Murilo Baena Lopes

Comparative study of the dental substrate used in shear bond strength tests

The purpose of this study was to compare shear bond strength values obtained in human enamel and dentin with the values obtained in bovine teeth using two adhesive systems with different actions. Forty human tooth half-crowns and forty bovine tooth crowns were flattened to a minimum plain area of 5 mm in diameter. The samples were divided in four groups of 20 specimens each: 1) human enamel; 2) bovine enamel; 3) human dentin; 4) bovine dentin. The samples of each group were divided in 2 subgroups of 10 samples each, according to the adhesive system used: 1) Scotchbond Multi-Purpose (SBMP); and 2) Clearfil Liner Bond 2V (CLB2V) applied according to the manufacturers recommendations. Afterwards, restorations of Z100 composite with cylindrical shape (4 mm diameter x 5 mm height) were made using a metallic mold to submit the samples to shear bond testing on an Instron universal testing machine, at a crosshead speed of 0.5 mm/min. The data were submitted to ANOVA and Tukeys test (5%). In enamel, there was no statistical difference between bovine and human teeth for SBMP (7.36 MPa, human; 8.24 MPa, bovine), nor for CLB2V (10.01 MPa, human; 7.95, bovine). In dentin, SBMP showed a statistically lower mean on human dentin (7.01 MPa) than on bovine dentin (11.74 MPa). For CLB2V, there was no statistical difference between human (7.43 MPa) and bovine (9.27 MPa) substrates.

Comparative study of tubular diameter and quantity for human and bovine dentin at different depths

This study compared the tubular dimensions and distribution of human and bovine dentin. Ten human molars and 10 bovine incisors were ground with a high-speed handpiece to obtain 3 sections at different dentin depths (superficial, middle and deep). The specimens were sputter-coated with gold to be examined under scanning electron microscopy (SEM). Three SEM micrographs were recorded randomly for each dentin depth. The number of tubules was counted and the diameter of 5 tubules selected at random was measured in each SEM micrograph. Data were analyzed statistically by ANOVA and Tukeys test (alpha=0.05). In bovine teeth, superficial dentin (4.21 microm) and middle dentin (3.98 microm) had a significantly greater (p<0.05) diameter than deep dentin (3.14 microm) tubules. In human teeth, superficial dentin tubule diameter (2.42 microm) was significantly smaller (p<0.05) than deep dentin (2.99 microm) and middle dentin (2.94 microm) tubule diameters, which did not differ significantly from each other (p>0.05). The number of tubules per square millimeter, regardless of the region, was significantly greater in human dentin (22,329) than in bovine dentin (15,964). There was a clear difference in tubule structure and morphology between human and bovine dentin.

Can green tea be used to reverse compromised bond strength after bleaching

The objective of this study was to evaluate the antioxidant effect of green tea on microtensile bond strength (μTBS) to bleached enamel. Forty-two human third molars were randomly divided into six experimental groups (n = 7 each group): group 1, no treatment; group 2, bleaching (10% carbamide peroxide); group 3, bleaching + 10% sodium ascorbate gel (SA); group 4, bleaching + 10% green tea gel (GT); group 5, SA; and group 6, GT. In groups 2, 3, and 4, bleach was applied onto the enamel surface for 6 h, every day for 14 d. In groups 3 and 5, SA was applied for 1 h; and in groups 4 and 6, GT was applied for 1 h. Immediately after treatment, the specimens were bonded with Adper Single Bond 2 and Filtek Z350 XT. The μTBS of the specimens was tested using a universal testing machine. Fracture mode analysis of the bonded enamel surface was performed using scanning electron microscopy. The mean μTBS values for each group were: group 1, 33.2 ± 5.8 MPa; group 2, 22.6 ± 5.5 MPa; group 3, 30.0 ± 5.2 MPa; group 4, 31.6 ± 3.8 MPa; group 5, 29.1 ± 4.2 MPa; and group 6, 32.2 ± 4.5 MPa. All groups had a higher percentage of mixed failures. In conclusion, green tea can be used as an alternative antioxidant on bleached enamel before bonding procedures.

Surface detail reproduction and dimensional accuracy of stone models: influence of disinfectant solutions and alginate impression materials

This study compared the surface detail reproduction and dimensional accuracy of stone models obtained from molds disinfected with 2% sodium hypochlorite, 2% chlorhexidine digluconate or 0.2% peracetic acid to models produced using molds which were not disinfected, with 3 alginate materials (Cavex ColorChange, Hydrogum 5 and Jeltrate Plus). The molds were prepared over matrix containing 20-, 50-, and 75-µm lines, performed under pressure with perforated metal tray. The molds were removed following gelation and either disinfected (using one of the solutions by spraying followed by storage in closed jars for 15 min) or not disinfected. The samples were divided into 12 groups (n=5). Molds were filled with dental gypsum Durone IV and 1 h after the start of the stone mixing the models were separated from the tray. Surface detail reproduction and dimensional accuracy were evaluated using optical microscopy on the 50-µm line with 25 mm in length, in accordance with the ISO 1563 standard. The dimensional accuracy results (%) were subjected to ANOVA. The 50 µm-line was completely reproduced by all alginate impression materials regardless of the disinfection procedure. There was no statistically significant difference in the mean values of dimensional accuracy in combinations between disinfectant procedure and alginate impression material (p=0.2130) or for independent factors. The disinfectant solutions and alginate materials used in this study are no factors of choice regarding the surface detail reproduction and dimensional accuracy of stone models.

In-vivo evaluation of the surface roughness and morphology of enamel after bracket removal and polishing by different techniques

INTRODUCTION The aim of this study was to evaluate the surface roughness and morphology of enamel with a surface roughness tester and scanning electron microscopy after the removal of metal brackets and polishing. METHODS Ten orthodontic patients were selected for the study. At the conclusion of orthodontic treatment, their metal brackets were removed. For each patient, teeth on one side of the mouth were randomly chosen for finishing and polishing with aluminum oxide discs (n = 10). Teeth on the other side were finished with multilaminated carbide burs (n = 10). Dental replicas (before and after tooth polishing) were obtained with epoxy resin. Three surface roughness measurements were made in different directions with an angle of 120° among them, and a mean for each dental replica was calculated. The roughness data were statistically evaluated by repeated-measurements analysis of variance. Three specimens from each group were also used for scanning electron microscopy analysis. RESULTS After resin removal, the average roughness in the carbide bur group (0.31 μm) was significantly greater than that in the aluminum oxide disc group (0.25 μm). CONCLUSIONS The aluminum oxide disc polishing system resulted in less enamel roughness than did the multilaminated carbide bur system.

Bond strength of HEMA-containing versus HEMA-free self-etch adhesive systems to dentin

This study analyzed the bond strength (BS) of HEMA versus HEMA-free self-etch adhesive systems to dentin. The occlusal surface of 20 third molars was removed and the dentin was abraded with 600-grit silicon carbide paper. The teeth were randomly assigned to 4 groups (n = 5) and restored with GO, Adper SE Plus, OptiBond All-In-One, and Clearfil 3S Bond adhesive systems and Filtek Z350 composite. After light curing (600 mW/cm²), the teeth were stored in distilled water at 37 ºC for 24 h and were sectioned in the mesiodistal and buccolingual directions to obtain sticks (0.8 mm²). The sticks were subjected to tensile force using a universal testing machine (0.5 mm/min), and the modes of failure were analyzed by scanning electron microscopy and classified as adhesive, cohesive, or mixed. The BS data (in MPa) were treated using one-way ANOVA and Tukeys tests at 5% significance. GO presented the lowest mean bond strength value (10.57 ± 3.72) and differed significantly from the other materials (p = 0.001), which, in turn, presented statistically similar results (p>0.05) among themselves: Adper SE Plus (29.08 ± 8.93), OptiBond All-In-One (28.36 ± 6.49), and Clearfil 3S Bond (28.62 ± 6.97). Mixed fractures were the most prevalent. It was concluded that the influence of HEMA on BS to dentin was material dependent.

Effect of different surface penetrating sealants on the roughness of a nanofiller composite resin

This study evaluated the effectiveness of different sealants applied to a nanofiller composite resin. Forty specimens of Filtek Z-350 were obtained after inserting the material in a 6x3 mm stainless steel mold followed by light activation for 20 s. The groups were divided (n=10) according to the surface treatment applied: Control group (no surface treatment), Fortify, Fortify Plus and Biscover LV. The specimens were subjected to simulated toothbrushing using a 200 g load and 250 strokes/min to simulate 1 week, 1, 3 and 6 months and 1 and 3 years in the mouth, considering 10,000 cycles equivalent to 1 year of toothbrushing. Oral-B soft-bristle-tip toothbrush heads and Colgate Total dentifrice at a 1:2 water-dilution were used. After each simulated time, surface roughness was assessed in random triplicate readings. The data were submitted to two-way ANOVA and Tukeys test at a 95% confidence level. The specimens were observed under scanning electron microscopy (SEM) after each toothbrushing cycle. The control group was not significantly different (p>0.05) from the other groups, except for Fortify Plus (p<0.05), which was rougher. No significant differences (p>0.05) were observed at the 1-month assessment between the experimental and control groups. Fortify and Fortify Plus presented a rougher surface over time, differing from the baseline (p<0.05). Biscover LV did not differ (p>0.05) from the baseline at any time. None of the experimental groups showed a significantly better performance (p>0.05) than the control group at any time. SEM confirmed the differences found during the roughness testing. Surface penetrating sealants did not improve the roughness of nanofiller composite resin.

Impact of curing protocol on the selected properties of a model bis-GMA/TEGDMA dental resin composite

This study investigated the impact of different photo-activation protocols on selected properties of a model composite formulated using bis-GMA/TEGDMA (1:1 mass ratio), camphorquinone/amine (1:2 mass ratio) and 75% of fillers. The protocols tested were: high-intensity continuous (HIC-500 mW cm(-2) for 20 s), medium-intensity continuous (MIC-250 mW cm(-2) for 40 s), low-intensity continuous (LIC-100 mW cm(-2) for 100 s) and pulse-delay-1 min or 3 min (PD-1 min/3 min-100 mW cm(-2) for 5 s + 1 or 3 min interval + 500 mW cm(-2) for 19 s). Degree of conversion (DC) was evaluated using infrared spectroscopy. Flexural strength (FS) and modulus (FM) were measured in three-point bending mode. Cross-link density was estimated by calculating the swelling coefficient (alpha) after immersion in chloroform. All methods showed similar values for DC except for PD-1 min, which showed lower DC. HIC and MIC showed similar FS, but were both different than all of the other methods. All curing methods showed similar FM, except for HIC, which presented a different modulus. PD-3 min showed a different swelling than all of the remaining groups, while HIC showed the lowest swelling. A significant relationship was observed between swelling and both FS and FM. In conclusion, the HIC activation protocol generated polymers with properties at least similar, and sometimes improved, in comparison with the alternative protocols.

SEM evaluation of marginal sealing on composite restorations using different photoactivation and composite insertion methods

AIM This in vitro study evaluates the influence of marginal sealing methods in composite restorations with different adhesive systems submitted to mechanical load. MATERIALS AND METHODS Eighty bovine incisor crowns were embedded in Polyvinyl chloride (PVC) molds with the buccal surface exposed, where cavities (4mm x 4mm x 3mm) were made. Samples had the adhesive systems, Single Bond or Clearfil SE Bond, applied according to the manufacturers recommendations. The cavities were filled with a Z-250 composite according to the restoration technique (bulk filling or three increments) and photoactivation (conventional, soft start, pulsatile light or light-emitting diode [LED]). The samples were duplicated with epoxy resin for scanning electron microscopy observations. Samples were also submitted to mechanical load (200,000 cycles; 2 Hz) and new replicas were made. RESULTS The results, in percentages, were submitted to ANOVA followed by Tukeys test (P < 0.05). There was statistical difference between the cycle group (23.84%) and the non cycle group (18.63%). Comparing the restoration technique, there was no statistical difference between bulk filling (19.62%) and three increments (22.84%). There was no statistical difference among the groups: Pulsatile light (24.38%), soft start (22.75%), LED (21.47%) or conventional (16.34%). Furthermore, there were no statistical differences between the adhesive systems: Clearfil SE Bond (21.32%) and Single Bond (20.83%). CONCLUSIONS The photoactivation methods, the restorative techniques and the adhesive systems did not influence gap formation.

Photoelastic analysis of stress generated by a silorane-based restoration system.

Silorane-based composite, an epoxy material, was marketed as promising less polymerization contraction than conventional restorative materials. The aim of this study was to evaluate, by means of photoelasticity, the polymerization stress generated by a silorane-based composite. Thirty photoelastic rings with orifices measuring 5 mm (d) × 3 mm (h) were prepared and divided into 6 groups (n = 5) according to the material tested. The inside walls of the rings were sandblasted with aluminum oxide, after which the restorative materials were inserted into the orifices and photoactivated according to the manufacturers instructions. The specimens were analyzed and the visual representation of the stress was measured considering the isochromatic ring of first order. The data were converted to MPa and subjected to ANOVA and Tukeys test (α= 0.05). The adhesive Filtek P-90 (G5) showed high contraction stress (p < 0.05) when compared to G1, G2, G3, G4, and G6, which did not differ from each other (p > 0.05). The composite Filtek P-90 showed similar contraction stress compared to the conventional composite and, additionally, its adhesive showed higher stress than did the etch-and-rinse 2-step adhesive.