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1.
Stomatologiia (Mosk) ; 100(1): 15-18, 2021.
Artículo en Ruso | MEDLINE | ID: mdl-33528950

RESUMEN

OBJECTIVE: The study investigated the effect of 2%s odium hypochlorite gel application after post-etching salivary contamination on composite bonding strength to primary teeth enamel. MATERIAL AND METHODS: The sample consisted of 79 primary human teeth that were extracted no more than one month ago. The sample was randomly divided into four groups: (1) the control group (A) comprised 10 primary teeth, and composites were applied in the traditional manner without any salivary contamination; (2) the second group (B) consisted of 23 primary teeth in which salivary contamination was conducted after etching followed by re-etching and follow-up; (3) the third group (C) comprised 23 primary teeth in which saliva contamination was done after etching followed by washing, drying, and follow-up; and (4) the fourth group (D) comprised 23 primary teeth, in which salivary contamination was conducted after etching followed by application of sodium hypochlorite gel and follow-up. The samples were tested using the Testometric Tensile Strength Device (Testometric M350-10 kN, Testometric Ltd., UK) to measure the composite bonding strength to enamel of primary teeth. RESULTS: The arithmetic mean strength values in the research sample were ordered as followed: (A=13.39 MPa) > (D=11.82 MPa) > (C=8.07 MPa) > (B=6.15 MPa). The application of sodium hypochlorite gel after salivary contamination significantly improved the composite bonding strength to primary teeth enamel when compared with re-etching or only washing and drying. CONCLUSION: 15 s exposition of sodium hypochlorite gel with subsequent rinse and drying is recommended in case of saliva contamination of etched primary tooth enamel surface.


Asunto(s)
Recubrimiento Dental Adhesivo , Hipoclorito de Sodio , Grabado Ácido Dental , Resinas Compuestas , Esmalte Dental , Humanos , Ensayo de Materiales , Hipoclorito de Sodio/farmacología , Propiedades de Superficie , Diente Primario
2.
Medicine (Baltimore) ; 100(3): e23865, 2021 Jan 22.
Artículo en Inglés | MEDLINE | ID: mdl-33545953

RESUMEN

ABSTRACT: To study the effect of continuous irrigation of rotating nickel-titanium instrument with several common clinical fluids on the diameter, breaking length and breaking position of nickel-titanium instrument, so as to provide some reference and theoretical basis for clinical operation and instrument improvement.A standardized curved root canal model was established, and ProTaper Universal (PTU) F1 instrument was selected for root canal preparation. The nickel-titanium F1 instrument was flushed with distilled water, 0.9% NaCl, 0.2% chlorhexidine, 1% sodium hypochlorite and 5% sodium hypochlorite, and the diameter, length and position of the instrument before and after breakage were recorded.Only 5% sodium hypochlorite influenced the diameter of 6 mm marker points under different irrigation conditions (P < .05). There was no statistical difference in the length of broken instruments among all the groups, and torsional deformation mainly occurred at the end of broken instruments. The broken positions of instruments in all the groups were located at the bending segment of the root canal. The breaking frequency of the 5% sodium hypochlorite group was the highest in the area 3-5.5 mm away from apical foramen, while the other 4 groups had the highest breaking frequency in the area 0 to 1.5 mm away from apical foramen.External irrigation with different fluids did not influence the breaking length of instruments. The closer to the apical foramen was, the higher the breaking frequency of instruments was. However, only 5% sodium hypochlorite can affect the diameter of rotary nickel-titanium instruments, and may lead to early breakage of the instrument, indicating that the use of disinfectants, except 5% sodium hypochlorite, cannot reduce breakage resistance of nickel-titanium instrument compared with distilled water flushing. Furthermore, 5% hypochlorite could not be recommended for irrigation in clinical practice.


Asunto(s)
Preparación del Conducto Radicular/instrumentación , Materiales Biomédicos y Dentales , Clorhexidina , Diseño de Equipo , Falla de Equipo , Humanos , Níquel , Solución Salina , Hipoclorito de Sodio , Irrigación Terapéutica , Titanio
3.
Chemosphere ; 266: 129191, 2021 Mar.
Artículo en Inglés | MEDLINE | ID: mdl-33310358

RESUMEN

The inactivation of bacteriophage MS2 by sodium hypochlorite was investigated to understand the effect of solution chemistry on the disinfection efficacy in the presence of particles. Kaolinite and Microcystis aeruginosa (M. aeruginosa) were used as the models of inorganic and organic particles to simulate high turbidity and algal cells, respectively, in drinking water sources. In both particle-containing solutions, lower pH, the presence of cations (di-valent Ca2+) and natural organic matters (NOM) were regarded as the main factors to influence the aggregation and inactivation of MS2. The results showed that MS2 aggregated in all solutions at pH 3.0, protecting the inner viruses. At pH 7.0, the presence of Na+ cations (0-200 mmol/L) did not affect the inactivation efficacy of MS2, which always followed the order of particles-free ≈ kaolinite > M. aeruginosa. The inactivation efficacy of MS2 in the presence of Ca2+ cations followed the order of kaolinite > particles-free > M. aeruginosa at 0-50 mmol/L Ca2+ cations, while the inactivation efficacy remained almost constant in the range of 100-200 mmol/L Ca2+ cations. By contrast, kaolinite offered not enough protection to adsorbed MS2, but MS2 aggregation decreased disinfection efficacy at a high concentration of Ca2+ cations. Moreover, the presence of humic acid as NOM decreased the inactivation of MS2 more significantly than M. aeruginosa due to the more consumption of free chlorine from humic acids. Therefore, the co-existence of NOM and di-valent Ca2+ cations are potential challenges for the inactivation of viruses by sodium hypochlorite in safe drinking water.


Asunto(s)
Levivirus , Microcystis , Desinfección , Caolín , Hipoclorito de Sodio/farmacología , Inactivación de Virus
4.
J Endod ; 47(3): 451-457, 2021 Mar.
Artículo en Inglés | MEDLINE | ID: mdl-33359252

RESUMEN

INTRODUCTION: The purpose of this study was to examine the colonization and tubular invasion of Enterococcus faecalis in minimally altered canal walls. We hypothesized that age, axial directions (buccolingual or mesiodistal), regions (apical, midroot, or cervical), and disinfection treatment (sodium hypochlorite or autoclave) would impact bacterial colonization and invasion patterns. METHODS: Single roots of extracted teeth from 2 age groups (≤30 years old and ≥60 years old) were challenged with bacteria for 2 weeks. Colonization on the canal walls in 3 regions was evaluated with scanning electron microscopy. The prevalence of tubular invasion in the axial directions in 3 regions was examined with confocal laser scanning microscopy. The data were analyzed using the GLIMMIX procedure in SAS software (SAS Institute Inc, Cary, NC) with a Tukey adjustment for comparisons. RESULTS: Bacteria successfully colonized and invaded tubules in 2 weeks. The apical region in the ≥60-year age group was the least infected. A significantly higher invasion prevalence in a buccolingual (B/L) than a mesiodistal (M/D) direction was detected in both age groups and in all 3 regions. The ≤30-year age group had a significantly higher prevalence of tubular invasion than the ≥60-year age group in the B/L and M/D direction, respectively. Sodium hypochlorite treatment significantly impacted bacterial colonization and invasion in more calcified areas. CONCLUSIONS: Our data support a more conservative enlargement of the apical region of older teeth. An emphasis in a B/L direction rather than an M/D direction is recommended for debridement.


Asunto(s)
Enterococcus faecalis , Irrigantes del Conducto Radicular , Biopelículas , Cavidad Pulpar , Dentina , Microscopía Confocal , Hipoclorito de Sodio/farmacología
5.
Rev. Odontol. Araçatuba (Impr.) ; 41(3): 40-47, set./dez. 2020. ilus, graf
Artículo en Portugués | LILACS, BBO - Odontología | ID: biblio-1121745

RESUMEN

Este trabalho consiste em uma pesquisa realizada sobre a utilização de líquidos irrigantes por cirurgiões dentistas na cidade de Itabuna-BA. Para isto, delimitou-se a seguinte problemática: quais são as escolhas dos líquidos irrigantes nos tratamentos endodônticos com o intuito de promover uma total desinfecção dos canais radiculares? E como objetivo geral, elucidar sobre as escolhas dos cirurgiões dentistas localizados na cidade de Itabuna-Bahia em relação as substâncias utilizadas como coadjuvantes no tratamento endodôntico durante a etapa de irrigação. A pesquisa teve uma abordagem qualitativa e foi utilizado o instrumento questionário com cem dentistas da cidade selecionada. Este questionário consistia em oito perguntas, dentre elas qual irrigante utilizado e a porcentagem do mesmo. Com relação aos resultados, pode-se afirmar que no tratamento endodôntico, o hipoclorito de sódio continua sendo a solução irrigante de escolha entre os profissionais, diferentes concentrações de soluções de hipoclorito de sódio são empregadas durante o preparo biomecânico, por endodontistas e clínicas gerais que praticam a endodontia, não existindo uma unanimidade quanto a escolha, nenhum acordo existe em relação a sua concentração ideal(AU)


This work consists of a research carried out on the use of irrigating liquids by dental surgeons in the city of Itabuna-BA. For this, the following problem was defined: what are the choices of irrigating liquids in endodontic treatments in order to promote a total disinfection of the root canals? And as a general objective, elucidate about the choices of dentists located in the city of Itabuna-Bahia in relation to the substances used as adjuvants in endodontic treatment during the irrigation stage. The research had a qualitative approach and the questionnaire was used with 100 dentists in the selected city. This questionnaire consisted of eight questions, including which irrigant was used and the percentage of it. Regarding the results, it can be said that in endodontic treatment, sodium hypochlorite remains the irrigating solution of choice among professionals, different concentrations of sodium hypochlorite solutions are used during biomechanical preparation by endodontists and general practitioners who practice endodontics, there is no unanimity as to the choice, no agreement exists regarding their ideal concentration(AU)


Asunto(s)
Irrigantes del Conducto Radicular , Preparación del Conducto Radicular , Hipoclorito de Sodio , Clorhexidina , Ácido Edético , Malicum Acidum
6.
An Real Acad Farm ; 86(4): 231-236, oct.-dic. 2020. tab, ilus, graf
Artículo en Inglés | IBECS | ID: ibc-197109

RESUMEN

INTRODUCTION AND OBJECTIVES: In the context of COVID-19, the World Health Organization has recommended the use of extemporaneously prepared bleach solutions of 1 g/L, as a conservative concentration able to inactivate SARS-CoV-2 and the vast majority of other pathogens that may be present in the healthcare setting. Consequently, there is a renewed interest in conducting stability studies of these solutions. The goal of this work was to verify the available chlorine concentration in several bleach solutions trademarks and to propose a beyond use date for 1 g/L bleach solutions, obtained after dilution with drinking water from different sources. METHODS: Bleach trademarks, with nominal concentrations between 25-60 g/L, were subjected to iodometric titration to determine the available chlorine concentration. One trademark was used to prepare 1 g/L dilutions using water from different purification plants in Córdoba, Argentina. The samples were stored at room-temperature, both exposed or protected from light. The available chlorine concentration was determined by titration at preestablished time intervals. The beyond use date was reached when the available chlorine concentration dropped below 90 % of its initial. RESULTS: The concentration of active chlorine in the different trademark bleaches was within the values established by current regulations. Diluted solutions protected from light showed a decrease of less than 10 % in active chlorine concentration during the first 10 days of assay. However, one sample exceeded the acceptance limit after 14 days. In contrast, in the samples exposed to light, the concentration of active chlorine dropped to 96.4 % at 24 hours and 79.3 % after 48 hours. No differences related to drinking water sources were observed. CONCLUSIONS: Compliance of the nominal available chlorine concentration in trademark bleach solutions was confirmed. Regardless the water source used for dilution, 1 g/L bleach solutions were stable for 10 days when stored at room temperature and protected from light. Instead, solutions exposed to light maintain their available chlorine concentration for only 24 hours


INTRODUCCIÓN Y OBJETIVOS: En el contexto de COVID-19, la Organización Mundial de la Salud recomienda el uso de soluciones de hipoclorito de sodio 1 g/L, como una concentración capaz de inactivar el SARS-CoV-2 y la gran mayoría de patógenos presentes en el entorno sanitario. En consecuencia, hay un renovado interés en realizar estudios de estabilidad de estas disoluciones. El objetivo de este trabajo es verificar la concentración de cloro activo en varias marcas comerciales de hipoclorito de sodio y proponer una fecha límite de uso para soluciones de 1 g/L, obtenidas por dilución con agua potable proveniente de diferentes fuentes. MÉTODOS: La concentración de cloro activo de preparaciones comerciales con concentración nominal entre 25-60 g/L fue valorada por titulación iodométrica. A partir de una de las marcas comerciales se prepararon diluciones de 1 g/L usando agua proveniente de diferentes plantas potabilizadoras en Córdoba, Argentina. Las disoluciones se almacenaron a temperatura ambiente, tanto expuestas como protegidas de la luz y fueron posteriormente tituladas a intervalos de tiempo preestablecidos. La fecha límite de uso se alcanzó cuando la concentración de cloro activo cayó por debajo del 90 % de la inicial. RESULTADOS: La concentración de cloro activo en las soluciones comerciales estuvo dentro de los valores establecidos por la normativa vigente. Las diluciones protegidas de la luz mostraron una disminución menor al 10 % en la concentración de cloro activo durante los primeros 10 días de ensayo. Sin embargo, una muestra superó el límite de aceptación luego de 14 días. En contraste, en las muestras expuestas a la luz, la concentración de cloro activo cayó a 96.4 % a las 24 horas y 79.3 % después de 48 horas. No se observaron diferencias relacionadas con las fuentes de agua potable. CONCLUSIONES: se confirmó la concentración nominal de cloro activo en todas las marcas comerciales evaluadas. Independientemente de la fuente de agua potable utilizada para la dilución, las soluciones de 1 g/L fueron estables durante 10 días cuando se almacenaron a temperatura ambiente y protegidas de la luz. En contraste, las soluciones expuestas a la luz mantienen la concentración de cloro activo durante solo 24 horas


Asunto(s)
Humanos , Antiinfecciosos/análisis , Infecciones por Coronavirus/prevención & control , Neumonía Viral/prevención & control , Pandemias/prevención & control , Hipoclorito de Sodio/análisis , Cloro/análisis , Agua Potable/análisis , Organización Mundial de la Salud , Antibacterianos/análisis
7.
Prim Dent J ; 9(4): 24-30, 2020 Dec.
Artículo en Inglés | MEDLINE | ID: mdl-33225845

RESUMEN

This article provides a contemporary synopsis of effective cleaning of the root canal system, an essential stage of root canal treatment. It provides a clinical update on the current state of knowledge on cleaning of the root canal system, and presents an outline of essential theory and practical tips for achieving effective and safe cleaning of the root canal system.


Asunto(s)
Cavidad Pulpar , Irrigantes del Conducto Radicular , Ácido Edético , Humanos , Microscopía Electrónica de Rastreo , Preparación del Conducto Radicular , Hipoclorito de Sodio
8.
Prim Dent J ; 9(4): 59-63, 2020 Dec.
Artículo en Inglés | MEDLINE | ID: mdl-33225856

RESUMEN

Sodium hypochlorite is considered the most widely used irrigant in endodontics as it exhibits effective antimicrobial activity and has potent tissue-dissolving ability. Whilst it is considered safe when used within the confines of the root canal system, it can cause serious complications when inadvertent periradicular extrusion occurs. This article outlines the complications of sodium hypochlorite extrusion and reviews the appropriate management based on the contemporary evidence. Preventive measures are suggested and the relevant medico-legal considerations are outlined.


Asunto(s)
Endodoncia , Hipoclorito de Sodio , Accidentes , Humanos , Irrigantes del Conducto Radicular/efectos adversos , Tratamiento del Conducto Radicular , Hipoclorito de Sodio/efectos adversos
9.
Oral Health Prev Dent ; 18(1): 881-887, 2020 10 13.
Artículo en Inglés | MEDLINE | ID: mdl-33215480

RESUMEN

PURPOSE: To evaluate effects of the adjunctive subgingival application of sodium hypochlorite on clinical outcome following nonsurgical periodontal treatment. MATERIALS AND METHODS: A search protocol was developed to answer the following focused question: 'in patients with periodontitis, does adjunctive subgingival application of sodium hypochlorite have additional clinical benefits compared to subgingival debridement alone?' Randomised controlled clinical trials (RCTs) published up to January 30, 2020, with at least 6 months of follow-up, in which sodium hypochlorite was used as an adjunct in nonsurgical periodontitis treatment were included. The search was limited to the English language. RESULTS: Out of 355 studies retrieved, the search resulted in two publications that fulfilled the inclusion criteria. The adjunctive application of sodium hypochlorite did not provide additional beneficial effect in terms of changes in the evaluated clinical outcomes (i.e. probing depth values [PDs], clinical attachment level gain [CAL] and bleeding on probing [BOP]) when compared to mechanical instrumentation alone over the 12-month investigation period (p > 0.05). CONCLUSION: The available data have failed to show any additional clinical benefit following the use of sodium hypochlorite in conjunction with nonsurgical periodontal therapy.


Asunto(s)
Periodontitis , Hipoclorito de Sodio , Raspado Dental , Humanos , Periodontitis/tratamiento farmacológico , Hipoclorito de Sodio/uso terapéutico
10.
Braz Dent J ; 31(5): 493-498, 2020.
Artículo en Inglés | MEDLINE | ID: mdl-33146332

RESUMEN

This clinical study reports on the antibacterial effects and outcome of endodontic treatment using either a single-file or a multifile system, associated with calcium hydroxide interappointment medication. The root canals of single-rooted teeth with apical periodontitis were treated by using either Reciproc or BioRaCe instrument systems, 2.5% NaOCl irrigation, and calcium hydroxide medication. Bacteriological samples taken before preparation and immediately before obturation were evaluated for total bacterial counts by quantitative real-time polymerase chain reaction (qPCR). Patients were followed up and the treatment outcome was assessed by clinical and radiographic criteria. Decreasing lesions were classified as success in a lenient criterion or failure in a rigid one. Bacteria were detected in all initial samples (47 cases) and were significantly reduced after treatment in both groups (p<0.001). In the Reciproc and BioRaCe groups, 7/25 (28%) and 11/22 (50%) root canals yielded negative qPCR results before obturation, respectively (p>0.05). Quantitative bacterial reduction was similar between groups (p>0.05). The success rate in the BioRaCe group was 95.5% and 77% in the loose and rigid criterion, respectively. In the Reciproc group, corresponding figures were 88% and 76%. Differences in outcome were not significant (p>0.05). No diseased case showed negative qPCR results for bacteria. A difference of >1 Log10 counts was observed between healed and diseased cases. Root canal treatments of teeth with apical periodontitis using a single-file or a multifile system for preparation, associated with NaOCl irrigation and calcium hydroxide interappointment medication, showed similar antibacterial effectiveness and success rate.


Asunto(s)
Cavidad Pulpar , Periodontitis Periapical , Hidróxido de Calcio , Clorhexidina , Desinfección , Humanos , Periodontitis Periapical/tratamiento farmacológico , Irrigantes del Conducto Radicular , Preparación del Conducto Radicular , Hipoclorito de Sodio
11.
Braz Dent J ; 31(6): 657-663, 2020.
Artículo en Inglés | MEDLINE | ID: mdl-33237238

RESUMEN

The aim of this study was to evaluate the effect of cleaning solutions on the retention force of o-ring-type overdenture attachments. The effect of four solutions on nitrile rings were evaluated: Cepacol (C), Cepacol with fluoride (CF), Listerine (L) and 0.05% sodium hypochlorite (SH); deionized water (DW) was used as a control. Matrices containing two implants and abutments and acrylic specimens with the metal capsules were obtained and divided into the groups. A simulation of 90 overnight immersions (8 h) was performed, and the tensile strength value was obtained at the beginning (T0) and in every 30 days (T1, T2 and T3) (n=6). In order to analyze o-ring surface damage after the immersions, a scanning electron microscopy (SEM) was used (n=1). For statistical analysis of the results, analysis of variance (ANOVA) and multiple comparisons with Bonferroni adjustment (test power=1.000; a=0.05) were used. There was a significant difference for the factors time (p<0.001), solution (p<0.001) and for the interaction time × solution (p<0.001). Considering the times of each solution, only for DW there was no significant loss of retention over time. Comparing the solutions in each moment, there was no difference among the solutions in T0. From T1, CF and SH provided less retention than DW (p<0.005). Through SEM it was possible to observe changes in the surface of the CF and SH nitrile o-rings. CF and SH should be avoided due to deleterious action in o-rings.


Asunto(s)
Prótesis de Recubrimiento , Hipoclorito de Sodio , Prótesis Dental de Soporte Implantado , Análisis del Estrés Dental , Retención de Dentadura , Ensayo de Materiales , Resistencia a la Tracción
12.
Pediatr Dent ; 42(5): 392-398, 2020 Sep 15.
Artículo en Inglés | MEDLINE | ID: mdl-33087225

RESUMEN

Purpose: he purpose of this study was to evaluate in vitro the effect of 5.25 percent sodium hypochlorite (NaOCl) on the bond strength of resin sealant to hypomineralized enamel. Methods: Sound (S) and hypomineralized (H) enamel specimens were subjected to three different treatments: (1) etch only (E); (2) 5.25 percent NaOCl treatment (60 seconds) after (Post) etching; and (3) 5.25 percent NaOCl treatment (60 seconds) before (Pre) etching. A sealant rod was bonded for microshear bond strength (µSBS) testing. DIAGNOdent™ and spectrophotometry were used to detect changes in surface organic content and verify the amount of organic material removed. Results: Ninety S and 90 H specimens were randomly grouped into SE, SPost, SPre, HE, HPost, HPre groups. The average µSBS of hypomineralized enamel in etch only (HE) and NaOCl pre-etch (HPre) were significantly lower (9.2 MPa). NaOCl after etching significantly increased the µSBS of hypominineralized enamel (HPost) to 14.5 MPa, similar to sound enamel. DIAGNOdent™ readings were significantly lower in NaOCl Post versus E and NaOCl Pre, suggesting lower surface organic content. Spectrophotometry confirmed that NaOCI significantly removed more organic material in hypomineralized enamel. Conclusion: Applying 5.25 percent sodium hypochlorite for 60 seconds after etching (32 percent phosphoric acid) increased the bond strength of resin sealant to hypomineralized enamel comparable to that of sound enamel, as a result of surface organic content removal.


Asunto(s)
Materiales Dentales , Hipoclorito de Sodio , Esmalte Dental , Humanos
13.
Neurol India ; 68(5): 1170-1171, 2020.
Artículo en Inglés | MEDLINE | ID: mdl-33109869

RESUMEN

Coronavirus disease (COVID-19) has posed immense challenges for healthcare workers, among them are procedures related to suctioning of bodily fluids during surgery or intensive care. These procedures are potentially aerosol-generating and can lead to disease transmission. We have modified the usual suction apparatus in a simple and easy to do manner so that all suctioned material first passes through the 0.1% sodium hypochlorite solution, which is virucidal and decontaminates the suctioned material. This innovation may help in addressing the safety concerns of all healthcare providers working in operation rooms and intensive care units.


Asunto(s)
Infecciones por Coronavirus/prevención & control , Transmisión de Enfermedad Infecciosa de Paciente a Profesional/prevención & control , Pandemias/prevención & control , Neumonía Viral/prevención & control , Succión/instrumentación , Betacoronavirus , Infecciones por Coronavirus/transmisión , Cuidados Críticos , Humanos , Control de Infecciones/métodos , Neumonía Viral/transmisión , Hipoclorito de Sodio , Succión/métodos , Procedimientos Quirúrgicos Operativos
14.
J Oral Sci ; 62(4): 415-419, 2020 Sep 26.
Artículo en Inglés | MEDLINE | ID: mdl-32879157

RESUMEN

This study sought to evaluate biofilm elimination using the HBW Ultrasonic Ring based on continuous ultrasonic irrigation. Forty-five premolars and molars with complex curvatures were included. An Enterococcus faecalis biofilm was established for 30 days on the extracted teeth. The teeth were then stratified into three experimental groups for instrumentation and irrigation (i.e. HBW Ultrasonic Ring, conventional irrigation, and passive ultrasonic irrigation). Pre- and post-instrumentation samples were collected, and reductions of bacterial load were evaluated by McFarland's scale, counting of colony-forming units, and scanning electronic microscopy. The HBW Ultrasonic Ring promoted a higher reduction in bacterial load relative to conventional irrigation (P < 0.05) and a similar reduction compared with passive ultrasonic irrigation (P > 0.05). These results suggest the HBW Ultrasonic Ring is a promising alternative modality for simultaneous instrumentation and irrigation during root canal treatment, achieving an appropriate level of bacterial reduction and allowing the passage of the irrigating solution throughout the entire working length.


Asunto(s)
Enterococcus faecalis , Irrigantes del Conducto Radicular , Biopelículas , Cavidad Pulpar , Preparación del Conducto Radicular , Hipoclorito de Sodio , Irrigación Terapéutica , Ultrasonido
15.
Int J Food Microbiol ; 335: 108856, 2020 Dec 16.
Artículo en Inglés | MEDLINE | ID: mdl-32961522

RESUMEN

This study aimed to evaluate the sensitivity of heat-resistant molds isolated from spoiled thermally processed foods to antimicrobial compounds used for food industry sanitation. An ortho-phenylphenol-based smoke generator sanitizer, liquid chemical sanitizers (benzalkonium chloride, biguanide, iodine, peracetic acid, and sodium hypochlorite), and acidic and alkaline electrolyzed water were used against Aspergillus australensis (MB 2579; NFF 02), Aspergillus aureoluteus (NFC1), Paecilomyces fulvus (PFF 01), Paecilomyces niveus (PNT 01; PNDC 01; PNB1 01), and Paecilomyces variotii (PV 01; PV 01; PVCH 03). The fungal strains were exposed separately to liquid sanitizers and electrolyzed water in stainless steel discs for 15 min following the European Committee for Standardization (CEN) recommendations. Moreover, the fungal strains were exposed to the smoke generator sanitizer for 7 h following French protocol NF-T-72281. The best results of fungal inactivation were achieved when the highest concentration specified in the label of these sanitizers was tested. On the opposite, the lowest concentration specified in the label should be avoided since it was ineffective in most cases (94%). The ortho-phenyphenol-based smoke generator sanitizer and peracetic acid (1%) showed the best results of spore inactivation, while iodine and benzalkonium chloride achieved satisfactory results against the strains evaluated. Sodium hypochlorite and biguanide were ineffective against most of the fungi studied at all concentrations tested. Acidic and basic electrolyzed water was also ineffective to achieve the 3-log CFU reduction required in the concentrations tested. In general, Paecilomyces spp. was more sensitive than Aspergillus spp. against all sanitizers evaluated, whereas A. aureoluteus NFC1 was resistant to all agents and concentrations tested. The heat-resistant fungal strains showed varied sensitivity against the different agents. Notably, the two most effective commercial sanitizers against the heat-resistant strains were ineffective against the filamentous fungi recommended for sanitizer testing (A. brasiliensis ATCC 16404), which demonstrates the relevance of testing fungal isolates that cause spoilage to choose the most effective compound and obtain the best results of fungal control.


Asunto(s)
Antifúngicos/farmacología , Aspergillus/efectos de los fármacos , Desinfectantes/farmacología , Paecilomyces/efectos de los fármacos , Compuestos de Benzalconio/farmacología , Compuestos de Bifenilo/farmacología , Recuento de Colonia Microbiana , Microbiología de Alimentos , Peróxido de Hidrógeno/farmacología , Pruebas de Sensibilidad Microbiana , Ácido Peracético/farmacología , Hipoclorito de Sodio/farmacología , Acero Inoxidable
16.
J Endod ; 46(9S): S115-S127, 2020 Sep.
Artículo en Inglés | MEDLINE | ID: mdl-32950183

RESUMEN

INTRODUCTION: This review aimed to provide a critical appraisal of alternative antimicrobial strategies in lieu of traditional triple antibiotic paste (TAP). METHODS: This review followed the Preferred Reporting Items for Systematic Reviews and Meta-Analyses (PRISMA) statement. The literature search was performed in 8 databases (PubMed/Medline, Embase, LILACS, Web of Science, Scopus, BVS, SciELO, and the Cochrane Library), selecting clinical, in vitro, in vivo, and in situ studies that evaluated antimicrobial alternatives to TAP in regenerative endodontics. Studies lacking an experimental TAP group were excluded. RESULTS: A total of 1705 potentially relevant records were initially identified. From the 38 studies retrieved for full-text reading, 16 fulfilled all selection criteria and were included in the qualitative analysis. According to the study design, 11 studies were solely in vitro, 1 study was both in vitro and in vivo (animal model), 2 studies were solely animal experiments, and 2 studies were clinical trials. The alternative antimicrobial agents to TAP consisted of modified TAP formulations (eg, a combination of TAP with chitosan); TAP-eluting nanofibers; propolis; chlorhexidine (CHX) gels/solutions; double antibiotic pastes composed of distinct combinations of antibiotics; Ca(OH)2-based formulations; and sodium hypochlorite. Overall, most of the alternative agents performed similarly to TAP, although some strategies (eg, Ca(OH)2- and CHX-based formulations) seemed to present dubious importance in the control of infection. CONCLUSIONS: TAP still remains an excellent option in terms of the complete elimination of microorganisms. This review points to the use of electrospun fibers as a drug delivery system to offer a controlled release of the antimicrobial agent, as well as the use of natural compounds, deserving future investigation.


Asunto(s)
Antiinfecciosos , Endodoncia Regenerativa , Animales , Antibacterianos , Clorhexidina , Hipoclorito de Sodio
17.
Niger J Clin Pract ; 23(9): 1188-1193, 2020 Sep.
Artículo en Inglés | MEDLINE | ID: mdl-32913155

RESUMEN

Aims: The aim of this study was to investigate the antimicrobial effect of Erbium, chromium-doped yttrium, scandium, gallium, and garnet (Er,Cr:YSGG) laser with and without NaOCl solution. A total of 81 extracted human mandibular premolar teeth were used. Materials and Methods: After root canal preparation and sterilization, the samples were inoculated with E. faecalis for 24 hours. The specimens were divided into 4 experimental groups. Group 1 (n = 25) was irradiated with 2 W laser, group 2 (n = 25) was irradiated with 0.75 W laser in combination with 2.5% NaOCl, group 3 (n = 25) was irrigated with 5% NaOCl and group 4 (n = 6) was not treated. Statistical analysis was performed by using Wilcoxon Signed Ranks, Mann-Whitney U and Kruskal-Wallis H tests. Results: The combination of 0.75 W laser with 2.5% NaOCl regime was found to be just as effective at inhibiting the growth of E. faecalis and sterilization of all root canals as 5% NaOCl irrigation (P > 0.001). The 2 W laser had significant bactericidal effect in infected root canals however it did not eradicate all bacteria. The SEM observations were in accordance with the microbiologic findings. Conclusions: Within the limitations of this laboratory study, NaOCl irrigation improved the antimicrobial effect of Er,Cr:YSGG laser irradiation. When the toxic effects of high percentage of NaOCl was considered, the combination of low-powered laser and low concentration of NaOCl can be used as an effective disinfection method in root canal treatment.


Asunto(s)
Antiinfecciosos/farmacología , Biopelículas/efectos de los fármacos , Cavidad Pulpar/microbiología , Enterococcus faecalis/efectos de los fármacos , Láseres de Estado Sólido/uso terapéutico , Irrigantes del Conducto Radicular/farmacología , Hipoclorito de Sodio/farmacología , Cromo , Erbio , Galio , Humanos , Preparación del Conducto Radicular , Tratamiento del Conducto Radicular/métodos , Escandio , Itrio
18.
J Vis Exp ; (163)2020 09 09.
Artículo en Inglés | MEDLINE | ID: mdl-32986033

RESUMEN

Light sheet-based fluorescence microscopy offers efficient solutions to study complex processes on multiple biologically relevant scales. Sample chamber-based setups, which are specifically designed to preserve the three-dimensional integrity of the specimen and usually feature sample rotation, are the best choice in developmental biology. For instance, they have been used to document the entire embryonic morphogenesis of the fruit fly Drosophila melanogaster and the red flour beetle Tribolium castaneum. However, many available live imaging protocols provide only experimental frameworks for single embryos. Especially for comparative studies, such approaches are inconvenient, since sequentially imaged specimens are affected by ambient variance. Further, this limits the number of specimens that can be assayed within a given time. We provide an experimental framework for simultaneous live imaging that increases the throughput in sample chamber-based setups and thus ensures similar ambient conditions for all specimens. Firstly, we provide a calibration guideline for light sheet fluorescence microscopes. Secondly, we propose a mounting method for multiple embryos that is compatible with sample rotation. Thirdly, we provide exemplary three-dimensional live imaging datasets of Drosophila, for which we juxtapose three transgenic lines with fluorescently labeled nuclei, as well as of Tribolium, for which we compare the performance of three transgenic sublines that carry the same transgene, but at different genomic locations. Our protocol is specifically designed for comparative studies as it pro-actively addresses ambient variance, which is always present in sequential live imaging. This is especially important for quantitative analyses and characterization of aberrational phenotypes, which result e.g., from knockout experiments. Further, it increases the overall throughput, which is highly convenient when access to light sheet fluorescence microscopes is limited. Finally, the proposed mounting method can be adapted for other insect species and further model organisms, e.g., zebrafish, with basically no optimization effort.


Asunto(s)
Drosophila melanogaster/embriología , Embrión no Mamífero/diagnóstico por imagen , Imagenología Tridimensional , Microscopía Fluorescente/métodos , Tribolium/embriología , Animales , Animales Modificados Genéticamente , Calibración , Análisis de Datos , Desarrollo Embrionario , Hipoclorito de Sodio
19.
Rev. chil. obstet. ginecol. (En línea) ; 85(supl.1): S67-S74, set. 2020. tab, graf
Artículo en Español | LILACS | ID: biblio-1138650

RESUMEN

INTRODUCCIÓN: La reciente pandemia por SARS-CoV-2 (COVID-19) ha hecho resurgir preocupación sobre la exposición inadvertida del equipo quirúrgico a agentes infecciosos transmisibles por vía aérea durante el acto quirúrgico. El objetivo de este trabajo es describir la confección de un sistema de filtrado simple y de bajo costo que permite reducir el riesgo de exposición al virus, particularmente en el proceso de aspiración, recambio y remoción del neumoperitoneo en cirugía laparoscópica. MATERIALES Y MÉTODO: Se diseñó e implementó un circuito cerrado de evacuación y de filtrado del neumoperitoneo en cirugías ginecológicas laparoscópicas en un centro de salud terciario. El circuito incluye un filtro HEPA (High Efficiency Particulate Air) y una trampa de vacío que contiene una solución de inactivación en base a amonio cuaternario o hipoclorito de sodio. RESULTADOS: Desde su implementación se han realizado 17 cirugías laparoscópicas ginecológicas por diversas patologías. Dos de ellas fueron en pacientes Covid-19 (+). A la fecha no se han reportado contagios en el equipo médico que participó en la cirugía. CONCLUSIONES: Es posible implementar un sistema de evacuación del neumoperitoneo en cirugía laparoscópica presumiblemente eficaz en minimizar el riesgo de exposición al virus SARS-COV-2 (Covid-19). Su bajo costo lo hace especialmente recomendable en países en vías de desarrollo.


INTRODUCTION: The recent SARS-CoV-2 (COVID-19) pandemics has raised concern on the incidental exposition of health team to air transmissible infectious agents during surgeries. The main goal of this work is to communicate a simple and low-cost filtering system allowing to reduce the risk of contagion related to the virus, associated with pneumoperitoneum removal during surgical laparoscopy. METHODS: A closed circuit of gas removal and filtering was developed and implemented in laparoscopic gynecologic procedures at a tertiary teaching hospital. The circuit included an HEPA (High Efficiency Particulate Air) filter and a vacuum trap containing an inactivating solution based on quaternary ammonium or sodium hypochlorite. RESULTS: Since its introduction, seventeen laparoscopic surgeries have been carried out for different gynecologic pathologies. Two of them in Covid (+) cases. To date, no contagion has been reported among health teammates participating in these surgeries. CONCLUSIONS: It is possible to implement a pneumoperitoneum evacuation system in laparoscopic surgery presumably effective in minimizing the risk of exposure to the SARS-COV-2 virus (Covid-19). Its low cost makes it especially recommended in developing countries.


Asunto(s)
Humanos , Femenino , Neumonía Viral/prevención & control , Procedimientos Quirúrgicos Ginecológicos/métodos , Infecciones por Coronavirus/prevención & control , Pandemias/prevención & control , Neumonía Viral/transmisión , Neumoperitoneo , Medidas de Seguridad , Hipoclorito de Sodio , Laparoscopía/métodos , Transmisión de Enfermedad Infecciosa de Paciente a Profesional/prevención & control , Infecciones por Coronavirus/transmisión , Tecnología de Bajo Costo , Compuestos de Amonio , Betacoronavirus
20.
J Hosp Infect ; 106(3): 504-521, 2020 Nov.
Artículo en Inglés | MEDLINE | ID: mdl-32800824

RESUMEN

BACKGROUND: Decontaminating and reusing filtering facepiece respirators (FFRs) for healthcare workers is a potential solution to address inadequate FFR supply during a global pandemic. AIM: The objective of this review was to synthesize existing data on the effectiveness and safety of using chemical disinfectants to decontaminate N95 FFRs. METHODS: A systematic review was conducted on disinfectants to decontaminate N95 FFRs using Embase, Medline, Global Health, Google Scholar, WHO feed, and MedRxiv. Two reviewers independently determined study eligibility and extracted predefined data fields. Original research reporting on N95 FFR function, decontamination, safety, or FFR fit following decontamination with a disinfectant was included. FINDINGS AND CONCLUSION: A single cycle of vaporized hydrogen peroxide (H2O2) successfully removes viral pathogens without affecting airflow resistance or fit, and maintains an initial filter penetration of <5%, with little change in FFR appearance. Residual hydrogen peroxide levels following decontamination were within safe limits. More than one decontamination cycle of vaporized H2O2 may be possible but further information is required on how multiple cycles would affect FFR fit in a real-world setting before the upper limit can be established. Although immersion in liquid H2O2 does not appear to adversely affect FFR function, there is no available data on its ability to remove infectious pathogens from FFRs or its impact on FFR fit. Sodium hypochlorite, ethanol, isopropyl alcohol, and ethylene oxide are not recommended due to safety concerns or negative effects on FFR function.


Asunto(s)
Infecciones por Coronavirus/prevención & control , Descontaminación/normas , Desinfectantes/administración & dosificación , Equipo Reutilizado/normas , Peróxido de Hidrógeno/administración & dosificación , Dispositivos de Protección Respiratoria/virología , Hipoclorito de Sodio/administración & dosificación , Guías como Asunto , Humanos , Rayos Ultravioleta
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