Com advento das resinas compostas de segunda geração que apresentam características mecânicas e estéticas superiores às das resinas convencionais, principalmente com relação a resistência à abrasão, surge a possibilidade de utilizá-las associadas a fibras, como o sistema da Ivoclar Targis/Vectris. O objetivo deste trabalho foi apresentar a confecção de uma prótese adesiva livre de metal como resolução protética para a substituição do elemento dental 35, ausente. Paciente M.A.S., 38 anos, sexo feminino, buscou tratamento restaurador por motivo de estética e necessidade de substituição das restaurações antigas. Após anamnese, exame clínico, exame radiográfico e exame dos modelos de estudo foi proposto a reposição do elemento dental 35 através de prótese adesiva confeccionada em cerômero (Sistema Targis/Vectris. Foi realizado um repreparo do tipo onlay no elemento dental 34 e repreparo para coroa total do dente 36.  Após o término dos preparos foi feita a moldagem utilizan­do-se a técnica da dupla moldagem e confecção da restauração provisória envolvendo os três elementos com resina acrílica. Na segunda sessão, a peça protética foi cimentada, a oclusão verificada e ajustada. Uma vez que os cerômeros têm resistência de união boa e semelhante à das cerâmicas, além de apresentarem caraterísticas mecânicas muito semelhantes à estrutura dental, conseguem atuar de forma satisfatória na distribuição das cargas oclusais em dentes posteriores. Assim, pode-se concluir que as restaurações livres de metal são ótimas alternativas para proporcionar a paciente uma melhora estética e funcional, além de integridade das margens e do periodonto, estabilidade estrutural, retenção e resistência da restauração.

The aim of this study was to analyze the effects of MTA on the structure and enzymatic activity of sPLA2 in order to provide subsidies for improvement in the formulation of the product. MTA powder was incubated for 60 min in the presence of sPLA2 and was analyzed by chromatography, electrospray mass (ESI-MS) and small-angle X-ray scattering (SAXS). It was find that the elution profile, retention time, and fragmentation of sPLA2 were altered after treatment with MTA. Calcium was the MTA component that most amplified the inflammatory signal. Significant interactions were found between MTA and sPLA2, which could aid in our understanding of the mechanisms of action of MTA during the inflammatory process and it may facilitate the structural modification of MTA, thereby improving its biological safety and consequently the rate of the treatment success.

The interference of eugenol on the adhesive systems and composite polymerization could promote a higher marginal microleakage. This could be reduced by mechanical and chemical cleansing. The objective of this study was to evaluate the influence of the previous use of eugenol-based materials to a permanent restoration on the marginal microleakage. The influence of mechanical cleansing associated with chemical cleansing with chlorhexidine gel was also evaluated. Non-eugenol endodontic sealer and temporary material and mechanical cleansing was used as a control. Eighty bovine incisors were endodontic treated and divided into eight groups (n = 10) according to the sealer, temporary material and removal method. The specimens were temporarily restored and stored for 1 week at 37 °C and 100 % relative humidity, followed by definitive restoration and one-year storage at the same environment. The teeth were then sealed, immersed in silver nitrate at 50 % for 2 h and sectioned to have the microleakage qualitatively and quantitatively visually analyzed under a stereomicroscope at 45×. The percentage data were submitted to an ANOVA and Tukey's test, and the scores were submitted to a Kruskal-Wallis and Dunn's test at 5 % of the significance level. There was no difference between the groups when mechanical removal was made (p > 0.05). When chlorhexidine was used, the group that used endodontic eugenol based material as a sealer and the resin-based material as a temporary restoration showed less microleakage than the other (p < 0.05). All groups showed less microleakage when chlorhexidine was used instead of solely using mechanical removal (p < 0.05). For scores, when the eugenol based sealer was combined with resin-based temporary material, and when the resin sealer was combined with eugenol based temporary material using chlorhexidine, a lower median was found (p < 0.05) compared to all other groups. Eugenol showed no influence, and chlorhexidine gel showed to be effective in reducing microleakage.

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Aim: The aim of this study was to evaluate and compare the setting times (ST), flow (FW), radiopacity (RP), dimensional stability (DS), solubility (SB), and polymerization stress (PS) of the MTA Fillapex and AH Plus root canal sealers. Methods: The above qualities were tested according to ISO 6876/2001 standardization. The water used in the dimensional stability test was evaluated to verify the presence of released materials. For the photoelastic analysis, 20 photoelastic resin rings were prepared, and the root canal sealers were inserted. After 24 hours, the specimens were analyzed in a Polariscope. Data of the setting times, flow tests, radiopacity, dimensional stability, and solubility tests were submitted to a Kolgomorov–Smirnov test and then to a Student’s t-test at the 5% significance level. Results: The data derived from photoelastic analyses were submitted to an ANOVA and Tukey’s test with a significance level of 5%. MTA Fillapex and AH Plus complied with ISO 6876/2001. However, there were significant differences (p < 0.05) between the two cements for ST, FW, RP, DS, and SB. MTA Fillapex showed higher FW, SB, and PS when compared with AH Plus. Conclusions: MTA Fillapex and AH Plus complied with ISO 6876/2001 in terms of ST, FW, RP, DS, and SB. MTA Fillapex showed higher PS when compared to AH Plus.