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1.
Rev. bras. odontol ; 77(1): 1-5, jan. 2020. ilus, tab
Artigo em Inglês | LILACS | ID: biblio-1117693

RESUMO

Objetivo: este estudo teve como objetivo comparar a resistência de união à dentina de um material à base de silicato de cálcio fotopolimerizável modificado por resina (TheraCal LC®; Bisco, Schaumburg, IL, EUA) com MTA branco (WMTA®; Angelus, Londrina, PR, Brasil). Materiais e Métodos: dezesseis incisivos superiores e caninos humanos foram selecionados e três discos de 1 mm foram obtidos a partir do terço médio de cada raiz. Na superfície coronal de cada disco, dois furos de 1,2 mm de largura foram perfurados na dentina. Em seguida, os buracos artificiais foram preenchidos com um dos materiais testados: WMTA® e TheraCal LC®. As fatias dentárias preenchidas foram armazenadas em uma solução salina tamponada com fosfato (PBS) (pH 7,2) por 7 dias a 37°C. Depois disso, a avaliação do push-out foi realizada com uma ponta do êmbolo de 1,0 mm. A carga foi aplicada a uma velocidade de 0,5 mm / min até o deslocamento do selador. Os resultados foram expressos em MPa. O teste U de Mann-Whitney foi aplicado para classificar os materiais quanto à resistência adesiva à dentina. O nível de significância foi estabelecido em = 5%. Resultados: todas as amostras apresentaram resultados de resistência de união à dentina mensuráveis e não ocorreram falhas prematuras. O TheraCal LC® demonstrou valores superiores de resistência de união à dentina quando comparado ao WMTA® (P<0,0001). Conclusões: existe uma vantagem do TheraCal LC® sobre o WMTA® no que diz respeito à resistência da união ao empurrar e, portanto, pode ser considerado um material reparador promissor e inovador


Objective: this study aimed to compare the dentin bond strength of a resin-modified light-curable calcium-silicate-based material (TheraCal LC®; Bisco, Schaumburg, IL, USA) with White MTA (WMTA®; Angelus, Londrina, PR, Brazil). Materials and Methods: sixteen human maxillary incisors and canines were selected and three 1-mm-discs were obtained from the middle third of each root. On the coronal surface of each disc, two 1.2-mm-wide-holes were drilled through the dentin. Then, artificial holes were filled with one of the tested materials: WMTA® and TheraCal LC®. The filled dental slices were stored in a phosphate-buffered saline (PBS) solution (pH 7.2) for 7 days at 37°C. After that, push-out assessment was performed with a 1.0-mm-plunger-tip. Load was applied at a crosshead speed of 0.5 mm/min until sealer displacement. The results were expressed in MPa. Mann-Whitney U test was applied to rank materials regarding dentin push-out bond strength. Significance level was set at a = 5%. Results: All specimens showed measurable results and no premature failure occurred. TheraCal LC® demonstrated superior push-out bond strength values to dentin when compared to WMTA® (P<0.0001). Conclusions: there is advantage of TheraCal LC® over WMTA® as regards to the push-out bond strength and, therefore it may be taken as a promising and innovative reparative material


Assuntos
Materiais Restauradores do Canal Radicular , Obturação do Canal Radicular , Tratamento do Canal Radicular , Cimento de Silicato , Materiais Dentários , Endodontia , Cura Luminosa de Adesivos Dentários
2.
Braz Dent J ; 30(1): 31-35, 2019.
Artigo em Inglês | MEDLINE | ID: mdl-30864644

RESUMO

The aim of this study was to evaluate whether amplifying the volume and/or time of contact of NaOCl affects the fracture strength of endodontically treated bovine teeth. Four bovine incisors from 10 animals were allocated into 4 groups using a split-mouth design. Root canals were instrumented using a sequence of 4 manual stainless steel files and irrigated with a 5.25% alkalized NaOCl solution. The total volume and time of irrigation, per sample, varied among the groups as following: standard volume and time of contact - 15 mL/11.5 min; volume raise - 30 mL/11.5 min; time of contact raise - 15 mL/19 min; and volume and time of contact raise - 30 mL/19 min. Samples were subjected to a fracture resistance assay. At p=0.05, two-way ANOVA statistically scrutinized the results. Effect size of NaOCl time of contact and volume were also calculated (η2). The variation in time (p=0.000), volume of irrigation (p=0.000) and the combination of both (p=0.038) negatively influenced the fracture resistance. Standard volume and time of irrigation showed the highest fracture strength while isolated increase in volume or time reduced in 25% and 37%, respectively, the fracture resistance; the simultaneous increase in volume and time of irrigation promoted a reduction of 47%. Effect size of NaOCl time of contact was superior (0.746) than the volume (0.564). Raising the volume and/or time of a 5.25% alkalized NaOCl solution reduces the fracture resistance of endodontically treated bovine teeth.


Assuntos
Tratamento do Canal Radicular , Hipoclorito de Sódio/química , Fraturas dos Dentes , Animais , Bovinos , Análise do Estresse Dentário , Incisivo , Hipoclorito de Sódio/administração & dosagem , Irrigação Terapêutica/métodos
3.
Braz. dent. j ; 30(1): 31-35, Jan.-Feb. 2019. graf
Artigo em Inglês | LILACS-Express | LILACS | ID: biblio-989430

RESUMO

Abstract The aim of this study was to evaluate whether amplifying the volume and/or time of contact of NaOCl affects the fracture strength of endodontically treated bovine teeth. Four bovine incisors from 10 animals were allocated into 4 groups using a split-mouth design. Root canals were instrumented using a sequence of 4 manual stainless steel files and irrigated with a 5.25% alkalized NaOCl solution. The total volume and time of irrigation, per sample, varied among the groups as following: standard volume and time of contact - 15 mL/11.5 min; volume raise - 30 mL/11.5 min; time of contact raise - 15 mL/19 min; and volume and time of contact raise - 30 mL/19 min. Samples were subjected to a fracture resistance assay. At p=0.05, two-way ANOVA statistically scrutinized the results. Effect size of NaOCl time of contact and volume were also calculated (η2). The variation in time (p=0.000), volume of irrigation (p=0.000) and the combination of both (p=0.038) negatively influenced the fracture resistance. Standard volume and time of irrigation showed the highest fracture strength while isolated increase in volume or time reduced in 25% and 37%, respectively, the fracture resistance; the simultaneous increase in volume and time of irrigation promoted a reduction of 47%. Effect size of NaOCl time of contact was superior (0.746) than the volume (0.564). Raising the volume and/or time of a 5.25% alkalized NaOCl solution reduces the fracture resistance of endodontically treated bovine teeth.


Resumo O objetivo desse estudo foi o de avaliar se o aumento de volume e/ou tempo de contato do NaOCl afeta a resistência à fratura de dentes bovinos tratados endodonticamente. Quatro incisivos bovinos de 10 animais foram alocados em 4 grupos usando um desenho experimental de boca dividida. Os canais radiculares foram instrumentados usando uma sequência de 4 limas manuais de aço inoxidável e irrigados com uma solução de NaOCl alcalinizada a 5,25%. O volume total e o tempo de irrigação, por amostra, variaram entre os grupos da seguinte forma: volume e tempo de contato padrão (grupo controle) - 15 mL/11,5 min; aumento de volume - 30 mL/11,5 min; aumento no tempo de contato - 15 mL/19 min; e aumento no volume e no tempo de contato - 30 mL/19 min. As amostras foram submetidas a um ensaio de resistência à fratura. Com p=0.05, o teste two-way ANOVA analisou estatisticamente os resultados. O tamanho do efeito do tempo de contato e volume de NaOCl também foi calculado (h2). A variação no tempo (p=0,000), no volume de irrigação (p=0,000) e a interação entre ambos (p=0.038) influenciaram negativamente a resistência à fratura. O volume e o tempo padrão de irrigação apresentaram a maior resistência à fratura, enquanto o aumento isolado no volume ou no tempo de contato reduziram 25% e 37%, respectivamente, a resistência à fratura; o aumento simultâneo do volume e tempo de irrigação promoveu uma redução de 47%. O tamanho do efeito do tempo de contato com o NaOCl foi superior (0,746) ao volume (0,564). Aumentando o volume e/ou o tempo de uma solução de NaOCl alcalinizada a 5,25% reduz a resistência à fratura de dentes bovinos tratados endodonticamente.

4.
Restor Dent Endod ; 42(2): 140-145, 2017 May.
Artigo em Inglês | MEDLINE | ID: mdl-28503480

RESUMO

OBJECTIVES: The aim of this randomized, controlled, prospective clinical study was to evaluate patients' intraoperative discomfort during root canal preparations in which either multi-file rotary (Mtwo) or single-file reciprocating (Reciproc) systems were used. MATERIALS AND METHODS: Fifty-five adult patients, aged between 25 and 69 years old, with irreversible pulpitis or pulp necrosis participated in this study. Either the mesiobuccal or the distobuccal canals for maxillary molars and either the mesiobuccal or the mesiolingual canals for mandibular molars were randomly chosen to be instrumented with Mtwo multi-file rotary or Reciproc single-file reciprocating systems. Immediately after each canal instrumentation under anesthesia, patient discomfort was assessed using a 1 - 10 visual analog scale (VAS), ranging from 'least possible discomfort' (1) to 'greatest possible discomfort' (10). The Wilcoxon signed-rank test was used to determine significant differences at p< 0.05. RESULTS: Little intraoperative discomfort was found in all cases. No statistically significant differences in intraoperative discomfort between the 2 systems were found (p = 0.660). CONCLUSIONS: Root canal preparation with multi-file rotary or single-file reciprocating systems had similar and minimal effects on patients' intraoperative discomfort.

5.
J Endod ; 43(7): 1084-1088, 2017 Jul.
Artigo em Inglês | MEDLINE | ID: mdl-28477995

RESUMO

INTRODUCTION: The aim of this randomized clinical trial was to evaluate the influence of rotary or reciprocating retreatment techniques on the incidence, intensity, duration of postoperative pain, and medication intake. METHODS: After power analysis calculations, 65 patients who needed endodontic retreatment were randomly assigned to 1 of 2 groups according to the instrumentation system used: Mtwo (VDW, Munich, Germany) or Reciproc (VDW). Retreatments were performed in a single visit by an endodontic specialist. Participants were asked to rate the incidence and intensity of the postoperative pain on a verbal rating scale 24, 48, and 72 hours after treatment. Patients were also asked to record the number of prescribed analgesic medication tablets (ibuprofen 400 mg) taken. A logistic regression analysis was used to assess both the incidence and duration of pain. Differences in the intensity of pain were analyzed using the ordinal (linear) chi-square test, and the Mann-Whitney U test was used to assess differences in the intake of analgesic medication between groups. RESULTS: No statistically significant difference was found among the 2 groups in relation to postoperative pain or analgesic medication intake at the 3 time points assessed (P > .05). Multivariate analysis showed a significantly higher incidence of pain after 24 hours when preoperative pain was present and a significantly longer duration of pain for men than women independently of the retreatment technique used. CONCLUSIONS: The reciprocating system and the continuous rotary system were found to be equivalent regarding the incidence, intensity, duration of postoperative pain, and intake of analgesic medication.


Assuntos
Dor Pós-Operatória/etiologia , Tratamento do Canal Radicular/efeitos adversos , Adulto , Analgésicos/uso terapêutico , Feminino , Humanos , Incidência , Masculino , Pessoa de Meia-Idade , Medição da Dor , Dor Pós-Operatória/tratamento farmacológico , Dor Pós-Operatória/epidemiologia , Retratamento , Tratamento do Canal Radicular/instrumentação , Método Simples-Cego
6.
J Endod ; 43(5): 801-804, 2017 May.
Artigo em Inglês | MEDLINE | ID: mdl-28292603

RESUMO

INTRODUCTION: The present study investigated the root canal dentin bond strength of 2 newly developed fast-setting mineral trioxide aggregate (MTA) and pozzolan-based cements: ENDOCEM MTA (Maruchi, Wonju, Korea) and ENDOCEM Zr (Maruchi). White MTA (Angelus, Londrina, Brazil) was used as the reference material for comparison. METHODS: Root slices (1 mm ± 0.1 mm) were obtained from the middle third of 15 maxillary incisors previously selected. Three canal-like holes (0.8 diameter) were drilled perpendicularly on the axial surface of each root slice. A standardized irrigation protocol was applied for all samples, and after drying, each hole was filled with 1 of 3 test repair materials. Finally, slices were stored in contact with phosphate-buffered saline solution (pH = 7.2) for 7 days at 37°C before the push-out assay. Data were nonparametrically evaluated at α = 5%. RESULTS: The Friedman test was unable to confirm a significant dissimilarity in push-out ranks among the tested cements (P = .220). CONCLUSIONS: The new fast-setting MTA and pozzolan-based cements ENDOCEM MTA and ENDOCEM Zr present suitable bond strength performance, which is comparable with white MTA.


Assuntos
Compostos de Alumínio/química , Compostos de Cálcio/química , Colagem Dentária , Cimentos Dentários/química , Óxidos/química , Materiais Restauradores do Canal Radicular/química , Silicatos/química , Bismuto/química , Colagem Dentária/métodos , Colagem Dentária/normas , Análise do Estresse Dentário , Combinação de Medicamentos , Humanos , Zircônio/química
7.
J Endod ; 42(11): 1656-1659, 2016 Nov.
Artigo em Inglês | MEDLINE | ID: mdl-27641946

RESUMO

INTRODUCTION: The present study aimed to rank the bond strength to root dentin of a new injectable pozzolan-based root canal sealer, EndoSeal MTA, as compared with MTA Fillapex and AH Plus. METHODS: Eighteen dentinal slices (1 ± 0.1 mm) were obtained from the middle third of 6 maxillary incisors previously selected. Three canal-like holes with 0.8 mm diameter were drilled perpendicularly on the axial surface of each slice. Then, a standardized irrigation was applied for all holes that were subsequently filled with 1 of 3 test root canal sealers. After that, slices were stored in contact with phosphate-buffered saline solution (pH 7.2) for 7 days at 37°C before the push-out assay. Friedman test and Wilcoxon signed rank test with a Bonferroni correction were used to rank the results. Significance boundary was set at α = 5%. RESULTS: Friedman test confirmed a significant dissimilarity in push-out ranks among the tested cements (P < .01). Wilcoxon signed rank test demonstrated AH Plus had significant superior resistance to dislodgment compared with Endo Seal (P < .01) or MTA Fillapex (P < .01), whereas MTA Fillapex presented the lowest push-out values as compared with Endo Seal (P < .01) or AH Plus (P < .01). CONCLUSIONS: EndoSeal presents satisfactory bond strength performance for application in endodontic therapy compared with MTA Fillapex, and although it displays a new alternative of injectable bio-tight root canal sealer, it is not able to improve adhesion compared with AH Plus.


Assuntos
Cimentos para Ossos/química , Colagem Dentária , Materiais Restauradores do Canal Radicular/química , Cimento de Óxido de Zinco e Eugenol/química , Materiais Biocompatíveis/química , Compostos de Cálcio/química , Cavidade Pulpar , Dentina/química , Humanos , Irrigantes do Canal Radicular/química , Obturação do Canal Radicular/métodos , Preparo de Canal Radicular/métodos , Silicatos/química
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