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1.
Head Face Med ; 16(1): 37, 2020 Dec 16.
Artigo em Inglês | MEDLINE | ID: mdl-33323128

RESUMO

BACKGROUND: The aim of the study was to compare a 2D and 3D color system concerning a variety of statistical and graphical methods to assess validity and reliability of color measurements, and provide guidance on when to use which system and how to interpret color distance measures, including ΔE and d(0M1). METHODS: The color of teeth 14 to 24 of 35 patients undergoing regular bleaching treatment was visually assessed and electronically measured with the spectrophotometer Shade Inspector™. Tooth color was recorded before bleaching treatment, after 14 days, and again after 6 months. VITAPAN® Classical (2D) and VITA-3D-Master® (3D) served as reference systems. RESULTS: Concerning repeated measurements, the 2D system was superior to the 3D system, both visually and electronically in terms of ΔE and d(OM1), for statistics of agreement and reliability. All four methods showed strong patterns in Bland-Altman plots. In the 3D system, hue was less reliable than lightness and chroma, which was more pronounced visually than electronically. The smallest detectable color difference varied among the four methods used, and was most favorable in the electronic 2D system. Comparing the methods, the agreement between the 2D and 3D system in terms of ΔE was not good. The reliability of the visual and electronic method was essentially the same in the 2D and 3D systems; this comparability is fair to good. CLINICAL RELEVANCE: The 3D system may confuse human raters and even electronic devices. The 2D system is the simple and best choice.


Assuntos
Planejamento de Prótese Dentária , Dente , Cor , Eletrônica , Humanos , Reprodutibilidade dos Testes , Espectrofotometria
2.
Hua Xi Kou Qiang Yi Xue Za Zhi ; 38(6): 712-717, 2020 Dec 01.
Artigo em Chinês | MEDLINE | ID: mdl-33377353

RESUMO

A clear shoulder platform that can be easily identified by doctors and technicians or machines (mouth scan and warehouse scan) is important to obtaining a good long-term and stable fixed prosthesis treatment effect. At present, the pre-paration of the shoulder platform is usually based on free hands, and the practical operation is mainly guided by experience. Moreover, no comprehensive and objective preoperative design, intraoperative verification, and final test are available. Thus, the accuracy of shoulder platform preparation needs to be improved. In this study, the clinical pathway of "three determination, three selection, and three steps" with high accuracy of preparation and the precise shoulder preparation method of "bur-tip guidance" are proposed in detail.


Assuntos
Preparo do Dente , Dente , Procedimentos Clínicos , Ombro , Preparo Prostodôntico do Dente
3.
PLoS One ; 15(12): e0229370, 2020.
Artigo em Inglês | MEDLINE | ID: mdl-33326416

RESUMO

The present study applies a dental morphological perspective to the understanding of the complex pre-contact population history of the South Central Andes, through the detection of the underlying dynamics, and the assessment of the biological ties among groups. It presents an analysis of 1591 individuals from 66 sites that date from the Archaic to the Late Intermediate phases from Bolivia, Chile and Peru. The results suggest this area is characterized by significant movement of people and cultures and, at the same time, by long standing population continuity, and highlight the need for wider perspectives capable of taking into account both the different micro-regional realities and the region in its entirety.


Assuntos
Migração Humana/história , Dinâmica Populacional/história , Arqueologia , Bolívia , Chile , Feminino , Fósseis , História Antiga , Humanos , Índios Sul-Americanos , Masculino , Peru , Dente
4.
J Dent Hyg ; 94(6): 25-32, 2020.
Artigo em Inglês | MEDLINE | ID: mdl-33376119

RESUMO

Purpose: The purpose of this study was to determine whether the adjunctive use of an experimental calculus disruption solution (EXP-955), combined with the exclusive use of hand instruments, decreases the amount of time required to remove supragingival dental calculus deposits.Methods: A single-site, randomized, split-mouth clinical trial was conducted to compare the time needed to remove supragingival dental calculus on deposits pretreated with an experimental calculus disruption solution vs. calculus deposits that were not pretreated. Quadrants were randomized to either the treatment or control group and the principal investigator (PI) was timed while using hand instruments to remove the calculus. At the end of each session, both the subjects and the PI completed a questionnaire assessing their perceptions regarding the various aspects of the appointment and the solution. Descriptive statistics were used to analyze the data. Recurring themes from the questionnaire were examined.Results: Twenty-five healthy subjects, each having two quadrants matched for number of teeth and level of calculus deposits, completed the study (n=25). A statistically significant difference was found in in the supragingival calculus removal times between the control, (M=12.5 minutes; SD=6.0), and the treatment, (M=9.7; SD=4.6), quadrants; Mean difference (95% CI) = 2.8 (1.8-3.7), p<0.0001. Thematic analysis of the questionnaire responses showed that the perceptions of the principal investigator and subjects were positive towards the use of the solution with less pain being a common participant comment. The experimental calculus disruption solution was well tolerated by all subjects.Conclusions: Results from this proof of concept study provide preliminary evidence that use of an experimental calculus disruption solution (EXP-955) reduced the time needed to remove supragingival calculus while using hand instrumentation.


Assuntos
Cálculos Dentários , Dente , Cálculos Dentários/terapia , Assistência Odontológica , Humanos , Estudo de Prova de Conceito
5.
J Forensic Odontostomatol ; 2(38): 22-39, 2020 Sep 30.
Artigo em Inglês | MEDLINE | ID: mdl-33174535

RESUMO

The goal of long term research on age assessment is to focus on the strengths and weaknesses of existing reliable methods of age estimation. In cases of age estimation when all teeth are present, maximum accuracy can be obtained using a 7 tooth model. Demirjian's system and Willems models require all seven mandibular teeth in the lower left quadrant for age assessment. Unfortunately, these methods cannot be applied in children with hypodontia. In 2019, Bedek et al., from Croatia, developed new models of age estimation based on a combination of one to seven mandibular teeth. In the present study, we tested the accuracy of the newly developed models for age estimation in South Indian children. Tested in parallel with Willems models, the accuracy of the new models was tested in terms of mean difference, mean absolute error (MAE) and percentage of correct estimations within intervals of +0.5 and +1 years. In terms of mean difference between chronological age (CA) and estimated dental age (DA), all models along with Willems models have underestimated the CA except Bedek et al's 6 tooth model where overestimation of CA was seen in boys. For MAE and percentage of correct estimations, the new models performed better than Willems models. With regards to our results, it can be concluded that the new models for dental age calculation are accurate and suitable. Therefore, we may encourage their use for age estimation in South Indian children, particularly in individuals with hypodontia or when multiple teeth are missing.


Assuntos
Determinação da Idade pelos Dentes , Dente , Adolescente , Criança , Croácia , Humanos , Masculino , Radiografia Panorâmica , Calcificação de Dente
6.
Prim Dent J ; 9(4): 37-44, 2020 Dec.
Artigo em Inglês | MEDLINE | ID: mdl-33225850

RESUMO

Traumatised permanent anterior teeth can require endodontic treatment which may be immediate as part of acute trauma management, or delayed due to the development of sequelae. This paper will enable clinical decision making by exploring a range of situations in which endodontic treatment may be indicated, and also offer practical advice regarding effective endodontic treatment for paediatric dental trauma patients.Endodontic treatment of traumatised permanent teeth in paediatric patients is often challenging. However, with timely decision making and appropriate treatment, these teeth can often last throughout childhood and adolescence thus ensuring that a young patient does not have the social burden of a missing tooth and needing a prosthesis, and has the maximum restorative options available to them as they enter adulthood.


Assuntos
Dentição Permanente , Dente , Adolescente , Adulto , Criança , Humanos
7.
Orthod Fr ; 91(1-2): 7-33, 2020 06 01.
Artigo em Francês | MEDLINE | ID: mdl-33146136

RESUMO

Form is often linked to function. This applies particularly to teeth; the phylogenesis of our dentition shows that the dental formula was established long before Homo sapiens. Today, the shape of teeth has several roles: chewing, aesthetics and periodontal balance. The analysis of the literature shows the importance of shapes, particularly in the periodontal equilibrium. Diagnostic analysis of the shapes enables us to detect those that are said to be at risk and to prevent iatrogenic effects due to dental alignment. By applying this shape analysis to clinical examples, we will show the interest of this approach in the treatment of dental-maxillary disharmony, in the prevention of the loss of papillae associated with the opening of black triangles and the aesthetic improvement of shapes. The characterization of tooth shapes is an essential diagnostic element for a safer and more harmonious orthodontic treatment.


Assuntos
Estética Dentária , Dente , Humanos , Maxila
8.
Nat Commun ; 11(1): 5293, 2020 10 28.
Artigo em Inglês | MEDLINE | ID: mdl-33116130

RESUMO

Pterosaurs, the first vertebrates to evolve active flight, lived between 210 and 66 million years ago. They were important components of Mesozoic ecosystems, and reconstructing pterosaur diets is vital for understanding their origins, their roles within Mesozoic food webs and the impact of other flying vertebrates (i.e. birds) on their evolution. However, pterosaur dietary hypotheses are poorly constrained as most rely on morphological-functional analogies. Here we constrain the diets of 17 pterosaur genera by applying dental microwear texture analysis to the three-dimensional sub-micrometre scale tooth textures that formed during food consumption. We reveal broad patterns of dietary diversity (e.g. Dimorphodon as a vertebrate consumer; Austriadactylus as a consumer of 'hard' invertebrates) and direct evidence of sympatric niche partitioning (Rhamphorhynchus as a piscivore; Pterodactylus as a generalist invertebrate consumer). We propose that the ancestral pterosaur diet was dominated by invertebrates and later pterosaurs evolved into piscivores and carnivores, shifts that might reflect ecological displacements due to pterosaur-bird competition.


Assuntos
Fósseis/anatomia & histologia , Répteis/anatomia & histologia , Dente/anatomia & histologia , Animais , Evolução Biológica , Aves , Quirópteros/anatomia & histologia , Dieta/história , Dieta/veterinária , Ecossistema , Voo Animal , Fósseis/história , História Antiga , Répteis/classificação , Répteis/fisiologia , Desgaste dos Dentes/história , Desgaste dos Dentes/patologia
9.
Int J Esthet Dent ; 15(4): 374-389, 2020.
Artigo em Inglês | MEDLINE | ID: mdl-33089255

RESUMO

This article describes a novel concept for treatment planning and execution in the digital era. The aim of the presented workflow was to design, plan, communicate, perform, fabricate, deliver, and maintain a smile makeover restoration entirely through digital technology. The interdisciplinary treatment plan is described from the planning through the diagnostic mock-up to the final restoration. In digital designing, the dental morphology and tooth shape seen by the clinician and technician are interpreted by the computer as a 3D geometric mathematic model. Controlling the geometry provides freedom for the clinician to develop a restorative digital plan that can be followed throughout the patient's treatment. Moreover, new ceramic materials used with computer-assisted techniques have considerably broadened the choices for dental teams and have enhanced the results that can be achieved.


Assuntos
Dente , Fluxo de Trabalho , Cerâmica , Desenho Assistido por Computador , Humanos , Sorriso
10.
Int J Esthet Dent ; 15(4): 402-426, 2020.
Artigo em Inglês | MEDLINE | ID: mdl-33089257

RESUMO

This article outlines the prosthetic concepts in the management of implants in the esthetic zone with a view to achieving optimal long-term esthetics and stability. The emphasis is on the understanding and application of the biologic factors and dental technology that influence treatment outcomes. The authors examine the exciting new world of digitalization of dental procedures that has transformed esthetic dentistry, dental technology, and surgery. The digital workflow makes it possible to attain excellence in many kinds of dental restorations, providing high quality while maintaining a very natural-looking appearance. The newest developments in the field of digital systems allow for greater predictability and precision of results as well as more accuracy, which in turn allows for better design quality. The duration of dental treatment and dental technology has also been reduced due to digitalization. Transitioning from an analog to a digital workflow requires a paradigm shift. The techniques to improve the daily workflow in practice and in the dental laboratory integrate advanced CAD/CAM technologies, combining 3D-printed models and high-end esthetic dental restorations in ceramics. An interdisciplinary approach, detailed in this article, is key to optimal case management.


Assuntos
Dente , Fluxo de Trabalho , Desenho Assistido por Computador , Planejamento de Prótese Dentária , Estética
11.
Head Face Med ; 16(1): 22, 2020 Oct 06.
Artigo em Inglês | MEDLINE | ID: mdl-33023617

RESUMO

BACKGROUND: Early childhood caries (ECC) is a type of dental caries in the teeth of infants and children that is represented as one of the most prevalent dental problems in this period. Various studies have reported different types of prevalence of dental caries in primary and permanent teeth in children worldwide. However, there has been no comprehensive study to summarize the results of these studies in general, so this study aimed to determine the prevalence of dental caries in primary and permanent teeth in children in different continents of the world during a systematic review and meta-analysis. METHODS: In this review study, articles were extracted by searching in the national and international databases of SID, MagIran, IranMedex, IranDoc, Cochrane, Embase, ScienceDirect, Scopus, PubMed, and Web of Science (ISI) between 1995 and December 2019. Random effects model was used for analysis and heterogeneity of studies was evaluated by using the I2 index. Data were analyzed by using the Comprehensive Meta-Analysis (Version 2) software. FINDINGS: In this study, a total of 164 articles (81 articles on the prevalence of dental caries in primary teeth and 83 articles on the prevalence of dental caries in permanent teeth) were entered the meta-analysis. The prevalence of dental caries in primary teeth in children in the world with a sample size of 80,405 was 46.2% (95% CI: 41.6-50.8%), and the prevalence of dental caries in permanent teeth in children in the world with a sample size of 1,454,871 was 53.8% (95% CI: 50-57.5%). Regarding the heterogeneity on the basis of meta-regression analysis, there was a significant difference in the prevalence of dental caries in primary and permanent teeth in children in different continents of the world. With increasing the sample size and the year of study, dental caries in primary teeth increased and in permanent teeth decreased. CONCLUSION: The results of this study showed that the prevalence of primary and permanent dental caries in children in the world was found to be high. Therefore, appropriate strategies should be implemented to improve the aforementioned situation and to troubleshoot and monitor at all levels by providing feedback to hospitals.


Assuntos
Cárie Dentária , Adolescente , Bibliometria , Criança , Pré-Escolar , Cárie Dentária/epidemiologia , Cavidade Pulpar , Humanos , Prevalência , Dente , Dente Decíduo
12.
Nat Commun ; 11(1): 5121, 2020 10 12.
Artigo em Inglês | MEDLINE | ID: mdl-33046697

RESUMO

Despite considerable advances in knowledge of the anatomy, ecology and evolution of early mammals, far less is known about their physiology. Evidence is contradictory concerning the timing and fossil groups in which mammalian endothermy arose. To determine the state of metabolic evolution in two of the earliest stem-mammals, the Early Jurassic Morganucodon and Kuehneotherium, we use separate proxies for basal and maximum metabolic rate. Here we report, using synchrotron X-ray tomographic imaging of incremental tooth cementum, that they had maximum lifespans considerably longer than comparably sized living mammals, but similar to those of reptiles, and so they likely had reptilian-level basal metabolic rates. Measurements of femoral nutrient foramina show Morganucodon had blood flow rates intermediate between living mammals and reptiles, suggesting maximum metabolic rates increased evolutionarily before basal metabolic rates. Stem mammals lacked the elevated endothermic metabolism of living mammals, highlighting the mosaic nature of mammalian physiological evolution.


Assuntos
Mamíferos/fisiologia , Répteis/fisiologia , Animais , Metabolismo Basal , Evolução Biológica , Fósseis/anatomia & histologia , Fósseis/história , História Antiga , Mamíferos/classificação , Filogenia , Tomografia por Raios X , Dente/anatomia & histologia , Dente/química
13.
J Am Dent Assoc ; 151(11): 803-805, 2020 11.
Artigo em Inglês | MEDLINE | ID: mdl-33121592

Assuntos
Dente , Humanos
14.
Zootaxa ; 4767(2): zootaxa.4767.2.8, 2020 Apr 24.
Artigo em Inglês | MEDLINE | ID: mdl-33056569

RESUMO

The genus Heterixalus is endemic to Madagascar. It contains eleven species of small to medium-sized tree frogs that typically inhabit open areas like swamps and rice fields. We describe the larval stages of three sympatric species that occur in western Madagascar: H. tricolor, H. carbonei, and H. luteostriatus. Similar to other species of this genus, the tadpoles of these species have a depressed, ovoid body-form and a generalized oral disc. The labial tooth row formula is 1/3(1). Examined phenotypes differed marginally between species. Compared to H. tricolor and H. carbonei, H. luteostriatus showed fewer cusps on the fork-like labial teeth, a lower ventral fin, and a shorter tail. The high morphological resemblance implicates an ecological similarity between species. Highly overlapping niches raise questions on how species co-occur.


Assuntos
Anuros , Animais , Larva , Madagáscar , Dente
15.
Arq. Ciênc. Vet. Zool. UNIPAR (Online) ; 23(2, cont.): e2313, jul-dez. 2020. ilus
Artigo em Português | LILACS, VETINDEX | ID: biblio-1141385

RESUMO

Heterotopic polyodontia have been described in most domestic species. Known as a dentigerous cyst but appropriately called heterotopic polyiodontics, it rarely occurs in horses, however it is easily recognized as a congenital defect. The cysts usually associated with this condition contain part or all of dental structures. The heterotopic tooth or dental structure is usually adhered to the temporal bone and surrounded by a secretory membrane, with a accumulation of exudate and draining tract along the proximal pinna or directly over the cyst. This case report describes in a 2.5-year-old female quarter horse, weighing 430 kg, with a heterotopic polyodontia that contained two easily small's identifiable dental structures, presented for evaluation of a chronic intermittent mucopurulent exudate discharge from the right sub-auricular region in the mastoid process of the temporal bone and a drainage tract near the right pinna. The diagnosis is established with clinical, radiographic, ultrasound and confirmed by histopathological examination of the structures removed. The cystic capsule was surgically removed, measuring approximately 3.0 x 2.3 cm in diameter, filled with mucopurulent exudate and containing two dental structures within 0.5 cm in diameter and 0.2 cm in diameter. Microscopic examination revealed a cystic area covered by stratified squamous epithelium with a lympho-histio-plasmatic cell infiltrate in the dermis, which was compatible with heterotopic polyodontia. Postoperatively, there were no neuromotor sequelae and wound healing evolved positively.(AU)


A poliodontia heterotópica tem sido descrita na maioria das espécies domésticas. Conhecido como cisto dentígero, mas apropriadamente denominado poliodontia heterotópica, raramente ocorre em equinos, porém é facilmente reconhecido como defeito congênito. Os cistos geralmente associados a essa condição contêm parte ou toda as estruturas dentarias. O dente heterotópico ou estrutura dentaria é comumente encontrado aderido ao osso temporal e envolvido por uma membrana secretora, com acúmulo de exsudato e trajeto de drenagem ao longo do pavilhão auricular proximal ou diretamente sobre o cisto. Este relato descreve um caso de em um equino,fêmea, quarto de milha, com 2,5 anos de idade, pesando 430 kg, com poliodontia heterotópica que continha duas estruturas dentarias facilmente indentificadas, apresentando um orifício na região sub-auricular direita no processo mastóideo do osso temporal, com secreção mucopurulenta intermitente e crônica, próximo ao pavilhão auricular direito. O diagnóstico foi estabelecido com exame clínico, radiográfico, ultrassonográfico e confirmado pelo exame histopatológico das estruturas retiradas. A cápsula cística foi removida cirurgicamente medindo aproximadamente 3,0 x 2,3 cm de diâmetro, preenchida com exsudato mucopurulento e contendo em seu interior duas estruturas dentárias medindo cerca de 0,5 cm de diâmetro e 0,2 cm de diâmetro. O exame microscópico revelou área cística revestida por epitélio escamoso estratificado com infiltrado linfo-histo-plasmocitário na derme, compatível com poliodontia heterotópica. No pós-operatório não houve sequelas neuromotoras e a cicatrização da ferida evoluiu positivamente.(AU)


La poliodontia heterotópica ha sido descrita en la mayoría de las especies domésticas. Conocido como quiste dentígero, pero apropiadamente llamado poliodontia heterotópica, raramente ocurre en equinos, sin embargo se reconoce fácilmente como un defecto congénito. Los quistes generalmente asociados a esa condición contienen parte o la totalidad de las estructuras dentales. El diente heterotópico o estructura dental se encuentra comúnmente adherido al hueso temporal y rodeado por una membrana secretora, con acumulación de exudado y vía de drenaje a lo largo del pabellón auricular proximal o directamente sobre el quiste. En este informe se describe el caso de una hembra, cuarto de milla, de 2,5 años de edad, con 430 kg de peso, presentando poliodontia heterotópica que contenía dos estructuras dentales fácilmente identificables, con un orificio en la región subauricular derecha en el proceso mastoides del hueso temporal, secreción mucopurulenta intermitente y crónica próximo al oído derecho. El diagnóstico se estableció con examen clínico, radiográfico, ecográfico y se confirmó con el examen histopatológico de las estructuras extirpadas. La cápsula quística se extrajo quirúrgicamente midiendo aproximadamente 3,0 x 2,3 cm de diámetro, rellena con exudado mucopurulento y conteniendo en su interior dos estructuras dentales que medían aproximadamente 0,5 cm de diámetro y 0,2 cm de diámetro. El examen microscópico reveló una zona quística cubierta por un epitelio escamoso estratificado con infiltrado linfo-histo-plasmocítico en la dermis, compatible con poliodontia heterotópica. En el postoperatorio no se produjeron secuelas neuromotoras y la cicatrización de la herida evolucionó positivamente.(AU)


Assuntos
Animais , Feminino , Dente , Cisto Dentígero/diagnóstico , Cavalos/lesões
16.
Rev. Cient. CRO-RJ (Online) ; 5(1): 58-63, Jan.-Apr. 2020.
Artigo em Inglês | LILACS, BBO - Odontologia | ID: biblio-1130177

RESUMO

The purpose of this case report was to describe the surgical exposure and orthodontic management of an unerupted and ectopic maxillary right central incisor after trauma to the primary predecessor. Case report: An 11-year-old girl was referred to the Pediatric Dentistry Clinic due to eruption failure of the maxillary right central incisor. Radiographs showed the impacted central incisor located below the anterior nasal spine and its apex parallel to the palatal plane and the presence of an odontoma. General surgery was performed to remove the odontoma and two perforations in the crown of the impacted tooth were made to carry out orthodontic traction. Correct alignment was achieved after 18 months and no significant clinical or radiographic alterations were founded. Conclusion: The orthodontic management was performed successfully, and a positive esthetic outcome combined with adequate occlusion demonstrated the satisfactory results of this case.


Objetivo: O objetivo deste relato de caso foi descrever a exposição cirúrgica e o tratamento ortodôntico de um incisivo central superior direito ectópico e não irrompido após trauma do predecessor decíduo. Relato do caso: Uma menina de 11 anos de idade foi encaminhada à Clínica de Odontopediatria devido ao atraso na erupção do incisivo central superior direito. As radiografias mostraram o incisivo central impactado localizado abaixo da espinha nasal anterior e seu ápice paralelo ao plano palatino e a presença de um odontoma. A cirurgia para remoção do odontoma foi realizada sob anestesia geral e duas perfurações na coroa do dente impactado foram realizadas para a tração ortodôntica. O alinhamento correto foi alcançado após 18 meses e não foram encontradas alterações clínicas ou radiográficas significativas. Conclusão: O manejo ortodôntico foi realizado com sucesso, e um resultado estético positivo combinado à oclusão adequada demonstrou os resultados satisfatórios deste caso.


Assuntos
Ortodontia , Cirurgia Bucal , Dente , Doenças Dentárias , Dente não Erupcionado , Odontoma , Doenças Estomatognáticas , Criança , Traumatismos Dentários , Incisivo
17.
Zootaxa ; 4860(4): zootaxa.4860.4.5, 2020 Oct 14.
Artigo em Inglês | MEDLINE | ID: mdl-33055881

RESUMO

A new species of Hisonotus is described from headwaters of rio Araguaia basin, municipality of Barra do Garças, Mato Grosso state, Brazil. The new species is distinguished from its congeners by a V-shaped spinelet, yellowish teeth, absence of unpaired platelets at typical adipose fin position, the caudal-fin color hyaline with three transverse dark bars, one abdominal median plate series, and by morphometric and meristic characters.


Assuntos
Peixes-Gato , Animais , Cor , Cauda , Dente
18.
J Contemp Dent Pract ; 21(7): 792-797, 2020 Jul 01.
Artigo em Inglês | MEDLINE | ID: mdl-33020365

RESUMO

AIM: To compare and evaluate the caries preventive effectiveness of resin infiltrant (ICON), casein phosphopeptide-amorphous calcium phosphate (CPP-ACP) (GC Tooth Mousse), and nanohydroxyapatite (Aclaim) on incipient enamel lesions. MATERIALS AND METHODS: A total of 60 human maxillary incisors extracted for periodontal reasons were included in this study. The sectioning was done at the middle third region of the crown for the 60 samples with approximate dimensions of 5 × 5 × 5 mm). In order to create the artificial enamel lesions, the samples were demineralized by placing in a beaker containing the prepared demineralizing solution for 14 days. The study samples were then divided into four groups that are resin infiltrant (group I), CPP-ACP (group II), nanohydroxyapatite (group III), and control (group IV) with 15 enamel samples in each group. The caries preventive efficacy of each group was evaluated using a confocal laser scanning microscope. RESULTS: The mean values after demineralization of enamel samples in demineralizing solution are 245 µm for resin infiltrant (group I), 246 µm for CPP-ACP (group II), 250 µm for nanohydroxyapatite (group III), and 247 µm for control (group IV). After remineralizing the enamel samples for a period of 30 days, the results are group I (resin infiltrant) 158 µm > group II (CPP-ACP) 28.8µm ≥ group III (nanohydroxyapatite) 26.3 µm. After subjecting it to demineralizing solution again for 14 days, the amount of material that was resistant to acid attack was group I (resin infiltrant) 114 µm (72%) > group III (CPP-ACP) 16.4 µm (57%) ≥ group III (nanohydroxyapatite) 13.8 µm (50%). The untreated control group showed increased progression of lesion and least resistance to acid challenge. CONCLUSION: Based on the results from this in vitro study, it can be concluded that when compared to the two remineralizing agents the resin infiltrant showed better caries preventive effectiveness. CLINICAL SIGNIFICANCE: Resin infiltrants have a favorable penetration potential in subsurface or incipient enamel lesions.


Assuntos
Cárie Dentária/prevenção & controle , Dente , Esmalte Dentário , Humanos , Remineralização Dentária
19.
Compend Contin Educ Dent ; 41(9): 477-482, 2020 Oct.
Artigo em Inglês | MEDLINE | ID: mdl-33001658

RESUMO

Lithium disilicate and layered zirconia appear to be the most prevalent materials used for single-unit anterior crowns. These materials offer the necessary mechanical properties as well as sufficient optical characteristics needed in this type of restoration. There now are also more translucent versions of zirconia available that can be used for monolithic anterior restorations. This article discusses the factors that clinicians must take into account when determining a restorative material for single-unit anterior crowns. Considerations for lithium-disilicate crowns, 4 and 5 mol% yttria-containing (4Y and 5Y) zirconia materials, and layered 3Y zirconia restorations are provided.


Assuntos
Coroas , Dente , Materiais Dentários , Teste de Materiais
20.
Stomatologiia (Mosk) ; 99(5): 19-24, 2020.
Artigo em Russo | MEDLINE | ID: mdl-33034172

RESUMO

THE AIM OF THE STUDY: Was to evaluate the abrasive effect of toothpaste with detonation nanodiamonds synthesis of various concentrations on the enamel of human teeth. MATERIALS AND METHODS: The analysis of micrographs obtained by scanning electron microscopy showed a different abrasive and polishing effect of nanodiamonds in all the observed anatomical zones on the vestibular surface of the enamel of human teeth. RESULTS: No negative effect of the paste containing nanodiamonds on the enamel of human teeth was noted. At all concentrations of pastes containing nanodiamonds, on the vestibular surface of the enamel of the studied teeth, depot areas of densely attached particles of nanodiamonds were formed, a tendency was observed towards the formation of depots. The enamel of human teeth was mostly influenced by the concentration of nanodiamonds (2%, 2.5%). On the surface of the enamel were formed not only a depot of single nanodiamonds, but also accumulations were noted, merging into a layer in the form of a protective film. CONCLUSION: The study showed that toothpastes with nanoalases can reduce the enamel porosity, form a protective film on its surface, and thereby increase its microhardness and increase caries resistance.


Assuntos
Nanodiamantes , Dente , Esmalte Dentário , Humanos , Microscopia Eletrônica de Varredura , Cremes Dentais
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