Noncarious cervical lesions: A bibliometric analysis and future research trends.

OBJECTIVE: The present bibliometric review analyzed the literature on non-carious cervical lesions (NCCLs) to explore the current state and propose future research topics. DATA: An electronic search was performed, only full scientific papers published in English were included. SOURCES: A search was conducted of all databases in the Web of Science (WOS) platform for available publications on the topic of NCCLs. STUDY SELECTION: 959 publications were retrieved, and the following data were extracted and analyzed: number of publications, study topics, keywords, study type, authors, affiliations, countries, funding agencies, journals and citations. Articles on NCCLs have been increasing in count, ever since they were first mentioned in the literature. Therapy alternatives account for 628 with few on prevention, and the majority were clinical. Brazil has published the most on NCCLs as well as has the highest number of authors and the most funded articles. The three journals that published the most on the topic were Operative Dentistry, Journal of Dentistry and Clinical Oral Investigations. CONCLUSION: The findings of this study provide a full picture of the current literature on NCCLs, research trends, knowledge gaps, and areas requiring further investigation. CLINICAL SIGNIFICANCE: By highlighting evolving treatment strategies and potential gaps in prevention, researchers can contribute to the advancement of clinical practice. This can improve patient care and outcomes in the management of NCCLs, while also providing valuable insights for policymakers to prioritize research funding and policy initiatives.

Impact of toothbrush head configuration and dentifrice abrasivity on non-carious cervical lesions in-vitro.

OBJECTIVE: To investigate the effect of toothbrush head configuration and dentifrice slurry abrasivity on the development of simulated non-carious cervical lesions (NCCLs) in vitro. METHODS: Extracted premolars were randomly allocated into 15 groups (n = 16) generated by the association between toothbrush head configuration (flat-trimmed, rippled, cross-angled/multilevel/rubbers added, cross-angled/multilevel/flex head, feathered) and dentifrice slurry abrasivity (low/medium/high). Teeth were mounted on acrylic blocks and had their roots partially covered with acrylic resin, leaving 2-mm root surfaces exposed. Toothbrushing was performed for 35,000 and 65,000 double-strokes. Specimens were analyzed using non-contact profilometry for dental volume loss (mm3) and lesion morphology. Data was analyzed using ANOVA with pairwise comparisons and Kruskal-Wallis tests. RESULTS: The two-way interaction between toothbrush head configuration and slurry abrasivity was significant (p = 0.02). At 35,000 strokes, the flat-trimmed and cross-angled/multilevel/rubbers added toothbrushes caused the highest loss, when associated to the high-abrasive slurry (p<0.05); whereas cross-angled/multilevel/flex head showed the least loss, when associated to the low-abrasive (p<0.05). At 65,000, more dental loss was observed for all toothbrushes when associated to the high-abrasive slurry, with flat-trimmed causing the highest loss (p < 0.05). Lower dental loss rates were observed for cross-angled/multilevel/flex head associated to the low-abrasive slurry when compared to the other toothbrushes (p < 0.05), except to feathered (p = 0.14) and rippled (p = 0.08). Flat lesions (mean internal angle ± standard-deviation: 146.2°± 16.8) were mainly associated with low-abrasive slurry, while wedge-shaped lesions (85.8°± 18.8) were more frequent with medium- and high-abrasive slurries. CONCLUSION: The development, progression and morphology of simulated NCCLs were modulated by both toothbrush head configuration and dentifrice abrasivity. CLINICAL SIGNIFICANCE: Dental professionals should consider both the type of toothbrush and dentifrice abrasivity in the management plan of patients at risk of developing NCCLs.

The potential of salivary albumin to degrade composite resin.

Albumin is a salivary enzyme capable of cleaving ester linkages and catalyzing degradation of resin-based dental materials. However, the effect of concentration-dependent esterolytic action on composite resins as yet remains unexplored. Aim: The purpose of this study was to evaluate whether artificial saliva formulations with different concentrations of albumin affected the surface roughness, flexural strength and microhardness of a composite resin. Materials and Method: Specimens (25x2x2mm) of a nanofilled composite (Filtek Z350XT, 3M/ESPE) were prepared and analyzed for average surface roughness (Ra/pm). The specimens were then allocated to 6 groups (n=30), to be treated with different salivary albumin concentrations: 0, 10, 50, 100, 200, 400 pg/mL. The specimens were stored in their respective artificial saliva groups, half of them for 24 h and the remainder for 180 days (artificial saliva renewed weekly), after which they were submitted to a new Ra reading, and tested for three-point flexural strength (FS, MPa). The specimens stored for 180 days were analyzed for Knoop microhardness (KH, Kg/mm2). Data were submitted to two-way ANOVA (Ra and FS) and one-way ANOVA (KH). Results: Although Ra increased (p < 0.001) and FS decreased (p < 0.001) from 24 hours to 180 days of storage, the albumin concentration did not significantly affectRa (p = 0.168), FS (p = 0.477) or KH (p = 0.378). Conclusion: The esterolytic action of albumin did not increase the artificial-saliva-induced hydrolytic degradation of the composite resin.

Albumina, uma enzima encontrada na saliva, é capaz de clivar ligagoes éster e catalisar a degradando de materiais dentários á base resina. Apesar da agao esterolítica ser potencialmente concentragao-dependente, a investigando desse efeito sobre resinas compostas ainda permanence inexplorado. Objetivo: O objetivo deste estudo foi avaliar se formulagoes de saliva artificial contendo diferentes concentragoes de albumina afetariam a rugosidade superficial, a resistencia flexural e a microdureza de uma resina composta. Materials e Método: Corpos de pro-va em barra (25x2x2mm) foram confeccionados a partir de uma resina composta nanoparticulada (Filtek Z350XT, 3M/ESPE) e foram submetidos á leitura de rugosidade superficial média inicial (Ra, pm), em rugosímetro. Entao, as amostras foram divididas em 6 grupos (n=30) de acordo com a concentrando de albumina na saliva: 0, 10, 50, 100, 200, 400 pg/mL. As amostras foram armazenadas nas formulagoes de saliva artificial correspondente ao seu grupo, metade por 24 h e as demais por 180 dias (com trocas de saliva semanais). As amostras foram submetidas a no-vas leituras de rugosidade (Rafinal) e avaliadas quanto á resistencia flexural de tres pontos (RF, MPa). As amostras armazenadas por 180 dias foram avaliadas quanto á microdureza Knoop (KH, Kg/mm2). Os dados foram submetidos a análises de variáncia a dois critérios (Ra e RF) e a um critério (KH). Resultados: Apesar de haver aumento na Ra (p < 0,001) e uma diminuigao da RF (p < 0,001) de 24 h para 180 dias, a concentragao de albumina nao afetou significativamente a Ra (p = 0,168), a RF (p = 0,477) ou a KH (p = 0,378). Conclusoes: A agdo esterolítica da albumina nao aumentou a degradagao hidrolítica da resina composta induzida pela saliva artificial.

The potential of salivary albumin to degrade composite resin / Albumina salivar: investigando seu potencial de degradar resinas compostas

ABSTRACT Albumin is a salivary enzyme capable of cleaving ester linkages and catalyzing degradation of resin-based dental materials. However, the effect of concentration-dependent esterolytic action on composite resins as yet remains unexplored. Aim: The purpose of this study was to evaluate whether artificial saliva formulations with different concentrations of albumin affected the surface roughness, flexural strength and microhardness of a composite resin. Materials and Method: Specimens (25x2x2mm) of a nanofilled composite (Filtek Z350XT, 3M/ESPE) were prepared and analyzed for average surface roughness (Ra/pm). The specimens were then allocated to 6 groups (n=30), to be treated with different salivary albumin concentrations: 0, 10, 50, 100, 200, 400 pg/mL. The specimens were stored in their respective artificial saliva groups, half of them for 24 h and the remainder for 180 days (artificial saliva renewed weekly), after which they were submitted to a new Ra reading, and tested for three-point flexural strength (FS, MPa). The specimens stored for 180 days were analyzed for Knoop microhardness (KH, Kg/mm2). Data were submitted to two-way ANOVA (Ra and FS) and one-way ANOVA (KH). Results: Although Ra increased (p < 0.001) and FS decreased (p < 0.001) from 24 hours to 180 days of storage, the albumin concentration did not significantly affectRa (p = 0.168), FS (p = 0.477) or KH (p = 0.378). Conclusion: The esterolytic action of albumin did not increase the artificial-saliva-induced hydrolytic degradation of the composite resin.

RESUMO Albumina, uma enzima encontrada na saliva, é capaz de clivar ligagoes éster e catalisar a degradando de materiais dentários á base resina. Apesar da agao esterolítica ser potencialmente concentragao-dependente, a investigando desse efeito sobre resinas compostas ainda permanence inexplorado. Objetivo: O objetivo deste estudo foi avaliar se formulagoes de saliva artificial contendo diferentes concentragoes de albumina afetariam a rugosidade superficial, a resistencia flexural e a microdureza de uma resina composta. Materials e Método: Corpos de pro-va em barra (25x2x2mm) foram confeccionados a partir de uma resina composta nanoparticulada (Filtek Z350XT, 3M/ESPE) e foram submetidos á leitura de rugosidade superficial média inicial (Ra, pm), em rugosímetro. Entao, as amostras foram divididas em 6 grupos (n=30) de acordo com a concentrando de albumina na saliva: 0, 10, 50, 100, 200, 400 pg/mL. As amostras foram armazenadas nas formulagoes de saliva artificial correspondente ao seu grupo, metade por 24 h e as demais por 180 dias (com trocas de saliva semanais). As amostras foram submetidas a no-vas leituras de rugosidade (Rafinal) e avaliadas quanto á resistencia flexural de tres pontos (RF, MPa). As amostras armazenadas por 180 dias foram avaliadas quanto á microdureza Knoop (KH, Kg/mm2). Os dados foram submetidos a análises de variáncia a dois critérios (Ra e RF) e a um critério (KH). Resultados: Apesar de haver aumento na Ra (p < 0,001) e uma diminuigao da RF (p < 0,001) de 24 h para 180 dias, a concentragao de albumina nao afetou significativamente a Ra (p = 0,168), a RF (p = 0,477) ou a KH (p = 0,378). Conclusoes: A agdo esterolítica da albumina nao aumentou a degradagao hidrolítica da resina composta induzida pela saliva artificial.