This study evaluated the effects of immediate and delayed polishing on the surface roughness, microhardness and microleakage of a microfilled (Filtek A110) and a hybrid (Filtek Z250) resin composite. Standardized preparations were made on the buccal surfaces of 256 bovine teeth; half were restored with each composite (128 teeth per composite). Immediately after curing, gross finishing was carried out with #280 sandpaper. The specimens restored with each composite were divided into two subgroups. The first group (IM) was polished immediately after gross finishing, using three different systems (n=16): Sequence A, Sof-Lex; Sequence B, Flexicups and Sequence C, Flexicups + Jiffy Polishing Brush + Flexibuffs. The specimens were then stored for three weeks in saline 37 degrees C. The second group (DE) was stored for two weeks, then polished with the same systems and stored for one additional week. The controls (n=16) were analyzed without polishing. Five readings per specimen were taken for surface roughness and hardness. After immersion in basic fuchsin, microleakage was evaluated (40x) using standardized scores. The data were analyzed at a significance level of 0.05, with analysis of variance and an SNK test (surface roughness and microhardness) or with Kruskal-Wallis (microleakage). In both composites, only for the sequential technique was there an influence of delay in polishing on roughness (Ra). Flexicups exhibited the highest Ra of the three systems. The IM and Filtek Z-250 groups showed higher hardness than the DE and Filtek A-110 groups, respectively. Dentin margins showed more leakage than enamel margins; the sequential technique produced more leakage than the other techniques in dentin (p<0.05) and delay of polishing was not significant in the majority of situations. In conclusion, several conditions--composite, time and polishing technique--had a significant influence on surface roughness, hardness and microleakage. Generally, immediate polishing produced no detrimental effect compared to delayed polishing.
This study examined the effect of 10 and 35% carbamide peroxide bleaching agents on the surface roughness of enamel, feldspathic porcelain, and microfilled and microhybrid composite resins. Standardized cylindrical specimens were prepared for restorative materials. Enamel samples were obtained from buccal and lingual surfaces of human molars. Samples from each substrate were divided in three subgroups (n=10), according to surface treatment: distilled water (control), and 10 and 35% carbamide peroxide. The 10% agent was applied 3 h daily and the 35% agent was applied for 30 min/week, at 37 degrees C, during 21 days. Control samples remained stored in distilled water, at 37 degrees C. Roughness measurements (Ra, microm) were made at 24 h and repeated after 7, 14 and 21 days of exposure. Data were analyzed using ANOVA (split-plot design) and Tukey's test (5% significance level). Samples from control groups showed no significant alteration during all test periods, while for exposure to 10% agent, only the porcelain presented a rougher surface after 21 days (p<0.05). For the 35% product, roughness means significantly increased during the first and second weeks for enamel (p<0.05), and after 21 days for porcelain (p<0.05) and for the microhybrid composite (p<0.05). Microfilled samples showed no significant alteration throughout the 21-day period, regardless of the surface treatment.
Within the limitations of this study, the cements tested had different mechanical properties, while cuspid coverage did not result in improved fracture resistance of the restored teeth.
The fracture resistance of ceramic restorations is associated with the quantity of the dental structure removed. In relation to the fracture resistance, preference should be given to inlay restorations rather than to onlays; however, no restorative technique was able to attain the fracture resistance of intact teeth. SUMMARYThis in vitro study evaluated the fracture resistance of teeth restored with different designs of partial ceramic restorations using two diameters of steel ball to apply fracture stresses. One hundred and twenty sound maxillary premolars were randomly divided into three groups of 40 elements; each group was submitted to one of three indirect restoration designs: inlay, onlay with only lingual cuspal coverage and onlay with buccal and palatal cuspal coverage. Another 20 intact teeth were randomly assigned as control groups. The restorations were produced with Super Porcelain EX-3 and Vitadur Alpha ceramics and luted according to manufacturers' instructions. The specimens were subjected to compressive axial loading in a universal testing machine at 0.5 mm/minute using two steel balls (3 and 10 mm in diameter), evaluating a total of 14 groups with 10 specimens each. Peak load to fracture was measured for each specimen. The results were submitted to analysis of variance and Tukey's test. Statistical analysis revealed that the inlays showed a significantly higher fracture resistance than both onlay designs, but with fracture resistance lower than that of intact teeth. Onlay fracture strength was equivalent for both designs. The force required to cause fracture with the 10-mm diameter ball was greater than with the 3-mm diameter ball. There were no differences between the tested ceramics.
©Operative Dentistry, 2008, 33-1, 37-43 SUMMARYThis in vitro study evaluated the effect of technique, use of a bevel and thermal cycling on the fracture resistance and gap formation of resin composite MOD restorations. Fracture resistance was measured on standard MOD cavities prepared in 100 upper premolars that were stored for 24 hours and 6 months with 1000 thermal cycles. Subgroups (n=10) were: beveled or nonbeveled preparations and direct restorations (Adper Single Bond/Filtek Z250) and indirect restorations (prepolymerized Filtek Z250 cemented with Rely X ARC). Ten sound teeth and 10 specimens with MOD preparations without restorations served as the positive and negative controls, respectively. The specimens were subjected to axial compression in a universal testing machine at a crosshead speed of 0.5 mm/minute. Failure patterns were analyzed by stereomicroscopy (40x). To evaluate gap presence or absence, proximal box cavities were prepared in 24 human third molars that were restored as described above. The specimens were evaluated under SEM examination after 24 hours and six months. Data were statistically analyzed by ANOVA and multiple comparison tests at the 0.05 level of significance. After 24 hours, the beveled restorations exhibited higher fracture strength values than the non-beveled restorations, and all groups FH Coelho-de-Souza • GB Camacho FF Demarco • JM Powers Clinical RelevanceBeveling of the cavosurface margin can improve resistance to fracture and the marginal adaptation of posterior composite restorations, reducing the deleterious effect of storage with thermal cycling on restoration quality. Generally, indirect restorations showed similar performance compared to direct restorations.
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