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The aim of this study was to compare the bond strength to three different depths of remaining human and bovine dentin, through shear bond strength test, and to establish a possible relationship among the depths of the substrates to contribute for the replacement of human dentin in bond strength tests. Forty-eight human teeth (H) and forty-eight bovine teeth (B), freshly extracted, stored in distilled water and frozen at -18 ° C for at most four weeks were used in this study. 240-, 400-, 600- and 800-grit sandpapers were used to expose the dentin and standardize the smear layer at 0.5, 1.0 and 2.0mm of dentin thickness. Scotchbond Multi-Purpose Plus adhesive system was used following the manufacturer’s instructions, on a standardized area of 4mm, followed by the incrementally application of Z100 resin composite (3M). The shear bond test was performed in the Instron Universal machine at cross-head speed of 0.5mm/min. Statistical analysis was performed by ANOVA (p

The aim of this study was to investigate the stress distribution generated in a veneer restoration of an upper central incisor compared to intact teeth using the finite element analysis after applying a lingual buccal loading at the incisal edge.Two models were developed: one model contained enamel, dentine, cementum, periodontal ligament, cortical and trabecullar bones, and the other model was a veneer restoration; both models were developed using MSC/Nastran software (MacNeal-Schwendler Corporation, Los Angeles, CA, USA) as the pre- and post-processor. A 10-N load was applied at the incisal edge from the lingual to the buccal side to simulate oral conditions in this area (protrusion).Von Mises stresses were then analysed for three different regions: A-B (enamel elements under the veneer or second enamel layer), A'-B' (buccal enamel and/or veneer element layer) and C-D (lingual enamel elements layer). A higher stress mode was observed for both models at the lingual cervical region.The presence of a veneer restoration on the incisors is a good alternative to mimic the behaviour of enamel under protrusion loading conditions. The use of veneers to replace enamel during rehabilitations is recommended.

Objectives: To evaluate the influence of various photoactivation techniques on the internal gap, Knoop-hardness, and polymerization depth of silorane-and methacrylate-based composites in Class II restorationsMethods: Preparations were made in third molars (n = 10), according to composites (Filtek P60: methacrylate; Filtek P90: silorane) and photoactivation techniques (OC: occlusal photoactivation (control); OBL: occlusal+buccal+lingual photoactivation; and BLO: buccal+lingual+occlusal photoactivation (transdental)). Composites were inserted in two increments, both individually photoactivated for 20s. After 24h, specimens were sectioned and the ratio of internal gaps to interface length (%) recorded. Hardness was tested across the transversal section of restorations (1-4 mm below the surface)Results: Silorane restorations showed significantly lower gaps compared with methacrylate, regardless of polymerization technique (PConclusions: Internal gaps and hardness are affected by composite type and photoactivation. Despite the reduced values, hardness of silorane is not influenced by photoactivation or by depth. Internal gaps are dependent on the energy dose for both composites, with silorane showing lower internal gaps. (Eur J Dent 2012;6:133-140)

Objectives: To morphologically evaluate the permeability of different commercial dental adhesives using scanning electron microscopy.Methods: Seven adhesive systems were evaluated: one three-step system (Scotchbond Multi- Purpose - MP); one two-step self-etching primer system (Clearfil SE Bond – SE); three two-step etch-and-rinse systems (Single Bond 2 – SB; Excite – EX; One-Step – OS); and two single-step selfetching adhesives (Adper Prompt – AP; One-Up Bond F – OU). The mixture of primer and bond agents of the Clearfil SE Bond system (SE-PB) was also tested. The adhesives were poured into a brass mold (5.8 mm x 0.8 mm) and light-cured for 80 s at 650 mW/cm2. After a 24 h desiccation process, the specimens were immersed in a 50% ammoniac silver nitrate solution for tracer permeation. Afterwards, they were sectioned in ultra-fine slices, carbon-coated, and analyzed under backscattered electrons in a scanning electron microscopy.Results: MP and SE showed slight and superficial tracer permeation. In EX, SB, and OS, permeation extended beyond the inner superficies of the specimens. SE-PB did not mix well, and most of the tracer was precipitated into the primer agent. In AP and OU, “water-trees” were observed all over the specimens.Conclusions: Different materials showed distinct permeability in aqueous solution. The extent of tracer permeation varied according to the composition of each material and it was more evident in the more hydrophilic and solvated ones. (Eur J Dent 2010;4:429-439)

The purpose of this study was to evaluate the effect of chlorhexidine on the proteolytic activity of carious coronal and root dentin collected from patients. Sound dentin from freshly extracted human teeth was used as a control. Dentin fragments were mixed with a synthetic substrate for proteolytic enzymes (N-benzoyl-DL-arginine-naphthylamide – BANA) and the suspensions mixed with either 0.12% chlorhexidine digluconate or distilled water. These mixtures were incubated for 18 h at 37°C, color was developed by the addition of 0.1% Fast Garnet and their optical density was recorded spectrophotometrically. BANA hydrolysis measured by the optical density of incubated specimens was detected in all tested groups, but was significantly higher for carious than for sound dentin (p < 0.05). The proteolytic activity was reduced for carious coronal and root dentin by chlorhexidine (p < 0.05; 50 and 30%, respectively). Chlorhexidine also reduced the proteolytic activity in sound root dentin (p < 0.05; 20%). Conversely, changes in the proteolytic activity of sound coronal dentin were not observed in the presence of chlorhexidine. The reduction in proteolytic activity by chlorhexidine was significantly higher in carious coronal dentin than in carious root dentin (p < 0.05). In conclusion, part of the effect of chlorhexidine in controlling caries progression in humans may be due to a decrease in the proteolytic activity of carious coronal and root dentin. Because of the prolonged incubation time in the present study, similar results may be obtained clinically with prolonged dentin exposure to chlorhexidine, e.g. chlorhexidine-containing varnishes.

Objective: The aim of this study was to determine in arandomized, double-blind, placebo-controlled clinicaltrial the effects of typified propolis and chlorhexidinerinses on salivary levels of mutans streptococci (MS)and lactobacilli (LACT). Methods: One hundredpatients were screened for salivary levels of MS>100,000 CFUs/mL of saliva. All patients presentedwith at least one cavitated decayed surface. Sixtypatients met entry criteria. Subjects were adults 18-55 years old. After restoration of cavitated lesionspatients were randomized to 3 experimental groups:1) PROP-alcohol-free 2% typified propolis rinse (n =20); 2) CHX- 0.12% chlorhexidine rinse; 3) PL-placebomouthrinse. Patients rinsed unsupervised 15 mL ofrespective rinses twice a day for 1 min for 28 days.Patients were assessed for the salivary levels of MS(Dentocult SM) and LACT (Dentocult LB) at baseline,7-day, 14-day, and at 28-day visits (experimentaleffects) and at 45-day visit (residual effects). Generallinear models were employed to analyze the data.Results: PROP was superior to CHX at 14-day and28-day visits in suppressing the salivary levels of MS(p