RESUMO
Background: Compared to high modulus repair materials such as zirconia and alumina, hybrid polymer-ceramic materials have lower stress concentrations in the tooth structure and bonding interface. The aim of this study is to evaluate viable cementation protocols through an integrative review and meta-analysis. Material and Methods: This systematic review was based on the PRISMA criteria. An electronic search was carried out in seven databases: Web of Science, Embase, PubMed, Clinical Trials, Scopus, Cochrane, Periodicals of Capes. The following inclusion criteria were used: hybrid ceramics, surface treatment protocol and which union test was presented, discarding duplicate articles and studies that did not meet the inclusion criteria. The articles were analyzed and selected through the RayYan platform. Results: Of the 160 articles identified, 24 studies were included in this review. The materials used by the authors were the hybrid ceramics: Vita ENAMIC, LAVA ULTIMATE, Cerasmart, Shofu Block, and the possible surface treatment protocols presented involving the use of: HF, Alumina blasting with or without silica, Silane, Laser and adhesive. The tests were carried out at different times and concentrations of the analyzed materials. Conclusions: With the studies that were included in this review, it was possible to show that the corrosion made by HF continues to be the gold standard for the treatment of surfaces in hybrid ceramics. Key words:Hybrid ceramic, Bond Strength, Cementation.
RESUMO
OBJECTIVES: This study aimed to develop and validate a minimally invasive protocol for characterizing oxidative stress markers in exfoliated oral cells. MATERIALS AND METHODS: Exfoliated oral cells were collected from healthy volunteers. The protocol included the utilization of specific fluorescent probes to measure intracellular reactive oxygen species (ROS), mitochondrial membrane potential (ΔΨm) and reduced glutathione (GSH). Cells from each volunteer were divided into the positive and negative control groups, which were, respectively, exposed or not to hydrogen peroxide (H2 O2 ) aiming to induce the oxidative stress. Measurements of cell fluorescence were performed using a microscope equipped with epifluorescence. RESULTS: The results showed that cells exposed to H2 O2 exhibited significantly higher intracellular expression of ROS compared to unexposed cells (positive control: 3851.25 ± 1227.0 vs, negative control: 1106.07 ± 249.6; p = 0.0338). On the contrary, cells exposed to H2 O2 displayed decreased expression of ΔΨm (p = 0.0226) and GSH (p = 0.0289) when compared to the negative control group (ΔΨm positive control: 14634.39 ± 1529.0 vs, negative control: 18897.60 ± 2338.0; and GSH positive control: 9011.08 ± 1900.0 vs, negative control: 15901.79 ± 2745.0). CONCLUSIONS: The developed protocol proved to be effective in detecting and quantifying oxidative stress biomarkers, such as ROS, ΔΨm and GSH, in exfoliated oral cells. This minimally invasive approach offers a promising method to assess oxidative stress expression and may be clinically relevant in the evaluation of oral diseases associated with oxidative stress.