To produce prostheses through the digital flow, it is essential to transfer the correct patient’s interocclusal relationship to the digital software program, enabling the articulation of virtual models. Therefore, the aim of this study was to carry out a narrative literature review to describe and discuss aspects related to the virtual occlusal record realization, as well as its precision and accuracy in different clinical situations. Searches for scientific publications were performed in different databases and only articles in English related to the topic were selected. Different methods for the alignment of virtual models are described in the literature, the main one being the scanning of the patient in occlusion, usually in a position of maximum intercuspation. However, this technique may demonstrate disagreement with the patient's actual occlusal relationship due to several factors, and therefore studies were carried out to verify the precision and accuracy of these records. Most studies use plaster models and industrial scanner to capture the record, with few studies performed with intraoral scanner in patients. Despite the various scanner systems available and the different ways of evaluating them, in general, the studies show an adequate precision and accuracy of virtual occlusal records of dentate models. However, the absence of dental elements is related to the lower accuracy of these records, it being necessary to establish an appropriate method of scanning for these clinical situations.
In this study evaluated the effect of different adhesive systems and resin composites on the microtensile bond strength of repairs using a bulk-fill composite. Ninety specimens were prepared using a half-hourglass mold of composite Filtek Bulk Fill using a silicone matrix. Specimens were randomly distributed in 9 experimental groups (n=10) according to adhesive [Universal Single Bond (SBU), Scotchbond Multipurpose Adhesive (SBMP), and Single Bond 2 (SB2)] and resin composite (Filtek Bulk Fill, Aura Bulk Fill, and Filtek Z250). For control group, hourglass specimens were used to measure the ultimate bond strength. Specimens were submitted to thermal cycling (5,000 cycles, 5 and 55°C, 30s) to simulate the aging of restoration and then the repair procedure was performed. After the diamond-tipped surface roughening to be repaired, the adhesive protocol was performed according to group, the specimen was placed in an hourglass-shaped mold and the other half was filled with the repair composite. After 24h, bond strength of specimens was obtained by microtensile using a universal testing machine at a speed of 0.5mm/min. Data were statistically analyzed by two-way ANOVA, Tukey’s and Dunnett’s tests (α=0.05). SBU showed higher bond strength compared to SB2, while SBMP showed intermediate values. However, all experimental groups showed lower bond strength compared to ultimate bond strength. In conclusion, bulk-fill composite repair using universal or conventional solvent-free adhesive improved the adhesion independent of composite tested.
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