Este estudo objetivou avaliar a resistência máxima às forças de compressão entre dois grupos diferentes de coroas em porcelanas livres de metal cimentadas sobre dentes naturais e um grupo formado por dentes caninos naturais hígidos e comparar os resultados obtidos com os de (Chaves, 2001), em seu trabalho de Doutorado onde também se avaliou a resistência máxima às forças de compressão entre coroa metalo cerâmica fraturada e reparada com resina composta com coroa metalo cerâmica integra e dente natural permanente. No presente estudo foram feitos vinte preparos para coroa total em dentes naturais caninos e divididos em dois grupos para confecção de dez coroas do sistema cerâmico aluminizado infiltrado por vidro (Angelus Brasil) e dez coroas em porcelana feldspática Noritake ® (Noritake Kisai CO. Cada grupo de coroas foi cimentado com cimento resinoso auto adesivo RelyX Unicem ® , (3M ESPE, Brasil) com o objetivo de aumentar a resistência da porcelana frente às forças de compressão. O teste de compressão foi realizado em uma máquina de ensaio universal KRATOS, através de uma carga aplicada axialmente no ápice da borda incisal de cada espécime até a fratura. Os dados foram submetidos à análise de Variância ANOVA (p < 0,05) e teste de Tukey para comparação entre grupos. Os resultados mostraram que não houve diferença estatisticamente significante entre a coroa de porcelana aluminizada infiltrada por vidro e o dente natural. A coroa de porcelana feldspática apresentou-se menos resistente com relação ao dente natural e coroa de porcelana aluminizada infiltrada por vidro. / The objective of this study is evaluate the maximum load resistance between two different groups of porcelain metal free crown seated on natural teeth and a group of natural canine and to compare the results gotten with the ones of (Chaves, 2001), in its work of Doutorado where also the ultimate strength to the forces of compression between metalo ceramic broken and repaired with composite resin with ceramic crown metaloceramic integrates and permanent natural tooth. In the present study twenty natural canine teeth were prepared for crown canines and divided in two groups: aluminized porcelain crown infiltrated for glass (Angelus Brazil) and feldspathic Noritake Kisai Noritake (co). Crowns were seated using self adhesive resin cement RelyX Unicem (3M ESPE, Brazil) Compression testing was performed by a universal testing machine (KRATOS) by a load applied axially in incisal of each specimen until occurs the fracture. The data were analyzed by one way analyses of variance (ANOVA) and Tukey test for comparison between groups. The results showed that it did not have statistical significant difference between aluminized porcelain crown infiltrated by glass and natural tooth. The feldspathic porcelain crown presented less resistant than natural tooth and aluminized porcelain crown infiltrated by glass. .

Este estudo objetivou avaliar a resistência máxima às forças de compressão entre dois grupos diferentes de coroas em porcelanas livres de metal cimentadas sobre dentes naturais e um grupo formado por dentes caninos naturais hígidos e comparar os resultados obtidos com os de (Chaves, 2001), em seu trabalho de Doutorado onde também se avaliou a resistência máxima às forças de compressão entre coroa metalo cerâmica fraturada e reparada com resina composta com coroa metalo cerâmica integra e dente natural permanente. No presente estudo foram feitos vinte preparos para coroa total em dentes naturais caninos e divididos em dois grupos para confecção de dez coroas do sistema cerâmico aluminizado infiltrado por vidro (Angelus Brasil) e dez coroas em porcelana feldspática Noritake ® (Noritake Kisai CO. Cada grupo de coroas foi cimentado com cimento resinoso auto adesivo RelyX Unicem ® , (3M ESPE, Brasil) com o objetivo de aumentar a resistência da porcelana frente às forças de compressão. O teste de compressão foi realizado em uma máquina de ensaio universal KRATOS, através de uma carga aplicada axialmente no ápice da borda incisal de cada espécime até a fratura. Os dados foram submetidos à análise de Variância ANOVA (p < 0,05) e teste de Tukey para comparação entre grupos. Os resultados mostraram que não houve diferença estatisticamente significante entre a coroa de porcelana aluminizada infiltrada por vidro e o dente natural. A coroa de porcelana feldspática apresentou-se menos resistente com relação ao dente natural e coroa de porcelana aluminizada infiltrada por vidro. / The objective of this study is evaluate the maximum load resistance between two different groups of porcelain metal free crown seated on natural teeth and a group of natural canine and to compare the results gotten with the ones of (Chaves, 2001), in its work of Doutorado where also the ultimate strength to the forces of compression between metalo ceramic broken and repaired with composite resin with ceramic crown metaloceramic integrates and permanent natural tooth. In the present study twenty natural canine teeth were prepared for crown canines and divided in two groups: aluminized porcelain crown infiltrated for glass (Angelus Brazil) and feldspathic Noritake Kisai Noritake (co). Crowns were seated using self adhesive resin cement RelyX Unicem (3M ESPE, Brazil) Compression testing was performed by a universal testing machine (KRATOS) by a load applied axially in incisal of each specimen until occurs the fracture. The data were analyzed by one way analyses of variance (ANOVA) and Tukey test for comparison between groups. The results showed that it did not have statistical significant difference between aluminized porcelain crown infiltrated by glass and natural tooth. The feldspathic porcelain crown presented less resistant than natural tooth and aluminized porcelain crown infiltrated by glass. .

As restaurações metalocerâmicas apresentam relatos de sucesso clínico a longo prazo e as características de reforço (cinta lingual e poste proximal) das infra-estruturas metálicas parecem ser de grande importância para este sucesso. Estes reforços freqüentemente estão ausentes nas infraestruturas das restaurações ceramocerâmicas. O objetivo deste estudo foi testar a hipótese nula de que coroas confeccionadas com infra-estruturas cerâmicas com desenho com e sem reforço não resultam em valores de resistência à fratura diferentes de coroas com infra-estruturas metálicas confeccionadas com os mesmos desenhos. Para a realização deste trabalho foram fabricadas 40 coroas, dividas em quatro grupos (n=10): (1) coroas metalocerâmicas - infra-estrutura com reforço; (2) coroas metalocerâmicas - infra-estrutura sem reforço; (3) coroas ceramocerâmicas - infra-estrutura com reforço; e (4) coroas ceramocerâmicas - infra-estrutura sem reforço. Os corpos de prova foram cimentados com ionômero de vidro modificado por resina nos troquéis metálicos e submetidos à análise de resistência à fratura usando uma máquina de teste universal Kratos, a uma velocidade de 0,5 mm/min. Todos os corpos de prova foram mantidos sob pressão até a fratura. Os resultados de resistência à fratura (kgf) foram submetidos à análise de variância (ANOVA) a dois critérios e ao teste de Tukey. O nível de significância considerado em todas as análises foi de 5% (p<0,05). Os valores médios de resistência à fratura foram de 237,637 kgf para as coroas metalocerâmicas com infraestruturas com reforço, 171,738 kgf para as coroas metalocerâmicas com infraestruturas com reforço, 127,588 kgf para as coroas ceramocerâmicas com infra-estruturas com reforço e 93,914 kgf para as coroas ceramocerâmicas com infra-estruturas sem reforço, com diferença estatisticamente significante (p<0,05), entre os quatro grupos. As coroas metalocerâmicas com reforço (Grupo 1) apresentaram o maior valor de resistência à fratura e estatisticamente significante, entre todos os grupos. As coroas confeccionadas com infra-estruturas com reforço apresentaram maior resistência à fratura do que as confeccionadas sem reforço, tanto nas coroas metalocerâmicas como nas ceramocerâmicas. / Metal-ceramic restorations present reports of long-term clinical success, and the characteristics of reinforcement coping (lingual collar and buttressing shoulder) seem to be of great importance for this success. These reinforcements are often absent in all-ceramic coping restorations. The aim of the current study was to evaluate and compare the in vitro fracture resistance of metal-ceramic and In-Ceram Alumina all-ceramic crowns, with and without reinforced coping design. Forty crowns were fabricated and divided into four groups (n=10): group 1, metal-ceramic crown with reinforced coping design; group 2, metal-ceramic crown without reinforced coping design; group 3, allceramic crown with reinforced coping design and group 4, all-ceramic crown with out reinforced coping design. The forty crowns were cemented on stainless steel dies and axially loaded in a universal testing machine until fracture occurred, and the maximum load (kgf) was recorded. Data were analyzed by one-way analysis of variance (ANOVA) and Tukey test (p<0.05) The results showed a statistical significant superiority (p<0.05) of the reinforcement coping groups (237.637 kgf for metalo-ceramic crowns and 127.588 kgf for all-ceramic crowns), regarding to non reinforcement coping groups (171.738 kgf for metalo ceramic crowns and 93.914 kgf for all-ceramic crowns). These founds denote that: (1) crowns made with reinforcement coping had presented greater fracture resistance than those confectioned without it and (2) metal-ceramic crowns had presented greater fracture resistance than all-ceramic crowns.

As restaurações metalocerâmicas apresentam relatos de sucesso clínico a longo prazo e as características de reforço (cinta lingual e poste proximal) das infra-estruturas metálicas parecem ser de grande importância para este sucesso. Estes reforços freqüentemente estão ausentes nas infraestruturas das restaurações ceramocerâmicas. O objetivo deste estudo foi testar a hipótese nula de que coroas confeccionadas com infra-estruturas cerâmicas com desenho com e sem reforço não resultam em valores de resistência à fratura diferentes de coroas com infra-estruturas metálicas confeccionadas com os mesmos desenhos. Para a realização deste trabalho foram fabricadas 40 coroas, dividas em quatro grupos (n=10): (1) coroas metalocerâmicas - infra-estrutura com reforço; (2) coroas metalocerâmicas - infra-estrutura sem reforço; (3) coroas ceramocerâmicas - infra-estrutura com reforço; e (4) coroas ceramocerâmicas - infra-estrutura sem reforço. Os corpos de prova foram cimentados com ionômero de vidro modificado por resina nos troquéis metálicos e submetidos à análise de resistência à fratura usando uma máquina de teste universal Kratos, a uma velocidade de 0,5 mm/min. Todos os corpos de prova foram mantidos sob pressão até a fratura. Os resultados de resistência à fratura (kgf) foram submetidos à análise de variância (ANOVA) a dois critérios e ao teste de Tukey. O nível de significância considerado em todas as análises foi de 5% (p<0,05). Os valores médios de resistência à fratura foram de 237,637 kgf para as coroas metalocerâmicas com infraestruturas com reforço, 171,738 kgf para as coroas metalocerâmicas com infraestruturas com reforço, 127,588 kgf para as coroas ceramocerâmicas com infra-estruturas com reforço e 93,914 kgf para as coroas ceramocerâmicas com infra-estruturas sem reforço, com diferença estatisticamente significante (p<0,05), entre os quatro grupos. As coroas metalocerâmicas com reforço (Grupo 1) apresentaram o maior valor de resistência à fratura e estatisticamente significante, entre todos os grupos. As coroas confeccionadas com infra-estruturas com reforço apresentaram maior resistência à fratura do que as confeccionadas sem reforço, tanto nas coroas metalocerâmicas como nas ceramocerâmicas. / Metal-ceramic restorations present reports of long-term clinical success, and the characteristics of reinforcement coping (lingual collar and buttressing shoulder) seem to be of great importance for this success. These reinforcements are often absent in all-ceramic coping restorations. The aim of the current study was to evaluate and compare the in vitro fracture resistance of metal-ceramic and In-Ceram Alumina all-ceramic crowns, with and without reinforced coping design. Forty crowns were fabricated and divided into four groups (n=10): group 1, metal-ceramic crown with reinforced coping design; group 2, metal-ceramic crown without reinforced coping design; group 3, allceramic crown with reinforced coping design and group 4, all-ceramic crown with out reinforced coping design. The forty crowns were cemented on stainless steel dies and axially loaded in a universal testing machine until fracture occurred, and the maximum load (kgf) was recorded. Data were analyzed by one-way analysis of variance (ANOVA) and Tukey test (p<0.05) The results showed a statistical significant superiority (p<0.05) of the reinforcement coping groups (237.637 kgf for metalo-ceramic crowns and 127.588 kgf for all-ceramic crowns), regarding to non reinforcement coping groups (171.738 kgf for metalo ceramic crowns and 93.914 kgf for all-ceramic crowns). These founds denote that: (1) crowns made with reinforcement coping had presented greater fracture resistance than those confectioned without it and (2) metal-ceramic crowns had presented greater fracture resistance than all-ceramic crowns.

Magister Scientiae Dentium - MSc(Dent) / Aim: The aim of this study was to evaluate, in-vitro, the shear bond strength (SBS) and the resultant failure pattern after debonding of metal orthodontic brackets bonded with TransbondTM XT adhesive resin cement and RelyXTM Unicem 2 self-adhesive resin cement to pre-treated (35% ortho-phosphoric acid and silane coupling agent application) IPS eMax and porcelain veneered zirconia crowns. Material and methodology: A Typhodont maxillary lateral incisor was used and prepared in a conventional manner to receive a full ceramic crown. A CAD (computer aided design)/ CAM (computer aided manufacturing) machine was used to scan the prepared tooth and manufacture 40 IPS eMax crowns and 40 porcelain veneered zirconia crowns. Half the number of IPS eMax crown specimens (ie. 20) and half the number of porcelain veneered zirconia crown specimens (ie. 20) were thermocycled (ie. to mimic thermal changes which occur in the mouth), from 5 to 55o for 500 cycles as recommended by the International Organization for Standardization (ISO 6872, 2008). The remaining 20 IPS eMax crown specimens and 20 porcelain veneered zirconia crown specimens remained new and unexposed to thermal changes. The facial surfaces of all the thermocycled and non-thermocycled crown specimens were then etched. Etching of all the ceramic bonding surfaces was performed by the application of 35 per cent ortho-phosphoric acid liquid for 2 minutes, followed by a thin layer of a ceramic primer. A lateral incisor metal bracket with a bracket base area of 9mm2 (as confirmed by the manufacturer) was bonded to each of the etched and silane treated ceramic crown specimens and separated in the following manner: Group 1: (10 thermocycled, etched and silane treated IPS eMax and 10 thermocycled, etched and silane treated porcelain veneered zirconia crown specimens) RelyX™ Unicem 2 self-adhesive resin cement was used to bond the bracket to the ceramic crown specimens, Group 2: (10 thermocycled, etched and silane treated IPS eMax and 10 thermocycled, etched and silane treated porcelain veneered zirconia crown specimens) Transbond™ XT light cure adhesive primer was first applied onto the bonding surface of the crowns and then Transbond™ XT adhesive resin was used to bond the bracket to the ceramic crown specimens, Group 3: (10 non-thermocycled, etched and silane treated IPS eMax and 10 non-thermocycled, etched and silane treated porcelain veneered zirconia crown specimens) RelyX™ Unicem 2 self-adhesive resin cement was used to bond the bracket to the ceramic crown specimens, Group 4: (10 non-thermocycled, etched and silane treated IPS eMax and 10 non-thermocycled, etched and silane treated porcelain veneered zirconia crown specimens) Transbond™ XT light cure adhesive primer was first applied onto the bonding surface of the crowns and then Transbond™ XT adhesive resin cement was used to bond the bracket to the ceramic crown specimens. After bonding all samples were stored in distilled water for 24 hours before being submitted to the shear bond strength test. Debonding forces in Newtons (N) was determined by using a shear testing machine and converted into Mega Pascals (MPa). Results: The results after debonding were compared. The mean shear bond strength for RelyXTM Unicem 2 self-adhesive resin cement bonded to the all ceramic non-thermocycled crowns (Group 3) ranged from a low of 5.1 MPa (45.5 Newtons) when brackets were bonded to the IPS eMax crowns to a high of 5.8 MPa (51.9 Newtons) when brackets were bonded to the porcelain veneered zirconia crowns. The mean shear bond strength for Transbond XT adhesive resin cement bonded to the all ceramic non-thermocycled crowns (Group 4) ranged from a low of 6.4 MPa (57.3 Newtons) when brackets were bonded to the porcelain veneered zirconia crowns to a high of 8.1 MPa (72.7 Newtons) when brackets were bonded to the IPS eMax crowns. The side by side Box-and-Whisker plots of the shear bond strengths show wide and overlapping dispersions of the crown/adhesive resin combinations which consequently lessen the probability of significant differences between the crown/adhesive resin combinations in all 4 groups. According to the Kruskal-Wallis test (p < 0.05), and the Bonferroni Test the non-thermocycled crown/adhesive resin combinations do not differ significantly. Study of the mean ARI (Adhesive Remnant Index) values for the non-thermocycled crown/adhesive combinations shows that brackets bonded with Rely-XTM Unicem 2 to non-thermocycled porcelain veneered zirconia crowns failed entirely at the ceramic/adhesive interface and for all the other non-thermocycled ceramic/adhesive combinations most of the failures of the bond (70%) occurred at the bracket/adhesive interface, ie. cohesive fractures within the composite resin. No cohesive fractures of the porcelain crowns were noted. The results of the thermocycled groups (Group 1 and Group 2) show the TransbondTM XT/non-thermocycled IPS eMax crown combination yielded the highest overall mean shear bond strength of 8.1 MPa (72.7 Newtons) but dropped to a mean shear bond strength of 5.1 MPa (46.1 Newtons) (36.4% drop in shear bond strength) when the crowns were thermocycled prior to bonding. The TransbondTM XT/non-thermocycled porcelain veneerd zirconia crown combination yielded the second highest overall mean shear bond strength of 6.4 MPa (57.3 Newtons) and dropped to a mean shear bond strength of 5.1 MPa (45.8 Newtons) (19.3% drop in shear bond strength) when the crowns were thermocycled prior to bonding. The RelyXTM Unicem 2/non-thermocycled porcelain veneered zirconia crown combination yielded the third highest overall mean shear bond strength of 5.8 MPa (51.9 Newtons) but dropped significantly to a mean shear bond strength of 3.2 MPa (29.1 Newtons) (a significant 43.8% drop in shear bond strength) when the crowns were thermocycled prior to bonding. Lastly, the RelyXTM Unicem 2/non-thermocycled IPS eMax crown combination yielded the fourth highest mean shear bond strength of 5.1MPa (45.5 Newtons) but dropped to a mean shear bond strength of 4.9 MPa (44.5 Newtons) (a drop in shear bond strength of only 3%) when the crowns were thermocyled prior to bonding. Relaxing the significance level (p-value) somewhat demonstrates the negative influence of thermocycling on the shear bond strength of the crown/adhesive combinations. The non-thermocycled all ceramic crown/adhesive combinations showed mean ARI values of between 1.3 and 2.1 indicating cohesive fractures within the composite resin and efficient bonding of the adhesive material to the porcelain surface. However, all the thermocycled all ceramic crown/adhesive treatment combinations showed mean ARI values of between 0 and 0.8 indicating a bond failure between adhesive and porcelain and highlighting the negative influence of thermocycling on bond strength of both adhesive resin cements. Conclusion: Within the limitations of this study, it can be concluded that: 1.There was no significant difference in the shear bond strengths of metal orthodontic brackets bonded with RelyXTM Unicem 2 self-adhesive resin cement and metal orthodontic brackets bonded with TransbondTM XT adhesive resin cement to IPS eMax and porcelain-veneered zirconia crowns which were conditioned with 35 % phosphoric acid and a silane coupling agent. 2. Conditioning the porcelain surface with 35% phosphoric acid and a silane coupling agent (which is safer to use than Hydrofluoric acid) is sufficient for bonding metal orthodontic brackets to all ceramic crowns, and should make it simpler for clinicians to remove the remaining adhesive from the porcelain surface after debonding. 3. The negative influence of thermocycling prior to bonding can be seen on shear bond strength values. 4. Most of the failures of the bond occurred at the ceramic/adhesive interface and cohesive fractures within the composite resin. No cohesive fractures of the porcelain crowns were noted.

No description available.

No description available.

Hipótese do trabalho: Avaliar a presença de um orifício de acesso ao parafuso do intermediário do implante em infra-estruturas cimentadas sobre o pilar de titânio. Objetivo: O presente estudo visou comparar resistência a compressão de infra-estruturas em zircônia estabilizada por ítrio e em dissilicato de lítio cimentadas sobre pilar em titânio, com e sem acesso ao parafuso. Método: Foram confeccionados quarenta corpos-de-prova compostos por análogos de implantes hexágono externo de plataforma 4,1mm, intermediários de titânio pré-fabricado para próteses cimentadas e infra-estruturas para coroas totais. Os corpos-de-prova foram divididos em quatro grupos experimentais, sendo vinte, em cerâmica de zircônia estabilizada por ítrio(G1 e G2) e vinte em cerâmica de dissilicato de lítio(G3 e G4), todas confeccionadas com a mesma anatomia, ambas para próteses cimentadas sobre implante. Das vinte infra-estruturas de cada tipo de cerâmica, dez foram infra-estruturas convencionais para coroas cimentadas, constituindo o grupo controle e dez apresentavam um orifício de acesso ao parafuso, transpassando a cerâmica, constituindo o grupo experimental. As cimentações foram efetuadas com agente de fixação RelyX U200, de acordo com as especificações do fabricante, e o grupo experimental (com acesso ao parafuso) teve o orifício de acesso ao canal restaurado com resina composta foto ativada Z350 Filtek Supreme XT. Os corpos-de-prova foram submetidos a teste de compressão com velocidade de 0,5mm/minuto em máquina de ensaio universal. Resultados: Não foram encontradas diferenças estatísticas significativas entre infra-estruturas de cerâmicas convencionais e as infra-estruturas confeccionadas com orifício de acesso oclusal(G2 1.675 N/cm., G3 1.931 N/cm e G4 1.447 N/cm), exceto as infra-estruturas convencionais de zircônia estabilizada por ítrio que se apresentou superior aos demais(G1 3.372 N/cm). Com base nos resultados todas as modalidades de infra-estruturas testadas são viáveis para o uso clínico. / Hypothesis of work: To evaluate the presence of an access hole to screw the intermediate cemented implant in infrastructure over the titanium abutment. Objective: This study aimed to compare the compressive strength of infrastructure in yttrium stabilized zirconia and lithium disilicate cemented to abutment in titanium, with and without access to the screw. Method: Forty bodies-specimens consisting of similar external hex implants platform 4.1mm, intermediate titanium prefabricated for cemented prostheses and infrastructures for crowns were fabricated. The bodies-specimens were divided into four experimental groups, twenty, ceramic yttrium stabilized zirconia (G1 and G2) and twenty in ceramic lithium disilicate (G3 and G4), all made with the same anatomy, both for cemented prostheses on implants. Infrastructure of twenty of each type of tile ten were conventional infrastructure for cemented crowns, constituting the control group and ten had an access hole to the screw, trespassing ceramics, constituting the experimental group. The cementation were performed with RelyX U200 fixing agent, according to the manufacturers specifications, and the experimental group (with access to the screw) had the access hole channel restored with composite resin Z350 photo activated Filtek Supreme XT. The bodies-specimens were subjected to compression test speed of 0.5 mm / min in a universal testing machine. Results: No statistically significant differences between conventional ceramic infrastructure and infrastructure made with port access were found occlusal (G2 1675 N / cm, G3 1931 N / cm and G4 1447 N / cm.) Except conventional infrastructure stabilized zirconia yttrium who introduced himself superior to the others (G1 3300 N / cm). Based on the results of all modalities tested infrastructure are feasible for clinical use.