RESUMEN

This research assessed the effects of pre-heating on the physical-mechanical-chemical properties of different resin composites. For this, resin composites were evaluated in 6 levels: Admira/ADM, Vitra/VIT, Filtek Supreme/FS, Filtek Supreme Flowable/FSF, Filtek One/FO, and Filtek Bulk Fill Flowable/FBF; temperature was evaluated in 4 levels using a composite heater: room temperature/22 ºC, 37 ºC, 54 ºC, and 68 ºC. Response variables were: degree of conversion/DC, flexural strength/FS and color stability/ΔE (immediately after light curing/LC, after 7 days of dark-dry-storage, and after 24 h and 3 days of artificial aging in water at 60 ºC). Data were subjected to 2-way ANOVA (DC and FR) and 3-way repeated measurements ANOVA (ΔE), all followed by Tukey's test (α = 5%). DC were similar (FBF, FS, and FSF) or increased (ADM, FO, and VIT) as the temperature increased. Results of FR were unchanged or increased for all composites except VIT and ADM. High-viscosity composites (VIT and FS) showed higher FR values than low-viscosity composite (FSF). For bulk-fill composites, FBF and FO showed similar results, but lower than high-viscosity composites. Results of color stability showed acceptable values up to 3 days aging except for ADM and FSF. ΔE was not influenced by pre-heating and, overall, ΔE: FS < VIT < FO < FSF < ADM < FBF. Only VIT and FS showed ΔE ≤ 3.3 (clinical threshold). Therefore, the effects of pre-heating depend on the material. The tested materials generally showed similar or enhanced properties after pre-heating (except ADM and VIT).

RESUMEN

INTRODUCTION: The degree of conversion (DC) of resin cements can be affected by ceramics, and by the type of resin cement. The purpose was to evaluate the influence of thickness and translucencies of lithium disilicate ceramic on the DC of resin cements: two light-cure (Variolink LC; NX3 LC) and one dual-cure (NX3 Dual). METHODS: IPS e.max Press ceramic (A2) discs were prepared in 4 thicknesses (0.3, 0.5, 1.0, and 1.5 mm) and in 3 translucencies: HT (high translucency), LT (low translucency), and MO (medium opacity). Subsequently, 234 samples of resin cement (5 x 1 mm) were light-cured through those ceramic discs. The DC was assessed by Fourier Transform Infrared Spectroscopy (FTIR). RESULTS: Ceramic thicknesses decreased DC of NX3 Dual through HT-1.0 and HT 1.5 (p=0.005). Between translucencies, only MO-0.3 affected Variolink LC DC (p=0.018). There was difference among light- and dual-cured resin cements (p=0.001). CONCLUSION: Increasing thickness and opacity lead to a decrease in the DC of all resin cements, with a significantly lower DC value in NX3 Dual (HT-1.0; HT-1.5), and in Variolink LC (MO- 0.3). Light- and dual-cured resin cements were different among each other. NX3 Dual achieved a significantly lower value than its counterpart NX3 LC.

Asunto(s)

RESUMEN

The present study analyzed the microhardness and degree of conversion of three Bulk Fill resins (M1 - Filtek Bulk Fill; M2 - Tetric N-Ceram Bulk Fill and M3 - Opus Bulk Fill) polymerized by single peak and polywave Light-emitting Diode Curing Lights. A total 90 test specimens (n=10) were obtained using a Teflon matrix for the purpose of testing microhardness; and for degree of conversion: 135 specimens (n=5) by using a 2 x 6 cm matrix. The specimens were light polymerized using 3 light sources (L1 - Optilight Max, L2 - Bluephase, L3 - VALO). They were kept in artificial saliva om an oven at 37±1°C during the experiment. The degree of conversion was measured by FTIR 24 h after obtaining each test specimen. The microhardness readouts were performed with a microdurometer at the time intervals of 48 hours (T0), 7 days (T1), 14 days (T2) and 21 days (T3). M1L3 was found to show the highest microhardness values in T2, and M1 showed the lowest degree of conversion in the deep third with L1. It was concluded that Filtek Bulk Fill resin showed the best results in comparison with the other resins.

El presente estudio analizó la microdureza y el grado de conversión de tres resinas Bulk Fill (M1 - Filtek Bulk Fill; M2 - Tetric N-Ceram Bulk Fill y M3 - Opus Bulk Fill) polimerizadas por lámparas de curado de diodo emisor de luz de pico único y polionda. Se obtuvieron un total de 90 especímenes de prueba (n=10) utilizando una matriz de teflón con el propósito de probar la microdureza; y para grado de conversión: 135 especímenes (n=5) utilizando una matriz de 2 x 6 cm. Las muestras se fotopolimerizaron utilizando 3 fuen- tes de luz (L1 - Optilight Max, L2 - Bluephase, L3 - VALO). Se mantuvieron en saliva artificial en estufa a 37 ±1°C durante el experimento. El grado de conversión se midió por FTIR 24 h después de obtener cada muestra de prueba. Las lecturas de microdureza se realizaron con un microdurómetro en los intervalos de tiempo de 48 horas (T0), 7 días (T1), 14 días (T2) y 21 días (T3). Se encontró que M1L3 mostraba los valores más altos de microdureza en T2, y M1 mostraba el grado más bajo de conversión en el tercio profundo con L1. Se concluyó que la resina Filtek Bulk Fill mostró los mejores resultados en comparación con las demás resinas.

RESUMEN

OBJECTIVE: Evaluate light transmittance (%T), color change (ΔE), degree of conversion (DC), bottom-to-top Knoop microhardness (KHN), flexural strength (BFS) and modulus (FM), water sorption/solubility (WS/SL) and calcium release of resin composites containing different dicalcium phosphate dihydrate (DCPD)-to-barium glass ratios (DCPD:BG) and DCPD particle sizes. METHODS: Ten resin-based composites (50 vol% inorganic fraction) were prepared using BG (0.4 µm) and DCPD particles (12 µm, 3 µm or mixture) with DCPD:BG of 1:3, 1:1 or 3:1. A composite without DCPD was used as a control. DC, KHN, %T and ΔE were determined in 2-mm thick specimens. BFS and FM were determined after 24 h. WS/SL was determined after 7 d. Calcium release was determined by coupled plasma optical emission spectroscopy. Data were analyzed by ANOVA/Tukey test (alpha: 0.05). RESULTS: %T was significantly reduced in composites with milled, compared to pristine DCPD (p < 0.001). ΔE > 3.3 were observed with DCPD:BG of 1:1 and 3:1 formulated with milled DCPD (p < 0.001). DC increased at 1:1 and 3:1 DCPD:BG (p < 0.001). All composites presented bottom-to-top KHN of at least 0.8. BFS was not affected by DCPD size but was strongly dependent on DCPD:BG (p < 0.001). Reductions in FM were observed with milled DCPD (p < 0.001). WS/SL increased with DCPD:BG (p < 0.001). At 3DCPD: 1BG, using small DCPD particles led to a 35 % increase in calcium release (p < 0.001). SIGNIFICANCE: A trade-off between strength and Ca2+ release was observed. In spite of its low strength, the formulation containing 3 DCPD: 1 glass and milled DCPD particles is preferred due to its superior Ca2+ release.

Asunto(s)

RESUMEN

Flowable bulk-fill resin-based composites (BF-RBCs) represent a new and interesting alternative for the bulk-fill restorative techniques in the posterior region. However, they comprise a heterogeneous group of materials, with important differences in composition and design. Therefore, the aim of the present systematic review was to compare the main properties of flowable BF-RBCs, including their composition, degree of monomer conversion (DC), polymerization shrinkage and shrinkage stress, as well as flexural strength. The search was conducted following PRISMA guidelines in the Medline (PubMed), Scopus and Web of Science databases. In vitro articles reporting on the DC, polymerization shrinkage/shrinkage stress, and flexural strength of flowable BF-RBCs strength were included. The QUIN risk-of-bias (RoB) tool was used for assessing the study quality. From initially 684 found articles, 53 were included. Values for DC ranged between 19.41 and 93.71%, whereas polymerization shrinkage varied between 1.26 and 10.45%. Polymerization shrinkage stresses reported by most studies ranged between 2 and 3 MPa. Flexural strength was above 80 MPa for most materials. A moderate RoB was observed in most studies. Flowable BF-RBCs meet the requirements to be indicated for bulk fill restoration technique in the posterior region. However, important variations among composition and properties hinder extrapolation of the results to materials different from those reported here. Clinical studies are urgently required to assess their performance under a real working scenario.

RESUMEN

This study evaluated selected structural and physical properties, such as degree of conversion (DC), Vickers hardness (VHN), and compression strength (CS), of three new dual-cure bulk-fill resin-based composites (RBCs; ACTIVA, HyperFIL, and Fill-Up) and compared them to those of a conventional RBC (Filtek Z250) at three clinically relevant depths. Samples (n=180) were prepared in three depths (2,4, and 6mm). Fourier-transform infrared spectroscopy (FTIR) analysis and VHN and CS tests were performed. The DC value was calculated by considering the relative change in the aliphatic C=C peaks. The fractured surfaces of representative samples were characterized using scanning electron microscopy (SEM). Data were statistically evaluated using two-way analysis of variance and post hoc Bonferroni tests (p<0.05). According to the VHN results, Filtek Z250 showed the highest bottom/top hardness ratio (97.94±1.01) at 2mm thickness and ACTIVA showed the lowest bottom/top hardness ratio (43.48±5.64) at 6mm thickness (p<0.001). According to the FTIR results, the DC decreased with increasing thickness in all materials (p<0.05). Filtek Z250 showed the highest (301±12.4 MPa) and ACTIVA exhibited the lowest (232±17.2 MPa) CS values at 2mm thickness (p<0.05). The lowest CS values were obtained for ACTIVA, and the highest values were obtained for Filtek Z250 for samples with thicknesses of 4 and 6mm, respectively (p<0.05). The structural features of restorative composites, such as the resin chemistry and filler type and content, and the operational parameters (i.e., material thickness and curing conditions) strongly affect crosslinking reactions and thus the DC, VHN, and CS values.

Este estudio evaluó propiedades físicas y estructurales, como el grado de conversión (DC), la dureza Vickers (VHN) y la resistencia a la compresión (CS), de tres nuevos compósitos a base de resina de curado dual tipo bulk (RBC; ACTIVA , HyperFIL y Fill-Up) y los comparó con los de una resina compuesta convencional (Filtek Z250) en tres profundidades clínicamente relevantes. Se prepararon muestras (n=180) en tres profundidades (2,4 y 6mm). Se realizaron análisis de espectroscopia infrarroja por transformada de Fourier (FTIR) y pruebas VHN y CS. El valor de DC se calculó considerando el cambio relativo en los picos alifáticos C=C. Las superficies fracturadas de muestras representativas se caracterizaron mediante microscopía electrónica de barrido (MEB). Los datos se evaluaron estadísticamente mediante análisis de varianza de dos vías y pruebas post hoc de Bonferroni (p<0,05). De acuerdo con los resultados de VHN, Filtek Z250 mostró la relación de dureza inferior/superior más alta (97,94±1,01) con un espesor de 2mm y ACTIVA mostró la relación de dureza inferior/superior más baja (43,48±5,64) con un espesor de 6mm (p<0,001). De acuerdo con los resultados de FTIR, la DC disminuyó al aumentar el espesor en todos los materiales (p<0,05). Filtek Z250 mostró los valores de CS más altos (301±12,4 MPa) y ACTIVA los más bajos (232±17,2 MPa) a 2mm de espesor (p<0,05). Los valores más bajos de CS se obtuvieron para ACTIVA y los valores más altos para Filtek Z250 para muestras con espesores de 4 y 6mm, respectivamente (p<0,05). Las características estructurales de las resinas compuestas de restauración, como la química; además del tipo y contenido del relleno, y los parámetros operativos (es decir, el espesor del material y las condiciones de curado) afectan en gran medida las reacciones de interacción química y, por lo tanto, los valores de DC, VHN y CS.

Asunto(s)

RESUMEN

The study verified the influence of calcium orthophosphate (CaP):glass ratio on the degree of conversion and mechanical properties of resin-based composites containing either TEGDMA-functionalized dicalcium phosphate anhydrous (DCPA) or non-functionalized DCPA particles. The null hypotheses were that the evaluated variables are not affected by (1) CaP:glass ratio or (2) DCPA functionalization. DCPA particles were synthesized and half of them were functionalized with TEGDMA. Particle characterization included x-ray diffraction, elemental analysis, laser scattering, helium picnometry and scanning electron microscopy. Two series of composites were prepared containing either DCPA-NF (non-functionalized) or DCPA-F (functionalized), with total inorganic content of 50 vol % and DCPA:silanized barium glass (BG) ratios from 10:40 to 50:0. A composite containing 50 vol % BG was tested as control. DC was determined using FTIR spectroscopy. Biaxial flexural strength and modulus were tested after 24 h in water. Data were analyzed using Kruskal-Wallis/Dunn (flexural properties) or analysis of variance/Tukey tests (DC). Materials with similar actual DCPA contents were compared using Student's t test (alpha: 0.05). DC was higher for materials with DCPA-F, except for the 10:40 ratio. DCPA-F resulted in higher strength than DCPA-NF only at 40:10 ratio. Modulus was not affected by functionalization. Materials with similar actual DCPA contents showed differences in DC (F > NF), while no difference in flexural properties was observed between materials with 28%-30% DCPA. Both null hypotheses were rejected.

Asunto(s)

RESUMEN

Resin-based composites (RBCs) have transformed restorative dentistry and its procedures. However, the characteristics of RBCs have been modified over the years to enhance the physical and chemical properties of the materials. This context raises the need for studies that evaluate whether the properties of the RBCs that are commercially available are clinically adequate with different curing modes. This study aimed to evaluate the mechanical behavior of commercial RBCs after undergoing different curing modes. Twenty-three RBCs of different classes were evaluated. For curing the specimens, a microwave (BMS45, Brastemp) (for 3 min at 450 W) and three LED units were used: an Emitter A Fit (Schuster (second generation)) (light-curing for 15 s with an irradiance of 1250 mW/cm2), VALO (Ultradent (third generation)) (light-curing for 15 s with an irradiance of 1100 mW/cm2), and Emitter Now Duo (Schuster (second generation)) (light-curing for 15 s with an irradiance of 1100 mW/cm2). A total of 670 RBC specimens of 8 mm in diameter and 1 mm in depth were obtained. Afterward, a biaxial flexure strength test was performed until the failure of the specimens, using a universal testing machine set at a speed of 0.5 mm/min. The same specimens were subjected to infrared spectroscopy for evaluating the degree of conversion. Tukey's test was used for multiple comparisons at a significance level of 5%. The light-curing mode did not affect the flexure strength of the RBCs (p > 0.05), but the type and shade of RBCs did so (p < 0.05). In conclusion, the type of RBC directly interferes with the mechanical behavior of the material. However, the curing modes within the same RBC did not change the mechanical properties.

RESUMEN

Abstract This study investigated the effect of butylated hydroxytoluene (BHT) inhibitor on degree of conversion (DC), flexural strength (FS), flexural modulus (FM), Knoop microhardness (KH), microhardness reduction (HR), and consistency of experimental resin composites at different BHT concentrations: C0 (control-0%); C0.01 (0.01%); C0.025 (0.025%); C0.05 (0.05%); C0.1 (0.1%); and C0.5 (0.5%). For the consistency, the composites were tested immediately after being exposed to a dental chair headlight (0, 20, 40 and 60 s). Data concerning DC, FS, FM, KH, and HR were submitted to one-way ANOVA, while the consistency data was submitted to 2-way ANOVA; mean values were then compared (Tukey's test; α=0.05). The KH, FS and FM analyses showed no significant difference among the composites tested. For DC, C0 showed the highest mean value (74.2%) and differed only from C0.5 (67.2%). For HR, C0.5 showed the lowest mean (13.09%) value and differed from C0 (26.4%) and C0.01 (24.87). The consistency analysis showed no difference among C0.05, C0.1 and C0.5, considering 0 and 20 s of light exposure, while C0 (14.07 mm), C0.01 (13.97 mm), and C0.025 (14.18 mm) showed higher mean values at 0 s when compared to 20 s (12.67, 12.77 and 13.05 mm, respectivelly). Polymerization occurred within 40 s of light exposure for C0, C0.01, C0.025, and C0.05 and within 60 s for C0.1. In conclusion, the BHT concentrations had no significant influence on FS, FM and KH. The higher the BHT concentration, the longer was its handling time under light, with a significant improvement in the HR, but a decrease in DC. Therefore, BHT at 0.1% showed the best outcomes concerning all the BHT concentrations tested.

Resumo O objetivo foi investigar o efeito do inibidor de polimerização BHT no grau de conversão (GC), resistência à flexão (RF), módulo de flexão (MF), microdureza Knoop (KH) e redução da microdureza (RKH), e consistência de um compósito experimental contendo diferentes concentrações de BHT (% em peso): C0 - controle (0%); C0,01 (0,01%); C0,025 (0,025%); C0,05 (0,05%); C0,1 (0,1%); e C0,5 (0,5%). Para o teste de consistência, os compósitos foram testados imediatamente após serem expostos à luz de um refletor odontológico por 0, 20, 40 e 60 s. Os dados relativos a GC, RF, MF, KH e RKH foram submetidos a one-way ANOVA, enquanto os dados de consistência foram submetidos a two-way ANOVA; os valores médios foram comparados (teste de Tukey; α = 0,05). As análises de KH, RF e MF não mostraram diferença significativa entre os compósitos testados. Para GC, C0 apresentou o maior valor médio e diferiu apenas de C0,5. Para a RKH, C0,5 apresentou o menor valor médio e diferiu de C0 e C0,01. A análise de consistência não mostrou diferença entre C0,05, C0,1 e C0,5, considerando-se 0 e 20 s de exposição à luz, enquanto C0, C0,01 e C0,025 apresentaram maiores valores médios a 0 s quando comparados a 20 s. A polimerização ocorreu dentro de 40 s de exposição à luz para C0, C0.01, C0.025 e C0.05 e dentro de 60 s para C0.1. Em conclusão, as concentrações de BHT não tiveram influência significativa sobre RF, MF e KH. Quanto maior a concentração de BHT, maior o tempo de manuseio sob luz, com melhora significativa da RKH, mas diminuição da GC. Portanto, o compósito contendo 0,1 % de BHT apresentou os melhores resultados entre as demais concentrações testadas.

RESUMEN

OBJECTIVES: To investigate the transdentinal cytotoxicity (TC), degree of conversion (DC), and micro shear bond strength (µSBS) to dentin of light-cured resin cements (LCRCs) photoactivated directly or through a ceramic veneer( ± CV). MATERIALS AND METHODS: The TC was assessed using human dentin discs adapted into artificial pulp chambers. Odontoblast-like cells were seeded on the pulp surface of the discs, then three LCRCs( ± CV) were applied on their etched and hybridized occlusal surface (n = 8/group). The adhesive systems of each LCRCs and sterile phosphate-buffered saline were used as positive and negative controls, respectively. After 24 h, the viability and morphology of cells adhered on discs were assessed. The extracts (culture medium + components of the materials diffused through the discs) were applied on the MDPC-23 to evaluate their viability, adhesion/spreading (A/S), alkaline phosphatase activity (ALP), and mineralized nodule formation (MN). LCRCs( ± CV) specimens were evaluated concerning the DC and µSBS to dentin. Data were analyzed by one-, two-, or three-way ANOVA/Dunnett, Sidak, and Games-Howell tests (α = 5%). RESULTS: All LCRCs( ± CV) reduced cell viability, A/S, ALP, MN, and DC. Except for µSBS, the intensity of reduction was dependent on the LCRC used. LCRCs+CV resulted in lower DC and µSBS but did not increase the TC. SIGNIFICANCE: Besides the presence of CV between the light source and LCRCs reduces the degree of conversion and bond strength to dentin, these materials cause variable level of transdentinal toxicity to pulp cells. Thus, the composition and curing protocols of LCRCs should be revisited and reinforced to prevent mechanical and biological drawbacks.

Asunto(s)

RESUMEN

This study aimed at evaluating the influence of glass-fiber post (GFP) relining with composites of different opacities on resin cement layer thickness (CLT), bond strength (BS) to root dentin, and resin cement degree of conversion (DC%). Standardized roots of 52 bovine incisors had their canals prepared and were distributed into 4 groups (n = 10 for CLT and BS; n = 3 for DC%) according to the post used: WP3 (Control)-Whitepost DC3; groups DE, EN and TR-Whitepost DC0.5 relined, respectively, with dentin, enamel, and translucent shade composites. After cementation, specimens were sectioned into six 1.0 mm-thick discs that were submitted to push-out BS test. CLT and failure pattern were evaluated using a stereomicroscope and DC% by micro-Raman spectroscopy. Data were analyzed by two-way ANOVA and Tukey test (α = 0.05). The control group showed greater CLT than all relined groups (p < 0.05), which did not differ from each other (p > 0.05). Groups relined with low opacity composites (TR; EN) showed the highest BS and DC% means (p < 0.05). BS was not different among root thirds (p > 0.05), while DC% decreased from cervical to apical third (p < 0.05). Adhesive failures between cement and dentin were predominant, except for group DE with frequent mixed failures. It could be concluded that composite opacity did not influence CLT, which was thinner when GFP were relined and that relining GFP with lower opacity composites led to higher BS and DC%.

Asunto(s)

RESUMEN

Aim: This study aimed to evaluate the effect of polymerization with either a monowave (MW) or a polywave (PW) light-curing unit (LCU) on the degree of conversion (DC) and marginal adaptation following thermomechanical aging of an ormocer bulk-fill resin composite (RC) (Admira fusion X-tra Bulk Fill - AB), a methacrylate-based bulk-fill RC (Tetric N-Ceram Bulk Fill - TB) and a conventional RC (Tetric N-Ceram - TC). Methods: DC was assessed in five samples of each RC using Fourier transform infrared spectroscopy. For determination of marginal adaptation, standard preparations were made in 60 bovine incisors, divided into three groups, according to the RC. The bulk-fill RC was inserted in a single increment of 4 mm. In contrast, the conventional RC was inserted in three increments. Marginal gap was evaluated after thermomechanical aging. Data were analyzed using a two-way analysis of variance (ANOVA) and Tukey's tests for multiple comparisons (α = 0.05). Results: The two-way ANOVA showed a significant effect (p<.05) of the RC factor but not of the LCU factor. The Tukey test showed that TB had the significantly lowest DC followed by TC, and with AB having the significantly highest DC. For the marginal adaptation, a significant effect was found for the LCU factor and the for the interaction RC × LCU (p<.05). Groups light-cured with PW showed significantly wider marginal gaps than MW. TC presented wider marginal gaps (17.36 µm) when cured with PW than when cured with MW (13.05 µm). The two bulk-fill RC resulted in similar marginal gap formation to each other. Conclusion: The ormocer-based bulk-fill RC showed a higher DC than the methacrylate-based bulk-fill RC but similar marginal adaptation. The LCU, MW or PW, had no significant influence on the DC, and no relevance on the marginal adaptation.

RESUMEN

OBJECTIVE: To propose monomer formulations that show an optimal degree of conversion as a function of depth for bulk-fill applications. METHODS: Four resin blends were formulated with methacrylate-based monomers: BisGMA + TEGDMA (control); BisEMA + BisGMA + TEGDMA (BisEMA-based); UDMA + BisGMA + TEGDMA (UDMA-based) and BisEMA + UDMA + BisGMA + TEGDMA (BisEMA + UDMA-based). For each material, a photoinitiating system and silanized filler particles were added. The rheological analyses were performed with a rotational rheometer using the cone/plate geometry. CIELab coordinates were assessed over black and white backgrounds using a bench spectrophotometer (SP60, X-Rite) to calculate the translucency parameter (TP) for samples with 0.5, 4, and 6 mm thickness. The degree of CC conversion (DC) was determined by infrared spectroscopy (FTIR/ATR) at 0.05 mm (top), 4, and 6 mm depths (bottom), and the bottom-to-top ratio was considered. A broad spectrum-based LED was used for light activation. Analysis of variance and Tukey's test (95%) were performed on the results. RESULTS: The materials tested showed pseudoplastic and thixotropic behavior and a predominance of viscous effects over elastics. The control resin yielded the lowest viscosity for the entire shear rate investigated, followed by the BisEMA-based, BisEMA + UDMA-based, and UDMA-based group, which had the highest viscosity. The UDMA-based material showed the lowest TP as a function of thickness. Both the materials' formulations and depths significantly influenced the DC. The UDMA-based group promoted the highest DC ​​on the top (71 ± 1%) and 4 mm depth (68 ± 1%) but exhibited lower bottom-to-top DC ratio. The BisEMA + UDMA-based material promoted the highest bottom-to-top DC ratio at 4 mm (99%) and 6 mm (97%). SIGNIFICANCE: The resin matrix interferes in the rheological behavior, translucency parameter, and polymerization capacity as a function of depth. The material formulated with the addition of UDMA and BisEMA demonstrated the highest curing potential as a function of depth and can be useful for bulk-fill applications.

Asunto(s)

RESUMEN

To evaluate the effect of three adhesive systems applied under electric current on microtensile bond strength (µTBS) and degree of conversion (DC). Molar teeth were restored with the aid of three adhesive systems (Adper Single Bond 2-SB2; Clearfil SE Bond-CSE; and Single Bond Universal-SBU) under different electric current intensities (0 µA; 25 µA; and 50 µA). Composite resin blocks were built up in increments (2 mm) and sectioned into 1 × 1 mm beams. The µTBS was tested after 24 h and 1 y distilled water storages. Samples (n = 10) from 24 h to 1 y storages were immersed in a 50% ammoniacal silver nitrate solution and submitted to scanning electron microscopy. The silver nitrate in the hybrid layer was quantified (ImageJ software). The adhesive systems' dentinal infiltration was analyzed using confocal laser scanning microscopy. Fourier transform near infrared spectroscopy was used to measure the DC. The µTBS data were submitted to two-way ANOVA (time vs. electric current) and Bonferroni's test (α = 0.05). Quantitative nanoleakage data were submitted to two-way ANOVA (electric current vs. adhesive) and Bonferroni's test (α = 0.05). DC data were submitted to one-way ANOVA and Tukey's test (α = 0.05) for each adhesive system. The electric current statistically increased the µTBS for SB2 and CSE in 24 h storage, as well as for SB2, CSE and SBU in 1 y storage. No significant difference was observed between storage time for CSE and SBU. When compared to the control, electric currents (25 µA and 50 µA) showed significantly higher DC mean values for SB2 and SBU, and had no effect on CSE. The electric currents (25 µA and 50 µA) reduced the adhesive system's nanoleakage after 1-year storage, and improved the infiltration of SB2 and CSE. Both electric current intensities improved dentinal interface stability.

Asunto(s)

RESUMEN

OBJECTIVES: The aim of this study was to evaluate the degree of conversion and bond strength of a commercial dental adhesive modified by the incorporation of quercetin, resveratrol (RES), and Brazilian red propolis (BRP). METHODS: BRP markers were identified using ultra-performance liquid chromatography coupled with a diode array detector, and the antioxidant activity (AAO) of the three substances was analyzed. Single Bond 2 adhesive (3M ESPE) was modified by adding BRP, quercetin, and RES, separately, at 20 µg/mL, 250 µg/mL, and 500 µg/mL, respectively. The degree of conversion (DC) was measured using near-infrared spectroscopy 24 h after photopolymerization. Measurements of the resin-dentin microtensile bond strength (µTBS) were carried out after 1 day and 1 year. Student's t test and ANOVA with Tukey's test were used for data analysis (α = 0.05). RESULTS: The markers daidzein, liquiritigenin, pinobanksin, isoliquiritigenin, formononetin, pinocembrin, and biochanin A were found in the ethanolic extract of BRP. Quercetin, RES, and BRP showed high AAO. The DC of the tested adhesives remained adequate for this category of material, with a slight increase in the DC of adhesives with quercetin and BRP (P > 0.05). Comparisons between µTBS measurements made at 1 day and 1 year showed that, contrary to the control group, µTBS values for all modified adhesives were maintained after 1 year in distilled water (P > 0.05). CONCLUSIONS: These findings suggest that quercetin, RES, or BRP might be useful in adhesive dentistry to help improve hybrid layer resistance. CLINICAL SIGNIFICANCE: Dentin bonding agents with quercetin, RES, and BRP have potential to increase the longevity of composite restorations.

RESUMEN

Abstract The objective of this study was to evaluate the effect of the exposure reciprocity law of a multi-wave light-emitting diode (LED) on the light transmittance (LT), depth of cure (DOC) and degree of conversion in-depth (DC) of a bulk fill composite. A bulk fill composite (EvoCeram® bulk fill, Ivoclar Vivadent) was photoactivated using the multi-wave LED (VALO™ Cordless, Ultradent). The LED was previously characterized using a spectrophotometer to standardize the time of exposure when using the Standard or Xtra-Power modes with the same radiant exposure of 20J/cm2. LT was evaluated through samples of the bulk fill composite every millimeter till 4 mm in-depth. DOC was evaluated according to the ISO 4049. DC of the central longitudinal cross-section from each sample of the DOC test was mapped using FT-NIR microscopy. Data were statistically analyzed according to the experimental design (α=0.05; ß=0.2). The radiant exposure in the violet wavelength range for Standard and Xtra-Power was 4.5 and 5.0 J/cm2, respectively; for the blue wavelength range the radiant exposure for Standard and Xtra-Power was 15.5 and 15.0 J/cm2, respectively. There was no statistical difference in the DOC using Standard or Xtra-Power light-curing modes, but the DOC was lower than the claimed by the manufacturer (4 mm). The DC was not significantly affected by the light-curing mode up to 4 mm in depth (p>0.05). According to exposure reciprocity law, the reduction in exposure time using the same radiant exposure did not affect the depth of cure of the bulk fill composite.

Resumo O objetivo deste estudo foi avaliar o efeito da lei de reciprocidade de um diodo emissor de luz (LED) multi-wave na transmitância de luz (LT), profundidade de cura (DOC) e grau de conversão em profundidade (DC) de um compósito bulk fill. Material e Métodos: Um compósito bulk fill (EvoCeram®, Ivoclar Vivadent) foi fotoativado utilizando um LED multi-wave (VALO ™ Cordless, Ultradent). O LED foi previamente caracterizado usando um espectrofotômetro para padronizar o tempo de exposição utilizando os modos Standard ou Xtra-Power com a mesma dose de energia de 20 J/cm 2. A LT foi avaliada através de amostras do compósito bulk fill a cada milímetro até 4 mm de profundidade. O DOC foi avaliado de acordo com a ISO 4049. O DC foi realizado em forma de mapeamento da seção transversal longitudinal central de cada amostra do teste de DOC utilizando microscopia FT-NIR. Os dados foram analisados estatisticamente de acordo com o delineamento experimental (α=0,05; ß=0,2). A exposição radiante na faixa de comprimento de onda violeta para os modos Standard e Xtra-Power foi de 4,5 e 5,0 J/cm2, respectivamente; e para a faixa de comprimento de onda azul, a exposição radiante para os modos Standard e Xtra-Power foi de 15,5 e 15,0 J/cm2, respectivamente. Não houve diferença estatística no DOC utilizando os modos de fotopolimerização Standard ou Xtra-Power, mas o DOC foi menor do que o reivindicado pelo fabricante (4 mm). O DC não foi afetado significativamente pelo modo de fotopolimerização até 4 mm de profundidade (p>0,05). De acordo com a lei de reciprocidade da exposição, a redução no tempo de exposição utilizando a mesma exposição radiante não afetou a profundidade de cura do compósito bulk fill.

Asunto(s)

RESUMEN

Abstract This study investigated the effects of oxygen inhibition and finishing/polishing procedures on the composite resin properties. One bulk-fill and two conventional composite resins (nanoparticle and microhybrid) were evaluated. Specimens were prepared using 4 surface treatments: control, no treatment; Gly, oxygen inhibition with glycerin; FP, finishing and polishing; Gly + FP, glycerin followed by finishing and polishing. The degree of conversion (DC) was measured using Fourier Transformed Infrared Spectroscopy (FTIR) immediately and after 15 days (n=5). Color stability (ΔEab, and ΔE00) and opacity were evaluated using a spectrophotometer after 15 days of immersion in coffee, using the CIELAB system (n=5). Data were analyzed by two-way ANOVA and Tukey tests (α=0.05) and opacity by two-way repeated-measures ANOVA. Glycerin usage increased significantly the DC however had no influence on the ΔEab, ΔE00 and, opacity values. Finishing and polishing reduced ΔEab and ΔE00 values, regardless of composite resins. Microhybrid showed higher opacity, followed by the nanoparticle and bulk fill, regardless of surface treatment. Post-polymerization polishing procedures resulted in lower conversion than using an oxygen inhibitor agent (Gly condition), but similar staining caused by coffee.

Resumo Este estudo investigou os efeitos da inibição de oxigênio e dos procedimentos de acabamento/polimento nas propriedades das resinas compostas. Foram avaliadas uma resina composta bulk fill e duas resinas convencionais (nanoparticulada e microhíbrida). Os espécimes foram confeccionados, variando o tratamento de superfície: controle, sem tratamento; glicerina (inibidor de oxigênio); acabamento e polimento; glicerina + acabamento e polimento. O grau de conversão (GC) foi medido pela Espectroscopia de Infravermelho Transformada de Fourier (FTIR) imediatamente e após 15 dias da confecção dos espécimes (n=5). Os índices de alteração de cor ΔEab, ΔE00 e opacidade foram avaliados por meio de espectrofotômetro, após 15 dias de imersão no café, utilizando o sistema CIELAB (n=5). Os dados da alteração da cor foram analisados pelos testes ANOVA de dois fatores e Tukey (α=0,05) e a opacidade por ANOVA de medidas repetidas. O uso de glicerina aumentou significativamente o GC, no entanto, não teve influência sobre os valores ΔEab e ΔE00. O acabamento e o polimento reduziram os valores de ΔEab e ΔE00, independentemente da resina composta. A resina microhíbrida apresentou maior opacidade, seguida pela nanoparticula e bulk-fill, independentemente do tratamento de superfície. O acabamento e polimento resultou em menor grau de conversão das resinas compostas se comparado ao uso de um agente inibidor de oxigênio (glicerina), porém apresenta resultados similares para a pigmentação pelo café.

Asunto(s)

RESUMEN

The aim of this paper was to evaluate the physical properties and the long-term bond strength of a 2.5% polyphenol-enriched extract of Arrabidaea chica (AC) incorporated into both the phosphoric acid and the primer of a three-step total-etch adhesive, or into an aqueous solution as a dentin pretreatment. Fifty dentin surfaces received the treatments (n = 10): CON (control) - application of the three-step adhesive system (Adper Scotchbond Multipurpose, 3M ESPE); WAT - distilled water used as a pretreatment after dentin etching and before application of the adhesive system; ACPA - AC incorporated into the phosphoric acid; ACW - dentin pre-treatment with AC incorporated into an aqueous solution after etching; ACP - AC incorporated into the primer. Microtensile bond strength tests were performed after 24 h, 6 and 12 months of storage. Slices from the resin-dentin interface were obtained for scanning electron microscopy analysis of the hybrid layer. Degree of conversion of AC incorporated into the primer was evaluated. The particle size, polydispersity index and zeta potential of all the solutions prepared by incorporating AC (phosphoric acid, primer and distilled water) were measured by dynamic light scattering, which brought about changes after incorporation. Degree of conversion of the primer was not affected after incorporating AC. ACP showed lower microtensile bond strength values than the other groups. Bond strength decreased after 6 months of storage, stabilizing at the 12-month evaluation. Therefore, use of AC incorporated into the primer led to lower bond strength values, since AC modified the physical properties (particle size, polydispersity index and zeta potential) of the primer, but did not change the degree of conversion. Application of AC as a dentin pretreatment did not affect bond strength or the micromorphological characteristics of the hybrid layer.

Asunto(s)

RESUMEN

OBJECTIVES: To compare the effects of replacing reinforcing barium glass particles by DCPD (dicalcium phosphate dihydrate), as opposed to simply reducing glass filler content, on composite flexural properties and degree of conversion (DC). On a second set of experiments, composites with different "DCPD: glass" ratios were exposed to prolonged water immersion to verify if the presence of DCPD particles increased hydrolytic degradation. METHODS: Two series of composites were prepared: 1) composites with total inorganic content of 50 vol% and "DCPD: glass" ratios ranging from zero (glass only) to 1.0 (DCPD only), in 0.25 increments, and 2) composites containing only silanized glass (from zero to 50 vol%). Disk-shaped specimens were fractured under biaxial flexural loading after 24 h in water. Another set of specimens of composites with different "DCPD: glass" ratios was stored in water for 24 h, 30, 60, 90 and 120 days and tested in flexure. DC was determined using FTIR spectroscopy. Data were analyzed using Kruskal-Wallis/Dunn test (flexural properties) or ANOVA/Tukey test (DC, alpha: 0.05). RESULTS: For glass-only composites, reducing inorganic content caused a linear decrease in strength. The presence of DCPD did not affect composite strength up until a "DCPD: glass" ratio of 0.5. On the other hand, materials with 0.75 and 1.0 DCPD showed significantly lower strength than the glass-only composite with 12.5 vol% filler and the unfilled resin, respectively (p < 0.001). Except for the 0.25 DCPD composite, the presence of DCPD did not contribute to increase flexural modulus. After water storage, composites containing DCPD showed higher percent reductions in properties than the control, but only in a few cases the effect was statistically significant (strength: 0.5 DCPD, modulus: 0.25 and 1.0 DCPD). DC was only marginally affected by DCPD fraction. SIGNIFICANCE: For composites with "DCPD: glass" of 0.25 and 0.5, reductions in strength were related to the lower glass content, and not due to the presence of DCPD. Flexural modulus was primarily defined by glass content. Overall, composites containing DCPD particles presented higher reductions in properties after water storage, but it remained within limits reported for commercial materials.

Asunto(s)

RESUMEN

Abstract The objective was to evaluate the color stability of ceramic veneers luted with resin cements and pre-heated composite resins (60oC) for 12 months, and determine the degree of conversion (DC) of the luting agents. Two resin cements (AllCem Veneer, light-cured (LRC) and AllCem, dual-cured (DRC)] and three composite resins [Z100 (MNCR-minifilled), Herculite Classic (MHCR-micro-hybrid) and Durafill (MCCR-microfilled)] were used for cementing 0.8-mm-thick lithium-silicate glass-ceramic laminates (Suprinity, shade B2-HT, Vita) on bovine enamel (n=10). The specimens were stored at 37oC in distilled water. CIELab parameters were determined at 24h after luting (baseline), 7, 30, 90, 180 days and 12 months. Three specimens were prepared for DC evaluation, performed by micro-Raman spectroscopy. Data were analyzed by ANOVA and Tukey's test (a=5%). For ΔEab and ΔE00, there were significant differences for luting material (p<0.001), time (p<0.001), and double interaction (p<0.001). The groups cemented with MHCR (1 year), MCCR (90 days and 1 year) and MCCR-PH (1 year) were the ones with ΔE values greater than the acceptability threshold. All other groups maintained their ΔE lower than the acceptability threshold after 1 year in distilled water. Regarding DC, there were no significant differences (p=0.127) among the materials. Non-significant negative correlations were observed between the mean ΔEab and DC (R=-0.65) and ΔE00 and DC (R=-0.64). A significant positive correlation was observed mean ΔEab and ΔE00 (R=0.99). It was concluded that the different luting agents influenced the final color of the restorations. The heating of the composite resins did not affect their DC.

Resumo O objetivo foi avaliar a estabilidade de cor de laminados cerâmicos de fina espessura, após a cimentação com cimentos resinosos e resinas compostas em temperatura ambiente e aquecida (60oC), durante 12 meses; bem como determinar o grau de conversão dos diferentes materiais para cimentação. Foram utilizados dois cimentos resinosos [AllCem Veneer, cimento resinoso fotoativado (LRC) e AllCem, cimento resinoso dual (DRC)] e três resinas compostas [Z100 (MNCR - resina composta de partículas finas), Herculite Classic (MHCR - resina composta micro-híbrida) e Durafill (MCCR - resina composta microparticulada)] para cimentação de laminados cerâmicos a base de silicato de lítio (Suprinity, cor B2-HT, Vita Zahnfabrik) com 0,8 mm de espessura, sobre esmalte bovino. Oitenta espécimes foram distribuídos aleatoriamente em 8 grupos de acordo com o material para cimentante (n=10). Os espécimes foram armazenados a 37oC em água destilada. Os parâmetros do CIELab foram determinados 24h após a cimentação (baseline), 7, 30, 90, 180 dias e 12 meses. Outros três espécimes foram preparados para avaliação de grau de conversão, realizada por espectroscopia micro-Raman. Os dados foram analisados por ANOVA e teste de Tukey (a=5%). Para ΔEab e ΔE00, houve diferenças estatisticamente significantes para o material de cimentação (p<0,001), tempo (p<0,001) e interação dupla (p<0,001). Os grupos cimentados com o MHCR (1 ano), MCCR (90 dias e 1 ano) e MCCR-PH (1 ano) foram os únicos com valores de ΔE maiores que o limite de aceitabilidade. Todos os demais grupos mantiveram seu ΔE menor que o limite de aceitabilidade ao final de 1 ano de armazenamento em água destilada. Em relação ao grau de conversão, não foram observadas diferenças estatisticamente significantes entre os materiais para cimentação avaliados (p=0,127). O grau de conversão variou entre 64,0% (MNCR-PH) e 85,1% (DRC). Correlações negativas moderadas a fortes não significativas foram observadas entre a média ΔEab e grau de conversão (R=-0,65) e ΔE00 e grau de conversão (R=-0,64). Observou-se uma correlação positiva forte significativa nos valores médios de ΔEab e ΔE00 (R=0,99). Pode-se concluir que os diferentes agentes cimentantes utilizados na cimentação de laminados cerâmicos de espessura fina influenciaram na cor final das restaurações. O aquecimento das resinas compostas não implicou em alteração do grau de conversão.

Asunto(s)