Este estudo avaliou e comparou, após 6 meses, dois materiais usados como selantes de fossas e fissuras, FluroShield® (Dentsply, Germany) e Clinpro™ XT Varnish (3M ESPE, Dental Products, St. Paul, MN, U.S.A.) quanto à retenção e características superficiais. Além disso, comparou-os, com um grupo controle não selado, com relação à incidência de cárie no período. Participaram deste trabalho, 31 crianças de 6 a 8 anos de idade, com no mínimo dois primeiros molares permanentes hígidos e história de cárie, num total de 114 dentes divididos aleatoriamente em três grupos: CLP (Clinpro™ XT Varnish), FS (FluroShield®) e ctr (Controle). O selamento foi realizado sob isolamento relativo para ambos os materiais testados, após profilaxia prévia com jato de bicarbonato de sódio e água e, condicionamento com gel de ácido fosfórico a 35% por 15 segundos. A avaliação clínica foi realizada por dois examinadores calibrados após 6 meses. Avaliou-se a retenção e a incidência de cárie nas cinco áreas oclusais: OM, OC, OD, OV e OL; e as características superficiais e a retenção considerando a superfície oclusal como um todo. Houve diferença estatisticamente significante para a prevalência de cárie (teste de Kruskal Wallis, p=0,000 a 0,007), para todas as áreas, entre os grupos selados (CLP e FS) e o controle. Sendo que quanto à incidência, só foi verificada diferença significante para a área OL (p=0,014). O teste do Qui-quadrado identificou que não houve diferença estatisticamente significante entre os materiais, com relação à taxa de sucesso de retenção da superfície oclusal como um todo, quando se considerou o somatório das cinco áreas (p=0,079) ou quando se verificou a retenção por superfície (p=0,141). No entanto, a análise do conjunto de critérios de retenção na superfície oclusal toda, mostrou uma diferença estatisticamente significante para o FS (teste de Mann-Whitney, p=0,002). Em relação às características superficiais, o FS apresentou superioridade durante o período estudado de forma significativa, indicada pelo teste de Mann-Whitney, para a deterioração marginal (p=0,000), descoloração marginal (p=0,008), e descoloração superficial (p=0,001). Ele também foi superior, mas não significante, quanto à textura superficial. A frequência de bolhas nas superfícies seladas não mostrou diferença significativa (teste do Qui-quadrado, p=0,758) entre os materiais. Desta forma, pode-se concluir que ambos os materiais foram efetivos nos primeiros 6 meses de avaliação, embora, tenha havido melhor desempenho clínico do selante FluroShield®. / This study evaluated and compared two dental sealants, for 6 months. The materials, Fluroshield® (Dentsply, Germany) and Clinpro™ XT Varnish (3M ESPE Dental Products, St. Paul, MN, USA) were analyzed with regard their retention and superficial characteristics. They also were compared with a control group, without sealant, regarding the dental caries incidence. The sample was composed by 31 children from 6 to 8 years of age, with at least two sound first permanent molars, but with a dental caries history. A total of 114 teeth were randomly alocated in three groups: CLP (Clinpro™ XT Varnish), FS (Fluroshield®) and ctr (Control). The sealings were applyed under relative isolation after a previous prophylaxis with a water-air-polishing jet, and an enamel etching with a 35% phosphoric acid gel for 15 seconds. Clinical evaluation was performed by two calibrated examiners after 6 months considering: the sealant retention and the incidence of occlusal caries in five areas: OM, OC, OD, OV and OL and finally, the surface characteristics and retention considering the occlusal surface as only one area. It was shown a significant difference (Kruskal-Wallis test, p=0.000 to 0.007) for the caries prevalence in all areas comparing the sealed group (CLP and FS) versus control. Whereas the incidence, it was only verified a significant diference for the OL area (p=0.014). There was no significant difference (Chi-square test, p=0.079) between the materials regarding the success rate of retention for the occlusal surface when it was considered the sum of the five areas, or for the occlusal surface without divisions (p=0.141). Nevertheless there was a significant difference between the sealants (Mann-Whitney test, p=0.002), with better results for the FS group, when it was analysed the influence of all the retention criteria. Regarding the surface characteristics, the FS group showed a significant superiority (Mann-Whitney test) during the period of the study for the impairment marginal (p=0.000), marginal discoloration (p=0.008), and surface discoloration (p=0.001). Although FS had also been superior for the surface texture, this result was not significant. The frequency of bubbles in the sealed surfaces was not significant (Qui-square test, p=0.758) between the materials. Thus, it can be concluded that both materials were effective during this first 6 months of evaluation, although it is evident that the Fluroshield® sealant had shown a better clinical performance.

O objetivo deste estudo foi avaliar o cimento de ionômero de vidro modificado por resina de nanopartículas Ketac&trade;N100, por meio de três metodologias diferentes: resposta tecidual em subcutâneo de camundongos isogênicos, liberação de flúor e tensão de contração de polimerização, in vitro. Foram utilizados 90 camundongos isogênicos da linhagem BALB/c, divididos em 9 grupos (n=10), nos quais foram implantados tubos de polietileno contendo o Ketac&trade; 100, ChemFilR (ionômero de vidro convencional) ou tubo vazio. Nos períodos experimentais de 7, 21 e 63 dias o tubo e o tecido adjacente foram removidos para análise microscópica. Para o ensaio de avaliação da tensão de contração de polimerização, foram utilizados dois bastões de vidro fixados a uma máquina de ensaio universal. Nos bastões foi acoplado um extensômetro para medição da força de contração de polimerização de cinco materiais (Resina Filtek&trade;Z350, CompoglassR F, VitremerMR, Ketac&trade;N100 e ChemFilR), com 10 corpos de prova para cada material. Para o ensaio de liberação de flúor, foram confeccionados 8 corpos de prova de 3 diferentes materiais (Ketac&trade; 100, Vidrion R e Resina Filtek&trade; Z250), colocados individualmente em 1 ml de saliva artificial. O corpo de prova foi trocado a cada dia por 15 dias e a solução obtida utilizada para a leitura do íon fluoreto.Os resultados microscópicos evidenciaram que a inflamação presente na abertura dos tubos, aos 7 dias, sofreu uma diminuição em área e espessura até os 63 dias, nos 2 materiais e no grupo controle. Comparando a área da reação inflamatória o Ketac&trade;N100 foi diferente estatisticamente do ChemFilR, nos períodos de 7 e 21 dias (p>0,05), com uma área menor para o Ketac&trade;N100. A espessura da reação inflamatória nos períodos de 7 e 21 dias apresentou valores semelhantes entre o Ketac&trade;N100 e ChemFilR (p>0,05). Aos 63 dias, os valores foram estatisticamente diferentes, com um pequeno aumento de espessura para o Ketac&trade;N100. Os valores de tensão de contração de polimerização obtidos seguiram a seguinte ordem crescente: ChemFilR < VitremerMR < Ketac&trade;N100 < CompoglassR F ~ Filtek&trade;Z350 (p>0,05). Quando comparados dois a dois, o ionômero modificado por resina de nanopartículas Ketac&trade;N100 se aproximou mais dos valores da resina Filtek&trade; Z350 (p>0,05) do que do ionômero de vidro convencional ChemFilR (p<0,05). A sua liberação de flúor ocorreu mais significativamente nos dois primeiros dias, com valores médios 33% menores em comparação ao Vidrion R. Concluímos que o ionômero resinoso nanoparticulado Ketac&trade;N100 é um material que induz uma resposta inflamatória tecidual satisfatória em subcutâneo de camundongos isogênicos. Sua contração de polimerização foi menor do que de a resina Filtek&trade; Z350 e a liberação de flúor foi um terço menor do que a dos ionômeros convencionais. / The aim of this study was to evaluate the resin modified nano ionomer Ketac&trade;N100, by three different methodologies: tissue response in of isogenic mice subcutaneous, fluoride release and shrinkage stress of polymerization in vitro. We used 90 isogenic mice (BALB / c), divided into 9 groups (n = 10), which were implanted with polyethylene tubes containing Ketac&trade; 100, ChemFilR (Ionomer conventional) or empty tube. In the experimental periods of 7, 21 and 63 days the tube and the surrounding tissue were removed for microscopic analysis. To evaluating the stress of contraction of polymerization, we used two glass rods attached to a universal testing machine. In the rods was attached to an extensometer to obtain the measure of the polymerization shrinkage strength of five materials (resin Filtek&trade;Z350, CompoglassR F, VitremerMR F, Ketac&trade; 100 and ChemFilR), with 10 specimens for each material. In the fluoride release test, 8 specimens of 3 different materials (Ketac&trade; 100, Vidrion R and Resin Filtek&trade; Z250) placed individually in 1 ml of artificial saliva. The specimens were changed each day for 15 days and we use this solution used for reading the fluoride ion. The microscopic results showed that the inflammation in the opening of the tubes at 7 days decreased in area and thickness up to 63 days in 2 materials and the control group. Comparing the inflammatory reaction area, Ketac&trade;N100 was statistically different from ChemFilR, in periods of 7 and 21 days (p> 0.05), with a smaller area for Ketac&trade;N100. The inflammatory reaction in the periods of 7 and 21 days showed similar values between the Ketac&trade;N100 and ChemFilR (p> 0.05). At 63 days, the values were statistically different, with a small increase in thickness to Ketac&trade;N100. The values of polymerization shrinkage strength obtained after polymerization followed this ascending order: ChemFilR < VitremerMR F < Ketac&trade; 100 < CompoglassR F ~ Filtek&trade;Z350 (p> 0.05). When compared two by two, the resin modified nano ionomer Ketac&trade;N100 approached most of the values of resin Filtek&trade; Z350(p> 0.05) than the conventional glass Ionomer ChemFilR (p <0.05). The fluoride release occurred more significantly in the first two days, with average 33% lower compared with Vidrion R. We conclude that the resin modified nano ionomer Ketac&trade;N100 is a material that induces an satisfactory inflammatory response in subcutaneous tissue of isogenic mice. Its polymerization shrinkage strength was lower than the resin Filtek&trade; Z350 and fluoride release was a third lower than the conventional glass ionomer.

Magister Chirurgiae Dentium (MChD) / Background: This study aimed to determine the association between dimensional change and surface roughness (Ra) of Vitremer, Activa and Cention N after immersing them into two different media: acidic and artificial saliva media for the period of a year. Measurements were made at 10 time intervals during the observation period. Methodology: This was a quantitative and qualitative study. For the quantitative part, a total of 60 specimens were tested, 20 specimens for each material. The 20 specimens were further divided into 10 specimens. Ten were immersed in acidic media and the rest in saliva media. A measurement of the weight, height, and Ra was carried out as follows: day 0, day 1, day 2, day 7, day 21, day 28, day 60, day 90, day 180 and day 365. Scanning electron microscopy (SEM) was used to examine the surface of each material qualitatively pre and post immersion in the two media. For fluoride measurements, an additional five samples from each material were left suspended in the de-ionized water by the use of dental floss. The materials were moved to new specimen jars after the completion of day 1, 2, 3, 4, 5, 6, 7, 14, 21 and 28. All the specimen jars had been kept for the fluoride measurements. Results: Non-parametric tests were used to analyze the data. Linear regression analysis was used to measure the association between weight, height or surface roughness (Ra) and immersion time for a year. The result of this test showed that Vitremer had a significant association between the weight (p = 0.000), height (p = 0.007) and Ra (p = 0.001) when it was immersed in acidic media. On the other hand, when Vitremer was immersed in saliva media, only the weight variable showed a significant association (p = 0.002). For Cention N, significant association was found for only Ra when immersed in acidic media (p = 0.000). Finally, for Activa, all the studied associations; the weight, height and Ra in both media were found to be insignificant. For saliva media, there was a significant weight change between the three materials during all 10 periods of time (p = 0.000). In the first six months, Cention N demonstrated a significant increase in weight changes followed by Vitremer, then Activa. Yet, after a year, the difference between Cention N and Vitremer became insignificant and Activa showed the least weight changes. There was not a significant difference between the materials in terms of height and Ra measurements. The fluoride experiment was not successful due to technical issues during pH measurements of the collected solutions. For comparison of the studied parameters between the three materials, the Kruskal-Wallis test was used. In acidic media, there was a significant difference between the materials in term of weight change in 10 periods of time (p = 0.000). In particular, after a two month period, Cention N had the highest weight, followed by Vitremer and then by Activa. The difference between Vitremer and Activa became insignificant throughout the rest of the experimental time frame. All the height measurements between the three materials were found to be insignificant except for day 365 (p = 0.048), where both Activa and Cention N were found to be significantly higher than Vitremer. For the Ra comparison, in the first two weeks, particularly day 1, 7 and 14, Cention N had significantly the lowest Ra among the other materials. As the three materials aged in the acidic media (day 180), Vitremer had significantly the highest Ra values. Cention N showed higher Ra values than Activa; nonetheless this difference was not significant. The SEM images showed loss of some particles in all post-experimental images of the materials in acidic media. Vitremer showed the widest cracks with the loss of fillers. In saliva media, there was also loss of particles but to a lesser extent than in acidic media. Yet, the post-experimental image of Activa in saliva resembled the pre-experimental one. Conclusion: Within the limitations of the study, the best material to resist Ra from prolonged acidic attack was Activa followed by Cention N and then Vitremer. Except for Vitremer, no significant changes in the Ra of the other materials were detected when the three materials were immersed in saliva media in the long term. In acidic media Vitremer tended to lose weight and height faster than Cention N and Activa over a year. Cention N is the best material to resist dimensional change. However, in artificial saliva Vitremer gained water rapidly. Activa did not absorb a lot of water and did not reject a lot of water; Activa demonstrated good dimensional stability and this property may be beneficial when compared to the other two materials tested. The clinical significance of the study: All the materials studied were subjected to dimensional and Ra changes following long-term exposure to acidic substances, but the newer materials (Cention N and Activa) seemed to be more dimensionally stable and resistant to Ra changes than the older, well-known material (Vitremer). This may influence a clinician’s choice of restorative material for use in pediatric dentistry.

O presente estudo in vitro analisou o efeito de 3 sucos de fruta com baixo pH (suco de cupuaçu, taperebá e laranja), e saliva artificial (controle) sobre materiais restauradores indicados em lesões cervicais não cariosas: resina composta nanoparticulada (Filtek Z350 XT), cimento de ionômero de vidro resino modificado (Vitremer) e um cimento de ionômero de vidro convencional (Fuji II). Os materiais foram avaliados, quantitativamente, quanto à alteração de: peso, rugosidade superficial e microdureza superficial, e qualitativamente, por microscopia eletrônica de varredura (MEV). Foram confeccionados 144 corpos de prova para cada teste quantitativo (n=12) e 45 para o MEV (n=3), de (8mm de diâmetro x 2mm de altura). Os corpos de prova foram preparados, mantidos em saliva artificial por 24 h à 37º C, receberam acabamento em politriz, e em seguida foram realizadas as leituras iniciais. Durante um período de 10 dias consecutivos, os corpos de prova foram submetidos ao desafio erosivo (nos respectivos sucos de frutas) durante 30 minutos três vezes ao dia, totalizando 90 minutos/dia e mantidos em saliva artificial entre os intervalos. Após o período de ciclagem erosiva, foram realizadas as leituras finais. Os resultados obtidos foram submetidos ao teste t, ANOVA e Tukey. As médias de alteração entre os valores de peso finais e iniciais demonstraram diferença significativa (p<0,01) nos materiais estudados e em todos os sucos estudados, com exceção do Vitremer quando imerso no suco de taperebá (p>0,01). As médias de alteração entre os valores de rugosidade superficial final e inicial demonstraram diferença significativa (p<0,01) para todos os materiais estudados em todos os sucos, exceto a Filtek Z350 XT no grupo controle que não apresentou diferença significativa (p>0,01). A comparação entre os valores de microdureza final e inicial demonstrou diferença significativa (p<0,01) na microdureza dos materiais estudados em todos os meios de imersão, inclusive no grupo controle. De um modo geral o suco de taperebá foi o que provocou a maior alteração na superfície dos materiais restauradores quanto ao peso, rugosidade, microdureza e na microscopia eletrônica de varredura. A resina composta Filtek Z350 XT foi o material restaurador que menos sofreu alterações de superfície. Concluiu-se que os sucos das frutas estudados são capazes de alterar os materiais restauradores, sendo que a resina composta foi o material que sofreu menor alteração. / This in vitro study examined the effects of 3 fruit juices with low pH (cupuaçu, taperebá and orange) and artificial saliva (control) upon restorative materials indicated in noncarious cervical lesions: nanoparticle composite resin (Filtek Z350 XT), resin-modified glass ionomer cement (Vitremer) and a glass ionomer cement (Fuji II). The materials were evaluated quantitatively as for alterations in weight, surface roughness and surface microhardness, and qualitatively by scanning electronic microscopy (SEM). 144 specimens were prepared for each quantitative test (n = 12) and 45 for the SEM (n = 3), of (8mm diameter x 2mm height). The specimens were prepared, stored in artificial saliva for 24 hours at 37º C, were finished in a polishing machine, and then the initial readings were performed. During a period of 10 consecutive days, the specimens were subjected to erosive challenge (in the respective juices) for 30 minutes, three times a day, and totaling 90 minutes/day and kept in artificial saliva between intervals. After the erosive cycling period, the final readings were taken. The data were analyzed using t test, ANOVA and Tukey.Test The average alterations between the values of initial and final weight showed significant difference (p < 0.01) in the material studied and all the juices studied, except for Vitremer when immersed in taperebá juice (p > 0.01). The average alterations between the values of initial and final surface roughness showed a significant difference (p < 0.01) for all materials studied in all juices, except for Filtek Z350 XT, in the control group, that showed no significant differences (p > 0.01). The comparison between the values of initial and final microhardness showed a significant difference (p < 0.01) in microhardness of the materials studied in all immersion means, including the control group. In general, taperebá juice was the one that caused the biggest alterations in the surface of restorative materials with respect to weight, roughness, hardness and scanning electronic microscopy. The composite resin Filtek Z350 XT was the restorative material that suffered less surface alterations. It was concluded that the fruit juices studied are capable of altering the restorative materials, and composite resin was the material that has undergone minor changes.

O presente estudo in vitro analisou o efeito de 3 sucos de fruta com baixo pH (suco de cupuaçu, taperebá e laranja), e saliva artificial (controle) sobre materiais restauradores indicados em lesões cervicais não cariosas: resina composta nanoparticulada (Filtek Z350 XT), cimento de ionômero de vidro resino modificado (Vitremer) e um cimento de ionômero de vidro convencional (Fuji II). Os materiais foram avaliados, quantitativamente, quanto à alteração de: peso, rugosidade superficial e microdureza superficial, e qualitativamente, por microscopia eletrônica de varredura (MEV). Foram confeccionados 144 corpos de prova para cada teste quantitativo (n=12) e 45 para o MEV (n=3), de (8mm de diâmetro x 2mm de altura). Os corpos de prova foram preparados, mantidos em saliva artificial por 24 h à 37º C, receberam acabamento em politriz, e em seguida foram realizadas as leituras iniciais. Durante um período de 10 dias consecutivos, os corpos de prova foram submetidos ao desafio erosivo (nos respectivos sucos de frutas) durante 30 minutos três vezes ao dia, totalizando 90 minutos/dia e mantidos em saliva artificial entre os intervalos. Após o período de ciclagem erosiva, foram realizadas as leituras finais. Os resultados obtidos foram submetidos ao teste t, ANOVA e Tukey. As médias de alteração entre os valores de peso finais e iniciais demonstraram diferença significativa (p<0,01) nos materiais estudados e em todos os sucos estudados, com exceção do Vitremer quando imerso no suco de taperebá (p>0,01). As médias de alteração entre os valores de rugosidade superficial final e inicial demonstraram diferença significativa (p<0,01) para todos os materiais estudados em todos os sucos, exceto a Filtek Z350 XT no grupo controle que não apresentou diferença significativa (p>0,01). A comparação entre os valores de microdureza final e inicial demonstrou diferença significativa (p<0,01) na microdureza dos materiais estudados em todos os meios de imersão, inclusive no grupo controle. De um modo geral o suco de taperebá foi o que provocou a maior alteração na superfície dos materiais restauradores quanto ao peso, rugosidade, microdureza e na microscopia eletrônica de varredura. A resina composta Filtek Z350 XT foi o material restaurador que menos sofreu alterações de superfície. Concluiu-se que os sucos das frutas estudados são capazes de alterar os materiais restauradores, sendo que a resina composta foi o material que sofreu menor alteração. / This in vitro study examined the effects of 3 fruit juices with low pH (cupuaçu, taperebá and orange) and artificial saliva (control) upon restorative materials indicated in noncarious cervical lesions: nanoparticle composite resin (Filtek Z350 XT), resin-modified glass ionomer cement (Vitremer) and a glass ionomer cement (Fuji II). The materials were evaluated quantitatively as for alterations in weight, surface roughness and surface microhardness, and qualitatively by scanning electronic microscopy (SEM). 144 specimens were prepared for each quantitative test (n = 12) and 45 for the SEM (n = 3), of (8mm diameter x 2mm height). The specimens were prepared, stored in artificial saliva for 24 hours at 37º C, were finished in a polishing machine, and then the initial readings were performed. During a period of 10 consecutive days, the specimens were subjected to erosive challenge (in the respective juices) for 30 minutes, three times a day, and totaling 90 minutes/day and kept in artificial saliva between intervals. After the erosive cycling period, the final readings were taken. The data were analyzed using t test, ANOVA and Tukey.Test The average alterations between the values of initial and final weight showed significant difference (p < 0.01) in the material studied and all the juices studied, except for Vitremer when immersed in taperebá juice (p > 0.01). The average alterations between the values of initial and final surface roughness showed a significant difference (p < 0.01) for all materials studied in all juices, except for Filtek Z350 XT, in the control group, that showed no significant differences (p > 0.01). The comparison between the values of initial and final microhardness showed a significant difference (p < 0.01) in microhardness of the materials studied in all immersion means, including the control group. In general, taperebá juice was the one that caused the biggest alterations in the surface of restorative materials with respect to weight, roughness, hardness and scanning electronic microscopy. The composite resin Filtek Z350 XT was the restorative material that suffered less surface alterations. It was concluded that the fruit juices studied are capable of altering the restorative materials, and composite resin was the material that has undergone minor changes.