Publications by authors named "Grace M de Souza"

Article Synopsis
  • The pilot study aimed to assess dental educators' knowledge and perceptions of relative value units (RVUs) and their potential benefits in dentistry.
  • A survey was conducted with 26 dental educators from various North American dental schools, revealing that those with prior experience were more likely to see RVUs as beneficial for practice management.
  • However, there was no agreement on the specific components for determining RVUs in dentistry, indicating a need for more comprehensive research in this area.
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Objective: To map the evidence regarding the clinical performance of posterior restorations with bulk-fill resin composites and identify research gaps.

Materials And Methods: This mapping review was conducted following PRISMA-ScR guidelines for scoping reviews, and its protocol was registered on the Open Science Framework platform. Systematic searches were conducted, considering studies published between 2013 and February 2024 in the PubMed, Embase, and Cochrane databases.

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Purpose: To evaluate the effect of cleaning solutions on surface properties of 3D-printed resins.

Materials And Methods: Seven different resin materials for denture base and teeth were used in the form of 280 half-disks. Samples were randomly assigned to two cleaning groups (FD, FreshDent; PO, Polydent), with daily 2- or 3-min immersion followed by water storage, repeated for 30 days.

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Purpose: Physiological and erosive wear reported in clinical studies were reviewed, and in vitro aging models were developed to simulate and compare the effect of aging on human teeth with the review data obtained from clinical studies.

Methods: A review of clinical studies and randomized clinical trials that quantify enamel wear was performed in the PubMed database. The first in vitro analysis evaluated the effect of mechanical chewing simulation only.

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Purpose: This study is to conduct a comprehensive scoping review to map scientific evidence and clarify concepts regarding the commonly recommended preventive and restorative dental treatments for patients diagnosed with head and neck cancer (HNC) and subjected to radiotherapy.

Material And Methods: This systematic scoping review was performed under the PRISMA-ScR guidelines. The study's experimental design was registered in the Open Science Framework.

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Objectives: To evaluate the effectiveness of a simulation-based flipped classroom in developing dental students' head and neck examination skills.

Methods: Second-year dental students (n = 118) participated in a simulation-based flipped classroom experience. A pre-class recorded lecture and video were posted online one week before the simulation date.

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Objective: to evaluate the existing evidence on surface treatment techniques employed in resin composite repair and their effect on the repair short- and long-term bond strength.

Data And Source: This scoping review was performed under the PRISMA-ScR guidelines for scoping reviews and registered on the Open Science Framework platform.

Study Selection: A systematic search was conducted in PubMed, Embase, and Scopus and grey literature up to September 2022 without language or date restriction.

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Objectives: To identify behavioral, preferential, and professional factors influencing the use of amalgam in private practices; and to compare the incidence of the placement of amalgam versus composite resin restorations in the province of Ontario and its pedagogical implications on dental curricula.

Methods: Participants responded anonymously to a 23-question online survey about their current use of dental amalgam and composite resins as well as their opinions regarding both dental materials. The explanatory variables were associated bivariately with the outcome variables, and the most significant predictors were identified using the multivariate analysis.

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Purpose: To provide an overview of the in-vitro bond strength of universal adhesives to zirconia and analyze whether these adhesives are a reliable alternative to conventional zirconia primers.

Materials And Methods: A systematic search was conducted in PubMed/Medline, Scopus, and ISI Web of Science databases up to August 2021. Investigations published in English, assessing resin-mediated bond to zirconia using universal adhesives compared to phosphate/silane-based primer or phosphate-based primer were included.

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Purpose: To evaluate the effect of simulated gastric acid solution (SGAS) and resin cement composition on the shear bond strength (SBS) of zirconia-based materials with different levels of translucency to composite resin.

Materials And Methods: A total of 40 medium-opacity (MO; 3Y-TZP) and 40 medium-translucency (MT; 4Y-PSZ) zirconia slabs were distributed into four groups according to the composition of the resin luting system (MDP free or with MDP [primer + Panavia V5]) and storage method (distilled water or SGAS [5% hydrochloric acid]). Composite resin cylinders were cemented on the zirconia surface and stored for 91 hours.

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Objective: The aim of this scoping review was to analyze the available evidence on the preheating process and its effects on physicochemical properties of composite resins.

Materials And Methods: A systematic search was performed in August 2021 using PubMed/Medline, Embase, Scopus, and ISI Web of Science databases and gray literature without language or date restriction. Inclusion criteria were in vitro studies that assessed the physicochemical properties and marginal adaptation of preheated composite.

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Purpose: To evaluate the effect of universal adhesives on the long-term bond strength to yttria-stabilized tetragonal zirconia polycrystal (Y-TZP).

Materials And Methods: Polyethylene tubes filled with composite cement containing 10-methacryloyloxydecyl dihydrogen phosphate (10-MDP) were adhesively luted to 60 fully sintered Y-TZP slabs (7 x 7 x 2 mm) with or without (control) previous application of a 10-MDP-based adhesive (All Bond Universal, Bisco) - ABU; Clearfil Universal Bond Quick, Kuraray Noritake - CUB; Scotchbond Universal Adhesive, 3M Oral Care - SUA) on the zirconia surface. The bonded specimens were stored in water for 24 h, 6 months, or 1 year and subjected to microshear bond strength testing.

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Background/objectives: Historical evidence shows a gender-based disproportionate effect of pandemics across different populations. In 2020, the coronavirus disease 2019 (COVID-19) pandemic began spreading its devastating effects worldwide. The goal of the present study was to investigate the effect of the COVID-19 pandemic on research productivity, work-life arrangements, and mental health of dental professionals worldwide with focus on gender differences.

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Yttria-stabilized zirconia (Y-SZ) has become a reliable material option to restore severely compromised teeth. Y-SZ materials are prone to low-temperature degradation (LTD), which generates a tetragonal-to-monoclinic (t-m) transformed, porous layer. We suggest that room-temperature atomic layer deposition (RT-ALD) could be used for the infiltration and deposition of nanoscale SiO film over this layer, creating a protective hybrid surface against further degradation by LTD.

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Statement Of Problem: To simplify dental procedures, multicomponent products such as universal adhesives and self-etch ceramic primers have been recommended for glass-ceramic bonding; however, studies have shown a wide range of results.

Purpose: The purpose of this systematic review and meta-analysis was to analyze the in vitro bond strength promoted by hydrofluoric acid+silane-containing universal adhesives and a self-etch ceramic primer to glass-ceramics and compare it with that of conventional treatments.

Material And Methods: A systematic search was conducted in the PubMed/Medline, Scopus, LILACS, and ISI Web of Science databases up to April 2021.

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Purpose: To develop and to characterize a hybrid interface between yttria-stabilized zirconia (Y-TZP) transformed layer and silica-based nanofilm to enable a better bonding between Y-TZP and a veneering ceramic.

Material And Methods: Sixty-six fully-sintered rectangular Y-TZP specimens were distributed into 6 groups, according to the surface treatment applied: C (control): no treatment; Al: 27 μm-alumina particle abrasion; Ht: hydrothermal treatment in autoclave for 15h; Si20: 20 cycles of silica deposition using room-temperature atomic layer deposition (RT-ALD); Si40: 40 cycles of RT-ALD; Ht + Si40: hydrothermal treatment followed by 40 cycles of RT-ALD. RT-ALD was performed by the sequential exposure of specimens to vapor of tetramethoxysilane orthosilicate (TMOS) and ammonium hydroxide (NHOH).

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Yttria-stabilized zirconia (Y-SZ) materials with different levels of translucency have been used for indirect dental restorations. Y-SZ composition and microstructure are modified to improve translucency, and it is not clear how these materials respond to aging. This study evaluated the effect of hydrothermal aging (HA) performed in an autoclave on the properties of four dental Y-SZ materials with different compositions.

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Objectives: To characterize the surface of zirconia (Y-TZP) submitted to different surface treatments (with and without plasma associations) and to evaluate the shear bond strength (SBS) between veneering ceramic (VC) and Y-TZP after different aging methods.

Methods: 301 Y-TZP specimens were fabricated and distributed into 7 groups: C (control): no treatment; Al: airborne abrasion with 27 μm AlO particle; L: liner; P: plasma; Al + L: airborne + liner; Al + P: airborne + plasma; P + L: plasma + liner. The Y-TZP surface was characterized by SEM, EDS, AFM, surface profilometry, surface-free energy (SFE), and XRD.

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Objective: A silica-based nanofilm has been successfully deposited via Room-Temperature Atomic Layer Deposition (RT-ALD) on the surface of a glass. The purpose of this study was to evaluate the mechanical performance of a hybrid interface created between yttria-stabilized zirconia (Y-PSZ) transformed layer and silica-based nanofilm via RT-ALD.

Material And Methods: Fully-sintered Y-PSZ (14 × 4.

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Objective: Nanotechnology has progressed significantly and particles as small as 3 nm are being employed in resin-based restorative materials to improve clinical performance. The goal of this review is to report the progress of nanotechnology in Restorative Dentistry by reviewing the advantages, limitations, and applications of resin-based restorative materials with nanoparticles.

Materials And Methods: A literature review was conducted using PubMed/Medline, Scopus and Embase databases.

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Objective: To evaluate the optical, chemical, and mechanical properties of feldspathic porcelain after handling with different instrument materials.

Material And Methods: Feldspathic porcelain was manipulated with different spatula compositions: metal spatula (MS), plastic spatula (PS), and glass spatula (GS) for the fabrication of 30 (n = 10) disks. Contrast ratio (CR), translucency parameter (TP), and surface Knoop microhardness (KHN) were measured.

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Purpose: Ionizing radiation therapy (RT) is the main option for head and neck cancer treatment, but it is associated with multiple side effects. This study aimed to evaluate the effect of RT associated with chewing simulation on the surface of human enamel and Yttria-partially stabilized zirconia (Y-TZP).

Methods: Maxillary premolar cusps and Y-TZP slabs were divided in 7 experimental groups: CO: no RT (control); EZ groups had irradiation applied to both, enamel and zirconia samples (simulating restoration prior to RT); E groups had irradiation applied to enamel only (simulating restoration after RT).

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Purpose: To evaluate the effect of ionizing irradiation on human enamel and zirconia after chewing simulation.

Methods: Twenty enamel and twenty translucent Yttria-stabilized zirconia (Y-PSZ) specimens were divided in 4 groups: Co (control) - no irradiation on enamel cusps/opposing zirconia slabs; E70 - irradiated (70 Gray) enamel cusps/opposing irradiated enamel slabs; Z70 - irradiated zirconia cusps/opposing irradiated zirconia slabs; EZ70 - irradiated enamel cusps/opposing irradiated zirconia slabs. Cusps were abraded against slabs in a chewing simulator (CS - one million cycles, 80 N, artificial saliva, 37˚C).

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Objective: To evaluate the effect of different surface treatments on the retention between zirconia crowns and tooth structure after in vitro aging.

Materials And Methods: Human third molars (n = 44) received crown preparations and CAD/CAM zirconia crowns were manufactured. Specimens were divided into two groups: no aging, control (NAC, n = 11) or aging (A, n = 33).

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Objectives: The aim of this study was to evaluate the effect of hydrothermal aging on the mechanical properties and translucency of dental zirconia with different levels of translucency.

Methods: Three different types of dental yttria-stabilized zirconia were used: 3Y-TZP (ZrO - 3 mol.% YO) of medium opacity (designated Z3OP), 3Y-TZP of medium translucency (Z3MT), and 5Y-PSZ (ZrO - 5 mol.

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