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1.
Braz Oral Res ; 35: e084, 2021.
Artigo em Inglês | MEDLINE | ID: mdl-34431849

RESUMO

The objective of this work was to evaluate the relationship between factors associated with the COVID-19 pandemic and depression, anxiety, and stress (DAS) in dentists. Factors associated with the COVID-19 pandemic were evaluated using a questionnaire and scores of the Depression, Anxiety, and Stress Scales-21 were measured. The differences between the DAS scores based on the factors associated with the COVID-19 pandemic were tested through the successive application of multivariate analysis of variance (MANOVA, α = 0.05). After a sample size calculation, 998 participants with a mean age of 39.39 (± 11.69) years were included. The effect size indicated that changes in sleep quality (η2 = 0.161), eating habits (η2 = 0.057), and physical health (η2 = 0.051) were the ones that most negatively affected DAS scores. The highest DAS scores were observed in professionals who lived with someone at high-risk for COVID-19 (p < 0.001) and in those who did not engage in leisure activities during the pandemic (p < 0.001). Dentists who worked on the frontline against COVID-19 had higher scores of anxiety and stress (p = 0.029). The highest scores for anxiety, depression, and/or stress were seen in dentists living with someone at high-risk for COVID-19, who acts on the frontline, who does not practice in leisure activities during the pandemic, who completely changed eating habits, quality of sleep and physical health during the pandemic. In general, DAS levels of dentists were associated with factors related to the COVID-19 pandemic.


Assuntos
COVID-19 , Pandemias , Adulto , Ansiedade/epidemiologia , Odontólogos , Depressão/epidemiologia , Humanos , Pessoa de Meia-Idade , SARS-CoV-2
2.
J Evid Based Dent Pract ; 21(2): 101542, 2021 Jun.
Artigo em Inglês | MEDLINE | ID: mdl-34391554

RESUMO

OBJECTIVE: Reporting of randomized controlled trials (RCTs) in dentistry remains suboptimal. Considering the positive impact of the Consolidated Standards of Reporting Trials (CONSORT) guidelines on the quality of evidence in RCTs, the main objective of this systematic review was to determine whether RCTs on dental caries prevention conform to these guidelines. The secondary objective was to assess the association between CONSORT adherence and the year and impact factor of the journal in which the study was published. METHODS: A systematic search was conducted in different databases using appropriate terms to retrieve RCTs that assessed the caries-preventive effect of at least 2 of the following materials-fluoride varnish, resin-based fissure sealants, and ionomer-based fissure sealants-on the occlusal surfaces of permanent molars. Since the first CONSORT statement was published in 1996, a time frame from 1997 to 2020 was established for the identification of studies. Selected articles were assessed according to their adherence to the CONSORT statement, risk of bias (Cochrane risk of bias tool, RoB 2.0), and journal impact factor based on the InCites Journal Citation Reports. The year of publication and other relevant data were also recorded. SPSS (SPSS Statistics 25.0, IBM©) was used to perform the linear correlation analyses to determine the relationship between the article CONSORT score (previously determined) and the year of publication and journal impact factor. A significance level of 5% was established for all analyses. RESULTS: Of 3196 references retrieved, 30 articles were selected and evaluated. Using RoB 2.0, 8 studies were classified as having a high risk of bias, 16 as having some concerns about the risk of bias assessment, and 6 as having a low risk of bias. Concerning CONSORT adherence, 77% of the studies adequately reported the intervention domain, since the methodology for the application of fluoride varnish or sealant materials was thoroughly described. However, the participants' setting and location, random sequence generation, randomization, and the flowchart description of the losses/exclusions domains were poorly reported. Meanwhile, the allocation concealment process was not reported in 83% of the articles. Correlation analyses indicated a positive relationship between CONSORT adherence and the year of publication, as well as the journal impact factor. CONCLUSION: When assessing clinical trials on the prevention of occlusal caries, most RCTs examined followed the CONSORT statement. However, some methodological domains remain poorly reported, demonstrating the need to improve CONSORT compliance in these RCTs.


Assuntos
Cárie Dentária , Selantes de Fossas e Fissuras , Cárie Dentária/prevenção & controle , Fluoretos , Humanos , Dente Molar , Ensaios Clínicos Controlados Aleatórios como Assunto
3.
Clin Oral Investig ; 2021 Aug 05.
Artigo em Inglês | MEDLINE | ID: mdl-34351504

RESUMO

OBJECTIVES: This study evaluated the effect of photobiomodulation (PBM) combined with 8% strontium acetate (SA8%) in the treatment of dentin hypersensitivity (DH) in non-carious lesions and analyzed the risk factors with the patient's quality of life. METHODS: Eighty teeth with DH were randomly allocated into four treatment groups (n = 20): G1, PBM imitation + toothpaste with no active ingredient; G2, PBM imitation + toothpaste with SA8%; G3, PBM + toothpaste without the active ingredient; and G4, PBM + toothpaste with SA8%. Participants were provided with a questionnaire on the experience of dentin hypersensitivity (QEDH) to assess the impact of desensitizing treatment on health-related quality of life (HRQL). Friedman and Kruskal-Wallis tests were used for intra- and intergroup comparisons, and Wilcoxon and Mann-Whitney tests were used to analyze HRQL. All analyses used significance levels of 5%. RESULTS: Intergroup comparisons revealed a significant difference (p < 0.05); G4 had the best response in terms of HD reduction in G4 compared to the other groups on the 7th day of assessment (T3). Only G4 showed a statistically significant difference (p < 0.05) in the reduction of EDH for intragroup analysis. CONCLUSION: The combination of therapies was more effective in reducing DH than the isolated use of these strategies. CLINICAL RELEVANCE: The combination of therapies is effective in the treatment of DH.

4.
PLoS One ; 16(4): e0250501, 2021.
Artigo em Inglês | MEDLINE | ID: mdl-33909659

RESUMO

OBJECTIVE: This split-mouth randomized controlled clinical trial assessed the effect of 10% strontium chloride in combination with photobiomodulation (PBM) for the control of tooth sensitivity (TS) post-bleaching. METHODS: The upper/lower, right and left quadrants of fifty volunteers were randomized and allocated to four groups (n = 25): PLACEBO-placebo gel + simulation of PBM; Placebo + PBM; STRONTIUM-10% strontium chloride + simulation of PBM; and PBM + STRONTIUM-10% strontium chloride + PBM. All groups received tooth bleaching treatment with 35% hydrogen peroxide. For the PBM treatment, the laser tip was positioned in the apical and cervical regions of the teeth bleached in the respective hemi-arch. The laser system was operated in continuous mode, using 1.7 J of energy. A dose of 60 J/cm2 was applied to each point for 16 seconds under 808 nm near-infrared light (100mW of power), with a point area of 0.028 cm2. TS was assessed during a 21-day follow-up, using the modified visual analogue scale. RESULTS: In the intragroup assessment, the Friedman test indicated that PBM + STRONTIUM promoted the greatest reduction in TS after the second week of treatment (p ≤ 0.05). The Wilcoxon-Mann-Whitney test indicated that the groups Placebo + PBM, STRONTIUM, and STRONTIUM + PBM did not differ statistically (p ≥ 0.05) in the first and third weeks of treatment The group PLACEBO exhibited the greatest TS in the first three days after each bleaching session. CONCLUSION: The combination of 10% strontium chloride with PBM was effective in reducing post-bleaching TS; however, the combination of 10% strontium chloride with PBM was effective in reducing post-bleaching TS; however, it did not differ from the individual use of Placebo + PBM or STRONTIUM groups assessed after 21 days of follow-up.


Assuntos
Sensibilidade da Dentina/tratamento farmacológico , Terapia com Luz de Baixa Intensidade , Dor/tratamento farmacológico , Estrôncio/administração & dosagem , Adulto , Brasil/epidemiologia , Dentina/efeitos dos fármacos , Sensibilidade da Dentina/patologia , Feminino , Humanos , Lasers , Masculino , Dor/patologia , Placebos , Dente/efeitos dos fármacos , Dente/patologia , Clareamento Dental/normas , Adulto Jovem
5.
J. health sci. (Londrina) ; 23(1): https://revista.pgsskroton.com/index.php/JHealthSci/article/view/7935, 20210330.
Artigo em Inglês | LILACS-Express | LILACS | ID: biblio-1179423

RESUMO

The teeth weakening due to the preparation of class II mesio-occluso-distal cavities is a challenge for the clinician. The objective of this study was to evaluate the molars fracture resistance with class II mesio-occluso distal cavities restored with different restorative techniques and materials. Forty extracted molars were divided into 5 groups: Group 1 ­ intact healthy teeth (positive control); Group 2 ­ unrestored teeth with mesio-occluso distal class II cavities (negative control); Groups 3 to 5 ­ restored teeth with standardized dimensions. In groups 3 to 5, the cavities were restored with flow resin only, flow resin coated with a nano-hybrid resin, and nano-hybrid resin only, respectively. All specimens were tested for resistance to fracture using an axial compressive load, a metallic sphere measuring 8 mm in diameter on a universal testing machine EMIC DL-2000. A 10 kN load cell operated at a speed of 5 mm/min until the tooth fracture. Data were subjected to analysis of variance and Tukey's tests (α = 0.05). Group 3 showed higher fracture strength (2243.1 ± 473.7N) when compared to groups 2, 4 and 5. This difference was statistically significant (p<0.05). The fracture strength of teeth restored with flow mesio occluso-distal restorations was similar to that of intact natural teeth. (AU)


O enfraquecimento dos dentes devido às preparações de cavidades mesio-ocluso-distal é um desafio para o clínico. O objetivo deste estudo foi avaliar a resistência à fratura de molares com cavidades mesio-ocluso-distais classe II restauradas com diferentes técnicas e materiais restauradores. Quarenta molares extraídos foram divididos em 5 grupos: Grupo 1 ­ dentes saudáveis intactos (controle positivo); Grupo 2 ­ dentes não restaurados com cavidades mesio-occluso-distais classe II (controle negativo); Grupos 3 a 5 ­ dentes restaurados com dimensões padronizadas. Nos grupos 3 a 5, as cavidades foram restauradas apenas com resina flow, resina flow recoberta com uma resina nanohíbrida e somente resina nano-híbrida, respectivamente. Todas as amostras foram testadas quanto à resistência à fratura usando uma carga compressiva axial, usando uma esfera metálica medindo 8 mm de diâmetro em uma máquina de teste universal EMIC DL-2000. Uma célula de carga de 10 kN operava a uma velocidade de 5 mm/min até a fratura do dente. Os dados foram submetidos à análise de variância e testes de Tukey (α = 0,05). O grupo 3 apresentou maior resistência à fratura (2243,1 ± 473,7N) quando comparado aos grupos 2, 4 e 5. Essa diferença foi estatisticamente significante (p <0,05). A resistência à fratura dos dentes restaurados com resina flow foi semelhante à dos dentes naturais intactos. (AU)

6.
Braz. oral res. (Online) ; 35: e084, 2021. tab
Artigo em Inglês | LILACS, BBO - Odontologia | ID: biblio-1285728

RESUMO

Abstract The objective of this work was to evaluate the relationship between factors associated with the COVID-19 pandemic and depression, anxiety, and stress (DAS) in dentists. Factors associated with the COVID-19 pandemic were evaluated using a questionnaire and scores of the Depression, Anxiety, and Stress Scales-21 were measured. The differences between the DAS scores based on the factors associated with the COVID-19 pandemic were tested through the successive application of multivariate analysis of variance (MANOVA, α = 0.05). After a sample size calculation, 998 participants with a mean age of 39.39 (± 11.69) years were included. The effect size indicated that changes in sleep quality (η2 = 0.161), eating habits (η2 = 0.057), and physical health (η2 = 0.051) were the ones that most negatively affected DAS scores. The highest DAS scores were observed in professionals who lived with someone at high-risk for COVID-19 (p < 0.001) and in those who did not engage in leisure activities during the pandemic (p < 0.001). Dentists who worked on the frontline against COVID-19 had higher scores of anxiety and stress (p = 0.029). The highest scores for anxiety, depression, and/or stress were seen in dentists living with someone at high-risk for COVID-19, who acts on the frontline, who does not practice in leisure activities during the pandemic, who completely changed eating habits, quality of sleep and physical health during the pandemic. In general, DAS levels of dentists were associated with factors related to the COVID-19 pandemic.


Assuntos
Humanos , Adulto , Pandemias , COVID-19 , Ansiedade/epidemiologia , Odontólogos , Depressão/epidemiologia , SARS-CoV-2 , Pessoa de Meia-Idade
7.
J Dent ; 103: 103498, 2020 12.
Artigo em Inglês | MEDLINE | ID: mdl-33069772

RESUMO

OBJECTIVE: To investigate the effectiveness of desensitizing agents (DA) on dentin hypersensitivity (DH) after non-surgical periodontal treatment (NSPT) through a systematic review and meta-analysis. DATA: The PICO strategy was used to include randomized clinical trials in human subjects with DH (P) after NSPT treated with DA (I) compared to those treated with placebo or control (C) to identify DH relief (O). The Cochrane guidelines and GRADE was used to classify the risk of bias and the quality of the evidence, respectively. SOURCES: PubMed, Web of Science, Scopus, Lilacs, Cochrane Library databases, and OpenGrey were searched on the 20th of May 2020. STUDY SELECTION: Nine studies were included in the quantitative synthesis. Five meta-analyses were performed. Three meta-analyzes assessed the effectiveness of DA compared to a placebo or control in relation to pain assessment stimuli and two meta-analyzes assessed the mechanism of action of DA. For the mechanical stimulus in overall analysis, the control group presented a higher mean of pain reduction (SMD 1.03 [0.73, 1.32], p < 0.001) with very low certainty of evidence. For water (SMD -0.78 [-1.22, -0.35], p = 0.0009) and evaporative in overall analysis (SMD -1.21 [-1.79, -0.64], p < 0.001) stimuli, the DA decreased DH pain with very low and low certainty of evidence, respectively. CONCLUSION: Due to the limited quality of evidence, there is no definitive conclusion on the effectiveness of DA on DH after NSPT. Thus, further clinical studies with a low risk of bias and high-quality evidence are encouraged to reinforce the certainty of evidence on that issue. CLINICAL SIGNIFICANCE: The use of desensitizing agents show promise for relief of dentin hypersensitivity after non-surgical periodontal therapy.


Assuntos
Dessensibilizantes Dentinários , Sensibilidade da Dentina , Dessensibilizantes Dentinários/uso terapêutico , Sensibilidade da Dentina/tratamento farmacológico , Humanos , Medição da Dor
8.
J Dent ; 98: 103351, 2020 07.
Artigo em Inglês | MEDLINE | ID: mdl-32380136

RESUMO

OBJECTIVE: To evaluate the accuracy of the near-infrared light transillumination (NILT) for the detection of interproximal dental caries in permanent dentition when compared to bitewing X-ray (BW). DATA: In vivo studies that detected interproximal primary caries in permanent teeth by using NILT and BW were selected. QUADAS-2 was used to assess the risk of bias. Pooled sensitivity and specificity forest plots were calculated, summary receiver operator characteristics (SROC) curves were constructed. The certainty of the evidence was rated using the GRADE system. SOURCES: Pubmed, Cochrane Library, Web of Science, Scopus, Lilacs/BBO and grey literature databases were surveyed. STUDY SELECTION: From 1594 retrieved articles, 13 studies were included. Six studies had a low risk of bias and a low level of concern regarding applicability. Four studies had an unclear risk of bias, while three presented a high risk of bias. The meta-analysis of six studies demonstrated that NILT presented good overall accuracy. Of 6110 teeth, 92.3 % (5639) were accurately classified (776 as true positive and 4863 as true negative). The pooled sensitivity was 0.97 (0.96 to 0.98; p = 0.0000; I2 = 93.2 %) with moderate certainty of evidence, and the pooled specificity was 0.91 (0.91 to 0.92; p = 0.0000; I2 = 98.3 %) with high certainty of evidence. Symmetric (0.9837) and asymmetric (0.9836) SROC showed a high discrimination and determination effect of NILT. CONCLUSION: The current literature, with moderate certainty and a middling quality of evidence, demonstrates that NILT presents a reasonably comparable accuracy to that of BW for detecting interproximal carious lesions in the permanent dentition. CLINICAL SIGNIFICANCE: Since NILT presented good overall accuracy for the detection of interproximal primary caries, it could be routinely used in dental check-ups, especially in high-risk caries populations and in patients where the use of radiation should be reduced, like pregnant women or children.


Assuntos
Cárie Dentária , Dentição Permanente , Transiluminação , Criança , Cárie Dentária/diagnóstico por imagem , Feminino , Humanos , Gravidez , Radiografia Interproximal , Dente Decíduo
9.
Arch Oral Biol ; 110: 104619, 2020 Feb.
Artigo em Inglês | MEDLINE | ID: mdl-31805483

RESUMO

OBJECTIVE: The aim of this study was to evaluate the morphological and chemical effect of in-office and at-home desensitising agents containing sodium fluoride (NaF) on eroded root dentine in vitro. METHODS: Fifty bovine dentine samples were pre-eroded and randomised into five groups (n = 10): G1 (Control) - milli-Q water; G2 - fluoride varnish containing NaF 22,500 ppm; G3 - desensitising cream containing NaF 9,000 ppm associated with 20% nanohydroxyapatite; G4 - toothpaste with NaF 5,000 ppm associated to tricalcium phosphate; G5 - toothpaste containing NaF 900 ppm and casein phosphopeptide-amorphous calcium phosphate fluoride (CPP-ACPF). The specimens were submitted to erosive challenge for three days. The analyses were performed using non-contact profilometry for volumetric (Sa) and linear roughness (Ra) followed by scanning electron microscopy (SEM) and Energy Dispersive X-ray Spectrometry (EDS). The data were analysed by Kruskal-Wallis and Wilcoxon tests (α = 0.05). RESULTS: There was a significant reduction of Ra and Sa for the eroded samples from the G2 and G5 (p < 0.05) after an erosive challenge. The dentine surface topography pattern showed partially or totally occluded dentinal tubules after treatments, except in the control group. The control, G4 and G3 groups showed a reduction in the dentine inorganic content percentage of Ca (Calcium) and P (Phosphorus) minerals. CONCLUSION: The fluoride varnish and CPP-ACPF toothpaste were able to prevent morphological changes and were the only materials that showed the Ca and P content increased after treatment. These materials may be promising alternatives in the clinical control of dentin erosion.


Assuntos
Dentina , Fluoreto de Sódio , Erosão Dentária , Raiz Dentária , Animais , Bovinos , Dentina/efeitos dos fármacos , Fluoretos , Fluoreto de Sódio/farmacologia , Erosão Dentária/tratamento farmacológico , Raiz Dentária/efeitos dos fármacos , Cremes Dentais
10.
Braz. j. oral sci ; 19: e208204, jan.-dez. 2020. ilus
Artigo em Inglês | LILACS, BBO - Odontologia | ID: biblio-1177180

RESUMO

Aim: The purpose of this study was to compare the microhardness, diametral tensile strength, compressive strength and the rheological properties of self-adhesive versus conventional resin cements. Methods: Specimens of a conventional (RelyX ARC) and 3 self-adhesive (RelyX U200, Maxcem Elite, Bifix SE) types of resin cements were prepared. The Knoop test was used to assess the microhardness, using a Microhardness Tester FM 700. For the diametral tensile strength test, a tensile strength was applied at a speed of 0.6 mm/minute. A universal testing machine was used for the analysis of compressive strength and a thermo-controlled oscillating rheometer was used for the Rheology test. One-way ANOVA and Tukey's test (α=0.05) were used for data analysis. Results:According to microhardness analysis, all the cements were statistically similar (p>0.05), except for Maxcem that presented lower hardness compared with the other cements in relation to the top surface (p<0.05). In the diametral tensile strength test, Relyx U200 and RelyX ARC cements were statistically similar (p>0.05), presented higher value when compared to the Maxcem and Bifix cements (p<0.05). The compressive strength of RelyX ARC and Maxcem Elite cements was statistically higher than RelyX U200 and Bifix cements (p<0.05). Regarding the rheology test, Maxcem Elite and RelyX ARC cements showed a high modulus of elasticity. Conclusions: The self-adhesive cements presented poorer mechanical properties than conventional resin cement. Chemical structure and types of monomers employed interfere directly in the mechanical properties of resin cements


Assuntos
Cimentação , Cimentos de Resina , Materiais Dentários , Resistência à Flexão , Longevidade
11.
PLoS One ; 14(12): e0225501, 2019.
Artigo em Inglês | MEDLINE | ID: mdl-31790452

RESUMO

OBJECTIVE: This randomized controlled clinical trial aimed to evaluate the effect of the casein phosphopeptide-amorphous calcium phosphate fluoride (CPP-ACPF) and photobiomodulation (PBM) in the treatment of dentin hypersensitivity (DH), and the impact of this on the health-related quality of life (HRQL). METHODS: Eighty teeth with DH were randomized into four groups and received three treatment sessions: PLACEBO = placebo + LASER application mimicking; CPP-ACPF = CPP-ACPF + LASER application mimicking; PBM = placebo + LASER active application; CPP-ACPF+PBM = CPP-ACPF + LASER active application. Tactile (exploratory probe) and evaporative (triple syringe) stimuli were used to measure DH and were recorded with the aid of a visual analogue scale (VAS) after the 1st, 2nd and 3rd treatment sessions and one-month follow-up. The HRQL was recorded in the DH experience questionnaire (DHEQ). RESULTS: The intragroup comparison showed a significant reduction in DH (p < 0.05) with both stimuli after one-month follow-up. The intergroup comparison with the evaporative stimulus showed that CPP-ACPF+PBM significantly reduced DH when compared to the rest of treatments, after one-month follow-up. CPP-ACPF+PBM group statistically differed from the other treatment groups in the DHEQ evaluation after one-month follow-up. CONCLUSION: After one-month follow-up, the association of CPP-ACPF with PBM was effective in the reduction of DH and promoted a positive impact on the HRQL of the participants of this study.


Assuntos
Cariostáticos/administração & dosagem , Caseínas/administração & dosagem , Sensibilidade da Dentina/terapia , Fluoretos Tópicos/administração & dosagem , Terapia com Luz de Baixa Intensidade/métodos , Adolescente , Adulto , Terapia Combinada/métodos , Sensibilidade da Dentina/complicações , Sensibilidade da Dentina/diagnóstico , Combinação de Medicamentos , Feminino , Seguimentos , Humanos , Masculino , Pessoa de Meia-Idade , Medição da Dor , Placebos/administração & dosagem , Qualidade de Vida , Resultado do Tratamento , Adulto Jovem
12.
J Conserv Dent ; 21(4): 433-437, 2018.
Artigo em Inglês | MEDLINE | ID: mdl-30122827

RESUMO

Context: Remineralizing agents have been recommended to restore the integrity of bleached enamel. Aims: The aim of this study was to evaluate the effect of fluoride at high concentration (5000 ppm) applied to bleached enamel. Materials and Methods: A total of 30 specimens obtained from newly extracted third molars were divided into two groups (n = 15) as follows: control group and fluoride group. Specimens of both groups received bleaching treatment with 35% hydrogen peroxide, were then submitted to the Vickers hardness number/colorimetric test (VHN/CT) (n = 5) and Ra (n = 10) tests, and stored in artificial saliva. After bleaching, fluoride group received the application of a fluoride-based dentifrice, during 5 min. VHN, RS, and CT analysis of both groups were performed before and after treatments. For VHN, five indentations per specimen were performed, using a microdurometer. Ra analysis was performed with a rugosimeter. The color was analyzed through the CIE L* a* b* system, respectively, using a colorimeter. Statistical Analysis: For intergroup statistical analysis, ANOVA with Tukey's posttest was used. All tests were calculated at a significance level of 5%. Results: There was statistically significant difference (P < 0.01) between the analyzed groups, on VHN, Ra, and CT evaluations. Conclusions: The use of fluoride-based dentifrice at 5000 ppm was effective in minimizing the deleterious effects on bleached enamel.

13.
J Esthet Restor Dent ; 30(4): 352-359, 2018 07.
Artigo em Inglês | MEDLINE | ID: mdl-30079637

RESUMO

OBJECTIVE: The aim of this double-blind, randomized, controlled clinical study was to assess the efficacy of low-level laser therapy (LLLT) combined with 5000 ppm fluoride dentifrice on postbleaching sensitivity in teeth exposed to 35% hydrogen peroxide for four weeks. MATERIALS AND METHODS: Twenty-five volunteers were evaluated using the split-mouth model in which the right and left maxillary/mandibular quadrants were randomized and allocated to one of two groups: GPLACEBO, in which the laser tip was positioned without the emission of light (placebo effect) + 5000 ppm sodium fluoride, or GLASER, which comprised LLLT + 5000 ppm sodium fluoride. For both groups, LLLT and placebo were used before bleaching, whereas fluoride was applied after bleaching. LLLT was applied at two points: on the central cervical and medial regions of the incisors, canines, and premolars in the corresponding hemi-arch. At each point, 60 J/cm2 was applied for 16 seconds with an irradiance of 3.75 W/cm2 using the therapeutic infrared device. To assess tooth sensitivity, a modified visual analogue scale was used after an evaporative stimulus, and a daily pain questionnaire was also applied. RESULTS: The Wilcoxon and Friedman tests demonstrated a significant difference in the incidence of sensitivity pain between GPLACEBO and GLASER (P ≤ .05), with different evaluation times. CONCLUSION: Teeth treated with laser therapy in combination with the topical use of sodium fluoride at each bleaching session demonstrated less sensitivity compared with the application of sodium fluoride only. CLINICAL SIGNIFICANCE: The use of a low-level laser therapy in combination with topical use of sodium fluoride improves symptoms of dentin sensitivity at each bleaching session.


Assuntos
Dentifrícios , Sensibilidade da Dentina , Terapia com Luz de Baixa Intensidade , Clareamento Dental , Método Duplo-Cego , Fluoretos , Humanos , Clareamento Dental/efeitos adversos , Resultado do Tratamento
14.
Rev. Cient. CRO-RJ (Online) ; 3(2): 37-41, May-Aug. 2018.
Artigo em Inglês | LILACS, BBO - Odontologia | ID: biblio-1021861

RESUMO

Objective: This work aims to report a clinical case that performed the aesthetic rehabilitation of a patient through the integration of different dental specialties (Orthodontics, Periodontics and Dentistry). Case Report: An 18-year-old female patient received compensatory orthodontic treatment for correction of class II malocclusion, overbite and overjet, and interproximal diastema. After orthodontictreatment, a gingivoplasty was performed to remove excess gingival tissue and increase the crown of the teeth, and a frenectomy for the anomalous labial frenulum removal. After periodontal treatment the in-office bleaching was conducted, and the diastema was closed with microhybrid composite resins. Conclusion: It was concluded that multiprofessional planning made possible the aesthetic / functional rehabilitation of the patient.


Objetivo: Este trabalho visa relatar um caso clínico que realizou a reabilitação estética de um paciente por meio da integração de diferentes especialidades odontológicas (Ortodontia, Periodontia e Dentística). Relato do Caso: Paciente do sexo feminino, com 18 anos, recebeu tratamento ortodôntico compensatório para correção de má-oclusão classe II, overbite e overjet acentuados, e diastemas interproximais. Após tratamento ortodôntico, foi realizada uma gengivoplastia para a remoção do excesso de tecido gengival e aumento da coroa dos dentes, e uma frenectomia para a remoção do freio labial anômalo. Após o tratamento periodontal, foi realizado um clareamento dentário de consultório, e o fechamento dos diastemas anterosuperiores e o recontorno da cosméticados dentes com resinas compostas microhíbridas. Conclusão: Concluiu-se que o planejamento integrado multiprofissional possibilitou o êxito da reabilitação estética/funcional do paciente.


Assuntos
Reabilitação Bucal , Ortodontia , Ortodontia Corretiva , Má Oclusão
15.
Open Dent J ; 11: 476-484, 2017.
Artigo em Inglês | MEDLINE | ID: mdl-28979576

RESUMO

BACKGROUND: Dental whitening has been increasingly sought out to improve dental aesthetics, but may cause chemical and morphological changes in dental enamel surfaces. OBJECTIVE: This study evaluated in vitro the effect of 10% strontium chloride and 5% potassium nitrate with fluoride on bovine enamel, through tristimulus colorimetry, Knoop microhardness (KHN), and roughness after bleaching with 35% hydrogen peroxide (HP). METHODS: The specimens were divided into three groups (n=15): GControl received bleaching treatment with 35% HP; GNitrate received bleaching with 35% HP followed by the application of 5% potassium nitrate with 2% sodium fluoride; and GStrontium received bleaching with 35% HP followed by the application of 10% strontium chloride on the enamel. Next, five specimens of each experimental group were subjected to KHN and tristimulus colorimetry tests, and 10 specimens were subjected to surface roughness (SR) tests. The values obtained for the different groups were compared through analysis of variance (ANOVA) followed by a post-hoc Tukey-Kramer test in addition to Student's T-test for paired data. RESULTS: In the intergroup comparison, KHN final differed statistically (p<0.05). The mean SR final of the experimental groups differed statistically from the GControl group (p<0.05). In addition, the groups did not differ in color variation (p>0.05). CONCLUSION: 10% strontium chloride and 5% potassium nitrate combined with 2% fluoride downplayed morphological changes to the enamel, without interfering with the effectiveness of the bleaching process.

16.
J Appl Oral Sci ; 25(3): 335-340, 2017.
Artigo em Inglês | MEDLINE | ID: mdl-28678953

RESUMO

Objective: This randomized, controlled, double-blind clinical study evaluated the effect of calcium sodium phosphosilicate (NovaMin) and casein phosphopeptide-amorphous calcium phosphate with fluoride (CPP-ACPF) on the prevention of post-operative sensitivity and on the effects of clinical bleaching treatment. Material and Methods: Sixty volunteers were selected according to inclusion and exclusion criteria and were randomly assigned into three groups (n=20): CG (control group) patients, who were treated with 35% hydrogen peroxide; NOVAG (NovaMin group) patients, who were treated with 35% hydrogen peroxide followed by the application of NovaMin; and CPPG (CPP group) patients, who were treated with 35% hydrogen peroxide followed by the application of CPP-ACPF. Both bioactive agents were applied for five minutes. An evaporative stimulus associated with a modified visual scale was used to analyze sensitivity 24 hours after each bleaching session. The color evaluation was performed on the maxillary central incisors using a spectrophotometer. Associations between the intervention group, bleaching session, and reported sensitivity were tested using Chi-square partitioning. Results: Color change values (ΔE) were analyzed using analysis of variance (ANOVA). The significance level used for both tests was 5%. In the intragroup assessment, the Friedman test showed that only the CPP-ACPF group showed no statistically significant difference (p<0.05) between baseline and first bleaching session. In the intergroup assessment, the Kruskal-Wallis test showed that the CPPG had less postoperative sensitivity after the first session, when compared to the other groups (p<0.05). Color change analysis (ΔE) showed a significant difference between the means obtained in the different bleaching sessions in all groups (p<0.05). Conclusions: This study showed that the combination of CPP-ACPF with 35% hydrogen peroxide significantly reduced post-operative sensitivity in the first session, compared with the other evaluated treatments. The association of CPP-ACPF and NovaMin did not affect the color change induced by tooth bleaching.


Assuntos
Caseínas/uso terapêutico , Dessensibilizantes Dentinários/uso terapêutico , Sensibilidade da Dentina/prevenção & controle , Fluoretos/uso terapêutico , Vidro/química , Clareamento Dental/efeitos adversos , Adolescente , Adulto , Análise de Variância , Cor , Esmalte Dentário/efeitos dos fármacos , Método Duplo-Cego , Quimioterapia Combinada , Feminino , Humanos , Peróxido de Hidrogênio/efeitos adversos , Masculino , Período Pós-Operatório , Reprodutibilidade dos Testes , Espectrofotometria , Fatores de Tempo , Clareadores Dentários/efeitos adversos , Resultado do Tratamento , Adulto Jovem
17.
J. appl. oral sci ; 25(3): 335-340, May-June 2017. tab, graf
Artigo em Inglês | LILACS | ID: biblio-893618

RESUMO

Abstract Objective This randomized, controlled, double-blind clinical study evaluated the effect of calcium sodium phosphosilicate (NovaMin) and casein phosphopeptide-amorphous calcium phosphate with fluoride (CPP-ACPF) on the prevention of post-operative sensitivity and on the effects of clinical bleaching treatment. Material and Methods Sixty volunteers were selected according to inclusion and exclusion criteria and were randomly assigned into three groups (n=20): CG (control group) patients, who were treated with 35% hydrogen peroxide; NOVAG (NovaMin group) patients, who were treated with 35% hydrogen peroxide followed by the application of NovaMin; and CPPG (CPP group) patients, who were treated with 35% hydrogen peroxide followed by the application of CPP-ACPF. Both bioactive agents were applied for five minutes. An evaporative stimulus associated with a modified visual scale was used to analyze sensitivity 24 hours after each bleaching session. The color evaluation was performed on the maxillary central incisors using a spectrophotometer. Associations between the intervention group, bleaching session, and reported sensitivity were tested using Chi-square partitioning. Results Color change values (ΔE) were analyzed using analysis of variance (ANOVA). The significance level used for both tests was 5%. In the intragroup assessment, the Friedman test showed that only the CPP-ACPF group showed no statistically significant difference (p<0.05) between baseline and first bleaching session. In the intergroup assessment, the Kruskal-Wallis test showed that the CPPG had less postoperative sensitivity after the first session, when compared to the other groups (p<0.05). Color change analysis (ΔE) showed a significant difference between the means obtained in the different bleaching sessions in all groups (p<0.05). Conclusions This study showed that the combination of CPP-ACPF with 35% hydrogen peroxide significantly reduced post-operative sensitivity in the first session, compared with the other evaluated treatments. The association of CPP-ACPF and NovaMin did not affect the color change induced by tooth bleaching.


Assuntos
Humanos , Masculino , Feminino , Adolescente , Adulto , Adulto Jovem , Caseínas/uso terapêutico , Dessensibilizantes Dentinários/uso terapêutico , Sensibilidade da Dentina/prevenção & controle , Fluoretos/uso terapêutico , Vidro/química , Clareamento Dental/efeitos adversos , Análise de Variância , Cor , Esmalte Dentário/efeitos dos fármacos , Método Duplo-Cego , Quimioterapia Combinada , Peróxido de Hidrogênio/efeitos adversos , Período Pós-Operatório , Reprodutibilidade dos Testes , Espectrofotometria , Fatores de Tempo , Clareadores Dentários/efeitos adversos , Resultado do Tratamento
18.
J Contemp Dent Pract ; 17(3): 192-7, 2016 Mar 01.
Artigo em Inglês | MEDLINE | ID: mdl-27207197

RESUMO

AIM: The aim of this study was to use surface rugosity analysis (Ra) and scanning electron microscopy (SEM) comparing effects of nano-hydroxyapatite (NANO), casein phosphopeptide-amorphous calcium phosphate (CPP-ACP), and NovaMin (NOVA) on enamel's human morphology bleached with 37.5% hydrogen peroxide. MATERIALS AND METHODS: Forty specimens (3 × 3 × 3 mm) were obtained from fully included third molars and four specimens were attached in the first molars of the volunteers. The POLA-positive control has only been bleached. Three experimental groups were bleached and treated with respective bioactive: NANO, CPP-ACP, and NovaMin. The Ra analyses were performed before and after the treatment using a rugosimeter. The obtained photomicrographs were analyzed using SEM (n = 3) by three examiners, and the study was double blind. RESULTS: The Ra results were analyzed by one-way analysis of variance and Tukey's post hoc test (p < 0.05). All experimental groups showed significant differences of the others; however, the experimental groups were not significantly different from each other. CONCLUSION: The enamel morphology of the bioactive-treated groups had more regular surfaces, than the others.


Assuntos
Esmalte Dentário/anatomia & histologia , Esmalte Dentário/efeitos dos fármacos , Caseínas/farmacologia , Vidro , Humanos , Microscopia Eletrônica de Varredura , Propriedades de Superfície , Adulto Jovem
19.
Gen Dent ; 63(2): 41-5, 2015.
Artigo em Inglês | MEDLINE | ID: mdl-25734285

RESUMO

This study sought to compare the shrinkage of 3 resin composites after polymerization, using different curing modes and 2 methods of analysis, with 45 samples in each group. To evaluate free linear shrinkage, specimens were prepared in Teflon molds (8 mm diameter x 2 mm thick) with 1 of 2 methacrylate-based resins or a silorane-based resin. To evaluate wall-to-wall shrinkage, cavities (1.5 mm thick x 3 mm diameter) were prepared in 45 healthy bovine incisors and then restored. In both tests, the same curing lights were used: conventional quartz-tungsten-halogen, a conventional light-emitting diode (LED), and an exponential LED. Gaps were measured microscopically, and the gap percentage was calculated. The results were analyzed by 2-way ANOVA and Tukey's test (α = 0.05). Curing modes differed significantly in the free linear shrinkage test group, while resin composites did not. In the wall-to-wall shrinkage group, there were significant differences between the resin composites.


Assuntos
Resinas Compostas/química , Animais , Bovinos , Resinas Compostas/uso terapêutico , Luzes de Cura Dentária , Adaptação Marginal Dentária , Restauração Dentária Permanente/métodos , Polimerização
20.
J Contemp Dent Pract ; 15(4): 392-8, 2014 Jul 01.
Artigo em Inglês | MEDLINE | ID: mdl-25576101

RESUMO

AIM: The aim of this in vitro study was to evaluate the effects of different sodium fuoride (NaF) concentrations and pH values on the Knoop hardness (KHN), surface roughness (SR), and morphology of bovine incisors bleached with 35% hydrogen peroxide (HP). MATERIALS AND METHODS: Sixty-five bovine incisors were fragmented (5 mm(2) × 2 mm) and distributed in 5 groups: Control (unbleached), Low NaF/Acidic (35% HP + 1.3% NaF, pH 5.5), Low NaF/Neutral (35% HP + 1.3% NaF, pH 7.0), High NaF/ Acidic (35% HP + 2% NaF, pH 5.5), and High NaF/Neutral (35% HP + 2% NaF, pH 7.0). KHN analysis was performed with a microhardness tester under a load of 25 gf for 5 seconds. The average SR was obtained with a rugosimeter. KHN and SR were analyzed before and after treatments. For morphological analysis, specimens were dehydrated and gold-sputtered, and scanning electron micrographs were obtained and analyzed by 3 examiners with a double-blinded technique. KHN and SR results were analyzed by one-way ANOVA and Tukey's test (p < 0.05). RESULTS: Only the Low NaF/Acidic and Low NaF/Neutral groups showed significant differences between the initial and final KHN values. All bleached groups presented significant differences between the initial and final SR values. Among the bleached groups, the least and most morphological changes were shown by the High NaF/Neutral and the Low NaF/Acidic group, respectively. CONCLUSION: Treatment with 35% HP and 2% NaF at pH 7.0 promoted the least changes in morphology, hardness and roughness among the bleached groups. CLINICAL SIGNIFICANCE: In-office bleaching with high-concentration HP and 2% NaF at neutral pH promoted the least changes in enamel hardness, SR, and morphology compared to other treatments.


Assuntos
Cariostáticos/farmacologia , Esmalte Dentário/efeitos dos fármacos , Peróxido de Hidrogênio/farmacologia , Fluoreto de Sódio/farmacologia , Clareadores Dentários/farmacologia , Animais , Cariostáticos/análise , Bovinos , Esmalte Dentário/ultraestrutura , Dureza , Concentração de Íons de Hidrogênio , Teste de Materiais , Microscopia Eletrônica de Varredura , Fluoreto de Sódio/análise , Clareadores Dentários/análise
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