Andrea Nóbrega Cavalcanti

Bio: Andrea Nóbrega Cavalcanti is an academic researcher from Federal University of Bahia. The author has contributed to research in topics: Bond strength & Dentin. The author has an hindex of 18, co-authored 81 publications receiving 1281 citations. Previous affiliations of Andrea Nóbrega Cavalcanti include State University of Campinas & Escola Bahiana de Medicina e Saúde Pública.

Bond Strength of Resin Cements to a Zirconia Ceramic with Different Surface Treatments

Abstract: This study evaluated the influence of surface treatments and metal primers on the bond strength of resin cements to a yttrium-stabilized tetragonal zirconia (Y-TZP) ceramic. Two-hundred and forty plates of Y-TZP ceramic were randomly assigned to 24 groups (n = 10) according to the combination of surface treatment (none, air abrasion with Al2O3 particles, Er:YAG laser irradiation), metal primer (none, Alloy Primer, Metal Primer II or Metaltite) and resin cement (Calibra [Bis-GMA-based] or Panavia F2.0 [MDP-based]). Fragments of dentin with a cylindrical edge (0.8 mm in diameter) were fixed to ceramic surfaces with the resin cements. The micro-shear bond test was carried out at a 1 mm/minute speed until failure, and the ceramic surfaces were examined after debonding. Bond strengths were analyzed through three-way ANOVA/Tukey test with a 5% significance level. Changes in topography after surface treatments were evaluated with scanning electron microscopy. Surface treatments significantly modified the topography of the Y-TZP ceramic. Air abrasion resulted in increased bond strength for both resin cements. However, air abraded and laser irradiated specimens presented higher bond strength with the Bis-GMA-based resin cement than with the MDP-based cement. Both cements presented similar behavior on untreated surfaces. The three metal primers yielded a significant increase in bond strength, regardless of the surface treatment and resin cement. Adhesive failures were the most prevalent. Air abrasion with Al2O3 particles and the application of metal primers increased bond strength to Y-TZP surfaces for both resin cements.

Evaluation of the Surface Roughness and Morphologic Features of Y-TZP Ceramics after Different Surface Treatments

Abstract: Objective: This study aimed to investigate the effect of different energy intensities of the Er:YAG laser and of air abrasion with Al2O3 particles on the surface roughness and morphologic ...

Durability of Resin Cement Bond to Aluminium Oxide and Zirconia Ceramics after Air Abrasion and Laser Treatment

Abstract: Purpose: The erbium laser has been introduced for cutting enamel and dentin and may have an application in the surface modification of high-strength aluminum oxide and zirconia ceramics. The aim of this study was to evaluate the durability of the bond of conventional dual-cured resin cements to Procera Al2O3 and zirconium oxide ceramics after surface treatment with air abrasion and erbium laser. Materials and Methods: One hundred twenty Al2O3 and 120 zirconia specimens measuring 3 × 3 × 0.7 mm3 were divided equally into three groups, and their surfaces treated as follows: either untreated (controls), air abraded with Al2O3 particles, or erbium-laser-treated at a power setting of 200 mJ. The surface of each specimen was then primed and bonded with one of two dual-cured resin cements (either SCP-100 Ceramic Primer and NAC-100 or Monobond S and Variolink II) using a 1-mm thick Tygon tube mold with a 0.75-mm internal bore diameter. After 24 hours and 6 months of water storage at 37°C, a microshear bond strength test was performed at a crosshead speed of 1 mm/min. Surface morphology was examined using a confocal microscope, and failure modes were observed using an optical microscope. The data were analyzed using the Kaplan-Meier nonparametric survival analysis. Results: In the case of zirconia, air abrasion and Erbium:yttrium-aluminum-garnet (Er:YAG) laser treatment of the ceramic surface resulted in a significant reduction in the bond strengths of both resin cements after 6 months water storage; however, when the zirconia surface was left untreated, the SCP-100/NAC-100 group did not significantly reduce in bond strength. In the case of alumina, no treatment, air abrasion and Er:YAG laser treatment of the surface led to no significant reduction in the bond strengths of the three SCP-100/NAC-100 groups after 6 months water storage, whereas all three Monobond S/Variolink II groups showed a significant reduction. Conclusion: Er:YAG laser treatment of the zirconia surface did not result in a durable resin cement/ceramic bond; however, a durable bond between a conventional dual-cured resin cement and Procera All Ceram and Procera All Zirkon was formed using a ceramic primer containing the phosphate monomer, MDP, without any additional surface treatment.

Effect of surface treatments and bonding agents on the bond strength of repaired composites.

Abstract: Statement of the Problem: An adequate repair procedure depends on high bond strength between the existing composite and the new composite. Purpose: To evaluate the effect of surface treatments and bonding procedures on the bond strength of repairs performed 24 hours after composite polymerization. Materials and Methods: Composite specimens were stored in distilled water at 37°C for 24 hours. Specimens were allocated into 12 groups (N=10) according to the combination of surface treatment (none, air abrasion, diamond bur) and bonding procedure (none, Single Bond after H3PO4 cleansing, Clearfil SE Bond after H3PO4 cleansing, Clearfil SE Bond without H3PO4 cleansing). The ultimate tensile strength (UTS) of the composite was tested in nonrepaired specimens. Twenty-four hours after repair, specimens were sectioned into three slabs and trimmed to an hourglass shape (1 mm2 area). Slabs were tested under tension and mean bond strengths analyzed with two-way analysis of variance/Tukey and Dunnett tests (α=5%). Results: Two groups resulted in repair bond strengths similar to composite UTS: air abrasion combined with Clearfil SE Bond after H3PO4 cleansing, and air abrasion combined with Clearfil SE Bond without H3PO4 cleansing. Combinations of surface treatments and bonding procedures were not statistically different. Conclusions: When repair procedure was performed 24 hours after composite polymerization, different combinations of surface treatments and bonding procedures affected repair bond strength similarly. There was no statistical difference between the repair bond strength of groups air-abraded and bonded with the self-etching system and composite UTS. CLINICAL SIGNIFICANCE Only air abrasion associated with a self-etching system provided repair bond strength comparable to composite UTS.

Y-TZP ceramics: key concepts for clinical application.

Abstract: Clinical Relevance The description of the chief characteristics of Y-TZP ceramics provides a background for its clinical application. Both the improved mechanical properties and the lower bonding a...

Dye Sensitizers for Photodynamic Therapy.

Abstract: Photofrin® was first approved in the 1990s as a sensitizer for use in treating cancer via photodynamic therapy (PDT). Since then a wide variety of dye sensitizers have been developed and a few have been approved for PDT treatment of skin and organ cancers and skin diseases such as acne vulgaris. Porphyrinoid derivatives and precursors have been the most successful in producing requisite singlet oxygen, with Photofrin® still remaining the most efficient sensitizer (quantum yield = 0.89) and having broad food and drug administration (FDA) approval for treatment of multiple cancer types. Other porphyrinoid compounds that have received approval from US FDA and regulatory authorities in other countries include benzoporphyrin derivative monoacid ring A (BPD-MA), meta-tetra(hydroxyphenyl)chlorin (m-THPC), N-aspartyl chlorin e6 (NPe6), and precursors to endogenous protoporphyrin IX (PpIX): 1,5-aminolevulinic acid (ALA), methyl aminolevulinate (MAL), hexaminolevulinate (HAL). Although no non-porphyrin sensitizer has been approved for PDT applications, a small number of anthraquinone, phenothiazine, xanthene, cyanine, and curcuminoid sensitizers are under consideration and some are being evaluated in clinical trials. This review focuses on the nature of PDT, dye sensitizers that have been approved for use in PDT, and compounds that have entered or completed clinical trials as PDT sensitizers.

How much do resin-based dental materials release? A meta-analytical approach (vol 27 pg 723, 2011)

Abstract: OBJECTIVES Resin-based dental materials are not inert in the oral environment, and may release components, initially due to incomplete polymerization, and later due to degradation. Since there are concerns regarding potential toxicity, more precise knowledge of the actual quantity of released eluates is necessary. However, due to a great variety in analytical methodology employed in different studies and in the presentation of the results, it is still unclear to which quantities of components a patient may be exposed. The objective of this meta-analytical study was to review the literature on the short- and long-term release of components from resin-based dental materials, and to determine how much (order of magnitude) of those components may leach out in the oral cavity. METHODS Out of an initial set of 71 studies, 22 were included. In spite of the large statistical incertitude due to the great variety in methodology and lack of complete information (detection limits were seldom mentioned), a meta-analytical mean for the evaluated eluates was calculated. To relate the amount of potentially released material components with the size of restorations, the mean size of standard composite restorations was estimated using a 3D graphical program. RESULTS While the release of monomers was analyzed in many studies, that of additives, such as initiators, inhibitors and stabilizers, was seldom investigated. Significantly more components were found to be released in organic than in water-based media. Resin-based dental materials might account for the total burden of orally ingested bisphenol A, but they may release even higher amounts of monomers, such as HEMA, TEGDMA, BisGMA and UDMA. Compared to these monomers, similar or even higher amounts of additives may elute, even though composites generally only contain very small amounts of additives. A positive correlation was found between the total quantity of released eluates and the volume of extraction solution. SIGNIFICANCE There is a clear need for more accurate and standardized analytical research to determine the long-term release from resin-based materials. Several guidelines for standardization are proposed.