divided into 4 groups (n=15), according to the dentifrice used: GI (control) - Colgate Total 12, GII - Close-up White Now, GIII: Oral-B 3D White, GIV: Colgate Luminous White. Three daily brushings were performed for 2 to 3 min each, during a period of 15 days. Patients had the color of their teeth evaluated before and after the treatment by means of a spectrophotometer (Vita EasyShade - CIE L*a*b*). Data obtained from L values were analyzed by one-way ANOVA and t test. ∆E was also evaluated to calculate color alteration, by NBS criteria. Mean (standard deviation) of initial values were GI: 82.9 (4.9); GII: 83.9 (5.8); GIII: 83.9 (7.2); GIV: 86.4 (3.4) and final values were GI: 84.1 (6.3); GII: 84.6 (6.1); GIII: 84.2 (7.1); GIV: 88.2 (2.8). In conclusion, the dentifrices showed no lightening action on vital teeth, except for Colgate Luminous White; but according to NBS criteria, there was no noticeable visible change to the patients in any group.

AIM: To evaluate the influence of finishing and polishing techniques on the surface roughness of two composite resins (CRs) subjected to bleaching procedure.METHODS: Forty-eight CR specimens were divided into six groups (n=8). For G1 to G3, a microhybrid CR (Opallis; FGM) was used, and G4 to G6, received a nanohybrid CR (Brilliant NewLine; Coltène/Whaledent). All specimens were subjected to bleaching procedure with 35% hydrogen peroxide (two 45-min applications, with a 5-day interval). The surface roughness of all specimens was evaluated before and after the bleaching and/or finishing/polishing (Ra parameter) by a roughness meter. After bleaching, the groups were subjected to finishing and polishing procedures: G2 and G5 - felt discs + diamond pastes; and G3 and G6 - silicon rubber tips. The control groups (G1 and G4) had no finishing or polishing treatment after bleaching. Data were analyzed by ANOVA and Tukey's post-test, and t test for paired samples (a=0.05).RESULTS: bleaching treatment increased Ra values for the nanohybrid CR specimens, but both finishing/polishing techniques were able to reduce these values; for the microhybrid specimens, only finishing/polishing with silicon rubber tips decreased the roughness values.CONCLUSIONS: For both microhybrid and nanohybrid CRs, the silicon rubber tips were effective to reduce the surface roughness after bleaching procedure.

AIM: To evaluate the radiopacity and microhardness (KHN) of experimental dental adhesives (EX). The experimental adhesive resins of the present study were formulated based on the simplified adhesive system Ambar (FGM). METHODS: Five EX with different concentrations of zirconia nanoparticles [0(EX0), 15(EX15), 25(EX25), 30(EX30) e 50%(EX50)] were incorporated in a UDMA/HEMA adhesive (control). Adper Single BondTM 2 (SB, 3M ESPE) was used as a commercial reference. For the radiopacity (n=5), KHN (n=5), adhesive specimens were fabricated using a stainless steel mold. Data were submitted to one-way ANOVA and Tukey's test (α=0.05). RESULTS: The filler addition on the EX showed radiopacity similar to enamel and higher than SB. The EX25, EX35 and EX50 showed higher KHN values when compared to the commercial SB. EX25, EX35 and EX50 showed higher KHN values when compared to the commercial SB. CONCLUSIONS: The results of the present investigation suggest that the addition of zirconia nanoparticles seems to be a good alternative to produce radiopaque adhesives with increased microhardness.

AIM: To evaluate the human enamel permeability after different external bleaching techniques. METHODS: The coronal portions of 20 maxillary human incisors were covered with an acid resistant varnish, except the labial surface, to prevent dye penetration of silver nitrate. The specimens were divided randomly into four groups (n=5) according to the bleaching treatments: Group 1 (G1) - without bleaching agent (control group), Group 2 (G2) - 35% hydrogen peroxide (HP) - one session of three 10-min applications, Group 3 (G3) - 35% HP - 2 sessions of three 10-min applications, and Group 4 (G4) - 6% HP - 14 days (1h/day). G1 was exposed to artificial saliva only and in the other groups the bleaching agents were applied following the manufacturers' recommendations. After bleaching, teeth were immersed in a 50% silver nitrate solution for 2 h and photodeveloped for 16 h. Then, three longitudinal slices of each tooth were photographed by an optical microscope (100x). The degree of dye penetration was analyzed in the middle third of the dental crowns using a 0 to 4 score system (0= no dye penetration, 1= less than half the enamel thickness, 2= half of the enamel thickness, 3= full extent of enamel without reaching the dentin, and 4= tracer agent reaching dentin). The data were analyzed statistically by the Kruskal-Wallis and Dunn tests (α=0.05). RESULTS: The median (1st/3rd interquartiles) ranges were: G1: 0(0/0), G2: 2(2/3), G3: 3(3/3) and G4: 3(3/3). G2, G3 and G4 showed significantly higher dye penetration compared with G1 (p=0.0017). CONCLUSIONS: The use of bleaching agents increased dental enamel permeability, regardless of the bleaching technique.

A pesar del tan alto éxito clínico de los procedimientos de aclaramiento dental, no todas las dudas sobre su uso han sido explicadas, mucho menos los efectos adversos sobre la resistencia de unión de restauraciones adhesivas en esmalte/dentina, los cuales todavía siguen siendo muy controvertidos. Esta revisión de tema tiene como objetivo analizar conceptos sobre la interacción entre adhesión posaclaramiento y tratamientos para controlar esas interacciones. Con base en la literatura revisada se puede concluir que un tiempo de espera entre aclaramiento y procedimiento restaurativo debe ser por lo menos de 7 días para que todo el oxígeno residual remanente pueda ser liberado de la estructura dental y, en los casos que sea necesario hacer una restauración inmediata al proceso de aclaramiento, el uso de agente antioxidante como ascorbato de sodio 10% en la forma de gel es una alternativa viable para disminuir los efectos del aclaramiento en el procedimiento adhesivo.

Despite the enormous clinical success of dental whitening procedures, not all the questions about their use have been fully explained, especially in relation to the adverse effects on bond strength of adhesive restorations in enamel and dentin, which still remain controversial. This topic review pretends to analyze some of the issues on the interaction between post-whitening adhesion and the treatments to control such interactions. Based on the revised literature, we may conclude that a time delay of at least 7 days between whitening and the restorative procedure is advisable, so that all the remaining residual oxygen can be released from the tooth structure and, where necessary, immediately restore the whitening process, using an antioxidant such as 10% sodium ascorbate (as a gel) is a viable alternative to reduce the effects of whitening on the adhesive process.

This study compared the microleakage of class V restorations bonded with various one-step self-etching adhesives. Seventy class V resin-based composite restorations were prepared on the buccal and lingual surfaces of 35 premolars, by using: Clearfil S 3 Bond, G-Bond, iBond, One Coat 7.0, OptiBond All-In-One, or Xeno IV. The Adper Single Bond etch-and-rinse two-step adhesive was employed as a control. Specimens were thermocycled for 500 cycles in separate water baths at 5°C and 55°C and loaded under 40 to 70 N for 50,000 cycles. Marginal microleakage was measured based on the penetration of a tracer agent. Although the control showed no microleakage at the enamel margins, there were no differences between groups (p = 0.06). None of the adhesives avoided microleakage at the dentin margins, and they displayed similar performances (p = 0.76). When both margins were compared, iBond® presented higher microleakage (p < 0.05) at the enamel margins (median, 1.00; Q3–Q1, 1.25–0.00) compared to the dentin margins (median, 0.00; Q3–Q1, 0.25–0.00). The study adhesives showed similar abilities to seal the margins of class V restorations, except for iBond®, which presented lower performance at the enamel margin.

Esse estudo avaliou a influência do sistema de cimentação na resistência de união regional e os padrões de fratura de pinos de fibra à dentina radicular. As raízes de 48 incisivos humanos extraídos foram preparadas e divididas em 3 grupos (n=16) de acordo com o sistema de cimentação: AdperScotchbond Multi-Purpose + cimento resinoso RelyX ARC (SBMP+ARC); AdperSingle Bond 2 + RelyX ARC (SB+ARC) e cimento resinoso autoadesivo RelyX U100 (U100). Os pinos foram cimentados conforme as recomendações dos fabricantes para cada sistema de cimentação. Após uma semana, as raízes foram seccionadas transversalmente em 6 discos. Dois discos foram obtidos para os terços coronário, médio e apical e o teste de push-out foi realizado. O padrão de fratura foi avaliado em todos os espécimes. Os dados obtidos foram analisados através dos testes ANOVA dois fatores e Tukey. Quando o cimento U100 foi testado, não foram observadas diferenças significativas (p>0,05) entre as diferentes regiões radiculares. Valores de resistência de união significativamente superiores foram encontrados no terço coronário para SBMP+ARC e SB+ARC (p<0,05). O U100 apresentou significativamente mais fraturas mistas que o SBMP+ARC no terço apical (p<0,05). Conclui-se que o cimento resinoso autoadesivo RelyX U100 foi o único cimento não afetado pela região do canal radicular.

This study evaluated the influence of the cementation system on the regional push-out bond strength and failure pattern of fiber posts to radicular dentin. The roots of 48 extracted human incisors were prepared and divided into 3 groups (n=16), according to the cementation system: AdperScotchbond Multi-Purpose + resin cement RelyX ARC (SBMP+ARC); Adper SingleBond 2 + RelyX ARC (SB+ARC) and; RelyX U100 self-adhesive resin cement (U100). The posts were cemented as per manufacturer’s instructions for each cementation system. After 1 week, the roots were sectioned transversely into 6 discs. Two discs were obtained from the cervical, middle and apical thirds and the push-out test was carried out. The failure pattern was examined on all debonded specimens. The data were analyzed by two-way repeated measures ANOVA and Tukey’s test. When U100 was used, no statistically significant difference (p>0.05) was observed among the different root regions. Statistically higher push-out bond strength values were detected in the cervical third for SBMP+ARC and SB+ARC (p<0.05). The U100 showed significantly more mixed failures than SBMP+ARC in the apical third (p<0.05). In conclusion, the self-adhesive cement RelyX U100 was the only cement not sensitive to the root canal region.

El mantenimiento y el restablecimiento de la salud, función y estética son los objetivos principales de la odontología general. En los últimos años el aumento del interés por la estética en la sociedad se ha transformado en el principal motivo en la búsqueda de atención odontológica para una mejora de la apariencia dental y facial que permita alcanzar al paciente confianza, autoestima y respeto. Esto exige por parte del profesional conocimiento y experiencia en la aplicación de principios y referencias estéticas como guías para resolver los diferentes problemas que se presentan en la odontología restauradora actual. Este trabajo analiza los parámetros estéticos aplicados en odontología restauradora.

The maintenance and the reestablishment of the health, aesthetic and function are the primary targets of the general odontology. In the last years the increase of the interest by the aesthetic in the society has been transformed into the main reason in the search of attention for an improvement of the dental and face appearance that allows reaching to the patient confidence, self-esteem and respect. It demands on the part of the professional knowledge and experience in the application of references and aesthetic principles as it guides to solve the different problems that appear in restorative dentistry. This work analyzes the aesthetic references used in restorative dentistry.