Made available in DSpace on 2014-06-11T19:27:47Z (GMT). No. of bitstreams: 0 Previous issue date: 2012-01-25Bitstream added on 2014-06-13T20:56:54Z : No. of bitstreams: 1 mata_m_me_arafo.pdf: 873853 bytes, checksum: 871f78b9e17a3ffeb34d531adfa84d2f (MD5) / Coordenação de Aperfeiçoamento de Pessoal de Nível Superior (CAPES) / O objetivo deste estudo foi avaliar in vitro o efeito da aplicação do ultrassom (US) na produção de calor na superfície e no interior do cimento de ionômero de vidro (CIV) Ketac Molar Easymix, assim como a temperatura transmitida à câmara pulpar através de restaurações de Ketac Molar Easymix (K) e Vitremer (V) após aplicação de US. Para avaliação da temperatura interna e superficial foi confeccionada uma matriz a partir de um incisivo bovino. A temperatura superficial foi aferida no grupo controle (TSC) e no grupo experimental (TSU) por meio de uma câmera termográfica infravermelha, calibrada e fixada há 15 cm do espécime, a qual captou as variações de temperatura por 80s. Para aferir a temperatura no interior do material, uma cânula de nylon foi inserida via abertura do conduto radicular do dente bovino até atingir o interior do CIV inserido na matriz, na qual foi adaptado um termômetro de vareta digital portátil. Após US por 45s, nos grupos controle (TIC) e experimental (TIU), a temperatura interna foi aferida em 0, 45, e 120s, totalizando 2 min após a inserção do material na cavidade. A temperatura transmitida à câmara pulpar durante a aplicação de US por 45s foi avaliada em 48 pré-molares humanos, os quais tiveram seus ápices seccionados para remoção da polpa, substituída por uma pasta condutora de calor. Foram divididos nos grupos: controle (KC), experimental (KU), controle (VC) e experimental (VU). Após a realização das restaurações na face vestibular dos dentes, estas receberam a aplicação de US por 45s e fotopolimerização por 40s para o grupo VU. Através da abertura dos condutos radiculares dos dentes, um termístor foi inserido até entrar em contato com a parede interna da superfície vestibular, possibilitando a captação... / The aim of this study was to evaluate in vitro the effect of ultrasound (US) application in the production of heat at the surface and inside the glass ionomer cement (GIC) Ketac Molar Easymix, as well the temperature transmitted to the pulp chamber through restorations of Ketac Molar Easymix (K) and Vitremer (V) after ultrasound application. For evaluation of the internal and surface temperature was made a matrix of one bovine incisor. The surface temperature was measured in the control group (STC) and the experimental group (STU) through an infrared thermographic camera, calibrated and fixed for 15 cm of the specimen, which raised the temperature variations for 80s. In order to measure the temperature inside the material, a nylon cannula was inserted through opening of the root canal bovine tooth until the interior of the GIC inserted into the array, which was adapted an portable digital thermometer. After US for 45s, in the control group (ITC) and experimental group (ITU), the internal temperature was measured at 0, 45, and 120s, totaling 2 minutes after material insertion in the cavity. The temperature transmitted to the pulp chamber during the application of ultrasound for 45s was evaluated in 48 human premolars, which had their apices disconnected to remove the pulp, replaced by a heat-conductive paste. They were divided into groups: control (KC), experimental (KU), control (VC) and experimental (VU). After performing of the restorations on the vestibular surface of the teeth, they received the ultrasound application for 45s and photopolymerization for 40s for the group VU. Through the opening of the root canal tooth, a thermistor was inserted until contact with the inner wall of the vestibular surface, allowing the collection of temperature variations. After verification of normality in the STC, STU, ITC, ITU groups... (Complete abstract click electronic access below)

Orientador: Angela Cristina Cilense Zuanon / Banca: Renata Cristiane da Silva / Banca: Ticiane Sidorenko de Oliveira Capote / Resumo: O objetivo deste estudo foi avaliar in vitro o efeito da aplicação do ultrassom (US) na produção de calor na superfície e no interior do cimento de ionômero de vidro (CIV) Ketac Molar Easymix, assim como a temperatura transmitida à câmara pulpar através de restaurações de Ketac Molar Easymix (K) e Vitremer (V) após aplicação de US. Para avaliação da temperatura interna e superficial foi confeccionada uma matriz a partir de um incisivo bovino. A temperatura superficial foi aferida no grupo controle (TSC) e no grupo experimental (TSU) por meio de uma câmera termográfica infravermelha, calibrada e fixada há 15 cm do espécime, a qual captou as variações de temperatura por 80s. Para aferir a temperatura no interior do material, uma cânula de nylon foi inserida via abertura do conduto radicular do dente bovino até atingir o interior do CIV inserido na matriz, na qual foi adaptado um termômetro de vareta digital portátil. Após US por 45s, nos grupos controle (TIC) e experimental (TIU), a temperatura interna foi aferida em 0, 45, e 120s, totalizando 2 min após a inserção do material na cavidade. A temperatura transmitida à câmara pulpar durante a aplicação de US por 45s foi avaliada em 48 pré-molares humanos, os quais tiveram seus ápices seccionados para remoção da polpa, substituída por uma pasta condutora de calor. Foram divididos nos grupos: controle (KC), experimental (KU), controle (VC) e experimental (VU). Após a realização das restaurações na face vestibular dos dentes, estas receberam a aplicação de US por 45s e fotopolimerização por 40s para o grupo VU. Através da abertura dos condutos radiculares dos dentes, um termístor foi inserido até entrar em contato com a parede interna da superfície vestibular, possibilitando a captação... (Resumo completo, clicar acesso eletrônico abaixo) / Abstract: The aim of this study was to evaluate in vitro the effect of ultrasound (US) application in the production of heat at the surface and inside the glass ionomer cement (GIC) Ketac Molar Easymix, as well the temperature transmitted to the pulp chamber through restorations of Ketac Molar Easymix (K) and Vitremer (V) after ultrasound application. For evaluation of the internal and surface temperature was made a matrix of one bovine incisor. The surface temperature was measured in the control group (STC) and the experimental group (STU) through an infrared thermographic camera, calibrated and fixed for 15 cm of the specimen, which raised the temperature variations for 80s. In order to measure the temperature inside the material, a nylon cannula was inserted through opening of the root canal bovine tooth until the interior of the GIC inserted into the array, which was adapted an portable digital thermometer. After US for 45s, in the control group (ITC) and experimental group (ITU), the internal temperature was measured at 0, 45, and 120s, totaling 2 minutes after material insertion in the cavity. The temperature transmitted to the pulp chamber during the application of ultrasound for 45s was evaluated in 48 human premolars, which had their apices disconnected to remove the pulp, replaced by a heat-conductive paste. They were divided into groups: control (KC), experimental (KU), control (VC) and experimental (VU). After performing of the restorations on the vestibular surface of the teeth, they received the ultrasound application for 45s and photopolymerization for 40s for the group VU. Through the opening of the root canal tooth, a thermistor was inserted until contact with the inner wall of the vestibular surface, allowing the collection of temperature variations. After verification of normality in the STC, STU, ITC, ITU groups... (Complete abstract click electronic access below) / Mestre

No / Glass-ionomer cements (GICs) have been widely used for over forty years, because of their desirable properties in dentistry. The most important advantages of the GICs are associated with their ability to release long-term antimicrobial agents. However, GICs used as restorative materials have still lots of challenges due to their secondary caries and low mechanical properties. Recent studies showed that the fluoride-releasing activity of conventional GICs is inadequate for effectual antibacterial conservation in many cases. Therefore, many efforts have been proposed to modify the antibacterial features of GICs in order to prevent the secondary caries. Particularly, for achieving this goal GICs were incorporated into various biomaterials possessing antibacterial activities. The scope of this review is to assess systematically the extant researches addressing the antibacterial modifications in GICs in order to provide with an authoritative, at the same time in-depth understanding of controlled antibacterial release in this class of biomaterials. It also gives a whole perspective on the future developments of GICs and challenges related to antibacterial GICs.

Dental restorative cements are placed in a harsh oral environment where they are subjected to thermal shock, chemical degradation, and repeating masticatory force. The ideal restorative dental cements should have superior mechanical properties, chemical stability, aesthetic, good handling properties, biocompatibility, antibacterial properties, and preferably bioactivity. This thesis presents research on dental restorative cements with enhanced properties. The overall aim was to increase the bioactivity and antibacterial properties of dental restorative cements without affecting their other properties. The effect from adding calcium silicate to glass ionomer cement (GIC) was investigated. The results showed that calcium silicate could increase the bioactivity and reduce the cytotoxicity of conventional glass ionomer cement without compromising its setting and mechanical properties. Hydroxyapatite (HA) with a high aspect ratio and thin nacreous-layered monetite sheets were also synthesized. Nano HA particles with an aspect ratio of 50 can be synthesized by both precipitation and hydrothermal methods. The aspect ratio was controlled via the pH of reaction medium. Thin nacreous-layered monetite sheets were synthesized through a self-assembly process in the presence of an amine based cationic quaternary surfactant. Temperature, pH, and presence of surfactant played essential roles in forming the nacreous-layered monetite sheets. Then the effect from adding silver doped HA and monetite particles was investigated. The results showed that the antibacterial properties of GIC could be increased by incorporating silver doped HA and monetite particles. Further examination showed that the pH change, F- ion release, and concentration of released Ag+ ions were not responsible for the improved antibacterial properties. The quasi-static strengths and compressive fatigue limits of four types of the most commonly used dental restorations were evaluated. In our study, resin modified GIC and resin-based composite showed superior static compressive strength and fatigue limits compared to conventional GIC. The static compressive strength of dental cements increased with the aging time. However, aging had no effect on the compressive fatigue limit of resin modified GIC and resin-based composite. The compressive fatigue limit of conventional GIC even showed a drastic decrease after aging.

Magister Scientiae Dentium - MSc(Dent) (Paediatric Dentistry) / The use of glass ionomer cement (GIC) restorative materials assists in the prevention of dental caries due to its long-term fluoride release. However, poor physical strength is one of the main drawbacks of GIC. A surface coating is recommended to improve the physical strength and is considered necessary during the overlapping stages of setting reactions of GIC restorative materials. The development of resin based coatings has improved the properties of the material but the effect on fluoride release needs investigation.

>Magister Scientiae - MSc / Introduction: Together with bonding to both enamel and dentine, an ideal restorative material would display physical properties similar to that of natural tooth tissue and would not be prone to degradation as a result of the oral environment. This includes changes in colour. Glass ionomer technology has undergone many changes to its original chemistry since it was developed in the early 1970’s. In 1988 resin-modified glass ionomers were introduced and in 2008, nano-ionomers were introduced. As a result of the progression in material sciences and the use of more sophisticated techniques and methods in restorative dentistry, it is possible to accomplish much improved aesthetics and functional durability of a restoration, both anteriorly and posteriorly. However, for as long as aesthetic restorations have been available, and in spite of advances in material structure and performance, one of the greatest challenges facing clinicians still remains that aesthetic restorations have to be replaced relatively frequently as staining and discolouration is a common problem. Aim of the study: The aim of this study was to determine the stainability of four resin-modified glass ionomers and one glass ionomer cement when exposed to a staining broth. Objectives: To record any change in colour before and after exposing the sample with the staining broth using a spectrophotometer, to compare the stainability, to examine the depth of staining using a light microscope and to observe the particle size of the powder and the surface texture using Scanning Electron Microscopy of the four resin- modified glass ionomer cements and one glass ionomer cement. Materials and Methods: Four resin-modified glass ionomers (one nano-ionomer) and one glass ionomer (zinc-reinforced ionomer) were selected. All were shade A2, except for Vitremer™ which was not available in A2. 15 discs of each material were prepared. The discs were 15 mm in diameter and 2 mm in thickness. All the materials were handled and cured according to the manufacturers’ instructions. After curing, only one side of each disc was polished using Sof-Lex™ discs (3M ESPE, USA). The unpolished side of each disc was designated as a matrix finish. The specimens were all immersed in distilled water at 37 °C for one week. They were then immersed in a staining broth for a period of one week and readings were taken after a period of 2 hours, 4 hours, 8 hours, 24 hours and one week. Colour was read on each side of each disc at the indicated intervals with a spectrophotometer. The colour difference was calculated using the CIELAB colour co-ordinates. Sample discs were then sectioned to determine the depth of staining. An additional sample disc of each material was made for observation with the SEM and was therefore not stained. Also, an unmixed sample of each material was prepared for examination with the SEM. Results: In general, for all materials there was an increase in staining when assessed with the colour difference between the baseline colour and the 7 day reading. Ketac™ N100, showed the highest total colour change of 43.84 for the unpolished surface followed by Riva™ which showed the total colour change of 28.55 for the unpolished surface. This was similar to Fuji II LC® which had a total colour change of 28.16 for the unpolished surface. For Vitremer™, the total colour change increased to 18.07 for the unpolished surface. For the unpolished surfaces, ChemFil™ Rock showed the least colour difference from baseline to 7 days (ΔE*ab = 10.45), followed by Vitremer™ (ΔE*ab = 18.07). Both Fuji II LC® and Riva™ Light Cure showed similar colour change from baseline to 7 days for unpolished surfaces (ΔE*ab of 28.16 and 28.55 respectively). Ketac™ N100 showed the highest staining after 7 days in the staining broth with a colour difference of 43.84. For the polished surfaces, the colour change for Fuji II LC® was 25.72 which was similar to Riva™ Light Cure which was 22.44 and Ketac™ N100 which showed a colour change of 22.79 on the polished surface. ChemFil™ Rock showed the least colour change of 17.69 for the polished surface followed by Vitremer™ which showed a colour change of 23.63 for the polished surface. Thus, for both the unpolished and polished surfaces there was a similar staining pattern. Conclusion: In this study it was demonstrated that all products evaluated in this study showed some degree of staining when exposed to a staining broth when evaluated using the ΔE*ab CIELAB colour evaluation. Ketac™ N100 showed the highest colour change compared to the other materials, but the reason for this was not explored. Both Vitremer™ and ChemFil™ Rock showed similar patterns of staining. / 2020-09-01

Orientador: Angela Cristina Cilense Zuanon / Banca: Renata Cristiane da Silva / Banca: Josimeri Hebling da Costa / Resumo: Este estudo investigou o efeito da excitação ultra-sônica na resistência máxima à tração e de união à dentina de cimentos de ionômero de vidro (CIV), após 24 horas ou 30 dias de armazenamento em água destilada à 37ºC, por meio do teste de microtração. Os materiais utilizados foram o CIV de alta viscosidade Fuji IX GP, Ketac Molar e o modificado por resina, Vitremer. Foram confeccionados 12 corpos de prova para cada material, dos quais 6 formaram o grupo controle e 6 receberam tratamento com US, por 30 segundos. Para o experimento de resistência de união à dentina, trinta e seis terceiros molares foram divididos aleatoriamente entre os grupos experimentais já descritos. Em ambos os experimentos, após o período de armazenamento, os corpos de prova foram seccionados em espécimes com área adesiva média de 0,91mm2 (± 0,1) e 0,93 mm2 (± 0,09), respectivamente para o experimento de resistência à tração e de união. Os dados foram analisados pela análise de variância com a correção de Welch (p<0,001) e teste de Tamhane (α = 0,05). O cimento Fuji IX (24 horas) apresentou aumento significativo na resistência máxima à tração e o Ketac Molar (24 horas) na resistência de união à dentina, após a aplicação do US. Os grupos controle destes materiais também apresentaram aumento da resistência após 30 dias de armazenamento. Em todos os outros grupos experimentais não houve alteração significativa após a aplicação de US ou após diferentes períodos de armazenamento. A aplicação do ultra-som aumentou a resistência máxima à tração e de união à dentina, após 24 horas de armazenamento, quando se utilizou respectivamente, os cimentos Fuji IX e Ketac Molar. / Abstract: This study investigated the GICs ultimate tensile strength and bond to dentine after ultrasonic excitation and after periods of the 24 hours and 30 days storage in distilled water at 37ºC, using microtensile test. Two high viscosity GICs, Fuji IX GP and Molar Ketac, and the resin modified GIC Vitremer were used. Twelve specimens for each material were prepared, 6 formed the control group and 6 received treatment with US, por 30 seconds. For the ultimate tensile strength experiment, a cross-sectional area of 0.91mm2 (± 0.1) in the specimens were obtained. For the tensile bond strength to dentine test, 36 third molar were selected and randomly divided into groups, with a cross-sectional area of 0.93 mm2 (± 0.09). All specimens were tested in a microtensile test machine. The data were evaluated by analysis of variance and corrected by Welch (p<0.001) and Tamhane tests (α = 0.05). Fuji IX (24 hours) had significant increase in the ultimate tensile strength and Ketac Molar (24 hours) had significant increase in the tensile strength of union to dentine, after the application of the US. The control groups of the Fuji IX and Ketac Molar had increase in the tensile strength after 30 days of storage. All the other groups, did not show significant difference neither when US application was used nor between different storage times. The ultrasound application increased the ultimate tensile strength and bond to the dentine, after 24 hours of storage, when if it used respectively, the Ketac Molar and Fuji IX cements. / Mestre

Indiana University-Purdue University Indianapolis (IUPUI) / The functional quaternary ammonium salts (QAS) and their constructed polyQAS or PQAS were synthesized, characterized and formulated into a novel antibacterial glass-ionomer cement. Compressive strength (CS) and Streptococcus mutans (S. mutans) viability were used to evaluate the mechanical strength and antibacterial activity of the cements. Fuji II LC cement was used as control. The specimens were conditioned in distilled water at 37 oC for 24 h prior to testing. The effects of the substitute chain length, loading as well as grafting ratio of the QAS and aging on CS and S. mutans viability were investigated. Chapter 2 describes how we studied and evaluated the formulated antibacterial glass-ionomer cement by incorporating QAS chloride-containing polymer into the formulation. The results show that with PQAS addition, the studied cements showed a reduction in CS with 25-95% for Fuji II LC and 13-78% for the experimental cement and a reduction in S. mutans viability with 40-79% for Fuji II LC and 40-91% for the experimental cement. The experimental cement showed less CS reduction and higher antibacterial activity as compared to Fuji II LC. The long-term aging study indicates that the cements are permanently antibacterial with no PQAS leaching. Chapter 3 describes how we studied and evaluated the formulated antibacterial cements by changing chain length, type of halide, loading, grafting ratio and aging time. The results show that the effects of the chain length, loading and grafting ratio of the QAS were significant. Increasing chain length, loading, grafting ratio significantly enhanced antibacterial activity but reduced CS. The experimental cement showed less CS reduction and higher antibacterial activity as compared to Fuji II LC. The long-term aging study indicates that the cements are permanently antibacterial with no PQAS leaching. There was no significant difference between QAS bromide and QAS chloride, suggesting that we can use QAS bromide directly without converting bromide to chloride. In summary, we have developed a novel PQAS-containing antibacterial glass-ionomer cement. The cement has demonstrated significant antibacterial activities. Our experimental cement is a promising system because the reduced strength of the cement with addition of PQAS is still above those demonstrated by original commercial cement Fuji II LC without any PQAS addition. It appears that the experimental cement is a clinically attractive dental restorative that can be potentially used for long-lasting restorations due to its high mechanical strength and permanent antibacterial function.

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.

Indiana University-Purdue University Indianapolis (IUPUI) / Background: Since the introduction of glass ionomer cements (GICs) in the 1970s, many attempts have been made to improve them and expand their application in restorative dentistry. Recently, GC America introduced a new glass ionomer restorative system called EQUIA. The manufacturer claims that this material has improved wear resistance by coating the surface of high-strength GIC with a nano-filled resin coating. Objective: The objective of this study was to measure the wear resistance and hardness of EQUIA and to compare it to other current restorative materials. Materials and Methods: Four different materials were used in this study: EQUIA, Fuji IX GP Extra, Fuji II LC and Z-100. Six specimens of each material were made and then tested in a toothbrush abrasion machine for 20,400 cycles, after which the amount of volume loss was calculated. Eight specimens of each material were made and tested in a three-body Alabama wear testing machine under a load of 75 N for 400,000 cycles. Four surface profiles were obtained from each specimen and volume loss was calculated using computer software. Five specimens of each material were made and Knoop microhardness was determined by using the mean of the three values from the top surface of the specimen. Results of each test were collected and compared with the other materials using one-way analysis of variance (ANOVA) at a significance level of 0.05. Results: Wear-resistance results showed that EQUIA has wear-resistance values comparable to composite resin and higher values than those for the high-strength GIC. The results also showed that Fuji II LC had the highest wear among all tested materials. Microhardness results showed that EQUIA has significantly lower microhardness than Fuji IX GP Extra and Z-100. Conclusion: Based on the results of the present study, it can be concluded that coating the surface of glass ionomer restorations with a nano-filled resin coat results in increasing the wear resistance and decreasing the microhardness of the material. Within the limitations of this study, EQUIA has comparable wear resistance to composite resin.