Fraturas dentárias são enfermidades de alta prevalência entre os carnívoros selvagens, principalmente em animais cativos. Esse tipo de afecção é comum em grandes felídeos, cujos hábitos e aspectos biológicos contribuem para o traumatismo dentário. A superfície dental é capaz de suportar certo limite fisiológico de atrito e, caso esse limite seja superado, há desgaste excessivo das estruturas dentárias que pode evoluir para fratura. O tratamento preconizado envolve endodontia (tratamento de canal) e prostodontia (restauração coronal). Próteses unitárias são aquelas que restauram a coroa de um dente cuja estrutura fora parcial ou totalmente perdida. Foram cimentadas 19 (N=19) restaurações metálicas fundidas (RMF) com auxílio de cimento resinoso dual, dentre as quais, 14 (73%) mantiveram-se fixas ao dente e 5 (27%) foram perdidas, por um ou mais motivos. Em relação ao sexo, um animal era macho (11%) e os 8 demais eram fêmeas (89%). Dentre as perdas protéticas (5 = 100%), uma (20%) ocorreu em período inferior a um mês e 4 (80%) entre 9 e 14 meses. Destas, uma (20%) ocorreu em função de fratura do remanescente dentário e 4 (80%) não se sabe a causa da perda protética. Dentre as próteses mantidas (14 = 100%), um (7%) dos animais morreu durante o estudo e 13 (93%) mantem-se vivos e com as peças protéticas fixas aos dentes. Quando se trata de animais selvagens, devolver a função é o objetivo mais importante da restauração, objetivo principal deste estudo / Dental fractures are highly prevalent among wild carnivores, mainly in captive animals. This type of condition is common in large felids, whose habits and biological aspects contribute to dental trauma. The tooth surface is capable of supporting certain physiological limit of friction, and if this limit is exceeded, there is excessive wear of the dental structures that can lead to fracture. The recommended treatment involves endodontics (root canal treatment) and prosthodontics (coronal restoration). Unitary prostheses are those that restore the crown of a tooth which structure had been partially or completely lost. Among the 19 (N = 19) cemented prostheses in this study with dual ciment, 14 (73%) remained fixed to the tooth and 5 (27%) were lost for one or more reasons. Regarding sex, an animal was male (11%) and 8 others were females (89%). Among the prosthetic losses (5 = 100%), one (20%) occurred in less than one month and 4 (80%) between 9 and 14 months. Of these, one (20%) occurred in the remaining tooth fracture function and 4 (80%) the cause of prosthetic loss was not known. Among the retained prosthesis (14 = 100%), one (7%) of the animals died during the study and 13 (93%) are still alive and the prosthetic pieces still fixed to the teeth. When it comes to wildlife, return the function is the most important goal of the restoration, the main objective of this study

Statement of the Problem: Despite its popularity as a denture-base material, poly-methyl methacrylate exhibits inherently low resistance to impact and fatigue failure. This is reflected in the analyses of the prevalence of denture fracture which suggests that prosthesis failure remains an unsolved problem. Consequently, various approaches to improve the physical and mechanical properties of denture-base polymers have been proposed. These include incorporation of solid metal forms and various types of fibers to provide reinforcement to fracture prone areas. In recent years there has been considerable interest in glass fiber reinforcement of polymeric denture resins. Partial fiber reinforcement using glass fiber has been shown to improve the mechanical properties of removable prostheses. However, adequate impregnation of fibers often requires the use of excessive methyl methacrylate monomer which has a deleterious effect on the mechanical properties of the fiber composite material. Purpose: The aim of the present study was to determine the effect of glass fiber polysulphone composite reinforcement on the flexural characteristics of two commonly used denture-base polymers. Materials and methods: Prefabricated E-glass fiber polysulphone composite rods, ± 3mm in diameter, with a continuous, unidirectional, non-silanized fiber concentration of ± 55 vol %, were employed as strengtheners. The reinforcement was incorporated axial to the neutral axis in standardized cylindrical heat polymerizing conventional and high impact resin test specimens 6mm in diameter and 28mm in length. The two reinforced pattern groups (n = 10) were compared with unreinforced resin control groups. A three point loading test was performed in air after storage of the specimens in water at 37°C for a period of 8 weeks. The following values were measured : flexural modulus and flexural strength. The obtained data were subjected to relevant statistical analysis. Results: The flexural modulus of the glass fiber polysulphone reinforcement was 14,106 MPa and the flexural strength 546.6 MPa. The flexural modulus of conventional denture-base resin was 1746 MPa, reinforcement increased it to 2328 MPa, and the flexural strength increased from 164 MPa to 209 MPa. The flexural modulus of high impact polymer was 1684 MPa and reinforcement increased it to 2067 MPa. The flexural strength was increased from 171 MPa to 242 MPa with reinforcement. Statistical analysis using t test showed that reinforcement affected the flexural modulus and flexural strength of polymer brands (p < : 05). Conclusion: Novel glass fiber polysulphone composite reinforcement may considerably enhance the flexural properties of multi phase denture-base polymers. / Dissertation (MSc (Prosthetic Dentistry))--University of Pretoria, 2005. / Prosthodontics / unrestricted

Objetivo: Avaliar a influência de diferentes tratamentos de superfície da zircônia na rugosidade superficial e na resistência de união utilizando diferentes agentes de cimentação, pré e pós-ciclagem térmica, bem como analisar a superfície de fratura. Metodologia: Foram elaborados três artigos científicos. No Capítulo 1, apresentou-se um estudo de revisão da literatura a respeito dos métodos de tratamento de superfície e os diferentes tipos de cimentos indicados para proporcionar união adesiva entre a zircônia e materiais resinosos. No Capítulo idade da superfície modificada e a resistência da união entre cerâmica e material resinoso. Os tratamentos de superfície analisados foram: jateamento com partículas de Al2O3 de 50&#956;m, aplicação de primer contendo MDP, silicatização e silicatização associado a aplicação de primer contendo MDP, além da associação de dois tipos de cimentos resinosos, cimento resinoso modificado com monômeros fosfatados e cimento resinoso autoadesivo. Foi utilizado o teste de rugosidade e de microcisalhamento para verificar a alteração de superfície e a força de adesão proporcionada pelos grupos experimentais seguidas de análise do modo de falha para verificar as características da interface adesiva. No capítulo 3 foi realizado o mesmo delineamento do Capítulo 2, entretanto, foi associado o processo de ciclagem térmica para verificação do comportamento dos diferentes tratamentos de superfícies e materiais cimentantes, com intuito de simular parcialmente condições clínicas. Conclusões: Ambos os cimentos utilizados podem ser indicados para a cimentação adesiva da cerâmica a base de zircônia. Em relação aos cimentos resinosos modificados o tratamentos de superfície apresenta-se indispensável para possibilitar melhora na resistência de união. O tratamento com a cobertura de sílica associado ou não ao primer apresentou-se com melhores resultados. Em relação aos cimentos autoadesivos o tratamento de superfície não teve grande influência na resistência de união, porém melhores resultados foram obtidos nas superfícies tratadas com a cobertura de sílica. Após a ciclagem térmica foi observado que o cimento autoadesivo apresentou melhores valores de força de adesão em comparação ao cimento resinoso modificado, independente do tratamento de superfície realizado. / Objective: To evaluate the influence of different surface treatments of zirconia in surface roughness and bond strength using different cementing agents, before and after thermal cycling as well as analyze the fracture surface. Methods: We developed three papers. In Chapter 1, presented a study of the review of the literature on the methods of surface treatment and different types of cements indicated for providing bonding between zirconia and resin materials. In Chapter 2, an experiment was designed to evaluate the influence of different types of surface treatment of ceramic and cement types on the surface roughness of the modified surface and the bond strength between compositive material and ceramics. The w yz w h A O3 50&#956; applying primer containing MDP, and silicatization associated with applying primer containing MDP. A resin cement modified with phosphate monomers and self-adhesive resin cement were also analyzed. Roughness and microshear test was used to verify the change of surface, and the adhesion strength provided by the experimental groups followed by analysis of the way to check the characteristics of the adhesive interface. The analyzed results were submitted to statistical analysis. In chapter 3 was used the same design done in Chapter 2, however, thermal cycling process was associated to verify the behavior of different surface treatments and materials with the aim of partially simulate clinical conditions. Conclusions: Both cements used might be indicated for the adhesive cementation of zirconia-based ceramics. Regarding resin cements modified the surface treatment has become indispensable to enable improvement in bond strength. Treatment with silica coverage with or without the primer presented with better results. Regarding the self-adhesive cement, surface treatment had no major influence on the bond strength but better results were obtained on surfaces treated with the coverage of silica. After thermocycling was observed that the self-adhesive cement had values better adhesion strength in comparison to the modified resin cement.

No description available.

Statement of Problem. Resin-based cements have become increasingly more popular for the cementation of prefabricated endodontic dowels due to their superior retention. The manufacturer of Panavia F 2.0 suggests that the product be stored under refrigerated conditions while not in use, however, there is no literature to support such a rationale. It is possible that these storage/use temperature cycling events may have a deleterious effect on the retention of prefabricated endodontic dowels. Purpose. The purpose of this in-vitro study was to investigate the retention of Panavia F 2.0 used to lute prefabricated endodontic dowels after the Panavia F 2.0 system has been kept under different storage conditions. Material and Methods. Sixty-four extracted human central incisors were selected to undergo root canal therapy and dowel retention testing. Four separate Panavia F 2.0 cement systems were placed under 4 different storage conditions for a period of 6 months, until retention testing was initiated. In the first group, the Panavia F 2.0 was stored under the manufacturer's suggested refrigerated conditions, at a constant temperature of 40°F. In the second group, the Panavia F 2.0 was stored under a constant 90°F temperature. In the third group, the Panavia F 2.0 was stored under room temperature conditions of 70°F. The fourth group attempted to mimic clinical usage conditions with the Panavia F 2.0 being cycled from refrigeration at 40°F for 22 hours/day to 2 hours/day of room temperature at 70°F 5 days per week for the duration of the 6-month storage condition period. Results. Stress values were analyzed using 1-way ANOVA. A Tukey's HSD multiple comparison analysis of the dowel retention strengths indicated that the group stored at 90°F resulted in the lowest retention. This group was significantly lower than all other groups' retention strength (p Conclusions. Within the limitations of this study, the storage of Panavia F 2.0 at either room temperature or cycling between refrigeration and room temperature yields similar dowel retention values. However, the storage of Panavia F 2.0 at temperatures of 90°F for prolonged periods causes poor dowel retention. Clinical Implications The results of this study do not support the necessity of storing Panavia F 2.0 under refrigerated conditions between clinical uses, if used within six months. However, the storage of the Panavia F 2.0 cementation system at temperatures of 90°F for prolonged periods will affect dowel retention and is therefore not advisable.

Purpose: To compare the in-vitro shear bond strengths of a new paste-paste formulation of resin-modified glass-ionomer cement (Rm-GIC) to an exising powder-liquid formulation. The study will test the hypothesis that the new paste-paste formulation of Rm-GIC (Fuji-Cem ™, GC Corp, Tokyo, Japan) has the same bond strength as an existing popular powder-liquid formulation of Rm-GIC (Rely-X ™ Luting Cement, 3M, St. Paul, MN)Materials and Methods: A total of 33 human molars were sectioned parallel to the occlusal surface to expose mid-coronal dentin and mounted parallel to the bond shearing device on the universal testing machine (Instron). For Group I samples (Rely-X, n=15), the powder and liquid were measured and adjusted to achieve a ratio of 1.6 and mixed for 30 seconds as recommended by the manufacturer. For Group II (Fuji-Cem, n=18), the paste-paste was expressed from the paste-dispenser provided by the manufacturer and mixed for 10 seconds as recommended. After testing, the teeth from group II were bonded on a different site with the same material but mixed for 20 seconds (n=18). To ensure a uniform flow and bond surface area, the mixed cement was syringed into a cylindrical mould (diameter 2.38mm, height 2mm) and allowed to set under constant force. All samples were subjected to fracture by shear loading on a universal testing machine (Instron) at a uniform crosshead speed of .02" per minute and expressed as MPa. Values were analyzed at the pResults: Wilcoxon rank sums test showed significantly higher shear bond strength values for Rely-X compared to Fuji-Cem mixed both at 10 seconds and 20 seconds. Mixing for 20 seconds resulted in stronger bonds for Fuji-Cem compared to 10 seconds, but was still significantly lower than Rely-X.Conclusions: Within the limitations of the study, the Rely-X powder-liquid formula shows a significantly stronger dentin shear bond strength when compared to the new paste-paste formula of resin-modified glass ionomer cement, Fuji-Cem.

Statement of problem. Clinicians have used disinfection materials to remove surface contaminants during cavity preparation. It has been postulated that disinfection materials may negatively affect shear bond strength of restorative materials. If so, large numbers of restorations may be predestined for early failure with the use of a disinfection protocol.Purpose. To determine whether there is a difference in the bond strength between dentin and composite resin with a 3-step disinfection technique compared to a conventional bonding technique without the additional disinfection protocol.Material and Methods. Sixty human molar teeth were sectioned parallel to the occlusal surface to expose mid-coronal dentin and mounted parallel to a bond shearing device on a universal testing machine (Instron) and randomly divided into 2 groups. In Group I (n=30), specimens were treated with chlorhexidine, tubulicid red, and sodium hypochlorite before dentin bonding, following the manufacturer's instructions for All Bond 2. In Group II (n=30), specimens were treated only with the bonding protocol of All Bond 2. To ensure a uniform bond surface area, core paste was syringed into a cylindrical mold (diameter 2.38mm, height 2.00mm) that was in contact with the dentin bonding surface of each specimen, and allowed to set under constant force. All specimens were subjected to fracture by shear loading in a universal testing machine (Instron) at a uniform crosshead speed of 0.02 inch per minute and expressed as MPa. Statistical analysis, using nonpaired student's t-test, was performed. Results. A statistically-significant higher shear bond strength was found for the 3-step disinfection group (mean shear bond strength, 25.3; STD, 4.6) compared to the conventional bonding group (mean shear bond strength, 20.5, STD, 3.4) (PConclusions. The 3-step disinfection technique group showed a significantly stronger dentin shear bond strength compared to the conventional bonding technique without disinfection.

Purpose: To evaluate the tensile strength properties of Rx Naturelle Plus and Option (high-palladium) alloys on soldered connectors under simulated preceramic and postceramic soldering conditions. Materials and methods: Eighty cylindrical castings were fabricated (40 using Rx Naturelle Plus alloy and 40 using Option alloy). The 40 castings for each alloy were subdivided into 2 groups of 20 each. In the first group, castings for each alloy were randomly paired and soldered with SMG2 solder to produce 10 preceramic test connector specimens for each alloy. In the second group, castings were similarly paired and soldered with 490 fine solder to produce 10 postceramic test connector specimens for each alloy. Each solder connector was subjected to tensile force until failure using an Instron testing machine. Statistical analysis using a Wilcoxon Rank Sums Test was performed.Results: No significant difference was found between the mean connector strength for Rx Naturelle Plus preceramic solder (mean tensile failure stress, 50,000 Psi; STD, 11,250) compared to Option preceramic solder (mean tensile failure stress, 59,700.4 Psi; STD, 16,350) (p= 0.1202). However, the connector strength for Rx Naturelle Plus postceramic solder (mean tensile failure stress, 37,800 Psi; STD, 32,450) was significantly lower than the Option postceramic solder (mean tensile failure stress, 45,300 Psi; STD, 17,550) (p= 0.0407). Not only did Rx Naturelle Plus postceramic solder connectors show evidence of lower strength, but also an increased variation among specimens.Conclusions: Rx Naturelle Plus solder connectors provided better strength with the preceramic are opposed with the postceramic connectors. For postsolder connectors, Rx Naturelle Plus alloy had less acceptable strength and a wider variation, suggesting it is more technique sensitive than Option alloy connectors.

Os cães, por fatores diversos, acabam por apresentar dentes fraturados com ou sem exposição de polpa. Estas fraturas basicamente são identificadas como fraturas recuperáveis não complicadas, recuperáveis complicadas ou irrecuperáveis. As fraturas recuperáveis (localizadas apenas no esmalte e dentina) são tratadas com dentística restauradora. As recuperáveis complicadas (com lesões em esmalte, dentina e exposição do canal radicular) passam por tratamento endodôntico, podendo ser seguidas de restaurações metálicas. Os dentes mais comumente acometidos são os dentes caninos, superiores ou inferiores. Este trabalho em dentes artificiais simulando considerável destruição de sua porção coronal objetivou testar, após a adaptação da restauração metálica fundida, a resistência às fraturas no dente canino. Os dentes artificiais foram padronizados com uma técnica de replicação de raízes artificiais em molde de resina acrílica quimicamente ativada. Oitenta réplicas iguais de resina composta fotopolimerizável, padronizadas em tamanho e forma, foram construídas a partir desta técnica. Antes da reconstrução protética, aplicou-se o tratamento endodôntico, desobturação, preparo do canal radicular e moldagem. Proteticamente, um pino intrarradicular reto e outro curvo, ambos com núcleo para sustentar a coroa metálica fundida foram cimentados na porção coronal de cada raiz-réplica. Os núcleos e coroa metálica foram ambos ferulados ou estojados. Avaliou-se os dois tipos de restauração com pino intrarradicular curvos ou retos cimentados com cimento de fosfato de zinco ou resinoso para identificar o melhor conjunto restaurador. Os testes de resistência biomecânica de 80 raízes-réplicas foram divididos em 4 grupos com 20 corpos de prova para cada um dos grupos. Grupo 1: das raízes-réplicas com pino intrarradicular curvo cimentados com cimento resinoso. Grupo 2: das raízes-réplicas com pino intrarradicular curvo cimentados com cimento de fosfato de zinco. Grupo 3: das raízes-réplicas com pino intrarradicular reto cimentados com cimento resinoso. Grupo 4: das raízes-réplicas com pino intrarradicular reto cimentados com cimento de fosfato de zinco. Estes grupos foram submetidos a teste de força com pré-carga de 1,5 N, com velocidade de avanço constante de 0,05 mm por minuto em ponto pré- determinado (mésio-lateral vestibularizada) até ocorrência de fratura do conjunto ou parte dele em uma Máquina Universal Kratos. Com a avaliação biomecânica e estudo estatístico de Kruskall-Wallis, identificou-se que os dados obtidos não seguiram distribuição normal. Esta diferença mostrou-se com o p<0,05 na interpretação do teste. No caso de dados não paramétricos o post-hoc do Kruskal-Wallis foi o teste de U de Mann-Withney. Paralelamente, um estudo com análise de elementos finitos comparou os resultados obtidos. Não houve diferença significativa sobre o tipo de cimento utilizado ou que favorecesse o uso do pino reto ou do pino curvo, recaindo a escolha para o operador decidir de acordo com a melhor indicação para cada caso clínico / The dogs, by various factors, present fractured teeth with or without pulp exposure. These fractures are basically identified as recoverable fractures not complicated, recoverable complicated or unrecoverable. Recoverable fractures (located just on enamel and dentin) are treated with restorative dentistry. The complicated recoverable (with lesions in enamel, dentin and exposure of the root canal) need to undergo endodontic treatment, and may be followed by metallic restorations. The teeth most commonly affected are the canine teeth, upper or lower. This work on artificial teeth simulating considerable destruction of their coronal portions aimed to test, after the adaptation of the cast metal restoration, the fractures in the canine teeth. Artificial teeth were standardized with an artificial root replication technique in acrylic chemically activated resin impression. Eighty equal photopolimerized composite resin replicas, standardized in size and shape, were built with this technique. Before the prosthetic reconstruction, endodontic treatment, desobturation, root canal preparation and molding were done. Protetically an intrarradicular straight pin and another curved one, both to sustain core fused metal crown were cemented over the crown of each root replica. The cores and metal crown were both belted or sheathed. It was evaluated the two types of restorations with intrarradicular curved or straight pin cemented with zinc phosphate cement or resin to identify the best restorative set. The biomechanical resistance tests applied over the 80 replica roots were divided into 4 groups with 20 samples for each of the groups. Group1: roots with intrarradicular curved pin replicas cemented with resin cement. Group 2: roots with intrarradicular curved pin replicas cemented with zinc phosphate cement. Group 3: roots intrarradicular straight pin replicas cemented with resin cement. Group 4: roots intrarradicular straight pin replicas cemented with zinc phosphate cement. These groups were submitted to the test of strength with 1.5 N preload force, with constant speed rate of 0.05 mm per minute in a predetermined point (mesio-vestibular) until occurrence of fracture of the whole set or part of it in a Universal Machine Kratos. The Biomechanical evaluation and statistical study of Kruskall-Wallis, identified that the data obtained did not follow normal distribution. That difference showed up with the p < 0.05 in the interpretation of the test. In the case of parametric data post-hoc Kruskal-Wallis test of U of Mann-Whitney. At the same time, a study with finite element analysis compared the results obtained. There was no significant difference on the type of cement used or favoring the use of straight or curved intrarradicular pin, therefore it is up to the surgeon to decide according to the best indication for each clinical case

Este trabalho teve a finalidade de avaliar pela técnica fotoelástica, o efeito que a prótese parcial removível teria, em aliviar as tensões sobre as raízes dos dentes. Para tanto preparamos um modelo com três tipos de desenhos de próteses parciais removíveis, simulando uma reabilitação nas grandes perdas de maxila. Todos os modelos de desenhos apresentaram planos guias em incisivo central e segundo molar, e se diferenciaram da seguinte forma: modelo 01, grampo circunferencial simples em canino, grampo gêmeo entre primeiro e segundo pré-molar e grampo gêmeo entre primeiro e segundo molar; modelo 02, utilizamos os mesmos grampos colocados no modelo 01 incluindo neste modelo um recobrimento palatino, modelo 03, grampo gêmeo entre canino e primeiro pré-molar, grampo gêmeo entre segundo pré-molar e primeiro molar e grampo circunferencial simples em mesial de segundo molar. Foram aplicadas cargas verticais de 10 kg, 15 kg e 20 kg em canino, segundo pré-molar e primeiro molar. Os resultados permitiram concluir que: Os planos guia comprovaram sua efetividade através do contato pleno nos dentes preparados para o seu assentamento. O recobrimento palatino não amenizou as cargas nas raízes dos dentes. Os grampos gêmeos, colocados em uma posição mais anterior, indicam uma distribuição melhor das tensões. Os grampos circunferenciais simples, colocados mais posteriormente, indicam uma melhor distribuição das tensões. Os modelos 01 e 02 apresentaram maiores tensões em incisivo central comparados com o modelo 03. O modelo 03 foi o que melhor distribuiu as cargas de forma mais equilibrada mostrando tensões de menor magnitude. Os melhores modelos de próteses parciais removíveis, pela perspectiva de transferência de tensão foram primeiramente o modelo 03, depois o modelo 01 e por fim o modelo 02. A mudança do desenho da PPR alterou a distribuição das tensões nos dentes dos modelos avaliados. / This study aimed to evaluate by the photoelastic technique, the effect that the partial denture would have to reduce tensions on the roots of teeth. For this reason, was prepared a model with three types of removable partial dentures designs, simulating rehabilitations in large ressections of maxilla. All models presents guide-planes on central incisor and second molar, and was differentiated as follows: Model 01, simple circumferential clasp in canine, twin clasps between first and second premolar and twin clasps between first and second molar; model 02, we use the same clasps as model 01 only including a palatal covering in this model, model 03, twin clasps between canine and first premolar, twin clasps between second premolar and first molar and simple circumferential clasp at mesial of second molar. Were applied vertical loads of 10 kg, 15 kg and 20 kg in canine, second premolar and first molar. The results showed that: The guide-planes proved its effectiveness through full contact in the teeth prepared for their settlement. The palatal covering failed to alleviate the stress on the roots of teeth. Twins clasps, placed in a more anterior position, indicating a better distribution of stresses. Simple circunferencial clasp, placed in a more posterior position indicating a better distribution of stresses. Models 01 and 02 had higher tensions in central incisor compared with the model 03. The Model 03 was the best considering equilibrated load distribution showing stress of lesser magnitude. The best models of removable partial dentures, from the perspective of stress transfer were first model 03, followed by the model 01 and then finally the model 02. The change os design of RPD changed the distributions os tensions in teeth of evaluated models.