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Avalia??o da Influ?ncia dos Inibidores de Proteases na Resist?ncia de Uni?o do Sistema Adesivo autocondicionante / Evaluation of the Influence of Protease Inhibitors on the Adhesion Resistance of the Self-Etching Adhesive SystemGrandizoli, Diana R. P. 19 December 2016 (has links)
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Previous issue date: 2016-12-19 / The present study sought to evaluate the influence of protease inhibitors on the bond strength of a self-etch adhesive system during hybrid layer formation in caries-affected dentin. The occlusal thirds of 80 permanent third molars were ground down to flat dentin surfaces. Dentinal caries were induced artificially by the microbial method. Groups were divided as follows: G1 (n=20), application of Clearfil SE Bond adhesive system (CL) alone; G2 (n=20), pretreatment with 2% chlorhexidine (CLX)+CL; G3 (n=20), pretreatment with sodium bicarbonate (BIC)+CL; G4 (n = 20), BI +CLX+CL. Bond strength was assessed immediately and at 6 months. Composite resin (Z350) build-ups were made on the dentin surfaces, and beam-shaped specimens with a cross-sectional area of 1 mm? were obtained. Microtensile bond strength testing was performed. Only adhesive or mixed-mode fractures were taken into account for calculation of bond strength. The results were submitted to the Kruskal-Wallis test (Student-Newman-Keuls). There was no significant difference on bond strength between the control, bicarbonate and chlorhexidine groups in the immediate test (p> 0.05). After 6 months, adhesive resistance fell for all groups. The control group had higher bond strength (p <0.05). The predominant fracture was of the adhesive type independent of the period evaluated. It can be concluded that after six months, there was decrease on bond strength for all groups. This reduction was greater in the groups in which the inhibitors were used / O objetivo desse trabalho foi avaliar a influ?ncia do bicarbonato de s?dio na resist?ncia adesiva durante a hibridiza??o da dentina cariada utilizando o sistema adesivo autocondicionante. Foram selecionados 80 terceiros molares permanentes, feita a remo??o do ter?o oclusal e superf?cies dentin?rias planas foram obtidas. A les?o de c?rie dentin?ria foi confeccionada atrav?s do m?todo microbiol?gico. Os grupos foram: G1 (n=20): aplica??o do sistema adesivo Clearfil (CL), G2 (n=20): aplica??o de clorexidina 2% (CLX) + CL, G3 (n=20): aplica??o de bicarbonato de s?dio (BI) + CL, G4 (n=20): BI + CLX + CL. A resist?ncia adesiva foi avaliada imediatamente e ap?s seis meses. Um bloco de resina composta Z350 foi constru?do em dentina. Cada bloco dente/adesivo/resina foi seccionado com disco diamantado acoplado ? m?quina de corte em planos paralelos obtendo-se corpos de prova em forma de palito, com ?rea de sec??o transversal de 1 mm?. Foi realizado teste de resist?ncia de uni?o por meio do teste de microtra??o. Foi considerada apenas fratura adesiva/mista para c?lculo da resist?ncia de uni?o. Os resultados foram submetidos aos teste de Kruskal-Wallis (Student-Newman-Keuls). N?o houve diferen?a significante na resist?ncia de uni?o entre os grupos controle, bicarbonato e clorexidina no teste imediato (p>0.05). Ap?s 6 meses, houve queda da resist?ncia adesiva para todos os grupos. O grupo controle apresentou maior resist?ncia de uni?o (p<0.05). A fratura predominante foi do tipo adesiva independente do per?odo avaliado.
Pode-se concluir que ap?s seis meses, houve diminui??o na for?a de uni?o para todos os grupos. Essa redu??o apresentou-se maior nos grupos em que os inibidores foram utilizados.
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