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1.
Molecules ; 26(5)2021 Mar 03.
Artigo em Inglês | MEDLINE | ID: mdl-33802588

RESUMO

In contrast to enamel, dentin surfaces have been rarely used as substrates for studies evaluating the effects of experimental rinsing solutions on oral biofilm formation. The aim of the present in situ study was to investigate the effects of tannic acid and chitosan on 48-h biofilm formation on dentin surfaces. Biofilm was formed intraorally on dentin specimens, while six subjects rinsed with experimental solutions containing tannic acid, chitosan and water as negative or chlorhexidine as positive control. After 48 h of biofilm formation, specimens were evaluated for biofilm coverage and for viability of bacteria by fluorescence and scanning electron microscopy. In addition, saliva samples were collected after rinsing and analyzed by fluorescence (five subjects) and transmission electron microscopy (two subjects) in order to investigate the antibacterial effect on bacteria in a planktonic state and to visualize effects of the rinsing agents on salivary proteins. After rinsing with water, dentin specimens were covered by a multiple-layered biofilm with predominantly vital bacteria. In contrast, chlorhexidine led to dentin surfaces covered only by few and avital bacteria. By rinsing with tannic acid both strong anti-adherent and antibacterial effects were observed, but the effects declined in a time-dependent manner. Transmission electron micrographs of salivary samples indicated that aggregation of proteins and bacteria might explain the antiadhesion effects of tannic acid. Chitosan showed antibacterial effects on bacteria in saliva, while biofilm viability was only slightly reduced and no effects on bacterial adherence on dentin were observed, despite proteins being aggregated in saliva after rinsing with chitosan. Tannic acid is a promising anti-biofilm agent even on dentin surfaces, while rinsing with chitosan could not sufficiently prevent biofilm formation on dentin.


Assuntos
Antibacterianos/farmacologia , Biofilmes/crescimento & desenvolvimento , Quitosana/farmacologia , Dentina/efeitos dos fármacos , Antissépticos Bucais/farmacologia , Saliva/efeitos dos fármacos , Taninos/farmacologia , Adulto , Aderência Bacteriana/efeitos dos fármacos , Biofilmes/efeitos dos fármacos , Quelantes/farmacologia , Estudos Cross-Over , Humanos , Saliva/microbiologia , Adulto Jovem
2.
Biomed Res Int ; 2021: 5534294, 2021.
Artigo em Inglês | MEDLINE | ID: mdl-33869625

RESUMO

Aim: Root canal filling materials have the tendency to inhibit adhesion of resin-based composites. This study was aimed at evaluating the effect of root canal filling materials and their solvents on the shear bond strength (SBS) of resin composite with the primary tooth dentin. Methods and Materials: Seventy-two intact anterior primary teeth were selected. Smooth dentinal surfaces were prepared to a minimum diameter of 3 mm and thickness of 1.5-2.0 mm. The samples were equally divided into six groups (n = 12). In group 1: control group, no root filling material; in group 2: Metapex, no solvent; in group 3: Metapex+ethanol solvent; in group 4: ZOE, no solvent; in group 5: ZOE+ethanol solvent; and in group 6: ZOE+orange oil solvent were applied. Then, dentin surfaces were etched, and composite restorations were placed and cured. The specimens were stored in distilled water at 37°C for 24 hours. SBS values were determined using a universal testing machine. Results: The SBS values of composite to dentin in groups 2 and 4 were significantly lower than those in the control group (P < 0.001). Cleansing of the specimens with 96% ethanol after removal of Metapex significantly increased the composite-dentin bond (P < 0.001). Applying ZOE, only orange oil solvent significantly increased the SBS of the composite to the primary tooth dentin (P = 0.01). Conclusion: To reduce the negative effects of endodontic root filling materials on the SBS of composite and primary tooth dentin, ethanol is a suitable solvent when Metapex is used, while orange oil might be a better choice than ethanol when applying ZOE.


Assuntos
Resinas Compostas/química , Colagem Dentária , Dentina/efeitos dos fármacos , Materiais Restauradores do Canal Radicular/farmacologia , Resistência ao Cisalhamento/efeitos dos fármacos , Solventes/química , Dente Decíduo/química , Dentina/ultraestrutura , Humanos , Propriedades de Superfície
3.
Int J Nanomedicine ; 16: 31-45, 2021.
Artigo em Inglês | MEDLINE | ID: mdl-33442248

RESUMO

Background: Dentin hypersensitivity (DH) is a common dental clinical condition presented with a short and sharp pain in response to physical and chemical stimuli. Currently no treatment regimen demonstrates long-lasting efficacy in treating DH, and unesthetic yellow tooth color is a concern to many patients with DH. Aim: To develop a bi-functional material which can occlude dentinal tubules in-depth and remineralize dentin for long-lasting protection of the dentin-pulp complex from stimuli and bleach the tooth at the same time. Methods: A mixture containing CaO, H3PO4, polyethylene glycol and H2O2 at a specific ratio was mechanically ground using a planetary ball. The mineralizing complex paste was characterized by X-ray diffraction (XRD) and scanning electron microscopy (SEM). Dentin was exposed to the synthesized paste for 8 h and 24 h in vitro. The mineralizing property was evaluated using SEM and microhardness tests. Red tea-stained tooth slices were exposed to the synthesized paste for 8 h and 24 h in vitro. The bleaching effect was characterized by a spectrophotometer. Results: The complex paste had very a fine texture, was injectable, and had a gel-like property with 2.6 (mass/volume) % H2O2 concentration. The X-ray diffraction pattern showed that the inorganic phase was mainly monetite (CaHPO4). The mineralizing complex paste induced the growth of inorganic crystals on the dentin surface and in-depth occlusion of dentin tubules by up to 80 µm. The regenerated crystals were integrated into the dentin tissue on the dentin surface and the wall of dentinal tubules with a microhardness of up to 126 MPa (versus 137 Mpa for dentin). The paste also bleached the stained dental slices. Conclusion: The mineralizing complex paste is a promising innovative material for efficient DH management by remineralizing dentin and in-depth occlusion of dentin tubules, as well as tooth bleaching.


Assuntos
Fosfatos de Cálcio/farmacologia , Ácidos Fosfóricos/farmacologia , Clareamento Dental , Dentina/efeitos dos fármacos , Dentina/ultraestrutura , Dureza , Humanos , Peróxido de Hidrogênio/análise , Remineralização Dentária , Difração de Raios X
4.
Lasers Med Sci ; 36(1): 219-226, 2021 Feb.
Artigo em Inglês | MEDLINE | ID: mdl-32869119

RESUMO

This study aims to evaluate the effect of Nd:YAG and femtosecond lasers irradiation on the shear bond strength (SBS) of a self-adhesive resin cement to the human dentin surface. One hundred extracted third molar teeth were randomly divided into 10 experimental groups according to dentin surface treatments; with and without the bonding agent, Nd:YAG 302 J/cm2 and 440 J/cm2, femtosecond 4 J/cm2 and 7 J/cm2, and control groups were prepared. After surface treatments, a self-adhesive resin cement was luted by using a bonding jig (Ultradent Products Inc.). The specimens were then subjected to shear test at a crosshead speed of 0.5 mm/min, and failure loads were recorded as megapascal (MPa). Two-way analysis of variance and Tukey HSD tests were performed (p Ë‚ 0.05). Representative specimens from each experimental subgroup were examined by means of SEM. The highest SBS values were obtained in Group 302 J/cm2 Nd:YAG with bonding agent, and there is no statistical difference between Group 440 J/cm2 Nd:YAG with bonding and Group 7 J/cm2 femtosecond with bonding (p > 0.05). The lowest SBS values were observed in Group control without bonding agent. Nd:YAG and femtosecond laser treatments improved the adhesion between the dentin surface and the self-adhesive resin cement.


Assuntos
Dentina/efeitos dos fármacos , Dentina/efeitos da radiação , Lasers de Estado Sólido , Cimentos de Resina/farmacologia , Análise de Variância , Colagem Dentária , Dentina/ultraestrutura , Humanos , Resistência ao Cisalhamento , Estresse Mecânico
5.
Sci Rep ; 10(1): 19884, 2020 11 16.
Artigo em Inglês | MEDLINE | ID: mdl-33199833

RESUMO

This study evaluated the effect of mechanical abrasion on the surface integrity, color change (ΔE) and antibacterial properties of demineralized and sound dentin surfaces treated with silver-diammine-fluoride (SDF). The dentin specimens were divided into two groups: sound and demineralized dentin, then divided into three sub-groups, control (no-treatment), SDF, and SDF + potassium-iodide (KI). Each sub-group was further divided into two groups, one exposed to mechanical brushing and the other without brushing. Specimens were analyzed for the ΔE, surface roughness/surface loss and antibacterial properties (CFU, optical density and fluorescent microscope). Repeated Measures ANOVA was used for statistical analysis of color change while one-way ANOVA was used for CFU analysis. SDF and SDI + KI groups showed significant reduction in ΔE with brushing in the sound dentin group unlike the demineralized group. The surface roughness values were higher for both SDF and SDF + KI groups but roughness values significantly decreased after brushing. Both SDF and SDF + KI groups revealed significantly less surface loss than control. The SDF group showed high anti-bacterial effect after brushing, unlike SDF + KI group. So, we concluded that mechanical brushing improved the esthetic outcome. While, SDF and SDF + KI could protect the dentin surface integrity. SDF-treated dentin possesses an antibacterial property even after mechanical brushing.


Assuntos
Antibacterianos/farmacologia , Dentina/efeitos dos fármacos , Iodeto de Potássio/farmacologia , Compostos de Amônio Quaternário/farmacologia , Compostos de Prata/farmacologia , Animais , Bovinos , Fluoretos Tópicos/farmacologia , Teste de Materiais , Fenômenos Mecânicos , Microscopia de Fluorescência , Propriedades de Superfície
6.
J Appl Oral Sci ; 28: e20200051, 2020.
Artigo em Inglês | MEDLINE | ID: mdl-33111880

RESUMO

BACKGROUND: Proanthocyanidin has been shown to be efficient in inhibiting matrix metalloproteinases. OBJECTIVE: The aim of this in situ study was to evaluate the protective effect of Proanthocyanidin-based mouthrinses either with naturally acidic or with a neutral pH applied on dentin subjected to erosion. METHODOLOGY: Eight volunteers wore one palatal device in two phases (7 days washout) with 16 samples per group (n=8). The groups under study were: First Phase/ G1 - 10% proanthocyanidin mouthrinse (pH 7.0, Experimental group 1 - Purified Grape Seeds Oligomeric Proanthocyanidins), G2 - 10% proanthocyanidin mouthrinse (pH 3.0, Experimental group 2 - Purified Grape Seeds Oligomeric Proanthocyanidins). Second Phase/ G3 - 0.12% chlorhexidine mouthrinse (pH 7.0, Positive control group), G4 - no previous treatment (Negative control group). Each device was subjected to 3 erosive cycles (5 minutes) per day for 5 days. Treatments with different mouthrinses were applied once after the second erosive challenge (5 minutes). Profilometry was used to quantify dentin loss (µm). RESULTS: Data were analyzed by repeated measures of ANOVA followed by Fisher's test (p<0.05). G1 (1.17±0.69) and G3 (1.22±0.25) showed significantly lower wear values with no statistical difference between them. G2 (2.99±1.15) and G4 (2.29±1.13) presented higher wear values with no significant differences between them. CONCLUSION: The 10% proanthocyanidin mouthrinse (pH 7.0) could be a good strategy to reduce dentin wear progression.


Assuntos
Dentina/efeitos dos fármacos , Antissépticos Bucais/farmacologia , Proantocianidinas/farmacologia , Erosão Dentária , Humanos , Erosão Dentária/prevenção & controle
7.
Int J Nanomedicine ; 15: 7469-7479, 2020.
Artigo em Inglês | MEDLINE | ID: mdl-33116482

RESUMO

Background: High-fluoride dentifrice is used to manage root caries, but there is no evidence whether its association with nanohydroxyapatite could provide an additional protection for root caries. Therefore, this study aimed to develop and evaluate the effect of an experimental dentifrice with high fluoride (F-) concentration and nanohydroxyapatite (nano-HA) on root dentin demineralization. Materials and Methods: After formulation of dentifrices, root dentin specimens were randomly assigned to six groups (n = 10) using different dentifrice treatments: placebo; nano-HA without F-; 1,100 µg F-/g; 1,100 µg F-/g + nano-HA; 5,000 µg F-/g; and 5,000 µg F-/g + nano-HA. A pH cycling model was performed for 10 days, in which treatments were performed twice a day. After that period, the longitudinal hardness was evaluated and the area of demineralization (ΔS) was calculated. The formulated dentifrices were evaluated for primary stability, cytotoxicity, and other technical parameters. Two-way ANOVA and Tukey's test with p set at 5% were used for data analysis. Results: The experimental dentifrices were stable and had no cytotoxicity. Regarding dentin demineralization, the placebo group significantly increased ΔS compared to all other treatment groups (p<0.001). The dentifrices containing 5,000 µg F-/g, regardless of the presence of nano-HA, led to a smaller lesion area in relation to the other treatments (p<0.001). Conclusion: The findings of this study suggest that nano-HA reduced dentin demineralization, and dentifrice with 5,000 µg F-/g dentifrices, regardless of the presence of nano-HA, showed a greater reduction in root dentin demineralization.


Assuntos
Dentifrícios/química , Dentifrícios/farmacologia , Dentina/efeitos dos fármacos , Durapatita/química , Fluoretos/farmacologia , Nanopartículas/química , Animais , Densidade Óssea/efeitos dos fármacos , Bovinos , Fibroblastos/efeitos dos fármacos , Fluoretos/administração & dosagem , Gengiva/citologia , Dureza , Humanos , Concentração de Íons de Hidrogênio , Espectroscopia de Infravermelho com Transformada de Fourier , Desmineralização do Dente/tratamento farmacológico , Raiz Dentária/efeitos dos fármacos , Difração de Raios X
8.
PLoS One ; 15(9): e0238590, 2020.
Artigo em Inglês | MEDLINE | ID: mdl-32941456

RESUMO

The aim of this study was to evaluate the effect of silver diamine fluoride and grape seed extract on the microstructure and mechanical properties of carious dentin following exposure to acidic challenge. Ninety-eight molars with occlusal caries were used. In the control group the specimens were kept in distilled water. In the GSE group, the specimens were immersed in 6.5% grape seed extract solution for 30 minutes. In the SDF group, the specimens were immersed in 30% SDF solution for 4 minutes. In the GSE+SDF group, the specimens were immersed in 6.5% grape seed extract solution for 30 minutes and then exposed to 30% SDF solution for 4 minutes. All the groups underwent pH cycling model for 8 days. Microhardness measurements were taken at the baseline before surface treatments and after pH cycling. Elastic modulus was measured, after pH cycling. In the control group, the final hardness was significantly lower than the initial hardness (P = 0.001). In the SDF group, the final hardness was significantly higher than the initial hardness (P < 0.001). There was no significant difference between the initial and final hardness values in the GSE and GSE + SDF groups (p = 0.92, p = 0.07). The H1-H0 in the SDF group was significantly higher than the other groups (P<0.05). Moreover, elastic modulus of the experimental groups except GSE+SDF group was significantly higher than control. The highest mean elastic modulus was detected in the SDF group (P<0.001). The use of SDF and GSE prior to the acid challenge improved mechanical properties. Microstructural investigation, using scanning electron microscope showed dentin structure protection against acid challenges with SDF treatment and collagen matrix stabilization with GSE treatment. However combined use of these agents was not beneficious.


Assuntos
Ácidos/efeitos adversos , Dentina/efeitos dos fármacos , Extrato de Sementes de Uva/farmacologia , Proantocianidinas/farmacologia , Substâncias Protetoras/farmacologia , Compostos de Amônio Quaternário/farmacologia , Compostos de Prata/farmacologia , Fenômenos Biomecânicos/efeitos dos fármacos , Dentina/ultraestrutura , Módulo de Elasticidade/efeitos dos fármacos , Fluoretos Tópicos/farmacologia , Humanos
9.
Int J Mol Sci ; 21(17)2020 Sep 02.
Artigo em Inglês | MEDLINE | ID: mdl-32887519

RESUMO

One of the main goals of dentistry is the natural preservation of the tooth structure following damage. This is particularly implicated in deep dental cavities affecting dentin and pulp, where odontoblast survival is jeopardized. This activates pulp stem cells and differentiation of new odontoblast-like cells, accompanied by increased Wnt signaling. Our group has shown that delivery of small molecule inhibitors of GSK3 stimulates Wnt/ß-catenin signaling in the tooth cavity with pulp exposure and results in effective promotion of dentin repair. Small molecules are a good therapeutic option due to their ability to pass across cell membranes and reach target. Here, we investigate a range of non-GSK3 target small molecules that are currently used for treatment of various medical conditions based on other kinase inhibitory properties. We analyzed the ability of these drugs to stimulate Wnt signaling activity by off-target inhibition of GSK3. Our results show that a c-Met inhibitor, has the ability to stimulate Wnt/ß-catenin pathway in dental pulp cells in vitro at low concentrations. This work is an example of drug repurposing for dentistry and suggests a candidate drug to be tested in vivo for natural dentin repair. This approach bypasses the high level of economical and time investment that are usually required in novel drug discoveries.


Assuntos
Proliferação de Células/efeitos dos fármacos , Dentina/citologia , Reposicionamento de Medicamentos , Odontoblastos/citologia , Pirrolidinonas/farmacologia , Quinolinas/farmacologia , Bibliotecas de Moléculas Pequenas/farmacologia , Via de Sinalização Wnt/efeitos dos fármacos , Células Cultivadas , Dentina/efeitos dos fármacos , Dentina/metabolismo , Humanos , Odontoblastos/efeitos dos fármacos , Odontoblastos/metabolismo
10.
PLoS One ; 15(8): e0237726, 2020.
Artigo em Inglês | MEDLINE | ID: mdl-32813737

RESUMO

In this in vitro study, spherical mesoporous bioactive glass nanoparticle (MBGN) and non-porous bioactive glass nanoparticle (BGN) were fabricated. The impact of mesopores on dentinal tubule occlusion and bioactivity was compared to examine the potential of these materials in alleviating dentine hypersensitivity (DH). MBGN, dense BGN were synthesized by sol-gel methods and characterized. Bioactivity and ion dissolution ability were analyzed. Twenty-four simulated sensitive dentin discs were prepared and randomly divided into three groups (n = 8 each); Group 1, no treatment; Group 2, Dense BGN; Group 3, MBGN. Then, four discs per group were treated with 6wt.% citric acid challenge to determine the acidic resistance. The effects on dentinal tubule occlusion were observed by FESEM. The microtensile bond strength (MTBS) was also measured. Cytotoxicity was examined using the MTT assay. According to the results, dense BGN without mesopore and MBGN with mesopore were successfully fabricated. Dense BGN and MBGN occluded the dentinal tubule before and after acid challenge. However, only MBGN formed a membrane-like layer and showed hydroxyapatite formation after soaking SBF solution. There were no significant differences in MTBS among dense BGN, MBGN (P>0.05). The cell viability was above 72% of both materials. The higher bioactivity of MBGN compared with that of dense BGN arises from the structural difference and it is anticipated to facilitate dentin remineralization by inducing hydroxyapatite deposition within the dentinal tubule.


Assuntos
Dessensibilizantes Dentinários/administração & dosagem , Sensibilidade da Dentina/terapia , Dentina/efeitos dos fármacos , Vidro/química , Nanopartículas/administração & dosagem , Dente Pré-Molar , Dentina/metabolismo , Dessensibilizantes Dentinários/química , Dessensibilizantes Dentinários/farmacocinética , Permeabilidade da Dentina/efeitos dos fármacos , Sensibilidade da Dentina/patologia , Liberação Controlada de Fármacos , Durapatita/metabolismo , Humanos , Teste de Materiais , Microscopia Eletrônica de Varredura , Nanopartículas/química , Nanopartículas/ultraestrutura , Porosidade , Propriedades de Superfície , Resistência à Tração , Remineralização Dentária/métodos , Difração de Raios X
11.
Int J Nanomedicine ; 15: 4755-4762, 2020.
Artigo em Inglês | MEDLINE | ID: mdl-32753864

RESUMO

Aim: This study was conducted to evaluate the effects of three nanoparticle solutions used as dentin pretreatments on the microshear bond strength (µSBS) of a conventional glass ionomer cement (GIC) to dentin. Materials and Methods: Ninety intact human molars were used after sectioning their occlusal surfaces to expose flat dentin surfaces. The specimens were randomly assigned to nine groups (n = 10). Group A was the control group (without using the cavity disinfectant). In groups B, C, D, and E, the prepared dentin surfaces were treated with 1 cc 2% chlorhexidine (CHX), 0.1% silver nanoparticle (SNP), 0.1% titanium dioxide nanoparticle (TNP), and 0.1% zinc oxide nanoparticle (ZNP) solutions for 1 minute, respectively, before applying the conditioner. CHX, SNPs, TNPs, and ZNPs were applied for 1 minute after applying the conditioner in groups F, G, H, and I, respectively. The specimens were restored with a conventional GIC and underwent µSBS testing after 24 hours. The data were analyzed using the one-way analysis of variance and Tukey's test (p=0.05). Results: The applications of the nanoparticles (SNP, TNP, and ZNP) after the conditioner were associated with significantly greater µSBS values compared to that of the control group (p values < 0.05). Significantly higher µSBS values were observed when TNP or ZNP was applied after the conditioner compared to their applications before the conditioner (p values < 0.05). The highest µSBS values were observed when TNP was applied after the conditioner. Conclusion: Dentin pretreatment with the nanoparticles after applying the conditioner enhanced the bond strength of the GIC to dentin compared with the control group. The best results were obtained for the TNPs applied after the conditioner.


Assuntos
Colagem Dentária , Dentina/efeitos dos fármacos , Cimentos de Ionômeros de Vidro/farmacologia , Nanopartículas Metálicas/química , Prata/farmacologia , Titânio/farmacologia , Óxido de Zinco/farmacologia , Clorexidina/farmacologia , Cimentos de Ionômeros de Vidro/química , Humanos , Teste de Materiais , Propriedades de Superfície
12.
Sci Rep ; 10(1): 10970, 2020 07 03.
Artigo em Inglês | MEDLINE | ID: mdl-32620785

RESUMO

To study the antimicrobial effects of quaternary ammonium silane (QAS) exposure on Streptococcus mutans and Lactobacillus acidophilus bacterial biofilms at different concentrations. Streptococcus mutans and Lactobacillus acidophilus biofilms were cultured on dentine disks, and incubated for bacterial adhesion for 3-days. Disks were treated with disinfectant (experimental QAS or control) and returned to culture for four days. Small-molecule drug discovery-suite was used to analyze QAS/Sortase-A active site. Cleavage of a synthetic fluorescent peptide substrate, was used to analyze inhibition of Sortase-A. Raman spectroscopy was performed and biofilms stained for confocal laser scanning microscopy (CLSM). Dentine disks that contained treated dual-species biofilms were examined using scanning electron microscopy (SEM). Analysis of DAPI within biofilms was performed using CLSM. Fatty acids in bacterial membranes were assessed with succinic-dehydrogenase assay along with time-kill assay. Sortase-A protein underwent conformational change due to QAS molecule during simulation, showing fluctuating alpha and beta strands. Spectroscopy revealed low carbohydrate intensities in 1% and 2% QAS. SEM images demonstrated absence of bacterial colonies after treatment. DAPI staining decreased with 1% QAS (p < 0.05). Fatty acid compositions of dual specie biofilm increased in both 1% and 2% QAS specimens (p < 0.05). Quaternary ammonium silane demonstrated to be a potent antibacterial cavity disinfectant and a plaque inhibitor and can be of potential significance in eliminating caries-forming bacteria.


Assuntos
Anti-Infecciosos/farmacologia , Biofilmes/efeitos dos fármacos , Compostos de Amônio Quaternário/farmacologia , Silanos/farmacologia , Aminoaciltransferases/antagonistas & inibidores , Aderência Bacteriana/efeitos dos fármacos , Proteínas de Bactérias/antagonistas & inibidores , Proteínas de Bactérias/química , Proteínas de Bactérias/efeitos dos fármacos , Biofilmes/crescimento & desenvolvimento , Cisteína Endopeptidases , Cárie Dentária/tratamento farmacológico , Cárie Dentária/microbiologia , Placa Dentária/tratamento farmacológico , Placa Dentária/microbiologia , Dentina/efeitos dos fármacos , Dentina/microbiologia , Dentina/ultraestrutura , Desinfetantes/farmacologia , Humanos , Técnicas In Vitro , Lactobacillus acidophilus/efeitos dos fármacos , Lactobacillus acidophilus/fisiologia , Microscopia Eletrônica de Varredura , Simulação de Acoplamento Molecular , Boca/microbiologia , Streptococcus mutans/efeitos dos fármacos , Streptococcus mutans/fisiologia
13.
Acta Odontol Latinoam ; 33(1): 27-32, 2020 Apr 01.
Artigo em Inglês | MEDLINE | ID: mdl-32621596

RESUMO

The aim of this study was to assess the influence of different pre-treatment approaches on glass ionomer cement (GIC) bond strength (BS) to dentine. Sixty bovine incisors were allocated into six groups according to substrate - sound or caries-affected dentine; and substrate pre-treatment approach - no conditioning (control), polyacrylic acid for 10 s and phosphoric acid for 7 s. Teeth in the caries-affected dentine group were previously submitted to cariogenic pH-cycling challenge. After dentine pre-treatment, according to experimental groups, polyethylene tubes were placed on flat dentine surfaces and filled with GIC. Teeth were stored in distilled water for 24 h at 37 °C and then submitted to microshear test (0.5 mm/min). Failure pattern analysis was performed under stereomicroscope (400x). Data were analysed using two-way ANOVA and Tukey's test (α=5%). Statistically significant differences were found for the pre-treatment approach, regardless of substrate (p<0.001). The polyacrylic acid group and control group had similar BS values, and were both better than the phosphoric acid group. In general, GIC had better bonding performance in sound dentine than in caries-affected dentine. In conclusion, dentine pre-treatment with polyacrylic acid did not improve the performance of GIC restoration on clinically relevant substrates.


Assuntos
Resinas Acrílicas/farmacologia , Colagem Dentária/métodos , Dentina/efeitos dos fármacos , Cimentos de Ionômeros de Vidro/química , Animais , Bovinos , Infiltração Dentária/prevenção & controle , Dentina/diagnóstico por imagem , Dentina/patologia , Teste de Materiais
14.
BMC Oral Health ; 20(1): 163, 2020 06 03.
Artigo em Inglês | MEDLINE | ID: mdl-32493290

RESUMO

BACKGROUND: To evaluate tooth discoloration by newly developed calcium silicate-based materials, and to examine the pre-application of dentin bonding agent (DBA) for preventing discoloration caused by mineral trioxide aggregate (MTA). METHODS: The roots of 50 premolars were randomly divided into five groups (n = 10) and cavities were prepared from resected root surfaces. MTA was placed in the cavities of teeth belonging to the ProRoot MTA (MTA) and RetroMTA (RMTA) groups. For teeth belonging to the ProRoot + DBA (MTA-B) and RetroMTA + DBA (RMTA-B) groups, DBA was first applied to the cavities prior to the addition of MTA. Teeth in the control group were restored with composite resin only (i.e., without MTA). After 12 weeks, MTA was removed from the MTA and RMTA groups and bleaching agents were applied for 3 additional weeks. Color assessments were recorded at baseline, and 1, 4, and 12 weeks, as well as after bleaching. A one-way ANOVA was performed to assess the differences between the two types of MTAs and color changes following DBA pre-application in each MTA group. A p-value of < 0.05 was considered indicative of statistical significance. RESULTS: Following 12 weeks of MTA treatment, there was a significant difference between the discoloration in the MTA and RMTA groups (p < 0.05). However, no significant difference was observed between the RMTA and RMTA-B groups (p > 0.05). Following bleaching, the color changes (ΔE values) of the MTA group were not significantly different from those of the MTA-B group (p > 0.05). The difference of ΔE between the RMTA group after internal bleaching and the RMTA-B group was also not significant (p > 0.05). CONCLUSIONS: RetroMTA caused significantly less discoloration than ProRoot MTA. Pre-application of DBA reduced discoloration caused by ProRoot MTA. MTA discoloration was improved equally well between DBA pre-application and post-bleaching.


Assuntos
Compostos de Alumínio/efeitos adversos , Compostos de Cálcio/efeitos adversos , Óxidos/farmacologia , Silicatos/efeitos adversos , Descoloração de Dente/prevenção & controle , Compostos de Alumínio/farmacologia , Compostos de Cálcio/farmacologia , Dentina/efeitos dos fármacos , Adesivos Dentinários/efeitos adversos , Combinação de Medicamentos , Humanos , Óxidos/efeitos adversos , Silicatos/farmacologia , Descoloração de Dente/induzido quimicamente
15.
Trials ; 21(1): 464, 2020 Jun 03.
Artigo em Inglês | MEDLINE | ID: mdl-32493500

RESUMO

BACKGROUND: Dentin hypersensitivity (DH) is a condition characterized by short and sharp episodes of pain which will arise in response to tactile, chemical, thermal, evaporative or osmotic stimuli. The painful symptoms cause discomfort in patients and reduce their quality of life. Recently, the novel zinc-containing desensitizer CAREDYNE Shield has been developed as a new type of desensitizer that acts by inducing chemical occlusion of dentinal tubules, and releasing zinc ion for root caries prevention. However, the clinical effectiveness of CAREDYNE Shield on DH remains unclear. Therefore, the aim of this study is to evaluate the effectiveness of CAREDYNE Shield on DH by comparing with that of another desensitizer, Nanoseal, commonly used in Japan. METHODS/DESIGN: This study protocol is a two-arm, parallel, pilot randomized controlled trial. Forty DH patients will be randomly allocated to two groups. Participants in the intervention group will be treated with CAREDYNE Shield, while those in the control group will be treated with Nanoseal. The primary outcome is the reduction of pain intensity in response to air stimuli measured with a 5-point verbal response scale from baseline to 4 weeks after the intervention, and Fisher's exact test will be used for analyses. DISCUSSION: CAREDYNE Shield can be casually applied to subgingival areas and proximal surfaces because it reacts with only tooth substance. Furthermore, zinc has been reported to reduce the demineralization of enamel and dentin and inhibit biofilm formation, plaque growth and dentin-collagen degradation. Therefore, CAREDYNE Shield may be expected to be a useful novel desensitizer that acts not only as a desensitizer but also as a root caries inhibitor. TRIAL REGISTRATION: UMIN Clinical Trials Registry (UMIN-CTR), ID: UMIN000038072. Registered on 21 September 2019. TRIAL STATUS: This study (protocol version number: version 1.4.0; approved on 22 October 2019) is ongoing. The recruitment of participants began in December 2019 and will be continued until November 2020 (Hanke, Am Dent Assoc 27:1379-1393, 1940).


Assuntos
Dessensibilizantes Dentinários/uso terapêutico , Sensibilidade da Dentina/tratamento farmacológico , Dentina/efeitos dos fármacos , Zinco/uso terapêutico , Humanos , Japão , Nanopartículas/uso terapêutico , Projetos Piloto , Ensaios Clínicos Controlados Aleatórios como Assunto
16.
Biosci Rep ; 40(6)2020 06 26.
Artigo em Inglês | MEDLINE | ID: mdl-32495822

RESUMO

Dental pulp stem cells (DPSCs) regenerate injured/diseased pulp tissue and deposit tertiary dentin. DPSCs stress response can be activated by exposing cells to the monomer triethyleneglycol dimethacrylate (TEGDMA) and inducing the DNA-damage inducible transcript 4 (DDIT4) protein expression. The goal of the present study was to determine the impact of TEGDMA on the ability of DPSCs to maintain their self-renewal capabilities, develop and preserve their 3D structures and deposit the mineral. Human primary and immortalized DPSCs were cultured in extracellular matrix/basement membrane (ECM/BM) to support stemness and to create multicellular interacting layers (microtissues). The microtissues were exposed to the toxic concentrations of TEGDMA (0.5 and 1.5 mmol/l). The DPSCs spatial architecture was assessed by confocal microscopy. Mineral deposition was detected by alizarin red staining and visualized by stereoscopy. Cellular self-renewal transcription factor SOX2 was determined by immunocytochemistry. The microtissue thicknesses/vertical growth, surface area of the mineralizing microtissues, the percentage of area covered by the deposited mineral, and the fluorescence intensity of the immunostained cells were quantified ImageJ. DDIT4 expression was determined by a single molecule RNA-FISH technique and the cell phenotype was determined morphologically. DDIT4 expression was correlated with the cytotoxic phenotype. TEGDMA affected the structures of developing and mature microtissues. It inhibited the deposition of the mineral in the matrix while not affecting the SOX2 expression. Our data demonstrate that DPSCs retained their self-renewal capacity although their other functions were impeded. Since the DPSCs pool remained preserved, properties effected by the irritant should be restored by a proper rescue therapy.


Assuntos
Autorrenovação Celular/efeitos dos fármacos , Resinas Compostas/toxicidade , Polpa Dentária/efeitos dos fármacos , Dentina/efeitos dos fármacos , Dentinogênese/efeitos dos fármacos , Polietilenoglicóis/toxicidade , Ácidos Polimetacrílicos/toxicidade , Células-Tronco/efeitos dos fármacos , Adulto , Linhagem Celular , Polpa Dentária/metabolismo , Polpa Dentária/patologia , Dentina/metabolismo , Dentina/patologia , Humanos , Fenótipo , Cultura Primária de Células , Fatores de Transcrição SOXB1/metabolismo , Transdução de Sinais , Células-Tronco/metabolismo , Células-Tronco/patologia , Fatores de Transcrição/genética , Fatores de Transcrição/metabolismo , Adulto Jovem
17.
Int J Nanomedicine ; 15: 3921-3936, 2020.
Artigo em Inglês | MEDLINE | ID: mdl-32581537

RESUMO

Background: Mesoporous calcium-silicate nanoparticles (MCSNs) have good prospects in the medical field due to their great physicochemical characteristics, antibacterial activity and drug delivery capacity. This study was to analyze the antibiofilm activity and mechanisms of silver (Ag) and zinc (Zn) incorporated MCSNs (Ag/Zn-MCSNs) with different percentages of Ag and Zn. Methods: Ag/Zn(1:9, molar ratio)-MCSNs and Ag/Zn(9:1, molar ratio)-MCSNs were prepared and characterized. Endocytosis of nanoparticles by Enterococcus faecalis (E. faecalis) treated with Ag/Zn-MCSNs was observed using TEM to explore the antibacterial mechanisms. The antibiofilm activity of Ag/Zn-MCSNs with different ratios of Ag and Zn was tested by E. faecalis biofilm model in human roots. The human roots pretreated by different Ag/Zn-MCSNs were cultured with E. faecalis. Then, SEM and CLSM were used to observe the survival of E. faecalis on the root canal wall. Cytotoxicity of the nanoparticles was tested by CCK8 kits. Results: The Ag/Zn-MCSNs release Ag+ and destroy the cell membranes to kill bacteria. The MCSNs containing Ag showed antibacterial activity against E. faecalis biofilms in different degrees, and they can adhere to dentin surfaces to get a continuous antibacterial effect. However, MTA, MCSNs and Zn-MCSNs could not disrupt the bacterial biofilms obviously. MCSNs, Ag/Zn(1:1, molar ratio)-MCSNs and Ag/Zn(1:9)-MCSNs showed no obvious cytotoxicity, while Ag-MCSNs and Ag/Zn(9:1)-MCSNs showed cytotoxicity. Zn-MCSNs can slightly promote cell proliferation. Conclusion: Ag/Zn-MCSNs have good antibiofilm activity. They might achieve an appropriate balance between the antibacterial activity and cytotoxicity by adjusting the ratio of Ag and Zn. Ag/Zn-MCSNs are expected to be a new type of root canal disinfectant or sealer for root canal treatment.


Assuntos
Antibacterianos/farmacologia , Enterococcus faecalis/efeitos dos fármacos , Nanopartículas/química , Prata/química , Zinco/química , Animais , Antibacterianos/química , Biofilmes/efeitos dos fármacos , Compostos de Cálcio/química , Cavidade Pulpar/microbiologia , Dentina/efeitos dos fármacos , Endocitose/efeitos dos fármacos , Enterococcus faecalis/fisiologia , Infecções por Bactérias Gram-Positivas/prevenção & controle , Humanos , Camundongos , Osteoblastos/efeitos dos fármacos , Porosidade , Silicatos/química , Prata/farmacologia , Zinco/farmacologia
18.
Mar Drugs ; 18(5)2020 May 18.
Artigo em Inglês | MEDLINE | ID: mdl-32443628

RESUMO

The aim of the present study was to evaluate the effect of 0.1% chitosan (Ch) solution as an additional primer on the mechanical durability and enzymatic activity on dentine using an etch-and-rinse (E&R) adhesive and a universal self-etch (SE) adhesive. Microtensile bond strength and interfacial nanoleakage expression of the bonded interfaces for all adhesives (with or without pretreatment with 0.1% Ch solution for 1 min and air-dried for 5 seconds) were analyzed immediately and after 10,000 thermocycles. Zymograms of protein extracts from human dentine powder incubated with Optibond FL and Scotchbond Universal on untreated or Ch-treated dentine were obtained to examine dentine matrix metalloproteinase (MMP) activities. The use of 0.1% Ch solution as an additional primer in conjunction with the E&R or SE adhesive did not appear to have influenced the immediate bond strength (T0) or bond strength after thermocycling (T1). Zymography showed a reduction in MMP activities only for mineralized and demineralized dentine powder after the application of Ch. Application of 0.1% Ch solution does not increase the longevity of resin-dentine bonds. Nonetheless, the procedure appears to be proficient in reducing dentine MMP activities within groups without adhesive treatments. Further studies are required to comprehend the cross-linking of Ch with dentine collagen.


Assuntos
Quitosana/farmacologia , Adesivos Dentinários/química , Dentina/efeitos dos fármacos , Metaloproteinases da Matriz/efeitos dos fármacos , Materiais Biocompatíveis/administração & dosagem , Materiais Biocompatíveis/farmacologia , Quitosana/administração & dosagem , Humanos , Teste de Materiais
19.
Int J Nanomedicine ; 15: 3181-3191, 2020.
Artigo em Inglês | MEDLINE | ID: mdl-32440117

RESUMO

Objective: The aim of this concise review is to summarize the use of silver nanomaterials for caries prevention. Methods: Two researchers independently performed a literature search of publications in English using Embase, Medline, PubMed, and Scopus databases. The keywords used were (silver nanoparticles OR AgNPs OR nano silver OR nano-silver) AND (caries OR tooth decay OR remineralisation OR remineralization). They screened the title and abstract to identify potentially eligible publications. They then retrieved the full texts of the identified publications to select original research reporting silver nanomaterials for caries prevention. Results: The search identified 376 publications, and 66 articles were included in this study. The silver nanomaterials studied were categorized as resin with silver nanoparticles (n=31), silver nanoparticles (n=21), glass ionomer cement with silver nanoparticles (n=7), and nano silver fluoride (n=7). Most (59/66, 89%) studies investigated the antibacterial properties, and they all found that silver nanomaterials inhibited the adhesion and growth of cariogenic bacteria, mainly Streptococcus mutans. Although silver nanomaterials were used as anti-caries agents, only 11 (11/66, 17%) studies reported the effects of nanomaterials on the mineral content of teeth. Eight of them are laboratory studies, and they found that silver nanomaterials prevented the demineralization of enamel and dentin under an acid or cariogenic biofilm challenge. The remaining three are clinical trials that reported that silver nanomaterials prevented and arrested caries in children. Conclusion: Silver nanoparticles have been used alone or with resin, glass ionomer, or fluoride for caries prevention. Silver nanomaterials inhibit the adhesion and growth of cariogenic bacteria. They also impede the demineralization of enamel and dentin.


Assuntos
Cárie Dentária/tratamento farmacológico , Cárie Dentária/prevenção & controle , Nanoestruturas/uso terapêutico , Prata/uso terapêutico , Cariostáticos/farmacologia , Cariostáticos/uso terapêutico , Cárie Dentária/microbiologia , Esmalte Dentário/efeitos dos fármacos , Dentina/efeitos dos fármacos , Humanos , Prata/farmacologia
20.
Sci Rep ; 10(1): 8127, 2020 05 15.
Artigo em Inglês | MEDLINE | ID: mdl-32415190

RESUMO

The present study aimed to evaluate the efficiency, effectiveness, and biocompatibility of two agents used for the chemomechanical removal of carious dentin. Sixty extracted carious human teeth were treated with a conventional bur (CBG) or chemomechanical agents - Papacarie Duo (PG) and Brix 3000 (BG). Treatment efficiency and effectiveness were assessed by the working time for carious dentin removal and Knoop microhardness values, respectively. Human pulp fibroblasts (FP6) were used to evaluate cytotoxicity by incorporating MTT dye, and genotoxicity was evaluated with the micronuclei test. The carious tissue was removed in a shorter time with CBG (median = 54.0 seconds) than the time required for chemomechanical agents (p = 0.0001). However, the time was shorter for Brix 3000 (BG) than that for Papacarie Duo (PG), showing mean values of 85.0 and 110.5 seconds, respectively. Regarding microhardness testing, all approaches tested were effective (p < 0.05). The final mean microhardness values were 48.54 ± 16.31 KHN, 43.23 ± 13.26 KHN, and 47.63 ± 22.40 KHN for PG, BG, and CBG, respectively. PG decreased cell viability compared to that of BG, but it presented no genotoxicity. Brix 3000 may be a good option for chemomechanical dentin caries removal due to its reduced removal time and lower cytotoxicity compared to the other treatment options.


Assuntos
Cárie Dentária/terapia , Preparo da Cavidade Dentária/métodos , Dentina/química , Fibroblastos/efeitos dos fármacos , Dureza/efeitos dos fármacos , Papaína/farmacologia , Hipoclorito de Sódio/farmacologia , Proliferação de Células , Células Cultivadas , Dentina/efeitos dos fármacos , Fibroblastos/patologia , Humanos , Técnicas In Vitro , Estresse Mecânico
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