Academic literature on the topic 'Silorane resin composite'

ABSTRACT The silorane-based resin composites have low polymerization shrinkage and stress, good stability in aqueous environments and insolubility in biological fluid stimulants compared with conventional dimethacrylate based composites. The aim of this study was to clinically evaluate the performance of silorane-based resin over a period of 18 months. The study was conducted in ten posterior restorations performed with silorane. Clinical evaluations were done periodically to evaluate the success of the restorations using predefined criteria. Eight out of ten restorations fulfilled all criteria up to 18 months. Two restorations had marginal chipping of the composite material. From this short-term clinical study, it can be concluded that siloranes can be used as an alternative to other posterior restorative composites. Further research over longer periods with larger samples are required to substantiate the current observations. How to cite this article Almuhaiza M. Clinical Evaluation of Silorane-based Resin Composites in the Posterior Teeth: An 18 Months Follow-up Study. World J Dent 2016;7(2):69-72.

This in vitro study aimed to evaluate the micro-leakage at the occlusal and cervical margins in class II cavities in permanent molars restored with a low shrink silorane resin composite (Filtek P90) applied with or without etching and two methacrylate-based composite resins (valux plus and Amelogen® plus). Two standardised class II box cavities were prepared in proximal surfaces of 60 sound non-fluorotic permanent molars which were divided into three groups of 20 each according to the type of composite. Group I: silorane-based composite (Filtek P90) in the mesial cavity and methacrylate-based microhybrid composite (Adper single bond 2/valux plus) in the distal cavity, Group II: silorane-based composite in the mesial cavity and silorane-based composite with previous etching in the distal cavity, and Group III: silorane-based composite in the mesial cavity and methacrylate-based micro-hybrid composite (PQ1 /Amelogen plus) in the distal cavity. The samples underwent an artificial aging with thermocycling. Root apices were sealed with transparent orthodontic resin and coated with transparent varnish except 1 mm around the restoration. The specimens were immersed in 1% methylene blue solution at room temperature for 48 hour. The samples were sectioned longitudinally in the mesiodistal direction and evaluated under a stereomicroscope at 20X. Scoring was done according to the depth of methylene blue penetration into the cavities. Statistical analysis of the data was performed using SPSS 17.0 software. Silorane-based composite resin showed less micro-leakage than the methacrylate-based composites. Etching improved the sealing ability of silorane restorations. Silorane-based composite preceded by etching had less micro-leakage among the other materials used in this in vitro study. Keywords: Silorane, methacrylate based composite, sealing, micro-leakage, class II cavity

SUMMARY Objective: This laboratory study compared the repaired microtensile bond strengths of aged silorane resin composite using different surface treatments and either silorane or methacrylate resin composite. Methods: One hundred eight silorane resin composite blocks (Filtek LS) were fabricated and aged by thermocycling between 8°C and 48°C (5000 cycles). A control (solid resin composite) and four surface treatment groups (no treatment, acid treatment, aluminum oxide sandblasting, and diamond bur abrasion) were tested (N=12 blocks, 108 beams/group). Each treatment group was randomly divided in half and repaired with either silorane resin composite (LS adhesive) or methacrylate resin composite (Filtek Z250/Single Bond Plus). After 24 hours in 37°C distilled water, microtensile bond strength testing was performed using a non-trimming technique. Surface topography after surface treatment was analyzed using scanning electron microscopy (SEM). Failure mode was examined using optical microscopy (50×). Results: Weibull-distribution survival analysis revealed that aluminum oxide sandblasting followed by silorane or methacrylate resin composite and acid treatment with methacrylate resin composite provided insignificant differences from the control (p>0.05). All other groups were significantly lower than the control. Failure was primarily adhesive in all groups. Conclusion: Aluminum oxide sandblasting produced microtensile bond strength not different from the cohesive strength of silorane resin composite. After aluminum oxide sandblasting, aged silorane resin composite can be repaired with either silorane resin composite with LS system adhesive or methacrylate resin composite with methacrylate dental adhesive.

<p><strong>Objective:</strong> The durability of bonded interface between silorane (SIL) and methacrylate-based (MET) composite resins wasn’t investigated yet. The purpose was to evaluate the repair strength (RS) and nanoleakage of the SIL repair using silorane- or methacrylate-based materials immediately [IM] or after 6 months of water storage [6M]. <strong>Materials and Methods:</strong> fifteen resin blocks (Filtek P90, 3MESPE) were polished, sandblasted with 50-µm aluminum oxide sandblasting and cleaned with 37% phosphoric acid. Then the specimens were divided into three groups: SIL-SIL (adhesive and composite resin); SIL-MET (silorane adhesive and methacrylate based composite) and MET-MET (methacrylate-based adhesive and composite resin) were used for the repair. Composite-composite bonded sticks (0.9 mm<sup>2</sup>) were sectioned and divided to be tested in tension (1.0 mm/min) IM or 6M. Two sticks from each tooth, at each time, were immersed in a 50% silver nitrate solution and evaluated by SEM. Data were analyzed by two-way repeated measures ANOVA and Tukey´s tests. <strong>Results:</strong> The RS of the SIL was not dependent upon the adhesive and composite used for the repair. A significant reduction of the RS was observed for all groups after 6M. <strong>Conclusions:</strong> Both materials can be used for the repair of the silorane composite, despite degradation occur after 6M.</p>

The aim of this study was to evaluate the effect of bleaching and thermocycling on microshear bond strength of bonded resin composites to enamel. Enamel slices were prepared from ninety-six intact human premolars and resin composite cylinders were bonded by using Adper Single Bond 2 + Filtek Z350 or Filtek silorane adhesive and resin composite. Each essential group was randomly subdivided to two subgroups: control and bleaching. In bleaching group, 35% hydrogen peroxide was applied on samples. Thermocycling procedure was conducted between 5°C and 55°C, for 3.000 cycles on the half of each subgroup specimen. Then microshear bond strength was tested. Methacrylate-based resin composite had higher bond strength than silorane-based one. The meyhacrylate-based group without bleaching along with thermocycling showed the most bond strength, while bleaching with 35% carbamide peroxide on silorane-based group without thermocycling showed the least microshear bond strength. Bleaching caused a significant degradation on shear bond strength of silorane-based resin composites that bonded using self-etch adhesive resin systems.

ABSTRACT Objective: The aim of this study was to evaluate the change in surface hardness of silorane-based composite resin (Filtek Silorane) in time and compare the results with the surface hardness of two methacrylate-based resins (Filtek Supreme and Majesty Posterior). Materials and Methods: From each composite material, 18 wheel-shaped samples (5-mm diameter and 2-mm depth) were prepared. Top and bottom surface hardness of these samples was measured using a Vicker′s hardness tester. The samples were then stored at 37°C and 100% humidity. After 24 h and 7, 30 and 90 days, the top and bottom surface hardness of the samples was measured. In each measurement, the rate between the hardness of the top and bottom surfaces were recorded as the hardness rate. Statistical analysis was performed by one-way analysis of variance, multiple comparisons by Tukey′s test and binary comparisons by t-test with a significance level of P = 0.05. Results: The highest hardness values were obtained from each two surfaces of Majesty Posterior and the lowest from Filtek Silorane. Both the top and bottom surface hardness of the methacrylate based composite resins was high and there was a statistically significant difference between the top and bottom hardness values of only the silorane-based composite, Filtek Silorane (p < 0.05). The lowest was obtained with Filtek Silorane. The hardness values of all test groups increased after 24 h (p < 0.05). Conclusions: Although silorane-based composite resin Filtek Silorane showed adequate hardness ratio, the use of incremental technic during application is more important than methacrylate based composites.

SUMMARY The purpose of this study was to determine the incremental shear bond strength of a silorane-based composite (Filtek Silorane) repaired with silorane or a methacrylate-based composite (Filtek Z250) under various aging conditions. Also, the incremental bond strength of the silorane-based composite was compared with that of another low-shrinkage methacrylate-based composite (Aelite LS Posterior) under fresh and aged conditions, with and without the use of an adhesive resin between successive layers. The two brands of low-shrinkage composites were compared with a microhybrid, Filtek Z250, which served as the control. Substrate discs were fabricated and second layers were adhered to them immediately, after two weeks of aging, or after four weeks of aging and with and without an adhesive resin. Shear bond strengths were measured and failure modes were evaluated. The incremental bond strength of silorane to the silorane-based composite was not significantly different from that of the methacrylate-based composite. However, repairing a silorane-based composite with a methacrylate-based composite significantly reduced the bond strength. Aelite showed a lower incremental bond strength than Z250 and silorane, but the use of an adhesive significantly improved the bond strength. The absence of an oxygen-inhibited layer did not affect the bond strength of the consecutive layers of the silorane-based composite.

SUMMARY The aim of the present study was to evaluate the three-year clinical performance of a nanofilled resin composite, a packable resin composite, and silorane-based resin restorations in Class I occlusal cavities. Twenty-eight patients with at least three similar-sized occlusal lesions in molar teeth participated in the study. A total of 84 Class I occlusal restorations were placed: 28 with nanofilled resin composite (Filtek Supreme), 28 with packable resin composite (P60), and 28 with silorane-based resin (Filtek Silorane). Filtek Supreme and P60 were used with their respective etch-and-rinse adhesive system, Adper Single Bond 2, and Filtek Silorane was used with its respective self-etch adhesive, Filtek Silorane Adhesive. All restorations were placed by the same operator. The restorations were evaluated at baseline, at six months, and annually for three years according to modified US Public Health Service criteria by two calibrated examiners who did not know which restorative resin had been used. The three restorative materials for each category were compared using the χ2 test at a significance level of 0.05. Cochran's Q test was used to compare the changes across the five time points for each restorative material. McNemar's test followed by Bonferroni adjustment was used when significance differences were found. At the end of the three years, 60 restorations were evaluated in 20 patients, with a recall rate of 71.4%. The retention rate was 100% for all restorative resins. Eight restorations from the P60 group, ten from the Filtek Supreme group, and nine from the Filtek Silorane group were rated Bravo for marginal discoloration. For marginal adaptation, three P60, five Filtek Supreme, and 11 Filtek Silorane restorations were rated Bravo. No statistically significant differences in overall clinical performance were found between the restorative materials except for marginal adaptation. P60 showed the best marginal adaptation at the end of the three years. No differences were observed between the restorative resins for any of the evaluation criteria tested (p>0.05). None of the restorations showed postoperative sensitivity, secondary caries, or loss of anatomic form. All restorative resins performed equally well in clinical conditions during the three-year evaluation, and no significant differences were found among them, except for marginal adaptation, in which P60 showed superior results.

AIM: To evaluate the effect of composite pre-heating on the microhardness of different monomer resin-based. MATERIALS AND METHOD: Circular specimens of methacrylate- and silorane-based composite resins pre-heated at 23, 39, and 55˚ C were carried out, and cured using a halogen light-curing unit at 650 mW/cm². After 24 h, the specimens were polished and Knoop hardness number (KHN) was measured using a microhardness tester with 50-g load for 15 s. The data were analyzed with ANOVA and Tukey’s tests (α = 0.05). RESULTS: Top surface presented higher KHN than bottom, methacrylate-based composite showed higher KHN compared to silorane, and pre-heating increased the KHN of the composites tested. CONCLUSION: Pre-heating can be used to improve the microhardness of methracrylate- and silorane-based composites.

SUMMARY Aim To determine the volumetric polymerization shrinkage of four different types of composite resin and to evaluate microleakage of these materials in class II (MOD) cavities with and without a resin-modified glass ionomer cement (RMGIC) liner, in vitro. Materials and Methods One hundred twenty-eight extracted human upper premolar teeth were used. After the teeth were divided into eight groups (n=16), standardized MOD cavities were prepared. Then the teeth were restored with different resin composites (Filtek Supreme XT, Filtek P 60, Filtek Silorane, Filtek Z 250) with and without a RMGIC liner (Vitrebond). The restorations were finished and polished after 24 hours. Following thermocycling, the teeth were immersed in 0.5% basic fuchsin for 24 hours, then midsagitally sectioned in a mesiodistal plane and examined for microleakage using a stereomicroscope. The volumetric polymerization shrinkage of materials was measured using a video imaging device (Acuvol, Bisco, Inc). Data were statistically analyzed with Kruskal-Wallis and Mann-Whitney U-tests. Results All teeth showed microleakage, but placement of RMGIC liner reduced microleakage. No statistically significant differences were found in microleakage between the teeth restored without RMGIC liner (p>0.05). Filtek Silorane showed significantly less volumetric polymerization shrinkage than the methacrylate-based composite resins (p<0.05). Conclusion The use of RMGIC liner with both silorane- and methacrylate-based composite resin restorations resulted in reduced microleakage. The volumetric polymerization shrinkage was least with the silorane-based composite.

O objetivo deste estudo foi avaliar, in vitro, o comportamento citotóxico e a produção de citocinas induzidos pelos materiais restauradores resinosos contendo novos monômeros KaloreTM (GC FUJI) e FiltekTMSilorane (3M ESPE) em comparação com as resinas compostas convencionais Charisma® (Heraeus-Kulzer) e FiltekTM Z250 (3M ESPE), em cultura de fibroblastos L929 e macrófagos RAW 264.7 de camundongos. As células foram estimuladas com as resinas compostas, fotopolimerizadas ou não, a partir da colocação em contato indireto ou pela extração de seus componentes durante 15, 45 e 120 dias. Após a incubação por 6, 12 e 24 horas, a viabilidade celular foi avaliada pelo Ensaio MTT e a produção de citocinas foi investigada pelo ensaio imunoenzimático (ELISA). Os dados obtidos foram analisados utilizando-se análise de variância de uma via (One-way ANOVA) e pós-teste de Tukey (&alpha;=0,05). A produção de TNF-&alpha; e IL-6 não foi detectada em fibroblastos da linhagem L929, após 6, 12 e 24 horas de contato indireto com as resinas compostas KaloreTM e FiltekTM Silorane. Por outro lado, a produção de TNF-&alpha; foi detectada em macrófagos da linhagem RAW 264.7, mas não foi influenciada pelo contato indireto com as resinas compostas, com exceção da resina FiltekTM Silorane que inibiu a produção de TNF-&alpha;, após 12 horas de incubação. Os extratos obtidos das resinas compostas KaloreTM e FiltekTM Silorane incubadas por 15 dias, se mostraram mais citotóxicos do que os extratos incubados por 45 e 120 dias. A citotoxicidade da resina composta KaloreTMnão foi influenciada pela fotopolimerização enquanto a citotoxicidade da resina FiltekTM Silorane foi maior no grupo não fotopolimerizado. Os extratos das resinas compostas Charisma® e FiltekTM Z250, obtidos aos 15, 45 e 120 dias de incubação, não foram citotóxicos 24 horas após a estimulação das células. Ainda, a resina FiltekTM Silorane, fotopolimerizada ou não, estimulou a produção de IL-6 no período de 45 dias de extração. A resina KaloreTM, diferentemente da resina FiltekTM Silorane, estimulou a produção de IL-10, aos 15 dias de extração. Entretanto, no período de 45 de extração, a resina KaloreTM fotopolimerizada inibiu a produção de IL-10, após 12 horas de incubação, e aos 120 dias de extração não houve produção detectável de IL-10 em nenhum dos grupos avaliados.<br>The aim of this study was to evaluate in vitro the cytotoxicity and the production of cytokines induced by resin-based restorative materials containing new monomers KaloreTM (GC FUJI) and FiltekTM Silorane (3M ESPE) compared with conventional composite resins Charisma® (Heraeus-Kulzer) and FiltekTM Z250 (3M ESPE), in mice L929 fibroblast and RAW 264.7 macrophages culture. Cells were stimulated with the composite resins, light-cured or not, by indirect contact or extraction during 15, 45, and 120 days. After incubation for 6, 12, and 24 hours, cell viability was assessed by MTT assay and production of cytokines was investigated by enzyme-linked immunosorbent assay (ELISA). Data obtained were analyzed using oneway analysis of variance (ANOVA) and Tukey post-test ( &alpha; = 0.05). Production of TNF-&alpha; and IL-6 was not detected in L929 fibroblasts either 6, 12 or 24 hours following indirect contact with the KaloreTM and FiltekTM Silorane composite resins. On the other hand, the production of TNF-&alpha; was detected in RAW 264.7 macrophages, but was not influenced by indirect contact with composite resins, with the exception of the FiltekTM Silorane resin that inhibited the production of TNF-&alpha;, after 12 hours of incubation. The extracts obtained from incubation for 15 days with composite resins KaloreTM and FiltekTM Silorane were more cytotoxic than extracts incubated for 45 and 120 days. Cytotoxicity of composite KaloreTM was not influenced by light curing while cytotoxicity of FiltekTM Silorane resin was higher in the group that not received light-cure. Extracts of Charisma® and FiltekTM Z250 composite resins, obtained at 15, 45, and 120 days of incubation, were not cytotoxic 24 hours after stimulation of the cells. Also, FiltekTM Silorane, light-cured or not, stimulated the production of IL-6 following 45 days of incubation. KaloreTM resin extract for 15 days, unlike FiltekTM Silorane resin, stimulated the production of IL-10. However, during periods of 45 days of extraction, KaloreTM resin, light-cured, inhibited the production of IL-10, after 12 hours of incubation, and 120 days of extraction there was no detectable production of IL-10 in any of the groups.

Este estudo investigou propriedades mecânicas do compósito silorano em dois capítulos. Capítulo A Objetivo: avaliou a resistência de união entre a estrutura dental e um composto à base de silorano, após o clareamento dental. Método: Sessenta incisivos bovinos foram distribuídos aleatoriamente em seis grupos (n=10), de acordo com o período de armazenamento entre o tratamento clareador e a restauração com compósito à base de silorano. O tratamento clareador com peróxido de carbamida à 10% seguiu um protocolo de quatro horas diárias durante duas semanas. Após o período de armazenamento, as cavidades foram preparadas e restauradas com uma resina composta à base de silorano. Resultado: Após o tratamento clareador e os devidos períodos de armazenagem, nenhuma diferença significativa foi observada nos resultados de resistência adesiva (p>0,05). Conclusão: a resistência adesiva entre o compósito à base de silorano e o substrato dental não foi afetada pelo tratamento clareador com 10% de peróxido de carbamida. Capítulo B Objetivo: avaliou a resistência coesiva entre as camadas de resinas compostas à base metacrilato e silorano e a microdureza Knoop (KHN) após ciclos de erosão e abrasão. Método: Para a resistência coesiva, vinte amostras foram feitas com cada compósito, metacrilato (MC) e silorano (SC) (n=10). As amostras foram divididas em quatro grupos, de acordo com tipo e quantidade de incrementos de resina composta. O teste de microtração foi realizado 24h após a confecção das amostras. Para a análise da KHN, após os ciclos de erosão/abrasão, foram produzidas quarenta amostras de cada resina composta testada (MC e SC). As amostras foram distribuídas em oito grupos (n=10) de acordo com tipo de compósito e tipo de bebida envolvida no processo de erosão (controle, suco de laranja, Smirnoff Ice e Gatorade) e abrasão com dentifrício de alta abrasividade. Resultado - não foram observadas diferenças na resistência coesiva entre as camadas incrementais dos compósitos estudados (p> 0,05). Os resultados de KHN dos grupos MC apresentaram menor valor para o Smirnoff Ice (p<0,05), no entanto, para os grupos SC nenhuma diferença foi observada (p>0,05). Conclusão: a resistência coesiva entre as camadas incrementais de ambos compósitos testados não foi afetada pelo oxigênio; as bebidas, em conjunto com a abrasão, não tiveram capacidade de interferir na KHN dos compósitos testados, exceto o Smirnoff Ice para o MC.<br>This study investigated the mechanical properties of the silorane based composite in two chapter. Chapter A Aim: evaluated the bond strength between the dental structure and a silorane-based composite (SC), after bleaching treatment. Method: Sixty bovine incisors were randomly distributed into six groups (n=10) according to the storage period between the bleaching treatment and the SC restoration. The bleaching treatment followed a protocol of 10% carbamide peroxide with one application during four hours per day during two weeks. After the period of storage, cavities were made and filled with SC. Results: After the periods of bleaching treatment, no significant difference was observed in the results of push out bond strength between the SC and the bleached substrate (p>0.05). Conclusion: the bond strength between the SC and the dental substrate was not affected by the bleaching treatment with 10% carbamide peroxide. Chapter B Aim: evaluated the bond strength between incremental layers of methacrylate and silorane composites and the micro hardness Knoop (KHN) after erosion and abrasion cycles. Method: for the bond strength, twenty samples were made with each composite, methacrylate (MC) and silorane (SC) (n=10). The samples were divided into four groups according composite type and quantity of increments. The microtensile test was performed 24 h after the samples were made. For the KHN test, after erosion/abrasion process, forty samples of each composite tested (MC and SC) were made. The samples were distributed into eight groups (n=10) according composite type and beverage type involved in the erosion process (control, orange juice, Smirnoff Ice and Gatorade) and abrasion with high abrasivity detifrice. Results: no differences were observed in the bond strength between increment layers when the same composite was analyzed (p>0.05). The results of KHN in the MC groups showed smaller value for the Smirnoff Ice (p<0.05), however for the SC groups no differences were found (p>0.05). Conclusion: the bond strength between incremental layers of SC was not affected by the oxygen; the others beverages, jointly with the abrasion, have no capacity to interfere in the KHN of the composites tested.

Este estudo avaliou quantitativamente a contração de polimerização em função do aumento dos valores de densidade de potência irradiados em compósitos à base de metacrilatos e silorano, e qualitativamente a interface restauradora em relação à abertura de fendas marginais, em função da variação do tipo de substrato dentário. As resinas Filtek Z250 e Filtek P90 foram fotoativadas com 200, 400, 600, 800 e 1000 mW/cm2, em um volume constante de 12 mm3, e os valores de contração aferidos por meio da máquina de ensaios universal. Para análise qualitativa da interface restauradora, preparos cavitários classe V de 2x2x2 mm foram restaurados em incisivos bovinos, fotoativados com os mesmos valores de irradiância, e analisados em microscopia eletrônica de varredura nas interfaces da parede circundante em esmalte, parede circundante em dentina e parede axial. Os resultados quantitativos da contração de polimerização foram analisados pelo teste ANOVA a dois critérios e Tukey (p0,05), enquanto para os dados qualitativos os testes Mann-Whitney, Kruskal-Wallis e Miller foram empregados. O aumento progressivo da densidade de potência influenciou diretamente na contração de polimerização dos materiais estudados, não obstante a resina composta à base de silorano ter demonstrado valores significativamente menores. A integridade marginal sofreu influência do subtrato dentário bem como da densidade de potência utilizada, para as duas resinas estudadas.<br>Shrinkage is a limitation of resin composite, compromising the clinical longevity of the restorative procedure. In an attempt to reduce their harmful effects, researchers have studied monomers with lower values of contraction. As a result, low-shrinkage composites wer developed. This study evaluated quantitatively the shrinkage by a universal testing machine as a function of power density increase based on methacrylates, comparing them with silorane based resin, and qualitatively regarding gap formation between the adhesive interface as function of tooth substrate. Resin Filtek P90 and Filtek Z250 were polymerized with the device Blue Star 3 with 200, 400, 600, 800 and 1000 mW/cm2 keeping volume constant in 12 mm3. For qualitative analysis of restorative interface, class V cavity preparations in bovine incisors were restored in (2x2x2 mm), photoactivated with the same values of irradiance, and analyzed by scanning electron microscopy at the interface of the wall surrounding enamel, dentin and axial. The quantitative results of the polymerization shrinkage were analyzed by two-way ANOVA and Tukey\'s test (p0,05), while qualitative data for the Mann-Whitney, Kruskal-Wallis and Miller were employed. The progressive increase in power density directly influenced the polymerization shrinkage of the materials studied, despite the silorane based resin have demonstrated significantly lower values. The marginal integrity was influenced by the dental substrate and the power density used.

Orientador: Flávio Henrique Baggio Aguiar<br>Tese (doutorado) - Universidade Estadual de Campinas, Faculdade de Odontologia de Piracicaba<br>Made available in DSpace on 2018-08-22T02:49:00Z (GMT). No. of bitstreams: 1 Soares_GiullianaPanfiglio_D.pdf: 64597032 bytes, checksum: e11e3cff0a47e90986ae7f73605e5aa2 (MD5) Previous issue date: 2013<br>Resumo: A manutenção da integridade entre a interface dente e restauração é importante para o sucesso clínico de restaurações adesivas, influenciando significativamente na longevidade das mesmas. Assim, o objetivo deste trabalho in vitro, foi avaliar o efeito de diferentes sistemas adesivos na resistência de união à dentina e ao esmalte de uma resina composta a base de silorano, após 24 horas e 6 meses de armazenamento. Para este estudo, setenta terceiros molares humanos hígidos, recém-extraídos e não restaurados, foram usados em um dos dois testes de resistência de união. Para a resistência à microtração à dentina, vinte e oito terceiros molares humanos, sem raízes, tiveram a superfície oclusal planificada a fim de expor a dentina superficial. Os dentes foram aleatoriamente divididos em 8 grupos experimentais (n=7): Adper Single Bond 2 (3M ESPE); Adper Scotchbond Multiuso (3M ESPE); Adper SE Plus (3M ESPE) e sistema adesivo P90 (3M ESPE), sendo os palitos obtidos de cada grupo divididos entre os testes envelhecidos ou não. Após a aplicação do sistema adesivo relacionado com cada um dos grupos, foi aplicada uma camada do adesivo da resina à base de silorano e fotopolimerizado por 10 segundos. O passo seguinte foi à inserção da resina composta Filtek P90 (3M ESPE) e fotoativação por 40 segundos com aparelho LED de segunda geração, o mesmo utilizado para a fotoativação dos sistemas adesivos. Para a resistência de união ao microcisalhamento ao esmalte, oitenta e quatro fragmentos foram obtidos a partir de superfícies proximais de quarenta e dois terceiros molares humanos (n=7). Os grupos foram os mesmos que os utilizados no ensaio de microtração acrescido de quatro grupos experimentais com condicionamento ácido prévio com ácido fosfórico 35% (3M ESPE) para os grupos que utilizaram os adesivos auto condicionantes, resultando em 12 grupos experimentais. As amostras foram testadas em 24 horas ou após 6 meses de envelhecimento. Os dados foram analisados estatisticamente por meio xii da análise de variância (ANOVA) com medidas repetidas e Teste de Tukey (p = 0,05) Os resultados mostraram que, para o teste de resistência à microtração, não houve diferença estatística significativa entre os grupos, nem para a interação (p > 0,05). No teste de microcisalhamento, o grupo condicionado com ácido fosfórico 35% + Adper SE Plus apresentou a maior resistência de união, no entanto, nenhuma diferença estatística entre o grupo condicionado com ácido fosfórico 35% + Sistema adesivo Silorano (p = 0,051) foi observada. O sistema Adesivo Silorano apresentou a menor resistência de união, sem diferença estatística entre o Adper SE Plus (p = 0,972). Para ambos os testes não houve diferença entre 24 horas e 6 meses (p> 0,05) de armazenamento. Pode concluir-se que os sistemas adesivos apresentaram comportamentos semelhantes na resistência de união à dentina; para o esmalte, o condicionamento ácido prévio aumentou os valores de resistência de união dos adesivos auto-condicionantes, promovendo um padrão de condicionamento que favorece a adesão a este substrato. O armazenamento por 24 horas e 6 meses não foi significativo para a resistência de união ao esmalte ou dentina<br>Abstract: The maintenance of the bond integrity between tooth and dental restoration is important for the clinical success of adhesive restorations, influencing their durability. Thus, the aim of this in vitro study was to evaluate the effect of different adhesive systems on the microtensile bond strength to dentin and microshear bond strength to enamel of silorane based resin after 24 hours and 6 months of storage. For this study seventy freshly extracted non-carious, unrestored human third molars were assigned to one of two bond strength test. For the microtensile bond strength, twenty-eight third human molars, with no roots, had their oclusal surface flattened in order to expose superficial dentin. Teeth were randomly assigned to 8 experimental groups (n=7): Adper Single Bond 2 (3M ESPE); Adper Scotchbond Multi-Purpose (3M ESPE); Adper SE Plus (3M ESPE) and P90 adhesive system (3M ESPE), the sticks being obtained from each group divided between tests aged or not. After application of the adhesive system related to each group, was applying only the silorane adhesive bond and then light cured for 10 seconds. The next step was the insertion of silorane composite resin Filtek P90 (3M ESPE) and light cured for 40 seconds with second-generation light-emitting diode, the same used for the light cured of the adhesive systems. For the microshear bond strength, eighty four fragments were obtained from proximal surfaces of forty two third human molars. Groups were the same as those used in the microtensile test increasing two more experimental groups with etching previous with phosphoric acid 35% (3M ESPE) for the self etch adhesive systems, resulting in 12 experimental groups (n=7). The samples were tested after 24 hours or after 6 months of aging. The data were statistically analyzed by repeated measure analysis of Variance (ANOVA) and Tukey's test (p=0.05). Results showed that for the microtensile bond strength there was no statistical difference for all groups, neither for interaction (p>0.05). For microshear bond strength, Etching with xiv phosphoric acid 35% + Adper SE Plus presented the highest bond strength, however no statistical difference between Etching with phosphoric acid 35% + Silorane System Adhesive (p=0.051) was observed. Silorane System Adhesive presented the lowest bond strength, without statistical difference from Adper SE Plus (p=0.972). There was no statistical difference between 24 hours and 6 months (p > 0.05). It can be concluded that there was no difference for the dentin bond strength group; for microshear bond strength, acid etching increases the bond strength values of the self-etching adhesive to enamel, promoting a conditioning pattern that favors the adhesion to this substrate. There was no statistical difference between the periods of 24 hours and 6 months of storage for enamel or dentin<br>Doutorado<br>Dentística<br>Doutora em Clínica Odontológica

Orientador: Simonides Consani<br>Tese (doutorado) - Universidade Estadual de Campinas, Faculdade de Odontologia de Piracicaba<br>Made available in DSpace on 2018-08-26T13:35:05Z (GMT). No. of bitstreams: 1 Fugolin_AnaPaulaPiovezan_D.pdf: 4905643 bytes, checksum: 75a91fcf559fc00359be8feeeb2d2a0c (MD5) Previous issue date: 2015<br>Resumo: Novos compósitos bulk-fill, autoadesivos e de menor contração foram desenvolvidos propondo mudanças na técnica restauradora incremental preconizada. Os objetivos desta pesquisa foram: 1) analisar os compósitos Tetric EvoCeram Bulk Fill (TEC), Surefil SDR (SDR), Vertise Flow (VF), Filtek Low Shrinkage (SIL) e compará-los com o compósito convencional Z100 (Z100) quanto à contração volumétrica, tensão de contração, grau de conversão, cinética, resistência à flexão e módulo de elasticidade; 2) avaliar a profundidade de polimerização e a resistência da união à tração de cavidades de Classe II restauradas com diferentes técnicas e diversas associações de materiais submetidas à ciclagem mecânica; e 3) analisar a adaptação marginal por microscopia eletrônica de varredura de restaurações de Classe II antes e após ciclagem mecânica e resistência coesiva. No capitulo 1, a contração volumétrica foi avaliada por dilatômetro de mercúrio e bonded disc (n=5) e a tensão de contração com Bioman (n=5). O grau de conversão foi analisado com espectroscopia de infravermelho próximo (NIR) (n=5) e a cinética por meio de optical bench (n=5). Resistência à flexão e módulo de elasticidade foram mensurados em ensaio com três pontos de apoio após 10 e 60 minutos da fotoativação. Os dados foram analisados por ANOVA e teste de Tukey (5%). VF apresentou os maiores valores de contração volumétrica e tensão de contração, enquanto que SIL obteve os menores. SDR apresentou a maior taxa de polimerização e os maiores valores de grau de conversão. VF apresentou os maiores valores de resistência à flexão após 10 e 60 minutos e Z100 os maiores valores de módulo de elasticidade. No capítulo 2, cavidades de Classe II ocluso-distais em terceiros molares humanos extraídos foram restauradas usando sistema adesivo convencional ¿ XP Bond (XP) ou à base de silorano (SSA) associado aos compósitos TEC, SDR, VF, SIL e Z100 inseridos por meio da técnica incremental (I) e bulk (B). Os grupos experimentais testados foram: XP-Z-B, XP-Z-I, SSA-Z-B, SSA-Z-I, XP-TEC-B, XP-TEC-I, XP-SDR-Z100, SSA-SDR-Z100, VF-Z-B e SSA-SIL-B (n=8). Metade do total das amostras foi preparada para obtenção de palitos e submetida ao teste de resistência da união à microtração após sete dias de armazenagem, enquanto outra metade foi submetida à ciclagem mecânica antes do ensaio de resistência da união. A profundidade de polimerização foi mensurada em restaurações com 4,0 mm de profundidade removidas da cavidade e submetidas ao ensaio de dureza Knoop (n=3). Os resultados foram analisados por ANOVA e teste de Tukey (5%). Quanto à resistência de união o grupo XP-SDR-Z apresentou os maiores valores em ambas as superfícies (oclusal e cervical) nos grupos ciclados ou não. Os menores valores foram exibidos por VF-Z-B em ambas as superfícies para os grupos não ciclados e SSA-SDR-Z para os ciclados. Em relação à profundidade de polimerização, VF apresentou a maior redução da dureza, enquanto os demais compósitos apresentaram valores de redução menores do que 20%. No capítulo 3, as cavidades de Classe II restauradas seguiram as mesmas etapas dos grupos experimentais apresentados no capítulo 2 (n=5) e foram submetidas ao ensaio de ciclagem mecânica; porém, foram previamente moldadas para obtenção de replicas para análise da integridade marginal em microscopia eletrônica de varredura. As imagens foram analisadas pelo software Image J para verificar a porcentagem de fendas. Os compósitos utilizados para restaurar as cavidades foram submetidos ao teste de resistência coesiva (n=5). Os resultados foram analisados por ANOVA e teste de Tukey (5%). A análise da adaptação marginal qualitativa e quantitativa mostrou alteração significativa antes e após a ciclagem mecânica apenas para todos o grupo SSA-Z-B. Os resultados de resistência coesiva mostraram que Z100, SDR e SIL apresentaram os maiores valores, seguido de TEC. VF apresentou os menores valores. Concluiu-se que os novos compósitos apresentam propriedades comparáveis e, em algumas situações, melhores quando comparado ao compósito convencional<br>Abstract: New bulk-fill, self-adhering and low shrinkage materials were developed and purposed significant changes in the preconized incremental restorative technique. The aims of this research were: 1) analyze the new composites represented by Tetric EvoCeram Bulk Fill (TEC), Surefil (SDR), Vertise Flow (VF), Filtek Low Shrinkage (SIL) and compare them with the conventional composite Z100 (Z100) in relation to volumetric shrinkage, stress of polymerization, degree of conversion, kinetics, flexural strength and modulus; 2) evaluate depth of cure of different composites and microtensile bond strength of Class II cavities filled by different restorative techniques and materials association submitted to mechanical fatigue-cycling test; and 3) analyze marginal adaptation by scanning electron microscopy (SEM) of Class II restoration before and after mechanical cycling, and ultimate tensile strength. In the charter 1, the volumetric shrinkage was evaluated by mercury dilatometer and bonded-disc techniques (n=5) and stress of polymerization by Bioman instrument (n=5). Degree of conversion was analyzed with NIR-spectroscopy (n=5) and the kinetics by the optical bench (n=5). Flexural strength and modulus were carried out using a three-point bending test after 10 and 60 minutes after photocuring. Results were analyzed by ANOVA and Tukey¿s test (5%). VF showed the highest values of volumetric shrinkage and stresses of polymerization and SIL the lowest ones. SDR obtained the highest rate of polymerization and the highest degree of conversion values. VF presented the highest values of flexural strength in both tested times, and Z100 the highest values of modulus. In the charter 2, Class II occluso-distal cavities (6 x 2 x 4 mm) in extracted human molars were restored using a etch-and-rinse adhesive system ¿ XP Bond (XP) or silorane-based (SSA) associated to TEC, SDR, VF, SIL and Z100 composites placed by incremental (I) or bulk (B) technique. The tested experimental groups were: XP-Z-B, XP-Z-I, SSA-Z-B, SSA-Z-I, XP-TEC-B, XP-TEC-I, XP-SDR-Z100, SSA-SDR-Z100, VF-Z-B e SSA-SIL-B (n=8). Half of the samples were prepared to obtain sticks and submitted to the microtensile bond strength test after 7 days of storage. The other samples were submitted to the mechanical fatigue-cycling test before the microtensile bond strength test. Depth of cure was carried out in restorations with 4.0 mm of depth, removed and submitted to Knoop hardness test (n=3). Results were statistically analyzed by ANOVA and Tukey¿s test (5%). In relation to microtensile bond strength, in overall, XP-SDR-Z showed the highest values in both analyzed surfaces (occlusal and cervical) in cycling and no-cycling groups. The lowest values were exhibited by VF-Z-B in both analyzed surfaces in no-cycling groups and SSA-SDR-Z in cycling groups. In relation to depth of cure, VF obtained the lowest top-to-bottom ratio, while the other tested composites exhibited less than 20% of reduction. In the charter 3, Class II cavities were prepared following the same steps described in charter 2 (n=5) and were carried out to mechanical fatigue-cycling test. However, impressions were made before and after to obtain replicas to SEM analysis of the marginal integrity. The micrographs were analyzed by Image J software to measure the discontinuity percentage. The composites used in the cavities were submitted to the ultimate tensile strength (UTS) (n=5). Results were statistically analyzed by ANOVA and Tukey¿s test (5%). Marginal adaptation analysis did not show significant alteration before and after cycling for all groups except to SSA-Z-B where cracks and gaps were found in the adhesive interface. In relation to UTS results Z100, SDR and SIL showed the highest results, followed by TEC. VF exhibited the lowest values. It is possible to conclude that new composites show comparable properties and in some situation better than conventional material<br>Doutorado<br>Materiais Dentarios<br>Doutora em Materiais Dentários

Orientador: José Roberto Lovadino<br>Tese (doutorado) - Universidade Estadual de Campinas, Faculdade de Odontologia de Piracicaba<br>Made available in DSpace on 2018-08-21T19:12:21Z (GMT). No. of bitstreams: 1 Miranda_DiogodeAzevedo_D.pdf: 917256 bytes, checksum: c14c6c829d5ff17a27a9aaa10821f2a8 (MD5) Previous issue date: 2013<br>Resumo: O objetivo deste estudo foi avaliar o efeito de três distâncias de fotoativação (0mm, 3mm e 6mm) e quatro meios de imersão (saliva artificial - AS, Plax FreshMint - PFM, Plax Sem álcool - PAF e Plax Whitening - PW) sobre a sorção e solubilidade de compósitos à base de metacrilato (Filtek Z350) e silorano (Filtek P90). Os espécimes foram confeccionados a partir de uma matriz de teflon de 6mm de diâmetro por 1mm de profundidade, onde o compósito foi inserido em incremento único e fotoativado por 20 segundos. Para controlar as distâncias de fotoativação, foi utilizado um dispositivo acoplado a um paquímetro digital. Para o teste de grau de conversão (GC) foram confeccionadas 30 amostras (n=5), de acordo com o tipo de resina e a distância de fotoativação. A leitura dos espectros foi realizada por um espectrômetro de raios infravermelhos transformado de Fourier (FTIR). Para os testes de sorção e solubilidade foram confeccionados 120 espécimes (n=5), de acordo com as variáveis compósitos, distâncias de fotoativação e meios de imersão. As amostras foram armazenadas em um dissecador com sílica em gel até a obtenção de uma massa inicial estável (m1). Após estabilização da massa inicial, o diâmetro e a espessura foram aferidos em quatro pontos equidistantes utilizando paquímetro digital. Durante 30 dias, as amostras foram imersas duas vezes ao dia, durante dois minutos nos diferentes enxaguatórios e, entre cada ciclo de imersão (12 horas de intervalo), permaneciam em saliva artificial. O grupo controle permaneceu em saliva artificial durante todo período. Por fim as amostras foram retiradas das soluções e pesadas novamente numa balança de precisão para obtenção da nova massa (m2) e, em seguida, colocadas no dessecador até a obtenção de uma massa final estável (m3). Os dados de GC% foram analisados por meio de análise de variância (ANOVA) em esquema de parcelas subdivididas e as comparações múltiplas foram feitas pelo teste de Tukey, considerando o nível de significância de 5%. Os resultados mostraram que não houve diferença estatística no GC% entre as superfícies testadas (topo e base); entretanto, quando a fotoativação foi realizada a 6 mm de distância, tanto a superfície base quanto a de topo, apresentou menores valores de GC, independente do tipo de compósito. Para sorção, os dados foram analisados por ANOVA two way e teste de Tukey, considerando o nível de significância de 5%. O compósito à base de metacrilato apresentou maiores taxas de sorção que o compósito à base de silorano; a saliva não influenciou a sorção, independente da distância e do compósito. O PW demonstrou alterar significativamente a sorção, independente do tipo de compósito. Os dados de solubilidade foram analisados pelos testes não paramétricos de Kruskal Wallis e Dunn, com nível de significância de 5%. Para todas as distâncias e soluções, os valores obtidos foram negativos<br>Abstract: The main purpose of this study was to evaluate the effect of three light curing tip distances (0mm, 3mm and 6mm) and four immersion media (artificial saliva - AS, Plax FreshMint - PFM, Plax Sem álcool - PAF and Plax Whitening - PW) on sorption and solubility of metacrilate-based (Filtek Z250) and silorane-based (Filtek P90) composites. The specimens were made from a Teflon mold of 6mm of diameter by 1mm deep, where the composite was inserted in single increment and light-cured for 20 seconds. To control the photoactivation distances, it was used a device coupled to a digital pachymeter. For the Degree of Conversion test (DC%) were prepared 30 samples (n=5), according to the type of resin and the distance of photoactivation. The reading of the spectrums was performed by a ray spectrometer, Fourier transform infrared (FTIR). For sorption and solubility tests were prepared 120 specimens (n=5), according to the variable of the composites, distances of photoactivation and immersion media. The samples were stored in a desiccator with silica gel to obtain a stable initial mass (m1). After stabilization of the initial mass, diameter and thickness were measured at four equidistant points using a digital pachymeter. During 30 days the samples were immersed twice daily for two minutes in the different mouthrinses between each emersion cycle (12 hour interval) remained immersed in artificial saliva. The control group remained in artificial saliva during the entire period. Finally the samples were removed from the solution and re weighed on a precision scale to obtain the new mass (m2) and then placed in a desiccator to obtain a final stable mass (m3). DC% data were analyzed by analysis of variance (ANOVA) in subdivided plots and multiple comparisons were made by Tukey test, considering a significance level of 5%. The results did not show any statistical difference between the DC tested surfaces (top and base), however, when the polymerization was performed at 6 mm of distance, both the surface base and the top, presented lower DC% values regardless of the composite type. For sorption, data were analyzed by two-way ANOVA and Tukey test, considering a significance level of 5%. The methacrylate-based composite had higher rates of sorption that the composite silorane-based; saliva did not influence the sorption, regardless of distance and the composite. PW demonstrated significantly change the sorption, regardless of the type of composite. The solubility data were analyzed by the nonparametric tests of Kruskal Wallis and Dunn, with a significance level of 5%. For all distances and solutions, the values were negative<br>Doutorado<br>Dentística<br>Doutor em Clínica Odontológica

Tensions generated by the polymerization shrinkage of composite resins can result in failure of restorations due to post-operative sensitivity, marginal gaps and secondary caries lesions. A silorane composite matrix was recently launched in the market, the main feature of the low polymerization shrinkage. This split-mouth clinical study compared the performance of composite resin FiltekTM P90 / P90 Adhesive System (3M-ESPE) with composite resin FiltekTM P60 / Adper TM SE Plus (3M-ESPE) in Class I occlusal restorations. Each individual (n = 35) received at least one pair of restorations, randomly allocated in the test group (P90) and control group (P60). A single operator carried out the preparations and restorations, using the materials in accordance with manufacturer's guidelines. A week later, the restorations were finished and polished and were evaluated blindly and independently by two trained examiners (kW 0.7). Three months after the restorations were evaluated again by the same two trained investigators blindly and independently (kW 0.84) using the modified United States Public Health Service criteria. Wilcoxon test compared the frequencies of scores Alpha, Bravo and Charlie in the test and control groups at baseline and after 3 months ( = 5%). At baseline and after 3 months, no statistically significant difference between groups regarding the criteria for marginal discoloration, marginal integrity, surface texture, anatomical form and postoperative sensitivity (p> 0.05). Within each group, the restorations did not differ between baseline and 3 months (p>0,05). It was concluded that during the period of initial evaluation, the clinical performance of silorane composite resin was similar to methacrylate resin.<br>Tensões geradas pela contração de polimerização das resinas compostas podem resultar em falha das restaurações devido a sensibilidade pós-operatória, margens imperfeitas e lesões secundárias de cárie. Uma resina composta com matriz de silorano foi recentemente comercializada, tendo como principal característica a reduzida contração de polimerização. Este estudo clínico tipo split-mouth comparou o desempenho da resina composta FiltekTM P90 / P90 Adhesive System (3M-ESPE) com o da resina composta FiltekTM P60 / Adper TM SE Plus (3M-ESPE), em restaurações de classe I oclusais. Cada indivíduo (n=35) recebeu pelo menos um par de restaurações, alocadas aleatoriamente em grupo teste (P90) e grupo controle (P60). Um único operador realizou os preparos e restaurações, usando os materiais segundo orientações do fabricante. Após uma semana, as restaurações receberam acabamento e polimento e foram avaliadas de forma cega e independente por dois examinadores treinados (kW 0,7). Após 3 meses, as restaurações foram reavaliadas pelos mesmos examinadores (KW = 0,84). Foram utilizados os critérios United States Public Health Service modificados nas avaliações das restaurações. O teste de Wilcoxon comparou as frequências de escores Alfa, Bravo e Charlie nos grupos teste e controle no baseline e após 3 meses. Os resultados foram considerados significativos para uma probabilidade de significância inferior a 5%. No baseline e após 3 meses, não houve diferença estatística significativa entre os grupos quanto aos critérios de descoloração marginal, integridade marginal, textura de superfície, forma anatômica, sensibilidade pós-operatória e cárie secundária (p>0,05). Após 3 meses, não houve diferença significativa nos critérios avaliados dentro de cada grupo (p>0,05). Concluiu-se que, no período de avaliação inicial, o desempenho clínico da resina de silorano foi similar ao da resina de metacrilato.

Purpose: To investigate clinical performance of defective conventional dimethacrylate-based composite resin restorations repaired by a low-shrinkage silorane-based composite or a dimethacrylate-based composite resin, at baseline, 6 and 12 months. Material and Methods: One hundred defective dimethacrylate-based composite resin restorations were repaired in this study. From those, 93 were examined at baseline, 91 at 6 months and 83 at 1 year. The restorations were randomly assigned to one of two treatment groups: Control (n = 50) Adper SE Plus, 3M /ESPE + Filtek P60 Posterior Restorative, 3M/ESPE and Test (n = 50) Repair with P90 System Adhesive Self-Etch Primer and Bond, 3M/ESPE and Filtek P90 Low Shrink Posterior Restorative, 3M/ESPE. Two calibrated examiners (Kw 0.78) evaluated all repaired restorations by direct observation, blindly and independently, at baseline, six months and at one year. The parameters examined were marginal adaptation, anatomic form, surface roughness, marginal discoloration, post-operative sensitivity and secondary caries. The restorations were classified as Alpha, Bravo or Charlie (Modified U.S. Public Health Service criteria). Mann-Whitney test compared the materials tested, for all clinical criteria, at baseline and at 6 and 12 months ( = 0.05). Wilcoxon test compared each material independently, for the same criteria, at baseline, and at 6 and 12 months ( = 0.05). Results: Drop-out in this study was about 9% after 6 months and 17% after 12 months. No statistically significant differences were found between the materials for all clinical criteria, at baseline and at 6 and 12-month recalls (p > 0.05). No statistically significant differences were found between the examination periods, when each composite resin was tested, for all clinical criteria (p > 0.05). Conclusions: After one-year evaluations, silorane-based composites exhibited a similar performance compared to dimethacrylate-based composites when used for making repairs. When proper planned, repairs may be an alternative restorative treatment to replacement of defective restorations with localized defects, but clinically acceptable, preserving healthy tooth structure, reducing costs and clinical time.<br>Objetivo: Este estudo investigou o desempenho clínico de restaurações Classes I e II de resina composta à base de dimetacrilato reparadas por uma resina composta de baixa contração à base de silorano e por uma resina composta à base de dimetacrilato, em baseline e ao longo de 6, 12 e 18 meses. Metodologia: Cem restaurações defeituosas de resina composta à base de dimetacrilato foram reparadas neste estudo. Destas, 93 foram examinadas uma semana após terem sido reparadas - baseline , 91 após 6 meses e 83 após 12 meses. As restaurações foram alocadas aleatoriamente em dois grupos de tratamento Controle (n=50): Adper SE Plus 3M /ESPE + Filtek P60 3M /ESPE e Teste(n=50): Sistema adesivo P90 3M /ESPE + Filtek P90 3M /ESPE. Dois examinadores devidamente calibrados (Kw = 0,78) fizeram a avaliação das restaurações reparadas de forma cega, independente e por meio de observação direta, tendo sido o estudo mascarado também para os pacientes. Os parâmetros clínicos analisados foram adaptação marginal, forma anatômica, rugosidade de superficíe, descoloração marginal, sensibilidade pós-operatória e cárie secundária, sendo as restaurações classificadas em Alfa, Bravo ou Charlie (critérios clínicos USPHS modificados). O teste de Mann-Whitney comparou os materiais testados, para todos os parâmetos clínicos, em baseline e após 6 e 12 meses ( = 0,05). O teste de Wilcoxon comparou os compósitos entre si em função do tempo baseline, 6 e 12 meses, para os mesmos parâmetros ( = 0,05). Resultados Preliminares: A perda de restaurações neste estudo foi de 9 % em 6 meses e de 17 % em 12 meses . Não houve diferença estatisticamente significativa entre as resinas Filtek P60 e Filtek P90 quando avaliados os parâmetros supracitados, em baseline, em 6 e 12 meses (p > 0,05). Não houve diferença estatisticamente significativa entre os períodos de avaliação quando cada resina foi testada, considerando os mesmos parâmetros (p > 0,05). Conclusões: Após um ano de avaliações, resinas compostas à base de silorano apresentaram um adequado desempenho clínico semelhante às resinas compostas à base de dimetacrilato quando utilizadas para reparar restaurações de resina composta à base de dimetacrilato. Quando bem planejados, os reparos podem ser um tratamento restaurador alternativo à substituição de restaurações com defeitos localizados, porém clinicamente aceitáveis, preservando estruturas dentais sadias, reduzindo custos e tempo clínico.

Compostos orgânicos podem ser liberados dos materiais resinosos, mesmo após sua polimerização, como resultado da presença de monômeros residuais e do processo de degradação do próprio material, podendo ocasionar efeitos citotóxicos, genotóxicos e alergênicos. O objetivo do presente estudo, in vitro, foi avaliar a liberação de compostos orgânicos de dois materiais resinosos, recentemente lançados no mercado, que apresentam inovações em suas formulações (resinas Kalore TM - GC FUJI e FiltekTM Silorane - 3M ESPE), variando a fonte de luz polimerizadora (halógena ou LED), a solução de imersão (água ou saliva artificial) e o pH da solução de imersão (7 ou 4,5). Foram confeccionados 56 corpos de prova da resina Kalore TM e 56 da resina FiltekTM Silorane, sendo 28 polimerizados com luz halógena e 28 com luz LED. Após aleatorização, 7 corpos de prova de cada resina foram armazenados em água com pH neutro, 7 em água com pH ácido, 7 em saliva com pH neutro e 7 em saliva com pH ácido. A leitura dos espectros das soluções foi realizada por meio da espectroscopia de fluorescência após 1, 3, 24, 48, 72, 168, 216, 312, 432, 504 e 672 horas. Após 672 horas, ainda verificou-se a liberação de compostos orgânicos das resinas KaloreTM e FiltekTM Silorane em todas as condições avaliadas. A liberação de compostos orgânicos foi menor nos grupos experimentais polimerizados pela luz LED. A quantidade de compostos orgânicos liberados foi menor nas amostras imersas em saliva. A resina KaloreTM liberou uma quantidade maior de compostos orgânicos em pH neutro, independente do meio de imersão. A resina FiltekTMSilorane liberou uma quantidade maior de compostos orgânicos em pH ácido, quando imersas em água, e uma maior quantidade de compostos orgânicos em pH neutro, quando imersas em saliva. A resina FiltekTMSilorane liberou mais de um componente orgânico. A espectrometria de fluorescência permitiu avaliar a liberação de compostos orgânicos das resinas KaloreTM e FiltekTM Silorane.<br>Organic compounds may be released from the resin materials, even after polymerization, as a result of the presence of residual monomers and degradation of the material itself, which may cause cytotoxic, genotoxic and allergenics effects. The purpose of this study, in vitro, was to evaluate the release of organic compounds from two resin materials, recently launched on the market, that present innovations in their formulations (resins KaloreTM - GC FUJI and FiltekTM Silorane - 3M ESPE), varying the source curing light (LED or halogen), the immersion solution (water or artificial saliva) and the pH of the immersion solution (7 or 4.5). Were prepared 56 specimens resin KaloreTM and 56 resin FiltekTM Silorane, 28 polymerized with halogen light and 28 with LED light. After randomization, 7 samples of each resin were immersed in water at neutral pH, 7 in water at acid pH, 7 in the saliva at a neutral pH, and 7 in the saliva at acid pH. The reading of the spectra of the solutions was performed by fluorescence spectroscopy at 1, 3, 24, 48, 72, 168, 216, 312, 432, 504 and 672 hours. After 672 hours, there was still release of organic resins KaloreTM and FiltekTM Silorane under all conditions evaluated. The release of organic compounds was lower in the experimental groups polymerized by LED light. The amount of organic compounds released was lower in samples immersed in saliva. The resin KaloreTM released more organic compounds at neutral pH in both immersion media. The resin FiltekTMSilorane immersed in water released more organic compounds at acid pH, but when the resin was immersed in saliva the release of organic compounds was higher at neutral pH. The resin FiltekTMSilorane released more that one organic component. The fluorescence spectrometry allowed us to evaluate the release of organic compounds resins KaloreTM and FiltekTMSilorane.

Orientador: Mário Fernando de Góes<br>Dissertação (mestrado profissional) - Universidade Estadual de Campinas, Faculdade de Odontologia de Piracicaba<br>Made available in DSpace on 2018-08-22T14:40:39Z (GMT). No. of bitstreams: 1 Arita_CarlaHarueMartins_M.pdf: 3875036 bytes, checksum: a7eb7c2f429f80e13807b4154f6963ae (MD5) Previous issue date: 2013<br>Resumo: O objetivo do estudo foi avaliar a união de cimentos à base de metacrilato à superfície de um compósito à base de silorano, com ou sem prétratamento de superfície, em teste de microtração. No total, 84 discos de resina à base de silorano (3mmX10mm) foram confeccionados, 42 discos tiveram a superfície tratada (ST) com jatos de óxido de alumínio (50?m) e os demais (42) não tiveram a ST. Os discos foram divididos em 6 grupos e foram cimentados aos pares (n=5) conforme descrição: G1 (SAM+CD)-discos sem ST com aplicação do sistema adesivo à base de metacrilato (SAM) e cimentados com cimento resinoso dual (CD); G2 (JSAM+CD)-discos com ST com aplicação do SAM e cimentados com CD; G3 (CA)-discos sem ST cimentados com cimento resinoso autoadesivo (CA); G4 (JCA)-discos com ST cimentados com CA; G5 (SAS+CD)-discos sem ST com aplicação do sistema adesivo da resina à base de silorano (SAS), foi feita a aplicação do adesivo hidrófobo seguido da aplicação do primer, e cimentação com CD; G6 (JSAS+CD)-discos com ST com aplicação do SAS e cimentados CD. Os conjuntos (disco/cimento/disco) foram armazenados em água deionizada por 24 horas. Os conjuntos foram seccionados para a obtenção de amostras em forma de palitos de (0,7 ± 0,1mm). O teste de microtração (?TBS) foi realizado à velocidade de 0,5mm/min até a fratura. Foram calculadas as médias, desvios-padrão e análise estatística (?=0,05). Foram analisados os modos de fratura. Quatro discos, de cada grupo, foram tratados, cimentados aos pares e seccionados ao meio para análise da interface de união. As médias e desvios-padrão dos grupos foram: G1=0(0); G2=47,96(9,12); G3=50,37(8,63); G4=57,07(12,01); G5=70,74(9,18); G6=59,24(9,91). A média do G1 foi inferior e estatisticamente diferente dos demais grupos, que não apresentaram diferenças estatísticas entre eles (p>0,05). A união dos materiais à base de metacrilato à superfície da resina composta à base de silorano é influenciada pelo tratamento de superfície. Em contra partida, a união de materiais à base de metacrilato fosfatado parece não ser influenciada pelo tratamento de superfície<br>Abstract: The aim of this in vitro study was the investigation of microtensile bond strength of low-shrinkage silorane-based composite discs (with or without pretreatment) cemented with methacylate based-cements. In total, 84 discs of silorane-based composite (3mmX10mm) were fabricated, 42 were pretreated (PT) and 42 were not (sandblasting with oxide aluminium of 50?m) and cemented in pairs. They were divided in 6 groups (n=5) as described: G1 - no PT discs with methacrylate based adhesive applied (MA) and cemented with a methacrylate based dual cure cement (DC); G2 - PT discs with MA applied and cementes with DC; G3 - no PT discs cemented with self-adhesive cement (SA); G4 - PT discs cemented with SA; G5 - no PT discs with the adhesive of silorane based composite (ASC) applied, in this group the bond was applied first followed by the primer, and cemented with DC; G6 - PT discs with ASC cemented with DC. After 24h of deionized water storage, the sets were serially sectioned into sticks (0,7 ± 0,1mm). The microtensile bond strength test (?TBS) was performed at a crosshead speed of 0,5mm/min until failure. The means were calculated and statistically analyzed (?=0,05). Modes of falure were also determined. Four discs, for each group, were PT, cemented in pairs and cut in half to interface analysis. The means and standard deviations for all groups were: G1=0(0); G2=47,96(9,12); G3=50,37(8,63); G4=57,07(12,01); G5=70,74(9,18); G6=59,24(9,91). The mean presented by group 1 was the lowest and statistically different comparing with the others, wich did not differ statistically among each other(p>0,05). The ?TBS strength of methacylated materiais was significantly influenced by the surface pretreatment. On the other hand, the ?TBS strength of methacrylate materials with phosphate groups does not seem to be influenced by surface pretreatment<br>Mestrado<br>Materiais Dentarios<br>Mestra em Materiais Dentários