Objective:This study evaluated the effect of the margin location and an adhesive system on
the marginal adaptation of composite restorations.Material and Methods:Class V cavities were prepared in bovine teeth with the gingival margin on the
dentin and the incisal margin on the enamel. The cavities were restored with a
micro-hybrid composite resin using an etch-and-rinse [Single Bond 2 (SB)] or a
self-etching adhesive [Clearfil SE Bond (CL)]. After finishing and polishing the
restorations, epoxy replicas were prepared. The marginal adaptation was analyzed
using scanning electronic microscopy (SEM, 500 x magnification). The higher gap
width in each margin was recorded (T0). After the first evaluation, the samples
were submitted to thermal cycling (2,000 cycles of 5ºC±2ºC followed by 55ºC±2ºC -
T1) and mechanical cycling (100,000 cycles of 50 kN and 2 Hz - T2). Replicas of
samples were rebuilt after each cycling and analyzed under SEM. The data were
submitted to Mann-Whitney, Wilcoxon and Friedman testing (a=0.05).Results:The SB presented higher gaps in the dentin than the enamel, while there was no
difference between the substrate for the CL. In the dentin, the CL showed better
marginal sealing than the SB. The opposite occurred in the enamel. There were no
significant differences between the baseline, thermal and mechanical cycling for
any experimental condition.Conclusions:The outcomes of the present study showed that the adhesive system and margin
location have an important effect on the marginal adaptation of composite
restorations.
This study investigated, through computerized electrognathographic evaluations (K6-I Diagnostic System, Myotronics-Noromed Inc., Tukwila, USA), the mandibular movement pattern of 16 patients rehabilitated with complete dentures presenting no symptoms of stomatognathic functional alterations. The patients were instructed to wear an intra-oral appliance for occlusal plane coverage over their usual superior denture and were then rehabilitated with new dentures preserving a free-way space of 3 mm. After sixty days, the occlusal vertical dimension was increased and the modified inferior dentures were used for another 60 days. The obtained results were submitted to the Tukey Test and to the Friedman test, depending on which variable was under consideration, both at a significance level of 5%. The data revealed a significant decrease in free-way space when the first and the last evaluations were compared. No significant differences were found during opening and closing. It was concluded that the presence of a free-way space at the end of the treatment confirms the importance of its existence for maintaining the balance of the masticatory system, assuming the occurrence of a postural repositioning.
Avaliação eletrom.iográfica computadorizada bilatet;ál dos músculos masseter, temporal anterior e digástrico em pacientes reabilitados com próteses totais duplas com variação rla dimensão vertical de oclusão.
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