In the case of high-translucency laminates, luting agents with different activation methods might be used. However, even in thin sections, decreasing the translucency of the laminate led to significant loss of light penetration, indicating a decreased likelihood of the physical activation of the resin cement.
Aim: The aim of this study was to evaluate the influence of the translucency of ceramic on water sorption and solubility of resin cements over time. Methods: Lithium disilicate ceramic slides (15x15x1 mm), A1 in color and with different translucencies (high-medium-low) were manufactured; and a glass slide with similar dimension was used as control. Under every slide, 15 specimens (8x0.5 mm) from each resin cement were prepared: light-cured (RelyX Veneer); conventional dual-cured (RelyX ARC); and self-adhesive dual-cured (Rely-X U200). The specimens were then sub-divided according to the period of evaluation (immediately, after 6 and 12 months of storage) (n=5). To evaluate the loss or gain of mass, the specimens were dried until a constant mass was reached. Subsequently, they were divided according to the respective period of storage at 37°C in distilled water and weighed immediately following removal from water. After each period, specimens underwent a new dehydration. Values from water sorption and solubility were calculated and statistically analyzed (Anova 3-way/Tukey test). Results: The lower translucency resulted in greater water sorption and solubility for all cements, regardless of the experimental period. The self-adhesive dual-cured cement showed higher water sorption under all experimental periods and had worse values after 1 year aging. Differences among solubility could only be detected after aging, and the light-cured material had higher values after 6 and 12 months. Conclusions: It could be concluded that the low degree of translucency can negatively influence the passage of light and interfere on the durability of the resin cement. The conventional dual-cured resinous agent seemed to be less affected by such condition.
Objetivo: apresentar um caso clínico em que optou-se, como plano de tratamento, pelo clareamento dental seguido da confecção de semi-faceta em resina composta dos caninos superiores a fim de devolver a anatomia dental. Descrição do caso: Paciente do sexo masculino, com histórico de bruxismo infantil, onde foram perdidas as características anatômicas dos caninos superiores, mostrava-se insatisfeito com a aparência estética do seu sorriso. A resolução estética deste caso baseou-se no emprego do clareamento dental e da técnica direta, com a utilização de resina composta, para a obtenção de um sorriso harmônico, observando-se o protocolo correto baseado nas últimas evidências apresentadas na literatura, sendo que o resultado atendeu as expectativas estéticas do paciente. Conclusão: As restaurações diretas em resina composta são excelentes para a reanatomização de dentes anteriores, reabilitando e reproduzindo a forma, tamanho e cor dos dentes. Dente canino; Estética dentária; Materiais dentários.
The purpose of this study was to evaluate the influence of storage temperature and flask agitation on the water sorption (WS) and solubility (SL) of simplified adhesive systems. Seventy-two disc-shaped specimens were prepared according to the adhesive system (water/ethanol-based: Adper Single Bond 2; and water-based: One Coat Bond SL) and experimental conditions tested (mechanical agitation and storage temperature). Statistical analysis (3-way ANOVA, alpha=5%) found significantly greater WS and SL means for the water/ethanol-based system when compared to the water-based. Irrespective of factors studied, significant differences in WS and SL were noted between cold and room temperatures, with greater values been obtained at 1°C, and lower ones at 20°C. Agitation provided increased WS for both materials at all temperatures, but did not affect their SL. The mechanical agitation of the flask may negatively affect the dynamics of diffusion of simplified adhesive systems, even at extremely cold or warm temperatures.
The possibility of pain resultant from tooth bleaching can limit the indication of this treatment in patients with pre-existing dentin hypersensitivity. Purpose: To provide a case series with alternatives for tooth bleaching that might reduce the pos-operative sensibility. Description of cases: Three patients with dentin sensitivity and complaining of tooth discoloration were selected. For each patient, a technique for tooth bleaching was randomly selected; using 15-35% hydrogen peroxide, and application of an desensitizing agent before or after the bleaching (toothpaste or 2% potassium nitrate). Conclusion: Bleaching was successfully performed in the three clinical cases. However, the previous desensitization using the toothpaste resulted in greater comfort for the patient.
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