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1.
J Clin Exp Dent ; 16(5): e595-e601, 2024 May.
Artigo em Inglês | MEDLINE | ID: mdl-38988753

RESUMO

Background: Intracanal medication is considered an alternative after instrumentation in the case of pulp necrosis. However, the elimination of this medication plays an important role in the obturation process, which is why various chelating solutions have currently been studied for this purpose. Therefore, this study aimed to analyze the irrigant based on alendronic acid (AA), which contains in its chemical structure functional groups capable of forming complexes with Ca2+ ions. Material and Methods: 90 single-rooted teeth were crowned and standardized to a length of 13 mm. They were instrumented with a progressive K file (Dentsply Maillefer) from #15 to #30. Ca(OH)2 was placed as intracanal medication for 7 days. The roots were randomly divided into the following 4 experimental groups (n=13) according to the irrigant used: 2.25% NaClO, calcium suspension, 0.22% AA, and 10% citric acid; as well as negative (n=5; saline solution) and positive controls (n=5, 17% EDTA). The roots were divided longitudinally and the % of permeable dentinal tubules (% PDT) was determined by thirds (cervical, middle and apical), by analyzing the micrographs obtained by scanning electron microscope (SEM) and the imageJ program. The quantification of the remaining Ca2+ was determined using the Arsenazo III technique. Results: The Kruskal Wallis test was used for the % of permeable dentinal tubules where a significant difference was determined for the different thirds (p<0.005). In the apical third, citric acid and AA irrigants presented a median of 17.71 and 17.51 % PDT respectively. In relation to the quantification of the remaining total calcium, the lowest value was found with AA with a concentration of 4.83 mmol/L. Conclusions: The 0.22% AA solution has the same capacity to remove Ca(OH)2 from the root canal walls as 17% EDTA and 10% citric acid. Key words:Alendronic acid, calcium hydroxide, citric acid, EDTA, irrigant solution,root canal.

2.
J Prosthet Dent ; 131(1): 92.e1-92.e8, 2024 Jan.
Artigo em Inglês | MEDLINE | ID: mdl-37951719

RESUMO

STATEMENT OF PROBLEM: Polyethylene fibers have been reported to improve the fracture resistance of endodontically treated teeth, but their optimal orientation is unclear. PURPOSE: The purpose of this in vitro study was to evaluate the effects of different fiber positions and orientations on the fracture resistance of endodontically treated premolar teeth. MATERIAL AND METHODS: One hundred endodontically treated maxillary premolars were divided into 2 groups according to the cavity design, mesio-occluso-distal and occluso-buccal, and each group was divided into 5 subgroups (n=10) according to the polyethylene fiber orientation on the pulpal floor: unidirectional horizontal (from mesial to distal), unidirectional vertical (from buccal to palatal), bidirectional (buccopalatal and mesiodistal), circular (around the walls), and without fibers (control group). The cavities were restored with fiber-reinforced composite resin and conventional composite resin. All the teeth were fractured with a universal testing machine and analyzed as catastrophic failure or reparable failure. A 1-way ANOVA was used to compare fracture strength values (α=.05). RESULTS: The tested groups with different fiber orientations showed significantly higher fracture load than the control group (P<.05). No statistically significant difference was observed among the fiber orientations (P>.05). Most of the favorable fractures were occlusal to the cemento-enamel junction, and adhesive failure were seen in the mesio-occluso-distal and occluso-buccal cavities. The highest percentage of unfavorable fractures and mixed failures was observed in the control group. CONCLUSIONS: The fiber orientation pattern in the mesio-occluso-distal and occluso-buccal cavities did not differ significantly in the fracture resistance of endodontically treated maxillary premolar teeth.


Assuntos
Fraturas dos Dentes , Dente não Vital , Humanos , Polietileno , Dente Pré-Molar , Restauração Dentária Permanente , Fraturas dos Dentes/prevenção & controle , Resinas Compostas/uso terapêutico , Dente não Vital/terapia , Análise do Estresse Dentário
3.
Rev. ADM ; 80(5): 274-279, sept.-oct. 2023. ilus, tab
Artigo em Espanhol | LILACS | ID: biblio-1531559

RESUMO

El síndrome de Cornelia de Lange (SCdL) es un trastorno genético poco frecuente y se atribuye principalmente a mutaciones en los genes NIPBL, SMC3 y SMC1A. Sus principales características clínicas son múltiples anomalías congénitas, dimorfismo facial, hirsutismo, hipertricosis, retraso psicomotor, discapacidad intelectual, restricción del crecimiento prenatal y postnatal, anomalías de manos y pies, así como malformaciones congénitas que afectan a distintos órganos. En pacientes con SCdL es necesario hacer hincapié en la higiene oral debido a la discapacidad intelectual que puede presentarse y asegurarse de que se realiza una adecuada valoración y saneamiento dental de forma periódica con el fin de prevenir enfermedades bucodentales. El objetivo de este reporte de caso es describir el manejo odontológico de un paciente de 10 años con SCdL y revisar las características clínicas y hallazgos radiológicos presentes en la cavidad oral (AU)


Cornelia de Lange syndrome (CdLS) is a rare genetic disorder and is principally attributed to mutations in the NIPBL, SMC3 and SMC1A genes. The main clinical characteristics are multiple congenital anomalies, facial dimorphism, hirsutism, hypertrichosis, psychomotor retardation, intellectual disability, prenatal and postnatal growth restriction, hand and foot anomalies, as well as congenital malformations affecting different organs. In patients with CDLS, it is necessary to focus on oral hygiene due to the intellectual disability that may be present and to ensure that adequate dental valuation and hygiene is routinely performed in order to prevent oral diseases. The aim of this case report is to describe the dental management of a 10-year-old patient with CDLS and review the clinical characteristics and radiological findings that are present in the oral cavity (AU)


Assuntos
Humanos , Feminino , Criança , Manifestações Bucais , Assistência Odontológica para Doentes Crônicos/métodos , Síndrome de Cornélia de Lange/terapia , Síndrome de Cornélia de Lange/diagnóstico por imagem , Ortodontia Corretiva/métodos , Faculdades de Odontologia , Anormalidades Dentárias , Assistência Odontológica para Crianças/métodos , Anormalidades Maxilofaciais , Síndrome de Cornélia de Lange/patologia , México
4.
Biomed Mater Eng ; 34(4): 357-373, 2023.
Artigo em Inglês | MEDLINE | ID: mdl-36744329

RESUMO

BACKGROUND: Acrylic resins used in dental and biomedical applications do not have antimicrobial properties, their surface is susceptible to colonization of microorganisms. OBJECTIVE: The aim of this study was to evaluate the antibiofilm properties of silver nanoparticles (AgNPs) deposited in a polymethyl methacrylate (PMMA) surface against a Staphylococcus aureus biofilm. METHODS: The PMMA was impregnated with AgNPs by using the in-situ polymerization method. To determine the solubility of the incorporated silver (Ag+) atomic absorption spectrophotometry was used (AAS) at 24 h, 48 h, 7 days, and 30 days. Thirty specimens of PMMA with AgNPs and without NP (control group) were assembled in the CDC Biofilm Bioreactor system with a cell suspension of S. aureus. The specimens were removed at 6, 12, 24, 48, and 72 h to determine the viability profile and quantify the Arbitrary Fluorescence Units (AFU). RESULTS: The AgNPs showed an irregular and quasispherical shape with an average size of 25 nm. AAS analysis demonstrated a low solubility of Ag+. The formation of the S. aureus biofilm increased as the evaluation periods continued up to 72 h. The experimental group showed poor growth, and a decrease in the intensity of the fluorescence demonstrated a statistically significant inhibition of the formation of the biofilm (P < 0.05) in relation to the control group at 6, 12, 24, 48, and 72 h. CONCLUSION: AgNPs incorporated into PMMA decreased the growth and maturation of S. aureus biofilm.


Assuntos
Nanopartículas Metálicas , Polimetil Metacrilato , Prata/farmacologia , Staphylococcus aureus , Nanopartículas Metálicas/uso terapêutico , Biofilmes , Antibacterianos/farmacologia , Testes de Sensibilidade Microbiana
5.
Biomed Mater Eng ; 34(5): 399-412, 2023.
Artigo em Inglês | MEDLINE | ID: mdl-36502300

RESUMO

BACKGROUND: Polymerization conditions affect the physical-mechanical properties of acrylic resins used for craniofacial prostheses. OBJECTIVE: The aim of this study was to evaluate the effect of microwave polymerization on the thermomechanical properties and surface morphology of ocular prostheses fabricated with polymethyl methacrylate (PMMA). METHODS: PMMA discs were polymerized with microwave energy and with conventional heat polymerization (CHP) method. Ocular prostheses were fabricated to determine whether there were changes according to the polymerization method. The surface morphology and roughness were observed under SEM and AFM. The Vickers Hardness number (VHN) and flexural strength were measured. Thermal properties were evaluated with TGA/DSC, and chemical composition with FTIR. RESULTS: The PMMA acrylic resin polymerized with microwave energy showed a smooth surface with some relief areas. In the internal surface of the ocular prosthesis with microwave energy the PMMA is more compact. The mean roughness values were higher and statistically significant with CHP (P < 0.05), while the surface hardness and flexural strength were higher with microwave energy (P < 0.05). CONCLUSION: There were no changes in the calorimetry with either method, TGA showed an exothermic peak around 120 °C with CHP method. PMMA polymerized with microwave energy improved the mechanical and surface properties of the ocular prostheses.


Assuntos
Resinas Acrílicas , Polimetil Metacrilato , Polimetil Metacrilato/química , Polimerização , Resinas Acrílicas/química , Micro-Ondas , Teste de Materiais , Propriedades de Superfície , Dureza , Bases de Dentadura
6.
Bioengineering (Basel) ; 9(5)2022 Apr 27.
Artigo em Inglês | MEDLINE | ID: mdl-35621467

RESUMO

The fabrication of instructive materials to engineer bone substitute scaffolds is still a relevant challenge. Current advances in additive manufacturing techniques make possible the fabrication of 3D scaffolds with even more controlled architecture at micro- and submicrometric levels, satisfying the relevant biological and mechanical requirements for tissue engineering. In this view, integrated use of additive manufacturing techniques is proposed, by combining 3D printing and air-jet spinning techniques, to optimize the fabrication of PLA tubes with nanostructured fibrous coatings for long bone defects. The physicochemical characterization of the 3D tubular scaffolds was performed by scanning electron microscopy, thermogravimetric analysis, differential scanning calorimetry, profilometry, and mechanical properties. In vitro biocompatibility was evaluated in terms of cell adhesion, proliferation, and cell-material interactions, by using human fetal osteoblasts to validate their use as a bone growth guide. The results showed that 3D-printed scaffolds provide a 3D architecture with highly reproducible properties in terms of mechanical and thermal properties. Moreover, nanofibers are collected onto the surface, which allows forming an intricate and interconnected network that provides microretentive cues able to improve adhesion and cell growth response. Therefore, the proposed approach could be suggested to design innovative scaffolds with improved interface properties to support regeneration mechanisms in long bone treatment.

7.
J Clin Pediatr Dent ; 46(6): 17-24, 2022 Nov.
Artigo em Inglês | MEDLINE | ID: mdl-36624900

RESUMO

Tricalcium silicate cements (TSCs) regulate gene expression and cell responses from dental tissues surrounding the repair site. The study aimed to evaluate the gene expression levels of Collagen Type I Alpha 1 Chain (COL1A1), Mitogen-Activated Protein Kinases (MAPK's), Nuclear Factor-Kappa B (NF-κB), cell adhesion, and morphology of human dental pulp fibroblasts (hDPFs) from primary teeth treated with eluates obtained from Mineral Trioxide Aggregate (MTA) and Biodentine. hDPFs were treated with eluates from Biodentine and MTA (2.5 mg/mL in culture medium). The control group was a culture without the eluates. Gene expressions of COL1A1, MAPK's, and NF-κB were evaluated using Polymerase Chain Reaction (PCR) and cell adhesion by immunocytochemistry for Vinculin and Integrin ß1 expression. Gene expression of MAPK's and NF-κB in hDPFs with the eluates from MTA and Biodentine showed no significant difference versus the control group (p > 0.05), but COL1A1 exhibited a significant difference (p < 0.05). The expression of COL1A1, MAPK's, and NF-κB was lower in cultures with MTA and Biodentine eluates regarding the control group, with no significant difference between MTA and Biodentine (p > 0.05). After 72 h of incubation, the hDPFs cultured with MTA and Biodentine eluates showed an elongated morphology; after 7 d, a loss or/and reduction of the cytoplasmic processes, and smaller nuclei were observed. Vinculin and Integrin ß1 were expressed in hDPFs treated with MTA and Biodentine eluates. MTA and Biodentine did not inhibit or generate a significant difference in the expression levels of COL1A1, MAPK's, and NF-κB in hDPFs.


Assuntos
Integrina beta1 , NF-kappa B , Humanos , Adesão Celular , Vinculina , Compostos de Cálcio/farmacologia , Silicatos/farmacologia , Fibroblastos , Expressão Gênica , Dente Decíduo , Óxidos/farmacologia , Combinação de Medicamentos , Compostos de Alumínio/farmacologia
8.
Acta Odontol Scand ; 80(5): 321-327, 2022 Jul.
Artigo em Inglês | MEDLINE | ID: mdl-34843422

RESUMO

OBJECTIVE: This study sought to evaluate the effect of eugenol on the cell morphology and expression of genes involved in the apoptotic process in human dental pulp fibroblasts (hDPFs) from deciduous teeth. MATERIALS AND METHODS: hDPFs were cultured with 4 concentrations of eugenol (0.06 nM, 0.6 nM, 6 nM, 12 nM) and compared with a control group. After a 72 h incubation period, the cytotoxic effect on cell morphology by optical microscopy and gene expression by RT-PCR were evaluated. RESULTS: At 0.06 nM and 0.6 nM eugenol concentrations, vacuolisation of the cytoplasm was observed with atypical granulation of the hDPFs, and, at 6 nM and 12 nM cytoplasmic extensions disappeared almost completely. Casp-3, Casp-9, and telomerase genes were not expressed at the concentrations evaluated nor in the control group. The relative expression responses of Bcl-2 and TGF-ß genes were overexpressed at the 4 concentrations. MAKP's 0.06 nM (p < .001), 0.6 nM (p < .05) and 12 nM (p < .05) and Cyclin 1 at 12 nM showed significant difference versus the control group (p < .05). CONCLUSION: Eugenol is capable of causing morphological changes in hDPFs in a dose-dependent manner, higher concentrations may promote overexpression of apoptotic genes.


Assuntos
Polpa Dentária , Eugenol , Anisóis , Apoptose/genética , Eugenol/metabolismo , Eugenol/farmacologia , Fibroblastos , Humanos
9.
Odovtos (En línea) ; 23(2)ago. 2021.
Artigo em Inglês | LILACS, SaludCR | ID: biblio-1386523

RESUMO

ABSTRACT: Purpose: The seal of the interface formed at the implant-abutment connection is essential for the long-term success of the implant-supported restoration. The aim of this study was to analyze the mechanical behavior and the effect of cyclic fatigue before and after in the marginal fit of implant-abutment according to the manufacturing technique of the abutment. Materials and methods: Machined titanium abutments (DENTIS), cast abutments with Nickel-Chromium alloy (VeraBond II), and manufacturing custom milled Zirconia abutments (Zirkonzahn) were evaluated. The implant-abutment assemblies were subjected to cyclic loads of 133 N at a frequency of 19.1 Hz for 200,000 cycles. The microgap was measured using Scanning Electronic Microscope and the distribution of compressive stress by the three-dimensional Finite Element (FE) method. Results: The microgap measurement values of the machined abutments were 1.62μm and 1.92μm, cast abutments were 14.14 μm, and 28.44 μm, and the milled abutments were 14.18μm and 20.15μm before and after cyclic fatigue, respectively. Only the cast abutments and the machined abutments showed a statistically significant difference before and after cyclic fatigue (p≤0.05). The FE analysis showed that the critical areas of compressive stress were located at the implant-abutment connection, increasing in the cast abutments and decreasing in the milled and the machined abutments. Conclusion: Cyclic fatigue exerts an effect on the dimensions of the microgap at the implant-abutment interface before and after loading; this microgap depends of the type of abutment material and the manufacturing technique.


RESUMEN: Propósito: El sellado de la interface de la conexión implante-pilar es esencial para el éxito a largo plazo de la restauración implantosoportada. El objetivo de este estudio fue analizar el comportamiento mecánico y el efecto de la fatiga cíclica antes y después en el sellado de la conexión implante-pilar de acuerdo a la ténica de fabricación del pilar. Materiales y Métodos: Pilares mecanizados de titanio (DENTIS), pilares calcinables colados con aleación Niquel-Cromo (VeraBond II) y pilares fresados de Zirconia (Zirkonzahn) fueron evaluados. Los implantes y pilares atornillados se sometieron a una carga de 133 N a una frecuencia de 19.1 Hz durante 200 000 ciclos. El microgap fue medido con el Microscopio Electrónico de Barrido y la distribución del esfuerzo de compresión por el método tridimensional de Elemento Finito (EF). Los valores del microgap de los pilares mecanizados fueron de 1.62μm y 1.92μm, en los pilares calcinables fue de 14.14μm y 20.15μm, y los pilares fresados fue de 14.18μm y 28.44 μm antes y después de la fatiga cíclica, respectivamente. Los pilares calcinables y lo mecanizados mostraron diferencia estadísticamente significativa antes y después de la fatiga cíclica (p≤0.05). El análisis por EF mostró que las áreas críticas del esfuerzo de compresión estaban localizadas en la conexión implante-pilar, aumentando en los pilares calcinables y disminuyendo en los pilares fresados y en los mecanizados. Conclusión: La fatiga cíclica ejerce un efecto sobre las dimensiones del microgap en la interface implante-pilar antes y después de la carga cíclica; este microgap depende del tipo de material y de la técnica de fabricación del pilar.


Assuntos
Humanos , Cirurgia Bucal , Projeto do Implante Dentário-Pivô , Análise do Estresse Dentário , México
10.
J Biomater Appl ; 36(4): 626-637, 2021 10.
Artigo em Inglês | MEDLINE | ID: mdl-33947275

RESUMO

The aim of this study was to characterize the morphological properties of amorphous silica nanoparticles (SiO2 NPs), their cytotoxicity and intracellular location within Human Osteoblasts (HOB). Additionally, SiO2 NPs were explored for their effectivity as carriers of CRTC3-siRNA on Human Preadipocytes (HPAd), and thus downregulate RGS2 gene expression. SiO2 NPs were synthesized using the method of Stöber at 45 °C, 56 °C, and 62 °C. These were characterized via TEM with EDS, Zeta Potential and FT-IR. Cytotoxicity was evaluated by XTT at three concentrations 50, 100 and 500 µg/mL; SiO2 NPs intracellular localization was observed through Confocal Laser Scanning Microscope. Delivering siRNA effectivity was measured by RT-qPCR. Morphology of SiO2 NPs was spherical with a range size from 64 to 119 nm; their surface charge was negative. Confocal images demonstrated that SiO2 NPs were located within cellular cytoplasm. At a SiO2 NPs concentration of 500 µg/mL HOB viability decreased, while at 50 µg/mL and 100 µg/mL cell viability was not affected regardless SiO2 NPs size. SiO2 NPs-CRTC3-siRNA are effective to down-regulate RGS2 gene expression in HPAd without cytotoxic effects. The developed SiO2 NPs-CRTC3-siRNA are a promising tool as a delivery vehicle to control obesity.


Assuntos
Nanopartículas/química , Proteínas RGS/metabolismo , RNA Interferente Pequeno/metabolismo , Dióxido de Silício/química , Fatores de Transcrição/farmacologia , Antineoplásicos/farmacologia , Sobrevivência Celular/efeitos dos fármacos , Regulação para Baixo , Sistemas de Liberação de Medicamentos , Técnicas de Silenciamento de Genes , Humanos , Microscopia Confocal , Osteoblastos , Tamanho da Partícula , Proteínas RGS/genética , Espectroscopia de Infravermelho com Transformada de Fourier , Fatores de Transcrição/genética
11.
Braz J Microbiol ; 52(2): 619-625, 2021 Jun.
Artigo em Inglês | MEDLINE | ID: mdl-33619696

RESUMO

The main of this study was to evaluate the inhibitory effect on the in vitro formation of the Staphylococcus aureus biofilm formed on a polyethylene (PE) surface with a nanostructured Gold (Au) coating for medical devices. An experimental in vitro study was carried out using PE discs with an Au nanoparticle coating (AuNPs) on one side (experimental group) and without coating on the other (control group); the discs were mounted in the CDC biofilm reactor adding broth of yeast-dextrose-peptone (YPD) sterile culture inoculated with S. aureus in a cell suspension (5 × 108 cells/ml). The specimens were evaluated at different times (6, 12, 24, 48, 72 h) and stained with the Live/Dead Bacterial Viability Kit (Invitrogen) for observation, analysis, and quantification with confocal laser scanning microscopy (CLSM) and scanning electron microscopy (SEM). The results showed that as evaluation time passed an increasing of S. aureus biofilm formation was observed in the control group, in the experimental group, a statistically significant biofilm inhibition was observed with respect to the AuNPs uncoated specimens (p ≤ 0.05) and showed a ratio of almost 4:1 viable/nonviable in the biofilm of the uncoated surfaces, with a difference > 5 Log10 in the CFU counts. The PE with AuNP coating showed an inhibitory effect on the biofilm formation of S. aureus.


Assuntos
Antibacterianos/farmacologia , Biofilmes/efeitos dos fármacos , Ouro/farmacologia , Nanopartículas Metálicas/toxicidade , Infecções Estafilocócicas/microbiologia , Staphylococcus aureus/efeitos dos fármacos , Humanos , Viabilidade Microbiana/efeitos dos fármacos , Polietileno/análise , Infecções Estafilocócicas/tratamento farmacológico , Staphylococcus aureus/crescimento & desenvolvimento , Staphylococcus aureus/fisiologia
12.
Am J Dent ; 33(2): 59-63, 2020 Apr.
Artigo em Inglês | MEDLINE | ID: mdl-32259408

RESUMO

PURPOSE: To evaluate Streptococcus mutans biofilm formation over different restorative dental materials. METHODS: Using a bioreactor over 72 hours, four commercially available ceramics were evaluated: IPS E-max Press, IPS E-max CAD, Lava Ultimate CAD-CAM, Vita Enamic and two resin composites (SR Nexco Paste and Brilliant NG). The results were evaluated using atomic force microscopy and confocal microscopy, the biofilm was stained and the arbitrary fluorescence units (AFU) quantified. RESULTS: The results showed that IPS E-max CAD had the lowest roughness values (4.29±1.79 nm), while the highest values were observed for Vita Enamic discs ( (77.13±17.35 nm). Analysis of S. mutans biofilm formation by AFU revealed lower values for IPS E-max CAD (6.77±1.67 nm); the highest values were found for Lava Ultimate (79.99±22.23 nm). Regarding the composite groups, SR Nexco Paste showed roughness values of 15.07±2.77 nm and lower arbitrary fluorescence units of 30.92±12.01 nm than Brilliant NT. There was a correlation between the surface roughness of ceramics and composite with S. mutans biofilm formation. CLINICAL SIGNIFICANCE: The adhesion of oral bacteria to restorative dental materials plays a key role in the success of dental treatment; the surface roughness influences the S. mutans biofilm formation.


Assuntos
Materiais Dentários , Streptococcus mutans , Biofilmes , Cerâmica , Desenho Assistido por Computador , Porcelana Dentária , Teste de Materiais , Propriedades de Superfície
13.
Odovtos (En línea) ; 21(2): 11-21, May.-Aug. 2019. tab, graf
Artigo em Inglês | LILACS | ID: biblio-1091477

RESUMO

ABSTRACT Non-Carious Cervical Lesions (NCCL) are a current problem of multifactorial origin that is associated with the loss of vertical occlusal dimension, hypersensitivity, loss of teeth, fractures, and many other pathologies that affect the masticatory function of the oral cavity. Identification of the etiological factors of NCCL comprises a key piece for the solution of the problem. Based on clinical scientific evidence related with the diagnosis, a restorative treatment must be planned according to the loss of dental structure in order to return function and aesthetics. The purpose of this case report was to describe a 54-year-old male patient who was diagnosed with generalized NCCL combined with occlusal vertical dimension loss. The protocol of the treatment process is described.


RESUMEN Las lesiones cervicales no cariosas (LCNC) son una problemática actual de origen multifactorial, la cual se ve asociada a la pérdida de dimensión vertical oclusal, hipersensibilidad, pérdida de dientes, fracturas y muchas otras patologías que afectan la función masticatoria de la cavidad bucal. La identificación de los factores etiológicos de las LCNC son piezas claves para la solución del problema. Basados en la evidencia científica clínica relacionado con el diagnóstico, se debe planificar un plan de tratamiento restaurativo que depende de la pérdida de la estructura dentaria para devolver la función y estética. El objetivo de este reporte de caso es describir a un paciente masculino de 54 años a quien se le diagnosticó LCNC generalizadas combinado con una pérdida de dimensión vertical oclusal. El protocolo de plan de tratamiento es descrito paso a paso.


Assuntos
Humanos , Masculino , Pessoa de Meia-Idade , Abrasão Dentária/diagnóstico , Cerâmica/uso terapêutico , Lesões do Pescoço/complicações , Periodontia , Erosão Dentária/diagnóstico
14.
Odovtos (En línea) ; 21(1): 31-40, Jan.-Apr. 2019. tab, graf
Artigo em Inglês | LILACS, BBO - Odontologia | ID: biblio-1091469

RESUMO

Abstract 20. The success of tissue engineering in combination with tissue regeneration depends on the behavior and cellular activity in the biological processes developed within a structure that functions as a support, better known as scaffolds, or directly at the site of the injury. The cell-cell and cell-biomaterial interaction are key factors for the induction of a specific cell behavior, together with the bioactive factors that allow the formation of the desired tissue. Mesenchymal Stem Cells (MSC) can be isolated from the umbilical cord and bone marrow; however, the behavior of Dental Pulp Stem Cells (DPSC) has been shown to have a high potential for the formation of bone tissue, and these cells have even been able to induce the process of angiogenesis. Advances in periodontal regeneration, dentin-pulp complex, and craniofacial bone defects through the induction of MSC obtained from tooth structures in in vitro-in vivo studies have permitted the obtaining of clinical evidence of the achievements obtained to date.


Resumen 24. El éxito de la ingeniería de tejidos en combinación con la regeneración de tejidos depende del comportamiento y la actividad celular en los procesos biológicos desarrollados dentro de una estructura que funciona como soporte mejor conocida como andamio o directamente en el sitio de la lesión. La interación célula-célula y célula-biomaterial son factores claves para la inducción a un comportamiento célular específico junto con factores bioactivos que permitan la formación del tejido deseado. Las células troncales mesenquimales (MSCs) pueden ser aisladas del cordón umbilical y de la medula ósea, sin embargo, el comportamiento de las células troncales de pulpa dental (DPSCs) han demostrado tener un alto potencial para la formación de tejido óseo e incluso han logrado inducir el proceso de angiogénesis. Avances en la regeneración periodontal, complejo dentino-pulpar y defectos óseos craneofaciales a travez de la inducción de MSCs obtenidas de estructuras de dientes en estudios in vitro-in vivo han permitido obtener evidencia clínica de los logros obtenidos hasta el momento.


Assuntos
Regeneração Tecidual Guiada Periodontal , Polpa Dentária , Alicerces Teciduais , Nicho de Células-Tronco , Células-Tronco Mesenquimais
15.
Int. j. morphol ; 35(3): 804-811, Sept. 2017. ilus
Artigo em Inglês | LILACS | ID: biblio-893057

RESUMO

The aim of this study was to evaluate histologically the effect of two biomaterials, a biomaterial derived from porcine Urinary submucosa Bladder Matrix (UBM) and beta-TriCalcium Phosphate (ß-TCP), on bone defects. Twenty male New Zealand rabbits were used; the models were divided in two groups: the UBM group; the ß-TCP group, and a Negative Control (NC) group. Five-mm defects were created in the femur of each model and then the different biomaterials were set in place depending on each group. At 4 and 8 weeks, the animals in the models were sacrificed and samples of the defect site were collected to perform a Hematoxylin and Eosin stain (H&E). Histologically, ß-TCP group at 4 and 8 weeks presented neoformation of bone-like and cartilage-like tissue, with the presence of inflammatory infiltrate; at 4 and 8 weeks, the UBM group presented neoformation of bone-like and cartilage-like tissue with a low presence of inflammatory infiltrate, and the NC group presented the formation of connective tissue and, in a low proportion, neoformation of bone tissue and cartilage. Both biomaterials, UBM and ß-TCP, exhibited the capacity to promote bone neoformation; however, the UBM-based biomaterial produced a better-organized tissue with a lower inflammatory response compared with the ß-TCP group.


El objetivo de este estudio fue evaluar histológicamente el efecto de dos biomateriales: derivado de matriz de submucosa de vejiga urinaria porcina (UBM) y b-fosfato tricálcico (ß-TCP) en defectos óseos. Veinte conejos macho de raza Nueva Zelanda fueron empleados para este estudio; los modelos fueron divididos en dos grupos: UBM, ß-TCP y un grupo control negativo. Se crearon defectos de 5 mm en el fémur de cada uno de los modelos y posteriormente se colocó el biomaterial correspondiente de acuerdo a cada uno de los grupos. A las 4 y 8 semanas los modelos fueron sacrificados y se tomaron muestras del sitio del defecto óseo para realizar una tinción de Hematoxilina y Eosina. Histológicamente el grupo de ß-TCP tanto a las 4 como a las 8 semanas mostró neoformación de tejido óseo y tejido cartilaginoso con presencia de infiltrado inflamatorio; el grupo de UBM a las 4 y 8 semanas presentó neoformación de tejido óseo, tejido cartilaginoso y un bajo infiltrado inflamatorio; el grupo control negativo presentó formación de tejido conectivo y en baja proporción neoformación de tejido óseo y cartílago. Ambos biomateriales, UBM y ß-TCP mostraron la capacidad de promover la neoformación de tejido óseo; sin embargo, el biomaterial basado en UBM produjo un tejido mejor organizado y un menor infiltrado inflamatorio en comparación con el ß-TCP.


Assuntos
Animais , Masculino , Coelhos , Bexiga Urinária/fisiologia , Regeneração Óssea/fisiologia , Fosfatos de Cálcio , Matriz Extracelular/fisiologia , Materiais Biocompatíveis , Substitutos Ósseos
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