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Master's Dissertation
DOI
https://doi.org/10.11606/D.58.2021.tde-01122022-180242
Document
Author
Full name
Larissa Oliveira Dantas
Institute/School/College
Knowledge Area
Date of Defense
Published
Ribeirão Preto, 2021
Supervisor
Committee
Vansan, Luiz Pascoal (President)
Arruda, Marcos Pôrto de
Dibb, Regina Guenka Palma
Ferraz, José Antonio Brufato
Title in Portuguese
Análise da resistência de união (RU) do cimento Ah Plus utilizado na obturação de dentes submetidos a diferentes protocolos de irrigação
Keywords in Portuguese
Cimento Ah Plus
Microscopia confocal de varredura a laser
Push-out
Resistência de união
Soluções irrigantes
Abstract in Portuguese
A ação dos instrumentos nas paredes dos canais radiculares na terapia endodôntica propicia a formação da camada de smear, proveniente da instrumentação, composta por remanescentes orgânicos e inorgânicos com possibilidade de conter bactérias e subprodutos bacterianos. Esta camada deve ser removida pela ação física e química das soluções irrigadoras, fato este determinante na escolha de uma solução que apresente um comportamento saponificante, bactericida, clareador e detergente. Entretanto, também a incompleta remoção das substâncias auxiliares pode interferir no sucesso do tratamento endodôntico. Este fato motivou a realização deste estudo com o propósito de analisar o comportamento das substâncias auxiliares em relação à resistência de união (RU) do cimento AH Plus com as paredes dentinárias. Foram então selecionados 50 caninos humanos, provenientes do Banco de Dentes da Faculdade de Odontologia de Ribeirão Preto - USP, e distribuídos em 5 grupos: (G1)- Água controle; G2- Clorexidina Aquosa 2%; G3- Clorexidina gel 2%; G4-NaOCl 2,5% EDTA Final; (G5)- Irrigação alternada de NaOCl 2,5% e EDTA 17%. Os dentes foram seccionados na porção cervical, com a finalidade de padronizar as raízes com comprimento de 16mm. Foi realizada de maneira aleatória a divisão dos grupos supracitados com 10 elementos (n=10). Os espécimes foram submetidos ao preparo biomecânico, com variações apenas no emprego das soluções auxiliares em função da irrigação/aspiração/inundação. Finalizado o preparo biomecânico, após a irrigação/aspiração final e secagem com cones de papel absorvente, foi realizada a obturação. Após a obtenção dos slices nos terços, cervical, médio e apical, foi realizado o push-out para a obtenção dos valores da força necessária para promover o deslocamento do material obturador. Observou-se que os espécimes irrigados com água destilada - Controle (G1), Clorexidina gel 2% (G2) e Clorexidina aquosa 2% (G3) foram as soluções auxiliares que apresentaram menores valores de Resistência de União quando comparados ao NaOCl 2,5% com inundação final de EDTA 17% (G4) e NaOCl 2,5% intercalado com EDTA 17% e inundação final com EDTA 17% (G5), que obtiveram melhores resultados. Quanto aos terços foram visualizadas ocorrências de falha adesiva em maior porcentagem na porção apical independente do grupo. Na análise da interface cimento/dentina pela Microscopia Confocal de Varredura a Laser, observou-se maior desadaptação nos espécimes submetidos à irrigação com água destilada (G1), Clorexidina gel 2% (G2) e Clorexidina aquosa 2% (G3) e melhor adaptação quando do uso das soluções de NaOCl 2,5% + inundação final (G4) e NaOCl 2,5 intercalado com EDTA 17% com inundação final EDTA 17% (G5), que vem corroborar os resultados do push-out. Concluiu-se que o protocolo de irrigação com maior resistência de união do cimento resinoso AH Plus utilizado foi o grupo irrigado com NaOCl 2,5% intercalado com EDTA 17% e inundação final EDTA 17% (G5).
Title in English
Analysis of bond strength of Ah Plus cement used in filling teeth submitted to different irrigation protocols
Keywords in English
Ah Plus cement
Bond strength
Confocal laser scanning microscopy
Irrigation solutions
Push-out
Abstract in English
The action of the instruments on the walls of the root canals in endodontic therapy promotes the formation of the smear layer, originating from the instrumentation, composed of organic and inorganic remnants with the possibility of containing bacteria and bacterial products. This layer must be removed by the physical and chemical action of the irrigating solutions, a fact that determines the choice of a solution that presents a saponifying, bactericidal, bleaching and detergent behavior. However, incomplete removal of auxiliary substances can also interfere with the success of endodontic treatment. This fact motivated this study in order to analyze the behavior of auxiliary substances in relation to the bond strength of the AH Plus cement with the dentin walls. Fifty human canines were then selected, from the Dental Bank of the Faculty of Dentistry of Ribeirão Preto - USP, and distributed into 5 groups: (G1)- Control water; G2- Aqueous Chlorhexidine 2%; G3-Chlorhexidine gel 2%; Final G4-NaOCl 2.5% EDTA; (G5)- Alternating irrigation of 2.5% NaOCl and 17% EDTA. The teeth were sectioned in the cervical portion, in order to standardize the roots with a length of 16mm. The division of the aforementioned groups with 10 elements (n=10) was performed randomly. The specimens were submitted to biomechanical preparation, with variations only in the use of auxiliary solutions as a function of irrigation/aspiration/flood. Once the biomechanical preparation was completed, after final irrigation/aspiration and drying with absorbent paper cones, the filling was performed. After obtaining the slices in the cervical, middle and apical thirds, a push-out was performed to obtain the values of the force necessary to promote the displacement of the filling material. It was observed that the specimens irrigated with distilled water - Control (G1), Chlorhexidine gel 2% (G2) and Chlorhexidine aqueous 2% (G3) were the auxiliary solutions that presented lower Bond Strength values when compared to NaOCl 2.5 % with final flooding of 17% EDTA (G4) and 2.5% NaOCl interspersed with 17% EDTA and final flooding with 17% EDTA (G5), which obtained better results. As for the thirds, occurrences of adhesive failure were seen in a higher percentage in the apical portion, regardless of the group. In the analysis of the cement/dentin interface by Confocal Laser Scanning Microscopy, greater maladjustment was observed in specimens subjected to irrigation with distilled water (G1), Chlorhexidine gel 2% (G2) and Chlorhexidine aqueous 2% (G3) and better adaptation when using the solutions of 2.5% NaOCl + final flooding (G4) and NaOCl 2.5 interspersed with 17% EDTA with 17% EDTA final flooding (G5), which corroborates the push-out results. It was concluded that the irrigation protocol with the highest bond strength of the AH Plus resin cement used was the group irrigated with 2.5% NaOCl interspersed with 17% EDTA and final flooding 17% EDTA (G5).
 
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Publishing Date
2022-12-06
 
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