780 resultados para Exodontia de molares


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Coordenação de Aperfeiçoamento de Pessoal de Nível Superior (CAPES)

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Coordenação de Aperfeiçoamento de Pessoal de Nível Superior (CAPES)

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

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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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Coordenação de Aperfeiçoamento de Pessoal de Nível Superior (CAPES)

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Since bleaching has become a popular procedure, the effect of peroxides on dental hard tissues is of great interest in research. Purpose: The aim of this in vitro study was to perform a qualitative analysis of the human enamel after the application of in-office bleaching agents, using Scanning Electron Microscopy (SEM). Materials and Methods: Twenty intact human third molars extracted for orthodontic reasons were randomly divided into four groups (n=5) treated as follows: G1- storage in artificial saliva (control group); G2- four 30-minute applications of 35% carbamide peroxide (total exposure: 2h); G3- four 2-hour exposures to 35% carbamide peroxide (total exposure: 8h); G4- two applications of 35% hydrogen peroxide, which was light-activated with halogen lamp at 700mW/cm2 during 7min and remained in contact with enamel for 20min (total exposure: 40min). All bleaching treatments adopted in this study followed the application protocols advised by manufacturers. Evaluation of groups submitted to 35% carbamide peroxide was carried out after two time intervals (30 minutes and 2 hours per session), following the extreme situations recommended by the manufacturer. Specimens were prepared for SEM analysis performing gold sputter coating under vacuum and were examined using 15kV at 500x and 2000x magnification. Results: Morphological alterations on the enamel surface were similarly detected after bleaching with either 35% carbamide peroxide or 35% hydrogen peroxide. Surface porosities were characteristic of an erosive process that took place on human enamel. Depression areas, including the formation of craters, and exposure of enamel rods could also be detected. Conclusion: Bleaching effects on enamel morphology were randomly distributed throughout enamel surface and various degrees of enamel damage could be noticed. Clinical significance: In-office bleaching materials may adversely affect enamel morphology and therefore should be used with caution.

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Recent bonding systems have been advocated as multi-purpose bonding agents. The aim of this study was to determine if some of these bonding systems could be associated to composite resins from different manufacturers. This investigation was conducted to test lhe shear bond strength of three bonding systems: Scotchbond Multi-Purpose (3M Dental Products), Optibond Light Cure (Kerr) and Optibond Dual Cure (Kerr), when each of them was associated to lhe composite resins: Z1 00 (3M Dental Products), Prisma - APH (Dentsply) and Herculite XRV (Kerr). Seventy-two flat dentin bonding sites were prepared to 600 grit on human premolars mounted using acrilic resins. The teeth were assigned at random to 9 groups of 8 samples each. A split die with a 3mm diameter was placed over lhe surface of lhe dentin treated with one of lhe adhesive systems, and lhe selected composite resin was inserted and light cured. The split mold was removed and all samples were termocycled and stored in 37ºC water for 24 hours before testing. Shear bond strength was determined using an lnstron Universal testing machine. Some failures were examined under lhe S.E.M. Data was analysed by one-way analysis of variance, that demonstrated a significant difference (p<0,05) in the mean shear bond strength among Optibond Light Cure (15,446 MPa), Scotchbond Multi-Purpose (13,339 MPa) and Optibond Dual Cure (10,019 MPa). These values did not depend on the composite resin used. The association between bonding system/composite resin was statistycally significant (p<0,05) and the best results were obtained when the composite resins Z100 and Herculite were used with the adhesive system Optibond Light Cure, and when the composite resin APH was used with the adhesive system Scotchbond Multi-Purpose