A prática de Tai Chi na saúde de diabéticos e hipertensos: uma revisão integrativa / The Tai Chi practice on the health of diabetic and hypertensive patients: an integrative review

Este estudo teve como objetivo sistematizar os resultados das pesquisas que investigaram a relação entre a prática de TC e a saúde de indivíduos com Hipertensão Arterial Sistêmica (HAS) e Diabetes Mellitus (DM). Realizou-se uma revisão integrativa da literatura e foram realizadas buscas nas bases de dados PubMed, SciELO, LILACS e BVS. Foram incluídos estudos publicados nos últimos 20 anos em inglês, português e espanhol, que discorreram sobre a temática da prática de TC em indivíduos com HAS e DM. Foram excluídos estudos que não atenderam a temática proposta, não disponíveis na íntegra, duplicatas, revisões, anais de congresso, literatura cinzenta e livros. Foram identificados 21 estudos, com delineamentos diversos, realizados em sua maioria na China (n=12), que demonstraram o impacto positivo do engajamento na prática de TC na saúde de indivíduos com HAS e DM, como redução da pressão arterial, controle glicêmico e lipídico. Foram descritos também benefícios em outros aspectos físicos e psicossociais importantes para a manutenção do bem-estar e melhor qualidade de vida. Alguns estudos não descreveram resultados significantes associados à prática de TC . Em contrapartida, a maior parte dos estudos revisados relataram benefícios à saúde de indivíduos com HAS e DM associados à prática de Tai Chi.

This study aimed to systematize the results of research that investigated the relationship between the practice of TC and the health of individuals with Systemic Arterial Hypertension (SAH) and Diabetes Mellitus (DM). This is an integrative review in whicha search was conducted in the PubMed, SciELO, LILACS, and BVS databases. Studies published in the last 20 years, in English, Portuguese and Spanish, which discussed the theme of the practice of Tai Chi in individuals with SAH and DM, were included. Studies that did not meet the proposed theme, not available in full, duplicates, reviews, conference proceedings, gray literature and books were excluded. Twenty-one studies were identified, with different designs, carried out mostly in China (n=12), which demonstrated the positive impact of engaging in this bodily practice on the health of hypertensive and diabetic patients, such as blood pressure reduction, glycemic and lipid control. Benefits in other physical and psychosocial aspects that are important for the maintenance of well-being and better quality of life were also described. Some studies did not describe significant results associated with the practice of CT. In contrast, most of the studies reviewed reported health benefits for individuals with SAH and DM associated with the practice of Tai Chi.

Effect of Tai Chi on stress, anxiety, and self-perception of happiness: a longitudinal intervention study

This intervention follow-up study evaluated anxiety and stress levels and self-perceived happiness of individuals linked to the health field who did not practice Tai Chi and compared these variables before and after practicing this art. One hundred twenty-three participants were subdivided into two groups: G1) Older health professionals (n=41) and G2) Younger pre-university students interested in the health field (n=82). Participants received a 60-minute Tai Chi class. The Perceived Stress Scale (PSS-14) was applied before the practice, and the State-Trait Anxiety Inventory (STAI) and Andrews Face Scale were used before and after the class. Generalized linear models and the Bowker symmetry test were applied for data analysis. 46.3% and 30.5% of participants in G1 and G2 had mild stress levels, and 43.9% and 46.3% had moderate stress levels, respectively. After practicing Tai Chi, both groups presented significantly lower mean anxiety scores. In G1, 31.7% of participants went from moderate to mild anxiety levels after practice, 19.5% from severe to moderate, and 7.3% from severe to mild. In G2, 28.2% of participants went from moderate to mild anxiety levels after practice, 18.3% from severe to moderate, and 6.1% from severe to mild. Furthermore, 100.0% of individuals in G1 and 96.3% in G2 were happy after the class. Tai Chi was effective in reducing anxiety levels and improving self-perceived happiness.

Influence of cigarette smoke combined with different toothpastes on enamel erosion.

This in vitro study aimed to evaluate the effect of different toothpastes on dental enamel subjected to an erosive cycle with and without exposure to cigarette smoke. Bovine enamel specimens were randomly allocated into 12 groups (n = 12). For the in vitro simulation of smoking, half the groups underwent an exposure cycle of 20 cigarettes per day for 5 days. Subsequently, all groups were subjected to a 5-day erosion cycle intercalating demineralization (1 min; 1% citric acid; pH = 3.5) and treatment with toothpaste slurries (2 min) of NaF, SnF2, F/Sn/Chitosan, F/CaSiO3/Na3PO4, and F/bioactive glass. The control group was immersed in distilled water. Surface microhardness (SMH) was measured initially, after exposure to smoke, and after the erosive cycle, and %SMH was calculated. At the end of the experimental cycle, surface roughness, profilometry, and atomic force microscopy (AFM) were performed. SMH increased after exposure to cigarette smoke (p < 0.05). After the erosive cycle, there were no differences between the presence and absence of cigarette smoke exposure in SMH and roughness (p > 0.05). Besides increasing enamel SMH, cigarette smoke did not prevent enamel loss after the erosion cycle (p < 0.05). In profilometry, roughness and surface loss had the lowest values in the groups treated with SnF2 and F/Sn/Chitosan (p < 0.05). AFM showed lower mineral loss with F/CaSiO3/Na3PO4 and F/Sn/Chitosan. For all groups, except F/CaSiO3/Na3PO4, cigarette smoke resulted in higher enamel wear. F/Sn/Chitosan showed the best results against erosion.

Influence of coffee and red wine on tooth color during and after bleaching.

OBJECTIVE: The aim of this study was to evaluate the influence of coffee and red wine staining on tooth color during and after bleaching. MATERIALS AND METHODS: Blocks obtained from human molars were divided into 11 groups (n = 5) in accordance with the bleaching treatment-peroxide carbamide 10%, 15% or 20%-and in accordance with the stain therapy-coffee, wine or without staining (control). Color change analysis was performed by photo-reflectance using a spectrophotometer, during (3-times/week) and after (7, 15 and 30 days) the bleaching treatment. During the experiment, the samples were stored in artificial saliva. The results were submitted to statistical analysis with the Dunnet and Tukey tests (p < 0.05). RESULTS: The concentrations of carbamide peroxide (10%, 15% and 20%) did not differ significantly from the control group during bleaching (up to the 22nd day), with (Tukey, p > 0.05) or without storage in pigment solution. After the bleaching, there were statistically significant differences between the groups treated with coffee (30th day) and wine (7th and 30th days) relative to the control, which was treated with whitening agents. CONCLUSION: During bleaching, remineralization of the enamel with artificial saliva and the subsequent bleaching session were effective in preventing enamel staining. After the whitening procedures, both stain therapies-coffee and wine-caused enamel color changes; however, the wine led to greater staining than did coffee.

Propagação in vitro de tucumã do Amazonas / In vitro propagation of Astrocarium aculeatum

O gênero Astrocaryum possui um grande número de espécies com potencial alimentício e produtoras de óleos. A espécie mais utilizada, o tucumã do Amazonas, é consumida em larga escala nos estados da região norte do Brasil e originado do extrativismo vegetal. Embriões zigóticos de sementes maduras e imaturas de tucumã do Amazonas (Astrocaryum aculeatum G. Mey) foram inoculados em meio de cultivo semi-sólido de Murashige e Skoog (MS) suplementado com vitaminas. Os embriões sobreviventes foram transferidos para o mesmo meio MS suplementado com 0,0; 1,0; 3,0 e 5,0mg L-1 de BAP, obtendo-se taxa crescente de brotação, sendo as mais eficientes as doses de 3,0 a 5,0mg L-1.

There is a large number of species within the genus Astrocaryum with the potential for use as food and for oil production. The most used species, tucumã do Amazonas, is consumed on a large scale in the States in the northern region of Brazil, originating from extractivism. Zygotic embryos of mature and immature tucumã do Amazonas (Astrocaryum aculeatum G. Mey.) seeds were inoculated in a semi-solid Murashige and Skoog (MS) culture medium supplemented with vitamins. The surviving embryos were transferred to the same MS medium supplemented with 0.0; 1.0; 3.0 and 5.0mg L-1 of BAP, obtaining an increasing rate of shoot formation.

Propagação in vitro de Sacha inchi / In vitro propagation of Sacha inchi

O objetivo do presente trabalho foi avaliar in vitro a relação auxina:citocinina a fim de obter propágulos nos segmentos distintos do epicótilo e hipocótilo de sementes germinadas in vitro de Sacha inchi (Plukenetia volubilis Linneo). Os segmentos apical (A), mediano (B) e o basal (C) foram introduzidos em meio de cultivo MS, semi sólido (2,0g L-1 Phytagel), suplementado com vitaminas de MS, sacarose (30,0g L-1) e submetidos a três doses da auxina ácido indolbutírico - IBA (0; 0,1; 0,5mg L-1), associadas a quatro doses da citocinina benzilaminopurina - BAP (0; 0,1; 0,5; 1,0mg L-1), totalizando 36 tratamentos. Após nove semanas de cultivo in vitro, o segmento apical (A) apresentou formação de brotações por organogênese direta nas concentrações de 0,5 e 1,0 de BAP, associado a 0,0 e 0,1 de IBA. O emprego do cultivo in vitro é viável na produção de mudas, utilizando como explante a região apical de sementes germinadas in vitro.

The aim of this study was to perform an in vitro evaluation of the auxin:cytokinine ratio in different segments of the epicotyl and hypocotyl of Sacha inchi (Plukenetia volubilis Linneo) seeds germinated in vitro. The segments apical (A), median (B) and basal (C) were introduced into semi-solid MS culture medium (2.0g L-1 Phytagel), supplemented with MS vitamins, sucrose (30.0g L-1) and submitted to three doses of auxin indolebutyric acid - IBA (0; 0.1; 0.5mg L-1), associated with four doses of the cytokinine benzylaminopurine - BAP (0; 0.1; 0.5; 1.0mg L-1), totaling 36 treatments. After nine weeks of in vitro cultivation, the apical segment (A) presented shoot formation by direct organogenesis at the concentrations of 0.5 and 1.0 of BAP associated with 0.0 and 0.1 of IBA. It is feasible to use in vitro cultivation with the apical region of seeds germinated in vitro used as explants.

Effect of different light-curing modes on degree of conversion, staining susceptibility and stain's retention using different beverages in a nanofilled composite resin.

STATEMENT OF PROBLEM: It is unknown whether the staining pigment concentration would affect the color of composite resin and whether the absorption of the staining pigment is related to the degree of conversion (DC). PURPOSE: The purpose of this study was to evaluate the effect of light-curing units (LCUs) on DC, superficial staining (ΔE), and pigment concentration (PC) in a nanofilled composite resin (Z350, 3M ESPE) using different beverages. MATERIALS AND METHODS: Specimens were polymerized for 20 seconds using four LCUs (N=50): quartz-tungsten-halogen (QTH)--450 mW/cm(2); laser (LAS)--300 mW/cm(2); second-generation light-emitting diode (LED)-1100 mW/cm(2); and third generation LED--700 mW/cm(2). DC (%) was measured using Fourier transform infrared spectroscopy. Specimens concerning each group (N=10) were then immersed in one of the solutions (distilled water, red wine, whisky, coffee, and cola--40 min/day, for 40 days). Specimen's color was measured before and after exposure to solutions using a colorimeter (Commission Internacionale de I'Eclairaga L*a*b* color scale), and ΔE was calculated. Specimens were then prepared for the spectrophotometric analysis to measure PC. Data were submitted to two-way analysis of variance and Tukey's test (p=0.05). RESULTS: DC: QTH presented the lowest DC, with statistical differences for LAS, LED 2, and LED 3. Whisky and wine showed lower PC mean values than cola and coffee. No statistical difference was observed for LCUs regarding PC and all staining solutions, except cola. Whisky showed the highest values for ΔE regarding all LCUs. Wine showed statistically lower ΔE than whisky, with water presenting the lowest ΔE. LAS and QTH showed higher values than LED 2 concerning ΔE. CONCLUSION: LCUs interfered with DC and altered the PC and ΔE of the composite resin submitted to different staining solutions. There was no correlation among DC, PC, and ΔE. CLINICAL SIGNIFICANCE: Light-curing modes might interfere with staining susceptibility, stain's retention, and DC of a composite resin, compromising the clinical performance. The highest pigment absorption was not associated with the highest superficial staining of the composite resin. Alcoholic drinks lead to greater superficial staining and non-alcoholic solutions lead to a higher pigment concentration.

Enamel matrix derivative proteins for the treatment of proximal class II furcation involvements: a prospective 24-month randomized clinical trial.

OBJECTIVE: This study aimed to evaluate the response of proximal furcations treated with enamel matrix derivative proteins (EMD) in a 24-month follow-up. MATERIALS AND METHODS: Twelve patients presenting bilateral class II proximal furcation with vertical probing depth (PD) ≥5 mm and bleeding on probing were selected. The furcations were assigned to: a control group (n=12), open flap debridement (OFD)+EDTA and a test group (n=12) - OFD+EDTA+EMD. The gingival margin position, PD, relative vertical and horizontal clinical attachment level (RVCAL and RHCAL), vertical and horizontal bone level (VBL and HBL) and furcation closure were evaluated before treatment and after 6, 12 and 24 months. RESULTS: After follow-up, no statistical difference could be seen between groups. At 24 months, the test group showed 1.9 ± 1.6 mm PD reduction whereas the control group showed 1.0 ± 1.3 mm PD reduction. RHCAL gains of the control and the test group were 0.7 ± 1.3 and 1.4 ± 0.9 mm, respectively. However, at 24 months, the test group only presented five remaining class II furcations versus 10 furcations in the control group (p<0.05). CONCLUSION: It could be concluded that EMD therapy promoted a reduction in the number of proximal furcations presenting a diagnosis of class II after 24 months of treatment compared with OFD therapy.

Changes in surface morphology and mineralization level of human enamel following in-office bleaching with 35% hydrogen peroxide and light irradiation.

The objective of this study was to evaluate the alterations on surface morphology and mineral loss of human enamel following in-office bleaching with 35% hydrogen peroxide and light irradiation. Dental enamel samples were obtained from human third molars and randomly divided into 10 groups (n = 10). The control group remained untreated. Bleached groups were treated with one of three whitening products. Bleaching was performed in a single session, during which bleaching gel was applied to the enamel surface three times for 10 minutes each time. During treatment, the bleaching agents were either irradiated by a halogen light or an LED/diode laser or were not irradiated at all. Microhardness testing was performed with a Knoop indentor and the surface morphologic observations were carried out by scanning electron microscopy (SEM). Cross-sectional microhardness (CSMH) and polarized light microscopy (PLM) were used to measure the depth of demineralization. The results revealed a significant decrease in surface microhardness values and changes to the enamel morphology after bleaching. CSMH and PLM showed that bleached enamel presented lower volume percentage of mineral up to 40 micrometers from the enamel surface and demineralization areas located in the subsuperficial region of enamel, respectively. It was concluded that 35% hydrogen peroxide can alter the surface morphology and the mineralization level of the dental enamel surface and sub-surface regardless of what type of bleaching light is used.

The effect of coffee solution on tooth color during home bleaching applications.

PURPOSE: To quantify the change in color of human and bovine teeth exposed to a coffee solution during a 16% carbamide peroxide (16% CP) home application bleaching treatment using photoreflectance analysis. METHODS: 40 enamel slabs (4 x 4 x 2 mm) were obtained from seven unerupted third human molars and seven bovine incisors, which were allocated into four groups: G1: human control group whitened and not exposed to a coffee solution; G2: bovine control group whitened and not exposed to a coffee solution; G3: human teeth whitened and exposed to a coffee solution; G4: bovine teeth whitened and exposed to a coffee solution. The home bleaching procedure was performed using 16% CP gel applied in a 1 mm-thick layer on the tooth surface over a period of 6 hours per day, for 28 days. Tooth color was evaluated using photoreflectance analysis throughout the bleaching procedure at intervals of 7, 14, 21 and 28 days, and posttreatment at 7, 15 and 30 days. Results were statistically analyzed using ANOVA and Tukey-Kramer tests. RESULTS: After 28 days of bleaching treatment, no significant difference was detected between photoreflectance analysis of specimens exposed to coffee solution and specimens not exposed to coffee solution (P < 0.05). However, when the teeth were exposed to a coffee solution during home bleaching treatment, the whitening effect was observed to be less stable (P < 0.05). Bovine and human enamel substrates behaved similarly in terms of staining and bleaching effects, although they presented inherent differences in color (P < 0.05).

In vitro assessment of the effectiveness of whitening dentifrices for the removal of extrinsic tooth stains.

This in vitro study evaluated the effectiveness of whitening dentifrices for the removal of extrinsic tooth stains. Twenty dental blocks (4 x 4 mm), including enamel and dentine, removed from freshly extracted bovine incisors, were randomly divided into 4 groups: G1--distilled water, G2--Colgate, G3--Crest Extra Whitening and G4--Rapid White. In all specimens, the dentin was covered with colorless nail polish, and the enamel was left exposed. Next, the specimens were immersed in a solution of black tea, which was changed every 24 h, for a period of 6 days. After this period, a photo-reflectance reading was taken (Time 1) with a spectrometer. The stained specimens were then submitted to linear brushing movements (5,000 cycles) using brushes (Oral B-Soft) coupled to an automatic toothbrushing machine, under a static axial load of 200 g and with a speed of 4 movements/second, at 37 degrees C, with the dentifrice or water being injected every 60 s. When toothbrushing ended, a second photo-reflectance reading was taken (Time 2). The results were submitted to two-criteria analysis of variance (ANOVA) and to the Tukey test ( = 0.05). When the two times for a same group were compared, Time 2 presented the highest reflectance values with statistical difference only for G3 and G4. Among the dentifrices tested, only the Rapid White group differed from the control group, presenting the highest reflectance values. Only the whitening dentifrice Rapid White was effective for the removal of extrinsic stains.

Anesthetic efficacy of 3 volumes of lidocaine with epinephrine in maxillary infiltration anesthesia.

The objective of this randomized double-blind investigation was to compare the anesthetic efficacy and injection discomfort of 3 volumes of 2% lidocaine with 1:100,000 epinephrine for maxillary infiltration anesthesia. A total of 25 subjects received 0.6, 0.9, and 1.2 mL of the anesthetic buccal to an upper canine. Test teeth were assessed with electrical stimulation to determine onset and duration of pulpal anesthesia; soft tissue anesthesia and injection discomfort were assessed by pin-prick test and visual analog scale (VAS). Data were analyzed by 2-way analysis of variance (ANOVA), Friedman, and chi-square tests (alpha = 5%). The 1.2 mL dose induced faster onset of pulpal anesthesia, a higher success rate, and a longer duration of soft tissue/pulpal anesthesia than were achieved with the other doses (P < .05). No differences in injection discomfort were observed between treatments. It is concluded that maxillary infiltration anesthesia with lidocaine and epinephrine has a faster onset, a greater success rate, and a longer duration when a volume of 1.2 mL is used than when volumes less than 1.0 mL are used.

A double-blind randomized clinical evaluation of enamel matrix derivative proteins for the treatment of proximal class-II furcation involvements.

OBJECTIVE: The aim of the present randomized, double-blind study was to evaluate the clinical response of proximal furcations treated with enamel matrix derivative proteins (EMD). MATERIAL AND METHODS: Fifteen patients, each with a pair of contralateral class-II proximal furcation involvements, presenting probing depths (PDs) >/=5 mm and bleeding on probing (BOP) were selected. The patients were randomly assigned to: control group (n=15) - open flap debridement (OFD)+24% ethylenediaminetetraacetic acid (EDTA) conditioning; test group (n=15) - OFD+24% EDTA conditioning+EMD application. Plaque index (PI), BOP, PD, gingival margin position (GMP), relative vertical and horizontal clinical attachment level (RVCAL and RHCAL), vertical and horizontal bone level (VBL and HBL) and furcation closure were evaluated immediately before and 2, 4 and 6 months after the surgeries. RESULTS: At 6 months, the RVCAL gains of the control and test group were 0.39 +/- 1.00 and 0.54 +/- 0.95 mm, while the RHCAL gains were 1.21 +/- 2.28 and 1.36 +/- 1.26 mm (p>0.05). The VBL and HBL gains of the control group were 1.04 +/- 1.12 and 1.00 +/- 1.79 mm, and 0.82 +/- 1.82 and 1.17 +/- 1.38 mm for the test group (p>0.05). In addition, a statistical difference was observed in the number of the remaining class-II furcations between the test and control groups (p<0.05) in this period. CONCLUSION: It may be concluded that the use of EMD in proximal furcations did not promote a superior reduction in PD or a gain in clinical and osseous attachment levels, but resulted in a higher rate of class-II to class-I furcation conversion.

In vitro assessment of the effectiveness of whitening dentifrices for the removal of extrinsic tooth stains

This in vitro study evaluated the effectiveness of whitening dentifrices for the removal of extrinsic tooth stains. Twenty dental blocks (4 x 4 mm), including enamel and dentine, removed from freshly extracted bovine incisors, were randomly divided into 4 groups: G1 - distilled water, G2 - Colgate, G3 - Crest Extra Whitening and G4 - Rapid White. In all specimens, the dentin was covered with colorless nail polish, and the enamel was left exposed. Next, the specimens were immersed in a solution of black tea, which was changed every 24 h, for a period of 6 days. After this period, a photo-reflectance reading was taken (Time 1) with a spectrometer. The stained specimens were then submitted to linear brushing movements (5,000 cycles) using brushes (Oral B-Soft) coupled to an automatic toothbrushing machine, under a static axial load of 200 g and with a speed of 4 movements/second, at 37°C, with the dentifrice or water being injected every 60 s. When toothbrushing ended, a second photo-reflectance reading was taken (Time 2). The results were submitted to two-criteria analysis of variance (ANOVA) and to the Tukey test ( = 0.05). When the two times for a same group were compared, Time 2 presented the highest reflectance values with statistical difference only for G3 and G4. Among the dentifrices tested, only the Rapid White group differed from the control group, presenting the highest reflectance values. Only the whitening dentifrice Rapid White was effective for the removal of extrinsic stains.

Relação entre ansiedade e dor em anestesia local e procedimentos periodontais / Anxiety and pain associated with local anesthesia and periodontal therapy

O objetivo deste estudo cruzado foi avaliar 21 voluntários, submetidos a tratamento periodontal, quanto ao grau de ansiedade e sensação dolorosa, em duas sessões: 1) anestesia local (AL1) e raspagem periodontal (RP); 2) anestesia local (AL2) e raspagem periodontal associada a cirurgia periodontal (CP). A ansiedade foi avaliada pela Escala de Ansiedade Dental de Corah (EADC), aplicada antes das sessões, e a sensibilidade dolorosa através da Escala Analógica Visual (EAV), após o término das sessões. Os dados foram submetidos aos testes de Wilcoxon pareado e correlação de Spearman, com nível de significância de 5%. A maioria dos voluntários foi considerada "levemente ansiosa" nas duas sessões de atendimento. Não houve diferença significativa entre as sessões com relação à sensibilidade dolorosa à anestesia local e aos procedimentos periodontais, porém, quanto à sensibilidade dolorosa, houve diferença significativa entre anestesia local e procedimentos periodontais em cada sessão (EAV-AL1 e EAV-RP: p = 0,009;EAV-AL2 e EAV-CP: p = 0,008), sem correlação entre grau de ansiedade e sensibilidade dolorosa, exceto para EADC2-EAV-AL2 (r = 0,47; p = 0,03). Concluiu-se que o grau de ansiedade manteve-se constante independente do procedimento e que a sensibilidade dolorosa à anestesia local foi superior à do procedimento periodontal, sugerindo que, controlada a dor do paciente por meio da anestesia local, os procedimentos subseqüentes tornam-se menos estressantes aos pacientes

This crossover study evaluated the level of anxiety and painful sensibility due to local anesthesia and periodontal therapy of 21 volunteers submitted to periodontal treatment, in two sessions: 1) Local anesthesia (LA1) and root scaling (RS); 2) Local anesthesia (LA2) and root scaling associated to periodontal surgery (PS). The anxiety was assessed by Corah Dental Anxiety Scale (CDAS) applied at the beginning of the sessions; pain sensibility was assessed by Visual Analogue Scale (VAS) in the end of the sessions. The data were analyzed by Spearman and Wilcoxon tests (α = 0.05). The majority of the volunteers was considered as "slightly anxious" in both sessions (p = 0.80). No statistically significant difference was observed between sessions in relation to pain sensibility to local anesthesia and periodontal treatment, however there was statistically significant difference in pain sensibility between local anesthesia and periodontal treatment in each session (VAS-LA1 and VAS-RS: p = 0.009; VAS-LA2 and VAS-PS: p = 0.008), with no correlation between anxiety and pain sensibility, except for CDAS2-VAS-LA2 (r = 0.47;p = 0.03). It can be concluded that the level of anxiety remained unchanged in the sessions with no correlation to the procedure and that pain sensibility to local anesthesia was higher than that associated to periodontal treatment, which suggests that, once the once the pain is controlled by local anesthesia, the treatment becomes less stressful to the patient

In vitro evaluation of human dental enamel surface roughness bleached with 35% carbamide peroxide and submitted to abrasive dentifrice brushing.

The aim of this in vitro study was to evaluate the surface roughness of human enamel bleached with 35% carbamide peroxide at different times and submitted to different superficial cleaning treatments: G1 - not brushed; G2 - brushed with fluoride abrasive dentifrice; G3 - brushed with a non-fluoride abrasive dentifrice; G4 - brushed without dentifrice. Sixty fragments of human molar teeth with 4 x 4 mm were obtained using a diamond disc. The specimens were polished with sandpaper and abrasive pastes. A perfilometer was used to measure roughness average (Ra) values of the initial surface roughness and at each 7-day-interval after the beginning of treatment. The bleaching was performed on the surface of the fragments for 1 hour a week, and the surface cleaning treatment for 3 minutes daily. The samples were stored in individual receptacles with artificial saliva. Analysis of variance and the Tukey test revealed significant differences in surface roughness values for G2 and G3, which showed an increase in roughness over time; G1 and G4 showed no significant roughness differences. The bleaching with 35% carbamide peroxide did not alter the enamel surface roughness, but when the bleaching treatment was performed combined with brushing with abrasive dentifrices, there was a significant increase in roughness values.