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Biomedical subjects

J Perdigão

Publications and source records attributed to J Perdigão.

At least 55 records · Page 3Linked to original sources

Effect of a re-wetting agent on the performance of acetone-based dentin adhesives.

PURPOSE: To compare the in vitro bond strengths of two acetone-based one-bottle dentin adhesives applied to four surface moisture conditions. The tested hypothesis was that wetting a dried dentin surface with an aqueous HEMA solution would result in bond strengths similar or higher than those obtained by leaving the surface moist as per manufacturers' instructions. MATERIALS AND METHODS: Eighty flat dentin bonding sites were polished to 600-grit on middle dentin of the labial surface of bovine incisors mounted in acrylic resin. The specimens were equally and randomly divided between two acetone-based dentin adhesives (One-Step and Prime & Bond 2.1) and four different levels of surface moisture (moist dentin, dentin dried for 1 s, dentin dried for 5 s, and dentin dried for 5 s followed by re-wetting with Aqua-Prep, an aqueous HEMA solution). A composite post was then adapted to the treated area and light-cured. After thermocycling, the bond strengths were determined by testing the specimens in shear. Field Emission SEM examinations were carried out to evaluate the effects of different treatments on the dentin-resin interface. RESULTS: Statistical analysis revealed that the application of One-Step resulted in similar mean shear bond strengths for the groups in which moisture was present on the dentin surface (12.0-14.2 MPa). The mean shear bond strengths for the group in which One-Step was applied to a dried dentin surface was significantly lower (6.0 MPa). For Prime & Bond 2.1, the application of a re-wetting solution significantly increased mean shear bond strengths (13.9 MPa). The remaining three Prime & Bond 2.1 groups yielded statistically similar mean bond strengths, regardless of the surface condition (6.6-8.1 MPa).

Acetone↗

Ultra-morphological study of the interaction of dental adhesives with carbamide peroxide-bleached enamel.

PURPOSE: To evaluate the effects of a carbamide peroxide bleaching agent on interfaces formed by two one-bottle dental adhesives to etched enamel. The null hypotheses tested in this study were that vital bleaching with a commercial 10% carbamide peroxide gel would not (1) increase the concentration of oxygen in the superficial layer of enamel or (2) induce ultra-morphological changes in resin-enamel interfaces. MATERIALS AND METHODS: Five extracted human incisors were treated with 10% carbamide peroxide (Opalescence) for 4 h/day for 1 week and were compared with non-bleached teeth for oxygen, calcium, and phosphorus relative concentration using EDS. Mean elemental concentrations were analyzed using a t-test (bleached vs. unbleached enamel), one-way ANOVA (for surface location and also for depth) and three-way ANOVA (with bleaching treatment, surface location, and depth as the main factors). For TEM, fifteen extracted human molars were sectioned to obtain two crown halves. After roughening the occlusal surface, one half was bleached with Opalescence while the other half was stored in artificial saliva for 1 week. Enamel was etched for 15 s with a 35% phosphoric acid and bonded with one of three adhesives (Prime & Bond 2.1, Syntac Single-Component, or Scotchbond Multi-Purpose Adhesive-control) and a composite resin (Protect Liner F). Small enamel/resin sticks with a cross-section of 1.0 mm x 1.0 mm were removed and the specimens were processed for TEM observation. RESULTS: Vital bleaching with 10% carbamide peroxide caused no significant changes in relative oxygen concentration of enamel. For calcium and phosphorus, bleaching resulted in significant decreased relative concentrations. Bleaching also resulted in morphological alterations in the most superficial enamel crystallites. Some altered crystallites exhibited electron-lucent cores and reduced thickness of material around the core.

Acid Etching, Dental↗

Effects of bleaching on teeth and restorations.

This article describes how at-home bleaching procedures affect teeth and restorative materials. Specifically, it discusses the effects of tooth-whitening systems on enamel surfaces, enamel and dentin bond strengths, marginal integrity, color, and other properties of restorative materials.

Carbamide Peroxide↗

In vitro interfacial relationship between human dentin and one-bottle dental adhesives.

OBJECTIVES: One-bottle dentin adhesives combine primer and adhesive resin into a single solution. This study was conducted to determine the bond strengths to dentin of four one-bottle bonding systems and to evaluate their SEM interfacial morphology. The hypothesis to be tested was that the water-based bonding system would produce lower bond strengths and less complete penetration into dentin than other bonding systems that are dissolved in organic solvents. METHODS: Forty extracted molars were ground to expose middle dentin and were randomly assigned to four groups (n = 10): Group 1--Experimental Single Bond (3M Dental Products Division); Group 2--Prime&Bond 2.1, pre-launch version (Dentsply DeTrey); Group 3--Syntac Single-Component (Vivadent); Group 4--Tenure Quik with Fluoride (Den-Mat Co.) The surfaces were treated according to manufacturers' instructions. After 24 h in water, the specimens were thermocycled, and the bond strengths were measured in shear. The data were analyzed with ANOVA and Duncan's test at a confidence level of 95%. Further, the adhesives were also applied to 600 microns thick dentin disks. After preparing polished cross sections, the bonded interfaces were demineralized, deproteinized, and observed under a FE-SEM. The morphological appearance of the resin-dentin interface surfaces was compared by screening the entire resin-dentin interface for each specimen. RESULTS: Two morphological characteristics were evaluated: 1) the depth of resin penetration into the tubules and 2) the thickness and density of the resin-dentin interdiffusion zone. Single Bond showed statistically higher mean shear bond strengths (p < 0.001) compared to the other three materials. Specimens prepared with Syntac Single-Component and Prime&Bond 2.1 were ranked in the intermediary Duncan's grouping. Specimens bonded with Tenure Quik with Fluoride exhibited the lowest mean shear bond strength. All materials penetrated and hybridized dentin. Single Bond formed a thick layer of adhesive resin on the top of the interdiffusion area without debonding, whereas some areas of debonding were observed on the top of the hybrid layers for Prime&Bond 2.1 and Syntac Single-Component. For the water-based adhesive Syntac Single-Component, the interdiffusion zone displayed a thick filigree pattern, containing scattered open spaces between the resin-enveloped collagen fibers. Tenure Quik with Fluoride did not thoroughly infiltrate the demineralized dentin zone, resulting in wide gaps in all specimens. Prime&Bond 2.1 formed the shortest resin tags, whereas Syntac Single-Component formed the longest resin tags. SIGNIFICANCE: Bonding to dentin remains unpredictable using one-bottle bonding systems. The chemistry of each individual material may be more important than the type of solvent.

Acetone↗

Effects of a self-etching primer on enamel shear bond strengths and SEM morphology.

PURPOSE: To study a dental adhesive system containing a self-etching primer, by evaluating the enamel shear bond strengths and comparing the SEM interfacial morphology. MATERIALS AND METHODS: 100 flat enamel bonding sites were prepared to 600-grit on proximal surfaces of caries-free human molars. The bonding surfaces were treated with Clearfil Liner Bond 2 as recommended by the manufacturer, or combined with various acidic etchants. A composite rod (Clearfil Photo Anterior) was applied to the bonding area in two increments in a Teflon mold and polymerized for 100 s. After 24 h of water storage, the specimens were thermocycled and the shear bond strengths measured using an Instron testing machine. Forty extra molar crowns were roughened and treated with Clearfil Liner Bond 2 and alternative etchants, as described. A low-viscosity resin was bonded to the occlusal surfaces of these crowns, which were further demineralized and deproteinized. Field-Emission SEM examinations were carried out to evaluate the effects of different treatments on enamel surfaces. RESULTS: The mean shear bond strengths were in the range of 18.1 MPa to 25.9 MPa, without significant differences between pairs of means. The failures were predominantly of the adhesive type. The use of alternative etchants resulted in the deepest etching patterns. The use of Clearfil Liner Bond 2, according to manufacturer's directions, resulted in a poorly-defined etching pattern. Regardless of the alternative etchant used, the use of the self-etching primer did not affect the mean enamel shear bond strength.

Acid Etching, Dental↗

Bond strengths and SEM morphology of dentin-amalgam adhesives.

PURPOSE: To compare two one-bottle dentin bonding systems (DBS) with five multi-bottle DBS and one resin-modified glass-ionomer cement, regarding their ability to bond spherical amalgam to freshly prepared dentin surfaces, in vitro. The tested hypothesis was that one-bottle DBS would result in lower shear bond strengths than multi-bottle DBS. MATERIALS AND METHODS: Eighty flat dentin bonding sites were prepared to 600-grit on middle dentin of caries-free human molars mounted in acrylic resin. The bonding surfaces were treated with eight different bonding systems, according to manufacturer's instructions: All-Bond 2; Amalgambond Plus; Fuji Duet; One-Step/Resinomer; OptiBond; OptiBond FL; Prime & Bond 2.0/Dyract Cem; and Scotchbond Multi-Purpose Plus. A spherical amalgam alloy (Megalloy) was hand-condensed on the treated surfaces. After thermocycling, the bond strengths were calculated by testing the specimens in shear. Field-emission SEM examinations were carried out to evaluate the effects of different treatments on the dentin-amalgam interface of MO/OD cavities treated under the same protocol. RESULTS: Statistical analysis revealed that Prime & Bond 2.0/Dyract Cem, Amalgambond Plus, and Scotchbond Multi-Purpose Plus resulted in the highest shear bond strengths. The field-emission SEM observations showed accumulation of the fluid adhesive resin underneath the amalgam restoration, and an interpenetration between the amalgam and the adhesive resin, except for OptiBond and OptiBond FL. All systems, but Fuji Duet, formed an acid-resistant resin-dentin interdiffusion zone.

Analysis of Variance↗

Morphological field emission-SEM study of the effect of six phosphoric acid etching agents on human dentin.

OBJECTIVES: This study evaluated the effects of six phosphoric acid-etching agents on dentin, the independent variables being two acid concentrations (10% and 32%-37%) and three thickener conditions (no thickener, silica, and polymer). The tested hypothesis was that the use of different etchants with similar concentrations of phosphoric acid would result in similar depths of dentin demineralization. METHODS: Thirty dentin disks were obtained from extracted human teeth by microtome sectioning. The dentin surfaces were etched with one of the etching agents, fixed, dehydrated and dried. The specimens were observed using a FE-SEM. The mean deepest demineralization of intertubular dentin was measured from fracture surfaces of the disks. These values were analyzed by ANOVA and Duncan's Test. The morphological appearance of the dentin surfaces was compared using the following observation criteria: 1) Presence of a cuff of peritubular dentin; 2) Relative thickness of the layer containing residual collagen or smear layer particles; and 3) Formation of a submicron hiatus at the bottom of the exposed collagen network. The pH of each of the etching agents was measured. A correlation analysis was made of the pH vs. the depth of dentin demineralization. RESULTS: Silica-thickened etchants did not demineralize dentin as deeply as did polymer-thickened etchants and unthickened etchants. High magnifications revealed three distinct zones within the demineralized dentin layer; an upper porous zone of residual smear layer or denatured collagen and residual silica particles (in groups etched with silica-thickened etchants), an intermediate area with randomly oriented collagen fibers, and a lower zone with submicron hiatus, few collagen fibers, and scattered hydroxyapatite inclusions. This hiatus was observable in all the specimens etched with the polymer-thickened etchants, in 90% of the specimens etched with the unthickened phosphoric acid liquids, and in 60% of the specimens etched with the silica-thickened gels. SIGNIFICANCE: The results obtained suggest that similar concentrations of phosphoric acid etchants containing distinct thickeners result in different demineralization depths as well as different morphology of etched dentin.

Acid Etching, Dental↗

Restorative therapy for erosive lesions.

More needs to be learned about the etiology of erosion lesions before they can be accurately diagnosed, confidently treated and, more importantly, prevented. The treatment is dependent on the location and the degree of erosion. The decision to treat an erosion lesion should be based on careful consideration of the etiology and progression of the condition. Reasons for restoring noncarious enamel/dentin lesions are discussed and various therapeutic measures are provided. Preventive and restorative therapeutic measures for noncarious abrasive/ erosive lesions are proposed such as: a change of dietary or behavior patterns; application of desensitization products; intensive fluoride therapy with or without iontophoresis; brushing with desensitizing dentifrices; adhesive penetration with dentin bonding agents; glass ionomers and compomers; resin composites; composite or porcelain veneers; crown and bridge work; occlusal adjustments and nightguard fabrication if the abfraction factor coincides. The clinical durability of restorative therapy and important clinical factors related to the restoration of multifactorial defects are discussed.

Composite Resins↗

[Dental pulp reactions and pulp protection: traditional underlayers versus dentin adhesive lacquer].

The dental pulp possesses an intrinsic healing capacity, by which pulpal reactions remain initially localised; they are often completely reversible. The younger and healthier the pulp is, the greater its healing capacity will be. Only in case of bacterial infection will the sterile pulpal inflammation convert into a local necrosis of the pulpal tissue that gradually will expand apically until the whole pulp is contaminated. The profit-effect of pulpal protection by means of traditional calcium hydroxide medicaments is compared with a more modern adhesive dentin sealing. Potential pulpal response to restorative materials and procedures are reviewed. Finally, clinical guidelines for optimal pulpal protection and dentinal sealing are formulated.

Calcium Hydroxide↗

The interaction of adhesive systems with human dentin.

PURPOSE: To investigate the interaction of six experimental and commercial bonding systems with dentin in vivo. MATERIALS AND METHODS: One-Step, Clearfil Liner Bond 2, OptiBond, Permagen with 10% phosphoric acid, Permagen with 35% phosphoric acid, and Prime & Bond were applied in standard Class I occlusal cavities in premolars scheduled for extraction for orthodontic reasons, combined either with a self-cured or with a light-cured resin composite. The teeth were carefully extracted 5 minutes after resin polymerization and fixed in 2.5% glutaraldehyde. After fixation, the specimens were dehydrated, sectioned, and processed for field-emission SEM. RESULTS: Although some systems produced gap-free intact interfaces in specific specimens, all of them showed detachment at the transition between the resin-dentin interdiffusion zone and the fluid resin placed over it. It was apparent that the presence of air-bubbles and/or thick layers of polymerized-filled fluid resin resulted in less frequent separation areas at the resin-dentin interface, providing support for the concept of the elastic cavity wall. It was also confirmed that some dentin adhesive systems do not form a thick layer over the dentin, otherwise the resin composite would not have penetrated the dentin tubules.

Adolescent↗

Gamma-tubulin is required for the structure and function of the microtubule organizing centre in Drosophila neuroblasts.

We report that in Drosophila, gamma-tubulin is required for the structure as well as the function of microtubule organizing centres (MTOCs). This conclusion is based on the identification and phenotypic characterization of a mutant allele of the gamma-tubulin gene located at region 23C of the polytene chromosome map. This mutation, which we have called gamma-tub23CPl, is caused by the insertion of a P-element within the 5' untranslated leader of the gamma-tubulin transcript. Northern and Western analysis show that gamma-tub23CPl is either a null or a very severe hypomorph as no gamma-tubulin mRNA or protein can be detected in mutant individuals. Visualization of DNA, MTOCs and microtubules by confocal laser scanning microscopy of cells from individuals homozygous for gamma-tub23CPl reveals a series of phenotypic abnormalities. Some of these are similar to those observed after disruption of gamma-tubulin function in other organisms, including mitotic arrest and a dramatic decrease in the number of microtubules, but, in addition, we have observed that mutation in this gene also results in highly abnormal MTOCs which show a variety of shapes and sizes which we never observed in wild type cells. These results show that gamma-tubulin is required for both structural and functional roles in the MTOCs.

Animals↗

Bonding to enamel and dentin: a brief history and state of the art, 1995.

The acid-etch technique for bonding composite resins to enamel has revolutionized the practice of restorative dentistry. The ability of clinicians to bond restorative materials to enamel has fundamentally changed such diverse areas as cavity preparation, caries prevention, and esthetic treatment options. Although bonding of resin to dentin has proved to be a difficult challenge, ongoing advances are improving the reliability and predictability of dentinal adhesion. The purpose of this article is to provide a brief history of enamel and dentinal bonding, as well as an overview of the current state of the art.

Acid Etching, Dental↗

The effect of depth of dentin demineralization on bond strengths and morphology of the hybrid layer.

Previous studies have shown that different phosphoric acid-based etchants do not penetrate intertubular dentin to the same depth. The purpose of this study was to determine the effect of different phosphoric acid-based conditioners on dentin shear bond strengths of three one-bottle bonding systems and to evaluate the corresponding interfacial ultramorphology. The null hypothesis to be tested was that no correlation could be established between the depth of intertubular demineralization and dentin shear bond strengths. The labial surface of 90 bovine incisors was polished to expose middle dentin. The specimens were randomly assigned to three one-bottle adhesive systems (n = 30): OptiBond SOLO, Permaquick PQ1, and Single Bond. For each adhesive system the specimens were divided into three subgroups of different silica-thickened etching gels (n = 10): 37.5% phosphoric acid gel (Kerr Gel Etchant), 35% phosphoric acid gel (Ultraetch), and 35% phosphoric acid gel (Scotchbond Etching Gel). After 24 hours in water at 37 degrees C, the specimens were thermocycled for 500 cycles in baths kept at 5 degrees C and 55 degrees C and the shear bond strengths measured. The data were analyzed with one-way and two-way ANOVA. Further, the adhesives were applied to 800 microns-thick bovine dentin disks (two per subgroup), which were restored with a low-viscosity composite resin. Six small dentin/resin sticks with a cross-section of 1.0 mm x 1.0 mm were obtained from each bonded disk. They were then decalcified in a buffered solution of EDTA, fixed, stained, and sectioned in 90 nanometer-thick slices to observe under the Transmission Electron Microscope (TEM). The mean shear bond strengths were not statistically different at a confidence level of 95%. When the means were pooled for dentin adhesive and for etching gel, the number of cohesive failures was greater for Permaquick PQ1 and for Ultraetch, respectively. Pearson's correlation coefficient showed no correlation between hybrid layer thickness and bond strengths. The ultramorphological observation showed that all materials penetrated the dentin and formed a hybrid layer, regardless of the etching gel used.

Acid Etching, Dental↗

Effect of dentin deproteinization on microleakage of Class V composite restorations.

The role of the collagen fibers in dentin adhesion has not clearly been established. Therefore, this laboratory study evaluated the microleakage at resin-dentin and resin-enamel interfaces of Class V composite restorations after etching enamel and dentin with phosphoric acid (H3PO4) or after etching with H3PO4 followed by deproteinization with 5% sodium hypochlorite (NaOCl) to prevent the formation of a hybrid layer. Ten extracted human molars were used to prepare standardized Class V cavities on both buccal and lingual surfaces. The teeth were randomly divided in two groups: 1) Class V cavities that were etched with H3PO4 for 15 seconds; b) Class V cavities that were etched with H3PO4 for 15 seconds followed by collagen removal with 5% NaOCl for two minutes. The cavities were restored using the Prime & Bond 2.1 bonding system and TPH resin composite. The specimens were stored in water for 24 hours at 37 degrees C and thermocycled 500 times between water baths kept at 5 degrees C and 55 degrees C. After thermocycling, specimens were immersed in a 0.5% aqueous solution of basic fuchsin for 24 hours. Three longitudinal sections of each restoration were obtained and examined with a stereomicroscope for qualitative evaluation of microleakage. The data were statistically analyzed by Mann-Whitney U and Wilcoxon matched pairs signed ranked tests. Extra specimens were analyzed with the scanning electron microscope (SEM). Occlusal margins (enamel margins) resulted in statistical lower degree of leakage than gingival margins (dentin/cementum margins) in both treatment groups. For each type of margin, there were no statistically significant differences between the etched and the etched and deproteinized groups. Under the SEM, occlusal surfaces showed no detachment between enamel and dentin, while dentin/cementum resulted in gap formation.

Acid Etching, Dental↗

[Preventive restoration. Apropos of a technique].

The purpose of this communication was to emphasize that some of the classic Black cavity preparations and the conventional restorative techniques for small occlusal dentin and enamel caries in young patients molars, are becoming more and more questioned. We have some ultraconservative materials and techniques, which include two other important advantages concerning to amalgam restorations--marginal seal and cariostatic action--just using calcium hydroxide, glass ionomer cement and pit and fissure sealant.

Calcium Hydroxide↗