En odontologie, la perte d'éléments naturels est palliée par l'utilisation de biomatériaux de reconstruction d'origine métallique ou céramique, celle-ci connait actuellement un fort développement avec une propension à supplanter le métal pour n'avoir que du « tout céramique ». Ces matériaux sont, par leur fonction, amenés à séjourner durablement dans le milieu buccal favorisant l'apparition de phénomènes corrosifs. La salive est un électrolyte efficace auquel viennent s'ajouter les variations de pH, de température, le polymétallisme, augmentant la vitesse de corrosion et le relargage des éléments constituants. L'étude porte sur cinq alliages couramment utilisés en odontologie prothétique : un précieux, un semi précieux et trois non précieux, et des céramiques d'infrastructure, visant à remplacer les alliages : zircone, alumine et disilicate de lithium. Tous les échantillons subissent en statique une attaque salivaire, et en dynamique une combinaison d'action salivaire et d'usure grâce à une machine unique, simulant le plus précisément possible les mouvements cuspidiens en présence constante de salive artificielle reproduisant de très près les conditions intra-buccales. L'analyse des échantillons au M.E.B.et les résultats de la spectrométrie montrent au niveau alliage un excellent comportement du Cr Co et du titane. Les céramiques montrent aussi des propriétés remarquables sur le plan biologique infirmant pour certaines les ressentis cliniques. Par contre une usure importante des dents naturelles antagonistes ne leur confère pas une biocompatibilité parfaite / In dentistry, the loss of natural elements is made up for by the use of reconstruction biomaterials of metal or ceramic origin. The use of the latter is now fastly developing and tends to supersede metal, to have only "all ceramic" elements. All these materials will remain in the mouth of the patients for a long time, which creates optimal conditions for the appearance of corrosion phenomena. Saliva is indeed an effective electrolyte. The variations in pH, temperature and polymetalism increase the speed of corrosion and the release of the component elements. The present study concerns five alloys usually used in prosthetic dentistry: one noble, one high noble, three basic alloys and several ceramics of infrastructure to replace alloys: zirconia, alumina and lithium disilicate. All the samples undergo a salivary attack in statics, and a combination of salivary action and wear in dynamics thanks to a unique machine, simulating as exactly as possible the buccal conditions. The analysis of the samples in the S.E.M., as well as the spectrometry results, suggest that the Co-Cr alloy and titanium present an excellent behaviour. Ceramics also show remarkable properties on the biological plan, in spite of certain people's clinical experience. However, an important wear of the opposing natural teeth does not give them a perfect biocompatibility

Made available in DSpace on 2014-06-11T19:35:46Z (GMT). No. of bitstreams: 0 Previous issue date: 2007-01-11Bitstream added on 2014-06-13T18:47:18Z : No. of bitstreams: 1 urban_vm_dr_arafo.pdf: 2869944 bytes, checksum: e7264bf2de7fc0a0dde924482741fd32 (MD5) / Coordenação de Aperfeiçoamento de Pessoal de Nível Superior (CAPES) / Fundação de Amparo à Pesquisa do Estado de São Paulo (FAPESP) / Os objetivos deste estudo foram avaliar: 1. o efeito de tratamentos póspolimerização (MW-irradiação por energia de microondas e WB-imersão em água aquecida) sobre o grau de conversão (DC) de resinas acrílicas para reembasamento imediato (Ufi Gel hard-U, Kooliner-K e Tokuso Rebase Fast-T) e de uma resina acrílica para base de prótese (Lucitone 550-L), submetida a dois ciclos de polimerização (LS-curto e LL-longo) por espectroscopia FT-Raman; 2. o peso molecular (M w) do pré-polímero dos materiais U, K, T e L e das amostras polimerizadas da resina K (controle; MW e WB) por GPC; 3. o efeito de MW e WB na temperatura de transição vítrea (Tg) das resinas para reembasamento imediato (Duraliner II-D, K, New Truliner-N, U e T) e da resina para base de prótese (LS e LL) por DSC; 4. o efeito de WB na liberação de compostos residuais (isobutil metacrilato-IBMA, 1,6-hexanediol dimetacrilato-1,6-HDMA e DBNP-dibutil-n-ftalato) a partir das resinas para reembasamento imediato K, N, U e T para saliva artificial por CLAE; 5. o efeito de WB na liberação de produtos de degradação (ácido metacrílico-MA e ácido benzóico-BA) a partir das resinas para reembasamento imediato K, N, U e T para saliva artificial por CLAE. Amostras do grupo controle não foram submetidas a nenhum tratamento. Os resultados de DC (%) foram analisados pelo teste de Kruskal-Wallis ( =0,05). Os resultados de Tg (ºC) foram analisados pela análise de variância (ANOVA), seguido pelo teste de Tukey ( =0,05). Os resultados da liberação de monômero ' 224 residual e plastificante (μg/mL) foram submetidos aos testes de Wilcoxon ou de Mann-Whitney ( =0,05). Os resultados da liberação de produtos de degradação (μg/mL) foram submetidos aos testes de Wilcoxon, Mann-Whitney ou Kruskal- Wallis ( =0,05). Para as amostras do grupo controle, não houve diferenças significantes entre o DC das resinas U e LL e entre... / The aims of this study were to evaluate: 1. the effect of post-polymerization treatments (MW-microwave irradiation and WB-water-bath) on the degree of conversion (DC) of reline resins (Ufi Gel hard-U, Kooliner-K, and Tokuso Rebase Fast-T) and denture base resin (Lucitone 550-L), submitted to two polymerization cycles (LS-short and LL-long) by FT-Raman spectroscopy; 2. the molecular weight (M w) of the powder of U, K, T, and L materials and of K polymerized specimens (control; MW; and WB) by GPC; 3. the effect of MW and WB on the glass transition temperature (Tg) of the reline resins (Duraliner II-D, K, New Truliner-N, U and T) and the heat-polymerized resin (LS and LL) by DSC; 4. the effect of WB on the leaching of residual compounds (isobutyl methacrylate- IBMA, 1,6-hexanediol dimethacrylate-1,6-HDMA, and DBNP-dibutyl-nphthalate) from the reline resins (K, N, U, and T) in artificial saliva by HPLC; 5. the effect of WB on the leaching of degradation products (methacrylic acid-MA and benzoic acid-BA) from the reline resins K, N, U, and T in artificial saliva by HPLC. Control group specimens were left untreated. DC (%) data were analyzed using Kruskal-Wallis test (_=.05). Tg (ºC) data were analyzed using ANOVA/Tukey's test (_=.05). The results (æg/mL) of residual monomer and plasticizer leachability were submitted to Wilcoxon or Mann-Whitney tests (_=.05). The results (æg/mL) of degradation products leachability were submitted to Wilcoxon, Mann-Whitney or Kruskal-Wallis tests (_=.05). For DC control specimens, there were no significant differences between U and LL and among LL, K, and T. LS specimens had the highest DC. Only material K exhibited an increased DC after WB. All powders had M w from 4.0x105 to 6.5x105 and narrow M w distributions (2.1 to 3.6). Polymerization and post-polymerization produced K specimens with M w values similar to that of K powder...(Complete abstract, click electronic address below).

Este trabalho avaliou o comportamento eletroquímico do metal de base (MB) de uma liga a base de níquel-cromo em relação a juntas soldadas desta liga obtidas pelos processos de brasagem (BRA) e Tungsten Inert Gas (TIG), imersos em saliva artificial com pH 2,5 e 5,5. Foram também realizados ensaios de microdureza e caracterização microestrutural, por meio de microscopia óptica e eletrônica de varredura e análise química semi-quantitativa por EDS, nos grupos MB, TIG, BRA e no cordão de solda a laser (LAS). O MB apresentou uma matriz rica em níquel e cromo, distribuída em um arranjo dendrítico típico, apresentando inclusões metálicas de silício e titânio, além de porosidades. As soldas TIG e LAS revelaram uma microestrutura mais refinada que o MB, mostrando, entretanto, uma mesma composição química e distribuição de seus elementos. A solda BRA apresentou diferenças marcantes em sua microestrutura, composição química e distribuição de seus elementos em relação ao MB. Os dados de microdureza Vickers (HV), potencial de corrosão (Ecorr) e densidade de corrente de corrosão (jcorr) foram analisados com ANOVA e teste de Tukey (p<0,05). Para determinação da influência do pH quanto a resistência à corrosão dos grupos MB, TIG e BRA, empregou-se o teste t de Student (p<0,05). O MB apresentou menor média de microdureza (256,13 9,39 HV), seguido pelos grupos TIG (271,53 8,07 HV), LAS (303,73 13,93 HV) e BRA (551,99 37,73 HV). Em pH 2,5 as médias do Ecorr (mV) para o MB, TIG e BRA foram, respectivamente, -67,9 8,43, -52,78 16,74, e -284,33 19,04; e em pH 5,5, médias de -54,03 21,15, -62,08 20,16 e -278,8 28,96. Os valores médios de jcorr (A.cm-2) para o MB, TIG e BRA em pH 2,5 foram, respectivamente, 2,49 0,95, 5,584 1,64 e 27,45 4,9; e em pH 5,5, médias de 1,929 0,83, 4,267 1,51 e 54,2 11,96. Os grupos MB e TIG apresentaram boa resistência à corrosão, com maior módulo de impedância em relação ao grupo BRA. As diferenças no pH da saliva artificial não alteraram o comportamento corrosivo dos grupos MB e TIG. Entretanto, observou-se uma redução marcante na jcorr e no módulo de impedância nas soldas obtidas pelo processo de brasagem. O grupo BRA apresentou corrosão galvânica ao ser analisado formando par com o MB, mostrando uma jcorr de 5,3 A.cm-2. Entretanto, o mesmo não foi observado quando o MB foi associado à solda TIG, onde a jcorr foi cerca de 150 vezes menor. O grupo BRA, além de apresentar um comportamento eletroquímico muito diferente do MB, revelou diferenças marcantes quanto a composição química, aspecto microestrutural e microdureza. As juntas TIG e LAS mostraram semelhanças químicas e microestruturais em relação ao MB, sendo que na solda TIG esta semelhança foi ainda mais evidente. Além disto, a solda TIG apresentou um comportamento eletroquímico muito semelhante ao MB e, portanto, parecendo ser mais recomendável para soldar ligas odontológicas de níquel-cromo em relação aos demais processos de soldagem aqui avaliados. / This study evaluated and compared the electrochemical behavior of the base metal (BM) of a nickel-chromium dental alloy with welded joints obtained by brazing processes (BRA) and Tungsten Inert Gas (TIG), when immersed in artificial saliva at pH 2.5 and 5.5. Microhardness, microstructural characterization by means of optical microscopy, scanning electron microscopy (SEM) and semi-quantitative chemical analysis by Energy Dispersive Spectroscopy (EDS), were performed in the groups BM, TIG, BRA and in joints weld by laser (LAS). The BM showed a matrix rich in nickel and chromium, distributed in a typical dendritic arrangement, with inclusions of silicon and titanium, and porosities. LAS and TIG welds reveled a microstructure more refined than the BM, however, the same chemical composition and distribution of its elements. BRA showed marked differences in their microstructure, chemical composition and distribution of the elements in relation to BM. Vickers microhardness (HV), corrosion potential (Ecorr) and corrosion current density (jcorr) were statistically analyzed with ANOVA and Tukey test (p <0.05). In order to determine the influence of pH and corrosion resistance in groups BM, TIG and BRA, Student t test, with significance level of 95% was used. BM had the lowest average microhardness (HV 256.13 9.39), followed by groups TIG (271.53 8.07 HV), LAS (303.73 13.93 HV) and BRA (551, HV 99 37.73). At pH 2.5 the average Ecorr (mV) for the MB and TIG were respectively -67.9 8.43 and -52.78 16.74, and at pH 5.5, averaging -54, 03 21.15 and -62.08 20.16. LAS group showed averages of Ecorr (mV) at pH 2.5 and 5.5, respectively, -284.33 19.04 and 28.96 -278.8. The average values of jcorr (&#956;A.cm-2) to BM and TIG at pH 2.5 were respectively 2.49 0.95 and 5.584 1.64, and at pH 5.5, 1.929 0.83 and 4.267 1.51. Average jcorr for LAS group (&#956;A.cm-2) at pH 2.5 and 5.5 were respectively 27.45 4.9 and 11.96 54.2. BM and TIG groups showed a good corrosion resistance, with a higher impedance modulus compared to LAS group. Differences in pH of artificial saliva did not affect the corrosion behavior of BM and TIG groups. However, there was a marked reduction in jcorr and modulus of impedance obtained by soldering brazing process. BRA group presented galvanic corrosion when it was analyzed forming pair with BM group, showing a jcorr of 5.3 &#956;A.cm-2. However, this was not observed when the BM was associated with TIG welding, where jcorr was about 150 times lower. BRA group, besides presenting a very different electrochemical behavior of MB revealed marked differences in chemical composition, microstructure and microhardness aspect. TIG and LAS joints showed chemical and microstructural similarities compared to BM, and this similarity was even more evident in the TIG welding. In addition, TIG showed an electrochemical behavior very similar to BM, and therefore seems to be more advisable to solder nickel-chrome based alloys for use in dentistry compared to other welding processes evaluated here.

Este trabalho avaliou o comportamento eletroquímico do metal de base (MB) de uma liga a base de níquel-cromo em relação a juntas soldadas desta liga obtidas pelos processos de brasagem (BRA) e Tungsten Inert Gas (TIG), imersos em saliva artificial com pH 2,5 e 5,5. Foram também realizados ensaios de microdureza e caracterização microestrutural, por meio de microscopia óptica e eletrônica de varredura e análise química semi-quantitativa por EDS, nos grupos MB, TIG, BRA e no cordão de solda a laser (LAS). O MB apresentou uma matriz rica em níquel e cromo, distribuída em um arranjo dendrítico típico, apresentando inclusões metálicas de silício e titânio, além de porosidades. As soldas TIG e LAS revelaram uma microestrutura mais refinada que o MB, mostrando, entretanto, uma mesma composição química e distribuição de seus elementos. A solda BRA apresentou diferenças marcantes em sua microestrutura, composição química e distribuição de seus elementos em relação ao MB. Os dados de microdureza Vickers (HV), potencial de corrosão (Ecorr) e densidade de corrente de corrosão (jcorr) foram analisados com ANOVA e teste de Tukey (p<0,05). Para determinação da influência do pH quanto a resistência à corrosão dos grupos MB, TIG e BRA, empregou-se o teste t de Student (p<0,05). O MB apresentou menor média de microdureza (256,13 9,39 HV), seguido pelos grupos TIG (271,53 8,07 HV), LAS (303,73 13,93 HV) e BRA (551,99 37,73 HV). Em pH 2,5 as médias do Ecorr (mV) para o MB, TIG e BRA foram, respectivamente, -67,9 8,43, -52,78 16,74, e -284,33 19,04; e em pH 5,5, médias de -54,03 21,15, -62,08 20,16 e -278,8 28,96. Os valores médios de jcorr (A.cm-2) para o MB, TIG e BRA em pH 2,5 foram, respectivamente, 2,49 0,95, 5,584 1,64 e 27,45 4,9; e em pH 5,5, médias de 1,929 0,83, 4,267 1,51 e 54,2 11,96. Os grupos MB e TIG apresentaram boa resistência à corrosão, com maior módulo de impedância em relação ao grupo BRA. As diferenças no pH da saliva artificial não alteraram o comportamento corrosivo dos grupos MB e TIG. Entretanto, observou-se uma redução marcante na jcorr e no módulo de impedância nas soldas obtidas pelo processo de brasagem. O grupo BRA apresentou corrosão galvânica ao ser analisado formando par com o MB, mostrando uma jcorr de 5,3 A.cm-2. Entretanto, o mesmo não foi observado quando o MB foi associado à solda TIG, onde a jcorr foi cerca de 150 vezes menor. O grupo BRA, além de apresentar um comportamento eletroquímico muito diferente do MB, revelou diferenças marcantes quanto a composição química, aspecto microestrutural e microdureza. As juntas TIG e LAS mostraram semelhanças químicas e microestruturais em relação ao MB, sendo que na solda TIG esta semelhança foi ainda mais evidente. Além disto, a solda TIG apresentou um comportamento eletroquímico muito semelhante ao MB e, portanto, parecendo ser mais recomendável para soldar ligas odontológicas de níquel-cromo em relação aos demais processos de soldagem aqui avaliados. / This study evaluated and compared the electrochemical behavior of the base metal (BM) of a nickel-chromium dental alloy with welded joints obtained by brazing processes (BRA) and Tungsten Inert Gas (TIG), when immersed in artificial saliva at pH 2.5 and 5.5. Microhardness, microstructural characterization by means of optical microscopy, scanning electron microscopy (SEM) and semi-quantitative chemical analysis by Energy Dispersive Spectroscopy (EDS), were performed in the groups BM, TIG, BRA and in joints weld by laser (LAS). The BM showed a matrix rich in nickel and chromium, distributed in a typical dendritic arrangement, with inclusions of silicon and titanium, and porosities. LAS and TIG welds reveled a microstructure more refined than the BM, however, the same chemical composition and distribution of its elements. BRA showed marked differences in their microstructure, chemical composition and distribution of the elements in relation to BM. Vickers microhardness (HV), corrosion potential (Ecorr) and corrosion current density (jcorr) were statistically analyzed with ANOVA and Tukey test (p <0.05). In order to determine the influence of pH and corrosion resistance in groups BM, TIG and BRA, Student t test, with significance level of 95% was used. BM had the lowest average microhardness (HV 256.13 9.39), followed by groups TIG (271.53 8.07 HV), LAS (303.73 13.93 HV) and BRA (551, HV 99 37.73). At pH 2.5 the average Ecorr (mV) for the MB and TIG were respectively -67.9 8.43 and -52.78 16.74, and at pH 5.5, averaging -54, 03 21.15 and -62.08 20.16. LAS group showed averages of Ecorr (mV) at pH 2.5 and 5.5, respectively, -284.33 19.04 and 28.96 -278.8. The average values of jcorr (&#956;A.cm-2) to BM and TIG at pH 2.5 were respectively 2.49 0.95 and 5.584 1.64, and at pH 5.5, 1.929 0.83 and 4.267 1.51. Average jcorr for LAS group (&#956;A.cm-2) at pH 2.5 and 5.5 were respectively 27.45 4.9 and 11.96 54.2. BM and TIG groups showed a good corrosion resistance, with a higher impedance modulus compared to LAS group. Differences in pH of artificial saliva did not affect the corrosion behavior of BM and TIG groups. However, there was a marked reduction in jcorr and modulus of impedance obtained by soldering brazing process. BRA group presented galvanic corrosion when it was analyzed forming pair with BM group, showing a jcorr of 5.3 &#956;A.cm-2. However, this was not observed when the BM was associated with TIG welding, where jcorr was about 150 times lower. BRA group, besides presenting a very different electrochemical behavior of MB revealed marked differences in chemical composition, microstructure and microhardness aspect. TIG and LAS joints showed chemical and microstructural similarities compared to BM, and this similarity was even more evident in the TIG welding. In addition, TIG showed an electrochemical behavior very similar to BM, and therefore seems to be more advisable to solder nickel-chrome based alloys for use in dentistry compared to other welding processes evaluated here.

Resumo: Os objetivos deste estudo foram avaliar: 1. o efeito de tratamentos póspolimerização (MW-irradiação por energia de microondas e WB-imersão em água aquecida) sobre o grau de conversão (DC) de resinas acrílicas para reembasamento imediato (Ufi Gel hard-U, Kooliner-K e Tokuso Rebase Fast-T) e de uma resina acrílica para base de prótese (Lucitone 550-L), submetida a dois ciclos de polimerização (LS-curto e LL-longo) por espectroscopia FT-Raman; 2. o peso molecular (M w) do pré-polímero dos materiais U, K, T e L e das amostras polimerizadas da resina K (controle; MW e WB) por GPC; 3. o efeito de MW e WB na temperatura de transição vítrea (Tg) das resinas para reembasamento imediato (Duraliner II-D, K, New Truliner-N, U e T) e da resina para base de prótese (LS e LL) por DSC; 4. o efeito de WB na liberação de compostos residuais (isobutil metacrilato-IBMA, 1,6-hexanediol dimetacrilato-1,6-HDMA e DBNP-dibutil-n-ftalato) a partir das resinas para reembasamento imediato K, N, U e T para saliva artificial por CLAE; 5. o efeito de WB na liberação de produtos de degradação (ácido metacrílico-MA e ácido benzóico-BA) a partir das resinas para reembasamento imediato K, N, U e T para saliva artificial por CLAE. Amostras do grupo controle não foram submetidas a nenhum tratamento. Os resultados de DC (%) foram analisados pelo teste de Kruskal-Wallis ( =0,05). Os resultados de Tg (ºC) foram analisados pela análise de variância (ANOVA), seguido pelo teste de Tukey ( =0,05). Os resultados da liberação de monômero ' 224 residual e plastificante (μg/mL) foram submetidos aos testes de Wilcoxon ou de Mann-Whitney ( =0,05). Os resultados da liberação de produtos de degradação (μg/mL) foram submetidos aos testes de Wilcoxon, Mann-Whitney ou Kruskal- Wallis ( =0,05). Para as amostras do grupo controle, não houve diferenças significantes entre o DC das resinas U e LL e entre...(Resumo completo, clicar acesso eletrônico abaixo) / Abstract: The aims of this study were to evaluate: 1. the effect of post-polymerization treatments (MW-microwave irradiation and WB-water-bath) on the degree of conversion (DC) of reline resins (Ufi Gel hard-U, Kooliner-K, and Tokuso Rebase Fast-T) and denture base resin (Lucitone 550-L), submitted to two polymerization cycles (LS-short and LL-long) by FT-Raman spectroscopy; 2. the molecular weight (M w) of the powder of U, K, T, and L materials and of K polymerized specimens (control; MW; and WB) by GPC; 3. the effect of MW and WB on the glass transition temperature (Tg) of the reline resins (Duraliner II-D, K, New Truliner-N, U and T) and the heat-polymerized resin (LS and LL) by DSC; 4. the effect of WB on the leaching of residual compounds (isobutyl methacrylate- IBMA, 1,6-hexanediol dimethacrylate-1,6-HDMA, and DBNP-dibutyl-nphthalate) from the reline resins (K, N, U, and T) in artificial saliva by HPLC; 5. the effect of WB on the leaching of degradation products (methacrylic acid-MA and benzoic acid-BA) from the reline resins K, N, U, and T in artificial saliva by HPLC. Control group specimens were left untreated. DC (%) data were analyzed using Kruskal-Wallis test (_=.05). Tg (ºC) data were analyzed using ANOVA/Tukey's test (_=.05). The results (æg/mL) of residual monomer and plasticizer leachability were submitted to Wilcoxon or Mann-Whitney tests (_=.05). The results (æg/mL) of degradation products leachability were submitted to Wilcoxon, Mann-Whitney or Kruskal-Wallis tests (_=.05). For DC control specimens, there were no significant differences between U and LL and among LL, K, and T. LS specimens had the highest DC. Only material K exhibited an increased DC after WB. All powders had M w from 4.0x105 to 6.5x105 and narrow M w distributions (2.1 to 3.6). Polymerization and post-polymerization produced K specimens with M w values similar to that of K powder...(Complete abstract, click electronic address below). / Orientador: Ana Lucia Machado / Coorientador: Quezia Bezerra Cass / Banca: Carlos Eduardo Vergani / Banca: Carlos Alberto dos Santos Cruz / Banca: Marcelo Ferraz Mesquita / Banca: Regina Vincenzi Oliveira / Doutor

Orientador: Marines Nobre dos Santos Uchoa / Tese (doutorado) - Universidade Estadual de Campinas, Faculdade de Odontologia de Piracicaba / Made available in DSpace on 2018-08-13T08:04:08Z (GMT). No. of bitstreams: 1 Steiner-Oliveira_Carolina_D.pdf: 11802864 bytes, checksum: 338ee3278fb157bb1cb37edb2e6d1a5d (MD5) Previous issue date: 2009 / Resumo: Os efeitos causados pelas modificações promovidas pela irradiação com laser de CO2 podem inibir a desmineralização dos tecidos dentários e podem ser potencializados quando associados ao fluoreto. Apesar de amplo uso do fluoreto e da redução da prevalência de cárie, essa doença ainda acomete grupos de alto risco. Por outro lado, tem sido observado um aumento da prevalência da erosão dentária. Os objetivos dessa tese, composta por 4 manuscritos, foram: (1) descrever as características do laser de CO2 e seus mecanismos de ação na inibição da desmineralização do esmalte; (2) desenvolver um modelo microbiológico, in vitro, de produção de lesão de cárie em dentina e testar duas hipóteses: (a) de que não há diferença na produção de cárie artificial em dentina utilizando um modelo microbiológico com regimes de 3 e 6 imersões ao dia em sacarose, avaliados por contagem bacteriana da dentina (UFC), análise microrradiográfica (AM) e análise de polissacarídeo insolúvel (API); (b) de que não há diferença no pH do biofilme antes e após sua imersão em sacarose; (3) avaliar, in vitro, a efetividade do laser de CO2 (? = 10,6 µm) pulsado, associado ou não ao fluoreto, na redução da desmineralização da dentina radicular usando um modelo microbiológico, avaliado por AM; (4) avaliar, in vitro, o efeito do mesmo laser, associado ou não ao fluoreto, na redução da desmineralização do esmalte e da dentina submetidos a um desafio erosivo, pela mensuração da perda de superfície e análise da concentração de cálcio, fósforo e fluoreto das soluções desmineralizadoras. Os dados foram analisados quanto à normalidade e testes apropriados foram realizados com nível de significância de 5%. No estudo 1, os efeitos do laser no esmalte, seu mecanismo de ação na redução da desmineralização, combinados ou não ao fluoreto, foram discutidos. No estudo 2, o pH do biofilme diminuiu imediatamente após a imersão em sacarose, mas aumentou novamente 5 min depois. Lesões em dentina foram produzidas com sucesso e a adição de sacarose mostrou as maiores perdas minerais, no entanto não diferiu entre os dois regimes de sacarose. A UFC não mostrou nenhuma diferença e a API dos tratamentos foram maiores que a do grupo controle. No estudo 3, os espécimes radiculares foram tratados ou não com laser de CO2 e com ou sem fluoreto antes ou após a irradiação com laser. O modelo microbiológico utilizado foi efetivo em produzir lesões dentinárias e as terapias combinadas mostraram as lesões dentinárias mais rasas. No estudo 4, espécimes de esmalte e dentina foram tratados com fluoreto, laser e fluoreto/laser e submetidos a um desafio erosivo. Os resultados de desgaste indicaram que o tratamento combinado interferiu com as perdas minerais do esmalte e da dentina, mesmo sem mostrar efeito sinérgico. Houve uma tendência de retenção de fluoreto no esmalte pelo tratamento combinado e também de liberação de menores quantidades de cálcio, fósforo e fluoreto para as soluções desmineralizadoras. Em conclusão, o mecanismo de ação do laser de CO2 na inibição da desmineralização do esmalte ainda não está completamente esclarecido e seu efeito pode ser aumentado quando associado ao fluoreto. O modelo microbiológico foi efetivo em produzir lesões de cárie dentinária. A irradiação da dentina radicular com laser inibiu a desmineralização dessa superfície apenas quando associado com o fluoreto; no entanto, não foi observado efeito sinérgico. O tratamento isolado com laser não foi capaz de prevenir a perda de superfície do esmalte e da dentina devido à erosão. Sua combinação com fluoreto mostrou alguma proteção, mas principalmente devido ao efeito do fluoreto. Não foi observada interação sinérgica significativa ou proteção duradoura com a terapia de laser. / Abstract: The effects caused by the modifications promoted by the CO2 laser irradiation can inhibit the dental tissues demineralization and may be enhanced when associated with fluoride. Despite the widespread use of the fluoride and the reduction of the caries prevalence, this disease still occurs in the high risk groups. On the other hand, an increase of the dental erosion prevalence was observed. This thesis, comprised by 4 manuscripts, aimed: (1) to describe the CO2 laser characteristics and its action mechanisms in the enamel demineralization inhibition; (2) to develop an in vitro microbial model to produce dentin caries lesions and test two hypotheses - (a) that there is no difference in the artificial caries production in dentin using a microbial model with 3 and 6 sucrose bath immersions, as assessed by bacterial counts on the dentin (CFU), microradiographic analysis (TMR) and extracellular polysaccharide analysis (EPS); (b) that there is no difference in the biofilm pH before and after each sucrose bath; (3) to assess, in vitro, the effectiveness of a pulsed CO2 laser (? = 10.6 µm) associated or not with fluoride, in reducing the root demineralization using a microbial model, as assessed by TMR; (4) to assess, in vitro, the effect of the same laser, associated or not with fluoride, on the prevention of the enamel and dentin erosions by means of surface loss measurement and analysis of the calcium, phosphorus and fluoride concentrations in the demineralizing solutions. The data were checked for normality and appropriated tests were performed with a significance level of 5%. In study 1, the laser effects on the enamel and its action mechanisms in the demineralization reduction, combined or not with fluoride, were discussed. In study 2, the biofilm pH decreased immediately after the sucrose bath but increased again after 5 min. Dentin lesions were successfully produced, and the sucrose addition showed the highest mineral losses, even though there was no difference between the sucrose regimens. The CFU did not show any difference and the EPS from the treatment groups were higher than for the control. In study 3, root specimens were treated with/without CO2 laser and with/without fluoride prior or after the laser irradiation. The microbial model utilized was effective in developing dentin lesions and the combined therapies showed the shallowest dentin lesions. In study 4, specimens of enamel and root dentin were treated with fluoride, laser and fluoride/laser and submitted to an erosive challenge. The wear results indicated that the combined treatment interfered with the enamel or dentin surface losses, although no synergistic effect was observed. There was a trend for the combined treatment to retain more fluoride in enamel and release lower amounts of calcium and phosphorus into the demineralizing solutions. In conclusion, the CO2 mechanism action on the enamel demineralization reduction is still not elucidated and its effects can be increased when associated with fluoride. The microbial model was effective in producing dentin caries lesions. However, it did not reproduce the remineralizing phase of the caries process. Irradiation of the root dentin with laser inhibited the root surface demineralization only when associated with fluoride; however, no synergic effect was observed. The laser treatment alone was not able to prevent enamel or dentin surface losses due to erosion. Its combination with fluoride showed some protection, but mostly due to the fluoride effect. No significant synergistic interaction or lasting protection could be observed for the laser therapy. / Doutorado / Odontopediatria / Doutor em Odontologia

Ce travail de thèse vise à mieux comprendre l'effet de l'environnement buccal sur le comportement d'une bactérie orale probiotique, Streptococcus salivarius K12. La croissance et la maintenance de S. salivarius K12 ont tout d'abord été caractérisées dans une salive artificielle complémentée (CAS) conçue pour l'étude. Dans ce milieu, cette bactérie démontre un taux de croissance élevé et un temps de latence court, mais elle ne produit pas de bactériocines actives. La survie de S. salivarius K12 en phase stationnaire est, en revanche, affectée dans le milieu CAS. Ce phénomène est expliqué par une synthèse moindre des protéines impliquées dans le métabolisme énergétique, dont celui du glycogène. Toutefois, malgré une sensibilité accrue en phase stationnaire, le milieu CAS permet la croissance et la maintenance de S. salivarius K12. Les effets de plusieurs facteurs environnementaux spécifiques de la bouche, sur S. salivarius K12, ont été déterminés en milieu CAS. Ainsi, l'apport de saccharose, conduit à une dégradation de la viabilité. Des enzymes, ajoutées à leur concentration physiologique, affectent également les cellules bactériennes. Le lysozyme accroît la mortalité de S. salivarius par son action sur la paroi bactérienne. La peroxidase améliore sa viabilité en diminuant le potentiel redox du milieu. Le rôle clé du potentiel redox sur S. salivarius K12 est confirmé par l'impact négatif de l'injection d'air enrichi à 5% de CO2, qui accroît le potentiel redox. Enfin, l'amylase a démontré un rôle à la fois positif (augmentation de la biomasse) et négatif (diminution du taux de croissance). En conséquence, les études impliquant des bactéries orales se doivent de prendre en compte ces facteurs environnementaux influant sur les l'état physiologique bactérien. La mise en place de cultures continues respectant les variations de flux salivaire et permettant l'apport périodique de nutriments, tout en combinant l'ensemble des conditions environnementales identifiées précédemment, a permis de simuler la dynamique des conditions buccales. Les résultats démontrent que S. salivarius K12 est bien adapté à ces conditions de culture. Les cellules sont capables de se maintenir à un niveau de cultivabilité constant, malgré la carence nutritionnelle et le lessivage auxquels elles sont soumises. Certains mécanismes moléculaires expliquant cette adaptation ont été caractérisés : activation des voies d'utilisation de sources de carbone alternatives, stockage de l'énergie, augmentation de la compétence génétique naturelle. Finalement, ces travaux ont permis d'identifier certains mécanismes permettant à Streptococcus salivarius K12 de s'adapter à l'environnement buccal, grâce à la mise en place de méthodes d'étude in vitro du comportement des bactéries orales. / This thesis aims to better understand the effect of oral environmental conditions on the behaviorof the probiotic bacteria Streptococcus salivarius K12. Growth and maintenance of S. salivarius K12 have been characterized in a complemented artificial saliva (CAS), designed for this study. In this medium, S. salivarius demonstrated highspecific growth rate and low lag time, but it did not produce active bacteriocins. However, the survival of S. salivarius K12 during stationary phase was affected during fermentation in CAS medium. This was mainly explained by a reduced synthesis of proteins involved in energy and glycogen metabolisms. Thus, despite an increased sensitivity in stationary phase, the "complemented artificial saliva" allowed the growth and maintenance of S. salivarius K12. The effects of several environmental oral factors on S. salivarius K12 were determined in complemented artificial saliva. Adding sucrose decreased cellular viability. Enzymes added to their physiological concentration also affected the bacteria. Lysozyme increased S. salivarius mortality by acting on cellular wall. Peroxidase enhanced viability, by reducing the redox potential. The key role of redox potential on S. salivarius K12 was confirmed by the negative impact of the injection of air containing 5% CO2, which increased redox potential. The amylase demonstrated both positive (biomass increase) and negative roles (reduced growth rate). Consequently, studies involving oral bacteria must integrate these environmental factors that affected the bacterial physiological state. Continuous cultures, taking into account the variations in salivary flow and the periodical supply of nutrients, and combining all environmental conditions previously identified, allowed simulating oral dynamic conditions. From our results, a good adaptation of S. salivarius K12 took place in these culture conditions. Cells were able maintaining a constant level of cultivability despite nutritional starvation and wash out. Some molecular mechanisms explaining this bacterial adaptation have been characterized: activation of alternative carbon sources pathways, energy storage, and increase of natural genetic competence. Finally, this work made it possible identifying some mechanisms used by Streptococcussalivarius K12 to adapt itself to the oral environment, through the establishment of in vitro methods for studying the behavior of oral bacteria.

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.