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Biomedical subjects

Luis Guilherme Sensi

Publications and source records attributed to Luis Guilherme Sensi.

4 recordsLinked to original sources

Effect of led light curing on the marginal sealing of composite resin restorations.

Light-emitting diode (LED) curing units are becoming increasingly popular; however, questions remain about their ability to adequately polymerize composite resins. This study was conducted to evaluate the marginal seal of restorations placed with a tungsten halogen curing unit compared to three LED curing units through a microleakage test. The results did not indicate statistical differences between the groups tested for both enamel and dentin margins. Variation of the light-curing unit (quartz tungsten halogen or LED) did not result in discernible differences in the marginal sealing of composite restorations.

Bisphenol A-Glycidyl Methacrylate↗

Effect of placement techniques on the marginal adaptation of Class V composite restorations.

STATEMENT OF THE PROBLEM: Several techniques are proposed for the restoration of Class V cavities but there is no agreement in the literature as to which technique is more effective. PURPOSE: To evaluate the effect of different techniques of composite increment placement on the marginal adaptation of Class V restorations. METHODS AND MATERIALS: Twenty-four human molars were selected and prepared with standardized saucer-shaped cavity dimensions of 3.0 mm (occlusal-gingival), 2.0 mm (mesial-distal), and 2.0 mm (depth). The margins are in reference to the cemento-enamel junction with 1.5 mm being located on enamel and 1.5 mm on dentin. The cavities were randomly assigned into three groups (n=8) and restored with composites as follows: Group 1, the occlusal increment was placed and cured first followed by the gingival increment; Group 2, the gingival increment was placed and cured first followed by the occlusal increment; and Group 3, the cavities were restored with one bulk increment. Restorations were immediately finished and stored for 24 h in tap water. Specimens were subjected to thermocycling (1000 cycles, 5 degrees C to 55 degrees C, 30 s dwell time) and immersed in 0.5% basic fuchsin solution for 24 h in room temperature. After rinsing with running water, the restorations were sectioned longitudinally and enamel and dentin margins were evaluated and scored according to the microleakage on a 0-3 scale. Data were subjected to Kruskal-Wallis test at p<0.05. RESULTS: Median of microleakage scores for all evaluated groups was zero. No statistical difference was observed among the three groups both in enamel (p = 0.5929) and dentin (p = 0.3679) margins CONCLUSION: The placement technique did not influence the marginal adaptation of moderate Class V restorations. CLINICAL SIGNIFICANCE: No differences on marginal adaptation were observed when restoring conservative Class V cavities using incremental or bulk placement techniques.

Bisphenol A-Glycidyl Methacrylate↗

Flowable composites as "filled adhesives:" a microleakage study.

OBJECTIVE: The purpose of this in vitro study was to investigate the microleakage at dentin margins of a flowable resin composite associated with an adhesive, either light cured separately or co-cured, in Class V cavities. MATERIALS AND METHODS: Twenty four recently extracted human molars were prepared with standardized box-shaped Class V cavities of 3.0 mm (mesial-distal), 2.0 mm (occlusal-gingival), and 2.0 mm depth with margins located on enamel and dentin/cementum on the buccal or lingual surfaces. The cavities were randomly assigned into three groups (n=8): Group I - Single Bond + Filtek Z250 (control); Group II - Single Bond + Filtek Flow (light cured separately) + Filtek Z250; and Group III - Single Bond + Filtek Flow co-cured (light cured simultaneously) + Filtek Z250. After being immersed in tap water for 24 h, the specimens were thermocycled (1000x, 5 degrees -55 degrees C, 30 sec dwell time) and immersed in a 0.5% basic fuchsine solution for 24 h. The restorations were sectioned longitudinally and gingival margins were evaluated for microleakage using a 0-4 scale. Data were subjected to the Kruskal-Wallis test at p<0.05. RESULTS: A statistically significant difference at p = 0.0044 between Groups 1 and 3 and Groups 2 and 3 was observed. Although Group 2 performed slightly better than Group 1, no significant difference was observed. CONCLUSION: The use of a flowable resin composite cured simultaneously with an adhesive yielded the worst results in this study. As no statistical differences were seen between Groups 1 and 2, the use of a flowable composite as a means of minimizing microleakage at dentin margins may be questioned.

Adhesives↗

Dentin bond strength of self-etching primers/adhesives.

This study compared the shear bond strengths (SBS) to dentin achieved with six self-etching systems and one total-etch one-bottle adhesive system. Seventy freshly extracted bovine incisors were mounted in acrylic molds and the facial surfaces ground to expose middle dentin, which was polished by 600-grit sand paper. The incisors were randomly assigned to groups (n=10): Adper Prompt Self-Etch Adhesive, 3M-ESPE (ADP) and One-Up Bond F, Tokuyama (OU) as self-etching adhesives; AdheSE, Ivoclar-Vivadent (ADH), Clearfil SE Bond, Kuraray (SE), Optibond Solo Plus-Self-Etch, Kerr (OP) as self-etching primers, Tyrian SPE, BISCO (TY) as a self-priming etchant and Single Bond, 3M-ESPE (SB), a total-etch one-bottle adhesive served as a control. All adhesives were applied according to the manufacturers' instructions with the respective hybrid composites. The specimens were thermocycled for 500 cycles (5 degrees C to 55 degrees C), then loaded to failure in an Instron Universal Testing Machine at a crosshead speed of 0.5 mm/minute. Mean bond strengths were analyzed with one-way ANOVA, followed by a Duncan's post hoc test. SBS (mean +/- SD) were: ADH = 13.2 (+/- 5.3)b;ADP = 6.8 (+/- 4.4)c; OP = 18.2 (+/- 3.8)a; OU = 3.5 (+/- 1.5)c; SB = 12.2 (+/- 4.2)b; SE = 12.4 ( +/- 4.0)b; TY = 5.5 (+/- 1.4)c. Superscript letters indicate Duncan's homogeneous subsets. The self-etching adhesives OU and ADP and the self-priming etchant TY resulted in lower dentin SBS. OP resulted in the highest mean dentin SBS, while the other materials tested in this study (SE and ADH) presented similar dentin SBS to a total-etch one-bottle bonding system (SB).

Acid Etching, Dental↗