Integrated clinical treatment of gingival recession secondary to root perforation: case report.

Among the factors that influence the success of treatment of a root perforation, its location and possibility of contamination are determinant because the interaction of these 2 factors may result in significant periodontal injury. The management of cases of hard-to-reach contaminated perforations depends on the choice of an adequate technique. In the case reported in this article, controlled orthodontic tooth extrusion was successfully performed to treat gingival recession secondary to root perforation. The outcomes showed that this technique preserves the zone of attached gingiva, maintains the crown height, and prevents the involvement of the supporting bone tissue. The favorable clinical and radio?graphic conditions after 7 years of follow-up demonstrate the viability of this treatment approach.

Influence of bleaching treatment on flexural resistance of hybrid materials.

The aim of this study is to evaluate the flexural resistance of three types of restorative materials: compomer (Freedom), resin-modified glass-ionomer (Vitremer) and composite resin (Esthet-X), observing whether the application of bleaching agent can cause alterations of their flexural properties. Sixty samples were made using a 10 x 1 x 1 mm brass mold, and divided into three groups: G1- Freedom (SDI); G2- Vitremer (3M ESPE); G3- Esthet-X (Dentsply). On half of the samples of each group (10 samples) the bleaching treatment was applied and the other half used as control, was stored in distilled water at a temperature of 37 degrees C. Whiteness HP Maxx bleaching system was applied on the sample surface following the manufacturer's recommendations, simulating the bleaching treatment at the clinic. After this period, a flexural strength (three-point bending) test was conducted using (EMIC DL 1000) machine until the samples fractured. The data were submitted to ANOVA and Tukey tests. Of the restorative materials studied, G3-(87.24 +/- 31.40 MPa) presented the highest flexural strength, followed by G1-(61.67 +/- 21.32 MPa) and G2-(61.67 +/- 21.32 MPa). There was a statistical difference in flexural strength after the bleaching treatment. It was concluded that the use of a beaching agent can promote significant alteration of the flexural strength of these restorative materials.

Enamel remineralization by fluoride-releasing materials: Proposal of a pH-cycling model

This study proposes a pH-cycling model for verifying the dose-response relationship in fluoride-releasing materials on remineralization in vitro. Sixty bovine enamel blocks were selected for the surface microhardness test (SMH 1). Artificial caries lesions were induced and surface microhardness test (SMH 2) was performed. Forty-eight specimens were prepared with Z 100, Fluroshield, Vitremer and Vitremer 1/4 diluted - powder/liquid, and subjected to a pH-cycling model to promote remineralization. After pH-cycling, final surface microhardness (SMH 3) was assessed to calculate percent recovery of surface microhardness (%SMH R). Fluoride present in enamel (μg F/mm 3) and in the pH-cycling solutions (μg F) was measured. Cross-sectional microhardness was used to calculate mineral content (ΔZ). There was no significant difference between Z 100 and control groups on analysis performed on - %SMH R, ΔZ, μ F and μ F/mm 3 (p>0.05). Results showed a positive correlation between %SMH R and μg F/mm 3 (r=0.9770; p=0.004), %SMH R and μg F (r=0.9939; p=0.0000001), DZ and μg F/mm 3 (r=0.9853; p=0.0002), ΔZ and μg F (r=0.9975; p=0.0000001) and between μg F/mm 3 and μg F (r=0.9819; p=0.001). The pH-cycling model proposed was able to verify in vitro dose-response relationship of fluoride-releasing materials on remineralization.

Avaliação da liberação de íon fluoreto de cimentos ionoméricos antes e após a recarga e com proteção da superfície

Objective: To evaluate fluoride ion release from two anhydrous glass ionomer cements (GICs) and two resin-modified GICs (RMGICs) before and after recharge with 2% neutral sodium fluoride for 4 min and after surface protection of the Maxxion R GIC with an adhesive system, a cavity varnish and a colorless nail polish. Method: A stainless steel 2x6 mm matrix was used for fabricating 5 specimens of each material, which were immersed in 5 mL of deionized water, renewed every 24 h. Measurements with a potentiometer were performed on days 1, 2, 9 and 17, in the 1st and 2nd phases, and the specimens were buffered with a TISAB III solution. In the 2nd phase, the specimens were subjected to recharge and immersed again in 5 mL of deionized water. In the 3rd phase, the GIC surfaces were protected and readings were made at 5 min, 24 h, 48 h and 72 h. Tukey's post-hoc and Student's t tests were used for statistical analyses (p<0.05). Results: There was statistically significant difference in the comparison between the 1st and 2nd phases for all materials, except at day 2 for Vidrion R and VitroFil LC. In the 3rd phase, it was observed that for all materials, comparison of the first 5 min with the other times revealed statistically significant differences among the means of fluoride ion release. In the comparison with the other times, both the varnish and the colorless nail polish presented statistically significant difference between 24 and 48 h as well as between 24 and 72 h. Conclusion: The anhydrous GICs were more effective in fluoride ion release and recharge compared with the RMGICs. Maxxion R presented a homogeneous and statistically significant behavior in both phases. All materials for surface protection were efficient and the colorless nail polish had the best behavior.

Avaliações clínica e clínica/fotográfica de restaurações adesivas, realizadas em lesões cervicais não cariosas: efeitos dos materiais restauradores, tipos e tempos de avaliação

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

Avaliação de materiais restauradores ionoméricos, empregando a técnica do ART

Coordenação de Aperfeiçoamento de Pessoal de Nível Superior (CAPES)

Estudo clínico comparativo de um selante à base de ionômero de vidro e um verniz fluoretado em primeiro molar permanente recém irrompido de crianças com e sem experiência de cárie dentária

Coordenação de Aperfeiçoamento de Pessoal de Nível Superior (CAPES)

Efeito da variação do pH em modelo de ciclagem nas propriedades de materiais restauradores

Coordenação de Aperfeiçoamento de Pessoal de Nível Superior (CAPES)

Técnica do tratamento restaurador atraumático convencional e modificado em molares decíduos: avaliação clínica de 12 meses

Pós-graduação em Ciência Odontólogica - FOA

Aplicação de ondas de ultra-som sobre cimentos de ionômero de vidro: rugosidade superficial e perda de massa após ensaio de escovação

Conselho Nacional de Desenvolvimento Científico e Tecnológico (CNPq)

Efeito do tempo de fotoativação na citotoxicidade de cimentos de ionômero de vidro modificados por resina em células de linhagem odontoblástica

Conselho Nacional de Desenvolvimento Científico e Tecnológico (CNPq)

Efeito antibacteriano e sucesso clínico/radiográfico da pasta de hidróxido de cálcio associada à clorexidina como medicação intracanal no tratamento de dentes decíduos humanos com polpa necrótica

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

Deflexão cuspídea e resistência à fratura em dentes restaurados

Coordenação de Aperfeiçoamento de Pessoal de Nível Superior (CAPES)

Análise das tensões geradas durante a contração de polimerização e aplicação de cargas em restaurações diretas de resina composta. Efeito da utilização de materiais para base ou forramento

Coordenação de Aperfeiçoamento de Pessoal de Nível Superior (CAPES)

Avaliação da interface dentina/agentes protetores em restaurações com resina composta, através de microscopia eletrônica de varredura

Pós-graduação em Ciências Odontológicas - FOAR