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1.
J Dent Res ; 95(3): 342-8, 2016 Mar.
Artigo em Inglês | MEDLINE | ID: mdl-26647390

RESUMO

Dental caries is a microbially mediated disease that can result in significant tooth structure degradation. Although the preponderance of lesions is treated by surgical intervention, various strategies have been developed for its noninvasive management. Here, we use a novel approach for noninvasive treatment based on killing Streptococcus mutans with high-frequency microwave energy (ME). The rationale for this approach is based on modulating the pH of caries to a physiological state to enable spontaneous tooth remineralization from exogenous sources. In the present study, after demonstrating that ME kills >99% of S. mutans in planktonic cultures, 8 enamel slabs were harvested from a single tooth. Baseline mineral concentration at each of 12 points per slab was obtained using Fourier transform (FT)-Raman spectroscopy. Surface demineralization was subsequently promoted by subjecting all samples to an S. mutans acidic biofilm for 6 d. Half of the samples were then exposed to high-frequency ME, and the other half were used as controls. All samples were next subjected to a remineralization protocol consisting of two 45-min exposures per 24-h period in tryptic soy broth followed by immersion in a remineralizing solution for the remaining period. After 10 d, samples were removed and cleaned. FT-Raman spectra were again obtained at the same 12 points per sample, and the mineral concentration was determined. The effect of the remineralization protocol on the demineralized slabs was expressed as a percentage of mineral loss or gain relative to baseline. The mineral concentration of the microwave-exposed group collectively approached 100% of baseline values, while that of the control group was in the order of 40%. Differences between groups were significant (P = 0.001, Mann-Whitney U test). We concluded that killing of S. mutans by ME promotes effective remineralization of S. mutans-demineralized enamel compared with controls.


Assuntos
Cárie Dentária/radioterapia , Micro-Ondas/uso terapêutico , Remineralização Dentária/métodos , Biofilmes/efeitos da radiação , Cristalografia , Cárie Dentária/metabolismo , Cárie Dentária/microbiologia , Esmalte Dentário/química , Esmalte Dentário/efeitos da radiação , Humanos , Teste de Materiais , Viabilidade Microbiana/efeitos da radiação , Minerais/análise , Espectroscopia de Infravermelho com Transformada de Fourier , Análise Espectral Raman , Streptococcus mutans/efeitos da radiação , Fatores de Tempo , Microtomografia por Raio-X/métodos
2.
IEEE Trans Biomed Eng ; 45(7): 885-90, 1998 Jul.
Artigo em Inglês | MEDLINE | ID: mdl-9644897

RESUMO

A microwave antenna system for transcatheter ablation of cardiac tissue is investigated. A numerical model based on the finite-difference time-domain method incorporating a Gaussian pulse excitation has been constructed and frequency domain electric and magnetic fields are obtained through Fourier transformation. Results are presented for a coaxial line fed monopole catheter which is modified by the successive inclusion of a Teflon sheath outer coating, a terminating disk at the tip of the antenna, a sleeve choke, and a high dielectric constant cylinder surrounding the monopole antenna. The effects of these design features are characterized in terms of specific absorption rate (SAR) and return loss (RL). Numerical calculations are confirmed by comparing with the RL measurement of a Teflon-coated monopole containing a disk and choke.


Assuntos
Ablação por Cateter/instrumentação , Micro-Ondas/uso terapêutico , Animais , Arritmias Cardíacas/cirurgia , Materiais Biocompatíveis , Impedância Elétrica , Eletrodos , Desenho de Equipamento , Análise de Fourier , Humanos , Teste de Materiais , Modelos Biológicos , Politetrafluoretileno , Temperatura
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