Search

Purpose: This study evaluated the sealing ability of different types of restorative-adhesive combinations on deciduous molars in vitro., Methods: Facial and lingual Class V cavities were prepared in 120 primary teeth. They were randomly divided into 8 groups of N= 15, in which different adhesives were used (XE=Xeno III; LP=Adper Prompt L Pop; IB=I Bond; SB=Scotch Bond 1; EP=Etch & Prime 3.0; AS=AdheSE; OB=Optibond Solo plus self-etch primer; CS=Clearfil SE Bond). All cavities were restored with composite Z 250. After thermocycling and immersion in 2% methylene blue, the dye penetration was evaluated under a microscope., Results: In enamel and in cementum: the best seals were obtained with XE and LP, followed by CS, AS, IB, OB, SB, and EP (P=.001). No significant differences were recorded in the microleakage degree between the cementum and the enamel margins (P=.40)., Conclusions: In this in vitro model, Xeno III and Adper Prompt L Pop provided the best seals both at the enamel and the cementum margins of Class V cavities in primary molars.

Adhesive strength of gutta-percha stems connection to the root channel walls was evaluated. The pressure on dental root channel walls during tooth filling by the lateral condensation method was evaluated. The study was carried out on an Instron device by the pulling out method. The study showed that for stems Nos. 15-30 the retention strength in the root channel was about 2-fold higher than for stems Nos. 35-45. The results indicate that the value of stem pressure on root channel walls during tooth filling by the lateral condensation method can be considered critical with regard to the strength of the dental root proper.

This study compared microleakage at enamel/composite and dentine/composite interfaces following Er:YAG laser, Nd:YAP laser, or acid-etch preparation. Class V cavities produced on the lingual and buccal surfaces of 20 extracted carie- and restoration-free human teeth were randomly assigned to four groups of 10 cavities. Teeth were treated with 37% phosphoric acid and primer (group 1), irradiated with an Er:YAG laser (group 2) or an Nd:YAP laser (group 3), or served as controls (group 4). The specimens were restored with Scotchbond Multipurpose/Z100 (3M), stored in physiological solution at 37 degrees C for 7 days, thermocycled 500 times between 5 degrees C and 55 degrees C, placed in a 0.5% solution of basic fuchsin for 48 h, embedded in resin, and sectioned. Microleakage was assessed according to the depth of dye penetration along the restorative composite. The results showed that irradiation with Er:YAG and Nd:YAP lasers did not produce a good seal. Mean microleakage was greater than with acid-etch and statistically comparable to that of control cavities (Kruskal-Wallis test).

Irregularities of the cervical margin of restorations facilitate the retention of bacterial plaque, hindering plaque control through the habitual procedures of oral hygiene and favoring the development of periodontal disease. The aim of this study was to evaluate the periodontal condition and treatment needs (applying CPITN) in relation to the cervical margin of dental restorations. Three hundred and sixty-seven teeth with class II and V cavities restored with amalgam, class III cavities restored with composite resin, cast metal restorations and unitary prostheses were examined. With a WHO periodontal probe, the position of the cervical margins of restorations was verified (supragingival, subgingival or at the gingival margin level); the presence of defects (lack or excess of restoring material) and the presence of score 2 of CPITN were also assessed. After the analysis of the data, it was possible to conclude that: 1) supragingival margins offered the best marginal adaptation and the lowest frequency of score 2; 2) both the lack and the excess of restoring material favor the development of score 2, despite the utilized material and 3) in subgingival margins, incorrect marginal adaptation was the most frequent event, mainly due to excess of restoring material, and in these cases there was higher frequency of score 2 of CPITN.

Purpose: There is no data in the dental literature concerning the quality of the restorations performed in young children with early childhood caries (ECC) under sedation as compared with those treated under general anesthesia (GA). The aim of this study was to compare the quality of restorations and recurrent caries in 65 children with ECC who had dental treatment under GA or sedation., Methods: Thirty-four children, mean age 34.4 months were treated under GA and 31 children with a mean age of 37.2 months were treated under sedation and re-examined 6-24 months after completion of treatment. The quality of the restorations was evaluated using a modified Cvar & Ryge index., Results: Fifty-nine percent of children treated under GA required further dental treatment compared to 74% of children treated under sedation. The majority of the required treatment was due to new caries: 57% in the GA group and 60% in the sedation group. A total of 248 restorations were evaluated for the GA group, with a 94% success rate for marginal adaptation, 92% success for anatomic form, and 97% had no secondary caries. In the sedation group, out of 224 restorations, 78% demonstrated perfect marginal adaptation, 79% showed adequate anatomic form, and 90% had no secondary caries. Successful marginal adaptation was found in 90% of strip crowns placed under GA, compared to 63% of those placed under sedation., Conclusion: It is concluded that the outcome of treatments related to quality of the restorations performed under GA is better for all parameters examined.

The in vitro marginal fit of three all-ceramic crown systems (In-Ceram, Procera, and IPS Empress) was compared. All crown systems were significantly different from each other at P = 0.05. In-Ceram exhibited the greatest marginal discrepancy (161 microns), followed by Procera (83 microns), and IPS Empress (63 microns). There were no significant differences among the various stages of the crown fabrication: core fabrication, porcelain veneering, and glazing. The facial and lingual margins exhibited significantly larger marginal discrepancies than the mesial and distal margins.

Fifteen laser-welded Olympia alloy samples were divided into three groups of five samples each, with different gap distances between the welded halves. The first group was welded with a 0.0-mm gap distance. The second and third groups had Olympia shims placed in 0.3- and 1.0-mm gaps, respectively, prior to laser welding. Each of the samples was tested to failure in load fatigue at 30 Hz in a fatigue testing device using an applied stress of 35,000 psi (241.4 MPa). The means and standard deviations for the number of cycles required to produce fatigue failure for each group was 494,618 +/- 118,311 cycles for the group welded with 0.0-mm gap distance, and 242,741 +/- 44,623 and 232,021 +/- 55,877 cycles for the 0.3- and 1.0-mm specimens, respectively. A one-way analysis of variance showed that the 0.0-mm gap specimens had the greatest number of cycles to failure (P < or = 0.05). There was no significant difference between the other two groups. With the exception of two specimens that failed at the weld center, all failures occurred at the edge of the weld.

In this study was verified accuracy and porosity of denture bases submitted to double cycles of polymerization. Thirty-Six master casts were made in dental stone from the impression of the metal die. They were divided in three groups. Denture bases of conventional acrylic resin were made on the casts of the groups I (GI-control) and II (GII), polymerized in water bath during 9 hours at 73 degrees C, and specific resin for microwave polymerization were made on the casts of the group III (GIII) and cured at 500 W during 3 minutes. Accuracy was verified by the weight of a impression material put between the denture base and cast die under load of 2 Kg. Afterwards, all the denture bases were relined by addition method and those of the group I and II were relined with the same material and polymerization technic. The denture bases of the group II were filled with the same resin, however cured in microwave oven with 500 W during 3 minutes. Accuracy was reevaluated. The porosity was verified by the immersion of the specimens in a solution of permanent black ink and the pores were counted through a stereo light microscope under magnification of 6.3 x. The average and standard deviation obtained for accuracy before and after the relining were respectively: GI: 0.63 +/- 0.02 - 0.66 +/- 0.03; GII: 0.63 +/- 0.03 - 0.68 +/- 0.03: GIII: 0.58 +/- 0.02 - 0.80 +/- 0.05. There was a significant difference (p < 0.05 as tested by Tukey) only for the group III. The average and standard deviation for porosity before and after the relining were respectively: GI: 8.33 +/- 0.63 - 9.25 +/- 0.85; GII: 8.17 +/- 0.98 - 10.08 +/- 1.63: GIII: 5.41 +/- 0.78 - 6.58 +/- 1.02. There was a significant difference (p < 0.05) for the group III before relining. The conclusion is that after relining, the conventional resin cured by water bath or microwaves energy showed a better adaptation, and the highest number of pores.