Portland cement use in dental root perforations: a long term followup

Root canal and furcal perforations are causes of endodontic therapy failure and different materials that stimulate tissue mineralization have been proposed for perforation treatment. In the first case, a patient presented tooth 46 with unsatisfactory endodontic treatment and a periapical radiographic lesion. A radiolucent area compatible with a perforating internal resorption cavity was found in the mesial root. The granulation tissue was removed, and root canals were prepared. The intracanal medication was composed of calcium hydroxide and the perforation cavity was filled with Portland cement. The 11-year followup showed radiographic repair of the tissue adjacent to the perforation and absence of clinical signs and symptoms or periapical lesion. In the second case, a patient presented with edema on the buccal surface of tooth 46. The examination showed a radiolucent area in the furcation region compatible with an iatrogenic perforation cavity. The mesial root canals were calcified, and only the distal root canal was prepared. The cavity was filled with a calcium hydroxide-based paste and the distal root canal was obturated. In sequence, the perforation cavity was filled with Portland cement. The 9-year followup showed the tooth in masticatory function with radiographic and clinical aspects compatible with normality.

Chemical characterization and bioactivity of epoxy resin and Portland cement-based sealers with niobium and zirconium oxide radiopacifiers

The purpose of this study was to characterize and to evaluate the bioactivity potential of experimental root canal sealers (ES) based on Portland cement, epoxy resin with nano- and micro-particles of niobium or zirconium oxide used as radiopacifiers in comparison to AH Plus and MTA Fillapex. Methods Specimens of the sealers (10 mm in diameter × 1 mm thick) were prepared and the radiopacity was evaluated according to ISO 6876 (2012) specifications. Characterization of the sealers was performed under the scanning electron microscope (SEM) immediately after setting and after immersion for 28 days in Hank's balanced salt solution (HBSS). In addition X-ray energy dispersive spectroscopy (EDS), X-ray diffraction (XRD) and Fourier transform infrared (FT-IR) spectroscopy were also performed. The pH and calcium ion release were measured after 1, 7, 14, 21 and 28 days after completion of seating using a digital pH meter and an atomic absorption spectrophotometer, respectively. Results The experimental sealers exhibited an average radiopacity of 2.5 mm thickness of aluminum, which was similar to MTA Fillapex (P > 0.05) and inferior to AH Plus (P < 0.05). AH Plus did not show bioactivity. Although the experimental sealers did not exhibit the formation of hydration product, they encouraged the deposition of crystalline spherical structures of calcium deficient phosphate. The highest pH and calcium release values were observed with the experimental sealers (P < 0.01). ES-Nb-micro was the only sealer to present hexagonal shaped crystal deposition. Significance Novel root canal sealers based on a mixture of Portland cement, epoxy resin and radiopacifier exhibited a degree of bioactivity although no evidence of cement hydration was demonstrated on material characterization. The radiopacifier particle size had limited effect on the sealer microstructure and chemical properties.

Análise físico-química do MTA e do cimento Portland associado a quatro diferentes radiopacificadores

Conselho Nacional de Desenvolvimento Científico e Tecnológico (CNPq)

Radiopacity and cytotoxicity of Portland cement associated with niobium oxide micro and nanoparticles

Conselho Nacional de Desenvolvimento Científico e Tecnológico (CNPq)

Use of high-resolution thermogravimetric analysis (HRTG) technique in spent FCC catalyst/Portland cement pastes

Thermogravimetric analysis is one of the most common instrumental techniques used for the characterization of pastes, mortars and concretes based on both calcium hydroxide and Portland cement. Important information about pozzolanic materials can be assessed concerning calcium hydroxide consumption and the formation of new hydrated products. Nevertheless, in some cases, problems associated with the overlapped decomposition processes for hydrates make the analysis of obtained data difficult. In this paper, the use of high-resolution thermogravimetric analysis, a powerful technique that allows separating decomposition processes in analysis of hydrated binders, was performed for spent FCC catalyst-Portland cement pastes. These pastes were monitored for 1, 4, 8 h and 1, 2, 3, 7 and 28 curing days. In order to study the influence of the pozzolanic material (spent FCC catalyst), Portland cement replacements of 5, 15 and 30 % by mass were carried out. The presence of spent FCC catalyst in blended pastes modified the amount and the nature of the formed hydrates, mainly ettringite and stratlingite.

Efeito do cimento Portland modificado e MTA na viabilidade de fibroblastos e produção de ciocinas

Objetivo: o objetivo desse estudo foi investigar os efeitos da nova formulação do Cimento Portland (CPM) comparando-o ao MTA Angelus na viabilidade celular e liberação de IL-1b e IL-6 em fibroblastos de rato. Métodos: tubos de polietileno preenchidos com os materiais estudados foram colocados em placas de cultura celular de 24 poços com fibroblastos de rato. Tubos vazios foram utilizados como controle. Após 24 horas, ensaio MTT foi utilizado para avaliar a viabilidade celular. Para o ensaio de citocinas, fibroblastos de ratos foram incubados em placas de fundo plano de 24 poços com discos dos materiais no fundo, ou sem material, como controle. Após 24 horas, o meio de cultura foi coletado para a avaliação das citocinas pelo ELISA. Resultados: o CPM e MTA Angelus não inibiram a viabilidade celular. Ambos os materiais induziram liberação de IL-6 e IL-1b e a quantidade foi estatisticamente significativa se comparada ao grupo controle. Conclusão: ambos os materiais não foram citotóxicos em cultura de fibroblastos e induziram a liberação de IL-6 e IL-1b.

Reação de tecido subcutâneo ao cimento Portland modificado (CPM)

Introdução: o objetivo do estudo foi avaliar a resposta do tecido subcutâneo de ratos a implantes de tubos de polietileno com cimento Portland modificado (CPM) (EGEO S.R.L., Buenos Aires, Argentina) comparado com o MTA Angelus® (Angelus, Londrina/PR). Métodos: esses materiais foram colocados em tubos de polietileno e implantados no tecido conjuntivo dorsal de ratos Wistar por 7, 15, 30, 60 e 90 dias. Os espécimes foram preparados e corados com hematoxilina e eosina ou Von Kossa, ou não corados por luz polarizada. Foram realizadas avaliações quantitativas e qualitativas das reações. Resultados: ambos os materiais causaram reações moderadas em 7 dias, decaindo com o tempo. O MTA Angelus causou reações leves em 15 dias, decaindo com o tempo. A resposta foi similar ao controle em 30, 60 e 90 dias com CPM e MTA Angelus. Foram observadas mineralização e granulações birrefringentes à luz polarizada em ambos os materiais. Conclusões: foi possível concluir que o CPM e o MTA Angelus foram biocompatíveis em modelo de rato e estimularam a mineralização.

Análise da incorporação de resíduos de pás eólicas em cimento portland atrvés de imagens de raios-X

Introdução: Os processos industriais geram grandes quantidades de resíduos, representando um grande desperdício de matéria prima e causando impactos negativos ao meio ambiente. No caso dos resíduos gerados pelas fábricas de pás eólicas para aerogeradores de Sorocaba-S.P., eles podem ser reaproveitados na incorporação em cimento Portland. O interesse é utilizá-los na construção civil como blocos sem fins estruturais para construção de muros, guias, calçadas, pisos, etc. Os corpos confeccionados devem obedecer às normas técnicas brasileiras e as suas propriedades relativas à resistência, compressão, absorção de água e distribuição espacial dos resíduos nestes corpos devem ser avaliadas. Objetivos: Devido à importância de se conhecer as propriedades dos corpos produzidos com a incorporação de resíduos de pás eólicas, este trabalho faz uma avaliação através de imagens de raios X de sua distribuição espacial para verificar a viabilidade do emprego desta técnica no estudo da incorporação de resíduos para, futuramente, em conjunto com outras pesquisas que estão sendo realizadas, verificar a relação desta distribuição com as propriedades mecânicas dos corpos produzidos. Métodos: Objetivando a incorporação desse resíduo como substituto parcial dos agregados miúdos em argamassa, foram fabricados corpos de prova (CPs) seguindo as normas da ABNT-NBR 5738. Todos os corpos foram desmoldados após 24 horas de sua confecção e imersos em água por 28 dias para a cura. Utilizou-se o traço 3:1, areia e cimento, em relação a massa dos componentes, ou seja, para cada 300 g de areia adicionou-se 100 g de cimento. Na confecção de argamassa com resíduo utilizou-se o mesmo traço, porém com a substituição de parte da areia pelo resíduo. Foram fabricados CPs com 5%, 15%, 50% e 0% de resíduo para que este sirva de referência. Como os corpos possuem um formato cilíndrico, foram obtidas imagens em duas projeções: frontal e superior utilizando um equipamento digital com os seguintes parâmetros: 83 kVp e 16 mAs e, 85 kVp e 30 mAs, respectivamente. Resultados: As imagens mostram que na projeção frontal é possível verificar que a distribuição do resíduo nos corpos é homogênea, o que pode proporcionar uniformidade nos resultados de testes de resistência à compressão que serão realizados futuramente. Porém, na projeção superior ainda será necessário um estudo dos parâmetros que deverão ser utilizados no equipamento de raios X para melhorar a sua qualidade. Além disso, métodos de processamento digital de imagens poderão ser aplicados nas imagens para auxiliar na visualização dos resíduos incorporados. Também pode ser visto nas imagens que a forma utilizada para a incorporação do resíduo resulta na sua distribuição uniforme, compatível com o que se deseja neste tipo de incorporação.

Cissus sicyoides (princess vine) in the long-term treatment of streptozotocin-diabetic rats

Leaf decoctions of Cissus sicyoides (princess vine) are taken widely as a popular remedy for diabetes mellitus in Brazil, where its common name is 'vegetal insulin'. However, there have been practically no attempts so far to determine scientifically whether it has antidiabetic effects and we decided to administer leaf decoctions, over extended periods, to normal and streptozotocin-diabetic rats, and investigate the effects of this treatment on the physiological and metabolic parameters that are altered in diabetic animals. The experimental model adopted was shown to be appropriate by running a parallel treatment with insulin, which led to expected improvements in several abnormal parameter values. The decoction treatment significantly reduced the intake of both food and fluid and the volume of urine excreted, as well as the levels of blood glucose, urinary glucose and urinary urea, in comparison with controls. Lipid metabolism was not affected by the treatment; nor was the level of hepatic glycogen in diabetic animals, which indicated that the mechanism responsible for the improvement in carbohydrate metabolism, observed in animals treated with the decoction, could not involve inhibition of glycogenolysis and/or stimulation of glycogenesis. The fact that normal animals treated with C. sicyoides exhibited no changes in any of the measured parameters suggests that its mode of action in diabetic animals does not resemble those of sulphonylurea or insulin. It may, however, act in a similar way to biguanide, via inhibition of gluconeogenesis.

Serotonin as a physiological substrate for myeloperoxidase and its superoxide-dependent oxidation to cytotoxic tryptamine-4,5-dione

Conselho Nacional de Desenvolvimento Científico e Tecnológico (CNPq)

Evaluation of the Tissue Reaction to Fast Endodontic Cement (CER) and Angelus MTA

Introduction: A new cement (CER; Cimento Endodontico Rapido or fast endodontic cement) has been developed to improve handling properties. It is a formulation that has Portland cement in gel. However, there had not yet been any study evaluating its biologic properties. The purpose of this study was to evaluate the rat subcutaneous tissue response to CER and Angelus MTA. Methods: The materials were placed in polyethylene tubes and implanted into dorsal connective tissue of Wistar rats for 7, 30, and 60 days. The specimens were prepared to be stained with hematoxylin-eosin or von Kossa or not stained for polarized light. The presence of inflammation, predominant cell type, calcification, and thickness of fibrous connective tissue were recorded. Scores were defined as follows: 0, none or few inflammatory cells, no reaction; 1, <25 cells, mild reaction; 2, 25-125 cells, moderate reaction; 3, >125 cells, severe reaction. Fibrous capsule was categorized as thin when thickness was <150 mu m and thick at >150 mu m. Necrosis and formation of calcification were both recorded. Results: Both materials Angelus MTA and CER caused moderate reactions at 7 days, which decreased with time. The response was similar to the control at 30 and 60 days with Angelus MTA and CER, characterized by organized connective tissue and presence of some chronic inflammatory cells. Mineralization and granulations birefringent to polarized light were observed with both materials. Conclusions: It was possible to conclude that CER was biocompatible and stimulated mineralization. (J Endod 2009,35:1377-1380)