Effect of 0.12% chlorhexidine in reducing microorganisms found in aerosol used for dental prophylaxis of patients submitted to fixed orthodontic treatment.

OBJECTIVE: This study aimed at assessing, in vivo, whether the prior use of 0.12% chlorhexidine as mouthwash would decrease air contamination caused by aerosolized sodium bicarbonate during dental prophylaxis. The study was conducted with 23 patients aged between 10 and 40 years old who were randomly selected and undergoing fixed orthodontic treatment. METHODS: The study was divided into two phases (T1 and T2) with a 30-day interval in between. In both phases, dental prophylaxis was performed with aerosolized sodium bicarbonate jetted to the upper and lower arches for 4 minutes. In T1, 10 minutes before the prophylaxis procedure, the participants used distilled water as mouthwash for one minute; whereas in T2, mouthwash was performed with 0.12% chlorhexidine. Microbial samples were collected in BHI agar plates for microbiological analysis. Two dishes were positioned on the clinician (10 cm from the mouth) and a third one at 15 cm from the patient's mouth. The samples were incubated for 48 hours at 37°C. Results were expressed in colony-forming units (CFU). RESULTS: Statistical analysis carried out by means of Student's t test, as well as Wilcoxon and Kruskal-Wallis tests revealed that the prior use of 0.12% chlorhexidine as mouthwash significantly reduced CFU in the three positions studied (P < 0.001). CONCLUSION: The prior use of 0.12% chlorhexidine as mouthwash significantly reduced contamination caused by aerosolized sodium bicarbonate during dental prophylaxis in the orthodontic clinic.

Effect of 0.12% chlorhexidine in reducing microorganisms found in aerosol used for dental prophylaxis of patients submitted to fixed orthodontic treatment

OBJECTIVE: This study aimed at assessing, in vivo, whether the prior use of 0.12% chlorhexidine as mouthwash would decrease air contamination caused by aerosolized sodium bicarbonate during dental prophylaxis. The study was conducted with 23 patients aged between 10 and 40 years old who were randomly selected and undergoing fixed orthodontic treatment. METHODS: The study was divided into two phases (T1 and T2) with a 30-day interval in between. In both phases, dental prophylaxis was performed with aerosolized sodium bicarbonate jetted to the upper and lower arches for 4 minutes. In T1, 10 minutes before the prophylaxis procedure, the participants used distilled water as mouthwash for one minute; whereas in T2, mouthwash was performed with 0.12% chlorhexidine. Microbial samples were collected in BHI agar plates for microbiological analysis. Two dishes were positioned on the clinician (10 cm from the mouth) and a third one at 15 cm from the patient's mouth. The samples were incubated for 48 hours at 37°C. Results were expressed in colony-forming units (CFU). RESULTS: Statistical analysis carried out by means of Student's t test, as well as Wilconxon and Kruskal-Wallis tests revealed that the prior use of 0.12% chlorhexidine as mouthwash significantly reduced CFU in the three positions studied (P < 0.001). CONCLUSION: The prior use of 0.12% chlorhexidine as mouthwash significantly reduced contamination caused by aerosolized sodium bicarbonate during dental prophylaxis in the orthodontic clinic. .

OBJETIVO: avaliar, in vivo, se a utilização prévia do bochecho com clorexidina a 0,12% diminui a contaminação do ar gerada pelo jato de bicarbonato de sódio durante a profilaxia dentária. O estudo foi realizado com 23 pacientes, na faixa etária entre 10 e 40 anos, escolhidos aleatoriamente, que faziam uso de aparelho ortodôntico fixo. MÉTODOS: o estudo foi dividido em duas fases (T1 e T2), com intervalo de 30 dias entre elas. Em ambas, foi realizada profilaxia dentária com jato de bicarbonato de sódio na arcada superior e inferior, durante quatro minutos. Em T1, 10 minutos antes do procedimento, os participantes realizaram bochecho com água destilada durante um minuto, e, em T2, o bochecho foi realizado com clorexidina a 0,12%. Amostras dos microrganismos foram coletadas em placas de ágar BHI para análise microbiológica, sendo duas placas posicionadas no profissional (a 10cm da boca) e uma terceira a 15cm da boca do paciente. Após a coleta, as placas foram incubadas por 48 horas a 37°C. O resultado foi expresso em número de unidades formadoras de colônias (UFC). RESULTADOS: após análise estatística utilizando teste t de Student, teste de Wilconxon e teste de Kruskal-Wallis, observou-se que o bochecho prévio com clorexidina a 0,12% reduziu significativamente a média de UFC nas três posições estudadas (p < 0,001). CONCLUSÃO: os resultados permitem concluir que o bochecho prévio com clorexidina a 0,12% proporcionou uma redução estatisticamente significativa na contaminação gerada por meio do jato de bicarbonato de sódio durante a profilaxia dentária na clínica ortodôntica. .

Examination of Tanaka & Johnston?s prediction regarding mesiodistal measurements of unerupted canines and premolars / Averiguação da predição de Tanaka & Johnston em relação ás medidas mesiodistais de caninos e pré- molares não irrompidos

Objective: To evaluate the method proposed by Tanaka & Johnston with the prediction of the mesiodistal diameter of unerupted canines and premolars in the Brazilian population, in the Department of Dentistry at the Federal University of Sergipe in Aracaju. Methods: The maxillary and mandibular mesiodistal diameters of the permanent incisors, canines and premolars were measured directly in the oral cavity with the help of a compass and then calibrated using a digital electronic caliper on a sample of 40 individuals, 20 females (10 white race and 10 black race) and 20 males (10 white race and 10 black race) aged between 14 and 23. The results obtained with the application of the Tanaka & Johnston formulae were compared with the actual values through statistical tests.Results: There was a greater variation between the actual and predicted values using the method of Tanaka & Johnston in females. The maxilla and black race also had a greater variation, but this variation was considered statistically insignificant. Conclusion: Although the Tanaka & Johnston study had been conducted on a sample of European descendants, when used on the Brazilian population described, the method was effective for gender, race and age, giving us a level of reliability in the research study of 69.1%.

Objetivo: Avaliar o método preconizado por Tanaka & Johnston com a predição do diâmetro mésiodistal de caninos e pré-molares não-irrompidos na população brasileira no Departamento de Odontologia da Universidade Federal de Sergipe em Aracaju, Sergipe. Métodos: Foram medidos os diâmetros mésiodistais dos incisivos, caninos e pré-molares superiores e inferiores permanentes diretamente na cavidade bucal com o auxílio de um compasso, e em seguida aferido por um paquímetro digital eletrônico numa amostra de 40 indivíduos, 20 do gênero feminino (10 brancos e 10 negros) e 20 masculinos (10 brancos e 10 negros) compreendidos entre 14 e 23 anos de idade. Através de testes estatísticos, foram comparados os resultados reais com os previstos pelo método de Tanaka & Johnston.Resultados: Houve uma maior variação entre os valores reais e previstos pelo método de Tanaka & Johnston no gênero feminino. O arco superior e a raça negra obtiveram também uma maior variação, porém foi considerada estatisticamente insignificante. Conclusão: Apesar de a pesquisa de Tanaka & Johnston ter sido realizado numa amostra de descendentes europeus, ao ser estudado o método na população brasileira descrita, o método foi eficiente para gênero, etnia e faixa etária, nos dando um nível de confiabilidade na pesquisa de 69,1%.