This study evaluated the stress distribution in five different class II cavities of premolar models restored with conventional or bulk-fill flowable composite by means of finite element analysis (FEA) under shrinkage and occlusal loading. An upper validated premolar model was imported in the software, and five class II cavities with different occlusal extensions and dimensions were prepared: horizontal cavity on the mesial surface (horizontal slot), mesio-occlusal cavity, mesial cavity (vertical slot), tunnel type cavity and direct access cavity. The models were restored with conventional or bulk-fill flowable resin composite. The tested materials were considered as homogeneous, linear, and isotropic. The Maximum Principal Stress criteria was chosen to evaluate the tensile stress results. The lowest shrinkage stress value was observed in the direct access cavity restored with bulk-fill flowable resin composite (36.12 MPa). The same cavity, restored with conventional composite showed a score of 36.14 MPa. The horizontal slot cavity with bulk-fill flowable showed a score of 46.71 MPa. The mesio-occlusal cavity with bulk-fill flowable had a score of 53.10 MPa, while with conventional composite this was 55.35 MPa. Higher shrinkage stress was found in the vertical slot cavity with conventional resin 56.14 MPa, followed by the same cavity with bulk-fill flowable 56.08 MPa. Results indicated that the use of bulk-fill flowable composite resin more significantly decreased the polymerization shrinkage stress magnitude. The larger the cavity and the volume of material necessary to restore the tooth, the greater the residual stress on enamel and dentin tissue.

The choice between 2 or 3 implants to support a 3-unit implant-supported fixed dental prosthesis (FDP) still generates doubt in clinical practice. The aim of this study was to evaluate stress distribution in 3-unit implant-supported FDPs according to the implant number and load direction. A numerical simulation was performed to analyze stress and strain according to the implant number (2 or 3) and load direction (axial or oblique). A model of a jaw was created by means of the modeling software Rhinoceros, v. 5.0 SR8. External hexagon implants, micro-conical abutments and screws were also modeled. The final geometries were exported to the computer-aided engineering (CAE) software Ansys, v. 17.2, and all materials were considered homogeneous, isotropic and elastic. Different load directions were applied for each model (300 N) at the center of the prosthesis. The von Mises stress and strain values were obtained for the titanium structures and the bone, respectively. The implant number influenced the prosthesis biomechanics, with higher stress and strain concentrations when 2 implants were simulated. The oblique load also affected the mechanical response, showing higher stress and strain in comparison with the axial load, regardless of the implant number. It was concluded that for a 3-unit implant-supported FDP, a greater number of implants associated with axial loads can result in a better mechanical response during chewing.

The objective of this study was to evaluate the bond strength of different stabilized zirconias with resin cement and evaluate the susceptibility to thermal aging of the adhesive interface. Zirconia discs (Vita Zahnfabrik, Bad Säckingen, Germany) were obtained: 3Y-TZP first generation (translucent), 3Y-TZP third generation (high-translucent), 4Y-PSZ (super-translucent), and 5Y-PSZ (extra-translucent). Each disc had its surface polished with a standardized protocol. The specimens were cleaned and sintered according to the manufacturer’s recommendation (conventionally: ~12 h). However, 3Y-TZP groups were subdivided into subgroups and sintered following the speed sintering process (~80 min). After their sintering shrinkage, the dimensions of the final discs were 12 mm × 2 mm. The specimens were blasted with 50 μm aluminum oxide (1 cm distance, 2 bar pressure, and 2 s/cm²), cleaned, and silanized with an MDP primer. After the surface treatment, a resin cement cylinder was built on the ceramic surface (Ø = 1 mm; h = 2 mm). Half of the specimens of each group were subjected to a microshear bond strength test in a universal testing machine after 24 h of cementation, while the other half were subjected to thermocycling prior to the bond strength test (6000 cycles; 5 °C–55 °C, 30 s for each bath). Bond strength data were submitted to two-way ANOVA and Tukey’s test (95%), as well as Weibull analysis, to determine adhesive reliability. Bond strength was statistically different among the materials, and only 3Y-TZP third generation and 4Y-PSZ were not affected by thermal aging. The speed sintering method was statistically similar to the conventional process for 3Y-TZP first generation. However, 3Y-TZP third generation showed higher immediate bond strength when speed sintered. The Weibull modulus was superior for conventional 3Y-TZP third generation and 4Y-PSZ. In this study, thermal aging caused a degradation of the adhesive interfaces of 3Y-TZP first generation and 5Y-PSZ with the resin cement; however, it did not affect the interfaces of 3Y-TZP third generation and 4Y-PSZ. The speed sintering method did not affect the long-term bond strength with the resin cement. Adhesive reliability was superior for 3Y-TZP third generation and 4Y-PSZ.

Objective: The aim of this study was to evaluate the pterygoid canal (PC) by Cone Beam Computed Tomography (CBCT), establishing its configuration and proximity with anatomical structures. Material and Methods: We evaluated 398 CBCT exams, all from a public University radiology clinic archive. Four parameters were evaluated: single or double PC, distance between PC and the inferior part of the sphenoid sinus (SS), ratio of PC and SS and the distance between the PC and the foramen rotundum. Results: It was observed that most of the PC of the sample presented simple morphology, the most frequent type of relationship between the PC and the SS on both sides was the close contact with the wall. Among the cases that there were some distances between the PC and the inferior wall of the SS, the mean of this distance did not exceed 3.20 mm, being the left side (3.03 mm) slightly closer than the right (3.20 mm). Finally, the distances between the PC and the corresponding Foramen Rotundum are presented with mean values of 5.87 mm for the right side and 6.31 mm for the left side. Conclusion: CBCT examination is of paramount importance for PC identification; once in the studied sample, the mean values found evidence the close relation between the PC and the SS. Keywords Cone beam computed tomography; Endonasal approach; Vidian canal.