Avalia??o da performance cl?nica do cimento de ion?mero de vidro convencional acrescido de nanocristais de celulose no tratamento restaurador atraum?tico

?rea de concentra??o: Odontopediatria. === Submitted by Nivaldo Melo (nivaldo.melo@ufvjm.edu.br) on 2015-11-16T16:57:42Z No. of bitstreams: 2 ana_clara_sa_pinto.pdf: 998607 bytes, checksum: b17518e3d148cf4bd704371c7260c785 (MD5) license_rdf: 23898 bytes, checksum: e363e809996cf46ada20da1accfcd9c7...

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Bibliographic Details
Main Author: S?-Pinto, Ana Clara de
Other Authors: Ramos-Jorge, Maria Let?cia
Language:Portuguese
Published: UFVJM 2015
Subjects:
Online Access:http://acervo.ufvjm.edu.br:8080/jspui/handle/1/731
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Summary:?rea de concentra??o: Odontopediatria. === Submitted by Nivaldo Melo (nivaldo.melo@ufvjm.edu.br) on 2015-11-16T16:57:42Z No. of bitstreams: 2 ana_clara_sa_pinto.pdf: 998607 bytes, checksum: b17518e3d148cf4bd704371c7260c785 (MD5) license_rdf: 23898 bytes, checksum: e363e809996cf46ada20da1accfcd9c7 (MD5) === Approved for entry into archive by Rodrigo Martins Cruz (rodrigo.cruz@ufvjm.edu.br) on 2015-11-16T17:02:03Z (GMT) No. of bitstreams: 2 ana_clara_sa_pinto.pdf: 998607 bytes, checksum: b17518e3d148cf4bd704371c7260c785 (MD5) license_rdf: 23898 bytes, checksum: e363e809996cf46ada20da1accfcd9c7 (MD5) === Made available in DSpace on 2015-11-16T17:02:03Z (GMT). No. of bitstreams: 2 ana_clara_sa_pinto.pdf: 998607 bytes, checksum: b17518e3d148cf4bd704371c7260c785 (MD5) license_rdf: 23898 bytes, checksum: e363e809996cf46ada20da1accfcd9c7 (MD5) Previous issue date: 2015 === Funda??o de Amparo ? Pesquisa do estado de Minas Gerais (FAPEMIG) === Coordena??o de Aperfei?oamento de Pessoal de N?vel Superior (CAPES) === O Tratamento Restaurador Atraum?tico (ART) ? uma t?cnica minimamente invasiva na qual remove-se somente o tecido cariado necrosado, utilizando-se instrumentos manuais. O Cimento de Ion?mero de Vidro (CIV) ? o material eleito para selar as cavidades na t?cnica do ART devido ?s suas propriedades f?sicas, qu?micas e biol?gicas favor?veis. O objetivo do presente estudo foi comparar a performance cl?nica do Cimento de Ion?mero de Vidro (CIV) de alta viscosidade (Ketac Molar Easymix?3M? ESPE, Seefeld, Germany) com um CIV convencional de baixa viscosidade (Vidrion R?SS White, Rio de Janeiro, RJ, Brasil) acrescido de nanocristais de celulose (NC)- (CIVNC) em cavidades classe I de molares dec?duos usando a t?cnica do Tratamento Restaurador Atraum?tico (ART). Sessenta crian?as de 4 a 7 anos de idade, residentes na cidade de Diamantina- Minas Gerais, que apresentaram no m?nimo dois molares dec?duos com les?es de c?rie classe I em dentina foram inclu?das. Um ensaio cl?nico randomizado duplo cego foi realizado no qual os dois materiais (Ketac Molar e CIVNC) foram aleatoriamente inseridos nas cavidades, ap?s sorteios do dente a ser restaurado e do material a ser utilizado. A performance cl?nica das restaura??es foi avaliada ap?s 3 meses usando o crit?rio de Frencken. Considerou-se insucesso de uma restaura??o quando a mesma apresentava defeito marginal ?0,5 mm, desgaste gradual >0,5 mm, quando a restaura??o foi perdida ou substitu?da por outra e a extra??o do dente. A an?lise de sobrevida das restaura??es foi feita usando o teste Qui-quadrado com tend?ncia linear. Adotou-se o valor de p<0,05 como significativamente estat?stico. A taxa de sobrevida das restaura??es para o Ketac Molar foi de 96,7% e para o CIVNC 94,7%. Uma diferen?a estatisticamente significativa (p=0,034) foi observada entre os dois cimentos em rela??o ? presen?a de defeitos marginais menores que 0,5 mm encontrados em 18,3% dos dentes tratados com CIVNC e em 6,5% das restaura??es realizadas com Ketac Molar. A performance cl?nica de ambos os cimentos de ion?mero de vidro foi satisfat?ria ap?s tr?s meses. A maior diferen?a entre os dois materiais foi observada em defeitos marginais menores que 0,5 mm. === Disserta??o (Mestrado) ? Programa de P?s-Gradua??o em Odontologia, Universidade Federal dos Vales do Jequitinhonha e Mucuri, 2015. === ABSTRACT Atraumatic Restorative Treatment (ART) is a minimally invasive technique that involves only the removal of necrotic dentin, using manual instruments. The glass ionomer cement (GIC) is the material chosen to seal the cavities at the ART approach due to their physical, chemical and biological favorable properties. The aim of this study was to compare the clinical performance of a high viscosity glass ionomer cement (GIC) (Ketac Molar Easymix/3M? ESPE, Seefeld, Germany) with a conventional low viscosity GIC (Vidrion R?SS White River de Janeiro, RJ, Brazil) added cellulose nanocrystals (NC)- (GICCN) in class I cavities of primary molars using the Atraumatic Restorative Treatment (ART) technique. Sixty children aged 4-7 years, residents in the city of Diamantina-Minas Gerais, who had at least two primary molars with carious lesions class I in dentin were included. A randomized double-blind clinical trial was conducted and the two materials (Ketac Molar and GICCN) were randomly inserted into the cavities, after raffles of the tooth to be restored and the material to be used. The clinical performance of the restorations was evaluated after 3 months using the criteria of Frencken. It was considered failure of a restoration when it presented a marginal defect ?0.5 mm, gradual wear >0.5 mm, when the restoration was lost or replaced by another treatment and the tooth extraction. Restorations survival analysis were made using the Chi-square test with linear trend. The value of p<0.05 was adopted as statistically significant. The survival rate of restorations for Ketac Molar was 96.7% and 94.7% for the GICCN. A statistically significant difference (p=0.034) was observed between the two cements in relation to the presence of marginal defects lower than 0.5 mm found in 18.3% of the treated teeth with the modified cement (GICCN) and in 6.5% of the restorations with Ketac Molar. The clinical performance of both glass ionomer cements was satisfactory after three months. Increased difference between the two materials was observed on marginal defects lower than 0.5 mm.