Purpose: To evaluate the roughness and color change of a conventional acrylic resin and a bis-acryl resin, submitted to different types of polishing and exposed to a staining solution. Materials and Methods: One hundred specimens were manufactured from an autopolymerizing conventional acrylic resin (Duralay, shade 66) (n = 50) and a bis-acryl resin (Protemp 4, shade A3) (n = 50) according to the manufacturers' instructions. Specimens were subdivided into 10 groups (n = 10), according to the type of resin and polishing method, including no-polishing (control groups for acrylic resin [tungsten bur finishing] and bis-acryl resin [cotton and alcohol]), Enhance System, Edenta kit, Labordental kit, and sandpaper. The specimens were immersed in a staining solution (coffee at 60°C) for 7 days. Surface roughness was evaluated before the first immersion (baseline -Ra1) and after 7 days (Ra2). The color change (E) was determined after 24 hours (E1) and 7 days (E2), by CIE L * a * b * scale. Data were statistically analyzed with 3-way ANOVA for repeated measures test and Tukey test (α = 0.05). Results: According to 3-way ANOVA test, material, polishing techniques, and polishing*material factors exhibited statistically significant influence (p < 0.0001) on the roughness, and, for color change, material, polishing techniques, time, polishing*material, and material*time factors were statistically significant (p < 0.0001). The polishing techniques successfully reduced the surface roughness of acrylic resin groups, when compared to control (p < 0.001), but for bis-acryl resin, results were not different from the control group (Enhance: p = 0.954, Edenta: p = 0.866, sandpaper: p = 0.366, Labordental: p = 0.945). Surface roughness was not affected by the immersion in staining solution for 7 days. Color change of acrylic resin groups after 24 hours and 7 days of immersion exhibited a clinically acceptable value ( E < 3.7) with the exception of the Enhance group, and all bis-acryl resin groups exhibited a clinically unacceptable color change value ( E > 3.7) independent of polishing technique and time interval (E1 and E2). Conclusions: Roughness of both materials was similar when the polishing techniques studied were performed, although Ra values were superior to the clinically acceptable values (0.20 µm), and were not affected by the immersion protocol studied; however, when esthetics are critical, the selection of material type is more important than the surface treatment technique used, and bis-acryl resin was more susceptible to clinically unacceptable color change after immersion in a staining solution.Provisional restorations should be prepared to reproduce and maintain the tooth's natural properties, such as size, position, shape, color, surface texture, and dental translucency. 1-3 Currently, with the development of new dental materials, professionals have many options to manufacture provisional restorations. These options include poly methyl methacrylate (PMMA), poly ethyl methacrylate (PEMA), polyvinyl ethyl methacrylate (P...
Objective The aim of this systematic review was to evaluate the effectiveness of removable complete denture disinfection using microwaves for the treatment of denture stomatitis. Methods This review identified studies comparing the efficacy of microwave prosthesis disinfection (I) to topical antifungal therapy (C) in the treatment of denture stomatitis (O), which included only individuals who used complete dentures and presented with denture stomatitis (P). The search was performed in six databases and identified 1524 records; after the removal of duplicates, 816 articles remained. Three articles were selected for qualitative synthesis and two for meta‐analysis. Random‐effects meta‐analysis estimated the polled effects of microwave disinfection and antifungal therapy on the Candida counts and clinical manifestation of denture stomatitis. The GRADE approach was used to estimate the certainty of evidence. Results All included studies reported significant reductions in Candida counts and the frequency of denture stomatitis of groups subjected to microwave disinfection of dentures and topical antifungal therapy with nystatin. Significative differences between treatments were only detected for Candida quantification in the palate, within 90 days follow‐up period (SMD = 0.47, 95% CI = 0.02–0.91). Meta‐analyses did not show any further differences between treatments (p > .05), considering the Candida quantification in dentures and the frequency of clinical signs of denture stomatitis. The certainty of the evidence was considered as low, according to GRADE approach. Conclusion Microwave disinfection of complete dentures can be considered as efficient as antifungal therapy for the treatment of denture stomatitis. However, further well‐designed studies are necessary to confirm such evidence.
AIM: To evaluate the microshear bond strength of 4 dental adhesive systems after 1 year-water storage. MATERIAL AND METHODS: The sample consisted of 120 cylinders of composite, obtained from 24 bovine incisors, which were divided into four experimental groups: G1-Scotchbond Multi-Purpose, G2-Single Bond 2, G3-Clearfil SE Bond, G4-Adper Easy One and two storage times in distilled water: T0 - 24h and T1 - 1 year. A bivariate analysis was performed using the ANOVA and Tukey test (α=0.05). Results were evaluated inter-and intra-group in both times. RESULTS: After 24 hours, G1T0 (39.68A ± 11.55) showed higher bond strength (MPa) followed by G2T0 (22.71B ± 4.07), G3T0 (18.94BC ± 7.29) and G4T0 (13.30C ± 3.94). After 1 year of storage only G1T1 (33.95A ± 6.35) and G3T1 (13.59BC ± 2.63) maintained the bond strength values (p ≥ 0.05), while G2T1 (10.62C ± 4.32) and G4T1 (4.49D ± 2.49) presented a decrease in this values. CONCLUSION: The hydrophobic two-step adhesive systems maintained the bond strength after 1-year water storage.
ResumoIntrodução: Por muito tempo as análises cefalométricas se restringiam aos tecidos duros, porém de algumas décadas pra cá, foi visto que a harmonia entre os tecidos é fundamental para um perfil facial agradável. Objetivo: O presente estudo teve como objetivo realizar uma revisão de literatura acerca do uso da análise cefalométrica de tecidos moles (ACTM). Metodologia: Foram analisados artigos científicos obtidos da base de dados PubMed, do período de 2000 à 2016, de acordo com os descritores: Norm (s), Soft tissue (s), Arnett, Cephalometry, bem como a associação dos termos. Totalizando-se 18 estudos, que utilizavam a análise cefalométrica de tecidos moles de Arnett al. (1999), para pacientes sem deformidades faciais. Os dados foram analisados a partir de estatística descritiva. Resultados: O continente asiático se destaca na quantidade de estudos envolvendo essa técnica, com 12 trabalhos, seguido pelo continente americano, com 4, enquanto na Oceania não foi encontrado nenhum estudo seguindo os critérios de inclusão. Conclusão: Concluiu-se através dos estudos encontrados, que a técnica de análise cefalométrica dos tecidos moles é conhecida e utilizada pelas diversas partes do mundo. E também que a individualidade do paciente deve ser levada em conta para o planejamento do tratamento, pois fatores como gênero e etnia influenciam em suas características faciais.
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