Sonic Activation of a Desensitizing Gel Prior to In-Office Bleaching.

This double-blind, randomized, and controlled clinical trial evaluated the effect of sonic activation during the application of a desensitizing agent (DA) containing 5% potassium nitrate and 2% sodium fluoride on the occurrence of tooth sensitivity (TS) associated with in-office dental bleaching. Treatment with or without sonic activation of the DA was randomly assigned to one-half of the maxillary teeth of 34 patients in a split-mouth design. On the side without sonic activation (noSA), the DA was applied and maintained in contact with the teeth for 10 minutes. On the sonic activation side (SA), the DA was activated 30 seconds per tooth. The DA application was followed by application of 35% hydrogen peroxide in two bleaching sessions separated by a one-week interval. The primary outcome was the absolute risk of TS, recorded using a numeric rating scale and a visual analog scale. Color was evaluated with a digital spectrophotometer and a value-oriented shade guide. No significant difference between treatments was observed in the absolute risk of TS, which occurred in 93% (p=1.00) of both noSA and SA groups. The TS intensity was higher in the 24-hour interval after sessions, for both treatments, without differences between them. There was no difference in the color change for the treatments, with the average change in number of shade guide units of the Vita Classical scale of 6.35 for both (p=0.87). Sonic activation of DA containing 5% potassium nitrate and 2% sodium fluoride did not reduce the absolute risk and intensity of TS associated with in-office bleaching.

Airborne-particle Abrasion and Dentin Bonding: Systematic Review and Meta-analysis.

CLINICAL RELEVANCE: The literature reviewed suggests that airborne particle abrasion has no negative effects on the bond strength of resin-based materials to dentin and that a positive influence on dentin bond strength was only achieved in specific air-abrasion conditions. SUMMARY: In this systematic review the authors investigated how airborne-particle abrasion (APA) using aluminum oxide affects the bond strength of resin-based materials to dentin. The search was performed in three databases. In vitro studies (Type of study) comparing the bond strength of resin-based materials (Outcome) to air-abraded (Intervention) compared with non-air-abraded (Comparison) human dentin (Population) were included (the PICOT elements are given parenthetically). From 5437 unique articles, 65 were read in full, 33 were included in the qualitative synthesis, and 32 were included in the meta-analysis. Methodologic quality and risk of bias were assessed. Comparisons were performed between air-abraded and control dentin groups by adopting a random-effects model (α=0.05). Additional analyses were carried out for the different parameters used in APA: type of surface treatment in the control group, particle size, air pressure, and APA duration. The bond strength to air-abraded dentin was favored only when the control surface was treated with a hand excavator. For particle size, APA was favored when the particle size was >30 µm and the controls were no treatment or hand excavator or when the particle size was ≤30 µm and the control was bur. In addition, the results favored air-abraded groups only when the pressure was > 5 bar and bur was used in the control group. No significant differences were observed for duration of APA. No comparison on bond strength considering the presence of aging conditions was possible in the included studies due to the low number of studies that aged the specimens. In conclusion, APA had no negative effects on the bond strength of resin-based materials to dentin and was able to improve the dentin bond strength only when the particle size was > 30 µm and air pressure was > 5 bar. PROSPERO registration protocol: CRD42018096128.

Optical Stability of High-translucency Resin-based Composites.

This study investigated the stability of the optical properties of high-translucent shades of dental resin-based composites. Four commercial materials (Filtek Z350 XT, Opallis, Amelogen Plus, and IPS Empress Direct) and 14 non-Vita shades were tested. Disc-shaped specimens for each resin-based composite-shade combination (n=6) were evaluated at T0 (baseline), T1 (after 30 days of storage in water), and T2 (after 30 days of storage each in water and a coffee solution). Color measurements were performed according to the L'C'h' color system. Translucency Parameter (TP) and CIEDE2000 color difference (ΔE00) were calculated. Data were statistically analyzed at α = 0.05. Baseline TP values varied from 43 ± 1 to 55 ± 1. Changes in TP at T1 varied from -3.0% (Opallis T-Neutral) to 4.2% (Amelogen Plus Trans Orange), with no major differences from T0. At T2, most resin-based composites showed significantly increased opacity, with changes varying between -15.0% (Empress Direct Trans 20) and -2.7% (Z350 XT Blue). However, the TP values were ≥40 throughout the study. Storage in water caused negligible color differences, with ΔE00 values at T1 ≤ 0.9 ± 0.6. At T2, all materials tested showed significant color difference, and ΔE00 ≥ 3.2 ± 0.2. The orange shades from Opallis and Amelogen Plus showed lower color variation than did the other shades. The most significant optical changes upon storage were detected in the hue and particularly the chroma color coordinate. In conclusion, the high-translucent resin-based composites showed large variability in the stability of their optical properties among the tested brands and different shades of the same material. Regardless of the storage condition, the tested resin-based composites retained their high-translucency character over time.

Is a calcium hydroxide liner necessary in the treatment of deep caries lesions? A systematic review and meta-analysis.

The aim of this systematic review and meta-analysis was to evaluate whether the use of calcium hydroxide (CH) liner improves the clinical success in the treatment of deep caries lesions of primary and permanent teeth. The review was reported in accordance with the PRISMA Statement. Only studies that evaluated deep carious lesions treated with and without a CH liner were included. The required outcomes had to be obtained by clinical, radiographic or laboratory evaluations. Statistical analyses were performed with the RevMan 5.2 program (The Cochrane Collaboration, Copenhagen, Denmark) for randomized clinical trials with at least 12 months of follow-up, using fixed-effect models at a significance level of P < 0.05. The literature search was performed in eight databases: PubMed (MEDLINE), Lilacs, IBECS, BBO, Web of Science, Scopus, SciELO and The Cochrane Library. A total of 17 studies were included (15 in primary teeth, two in permanent teeth). The overall risk difference for CH versus adhesive system in primary teeth was 0.06 [95% CI -0.01 to 0.13], and the overall risk difference for CH versus GIC was 0.10 [95% CI -0.01 to 0.22], with no significant differences between materials. CH liner did not influence the clinical success of treatment for deep caries lesions of primary or permanent teeth. Although the present analysis demonstrated that use of CH liner in deep caries lesions was unnecessary, the evidence was of moderate to very low quality; thus, further well-designed, randomized and controlled clinical trials are necessary to provide stronger recommendations.

Morphological characterization of insect galls and new records of associated invertebrates in a Cerrado area in Bahia State, Brazil / Caracterização morfológica de galhas de insetos e novos registros de invertebrados associados em uma área de Cerrado do Estado da Bahia, Barreiras, Brasil

Abstract In this study, we report the first records and morphological characterization of galls in a Cerrado area in western Bahia, Brazil. The data were collected monthly over two hours between March and September 2015. Fifteen gall morphotypes were found in twelve plant species distributed among seven families. The plant family with the greatest richness of galls was Fabaceae (n = 8). The following gall morphologies were found: globoid, lenticular, marginal leaf roll, conical, cylindrical, fusiform, spherical and pocket shaped. Cecidomyiidae induced globoid, lenticular, conical, fusiform, spherical and cylindrical morphotypes. In addition, species of microhymenoptera belonging to the Eulophidae, Eurytomidae and Encyrtidae families were found. Marginal leaf roll and pocket-shaped galls induced by Thysanoptera were also verified. Springtails were also identified as a successor. Undescribed species of Schizomyia and Lopesia were recorded in B. cupulata and Andira humilis, respectively.

Resumo Nesse trabalho são apresentadas informações sobre a ocorrência e a caracterização morfológica de galhas induzidas por insetos em uma área de Cerrado do Oeste da Bahia, Brasil. Os materiais foram coletados mensalmente durante duas horas entre Março e Setembro de 2015. Foram encontrados quinze morfotipos de galhas em doze espécies vegetais, distribuídas em sete famílias. A família de planta com maior riqueza de galhas foi Fabaceae (n = 8). Com relação à morfologia externa, foram encontradas galhas com forma globoide, lenticular, enrolamento marginal, cônica, cilíndrica, fusiforme, esférica e bolso. Quanto à fauna associada às galhas, os morfotipos globoide, cônico, lenticular, fusiforme, esférico e cilíndrico foram induzidos por Cecidomyiidae. Além disso, espécies de microhimenópteros pertencentes às famílias Eulophidae, Eurytomidae e Encyrtidae foram encontrados. A indução de galhas por Thysanoptera, nos morfotipos enrolamento marginal e formato de bolso, também foi detectada. Espécies de colembôlos foram identificadas como sucessoras. Espécies não descritas de Schizomyia e Lopesia foram registradas em Bauhinia cupulata e Andira humilis, respectivamente.

Morphological characterization of insect galls and new records of associated invertebrates in a Cerrado area in Bahia State, Brazil.

In this study, we report the first records and morphological characterization of galls in a Cerrado area in western Bahia, Brazil. The data were collected monthly over two hours between March and September 2015. Fifteen gall morphotypes were found in twelve plant species distributed among seven families. The plant family with the greatest richness of galls was Fabaceae (n = 8). The following gall morphologies were found: globoid, lenticular, marginal leaf roll, conical, cylindrical, fusiform, spherical and pocket shaped. Cecidomyiidae induced globoid, lenticular, conical, fusiform, spherical and cylindrical morphotypes. In addition, species of microhymenoptera belonging to the Eulophidae, Eurytomidae and Encyrtidae families were found. Marginal leaf roll and pocket-shaped galls induced by Thysanoptera were also verified. Springtails were also identified as a successor. Undescribed species of Schizomyia and Lopesia were recorded in B. cupulata and Andira humilis, respectively.