Estudo in vitro da anatomia das projeções de esmalte cervical em dentes molares

The cervical enamel projection (CEP) is an anatomic variation that can be found in the cement enamel junction, it´s recognition and early diagnosis improves outcome the tooth involved, allowing greater efficiency in treatment. The knowledge of the location, grade and incidence of CEP is decisive on prevention and treatment of periodontal disease. It were studied 1200 molars (600 mandibular molars and 600 maxillary molars) separated from the collection of teeth on the Discipline of Anatomy in FOSJCampos - UNESP. Each group of 600 teeth was separated from the second side (300 teeth) and the second type (first, second or third molar). Each tooth had thoroughly inspected the cervical region, in all their faces, in order to verify the incidence and the grade of CEP in each surface. It was found that the CEP covered in 278 (23,17%) teeth was 146 (52,52%) mandibular molars and 132 (47,48%) maxillary molars. The CEPs were concentrated on a tooth surface in 222 (79,86%) teeth, in two surfaces 53 (19,06%) teeth, and in three surfaces in three (1,08%) teeth. From the total of 4.800 surfaces examined the CEPs were found in 337 surfaces, and 228 (67,66%) surfaces of the grade I, 60 (17,8%) grade II and 49 (14,54%) grade III. The buccal surface presented 207 (61,42%) CEP, the lingual surface in 57 (16,91%), the mesial surface in 35 (10,39%) and the distal surface in 38 (11,28%) CEP. The results of this study demonstrated that the CEPs have focused more on the mandibular teeth on only one surface of the tooth, the grade I was the most found and the buccal surface the most involved

Seqüelas em dentes permanentes após trauma nos predecessores decíduos e sua implicação clínica

In regarding to the high prevalence of traumatic dental injuries in primary teeth and the possible disturbances on developing permanent successor germs, an early diagnosis and an adequate establishment of treatment planning are very important to minimize the damage caused by the trauma. Sequelaes can affect the coronal portion (white or yellow-brown discoloration associated or not with enamel hipoplasia, dilacerations of the crown), the root portion (dilaceration, duplication or cessation of root formation) or the whole successor permanent tooth (odontoma sequestration or disturbances of permanent successor eruption). The aim of this study is to make a literature review of the developmental disturbances of permanent teeth followed by traumatic injuries to theirs primary predecessors and to present cases reports to advise the dentists, their patients and parents about the damage that developing permanents teeth can undergo.

Efeito do tratamento com Raloxifeno sobre o processo de reparo de reimplante dentário tardio. Estudo histológico em ratas

Conselho Nacional de Desenvolvimento Científico e Tecnológico (CNPq)

Resistência de união e microinfiltração em restaurações de resina

Fundação de Amparo à Pesquisa do Estado de São Paulo (FAPESP)

Efeito citotóxico de agentes clareadores a base de peróxido de hidrogênio a 20% e 38% sobre células odontoblastóides

The aim of this in vitro study was to evaluate the trans-enamel and transdentinal cytotoxic effects of two in-office tooth bleaching techniques that employ bleaching gels containing 20% and 38% of H2 O2 on cultured odontoblast-like cell line (MDPC-23). Sixty enamel/dentin discs were obtained from bovine central incisors and placed individually in artificial pulp chambers. Six groups were formed according to the following enamel treatments: G1- 20% H2 O2 (1 application); G2- 20% H2 O2 (2 applications); G3- 38% H2 O2 (1 application); G4- 38% H2 O2 (2 applications); G5- 38% H2 O2 (3 applications); and G6- control (no treatment). In G1 and G2, the bleaching gel was left in contact with the enamel surface for 45 min in each application. However, in G3, G4, and G5 the bleaching gel was applied for only 10 min per application. After the last application, the extracts were collected and applied on previously cultured cells (30.000 cells/cm2 ) for 24 h. Cell metabolism was evaluated by the MTT assay and cell morphology was analysed by scanning electron microscopy. Cell metabolism decreased by 96.29%; 96.11%; 96.42%; 95.62%; and 97.18% in G1, G2, G3, G4, and G5, respectively. All treated groups differed significantly from non-treated control group (G6) (p < 0.05). However, the difference in cell metabolism among treated groups was not significant statistically. In addition, significant morphological cell alterations were observed in all treated groups. Under the tested experimental conditions, the extracts collected after both tooth bleaching techniques evaluated in this study caused severe toxic effects on cultured odontoblast-like cell MDPC-23.

Análise clínica, tomográfica e histológica comparativa entre ha+β-tcp isolado ou associado a proteínas derivadas do esmalte utilizadas como enxertos após a elevação da membrana do seio maxilar e colocação de implantes: estudo piloto

The aim of this study was to evaluate the clinical, tomographic, and histological similarity within the use of HA+β-TCP (Boneceramic) alone or associated with enamel matrix derived (EMD) proteins in sinus lifting procedures with subsequent dental implant placement. We selected two patients with residual bony ridges between 3 mm and 5 mm in height in need of bone grafts. Six months later, eight implants were installed (two implants at each site). Biopsies were made, and the tissue was processed and stained with HE solution. Tomographic evaluation showed bone height gain up to 10.0 mm on average. Histology showed new bone formation for both groups, with similar bone density and trabecular interconnectivity. It can be concluded that the HA+β-TCP graft isolated or associated to EMD provided bone height gain in sinus lifting procedures, with similar clinical, tomographic and histological characteristics.

Efeito de um gel de peróxido de carbamida a 10% sobre a resistência de união de restaurações adesivas à dentina

The present study aimed to analyze the effects of tooth bleaching with 10% carbamide peroxide (CP) gel on the bond strength of resin composite restorations to dentin. Material and Methods: Twenty cavities were prepared on the buccal surface of bovine teeth. After acid etching and application of bonding agent on dentin and enamel, the cavities were restored with composite resin. The specimens were divided into groups according to treatment on the surface of enamel / restoration: G1 - control (no treatment) and G2 (10% PC gel application for 8h/day during 14 days). After this period, the teeth were cut to produce beams with 0.81 mm2 cross-sectional area, which were subjected to microtensile test. The fractures were examined with a stereomicroscope and classified as cohesive in resin or dentin, adhesive, or mixed. Results: The statistical analysis (ANOVA / χ2) revealed that the factor treatment interfered with the bond strength, which was significantly higher for specimens of G2 (p <0.05). Adhesive fractures occurred in most of specimens of both groups with values ranging from 48.3% to 75%. Mixed fractures were the second more frequent in G1 and cohesive resin failure in G2. Conclusion: It was concluded that tooth bleaching with 10% of PC increased the bond strength of adhesive restorations to dentin.

Microdureza e rugosidade superficial do esmalte submetido ao clareamento: uma revisão de literatura

The increasing importance of aesthetic in the Dentistry for the patients and the consumers brought a constant rise in the number of products and procedures to facilitate the confection of the dental bleaching. Concomitantly, thone was a sudden increase in the number of research and publications, in vitro and in vivo, about its possible adverse reactions. Through literature revision this study aims to verify the possible morphologic alterations of the submitted enamel and dentine with different bleaching agents making critical analysis of the results of the current research with relation to the study of the microhardness and superficial roughness.

Estudio descriptivo in vitro de dos agentes blanqueadores de distinta concentración sobre la micromorfología del esmalte bovino

Dental tooth bleaching is a conservative option for the treatment of tooth stains. It is based on the use of hydrogen peroxide as an active agent. Despite its effectiveness to lighten tooth colour, there is concern regarding its use due to the effects it could have over enamel surface. There is scarce evidence on the subject and contradictions exist between different authors. The aim of this study was to compare enamel surface micromorphology after bleaching teeth with different concentrations of hydrogen peroxide solutions. Method: 50 healthy bovine incisors sectioned horizontally at the cemento-enamel junction were prepared. Contents of pulp chamber and tooth surfaces were cleaned. The buccal surface of each tooth was divided vertically, assigning one half to the control group (CG) and the other randomly to: Group 1: 25 samples treated with 15% hydrogen peroxide with nitrogen doped titanium dioxide. Group 2: 25 samples treated with 35% hydrogen peroxide. Square samples (2x2 mm.) were obtained and observed by SEM (magnification of 5.000x and 10.000x). Results: All treated groups showed longitudinal depressions on the surface and increased surface roughness. Conclusions: Tooth bleaching with hydrogen peroxide produces subclinical alterations over bovine enamel surface. 15% hydrogen peroxide bleaching agent produced less micromorphology alteration over bovine enamel surface than the 35% hydrogen peroxide agent.

Análise dos troncos radiculares, abertura da raízes e projeções cervicais de esmalte de furcas de molares superiores e inferiores: Estudo in vitro

Periodontal treatment of teeth with furcation lesions often have unpredictable results due to several factors that may hinder therapy or influence the progress of periodontal disease. Of these, the length of the root trunk may contribute to the early injury of the furcations or even cause complications for the application of the treatment; the opening of the roots can guide the type of treatment to be instituted and cervical enamel projections may hinder the instrumentation of the region or even act as a retention plate niche. Thus, the purpose of this study was measured using a digital caliper, root logs database 400 molar both the 1st and the 2nd and both upper and lower as well as analyze using appropriate index type projection cervical enamel and through appropriate classification the opening of the roots in order to guide the diagnosis and treatment plan. We conclude that there is variation in measures of root trunk between the faces of the teeth examined and that greater cervical enamel projection (ECP) correlates with a decrease in the length of the root trunk in the sample evaluated as the first molars have higher occurrence of roots with a degree of opening larger than the second molars.

Dentinogenesis imperfecta type II: approach for dental treatment

Conselho Nacional de Desenvolvimento Científico e Tecnológico (CNPq)

Efeito da ovariectomia e da reposição hormonal no reimplante dentário imediato: análise histomorfométrica e imunoistoquímica em ratas

Pós-graduação em Odontologia - FOA

Efeito da reposição com melatonina no processo de reparo após reimplante dentário em ratos pinealectomizados: análise histomorfométrica

Coordenação de Aperfeiçoamento de Pessoal de Nível Superior (CAPES)