Periapical tissue healing after post space preparation with or without use of a protection plug and root canal exposure to the oral environment. Study in dogs

The purpose of this study was to evaluate the influence of coronal leakage on the healing of dogs' periapical tissues after root canal filling, post space preparation and protection or not with a temporary sealer plug. Forty root canals of dogs' teeth were instrumented and filled by the lateral condensation technique with gutta-percha points and Endomethasone or CRCS sealers. After post space preparation, the remaining filling material was protected or not with a plug of temporary Coltosol sealer and exposed to the oral environment for 90 days. Thereafter, the animals were sacrificed and the specimens were removed and prepared for histomorphological and histobacteriological analysis. The findings revealed 35% of microbial leakage in the groups without plugs and 15% of leakage in the groups with plugs. Statistical analysis showed that the use of a Coltosol plug improved significantly the histomorphological results regardless of the type of root canal sealer (p=0.05) and that CRCS and Endomethasone sealers showed similar results (p>0.05).

Influence of brush type as a carrier of adhesive solutions and paper points as an adhesive-excess remover on the resin bond to root dentin

Purpose: To evaluate the influence of the brush type as a earner of priming adhesive solutions and the use of paper points as a remover of the excess of these solutions on the push-out bond strength of resin cement to bovine root dentin. The null hypotheses were that brush type and the use of paper points do not affect the bond strength. Materials and Methods: The canals of 80 single-root bovine roots (16 mm in length) were prepared at 12 mm using the preparation drill (FRC Postec Plus, Ivoclar). Half of each root was embedded in acrylic resin and the specimens were divided into 8 groups, considering the factors brush type (4 levels) and paper point (2 levels) (n = 10): Gr 1: small microbrush (Cavi-Tip, SDI); Gr 2: Microbrush (Dentsply); Gr 3: Endobrush (Bisco); Gr 4: conventional brush (Bisco); Gr 5: Cavi-Tip (SDI) + paper points; Gr 6: Microbrush (Dentsply) + paper points; Gr 7: Endobrush (Bisco) + paper points; Gr 8: conventional brush (Bisco) + paper points. The root dentin was treated with a multistep total-etch adhesive system (All Bond 2). The adhesive system was applied using each microbrush, with and without using paper points. One fiber post was molded with addition silicon and 80 posts were made of resin cement (Duolink), The resin posts were luted (Duolink resin cement), and the specimens were stored for 24 h in water at 37°C. Each specimen was cut into 4 disk-shaped samples (1.8 mm in thickness), which were submitted to the push-out test. Results: The brush type (p < 0.0001) (small microbrush > microbrush = endobrush = conventional brush) and the use of paper points (p = 0.0001) (with > without) influenced the bond strength significantly (two-way ANOVA). The null hypotheses were rejected. Conclusion: The smallest brush (Cavi-Tip) and the use of paper points significantly improved the resin bond to bovine root dentin.

Influence of the power level of an ultra-sonic system on dental cavity preparation

The aim of this study was to evaluate the shape of dental cavities made with the CVDentus® system using different ultrasound power levels. One standard cavity was made on the buccal aspect of 15 bovine incisors with a CVDentus® cylindrical bur (82142). The sample was divided into three groups: G1 - ultrasound with power II; G2 - ultrasound with power III; and G3 - ultrasound with power IV. A standardizing device was used to obtain standardized preparations and ultrasound was applied during one minute in each dental preparation. The cavities were sectioned in the middle, allowing observation of the cavity's profile with a magnifying glass, and width and depth measurement using the Leica Qwin program. The Kruskal-Wallis (p < 0.05) and Dunn statistical analyses demonstrated differences between the dental cavity shapes when powers III and IV were used. However, the cavities that were made with power III presented dimensions similar to those of the bur used for preparation. We concluded that the power recommended by the manufacturer (III) is the most adequate for use with the CVDentus® system.

Produção de pimentão em substratos e fertirrigação com efluente de biodigestor

Conselho Nacional de Desenvolvimento Científico e Tecnológico (CNPq)

Florid cemento-osseous dysplasia: A report of three cases

Florid cemento-osseous dysplasia (FCOD) is a non-neoplastic condition of the jaws that Is not associated with inflammation of the pulp or periodontal tissue. This article reports on three cases that were diagnosed as FCOD, demonstrating the importance of both clinical and radiographic diagnosis and the clinical management of these lesions.

Resin bonding to root canal dentin: Effect of the application of an experimental hydrophobic resin coating after an all-in-one adhesive

Aim: Based on the hypothesis the application of a low-viscosity hydrophobic resin coating improves the bond of all-in-one adhesive, the purpose of the study was to evaluate the bond strength of four adhesive systems to bovine root dentin using the push-out test method. Methods and Materials: The root canals of 32 bovine roots (16 mm) were prepared to a length of 12 mm using a FRC Postec Plus preparation drill. The specimens were allocated into four groups according to the adhesive system used: (Group 1) All-in-one Xeno III; (Group 2) All-in-one Xeno III+ScotchBond Multi-Purpose Plus Adhesive; (Group 3) Simplified Etch & Rinse One Step Plus; and (Group 4) Multi-Bottle Etch & Rinse All-Bond 2. A fiber-reinforced composite retention post was reproduced using an additional silicon impression and fabricated with DuoLink resin cement. The root specimens were treated with the selected adhesive systems, and the resin posts were luted in the canals with DuoLink resin cement. Each root specimen was cross sectioned into four samples (±1.8 mm in thickness), and the post sections were pushed-out to determine the bond strength to dentin. Results: Group 2 (2.9±1.2) was statistically higher than Group 1 (1.1±0.5) and Group 3 (1.1±0.5). Groups 1 and 3 showed no statistically significant difference while Group 4 (2.0±0.7) presented similar values (p>0.05) to Groups 1, 2, and 3 [(one-way analysis of variance (ANOVA)] and Tukey test, α=0.05). Conclusion: The hypothesis was accepted since the application of the additional layer of a low-viscosity bonding resin improved the bond of the all-in-one adhesive. Further studies must be conducted to evaluate the long-term bond.

Contribuiçã ao estudo de caracterizaçã de depó formados no papel

Deposits formed on the surface of. paper were analysed in order to identify the sources of the defects, as well as to solve the problems associated with performance and adjustments at the wet end of the paper forming process. Standard paper samples containing deposits were collected and analysed by comparing the microstructure and composition of the deposit with paper regions adjacent to it. Optical microscopy (OM). energy dispersive X-ray microanalysis (EDX) X-ray powder diffraction (XRD). thermogravimetric analysis (TGA) and scanning electron microscopy (SEM) were the techniques used in this study. The results obtained from the EDX, XRD. and TG techniques allowed concluding that the calcium carbonate content in the farm of calcite is 1.6 times higher in the formed deposit them the quantity expected in the standard paper composition. The paper sample microstructure revealed by the SEM images indicates the presence of irregular spherical aggregates up to 20μm in diameter in the deposit region. containing larger amount of calcium carbonate as well as in the regions adjacent to the deposit. These spherical aggregates seem to be absorbed and integrated into the pulp fibres and present characteristics similar to those of partially cooked cationic starch. The analysed deposits are characterised by a dense and thick substance, forming a plate with highly adhesive property. This adhesive substance has a characteristic similar to glue with a large amount of organic matter due to the high weight loss shown by the TG curve. The results are consistent with the interaction ofparticles of negatively charged calcium carbonate and cationic starch, forming sterically stabilized deposits, which firmly adhere to the paper microstructure.

In vitro evaluation of the effect of natural orange juices on dentin morphology

The patient's diet has been considered an important etiological factor of dentin hypersensitivity. The frequent ingestion of acidic substances can promote the loss of dental structure or remove the smear layer. The purpose of this study was to evaluate the degree of smear layer removal and dentinal tubules exposure by different natural orange juices. Extracted human teeth were submitted to manual scaling in order to develop the smear layer. Seventy dentin samples were obtained and distributed into the following groups: Control, lime orange, lime, valência orange, navel orange, mandarin, and tangerine. Each group included 2 methods of application: Topical and topical + friction. After preparation for SEM analysis, photomicrographs were assessed by a blind calibrated examiner using an index system. The Kruskal-Wallis test indicated a significant influence of the orange juices on smear layer removal. Significant difference was observed between navel orange, valência orange, mandarin and the control group (p < 0.05). These orange juices resulted in greater removal of the smear layer and greater opening of dentinal tubules. The comparison between the application methods for each group using the Mann-Whitney test showed that friction increased smear layer removal significantly only for lime orange and lime. The data suggest that certain natural orange juices are more effective in terms of smear layer removal and dentinal tubules exposure than others.

Root surface treatment with vitamin C in tooth replantation: microscopic study in rats

AIM: Late tooth replantation is a worthy procedure, especially in growing patients, being the best option for tooth avulsion. This study evaluated the effects of root surface treatment with 2% acidulated phosphate sodium fluoride and effervescent vitamin C (Redoxon) in late replantation. METHODS: Twenty rat teeth (Rattus norvegicus, albinus, Wistar) were extracted and left on a table for 6 h. Then, the dental papilla and enamel organ were sectioned and the pulp was removed through the apex. After removal of the periodontal ligament with a blade, the animals were divided into 2 groups: Group I teeth were immersed in 2% acidulated phosphate sodium fluoride solution for 10 min and obturated with Ca(OH)(2) paste. Group II teeth were immersed in effervescent vitamin C solution (Redoxon 2 g) for 10 min and obturated as for Group I. After these procedures, teeth were replanted and animals were killed after 60 days. RESULTS: The study revealed a larger amount of replacement resorption in Group I and larger amount of ankylosis in Group II, with statistically significant difference and absence of inflammatory resorption. CONCLUSION: The substances used for root surface treatment were unable to prevent replacement resorption and ankylosis, which are expected when the periodontal ligament has been lost.

Microbial distribution in the root canal system after periapical lesion induction using different methods

The aim of this study was to evaluate the microbial distribution in the root canal system after periapical lesion induction in dogs' teeth using different methods. Fifty-two root canals were assigned to 4 groups (n=13). Groups I and II: root canals were exposed to the oral cavity for 180 days; groups III and IV: root canals were exposed for 7 days and then the coronal openings were sealed for 53 days. The root apices of groups I and III were perforated, while those of groups II and IV remained intact. After the experimental periods, the animals were euthanized and the anatomic pieces containing the roots were processed and stained with the Brown & Brenn method to assess the presence and distribution of microorganisms. The incidence of microorganisms at different sites of the roots and periapical lesions was analyzed statistically by the chi-square test at 5% significance level. All groups presented microorganisms in the entire root canal system. A larger number of microorganisms was observed on the root canal walls, apical delta and dentinal tubules (p<0.05), followed by cementum and cemental resorption areas. In spite of the different periods of exposure to the oral environment, the methods used for induction of periapical periodontitis yielded similar distribution of microorganisms in the root canal system.

Dental trauma involving root fracture and periodontal ligament injury: A 10-year retrospective study

The purpose of this retrospective study was to analyze the cases of traumatic dental injuries involving root fracture and/or periodontal ligament injury (except avulsion) treated at the Discipline of Integrated Clinic, School of Dentistry of Araçatuba, São Paulo State University (UNESP), Brazil, from January 1992 to December 2002. Clinical and radiographic records from 161 patients with 287 traumatized teeth that had sustained root fracture and/or injuries to the periodontal ligament were examined. The results of this survey revealed that subluxation (25.09%) was the most common type of periodontal ligament injury, followed by extrusive luxation (19.86%). There was a predominance of young male patients and most of them did not present systemic alterations. Among the etiologic factors, the most frequent causes were falls and bicycle accidents. Injuries on extraoral soft tissues were mostly laceration and abrasion, while gingival and lip mucosa lacerations prevailed on intraoral soft tissues injuries. Radiographically, the most common finding was an increase of the periodontal ligament space. The most commonly performed treatment was root canal therapy. Within the limits of this study, it can be concluded that traumatic dental injuries occur more frequently in young male individuals, due to falls and bicycle accidents. Subluxation was the most common type of periodontal ligament injury. Root canal therapy was the type of treatment most commonly planned and performed.

Response of rootstocks to stem canker and the production and quality of melon under protected cultivation

Two tests were performed. In the first, resistance to Didymella bryoniae was determined for the following genotypes: the pumpkins 'Ikky', 'Agroceres', 'Kirameki' and 'Shelper', watermelon progenies 1a, 2a, 3a, 5a, 1b, 2b, 3b and 5b, and 'Gherkin' (C. anguria). The plants were inoculated with the fungus during transplanting. The evaluations of the test were performed every 15 d according to a scoring scale adopted by Dusi et al. (1994). The second test examined compatibility among the rootstocks x grafts, and their effects on production. The rootstocks, 5 pumpkins including 'Ikky', 'Agroceres', 'Kirameki', 'Shelper', six watermelon progenies 1a, 2a, 5a, 1b, 2b and 5b, and one 'Gherkin', were planted one week before planting of the grafted 'Bônus No. 2' melon. The experiments were carried out with 12 treatments, including the control ('Bônus No. 2') with 3 replications with 14 grafted plants per each replication. For the first test, the first three evaluations (at 15, 30 and 45 d after inoculation) did not show characteristic lesions of stem canker, but progeny 3b was found to be susceptible in evaluations performed at 60 and 75 d after inoculation. Progeny 3a demonstrated intermediate susceptibility, while progenies 1a, 2a, 5a, 1b, 2b and 5b, the pumpkins 'Kirameki', 'Shelper', 'Ikky' and 'Agroceres', and 'Gherkin', showed resistance to Didymella bryoniae. In the second test, watermelon progenies 1a, 5a, 1b and 2b, and the pumpkins 'Kirameki', 'Shelper', 'Ikky' and 'Agroceres' showed a level of grafting success of 100%, while results with progenies 2a and 5b, and 'Gherkin' were different in grafting success, respectively 91.67, 98.33 and 43.33%. For other fruit parameters, weight, longitudinal and transverse diameters, pulp thickness and level of total soluble solids, there were no differences among the treatments.

Compatibility of grafting in the melon cv. bônus No. 2, and effects on production

Twelve rootstocks were evaluated: 1) pumpkin 'Big Power' (Cucurbita ntoschata); 2) pumpkin 'Seca' (Cucurbita moschata); 3) bottle gourd 'Longa' (Lagenaria siceraria); 4) 'Cachi' (Lagenaria siceraria); 5) bottle gourd 'Marimba' (Lagenaria siceraria); 6) 'Mogango' (Cucurbita maxima); 7) pumpkin 'Kirameki' (Cucurbita moschata); 8) pumpkin 'Caravela' (Cucurbita moschata); 9) pumpkin 'Shelper' (Cucurbita moschata); 10) 'Gherkin' (Cucumis anguria); 11) 'Loofah' (Luffa cylindrica); and 12) pumpkin 'Goianinha' (Cucurbita moschata) with respect to compatibility with melon yield, and the production and quality of fruits from cv. Bônus No. 2, non-grafted and grafted with 9 of these rootstocks (1, 2, 4, 5, 6, 7, 9, 10 and 11). The bottle gourd 'Marimba' provided the highest percentage of grafting success between the vine and rootstock. The rootstocks 1, 2, 3, 4 and 7 did not differ from bottle gourd 'Marimba', therefore also indicating good compatibility with the melon cv. Bônus No. 2. For height of the plants, it was shown in the first evaluation that rootstock 5 produced a greater height of the plant, differing only from rootstocks 7, 8, 9, 10 and 11 and non-grafted cv. Bônus No. 2. In the second evaluation, 'Big Power' showed the greatest value for height of the plant, differing only from combinations with 'Cachi', 'Mogango', 'Shelper' and 'Loofah'. With regard to number of leaves, in the first evaluation rootstocks 3, 4 and 6 had the greatest number of leaves, but in the second 4, 9 and 11 had the greatest. For dry weight of the stem, the greatest value was obtained with 'Mogango' in the first evaluation and with 'Big Power' in the second. For leaf area of the plants, a difference was found among the treatments only in the first evaluation, where the combination with bottle gourd 'Longa' showed a greater leaf area, but did not differ from the combinations with rootstocks 1, 4, 5 and 6. Differences were demonstrated among the treatments only for the transverse diameter of the fruit, where the combination with rootstock bottle gourd 'Marimba' showed the greatest value, differing only from the combination with 'Gherkin'. There were no significant differences for the mean longitudinal diameter, pulp thickness and total soluble solids among the treatments studied.

Conservative management of severe intrusion in a primary tooth: A 4-year follow-up

The purpose of this report was to describe the case of an 18-month-old boy who was referred to the pediatric clinic of the School of Dentistry of Araçatuba, São Paulo State University, Araçatuba, São Paulo, Brazil, 3 days after sustaining severe trauma that led to the complete intrusion of the primary maxillary right lateral incisor, a crown fracture of the primary maxillary right central incisor without pulp involvement, and disruption of the superior labial frenum. Four months later, spontaneous re-eruption was observed in the intruded tooth and no endodontic intervention was necessary in either traumatized teeth. Four years after the trauma, a morphological change in the germ of the permanent successor was noted. Clinical follow-up and periodic radiographies are necessary after traumatic intrusion of primary teeth to monitor possible sequelae in the permanent successors.

Severe fracture of the maxillary alveolar process associated with extrusive luxation and tooth avulsion: A case report

Aim: The aim of this report is to present a case of severe fracture of the maxillary anterior alveolar process with substantial bone dislodgement associated with extrusive tooth luxation and avulsion. Background: Dentoalveolar trauma is a challenge to dentistry, especially in young patients, for it can lead to early tooth loss which compromises oral function, esthetics, self-esteem, and alter the long-term plan of care for the victim. Case Report: A 12-year-old girl with severe dentoalveolar trauma to the maxillary anterior region presented for emergency care for her injury. Treatment consisted of fracture reduction of the alveolar process, repositioning of the teeth that had suffered extrusive luxation, placement of a semi-rigid splint, and suturing of soft tissue lacerations. The traumatized teeth presented with pulpal necrosis and were treated endodontically. After 24 months of follow up, the fracture of the alveolar process was completely healed and the displaced teeth presented no signs of ankylosis or root resorption. Summary: First-aid care contributed remarkably to this case allowing the re-establishment of esthetics, function, and patient's self-esteem. In spite of trauma extension the treatment outcomes were favorable. Clinical Significance: Cases of dentoalveolar trauma should be evaluated on an individual basis. However, early emergency management and adequate follow-up can prevent further complications and contribute to treatment success.