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1.
J Prosthodont Res ; 68(1): 132-138, 2024 Jan 16.
Artigo em Inglês | MEDLINE | ID: mdl-37316261

RESUMO

PURPOSE: The purpose of this study is to investigate the effects of denture adhesives on masticatory performance via a 10-center, parallel, randomized, controlled trial of complete denture wearers in Japan. METHODS: The trial was conducted between September 2013 and October 2016. The inclusion criteria were complete edentulism, willingness to undergo new complete denture treatment, and willingness to return for recall treatment. The exclusion criteria were age 90 years or older, presence of severe systemic illness, inability to understand the questionnaires, wearing metal base complete dentures, denture adhesive user, wearing prosthetics for maxillofacial defects, wearing complete dentures with tissue conditioners, and severe xerostomia. Randomization of the powder-type denture adhesive (powder), cream-type denture adhesive (cream), and control (saline) groups was performed using a sealed envelope system. Masticatory performance was measured using color-changeable chewing gum. Intervention blinding was not feasible. RESULTS: Sixty-seven control, 69 powder, and 64 cream participants are analyzed using the intention-to-treat principle. The participants in all groups show significantly improved masticatory performance at post-intervention (paired t-test with Bonferroni correction P < 0.0001). However, no significant difference in masticatory performance is detected among the three groups (one-way analysis of variance). A significant negative correlation between pre- and post-changes in masticatory performance and intraoral condition scores is observed (Pearson's correlation coefficient, P < 0.0001). CONCLUSIONS: Although denture adhesives improved the masticatory performance of complete denture wearers, their clinical effects are comparable to those of saline solution. The use of denture adhesives is more effective in complete denture wearers with unsatisfactory intraoral conditions.


Assuntos
Boca Edêntula , Perda de Dente , Humanos , Idoso de 80 Anos ou mais , Pós , Prótese Total , Goma de Mascar , Mastigação
2.
J Prosthodont Res ; 67(2): 262-270, 2023 Apr 12.
Artigo em Inglês | MEDLINE | ID: mdl-35831139

RESUMO

Purpose Denture adhesives improve the stability of incompatible dentures; however, complete removal of adhesives after use is difficult. Only a few studies have focused on the removal of denture adhesives. Hence, this study aimed to assess the efficacy of surfactants in removing cream denture adhesives from acrylic resin materials.Methods Solutions of twelve surfactants with various hydrophilic-lipophilic balance (HLB) values were prepared. Two cream denture adhesives, colored for visualization, were spread onto transparent acrylic resin plates. After immersion into surfactant solutions, the effects of the surfactants on residual adhesives were evaluated. We also investigated the effect of denture cleaners (with or without the surfactants) on the removability of adhesives and artificial oily dirt, and their effects on the surface properties of denture materials. The obtained data were analyzed using appropriate statistical methods.Results Five surfactants [BT-5, BL-4.2, BT-7, BT-9, and Triton X-100 (TX)] with HLB values in the 10.5-13.5 range effectively removed adhesives. Addition of BT-9 and TX (HLB=13.5) to denture cleaners improved the adhesives' removal. Furthermore, the addition of TX to the cleaners did not interfere with the removal of artificial oily dirt and did not damage the denture materials' surface.Conclusions Surfactants with HLB values in the 10.5-13.5 range are suitable for removal of cream denture adhesives from acrylic resin materials. In particular, TX (HLB=13.5) efficiently removes adhesives without damaging denture materials or impairing original detergency.


Assuntos
Cimentos Dentários , Tensoativos , Resinas Acrílicas , Propriedades de Superfície , Dentaduras , Retenção de Dentadura
3.
J Prosthodont Res ; 67(4): 548-555, 2023 Oct 13.
Artigo em Inglês | MEDLINE | ID: mdl-36740264

RESUMO

PURPOSE: This study aimed to determine the effects of denture adhesives on denture retention and occlusal force in complete denture wearers in a multicenter, randomized, parallel-group controlled trial. METHODS: Two hundred edentulous patients wearing complete dentures were allocated to three groups: powder-type denture adhesive, cream-type denture adhesive, and control (saline solution). Denture adhesives and saline solution were applied to the dentures for 4 days. The retentive force of the dentures and occlusal force were measured using a force transducer occlusal force meter at baseline and after 4 days of intervention. In addition to between-group comparisons, subgroup analyses of denture retention and occlusal force were performed based on the level of difficulty of the edentulism treatment. The levels were ranked as I (easy), II, III, and IV (difficult). RESULTS: Cream-type denture adhesives significantly improved the retentive force of the dentures (P<0.01) and occlusal force (P<0.05), with no significant differences between baseline and post-intervention forces in the powder-type denture adhesive and control groups. In within-group comparisons, cream-type denture adhesives improved both the retentive and occlusal forces at Level II (P<0.05), and powder-type denture adhesives improved the occlusal force at Level II (P<0.01). CONCLUSIONS: Application of cream-type denture adhesives effectively improves the denture retention and occlusal force in complete denture wearers with a moderate degree of difficulty during edentulism treatment.

4.
Gerodontology ; 29(2): e756-60, 2012 Jun.
Artigo em Inglês | MEDLINE | ID: mdl-21910747

RESUMO

OBJECTIVES: To determine the relationship between denture wearing and nutritional status in the elderly with dementia. BACKGROUND: There could be a correlation between nutrition, oral health, dietary habits, patients' satisfaction, and their socio-economic status in the elderly, and the relationship between compromised oral status and nutritional status in the elderly with dementia. SUBJECTS AND METHODS: A 2-year follow-up study of 63 elderly Japanese women with and without dentures from a nursing home was undertaken to investigate their oral, physical and mental, and nutritional status. RESULTS: Each item for 2006 and 2008 in this study showed no significant difference between 2006 and 2008, except the calories/day. The elderly with dementia without complete dentures during the 2 years of the study only significantly decreased the mean of the calories/day. CONCLUSION: The calories/day of the elderly with dementia without dentures decreased after 2 years. Denture wearing for the elderly with dementia could be necessary to maintain a satisfactory intake of calories.


Assuntos
Demência/complicações , Estado Nutricional , Saúde Bucal , Idoso , Índice de Massa Corporal , Prótese Total , Ingestão de Alimentos/fisiologia , Ingestão de Energia , Comportamento Alimentar , Feminino , Seguimentos , Nível de Saúde , Humanos , Arcada Edêntula/reabilitação , Saúde Mental , Boca Edêntula/reabilitação , Casas de Saúde , Satisfação do Paciente , Albumina Sérica/análise , Classe Social
5.
Dent Mater J ; 41(5): 741-748, 2022 Oct 02.
Artigo em Inglês | MEDLINE | ID: mdl-35768221

RESUMO

The need for denture adhesives is increasing worldwide, but few denture-care products target denture adhesive users. Foam denture cleaners have been recently marketed to assist brush denture cleaning, but there is a lack of objective evaluation. In this study, we compared the detergency of denture adhesives using six commercial foam-denture cleaners. For removing the adhesives, most of the tested cleaners were effective in immersion experiments, and three cleaners were more effective in the denture cleaning experiment compared to control water. However, only one could effectively remove the slime that is derived from the adhesive and detergency of artificial dirt. The surface roughnesses of the denture base and the relining material revealed that prolonged immersion in some cleaners could be affected. The results suggest that different commercial foam denture cleaners have different detergency levels, and that some cleaners may affect the properties of denture materials upon long-term use.


Assuntos
Cimentos Dentários , Higienizadores de Dentadura , Adesivos , Retenção de Dentadura , Dentaduras , Propriedades de Superfície , Água
6.
J Prosthodont Res ; 65(3): 353-359, 2021 Aug 21.
Artigo em Inglês | MEDLINE | ID: mdl-33116029

RESUMO

Purpose To investigate the difference in improvement of oral health-related quality of life (OHR-QoL) depending on the oral and denture conditions of a complete denture wearer when using a cream or powder type denture adhesive in a 10-center parallel randomized clinical trial.Methods Two hundred edentulous subjects who wore complete dentures were allocated to each of the three groups according to denture adhesive type: cream, powder, and control (saline solution). The materials were applied to the mucosal surface of the dentures for 4 days, and baseline data and data after the intervention were collected. OHR-QoL was assessed using the Japanese version of the modified Oral Health Impact Profile for Edentulous Patients (OHIP-EDENT-J) scale for outcome. Multivariate analysis was used to investigate improvements in OHR-QoL according to participant characteristics among complete denture wearers using these materials.Results OHIP-EDENT-J scores were significantly decreased in all groups after the intervention (p < 0.05); however, there were no statistically significant differences among the groups. Multiple logistic regression analysis revealed a significant association between the vertical height of the maxillary and mandibular alveolar ridge and OHIP-EDENT-J scores in the cream-type denture adhesive group. In contrast, there were no significant association between participant characteristics and OHIP-EDENT-J scores in the powder-type adhesive and control groups.Conclusions The use of denture adhesives could improve OHR-QoL for complete denture wearers. The cream-type denture adhesives may be expected to improve OHR-QoL in patients with poor residual ridge conditions compared with patients with good residual ridge conditions.


Assuntos
Boca Edêntula , Qualidade de Vida , Prótese Total , Humanos , Análise Multivariada , Saúde Bucal , Satisfação do Paciente , Inquéritos e Questionários
7.
J Oral Sci ; 63(1): 111-113, 2020 Dec 23.
Artigo em Inglês | MEDLINE | ID: mdl-33298639

RESUMO

A study was conducted to evaluate the basic mechanical properties of a pure cellulose nanofiber (CNF) material in comparison with a commercial denture base material (polymethylmethacrylate [PMMA] acrylic resin). The working hypothesis was that CNFs have potential for use as denture base materials. Pure CNF specimens fabricated under various conditions were examined. The flexural strength (FS) and flexural modulus (FM) of the specimens were measured using the three-point bending test, and the morphologies of the fractured surfaces were examined using scanning electron microscopy. Addition of tricalcium phosphate to dehydrate the CNFs did not improve their FS or FM. Conversely, substitution with methanol effectively improved the dehydration process and significantly affected the mechanical properties of the CNFs. As the degree of CNF defibration increased, the physical properties of the specimens improved significantly. However, addition of CNFs to PMMA liquid to create CNF-reinforced PMMA did not improve the mechanical properties. Pure CNF specimens fabricated under particular conditions had higher FS and FM values than the control, suggesting that CNFs have potential as a "petroleum-free" alternative to acrylic resin denture base materials. Pure CNF would be potentially useful as a denture base material, and presumably applicable to computer-aided design/manufacture (CAD/CAM).


Assuntos
Bases de Dentadura , Nanofibras , Celulose , Teste de Materiais , Maleabilidade , Propriedades de Superfície
8.
J Prosthodont Res ; 64(3): 281-288, 2020 Jul.
Artigo em Inglês | MEDLINE | ID: mdl-31501069

RESUMO

PURPOSE: The purpose of this study was to investigate the effect of denture adhesives on oral moisture in a 10-center parallel randomized clinical trial. METHODS: Two hundred edentulous subjects wearing complete dentures were allocated into three groups: cream-type adhesive, powder-type adhesive and control groups. The adhesives (and saline solution in the control group) were applied to the mucosal surface of the dentures for 4 days, and baseline data and data after the intervention for eight meals over 4 days were obtained. For the main outcome, oral moisture was measured with a moisture checking device. Secondary outcomes were denture satisfaction, masticatory performance, denture retention, and occlusal force. In addition to between-group and within-group comparisons of oral moisture, investigations for secondary outcomes were undertaken in subgroups classified according to the degree of oral moisture at baseline (normal subgroup and dry mouth subgroup). Intention-to-treat analysis was also performed. RESULTS: Between-group and within-group comparisons of oral moisture showed no significant differences. The cream-type and powder-type denture adhesives were significantly effective in the dry mouth group for denture satisfaction ratings of ability to masticate, stability, retention, and comfort of mandibular dentures (p<0.05). The masticatory performance and retentive force of the dry mouth denture adhesive using groups were significantly improved after intervention (p<0.05). CONCLUSIONS: The oral moisture of complete denture wearers was not influenced by the use of denture adhesives. Our findings showed that denture adhesives improved subjective denture satisfaction, masticatory performance, and retention for complete denture patients with oral dryness.


Assuntos
Cimentos Dentários , Boca Edêntula , Retenção de Dentadura , Prótese Total , Humanos , Mastigação
9.
J Prosthet Dent ; 101(3): 205-13, 2009 Mar.
Artigo em Inglês | MEDLINE | ID: mdl-19231574

RESUMO

STATEMENT OF PROBLEM: Color stability is an important property of denture base acrylic resin. Color changes indicate aging or damaged dental materials. However, little information is available on the influence of denture cleansers on the color stability of acrylic resins. PURPOSE: The purpose of this study was to determine the influence of denture cleansers on the color stability of 3 different types of acrylic resin. MATERIAL AND METHODS: One heat-polymerized (HP) acrylic denture base resin (Acron), 1 autopolymerized (AP) hard direct reline acrylic resin (Denture Liner), and 1 visible-light-polymerized (VLP) hard direct reline acrylic resin (Tokuso Lite-Rebase) were evaluated. Five specimens of each material, 10 x 10 x 2 mm, were immersed in 1 of 9 commercial denture cleanser solutions or distilled water (control). Color changes were measured with a colorimeter and evaluated using the CIE L*a*b* colorimetric system. Data were analyzed using 1-way and 3-way ANOVA and the Student-Newman-Keuls test (alpha=.05). RESULTS: Significant differences (P<.05) were found among the acrylic resins and denture cleansers in terms of color change (DeltaE) produced after 365 days. The DeltaE values of all denture base acrylic resins increased with time. The DeltaE of the AP acrylic resin was larger than that of the other acrylic resins. The least discoloration was found with ZTC denture cleanser (acid type). The influence of alkaline peroxide-type denture cleanser (Steradent) on the color stability of HP acrylic resin and AP acrylic resin was significantly greater (P<.05) than that of the other cleansers. CONCLUSIONS: These results suggest that the color stability of denture base acrylic resins is influenced by polymerization type and the type of denture cleanser used.


Assuntos
Resinas Acrílicas/química , Bases de Dentadura , Higienizadores de Dentadura/efeitos adversos , Pigmentação em Prótese , Humanos , Polimetil Metacrilato
10.
Nutrients ; 11(9)2019 Aug 28.
Artigo em Inglês | MEDLINE | ID: mdl-31466334

RESUMO

Background: The aim of this double-blind randomized cross-over trial was to evaluate the effect of oral intake of glucosylceramide extracted from pineapple on oral moisture and xerostomia symptoms. Methods: Sixteen participants who had xerostomia symptoms were randomly allocated into two groups. One group received, as test samples, tablets containing glucosylceramide extracted from pineapple (GCP) followed by placebo tablets. The other group received the test samples in the reverse order. Participants were instructed to take tablets of the first test sample once a day (after breakfast) for two consecutive weeks. Then, after a washout period of four weeks, participants were instructed to take the other test sample for two consecutive weeks. The oral moisture level of the lingual mucosa, xerostomia symptoms, and the number of fungiform papillae was evaluated. Results: The oral moisture significantly increased, and the visual analog scale (VAS) of "How is the dryness of your mouth?" significantly improved after GCP tablets intake and not after placebo tablets intake. The number of fungiform papillae was not significantly different following the intake of GCP tablets or placebo tablets. Conclusion: Results suggested that oral intake of GCP may improve the moisture level and xerostomia symptoms.


Assuntos
Ananas/química , Frutas/química , Glucosilceramidas/administração & dosagem , Extratos Vegetais/administração & dosagem , Xerostomia/tratamento farmacológico , Administração Oral , Idoso , Idoso de 80 Anos ou mais , Estudos Cross-Over , Método Duplo-Cego , Glucosilceramidas/efeitos adversos , Glucosilceramidas/isolamento & purificação , Humanos , Japão , Extratos Vegetais/efeitos adversos , Extratos Vegetais/isolamento & purificação , Estudos Prospectivos , Recuperação de Função Fisiológica , Comprimidos , Fatores de Tempo , Resultado do Tratamento , Xerostomia/diagnóstico , Xerostomia/fisiopatologia
11.
Dent Mater J ; 27(2): 153-8, 2008 Mar.
Artigo em Inglês | MEDLINE | ID: mdl-18540387

RESUMO

The purpose of this study was to compare the influence of three kinds of storage methods on surface roughness of tissue conditioners. Four commercial tissue conditioners (GC Soft Liner, Softone, Fictioner, and Hydro-Cast) were used in this study. Five samples of each material were stored in distilled water, air, and a denture cleanser (Polident). Mean surface roughness (R(a)) values of dental stone casts made from the tissue conditioners were measured after 0, 1, 3, 7, and 14 days of immersion using a profilometer. Significant differences in the R(a) values of the specimens were found among the three storage methods. The values of R(a) significantly increased with increase in immersion time for each storage method, except for the materials stored in air. It was found that the materials stored in air showed the most stable and lowest values of R(a). Results obtained suggested that a tissue conditioner exhibited smooth and minimal change in surface roughness with time when stored in air than in distilled water and denture cleanser.


Assuntos
Reembasadores de Dentadura , Ar , Análise de Variância , Higienizadores de Dentadura , Porosidade , Propriedades de Superfície , Água
12.
Stem Cells Dev ; 16(1): 119-29, 2007 Feb.
Artigo em Inglês | MEDLINE | ID: mdl-17348810

RESUMO

To understand which growth factors/cytokines can affect migration of mesenchymal stem cells (MSCs) to injured tissues, we compared the effects of many (26) growth factors/cytokines on the migration activity of rabbit and human MSCs using a microchemotaxis chamber. Among them, platelet-derived growth factor (PDGF)-BB, PDGF-AB, epidermal growth factor (EGF), HB-EGF, transforming growth factor (TGF-alpha), insulin growth factor (IGF-I), hepatocyte growth factor (HGF), fibroblast growth factor (FGF-2), and thrombin consistently enhanced the migration of rabbit and human MSCs at appropriate concentrations. PDGF-BB showed the greatest effect on migration. Various combinations of these factors further enhanced the migration of MSCs, whereas combinations of factors that shared common cell-surface receptors did not induce the additive stimulation. On the other hand, some combinations, including that of FGF-2 or thrombin with PDGF-BB, suppressed the migration activity of MSCs. These findings suggest that combinations of growth factors are important to eliciting the maximal chemotactic effect. The factors that induced the migration of MSCs also enhanced their proliferation, suggesting that migration and proliferation can take place simultaneously. The above factors were also effective in stimulating the migration of fibroblasts, but thrombin alone selectively enhanced the migration of MSCs, suggesting that thrombin is useful to stimulate migration of MSCs without migration of fibroblasts.


Assuntos
Células da Medula Óssea/metabolismo , Fatores Quimiotáticos/metabolismo , Células-Tronco Mesenquimais/metabolismo , Animais , Células da Medula Óssea/citologia , Contagem de Células , Movimento Celular , Células Cultivadas , Quimiotaxia , Citocinas/metabolismo , Fibroblastos/citologia , Humanos , Peptídeos e Proteínas de Sinalização Intercelular/metabolismo , Células-Tronco Mesenquimais/citologia , Coelhos , Ferimentos e Lesões/metabolismo
13.
J Biochem ; 140(3): 401-8, 2006 Sep.
Artigo em Inglês | MEDLINE | ID: mdl-16873396

RESUMO

To elucidate the food-entrainable oscillatory mechanism of peripheral clock systems, we examined the effect of fasting on circadian expression of clock genes including Dec1 and Dec2 in mice. Withholding of food for 2 days had these effects: the expression level of Dec1 mRNA decreased in all tissues examined, although Per1 mRNA level markedly increased; Per2 expression was reduced in the liver and heart only 42-46 h after the start of fasting; and expression profiles of Dec2 and Bmal1 were altered only in the heart and in the liver, respectively, whereas Rev-erbalpha mRNA levels did not change significantly. Re-feeding after 36-h starvation erased, at least in part, the effect of fasting on Dec1, Dec2, Per1, Per2, and Bmal1 within several hours, and restriction feeding shifted the phase of expression profiles of all examined clock genes including Dec1 and Dec2. These findings indicate that short-term fasting and re-feeding modulate the circadian rhythms of clock genes to different extents in peripheral tissues, and suggest that the expression of Dec1, Per1, and some other clock genes was closely linked with the metabolic activity of these tissues.


Assuntos
Fatores de Transcrição Hélice-Alça-Hélice Básicos/metabolismo , Relógios Biológicos/fisiologia , Proteínas de Ciclo Celular/metabolismo , Ritmo Circadiano/fisiologia , Jejum/metabolismo , Regulação da Expressão Gênica/fisiologia , Proteínas de Homeodomínio/metabolismo , Proteínas Nucleares/metabolismo , Animais , Fígado/metabolismo , Masculino , Camundongos , Camundongos Endogâmicos C57BL , Miocárdio/metabolismo , Proteínas Circadianas Period , Fatores de Tempo
14.
J Dent ; 34(4): 307-15, 2006 Apr.
Artigo em Inglês | MEDLINE | ID: mdl-16216404

RESUMO

OBJECTIVES: An alcohol-free tissue conditioner based on a n-butyl methacrylate/i-butyl methacrylate copolymer has recently been developed. The purpose of the present study was to compare some key properties of the new tissue conditioner with those of poly(ethyl methacrylate)-based conventional materials containing ethyl alcohol. The effect of a coating, which consisted of poly(ethyl methacrylate) and methyl methacrylate, was also evaluated. METHODS: The new alcohol-free tissue conditioner (Fictioner) and three tissue conditioners containing ethyl alcohol (FITT, Hydro-Cast, SR-Ivoseal) were evaluated. The coated alcohol-free material was also used. Gelation characteristics, dynamic viscoelastic properties and compatibility with dental stones were measured using a displacement rheometer, dynamic viscoelastometer and profilometer, respectively. In addition, weight changes during immersion in water were determined. RESULTS: The working time and gelation time of the alcohol-free tissue conditioner were similar to those of the conventional materials. This alcohol-free material had significantly lower shear storage modulus and shear loss modulus, and higher loss tangent (P<0.05) than FITT and SR-Ivoseal at 0.01 and 1 Hz. The alcohol-free material maintained its inherent viscoelastic properties and exhibited only a slight change in weight during 14 days of water immersion when compared to the conventional materials. The application of the coating significantly reduced the loss of the initial viscoelastic properties and surface quality during the test periods. CONCLUSIONS: The coated alcohol-free tissue conditioner would be superior to the conventional materials containing ethyl alcohol in view of viscoelastic properties after gelation, compatibility with dental stones and durability.


Assuntos
Resinas Acrílicas/química , Metilmetacrilatos/química , Condicionamento de Tecido Mole Oral/métodos , Análise de Variância , Sulfato de Cálcio/química , Etanol/química , Propriedades de Superfície , Fatores de Tempo
15.
J Biol Rhythms ; 20(5): 404-18, 2005 Oct.
Artigo em Inglês | MEDLINE | ID: mdl-16267380

RESUMO

DEC1 and DEC2-basic helix-loop-helix transcription factors-exhibit a circadian expression in the suprachiasmatic nucleus and other peripheral tissues and seem to play roles in regulating the mammalian circadian rhythm by suppressing the CLOCK/BMAL1-activated promoters of Per1, Dec1, and Dec2. The authors present data on the expression patterns of mRNA for Dec1, Dec2, Per2, Dbp, and Npas2 in various tissues of wild-type and homozygous Clock mutant mice (Clock/Clock). The Clock mutation resulted in extreme reduction of Dec1 expression in kidney, heart, and skeletal muscle but not in liver, whereas it strongly repressed Dec2 expression in liver, kidney, and heart, while Dec2 expression in skeletal muscle remained rhythmic. Per2 also showed the tissue-dependent disruption of the rhythmicity by Clock mutation, whereas rhythmic expression of Dbp in Clock mutant mice disappeared in all tissues examined. Npas2, a structurally and functionally related gene to Clock, showed significant levels of expression in the liver and kidney with a robust rhythmicity, which was also affected by Clock mutation. These marked changes in the Dec1 and Dec2 expression, as well as in the Per2, Dbp, and Npas2 expression in the periphery by Clock mutation, indicated that CLOCK plays a major role in the expression of these genes in most tissues. However, circadian expression of Dec1 in liver and kidney and that of Dec2 in skeletal muscle of Clock mutant mice suggested that CLOCK-independent circadian regulation operates in some tissues.


Assuntos
Fatores de Transcrição Hélice-Alça-Hélice Básicos/metabolismo , Ritmo Circadiano/fisiologia , Proteínas de Homeodomínio/metabolismo , Mutação , Transativadores/metabolismo , Fatores de Transcrição/metabolismo , Animais , Fatores de Transcrição Hélice-Alça-Hélice Básicos/genética , Proteínas CLOCK , Proteínas de Ciclo Celular , Proteínas de Ligação a DNA/metabolismo , Expressão Gênica , Proteínas de Homeodomínio/genética , Humanos , Rim/fisiologia , Fígado/fisiologia , Camundongos , Camundongos Endogâmicos BALB C , Músculo Esquelético/metabolismo , Miocárdio/metabolismo , Proteínas do Tecido Nervoso/genética , Proteínas do Tecido Nervoso/metabolismo , Proteínas Nucleares/genética , Proteínas Nucleares/metabolismo , Proteínas Circadianas Period , Regiões Promotoras Genéticas , Distribuição Tecidual , Transativadores/genética , Fatores de Transcrição/genética
16.
Trials ; 17(1): 506, 2016 10 18.
Artigo em Inglês | MEDLINE | ID: mdl-27756441

RESUMO

BACKGROUND: Denture adhesives, characterized as medical products in 1935 by the American Dental Association, have been considered useful adjuncts for improving denture retention and stability. However, many dentists in Japan are hesitant to acknowledge denture adhesives in daily practice because of the stereotype that dentures should be inherently stable, without the aid of adhesives. The aim of this study is to verify the efficacy of denture adhesives to establish guidelines for Japanese users. The null hypothesis is that the application of denture adhesives, including the cream and powder types, or a control (isotonic sodium chloride solution) would not produce different outcomes nor would they differentially improve the set outcomes between baseline and day 4 post-application. METHODS: This ten-center, randomized controlled trial with parallel groups is ongoing. Three hundred edentulous patients with complete dentures will be allocated to three groups (cream-type adhesive, powder-type adhesive, and control groups). The participants will wear their dentures with the denture adhesive for 4 days, including during eight meals (three breakfasts, two lunches, and three dinners). The baseline measurements and final measurements for the denture adhesives will be performed on the first day and after breakfast on the fourth day. The primary outcome is a general satisfaction rating for the denture. The secondary outcomes are denture satisfaction ratings for various denture functions, occlusal bite force, resistance to dislodgement, masticatory performance, perceived chewing ability, and oral health-related quality of life. Between-subjects comparisons among the three groups and within-subjects comparisons of the pre- and post-intervention measurements will be performed. Furthermore, a multiple regression analysis will be performed. The main analyses will be based on the intention-to-treat principle. A sample size of 100 subjects per group, including an assumed dropout rate of 10 %, will be required to achieve 80 % power with a 5 % alpha level. DISCUSSION: This randomized clinical trial will provide information about denture adhesives to complete denture wearers, prosthodontic educators, and dentists in Japan. We believe this new evidence on denture adhesive use from Japan will aid dentists in their daily practice even in other countries. TRIAL REGISTRATION: ClinicalTrials.gov NCT01712802 . Registered on 17 October 2012.


Assuntos
Adesivos , Protocolos Clínicos , Prótese Total , Guias de Prática Clínica como Assunto , Humanos
17.
Nihon Ishinkin Gakkai Zasshi ; 46(4): 233-42, 2005.
Artigo em Japonês | MEDLINE | ID: mdl-16282965

RESUMO

Candida albicans is the most common fungal opportunistic pathogen in humans. The AIDS epidemic, improved life-sustaining therapy, and aggressive anticancer therapy have contributed to a rise in the number of severely immunocompromised patients. This has led to an increase in oral and systemic fungal infection. Several factors, such as adherence, persistence, dimorphism, germ tube formation, and/or contact sensing, phenotypic switching, interference with the host defense system, synergism with bacteria, and the production of hydrolases or other metabolites, have been proposed to be virulence factors of this fungus. Among these virulence factors, adherence and persistence are thought to be the most important, since the colonization and subsequent biofilm formation of oral surfaces may serve as a reservoir for disseminated infections, such as aspiration pneumonia and gastrointestinal infection. In the review, we summarized the factors involved in the Candida albicans biofilm formation.


Assuntos
Biofilmes/crescimento & desenvolvimento , Candida albicans/fisiologia , Candidíase Bucal/microbiologia , Candidíase Bucal/etiologia , Candidíase Bucal/imunologia , Adesão Celular/fisiologia , Dentaduras , Humanos , Propriedades de Superfície
18.
Dent Mater J ; 24(4): 570-82, 2005 Dec.
Artigo em Inglês | MEDLINE | ID: mdl-16445020

RESUMO

The aim of our study was twofold: to immobilize an organosilicon quaternary ammonium salt (3-(trimethoxysilyl)-propyldimethyl-octadecyl ammonium chloride, Si-QAC) on the surface of pure titanium and to investigate the antimicrobial activity of Si-QAC-immobilized titanium against microbial adherence and biofilm formation. The results of ToF-SIMS analysis of Si-QAC-titanium suggested the possibility of immobilizing Si-QAC on titanium surface through Ti-O-Si coupling, and that Si-QAC treatment significantly reduced both the adherence and colonization of Candida albicans and Streptococcus mutans isolates. The antimicrobial activity was achieved through at least two mechanisms: the first was attributed to the octadecyl alkyl chain which inhibited initial adherence, and the second was attributed to the quaternary ammonium salt which killed initial adherent cells as well as retarded or inhibited subsequent microbial growth. Further, thermocycling did not significantly reduce the antimicrobial activity of Si-QAC-titanium, and no significant cytotoxicity of Si-QAC-titanium was observed in either cell viability test or proinflammatory cytokine production test using human gingival fibroblasts. These results, taken together, favorably suggested that Si-QAC treatment would be a helpful means to inhibit dental plaque or denture plaque formation.


Assuntos
Anti-Infecciosos Locais/química , Anti-Infecciosos Locais/farmacologia , Biofilmes/efeitos dos fármacos , Compostos de Organossilício/química , Compostos de Organossilício/farmacologia , Compostos de Amônio Quaternário/química , Compostos de Amônio Quaternário/farmacologia , Titânio/química , Análise de Variância , Anti-Infecciosos Locais/toxicidade , Aderência Bacteriana/efeitos dos fármacos , Candida/efeitos dos fármacos , Adesão Celular/efeitos dos fármacos , Células Cultivadas , Contagem de Colônia Microbiana , Fibroblastos/efeitos dos fármacos , Gengiva/citologia , Gengiva/efeitos dos fármacos , Humanos , Viabilidade Microbiana/efeitos dos fármacos , Compostos de Organossilício/toxicidade , Compostos de Amônio Quaternário/toxicidade , Espectrometria de Massa de Íon Secundário/métodos , Estatísticas não Paramétricas , Streptococcus mutans/efeitos dos fármacos , Molhabilidade
19.
Endocrinology ; 144(6): 2480-8, 2003 Jun.
Artigo em Inglês | MEDLINE | ID: mdl-12746310

RESUMO

Effects of thyroid hormone on proteoglycan degradation in various regions of cartilage were investigated. In propylthiouracil-treated rats with hypothyroidism, proteoglycan degradation in epiphyseal cartilage during endochondral ossification was markedly suppressed. However, injections of T(4) reversed this effect of propylthiouracil on proteoglycan degradation. In pig growth plate explants, T(3) also induced breakdown of proteoglycan. T(3) increased the release of aggrecan monomer and core protein from the explants into the medium. Accordingly, the level of aggrecan monomer remaining in the tissue decreased after T(3) treatment, and the monomer lost hyaluronic acid-binding capacity, suggesting that the cleavage site is in the interglobular domain. The aggrecan fragment released from the T(3)-exposed explants underwent cleavage at Glu(373)-Ala(374), the major aggrecanase-cleavage site. The stimulation of proteoglycan degradation by T(3) was less prominent in resting cartilage explants than in growth plate explants and was barely detectable in articular cartilage explants. Using rabbit growth plate chondrocyte cultures, we explored proteases that may be involved in T(3)-induced aggrecan degradation and found that T(3) enhanced the expression of aggrecanase-2/ADAM-TS5 (a disintegrin and a metalloproteinase domain with thrombospondin type I domains) mRNA, whereas we could not detect any enhancement of stromelysin, gelatinase, or collagenase activities or any aggrecanase-1/ADAM-TS4 mRNA expression. We also found that the aggrecanse-2 mRNA level, but not aggrecanase-1, increased at the hypertrophic stage during endochondral ossification. These findings suggest that aggrecanse-2/ADAM-TS5 is involved in aggrecan breakdown during endochondral ossification, and that thyroid hormone stimulates the aggrecan breakdown partly via the enhancement of aggrecanase-2/ADAM-TS5.


Assuntos
Condrócitos/enzimologia , Lâmina de Crescimento/metabolismo , Metaloendopeptidases/genética , Proteoglicanas/metabolismo , Tri-Iodotironina/farmacologia , Proteínas ADAM , Proteína ADAMTS4 , Fatores Etários , Animais , Cartilagem/citologia , Cartilagem/metabolismo , Diferenciação Celular/fisiologia , Células Cultivadas , Condrócitos/citologia , Colagenases/metabolismo , Meios de Cultura/metabolismo , Feminino , Gelatinases/metabolismo , Lâmina de Crescimento/citologia , Interleucina-1/metabolismo , Masculino , Metaloproteinase 3 da Matriz/metabolismo , Metaloendopeptidases/metabolismo , Osteogênese/fisiologia , Fragmentos de Peptídeos/metabolismo , Gravidez , Pró-Colágeno N-Endopeptidase , RNA Mensageiro/análise , Coelhos , Ratos , Suínos , Inibidores Teciduais de Metaloproteinases/metabolismo , Ácidos Urônicos/metabolismo
20.
Dent Mater J ; 23(2): 94-9, 2004 Jun.
Artigo em Inglês | MEDLINE | ID: mdl-15287552

RESUMO

The purpose of this study was to determine the influence of plasticizer content on the tensile bond strength of heat-cured acrylic soft denture liners to a denture base resin. Differences among materials were significant, except for 100 wt% Dibutyl Sebacate (DBS) and 80 wt% DBS of tensile bond strength. The bond strength of all materials to the denture base increased with an increase in thermal cycles significantly except for 40 wt% DBS. The tensile bond strength of soft denture liners to the denture base resin significantly decreased with an increase of plasticizer contents. Differences were found among the difference plasticizer contents in failure types between the denture base resin and soft denture liners. The results suggest that the tensile bond strengths of heat-cured acrylic soft denture liners to the denture base resin were lower with an increase in plasticizer content.


Assuntos
Resinas Acrílicas/química , Colagem Dentária , Bases de Dentadura , Reembasadores de Dentadura , Ácidos Dicarboxílicos/química , Plastificantes/química , Análise do Estresse Dentário , Temperatura Alta , Teste de Materiais , Resistência à Tração
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