121 resultados para Dental Marginal Adaptation


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Coordenação de Aperfeiçoamento de Pessoal de Nível Superior (CAPES)

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Pós-graduação em Odontologia Restauradora - ICT

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Coordenação de Aperfeiçoamento de Pessoal de Nível Superior (CAPES)

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Pós-graduação em Odontologia - FOA

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Posterior teeth restorations have changed the contemporary treatment philosophy influenced by the aesthetic demand of patients, progress of adhesive material science and techniques for preservation and rehabilitation of affected teeth by dental caries and trauma. The development of Onlay restorations with semi-direct technique in endodontically teeth treated aims to preserve the remaining surfaces, to reduce the possibility of fracture and polymerization shrinkage. In addition, better restoration adaptation and marginal seal, resistance to wear and dimensional stability are achieved. This case reports the rehabilitation of an endodontically treated permanent maxillary first molar in a 13 years old- patient who attended the Araraquara School of Dentistry, Brazil, using Miris 2 Composite resin with semi-direct technique and obtaining an aesthetic and functional restoration in a single appointment. The fundaments and clinical guidelines of the procedure are detailed, based on the review of the literature that supports this conservative treatment.

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The aim of this study was to investigate the reliability of visual and digital methods to assess marginal microleakage in vitro. Materials and Methods: Typical Class V preparations were made in bovine teeth and filled with composite resin. After dye penetration (0.5% basic fuchsin), teeth were sectioned and the 53 obtained fragments were assessed according to visual (stereomicroscope) and digital methods (Image Tool Software ® -ITS) (University of Texas Health Science Center-San Antonio Dental School, USA). Two calibrated examiners (A and B) evaluated dye penetration, by means of a stereomicroscope with ×20 magnification (scores), and by the ITS (millimeters). The intra- and inter-examiner agreement was estimated according to Kappa statistics (κ), and intraclass correlation coefficient (ρ). Results: In relation to the visual method, the intra-examiner agreement was almost perfect (κA = 0.87) and substantial (κB = 0.76), respectively to the examiner A and B. The inter-examiner agreement showed an almost perfect reliability (κ = 0.84). For the digital method, the intra-examiner agreement was almost perfect for both examiners and equal to ρ = 0.99, and so was the inter-examiner agreement value. Conclusion: Visual (stereomicroscope) and digital methods (ITS) showed high levels of intra- and inter-examiner reproducibility when marginal microleakage was assessed.

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ObjectiveTo study the buccal dimensional tissue changes at oral implants following free gingival grafting, with or without including the keratin layer, performed at the time of implant installation into alveolar mucosa.Material and methodsThe mandibular premolars and first molars were extracted bilaterally in six Beagle dogs. In the right side of the mandible (Test), flaps were first elevated, and the buccal as well as part of the lingual masticatory mucosa was removed. An incision of the periosteum at the buccal aspect was performed to allow the flap to be coronally repositioned. Primary wound closure was obtained. In the left side, the masticatory (keratinized) mucosa was left in situ, and no sutures were applied (Control). After 3months of healing, absence of keratinized mucosa was confirmed at the test sites. Two recipient sites were prepared at each side of the mandible in the region of the third and fourth premolars. All implants were installed with the shoulder placed flush with the buccal alveolar bony crest, and abutments were connected to allow a non-submerged healing. Two free gingival mucosal grafts were harvested from the buccal region of the maxillary canines. One graft was left intact (gingival mucosal graft), while for the second, the epithelial layer was removed (gingival connective tissue graft). Subsequently, the grafts were fixed around the test implants in position of the third and fourth premolars, respectively. After 3months, the animals were euthanized and ground sections obtained.ResultsSimilar bony crest resorption and coronal extension of osseointegration were found at test and control sites. Moreover, similar dimensions of the peri-implant soft tissues were obtained at test and control sites.ConclusionsThe increase in the alveolar mucosal thickness by means of a gingival graft affected the peri-implant marginal bone resorption and soft tissue recession around implants. This resulted in outcomes that were similar to those at implants surrounded by masticatory mucosa, indicating that gingival grafting in the absence of keratinized mucosa around implants may reduce the resorption of the marginal crest and soft tissue recession.

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Fundação de Amparo à Pesquisa do Estado de São Paulo (FAPESP)

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Objetivo: o objetivo desse estudo in vitro foi avaliar a infiltração marginal coronária após o preparo para retentor em dentes obturados com três diferentes cimentos, de acordo com o período entre a obturação do canal radicular e o preparo para retentor. Métodos: Noventa dentes humanos recentemente extraídos foram limpos e instrumentados e, então, obturados com Sealapex, Endométhasone ou TopSeal. Brocas Gates-Glidden foram utilizadas para o preparo imediato de 10 dentes de cada cimento até manter 5mm de obturação remanescente. Sessenta raízes obturadas foram incubadas a 37°C em meio úmido por 30 e 60 dias para serem, depois, preparadas para os retentores como descrito anteriormente. A superfície externa de cada raiz foi coberta com Araldite. Os espécimes foram imersos em corante azul de metileno a 2% sob vácuo por 24h, para então poderem ser analisados. A infiltração foi mensurada pelo software Sigma Scan da parte superior da obturação à porção apical alcançada pelo corante. Resultado: o Sealapex e o TopSeal apresentaram menor infiltração após o preparo para retentor do que o Endométhasone. O preparo imediato para o retentor apresentou menor infiltração do que o preparo para o retentor após 30 e 60 dias da obturação do canal radicular.