scholarly journals O desafio do restabelecimento de um sorriso antiestético por meio de prótese fixa metal-free

2019 ◽  
Vol 8 (1) ◽  
Author(s):  
Caroline de Freitas Jorge ◽  
Sandro Basso Bitencourt ◽  
Letícia Cerri Mazza ◽  
Marcio Campaner ◽  
Juliana Lujan Brunetto ◽  
...  

Para alcançar a estética em dentes anteriores deve-se ter conhecimento de diversas técnicas e principalmente fazer a escolha correta dos materiais. As cerâmicas odontológicas estão cada vez mais presentes nas restaurações, visto que possuem ótimas propriedades ópticas e mecânicas. Assim, o objetivo deste estudo foi proporcionar a estética em dentes anteriores com diferentes subtratos através de uma prótese fixa metal-free. Paciente do gênero masculino, 38 anos, procurou atendimento queixando-se da estética do seu sorriso. No exame clínico foi observada uma coroa total metalocerâmica no elemento 21 e facetas de resina composta nos elementos 11,12 e 22, todas com estética insatisfatória. O dente 21 apresentava um núcleo metálico fundido adequado e os dentes 12 e 22 com tratamentos endodônticos. Foi proposta a instalação de pinos de fibra de vidro nos dentes 12 e 22. Além, da confecção de coroas totais metais-free em dissilicato de lítio nos quatro incisivos superiores com o sistema e-max ceram. O resultado final estético e funcional foi aprovado pelo paciente e pelos profissionais envolvidos.Descritores: Estética Dentária; Cerâmica; Reabilitação Bucal.ReferênciasOkida RC, De Moura AP, Franco LM, Salomão FM, Rahal S, Machado LS, Okida DSS. A utilização do DSD (Digital Smile Design) para a otimização da estética dental. Rev Odontol Araçatuba 2017;38(3):9-14.Sabatini C. Color stability behavior of methacrylate-based resin composites polymerized with light-emitting diodes and quartz-tungsten-halogen. Oper Dent. 2015;40(3):71-81.Wang   X,  Huyang   G,  Palagummi   SV,  Liu  X, Skrtic D, Beauchamp C et al. High performance dental resin composites withhydrolytically stable monomers. Dent Mater. 2018;34(2):228-37.Yazici AR, Celik C, Dayangaç B, Ozgünaltay G. The effect of curing units and staining solutions on the color stability of resin composites. Oper Dent. 2007; 32(6):616-22.Aguiar EMG, Rodrigues RB, Lopes CCA, Silveira Júnior CD, Soares CJ, Novais VR. Diferentes sistemas cerâmicos na reabilitação oral: relato de caso clínico. Rev Odontol Bras Central. 2016;25(72):31-6.Mazaro JVQ, Zavanelli AC, Pellizzer EP, Verri FR, Falcón-Antennucci RM. Considerações clínicas para a restauração da região anterior com facetas laminadas. Rev Odontol Araçatuba. 2009;30(1):51-4.Vichi A, Louca C, Corciolani G, Ferrari M. Color related to ceramic and zirconia restorations: a review. Dent Mater. 2011;27(1):97-108.Rossato DM, Saade EG, Saad JRC, Porto-Neto ST. Coroas estéticas anteriores em cerâmica metal-free: relato de caso clínico. Rev Sul-Bras Odontol. 2010;7(4):494-98.Lanza MDS, Andreeta MRB, Pegoraro TA, Pegoraro LF, Carvalho RM. Influence of curing protocol and ceramic composition on the degree of conversion of resin cement. J Appl Oral Sci. 2017;25(6):700-7.Soares PFB, Siqueira JM, Carvalho VF, Bicalho AA, Soares CJ. Contenção interdentária empregando fibra de vidro e resina composta: Relato de caso e acompanhamento de 14 anos. Rev Odontol Bras Central. 2016;25(73):80-3.Martinez-Insua A, da Silva L, Rilo B, Santana U. Comparison of the fracture resistances of pulpless teeth restored with a cast post and core or carbon-fiber post with a composite core. J Prosthet Dent. 1998;80(5):527-32.Rocha IJPB, Silva LDR, de Santa Maria SL, Oliveira DP, Porfírio Z. Análise de dois métodos de desinfecção de condutos radiculares após preparo para pinos: proposta de protocolo protético: estudo in vitro. Rev Odontol UNESP. 2017;46(4):189-95.Dede DÖ, Ceylan G, Yilmaz B. Effect of brand and shade of resin cements on the final color of lithium disilicate ceramic. J Prosthet Dent. 2017;117(4):539-44.Lopes Cde C, Rodrigues RB, Silva AL, Simamoto Júnior PC, Soares CJ, Novais VR. Degree of conversion and mechanical properties of resin cements cured through different all-ceramic systems. Braz Dent J. 2015;26(5):484-89.Martins FV, Vasques WF, Fonseca EM. How the variations of the thickness in ceramic restorations of lithium disilicate and the use of different photopolymerizers influence the degree of conversion of the resin cements: a systematic review and meta‐analysis. J Prosthodont. 2019;28(1):e395-403.Turp V, Turkoglu P, Sen D. Influence of monolithic lithium disilicate and zirconia thickness on polymerization efficiency of dual‐cure resin cements. J Esthet Restor Dent. 2018;30(4):360-68.Tavarez RR, Gonçalves LM, Dias AP, Dias AC, Malheiros AS, Silva AC. An harmonic smile resulted from the use of ceramic prosthesis with zirconia structure: a case report. J Int Oral Health. 2014;6(3):90-2.Vaz EC, Vaz MM, de Torres ÉM, de Souza JB, Barata TDJE, Lopes LG. Resin cement: correspondence with try in paste and influence on the immediate final color of veneers. J Prosthodont. 2019;28(1):e74-81.Ladha K, Verma M. Conventional and contemporary luting cements: an overview. J Indian Prosthodont Soc. 2010;10(2):79-88.

2020 ◽  
Vol 18 ◽  
pp. 228080002091732 ◽  
Author(s):  
Fahad Alkhudhairy ◽  
Fahim Vohra ◽  
Mustafa Naseem ◽  
Mosa Mohammed Owais ◽  
Abdulmajeed H Bin Amer ◽  
...  

Aim: To compare the color stability and degree of conversion (DC) of a resin cement containing a dibenzoyl germanium derivative photo-initiator (Variolink Esthetic) to resin cements containing conventional luting agents. Materials and Method: Spectrophotometry and Fourier transform infrared spectroscopy (FTIR) were used to compare the color stability and DC, respectively, of Variolink Esthetic compared to Calibra, Variolink-N, and NX3 resin cements. Ten specimens (1 × 2 mm2) of each resin cement were photo-polymerized and then subjected to color stability assessments. In addition, 30 samples of each of the four resin cements were prepared and then immersed in three staining solutions (tea, coffee, and distilled water) for two weeks. Changes in color for the immersed versus non-immersed specimens (control specimens) were determined by comparing ΔL (lightness), Δa, and Δb (color components), and an overall ΔE (color difference) obtained from spectrophotometry assays. One-way analysis of variance and a multiple comparison test (Tukey’s test) were used to analyze color stability and DC data. NX3 and Variolink Esthetic resin cements exhibited significantly lower values compared to the dual cured resin cements (Variolink-N and Calibra). Results: The highest DC values were observed among the photo-polymerized samples of Variolink Esthetic (87.18 ± 2.90%), while the lowest DC values were observed among the Variolink-N samples (44.55 ± 4.33%). Conclusion: The resin cement, Variolink Esthetic, containing a novel dibenzoyl germanium derivative photo-initiator exhibited superior color stability ( p < 0.05) and a higher DC than other resin cements containing conventional luting agents in an in vitro setting.


2021 ◽  
Vol 21 (1) ◽  
Author(s):  
Linah M. Ashy ◽  
Adnan Al-Mutairi ◽  
Tariq Al-Otaibi ◽  
Lulwa Al-Turki

Abstract Background High-translucency monolithic zirconia were developed to combine the esthetics of all ceramic restorations with the strength properties of zirconia. The purpose of this study was to compare the color stability of high-translucency monolithic zirconia ceramics with lithium disilicate luted using light-cure versus dual-cure resin cements following thermocyclic aging. Methods Forty specimens, each composed of 10 × 10 × 1 mm ceramic slice luted to dentin surface of an extracted tooth, were prepared and assigned into four groups (n = 10) as follows; LiDi/LC: lithium disilicate luted by light-cure resin cement; LiDi/DC: lithium disilicate luted by dual-cure resin cement; Zr/LC: zirconia luted by light-cure resin cement; and Zr/DC: zirconia luted by dual-cure resin cement. Color analysis of the specimens was performed before and after 3000 thermal cycles by means of spectrophotometry. The CIE L*a*b* values of the specimens were measured, and data were analyzed statistically at a significance value of p < 0.05. Results Thermocycling resulted in a significant change in color coordinates of specimens with an overall ΔE = 3.59 ± 1.60, but there was no statistically significant difference in the color change value among all tested groups (P = 0.756). Conclusions At 1 mm restoration thickness, the color stability of high-translucency monolithic lithium disilicate and zirconia ceramics were not significantly different irrespective of the cement type used. Clinical implication Understanding the difference in color stability of dental ceramics may help in determining long-term esthetic result.


2019 ◽  
Vol 8 (8) ◽  
Author(s):  
Luiz Henrique Soares Torres ◽  
Luiza Monzoli Covre ◽  
Caio Pimenteira Uchôa ◽  
Déborah Laurindo Pereira Santos ◽  
Renato Torres Augusto Neto ◽  
...  

As resinas compostas fotopolimerizáveis têm tido cada vez mais indicações na odontologia restauradora devido às vantagens que apresentam. Porém variações na técnica de fotoativação, densidade de energia, intensidade da luz e tempo de irradiação podem gerar polimerização incompleta, o que pode resultar em uma resina composta com alta porosidade, pouca dureza, baixo polimento, alta capacidade de pigmentação ou efeitos tóxicos na polpa. Este estudo tem por objetivo analisar o efeito do tempo de polimerização na pigmentação extrínseca de três resinas compostas fotopolimerizáveis. Utilizando uma fonte de LED, foram confeccionados 180 espécimes de resina composta microhíbrida, nanohíbrida e nanoparticulada, com diferentes protocolos de polimerização. Os espécimes foram subdivididos em grupos de acordo com o agente pigmentante. Com o uso de um colorímetro, foram analisados quanto à mudança de cor (ΔE). Os dados foram submetidos ao teste ANOVA e Duncan (α=0,05). A resina composta microhíbrida apresentou os menores valores de ΔE em comparação à nanoparticulada e à nanohíbrida quando imersos em vinho. Quanto maior o tempo de polimerização menores valores de ΔE foram obtidos. Não somente o tempo de polimerização influencia no grau de pigmentação, mas também fatores intrínsecos às resinas compostas tais como carga, agente fotoiniciador e matriz orgânica.Descritores: Autocura de Resinas Dentárias; Materiais Dentários; Pigmentação.ReferênciasMatson MR, Matson AMFP. Avaliação do grau de conversão de resinas compostas quando ativadas por luz halógena: método convencional, alta potência e método “soft”. Rev Inst Ciênc Saúde. 2006;24(4):307-11.Delaviz Y, Finer Y, Santerre JP. Biodegradation of resin composites and adhesivesby oral bacteria and saliva: A rationale for new material designs that consider the clinical environment and treatment challenges. Dent Mater. 2014;30(1):16-32.Nahsan FPS, Ueda JK, Silva JO, Schimitt VL, Naufel FS, Formighieri LA et al. Estabilidade de cor de resina composta após imersão em café, água e solução de clorexidina. Rev Bras Pesq Saúde. 2009;11(2):13-7.Al  Kheraif  AA,  Qasim  SS,  Ramakrishnaiah  R,  Rehman  I.  Effect  of different beverages on the color stability and degree of conversion of nano and microhybrid composites. Dent Mater J. 2013;(32)2:326-31.Ceballos L, Fuentes MV, Tafalla H, Martínez A, Flores J, Rodríguez J. Curing effectiveness of resin composites at different exposure times using LED and halogen units. Med Oral Pathol Oral Cir Bucal 2009;14(1):e51-6.Rahiotis C, Patsouri K, Silikas N, Kakaboura A. Curing efficiency of high- intensity light-emitting diode (LED) devices. J Oral Sci.  2010; 52(2):187-95.Sgarbi SC, Pereira SK, Martins JMH, Oliveira MAC, Mazur RF. Degree of conversion of resin composites light activated by halogen light and led analyzed by ultraviolet spectrometry. Rev Clín Pesq Odontol. 2010;6(3):223-30.Caldarelli PG, Beltrani FC, Santos FA, Shibayama R, Hoepper  MG. Manchamento de uma resina composta e sua Relação com o efeito da intensidade da luz Emitida por aparelhos fotopolimerizadores de Lâmpada halôgena. Rev Fac Odontol Aracatuba. 2011;(32)2:44-8.Valentini F, Oliveira SGD, Guimarães GZ, Barbosa RPS, Moraes RR. Effect of surface sealant on the color stability of composite resin restorations. Braz Dent J. 2011;22(5):365-68.Freitas ABDA, Gomes HR, Guimarães FBR, Marinho VA, Barros LM. Influência do tipo de aparelho fotopolimerizador na absorção de água por restaurações de resina composta. Rev Inst Ciênc Saúde.  2008;(26)1:65-9.Porto ICCM, Soares LES, Martin AA, Cavalli V, Liporoni PCS. Influence of the photoinitiator system and light photoactivation units on the degree of conversion  of  dental  composites. Braz Oral Res. 2010;24(4):475-81.Pequeno JHP, Araújo GS, Neri JR, Bomfim AGM, Mendonça JS, Santiago SL. Efeito dos protocolos de fotoativação na dureza de uma resina composta nanoparticulada. ROBRAC. 2012;21(56):394-97.Uhl A, Mills RW, Rzanny AE, Jandt KD. Time dependence of composite shrinkage using halogen and LED light curing. Dent Mater. 2005;21(3):278-86.Eick JD, Kotha SP, Chappelow CC, Kilway KV, Giese GJ, Glaros AG et al. Properties of  silorane-based  dental resins and composites containing    a    stressreducing  monomer. Dent Mater. 2007;23(8):1011-17.Neumann MG, Schmitt CC, Ferreira GC, Correa IC. The initiating radical yields and the efficiency of polymerization for various dental photoinitiators excited by different lightcuring units. Dent Mater. 2006;22(6):576-84.Asmussen   E,  Peutzfeldt   A.   Influence   of   composition   on   rate   of polymerization contraction of light-curing resin composites. Acta Odontol Scand. 2002;60(3):146-50.Silva EH, Albuquerque RC, Lanza LD, Vieira GC, Peixoto RT, Alvim HH et al. Influence of different light sources on the conversion of composite resins. Indian J Dent Res. 2011;22(6):790-94.Souza E, Espíndola M, Diegoli NM, Kuroshima KN. Avaliação da alteração de cor de diferentes compósitos restauradores - influência de corantes usados na cavidade oral - estudo in vitro. RGO. 2006;54(1):43-6.Salvego RN, Dias RPB. Figueiredo JLG. Estabilidade de cor de resinas compostas no processo de manchamento e clareamento, Rev Dental Press Estét. 2013;10(3):54-62.Firoozmandi LM, Balducci I, Araújo MAM.  Influência da Fotopolimerização e da Cor da Resina Composta na Microdureza. Pesq Bras Odontoped Clín Integr. 2009;9(1):37-42.Anfe TEA, Agra CM, Vieira GF. Comparação de duas técnicas de fotoativação na sorção e solubilidade de resinas compostas em solução de etanol. J Biodent Biomater. 2011;1(1):61-7.Villalta P, Lu H, Okte Z, Garcia-Godoy F, Powers JM. Effects of staining and bleaching on color change of dental composite resins. J Prosthet Dent. 2006;95(2):137-42.Barghi N, Berry T, Hatton C. Evaluation intensity output of curing lights in private dental offices. J. am. dent. assoc. 1994;125(7):992-96.Santini A, Miletic V, Swift MD, Bradley M. Degree of conversion and microhardness of TPO-containing resin-based composites cured by polywave and monowave LED units. J Dent. 2012;40(7):577-84.


Author(s):  
Sumedha Dewan ◽  
Tarun Kalra ◽  
Manjit Kumar ◽  
Ajay Bansal ◽  
Abhishek Avasthi

Abstract Aim The purpose of this study was to compare and evaluate the flexural strength and modulus of elasticity of three adhesive luting cements as a function of specimen age, effect of storage media, and effect of curing through porcelain. Materials and Method Twenty samples fabricated for self-cure resin-modified glass ionomer cement (GIC; RelyX Luting 2, 3M ESPE, United States) were classified as group 1, whereas 40 samples fabricated for two dual-cure resin cements (20 samples each), Universal Resin Cement (Ammdent, Italy) and Maxcem Elite (Kerr Australia Pty. Ltd.), were classified as groups 2 and 3, respectively. The dual-cure cements were photo-activated using light cure unit with an intensity of 550 mW/cm2 in nine overlapping sections for 20 seconds per section on both sides. A total of 60 samples (20 samples in each group) were fabricated and tested using universal testing machine to compare flexural strength and modulus of elasticity of resin-modified GIC with two dual-cure adhesive resin cements, to determine the influence of storage of the specimens in artificial saliva at 37°C for 24 hours and to determine the influence of curing through porcelain disk of 2 mm thickness on these properties. Results The overall mean flexural strength and modulus of elasticity of resin-modified GIC was less than the dual-cure resin cements. The values reduced for resin-modified GIC when the samples were tested after 24 hours of storage in saliva, whereas an increase in the strength was seen for dual-cure cements. The curing through porcelain disk reduced the properties of dual-cure cements. Maxcem Elite showed better overall mean flexural strength and modulus of elasticity in all the parameters. Conclusion When comparing all three cements, both dual-cure cements showed better flexural strength and modulus of elasticity compared to resin-modified GIC, which indicates their use in cementation of fixed restorations.


2009 ◽  
Vol 10 (2) ◽  
pp. 51-58 ◽  
Author(s):  
Ahed M. Al-Wahadni ◽  
David L. Hussey ◽  
Nicholas Grey ◽  
Muhanad M. Hatamleh

Abstract Aim The aim of this study was to investigate the fracture resistance of two types of ceramic crowns cemented with two different cements. Methods and Materials Forty premolar crowns were fabricated using lithium-disilicate (IPS Empress-2) and glass-infiltrated aluminium-oxide (In-Ceram) ceramic systems. The crowns were divided into four groups (n=10) with Group 1 (IPS Empress-2) and Group 2 (In-Ceram) cemented with glass ionomer cement. Group 3 (IPS Empress-2) and Group 4 (In-Ceram) were cemented with resin cement. Crowns were tested in a universal testing machine at a compressive-load speed of 10 mm/min. Fracture modes were grouped into five categories. One way analysis of variance (ANOVA) and Bonferroni post-hoc tests were used to detect statistical significances (p<0.05). Results The mean (SD) fracture resistance (Newtons) for Groups 1 to 4 were: 245.35 (82.69), 390.48 (67.03), 269.69 (10.33), and 418.36 (26.24). The cement type had no statistical significant effect (p>0.05) on fracture resistance within each ceramic system tested. In-Ceram crowns cemented with either glass ionomer or resin cements exhibited a statistically significantly higher fracture-resistance than IPS Empress-2 crowns (p<0.05). Minimal fracture in the test crowns was the common mode exhibited. Conclusion Fracture resistance of IPS Empress-2 and In-Ceram crowns was not affected by the type of cement used for luting. Clinical Significance Both In-Ceram and IPS Empress-2 crowns can be successfully luted with the cements tested with In-Ceram exhibiting higher fracture resistance than IPS Empress-2. Citation Al-Wahadni AM, Hussey DL, Grey N, Hatamleh MM. Fracture Resistance of Aluminium Oxide and Lithium Disilicate-based Crowns using Different Luting Cements: An in vitro Study. J Contemp Dent Pract 2009 March; (10)2:051-058.


2016 ◽  
Vol 95 (13) ◽  
pp. 1487-1493 ◽  
Author(s):  
N. Hirose ◽  
R. Kitagawa ◽  
H. Kitagawa ◽  
H. Maezono ◽  
A. Mine ◽  
...  

An experimental cavity disinfectant (ACC) that is intended to be used for various direct and indirect restorations was prepared by adding an antibacterial monomer 12-methacryloyloxydodecylpyridinum bromide (MDPB) at 5% into 80% ethanol. The antibacterial effectiveness of ACC and its influences on the bonding abilities of resin cements were investigated. To examine the antibacterial activity of unpolymerized MDPB, the minimum inhibitory and bactericidal concentrations (MIC and MBC) were determined for Streptococcus mutans, Lactobacillus casei, Actinomyces naeslundii, Parvimonas micra, Enterococcus faecalis, Fusobacterium nucleatum, and Porphyromonas gingivalis. Antibacterial activities of ACC and the commercial cavity disinfectant containing 2% chlorhexidine and ethanol (CPS) were evaluated by agar disk diffusion tests through 7 bacterial species and by MIC and MBC measurement for S. mutans. The effects of ACC and CPS to kill bacteria in dentinal tubules were compared with an S. mutans–infected dentin model. Shear bond strength tests were used to examine the influences of ACC on the dentin-bonding abilities of a self-adhesive resin cement and a dual-cure resin cement used with a primer. Unpolymerized MDPB showed strong antibacterial activity against 7 oral bacteria. ACC produced inhibition zones against all bacterial species similar to CPS. For ACC and CPS, the MIC value for S. mutans was identical, and the MBC was similar with only a 1-step dilution difference (1:2). Treatment of infected dentin with ACC resulted in significantly greater bactericidal effects than CPS ( P < 0.05, analysis of variance and Tukey’s honest significant difference test). ACC showed no negative influences on the bonding abilities to dentin for both resin cements, while CPS reduced the bond strength of the self-adhesive resin cement ( P < 0.05). This study clarified that the experimental cavity disinfectant containing 5% MDPB is more effective in vitro than the commercially available chlorhexidine solution to eradicate bacteria in dentin, without causing any adverse influences on the bonding abilities of resinous luting cements.


2018 ◽  
Vol 43 (6) ◽  
pp. E280-E287 ◽  
Author(s):  
JS Shim ◽  
SH Han ◽  
N Jha ◽  
ST Hwang ◽  
W Ahn ◽  
...  

SUMMARY This study investigated the effects of irradiance and exposure duration on dual-cured resin cements irradiated through ceramic restorative materials. A single light-curing unit was calibrated to three different irradiances (500, 1000, and 1500 mW/cm2) and irradiated to three different attenuating materials (transparent acryl, lithium disilicate, zirconia) with 1-mm thicknesses for 20 or 60 seconds. The changes in irradiance and temperature were measured with a radiometer (or digital thermometer) under the attenuating materials. The degree of conversion (DC) of dual-cure resin cement after irradiation at different irradiances and exposure durations was measured with Fourier transform near infrared spectroscopy. Two-way analysis of variance revealed that irradiance (p&lt;0.001) and exposure duration (p&lt;0.001) significantly affected temperature and DC. All groups showed higher DCs with increased exposure times (p&lt;0.05), but there were no statistically significant differences between the groups irradiated with 1000 mW/cm2 and 1500 mW/cm2 (p&gt;0.05). Higher-intensity irradiances yielded higher temperatures (p&lt;0.05), but exposure time did not affect temperature when materials were irradiated at 500 mW/cm2 (p&gt;0.05).


2017 ◽  
Vol 15 (4) ◽  
pp. 258
Author(s):  
Marcelo Giannini ◽  
Andreia Assis Carvalho ◽  
Ariovaldo Stefani ◽  
Wladimir Franco de Sá Barbosa ◽  
Lawrence Gonzaga Lopes

Self-adhesive, dual-polymerizing resin cements require no treatment to the prepared tooth surfaces before cementation. Aim: The aim of this study was to evaluate the influence of curing mode on bond strength (BS) of three cementing systems to bovine dentin. Methods: The buccal enamel surfaces of 50 bovine incisors were removed to expose dentin and to flat the surface. The teeth were divided into five groups (n=10), which consisted of two resin cements (Multilink and Clearfil SA Cement) that were tested in dual- (halogen light for 40 s) and self-cured modes, and a control (RelyX ARC). Two cylinders of resin cements (1.0 mm X 0.75 mm) were prepared on each bonded dentin surface. After 24h at 37oC, resin cylinders were subjected to micro-shear testing in a universal testing machine (4411/Instron - 0.5 mm/min). Data were statistically analyzed by two-way ANOVA, Tukey and Dunnett`s test (5%). Results: Multilink showed higher BS than those observed on Clearfil SA. Light-curing resulted in higher BS for both Multilink and Clearfil SA. When Multilink was light-cured, no significant difference on BS was demonstrated between it and RelyX ARC. Conclusions: The highest BS values were obtained in control group and light-cured Multilink resin cement.


2021 ◽  
Vol 46 (1) ◽  
pp. 107-115
Author(s):  
DM De Paula ◽  
AD Loguercio ◽  
A Reis ◽  
S Sauro ◽  
AH Alves ◽  
...  

Clinical Relevance Use of zirconia primers with a low pH and a high acidic monomer concentration should be employed in combination with dual-cure resin cements that are less sensitive to an acidic environment. Primers with lower 10-MDP concentrations attain better outcomes. SUMMARY Objective: To assess the effects of different concentrations of 10-methacryloyloxydecyl dihydrogen phosphate (10-MDP) included in experimental ceramic primers on the degree of conversion (DC) and microshear bond strength (μSBS) of a dual-cure resin cement, and on the acidity neutralization potential of zirconia (ZrO2) in comparison to hydroxyapatite (HAp). Methods: Experimental ceramic primers were formulated using 5 wt%, 10 wt%, 20 wt%, or 40 wt% 10-MDP as an acidic functional monomer and camphorquinone (CQ)/amine or 1-phenyl-1,2-propanedione (PPD) as a photoinitiator system. Clearfil Ceramic Primer (Kuraray Dental, Tokyo, Japan) was used as the commercial control. Micro-Raman spectroscopy was used to assess the DC of uncured and light-cured resin cements applied onto primer-treated ZrO2 surfaces. The μSBS and pH of primers were assayed in a universal testing machine and by a digital pH meter (Tec-3MP; Tecnal, Piracicaba, Brazil), respectively. Statistical analysis was performed by one-way analysis of variance (ANOVA) and Tukey’s test (p&lt;0.05). Results: DC was not affected until a concentration of 10% 10-MDP in CQ primer and 5% 10-MDP in PPD primer was reached, when compared with the positive control (p&gt;0.05). Groups 10-MDP 5% in CQ and PPD primers showed the highest μSBS compared with the positive control (p&gt;0.05); however, higher concentrations of 10-MDP induced significant DC and μSBS reduction (p&lt;0.05). HAp neutralized 10-MDP primers, but ZrO2 provided higher acidity to the primers’ pH. Conclusion: 10-MDP monomer should be used in low concentrations in ZrO2 primers to avoid reduction of the polymerization and bond strength of resin cement.


Medicina ◽  
2019 ◽  
Vol 55 (11) ◽  
pp. 749 ◽  
Author(s):  
Satheesh B. Haralur ◽  
Noura Raqe S. Alqahtani ◽  
Fatimah Alhassan Mujayri

Background and aim: All-ceramic prosthesis is widely used in modern dental practice because of its improved physico-mechanical and optical properties. These restorations are exposed to coloring agents from various nutrition and beverages in the oral cavity. Long-term color stability is critical for the success of these restorative materials. The purpose of this in vitro study was to assess the effect of common beverages and mouthwash on the color stability of lithium disilicate (LD), monolithic zirconia (MZ) and bilayer zirconia (BZ) surfaces. Material and methods: Thirty disc-shaped specimens from each material were fabricated; each group was subdivided (n = 10) according to coffee, green tea and chlorhexidine immersion solutions. The baseline color of ceramic discs was recorded according to the CIE L*a*b* system with a portable spectrophotometer. The second measurement was recorded after 3000 thermocycling and immersion in coloring agents for 7 days. The mean color difference was calculated and data were compared with Kruskal-Wallis and Mann-Whitney post hoc tests (0.05). Results: ΔE values for LD with the immersion of coffee, tea, and Chlorhexidine gluconate (CHG) were 1.78, 2.241 and 1.58, respectively. Corresponding ΔE values for MZ were 5.60, 5.19, and 4.86; marginally higher than the clinically acceptable level of 3.5. Meanwhile, BZ showed better color stability compared to MZ with ΔE values of 4.22, 2.11 and 1.43. Conclusion: Among the ceramics evaluated, LD ceramic was found to be more color stable, while MZ ceramics displayed a higher susceptibility to discoloration. MZ and BZ ceramic colors were significantly altered with coffee immersion, while LD ceramics were more affected by green tea.


Sign in / Sign up

Export Citation Format

Share Document