Influência da estabilidade de cor, rugosidade superficial e resistência de união em diferentes materiais restauradores CAD/CAM
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Data
2019-03-29
Autores
Lorenzetti, Camila Cruz [UNESP]
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Editor
Universidade Estadual Paulista (Unesp)
Resumo
Com o avanço dos materiais cerâmicos e dos sistemas adesivos, aliados a alta exigência estética dos pacientes, restaurações cerâmicas têm sido cada vez mais utilizadas clinicamente. Restaurações cerâmicas realizadas pelo CAD/CAM aliam alta tecnologia com praticidade, especialmente os blocos que não requerem fase de cristalização em forno, obtendo resultados satisfatórios em curto tempo. Este estudo teve como objetivo avaliar a estabilidade de cor, rugosidade superficial e resistência de união de diferentes materiais restauradores do sistema CAD/CAM e uma resina composta. Foram utilizados os blocos cerâmicos na cor A2: Celtra Duo- ZL (Dentsply/Sirona), Enamic – HC (Vita), Lava Ultimate – NC (3M) e Resina Composta Filtek Z350XT- CR (3M). Para os estudos 1 e 2, foram realizados 2 tipos de procedimentos de polimento: borrachas Ceramisté – Standard, Ultra e Ultra II (Shofu); borrachas Ceramisté + pasta porcelize (Cosmedent) + discos de feltro Flexibuff (Cosmedent) e posteriormente realizadas imersões em saliva artificial(S1), café(2) e coca-cola(3). Espécimes para cada grupo (n=10), foram imersos em cada solução armazenada em estufa a 37ºC por 60 dias. As leituras de cor (E) foram realizadas nos tempos inicial, 30 dias, 60 dias e repolimento. As leituras de rugosidade superficial (Ra) foram realizadas inicialmente antes das imersões, após 30 dias e após 60 dias de imersão. Estudo 3 avaliou diferentes técnicas de adesão (acido fluorídrico+silano+adesivo; acido fluorídrico+adesivo universal; jateamento sílica+silano+adesivo; jateamento sílica+adesivo universal). Os estudos 1 e 2 apresentaram resultados semelhantes nos quais a solução S2 apresentou os maiores valores de Ra e E, não apresentando diferença significativa entre os sistemas de polimento. No estudo 3 mostrou que aplicação da sílica para os grupos ZL e HC diminuíram os valores de resistência de união, aumentando para os NC e CR. O uso do silano como passo separado não mostrou diferença do silano utilizado junto ao adesivo universal.
Considering the advancement of ceramic materials and adhesive systems, allied to the high esthetic requirement of patients, ceramic restorations have been increasingly used clinically. Ceramic restorations performed by CAD / CAM combine high technology with practicality, especially the blocks that do not require crystallization phase in the oven, obtaining satisfactory results in a short time. This study aimed to evaluate the color stability, surface roughness and bond strength of different CAD / CAM system restorative materials and a composite resin. The ceramic blocks in the A2 color were: Celtra Duo- ZL (Dentsply / Sirona), Enamic-HC (Vita), Lava Ultimate-NC (3M) and Filtek Z350XTCR (3M) Composite Resin. For studies 1 and 2, two types of polishing procedures were performed: Ceramisté - Standard, Ultra and Ultra II rubbers (Shofu); Ceramisté rubbers + paste porcelain (Cosmedent) + Flexibuff felt discs (Cosmedent) and subsequently immersed in artificial saliva (S1), coffee (2) and coke (3). Specimens for each group (n = 10) were immersed in each solution stored in an oven at 37ºC for 60 days. Color readings (E) were performed at the initial, 30 days, 60 days and repolder times. Surface roughness readings (Ra) were performed before immersion, after 30 days and after 60 days of immersion. Study 3 evaluated different adhesion techniques (hydrofluoric acid + silane + adhesive, hydrofluoric acid + universal adhesive, silica sandblasting + silane + adhesive, silica sandblasting + universal adhesive). Studies 1 and 2 presented similar results in which the solution S2 presented the highest values of Ra and E, showing no significant difference between the polishing systems. In study 3 it was shown that silica application to the ZL and HC groups decreased the bond strength values, increasing for NC and CR. The use of the silane as a separate step showed no difference in the silane used with the universal adhesive.
Considering the advancement of ceramic materials and adhesive systems, allied to the high esthetic requirement of patients, ceramic restorations have been increasingly used clinically. Ceramic restorations performed by CAD / CAM combine high technology with practicality, especially the blocks that do not require crystallization phase in the oven, obtaining satisfactory results in a short time. This study aimed to evaluate the color stability, surface roughness and bond strength of different CAD / CAM system restorative materials and a composite resin. The ceramic blocks in the A2 color were: Celtra Duo- ZL (Dentsply / Sirona), Enamic-HC (Vita), Lava Ultimate-NC (3M) and Filtek Z350XTCR (3M) Composite Resin. For studies 1 and 2, two types of polishing procedures were performed: Ceramisté - Standard, Ultra and Ultra II rubbers (Shofu); Ceramisté rubbers + paste porcelain (Cosmedent) + Flexibuff felt discs (Cosmedent) and subsequently immersed in artificial saliva (S1), coffee (2) and coke (3). Specimens for each group (n = 10) were immersed in each solution stored in an oven at 37ºC for 60 days. Color readings (E) were performed at the initial, 30 days, 60 days and repolder times. Surface roughness readings (Ra) were performed before immersion, after 30 days and after 60 days of immersion. Study 3 evaluated different adhesion techniques (hydrofluoric acid + silane + adhesive, hydrofluoric acid + universal adhesive, silica sandblasting + silane + adhesive, silica sandblasting + universal adhesive). Studies 1 and 2 presented similar results in which the solution S2 presented the highest values of Ra and E, showing no significant difference between the polishing systems. In study 3 it was shown that silica application to the ZL and HC groups decreased the bond strength values, increasing for NC and CR. The use of the silane as a separate step showed no difference in the silane used with the universal adhesive.
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Palavras-chave
Ceramica, Materiais dentários, Polimento, Cor, Reparação de restauração dentária, Ceramic, Dental materials, Polishing, Color, Repair dental restoration