Search

Resin cement and preheated restorative resin composite may be used for luting laminate veneers. The main advantage of resin composite is increased wear resistance, which could lead to better marginal performance in long term. This article reports a clinical treatment with feldspar laminate veneers luted to the maxillary teeth with preheated resin composite in a private practice. Case was finalized in May 2009 and followed by 10 years. Excellent clinical service and remarkable long-lasting marginal integrity were observed after 123 months. Scanning electron microscopy analysis showed no wear, gaps, or ditching at the margins. Restorative margins showed a smooth transition between ceramic and tooth with no signs of degradation. Preheated resin composite for luting ceramic laminate veneers may be considered an excellent clinical option.

This study identified charcoal-based dentifrices and abrasive powders sold in Brazil and analyzed their label information. The products were searched in four online shopping platforms. The same products were searched on Instagram and their engagement metrics were investigated. Furthermore, a literature review of international publications assessing charcoal dentifrices and powders was conducted, and altmetrics were collected (Altmetric and PlumX). Thirty-six products were found with prices between $0.4-22 USD. Most frequent words in product description were sodium, stain, whitening, oil, xylitol, and coconut. Only 3 products contained fluoride. Bactericidal, antiviral, antifungal, and anti-inflammatory activities were indicated, in addition to non-scientific claims such as calming teeth or increasing oral immunity. In total, 72% of products had Instagram profiles, which generally showed low engagement rates (81%) and medium audience quality scores (65%). Twenty-two articles were found in the literature, from which 21 were in vitro studies. The single clinical study was sponsored by a charcoal product and had no control group. In total, 23% of studies showed positive results and 55% reported negative results for the charcoal products, which included no whitening ability, increased roughness, surface alterations, and lower demineralization prevention ability. Altmetric scores for the included articles varied from 0 to 55, with 40.9% of studies mentioned online. In conclusion, charcoal-based products are using marketing strategies on Instagram but their current engagement with the public is not high. Consumers are being exposed to charcoal products whose potential risks to health are still unknown.

In this study, we describe a method for reaching a target population (i.e., dentists practicing in Brazil) to engage in survey research using traditional e-mail invites and recruitment campaigns created on Instagram. This study addresses methodological aspects and compares respondents reached by different methods. A pre-tested questionnaire was used and participants were recruited for 10 days via a source list of email addresses and two discrete Instagram organic open campaigns. A total of 3,122 responses were collected: 509 participants were recruited by email (2.1% response rate) and 2,613 by the two Instagram campaigns (20.7% and 11.7% conversion rates), respectively. Response/min collection rates in the first 24 h ranged between 0.23 (email) and 1.09 (first campaign). In total, 98.8% of all responses were received in the first 48 h for the different recruitment strategies. There were significant differences for all demographic variables (p< 0.001) between email and Instagram respondents, except for sex (p=0.37). Instagram respondents were slightly older, had more professional experience (years in practice), and a higher graduate education level than email respondents. Moreover, most email and Instagram respondents worked in the public sector and private practice, respectively. Although both strategies could collect responses from all Brazilian regions, email responses were slightly better distributed across the five territorial areas compared to Instagram. This study provides evidence that survey recruitment of a diverse, large population sample using Instagram is feasible. However, combination of email and Instagram recruitment led to a more diverse population and improved response rates. Resumo Neste estudo, descrevemos um método para atingir uma população-alvo (dentistas atuando no Brasil) para se engajar em pesquisa do tipo enquete (survey) utilizando convites tradicionais por e-mail e campanhas de recrutamento criadas no Instagram. Este estudo aborda aspectos metodológicos e compara as pessoas entrevistadas alcançadas por diferentes métodos. Foi utilizado um questionário pré-testado e os(as) participantes foram recrutados(as) por 10 dias por meio de uma lista de endereços de e-mail e duas campanhas abertas orgânicas independentes no Instagram. Foram coletadas 3122 respostas: 509 participantes foram recrutados(as) por e-mail (taxa de resposta 2,1%) e 2613 pelas duas campanhas do Instagram (taxas de conversão 20,7% e 11,7%), respectivamente. As taxas de coleta de resposta/min nas primeiras 24h variaram entre 0,23 (e-mail) e 1,09 (primeira campanha). No total, 98,8% das respostas foram recebidas nas primeiras 48h para as diferentes estratégias de recrutamento. Houve diferenças significativas para todas as variáveis demográficas (p

To assess and compare the pharmacological effect of different drugs on pain relief after periodontal surgery. Five databases were searched up to September 2019. The eligible studies comprised randomized clinical trials, involving only adult individuals that received any periodontal surgery and presenting two distinct groups of therapeutic regimens to control postoperative pain. Placebo groups could be included. The risk of bias was assessed with the RoB 2 Cochrane tool and the GRADE system. Meta-analyses were performed using different follow-up and drug comparisons. Overall, 2398 studies were identified, of which 35 were included. Low risk of bias was determined for the majority of the studies. The meta-analyses showed that the comparison of dexamethasone or non-steroidal anti-inflammatory drugs (NSAID) versus placebo favored the use of both interventions in a follow-up of 1 to 8 h for open flap procedures (OFP). However, no statistical difference was found for the comparison between NSAID and dexamethasone for OFP. Patients may benefit from several pharmacological schemes for pain relief after periodontal surgeries. However, due to the high heterogeneity among studies, no fixed pharmacological protocol could be proposed. There is not enough evidence to recommend one therapeutic scheme. However, untreated pain is harmful to the patients and it is not advisable.

Objective The aim of this study was to evaluate the effect of different photoinitiator systems on the cell viability and physico-chemical properties of an experimental adhesive resin of a two-step self-etch adhesive system. Methods Eight photoinitiators and coinitiators were evaluated, camphorquinone (CQ); ethyl-dimethylamino benzoate (EDAB); diphenyliodonium hexafluorophosphate (DPIHFP); 1,3-benzodioxole (BDO); piperonyl alcohol (AP); 1,3-diethyl-2-thiobarbituric acid (TBA); bisphenyl phosphinic oxide (BAPO); and diphenyl phosphinic oxide (TPO). Seven experimental adhesive resins (Bis-GMA:TEGDMA – 1:1 by wt%) were formulated by varying the initiation systems: RCQ+EDAB (control), RCQ+EDAB+DPHFP, RCQ+BDO, RCQ+AP, RCQ+TBA, RBAPO and RTPO. The cell viability of the different photoinitiators in their isolated form and after being incorporated into the adhesive resins was evaluated using the MTT assay. The degree of conversion within the hybrid layer (DC in situ) was evaluated by micro-Raman spectroscopy; the polymerization kinetics, by FTIR spectroscopy. The water sorption (Wsp) and solubility (Wsl) were calculated by using percentage of gain and loss of mass. Data were analyzed using One-way ANOVA and Kruskal-Wallis tests (α = 0.05). Results When evaluated in their isolated form, the DPIHFP was considered cytotoxic in all concentrations evaluated. When incorporated into and adhesive resin, RCQ+TBA presented higher cell viability values than control and the highest values of DC in situ (p Significance The pair CQ + TBA could be potentially useful in the development of materials with improved biocompatibility.

This cross-sectional survey investigated the pandemic impact on dental practice in May 2021 (second wave in Brazil). COVID-19 incidence and severity among respondents, vaccination status, and level of confidence in vaccines were surveyed, in addition to medications used for preventing or treating COVID-19, including controversial drugs/substances (vitamin D, ivermectin, zinc, and chloroquine). Dentists were recruited by email and responded to a pretested questionnaire until May 31, 2021. In total, 1,907 responses were received (21.2% return rate). Bivariate and multivariate regression analyses were performed (α=0.05). Prevalence Ratios were calculated for the association between professional characteristics and two outcomes: report of SARS-CoV-2 infection and use of controversial drugs. One third of dentists reported intermediate levels of confidence in safety/efficacy of vaccines, but 96% received at least one vaccine dose, mainly CoronaVac. The impact of the pandemic on dental practice was rated as lower/much lower compared with one-year before (first wave) by 46% of respondents; 27% of dentists reported to have had a positive COVID-19 test, ~50% had relatives or friends who had been hospitalized or died from COVID-19. At least one medication was used by 59% of respondents, 43% used two or more drugs and substances. Vitamin D (41%), (35%), and zinc (29%) were the most frequent drugs/substances. More experienced dentists (≥21 years in practice) were 42% more likely to use controversial medications than less experienced respondents. Dentists with residency/advanced training as postgraduate education had 30% higher prevalence of controversial medication use than respondents holding MSc/PhD degrees. Respondents with low confidence in vaccines were 2.1 times more likely to use controversial medications than participants with very high confidence. The overall findings of this survey highlight the high severity of the pandemic in Brazil, and raised questions about the use of scientific evidence by dentists in their decision to take controversial COVID-19 medications.

Objective: of this study was to characterize and correlate the absorption spectra of three photoinitiators [camphorquinone (CQ), diphenyl(2,4,6-trimethylbenzoyl) phosphine oxide (TPO) and phenylbis (2,4,6-trimethylbenzoyl)-phosphine oxide (BAPO)], using second or third-generation light curing units (LCU), and to evaluate the degree of conversion and the physical properties of an experimental resin adhesive. Material and methods: Second-generation (Radii-cal® and Emitter D®) and third-generation (Valo® Cordless and Bluephase N®) LCU were assessed regarding spectrum and irradiance rate of emitted light. Also, the photoinitiators (CQ, TPO and BAPO) were characterized by a light absorption spectrum assessed by UV-Vis spectroscopy, degree of conversion and yellowing effect. Statistical analyzes considered two-way ANOVA and post-hoc Tukey test. Results: BAPO presented higher reactivity compared to TPO. Regarding degree of conversion of the photoinitiators activated by different light-curing units, the Emitter D® device promoted a high degree of conversion. BAPO presented the highest yellowing effect values. Conclusions: The emission and absorption characteristics of the photoinitiators were different. The polymerization reaction activated by the second-generation light-curing unit was reduced when using an experimental resin with photoinitiator TPO, and the third-generation light-curing unit showed a higher polymerization potential regardless of the photoinitiator. Keywords Light-curing of dental adhesives; Photoinitiators dental; Curing lights dental.

Background: The COVID-19pandemic has significantly impacted the dental sector worldwide.Methods: The impact of the pandemic on dentistsfrom Latin America was investigated by an online survey with professionals working in 11 Spanish-speaking countries in September–December 2020. The invitations were sent to registered professionals. An open campaign was promoted on social media. The questions investigated dental care routines, work practice changes, andfeelings about the pandemic, in addition toreasons for engaging in furthersurveys.Descriptive statistics were used to identify frequencies and distributions of variables. Proportions were compared using chi-square tests.Results: A total of 2,127 responses were collected from a samplewith diverse demographic, sex, work, and education characteristics. The impact of the pandemic was considered high/very high by 60% of respondents.The volume of patients assisted weekly was significantly lower compared with the pre-pandemic period (mean reduction=14 ±15 patients). A high rate of fear to contracting the COVID-19 at work was observed (85%); 4.9% of participants had a positive COVID-19 test. The mask most frequently worn was PFF2/N95 (42%). The main professional challenges faced by respondents were reduction in the number of patientsor financial gain (35%), fear of contracting COVID-19 (34%), and burden with or difficulty in purchasing new PPE (22%).The fear to contracting COVID-19 was influenced by the number of weekly appointments. A positive test by the dentists was associated with their reports of having assisted COVID-19 patients. The most cited feelings about the pandemic were uncertainty, fear, worry, anxiety, and stress. When asked about incentives to participating in further surveys, the most common responses were receiving articles that originated from the investigation (44%)and priority access to research data (15%). Conclusion:This multi-countrysurvey indicated a high impact of the pandemic on dental care routines in Latin American offices.

Restoring a single darkened central incisor can be challenging. Both direct and indirect options may be acceptable to mask discoloration and achieve functional requirements. This report describes placement of a modified feldspathic porcelain veneer to reproduce the appearance of a maxillary central incisor discolored after trauma.

To evaluate the effects of pretreatment with different crosslinking agents on glass-fiber-post adhesive luting.Single-rooted human teeth (n = 20) were randomly assigned to four groups: proanthocyanidins (PA) from grape-seed extract, cardol and cardanol (separated from cashew nut-shell liquid) and negative control (hydroethanolic solution). The solutions were applied on 37% phosphoric acid-etched dentin for 60 s. Glass-fiber posts were cemented using a three-step etch-and-rinse adhesive (Scotchbond Multi-Purpose, 3M Oral Care) and composite cement (RelyX ARC, 3M Oral Care). Slices for the push-out bond strength test were cut and tested after 24-h or 6-month storage in distilled water. The dentin underlying the adhesive layer was analyzed by micro-Raman spectroscopy to evaluate vibrational formation of collagen crosslinks. Three additional slices per group were also made and the adhesive in-situ degree of conversion (DC) was analyzed by micro-Raman spectroscopy. The results were analyzed using two-way ANOVA and Tukey's test (p0.05).No statistically significant changes in bond strength were found over time for any of the groups, except with cardol, which increased bond strength (8.4 ± 3.9 MPa at 24 h to 15.0 ± 2.9 MPa after 6 months, p0.001) after aging. The formation of peaks at 1117 cm-1 and 1235 cm-1 showed the presence of collagen crosslinks for all three biomodification agents. The DC outcomes showed no statistically significant differences between groups (p = 0.514).Biomodification agents did not impair adhesive polymerization. Cardol demonstrated a positive influence on intraradicular dentin bonding for glass-fiber post luting.

Objetivo: Avaliar o efeito do envelhecimento térmico por termociclagem na estabilidade de cor e rugosidade superficial de duas resinas compostas, avaliar grau de conversão (GC), sorção (SO), solubilidade (SL) e microdureza. Material e método: Foram confeccionados 10 espécimes (6 mm x 1 mm) para cada resina: Filtek Z350 XT (Z350XT) e Estelite Sigma Quick (ES). Foram avaliados: GC, utilizando um espectrofotômetro no infravermelho, SO e SL. A avaliação da microdureza Vickers (MV) e densidade de ligações cruzadas foram realizadas antes e após a imersão em etanol por 24h. A rugosidade superficial e a estabilidade de cor (CIEDE2000) foram avaliadas antes e após envelhecimento térmico por 2 mil ciclos, alternando 30 s a 5º, 37º e 55ºC. A estabilidade de cor e translucidez foram avaliadas com um espectrofotômetro. Os dados foram submetidos ao teste t (α=0,05). Resultados: ES apresentou resultados de GC maiores (62,5% ± 3,7) que Z350XT (48,7% ± 6,9) (p=0,004). Ambas resinas apresentaram resultados de SO e SL similares. A MV final da ES diminuiu 13% com relação a inicial (p= 0,115). Z350XT apresentou diminuição de 17% (p=0,004). ES apresentou aumento de 115% na rugosidade superficial após a termociclagem (p= 0,001), enquanto a Z350XT apresentou diminuição de 35% (p= 0,299). ES apresentou menor alteração de cor (0,280 ± 0,093), quando comparado a Z350XT (0,549 ± 0,183). A translucidez foi similar para ambos materiais (ES=30,80; Z350XT=30,35). Conclusão: A termociclagem influenciou na alteração de cor e rugosidade superficial das resinas compostas, demonstrando que podem ser alteradas pela degradação na matriz polimérica.

This study assessed bibliometric characteristics of all articles published in Brazilian Dental Journal (BDJ) in its 30 years of existence (1990-2019) and factors associated with citation rates. A document search was carried out in Scopus in December, 2019 and information about the articles were exported, including citations. Type of study and main subject in each article were categorized. Number of citations was categorized in tertiles. Logistic regression models were used to assess the association between variables related to articles’ characteristics and number of citations. In 30 years, 1705 articles were published and 18507 citations received, with average 57 articles and 334 pages published yearly and 10.9 cites/doc. The most frequent types of study were laboratorial (63%), clinical (18.5%), and case reports (11%); the main subjects were dental materials (21.6%), endodontics (19.3%), and oral pathology/stomatology (13.1%). Most articles had origin in Brazil (90%), followed by USA (4.6%) and UK (1.5%). Aside from BDJ, Journal of Endodontics (3.5%) and International Endodontic Journal (2.2%) were journals that most often cited BDJ. Main origins of citations were Brazil (36.7%), USA (10.6%), and India (9%). Older articles had higher odds to be highly cited (12% increase/year), longer articles had lower odds (9% decrease/page). Narrative reviews and epidemiological studies were associated with more citations and systematic reviews with less citations. In conclusion, BDJ covered many subjects and study types in 30 years, showing increased growth in international audience. The journal may be regarded as one of the leading Brazilian journals in dentistry published in English. Resumo Este estudo avaliou as características bibliométricas de todos os artigos publicados no Brazilian Dental Journal (BDJ) em seus 30 anos de existência (1990-2019) e fatores associados com taxas de citação. Uma busca pelos documentos foi realizada no Scopus em Dezembro de 2019 e informações acerca dos artigos foram exportadas, incluindo citações. Tipo de estudo e principal assunto em cada artigo foram categorizados. Número de citações foi categorizado em tercis. Modelos de regressão logística foram usados para avaliar a associação entre as variáveis relacionadas às características dos artigos e o número de citações. Em 30 anos, 1705 artigos foram publicados e 18507 citações recebidas, com média de 57 artigos e 334 páginas publicadas ao ano e 10,9 citações/documento. Os tipos de estudo mais frequentes foram laboratorial (63%), clínico (18,5%) e relato de caso (11%); os principais assuntos foram materiais dentários (21,6%), endodontia (19,3%) e patologia oral/estomatologia (13,1%). A maioria doas artigos teve origem do Brasil (90%), seguido dos EUA (4,6%) e Reino Unido (1,5%). Além do BDJ, Journal of Endodontics (3,5%) e International Endodontic Journal (2,2%) foram os periódicos que mais citaram o BDJ. As principais origem das citações foram Brasil (36,7%), EUA (10,6%) e Índia (9%). Artigos mais antigos tiveram maiores chances de serem altamente citados (aumento de 12% ao ano), artigos mais longos tiveram menores chances (redução de 9% por página). Revisões narrativas e estudos epidemiológicos foram associados com mais citações e revisões sistemáticas com menos citações. Em conclusão, o BDJ cobriu diversos assuntos e tipos de estudo em 30 anos, mostrando contínuo crescimento na audiência internacional. O periódico pode ser considerado um dos líderes entre as revistas brasileiras de odontologia publicadas em inglês.

This trial assessed post-operative pain and healing of apical periodontitis following endodontic therapy with a reciprocating system compared to a crown-down technique with hand files and lateral compaction filling. One-hundred and twenty nonvital anterior teeth with apical periodontitis were randomly treated using either a reciprocating single file followed by matching-taper single-cone filling or a hand file and lateral compaction filling. Postoperative pain was assessed during the 7 days after the treatment, using a visual analogue scale and a verbal rating scale. Apical healing was assessed using the periapical index score after a 12-month follow-up. The hypothesis tested was that both protocols were equivalent and present similar effectiveness in healing periapical lesions. Data were analyzed through two one-sided tests, t-tests, as well as Mann-Whitney and Chi-squared tests (α = 0.05). Logistic regression was used to investigate the association of clinical and demographic factors with the success of treatment. Regardless of the assessment time, no difference in incidence (38%-43% at first 24h), intensity of postoperative pain, and incidence of flare-up (≈ 3%) was observed between the two endodontic protocols. Both protocols resulted in a similar healing rate of apical periodontitis. After 12 months, the success rate ranged from 73% to 78% and the difference between the treatments fell within the pre-established equivalence margin (-0.1; -0.41 to 0.2). Endodontic treatment combining a reciprocating single file with matching-taper single cone showed similar clinical effectiveness to the treatment using hand-file instrumentation and the lateral compaction filling.

Objectives This study describes the synthesis of piperonyl methacrylate (PipM) and evaluates its effect when used as coinitiator in the photoinitiated radical polymerization of experimental adhesive resins. Methods PipM was synthetized through an esterification reaction and characterized by FTIR and 1H NMR spectroscopy. Adhesive resins containing camphorquinone as photoinitiator and PipM or ethyl-4-dimethyl amine benzoate (EDAB) as coinitiators were formulated. Scotchbond Multipurpose (SBMP) adhesive was used as commercial reference. All materials were analyzed for polymerization kinetics, flexural strength, elastic modulus, water sorption/solubility, shear bond strength to bovine enamel and dentin, characterization of hybrid layer by scanning electron microscopy (SEM), microbiological direct contact test, and cytotoxicity. Results The adhesive with PipM presented higher degree of conversion and lower sorption/solubility when compared with other groups. Shear bond strength to enamel and dentin were similar for PipM and EDAB materials. The percentage of cellular viability was close to 100% and similar in the experimental groups and the commercial reference. Conclusions PipM presented similar or superior performance to the tertiary amine used as control, representing a potential alternative coinitiator for photopolymerizable dental materials. Clinical significance PipM could be potentially useful in the formulations of adhesive systems with enhanced chemical properties, which could mean improvement in the longevity of composite resin restorations.

Introduction. Mineral Trioxide Aggregate (MTA) is a tricalcium-based silicate, dicalcium silicate matrix. Despite its good biologic properties, some clinicians still claim to have difficulties in handling MTA after its preparation due to its sandy consistency. The aim of the present study was to evaluate the physicochemical properties and cytotoxicity of MTA Repair HP (Angelus, Londrina, PR, Brazil) compared with MTA Angelus (Angelus, Londrina, PR, Brazil). Materials and Method. The properties assessed were particle size, setting time, flow, film thickness, radiopacity, water solubility, compressive strength, and cytotoxicity. Statistical analysis was performed considering p < 0.05 as statistically significant. Results. For radiopacity, water absorption and solubility MTA Repair HP were statistically similar to MTA Angelus. The MTA Angelus had statistically different film thickness values, higher than MTA Repair HP (p < 0.05). Besides, MTA Angelus showed a lower and statistically different compressive strength after 28 days than MTA Repair HP (p Conclusions. The MTA Repair HP presented similar cell viability, lower film thickness, higher flow, setting time, and compressive strength values after 28 days than MTA Angelus. In general, the MTA Repair HP presented physicochemical and biological properties similar to the MTA Angelus.

This study evaluate the effect of nanoparticles (Bi2O3 - bismuth oxide; YbF3 - ytterbium trifluoride; SiO2 - silicon dioxide) on radiopacity (R), translucency parameter (TP), degree of conversion (DC), bond strength to dentin (µTBS), and quality of the adhesive interface of experimental two-step, etch-and-rinse adhesive systems. The R was evaluated using an x-ray equipment. TP was verified in five replications and DC was performed in triplicate. The µTBS was evaluated in specimens stored in distilled water after 24 h, 6, 12 and 24 months. The bonded interfaces were qualitatively examined by scanning electron microscopy (SEM), and using x-ray energy dispersive spectroscopy (EDS) for elemental analysis. Data were statistically analyzed at α = 0.05. YbF3 resulted in statistically greater R when compared with all the other groups (p = 0.024), which did not differ from each other. Bi2O3 was the adhesive with lowest TP. For DC, the YbF3 and C showed similar results (p = 0.627). Similar µTBS was obtained between groups. The addition of nanoparticles affected the chemical-mechanical properties. The incorporation of YbF3 could be considered a promising approach for the development of radiopaque dental adhesives.

The authors aimed to evaluate the effectiveness of glycine air-polishing compared to curette debridement on the treatment of peri-implant diseases. PRISMA guidelines for systematic reviews were followed. Clinical trials of patients diagnosed with peri-implant mucositis or peri-implantitis treated with glycine air-polishing or curette debridement were selected. Six electronic databases (Cochrane Central Register of Controlled Trials, MEDLINE via PubMed, EMBASE, Scopus, Web of Science and BVS) were searched until july 2021. The risk of bias was assessed using RoB 2 and ROBINS-I tools and the certainty of the evidence using GRADE. Bleeding on probing (BOP), probing depth (PD) and plaque index (PI) were assessed. Subgroup analyses were performed considering the follow-up period for peri-implant mucositis. Seven studies were included and meta-analyses were performed with three randomized clinical trials (RCTs), all presenting a low risk of bias. Low quality of evidence was achieved. Both treatments presented similar global results on the BOP and PI peri-implant mucositis analyses. Glycine air-polishing showed better results (p=0.04; I2=90%) on PD peri-implant mucositis meta-analysis. Data was insufficient to perform any analysis considering peri-implantitis. Although there was modest effect of glycine air polishing on probing depth compared to manual curatagge, there is insufficient evidence to suggest either glycine air-polishing or curette debridement to reduce signs of peri-implant diseases (CRD42019128599).

Objectives The EDTMP (ethylenediamine-tetra-methylene phosphonate) is a molecule similar to EDTA (ethylenediamine-tetra-acetic acid), but with phosphonates, thereby presenting efficient chelating action and binding adequately to proteins, such as collagen. The objective of this study was to evaluate EDTMP as new etching solution to aid ion-releasing adhesive containing beta-tri-calcium phosphate (β-TCP) fillers used for intrarradicular dentin bonding. Materials and methods Thirty extracted single-rooted human teeth were prepared, and glass-fiber posts were adhesively luted with Scotchbond Multipurpose (SBMP, 3 M) adhesive after etching with 37% phosphoric acid for 15s, 15% EDTA or 15% EDTMP for 120s, and SBMP adhesive incorporated or not with β-TCP. RelyX ARC (3 M) was used as resin cement. The restored roots were cut horizontally in 1 mm-thick slabs and submitted to push-out bond strength test after 24h and 6 months of water storage. Interfacial silver nanoleakage was investigated in scanning electron microscopy. Micro-Raman spectroscopy was employed to track mineralization at the hybrid layer. Data were submitted to two-way ANOVA and Tukey’s test (p Results EDTMP without β-TCP achieved the overall highest bond strength in both storage times. The addition of β-TCP impaired the improvements of EDTMP. The presence of carbonated apatite (peak at 1090 cm-1) was found in EDTMP without β-TCP, thereby suggesting remineralization. Little silver impregnation was observed in general across groups. Conclusion: EDTMP could be an optimal alternative as root dentin etchant for luting glass-fiber posts with improvements in dentin bond stability.

SUMMARY This study investigated the stability of the optical properties of high-translucent shades of dental resin-based composites. Four commercial materials (Filtek Z350 XT, Opallis, Amelogen Plus, and IPS Empress Direct) and 14 non-Vita shades were tested. Disc-shaped specimens for each resin-based composite-shade combination (n=6) were evaluated at T0 (baseline), T1 (after 30 days of storage in water), and T2 (after 30 days of storage each in water and a coffee solution). Color measurements were performed according to the L′C′h′ color system. Translucency Parameter (TP) and CIEDE2000 color difference (ΔE00) were calculated. Data were statistically analyzed at α = 0.05. Baseline TP values varied from 43 ± 1 to 55 ± 1. Changes in TP at T1 varied from −3.0% (Opallis T-Neutral) to 4.2% (Amelogen Plus Trans Orange), with no major differences from T0. At T2, most resin-based composites showed significantly increased opacity, with changes varying between −15.0% (Empress Direct Trans 20) and −2.7% (Z350 XT Blue). However, the TP values were ≥40 throughout the study. Storage in water caused negligible color differences, with ΔE00 values at T1 ≤ 0.9 ± 0.6. At T2, all materials tested showed significant color difference, and ΔE00 ≥ 3.2 ± 0.2. The orange shades from Opallis and Amelogen Plus showed lower color variation than did the other shades. The most significant optical changes upon storage were detected in the hue and particularly the chroma color coordinate. In conclusion, the high-translucent resin-based composites showed large variability in the stability of their optical properties among the tested brands and different shades of the same material. Regardless of the storage condition, the tested resin-based composites retained their high-translucency character over time.

Objective A systematic review was conducted to analyze Brazilian scientific and technological production related to the dental materials field over the past 50 years. Material and Methods This study followed the Preferred Reporting Items for Systematic Reviews and Meta-Analysis (Prisma) statement. Searches were performed until December 2014 in six databases: MedLine (PubMed), Scopus, LILACS, IBECS, BBO, and the Cochrane Library. Additionally, the Brazilian patent database (INPI - Instituto Nacional de Propriedade Industrial) was screened in order to get an overview of Brazilian technological development in the dental materials field. Two reviewers independently analyzed the documents. Only studies and patents related to dental materials were included in this review. Data regarding the material category, dental specialty, number of documents and patents, filiation countries, and the number of citations were tabulated and analyzed in Microsoft Office Excel (Microsoft Corporation, Redmond, Washington, United States). Results A total of 115,806 studies and 53 patents were related to dental materials and were included in this review. Brazil had 8% affiliation in studies related to dental materials, and the majority of the papers published were related to dental implants (1,137 papers), synthetic resins (681 papers), dental cements (440 papers), dental alloys (392 papers) and dental adhesives (361 papers). The Brazilian technological development with patented dental materials was smaller than the scientific production. The most patented type of material was dental alloys (11 patents), followed by dental implants (8 patents) and composite resins (7 patents). Conclusions Dental materials science has had a substantial number of records, demonstrating an important presence in scientific and technological development of dentistry. In addition, it is important to approximate the relationship between academia and industry to expand the technological development in countries such as Brazil.

A nationwide survey of dentists was carried out in Brazil, a new pandemic epicenter, to analyze how dental coverage has been affected (public versus private networks), changes in routine and burdens, and how the local prevalence of COVID-19 affects dental professionals. Dentists were recruited via email and an Instagram® campaign. Responses to an online questionnaire were collected May 15–24, 2020. COVID-19 case/death counts in the state where respondents work was used to test associations between contextual status and decreases in weekly appointments, fear of contracting COVID-19 at work, and current work status (α=0.05). Over 10 days, 3,122 responses were received, with region, gender, and age distributions similar to those of dentists in Brazil. Work status was affected for 94% of dentists, with less developed regions being more impacted. The impact on routine was high or very high for 84%, leading to varied changes to clinic infrastructure, personal protective equipment use, patient screening, and increased costs. COVID-19 patients had been seen by 5.3% of respondents, and 90% reported fearing contracting COVID-19 at work. Multilevel statistics showed that greater case and death rates (1000 cases or 100 deaths/million inhabitants) in one’s state increased the odds of being fearful of contracting the disease (by 18% and 25%). For each additional 1000 cases or 100 deaths, the odds of currently not working or treating emergencies increased by 36% and 58%. The reduction in patients seen weekly per dentist was greater in public (38.7±18.6) than in private clinics (22.5±17.8). This study provides early evidence of three major impacts of the pandemic on dentistry in Brazil: increasing inequalities due to coverage differences between public and private networks; adoption of new clinical routines, which are associated with an economic burden; and associations of regional COVID-19 incidence and mortality with fear of contracting the disease at work.

The objective in this case report is to present a correction of excessive gingival exposure performed through periodontal esthetic surgery, using clinical crown lengthening and lip repositioning. The patient reported discomfort when smiling due to excessive gingival exposure, and clinical and photographic examinations of the patient showed vertical maxillary growth as the main diagnosis. In the digital smile design, the possibility of crown lengthening observed for teeth – upper left and right central incisors and upper left lateral incisor. A lip-repositioning procedure was also planned. An incision was performed at the mucogingival junction, and a parallel incision was realized at the top of the alveolar mucosa. Afterward, the incised gingival band was removed through vertical incisions in the planned border area. The muscular area was preserved. A simple suture was made, with the approach of the gingival margins around the surgical area. The crown-lengthening procedure was performed with the flapless technique. After 2-year follow-up, the periodontal esthetic surgery, comprising crown lengthening and lip repositioning, was noninvasive and can thus serve as an interesting alternative treatment for excessive exposure of the gingival smile, as it results in a harmonious and natural smile.

This study evaluated the three-year lifespan of the bond to dentin of experimental self-etch adhesives containing benzodioxole derivatives – 1,3-benzodioxole (BDO) and piperonyl alcohol (PA) – as co-initiator alternative to amines. Adhesive resins were formulated using Bis-GMA, TEGDMA, HEMA, camphorquinone and different co-initiators: BDO, PA or ethyl 4-dimethylamino benzoate (EDAB – amine). An experimental self-etch primer was used to complete the two-step, self-etch adhesive system. Clearfil SE Bond (CSE) was used as commercial reference. Bond strength to human dentin was assessed by microtensile bond strength (µTBS) test, and failure mode was classified. Morphology of the dentin bonding interface was assessed via scanning electron microscopy (SEM). Irrespective of the dental adhesives evaluated, µTBS was higher after 24 hours compared with that after 1.5 and 3 years (p ≤ 0.001). However, adhesives with BDO and PA as co-initiators showed significantly higher bond strength than the bonding resin with EDAB (p ≤ 0.002), independent of the time evaluated. The commercial adhesive CSE showed similar bond strength compared with the other groups (p ≥ 0.05). Mixed failures were mainly observed after 24 hours, while adhesive failures were more frequently observed after 1.5 and 3 years. No notable differences in homogeneity and continuity along the bonded interfaces were detected among the materials in the SEM analysis. In conclusion, benzodioxole derivatives are feasible alternative co-initiators to tertiary amine in camphorquinone-based self-etching dental adhesive formulations.

This study investigated the effect of different monomeric systems and inorganic fillers on the physical properties of experimental resin adhesives and on the immediate and 6-month bond strength to dentin. Two, 2-step self-etch adhesive systems were prepared: two primers (constituted of GDMA-P, ethanol, water, and HEMA or PEG(400)-UDMA) and two adhesives (constituted of Bis-GMA, TEGDMA, and HEMA or PEG(400)-UDMA). Next, the adhesives were allocated into three groups according to filler incorporated: unfilled (control), silica (SiO2), or ytterbium trifluoride (YbF3). Degree of conversion (DC, after 30 and 60 s of light-activation), water sorption (WS) and solubility (SL), and flexural strength (σ) and modulus (Ef) tests were performed for all adhesives. A microtensile bond strength (µTBS) test to dentin was evaluated after 24 h (immediate) and 6 months (6-month) of water storage using a universal testing machine (DL500, EMIC). Data were analyzed using statistical tests (α=5%). The adhesives showed similar DC at a same light exposure time, although light-activation for 60 s improved conversion of monomers. The unfilled HEMA-containing adhesive showed higher WS, SL, σ and Ef compared to others. The incorporation of fillers into the adhesives did not affect negatively the immediate µTBS results; however, after 6 months the presence of SiO2 impaired in complete premature failures, and the presence of YbF3 reduced the µTBS in the PEG(400)-UDMA-based group. The unfilled HEMA-containing group also reduced bond strength after 6 months of water storage. In conclusion, depending on the resin matrix composition, YbF3 seems to be a good option for reinforcing adhesive systems.

Objectives This study evaluated the performance of phenylbis (2,4,6-trimethylbenzoyl)-phosphine oxide (BAPO) as an alternative photoinitiator in the polymerization kinetics (PK), flexural strength ( σ ) and elastic modulus ( E ) of a model dental resin. Methods A monomer mixture based on Bis-GMA and TEGDMA was used as model dental resin. Initially a screening was performed to evaluate BAPO concentrations (0.125, 0.25, 0.50, 1, 2, and 4 mol%). Photoinitiator systems were formed with the combination of camphorquinone (CQ), ethyl-dimethylamino benzoate (EDAB), diphenyliodonium hexafluorophosphate (DPIHFP), and BAPO. Groups with unitary photoinitiator systems (BAPO and CQ), binary (BAPO + EDAB, BAPO + DPIHFP and CQ + EDAB), ternary (BAPO + CQ + EDAB, BAPO + CQ + DPIHFP, BAPO + EDAB + DPIHFP and CQ + EDAB + DPIHFP) and quaternary (BAPO + CQ + EDAB + DPIHFP) were formulated for evaluation. Real-time Fourier transform infrared spectroscopy was used to investigate the PK and test mini-bending to evaluate σ and E . Results When only CQ was used, a slow polymerization reaction was observed and a lower monomer conversion. When only BAPO was used as photoinitiator an increase in the polymerization rate was observed and conversion was higher than CQ + EDAB. The ternary system (BAPO + EDAB + DPIHFP) showed the highest polymerization and conversion rate, in short photo-activation time. Significance BAPO it is a potential photoinitiator for the photopolymerization of dental materials.

The ethyl-4-dimethylaminobenzoate (EDAB) is widely used as a coinitiator of the camphorquinone (CQ), but in acidic circumstances it might present some instability, reducing the polymerization efficiency of the material. Considering this, new coinitiators are being evaluated. Hence, this study evaluated the kinetic of polymerization (KP), the degree of conversion (DC), and the rate of polymerization (RP) of experimental resin adhesives containing 1,3-diethyl-2-thiobarbituric acid (TBA) as a coinitiator of the CQ. The experimental monomeric blend was prepared with bisphenol A glycidyl dimethacrylate, 2-hydroxyethyl methacrylate, and acidic monomers. CQ was added at 1 mol % as photoinitiator. Six groups were formulated: four containing concentrations of 0.1, 0.5, 1, and 2 mol % of TBA, one without coinitiator, and the last one containing 1 mol % of EDAB (control group). The KP and the RP were performed using real-time Fourier Transform infrared spectroscopy. The group without coinitiator has not formed a polymer, whereas the addition of TBA resulted in the conversion of monomers in polymer. The DC of the adhesives was as higher as the increase in the TBA content. The group with 2 mol % of TBA presented improved DC and reactivity (RP) than the other groups and the control one. Hence, the TBA has performed as a coinitiator of the CQ for the radical polymerization of methacrylate resin adhesives and it has improved the DC and the reactivity of the materials. Thus, it is a potential coinitiator for the photopolymerization of dental materials. © 2013 Wiley Periodicals, Inc. J Biomed Mater Res Part B: Appl Biomater 101B: 1217–1221, 2013.

The purpose of this study was to evaluate the reactivity and polymerization kinetics behavior of a model dental adhesive resin with water-soluble initiator systems.A monomer blend based on Bis-GMA, TEGDMA and HEMA was used as a model dental adhesive resin, which was polymerized using a thioxanthone type (QTX) as a photoinitiator. Binary and ternary photoinitiator systems were formulated using 1mol% of each initiator. The co-initiators used in this study were ethyl 4-dimethylaminobenzoate (EDAB), diphenyliodonium hexafluorophosphate (DPIHFP), 1,3-diethyl-2-thiobarbituric acid (BARB), p-toluenesulfinic acid and sodium salt hydrate (SULF). Absorption spectra of the initiators were measured using a UV-Vis spectrophotometer, and the photon absorption energy (PAE) was calculated. The binary system camphorquinone (CQ)/amine was used as a reference group (control). Twelve groups were tested in triplicate. Fourier-transform infrared spectroscopy (FTIR) was used to investigate the polymerization reaction during the photoactivation period to obtain the degree of conversion (DC) and maximum polymerization rate (R(p)(max)) profile of the model resin.In the analyzed absorption profiles, the absorption spectrum of QTX is almost entirely localized in the UV region, whereas that of CQ is in the visible range. With respect to binary systems, CQ+EDAB exhibited higher DC and R(p)(max) values. In formulations that contained ternary initiator systems, the group CQ+QTX+EDAB was the only one of the investigated experimental groups that exhibited an R(p)(max) value greater than that of CQ+EDAB. The groups QTX+EDAB+DPIHFP and QTX+DPIHFP+SULF exhibited values similar to those of CQ+EDAB with respect to the final DC; however, they also exhibited lower reactivity.Water-soluble initiator systems should be considered as alternatives to the widely used CQ/amine system in dentin adhesive formulations.

The aim of this study was to evaluate the influence of an iodonium salt on the immediate and long-term microtensile bond strength to dentin of an experimental dental two-step, self-etching adhesive system. A model dental adhesive resin was formulated using bisphenol A glicidyl dimethacrylate (Bis-GMA), triethylene glicol dimethacrylate (TEGDMA), and hydroxyethyl methacrylate (HEMA), which was polymerized using four combinations of photo-initiators and coinitiators. A group using only camphorquinone (CQ), two binary systems (CQ and ethyl 4-dimethylamine benzoate (CQ+EDAB), CQ and diphenyliodonium hexafluorphosphate (CQ+DPIHFP)) and a ternary system (CQ+EDAB+DPIHFP) was investigated. Clearfil SE Bond (CSEB) was used as a commercial reference. Bond strength to bovine dentin was assessed through microtensile bond tests measured in MPa in a universal testing machine. The beam specimens were stored in distilled water at 37 °C for 24 h and 1 year. Two-way ANOVA and Student–Newman–Keuls' post-hoc tests were used to compare means of groups (α=5%) and failure modes classified under magnification. After 24 h, the ternary system showed a bond strength similar to that of the binary system CQ+EDAB and the commercial material. After 1 year of storage, the μTBS values of the group CQ+EDAB+DPIHFP showed a bond strength significantly higher (p

Submitted by Fabiano Malheiro (fabianomalheiro22@hotmail.com) on 2013-11-11T15:25:39Z No. of bitstreams: 1 Evandro Piva_22.pdf: 659899 bytes, checksum: 956a06b6c50ade0b7b48d2692e50a3db (MD5) Approved for entry into archive by Fabiano Malheiro(fabianomalheiro22@hotmail.com) on 2013-11-11T15:26:04Z (GMT) No. of bitstreams: 1 Evandro Piva_22.pdf: 659899 bytes, checksum: 956a06b6c50ade0b7b48d2692e50a3db (MD5) Made available in DSpace on 2013-11-11T15:26:04Z (GMT). No. of bitstreams: 1 Evandro Piva_22.pdf: 659899 bytes, checksum: 956a06b6c50ade0b7b48d2692e50a3db (MD5) Previous issue date: 2012-09 The objective of this study was to evaluate the effect of functionalizing a dental adhesive resin with YbF3/SiO2 fillers for use as radiopacifiers. Particles of YbF3/SiO2 were obtained with the high-energy mechanical milling method and characterized by both physical and chemical methods. After characterization, the particles were sieved and silanized prior to being incorporated into an adhesive resin. The stability of the particle suspension was then evaluated. After light activation, the radiopacity, degree of conversion, flexural strength and elastic modulus were determined. The dental adhesive resins with 10 and 15 wt% of filler provided satisfactory radiopacity, while flexural strength and elastic modulus were not affected. The degree of conversion was statistically lower than that of the control (p

Purpose: This study investigated the influence of nanoparticle loading level on properties of experimental hybrid resin luting agents. Materials and Methods: Silanated 2-μm barium borosilicate glass microparticles and 7-nm silica nanoparticles were used. Five materials were obtained by loading a photocurable Bis-GMA/TEGDMA co-monomer with a total mass fraction of 60% inorganic fillers. The mass fraction of nanoparticles was set at 0% (control), 1% (G1), 2.5% (G2.5), 5% (G5), or 10% (G10). The properties evaluated were flexural strength (σ) and modulus (Ef), Knoop hardness number (KHN), and film thickness (FT). Dispersion/interaction of the particles with the resin phase was assessed by scanning electron microscopy (SEM). Data were submitted to statistical analysis (5%). Results: For σ, G1 > G2.5 = G5 = G10, and control > G10. For Ef, G2.5 > control = G1 > G5 > G10. For KHN, G5 = G10 > control = G1 = G2.5. For FT, G10 = G5 > control = G1, and G10 > G2.5. Incorporation of nanoparticles was associated with observation of clusters in the SEM analysis. The clusters were more frequent for higher nanoparticle loadings. Conclusion: Modest incorporation of nanoparticles may improve the properties of resin luting materials. Nanofiller mass fractions above 2.5% should, however, be avoided because they may be detrimental to the properties of the resin luting agents.

This study evaluated the effectiveness of benzodioxole derivatives as coinitiators of radical polymerization in a model-dental adhesive resin. To compose the adhesive resin, a monomer mixture based on 50 wt % of Bis-GMA, 25 wt % of TEGDMA, and 25 wt % of HEMA was used. Camphorquinone (CQ) 1 mol % was used as a photoinitiator to initiate polymerization. 1,3-Benzodioxole (BDO) and piperonyl alcohol (PA) were used as coinitiators at 0.25, 0.5, 1, 2, 4, 8, and 16 mol % level. In addition, tertiary amine, ethyl 4-dimethylamino benzoate (EDAB) was used as coinitiator in the control group. Some physical, chemical, and mechanical properties of the polymer formed in the experimental adhesives were evaluated using the kinetics of polymerization, sorption and solubility, flexural strength, and elastic modulus tests. The results indicated that BDO and PA were effective coinitiators in the photoinitiator system based on CQ. Comparisons between the benzodioxoles derivative coinitiators and EDAB showed similar performance in the kinetics of polymerization and flexural strength. For water sorption and solubility evaluation, BDO and PA demonstrated significantly more sorption of water and less solubility than the EDAB control group. The findings suggest that BDO and PA were feasible alternatives to conventional amine as coinitiator. © 2012 Wiley Periodicals, Inc. J. Appl. Polym. Sci., 2013

This study investigated properties of resin-luting agents using silane [3-(trimethoxysilyl)propyl methacrylate (TSPM)], phosphoric acid methacrylate (PAM) [mono/bis(methacryloyloxyethyl (di)hydrogen phosphate)], or carboxylic acid methacrylate (CAM) [mono-2-(methacryloyloxy)ethyl maleate] as coupling agents between the inorganic and organic phases. Ba-B-Al-Si microparticles (3 μm) and SiO2 nanoparticles (7 nm) were coated with TSPM, PAM, or CAM (control = no filler coating). A Bis-GMA/triethyleneglycol dimethacrylate comonomer was loaded with 60% mass of inorganic fillers. The properties evaluated were degree of CC conversion (DC), flexural strength (σ), and modulus (Ef), Knoop hardness number (KHN), and film thickness (FT). Dispersion/interaction of the particles with the resin phase was assessed by scanning electron microscopy (SEM). No significant differences in DC were observed. For σ and Ef, TSPM > CAM > Control > PAM. For KHN, TSPM > CAM > PAM = Control. For FT, TSPM < Control < CAM < PAM. The SEM analysis revealed clustering of nanoparticles for all groups and better organic–inorganic phases interaction for TSPM and CAM. The use of TSPM generated agents with improved properties as compared with the acidic methacrylates, with CAM showing better performance than PAM. The use of PAM generated agents with properties usually poorer compared with the material with no coupling agent. © 2012 Wiley Periodicals, Inc. J. Appl. Polym. Sci., 2013

This study evaluated the effect of the concentration of acidic functional monomer on the dentin bond stability of a model two-step, self-etch adhesive system. Six self-etch primers were formulated using hydroxyethyl methacrylate (HEMA), 1,3-glycerol dimethacrylate phosphate (GDMA-P), ethanol and water. Different mass concentrations of GDMA-P were tested: 0, 15, 30, 50, 70 or 100% (primers labeled P0–100). The pH of the solutions was measured. The bonding resin was composed of (di)methacrylates. Bond strength to bovine dentin was assessed through a microtensile bond test. The beam specimens were stored in distilled water, at 37 °C, for 24 h, 6 months or 1 year. Data were statistically analyzed and failure modes classified under magnification. The increase in acidic monomer concentration was associated with an exponential decrease in pH (R2=0.999; P P30=P15. After 6 months and 1 year, P50=P30>P15. The bond strength after 6 months was similar to 24 h for P15 and P50, but significantly lower after 1 year. P30 showed no differences in bond strength over the 1-year storage period. A predominance of mixed failures was detected for all primers at 24 h. After 6 months, P30 and P50 showed a predominance of adhesive failures. After 1 year, the predominant failure mode for all primers was cohesive within dentin. In conclusion, a mass fraction of 50% of phosphate monomer is a limit to be added to self-etch primers; a more stable longevity of the bonds was obtained with the primer with 30% of phosphate methacrylate.

This study evaluated the influence of ethanol/water ratios on the bond strength to dentin of experimental two-step, self-etch adhesive systems. Self-etch primers were prepared with constant 40 mass % of solvents. The ethanol/water ratios tested were 7:1 (P1), 3:1 (P2), and 1:1 (P3); primers with only ethanol (PE) or water (PW) as solvent were also tested. The bond strength to the dentin was investigated through a microtensile bond strength test. Resin-dentin beam-shaped specimens were obtained and tested after 24 h, 6 months, and 1 year of storage in water at 37°C. The hybridization morphology was analyzed using SEM. For bond strength at 24 h, PE = P1, P1 = P2, and P2, P3 and PWPE. After 6 months, PE = P1P2, P3 and PW. After 1 year, no significant differences among the materials were detected. No significant differences among the periods were detected for PE. For P1, 24 h6 months = 1 year. For P2, P3 and PW, 24 h = 6 months1 year. For PE and P1, adhesive failures were predominant at 24 h, mixed or adhesive failures after 6 months, and premature debonding was predominant after 1 year. For P2, mixed failures were predominant at 24 h and 6 months, and premature debonding after 1 year. For P3 and PW, mixed failures were predominant at all storage periods. The SEM analysis revealed no clear differences in the hybridization patterns yielded by the water-based primers; PE showed formation of irregular resin tags.

In this study the influence of water concentration in self-etching (SE) primers on their aggressiveness and bond strength to ground enamel was investigated. Five experimental primers with 0, 5, 10, 20, or 40 wt% of water were formulated, using Clearfil SE Bond® (CSEB) as a commercial reference. Primers were applied to bovine incisors following application of bonding resin and composite restoration. Bond strength was evaluated through shear testing and data were statistically analyzed (5%). The etching aggressiveness was evaluated by SEM. Water concentration significantly affected bond strength and etching aggressiveness. The highest bond strength value (MPa) was found for the primer containing 20% of water (24.7), followed by CSEB (23.8). Groups containing 5% (20.5) and 10% (20.2) of water showed an intermediate performance, while the lowest values were observed for the 0% (17.3) and 40% (16.7) groups. SEM analysis showed increasing aggressiveness for increased water content.

Collares FM, Ogliari FA, Lima GS, Fontanella VRC, PivaE, Samuel SMW. Ytterbium trifluoride as a radiopaque agentfor dental cements. International Endodontic Journal, 43, 792–797, 2010. Aim To evaluate the radiopacity, degree of conversion(DC) and flexural strength of an experimental dentalcement, with several added radiopaque substances.Methodology Titanium dioxide, quartz, zirconia,bismuth oxide, barium sulphate and ytterbium triflu-oride were added to the experimental cement in fivedifferent concentrations. Radiopacity was evaluatedwith a phosphor plate system, and the radiodensity ofspecimens was compared with an aluminium step-wedge. DC was evaluated with FT-infrared spectroscopyfollowing 20 s of photo-activation. Specimens withdimensions of 12 · 2 · 2 mm were used for theflexural strength test. Data were analysed with two-way anova and Tukey’s post hoc test.Results Radiopacity of the experimental dentalcements with barium sulphate and bismuth oxide at40% and ytterbium fluoride at 30% and 40% showedno significant differences in comparison with 3 mm ofAl (181, 96).Conclusions The experimental dental cements withat least 30% added ytterbium trifluoride had satisfac-tory radiopacity without influencing other properties.Keywords: barium sulphate, bismuth oxide, dentalcement, radiopacity, root canal sealants, ytterbiumtrifluoride.

Despite the large number of published cases about oral and maxillofacial pediatric lesions, the literature is scarce on epidemiological studies regarding the prevalence of these entities. This study retrieved oral and maxillofacial pediatric lesions from the Center of Diagnosis of Oral Diseases (CDDB) at the Dental School of the Federal University of Pelotas (UFPEL), comprising a 20-year period (1983-2002). From the total of 9,465 biopsies received in this period, 625 (6.6%) were from children aged 0 to 14 years. Regardless of the histopathological diagnosis, patient data referring to lesion location, sex and age were collected. Diagnoses were grouped in 13 categories. As much as 89% of the cases occurred in patients aged 7 to 14 years (53% in females and 47% in males). Mucocele (17.2%) was the most common type of lesion, followed by dentigerous cyst (8.6%). In the category of odontogenic tumors, odontoma was the most frequent lesion (64.2%). Malignant lesions were observed in a small section of the sample (1.2%). Generally, the results of the present study are in line with those reported in the literature concerning the most prevalent lesions in the pediatric population. Most lesions were benign, and malignant lesions were diagnosed in a very small part of the sample.

Objectives The aim of this study was to synthesize an acidic monomer using an alternative synthetic pathway and to evaluate the influence of the acidic monomer concentration on the microtensile bond strength to dentin. Methods The intermediary 5-hydroxypentyl methacrylate (HPMA) was synthesized through methacrylic acid esterification with 1,5-pentanediol, catalyzed by p -toluenesulfonic acid. To displace the reaction balance, the water generated by esterification was removed by three different methods: anhydrous sodium sulfate; molecular sieves or azeotropic distillation. In the next step, a phosphorus pentoxide (4.82 mmol) slurry was formed in cold acetone and 29 mmol of HPMA was slowly added by funnel addition. After the reaction ended, solvent was evaporated and the product was characterized by 1 HNMR and FTIR. The phosphate monomer was introduced in a self-etch primer at concentrations of 0, 15, 30, 50, 70 and 100 wt%. Clearfil SE Bond was used as commercial reference. Microtensile bond strength to dentin was evaluated 24 h after the bonding procedures, followed by fracture analysis ( n = 20). Data was submitted to ANOVA and Tukey's post hoc test. Results The highest yield was obtained (62%) when azeotropic distillation was used, while the reaction with molecular sieves was not feasible. The phosphoric moiety attachment to the monomer was successfully performed with a quantitative yield that reached around 100%. The acidic monomer concentration significantly affected the bond strength and the highest mean (55.1 ± 12.8 MPa) was obtained when 50% of acidic monomer was used. Conclusion The synthesis pathways described in the present study appear to be a viable alternative for developing phosphate monomers.

SUMMARY Objective: The esthetics of the smile are related to the color, shape, texture, dental alignment, gingival contour, and the relationship of these with the face. Purpose: To present a two-year follow-up for an esthetic rehabilitation clinical case in which the method of digital smile design (DSD) was used to assist and improve diagnosis, communication, and predictability of treatment through an esthetic analysis of the assembly: face, smile, periodontal tissue, and teeth. Clinical Procedure: The smile's esthetics were improved through gingival recontouring, dental home bleaching, and a restorative procedure with thin porcelain laminate veneers using lithium disilicate glass-ceramic (e.max Ceram, Ivoclar-Vivadent) laminates on teeth 4 through 13. Discussion: The proposed technique had an acceptable clinical performance at the end of a two-year follow-up. Significance: DSD can be used to increase professional/patient communication and to provide greater predictability for the smile's esthetic rehabilitation.

a preocupacao com uma dieta cada vez mais saudavel tem aumentado o consumo de frutas e sucos a base de fruta, sendo que este fato se acentua nos paises tropicais. Os sucos de frutas in natura e industrializados estao entre as bebidas mais consumidas pelas criancas. Os nectares mistos de frutas representam uma das opcoes industrializadas destes sucos. Objetivo: avaliar in vitro o potencial erosivo dos nectares mistos de frutas industrializados destinados ao publico nfantil. Metodologia: Para a determinacao deste potencial erosivo in vitro foram selecionados nectares mistos de frutas industrializados destinados ao publico infantil atraves de analise de mercado. Os valores de pH e do conteudo acido titulavel foram analisados em cinco replicatas (n=5) de cada nectar misto de frutas selecionado. Resultados: todos as nectares mistos de frutas avaliados apresentaram pH abaixo do critico para desmineralizacao do esmalte e dentina, sendo que o sabor laranja (Kapo®; Coca Cola) apresentou a maior acidez e conteudo acido titulavel quando comparado aos demais (p

As discrepâncias de forma e tamanho dental sao alteracoes comuns da denticao humana que podem interferir de forma significativa na harmonia do sorriso. Assim, o objetivo deste artigo foi relatar o caso clinico de reabilitacao funcional e estetica de um adolescente portador de incisivos laterais superiores conoides na denticao mista. Este procedimento minimamente invasivo alem de ser passivel de ajustes posteriores, permite o perfeito controle da reabilitacao realizada e possibilita o restabelecimento simultâneo da estetica e auto-estima do paciente.

Submitted by Fabiano Malheiro (fabianomalheiro22@hotmail.com) on 2013-11-11T14:59:17Z No. of bitstreams: 1 Evandro Piva_21.pdf: 715414 bytes, checksum: e6782663ba385b106b8e843955cda2fd (MD5) Approved for entry into archive by Fabiano Malheiro(fabianomalheiro22@hotmail.com) on 2013-11-11T14:59:52Z (GMT) No. of bitstreams: 1 Evandro Piva_21.pdf: 715414 bytes, checksum: e6782663ba385b106b8e843955cda2fd (MD5) Made available in DSpace on 2013-11-11T14:59:52Z (GMT). No. of bitstreams: 1 Evandro Piva_21.pdf: 715414 bytes, checksum: e6782663ba385b106b8e843955cda2fd (MD5) Previous issue date: 2012 Abstract: We evaluated the effect of activation mode (immediate or delayed light activation vs. no light activation) on diametral tensile strength (DTS), elastic modulus, ultimate tensile strength (UTS), and degree of conversion (DC) in dual-cured resin cements. Three resin cements were evaluated: Enforce, RelyX ARC, and Panavia F. The mixed cements were inserted into circular molds for the DTS test and into dumbbell-shaped molds for the UTS test. Inside the molds, the cements were light-activated either immediately or after 5 min (delayed light activation). If no light activation was performed, the materials were protected from light exposure (control). The DTS and UTS tests were performed until fracture. The elastic modulus was calculated using data from the DTS test, and DC was evaluated 24 h after manipulation using near-infrared spectroscopy. Data for each variable were individually analyzed by two-way ANOVA and the post-hoc Tukey test (α = 0.05). Regarding DTS, activation mode influenced only Panavia F specimens, which had the lowest DTS values in the absence of light activation. Activation mode did not influence the elastic modulus or UTS of any resin cement evaluated. Immediate light activation yielded higher DC values as compared with the absence of light activation. (Journal of Oral Science 54, 261-266, 2012)