Resistencia adhesiva y tipo de falla en esmalte de zirconio de IV generación y disilicato de litio

dc.contributor.advisorUlloa Beltrán, Viviana
dc.contributor.advisorRivera Barrero, Jaime Rodrigo
dc.contributor.advisorDíaz Báez, David
dc.contributor.authorGonzález Ribeiro, Andrea Judite
dc.contributor.authorPérez Cañete, Mónica
dc.date.accessioned2022-06-30T22:38:25Z
dc.date.available2022-06-30T22:38:25Z
dc.date.issued2022
dc.description.abstractEn los últimos años, el zirconio ha sufrido muchos cambios en su estructura y composición para aumentar su translucidez sin sacrificar su resistencia a la fractura, ampliando así su indicación clínica. Así, la zirconia translúcida ha sido considerada como un material estético, ya que, ofrece indicaciones para la realización de restauraciones posteriores y anteriores, incluyendo carillas. La principal dificultad asociada con el óxido de zirconio translúcido es la de situaciones con poca retención mecánica de la preparación, ya que la zirconia policristalina es químicamente inerte y no puede ser grabada por el ácido fluorhídrico , lo que implica una adhesión menos eficaz en comparación con las cerámicas a base de sílice. Actualmente existen distintos protocolos para tratar la superficie del zirconio y mejorar su resistencia adhesiva. El objetivo de este estudio fue comparar la resistencia adhesiva y el tipo de falla en esmalte del zirconio de IV con respecto al disilicato de litio. En este estudio experimental in vitro se usó una muestra probabilística de 30 muestras, los cuales se distribuyeron en 2 grupos; grupo 1: cubos de zirconio de IV generación cementado a esmalte mediante la técnica APC; Grupo 2: cubos de disilicato de litio cementado a esmalte mediante las indicaciones del fabricante .Se realizó un envejecimiento por almacenamiento a una temperatura constante de 37 °C durante 2 semanas para realizar posteriormente el análisis de pruebas mecánicas en un dispositivo universal de fuerzas. La carga se aplicó hasta que la cerámica se desalojó mediante el test de shear bond strength. Se evaluó el tipo de falla en estereomicroscopio y se determinó el protocolo de acuerdo a la interface. Se utilizó la prueba no paramétrica de U de Mann Whitney posterior al resultado de la prueba de normalidad de “Shapiro- Wilk” (p= 0.036 en el grupo Zirconio y p=0.579 en el grupo de disilicato de litio). Con respecto a la comparación del tipo de falla se usó para el análisis el test estadístico de Chi cuadrado de Pearson y test exacto de Fisher. Existen diferencias significativas en la resistencia adhesiva del zirconio de cuarta generación y el disilicato de litio, presentando resultados superiores. En la mayoría de los especímenes en los que se utilizó zirconio se presentaron tipos de fallas adhesivas al sustrato y falla cohesiva en el cementante. Palabras clave: zirconio, disilicato de litio, fuerza adhesiva, esmalte, cementación.spa
dc.description.abstractenglishIn recent years zirconium has undergone many changes in its structure and composition to increase translucency without sacrificing resistance to fracture, thus expanding its clinical indication. Thus, translucent zirconia has been considered as an aesthetic material, as it offers indications for posterior and anterior restorations, including veneers. The main difficulties associated with translucent zirconium oxide are situations of poor mechanical retention of the preparation, because polycrystalline zirconia is chemically inert and cannot be etched by hydrofluoric acid, thus resulting in less effective adhesion compared to silica-based ceramics. Currently, there are different protocols to treat zirconium surfaces and to improve their adhesive strength. The objective of this study was to compare adhesive strength and type of failure of 4th-generation zirconium enamel versus lithium disilicate. This experimental in vitro study used a probabilistic sample of 30 specimens distributed in 2 groups: Group 1: 4th-generation zirconium cubes cemented to enamel using APC technique; Group 2: Lithium disilicate cubes cemented to enamel following the manufacturer’s directions. Aging was obtained by storage at constant temperature (37°C)for 2 weeks followed by analysis of mechanical assays with a universal force device. Load was applied until the ceramic was dislodged using the shear bond strength test. The type of failure was assessed under the stereomicroscope and the protocol was determined according to the interface. A non-parametric Mann Whitney U test was used after the result of the “Shapiro-Wilk” normality test (p=0.036 in the zirconium group, and p=0.579 in the lithium disilicate group). Pearson's chi-square statistical test and Fisher's exact test were used for the comparative analysis of the type of failure. There were significant differences in adhesive strength between the two materials, with 4th-generation zirconium being superior to lithium disilicate. Most zirconium specimens showed failure of adhesion to the substrate and failure of cohesion in the cementing material. Keywords: Zirconium, lithium disilicate, adhesive strength, enamel, cementation.eng
dc.description.degreelevelEspecializaciónspa
dc.description.degreenameEspecialista en Operatoria Dental Estética y Materiales Dentalesspa
dc.format.mimetypeapplication/pdf
dc.identifier.instnameinstname:Universidad El Bosquespa
dc.identifier.reponamereponame:Repositorio Institucional Universidad El Bosquespa
dc.identifier.repourlrepourl:https://repositorio.unbosque.edu.co
dc.identifier.urihttps://hdl.handle.net/20.500.12495/8102
dc.language.isospa
dc.publisher.facultyFacultad de Odontologíaspa
dc.publisher.grantorUniversidad El Bosquespa
dc.publisher.programEspecialización en Operatoria Dental Estética y Materiales Dentalesspa
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dc.rightsAtribución 4.0 Internacional*
dc.rights.accessrightsinfo:eu-repo/semantics/openAccess
dc.rights.accessrightshttps://purl.org/coar/access_right/c_abf2
dc.rights.localAcceso abiertospa
dc.rights.urihttps://creativecommons.org/licenses/by/4.0/*
dc.subjectZirconiospa
dc.subjectDisilicato de litiospa
dc.subjectFuerza adhesivaspa
dc.subjectEsmaltespa
dc.subjectCementaciónspa
dc.subject.keywordsZirconiumspa
dc.subject.keywordsLithium disilicatespa
dc.subject.keywordsAdhesive strengthspa
dc.subject.keywordsEnamelspa
dc.subject.keywordsCementationspa
dc.subject.nlmWU300
dc.titleResistencia adhesiva y tipo de falla en esmalte de zirconio de IV generación y disilicato de litiospa
dc.title.translatedAdhesive strength and type of failure in 4th generation zirconium and lithium disilicate enamelspa
dc.type.coarhttps://purl.org/coar/resource_type/c_7a1f
dc.type.coarversionhttps://purl.org/coar/version/c_970fb48d4fbd8a85
dc.type.driverinfo:eu-repo/semantics/bachelorThesis
dc.type.hasversioninfo:eu-repo/semantics/acceptedVersion
dc.type.localTesis/Trabajo de grado - Monografía - Pregradospa

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