Performance in vitro e in vivo de sistemas adesivos universais em diferentes estratégias de condicionamento da dentina
Autor(a) principal: | |
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Data de Publicação: | 2019 |
Tipo de documento: | Tese |
Idioma: | por |
Título da fonte: | Manancial - Repositório Digital da UFSM |
Texto Completo: | http://repositorio.ufsm.br/handle/1/18851 |
Resumo: | The new generation of adhesive systems, called as "universal adhesives" or "multi-mode", are adhesives which can be used in both self-etch (SE) or etch-and-rinse (ER) strategies. Two studies related to these materials are presented. The aim of the first paper was to evaluate immediate and 1 year bond strength of universal adhesives to sound and cariesaffected dentin, using both SE and ER strategies. The universal adhesives tested were: Scotchbond Universal, All - Bond Universal, Prime & Bond Elect. As controls were used the adhesives Adper Single Bond 2 and Clearfil SE Bond, for ER and SE strategies respectively. They were applied following the manufacturers' instructions and a composite resin (Z250) block was built on dentin. Caries-affected dentin was artificially obtained by pH cycling for 14 days. Stick-shaped specimens were obtained (0.8 mm²) and submitted to microtensile test immediately or after 1 year of water storage. The data obtained in MPa were submitted to 3- way ANOVA for repeated measures and Post-hoc Tukey's test (α = 5%). Significant crossinteraction among the three factors (material x strategy x time) was found on both sound (p=0.002) and caries-affected dentin (p=0.009) analyses. Pronounced degradation was observed for all groups after one year on caries-affected dentin. In sound dentin, only the universal adhesives used in SE mode and the control adhesives were able to maintain bond stability after 1 year. Thus, the universal adhesives were not able to maintain bond stability in caries-affected dentin. On sound dentin, the self-etching strategy seems to be the best approach to maintain bond stability. The second paper is a randomized clinical trial that aimed to evaluate the longevity of non-carious cervical lesions restorations (NCCL) using two universal adhesive systems: Prime&Bond Elect (PB) and Scotchbond Universal (SBU) under different application strategies (ER and SE). Fifty-four participants who fit into the eligibility criteria (at least 1 tooth with LCNC, caries-free, non-retentive, with a depth greater than 1mm) were selected. Individuals who presented teeth without pulp vitality, without presence of an antagonistic tooth, previous restoration report, orthodontic treatment, smokers, patients with severe bruxism, extremely poor oral hygiene and / or with severe or chronic periodontal disease were excluded. Two hundred and eleven teeth were restored according to the experimental groups: PB-ER, PB-SE, SBU-ER and SBU-SE, with composite resin, by 2 previously trained operators. A single trained and calibrated examiner evaluated restorations after 1 week (baseline) and 6 months, using the modified USPHS and FDI evaluation criteria. The obtained data were tabulated and submitted to Kruskal-Wallis and Mann-Whitney tests to compare the failures among experimental groups. Statistical difference was found between the groups in regard to failures for both evaluation criteria. The PB-SE group had significantly more failures than the other experimental groups. Thus, the clinical performance of Prime & Bond Elect was dependent on the application strategy, and a poorer performance was found for the self-etch strategy. |
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2019-11-08T12:24:09Z2019-11-08T12:24:09Z2019-08-05http://repositorio.ufsm.br/handle/1/18851The new generation of adhesive systems, called as "universal adhesives" or "multi-mode", are adhesives which can be used in both self-etch (SE) or etch-and-rinse (ER) strategies. Two studies related to these materials are presented. The aim of the first paper was to evaluate immediate and 1 year bond strength of universal adhesives to sound and cariesaffected dentin, using both SE and ER strategies. The universal adhesives tested were: Scotchbond Universal, All - Bond Universal, Prime & Bond Elect. As controls were used the adhesives Adper Single Bond 2 and Clearfil SE Bond, for ER and SE strategies respectively. They were applied following the manufacturers' instructions and a composite resin (Z250) block was built on dentin. Caries-affected dentin was artificially obtained by pH cycling for 14 days. Stick-shaped specimens were obtained (0.8 mm²) and submitted to microtensile test immediately or after 1 year of water storage. The data obtained in MPa were submitted to 3- way ANOVA for repeated measures and Post-hoc Tukey's test (α = 5%). Significant crossinteraction among the three factors (material x strategy x time) was found on both sound (p=0.002) and caries-affected dentin (p=0.009) analyses. Pronounced degradation was observed for all groups after one year on caries-affected dentin. In sound dentin, only the universal adhesives used in SE mode and the control adhesives were able to maintain bond stability after 1 year. Thus, the universal adhesives were not able to maintain bond stability in caries-affected dentin. On sound dentin, the self-etching strategy seems to be the best approach to maintain bond stability. The second paper is a randomized clinical trial that aimed to evaluate the longevity of non-carious cervical lesions restorations (NCCL) using two universal adhesive systems: Prime&Bond Elect (PB) and Scotchbond Universal (SBU) under different application strategies (ER and SE). Fifty-four participants who fit into the eligibility criteria (at least 1 tooth with LCNC, caries-free, non-retentive, with a depth greater than 1mm) were selected. Individuals who presented teeth without pulp vitality, without presence of an antagonistic tooth, previous restoration report, orthodontic treatment, smokers, patients with severe bruxism, extremely poor oral hygiene and / or with severe or chronic periodontal disease were excluded. Two hundred and eleven teeth were restored according to the experimental groups: PB-ER, PB-SE, SBU-ER and SBU-SE, with composite resin, by 2 previously trained operators. A single trained and calibrated examiner evaluated restorations after 1 week (baseline) and 6 months, using the modified USPHS and FDI evaluation criteria. The obtained data were tabulated and submitted to Kruskal-Wallis and Mann-Whitney tests to compare the failures among experimental groups. Statistical difference was found between the groups in regard to failures for both evaluation criteria. The PB-SE group had significantly more failures than the other experimental groups. Thus, the clinical performance of Prime & Bond Elect was dependent on the application strategy, and a poorer performance was found for the self-etch strategy.A última geração de sistemas adesivos, os “adesivos universais” ou “multi-modo”, são adesivos que podem ser utilizados tanto na estratégia autocondicionante (SE) como com condicionamento ácido prévio (ER). No presente trabalho são apresentados dois artigos acerca destes materiais. O objetivo do primeiro artigo foi avaliar a resistência de união imediata e após 1 ano de adesivos universais em dentina hígida e afetada, usando duas estratégias de condicionamento – ER e SE. Os adesivos universais testados foram: Scotchbond Universal, All-Bond Universal e Prime&Bond Elect. Os controles foram os adesivos Adper Single Bond 2 e Clearfil SE Bond, para as estratégias ER e SE respectivamente. Foram aplicados seguindo as recomendações dos fabricantes e um bloco de resina composta (Z250) foi construído sobre a dentina. A dentina afetada foi obtida artificialmente através de ciclagem de pH por 14 dias. Espécimes em forma de palitos foram obtidos (0,8 mm²) para serem submetidos ao teste de microtração imediatamente ou após 1 ano de armazenamento. Os dados obtidos em MPa foram analisados por ANOVA de 3 fatores para dados repetidos e post-hoc Tukey (α= 5%). Significativa interação entre os fatores (material x estratégia x tempo) foi encontrada tanto para dentina hígida (p=0,002) como para dentina afetada (p=0,009). Pronunciada degradação foi observada para todos os grupos após um ano em dentina afetada. Em dentina hígida, somente os adesivos universais foram capazes de manter estabilidade da união após 1 ano somente no modo autocondicionante assim como os adesivos controle. Em dentina afetada, os adesivos universais não foram capazes de manter a estabilidade de união. Em dentina hígida, a estratégia autocondicionante parece ser a melhor maneira para manter a estabilidade da união. O segundo artigo é um estudo clínico randomizado que teve como o objetivo avaliar a longevidade de restaurações de lesões cervicais não-cariosas (LCNC), utilizando dois sistemas adesivos universais: Prime&Bond Elect (PB) e Scotchbond Universal (SBU) sob diferentes estratégias de aplicação (ER e SE). Foram selecionados 54 participantes conforme critérios de eligibilidade (possuir no mínimo 1 dente com LCNC, livre de cárie, nãoretentiva, profundidade maior que 1mm). Foram excluídos os indivíduos que apresentaram dentes sem vitalidade pulpar, sem presença de dente antagonista, relato de restauração prévia, em tratamento ortodôntico, fumantes, portadores de bruxismo severo, higiene oral extremamente pobre e/ou com doença periodontal severa ou crônica. Duzentos e onze dentes foram restaurados conforme os grupos experimentais: PB-ER, PB-SE, SBU-ER e SBU-SE, com resina composta, por 2 operadores previamente treinados. As restaurações foram avaliadas por um examinador treinado e calibrado após 1 semana (baseline) e 6, meses, utilizando os critérios de avaliação USPHS modficado e FDI. Os dados obtidos foram submetidos aos testes de Kruskal-Wallis e Mann-Whitney para comparar as falhas entre os grupos experimentais. Diferença estatística foi encontrada entre os grupos em relação as falhas para os dois critérios de avaliação. O grupo PBSE apresentou significativamente mais falhas que os outros grupos experimentais. Dessa forma, a performance clínica do Prime & Bond Elect foi dependente da estratégia de aplicação, sendo que piores resultados foram encontrados para o modo autocondicionante.Coordenação de Aperfeiçoamento de Pessoal de Nível Superior - CAPESporUniversidade Federal de Santa MariaCentro de Ciências da SaúdePrograma de Pós-Graduação em Ciências OdontológicasUFSMBrasilOdontologiaAttribution-NonCommercial-NoDerivatives 4.0 Internationalhttp://creativecommons.org/licenses/by-nc-nd/4.0/info:eu-repo/semantics/openAccessAdesivos dentináriosDentinaEnsaio clínicoResistência à traçãoClinical trialDentinDentin-bonding agentsTensile strengthCNPQ::CIENCIAS DA SAUDE::ODONTOLOGIAPerformance in vitro e in vivo de sistemas adesivos universais em diferentes estratégias de condicionamento da dentinaIn vitro and in vivo performance of universal adhesive systems on dentin with different etching strategiesinfo:eu-repo/semantics/publishedVersioninfo:eu-repo/semantics/doctoralThesisSoares, Fabio Zovico Maxnuckhttp://lattes.cnpq.br/9161496362299849Pereira, Gabriel Kalil Rochahttp://lattes.cnpq.br/9359419479985637Botton, Grazielahttp://lattes.cnpq.br/0535053274929240Lenzi, Tathiane Larissahttp://lattes.cnpq.br/5444041234037016Ardenghi, Thiago Machadohttp://lattes.cnpq.br/3627421305871577http://lattes.cnpq.br/1638658541065213Follak, Andressa Cargnelutti40020000000060088070762-61b9-4001-81cc-b4055b5c6408c5c411f9-2dbb-4d18-9f82-89a2817a42f37652a2d4-a8e6-4666-a3c5-cebc731682e51b3ab549-4a4c-4242-a49e-fad3fed1ccac9a1af631-ff90-421c-9fbb-6f7b9b36c1c5bc380d67-37c9-48db-bf0c-da320efc88e7reponame:Manancial - Repositório Digital da UFSMinstname:Universidade Federal de Santa Maria (UFSM)instacron:UFSMORIGINALTES_PPGCO_2019_FOLLAK_ANDRESSA.pdfTES_PPGCO_2019_FOLLAK_ANDRESSA.pdfTese de Doutoradoapplication/pdf8465237http://repositorio.ufsm.br/bitstream/1/18851/1/TES_PPGCO_2019_FOLLAK_ANDRESSA.pdf8448bb71ac5da040e530109b87277a13MD51CC-LICENSElicense_rdflicense_rdfapplication/rdf+xml; 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dc.title.por.fl_str_mv |
Performance in vitro e in vivo de sistemas adesivos universais em diferentes estratégias de condicionamento da dentina |
dc.title.alternative.eng.fl_str_mv |
In vitro and in vivo performance of universal adhesive systems on dentin with different etching strategies |
title |
Performance in vitro e in vivo de sistemas adesivos universais em diferentes estratégias de condicionamento da dentina |
spellingShingle |
Performance in vitro e in vivo de sistemas adesivos universais em diferentes estratégias de condicionamento da dentina Follak, Andressa Cargnelutti Adesivos dentinários Dentina Ensaio clínico Resistência à tração Clinical trial Dentin Dentin-bonding agents Tensile strength CNPQ::CIENCIAS DA SAUDE::ODONTOLOGIA |
title_short |
Performance in vitro e in vivo de sistemas adesivos universais em diferentes estratégias de condicionamento da dentina |
title_full |
Performance in vitro e in vivo de sistemas adesivos universais em diferentes estratégias de condicionamento da dentina |
title_fullStr |
Performance in vitro e in vivo de sistemas adesivos universais em diferentes estratégias de condicionamento da dentina |
title_full_unstemmed |
Performance in vitro e in vivo de sistemas adesivos universais em diferentes estratégias de condicionamento da dentina |
title_sort |
Performance in vitro e in vivo de sistemas adesivos universais em diferentes estratégias de condicionamento da dentina |
author |
Follak, Andressa Cargnelutti |
author_facet |
Follak, Andressa Cargnelutti |
author_role |
author |
dc.contributor.advisor1.fl_str_mv |
Soares, Fabio Zovico Maxnuck |
dc.contributor.advisor1Lattes.fl_str_mv |
http://lattes.cnpq.br/9161496362299849 |
dc.contributor.referee1.fl_str_mv |
Pereira, Gabriel Kalil Rocha |
dc.contributor.referee1Lattes.fl_str_mv |
http://lattes.cnpq.br/9359419479985637 |
dc.contributor.referee2.fl_str_mv |
Botton, Graziela |
dc.contributor.referee2Lattes.fl_str_mv |
http://lattes.cnpq.br/0535053274929240 |
dc.contributor.referee3.fl_str_mv |
Lenzi, Tathiane Larissa |
dc.contributor.referee3Lattes.fl_str_mv |
http://lattes.cnpq.br/5444041234037016 |
dc.contributor.referee4.fl_str_mv |
Ardenghi, Thiago Machado |
dc.contributor.referee4Lattes.fl_str_mv |
http://lattes.cnpq.br/3627421305871577 |
dc.contributor.authorLattes.fl_str_mv |
http://lattes.cnpq.br/1638658541065213 |
dc.contributor.author.fl_str_mv |
Follak, Andressa Cargnelutti |
contributor_str_mv |
Soares, Fabio Zovico Maxnuck Pereira, Gabriel Kalil Rocha Botton, Graziela Lenzi, Tathiane Larissa Ardenghi, Thiago Machado |
dc.subject.por.fl_str_mv |
Adesivos dentinários Dentina Ensaio clínico Resistência à tração |
topic |
Adesivos dentinários Dentina Ensaio clínico Resistência à tração Clinical trial Dentin Dentin-bonding agents Tensile strength CNPQ::CIENCIAS DA SAUDE::ODONTOLOGIA |
dc.subject.eng.fl_str_mv |
Clinical trial Dentin Dentin-bonding agents Tensile strength |
dc.subject.cnpq.fl_str_mv |
CNPQ::CIENCIAS DA SAUDE::ODONTOLOGIA |
description |
The new generation of adhesive systems, called as "universal adhesives" or "multi-mode", are adhesives which can be used in both self-etch (SE) or etch-and-rinse (ER) strategies. Two studies related to these materials are presented. The aim of the first paper was to evaluate immediate and 1 year bond strength of universal adhesives to sound and cariesaffected dentin, using both SE and ER strategies. The universal adhesives tested were: Scotchbond Universal, All - Bond Universal, Prime & Bond Elect. As controls were used the adhesives Adper Single Bond 2 and Clearfil SE Bond, for ER and SE strategies respectively. They were applied following the manufacturers' instructions and a composite resin (Z250) block was built on dentin. Caries-affected dentin was artificially obtained by pH cycling for 14 days. Stick-shaped specimens were obtained (0.8 mm²) and submitted to microtensile test immediately or after 1 year of water storage. The data obtained in MPa were submitted to 3- way ANOVA for repeated measures and Post-hoc Tukey's test (α = 5%). Significant crossinteraction among the three factors (material x strategy x time) was found on both sound (p=0.002) and caries-affected dentin (p=0.009) analyses. Pronounced degradation was observed for all groups after one year on caries-affected dentin. In sound dentin, only the universal adhesives used in SE mode and the control adhesives were able to maintain bond stability after 1 year. Thus, the universal adhesives were not able to maintain bond stability in caries-affected dentin. On sound dentin, the self-etching strategy seems to be the best approach to maintain bond stability. The second paper is a randomized clinical trial that aimed to evaluate the longevity of non-carious cervical lesions restorations (NCCL) using two universal adhesive systems: Prime&Bond Elect (PB) and Scotchbond Universal (SBU) under different application strategies (ER and SE). Fifty-four participants who fit into the eligibility criteria (at least 1 tooth with LCNC, caries-free, non-retentive, with a depth greater than 1mm) were selected. Individuals who presented teeth without pulp vitality, without presence of an antagonistic tooth, previous restoration report, orthodontic treatment, smokers, patients with severe bruxism, extremely poor oral hygiene and / or with severe or chronic periodontal disease were excluded. Two hundred and eleven teeth were restored according to the experimental groups: PB-ER, PB-SE, SBU-ER and SBU-SE, with composite resin, by 2 previously trained operators. A single trained and calibrated examiner evaluated restorations after 1 week (baseline) and 6 months, using the modified USPHS and FDI evaluation criteria. The obtained data were tabulated and submitted to Kruskal-Wallis and Mann-Whitney tests to compare the failures among experimental groups. Statistical difference was found between the groups in regard to failures for both evaluation criteria. The PB-SE group had significantly more failures than the other experimental groups. Thus, the clinical performance of Prime & Bond Elect was dependent on the application strategy, and a poorer performance was found for the self-etch strategy. |
publishDate |
2019 |
dc.date.accessioned.fl_str_mv |
2019-11-08T12:24:09Z |
dc.date.available.fl_str_mv |
2019-11-08T12:24:09Z |
dc.date.issued.fl_str_mv |
2019-08-05 |
dc.type.status.fl_str_mv |
info:eu-repo/semantics/publishedVersion |
dc.type.driver.fl_str_mv |
info:eu-repo/semantics/doctoralThesis |
format |
doctoralThesis |
status_str |
publishedVersion |
dc.identifier.uri.fl_str_mv |
http://repositorio.ufsm.br/handle/1/18851 |
url |
http://repositorio.ufsm.br/handle/1/18851 |
dc.language.iso.fl_str_mv |
por |
language |
por |
dc.relation.cnpq.fl_str_mv |
400200000000 |
dc.relation.confidence.fl_str_mv |
600 |
dc.relation.authority.fl_str_mv |
88070762-61b9-4001-81cc-b4055b5c6408 c5c411f9-2dbb-4d18-9f82-89a2817a42f3 7652a2d4-a8e6-4666-a3c5-cebc731682e5 1b3ab549-4a4c-4242-a49e-fad3fed1ccac 9a1af631-ff90-421c-9fbb-6f7b9b36c1c5 bc380d67-37c9-48db-bf0c-da320efc88e7 |
dc.rights.driver.fl_str_mv |
Attribution-NonCommercial-NoDerivatives 4.0 International http://creativecommons.org/licenses/by-nc-nd/4.0/ info:eu-repo/semantics/openAccess |
rights_invalid_str_mv |
Attribution-NonCommercial-NoDerivatives 4.0 International http://creativecommons.org/licenses/by-nc-nd/4.0/ |
eu_rights_str_mv |
openAccess |
dc.publisher.none.fl_str_mv |
Universidade Federal de Santa Maria Centro de Ciências da Saúde |
dc.publisher.program.fl_str_mv |
Programa de Pós-Graduação em Ciências Odontológicas |
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UFSM |
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Brasil |
dc.publisher.department.fl_str_mv |
Odontologia |
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Universidade Federal de Santa Maria Centro de Ciências da Saúde |
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Universidade Federal de Santa Maria (UFSM) |
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UFSM |
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UFSM |
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Manancial - Repositório Digital da UFSM |
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Manancial - Repositório Digital da UFSM |
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Manancial - Repositório Digital da UFSM - Universidade Federal de Santa Maria (UFSM) |
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