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Biomedical subjects

Márcia Daronch

Publications and source records attributed to Márcia Daronch.

4 recordsLinked to original sources

Effect of composite temperature on in vitro intrapulpal temperature rise.

OBJECTIVES: To measure in vitro intrapulpal temperature when placing and restoring with either room-temperature or pre-heated (54 and 60 degrees C) composite. METHODS: A K-type thermocouple was placed in the pulpal chamber of an extracted, human bifurcated upper premolar which had a Class V preparation (1 mm remaining dentin thickness) on the facial surface. Tooth roots were immersed in a thermostatically controlled water bath and perfused with water at 1.25 microl/min to simulate physiological circulation in the pulp chamber. The thermocouple was connected to an analog-to-digital converter. The preparation was filled using composite either at room-temperature, or pre-heated to 54 or 60 degrees C with a commercial compule heater (Calset), using standard clinical procedures by one person while continuously monitoring intrapulpal temperature (n=5). Temperature rise over baseline values were determined at various stages during the restoration process: composite placement, contouring, prior to light-curing, and immediately after light-curing (20s, Optilux 501). At each measurement interval, intrapulpal temperature values were compared using ANOVA and the Tukey-Kramer post hoc test (alpha=0.05). RESULTS: Significant differences were found in intrapulpal temperature when comparing pre-heated and room-temperature composite treatments with respect to baseline among the stages of the restorative process. However, the extent of this increase with heated composite was only 0.8 degrees C. A 5 degrees C intrapulpal temperature rise was seen for all groups during photopolymerization. SIGNIFICANCE: Use of pre-heated composite only mildly increased intrapulpal temperature values when compared to composite delivered at room-temperature in an in vitro test environment. The largest temperature change occurred with application of the curing light.

Acrylic Resins↗

Clinically relevant issues related to preheating composites.

STATEMENT OF THE PROBLEM: Issues regarding the use of composite preheating need to be investigated so that the clinician will better understand the variables associated with this method. PURPOSE: To examine the multiple aspects of use of a commercial composite preheating device (Calset, AdDent Inc., Danbury, CT, USA). MATERIALS AND METHODS: Temperature values of three heating units and composite compules were obtained using a K-type thermocouple and were recorded digitally in real time. The following parameters were measured: maximum heater and composite temperature and its stability upon storage, composite temperature change when removed from the heater and injected, the effect of delivery system on ejected composite temperature, and the effect of repeated and extended preheating on composite monomer conversion (using infrared spectroscopy). Monomer conversion was measured after repeated composite cycling (from room temperature [RT] to 60 degrees C, 10x) or extended preheating (24 hours at 60 degrees C), and values were compared with composite maintained at RT (control group). Among test parameters, data (N=5 for each parameter) were analyzed using Student's t-test, analysis of variance, and the Tukey-Kramer post-hoc test where appropriate (alpha=0.05). RESULTS/CONCLUSIONS: Two of the three tested units achieved the stated preset temperatures. Composite attained temperature values close to the heating unit. Composite temperature drop upon removal from the heater was dramatic: within 2 minutes a 50% temperature drop was noted. Heating the compule while preloaded in the syringe provided higher delivery temperatures than heating the compule separately (p < 0.00). Optimum results were achieved when preheated composite was dispensed and used as quickly as possible. Neither repeated nor extended preheating of composite significantly affected monomer conversion. CLINICAL SIGNIFICANCE: Preheating composite has potential benefits, but should be used with knowledge of its limitations. Reheating of unused composite does not affect its degree of conversion, thus decreasing material waste. Heating of the composite preloaded in the delivery syringe enhances the temperature of extruded composite.

Acrylic Resins↗

SEM evaluation of contemporary self-etching primers applied to ground and unground enamel.

PURPOSE: This study evaluated the etching effect of self-etching priming agents applied to intact and ground enamel. MATERIALS AND METHODS: Thirty-two human molars were used. Each tooth was divided into two halves. The buccal or lingual mid-coronal surface of 32 half-teeth was ground with 600-grit silicon carbide paper. The other half-teeth were left intact (control). Teeth were treated with Clearfil SE Bond (SE), Prompt L-Pop (PLP) or Adper (AD). Those in the control group were etched with 35% phosphoric acid. The etching effect of such systems on enamel surfaces was assessed by three different approaches using scanning electron microscopy: 1) in situ or direct morphological examination of the etched enamel; 2) indirect morphological examination, that is, evaluation of the etching pattern left on resin reproductions; 3) adhesive interface examination. RESULTS: SE exhibited the least aggressive dissolution of the intact and ground enamel, with many sites of the intact enamel remaining completely unetched. SE monomer infiltration into etched enamel was restricted to the superficial layer. PLP and AD produced equivalent etching patterns on intact and ground enamel, which resemble that produced by the phosphoric acid control group. PLP and AD monomer penetration extended along the porous subsurface enamel layer. CONCLUSION: SE produced mild morphological changes on intact and ground enamel surface, resulting in a very superficial resin infiltration particularly into intact enamel. No differences were evident among the etching and resin infiltration pattern produced by both all-in-one self-etching adhesives, PLP and AD, and the phosphoric acid system.

Bisphenol A-Glycidyl Methacrylate↗

Antibacterial and conventional self-etching primer system: morphological evaluation of intact primary enamel.

The aim of this study was to analyze the etching effect of a new dental adhesive system that uses an antibacterial and self-etching primer agent. Non-carious primary human molars were divided into three groups: 35% phosphoric acid etching (3M-ESPE), self-etching primer (Clearfil SE Bond--Kuraray) and antibacterial self-etching primer (ABF experimental system--Kuraray) for SEM evaluation of surface, resin replicas and interface. Both self-etching primers produced shallow grooves and no defined etching morphologies. Phosphoric acid produced definite etching patterns at the enamel surface.

Acid Etching, Dental↗