Objectives:To verify the effect of interposing different indirect restorative materials on degree of conversion (DC), hardness, and flexural strength of a dual-cure resin cement.Methods:Discs (2 mm-thick, n=5) of four indirect restorative materials were manufactured: a layered glass-ceramic (GC); a heat-pressed lithium disilicate-based glass-ceramic veneered with the layered glass-ceramic (LD); a micro-hybrid (MH); and a micro-filled (MF) indirect composite resin. The light transmittance of these materials was determined using a double-beam spectrophotometer with an integrating sphere. Bar-shaped specimens of a dual-cure resin cement (Nexus 2/SDS Kerr), with (dual-cure mode) and without the catalyst paste (light-cure mode), were photoactivated through the discs using either a quartz-tungsten-halogen (QTH) or a light-emitting diode (LED) unit. As a control, specimens were photoactivated without the interposed discs. Specimens were stored at 37ºC for 24h before being submitted to FT-Raman spectrometry (n=3), Knoop microhardness (n=6) and three-point bending (n=6) tests. Data were analyzed by ANOVA/Tukey’s test (α=0.05).Results:MH presented the highest transmittance. The DC was lower in light-cure mode than in dual-cure mode. All restorative materials reduced the cement microhardness in light-cure mode. GC and LD with QTH and GC with LED decreased the strength of the cement for both activation modes compared to the controls. Curing units did not affect DC or microhardness, except when the dual-cure cement was photoactivated through LD (LED>QTH). Flexural strength was higher with QTH compared to LED.Conclusions:Differences in transmittance among the restorative materials significantly influenced cement DC and flexural strength, regardless of the activation mode, as well as the microhardness of the resin cement tested in light-cure mode. Microhardness was not impaired by the interposed materials when the resin cement was used in dual-cure mode.

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The color stability of resin cements is essential for aesthetic restorations. Aim: To evaluate the influence of shade and aging time on the color stability of two light-cured and two dual-cured resin cements. Methods: The CIE-Lab color parameters (n=6) were measured immediately after sample preparation and at 7, 30 and 90 days of aging in distilled water. The color difference (∆E) was calculated and then analyzed by three-way ANOVA for repeated measures and Tukey's HSD test (α=0.05). Results: ∆E was higher for transparent resin colors, followed by dark and light colors. The mean values of ∆E were lower for both light-cured resin cements compared to the dual-cured cements. As the aging time increased, ∆E values increased. Conclusions: The light-cured resin cements showed greater color stability. The lighter shades of luting were more likely to display a greater color change.

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The aim of this study was to evaluate the discoloration effects of water, cola-based soft drink, coffee, and wine on resin composites used in restorative dentistry and the possibility of removing the stain with chair side manual polishing. The A2 shade of three materials was tested. Disc specimens were prepared. A spectrophotometer was used to measure the baseline CIE-Lab color parameters of each material (n=10) 24 hours after sample preparation. Samples were then immersed in a cola-based soft drink, coffee, or wine for 1 hour every day, for 30 days. For the remaining hours, the specimens were stored in distilled water. In the control group, the specimens were immersed in water for the whole period. The color differences (ΔE) were calculated after 7 and 30 days of storage, and after polishing with coarse Sof-Lex discs, and analyzed by two-way ANOVA with repeated measures and Tukey's HSD test (α=0.05). Luna presented higher ΔE values (3.41)a followed by Durafill (2.82)b and Herculite (2.24)c. For the drink solutions, ΔE values were higher for wine (4.40)a followed by coffee (2.59)b and for cola-based soft drink (2.23)c and water (2.13)c which were statistically similar. For time, ΔE values were higher for 30 days (3.97)a and then for 7 days (2.48)b and after polishing (2.04)c. The results indicate that color stability is material dependent. The types of drinks that patients consume also influence the color stability of restorative materials.

Várias pessoas contribuíram para que este trabalho chegasse a bom termo. A todas elas, registro minha gratidão.Ao Prof. Dr. Walter Gomes Miranda Jr., por sua confiança e orientação, que contribuíram muito para a minha formação profissional.Ao Prof. Dr. Paulo Francisco Cesar, por acreditar na minha capacidade deste a iniciação científica, por sua confiança e orientação zelosa, além da grande amizade formada.Ao Prof. Dr. Humberto Naoyuki Yoshimura, pela colaboração, paciência e conhecimentos repassados durante todo o desenvolvimento deste trabalho. À Profa. Dra. Rosa Miranda Grande, pela acolhida no curso de pós-graduação e por esta oportunidade única de aprendizado e de crescimento. Aos Professores do Departamento de Materiais Dentários da FOUSP, por quem tenho a mais sincera admiração:

The objective of this work was to evaluate biaxial-flexural-strength (σ f ), Vickers hardness (HV), fracture toughness (K Ic ), Young's modulus (E), Poisson's ratio (ν) and porosity (P) of two commercial glass-ceramics, Empress (E1) and Empress 2 (E2), as a function of the hot-pressing temperature. Ten disks were hot-pressed at 1065, 1070, 1075 and 1080 °C for E1; and at 910, 915, 920 and 925 °C for E2. The porosity was measured by an image analyzer software and σ f was determined using the piston-on-three-balls method. K Ic and HV were determined by an indentation method. Elastic constants were determined by the pulse-echo method. For E1 samples treated at different temperatures, there were no statistical differences among the values of all evaluated properties. For E2 samples treated at different temperatures, there were no statistical differences among the values of σ f , E, and ν, however HV and K Ic were significantly higher for 910 and 915 °C, respectively. Regarding P, the mean value obtained for E2 for 925 °C was significantly higher compared to other temperatures.

Cleidocranial dysplasia (CCD), is an autosomal dominant disorder with a prevalence of 1 in 1,000,000 individuals. It is generally characterized by orofacial manifestations, including enamel hypoplasia, retained primary teeth, and impacted permanent and supernumerary teeth. The successful treatment involving a timing intervention (orthodontic-maxillofacial surgeons-restorative) is already described. However, the restorative treatment might improve the aesthetic final result in dentistry management for patients with cleidocranial dysplasia. Objective. Therefore, this clinical report presents a conservative restorative management (enamel microabrasion, dental bleaching, and direct composite resin) for aesthetic solution for a patient with CCD. Clinical Considerations. The cosmetic remodeling is a conservative, secure, and low cost therapy that can be associated with other procedures such as enamel microabrasion and dental bleaching to achieve optimal outcome. Additionally, the Golden Proportion can be used to guide dental remodeling to improve the harmony of the smile and the facial composition. Conclusions. Thus, dentists must know and be able to treat dental aesthetic problems in cleidocranial dysplasia patients. The intention of this paper is to describe a restorative approach with the cosmetic remodeling teeth (by grinding or addicting material) associated with enamel microabrasion and dental bleaching to reestablish the form, shape, and color of smile for patients with cleidocranial dysplasia.