UNIVERSITATEA DE MEDICIN I FARMACIE IULIU HAIEGANU

CLUJNAPOCA
FACULTATEA DE MEDICIN DENTAR
TEZ DE DOCTORAT

REZUMAT

RESTAURRI ESTETICE N ZONA FRONTAL

Doctorand,

Conductor tiinific,

Ovidiu Pstrav

Prof. Dr. Angela Pop

2010
Cuprins
Introducere...........................................................................................................................4
Partea general
1. Materiale de obturaie fizionomic pe baz de rini diacrilice..............................6
1.1.Compoziia materialelor de obturaie fizionomic..................................................9
1.2 Clasificarea materialelor compozite......................................................................11
1.3 Proprietile materialelor compozite.....................................................................15
2. Proprietile optice ale esuturilor dentare naturale referin pentru
evaluarea compozitelor..............................................................................................22
2.1. Metode de alegere i nregistrare a culorii dentare..............................................29
2.2 Redarea (reproducerea) culorii i materialele compozite.....................................31
2.3. Citirea hrii cromatice.........................................................................................31
2.4. Materiale cu transluciditate sczut, pentru dentin............................................32
2.5. Materiale de smal cu transluciditate crescut......................................................33
2.6. Existena unei tehnici de reconstituire anatomic.................................................33
2.7. Concepte de stratificare.........................................................................................35
1

3. Clasificarea leziunilor dentare anterioare i prepararea cavitilor n vederea

restaurrilor cu materiale fizionomice.36
Contribuii personale
4. Stabilirea indicelui de translucen al materialelor compozite..............................42
Ipotez de lucru...........................................................................................................42
Material i metod.......................................................................................................43
Rezultate .....................................................................................................................48
Discuii.........................................................................................................................61
Concluzii......................................................................................................................64
5. Studiul stabilitii cromatice a compozitelor stomatologice...66
Ipotez de lucru...........................................................................................................66
Material i metod.......................................................................................................67
Rezultate .....................................................................................................................72
Discuii.........................................................................................................................80
Concluzii......................................................................................................................83
6. Evaluarea modificrilor de culoare a materialelor compozite dup aplicarea unor
ageni de albire.............................................................................................................84
Ipotez de lucru............................................................................................................84
Material i metod........................................................................................................86
Rezultate .....................................................................................................................89
Discuii.........................................................................................................................98
Concluzii....................................................................................................................101
7. Finisarea i lustruirea rinilor compozite..102
Ipotez de lucru.........................................................................................................102
Material i metod......................................................................................................103
Rezultate ...................................................................................................................106
Discuii.......................................................................................................................117
Concluzii....................................................................................................................121
8. Aprecierea comportamentului clinic al materialelor de obturaie compozite n
restaurarea coronar direct la dinii frontali......................................................122
2

Ipotez de lucru.........................................................................................................122
Material i metod.....................................................................................................123
Rezultate ...................................................................................................................125
Discuii.......................................................................................................................131
Cazuri clinice.............................................................................................................137
Concluzii....................................................................................................................148
9. Concluzii generale......................................................................................................149
Bibilografie......................................................................................................................153
Cuvinte cheie: restaurri estetice, proprietile materialelor compozite, dini frontali
Teza de doctorat Restaurri estetice n zona frontaleste structurat n dou pri
importante :
PARTEA GENERAL, care sistematizeaz date din literatura de specialitate privind
compoziia, proprietile i clasificarea materialelor de obturaie fizionomic pe baz de rini
diacrilice, date despre complexitatea proprietilor optice ale esuturilor dentare, despre metode
de alegere i nregistrare a culorii dentare i despre tehnicile de restaurare anatomic, precum i
unele caractere speciale ale preparrii cavitilor dentare n vederea restaurrilor cu materiale
compozite (1,2,3)
PARTEA A IIA care cuprinde contribuia personal, constnd ntr-o serie de cercetri
experimentale realizate n colaborare cu colectivul de cercettori de la Institutul de Cercetare n
Chimie Raluca Ripan (ICCRR) din Cluj Napoca, privind gradul de translucen a patru
materiale compozite, stabilitatea coloristic evaluat

prin teste accelerate de colorare,

comportamentul la ageni de decolorare i respectiv, comportamentul la prelucrarea prin diferite

metode a suprafeei unor eantioane de materiale compozite. Ultimul capitol al cercetrilor
personale include un studiu clinic ce a avut ca scop aprecierea comportamentului in vivo al
rinilor compozite urmrite pe parcursul studiului.
Analiza statistic a utilizat testele Mann Whitney, Kruskal Wallis i Anova. Pragul de
semnificaie pentru testele folosite a fost luat = 0,05. Calculele statistice au fost efectuate cu
ajutorul aplicaiilor SPSS 13.0 i Microsoft Excel.
Principalele obiective ale tezei de doctorat au fost :
Stabilirea indicelui de translucen la diferite materiale compozite

 Determinarea stabilitii cromatice a compozitelor, prin teste accelerate de colorare

Urmrirea modificrilor cromatice a rinilor diacrilice dup aplicarea unui agent de
albire
Stabilirea modului n care finisarea i lustruirea compozitelor influeneaz suprafaa
acestora
Aprecierea comportamentului clinic al compozitelor n restaurarea coronar direct la
dinii frontali.
Teza este structurat n 9 capitole la care se adaug introducerea si referinele bibliografice
(157 citaii n ordinea apariiei n text).
Capitolul 1. Materiale de obturaie fizionomic pe baz de rini diacrilice
Capitolul 2. Proprietile optice ale esuturilor dentare naturale referin pentru
evaluarea compozitelor
Capitolul 3.Clasificarea leziunilor dentare anterioare i prepararea cavitilor n
vederea restaurrilor cu materiale fizionomice
Capitolul 4. Stabilirea indicelui de translucen al materialelor compozite
n acest capitol s-a urmrit determinarea transluciditii a patru rini diacrilice luate n
studiu, n funcie de compoziia chimic i de lampa de polimerizare utilizat (lampa LED,
versus lampa de halogen).
Compozitele investigate au fost urmtoarele:
Restacril compozitul de la ICCRR Cluj-Napoca, cu microumplutur, fotopolimerizabil
Tetric Evo Ceram - (Ivoclar Vivadent) - compozit hibrid fotopolimerizabil
Filtek Supreme - (3M ESPE) - nanocompozit fotopolimerizabil
Premise - (Kerr) - nanocompozit universal fotopolimerizabil
Din fiecare tip de compozit s-au confecionat, ntr-o matri de teflon, cte 4 epruvete cu
diametrul 30 mm i grosimea de 2 mm, n total realizndu-se un numr de 16 probe.(fig.1)

Fig.1 Epruveta de compozit (30 mm/ 2 mm)

4

Probele au fost mprite n dou eantioane a cte opt mostre, un eantion fiind
fotopolimerizat cu lampa Ultralight (cu LED), iar cellalt cu lampa Optilux (Kerr) cu bec de
halogen.
Polimerizarea s-a fcut pe ambele fee ale epruvetelor, acestea fiind astfel preclucrate, nct
o parte a epruvetei s aib o suprafa mat, mai rugoas, iar cealalt o suprafa lucioas i
neted.
n colaborare cu colectivul de cercetare din cadrul Institutul de Cercetare n Chimie
Raluca Ripan din Cluj-Napoca, epruvetele astfel obinute, au fost supuse investigaiilor
spectrale ultraviolete i n spectrul vizibil (UV-VIS), ntregistrndu-se spectrele de reflexie cu
un spectrofotometru marca UNICAM 4 (UV-VIS).
Studiul de fa, n concordan cu studiile din literatur, a demonstrat c sistemele
compozite cu nanoumplutur i hibride, au o translucen mai mare dect compozitele cu
microumplutur, indiferent de prelucrabilitate sau de sursa de polimerizare folosit. (4,5)
Rezultatele cercetrilor conduc la ideea c formularea unor materiale compozite dentare,
necesit stabilirea n prealabil a proprietilor prioritare ce trebuie atinse. Astfel, pentru
restaurrile n care se urmrete adaptarea la estetica smalului se utilizeaz compozite mai
translucente, iar pentru cele care au ca suport dentina se utilizeaz materiale mai opace.(5)
Capitolul 5 analizeaz modificrile cromatice aprute la testele de colorare accelerat ale
celor patru compozite amintite anterior. Metodologia de lucru este aceeai n ceea ce privete
confecionarea probelor i a celor dou lmpi de fotopolimerizare utilizate. Pentru colorare
sunt folosite mediul de colorare cafea i mediul de colorare suc comercial necarbogazos Giusto de viine - ce conine concentrate colorante naturale din morcov i afin, aplicndu-se
studii de spectrofotometrie UV-VIS.
Rezultatele studiului relev, din analiza valorilor coordonatelor tricromatice pentru
compozitele investigate, o tendin de scdere a valorilor coordonatei de luminozitate att n
cazul probelor tratate cu suc ct i n cazul celor tratate cu cafea.(fig.2) Conform studiului,
diferenele de culoare se datoreaz n principal schimbrilor care au avut loc n parametrii de
culoare dup expunerea probelor de compozit la agenii colorani, analiza statistic preciznd
faptul c tipul materialului a fost cel care a influenat cel mai mult modificrile cromatice, iar
materialul compozit i lampa de polimerizare au avut un efect cumulat semnificativ asupra
modificrilor de culoare.(6,7)
5

TETRIC

PREMISE

FILTEK

RESTACRIL

Lampa Ultralight
Lampa Optilux

2
visine

visine

cafea

cafea

visine

visine

cafea

cafea

visine

visine

cafea

cafea

visine

visine

cafea

cafea

1
0

1 2 3 4 5 6 7 8 9 10 11 12 13 14 15 16

Fig. 2 Diferena de culoare (E*) a probelor pe partea lucioas

Capitolul 6 observ modificrile cromatice i eventualele modificri structurale, ce apar

pe suprafeele unor epruvete realizate din cele patru rini diacrilice compozite studiate, care
dup colorare cu diveri pigmeni, au fost supuse aciunii de albire utiliznd dou geluri
experimentale produse de echipa de cercettori de la Institutul de Cercetare n Chimie Raluca
Ripan (ICCRR) din Cluj-Napoca (gel cu peroxid de hidrogen 15% - GA i cu gel cu
peroxidaz 15% - GAP). Diferenele de culoare aprute la nivelul compozitelor studiate, au
fost corelate ulterior cu compoziia lor chimic, cu gradul de prelucrabilitate al acestora
(suprafaa mat i lucioas a epruvetelor analizate) i cu sursa de lumin utilizat pentru
fotopolimerizare.
La fel ca i n alte cercetri similare, modificrile cromatice au fost analizate prin studii de
spectrofotometrie UV-VIS, iar modificrile structurale ale compozitelor, aprute dup
aplicarea gelurilor de albire, au fost puse n eviden prin imagini de microscopie electronic.
(8,9) (fig.3, fig.4)
Au existat modificri ale E n funcie de gelurile de albire folosite, la toate compozitele,
indiferent de lampa de polimerizare i gradul de prelucrabilitate. Din punct de vedere statistic,
modificri cromatice semnificative s-au obinut doar la Tetric Evo Ceram, media E la GA a
fost semnificativ mai mare dect media E la GAP, pe partea mat a probelor.
6

Fig. 3 Imagine SEM Restacril iniial (a), dup imersare n cafea (b) i dup albire (c)

Fig.4. Imagine SEM Premise iniial (a), dup imersare n cafea (b) i dup albire (c)
Capitolul 7 face referire la proprietile i comportamentul celor patru materiale compozite
studiate, n ceea ce privete modificrile de suprafa i structur obinute n urma mai multor
procedee de lustruire (10,11). Evaluarea compozitelor s-a fcut prin msurarea nlimii
epruvetelor i cntrirea lor, att nainte, ct i dup prelucrare, pentru a observa pierderile de
substan, iar modificrile de suprafa aprute la compozite n urma finisrii i lustruirii au
fost studiate prin scanare cu microscopie electronic SEM (FEI- Company) al Laboratorului de
Compozite Dentare din cadrul ICCRR Cluj-Napoca.(fig.5,6,7)
Din datele obinute se desprinde ideea c au existat modificri de greutate i nlime la
toate probele analizate, iar dup scanare cu microscopie electronic se observ c cele mai
bune rezultate n ceea ce privete modificrile structurale de suprafa n cazul finisrii i
lustruirii, le au nanocompozitele, urmate de compozitele hibride i de cele cu microumplutur.
(fig. 8,9,10)

Fig.5 Epruvete de compozit Fig.6 Discuri abrazive( diferite granulaii) Fig.7 Polipanturi (diferite granulaii)

Fig.8 Filtek Supreme nainte de

lustruire i finisare

Fig.9 Filtek Supreme dup lustruire cu

polipant de granulaie mare

Fig.10 Filtek Supreme dup lustruire

polipant de granulaie fin

Capitolul 8 - Aprecierea comportamentului clinic al materialelor de obturaie compozite

n restaurarea coronar direct la dinii frontali, include un studiu clinic derulat pe o perioad
de trei ani, ce a avut ca scop aprecierea comportamentului rinilor compozite experimentate
anterior in vitro. De aceea, un numr de 234 restaurri frontale au fost analizate printr-o
metodologie consacrat - criteriile USPHS ( ale serviciului de sntate public a Statelor
Unite), la un interval de 6 luni, 1an, 2 ani, i 3 ani, rezultatele oferind o imagine de ncredere n
performanele rinilor compozite, n condiiile n care sunt aplicate corespunztor i se ine
seama de indicaiile i contraindicaiile lor (fig.11-14). (12,13,14)
Fig.11. 1.1;1.2;2.1;2.2; situaia iniial, aspect vestibular

Fig. 12. 1.1;1.2;2.1;2.2; situaia iniial, aspect palatinal

Fig.13. 1.1;1.2;2.1;2.2; aspect vestibular, imediat dup restaurare

Fig.14 1.1;1.2;2.1;2.2; aspect vestibular, la doi ani dup restaurare

Capitolul 9. Concluzii generale

1.

n funcie de materialul compozit studiat, rezultatele au demonstrat, c la polimerizarea

cu lampa Optilux, indicele de translucen la Restacril nu a fost semnificativ diferit de
Premise; indicele de translucen de la Restacril i Premise a fost semnificativ mai mic
dect cel de la Filtek Supreme XT i Tetric Evo Ceram, iar IT la Filtek Supreme XT a
fost

semnificativ mai mic dect IT la Tetric Evo Ceram

pe ambele suprafee

polimerizate.
2.

Indicele de translucen nu a variat semnificativ n funcie de gradul de prelucrabilitate

al compozitelor (suprafaa mat sau lucioas), indiferent de lampa de fotopolimerizare
utilizata.

3.

Analiza statistic a precizat faptul c tipul materialului a fost cel care a influenat cel
mai mult modificrile cromatice, iar materialul compozit i lampa de polimerizare au
avut un efect cumulat semnificativ asupra modificarilor de culoare.

4.

Mediul de colorare nu a influenat semnificativ statistic modificrile cromatice ale

materialelor compozite luate n studiu.

5.

Substanele de albire utilizate n studiul de fa ( GA -gel de albire cu peroxid de

hidrogen 15% si GAP- gel cu peroxidaz 15%) au dus la modificri cromatice ale
compozitelor studiate, influennd semnificativ valoarea E.

6.

Lmpile de fotopolimerizare utilizate nu au influenat semnificativ modificrile

cromatice aprute dup albire, indiferent de materialul compozit, gelul de albire i de
gradul de prelucrabilitate a celor dou suprafee a epruvetelor.
9

7.

La nivel microscopic, studiul nostru a demonstrat producerea unor fisuri n compozit n

urma procesului de albire, fapt care determin apariia rugozitii i eliberarea unor
componente anorganice din rina compozit producnd o scdere a duritii
materialului de restaurare dentar.

8.

Finisarea i lustruirea rinilor compozite se realizeaz pentru a le crete calitile

estetice, dar i pentru a le proteja de microorganismele din mediul oral care pot coloniza
o suprafa insuficient lustruit.

9.

Indiferent de mrimea granulaiei discurilor i polipanturilor folosite, nu au existat

diferene statistic semnificativ, ntre mediile parametrilor testai (nlime i greutate) la
cele patru tipuri de materiale compozite utilizate.

10. Indiferent de mrimea granulaiei discurilor i polipanturilor folosite, cea mai mic rat
de abrazie au demonstrat-o compozitele cu nanoumplutur (Filtek Supreme) i cele
hibride (Tetric Evo Ceram).
11. Discromia marginilor apare mai frecvent la RDC cu microumplutur dect la
comopzitele hibride. Acest criteriu poate fi evaluat prin observaie clinic, subliniind
ns faptul c apariia colorrii marginale nu nseamn ntotdeauna o soluie de
continuitate, aa cum e perceput de multe ori
12. Pierderea formei anatomice prin uzur cuantific de fapt rezistena la abrazie a
diferitelor materiale compozite. Din studiul de fa se desprinde ideea c pierderea
formei anatomice este mai mare n cazul compozitelor cu microumplutur fa de cele
hibride.
13. Reuita n realizarea unei restaurri odontale cu RDC se obine atunci cnd operatorul
cunoate proprietile, aspectul, culoarea i tehnicile de aplicare a materialelor
compozite.
Bibilografie selectiv
1. Romnu M., Bratu D.- Materiale dentare. Noiuni teoretice i aplicaii clinice. Ed.
Brumar, Timioara,2003,183-339.
2. Roberson T.M., Heyman H.O., Swift F.Y. Sturdevants art & Science of operative
dentistry, Mosby, 2002.

10

3. Vanini L. Light and Colour in Anterior Composite Restorations.Practical

Periodontology and Aesthetic Dentistry, 1996, 8(7):673-682.
4. Ikeda T., Sidhu S.K., Omata Y., Fujita M., Sano H., Color and translucency of
opaque-shades and body-shades of resin composites. Eur. J. Oral. Sci. 2005,
113(2):170-173.
5. Ryan E.A., Tam L. E., McComb D., Comparative Translucency of Esthetic Composite
Resin Restorative Materials, J. Can .Dent. Assoc. 2010;76:84.
6. Fulya Toksoy Topcu, Gunes Sahinkesen, Kivanc Yamanel, Ugur Erdemir et all,
Influence of Different Drinks on the Colour Stability of Dental Resin Composites,
Eur.J. Dent. 2009; 3(1): 5056.
7. Villalta P., Lu H., Okte Z., Garcia-Godoy F., Powers J.M., Effects of staining and
bleaching on colour change of dental composite resins. J. Prosthet.
Dent. 2006,95:137142.
8. Turke B., Biskin T.,Effect of three bleaching agents on the surface properties of three
different esthetic restorative materials, Journal of Prosthetic Dentistry,2003, 89; 5,
466473.
9. Campos A., Briso L.F., Pimenta F., Ambrosano G., Effects of bleaching with
carbamide peroxide gels on microhardness of restoration materials, Journal of
Esthetic and Restorative Dentistry,2003, 15; 3, 175182.
10. Uctasli M.B., Arisu H.D., Omurlu H.,et all., The effect of different finishing and
polishing systems on the surface roughness of different composite restorative
materials. J. Contemp. Dent. Pract. 2007,8:89-96.
11. Halim N.F., Maria Tereza Fortes Soares D'Azevedo, Haline Drumond Nagem,
Fernanda Ptaro Marsola, Surface roughness of composite resins after finishing and
polishing,,Braz. Dent. J. 2003,14,1.
12. Cvar J.F., Ryge G., Criteria For the Clinical Evaluation of Dental Restorative
Materials, USPHS Publication, San Francisco, 1971; 790, 244.
13. Roberson T.M., Heymom H.O., Swift E.J., Sturdevonts Art and Science of Operative
Dentistry, 4-th Ed., Mosby St.Louis, USA, 2002.
14. Pstrav O.,Pop A.,Pstrav M., Aprecierea comportamentului clinic al materialelor
compozite n restaurarea coronar la dinii frontali, Clujul Medical, Nr. 3, Vol.
LXXXII, 2009, 420-425.
11

CURRICULUM VITAE
Nume: PSTRAV
Prenume: OVIDIU CRISTIAN
Vrsta: 34 ani
Locul i data naterii: Bileti, jud. Dolj; 11. 05. 1976
Domiciliul stabil: str. Plopilor, nr. 20, ap.29, Cluj-Napoca
Stare civil: cstorit
Prini: Pstrav Tudor
Pstrav Elena
Studii: 1982-1990:coala General Galda de Jos, jud. Alba
1990-1994:Colegiul Naional Horea, Cloca i CrianAlba-Iulia (profil real, secia
Chimie-Biologie)
1995-2001:Facultatea de Stomatologie din cadrul Universitii de Medicin i Farmacie
IULIU HAIEGANU Cluj-Napoca, absolvit cu media de licen 9,73.
Activitate profesional :
1 ian.-31 dec 2002: medic stomatolog stagiar la Catedra de Odontologie
Parodontologie
1 oct. 2003- 1 oct 2006 : preparator universitar la Catedra de Odontologie
Parodontologie
1 ian.2004- 31 dec 2006 : medic rezident pe specialitatea Stomatologie General
1 oct 2006- prezent : asistent universitar la catedra de Odontologie
Mai 2007 : sustinerea examenului de specialitate pe domeniul stomatologie
general
Cursuri de perfecionare postuniversitar absolvite :
27.05-28.05. 2004 :Supuraia,complicaie a afeciunilor n tratamentul stomatologic
(Conf.Dr.Virgil Vasc)
27.05-28.05.2004 : Curs de implantologie ( Dr. Adrian Vasiloiu)
27.05-28.05.2004 : Perspective n tratamentul cariilor i pulpopatiilor la dinii
temporari (Conf. Dr. Rodica Jianu)
9.10. 2004-15.01.2005 : Radiodiagnosticul maxilo-dentar (Catedra de Radiologie
12

Stomatologic a U.M.F. Cluj Napoca)

17.01-29.01.2005 : Mijloace de protecie a parodoniului apical n tratamentul
endodontic (Prof.Dr.Angela Pop)
5.12.2005 : Reconstituirea coronar a fracturilor dinilor frontali prin tehnica
stratificrii , cu materiale compozite ( Conf. Dr. Alexandra Roman)
05. 2005 : Restaurri estetice n regiunea frontal. Tehnica indirect (faete,
coroane); Restaurri estetice n regiunea frontal. Tehnica direct
tradiional i tehnica stratificrii (Prof.Dr. Jean Louis Brouillet)
14.04. 2009 : Principii fundamentale ale tratamentului endodontic ( ef Lucr. Dr.
Ileana Cmpean)
Activitate tiinific :
1.Cri publicate: Odontologie restaurativ: ghid teoretic i clinic. Roman A, Popovici A,
Pstrav O., Condor D. , Editura Medical, Cluj Napoca, 2006
2.Lucrri publicate in extenso:

Caries among a group of Romanian intellectually impaired children.Roman A, igan S,

Pstrav O.; Journal of Disability and Oral Health 5/2,2004,80-82.

Abordri terapeutice ale copiilor instituionalizai. Roman A,Pstrav O,Szatmari S.;

Transilvania Stomatologic, anul IV, nr.4, dec.2004.

.Principii moderne de tratament a leziunilor coronare frontale, Pstrav O.,Pop A., Pstrav
M., Clujul Medical, Nr. 2, Vol. LXXXII, 2009,282-284.

Aprecierea comportamentului clinic al materialelor compozite n restaurarea coronar la

dinii frontali, Pstrav O.,Pop A.,Pstrav M., Clujul Medical, Nr. 3, Vol. LXXXII, 2009,
420-425.

Statusul odontal al molarului de 6 ani si frecventa anomaliilor dento-maxilare in faza a

doua a dentatiei mixte. Studiu pe un lot de copii din Cluj-Napoca, Pstrav M., rmure
V., Pstrav O., Cocarla E.,Clujul Medical, 2009, vol.82, nr.2, 275-278,

Influena patologiei molarului prim permanent n alegerea planului terapeutic n

diferite tipuri de anomalii dento-maxilare, Pstrav M., Trmure V., Cocrl T., Pstrav
O., Clujul Medical, 2009, vol.82, nr.3, 415-420.

Effect of bioactive nanopowders upon mechanical properties of some experimental

13

dental composites, Trif M., Moldovan M..Prejmerean C , Furtos G. , Musat O., Pstrav
O. , Antoniac I., Studia Universitatis Babe-Bolyai, Chemia, 2010, in press
3. Lucrri publicate n volum de rezumate:

Aspecte epidemiologice i terapeutice ale cariei secundare i cariei recidive.Roman

A,Pstrav O.;Zilele Stomatologiei Mureene,ediia a III-a, 23-25 aprilie 2003,13

Posibiliti de refacere morfo-funcional ale dinilor frontali la copii cu handicap.Roman

A, Pstrav O.; Zilele UMF Cluj-Napoca,5-8 dec.2005

Les restaurations complexes lamalgame chez les personnes dficientes mentales.

Roman A,Pstrav O.,Popovici A.;25mes Journes du Collge National des Enseignants
en Odontologie Conservatrice, Bordeaux, 13-14 iunie 2005.

The study of some experimental and commercial nanocomposites used in dentistry,

M.Moldovan, A.Almasi, C.Prejmerean, O.Musat, L.Silaghi-Dumitrescu, C.Nicola,
I.Cojocaru,Pstrav O. Materiale Plastice, MPLAAM, nr. 46(4), p. 404-409, 2009, ISSN
0025/5289

SEM analyse for morphological aspect of dental restorative composites after mechanical
polishing, M.Trif, M.Moldovan, O.Pstrav, O.Musat, C.Sarosi, G.Furtos, L.SilaghiDumitrescu, L.Colceriu, International Congress on Dentistry NAPOCA BIODENT 5-7
nov., 2009, Cluj-Napoca Romania

The study of discoloration of some composite resins light cured with different light
sources, Silaghi L., Dumitrescu L., Pstrav O., Moldovan M., Prejmerean C., Dudea
D.,.Nicola C, Prodan D., Alb F., International Congress on Dentistry NAPOCA
BIODENT 5-7 nov., 2009, Cluj-Napoca Romania

Efectul tehnicilor de finisare asupra compozitelor hibride, utilizate n restaurri dentare,

Pstrav O., Moldovan, M. Trif M., Boboia S., Pop A., Pstrav M International Congress
on Dentistry NAPOCA BIODENT 5-7 nov., 2009, Cluj-Napoca Romania

Studiul adeziunii a trei materiale de sigilare autohtone prin microscopie optic i evaluare
SEM, Pstrav M., Cocrl E., Moldovan M., Trif M., Nicola C., Pstrav O.,
International Congress on Dentistry NAPOCA BIODENT 5-7 nov., 2009, Cluj-Napoca
Romnia

14

Alte activiti :- martie 1999: participant la programul studenesc Interdentis, ntr-un

schimb de experien cu studenii Facultii de Stomatologie
din Timioara
- decembrie 1999 : voluntariat n cadrul Organizaiei World Vision
Romnia pentru colarizarea copiilor provenii din
familii cu probleme sociale
- februarie 2000 : participant la programul Snatatea Reproducerii
Cluj-Napoca, organizat de Universitatea Jonhs Hopkins
S.U.A.
Limbi straine: - engleza (nivel mediu)
- franceza (nivel mediu)
Alte aptitudini:- cunotine de operare PC(WINDOWS XP,WORD,EXCEL) i de
navigare internet
Hobby-uri : - literatura
- sport (not, ciclism, echitaie )
- cltorii

15

UNIVERSITY

OF

MEDICINE

AND

PHARMACY

IULIU

HAIEGANU

CLUJNAPOCA
FACULTY OF DENTAL MEDICINE

DOCTORAL THESIS

SUMMARY

AESTHETIC RESTORATIONS IN THE ANTERIOR TEETH

Candidate

Scientific Advisor

Ovidiu Pstrav

Prof. Dr.Angela Pop

2010

Contents
Introduction 4
General Part
1. Aesthetic filling materials based on diacrylic resins.6
1.1. Composition of aesthetic filling materials ...9
1.2. Classification of composite materials...11
1.3. Properties of composite materials 15
2. Optical properties of natural dental tissues reference for evaluating composite
materials . 22
2.1. Methods for choosing and recording dental colour .29
2.2. Reproduction of colour and composite resins 31
2.3. Read-out of the chromatic map 31
2.4. Low translucency materials used for dentin reconstruction..32
2.5. High translucency materials used for enamel reconstruction...33
2.6. Technique of anatomic reconstruction......33
16

2.7. Layering concepts .35

3. Classification of anterior crown lesions and preparation of cavities for restoration
with aesthetic materials .36

Personal Contribution
4. Determination of translucency index of composite materials .42
Working hypothesis . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 42
Material and method . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 43
Results . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 48
Discussions . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 61
Conclusions . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 64
5. Study of the chromatic stability of dental composites . . . . . . . . . . . . . . . . . . . . . . . . 66
Working hypothesis . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 66
Material and method . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 67
Results . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .72
Discussions . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 80
Conclusions. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 83
6. Evaluation of colour changes of composite materials following the application of
some bleaching agents . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 84
Working hypothesis . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 84
Material and method . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 86
Results . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 89
Discussions. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 98
Conclusions .. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 101
7. Finishing and polishing of composite resins . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .102
Working hypothesis . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 102
Material and method . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 103
Results . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 106
Discussions . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .117
Conclusions .. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . ..121
17

8. Assessment of the clinical behaviour of composite resins used in direct crown

restorations of anterior teeth ...122
Working hypothesis . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .. . . 122
Material and method . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 123
Results . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .125
Discussions . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .131
Clinical cases . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 137
Conclusions . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 148
9. General conclusions . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .149
Bibliography . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 153

Key words: aesthetic restorations, properties of composite resins, anterior teeth

The Doctoral thesis Aesthetic Restorations in the Frontal Area is structured into two
important parts:
THE GENERAL PART which systematizes data from the literature regarding the
composition, properties and classification of aesthetic filling materials based on diacrylic
resins; data about the complex character of the optical properties of dental tissues; methods
of choosing and recording dental colour; anatomical restoration techniques, as well as some
special characteristics of dental cavity preparation in view of restoration with composite
materials. (1, 2, 3)
PART II, comprising personal contribution, consists of a series of experimental research,
accomplished in collaboration with a team of research workers at The Institute of Chemical
Research Raluca Ripan (ICCRR) Cluj-Napoca, regarding the degree of translucency of
four composite materials, the colour stability evaluated by accelerated colouring tests, the
behaviour towards discolouration agents and towards processing of the surfaces of samples
of composite materials by various methods. The last chapter of personal research comprises a
clinical study having the aim of assessing the in vivo behaviour of the composite resins
followed up during the study.
The statistic analysis used the tests Mann Whitney, Kruskal Wallis and Anova.The
significance level was = 0,05. All data were statistically analysed using Excel and SPSS.
18

The main objectives of the present thesis were the following:

- To establish the translucency index of various composite materials
- To determine the chromatic stability of composites by accelerated colouring tests
- To assess the chromatic changes of diacrylic resins following the application of a
bleaching agent
- To establish the way in which finishing and polishing of composites has an influence upon
their surface
- To assess the clinical behaviour of composite resins used in direct crown restoration of
anterior teeth.
The thesis is structured in 9 chapters, in addition with an introduction and the
bibliography (157 titles quoted in order of appearance in the text).
Chapter 1 Aesthetic filling materials based on diacrylic resins
Chapter 2 Optical properties of natural dental tissues reference for evaluating
composite materials
Chapter 3 Classification of anterior dental lesions and preparation of cavities
for restoration with aesthetic materials
Chapter 4 Determination of translucency index of composite materials
In this chapter the aim was to determine the translucency of four diacrylic resins studied,
according to chemical composition and the polymerization lamp which was used.
(LED lamp versus halogen lamp).
The studied composites were the following:
Restacryl a composite from ICCRR Cluj-Napoca, with microfilling, photoactivated
Tetric Evo Ceram (Ivoclar Vivadent) a hybrid photoactivated composite
Filtek Supreme (3M ESPE) a photoactivated nanocomposite
Premise (Kerr) a photoactivated universal nanocomposite
Of each type of composite four test tubes with a 30 mm diameter and 2mm thickness
were made in a teflon mould, thus making a total of 16 samples (Fig.1)

19

Fig.1 The composite test tube (30mm/2mm)

The test tubes were divided into two parts comprising eight samples each; one part of
samples underwent photopolymeization with the Ultralight lamp (LED) and the other with
the Optilux lamp (Kerr) with halogen bulb.
Polymerization was done on both sides of the test tubes; these were processed so that one
side of the test tube had a mat, rough surface, while the other part had a shiny and smooth
surface.
In collaboration with the research team of the Institute of Chemical Research Raluca
Ripan of Cluj-Napoca, the test tubes thus obtained underwent ultraviolet spectral
investigation, and in the visible spectrum (UV-VIS) the reflection spectra were recorded by
the aid of a UNICAM 4 (UV-VIS) spectrophotometer.
In accordance with studies in the literature the present study demonstrated that the
composite systems with nanofilling and the hybrid ones have a higher translucency than the
composites with micro-filling, regardless of processing or the source of polymerization used.
(4, 5)
The results of the research lead to the idea that for the production of dental composite
materials it is necessary to establish the priority of the properties which should be obtained.
Thus for restorations aiming an adaptation to the aesthetics of the enamel, more translucent
composites will be used, while those having as support the dentin more opaque materials will
be used. (5)
Chapter 5 analyses the chromatic changes which occurred in the accelerated coloration
tests of the four composites mentioned above. The methodology regarding the manufacturing
of the samples and the two lamps used for photopolymerization is the same. As coloration
media, coffee and a commercial juice (sour cherry Giusto) containing natural dyes made of
carrot and bilberry were used, and studies with UV-VIS spectrophotometry were applied.

20

Based on the analysis of the values of tri-chromatic coordinates of the studied composites
the results of the study reveal a falling tendency in the values of the luminosity coordinate
both in the samples treated with juice and in those treated with coffee. (fig.2) According to
the study, the differences in colour are mainly due to the changes in the colour parameters
after the composite samples were exposed to the coloration agents, and statistical analysis
specifies the fact that the type of the material was the one which influenced chromatic
modifications most, while the composite material and the polymerization lamp had a
significant cumulative effect upon colour changes. (6, 7)
7

TETRIC

4
3

Lamp Optilux

visine

visine

cafea

visine

cafea

visine

cafea

visine

cafea

visine

cafea

visine

visine

cafea

cafea

Lamp Ultralight

cafea

2
1

RESTACRIL

PREMISE

FILTEK

1 2 3 4 5 6 7 8 9 10 11 12 13 14 15 16

Fig.2 Differences of colour ( E) on the shiny side of the samples

Chapter 6 examines the chromatic and possible structural changes which occur on the
surface of test tubes made of the four studied diacrylic resin composites which, after having
been coloured with various pigments, underwent bleaching by using two experimental jellies
produced by the research team from the Institute of Chemical Research Raluca Ripan
(ICCRR) of Cluj-Napoca ( a jelly with 15% hydrogen peroxide GA, and a jelly with 15%
peroxidase GAP). The differences in colour which occurred in the studied composites were
subsequently correlated with their chemical structure, with the degree of possibility of
processing (the mat and shiny surfaces of the analyzed test tubes), and with the source of
light used for photopolymerization.
As in other similar studies, the chromatic modifications were analyzed by studies of
spectrophotometry UV-VIS, while the structural changes of composites which occurred

21

following the application of bleaching jellies were shown through images of electron
microscopy. (8, 9) (fig.3, fig.4)
Modifications of E occurred in all composites in accordance with the bleaching jellies
and regardless of the polymerization lamp which was used, or the degree of processing.
Statistically, significant chromatic changes were obtained only in the Tetric Evo Ceram, the
mean E at GA was significantly higher than the mean E at GAP on the mat side of the
samples.

Fig.3. SEM Restacryl image initially (a), following immersion into coffee (b),
following bleaching (c)

Fig.4. SEM Premise image initially (a), following immersion into coffee (b),
following bleaching (c)
Chapter 7 refers to the properties and behaviour of the four studied composite materials
regarding the surface and structure changes obtained as a result of several polishing
procedures (10, 11). Evaluation of the composites was done by measuring the height of the
test tubes and weighing them both before and after having been processed, in order to
observe losses of substance. Surface changes occurring in composites due to finishing and

22

polishing were studied by scanning with SEM (FEI-Company) electron microscopy in the
Laboratory of Dental Composites within ICCRR Cluj-Napoca. (fig.5, 6, 7)
The data obtained lead to the idea that changes in weight and height existed in all the
analyzed samples, and after electron microscope scanning it can be seen that the best results
regarding structural surface changes in the case of finishing and polishing are presented by
nanocomposites, followed by hybrid composites and those with microfilling. (fig.8, 9, 10)

Fig.5 Composite test tubes Fig.6 Abrasive disks (various granulations) Fig.7 silicon rubber polishing burs

Fig.8 Filtek Supreme before

Fig.9 Filtek Supreme following polishing

Fig.10 Filtek Supreme

being polished and finished

with large granulation

following polishing with fine

granulation

Chapter 8 Assessment of the Clinical Behaviour of Composite Filling Materials in

Direct Crown Retsorations of Anterior Teeth comprises a clinical study ongoing for a
period of three years; its the aim was to assess the behaviour of composite resins previously
experimented in vitro. For this, a number of 234 anterior restorations were analyzed by the
acknowledged methodology the USPHS criteria (United States Public Health Services
criteria) for a time interval of 6 months, 1 year, 2 years and 3 years; the results offer a
reliable insight into the performances of composite resins, under the condition that they are
suitably applied and the indications and counter indications are observed (fig.11-14). (12, 13,
14)

23

Fig.11 1.1; 1.2; 2.1; 2.2; initial situation, buccal view

Fig.12 1.1; 1.2; 2.1; 2.2; initial situation, oral view

Fig.13 1.1; 1.2; 2.1; 2.2; buccal view, following restoration

Fig.14 1.1; 1.2; 2.1; 2.2; buccal view two years after restoration

Chapter 9. General conclusions

1. According to the studied composite materials the results demonstrate that on
polymerization with the Optilux lamp the translucency index for Restacril was not
significantly different from Premise; the translucency index for Restacril and Premise was
significantly lower than that for Filtek Supreme XT and Tetric Evo Ceram, while TI for
Filtek Supreme XT was significantly lower than TI for Tetric Evo Ceram on both
polymerized surfaces.
2. The translucency index did not significantly vary according to the degree of processing of
the composites (mat or shiny surface) regardless of the photo-polymerization lamp which
had been used.
3. Statistical analysis specified the fact that it was the type of the material that influenced the
chromatic changes most, and the composite material and the polymerization lamp had a
significant cumulative effect on colour changes.
4. Statistically, the medium of coloration did not have significant influence on the chromatic
changes in the composite materials chosen to be studied.

24

5. The bleaching substances used in the present study (GA bleaching jelly with 15%
hydrogen peroxide and GAP jelly with 15% peroxidase) led to chromatic changes in the
studied composites, and significantly influenced the E value.
6. The photopolymerization lamps which were used did not significantly influence the
chromatic changes occurring after bleaching, regardless of the composite material, the
bleaching jelly and the degree of processing of the two surfaces of the test tubes.
7. On the microscopic level the present study demonstrated that following the bleaching
process some fissures are produced in theresin, a fact that determines the appearance of
roughness and the liberation of some inorganic components from the composite resin, thus
leading to diminished hardness of the material used for the dental restoration .
8. Finishing and polishing composite resins is done not only to increase their aesthetic
quality, but also to protect them from the microorganisms in the oral environment which
may colonize an insufficiently polished surface.
9. Regardless of the granulation size of the disks and silicon rubber polishing burs which
were used, there were no significant statistical differences between the mean values of the
tested parameters (height and weight) in the four types of composite materials used in the
study.
10. Regardless of the granulation size of the disks and silicon rubber polishing burs which
were used, the lowest rate of

abrasion was demonstrated by the composites with

nanofilling (Filtek Supreme) and the hybrid ones (Tetric Evo Ceram).
11. Coloration of the margins occurs more frequently in RDC with micro-filling than in
hybrid composites. This criterion can be assessed through clinical observation; however it
has to be underlined that the fact that marginal coloration occurs is not always equal with
the development of secondary caries, as it is frequently perceived.
12. Loss of anatomical shape due to wear actually quantifies the resistance to abrasion of
various composite materials. From the present study results that the loss of anatomical
shape is higher in the case of composites with micro-filling than that of hybrid ones.
13. Success in accomplishing a dental restoration with RDC is obtained when the operator
knows the properties, the appearance, the colour and the techniques of application of
composite materials.

25

Selective Bibliography

1. Romnu M., Bratu D.- Dental Materials. Theoretical Notions and Clinical
Applications, Ed. Brumar, Timioara,2003,183-339.
2. Roberson T.M., Heyman H.O., Swift F.Y. Sturdevants art & Science of operative
dentistry, Mosby, 2002.
3. Vanini L. Light and Colour in Anterior Composite Restorations.Practical
Periodontology and Aesthetic Dentistry, 1996, 8(7):673-682.
4. Ikeda T., Sidhu S.K., Omata Y., Fujita M., Sano H., Color and translucency of
opaque-shades and body-shades of resin composites. Eur. J. Oral. Sci. 2005,
113(2):170-173.
5. Ryan E.A., Tam L. E., McComb D., Comparative Translucency of Esthetic Composite
Resin Restorative Materials, J. Can .Dent. Assoc. 2010;76:84.
6. Fulya Toksoy Topcu, Gunes Sahinkesen, Kivanc Yamanel, Ugur Erdemir et all,
Influence of Different Drinks on the Colour Stability of Dental Resin Composites,
Eur.J. Dent. 2009; 3(1): 5056.
7. Villalta P., Lu H., Okte Z., Garcia-Godoy F., Powers J.M., Effects of staining and
bleaching

on

colour

change

of

dental

composite

resins. J.

Prosthet.

Dent. 2006,95:137142.
8. Turke B., Biskin T.,Effect of three bleaching agents on the surface properties of three
different esthetic restorative materials, Journal of Prosthetic Dentistry,2003, 89; 5,
466473.
9. Campos A., Briso L.F., Pimenta F., Ambrosano G., Effects of bleaching with
carbamide peroxide gels on microhardness of restoration materials, Journal of
Esthetic and Restorative Dentistry,2003, 15; 3, 175182.
10. Uctasli M.B., Arisu H.D., Omurlu H.,et all., The effect of different finishing and
polishing systems on the surface roughness of different composite restorative
materials. J. Contemp. Dent. Pract. 2007,8:89-96.
11. Halim N.F., Maria Tereza Fortes Soares D'Azevedo, Haline Drumond Nagem,
Fernanda Ptaro Marsola, Surface roughness of composite resins after finishing and
polishing,,Braz. Dent. J. 2003,14,1.
26

12. Cvar J.F., Ryge G., Criteria For the Clinical Evaluation of Dental Restorative
Materials, USPHS Publication, San Francisco, 1971; 790, 244.
13. Roberson T.M., Heymom H.O., Swift E.J., Sturdevonts Art and Science of Operative
Dentistry, 4-th Ed., Mosby St.Louis, USA, 2002.
14. Pstrav O.,Pop A.,Pstrav M., Evaluation of the Clinical Behaviour of Composite
Resins Used in Direct Crown Restorations of Anterior Teeth, Clujul Medical, Nr. 3,
Vol. LXXXII, 2009, 420-425.

CURRICULUM VITAE
Name: PSTRAV
First name: OVIDIU CRISTIAN
Age: 34
Place and date of birth: Bailesti, Dolj county; May 11,1976
Address: 20 Plopilor st. flat 29, Cluj-Napoca
Marital status: married
Parents: Tudor Pstrav
Elena Pstrav
Studies: 1982-1990: General School at Galda de Jos, Alba county
1990-1994: Horea, Cloca and Crian National College Alba Iulia (Chemistry
Biology department)
1995-2001: Faculty of Stomatology of the University of Medicine and Pharmacy
Iuliu Haieganu Cluj-Napoca; mean of marks at the graduation exam 9.73
Professional Activity:
Jan. 1- Dec.31 2002: Intern Dental Doctor at the Department of Odontology Parodontology
Oct.1 2003 Oct 1 2006: Teaching Fellow at the Department of OdontologyParodontology
Jan 1 2004 Dec 31 2006: Intern in the speciality of General Stomatology
Oct 1 2006 present: Assistant Professor at the Department of Odontology
May 2007: passing the speciality exam in the field of General Stomatology
27

Post-graduate Studies:
27 -28 May 2004:- Supuration, a Complication of Diseases in Dental
Treatment(Conf.Dr.Virgil Vasc)
27 -28 May 2004:

- Implantology CourseI ( Dr. Adrian Vasiloiu)

27 -28 May 2004:

- Prospects in the Treatment of Caries and Pulp Diseases in

Deciduos

9.10.2004-15.01.2005 :

Teeth (Dr. Rodica Jianu)

-Maxillo-dental

Radiodiagnosis

(The

Radiology

Department of Faculty of Dentistry)

17.01-29.01.2005 :

-Means of Protetcting the Apical Parodontium during

endodontic Treatment (Prof.Dr.Angela Pop)

5.12.2005 :

- Crown Restoration of Fractures in anterior Teeth using the

layering Techinque for Composite Resins ( Conf. Dr.
Alexandra Roman)

05. 2005 :

-Aesthetic Restorations in the anterior area. The indirect

technique. (veneers, crowns) Aesthetic Restorations in the
anterior area. The traditional direct technique and layering
technique.(Prof.Dr. Jean Louis Brouillet)

14.04. 2009 :

-The fundamental Principles of Endodontic Treatment.( Dr.

Ileana Cmpean)

Scientific Activity:
Published books: Restorative Dentistry- theoretical and clinical guide. Roman A, Popovici
A, Pstrav O, Condor D, Ed.Medical, Cluj Napoca, 2006

Papers published in extenso:

Roman A, igan S, Pstrav O..Caries among a group of Romanian intellectually impaired
children., Journal of Disability and Oral Health 5/2,2004,80-82.
Roman A,Pstrav O,Szatmari S.- Therapeutic Approach for Children in Social Care .;
Transilvania Stomatologic, anul IV, nr.4, dec.2004.
Pstrav O. Pop A., Pstrav M., Up-to-date Principles of Treatment of Anterior Coronary
Lesions , Clujul Medical, Nr. 2, Vol. LXXXII, 2009,282-284.

28

 Pstrav O., Pop A.,Pstrav M. Evaluation of the Clinical Behaviour of Composite

Materials in Coronary Restoration of Anterior Teeth , Clujul Medical, Nr. 3, Vol. LXXXII,
2009, 420-425.
Pstrav M. rmure V., Pstrav O., Cocarla E., Odontal Status of the First Permanent
Molar and the Frequency of Dentomaxillary Abnormalities in the Second Phase of Mixed
Dentition, Clujul Medical, 2009, vol.82, nr.2, 275-278,
Pstrav M., Trmure V., Cocrl T., Pstrav O . Pathology of the first permanent Molar
and the Therapy Choice in different Types of Dento-Maxillary Anomalies, Clujul Medical,
2009, vol.82, nr.3, 415-420.

Trif M., Moldovan M..Prejmerean C , Furtos G. , Musat O., Pstrav O. , Antoniac I.

Effect of bioactive nanopowders upon mechanical properties of some experimental

dental composites,Studia Universitatis Babe-Bolyai, Chemia, 2010, in press

Papers published in volumes of summaries:

Epidemiological and Therapeutic Aspects of the Secondary Caries and of the

Relapsing Caries. Roman A,Pstrav O.;Zilele Stomatologiei Mureene, 3

rd

Ed, 23-25

apr. 2003,13

Possibilities of Morphological and Functional Restoration of Anterior Teeth in

Handicapped Children. Roman A, Pstrav O.; Zilele UMF Cluj-Napoca,5-8 dec.2005

Les restaurations complexes lamalgame chez les personnes dficientes mentales.

Roman A,Pstrav O,Popovici A.;25mes Journes du Collge National des Enseignants
en Odontologie Conservatrice, Bordeaux, 13-14 iunie 2005.

The study of some experimental and commercial nanocomposites used in dentistry,

M.Moldovan, A.Almasi, C.Prejmerean, O.Musat, L.Silaghi-Dumitrescu, C.Nicola,
I.Cojocaru, O.Pstrav Materiale Plastice, MPLAAM, nr. 46(4), p. 404-409, 2009, ISSN
0025/5289

SEM analyse for morphological aspect of dental restorative composites after mechanical
polishing, M.Trif, M.Moldovan, O.Pstrav, O.Musat, C.Sarosi, G.Furtos, L.SilaghiDumitrescu, L.Colceriu, International Congress on Dentistry NAPOCA BIODENT 5-7
nov., 2009, Cluj-Napoca Romania

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The study of discoloration of some composite resins light cured with different light
sources, Silaghi L., Dumitrescu L., Pstrav O., Moldovan M., Prejmerean C., Dudea
D.,.Nicola C, Prodan D., Alb F., International Congress on Dentistry NAPOCA
BIODENT 5-7 nov., 2009, Cluj-Napoca Romania

Effect of Finishing Techniques on Hybride Composites Used in Dental Restorations, ,

Pstrav O., Moldovan, M.

Trif M., Boboia S., Pop A., Pstrav M., International

Congress on Dentistry NAPOCA BIODENT 5-7 nov., 2009, Cluj-Napoca Romania

Study on the Adhesion of Three Sealing Materials by Optic Microscopy and SEM
Evaluation, Pstrav M., Cocrl E., Moldovan M., Trif M., Nicola C., Pstrav O.,
International Congress on Dentistry NAPOCA BIODENT 5-7 nov., 2009, Cluj-Napoca
Romania

Other activities:
-

March 1999: participant in the Interdentis student program in an exchange of

experience with students of the Faculty of Stomatology of Timioara

December 1999: voluntary work within the World Wide Vision Romania Organization
for the schooling of children coming from families with social
problems

February 2000: participant in the program Health of Sexual Reproduction ClujNapoca, organized by the John Hopkins Univresity U.S.A

Foreign Languages: - English (intermediate level)

- French (intermediate level)

Other Skills: PC operating skills {WINDOWS XP, WORD, EXCEL) and internet
navigation skills

Hobbies: literature
sports (swimming, cycling, horse riding)
traveling

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