Avaliação de uma nova composição de agente clareador sobre a microdureza do esmalte: associação do trimetafosfato de sódio e fluoreto de sódio ao peróxido de hidrogênio a 10%

Coordenação de Aperfeiçoamento de Pessoal de Nível Superior (CAPES)

Efeito da microabrasão e do clareamento dental na rugosidade superficial e microdureza do esmalte dental: estudo longitudinal ‘in situ’

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

Estrutura do esmalte humano e sua interface com sistemas adesivos

Esta tese sistematiza uma série de estudos dedicados à compreensão da interface do esmalte e sistemas adesivos. Para tanto, a estrutura da camada aprismática do esmalte em alta resolução pela microscopia eletrônica de varredura foi avaliada quanto a sua continuidade, espessura, distribuição nas faces coronárias e em fossas e fissuras, predominantemente em dentes decíduos não erupcionados. Foi também analisado pela microscopia eletrônica de varredura os efeitos do condicionamento de diferentes tipos de ácido e, em especial, do ácido fosfórico em diferentes concentrações, metodologias e tempos de aplicação. Estes trabalhos permitiram visualizar as principais ações ácidas desmineralizantes e os tipos de retenções no centro ou periferias dos prismas ou em ambas as regiões, bem como a profundidade e forma dos “tags” resinosos com carga e sem carga na intimidade do esmalte. No caso particular da aplicação dos selantes em fossas e fissuras foi também avaliada comparativamente a eficácia das técnicas invasivas ou não invasivas. Os últimos experimentos foram dedicados ao estudo da microinfiltração de diferentes sistemas adesivos e da resistência destes sistemas adesivos na estrutura do esmalte. Novos estudos merecem dar continuidade à linha de pesquisa de sempre priorizando o propósito de vincular os procedimentos aplicados com uma consistente e indispensável fundamentação de pesquisa básica no interesse da clínica odontopediátrica.

Estudo in vitro da anatomia das projeções de esmalte cervical em dentes molares

The cervical enamel projection (CEP) is an anatomic variation that can be found in the cement enamel junction, it´s recognition and early diagnosis improves outcome the tooth involved, allowing greater efficiency in treatment. The knowledge of the location, grade and incidence of CEP is decisive on prevention and treatment of periodontal disease. It were studied 1200 molars (600 mandibular molars and 600 maxillary molars) separated from the collection of teeth on the Discipline of Anatomy in FOSJCampos - UNESP. Each group of 600 teeth was separated from the second side (300 teeth) and the second type (first, second or third molar). Each tooth had thoroughly inspected the cervical region, in all their faces, in order to verify the incidence and the grade of CEP in each surface. It was found that the CEP covered in 278 (23,17%) teeth was 146 (52,52%) mandibular molars and 132 (47,48%) maxillary molars. The CEPs were concentrated on a tooth surface in 222 (79,86%) teeth, in two surfaces 53 (19,06%) teeth, and in three surfaces in three (1,08%) teeth. From the total of 4.800 surfaces examined the CEPs were found in 337 surfaces, and 228 (67,66%) surfaces of the grade I, 60 (17,8%) grade II and 49 (14,54%) grade III. The buccal surface presented 207 (61,42%) CEP, the lingual surface in 57 (16,91%), the mesial surface in 35 (10,39%) and the distal surface in 38 (11,28%) CEP. The results of this study demonstrated that the CEPs have focused more on the mandibular teeth on only one surface of the tooth, the grade I was the most found and the buccal surface the most involved

Efeito de vernizes fluoretados suplementados com trimetafosfato de sódio na desmineralização e remineralização do esmalte bovino: estudos in vitro e in situ

Pós-graduação em Ciência Odontólogica - FOA

Seqüelas em dentes permanentes após trauma nos predecessores decíduos e sua implicação clínica

In regarding to the high prevalence of traumatic dental injuries in primary teeth and the possible disturbances on developing permanent successor germs, an early diagnosis and an adequate establishment of treatment planning are very important to minimize the damage caused by the trauma. Sequelaes can affect the coronal portion (white or yellow-brown discoloration associated or not with enamel hipoplasia, dilacerations of the crown), the root portion (dilaceration, duplication or cessation of root formation) or the whole successor permanent tooth (odontoma sequestration or disturbances of permanent successor eruption). The aim of this study is to make a literature review of the developmental disturbances of permanent teeth followed by traumatic injuries to theirs primary predecessors and to present cases reports to advise the dentists, their patients and parents about the damage that developing permanents teeth can undergo.

Efeito da escovação utilizando dentifrícios com diferentes graus de abrasividade no desgaste do esmalte após o uso de agentes clareadores com e sem cálcio, em diferentes intervalos de tempo

Pós-graduação em Odontologia Restauradora - ICT

Eficácia de um gel com reduzida concentração de fluoreto suplementado com hexametafosfato de sódio sobre o processo de desmineralização do esmalte dentário: estudo in vitro

Pós-graduação em Ciência Odontólogica - FOA

Efeito de nanopartículas de trimetafosfato de sódio associadas a dentifrício com concentração reduzida de fluoreto sobre a desmineralização do esmalte bovino: estudos in vitro e in situ

Coordenação de Aperfeiçoamento de Pessoal de Nível Superior (CAPES)

Desgaste superficial do esmalte dental após microabrasão in vitro

The aim of this study was to investigate the enamel wear permanent teeth after plastic stick or low speed rubber cup microabrasion. Ten permanent molars were selected to evaluate enamel wear which were sectioned into mesial and distal halves. Each half of the molars was randomly assigned to one of two experimental groups (n = 10) according to the enamel microabrasion technique: plastic stick (GE) or rubber cup (GT). In both the groups, the enamel was submitted to 10 applications of an abrasive paste comprised of 35% phosphoric acid and pumice powder. The paste was applied for 20 seconds under a pressure of 30 g using the instrument defined for each group (plastic stick or rubber cup). The specimens were evaluated under a stereomicroscope connected to a computer. The enamel wear no was statistically different between GE and GT, which presented a mean wear of 304.74 µm (21.20%) and 338.35 µm (22.75%). In conclusion, superficial enamel wear was seen for both the groups, independent of the technique used for the accomplishment of the microabrasion.

Hipomineralización incisivo Y molar: diagnóstico diferencial

Hypomineralized first molar often in combination with hypomineralized incisors (MIH - molar incisor hypomineralization) is a common finding in everyday practice. In this condition, hypomineralized dental enamel is fragile and soft, and it can break easily leading to an exposed dentin, and causing dental sensitivity and progression of caries lesions. The prevalence of MIH range from 3.6 to 25% in North of Europe that consider this condition a public health problem. No conclusive information was reported about the etiologic factors of MIH, however, systemic causes seem to be of importance. Several aetiological factors are mentioned as the cause of this condition and they are frequently associated with complications during pregnancy and childhood diseases during the first three years of life. MIH is frequently misinterpreted as fluorosis, hypoplasia or amelogénesis imperfect, however, this condition presents defined clinical aspects that can distinct it from the other defects.

Análise clínica, tomográfica e histológica comparativa entre ha+β-tcp isolado ou associado a proteínas derivadas do esmalte utilizadas como enxertos após a elevação da membrana do seio maxilar e colocação de implantes: estudo piloto

The aim of this study was to evaluate the clinical, tomographic, and histological similarity within the use of HA+β-TCP (Boneceramic) alone or associated with enamel matrix derived (EMD) proteins in sinus lifting procedures with subsequent dental implant placement. We selected two patients with residual bony ridges between 3 mm and 5 mm in height in need of bone grafts. Six months later, eight implants were installed (two implants at each site). Biopsies were made, and the tissue was processed and stained with HE solution. Tomographic evaluation showed bone height gain up to 10.0 mm on average. Histology showed new bone formation for both groups, with similar bone density and trabecular interconnectivity. It can be concluded that the HA+β-TCP graft isolated or associated to EMD provided bone height gain in sinus lifting procedures, with similar clinical, tomographic and histological characteristics.

Efeitos de diferentes sistemas de clareamento dental sobre a rugosidade e morfologia superficial do esmalte e de uma resina composta restauradora

The aim of this study was to evaluate and compare the roughness and superficial morphology of enamel and a composite restorative resin after different bleaching techniques application. Material and Methods: Bovine incisors were selected and standardized cavities were prepared on the buccal surface, which were restored with composite resin. The teeth were distributed according to the following treatments: G1- bleaching with 10% carbamide peroxide (CP); G2 - bleaching with 38% hydrogen peroxide (HP); and G3 - bleaching with 38% of HP associated to light irradiation. For G1, the bleaching gel was applied for 8 hours daily during 21 days. For G2 and G3, 3 sessions were performed, consisting of 3 applications of 15 minutes each, with 7 days of intervals between the sessions. For G3, the LED (470nm) light was used to activate the bleaching agent for 6 minutes. The surface of enamel and composite resin were evaluated before and after the bleaching procedures using a roughness tester and an atomic force microscope. Results: The results showed significant differences in surface roughness of enamel after bleaching only for G1 (Wilcoxon, p<0.05). For composite resin, neither group showed a statistical difference compared to control (Mann-Whitney, p>0.05). Conclusion: It was concluded that the increase in the roughness of enamel occurred only after bleaching therapy using a gel with 10% of CP. The bleaching procedures evaluated in this investigation did not increase the roughness or cause changes in the superficial morphology of the composite resin.

Microdureza e rugosidade superficial do esmalte submetido ao clareamento: uma revisão de literatura

The increasing importance of aesthetic in the Dentistry for the patients and the consumers brought a constant rise in the number of products and procedures to facilitate the confection of the dental bleaching. Concomitantly, thone was a sudden increase in the number of research and publications, in vitro and in vivo, about its possible adverse reactions. Through literature revision this study aims to verify the possible morphologic alterations of the submitted enamel and dentine with different bleaching agents making critical analysis of the results of the current research with relation to the study of the microhardness and superficial roughness.