Ação de géis fluoretados, suplementados ou não com hexametafosfato de sódio, no processo de erosão do esmalte dentário: estudo in situ

Coordenação de Aperfeiçoamento de Pessoal de Nível Superior (CAPES)

Avaliação dos parâmetros salivares de pacientes portadores da doença do refluxo gastroesofágico antes e após tratamento cirúrgico

Coordenação de Aperfeiçoamento de Pessoal de Nível Superior (CAPES)

Efeito da aplicação de sistemas adesivos autocondicionantes associados ao laser Nd:YAG na prevenção do desgaste erosivo/abrasivo do esmalte dental

Pós-graduação em Odontologia Restauradora - ICT

Quality of life in patients with Charcot-Marie-Tooth disease type 1A

Avaliou-se o comprometimento funcional de pacientes com Charcot-Marie-Tooth provenientes da duplicação 17p11.2-p12 (CMT1A), utilizando o SF-36, que é um questionário para medir a qualidade de vida. Vinte e cinco pacientes de ambos os sexos com idades ≥10 anos e diagnóstico molecular de CMT1A foram selecionados. Idade, sexo, condições sociodemográficas e profissionais foram pareados com o Grupo Controle (sem histórico familiar de neuropatia). Os resultados mostraram que o maior impacto da CMT1A na qualidade de vida ocorreu nos domínios social e emocional dos pacientes avaliados. A capacidade funcional também tende a ser significativamente afetada, enquanto outros indicadores de deficiência física foram preservados. Por fim, os aspectos sociais e emocionais dos pacientes acometidos por CMT1A costumam ser negligenciados na assistência médica prestada aos pacientes brasileiros, e devem ser melhor compreendidos a fim de oferecer uma assistência global à saúde, resultando em adequada qualidade de vida.

Erosion of an active fault scarp leads to drainage capture in the Amazon region, Brazil

Far from the continental margin, drainage basins in Central Amazonia should be in topographic steady state; but they are not. Abandoned remnant fluvial valleys up to hundreds of square kilometers in size are observed throughout Amazonia, and are evidence of significant landscape reorganization. While major Late Miocene drainage shifts occurred due to initiation of the transcontinental Amazon River, local landscape change has remained active until today. Driven either by dynamic topography, tectonism, and/or climatic fluctuations, drainage captures in Amazonia provide a natural experiment for assessing the geomorphic response of low-slope basins to sudden, capture related base-level falls. This paper evaluates the timing of geomorphic change by examining a drainage capture event across the Baependi fault scarp involving the Cuieiras and TarumA-Mirim River basins northwest of the city of Manaus in Brazil. A system of capture-related knickpoints was generated by base-level fall following drainage capture; through numerical modeling of their initiation and propagation, the capture event is inferred to have occurred between the middle and late Pleistocene, consistent with other studies of landscape change in surrounding areas. In low-slope settings like the Amazon River basin, base-level fall can increase erosion rates by more than an order of magnitude, and moderate to large river basins can respond to episodes of base-level fall over timescales of tens to hundreds of thousands of years. Copyright (c) 2013 John Wiley & Sons, Ltd.

Effects of Light Activation, Agent Concentration, and Tooth Thickness on Dental Sensitivity After Bleaching

Examining three bleaching systems, this in vivo clinical trial evaluated the relationship among tooth sensitivity, light activation, and agent concentration, and it correlated dental sensitivity with tooth thickness.Materials and Methods: Eighty-seven volunteer patients were included. Inclusion criteria were the presence of anterior teeth without restorations as well as the absence of a previous bleaching experience and absence of non-carious cervical lesions or dental pain. Exclusion criteria included pregnancy or breastfeeding, a maximum of TF3 hypoplasia, tetracycline-fluorosis stains, malpositioned teeth, orthodontic treatment, periodontal disease, and/or analgesic/anti-inflammatory intake. Patients were randomly assigned to three bleaching groups: Group A (n=25) was treated with 15% H2O2 and nitrogenous-titanium-dioxide and was light activated (Lase Peroxide Lite, DMC, SaoCarlos, Sao Paulo, Brazil); Group B (n=27) was treated with 35% H2O2 and was light activated (Lase Peroxide Sensy, DMC); and Group C (n=35) was treated with 35% H2O2 (White Gold Office, Dentsply, 38West Clark Ave., Milford, USA) without light activation. Tooth sensitivity (TS) was self-reported by the patients using the visual analog scale (VAS) at baseline (TSO), immediately after treatment (TSI), and at seven days after treatment (TS7). In 46 patients, tooth thickness was determined by computed tomography. TSO, TSI, and TS7 were compared between the A and B groups to determine the effect of concentration and between the B and C groups to determine the effect of light using analysis of covariance. The correlation between tooth thickness and TSI was determined by Spearman Rho test (SPSS 15).Results: Eighty-seven patients were evaluated at baseline, and 61 were evaluated at seven days. Separated by groups, tooth sensitivity, expressed as VAS value at the time points TS0, TS1, and TS7, respectively, were as follows: Group A: 13.76 +/- 13.53, 24.40 +/- 25.24, and 5.94 +/- 5.5; Group B: 15.07 +/- 18.14, 42.4 +/- 31.78, and 8.68 +/- 17.99; and Group C: 10.80 +/- 14.83, 31.51 +/- 29.34, and 7.24 +/- 9.2. Group A showed significantly lower tooth sensitivity than group B at TSI (p=0.032). No differences were observed in the tooth sensitivities between groups B and C. No correlation was encountered between tooth thickness and tooth sensitivity immediately after treatment (Rho=-0.088,p=0.563). The median tooth thickness was 2.78 +/- 0.21 mm.Conclusions: Increases in the concentration of bleaching agents directly affect tooth sensitivity, and LED/laser activation and tooth thickness are not correlated with tooth sensitivity after dental bleaching.

Establishing erosion susceptibility: analytical hierarchical process and traditional approaches

This study evaluated alternatives for producing erosion susceptibility maps, considering different weight combinations for an environment's attributes, according to four different points of views. The attributes considered were landform, steepness, soils, rocks and land occupation. Considered alternatives were: (1) equal weights, more traditional approach, (2) different weights, according to a previous study in the area, (3) different weights, based on other works in the literature, and (4) different weights based on the analytical hierarchical process. The area studied included the Prosa Basin located in Campo Grande-Mato Grosso do Sul State, Brazil. The results showed that the assessed alternatives can be used together or in different stages of studies aiming at urban planning and decision-making on the interventions to be applied.

Effect of simulated intraoral erosion and/or abrasion effects on etch-and-rinse bonding to enamel

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

Effect of fluoride varnish supplemented with sodium trimetaphosphate on enamel erosion and abrasion: An in situ/ex vivo study

Coordenação de Aperfeiçoamento de Pessoal de Nível Superior (CAPES)

The effect of chronic treatment with fluoride on salivary activity, tooth, and bone in spontaneously hypertensive rats (SHR)

Conselho Nacional de Desenvolvimento Científico e Tecnológico (CNPq)

Effect of fluoride varnish supplemented with sodium trimetaphosphate on enamel erosion and abrasion

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

Clinical Trial Evaluating Color Change and Tooth Sensitivity Throughout and Following In-office Bleaching

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

Effective tooth-bleaching protocols capable of reducing H2O2 diffusion through enamel and dentine

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

Erosion Protection by Calcium Lactate/Sodium Fluoride Rinses under Different Salivary Flows in vitro

This study investigated the effect of a calcium lactate pre-rinse on sodium fluoride protection in an in vitro erosion-remineralization model simulating two different salivary flow rates. Enamel and dentin specimens were randomly assigned to 6 groups (n = 8), according to the combination between rinse treatments - deionized water (DIW), 12 mm NaF (NaF) or 150 mm calcium lactate followed by NaF (CaL + NaF) and unstimulated salivary flow rates - 0.5 or 0.05 ml/min simulating normal and low salivary flow rates, respectively. The specimens were placed into custom-made devices, creating a sealed chamber on the specimen surface connected to a peristaltic pump. Citric acid was injected into the chamber for 2 min, followed by artificial saliva (0.5 or 0.05 ml/min) for 60 min. This cycle was repeated 4x/day for 3 days. Rinse treatments were performed daily 30 min after the 1st and 4th erosive challenges, for 1 min each time. Surface loss was determined by optical profilometry. KOH-soluble fluoride and structurally bound fluoride were determined in specimens at the end of the experiment. Data were analyzed by 2-way ANOVA and Tukey tests (alpha = 0.05). NaF and CaL + NaF exhibited significantly lower enamel and dentin loss than DIW, with no difference between them for normal flow conditions. The low salivary flow rate increased enamel and dentin loss, except for CaL + NaF, which presented overall higher KOH-soluble and structurally bound fluoride levels. The results suggest that the NaF rinse was able to reduce erosion progression. Although the CaL prerinse considerably increased F availability, it enhanced NaF protection against dentin erosion only under hyposalivatory conditions. (C) 2014 S. Karger AG, Basel