Adhesive/silane application effects on bond strength durability to a lithium disilicate ceramic.

OBJECTIVE: To test the effects of different adhesive protocols and silane application on the adhesive durability to a Lithium Disilicate reinforced glass ceramic. METHODS: Forty disks of 13 mm diameter (E.max Press) were used. After etching with 9.5% HF for 20 seconds, disks were randomly assigned into 4 groups according to the adhesive/silane protocol: silane application only (SIL); silane application followed by adhesive (SILXP-XP Bond); silane-containing adhesive (SBU-ScotchBond Universal); silane application followed by silane-containing adhesive (SILSBU). Four resin composite cylinders of 1-mm diameter and 3-mm height were made on each ceramic disk and tested in shear. Specimens were stored in water for 24 hours or 12 months prior to testing. Results were statistically analyzed by two-way ANOVA and Tukey test. RESULTS: After 24 hours, the highest SBS values were observed for SILXP and SILSBU. However, after 12 months, SILXP and SILSBU presented a significant reduction in SBS, while the highest SBS were observed for SIL. For SBU, no significant reduction in SBS was observed, however, it showed the lowest SBS after 12 months. CONCLUSIONS: Regardless of the presence of silane in the composition of SBU, previous silane application is still recommended prior to cementation of Lithium Disilicate. CLINICAL SIGNIFICANCE: The application of silane as a separate step is recommended prior to cementation of Lithium Disilicate reinforced glass-ceramic, independent of the presence of silane within the universal adhesive solution.

Influence of osteoporosis on the osteocyte density of human mandibular bone samples: a controlled histological human study.

OBJECTIVES: Osteocytes have emerged as key regulators of skeletal and mineral homeostasis. The number of these cells could be influenced by the presence of osteoporosis and osteopenia. Hence, the aim this study was to evaluate the osteocyte density in patients with osteopenia, and in patients with osteoporosis treated with bisphosphonates. MATERIALS AND METHODS: Thirty-nine patients were selected for this study and divided into three groups: (A) nine healthy patients (control), (B) 15 patients with osteopenia, and (C) 15 patients with osteoporosis. During the surgical insertion of dental implants in the lower jaw, bone samples were retrieved and processed for histological analysis of osteocyte density, measured as number of osteocytes/bone tissue area (µm(2) ). RESULTS: Patients with osteopenia showed statistically higher values of osteocyte density than patients with osteoporosis (P < 0.05) No significant differences were detected between osteopenia and osteoporosis subjects vs. healthy patients (P > 0.05). CONCLUSIONS: Bone metabolism diseases (osteoporosis and osteopenia) do not seem to influence the osteocyte density; this could be due to the administration of bisphosphonates in patients with osteoporosis. This information could play a fundamental role in the diagnosis and treatment of patients in a postmenopausal stage.

Effect of lateral static load on immediately restored implants: histologic and radiographic evaluation in dogs.

OBJECTIVES: The aim of this study was to evaluate the effect of lateral static load in immediately restored implants in the canine mandible. MATERIAL AND METHODS: In 7 mongrel dogs, all premolars and the first molars were extracted bilaterally in the mandible. Two months after the extractions, 6 implants with sandblasted acid-etched surfaces were placed in each animal, 3 on each side. Randomly, two implants per side were immediately restored with an orthodontic expansion device that promoted lateral excessive static load (test group) or load (control) while the third implant of each side, remained submerged (unloaded group). These loaded devices were cleaned daily with chlorhexidine 0.12%, during the 4 months of study, when the animals were sacrificed and biopsies removed for histometric study. Intra-oral periapicals were made using positioners at the beginning and at the end of the study. RESULTS: Five implants from test group were lost in 3 dogs. Radiographically, there was a marginal bone loss of 3.68 ± 0.74 mm for the test group, 1.63 ± 0.2 mm for the control group and 0.45 ± 0.5 mm for the unloaded group. Histometrically, the percentage of bone-to-implant contact (BIC%) was 35.52 ± 7.32%, for the test group, 63.16 ± 5.16% for the control group and 42.33 ± 2.14% for the unloaded group. CONCLUSION: In conclusion, the excessive lateral static load negatively affected the behavior of peri-implant bone around immediate restored implants.

Effects of tobacco smoking on the survival rate of dental implants placed in areas of maxillary sinus floor augmentation: a systematic review.

OBJECTIVES: The objective of this systematic review was to evaluate the effects of smoking on the survival rate of dental implants placed in areas of maxillary sinus floor augmentation. MATERIAL AND METHODS: The Cochrane Oral Health Group's Trials Register (CENTRAL), MEDLINE and EMBASE were searched in duplicate up to, and including, October 2012 without language restrictions. Studies were considered eligible for inclusion if they involved the treatment of smokers and non-smokers with titanium implants and sinus floor elevation procedures. The Newcastle-Ottawa Scale and the Cochrane Collaboration's quality assessment tool were used for the assessment of the risk of bias in included studies. Random effects meta-analyses were used to assess the number of implants lost in smokers vs. number of implants lost in non-smokers. RESULTS: Of 3360 potentially eligible papers, eight studies were included. More than half (62.5%) of the studies found that smoking adversely affects implant survival in sites of sinus floor augmentation. Similarly, the pooled analysis indicated a statistically significantly increased risk of implant failure in smokers when the outcomes of all studies available to be included into meta-analysis were evaluated [RR: 1.87 (95% CI: 1.35, 2.58), P = 0.0001]. Conversely, a subgroup analysis including only prospective studies (3 studies) did not reveal significant differences in implant failure between smokers and non-smokers [RR: 1.55 (95% CI: 0.91, 2.65), P = 0.11]. CONCLUSIONS: Although smoking was associated with implant failure in most of individual studies and in the overall meta-analysis, the detrimental effect of smoking was not confirmed when only prospective data were assessed.

Effect of different concentrations of carbamide peroxide on microhardness of dental ceramics.

PURPOSE: To evaluate the effect of 10% and 16% carbamide peroxide bleaching agents on microhardness of dental ceramics after different periods of bleaching treatment. METHODS: 15 specimens with 5 x 3 x 1 mm3 were created with four dental ceramics following manufacturers' instructions: IPS Classic (Ivoclar-Vivadent); IPS d.Sign (Ivoclar-Vivadent); EX3 (Noritake); VMK-95 (Vita). A microhardness tester with a Knoop diamond with a 100 g load was used to evaluate the baseline microhardness values of all ceramics. Afterwards, the specimens were submitted to 6-hour daily bleaching treatments with 10% or 16% carbamide peroxide (Whiteness Perfect-FGM) for 21 days, while control groups from each ceramic system were maintained in artificial saliva. The microhardness of all groups was evaluated at 18, 42, 84, and 126 hours of bleaching treatment. The mean value of five indentations performed at each specimen in each time was obtained and all data were submitted to two-way repeated measures ANOVA and Tukey's post-hoc test (alpha = 0.05). RESULTS: No significant differences in ceramic microhardness were observed among either bleaching intervals or bleaching treatments. Ceramic restorations are not affected by carbamide peroxide 10% or 16% gel during bleaching treatment.

Temperature and feed strategy effects on sulfate and organic matter removal in an AnSBB.

The objective of this work was to analyze the interaction effects between temperature, feed strategy and COD/[SO(4)(2-)] levels, maintaining the same ratio, on sulfate and organic matter removal efficiency from a synthetic wastewater. This work is thus a continuation of Archilha et al. (2010) who studied the effect of feed strategy at 30 °C using different COD/[SO(4)(2-)] ratios and levels. A 3.7-L anaerobic sequencing batch reactor with recirculation of the liquid phase and which contained immobilized biomass on polyurethane foam (AnSBBR) was used to treat 2.0 L synthetic wastewater in 8 h cycles. The temperatures of 15, 22.5 and 30 °C with two feed strategies were assessed: (a) batch and (b) batch followed by fed-batch. In strategy (a) the reactor was fed in 10 min with 2 L wastewater containing sulfate and carbon sources. In strategy (b) 1.2 L wastewater (containing only the sulfate source) was fed during the first 10 min of the cycle and the remaining 0.8 L (containing only the carbon source) in 240 min. Based on COD/[SO(4)(2-)] = 1 and on the organic matter (0.5 and 1.5 gCOD/L) and sulfate (0.5 and 1.5 gSO(4)(2-)/L) concentrations, the sulfate and organic matter loading rates applied were 1.5 and 4.5 g/L.d, i.e., same COD/[SO(4)(2-)] ratio (=1) but different levels (1.5/1.5 and 4.5/4.5 gCOD/gSO(4)(2-)). When reactor feed was 1.5 gCOD/L.d and 1.5 gSO(4)(2-)/L.d, gradual feeding (strategy b) showed to favor sulfate and organic matter removal in the investigated temperature range, indicating improved utilization of the electron donor for sulfate reduction. Sulfate removal efficiencies were 87.9; 86.3 and 84.4%, and organic matter removal efficiencies 95.2; 86.5 and 80.8% at operation temperatures of 30; 22.5 and 15 °C, respectively. On the other hand, when feeding was 4.5 gCOD/L.d and 4.5 gSO(4)(2-)/L.d, gradual feeding did not favor sulfate removal, indicating that gradual feeding of the electron donor did not improve sulfate reduction.

Esthetic rehabilitation of anterior teeth with porcelain crowns reinforced with zirconia cores.

Achieving a functional and esthetic rehabilitation of anterior teeth can be challenging. This paper describes the rehabilitation of maxillary anterior teeth with porcelain crowns reinforced with a zirconia core to obtain a long-lasting clinical result, taking into account the patient's expectations of esthetic improvement. The two-year follow-up showed the success of the treatment in integrating a functional, esthetic, and healthy result.

Antibacterial activity of various self-etching adhesive systems against oral streptococci.

The antibacterial properties of self-etching adhesive systems constitute an important issue in operative dentistry, since viable bacteria can still be present after cavity preparation. The current study evaluated the antibacterial activity of five one-step self-etching adhesives (SEAs) and four self-etching primers (SEPs) against oral streptococci. Clearfil S3 (S3), One-Up Bond F Plus (OU), Futurabond NR (FB), GBond (GB), Xeno IV (X4), Clearfil SE Bond (SE), Clearfil Protect Bond (PB), Adper SE Plus (AS) and AdheSE (AD) were tested for antibacterial activity against five streptococci species: S oralis, S sanguinis, S cricetus, S mutans and S sobrinus. Chlorhexidine (0.12%) and phosphoric acid (37%) gel were used as control. The agar diffusion test method was used. Plates containing BHI agar and 300 uL of bacterial cell suspension (0.5 MacFarland) were prepared. Holes 6 mm in diameter were made and partially filled with bacteriological agar. Then, 10 uL of each SEA or SEP was dropped and the plates were incubated under microaerophilic atmosphere at 37 degrees C for 48 hours and the diameter of each halo was registered. The results were analyzed by two-way ANOVA and Tukey test. PB exhibited the most effective antibacterial activity against oral streptococci. The performances of SE and FB were similar or better than chlorhexidine for all bacteria. S3, X4, AS, AD, OU and GB showed significantly lower inhibition values. Among the species tested, S oralis was the most sensitive to all self-etching adhesive systems; on the other hand, S cricetus, S mutans and S sobrinus were more resistant. Among the self-etching adhesive systems evaluated, Clearfil Protect Bond exhibited the most effective antibacterial activity against oral streptococci.

Microhardness evaluation of in situ vital bleaching and thickening agents on human dental enamel.

Bleaching systems and thickening agents lead to changes in the tooth enamel matrix as a result of an unspecific oxidation of the bleaching gel in the enamel. This reaction may result in a loss of mineral content and a decrease in microhardness. The aim of this study was to evaluate the effects of different bleaching systems and their thickening agents on the microhardness of human enamel in situ. Two dental slabs (3 x 3 x 2 mm) obtained from third molars were fixed on the buccal facial aspects of the maxillary first molars in a group of 45 volunteers. The volunteers were treated with 10% carbamide peroxide gel with carbopol as the thickening agent (group 1), 2% carbopol gel (group 2), 10% carbamide peroxide paste with poloxamer as the thickening agent (group 3), poloxamer (group 4), or 6.5% hydrogen peroxide strips for 21 days (group 5) (experimental treatment factor). The effects of the experimental treatment were evaluated by microhardness tests performed both before and after treatment (time factor). Data were submitted to split-plot analysis of variance and Tukey tests. Only time showed a statistically significant difference (P < .0001). All treatments reduced the enamel microhardness during treatment. Clinically, a reduction in microhardness can be expected after dental bleaching.

Effect of feeding strategy and COD/sulfate ratio on the removal of sulfate in an AnSBBR with recirculation of the liquid phase.

The objective of this work was to analyze the effect of the interaction between feeding strategy and COD/sulfate ratio on the removal efficiency of sulfate and organic matter from a synthetic wastewater. An anaerobic sequencing batch reactor with recirculation of the liquid phase and containing immobilized biomass on polyurethane foam (AnSBBR) was used. The AnSBBR with a total volume of 3.7 L, treated 2.0 L synthetic wastewater in 8-h cycles at 30+/-1 degrees C and was inoculated with anaerobic biomass from a UASB. Two feeding strategies were assessed: (a) batch and (b) batch followed by fed-batch. In strategy (a) the reactor was fed in 10 min with 2L wastewater containing sulfate and carbon sources. In strategy (b) 1.2 L wastewater (containing only the sulfate source) was fed during the first 10 min of the cycle and the remaining 0.8L (containing only the carbon source) in 240 min. The COD/sulfate ratios assessed were 1 and 3. Based on these values and on the concentrations of organic matter (0.5-11.25 gCOD/L) and sulfate (0.5 and 2.5 gSO(4)(2-)/L), the sulfate and organic matter loading rates applied equaled 1.5 and 4.5 gSO(4)(2-)/Ld for sulfate and 1.5, 4.5 and 13.5 gCOD/Ld for organic matter. After stabilization of the system time profiles were run of monitored parameters (COD, sulfate, sulfide and sulfite). In general, the reactor showed to be robust for use in the anaerobic treatment of wastewaters containing sulfate. Gradual feeding (strategy b) of the carbon source favored sulfate reduction, resulting in sulfate removal efficiencies of 84-98% and organic matter removal efficiencies of 48-95%. The best results were observed under COD/sulfate ratio equal to 1 (loading rates of 1.5 and 4.5 gSO(4)(2-)/Ld for sulfate, and 1.5 and 4.5 gCOD/Ld for organic matter). When COD/sulfate ratio was 3 (loading rates of 1.5 and 4.5 gSO(4)(2-)/Ld for sulfate, and 4.5 and 13.5 gCOD/Ld for organic matter) the effect of feed mode became less significant. These results show that the strategy batch followed by fed-batch is more advantageous for COD/sulfate ratios near the stoichiometric value (0.67) and higher organic matter and sulfate concentrations.

Er:YAG Laser, ultrasonic system, and curette produce different profiles on dentine root surfaces: an in vitro study.

OBJECTIVE: The aim of the present study was to compare the in vitro effects of the Er:YAG laser, an ultrasonic system, and manual curette on dentine root surface by roughness and micro-morphological analysis. MATERIALS AND METHODS: Thirty-six flattened bovine roots were randomly assigned to one of the following groups: group 1 (n = 12): Er:YAG laser (2940 nm), 120 mJ/pulse, 10 Hz, 8.4 J/cm2; group 2 (n = 12): ultrasonic system; and group 3 (n = 12): manual curette. The mean surface roughness (Ra) of each sample was measured using a profilometer before and after the treatments. The micro-morphology of the treated and untreated (control) root surfaces was evaluated with scanning electron microscopy (SEM) at 50x and 1000x magnification. RESULTS: Analysis with the profilometer showed that for equal times of instrumentation, the smoothest surfaces were produced by the Er:YAG laser and the ultrasonic system, followed by the curette (p < 0.05). Morphological analyses demonstrated that treatment with the Er:YAG laser produced some areas with an irregular surface, craters, and ablation of the intertubular dentin. The smear layer was removed and dentine tubules were opened by both curettes and the ultrasonic system. The micro-morphology of the dentine root surface after ultrasonic treatment, however, demonstrated randomly distributed areas cratering. CONCLUSION: All instruments increased the roughness of the dentine root surface after treatment; however, the curette produced rougher surfaces than the other devices. SEM analysis revealed distinct root surface profiles produced by the three devices.

Bond Strength of Abraded and Non-Abraded Bleached Enamel to Resin After Er,Cr:YSGG Laser Irradiation.

OBJECTIVE: The objective of the study was to evaluate the microtensile bond strength (µTBS) of a composite resin to abraded or non-abraded bleached enamel after Er,Cr:YSGG laser irradiation and to observe the fracture patterns of the tested interfaces. MATERIALS AND METHODS: Two hundred twenty-eight bovine incisors were sectioned, resulting in 228 enamel blocks (7 × 4 × 4 mm3) that were divided into 12 groups (n = 19) according to the factors "adhesion" after bleaching (immediate adhesion; after 14 days; and a control group with adhesion on unbleached teeth); enamel "abrasion" (with or without abrasion simulating cavity preparation); and "laser" (with or without Er,Cr:YSGG laser irradiation). Bleached enamel groups were treated with 20% carbamide peroxide, 8 h/day for 21 days. Abrasion was performed with silicon carbide sandpaper. Specimens were restored with adhesive system and a composite resin (Adper Single Bond 2 and Z250; 3M ESPE). After 7 days, specimens were prepared by cutting into 1 mm beans to µTBS test performed in a universal testing machine. Fracture mode analysis was performed by using a stereoscopic loupe. The µTBS data were statistically analyzed by three-way analysis of variance with 95% confidence level and compared by running a Tukey post hoc test (α = 0.05). RESULTS: There was no statistically significant difference between triple interaction and double interactions among factors. There was no significant difference between the factors "adhesion," "abrasion," and "laser." Laser irradiation produced significantly lower bond strength values in irradiated groups compared with the non-irradiated ones. All groups had a high percentage of adhesive failures. CONCLUSIONS: Abrasion provided no benefit to bond strength of composite resins to bleached enamel. Er,Cr:YSGG (20 Hz, 0.5 W, 3.97 J/cm2) treatment reduced the bond strength of composite resins to enamel.

Microhardness evaluation of in situ vital bleaching on human dental enamel using a novel study design.

OBJECTIVES: The aim of this 'in situ' study was to evaluate the microhardness of dental enamel following treatment with an in-office and an at-home vital bleaching agent through a novel approach using samples temporarily bonded 'in vivo'. METHODS: Human dental enamel slabs (n=88) were subjected to sequential polishing and initial Knoop microhardness tests were performed. The slabs were fixed to the facial surfaces of the maxillary first molars of 44 human volunteers. They were divided into four groups (n=11) according to the treatment group: G1- in-office-CP37+ at-home-CP10; G2- in-office-CP37+ at-home-PLA; G3- in-office-PLA and at-home-CP10; G4- in-office and at-home-PLA. After 3 weeks of treatment, final microhardness measurements were performed. RESULTS AND SIGNIFICANCE: ANOVA and Tukey's HSD hoc analysis (alpha=0.05) revealed no differences among initial or final microhardness values (p>0.05); however, significant differences occurred between initial and final values for each group (p<0.01), The evaluation of microhardness revealed a reduction of 6.8% for G1, 4.1% for G2, 3.4% for G3 and 3.5% for G4. In-office bleaching with 37% carbamide peroxide, an at-home bleaching with 10% carbamide peroxide, and a combination of both resulted in lower enamel microhardness when measured immediately post-treatment. However, long-term effects of these treatments are not known, and are believed to be clinically insignificant due to the relatively small reductions observed in enamel microhardness. Interestingly, the carrier, Cabopol 934P, also resulted in similar reduction in enamel microhardness even when administrated alone as a placebo.

Biological width around one- and two-piece implants retrieved from human jaws.

Several histologic studies regarding peri-implant soft tissues and biological width around dental implants have been done in animals. However, these findings in human peri-implant soft tissues are very scarce. Therefore, the aim of this case series was to compare the biological width around unloaded one- and two-piece implants retrieved from human jaws. Eight partially edentulous patients received 2 test implants in the posterior mandible: one-piece (solid implants that comprise implant and abutment in one piece) and two-piece (external hexagon with a healing abutment) implants. After 4 months of healing, the implants and surrounding tissue were removed for histologic analysis. The retrieved implants showed healthy peri-implant bone and exhibited early stages of maturation. Marginal bone loss, gaps, and fibrous tissue were not present around retrieved specimens. The biologic width dimension ranged between 2.55 ± 0.16 and 3.26 ± 0.15 to one- and two-piece implants, respectively (P < 0.05). This difference was influenced by the connective tissue attachment, while sulcus depth and epithelial junction presented the same dimension for both groups (P > 0.05). Within the limits of this study, it could be shown that two-piece implants resulted in the thickening of the connective tissue attachment, resulting in the increase of the biological width, when compared to one-piece implants.

Bone-to-implant contact around immediately loaded direct laser metal-forming transitional implants in human posterior maxilla.

OBJECTIVE: Direct laser metal forming (DLMF) is a procedure in which a high-power laser beam is directed onto a metal powder bed and programmed to fuse particles according to a computer-aided design file, generating a thin metal layer. This histologic study evaluated the bone-to-implant contact (BIC%) around immediately loaded DLMF transitional implants retrieved after 2 months from posterior human maxillae. METHODS: Twelve totally edentulous individuals (mean age, 66.14 ± 2.11 years) received DLMF transitional implants divided in twelve immediately loaded (IL) and twelve unloaded (UI) implants. These transitional implants were placed between conventional implants to support the interim complete maxillary denture during the healing period. After 8 weeks, the transitional implants and the surrounding tissue were removed and prepared for histomorphometric analysis. RESULTS: Mature woven preexisting bone lined by newly formed bone in early stages of maturation were found around all retrieved implants. Histometric evaluation indicated that the mean BIC% was 45.20 ± 7.68% and 34.10 ± 7.85% for IL and UI, respectively (P <0.05). CONCLUSION: The present data obtained in humans showed that, although both IL and UI presented good BIC%, IL DLMF implants had a higher BIC% in the posterior maxilla.

AnSBBR applied to the treatment of metalworking fluid wastewater: effect of organic and shock load.

An investigation was performed regarding the application of a mechanically stirred anaerobic sequencing batch biofilm reactor containing immobilized biomass on inert polyurethane foam (AnSBBR) to the treatment of soluble metalworking fluids to remove organic matter and produce methane. The effect of increasing organic matter and reactor fill time, as well as shock load, on reactor stability and efficiency have been analyzed. The 5-L AnSBBR was operated at 30 degrees C in 8-h cycles, agitation of 400 rpm, and treated 2.0 L effluent per cycle. Organic matter was increased by increasing the influent concentration (500, 1,000, 2,000, and 3,000 mg chemical oxygen demand (COD)/L). Fill times investigated were in the batch mode (fill time 10 min) and fed-batch followed by batch (fill time 4 h). In the batch mode, organic matter removal efficiencies were 87%, 86%, and 80% for influent concentrations of 500, 1,000, and 2,000 mgCOD/L (1.50, 3.12, and 6.08 gCOD/L.d), respectively. At 3,000 mgCOD/L (9.38 gCOD/L.d), operational stability could not be achieved. The reactor managed to maintain stability when a shock load twice as high the feed concentration was applied, evidencing the robustness of the reactor to potential concentration variations in the wastewater being treated. Increasing the fill time to 4 h did not improve removal efficiency, which was 72% for 2,000 mgCOD/L. Thus, gradual feeding did not improve organic matter removal. The concentration of methane formed at 6.08 gCOD/L was 5.20 mmolCH(4), which corresponded to 78% of the biogas composition. The behavior of the reactor during batch and fed-batch feeding could be explained by a kinetic model that considers organic matter consumption, production, and consumption of total volatile acids and methane production.

Esthetic rehabilitation of anterior conoid teeth: comprehensive approach for improved and predictable results.

The esthetic success of a dental treatment depends on the correct diagnosis, treatment plan and clinical and laboratory procedures. This clinical report describes a diagnostically based protocol for conservative preparations on anterior teeth for adhesively retained composite and porcelain restorations. The diagnostic additive wax-up, periodontal esthetic crown-lengthening, direct acrylic mock-up, conservative preparations for ceramic laminate veneers, luting procedures, direct restorations with composite resin used for the esthetic rehabilitation of a patient presenting conoid lateral incisors, and an unsatisfactory class IV restoration in the left central incisor are presented. An accurate diagnostic and interdisciplinary approach is necessary for obtaining improved, conservative and predictable esthetic results in esthetically compromised areas, such as the anterior maxillary dentition.

The effect of combined bleaching techniques on oral microbiota.

AIMS: To evaluate the antimicrobial activity of 10% and 37% carbamide peroxide during dental bleaching in three different modes. MATERIALS AND METHODS: This five-week double-blind randomized controlled trial included 32 volunteers assigned to four groups (n = 8). Each group received bleaching agents or placebo as an in-office and at-home treatment. The dental bleaching techniques were: In-office bleaching (37% carbamide peroxide: CP37); at-home bleaching (10% carbamide peroxide: CP10) and the association of both (CP37 and CP10). Saliva samples were collected right before (baseline), right after, 12 hours after, and seven days after the treatment. Counts of total microorganisms, Streptococci, and Mutans streptococci were carried out. Friedman test (alpha = 0.05) was used to compare the microorganism counts. RESULTS: The number of the all oral microorganisms remained stable during all experiment. CONCLUSIONS: No bleaching agent (CP37, CP10 or the combination of both) was able to reduce the oral microorganisms tested.

Effects of feeding time and organic loading in an anaerobic sequencing batch biofilm reactor (ASBBR) treating diluted whey.

An investigation was carried out on the performance of an anaerobic sequencing batch biofilm reactor (ASBBR) treating diluted cheese whey when submitted to different feed strategies and volumetric organic loads (VOL). Polyurethane foam cubes were used as support for biomass immobilization and stirring was provided by helix impellers. The reactor with a working volume of 3 L treated 2 L of wastewater in 8-h cycles at 500 rpm and 30 degrees C. The organic loads applied were 2, 4, 8 and 12 g COD L(-1) d(-1), obtained by increasing the feed concentration. Alkalinity was supplemented at a ratio of 50% NaHCO(3)/COD. For each organic load applied three feed strategies were tested: (a) batch operation with 8-h cycle; (b) 2-h fed-batch operation followed by 6-h batch; and (c) 4-h fed-batch followed by 4-h batch. The 2-h fed-batch operation followed by 6-h batch presented the best results for the organic loads of 2 and 4 g COD L(-1) d(-1), whereas the 4-h fed-batch operation followed by 4-h batch presented results slightly inferior for the same organic loads and the best results at organic loads of 8 and 12 g COD L(-1) d(-1). The concentration of total volatile acids varied with fill time. For the higher fill times maximum concentrations were obtained at the end of the cycle. Moreover, no significant difference was detected in the maximum concentration of total volatile acids for any of the investigated conditions. However, the maximum values of propionic acid tended to decrease with increasing fill time considering the same organic load. Microbiological analyses revealed the presence of Methanosaeta-like structures and methanogenic hydrogenotrophic-like fluorescent bacilli. No Methanosarcina-like structures were observed in the samples.

Influence of organic loading on an anaerobic sequencing biofilm batch reactor (ASBBR) as a function of cycle period and wastewater concentration.

The effect of organic loading on the performance of a mechanically stirred anaerobic sequencing biofilm batch reactor (ASBBR) has been investigated, by varying influent concentration and cycle period. For microbial immobilization 1-cm polyurethane foam cubes were used. An agitation rate of 500 rpm and temperature of 30+/-2 degrees C were employed. Organic loading rates (OLR) of 1.5-6.0gCODl(-1)d(-1) were applied to the 6.3-l reactor treating 2.0 l synthetic wastewater in 8 and 12-h batches and at concentrations of 500-2000mgCODl(-1), making it possible to analyze the effect of these two operation variables for the same organic loading range. Microbial immobilization on inert support maintained approximately 60 gTVS in the reactor. Filtered sample organic COD removal efficiencies ranged from 73 to 88% for organic loading up to 5.4gCODl(-1)d(-1). For higher organic loading (influent concentration of 2000mgCODl(-1) and 8-h cycle) the system presented total volatile acids accumulation, which reduced organics removal efficiency down to 55%. In this way, ASBBR with immobilized biomass was shown to be efficient for organic removal at organic loading rates of up to 5.4gCODl(-1)d(-1) and to be more stable to organic loading variations for 12-h cycles. This reactor might be an alternative to intermittent systems as it possesses greater operational flexibility. It might also be an alternative to batch systems suspended with microorganisms since it eliminates both the uncertainties regarding granulation and the time necessary for biomass sedimentation, hence reducing the total cycle period.