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1.
J Adhes Dent ; 18(4): 317-23, 2016.
Artigo em Inglês | MEDLINE | ID: mdl-27419244

RESUMO

PURPOSE: This study evaluated the effect of application technique and preparation size on the fracture strength (FS), microtensile bond strength (µTBS) and marginal integrity (MI) of direct resin composite restorations. MATERIALS AND METHODS: Conservative (5 × 2 × 2 mm) or extended (5 × 4 × 2 mm) preparations below the cementoenamel junction were performed in 140 human maxillary premolars (n = 70 per group). After adhesive application (XP Bond), half of each group was restored with the bulk technique (one 4-mm increment of Surefill SDR Flow plus one 1-mm horizontal capping layer of TPH3 [Spectrum TPH3 resin composite]) and half incrementally (TPH3 in three horizontal incremental layers, 1.5 to 2 mm each), all using a metal matrix band. After storage (24 h at 37°C), the proximal surfaces of each tooth were polished with Sof-Lex disks. For FS measurement, 60 restorations were mounted in a universal testing machine and subjected to a compressive axial load applied parallel to the long axis of the tooth, running at a crosshead speed of 0.5 mm/min. For µTBS testing, 40 teeth were longitudinally sectioned to obtain resin-dentin bonded sticks from the cavity floor (bonded area: 0.8 mm2). Specimens were tested in tension at 0.5 mm/min. The external marginal integrity of both proximal surfaces was analyzed using SEM of epoxy resin replicas. The µTBS, marginal integrity, and fracture resistance data were subjected to two-way ANOVA, and Tukey's post-hoc test was used for pair-wise comparisons (a = 0.05). RESULTS: Fracture resistance, microtensile bond strength, and marginal integrity values were not statistically significantly affected by application technique or preparation size (p = 0.71, p = 0.82, and p = 0.77, respectively). CONCLUSIONS: The use of a bulk-fill flowable composite associated with a conventional resin composite as a final capping layer did not jeopardize the fracture strength, bond strength to dentin, or marginal integrity of posterior restorations.


Assuntos
Resinas Compostas/química , Colagem Dentária , Adaptação Marginal Dentária , Materiais Dentários/química , Restauração Dentária Permanente/métodos , Preparo da Cavidade Dentária/métodos , Polimento Dentário/instrumentação , Análise do Estresse Dentário/instrumentação , Dentina/ultraestrutura , Adesivos Dentinários/química , Humanos , Teste de Materiais , Bandas de Matriz , Microscopia Eletrônica de Varredura , Técnicas de Réplica , Estresse Mecânico , Propriedades de Superfície , Temperatura , Resistência à Tração , Fatores de Tempo
2.
ScientificWorldJournal ; 2015: 468582, 2015.
Artigo em Inglês | MEDLINE | ID: mdl-25879058

RESUMO

UNLABELLED: This study evaluated the effect of high fluoride dentifrice on the bond strength of brackets after erosive challenge. Eighty-four enamel specimens were divided into seven groups (n = 12): WN (distilled water/no acid challenge), W3C (distilled water/3 cycles of acid challenge), and W6C (distilled water/6 cycles of acid challenge) were not submitted to dentifrice treatment. Groups RF3C (regular fluoride dentifrice/3 cycles of acid challenge) and RF6C (regular fluoride dentifrice/6 cycles of acid challenge) were treated with dentifrices containing 1450 µg F(-)/g and HF3C (high fluoride dentifrice/3 cycles of acid challenge) and HF6C (high fluoride dentifrice/6 cycles of acid challenge) were with 5000 µg F(-)/g. Acid challenges were performed for seven days. After bond strength test, there was no significant difference among groups submitted to 3 cycles of acid challenge (P > 0.05). Statistically significant difference was found between the regular and high fluoride dentifrices after 6 cycles of acid challenge (<0.05). Similar areas of adhesive remaining were found among control groups and among groups W6C, RF3C, RF6C, HF3C, and HF6C. The high fluoride dentifrice was able to prevent the reduction of bond strength values of brackets submitted to acid challenge. CLINICAL RELEVANCE: the high fluoride toothpaste prevents debonded brackets on erosive enamel.


Assuntos
Esmalte Dentário/efeitos dos fármacos , Braquetes Ortodônticos/efeitos adversos , Erosão Dentária/prevenção & controle , Cremes Dentais/administração & dosagem , Animais , Bovinos , Esmalte Dentário/patologia , Fluoretos/administração & dosagem , Fosfatos/administração & dosagem , Fluoreto de Sódio/administração & dosagem , Erosão Dentária/etiologia
3.
J Contemp Dent Pract ; 15(3): 283-7, 2014 May 01.
Artigo em Inglês | MEDLINE | ID: mdl-25307807

RESUMO

UNLABELLED: Ideally projected to be applied on soft tissues, infrared lasers were improved by restorative dentistry to be used in hard dental tissues cavity preparations--namely enamel and dentin. This paper evidentiates the relevant aspects of infrared Erbium laser's action mechanism and its effects, and characterizes the different effects deriving from the laser's beams emission. The criteria for use and selection of optimal parameters for the correct application of laser systems and influence of supporting factors on the process, such as water amount and its presence in the ablation process, protection exerted by the plasma shielding and structural factors, which are indispensable in dental tissues cavity preparation related to restorative technique, are subordinated to optical modifications caused by the interaction of the energy dissipated by these laser light emission systems in the targeted tissue substrate. CLINICAL RELEVANCE: Differences in the action of infrared Erbium laser system in regard to the nature of the ablation process and variations on the morphological aspects observed in the superficial structure of the target tissue irradiated, may be correlated to the structural optical modifications of the substrate produced by an interaction of the energy propagated by laser systems.


Assuntos
Esmalte Dentário/ultraestrutura , Dentina/ultraestrutura , Terapia a Laser/métodos , Lasers de Estado Sólido/uso terapêutico , Absorção Fisico-Química , Cristalografia , Preparo da Cavidade Dentária/métodos , Esmalte Dentário/química , Esmalte Dentário/cirurgia , Dentina/química , Dentina/cirurgia , Radiação Eletromagnética , Humanos , Microscopia Eletrônica de Varredura , Gases em Plasma/química , Radiometria , Temperatura , Termodinâmica , Volatilização , Água/química
4.
J Contemp Dent Pract ; 15(1): 61-5, 2014 Jan 01.
Artigo em Inglês | MEDLINE | ID: mdl-24939266

RESUMO

The present study aims to evaluate the antimicrobial effect of two new intracanal preparations against E. faecalis. Thirty single-rooted human canine teeth were used. The crowns were removed and the roots were instrumented using a conventional technique. Three groups of ten teeth each were infected with 108 CFU/ ml of E. faecalis for 21 days. The root canals were flled with new intracanal medications containing 3% doxycycline hydrochloride (DX) or 2% chlorhexidine digluconate (CHX). Ten teeth received no medication (NM)-negative control. Microbial samples were obtained 21 days after contamination: 14 days under the effect of the intracanal medications and 7 days after replacing the medications by BHI broth. The samples were homogenized, diluted, seeded on BHI agar and incubated for 48h/36°C. The number of colony forming units (CFU/ml) was obtained and analyzed statistically. All intracanal dressings significantly reduced the number of bacterial cells in the root canal after 14 days with medication. After the period with 7 days with BHI broth, the CFU counts of E. faecalis remained at low values. However, the NM group showed a significant increase of CFU in this period to similar values of the initial contamination. 3% doxycycline hydrochloride gel and 2% CHX gel were effective to eliminate E. faecalis from the root canal system.


Assuntos
Antibacterianos/farmacologia , Anti-Infecciosos Locais/farmacologia , Clorexidina/análogos & derivados , Cavidade Pulpar/microbiologia , Doxiciclina/farmacologia , Enterococcus faecalis/efeitos dos fármacos , Irrigantes do Canal Radicular/farmacologia , Carga Bacteriana/efeitos dos fármacos , Química Farmacêutica , Clorexidina/farmacologia , Dente Canino/microbiologia , Humanos , Teste de Materiais , Irrigantes do Canal Radicular/química , Preparo de Canal Radicular/instrumentação , Preparo de Canal Radicular/métodos , Fatores de Tempo
5.
J Contemp Dent Pract ; 14(2): 244-9, 2013 Mar 01.
Artigo em Inglês | MEDLINE | ID: mdl-23811653

RESUMO

This study investigated the physicochemical properties of the new formulation of the glass ionomer cements through hardness test and degree of conversion by infrared spectroscopy (FTIR). Forty specimens (n = 40) were made in a metallic mold (4 mm diameter x 2 mm thickness) with two resin-modified glass ionomer cements, Vitrebond™ and Vitrebond™ Plus (3M/ ESPE). Each specimen was light cured with blue LED with power density of 500 mW/cm(2) during 30 s. Immediately after light curing, 24h, 48h and 7 days the hardness and degree of conversion was determined. The Vickers hardness was performed by the MMT-3 microhardness tester using load of 50 gm force for 30 seconds. For degree of conversion, the specimens were pulverized, pressed with KBr and analyzed with FT-IR (Nexus 470). The statistical analysis of the data by ANOVA showed that the Vitrebond™ and Vitrebond™ Plus were no difference significant between the same storage times (p > 0.05). For degree of conversion, the Vitrebond™ and Vitrebond™ Plus were statistically different in all storage times after light curing. The Vitrebond™ showed higher values than Vitrebond™ Plus (p < 0.05). The performance of Vitrebond™ had greater results for degree of conversion than Vitrebond™ Plus. The correlation between hardness and degree of conversion was no evidence in this study.


Assuntos
Lâmpadas de Polimerização Dentária/classificação , Cimentos de Ionômeros de Vidro/química , Cura Luminosa de Adesivos Dentários/instrumentação , Carbono/química , Análise do Estresse Dentário/instrumentação , Cimentos de Ionômeros de Vidro/efeitos da radiação , Dureza , Humanos , Teste de Materiais , Metacrilatos/química , Oxigênio/química , Polimerização , Agentes de Capeamento da Polpa Dentária e Pulpectomia/química , Doses de Radiação , Cimentos de Resina/química , Cimentos de Resina/efeitos da radiação , Espectroscopia de Infravermelho com Transformada de Fourier , Estresse Mecânico , Fatores de Tempo
6.
J Contemp Dent Pract ; 14(2): 316-9, 2013 Mar 01.
Artigo em Inglês | MEDLINE | ID: mdl-23811666

RESUMO

The aim of this study was to investigate whether the artificial aging by thermal cycling had influenced the marginal adaptation of class V restorations with/without chlorhexidine application in the bond process. Twelve intact human third molars were used. Class V cavity preparations were performed on the buccal surface and the teeth received 35% phosphoric acid-etching procedure (Ultradent Products Inc., South Jordan, Utah, USA). Subsequently, the samples were divided in two groups: Untreated acid-etched dentin and chlorhexidine application as an adjunct in the bond process. The adhesive Single Bond 2 (3M ESPE, St. Paul, MN, USA) was used after 2% chlorhexidine application, and the restorations were performed with Filtek™ Z350 XT (3M ESPE) composite resin. The specimens were submitted to artificial aging by thermal cycling with 3,000 cycles. Analyzes were performed on scanning electron microscopy using replicas of marginal adaptation in percentage of continuous margin before and after the artificial aging. The data were analyzed by paired test and the results showed statistically significant differences in the percentage of continuous margin with/without chlorhexidine treatment before and after thermal cycling. This study concluded that the artificial aging by thermal cycling influenced the marginal adaptation of mixed class V composite restorations.


Assuntos
Resinas Compostas/química , Preparo da Cavidade Dentária/classificação , Adaptação Marginal Dentária , Materiais Dentários/química , Condicionamento Ácido do Dente/métodos , Clorexidina/química , Colagem Dentária/métodos , Cimentos Dentários/química , Esmalte Dentário/ultraestrutura , Dentina/ultraestrutura , Humanos , Umidade , Teste de Materiais/métodos , Microscopia Eletrônica de Varredura , Ácidos Fosfóricos/química , Técnicas de Réplica , Propriedades de Superfície , Temperatura , Fatores de Tempo
7.
J Contemp Dent Pract ; 14(6): 1044-8, 2013 Nov 01.
Artigo em Inglês | MEDLINE | ID: mdl-24858748

RESUMO

This study analyzes the clot stabilization on root surfaces of teeth impregnated with cotinine and nicotine and the influence of the scaling in the adhesion of blood components, observing the influence of new exposition to nicotine and/or cotinine after scaling. Fifteen human teeth extracted due to periodontal disease of non-smokers patients were selected and manually scaled. Four dentin blocks were obtained from each tooth (n = 60). Samples received blood application or reimpregnation with nicotine and/or cotinine, depending on the groups. Group 1: PBS immersion + root scaling + blood; group 2: nicotine + root scaling + blood; group 3: nicotine + root scaling + nicotine reapplication + blood; group 4: cotinine + root scaling + blood; group 5: cotinine + root scaling + cotinine reapplication+ blood; group 6: nicotine and cotinine + root scaling + nicotine and cotinine + blood. Samples were kept in 2 ml of each substance for 24 hours. Each group received a blood drop and was analyzed by SEM. The higher amount of blood components was present in teeth exposed to cotinine and the groups submitted to scaling and blood application in comparison with groups that received reapplication of toxic substances after scaling. The greater toxic effect on root dentin surface was after the exposure to nicotine and cotinine. Results suggest that periodontal healing may be delayed in smokers due to the direct inhibition of clot stabilization on the root surface when nicotine and cotinine are present concomitantly.


Assuntos
Cotinina/toxicidade , Nicotina/toxicidade , Periodonto/efeitos dos fármacos , Regeneração/efeitos dos fármacos , Raiz Dentária/efeitos dos fármacos , Células Sanguíneas/efeitos dos fármacos , Coagulação Sanguínea/efeitos dos fármacos , Adesão Celular/efeitos dos fármacos , Raspagem Dentária/instrumentação , Raspagem Dentária/métodos , Dentina/efeitos dos fármacos , Fibrina/efeitos dos fármacos , Humanos , Microscopia Eletrônica de Varredura , Curetagem Subgengival/instrumentação , Cicatrização/efeitos dos fármacos
8.
J Contemp Dent Pract ; 14(1): 4-8, 2013 Jan 01.
Artigo em Inglês | MEDLINE | ID: mdl-23579884

RESUMO

The wrist and hand region has been the most commonly used for estimating age and osseous development due to the great number of ossification centers. The aim was to determine which method, Tanner & Whitehouse's (TW3), Greulich & Pyle's (GP) or Eklof & Ringertz's, more closely relates to the chronological age in subjects with Down syndrome with chronological ages between 61 and 180 months, using wrist and hand radiographs. The sample consisted of 85 radiographs, 52 of males and 33 of females. Eklof & Ringertz's method was computerized (Radiomemory). Greulich & Pyle's atlas was used and compared with the wrist and hand radiographs. For the TW3 method, 13 ossification centers were evaluated; for each one of them, there are seven or eight development stages to which scores are assigned; these scores are then added and the results are transformed into osseous age values. No statistically significant differences were observed between the male and female genders for methods TW3 and GP, contrasting with the observed differences for the Eklof & Ringertz method. Correlation (r2) between osseous and chronological ages was 0.8262 for TW3 and 0.7965 for GP, while for the method of Eklof & Ringertz, it was 0.7656 for females and 0.8353 for males. The author concluded that the osseous age assessment method that better related to the chronological age was the TW3, followed by Greulich & Pyle's and Eklof & Ringertz's.


Assuntos
Determinação da Idade pelo Esqueleto/métodos , Ossos do Carpo/diagnóstico por imagem , Síndrome de Down/fisiopatologia , Ossos da Mão/diagnóstico por imagem , Adolescente , Fatores Etários , Desenvolvimento Ósseo/fisiologia , Ossos do Carpo/crescimento & desenvolvimento , Criança , Pré-Escolar , Feminino , Ossos da Mão/crescimento & desenvolvimento , Humanos , Processamento de Imagem Assistida por Computador/métodos , Masculino , Osteogênese/fisiologia , Rádio (Anatomia)/diagnóstico por imagem , Rádio (Anatomia)/crescimento & desenvolvimento , Ulna/diagnóstico por imagem , Ulna/crescimento & desenvolvimento
9.
J Contemp Dent Pract ; 14(1): 76-9, 2013 Jan 01.
Artigo em Inglês | MEDLINE | ID: mdl-23579898

RESUMO

AIMS AND OBJECTIVES: The behavior of polymer-matrix composite is dependent on the degree of conversion. The aim of this study was to evaluate the degree of conversion of two resin cements following storage at 37°C immediately, 24 and 48 hours, and 7 days after light-curing by FTIR analysis. MATERIALS AND METHODS: The specimens were made in a metallic mold and cured with blue LED with power density of 500 mW/ cm(2) for 30 seconds. The specimens were pulverized, pressed with KBr and analyzed with FTIR following storage times. STATISTICAL ANALYSIS USED: ANOVA (two-way) and Tukey's post hoc. RESULTS: To the polymer-matrix composites between 24 and 48 hours does not show a significant increase (p > 0.05), however, the highest values were found after 7 days. CONCLUSION: The polymer-matrix composites used in this study showed similarity on the degree of conversion and increased of according to the time of storage.


Assuntos
Resinas Compostas/química , Cimentos de Resina/química , Bis-Fenol A-Glicidil Metacrilato/química , Carbono/química , Resinas Compostas/efeitos da radiação , Lâmpadas de Polimerização Dentária/classificação , Humanos , Cura Luminosa de Adesivos Dentários , Teste de Materiais , Metacrilatos/química , Polietilenoglicóis/química , Polimerização , Polímeros/química , Polímeros/efeitos da radiação , Ácidos Polimetacrílicos/química , Poliuretanos/química , Doses de Radiação , Cimentos de Resina/efeitos da radiação , Autocura de Resinas Dentárias , Espectroscopia de Infravermelho com Transformada de Fourier , Temperatura , Fatores de Tempo , Ácidos Tricarboxílicos/química
10.
J Appl Oral Sci ; 28: e20190025, 2020.
Artigo em Inglês | MEDLINE | ID: mdl-31778442

RESUMO

INTRODUCTION: Periodontal therapy usually requires local anesthesia. If effective, a non-invasive, liposomal anesthetic gel could increase the levels of acceptance of patients in relation to periodontal therapy. OBJECTIVE: This study investigated the efficacy of liposomal anesthetic gel for pain control during periodontal therapy. METHODOLOGY: Forty volunteers with moderate to severe chronic periodontitis were recruited, of which at least three sextants required periodontal therapy. At least one of the selected teeth had one site with a probing depth of ≥4 mm. The volunteers received the following three gels: a placebo, lidocaine/prilocaine (Oraqix®), or a liposomal lidocaine/prilocaine, which were applied to different sextants. Pain frequency was registered during treatment and the volunteers received a digital counter to register any painful or uncomfortable experiences. At the end of each session, the volunteers indicated their pain intensity using rating scales (NRS-101 and VRS-4). The volunteers had their hemodynamic parameters measured by a non-invasive digital monitor. RESULTS: Pain frequency/intensity did not show statistical difference between intervention groups. The tested gels did not interfere with the hemodynamic indices. Dental anxiety, suppuration and probing depth could influence pain during periodontal therapy. CONCLUSION: Our results suggest limited indications for the use of non-invasive anesthesia when used for scaling and root planing. Intra-pocket anesthetic gel could be a good option for anxious patients, or those who have a fear of needles.


Assuntos
Anestesia Dentária/métodos , Anestésicos Locais/administração & dosagem , Raspagem Dentária/efeitos adversos , Géis/administração & dosagem , Dor/prevenção & controle , Aplainamento Radicular/efeitos adversos , Adulto , Idoso , Periodontite Crônica/complicações , Periodontite Crônica/terapia , Método Duplo-Cego , Feminino , Humanos , Lidocaína/administração & dosagem , Combinação Lidocaína e Prilocaína , Masculino , Pessoa de Meia-Idade , Medição da Dor/métodos , Bolsa Periodontal , Placebos , Prilocaína/administração & dosagem , Adulto Jovem
11.
J Dent ; 68: 91-97, 2018 01.
Artigo em Inglês | MEDLINE | ID: mdl-29169968

RESUMO

OBJECTIVE: This randomized double-blind clinical trial compared tooth sensitivity (TS), bleaching efficacy, and cytokine levels after applying in-office bleaching treatments containing 15% and 35% hydrogen peroxide (HP15% and HP35%, respectively). METHODS: Twenty-five volunteers were randomly assigned to receive HP15% or HP35% treatment. The bleaching agent was applied in three 15-min applications per session. Two bleaching sessions were separated by a 1-week interval. The participants scored TS using a visual analog scale and numerical rating scale. Bleaching efficacy was determined by subjective and objective methods. Gingival crevicular fluid was collected from three jaws sites per patient for the analysis of fluid volume. Flow cytometry was used to analyze gingival crevicular fluid levels of interleukin (IL)-1ß, IL-2, IL-4, IL-6, IL-10, tumor necrosis factor, and interferon-gamma. All measurements were obtained before and after bleaching. All data were statistically analyzed (α=0.05). RESULTS: The absolute risk and intensity of TS was higher for HP35% than for HP15% (p>0.002). One month post-bleaching, HP35% produced more bleaching than HP15% (p=0.02). However patient perception (p=0.06) and patient satisfaction (p=0.53) with regard to bleaching were not significantly different. No significant differences existed in the gingival fluid volume (p>0.38) or in any cytokine level (p>0.05) for either HP concentration. CONCLUSION: Treatment: with HP35% is more effective than HP15%, but generates a greater risk and intensity of TS. No inflammatory changes occurred despite the difference in the HP concentrations. CLINICAL SIGNIFICANCE: Hydrogen peroxide at a lower concentration (e.g., 15%) should be considered a good treatment alternative for in-office bleaching because the higher concentration for in-office bleaching generates a greater risk and intensity of TS for patients.


Assuntos
Sensibilidade da Dentina/etiologia , Líquido do Sulco Gengival/química , Peróxido de Hidrogênio/efeitos adversos , Clareadores Dentários/efeitos adversos , Clareamento Dental/efeitos adversos , Adolescente , Adulto , Análise de Variância , Citocinas/análise , Método Duplo-Cego , Gengiva/efeitos dos fármacos , Humanos , Peróxido de Hidrogênio/administração & dosagem , Luz/efeitos adversos , Satisfação do Paciente , Clareadores Dentários/administração & dosagem , Descoloração de Dente/terapia , Resultado do Tratamento , Escala Visual Analógica , Voluntários , Adulto Jovem
12.
Clin Cosmet Investig Dent ; 9: 33-38, 2017.
Artigo em Inglês | MEDLINE | ID: mdl-28553143

RESUMO

PURPOSE: The aim of this study was to evaluate the effect of simvastatin on the synthesis of cytokines TNF-α and IL-10 and metalloproteinase (MMPs) 2 and 9 in a rat model of ligature-induced periodontitis. MATERIALS AND METHODS: Twenty Wistar rats were used, and a cotton ligature was place in a subgingival position encircling the entire cervix of the first molar of the left (ipsilateral) side of the mandible. The right (contralateral) side of the mandible had no ligature placed and was used as control. After the ligature placement, animals were randomly assigned to two experimental groups (n=10): 1) rats with ligature + vehicle (saline; 10 mL/kg; orally) and 2) rats with ligature + simvastatin (25 mg/kg; orally). After 14 days of treatment, the animals were euthanized by anesthetic overdose and the gingival tissue was removed and homogenized in appropriate buffer. MMP-2 and -9 release as well as the IL-10 and TNF-α levels were detected by enzyme-linked immunosorbent assay. Statistical comparison was performed by unpaired Student's t-test, with p<0.05 representing significance. RESULTS: No differences were observed for TNF-α production between the groups (p>0.05). However, IL-10 was upregulated in simvastatin-treated animals (1.8-fold increase) in comparison with the vehicle-treated group (p<0.05). Simvastatin reduced the gingival levels of MMP-9 (64.3%) in comparison with vehicle-treated samples (p<0.05). CONCLUSION: Oral treatment with simvastatin increased the release of IL-10 and reduced the MMP-9 in ligature-induced periodontitis model in rats.

13.
J. appl. oral sci ; 28: e20190025, 2020. tab, graf
Artigo em Inglês | LILACS, BBO | ID: biblio-1056588

RESUMO

Abstract Periodontal therapy usually requires local anesthesia. If effective, a non-invasive, liposomal anesthetic gel could increase the levels of acceptance of patients in relation to periodontal therapy. Objective: This study investigated the efficacy of liposomal anesthetic gel for pain control during periodontal therapy. Methodology: Forty volunteers with moderate to severe chronic periodontitis were recruited, of which at least three sextants required periodontal therapy. At least one of the selected teeth had one site with a probing depth of ≥4 mm. The volunteers received the following three gels: a placebo, lidocaine/prilocaine (Oraqix®), or a liposomal lidocaine/prilocaine, which were applied to different sextants. Pain frequency was registered during treatment and the volunteers received a digital counter to register any painful or uncomfortable experiences. At the end of each session, the volunteers indicated their pain intensity using rating scales (NRS-101 and VRS-4). The volunteers had their hemodynamic parameters measured by a non-invasive digital monitor. Results: Pain frequency/intensity did not show statistical difference between intervention groups. The tested gels did not interfere with the hemodynamic indices. Dental anxiety, suppuration and probing depth could influence pain during periodontal therapy. Conclusion: Our results suggest limited indications for the use of non-invasive anesthesia when used for scaling and root planing. Intra-pocket anesthetic gel could be a good option for anxious patients, or those who have a fear of needles.


Assuntos
Humanos , Masculino , Feminino , Adulto , Pessoa de Meia-Idade , Idoso , Dor/prevenção & controle , Raspagem Dentária/efeitos adversos , Aplainamento Radicular/efeitos adversos , Géis/administração & dosagem , Anestesia Dentária/métodos , Anestésicos Locais/administração & dosagem , Bolsa Periodontal , Placebos , Prilocaína/administração & dosagem , Medição da Dor/métodos , Método Duplo-Cego , Periodontite Crônica/complicações , Periodontite Crônica/terapia , Combinação Lidocaína e Prilocaína , Lidocaína/administração & dosagem
14.
Braz Dent J ; 25(5): 425-9, 2014.
Artigo em Inglês | MEDLINE | ID: mdl-25517779

RESUMO

The aim of this study was to investigate in vitro the antimicrobial effect and diffusion against E. faecalis of new intracanal medications on the external root surface. The medications tested were a placebo gel (PC); the new formulations with either 3% nitrofurantoin (NIT) or 3% doxycycline hydrochloride (DX) and 2% chlorhexidine (CHX) gel as positive control. The new formulations were tested using the traditional agar diffusion test (ADT) and an adapted agar diffusion method (AADM), where the teeth were filled with the medications and left to diffuse on agar surface seeded with E. faecalis. In the ADT, the larger zones of microbial growth inhibition were seen in DX, followed by CHX and NIT. In the AADM test only DX and CHX showed antimicrobial effect. Statistically significant differences between groups were observed by the Kruskal-Wallis test (2=47.126; p<0.001). The new intracanal formulations with DX and NIT have demonstrated antimicrobial effect against E. faecalis, but only DX was able to diffuse through the dentinal tubules and exert antimicrobial effect outside the roots.


Assuntos
Antibacterianos/farmacologia , Cavidade Pulpar/efeitos dos fármacos , Dentina/efeitos dos fármacos , Doxiciclina/farmacologia , Nitrofurantoína/farmacologia , Irrigantes do Canal Radicular/farmacologia , Ágar , Antibacterianos/farmacocinética , Carga Bacteriana/efeitos dos fármacos , Clorexidina/farmacocinética , Clorexidina/farmacologia , Meios de Cultura , Cavidade Pulpar/metabolismo , Cavidade Pulpar/microbiologia , Dentina/metabolismo , Dentina/microbiologia , Difusão , Doxiciclina/farmacocinética , Enterococcus faecalis/efeitos dos fármacos , Humanos , Teste de Materiais , Nitrofurantoína/farmacocinética , Placebos , Irrigantes do Canal Radicular/farmacocinética , Preparo de Canal Radicular/instrumentação , Preparo de Canal Radicular/métodos , Raiz Dentária/efeitos dos fármacos , Raiz Dentária/metabolismo , Raiz Dentária/microbiologia
15.
BMC Res Notes ; 7: 385, 2014 Jun 24.
Artigo em Inglês | MEDLINE | ID: mdl-24958423

RESUMO

BACKGROUND: Considering the current high use of high fluoride toothpastes, the aim of the study was to quantify alterations in the root dentine permeability submitted to treatment with a high fluoride toothpaste and 8% arginine, calcium carbonate, sodium monofluorophosphate toothpaste as a preventive treatment for dentinal tubules exposure followed by acid challenge. METHODS: Thirty-third molars were sectioned below the cementoenamel. The root segments were connected to a hydraulic pressure apparatus to measure dentine permeability after the following sequential steps (n = 10 per group): I) Baseline; II) treatment with phosphoric acid for 30 s (maximum permeability); III) Toothbrushing (1 min) according to the experimental groups (G1- control; G2- 5000 ppm fluoride toothpaste; G3- 8% arginine-calcium carbonate toothpaste); IV) acid challenge for 5 min (orange juice). The data were converted into percentage, considering stage II as 100%. RESULTS: The results have shown a statistically significant decreasing on dentine permeability after treatment with toothpaste (Friedman test and Dunn's post hoc test). Comparison among groups demonstrated a high increasing on dentine permeability when acid challenge was performed after toothbrushing with distilled water (control group) (Kruskal-Wallis and Dunn's post hoc test). CONCLUSION: The toothpaste treatment may provide sufficient resistance on dentine surface, preventing dentinal tubules exposure after acid challenge.


Assuntos
Arginina/farmacologia , Carbonato de Cálcio/farmacologia , Dentina/efeitos dos fármacos , Fluoretos/farmacologia , Fosfatos/farmacologia , Ácidos Fosfóricos/farmacologia , Fluoreto de Sódio/farmacologia , Adolescente , Bebidas , Citrus sinensis/química , Humanos , Dente Molar/química , Dente Molar/efeitos dos fármacos , Perfusão , Permeabilidade/efeitos dos fármacos , Técnicas de Cultura de Tecidos , Extração Dentária , Escovação Dentária , Cremes Dentais/química , Adulto Jovem
16.
Braz Dent J ; 25(2): 153-9, 2014.
Artigo em Inglês | MEDLINE | ID: mdl-25140721

RESUMO

Dentifrices with different compositions are available on the market, but there is limited information about their properties. The aim of this in vitro study was to evaluate the physicochemical characteristics of 12 dentifrices divided into three categories, as containing desensitizing agents, Triclosan or whitening agents. Desiccation loss/residue analysis: 5 g of dentifrice was weighed five times for each group. pH analysis: 5 g of dentifrice were diluted in three parts of distilled water and analyzed using a digital potentiometer. Scanning electron microscopy (SEM): analysis of ashes, shape and size of the particles. Energy-dispersive x-ray spectroscopy (EDX): identification of the abrasive elements. Data were analyzed using ANOVA, Bonferroni post hoc test (α=0.05). Desiccation loss: 38.21% to 65.83%. Dentifrices containing Triclosan and desensitizing agents showed statistically significant differences among them (p<0.05). Whitening dentifrices showed statistically significant differences between Close-Up Whitening and Sensodyne Branqueador (44.72%, 65.83%, respectively). Most dentifrices presented neutral or basic pH. Different shape and size particles were observed in the SEM analysis. Abrasive elements were identified in the EDX. These results demonstrate that the evaluated dentifrices had different properties and their composition influences directly their characteristics, thus resulting in a more or less abrasive action on tooth surface. Knowing the characteristics of the dentifrices is important to indicate the ideal product for each case.


Assuntos
Dentifrícios , Clareadores Dentários/química , Triclosan/química , Microscopia Eletrônica de Varredura , Espectrometria por Raios X
17.
Braz Oral Res ; 26(5): 410-7, 2012.
Artigo em Inglês | MEDLINE | ID: mdl-23018228

RESUMO

The objective of this study was to analyze the effects of toothbrushing with desensitizing toothpastes on dentin permeability and dentinal tubule occlusion. Fifty rats provided two hundred incisor teeth divided into five groups: DW, brushed with distilled water (control); FT, brushed with fluoride toothpaste; SCT, brushed with strontium chloride toothpaste; PCT, brushed with potassium citrate toothpaste; and PNT, brushed with potassium nitrate toothpaste. Cavities were prepared to expose the dentinal tubules, and the incisor teeth were brushed using the experimental agents. After each treatment, Evans blue dye solution was applied to the teeth. Dentin permeability was analyzed using scanning electron microscopy and energy-dispersive X-rays (EDX). There were significant differences (p < 0.0001, ANOVA) among the groups regarding dentin permeability, number of dentinal tubules, diameter of dentinal tubules, and opened tubular area. In the SCT, PCT and PNT groups, opened and partially occluded tubules, deposits, and a few smear layers were observed. In the DW and FT groups, most of the dentinal tubules were open, with no deposits or smear layers on the dentin. EDX revealed peaks of calcium and phosphorus in all of the groups, as well as traces of strontium in the SCT group and of potassium in the PCT and PNT groups. Desensitizing toothpaste decreased dentin permeability, although it produced only partial dentin tubule occlusion.


Assuntos
Dessensibilizantes Dentinários/farmacologia , Permeabilidade da Dentina/efeitos dos fármacos , Dentina/efeitos dos fármacos , Escovação Dentária/métodos , Cremes Dentais/farmacologia , Animais , Sensibilidade da Dentina/tratamento farmacológico , Teste de Materiais , Microscopia Eletrônica de Varredura , Modelos Animais , Tamanho do Órgão , Ratos , Reprodutibilidade dos Testes , Camada de Esfregaço , Propriedades de Superfície
18.
Braz Dent J ; 22(6): 479-85, 2011.
Artigo em Inglês | MEDLINE | ID: mdl-22189643

RESUMO

Although in vitro studies have shown encouraging results for root surface conditioning with demineralizing agents, in vivo studies have failed to show its benefits in periodontal healing. This can be attributed to several factors, among which, the hypermineralization of dental surface. Therefore, this in vitro study compared, using scanning electron microscopy (SEM), the effect of root surface conditioning with different conditioners (1% and 25% citric acid, 24% EDTA and 50 mg/mL tetracycline hydrochloride) in impacted teeth and in teeth that had their roots exposed to the oral environment. One trained examiner assessed the SEM micrographs using a root surface modification index. There was a tendency of more root surface modification in the group of impacted teeth, suggesting that the degree of root mineralization influences its chemical demineralization.


Assuntos
Colágeno/ultraestrutura , Dentina/ultraestrutura , Aplainamento Radicular/métodos , Camada de Esfregaço , Raiz Dentária/ultraestrutura , Adulto , Quelantes/uso terapêutico , Ácido Cítrico/administração & dosagem , Ácido Cítrico/uso terapêutico , Colágeno/efeitos dos fármacos , Cálculos Dentários/patologia , Cemento Dentário/efeitos dos fármacos , Cemento Dentário/ultraestrutura , Dentina/efeitos dos fármacos , Ácido Edético/uso terapêutico , Hemorragia Gengival/patologia , Humanos , Microscopia Eletrônica de Varredura , Pessoa de Meia-Idade , Bolsa Periodontal/patologia , Tetraciclina/uso terapêutico , Raiz Dentária/efeitos dos fármacos , Dente Impactado/patologia
19.
Braz Dent J ; 22(1): 21-7, 2011.
Artigo em Inglês | MEDLINE | ID: mdl-21519643

RESUMO

The aim of this study was to evaluate the subcutaneous biocompatibility of: Epiphany, AH Plus, Pulp Canal Sealer and Sealapex root canal sealers. Sixty rats were randomly assigned to 4 groups, according to the sealer. Polyethylene tubes containing the tested materials were inserted into the connective tissue. The implants were removed after 7, 15 and 30 days, and the tissue samples were processed, stained and examined by light microscopy. The descriptive analysis considered: thickness of the fibrous capsule, severity of the inflammatory reaction, and presence of giant cells. After 7 days, all sealers induced moderate to severe inflammatory reaction. After 15 days, Epiphany and AH Plus sealers showed a moderate inflammatory reaction, while Pulp Canal Sealer and Sealapex induced severe and mild inflammatory reactions, respectively. After 30 days, mild inflammatory reactions were observed for Epiphany, Sealapex and AH Plus. Sealapex induced the lowest inflammatory response at all evaluation periods, and only Pulp Canal Sealer did not show a decreased in the inflammatory reaction over time.


Assuntos
Inflamação/induzido quimicamente , Materiais Restauradores do Canal Radicular/toxicidade , Tela Subcutânea/efeitos dos fármacos , Animais , Masculino , Teste de Materiais , Ratos , Ratos Wistar
20.
Braz Oral Res ; 25(4): 288-94, 2011.
Artigo em Inglês | MEDLINE | ID: mdl-21755258

RESUMO

This in vitro study evaluated the physical-chemical characteristics of whitening toothpastes and their effect on bovine enamel after application of a bleaching agent (16% carbamide peroxide). Physical-chemical analysis was made considering mass loss by desiccation, ash content and pH of the toothpastes. Thirty bovine dental enamel fragments were prepared for roughness measurements. The samples were subjected to bleaching treatments and simulated brushing: G1. Sorriso Dentes Brancos (Conventional toothpaste), G2. Close-UP Whitening (Whitening toothpaste), and G3. Sensodyne Branqueador (Whitening toothpaste). The average roughness (Ra) was evaluated prior to the bleaching treatment and after brushing. The results revealed differences in the physical-chemical characteristics of the toothpastes (p < 0.0001). The final Ra had higher values (p < 0.05) following the procedures. The mean of the Ra did not show significant differences, considering toothpaste groups and bleaching treatment. Interaction (toothpaste and bleaching treatment) showed significant difference (p < 0.0001). The whitening toothpastes showed differences in their physical-chemical properties. All toothpastes promoted changes to the enamel surface, probably by the use of a bleaching agent.


Assuntos
Esmalte Dentário/efeitos dos fármacos , Peróxidos/química , Clareadores Dentários/química , Clareamento Dental/métodos , Cremes Dentais/química , Ureia/análogos & derivados , Análise de Variância , Animais , Peróxido de Carbamida , Bovinos , Combinação de Medicamentos , Fluoretos/química , Fluoretos/farmacologia , Concentração de Íons de Hidrogênio , Microscopia Eletrônica de Varredura , Nitratos/química , Nitratos/farmacologia , Peróxidos/farmacologia , Fosfatos/química , Fosfatos/farmacologia , Propriedades de Superfície , Fatores de Tempo , Clareadores Dentários/farmacologia , Cremes Dentais/farmacologia , Resultado do Tratamento , Ureia/química , Ureia/farmacologia
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