RESUMO
STATEMENT OF PROBLEM: Limited information is available to clinicians on the use of dental mini-implants (MI) as opposed to standard-diameter implants (SDIs) for the stabilization of implant-retained mandibular overdentures (MOs). PURPOSE: The purpose of this in vitro and finite element analysis study was to analyze and compare the biomechanical behavior of MOs with either 1 or 2 implants with external hexagon (EH), Morse taper (MT) SDIs, and MIs. MATERIAL AND METHODS: Thirty photoelastic models (n=30) of each group (n=5) of SDIs (EH-1, EH-2, MT-1, MT-2) and MI (MI-1, MI-2) were fabricated for posterior, peri-implant, and total maximum shear stress evaluation by quantitative photoelastic analysis. One specimen of each group was further used to create the 6 computational models to be analyzed by finite element analysis. The maximum von Mises values and stress maps were plotted for each ductile component. Two types of load were applied to the overdenture: a150-N load bilaterally and simultaneously on the first molar and a 100-N load on the incisal edge of the central incisors at a 30-degree angle. The data were subjected to the 2-way ANOVA test and the Tukey honestly significant difference test (α=.05). RESULTS: The EH-2 and MT-2 showed the lowest posterior (P<.001) and total (P<.05) mean shear stress values. For peri-implant shear stress, no difference was found among all groups (P>.05). Regardless of the loading area, the MI-1 and MI-2 groups showed the lowest von Mises stress values. However, for implant housing, the MI-1 group, under incisor loading, presented greater stress, followed by MT-1, EH-1, EH-2, MI-2, and MT-2. The attachment was the most overloaded structure, with high values under incisor loading, especially for the groups with 2 implants (MT-2, EH-2) as compared with the other models. CONCLUSIONS: Biomechanically, regardless of the implant number, MI is a promising rehabilitation method with similar peri-implant shear stress and lower von Mises stress on the implant when compared with SDIs for MOs.
Assuntos
Implantes Dentários , Revestimento de Dentadura , Fenômenos Biomecânicos , Prótese Dentária Fixada por Implante , Análise do Estresse Dentário , Análise de Elementos Finitos , Mandíbula , Estresse MecânicoRESUMO
STATEMENT OF PROBLEM: Spark erosion is a fit corrective technology that can be used even after the veneering material has been applied. The framework does not require sectioning, thus preserving its mechanical resistance. However, the spark erosion effect on veneered Co-Cr fixed complete denture (FCD) frameworks has not been investigated. PURPOSE: The purpose of this in vitro study was to evaluate whether spark erosion is effective in improving marginal fit on screw-retained Co-Cr FCD frameworks veneered with different materials. A comparison between ceramic applications and simulated ceramic firing cycles was also investigated. MATERIAL AND METHODS: Forty FCD frameworks were fabricated with a Co-Cr alloy. Four groups (n=10) were obtained according to the veneer material used on frameworks: HR (heat-polymerized resin); LR (light-polymerized resin); C (ceramic); and SC (simulated ceramic firing cycle). The spark erosion process was conducted for all groups. The marginal fit was analyzed according to the single-screw test protocol, and the measurements were performed at 3 evaluation times: initial, after veneer material application, and after spark erosion process. The results were submitted to a 2-way repeated measures ANOVA and the Tukey honest significant differences test (α=.05). RESULTS: Poorer marginal fit (in micrometers) was noted after veneer material application, where the HR and C groups presented the worst values (HR: 170; LR: 72; C: 165; SC: 86; P<.05). The spark erosion process was effective in improving the fit for all groups (HR: 109; LR: 52; C: 110; SC: 60; P<.05). CONCLUSIONS: Spark erosion improved the fit of Co-Cr FCD frameworks veneered with different materials. An actual ceramic application should be used to assess distortions generated by veneer material application instead of using only simulated ceramic firing cycles.
Assuntos
Ligas de Cromo/química , Ligas Dentárias/química , Facetas Dentárias , Planejamento de Dentadura , Prótese Total , Adaptação Marginal Dentária , Técnicas Eletroquímicas , Técnicas In Vitro , Teste de Materiais , Estresse Mecânico , Propriedades de SuperfícieRESUMO
STATEMENT OF PROBLEM: The use of single or mini dental implants to retain mandibular overdentures is still questionable. PURPOSE: The purpose of this finite element analysis (FEA) study was to investigate the biomechanical behavior of 2- and single-implant-retained mandibular overdentures with conventional or mini implants. MATERIAL AND METHODS: Four 3-dimensional (3D) finite element models were constructed with the following designs of mandibular overdentures: 2 (group 2-C) and single (group 1-C) conventional external hexagon implants with ball or O-ring attachment and 2 (group 2-M) and single (group 1-M) 1-piece mini implants. A 150-N axial load was applied bilaterally and simultaneously on the first molar. Overdenture displacement, von Mises equivalent stress (implants and/or prosthetic components), and maximum principal stresses (peri-implant bone) were recorded numerically and then color-coded and compared among the groups. RESULTS: The overdenture displacement (in mm) was higher for the 1-M (0.16) and 2-M (0.17) groups when compared with 1-C (0.09) and 2-C (0.08). Irrespective of the type of implant, the single-implant groups presented higher values of stress (in MPa) on the implants than did the 2-implant groups (1-C=52.53; 1-M=2.95; 2-C=34.66; 2-M=2.37), ball attachment (1-C=201.33; 2-C=159.06), housing or O-ring (1-C=125.01; 1-M=1.96; 2-C=88.84; 2-M=1.27), and peri-implant cortical bone (1-C=19.37; 1-M=1.47; 2-C=15.70; 2-M=1.06). The mini implant overdentures presented lower stress values on the implants, housing or O-ring, and peri-implant bone than did the conventional implant overdentures, regardless of the number of implants. CONCLUSIONS: The 2-implant-retained overdentures exhibited lower stresses than the single- implant-retained overdentures, irrespective of the type of implant. The mini implants demonstrated higher overdenture displacement and lower stresses than did conventional implant overdentures for single- and 2-implant-retained overdentures.
Assuntos
Implantes Dentários para Um Único Dente , Implantes Dentários , Prótese Dentária Fixada por Implante , Revestimento de Dentadura , Fenômenos Biomecânicos , Análise do Estresse Dentário , Retenção de Dentadura/métodos , Análise de Elementos Finitos , Humanos , MandíbulaRESUMO
AIM: This study evaluated the antibiofilm effect of an experimental solution of 2% Ricinus communis (R. communis) on a silicone-based denture liner by means of a randomized clinical trial, as well as the integrity of such liner following a cleansing regimen with such solution. MATERIALS AND METHODS: About 30 complete denture wearers had their lower dentures relined with a silicone-based denture liner and randomly allocated to cleanse their dentures by means of: (A) a specific toothbrush for complete dentures and dentifrice; (B) soaking in an experimental 2% R. communis solution; and (C) association of A and B. Considered outcomes were biofilm coverage area (%), microbial counts by means of the deoxy-ribonucleic acid (DNA) checkerboard hybridization technique and physical integrity of the soft liner, assessed during a time interval of 60 days. Mean group values were compared by analysis of variance (ANOVA) and Tukey tests or generalized linear method (α = 0.05). RESULTS: The mechanical method presented the lowest biofilm percentage (1.45 ± 1.03) if compared to the chemical method (2.96 ± 1.98) and the associated one (2.71 ± 1.76). After 60 days (3.37 ± 2.04), biofilm accumulation was higher than at 15 days (1.28 ± 0.77) and 30 days (2.46 ± 1.54). The denture liner was less deteriorated and kept its physical integrity when the mechanical method was applied. The chemical method presented higher effectiveness against microorganisms, including some Candida species. CONCLUSION: The 2% R. communis solution presented stronger antimicrobial capacity than brushing on a silicone-based denture liner after immersion. However, it was not superior to the mechanical method in preserving the physical integrity of the material and in biofilm removal. CLINICAL SIGNIFICANCE: Soft denture liners hygiene is a very important issue and not conclusive in the literature. The experimental solution of 2% R. communis evaluated presented promising antimicrobial potential and should be more explored to be recommended as cleanser.
Assuntos
Biofilmes/efeitos dos fármacos , Placa Dentária/prevenção & controle , Higienizadores de Dentadura/uso terapêutico , Reembasadores de Dentadura , Silicones/química , Idoso , Antibacterianos/uso terapêutico , Bactérias/efeitos dos fármacos , Carga Bacteriana/efeitos dos fármacos , Candida/efeitos dos fármacos , Placa Dentária/microbiologia , Dentifrícios/uso terapêutico , Prótese Total Inferior , Seguimentos , Humanos , Imersão , Pessoa de Meia-Idade , Fitoterapia/métodos , Extratos Vegetais/uso terapêutico , Ricinus , Streptococcus/efeitos dos fármacos , Propriedades de Superfície , Escovação Dentária/instrumentação , Resultado do TratamentoRESUMO
OBJECTIVE: This study evaluated colour stability, hardness and roughness of soft denture liners after immersion in various cleansers. MATERIALS AND METHODS: Thirty specimens (14 mm × 4 mm) of Elite Soft Relining (ES) and Mucopren Soft (MS) were randomly immersed in distilled water at 37°C, sodium hypochlorite 1%, and an experimental Ricinus communis solution (RC) for 7, 15 and 183 continuous days. RESULTS: anova (p < 0.05) and Tukey's test indicated that after T7 (µ =8.79 ± 7.36); T15 (µ = 4.23 ± 2.62) and T183 (µ = 8.78 ± 3.16), MS presented a higher increase in hardness than ES. After T7, MS underwent an increase in roughness (µ = 0.09 ± 0.80); ES underwent a decrease (µ = -0.08 ± 0.16). RC caused the smallest variation in roughness. After T15, both materials presented an increase in roughness. After T183, ES (µ = -0.30 ± 0.48) presented a higher roughness variation than MS (µ = -0.07 ± 0.32). Hypochlorite caused an increase in roughness (µ = 0.02 ± 0.19). CONCLUSION: After all periods ES presented higher colour alteration than MS; highest colour alteration was caused by hypochlorite. Both materials were more stable after immersion in RC.
Assuntos
Materiais Dentários/química , Higienizadores de Dentadura/química , Reembasadores de Dentadura , Preparações de Plantas/química , Ricinus , Cor , Colorimetria , Dureza , Humanos , Imersão , Teste de Materiais , Polivinil/química , Siloxanas/química , Hipoclorito de Sódio/química , Propriedades de Superfície , Temperatura , Fatores de Tempo , Água/químicaRESUMO
BACKGROUND: Knowledge of benefits caused by a treatment on quality of life is very relevant. Despite the wide use and acceptance of soft denture liners, it is necessary to evaluate the patient's response about the use of these materials with regard to improvement in oral health related quality of life (OHRQoL). OBJECTIVES: The aim of this study was to evaluate the influence of denture relining in the OHRQoL of edentulous patients. MATERIALS AND METHODS: Thirty-two complete denture wearers had their lower dentures relined with a silicone-based material (Mucopren soft, Kettenbach, Germany) according to chairside procedures. OHRQoL was assessed before and after 3 months of relining by means of OHIP-EDENT, and the median scores were compared by Wilcoxon test (p ≤ 0.05). RESULTS: After 3 months of relining, participants reported significant improvement of their OHRQoL (p ≤ 0.01). CONCLUSION: Denture relining with a soft liner may have a positive impact on the perceived oral health of edentulous patients.
Assuntos
Materiais Dentários/química , Reembasadores de Dentadura/psicologia , Reembasamento de Dentadura/psicologia , Boca Edêntula/psicologia , Saúde Bucal , Qualidade de Vida , Silicones/química , Adulto , Idoso , Ansiedade/psicologia , Retenção de Dentadura/psicologia , Prótese Total Inferior/psicologia , Escolaridade , Emprego , Feminino , Seguimentos , Humanos , Masculino , Mastigação/fisiologia , Pessoa de Meia-Idade , Ajuste Oclusal , Dor/psicologia , Satisfação do Paciente , Estresse Psicológico/psicologiaRESUMO
PURPOSE: This study analyzed the surface roughness and weight loss in Plex Glass specimens caused by dentifrices, one conventional (Sorriso) and three specific for dentures. MATERIALS AND METHODS: Specimens (n = 6) of Plex Glass were divided into 5 groups including: negative control (water); positive control 1 (Sorriso) and 2 (Corega Brite); Experimental 1 (containing Chloramine T, antimicrobial agent); and Experimental 2 (containing Zonyl, detergent). Brushing was performed in a toothbrushing machine (Pepsodent) with a soft brush and a suspension of toothpaste and distilled water for 300 minutes, representing 6 years of brushing. Weight was measured initially and after the trial period; roughness was measured after the trial period only. The results of roughness and weight loss were analyzed using ANOVA and Tukey tests at 5%. RESULTS: The negative control (2.82 +/- 4.41 mg) showed the lowest weight loss. Experimental 1 (13.62 +/- 4.29 mg) and Experimental 2 (15.4 +/- 5.80 mg) were equal statistically, and Sorriso (23.22 +/- 7.23 mg) and Corega (28.83 +/- 6.34 mg) produced the greatest weight loss. Concerning roughness, the negative control group (0.03 +/- 0.01 microm) showed the lowest value. No significant differences were found between Corega (13.43 +/- 1.65 microm), Experimental 1 (12.28 +/- 0.85 microm), and Experimental 2 (10.68 +/- 2.56 microm). The Sorriso toothpaste produced the greatest amount of surface roughness (19.15 +/- 2.36 microm). CONCLUSION: Of the tested dentifrices, the experimental preparations proved to be the least abrasive and resulted in the lowest weight loss after brushing of the acrylic. Based on these findings, the use of these experimental dentifrices is advocated. Further evaluation based on the ability of these preparations to remove biofilms is required.
Assuntos
Materiais Dentários/química , Dentifrícios/química , Prótese Total , Polimetil Metacrilato/química , Anti-Infecciosos Locais/química , Cloraminas/química , Higienizadores de Dentadura/química , Detergentes/química , Humanos , Teste de Materiais , Compostos Orgânicos/química , Propriedades de Superfície , Temperatura , Escovação Dentária/instrumentação , Compostos de Tosil/química , Água/químicaRESUMO
PURPOSE: The purpose of this study was to investigate the effect of sodium perborate on the bond strength and degree of infiltration between acrylic resin/resilient denture liners. MATERIALS AND METHODS: Three denture liners (Elite Soft, Mucopren Soft, Kooliner) were investigated. Twenty specimens (83 x 10 x 10 mm(3)) of each material were made by processing the denture liners against two polymerized PMMA blocks. Ten specimens for each material were stored in artificial saliva at 37 degrees C (control group: TBS1), and the other ten specimens were stored in artificial saliva at 37 degrees C combined with sodium perborate (experimental group: TBS2). All specimens were placed under tension until failure in a Universal Testing Machine at a crosshead speed of 5 mm/min after 7 (T7) and 60 (T60) days (n = 5). Failure strength (MPa) was recorded, and mode of failure was characterized as cohesive, adhesive, or cohesive/adhesive. For the infiltration tests, ten circular specimens (14-mm diameter x 2-mm thick) of each material were stored in artificial saliva and 0.5% methylene blue at 37 degrees C (control group: I1), and ten specimens were stored in artificial saliva and 0.5% methylene blue at 37 degrees C combined with daily immersions for 5 minutes in an effervescent solution of sodium perborate (experimental group: I2). The degree of infiltration was obtained through photographs and using Software Image Tool after 120 days. RESULTS: For Kooliner, the statistical test did not show a significant difference in the bond strength due to the influence of the immersion period or to the use of sodium perborate. Elite Soft presented a significant increase in the average tension in T7 and in T60 in both TBS1 and TBS2. Inversely, the Mucopren suffered a significant decrease in the tension value in the same period as the TBS1 group as well as in the TBS2. The infiltration percentage was analyzed with the Kruskal-Wallis test (26.18; p < 0.05), which indicated significant differences between the compared averages for the groups. Comparing the averages of materials, the statistical test did not show significant differences between the control (I1) and experimental (I2) groups after 120 days. CONCLUSIONS: The use of sodium perborate did not promote significant alterations in the evaluated properties. Kooliner presented the best results.
Assuntos
Resinas Acrílicas/química , Boratos/química , Colagem Dentária , Materiais Dentários/química , Bases de Dentadura , Higienizadores de Dentadura/química , Reembasadores de Dentadura , Corantes , Infiltração Dentária/classificação , Análise do Estresse Dentário/instrumentação , Humanos , Teste de Materiais , Azul de Metileno , Polimetil Metacrilato/química , Saliva Artificial/química , Silicones/química , Estresse Mecânico , Propriedades de Superfície , Tensão Superficial , Temperatura , Resistência à Tração , Fatores de TempoRESUMO
This study evaluated the antimicrobial activity of a Ricinus communis-based experimental dentifrice for denture hygiene against the following standard strains: Staphylococcus aureus, Escherichia coli, Streptococcus mutans, Enterococcus faecalis, Candida albicans and Candida glabrata. The minimum inhibitory concentration (MIC) assay was performed with R. communis in pure oil at 2.5%. Only E. coli was not inhibited by R. communis, but the MIC (0.0781%) was effective against the other microorganisms. From these results it was determined the R. communis concentrations for experimental dentifrices, 1, 2, 5 and 10%, which were evaluated by the test-well diffusion in agar. The commercial dentifrices Colgate, Trihydral and Corega Brite were tested for comparative purposes. The diameter of the zones of bacterial growth inhibition produced around the wells was measured (in mm) with a rule under reflected light. Data were analyzed statistically by analysis of variance and Tukey's post-hoc test (α=0.05). Neither the commercial nor the experimental dentifrices were effective against E. coli. The experimental dentifrices containing R. communis at 2, 5 and 10% presented action against S. mutans, S. aureaus and E. faecallis. The experimental dentifrices showed no antimicrobial activity against Candida spp. and E. coli in any of the tested concentrations. Trihydral was the most effective. Comparing the experimental dentifrices, the product with 10% R. communis produced the largest zones of bacterial growth inhibition and had similar antimicrobial activity to the commercial dentifrices, except against S. aureus.
Assuntos
Anti-Infecciosos/farmacologia , Dentifrícios , Extratos Vegetais/farmacologia , Ricinus/química , Técnicas In Vitro , Testes de Sensibilidade MicrobianaRESUMO
Denture hygiene is essential because denture biofilm is involved in oral infections and systemic diseases. Although there are chemical agents available on the market, none of them have ideal properties and research on such products is still necessary. The aim of this study was to evaluate the efficacy of a castor bean (Ricinus communis)-based solution for removing denture biofilm, compared to two traditional products (sodium hypochlorite and alkaline peroxide). Fifty maxillary complete denture wearers were instructed to brush their dentures after meals and to immerse their dentures once a day in the following solutions: Saline (20 min; control), Polident alkaline peroxide (3 min), NaOCl (20 min) and 2% castor oil solution (20 min). Participants used each solution for a period of 7 consecutive days, according to a random sequence. After each period, the internal surfaces of maxillary complete dentures were stained with a disclosing solution (1% neutral red), photographed and the disclosed biofilm was quantified with the aid of specific software. The influence of treatments on results was verified by the Friedman test (α=0.05). Tested solutions presented significant difference (Fr=51.67; p<0.001). Saline and NaOCl were significantly different (median: 2.0% and 0.0%) whereas Polident and castor oil presented intermediate results (median: 1.0% and 1.5%, respectively). It can be concluded that the castor oil solution tested in this study was comparable to alkaline peroxide in terms of efficiency in denture biofilm removal.
Assuntos
Óleo de Rícino , Higienizadores de Dentadura , Humanos , Higiene Bucal/métodosRESUMO
This study evaluated the Shore A hardness, colour and microstructural alterations of an experimental silicone for maxillofacial prostheses. As a control, the MDX 4-4210 silicone was used. Eighty specimens of each material were randomly divided into groups of pigmentation and ageing. For microstructural analysis by Thermogravimetry, Fourier Transform Infrared Spectroscopy and Differential Scanning Calorimetry, three specimens of each group were used. Anova and Tukey test (p < 0.05) was used in statistical analysis. There was significant difference in hardness depending on the materials, pigmentation and ageing and interaction between all the factors evaluated (p = 0.00). The colour change was significant due to ageing (p = 0.00) and the interaction between the factors evaluated (p = 0.00). The microstructural analyses have shown that ageing methods and pigmentations did not cause structural alterations. The results suggest that the alterations in hardness and colour do not represent important structural changes.
Assuntos
Dimetilpolisiloxanos/química , Teste de Materiais/métodos , Prótese Maxilofacial , Elastômeros de Silicone/química , Cor , Espectroscopia de Infravermelho com Transformada de Fourier , TermogravimetriaRESUMO
This study evaluated color stability, surface roughness and flexural strength of acrylic resin specimens after immersion in alkaline peroxide and alkaline hypochlorite, simulating a period of one and a half year of use of overnight immersion. Sixty disc-shaped (16x4 mm) and 80 rectangular specimens (65x10x3.3 mm) were prepared from heat-polymerized acrylic resin (Lucitone 550) and distributed into 4 groups (n=20): C1: without immersion, C2: 8 h immersion in distilled water; AP: 8 h immersion in alkaline peroxide effervescent tablet; SH: 8 h immersion in 0.5% NaOCl solution. Properties were evaluated at baseline and after the immersion. Color data were also calculated according the National Bureau of Standards (NBS). Results were analyzed statistically by ANOVA and Tukey's HSD test (α=0.05). AP (2.34 ± 0.41) caused color alteration significantly higher than C2 (0.39 ± 0.30) and SH (1.73 ± 0.52). The mean ΔE values were classified as indicial for C2 (0.36 ± 0.29) and noticeable for AP (2.12 ± 0.39) and SH (1.59 ± 0.48). SH (0.0195 ± 0.0150) caused significantly higher ΔRa (p=0.000) than the C2 (0.0005 ± 0.0115) and PA (0.0005 ± 0.0157) groups. There was no statistically significant difference (p=0.063) among the solutions for flexural strength (C1: 105.43 ± 14.93, C2: 100.30 ± 12.43, PA: 97.61 ± 11.09, SH: 95.23 ± 10.18). In conclusion, overnight immersion in denture cleansing solutions simulating a year and a half of use did not alter the flexural strength of acrylic resin but caused noticeable color alterations, higher for alkaline peroxide. The 0.5% NaOCl solution caused increase in surface roughness.
Assuntos
Resinas Acrílicas/química , Materiais Dentários/química , Bases de Dentadura , Higienizadores de Dentadura/química , Álcalis/química , Cor , Humanos , Imersão , Teste de Materiais , Peróxidos/química , Maleabilidade , Hipoclorito de Sódio/química , Estresse Mecânico , Propriedades de Superfície , Fatores de TempoRESUMO
This study evaluated Knoop hardness, surface roughness and color alteration of artificial teeth for dentures after immersion in water, 1% sodium hypochlorite and an experimental solution of 2% Ricinus communis (RC). Thirty specimens of Vipi, Biolux and Trilux were analyzed. Tests of Knoop hardness, surface roughness and color alteration were conducted immediately after specimen preparation (T0) and after two immersion protocols for 15 days (ΔT(15)) and 183 days (ΔT(183)). Data variation (ΔT) were subjected to ANOVA and Tukey's test (p<0.05). At ΔT(15), Vipi presented hardness increase and Biolux presented the highest variation (p=0.01). RC caused the highest increase in hardness (p=0) and the lowest increase (p=0.005) in roughness. Biolux presented the lowest color alteration (p =0). At ΔT(183), Trilux underwent the highest hardness variation (p=0). Biolux presented an increase in roughness (p=0). There was no significant differences in color alteration among the artificial teeth (p=0.06) and among solutions (p=0.08) after 183 days of immersion. All solutions (distilled water, 1% sodium hypochlorite and 2% RC) caused alterations on the analyzed properties. Both immersion protocols caused alterations on the analyzed properties.
Assuntos
Dentaduras , Higiene Bucal/métodos , Preparações de Plantas/farmacologia , Ricinus , Dente Artificial , Resinas Acrílicas , Humanos , Teste de Materiais , Hipoclorito de Sódio/farmacologiaRESUMO
The aim of this study was to evaluate the efficacy of experimental toothpastes for removing denture biofilm by means of a randomized crossover trial. Thirty volunteers brushed their dentures using a brush and four pastes: (1) Corega refreshing mint (control), (2) 0.2% chloramine T, (3) 1.0% chloramine T, and (4) 0.01% fluorosurfactant. Each paste was used for 7 days, and participants were randomized to use them according to one of four sequences. Biofilm was disclosed (neutral red) after each period, photographed, and quantified by means of a software program. All experimental toothpastes were similar to the control in terms of posttreatment biofilm coverage.
Assuntos
Biofilmes , Higienizadores de Dentadura/uso terapêutico , Dentaduras/microbiologia , Cremes Dentais/uso terapêutico , Adulto , Anti-Infecciosos Locais/administração & dosagem , Anti-Infecciosos Locais/uso terapêutico , Cloraminas/administração & dosagem , Cloraminas/uso terapêutico , Corantes , Estudos Cross-Over , Humanos , Vermelho Neutro , Compostos Orgânicos/uso terapêutico , Propriedades de Superfície , Tensoativos/uso terapêutico , Escovação Dentária/instrumentação , Escovação Dentária/métodos , Compostos de Tosil/administração & dosagem , Compostos de Tosil/uso terapêuticoRESUMO
Abstract Aim: To evaluate the sorption, solubility and color change in two lining materials after 120 days of immersion in either sodium perborate or artificial saliva. Methods: Thirty disk-shaped specimens (15×3 mm) of each material, Mucopren(r) soft (MS) and Elite(r) soft (ES) were manufactured and divided into two groups. The specimens in the control group (CG, n=15) were stored in artificial saliva at 37 °C. The specimens in the experimental group (EG, n=15) were stored in artificial saliva at 37 °C and immersed in sodium perborate daily for 5 min. The analysis of sorption and solubility was based on the initial dry weight and on the wet and dry weights after immersion. The color was assessed with a portable spectrophotometer and the NBS system. ANOVA and Tukey test (p<0.05) were used to analyze color and sorption. The solubility was analyzed by KruskalWallis test (p<0.05). Results: Sorption was higher in the EG group (0.31±0.08) than in the control group (0.26±0.05), and higher in Elite(r) soft relining (0.34±0.07) than in Mucopren(r) soft (0.23±0.06). There was no interaction between the factors. Elite(r) Soft presented a higher solubility when immersed in artificial saliva (CG: 0.16±0.07 and EG: 0.13±0.06; p=0.00). Mucopren(r) soft showed no solubility in either treatment. Regarding the color changes, there was a significant difference between the groups (CG: 9.2±1.2 and EG: 9.9±1.2; p=0.025) but not between the materials (Mucopren(r) soft: 9.4±1.3 and Elite(r)soft: 9.7±1.0; p=0.34). Using the NBS system, we verified that both materials presented a high color change. Conclusions: The daily use of sodium perborate promoted changes in the liners' sorption and color. Elite(r) soft relining was more prone to changes than Mucopren(r) soft.
Assuntos
Higiene , Fenômenos Físicos , Prótese Total , Reembasadores de DentaduraRESUMO
This study evaluated the antimicrobial activity of a Ricinus communis-based experimental dentifrice for denture hygiene against the following standard strains: Staphylococcus aureus, Escherichia coli, Streptococcus mutans, Enterococcus faecalis, Candida albicans and Candida glabrata. The minimum inhibitory concentration (MIC) assay was performed with R. communis in pure oil at 2.5%. Only E. coli was not inhibited by R. communis, but the MIC (0.0781%) was effective against the other microorganisms. From these results it was determined the R. communis concentrations for experimental dentifrices, 1, 2, 5 and 10%, which were evaluated by the test-well diffusion in agar. The commercial dentifrices Colgate, Trihydral and Corega Brite were tested for comparative purposes. The diameter of the zones of bacterial growth inhibition produced around the wells was measured (in mm) with a rule under reflected light. Data were analyzed statistically by analysis of variance and Tukey's post-hoc test (α=0.05). Neither the commercial nor the experimental dentifrices were effective against E. coli. The experimental dentifrices containing R. communis at 2, 5 and 10% presented action against S. mutans, S. aureaus and E. faecallis. The experimental dentifrices showed no antimicrobial activity against Candida spp. and E. coli in any of the tested concentrations. Trihydral was the most effective. Comparing the experimental dentifrices, the product with 10% R. communis produced the largest zones of bacterial growth inhibition and had similar antimicrobial activity to the commercial dentifrices, except against S. aureus.
Este estudo avaliou a atividade antimicrobiana de um dentifrício experimental a base de Ricinus communis para higiene de prótese contra as seguintes cepas padrão: Staphylococcus aureus, Escherichia coli, Streptococcus mutans, Enterococcus faecalis, Candida albicans e Candida glabrata. O ensaio de concentração inibitória mínima foi realizado com R. communis em óleo puro a 2,5 % . Apenas a E. coli não foi inibida por R. communis, no entanto, a concentração mínima (0,0781%) foi eficaz contra os outros microrganismos. A partir destes resultados foram determinadas as concentrações dos dentifrícios experimentais: 1, 2, 5 e 10 %, as quais foram avaliadas pelo teste de difusão em Agar. Os dentifrícios comerciais Colgate, Trihydral e Corega Brite foram testados para fins comparativos. O diâmetro dos halos de inibição do crescimento bacteriano, em torno dos poços, foi medido (em mm) com uma régua sob uma luz refletida. Os dados foram analisados estatisticamente por meio de análise de variância e teste post-hoc de Tukey (α=0,05). Nem os dentifrícios comerciais nem os experimentais foram eficazes contra E. coli. Os dentifrícios experimentais contendo R. communis a 2 , 5 e 10 % apresentaram ação contra S. mutans, S. aureaus e E. faecallis. Os dentifrícios experimentais não mostraram atividade antimicrobiana contra Candida spp e E. coli em nenhuma das concentrações testadas . O Trihydral foi o mais eficaz. Comparando os dentifrícios experimentais, o produto com 10% de R. communis produziu os maiores halos de inibição do crescimento microbiano e apresentou atividade antimicrobiana.
Assuntos
Anti-Infecciosos/farmacologia , Dentifrícios , Extratos Vegetais/farmacologia , Ricinus/química , Técnicas In Vitro , Testes de Sensibilidade MicrobianaRESUMO
Denture hygiene is essential because denture biofilm is involved in oral infections and systemic diseases. Although there are chemical agents available on the market, none of them have ideal properties and research on such products is still necessary. The aim of this study was to evaluate the efficacy of a castor bean (Ricinus communis)-based solution for removing denture biofilm, compared to two traditional products (sodium hypochlorite and alkaline peroxide). Fifty maxillary complete denture wearers were instructed to brush their dentures after meals and to immerse their dentures once a day in the following solutions: Saline (20 min; control), Polident alkaline peroxide (3 min), NaOCl (20 min) and 2% castor oil solution (20 min). Participants used each solution for a period of 7 consecutive days, according to a random sequence. After each period, the internal surfaces of maxillary complete dentures were stained with a disclosing solution (1% neutral red), photographed and the disclosed biofilm was quantified with the aid of specific software. The influence of treatments on results was verified by the Friedman test (α=0.05). Tested solutions presented significant difference (Fr=51.67; p<0.001). Saline and NaOCl were significantly different (median: 2.0% and 0.0%) whereas Polident and castor oil presented intermediate results (median: 1.0% and 1.5%, respectively). It can be concluded that the castor oil solution tested in this study was comparable to alkaline peroxide in terms of efficiency in denture biofilm removal.
A higiene de próteses totais é essencial, uma vez que o biofilme da prótese está envolvido com infecções orais e doenças sistêmicas. Apesar de existirem agentes químicos disponíveis no mercado, nenhum deles apresenta propriedades ideais e pesquisas com esses produtos ainda são necessárias. O objetivo neste estudo foi avaliar a eficácia de uma solução de mamona (Ricinus communis) para a remoção do biofilme de prótese total, comparada com dois produtos comerciais (NaOCl e peróxido alcalino). Cinqüenta usuários de próteses totais maxilares foram instruídos a escovar as próteses após as refeições e imergi-las uma vez por dia nas seguintes soluções: soro fisiológico (20 min), Peróxido alcalino Polident (3 min), NaOCl a 1% (20 min) e solução de mamona (20 min). Os participantes utilizaram cada solução por um período de sete dias consecutivos, de acordo com uma sequência aleatória. Após cada período, as superfícies internas das próteses totais superiores foram coradas com solução evidenciadora (vermelho neutro a 1%), fotografadas e o biofilme evidenciado foi quantificado com software. A influência dos tratamentos sobre os resultados foi verificada pelo teste de Friedman (α=0,05). Houve diferença significativa entre as soluções (Fr=51,67;p<0,001). O soro fisiológico e o NaOCl foram significativamente diferentes (mediana: 2,0% e 0,0%), enquanto o Polident e a solução de mamona apresentaram resultados intermediários (mediana: 1,0% e 1,5%, respectivamente). Concluiu-se que a solução de mamona avaliada é comparável ao peróxido alcalino, em termos de remoção do biofilme de prótese total.
Assuntos
Humanos , Óleo de Rícino , Higienizadores de Dentadura , Higiene Bucal/métodosRESUMO
This study evaluated color stability, surface roughness and flexural strength of acrylic resin specimens after immersion in alkaline peroxide and alkaline hypochlorite, simulating a period of one and a half year of use of overnight immersion. Sixty disc-shaped (16X4 mm) and 80 rectangular specimens (65X10X3.3 mm) were prepared from heat-polymerized acrylic resin (Lucitone 550) and distributed into 4 groups (n=20): C1: without immersion, C2: 8 h immersion in distilled water; AP: 8 h immersion in alkaline peroxide effervescent tablet; SH: 8 h immersion in 0.5% NaOCl solution. Properties were evaluated at baseline and after the immersion. Color data were also calculated according the National Bureau of Standards (NBS). Results were analyzed statistically by ANOVA and Tukey's HSD test (α=0.05). AP (2.34 ± 0.41) caused color alteration significantly higher than C2 (0.39 ± 0.30) and SH (1.73 ± 0.52). The mean ΔE values were classified as indicial for C2 (0.36 ± 0.29) and noticeable for AP (2.12 ± 0.39) and SH (1.59 ± 0.48). SH (0.0195 ± 0.0150) caused significantly higher ΔRa (p=0.000) than the C2 (0.0005 ± 0.0115) and PA (0.0005 ± 0.0157) groups. There was no statistically significant difference (p=0.063) among the solutions for flexural strength (C1: 105.43 ± 14.93, C2: 100.30 ± 12.43, PA: 97.61 ± 11.09, SH: 95.23 ± 10.18). In conclusion, overnight immersion in denture cleansing solutions simulating a year and a half of use did not alter the flexural strength of acrylic resin but caused noticeable color alterations, higher for alkaline peroxide. The 0.5% NaOCl solution caused increase in surface roughness.
Resumo O estudo avaliou a alteração de cor, rugosidade de superfície e força de flexão de espécimes de resina acrílica após imersão em peróxido alcalino e hipoclorito alcalino, simulando um ano e meio de uso seguindo a imersão noturna. Sessenta espécimes circulares (16 X 4 mm) e oitenta retangulares (65 X 10 X 3,3 mm) de resina acrílica termopolimerizável (Lucitone 550) foram distribuídos em 4 grupos (n=20): C1: sem imersão, C2: 8 h de imersão em água destilada; PA: 8 h de imersão em pastilhas efervescentes de peróxido alcalino; HS: 8 h de imersão em hipoclorito de sódio a 0,5%. As propriedades foram avaliadas antes e após as imersões. Os dados de alteração de cor também foram calculados de acordo com o National Bureau of Standards (NBS). Os dados foram analisados estatisticamente pelo teste ANOVA e Tukey HSD (α=0,05). O PA (2,34 ± 0,41) causou alteração de cor significativamente maior que C2 (0,39 ± 0,30) e SH (1,73 ± 0,2). A média ΔE foi classificada como indicial para C2 (0,36 ± 0,29) e perceptível para PA (2,12 ± 0,39) e HS (1,59 ± 0,48). HS (0,0195 ± 0,0150) causou significantemente maior ΔRa (p=0) do que os demais (C2: 0,0005 ± 0,0115 e PA: 0,0005 ± 0,0157). Não houve diferença estatisticamente significante (p=0,063) entre as soluções para a resistência à flexão (C1: 105,43 ± 14,93; C2: 100,30 ± 12,43, PA: 97,61 ± 11,09, HS: 95,23 ± 10,18). A imersão noturna em soluções higienizadores de próteses simulando um ano e meio de uso não alterou a resistência à flexão da resina acrílica, porém causou alterações perceptíveis de cor, sendo maiores com o peróxido alcalino. O hipoclorito de sódio a 0,5% ...
Assuntos
Humanos , Resinas Acrílicas/química , Bases de Dentadura , Materiais Dentários/química , Higienizadores de Dentadura/química , Álcalis/química , Cor , Imersão , Teste de Materiais , Maleabilidade , Peróxidos/química , Estresse Mecânico , Propriedades de Superfície , Hipoclorito de Sódio/química , Fatores de TempoRESUMO
Objective: This study evaluated the change in toothbrush bristles after brushing with water and four dentifrices, one for natural teeth (Sorriso, Colgate-Palmolive Ind e Com. Ltda., Osasco, Brazil) and three for dentures: Corega (GSK - GlaxoSmithKline, Brasil Ltda., Rio de Janeiro, Brazil), Experimental 1 (Zonil) Experiment 2 (Chloramine T). Methods: Soft brushes were used with 26 clumps of bristles with 0.25 mm in diameter and 10 mm high. Brushing was performed on a Pepsodent machine where the toothbrushes and associated dentifrices brushed acrylic specimens (Plex-glass). The brushing time was 50 minutes (one year/17,800 cycles). Ten toothbrush bristles per group were removed. A group of ten unused bristles represented the control group. The bristles were placed on a Plex-glass dish so that they were all in the same plane. The diameter measurement was performed using a profilometer with a precision of tenths of millimeters (0.01 mm) to within 0.02 mm of the tip of the bristle. Ten values were obtained for each combination (toothbrush and toothpaste) tested. Results: Data analysis was performed using Anova Test (P <0.05). The results indicated that only the Sorriso group (Colgate-Palmolive Ind e Com. Ltda., Osasco, Brazil) (0.15 ± 0.02) compared with the control group (0.2 ± 0.02) was statistically significant (P = 0.0117), while the values of the other groups (Water: 0.18 ± 0.02; Corega (GSK - GlaxoSmithKline, Brasil Ltda., Rio de Janeiro, Brazil): 0.17 ± 0.2; Experimental 1: 0.16 ± 0.02; Experimental 2: 0.16 ± 0.02) showed no significant change. Conclusion: The Sorriso toothpaste (Colgate-Palmolive Ind e Com. Ltda., Osasco, Brazil), suitable for natural teeth, caused the biggest change on the tips of toothbrush bristles.
Objetivo: Avaliar a alteração nas cerdas de escovas dentais após escovação com água e quatro dentifrícios, sendo um para dentes naturais (Sorriso, Colgate-Palmolive Ind e Com. Ltda., Osasco, Brasil) e três para próteses totais: Corega (GSK - GlaxoSmithKline, Brasil Ltda., Rio de Janeiro, Brasil), Experimental 1 (Zonil), Experimental 2 (Cloramina T).Métodos: Foram utilizadas escovas macias com 26 tufos de cerdas de 0,25mm de diâmetro e 10 mm de altura. A escovação foi realizada em máquina do tipo Pepsodent, na qual as escovas associadas às suspensões dos dentifrícios escovaram corpos-de-prova de resina acrílica (Plex-glass) por um período de 50 minutos, simulando um ano (17800 ciclos). Foram removidas dez cerdas das escovas por grupo. Um grupo com dez cerdas não utilizadas representou o controle. As cerdas foram posicionadas em uma placa de Plex-glass de forma que ficassem todas em um mesmo plano. A aferição do diâmetro foi realizada em perfilômetro com precisão de décimos de milímetros (0,01 mm) a 0,02 mm da ponta da cerda. Foram obtidos dez valores para cada combinação (escova e dentifrício) testada. Resultados: A análise dos dados foi realizada por meio dos Testes ANOVA (p<0,05). Os resultados indicaram que apenas o grupo Sorriso (Colgate-Palmolive Ind e Com. Ltda., Osasco, Brasil) (0,15±0,02) quando comparado com o grupo controle (0,2±0,02) apresentou significância estatística (p=0,0117), enquanto os outros grupos (água: 0,18±0,02; Corega (GSK - GlaxoSmithKline, Brasil Ltda., Rio de Janeiro, Brasil): 0,17±0,2; Experimental 1: 0,16±0,02; Experimental 2: 0,16±0,02) não apresentaram valores de alteração significantes.Conclusão: O dentifrício Sorriso (Colgate-Palmolive Ind e Com. Ltda., Osasco, Brasil), indicado para dentes naturais, foi o que causou a maior alteração nas pontas das cerdas das escovas.
Assuntos
Dentifrícios , Escovação Dentária , Prótese TotalRESUMO
This study evaluated Knoop hardness, surface roughness and color alteration of artificial teeth for dentures after immersion in water, 1 percent sodium hypochlorite and an experimental solution of 2 percent Ricinus communis (RC). Thirty specimens of Vipi, Biolux and Trilux were analyzed. Tests of Knoop hardness, surface roughness and color alteration were conducted immediately after specimen preparation (T0) and after two immersion protocols for 15 days (ΔT15) and 183 days (ΔT183). Data variation (ΔT) were subjected to ANOVA and Tukey's test (p<0.05). At ΔT15, Vipi presented hardness increase and Biolux presented the highest variation (p=0.01). RC caused the highest increase in hardness (p=0) and the lowest increase (p=0.005) in roughness. Biolux presented the lowest color alteration (p =0). At ΔT183, Trilux underwent the highest hardness variation (p=0). Biolux presented an increase in roughness (p=0). There was no significant differences in color alteration among the artificial teeth (p=0.06) and among solutions (p=0.08) after 183 days of immersion. All solutions (distilled water, 1 percent sodium hypochlorite and 2 percent RC) caused alterations on the analyzed properties. Both immersion protocols caused alterations on the analyzed properties.
Este estudo avaliou a dureza Knoop, rugosidade e alteração de cor de dentes artificiais após imersão em água, hipoclorito de sódio 1 por cento e solução de Ricinus communis 2 por cento (RC). Trinta espécimes de dentes das marcas Vipi, Biolux e Trilux foram analisados. Os testes de dureza, rugosidade e alteração de cor foram realizados após a obtenção dos espécimes (T0) e após dois protocolos de imersão nas soluções por 15 dias (Δ15) e 183 dias (Δ183). A variação dos dados (ΔT) foi submetida à ANOVA e teste de Tukey (p<0,05). Em ΔT15, Vipi apresentou aumento da dureza e Biolux, a maior variação (p =0,01). RC causou o maior aumento na dureza (p=0). RC causou o menor aumento na rugosidade (p=0,005). Biolux apresentou a menor alteração de cor (p=0). Em ΔT183, Trilux apresentou a maior variação na dureza. (p=0). Biolux apresentou aumento na rugosidade (p=0). Não houve diferença significante na alteração de cor entre dentes (p=0,06) e entre soluções (p=0,08) após 183 dias de imersão. Todas as soluções (água destilada, hipoclorito de sódio 1 por cento e RC) causaram alterações nas propriedades analisadas. Ambos os protocolos de imersão causaram alterações nas propriedades analisadas.