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1.
Niger J Clin Pract ; 23(9): 1237-1242, 2020 Sep.
Artigo em Inglês | MEDLINE | ID: mdl-32913162

RESUMO

Aims: We evaluated and compared EndoActivator, CanalBrush, and passive ultrasonic irrigation (PUI) in the removal of calcium hydroxide and calcium hydroxide with iodoform and p-chlorophenol paste (Calcipast Forte) from artificial standardized grooves in the apical third of root canals. Materials and Methods: A total of 34 mandibular premolars were prepared and then split longitudinally. A standardized groove was prepared in the apical part of both segments. The grooves were filled with either calcium hydroxide or Calcipast Forte, and the segments were reassembled. CanalBrush, EndoActivator, or PUI were used. The amount of remaining medicament was evaluated using a four-grade scoring system. Results: None of the irrigation methods could completely remove the pastes from the grooves. More Calcipast Forte paste was detected compared with calcium hydroxide (P < 0.01). PUI was the least effective method in removing Calcipast Forte. Conclusions: It was more difficult to remove Calcipast Forte than a water-based calcium hydroxide paste.


Assuntos
Hidróxido de Cálcio/química , Clorofenóis , Cavidade Pulpar/patologia , Hidrocarbonetos Iodados , Materiais Restauradores do Canal Radicular/química , Irrigantes do Canal Radicular/administração & dosagem , Terapia por Ultrassom/métodos , Humanos , Irrigantes do Canal Radicular/química , Preparo de Canal Radicular/instrumentação , Preparo de Canal Radicular/métodos , Irrigação Terapêutica/métodos , Terapia por Ultrassom/instrumentação , Ultrassom , Água
2.
Rev. Asoc. Odontol. Argent ; 108(2): 46-51, mayo-ago. 2020. tab
Artigo em Espanhol | LILACS | ID: biblio-1121108

RESUMO

Objetivos: Comparar ex vivo la eficacia del instrumento XP-endo Finisher y del sistema EndoActivator en la reducción/eliminación del biofilm microbiano en conductos radiculares infectados. Materiales y métodos: Se utilizaron 23 premolares inferiores humanos extraídos cuya longitud fue estandarizada en 17 mm. Todos los conductos se prepararon con el sistema WaveOne Gold Medium (#35.06). Los dientes se esterilizaron, se inocularon con Enterococcus faecalis y se separaron en dos grupos experimentales de 10 piezas cada uno. De los 3 dientes remanentes, 1 fue utilizado como control positivo y 2, como controles negativos. En el grupo 1, las soluciones irrigantes se agitaron con XP-endo Finisher. En el grupo 2, se utilizó EndoActivator. Se tomaron muestras antes de la contaminación, luego de esta y después de la agitación de los irrigantes mediante conos de papel estériles. La carga microbiana fue sembrada en agar sangre y los conos se cultivaron en caldo tripteína de soja. La remoción de la carga microbiana se determinó por la presencia o ausencia de turbiedad del medio. Las unidades formadoras de colonias (UFC) remanentes se cuantificaron y los resultados se categorizaron como R1 (≤10 UFC) o R2 (>10 UFC). Los datos fueron analizados mediante la prueba de Fisher. Resultados: No hubo diferencias significativas entre XP-endo Finisher y EndoActivator (P>0,05). El número de usos no influyó sobre la capacidad operativa de ambos instrumentos (AU)


Aim: To compare ex vivo the effectiveness of the XP-endo Finisher and the EndoActivator in biofilm reduction/ removal from infected root canals. Materials and methods: Twenty three extracted human single-rooted lower premolars were selected and standardised to 17 mm in length. All the canals were prepared with WaveOne Gold Medium reciprocating files (#35.06). The teeth were autoclaved and inoculated with Enterococcus faecalis. The infected teeth were then assigned to 2 experimental groups of 10 teeth each according to the final irrigation/agitation protocol. Of the three remaining teeth, one was used as a positive control, and the other two were used as negative controls. In Group 1 the irrigating solutions were agitated with XP-endo Finisher while in Group 2 the EndoActivator was used. All root canals were sampled before and after contamination, and again after irrigant agitation with sterile paper points. The microbial load was spread on blood agar plates and the paper points were cultured in sterile trypticase soy broth. The removal of the microbial load was determined by visual observation of the turbidity of the media and by quantification of the number of colony-forming units (UFC). The results were categorized as R1 (≤10 UFC) or R2 (>10 UFC). Data were analysed by the Fisher's exact test at P<0.05. Results: No significant differences was found between XP-endo Finisher and EndoActivator (P>0.05) regarding their effectiveness in the reduction/removal of the microbial biofilm. The number of uses of both instruments did not affect their operative performance (AU) Conclusion: XPF and EA were both equally effective for microbial biofilm reduction/removal from ex vivo infected root canals (AU)


Assuntos
Irrigantes do Canal Radicular/química , Equipamentos Odontológicos de Alta Rotação , Biofilmes , Instrumentos Odontológicos , Cavidade Pulpar/microbiologia , Técnicas In Vitro , Contagem de Colônia Microbiana/métodos , Eficácia , Análise Estatística , Enterococcus faecalis/isolamento & purificação , Meios de Cultura
3.
Niger J Clin Pract ; 23(5): 697-703, 2020 May.
Artigo em Inglês | MEDLINE | ID: mdl-32367879

RESUMO

Background: The purpose of this study was to assess the quantity of the chelated calcium ions and the smear layer removal efficiency after root canal final irrigation with three different solutions. Materials and Methods: Forty-five teeth were instrumented with rotary-files, then randomly divided into 3 equal groups (n = 15) depending on the final irrigation solution; group I: 17% ethylenediaminetetraacetic acid (EDTA), group II: 0.2% chitosan, and group III: 10% trisodium citrate. According to the time of application, every group was divided into 3 subgroups (1 min, 5 min, and 24 h). The quantification analysis of chelated calcium ions was performed by flame atomic absorption spectrometry (FAAS). Then, the presence of smear layer was examined by splitting the samples longitudinally and using scanning electron microscopy (SEM) to examine coronal, middle, and apical root canal levels. One-way analysis of variance (ANOVA) test was used for the evaluation of treatment effect. Kruskal-Wallis test was executed to detect a significant difference between groups, while Mann-Whitney U test has determined the difference between each two groups for smear layer. Results: Both 17% EDTA and 0.2% chitosan had not been statistically significant difference for smear layer removal efficiency and observed calcium ion concentrations. Although, they were more efficient of 10% trisodium citrate with a significant difference (P < 0.05). Conclusion: The application time of the chelators' solutions must not exceed 5 min to completely remove smear layer, and 0.2% chitosan is a natural substitute for 17% EDTA with a safety application for 24 h.


Assuntos
Quitosana/química , Ácido Edético/química , Irrigantes do Canal Radicular/química , Preparo de Canal Radicular/métodos , Humanos , Microscopia Eletrônica de Varredura , Camada de Esfregaço/diagnóstico por imagem , Camada de Esfregaço/cirurgia , Dente/cirurgia
4.
Braz Oral Res ; 34: e020, 2020.
Artigo em Inglês | MEDLINE | ID: mdl-32236317

RESUMO

This in vitro study aimed to assess the effects of different pretreatments used to adapt glass-fiber posts cemented to root canals with different resin cements, regarding porosity percentage and bond strength. Twelve bovine incisor roots were prepared with Largo drills. After post space preparation, the specimens were randomized into two types of pretreatment groups (n = 3): water-wet bonding and ethanol-wet bonding. After the post were cemented, the roots were stored in 100% humidity at room temperature for 7 days. The samples were scanned by microcomputed tomography (micro-CT). Images were reconstructed by NRecon software, and CTAn software was used to analyze the porosity percentage (%) at the luting interface. Evaluation of the push-out bond strength was performed by serially cutting the roots, and submitting the slices to testing. Additionally, the resin cement post-gel shrinkage values (%) were measured using the strain-gauge method (n = 10). Data were analyzed by two-way ANOVA, Tukey's test and Student's t test (a = 0.05). The roots prepared with ethanol-wet bonding using RelyX™ U200 had significantly lower porosity in the coronal and apical thirds (p < 0.05). The group prepared with ethanol-wet bonding using RelyX™ ARC presented better bond strength results in the coronal and apical thirds (p < 0.05). RelyX™ ARC (0.97%) produced a higher post-gel shrinkage value than RelyX™ U200 (0.77%). Canals pretreated with ethanol-wet bonding presented better outcomes in regard to porosity percentage and push-out bond strength.


Assuntos
Adesivos Dentinários/farmacologia , Etanol/farmacologia , Técnica para Retentor Intrarradicular , Cimentos de Resina/química , Raiz Dentária/efeitos dos fármacos , Animais , Bovinos , Colagem Dentária , Materiais Dentários/química , Cavidade Pulpar , Vidro , Teste de Materiais , Porosidade , Irrigantes do Canal Radicular/química , Microtomografia por Raio-X
5.
J Appl Oral Sci ; 28: e20190516, 2020.
Artigo em Inglês | MEDLINE | ID: mdl-32236357

RESUMO

INTRODUCTION: This study investigated the effect of a calcium hydroxide (CH) paste (CleaniCal®) containing N-2-methyl pyrrolidone (NMP) as a vehicle on Enterococcus faecalis (E. faecalis) biofilms compared with other products containing saline (Calasept Plus™) or propylene glycol (PG) (Calcipex II®). METHODOLOGY: Standardized bovine root canal specimens were used. The antibacterial effects were measured by colony-forming unit counting. The thickness of bacterial microcolonies and exopolysaccharides was assessed using confocal laser scanning microscopy. Morphological features of the biofilms were observed using field-emission scanning electron microscopy (FE-SEM). Bovine tooth blocks covered with nail polish were immersed into the vehicles and dispelling was observed. The data were analyzed using one-way analysis of variance and Tukey tests (p<0.05). RESULTS: CleaniCal® showed the highest antibacterial activity, followed by Calcipex II® (p<0.05). Moreover, NMP showed a higher antibacterial effect compared with PG (p<0.05). The thickness of bacteria and EPS in the CleaniCal® group was significantly lower than that of other materials tested (p<0.05). FE-SEM images showed the specimens treated with Calasept Plus™ were covered with biofilms, whereas the specimens treated with other medicaments were not. Notably, the specimen treated with CleaniCal® was cleaner than the one treated with Calcipex II®. Furthermore, the nail polish on the bovine tooth block immersed in NMP was completely dispelled. CONCLUSIONS: CleaniCal® performed better than Calasept Plus™ and Calcipex II® in the removal efficacy of E. faecalis biofilms. The results suggest the effect might be due to the potent dissolving effect of NMP on organic substances.


Assuntos
Antibacterianos/farmacologia , Biofilmes/efeitos dos fármacos , Hidróxido de Cálcio/farmacologia , Enterococcus faecalis/efeitos dos fármacos , Pirrolidinonas/farmacologia , Irrigantes do Canal Radicular/farmacologia , Análise de Variância , Animais , Cloreto de Cálcio/química , Cloreto de Cálcio/farmacologia , Hidróxido de Cálcio/química , Bovinos , Contagem de Colônia Microbiana , Combinação de Medicamentos , Teste de Materiais , Microscopia Confocal , Microscopia Eletrônica de Varredura , Cloreto de Potássio/química , Cloreto de Potássio/farmacologia , Pirrolidinonas/química , Reprodutibilidade dos Testes , Irrigantes do Canal Radicular/química , Bicarbonato de Sódio/química , Bicarbonato de Sódio/farmacologia , Cloreto de Sódio/química , Cloreto de Sódio/farmacologia , Estatísticas não Paramétricas
6.
BMC Oral Health ; 20(1): 57, 2020 02 18.
Artigo em Inglês | MEDLINE | ID: mdl-32070302

RESUMO

BACKGROUND: Intracanal medicaments can be used in various endodontic conditions including multiple visit endodontics after trauma or in regenerative endodontics. These medicaments should be removed from the root canal before the placement of the filling or repair material. The aim of the present study was to evaluate the effect of prior calcium hydroxide (Ca(OH)2) and modified triple antibiotic paste (mTAP) placement on the push-out bond strength of TotalFill BC fast set putty (BC fast set putty) to root dentin when compared to mineral trioxide aggregate (MTA). METHODS: The root canals of 45 extracted mandibular premolars were prepared to a standardized internal diameter (1.5 mm). The specimens were randomly assigned to 3 groups according to the intracanal medicament used: mTAP (a mixture of metronidazole, ciprofloxacin, and cefaclor), Ca(OH)2, and no intracanal medicament. After 1 week, the medicaments were removed, and the middle third of the roots were cut into two transverse sections (2.0 ± 0.05) (n = 90 slices). Thereafter, the specimens were divided into two subgroups (n = 45 each): MTA or BC putty. After 1 week, the push-out test was performed and failure mode was evaluated. The data were statistically analyzed using two-way ANOVA and Tukey's post hoc. RESULTS: The application of the intracanal medicament did not significantly affect the bond strength of BC putty (p > .05). For MTA, the prior application of Ca(OH)2 or mTAP significantly decreased the dislocation resistance (p < .05). Specimens in the MTA subgroups showed an almost equal number of cohesive and mixed types of failure while the majority of the specimens in the BC putty subgroups revealed the cohesive type. CONCLUSIONS: Ca(OH)2 and mTAP promoted lower bond strength of MTA to root dentin compared to the control group. However, the BC fast set putty bond strength to dentin was not affected by prior medication with Ca(OH)2 or mTAP.


Assuntos
Antibacterianos/farmacologia , Compostos de Cálcio/química , Hidróxido de Cálcio/química , Colagem Dentária , Endodontia/métodos , Materiais Restauradores do Canal Radicular/química , Irrigantes do Canal Radicular/química , Silicatos/química , Cálcio , Compostos de Cálcio/farmacologia , Cefaclor , Ciprofloxacino , Humanos , Metronidazol , Silicatos/farmacologia
7.
J Endod ; 46(2): 289-294, 2020 Feb.
Artigo em Inglês | MEDLINE | ID: mdl-31839410

RESUMO

INTRODUCTION: Mixtures of clodronate with sodium hypochlorite (NaOCl) better maintain free available chlorine (FAC) than etidronate-hypochlorite mixtures. This research aimed to compare organic tissue dissolution and residual FAC between clodronate and etidronate mixtures. Additionally, clodronate-hypochlorite mixtures lose no FAC over several hours. The second aim was to examine how well such mixtures dissolve organic material 6 hours from mixing. METHODS: Soon after mixing, porcine palatal mucosa samples were added to 32°C solutions containing 0.26 mol/L clodronate and 5% NaOCl (0.26 mol/L-5% NaOCl), 0.26 mol/L etidronate-5% NaOCl, 5% NaOCl, 0.26 mol/L clodronate, 0.26 mol/L etidronate, or phosphate-buffered saline. Weights and FAC, where applicable, were recorded initially and at 15 minutes. FAC was measured by iodometric titration. Secondly, 6 hours after mixing, mucosa was added to 0.26 mol/L clodronate-2.5% NaOCl, 2.5% NaOCl, 0.52 mol/L clodronate-5% NaOCl, 5% NaOCl, or phosphate-buffered saline. Sample weights at 0, 5, 10, and 15 minutes were recorded. Analysis of variance was used for statistical analyses (α < .05). RESULTS: Soon after mixing, 0.26 mol/L clodronate-5% NaOCl dissolved mucosa as well as 5% NaOCl and better than 0.26 mol/L etidronate-5% NaOCl compared with which it retained more FAC. At 6 hours after mixing, 0.26 mol/L clodronate-2.5% NaOCl dissolved organic material as well as 2.5% NaOCl. However, 0.52 mol/L clodronate-5% NaOCl dissolved less mucosa than 5% NaOCl. CONCLUSIONS: Soon after mixing, clodronate mixtures better dissolve organic material than etidronate mixtures and have higher residual FAC. Six hours from mixing, 0.26 mol/L clodronate-2.5% NaOCl mixtures dissolve organic material similarly to controls.


Assuntos
Ácido Clodrônico , Ácido Etidrônico , Irrigantes do Canal Radicular , Hipoclorito de Sódio , Animais , Ácido Clodrônico/química , Ácido Etidrônico/química , Irrigantes do Canal Radicular/química , Hipoclorito de Sódio/química , Solubilidade , Suínos
8.
J Appl Oral Sci ; 28: e20190005, 2020.
Artigo em Inglês | MEDLINE | ID: mdl-31800870

RESUMO

other: Chitosan is a natural, biocompatible chelating substance with potential for dental use. This study compared the effects of final canal irrigation with chitosan and EDTA on dentin microhardness, sealer dentin tubules penetration capacity, and push-out strength. METHODOLOGY: Fifty canine roots were distributed according to the final irrigation protocol (n=10): G1- 15% EDTA with conventional irrigation; G2- 15% EDTA with Endovac; G3- 0.2% chitosan with conventional irrigation; G4- 0.2% chitosan with Endovac; and G5- without irrigation. Specimens were obturated (AH Plus) and sectioned in 3 slices per root third. The first slice was used for microhardness and sealer penetration assessments under a laser confocal microscope. The second was utilized in a push-out strength test. The third slice was discarded. Data were analyzed using 2-way ANOVA and Tukey's post hoc test (α<0.05). Failure mode was determined at x40 magnification. RESULTS: Microhardness reduction was more significant in groups G2 and G4 (p<0.05). Sealer penetration through dentin was significantly greater in group G2 (p<0.05). There was no significant difference between groups G1, G3, and G4 (p>0.05). In general, all experimental groups presented similar bond resistance (p>0.05) that significantly differed from the control (p<0.001). Mixed type failures were predominant. CONCLUSIONS: In general, 0.2% chitosan and 15% EDTA solutions act in a similar manner with regard to the variables studied. The use of Endovac potentiates the effect of these solutions.


Assuntos
Quelantes/química , Quitosana/química , Colagem Dentária/métodos , Dentina/efeitos dos fármacos , Ácido Edético/química , Irrigantes do Canal Radicular/química , Análise de Variância , Resinas Epóxi/química , Testes de Dureza , Humanos , Teste de Materiais , Microscopia Confocal , Pessoa de Meia-Idade , Valores de Referência , Reprodutibilidade dos Testes , Materiais Restauradores do Canal Radicular/química , Resistência ao Cisalhamento , Propriedades de Superfície/efeitos dos fármacos
9.
Mater Sci Eng C Mater Biol Appl ; 106: 110283, 2020 Jan.
Artigo em Inglês | MEDLINE | ID: mdl-31753393

RESUMO

The aim of this study was to characterize glycolic acid (GA) and examine its effects on powder and flexural strength of dentin. Particle size and energy-dispersive EDS in GA powder was performed for chemical analysis. Surface tension and pH levels of ethylenediaminetetraacetic acid (EDTA), citric acid (CA), and GA solutions were evaluated at different times and temperatures. Dentin powder and mineralized dentin beams were immersed for 1 min in EDTA, CA, or GA solutions and subjected to Fourier transform infrared spectroscopy for apatite/collagen ratio analysis and 3-point flexure test, respectively. GA showed the largest particle size (µm), and its surface tension was similar to that of EDTA and CA. Surface tension decreased in solutions of higher concentrations. GA showed pH stability at all times and temperatures evaluated. The apatite/collagen ratio reduced with increased GA concentrations, while flexural strength was not significantly affected by GA concentration. GA seems a good choice as a final irrigation solution after root canal preparation.


Assuntos
Dentina/química , Glicolatos/química , Ácido Cítrico/química , Colágeno/química , Colágeno/metabolismo , Cavidade Pulpar/efeitos dos fármacos , Dentina/efeitos dos fármacos , Ácido Edético/química , Resistência à Flexão , Glicolatos/farmacologia , Humanos , Concentração de Íons de Hidrogênio , Tamanho da Partícula , Desnaturação Proteica , Irrigantes do Canal Radicular/química , Irrigantes do Canal Radicular/farmacologia , Tensão Superficial , Temperatura
10.
J. appl. oral sci ; 28: e20190516, 2020. graf
Artigo em Inglês | LILACS, BBO - Odontologia | ID: biblio-1090775

RESUMO

Abstract This study investigated the effect of a calcium hydroxide (CH) paste (CleaniCal®) containing N-2-methyl pyrrolidone (NMP) as a vehicle on Enterococcus faecalis (E. faecalis) biofilms compared with other products containing saline (Calasept Plus™) or propylene glycol (PG) (Calcipex II®). Methodology Standardized bovine root canal specimens were used. The antibacterial effects were measured by colony-forming unit counting. The thickness of bacterial microcolonies and exopolysaccharides was assessed using confocal laser scanning microscopy. Morphological features of the biofilms were observed using field-emission scanning electron microscopy (FE-SEM). Bovine tooth blocks covered with nail polish were immersed into the vehicles and dispelling was observed. The data were analyzed using one-way analysis of variance and Tukey tests (p<0.05). Results CleaniCal® showed the highest antibacterial activity, followed by Calcipex II® (p<0.05). Moreover, NMP showed a higher antibacterial effect compared with PG (p<0.05). The thickness of bacteria and EPS in the CleaniCal® group was significantly lower than that of other materials tested (p<0.05). FE-SEM images showed the specimens treated with Calasept Plus™ were covered with biofilms, whereas the specimens treated with other medicaments were not. Notably, the specimen treated with CleaniCal® was cleaner than the one treated with Calcipex II®. Furthermore, the nail polish on the bovine tooth block immersed in NMP was completely dispelled. Conclusions CleaniCal® performed better than Calasept Plus™ and Calcipex II® in the removal efficacy of E. faecalis biofilms. The results suggest the effect might be due to the potent dissolving effect of NMP on organic substances.


Assuntos
Animais , Bovinos , Pirrolidinonas/farmacologia , Irrigantes do Canal Radicular/farmacologia , Hidróxido de Cálcio/farmacologia , Enterococcus faecalis/efeitos dos fármacos , Biofilmes/efeitos dos fármacos , Antibacterianos/farmacologia , Cloreto de Potássio/farmacologia , Cloreto de Potássio/química , Pirrolidinonas/química , Irrigantes do Canal Radicular/química , Teste de Materiais , Cloreto de Cálcio/farmacologia , Cloreto de Cálcio/química , Hidróxido de Cálcio/química , Microscopia Eletrônica de Varredura , Cloreto de Sódio/farmacologia , Cloreto de Sódio/química , Contagem de Colônia Microbiana , Reprodutibilidade dos Testes , Análise de Variância , Bicarbonato de Sódio/farmacologia , Bicarbonato de Sódio/química , Estatísticas não Paramétricas , Microscopia Confocal , Combinação de Medicamentos
11.
BMC Oral Health ; 19(1): 181, 2019 08 08.
Artigo em Inglês | MEDLINE | ID: mdl-31395103

RESUMO

BACKGROUND: The purpose of this experiment was to assess the push out bond strength of Polydimethylsiloxane sealers (GuttaFlow 2 and GuttaFlow Bioseal by Colte'ne/Whaledent, Altstätten, Switzerland). AH Plus (Dentsply, DeTrey, Konstanz, Germany) was used as a reference material for comparison. METHODS: Thirty root slices were prepared from the middle third of 10 mandibular premolars. Each slice was 1 ± 0.1 mm thick. Three holes, 0.8 mm wide each, were drilled on the axial side of each root slice. These holes were subjected to standardized irrigations and then dried using paper points. Finally, for each root slice, each hole was filled with exactly one of the following three root canal sealers: AH Plus, GuttaFlow 2 and GuttaFlow Bioseal. After all the holes were filled in that way, the root slices were stored on top of phosphate-buffered saline solution (pH 7.2) soaked gauze for 7 days at the temperature of 37 degrees Celsius. Then, for each root canal sealer on a root slice, the universal testing machine was used to measure the push out bond strength. The differences in push out bond strengths between the three sealer samples were assessed using the Friedman test, while the paired comparisons were assessed using Wilcoxon signed rank test with Bonferroni correction. All statistical tests were two-tailed and the significance level was set at the 5%. RESULTS: According to the Friedman test the distributions of push out bond strengths of AH Plus, GuttaFlow 2 and GuttaFlow Bioseal were different (P < 0.05). Paired comparisons indicated that AH Plus had a significantly superior push out bond strength than GuttaFlow 2 and GuttaFlow Bioseal, while the push out bond strength of GuttaFlow Bioseal was significantly stronger than that of GuttaFlow 2 (P < 0.01). CONCLUSIONS: Based on these findings, AH Plus is a better root canal sealer than GuttaFlow 2 and GuttaFlow Bioseal.


Assuntos
Colagem Dentária/métodos , Dimetilpolisiloxanos/química , Materiais Restauradores do Canal Radicular/química , Silicatos/uso terapêutico , Dentina/química , Combinação de Medicamentos , Resinas Epóxi , Guta-Percha , Humanos , Teste de Materiais , Materiais Restauradores do Canal Radicular/uso terapêutico , Irrigantes do Canal Radicular/química , Cimento de Óxido de Zinco e Eugenol
12.
Adv Clin Exp Med ; 28(10): 1311-1319, 2019 Oct.
Artigo em Inglês | MEDLINE | ID: mdl-31469948

RESUMO

BACKGROUND: Endodontic treatment is one of the most widely performed procedures in a dental office. New techniques for enhancing the effectiveness of irrigants are being introduced into the dental market. It is crucial to choose a proper method to obtain the highest possible long-term success of performed endodontic treatment. Sodium hypochlorite (NaOCl) appears to be one of the most common and profitable solutions for root canal irrigation. The activation of a solution may be analyzed in 2 fields, physical - turbulence of flow, and chemical - disintegration of irrigant molecules into very active radicals that improve its activity. While the physical alternations of irrigant flow with different techniques are widely studied, there are not many attempts to approach the subject in chemical terms. OBJECTIVES: The aim of the study was to compare the chemical effectiveness of 2 methods of NaOCl activation: ultrasonics vs the Self-Adjusting File system (SAF) as an adjunct to increase the efficacy of the irrigant. MATERIAL AND METHODS: The level of activation was evaluated via a reaction of the activated NaOCl samples, with 9-fluorenol as the starting organic material. The model reaction is based on the oxidation of 9-fluorenol to 9-fluorenon. The evaluation was performed using 1H nuclear magnetic resonance (NMR) spectroscopy, comparing the spectra obtained for the examined mixtures. RESULTS: Nuclear magnetic resonance studies show that the use of ultrasonics resulted in increased chemical degradation of NaOCl as compared to the SAF system and non-agitated samples. The prevalence of chemical activation in the ultrasonic group over the SAF group was almost 3 times higher, 3.11 to 1.20, respectively. The Kruskal-Wallis rank sum test revealed there is a statistically significant difference in distributions between the groups. CONCLUSIONS: Both SAF and ultrasonics activate NaOCl. Ultrasonic agitation provided higher chemical activation of NaOCl solution than the SAF. The use of ultrasonic agitation of NaOCl in endodontic treatment will allow us to obtain better long-term clinical results.


Assuntos
Cavidade Pulpar/efeitos dos fármacos , Irrigantes do Canal Radicular/administração & dosagem , Preparo de Canal Radicular/instrumentação , Hipoclorito de Sódio/administração & dosagem , Irrigação Terapêutica/métodos , Humanos , Irrigantes do Canal Radicular/química , Preparo de Canal Radicular/métodos , Hipoclorito de Sódio/química
13.
Braz Oral Res ; 33: e057, 2019 Jul 29.
Artigo em Inglês | MEDLINE | ID: mdl-31365704

RESUMO

The aim of this study was to evaluate the effect of peracetic acid (PAA) as a single irrigant on the smear layer, on the intraradicular dentinal bond strength, and on the penetrability of an epoxy-based resin sealer into the dentinal tubules. A total of 120 roots were distributed into 4 groups according to the irrigant used in root canal preparation: 1% PAA (PAA); 2.5% NaOCl followed by final irrigation with 17% EDTA and 2.5% NaOCl (NaOCl-EDTA-NaOCl); 2.5% NaOCl (NaOCl); and saline solution (SS). The smear layer was evaluated using scanning electron microscopy. The bond strength of an epoxy-based resin sealer (AH Plus) to root dentin was evaluated by the push-out test and penetrability of the sealer into dentinal tubules was observed by confocal laser microscopy. The results were analyzed by the Kruskal-Wallis and the Dunn post-test (α = 0.05). The use of 1% PAA as single root canal irrigant provided smear layer removal and improved the penetrability and bond strength of AH Plus to root dentin in a manner similar to that of the NaOCl-EDTA-NaOCl group (p > 0.05). The NaOCl and SS groups had higher values of smear layer and lower values of sealer penetrability and dentin bond strength than the PAA and NaOCl-EDTA-NaOCl groups (p < 0.05). Thus, 1% PAA has the potential to be used as a single irrigant in root canals.


Assuntos
Cavidade Pulpar/efeitos dos fármacos , Dentina/efeitos dos fármacos , Resinas Epóxi/química , Ácido Peracético/química , Materiais Restauradores do Canal Radicular/química , Irrigantes do Canal Radicular/química , Camada de Esfregaço/química , Colagem Dentária/métodos , Cavidade Pulpar/química , Dentina/química , Ácido Edético/química , Humanos , Teste de Materiais , Microscopia Confocal , Microscopia Eletrônica de Varredura , Valores de Referência , Reprodutibilidade dos Testes , Hipoclorito de Sódio/química
14.
Microsc Res Tech ; 82(11): 1862-1868, 2019 Nov.
Artigo em Inglês | MEDLINE | ID: mdl-31368166

RESUMO

OBJECTIVE: The aim of this study was to evaluate the efficacy of different irrigation protocols in removing two tricalcium silicate-based sealers from simulated root canal irregularities and root canal walls. MATERIAL AND METHODS: Root canals of 140 single-rooted teeth were instrumented. In one-half of each root, an apical groove was created. The samples were divided into two main groups (n = 70) based on the sealer used. In group 1, the grooves were filled with MTA Fillapex; in group 2, BioRoot RCS. The reassembled root halves were divided into six experimental and one control groups: 2.5% NaOCl-17% EDTA (Passive ultrasonic irrigation [PUI]), 5% NaOCl/9% DualRinse HEDP (PUI), 2.5% NaOCl-7% Maleic acid (PUI), 2.5% NaOCl-17% EDTA (Er:YAG laser activated irrigation [LAI]), 2.5% NaOCl/9% DualRinse HEDP (LAI), 2.5% NaOCl-7% Maleic acid (LAI), Distilled water (Control). Specimens were scored using SEM. The data were analysed using Kruskal-Wallis and Mann Whitney U tests. RESULTS: Maleic acid and DualRinse HEDP removed higher amounts of MTA Fillapex from the grooves compared to EDTA, when used with both activation methods (p < .001). CONCLUSIONS: Ultrasonically activated maleic acid or DualRinse HEDP can be an effective irrigation regimen in removing tricalcium silicate-based sealers.


Assuntos
Compostos de Cálcio/química , Cavidade Pulpar/química , Irrigantes do Canal Radicular/química , Silicatos/química , Irrigação Terapêutica/métodos , Hidróxido de Cálcio/química , Ácido Edético/química , Ácido Etidrônico/química , Humanos , Maleatos/química , Agentes de Capeamento da Polpa Dentária e Pulpectomia/química , Preparo de Canal Radicular/métodos , Tratamento do Canal Radicular/métodos , Dente/cirurgia
15.
J Appl Oral Sci ; 27: e20180420, 2019 May 30.
Artigo em Inglês | MEDLINE | ID: mdl-31166549

RESUMO

OBJECTIVE: This in vitro study aimed to compare the efficacy of irrigants using various irrigation activation methods to the push-out bond strengths of fiber post to root canal luted with self-adhesive resin cement (SARC). METHODOLOGY: Forty-eight decoronated human canines were used. The specimens were divided into four groups corresponding with the post-space irrigation process and were treated as follows: distilled water (DW) (Control) group received 15 mL of DW; sodium hypochlorite (NaOCl)+ethylenediaminetetraacetic acid (EDTA) group was treated with 5 mL of 5.25% NaOCl, 5 mL of 17% EDTA, and 5 mL of DW; passive ultrasonic irrigation (PUI) group was treated with 5 mL of 5.25% NaOCl, 5 mL of 17% EDTA, and 5 mL of DW, and each irrigant was agitated with an ultrasonic file; and laser activated irrigation (LAI) group was treated with 5 mL of 5.25% NaOCl, 5 mL of 17% EDTA, and 5 mL of DW, and each irrigant was irradiated with Nd: YAG laser. Fiber posts were luted with SARC, and a push-out test was performed. Data was analyzed using one-way analysis of variance and Tukey HSD test. RESULTS: The bond strength values for the groups obtained were as follows: Control (10.04 MPa), NaOCl+EDTA (11.07 MPa), PUI (11.85 MPa), and LAI (11.63 MPa). No statistically significant differences were found among all experimental groups (p>0.05). The coronal (12.66 MPa) and middle (11.63 MPa) root regions indicated a significantly higher bond strength compared with the apical (9.16 MPa) region (p<0.05). CONCLUSIONS: Irrigant activation methods did not increase the bond strength of fiber post to canal.


Assuntos
Lasers de Estado Sólido , Técnica para Retentor Intrarradicular , Irrigantes do Canal Radicular/química , Irrigantes do Canal Radicular/efeitos da radiação , Autocura de Resinas Dentárias/métodos , Terapia por Ultrassom/métodos , Análise de Variância , Cavidade Pulpar/efeitos dos fármacos , Cavidade Pulpar/efeitos da radiação , Falha de Restauração Dentária , Dentina/efeitos dos fármacos , Dentina/efeitos da radiação , Ácido Edético/química , Ácido Edético/efeitos da radiação , Humanos , Teste de Materiais , Valores de Referência , Reprodutibilidade dos Testes , Preparo de Canal Radicular/métodos , Hipoclorito de Sódio/química , Hipoclorito de Sódio/efeitos da radiação , Propriedades de Superfície
16.
Gen Dent ; 67(3): 58-61, 2019.
Artigo em Inglês | MEDLINE | ID: mdl-31199746

RESUMO

This study evaluated the effect of previous irrigation with chlorhexidine (CHX) on the bond strength of a calcium silicate-based material, Biodentine, when used for furcal repair. Furcal perforations were produced in 30 extracted mandibular molars. Teeth were divided into 3 groups according to the irrigant used: distilled water (DW), CHX followed by DW (CHX), and CHX followed by ethylenediaminetetraacetic acid (EDTA) and DW (CHX/EDTA). Biodentine was used to repair the perforations. A push-out bond strength test was performed after 7 days, and data were statistically analyzed using Kruskal-Wallis and Dunn tests (P < 0.05). The CHX/EDTA group showed significantly lower values than the DW and CHX groups (P < 0.05). The failure mode of the DW group was mainly mixed, while that of the CHX group was cohesive. The CHX/EDTA group exhibited adhesive and mixed failures. Irrigation with CHX prior to furcation repair did not result in a statistically significant difference, compared to the use of DW, in the push-out bond strength of Biodentine.


Assuntos
Compostos de Cálcio/química , Clorexidina/química , Colagem Dentária , Materiais Restauradores do Canal Radicular , Silicatos/química , Cálcio , Análise do Estresse Dentário , Dentina , Irrigantes do Canal Radicular/química , Hipoclorito de Sódio
17.
Biomed Mater Eng ; 30(3): 279-285, 2019.
Artigo em Inglês | MEDLINE | ID: mdl-30988236

RESUMO

The objective of this study was to evaluate the effect of sodium hypochlorite and chlorhexidine solutions and their inactivating agents on the push-out bond strength of mineral trioxide aggregate (MTA). One hundred fifty root slices were prepared and their root canal spaces were enlarged using diamond burs. MTA was prepared and compacted to root canal spaces. The samples were randomly separated to 4 groups that would be immersed into the selected solutions (5.25% sodium hypochlorite (NaOCl), 5.25% NaOCl and sodium thiosulfate, 2% chlorhexidine (CHX), 2% CHX and a mixture of Tween 80 and 0.3% L-alfa-lecithin) and a control group (n = 30). Push-out bond strength of each specimen was tested with universal testing machine. The data was analyzed by one-way analysis of variance and Tukey tests. There were no significant differences between the push-out bond strength values of the irrigation groups and the control group. A significant difference was found between the push-out bond strength values of NaOCl-Sodium thiosulfate and CHX-L-alpha-lecithin groups. Contact with NaOCl and its neutralizing agent with MTA after 10 minutes of setting period increased the push-out bond strength of MTA. On the other hand, any contact with CHX alone or with subsequent application using L-alfa-lecithin should be avoided since that might decrease the push-out bond strength of freshly mixed MTA.


Assuntos
Compostos de Alumínio/química , Compostos de Cálcio/química , Clorexidina/química , Materiais Dentários/química , Óxidos/química , Irrigantes do Canal Radicular/química , Silicatos/química , Hipoclorito de Sódio/química , Análise do Estresse Dentário/instrumentação , Combinação de Medicamentos , Desenho de Equipamento , Humanos , Lecitinas/química , Teste de Materiais/instrumentação , Polissorbatos/química , Irrigação Terapêutica
18.
Braz Oral Res ; 33: e005, 2019 Feb 11.
Artigo em Inglês | MEDLINE | ID: mdl-30758405

RESUMO

The objective of this study was to assess the influence of chlorhexidine (liquid and gel) and zinc oxide in calcium hydroxide (CH) pastes on root pH in simulated external resorption. One hundred human anterior teeth with a single root canal were selected. After decoronation and root canal instrumentation, the specimens were divided into 4 experimental groups and 1 control group (without intracanal paste): CH + saline (CH+S), CH + 2% chlorhexidine liquid (CH+ CHX), CH + 2% chlorhexidine gel (CH+ CHXg), and CH + 2% chlorhexidine gel + zinc oxide (CH+ CHXg+ZnO). pH was measured using a microelectrode at 3 and 24 h, and 1, 2, 3, and 4 weeks after inserting intracanal pastes. Data were analyzed statistically using an ANOVA and Tukey's test (p < 0.05). The CH+CHXg+ZnO group had the highest pH values throughout (p<0.05). The CH+S and CH+ CHX groups had the highest pH values after 1 week and the CH+ CHXg group after 2 weeks. CH+ CHXg maintained the highest pH until the fourth week compared with CH+ CHX (p < 0.05). The control group remained at a neutral pH at all evaluated times. It can be concluded that chlorhexidine solution or gel maintained the alkaline pH of CH, and chlorhexidine gel allowed a slower decrease in pH over time. CH+ CHXg+ZnO showed the highest pH values and was an effective intracanal medication for maintaining alkaline root pH in the area of resorption.


Assuntos
Hidróxido de Cálcio/química , Clorexidina/química , Irrigantes do Canal Radicular/química , Raiz Dentária/efeitos dos fármacos , Óxido de Zinco/química , Análise de Variância , Géis , Humanos , Concentração de Íons de Hidrogênio , Teste de Materiais , Pomadas , Valores de Referência , Reprodutibilidade dos Testes , Reabsorção da Raiz/tratamento farmacológico , Estatísticas não Paramétricas , Propriedades de Superfície/efeitos dos fármacos , Fatores de Tempo
19.
J Appl Oral Sci ; 27: e20180045, 2019 Jan 07.
Artigo em Inglês | MEDLINE | ID: mdl-30624461

RESUMO

OBJECTIVE: To evaluate the efficacy of different sonic and ultrasonic devices in the elimination of debris from canal irregularities in artificial root canals. MATERIALS AND METHODS: A resin model of a transparent radicular canal filled with dentin debris was used. Five groups were tested, namely: Group 1 - ultrasonic insert 15.02; Group 2 - ultrasonic insert 25/25 IRRI K; Group 3 - ultrasonic insert 25/25 IRRI S; Group 4 - sonic insert 20/28 Eddy on a vibrating sonic air-scaler handpiece; Group 5 - 20.02 K-file inserted on a Safety M4 handpiece. Two different irrigants (5% sodium hypochlorite and 17% EDTA) and 3 different times of activation (20, 40, and 60 seconds) were tested. Means and standard deviations were calculated and statistically analyzed with the Kruskal-Wallis and Wilcoxon tests (p<0.05). RESULTS: No statistically significant differences were found between the two irrigants used. Group 4 removed more debris than the other groups (p<0.05). Groups 1, 2, and 3 removed more debris than group 5 (p<0.05). A statistically significant difference (p<0.05) was found for the time of activation in all groups and at all canal levels, except between 40 and 60 seconds in group 4 at coronal and middle third level (p>0.05). CONCLUSIONS: No significant differences were found between 5% sodium hypochlorite and 17% EDTA. When the time of activation rises, the dentin debris removal increases in all groups. Both sonic and ultrasonic activation demonstrate high capacity for dentin debris removal.


Assuntos
Instrumentos Odontológicos/normas , Preparo de Canal Radicular/instrumentação , Irrigação Terapêutica/instrumentação , Terapia por Ultrassom/instrumentação , Dentina , Ácido Edético/química , Humanos , Teste de Materiais , Valores de Referência , Reprodutibilidade dos Testes , Irrigantes do Canal Radicular/química , Preparo de Canal Radicular/métodos , Hipoclorito de Sódio/química , Sonicação/instrumentação , Sonicação/métodos , Estatísticas não Paramétricas , Propriedades de Superfície , Irrigação Terapêutica/métodos , Fatores de Tempo
20.
J Appl Oral Sci ; 27: e20180157, 2019 Jan 07.
Artigo em Inglês | MEDLINE | ID: mdl-30624467

RESUMO

OBJECTIVES: The aim of this study was to evaluate the influence of surfactants 0.2% or 0.1% cetrimide (Cet) or 0.008% benzalkonium chloride (BAK) on 2.5% calcium hypochlorite (Ca(OCl)2), and compare to sodium hypochlorite (NaOCl), regarding the properties of pH, free chlorine content, surface tension, contact angle, pulp dissolution and antimicrobial activity. MATERIAL AND METHODS: The pH and free chlorine content were evaluated by digital pHmeter and by titration, respectively. Surface tension was measured by the platinum ring technique with a Du Noüy tensiometer. The solution's contact angle in human dentin surfaces was checked by Drop Shape Analyzer software. Bovine pulps were used for pulp dissolution analysis and the dissolving capacity was expressed by percent weight loss. Antimicrobial activity over Enterococcus faecalis was evaluated by the agar diffusion method. RESULTS: Surfactants addition to Ca(OCl)2 and NaOCl did not alter the pH, free chlorine content and pulp dissolution properties. Ca(OCl)2 had the highest surface tension among all tested solutions. When surfactants were added to Ca(OCl)2 and NaOCl, there was a significant reduction of surface tension and contact angle values. The addition of 0.2% or 0.1% Cet enhanced antimicrobial activity of both Ca(OCl)2 and NaOCl. CONCLUSION: Surfactant addition to 2.5% Ca(OCl)2 has shown acceptable outcomes for pH, free chlorine content, surface tension, contact angle, pulp dissolution and antimicrobial activity. Furthermore, the addition of 0.2% Cet showed better results for all tested properties.


Assuntos
Compostos de Benzalcônio/química , Compostos de Cálcio/química , Cetrimônio/química , Irrigantes do Canal Radicular/química , Hipoclorito de Sódio/química , Tensoativos/química , Análise de Variância , Animais , Compostos de Benzalcônio/farmacologia , Compostos de Cálcio/farmacologia , Bovinos , Cetrimônio/farmacologia , Cloro/análise , Polpa Dentária/efeitos dos fármacos , Dentina/efeitos dos fármacos , Enterococcus faecalis/efeitos dos fármacos , Humanos , Concentração de Íons de Hidrogênio , Teste de Materiais , Valores de Referência , Reprodutibilidade dos Testes , Hipoclorito de Sódio/farmacologia , Estatísticas não Paramétricas , Propriedades de Superfície , Tensoativos/farmacologia
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