Rodrigo Sversut de Alexandre

Effect of curing lights and bleaching agents on physical properties of a hybrid composite resin.

UNLABELLED The aim of this in vitro study was to evaluate the microhardness (MH) and diametral tensile strength (DTS) of a minifill hybrid composite (Filtek Z250, 3M ESPE), polymerized with halogen lamp or second generation light-emitting diode (LED), submitted to different bleaching agents. Composite resin specimens were randomly polymerized according to experimental groups (halogen, 550 mW/cm(2)/20 seconds; LED, 550 mW/cm(2)/25 seconds) and subdivided into three subgroups (N=8): A, without bleaching (control); H, 35% hydrogen peroxide; and C, 16% carbamide peroxide. After that, the MH test and DTS test were performed. Two-way analysis of variance (whitening x light) and Tukeys tests (alpha=5%) were performed. For DTS, there were no statistical differences among the bleaching agents and the control group; however, the halogen group presented statistically lower DTS (p<0.05) than the LED group. For the MH test, the carbamide peroxide group presented statistically lower MH means (p<0.05) than the control groups, and there were no statistical differences among the light-curing units. Sixteen percent carbamide peroxide reduced the MH of the hybrid composite tested. The second generation LED presented a performance similar to or better than the halogen lamp for hardness and DTS, respectively. CLINICAL SIGNIFICANCE Repolishing of minifill hybrid composite is suggested, as the alteration caused after the contact with 16% carbamide peroxide was limited to the material surface. The second generation light-emitting diode is a good option for a curing light device when the polymerization initiator of composite resin is camphorquinone.

The influence of temperature of three adhesive systems on bonding to ground enamel

UNLABELLED This study evaluated the microtensile bond strength test (pT), micromorphology of resin-enamel interface (RET) and etching patterns (EP) promoted by the etch-and-rinse adhesive, Prime&Bond NT (PB), and two self-etching adhesives, Clearfil SE Bond (SE) and Adper Prompt L-Pop (APR), to ground bovine enamel surfaces, when applied at temperatures of 5 degrees C (C), 40 degrees C (H) and 20 degrees C (R). MATERIALS AND METHODS. Sixty-three bovine incisors were randomly divided into nine experimental groups (n = 7) according to adhesive systems and temperatures. The buccal enamel surfaces were flattened with 600-grit SiC paper and abraded with a diamond bur under water-cooling. The adhesive systems were applied according to the manufacturers instructions. After the restorative procedures, the specimens were sectioned into five slabs. Four slabs were prepared for pT and one for interface analysis. For etching pattern analysis, the remaining 16 bovine enamel fragments were used (n = 2). The adhesives were applied and the surfaces were rinsed with organic solvents after application. The specimens for RET and EP analysis were prepared for SEM analysis. RESULTS No significant differences among the adhesives were found at R temperature. However, at 5 degrees C, PB and APR presented lower bond strength than SE. At H temperature, higher bond strength was observed for PB than for APR and SE. At C and H temperature, formation of the interdiffusion zone was impaired and the treated enamel surfaces presented an undefined EP. CONCLUSION The variation of temperature of bonding agents affected microT, RET and EP for all materials tested.

Effect of sodium ascorbate on dentin bonding after two bleaching techniques.

The purpose of this study was to analyze the influence of 10% sodium ascorbate (SA) on the hybrid layer, resin tag length, and bond strength to dentin after bleaching. Six groups were tested: G C, control; G SA, sodium ascorbate (SA) + restoration; G CP, bleaching with carbamide peroxide (CP) + restoration; G CP+SA, bleaching with CP + SA+ restoration; G HP, bleaching with 35% hydrogen peroxide (HP) + restoration; and G HP+SA, HP + SA + restoration. After dental bleaching, the dentin was exposed and the antioxidant solution was applied to groups G SA, G CP+SA, and G HP+SA, before bonding procedures. The teeth were sectioned in the mesiodistal direction. One section was decalcified, and the specimens were embedded in paraffin and sectioned in the longitudinal direction with a thickness of 6 μm. Fifteen slices of each specimen were selected according to a systematic sample of slices with an interval proportional to the total number of slices obtained for each tooth. The specimens were stained using the Brown & Brenn method, and an optic microscope was used to analyze the hybrid layer thickness and resin tag length. The remaining tooth segment was sectioned into stick-shaped specimens and used for microtensile bond strength testing (0.5 mm/min). Statistical analysis was performed using two-way analysis of variance and Fisher test. The results for hybrid layer + tag formation (in micrometers) were G C, 13.27 Aa; G SA, 11.85 Ba; G CP, 6.84 Bb; G CP+SA, 9.02 Ab; G HP, 7.28 Bb; and G HP+SA, 9.22 Ab; bond strength results (in MPa) were G C, 49.5 Aa; G SA, 51.7 Aa; G CP, 37.16 Bb; G CP+SA, 47.69 Aa; G HP, 32.39 Ab; and G HP+SA, 39.67 Ab. Tooth bleaching with CP or HP impairs the formation of the hybrid layer and resin tags and reduces the microtensile bond strength. Statistically, the use of SA significantly increases the hybrid layer thickness and resin tag length. The microtensile bond strength values for carbamide peroxide increased, but the microtensile bond strength for hydrogen peroxide was not affected.

Longitudinal photographic observation of the occurrence of bubbles in pit and fissure sealants

The purpose of this study was to employ photographic evaluation to observe the presence or absence of bubbles in pit and fissure sealants Concise and Prisma Shield, at 7 days, 18 months, 36 months and 11 years after accomplishment of treatment. Methods: A hematoxylin-based staining solution was applied to the occlusal surface at the study periods, which allowed assessment of the sealing material on the surface. All occlusal surfaces were photographed and the photographs corresponding to each period were subjected to photographic evaluation. Results: There was statistically significant difference only at 18 months, with a significantly higher number of specimens with bubbles for the Prisma Shield sealant compared to the Concise, whereas the groups were similar at all other study periods. On the other hand, separate analysis of subsequent periods of the sealants did not reveal any significant difference. Conclusions: According to the results of the present longitudinal investigation, it may be concluded that the sealing materials showed that bubbles came into and went out with time. However, this fact did not interfere with its clinical purpose, provided the remaining material covers the expected region of pits and fissures.

Dental bleaching with a 10% hydrogen peroxide product: A six-month clinical observation

CONTEXT The possibility of bleaching vital teeth with peroxide-based products considerably revolutionized esthetic dentistry. AIM The aim of this clinical study was to evaluate tooth color change and dental sensitivity after exposure to preloaded film containing a 10% hydrogen peroxide whitening system (Opalescence Trθswhite Supreme). MATERIALS AND METHODS A total of 13 volunteers, aged 18 to 25 years, participated in this study. The patients used the whitening system once a day for 60 minutes during the 8-day study. For maxillary incisors and canines, the color change was visually evaluated with the Vita color scale before, immediately, and six months after the treatment. Tooth sensitivity was evaluated during the daily gel applications. All whitening applications were done in office and under the supervision of a dental professional. STATISTICAL ANALYSIS USED The results were analyzed using the Friedman Test (nonparametric repeated measures ANOVA) at a level of 5%, and Dunns Multiple Comparison Test at the level of 5%. RESULTS It was verified that the original mean color values observed at the baseline analysis differed significantly from those observed immediately after bleaching, as well as from those seen in the analysis at six months ( P = 0.001). There was no significant difference between the mean color values observed in the immediate time and in the analysis at six months ( P = 0.474). No tooth sensitivity was observed in any patients. CONCLUSION It was concluded that the bleaching technique using the 10% hydrogen peroxide system was effective in a short period of time without tooth sensitivity during applications.