Ione Brunharo | UNIRIO - Universidade Federal do Estado do Rio de Janeiro (original) (raw)

Papers by Ione Brunharo

Research paper thumbnail of Tratamento multidisciplinar de deformidades dentofaciais

Revista Hospital Universitario Pedro Ernesto, 2013

Research paper thumbnail of Tratamento precoce da mordida cruzada anterior com aparelho ortopédico funcional: relato de caso clínico

Rev Clin Ortodon Dental Press, Mar 1, 2009

... para imprimir. Fotocópia. experimental, Documentos relacionados. Id: 519776. Autor: Torres, M... more ... para imprimir. Fotocópia. experimental, Documentos relacionados. Id: 519776. Autor: Torres, Myrna de Faria Magalhães; Bouças, Marisa Ferreira; Carvalho, Fernanda Ribeiro; Coutinho, Bianca Rossi; Barreto, Sunny Yamaguche Nogueira; Brunharo, Ione Helena Vieira Portella. ...

Research paper thumbnail of Diagn�stico de m� oclus�o de Classe III por alunos de gradua��o

Revista Dental Press De Ortodontia E Ortopedia Facial, 2008

Research paper thumbnail of Classe II esquelética com excesso maxilar: tratamento ortodôntico em duas fases

Rev Clin Ortodon Dental Press, Mar 1, 2006

... Ione Helena Portella Brunharo, Alvaro de Moraes Mendes, Cátia Cardoso Abdo Quintão, Álvaro Fr... more ... Ione Helena Portella Brunharo, Alvaro de Moraes Mendes, Cátia Cardoso Abdo Quintão, Álvaro Francisco Carriello Fernandes, Marco Abdo Gravina ... ORTON, HS; SLATTERY, DA; ORTON, S. The treatment of severe 'gummy' Class II division 1 malocclusion with the maxillary ...

Research paper thumbnail of O aparelho ortopédico funcional Twin Block estimula o crescimento mandibular?

Rev Clin Ortodon Dental Press, May 1, 2007

Research paper thumbnail of Controle da doença cárie em pacientes submetidos a tratamento ortodôntico

Rev Bras Odontol, Aug 1, 2002

Resumo: Este trabalho relata o risco do desenvolvimento da doença cárie em pacientes submetidos a... more Resumo: Este trabalho relata o risco do desenvolvimento da doença cárie em pacientes submetidos a tratamento ortodôntico com aparelhos fixos e descreve métodos preventivos utilizados no controle desta doença. Ressalta a importância da aquisição de métodos ...

Research paper thumbnail of Mechanical properties of NiTi and CuNiTi wires used in orthodontic treatment. Part 2: Microscopic surface appraisal and metallurgical characteristics

Dental Press Journal of Orthodontics, 2014

Objective: This research aimed at comparing the qualitative chemical compositions and the surface... more Objective: This research aimed at comparing the qualitative chemical compositions and the surface morphology of fracture regions of eight types of Nickel (Ni) Titanium (Ti) conventional wires, superelastic and heat-activated (GAC, TP, Ormco, Masel, Morelli and Unitek), to the wires with addition of copper (CuNiTi 27 o C and 35 o C, Ormco) after traction test. Methods: The analyses were performed in a scanning electronic microscope (JEOL, model JSM-5800 LV) with EDS system of microanalysis (energy dispersive spectroscopy). Results: The results showed that NiTi wires presented Ni and Ti as the main elements of the alloy with minimum differences in their composition. The CuNiTi wires, however, presented Ni and Ti with a significant percentage of copper (Cu). As for surface morphology, the wires that presented the lowest wire-surface roughness were the superelastic ones by Masel and Morelli, while those that presented the greatest wire-surface roughness were the CuNiTi 27 o C and 35 o C ones by Ormco, due to presence of microcavity formed as a result of pulling out some particles, possibly of NiTi. 4 The fracture surfaces presented characteristics of ductile fracture, with presence of microcavities. The superelastic wires by GAC and the CuNiTi 27 o C and the heat-activated ones by Unitek presented the smallest microcavities and the lowest wire-surface roughness with regard to fracture, while the CuNiTi 35 o C wires presented inadequate wire-surface roughness in the fracture region. Conclusion: CuNiTi 35 o C wires did not present better morphologic characteristics in comparison to the other wires with regard to surfaces and fracture region.

Research paper thumbnail of Mechanical properties of NiTi and CuNiTi shape-memory wires used in orthodontic treatment. Part 1: stress-strain tests

Dental Press Journal of Orthodontics, 2013

Objective: This research aimed to compare, through traction tests, eight types of superelastic an... more Objective: This research aimed to compare, through traction tests, eight types of superelastic and heat-activated NiTi archwires, by six trade companies (GAC, TP, Ormco, Masel, Morelli and Unitek) to those with addition of copper (CuNiTi 27°C and 35°C, Ormco). Methods: The tests were performed in an EMIC mechanical testing machine, model DL10000, capacity of 10 tons, at the Military Institute of Engineering (IME). Results: The results showed that, generally, heat-activated NiTi archwires presented slighter deactivation loadings in relation to superelastic. Among the archwires that presented deactivation loadings biologically more adequate are the heat-activated by GAC and by Unitek. Among the superelastic NiTi, the CuNiTi 27°C by Ormco were the ones that presented slighter deactivation loadings, being statistically (ANOVA) similar, to the ones presented by the heat-activated NiTi archwires by Unitek. When compared the CuNiTi 27°C and 35°C archwires, it was observed that the 27°C presented deactivation forces of, nearly, ⅓ of the presented by the 35°C. Conclusion: It was concluded that the CuNiTi 35°C archwires presented deactivation loadings biologically less favorable in relation to the other heat-activated NiTi archwires, associated to lower percentage of deformation, on the constant baselines of deactivation, showing less adequate mechanical behavior, under traction, in relation to the other archwires.

Research paper thumbnail of Effectiveness of twin blocks and extraoral maxillary splint (Thurow) appliances for the correction of Class II relationships

World journal of orthodontics, 2010

The aim of this study was to evaluate the skeletal and dentoalveolar changes due to treatment wit... more The aim of this study was to evaluate the skeletal and dentoalveolar changes due to treatment with twin block and Thurow appliances in patients with Class II occlusions. The sample consisted of 19 randomly selected patients in each group, as well as 20 individuals in the control group. All patients were treated during the prepubertal growth spurt for 12 months. Lateral cephalograms were analyzed at the beginning of active treatment and 12 months later. All data were tested with the ANOVA and Bonferroni tests. These tests showed that the twin block promotes a significant increase (P<.001) in the total length of the mandible, as well as an increase in anterior facial height. In contrast, ANB and NAPog were reduced. In both treatment groups, the maxillary incisors retruded significantly (P<.001), although more so in the twin block group. In the Thurow appliance group, the mandibular incisors protruded significantly (P<.001). All other differences between the two treated groups...

Research paper thumbnail of Clinical evaluation of dental alignment and leveling with three different types of orthodontic wires

Dental Press Journal of Orthodontics, 2013

Research paper thumbnail of Assessment of the orthodontic knowledge demonstrated by dental school undergraduates: recognizing the key features of Angle Class II, Division 1 malocclusion

Dental Press Journal of Orthodontics, 2012

ABSTRACT OBJECTIVE: To investigate the ability of undergraduate students in diagnosing Angle Clas... more ABSTRACT OBJECTIVE: To investigate the ability of undergraduate students in diagnosing Angle Class II malocclusion and evaluate the clinical approach of these students toward a patient displaying this condition. METHODS: The sample consisted of 138 students attending the last semester of 10 dental schools in the State of Rio de Janeiro/Brazil assessed by questionnaires with closed questions. They were presented with photographs and dental casts of a patient in the mixed dentition, with Angle Class II malocclusion, increased overjet and overbite, deviated dental midlines and anterior diastemas in the upper arch. RESULTS: It was found that students easily identified increased overjet (92% of students), followed by the presence of diastemas (89%), midline deviation (84.7%) and increased overbite (77.3%). Conversely, approximately half the sample (n=70 or 51% of the students) were able to identify bilateral Angle Class II malocclusion. Nearly all agreed on the need for treatment and that it should be provided by a specialist (n=131 or 95%), but found it difficult to determine the ideal moment to start orthodontic treatment: 48.9% of the sample would begin treatment at the end of the mixed dentition, 41.7% would indicate treatment during deciduous dentition and 7.9% during permanent dentition. CONCLUSIONS: On completion of their undergraduate courses, students encounter difficulties in diagnosing Class II and even find it hard to articulate ideas about a basic treatment protocol to correct this malocclusion.

Research paper thumbnail of A correção da mordida cruzada posterior unilateral com desvio funcional melhora a assimetria facial?

Revista Dental Press de Ortodontia e Ortopedia Facial, 2009

Objetivo: avaliar, através de fotografias clínicas de 30 pacientes, as alterações ocorridas na as... more Objetivo: avaliar, através de fotografias clínicas de 30 pacientes, as alterações ocorridas na assimetria labial presente em pacientes portadores de mordida cruzada posterior unilateral funcional (MCPUF), após a correção ortodôntica. Métodos: para quantificar essas modificações, foram mensuradas as áreas dos quadrantes labiais antes (T1) e após o tratamento (T2). Os lábios superiores e inferiores foram subdivididos em 4 quadrantes e as suas áreas foram medidas e expressas como percentagem da sua área total. A quantidade de correção da assimetria foi obtida calculando a diferença no percentual da área entre os quadrantes do lábio em T1 e T2. Resultados: os resultados demonstraram haver uma melhora significativa na assimetria observada inicialmente nestes pacientes do lado onde o desvio postural da mandíbula se apresentava.

Research paper thumbnail of Oclusão normal na dentadura mista: reconhecimento das características oclusais por alunos de graduação

Revista Dental Press de Ortodontia e Ortopedia Facial, 2005

INTRODUÇÃO A dentadura mista é marcada por diversas mudanças no arco dentário e faz parte do dese... more INTRODUÇÃO A dentadura mista é marcada por diversas mudanças no arco dentário e faz parte do desenvolvimento normal o aparecimento de algumas características oclusais transitórias, muitas vezes confundidas com má oclusão. Um período característico deste ...

Research paper thumbnail of Simulação computadorizada do perfil facial em cirurgia ortognática: precisão cefalométrica e avaliação por ortodontistas

Revista Dental Press de Ortodontia e Ortopedia Facial, 2007

Research paper thumbnail of Is traditional treatment a good option for an adult with a Class II deepbite malocclusion?

American Journal of Orthodontics and Dentofacial Orthopedics, 2012

The Tweed-Merrifield directional force technique is a useful treatment approach for a patient wit... more The Tweed-Merrifield directional force technique is a useful treatment approach for a patient with a Class II malocclusion with dentoalveolar protrusion. The purpose of this case report was to present the diagnosis and treatment descriptions of a patient with an Angle Class II malocclusion complicated by tooth losses, severe dentoalveolar protrusion, and skeletal discrepancy. Treatment involved extraction of the maxillary first premolars, high-pull headgear to enhance anchorage, and high-pull J-hook headgear to retract and intrude the maxillary anterior segments. A successful outcome was achieved with traditional orthodontic treatment in this borderline surgical case. (Am J Orthod Dentofacial Orthop 2012;141:105-12)

Research paper thumbnail of Influence of surface treatment on shear bond strength of orthodontic brackets

Dental Press Journal of Orthodontics, 2013

The shear bond strength of orthodontic brackets bonded to micro-hybrid and micro-particulate resi... more The shear bond strength of orthodontic brackets bonded to micro-hybrid and micro-particulate resins under different surface treatment methods was assessed. Two hundred and eighty test samples were divided into 28 groups (n = 10), where 140 specimens were filled with Durafill micro-particulate resin and 140 with Charisma composite. In 140 samples, a coupling agent (silane) was applied. The surface treatment methods were: Phosphoric and hydrofluoric acid etching, sodium bicarbonate and aluminum oxide blasting, stone and burs. A Universal Instron Machine was used to apply an occlusal shear force directly to the resin composite bracket surface at a speed of 0.5 mm/min. The means were compared using analysis of variance and multivariate regression to assess the interaction between composites and surface treatment methods. Means and standard deviations for the groups were: Sodium bicarbonate jet 11.27 ± 2.78; burs 9.26 ± 3.01; stone 7.95 ± 3.67; aluminum oxide blasting 7.04 ± 3.21; phosphoric acid 5.82 ± 1.90; hydrofluoric acid 4.54 ± 2.87, and without treatment 2.75 ± 1.49. An increase of 1.94 MPa in shear bond strength was seen in Charisma groups. Silane agent application reduced the Charisma shear bond strength by 0.68 Mpa, but increased Durafill means for bicarbonate blasting (0.83), burs (0.98) and stone drilling (0.46). The sodium bicarbonate blasting, burs and stone drilling methods produced adequate shear bond strength and may be suitable for clinical use. The Charisma micro hybrid resin composite showed higher shear bond means than Durafill micro particle composite.

Research paper thumbnail of Tratamento multidisciplinar de deformidades dentofaciais

Revista Hospital Universitario Pedro Ernesto, 2013

Research paper thumbnail of Tratamento precoce da mordida cruzada anterior com aparelho ortopédico funcional: relato de caso clínico

Rev Clin Ortodon Dental Press, Mar 1, 2009

... para imprimir. Fotocópia. experimental, Documentos relacionados. Id: 519776. Autor: Torres, M... more ... para imprimir. Fotocópia. experimental, Documentos relacionados. Id: 519776. Autor: Torres, Myrna de Faria Magalhães; Bouças, Marisa Ferreira; Carvalho, Fernanda Ribeiro; Coutinho, Bianca Rossi; Barreto, Sunny Yamaguche Nogueira; Brunharo, Ione Helena Vieira Portella. ...

Research paper thumbnail of Diagn�stico de m� oclus�o de Classe III por alunos de gradua��o

Revista Dental Press De Ortodontia E Ortopedia Facial, 2008

Research paper thumbnail of Classe II esquelética com excesso maxilar: tratamento ortodôntico em duas fases

Rev Clin Ortodon Dental Press, Mar 1, 2006

... Ione Helena Portella Brunharo, Alvaro de Moraes Mendes, Cátia Cardoso Abdo Quintão, Álvaro Fr... more ... Ione Helena Portella Brunharo, Alvaro de Moraes Mendes, Cátia Cardoso Abdo Quintão, Álvaro Francisco Carriello Fernandes, Marco Abdo Gravina ... ORTON, HS; SLATTERY, DA; ORTON, S. The treatment of severe 'gummy' Class II division 1 malocclusion with the maxillary ...

Research paper thumbnail of O aparelho ortopédico funcional Twin Block estimula o crescimento mandibular?

Rev Clin Ortodon Dental Press, May 1, 2007

Research paper thumbnail of Controle da doença cárie em pacientes submetidos a tratamento ortodôntico

Rev Bras Odontol, Aug 1, 2002

Resumo: Este trabalho relata o risco do desenvolvimento da doença cárie em pacientes submetidos a... more Resumo: Este trabalho relata o risco do desenvolvimento da doença cárie em pacientes submetidos a tratamento ortodôntico com aparelhos fixos e descreve métodos preventivos utilizados no controle desta doença. Ressalta a importância da aquisição de métodos ...

Research paper thumbnail of Mechanical properties of NiTi and CuNiTi wires used in orthodontic treatment. Part 2: Microscopic surface appraisal and metallurgical characteristics

Dental Press Journal of Orthodontics, 2014

Objective: This research aimed at comparing the qualitative chemical compositions and the surface... more Objective: This research aimed at comparing the qualitative chemical compositions and the surface morphology of fracture regions of eight types of Nickel (Ni) Titanium (Ti) conventional wires, superelastic and heat-activated (GAC, TP, Ormco, Masel, Morelli and Unitek), to the wires with addition of copper (CuNiTi 27 o C and 35 o C, Ormco) after traction test. Methods: The analyses were performed in a scanning electronic microscope (JEOL, model JSM-5800 LV) with EDS system of microanalysis (energy dispersive spectroscopy). Results: The results showed that NiTi wires presented Ni and Ti as the main elements of the alloy with minimum differences in their composition. The CuNiTi wires, however, presented Ni and Ti with a significant percentage of copper (Cu). As for surface morphology, the wires that presented the lowest wire-surface roughness were the superelastic ones by Masel and Morelli, while those that presented the greatest wire-surface roughness were the CuNiTi 27 o C and 35 o C ones by Ormco, due to presence of microcavity formed as a result of pulling out some particles, possibly of NiTi. 4 The fracture surfaces presented characteristics of ductile fracture, with presence of microcavities. The superelastic wires by GAC and the CuNiTi 27 o C and the heat-activated ones by Unitek presented the smallest microcavities and the lowest wire-surface roughness with regard to fracture, while the CuNiTi 35 o C wires presented inadequate wire-surface roughness in the fracture region. Conclusion: CuNiTi 35 o C wires did not present better morphologic characteristics in comparison to the other wires with regard to surfaces and fracture region.

Research paper thumbnail of Mechanical properties of NiTi and CuNiTi shape-memory wires used in orthodontic treatment. Part 1: stress-strain tests

Dental Press Journal of Orthodontics, 2013

Objective: This research aimed to compare, through traction tests, eight types of superelastic an... more Objective: This research aimed to compare, through traction tests, eight types of superelastic and heat-activated NiTi archwires, by six trade companies (GAC, TP, Ormco, Masel, Morelli and Unitek) to those with addition of copper (CuNiTi 27°C and 35°C, Ormco). Methods: The tests were performed in an EMIC mechanical testing machine, model DL10000, capacity of 10 tons, at the Military Institute of Engineering (IME). Results: The results showed that, generally, heat-activated NiTi archwires presented slighter deactivation loadings in relation to superelastic. Among the archwires that presented deactivation loadings biologically more adequate are the heat-activated by GAC and by Unitek. Among the superelastic NiTi, the CuNiTi 27°C by Ormco were the ones that presented slighter deactivation loadings, being statistically (ANOVA) similar, to the ones presented by the heat-activated NiTi archwires by Unitek. When compared the CuNiTi 27°C and 35°C archwires, it was observed that the 27°C presented deactivation forces of, nearly, ⅓ of the presented by the 35°C. Conclusion: It was concluded that the CuNiTi 35°C archwires presented deactivation loadings biologically less favorable in relation to the other heat-activated NiTi archwires, associated to lower percentage of deformation, on the constant baselines of deactivation, showing less adequate mechanical behavior, under traction, in relation to the other archwires.

Research paper thumbnail of Effectiveness of twin blocks and extraoral maxillary splint (Thurow) appliances for the correction of Class II relationships

World journal of orthodontics, 2010

The aim of this study was to evaluate the skeletal and dentoalveolar changes due to treatment wit... more The aim of this study was to evaluate the skeletal and dentoalveolar changes due to treatment with twin block and Thurow appliances in patients with Class II occlusions. The sample consisted of 19 randomly selected patients in each group, as well as 20 individuals in the control group. All patients were treated during the prepubertal growth spurt for 12 months. Lateral cephalograms were analyzed at the beginning of active treatment and 12 months later. All data were tested with the ANOVA and Bonferroni tests. These tests showed that the twin block promotes a significant increase (P<.001) in the total length of the mandible, as well as an increase in anterior facial height. In contrast, ANB and NAPog were reduced. In both treatment groups, the maxillary incisors retruded significantly (P<.001), although more so in the twin block group. In the Thurow appliance group, the mandibular incisors protruded significantly (P<.001). All other differences between the two treated groups...

Research paper thumbnail of Clinical evaluation of dental alignment and leveling with three different types of orthodontic wires

Dental Press Journal of Orthodontics, 2013

Research paper thumbnail of Assessment of the orthodontic knowledge demonstrated by dental school undergraduates: recognizing the key features of Angle Class II, Division 1 malocclusion

Dental Press Journal of Orthodontics, 2012

ABSTRACT OBJECTIVE: To investigate the ability of undergraduate students in diagnosing Angle Clas... more ABSTRACT OBJECTIVE: To investigate the ability of undergraduate students in diagnosing Angle Class II malocclusion and evaluate the clinical approach of these students toward a patient displaying this condition. METHODS: The sample consisted of 138 students attending the last semester of 10 dental schools in the State of Rio de Janeiro/Brazil assessed by questionnaires with closed questions. They were presented with photographs and dental casts of a patient in the mixed dentition, with Angle Class II malocclusion, increased overjet and overbite, deviated dental midlines and anterior diastemas in the upper arch. RESULTS: It was found that students easily identified increased overjet (92% of students), followed by the presence of diastemas (89%), midline deviation (84.7%) and increased overbite (77.3%). Conversely, approximately half the sample (n=70 or 51% of the students) were able to identify bilateral Angle Class II malocclusion. Nearly all agreed on the need for treatment and that it should be provided by a specialist (n=131 or 95%), but found it difficult to determine the ideal moment to start orthodontic treatment: 48.9% of the sample would begin treatment at the end of the mixed dentition, 41.7% would indicate treatment during deciduous dentition and 7.9% during permanent dentition. CONCLUSIONS: On completion of their undergraduate courses, students encounter difficulties in diagnosing Class II and even find it hard to articulate ideas about a basic treatment protocol to correct this malocclusion.

Research paper thumbnail of A correção da mordida cruzada posterior unilateral com desvio funcional melhora a assimetria facial?

Revista Dental Press de Ortodontia e Ortopedia Facial, 2009

Objetivo: avaliar, através de fotografias clínicas de 30 pacientes, as alterações ocorridas na as... more Objetivo: avaliar, através de fotografias clínicas de 30 pacientes, as alterações ocorridas na assimetria labial presente em pacientes portadores de mordida cruzada posterior unilateral funcional (MCPUF), após a correção ortodôntica. Métodos: para quantificar essas modificações, foram mensuradas as áreas dos quadrantes labiais antes (T1) e após o tratamento (T2). Os lábios superiores e inferiores foram subdivididos em 4 quadrantes e as suas áreas foram medidas e expressas como percentagem da sua área total. A quantidade de correção da assimetria foi obtida calculando a diferença no percentual da área entre os quadrantes do lábio em T1 e T2. Resultados: os resultados demonstraram haver uma melhora significativa na assimetria observada inicialmente nestes pacientes do lado onde o desvio postural da mandíbula se apresentava.

Research paper thumbnail of Oclusão normal na dentadura mista: reconhecimento das características oclusais por alunos de graduação

Revista Dental Press de Ortodontia e Ortopedia Facial, 2005

INTRODUÇÃO A dentadura mista é marcada por diversas mudanças no arco dentário e faz parte do dese... more INTRODUÇÃO A dentadura mista é marcada por diversas mudanças no arco dentário e faz parte do desenvolvimento normal o aparecimento de algumas características oclusais transitórias, muitas vezes confundidas com má oclusão. Um período característico deste ...

Research paper thumbnail of Simulação computadorizada do perfil facial em cirurgia ortognática: precisão cefalométrica e avaliação por ortodontistas

Revista Dental Press de Ortodontia e Ortopedia Facial, 2007

Research paper thumbnail of Is traditional treatment a good option for an adult with a Class II deepbite malocclusion?

American Journal of Orthodontics and Dentofacial Orthopedics, 2012

The Tweed-Merrifield directional force technique is a useful treatment approach for a patient wit... more The Tweed-Merrifield directional force technique is a useful treatment approach for a patient with a Class II malocclusion with dentoalveolar protrusion. The purpose of this case report was to present the diagnosis and treatment descriptions of a patient with an Angle Class II malocclusion complicated by tooth losses, severe dentoalveolar protrusion, and skeletal discrepancy. Treatment involved extraction of the maxillary first premolars, high-pull headgear to enhance anchorage, and high-pull J-hook headgear to retract and intrude the maxillary anterior segments. A successful outcome was achieved with traditional orthodontic treatment in this borderline surgical case. (Am J Orthod Dentofacial Orthop 2012;141:105-12)

Research paper thumbnail of Influence of surface treatment on shear bond strength of orthodontic brackets

Dental Press Journal of Orthodontics, 2013

The shear bond strength of orthodontic brackets bonded to micro-hybrid and micro-particulate resi... more The shear bond strength of orthodontic brackets bonded to micro-hybrid and micro-particulate resins under different surface treatment methods was assessed. Two hundred and eighty test samples were divided into 28 groups (n = 10), where 140 specimens were filled with Durafill micro-particulate resin and 140 with Charisma composite. In 140 samples, a coupling agent (silane) was applied. The surface treatment methods were: Phosphoric and hydrofluoric acid etching, sodium bicarbonate and aluminum oxide blasting, stone and burs. A Universal Instron Machine was used to apply an occlusal shear force directly to the resin composite bracket surface at a speed of 0.5 mm/min. The means were compared using analysis of variance and multivariate regression to assess the interaction between composites and surface treatment methods. Means and standard deviations for the groups were: Sodium bicarbonate jet 11.27 ± 2.78; burs 9.26 ± 3.01; stone 7.95 ± 3.67; aluminum oxide blasting 7.04 ± 3.21; phosphoric acid 5.82 ± 1.90; hydrofluoric acid 4.54 ± 2.87, and without treatment 2.75 ± 1.49. An increase of 1.94 MPa in shear bond strength was seen in Charisma groups. Silane agent application reduced the Charisma shear bond strength by 0.68 Mpa, but increased Durafill means for bicarbonate blasting (0.83), burs (0.98) and stone drilling (0.46). The sodium bicarbonate blasting, burs and stone drilling methods produced adequate shear bond strength and may be suitable for clinical use. The Charisma micro hybrid resin composite showed higher shear bond means than Durafill micro particle composite.