Influ?ncia do selamento dentin?rio imediato na polimeriza??o de materiais de moldagem e na resist?ncia ? fratura de coroa em cer?mica

• Main Author: Ghiggi, Paula Cristine
• Other Authors: Spohr, Ana Maria
• Format: Others
• Language: Portuguese
• Published: Pontif?cia Universidade Cat?lica do Rio Grande do Sul 2015
• Subjects: ODONTOLOGIA; MATERIAIS DENT?RIOS; SELANTES (ODONTOLOGIA); RESIST?NCIA DOS MATERIAIS; CNPQ::CIENCIAS DA SAUDE::ODONTOLOGIA
• Online Access: http://tede2.pucrs.br/tede2/handle/tede/1209

Made available in DSpace on 2015-04-14T13:30:22Z (GMT). No. of bitstreams: 1 448385.pdf: 890714 bytes, checksum: 62d158637f85cd4da3fefcd711a75370 (MD5) Previous issue date: 2013-03-14 === The first section of this study evaluated the interaction between resin materials used in the immediate dentin sealing (IDS) techniques and impression materials under two different techniques to reduce/eliminate the oxygen-inhibition layer. The occlusal dentin of 35 human molars was exposed and finished with 400 grit silicon carbide sandpaper. Teeth were randomly divided into 2 groups: group 1 impression with vinyl polysiloxane Express XT, group 2 impression with polyether Impregum. Groups 1 and 2 were divided into 14 subgroups: groups 1a e 2a: control groups; groups 1b e 2b: IDS with Clearfil SE Bond (CSE); groups 1c e 2c: IDS with CSE + additional polymerization with glycerine jelly; groups 1d e 2d: IDS with CSE + alcohol; groups 1e e 2e: IDS with CSE and Protect Liner F (PLF); groups 1f e 2f: IDS with CSE and PLF + additional polymerization with glycerin jelly; groups 1g e 2g: IDS with CSE and PLF + alcohol. Each tooth surface was photographed using a digital camera. The images saved were used to examine the presence of impression material left on the treated tooth surface. It was observed that IDS performed with CSE or with the PLF interacted with the Express XT and with the Impregum. The application of glycerine jelly and alcohol avoided the interaction of CSE with the Express XT and of the PLF with the Impregum; however, these treatments were not totally effective to avoid the interaction of CSE with the Impregum and of PLF with the Express XT. The second section of this study evaluate, in vitro, the thickness of the adhesive, low-viscosity microfilled resin, and resin cement on full crown preparations, and its effect on the fracture load of a reinforced all-ceramic crown. Sixty maxillary premolars received full crown preparation and were divided in 3 groups according to the material applied for the immediate dentin sealing: G1 control; G2 CSE Bond; G3 CSE Bond + PLF. After taking the impression with polyvinyl siloxane, the preparations were temporized with acrylic resin crowns. IPS Empress 2 restorations were fabricated, and cemented to the preparations with Panavia F. Ten specimens of each group were submitted to fracture load testing, and the other 10 specimens were sectioned buccolingually, and the thicknesses of Panavia F, CSE Bond and PLF were measured in 10 different positions using a microscope. According to ANOVA and Tukey s test, the fracture load of group 3 (1300 N) was statistically higher than group 1 (1001 N) (p<0.01). Group 2 (1189 N) was not statistically different from groups 1 and 3. The higher thickness of the CSE Bond was obtained in the concave part of the preparation. The PLF presented a more uniform range of values at different positions. The thickness of Panavia F was higher in the occlusal portion of the preparation. The film thickness formed by CSE Bond and PLF increased the fracture load of the IPS Empress 2 ceramic crown. === A primeira etapa deste estudo avaliou, in vitro, a intera??o entre materiais resinosos utilizados na t?cnica do selamento dentin?rio imediato (SDI) e materiais de moldagens associado a duas t?cnicas para reduzir/eliminar a camada inibida de oxig?nio. A dentina oclusal de 35 terceiros molares humanos foi exposta, seguido de acabamento com lixa de carbeto de sil?cio de granula??o 400. Os dentes foram divididos aleatoriamente em 2 grupos: grupo 1- moldagem com silicone por adi??o Express XT; grupo 2 moldagem com o poli?ter Impregum. Os grupos 1 e 2 foram divididos em 14 subgrupos: grupo 1a e 2a: controle; grupos 1b e 2b: SDI com Clearfil SE Bond (CSE); grupos 1c e 2c: SDI with CSE + polimeriza??o adicional com gel a base de glicerina; grupos 1d e 2d: SDI com CSE + ?lcool; grupos 1e e 2e: SDI com CSE e Protect Liner F (PLF); grupos 1f e 2f: SDI com CSE e PLF + polimeriza??o adicional com gel a base de glicerina; grupos 1g e 2g: SDI com CSE e PLF + ?lcool. Cada superf?cie dent?ria foi fotografada com uma c?mera digital. As imagens foram salvas e utilizadas para avaliar a presen?a de material de moldagem sobre a estrutura dent?ria. Por meio de uma an?lise qualitativa, observou-se que o SDI realizado com o CSE ou com PLF interagiram com o Express XT e com o Impregum. A aplica??o do gel a base de glicerina e do ?lcool impediram a intera??o do CSE com o Express XT e do PLF com o Impregum; no entanto, estes mesmos tratamentos n?o foram totalmente efetivos para o CSE com o Impregum e para o PLF com o Express XT. A segunda etapa deste estudo avaliou a espessura do sistema adesivo, resina de baixa viscosidade e cimento resinoso em preparos para coroas totais, e a influ?ncia na resist?ncia ? fratura de coroa total em cer?mica. Sessenta pr?-molares superiores receberam prepares para coroa total e foram divididos em 3 grupos de acordo com o material aplicado na t?cnica do SDI: grupo 1 controle; grupo 2 - CSE; G3 CSE + PLF. Ap?s moldagem com silicone por adi??o, os preparos receberam provis?rios confeccionados com resina acr?lica. As restaura??es cer?micas com IPS Empress 2 foram confeccionadas e cimentadas sobre os preparos com Panavia F. Dez amostras de cada grupo foram submetidos ao teste de resist?ncia ? fratura e 10 esp?cimes foram seccionados no sentido vest?bulo-lingual para avaliar a espessura do Panavia F, CSE e PLF em 10 posi??es diferentes com o aux?lio de um microsc?pio. De acordo com ANOVA e teste de Tukey, a carga de fratura do grupo 3 (1300 N) foi estatisticamente superior ao grupo 1 (1001 N) (p<0.01) e o grupo 2 (1189 N) n?o apresentou diferen?a estat?stica com os grupos 1 e 3. A maior espessura de pel?cula do CSE Bond foi obtida na parte c?ncava dos prepares. O PLF apresentou a espessura mais uniforme em diferentes posi??es. A espessura do Panavia F foi maior na face oclusal dos preparos. A espessura da pel?cula formada pelo CSE e PLF aumentou a resist?ncia ? fratura de coroas cer?micas confeccionadas com IPS Empress 2.