Antibacterial Activity of Rosmarinus officinalis, Zingiber officinale, Citrus aurantium bergamia, and Copaifera officinalis Alone and in Combination with Calcium Hydroxide against Enterococcus faecalis.

This study aimed to evaluate the efficacy of different concentrations of essential oils combined with calcium hydroxide against Enterococcus faecalis. Thirteen experimental groups were formed: NC (negative control); PC (positive control); GC (growth control); SC (sterilization control); RO (Rosmarinus officinalis); ROH (calcium hydroxide + RO); ZO (Zingiber officinale); ZOH (calcium hydroxide + ZO); AB (Citrus aurantium bergamia); ABH (calcium hydroxide + AB); CO (Copaifera officinalis); COH (calcium hydroxide + CO); DWH (calcium hydroxide and distilled water). After reconstitution of the E. faecalis strain, microdilution testing was performed to define the minimum inhibitory concentration (MIC) and minimum bactericidal concentration (MBC). The data were tabulated in an Excel spreadsheet, and the MIC and MBC were calculated in accordance with the Bacteriological Analytical Handbook. MICs in the range of 0 to 100 mg/ml were only observed in the ROH group. The RO, ROH, AB, ZO, and ZOH presented absolute data for MBC. Bacterial growth was detected in the DWH group at all concentrations tested. The combination of the essential oils tested here with calcium hydroxide appears promising as an intracanal medication in endodontic treatment because of its effectiveness against Enterococcus faecalis. Essential oils are important in endodontic therapy since calcium hydroxide, the gold standard intracanal medication, is not effective against E. faecalis.

Disinfection of dentinal tubules with 2% Chlorhexidine gel, Calcium hydroxide and herbal intracanal medicaments against Enterococcus faecalis: An in-vitro study.

AIM: This in vitro study was conducted to evaluate the disinfection of dentinal tubules using 2% Chlorhexidine gel, Honey, Aloe vera gel, Curcuma longa, Propolis gel and Calcium hydroxide against Enterococcus faecalis. MATERIALS AND METHOD: Two hundred and ten human mandibular first premolars were infected with Enterococcus faecalis for 21 days. Samples were divided into 7 groups. Group I- Saline (negative control), Group II- 2% Chlorhexidine gel(CHX), Group III- honey, Group IV- Aloe vera gel, Group V- 20% Curcuma longa gel, Group VI- Propolis gel and Group VII -Calcium hydroxide (CH). At the end of 1, 3 and 5 days, the antimicrobial efficacy of medicaments against E.faecalis was assessed at the depths of 200µm and 400µm. RESULTS: 2% Chlorhexidine gel was most effective followed by Propolis and Curcuma longa. CONCLUSION: 2% Chlorhexidine gel gave the best results. Among the herbal extracts Propolis and Curcuma longa hold a promising future but to implement their use as sole intracanal medicaments clinically, further in vivo and long term studies are warranted.

The effects of calcium hydroxide-treated whole-plant and fractionated corn silage on intake, digestion, and lactation performance in dairy cows.

The objective of this trial was to evaluate, in dairy cattle, the effects of calcium hydroxide treatment of whole-plant corn and a treatment applied to the bottom stalk fraction of the corn plant, achieved by harvesting corn in 2 crop streams. The treatments were calcium hydroxide-treated corn silage (TRTCS), toplage supplemented with calcium hydroxide-treated stalklage (TPL), a positive control of brown midrib corn silage (BMR), and a negative control of conventional whole-plant corn silage (WPCS). The toplage was harvested at a height of 82 cm with 2 of the 6 rows set as ear-snapping to incorporate higher tissues into the stalklage. Stalklage was harvested at 12 cm, and other corn silages were harvested at 27 cm. Sixteen pens, each with 8 Holstein cows averaging 70±25 d in milk and 46±11 kg of milk d(-1), were assigned 4 per treatment in a completely randomized design. The diet was approximately 40% corn silage, 20% alfalfa silage, and 40% concentrate on a dry matter basis. A 2-wk covariate period with conventional corn silage was followed by an 8-wk treatment period in which the 4 corn silage treatments were the only effective difference in diets. Cows fed TPL and TRTCS consumed more (1.9 and 1.4 kg of organic matter d(-1), respectively) than did cows fed WPCS. Milk yield was greater for cows fed BMR, TPL, and TRTCS. Cows fed BMR and TPL produced 2.9 and 2.7 kg d(-1), respectively, more energy-corrected milk (ECM) than cows fed WPCS, and cows fed TRTCS had the greatest ECM production (4.8 kg of ECM d(-1) greater than cows fed WPCS). No differences in body weight or body condition scored were observed. Milk fat concentration was similar among treatments and milk protein concentration was reduced for TRTCS. Starch and neutral detergent fiber digestibility were greater for cows fed TRTCS.

Antimicrobial and antifungal efficacy of Spilanthes acmella as an intracanal medicament in comparison to calcium hydroxide: An in vitro study.

BACKGROUND: Repeated endodontic failures are due to pathogens like Enterococcus faecalis and Candida albicans which are resistant to the common intracanal medicaments like calcium hydroxide (Ca[OH]2). AIMS: To determine the role of commonly used folk medicine, Spilanthes acmella (SPA) against root canal pathogens like E. faecalis, C. albicans, Staphylococcus aureus, Streptococcus sp, and to compare its efficacy with Ca(OH)2, a popularly used intracanal medicament. MATERIALS AND METHODS: Bacterial strains of S. aureus, Streptococcus sp., E. faecalis, and fungal strains of C. albicans were tested against different concentrations of SPA and Ca(OH)2. Seven days old cultures of test organisms were seeded onto agar plates and uniformly spread with a spreader. Five to six wells (8 mm) were made on agar plate to which different concentrations of the test solutions were added. The inoculated plates were kept in an incubator at 37°C for 48 h and inhibition zones were measured. STATISTICAL ANALYSIS: Results of SPA were compared with results of Ca(OH)2 statistically using Mann-Whitney U test. RESULTS: A significant zone of inhibition was obtained with SPA and was found to increase as the concentration increased for C. albicans. SPA showed a significant zone of inhibition at 2-5% and 10% whereas Ca(OH)2 showed a zone of inhibition only at 10% for E. faecalis. SPA showed a zone of inhibition only at 10%, whereas, Ca(OH)2 showed a significant zone of inhibition at 5% and 10% for S. aureus and Streptococcus sp., respectively. CONCLUSION: SPA possesses remarkable antibacterial and antifungal activity against common root canal pathogens which are responsible for repeated endodontic failures such as E. faecalis and C. albicans when compared with medicaments like Ca(OH)2.

Comparative evaluation of antimicrobial efficacy of various root canal filling materials along with aloevera used in primary teeth: a microbiological study.

AIM: this study was conducted to evaluate the antimicrobial effectiveness of 6 root canal filling materials and a negative control agent against 18 strains of bacteria isolated from infected root canals of primary molar teeth using agar diffusion assay. MATERIALS: Aloevera with sterile water Zinc oxide and Eugenol, Zinc oxide-Eugenol with aloevera, Calcium hydroxide and sterile water, Calcium hydroxide with sterile water and aloevera, Calcium hydroxide and Iodoform (Metapex) and Vaseline (Control). MIC and MBC of aloevera was calculated. RESULTS: All materials except Vaseline showed varied antimicrobial activity against the test bacterias. The zones of inhibition were ranked into 4 inhibition categories based on the proportional distribution of the data. All the 18 bacterial isolates were classified under 2 groups based on Gram positive and Gram negative aerobes. Statistical analysis was carried out to compare the antimicrobial effectiveness between materials tested with each of the bacterial groupings. CONCLUSION: Aloevera + Sterile Water was found to have superior antimicrobial activity against most of the microorganisms followed by ZOE + Aloevera, calcium hydroxide + Aloevera, ZOE, calcium hydroxide, Metapex in the descending order and Vaseline showed no inhibition.

Effect of feeding of calcium hydroxide-treated or vitamin E-supplemented cottonseed meal on plasma gossypol levels, blood parameters, and performance of Bikaneri lambs.

To study the effect of feeding calcium hydroxide-treated or vitamin E-supplemented cottonseed meal (CSM) incorporated diets on plasma gossypol, blood parameters and animal performance, 24 male Bikaneri lambs of 6-7 months of age and of uniform body weight were divided into four groups of six animals each in a completely randomized design and respectively fed isonitrogenous and isocaloric concentrate mixtures containing 20% soybean meal (CON) or 40% raw CSM (RCSM), 40% raw CSM supplemented with 500 IU of vitamin E per head per day (ERCSM), and 40%, 1.5% calcium hydroxide-treated CSM (CaCSM) along with ad libitum wheat straw throughout 510 days of experimental feeding. The lambs on all the diets grew linearly throughout the experimental period. The total weight gain, in turn the average daily gain (ADG), was not affected by dietary variations. The daily intake of dry matter, crude protein (CP), digestible crude protein (DCP) and total digestible nutrients (TDN) were found comparable among lambs of all the groups. Though total gossypol intake was similar in RCSM, ECSM and CaCSM groups, however, free gossypol intake was significantly higher (P < 0.01) in RCSM, ECSM groups as compared to CaCSM group. Serum iron and blood hemoglobin levels were significantly (P < 0.05) lower in RCSM group as compared to CaCSM and CON groups, and ALT activity was significantly (P < 0.05) higher on RCSM group as compared to other groups. Plasma gossypol and osmotic fragility of erythrocytes were significantly (P < 0.05) increased in RCSM group as compared to CaCSM and ERCSM groups. However, there was no significant difference in the concentration of other blood/serum biochemical constituents among the lambs on different groups. Based on the results, it may be concluded that feeding of 40% CSM in the concentrate mixture of the diet in Bikaneri lambs did not have any major adverse effect in blood parameters and animal performance. Either calcium hydroxide treatment or vitamin E supplementation did not produce any major additional benefits.

Single session of Nd:YAG laser intracanal irradiation neutralizes endotoxin in dental root dentin.

Endotoxins released in the dental root by Gram-negative microorganisms can be neutralized by calcium hydroxide, when this medication is applied inside the root canal for at least seven days. However, several clinical situations demand faster root canal decontamination. Thus, for faster endotoxin neutralization, endodontists are seeking additional treatments. The in vitro study tested whether or not intracanal Nd:YAG laser irradiation would be able to neutralize endotoxin within the human dental root canal in a single session. Twenty-four human teeth with one root were mounted between two chambers. After conventional endodontic treatment, root canals were contaminated with Escherichia coli endotoxin. Then they were irradiated or not (controls) in contact mode with an Nd:YAG laser (1.5 W, 15 Hz, 100 mJ and pulse fluency of 124 J/cm2). The endotoxin activity was measured using the limulus lysate technique and data were statistically compared (p≤0.05). The concentration of active endotoxin measured in the negative control group was significantly lower than that of the positive control group (p=0.04). The concentrations of endotoxin in both irradiated groups were significantly lower than that of the positive control group (p=0.027) and similar to that of negative control group (p=0.20). A single session of intracanal Nd:YAG laser irradiation is able to neutralize endotoxin in the dental root tissues.

Influence of an apical negative pressure irrigation system on bacterial elimination during endodontic therapy: a prospective randomized clinical study.

INTRODUCTION: Recent in vitro studies that use an apical negative pressure irrigation system, EndoVac, have demonstrated promising results in the production of debris-free root canals, while also preventing potential extrusion of irrigants into the periapical region. We conducted a randomized, controlled, prospective clinical study to determine whether the use of EndoVac irrigation (EndoVac group) was more efficient compared with standard needle irrigation (control group) in obtaining canals from which microbes could not be cultivated. METHODS: Routine endodontic therapy was performed in 48 patients with necrotic, single-rooted, single-canal teeth. The patients were randomly assigned to either the EndoVac group (n = 25) or control group (n = 23). Irrigation with either method was carried out with 0.5% sodium hypochlorite. After surface disinfection, before instrumentation and on completion of chemomechanical preparation, intracanal microbial samples were obtained and cultured under anaerobic conditions. The frequency of microbial cultivability by using either irrigation system was analyzed. RESULTS: The frequency of obtaining culture-negative root canals was 90.9% and 82.6% for the control group and EndoVac group, respectively. There was no significant difference in the antimicrobial efficacy of either control group or EndoVac group (Fisher exact test, P = .665). Furthermore, no significant association between study variables and the irrigation systems' antimicrobial efficacy was found (P > .05). CONCLUSIONS: The results of this prospective in vivo study demonstrate that the antimicrobial efficacy of EndoVac irrigation is comparable to that of standard irrigation.

Análisis morfométrico del número de odontoblastos en recubrimientos directos con hidróxido de calcio y propóleos en canes / Morphometric analysis of odontoblasts number in direct capping with calcium hydroxide and propolis in dogs

El propóleos se ha utilizado en medicina desde épocas antiguas, una de sus indicaciones en medicina oral y odontológica es como material de recubrimiento directo. Así, el objetivo de este estudio fue cuantificar la neoformación odontoblástica en piezas dentarias de canes en recubrimientos directos. Se realizaron perforaciones en un total de 12 piezas dentarias, la mitad de las cuales fueron recubiertas con propóleos y la otra mitad con hidróxido de calcio. En todos los casos se obturaron las piezas dentarias con cemento de vidrio-ionómero. Al cabo de dos semanas, se realizaron las extracciones de las piezas dentarias, fijándolas en formalina tamponada; se efectuaron cortes histológicos de las piezas, los cuales se tiñeron con hematoxilina-eosina, con el fin de poder realizar la cuantificación de los núcleos odontoblásticos presentes tanto en las zonas alejadas de la perforación, como en las zonas cercanas a las lesiones. Se observó una similar actividad odontoblástica en las zonas cercanas a las lesiones al utilizar cualquiera de los dos materiales (p=0,9325), diferenciándose solamente en la disposición de las células neoformadas, que en el caso de utilizar propóleos fueron en empalizada, semejante a las zonas sanas, en cambio, al utilizar hidróxido de calcio no se observó dicho ordenamiento.

Since ancient times, propolis has been used in medicine, while in oral medicine and dentistry it has been indicated as a direct capping material.The aim of this study was to quantify the odontoblast activity in drilling holes on dog's teeth (canine and incisor) during direct capping.Perforations were carried out in a total sample of 12 dental pieces. In half of the sample teeth were capped with propolis, and in the other half with calcium hydroxide. In all cases teeth were obturated with glass ionomer cement. Extraction of the teeth was realized after two weeks, and teeth were fixed in buffered formalin. Histological cuts of the pieces were made and stained with hematoxylin-eosin in order to carry out quantification of nuclei presence in healthy areas (away from the perforation, as well as in areas adjacent to injuries. Results showed similar odontoblast activity while using either of the materials, (p=0.9325), only differing in the arrangement of newly formed cells which in the cases where propolis was used, were palisading, similar to healthy areas. On the other hand, the same order was not observed when calcium hydroxide was used.

Evaluation of carbon dioxide laser irradiation associated with calcium hydroxide in the treatment of dentinal hypersensitivity. A preliminary study.

Attempts have been made to treat dentinal hypersensitivity by sealing exposed dentinal tubules, and the carbon dioxide (CO(2)) laser has been shown to have a sealing effect on dentinal surfaces. The purpose of this study was to analyze the morphological ultra-structure and temperature change after CO(2) laser irradiation of dentin. Fourteen human third molars were selected and cleaned. An area was delimited, and the samples were randomly divided into seven groups: Group 1 (G1): control; G2, calcium hydroxide paste (CA) + CO(2) laser (L) (0.5 W/63,69 W/cm(2)); G3, CA + L (1 W/125,38 W/cm(2)); G4, CA + L (1.5 W/191,08 W/cm(2)); G5, L (0.5 W); G6, L (1 W); G7, L (1.5 W). All irradiation was performed in unfocused mode. The electron micrographs were analyzed by three observers. For temperature analysis, a thermocouple was used. Data were subjected to statistical analysis. The Kruskal-Wallis non-parametric test showed statistical differences between the groups (P < 0.05). For the two by two comparisons, all groups treated with calcium hydroxide paste presented significantly higher mean scores. In the groups treated by CO(2) laser only, fusion, re-crystallization, cracks and carbonization were observed. A change of 1 ± 5°C was noted in the temperature. Under the limitation of an in vitro study, and with the protocols used, we concluded that CO(2) laser is safe to use for the establishment of partial fusion and re-solidification of the dentinal surface.

Bacterial leakage in root canals filled with calcium hydroxide paste associated with different vehicles.

This in vitro study evaluated, using a bacterial leakage model, whether intracanal medication with calcium hydroxide [Ca(OH)2]-based pastes prepared with different vehicles, has inhibitory effect on corono-apical leakage of bacteria. Forty instrumented human canines were dressed with Ca(OH)2 p.a. associated with: G1 = distilled water; G2 = polyethylene glycol (PG); G3 = PG + CMCP; and G4 = glycerin. Five teeth with intact crowns served as negative controls and 5 instrumented teeth without temporary dressing served as positive controls. All teeth were mounted in a 2-chamber apparatus and then exposed to human saliva for 63 days. Leakage was recorded when turbidity was observed in the lower chamber. Fifty percent of the samples of G1 and G2, 10% of G3 and 80% of G4 were fully contaminated after 9 weeks. Statistically significant differences were observed with paired comparisons G3 and G4 (p=0.0069), with G3 achieving better seal against bacterial leakage than G4.

Comparative analysis of endodontic pathogens using checkerboard hybridization in relation to culture.

BACKGROUND/AIM: The purpose of this study was to detect bacterial species and to quantify the total number of bacteria from samples of infected root canals before (S1) and after chemo-mechanical preparation using 2% chlorhexidine (CHX) gel as auxiliary chemical substance (S2) and after 7 days of intracanal dressing (S3) to compare microbial changes. METHOD: Twenty-four teeth were selected for this study. Chemo-mechanical preparation was performed using 2% CHX gel, then three different intracanal medicaments [M1: Ca(OH)(2) paste; M2: 2% CHX gel; and M3: Ca(OH)(2) paste plus 2% CHX gel] were used for 7 days. Checkerboard DNA-DNA hybridization was performed to detect 40 bacterial species. Aerobic and anaerobic culture techniques were used to determine the bacterial community by counting the colony-forming units (CFU). RESULTS: The species most frequently identified by checkerboard in S1 were: Fusobacterium nucleatum ssp. polymorphum, Treponema socranskii ssp. socranskii, Parvimonas micra and Enterococcus faecalis. In S2 and S3 a total of eight different species were identified; and only one of them was gram-positive (E. faecalis). Microorganisms were not identified after use of M2 for 7 days. The quantification obtained on agar plates ranged from 4 x 10(5) to 2.6 x 10(6) CFU/ml in S1, mean CFU was reduced by 99.96% in S2, and there was no statistical difference between the CFU in S2 and S3. CONCLUSION: The antibacterial effect of the mechanical preparation supplemented by the use of an antibacterial auxiliary substance greatly reduced the microorganisms in the main root canal.

Bacterial leakage in root canals filled with calcium hydroxide paste associated with different vehicles

This in vitro study evaluated, using a bacterial leakage model, whether intracanal medication with calcium hydroxide [Ca(OH)2]-based pastes prepared with different vehicles, has inhibitory effect on corono-apical leakage of bacteria. Forty instrumented human canines were dressed with Ca(OH)2 p.a. associated with: G1= distilled water; G2= polyethylene glycol (PG); G3= PG + CMCP; and G4= glycerin. Five teeth with intact crowns served as negative controls and 5 instrumented teeth without temporary dressing served as positive controls. All teeth were mounted in a 2-chamber apparatus and then exposed to human saliva for 63 days. Leakage was recorded when turbidity was observed in the lower chamber. Fifty percent of the samples of G1 and G2, 10 percent of G3 and 80 percent of G4 were fully contaminated after 9 weeks. Statistically significant differences were observed with paired comparisons G3 and G4 (p=0.0069), with G3 achieving better seal against bacterial leakage than G4.

Este estudo in vitro avaliou, por um modelo de infiltração bacteriano, se a medicação intracanal com hidróxido de cálcio associado a diferentes veículos, tem efeito inibitório na penetração coronária de bactéria. Quarenta caninos humanos instrumentados foram medicados com Ca(OH)2 p.a. associados à G1= água destilada; G2= polietilenoglicol (PG); G3= polietilenoglicol e paramonoclorofenol canforado (PMCP); e G4= glicerina. Cinco dentes hígidos foram utilizados como grupo controle negativo e cinco dentes instrumentados sem medicação intracanal serviram como grupo controle positivo. Todos os dentes foram montados em um aparato de duas câmaras e expostos a saliva humana por 63 dias. A infiltração foi verificada através da observação do turvamento do meio de cultura na câmara inferior. Cinqüenta por cento das amostras do G1 e G2, 10 por cento do G3 e 80 por cento do G4 foram totalmente contaminadas após 9 semanas. Diferenças estatisticamente significantes foram observadas quando foram realizadas comparações pareadas entre G3 e G4 (p=0,0069), com G3 alcançando um melhor selamento contra infiltração bacteriana do que G4.

Self-limiting supplements fed to cattle grazing native mixed-grass prairie in the northern Great Plains.

Objectives of this research were to compare animal performance with or without supplementation, compare effectiveness of three intake limiters, and to examine seasonal changes in nutritive value of native range in south-central North Dakota. Treatments included 1) control (CONT; no supplement); 2) hand-fed (HF) supplement, with no chemical limiter; 3) 16% salt (NACL); 4) 5.25% ammonium chloride and ammonium sulfate (AS); and 5) 7% calcium hydroxide (CAOH). Supplements were based on wheat middlings, barley malt sprouts, and soybean hulls and were formulated to provide 40% of the CP intake and 32% of the NEm intake of 350-kg steers. Trials 1 and 2 each used 70 yearling steers (370.8 +/- 0.04 and 327.9 +/- 0.76 kg initial BW for Trials 1 and 2, respectively). In each year, four 28-d periods from the latter half of June through mid-October were used. Steers were stratified by weight and allotted randomly to treatments in 1 of 10 16-ha pastures (two pastures per treatment for each trial). In Trial 1, diet sampling began in the first 28-d period, but supplementation did not begin until the second 28-d period. In Trial 2, supplementation and diet collection began in the first 28-d period. Cation-anion differences (DCAD; Na + K - Cl - S) for NACL, AS, CAOH, and HF supplements were 151, -735, 160, and 166 mEq/ kg, respectively. In Trial 1, no treatment, period, or treatment x period effects for supplement intake were detected (P > or = 0.29). In Trial 2, a treatment x period interaction for supplement intake occurred (P = 0.005) because HF steers were offered a constant amount of supplement daily, whereas steers fed AS, CAOH, and NACL were allowed to consume ad libitum quantities of supplement. Average daily gain in Trial 1 was not affected (P = 0.21) by supplementation. In Trial 2, NACL, AS, and HF treatments had higher (P < or = 0.07) ADG than CONT. In Trial 1, final weights were not affected by supplementation (P = 0.23). In Trial 2, final weights of NACL- and HF-fed steers were greater than for CONT and CAOH steers (P < 0.10). In Trial 2, CONT steer final weights were lower than all supplemented treatments (P < 0.10). For yearling steers grazing native range, use of NACL as a limiter resulted in increased weight gains compared with using either CAOH or AS; however, no limiter that was tested restricted supplement intake as effectively as HF. More research is necessary to determine the optimum limiter level and the effect of forage quality on supplement intake.

Action of Causticum in inflammatory models.

The anti-inflammatory effect of Causticum was evaluated using acute and chronic inflammatory models in vivo. The administration of concentrated Causticum solution into the hind paw of rats produced an inflammatory reaction with oedema formation within the first hour, showing that Causticum acts as an oedematogenic agent. Carrageenin induced rat paw oedema was significantly inhibited (P<0.05) in the group treated with Causticum 30cH solution compared to control. Groups treated with potentized Causticum (6cH, 12cH, 30cH and 200cH), showed significant inhibition (P<0.05) of the inflammation pre-induced by carrageenin. However pre-treatment with Causticum 30cH for 6 days (0.5 ml, daily) did not significantly inhibit granulation using an implantation method.

pH changes in root dentin after root canal dressing with gutta-percha points containing calcium hydroxide.

Alkalinizing action on root dentin was investigated by treating the enlarged root canals of a total of 120 extracted teeth for 24 h, 3 days, or 7 days with either gutta-percha points (size 40) containing calcium hydroxide or an equivalent quantity of aqueous calcium hydroxide suspension. After splitting the teeth longitudinally the pH of the dentin was determined using a pH microelectrode in small cavities at each of four set measuring points. The gutta-percha points were unable to alkalinize the root dentin over a period of 7 days. Clear, rapid, and prolonged alkalinization of the dentin extending through to the root surface was achieved, however, with the aqueous calcium hydroxide suspension.

Tratamento endodôntico via retrógrada realizada em dentes de cäes com lesöes periapicais: avaliaçäo histomorfológica da açäo do EDTA e do hidróxido de cálcio aplicados sobre a superfície dentinária apicectomizada e material retrobturador / Retrigrade endodontic treatment performed in dog's teeth with periapical lesions: histomorphologic evaluation of EDTA and calcium hydroxide action over apicectomicized dentinal surface and retrofilling material

Foram utilizados, neste trabalho, 48 raízes de 32 pré-molares superiores e inferiores de 4 cäes adultos jovens, com lesöes periapicais crônicas, induzidas pela exposiçäo da câmara pulpar e canais radiculres ao meio oral, pelo período de 90 dias. Foi objetivo do trabalho estudar o reparo dos tecidos periapicais, após a apicectomia e tratamento endodôntico, via retrógrada, com cimento de óxido de zinco e eugenol consistente, situado a 1 mm da superfície dentinária apicectomizada. Foi avaliada, ainda, a aplicaçäo da pasta de hidróxido de cálcio hidrossolúvel sobre o cimento obturador e superfície dentinária apicectomizada, com a aplicaçäo prévia ou näo do ácido etilenodiaminotetracético - EDTA trissódico, por 3 minutos, sobre a superfície dentinária apicectomizada. Todas as raízes, após serem apicectomizadas, receberam o preparo biomecânico, via retrógrada, e retrobturaçäo dos canais radiculares com cimento de óxido de zinco e eugenol consistente. Em seguida, alguns espécimes sofreram a aplicaçäo de EDTA, por 3 minutos, sobre a superfície apicetomizada. Outros espécimes, após a retrobturaçäo, receberam a aplicaçäo da pasta de hidróxido de cálcio hidrossolúvel sobre o cimento obturador e também sobre a superfície da dentina apicectomizada. Alguns espécimes, após aplicaçäo de EDTA, por 3 minutos, sobre a superfície dentinária, receberam a pasta de hidróxido de cálcio hidrossolúvel sobre o cimento obturador e superfície dentinária. De acordo com os procedimentos realizados, 4 grupos experimentais foram constituídos: Grupo I - Tratamento endodôntico, via retrógrada, com cimento de óxido de zinco e eugenol situado a 1 mm aquém da superfície de corte; Grupo II - Tratamento endodôntico, via retrógrada, com cimento de óxido de zinco e eugenol situado a 1 mm aquém da superfície de corte e aplicaçäo de EDTA, por 3 minutos, sobre a dentina apicectomizada; Grupo III - Tratamento endodôntico, via retrógrada, com cimento de óxido de zinco e eugenol situado a 1 mm aquém da superfície de corte e aplicaçäo da pasta de hidróxido de cálcio sobre o cimento obturdor e sobre a dentina apicetomizada; Grupo IV - Tratamento endodôntico, via retrógrada, com cimento de óxido de zinco e eugenol, situado a 1 mm aquém da superfície de corte e aplicaçäo de EDTA sobre a superfície dentinária e da pasta de hidróxido de cálcio sobre o cimento obturador e superfície dentinária ...

Processo de reparo de dentes de cäes com lesäo periapical após tratamento endodôntico em uma ou duas sessöes: influência do tempo de curativo de demora e do tipo de material obturador / Healing process of dogs' teeth with periapical lesions after root canal treatment in one or two visits: influence of the time of the dressing and the king of filling material

Foram empregados neste trabalho dentes de 6 cäes Beagles adultos, com lesöes periapicais induzidas experimentalmente. Foi propósito estudar o processo de reparo após o tratamento endodôntico em uma ou duas sessöes, tendo ainda como variáveis o tempo de açäo do curativo de demora e o tipo de cimento obturador. Como curativo de demora foi utilizado a pasta de hidróxido de cálcio por 7 e 14 dias e como materiais obturadores o Sealapex e o Sealer 26 Modificado. Comprovada radiograficamente a presença da lesäo periapical crônica, os dentes foram submetidos ao preparo biomecânico, através da técnica mista invertida, até o limite CDC, com freqüentes e abundantes irrigaçöes com soluçäo de hipoclorito de sódio a 2,5 por cento. Em seguida, foi promovido o arrombamento do delta apical com freqüentes irrigaçöes de soluçäo de hipoclorito de sódio a 1 por cento. Concluído o preparo biomecânico os canais foram inundados com EDTA por 3 minutos, seguindo-se nova irrigaçäo/aspiraçäo e secagem. Após estes procedimentos, 32 raízes foram obturadas de imediato com os cimentos Sealapex e Sealer 26 Modificado e as demais 64 receberam um curativo de demora à base de hidróxido de cálcio por um período de 7 e 14 dias, antes da obturaçäo com os mesmos cimentos. Doze raízes näo foram tratadas, tendo sido tomadas como controle. Decorridos 6 meses, os cäes foram sacrificados, e as peças obtidas processadas para a análise histológica. Os resultados demonstraram que o tratamento em duas sessöes foi superior ao realizado em sessäo única, assim como, o curativo de hidróxido de cálcio por 14 dias foi mais eficiente do que por 7 dias. Além disso, verificou-se que o cimento Sealapex proporcionou melhores resultados do que o cimento Sealer 26 Modificado

Betel: consumption and consequences.

Betel is a compound of natural substances chewed for its psychostimulating effects. Betel is composed of the nut of the areca palm (Areca catechu), the leaf of the betel pepper (Piper betle), and lime (calcium hydroxide). Approximately 200 million persons chew betel regularly throughout the western Pacific basin and south Asia. Only three drugs (nicotine, ethanol, and caffeine) are consumed more widely than betel. When betel is chewed, it produces mild psychoactive and cholinergic effects. There is copious production of a blood-red saliva that can stain oral structures. After years of chewing, the teeth may become red-brown to nearly black. Betel use is associated with oral leukoplakia, submucous fibrosis, and squamous cell carcinoma. Use of betel is discouraged in Western countries because of its alleged carcinogenic and perceived dysesthetic properties; nevertheless, betel is widely available in the West.

EDTA: effect on root dentin ph after exchange of calcium hydroxide paste / Efeitos do EDTA no pH da dentina radicular após trocas de pastas de hidróxido de cálcio

The aim of this research was to analyze in vitro the influence of EDTA on root dentin pH during exchange of calcium hydroxide paste. Thirty maxillary central human incisors were selected, and after opening the pulp chamber, root canals were prepared using a stepback preparation technique associated with Gates-Glidden burs. Sodium hypochlorite 1 per cent was used as the irrigating solution, and the root canals were then dried and filled with ETDA for 3 min. Root canals were then again irrigated with sodium hypochlorite, dried and completely filled with calcium hydroxide paste, using saline as the vehicle. Each tooth had its crown adapted in carnauba wax mounted in the middle of the base of a plantform that was filled with saline solution up to 1 mm from the root tip, and purges were performed with nitrogen in the remaining space. Analysis of the diffusion of hydroxyl ions was carried out by a colorimetric method, using a universal indicating solution. This analysis was done at 7, 15, 30, 45, 60 and 90 days; after each analysis the calcium hydroxide paste was exchanged in the root canals and EDTA was applied for 3 min. The results showed a pH change of 6-7 to 7-8 after 30 days, remaining at this level at 90 days in the apical and middle thirds; and at the cervical thirds there was a pH change of 6-7 to 7-8 after 30 days, and a change of pH to 8-9 at 60 days remaining at this level at 90 days. The Kruskal Wallis test showed no significant difference between the third and the time (a=0.05)