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    • Professor Doutor Paulo Mauricio
    • Professor Doutor Sergio Felix
    • Professor Doutora Ana Vieira
    • Professor Doutora Ana Cristina Manso
    • Professor Doutor Francisco Martins
    • Professor Doutora Joana Carvalho
    • Professor Doutor Jose Alexandre Reis
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Reabilitação Oral do IUEM

Revistas internacionais com referee

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Comparison of regional bond strength in root thirds among fiber-reinforced posts luted with different cements
de Durâo Mauricio PJ, González-López S, Aguilar-Mendoza JA, Félix S, González-Rodríguez MP.

AIM: To compare regional bond strength in different thirds of the root canal, among glass fiber-reinforced (FRC) endodontic posts luted with different cements, using the push-out test.
MATERIAL AND METHODS: Sixty extracted human anterior teeth were endodontically treated with gutta-percha and AH Plus sealer. The crown portion was removed, and a dowel space was prepared. Prepared teeth were randomly assigned to one of six groups (n = 10) for luting glass FRC Postec posts, with one of the six cement systems (Ketac Cem Aplicap, Relyx Unicem Aplicap, Variolink II/Excite DCS, Panavia F/ED Primer, C&B cement/All-Bond 2, and Multilink/Multilink Primer A/B), using an alignment technique. Specimens were embedded in resin, and each root was sectioned into six 1-mm thick serial slices. A push-out test was performed to measure regional bond strengths and to identify the type of failure.
RESULTS: The highest bond strength values were found in the cervical third and the lowest in the apical third. Highest values were obtained using Variolink II, Panavia F, and Multilink resin cements followed by C&B resin cement and Relyx Unicem ionomer resin cement; Ketac-cem ionomer cement showed the lowest value.
CONCLUSION: Highest bond strength values were obtained in the cervical third and with resin cements.
J Biomed Mater Res B Appl Biomater. 2007 Nov;83(2):364-72.




Effects of filling techniques on the regional bond strength to lateral walls in Class I cavities
Félix SA, González-López S, Mauricio PD, Aguilar-Mendoza JA, Bolanos-Carmoña MV

OBJECTIVES: Using the push-out technique, this study compared the influence of different composite insertion techniques in Class I cavities on the regional shear bond strength to lateral walls.
MATERIALS AND METHOD: Standardized Class I cavities were prepared on the occlusal surface of 60 freshly extracted third molars, which were randomly assigned to one of five groups (n = 10). The cavities were bonded with the self-etch adhesive AdheSE and restored with Tetric Ceram resin composite by one of five techniques: G1, incremental technique (four oblique layers); G2, flowable composite as liner and bulk technique; G3, bulk technique and G4, light cone technique. The total-etch adhesive (Single Bond) and incremental technique were used as the control procedure. Each specimen was sectioned perpendicular to the long axis of the tooth in 1 mm-thick dentin slices. A push-out test was performed to measure regional bond strengths and identify the type of failure. Two additional teeth per group were prepared for the morphological interface study using scanning electron microscopy.
RESULTS: Differences between the groups were tested by one-way ANOVA and Scheffé post hoc test (F = 29.635, p < 0.001). The highest shear bond strength values were obtained with the incremental technique, regardless of the adhesive used. Significant differences in bond strength to superficial and deep dentin were only found when a total-etch adhesive was used (Single Bond).
CONCLUSIONS: Use of the incremental technique with total-etch or self-etch adhesives is the most effective method of inserting resin-based composites in large Class I cavities.
Oper Dent. 2007 Nov-Dec;32(6):602-9.




Regional bond strength to lateral walls in class I and II ceramic inlays luted with four resin cements and glass-ionomer luting agent.
Manso AG, González-Lopez S, Bolaños-Carmona V, Maurício PJ, Félix SA, Carvalho PA

PURPOSE: To investigate regional shear bond strength to lateral walls of ceramic inlays in occlusal and occlusoproximal cavities using etch-and-rinse and self-adhesive resin cements and a glass-ionomer luting agent.
MATERIALS AND METHODS: IPS e.max Press ceramic inlays were made in 50 Class I and 50 Class II standardized cavities in intact extracted human molars and divided into 5 luting agent subgroups (n = 10): Variolink II (VL); Multilink Sprint (MLS); Multilink Automix (MLA); RelyX Unicem (RLX), and Ketac Cem Aplicap (KC). Inlays were pre-etched with IPS Ceramic etching gel for 60s. After 48 h, two disks of ca 1.0 mm thickness, one of superficial and the other of deep dentin, were push-out tested in a universal testing machine at a crosshead speed of 1.0 mm/min. The mode of failure was determined under a stereomicroscope at 20X. Data were analyzed with one way ANOVA, and Scheffé's test was used for post-hoc comparisons (α = 0.05).
RESULTS: There were no significant differences in shear bond strength between Class I and Class II cavities for the dual-curing system in light-curing mode (VL=MLS=RLX), except that RLX demonstrated greater bond strength to deep dentin in Class II cavities. Bond strength values were significantly higher on deep than on superficial dentin. KC showed the worst result. Failures were mixed (adhesive/cohesive) for the resin luting cements and solely adhesive (cement/ceramic) for the glass-ionomer luting agent.
CONCLUSION: Dual-curing etch-and-rinse or self-etching self-adhesive resin luting cements achieved greater bond strength when light curing was applied, with no differences between Class I and Class II cavities but higher values for deep vs superficial dentin. The weakest adhesion was obtained with glass-ionomer luting agent in both cavity types.
J Adhes Dent. 2011 Oct;13(5):455-65. doi: 10.3290/j.jad.a19816.



Biomimetic approach to extensive fracture of anterior teeth - a case report
da Fonseca JT, Reis JA, Ribeiro CM.

The fracture of anterior teeth in children and adolescents is a common injury. When most tooth structure is compromised and the broken fragment is not recovered, its restoration can become rather complex to both dentist and dental technician. Restoration of single anterior elements is one of the most demanding challenges in fixed prosthodontics. This article describes a clinical case of a 13-year-old patient with an extensive fractured central incisor and contra lateral incisor. Endodontic treatment was performed on both teeth, and a temporary removable appliance was made for esthetics. One month later, an indirect esthetic post and core was made for each tooth, and provisionals were placed. After a 6-month period of soft tissue stabilization, two pressed all-ceramic crowns were fabricated and bonded to the preparations. The authors believe this to be a stable long-term option relative to the reminiscent tooth structure, esthetic demand, and occlusal features of the case.
Dent Traumatol. 2011 Sep 6. doi: 10.1111/j.1600-9657.2011.01055.x. [Epub ahead of print]


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