A confecção de uma prótese parcial removível exige a correta determinação do eixo de inserção e, consequentemente, o preparo cuidadoso de planos guias para satisfazer os princípios de retenção e estabilidade. Entretanto, grande parte dos profissionais negligencia esta etapa, seja por desconhecimento de sua importância, dificuldade técnica, quantidade limitada de opções cientificamente comprovadas de seus resultados, ou pela aparente e ilusória economia de tempo e de trabalho que sua realização possa tomar. Então, em função do número limitado de técnicas eficientes para transferência de planos guias e da necessidade de um método que otimize o tempo dos profissionais de forma prática e didática, o presente estudo buscou introduzir uma nova maneira de transferir os planos guias. A nova técnica consiste na utilização de uma placa de vacuum-form (PV), comparando-a com preparos realizados em delineador e com duas outras técnicas pré-existentes: à mão livre (ML) e coroas-guia (CG), analisando sua eficácia e precisão. Réplicas idênticas (n=44) de um modelo de gesso representativo da arcada inferior foram divididas em 11 grupos, com 4 modelos cada. Cada um dos onze estudantes de Odontologia recebeu 4 modelos - em um deles os planos guias já tinham sido previamente preparados com delineador, os quais serviram apenas de referência para que fossem empregados os outros métodos. As diferenças angulares dos planos guias nos 44 modelos, nos sentidos ântero-posterior, látero-lateral e cruzado foram mensuradas por meio de uma máquina de medição por coordenadas. A análise de variância para medidas repetidas e o Teste de Comparações Múltiplas (método de Tukey) revelaram que tanto no sentido látero-lateral, como na avaliação cruzada, houve diferença significativa na média dos preparos feitos no delineador em relação a todas as outras técnicas. No entanto, não foram identificadas diferenças importantes entre os três métodos. Para a avaliação ântero-posterior, verificou-se diferença relevante somente entre os preparos feitos no delineador e CG, o que não foi detectado entre ML, PV e delineador. Observou-se também, que os preparos obtidos com delineador apresentaram variações angulares próximos de zero, indicando paralelismo quase absoluto e que os planos guias preparados nesse dispositivo demonstraram média e variabilidade menores que os outros métodos. As demais técnicas (ML, CG e PV) se comportaram de forma estatistica semelhante, exceto no sentido ântero-posterior, onde a CG apresentou maior variação angular. Concluiu-se que a técnica proposta apresentou resultados satisfatórios em relação aos padrões adotados neste estudo, quando comparada às demais técnicas e ao delineador. Portanto, a mesma pode ser considerada viável, já que sua utilização oferece uma confecção de próteses removíveis de forma mais criteriosa, atendendo às necessidades profissionais, em termos de facilidade e tempo gasto em sua execução. / The confection of a removable partial denture requires accurate determination of the path of insertion and consequently, the careful preparation of guide planes to meet the principles of retention and stability. However, a great number of professionals neglect this step because of unconsciousness of its importance, or technical difficulty, or limited options of techniques or because of apparent and illusory saving of time and work. Due to the limited number of proven effective techniques for guide planes preparation and the need of an effective method for optimizing time of dental surgeons in a clear and practical way, this present study aimed the introduction of a new technique for transferring guide planes. The new technique consists on the use of a vacuum form splint (VF). To measure its efficiency and accuracy it was compared with the preparations carried out in a dental surveyor and with two other pre-existing techniques: freehand (FH) and acrylic resin guide crown (GC). Identical replicas (n=44) of a gypsum model representing a dental lower arch were divided into 11 groups of four. Each of the eleven dental students received four models - in one of the models, the guide planes were previously prepared with the surveyor to be used as a reference for the application of the three transfer techniques in the other three remaining models. The angular differences of the the prepared guide planes on the 44 models were measured by a coordinate measuring machine in the anteroposterior, laterolateral and crossed views. The Analysis of Variance and Tukey method revealed that, for the laterolateral evaluation and crossed evaluation, significant differences were found in the average of the preparations obtained by the surveyor in relation to all other techniques. There were no significant differences among the three techniques. Anteroposterior evaluation showed significant difference between the average of the preparations made by the surveyor and by the GC, which was not observed between the FH and PV groups compared to the surveyor. It was also found that the angular variation obtained by preparations using the surveyor was close to zero degree, indicating almost absolute parallelism. The FH, GC and VF techniques were statistically similar, except for the anteroposterior evaluation. In the anteroposterior evaluation the GC presented higher angular variation. It was concluded that the proposed technique showed satisfactory results concerning the adopted standards in the present study when compared with the preparations made by other techniques and the surveyor. Thus, the VF technique can be considered viable, since it improves the quality of the Removable Partial Denture and meets the professional needs, saving time in the procedures.

Made available in DSpace on 2014-06-11T19:35:03Z (GMT). No. of bitstreams: 0 Previous issue date: 2009-03-24Bitstream added on 2014-06-13T20:06:15Z : No. of bitstreams: 1 zequetto_mm_dr_araca.pdf: 383469 bytes, checksum: 3fd20e10aa2c413edb650399efcff201 (MD5) / No processo de fundição pela cera perdida, os materiais envolvidos podem apresentar interações entre si e o de tempo despendido para se obter as estruturas metálicas é oneroso. Assim, o objetivo deste trabalho foi avaliar a influência da propriedade física de resistência à compressão de revestimentos fosfatados indicados para altas temperaturas de fundição, utilizando os métodos de aquecimento convencional (MAC) e rápido (MAR), e analisar a rugosidade de superfície e a alteração dimensional do produto final da fundição (a peça metálica) obtido com as ligas metálicas Ni-Cr (Verabond II) e Ni-Cr-Ti (Fit Cast Titanium). Os revestimentos estudados Castorit Super C, Castorit All Speed, Heat Shock e Micro Fine 1700 foram vazados em uma matriz de silicone que permitiu obter amostras com formato cilíndrico (n=200), medindo 10mm de diâmetro e 20mm de comprimento. A resistência (MPa) deles foi determinada à temperatura ambiente (resistência fria) após 15, 30 e 60 minutos de manipulação, e também imediatamente após serem submetidos aos métodos de aquecimento MAC e MAR (resistência de queima), por meio de uma máquina de ensaio universal, em velocidade de 0,05mm/min e carga de 150kgf. Após inclusão, aplicação dos métodos de aquecimento e fundição às amostras (n=120) para rugosidade de superfície (Ra-μm), foram avaliadas por um rugosímetro Mitutoyo Surftest SJ-401 com cut-off de 0,8mm e três repetições em cada amostra. A alteração dimensional foi determinada pela diferença entre os valores dimensionais da cera e da peça fundida (n=60) utilizando-se o software AutoCad2008. Os valores médios obtidos foram submetidos à análise de variância (ANOVA) e ao teste de Tukey (p<0,05), apresentando os valores de resistência à compressão diferentes entre os revestimentos (Heat Shock os valores maiores) e entre os tempos de mensuração em relação... / In the lost wax casting procedure, the involved materials can present interactions among them and the time used to obtain the metallic structures is onerous. Thus, the purpose of this study was to evaluate the influence of the compressive strength physical property of phosphate-bonded investment materials indicated for high casting temperatures, utilizing conventional heating (CHM) and quick heating methods (QHM), and analyze the surface roughness and the dimensional accuracy of the final casting product (the metallic piece) obtained from Ni-Cr (Verabond II) and Ni-Cr-Ti (Fit Cast Titanium) metallic alloys. Castorit Super C, Castorit All Speed, Heat Shock and Micro Fine 1700 investment materials were poured into a silicone matrix in order to obtain cylindrical samples (n=200), measuring 10mm in diameter and 20mm in length. Their strength (MPa) was determined at room temperature (green strength) after 15, 30 and 60 minutes of manipulation, and also immediately after being submitted to the CHM and QHM heating methods (fired strength), by means of an universal testing machine at 0,05mm/min speed and 150kgf load. After investing, applying the heating methods and casting the samples (n=120) for surface roughness (Ra), the samples were evaluated with a Mitutoyo Surftest SJ-400 profilometer with 0,8mm cut-off, three times in each sample. The dimensional accuracy was determined by the difference among the dimensional values of the wax and of the metallic piece (n=60) through the software AutoCad2008. The mean values obtained were submitted to ANOVA and Tukey tests (p <0.05), and the results showed that the values of compressive strength were different among the investment materials (Heat Shock presenting the highest values) and among the analysis times with a direct relation of time and strength increase, but there was no difference between CHM and QHM. Moreover, it was observed no differences... (Complete abstract click electronic access below)

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.