Avaliação da limpeza da superfície dentinária apical após a remoção de diferentes associações de hidróxido de cálcio

Com o objetivo de avaliar a superfície dentinária apical, após a remoção de diferentes pastas de hidróxido de cálcio (Ca(OH)²), foram selecionados 68 dentes unirradiculares, preparados por um único operador, valendo-se da técnica regressiva. Os canais foram irrigados com 5ml de hipoclorito de sódio (NaOCl) a 1%, seguido de irrigação final com 10 ml de ácido etilenodiaminotetracético associado ao tergentol (EDTA-T) a 17%. As amostras foram divididas, aleatoriamente, em 4 grupos (n=15), de acordo com o tipo de associação de Ca(OH)²: associado à solução de clorexidina 0.2% (Grupo 1); ao propilenoglicol (Grupo 2); à ciprofloxacina, metronidazol e água destilada (Grupo 3); à ciprofloxacina, metronidazol e propilenoglicol (Grupo 4). Os dentes controle negativos (n=4) não foram preenchidos com Ca(OH)², e nos controle positivo, (n=4) não foi feita a remoção do Ca(OH)². As amostras foram armazenadas à 37ºC, em 100% de umidade relativa, por 21 dias. A remoção da medicação foi realizada com: irrigação com 5ml de NaOCl 1%; limagem circunferencial com instrumento memória; 5ml de NaOCl 1%; patência com lima K #10; ultra-som com lima K #15; e 10ml de EDTA-T a 17%. Os espécimes foram analisados em microscópio eletrônico de varredura e, após a aplicação do teste de Kruskal-Wallis (α = 5%), observou-se que não houve diferença entre os grupos em relação à remoção do Ca(OH)² (p = 0.0951). O teste Qui-quadrado (α = 5%) indicou a predominância de Ca(OH)² obstruindo os túbulos dentinários, independente do veículo utilizado. Após análise química pontual (espectrometria por dispersão de raios-x EDS) e, aplicação do teste de análise das variâncias e Tukey (α = 5%), pôde-se observar que houve diferença na quantidade de íons cálcio (Ca) remanescente entre os grupos 1 e 4 (p<0.01). Com base na metodologia empregada, concluiu-se que, independente do tipo de veículo utilizado, a superfície dentinária apical permaneceu igualmente coberta por Ca (OH)².

Influência da movimentação dentária no processo de reparo de dentes com lesão periapical tratados endodonticamente. Estudo histomorfológico em cães

Pós-graduação em Odontologia - FOAR

Ocorrência de diferentes tipos de canais acessórios cavo inter-radiculares em molares de humanos. Estudo histológico

Coordenação de Aperfeiçoamento de Pessoal de Nível Superior (CAPES)

Profundidade de polimerização de cimentos resinosos utilizados na cimentação de pinos translúcidos e sua influência sobre a resistência adesiva antes e após ciclagem mecânica

Coordenação de Aperfeiçoamento de Pessoal de Nível Superior (CAPES)

Influência de sistemas adesivos e da região do dente na durabilidade da união entre dentina e pino de fibra

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

Reimplante dentário após o preenchimento do canal com pasta de β-glicerofosfato de cálcio ou pasta de hidróxido de cálcio + MTA estudo histomorfométrico em ratos

Coordenação de Aperfeiçoamento de Pessoal de Nível Superior (CAPES)

Wizard CD Plus and ProTaper Universal: analysis of apical transportation using new software

Objective: This study has two aims: 1) to evaluate the apical transportation of the Wizard CD Plus and ProTaper Universal after preparation of simulated root canals; 2) to compare, with Adobe Photoshop, the ability of a new software (Regeemy) in superposing and subtracting images. Material and Methods: Twenty five simulated root canals in acrylic-resin blocks (with 20 degrees curvature) underwent cone beam computed tomography before and after preparation with the rotary systems (70 kVp, 4 mA, 10 s and with the 8x8 cm FoV selection). Canals were prepared up to F2 (ProTaper) and 24.04 (Wizard CD Plus) instruments and the working length was established to 15 mm. The tomographic images were imported into iCAT Vision software and CorelDraw for standardization. The superposition of pre- and post-instrumentation images from both systems was performed using Regeemy and Adobe Photoshop. The apical transportation was measured in millimetres using Image J. Five acrylic resin blocks were used to validate the superposition achieved by the software. Student's t-test for independent samples was used to evaluate the apical transportation achieved by the rotary systems using each software individually. Student's t-test for paired samples was used to compare the ability of each software in superposing and subtracting images from one rotary system per time. Results: The values obtained with Regeemy and Adobe Photoshop were similar to rotary systems (P>0.05). ProTaper Universal and Wizard CD Plus promoted similar apical transportation regardless of the software used for image's superposition and subtraction (P>0.05). Conclusion: Wizard CD Plus and ProTaper Universal promoted little apical transportation. Regeemy consists in a feasible software to superpose and subtract images and appears to be an alternative to Adobe Photoshop.

Evaluation of the Interaction Between Sodium Hypochlorite and Several Formulations Containing Chlorhexidine and its Effect on the Radicular Dentin-SEM and Push-Out Bond Strength Analysis

The aim of the current study was to evaluate the presence of debris and smear layer after endodontic irrigation with different formulations of 2% chlorhexidine gluconate (CHX) and its effects on the push-out bond strength of an epoxy-based sealer on the radicular dentin. One hundred extracted human canines were prepared to F5 instrument and irrigated with 2.5% sodium hypochlorite and 17% ethylenediaminetetraacetic acid. Fifty teeth were divided into five groups (n=10), according to the final irrigation protocol with different 2% CHX formulations: G1 (control, no final rinse irrigation), G2 (CHX solution), G3 (CHX gel), G4 (Concepsis), and G5 (CHX Plus). In sequence, the specimens were submitted to scanning electron microscopy (SEM) analysis, in the cervical-medium and medium-apical segments, to evaluate the presence of debris and smear layer. The other 50 teeth were treated equally to a SEM study, but with the root canals filled with an epoxy-based endodontic sealer and submitted to a push-out bond strength test, in the cervical, middle, and apical thirds. G2, G3, G4, and G5 provided higher precipitation of the debris and smear layer than G1 (P<0.05), but these groups were similar to each other (P>0.05), in both segments. The values obtained in the push out test did not differ between groups, independent of the radicular third (P>0.05). The CHXs formulations caused precipitation of the debris and smear layer on the radicular dentin, but these residues did not interfere in the push-out bond strength of the epoxy-based sealer. Microsc. Res. Tech. 77:17-22, 2014. (c) 2013 Wiley Periodicals, Inc.

Effect of the interfacial area measurement parameters on the push-out strength between fiber post and dentin

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

Signaling Pathways Activation by Primary Endodontic Infectious Contents and Production of Inflammatory Mediators

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

Efeitos da interação e soluções utilizadas na prevenção da formação do precipitado originado pela interação do hipoclorito de sódio e do diglunato de clorexidina e a repercursão sobre a resistência de união de cimento obturador na dentina do canal radicular

Pós-graduação em Odontologia - FOAR

Effect of Rotary Instrument Associated with Different Irrigation Techniques on Removing Calcium Hydroxide Dressing

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

Macrophage Cell Activation with Acute Apical Abscess Contents Determined by Interleukin-1 Beta and Tumor Necrosis Factor Alpha Production

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

Comparison of cyclic fatigue and torsional resistance in reciprocating single-file systems and continuous rotary instrumentation systems

As compared with continuous rotary systems, reciprocating motion is believed to increase the fatigue resistance of NiTi instruments. We compared the cyclic fatigue and torsional resistance of reciprocating single-file systems and continuous rotary instrumentation systems in simulated root canals. Eighty instruments from the ProTaper Universal, WaveOne, MTwo, and Reciproc systems (n = 20) were submitted to dynamic bending testing in stainless-steel simulated curved canals. Axial displacement of the simulated canals was performed with half of the instruments (n = 10), with back-and-forth movements in a range of 1.5 mm. Time until fracture was recorded, and the number of cycles until instrument fracture was calculated. Cyclic fatigue resistance was greater for reciprocating systems than for rotary systems (P < 0.05). Instruments from the Reciproc and WaveOne systems significantly differed only when axial displacement occurred (P < 0.05). Instruments of the ProTaper Universal and MTwo systems did not significantly differ (P > 0.05). Cyclic fatigue and torsional resistance were greater for reciprocating systems than for continuous rotary systems, irrespective of axial displacement.

Ação antimicrobiana da clorexidina gel e líquida e do hipoclorito de sódio

The purpose of this study was to evaluate in vitro antimicrobial activity of chlorhexidine gel and liquid 2%, and 2% sodium hypochlorite on Candida albicans, Enterococcus faecalis, Escherichia coli in root canals. For this, we used 40 human single-rooted teeth were divided into 4 groups (n = 10) according to assist the chemical used: 1) 2% chlorhexidine liquid, 2) 2% chlorhexidine gel, 3) sodium hypochlorite 2%, and 4) physiological saline (control). Content were collected immediately after root canal instrumentation and after 7 days of biomechanical. For the samples was conducted to evaluate the antimicrobial activity and the results were subjected to statistical analysis of Kruskal-Wallis and Dunn's test with a significance of 5%. It was found that chlorhexidine gel and liquid as well as sodium hypochlorite were effective against the microorganisms tested