Magister Scientiae Dentium - MSc(Dent) / Provisional crown and fixed partial denture (bridge) materials are often referred to as "temporary" materials. The Oxford Dictionary defines temporary as "lasting, or meant to last only for a time; not permanent". Yet for crown and fixed partial denture restorations a provisional restoration is crucial to the final restoration. It is, or should be, a preview of the final prosthesis.

Restauração provisória é uma importante fase da reabilitação bucal com prótese parcial fixa, deve fornecer proteção pulpar e periodontal, apresentar integridade marginal e estética, ter durabilidade suficiente para resistir às forças mastigatórias. Pacientes com bruxismo ou aqueles cujo tratamento requer períodos longos de uso das restaurações provisórias necessitam de material com melhores propriedades mecânicas. Vários métodos têm sido empregados para reforçar próteses fixas provisórias, como fios metálicos, reforço metálico e incorporação de diferentes tipos de fibras, como carbono, polietileno e vidro, nas resinas para restaurações provisórias. O objetivo desse estudo foi avaliar alteração de cor e propriedades mecânicas de resistência flexural, módulo de elasticidade e carga de ruptura em resinas acrílicas com incorporação de fibras de vidro silanizadas. Para avaliação de cor foram confeccionados quarenta corpos-de-prova circulares (15 x 3mm) de cada marca comercial de resina acrílica quimicamente ativada, usada para confecção de restaurações provisórias, Dencor (Clássico Ltda., São Paulo-SP, Brasil), Duralay (Reliance, Worth-IL, EUA) e Trim Plus II (Bosworth Company, Skokie-IL, EUA), sendo vinte corpos-de-prova controles, e vinte experimentais, com adição de 10% em peso de fibras de vidro moídas (Reforplás S/A, São Paulo, SP, Brasil). Após a realização do acabamento superficial dos corpos-de-prova com lixas de carborundum e feltros era realizada a avaliação dos componentes de cor (L*, a*, b*) em espectrocolorímetro portátil (BYK-Gardner GmbH, Gerestried, Alemanha), com três mensurações em cada corpo-de-prova. Para os ensaios de resistência flexural, módulo de elasticidade e carga de ruptura foram confeccionados 40 corpos-de-prova retangulares (10mm de comprimento, 65mm de largura e 3mm de espessura) de cada marca de resina, sendo vinte do grupo controle e vinte do experimental (com fibras). Os corpos-de-prova foram testados em uma máquina de ensaios universal (Emic DL 2000®, Emic, São José dos Pinhais, PR, Brasil), usando três, com velocidade de 5mm/min. Os dados foram analisados estatisticamente, usando testes paramétricos e não paramétricos, de acordo com a distribuição da amostra. Todos os componentes de cor (L*, a* e b*) foram alterados após a incorporação de fibras de vidro, com exceção do componente b* da resina Duralay. Para o ensaio de resistência flexural, a análise de variância evidenciou significância estatística (p<0,01) apenas para o fator resinas (Duralay: 85,748 N/mm2 (± 8,04) ,Trim Plus: 86,860 N/mm2 (± 7,73) e Dencor: 97,400 N/mm2 (± 8,18)).Na avaliação do módulo de elasticidade, a análise de variância mostrou significância estatística (p<0,01) para o fator tratamentos, sem fibra: 2572,138 MPa (± 290,92) e com fibras: 3446,691 MPa (± 411,13), e para a interação, evidenciando que a incorporação de fibras aumentou o módulo de elasticidade das três resinas avaliadas.Na carga de ruptura, a análise de Variância evidenciou significância estatística (p<0,01) para os fatores tratamentos, sem fibras: 482,607 N (± 53,18322) e com fibras: 557,53 N (± 59,49652), resinas Duralay: 494,06 N (± 86,63), Trim Plus: 525,177 N (± 42,85) e Dencor: 540,971 N (± 58,40). Conclui-se que a incorporação de fibras provocou alterações nos componentes de cor e aumentou ambos, módulo de elasticidade e carga de ruptura, contudo não alterou a resistência flexural. / Provisional restoration is an important rehabilitation phase in fixed prosthodontic therapy, it should provide pulpal and periodontal protection, showing marginal integrity and esthetics, should also have enough durability in order to resist to the forces of mastication. Patients with bruxism or those, whose treatment require long-term use of provisional restorations, need material with better mechanical properties. Several methods have been applied to reinforce fixed partial dentures, as well as metal wires, metal reinforcement and the application of different types of fibers, such as carbon, polyethylene and glass in the resins for temporary restorations. The aim of this study was to evaluate the color change as well as the mechanical properties of flexural strength, elastic modulus and load rupture in acrylic resin with silanized glass fibers. In order to evaluate the color, it was fabricated forty circular specimens (15 x 3mm) of each commercial brand of the resins chemically activated, used to make provisional restorations, Dencor (Clássico Ltda., São Paulo-SP, Brasil), Duralay (Reliance, Worth-IL, EUA) e Trim Plus II (Bosworth Company, Skokie-IL, EUA). Twenty specimens were control and the other twenty were experimental with an addition of 10% in glass fiber weights (Reforplás S/A, São Paulo, SP, Brasil). After the superficial finishing of the specimens with silicon carbide paper and rag wheel, it was done an evaluation of the color parameters (L*, a*, b*) with a portable spectrocolorimeter (BYK-Gardner GmbH, Gerestried, Alemanha), in three measures in each specimens. For the flexural strength, elastic modulus and load rupture, forty rectangular specimens were fabricated (10mm in length, 65mm wide and 3mm of thickness) of each resin brand and twenty were experimental with fibers. The specimens were tested on an universal machine (Emic DL 2000®, Emic, São José dos Pinhais, PR, Brasil), using a 3- point bending testing device at a crosshead speed of 5 mm/mim. The data was statistically analyzed using parametric and non-parametric tests, according to the sample distribution. All the color parameter (L*, a* e b*) were altered after putting glass fibers, except the parameter b* from resin Duralay. For flexural resistance, the variance analyzes showed significance statistic (p<0,01) just for the resins ( Duralay: 85,748 N/mm2 (± 8,04) ,Trim Plus: 86,860 N/mm2 (± 7,73) and Dencor: 97,400 N/mm2 (± 8,18)). In the elastic modulus evaluation, the variance analyses showed significance statistic (p<0,01) for the treatment factors, without fibers (2572,138 MPa (± 290,92)) and with fibers (3446,691 (± 411,13)). Regarding the interaction, it showed that the incorporation of the fibers increased the elastic modulus in the three resins analyzed. Regarding the load rupture, the variance analyzed showed significance statistic of (p<0,01) for the treatment factors with fibers: 482,607 N (± 53,18322) and without fibers: 557,53 N (± 59,49652), resins (Duralay: 494,06 N (± 86,63), Trim Plus:525,177 N(± 42,85) e Dencor: 540,971 N (± 58,40)). The results of this study indicated that the incorporation of the fibers caused alterations in the color components and increased both elastic modulus and load rupture; therefore, it didnt increase the flexural resistance.

Restauração provisória é uma importante fase da reabilitação bucal com prótese parcial fixa, deve fornecer proteção pulpar e periodontal, apresentar integridade marginal e estética, ter durabilidade suficiente para resistir às forças mastigatórias. Pacientes com bruxismo ou aqueles cujo tratamento requer períodos longos de uso das restaurações provisórias necessitam de material com melhores propriedades mecânicas. Vários métodos têm sido empregados para reforçar próteses fixas provisórias, como fios metálicos, reforço metálico e incorporação de diferentes tipos de fibras, como carbono, polietileno e vidro, nas resinas para restaurações provisórias. O objetivo desse estudo foi avaliar alteração de cor e propriedades mecânicas de resistência flexural, módulo de elasticidade e carga de ruptura em resinas acrílicas com incorporação de fibras de vidro silanizadas. Para avaliação de cor foram confeccionados quarenta corpos-de-prova circulares (15 x 3mm) de cada marca comercial de resina acrílica quimicamente ativada, usada para confecção de restaurações provisórias, Dencor (Clássico Ltda., São Paulo-SP, Brasil), Duralay (Reliance, Worth-IL, EUA) e Trim Plus II (Bosworth Company, Skokie-IL, EUA), sendo vinte corpos-de-prova controles, e vinte experimentais, com adição de 10% em peso de fibras de vidro moídas (Reforplás S/A, São Paulo, SP, Brasil). Após a realização do acabamento superficial dos corpos-de-prova com lixas de carborundum e feltros era realizada a avaliação dos componentes de cor (L*, a*, b*) em espectrocolorímetro portátil (BYK-Gardner GmbH, Gerestried, Alemanha), com três mensurações em cada corpo-de-prova. Para os ensaios de resistência flexural, módulo de elasticidade e carga de ruptura foram confeccionados 40 corpos-de-prova retangulares (10mm de comprimento, 65mm de largura e 3mm de espessura) de cada marca de resina, sendo vinte do grupo controle e vinte do experimental (com fibras). Os corpos-de-prova foram testados em uma máquina de ensaios universal (Emic DL 2000®, Emic, São José dos Pinhais, PR, Brasil), usando três, com velocidade de 5mm/min. Os dados foram analisados estatisticamente, usando testes paramétricos e não paramétricos, de acordo com a distribuição da amostra. Todos os componentes de cor (L*, a* e b*) foram alterados após a incorporação de fibras de vidro, com exceção do componente b* da resina Duralay. Para o ensaio de resistência flexural, a análise de variância evidenciou significância estatística (p<0,01) apenas para o fator resinas (Duralay: 85,748 N/mm2 (± 8,04) ,Trim Plus: 86,860 N/mm2 (± 7,73) e Dencor: 97,400 N/mm2 (± 8,18)).Na avaliação do módulo de elasticidade, a análise de variância mostrou significância estatística (p<0,01) para o fator tratamentos, sem fibra: 2572,138 MPa (± 290,92) e com fibras: 3446,691 MPa (± 411,13), e para a interação, evidenciando que a incorporação de fibras aumentou o módulo de elasticidade das três resinas avaliadas.Na carga de ruptura, a análise de Variância evidenciou significância estatística (p<0,01) para os fatores tratamentos, sem fibras: 482,607 N (± 53,18322) e com fibras: 557,53 N (± 59,49652), resinas Duralay: 494,06 N (± 86,63), Trim Plus: 525,177 N (± 42,85) e Dencor: 540,971 N (± 58,40). Conclui-se que a incorporação de fibras provocou alterações nos componentes de cor e aumentou ambos, módulo de elasticidade e carga de ruptura, contudo não alterou a resistência flexural. / Provisional restoration is an important rehabilitation phase in fixed prosthodontic therapy, it should provide pulpal and periodontal protection, showing marginal integrity and esthetics, should also have enough durability in order to resist to the forces of mastication. Patients with bruxism or those, whose treatment require long-term use of provisional restorations, need material with better mechanical properties. Several methods have been applied to reinforce fixed partial dentures, as well as metal wires, metal reinforcement and the application of different types of fibers, such as carbon, polyethylene and glass in the resins for temporary restorations. The aim of this study was to evaluate the color change as well as the mechanical properties of flexural strength, elastic modulus and load rupture in acrylic resin with silanized glass fibers. In order to evaluate the color, it was fabricated forty circular specimens (15 x 3mm) of each commercial brand of the resins chemically activated, used to make provisional restorations, Dencor (Clássico Ltda., São Paulo-SP, Brasil), Duralay (Reliance, Worth-IL, EUA) e Trim Plus II (Bosworth Company, Skokie-IL, EUA). Twenty specimens were control and the other twenty were experimental with an addition of 10% in glass fiber weights (Reforplás S/A, São Paulo, SP, Brasil). After the superficial finishing of the specimens with silicon carbide paper and rag wheel, it was done an evaluation of the color parameters (L*, a*, b*) with a portable spectrocolorimeter (BYK-Gardner GmbH, Gerestried, Alemanha), in three measures in each specimens. For the flexural strength, elastic modulus and load rupture, forty rectangular specimens were fabricated (10mm in length, 65mm wide and 3mm of thickness) of each resin brand and twenty were experimental with fibers. The specimens were tested on an universal machine (Emic DL 2000®, Emic, São José dos Pinhais, PR, Brasil), using a 3- point bending testing device at a crosshead speed of 5 mm/mim. The data was statistically analyzed using parametric and non-parametric tests, according to the sample distribution. All the color parameter (L*, a* e b*) were altered after putting glass fibers, except the parameter b* from resin Duralay. For flexural resistance, the variance analyzes showed significance statistic (p<0,01) just for the resins ( Duralay: 85,748 N/mm2 (± 8,04) ,Trim Plus: 86,860 N/mm2 (± 7,73) and Dencor: 97,400 N/mm2 (± 8,18)). In the elastic modulus evaluation, the variance analyses showed significance statistic (p<0,01) for the treatment factors, without fibers (2572,138 MPa (± 290,92)) and with fibers (3446,691 (± 411,13)). Regarding the interaction, it showed that the incorporation of the fibers increased the elastic modulus in the three resins analyzed. Regarding the load rupture, the variance analyzed showed significance statistic of (p<0,01) for the treatment factors with fibers: 482,607 N (± 53,18322) and without fibers: 557,53 N (± 59,49652), resins (Duralay: 494,06 N (± 86,63), Trim Plus:525,177 N(± 42,85) e Dencor: 540,971 N (± 58,40)). The results of this study indicated that the incorporation of the fibers caused alterations in the color components and increased both elastic modulus and load rupture; therefore, it didnt increase the flexural resistance.

Indiana University-Purdue University Indianapolis (IUPUI) / Provisional restorative treatment is an essential part of fixed prosthodontics. Incorporation of adequately constructed provisional restorations will enhance the success rate of definitive restorations. Repairing or replacing failed provisional restorations is a concern for both clinicians and patients. The objective of this investigation was to study the effects of alumina nanofibers reinforcement on the mechanical properties of commercially available provisional fixed partial denture PMMA material. The hypothesis was that the addition of alumina nanofibers to commercially available PMMA resin will significantly increase its flexural strength, fracture toughness, and microhardness. Alumina nanofibers at 0.0 wt %, 0.5 wt %, 1.0 wt %, and 2.5 wt % were added to commercially available provisional fixed partial material (Jet Tooth Shade). A quaternary ammonium acetate dispersant (CC-59, Goldschmidt, Janesville, WI) was added to the acrylic monomer at 0.0 wt %, 1.0 wt %, 2.0 wt % and 5.0 wt % of the nanofiber weight (12 test groups, 1 control). Samples from each group were evaluated for flexural strength, flexural modulus, fracture toughness, and microhardness. The samples were tested after storing in distilled water for 24 hours and 7 days at 37ºC. Two-way analysis of variance (ANOVA) was used to test the effects of storage time and combinations of alumina nanofiber level and quaternary ammonium acetate dispersant level on the flexural strength, fracture toughness, and microhardness of the provisional PMMA resin. Pair-wise comparisons between groups were performed using Tukey’s multiple comparisons procedure to control the overall significance level at 5 percent. Three fracture toughness samples/group were randomly selected for Energy Dispersive Spectrometry (EDS) to qualitatively evaluate the dispersion of the fibers. The data obtained from this study showed that control sample values were in the acceptance range compared with previous research. The experimental samples did not reinforce the provisional resin in the flexural strength, modulus, fracture toughness, or microhardness. There are several factors may attribute to these results, such as poor bonding at the filler/matrix interface. The more homogeneous the mixture of PMMA and fiber, the stronger the acrylic resin. In fact, the presence of poorly bonded fibers, to which little load is transferred, can be almost equivalent to voids. In addition, as seen with EDS images, alumina nanofibers had a tendency to agglomerate. The use of a magnetic stirrer was not effective in physically separating nanofibers agglomerates. Direct dispersion of alumina nanofibers in methyl methacrylate monomer and quaternary ammonium acetate dispersant was not effective in separating the nanofibers into nano-scaled single crystals. The presence of fiber agglomerates acts as a structural defect that detrimentally affects the mechanical properties. Further studies are needed to evaluate the effectiveness of fibers, dispersion techniques, and coupling agents to enhance the mechanical properties of the provisional PMMA resin.