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Biomedical subjects

Mario Fernando de Goes

Publications and source records attributed to Mario Fernando de Goes.

12 recordsLinked to original sources

Tensile bond strength of dual curing resin-based cements to commercially pure titanium.

OBJECTIVES: The aim of this study was to evaluate the tensile bond strength of dual curing luting resin cements to commercially pure titanium at 10 min and 24h after removal of the oxide layer. METHODS: One hundred and twenty titanium discs were obtained by casting and polishing with silicon carbide papers. The titanium discs were sandblasted with 50 microm aluminum oxide, ultrasonic cleaned and bonded in pairs with the resin-based cements Panavia F and Rely X ARC at 10 min and 24h after the sandblasting. The tensile test was performed with a crosshead speed of 0.5mm/min in an Instron Universal testing machine. RESULTS: The Rely X ARC reached the highest tensile strength value at 24h after sandblasting (18.27 MPa), but there was no statistically significant difference between the two dual curing resin cements for both times tested. All specimens showed a mixture of cohesive fracture in the resin cement and adhesive failure. However, the predominant failure mode for Panavia F was cohesive in resin cement, and the Rely X ARC exhibited a greater proportion of specimens with adhesive failure between the alloy and resin luting cement at 10 min and 24h. SIGNIFICANCE: Both cements had, statistically, the same tensile bond strength. But in the fracture mode analysis, the adhesive predominant fracture mode of Rely X ARC cement indicates a premature clinical adhesive failure. On the other hand, the cohesive predominant fracture mode of Panavia F indicates a longer clinical adhesive bond with titanium.

Adhesiveness↗

Effect of time on tensile bond strength of resin cement bonded to dentine and low-viscosity composite.

OBJECTIVES: The purpose of this study was to evaluate the tensile bond strength (TBS) of Panavia F resin cement (PF) applied on dentine pre-treated with ED Primer (ED) and Clearfil Liner Bond 2V (CLB) coated with a layer of low-viscosity composite Protect Liner F (PLF) at 10 min, 24 h and 12 months after curing. METHODS: The labial surfaces of 60 bovine lower incisors were ground to obtain a flat dentine surface, allowing a demarcation of a 4.0 mm-diameter area with adhesive tape. The teeth were randomly divided in six groups; ED was applied in groups A I, A II and A III and CLB was applied, followed by PLF, in groups B I, B II and B III. A resin composite rod with a wire loop was luted directly to the prepared surface of each group with PF. The specimens of groups A I and B I were submitted to TBS test after 10 min. Groups A II and B II were submitted to TBS test after 24 h storage and groups A III and B III were submitted to TBS test after 12 months storage. Each specimen was inspected by SEM and classified according to the failure mode. Additionally, two representative specimens of each failure mode were sectioned for a composite/dentine interface SEM evaluation. RESULTS: No significant statistical differences were observed among the groups at 10 min and 24 h. Groups A III and B III presented the lowest TBS values (p<0.05) after 12 months storage. PF on resin-coated dentin (PLF) showed the highest TBS values and was statistically different to PF on dentine for all the groups. The fracture pattern was generally cohesive on the adhesive/hybrid layer for groups A I, A II and A III and cohesive on composite resin for B I, B II and B III. SIGNIFICANCE: The use of a less hydrophilic self-etching system to pre-treat dentine, coating with a low-viscosity composite layer prior luting with resin cement, may provide a protection of the hybridised complex, allowing a dentine seal during the 12 months storage period.

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↗

Evaluation of antibacterial and fluoride-releasing adhesive system on dentin--microtensile bond strength and acid-base challenge.

This study evaluated the influence of a fluoride-containing adhesive on microtensile bond strength (microTBS) to dentin, as well as analyzed the dentin-adhesive interface after acid-base challenge. Experimental groups were: G1--Clearfil SE Bond control (SE); G2--Clearfil Protect Bond control (PB); G3--Primer[SE]/Adhesive[PB]; G4--Primer[PB]/Adhesive[SE]. For microTBS evaluation, dentin surfaces were ground, bonded, and composite resin crowns were built up to obtain beams to be tested. For interfacial analysis, adhesive system was applied on dentin surface and a low-viscosity resin was placed between two dentin disks. Then, the specimens were subjected to acid-base challenge, sectioned, and polished to be observed by SEM. microTBS data showed no statistical differences among the groups (GI: 51.3, G2: 47.6, G3: 55.0, G4: 53.9; mean in MPa). Through SEM, it was observed that a thick acid-base resistant zone adjacent to the hybrid layer was created only when the fluoride-releasing adhesive was used. In conclusion, the presence of fluoride in an adhesive contributed significantly to preventing secondary caries, and did not interfere with dentin-adhesive bond strength.

Adhesives↗

Microtensile bond strength testing and failure analysis of hybrid and flowable composites.

PURPOSE: Few studies have been performed on the cohesive tensile strength of flowable resin composites and hybrids, or on the coupling strength of flowables to hybrid composites. Thus, the purpose of this study was to measure interfacial microtensile bond strengths between hybrid resin composite and flowable resin composite/compomer. MATERIALS AND METHODS: A polyvinyl siloxane mold was used to fabricate specimens for 9 groups, each consisting of 15 rectangular beams (2 x 2 x 20 mm). Flowable and hybrid resin composites and their paired couplings with each manufacturer's product line were tested. Materials include Heliomolarflow, Revolution, and Dyractflow as representative flowable resin composites and compomer. Heliomolar HB, Prodigy, and Esthet X were selected as representive hybrid resin composites. Resin specimens were cured for a total of 80 s and immersed in water for 7 days. A microspecimen former was used to trim rectangular specimens into specimens with a circular cross section (diameter = 1.0 mm) with a 2 mm gauge length. Specimens were subjected to tensile forces in a passive-gripping space mounted on a Vitrodyne machine. RESULTS: The results are expressed in MPa. Kruskal-Wallis one-way ANOVA on ranks demonstrated significant differences in microtensile bond strength among groups (p < 0.001). CONCLUSION: The cohesive tensile strength of resin composites were material dependent. Flowable and hybrid composites from the same manufacturer have comparable cohesive tensile strengths. The coupling strength of flowable/hybrid combinations were comparable to cohesive strength of the hybrid composites with the exception of Esthet X/Dyractflow, where the coupling was stronger than the cohesive strength of either resin composite alone.

Acrylic Resins↗

Does the acidity of self-etching primers affect bond strength and surface morphology of enamel?

PURPOSE: This study examined the ultrastructure and microtensile bond strengths (TBS) of self-etching (with different acidity) and conventional adhesive systems bonded to unground enamel. MATERIALS AND METHODS: Resin composite (Filtek Z250) buildups were bonded to unground enamel surfaces of third molars after adhesive application with the following materials: Clearfil SE Bond (CSE); Optibond Solo Plus Self-Etch (OP); Tyrian Self Priming Etching (TY), and the controls Scotchbond Multi-Purpose Plus (SBMP) and Single Bond (SB). Six teeth were assigned to each material. After storage in waterfor 24 h at 37 degrees C, the bonded specimens were sectioned into beams of approximately 0.8 mm2 and subsequently subjected to microTBS testing at a crosshead speed of 0.5 mm/min. The average values were subjected to one-way ANOVA (alpha = 0.05). The effect of surface conditioning of each material was observed under scanning electron microscopy (SEM). RESULTS: The highest resin-enamel bond strength was observed for SBMP (22.7 +/- 5.2) and SB (26.7 +/- 5.2 MPa). The lowest mean bond strengths were 10.9 +/- 3.2 and 7.8 +/- 1.5 MPa for TY and OP, respectively. CSE showed an intermediate performance (18.7 +/- 4.6 MPa). An overall increase in porosity was evident along the entire enamel surface treated with the self-etching primers; however, no selective demineralization similar to that with 35% phosphoric acid was observed. CONCLUSION: The highest bond strength means and the more retentive etching pattern were observed for the two-step etch-and-rinse adhesives. Among the self-etching systems studied, Clearfil SE Bond should be preferred.

Acid Etching, Dental↗

Evaluation of depth of cure and Knoop hardness in a dental composite photo-activated using different methods.

The aim of this study was to evaluate the depth of cure and Knoop hardness in the P60 composite resin photo-activated using different methods. A bipartite brass matrix (3 mm in diameter X 11 mm in height) was filled with the composite and photo-activation was performed using continuous light, exponential light, intermittent light, plasma arc curing (PAC) or light-emitting diodes (LED). After opening the matrix, the uncured material was removed with a steel spatula and the polymerized composite was measured using a pachymeter. The specimens were then included in self-curing acrylic resin and worn longitudinally and the hardness was measured on the surface and at depths of 1, 2, 3, 4 and 5 mm. The data were analyzed by ANOVA and Tukey's test (5%). The results showed that the depth of cure was higher with the intermittent light, followed by continuous light, exponential light, PAC and LED methods. Up to a depth of 2 mm, all methods revealed similar hardness values, but there were differences between them at other depths, at which LED demonstrated the lowest values followed by PAC.

Carbon Compounds, Inorganic↗

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↗

Evaluation of silver methenamine method for nanoleakage.

OBJECTIVES: The aim of this study was to evaluate nanoleakage patterns following silver methenamine staining of restorations bonded with a total-etch single bottle system, a self-etching primer system and a total-etch single bottle system after collagen depletion. METHODS: The dentin bonding systems used in this study were Prime and bond 2.1 (PB) and Clearfil SE Bond (CSEB). Cavities were made in grounded labial surfaces of 15 extracted bovine lower incisors, randomly divided into 3 Groups. Group 1 (PB), Group 2 (CSEB) and Group 3 (PB/SH) PB after collagen depletion with sodium hypochlorite (SH). The specimens were restored, sectioned and submitted to silver methenamine staining, polished and observed with low-vacuum back-scattered SEM. One way ANOVA and multiple-comparison Tukey's test were used for statistical analysis of the leakage scores. RESULTS: PB presented significantly greater silver deposition and a distinct pattern when compared to CSEB. No silver deposition was detected for PB after collagen depletion. SIGNIFICANCE: The dentine bonding systems tested were unable to prevent nanoleakage when used according to the manufacturers' instructions; however, CSEB presented a lower level of silver deposition. Collagen depletion prior to PB application may prevent nanoleakage occurrence in dentine walls. Silver methenamine staining may be a useful method for detection of nanoleakage in dentine when the collagen fibrils remain exposed within the hybrid layers.

Acetone↗

Effect of etching and airborne particle abrasion on the microstructure of different dental ceramics.

STATEMENT OF PROBLEM: The ceramic composition and microstructure surface of all-ceramic restorations are important components of an effective bonding substrate. Both hydrofluoric acid etching and airborne aluminum oxide particle abrasion produce irregular surfaces necessary for micromechanical bonding. Although surface treatments of feldspathic and leucite porcelains have been studied previously, the high alumina-containing and lithium disilicate ceramics have not been fully investigated. PURPOSE: The purpose of this study was to assess the surface topography of 6 different ceramics after treatment with either hydrofluoric acid etching or airborne aluminum oxide particle abrasion. MATERIAL AND METHODS: Five copings each of IPS Empress, IPS Empress 2 (0.8 mm thick), Cergogold (0.7 mm thick), In-Ceram Alumina, In-Ceram Zirconia, and Procera (0.8 mm thick) were fabricated following the manufacturer's instructions. Each coping was longitudinally sectioned into 4 equal parts by a diamond disk. The resulting sections were then randomly divided into 3 groups depending on subsequent surface treatments: Group 1, specimens without additional surface treatments, as received from the laboratory (control); Group 2, specimens treated by use of airborne particle abrasion with 50-microm aluminum oxide; and Group 3, specimens treated with 10% hydrofluoric acid etching (20 seconds for IPS Empress 2; 60 seconds for IPS Empress and Cergogold; and 2 minutes for In-Ceram Alumina, In-Ceram Zirconia, and Procera). RESULTS: Airborne particle abrasion changed the morphologic surface of IPS Empress, IPS Empress 2, and Cergogold ceramics. The surface topography of these ceramics exhibited shallow irregularities not evident in the control group. For Procera, the 50-microm aluminum oxide airborne particle abrasion produced a flattened surface. Airborne particle abrasion of In-Ceram Alumina and In-Ceram Zirconia did not change the morphologic characteristics and the same shallows pits found in the control group remained. For IPS Empress 2, 10% hydrofluoric acid etching produced elongated crystals scattered with shallow irregularities. For IPS Empress and Cergogold, the morphologic characteristic was honeycomb-like on the ceramic surface. The surface treatment of In-Ceram Alumina, In-Ceram Zirconia, and Procera did not change their superficial structure. CONCLUSION: Hydrofluoric acid etching and airborne particle abrasion with 50-microm aluminum oxide increased the irregularities on the surface of IPS Empress, IPS Empress 2, and Cergogold ceramics. Similar treatment of In-Ceram Alumina, In-Ceram Zirconia, and Procera did not change their morphologic microstructure.

Acid Etching, Dental↗

The effect of collagen removal and the use of a low-viscosity resin liner on marginal adaptation of resin composite restorations with margins in dentin.

This study evaluated the influence of collagen removal and the use of a low-viscosity liner on the marginal quality of composite restorations for the total-etch system, Prime & Bond 2.1 (PB) and the self-etching primer system, Clearfil SE Bond (CSEB), in high C-factor cavities with margins in dentin. High C-factor cavities were made on dentin exposed from ground labial surfaces of 100 bovine lower incisors, randomly assigned to 10 treatment groups and restored with composite Z 250, placed in bulk. In Group 1 (PB), control group, PB was applied according to the manufacturer's directions; in Group 2 (PB/PLF), an intermediate layer of low-viscosity composite Protect Liner F (PLF) was applied on the bonding resin surface; in Group 3 (PB/SH) following acid-etching, the surfaces were treated with 10% sodium hypochlorite (SH) for one minute and in Group 4 (PB/SH/PLF), the same procedure was conducted as for Group 3, plus an intermediate layer of PLF was applied as for Group 2. In Group 5 (CSEB), the control group, CSEB was applied according to the manufacturer's directions; in Group 6 (CSEB/PLF), an intermediate layer of PLF was applied; in Group 7 (SH/CSEB), the cavity surface was pre-treated with SH; in Group 8 (SH/CSEB/PLF), SH pre-treatment was conducted as for Group 7, then an intermediate layer of PLF was applied; in Group 9 (CSEB/SH), after CSEB-primer application, the surface was treated with SH, followed by CSEB-adhesive application and in Group 10 (CSEB/SH/PLF), the same was conducted as for Group 9, then an intermediate layer of PLF was applied. The specimens were stored at 37 degrees C for 24 hours, polished, molded and replicas were obtained in epoxy resin. The replicas were gold-sputter coated and observed by SEM (300x) for marginal quality classification. The Kruskal-Wallis non-parametrical multi-comparison Test (p<0.05) was used to obtain statistical analysis of the data. Results demonstrated that both adhesive systems in the control groups presented low marginal quality and a high variability. The use of an intermediate layer of PLF significantly improved the marginal quality with the CSEB system but had no effect with the PB system. Collagen depletion with SH enhanced marginal quality for the PB system and did not influence the CSEB system results.

Acetone↗

The in vitro morphological effects of some current pre-treatments on dentin surface: a SEM evaluation.

This in vitro study morphologically evaluated the effect of some current surface pre-treatments on dentin, using scanning electron microscopy, and related these morphological alterations to clinical implications. The labial surfaces of 30 bovine lower incisors were ground to obtain a flat dentin surface and were finished with 600-grit SiC paper to produce standardized smear layers. The teeth were randomly divided into six groups of five each. Group 1 was the control group, smear layer covered dentin; Group 2 was etched with 37% phosphoric acid (PA) for 15 seconds; Group 3, 37% PA for 15 seconds, followed by 10% NaOCl for 60 seconds; Group 4, 10% NaOCl for 60 seconds; Group 5, a self-etching primer (Clearfil SE Bond, CSEB-primer) was applied for 20 seconds; Group 6, CSEB-primer for 20 seconds, followed by NaOCl for 60 seconds. The specimens were fixed, dehydrated, dried and analyzed by SEM. Treatment with 37% PA removed the smear layer, funneled the tubules and resulted in a collagen-rich surface which appeared to have collapsed in its outermost part, producing a dense surface layer covered with silica particles. When 37% PA treatment was followed by 10% NaOCl, the collagen network was removed to reveal an eroded, rough mineral surface with numerous lateral branches and larger than normal tubular orifices. The action of 10% NaOCl on the smear layer-covered dentin showed no significant alteration in surface morphology. The treatment with CSEB-primer dissolved the smear layer but only partially dissolved the smear plugs. The tubules did not present the typical funnel shape seen following PA treatment. These morphological aspects on dentin surface must influence bonding results. The dentin surface alterations produced by PA appeared to be a very severe demineralization pattern, quite irregular and less permeable to monomer infiltration, while the surface provided by the self-etching primer appeared to be a more uniform, less porous surface, and the association with simultaneous monomer infiltration may reduce the occurrence of mistakes in clinical bonding procedures.

Acid Etching, Dental↗