OBJECTIVES: This in-vitro study aimed to evaluate the effect of hydrofluoric acid etching and airborne particle abrasion on zirconia bond strength, using three different types of cement. To assess the impact of hydrofluoric acid etching on zirconia surface roughness and investigate the effect of hydrofluoric acid etching on zirconia's surface topography, microstructure, and crystal structure. MATERIALS AND METHODS: Crown-abutment simulation systems were constructed, using a custom-made zirconia tapered ring model and tapered titanium pin-abutments. Twelve groups were included in the study and classified according to the surface treatment and type of cement used. Each group had 10 specimens for a total of 120 test specimens. The fully sintered zirconia ring was alumina particle abrasion (APA) treated with a 50-μm alumina and/or etched with 9.5% HF acid, solution for 1 minute. The Ti pin was APA treated with 125-μm alumina. Three different types of cement were used: one RMGIC (GC FujiCem Evolve) and two resin composite types of cement (Panavia SA Universal and Panavia V5). A cementing jig was used to standardize the cementation process of the titanium pins to the zirconia rings. An Instron was used to obtain the retention load values. The failure load between the zirconia ring and the titanium pin was determined using an axial pullout test and the values were statistically analyzed for the effects of etching treatment, APA treatment, and cement type using JMP Pro 16. Zirconia-disk specimens were constructed using a custom-made disk model. Thirteen groups were included in the study and classified according to the hydrofluoric acid etching concentrations, consistencies, and timing used. Each group had 3 specimens. The total specimen size was thirty-nine specimens. Disks were polished and etched using 5% HF, 9.5% HF, and 40% HF acid etching concentrations, gel, and solution consistencies, and for 1 and 15 minutes of etching time. Disks were examined with an SEM, X-Ray diffractometer, and a profilometer for microstructure, crystallography, and surface roughness, respectively. RESULTS: HF acid-etching treatment significantly increased retention load compared to non-etched groups. There was no significant difference in retention load between APA-treated and non-APA-treated groups. Groups cemented with Panavia V5 showed a higher retention load compared to GC FujiCem Evolve and Panavia SA Universal. There was no significant difference in the surface roughness among the etched groups and the control groups. Roughening of the crystal boundaries with irregularities and pits was observed under SEM. As etching time and concentration increased the surface became rougher and more irregular. There were no obvious crystal structure differences between the etched groups and non-etched groups. CONCLUSIONS: Significantly different retention loads were found among tested groups. Hydrofluoric acid etching increases the bond strength of zirconia and titanium, using resin composite cement. Using hydrofluoric acid etching to pre-treat the zirconia surface may be an alternative approach to obtain sufficient bonding strength.

Made available in DSpace on 2014-06-11T19:24:08Z (GMT). No. of bitstreams: 0 Previous issue date: 2006-11-30Bitstream added on 2014-06-13T19:10:18Z : No. of bitstreams: 1 porto_ts_me_arafo.pdf: 998293 bytes, checksum: 6183c4e4dea84be0c45e2947766bf407 (MD5) / O objetivo deste estudo foi avaliar a superfície interna de dois sistemas cerâmicos, após diferentes tratamentos de superfície, avaliação essa feita por meio de rugosimetria e microscopia eletrônica de varredura. Foram utilizadas as seguintes cerâmicas: IPS Empress II (Ivoclar-Vivadent Alemanha) e InCeram Alumina (Vita Zahnfabrick - Alemanha). Foram confeccionadas 50 amostras em forma de pastilha para cada sistema cerâmico de acordo com as especificações dos fabricantes, armazenadas à temperatura ambiente para então serem submetidas ao tratamento superficial, a saber (n=10): sem tratamento (T0) (controle); Ácido fluorídrico (T1); Ácido fluorídrico associado ao jato de óxido de alumínio (T2); Sistema Cojet (T3); Laser Nd:YAG (T4). Para os resultados de rugosidade, padronizaram-se as medidas em Ra, sendo posteriormente realizada a análise estatística por meio de ANOVA e teste de Tukey (p<.001). Para ambos os grupos controle (T0) das cerâmicas testadas, as análises evidenciaram os valores de rugosidade mais inferiores; para o Sistema InCeram Alumina, os tratamentos, ácido fluorídrico (T1), Sistem Cojet (T3)e Laser Nd:YAG (T4), não tiveram diferença estatisticamente significante; já para o Sistema IPS Empress II, todos os tratamentos foram estatisticamente diferentes. As fotomicrografias em microscopia eletrônica de varredura mostraram características diferentes para os tratamentos peculiares para cada sistema cerâmico. Baseado nos dados obtidos pode-se concluir que, quanto ao IPS Empress II, o tratamento com ácido fluorídrico é suficiente, assim como o Sistema CoJet é para o InCeram Alumina. Outros estudos devem ser realizados para que se tenham parâmetros ideais para o tratamento a laser. / The present study aimed at evaluating the inner surface of two ceramic systems, after different surface treatments, performed by surface roughness tests and scanning electron microscopy (SEM). IPS Empress II (Ivoclar-Vivadent – Germany) and InCeram Alumina (Vita Zahnfabrick – Germany) were used. Fifty lozenge-shaped samples were made for each ceramic system according to the manufacturers’ specifications, and stored at room temperature prior to surface treatment; namely (n=10): non-treated (T0) (control); hydrofluoric acid (T1); hydrofluoric acid associated to airborne particle abrasion (T2); CoJet System (T3); Laser Nd: YAG (T4). Roughness measurement results were standardized in Ra. Analysis of variance (ANOVA) and Tukey test (p<.001) were used to perform the stastistics analysis. For both control groups of the tested ceramics, analyses revealed the lowest roughness values; for the InCeram Alumina System, treatments such as hydrofluoric acid (T1), CoJet System (T3) and Laser Nd:YAG (T4) did not present any statistically significant difference, while for the IPS Empress II System, all treatments were statistically different. Photomicrographs by SEM showed different characteristics for each ceramic system treatment. Based on the resulting data, it can be concluded that the hydrofluoric acid treatment suits the IPS Empress II System, as well as the CoJet System suits the InCeram Alumina System. Further research might be done in order to get ideal parameters for the laser treatment.

Orientador: Welingtom Dinelli / Co^orientador: / Banca: José Roberto Cury Saad / Banca: Mânio de Carvalho Tibúrcio / Resumo: O objetivo deste estudo foi avaliar a superfície interna de dois sistemas cerâmicos, após diferentes tratamentos de superfície, avaliação essa feita por meio de rugosimetria e microscopia eletrônica de varredura. Foram utilizadas as seguintes cerâmicas: IPS Empress II (Ivoclar-Vivadent Alemanha) e InCeram Alumina (Vita Zahnfabrick - Alemanha). Foram confeccionadas 50 amostras em forma de pastilha para cada sistema cerâmico de acordo com as especificações dos fabricantes, armazenadas à temperatura ambiente para então serem submetidas ao tratamento superficial, a saber (n=10): sem tratamento (T0) (controle); Ácido fluorídrico (T1); Ácido fluorídrico associado ao jato de óxido de alumínio (T2); Sistema Cojet (T3); Laser Nd:YAG (T4). Para os resultados de rugosidade, padronizaram-se as medidas em Ra, sendo posteriormente realizada a análise estatística por meio de ANOVA e teste de Tukey (p<.001). Para ambos os grupos controle (T0) das cerâmicas testadas, as análises evidenciaram os valores de rugosidade mais inferiores; para o Sistema InCeram Alumina, os tratamentos, ácido fluorídrico (T1), Sistem Cojet (T3)e Laser Nd:YAG (T4), não tiveram diferença estatisticamente significante; já para o Sistema IPS Empress II, todos os tratamentos foram estatisticamente diferentes. As fotomicrografias em microscopia eletrônica de varredura mostraram características diferentes para os tratamentos peculiares para cada sistema cerâmico. Baseado nos dados obtidos pode-se concluir que, quanto ao IPS Empress II, o tratamento com ácido fluorídrico é suficiente, assim como o Sistema CoJet é para o InCeram Alumina. Outros estudos devem ser realizados para que se tenham parâmetros ideais para o tratamento a laser. / Abstract: The present study aimed at evaluating the inner surface of two ceramic systems, after different surface treatments, performed by surface roughness tests and scanning electron microscopy (SEM). IPS Empress II (Ivoclar-Vivadent - Germany) and InCeram Alumina (Vita Zahnfabrick - Germany) were used. Fifty lozenge-shaped samples were made for each ceramic system according to the manufacturers' specifications, and stored at room temperature prior to surface treatment; namely (n=10): non-treated (T0) (control); hydrofluoric acid (T1); hydrofluoric acid associated to airborne particle abrasion (T2); CoJet System (T3); Laser Nd: YAG (T4). Roughness measurement results were standardized in Ra. Analysis of variance (ANOVA) and Tukey test (p<.001) were used to perform the stastistics analysis. For both control groups of the tested ceramics, analyses revealed the lowest roughness values; for the InCeram Alumina System, treatments such as hydrofluoric acid (T1), CoJet System (T3) and Laser Nd:YAG (T4) did not present any statistically significant difference, while for the IPS Empress II System, all treatments were statistically different. Photomicrographs by SEM showed different characteristics for each ceramic system treatment. Based on the resulting data, it can be concluded that the hydrofluoric acid treatment suits the IPS Empress II System, as well as the CoJet System suits the InCeram Alumina System. Further research might be done in order to get ideal parameters for the laser treatment. / Mestre

No description available.

The history of surgery is nearly as old as the human race. Control of wound infection has always been an essential part of any surgical procedure, and is still an important challenge in hospital operating rooms today. For patients undergoing surgery there is always a risk that they will develop some kind of postoperative complication. It is widely accepted that airborne bacteria reaching a surgical site are mainly staphylococci released from the skin flora of the surgical staff in the operating room and that even a small fraction of those particles can initiate a severe infection at the surgical site.  Wound infections not only impose a tremendous burden on healthcare resources but also pose a major threat to the patient. Hospital-acquired infection ranks amongst the leading causes of death within the surgical patient population. A broad knowledge and understanding of sources and transport mechanisms of infectious particles may provide valuable possibilities to control and minimize postoperative infections. This thesis contributes to finding solutions, through analysis of such mechanisms for a range of ventilation designs together with investigation of other factors that can influence spread of infection in hospitals, particularly in operating rooms. The aim of this work is to apply the techniques of computational fluid dynamics in order to provide better understanding of air distribution strategies that may contribute to infection control in operating room and ward environments of hospitals, so that levels of bacteria-carrying particles in the air can be reduced while thermal comfort and air quality are improved.  A range of airflow ventilation principles including fully mixed, laminar and hybrid strategies were studied. Airflow, particle and tracer gas simulations were performed to examine contaminant removal and air change effectiveness. A number of further influential parameters on the performance of airflow ventilation systems in operating rooms were examined and relevant measures for improvement were identified. It was found that airflow patterns within operating room environments ranged from laminar to transitional to turbulent flows. Regardless of ventilation system used, a combination of all airflow regimes under transient conditions could exist within the operating room area. This showed that applying a general model to map airflow field and contaminant distribution may result in substantial error and should be avoided. It was also shown that the amount of bacteria generated in an operating room could be minimized by reducing the number of personnel present. Infection-prone surgeries should be performed with as few personnel as possible. The initial source strength (amount of colony forming units that a person emits per unit time) of staff members can also be substantially reduced, by using clothing systems with high protective capacity. Results indicated that horizontal laminar airflow could be a good alternative to the frequently used vertical system. The horizontal airflow system is less sensitive to thermal plumes, easy to install and maintain, relatively cost-efficient and does not require modification of existing lighting systems. Above all, horizontal laminar airflow ventilation does not hinder surgeons who need to bend over the surgical site to get a good view of the operative field. The addition of a mobile ultra-clean exponential laminar airflow screen was also investigated as a complement to the main ventilation system in the operating room. It was concluded that this system could reduce the count of airborne particles carrying microorganisms if proper work practices were maintained by the surgical staff. A close collaboration and mutual understanding between ventilation experts and surgical staff would be a key factor in reducing infection rates. In addition, effective and frequent evaluation of bacteria levels for both new and existing ventilation systems would also be important. / Tidigt i mänsklighetens utveckling har kirurgin funnits med i bilden. Hantering av infektioner har genom tiderna varit en oundviklig del av alla kirurgiska ingrepp, och finns kvar ännu idag som en viktig utmaning i operationssalar på sjukhus. För patienter som genomgår kirurgi finns alltid en risk att de efter ingreppet utvecklar någon behandlingsrelaterad komplikation. Allmänt accepterat är att de luftburna bakterier som når operationsområdet huvudsakligen består av stafylokocker frigjorda från hudfloran av operationspersonalen i operationssalen, och att endast en liten del av dessa partiklar behövs för att initiera en allvarlig infektion i det behandlade området. Sårinfektioner innebär inte bara en enorm börda för hälso- och sjukvårdsresurser, utan utgör också en betydande risk för patienten. På sjukhus förvärvad infektion finns bland de främsta dödsorsakerna i kirurgiska patientgrupper.. En bred kunskap och förståelse av spridningsmekanismer och källor till infektionsspridande partiklar kan ge värdefulla möjligheter att kontrollera och minimera postoperativa infektioner. Denna avhandling bidrar till lösningar genom analys av en rad olika ventilationssystem tillsammans med undersökning av andra faktörer som kan påverka infektionsspridningen på sjukhus, främst i operationssalar. Syftet med arbetet är att med hjälp av CFD-teknik (Computational Fluid Dynamics) få bättre förståelse för olika luftspridningsmekanismers betydelse vid ventilation av operationssalar och vårdinrättningar på sjukhus, så att halten av bacteriebärande partiklar i luften kan minskas samtidigt som termisk komfort och luftkvalité förbättras.  Flera luftflödesprinciper för ventilation inklusive omblandade strömning, riktad (laminär) strömning och hybridstrategier har studerats. Simuleringar av luft-, partikel- och spårgasflöden gjordes för alla fallstudier för att undersöka partikelevakuering och luftomsättning i rummet. Flera viktiga parametrar som påverkar detta undersöktes och relevanta förbättringar  föreslås i samarbete med industrin. Av resultaten framgår att mängden genererade bakterier i en operationssal  kan begränsas genom att minska antalet personer i operationsteamet. Infektionsbenägna operationer skall utföras med så lite personal som möjligt. Den initiala källstyrkan (mängden kolonibildande enheter som en person avger per tidsenhet) från operationsteamet kan avsevärt minskas om högskyddande kläder används. Av resultaten framgår också att ett horisontellt (laminärt) luftflöde kan vara ett bra alternativ till det ofta använda vertikala luftflödet. Ett horisontellt luftflöde är mindre känsligt för termisk påverkan från omgivningen, enkelt att installera och underhålla, relativt kostnadseffektivt och kräver vanligen ingen förändring av befintlig belysningsarmatur. Framför allt begränsar inte denna ventilationsprincip kirurgernas rörelsemönster. De kan luta kroppen över operationsområdet utan att hindra luftflödet. En flyttbar flexibel skärm för horisontell spridning av ultraren ventilationsluft i tillägg till ordinarie ventilation undersöktes också. Man fann att denna typ av tilläggsventilation kan minska antalet luftburna partiklar som bär mikroorganismer om operationspersonalen följer en strikt arbetsordning. Bra samarbete och förståelse mellan ventilationsexperter och operationsteamet på sjukhuset är nyckeln till att få ner infektionsfrekvensen. Det är också viktigt med effektiva och frekventa utvarderingar av bakteriehalten i luften, för såväl nya  som befintliga ventilationssystem. / <p>QC 20160129</p>

No description available.