Pinos anat?micos cimentados com agentes resinosos em diferentes comprimentos radiculares :estudo da interface e da resist?ncia de uni?o

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Bibliographic Details
Main Author: Souza, Ni?lli Caetano de
Other Authors: Spohr, Ana Maria
Format: Others
Language:Portuguese
Published: Pontif?cia Universidade Cat?lica do Rio Grande do Sul 2015
Subjects:
Online Access:http://tede2.pucrs.br/tede2/handle/tede/5957
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Summary:Submitted by Setor de Tratamento da Informa??o - BC/PUCRS (tede2@pucrs.br) on 2015-04-28T17:12:45Z No. of bitstreams: 1 467675.pdf: 1437644 bytes, checksum: dbcd8d581c9d8dc4da7301e5b4e3ac75 (MD5) === Made available in DSpace on 2015-04-28T17:12:45Z (GMT). No. of bitstreams: 1 467675.pdf: 1437644 bytes, checksum: dbcd8d581c9d8dc4da7301e5b4e3ac75 (MD5) Previous issue date: 2015-01-22 === The objectives of the study were to evaluate the influence of the depth of cement, the cement type and mechanical cycling through the pullout bond strength of direct anatomical post in fragile bovine roots and assess the thickness of resin cements in different root thirds of direct anatomical post and fiber post in human single-rooted. Eighty bovine roots were obtained for the bond strength by pullout. The canals were endodontically treated and extended with diamond burs. The roots were divided in two groups: G1 - direct anatomical posts cemented with RelyX ARC; G2 - direct anatomical posts cemented with RelyX U200. Both groups were divided in two subgroups, each subgroup (n = 10) cemented with a depth of 5 mm or 10 mm. Half of the specimens of each depth was submitted to mechanical cycling. The specimens were submitted to pullout test in a universal testing machine. The results were analyzed by ANOVA three factors (?=0.05). To study the thickness of the resin cement, 40 single-rooted human upper anterior teeth were obtained. The teeth were endodontically treated and weakened with drill Largo and diamond burs in a depth of 10 mm.The teeth were randomly divided in four groups (n = 10): Group 1 - fiber post + RelyX ARC; Group 2 - fiber post + RelyX U200 +; Group 3 - anatomical post + RelyX ARC; Group 4 - anatomical post + RelyX U200. The dyes 0.1% Fluorescein and 0.1% Rhodamine B isothiocyanate were added to adhesive system and resin cement, respectively. After cementation, the roots were sectioned in slices and observed by confocal laser scanning microscopy. Datas were analyzed by ANOVA followed by Tukey test (?=0.05). For the pullout test, the resin cement factor (p = 0.0001) and mechanical loading factor (p = 0.0001) were significant. The bond strength of RelyX U200 (6.47 MPa) was statistically superior to RelyX ARC (5.51 MPa). The depth of cementation factor was not significant (p=0.328). However, the interaction between depth and mechanical cycling was significant (p=0.0001). For a depth of 5 mm of cementation, the average bond strength of samples without mechanical cycling (6.98 MPa) was statistically higher to samples with mechanical cycling (4.78 MPa). For the depth of cementation of 10 mm, there was no statistical difference between the samples with and without mechanical cycling.For analysis of the resin cement thickness, post, cement and root thirds influenced the thickness of the resin cement (p <0.001). The thickness of resin cement was significantly lower in anatomical post groups than in fiber post groups, except in the apical third of the canal. There was no significant statistical difference between the cements for the direct anatomical post; for the fiber posts, only the cervical third showed a statistically significant difference between the cements. It was concluded that the direct anatomical posts cemented in the 10 mm depth obtained the best results with RelyX U200, regardless of mechanical cycling. In addition, in weakened roots, the preparation of direct anatomical post allows the better adaptation of post to the channel walls, favoring the formation of a thin and uniform cement film. === Os objetivos do estudo foram avaliar a influ?ncia da profundidade de cimenta??o, do cimento resinoso e da ciclagem mec?nica na resist?ncia ? tra??o por pull out de pinos anat?micos diretos em ra?zes bovinas fragilizadas, assim como avaliar a espessura de cimentos resinosos nos ter?os radiculares de pinos anat?micos diretos e pinos de fibra de vidro em ra?zes unirradiculares humanas. Para o ensaio de pull out, 80 remanescentes radiculares bovinos foram tratados endodonticamente e alargados com pontas diamantadas, sendo divididos em dois grupos: G1 - pinos anat?micos diretos cimentados com RelyX ARC; G2 - pinos anat?micos diretos cimentados com RelyX U200. Ambos os grupos foram divididos em dois subgrupos, sendo cada subgrupo (n=10) cimentado com profundidade de 5 mm e 10 mm. Metade dos corpos de prova de cada profundidade recebeu ciclagem mec?nica. Os corpos de prova foram submetidos ao ensaio de pull out em m?quina de ensaio universal. Os resultados foram analisados pela ANOVA de tr?s fatores (?=0,05). Para o estudo da espessura do cimento resinoso, 40 ra?zes unirradiculares humanas da regi?o ?ntero-superior foram tratadas endodonticamente e fragilizadas com broca Largo e pontas diamantadas na profundidade de 10 mm.Os dentes foram divididos aleatoriamente em quatro grupos (n=10): Grupo 1 - pino de fibra de vidro + RelyX ARC; Grupo 2 - pino de fibra de vidro + RelyX U200; Grupo 3 - pino anat?mico + RelyX ARC; Grupo 4 - pino anat?mico + RelyX U200. Os corantes Fluorosce?na 0,1% e Isotiocianato de Rodamina B 0,1% foram adicionados ao sistema adesivo e ao cimento resinoso, respectivamente. Ap?s cimenta??o, as ra?zes foram seccionadas em fatias e observadas em microscopia confocal de varredura ? laser. Os dados foram analisados pela ANOVA, seguido do teste Tukey (?=0,05). Para o ensaio de pull out, os fatores cimento resinoso (p=0,0001) e ciclagem mec?nica (p=0,0001) foram significativos. A resist?ncia de uni?o do RelyX U200 (6,47 MPa) foi estatisticamente superior ao RelyX ARC (5,51 MPa). O fator profundidade de cimenta??o n?o foi significativo (p=0,328). No entanto, a intera??o entre ciclagem mec?nica e profundidade foi significativa (p=0,0001). Para a profundidade de 5 mm, a m?dia de resist?ncia de uni?o sem ciclagem mec?nica (6,98 MPa) foi estatisticamente superior a com ciclagem mec?nica (4,78 MPa). Para a profundidade de 10 mm, n?o houve diferen?a estat?stica entre as amostras sem e com ciclagem mec?nica.Para a an?lise da espessura de cimento resinoso, o pino, o cimento e os ter?os radiculares influenciaram na espessura do cimento (p<0,001). A espessura de cimento foi significativamente menor nos pinos anat?micos do que nos pinos de fibra de vidro, exceto no ter?o apical do canal. N?o houve diferen?a estat?stica significativa entre os cimentos para pinos anat?micos; para os grupos com pinos de fibra de vidro, apenas o ter?o cervical apresentou diferen?a estat?stica significativa entre os cimentos. Concluiu-se que os pinos anat?micos diretos cimentados em profundidade de 10 mm obtiveram os melhores resultados quando utilizado o RelyX U200, independente da ciclagem mec?nica, e que, em ra?zes fragilizadas, a confec??o de pinos anat?micos diretos permite uma melhor adapta??o dos pinos ?s paredes do canal, favorecendo a forma??o de uma pel?cula de cimento fina e uniforme.