Edmir Matson

Er:YAG Laser Effects on Enamel Occlusal Fissures: An in Vitro Study

This study evaluated by scanning electron microscopy (SEM) the morphological changes in occlusal fissure enamel, of permanent models, irradiated by Er:YAG laser using contact and noncontact fiberoptics in vitro. Previous studies have demonstrated the efficacy of Er:YAG laser for dental hard tissue removal and cavity preparation. The treatment of occlusal fissures in noncarious permanent human molars (n = 9) was carried out with Er:YAG laser (KEY Laser II) using handpiece no. 2051, noncontact, focused (12 mm), water spray-cooled, pulse energy 200 mJ, and frequency 2 Hz (group 1), and handpiece no. 2055 with a quartz fiberoptic 50/10, in contact, air cooled, pulse energy setting of 350 mJ and frequency 2 Hz (group 2) and 400 mJ/2 Hz (group 3). The specimens were sectioned, dehydrated in a graded series of aqueous ethanol, dried, and sputtering with gold. Morphological change analysis on occlusal fissures was performed by SEM. Group 1 showed removal of fissure debris and predominantly enamel etching-like patterns, and groups 2 and 3 showed irregular edges, melting, and recrystallization of fissure enamel, with a lava-like structure and bubble-like voids. The results of this in vitro study suggest that the irradiation of fissures by Er:YAG laser using a fiberoptics (contact and air cooled) produced melting and recrystallization of fissures enamel. Further studies are required with different energy parameters and water cooling to evaluate the thermal effects on teeth.

Microdureza de resina composta: efeito de aparelhos e tempos de polimerização em diferentes profundidades

As propriedades das resinas compostas tem sido estudadas com frequencia, bem como os fatores que podem influenciar seu grau de polimerizacao. Diante da evolucao desses materiais e da necessidade de buscarmos melhora do seu comportamento na cavidade bucal, objetivamos, por meio deste estudo avaliar a eficacia de dois aparelhos fotopolimerizadores do tipo pistola (de alta intensidade de luz), comparando com a de um aparelho a cabo (de baixa intensidade de luz), com tempos de exposicao de 20 e de 40 segundos e em profundidades de 1 a 4 milimetros. Os testes avaliaram o grau de polimerizacao da resina por meio de testes de microdureza Knoop. Os resultados mostraram haver diferenca estatisticamente significante entre os tempos, sendo que com 40 segundos a dureza foi maior que com 20 segundos para as 4 diferentes profundidades. Para o fator aparelhos, os dois aparelhos tipo pistola se comportaram superiores ao do tipo cabo Fibralux (Dabi Atlante), e entre eles, o XL 1500 (3M) promoveu dureza maior que o Optilight II (Gnatus) no tempo de polimerizacao de 40 segundos. As profundidades de 1, 2, 3 e 4 milimetros mostraram estatisticamente diferenca entre si tendo sido encontrada maior dureza para as menores profundidades (p < 0,05).

Análise da irradiação de diversos aparelhos fotopolimerizadores

The authors have studied five different visible light-curing devices to verify the irradiance they are able to emit. Using optical instruments like a spectrophotometer and a monochromator, the authors have analyzed the transmittance of the filters, the characteristics of the light radiation source (lamp) and the performance of the ends. They have concluded that the visible light-curing devices analyzed emitted energy in a proper wavelenght, that is, between 350 and 530 nm, with the highest concentration in the range of 430 to 470 nm.

Avaliaçäo da rugosidade superficial de três resinas compostas submetidas a diferentes técnicas de polimento

In this study, the superficial roughness of two composite resins classified as condensable and of a traditional hybrid composite resin was analyzed after different polishing techniques. Test specimens were confected, immersed in distilled water for 24 hours and submitted to two different techniques of superficial treatment, in which disc systems (Sof-LexTM and Super Snap®) and silicon tips (Enhance®) were utilized. The results revealed the greater superficial roughness of AlertTM, when compared with Solitaire® and Degufill Mineral® - no statistically significant differences were observed between the last two materials. The superficial roughness of the specimens polished with Enhance® tips was greater than that of the specimens polished with discs and there were no statistically significant differences between both disc systems.In this study, the superficial roughness of two composite resins classified as condensable and of a traditional hybrid composite resin was analyzed after different polishing techniques. Test specimens were confected, immersed in distilled water for 24 hours and submitted to two different techniques of superficial treatment, in which disc systems (Sof-Lex and Super Snap) and silicon tips (Enhance) were utilized. The results revealed the greater superficial roughness of Alert, when compared with Solitaire and Degufill Mineral--no statistically significant differences were observed between the last two materials. The superficial roughness of the specimens polished with Enhance tips was greater than that of the specimens polished with discs and there were no statistically significant differences between both disc systems.

Microhardness of esthetic restorative materials at different depths

The aim of this study was to analyze the microhardness of two resin-modified glass ionomer cements (Vitremer; Fuji II LC); two polyacid-modified composite resins (Freedom; F2000) and a hybrid composite resin (Prodigy), at different depths from the upper surface. Six hemi-cylinders (3 mm height; 3 mm radius) per tested material were obtained. Vickers Hardness was determined using a micro-indentation tester. For each hemi-cylinder, three indentations were taken at one of the following depths: 0.4, 1.0, 2.0 and 2.6 mm. For each material, microhardness average was calculated. Statistical analysis was performed using two-way ANOVA and Tukey test Fuji II LC and Vitremer showed no statistically significant difference among hardness means recorded at the four analyzed depths. The hybrid and the polyacid-modified composite resins showed significant decrease microhardness with increasing depth. It may be concluded that for the RMGIC, microhardness was not affected at depths up to 2.6 mm. On the other hand, both hybrid and PMCRs should de better placed in increments not thicker than 2 mm to achieve optimal hardness throughout the restoration.

Estudo in vitro da microinfiltração marginal em cavidades submetidas ao tratamento com laser de Er:YAG e restauradas com materiais estéticos

The aim of this in vitro study was to evaluate marginal microleakage in class V preparations submitted to treatment with Er:YAG laser and restored with aesthetic materials. Sixty human molars were selected and class V cavities were prepared on the buccal and lingual aspects of their cervical thirds. The restorative technique followed the instructions of the manufacturers. The samples were divided in 3 groups of 20 teeth each: Group 1--control; Group 2--Er:YAG laser was applied on the enamel margin before the restoration was placed; Group 3--a thin layer of calcium hydroxide was applied on the axial wall before the restoration was placed. Each group was divided in 4 sub-groups and the teeth were restored with different aesthetic materials. All samples were submitted to thermocycling and stained with 50% silver nitrate. Based on the obtained results, we could conclude that there are statistically significant differences between the 12 experimental conditions tested. The samples which presented the greatest microleakage were those treated with Er:YAG laser and restored with light-cured glass ionomer cement, followed by those that received Er:YAG laser and the sandwich technique, the cavities restored with light-cured glass ionomer cement and those restored by means of the sandwich technique, in this order.The aim of this in vitro study was to evaluate marginal microleakage in class V preparations submitted to treatment with Er:YAG laser and restored with aesthetic materials. Sixty human molars were selected and class V cavities were prepared on the buccal and lingual aspects of their cervical thirds. The restorative technique followed the instructions of the manufacturers. The samples were divided in 3 groups of 20 teeth each: Group 1 - control; Group 2 - Er:YAG laser was applied on the enamel margin before the restoration was placed; Group 3 - a thin layer of calcium hydroxide was applied on the axial wall before the restoration was placed. Each group was divided in 4 sub-groups and the teeth were restored with different aesthetic materials. All samples were submitted to thermocycling and stained with 50% silver nitrate. Based on the obtained results, we could conclude that there are statistically significant differences between the 12 experimental conditions tested. The samples which presented the greatest microleakage were those treated with Er:YAG laser and restored with light-cured glass ionomer cement, followed by those that received Er:YAG laser and the sandwich technique, the cavities restored with light-cured glass ionomer cement and those restored by means of the sandwich technique, in this order.

Cohesive strength of dentin

The bond strength of dentin adhesives to dentin has increased after each generation. Although dentin substratum is part of the bonding process, little importance has been given to measure dentin cohesive strength. The aim of this study was to evaluate the cohesive strength of dentin in human canines. Seventeen non carious canines were selected. All of them had been extracted for more than one year. The teeth were ground until dentin square samples with approximately 2 X 2 mm were obtained. They were embedded in acrylic resin and subjected to shear stress, in a Wolpert Machine, at a crosshead speed of 0.5 mm/min. The mean cohesive strength of dentin in shear mode was 33.95 (+-9.72) MPa. The fracture surfaces were observed under a X40 magnification. A finite element analysis was performed to observe the stress distribution as related to the shear test. The failure pattern was compatible with the shear test and also with the stress distribution in the finite element analysis

Contribuição ao estudo da microinfiltração in vitro de lesões cervicais não cariosas restauradas com diferentes materiais adesivos e técnicas

Restoration of noncarious cervical lesions is a usual clinical procedure, and there is a high incidence of restoration loss, marginal discoloration, and recurrent caries. All the factors that play an important role in this process have to be considered when studying this kind of lesion of complex multifactorial etiology. Microleakage was evaluated related to the type of material used (two fourth generation bonding systems used with two types of composite resins: hybrid and microfill), two polymerization methods for bonding systems (photo and dual cure) and two restorative techniques (incremental and bulk). This study used thermal and mechanical cycling procedures, infiltration tests with silver nitrate solution, longitudinal multiple sections, and the results were measured by a scale of scores. Less microleakage was found with hybrid composite resin when compared to the microfill composite. Microleakage was lower with dual polymerization of the adhesive system than with photopolymerization only. Restorative techniques used did not influence the microleakage pattern of restorations of noncarious cervical lesions

Infiltração marginal em cavidades de classe V restauradas com materiais estéticos, utilizando diferentes técnicas restauradoras

The purpose of this study was to compare the microleakage of class V cavities restored with composite resin (CR), resin-modified glass ionomer cement (RMGIC) and polyacid-modified resin composite (PAMRC), using different clinical procedures. Thirty-six noncarious human molars were used in this study. A class V cavity, measuring approximately 3 mm x 4 mm x 2 mm, was prepared in each tooth in both buccal and lingual aspects, with a diamond bur (number 1,093) at high speed, with coolant water spray. The occlusal margin was located on enamel and the gingival margin was located on dentin. The teeth were divided into 9 groups with 8 specimens each. The cavities were restored according to different techniques. The specimens from groups 1, 2, 4 and 5 did not receive acid etching. The samples were stored in water at 37 degrees C for 24 hours, subjected to occlusal load, thermocycled and immersed in rhodamine B. The restorations were then washed and sectioned in buccolingual direction. The depth of dye penetration was scored from zero (no leakage) to 3 (maximum leakage). The Kruskal-Wallis test revealed statistically significant differences between the materials (p < 0.05). PAMRC used without acid etching showed the greatest score of leakage in both margins. In the gingival margin, CR showed scores of leakage lower than those of PAMRC and RMGIC. Additional retentions and acid etching were able to decrease microleakage in PAMRC restorations in both gingival and occlusal margins.

Resistência de união à dentina de resinas compostas associadas a sistemas adesivos com e sem carga

This study analyzed in vitro two brands of one-step adhesive systems of fourth generation (Optisolo--Kerr, filled; and Single Bond--3M, unfilled) and two composite resins (Prodigy--Kerr and Z100--3M), aiming at evaluating their bond strength to dentin. Eighty human extracted molars were embedded in acrylic resin and grounded until dentin was exposed in longitudinal direction. The specimens were divided in 4 groups. Composite resin cones were bonded to the specimens using the mentioned adhesive systems, following the instructions of the manufacturers. The test-specimens were submitted to tensile tests using a 4442 Universal Mini-Instron Machine with the speed of 0.5 mm/min. The results were converted into MPa, according to the area of adhesion, and submitted to statistical analysis with ANOVA. There was significant statistical difference (p < 0.01) between the adhesive systems (F = 7.24). Optisolo (m = 11.03 +/- 4.23) showed better bond strength than Single Bond (m = 8.37 +/- 4.54). There was no significant statistical difference (p > 0.05) between the composites (F = 0.43).