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Validation of polymerization stress test through correlations with interfacial quality tests

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Author(s):
Letícia Cristina Cidreira Boaro
Total Authors: 1
Document type: Doctoral Thesis
Press: São Paulo.
Institution: Universidade de São Paulo (USP). Faculdade de Odontologia (FO/SDO)
Defense date:
Examining board members:
Roberto Ruggiero Braga; Marcelo Giannini; Walter Gomes Miranda Junior; Carmem Silvia Costa Pfeifer; Carlos José Soares
Advisor: Roberto Ruggiero Braga
Abstract

Aim: to validate the polymerization stress test through correlations with the results from different interfacial quality tests. Methods: Seven comercial composites were tested. Five composites based on BisGMA (Filtek Z250/3M ESPE - FZ, Heliomolar/Ivoclar Vivadent - HM, Aelite LS Posterior/Bisco - AE, Filtek Supreme/3M ESPE - SU, ELS/Saremco - EL), one based on urethane (Venus Diamond/Heraeus Kulzer - VD) and one silorane based (Filtek LS/3M ESPE - LS). Bond strenght was evaluated by push-out test. Bovine incisors received conical cavities with =3,5mm on buccal surface and =2,9mm on lingual surface (both free surfaces) and h=2,0 mm. The ratio of maximum force and the adhered area was used for bond strength calculation. For the microleakage test and gap formation analysis, bovine incisors received cylindrical cavities with =4 mm and h=1,5 mm. Epoxy resin replicas were obtained of the buccal surface of restorations, to analysis gap formation using scanning electron microscopy (SEM, 200x). After 24 hours storage in water at 37oC, specimens were submitted to the microaleakage protocol by AgNO3. After sectioned twice perpendicularly, microleakage was determined using stereomicroscope (60x). The cusp deformation (n=10) was analysed in standardized MOD cavities in human upper premolars using strain gagea. Polymerization stress (n=5) was determined by the insertion of the composite (h=1,5mm) between rods of poly(methyl methacrylate), PMMA, or glass (=4 mm). The ratio of the maximum force of contraction recorded and the cross-sectional area of the rod were used the calculate the nominal stress. Data were analysed using Kruskal-Wallis for microleakage and gaps, and ANOVA/Tukey for bond strength, deformation and stress (=5%). Pearson test was used to verify correlations between variables. Results: Bond strenght data varied from 4,7 to 7,9 MPa. Average microleakage data varied from 0,34 to 0,89 mm. Maximum microleakage data varied from 0,61 to 1,34 mm. Gap data varied from 13 to 47%. Cusp deformation data varied from 75,2 to 96,9 s for lingual cusp, and 58,5 to 66,8 s for buccal cusp, without significant statical difference among composites. Polymerization stress data varied from 2,5 to 4,4 MPa for PMMA, and 2,1 to 8,2 for glass. Correlation were observes between stress and interfacial quality tests only when the LS composite was removed from the analysis. These correlations were stronger when PMMA was used as bonding substrate. Conclusions: Within the limitations of this study, the stress developed when the PMMA is used as bonding substrate is a predictor of interfacial quality tests analyzed, in restorations using dimethacrylates based composites. (AU)