"Estudo da influência de instrumentos e técnicas alternativas de preparo cavitário na resistência de união de sistema adesivos à dentina" / Study of the influence of alternative tools and techniques of cavity preparation on teh bond strength of adhesive system to dentin

AUTOR(ES)
DATA DE PUBLICAÇÃO

2007

RESUMO

The current trend toward minimal invasive dentistry has introduced alternative cavity preparation techniques. However, these technologies should not only fulfill the requirements of a conservative philosophy, but also prepare the cavity walls for the subsequent bonding restoration. The purpose of this study was to assess the null hypotheses that: (1) both conventional and alternative cavity preparation techniques are equally receptive to adhesion; and (2) bonding effectiveness of mild adhesives is not influenced by smear layer (SL) interposition. Eighty sound human molars were divided into 20 groups according to adhesive and cavity preparation technique. Flat mid-occlusal dentin surfaces were prepared with regular diamond bur (DB), scalpel blade (SB), CVDentus bur in high speed turbine (CB), CVDentus tip in ultrasound (CT), and Er,Cr:YSGG laser (L). One etch-and-rinse (Optibond FL (OB)) and three self-etch systems (Adper Prompt L-Pop (AP), Clearfil SE Bond (SE) and Clearfil S3 Bond (3S)) were employed. Specimens were built up with Z100/3M ESPE composite. The microtensile bond strength was determined after 24h of storage in water at 37oC. Additional samples were processed for SEM analysis on morphological aspects in each situation. Kruskal-Wallis test (p<0,05) determined that groups prepared with CB, CT and L presented lower ?TBS values than the control groups (DB and SB), and that adhesives with lower acidity (SE and 3S) were more effective when applied on fractured surfaces (SB). It was concluded that the use of alternative techniques for cavity preparation caused damages to dentin surface, compromising the adhesion to this substrate. Moreover, the bonding effectiveness of mild adhesives was improved by SL absence.

ASSUNTO(S)

lasers tensile stregth lasers ultrasonics adhesives camada de esfregaço adesivos microscopia eletrônica de varredura resistência à tração ultra-som scanning electron microscopy smear layer

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