Hipótese para Explicar a Influência do Fator Mecânico na Formação de Lesões Cervicais não Cariosas: Análise por Elementos Finitos

O objetivo da pesquisa foi avaliar a variação de volume dos três constituintes dentinários (Intertubular [I], Peritubular [P] e Lúmen [L]) em função da tensão de tração média por meio de elementos finitos. A variação volumétrica em L seria compatível com a ocorrência de expulsão/introdução forçada de fluído circundante que, se for ácido, pode ocasionar maior desmineralização em regiões submetidas à tração, o que explicaria a origem da lesão cervical não cariosa [LCNC]. Um modelo 2D “plane strain” representativo da célula unitária microestrutural da dentina, constituído por 1292 elementos triangulares quadráticos, composto pelas fases: I, P e L, foi submetido a aplicações de pressão que geraram tensões médias de tração que variaram entre 7,5 – 75 MPa, através do software ABAQUS 6.13. A variação de volume em função da tensão média foi aproximadamente linear em cada fase, e alcançou o valor máximo de L0,81%, P0,23% e I0,34%. Variações de tensão podem alterar significativamente o volume e, consequentemente, provocar o fluxo forçado do líquido circundante, preferencialmente através do lúmen dos túbulos submetidos a tração, iniciando através deles a desmineralização localizada que caracteriza a LCNC.Palavras-chave: Dentina. Análise. Elementos Finitos. Lesão Cervical não Cariosa. Tração.

Exercise training, creatine supplementation, and bone health in ovariectomized rats

Evidence suggests that creatine may have some beneficial effects on bone. The study aimed to investigate the effects of exercise alone or combined with creatine on bone health in ovariectomized rats. Findings show that exercise, but not creatine, has an important role in improving bone health.

INTRODUCTION

The aim of this study was to investigate the effects of exercise training alone or combined with creatine supplementation on bone health parameters in ovariectomized rats.

METHODS

Wistar rats were randomly allocated into one of five groups: (i) sham-operated, (ii) ovariectomized non-trained placebo-supplemented, (iii) ovariectomized non-trained creatine-supplemented, (iv) ovariectomized exercise-trained placebo-supplemented, and (v) ovariectomized exercise-trained creatine-supplemented. Downhill running training and/or creatine supplementation (300 mg/kg body weight) were administered for 12 weeks. Bone mineral content (BMC), bone mineral density (BMD), and biomechanical and histomorphometric parameters were assessed.

RESULTS

No interaction effects were observed for BMC and BMD at whole body, femur, and lumbar spine (p > 0.05). Importantly, a main effect of training was detected for whole body BMC and BMD (p = 0.003 and p < 0.001, respectively), femoral BMC and BMD (p = 0.005 and p < 0.001, respectively), and lumbar spine BMC and BMD (p < 0.001 and p < 0.001, respectively), suggesting that the trained animals had higher bone mass, irrespective of creatine supplementation. Main effects of training were also observed for maximal load (p < 0.001), stiffness (p < 0.001), and toughness (p = 0.046), indicating beneficial effects of exercise training on bone strength. Neither a main effect of supplementation nor an interaction effect was detected for biomechanical parameters (p > 0.05). No main or interaction effects were observed for any of the histomorphometric parameters evaluated (p > 0.05).

CONCLUSIONS

Exercise training, but not creatine supplementation, attenuated ovariectomy-induced bone loss in this rat model.

Effect of the C-factor and Dentin Preparation Method in the Bond Strength of a Mild Self-etch Adhesive

A course cut carbide bur should be avoided prior to a mild self-etch adhesive, because it adversely affected bond strength. In contrast, a fine cut carbide bur provided the best combination: high bond strength with low variability, which suggests more reliable bond strength performance.

[Dimensional changes of silver and gallium-based alloy]

Gallium-based dental alloys were created with the aim of solving the problem of toxicity of mercury. The material shows mechanical properties similar to those of dental amalgam, but researches point out two unfavorable characteristics: great corrosion and excessive post-setting expansion, and the latter is capable of cracking dental structures. The aim of this study was to evaluate, during 7 days, the in vitro dimensional alteration of a gallium dental alloy (Galloy, SDI, Australia), in comparison with a dental amalgam containing zinc (F400, SDI, Australia), as a function of the contact with saline solution (0.9% NaCl) during the setting period. The storage experimental conditions were: storage in dry environment, immersion in saline solution and contamination during condensation. Additionally, the effects of contamination during the trituration of dental amalgam and the effects of protecting the surface of the gallium alloy with a fluid resin were studied. Specimens were stored at 37 degrees C +/- 1 degree C, and measuring was carried out, sequentially, every 24 h during 7 days. When the gallium alloy was either contaminated or immersed, an expansion significantly greater than that observed in the other experimental conditions was noticed after 7 days. The application of a fluid resin to protect the surface of the cylinders was able to avoid the increase in expansion caused by superficial moisture. The amalgam alloy did not show significant dimensional alterations, except when it was contaminated during trituration.

Influence of different dentinal substrates on the tensile bond strength of three adhesive systems

PURPOSE

To evaluate the influence of the method and duration of storage for different types of teeth prior to their use in dentin bonding tests with three adhesive systems.

MATERIALS AND METHODS

Recently extracted sound human molars, bovine incisors, and human caries-free molars obtained from exhumed bones 5 years postmortem were used. The latter group of teeth was kept dry for 6 months, and then rehydrated in distilled water over a period of 30 days. The adhesive systems used were Prime&Bond 2.1. Single Bond, and Etch&Prime 3.0. Human teeth were embedded longitudinally in PVC cylinders; bovine incisors were embedded leaving the buccal surface exposed. Flat dentin surfaces were cut with a diamond disk and ground with up to 600-grit SiC paper. Adhesives were applied following manufacturers' instructions. A silicone mold with a cone-shaped perforation (4.5 mm high and 2 mm diameter at the smallest) was fixed on the dentin surface and filled with TPH composite resin. The specimens were stored in distilled water for two weeks before testing.

RESULTS

ANOVA did not detect statistical differences either in the main factors (substrate and adhesive system) or in their interaction (p > 0.05). Tensile bond strength averages ranged from 11.6 to 14.2 MPa. The dentinal substrates showed similar performances, regardless of the adhesives tested.

CONCLUSION

The differences among the three dentin substrates do not appear to be critical for the tensile bond strength test for the three adhesive systems. The adhesive systems presented similar bond strengths.

Influence of time and adhesive system on the extrusion shear strength between feldspathic porcelain and bovine dentin

OBJECTIVES

The behavior of dual-cure cements over time remains unclear. This study evaluated the extrusion shear strength of the bond between feldsphatic porcelain and bovine dentin at different time intervals, using three adhesive systems based on dual-cure cements and one based on a self-cure cement.

METHODS

The adhesive systems evaluated included: C&B/One-Step, Enforce/Prime&Bond NT Dual-Cure, RelyX ARC/Single Bond and Variolink II/Syntac SC. Discs of bovine root dentin, 2.5 mm thick, had the root canal prepared with a standardized taper. Porcelain truncated cones etched with 4% hydrofluoric acid and silanized were bonded into the perforations. The extrusion shear test was performed after 15 min, 4 h, 12 h, 24 h, and 7 days. Data were analyzed using the Weibull distribution. The failure mode was accessed by stereomicroscope and SEM.

RESULTS

Statistical differences were found between 15 min and 7 days for Variolink II/Syntac SC and RelyX ARC/Single Bond, and between 15 min and 24 h for Enforce/Prime&Bond NT Dual-Cure. For C&B/One-Step, difference was found between 15 min and 4 h. Between 24 h and 7 days, only the system RelyX ARC/Single Bond showed a significant increase in the characteristic strength. SEM analysis revealed that the failure involved the hybrid layer/dentin or the hybrid layer/adhesive interfaces, regardless of the time interval and adhesive system.

SIGNIFICANCE

High characteristic strengths were observed after 15 min when dual-cure cements were used. In general, the values found at 24 h or 7 days were higher than at 15 min. However, there was always a considerable probability of bonding failure at low stress levels for all the systems tested.

Pilot study on the early shear strength of porcelain-dentin bonding using dual-cure cements

STATEMENT OF PROBLEM

One of the most critical steps of the porcelain restoration technique is cementation. Mechanical stress before the resin cement reaches a certain degree of polymerization can displace or even fracture the restoration. Dual-cure materials are intended to be more effective at early stages of polymerization because they contain both photoinitiator and components for chemically activated reaction.

PURPOSE

This study evaluated the early shear strength of bonding between porcelain and dentin, using dual-cure cements.

MATERIAL AND METHODS

Sixty nonrestored human molars and premolars were randomly divided in 12 groups. The dual-cure cements tested were Porcelite and Dual. A chemically activated cement was also tested (C&B luting composite). Ceramic pieces, 3 mm high, were etched with hydrofluoric acid, silane-coated, and then bonded to flat dentin surfaces with each of the cements, associated with Optibond adhesive system. Photoactivation was made by using a light unit with 450 mW/cm2. The specimens were stored in water at 37 degrees C. Testing times were 10, 30, 90 minutes, and 7 days (referred to as maximum strength).

RESULTS

Both Porcelite and Dual dual-cure cements show statistically similar shear strength for the same time interval. The chemically activated material showed statistically lower values when compared with both dual-cure cements, regardless of the time interval. Results at 7 days were much higher than those obtained at 90 minutes for the 3 cements tested.

CONCLUSIONS

Both dual-cure cements tested presented similar results. The bond strength of dual-cure cements to dentin was higher at all time intervals than that obtained for chemically activated material. The high values for the coefficient of variation confirmed the technique-sensitive nature of the porcelain/dentin bonding procedure. Although dual-cure cements reach higher bonding strength values faster than the chemically activated material, it is not recommended to stress the bonding until 90 minutes after cementation, because the strength at that time is much lower than the maximum.