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Sample records for cervical dentin estudo

  1. An in vitro study of the Nd-YAG laser in the permeability of the cervical dentin; Estudo in vitro do uso do laser Nd-YAG na permeabilidade dentinaria cervical

    Energy Technology Data Exchange (ETDEWEB)

    Magalhaes, Manoelita Figueiredo de

    2001-07-01

    The purpose of this in vitro study was to verify the efficacy of the Nd:YAG pulse laser, with 1064 nm emission, in sealing the dentinal tubules for the treatment of dentin hypersensitivity, a very frequent complaint in the dental office. In spite of the existence of many articles over this subject, no fast, efficient and long lasting treatments for this problem were found yet. The obliteration of the opening of the dentinal tubules stops its inner fluid displacement and the consequent painful response (BRAENNSTROEM' S Hydrodynamics Theory). Twenty freshly and healthy extracted human teeth were used as samples, kept in saline solution. The cervical cement was removed with a 57FG Carbide bur in order to expose the dentin in an area of approximately 4 mm{sup 2}, two of which were in the buccal aspect: Groups A and S, and one in the lingual: Group C (control). A thickness plier was used to measure, directly in each sample, the thickness of the remaining dentin that was standardized, and only the samples with dentinal thickness between 1 and 1,5 mm were selected. The irradiation parameters were: 30 mJ energy per pulse; O,21 W power (Group A) and 40 mJ; O,28 W (Group B); 7 Hz frequency in both groups, in two applications of 43 seconds each with a 10 seconds interval between them. Subsequently, 10 of the samples were submitted to SEM (Screening Electronic Microscopy) examination, where it was detected a melting of the superficial dentin and a sealing of the dentinal tubules opening, besides the recrystallization of the dentin. It was then concluded that the use of the Nd:YAG laser was shown to be a very effective measure in melting and sealing the dentinal tubules and can use in treating dentin hypersensitivity, with the right parameters. The other 10 samples were cleaved in the center of the irradiated area in order to investigate the laser penetration depth in the dentin (SEM), with an approximate variation of up to 5Jlm in the center of the samples irradiated with

  2. Irradiation of root cervical dentin by using the Nd:YAG laser in vitro study and scanning electron microscopy; Irradiacao de dentina cervical radicular com laser de Nd:YAG - estudo in vitro e microscopia eletronica de varredura

    Energy Technology Data Exchange (ETDEWEB)

    Britto, Cynthia Tannure Coelho

    2003-07-01

    The dentin hypersensitivity occurs as a result of the dentine exposition to the oral environment, due to loss or removal of enamel or cementum, or both. The hypersensitivity can persist, unless the sealing of the dentin tubules be carried out. Several treatments have been considered, but with less satisfactory and only temporary results. Among these treatments we can cite methods that promote the mechanical occlusion by deposition of substances inside of tubules, by topic application. Nowadays, among the treatments studied, there is the use of lasers, which leads to better clinical efficiency by promoting fusion and re-solidification of the dentin surface, obliterating total or partially the dentin tubules. This in-vitro study was carried out in order to evaluate the efficiency of the Nd:YAG laser in promoting the fusion and re-solidification of the dentin surface, and to evaluate parameters of irradiation typically used, comparing results using photoinitiator with those without it. By observation of the dentin surface, using Scanning Electron Microscopy, it was found extensive areas of fusion and re-solidification, in those groups with photoinitiator, being this technique an efficient resource in the treatment of the dentin hypersensitivity. (author)

  3. Aspectos clínicos da etiologia da hipersensibilidade dentinária cervical

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    SOBRAL Maria Angela Pita

    1999-01-01

    Full Text Available Esta pesquisa visa o estudo dos aspectos clínicos da hipersensibilidade dentinária cervical (HSDC. Um total de 32 pacientes com sintomas de HSDC foram examinados para identificar sua etiologia, sendo avaliados clinicamente 97 dentes. Com base na anamnese e exames clínicos efetuados, classificamos as lesões de acordo com suas principais características em: abrasão, erosão ou abfração. Os seguintes fatores puderam ser associados ao desencadeamento da HSDC: melhor e constante higienização, tratamento periodontal, consumo de alimentos ácidos e trauma oclusal. Concluímos que as lesões pequenas e radiculares estão mais associadas à HSDC, sendo os pré-molares os dentes mais afetados. Alguns hábitos alimentares e de higienização, bem como situações oclusais não-harmônicas e o tratamento periodontal, foram os fatores que predispõem os elementos dentais à HSDC, e os pré-molares, neste estudo, os dentes mais acometidos por esses fatores. Concluímos que as lesões por abrasão foram aquelas que mais manifestaram HSDC.

  4. Clinical evaluation of desensitizing treatments for cervical dentin hypersensitivity

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    Ana Cecilia Corrêa Aranha

    2009-09-01

    Full Text Available The aim of this study was to compare different treatments for dentin hypersensitivity in a 6-month follow-up. One hundred and one teeth exhibiting non carious cervical lesions were selected. The assessment method used to quantify sensitivity was the cold air syringe, recorded by the visual analogue scale (VAS, prior to treatment (baseline, immediately after topical treatment, after 1 week, 1, 3 and 6 months. Teeth were randomly assigned to five groups (n = 20: G1: Gluma Desensitizer (GD; G2: Seal&Protect (SP; G3: Oxa-gel (OG; G4: Fluoride (F; G5: Low intensity laser-LILT (660 nm/3.8 J/cm²/15 mW. Analysis was based on the non-parametric Kruskal-Wallis test that demonstrated statistical differences immediately after the treatment (p = 0.0165. To observe the individual effects of each treatment, data was submitted to Friedman test. It was observed that GD and SP showed immediate effect after application. Reduction in the pain level throughout the six-month follow-up was also observed. In contrast, LILT presented a gradual reduction of hypersensitivity. OG and F showed effects as of the first and third month respectively. It can be concluded that, after the 6-month clinical evaluation, all therapies showed lower VAS sensitivity values compared with baseline, independently of their different modes of action.

  5. Cervical dentin hypersensitivity: a cross-sectional investigation in Athens, Greece.

    Science.gov (United States)

    Rahiotis, C; Polychronopoulou, A; Tsiklakis, K; Kakaboura, A

    2013-12-01

    The purpose of this study was to identify the prevalence of cervical dentin hypersensitivity in a cross-sectional investigation of Greek adults. Seven hundred and sixty-seven subjects were examined. Participants were patients processed for first examination in the Clinic of Oral Diagnosis and Radiology at the Faculty of Dentistry, University of Athens. The evaluation of hypersensitivity was performed using two methods: for each tooth, the response to a) tactile stimulus and b) air-blast stimulus was measured. Additional factors such as smoking habits, oral health behaviour, consumption of acidic foods, type of toothbrush, daily use of fluoride solution and of desensitising toothpaste, gingival recession and non-carious cervical lesions were recorded and evaluated as causative factors. Descriptive statistics on the demographics of the study sample, of oral health behaviour characteristics and of oral examination findings were performed. Comparisons of these characteristics in the presence or absence of hypersensitivity were conducted with the chi-square test. Data were further analysed using multiple logistic regression modelling. Among study participants, 21·3% had at least one cervical dentin hypersensitivity reaction to the tactile stimulus, and 38·6%, to the air-blast stimulus. Multivariate analysis detected association of the hypersensitivity in tactile or air-blast stimulus with the non-carious lesions and with the gingival recessions. Additionally, a relation between hypersensitivity and air-blast stimulus with gender (female) was found. There was no association between the hypersensitivity in both of the stimuli and the level of education, smoking, consumption of acidic foods, type of toothbrush and daily use of fluoride solution or desensitising toothpaste. The overall prevalence of cervical dentin hypersensitivity in the adult population in Athens ranged from 21·3% to 38·6% depending on the type of stimuli. Cervical non-carious lesions and gingival

  6. An in vitro study of the Nd-YAG laser in the permeability of the cervical dentin

    International Nuclear Information System (INIS)

    The purpose of this in vitro study was to verify the efficacy of the Nd:YAG pulse laser, with 1064 nm emission, in sealing the dentinal tubules for the treatment of dentin hypersensitivity, a very frequent complaint in the dental office. In spite of the existence of many articles over this subject, no fast, efficient and long lasting treatments for this problem were found yet. The obliteration of the opening of the dentinal tubules stops its inner fluid displacement and the consequent painful response (BRAENNSTROEM' S Hydrodynamics Theory). Twenty freshly and healthy extracted human teeth were used as samples, kept in saline solution. The cervical cement was removed with a 57FG Carbide bur in order to expose the dentin in an area of approximately 4 mm2, two of which were in the buccal aspect: Groups A and S, and one in the lingual: Group C (control). A thickness plier was used to measure, directly in each sample, the thickness of the remaining dentin that was standardized, and only the samples with dentinal thickness between 1 and 1,5 mm were selected. The irradiation parameters were: 30 mJ energy per pulse; O,21 W power (Group A) and 40 mJ; O,28 W (Group B); 7 Hz frequency in both groups, in two applications of 43 seconds each with a 10 seconds interval between them. Subsequently, 10 of the samples were submitted to SEM (Screening Electronic Microscopy) examination, where it was detected a melting of the superficial dentin and a sealing of the dentinal tubules opening, besides the recrystallization of the dentin. It was then concluded that the use of the Nd:YAG laser was shown to be a very effective measure in melting and sealing the dentinal tubules and can use in treating dentin hypersensitivity, with the right parameters. The other 10 samples were cleaved in the center of the irradiated area in order to investigate the laser penetration depth in the dentin (SEM), with an approximate variation of up to 5Jlm in the center of the samples irradiated with the

  7. Clinical and morphologic evaluation of Er:YAG laser action at the front of cervical dentinal hypersensitivity

    International Nuclear Information System (INIS)

    This work was achieved in vivo and in vitro to evaluate the efficiency of Er:YAG laser in the cervical dentinal hypersensitivity treatment (HSDC). The Clinical study was achieved in patients with HSDC. The treatment was realized in five sessions: the first for selection, the second for exams (clinic and X-Ray) and trying to remove the etiologic factors that could cause the HSDC. The third and fourth sessions were subjected to the radiation with that protocol: 60 mJ energy ,2 Hz frequency, 6 mm out of focus, under air cooling, 20 seconds each application which the same was repeated four times with one minute breaks, which scanning movements and without using anaesthetics. The fifth was evaluation. The patients were evaluated and registered in a subject scale of pain 0 to 3, in the beginning and end of each session of irradiation, and one month after the last session. The results showed that for the irradiated group occurs significant differences in the beginning of each session and between. For the control group did not occur significant differences in the beginning and after each session, but did show a difference between the sessions. As the control group as the irradiated group, had reduction of sensibility between the session. For the morphologic study nine teeth were selected, 7 molars and 2 pre-molars from operative dentistry discipline. Half of the surface was irradiated with Er:YAG laser, the same protocol used in vivo, and the other half was used as a control without receiving any laser irradiation. Subsequently, specimens were prepared for SEM examinations. The results showed that laser treated surfaces showed a reduction of dentine tubular diameter with partial or total closure of the dentine tubules. For the control group, it was observed bigger amounts smear layer and open dentine tubular. The results obtained indicated that the Er:YAG laser can contribute to the HSDC treatment. (author)

  8. Cone beam computed tomographic evaluation of two access cavity designs and instrumentation on the thickness of peri-cervical dentin in mandibular anterior teeth

    Science.gov (United States)

    Varghese, Vinny Sara; George, John V.; Mathew, Sylvia; Nagaraja, Shruthi; Indiresha, H. N.; Madhu, K. S.

    2016-01-01

    Background and Objectives: The aim of the study was to determine the effect of two access cavity designs on the peri-cervical dentin thickness before and after instrumentation using cone beam computed tomography (CBCT). Materials and Methods: Sixty mandibular anterior teeth were divided into two groups of thirty teeth each: Group I: conventional access cavity preparation, where access was prepared just above the cingulum and Group II: incisal access cavity preparation, where access was prepared in proximity to the incisal edge. CBCT scans were taken preoperatively, following access cavity preparation and post instrumentation. 200 μm thick slices were obtained 4mm apical and coronal to the cemento-enamel junction. The peri-cervical dentin thickness was calculated on the facial, lingual, mesial, and distal for all the three obtained scans. Results: The analysis showed that access cavity preparation and instrumentation resulted in a significant loss of tooth structure in Group I on all surfaces, but in Group II, there was a significant loss of tooth structure only in the mesial, lingual, and distal surfaces (P < 0.05). Conclusion: Incisal access cavity preparation resulted in lesser loss of dentin in the peri-cervical region. PMID:27656065

  9. Cone beam computed tomographic evaluation of two access cavity designs and instrumentation on the thickness of peri-cervical dentin in mandibular anterior teeth

    Science.gov (United States)

    Varghese, Vinny Sara; George, John V.; Mathew, Sylvia; Nagaraja, Shruthi; Indiresha, H. N.; Madhu, K. S.

    2016-01-01

    Background and Objectives: The aim of the study was to determine the effect of two access cavity designs on the peri-cervical dentin thickness before and after instrumentation using cone beam computed tomography (CBCT). Materials and Methods: Sixty mandibular anterior teeth were divided into two groups of thirty teeth each: Group I: conventional access cavity preparation, where access was prepared just above the cingulum and Group II: incisal access cavity preparation, where access was prepared in proximity to the incisal edge. CBCT scans were taken preoperatively, following access cavity preparation and post instrumentation. 200 μm thick slices were obtained 4mm apical and coronal to the cemento-enamel junction. The peri-cervical dentin thickness was calculated on the facial, lingual, mesial, and distal for all the three obtained scans. Results: The analysis showed that access cavity preparation and instrumentation resulted in a significant loss of tooth structure in Group I on all surfaces, but in Group II, there was a significant loss of tooth structure only in the mesial, lingual, and distal surfaces (P cavity preparation resulted in lesser loss of dentin in the peri-cervical region. PMID:27656065

  10. Irradiation of root cervical dentin by using the Nd:YAG laser in vitro study and scanning electron microscopy

    International Nuclear Information System (INIS)

    The dentin hypersensitivity occurs as a result of the dentine exposition to the oral environment, due to loss or removal of enamel or cementum, or both. The hypersensitivity can persist, unless the sealing of the dentin tubules be carried out. Several treatments have been considered, but with less satisfactory and only temporary results. Among these treatments we can cite methods that promote the mechanical occlusion by deposition of substances inside of tubules, by topic application. Nowadays, among the treatments studied, there is the use of lasers, which leads to better clinical efficiency by promoting fusion and re-solidification of the dentin surface, obliterating total or partially the dentin tubules. This in-vitro study was carried out in order to evaluate the efficiency of the Nd:YAG laser in promoting the fusion and re-solidification of the dentin surface, and to evaluate parameters of irradiation typically used, comparing results using photoinitiator with those without it. By observation of the dentin surface, using Scanning Electron Microscopy, it was found extensive areas of fusion and re-solidification, in those groups with photoinitiator, being this technique an efficient resource in the treatment of the dentin hypersensitivity. (author)

  11. Clinical and morphologic evaluation of Er:YAG laser action at the front of cervical dentinal hypersensitivity; Avaliacao clinica e morfologica da acao do laser de Er:YAG frente a hipersensibilidade dentinaria cervical

    Energy Technology Data Exchange (ETDEWEB)

    Rocha, Dalva Maria

    2001-07-01

    This work was achieved in vivo and in vitro to evaluate the efficiency of Er:YAG laser in the cervical dentinal hypersensitivity treatment (HSDC). The Clinical study was achieved in patients with HSDC. The treatment was realized in five sessions: the first for selection, the second for exams (clinic and X-Ray) and trying to remove the etiologic factors that could cause the HSDC. The third and fourth sessions were subjected to the radiation with that protocol: 60 mJ energy ,2 Hz frequency, 6 mm out of focus, under air cooling, 20 seconds each application which the same was repeated four times with one minute breaks, which scanning movements and without using anaesthetics. The fifth was evaluation. The patients were evaluated and registered in a subject scale of pain 0 to 3, in the beginning and end of each session of irradiation, and one month after the last session. The results showed that for the irradiated group occurs significant differences in the beginning of each session and between. For the control group did not occur significant differences in the beginning and after each session, but did show a difference between the sessions. As the control group as the irradiated group, had reduction of sensibility between the session. For the morphologic study nine teeth were selected, 7 molars and 2 pre-molars from operative dentistry discipline. Half of the surface was irradiated with Er:YAG laser, the same protocol used in vivo, and the other half was used as a control without receiving any laser irradiation. Subsequently, specimens were prepared for SEM examinations. The results showed that laser treated surfaces showed a reduction of dentine tubular diameter with partial or total closure of the dentine tubules. For the control group, it was observed bigger amounts smear layer and open dentine tubular. The results obtained indicated that the Er:YAG laser can contribute to the HSDC treatment. (author)

  12. Structural changes in the irradiated dentin with Nd:YAG and Er:YAG lasers for cervical hypersensitivity treatment and their influence on the microtensile resistance in resin-dentin interface

    Science.gov (United States)

    Mota, Cláudia C. B. O.; Sena, Tatiane V. N. S.; Castro, Roseane F.; Araújo, Ana C. S.; Gomes, Anderson S. L.

    2016-02-01

    This study aimed to evaluate, in vitro, the structural changes in dentin surfaces irradiated with Er:YAG (2940 nm, 90 mJ, 2 Hz, 300 μs, spot diameter 0.9 mm, 60 s/cm2, using the handpiece at 6 cm of distance to surface) and Nd:YAG (1064 nm, 1 W, 10 Hz, 300 μs, optical fiber diameter 300 μm, 60 s/cm2, using the handpiece at 2 mm of distance to surface) lasers to the treatment of cervical hypersensitivity and the respective bond strength compromising of resin composite restorations over these surfaces. 45 bovine teeth were selected, and removed the enamel portion of the buccal surface for laser irradiation and restorative procedure. Samples were divided into three groups: G1: control, only fluoride therapy; G2: irradiated with Er:YAG laser; G3: irradiated with Nd:YAG laser. Samples were submitted to optical coherence tomography analysis and subsequently they were restored with resin composite and sectioned into sticks for microtensile tests of achievement. ANOVA analysis of variance for the maximum force (N) and strength (MPa), with a significance level of 5% was performed. It was observed that G3 presented lower performance of maximum force (38,8 +/- 11,3 N) and resistance (26,0 +/- 9,3 MPa), and the G2 presented better results (51,0 +/- 13,5 N and 36,5 +/- 10,1 MPa), but still lower than those one obtained for G1 (56,0 +/- 12,3 N and 43,5 +/- 8,6 MPa). Although both lasers are effective in the cervical hypersensitivity treatment, when the aesthetic factor is the priority, the use of Er:YAG is preferable.

  13. Estudo histomorfométrico da interface óssea do parafuso expansor cervical Histomorphometric analysis of bone-screw interface of expansive cervical screw

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    Leandro Sérgio da Silva

    2008-03-01

    Full Text Available OBJETIVO: Realizar estudo experimental para a avaliação histomorfométrica da interface óssea dos parafusos expansores utilizados no sistema de fixação anterior da coluna cervical. Métodos: Foram utilizadas no estudo cinco vértebras cervicais de ovelhas (C4, nas quais os parafusos foram inseridos. O parafuso expansor de 18,5mm de comprimento e 5,0mm de diâmetro externo (Ulrich foi inserido em ambos os lados da véterbra C4. No lado esquerdo o parafuso era inserido sem o parafuso interno de expansão e, no lado direito, com o parafuso de expansão interna. Na porção inferior da vértebra foi confeccionado o orifício-piloto com broca de 2,5mm sem a introdução de implante. A região da vértebra contendo os parafusos e o orifício-piloto foi preparada para estudo histológico da interface dos implantes e o tecido ósseo da parede do orifício-piloto. Por meio do estudo histomorfométrico foi avaliada a densidade óssea total, a densidade óssea externa (fora da rosca do parafuso, a densidade interna (dentro da rosca do parafuso e a medida linear de contato entre o tecido ósseo e o implante. RESULTADOS: A densidade óssea total foi maior no grupo I (parafuso expandido em relação ao grupo III (controle. A densidade óssea externa foi maior nos grupos I (parafuso expandido e II (não expandido em relação ao grupo III. A densidade interna foi maior no grupo I em relação aos grupos II e III e maior no grupo II em relação ao grupo III. O contato linear foi maior no grupo I em relação aos grupos II e III. CONCLUSÃO: As alterações da estrutura do tecido ósseo ao redor dos parafusos expansores, detectadas imediatamente após a sua aplicação, forneceram subsídios para o entendimento da maior resistência ao arrancamento desses implantes, que poderiam estar relacionadas com a compactação do osso esponjoso ao redor do mesmo, proporcionando maior área de contato entre o implante e o tecido ósseo.OBJECTIVE: To perform an

  14. Estudo do linfonodo sentinela no câncer do colo uterino com azul patente Sentinel node study with patent blue in cervical cancer

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    Sabas Carlos Vieira

    2004-09-01

    Full Text Available OBJETIVO: O objetivo deste estudo foi avaliar a identificação do linfonodo sentinela em pacientes com carcinoma do colo uterino submetidas a histerectomia radical e linfadenectomia pélvica através do mapeamento linfático com o corante azul patente. MÉTODOS: Cinquenta e um pacientes com carcinoma do colo uterino estádio I e II da Figo submeteram-se a histerectomia radical e linfadenectomia pélvica. O corante azul patente foi injetado em torno do tumor antes do início da cirurgia. No momento da linfadenectomia pélvica, os linfonodos claramente corados foram separados do restante do espécime da linfadenectomia. RESULTADOS: Em 32 das 51 pacientes foram identificados linfonodos sentinela. Foram observados quatro casos de falso negativo. A especificidade foi de 38,6%, a sensibilidade 42,8%, o valor preditivo positivo 10% e o valor preditivo negativo foi de 80.9%. CONCLUSÕES: A identificação do linfonodo sentinela em câncer do colo uterino é exeqüível com o corante azul patente. Entretanto, um estudo com maior número de casos é necessário para estabelecer a validade do conceito do linfonodo sentinela em câncer do colo uterino.OBJETIVE: The purpose of this study was to determine the feasibility of sentinel node identification in patients with invasive cervix cancer undergoing radical hysterectomy and pelvic lymphadenectomy using intraoperative lymphatic mapping with patent blue dye. METHODS: Fifty one patients wtih Figo I and II cervical cancer were submitted to radical hysterectomy and pelvic lymphadenectomy. The patent blue V was injected around the tumor before beginning surgery. At the time of pelvic lymphadenectomy, lymph nodes with obvious uptake of the dye were separated from the remainder of the lymphadenectomy specimen. RESULTS: Sentinel nodes were detected in 32 of the 51 patients. Four cases of false negative were observed. The specificity, sensitivity, positive predictive value and negative predictive value were 38

  15. Estudo anatômico do trajeto da artéria vertebral na coluna cervical inferior humana Anatomical study of the vertebral artery path in human lower cervical spine

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    Ben Hur Junitiro Kajimoto

    2007-01-01

    Full Text Available O aumento da utilização de novas técnicas e materiais de síntese para o tratamento cirúrgico de afecções da coluna cervical baixa foi acompanhado da crescente preocupação em relação às complicações que podem ocorrer. A técnica de fixação transpedicular, amplamente utilizada para os outros níveis da coluna vertebral, quando realizada na coluna cervical, apesar de conferir maior estabilidade quando comparada a outras técnicas, pode cursar com complicações graves como lesão da artéria vertebral, lesão de raiz nervosa, além de lesão da articulação facetária. A vértebra C7, no entanto, é considerada mais segura para a realização de tal procedimento, já que, na grande maioria das pessoas, segundo os estudos anatômicos disponíveis, esta não possui a artéria vertebral dentro de seu forame transverso, pois este vaso irá penetrar tal estrutura apenas na vértebra C6. Como hoje existem apenas estudos de imagem para avaliação do trajeto desta artéria e suas variações anatômicas, realizamos este estudo anatômico dissecando 40 artérias vertebrais de cadáveres para avaliar a incidência das variações anatômicas. Encontramos 3 casos onde a artéria vertebral penetrou o forame transverso já em C7 (7,5%, o que aumentaria o risco de uma técnica transpedicular neste nível. O restante das peças anatômicas possuíam anatomia habitual.The increasing use of new techniques and materials for surgical treatment of lower cervical spine conditions has come along with an increasing concern regarding potential complications that might occur. The transpedicular fixation technique, frequently used in other spine levels, is used on the cervical spine, while providing more stability than other techniques, it may cause serious complications such as vertebral artery injury, nervous root injury, or facet joint injuries. However, the C7 vertebra is considered safer for performing this procedure, since, in the vast majority of

  16. Estudo comparativo entre clonidina associada à bupivacaína e bupivacaína isolada em bloqueio de plexo cervical para endarterectomia de carótida Estudio comparativo entre la clonidina asociada a la bupivacaína y la bupivacaína aislada en bloqueo de plexo cervical para endarterectomía de carótida A comparative study between bupivacaine and clonidine associated with bupivacaine in cervical plexus block for carotid endarterectomy

    OpenAIRE

    Walter Pinto Neto; Adriana Machado Issy; Rioko Kimiko Sakata

    2009-01-01

    JUSTIFICATIVA E OBJETIVOS: O bloqueio de plexo cervical permite avaliação neurológica durante a endarterctomia, além de manter analgesia pós-operatória. A clonidina é agonista alfa2 com efeito analgésico em diferentes bloqueios. O objetivo deste estudo foi comparar o efeito analgésico da clonidina com bupivacaína em relação à bupivacaína isolada em bloqueio de plexo cervical. MÉTODO: Foram avaliados 30 pacientes de forma aleatória e duplamente-encoberta divididos em dois grupos: G1 recebeu 1,...

  17. Long-term dentin retention of etch-and-rinse and self-etch adhesives and a resin-modified glass ionomer cement in non-carious cervical lesions

    DEFF Research Database (Denmark)

    Dijken, J.W.V. van; Pallesen, U.

    2008-01-01

    The aim of this study was to evaluate the clinical long-term retention to dentin of seven adhesive systems.......The aim of this study was to evaluate the clinical long-term retention to dentin of seven adhesive systems....

  18. Permeability of Dentine

    OpenAIRE

    Ghazali, Farid Bin Che

    2003-01-01

    This is an update on the present integrated knowledge regarding dentine permeability that assumed a role in dentine sensitivity and contribute clinically to the effective bonding properties of restorative dental materials. This paper will attempt to refer to in vivo and in vitro studies of dentine permeability and the various interrelated factors governing it.

  19. Adaptation of threaded dowels to dentin.

    Science.gov (United States)

    Zmener, O

    1980-05-01

    Adaptation of threaded dowels to the walls of the canals is minimal in the cervical third and maximal in the apical third. Each of the three types of dowels may cause lateral stresses and possibly fracture. Matched reamers and dowels reduce the danger of fracture. Smaller-diameter dowels maintain less contact with the dentin and avoid weakening the root. The Kurer Anchor system provided a satisfactory combination of nonlateral residual stresses which protected the root from complications. PMID:6988582

  20. Dissecção espontânea cervical carotídea e verbal: estudo de 48 pacientes Spontaneous cervical carotid and vertebral arteries dissection: study of 48 patients

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    Cynthia Resende Campos

    2004-06-01

    Full Text Available OBJETIVO: Dada a ausência de estudos de séries brasileiras de pacientes com dissecção arterial cervical espontânea, com o objetivo de descrever os fatores de risco, sintomas precedentes, manifestações clínicas, resultados da investigação, tratamento e evolução. MÉTODO: realizamos a análise retrospectiva dos prontuários e laudos radiológicos [angiografia digital(AD, ressonância magnética(RM e ângio-ressonância(ARM] dos pacientes com esse diagnóstico atendidos no Serviço de Neurologia do HC/USP entre 1997 e 2003. RESULTADOS: 48 pacientes (24 homens, média de idade 37,9 anos; 26 pacientes com dissecção carotídea (DC unilateral, 15 com vertebral (DV unilateral e 7 com multiarterial, todos com déficits neurológicos. Os principais fatores de risco para doença vascular foram hipertensão arterial, tabagismo e dislipidemia. Mais de 80% apresentaram pelo menos um sintoma precedente, na maioria cefaléia têmporo-parietal. Cervicalgia foi referida por 44% dos pacientes com DV e por 3,4% dos com DC. O tempo médio entre o primeiro sintoma e o déficit foi 5,4 dias para as DC e 13,5 para as DV. AD foi o principal método diagnóstico (93%, associado a RM e ARM em 42% dos casos. Em 3 pacientes a RM cervical com supressão de gordura foi isoladamente suficiente. 75% dos pacientes receberam anticoagulação. Dois pacientes fizeram trombólise endovenosa sem complicações. A evolução foi boa, exceto por dois óbitos (DC bilateral. CONCLUSÃO: Os resultados são semelhantes aos da literatura, exceto pela baixa freqüência de cervicalgia nos casos de DC e pelo predomínio de cefaléia têmporo-parietal nas dissecções arteriais cervicais. Fatores de risco para doença vascular isquêmica foram frequentes.OBJETIVE: To report a Brazilian series of spontaneous cervical arterial dissections, risk factors, warning symptoms, clinical manifestations, diagnostic tests, treatment and prognosis. METHOD: We performed the retrospective

  1. Demineralization effect of EDTA, EGTA, CDTA and citric acid on root dentin: a comparative study Efeito do EDTA, EGTA, CDTA e ácido cítrico na desmineralização da dentina radicular: estudo comparativo

    Directory of Open Access Journals (Sweden)

    Simone Maria Galvão Sousa

    2005-09-01

    Full Text Available The purpose of this study was to biochemically compare the decalcifying effects of 1% EDTA (pH 7.4, 1% EGTA (pH 7.4, 1% CDTA (pH 7.4, 1% citric acid solutions (pH 1.0 and 7.4 and saline solution (control on root dentin. Forty-eight single-rooted teeth were used in this study. The canals were instrumented by the step-back technique and the roots were randomly divided into six equal experimental groups (n = 8 according to the irrigating agent tested. A total of 30 µL of each solution was pipetted into the root canal and allowed to set undisturbed for 5 minutes. After this time, 15 µL of the solutions were removed from each canal using a Hamilton syringe and placed in a container with 5 mL of deionised water. The µg/mL concentration of calcium ion (Ca2+ extracted from the root canal samples was determined using inductively coupled plasma-atomic emission spectrometry (ICP-AES. Data were analysed by means of the Kruskal-Wallis and Mood's median tests. Citric acid solution at pH 1.0 removed more calcium than at pH 7.4 and than the other chelating solutions tested (p 0.05. These results indicate that citric acid at pH 1.0 is a good alternative as an irrigating solution to remove the smear layer and facilitate the biomechanical procedures.Este trabalho teve como objetivo comparar o efeito desmineralizante do EDTA (pH 7,4, EGTA (pH 7,4, CDTA (pH 7,4, ácido cítrico (pH 1,0 e 7,4 e da solução salina (controle sobre a dentina radicular. Todas as soluções teste foram preparadas na concentração de 1%. Quarenta e oito dentes unirradiculares recém-extraídos foram utilizados neste experimento. Após a instrumentação dos canais radiculares pela técnica "step-back", as raízes foram aleatoriamente divididas em 6 grupos experimentais (n = 8 de acordo com a solução teste utilizada na irrigação final. Em cada grupo, 30 µL da solução teste foram pipetados no interior de cada canal radicular e mantidos estáveis por 5 minutos. Decorrido esse per

  2. Influence of the incidence angle on the morphology of enamel and dentin under Er:YAG laser irradiation; Estudo da influencia da angulacao do feixe laser na morfologia de esmalte e dentina irradiados com laser de Er:YAG

    Energy Technology Data Exchange (ETDEWEB)

    Junqueira Junior, Duilio Naves

    2002-07-01

    The purpose of this study is to make an in vitro evaluation, using scanning electron microscopy, of the influence of the laser beam irradiation angle on the enamel and dentin morphology. These tissues were both irradiated by Er:YAG Laser, with the same energy parameter. Twenty-four incisive bovine teeth were used, separated in eight groups, four of enamel, and four of dentin, with three specimens in each group. Each specimen was submitted to three laser applications, varying the incidence angle, between the laser and the tooth surface, at 90, 50 and 20 degrees. The applied frequency was 2 Hz, with 20 pulses in each application. The KaVo Key Laser 3 was employed, wavelength at 2940 nm, adjustable energy from 40 to 600 mJ and repetition rate from 1 to 25 Hz. The groups were distributed according to the energy parameter as follows - enamel: 250 mJ; 300 mJ; 350 mJ and 400 mJ; dentin: 200 mJ; 250 mJ; 300 mJ and 350 mJ. The results evidenced the Laser incidence angle importance; it is an essential parameter in the protocol of utilization and it should not be disregarded. The observations of this study allow to conclude that the Laser incidence angle has direct influence on the morphological aspect of the alterations produced in enamel and dentin. (author)

  3. Emprego da submucosa de intestino delgado porcina no reparo de lesões do esôfago cervical. Estudo experimental em cães Small intestine submucosa for repair of cervical esophageal lesions in a dog model

    Directory of Open Access Journals (Sweden)

    Zacarias Alves de Souza Filho

    2003-06-01

    Full Text Available OBJETIVO: Pesquisar a eficácia da submucosa de intestino delgado (SID porcina como enxerto para reparo de lesões em esôfago cervical de cães. MÉTODOS: Foram operados 10 cães. Ressecou-se parcialmente uma porção da parede anterior do esôfago que foi substituída por um enxerto de SID. Avaliaram-se a resistência tensiométrica, o aspecto macroscópico, a regeneração tecidual e a concentração de colágeno da porção esofágica onde se implantou o enxerto. RESULTADOS: Não houve infecção, fístula ou estenose. Verificou-se ganho semelhante de resistência do esôfago operado em relação ao controle: 31.84N contra 28.60N em média (p=0,593. A macroscopia revelou cicatrização completa com pouca retração tecidual. O estudo anátomo-patológico por HE mostrou re-epitelização completa da mucosa, proliferação vascular discreta a moderada e proliferação fibroblástica intensa. Na análise do colágeno pelo Sirus-red obteve-se em média 54.04% de colágeno tipo I, 16,04% de colágeno tipo III e 71.58% de colágeno total. CONCLUSÃO: A SID mostrou ser, no cão, um enxerto eficaz no reparo de lesões maiores do esôfago, apresentando-se resistente à infecção e à rejeição. A SID deve ser, portanto, considerada opção importante no tratamento destas lesões.PURPOSE: Study of porcine small intestinal submucosa (SIS efficiency as a graft in the handling of lesions of the cervical esophagus in dogs. METHODS: Ten dogs were operated. A resection of a portion of the anterior wall of the esophagus was performed, followed by its repair with a SIS graft. The tensiometric resistance, macroscopic appearance regeneration process and collagen contents of the esophagus tissue were evaluated. RESULTS: No cases of fistula, stenosis or infection occured. Tensiometric evaluation showed a similar resistance in the operated esophagus when compared to the control (an average of 31.84N against 28.60N. Macroscopic analysis revealed complete healing

  4. Dentine hypersensitivity. The effects in vitro of acids and dietary substances on root-planed and burred dentine.

    Science.gov (United States)

    Addy, M; Absi, E G; Adams, D

    1987-05-01

    Evidence indicates that teeth exhibiting cervical dentine hypersensitivity have open dentinal tubules at the dentine surface. The identification of factors which render dentine exposed and tubules open is important both to the prevention and management of dentine hypersensitivity. In this study, recently extracted teeth were root planed or burred to expose the root dentine. Specimens were horizontally sectioned and then using the apical portion as control, the coronal portions placed in a variety of strong and weak acids and dietary fluids. Examination under the scanning electron microscope revealed a smear layer covering completely underlying tubules on the control root planed or burred portions. Test portions exposed to strong and weak acids showed loss of the smear layer and exposure of large numbers of tubules. Formic and tannic acids produced no changes. Some dietary fluids, in particular red and white wine, citrus fruit juices, apple juice and yogurt produced similar etching effects to the acids. The low pH carbonated drink, coca-cola, and a blackcurrent cordial produced no effects. The results of this study in vitro cannot necessarily be extrapolated to the clinical situation, but suggest that certain dietary factors could play a rôle in the aetiology of dentine hypersensitivity. Dietary advice to patients may prove important in the management of this often recurrent condition. PMID:3301914

  5. Gambaran Radiografi Dari Dentin Dysplasia

    OpenAIRE

    Sipayung, Andrew Naro Mario

    2011-01-01

    Dentin dysplasia merupakan salah satu penyakit kelainan herediter secara autosomal dominan pada dentin. Menurut Shields Prevalensi individu yang terjadi pada kasus ini perbandingannya 1:100.000. Secara klinis gambaran dentin dysplasia terlihat normal dan ada perubahan warna gigi yang kekuning-kuningan. Secara radiografi dentin dysplasia tipe I terlihat kelainan perkembangan pada akar dengan hampir tidak ada pembentukan akar sama sekali. Dentin dysplasia tipe II terlihat kelainan perkemban...

  6. Efeito da tração manual sobre o comprimento da coluna cervical em indivíduos assintomáticos: estudo randomizado controlado The effect of manual traction on the length of cervical spine in asymptomatic individuals: a randomized controlled study

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    Roger Burgo de Souza

    2011-03-01

    Full Text Available Os objetivos do estudo foram o de mensurar o comprimento da coluna cervical quando submetida à tração manual, e o de verificar as alterações da cervical após um período de 10 sessões consecutivas. Trata-se de estudo randomizado controlado, no qual 64 participantes foram submetidos a dois procedimentos radiológicos, antes e durante a tração. As distâncias das bordas anteriores e posteriores do corpo vertebral C2 até as do corpo vertebral de C7 foram mensuradas e comparadas. Na primeira etapa as medidas das bordas anteriores foi de 8,40 para 8,50 cm (PTHE Objectives of the study were to measure the length of the cervical spine when submitted to manual traction and to verify changes in the cervical spine after 10 consecutive sessions. In this randomized controlled study 64 participants were submitted to two radiological procedures: one before and another during traction. The distances between the anterior and posterior vertebrae edges of C2 the C7 were measured and compared. In the first stage it was shown that measures of the anterior distance was 8.40 to 8.50 cm (P<0.001 and the posterior was 8.35 to 8.50 cm (P<0.001. For the second stage, subjects were randomized in control group (n=31 and intervention group (n=33 which received ten sessions of cervical traction. After the sessions the anterior and posterior distances of the intervention group increased significantly from 8.40 to 8.90 cm (P<0.001 and 8.40 to 8.65 cm (P<0.001 respectively. After the sessions all participants repeated the same radiological procedures, measurements and comparisons of the vertebral distance. When the groups were compared after the sessions there were statistically significant differences between the anterior and posterior distance of 8.20 and 8.90 cm (P=0.015 and 8.30 and 8.65 (P=0.030 respectively. Therefore the traction increased the length of the cervical spine and after a period of application of this intervention there was significant increase of

  7. Treatment of dentin hypersensitivity.

    Science.gov (United States)

    Trushkowsky, Richard D; Oquendo, Anabella

    2011-07-01

    Dentinal hypersensitivity is exemplified by brief, sharp, well-localized pain in response to thermal, evaporative, tactile, osmotic, or chemical stimuli that cannot be ascribed to any other form of dental defect or pathology. Pulpal pain is usually more prolonged, dull, aching, and poorly localized and lasts longer than the applied stimulus. Up to 30% of adults have dentinal hypersensitivity at some time. Current techniques for treatment may be only transient in nature and results are not always predictable. Two methods of treatment of dentin hypersensitivity are tubular occlusion and blockage of nerve activity. A differential diagnosis needs to be accomplished before any treatment. PMID:21726693

  8. Breast cancer in Mexican women: an epidemiological study with cervical cancer control Câncer de mama em mulheres mexicanas: estudo epidemiológico com controles de câncer cervical

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    Víctor Tovar-Guzmán

    2000-04-01

    Full Text Available INTRODUCTION: In Mexico, breast cancer (BC is one of the main causes of cancer deaths in women, with increasing incidence and mortality in recent years. Therefore, the aim of the study is identify possible risk factors related to BC. METHODS: An epidemiological study of hospital cases of BC and controls with cervical uterine cancer (CUCA was carried out at eight third level concentration hospitals in Mexico City. The total of 353 incident cases of BC and 630 controls with CUCA were identified among women younger than 75 years who had been residents of the metropolitan area of Mexico City for at least one year. Diagnosis was confirmed histologically in both groups. Variables were analyzed according to biological and statistical plausibility criteria. Univariate, bivariate and multivariate analyses were carried out. Cases and controls were stratified according to the menopausal hormonal status (pre and post menopause. RESULTS: The factors associated with BC were: higher socioeconomic level (OR= 2.77; 95%CI = 1.77 - 4.35; early menarche (OR= 1.32; 95%CI= 0.88 - 2.00; old age at first pregnancy (>31 years: OR= 5.49; 95%CI= 2.16 - 13.98 and a family history of BC (OR= 4.76; 95% CI= 2.10 - 10.79. In contrast, an increase in the duration of the breastfeeding period was a protective factor (>25 months: OR= 0.38; 95%CI= 0.20 - 0.70. CONCLUSIONS: This study contributes to the identification of risk factors for BC described in the international literature, in the population of Mexican women. Breastfeeding appears to play an important role in protecting women from BC. Because of changes in women`s lifestyles, lactation is decreasing in Mexico, and young women tend not to breastfeed or to shorten the duration of lactation.OBJETIVO: O câncer de mama (CM é uma das principais causas de morte por câncer em mulheres, no México, com aumento da incidência e da mortalidade nos últimos anos. O estudo realizado objetivou identificar possíveis fatores de risco

  9. Avaliação morfológica da união entre adesivo/resina composta e dentina irradiada com laser Er:YAG e laser Nd:YAG: estudo comparativo por microscopia de varredura Morphological evaluation of the bonding between adhesive/composite resin and dentin irradiated with Er:YAG and Nd:YAG lasers: comparative study using scanning microscopy

    Directory of Open Access Journals (Sweden)

    Margareth ODA

    2001-12-01

    Full Text Available Desde a introdução de sistemas adesivos nos procedimentos restauradores com materiais estéticos, tem-se estudado de forma abrangente o tipo de tratamento na superfície dentinária para se consagrar uma técnica ideal. A utilização do ácido fosfórico a 37% sobre a dentina é atualmente ainda o método que mais se domina em termos de adesividade. Porém, métodos de tratamento alternativos, na dentina, têm sido discutidos na literatura, entre eles a aplicação de alguns tipos de irradiação a laser. O objetivo desta pesquisa foi avaliar morfologicamente a união adesivo/resina composta e dentina irradiada com laser Er:YAG e laser Nd:YAG num estudo comparativo por microscopia de varredura, utilizados em substituição ao condicionamento ácido ou associados ao mesmo. Foram utilizados dentes bovinos recém-extraídos, que receberam um preparo de cavidade de classe V, e restauração com sistema adesivo e resina composta fotoativada. Como variantes alguns deles receberam o tratamento prévio de irradiação com laser Er:YAG e outros de irradiação com laser Nd:YAG, à aplicação do agente adesivo e da resina composta. As amostras foram seccionadas, preparadas para microscopia de varredura e submetidas a uma análise morfológica, e foram feitos os registros por meio de fotomicrografias. Com base nessas observações microscópicas, concluímos que somente no tratamento da superfície da dentina com laser Er:YAG e condicionamento ácido houve penetração da resina na dentina. Nos tratamentos com laser Nd:YAG, houve apenas aparente superposição da resina na superfície dentinária, sugerindo que houve oclusão dos túbulos com características de fusão na dentina superficial.Since bonding systems were introduced in the restorative procedures carried out with esthetic materials, the treatment of dentin surfaces has been widely studied in order to establish the ideal technique. The application of 37% phosphoric acid on dentin is still

  10. Filling in dentinal tubules

    International Nuclear Information System (INIS)

    We report on the demonstration of two occlusion protocols for exposed dentinal tubules with the aid of gold nanoparticles: first, the inner tubular walls are pre-adsorbed by sub-monolayer gold nanoparticles, followed by a silver staining process to achieve tubular occlusion. Second, highly concentrated gold nanoparticles were brushed into the exposed ends of dentinal tubules, followed by laser irradiation which promoted sintering of gold nanoparticle aggregates via photothermal conversion

  11. Epidemiology of dentin hypersensitivity

    OpenAIRE

    Splieth, Christian H.; Tachou, Aikaterini

    2012-01-01

    Objective In contrast to the well-established caries epidemiology, data on dentin hypersensitivity seem to be scarce and contradictory. This review evaluates the available literature on dentin hypersensitivity and assesses its prevalence, distribution, and potential changes. Materials and methods The systematic search was performed to identify and select relevant publications with several key words in electronic databases. In addition, the articles’ bibliographies were consulted. Results Prev...

  12. Effect of phytic acid, ethylenediaminetetraacetic acid, and chitosan solutions on microhardness of the human radicular dentin

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    Vineeta Nikhil

    2016-01-01

    Full Text Available Aim: The purpose of this study was to evaluate the effect of phytic acid, ethylenediaminetetraacetic acid (EDTA, and chitosan solutions on the microhardness of human radicular dentin. Materials and Methods: Thirty dentin specimens were randomly divided into three groups of 10 specimens each according to the irrigant used: G1 - 1% phytic acid, G2 - 17% EDTA, and G3 - 0.2% chitosan. A standardized volume of each chelating solution was used for 3 min. Dentin microhardness was measured before and after application at the cervical, middle, and apical levels with a Vickers indenter under a 200-g load and a 10-s dwell time. The results were analyzed using one-way analysis of variance (ANOVA and Student′s t test. Results: Microhardness of the radicular dentin varied at the cervical, middle, and apical levels. EDTA had the greatest overall effect, causing a sharp percentage reduction in dentin microhardness with a significant difference from phytic acid and chitosan (P = 0.002. However, phytic acid and chitosan differed insignificantly from each other (P = 0.887. Conclusion: All tested chelating solutions reduced microhardness of the radicular dentin layer at all the levels. However, reduction was least at the apical level. EDTA caused more reduction in dentin microhardness than chitosan while phytic acid reduced the least.

  13. Regional variation in root dentinal tubule infection by Streptococcus gordonii.

    Science.gov (United States)

    Love, R M

    1996-06-01

    The purpose of this study was to investigate the pattern of bacterial invasion of dentinal tubules at different regions in human roots. Specimens were obtained from single-rooted teeth that had their root canals prepared in a standard manner. Roots were then sectioned longitudinally through the canals and the resulting specimens chemically treated to remove the smear layers. Specimens were immersed in a suspension of Streptococcus gordonii for 3 weeks and then prepared for histological analysis. Sections from the cervical, midroot, and apical areas were examined. The pattern of bacterial infection of the cervical and midroot areas was similar, characterized as a heavy infection with bacteria penetrating as deep as 200 microns. Invasion of the apical dentin was significantly different, with a mild infection and maximum penetration of 60 microns.

  14. Cervical dysplasia

    Science.gov (United States)

    ... by your provider. Make sure to get the HPV vaccine when it is offered to you. This vaccine prevents many cervical cancers. ... Early diagnosis and prompt treatment cures most cases of cervical ... severe cervical dysplasia may change into cervical cancer.

  15. Contribuição ao estudo das malformações occipito-cervical, particularmente da impressão basilar

    Directory of Open Access Journals (Sweden)

    Horacio M. Canelas

    1952-12-01

    Full Text Available The authors outline the development of the spine and skull, particularly of axis, atlas and occipital bone. As neuro-skeletal dysmorphisms, the occipito-cervical malformations belong to the neurodysplastic group. They are classified as skeletal anomalies, associated nervous malformations and meningeal reactions. Vertebralization of the occipital bone and occipitalization of atlas, subluxation of odontoid process, dysplasia of the occipital bone, dystrophia brevicollis and other anomalies are discussed. Special care is given to the study of basilar impression; its concept, history, incidence, clinical and neurological symptoms, radiological characterization (craniographic, perimyelographic and iodoventriculographic aspects and surgical treatment are reviewed. The authors report five cases of occipito-cervical malformations, which are the first references in Brazilian literature. In case 1 the anomalies (manifestation of occipital vertebra and Arnold-Chiari deformity were disclosed at an operation for cisticercosis of the posterior fossa. In the following four cases invagination of the basilar portion of the occipital bone (basilar impression could be radiologically demonstrated; in case 2 a suboccipital craniectomy and a laminectomy of atlas and axis were performed but the patient died a week later and the necroscopic examination confirmed the neuro-skeletal anomalies. In all cases there were several associated malformations. In case 2 there were occipitalization of the atlas, fusion of the first and second cervical vertebrae, supernumerary rib of the seventh cervical vertebra, supernumerary lumbar vertebra, and Arnold-Chiari deformity; at necropsy it was found a syringomyelic cyst on the cervical cord and a fibrous dural ring over the foramen magnum. Case 3 showed the syndrome of Klippel-Feil, besides supernumerary ribs of the seventh cervical and first dorsal vertebrae, Arnold-Chiari malfotmation and probable aplasia of cell groups in the

  16. Composite resin bond strength to caries-affected dentin contaminated with 3 different hemostatic agents.

    Science.gov (United States)

    Khoroushi, Maryam; Hosseini-Shirazi, Moeen; Farahbod, Foroozan; Keshani, Fatemeh

    2016-01-01

    Bonding of composite resins to sound and caries-affected dentin in cervical areas may necessitate the use of hemostatic agents to control sulcular fluid and hemorrhage. The aim of this in vitro study was to evaluate the bond strengths of a self-etching adhesive system to sound and caries-affected dentin after the use of 3 different hemostatic agents. Composite resin cylinders were bonded to 48 caries-affected and 48 sound dentin surfaces in 8 groups. Groups 1-4 utilized caries-affected dentin: group 1, uncontaminated control; 2, ViscoStat; 3, ViscoStat Clear; and 4, trichloroacetic acid (TCA). Groups 5-8 utilized sound dentin: group 5, uncontaminated control; 6, ViscoStat; 7, ViscoStat Clear; and 8, TCA. The hemostatic agents were applied for 2 minutes and rinsed. After 500 rounds of thermocycling, shear bond strength tests were carried out. Data were analyzed with 1- and 2-way analyses of variance, t test, and post hoc Tukey tests at a significance level of P dentin type (F = 38.23; P = 0.0001) and hemostatic agent (F = 6.32; P = 0.001). Furthermore, groups 2 and 6 (ViscoStat) showed significantly lower bond strength values than the control groups (groups 1 and 5) in both affected and sound dentin (P = 0.043 and P = 0.009, respectively). Within the limitations of this study, the bond strength of composite resin to caries-affected dentin was significantly reduced compared to that with sound dentin. Among the studied hemostatic agents, ViscoStat resulted in a greater decrease in dentin bond strength. Contamination of both sound and caries-affected dentin with hemostatic agents decreased composite resin bond strength. Of the 3 hemostatic agents used, ViscoStat Clear appeared to have the least detrimental effect on bond strength. PMID:27367640

  17. Estudo de resistência à tração de três sistemas adesivos associados a resina composta em superfícies dentinárias

    Directory of Open Access Journals (Sweden)

    MATOS Adriana Bona

    2001-01-01

    Full Text Available Este trabalho teve como objetivo comparar a resistência à tração de três sistemas adesivos associados a resina composta aderidos à superfície dentinária. Quarenta e cinco superfícies de dentina foram obtidas a partir de molares humanos extraídos, sobre elas foi preparado "smear layer" e foram divididas em 3 grupos: G1 adesivo autocondicionante + resina micro-híbrida; G2 adesivo de componente único + ácido e resina micro-híbrida e G3 adesivo convencional (ácido + "primer" + bond + resina micro-híbrida, aplicados de acordo com as instruções dos fabricantes. Os corpos-de-prova foram preparados para teste de tração, imersos em água destilada por 24 horas a 37ºC. Findo este tempo, o teste de tração foi realizado em máquina de ensaio Inströn com velocidade constante de 0,5 mm/min. Os resultados foram expressos em MPa e submetidos a análise de variância (p < 0,05. Os autores concluíram que: o tipo de sistema adesivo influenciou na resistência à tração das resinas compostas testadas; o sistema adesivo de componente único apresentou os melhores resultados de resistência adesiva.

  18. Irradiation effects on microhardness of fluoridated and non-fluoridated bovine dentin

    International Nuclear Information System (INIS)

    The objective of this study was to evaluate the effects of irradiation on microhardness of dentin. Dentin blocks from the cervical region of bovine incisors were treated as follows: 1) no irradiation; 2) irradiation of specimens up to 60 Gy (2Gy/day, 5 days/week); 3) no irradiation, but fluoridation of specimens for 5 min/d; 4) irradiation of specimens and daily fluoridation. Knoop hardness number (KHN) of the control specimens was 62.63±14.75 (mean±SD). This was significantly different from the irradiated dentin samples (8.74±2.59 KHN). Hardness of the fluoridated dentin specimens was 11.19±1.95 KHN in the non-irradiated group and 10.03±2.75 KHN in the irradiated groups, respectively. Within the limitations of an in vitro study, it is concluded that dentin is severely affected by irradiation. This could be an explanation for the frequently observed side-effects of irradiation like loss of enamel, gap formation at the amelodentinal junction, and caries of the cervical region. Fluoridation with acidic gels decereases microhardness of dentin surface, and does not prevent softening due to radiation, when saliva is absent. (au)

  19. Immediate Dentin Bond Strength of Self-etch Dentine Adhesives

    Directory of Open Access Journals (Sweden)

    David Lafuente

    2014-02-01

    Full Text Available Purpose: The purpose of this study was to evaluate the immediate bond strength of two sixth generation and two seventh generation dentin bonding agents to superficial dentin. Specimens were prepared to exposed superficial dentin and either Clearfil SE, Clearfil S3, Adper Prompt-l-pop of G-bond was applied over the dentin surface and light cured. Then composite resin was applied to the treated surface and light-cured in two increments. Specimens were tested 15 minutes after they were made for shear bond strength at 0.01 cm/min. Clearfil SE had statistically higher bond strength than the other three adhesives evaluated (42.9 MPa. There was no statistical difference among Clearfil S3, Adper Prompt-l-pop and G-Bond. The dentin adhesive with an application of an acidic primer before the application of the adhesive showed better immediate bond strength.

  20. Der Einfluss drei verschiedener Schichttechniken in Kombination mit vier Adhäsivsystemen auf die Randqualität von Seitenzahn-Kompositfüllungen im Dentin. Eine In-vitro-Studie.

    OpenAIRE

    Löchelt, Anja

    2010-01-01

    Objective: To evaluate the influence of three different layering techniques on gingival margin integrity of Class-II composite resin restorations with cervical margins in dentin using four adhesive systems, in vitro. Methods: 96 extracted human premolars were prepared for standardized Class-II restorations (6 mm high with cervical margins in dentin, 4 mm wide and 1.5-2 mm deep). Four adhesive systems, OptiBond FL (OPT), Excite (EXC), Clearfil SE Bond (CSE) and A...

  1. Low-level laser therapy of dentin hypersensitivity: a short-term clinical trial.

    Science.gov (United States)

    Orhan, Kaan; Aksoy, Umut; Can-Karabulut, Deniz C; Kalender, Atakan

    2011-09-01

    The aim of this study was to evaluate low-level laser therapy in cervical dentin hypersensitivity. A randomized controlled clinical trial was conducted with a total of 64 teeth. Dentin desensitizer and diode laser were applied on the cervical dentin surfaces. Distilled water and placebo laser was used as the placebo groups. The irradiance used was 4 J/cm(2) per treatment site. The baseline measurement of hypersensitivity was made by using visual analog scale (VAS). Twenty-four hours and 7 days after the application of desensitizer, diode laser and placebo groups, a new VAS analysis was conducted for the patients' sensitivity level. The mean pain scores of placebo groups were significantly higher than the desensitizer's and diode laser's mean scores (ANOVA, p low-level laser therapy and no statistically significant difference was observed between these two treatments (p > 0.05). Although low-level laser and glutaraldehyde containing desensitizer present distinct modes of action, experimental agents caused a significant reduction of dentin hypersensitivity without showing secondary effects, not irritating the pulp or causing pain, not discoloring or staining the teeth, and not irritating the soft tissues at least for a period of 1 week with no drawbacks regarding handling and/or ease of application. Low-level laser therapy and desensitizer application had displayed similar effectiveness in reducing moderate dentin hypersensitivity.

  2. COHESIVE STRENGTH OF DENTIN RESISTÊNCIA COESIVA DA DENTINA

    Directory of Open Access Journals (Sweden)

    Flávio Fernando DEMARCO

    1997-07-01

    Full Text Available The bond strength of dentin adhesives to dentin has increased after each generation. Although dentin substratum is part of the bonding process, little importance has been given to measure dentin cohesive strength. The aim of this study was to evaluate the cohesive strength of dentin in human canines. Seventeen non carious canines were selected. All of them had been extracted for more than one year. The teeth were ground until dentin square samples with approximately 2 X 2 mm were obtained. They were embedded in acrylic resin and subjected to shear stress, in a Wolpert Machine, at a crosshead speed of 0.5 mm/min. The mean cohesive strength of dentin in shear mode was 33.95 (+-9.72 MPa. The fracture surfaces were observed under a X40 magnification. A finite element analysis was performed to observe the stress distribution as related to the shear test. The failure pattern was compatible with the shear test and also with the stress distribution in the finite element analysisA resistência de união dos adesivos dentinários tem sido aumentada com o desenvolvimento de cada nova geração. Pouca importância tem sido dada à resistência coesiva da dentina. A proposta deste estudo foi avaliar a resistência coesiva da dentina. Dezessete caninos humanos hígidos, os quais tinham sido extraídos há mais de um ano, foram usados. Os dentes foram desgastados até a obtenção de corpos-de-prova em dentina, de formato quadrangular, com tamanho aproximado de 2 X 2 mm. Os dentes foram incluídos em resina acrílica e, então, submetidos ao teste de cisalhamento em uma máquina de ensaios universais Wolpert, com uma velocidade de 0,5 mm/min. A resistência coesiva média da dentina no teste de cisalhamento foi de 33,95 (+- 9,72 MPa. O tipo de fratura foi analisado com um aumento de 40X. Foi realizada uma análise com elemento finito, para observar a distribuição do estresse relacionada com o teste de cisalhamento. O padrão de fratura encontrado foi compat

  3. Hereditary dentine disorders: dentinogenesis imperfecta and dentine dysplasia

    OpenAIRE

    MacKie Iain; McDonnell Sinead T; Barron Martin J; Dixon Michael J

    2008-01-01

    Abstract The hereditary dentine disorders, dentinogenesis imperfecta (DGI) and dentine dysplasia (DD), comprise a group of autosomal dominant genetic conditions characterised by abnormal dentine structure affecting either the primary or both the primary and secondary dentitions. DGI is reported to have an incidence of 1 in 6,000 to 1 in 8,000, whereas that of DD type 1 is 1 in 100,000. Clinically, the teeth are discoloured and show structural defects such as bulbous crowns and small pulp cham...

  4. Carious dentine removal: current approach

    Directory of Open Access Journals (Sweden)

    Germana Coeli de Farias Sales

    2008-01-01

    Full Text Available Dentistry is renewed day after day through the results of qualified researches. The approach as regards carious dentin removal is goingthrough questioning and innovation. The scope of this study was to perform a literature review in the sense of elucidating questions pertaining to the problem of whether or not it is necessary to completely remove carious dentin, and the possibility of performing restoration in a single session, in addition to a discussion about which type of material should be applied in this type of substrate. After analyzing the referenced articles, it was concluded that the stepwise treatment controls caries progression; there is a trend in the literature to partially remove the carious dentin in deep lesions and perform definitive restoration; Calcium hydroxide cement is a classical liner in these situations, while glass ionomer cement and resinous materials are other possibilities of materials that can be in close contact with the remaining dentin.

  5. Functional remineralization of carious dentin

    Science.gov (United States)

    Pugach, Megan Kardon

    A primary goal of dental tissue engineering is the biological reconstruction of tooth substrate destroyed by caries or other diseases affecting tooth mineralization. Traditionally, dentists treat caries by using invasive techniques to remove the diseased dental tissue and restore the lesion, ideally preventing further progression of decay. Success in strategies associated with remineralization of enamel and root caries have contributed to the less invasive prospect of remineralization of dentinal carious lesions. The central hypothesis of this dissertation is that carious dentin lesions can be remineralized if the lesions contain residual mineral. Caries Detector (CD) stained zones (pink, light pink, transparent and normal) of arrested carious dentin lesions were characterized according to microstructure by atomic force microscopy (AFM) imaging, mineral content by digital transverse microradiography, and nanomechanical properties by AFM-based nanoindentation. CD-stained and unstained zones had significantly different microstructure, mineral content and nanomechanical properties. Furthermore, the most demineralized carious zone contained residual mineral. To obtain reproducible, standardized dentin caries lesions, we characterized the lesions from an artificial carious dentin lesion model using a 0.05M acetate demineralization buffer. The artificial caries-like lesions produced by the buffer had similar mineral content and nanomechanical properties in the stained and unstained zones as natural dentin lesions. Both natural and artificial lesions had significant correlations between mineral content and nanomechanical properties. Mineral crystallite size and shape was examined by small angle x-ray scattering. Both natural and artificial carious dentin had different mineral sizes than normal dentin. Collagen in natural and artificial carious dentin lesions was examined by trichrome stain, AFM high-resolution imaging, and UV resonance Raman spectroscopy, to determine if

  6. Cervical Cancer

    Centers for Disease Control (CDC) Podcasts

    2007-03-06

    Did you know that cervical cancer rates differ by race/ethnicity and region? Or that cervical cancer can usually be prevented if precancerous cervical lesions are found by a Pap test and treated? Find out how getting regular Pap tests can save a woman's life.  Created: 3/6/2007 by National Breast and Cervical Cancer Early Detection Program.   Date Released: 4/25/2007.

  7. Comparative study of analgesic effect of the infrared low-intensity laser and 33% sodium fluoride paste in the treatment of dentinal hypersensitivity; Estudo comparativo do efeito analgesico do laser em baixa intensidade de emissao infravermelha e da pasta de fluoreto de sodio a 33% no tratamento da hipersensibilidade dentinaria

    Energy Technology Data Exchange (ETDEWEB)

    Oliveira, Glen Anderson Maia de

    2003-07-01

    Different desensitizing agents have been used in the treatment of dentinal hypersensitivity, however, some presented treatments are still frustrating. The purpose of this study was to evaluate the analgesic effect of the low-intensity GaAlAs laser ({lambda}= 830 nm) in the treatment of dentinal hypersensitivity after mechanical and thermal stimuli, and compared it with the 33% sodium fluoride paste. Thirty two teeth with dentinal hypersensitivity were selected and randomly divided into two groups. For the laser group, each tooth was irradiated by a dose of 6 J/cm{sup 2} during two minutes and half on the buccal side. The paste group was treated with a NaF/kaolin/glycerin (33:33:33) paste by burnishing the sensitive surface during four minutes. The sensitivity degree was measured before the beginning of the experiment, 24 h, 48 h, 72 h, 120 h, 15 days and 30 days after the first application. The results indicate that the dentinal hypersensitivity significantly diminished for the paste group after dental explorer. Regarding to air-blast, no significant differences were observed between the groups. Both of them were effective in reducing pain of the dentine hypersensitive after 120 h. (author)

  8. Estudo comparativo entre clonidina associada à bupivacaína e bupivacaína isolada em bloqueio de plexo cervical para endarterectomia de carótida Estudio comparativo entre la clonidina asociada a la bupivacaína y la bupivacaína aislada en bloqueo de plexo cervical para endarterectomía de carótida A comparative study between bupivacaine and clonidine associated with bupivacaine in cervical plexus block for carotid endarterectomy

    Directory of Open Access Journals (Sweden)

    Walter Pinto Neto

    2009-08-01

    Full Text Available JUSTIFICATIVA E OBJETIVOS: O bloqueio de plexo cervical permite avaliação neurológica durante a endarterctomia, além de manter analgesia pós-operatória. A clonidina é agonista alfa2 com efeito analgésico em diferentes bloqueios. O objetivo deste estudo foi comparar o efeito analgésico da clonidina com bupivacaína em relação à bupivacaína isolada em bloqueio de plexo cervical. MÉTODO: Foram avaliados 30 pacientes de forma aleatória e duplamente-encoberta divididos em dois grupos: G1 recebeu 1,5 mg.kg-1 de bupivacaína a 0,375% associados a 150 ¼g de clonidina (2 mL e G2, 1,5 mg.kg-1 de bupivacaína a 0,375% associados à solução fisiológica (2 mL. Foram avaliados: frequência cardíaca e pressão arterial nos momentos 0 (bloqueio, 30, 60, 90 e 120 minutos; necessidade de complementação anestésica; momento para primeira complementação analgésica; quantidade de analgésico usada e intensidade da dor nos momentos 0 (término da operação, 30, 60, 120, 240 e 360 minutos. RESULTADOS: A complementação anestésica com lidocaína foi de 3,8 mL no G1 e 3,6 mL no G2 sem diferença estatística significativa. O momento para a primeira complementação foi de 302,6 ± 152,6 minutos no G1, e de 236,6 ± 132,9 minutos no G2, sem diferença significativa. Não houve diferença na dose de dipirona e tramadol usada. Não houve diferença na intensidade da dor entre os grupos. CONCLUSÃO: A associação de 150 ¼g de clonidina à bupivacaína em bloqueio de plexo cervical para endarterectomia de carótida não promoveu melhora significativa do efeito analgésico avaliado por intensidade da dor, primeira complementação analgésica e quantidade de analgésico complementar.JUSTIFICATIVA Y OBJETIVOS: El bloqueo de plexo cervical permite la evaluación neurológica durante la endarterectomía, además de mantener la analgesia postoperatoria. La clonidina es agonista alfa-2 con un efecto analgésico en diferentes bloqueos. El objetivo de

  9. Rootless teeth: Dentin dysplasia type I

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    Sangamesh G Fulari

    2013-01-01

    Full Text Available A rare case of hereditary disturbance of dentine, Dentin dysplasia type I is presented, which is characterized by short or total absence of roots, obliterated pulp chambers, and peri-apical radiolucencies. It affects both primary and secondary dentition. Management of patients with dentinal dysplasia is difficult and requires a multidisciplinary approach. An overview of dentin dysplasia and its management along with a case report is discussed.

  10. Penetration of amalgam constituents into dentine

    OpenAIRE

    Scholtanus, J.D.; Özcan, M; Huysmans, M.C.D.N.J.M.

    2009-01-01

    OBJECTIVES: Amalgam restorations are replaced by adhesively placed composite resin restorations at an increasing rate. After the removal of amalgam dentine often shows marked dark discoloration that is attributed to the penetration of corrosion products from overlying amalgams. It is questioned whether penetration of metals into dentine affects the dentine as a substrate for adhesive procedures. This study has been performed to clarify the origin of dark discoloration of dentine by metals fro...

  11. Dentin hypersensitivity and its management.

    Science.gov (United States)

    Chu, C H; Lam, Anty; Lo, Edward C M

    2011-01-01

    Dentin hypersensitivity is a common patient complaint that is more prevalent than the profession realizes. It is important for dentists to diagnose dentin hypersensitivity by exclusion and provide appropriate treatment recommendations for patients. Various treatment methods have been proposed but no universally accepted desensitizing agent or treatment has been identified. When a patient has symptoms that can be attributed to dentin hypersensitivity, a thorough clinical examination should be carried out to rule out other likely causes prior to diagnosis and treatment. Depending on the identified cause, a combination of individualized instructions on proper oral health behaviors, use of at-home products, and professional treatment may be required to manage the problem. PMID:21903521

  12. Cervical radiculopathy.

    Science.gov (United States)

    Iyer, Sravisht; Kim, Han Jo

    2016-09-01

    Cervical radiculopathy is a common clinical scenario. Patients with radiculopathy typically present with neck pain, arm pain, or both. We review the epidemiology of cervical radiculopathy and discuss the diagnosis of this condition. This includes an overview of the pertinent findings on the patient history and physical examination. We also discuss relevant clinical syndromes that must be considered in the differential diagnosis including peripheral nerve entrapment syndromes and shoulder pathology. The natural history of cervical radiculopathy is reviewed and options for management are discussed. These options include conservative management, non-operative modalities such as physical therapy, steroid injections, and operative intervention. While the exact indications for surgical intervention have not yet been elucidated, we provide an overview of the available literature regarding indications and discuss the timing of intervention. The surgical outcomes of anterior cervical decompression and fusion (ACDF), cervical disc arthroplasty (CDA), and posterior cervical foraminotomy (PCF) are discussed. PMID:27250042

  13. Evaluation of inactivation of intracanal antiseptics by dentin, demineralized dentin, dentin matrix and mineral component of dentin

    Directory of Open Access Journals (Sweden)

    Razmi H

    2007-01-01

    Full Text Available Background and Aim: Many studies have shown that microorganisms are the main cause of pulpal diseases and the main purpose of root canal therapy is their elimination from the root canal system. Antiseptic agents are used to reduce bacteria but their antibacterial activities differ from in vivo to in vitro studies and might be inactivated by dentin and its components in root canal space. This study was designed to investigate the effect of dentin on antibacterial activity of different antimicrobial agents. Materials and Methods: In this experimental study, two antibacterial agents (sodium hypochlorite and chlorhexidine with different concentrations were used in four experimental groups: Group 1: dentin, Group 2: demineralized dentin with EDTA, Group 3: dentin matrix and Group 4: dentin mineral component. The species used in this study was Entrococcus faecalis. Different concentration of agents were added to mixture of each experimental group and bacteria. At the baseline and after one and 24 hours, samples were collected and cultured. After incubation period, colonies were counted. Data were analyzed by Tukey test with p<0.05 as the limit of significance. Results: 2% and 0.2% chlorhexidine, and 5% sodium hypochlorite solutions at the three studied times eliminated Entrococcus faecalis completely. 1% sodium hypochlorite eliminated all bacteria in 1h and 24 hs. Statistical analysis showed significant differences between experimental and control groups (P<0.05. Sodium 1% hypochlorite at time 0, could reduce bacteria significantly (P<0.05 but didn’t eliminate them completely. Conclusion: Inactivation of intracanal antiseptics was not observed in this study. As elimination of bacteria occurred, application of these antibacterial agents are recommended in endodontic treatment. Further investigations on other antibacterial agents, other concentrations and shorter time intervals are recommended.

  14. Femtosecond laser ablation of dentin

    International Nuclear Information System (INIS)

    The surface morphology, structure and composition of human dentin treated with a femtosecond infrared laser (pulse duration 500 fs, wavelength 1030 nm, fluences ranging from 1 to 3 J cm-2) was studied by scanning electron microscopy, x-ray diffraction, x-ray photoelectron spectroscopy and Fourier transform infrared spectroscopy. The average dentin ablation threshold under these conditions was 0.6 ± 0.2 J cm-2 and the ablation rate achieved in the range 1 to 2 µm/pulse for an average fluence of 3 J cm-2. The ablation surfaces present an irregular and rugged appearance, with no significant traces of melting, deformation, cracking or carbonization. The smear layer was entirely removed by the laser treatment. For fluences only slightly higher than the ablation threshold the morphology of the laser-treated surfaces was very similar to the dentin fracture surfaces and the dentinal tubules remained open. For higher fluences, the surface was more porous and the dentin structure was partially concealed by ablation debris and a few resolidified droplets. Independently on the laser processing parameters and laser processing method used no sub-superficial cracking was observed. The dentin constitution and chemical composition was not significantly modified by the laser treatment in the processing parameter range used. In particular, the organic matter is not preferentially removed from the surface and no traces of high temperature phosphates, such as the β-tricalcium phosphate, were observed. The achieved results are compatible with an electrostatic ablation mechanism. In conclusion, the high beam quality and short pulse duration of the ultrafast laser used should allow the accurate preparation of cavities, with negligible damage of the underlying material. (paper)

  15. Estudo experimental da influência da altura do enxerto ósseo intersomático na estabilidade da fixação monossegmentar anterior da coluna cervical Experimental study of the impact of intersomatic bone graft height on the stability of anterior monosegmental fixation of the cervical spine

    OpenAIRE

    Jorge Alfredo Léo; Antonio Carlos Shimano; Gilberto de Araújo Pereira; Helton Luiz Aparecido Defino

    2008-01-01

    OBJETIVO: Estudar experimentalmente a influência da altura do enxerto ósseo intersomático da coluna cervical na estabilidade mecânica da fixação cervical anterior. MÉTODOS: Foram realizados ensaios mecânicos utilizando a coluna cervical de suínos (C3-C4). Foram formados três grupos experimentais compostos por 20 segmentos da coluna cervical (C3-C4), de acordo com o grau de instabilidade produzido e a fixação do segmento vertebral. Grupo I: retirada do disco intervertebral e colocação de enxer...

  16. In vitro evaluation of the effects of the interaction between irrigating solutions, intracanal medication and Er:YAG laser in dentin permeability of the endodontic system Estudo in vitro dos efeitos da interação de substâncias irrigantes, medicação intracanal e laser Er:YAG na permeabilidade dentinária do sistema endodôntico

    Directory of Open Access Journals (Sweden)

    Denise Pontes Raldi

    2003-09-01

    Full Text Available The purpose of this study was to evaluate in vitro the effects of different associations between irrigating solutions (EDTA-T and citric acid, intracanal medicament (NDP, and Er:YAG laser irradiation on dentin permeability. Fifty-one extracted single-rooted teeth were instrumented and divided into seven groups. Groups GI and GII had final irrigation with a demineralizing solution only (EDTA-T and citric acid, respectively. Groups GIII and GIV had final irrigation with EDTA-T and citric acid, respectively, plus an association of irrigating solution and Er:YAG laser. Groups GV and GVI had final irrigation with EDTA-T and citric acid, respectively, plus an association of intracanal medication and Er:YAG laser. Group GVII (control group had final irrigation with distilled water. All root canals were filled with NDP associated with rhodamine B dye. After the experimental period, the samples were transversely cut into six 2.0 mm thick slices for subsequent reading using the ImageLab software. Analysis of the results allowed us to conclude that there were statistically significant differences (p Este experimento teve como objetivo avaliar in vitro os efeitos da interação entre soluções irrigantes desmineralizadoras (EDTA-T e ácido cítrico, medicação intracanal (NDP e laser Er:YAG na permeabilidade dentinária. Foram utilizados 51 dentes unirradiculares extraídos que, após o preparo químico-cirúrgico, foram divididos em sete grupos experimentais: grupos I e II - irrigação final com solução de EDTA-T e ácido cítrico, respectivamente; grupos III e IV - irrigação final com EDTA-T e ácido cítrico, respectivamente, mais a associação entre solução irrigante e laser Er:YAG; grupos V e VI - irrigação final com EDTA-T e ácido cítrico, respectivamente, mais a associação entre medicação intracanal e laser Er:YAG, e grupo VII (controle - irrigação final com água destilada. Os canais radiculares foram preenchidos com o corante

  17. Is bovine dentine an appropriate substitute for human dentine in erosion/abrasion tests?

    OpenAIRE

    Wegehaupt, F; Gries, D.; A. Wiegand; Attin, T.

    2008-01-01

    The study aimed to compare the dentine wear of primary and permanent human and bovine teeth because of erosion/abrasion and evaluate if bovine dentine is an appropriate substitute for human dentine in further erosion/abrasions tests. Dentine samples from deciduous molars and human third molars as well as from calves' and cattle's lower incisors were prepared and baseline surface profiles were recorded. Each day all samples were demineralized in 1% citric acid, tooth brushed with 100 brushing ...

  18. COHESIVE STRENGTH OF DENTIN RESISTÊNCIA COESIVA DA DENTINA

    OpenAIRE

    DEMARCO, Flávio Fernando; Turbino, Miriam Lacalle; Edmir MATSON

    1997-01-01

    The bond strength of dentin adhesives to dentin has increased after each generation. Although dentin substratum is part of the bonding process, little importance has been given to measure dentin cohesive strength. The aim of this study was to evaluate the cohesive strength of dentin in human canines. Seventeen non carious canines were selected. All of them had been extracted for more than one year. The teeth were ground until dentin square samples with approximately 2 X 2 mm were obtained. Th...

  19. Contraction stress in dentin adhesives bonded to dentin.

    Science.gov (United States)

    Hashimoto, M; de Gee, A J; Kaga, M; Feilzer, A J

    2006-08-01

    Adhesives cured under constrained conditions develop contraction stresses. We hypothesized that, with dentin as a bonding substrate, the stress would reach a maximum, followed by a continuous decline. Stress development was determined with a tensilometer for two total-etch systems and two systems with self-etching primers. The adhesives were placed in a thin layer between a glass plate and a flat dentin surface pretreated with phosphoric acid or self-etching primer. After an initial maximum shortly after light-curing, the stress decreased dramatically for the total-etch systems (70%) and, to a lesser extent, for the adhesives with self-etching primers (30%). The greater stress decrease for the total-etch systems was ascribed to water and/or solvents released into the adhesives from the fully opened dentinal tubules by the pulling/sucking action of the contraction stress. This happened less with the adhesives with self-etching primers, where the tubules remained mainly closed.

  20. Frameshift mutations in dentin phosphoprotein and dependence of dentin disease phenotype on mutation location

    NARCIS (Netherlands)

    P. Nieminen; L. Papagiannoulis-Lascarides; J. Waltimo-Siren; P. Ollila; S. Karjalainen; S. Arte; J. Veerkamp; V. Tallon Walton; E. Chimenos Küstner; T. Siltanen; H. Holappa; P.L. Lukinmaa; S. Alaluusua

    2011-01-01

    We describe results from a mutational analysis of the region of the dentin sialophosphoprotein (DSPP) gene encoding dentin phosphoprotein (DPP) in 12 families with dominantly inherited dentin diseases. In eight families (five mutations in the N-terminal third of DPP), the clinical and radiologic fea

  1. Dielectric response of the human tooth dentine

    Energy Technology Data Exchange (ETDEWEB)

    Leskovec, J. [Dental Clinic, Faculty of Medicine, University of Ljubljana, Hrvatski trg 6, 1104 Ljubljana (Slovenia); Filipic, C. [Jozef Stefan Institute, P.O. Box 3000, 1001 Ljubljana (Slovenia); Levstik, A. [Jozef Stefan Institute, P.O. Box 3000, 1001 Ljubljana (Slovenia)]. E-mail: adrijan.levstik@ijs.si

    2005-07-15

    Dielectric properties of tooth dentine can be well described by the model which was developed for the dielectric response to hydrating porous cement paste. It is shown that the normalized dielectric constant and the normalized specific conductivity are proportional to the model parameters -bar {sub v0} and {sigma}{sub v}, indicating the deposition of AgCl in the dentine tubules during the duration of the precipitation. The fractal dimension of the tooth dentine was determined by dielectric spectroscopy.

  2. Dielectric response of the human tooth dentine

    International Nuclear Information System (INIS)

    Dielectric properties of tooth dentine can be well described by the model which was developed for the dielectric response to hydrating porous cement paste. It is shown that the normalized dielectric constant and the normalized specific conductivity are proportional to the model parameters -bar v0 and σv, indicating the deposition of AgCl in the dentine tubules during the duration of the precipitation. The fractal dimension of the tooth dentine was determined by dielectric spectroscopy

  3. Multi-factoriality of dentine hypersensitivity

    OpenAIRE

    Stojšin Ivana; Petrović Ljubomir; Stojanac Igor; Drobac Milan

    2008-01-01

    Introduction. Dentine hypersensitivity has been defined as a sharp, short pain arising from exposed dentin in response to stimuli typically thermal, evaporative tactile, osmoticor, chemical and which cannot be ascribed to any other form of dental defect or pathology. Prevalence. The most affected patients range in age from 20 to 40. The following teeth tend to be most sensitive: cuspids, premolars and incisors, location-concentrated on the facial surface. Morphological bases of dentine hypers...

  4. Efeito do selamento dentinário imediato e de materiais restauradores provisórios na resistência de união à dentina = Effect of immediate dentin sealing and provisional restorations on bond strength to dentin

    OpenAIRE

    Broilo, Josué Ricardo

    2006-01-01

    Objetivo: O objetivo do estudo foi avaliar, in vitro, o efeito da técnica do selamento dentinário imediato com um sistema adesivo de 5º geração, e da aplicação intermediária de dois materiais provisórios, na resistência de união à tração sobre a dentina. Materiais e método: A coroa de 75 dentes incisivos bovinos foram incluídas em resina acrílica quimicamente ativada, sendo a superfície vestibular desgastada até exposição da dentina. A superfície dentinária recebeu acabamento com lixas de gra...

  5. Cervical Stenosis

    Science.gov (United States)

    ... Accumulation of pus in the uterus is called pyometra. Symptoms Before menopause, cervical stenosis may cause menstrual ... present but not cause symptoms. A hematometra or pyometra can cause pain or cause the uterus to ...

  6. Cervical spondylosis

    Science.gov (United States)

    ... Past neck injury (often several years before) Past spine surgery Ruptured or slipped disk Severe arthritis Small fractures ... Kshettry VR. Cervical spondylosis. In: Benzel EC, ed. Spine Surgery . 3rd ed. Philadelphia, PA: Elsevier Saunders; 2012:chap ...

  7. Cervical Cancer

    Science.gov (United States)

    ... Cervical cancer is caused by a virus called HPV. The virus spreads through sexual contact. Most women's bodies are able to fight HPV infection. But sometimes the virus leads to cancer. You're at higher risk ...

  8. Cervical Cancer

    Science.gov (United States)

    ... 162 KB) This information in Spanish (en español) Female reproductive system Select image to view larger Related ... D., FACS, Captain, U.S. Public Health Service Medical Director, National Breast and Cervical Cancer Early Detection Program, ...

  9. EPR properties of intact and deproteinated dentin

    International Nuclear Information System (INIS)

    The effect of sample preparation on dentin electron paramagnetic resonance (EPR) spectra was investigated. The analysis was performed on dentin samples prepared by pure mechanical treatment or by an alkaline deproteination method. It was observed that (1) mechanical treatment induces both stable and transient signals, depending on the specific mechanical operation applied; and (2) sodium hydroxide deproteination removes the native signal, but at the same time introduces new confounding signals in the EPR spectrum. Also, it increases the radiation sensitivity of dentin. These findings suggest that attention must be paid to dentin sample preparation. (authors)

  10. Hereditary dentine disorders: dentinogenesis imperfecta and dentine dysplasia

    Directory of Open Access Journals (Sweden)

    MacKie Iain

    2008-11-01

    Full Text Available Abstract The hereditary dentine disorders, dentinogenesis imperfecta (DGI and dentine dysplasia (DD, comprise a group of autosomal dominant genetic conditions characterised by abnormal dentine structure affecting either the primary or both the primary and secondary dentitions. DGI is reported to have an incidence of 1 in 6,000 to 1 in 8,000, whereas that of DD type 1 is 1 in 100,000. Clinically, the teeth are discoloured and show structural defects such as bulbous crowns and small pulp chambers radiographically. The underlying defect of mineralisation often results in shearing of the overlying enamel leaving exposed weakened dentine which is prone to wear. Currently, three sub-types of DGI and two sub-types of DD are recognised but this categorisation may change when other causative mutations are found. DGI type I is inherited with osteogenesis imperfecta and recent genetic studies have shown that mutations in the genes encoding collagen type 1, COL1A1 and COL1A2, underlie this condition. All other forms of DGI and DD, except DD-1, appear to result from mutations in the gene encoding dentine sialophosphoprotein (DSPP, suggesting that these conditions are allelic. Diagnosis is based on family history, pedigree construction and detailed clinical examination, while genetic diagnosis may become useful in the future once sufficient disease-causing mutations have been discovered. Differential diagnoses include hypocalcified forms of amelogenesis imperfecta, congenital erythropoietic porphyria, conditions leading to early tooth loss (Kostmann's disease, cyclic neutropenia, Chediak-Hegashi syndrome, histiocytosis X, Papillon-Lefevre syndrome, permanent teeth discolouration due to tetracyclines, Vitamin D-dependent and vitamin D-resistant rickets. Treatment involves removal of sources of infection or pain, improvement of aesthetics and protection of the posterior teeth from wear. Beginning in infancy, treatment usually continues into adulthood with a

  11. Hereditary dentine disorders: dentinogenesis imperfecta and dentine dysplasia.

    Science.gov (United States)

    Barron, Martin J; McDonnell, Sinead T; Mackie, Iain; Dixon, Michael J

    2008-11-20

    The hereditary dentine disorders, dentinogenesis imperfecta (DGI) and dentine dysplasia (DD), comprise a group of autosomal dominant genetic conditions characterised by abnormal dentine structure affecting either the primary or both the primary and secondary dentitions. DGI is reported to have an incidence of 1 in 6,000 to 1 in 8,000, whereas that of DD type 1 is 1 in 100,000. Clinically, the teeth are discoloured and show structural defects such as bulbous crowns and small pulp chambers radiographically. The underlying defect of mineralisation often results in shearing of the overlying enamel leaving exposed weakened dentine which is prone to wear. Currently, three sub-types of DGI and two sub-types of DD are recognised but this categorisation may change when other causative mutations are found. DGI type I is inherited with osteogenesis imperfecta and recent genetic studies have shown that mutations in the genes encoding collagen type 1, COL1A1 and COL1A2, underlie this condition. All other forms of DGI and DD, except DD-1, appear to result from mutations in the gene encoding dentine sialophosphoprotein (DSPP), suggesting that these conditions are allelic. Diagnosis is based on family history, pedigree construction and detailed clinical examination, while genetic diagnosis may become useful in the future once sufficient disease-causing mutations have been discovered. Differential diagnoses include hypocalcified forms of amelogenesis imperfecta, congenital erythropoietic porphyria, conditions leading to early tooth loss (Kostmann's disease, cyclic neutropenia, Chediak-Hegashi syndrome, histiocytosis X, Papillon-Lefevre syndrome), permanent teeth discolouration due to tetracyclines, Vitamin D-dependent and vitamin D-resistant rickets. Treatment involves removal of sources of infection or pain, improvement of aesthetics and protection of the posterior teeth from wear. Beginning in infancy, treatment usually continues into adulthood with a number of options including

  12. Avaliação qualitativa do efeito de agentes de limpeza na camada de lama dentinária: estudo ultra-estrutural em microscopia eletrônica de varredura Smear layer removal: a qualitative scanning electron microscopy study

    Directory of Open Access Journals (Sweden)

    Maria Auxiliadora Junho de ARAÚJO

    1998-04-01

    Full Text Available Quando qualquer instrumento abrasiona ou corta a dentina, produz na superfície uma camada de lama dentinária ou "smear layer". Dependendo do agente de união indicado em Odontologia adesiva, há a necessidade ou não da remoção da camada de lama da superfície dentinária. Com a finalidade de verificar a ação de diferentes substâncias para a limpeza dentinária, utilizamos 20 dentes pré-molares superiores íntegros, mantidos em soro fisiológico, nos quais as coroas foram seccionadas ao meio no sentido mésio-distal. Com instrumento diamantado, removeu-se o esmalte da porção vestibular e da porção lingual da coroa e, com uma broca carbide cilíndrica lisa nº 56, cortou-se aproximadamente 1 mm de dentina com alta rotação sob abundante refrigeração ar/água, para produzir a camada de lama dentinária. Em seguida, essa superfície foi tratada com diferentes substâncias e lavada por 30 segundos com "spray" ar/água. No controle, foi simplesmente utilizado o "spray" ar/água. Os espécimes foram montados em suportes metálicos, preparados e visualizados no MEV-DSM 950 da Zeiss, em aumentos que variaram de 100 a 5.000 vezes. Os materiais que mais removeram a camada de lama foram, em ordem crescente: 1. "spray" ar/água; 2. fluoreto de sódio 2%; 3. associação alternada de Dakin/Tergensol; 4. água oxigenada 3%; 5. jateamento com óxido de alumínio 50 mm; 6. flúor acidulado 1,27%; 7. ácido poliacrílico 25%; 8. ácido fosfórico 10%.A smear layer is produced on the dentin surface after abrasion or cutting by instruments. Its removal is indicated or not according to the kind of bonding agent used in adhesive dentistry. The purpose of this study was to evaluate the possible effects of some substances on the smear layer. Twenty upper non-carious premolars, stored in isotonic saline solution, were mesiodistally hemi-sectioned and the buccal and lingual enamel was removed with high speed diamond bur. One millimeter of the dentinal

  13. História prévia de realização de teste de Papanicolaou e câncer do colo do útero: estudo caso-controle na Baixada Fluminense, Rio de Janeiro, Brasil Previous history of Pap smears and cervical cancer: a case-control study in the Baixada Fluminense, Rio de Janeiro State, Brazil

    Directory of Open Access Journals (Sweden)

    Maria Isabel do Nascimento

    2012-10-01

    Full Text Available Este estudo caso-controle hospitalar foi realizado de 2007 a 2010 para estimar a associação de história prévia de colpocitologia e câncer do colo do útero na Baixada Fluminense, Rio de Janeiro, Brasil. A amostra consistiu de 152 casos histologicamente confirmados e 169 controles selecionados no mesmo hospital dos casos. A análise foi feita de acordo com um modelo em três níveis hierárquicos; considerando as variáveis sociodemográficas (nível distal, sexual/reprodutivas e de estilo de vida (nível intermediário e a história prévia de colpocitologia (nível proximal. Odds ratios (OR e respectivos intervalos de 95% de confiança (IC95% foram calculados pela regressão logística não condicional. Ter história prévia de três ou mais colpocitologias conferiu uma proteção de 84% (OR = 0,16; IC95%: 0,074; 0,384 após ajuste pelas variáveis selecionadas. Os resultados acentuam a importância do exame preventivo ginecológico no risco desse câncer e fortalecem a necessidade de aumentar a aderência às normas do programa brasileiro, bem como de identificar e capturar mulheres relutantes para o rastreamento da doença.This hospital-based case-control study (2007-2010 aimed to estimate the association between previous Pap smear and cervical cancer diagnosis in the Baixada Fluminense, Rio de Janeiro State, Brazil. The sample consisted of 152 histologically confirmed cases and 169 controls from the same hospital as the cases. The analysis was conducted according to a model in three hierarchical levels considering sociodemographic characteristics (distal, sexual/reproductive and lifestyle factors (intermediate, and previous Pap smear (proximal. Odds ratios (OR and respective 95% confidence intervals (95%CI were calculated using unconditional logistic regression. History of three or more Pap smears was associated with an 84% reduction in cervical cancer risk (OR = 0.16; 95%CI: 0.074; 0.384 after adjusting for selected variables. The

  14. An immunohistochemical study of the pulpal nerve supply in primary human teeth: evidence for the innervation of deciduous dentine.

    OpenAIRE

    Egan, C A; Bishop, M A; Hector, M P

    1996-01-01

    The innervation of pulp and dentine was studied in fully formed human deciduous teeth using antibodies to calcitonin gene related peptide (CGRP). Freshly extracted healthy teeth were divided, fixed, demineralised, cryosectioned and treated with antibodies to human CGRP which was then labelled with horseradish peroxidase. Bundles of nerve fibres passed from the apex of the root to the coronal region where a subodontoblast plexus was formed. In the cervical half of the root some nerve fibres br...

  15. Raman spectra of human dentin mineral

    NARCIS (Netherlands)

    Tsuda, H; Ruben, J; Arends, J

    1996-01-01

    Human dentin mineral has been investigated by using micro-Raman spectroscopy. Fluorescence and thermal problems were largely avoided by preparing dentin samples by grinding and ultrasonic agitation in acetone. The Raman spectral features were consistent with those of impure hydroxyapatite containing

  16. Unicystic ameloblastoma with the presence of dentin

    Directory of Open Access Journals (Sweden)

    Sivapathasundharam B

    2007-01-01

    Full Text Available We present a case of unicystic ameloblastoma of the posterior mandible in a 28 year-old female, histologically showing luminal and intramural plexiform epithelial proliferation with typical dentin in the connective tissue capsule. The characteristics of hard tissue formation in ameloblastomas reported in existing literature and the possible origin of the dentin mass seen in our case are discussed.

  17. The effect of three different antioxidants on the dentinal tubular penetration of Resilon and Real Seal SE on sodium hypochlorite-treated root canal dentin: An in vitro study

    Directory of Open Access Journals (Sweden)

    Sarah Renjelina Christopher

    2016-01-01

    Full Text Available Objective: The effect of 10% ascorbic acid, 10% tannic acid, and 10% gallic acid on the dentinal tubular penetration of Resilon and Real Seal SE on sodium hypochlorite-treated root canal dentin was evaluated. Materials and Methods: Fifty human premolars were decoronated to attain 14-mm root length and divided into five groups of 10 teeth each. Biomechanical preparation was done with rotary instruments. Group I specimens were irrigated with saline and 17% ethylenediaminetetraacetic acid (EDTA. Specimens from groups II, III, IV, and V were irrigated with 5.25% sodium hypochlorite and 17% EDTA. Specimens from groups III, IV, and V underwent additional irrigation with antioxidants-10% ascorbic acid, 10% tannic acid, and 10% gallic acid, respectively. Following obturation with Resilon and Real Seal SE, scanning electron microscope (SEM analysis was done to note the maximum dentinal tubular penetration at the cervical, middle, and apical thirds of each specimen. The data were statistically analyzed using one-way analysis of variance (ANOVA, Post hoc and Dunnett′s test. Results: Maximum dentinal tubular penetration of Resilon and Real Seal SE was obtained following irrigation with 10% gallic acid. Conclusion: 10% gallic acid was superior among the antioxidant irrigants that enabled the increased dentinal tubular penetration of Resilon and Real Seal SE.

  18. Effects of the copper vapour laser radiation in the root canal wall dentine: in vitro experiment using scanning electron microscopy and stereoscopy; Efeitos da radiacao laser de vapor de cobre na parede de dentina de canais radiculares: estudo in vitro por meio de microscopia eletronica de varredura e microscopio estereoscopico

    Energy Technology Data Exchange (ETDEWEB)

    Silveira, Maria Claudia Garcia da

    2001-07-01

    Ten human uniradicular teeth had their crown removed along the cement-enamel junction and right away a proper chemical-surgical preparation of the radicular canals was done; the roots were longitudinally sectioned in order to allow the irradiation of the surfaces of the root canals wall dentine. The hemi-roots were separated in two groups: group I (control), with four hemi-roots, not irradiated; and group II, with 16 hemi-roots, subdivided in four sub-groups submitted to the following exposition time: 0,02 s; 0,05 s; 0,1 s and 0,5 s. A copper vapour laser was used with a 510,6 nm wavelength, total average power of 11 W in green and yellow emissions; average power of 6,5 W in green emission; pulse repetition rate of 16.000 Hz and pulse duration of 30 ns. The pulse energy (green line) is 0,4 mJ and the peak power 13,5 W. The laser cavity is unstable type (R{sub 1}=3.900 mm and R{sub 2}-250 mm). The focusing have focal length lens f{sub 1}=250 mm and f{sub 2}=150 mm. The beam quality is of the M{sup 2}=5. The results obtained by scanning electron microscopy analysis showed the appearance of a cavity in the region of the laser beam incidence in the edges of this cavity, dentin was melt and resolidified presenting also cracks due to heat diffusion. Based on these results, we concluded that the size of the cavity formed in the dentin is directly proportional to the rate of exposure and, the more laser emission in the same area, more damage in the root canals wall dentin occurs. More studies need to be done with different exposition's time in order to obtain a safety protocol that does not cause injury in dental and support tissue. (author)

  19. Morphological aspects and physical properties of enamel and dentine of Sus domesticus: A tooth model in laboratory research.

    Science.gov (United States)

    Fagundes, Nathalia Carolina Fernandes; Cardoso, Miquéias André Gomes; Miranda, Mayara Sabrina Luz; Silva, Raira de Brito; Teixeira, Francisco Bruno; Nogueira, Bárbara Catarina Lima; Nogueira, Brenna Magdalena Lima; de Melo, Sara Elisama Silva; da Costa, Natacha Malu Miranda; Lima, Rafael Rodrigues

    2015-11-01

    This study aims to describe and analyze morphological and physical properties of deciduous teeth of Sus domesticus. Ultrastructural analysis, mineral composition and microhardness of enamel and dentine tissues were performed on 10 skulls of S. domesticus. External anatomic characteristics and the internal anatomy of the teeth were also described. Data regarding microhardness and ultrastructural analysis were subjected to statistical tests. For ultrastructural analysis, we used the analysis of variance (ANOVA) with Tukey's post hoc (p≤0.05) test. In the analysis of microhardness, the difference between the enamel and dentine tissues was analyzed by a Student's t test. Values were expressed as mean with standard error. The results of ultrastructural analysis showed the presence of an enamel prism pattern. A dentinal tubule pattern was also observed, with a larger diameter in the pulp chamber and the cervical third, in comparison to middle and apical thirds. We observed an average microhardness of 259.2kgf/mm(2) for enamel and 55.17kgf/mm(2) for dentine. In porcine enamel and dentine, the chemical elements Ca and P showed the highest concentration. The analysis of internal anatomy revealed the presence of a simple root canal system and the occurrence of main canals in the roots. The observed features are compatible with the functional demand of these animals, following a pattern very similar to that seen in other groups of mammals, which can encourage the development of research using dental elements from the pig as a substitute for human teeth in laboratory research.

  20. Sympathetic nerve fibers sprout into rat odontoblast layer, but not into dentinal tubules, in response to cavity preparation.

    Science.gov (United States)

    Shimeno, Yoichi; Sugawara, Yumiko; Iikubo, Masahiro; Shoji, Noriaki; Sasano, Takashi

    2008-04-11

    This study was designed to determine if sympathetic nerve fibers exist in dentinal tubules in rat normal dental pulp, and if they sprout into the dentinal tubules in response to artificial cavity preparation in dentin. Sympathetic nerve fibers in rat molar dental pulp were labeled using an anterograde axonal transport technique involving injection of wheat germ agglutinin-horseradish peroxidase (WGA-HRP) into the superior cervical ganglion (SCG). They were then observed using light and electron microscopes. In normal dental pulp (control), scattered WGA-HRP reaction products were observed in unmyelinated nerve endings in the odontoblast layer and subodontoblastic region. In injured pulp 3 weeks after cavity preparation, reaction products were about 1.8-times more plentiful in the above areas (versus control pulp). However, no labeled nerve fibers were observed in the dentinal tubules in either control or injured dental pulp. These results indicate that although sympathetic nerve fibers do indeed sprout in rat dental pulp in response to cavity preparation, they do not penetrate into the dentinal tubules in which postganglionic nerve endings derived from the SCG were not originally present.

  1. Invasion of dentinal tubules by oral bacteria.

    Science.gov (United States)

    Love, R M; Jenkinson, H F

    2002-01-01

    Bacterial invasion of dentinal tubules commonly occurs when dentin is exposed following a breach in the integrity of the overlying enamel or cementum. Bacterial products diffuse through the dentinal tubule toward the pulp and evoke inflammatory changes in the pulpo-dentin complex. These may eliminate the bacterial insult and block the route of infection. Unchecked, invasion results in pulpitis and pulp necrosis, infection of the root canal system, and periapical disease. While several hundred bacterial species are known to inhabit the oral cavity, a relatively small and select group of bacteria is involved in the invasion of dentinal tubules and subsequent infection of the root canal space. Gram-positive organisms dominate the tubule microflora in both carious and non-carious dentin. The relatively high numbers of obligate anaerobes present-such as Eubacterium spp., Propionibacterium spp., Bifidobacterium spp., Peptostreptococcus micros, and Veillonella spp.-suggest that the environment favors growth of these bacteria. Gram-negative obligate anaerobic rods, e.g., Porphyromonas spp., are less frequently recovered. Streptococci are among the most commonly identified bacteria that invade dentin. Recent evidence suggests that streptococci may recognize components present within dentinal tubules, such as collagen type I, which stimulate bacterial adhesion and intra-tubular growth. Specific interactions of other oral bacteria with invading streptococci may then facilitate the invasion of dentin by select bacterial groupings. An understanding the mechanisms involved in dentinal tubule invasion by bacteria should allow for the development of new control strategies, such as inhibitory compounds incorporated into oral health care products or dental materials, which would assist in the practice of endodontics.

  2. Infra-red and Raman spectroscopic studies of infected and affected dentine

    International Nuclear Information System (INIS)

    Diagnosis of infected and affected dentine is an important factor in clinical restorative treatment of dentine. In this study, the IR and Raman spectra of the sound dentine, infected dentine and affected dentine are reported. The structure of infected dentine and affected dentine has been compared with the sound dentine and hydroxyapatite. It is shown while the infected dentine has lost its structure, the affected dentine has more or less a structure similar to the sound dentine. The molecular structure of collagen remains unchanged in both infected and affected dentine

  3. Nanoleakage of dentin adhesive systems bonded to Carisolv-treated dentin.

    Science.gov (United States)

    Kubo, Shisei; Li, Heping; Burrow, Michael F; Tyas, Martin J

    2002-01-01

    The hybrid layer created in caries-affected dentin has not been fully elucidated and may influence bond durability. This study investigated the nanoleakage patterns of caries-affected dentin after excavation with Carisolv or conventional instruments treated with one of three adhesive systems. Flat occlusal dentin surfaces, including carious lesions, were prepared from extracted human molars and finished with wet 600-grit silicon carbide paper. Carious dentin was removed with Carisolv or round steel burs in conjunction with Caries Detector. PermaQuik, Single Bond or One-Up Bond F was bonded to the excavated dentin surfaces and adjacent flat occlusal surfaces and it was covered with Silux Plus resin-based composite. After 24-hour storage in 37 degrees C water, the bonded interfaces were polished to remove flash, and the surrounding tooth surfaces were coated with nail varnish. Specimens were immersed in 50% (w/v) silver nitrate solution for 24 hours, exposed to photo developing solution for eight hours, then sectioned longitudinally through the bonded, excavated dentin or "normal" dentin surfaces. The sectioned surfaces were polished, carbon coated and observed in a Field Emission-SEM using back scattered electrons. Silver deposition occurred along the base of the hybrid layer for all specimens. However, Single Bond showed a greater density of silver deposition in the caries-affected dentin compared with normal dentin. PermaQuik had a thicker hybrid layer in caries-affected dentin than normal dentin. One-Up Bond F exhibited a thin hybrid layer in normal dentin, but the hybrid layer was often difficult to detect in caries-affected dentin. PMID:12120777

  4. Estudo experimental da influência da altura do enxerto ósseo intersomático na estabilidade da fixação monossegmentar anterior da coluna cervical Experimental study of the impact of intersomatic bone graft height on the stability of anterior monosegmental fixation of the cervical spine

    Directory of Open Access Journals (Sweden)

    Jorge Alfredo Léo

    2008-06-01

    Full Text Available OBJETIVO: Estudar experimentalmente a influência da altura do enxerto ósseo intersomático da coluna cervical na estabilidade mecânica da fixação cervical anterior. MÉTODOS: Foram realizados ensaios mecânicos utilizando a coluna cervical de suínos (C3-C4. Foram formados três grupos experimentais compostos por 20 segmentos da coluna cervical (C3-C4, de acordo com o grau de instabilidade produzido e a fixação do segmento vertebral. Grupo I: retirada do disco intervertebral e colocação de enxerto intersomático. Grupo II: retirada do disco intervertebral, colocação de enxerto intersomático e fixação anterior com placa. Grupo III: retirada do disco intervertebral, secção dos ligamentos posteriores e cápsulas articulares bilateralmente, colocação do enxerto intersomático e fixação anterior com placa. Cada grupo experimental foi dividido em dois subgrupos, de acordo com a altura do enxerto ósseo utilizado (3,0mm ou 6,0mm. Os segmentos vertebrais foram submetidos a ensaios mecânicos de flexão, flexão lateral e torção em máquina universal de ensaio. Os parâmetros analisados foram força máxima (N e o momento (Nm para produzir uma deflexão preestabelecida. RESULTADOS: Não foi observada em todos os grupos experimentais diferença estatística dos valores da força máxima (N e do momento (Nm, entre as diferentes alturas (3,0mm e 6,0mm do enxerto ósseo intersomático. Conclusões: A estabilidade mecânica imediata da artrodese cervical monossegmentar anterior não sofreu influência da altura do enxerto ósseo intersomático nos ensaios de flexão, flexão lateral e torção.OBJECTIVE: To perform an experimental study of the impact of intersomatic bone graft height of the cervical spine on the mechanical stability of anterior cervical fixation. METHODS: Mechanical assays were performed using swine cervical spine (C3-C4. Three experimental groups were formed with 20 cervical spine segments (C3-C4 according to the degree

  5. Ecological Hypothesis of Dentin and Root Caries.

    Science.gov (United States)

    Takahashi, Nobuhiro; Nyvad, Bente

    2016-01-01

    Recent advances regarding the caries process indicate that ecological phenomena induced by bacterial acid production tilt the de- and remineralization balance of the dental hard tissues towards demineralization through bacterial acid-induced adaptation and selection within the microbiota - from the dynamic stability stage to the aciduric stage via the acidogenic stage [Takahashi and Nyvad, 2008]. Dentin and root caries can also be partly explained by this hypothesis; however, the fact that these tissues contain a considerable amount of organic material suggests that protein degradation is involved in caries formation. In this review, we compiled relevant histological, biochemical, and microbiological information about dentin/root caries and refined the hypothesis by adding degradation of the organic matrix (the proteolytic stage) to the abovementioned stages. Bacterial acidification not only induces demineralization and exposure of the organic matrix in dentin/root surfaces but also activation of dentin-embedded and salivary matrix metalloproteinases and cathepsins. These phenomena initiate degradation of the demineralized organic matrix in dentin/root surfaces. While a bacterial involvement has never been confirmed in the initial degradation of organic material, the detection of proteolytic/amino acid-degrading bacteria and bacterial metabolites in dentin and root caries suggests a bacterial digestion and metabolism of partly degraded matrix. Moreover, bacterial metabolites might induce pulpitis as an inflammatory/immunomodulatory factor. Root and dentin surfaces are always at risk of becoming demineralized in the oral cavity, and exposed organic materials can be degraded by host-derived proteases contained in saliva and dentin itself. New approaches to the prevention and treatment of root/dentin caries are required. PMID:27458979

  6. Dentin hypersensitivity: differential diagnosis, tests, and etiology.

    Science.gov (United States)

    Trushkowsky, Richard D; Garcia-Godoy, Franklin

    2014-02-01

    Dentin hypersensitivity (DHS) is a painful condition that affects up to 57 percent of the adult population. It occurs as a result of exposure of dentin to the oral environment. Ensuring the correct diagnosis of this condition is based on history and examination. An oral screening for DHS should encompass such elements as patient history, clinical examination that includes radiographs, a variety of tests, identification of risk factors, and a differential diagnosis. An understanding of dentinal fluid and odontoblasts is also beneficial for diagnosis. PMID:24571559

  7. Optical Spectroscopy Study of Transparent Non-Carious Human Dentin and Dentin-Enamel Junction

    Energy Technology Data Exchange (ETDEWEB)

    Marshall, G.W.; Marshall, S.J.; Gallagher, R.R.; Demos, S.

    1999-12-14

    Improving our knowledge of the morphology, composition and properties of the dentin, enamel, and the dentin-enamel junction (DEJ) is vital for the development of improved restorative materials and clinical placement techniques. Most studies of dental tissues have used light microscopy for characterization. In our investigation, the spectroscopic properties of normal and non-carious transparent human root dentin, and the dentin-enamel junction were investigated using emission imaging microscopy, and micro-spectroscopy. Experimental results reveal new information on the structural and biochemical characteristics of these dental tissues.

  8. Effects of endodontic tri-antibiotic paste on bond strengths of dentin adhesives to coronal dentin

    OpenAIRE

    Mirzakoucheki, Parvin; Walter, Ricardo; Khalighinejad, Navid; Jahromi, Maryam Zare; Mirsattari, Sanaz; Akbarzadeh, Navid

    2015-01-01

    Objectives The aim of this study was to evaluate the effects of tri-antibiotic paste (TAP) on microtensile bond strengths (MTBS) of dental adhesives to dentin. Materials and Methods Sixty extracted molars had their occlusal surfaces flattened to expose dentin. They were divided into two groups, i.e., control group with no dentin treatment and experimental group with dentin treatment with TAP. After 10 days, specimens were bonded using self-etch (Filtek P90 adhesive) or etch-and-rinse (Adper S...

  9. Avaliação retrospectiva de artrodese cervical com enxerto autólogo versus hidroxiapatita Estudio retrospectivo de la artrodesis cervical con autoinjerto versus hidroxiapatita Retrospective study of cervical arthrodesis with autograft versus hydroxyapatite graft

    OpenAIRE

    Yoshinobu Nagasse; Clóvis Yamazato; Fábio Mastromauro de Oliveira; Iberê Ribeiro; José Olympio Catão Bastos Junior; René Kusabara

    2010-01-01

    OBJETIVO: os autores realizaram um estudo e compararam o resultado radiográfico no uso de hidroxiapatita e enxerto de crista ilíaca (autólogo) no tratamento cirúrgico de hérnia discal cervical em um nível, sendo realizada artrodese cervical anterior com placa. MÉTODOS: foi realizado estudo retrospectivo com pacientes submetidos à artrodese cervical comparando-se dois grupos de dez pacientes: um em que foi utilizado enxerto de hidroxiapatita e outro em que foi utilizado enxerto de crista ilíac...

  10. Identification of dentin phosphophoryn localization by histochemical stainings.

    Science.gov (United States)

    Takagi, Y; Fujisawa, R; Sasaki, S

    1986-01-01

    Phosphophoryn, the most abundant of the dentin non-collagenous proteins, has been considered to be related in function to the mineralization process. In the present study, identification of dentin phosphophoryn localization was attempted using newly developed, precautionary histological methods by which phosphophoryn was retained in the sections during the specimen preparation and stained selectively in situ. Phosphophoryn was found to be present widely in all of the calcified dentin except the mantle dentin, the external, first-formed portion of dentin, but was not found in the predentin, the inner, uncalcified layer of dentin. These results indicate that phosphophoryn is apparently related to the mineral phase of calcified dentin and that the mineralization process of mantle dentin, which is formed before the odontoblasts are fully differentiated, may be different from that of circumpulpal dentin. PMID:2421974

  11. Isolated dentinogenesis imperfecta and dentin dysplasia: revision of the classification.

    Science.gov (United States)

    de La Dure-Molla, Muriel; Philippe Fournier, Benjamin; Berdal, Ariane

    2015-04-01

    Dentinogenesis imperfecta is an autosomal dominant disease characterized by severe hypomineralization of dentin and altered dentin structure. Dentin extra cellular matrix is composed of 90% of collagen type I and 10% of non-collagenous proteins among which dentin sialoprotein (DSP), dentin glycoprotein (DGP) and dentin phosphoprotein (DPP) are crucial in dentinogenesis. These proteins are encoded by a single gene: dentin sialophosphoprotein (DSPP) and undergo several post-translational modifications such as glycosylation and phosphorylation to contribute and to control mineralization. Human mutations of this DSPP gene are responsible for three isolated dentinal diseases classified by Shield in 1973: type II and III dentinogenesis imperfecta and type II dentin dysplasia. Shield classification was based on clinical phenotypes observed in patient. Genetics results show now that these three diseases are a severity variation of the same pathology. So this review aims to revise and to propose a new classification of the isolated forms of DI to simplify diagnosis for practitioners.

  12. Laminoplasty for Cervical Myelopathy

    OpenAIRE

    Ito, Manabu; Nagahama, Ken

    2012-01-01

    This article reviews cervical laminoplasty. The origin of cervical laminoplasty dates back to cervical laminectomy performed in Japan ~50 years ago. To overcome poor surgical outcomes of cervical laminectomy, many Japanese orthopedic spine surgeons devoted their lives to developing better posterior decompression procedures for the cervical spine. Thanks to the development of a high-speed surgical burr, posterior decompression procedures for the cervical spine showed vast improvement from the ...

  13. [Cervical radiculopathy].

    Science.gov (United States)

    Kuijper, B

    2014-10-01

    Cervical radiculopathy is a common cause of pain in the arm. It is caused by nerve root compression in the neck, as a consequence of a herniated disc, or spondyliotic foraminal stenosis. It causes severe pain, especially during the first few weeks, and paraesthesias in the forearm and hand. Patients also suffer from neck pain and loss of strength in the relevant arm. The arm pain can be exacerbated by certain movements of the head; these should be avoided as much as possible. Diagnosis can be made on the basis of history and physical examination. The pain generally disappears without active patient treatment. A semi-rigid cervical collar is recommended to accelerate pain relief. In cases of persistent pain, surgery will be considered. In such cases an MRI should be performed to show the cause and level of nerve root compression. PMID:26185991

  14. Chlorhexidine Preserves Dentin Bond in vitro

    OpenAIRE

    Carrilho, M. R. O.; Carvalho, R. M.; de Goes, M. F.; di Hipólito, V.; Geraldeli, S.; Tay, F.R.; Pashley, D.H.; Tjäderhane, L.

    2007-01-01

    Loss of hybrid layer integrity compromises resin-dentin bond stability. Matrix metalloproteinases (MMPs) may be partially responsible for hybrid layer degradation. Since chlorhexidine inhibits MMPs, we hypothesized that chlorhexidine would decelerate the loss of resin-dentin bonds. Class I preparations in extracted third molars were sectioned into two halves. One half was customarily restored (etch-and-rinse adhesive/resin composite), and the other was treated with 2% chlorhexidine after bein...

  15. Multi-factoriality of dentine hypersensitivity

    Directory of Open Access Journals (Sweden)

    Stojšin Ivana

    2008-01-01

    Full Text Available Introduction. Dentine hypersensitivity has been defined as a sharp, short pain arising from exposed dentin in response to stimuli typically thermal, evaporative tactile, osmoticor, chemical and which cannot be ascribed to any other form of dental defect or pathology. Prevalence. The most affected patients range in age from 20 to 40. The following teeth tend to be most sensitive: cuspids, premolars and incisors, location-concentrated on the facial surface. Morphological bases of dentine hypersensitivity Sensitive teeth have much greater numbers of open tubules per unit area and the average diameter of tubules is almost 2 times greater than tubules in nonsensitive teeth. Mechanisms of dentine hypersensitivity. The most widely accepted theory of how the pain occurs is Brannstroms theory. Etiology Dentine hypersensitivity represents a condition of presumable multifactorial pathology. Two processes are essential for its development: (1 dentin must be exposed through either genetic disturbance, enamel defect (lamellae, tufts and spindles, loss of enamel (erosion, abrasion, attrition, abfraction, gingival recession with rapid loss of cementum and (2 the dentin tubules must be open to both the oral cavity and the pulp. Diagnosis. Diagnostic protocol for this condition consisted of Medical, Dental Dietary, Oral Hygiene History and Intra-oral examinations with air indexing method. Differential Diagnosis: We must take into consideration a number of variables such as: dental caries, cracked tooth, restorative sensitivity, medication sensitivity, bleaching sensitivity and abscessed or non-vital tooth. Conclusion. Dentin hypersensitivity is a problem that bothes many patients. Many conditions share the symptoms of tooth sensitivity so differential diagnosis is essential for suitable treatment or preventive measures.

  16. Aspects of solvents in dentine bonding

    OpenAIRE

    Ekambaram, Manikandan

    2015-01-01

    Degradation starts at the resin-dentine bonded interfaces within a few months’ of bonding. There are two major causes of degradation of the bonded interfaces over time. The simplified dental adhesives that are routinely used in the contemporary clinical dental practice are extremely hydrophilic and are prone to water sorption, leading to hydrolytic degradation. Dentine matrix-bound metalloproteinases (MMPs) and cysteine cathepsins (CCs) are proteolytic enzymes that have been shown to degrade ...

  17. Dentin hypersensitivity: Recent trends in management

    OpenAIRE

    Miglani Sanjay; Aggarwal Vivek; Ahuja Bhoomika

    2010-01-01

    Dentinal hypersensitivity (DH) is a common clinical condition usually associated with exposed dentinal surfaces. It can affect patients of any age group and most commonly affects the canines and premolars of both the arches. This article concisely reviews the patho-physiology, mechanism and clinical management of the DH. Treatment of DH should start with an accurate diagnosis. Differential diagnosis should be made and all other probable causes should be excluded. An often neglected phase of c...

  18. A novel type of developmental dentin defect.

    Science.gov (United States)

    Lukinmaa, P L; Waltimo, J; Hölttä, P; Risteli, L; Risteli, J; Alaluusua, S

    1996-01-01

    We describe a developmental dentin disorder distinct from dentin defects characterized thus far. The proband was a 9-year-old boy who was the only family member known to be affected in five generations. The dental defect was not associated with any general disease or developmental disorder. The teeth appeared normal with the exception of the pink hue seen in some primary teeth. Radiographs showed pathological resorption of primary teeth and abnormally shaped pulp chambers and denticles in permanent teeth. Root canals were wide in developing teeth, but appeared thin in erupted teeth. Histological examination of two primary molars revealed canal-like defects in dentin. In the crown, the canals appeared as clusters, which alternated with columns of normal tubular dentin, and in the virtually atubular root dentin they were haphazardly distributed. Scanning electron microscopic examination confirmed the distribution pattern of the canals. In transmission electron microscopy, the defects were found to contain symmetrically banded, segmental collagenous structures. The canal contents immunostained with antibodies to the N-terminal propeptide of type I procollagen, suggesting retention of the propeptide extension in type I collagen. Whereas type III collagen reactivity was barely detectable in the canal region, staining for type V collagen and the non-fibril-forming type VI collagen was strong. The findings imply that the pathogenesis of the defect could be related to a local failure of odontoblasts to produce normal dentin matrix.

  19. Tensile bond strength of hydroxyethyl methacrylate dentin bonding agent on dentin surface at various drying techniques

    Directory of Open Access Journals (Sweden)

    Kun Ismiyatin

    2010-06-01

    Full Text Available Background: There are several dentin surface drying techniques to provide a perfect resin penetration on dentin. There are two techniques which will be compared in this study. The first technique was by rubbing dentin surface gently using cotton pellet twice, this technique is called blot dry technique. The second technique is by air blowing dentin surface for one second and continued by rubbing dentin surface gently using moist cotton. Purpose: This experiment was aimed to examine the best dentin surface drying techniques after 37% phosphoric acid etching to obtain the optimum tensile bond strength between hydroxyethyl methacrylate (HEMA and dentin surface. Method: Bovine teeth was prepared flat to obtain the dentin surface and than was etched using 37% phosphoric acid for 15 seconds. After etching the dentin was cleaned using 20 cc plain water and dried with blot dry techniques (group I, or dried with air blow for one second (group II, or dried with air blow for one second, and continued with rubbing gently using moist cotton pellet (group III, and without any drying as control group (group IV. After these drying, the dentin surfaces were applied with resin dentin bonding agent and put into plunger facing the composite mould. The antagonist plunger was filled with composite resin. After 24 hours, therefore bond strength was measured using Autograph. Result: Data obtained was analyzed using One-Way ANOVA with 95% confidence level and continued with LSD test on p≤0.05. The result showed that the highest tensile bond strength was on group I, while the lowest on group IV. Group II and IV, III and IV, II and III did not show signigicant difference (p>0.05. Conclusion: Dentin surface drying techniques through gentle rubbing using cotton pellet twice (blot dry technique gave the greatest tensile bond strength.Latar belakang masalah: Tehnik pengeringan permukaan dentin agar resin dapat penetrasi dengan sempurna adalah dengan cara pengusapan secara

  20. Induction of Reparative Dentin Formation on Exposed Dental Pulp by Dentin Phosphophoryn/Collagen Composite

    Directory of Open Access Journals (Sweden)

    Toshiyuki Koike

    2014-01-01

    Full Text Available The ultimate goal of vital pulp therapy is to regenerate rapidly dentin possessing an excellent quality using a biocompatible, bioactive agent. Dentin phosphophoryn (DPP, the most abundant noncollagenous polyanionic protein in dentin, cross-linked to atelocollagen fibrils was applied to direct pulp capping in rats. After 1, 2, and 3 weeks, the teeth applied were examined on the induction of reparative dentin formation and the response of pulp tissue, compared to calcium hydroxide-based agent conventionally used. The reparative dentin formation induced by DPP/collagen composite was more rapid than by calcium hydroxide. In the morphometrical analysis, the formation rate of reparative dentin by DPP/collagen composite was approximately the same as that by calcium hydroxide at 3 weeks. Nevertheless, the compactness of reparative dentin formed by DPP/collagen composite was much superior to what resulted from calcium hydroxide. Also, DPP/collagen composite showed high covering ability of exposed pulp. Moreover, DPP/collagen composite led only to slight pulp inflammation at the beginning whereas calcium hydroxide formed necrotic layer adjacent to the material and induced severe inflammation in pulp tissue at 1 week. The present study demonstrates a potential for DPP/collagen composite as a rapid biocompatible inducer for the formation of reparative dentin of excellent quality in rats.

  1. Establishment of quantitative diagnosis about radiopacity of tooth. Measurement of dentin mineral density by CT

    International Nuclear Information System (INIS)

    In measuring the dentin mineral density (DMD), X-ray absorptiometry using slices of tooth after tooth extraction (the Slice method) is used conventionally. Because it takes time and must extract a tooth, these methods are limited to usable cases. Therefore we investigated a method to measure DMD by CT scan (the CT method). Cervical dentin in the alveolar bone was measured to avoid the influence by the beam hardening effect. The area where DMD value showed a plateau was measured to avoid the influence of the partial volume effect. DMD by CT method accorded with Slice method with a difference of 1.2%. Using this CT method, a difference of DMD among kind of tooth in the same individual was measured in 16 cases without metal restoration or prosthetic appliance in Ohu University Hospital. There were a few differences in DMD and the standard deviation of a measured value was about around 1.5%. Thus, it is suggested that all kind of tooth are useful as diagnostic standard and the CT value of dentine is effective if measured using the CT method. (author)

  2. EFFECT OF DENTIN TUBULES TO THE MECHANICAL PROPERTIES OF DENTIN.PART II:EXPERIMENTAL STUDY

    Institute of Scientific and Technical Information of China (English)

    Huo Bo; Zheng Quanshui; Zhang Qing; Wang Jiade

    2000-01-01

    To verify the theoretical models of varying transversely isotropic stress-strain relations of dentin established in the preceding work(Part I),we perform a set of experiments.Because of the very fine tooth size,it usually seems to be difficult to directly measure the inhomogeneons and anisotropic parameters of dentin.In this paper,by the digital speckle correlation method,tensile experiments are made on the small dentin samples either parallel or perpendicular to the dentin tubules.With the theoretically predicted elastic stress-strain relations,an optimization method is proposed to fit the strain curve adapted to the experimental data.The results show that the theoretical elastic stress-strain relations coincides very well with the experimental observations.The determined Young's modulus and Poisson's ratio of dentin matrix are 29.5GPa and 0.44,respectively,in the optimization sense.

  3. The clinical meaning of external cervical resorption in maxillary canine: transoperative dental trauma

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    Alberto Consolaro

    2014-12-01

    Full Text Available External Cervical Resorption in maxillary canines with pulp vitality is frequently associated with dental trauma resulting from surgical procedures carried out to prepare the teeth for further orthodontic traction. Preparation procedures might surgically manipulate the cementoenamel junction or cause luxation of teeth due to applying excessive force or movement tests beyond the tolerance limits of periodontal ligament and cervical tissue structures. Dentin exposure at the cementoenamel junction triggers External Cervical Resorption as a result of inflammation followed by antigen recognition of dentin proteins. External Cervical Resorption is painless, does not induce pulpitis and develops slowly. The lesion is generally associated with and covered by gingival soft tissues which disguise normal clinical aspects, thereby leading to late diagnosis when the process is near pulp threshold. Endodontic treatment is recommended only if surgical procedures are rendered necessary in the pulp space; otherwise, External Cervical Resorption should be treated by conservative means: protecting the dental pulp and restoring function and esthetics of teeth whose pulp will remain in normal conditions. Unfortunately, there is a lack of well-grounded research evincing how often External Cervical Resorption associated with canines subjected to orthodontic traction occurs.

  4. Characterization of dentine to assess bond strength of dental composites

    OpenAIRE

    Saad Liaqat; Anas Aljabo; Muhammad Adnan Khan; Hesham Ben Nuba; Laurent Bozec; Paul Ashley; Anne Young

    2015-01-01

    This study was performed to develop alternating dentine adhesion models that could help in the evaluation of a self-bonding dental composite. For this purpose dentine from human and ivory was characterized chemically and microscopically before and after acid etching using Raman and SEM. Mechanical properties of dentine were determined using 3 point bend test. Composite bonding to dentine, with and without use of acid pre-treatment and/or the adhesive, were assessed using a shear bond test. F...

  5. Adhesion of resin composite to hydrofluoric acid-exposed enamel and dentin in repair protocols.

    Science.gov (United States)

    Saracoglu, A; Ozcan, M; Kumbuloglu, O; Turkun, M

    2011-01-01

    Intraoral repairs of ceramic fixed-dental-prostheses (FDP) often include cervical recessions that require pretreatment of the exposed tooth surfaces either before or after the ceramic is conditioned with hydrofluoric (HF) acid gel. The sequence of repair protocol may cross-contaminate the exposed etched enamel or dentin surfaces during the application or rinsing process and thereby affect the adhesion. This study evaluated the influence of HF acid gel with two concentrations on bond strengths of composite to enamel and dentin. Human third molars (N=100, n=10 per group) with similar sizes were selected and randomly divided into 10 groups. Flat surfaces of enamel and dentin were created by wet ground finishing. Before or after the enamel (E) or dentin (D) was conditioned with phosphoric acid (P), substrate surfaces were conditioned with either 9.5% HF (HF(9.5)) or 5% HF (HF(5)). Subsequently, a bonding agent (B) was applied. The experimental groups by conditioning sequence were as follows where the first letter of the group abbreviation represents the substrate (E or D) followed by the acid type and concentration: group 1 (EPHF(9.5)), group 2 (EPHF(5)), group 3 (EHF(9.5)P), group 4 (EHF(5)P), group 5 (DPHF(9.5)), group 6 (DPHF(5)), group 7 (DHF(9.5)P), and group 8 (DHF(5)P). Group 9 (EPB) and group 10 (DPB) acted as the control groups. Repair resin was adhered incrementally onto the conditioned enamel and dentin in polyethylene molds. Each layer was photo-polymerized for 40 seconds. All specimens were thermocycled (×1000, 5°-55°C) and subjected to shear test (universal testing machine, 1 mm/min). Specimens that debonded during thermocycling were considered as 0 MPa. The bond strength data were analyzed using Kruskal-Wallis test and failure types using the chi-square test (α=0.05). Overall, the bond results (MPa) were lower on dentin than on enamel (pacid gels were applied prior to phosphoric acid (EHF(9.5)P: 5.0 ± 1.1, EHF(5)P: 3.6 ± 0.1) (pacid gel impairs the

  6. How to bond to root canal dentin

    Science.gov (United States)

    Nica, Luminita; Todea, Carmen; Furtos, Gabriel; Baldea, Bogdan

    2014-01-01

    Bonding to root canal dentin may be difficult due to various factors: the structural characteristic of the root canal dentin, which is different from that of the coronal dentin; the presence of the organic tissue of the dental pulp inside the root canal, which has to be removed during the cleaning-shaping of the root canal system; the smear-layer resulted after mechanical instrumentation, which may interfere with the adhesion of the filling materials; the type of the irrigants used in the cleaning protocol; the type of the sealer and core material used in the obturation of the endodontic space; the type of the materials used for the restoration of the endodontically treated teeth. The influence of the cleaning protocol, of the root canal filling material, of the type of the adhesive system used in the restoration of the treated teeth and of the region of the root canal, on the adhesion of several filling and restorative materials to root canal dentin was evaluated in the push-out bond strength test on 1-mm thick slices of endodontically treated human teeth. The results showed that all these factors have a statistically significant influence on the push-out bond strength. Formation of resin tags between radicular dentin and the investigated materials was observed in some of the samples at SEM analysis.

  7. Plasma treatment of dentin surfaces for improving self-etching adhesive/dentin interface bonding

    Science.gov (United States)

    Dong, Xiaoqing; Li, Hao; Chen, Meng; Wang, Yong; Yu, Qingsong

    2015-01-01

    This study is to evaluate plasma treatment effects on dentin surfaces for improving self-etching adhesive and dentin interface bonding. Extracted unerupted human third molars were used after crown removal to expose dentin. One half of each dentin surface was treated with atmospheric non-thermal argon plasmas, while another half was untreated and used as the same tooth control. Self-etching adhesive and universal resin composite was applied to the dentin surfaces as directed. After restoration, the adhesive-dentin bonding strength was evaluated by micro-tensile bonding strength (μTBS) test. Bonding strength data was analyzed using histograms and Welch’s t-test based on unequal variances. μTBS test results showed that, with plasma treatment, the average μTBS value increased to 69.7±11.5 MPa as compared with the 57.1±17.5 MPa obtained from the untreated controls. After 2 months immersion of the restored teeth in 37 °C phosphate buffered saline (PBS), the adhesive-dentin bonding strengths of the plasma-treated specimens slightly decreased from 69.7±11.5 MPa to 63.9±14.4 MPa, while the strengths of the untreated specimens reduced from 57.1±17.5 MPa to 48.9±14.6 MPa. Water contact angle measurement and scanning electron microscopy (SEM) examination verified that plasma treatment followed by water rewetting could partially open dentin tubules, which could enhance adhesive penetration to form thicker hybrid layer and longer resin tags and consequently improve the adhesive/dentin interface quality. PMID:26273561

  8. A mulher japonesa vivenciando o câncer cérvico-uterino: um estudo de caso com abordagem da fenomenologia social La mujer japonesa vivenciando el cáncer cervico-uterino: un estudio del caso con abordaje fenomenológía social A japanese woman going through cervical uterine cancer: a case study with the social phenomenology approach

    Directory of Open Access Journals (Sweden)

    Rosa Yuka Sato Chubaci

    2005-06-01

    Full Text Available Trata-se de estudo sobre a experiência de uma mulher japonesa, com câncer cérvico-uterino, realizado em um hospital da cidade de Osaka-Japão, no qual se utilizou o "estudo de caso" com abordagem da Fenomenologia Social de Alfred Schütz. Objetivou-se conhecer o significado da doença e da hospitalização para essa mulher, buscando compreender os motivos que envolvem a sua ação. Por meio da análise dos dados, foi possível compreender que o processo da hospitalização deve ser visto respeitando, além da característica individual, o mundo cultural que nos remete às ações humanas e que exerce influência importante no comportamento e atitude em relação à doença e hospitalização.Se trata de un estudio sobre la experiencia de una mujer japonesa, con cáncer cérvico-uterino, realizado en un hospital de la ciudad de Osaka-Japón, en el cual se utilizó el "estudio de caso" con abordaje de la Fenomenología Social de Alfred Schütz. El objetivo fue conocer el significado de la enfermedad y de la hospitalización para esa mujer, buscando comprender los motivos que involucran su acción. Por medio del análisis de los datos, fue posible comprender que el proceso de la hospitalización debe ser visto respetan-do, además de la característica individual, el mundo cultural que nos remite a las acciones humanas y que ejerce influencia importante en el comportamiento y actitud en relación a la enfermedad y hospitalización.This is the study of the experience of a Japanese woman with cervical uterine cancer carried out in a hospital in the city of Osaka, Japan, using Alfred Schütz's "case study" with the Social Phenomenology approach. The aim was to grasp the meaning of the disease and of hospitalization for this woman, and to try to understand the reasoning around her action. Through the analysis of the data, it was possible to understand that the hospitalization process has to be seen respecting, in addition to individual

  9. Dentine microhardness after different methods for detection and removal of carious dentine tissue

    Science.gov (United States)

    MOLLICA, Fernanda Brandão; TORRES, Carlos Rocha Gomes; GONÇALVES, Sergio Eduardo de Paiva; MANCINI, †Maria Nadir Gasparoto

    2012-01-01

    There are several methods for identifying carious dentinal tissue aiming to avoid removal of healthy dentinal tissue. Objectives The purpose of this study was to test different methods for the detection of carious dentinal tissue regarding the amount of carious tissue removed and the remaining dentin microhardness after caries removal. Material and methods The dentin surfaces of 20 bovine teeth were exposed and half of the surface was protected with nail polish. Cariogenic challenge was performed by immersion in a demineralizing solution for 14 days. After transverse cross-section of the crown, the specimens were divided into four groups (n=10), according to the method used to identify and remove the carious tissue: "Papacárie", Caries-detector dye, DIAGNOdent and Tactile method. After caries removal, the cross-sectional surface was included in acrylic resin and polished. In a microhardness tester, the removed dentin thickness and the Vickers microhardness of the following regions were evaluated: remaining dentin after caries removal and superficial and deep healthy dentin. Results ANOVA and Tukey's test (α=0.05) were performed, except for DIAGNOdent, which did not detect the presence of caries. Results for removed dentin thickness were: "Papacárie" (424.7±105.0; a), Caries-detector dye (370.5±78.3; ab), Tactile method (322.8±51.5; bc). Results for the remaining dentin microhardness were: "Papacárie" (42.2±10.5; bc), Caries-detector dye (44.6±11.8; abc), Tactile method (24.3±9.0; d). Conclusions DIAGNOdent did not detect the presence of carious tissue; Tactile method and "Papacárie" resulted in the least and the most dentinal thickness removal, respectively; Tactile method differed significantly from "Papacárie" and Caries-detector dye in terms of the remaining dentin microhardness, and Tactile method was the one which presented the lowest microhardness values. PMID:23032207

  10. Dentine microhardness after different methods for detection and removal of carious dentine tissue

    Directory of Open Access Journals (Sweden)

    Fernanda Brandão Mollica

    2012-08-01

    Full Text Available There are several methods for identifying carious dentinal tissue aiming to avoid removal of healthy dentinal tissue. OBJECTIVES: The purpose of this study was to test different methods for the detection of carious dentinal tissue regarding the amount of carious tissue removed and the remaining dentin microhardness after caries removal. MATERIAL AND METHODS: The dentin surfaces of 20 bovine teeth were exposed and half of the surface was protected with nail polish. Cariogenic challenge was performed by immersion in a demineralizing solution for 14 days. After transverse cross-section of the crown, the specimens were divided into four groups (n=10, according to the method used to identify and remove the carious tissue: "Papacárie", Caries-detector dye, DIAGNOdent and Tactile method. After caries removal, the cross-sectional surface was included in acrylic resin and polished. In a microhardness tester, the removed dentin thickness and the Vickers microhardness of the following regions were evaluated: remaining dentin after caries removal and superficial and deep healthy dentin. RESULTS: ANOVA and Tukey's test (α=0.05 were performed, except for DIAGNOdent, which did not detect the presence of caries. Results for removed dentin thickness were: "Papacárie" (424.7±105.0; a, Caries-detector dye (370.5±78.3; ab, Tactile method (322.8±51.5; bc. Results for the remaining dentin microhardness were: "Papacárie" (42.2±10.5; bc, Caries-detector dye (44.6±11.8; abc, Tactile method (24.3±9.0; d. CONCLUSIONS: DIAGNOdent did not detect the presence of carious tissue; Tactile method and "Papacárie" resulted in the least and the most dentinal thickness removal, respectively; Tactile method differed significantly from "Papacárie" and Caries-detector dye in terms of the remaining dentin microhardness, and Tactile method was the one which presented the lowest microhardness values.

  11. 12-Month color stability of enamel, dentine, and enamel-dentine samples after bleaching

    OpenAIRE

    Wiegand, Annette; Drebenstedt, S; Roos, Malgorzata; Magalhães, A C; Attin, Thomas

    2008-01-01

    The study aimed to quantify the color regression of enamel (E), dentine (D), and combined enamel-dentine (ED) of differently bleached ED specimens over a period of 12 months in vitro. Two ED samples were obtained from the labial surfaces of bovine teeth and prepared to a standardized thickness with the enamel and dentine layer each 1 mm. The ED samples were distributed on four groups (each n = 80), in which the different bleaching products were applied on enamel (1, Whitestrips; 2, Illuminé 1...

  12. Clinical management of infected root canal dentin.

    Science.gov (United States)

    Love, R M

    1996-08-01

    Several hundred different species of bacteria are present in the human intraoral environment. Bacterial penetration of root canal dentin occurs when bacteria invade the root canal system. These bacteria may constitute a reservoir from which root canal reinfection may occur during or after endodontic treatment. The learning objective of this article is to review endodontic microbiology, update readers on the role of bacteria in pulp and periapical disease, and discuss the principles of management of infected root canal dentin. Complete debridement, removal of microorganisms and affected dentin, and chemomechanical cleansing of the root canal are suggested as being the cornerstones of successful endodontic therapy, followed by intracanal medication to remove residual bacteria, when required.

  13. Transmission electron microscopic characterization of hypersensitive human radicular dentin

    International Nuclear Information System (INIS)

    Transmission electron microscopy (TEM) and x-ray microanalysis (XMA) were used for the study of the ultrastructure of the lumens of dentinal tubules in superficial layers of dentin specimens obtained by use of a new biopsy technique from both hypersensitive and naturally desensitized areas of exposed root surfaces, in vivo. The TEM images showed clearly that the lumens of most of the tubules were occluded with mineral crystals in naturally desensitized areas, but such lumens were empty and surrounded with peritubular and intertubular dentin in hypersensitive areas. Moreover, electron-dense structures that lined peritubular dentin were observed in the empty lumens of dentinal tubules

  14. Comparative analysis of bacterial decrease by Er:YAG laser radiation and by a tip mounted on a high-rotation device after remove of carious tissue in dentine: study 'in anima mobile'; Analise comparativa da reducao bacteriana com irradiacao do laser Er:YAG ou ponta montada em alta rotacao apos remocao de tecido cariado em dentina: estudo in anima nobile

    Energy Technology Data Exchange (ETDEWEB)

    Blay, Claudia Campos

    2002-07-01

    The purpose of this study was to analyze bacterial decrease after removal of carious tissue in dentine by Er:YAG laser, comparing the results with those achieved by using a tip mounted on a high-rotation device. In view of the difficulty of totally eliminating microorganisms from dentine, even after removing all the carious tissue, and since the presence of a smear layer is a proven fact, it would be extremely convenient to eliminate or to achieve better disinfecting of this notoriously contaminated dentine layer, so as to prevent failure of the restoration process in most cases. For this study, we selected 30 pre-molars and molars with caries rated as medium sized and which required restoration treatment. The teeth were divided in two groups, where 15 teeth received conventional treatment (control group - I) and 15 teeth were treated with Er:YAG laser (Kavo Key Laser) (laser group - II). Microbiologic analysis was used in order to determine presence or absence of bacteria. In group I as well as in group II a previous curettage of part of the dentine caries was performed, and the sample was seeded in an Agar culture medium and incubated at 37 deg C for 72 hours, for a quantitative analysis of bacteria colony forming units (c.f.u.) and qualitative bacterial analysis. After this procedure, carious lesions were removed in group I, using a spherical diamond drill mounted on a high rotation tip, followed by cleaning of the cavity with chlorhexidine digluconate at 2%. In group II, an Er:YAG laser emitting a wave length of 2,94 {mu}m, delivering a 250 mJ energy per pulse at a repetition rate of 2 Hz was used for carious tissue removal. Furthermore in group II (laser), the cavity was conditioned by performing a sweeping at all walls of the preparation with the 50/10 fiber (Kavo), in contact mode, using an energy of 60 mJ per pulse at a frequency of 10 Hz. After removing all caries and performing a cleaning operation in both groups, dentine shavings were collected and

  15. Effect of Nanofiller Addition to an Experimental Dentin Adhesive on Microtensile Bond Strength to Human Dentin

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    SH. Kasraei

    2009-06-01

    Full Text Available Objective: The purpose of the study was to evaluate the influence of adding nanofiller particles to a dentin bonding agent on resin-dentin bond strength.Materials and Methods: Fifty-four human intact premolar teeth were divided in to 6 groups of nine. The teeth were ground on occlusal surfaces and polished with 320 and then 600 grit silicon carbide papers. An experimental bonding system based on acetone/alcoholsolvent was provided with filler contents of 0.0, 0.5, 1.0, 2.5, 5.0, and 10.0 weight percent fumed silica nanofiller. After dentin surface etching, rinsing and blot drying, the experimentalbonding agents were applied to dentin surface. A composite resin was, then,bonded to the dentin on the bonding agent. The specimens were thermocycled for 500 cycles and sectioned in stick form. After two week of storage in distilled water, resin-dentin microtensile bond strength of the specimens was measured. Data were analyzed by one way ANOVA and DunnettT3 tests.Results: Bond strength to dentin was significantly affected by the filler level. Minimum and maximum resin-microtensile bond strength was in the experimental bonding agent with no filler (5.88 MPa and with filler level of 1.0 weight percent (15.15 MPa, respectively,and decreased with the increase of filler content down to 8.95 MPa for the filler level of 10.0 weight percent.Conclusion: Filler content seems to be one of the important factors influencing the bond strength of dental adhesives. Maximum dentin bond strength was obtained with 1% silanized nanofiller silica added to experimental adhesive system.

  16. A COMPARATIVE EVALUATION OF BOND - STRENGTH BETWEEN NORMAL DENTIN AND CARIES AFFECTED DENTIN: AN INVITRO STUDY

    OpenAIRE

    Arun; Sanjeev; Rohit; De, Asit; Ajay; Kshiti; Harpreet Singh; Farah

    2015-01-01

    INTRODUCTION: The concept of adhesive dentistry has taken leaps forward and has resulted in a concept of more conservation of tooth structure which in turn enhance the life of teeth. The bonding agent forms a hybrid layer with dentin and its other side co - polymerize with the matrix p hase of dental composite, producing strong micro - mechanical bonding. AIMS AND OBJECTIVE: To evaluate the bond strength of adhesive agent to normal dentin and caries affe...

  17. Estudo comparativo, em cães, entre a anastomose esôfago-esofágica cervical em dois planos de sutura e a em um plano único extramucoso Study in dogs comparing esophagus-esophageal cervical anastomosis in two planes of suture versus a single extramucosal plane

    Directory of Open Access Journals (Sweden)

    Amaury José Teixeira Nigro

    1997-03-01

    Full Text Available O objetivo é comparar a eficácia entre as anastomoses esôfago-esofágicas cervicais em dois planos de sutura com as feitas em um plano único extramucoso. Utilizou-se 60 cães, sadios, sem raça definida, de ambos os sexos, com peso médio de 15 kg. Foram separados em dois grupos iguais: no GRUPO I será feita a anastomose em dois planos de sutura e, no GRUPO II, a em um plano único extramucoso. Cada grupo foi subdividido em 3 subgrupos iguais, e para cada um deles foi estabelecido um determinado período de observação pós-operatório (PO de 7, 14 e 30 dias, respectivamente. As suturas foram feitas sempre com fio de polipropileno 4 zeros. Avaliou-se a incidência de complicações pós-operatórias imediatas e tardias e às características histológicas da cicatrização de cada tipo de anastomose. A análise estatística dos dados coletados permitiu verificar que na anastomose esôfago-esofágica cervical executada em um plano único extramucoso a porcentagem de fistulas (13,6%, e de estenoses (30% ao nível da zona de sutura foi significantemente menor do que a observada na sutura realizada em dois planos de sutura em que as porcentagens foram de (26,7% e (63,4%, respectivamente. A cicatrização das estruturas da parede esofágica ao nível da anastomose também foi significantemente melhor na anastomose em plano único extramucoso do que na em dois planos de sutura. Os resultados observados permitiram concluir que a anastomose em plano único extramucoso é mais eficaz do que a executada em dois planos de sutura.The objective of our study was to compare the efficacy of two types of cervical esophagus-esophageal anastomoses: two planes of suture versus a single extramucosal suture. Sixty healthy mongrel dogs of both sexes with a medium body weight of 15 kg. Were separated into two groups. Group one: anastomosis using two planes of suture; and Group two: anastomosis using one plane of extramucosal suture. Each group was divided into

  18. The Possible Role of Dentin as a Piezoelectric Signal Generator by Determining the Elec-tromechanical Coupling Factor of Dentin

    Directory of Open Access Journals (Sweden)

    Atabak Shahidi

    2011-08-01

    Full Text Available Introduction: This article aimed at calculation of the electromechanical coupling factor of dentin which is an indicator of the effectiveness with which a piezoelectric material converts electrical en-ergy into mechanical energy, or vice versa. The hypothesis: The electro-mechanical coupling factor of dentin was determined in mode 11 and 33 by calculating the ratio of the produced electrical energy to the stored elastic energy in dentin under applied pressure. This study showed that the electromechanical coupling factor of dentin was affected by the direction of the applied force and the moisture content of dentin. Also dentin was a weak electromechanical energy converter which might be categorized as a piezoelectric pressure sensor.Evaluation of the hypothesis: Determination of the electrome-chanical coupling factor of dentin and its other piezoelectric constants is essential to investigate the biologic role of piezoelectricity in tooth.

  19. Hydrofluoric acid on dentin should be avoided.

    NARCIS (Netherlands)

    Loomans, B.A.C.; Mine, A.; Roeters, F.J.M.; Opdam, N.J.M.; Munck, J. De; Huysmans, M.C.D.N.J.M.; Meerbeek, B. Van

    2010-01-01

    Hydrofluoric acid can be used for intra-oral repair of restorations. Contamination of tooth substrate with hydrofluoric acid cannot always be avoided. OBJECTIVES: To investigate the bonding effectiveness to hydrofluoric acid contaminated dentin by, micro-tensile bond strength testing, SEM and TEM. M

  20. Dentin Dysplasia in Notum Knockout Mice.

    Science.gov (United States)

    Vogel, P; Read, R W; Hansen, G M; Powell, D R; Kantaputra, P N; Zambrowicz, B; Brommage, R

    2016-07-01

    Secreted WNT proteins control cell differentiation and proliferation in many tissues, and NOTUM is a secreted enzyme that modulates WNT morphogens by removing a palmitoleoylate moiety that is essential for their activity. To better understand the role this enzyme in development, the authors produced NOTUM-deficient mice by targeted insertional disruption of the Notum gene. The authors discovered a critical role for NOTUM in dentin morphogenesis suggesting that increased WNT activity can disrupt odontoblast differentiation and orientation in both incisor and molar teeth. Although molars in Notum(-/-) mice had normal-shaped crowns and normal mantle dentin, the defective crown dentin resulted in enamel prone to fracture during mastication and made teeth more susceptible to endodontal inflammation and necrosis. The dentin dysplasia and short roots contributed to tooth hypermobility and to the spread of periodontal inflammation, which often progressed to periapical abscess formation. The additional incidental finding of renal agenesis in some Notum (-/-) mice indicated that NOTUM also has a role in kidney development, with undiagnosed bilateral renal agenesis most likely responsible for the observed decreased perinatal viability of Notum(-/-) mice. The findings support a significant role for NOTUM in modulating WNT signaling pathways that have pleiotropic effects on tooth and kidney development. PMID:26926082

  1. Creep and Viscoelastic Behaviour of Human Dentin

    Directory of Open Access Journals (Sweden)

    T.Jafarzadeh

    2004-03-01

    Full Text Available Statement of Problem: Biomechanics of the human dentition is inherently complex.Purpose: The aim of this study is to investigate, in vitro, the creep and the recovery of dentin under static uniaxial compressive stress conditions.Materials and Methods: Specimens of cylindrical morphology were prepared from recently extracted non-carious lower molar teeth, such that the average tubule orientation was axial. Slides of mid- coronal dentin (parallel surfaces, height 1.8 mm were sectionedwith a slow speed diamond saw and then cut into cylindrical discs. Specimens were stored at 4ºC for 24h to restabilize water content. Creep data were then measured by LVDT axially in water for periods of 2h load + 2h recovery on 4 separate groups (n=6: at two stresses (10 & 18 MPa and at two temperatures: 37 & 60ºC. Maximum creep strain, permanent set,strain recovery and initial compressive modulus were reported.Results: Compliance values were also calculated and slight non-linearity found at 60ºC.Two-way ANOVA was performed on results. Dentin exhibited a linear viscoelastic response under 'clinical' compressive stress levels , with a maximum strain ~ 1% and highrecoverability: permanent set<0.3%.Conclusion: This established a performance standard for viscoelastic stability of restorative biomaterials, replacing human dentin.

  2. Bonding amalgam to dentin by different methods.

    Science.gov (United States)

    Hadavi, F; Hey, J H; Strasdin, R B; McMeekin, G P

    1994-09-01

    The shear bond strengths of amalgam to dentin by use of (1) All-Bond-2 adhesive, (2) Amalgambond Plus adhesive and (3) TMS Minim pins were compared in this study. Forty-five sound human molars were mounted in acrylic resin and randomly assigned to one of the three groups. The occlusal surfaces were ground to expose the dentin, which was then wet-polished with 600-grit sand paper. All materials were applied according to manufacturer's instructions. A split die with a 5 mm opening was placed and amalgam was condensed, which created an amalgam cylinder bonded/retained to the dentin surface. A shear bond force was applied to the base of the amalgam cylinder. The data were analyzed with analysis of variance and Scheffé's test at the 95% level. All systems were found to promote adhesion/retention of amalgam to dentin. The All-Bond 2 group showed significantly higher bond strength (11.106 +/- 3.585 MPa) than Amalgambond Plus (6.343 +/- 3.564 MPa) and TMS pin (6.868 +/- 0.794 MPa) (p < 0.05). PMID:7965897

  3. Cervical Cancer Screening

    Science.gov (United States)

    ... Cancer found early may be easier to treat. Cervical cancer screening is usually part of a woman's health ... may do more tests, such as a biopsy. Cervical cancer screening has risks. The results can sometimes be ...

  4. Characterization of Genipin-Modified Dentin Collagen

    Directory of Open Access Journals (Sweden)

    Hiroko Nagaoka

    2014-01-01

    Full Text Available Application of biomodification techniques to dentin can improve its biochemical and biomechanical properties. Several collagen cross-linking agents have been reported to strengthen the mechanical properties of dentin. However, the characteristics of collagen that has undergone agent-induced biomodification are not well understood. The objective of this study was to analyze the effects of a natural cross-linking agent, genipin (GE, on dentin discoloration, collagen stability, and changes in amino acid composition and lysyl oxidase mediated natural collagen cross-links. Dentin collagen obtained from extracted bovine teeth was treated with three different concentrations of GE (0.01%, 0.1%, and 0.5% for several treatment times (0–24 h. Changes in biochemical properties of NaB3H4-reduced collagen were characterized by amino acid and cross-link analyses. The treatment of dentin collagen with GE resulted in a concentration- and time-dependent pigmentation and stability against bacterial collagenase. The lysyl oxidase-mediated trivalent mature cross-link, pyridinoline, showed no difference among all groups while the major divalent immature cross-link, dehydro-dihydroxylysinonorleucine/its ketoamine in collagen treated with 0.5% GE for 24 h, significantly decreased compared to control (P< 0.05. The newly formed GE-induced cross-links most likely involve lysine and hydroxylysine residues of collagen in a concentration-dependent manner. Some of these cross-links appear to be reducible and stabilized with NaB3H4.

  5. Cervical Cancer Stage IA

    Science.gov (United States)

    ... historical Searches are case-insensitive Cervical Cancer Stage IA Add to My Pictures View /Download : Small: 720x576 ... Large: 3000x2400 View Download Title: Cervical Cancer Stage IA Description: Stage IA1 and IA2 cervical cancer; drawing ...

  6. Root dentin strain and temperature rise during endodontic treatment and post rehabilitation.

    Science.gov (United States)

    Amade, Euridsse Sulemane; Novais, Veridiana Resende; Roscoe, Marina Guimarães; Azevedo, Fabiane Maria Ferreira; Bicalho, Aline Aredes; Soares, Carlos José

    2013-01-01

    This study investigated the effects of endodontic treatment procedures and different post systems rehabilitation steps on the strain and temperature rise on apical and cervical root dentin regions. Twenty-one extracted human canine teeth had two strain gages attached to the distal root surface and two thermocouples attached to the mesial root surface (cervical and apical). The strain and temperature rise were recorded during the following procedures: root canal preparation, final rinse and drying, root canal filling and canal relief. Then the teeth were divided into three groups (n=7), according to the type of post system: CPC, cast post and core; FGP, fiberglass post; and PSP, prefabricated steel post. Data continued to be recorded during the post space preparation, post modeling (only for CPC), post trying and post cementation. Data were subjected to a two-way ANOVA followed by Tukey's test (α=0.05). The post-space preparation caused the highest temperature rise (4.0-14.9 °C) and the highest strain in the apical region during irrespective of post type. The resin cement light-activation resulted in significant temperature increases in the cervical region for all of the groups. The canal relief and the post-space preparation produced highest temperature rises. The CPC post modeling resulted in higher root strain level similarly the level of post preparation. The PSP resulted in highest strain during post trying and post cementation.

  7. New perspectives about molecular arrangement of primary and permanent dentin

    International Nuclear Information System (INIS)

    The dentin quality of primary and permanent teeth was inspected by Fourier transformed Raman spectroscopy (FT-Raman); scanning electron microscopy/energy-dispersive spectroscopy (SEM/EDS) and hardness test. Middle dentin of crowns were reached by carbide bur abrading providing a uniform smear layer. Phosphoric acid was applied in order to simulate the etching of total etching adhesive systems. The groups were (n = 10): G1 (primary dentin smear layer); G2 (35% phosphoric acid etched primary dentin); G3 (permanent dentin smear layer); G4 (35% phosphoric acid etched permanent dentin). FT-Raman results were subjected to cluster analysis. SEM/EDS were made in order to add the data obtained by FT-Raman. The hardness data were subjected to ANOVA and Tukey test. FT-Raman showed differences among groups, either to organic or inorganic content. For the organic content, primary and permanent dentin became similar after the etching; conversely, the inorganic content showed differences for the two substrates. Hardness test showed no significant differences between primary and permanent dentin, before or after etching, but the etching decreased these values. The mineral content arrangement of primary dentin is different from permanent dentin, independently of the etching. The substrate type did no influence the hardness, but the etching decreased it

  8. Extracellular matrix proteins and the dynamics of dentin formation.

    Science.gov (United States)

    Butler, William T; Brunn, Jan C; Qin, Chunlin; McKee, Marc D

    2002-01-01

    Dentinogenesis involves controlled reactions that result in conversion of unmineralized predentin to dentin when apatite crystals are formed. This process is dynamic: Maturation events occur within predentin beginning at the proximal layer and progressing to the predentin-dentin (PD) border. One type of controlled reaction is the proteolytic processing of dentin sialophosphoprotein (DSPP) to dentin sialoprotein (DSP) and dentin phosphoprotein (DPP), by cleavage of at least three highly conserved peptide bonds. We postulate that this processing event represents an activation step, resulting in release of DPP, which is active in its effects on formation and growth of apatite crystals. Dentin matrix protein 1 (DPM1), present as a processed fragment (57-kD protein) in bone, is seen in dentin on sodium dodecyl sulfate polyacrylamide gel electrophoresis as one intact protein of 150-200 kD. Anti-57-kD antibodies elicit immunoreactivity in bone, dentin, and cellular cementum. In bone, the reactivity is associated with osteocytes and their cell processes. Similarly, dentin shows reactivity in odontoblasts, predentin, and the odontoblast processes. In summary, the processing of large sialic acid-rich proteins into smaller fragments may be an important part of the controlled conversion of predentin to dentin and osteoid to bone.

  9. Microleakage of contemporary composite systems in dentin cavities

    Directory of Open Access Journals (Sweden)

    Stojanac Igor

    2009-01-01

    Full Text Available This study evaluated microleakage in vitro of self-etch and multi-step, total-etch adhesive systems. Ninety extracted non-carious human molars were randomly assigned to nine groups (n=10 and restored with nine different composite systems: Gluma CPS/Charisma, Syntac Sprint/Tetric Ceram, 3M Single Bond/Silux, Admira Bond/Admira, Optibond Solo Plus/Herculite, Trendy Bond/Saremco, Excite/Tetric Ceram, Syntac Sprint/Compoglass and Promt-L-Pop/Silux. Cavities (2 mm diameter/2 mm deep were prepared on the facial and lingual surfaces of each tooth previously abraded with a silicon-carbide abrasion discs to produce two level dentin surfaces with whole margins in dentin.Each group of composite systems was treated following the manufacturer's instructions. After they were finished and polished, the specimens were subjected to 100 thermal cycles in baths of 4 degrees+/-2 degrees C and 58 degrees+/-2 degrees C with 60 seconds of dwell time for each bath. After the thermocycling, the specimens were sealed with acid-resistant varnish, leaving a 1-mm window around the cervical margin interface, and immersed in 1% methylene blue buffered solution for 4 hours. Then the specimens were sectioned longitudinally in half and evaluated under stereomicroscopy at 30 times magnification, using inserted millimeter measurer. Each specimen was measured for dye penetration, thickness of composite filling and distance from the bottom of cavity to the pulp chamber. The data were analyzed using Kruskal-Wallis Analysis of Variance (ANOVA and Pearson t- test. Syntac Sprint/Tetric Ceram, 3M Single Bond/Silux, Admira Bond/Admira, Optibond Solo Plus/Herculite and Gluma CPS/Charisma showed the least microleakage at the occlusal part of the cavity. There was no significant difference of microleakage at gingival part of cavity for all tested composite systems and the best sealing ability showed 3M Single Bond/Silux. Self-etch and multi-step, total-etch adhesive systems showed more or

  10. Shear bond strength of amalgam to dentin using different dentin adhesive systems

    Directory of Open Access Journals (Sweden)

    Farimah Sardari

    2012-01-01

    Full Text Available Background and Aims: The aim of this in vitro study was to assess the shear bond strength of amalgam to dentin using four dentin adhesive systems.Materials and Methods: One hundred human molars were selected. After enamel removal, a dentin cylinder with 3 mm thickness was prepared. Eighty specimens were resorted with amalgam and four dentin adhesive systems as follows (n=20: group 1, Scotch Bond Multi-Purpose; group 2, One Coat Bond; group 3, PQ1; and group 4, Panavia-F. In group 5, 20 specimens were resorted with amalgam and varnish as control group. The specimens were incubated at 37°C for 24 h. The shear bond strengths were then measured by using push out method. The data were analyzed by one-way ANOVA and post hoc Duncan's tests.Results: Mean values for bond strengths of test groups were as follows: group 1=21.03±8.9, group 2=23.47±9, group 3=13.16±8.8, group 4=20.07±8.9 and group 5=14.15±8.7 MPa±SD. One-way ANOVA showed the statistically significant difference between the bond strengths of five groups (P=0.001. Post hoc Duncan's test showed significant difference between groups 1and 3 (P=0.008, groups 1 and 5 (P=0.019, groups 2 and 5 (P=0.0008, groups 4 and 5 (P=0.042, and groups 3 and 4 (P=0.018.Conclusion: Results of this study showed that the bond strength of amalgam to dentin using One Coat Bond as dentin adhesive system was higher than that observed in other dentin adhesive systems.

  11. Porcine dentin sialoprotein glycosylation and glycosaminoglycan attachments

    Directory of Open Access Journals (Sweden)

    Yamakoshi Fumiko

    2011-02-01

    Full Text Available Abstract Background Dentin sialophosphoprotein (Dspp is a multidomain, secreted protein that is critical for the formation of tooth dentin. Mutations in DSPP cause inherited dentin defects categorized as dentin dysplasia type II and dentinogenesis imperfecta type II and type III. Dentin sialoprotein (Dsp, the N-terminal domain of dentin sialophosphoprotein (Dspp, is a highly glycosylated proteoglycan, but little is known about the number, character, and attachment sites of its carbohydrate moieties. Results To identify its carbohydrate attachment sites we isolated Dsp from developing porcine molars and digested it with endoproteinase Glu-C or pronase, fractionated the digestion products, identified fractions containing glycosylated peptides using a phenol sulfuric acid assay, and characterized the glycopeptides by N-terminal sequencing, amino acid analyses, or LC/MSMS. To determine the average number of sialic acid attachments per N-glycosylation, we digested Dsp with glycopeptidase A, labeled the released N-glycosylations with 2-aminobenzoic acid, and quantified the moles of released glycosylations by comparison to labeled standards of known concentration. Sialic acid was released by sialidase digestion and quantified by measuring β-NADH reduction of pyruvic acid, which was generated stoichiometrically from sialic acid by aldolase. To determine its forms, sialic acid released by sialidase digestion was labeled with 1,2-diamino-4,5-methyleneoxybenzene (DMB and compared to a DMB-labeled sialic acid reference panel by RP-HPLC. To determine the composition of Dsp glycosaminoglycan (GAG attachments, we digested Dsp with chondroitinase ABC and compared the chromotagraphic profiles of the released disaccharides to commercial standards. N-glycosylations were identified at Asn37, Asn77, Asn136, Asn155, Asn161, and Asn176. Dsp averages one sialic acid per N-glycosylation, which is always in the form of N-acetylneuraminic acid. O-glycosylations were

  12. Influences of sample preparations on dentine ESR signals

    International Nuclear Information System (INIS)

    The work is to study influences of sample preparations on dentine ESR (electron spin resonance) signals, in order to use dentine samples for dose reconstruction, which has been performed with enamel samples. The dentine and enamel samples were collected from non-irradiated adult teeth and prepared by mechanical or mechanical plus chemical methods. The samples were scanned by an ESR spectrometer before and after their irradiation by 60Co γ-rays. The sensitivities of ESR signals of dentine and enamel samples to irradiation dose differed significantly among different sample preparation methods. The results show that dentine samples mechanically and chemically prepared have good enough ESR response to low dose γ-ray irradiations, and it is possible to use the dentine samples for dose reconstruction, as a substitution to enamel samples when they are short of supply. (authors)

  13. Dentin phosphoprotein compound mutation in dentin sialophosphoprotein causes dentinogenesis imperfecta type III.

    Science.gov (United States)

    Dong, Juan; Gu, TingTing; Jeffords, Leticia; MacDougall, Mary

    2005-01-30

    A rare compound mutation involving a 36 bp deletion and 18 bp insertion within exon 5 of the dentin sialophosphoprotein (DSPP) gene has been identified in a family with dentinogenesis imperfecta type III (DGI-III). The DSPP gene encodes two major tooth matrix proteins dentin sialoprotein (DSP) and dentin phosphoprotein (DPP). DSPP mutations associated with DGI-III results in an in frame truncation of the serine aspartic acid triplet repeat found in DPP near the highly conserved carboxyl terminal region shortening the protein by six amino acids. Clinically this family presents with discolored amber opalescent teeth and severe attrition of the tooth structure. This study is the first report of a mutation within DPP associated with a genetic dentin disease. Our study indicates that DGI-III is allelic with some forms of DGI-II with and without progressive hearing loss and dentin dysplasia type II that have been shown to be caused by mutations within the DSP coding or signal peptide regions.

  14. Cobertura e fatores associados à realização do exame de detecção do câncer de colo de útero em área urbana no Sul do Brasil: estudo de base populacional Cervical cancer screening coverage and associated factors in a city in southern Brazil: a population-based study

    Directory of Open Access Journals (Sweden)

    Simone Iara Gasperin

    2011-07-01

    Full Text Available A cobertura do teste de Papanicolaou e fatores associados foram investigados entre mulheres de 20 a 59 anos de idade, residentes na área urbana de Florianópolis, Santa Catarina, Brasil. Foi realizado estudo transversal de base populacional com amostra aleatória por conglomerados. Examinaram-se dois desfechos: realização do Papanicolaou em algum momento na vida e exames em atraso (período maior que três anos desde o último teste ou nunca realizado. Entre 952 mulheres entrevistadas, 93% (IC95%: 91,5-94,7 realizaram o teste pelo menos uma vez na vida e 14% (IC95%: 11,8-16,2 estavam com o procedimento em atraso. Por meio da regressão de Poisson, constatou-se que estado civil, escolaridade, doenças crônicas autorreferidas e consulta médica foram fatores significativamente associados com ambos os desfechos. Idade, renda e internação hospitalar no último ano estiveram associadas somente com a realização do Papanicolaou na vida. A cobertura do teste de Papanicolaou foi elevada, porém existem disparidades socioeconômicas e demográficas, além do predomínio do rastreamento oportunístico.This study focused on coverage of screening for cervical cancer and associated factors in women 20 to 59 years of age in Florianópolis, Santa Catarina State, Brazil, in 2009. This was a cross-sectional study using cluster random sampling. Two outcomes were examined: a history of at least one Papanicolaou test and delaying the test (never performed or performed more than three years previously. Among 952 women, 93% (95%CI: 91.5-94.7 had ever had a Pap smear, whereas 14% (95%CI: 11.8-16.2 had delayed the test. According to Poisson regression, both outcomes were associated with marital status, schooling, presence of chronic disease, and consulting a physician for other reasons. Age, income, and hospitalization in the previous year were only associated with ever having a Pap smear. Although test coverage was high, much of the screening was opportunistic

  15. Resistência adesiva de resinas compostas à dentina Adhesive strength between composite resin and dentin substract

    Directory of Open Access Journals (Sweden)

    Joel BIANCHI

    1999-01-01

    Full Text Available As pesquisas relacionadas com adesão à dentina, em virtude da ampla aplicabilidade, são de grande interesse para a Odontologia. O objetivo deste estudo foi avaliar, através de ensaios de tração, a resistência adesiva ao substrato dentinário, em função de dois sistemas adesivos (3M e Kerr, dois níveis de rugosidade do substrato dentinário (lixas 220 e 600, duas áreas de colagem (3,14 mm2 - 12,56 mm2, e duas condições de armazenagem (inicial e final. A análise dos resultados evidenciou que: 1 houve diferença estatisticamente significativa entre os dois sistemas adesivos, sendo que o da Kerr apresentou os valores mais elevados de resistência adesiva; 2 diferenças significativas não ficaram evidentes na resistência da adesão entre os dois níveis de rugosidade dentinária; 3 as colagens em áreas menores apresentaram, em nível altamente significativo, maior resistência adesiva; 4 a condição de armazenagem influiu nos resultados dependendo da área e do sistema adesivo.There is a wealthy literature on bonding strength of composites to dentine. One of the reasons for the large number of studies is the continuous introduction of new bonding agents in combination with accumulated knowledge about the dentine substrate conditions. The aim of the present study was to compare the "in vitro" tensile bond strengths of two dentine bonding systems (3M and Kerr applied to different dentine roughness (220 and 600 gritand two sizes of bonding areas (3,14 mm2 and 12,56 mm2. Different storage conditions (initial and final were also considered. One hundred and sixty human teeth were randomly allocated in 4 groups. The Kerr system groups and the smallest bonding area groups showed the highest tensile strengths. The storage condition and the substrate roughness did not display a significant influence on bond strengths.

  16. Bahan-Bahan Pembentuk Dentin Sekunder Dalam Bidang Kedokteran Gigi

    OpenAIRE

    Ahmad Fauzi M.

    2008-01-01

    Sepanjang hidup, selama pulpa masih vital, dentin sekunder terbentuk secara teratur pada tepi pulpa, hal ini merupakan fungsi formatif pulpa yaitu jaringan pulpa mampu mengadakan reparasi dalam menanggulangi cedera yang diterima. Dentin sekunder yang dibentuk berfungsi dalam hal pertahanan diri terhadap efek atrisi, karies gigi, trauma, dan mengurangi masuknya iritan. Bahan-bahan pembentuk dentin sekunder dapat digunakan pada keadaan dimana jaringan pulpa tidak mampu lagi mengadakan repa...

  17. The everyday impact of dentine sensitivity: personal and functional aspects

    OpenAIRE

    Gibson, B.; BOIKO O.V.; S. Baker; Robinson, P G; Barlow, A.; Player, T.; Locker, D

    2010-01-01

    Research into oral health status and the impact of oral conditions on everyday life has been developed over the last 30 years. To date it is not clear the degr ee to which these measures can be applied to the pr oblems and impacts associated with dentine sensitivity. Th ere has been very little research on the everyday i mpact of dentine sensitivity. The aim of this study was t o explore the everyday experiences of dentine sensi tivity; in particular ...

  18. The effect of rotary instrumentation on the permeability of dentin

    International Nuclear Information System (INIS)

    The filtration and diffusion of tritiated water through dentin disks were measured ina split-chamber diffusion cell. The dentin had been cut with a diamond disk and the surfaces modified with a carbide fissure bur or diamond bur. Disks were given a secondary burnishing treatment with a blank bur or a modified blank bur. Burnishing reduced the permeability of dentin cut with a fissure bur

  19. Is bovine dentine an appropriate substitute in abrasion studies

    OpenAIRE

    Wegehaupt, F J; Widmer, R.; Attin, T.

    2010-01-01

    The study aimed to compare the wear behaviour of human and bovine dentine due to toothbrushing with different relative dentin abrasivity (RDA) toothpastes. Forty human and 40 bovine dentine samples were prepared from bovine lower incisors or human premolars roots, and baseline surface profiles were recorded. The samples were distributed to four groups (each group n = 10 human and 10 bovine samples) and brushed with fluoridated experimental toothpastes with different RDAs (group A: RDA 10, B: ...

  20. A technical report on repair of amalgam-dentin complex

    OpenAIRE

    Özcan, M; Salihoğlu-Yener, E

    2011-01-01

    This clinical report describes a repair protocol for cusp fracture of a failed amalgam-dentin complex. A maxillary right first premolar with an amalgam restoration presented a buccal cusp fracture. Chairside repair has been undertaken by conditioning the existing amalgam restoration with silica coating (30 μm CoJet®-Sand), phosphoric acid etching the beveled enamel surface, priming dentin, and application of a bonding agent on both enamel and dentin. Thereafter, the amalgam was silanized (ESP...

  1. Shear bond strength of partial coverage restorations to dentin

    OpenAIRE

    Román Rodríguez, Juan Luis; Agustín Panadero, Rubén; Alonso Pérez Barquero, Jorge; Fons Font, Antonio; Solá Ruiz, María Fernanda

    2015-01-01

    Background When partial coverage restorations (veneers, inlays, onlays…) must be cemented to dentin, bond strength may not reach the same predictable values as to enamel. The purpose of this study was: 1. To compare, with a shear bond test, the bond strength to dentin of a total-etch and a self-etching bonding agent. 2. To determine whether creating microretention improves the bond strength to dentin. Material and Methods Two bonding agents were assayed, Optibond FL® (Kerr), two-bottle adhesi...

  2. Morphological effects of MMPs inhibitors on the dentin bonding

    OpenAIRE

    Li, He; Li, Tianbo; Li, Xiuying; Zhang, Zhimin; Li, Penglian; Li, Zhenling

    2015-01-01

    Matrix metalloproteinases (MMPs) have been studied extensively, and MMP inhibitors have been used as dental pretreatment agents prior to dentin bonding because they reduce collagen fiber degradation and improve bonding strength. However, morphologic characteristics of the collagen network after etching and of the post-adhesive dentin hybrid layers (DHL) after MMP inhibitors pretreatment have not been evaluated. Thus, we investigated demineralized dentin pretreated with chlorhexidine (CHX) and...

  3. Dentin hassasiyeti ve tedavi yöntemleri

    OpenAIRE

    Atilla Berberoglu; Esra Cengiz; Hakan Bayindir; Hasan Güney Yilmaz

    2012-01-01

    Dentin hypersensitivity (DH) is a relatively common problem experienced in clinical dental practice. This condition has been defined as a short, sharp pain arising from exposed dentin in response to stimuli typically thermal, evaporative, tactile, osmotic or chemical and which cannot be described to any other form of dental defect or pathology. DH may ocur as a result of exposed dentinal tubules through either loss of enamel or gingival recession. Management strategies, which take in...

  4. Native and short-life signals in dentine EPR spectrum

    International Nuclear Information System (INIS)

    In this paper two aspects of dentine based dosimetry are investigated, namely the comparison of dentine and enamel native signal and the stability of the EPR spectrum after irradiation. Native signal intensity of dentine and enamel was found to be of the same order of the magnitude, suggesting that the origin of the native signal is not completely related to the total amount of organic component. Post-irradiation short life signals, with half-life of approximately 10 h, were observed. These signals are similar to those observed shortly after irradiation in enamel and after mechanical treatment in dentine

  5. Native and short-life signals in dentine EPR spectrum

    Energy Technology Data Exchange (ETDEWEB)

    Onori, S.; De Coste, V. [Istituto Superiore di Sanita, Department of Technology and Health, and Istituto Nazionale di Fisica, Nucleare, Rome (Italy); Fattibene, P. [Istituto Superiore di Sanita, Department of Technology and Health, and Istituto Nazionale di Fisica, Nucleare, Rome (Italy)], E-mail: paola.fattibene@iss.it; La Civita, S. [Istituto Superiore di Sanita, Department of Technology and Health, and Istituto Nazionale di Fisica, Nucleare, Rome (Italy)

    2008-02-15

    In this paper two aspects of dentine based dosimetry are investigated, namely the comparison of dentine and enamel native signal and the stability of the EPR spectrum after irradiation. Native signal intensity of dentine and enamel was found to be of the same order of the magnitude, suggesting that the origin of the native signal is not completely related to the total amount of organic component. Post-irradiation short life signals, with half-life of approximately 10 h, were observed. These signals are similar to those observed shortly after irradiation in enamel and after mechanical treatment in dentine.

  6. The Crystal Characteristics of Enamel and Dentin by XRD Method

    Institute of Scientific and Technical Information of China (English)

    2006-01-01

    Crystal characteristics of tooth enamel and dentin were investigated using XRD, SEM, and EPMA methods.The results show that the mineral phase in enamel is HA and in dentin is HA and minor whitlock ites.The dentin HA and the enamel HA have different crystallinity, the crystallinity of enamel HA is much higher than that of dentin HA.The average particle size of the enamel HA and dentin HA are 897A and 309A, respectively.The HA in enamel is regularly arranged, and in dentin the arrangement of HA is diifferent from the enamel HA in the same section.Both the enamel and the dentin are mainly consisted of Ca, P, O, and C, and the trace elements Mg , Sr, Al, Na , and K.The dentin contains more trace elements than the enamel.However,the incorporation of trace elements in both dentin and enamel are very limited.Other impurities such as F and Cl are less than their detection limit.The a and c values of enamel HA are 9.433A and 6.8A, and those of thedentin HA are 9.498A and 6.896A, respectively.The expansion in a value results from those the larger size of [CO3 ]2 group substituing for the smaller [ OH]- group in the channel, and replacement of [ OH ]- by[ CO3 ]2- dominates the change in cell parameter, taking into account of other trace elements.

  7. Photosensitizer and light diffusion through dentin in photodynamic therapy

    Science.gov (United States)

    Nogueira, Ana C.; Graciano, Ariane X.; Nagata, Juliana Y.; Fujimaki, Mitsue; Terada, Raquel S. S.; Bento, Antonio C.; Astrath, Nelson G. C.; Baesso, Mauro L.

    2013-05-01

    Photodynamic therapy has been considered a potential antimicrobial modality against oral infections, including dental caries. A model to estimate the penetration of both photosensitizers and light through human dentin, a factor of interest in photodynamic therapy, is proposed. The photoacoustic spectroscopy technique was used to evaluate in vitro dentin permeability of three different photosensitizers. Using the dentin optical absorption and scattering coefficients, it was possible to propose a semi-quantitative model predicting both photosensitizer and light doses within dentin. The graphic illustrations obtained provided guidelines that may be useful in photodynamic therapy protocols used as antimicrobial tools in caries lesions.

  8. Radicular Dentin Dysplasia Associated with Enamel Hypoplasia

    International Nuclear Information System (INIS)

    The author observed a rare case of radicular dentin dysplasia associated with enamel hypoplasia in a 11-year-old boy with a complaint of gum boil formation. 1. Clinically, yellowish-brown colored teeth with severe attrition and several gum boils were observed. 2. Radiographically, obliteration of pulp chamber and root canal, multiple periapical radiolucencies without obvious cause and blunt roots were observed. 3. Systemically, scalp hair and eyebrows were loose and short. And saddle nose could be also seen.

  9. A Mechanistic study of Plasma Treatment Effects on Demineralized Dentin Surfaces for Improved Adhesive/Dentin Interface Bonding

    Science.gov (United States)

    Dong, Xiaoqing; Chen, Meng; Wang, Yong; Yu, Qingsong

    2014-01-01

    Our previous work has shown that non-thermal plasma treatment of demineralized dentin significantly (p<0.05) improved adhesive/dentin bonding strength for dental composite restoration as compared with the untreated controls. This study is to achieve mechanistic understanding of the plasma treatment effects on dentin surface through investigating the plasma treated dentin surfaces and their interaction with adhesive monomer, 2-Hydroxyethyl methacrylate (HEMA). The plasma treated dentin surfaces from human third molars were evaluated by water contact angle measurements and scanning electron microscopy (SEM). It was found that plasma-treated dentin surface with subsequent HEMA immersion (Plasma/HEMA Treated) had much lower water contact angle compared with only plasma-treated (Plasma Treated) or only HEMA immersed (HEMA Treated) dentin surfaces. With prolong water droplet deposition time, water droplets spread out completely on the Plasma/HEMA Treated dentin surfaces. SEM images of Plasma/HEMA Treated dentin surfaces verified that dentin tubules were opened-up and filled with HEMA monomers. Extracted type I collagen fibrils, which was used as simulation of the exposed dentinal collagen fibrils after acid etching step, were plasma treated and analyzed with Fourier transform infrared spectroscopy (FT-IR) and circular dichroism (CD) spectra. FT-IR spectra of the Plasma/HEMA Treated collage fibrils showed broadened amide I peak at 1660 cm−1 and amide II at 1550 cm−1, which indicate secondary structure changes of the collagen fibrils. CD spectra indicated that 67.4% collagen helix structures were denatured after plasma treatment. These experimental results demonstrate that non-thermal argon plasma treatment was very effective in loosing collagen structure and enhancing adhesive monomer penetration, which are beneficial to thicker hybrid layer and longer resin tag formation, and consequently enhance adhesive/dentin interface bonding. PMID:25267936

  10. Cigarette smoke affects bonding to dentin.

    Science.gov (United States)

    Almeida e Silva, Junio S; de Araujo, Edson Medeiro; Araujo, Elito

    2010-01-01

    This in vitro study evaluated the microtensile bond strength (muTBS) of composite resin bonded to dentin that had been contaminated by cigarette smoke. Ten extracted unerupted human third molars were used: Six molars were prepared for muTBS testing, while the other four molars were assigned to pre- and post-etching scanning electronic microscopy (SEM) analysis. The 20 specimens obtained from the 10 coronal portions were distributed into two experimental groups so that each tooth served as its own control. Group 1 underwent a daily toothbrushing simulation and exposure to a smoking simulation chamber, while Group 2 received only a daily simulated toothbrushing. Student's t-test demonstrated that Group 1 samples demonstrated significantly lower bond strength (49.58 MPa) than Group 2 samples (58.48 MPa). Pre and postetching SEM analysis revealed the presence of contaminants on the dentinal surfaces of the Group 1 specimens. It was concluded that contamination by cigarette smoke decreases the bond strength between dentin and composite resin.

  11. Dentin hypersensitivity: Recent trends in management.

    Science.gov (United States)

    Miglani, Sanjay; Aggarwal, Vivek; Ahuja, Bhoomika

    2010-10-01

    Dentinal hypersensitivity (DH) is a common clinical condition usually associated with exposed dentinal surfaces. It can affect patients of any age group and most commonly affects the canines and premolars of both the arches. This article concisely reviews the patho-physiology, mechanism and clinical management of the DH. Treatment of DH should start with an accurate diagnosis. Differential diagnosis should be made and all other probable causes should be excluded. An often neglected phase of clinical management of DH is the identification and treatment of the causative factors of DH. By removing the etiological factors, the condition can be even prevented from occurring or recurring. There are various treatment modalities available which can be used at home or may be professionally applied. The "at home" desensitizing agents include toothpastes, mouthwashes or chewing gums and they act by either occluding the dentinal tubules or blocking the neural transmission. This article also discusses the recent treatment options like bioglass, Portland cement, lasers and casein phosphopeptide. PMID:21217949

  12. Diagnosis and treatment of dentinal hypersensitivity.

    Science.gov (United States)

    Porto, Isabel C C M; Andrade, Ana K M; Montes, Marcos A J R

    2009-09-01

    This bibliographic review provides a general view of the etiology, characteristics and treatment of dentinal hypersensitivity, so that professionals can use this information in the therapeutic management of this clinical condition. For this purpose, the authors have analyzed whole texts of relevant articles on the subject. This study showed that the predisposing factors associated with the causes of dentinal hypersensitivity must be controlled or eliminated, by educating the patient regarding the excessive intake of acidic food, as well as providing guidance on the proper tooth brushing technique and analysis of occlusion. Effective treatment must be preceded by a proper diagnosis, established after the exclusion of any other possible causes of the pain. These cases must be managed efficiently, quickly and permanently. The availability of a wide variety of treatment could be an indicator that there is still no effective desensitizing agent to completely resolve the patient's discomfort, or that it is difficult to treat, irrespective of the available treatment options. Even with the large number of published studies, it has not been possible to reach a consensus about the product that represents the gold standard in the treatment of dentinal hypersensitivity. PMID:19776498

  13. Dentin hypersensitivity: Recent trends in management

    Directory of Open Access Journals (Sweden)

    Miglani Sanjay

    2010-01-01

    Full Text Available Dentinal hypersensitivity (DH is a common clinical condition usually associated with exposed dentinal surfaces. It can affect patients of any age group and most commonly affects the canines and premolars of both the arches. This article concisely reviews the patho-physiology, mechanism and clinical management of the DH. Treatment of DH should start with an accurate diagnosis. Differential diagnosis should be made and all other probable causes should be excluded. An often neglected phase of clinical management of DH is the identification and treatment of the causative factors of DH. By removing the etiological factors, the condition can be even prevented from occurring or recurring. There are various treatment modalities available which can be used at home or may be professionally applied. The "at home" desensitizing agents include toothpastes, mouthwashes or chewing gums and they act by either occluding the dentinal tubules or blocking the neural transmission. This article also discusses the recent treatment options like bioglass, Portland cement, lasers and casein phosphopeptide.

  14. In vitro evaluation of marginal microleakage of class II bonded amalgam restorations using a dentin adhesive and a glass ionomer cement Avaliação in vitro da microinfiltração marginal em restaurações de amálgama tipo classe II usando adesivo dentinário e cimento de ionômero de vidro

    Directory of Open Access Journals (Sweden)

    Edmêr Silvestre PEREIRA JÚNIOR

    1999-04-01

    Full Text Available The purpose of this study was to evaluate in vitro the effectiveness of the dentin bonding system All Bond 2 associated with Resinomer (Bisco, and of Vitrebond (3M glass ionomer cement fresh-mixed, both used in the bonded amalgam technique, to prevent short-term microleakage in class II cavities restored with Dispersalloy (Dentsply, an admixed alloy. The control group utilized the Copalite (Cooley & Cooley varnish. Forty five sound human extracted premolars were used. Class II cavity preparations were made on the mesial and distal surfaces of non-carious teeth, with the gingival margins wall established 1mm under the cementum enamel junction. The specimens were divided randomly into three groups with thirty cavities in each group. The teeth were stored in distilled water for 24 hours and were thermocyled through 500 cycles in distilled water between 5°C and 55°C with a dwell time of 15 seconds. The apices and roots of the teeth were sealed. They were placed in a 37°C bath of 0.5% basic fuchsin dye for 24 hours. The teeth were washed in tap water for 24 hours and cut. The microleakage scores per restoration were averaged and three values of various test groups were subjected to the Kruskal-Wallis and Dunn test at a significance level of p O objetivo deste estudo foi avaliar in vitro a efetividade na prevenção da microinfiltração do sistema adesivo All Bond 2 associado ao Resinomer (Bisco, e do cimento de ionômero de vidro Vitrebond (3M, sem polimerização, em amálgama adesivo classe II, restauradas com Dispersalloy (Dentsply. No grupo controle utilizou-se o verniz cavitário Copalite (Cooley & Cooley. Para tanto, 45 pré-molares humanos íntegros e extraídos, com finalidade ortodôntica, receberam cavidades classe II, sendo uma na face mesial e outra na face distal de cada dente, com a parede cervical localizada a 1mm além da junção cemento-esmalte, sendo 30 cavidades em cada grupo. Após as restaurações os dentes foram estocados

  15. Influence of operating microscope in the sealing of cervical perforations

    Directory of Open Access Journals (Sweden)

    Bruna Schwingel Schmidt

    2016-01-01

    Full Text Available Context: Accidental root canal perforations are among the main complications of endodontic treatment. Aim: This study evaluated the influence of operating microscope (OM in the marginal adaptation of mineral trioxide aggregate (MTA (Angelus® and glass ionomer (Vitremer inserted into cervical perforations. Materials and Methods: Perforations were made in the cervical third of the buccal wall of the root canal in mandibular incisors. Next, the teeth were divided into four groups (N = 10: MG - MTA without OM; VG - Vitremer without OM; MOMG - MTA with OM; VOMG - Vitremer with OM. The perforations were sealed according to the group and the teeth were prepared for analysis by confocal laser scanning microscope. Images of perforation region (1,024Χ were made and the gap presented by the materials was measured using the Image J program. LEXT OLS4100 three dimensional (3D measuring laser microscope measured the volumetric misfit. Data of gap were analyzed by Kruskal-Wallis and Dunn′s tests. Analysis of variance (ANOVA and Tukey′s tests compared the volumetric misfits. Results: The results showed lower volume and gap in the interface dentin/material in VOMG compared to the other groups (P < 0.05. Conclusion: The use of OM improved the quality of cervical perforations sealed with Vitremer, being indicated in clinical situations of iatrogenic cervical perforations.

  16. Dentin matrix protein 1 and dentin sialophosphoprotein in human sound and carious teeth: an immunohistochemical and colorimetric assay

    Directory of Open Access Journals (Sweden)

    D. Martini

    2013-10-01

    Full Text Available Dentin matrix protein 1 (DMP1 and dentin sialophosphoprotein (DSPP are extracellular matrix proteins produced by odontoblasts involved in the dentin mineralization. The aim this study was to compare the distribution of DMP1 and DSPP in human sound dentin vs human sclerotic dentin. Sixteen sound and sixteen carious human molars were selected, fixed in paraformaldehyde and processed for immunohistochemical detection of DMP1 and DSPP by means of light microscopy, transmission electron microscopy (TEM and high-resolution field emission in-lens scanning electron microscopy (FEI-SEM. Specimens were submitted to a pre-embedding or a post-embedding immunolabeling technique using primary antibodies anti DMP1 and anti-DSPP and gold-conjugated secondary antibodies. Other samples were processed for the detection of DMP1 and DSPP levels. Dentin from these samples was mechanically fractured to powder, then a protein extraction and a protein level detection assay were performed. DMP1 and DSPP were more abundant in carious than in sound samples. Immunohistochemical analyses in sclerotic dentin disclosed a high expression of DMP1 and DSPP inside the tubules, suggesting an active biomineralization of dentin by odontoblasts. Furthermore, the detection of small amounts of these proteins inside the tubules far from the carious lesion, as shown in the present study, is consistent with the hypothesis of a preventive defense of all dentin after a noxious stimulus has undermined the tooth.

  17. Dentin matrix protein 1 and dentin sialophosphoprotein in human sound and carious teeth: an immunohistochemical and colorimetric assay.

    Science.gov (United States)

    Martini, D; Trirè, A; Breschi, L; Mazzoni, A; Teti, G; Falconi, M; Ruggeri, A

    2013-10-29

    Dentin matrix protein 1 (DMP1) and dentin sialophosphoprotein (DSPP) are extracellular matrix proteins produced by odontoblasts involved in the dentin mineralization. The aim this study was to compare the distribution of DMP1 and DSPP in human sound dentin vs human sclerotic dentin. Sixteen sound and sixteen carious human molars were selected, fixed in paraformaldehyde and processed for immunohistochemical detection of DMP1 and DSPP by means of light microscopy, transmission electron microscopy (TEM) and high-resolution field emission in-lens scanning electron microscopy (FEI-SEM). Specimens were submitted to a pre-embedding or a post-embedding immunolabeling technique using primary antibodies anti DMP1 and anti-DSPP and gold-conjugated secondary antibodies. Other samples were processed for the detection of DMP1 and DSPP levels. Dentin from these samples was mechanically fractured to powder, then a protein extraction and a protein level detection assay were performed. DMP1 and DSPP were more abundant in carious than in sound samples. Immunohistochemical analyses in sclerotic dentin disclosed a high expression of DMP1 and DSPP inside the tubules, suggesting an active biomineralization of dentin by odontoblasts. Furthermore, the detection of small amounts of these proteins inside the tubules far from the carious lesion, as shown in the present study, is consistent with the hypothesis of a preventive defense of all dentin after a noxious stimulus has undermined the tooth.

  18. Get Tested for Cervical Cancer

    Science.gov (United States)

    ... Cervical Cancer Print This Topic En español Get Tested for Cervical Cancer Browse Sections The Basics Overview ... be cured. How often should I get screened (tested)? How often you should get screened for cervical ...

  19. Cervical cancer - screening and prevention

    Science.gov (United States)

    Cancer cervix - screening; HPV - cervical cancer screening; Dysplasia - cervical cancer screening ... Almost all cervical cancers are caused by HPV (human papilloma virus). HPV is a common virus that spreads through sexual contact. Certain ...

  20. Treatment Option Overview (Cervical Cancer)

    Science.gov (United States)

    ... Cancer Prevention Cervical Cancer Screening Research Cervical Cancer Treatment (PDQ®)–Patient Version General Information About Cervical Cancer ... Certain factors affect prognosis (chance of recovery) and treatment options. The prognosis (chance of recovery) depends on ...

  1. Cervical Total Disc Arthroplasty

    OpenAIRE

    Basho, Rahul; Hood, Kenneth A.

    2012-01-01

    Symptomatic adjacent segment degeneration of the cervical spine remains problematic for patients and surgeons alike. Despite advances in surgical techniques and instrumentation, the solution remains elusive. Spurred by the success of total joint arthroplasty in hips and knees, surgeons and industry have turned to motion preservation devices in the cervical spine. By preserving motion at the diseased level, the hope is that adjacent segment degeneration can be prevented. Multiple cervical disc...

  2. Preventing cervical cancer globally.

    Science.gov (United States)

    Schmeler, Kathleen M

    2012-11-01

    Cervical cancer is one of the leading causes of cancer and cancer-related deaths among women worldwide. More than 85% of cases and deaths occur in the developing world where the availability of effective screening is limited. In this issue of the journal, Pierce and colleagues (beginning on page 1273) describe a novel technique using a high-resolution microendoscope (HRME) to diagnose cervical dysplasia. This perspective reviews the limitations of existing cervical cancer screening methods currently in use in low-resource settings and the potential for HRME imaging to contribute to cervical cancer prevention in the developing world.

  3. Staining of dentin from amalgam corrosion is induced by demineralization

    NARCIS (Netherlands)

    J.D. Scholtanus; W. van der Hoorn; M. Özcan; M.C.D.N.J.M. Huysmans; J.F.M. Roeters; C.J. Kleverlaan; A.J. Feilzer

    2013-01-01

    PURPOSE: To evaluate the effect of artificial demineralization upon color change of dentin in contact with dental amalgam. METHODS: Sound human molars (n = 34) were embedded in resin and coronal enamel was removed. Dentin was exposed to artificial caries gel (pH 5.5) at 37 degrees C for 12 weeks (n

  4. Staining of dentin from amalgam corrosion is induced by demineralization

    NARCIS (Netherlands)

    Scholtanus, Johannes D.; van der Hoorn, Wietske; Huysmans, Marie-Charlotte D. N. J. M.; Roeters, Joost F. M.; Kleverlaan, Cornelis J.; Feilzer, Albert J.; Ozcan, Mutlu

    2013-01-01

    Purpose: To evaluate the effect of artificial demineralization upon color change of dentin in contact with dental amalgam. Methods: Sound human molars (n= 34) were embedded in resin and coronal enamel was removed. Dentin was exposed to artificial caries gel (pH 5.5) at 37 degrees C for 12 weeks (n=

  5. Polymerization contraction stress in dentin adhesives bonded to dentin and enamel

    NARCIS (Netherlands)

    M. Hashimoto; A.J. de Gee; A.J. Feilzer

    2008-01-01

    Objective In a previous study on of polymerization contraction stress determinations of adhesives bonded to dentin a continuous decline of stress was observed after the adhesives had been light-cured. The decline was ascribed to stress relief caused by diffusion into the adhesive layer of water and/

  6. A COMPARATIVE EVALUATION OF BOND - STRENGTH BETWEEN NORMAL DENTIN AND CARIES AFFECTED DENTIN: AN INVITRO STUDY

    Directory of Open Access Journals (Sweden)

    Arun

    2015-03-01

    Full Text Available INTRODUCTION: The concept of adhesive dentistry has taken leaps forward and has resulted in a concept of more conservation of tooth structure which in turn enhance the life of teeth. The bonding agent forms a hybrid layer with dentin and its other side co - polymerize with the matrix p hase of dental composite, producing strong micro - mechanical bonding. AIMS AND OBJECTIVE: To evaluate the bond strength of adhesive agent to normal dentin and caries affected dentin and also to compare the bond strength between different bonding agents. METHOD: 20 mandibular molar were collected, washed and stored in normal saline. Each tooth was cut longitudinally. Healthy tooth structure of each half of the tooth represents the control group and the carious portion of the same tooth represents as experi mental group. Thus, 80 samples were prepared. The groups were then further subdivided into 4 sub - groups of 4 different bonding agents. The dentin surface of all the sub groups were etched by 37% of phosphoric acid gel for 10 - 15 secs and respective bonding agent were used and cured for 20 secs. Cylindrical composite resin was prepared using a plastic module of internal diameter of 3mm and length 5mm. Statistical analysis was done using mean standard deviation (S.D, student ‘t’ test and level of significance ‘P’. RESULTS: For both the control and experimental group, 3M single bond has showed the strongest bond strength followed by Prime and Bond NT, Excite and PQ1.

  7. Avaliação do tratamento da discopatia degenerativa cervical pela artrodese via anterior utilizando placas associadas a cages ou cages em peek isoladamente Evaluación del tratamiento de la enfermedad degenerativa del disco cervical por la artrodesis anterior utilizando placas asociadas con jaulas o jaulas en peec, aisladamente Evaluation of cervical degenerative disc disease treatment by anterior arthrodesis using plates associated with cages or cages in peek alone

    OpenAIRE

    André Rafael Hübner; Marcelo Ribeiro Mendes; Jean Carlo Frigotto Queruz; Jean Marcel Dambrós; Álvaro Diego Heredia Suárez; Leandro de Freitas Spinelli

    2011-01-01

    OBJETIVOS: Avaliar comparativamente o tratamento da discopatia degenerativa cervical por discectomia e artrodese cervical via anterior utilizando placas associadas a cages ou cages em PEEK isoladamente. MÉTODOS: Foi realizado um estudo retrospectivo comparativo entre dois grupos de pacientes operados pela técnica de discectomia e artrodese cervical via anterior. Foram selecionados aleatoriamente 70 pacientes, 35 operados com o método de fixação com placas associadas a cages - denominado Grupo...

  8. Restoration of non-carious cervical lesions with ceramic inlays: A possible model for clinical testing of adhesive cements

    OpenAIRE

    Michal Staninec; Tsuji, Grant H.

    2012-01-01

    Introduction: There are many luting cements coming to market which claim to be adhesive, but there is no clinical protocol currently for testing these claims. There is a standardized protocol for testing direct restorations bonded to dentin and it is used extensively. Case Report: We describe a clinical procedure for restoring a non-carious cervical lesion (NCCL) with a ceramic inlay using Computer-Aided Design and Computer-Aided Manufacturing (CAD-CAM) technology and an adhesive resin cement...

  9. Tertiary Dentin Formation after Indirect Pulp Capping Using Protein CPNE7.

    Science.gov (United States)

    Choung, H W; Lee, D S; Lee, Ji-Hyun; Shon, W J; Lee, Jong-Ho; Ku, Y; Park, J C

    2016-07-01

    If there is a partial loss of dentin, the exposed dentinal surface should be protected by an indirect pulp capping (IPC) procedure to preserve pulp vitality and prevent symptoms of dentin hypersensitivity. In our previous study, copine7 (CPNE7) induced odontoblast differentiation in vitro and promoted dentin formation in vivo. The aim of this study was to investigate the possibility of IPC therapy using the CPNE7 protein at the exposed dentinal surface and the resulting effects on tertiary dentin formation in a beagle model. CPNE7 promoted mineralization of odontoblasts and had high calcium ion-binding capacity. The in vivo IPC model with canine teeth showed that regeneration of physiologic reactionary dentin with dentinal tubule structures was clearly observed beneath the remaining dentin in the CPNE7 group, whereas irregular features of reparative dentin were generated in the mineral trioxide aggregate (MTA) group. The CPNE7+MTA group also showed typical reactionary dentin without reparative dentin, showing synergistic effects of CPNE7 with MTA. A scanning electron microscopy analysis showed that dentinal tubules beneath the original dentin were occluded by the deposition of peritubular dentin in the CPNE7 and CPNE7+MTA groups, whereas those in the control group were opened. Therefore, CPNE7 may be able to serve as a novel IPC material and improve symptoms of dentin hypersensitivity. PMID:27013639

  10. Thermal effects of different lasers and dentine

    International Nuclear Information System (INIS)

    Introduction: Irradiation of dental tissue with laserlight leads to development of high temperatures and in this way to partly important damage. The purpose of this study was to assess development of temperature in dentin illuminated with different types of lasers. Material and methods: human teeth were cut horizontally into slices of 0.5, 1.0, 1.5 and 2.0 mm thickness. They were irradiated for 25 seconds. Every five seconds temperature was measured with a thermo-measuring instrument placed at the bottom of the platelets. Er:YAG-, Nd:YAG-, Dioden- and CO2-laser were examined. All together 528 platelets were illuminated. Results: temperatures between 19.3 degree C and 51.1 degree C were measured. There was a rise in temperature with increasing power output of laser. With 1.3 degree C the diodenlaser showed the lowest increase in temperature. There was also a rise in temperature when time of irradiation was extended. At 25 seconds temperature increased about 4.5 degree C working with diodenlaser and 14 degree C with CO2-laser. This increment was more evident in thinner platelets, what can be demonstrated most impressive with Er:YAG-laser. At 0.5 mm thickness we found an increase in temperature of 10.8 degree C, at 2.0 mm of 4.7 degree C. Independent of irradiation time all lasers demonstrated a decrease in temperature with growing thickness of dentin. Conclusion: development of temperature in dental tissue irradiated with several types of lasers shows a dependency from the following factors: 1. temperature rises with augmentation of laser output, 2. temperature rises when time of irradiation is extended, 3. temperature falls with growing thickness of platelets. Further the results demonstrate, that carefully treatment of dentin without pulp damage is most likely possible working with Diodenlaser and Er:YAG-laser. (author)

  11. Diagnosis of Dentin Caries – Ultraviolet Fluorescence

    Directory of Open Access Journals (Sweden)

    Uzunov Ts.

    2014-12-01

    Full Text Available The technology advance in recent years determines the need of construction of modern appliances for early diagnosis of dental caries, which are categorized by great precision, non-invasiveness, easy usage and wide availability. Such non-invasive and accurate tool for diagnostics of caries is Caries Detector (LED, Bulgarian product by “Optica Laser”. The detector emits a specific wavelength of near ultraviolet light, which causes fluorescence to porphyrins - metabolic products of the life cycle of caries-inducing bacteria. The purpose of the study is piloting a new diagnostic tool for detection and monitoring of caries excavation based on fluorescence - LED UV caries detector of company “Optica laser”. Subjected to examination by caries indicator dye and UV caries detector were sixty permanent teeth with deep dentine caries. Two methods were used to assess the dentin caries - UV fluorescence detector of “Optica Laser” and staining with caries indicator - dye (Sable ™ Seek®. It was found that among all sixty teeth, the fields, closed by margins of carious process overlap. Fifty-four of tested teeth has shown bigger field of images with staining method and six - smaller in comparison to the fluorescent method. Ultraviolet fLuorescence caries detector of “Optica Laser” company is affordable and easy applicable method for controlled excavation of dentine caries. The detector can be used in daily dental practice equally with other methods. The unit has a number of advantages - non-invasiveness, lack of interaction with tooth structures, speed, reliability, efficiency, predictability and repeatability of results.

  12. Radiological case: cervical teratoma

    OpenAIRE

    Macedo, F.

    2011-01-01

    We present a case of a third trimester fetus with a cervical mass. Fetal MRI was performed to better evaluate the extension of the mass and the risk of obstruction of the airway in the neonatal period. MRI is very useful in the evaluation of fetal cervical masses.

  13. CDC's Cervical Cancer Study

    Science.gov (United States)

    ... in Cancer Moonshot Stay Informed CDC’s Cervical Cancer Study Language: English Español (Spanish) Recommend on Facebook Tweet ... year. As part of CDC’s Cervical Cancer (Cx3) Study, we surveyed a sample of both health care ...

  14. Protein-apatite interactions in dentine

    OpenAIRE

    Boonstra, Willem Douwe

    2008-01-01

    In the last few decades in the whole western world a decline of enamel caries has been observed. This decrease is an immediate result of the apllication of fluorides, of improved eating habits and of a growing dental care. All these factors have resulted in a longer maintenance of the natural dentition by a large fraction of the population. In consequence of this, an increase of root caries as a result of gingival recession has come to the forefront. The roots of teeth consisting of dentine w...

  15. Bond strength and fracture analysis between resin cements and root canal dentin.

    Science.gov (United States)

    Lopes, Guilherme Carpena; Ballarin, Andressa; Baratieri, Luiz N

    2012-04-01

    The aim of this research is to evaluate bond strength between translucent fibre posts (White Post DC, FGM or FRC Postec Plus, Ivoclar/Vivadent) and intraradicular dentin at three different levels (cervical, middle and apical) using a dual-cure (AllCem, FGM) or self-curing (Multilink, Ivoclar/Vivadent) resin cement. Also, the fracture type after push-out test was analysed under SEM. Thirty-two extracted single-root teeth were selected. After undergoing endodontic therapy, they were randomly divided into four groups according to their post type and resin cement. Root canals were etched using 37% phosphoric acid, and Excite DSC adhesive (Ivoclar/Vivadent) was applied in all groups. The root was sectioned to obtain nine 1-mm-thick slices (three per third: coronal, middle, apical). All slices were subjected to push-out tests. Data were analysed using two-way anova. The mean bond strengths vary from 6.6 (4.6) MPa [apical] to 11.9 (5.9) MPa [cervical]. There were no significant differences between groups. Pearson χ(2)-test revealed significant differences in fracture types for all groups (P < 0.0001). The apical third had the lowest bond strengths and it was also shown to be the most critical region for luting fibre posts. PMID:22432821

  16. Effect of calcium hydroxide dressing on push-out bond strength of endodontic sealers to root canal dentin

    Directory of Open Access Journals (Sweden)

    Flávia Angélica Guiotti

    2014-01-01

    Full Text Available The aim of the present study was to evaluate the effect of calcium hydroxide dressing on the bond strength of three commercially available endodontic sealers (MTA Fillapex, Sealapex, and AH Plus to root canal dentin. Sixty slices of extracted human canines were obtained from cervical, middle, and apical root thirds. Root canals were standardized and specimens were filled and divided into six groups (n = 10: G1, MTA Fillapex; G2, Sealapex; and G3, AH Plus, with prior application of calcium hydroxide dressing; and G4, G5 and G6, without prior application of intracanal dressing. After 7 days, specimens were submitted to a push-out test. The data obtained were analyzed using the ANOVA and Tukey tests (a = 5%. Fracture modes were classified as adhesive, cohesive or mixed. The results of sealer bond strength to root canal dentin varied according to the sealer, root third and prior dressing application. Overall, calcium hydroxide dressing reduced bond strength in all root thirds, but the reduction was significant only for AH Plus, at the cervical (3.25 ± 1.69 and apical (4.43 ± 1.65 thirds (p 0.05. In conclusion, the calcium hydroxide dressing only had a negative effect on the bond strength of AH Plus, at the cervical and apical thirds. On the other hand, the bond strength values for MTA Fillapex and Sealapex were lower than those for AH Plus and, whereas the mixed failure mode predominated for AH Plus, the adhesive failure mode predominated for MTA Fillapex and Sealapex.

  17. Avaliação morfológica da união entre adesivo/resina composta e dentina irradiada com laser Er:YAG e laser Nd:YAG: estudo comparativo por microscopia de varredura Morphological evaluation of the bonding between adhesive/composite resin and dentin irradiated with Er:YAG and Nd:YAG lasers: comparative study using scanning microscopy

    OpenAIRE

    Oda, Margareth; Denise Cerqueira OLIVEIRA; LIBERTI Edson Aparecido

    2001-01-01

    Desde a introdução de sistemas adesivos nos procedimentos restauradores com materiais estéticos, tem-se estudado de forma abrangente o tipo de tratamento na superfície dentinária para se consagrar uma técnica ideal. A utilização do ácido fosfórico a 37% sobre a dentina é atualmente ainda o método que mais se domina em termos de adesividade. Porém, métodos de tratamento alternativos, na dentina, têm sido discutidos na literatura, entre eles a aplicação de alguns tipos de irradiação a laser. O ...

  18. Micromechanical testing of the dentin hybrid zone formed by all-in-one adhesive system in sound human dentin

    Science.gov (United States)

    Koytchev, E.; Datcheva, M.; Iankov, R.

    2015-10-01

    This study explored the spatial variations in mechanical behavior of the dentin hybrid layer formed by a single step (one bottle) dentin adhesive system. Objective. The objectives were to: (1) evaluate the mechanical behavior of the hybrid zone formed by a single sep dentin adhesive system using nanoindentation technique, (2) compare the indentation moduli (EIT) and indentation hardness (HIT) of human dentin and the hybrid zone, and (3) assess the importance of specimen hydration on the nanoindentation response. Methods. Specimens of human dentin, treated with commercial single step resin adhesive and restored with composite material were evaluated using a nanoindenter in a load-displacement control mode. The load and displacement responses were used to perform nanoindentation characterization of dentin and the hybrid layer and estimate EIT and HIT, using Oliver & Pharr approximation method. Results. In hydrated state, EIT for dentin and hybrid layer were 18.214 ± 1.30 GPa and 12.535 ± 0.19 GPa respectively. For HIT, also in hydrated state, the values in dentin and hybrid layer were 0.56 ± 0.06 GPa and 0.36 ± 0.005 GPa respectively. Viscoelastic deformation of the dentin hybrid zone exceeded that occuring in regions of uniform dentin tissue. The load displacement curves of the two zones were also estimated and analyzed. They generally follow the same pattern without any noticeable pop-ins or irregularities. Significance. The microstructure and hydration play critical roles on the mechanical behavior of the hybrid layer and nanoindentation provides a potent measurment tool for identifying the spatial variations.

  19. The distribution of magnesium in developing rat incisor dentin

    International Nuclear Information System (INIS)

    Previous studies have shown that rat incisor dentin contains a considerable amount of magnesium that is distributed heterogeneously. The cementum-related dentin, especially its incisal portion, is richest in magnesium. It was the purpose of the present study to investigate the changes that occur in the magnesium content during dentin maturation. Cross-sections were prepared from rat incisors at the apical, middle, and incisal levels. By means of an electron microprobe, tracings were made of the Ca-, Mg-, and P- signal frequencies. Comparison of corresponding dentin layers within and between the cross-sections showed that the Mg/P molar ratio was always higher in the cementum-related dentin (CRD) than in the enamel-related dentin (ERD) and increased from the apex toward the incisal edge. Especially in the incisal cross-section, an increase in Mg/P was found from the older (peripheral) toward the younger (central) dentin layers. As the Mg/P ratio varied from 0.07 to 0.33, the Ca/P ratio was found to fluctuate from 1.48 to 1.15. The two ratios appeared to be highly correlated (r = -0.97; p less than 0.001), suggesting that Mg replaces Ca and is bound to phosphate

  20. Characterization of Dentine to Assess Bond Strength of Dental Composites

    Directory of Open Access Journals (Sweden)

    Saad Liaqat

    2015-04-01

    Full Text Available This study was performed to develop alternating dentine adhesion models that could help in the evaluation of a self-bonding dental composite. For this purpose dentine from human and ivory was characterized chemically and microscopically before and after acid etching using Raman and SEM. Mechanical properties of dentine were determined using 3 point bend test. Composite bonding to dentine, with and without use of acid pre-treatment and/or the adhesive, were assessed using a shear bond test. Furthermore, micro gap formation after restoration of 3 mm diameter cavities in dentine was assessed by SEM. Initial hydroxyapatite level in ivory was half that in human dentine. Surface hydroxyapatites decreased by approximately half with every 23 s of acid etch. The human dentine strength (56 MPa was approximately double that of ivory, while the modulus was almost comparable to that of ivory. With adhesive use, average shear bond strengths were 30 and 26 MPa with and without acid etching. With no adhesive, average bond strength was 6 MPa for conventional composites. This, however, increased to 14 MPa with a commercial flowable “self–bonding” composite or upon addition of low levels of an acidic monomer to the experimental composite. The acidic monomer additionally reduced micro-gap formation with the experimental composite. Improved bonding and mechanical properties should reduce composite failures due to recurrent caries or fracture respectively.

  1. Carbodiimide inactivation of MMPs and effect on dentin bonding.

    Science.gov (United States)

    Mazzoni, A; Apolonio, F M; Saboia, V P A; Santi, S; Angeloni, V; Checchi, V; Curci, R; Di Lenarda, R; Tay, F R; Pashley, D H; Breschi, L

    2014-03-01

    The use of protein cross-linking agents during bonding procedures has been recently proposed to improve bond durability. This study aimed to use zymography and in situ zymography techniques to evaluate the ability of 1-ethyl-3-(3-dimethylaminopropyl) carbodiimide (EDC) cross-linker to inhibit matrix metalloproteinase (MMP) activity. The hypotheses tested were that: (1) bonding procedures increase dentin gelatinolytic activity and (2) EDC pre-treatment prevents this enzymatic activity. The zymographic assay was performed on protein extracts obtained from dentin powder treated with Optibond FL or Scotchbond 1XT with or without 0.3M EDC pre-treatment. For in situ zymography, adhesive/dentin interfaces were created with the same adhesives applied to acid-etched dentin slabs pre-treated or not with EDC conditioner. Zymograms revealed increased expression of dentin endogenous MMP-2 and -9 after adhesive application, while the use of EDC as a primer inactivated dentin gelatinases. Results of in situ zymograpy showed that hybrid layers of tested adhesives exhibited intense collagenolytic activity, while almost no fluorescence signal was detected when specimens were pre-treated with EDC. The correlative analysis used in this study demonstrated that EDC could contribute to inactivate endogenous dentin MMPs within the hybrid layer created by etch-and-rinse adhesives. PMID:24334409

  2. MRI and PET Imaging in Predicting Treatment Response in Patients With Stage IB-IVA Cervical Cancer

    Science.gov (United States)

    2016-06-24

    Cervical Adenocarcinoma; Cervical Adenosquamous Carcinoma; Cervical Squamous Cell Carcinoma; Cervical Undifferentiated Carcinoma; Recurrent Cervical Carcinoma; Stage IB2 Cervical Cancer; Stage IIA Cervical Cancer; Stage IIB Cervical Cancer; Stage IIIA Cervical Cancer; Stage IIIB Cervical Cancer; Stage IVA Cervical Cancer

  3. Light propagation in dentin: influence of microstructure on anisotropy

    International Nuclear Information System (INIS)

    We investigated the dependence of light propagation in human dentin on its microstructure. The main scatterers in dentin are the tubules, the shape of which can be approximated as long cylinders. We calculated the scattering of electromagnetic waves by an infinitely long cylinder and applied the results in a Monte Carlo code that simulates the light propagation in a dentin slab considering multi-scattering. The theory was compared with goniometric measurements. A pronounced anisotropic scattering pattern was found experimentally and theoretically. In addition, intensity peaks were measured which are shown to be caused by light diffraction by the tubules. (note)

  4. Increment thickness versus dentin bond strength of bulk fill flowables

    OpenAIRE

    Flury, Simon; Peutzfeldt, Anne; Lussi, Adrian

    2013-01-01

    Objectives: The aim was to investigate the influence of increment thickness on shear bond strength (SBS) to dentin of a conventional and two bulk fill flowable composites. Methods: A total of 135 specimens of ground human dentin were produced (n=15/group; 3 increment thicknesses; 3 flowable composites) and the dentin surfaces were treated with the adhesive system OptiBond FL (Kerr) according to manufacturer’s instructions. Split Teflon molds (inner diameter: 3.6 mm) of 2 mm, 4 mm, or 6 mm...

  5. Dentin hypersensitivity: etiology, diagnosis and treatment; a literature review.

    Science.gov (United States)

    Davari, Ar; Ataei, E; Assarzadeh, H

    2013-09-01

    The objective of this review is to inform practitioners about dentin hypersensitivity (DH); to provide a brief overview of the diagnosis, etiology and clinical management of dentin hypersensitivity and to discuss technical approaches to relieve sensitivity. This clinical information is described in the context of the underlying biology. The author used PUBMED to find relevant English-language literature published in the period 1999 to 2010. The author used combinations of the search terms "dentin*", "tooth", "teeth", "hypersensit*", "desensitiz*". Abstracts and also full text articles to identify studies describing etiology, prevalence, clinical features, controlled clinical trials of treatments and relevant laboratory research on mechanisms of action were used. PMID:24724135

  6. Shear bond strength of two resin cements to human root dentin using three dentin bonding agents.

    Science.gov (United States)

    Gogos, C; Stavrianos, C; Kolokouris, I; Economides, N; Papadoyannis, I

    2007-01-01

    This study compared the bond strength of two resin cements to human root dentin when used with three bonding agents. The materials used were Rely X ARC and Perma Cem, two one-bottle bonding agents (Single Bond, Bond-1) and one self-etching bonding agent (Clearfil SE Bond). The dentin was obtained from single rooted human teeth, and the specimens were treated with either 15% EDTA or 37% phosphoric acid to remove the smear layer, except in groups where the self-etching bonding agent was used. The resin cements were placed on dentin surfaces with the use of bonding agents. Shear bond strength (SBS) was tested using a single plane shear test assembly. The dentin specimens were divided into 10 groups. Eight groups were pre-treated with EDTA or phosphoric acid to remove the smear layer, followed by a bonding agent (Bond-1 or Single Bond) and resin cement (Rely X or Perma Cem). In the two remaining groups, the smear layer was left intact, and the two resins cements were used in combination with the self-etching bonding agent (Clearfil SE Bond). No statistically significant differences were observed among the eight groups treated with one-bottle bonding agents. The mean bond strengths of the two groups treated with the self-etching bonding agent did not differ significantly from each other but were both significantly greater than the bond strengths of all the other groups. The results of this study also showed that EDTA can be used as an alternative to phosphoric acid in bonding procedures for resin cements. However, the bond strengths of resin cements, in combination with a self-etching bonding agent, were significantly greater than those of the same cements when used with one-bottle bonding agents.

  7. Influence of Immediate Dentin Sealing on the Shear Bond Strength of Pressed Ceramic Luted to Dentin with Self-Etch Resin Cement

    Directory of Open Access Journals (Sweden)

    Robert Dalby

    2012-01-01

    Full Text Available Objectives. To examine the effect of immediate dentin sealing (IDS, with dentin bonding agents (DBAs applied to freshly cut dentin, on the shear bond strength of etched pressed ceramic luted to dentin with RelyX Unicem (RXU cement. Method. Eighty extracted noncarious third molars were ground flat to expose the occlusal dentin surfaces. The teeth were randomly allocated to five groups (A to E of sixteen teeth each. Groups A to D were allocated a dentin bonding agent (Optibond FL, One Coat Bond, Single Bond, or Go! that was applied to the dentin surface to mimic the clinical procedure of IDS. These specimen groups then had etched glass ceramic discs (Authentic luted to the sealed dentin surface using RXU. Group E (control had etched glass ceramic discs luted to the dentin surface (without a dentin bonding agent using RXU following the manufacturer’s instructions. All specimens were stored for one week in distilled water at room temperature and then shear stressed at a constant cross-head speed of 1 mm per minute until failure. Statistical analysis was performed by ANOVA followed by post hoc Tukey HSD method (0.05 in the SBS between the test groups (A–D or the control (group E. Conclusion. IDS using the dentin bonding agents tested does not statistically (>0.05 affect the shear bond strength of etched pressed ceramic luted to dentin with RXU when compared to the control.

  8. Role of Dentin Compositional Changes and Structural Loss on Fracture Predilection in Endodontically Treated Teeth

    Science.gov (United States)

    Ossareh, Arezou

    The aim of this study was to examine the role of chemical compositional changes and iatrogenic dentin structural loss on the mechanical response of teeth to force and resistance to fracture. The experiments were divided into three phases. In phase 1, experimental studies were performed to evaluate the effect of chemicals used during treatment on ultrastructure, composition and resistance to fracture of dentin. In phase 2, experimental studies were used to evaluate the influence of dentin removal and remaining dentin volume on the resistance to fracture and microcrack formation in root dentin. In phase 3 finite element analysis was carried out to examine the influence of dentin loss on the stress distribution in root dentin. The combination of experimental and numerical analysis highlighted the role of remaining dentin volume and moment of inertia on root dentin biomechanics.

  9. Immunotherapy for Cervical Cancer

    Science.gov (United States)

    In an early phase NCI clinical trial, two patients with metastatic cervical cancer had a complete disappearance of their tumors after receiving treatment with a form of immunotherapy called adoptive cell transfer.

  10. Role of Alcohol on the Fracture Resistance of Dentin

    Energy Technology Data Exchange (ETDEWEB)

    Nalla, Ravi K.; Kinney, John H.; Tomsia, Antoni P.; Ritchie,Robert O.

    2006-05-01

    Healthy dentin, the mineralized tissue that makes up the bulk of the tooth, is naturally hydrated in vivo; however, it is known that various chemical reagents including acetone and ethanol can induce dehydration and thereby affect its properties. Here, we seek to investigate this in light of the effect alcohol can have on the mechanical properties of dentin, specifically by measuring the stiffness, strength and toughness of dentin in simulated body fluid and scotch whisky. Results indicate that chemical dehydration induced by the whisky has a significant beneficial effect on the elastic modulus, strength and fracture toughness of dentin. Although this makes teeth more resistant to fracture, the change in properties is fully reversible upon rehydration. This effect is considered to be associated with increased cross-linking of the collagen molecules from intermolecular hydrogen-bonding where water is replaced with weaker hydrogen-bond forming solvents such as alcohol.

  11. Growth Factor Liberation and DPSC Response Following Dentine Conditioning.

    Science.gov (United States)

    Sadaghiani, L; Gleeson, H B; Youde, S; Waddington, R J; Lynch, C D; Sloan, A J

    2016-10-01

    Liberation of the sequestrated bioactive molecules from dentine by the action of applied dental materials has been proposed as an important mechanism in inducing a dentinogenic response in teeth with viable pulps. Although adhesive restorations and dentine-bonding procedures are routinely practiced, clinical protocols to improve pulp protection and dentine regeneration are not currently driven by biological knowledge. This study investigated the effect of dentine (powder and slice) conditioning by etchants/conditioners relevant to adhesive restorative systems on growth factor solubilization and odontoblast-like cell differentiation of human dental pulp progenitor cells (DPSCs). The agents included ethylenediaminetetraacetic acid (EDTA; 10%, pH 7.2), phosphoric acid (37%, pH pulps is concerned. PMID:27307049

  12. Cervical motion segment replacement

    OpenAIRE

    Bryan, Vincent E.

    2002-01-01

    When symptoms bring to light a cervical spine degenerative disc process that requires surgical intervention, a symptom relieving procedure such as decompression, followed by functional restoration, arthroplasty, offers the benefit of prophylaxis of accelerated spondylosis at the operated level. In addition, by altering the biomechanical stress factors at adjacent levels, theoretically it should offer prophylactic benefit at these levels as well. The design requirements for a cervical disc pro...

  13. Analytical transmission electron microscopy of mineralised dentin

    International Nuclear Information System (INIS)

    The use of FIB milling as a TEM sample preparation tool for mineralised dentin was investigated in order to gain a better understating of the nanostructure of bone-like specimens. A clear advantage of FIB milling over ultramicrotomy, the traditional preparation route in biological systems, is that dehydration, embedding and section flotation can be obviated, thus reducing both physical and chemical damage to the specimen prior to examination. The characteristic periodic contrast of collagen fibrils is clearly visible in FIB sections without the need for any chemical staining. The nature of the organic/inorganic interface was studied using EELS and EFTEM mapping in a state-of-the-art monochromated FEG(S)TEM.

  14. Dentine hypersensitivity: analysis of self-care products

    OpenAIRE

    Cassiano Kuchenbecker Rösing; Tiago Fiorini; Diego Nique Liberman; Juliano Cavagni

    2009-01-01

    Dentine hypersensitivity is a condition that is often present in individuals, leading them to seek dental treatment. It has been described as an acute, provoked pain that is not attributable to other dental problems. Its actual prevalence is unknown, but it is interpreted as very unpleasant by individuals. Several therapeutic alternatives are available to manage dentine hypersensitivity, involving both in-office treatment and home-use products. The aim of this literature review was to evaluat...

  15. Methods for biomimetic remineralization of human dentine: A systematic review

    OpenAIRE

    Chris Ying Cao; May Lei Mei; Quan-Li Li; Edward Chin Man Lo; Chun Hung Chu

    2015-01-01

    This study aimed to review the laboratory methods on biomimetic remineralization of demineralized human dentine. A systematic search of the publications in the PubMed, TRIP, and Web of Science databases was performed. Titles and abstracts of initially identified publications were screened. Clinical trials, reviews, non-English articles, resin-dentine interface studies, hybrid layer studies, hybrid scaffolds studies, and irrelevant studies were excluded. The remaining papers were retrieved wi...

  16. Determination of some variables of human dentin for dosimetric purposes

    International Nuclear Information System (INIS)

    The initial objective of this work is to determine the atomic composition of human dentin, using various techniques of measurements such as X-Ray fluorescence, atomic absorption, spectrophotometry, volumetric analysis, chemistry, colorimetry and thermogravimetry. With the values of the effective atomic number Z bar dependent of the quality of the ionizing radiation, one can find the kind of material that can be used for a phantom equivalent to dentin. (author)

  17. Effect of Vitality on Translucent Dentine – A Study

    OpenAIRE

    M, Selvamani; G S, Madhushankari; S Basandi, Praveen; Donoghue, Mandana; Nayak, Vaidehi; Diwakar, Gajendra

    2013-01-01

    Background: Sclerosis of dentinal tubules may be a response to pathological or physiological insult in the crown & root. The mechanism by which apical translucency is produced is still uncertain. The increase in size of the apical zone of sclerotic dentin in human teeth has been used often in forensic science as a method of age estimation. However, only few studies have been done to compare percentage of translucency between vital and non-vital teeth. Conflicting concepts exist regarding the...

  18. Nanostructural changes in dentine caused by endodontic irrigants

    OpenAIRE

    Barón, Marta; Llena Puy, María Carmen; Forner Navarro, Leopoldo; Palomares Fort, María; González García, Cristina; Salmerón Sánchez, Manuel

    2013-01-01

    Objective: To study nanostructural dentinal changes produced by endodontic irrigants. Study Design: Experimental study. Nanoindentations were performed on peritubular (PD) and intertubular dentine (ID) with an atomic force microscopy. Stiffness and adhesion force were determined before and after application of 5.25% sodium hypochlorite (NaOCl) and 17% ethylenediaminetetraacetic acid (EDTA). Normalized differences before and after treatment for stiffness and adhesion forces were calculated. A ...

  19. Amalgam stained dentin: a proper substrate for bonding resin composite?

    OpenAIRE

    Feilzer, A.J.; Özcan, M.; Kleverlaan, C. J.; Scholtanus, J.D. (Hans)

    2016-01-01

    Nowadays the use of dental amalgam is mostly abandoned and substituted by tooth colored resin composites that can be bonded to teeth tissues by adhesive techniques. The aim of this thesis was to find out whether dark stained dentin, as often observed after removal of amalgam restorations and attributed to penetration of corrosion products, is an adequate substrate for bonding resin composite restorations. Previous studies revealed tin and zinc as main metals from amalgam in stained dentin and...

  20. Factors associated with dentine hypersensitivity severity in Colombian dental patients.

    OpenAIRE

    Luis López; Paola Espana; Ruth Bastidas; Jeovanni Fuelagan; Ana Cristina Mafla

    2016-01-01

    Introduction: The aim of this study was to determine the prevalence of dentine hypersensitivity (DH) and examine associated etiological factors related to the severity of DH in dental clinic patients treated at the School of Dentistry at Universidad Cooperativa de Colombia, Pasto, Colombia. Materials and Methods: A cross-sectional study was designed in which three hundred and thirty three patients aged 15 to 44 years old were assessed for the presence and severity of DH. The dentine hypersen...

  1. Analytical method to estimate resin cement diffusion into dentin

    Science.gov (United States)

    de Oliveira Ferraz, Larissa Cristina; Ubaldini, Adriana Lemos Mori; de Oliveira, Bruna Medeiros Bertol; Neto, Antonio Medina; Sato, Fracielle; Baesso, Mauro Luciano; Pascotto, Renata Corrêa

    2016-05-01

    This study analyzed the diffusion of two resin luting agents (resin cements) into dentin, with the aim of presenting an analytical method for estimating the thickness of the diffusion zone. Class V cavities were prepared in the buccal and lingual surfaces of molars (n=9). Indirect composite inlays were luted into the cavities with either a self-adhesive or a self-etch resin cement. The teeth were sectioned bucco-lingually and the cement-dentin interface was analyzed by using micro-Raman spectroscopy (MRS) and scanning electron microscopy. Evolution of peak intensities of the Raman bands, collected from the functional groups corresponding to the resin monomer (C–O–C, 1113 cm-1) present in the cements, and the mineral content (P–O, 961 cm-1) in dentin were sigmoid shaped functions. A Boltzmann function (BF) was then fitted to the peaks encountered at 1113 cm-1 to estimate the resin cement diffusion into dentin. The BF identified a resin cement-dentin diffusion zone of 1.8±0.4 μm for the self-adhesive cement and 2.5±0.3 μm for the self-etch cement. This analysis allowed the authors to estimate the diffusion of the resin cements into the dentin. Fitting the MRS data to the BF contributed to and is relevant for future studies of the adhesive interface.

  2. Effect of multi-step and single- step dentin bonding agents on the bond strength of composite to dentin

    Directory of Open Access Journals (Sweden)

    Maleknejad F

    2002-07-01

    Full Text Available Composite resin restorative materials, that nowadays are used as tooth-colour materials, have both benefits and weaknesses. One of these weaknesses is the contraction resulted from resin polymerization which influences on the composite dentin bond strength and it has been tried to be eliminated by different bonding systems. The aim of this in-vitro study was to compare the dentin bond strength of two dentine adhesive systems: multi-step Scoth Bond Multipurpose (SBMP and single- step Excite, by two composites of Ideal Makoo and Tetric. One hundred sixty (160 sound human molars were selected. At first they were debrided and mounted with acrylic resin in molds. The enamel of the buccal surface was eliminated by diamond burs. To provide a flat dentin surface, it was removed about lmm. Then, based on the type of dentin adhesive, they were divided into two groups of 30 teeth and were applied on the exposed dentine surface according to the manufacturer's instructions. Then, each group was divided into two subgroups of 15, based on the type of composite resin. Cylinders of the desired composite resin, attached to the dentin surface, were used for 80 seconds. The samples were stored in 100% humidity (37°c for 24 hours. The bond strengths was measured by a cross head blade with the speed of 2mm/min. Variance analysis and Duncan test, with 95% confidence level, showed that statistically, two factors of adhesive and composite, interact on each other, in bond strength. There was no significant difference in bond strength, between two composites with similar adhesives, however, comparing two different adhesives with the same composite, showed that the bond strength of Tetric with Excite (28.39 was more than that of SBMP (17.98 Mpa. Finally, it was recognized that among four experimental groups, there was only a significant difference in bond strengths, between Tetric-Excite with Tetric- SBMP. This study shows that dentin bond strength is influenced by

  3. Bond strength of resin modified glass ionomer cement to primary dentin after cutting with different bur types and dentin conditioning

    Directory of Open Access Journals (Sweden)

    Rebeca Di Nicoló

    2007-10-01

    Full Text Available The aim of this in vitro study was to evaluate the effect of different bur types and acid etching protocols on the shear bond strength (SBS of a resin modified glass ionomer cement (RM-GIC to primary dentin. Forty-eight clinically sound human primary molars were selected and randomly assigned to four groups (n=12. In G1, the lingual surface of the teeth was cut with a carbide bur until a 2.0-mm-diameter dentin area was exposed, followed by the application of RM-GIC (Vitremer - 3M/ESPE prepared according to the manufacturer's instructions. The specimens of G2, received the same treatment of G1, however the dentin was conditioned with phosphoric acid. In groups G3 and G4 the same procedures of G1 and G2 were conducted respectively, nevertheless dentin cutting was made with a diamond bur. The specimens were stored in distilled water at 37ºC for 24h, and then tested in a universal testing machine. SBS. data were submitted to 2-way ANOVA (= 5% and indicated that SBS values of RM-GIC bonded to primary dentin cut with different burs were not statistically different, but the specimens that were conditioned with phosphoric acid presented SBS values significantly higher that those without conditioning. To observe micromorphologic characteristics of the effects of dentin surface cut by diamond or carbide rotary instruments and conditioners treatment, some specimens were examined by scanning electron microscopy. Smear layer was present in all specimens regardless of the type of rotary instrument used for dentin cutting, and specimens etched with phosphoric acid presented more effective removal of smear layer. It was concluded that SBS of a RM-GIC to primary dentin was affected by the acid conditioning but the bur type had no influence.

  4. Anterior Cervical Spinal Surgery for Multilevel Cervical Myelopathy.

    OpenAIRE

    Jung-Ju Huang; Lih-Huei Chen; Chi-Chien Niu; Tsai-Sheng Fu; Po-Liang Lai; Wen-Jer Chen

    2004-01-01

    Background: In multilevel spinal cord compression caused by cervical spondylosis, surgeonsface the choice of performing a posterior route as a laminectomy orlaminoplasty, or an anterior route as multiple adjacent interbody decompressionsor corpectomies. The anterior cervical operation is not considered bysome clinicians because of concerns about complications and the complexityof multilevel anterior cervical surgery.Methods: In this retrospective study, 14 patients with multilevel cervical sp...

  5. Cervical syphilitic lesions mimicking cervical cancer: a rare case report

    Directory of Open Access Journals (Sweden)

    Xiaoqing Zhu

    2015-02-01

    Full Text Available A woman presented to the hospital due to postcoital vaginal bleeding. The patient was initially diagnosed with cervical carcinoma by clinicians at a local hospital. However, a biopsy of the cervical lesions revealed chronic inflammation and erosion of the cervical mucosa, and the rapid plasma reagin ratio titer was 1:256. The patient was eventually diagnosed with syphilitic cervicitis and treated with minocycline 0.1 g twice a day. The patient was cured with this treatment.

  6. Biologia molecular do câncer cervical Molecular biology of cervical cancer

    Directory of Open Access Journals (Sweden)

    Waldemar Augusto Rivoire

    2006-01-01

    Full Text Available A carcinogênese é um processo de múltiplas etapas. Alterações no equilíbrio citogenético ocorrem na transformação do epitélio normal a câncer cervical. Numerosos estudos apoiam a hipótese de que a infecção por HPV está associada com o desenvolvimento de alterações malignas e pré-malignas do trato genital inferior. Neste trabalho são apresentadas as bases para a compreensão da oncogênese cervical. O ciclo celular é controlado por proto-oncogenes e genes supressores. Quando ocorrem mutações, proto-oncogenes tornam-se oncogenes, que são carcinogênicos e causam multiplicação celular excessiva. A perda da ação de genes supressores funcionais pode levar a célula ao crescimento inadequado. O ciclo celular também pode ser alterado pela ação de vírus, entre eles o HPV (Human Papiloma Virus, de especial interesse na oncogênese cervical. Os tipos de HPV 16 e 18 são os de maior interesse, freqüentemente associados a câncer cervical e anal. O conhecimento das bases moleculares que estão envolvidas na oncogênese cervical tem sido possível devido a utilização de técnicas avançadas de biologia molecular. A associação destas técnicas aos métodos diagnósticos clássicos, poderão levar a uma melhor avaliação das neoplasias cervicais e auxiliar no desenvolvimento de novas terapias, talvez menos invasivas e mais efetivas.Carcinogenesis involves several steps. Disorders of the cytogenetic balance occur during the evolution from normal epithelium to cervical cancer. Several studies support the hypothesis that the Human Papiloma Virus (HPV infection is associated to development of premalignant and malignant lesions of cervical cancer. In this review we show the basis to understand cervical oncogenesis. The cell cycle is controlled by protooncogenes and supressive genes. This orchestrated cell cycle can be affected by virus such as HPV. Of special interest in the cervical carcinogenesis are the HPV subtypes 16 and 18

  7. Temperature changes across CO2-lased dentin during multiple exposures

    Science.gov (United States)

    Zakariasen, Kenneth L.; Barron, Joseph R.; Boran, Thomas L.

    1990-06-01

    The literature increasingly indicates that lasers will have a multitude of applications for dental hard tissue procedures, e.g. preventive therapy, caries removal, laser etching and endodontic therapy. However, it is critical that such laser therapies avoid the production of heat levels which will be damaging to the surrounding vital tissues, such as the dental pulp and periodontal tissues. Our preliminary research on temperature changes across C02 lased dentin indicated that for single preventive therapeutic exposures (1.2 W., 0. 1 sec., 1.0 mm focal spot) the mean temperature rise across 350 j.tm of dentin was 0.57 0C while across 1000 .tm of dentin the mean rise was only 0.18 °C. Further research utilizing multiple preventive therapeutic exposures (1.2 W., 0. 1 sec., 1.0 mm focal spot, 3 x 1.0 sec. intervals) showed mean temperature elevations of 1.56 0C across 350 m of dentin and 0.66 O across 1000 xm of dentin. While these temperature elevations, which would be associated with preventive therapy, are very low and would be biologically acceptable, it must be noted that exposures of higher intensities are required to fuse enamel and porcelain, or remove decay. This current research investigates temperature elevations which occuT during C02 lasing utilizing the following exposure parameters: 8.0 W., 1.0 mm focal spot, 0.1 sec. exposures, 2 or 4 exposures per site pulsed 1.0 sec. apart. Three dentin thicknesses were utilized, i.e. 1000 jim, 1500 p.tm and 2000 .tm. Four sections of each thickness were utilized with four exposure sites per specimen (2 with 2 exposures, 2 with 4 exposures). All dentin sections were prepared from non-carious third molars using a hard tissue microtome. A thermistor was placed on the dentin surface opposite each lased site and temperature changes were recorded for approximately 50 sec. following lasing. Mean temperature elevations ranged from a high of 3.07 C for the 1000 xm section utilizing four exposures to a low of 0.37 0C for the

  8. Successful amplification of mitochondrial DNA from dentin of the bottlenose dolphin Tursiops truncatus

    Directory of Open Access Journals (Sweden)

    Laura Isabel Weber

    2007-01-01

    Full Text Available Twenty-four teeth of Tursiops truncatus from the collection of the Marine Mammals Laboratory (FURG-RS were analysed for their potential as DNA source for population genetic and taxonomic studies. All teeth were submitted to decontamination, grinding and demineralisation processes. Dentin powder was weighed for DNA extraction, which was evaluated by the amplification of two mitochondrial genes through PCR using universal primers. Cytochrome-b gene was amplified successfully. PCR products showed concentrations of 3-12 ng/µl for dentin powder, which was positively correlated to the quantity of dentin powder used for DNA extraction. To rule out contamination a SSCP was carried out including positive controls, and samples of humans involved in the analysis. The SSCP patterns for T. truncatus differed from all others, showing also polymorphism for the region. It was concluded that dentin was a good source of mtDNA for genetic studies in dolphins.Vinte e quatro amostras de material dentário de Tursiops truncatus oriundas da coleção do Laboratório de Mamíferos Marinhos (FURG-RS foram avaliadas para determinar seu potencial como fonte de DNA para estudos genético-populacionais e sistemáticos. Todos os dentes foram submetidos a processos de desinfecção, trituração e desmineralização. A dentina obtida foi pesada previamente à extração de DNA, a qual foi avaliada através da amplificação de dois genes mitocondriais, através da técnica de PCR (Reação em Cadeia da Polimerase, utilizando oligonucleotídeos iniciadores universais. Obteve-se sucesso apenas na amplificação do gene Citocromo-b. Destes produtos obtiveram-se concentrações de 3-12 ng/µl para o material dentário, observando-se uma relação linear positiva com a quantidade em gramas utilizada na extração de DNA. Com o objetivo de eliminar a possibilidade de contaminação foi realizada uma análise SSCP (Polimorfismo Conformacional de Fita Simples incluindo os controles

  9. Human Papillomavirus and Cervical Cancer

    OpenAIRE

    D. Jenkins(University of York, UK)

    2003-01-01

    Of the many types of human papillomavirus (HPV), more than 30 infect the genital tract. The association between certain oncogenic (high-risk) strains of HPV and cervical cancer is well established. Although HPV is essential to the transformation of cervical epithelial cells, it is not sufficient, and a variety of cofactors and molecular events influence whether cervical cancer will develop. Early detection and treatment of precancerous lesions can prevent progression to cervical cancer. Ident...

  10. Comparative study of etched enamel and dentin for the adhesion of composite resins with the Er:YAG 2,94 {mu}m laser and CO{sub 2} 9,6 {mu}m laser: morphological (SEM) and tensile bond strength analysis; Estudo comparativo do condicionamento do esmalte e dentina para a adesao de resinas compostas com os lasers Er:YAG 2,94 {mu}m e com o laser CO{sub 2} de 9,6 {mu}m: analise morfologica e de resistencia a tracao

    Energy Technology Data Exchange (ETDEWEB)

    Marraccini, Tarso Mugnai

    2002-07-01

    The aim of this study was to evaluate and compare the tensile bond strength of a composite resin adhered to the enamel and dentin which have received superficial irradiation with an Er:YAG laser (2.94 {mu}m) or with CO{sub 2} laser ( 9.6 {mu}m) and later on etched with the phosphoric acid at 35%. After the use of the adhesive system, resin cones were made on the etched surfaces by both lasers and tensile bond strength tests were performed. All samples were observed at the SEM - there was an increase of the degree of fusion and resolidification in the irradiated enamel and dentin samples with the CO{sub 2} laser (9.6 {mu}m), creating a vitrified layer with tiny craters. With the Er:YAG laser (2.94 {mu}m) there were typical morphological explosive microablation with the exposition of the tubules in the dentin.The surface acquired by the association of the CO{sub 2} laser ( 9.6 {mu}m) plus acid etching no longer presented the aspect of fusion being this layer completely removed. There were statistical significant differences among ali three methods of etching in the treatment of the enamel and dentin surface. The tensile bond strength test showed that etching of these enamel and dentin surfaces with acid exclusively (control group) presented great values, surpassing the values of the etching acquired with the Er:YAG laser (2.94 {mu}) plus acid or the CO{sub 2} laser (9.6 {mu}m) plus acid. With the parameters used in this experiment the Er:YAG laser (2.94 {mu}m) showed to be more effective than the CO{sub 2} laser (9.6 {mu}m) for the hard dental surfaces etching procedure. (author)

  11. Investigations of radicular dentin permeability and ultrastructural changes after irradiation with Er,Cr:YSGG laser and dual wavelength (2780 and 940 nm) laser.

    Science.gov (United States)

    Al-Karadaghi, Tamara Sardar; Franzen, Rene; Jawad, Hussein A; Gutknecht, Norbert

    2015-11-01

    The aim of this study was to assess the effectiveness of dual wavelength (2780 nm Er,Cr:YSGG, 940 nm diode) laser in elimination of smear layer comparing it with Er,Cr:YSGG laser in terms of radicular dentin permeability and ultrastructural changes of root canal walls. Fifty-one sound single-rooted extracted teeth were instrumented up to size F4 and divided into three groups: group Co, non-irradiated samples; group A, irradiated with Er,Cr:YSGG laser; group B, irradiated with the dual wavelength laser. Afterward, the roots were made externally impermeable, filled with 2% methylene blue dye, divided horizontally into three segments reflecting the cervical, middle, and apical thirds then examined under microscope. Using analytical software, the root section area and dye penetration area were measured, and then, the percentage of net dye penetration area was calculated. Additionally, scanning electron microscope investigations were accomplished. Analysis of variance (ANOVA) showed significant differences between all groups over the three root thirds. Dye permeation in dual wavelength laser group was significantly higher over the whole root length: cervical, middle, and apical compared to Er,Cr:YSGG laser group and non-irradiated samples (p laser root canal irradiation produced uneven removal of smear layer, in efficient cleanliness especially in the apical third. There was no sign of melting and carbonization. Within the studied parameters, root canal irradiation with dual wavelength laser increased dentin permeability.

  12. Deep cervical infection?

    Directory of Open Access Journals (Sweden)

    Bernardo T

    2012-06-01

    Full Text Available Introduction: Inflammatory cervical swelling may have several causes. The jugular vein thrombosis is a rare entity, often forgotten. Most frequently arises due to a cervical sepsis by the use of a central venous catheter or intravenous drug abuse (drug addicts. Rarely, is secondary to a hypercoagulability state associated with a visceral carcinoma (Trousseau Syndrome. Material and Methods: The authors present the case of a 65 years old male, who used the ENT Emergency Service due to a painful left cervical swelling with local and systemic inflammatory signs of 3 days duration. Results: An cervical ultrasound suggested a neck abscess. CT was performed and confirmed the ultrasound results. Because of its location in the path of the internal jugular vein, we requested re-evaluation by CT with intravenous contrast and doppler ultrasound, obtaining the diagnosis of thrombosis of the internal jugular vein. Further studies were conduct to clarify the hypercoagulability state, since the patient had no known predisposing factor. Finally the diagnosis of unresectable gastric carcinoma was made. Discussion and Conclusion: The ENT must be aware and be able to understand any cervical imagiologic studies. A deep knowledge of the anatomical imagiología is important for the diagnosis of jugular thrombosis. When we have a case of spontaneous jugular thrombosis, we must look for possible visceral carcinoma.

  13. um estudo de caso

    OpenAIRE

    Costa, Cátia Filipa Pereira da

    2011-01-01

    Dissertação apresentada à Universidade Fernando Pessoa como parte dos requisitos para obtenção do grau de Mestre em Psicologia Jurídica As situações de abuso sexual de crianças nas quais o perpetrador pertence ao sexo feminino obtiveram ao longo dos últimos anos um acrescido reconhecimento por parte da comunidade científica, evidenciado pelo significativo incremento das investigações no âmbito desta temática consistindo na sua maioria estudos de caso. Um conjunto de particularidades encont...

  14. The degenerative cervical spine.

    Science.gov (United States)

    Llopis, E; Belloch, E; León, J P; Higueras, V; Piquer, J

    2016-04-01

    Imaging techniques provide excellent anatomical images of the cervical spine. The choice to use one technique or another will depend on the clinical scenario and on the treatment options. Plain-film X-rays continue to be fundamental, because they make it possible to evaluate the alignment and bone changes; they are also useful for follow-up after treatment. The better contrast resolution provided by magnetic resonance imaging makes it possible to evaluate the soft tissues, including the intervertebral discs, ligaments, bone marrow, and spinal cord. The role of computed tomography in the study of degenerative disease has changed in recent years owing to its great spatial resolution and its capacity to depict osseous components. In this article, we will review the anatomy and biomechanical characteristics of the cervical spine, and then we provide a more detailed discussion of the degenerative diseases that can affect the cervical spine and their clinical management. PMID:26878769

  15. A forensic aspect of age characteristics of dentine using transversal microradiography: a case report

    OpenAIRE

    Vasiliadis, Leonidas; Stavrianos, Christos; Kafas, Panagiotis

    2009-01-01

    Background Translucency of dentine is the result of occlusion of the corresponding dentinal tubules by a mineral substance which has a refractive index similar to that of the rest of the dentine. Case presentation This case report describes the microradiographic features of an upper cadaveric canine. Transverse microradiograph is one of the methods assessing apical dentine translucency for various dental and medical reasons. Conclusion Estimation of age using teeth structures may be of primar...

  16. The effect of fluoride toothpaste on root dentine demineralization progression: a pilot study

    OpenAIRE

    Juliana Nunes Botelho; Altair Antoninha Del Bel Cury; Wander José da Silva; Livia Maria Andaló Tenuta; Jaime Aparecido Cury

    2014-01-01

    The anticaries effect of fluoride (F) toothpaste containing 1100 µg F/g in reducing enamel demineralization is well established, but its effect on dentine has not been extensively studied. Furthermore, it has been shown that toothpaste containing a high F concentration is necessary to remineralize root dentine lesions, suggesting that a 1100 µg F/g concentration might not be high enough to reduce root dentine demineralization, particularly when dentine is subjected to a high cariogenic challe...

  17. Prevalence of dentine hypersensitivity: A cross-sectional study in rural Punjabi Indians

    OpenAIRE

    Dhaliwal, Jagjit Singh; Palwankar, Pooja; Khinda, Paramjit K.; Sodhi, Sachinjeet K.

    2012-01-01

    Aims and Objectives: To study the prevalence of dentine hypersensitivity and related risk factors in rural population of Punjab, India. Materials and Methods: A total of 650 subjects reporting dentine sensitivity were included in the study comprising of 270 males and 380 females. All the subjects completed an interview and the subjects reporting dentine hypersensitivity were examined further using air syringe to put a blast of air to confirm the diagnosis of dentine hypersensitivity. Periodon...

  18. Cervical spine chordoma

    Directory of Open Access Journals (Sweden)

    Díez-González L

    2012-03-01

    Full Text Available Chordomas are neoplasms that arise from notochord embryonic remnants, been the sacrococcygeal spine the main site of involvement; the cervical spine site is uncommon and it account for less than 10% of chordomas. Because of their slow growth, the diagnosis is delayed until they reach a large size, despite which they are locally aggressive tumours due to their relation to critical neurovascular structures and present a high rate of local recurrence. Radical surgery is the elective treatment and proton radiotherapy is used when residual tumour tissue and recurrences.Because of the uncommonness of this pathology, we report a case of a patient with cervical chordoma.

  19. CERVICAL NECROTIZING FASCIITIS

    Directory of Open Access Journals (Sweden)

    G. Dimofte

    2009-05-01

    Full Text Available Cervical necrotizing fasciitis is an unusual encounter in the general surgical practice, but is a life-threatening condition requiring early recognition and adequate surgical treatment. We present the case of a 65 year old male patient referred to our department from a General Hospital. Large excisions of both superficial and deep cervical fascia were required together with necrotic skin on a very large surface. Rapid recovery with early sterilization allowed adequate skin grafting with good results. We advocate for aggressive debridment with excision in viable healthy tissue, with no concern for the future reconstruction followe by early grafting of the skin defect.

  20. Machining human dentin by abrasive water jet drilling.

    Science.gov (United States)

    Kohorst, Philipp; Tegtmeyer, Sven; Biskup, Christian; Bach, Friedrich-Wilhelm; Stiesch, Meike

    2014-01-01

    The aim of this experimental in-vitro study was to investigate the machining of human dentin using an abrasive water jet and to evaluate the influence of different abrasives and water pressures on the removal rate. Seventy-two human teeth had been collected after extraction and randomly divided into six homogeneous groups (n=12). The teeth were processed in the area of root dentin with an industrial water jet device. Different abrasives (saccharose, sorbitol, xylitol) and water pressures (15 or 25 MPa) were used in each group. Dimensions of dentin removal were analysed using a stripe projection microscope and both drilling depth as well as volume of abrasion were recorded. Morphological analyses of the dentin cavities were performed using scanning electron microscopy (SEM). Both drilling depth and volume of abrasion were significantly influenced by the abrasive and the water pressure. Depending on these parameters, the drilling depth averaged between 142 and 378 μm; the volume of abrasion averaged between 0.07 and 0.15 mm3. Microscopic images revealed that all cavities are spherical and with clearly defined margins. Slight differences between the abrasives were found with respect to the microroughness of the surface of the cavities. The results indicate that abrasive water jet machining is a promising technique for processing human dentin. PMID:24642975

  1. X-ray microanalysis of dentin: a review

    International Nuclear Information System (INIS)

    The aim of this review was to present a condensed summary of the literature on X-ray microanalysis of dentin, including both energy-dispersive (EDS) and wavelength-dispersive (WDS) analysis. Estimations of concentrations by XMA of dentin should be regarded as semiquantitative values. The Ca level in rat odontoblasts was elevated in the secreting end of the cell body. In predentin Ca accumulated at a concentration of 2% that of mineralized dentin. In coronal dentin the peritubular areas were hypermineralized (Ca, P, Mg). Primary caries lesions showed a decrease of Ca, P, Mg and Cl, and usually an increase of S and Zn. The mineralized surface often present contained especially high concentrations of F and K. Considerable uptake of various ions in cavity walls exposed to filling materials was assessed: from silver amalgam, Zn and Sn, from silicate cement and glassionomer cement F, Al and Zn, and from zinc oxide-eugenol cement, Zn. The highest F concentrations following topical application were found with solutions of TiF4 and with the varnishes Duraphat and Fluor Protector. Dentin wall lesions adjacent to amalgam fillings exhibited considerably reduced Ca and P values, but concomitantly considerable amounts of Zn and Sn, that explained the increased radiopacity seen in some microradiographs. 84 references

  2. Novel dentin phosphoprotein frameshift mutations in dentinogenesis imperfecta type II.

    Science.gov (United States)

    Lee, K-E; Kang, H-Y; Lee, S-K; Yoo, S-H; Lee, J-C; Hwang, Y-H; Nam, K H; Kim, J-S; Park, J-C; Kim, J-W

    2011-04-01

    The dentin sialophosphoprotein (DSPP) gene encodes the most abundant non-collagenous protein in tooth dentin and DSPP protein is cleaved into several segments including the highly phosphorylated dentin phosphoprotein (DPP). Mutations in the DSPP gene have been solely related to non-syndromic form of hereditary dentin defects. We recruited three Korean families with dentinogenesis imperfecta (DGI) type II and sequenced the exons and exon-intron boundaries of the DSPP gene based on the candidate gene approach. Direct sequencing of PCR products and allele-specific cloning of the highly repetitive exon 5 revealed novel single base pair (bp) deletional mutations (c.2688delT and c.3560delG) introducing hydrophobic amino acids in the hydrophilic repeat domain of the DPP coding region. All affected members of the three families showed exceptionally rapid pulp chambers obliteration, even before tooth eruption. Individuals with the c.3560delG mutation showed only mild, yellowish tooth discoloration, in contrast to the affected individuals from two families with c.2688delT mutation. We believe that these results will help us to understand the molecular pathogenesis of DGI type II as well as the normal process of dentin biomineralization.

  3. Machining human dentin by abrasive water jet drilling.

    Science.gov (United States)

    Kohorst, Philipp; Tegtmeyer, Sven; Biskup, Christian; Bach, Friedrich-Wilhelm; Stiesch, Meike

    2014-01-01

    The aim of this experimental in-vitro study was to investigate the machining of human dentin using an abrasive water jet and to evaluate the influence of different abrasives and water pressures on the removal rate. Seventy-two human teeth had been collected after extraction and randomly divided into six homogeneous groups (n=12). The teeth were processed in the area of root dentin with an industrial water jet device. Different abrasives (saccharose, sorbitol, xylitol) and water pressures (15 or 25 MPa) were used in each group. Dimensions of dentin removal were analysed using a stripe projection microscope and both drilling depth as well as volume of abrasion were recorded. Morphological analyses of the dentin cavities were performed using scanning electron microscopy (SEM). Both drilling depth and volume of abrasion were significantly influenced by the abrasive and the water pressure. Depending on these parameters, the drilling depth averaged between 142 and 378 μm; the volume of abrasion averaged between 0.07 and 0.15 mm3. Microscopic images revealed that all cavities are spherical and with clearly defined margins. Slight differences between the abrasives were found with respect to the microroughness of the surface of the cavities. The results indicate that abrasive water jet machining is a promising technique for processing human dentin.

  4. X-ray microanalysis of dentin: a review

    Energy Technology Data Exchange (ETDEWEB)

    Hals, E.; Tveit, A.B.; Totdal, B.

    1988-03-01

    The aim of this review was to present a condensed summary of the literature on X-ray microanalysis of dentin, including both energy-dispersive (EDS) and wavelength-dispersive (WDS) analysis. Estimations of concentrations by XMA of dentin should be regarded as semiquantitative values. The Ca level in rat odontoblasts was elevated in the secreting end of the cell body. In predentin Ca accumulated at a concentration of 2% that of mineralized dentin. In coronal dentin the peritubular areas were hypermineralized (Ca, P, Mg). Primary caries lesions showed a decrease of Ca, P, Mg and Cl, and usually an increase of S and Zn. The mineralized surface often present contained especially high concentrations of F and K. Considerable uptake of various ions in cavity walls exposed to filling materials was assessed: from silver amalgam, Zn and Sn, from silicate cement and glassionomer cement F, Al and Zn, and from zinc oxide-eugenol cement, Zn. The highest F concentrations following topical application were found with solutions of TiF4 and with the varnishes Duraphat and Fluor Protector. Dentin wall lesions adjacent to amalgam fillings exhibited considerably reduced Ca and P values, but concomitantly considerable amounts of Zn and Sn, that explained the increased radiopacity seen in some microradiographs. 84 references.

  5. The Difference of Structural State and Deformation Behavior between Teenage and Mature Human Dentin.

    Science.gov (United States)

    Panfilov, Peter; Zaytsev, Dmitry; Antonova, Olga V; Alpatova, Victoria; Kiselnikova, Larissa P

    2016-01-01

    Objective. The cause of considerable elasticity and plasticity of human dentin is discussed in the relationship with its microstructure. Methods. Structural state of teenage and mature human dentin is examined by using XRD and TEM techniques, and their deformation behavior under compression is studied as well. Result. XRD study has shown that crystallographic type of calcium hydroxyapatite in human dentin (calcium hydrogen phosphate hydroxide Ca9HPO4(PO4)5OH; Space Group P63/m (176); a = 9,441 A; c = 6,881 A; c/a = 0,729; Crystallite (Scherrer) 200 A) is the same for these age groups. In both cases, dentin matrix is X-ray amorphous. According to TEM examination, there are amorphous and ultrafine grain phases in teenage and mature dentin. Mature dentin is stronger on about 20% than teenage dentin, while teenage dentin is more elastic on about 20% but is less plastic on about 15% than mature dentin. Conclusion. The amorphous phase is dominant in teenage dentin, whereas the ultrafine grain phase becomes dominant in mature dentin. Mechanical properties of human dentin under compression depend on its structural state, too. PMID:26989416

  6. 牙本质唾液酸焦磷酸蛋白和牙本质%Dentin sialophosphoprotein and dentin

    Institute of Scientific and Technical Information of China (English)

    胡鑫瑜; 王浩洋

    2010-01-01

    在牙本质,两个编码Ⅰ型胶原蛋白基因的突变会导致成骨发育不全.除了胶原蛋白,在牙本质还有一定数量的非胶原蛋白.在牙本质非胶原蛋白编码的基因中,只有牙本质唾液酸焦磷酸蛋白(dentin sialophosphoprotein,DSPP)的突变引起遗传性牙齿畸形.DSPP的突变会引起牙本质发育不全(dentinogenesis imperfecta,DGI)Ⅰ型、Ⅱ型和牙本质发育异常(dentin dysplasia,DD)Ⅱ型.DSPP由成牙质细胞表达并分泌.分泌之后,DSPP由多个细胞外蛋白酶酶切成小片.DSPP被蛋白酶酶切为三个主要部分:牙本质涎蛋白(dentin sialoprotein,DSP),牙本质糖蛋白(dentin glycoprotein,DGP)和牙本质磷蛋白(dentin phosphoprotein,DPP).本文就这三种蛋白的最新进展进行回顾.

  7. Dentin hassasiyeti ve tedavi yöntemleri

    Directory of Open Access Journals (Sweden)

    Atilla Berberoglu

    2012-01-01

    Full Text Available

    Dentin hypersensitivity (DH is a relatively common problem experienced in clinical dental practice. This condition has been defined as a short, sharp pain arising from exposed dentin in response to stimuli typically thermal, evaporative, tactile, osmotic or chemical and which cannot be described to any other form of dental defect or pathology. DH may ocur as a result of exposed dentinal tubules through either loss of enamel or gingival recession. Management strategies, which take into account aetiological factors and patient’s oral hygeine behaviour, should be considered before the home or in office treatment protocols. Treatment plan should include reduce fluid flow in the tubules by means of occlude exposed tubules and block the nerve response in the pulp with many desensitizing chemical agents or phyisical agents which also include lasers. The purpose of this review is to summarize the definition, epidemiology, mechanism, aetiology, diagnosis and treatment protocols of dentin hypersensitivity.

    Key words: Dentine hypersensitivity, aetiology, diagnosis, laser, desensitizing agents.

     

    ÖZET

    Günümüzde giderek artan bir sorun olarak karşımıza çıkan dentin hassasiyeti (DH herhangi bir dental defekt veya patoloji ile açıklanamayan, kimyasal, termal, temas, ozmotik veya buharlaştırıcı uyarana karşı ortama açılmış dentin yüzeylerinden yayılan, kısa süreli keskin bir ağrı olarak tanımlanmaktadır. Sert doku kaybı veya dişeti çekilmesiyle dentin yüzeyinin açığa ve dentin kanallarının oral kaviteye doğru açılmasıyla DH oluşabilir. Evde veya klinikte uygulanacak tedavinin belirlenmesinden önce tedavi planı etiyolojik faktörler ve hastan

  8. Dentin Hypersensitivity: Etiology, Diagnosis and Treatment; A Literature Review

    Science.gov (United States)

    Davari, AR; Ataei, E; Assarzadeh, H

    2013-01-01

    The objective of this review is to inform practitioners about dentin hypersensitivity (DH); to provide a brief overview of the diagnosis, etiology and clinical management of dentin hypersensitivity and to discuss technical approaches to relieve sensitivity. This clinical information is described in the context of the underlying biology. The author used PUBMED to find relevant English-language literature published in the period 1999 to 2010. The author used combinations of the search terms “dentin*”, “tooth”, “teeth”, “hypersensit*”, “desensitiz*”. Abstracts and also full text articles to identify studies describing etiology, prevalence, clinical features, controlled clinical trials of treatments and relevant laboratory research on mechanisms of action were used. PMID:24724135

  9. Prevent Cervical Cancer

    Science.gov (United States)

    ... Risk? What Are the Symptoms? What Should I Know About Screening? Statistics Related Links Inside Knowledge Campaign What CDC Is Doing Research AMIGAS Fighting Cervical Cancer Worldwide Stay Informed Printable Versions Standard quality PDF [PDF-877KB] High-quality PDF for professional ...

  10. Prevent Cervical Cancer!

    Centers for Disease Control (CDC) Podcasts

    2015-01-08

    Cervical cancer can be prevented. Listen as two friends—one a doctor—talk about screening tests and early detection. Learn what test you might need.  Created: 1/8/2015 by National Center for Chronic Disease Prevention and Health Promotion (NCCDPHP).   Date Released: 1/8/2015.

  11. Cervical silicone lymphadenopathy.

    Science.gov (United States)

    Gilbert, Latoni Kaysha; Thiruchelvam, Janavikulam

    2016-07-01

    A patient presented to the department of oral and maxillofacial surgery with a rare case of cervical silicone lymphadenopathy. She had a painless ovoid mass in the left side of her neck and had had cosmetic breast augmentation 10 years before. Radiological imaging and core biopsy examination were consistent with silicone lymphadenopathy. PMID:26830068

  12. Bond strength of adhesives to dentin contaminated with smoker's saliva.

    Science.gov (United States)

    Pinzon, Lilliam M; Oguri, Makoto; O'Keefe, Kathy; Dusevish, Vladimir; Spencer, Paulette; Powers, John M; Marshall, Grayson W

    2010-02-01

    The purpose of this study was to determine the effects of contamination with smoker's and non-smoker's saliva on the bond strength of resin composite to superficial dentin using different adhesive systems. The interfacial structure between the resin and dentin was evaluated for each treatment using environmental scanning electron microscopy (ESEM). Freshly extracted human molars were ground with 600-grit SiC paper to expose the superficial dentin. Adhesives [One-Up-Bond-F-Plus (OUFP) and Adper-Prompt-L-Pop (APLP)] and resin composite (TPHSpectrum) were bonded to the dentin (n = 8/group, 180 total specimens) under five surface conditions: control (adhesive applied following manufacturers' instructions); saliva, then 5-s air dry, then adhesive; adhesive, saliva, 5-s air dry; adhesive, saliva, 5-s water rinse, 5-s air dry (ASW group); and adhesive, saliva, 5-s water rinse, 5-s air dry, reapply adhesive (ASWA group). After storage in water at 37 degrees C for 24 h, the specimens were debonded under tension at a speed of 0.5 mm/min. ESEM photomicrographs of the dentin/adhesive interfaces were taken. Mean bond strength ranged from 8.1 to 24.1 MPa. Fisher's protected least significant difference (P = 0.05) intervals for critical adhesive, saliva, and surface condition differences were 1.3, 1.3, and 2.1 MPa, respectively. There were no significant differences in bond strength to dentin between contamination by smoker's and nonsmoker's saliva, but bond strengths were significantly different between adhesive systems, with OUFP twice as strong as APLP under almost all conditions. After adhesive application and contamination with either smoker's or nonsmoker's saliva followed by washing and reapplication of the adhesive (ASWA group), the bond strength of both adhesive systems was the same as that of the control group.

  13. Factors associated with dentine hypersensitivity severity in Colombian dental patients.

    Directory of Open Access Journals (Sweden)

    Luis López

    2016-03-01

    Full Text Available Introduction: The aim of this study was to determine the prevalence of dentine hypersensitivity (DH and examine associated etiological factors related to the severity of DH in dental clinic patients treated at the School of Dentistry at Universidad Cooperativa de Colombia, Pasto, Colombia. Materials and Methods: A cross-sectional study was designed in which three hundred and thirty three patients aged 15 to 44 years old were assessed for the presence and severity of DH. The dentine hypersensitivity diagnosis was based on self-reported sensitivity and a clinical examination. The questionnaire included socio-demographic information, data about oral health habits and acidic dietary intake. A descriptive analysis was performed and the association between DH severity and risk factors was determined using an ordinal logistic regression model. Results: Dentine hypersensitivity was detected in 88 out of 333 (26.4% subjects (95% CI: 21.83-31.56. The pH of natural juices (OR=6.013; 95% CI: 0.995–36.319, p=0.051 and pH of alcohol beverages (OR= 7.800; 95% CI: 2.282–26.658, p=0.001 were significantly associated with the severity of dentine hypersensitivity. Conclusions: The results indicated that the prevalence of dentine hypersensitivity in these patients was consistent with previous reports. Furthermore, the severity of DH was influenced by acidic diet. These results suggest that dental counseling should be provided to all patients as well as to those with dentine hypersensitivity to prevent the occurrence of this oral health problem as well as the severity of symptoms.

  14. Restoration of non-carious cervical lesions with ceramic inlays: A possible model for clinical testing of adhesive cements

    Directory of Open Access Journals (Sweden)

    Michal Staninec

    2012-01-01

    Full Text Available Introduction: There are many luting cements coming to market which claim to be adhesive, but there is no clinical protocol currently for testing these claims. There is a standardized protocol for testing direct restorations bonded to dentin and it is used extensively. Case Report: We describe a clinical procedure for restoring a non-carious cervical lesion (NCCL with a ceramic inlay using Computer-Aided Design and Computer-Aided Manufacturing (CAD-CAM technology and an adhesive resin cement.The procedure was straightforward and the result was good at one month. Discussion: NCCL′s can be restored with CAD-CAM technology in one appointment. This technique can be used to clinically test adhesion of luting cements to dentin, similarly to the current standard for direct restorations.

  15. The influence of vinegars on exposure of dentinal tubules: a SEM evaluation Influência de vinagres na exposição dos túbulos dentinários: avaliação em MEV

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    Daniela Leal Zandim

    2004-03-01

    Full Text Available Dentin hypersensitivity is a common painful condition observed in clinics. Dietary habits have been much associated with its development and persistence during and following periodontal treatment. The aim of this in vitro study was to evaluate the influence of vinegars on the removal of smear layer and exposure of dentinal tubules. Extracted human teeth were submitted to manual scaling with Gracey curettes in order to remove the cementum as well as to form a smear layer. Dentin samples with 3 mm² were obtained and distributed into six experimental groups: one control and five types of vinegars (alcohol, apple, rice, white wine and balsamic. Each group included two methods of vinegar application: topical and friction. After routine preparation for SEM analysis, photomicrographs were assessed by a calibrated and blind examiner using an appropriate index system. Kruskal-Wallis test indicated a significant influence of vinegars on smear layer removal. There was a statistically significant difference between groups treated with apple, white and rice vinegars and the control group (p A hipersensibilidade dentinária cervical é uma condição dolorosa muito comum nos consultórios. A dieta tem sido bastante associada ao seu aparecimento, assim como a sua persistência após o tratamento periodontal. o objetivo deste trabalho foi avaliar in vitro a influência dos vinagres na remoção de "smear layer" e exposição dos túbulos dentinários. Dentes de humanos foram instrumentados com curetas Gracey para a remoção do cemento e formação de "smear layer". Foram obtidas amostras de dentina com 3 mm², divididas entre o grupo controle (água destilada e cinco grupos de vinagre: branco, maçã, arroz, vinho branco e balsâmico. Cada grupo incluiu duas formas de aplicação da substância, tópica ou por fricção. Após o preparo para observação em MEV (microscopia eletrônica de varredura, as fotomicrografias foram avaliadas por um examinador

  16. Evaluation of caries-affected dentin with optical coherence tomography

    OpenAIRE

    Cynthia Soares de Azevedo; Luciana Cardoso Espejo Trung; Maria Regina Lorenzetti Simionato; Anderson Zanardi de Freitas; Adriana Bona Matos

    2011-01-01

    The purpose of this study was to evaluate the degree of demineralization of artificially induced caries-affected human dentin by an in vitro microbiological method. The occlusal surfaces of 6 human molar teeth were abraded until a flat surface was obtained, and the enamel was removed to expose the occlusal dentin surface. These teeth were sectioned in 12 halves in the vestibular-lingual direction and divided into 3 groups according to the period length of the microbiological essay (n = 4): G1...

  17. Influence of handpiece maintenance sprays on resin bonding to dentin

    Directory of Open Access Journals (Sweden)

    Toyotarou Sugawara

    2010-03-01

    Full Text Available Toyotarou Sugawara1, Atsushi Kameyama2, Akiko Haruyama3, Takumi Oishi4, Nobuyuki Kukidome2, Yasuaki Takase2, Masatake Tsunoda21Undergraduate Student, Tokyo Dental College, Chiba, Japan; 2Division of General Dentistry, Tokyo Dental College Chiba Hospital, Chiba, Japan; 3Department of Dental Materials Science, Tokyo Dental College, Chiba, Japan; 4Department of Dentistry and Oral Surgery, Keio University School of Medicine, Tokyo, JapanObjective: To investigate the influence of maintenance spray on resin bonding to dentin.Materials and methods: The crown of extracted, caries-free human molars was transversally sectioned with a model trimmer to prepare the dentin surfaces from mid-coronal sound dentin, and then uniformly abraded with #600 silicon carbide paper. The dentin surfaces were randomly divided into three groups: oil-free spray group where maintenance cleaner for air bearing handpieces was sprayed onto the dentin surface for 1 s and rinsed with water spray for 30 s; oil-containing spray group where maintenance cleaner for micro motor handpieces was sprayed onto the dentin surface for 1 s and rinsed with water spray for 30 s; and control group where the surface was rinsed with water spray for 30 s and then air-dried. These surfaces were then bonded with Clearfil SE Bond (Kuraray Medical, and resin composite (Clearfil AP-X, Kuraray Medical build-up crowns were incrementally constructed on the bonded surfaces. After storage for 24 h in 37°C water, the bonded teeth were sectioned into hour-glass shaped slices (0.7-mm thick perpendicular to the bonded surfaces. The specimens were then subjected to microtensile bond strength (μTBS testing at a crosshead speed of 1.0 mm/min. Data were analyzed with one-way ANOVA and the Tukey-Kramer test.Results: Maintenance spray-contaminated specimens (oil-free and oil-containing spray groups showed significantly lower μTBS than control specimens (P < 0.05. However, there was no significant difference between

  18. Optical properties of human radicular dentin: ATR-FTIR characterization and dentine tubule direction influence on radicular post adhesion

    Science.gov (United States)

    Quinto, Jose; Zamataro, Claudia B.; Benetti, Carolina; Dias, Derly A.; Blay, Alberto; Zezell, Denise Maria

    2015-06-01

    Knowledge of dental structures is essential for understanding of laser interaction and its consequences during adhesion processes. Tubule density in dentin ranges from 4.900 to 90.000 per mm2, for diameters from 1 to 3 μm. Light propagation inside the tubules is associated with tubules orientation. To the best of our knowledge, there is no previous work in literature characterizing physical-chemical alterations in dentin. The dentin samples were irradiated with a Er,Cr:YSGG Laser at wavelength 2.78 μm, with an energy density of 9.46 J/cm2 , above the ablation threshold. ATRFTIR at wavenumbers 2000 to 700 cm-1 was used to evaluate the differences among third root region and tubules orientation.

  19. Influence of Immediate Dentin Sealing on the Shear Bond Strength of Pressed Ceramic Luted to Dentin with Self-Etch Resin Cement

    Science.gov (United States)

    Dalby, Robert; Ellakwa, Ayman; Millar, Brian; Martin, F. Elizabeth

    2012-01-01

    Objectives. To examine the effect of immediate dentin sealing (IDS), with dentin bonding agents (DBAs) applied to freshly cut dentin, on the shear bond strength of etched pressed ceramic luted to dentin with RelyX Unicem (RXU) cement. Method. Eighty extracted noncarious third molars were ground flat to expose the occlusal dentin surfaces. The teeth were randomly allocated to five groups (A to E) of sixteen teeth each. Groups A to D were allocated a dentin bonding agent (Optibond FL, One Coat Bond, Single Bond, or Go!) that was applied to the dentin surface to mimic the clinical procedure of IDS. These specimen groups then had etched glass ceramic discs (Authentic) luted to the sealed dentin surface using RXU. Group E (control) had etched glass ceramic discs luted to the dentin surface (without a dentin bonding agent) using RXU following the manufacturer's instructions. All specimens were stored for one week in distilled water at room temperature and then shear stressed at a constant cross-head speed of 1 mm per minute until failure. Statistical analysis was performed by ANOVA followed by post hoc Tukey HSD method (P Optibond FL (Group A) and Go! (Group D). There was no statistical difference (P > 0.05) in the SBS between the test groups (A–D) or the control (group E). Conclusion. IDS using the dentin bonding agents tested does not statistically (P > 0.05) affect the shear bond strength of etched pressed ceramic luted to dentin with RXU when compared to the control. PMID:22287963

  20. Effect of delayed light curing of a resin composite on marginal integrity in cylindrical dentine cavities.

    Science.gov (United States)

    Manabe, A; Debari, K; Itoh, K; Hisamitsu, H; Wakumoto, S

    1993-12-01

    The effect of delayed light curing of resin composite on marginal adaptation has been examined by measuring the wall-to-wall polymerization contraction gap when using a commercial resin composite together with experimental dentine bonding systems to restore cylindrical preparations in dentine. Morphological changes in dentine during dentine bonding procedures were observed using a scanning electron microscope. In a previous report, the contraction gap width for a resin composite increased when irradiation of the resin system was delayed, despite the use of a dentine bonding system considered to be 'contraction' gap free. Such deterioration in marginal adaptation was minimized by use of an experimental dentine primer, 40% erythritol methacrylate aqueous solution (EM), followed by the use of a commercial dual- or autocured dentine bonding agent. Under scanning electron microscopy, the dentine surface microstructure became unclear after EM priming, and a polymer film was detected after polymerization of the dual-cured dentine bonding agent. The hydrogelled primer and the formation of a polymer network on the dentine surface may prevent the flow of fluid from the pulp through the dentine tubules, and maintain marginal integrity if there is delay in light curing of light-activated resin composite systems.

  1. A rapid non-destructive method for root dentin moisture measurements

    Science.gov (United States)

    Komabayashi, Takashi; Zhu, Qiang; Jiang, Jin; Safavi, Kamran E.; Spångberg, Larz S.W.

    2009-01-01

    Dentin moisture content is important in adhesive bonding and structural strength research. However, there is no rapid method available to assess dentin moisture without sample destruction. This study examined the use of a digital grain moisture meter to measure root dentin moisture in vitro. Extracted mandibular single rooted teeth were sectioned at the CEJ. The moisture of the root dentin was measured at six measuring modes for different grains and repeated five times. Dentin weight changes before and after drying were measured to obtain control values. The control values were compared with machine readings. In conclusion, (1) Each non-destructive measurement took less than 30 seconds. (2) 24 hours storage at 37°C and 100 % humidity did not restore dentin moisture. (3) Five grain modes had a high validity, and could be used for dentin moisture measurements. PMID:19157921

  2. Cervical spinal canal narrowing and cervical neurologi-cal injuries

    OpenAIRE

    Zhang, Ling; Chen, Hai-Bin; Wang, Yi; ZHANG Li-ying; Liu, Jing-cheng; WANG Zheng-guo

    2012-01-01

    【Abstract】Cervical spinal canal narrowing can lead to injury of the spinal cord and neurological symptoms in-cluding neck pain, headache, weakness and parasthesisas. According to previous and recent clinical researches, we investigated the geometric parameters of normal cervical spinal canal including the sagittal and transverse diameters as well as Torg ratio. The mean sagittal diameter of cervical spinal canal at C 1 to C 7 ranges from 15.33 mm to 20.46 mm, ...

  3. Cetuximab, Cisplatin, and Radiation Therapy in Treating Patients With Stage IB, Stage II, Stage III, or Stage IVA Cervical Cancer

    Science.gov (United States)

    2014-12-29

    Cervical Adenocarcinoma; Cervical Adenosquamous Carcinoma; Cervical Small Cell Carcinoma; Cervical Squamous Cell Carcinoma; Stage IB Cervical Cancer; Stage IIA Cervical Cancer; Stage IIB Cervical Cancer; Stage III Cervical Cancer; Stage IVA Cervical Cancer

  4. Cisplatin and Radiation Therapy Followed by Paclitaxel and Carboplatin in Treating Patients With Stage IB-IVA Cervical Cancer

    Science.gov (United States)

    2016-03-16

    Cervical Adenocarcinoma; Cervical Adenosquamous Carcinoma; Cervical Squamous Cell Carcinoma; Stage IB Cervical Cancer; Stage IIA Cervical Cancer; Stage IIB Cervical Cancer; Stage IIIA Cervical Cancer; Stage IIIB Cervical Cancer; Stage IVA Cervical Cancer

  5. Dentin sialophosphoprotein knockout mouse teeth display widened predentin zone and develop defective dentin mineralization similar to human dentinogenesis imperfecta type III.

    Science.gov (United States)

    Sreenath, Taduru; Thyagarajan, Tamizchelvi; Hall, Bradford; Longenecker, Glenn; D'Souza, Rena; Hong, Sung; Wright, J Tim; MacDougall, Mary; Sauk, John; Kulkarni, Ashok B

    2003-07-01

    Dentin sialophosphoprotein (Dspp) is mainly expressed in teeth by the odontoblasts and preameloblasts. The Dspp mRNA is translated into a single protein, Dspp, and cleaved into two peptides, dentin sialoprotein and dentin phosphoprotein, that are localized within the dentin matrix. Recently, mutations in this gene were identified in human dentinogenesis imperfecta II (Online Mendelian Inheritance in Man (OMIM) accession number 125490) and in dentin dysplasia II (OMIM accession number 125420) syndromes. Herein, we report the generation of Dspp-null mice that develop tooth defects similar to human dentinogenesis imperfecta III with enlarged pulp chambers, increased width of predentin zone, hypomineralization, and pulp exposure. Electron microscopy revealed an irregular mineralization front and a lack of calcospherites coalescence in the dentin. Interestingly, the levels of biglycan and decorin, small leucine-rich proteoglycans, were increased in the widened predentin zone and in void spaces among the calcospherites in the dentin of null teeth. These enhanced levels correlate well with the defective regions in mineralization and further indicate that these molecules may adversely affect the dentin mineralization process by interfering with coalescence of calcospherites. Overall, our results identify a crucial role for Dspp in orchestrating the events essential during dentin mineralization, including potential regulation of proteoglycan levels.

  6. Fluorine analysis of human dentin surrounding resin composite after fluoride application by μ-PIGE/PIXE analysis

    OpenAIRE

    Okuyama, Katsushi; Komatsu, Hisanori; Yamamoto, Hiroko; Pereira, Patricia N. R.; Bedran-Russo, Ana K.; Nomachi, Masaharu; Sato, Takahiro; Sano, Hidehiko

    2011-01-01

    The use of fluoride for the prevention of caries is based on the transformation of hydroxylapatite to fluoroapatite in the presence of fluoride ions, thereby strengthening tooth structure. Adhesion of dentin and resin composite (tooth-colored restoration material) requires a dentin bonding system, since resin composite is not able to adhere to dentin directly. Demineralization of dentin by acid etching is an important step in the dentin bonding system; however, demineralization also introduce...

  7. Evaluation of three different agents for in-office treatment of dentinal hypersensitivity: A controlled clinical study

    OpenAIRE

    Shruti A Patil; Balaram D Naik; Suma, R.

    2015-01-01

    Context: Dentin desensitizers are used for in-office treatment of dentinal hypersensitivity. They block the open tubules and bring about a reduction in hypersensitivity. Aim: The aim was to evaluate and compare the clinical effectiveness of a dentin desensitizer, a combination of a dentin desensitizer + adhesive and one-bottle self-etching adhesive for in-office treatment of dentin hypersensitivity. Settings and Design: Institutional, prospective double-blind parallel clinical design....

  8. Microtensile dentin bond strength of fifth with five seventh-generation dentin bonding agents after thermocycling: An in vitro study

    OpenAIRE

    Bruhvi Poptani; K S Gohil; Jaishree Ganjiwale; Manisha Shukla

    2012-01-01

    Objectives: The objective of this in vitro study was to compare the microtensile dentin bond strength (μTBS) of five seventh-generation dentin bonding agents (DBA) with fifth-generation DBA before and after thermocycling. Materials and Methods: Ten extracted teeth were assigned to fifth generation control group (optibond solo) and each of the five experimental groups namely, Group I (G-Bond) ,Group II (S 3 Clearfil), Group III (One Coat 7.0), Group IV (Xeno V), and Group V (Optibond all in on...

  9. Two-year clinical evaluation of three adhesive systems in non-carious cervical lesions

    Directory of Open Access Journals (Sweden)

    Evrim Eliguzeloglu Dalkilic

    2012-04-01

    Full Text Available OBJECTIVES: Adhesive systems are continuously being introduced to Dentistry, unfortunately often without sufficient clinical validation. The aim of this study was to evaluate the clinical performance of cervical restorations done with three different adhesive systems. MATERIAL AND METHODS: 158 non-carious cervical lesions of 23 patients were restored with a nanofilled composite resin (Filtek Supreme, 3M/ESPE combined with Single Bond (3M/ESPE, group SI, Clearfil SE (Kuraray Medical Inc., group CL and Xeno III (De Trey Dentsply, group XE. In groups SI-B, CL-B and XE-B, the outer surface of the sclerotic dentin was removed by roughening with a diamond bur before application of the respective adhesive systems. In groups CL-BP and XE-BP, after removal of the outer surface of the sclerotic dentin with the bur, the remaining dentin was etched with 37% phosphoric acid and the self-etch adhesive systems Clearfil SE and Xeno III were applied, respectively. Lesions were evaluated at baseline, and restorations after 3 months, 1 year and 2 years using modified USPHS criteria. RESULTS: After 2 years, no significant difference was found between the retention rates of the groups (p >0.05. Although groups CL and SI showed significantly better marginal adaptation than group XE (p0.05. After 2 years no significant difference was observed among the marginal staining results of all groups (p>0.05. CONCLUSION: Although all adhesive systems showed similar retention rates, Clearfil SE and Single Bond showed better marginal adaptation than Xeno III after 2 years of follow-up.

  10. Effect of Repeated Container Lid Opening on Dentin Shear Bond Strength of Two Dentin Adhesive Systems

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    H. Hassanzadeh

    2008-03-01

    Full Text Available Objective: Comparing the effect of repeated opening of the container lid of two dentin adhesive systems, Prime&Bond NT (P&B NT and iBond (iB, on shear bond strength.Materials and Methods: Intact bovine lower incisors (n=60, fixed in acrylic were ran-domly divided into six groups (n=10. Groups I and II were set as control groups. P&B NT and iB were applied on the samples after five days a week, three times a day for two weeks of use in groups III and VI; and after four weeks of use in groups V and VI. The samples were evaluated by a universal testing-machine (Instron, cross-head speed 1mm/min and stereomicroscope.Results: There was no significant difference between the bond strengths in any of the three P&B NT. The mean amount of the shear bond strength for iB after 60 times of use (15.31 MPa was significantly lowerthan that at the baseline (23.51 MPa. There was no significant difference between iB at the baseline and after 30 times of use (19.26 Mpa, and also between iB after 30 times of use and after 60 times of use. All P&B NT groups showed significantly highershear bond strengths when compared with their similar iB groups in iB.Conclusion: Repeated use (60 times of the all-in-one adhesive container seems to reduce dentin shear bond strength. Therefore, containers with a lower content of the same adhe-sive or a single-dose of the adhesive are preferred.

  11. Dentin hypersensitivity: from diagnosis to a breakthrough therapy for everyday sensitivity relief.

    Science.gov (United States)

    Cummins, Diane

    2009-01-01

    This paper provides an overview of the current knowledge of diagnosis, epidemiology, etiology, and clinical management of dentin hypersensitivity. It summarizes technical approaches to relieve sensitivity in professional and home-use products, with emphasis on the clinical evidence for the efficacy of desensitizing toothpaste, and introduces a new innovative dentifrice technology containing 8% arginine, calcium carbonate, and 1450 ppm fluoride. Dentin hypersensitivity is characterized by short, sharp pain arising from exposed dentin in response to external stimuli which cannot be ascribed to any other form of dental defect or disease. The hydrodynamic theory proposes that pain-producing stimuli cause a change in dentin fluid flow that activates intra-dental nerve fibers, via a mechanoreceptor response, to cause pain. To be hypersensitive, dentin must be exposed and dentin tubules must be open to external stimuli and patent at the pulp. Gingival recession is the primary cause of dentin exposure, and a major predisposing factor for dentin hypersensitivity. Dentin hypersensitivity is a prevalent condition. It has been reported to afflict 15-20% of the adult population, typically 20 to 50-year-olds, with peak incidence between 30 and 39 years. Some studies have reported higher prevalence levels of up to 57%. The incidence of dentin hypersensitivity is expected to rise with changing diets, and as caries and periodontal disease prevention result in improved oral health status, and retention and functionality of the dentition. Treatments to relieve dentin hypersensitivity are based on interruption of the neural response to pain stimuli or occlusion of open tubules to block the hydrodynamic mechanism. Effective and robust dentin occlusion offers the greatest prospect for instant and lasting relief of dentin hypersensitivity. In particular, materials which can coat exposed dentin surfaces, in addition to plugging and sealing open dentin tubules, offer the intriguing

  12. Dentin hypersensitivity: from diagnosis to a breakthrough therapy for everyday sensitivity relief.

    Science.gov (United States)

    Cummins, Diane

    2009-01-01

    This paper provides an overview of the current knowledge of diagnosis, epidemiology, etiology, and clinical management of dentin hypersensitivity. It summarizes technical approaches to relieve sensitivity in professional and home-use products, with emphasis on the clinical evidence for the efficacy of desensitizing toothpaste, and introduces a new innovative dentifrice technology containing 8% arginine, calcium carbonate, and 1450 ppm fluoride. Dentin hypersensitivity is characterized by short, sharp pain arising from exposed dentin in response to external stimuli which cannot be ascribed to any other form of dental defect or disease. The hydrodynamic theory proposes that pain-producing stimuli cause a change in dentin fluid flow that activates intra-dental nerve fibers, via a mechanoreceptor response, to cause pain. To be hypersensitive, dentin must be exposed and dentin tubules must be open to external stimuli and patent at the pulp. Gingival recession is the primary cause of dentin exposure, and a major predisposing factor for dentin hypersensitivity. Dentin hypersensitivity is a prevalent condition. It has been reported to afflict 15-20% of the adult population, typically 20 to 50-year-olds, with peak incidence between 30 and 39 years. Some studies have reported higher prevalence levels of up to 57%. The incidence of dentin hypersensitivity is expected to rise with changing diets, and as caries and periodontal disease prevention result in improved oral health status, and retention and functionality of the dentition. Treatments to relieve dentin hypersensitivity are based on interruption of the neural response to pain stimuli or occlusion of open tubules to block the hydrodynamic mechanism. Effective and robust dentin occlusion offers the greatest prospect for instant and lasting relief of dentin hypersensitivity. In particular, materials which can coat exposed dentin surfaces, in addition to plugging and sealing open dentin tubules, offer the intriguing

  13. One-year clinical evaluation of tooth-coloured materials in non-carious cervical lesions

    Directory of Open Access Journals (Sweden)

    Stojanac Igor

    2011-01-01

    Full Text Available Introduction. The restoration of non-carious cervical lesions is specific, mostly because of the location of their margins, especially the cervical margin, which is determined in cement and/or dentine. This feature makes the cervical margin more susceptible to micro-leak­age, causing marginal discoloration, postoperative sensitivity, development of the secondary caries and loss of the restoration. Material and methods. One of the criteria for inclusion of a patient in this study was the presence of at least two non-carious cervical lesions to be restored with the minimum depth of 1mm, independently of their location in the dental arch. A total of 60 restorations were placed in 30 patients, and every patient received both tested materials (composite resins and compomer on their non-carious cervical lesions. The clinical evaluation of the therapeutic success was performed six months and then one year after the day of the placement of restorations using the modified-United States Public Health Service criteria. The following was evaluated: retention, marginal integrity, marginal discoloration, wear, postoperative sensitivity and secondary caries. Results. A statistically significant high percent of restorations/teeth with postoperative sensitivity was found in the group of resin composite restorations after six months. At the end of the evaluation period, that is after one year, there were no statistically significant differences between materials for all evaluated criteria. Conclusion. The results of this study show the identical quality of both examined materials one year after the readjustment of non-carious cervical lesions.

  14. Compounded PHOSPHO1/ALPL deficiencies reduce dentin mineralization.

    Science.gov (United States)

    McKee, M D; Yadav, M C; Foster, B L; Somerman, M J; Farquharson, C; Millán, J L

    2013-08-01

    Phosphatases are involved in bone and tooth mineralization, but their mechanisms of action are not completely understood. Tissue-nonspecific alkaline phosphatase (TNAP, ALPL) regulates inhibitory extracellular pyrophosphate through its pyrophosphatase activity to control mineral propagation in the matrix; mice without TNAP lack acellular cementum, and have mineralization defects in dentin, enamel, and bone. PHOSPHO1 is a phosphatase found within membrane-bounded matrix vesicles in mineralized tissues, and double ablation of Alpl and Phospho1 in mice leads to a complete absence of skeletal mineralization. Here, we describe mineralization abnormalities in the teeth of Phospho1(-/-) mice, and in compound knockout mice lacking Phospho1 and one allele of Alpl (Phospho1(-/-);Alpl(+/-) ). In wild-type mice, PHOSPHO1 and TNAP co-localized to odontoblasts at early stages of dentinogenesis, coincident with the early mineralization of mantle dentin. In Phospho1 knockout mice, radiography, micro-computed tomography, histology, and transmission electron microscopy all demonstrated mineralization abnormalities of incisor dentin, with the most remarkable findings being reduced overall mineralization coincident with decreased matrix vesicle mineralization in the Phospho1(-/-) mice, and the almost complete absence of matrix vesicles in the Phospho1(-/-);Alpl(+/-) mice, whose incisors showed a further reduction in mineralization. Results from this study support prominent non-redundant roles for both PHOSPHO1 and TNAP in dentin mineralization.

  15. Ten-years degradation of resin-dentin bonds.

    Science.gov (United States)

    Hashimoto, Masanori; Fujita, Shinichi; Nagano, Futami; Ohno, Hiroki; Endo, Kazuhiko

    2010-08-01

    The purpose of this study was to evaluate the durability of resin-dentin bonds in 10-yr water-storage testing. Resin-dentin bonded bulk specimens were prepared using six commercially available resin adhesives. The resin-dentin bonded specimens were stored in water for 24 h (control group) or for 10 yr (experimental groups). After each storage period, the specimens were sectioned to make specimen beams and then subjected to a microtensile bond test. After the bond test, fractured surfaces were examined by scanning electron microscopy (SEM). In addition, interfacial observation of silver nanoleakage was performed using the backscatter electron mode of SEM. The bond strengths of four of the six adhesive systems tested decreased significantly after 10 yr. However, no significant bond-strength reduction was recorded for the other two systems. The interfacial observations showed water tree propagation in the bonding resin layer as a typical morphological change after aging for five of the six adhesives tested. Water tree propagation may be a symptom of degradation in the resin bonding layer of resin-dentin bonds. PMID:20662915

  16. APF and dentifrice effect on root dentin demineralization and biofilm

    NARCIS (Netherlands)

    G.C. Vale; C.P.M. Tabchoury; A.A. Del Bel Cury; L.M.A. Tenuta; J.M. ten Cate; J.A. Cury

    2011-01-01

    Because dentin is more caries-susceptible than enamel, its demineralization may be more influenced by additional fluoride (F). We hypothesized that a combination of professional F, applied as acidulated phosphate F (APF), and use of 1100-ppm-F dentifrice would provide additional protection for denti

  17. Bonding longevity of flowable GIC layer in artificially carious dentin

    NARCIS (Netherlands)

    T.K. Tedesco; C.C. Bonifácio; D. Hesse; C.J. Kleverlaan; T.L. Lenzi; D.P. Raggio

    2014-01-01

    Purpose To evaluate the bond longevity of glass ionomer cement (GIC) to sound and artificially carious dentin, using a high viscosity material with regular consistency and using a flowable GIC, after one year water storage. Material and methods Sixty bovine incisors were polished to obtain flat bucc

  18. Amalgam stained dentin: a proper substrate for bonding resin composite?

    NARCIS (Netherlands)

    J.D. Scholtanus

    2016-01-01

    Nowadays the use of dental amalgam is mostly abandoned and substituted by tooth colored resin composites that can be bonded to teeth tissues by adhesive techniques. The aim of this thesis was to find out whether dark stained dentin, as often observed after removal of amalgam restorations and attribu

  19. Degenerative cervical myelopathy.

    Science.gov (United States)

    Kato, So; Fehlings, Michael

    2016-09-01

    Cervical myelopathy is the most common cause of acquired spinal cord compromise. The concept of degenerative cervical myelopathy (DCM), defined as symptomatic myelopathy associated with degenerative arthropathic changes in the spine axis, is being introduced. Given its progressive nature, treatment options have to be chosen in a timely manner. Surgical options include anterior discectomy and fusion (ACDF), anterior corpectomy and fusion (ACCF), arthroplasty (in highly select cases), posterior laminectomy with/without fusion, and laminoplasty. Indications for each should be carefully considered in individual patients. Riluzole, a sodium-glutamate antagonist, is a promising option to optimize neurologic outcomes post-surgery and is being examined in the CSM-Protect Randomized Controlled Trial. Preoperative risk assessment is mandatory for prognostication. Sagittal alignment is known to play an important role to optimize surgical outcome. Guidelines for optimal management of DCM are in process. In principle, all but the mildest cases of DCM should be offered surgery for optimal outcome. PMID:27250040

  20. Operations for cervical incompetence.

    Science.gov (United States)

    Branch, D W

    1986-06-01

    At present, cervical cerclage is indicated in those patients with a classic history of cervical incompetence. For the majority of these patients, a postconceptional cerclage procedure is better suited because it is done after the fetus has been evaluated ultrasonographically for obvious abnormalities and after the risk for spontaneous abortion is past. The greatest experience is with the Shirodkar and the McDonald procedures; allowing for operator differences, neither appears to have an important advantage. The transabdominal cervicoisthmic cerclage may be a useful postconceptional procedure in the selected patient whose cervix is either markedly foreshortened, deeply lacerated, or infected. Preconceptional cerclages are best reserved for those rare patients in whom a markedly foreshortened incompetent cervix is associated with early second-trimester pregnancy losses (preconceptional isthmic cerclage) or in whom the cervix has a single, identifiable scar or deep laceration extending through the internal os (Lash procedure). PMID:3522005

  1. [Preventing cervical cancer].

    Science.gov (United States)

    Simon, P; Noël, J-C

    2015-09-01

    The incidence of cervical cancer has hopefully been dropping down in our industrialized countries since the introduction of both primary and secondary prevention. Nevertheless, it is still lethal in one out of two affected women though the introduction of cytological screening has dramatically reduced the mortality. Progressive diffusion of anti-HPV vaccination, the broadening of the viral types concerned, its association with existing screening measures and finally the introduction of viral detection as a screening tool must optimize the results already obtained.

  2. SUPERFICIAL CERVICAL PLEXUS BLOCK

    Directory of Open Access Journals (Sweden)

    Komang Mega Puspadisari

    2014-01-01

    Full Text Available Superficial cervical plexus block is one of the regional anesthesia in  neck were limited to thesuperficial fascia. Anesthesia is used to relieve pain caused either during or after the surgery iscompleted. This technique can be done by landmark or with ultrasound guiding. The midpointof posterior border of the Sternocleidomastoid was identified and the prosedure done on thatplace or on the level of cartilage cricoid.

  3. Case Studies - Cervical Cancer

    Centers for Disease Control (CDC) Podcasts

    2010-10-15

    Dr. Alan Waxman, a professor of obstetrics and gynecology at the University of New Mexico and chair of the American College of Obstetricians and Gynecologists (ACOG) committee for the underserved, talks about several case studies for cervical cancer screening and management.  Created: 10/15/2010 by National Center for Chronic Disease Prevention and Health Promotion (NCCDPHP), Division of Cancer Prevention and Control (DCPC).   Date Released: 6/9/2010.

  4. Future Directions - Cervical Cancer

    Centers for Disease Control (CDC) Podcasts

    2009-10-15

    Dr. Alan Waxman, a professor of obstetrics and gynecology at the University of New Mexico and chair of the American College of Obstetricians and Gynecologists (ACOG) committee for the underserved, talks about possible changes in cervical cancer screening and management.  Created: 10/15/2009 by National Center for Chronic Disease Prevention and Health Promotion (NCCDPHP), Division of Cancer Prevention and Control (DCPC).   Date Released: 6/9/2010.

  5. [Pediatric orthopedic cervical spine problems].

    Science.gov (United States)

    Helenius, Ilkka

    2016-01-01

    Treatment-requiring diseases of the cervical spine in children are rare. The most common cases requiring medical assessment and treatment are acute torticollis and various accidents. A torticollis having lasted for more than a week should be recognized, because it can be treated by skull traction. Cervical spine fractures in children under school age are very rare, the most common being a fracture of the base of the dens of the second cervical vertebra. Cervical spine instability is almost always associated with an underlying disease. PMID:27400588

  6. Assessment of dysplastic dentin in osteogenesis imperfecta and dentinogenesis imperfecta.

    Science.gov (United States)

    Malmgren, Barbro; Lindskog, Sven

    2003-04-01

    Two semiquantitative scoring systems, Clinical Radiographic Score (CRS) and Dysplastic Dentin Score (DDS), were introduced for analyzing degree of dysplastic manifestations in dentin. The utility of both systems was demonstrated in a large material of teeth from patients with dentinogenesis imperfecta (DI) and osteogenesis imperfecta (OI). Twenty teeth from healthy controls, 81 teeth from 40 patients with OI, and 18 teeth with DI without OI (DI type II) were examined. The degree of dysplasia was correlated with type and form of OI and type of DI. The median DDS did not differ between DI associated with OI (DI type I) and DI type II. DDS in OI patients without clinical signs of DI was above that of control teeth. Both circumpulpal and mantle dentin showed increased DDS, although circumpulpal dentin was more severely affected. The median DDS was highest for the most severe type of non-lethal OI (type III). DDS increased significantly with form (severity) of OI. A significant association between DDS and CRS was found, although diagnosis of DI in less severe cases was not possible based on radiographic or clinical signs alone. Thus, the DDS system proved valuable when the CRS system based on radiographic/clinical manifestations failed, the most significant finding being subclinical histological manifestations of DI in patients with OI but without clinical or radiographic signs of DI. These subtle dysplastic changes are most likely an expression of genetic disturbances associated with OI and should not be diagnosed as DI, but rather be termed histologic manifestations of dysplastic dentin associated with OI.

  7. Ablation of dentin by irradiation of violet diode laser

    Science.gov (United States)

    Hatayama, H.; Kato, J.; Akashi, G.; Hirai, Y.; Inoue, A.

    2006-02-01

    Several lasers have been used for clinical treatment in dentistry. Among them, diode lasers are attractive because of their compactness compared with other laser sources. Near-infrared diode lasers have been practically used for cutting soft tissues. Because they penetrate deep to soft tissues, they cause sufficiently thick coagulation layer. However, they aren't suitable for removal of carious dentin because absorption by components in dentin is low. Recently, a violet diode laser with a wavelength of 405nm has been developed. It will be effective for cavity preparation because dentin contains about 20% of collagen whose absorption coefficient at a violet wavelength is larger than that at a near-infrared wavelength. In this paper, we examined cutting performance of the violet diode laser for dentin. To our knowledge, there have been no previous reports on application of a violet laser to dentin ablation. Bovine teeth were irradiated by continuous wave violet diode laser with output powers in a range from 0.4W to 2.4W. The beam diameter on the sample was about 270μm and an irradiation time was one second. We obtained the crater ablated at more than an output power of 0.8W. The depth of crater ranged from 20μm at 0.8W to 90μm at 2.4W. Furthermore, the beam spot with an output power of 1.7W was scanned at a speed of 1mm/second corresponding to movement of a dentist's hand in clinical treatment. Grooves with the depth of more than 50μm were also obtained. From these findings, the violet diode laser has good potential for cavity preparation. Therefore, the violet diode laser may become an effective tool for cavity preparation.

  8. Hyperlipidemia induced by high-fat diet enhances dentin formation and delays dentin mineralization in mouse incisor.

    Science.gov (United States)

    Ye, Xin; Zhang, Jin; Yang, Pishan

    2016-10-01

    Dyslipidemia has become a serious health problem in children and adolescents worldwide for its high prevalence. Since hard tissues of permanent teeth form mainly during this period and lipids are actively involved in tooth development, the effects of hyperlipidemia on dental tissue formation and mineralization need to be illustrated. In this study, hyperlipidemia model was established in mice fed with high-fat diet (HFD). Micro-CT and histomorphological analyses were performed on the mandibular bones to assess the morphological changes of the mandibular incisor and first molar. After 4 weeks of HFD feeding, mice had significantly elevated serum lipid levels compared with mice fed with control diet. After 8 weeks, the mandibular incisor presented significantly increased dentin thickness and decreased diameter of pulp cavity in HFD-fed mice compared with control diet-fed mice, while its gross morphology and enamel thickness were not altered. In the mandibular first molar, dentin thickness of root did not show difference between the two groups. Histological section showed that mandibular incisor of HFD-fed mice manifested a wider predentin region and a lower mineral apposition rate compared with that of the control mice. In conclusion, hyperlipidemia induced by HFD feeding enhances dentin formation and delays dentin mineralization in the developing mouse incisor.

  9. In vivo model for microbial invasion of tooth root dentinal tubules.

    Science.gov (United States)

    Brittan, Jane L; Sprague, Susan V; Macdonald, Emma L; Love, Robert M; Jenkinson, Howard F; West, Nicola X

    2016-04-01

    Objective Bacterial penetration of dentinal tubules via exposed dentine can lead to root caries and promote infections of the pulp and root canal system. The aim of this work was to develop a new experimental model for studying bacterial invasion of dentinal tubules within the human oral cavity. Material and Methods Sections of human root dentine were mounted into lower oral appliances that were worn by four human subjects for 15 d. Roots were then fixed, sectioned, stained and examined microscopically for evidence of bacterial invasion. Levels of invasion were expressed as Tubule Invasion Factor (TIF). DNA was extracted from root samples, subjected to polymerase chain reaction amplification of 16S rRNA genes, and invading bacteria were identified by comparison of sequences with GenBank database. Results All root dentine samples with patent tubules showed evidence of bacterial cell invasion (TIF value range from 5.7 to 9.0) to depths of 200 mm or more. A spectrum of Gram-positive and Gram-negative cell morphotypes were visualized, and molecular typing identified species of Granulicatella, Streptococcus, Klebsiella, Enterobacter, Acinetobacter, and Pseudomonas as dentinal tubule residents. Conclusion A novel in vivo model is described, which provides for human root dentine to be efficiently infected by oral microorganisms. A range of bacteria were able to initially invade dentinal tubules within exposed dentine. The model will be useful for testing the effectiveness of antiseptics, irrigants, and potential tubule occluding agents in preventing bacterial invasion of dentine. PMID:27119760

  10. Tensile bond strength of hydroxyethyl methacrylate (HEMA bonding agent to bovine dentine surface at various humidity

    Directory of Open Access Journals (Sweden)

    Adioro Soetojo

    2006-06-01

    Full Text Available One factor that make bonding agent adhere to dentine surface maximally is the humidity condition around the dentine surface. The best bond strength between bonding agent with dentine surface is depending on the moist surface. It mean that the dentine surface should neither too dry or wet. The objective of this research is to know the tensile bond strength of hydroxyethyl methacrylate (HEMA bonding agent to bovine dentine surface at various humidity. The bovine dentine was grounded to give flat surface, which was then etched with 37% phosphoric acid for 15 seconds. Dentine was washed with 20 ml water and dried with blot dry technique. The dentine, except the control group, was placed in a desiccator for one hour at difference humidity. Dentin was removed from desiccator, then covered with bonding agent and put into tensile tool plunger. Self-cured acrylic resin was applied on this bonding agent layer, which was placed on opposite-plunger. After 24 hours, tensile bond strength was measured with Autograph instrument. Data was statistically analyzed with One-Way ANOVA at 95% confidence level, continued with LSD test. Results of this study showed that 60%–90% humidity gave produce the lower of tensile bond strength of bonding agent to dentine surface (p ≤ 0.05. In conclusion, the treatment in 60% humidity gave the greatest tensile bond strength.

  11. In vitro study of caries detection through sound dentin using a laser fluorescence device, DIAGNOdent.

    Science.gov (United States)

    Iwami, Yukiteru; Shimizu, Ayako; Yamamoto, Hiroko; Hayashi, Mikako; Takeshige, Fumio; Ebisu, Shigeyuki

    2003-02-01

    The objective of this study was to investigate the feasibility of proximal surface caries detection using a laser fluorescence device, DIAGNOdent, through the sound dentin surrounding the cavity wall after removal of occlusal caries. Extracted sound human molars were ground to prepare horizontal and vertical dentin plates 1.4 mm thick. Extracted carious human molars were reduced in thickness horizontally from the occlusal surfaces until exposure of the dentin caries. The dentin plate was placed on the carious tooth. Before and after gradual thinning of the dentin plate from approximately 1.4 mm to 0.2 mm thick, the dentin caries was measured 10 times through the plate by the laser fluorescence device with a cone-shaped tip or a broad tip. When the dentin plate was reduced to less than 0.3 mm thick (using a combination of a horizontal plate and cone-shaped tip) or 0.2 mm thick (using the other combinations), the values measured with the laser fluorescence device were significantly larger than the values before reducing the thickness of the dentin. Based on these results, the device offers potential use as one of the screening tests for proximal surface caries detection through sound dentin when the sound dentin between tip and caries is thin.

  12. Determination of elastic and plastic mechanical properties of dentin based on experimental and numerical studies

    Institute of Scientific and Technical Information of China (English)

    Xingguo LI; Bingbing AN; Dongsheng ZHANG

    2015-01-01

    The aim of this study is to investigate the change of mechanical properties of human dentin due to aging and spatial variation. Sections of coronal dentin are made from human molars in three groups: young, mid-aged, and old patients. A nanoindentation test is conducted from regions near the pulp to the dentin-enamel junction (DEJ) to evaluate the load-depth indentation response and determine Young’s modulus and hardness. Based on the loading and unloading load-displacement curves in nanoindentation, a numerical model of plastic damage is used to study the plastic and the damage behaviors and the contribution to the degradation in the unloading stiffness. The experimental results show that Young’s modulus of the inner dentin is significantly lower than that of outer dentin in each age group. Compared with the young dentin, the old dentin has greater hardness and Young’s modulus with similar spatial variations. The magnitudes of the yield strength and the damage variable are also affected by aging and vary with spatial locations. In the same age group, the yield strength in inner dentin is lower than those in middle and outer dentin, more damage occurs with similar spatial variations, and the yield strength of young dentin is generally lower and causes more damage compared with those in both the mid-aged and old groups.

  13. In vivo model for microbial invasion of tooth root dentinal tubules

    Directory of Open Access Journals (Sweden)

    Jane L. BRITTAN

    2016-04-01

    Full Text Available ABSTRACT Objective Bacterial penetration of dentinal tubules via exposed dentine can lead to root caries and promote infections of the pulp and root canal system. The aim of this work was to develop a new experimental model for studying bacterial invasion of dentinal tubules within the human oral cavity. Material and Methods Sections of human root dentine were mounted into lower oral appliances that were worn by four human subjects for 15 d. Roots were then fixed, sectioned, stained and examined microscopically for evidence of bacterial invasion. Levels of invasion were expressed as Tubule Invasion Factor (TIF. DNA was extracted from root samples, subjected to polymerase chain reaction amplification of 16S rRNA genes, and invading bacteria were identified by comparison of sequences with GenBank database. Results All root dentine samples with patent tubules showed evidence of bacterial cell invasion (TIF value range from 5.7 to 9.0 to depths of 200 mm or more. A spectrum of Gram-positive and Gram-negative cell morphotypes were visualized, and molecular typing identified species of Granulicatella, Streptococcus, Klebsiella, Enterobacter, Acinetobacter, and Pseudomonas as dentinal tubule residents. Conclusion A novel in vivo model is described, which provides for human root dentine to be efficiently infected by oral microorganisms. A range of bacteria were able to initially invade dentinal tubules within exposed dentine. The model will be useful for testing the effectiveness of antiseptics, irrigants, and potential tubule occluding agents in preventing bacterial invasion of dentine.

  14. In vivo model for microbial invasion of tooth root dentinal tubules.

    Science.gov (United States)

    Brittan, Jane L; Sprague, Susan V; Macdonald, Emma L; Love, Robert M; Jenkinson, Howard F; West, Nicola X

    2016-04-01

    Objective Bacterial penetration of dentinal tubules via exposed dentine can lead to root caries and promote infections of the pulp and root canal system. The aim of this work was to develop a new experimental model for studying bacterial invasion of dentinal tubules within the human oral cavity. Material and Methods Sections of human root dentine were mounted into lower oral appliances that were worn by four human subjects for 15 d. Roots were then fixed, sectioned, stained and examined microscopically for evidence of bacterial invasion. Levels of invasion were expressed as Tubule Invasion Factor (TIF). DNA was extracted from root samples, subjected to polymerase chain reaction amplification of 16S rRNA genes, and invading bacteria were identified by comparison of sequences with GenBank database. Results All root dentine samples with patent tubules showed evidence of bacterial cell invasion (TIF value range from 5.7 to 9.0) to depths of 200 mm or more. A spectrum of Gram-positive and Gram-negative cell morphotypes were visualized, and molecular typing identified species of Granulicatella, Streptococcus, Klebsiella, Enterobacter, Acinetobacter, and Pseudomonas as dentinal tubule residents. Conclusion A novel in vivo model is described, which provides for human root dentine to be efficiently infected by oral microorganisms. A range of bacteria were able to initially invade dentinal tubules within exposed dentine. The model will be useful for testing the effectiveness of antiseptics, irrigants, and potential tubule occluding agents in preventing bacterial invasion of dentine.

  15. In vitro remineralization of enamel subsurface lesions and assessment of dentine tubule occlusion from NaF dentifrices with and without calcium

    Directory of Open Access Journals (Sweden)

    A R Prabhakar

    2013-01-01

    Full Text Available Currently, fluoride is the most effective preventive treatment for remineralization of incipient carious lesions and dentinal hypersensitivity due to wasting disorders. The products containing fluoride, calcium and phosphate are also claim to remineralize early, non-cavitated enamel demineralization. The aim of this study was to investigate and compare the efficacy of two such products, Tooth Mousse and Clinpro tooth crème on remineralization and tubule occluding ability with 5000ppm fluoride-containing toothpaste. Materials and Methods :Thirty third molar teeth were placed in demineralizing solution for 5 days such that only a window of 1mm x 5mm was exposed to the environment to produce artificial caries-like lesions and randomly assigned to three groups: Group I, 5000ppm sodium fluoride; Group II, GC MI paste plus and Group III, Clinpro tooth crème. Axial longitudinal sections of 140-160 μm of each tooth which included the artificial carious lesion taken and were photographed under polarized light microscope. The demineralized areas were then quantified with a computerized imaging system. The experimental materials were applied onto the tooth sections as a topical coating and subjected to pH-cycling for 28 days. To evaluate tubule occlusion ability, thirty dentin specimens of 2mm thickness were obtained from cervical third of sound third molars. Specimens were ultrasonicated and etched with 6% citric acid for 2 minutes to simulate the hypersensitive dentin. Specimens were randomly divided into above mentioned three groups (n=10. The test agents were brushed over the specimens with an electric toothbrush, prepared and observed under Scanning Electron Microscope for calculation of the percentage of occluded tubules. Results: Group I showed a significantly greater percentage of remineralization than Group III and Group II. Comparison of the remineralization potential between group II and group III were not significant.In case of dentine

  16. Significance of cervical length and cervical gland area in cervical maturation

    Directory of Open Access Journals (Sweden)

    Channaveeregowda Savitha

    2016-08-01

    Results: Amongst 160 pregnant women who were induced (20 women were excluded has they underwent LSCS for some other reasons during latent phase cervical length by sonography 4. Cervical length 4. Conclusions: Sonographically detected cervical gland area and cervical length was evaluated in predicting response to induction. Absent CGA and CL < 2cm was associated with greater incidence of successful labor induction. This results show the CL and CGA has significant role in predicting outcome of labor. [Int J Reprod Contracept Obstet Gynecol 2016; 5(8.000: 2634-2639

  17. Avaliação retrospectiva de artrodese cervical com enxerto autólogo versus hidroxiapatita Estudio retrospectivo de la artrodesis cervical con autoinjerto versus hidroxiapatita Retrospective study of cervical arthrodesis with autograft versus hydroxyapatite graft

    Directory of Open Access Journals (Sweden)

    Yoshinobu Nagasse

    2010-12-01

    Full Text Available OBJETIVO: os autores realizaram um estudo e compararam o resultado radiográfico no uso de hidroxiapatita e enxerto de crista ilíaca (autólogo no tratamento cirúrgico de hérnia discal cervical em um nível, sendo realizada artrodese cervical anterior com placa. MÉTODOS: foi realizado estudo retrospectivo com pacientes submetidos à artrodese cervical comparando-se dois grupos de dez pacientes: um em que foi utilizado enxerto de hidroxiapatita e outro em que foi utilizado enxerto de crista ilíaca (autólogo. Radiografias pós-operatórias foram mensuradas e comparadas, à busca de perdas de alinhamento angular. RESULTADOS: os dois tipos de enxerto demonstraram manter alinhamento em taxas similares, sendo observada consolidação óssea em todos os pacientes. O estudo não mostrou fragmentação do enxerto de hidroxiapatita ou soltura do material de síntese. CONCLUSÃO: nesta pequena série de casos não foi observada diferença significativa entre os resultados da artrodese cervical anterior com enxerto de hidroxiapatita em relação ao enxerto autólogo de ilíaco.OBJETIVOS: los autores realizaram un estudio y compararon el resultado radiográfico en el uso del hidroxiapatita y injerto de cresta ilíaca (autólogo, en el tratamiento quirúrgico de hernia discal cervical en un nivel, siendo realizada artrodesis cervical anterior con placa. MÉTODOS: fue realizado un estudio retrospectivo con pacientes, que habían sido sometidos a la artrodesis cervical con injerto de hidroxiapatita o injerto de cresta iliaca b.z autologa. Las radiografías postoperatorias habían sido mensuradas y comparadas, buscando para las pérdidas de alineación angular. RESULTADOS: los dos tipos de injerto habían demostrado manutención de alineación similares, donde la consolidación fue observada en todos los pacientes. El estudio no demostró la fragmentación del injerto de hidroxiapatita o de soltar el material de síntesis. CONCLUSIÓN: en esta peque

  18. The comparison between two irrigation regimens on the dentine wettability for an epoxy resin based sealer by measuring its contact angle formed to the irrigated dentine

    Directory of Open Access Journals (Sweden)

    Rayapudi Phani Mohan

    2015-01-01

    Conclusion: An irrigation regimen consisting of NaOCl with either EDTA or EDTAC solution as a final irrigant influences the dentine wettability and contact angle of a sealer. EDTAC as a final irrigant facilitates better dentin wettability than EDTA for AH Plus to promote its better flow and adhesion.

  19. THE INFLUENCE OF AIR-DRYING ON HYPER-REMINERALIZATION OF DEMINERALIZED DENTIN - A STUDY ON BULK AS WELL AS ON THIN WET SECTION OF BOVINE DENTIN

    NARCIS (Netherlands)

    INABA, D; IIJIMA, Y; TAKAGI, O; RUBEN, J; ARENDS, J

    1995-01-01

    The influence of air-drying on the remineralization of demineralized bovine dentine was examined in wet bulk samples, in dried bulk samples as well as in wet thin sections. Bulk samples of bovine dentine were first demineralized in an acidic gel (pH = 5) at 37 degrees C for 3 weeks. After 24-hour pr

  20. Uterine didelphys with cervical incompetence

    OpenAIRE

    Aher Gautam S, Gavali Urmila G, Kulkarni Meghana

    2013-01-01

    Uterine didelphys represents a uterine malformation where the uterus is present as a paired organ. There is presence of double uterine bodies with two separate cervices, and often a double or septate vagina as well. We report a case of single pregnancy in the right sided uterine body of a didelphic uterus with cervical incompetence.

  1. Uterine didelphys with cervical incompetence

    Directory of Open Access Journals (Sweden)

    Aher Gautam S, Gavali Urmila G, Kulkarni Meghana

    2013-04-01

    Full Text Available Uterine didelphys represents a uterine malformation where the uterus is present as a paired organ. There is presence of double uterine bodies with two separate cervices, and often a double or septate vagina as well. We report a case of single pregnancy in the right sided uterine body of a didelphic uterus with cervical incompetence.

  2. Tensile bond strength of self-etching versus total-etching adhesive systems under different dentinal substrate conditions Resistência de união à tração de sistemas adesivos autocondicionantes versus de condicionamento total, em diferentes condições de substrato dentinário

    Directory of Open Access Journals (Sweden)

    Alexandre Henrique Susin

    2007-03-01

    Full Text Available The use of acid etchants to produce surface demineralization and collagen network exposure, allowing adhesive monomers interdiffusion and consequently the formation of a hybrid layer, has been considered the most efficient mechanism of dentin bonding. The aim of this study was to compare the tensile bond strength to dentin of three adhesive systems, two self-etching ones (Clearfil SE Bond - CSEB and One Up Bond F - OUBF and one total-etching one (Single Bond - SB, under three dentinal substrate conditions (wet, dry and re-wet. Ninety human, freshly extracted third molars were sectioned at the occlusal surface to remove enamel and to form a flat dentin wall. The specimens were restored with composite resin (Filtek Z250 and submitted to tensile bond strength testing (TBS in an MTS 810. The data were submitted to two-way ANOVA and Tukey's test (p = 0.05. Wet dentin presented the highest TBS values for SB and CSEB. Dry dentin and re-wet produced significantly lower TBS values when using SB. OUBF was not affected by the different conditions of the dentin substrate, producing similar TBS values regardless of the surface pretreatments.O uso de condicionadores ácidos para desmineralizar a superfície dental e expor a rede de fibras colágenas para interdifusão dos monômeros adesivos e conseqüente formação da camada híbrida tem sido considerado o mais eficiente mecanismo de adesão dos agentes de união. O objetivo deste estudo foi comparar a resistência de união à dentina de três sistemas adesivos, dois autocondicionantes (Clearfil SE Bond - CSEB e One Up Bond F - OUBF e um de condicionamento total (Single Bond - SB, sob três diferentes condições de substrato dentinário (úmido, seco e reidratado. Noventa terceiros molares humanos recém-extraídos foram cortados na superfície oclusal, para se remover o esmalte e formar uma parede plana de dentina. Os espécimes foram restaurados com resina composta (Filtek Z250 e submetidos ao teste de

  3. Matrix metalloproteinase 20-dentin sialophosphoprotein interaction in oral cancer.

    Science.gov (United States)

    Saxena, G; Koli, K; de la Garza, J; Ogbureke, K U E

    2015-04-01

    Matrix metalloproteinase 20 (MMP-20), widely regarded as tooth specific, participates with MMP-2 in processing dentin sialophosphoprotein (DSPP) into dentin sialoprotein, dentin phosphoprotein, and dentin glycoprotein. In biochemical system, MMP-2, MMP-3, and MMP-9 bind with high affinity to, and are activated by, specific small integrin-binding ligand N-linked glycoproteins (SIBLINGs): bone sialoprotein, osteopontin, and dentin matrix protein 1, respectively. Subsequent reports documented possible biological relevance of SIBLING-MMP interaction in vivo by showing that SIBLINGs are always coexpressed with their MMP partners. However, the cognate MMPs for 2 other SIBLINGs-DSPP and matrix extracellular phosphogylcoprotein-are yet to be identified. Our goal was to investigate MMP-20 expression and to explore preliminary evidence of its interaction with DSPP in oral squamous cell carcinomas (OSCCs). Immunohistochemistry analysis of sections from 21 cases of archived human OSCC tissues showed immunoreactivity for MMP-20 in 18 (86%) and coexpression with DSPP in all 15 cases (71%) positive for DSPP. Similarly, 28 (93%) of 30 cases of oral epithelial dysplasia were positive for MMP-20. Western blot and quantitative real-time polymerase chain reaction analysis on OSCC cell lines showed upregulation of MMP-20 protein and mRNA, respectively, while immunofluorescence showed coexpression of MMP-20 and DSPP. Colocalization and potential interaction of MMP-20 with dentin sialoprotein was confirmed by coimmunoprecipitation and mass spectrometry analysis of immunoprecipitation product from OSCC cell lysate, and in situ proximity ligation assays. Significantly, results of chromatin immunoprecipation revealed a 9-fold enrichment of DSPP at MMP-20 promoter-proximal elements. Our data provide evidence that MMP-20 has a wider tissue distribution than previously acknowledged. MMP-20-DSPP specific interaction, excluding other MMP-20-SIBLING pairings, identifies MMP-20 as DSPP cognate MMP

  4. Effect of intracoronal bleaching agents on ultrastructure and mineral content of dentin

    Directory of Open Access Journals (Sweden)

    Fatemeh Maleknejad

    2012-01-01

    Full Text Available Aim: The purpose of this in vitro study was to evaluate the ultrastructural changes of dentin induced after exposure to different intracoronal tooth bleaching agents. Materials and Methods: Dental discs of 1 mm thickness were prepared from coronal dentin of sixty-four human maxillary premolars. Experimental specimens were divided into four subgroups: 45% carbamide peroxide, 35% hydrogen peroxide, sodium perborate + 30% hydrogen peroxide, sodium perborate + water. The specimens were then evaluated under scanning electron microscope to determine diameter of dentinal tubules and chemical analysis. Results: There was significant difference between dentinal tubule diameter of all test and control groups with the exception of sodium perborate + water. Chemical analysis revealed that there was no significant difference between experimental subgroups regarding calcium and sulfur wt%. Conclusions: All bleaching agents increased dentinal tubule diameter and promote alterations in mineral content of dentin with the exception of Sodium perborate mixed with water.

  5. Splicing site mutations in dentin sialophosphoprotein causing dentinogenesis imperfecta type II.

    Science.gov (United States)

    Holappa, Heidi; Nieminen, Pekka; Tolva, Liisa; Lukinmaa, Pirjo-Liisa; Alaluusua, Satu

    2006-10-01

    Dentinogenesis imperfecta (DGI) type II (OMIM # 125490) is an inherited disorder affecting dentin. Defective dentin formation results in discolored teeth that are prone to attrition and fracture. To date, several mutations have been described in the dentin sialophosphoprotein (DSPP) gene, causing DGI types II and III and dentin dysplasia type II. DSPP encodes two proteins: dentin sialoprotein (DSP) and dentin phosphoprotein (DPP). Here, we describe a mutational analysis of DSPP in seven Finnish families with DGI type II. We report two mutations and five single nucleotide polymorphisms. In one family we found a mutation that has been described earlier in families with different ethnicity, while in six families we found a novel g.1194C>A (IVS2-3) transversion. Bioinformatic analysis of known DSPP mutations suggests that DGI type II is usually caused by aberration of normal splicing.

  6. The effect of dentin primer on the shear bond strength between composite resin and enamel.

    Science.gov (United States)

    Hadavi, F; Hey, J H; Ambrose, E R; Louie, P W; Shinkewski, D J

    1993-01-01

    The purpose of this study was to determine the effect of accidental dentin primer contact with etched enamel on shear bond strength of composite resin to enamel. Four dentin bonding systems were included in this study: GLUMA Dentin Bond, Scotchbond, and Prisma Universal Bond 2 and 3. Eighty extracted human permanent anterior teeth were used and divided in eight test groups. The vestibular surfaces were ground and acid etched. For each dentin bonding system 10 samples were treated with dentin primer prior to placement of resin. Shear bond testing showed that enamel contact with dentin primer in the above two systems decreased the shear bond strength between composite and enamel by 31 to 44%. PMID:8337183

  7. Radiotherapy of Cervical Cancer.

    Science.gov (United States)

    Vordermark, Dirk

    2016-01-01

    Curative-intent radical radiotherapy of cervical cancer consists of external-beam radiotherapy, brachytherapy, and concomitant chemotherapy with cisplatin. For each element, new developments aim to improve tumor control rates or treatment tolerance. Intensity-modulated radiotherapy (IMRT) has been shown to reduce gastrointestinal toxicity and can be used to selectively increase the radiotherapy dose. Individualized, image-guided brachytherapy enables better adaptation of high-dose volumes to the tumor extension. Intensification of concomitant or sequential systemic therapy is under evaluation. PMID:27614991

  8. Electrodiagnosis of cervical radiculopathy.

    Science.gov (United States)

    Hakimi, Kevin; Spanier, David

    2013-02-01

    Cervical radiculopathy is a common diagnosis with a peak onset in the fifth decade. The most commonly affected nerve root is C7, C6, and C8. The etiology is often compressive, but may arise from noncompressive sources. Patients commonly complain of pain, weakness, numbness, and/or tingling. Examination may reveal sensory or motor disturbance in a dermatomal/myotomal distribution. Neural compression and tension signs may be positive. Diagnostic tests include imaging and electrodiagnostic study. Electrodiagnostic study serves as an extension of the neurologic examination. Electrodiagnostic findings can be useful for patients with atypical symptoms, potential pain-mediated weakness, and nonfocal imaging findings.

  9. Cytotoxicity evaluation of a new self-adhering flowable composite by dentin barrier test

    OpenAIRE

    Ülker, Hayriye Esra; Ülker, Mustafa; Özcan, Erhan

    2013-01-01

    OBJECTIVE: The aim of this study was to evaluate the cytotoxicity of a new self-adhering flowable composite (Vertise Flow) in a dentin barrier test device using three-dimensional cultures of bovine dental pulp derived cells.MATERIALS AND METHOD: Artificial cell culture perfusion chambers were separated into two compartments using a 500 µm dentin disc. In the lower compartment, a pulp chamber was created by placing the three-dimensional cultures onto the dentin disc. Test materials were introd...

  10. In Vitro Ability of a Novel Nanohydroxyapatite Oral Rinse to Occlude Dentine Tubules

    OpenAIRE

    Hill, Robert G.; Xiaohui Chen; David G. Gillam

    2015-01-01

    Objectives. The aim of the study was to investigate the ability of a novel nanohydroxyapatite (nHA) desensitizing oral rinse to occlude dentine tubules compared to selected commercially available desensitizing oral rinses. Methods. 25 caries-free extracted molars were sectioned into 1 mm thick dentine discs. The dentine discs (n = 25) were etched with 6% citric acid for 2 minutes and rinsed with distilled water, prior to a 30-second application of test and control oral rinses. Evaluation was ...

  11. A Study of the Genetics and Physical Properties of Dentine Defects

    OpenAIRE

    Mohamed Ibrahim, N. B.

    2013-01-01

    Dentinogenesis Imperfecta (DI) and Dentine Dysplasia (DD) are rare inherited condition affecting the dentine. Previous studies have reported the histological presentation of teeth with dentine defects but the differences between clinical appearances and physical properties, and how do they link to the underlying gene defects, is limited. In addition, the differences between primary and permanent teeth are poorly understood. Aim and Objective: The aim of this study was to investigate if there ...

  12. Is diagnosing exposed dentine a suitable tool for grading erosive loss?

    OpenAIRE

    Holbrook, W. Peter; Ganss, Carolina

    2008-01-01

    Quantifying tooth wear in general and erosion in particular mostly is made by distinguishing between lesions restricted to enamel and lesions reaching the underlying dentine. Various scores for grading have been used, but in all systems, higher scores are given in cases of exposed dentine, thus, indicating a more severe stage of the condition. Clinical diagnosis of exposed dentine is made by assessing changes in colour or optical properties of the hard tissues. This paper aims to review the l...

  13. Diffusion of peroxides through dentine in vitro with and without prior use of a desensitizing varnish

    OpenAIRE

    Hannig, Christian; Weinhold, Hans; Becker, Klaus; Attin, Thomas

    2010-01-01

    Different bleaching regimens are used in dentistry possibly penetrating the dentine and affecting the pulp. The aim of the present study was to investigate peroxide diffusion through dentine pre-treated with a desensitizing varnish (Vivasens®) in a standardized in vitro setup during application of different bleaching materials. The penetration was tested using 1.3-mm-thick bovine dentine slabs. The following bleaching materials were tested with and without prior application of the desensitizi...

  14. Diffusion of peroxides through dentine in vitro with and without prior use of a desensitizing varnish

    OpenAIRE

    Hannig, C; Weinhold, H C; Becker, K.; Attin, T.

    2011-01-01

    Different bleaching regimens are used in dentistry possibly penetrating the dentine and affecting the pulp. The aim of the present study was to investigate peroxide diffusion through dentine pre-treated with a desensitizing varnish (Vivasens®) in a standardized in vitro setup during application of different bleaching materials. The penetration was tested using 1.3-mm-thick bovine dentine slabs. The following bleaching materials were tested with and without prior application of the desensitizi...

  15. Effect of interchanging two composite resin system with a dentine adhesive.

    OpenAIRE

    Henderson L; Soh G

    1990-01-01

    There is a tendency to interchange dentine adhesives and composite resins when using composite resins for restorations. This study used marginal contraction gaps to test the effect of changing composite resins with a dentine adhesive. Cylindrical butt-joint cavities were prepared entirely in dentine using extracted human teeth. Two groups of control cavities (30 cavities per group) were restored with Prisma-Bond/Prisma-Fil and Heliobond/Heliomolar respectively. Two groups of test cavities (30...

  16. A Case of Dentin Dysplasia with Full Mouth Rehabilitation: A 3-year Longitudinal Study

    OpenAIRE

    Khandelwal, Suneet; Gupta, Dheeraj; Likhyani, Lalit

    2014-01-01

    ABSTRACT Dentin dysplasia, a rare hereditary disorder of dentin formation, is characterized by normal enamel but atypical dentin formation along with abnormal pulpal morphology. It is inherited as an autosomal dominant trait. It has been divided into two clinical entities: type I (radicular) and type II (coronal). Early diagnosis and initiation of effective regular dental treatments may help the patients with this condition to delay or prevent the loss of the entire dentition and help them in...

  17. Effect of phytic acid, ethylenediaminetetraacetic acid, and chitosan solutions on microhardness of the human radicular dentin

    OpenAIRE

    Vineeta Nikhil; Shikha Jaiswal; Parul Bansal; Rohit Arora; Shalya Raj; Pulkit Malhotra

    2016-01-01

    Aim: The purpose of this study was to evaluate the effect of phytic acid, ethylenediaminetetraacetic acid (EDTA), and chitosan solutions on the microhardness of human radicular dentin. Materials and Methods: Thirty dentin specimens were randomly divided into three groups of 10 specimens each according to the irrigant used: G1 - 1% phytic acid, G2 - 17% EDTA, and G3 - 0.2% chitosan. A standardized volume of each chelating solution was used for 3 min. Dentin microhardness was measured befo...

  18. Comparative efficacy of two treatment modalities for dentinal hypersensitivity: A clinical trial

    OpenAIRE

    Aparna S; Setty Swati; Thakur Srinath

    2010-01-01

    Background: Dentin hypersensitivity is a recurrent condition causing discomfort and sometimes pain to the patient, which also deters him from maintaining adequate oral hygiene. Home care and office measures are used for treatment of this malady. Aim: To evaluate and compare the efficacy of 2 treatment modalities for dentinal hypersensitivity, iontophoresis with acidulated phosphate gel (APF) gel, and dentin-bonding agent application. Materials and Methods: This split mouth randomized clinic...

  19. Age-related changes in ac-impedance spectroscopy studies of normal human dentine: further investigations.

    Science.gov (United States)

    Eldarrat, A H; High, A S; Kale, G M

    2010-01-01

    One of the age-related changes occurring in dentine structure is the formation of peritubular dentine on the inner walls of dentinal tubules leading to complete closure of tubules. Ac-impedance is safe, fast and non-invasive technique. In the last decade, the popularity of the technique has increased in dental research. Several investigators have used the technique to detect tooth cracks and caries. The results of in vitro studies showed that ac-impedance technique was more advanced for caries detection than visual and radiographic methods. However, other studies demonstrated that the accuracy of impedance measurements can be affected by many factors such as remineralization after tooth eruption. A study has been published on effect of age on impedance measurements by the authors for two age groups by employing ac-impedance spectroscopy. Therefore, the aim of this study was to demonstrate the importance of this technique by conducting further investigations on dentine samples of wider age groups. Dentine samples were prepared from extracted sound third molars of known patient age. The ac-impedance measurements were carried out over a wide range of frequency. After performing all electrical measurements, dentine samples were examined under SEM to correlate the electrical measurements with their structure. Impedance measurements showed that there were differences in impedance between young and old dentine. One-way ANOVA of the means of resistance and capacitance for all age groups (20, 25, 30, 40 and 50 years old dentine) revealed a significant difference (ANOVA, P < 0.0001) as a function of age. Applying Tukey's post hoc test, to the same data showed that this difference was due to the 50 years old dentine for resistance and was due to the 40 and 50 years old dentine for capacitance which were statistically different to all other groups. SEM investigation of dentine samples showed that young dentine is characterized by open dentinal tubules distributed all over the

  20. [Dependence of the dentinal abrasion of human teeth on their microhardness].

    Science.gov (United States)

    Remizov, S M; Pruzhanskiĭ, L Iu

    1989-01-01

    The dentin resistance against abrasion was studied as related to its microhardness. Sections of 15 intact teeth were investigated (central upper incisors). Water suspensions (40% weight-to weight) of dicalcium phosphate (DCP, FRG; and DKF-1 and DKF-2, USSR) were used as abrasives. Dentin microhardness was measured with a PMT-3 device, and abrasion assessed with profilographic technique. Dentin abrasion was related to its microhardness and to the kind of abrasive used. Dentin abrasion increased as its microhardness decreased. DCF showed minimal abrasive effect, DKF-2 had maximal effect with DKF-1 keeping the intermediate position.

  1. Application of laser therapy for the treatment of dentinal hyperesthesia

    International Nuclear Information System (INIS)

    An experimental study was carried out, to evaluate the effectiveness of the low - power laser combined with fluoride varnish to 2% (Profilac) in the treatment of the Dentinal Hyperesthesia in patients attended to in the Stomatology Clinic of Ciro Redondo in the period from October 2007 to January 2008. The universe of study was constituted by 75 patients diagnosed with dentinal hyperesthesia in the period of time indicated above, being conformed the sample by those 25 who fulfilled the pre-established criteria for the study. With the application of the laser combined with Lacquer Fluorine (Profilac), a remission of the pain was observed that increased gradually with the treatment sessions, having been obtained to almost eliminate in the totality of the cases the group of symptoms when finalizing it, evaluating the treatment of effective in 100% of the cases. We only found a recidivism after a year of treatment

  2. Fracture resistance of teeth restored with dentin-bonded crowns.

    Science.gov (United States)

    Burke, F J; Watts, D C

    1994-05-01

    While dentin-bonded crowns may hold esthetic advantages over metal-ceramic restorations, and minimal tooth preparation may also be appropriate, resistance to fracture of the restored unit is an important consideration. Dentin-bonded crowns were placed on standardized preparations in two groups of 10 maxillary premolar teeth in vitro. The preparations differed only in degree of taper. The restored specimens were subjected to compressive loading at 1 mm/min from a steel bar placed along the midline fissure. Mean fracture loads of 0.77 kN (6-degree taper) and 0.71 kN (8-degree taper) were recorded for the groups of prepared teeth, and a mean fracture load of 0.97 kN was obtained for a group of unprepared controls. Statistical analysis indicated that there was no significant difference between the fracture load of the 6-degree taper group and that of the sound control teeth.

  3. Laser-assisted treatment of dentinal hypersensitivity: a literature review

    Science.gov (United States)

    Biagi, Roberto; Cossellu, Gianguido; Sarcina, Michele; Pizzamiglio, Ilaria Tina; Farronato, Giampietro

    2015-01-01

    Summary The purpose of this literature review was to evaluate the effectiveness of the laser-assisted treatment of dentinal hypersensitivity. A review with inclusion and exclusion criteria was performed from January 2009 to December 2014 with electronic data-bases: MedLine via PubMed, Science Direct and Cochrane Library. Research of paper magazines by hand was not considered. Forty-three articles were selected between literature reviews, in vitro studies, clinical trials, pilot and preliminary studies. The items were divided into laser-used groups for an accurate description, and then the reading of results into various typologies. Laser-assisted treatment reduces dentinal hypersensitivity-related pain, but also a psychosomatic component must be considered, so further studies and more suitable follow-ups are necessary. PMID:26941892

  4. A comparative analysis of root dentin transparency with known age

    Directory of Open Access Journals (Sweden)

    Anita Singhal

    2010-01-01

    Full Text Available Objective: To correlate dimensions of root transparency and age, and to assess whether transparency is reliable for age estimation of unknown. Materials and Methods: 50 freshly extracted single rooted permanent teeth from 50 different individuals (27 males and 23 females were collected and their ground sections of 400 ΅m were stained with 1% methylene blue. The area of the translucent zone was measured by superimposing a transparent graph paper on the ground section under stereomicroscope. The length of the translucency was measured by using digital vernier caliper. Results: A strong positive correlation between age and translucency of dentin was noted. The length rather than the area of the translucent zone correlated more with age. Conclusion: Translucency of the root dentin increases with age and it can be used as a reliable parameter for the age estimation.

  5. Morfologia da dentina tratada com substâncias dessensibilizantes: avaliação através da microscopia eletrônica de varredura Morphology of dentin treated with desensitizing substances: scanning electron microscopy study

    OpenAIRE

    Oda, Margareth; MATOS Adriana Bona; LIBERTI Edson Aparecido

    1999-01-01

    As constantes recidivas dos tratamentos preconizados para a hipersensibilidade dentinária são causa de estudos a respeito desta patologia. Neste trabalho, in vitro, nos propomos a avaliar, por meio de microscopia eletrônica de varredura, a possível formação de película impermeabilizadora quando da aplicação de substâncias dessensibilizantes, acompanhada de condicionamento ácido da dentina. Discos de dentina, foram utilizados onde foi preparado um esfregaço padronizado, realizado condicionamen...

  6. Morphological alterations on human radicular dentin after exposure to different fruit juice drinks = Alterações morfológicas na dentina radicular após exposição a diferentes sucos de fruta

    OpenAIRE

    Zandim, Daniela Leal

    2011-01-01

    Objetivo: O objetivo deste estudo in vitro foi avaliar o efeito de diferentes sucos de fruta disponíveis no mercado brasileiro sobre o grau de remoção de smear layer e abertura dos túbulos dentinários, assim como verificar o efeito da escovação realizada imediatamente após a exposição aos sucos. Metodologia: Amostras de dentina foram preparadas e distribuídas aleatoriamente entre o grupo controle (água destilada) e doze tipos de suco de fruta (caju, laranja, tangerina, maçã, maracujá, goia...

  7. Comparison of the interface dentin-endodontic sealer using two SEM magnifications = Comparação da interface dentina-cimento endodôntico usando dois aumentos de MEV

    OpenAIRE

    Steier, Liviu; de Figueiredo, José Antonio Poli; Belli, Sema

    2010-01-01

    Objetivo: Este estudo teve por objetivo comparar a interface dentina – cimento endodôntico de dois cimentos (RealSeal e AH Plus) usando dois aumentos de Microscopia Eletrônica de Varredura (MEV). Metodologia: Os dois terços coronários de oito molares extraídos foram removidos e as superficies dentinárias foram desgastadas com o uso sequencial de lixas abrasivas 180 e 320, sob refrigeração a água. Os espécimes foram divididos em dois grupos com quatro espécimes cada de acordo com o cimento ...

  8. [Cervical Spondylotic Amyotrophy].

    Science.gov (United States)

    Sonoo, Masahiro

    2016-05-01

    Keegan (1965) reported a patient who presented with "dissociated motor loss," an acute paralysis of the upper extremity with minimal sensory signs and no long tract signs, and documented an anterior root lesion following autopsy. Sobue et al. (1975) reported similar cases using the term "cervical spondylotic amyotrophy (CSA)," but postulated pathology of the anterior horn. Although Keegan's "dissociated motor loss" surely referred to isolated motor paresis with no or minimal sensory signs, contrary to existing criticism, a more general term, CSA, should be preferred. CSA is divided into proximal and distal types. Distal CSA often presents with a drop finger, and thus may be misdiagnosed as posterior interosseous nerve palsy. Documentation of the involvement of ulnar muscles by clinical signs and EMG would lead to the diagnosis of distal CSA. Proximal CSA may be confused with neuralgic amyotrophy (NA), although the sparing of the serratus anterior and the stereotypic involvement of deltoid, infraspinatus, biceps brachii, and brachioradialis suggest CSA. Cervical MRI is not diagnostic in around half of CSA cases, and denervation in paraspinal EMG is a more sensitive test that can exclude NA. Amyotrophic lateral sclerosis is another important differential diagnosis for CSA. PMID:27156504

  9. Influence of chemomechanical caries removal methods on dentine

    OpenAIRE

    Hamama, Hamdi Hosni Hamdan Eldesouki

    2014-01-01

    Chemomechanical caries excavation is an excellent example of conservative caries removal methods due to its ability to reliably preserve a greater thickness of caries-affected dentine (CAD). Chemomechanical caries removal (CMCR) agents dissolve the denatured collagen fibrils leaving the sound and partially degraded fibrils intact. Also, one of the main advantages of the CMCR method is its characteristic visual excavation end point sign, after this point, the solution fails to become turbid. C...

  10. Evaluation of caries-affected dentin with optical coherence tomography

    Directory of Open Access Journals (Sweden)

    Cynthia Soares de Azevedo

    2011-10-01

    Full Text Available The purpose of this study was to evaluate the degree of demineralization of artificially induced caries-affected human dentin by an in vitro microbiological method. The occlusal surfaces of 6 human molar teeth were abraded until a flat surface was obtained, and the enamel was removed to expose the occlusal dentin surface. These teeth were sectioned in 12 halves in the vestibular-lingual direction and divided into 3 groups according to the period length of the microbiological essay (n = 4: G1, 7 days; G2, 14 days; and G3, 21 days. The surfaces of all specimens were protected by an acid-resistant nail varnish, except for a window where the caries lesion was induced by a Streptoccocus mutans biofilm in a batch-culture model supplemented with 5% sucrose. The specimens were then analyzed by optical coherence tomography (OCT with a super-luminescent light diode (Λ = 930 nm with 6.0-µm lateral and longitudinal resolution (in the air. Qualitative and quantitative results (images and average dentin demineralization, respectively were obtained. The mean demineralization depths were (µm 235 ± 31.4, 279 ± 14, and 271 ± 8.3 in groups 1, 2, and 3, respectively. In addition, no significant change was observed in the lesion mean depth from 7 days of cariogenic challenge on. In conclusion, OCT was shown to be an efficient and non-invasive method to detect the depths of lesions caused by demineralization. Further, a seven-day demineralization time was considered sufficient for caries-affected dentin to be obtained.

  11. Evaluation of caries-affected dentin with optical coherence tomography.

    Science.gov (United States)

    Azevedo, Cynthia Soares de; Trung, Luciana Cardoso Espejo; Simionato, Maria Regina Lorenzetti; Freitas, Anderson Zanardi de; Matos, Adriana Bona

    2011-01-01

    The purpose of this study was to evaluate the degree of demineralization of artificially induced caries-affected human dentin by an in vitro microbiological method. The occlusal surfaces of 6 human molar teeth were abraded until a flat surface was obtained, and the enamel was removed to expose the occlusal dentin surface. These teeth were sectioned in 12 halves in the vestibular-lingual direction and divided into 3 groups according to the period length of the microbiological essay (n = 4): G1, 7 days; G2, 14 days; and G3, 21 days. The surfaces of all specimens were protected by an acid-resistant nail varnish, except for a window where the caries lesion was induced by a Streptoccocus mutans biofilm in a batch-culture model supplemented with 5% sucrose. The specimens were then analyzed by optical coherence tomography (OCT) with a super-luminescent light diode (Λ = 930 nm) with 6.0-µm lateral and longitudinal resolution (in the air). Qualitative and quantitative results (images and average dentin demineralization, respectively) were obtained. The mean demineralization depths were (µm) 235 ± 31.4, 279 ± 14, and 271 ± 8.3 in groups 1, 2, and 3, respectively. In addition, no significant change was observed in the lesion mean depth from 7 days of cariogenic challenge on. In conclusion, OCT was shown to be an efficient and non-invasive method to detect the depths of lesions caused by demineralization. Further, a seven-day demineralization time was considered sufficient for caries-affected dentin to be obtained. PMID:22031053

  12. Dentin-cement Interfacial Interaction: Calcium Silicates and Polyalkenoates

    OpenAIRE

    Atmeh, A.R.; Chong, E. Z.; Richard, G; Festy, F.; Watson, T.F.

    2012-01-01

    The interfacial properties of a new calcium-silicate-based coronal restorative material (Biodentine™) and a glass-ionomer cement (GIC) with dentin have been studied by confocal laser scanning microscopy (CLSM), scanning electron microscopy (SEM), micro-Raman spectroscopy, and two-photon auto-fluorescence and second-harmonic-generation (SHG) imaging. Results indicate the formation of tag-like structures alongside an interfacial layer called the “mineral infiltration zone”, where the alkaline c...

  13. Microhardness of root dentin: effect of endodontic techniques and irrigants

    OpenAIRE

    Muratovska, Ilijana; Atanasovska-Stojanovska, Aneta; Kovacevska, Ivona; Daci, Arijan; Stojanovska, Vera

    2012-01-01

    The Aim of our study is to measure and evaluate the effect of standard step-back (k-file) endodontic technique and rotary (Pro-taper) endodontic technique followed by irrigation with 2,5% Natrium hypohlorite alone or combined with 17% EDTA on microhardness changes of root canal dentin. Method: Forty mandibular human unerupted trird molars were sectioned transversely at the cementoenamel junction and the crowns were discarded.. The data were recorded with Vicker’s ha...

  14. Interactions between root canal irrigants, sealers and dentin

    OpenAIRE

    Neelakantan, P.

    2016-01-01

    The objective of this thesis was to determine the interactions between root filling materials and root dentin and to investigate if root canal irrigating solutions had an impact on these interactions. The following outcomes were assessed in the studies encompassed in this thesis: (i) dislocation resistance of an epoxy resin based root canal sealer and tricalcium silicate based root canal sealers, (ii) the influence of irrigation protocols on the sealing ability and chemical interactions with ...

  15. Effects of fluoridated milk on root dentin remineralization.

    Directory of Open Access Journals (Sweden)

    Wolfgang H Arnold

    Full Text Available The prevalence of root caries is increasing with greater life expectancy and number of retained teeth. Therefore, new preventive strategies should be developed to reduce the prevalence of root caries. The aim of this study was to investigate the effects of fluoridated milk on the remineralization of root dentin and to compare these effects to those of sodium fluoride (NaF application without milk.Thirty extracted human molars were divided into 6 groups, and the root cementum was removed from each tooth. The dentin surface was demineralized and then incubated with one of the following six solutions: Sodium chloride NaCl, artificial saliva, milk, milk+2.5 ppm fluoride, milk+10 ppm fluoride and artificial saliva+10 ppm fluoride. Serial sections were cut through the lesions and investigated with polarized light microscopy and quantitative morphometry, scanning electron microscopy (SEM and energy-dispersive X-ray spectroscopy (EDS. The data were statistically evaluated using a one-way ANOVA for multiple comparisons.The depth of the lesion decreased with increasing fluoride concentration and was the smallest after incubation with artificial saliva+10 ppm fluoride. SEM analysis revealed a clearly demarcated superficial remineralized zone after incubation with milk+2.5 ppm fluoride, milk+10 ppm fluoride and artificial saliva+10 ppm fluoride. Ca content in this zone increased with increasing fluoride content and was highest after artificial saliva+10 ppm fluoride incubation. In the artificial saliva+10 ppm fluoride group, an additional crystalline layer was present on top of the lesion that contained elevated levels of F and Ca.Incubation of root dentin with fluoridated milk showed a clear effect on root dentin remineralization, and incubation with NaF dissolved in artificial saliva demonstrated a stronger effect.

  16. Carbodiimide Inactivation of MMPs and Effect on Dentin Bonding

    OpenAIRE

    Mazzoni, A.; Apolonio, F.M.; Saboia, V.P.A.; de Santi, S; Angeloni, V; Checchi, V.; Curci, R.; Di Lenarda, R.; Tay, F.R.; Pashley, D.H.; Breschi, L.

    2014-01-01

    The use of protein cross-linking agents during bonding procedures has been recently proposed to improve bond durability. This study aimed to use zymography and in situ zymography techniques to evaluate the ability of 1-ethyl-3-(3-dimethylaminopropyl) carbodiimide (EDC) cross-linker to inhibit matrix metalloproteinase (MMP) activity. The hypotheses tested were that: (1) bonding procedures increase dentin gelatinolytic activity and (2) EDC pre-treatment prevents this enzymatic activity. The zym...

  17. GENETIC INSTABILITY IN CERVICAL CARCINOMA

    Institute of Scientific and Technical Information of China (English)

    赵旻; 伍欣星; 邱小萍; 李晖; 戴天力; 谭云

    2002-01-01

    Objective: The role of human papillomavirus (HPV) in the development of cervical carcinoma has been clearly established but other factors could be involved in cervical tumorigenesis such as loss of heterozygosity (LOH) and microsatellite instability (MI). The aim of the present study was to investigate the genetic instability in cervical carcinoma tissues and provide evidence for discoveringnew tumor suppressor genes and screening diagnostic molecular marker of cervical carcinoma. Methods: Fifty primary cervical carcinoma samples from high-incidence area were analyzed by PCR for HPV16 infection, LOH and microsatellite instability. Results: HPV16 was detected in 88% of the cases. Sixty-six percent of total cases showed LOH with no more than 3 different loci per case. The highest frequency of the allelic loss was found in D18S474 (18q21, 40.5%). MI was detected in 4 cases (8%) only. Conclusion: Different percentages of LOH on specific chromosomal regions were found and MI was very infrequent in cervical carcinoma. The putative suppressor gene(s) could be located on specific chromosome regions such as 18q, and genetic instability could be involved in cervical tumorigenesis.

  18. Secondary mineralization in carious lesions of human dentin

    International Nuclear Information System (INIS)

    Dentinal carious lesions having a remineralized surface layer were studied by means electron-probe microanalysis, electron microscopy, electron diffraction. As the results of electron-probe study, F, Mg, and Na were found to be distributed mainly in the remineralized surface layer and S in the decalcified region where decreases in Ca, P, and Mg concentration were usually observed. The decrease in Mg concentration always started earlier than that of Ca and P concentration. Electron microscope and electron diffraction studies revealed that apatic crystals in the remineralized surface layer were much larger than those in the intact dentin. Although they were less conspicuous, crystals in the decalcified region also were larger than those in the intact region. Dentinal tubules, occluded by many crystals, were frequently seen during the observations. Crystals in the tubules varied in morphology, showing granular, needle, rhomboid, and tabular shapes. By means of electron diffraction, the granular- or needle-shaped crystals were identified as apatite and the rhomboid-shaped crystals as whitlockite. Some of the tabular-shaped crystals appeared to be cotacalcium phosphate. (auth.)

  19. Aging and Fracture of Human Cortical Bone and Tooth Dentin

    Energy Technology Data Exchange (ETDEWEB)

    Ager, Joel; Koester, Kurt J.; Ager III, Joel W.; Ritchie, Robert O.

    2008-05-07

    Mineralized tissues, such as bone and tooth dentin, serve as structural materials in the human body and, as such, have evolved to resist fracture. In assessing their quantitative fracture resistance or toughness, it is important to distinguish between intrinsic toughening mechanisms which function ahead of the crack tip, such as plasticity in metals, and extrinsic mechanisms which function primarily behind the tip, such as crack bridging in ceramics. Bone and dentin derive their resistance to fracture principally from extrinsic toughening mechanisms which have their origins in the hierarchical microstructure of these mineralized tissues. Experimentally, quantification of these toughening mechanisms requires a crack-growth resistance approach, which can be achieved by measuring the crack-driving force, e.g., the stress intensity, as a function of crack extension ("R-curve approach"). Here this methodology is used to study of the effect of aging on the fracture properties of human cortical bone and human dentin in order to discern the microstructural origins of toughness in these materials.

  20. Holmium:YAG laser in dentistry: photoconditioning of dentinal surfaces

    Science.gov (United States)

    Holt, Raleigh A.; Nordquist, Robert E.

    1994-09-01

    This in vitro study was undertaken to determine energy levels necessary to produce tubule closure and surface smoothing on dentinal surfaces of human teeth and their resultant temperature increases within the pulpal canals with the Holmium:YAG laser. An optimal working spot size and even absorption pattern were produced by defocusing the laser beam and evaluated by images produced on light exposed and developed photographic paper. The surface effects on dentin were examined by scanning electron microscopy. A thermocouple was positioned in the canals of fresh dissected dog jaws and attached to a recorder which produced a graph of the temperature changes. The in vitro research model for intrapulpal temperatures changes was verified by comparing premortem and postmortem temperature readings. The same protocol was used to evaluate temperature changes in fresh human extracted teeth. In vivo histological studies were conducted to evaluate the effects of HO:YAG laser energy on pulpal tissues. The results of these studies indicate the HO:YAG laser at a wavelength of 2.12 microns can be safely and effectively used for photoconditioning of the dentinal surfaces of teeth in clinical conditions.

  1. O movimento ortodôntico não induz reabsorção cervical externa ou O movimento ortodôntico não altera cor, volume e nem induz inflamação gengival Orthodontic movement does not induce external cervical resorption (ECR or Orthodontic movement does not change gingival color and volume, and does not induce gingival inflammation

    Directory of Open Access Journals (Sweden)

    Alberto Consolaro

    2011-12-01

    Full Text Available Nesse trabalho, procurou-se explicar - anatômica e funcionalmente - como se estrutura e se organiza a região cervical dos dentes, para fundamentar os seguintes questionamentos: 1 Por que ocorre Reabsorção Cervical Externa na dentição humana?; 2 Por que na gengivite e na periodontite não se tem Reabsorção Cervical Externa?; 3 Por que depois do traumatismo dentário e da clareação interna pode ocorrer a Reabsorção Cervical Externa?; 4 Por que o movimento ortodôntico não altera a cor e o volume gengival durante o tratamento?; 5 Por que o movimento ortodôntico não induz Reabsorção Cervical Externa, mesmo sabendo-se que a região cervical pode ser muito exigida? A existência de antígenos sequestrados na dentina, a presença de janelas de dentina na região cervical de todos os dentes, a reação do epitélio juncional e a distribuição dos vasos sanguíneos gengivais podem justificar por que a Reabsorção Cervical Externa não ocorre e nem a cor e o volume gengival são alterados no movimento ortodôntico.This study sought to explain, both anatomically and functionally, how the cervical region of human teeth is structured and organized in order to address the following questions: 1 Why does External Cervical Resorption (ECR occur in human dentition? 2 Why is there no ECR in gingivitis and periodontitis? 3 Why ECR can occur after dental trauma and internal bleaching? 4 Why does orthodontic movement not change the gingival color and volume during treatment? 5 Why does orthodontic movement not induce ECR although it is common knowledge that the cervical region can undergo much stress? The existence of sequestered antigens in the dentin, the presence of dentin gaps in the cervical region of all teeth, the reaction of the junctional epithelium and the gingival distribution of blood vessels may explain why ECR does not occur, nor do gingival color and volume change when teeth are orthodontically moved.

  2. Contribuição ao estudo da microinfiltração in vitro de lesões cervicais não cariosas restauradas com diferentes materiais adesivos e técnicas In vitro evaluation of microleakage of noncarious cervical lesions restored with different adhesive materials and techniques

    Directory of Open Access Journals (Sweden)

    Adriana Bona MATOS

    1997-01-01

    Full Text Available A restauração de lesões cervicais não cariosas é um procedimento comum na clínica diária, havendo uma alta incidência de casos de perda da restauração, descoloração marginal e recidiva de cárie. A etiologia desse tipo de lesão é considerada multifatorial. Neste trabalho, avaliou-se a microinfiltração diante das seguintes variáveis: tipo de material utilizado (dois adesivos de quarta geração utilizados em conjunto com duas resinas compostas de tipos diferentes, ©microfillª e híbrida, dois métodos de polimerização dos sistemas adesivos (foto e dual e duas técnicas restauradoras (incremental e do incremento único. Na metodologia deste trabalho, utilizaram-se ciclagem térmica e mecânica, técnica de infiltração com nitrato de prata, cortes seriados e leitura dos resultados através de escala de escores. A microinfiltração foi menor quando se utilizou uma resina composta híbrida comparada à resina ©microfillª. Ao se utilizar o método de polimerização dual do sistema adesivo, a microinfiltração foi menor do que com o método somente fotopolimerizável. A técnica restauradora não exerceu influência sobre o padrão de microinfiltração encontrado nas restaurações de lesões cervicais não cariosasRestoration of noncarious cervical lesions is a usual clinical procedure, and there is a high incidence of restoration loss, marginal discoloration, and recurrent caries. All the factors that play an important role in this process have to be considered when studying this kind of lesion of complex multifactorial etiology. Microleakage was evaluated related to the type of material used (two fourth generation bonding systems used with two types of composite resins: hybrid and microfill, two polymerization methods for bonding systems (photo and dual cure and two restorative techniques (incremental and bulk. This study used thermal and mechanical cycling procedures, infiltration tests with silver nitrate solution

  3. Comparative evaluation of the effect of chlorhexidine and Aloe barbadensis Miller (Aloe vera on dentin stabilization using shear bond testing

    Directory of Open Access Journals (Sweden)

    Dakshita Joy Sinha

    2016-01-01

    Conclusion: CHX and A. barbadensis Miller, as pretreatment agents of acid demineralized dentin collagen, has no adverse effect on the immediate shear bond strength of a two-step etch and rinse adhesive to dentin.

  4. Molecular evolution of dentin phosphoprotein among toothed and toothless animals

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    Fisher Larry W

    2009-12-01

    Full Text Available Abstract Background Dentin sialophosphoprotein (DSPP is the largest member of the SIBLING family and is the most abundant noncollagenous protein in dentin. DSPP is also expressed in non-mineralized tissues including metabolically active ductal epithelia and some cancers. Its function, however, is poorly defined. The carboxy-terminal fragment, dentin phosphoprotein (DPP is encoded predominantly by a large repetitive domain that requires separate cloning/sequencing reactions and is, therefore, often incomplete in genomic databases. Comparison of DPP sequences from at least one member of each major branch in the mammalian evolutionary tree (including some "toothless" mammals as well as one reptile and bird may help delineate its possible functions in both dentin and ductal epithelia. Results The BMP1-cleavage and translation-termination domains were sufficiently conserved to permit amplification/cloning/sequencing of most species' DPP. While the integrin-binding domain, RGD, was present in about half of species, only vestigial remnants of this tripeptide were identified in the others. The number of tandem repeats of the nominal SerSerAsp phosphorylation motif in toothed mammals (including baleen whale and platypus which lack teeth as adults, ranged from ~75 (elephant to >230 (human. These repeats were not perfect, however, and patterns of intervening sequences highlight the rapidity of changes among even closely related species. Two toothless anteater species have evolved different sets of nonsense mutations shortly after their BMP1 motifs suggesting that while cleavage may be important for DSPP processing in other tissues, the DPP domain itself may be required only in dentin. The lizard DSPP had an intact BMP1 site, a remnant RGD motif, as well as a distinctly different Ser/Asp-rich domain compared to mammals. Conclusions The DPP domain of DSPP was found to change dramatically within mammals and was lost in two truly toothless animals. The

  5. Topical application of lithium chloride on the pulp induces dentin regeneration.

    Directory of Open Access Journals (Sweden)

    Kazuya Ishimoto

    Full Text Available We herein describe a novel procedure for dentin regeneration that mimics the biological processes of tooth development in nature. The canonical Wnt signaling pathway is an important regulator of the Dentin sialophosphoprotein (Dspp expression. Our approach mimics the biological processes underlying tooth development in nature and focuses on the activation of canonical Wnt signaling to trigger the natural process of dentinogenesis. The coronal portion of the dentin and the underlying pulp was removed from the first molars. We applied lithium chloride (LiCl, an activator of canonical Wnt signaling, on the amputated pulp surface to achieve transdifferentiation toward odontoblasts from the surrounding pulpal cells. MicroCT and microscopic analyses demonstrated that the topical application of LiCl induced dentin repair, including the formation of a complete dentin bridge. LiCl-induced dentin is a tubular dentin in which the pulp cells are not embedded within the matrix, as in primary dentin. In contrast, a dentin bridge was not induced in the control group treated with pulp capping with material carriers alone, although osteodentin without tubular formation was induced at a comparatively deeper position from the pulp exposure site. We also evaluated the influence of LiCl on differentiation toward odontoblasts in vitro. In the mDP odontoblast cell line, LiCl activated the mRNA expression of Dspp, Axin2 and Kallikrein 4 (Klk4 and downregulated the Osteopontin (Osp expression. These results provide a scientific basis for the biomimetic regeneration of dentin using LiCl as a new capping material to activate dentine regeneration.

  6. Effect of propolis gel on the in vitro reduction of dentin permeability

    Directory of Open Access Journals (Sweden)

    Silvia Helena de Carvalho Sales-Peres

    2011-08-01

    Full Text Available OBJECTIVE: The aim of this study was to evaluate the capacity of potassium oxalate, fluoride gel and two kinds of propolis gel to reduce the hydraulic conductance of dentin, in vitro. MATERIAL AND METHODS: The methodology used for the measurement of hydraulic conductance of dentin in the present study was based on a model proposed in literature. Thirty-six 1-mm-thick dentin discs, obtained from extracted human third molars were divided into 4 groups (n=9. The groups corresponded to the following experimental materials: GI-10% propolis gel, pH 4.1; GII-30% propolis gel; GIII-3% potassium oxalate gel, pH 4,1; and GIV-1.23% fluoride gel, pH 4.1, applied to the dentin under the following surface conditions: after 37% phosphoric acid and before 6% citric acid application. The occluding capacity of the dentin tubules was evaluated using scanning electron microscopy (SEM at ×500, ×1,000 and ×2,000 magnifications. Data were analyzed statistically by two-way ANOVA and Tukey's test at 5% significance level. RESULTS: Groups I, II, III, IV did not differ significantly from the others in any conditions by reducing in hydraulic conductance. The active agents reduced dentin permeability; however they produced the smallest reduction in hydraulic conductance when compared to the presence of smear layer (P<0.05. The effectiveness in reducing dentin permeability did not differ significantly from 10% or 30% propolis gels. SEM micrographs revealed that dentin tubules were partially occluded after treatment with propolis. CONCLUSIONS: Under the conditions of this study, the application of 10% and 30% propolis gels did not seem to reduce the hydraulic conductance of dentin in vitro, but it showed capacity of partially obliterating the dentin tubules. Propolis is used in the treatment of different oral problems without causing significant great collateral effects, and can be a good option in the treatment of patients with dentin sensitivity.

  7. The effect of impaired dentin formation on dental caries:an experimental study in the molars of growing rats

    OpenAIRE

    Huumonen, S. (Sisko)

    1999-01-01

    Abstract The effects of dietary sucrose and systemic glucocorticoid treatment on the response of the pulpodentinal complex to dental caries were examined in an experimental rat model. The possible role of dentinal caries on dentin formation was also examined. After 5-6 weeks of a dietary and/or medication period, the areas of dentin formation and dentinal caries were quantified in the molars of growing animals. Also the number and severity of caries lesions were estimated. Th...

  8. Hemangiopericytoma of the cervical spine

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    Raghvendra V Ramdasi

    2014-01-01

    Full Text Available A 28-year-old male presented with neck pain and dysesthesias in the right upper limb. On examination, he had a firm, well-defined midline posterior cervical mass discernible on palpation at the mid-cervical level. He had no neurological deficit. Neuroradiology revealed a variegated enhancing cervical mass is arising from C3 lamina. The mass extended into the right extradural space eroding the C3 lamina and posteriorly into the intermuscular plane. The tumor was excised totally. Histopathology of the tumor showed features of hemangiopericytoma (HPC. The patient underwent postoperative radiotherapy. Primary osseous spinal HPC are rare malignant extra-axial tumors that tend to recur and metastasize. Only two cases of primary osseous HPC have been reported earlier to involve the cervical spine. The clinical presentation and management of the present case with a review of the literature is presented.

  9. Glycoprotein and Glycan in Tissue and Blood Samples of Patients With Stage IB-IVA Cervical Cancer Undergoing Surgery to Remove Pelvic and Abdominal Lymph Nodes

    Science.gov (United States)

    2016-10-26

    Cervical Adenocarcinoma; Cervical Adenosquamous Carcinoma; Cervical Small Cell Carcinoma; Cervical Squamous Cell Carcinoma, Not Otherwise Specified; Stage IB Cervical Cancer; Stage IIA Cervical Cancer; Stage IIB Cervical Cancer; Stage III Cervical Cancer; Stage IVA Cervical Cancer

  10. Reoperations Following Cervical Disc Replacement

    OpenAIRE

    Skovrlj, Branko; Lee, Dong-Ho; Caridi, John Michael; Cho, Samuel Kang-Wook

    2015-01-01

    Cervical disc replacement (CDR) has emerged as an alternative surgical option to cervical arthrodesis. With increasing numbers of patients and longer follow-ups, complications related to the device and/or aging spine are growing, leaving us with a new challenge in the management and surgical revision of CDR. The purpose of this study is to review the current literature regarding reoperations following CDR and to discuss about the approaches and solutions for the current and future potential c...

  11. Cervical Disc Disease: Biomechanical Aspects

    OpenAIRE

    Kolstad, Frode

    2011-01-01

    Degenerative disc disease in the cervical spine may cause significant pain and disability. Patients present themselves with neck pain, radiculopathy, and/or myelopathy. When the symptoms do not improve with conservative treatment, surgical treatment is considered. The goal of surgical treatment is to decompress nervous structures and to restore the normal anatomical conditions of disc height, alignment, and stability.The present thesis concerns four studies involving the treatment of cervical...

  12. Avaliação funcional do músculo trapézio e nervo espinhal pós-esvaziamento cervical através da eletroneuromiografia: estudo de 25 pacientes Functional evaluation of trapezius muscle and spinal nerve after neck dissection through eletro-neuromiography (ENM: study of 25 patients

    Directory of Open Access Journals (Sweden)

    José Carlos de Oliveira

    2002-04-01

    Full Text Available OBJETIVO: Foram estudados 25 pacientes portadores de neoplasias malignas da cabeça e pescoço (20 de vias aerodigestivas superiores e cinco da glândula tireóide, submetidos a esvaziamentos cervicais uni ou bilaterais (33 procedimentos, sendo 15 supra-omohióideos, 11 funcionais e sete em campos alargados. MÉTODO: Através da eletroneuromiografia (ENM, foram avaliados funcionalmente o músculo trapézio e o nervo espinhal após os diferentes procedimentos, aos 30 e 180 dias. RESULTADOS: Foram aferidos para as três formas de linfadenectomia 94% de desnervação do músculo trapézio, severa em 68% e moderada 32% (p = 0,001, portanto valores significativos. Quanto à avaliação do tipo de lesão do nervo espinhal, após 30 dias observou-se lesão de axônio (axonotmese em 31 dos 33 procedimentos. Com relação à reinervação, esta foi detectada após 180 dias, sendo boa (21%, moderada (72% e ruim (7% para valores de p = 0,001 de significância estatística. CONCLUSÕES: A eletroneuromiografia foi um método efetivo na avaliação da unidade neuromuscular e o tipo de esvaziamento cervical conservador não foi determinante de alterações destas estruturas.BACKGROUND: Twenty fire patients with malignant head and neck neoplasias (20 from superior aerodigestive tract and 5 from thyroid gland, were submitted to 33 unilateral or bilateral neck node dissection (15 supraomohyoid, 11 modified and 7 wide field, at the Head and Neck Service of Hospital Araújo Jorge, Goiânia, Goiás, Brazil. METHOD: Eletroneuromiography (ENM of the trapezius muscle after spinal nerve dissection. RESULTS: In spite of surgical dissection, 94% of trapezius muscle desnervation were detected, being 38% severe and 62% moderate, (p = 0,001. The degree of lesion for spinal nerve after 30 days, showed axoniumtmese in 31 of 33 procedures, and after 180 days, 21% of severe, 72% of moderate and 7% of unsatisfactory reinervation were diagnosed (p = 0,001. CONCLUSIONS: ENM is an

  13. Evaluation of the Effect of Low Level Laser Therapy Toothbrush in Treatment of Dentin Hypersensitivity

    OpenAIRE

    Yaghini, Jaber; Mogharehabed, Ahmad; Safavi, Nassimeh; Mohamadi, Mehrnush; Ashtiju, Fahime

    2015-01-01

    Introduction: Dentin hypersensitivity is one of the most common complications that affect patients after periodontal therapy. Recently low level laser therapy has been introduced as a new treatment modality and has produced beneficial results. The purpose of this study is to evaluate the effect of low level laser therapy toothbrushes in reduction of dentin hypersensitivity.

  14. Post-bleaching application of an antioxidant on dentin bond strength of three dental adhesives

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    Maryam Khoroushi

    2012-01-01

    Conclusions: The findings suggest that bond strength of resin to bleached dentin may be affected with the adhesive system. Reduced SBS to bleached dentin can be amended by the use of SA as an antioxidizing agent. However, the amount of reversed bond strength subsequent to applying antioxidant might be related to the kind of dental adhesive.

  15. Autoradiographic location of sensory nerve endings in dentin of monkey teeth

    International Nuclear Information System (INIS)

    We have used the autoradiographic method to locate trigeminal nerve endings in monkey teeth. The nerve endings were labeled in two adult female Macaca fascicularis by 20 hours of axonal transport of radioactive protein (3H-L-proline). We found a few labeled axons in contralateral mandibular central incisors and one mandibular canine. In ipsilateral teeth, numerous myelinated and unmyelinated axons were labeled; they formed a few terminal branches in the roots but primarily branched in the crown to form the peripheral plexus of Raschkow and to terminate as free endings in the odontoblast layer, predentin, and as far as 120 micrometers into dentinal tubules. Electron microscopic autoradiography showed that the radioactive axonally transported protein was confined to sensory axons and endings; odontoblasts and dentin matrix were not significantly labeled. Labeled free nerve endings were closely apposed to odontoblasts in dentin but did not form distinctive junctions with them. Nerve endings were most numerous in the regular tubular dentin of the crown adjacent to the tip of the pulp horn, occurring in at least half of the dentinal tubules there. Our results show tha dentinal sensory nerve endings in primate teeth can be profuse, sparse, or absent depending on the location and structure of dentin and its adjacent pulp. When dentin was innervated, the tubules were straight and contained odontoblast processes, the predentin was wide, the odontoblast cell bodies were relatively columnar, and there was an adjacent cell-free zone and pulpal nerve plexus

  16. Vitality of Enterococcus faecalis inside dentinal tubules after five root canal disinfection methods

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    Niranjan Ashok Vatkar

    2016-01-01

    Conclusion: E. faecalis has the ability to colonize inside dentinal tubules to a depth of >1000 μm. In contrast to conventional irrigants, both Nd: YAG and diode lasers were effective in eliminating the vitality of E. faecalis. NS, NaOCl, and CHX showed viable bacteria remaining in dentinal tubules.

  17. INHIBITION OF BOVINE DENTIN DEMINERALIZATION BY A GLUTARDIALDEHYDE PRETREATMENT - AN INVITRO CARIES STUDY

    NARCIS (Netherlands)

    DEVRIES, J; TENBOSCH, J; OGAARD, B; ARENDS, J

    1993-01-01

    Intact bovine dentin specimens were demineralized in 25 mmol acetic acid buffers (pH 5), with and without a 5-min pretreatment with an acidic 2% glutardialdehyde (GDA) solution. The results demonstrate that GDA inhibits dentin demineralization and that the inhibition depends strongly on the initial

  18. [Is amalgam stained dentin a proper substrate for bonding resin composite?].

    Science.gov (United States)

    Scholtanus, J D

    2016-06-01

    After the removal of amalgam restorations, black staining of dentin is often observed, which is attributed to the penetration of corrosion products from amalgam. A study was carried out to determine whether this amalgam stained dentin is a proper substrate for bonding resin composites. A literature study and an in vitro study showed that Sn and Zn in particular are found in amalgam stained dentin, and this was the case only in demineralised dentin. In vitro, demineralised dentin acted as porte d'entrÈe for amalgam corrosion products. Bond strength tests with 5 adhesive strategies showed no differences between bond strengths to amalgam stained and to sound dentin, but did show different failure types. A clinical study showed good survival of extensive cusp replacing resin composite restorations. No failures were attributed to inadequate adhesion. It is concluded that staining of dentin by amalgam corrosion products has no negative effect upon bond strength of resin composite. It is suggested that Sn and Zn may have a beneficial effect upon dentin, thus compensating the effects of previous carious attacks, preparation trauma and physico-chemical challenges during clinical lifetime. PMID:27275662

  19. Glutaraldehyde-induced remineralization improves the mechanical properties and biostability of dentin collagen.

    Science.gov (United States)

    Chen, Chaoqun; Mao, Caiyun; Sun, Jian; Chen, Yi; Wang, Wei; Pan, Haihua; Tang, Ruikang; Gu, Xinhua

    2016-10-01

    The purpose of this study was to induce a biomimetic remineralization process by using glutaraldehyde (GA) to reconstruct the mechanical properties and biostability of demineralized collagen. Demineralized dentin disks (35% phosphoric acid, 10s) were pretreated with a 5% GA solution for 3min and then cultivated in a calcium phosphate remineralization solution. The remineralization kinetics and superstructure of the remineralization layer were evaluated by Raman spectroscopy, transmission electron microscopy, scanning electron microscopy and nanoindentation tests. The biostability was examined by enzymatic degradation experiments. A significant difference was found in dentin remineralization process between dentin with and without GA pretreating. GA showed a specific affinity to dentin collagen resulting in the formation of a cross-linking superstructure. GA pretreating could remarkably shorten remineralization time from 7days to 2days. The GA-induced remineralized collagen fibrils were well encapsulated by newly formed hydroxyapatite mineral nanocrystals. With the nano-hydroxyapatite coating, both the mechanical properties (elastic modulus and hardness) and the biostability against enzymatic degradation of the collagen were significantly enhanced, matching those of natural dentin. The results indicated that GA cross-linking of dentin collagen could promote dentin biomimetic remineralization, resulting in an improved mechanical properties and biostability. It may provide a promising tissue-engineering technology for dentin repair. PMID:27287165

  20. Effect of denture base-resin with prereacted glass-ionomer filler on dentin demineralization

    NARCIS (Netherlands)

    Y. Mukai; K. Kamijo; F. Fujino; T. Teranaka; J.M. ten Cate

    2009-01-01

    The demineralization of dentin was studied when placed adjacent to one of four experimental denture base-resins. These experimental resins contained polymethylmethacrylate (PMMA) and 0, 5, 10, 20 or 30 wt% surface reaction-type prereacted glass-ionomer (S-PRG) filler, respectively. A dentin thin-sec

  1. Eroded dentin does not jeopardize the bond strength of adhesive restorative materials

    Directory of Open Access Journals (Sweden)

    Janaina Barros Cruz

    2012-08-01

    Full Text Available This in vitro study evaluated the bond strength of adhesive restorative materials to sound and eroded dentin. Thirty-six bovine incisors were embedded in acrylic resin and ground to obtain flat buccal dentin surfaces. Specimens were randomly allocated in 2 groups: sound dentin (immersion in artificial saliva and eroded dentin (pH cycling model - 3× / cola drink for 7 days. Specimens were then reassigned according to restorative material: glass ionomer cement (KetacTM Molar Easy Mix, resin-modified glass ionomer cement (VitremerTM or adhesive system with resin composite (Adper Single Bond 2 + Filtek Z250. Polyethylene tubes with an internal diameter of 0.76 mm were placed over the dentin and filled with the material. The microshear bond test was performed after 24 h of water storage at 37ºC. The failure mode was evaluated using a stereomicroscope (400×. Bond strength data were analyzed with two-way ANOVA and Tukey's post hoc tests (α = 0.05. Eroded dentin showed bond strength values similar to those for sound dentin for all materials. The adhesive system showed the highest bond strength values, regardless of the substrate (p < 0.0001. For all groups, the adhesive/mixed failure prevailed. In conclusion, adhesive materials may be used in eroded dentin without jeopardizing the bonding quality. It is preferable to use an etch-and-rinse adhesive system because it shows the highest bond strength values compared with the glass ionomer cements tested.

  2. Shear bond strengths of three glass ionomer cements to enamel and dentine

    NARCIS (Netherlands)

    T.S. Carvalho; W.E. van Amerongen; A. de Gee; M. Bönecker; F.C. Sampaio

    2011-01-01

    Objectives: The shear bond strength of three glass ionomer cements (GIC) to enamel and dentine was evaluated. Study Design: Sound permanent human molars (n=12) were grinded perpendicular to their axial axes, exposing smooth, flat enamel and dentine surfaces. The teeth were embedded in resin and cond

  3. Papain-based gel for biochemical caries removal: influence on microtensile bond strength to dentin

    Directory of Open Access Journals (Sweden)

    Evandro Piva

    2008-12-01

    Full Text Available This study investigated the influence of a papain-based gel (Papacárie for chemo-mechanical caries removal on bond strength to dentin. Human molars were assigned to the following groups: Group 1: sound teeth were flattened to expose dentin; Group 2: after flattening of surfaces, the papain-based gel was applied on the sound dentin; Group 3: overlying enamel from carious teeth was removed and mechanical excavation of dentin was conducted; Group 4: chemo-mechanical excavation of carious dentin was conducted using the papain-based gel. The Prime&Bond NT or Clearfil SE Bond adhesive systems were used for restorative procedures. A microtensile bond strength test was performed, and the modes of failure were determined under SEM. The data were submitted to two-way ANOVA and Tukey's test (p < 0.05. No significant differences were observed between the sound dentin groups. For both excavation methods, Clearfil presented a significantly higher bond strength than Prime&Bond NT. Also, for Clearfil, the mechanically excavated samples disclosed a significantly higher bond strength than the chemo-mechanically ones. For Prime&Bond NT, no significant differences were detected between the excavation methods. Predominance of mixed failures for the sound substrate and of adhesive failures for the carious dentin one was detected. The bond strength to carious dentin of the self-etching system was negatively affected by chemo-mechanical excavation using the papain-based gel.

  4. The effects of restorative composite resins on the cytotoxicity of dentine bonding agents.

    Science.gov (United States)

    Kim, Kyunghwan; Son, Kyung Mi; Kwon, Ji Hyun; Lim, Bum-Soon; Yang, Hyeong-Cheol

    2013-01-01

    During restoration of damaged teeth in dental clinics, dentin bonding agents are usually overlaid with restorative resin composites. The purpose of this study was to investigate the effects of restorative resin composites on cytotoxicity of dentin bonding agents. Dentin bonding agents were placed on glass discs, pre-cured and uncured resin composite discs. Bonding agents on the glass discs and composite resins discs were light cured and used for agar overlay cytotoxicity testing. Dentin bonding agents on composite resin discs exhibited far less cytotoxicity than that on glass discs. The polymerization of resin composite increased the surface hardness and decreased the cytotoxicity of bonding agents. In conclusion, composite resins in dental restorations are expected to enhance the polymerization of dentin bonding agents and reduce the elution of resin monomers, resulting in the decrease of cytotoxicity.

  5. Clinical effect of photodynamic therapy on primary carious dentin after partial caries removal.

    Science.gov (United States)

    Neves, Pierre Adriano Moreno; Lima, Leonardo Abrantes; Rodrigues, Fernanda Cristina Nogueira; Leitão, Tarcisio Jorge; Ribeiro, Cecília Cláudia Costa

    2016-05-20

    This study was conducted to assess the clinical effect of photodynamic therapy (PDT) in the decontamination of the deep dentin of deciduous molars submitted to partial removal of carious tissue. After cavity preparation, dentin samples were taken from the pulp wall of nineteen deciduous molars before and after PDT application. Remaining dentin was treated with 0.01% methylene blue dye followed by irradiation with an InGaAlP diode laser (λ - 660 nm; 40 mW; 120 J/cm2; 120 s). Dentin samples were microbiologically assessed for the enumeration of total microorganisms, Lactobacillus spp. and mutans streptococci. There was no significant difference in the number of colony-forming units (CFU) for any of the microorganisms assessed (p > 0.05). Photodynamic therapy, using 0.01% methylene blue dye at a dosimetry of 120 J/cm2 would not be a viable clinical alternative to reduce bacterial contamination in deep dentin. PMID:27223131

  6. The comparison between two irrigation regimens on the dentine wettability for an epoxy resin based sealer by measuring its contact angle formed to the irrigated dentine

    OpenAIRE

    Rayapudi Phani Mohan; Annappa Raghavendra Vivekananda Pai

    2015-01-01

    Aim: The aim was to assess the influence of two irrigation regimens having ethylenediaminetetraacetic acid (EDTA) and ethylenediaminetetraacetic acid with cetrimide (EDTAC) as final irrigants, respectively, on the dentine wettability for AH Plus sealer by comparing its contact angle formed to the irrigated dentine. Materials and Methods: Study samples were divided into two groups (n = 10). The groups were irrigated with 3% sodium hypochlorite (NaOCl) solution followed by either 17% EDTA o...

  7. Dentinal sensitivity among a selected group of young adults in Nigeria

    Directory of Open Access Journals (Sweden)

    Clement C Azodo

    2011-01-01

    Full Text Available Background: There is paucity of data on the prevalence of dentinal sensitivity outside the hospital setting and impact of dentinal sensitivity among young adults in Africa. This study aimed to determine the prevalence and impact of dentinal sensitivity among young adults in Nigeria. Materials and Methods: A cross-sectional survey was conducted among the undergraduates of University of Benin in August, 2010. Self-administered questionnaire elicited information on demography, self-reported dentinal sensitivity, the trigger factor, action taken, functional, and psychological impact. Results: The prevalence of dentinal sensitivity was 211 (52.8% among the participants and it was significantly higher in females than males (P=0.027. Participants experienced shocking sensation more on the left-side of the mouth. The most common trigger factor for the dentinal sensitivity was due to cold drink [169 (80.1%]. Among the participants with dentinal sensitivity, majority [139 (65.9%] have not taken any action and only 24 (11.4% have visited the dentist because of the problem. Dentinal sensitivity exhibited psychological impact among the participants as 64 (30.3 reported unhappiness due to the shocking sensation. Eating and talking were disturbed, respectively, in 59 (28.0% and 12 (5.7% of the participants. Conclusion: The prevalence of dentinal sensitivity was high which was significantly higher in females than males. Despite the negative functional and psychological impact among the participants, only a few sought dental professional care. Screening for dentinal sensitivity at community level is required to proffer early treatment and ameliorate its impact on the populace.

  8. Analysis of digitized cervical images to detect cervical neoplasia

    Science.gov (United States)

    Ferris, Daron G.

    2004-05-01

    Cervical cancer is the second most common malignancy in women worldwide. If diagnosed in the premalignant stage, cure is invariably assured. Although the Papanicolaou (Pap) smear has significantly reduced the incidence of cervical cancer where implemented, the test is only moderately sensitive, highly subjective and skilled-labor intensive. Newer optical screening tests (cervicography, direct visual inspection and speculoscopy), including fluorescent and reflective spectroscopy, are fraught with certain weaknesses. Yet, the integration of optical probes for the detection and discrimination of cervical neoplasia with automated image analysis methods may provide an effective screening tool for early detection of cervical cancer, particularly in resource poor nations. Investigative studies are needed to validate the potential for automated classification and recognition algorithms. By applying image analysis techniques for registration, segmentation, pattern recognition, and classification, cervical neoplasia may be reliably discriminated from normal epithelium. The National Cancer Institute (NCI), in cooperation with the National Library of Medicine (NLM), has embarked on a program to begin this and other similar investigative studies.

  9. The NH2-terminal and COOH-terminal fragments of dentin matrix protein 1 (DMP1) localize differently in the compartments of dentin and growth plate of bone.

    Science.gov (United States)

    Maciejewska, Izabela; Cowan, Cameron; Svoboda, Kathy; Butler, William T; D'Souza, Rena; Qin, Chunlin

    2009-02-01

    Multiple studies have shown that dentin matrix protein 1 (DMP1) is essential for bone and dentin mineralization. After post-translational proteolytic cleavage, DMP1 exists within the extracellular matrix of bone and dentin as an NH2-terminal fragment, a COOH-terminal fragment, and the proteoglycan form of the NH2-terminal fragment (DMP1-PG). To begin to assess the biological function of each fragment, we evaluated the distribution of both fragments in the rat tooth and bone using antibodies specific to the NH2-terminal and COOH-terminal regions of DMP1 and confocal microscopy. In rat first molar organs, the NH2-terminal fragment localized to predentin, whereas the COOH-terminal fragment was mainly restricted to mineralized dentin. In the growth plate of bone, the NH2-terminal fragment appeared in the proliferation and hypertrophic zones, whereas the COOH-terminal fragment occupied the ossification zone. Forster resonance energy transfer analysis showed colocalization of both fragments of DMP1 in odontoblasts and predentin, as well as hypertrophic chondrocytes within the growth plates of bone. The biochemical analysis of bovine teeth showed that predentin is rich in DMP1-PG, whereas mineralized dentin primarily contains the COOH-terminal fragment. We conclude that the differential patterns of expression of NH2-terminal and COOH-terminal fragments of DMP1 reflect their potentially distinct roles in the biomineralization of dentin and bone matrices.

  10. [Therapy of cervical rheumatoid arthritis].

    Science.gov (United States)

    Kothe, R; Wiesner, L; Rüther, W

    2004-08-01

    The rheumatoid involvement of the cervical spine can be divided into three phases. In the early stage of the disease there is an isolated atlantoaxial subluxation (AAS), followed by vertical instability and subaxial instability. If patients show clear symptoms of cervical myelopathy, which can occur during any stage of the disease, the progression cannot be stopped by conservative treatment, which is of great importance at the beginning of the cervical manifestation. Patient education, physiotherapy and immobilization with a stiff collar can significantly reduce pain. Early and effective DMARD therapy can have a positive effect on the natural history of the disease. In case of progressive instability, cervical myelopathy or severe pain operative treatment is indicated. If there is an isolated AAS, fusion can be restricted to the C1/C2 segment. The Magerl transarticular screw fixation is the preferred technique for stabilization. If there is evidence for vertical instability or severe destruction of the C0/C1 joints, occipital cervical fusion has to be performed. Durin the preoperative planning it is necessary to look for signs of subaxial instability. If this is the case, fusion should include the entire cervical spine. Transoral decompression may be necessary when there is persistent anterior compression of the myelon, typically seen in fixed AAS. Non-ambulatory myelopathic patients are more likely to develop severe surgical complications. Therefore, it is important to avoid the development of severe cervical instability by early surgical intervention. The right timing for surgery is still a matter of controversy. Future prospective randomized trials should address this topic to improve the treatment concept for the rheumatoid patient.

  11. Potencial evocado somatossensitivo e motor na espodilose cervical Somatosensory and motor evoked potentials in patients with cervical spondylosis

    Directory of Open Access Journals (Sweden)

    Daniela Oliveira de Andrade

    2005-09-01

    Full Text Available Foram estudados 54 pacientes com diagnóstico de espondilose cervical (EC com ou sem sinais clínicos de mielopatia espondilótica. Realizou-se análise retrospectiva de todos os pacientes portadores de EC investigados por ressonância magnética (RNM cervical, potenciais evocados somatossensitivos (PESS e motor (PEM de membros superiores e inferiores. A RNM foi considerada padrão-ouro e os pacientes foram divididos em três grupos. Grupo 1 (RNM sem compressão medular, Grupo 2 (apenas indentação medular e grupo 3 (compressão medular associada a alteração do sinal medular. A sensibilidade do PESS de quatro membros foi 61,9%, similar à encontrada quando realizado o PESS apenas de membros inferiores. A sensibilidade do PEM de quatro membros foi 71,4%, em membros superiores isoladamente foi 66,7% e em membros inferiores 52,4%, mostrando a importância da realização deste método nos quatro membros quando suspeita-se de mielopatia espondilótica cervical. Os resultados encontrados pelo estudo do nervo tibial no PESS e do músculo abdutor do dedo mínimo no PEM mostrou maior percentual de achados alterados que os resultados encontrados pelo estudo do nervo mediano no PESS e do músculo extensor curto dos dedos no PEM nos três grupos, sugerindo que existe um comprometimento inicial deles.This study investigated 54 patients with cervical spondylosis (CS with or without symptoms caused by cervical spondylotic myelopathy. Cervical MRI, somatosensory evoked potentials (SEPs and motor evoked potentials (MEP from upper and lower limbs of all of these patients were examined retrospectively. Were MRI findings the gold standard and the patients were classified in three groups. Group 1 (absence of spinal cord compression ; Group 2 ( presence of spinal cord indentation; Group 3 (spinal cord compression with alteration of intraspinal sign. The sensitivity of SEP of four limbs was 61.9%, the same one as the SEP of lower limbs. The sensitivity of MEP of

  12. Evaluation of dentifrice abrasion on human dentin and teeth enamel

    International Nuclear Information System (INIS)

    Radiometric method is applied to the dentifrice abrasion indicators evaluation: radioactive dentin (RDA) and radioactive enamel abrasion (REA). The dentifrices analysed presented RDA values varying from 95 to 13 and REA values from 7.1 to 0.7, showing a good precision, generally with relative standard deviations lower than 15.4%. Also, the dentifrices were classified as having low and medium cleaning potential. A correlation between RDA and REA values was obtained, i.e. dentifrices with high RDA values presented high REA ones. (author). 6 refs., 3 tabs

  13. Isotope analysis of incremental human dentine : towards higher temporal resolution.

    OpenAIRE

    Beaumont, J.; Gledhill, A.; Montgomery, J.

    2014-01-01

    Here we present a novel method which allows the measurement of the stable isotope ratios of carbon (δ13C) and nitrogen (δ15N) from much smaller samples of dentine than previously possible without affecting the quality parameters. The reconstruction of the diet of past populations using isotopic analysis of bone collagen is a well-established tool. However, because of remodelling of bone throughout life, this gives a blurred picture of the diet. The analysis of δ13C and δ15N from tiny incremen...

  14. Treatment of Dentine Hypersensitivity by Diode Laser: A Clinical Study

    OpenAIRE

    Romeo Umberto; Russo Claudia; Palaia Gaspare; Tenore Gianluca; Del Vecchio Alessandro

    2012-01-01

    Introduction. Dentine hypersensitivity (DH) is characterized by pain after stimuli that usually provoke no symptoms. This study compared the effectiveness of GaAlAs diode laser alone and with topical sodium fluoride gel (NaF). Materials and Methods. The study was conducted on 10 patients (8 F/2 M, age 25–60) and 115 teeth with DH assessed by air and tactile stimuli measured by Numeric Rating Scale (NRS). Teeth were randomly divided into G1 (34 teeth) treated by 1.25% NaF; G2 (33 teeth) lased ...

  15. [The dentinal smear layer. Characteristics and interactions. 2].

    Science.gov (United States)

    Negri, P L; Eramo, S; Lotito, M; De Pino, C

    1991-03-15

    The Authors, after the presentation (in the first part of the Dossier) of a large literature review about the physical, chemical and clinical characteristics of formation, interaction, remotion of "smear layer" during cavity preparation in hard tooth tissue, describe the results of a scanning microelectronic research about the action as cleanser (for the dentinal cavity wall) of the CK101 (Caridex) versus wather, Tubulicid and phosphoric acid. The experimental results obtained "in vitro" show that the substance has relative action, without removing the tubular portion of "smear layer". PMID:2070916

  16. Dentine sensitivity risk factors: A case–control study

    OpenAIRE

    Mafla, Ana Cristina; Lopez-Moncayo, Luis Fernando

    2016-01-01

    Objective: To identify the clinical and psychological risk factors associated with dentine hypersensitivity (DH) in order to provide an early diagnosis and preventive therapy. Materials and Methods: A nested case–control study was design between 2011 and 2012. A total of 61 DH cases and 122 controls participated in this investigation. Cases and controls were matched for sex, group of age and socioeconomic status in a ratio of 1:2. DH to different stimuli such as cold, heat, acid, and sweet wa...

  17. Prevention program of cervical cancer - Enrique Pouey

    International Nuclear Information System (INIS)

    This work is about the first basic objectives in the prevention of cervical cancer in Uruguay. The Papanicolaou test, the biopsia, and the colposcopy are important studies for the early cervical cancer detection

  18. A Combined Therapy for Cervical Spondylopathy

    Institute of Scientific and Technical Information of China (English)

    李佳

    2004-01-01

    @@ Cervical spondylopathy is a common disease frequently encountered in the middle-aged and old people. It is a consequence of degeneration, strain or deformation of the physiological curvature of the cervical vertebral body.

  19. Preventing Cervical Cancer with HPV Vaccines

    Science.gov (United States)

    Cervical cancer can be prevented with HPV vaccines. NCI-supported researchers helped establish HPV as a cause of cervical cancer. They also helped create the first HPV vaccines, were involved in the vaccine trials, and contribute to ongoing studies.

  20. Three-level cervical disc herniation

    Directory of Open Access Journals (Sweden)

    St. Iencean Andrei

    2015-09-01

    Full Text Available Multilevel cervical degenerative disc disease is well known in the cervical spine pathology, with radicular syndromes or cervical myelopathy. One or two level cervical herniated disc is common in adult and multilevel cervical degenerative disc herniation is common in the elderly, with spinal stenosis, and have the same cause: the gradual degeneration of the disc. We report the case of a patient with two level cervical disc herniation (C4 – C5 and C5 – C6 treated by anterior cervical microdiscectomy both levels and fusion at C5 – C6; after five years the patient returned with left C7 radiculopathy and MRI provided the image of a left C6 – C7 disc herniation, he underwent an anterior microsurgical discectomy with rapid relief of symptoms. Three-level cervical herniated disc are rare in adults, and the anterior microdiscectomy with or without fusion solve this pathology.

  1. Post laminoplasty cervical kyphosis—Case report

    Directory of Open Access Journals (Sweden)

    D.E. Dugoni

    2014-01-01

    CONCLUSION: The anterior approach is a good surgical option in flexible cervical kyphosis. It is of primary importance the sagittal alignment of the cervical spine in order to decompress the nervous structures and to guarantee a long-term stability.

  2. Digital moiré interferometric analysis on the effect of nanoparticle conditioning on the mechanical deformation in dentin

    Science.gov (United States)

    Li, Fang Chi; Kishen, Anil

    2016-02-01

    Dentin is a biological composite that forms the major bulk of tooth structure. Understanding the biomechanical response of dentin structure to forces is essential to restore the loss of mechanical integrity associated with dentin loss during disease or treatment procedures. Moiré interferometry is an optical interferometry based method, which allows wholefield, real-time analysis of dental structures with high-sensitivity. The aim of this study was to investigate the deformation gradients in dentin during function and subsequent to surface conditioning with bioactive biopolymeric nanoparticle. Slab shaped dentin specimens were prepared and a customized loading jig was used to compressively load the specimens from 10 N to 50 N. Specific regions of interest was chosen on the dentin specimens for strain analysis. The digital moiré interferometry experiments showed a distinct deformation pattern in dentin in the direction perpendicular to the dentinal tubules, which increased with increase in dentin loss. The dentin conditioned with nanoparticles did not display marked increase in strain gradients with loads. The current photomechanical experiment highlighted the impact of nanoparticle treatment to improve the mechanical integrity of dentin.

  3. A case-control study of human papillomavirus and cervical squamous intraepithelial lesions (SIL in Harris County, Texas: differences among racial/ethnic groups Um estudo de caso-controle de infecção por papillomavirus humano e câncer de colo uterino em Harrys County, Texas

    Directory of Open Access Journals (Sweden)

    Guillermo Tortolero-Luna

    1998-01-01

    Full Text Available We conducted a case-control study of the association between SIL and HPV among whites (W, African Americans (AA, and Hispanics (H in Harris County, Texas. Cases were identified at M.D. Anderson Cancer Center Colposcopy Clinic. Controls were identified among women obtaining routine Pap screening at two Harris County Health Department Clinics. HPV was detected by a PCR-based fluorescent assay. Dichotomous and polytomous logistic regression models were used to estimate adjusted odd ratios (AOR and 95% confidence intervals (CI for SIL among racial/ethnic groups and grade of disease. Prevalence of HPV infection was 64% in low grade SIL (LSIL, 84% in high grade SIL (HSIL, and 19% in controls. Risk of SIL was higher in H than in W and AA, AOR 29.5 (12.4-70.5, 15.3 (6.0-33.8, and 5.8 (2.6-12.6, respectively. Similarly, racial/ethnic differences were observed for both LSIL (AOR = 16.6, 7.7, and 4.3, respectively and HSIL (AOR = 78.6, 34.6, and 14.2, respectively. Findings support the association between SIL and HPV and differences in the strength of the association with LSILs and HSILs. Data also suggest a higher risk for H and a lower risk for AA.Foi realizado um estudo caso-controle para analisar a associação entre lesões intra-epiteliais escamosas do colo uterino (SIL e HPV entre mulheres brancas, negras e latinas em Harris County, Texas. Os casos foram identificados na M. D. Anderson Cancer Center Colposcopy Clinic, e os controles foram obtidos realizando-se exame de Papanicolau em duas clínicas do Departamento de Saúde. O HPV foi detectado por meio de ensaio de PCR (primer MY09/MY11. Foram construídos modelos de regressão logística para estimar as odds ratios ajustadas (AOR, e seus intervalos de confiança de 95% (IC de SIL entre os grupos étnicos e graus da doença. A prevalência de HPV nas SIL de baixo grau (LSIL foi de 64%; nas de alto grau (HSIL, 84%; e 19% nos controles. O risco de SIL foi maior em mulheres latinas que em brancas e

  4. Laparoscopic Fertility Sparing Management of Cervical Cancer

    OpenAIRE

    Chiara Facchini; Giuseppina Rapacchia; Giulia Montanari; Paolo Casadio; Gianluigi Pilu; Renato Seracchioli

    2014-01-01

    Fertility can be preserved after conservative cervical surgery. We report on a 29-year-old woman who was obese, para 0, and diagnosed with cervical insufficiency at the first trimester of current pregnancy due to a previous trachelectomy. She underwent laparoscopic transabdominal cervical cerclage (LTCC) for cervical cancer. The surgery was successful and she was discharged two days later. The patient underwent a caesarean section at 38 weeks of gestation. Laparoscopic surgery ...

  5. Vertebral artery injuries in cervical spine surgery

    OpenAIRE

    Schroeder, Gregory D.; Hsu, Wellington K.

    2013-01-01

    Background: Vertebral artery injuries during cervical spine surgery are rare, but potentially fatal. When performing cervical spine surgery, it is imperative that the surgeon has a systematic approach for avoiding, and if necessary, dealing with a vertebral artery injury. Methods: This is a review paper. Results: Upper posterior cervical spine surgeries put the vertebral artery at the highest risk, as opposed to anterior subaxial cervical spine procedures, which put the artery at the least ri...

  6. Cervical incompetence: preliminary evaluation with MR imaging.

    Science.gov (United States)

    Hricak, H; Chang, Y C; Cann, C E; Parer, J T

    1990-03-01

    The ability of magnetic resonance (MR) imaging to demonstrate cervical incompetence in nonpregnant women was investigated in a prospective study of 41 volunteers referred in random order. These included 20 patients with normal cervices, 11 with cervical incompetence of traumatic or congenital origin, and 10 with clinically small cervices due to in utero diethylstilbestrol (DES) exposure. On MR images of the normal patients, cervical length was 33.0 mm +/- 1.0 (mean +/- standard error of the mean) and the width of the internal cervical os was 3.3 mm +/- 0.1. In patients with cervical incompetence, the cervical length did not significantly differ from those in the normal group. However, the internal cervical os was significantly wider (4.5 mm +/- 0.3, P less than .001), and localized irregularity of the endocervical canal was demonstrated in two patients. The MR appearance of the cervical stroma varied from normal, uniformly low signal intensity (n = 4) to uniformly (n = 3) or partially (n = 4) medium-to-high signal intensity on T2-weighted images. In the patients with in utero DES exposure, the mean length of the cervical canal (22.9 mm +/- 1.7) was significantly shorter than that of the normal group. The width of the internal cervical os and the MR signal intensity of the cervical stroma were normal. In summary, MR findings of a cervical length shorter than 3.1 mm (95% confidence limit), an internal cervical os wider than 4.2 mm (95% confidence limit), or abnormal signal intensity in the cervical stroma are highly suggestive of incompetent cervix and should assist in planning further therapeutic decisions. PMID:2305065

  7. Course prognosis of cervical osteochondrosis

    Directory of Open Access Journals (Sweden)

    Kolesov V.N.

    2012-06-01

    Full Text Available

    Today we can state that in spite of a considerable number of cervical osteochondrosis studies, there is a lack of research devoted to analysis of its course. There is no correlation between initial expert evaluations of cervical osteo-chondrosis cases and further course of pathological process. Goal of the research is to develop system of course prognosis of cervical osteochondrosis taking into account environmental infuence, heredity, living conditions, psychological profle of patient’s personality. Materials and methods. Dynamics of degenerative-dystrophic changes progressing of cervical vertebrae in 236 patients was analyzed. Results. Received data demonstrated that probability of stage I changing to stage II, III and IV depended on patients’ sex, age and type of labour activity, frequent supercooling and stress. Probability of fast progression of cervical osteochondrosis (5-year cycle of stage I changing to stage III and IV was to a great extent associated with heredity, urban living, presence of endocrine system diseases, syndrome of nonspecifc dysplasia of connective tissue and low indices of quality of life. Conclusion. Proposed system allows making prognosis of morphologic changes in spinal cord, and is based on radiation methods of verifcation without taking into consideration dynamics of neurological symptomatology.

  8. Fusion around cervical disc prosthesis: case report.

    NARCIS (Netherlands)

    Bartels, R.H.M.A.; Donk, R.

    2005-01-01

    OBJECTIVE AND IMPORTANCE: Cervical arthroplasty is a relatively new method to maintain motion after cervical anterior discectomy. Two cases are presented in which bony fusion occurred around a cervical disc prosthesis. CLINICAL PRESENTATION: A 30-year-old man and a 49-year-old woman underwent a righ

  9. Clinical evaluation of the immediate effectiveness of GaAIAs laser on the therapy of dentin hypersensitivity Avaliação clínica da eficácia imediata do laser de GaAIAs na terapia da sensibilidade dentinária

    Directory of Open Access Journals (Sweden)

    Márcia Sepúlveda Noya

    2004-12-01

    Full Text Available The aim of the present study was to determine the effectiveness of GaAlAs laser therapy with lambda670nm laser on the treatment of dentin hypersensitivity. Thirty-two intact human teeth were evaluated, the sensitivity of which to thermal (cold water, mechanical (probe and evaporative (air stimuli was recorded before and immediately after irradiation. Whenever desensitization was not observed after the first application, the patient was scheduled for a maximum of three further applications at 4-day intervals. The results demonstrated that laser therapy yielded a statistically significant reduction (pO objetivo deste trabalho foi realizar um estudo clinico para avaliar a eficácia da laserterapia com laser de lambda670nm no tratamento da sensibilidade dentinária. Foram avaliados 32 dentes íntegros cuja sensibilidade a estímulo térmico, tátil e evaporativo foi registrada antes e após irradiação. Quando não era evidenciada dessensibilização após a primeira sessão de irradiação, o paciente era agendado para novas aplicações, máximo de três sessões, sempre com intervalos de quatro dias. De acordo com os resultados a laserterapia promoveu uma redução estatisticamente significante (p< 0,05 da sensibilidade dentinária para os três estímulos analisados. De acordo com os resultados obtidos com a utilização do laser de GaAlAs foi necessária apenas uma sessão terapêutica para os estímulos sonda e térmico, embora tenham sido necessárias duas sessões para conseguir-se redução da sensibilidade ao estímulo evaporativo.

  10. Biomimetic Scaffold with Aligned Microporosity Designed for Dentin Regeneration

    Science.gov (United States)

    Panseri, Silvia; Montesi, Monica; Dozio, Samuele Maria; Savini, Elisa; Tampieri, Anna; Sandri, Monica

    2016-01-01

    Tooth loss is a common result of a variety of oral diseases due to physiological causes, trauma, genetic disorders, and aging and can lead to physical and mental suffering that markedly lowers the individual’s quality of life. Tooth is a complex organ that is composed of mineralized tissues and soft connective tissues. Dentin is the most voluminous tissue of the tooth and its formation (dentinogenesis) is a highly regulated process displaying several similarities with osteogenesis. In this study, gelatin, thermally denatured collagen, was used as a promising low-cost material to develop scaffolds for hard tissue engineering. We synthetized dentin-like scaffolds using gelatin biomineralized with magnesium-doped hydroxyapatite and blended it with alginate. With a controlled freeze-drying process and alginate cross-linking, it is possible to obtain scaffolds with microscopic aligned channels suitable for tissue engineering. 3D cell culture with mesenchymal stem cells showed the promising properties of the new scaffolds for tooth regeneration. In detail, the chemical–physical features of the scaffolds, mimicking those of natural tissue, facilitate the cell adhesion, and the porosity is suitable for long-term cell colonization and fine cell–material interactions. PMID:27376060

  11. Biomimetic Scaffold with Aligned Microporosity Designed for Dentin Regeneration.

    Science.gov (United States)

    Panseri, Silvia; Montesi, Monica; Dozio, Samuele Maria; Savini, Elisa; Tampieri, Anna; Sandri, Monica

    2016-01-01

    Tooth loss is a common result of a variety of oral diseases due to physiological causes, trauma, genetic disorders, and aging and can lead to physical and mental suffering that markedly lowers the individual's quality of life. Tooth is a complex organ that is composed of mineralized tissues and soft connective tissues. Dentin is the most voluminous tissue of the tooth and its formation (dentinogenesis) is a highly regulated process displaying several similarities with osteogenesis. In this study, gelatin, thermally denatured collagen, was used as a promising low-cost material to develop scaffolds for hard tissue engineering. We synthetized dentin-like scaffolds using gelatin biomineralized with magnesium-doped hydroxyapatite and blended it with alginate. With a controlled freeze-drying process and alginate cross-linking, it is possible to obtain scaffolds with microscopic aligned channels suitable for tissue engineering. 3D cell culture with mesenchymal stem cells showed the promising properties of the new scaffolds for tooth regeneration. In detail, the chemical-physical features of the scaffolds, mimicking those of natural tissue, facilitate the cell adhesion, and the porosity is suitable for long-term cell colonization and fine cell-material interactions. PMID:27376060

  12. Biodentine-a novel dentinal substitute for single visit apexification.

    Science.gov (United States)

    Nayak, Gurudutt; Hasan, Mohammad Faiz

    2014-05-01

    Use of an apical plug in management of cases with open apices has gained popularity in recent years. Biodentine, a new calcium silicate-based material has recently been introduced as a dentine substitute, whenever original dentine is damaged. This case report describes single visit apexification in a maxillary central incisor with necrotic pulp and open apex using Biodentine as an apical barrier, and a synthetic collagen material as an internal matrix. Following canal cleaning and shaping, calcium hydroxide was placed as an intracanal medicament for 1 mon. This was followed by placement of small piece of absorbable collagen membrane beyond the root apex to serve as matrix. An apical plug of Biodentine of 5 mm thickness was placed against the matrix using pre-fitted hand pluggers. The remainder of canal was back-filled with thermoplasticized gutta-percha and access cavity was restored with composite resin followed by all-ceramic crown. One year follow-up revealed restored aesthetics and function, absence of clinical signs and symptoms, resolution of periapical rarefaction, and a thin layer of calcific tissue formed apical to the Biodentine barrier. The positive clinical outcome in this case is encouraging for the use of Biodentine as an apical plug in single visit apexification procedures.

  13. Dentin Pre-Treatment to Suppress Microleakage of Amalgam Restorations

    Directory of Open Access Journals (Sweden)

    Yosi Kusuma Eriwati Arianto

    2015-10-01

    Full Text Available Diminished microleakage of amalgam-to-dentin preparations would benefit large populations in public health facilities. Prior studies demonstrated less microleakage for bonded amalgams than similarly bonded advanced composites among 30 different composite/bonding agent/storage conditions, Haller et al. showed that a combination of formaldehyde pre-treatment and glutaraldehyde-containing Syntac adhesive minimized microleakage. In the current study, CLass V restorations (groups of 10 formaldehyde-treated non carious human molars were filled with Valiant (Ivoclar NA amalgam after application of one of three liners: Copalite varnish; Amalagambond Plus with microfiber; and Syntac/Variolink. The control group used no liner material. After 24 hours at 37°C/100% RH, samples were thermocycled (1000 eyeles in water at 5°C and 60°C (15 second dwell time in each. Samples were immersed in 5% methylene blue solution (4 hrs and observed under a stereomicroscope; interfaces also were examined by SEM. Krsukal Wallis ANOVA by ranks (P<0.01 and Mann Whitney U Tests (P<0.05 of the data indicate improvements (equivalent among the 3 different liners tested here over unlined amalgam preparations. Liner/aldehyde-crosslinked dentin interphases, without technique-sensitive composites, may minimize microleakage by improving amalgam contact (physical bonding.

  14. Digital approach for measuring dentin translucency in forensic age estimation

    Directory of Open Access Journals (Sweden)

    Simranjit Singh

    2013-01-01

    Full Text Available Background: Dentin translucency is best suited for age estimation not only in terms of accuracy but also in terms of simplicity. Conventionally, translucency has been measured using calipers. Computer-based methods have been proposed for the same, although these required the use of custom-built software programs. Objectives: The objectives of the study were to use a simple digital method to measure dentinal translucency on sectioned teeth and to compare digital measurements to conventionally obtained translucency measurements. Materials and Methods: Fifty extracted permanent teeth were collected and were sectioned to 250 μm. Translucency measurements were obtained using the digital method and compared with those obtained using a caliper. Results: Correlation coefficients of translucency measurements to age were statistically significant for both methods (P < 0.001, and marginally higher for the conventional approach (r = 0.4671. Application of derived linear regression equations on an independent sample (n = 10 revealed a similar ability of both the methods to assess age to within ±5 years of the actual age. Conclusion: The translucency measurements obtained by the two methods were very similar, with no clear superiority of one method over the other. Hence, further studies on a large scale are warranted to determine which method is more reliable to estimate the age.

  15. Root dentine and endodontic instrumentation: cutting edge microscopic imaging.

    Science.gov (United States)

    Atmeh, Amre R; Watson, Timothy F

    2016-06-01

    Cutting of the dental hard tissues is an integral part of restorative dentistry. Cutting of the root dentine is also needed in preparation prior to endodontic treatment, with significant commercial investment for the development of flexible cutting instruments based around nickel titanium (NiTi) alloys. This paper describes the evolution of endodontic cutting instruments, both in materials used, e.g. the transition from stainless steel to NiTi, and the design of the actual instruments themselves and their method of activation-by hand or motor driven. We have been examining tooth-cutting interactions microscopically for over 25 years using a variety of microscopic techniques; in particular, video-rate confocal microscopy. This has given a unique insight into how many of the procedures that we take for granted are achieved in clinical practice, by showing microscopic video images of the cutting as it occurs within the tooth. This technology has now been extended to allow imaging of the endodontic instrument and the root canal wall for the first time. We are able to image dentine distortion and crack propagation during endodontic filing of the root canal space. We are also able to visualize the often claimed, but seldom seen action of contemporary endodontic instruments. PMID:27274802

  16. In vitro electrical impedance spectroscopy of human dentine: the effect of restorative materials.

    Science.gov (United States)

    Rivas, Berta; Botta, Pablo M; Varela, Purificación; Martín, Benjamín; Fondado, Alfonso; Rivas, Jose

    2008-04-01

    The influence of different restorative materials on in vitro dielectric properties of sound dentine was investigated. The studied samples were three-layer materials consisting of successive disks of dentine and silver amalgam or nanohybrid composite resin. Before being tested, the samples were maintained in physiological solution never more than 48 h from the extraction. Also, sections of intact dentine were similarly prepared for electrical measurements. Complex dielectric permittivity of these specimens was determined in a wide frequency range using the parallel-plate capacitor technique. Very similar dielectric responses of intact dentine and amalgam-dentine material were observed. This is explained on the basis of high dc conductivity exhibited by both samples. In contrast, resin-dentine specimen revealed a much more insulating behavior. A simple theoretical model for heterogeneous systems could be applied to these dental three-layer materials. The dielectric properties of restored dentine are strongly dependent on the kind of restorative material employed in each case. This suggests that electrical data should be used carefully in caries diagnosis on restored teeth.

  17. Repair of dentin defects from DSPP knockout mice by PILP mineralization

    Science.gov (United States)

    Nurrohman, H.; Saeki, K.; Carneiro, K.; Chien, Y.C.; Djomehri, S.; Ho, S.P.; Qin, C.; Marshall, S.J.; Gower, L.B.; Marshall, G.W.; Habelitz, S.

    2016-01-01

    Dentinogenesis imperfecta type II (DGI-II) lacks intrafibrillar mineral with severe compromise of dentin mechanical properties. A Dspp knockout (Dspp−/−) mouse, with a phenotype similar to that of human DGI-II, was used to determine if poly-L-aspartic acid [poly(ASP)] in the “polymer-induced liquid-precursor” (PILP) system can restore its mechanical properties. Dentin from six-week old Dspp−/− and wild-type mice was treated with CaP solution containing poly(ASP) for up to 14 days. Elastic modulus and hardness before and after treatment were correlated with mineralization from Micro x-ray computed tomography (Micro-XCT). Transmission electron microscopy (TEM)/Selected area electron diffraction (SAED) were used to compare matrix mineralization and crystallography. Mechanical properties of the Dspp−/− dentin were significantly less than wild-type dentin and recovered significantly (P < 0.05) after PILP-treatment, reaching values comparable to wild-type dentin. Micro-XCT showed mineral recovery similar to wild-type dentin after PILP-treatment. TEM/SAED showed repair of patchy mineralization and complete mineralization of defective dentin. This approach may lead to new strategies for hard tissue repair. PMID:27239097

  18. The fibrillar structure of the cemento-dentinal junction in different kinds of human teeth.

    Science.gov (United States)

    Yamamoto, T; Domon, T; Takahashi, S; Islam, M N; Suzuki, R

    2001-10-01

    The cemento-dentinal junction was examined in human maxillary incisors, canines and premolars by scanning electron microscopy combined with NaOH maceration. The NaOH maceration was used to remove interfibrillar substances and to observe details of the fibrillar architecture. The teeth were half-sectioned longitudinally, demineralized and macerated for 3-4 days or for 10-14 days. In the 3-4 day-macerated specimens, longitudinal sections of the cemento-dentinal junction were examined. In the 10-14 day-macerated specimens, the cementum was detached and the inner cementum surface facing the cemento-dentinal junction was examined. Observations suggested that cemental fibrils intermingle with dentinal fibrils only in places at the cemento-dentinal junction in both acellular and cellular cementum. These structural features were consistent in all kinds of teeth investigated here. Using human molars, we have previously proposed that the adhesion of proteoglycans is a main factor for the cemento-dentinal attachment and that the fibril intermingling between dentin and cementum is an accessory or secondary factor. The present study suggests that this applies to other kinds of human teeth. PMID:11585119

  19. Evaluation of the Diode laser (810nm,980nm) on dentin tubule diameter following internal bleaching

    Science.gov (United States)

    Kiomarsi, Nazanin; Salim, Soheil; Sarraf, Pegah; Javad-Kharazifard, Mohammad

    2016-01-01

    Background The aim of this study was to evaluate the effect of diode laser irradiation and bleaching materials on the dentinal tubule diameter after laser bleaching. Material and Methods The dentin discs of 40 extracted third molar were used in this experiment. Each disc surface was divided into two halves by grooving. Half of samples were laser bleached at different wavelengths with two different concentrations of hydrogen peroxide. Other half of each disc with no laser bleaching remained as a negative control. Dentin discs were assigned randomly into four groups (n=10) with following hydrogen peroxide and diode laser wavelength specifications; Group 1 (30% - 810 nm), group 2 (30% - 980 nm), group 3 (46% - 810 nm) and group 4 (46% - 980 nm). All specimens were sent for scanning electron microscopic (SEM) analysis in order to measure tubular diameter in laser treated and control halves. Data were analyzed by ANOVA and Tukey test (p<0.05). Results A significant reduction in dentin tubule diameter was observed in groups 1, 2 and 4. There was no significant difference between groups 1 and 2 and between groups 3 and 4 after bleaching. Conclusions The SEM results showed that diode laser was able to reduce dentin tubule diameter and its effect on dentin was dependent on chemical action of bleaching material. Key words:Laser, diode, dentin, tubule, diameter. PMID:27398172

  20. The reduction in fatigue crack growth resistance of dentin with depth.

    Science.gov (United States)

    Ivancik, J; Neerchal, N K; Romberg, E; Arola, D

    2011-08-01

    The fatigue crack growth resistance of dentin was characterized as a function of depth from the dentino-enamel junction. Compact tension (CT) specimens were prepared from the crowns of third molars in the deep, middle, and peripheral dentin. The microstructure was quantified in terms of the average tubule dimensions and density. Fatigue cracks were grown in-plane with the tubules and characterized in terms of the initiation and growth responses. Deep dentin exhibited the lowest resistance to the initiation of fatigue crack growth, as indicated by the stress intensity threshold (ΔK(th) ≈ 0.8 MPa•m(0.5)) and the highest incremental fatigue crack growth rate (over 1000 times that in peripheral dentin). Cracks in deep dentin underwent incremental extension under cyclic stresses that were 40% lower than those required in peripheral dentin. The average fatigue crack growth rates increased significantly with tubule density, indicating the importance of microstructure on the potential for tooth fracture. Molars with deep restorations are more likely to suffer from the cracked-tooth syndrome, because of the lower fatigue crack growth resistance of deep dentin.

  1. Reconstructing the life-time lead exposure in children using dentine in deciduous teeth

    International Nuclear Information System (INIS)

    Data are presented to demonstrate that the circumpulpal dentine of deciduous teeth can be used to reconstruct a detailed record of childhood exposure to lead. By combining high spatial resolution laser ablation ICP-MS with dental histology, information was acquired on the concentration of lead in dentine from in utero to several years after birth, using a true time template of dentine growth. Time corrected lead analyses for pairs of deciduous molars confirmed that between-tooth variation for the same child was negligible and that meaningful exposure histories can be obtained from a single, multi-point ablation transect on longitudinal sections of individual teeth. For a laser beam of 100 μm diameter, the lead signal for each ablation point represented a time span of 42 days. Simultaneous analyses for Sr, Zn and Mg suggest that the incorporation of Pb into dentine (carbonated apatite) is most likely controlled by nanocrystal growth mechanisms. The study also highlights the importance of discriminating between primary and secondary dentine and the dangers of translating lead analyses into blood lead estimates without determining the age or duration of dentine sampled. Further work is in progress to validate deciduous teeth as blood lead biomarkers. - Highlights: ► Reconstruction of childhood exposure history to Pb using deciduous tooth dentine. ► Pb analyses acquired for dentine growth increments of 42 days. ► Highly correlated Pb concentration profiles for pairs of deciduous molars. ► Data for Sr, Zn and Mg provide a model for the incorporation of Pb into dentine.

  2. Reconstructing the life-time lead exposure in children using dentine in deciduous teeth

    Energy Technology Data Exchange (ETDEWEB)

    Shepherd, Thomas J., E-mail: shepherdtj@aol.com [School of Earth and Environment, University of Leeds, Leeds LS2 9JT (United Kingdom); Dirks, Wendy [Centre for Oral Health Research, School of Dental Sciences, Newcastle University, Newcastle upon Tyne NE2 4BW (United Kingdom); Manmee, Charuwan; Hodgson, Susan [Institute of Health and Society, Newcastle University, Newcastle upon Tyne NE2 4AX (United Kingdom); Banks, David A. [School of Earth and Environment, University of Leeds, Leeds LS2 9JT (United Kingdom); Averley, Paul [Centre for Oral Health Research, School of Dental Sciences, Newcastle University, Newcastle upon Tyne NE2 4BW (United Kingdom); Queensway Dental Practice, 170 Queensway, Billingham, Teesside TS23 2NT (United Kingdom); Pless-Mulloli, Tanja [Institute of Health and Society, Newcastle University, Newcastle upon Tyne NE2 4AX (United Kingdom); Newcastle Institute for Research on Sustainability, Newcastle University, Newcastle upon Tyne NE1 7RU (United Kingdom)

    2012-05-15

    Data are presented to demonstrate that the circumpulpal dentine of deciduous teeth can be used to reconstruct a detailed record of childhood exposure to lead. By combining high spatial resolution laser ablation ICP-MS with dental histology, information was acquired on the concentration of lead in dentine from in utero to several years after birth, using a true time template of dentine growth. Time corrected lead analyses for pairs of deciduous molars confirmed that between-tooth variation for the same child was negligible and that meaningful exposure histories can be obtained from a single, multi-point ablation transect on longitudinal sections of individual teeth. For a laser beam of 100 {mu}m diameter, the lead signal for each ablation point represented a time span of 42 days. Simultaneous analyses for Sr, Zn and Mg suggest that the incorporation of Pb into dentine (carbonated apatite) is most likely controlled by nanocrystal growth mechanisms. The study also highlights the importance of discriminating between primary and secondary dentine and the dangers of translating lead analyses into blood lead estimates without determining the age or duration of dentine sampled. Further work is in progress to validate deciduous teeth as blood lead biomarkers. - Highlights: Black-Right-Pointing-Pointer Reconstruction of childhood exposure history to Pb using deciduous tooth dentine. Black-Right-Pointing-Pointer Pb analyses acquired for dentine growth increments of 42 days. Black-Right-Pointing-Pointer Highly correlated Pb concentration profiles for pairs of deciduous molars. Black-Right-Pointing-Pointer Data for Sr, Zn and Mg provide a model for the incorporation of Pb into dentine.

  3. Nanoscopic dynamic mechanical analysis of resin-infiltrated dentine, under in vitro chewing and bruxism events.

    Science.gov (United States)

    Toledano, Manuel; Osorio, Estrella; Cabello, Inmaculada; Aguilera, Fátima S; López-López, Modesto T; Toledano-Osorio, Manuel; Osorio, Raquel

    2016-02-01

    The aim of this study was to evaluate the induced changes in mechanical behavior and bonding capability of resin-infiltrated dentine interfaces, after application of mechanical stimuli. Dentine surfaces were subjected to partial demineralization through 37% phosphoric acid etching followed by the application of an etch-and-rinse dentine adhesive, Single Bond (3M/ESPE). Bonded interfaces were stored in simulated body fluid during 24h, and then tested or submitted to the mechanical loading challenge. Different loading waveforms were applied: No cycling (I), 24h cycled in sine (II) or square (III) waves, sustained loading held for 24h (IV) or sustained loading held for 72h (V). Microtensile bond strength (MTBS) was assessed for the different groups. Debonded dentine surfaces were studied by field emission scanning electron microscopy (FESEM). At the resin-dentine interface, both the hybrid layer (HL) and the bottom of the hybrid layer (BHL), and both peritubular and intertubular were evaluated using a nanoindenter in scanning mode. The load and displacement responses were used to perform the nano-Dynamic Mechanical analysis and to estimate the complex and storage modulus. Dye assisted Confocal Microscopy Evaluation was used to assess sealing ability. Load cycling increased the percentage of adhesive failures in all groups. Specimens load cycled in held 24h attained the highest complex and storage moduli at HL and BHL. The storage modulus was maximum in specimens load cycled in held 24h at peritubular dentine, and the lowest values were attained at intertubular dentine. The storage modulus increased in all mechanical tests, at peritubular dentine. An absence of micropermeability and nanoleakage after loading in sine and square waveforms were encountered. Porosity of the resin-dentine interface was observed when specimens were load cycled in held 72h. Areas of combined sealing and permeability were discovered at the interface of specimens load cycled in held 24h. Crack

  4. Microhardness evaluations of resin-dentin bonding areas by nano-indentation.

    Science.gov (United States)

    Nakazawa, Y; Seino, E; Ushiki, T; Ogata, T; Hirai, Y; Kawada, E; Oda, Y

    1999-02-01

    The purpose of this experiment was to determine the hardness values of the hybrid layer and its surroundings through the continuous use of a microhardness measuring device. Black's Class V cavities were prepared in nine dog teeth. The cavities were divided into four groups according to the dentin adhesive system applied. The adhesive systems were: "Bond One System", "Liner Bond II sigma System", "One Step System", and "Single Bond System". The treated teeth were observed at seven days post-application. Specimens were cross-sectioned perpendicularly or horizontally to the resin-dentin interface and embedded in epoxy resin. Their surfaces were polished. The microhardness of the resin-dentin bonding area was measured with a nano-indentation tester. The hardness values at a point of 10 microns distant from the interface in the direction of the dentin differed between systems. It appeared that this was influenced by the presence of the decalcified dentin not impregnated by resin, differences in the chemistry forming the hybrid layer, and the composition of the bonding resin. The hardness of the dentin-bonding interface and its surroundings was determined, and these areas were observed using SEM. Three layers were confirmed the healthy dentin layer, the composite resin layer, and the hybrid layer, (in which decalcified dentin impregnated by resin and that not impregnated by resin are considered to be mix). In the hybrid layer, no impression was found by SEM although the hardness in the bonding interface was significantly different. These layers appear to be more elastic and softer than the healthy dentin. PMID:10522177

  5. Histomorphological Pattern of Cervical Lymphadenopathy

    Directory of Open Access Journals (Sweden)

    Abdul Mannan Sikder

    2013-01-01

    Full Text Available Background: Enlarged palpable cervical lymph nodes as a primary presenting sign are very common and may be due to inflammatory lesions and tumors. Correlation between clinical findings and laboratory data is essential in arriving at a diagnosis. In patients presenting with cervical lymphadenopathy, excision biopsy provides material to establish an early diagnosis. We designed this study in our population for histological evaluation of cervical lymph node biopsies that might be important in the management of these patients. Objective: Histopathological evaluation of different diseases involving the cervical lymph nodes in relation to age and sex of the study population. Materials and Methods: It was a cross sectional study conducted in the department of Pathology, Enam Medical College & Hospital, Savar, Dhaka during the period from January 2006 to December 2010. A total of 107 patients were evaluated for specific cause of cervical lymphadenopathy in relation to age and sex. Lymph node biopsies of all patients of both sexes and all age groups were included in the study. Results: Among the 107 subjects 58 (54.2% were males and 49 (45.8% were females with a male to female ratio of 1.2:1. The age of the patients ranged from 2 to 85 years with a mean age of 32.68 ± 18.01 years. Of the 107 lymph node biopsies, 34 cases (31.8% were reactive lymphadenitis, 41 cases (38.3% were tuberculosis, 2 cases (1.9% were non-caseous granuloma, 6 cases (5.6% were Hodgkin lymphoma, 8 cases (7.5% were non-Hodgkin lymphoma, 12 cases (11.2% were metastatic neoplasm and 4 cases (3.7% were other specific lesions. Conclusion: The commonest cause of cervical lymphadenopathy was tuberculosis, followed by reactive lymphadenitis, lymphoma and metastatic neoplasm.

  6. Treatment of cervical dislocation with locked facets

    Institute of Scientific and Technical Information of China (English)

    YU Ze-sheng; James J.Yue; WEI Feng; LIU Zhong-jun; CHEN Zhong-qiang; DANG Geng-ting

    2007-01-01

    Background Lower cervical dislocation with locked facets is common in cervical injury. The locked facets include unilateral and bilateral types. Different successful closed reduction rates has been achieved between unilateral and bilateral types by using rapid skull traction, which was commonly used to reduce the cervical dislocation. It is important to investigate a suitable management specific to patients with different types of cervical locked facets.Methods A total of 38 patients with cervical dislocation with locked facet due to cervical injury treated by rapid skull traction and operation from 1988 to 2005 were reviewed. Rapid skull traction was used in all the patients. Successful closed reduction rate was 88.0% in patients with bilateral cervical locked facets and that was 15.4% in those with unilateral cervical locked facets. These data were then statistically compared by Chi-square test. Patients who were reduced successfully underwent anterior cervical discectomy and fusion at the injured level, and those who failed in closed reduction received posterior open reduction and fixation.Results In this series, there was statistically significant difference (P<0.05) in the rate of successful closed skull traction reduction between unilateral and bilateral locked facets dislocation. Unilateral cervical locked facets dislocation was not easily reduced by skull traction which was suitable for reduction of bilateral cervical locked facets dislocation. However,unilateral cervical locked facets dislocation can be reduced by posterior open reduction.Conclusions Unilateral cervical locked facets dislocation should be treated immediately with posterior open reduction and instrumentation. Bilateral cervical locked facets dislocation can be reduced by rapid skull traction firstly and anterior cervical discectomy and interbody fusion later.

  7. Radiculopatía cervical

    OpenAIRE

    Adriana Murillo Calderón

    2012-01-01

    La patología cervical traumática y su relación con el quehacer de la medicina legal tiene gran importancia y vigencia, principalmente cuando se hace necesario realizar valoraciones a pacientes con alteraciones cervicales y se debe definir si estas están en relación a un trauma determinado o repetitivo en el tiempo como puede ocurrir en algunos casos de riesgos de trabajo. El médico forense debe estar muy bien preparado, conocer la anatomía cervical y de los miembros superiores, realizar un in...

  8. Propiedades mecánicas de la dentina humana Mechanical properties of human dentin

    Directory of Open Access Journals (Sweden)

    Mª V. Fuentes Fuentes

    2004-04-01

    Full Text Available Puesto que la dentina es el mayor constituyente de la estructura dental, su microestructura y sus propiedades son los principales determinantes en casi todos los procedimientos de Odontología restauradora. Este artículo trata de las siguientes propiedades mecánicas de la dentina humana: la resistencia cohesiva, la microdureza y el módulo de elasticidad.Since dentin is the major constituent of the teeth, dentin microstructure and their properties are principal determinants of nearly all procedures in restorative dentistry. This paper is about following mechanical properties of human dentin: cohesive strength, microhardness and modulus of elasticity.

  9. Cleaning time and fate of phosphoric acid as conditioning agent on human dental enamel and dentin

    International Nuclear Information System (INIS)

    In this study the cleaning time and fate of phosphoric acid on human dental enamel and dentin have been investigated, using the radioactive tracer technique with 32P as an indicator of phosphorus. Twenty seconds were found to be sufficient for cleaning the enamel from phosphoric acid used for conditioning, and from formulations produced from its interaction with enamel. It was also found that dentin protection is necessary before conditioning with phosphoric acid due to the retention penetration of the latter through subsurface dentinal tubules. In addition, there seems to be an interaction between phosphoric acid and Ca(OH)2 leading to the formation of a sparingly soluble compound. (author)

  10. Autoradiographic studies on the penetration of technetium-labelled chelate compounds into the dentin

    International Nuclear Information System (INIS)

    The penetration of /sup 99m/Tc-EDTA and /sup 99m/Tc-DTPA, resp., was investigated in extracted human monoradicular teeth. The distribution of the tracer on the sections corresponded approximately to the gradient of the molecular distribution. The depth of penetration was the same in all groups of teeth. It involved 2/3 of the root dentin and exceeds the softening of the dentin by about 200 μm. The intensity of labelling depended on the number of dentinal tubules. There were no differences between /sup 99m/Tc-EDTA and /sup 99m/Tc-DTPA as to the penetrating power

  11. Evaluation of microstructural parameters of human dentin by digital image analysis

    Directory of Open Access Journals (Sweden)

    Eduardo Tavares Coutinho

    2007-06-01

    Full Text Available Digital image analysis was used to fully characterize the microstructure of human dentin. With the automatic routine implemented, field and region parameters related to human dentin characterization were obtained in significant statistical quantities. The results obtained for the density, area fraction, distance between neighbors, tilt angle, area and average diameter of the dentinary tubules are presented for unerupted third molars. The results, grouped per class of dentin or per tooth, are discussed in the light of the previous data found on the literature.

  12. Imaging of cervical spine injuries of childhood

    Energy Technology Data Exchange (ETDEWEB)

    Khanna, Geetika; El-Khoury, Georges Y. [University of Iowa Hospitals and Clinics, Department of Radiology, 3951 JPP, Iowa, IA (United States)

    2007-06-15

    Cervical spine injuries of children, though rare, have a high morbidity and mortality. The pediatric cervical spine is anatomically and biomechanically different from that of adults. Hence, the type, level and outcome of cervical spine injuries in children are different from those seen in adults. Normal developmental variants seen in children can make evaluation of the pediatric cervical spine challenging. This article reviews the epidemiology of pediatric cervical spine trauma, normal variants seen in children and specific injuries that are more common in the pediatric population. We also propose an evidence-based imaging protocol to avoid unnecessary imaging studies and minimize radiation exposure in children. (orig.)

  13. Cervical spine in Treacher Collins syndrome.

    Science.gov (United States)

    Pun, Amy Hoi-Ying; Clark, Bruce Eric; David, David John; Anderson, Peter John

    2012-05-01

    Treacher Collins syndrome is a congenital syndrome with characteristic craniofacial malformations, which are well described in the literature. However, the presence of cervical spine dysmorphology in this syndrome has been minimally described. This study reviews cervical spine radiographs of 40 patients with Treacher Collins syndrome. In this sample, 7 of 40 patients displayed cervical spine anomalies, with 3 of these patients displaying multiple cervical spine anomalies. The patterns of spinal anomalies were variable, suggesting that the underlying genetic mutation has variable expressivity in cervical spine development as it does elsewhere in the craniofacial skeleton.

  14. Effect of tooth age on bond strength to dentin Efeito da idade na resistência de união

    Directory of Open Access Journals (Sweden)

    Marcelo Giannini

    2003-12-01

    Full Text Available This in vitro study evaluated the effect of tooth age on the tensile bond strength of Prime & Bond NT adhesive system to dentin. Human third molars from the five age groups were analyzed: A- 17 to 20yrs, B- 21 to 30yrs, C- 31 to 40yrs, D- 41 to 50yrs and E- 51 to 63yrs. The occlusal enamel was removed using a diamond saw under water cooling and the dentin surface was wet-ground with 600-grit SiC paper to obtain flat surfaces. The adhesive system was applied according to the manufacturer's instructions and a 6-mm high resin "crown" was built-up with resin composite. Teeth were stored for 24 hours in distilled water at 37ºC and prepared for micro-tensile testing. Each specimen was mounted in a testing jig attached to a universal testing machine and stressed in tension at a crosshead speed of 0.5mm/min until failure. The means of tensile bond strength were (MPa: A- 21.42 ± 7.52ª; B- 30.13 ± 10.19ª; C- 31.69 ± 11.78ª; D- 30.69 ± 8.47ª and E- 35.66 ± 9.54ª. No statistically significant difference was observed among the age groups (p > 0.05. The results suggested that the tensile bond strength of the adhesive system was not significantly affected by dentin aging.Este estudo avaliou, in vitro, o efeito da idade na resistência à tração do sistema adesivo Prime & Bond NT no substrato dentinário. Foram utilizados terceiros molares humanos de cinco faixas etárias: A- 17 a 20, B- 21 a 30, C- 31 a 40, D- 41 a 50 e E- 51 a 63. O esmalte oclusal foi removido utilizando disco de diamante e a superfície dentinária abrasionada e planificada com lixa de SiC (600 sob refrigeração. O sistema adesivo foi aplicado de acordo com as recomendações do fabricante e um bloco de resina composta de 6 mm de altura foi confeccionado na superfície dentinária. Os dentes foram armazenados em água por 24 horas a 37ºC e preparados para o ensaio de micro-tração. Cada espécime foi fixado no dispositivo de micro-tração que estava acoplado a uma m

  15. Evaluation of the effect of surface moisture on dentinal tensile bond strength to dentine adhesive: An in vitro study

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    Jayaprakash Thumu

    2010-01-01

    Full Text Available Aim : To evaluate the effect of surface moisture on dentinal tensile bond strength. Materials and Methods : Forty freshly extracted caries free, unrestored human mandibular molars were selected. The occlusal surfaces of each tooth were ground to prepare flat dentin surfaces at a depth of 1.5 mm. Following acid etching with 37% phosphoric acid for 15 sec, they were randomly grouped, with ten specimens in each: Group I - Over wet, Group II - Blot dry, Group III- One second dry, Group IV- Over dry. Each group was treated with a single bond adhesive system (3M ESPE as per manufacturer′s instructions. Blocks or cylinders of composite resin were built up using Teflon mould and cured. Tensile bond strengths were tested using Instron universal testing machine. The results were statistically analyzed. Results : The mean tensile bond strength values of group II, Blot dry was highest and statistically significant (P<0.001. Conclusion : After acid etching and rinsing blot drying provided consistently better bond strength.

  16. Comparative evaluation of self-etching primers with fourth and fifth generation dentin-bonding systems on carious and normal dentin substrates: An in vitro shear bond strength analysis

    Directory of Open Access Journals (Sweden)

    Giriyappa Ramesh

    2008-01-01

    Full Text Available Aim: The aim of this study was to test the hypothesis that bonding to caries-affected dentin would yield strengths that are lower than bond strengths achievable when bonded to normal dentin. Dentin-bonding systems used in this study were fourth and fifth generation as well as self-etching primers. Materials and Methods: Forty-eight freshly extracted mandibular and maxillary molars were selected of which 24 were caries-affected teeth and the remaining were noncarious teeth. Random sampling was done with eight teeth in each group based on the bonding system used. In caries-affected teeth, the soft, stainable, caries-infected dentin was excavated using a caries detector dye whereas the hard, caries-affected, nonstainable dentin was retained. All the teeth were subsequently mounted in a suitable acrylic mould. Prepared teeth were restored with a single composite resin, using three different dentin bonding systems. These prepared specimens were transferred to a Hounsfield tensometer to measure the shear bond strength. The results obtained were analyzed using Anova, Student′s unpaired t-test, and Student Neuman Keulis test. Results: The results showed that the self-etching primer required the highest mean shear load compared to the fifth and fourth generation dentin-bonding systems in both normal dentin and caries-affected dentin. Conclusion: Bond strength to dentin depends on whether the dentinal tubule is open or occluded. Within the limitations of this study, it was observed that bond strength to caries-affected dentin was low compared to normal dentin.

  17. Percutaneous cervical nucleoplasty in the treatment of cervical disc herniation.

    Science.gov (United States)

    Li, Jian; Yan, Deng-lu; Zhang, Zai-Heng

    2008-12-01

    Percutaneous disc decompression procedures have been performed in the past. Various percutaneous techniques such as percutaneous discectomy, laser discectomy, and nucleoplasty have been successful. Our prospective study was directly to evaluate the results of percutaneous cervical nucleoplasty (PCN) surgery for cervical disc herniation, and illustrate the effectiveness of PCN in symptomatic patients who had cervical herniated discs. From July of 2002 to June of 2005, 126 consecutive patients with contained cervical disc herniations have presented at the authors' clinic and treated by PCN. The patients' gender distribution for PCN was 65 male, 61 female. The age of patients ranged from 34 to 66 years (mean 51.9 +/- 10.2 years). The levels of involvement were 21 cases at C3-4, 30 cases at C4-5, 40 cases at C5-6, and 35 cases at C6-7. The clinical outcomes, pain reduction and the segment stability were all recorded during this study. A clinical outcome was quantified by the Macnab standard and using VAS. The angular displacement (AD) > or =11 degrees or horizontal displacement (HD) > or =3 mm was considered to be radiographically unstable. In the results of this study, puncture of the needle into the disc space was accurately performed under X-ray guidance in all cases. There was one case where the Perc-D Spine Wand had broken in the disc space during the procedure. The partial Perc-D Spine Wand, which had broken in the disc space could not be removed by the percutaneous cervical discectomy and thus remained there. There were no recurrent cases or complications in our series. Macnab standard results were excellent in 62 cases, good in 41 cases and fair in 23 cases. The rate of excellent and good was 83.73%. The VAS scores demonstrated statistically significant improvement in PCN at the 2-week, 1, 3, 6, and 12-month follow-up visits when compared to preoperational values (P PCN procedure. There was no significant difference in stability either preoperatively or

  18. A comparison on the flexural strength of a new dental porcelain (D.} Dentin with Vita company Dentin porcelain (VMK 68N

    Directory of Open Access Journals (Sweden)

    Ghahramanloo A.

    2004-06-01

    Full Text Available Statement of Problem: Dental porcelain is one of the best materials ever used in dentistry. Excellent tissue"ncompatibility, esthetics, very low solubility in oral fluids, high compressive strength, and the lowest bacterial"nplaque accumulation on the glazed porcelain are some of its advantages. Porcelain brittleness due to its low"ntensile strength, impact strength and the occlusal attrition of opposing teeth enamel are some of its"ndisadvantages. The most important mechanical properties of dental porcelains are their flexural strength that is"nthe ability of a porcelain to resist fracture when loaded from above. Different ways have been proposed to"neliminate porcelain brittleness and develop its flexural strength, among which baking porcelain on a metal"nframework is more commonly used."nPurpose: Considering that restoration and replacement of teeth by porcelain fused to metal restorations is still"nthe most commonly used technique, the aim of the present study was to measure the flexural strength of a"nporcelain bonded to metal powder, D4 Dentin, and to compare it with Vita Dentin powder."nMaterials and Methods: In this experimental study, a stainless steel box, 25x5x2mm was made according to"nISO 6872: 1995 (E Standard and filled with D4 Dentin powder and Vita Dentin (VMK 68N and baked in"nVita furnace. Then 10 blocks of D^ Dentin and 10 of Vita Dentin were made. Samples were placed on the"nthree point bending test machine and force was applied the middle of each block. To analyze the data, t-"nstudent test and co-variance analysis were used."nResults: Mean flexural strength of D4 Dentin was 53.40±1.35 MPa and that of Vita Dentin was 53.86+7.38"nMPa. The difference was not statistically significant."nConclusion: According to ISO 6872: 1995 (E standard, the flexural strength of all D4 Dentin samples were"ngreater than 50 Mpa.

  19. Estudo multicasos sobre atividades inovativas

    Directory of Open Access Journals (Sweden)

    Sonia Regina Hierro Parolin

    2013-09-01

    Full Text Available Em estudos sobre competitividade argumenta-se que as empresas necessitam de estratégias baseadas em inovações e de capacidades internas em constantes e intensas transformações, não somente nos padrões tecnológicos, mas também no encadeamento do processo de gestão das atividades inovativas, como processos dinâmicos, não lineares e diversificados, em função de múltiplos fatores dos ambientes interno e externo. Para contribuir com essas discussões, neste artigo apresenta-se um estudo multicasos em quatro indústrias de médio e grande portes, de segmentos, densidades tecnológicas e históricos com inovações diferentes entre si. Como principais resultados, salientam-se o encadeamento das atividades inovativas como parte de uma estratégia organizacional para obter resultados com inovação e a afluência de todas as pessoas, e não somente as alocadas em pesquisa e desenvolvimento, para o cumprimento dessa estratégia.

  20. Immunocytochemical detection of dentin matrix proteins in primary teeth from patients with dentinogenesis imperfecta associated with osteogenesis imperfecta

    Directory of Open Access Journals (Sweden)

    G. Orsini

    2014-10-01

    Full Text Available Dentinogenesis imperfecta determines structural alterations of the collagen structure still not completely elucidated. Immunohistochemical analysis was used to assay Type I and VI collagen, various non-collagenous proteins distribution in human primary teeth from healthy patients or from patients affected by type I dentinogenesis imperfecta (DGI-I associated with osteogenesis imperfecta (OI. In sound primary teeth, an organized well-known ordered pattern of the type I collagen fibrils was found, whereas atypical and disorganized fibrillar structures were observed in dentin of DGI-I affected patients. Expression of type I collagen was observed in both normal and affected primary teeth, although normal dentin stained more uniformly than DGI-I affected dentin. Reactivity of type VI collagen was significantly lower in normal teeth than in dentin from DGI-I affected patients (P<0.05. Expressions of dentin matrix protein (DMP-1 and osteopontin (OPN were observed in both normal dentin and dentin from DGI-I affected patients, without significant differences, being DMP1 generally more abundantly expressed. Immunolabeling for chondroitin sulfate (CS and biglycan (BGN was weaker in dentin from DGI-I-affected patients compared to normal dentin, this decrease being significant only for CS. This study shows ultrastructural alterations in dentin obtained from patients affected by DGI-I, supported by immunocytochemical assays of different collagenous and non-collagenous proteins.

  1. Immunocytochemical detection of dentin matrix proteins in primary teeth from patients with dentinogenesis imperfecta associated with osteogenesis imperfecta.

    Science.gov (United States)

    Orsini, G; Majorana, A; Mazzoni, A; Putignano, A; Falconi, M; Polimeni, A; Breschi, L

    2014-12-01

    Dentinogenesis imperfecta determines structural alterations of the collagen structure still not completely elucidated. Immunohistochemical analysis was used to assay Type I and VI collagen, various non-collagenous proteins distribution in human primary teeth from healthy patients or from patients affected by type I dentinogenesis imperfecta (DGI-I) associated with osteogenesis imperfecta (OI). In sound primary teeth, an organized well-known ordered pattern of the type I collagen fibrils was found, whereas atypical and disorganized fibrillar structures were observed in dentin of DGI-I affected patients. Expression of type I collagen was observed in both normal and affected primary teeth, although normal dentin stained more uniformly than DGI-I affected dentin. Reactivity of type VI collagen was significantly lower in normal teeth than in dentin from DGI-I affected patients (P<0.05). Expressions of dentin matrix protein (DMP)-1 and osteopontin (OPN) were observed in both normal dentin and dentin from DGI-I affected patients, without significant differences, being DMP1 generally more abundantly expressed. Immunolabeling for chondroitin sulfate (CS) and biglycan (BGN) was weaker in dentin from DGI-I-affected patients compared to normal dentin, this decrease being significant only for CS. This study shows ultrastructural alterations in dentin obtained from patients affected by DGI-I, supported by immunocytochemical assays of different collagenous and non-collagenous proteins.

  2. The initial attachment of cemental fibrils to the root dentin surface in acellular and cellular cementogenesis in rat molars.

    Science.gov (United States)

    Yamamoto, T; Domon, T; Takahashi, S; Islam, M N; Suzuki, R

    2001-03-01

    To elucidate the initial attachment mechanism of cemental fibrils to the root dentin surface in acellular and cellular cementogenesis, developing rat molars were observed by light microscopy and scanning electron microscopy combined with NaOH maceration. The NaOH maceration was used to observe details of the positional association of cemental and dentinal fibrils during cementogenesis. An initial hematoxylin stained, cementum layer began to form on the root dentin surface with the first dentin mineralization in both acellular and cellular cementogenesis. The initial attachment of cemental fibrils to the dentin surface also began at this point. At the initial attachment the intermingling of cemental and dentinal fibrils occurred only in places. With advanced cementogenesis the initial cementum layer became the fibril-poor cemento-dentinal junction. This suggests that cemental fibrils attach on the initial cementum layer, and not directly on dentinal fibrils, so that the layer results in the fibril-poor cemento-dentinal junction. The present study suggests that an intervening adhesive is necessary for the cemento-dentinal attachment at any stage of cementogenesis in rat molars. PMID:11325058

  3. The comparison between two irrigation regimens on the dentine wettability for an epoxy resin based sealer by measuring its contact angle formed to the irrigated dentine

    Science.gov (United States)

    Mohan, Rayapudi Phani; Pai, Annappa Raghavendra Vivekananda

    2015-01-01

    Aim: The aim was to assess the influence of two irrigation regimens having ethylenediaminetetraacetic acid (EDTA) and ethylenediaminetetraacetic acid with cetrimide (EDTAC) as final irrigants, respectively, on the dentine wettability for AH Plus sealer by comparing its contact angle formed to the irrigated dentine. Materials and Methods: Study samples were divided into two groups (n = 10). The groups were irrigated with 3% sodium hypochlorite (NaOCl) solution followed by either 17% EDTA or 17% EDTAC solution. AH Plus was mixed, and controlled volume droplet (0.1 mL) of the sealer was placed on the dried samples. The contact angle was measured using a Dynamic Contact Angle Analyzer and results were analyzed using SPSS 21.0 and 2 sample t-test. Results: There was a significant difference in the contact angle of AH Plus formed to the dentine irrigated with the above two regimens. AH Plus showed significantly lower contact angle with the regimen having EDTAC as a final irrigant than the one with EDTA (P < 0.05). Conclusion: An irrigation regimen consisting of NaOCl with either EDTA or EDTAC solution as a final irrigant influences the dentine wettability and contact angle of a sealer. EDTAC as a final irrigant facilitates better dentin wettability than EDTA for AH Plus to promote its better flow and adhesion. PMID:26180409

  4. Drugs Approved for Cervical Cancer

    Science.gov (United States)

    This page lists cancer drugs approved by the Food and Drug Administration (FDA) for cervical cancer. The list includes generic names, brand names, and common drug combinations, which are shown in capital letters. The drug names link to NCI's Cancer Drug Information summaries.

  5. Primary adenocarcinoma of cervical esophagus.

    Science.gov (United States)

    Alrawi, S J; Winston, J; Tan, D; Gibbs, J; Loree, T R; Hicks, W; Rigual, N; Lorè, J M

    2005-06-01

    Most upper esophageal malignancies are squamous cell carcinomas, rarely adenocarcinomas arising from Barrett's esophagus and very rarely adenocarcinomas from heterotopic gastric mucosa without evidence of Barrett's especially in the cervical part of the esophagus. We report a case of adenocarcinoma of the polypoid type in the upper esophagus (cervical esophagus) arising from ectopic gastric mucosa, in a 60 year-old man who presented with progressive dysphagia. Accurate diagnosis by esophagogram revealed a large mass in the cervical esophagus; CAT scan showed intraluminal mass at the level of thoracic inlet, esophagogastroscopy showed a fleshy polyp (3.2cm x 3.0cm) at 20 cm from the incisors with a biopsy confirming moderately differentiated adenocarcinoma with no evidence of Barrett's esophagus. Through a left cervical approach and resection of medial third of clavicle, the tumor was removed by partial esophagectomy followed by lymph node dissection, and proved to be T1NOMO, stage I (AJCC staging 6th ed.). Post operatively, the patient received chemoradiation with no evidence of recurrence or metastasis in six years of follow up. It seems this tumor has a much better prognosis than adenocarcinomas arising from Barrett's. To our knowledge only 19 cases have been reported in literature so far. PMID:16110768

  6. Treatment protocols for cervical cancer

    Directory of Open Access Journals (Sweden)

    Vujkov Tamara

    2002-01-01

    Full Text Available Introduction Cervical cancer is the second most common cancer in women worldwide and the second cause of cancer death among women. About 95% (90% in developed countries of invasive carcinomas are of sqamous types, and 5% (10% in developed countries are adenocarcinomas. FIGO classification of cervical carcinomas, based on clinical staging and prognostic factor dictate therapeutic procedures and help in designing treatment protocols. Therapeutic modalities Surgical therapy includes conization, radical hysterectomy with pelvic lymphadenectomy and palliative operation urinary diversion and colostomy. Radiotherapy, brachytherapy and teletherapy are most recently combined with chemotherapy as concurrent chemoradiation. Discussion and conclusion No change in therapeutic modalities will ever decrease mortality rate of cervical carcinoma as much as education, prevention and early screening. The 5-year survival for locally advanced disease has not improved during the last 40 years as a result of failure to deliver therapy to the paraaortic region. Paraaortic lymph nodes should be evaluated before therapy planning by different imaging procedures, or more exactly by surgical staging: laparoscopy or laparotomy. Radical operations of cervical carcinoma should be performed by experienced surgeons, educated for this type of operation, with sufficient number of cases.

  7. Nonoperative Management of Cervical Radiculopathy.

    Science.gov (United States)

    Childress, Marc A; Becker, Blair A

    2016-05-01

    Cervical radiculopathy describes pain in one or both of the upper extremities, often in the setting of neck pain, secondary to compression or irritation of nerve roots in the cervical spine. It can be accompanied by motor, sensory, or reflex deficits and is most prevalent in persons 50 to 54 years of age. Cervical radiculopathy most often stems from degenerative disease in the cervical spine. The most common examination findings are painful neck movements and muscle spasm. Diminished deep tendon reflexes, particularly of the triceps, are the most common neurologic finding. The Spurling test, shoulder abduction test, and upper limb tension test can be used to confirm the diagnosis. Imaging is not required unless there is a history of trauma, persistent symptoms, or red flags for malignancy, myelopathy, or abscess. Electrodiagnostic testing is not needed if the diagnosis is clear, but has clinical utility when peripheral neuropathy of the upper extremity is a likely alternate diagnosis. Patients should be reassured that most cases will resolve regardless of the type of treatment. Nonoperative treatment includes physical therapy involving strengthening, stretching, and potentially traction, as well as nonsteroidal anti-inflammatory drugs, muscle relaxants, and massage. Epidural steroid injections may be helpful but have higher risks of serious complications. In patients with red flag symptoms or persistent symptoms after four to six weeks of treatment, magnetic resonance imaging can identify pathology amenable to epidural steroid injections or surgery. PMID:27175952

  8. Cervical Cancer Risk Prediction Models

    Science.gov (United States)

    Developing statistical models that estimate the probability of developing cervical cancer over a defined period of time will help clinicians identify individuals at higher risk of specific cancers, allowing for earlier or more frequent screening and counseling of behavioral changes to decrease risk.

  9. Avaliação do tipo de diamante de benzel em pacientes portadores de mielopatia cervical Evaluación del tipo de diamante de benzel en pacientes con mielopatia cervical Evaluation of the type of benzel's diamond in patients with cervical myelopathy

    Directory of Open Access Journals (Sweden)

    Rodrigo Rezende

    2012-12-01

    Full Text Available OBJETIVO: Difundir o método de Benzel para aferição da angulação cervical e quantificar a prevalência de cada tipo de diamante de Benzel em 30 pacientes portadores de mielopatia cervical com indicação cirúrgica. MÉTODOS: Estudo retrospectivo de pacientes portadores de mielopatia cervical submetidos a tratamento cirúrgico. Foram analisadas radiografias em perfil da coluna cervical onde se aferiram os tipos diamante de Benzel usando técnicas descritas pelo próprio Benzel. Excluímos do estudo aqueles pacientes que desenvolveram a doença após traumas, que foram submetidos reoperações ou aqueles que não forneceram radiografias em perfil adequadas para aferição. RESULTADOS: Foram avaliados 30 pacientes, sendo 25 deles do sexo masculino, com idade entre 30 e 74 anos (média de 52,4 anos. Após a realização das medidas foram encontrados 24 pacientes com diamantes do tipo A (80%, 2 do tipo B (6,7% e 4 tipo C (13,3%. CONCLUSÃO: O diamante de Benzel tipo "A" foi encontrado em 80% dos pacientes portadores de mielopatia cervical no período pré-operatório.OBJETIVO: Difundir el método de Benzel para la medición del ángulo cervical y cuantificar la prevalencia de cada tipo de diamante Benzel en 30 pacientes portadores de mielopatía cervical con indicación quirúrgica. MÉTODOS: Estudio retrospectivo de los pacientes con mielopatía cervical sometidos a tratamiento quirúrgico. Se analizaron las radiografías de perfil de la columna cervical, donde se midieron los tipos de diamante utilizando las técnicas descritas por el mismo Benzel. Se excluyeron del estudio los pacientes que desarrollaron la enfermedad después de trauma, que fueron sometidos a reoperaciones o los que no han presentado adecuadas radiografías de perfil para la medición. RESULTADOS: Se evaluaron 30 pacientes entre los cuales 25 eran del sexo masculino, con edades comprendidas entre 30 y 74 años (promedio de 52,4 años. Después de la realización de las

  10. Is posterior fusion necessary with laminectomy in the cervical spine?

    OpenAIRE

    McAllister, Beck D.; Rebholz, Brandon J.; Wang, Jeffery C.

    2012-01-01

    Background: Cervical decompressive laminectomy is a common procedure for addressing multilevel cervical spine pathology. The most common reasons for performing simultaneous posterior cervical fusion include the prevention of progressive postlaminectomy kyphotic deformity or other types of instability which can contribute to late neurological deterioration. Methods: The medical literature (Pub Med with MeSH) concerning cervical laminectomy, posterior cervical fusion, and complications of lamin...

  11. Structural and thermal behaviour of carious and sound powders of human tooth enamel and dentine

    Energy Technology Data Exchange (ETDEWEB)

    Tiznado-Orozco, Gaby E; Garcia-Garcia, R; Reyes-Gasga, J, E-mail: jreyes@fisica.unam.m [Instituto de Fisica, UNAM, Apdo. Postal 20-364, 01000, Mexico DF (Mexico)

    2009-12-07

    Powder from carious human tooth enamel and dentine were structurally, chemically and thermally analysed and compared against those from sound (healthy) teeth. Structural and chemical analyses were performed using x-ray diffraction, energy-dispersive x-ray spectroscopy and transmission electron microscopy. Thermal analysis was carried out by thermogravimetric analysis, Fourier transform infrared spectroscopy and x-ray diffraction. Results demonstrate partially dissolved crystals of hydroxyapatite (HAP) with substitutions of Na, Mg, Cl and C, and a greater weight loss in carious dentine as compared with carious enamel. A greater amount of thermal decomposition is observed in carious dentine as compared with sound dentine, with major variations in the a-axis of the HAP unit cell than in the c-axis. Variations in shape and intensity of the OH{sup -}, CO{sub 3}{sup 2-} and PO{sub 4}{sup 3-} FTIR bands were also found.

  12. Line analysis of interface layer on dentin by means of electron-probe microanalysis

    International Nuclear Information System (INIS)

    Three types of brominated methacrylates, SBPPM, BPylM, and BNEM, were synthesized. The distribution of Br, Ca, and Fe at the interface between dentin treated with the 10-3 solution and resin containing these monomers was analyzed using an electron-probe microanalyzer (EPMA) in order to predict the composition and thickness of the interface layer on dentin for the corresponding unbrominated methacrylates. There was no significant difference between the brominated and unbrominated methacrylates in either the bond strength to the treated dentin or in the thickness of the interface layer on dentin observed with a scanning electron microscope (SEM). The thickness determined with EPMA was equivalent to that observed with SEM. The concentration of each brominated methacrylate in the interface layer was higher than the original concentration in the resin monomers, and BNEM showed higher concentration than the others. The presence of Fe in the layer was confirmed by EPMA

  13. Structural and thermal behaviour of carious and sound powders of human tooth enamel and dentine

    International Nuclear Information System (INIS)

    Powder from carious human tooth enamel and dentine were structurally, chemically and thermally analysed and compared against those from sound (healthy) teeth. Structural and chemical analyses were performed using x-ray diffraction, energy-dispersive x-ray spectroscopy and transmission electron microscopy. Thermal analysis was carried out by thermogravimetric analysis, Fourier transform infrared spectroscopy and x-ray diffraction. Results demonstrate partially dissolved crystals of hydroxyapatite (HAP) with substitutions of Na, Mg, Cl and C, and a greater weight loss in carious dentine as compared with carious enamel. A greater amount of thermal decomposition is observed in carious dentine as compared with sound dentine, with major variations in the a-axis of the HAP unit cell than in the c-axis. Variations in shape and intensity of the OH-, CO32- and PO43- FTIR bands were also found.

  14. Use of /sup 99m/Tc-labelled chelates to evaluate their penetration into the dentin

    International Nuclear Information System (INIS)

    The /sup 99m/Tc-labelled EDTA and DPTA complexes proved to be of high purity. After application of the complexes into the root canal their penetration into the dentin was examined autoradiographically

  15. Effects of air polishing on the resin composite-dentin interface.

    Science.gov (United States)

    Shimizu, Yutaka; Tada, Kazuhiro; Seki, Hideaki; Kakuta, Kiyoshi; Miyagawa, Yukio; Shen, Jie-Fei; Morozumi, Yuko; Kamoi, Hisahiro; Sato, Soh

    2014-07-01

    The aim of this study was to examine defect depths and volumes at the resin composite-dentin (R/D) interface after air polishing with different particles and spray angles. Samples were 54 dentin specimens that were formed in saucer-shaped cavities filled with resin composite. Each specimen was air polished with either sodium bicarbonate (NaHCO3) or one of two glycine (Gly) powders. The air polisher was set at angles of 90° to the interface and at 45° to the interface from both the dentin and resin composite sides. Air polishing with Gly powder produced defects with less depth and volume than NaHCO3 powder (p resin composite side produced fewer defects (p resin composite side produced fewer defects to the interface because the hardness of the resin composite was higher than that of dentin.

  16. Invivo comparative evaluation of tertiary dentin deposit to three different luting cements a histopathological study.

    Science.gov (United States)

    Yogesh, P B; Preethi, M; Babu, Hari; Malathi, N

    2013-09-01

    The aim of the study is to evaluate histopathologically the amount of tertiary dentin deposit stimulated by three different luting cements. With the informed consent for fifteen patients crown preparation was done for maxillary and mandibular premolar teeth which were scheduled for orthodontic extraction. Copings were cemented with three different luting cements zinc oxide eugenol, glass ionomer and zinc polycarboxylate which were classified as Groups A, B and C respectively. The teeth were later extracted and histopathologically analysed for pulpodentinal reactions using a control study group. Statistically Tukey-HSD procedure was used to identify the significant group and one way ANNOVA was used to analyse the thickness of tertiary dentin among the study group. Tertiary dentin was seen in most of the specimens. When the three groups were compared zinc oxide eugenol helps in stimulation of tertiary dentin formation. PMID:24431735

  17. Value of preoperative cervical discography

    Energy Technology Data Exchange (ETDEWEB)

    Kwon, Jong Won; Kim, Sung Hyun; Lee, Joon Woo [Seoul National University Bundang Hospital, Seongnam (Korea, Republic of)] (and others)

    2006-07-15

    The aim of this study was to describe the method and the value of cervical discography as correlated with the MR findings. Twenty-one discs in 11 consecutive patients who underwent cervical discography were analyzed. MR and CT discography (CTD) were performed in all patients. Discography was performed after swallowing barium for visualizing the pharynx and the esophagus to prevent penetration. We also analyzed the preceding causes of the subjects' cervical pain. The results of the pain provocation test were classified into concordant pain, discordant pain and a negative test. MRI was analyzed according to the T2-signal intensity (SI) of the disc, disc height, annular bulging and disc herniation. The CTD was analyzed for degeneration or radial tear of the disc, epidural leakage of the contrast agent and pooling of the contrast agent at the periphery of the disc. The pain provocation tests were correlated with the MR and CTD findings. We used the chi-square test to analyze the results. Concordant pain was observed in 14 cases, discordant pain in 3 cases and there were negative tests in 4 cases. There were no complications related to the procedure. Four patients had undergone anterior cervical fusion and four patients that developed after traffic injuries. The decreased T2-SI and annular bulging on MRI, disc degeneration and peripheral pooling of the contrast agent on CT were significantly correlated with pain provocation. When the diagnosis of disc disease is difficult with performing MRI, cervical discography with using swallowed barium solution to reduce the penetration of the esophagus or hypopharynx may play be helpful. The decreased T2-SI and annular bulging on MRI correlated significantly with a positive result on the pain provocation test.

  18. Failure in a composite resin-dentin adhesive bond

    International Nuclear Information System (INIS)

    Composites are drawing more and more attention as preferred materials for teeth restoration. The success of teeth restoration has been generally limited by the Composite Resin-Dentin bond strength. A testing device has been developped to allow a satisfactory testing method for evaluating bonding strength in tension and shear, which led to reproducible results. A comparaison between different bond systems has shown no significant difference in the tensile and the shear strength as well as in the fracture behavior. Moreover, results showed difference between tensile and shear strength, when considering one same bond system. Failure mode examination turned out to be, either cohesive (composite rupture), or adhesive (interface rupture) or both (mixed rupture). (orig.)

  19. Overlapping DSPP mutations cause dentin dysplasia and dentinogenesis imperfecta.

    Science.gov (United States)

    McKnight, D A; Simmer, J P; Hart, P S; Hart, T C; Fisher, L W

    2008-12-01

    Dentinogenesis imperfecta (DGI) and dentin dysplasia (DD) are allelic disorders due to mutations in DSPP. Typically, the phenotype breeds true within a family. Recently, two reports showed that 3 different net -1 bp frameshift mutations early in DSPP's repeat domain caused DD, whereas 6 more 3' frameshift mutations were associated with DGI. Here we identify a DD kindred with a novel -1 bp frameshift (c.3141delC) that falls within the portion of the DSPP repeat domain previously associated solely with the DGI phenotype. This new frameshift mutation shows that overlapping DSPP mutations can give rise to either DGI or DD phenotypes. Furthermore, the consistent kindred presentation of the DD or DGI phenotype appears to be dependent on an as-yet-undescribed genetic modifier closely linked to DSPP.

  20. Bonding to dentin: evaluation of three adhesive materials.

    Science.gov (United States)

    Sedighi, H; Davila, J M; Gwinnett, A J

    1992-01-01

    Dye penetration was observed in all specimens. SEM demonstrated isolated areas with no gap formation, suggesting a partial bond with dentin. A correlation is evident from the results of both techniques. Since dye-penetration was found to be similar in all the specimens, it was difficult to assess the effect of thermocycling on the amount of dye penetration. The use of posterior composites should be considered as a short-term tested procedure. It should be utilized carefully, following the manufacturer's instructions, and monitored routinely. Undoubtedly, the utilization of posterior composite materials is a very technique-sensitive procedure. Comparing the results of this in vitro study with those previously reported suggests that little improvement has been made in the bonding of the materials tested. Development of new materials and improved techniques are necessary.

  1. Economic aspects of the detection of occlusal dentine caries

    DEFF Research Database (Denmark)

    Norlund, Anders; Axelsson, Susanna; Dahlen, Gunnar;

    2009-01-01

    clinically. A second aim was to analyse the different strategies when the costs of the subsequent restorative care are considered. METHODS: A model analysis was applied owing to the lack of original articles. Sensitivity and specificity were calculated from a systematic review and included in vitro......OBJECTIVE: To evaluate the cost of true-positive occlusal dentine caries detection in permanent molars assessed by: (I) visual-tactile examination, (II) visual-tactile examination combined with bitewing radiographs, and (III) selective radiographic examination of patients with lesions detected...... with decreasing prevalence. The strategy by which radiographs were exposed selectively on the basis of findings from visual-tactile examination resulted in higher initial costs compared with the first and second strategies. When the costs of the subsequent restorative care were added, the selective strategy...

  2. Magnitude and distribution of stresses in composite resin and sound dentine interface with mechanical retentions

    OpenAIRE

    Kuramochi, Gisaku; Borie, Eduardo; ORSI, Iara Augusta; Del Sol, Mariano

    2015-01-01

    Background Adhesive systems are constantly subjected to mechanical and chemical stresses that negatively impact the integrity and durability of the dentine-adhesive interface. Despite the lack of evidence to support or reject the clinical indication for mechanical retention, the potential further contribution of these preparations to the behavior of the composite resin-sound dentine bond has been rarely addressed. The authors evaluated by finite element analysis the effect of mechanical reten...

  3. Immunohistochemical and biochemical assay of versican in human sound predentine/dentine matrix

    OpenAIRE

    Ruggeri, A.; G Orsini; Mazzoni, A.; Nato, F; Papa, V.; Piccirilli, M.; Putignano, A; Mazzotti, G.; De Stefano Dorigo, E.; Breschi, L.

    2009-01-01

    Aim of this study was to investigate the distribution of versican proteoglycan within the human dentine organic matrix by means of a correlative immunohistochemical analysis with field emission in-lens scanning electron microscope (FEI-SEM), transmission electron microscope (TEM), fluorescence microscope (FM) and biochemical assay. Specimens containing dentine and predentine were obtained from non carious human teeth and divided in three groups: 1) FEI-SEM group: sections were exposed to a pr...

  4. Shear Bond Strengths and Morphological Evaluation of Filled and Unfilled Adhesive Interfaces to Enamel and Dentine

    OpenAIRE

    Vajihesadat Mortazavi; Mohammadhosein Fathi; Ebrahim Ataei; Niloufar Khodaeian; Navid Askari

    2012-01-01

    In this laboratory study shear bond strengths of three filled and one unfilled adhesive systems to enamel and dentine were compared. Forty-eight extracted intact noncarious human mandibular molars were randomly assigned to two groups of 24 one for bonding to enamel and the other for bonding to dentine. Buccal and lingual surfaces of each tooth were randomly assigned for application of each one of filled (Prime & Bond NT (PBNT), Optibond Solo Plus (OBSP), and Clearfil SE Bond (CSEB)) and unfil...

  5. Observations on dentine hypersensitivity in general dental practices in the United Arab Emirates

    OpenAIRE

    Al-Khafaji, Hasanain

    2013-01-01

    Dentine hypersensitivity is a common clinical finding with a wide variation in prevalence values and etiological factors. The objective of this cross-sectional study was to investigate the prevalence and some etiological factors of dentine hypersensitivity of Emirati patients visiting general dental clinics in the United Arab Emirates (UAE) over a period of three calendar months. Materials and Methods: Six general dental practitioners examined 204 Emirati patients over a period of three calen...

  6. Nano- and micromechanical properties of dentine: investigation of differences with tooth side

    OpenAIRE

    Brauer, Delia S.; Hilton, Joan F.; Marshall, Grayson W.; Marshall, Sally J.

    2011-01-01

    The soft zone in dentine beneath the dentino-enamel junction is thought to play an important role in tooth function, strain distribution and fracture resistance during mastication. Recently reported asymmetry in mechanical properties with tooth side may point at a basic property of tooth function. The aim of our study was to test if this asymmetry was reflected in the nano- and micromechanical properties of dentine.

  7. Bio-modification approach for novel dentine caries management by Galla chinesis extract and microbial transglutaminase

    OpenAIRE

    Meng Deng; Xin Xu; Jiyao Li; Xuedong Zhou

    2012-01-01

    Introduction: Dental caries still remains one of the most prevalent diseases worldwide. Unlike enamel caries which can be restored mainly by modulating mineral balance, the dentine caries are characterized with irreversible proteolytic disintegration of organic matrices, highlighting an urgent need to seek novel management strategies. Bio-modification of dentine matrix has been proposed as a novel and alternative approach to enhancing its biochemical and biomechanical properties. The resultan...

  8. How can sensitive dentine become hypersensitive and can it be reversed?

    OpenAIRE

    PASHLEY David H.

    2013-01-01

    This paper reviews a number of studies in oral biology and endodontics that deal with the reactivity of the pulpo-dentine complex in response to mechanical and immunological stimuli. It can be hypothesized that these reactions could also apply to changes in dentine sensitivity following periodontal procedures. Some of these changes involve neurogenic inflammation of the pulp under exposed open tubules; this increases the rate of outward fluid flow through the tubules, making the overlying exp...

  9. Morphological and quantitative analysis of silver compounds on demineralised dentine in saliva substitutes

    OpenAIRE

    Peng, Jingyuan; 彭靖园

    2013-01-01

    Silver compounds have become popular for the treatment of arresting dental caries and dentine hypersensitivity. This study investigated the interaction of silver compounds in demineralised dentine under different conditions. Scanning electron microscopy (SEM), energy dispersive X-ray analysis (EDX), X-ray photoelectron spectroscopy (XPS), X-ray diffraction (XRD), ion chromatography (IC) and inductively coupled plasma-mass spectroscopy (ICP-MS) were used to analyse these interactions. A sy...

  10. The Effect of Root Canal Irrigation Solution on Flexural Strength of Dentin

    Directory of Open Access Journals (Sweden)

    Diatri Nari Ratih

    2013-07-01

    Full Text Available Objectives: This study was to investigate the effect of a variety of root canal irrigation solutions on flexural strength of dentin. Materials and Methods: Fifty intact, extracted human mandibular third molars were used in this study. Each tooth was sectioned using diamond cutting disc to create dentin bar (1x1 mm, with 7 mm in length. All dentin bars were randomly assigned into 5 groups of 10 each. Group 1, dentin bars were immersed in 5% NaOCl; group 2, in 2.5% NaOCl; group 3, in 15% EDTA; group 4, in 0.2% chlorhexidine gluconate (CHX; and group 5, in saline (as control respectively. Each group was immeresed for 2 hours. Each dentin bar was subjected to a three-point bend using MTS Universal Testing Machine to test the flexural strength. Data were analyzed using one way Anova, followed by Tukey's test performed at the 0.05 level of significance. Results: All irrigation solution have an effect on the flexural strength (P<0.05. EDTA caused the greatest effect on dentin mechanical properties, which revealed the lowest flexural strength (100.64±7.23. In contrast, 0.2% CHX generated the least influence on dentin mechanical properties, which demonstrated the greatest flexural strength (189.85±6.44. Conclusion: Root canal irrigation solution can induce effect on flexural strength of detin. Chlorhexidine gluconate demonstrates the best irrigation solution since it has a slight effect on dentinal mechanical properties, particularly flexural strength.DOI: 10.14693/jdi.v16i2.97

  11. Effects of different surface treatments on bond strength of an indirect composite to bovine dentin

    OpenAIRE

    Laiza Tatiana Poskus; Rosana Sampaio Meirelles; Victor Blunck Schuina; Liana Matos Ferreira; Eduardo Moreira da Silva; Jose Guilherme Antunes Guimarães

    2015-01-01

    Background: Several surface treatments could be used to improve the bond strength (BS) between indirect composites and cement. Aim: To evaluate the BS of an indirect composite submitted to different surface treatments, cemented to bovine dentin. Settings and Design: One hundred and fifty conical cavities were prepared in slices of bovine dentin and bulk filled with the composite. Materials and Methods: After curing and removal from the cavity, the restorations were treated according ...

  12. Effect of tetracycline on the bond performance of etch-and-rinse adhesives to dentin

    OpenAIRE

    Rodrigo Stanislawczuk; Jully Anna da Costa; Luceli Grabicoski Polli; Alessandra Reis; Alessandro Dourado Loguercio

    2011-01-01

    This study evaluated the effect of modified tetracycline on the resin-dentin bond strength (µTBS), silver nitrate uptake (SNU) and solution homogeneity (SH) of two adhesives. Dentin surfaces were treated with phosphoric acid, rinsed off and either rewetted with water (control group - CO), 2% minocycline (MI), 2% doxycyline (DO) or 2% chlorhexidine (CH). Adhesive systems (Adper Single Bond 2 and Prime Bond NT) and composite were applied and light-polymerized. Specimens were sectioned to obtain...

  13. The effect of fluoride toothpaste on root dentine demineralization progression: a pilot study

    Directory of Open Access Journals (Sweden)

    Juliana Nunes Botelho

    2014-02-01

    Full Text Available The anticaries effect of fluoride (F toothpaste containing 1100 µg F/g in reducing enamel demineralization is well established, but its effect on dentine has not been extensively studied. Furthermore, it has been shown that toothpaste containing a high F concentration is necessary to remineralize root dentine lesions, suggesting that a 1100 µg F/g concentration might not be high enough to reduce root dentine demineralization, particularly when dentine is subjected to a high cariogenic challenge. Thus, the aim of this pilot study was to evaluate in situ the effect of F toothpaste, at a concentration of 1100 µg F/g, on dentine demineralization. In a crossover and double-blind study, conducted in two phases of 14 days, six volunteers wore a palatal appliance containing four slabs of bovine root dentine whose surface hardness (SH was previously determined and to which a 10% sucrose solution was applied extra-orally 8×/day. Volunteers used a non-F toothpaste (negative control or F toothpaste (1100 µg F/g, NaF/SiO2 three times a day. On the 10th and 14th days of each phase, two slabs were collected and SH was determined again. Dentine demineralization was assessed as percentage of SH loss (%SHL. The effect of toothpaste was significant, showing lower %SHL for the F toothpaste group (42.0 ± 9.7 compared to the non-F group (62.0 ± 6.4; p 0.05. This pilot study suggests that F toothpaste at 1100 µg F/g is able to decrease dentine caries even under a high cariogenic challenge of biofilm accumulation and sugar exposure.

  14. Anti-biofilm Dentin Primer with Quaternary Ammonium and Silver Nanoparticles

    OpenAIRE

    Cheng, L.; Zhang, K.; Melo, M.A.S.; Weir, M.D.; Zhou, X; Xu, H.H.K.

    2012-01-01

    Antibacterial bonding agents could combat recurrent caries at the tooth-composite margins. The objectives of this study were to develop novel antibacterial dentin primers containing quaternary ammonium dimethacrylate (QADM) and nanoparticles of silver (NAg), and to investigate the effects on dentin bond strength and dental plaque microcosm biofilms for the first time. Scotchbond Multi-Purpose (“SBMP”) bonding agent was used. QADM and NAg were incorporated into SBMP primer, yielding 4 primers:...

  15. Assessment of the wetting behavior of three different root canal sealers on root canal dentin

    OpenAIRE

    Muralidhar Tummala; Veeramachaneni Chandrasekhar; A Shashi Rashmi; Kundabala, M; Vasudev Ballal

    2012-01-01

    Aim: The objective of the present study was to evaluate and compare the wetting behavior of three different root canal sealers on the root canal dentin surface treated with irrigants and their combination. Materials and Methods: Decoronation and apical third resections of 27 extracted single-rooted human mandibular premolars were done. The roots were then split longitudinally into two halves, and randomly assigned into three treatment groups (n=18). The root dentin surfaces in Group1, Gro...

  16. The effects of various irrigating solutions on intra-radicular dentinal surface: An SEM analysis

    OpenAIRE

    Karunakaran, J. V.; S.Senthil Kumar; Mohan Kumar; Chandrasekhar, S.; Namitha, D.

    2012-01-01

    Aim: The action of irrigant solutions on intra- radicular dentinal surface were evaluated in an in vitro setting using a scanning electron microscope (SEM) and it was observed that sodium hypochlorite and MTAD produced the cleanest surface and that none of the irrigants were able to produce an ideal preparation of the dentinal surface when used individually. The primary objective of endodontic therapy is to achieve a clean, optimal environment in root canals to avoid unsuccessful treatment ou...

  17. Post-bleaching application of an antioxidant on dentin bond strength of three dental adhesives

    OpenAIRE

    Maryam Khoroushi; Tahereh Saneie

    2012-01-01

    Background: Antioxidizing agents have recently been suggested to compensate decreased bond strength of resin materials to bleached tooth tissues. This study compared the shear bond strength (SBS) of three different adhesives on bleached dentin immediately after bleaching, bleached/delayed for 1 week, and bleached/applied antioxidizing agent. Materials and Methods: The dentinal surfaces of 132 intact extracted molars were prepared and divided into 12 groups. The following adhesives were in...

  18. Influence of caries infiltrant contamination on shear bond strength of different adhesives to dentin

    OpenAIRE

    Jia, Liuhe; Stawarczyk, Bogna; Schmidlin, Patrick R; Attin, Thomas; Wiegand, Annette

    2013-01-01

    OBJECTIVES: To analyze whether the contamination with a caries infiltrant system impairs the adhesive performance of etch-and-rinse and self-etching adhesives on dentin. MATERIALS AND METHODS: Dentin contamination with the caries infiltrant system (Icon, DMG) was simulated by applying either hydrochloric acid (15 % HCl, Icon Etch, 15 s), the resin infiltrant (Icon infiltrant, 4 min), or both prior to the application of the respective adhesives (each group n = 10). In the control groups, th...

  19. A study of the thickness of cheek teeth subocclusal secondary dentine in horses of different ages

    OpenAIRE

    White, C.; Dixon, P M

    2010-01-01

    P>Reasons for performing study: There is limited knowledge on the thickness of subocclusal secondary dentine in equine cheek teeth (CT). Hypotheses: Subocclusal secondary dentine is of consistent thickness above different pulp horns in individual horses and its thickness increases with age. Methods: 408 permanent CT were extracted post mortem from 17 horses aged 4-30 years, with no history of dental disease. The CT were sectioned longitudinally in the medio-lateral (bucco-palatal/lingual) ...

  20. Comparative scanning electron microscopic study of the effect of different dental conditioners on dentin micromorphology

    Directory of Open Access Journals (Sweden)

    Alexandre Henrique Susin

    2008-04-01

    Full Text Available This study evaluated comparatively by scanning electron microscopy (SEM the effect of different dental conditioners on dentin micromorphology, when used according to the same protocol. Forty dentin sticks were obtained from 20 caries-free third human molars and were assigned to 4 groups corresponding to 3 conditioners (phosphoric acid 37%, Clearfil SE Bond and iBond and an untreated control group. After application of the conditioners, the specimens were immersed in 50% ethanol solution during 10 s, chemically fixed and dehydrated to prepare them to SEM analysis. In the control group, dentin surface was completely covered by smear layer and all dentinal tubules were occluded. In the phosphoric acid-etched group, dentin surface was completely clean and presented exposed dentinal tubule openings; this was the only group in which the tubules exhibited the funnel-shaped aspect. In the groups conditioned with Clearfil SE Bond primer and iBond, which are less acidic than phosphoric acid, tubule openings were occluded or partially occluded, though smear layer removal was observed. SE Bond was more efficient in removing the smear layer than iBond. In the Clearfil SE Bond group, the cuff-like aspect of peritubular dentin was more evident. It may be concluded all tested conditioners were able to change dentin morphology. However, it cannot be stated that the agent aggressiveness was the only cause of the micromorphological alterations because a single morphological pattern was not established for each group, but rather an association of different aspects, according to the aggressiveness of the tested conditioner.

  1. Technology and the use of acrylics for provisional dentine protection.

    Science.gov (United States)

    Kapusevska, Biljana; Dereban, Nikola; Popovska, Mirjana; Nikolovska, Julijana; Radojkova Nikolovska, Vеrа; Zabokova Bilbilova, Efka; Mijoska, Aneta

    2013-01-01

    Acrylics are compounds polymerized from monomers of acrylic, metacrylic acid or acrylonitrates. The purpose of this paper is to present the technology and use of acrylics for provisional dentine protection in the practice of dental prosthodontics. For this reason, we followed 120 clinical cases from the everyday clinical practice, divided into 4 groups of 30 patients who needed prosthetic reconstruction. The first group included cases in which we applied celluloid crowns for dentine protection, for the second group we used acrylic teeth from a set of teeth for complete dentures; in the third and fourth groups the fabrication was done with the system of an impression matrix and the acrylic resin block technique respectively. In all the examined patients, the gingival index by Silness and Loe and the vitality of the dental pulp were verified clinically, after preparation and 8 days from the placement of the provisional crown. The value for dental sensitivity measured after preparation was 2.59, and 8 days after the placement of the provisional crown it bwas 3.1. From these results we can conclude that after the 8th day from the placement of the provisional crown, there was an adaptation period, characterized by a decrease in the painful sensations. The value of the Silness and Loe gingival index measured after the preparation was 1.34, and 8 days from the placement of the provisional crown was 0.94. The results inclined us to the fact that the provisional acrylic crowns facilitated the reparation of the periodontal tissue. PMID:24566021

  2. Cervical cancer: screening, diagnosis and staging.

    Science.gov (United States)

    Tsikouras, Panagiotis; Zervoudis, Stefanos; Manav, Bachar; Tomara, Eirini; Iatrakis, George; Romanidis, Constantinos; Bothou, Anastasia; Galazios, George

    2016-01-01

    Purpose: Despite the widespread screening programs, cervical cancer remains the third most common cancer in developing countries. Based on the implementation of cervical screening programs with the referred adoption of improved screening methods in cervical cytology with the knowledge of the important role of the human papilloma virus (HPV) it's incidence is decreased in the developed world. Even if cervical HPV infection is incredibly common, cervical cancer is relatively rare. Depending on the rarity of invasive disease and the improvement of detection of pre-cancerous lesions due to the participation in screening programs, the goal of screening is to detect the cervical lesions early in order to be treated before cancer is developed. In populations with many preventive screening programs, a decrease in cervical cancer mortality of 50-75% is mentioned over the past 50 years. The preventive examination of vagina and cervix smear, Pap test, and the HPV DNA test are remarkable diagnostic tools according to the American Cancer Association guidelines, in the investigation of asymptomatic women and in the follow up of women after the treatment of pre-invasive cervical cancer. The treatment of cervical cancer is based on the FIGO 2009 cervical cancer staging.

  3. Effect of Resin Cement Porosity on Retention of Glass-Fiber Posts to Root Dentin: An Experimental and Finite Element Analysis.

    Science.gov (United States)

    Da Silva, Natércia Rezende; Aguiar, Grazielle Crystine Rodrigues; Rodrigues, Monise de Paula; Bicalho, Aline Aredes; Soares, Priscilla Barbosa Ferreira; Veríssimo, Crisnicaw; Soares, Carlos José

    2015-01-01

    The aim of this study was to evaluate the effect of porosity of self-adhesive resin on the stress distribution, post retention and failure mode of fiber post cemented to human root dentin. Ten human central upper incisors with circular root canal were selected. They were sectioned with 15 mm and were endodontically filled. The roots were scanned using micro-CT after post space preparation for root filling remaining evaluation. Fiber posts were cemented using self-adhesive resin cement (Rely X U200, 3M-ESPE). Two 1-mm-thick slices from the cervical, medium and apical thirds were scanned for resin cement bubbles volume measurements and submitted to a push-out test (PBS). Three operators using stereomicroscopy and confocal laser microscopy classified the failure mode. Stress distributions during the push-out test were analyzed using 3D finite element analysis. PBS values (MPa) were submitted to one-way ANOVA and Tukey's post hoc tests and the failure modes using the Kappa coefficient to assess inter-operator agreement. Chi-square test was used to determine significant differences between the methods ( = 0.05). Push-out bond strength was significantly affected by the bubbles presence in all root depth (pstress concentration was higher when the bubbles were present. Adhesive dentin/resin cement interface failure was the most frequent type of failure. Confocal microscopy was better than stereomicroscopy for failure analysis. Bubbles generated during resin cement insertion into the root canal negatively affect the stress distribution and the bond strength. The use of confocal microscopy is recommended for failure analysis. PMID:26963208

  4. Effects of the Er, Cr:YSGG laser irradiation on dentin bond strength

    Science.gov (United States)

    Piccioni, M. A. R. V.; Neves, T. P. C.; Kubo, C. S.; Saad, J. R. C.; Campos, E. A.

    2016-02-01

    The aim of this study is to evaluate the influence of Er,Cr:YSGG laser irradiation and bur on the bond strength of different single step self-etch adhesive systems in normal and artificially hypermineralized dentin. In total, 112 human molars were selected. The specimens were randomly divided into two different groups according to the type of dentin. The teeth from each group were randomly divided into two subgroups according to the adhesive system used: Clearfil S3 Bond and Optibond All in One. Each subgroup received different treatments: (1) conditioning conventional; (2) conditioning of the dentin surface with Er,Cr:YSGG  +  application of the adhesive system; (3) ‘surface roughening’ dentin with 3098 diamond bur  +  application of the adhesive system. The matrices were positioned, filled with composite resin and photoactivated for 40 s. After a storage period of 24 h in a humid environment, the specimens were submitted to microshear bond strength testing. Subsequently, the fracture pattern of each sample was determined. One specimen per group was prepared in order to evaluate the interface and/or appearance of resin tags. The data of the microshear bond strength (μSBS) were analyzed by two-way ANOVA and Tukey’s (p  dentin, there was no significant statistical difference between all the treatments employed, enhancing the option of employing single step self-etch adhesives in dentin sclerotic.

  5. Treatment of dentin with stannous fluoride - SEM and electron microprobe study

    International Nuclear Information System (INIS)

    The effect of SnF2-treatment of dentin surfaces was investigated by means of scanning electron microscopy (SEM) and electron microprobe analysis. Human dentin was treated with aqueous SnF2 solutions of concentrations varying from 1 to 10%. The treatment periods lasted for 1, 5, 10 or 60 min. Both tin and fluoride were identified on the surfaces. The concentration varied depending on the extensiveness of the treatment. Immersion in 1 M KOH for 15 h removed both tin and fluoride from the surfaces. This reaction was not observed after immersion in H2O for the same time period. Examination of the SnF2-treated dentin surfaces showed a dense layer of globular particles and in addition some larger particles. The dentinal tubules were totally covered even after the treatment with the lowest concentration of SnF2. Deposition of tin- and fluoride-containing globules on dentin surfaces may be of clinical interest. This layer may have importance both for the caries resistance of dentin and for hypersensitivity reactions. (author)

  6. Chondroitin sulfate is involved in the hypercalcification of the organic matrix of bovine peritubular dentin.

    Science.gov (United States)

    Dorvee, Jason R; Gerkowicz, Lauren; Bahmanyar, Sara; Deymier-Black, Alix; Veis, Arthur

    2016-02-01

    Apatitic mineral of dentin forms within the collagenous matrix (intertubular dentin, ITD) secreted from the odontoblastic processes (OP). Highly calcified mineral (peritubular dentin, PTD) is deposited at the interface between the ITD and each process membrane, creating a tubular system penetrating the dentin that extends from the dentino-enamel junction to the predentin-dentin junction. We focus on determining the composition of the PTD both with regard to its organic matrix and the inorganic phase. A laser capture technique has been adapted for the isolation of the mineralized PTD free from the ITD, and for the analysis of the PTD by SEM, TEM, and energy dispersive spectrometry (EDS), these data were subsequently compared with similar analyses of intact dentin slices containing ITD bounded-PTD annuli. Elemental line scans reveal clearly marked boundaries between ITD, PTD, and OP components, and illustrate the differences in composition, and topographical surface roughness. The organic matrix of the PTD was shown to be sulfur rich, and further antibody labeling showed the sulfated organic component to be chondroitin sulfate B. In this PTD organic matrix the S/Ca and Ca/P ratios were distinctly higher than in the ITD, indicating that polysaccharide bound S supplies the anionic counterion facilitating the formation of the apatitic PTD mineral. PMID:26656507

  7. Enamel and dentine demineralization by a combination of starch and sucrose in a biofilm - caries model.

    Science.gov (United States)

    Botelho, Juliana Nunes; Villegas-Salinas, Mario; Troncoso-Gajardo, Pía; Giacaman, Rodrigo Andrés; Cury, Jaime Aparecido

    2016-05-20

    Sucrose is the most cariogenic dietary carbohydrate and starch is considered non-cariogenic for enamel and moderately cariogenic for dentine. However, the cariogenicity of the combination of starch and sucrose remains unclear. The aim of this study was to evaluate the effect of this combination on Streptococcus mutans biofilm composition and enamel and dentine demineralization. Biofilms of S. mutans UA159 were grown on saliva-coated enamel and dentine slabs in culture medium containing 10% saliva. They were exposed (8 times/day) to one of the following treatments: 0.9% NaCl (negative control), 1% starch, 10% sucrose, or 1% starch and 10% sucrose (starch + sucrose). To simulate the effect of human salivary amylase on the starch metabolization, the biofilms were pretreated with saliva before each treatment and saliva was also added to the culture medium. Acidogenicity of the biofilm was estimated by evaluating (2 times/day) the culture medium pH. After 4 (dentine) or 5 (enamel) days of growth, biofilms (n = 9) were individually collected, and the biomass, viable microorganism count, and polysaccharide content were quantified. Dentine and enamel demineralization was assessed by determining the percentage of surface hardness loss. Biofilms exposed to starch + sucrose were more acidogenic and caused higher demineralization (p < 0.0001) on either enamel or dentine than those exposed to each carbohydrate alone. The findings suggest that starch increases the cariogenic potential of sucrose. PMID:27223133

  8. Host-derived Loss of Dentin Matrix Stiffness Associated with Solubilization of Collagen

    Science.gov (United States)

    Carrilho, Marcela R.; Tay, Franklin R.; Donnelly, Adam M.; Agee, Kelli A.; Tjäderhane, Leo; Mazzoni, Annalisa; Breschi, Lorenzo; Foulger, Stephen; Pashley, David H.

    2009-01-01

    Matrix metalloproteinases (MMPs) bound to dentin matrices are activated during adhesive bonding procedures and are thought to contribute to the progressive degradation of resin-dentin bonds over time. The purpose of this study was to evaluate the changes in mechanical, biochemical and structural properties of demineralized dentin treated with or without chlorhexidine (CHX), a known MMP-inhibitor. After demineralizing dentin beams in EDTA or phosphoric acid (PA), the baseline modulus of elasticity (E) of each beam was measured by 3-point flexure. Specimens were pretreated with water (control) or with 2% CHX (experimental) and then incubated in artificial saliva (AS) at 37°C for 4 weeks. The E of each specimen was remeasured weekly and, the media was analyzed for solubilized dentin collagen at first and fourth week of incubation. Some specimens were processed for electron microscopy (TEM) immediately after demineralization and after 4 weeks of incubation. In EDTA and PA-demineralized specimens, the E of the control specimens fell (p<0.05) after incubation in AS, while there were no changes in E in the CHX-pretreated specimens over time. More collagen was solubilized from PA-demineralized controls (p<0.05) than from EDTA-demineralized matrices after 1 or 4 weeks. Less collagen (p<0.05) was solubilized from CHX-pretreated specimens demineralized in EDTA compared to PA. TEM examination of control beams revealed that prolonged demineralization of dentin in 10% PA (12 h) did not denature the collagen fibrils. PMID:19090493

  9. Morphological and chemical changes of dentin after applying different sterilization methods

    Directory of Open Access Journals (Sweden)

    Cláudio Antonio Talge Carvalho

    Full Text Available Aim The present study evaluated the morphological and chemical changes of dentin produced by different sterilization methods, using scanning electron microscopy (SEM and energy-dispersive X-ray spectrometry (EDS analysis. Material and method Five human teeth were sectioned into 4 samples, each divided into 3 specimens. The specimens were separated into sterilization groups, as follows: wet heat under pressure; cobalt 60 gamma radiation; and control (without sterilization. After sterilization, the 60 specimens were analyzed by SEM under 3 magnifications: 1500X, 5000X, and 10000X. The images were analyzed by 3 calibrated examiners, who assigned scores according to the changes observed in the dentinal tubules: 0 = no morphological change; 1, 2 and 3 = slight, medium and complete obliteration of the dentinal tubules. The chemical composition of dentin was assessed by EDS, with 15 kV incidence and 1 μm penetration. Result The data obtained were submitted to the statistical tests of Kruskall-Wallis and ANOVA. It was observed that both sterilization methods – with autoclave and with cobalt 60 gamma radiation – produced no significant changes to the morphology of the dentinal tubules or to the chemical composition of dentin. Conclusion Both methods may thus be used to sterilize teeth for research conducted in vitro.

  10. Possible mechanisms of lack of dentin bridge formation in response to calcium hydroxide in primary teeth

    Directory of Open Access Journals (Sweden)

    G R Ravi

    2015-01-01

    Full Text Available Introduction: The usage of Calcium hydroxide (CaOH2 has wide applications due to the property of osteo-inductive, protective, and antibacterial actions. However, it is not used in primary teeth, as it fails to form reparative dentin and the exact mechanism has not been explained. The hypothesis: The authors propose an explanation that lack of dentin bridge formation in response to (CaOH2 in primary teeth could be multifactorial: inability of the deciduous stem cells to generate complete dentin-pulp-like tissue; the absence of calcium-magnesium-dependent adenosine triphosphatase (Ca-Mg ATPase in the odontoblasts; the pre-existing predilection of deciduous dentine pulp to form odontoclasts; the solubility of (CaOH2. Evaluation of the hypothesis: The hypothesis discusses the innate traits of the deciduous stem cells that lack the ability to form the dentin bridge, the absence of Ca-Mg ATPase enzyme and increased solubility of (CaOH2 together fail to stimulate the odontoblasts. Alternatively, pre-existing progenitor cells with proclivity to change into odontoclasts may cause internal resorption and hamper formation of reparative dentin.

  11. Effect of glutaraldehyde and ferric sulfate on shear bond strength of adhesives to primary dentin

    Directory of Open Access Journals (Sweden)

    Prabhakar A

    2008-12-01

    Full Text Available Aim: The present study was undertaken to evaluate the effect of alternative pulpotomy agents such as glutaraldehyde and ferric sulfate on the shear bond strength of self-etch adhesive systems to dentin of primary teeth. Materials and Methods: Eighty human primary molar teeth were sectioned in a mesiodistal direction and divided into experimental and control groups. Lingual dentin specimens in experimental groups were treated with glutaraldehyde and ferric sulfate. Buccal surfaces soaked in water served as control group. Each group was then divided into two groups based on the adhesive system used: Clearfil SE Bond and Adper Prompt L-Pop. A teflon mold was used to build the composite (Filtek Z-250 cylinders on the dentinal surface of all the specimens. Shear bond strength was tested for all the specimens with an Instron Universal Testing Machine. The failure mode analysis was performed with a Scanning Electron Microscope (SEM. Results: The results revealed that glutaraldehyde and ferric sulfate significantly reduced the shear bond strength of the tested adhesive systems to primary dentin. Clearfil SE Bond showed much higher shear bond strength than Adper Prompt L Pop to primary dentin. SEM analysis revealed a predominant cohesive failure mode for both adhesive systems. Conclusion: This study revealed that the pulpotomy medicaments glutaraldehyde and ferric sulfate adversely affected the bonding of self-etch adhesive systems to primary dentin.

  12. Morphological analysis of dentin tissue after Er, Cr: YSGG laser irradiation

    Science.gov (United States)

    Yu, Lili; Lin, Qi; Zhang, Xianzeng; Zhan, Zhenlin; Lin, Shi; Xie, Shusen

    2009-08-01

    The object of this study is to evaluate the morphological changes of dentin tissue after Er, Cr: YSGG laser Irradiation. The wavelength is 2.78 μm with pulse repetition rate of 20 Hz and pulse duration of 140 μs. The samples extracted from sound intact adult human premolars were cut into 1 mm thick dentin slices, and then polished by abrasive papers. After preparation, specimens were randomly divided into two groups: one group treated with conventional drills (a diamond drill and a fissure bur), and the other group treated with lasers at four different power settings (2W to 3.5W). The morphological alterations produced by the different treatments were observed and compared by scanning electron microscope (SEM). It showed that the dentin surfaces had distinct and characteristic morphological alteration with different power settings. Compared with the samples treated with conventional drills, the irradiated samples revealed an absent smear layer with open dentinal tubules. The ablation of intertubular dentin was more evident than that of peritubular dentin.

  13. Microstructure and wettability of root canal dentine and root canal filling materials after different chemical irrigation

    Science.gov (United States)

    Antonijevic, Djordje; Milovanovic, Petar; Brajkovic, Denis; Ilic, Dragan; Hahn, Michael; Amling, Michael; Rakocevic, Zlatko; Djuric, Marija; Busse, Björn

    2015-11-01

    The objective of this study was to determine the effects of various irrigation solutions on root canal dentine and gutta-percha surface properties. In addition, the effects of disinfectant chemicals on the wettability and surface morphological properties of the filling materials were evaluated. Ethylenediaminetetraacetic acid (EDTA), citric acid, and ozone were employed as irrigation solutions for dentine and gutta-percha treatment. Thereafter, the samples' microstructure, degree of mineralization, and mechanical properties were assessed by means of quantitative backscattered electron imaging (qBEI) and reference point indentation (RPI). A contact angle analyzer was used to measure adhesion on the tested materials. Here, EDTA had the most significant affect on both the mechanical properties and the adhesive behavior of dentine. Citric acid did not affect dentine wettability, whereas the indentation properties and the mineralization were reduced. Similar effects were observed when ozone was used. The dentinal tubules were significantly widened in citric acid compared to the ozone group. EDTA causes considerable micromechanical surface alteration of dentine and gutta-percha, but represents the best option in clinical cases where a high adhesiveness of the filling materials is desired.

  14. Microradiography of the effect of acute and chronic administration of fluoride on human and rat dentine and enamel

    International Nuclear Information System (INIS)

    The effects of water-borne and single injections of fluoride on developing enamel and dentine were examined in human teeth and the continuously-growing incisors of rats by microradiography. Single injections produced hypermineralized zones followed by hypomineralized zones in both enamel and dentine in both species. Water-borne fluoride produced extensive hypomineralization of enamel and an accentuation of the incremental pattern in dentine in both species. Thus, dental fluorosis is an abnormality of both enamel and dentine. The nearly simultaneous development of hyper- and hypo-mineralized zones in the acute response in enamel and dentine may be explained by a hastening of crystal growth concomitant to an inhibition of apatite nucleation by fluoride. The pathogenesis of the lesions resulting from the chronic administration of fluoride is obscure, but the mechanisms may be of a generalized nature as both enamel and dentine react in a similar way, i.e. an inhibition of mineralization. (U.K.)

  15. Retrospective cost analysis of cervical laminectomy and fusion versus cervical laminoplasty in the treatment of cervical spondylotic myelopathy

    OpenAIRE

    Warren, Daniel T.; Ricart-Hoffiz, Pedro A.; Andres, Tate M.; Hoelscher, Christian M.; Protopsaltis, Themistocles S.; Goldstein, Jeffrey A; Bendo, John A.

    2013-01-01

    Background Cervical laminoplasty (CLP) and posterior cervical laminectomy and fusion (CLF) are well-established surgical procedures used in the treatment of cervical spondylotic myelopathy (CSM). In situations of clinical equipoise, an influential factor in procedural decision making could be the economic effect of the chosen procedure. The object of this study is to compare and analyze the total hospital costs and charges pertaining to patients undergoing CLP or CLF for the treatment of CSM....

  16. Thyroid storm following anterior cervical spine surgery for tuberculosis of cervical spine

    Directory of Open Access Journals (Sweden)

    Sanjiv Huzurbazar

    2014-01-01

    Full Text Available Objective: The primary objective was to report this rare case and discuss the probable mechanism of thyroid storm following anterior cervical spine surgery for Kochs cervical spine.

  17. Comparison of the Effect of Dentin Bonding, Dentin Sealing Agents on the Microleakage of Provisional Crowns Fabricated with Direct and Indirect Technique-An Invitro Study

    Science.gov (United States)

    Muthukumar, B; Kumar, M Vasantha

    2015-01-01

    Background Postoperative sensitivity after temporization is a common complaint in Fixed Partial Denture patients. It is caused by weak and ill fitting temporary restorations which results in microleakage. This can be controlled by providing good temporary restorations and by coating the exposed dentinal tubules of the prepared tooth with dentin bonding agent or dental varnish. Aim The purpose of the study was to determine the effect of dentin-bonding, dentin sealing agents on the microleakage of temporary crowns made by tooth colored auto polymerizing resin fabricated with direct and indirect technique. Materials and Methods Thirty premolar and molar human teeth were collected which were extracted recently was used for the study. The teeth were marked and divided into 3 groups each containing 10 nos. They were individually mounted with self-cure acrylic resin. It was then mounted on a milling machine and crown preparations done. Temporary crowns were fabricated by direct and indirect method with two types of materials. In group A (Control group), the temporary crowns fabricated with both direct and indirect method were cemented directly with temporary luting cement. In group B dentine-bonding agent (solobond M) was applied once to the prepared surface of each tooth specimen before the cementation of temporary crowns where as in case of group C a single layer of dental varnish is applied prior to crown cementation. The entire specimens were immersed in 1% methylene blue and allowed to undergo thermal treatment. It was then sectioned in a hard tissue microtome. Each section was evaluated for dye penetration into the dentin tubules by comparing it with a visual scale. Statistical Analysis SPSS Version 13 software was used for non-parametric data analysis by a qualified statistician. P-values less than 0.05 (p-valuecrowns fabricated in direct technique showed the least amount of microleakage when compared with group A and group C. Group C (Dental Varnish) specimen

  18. A fístula esôfago-gástrica cervical Cervical esophagus-gastric fistula

    Directory of Open Access Journals (Sweden)

    Fausto Orsi

    2003-02-01

    Full Text Available OBJETIVO: Analisar a presença de fístula esôfago-gástrica cervical nos pacientes submetidos a esofagectomias por câncer após reconstrução do trânsito digestivo com o estômago nas três vias: pré-esternal, retro-esternal e mediastino posterior. MÉTODO: Em um total de 180 pacientes portadores de carcinoma de células escamosas de esôfago torácico, tratados no Hospital Geral de Nova Iguaçu e no Hospital EMCOR, de agosto de 1968 a março de 2000, foram realizadas 97 esofagectomias e 70 (72,16% reconstruções do trânsito digestivo. O tratamento considerado foi essencialmente cirúrgico através da esofagectomia transpleural direita e da esofagectomia transhiatal. A anastomose esôfago-gástrica cervical foi realizada inicialmente em parede anterior do estômago e depois em parede posterior. Paralelamente, foram realizados estudos experimentais em cadáveres frescos no IML (Instituto Médico Legal de Nova Iguaçu, para avaliação das dimensões das paredes gástricas e pesquisa de suas vascularizações. RESULTADOS: A incidência de fístulas ficou reduzida a 7,69%, quando se passou usar a parede posterior do estômago. A reconstrução do trânsito digestivo foi realizada em 52,86% pela via pré-esternal, 10% pela via retro-esternal e 37,14% pelo leito esofágico. As fístulas ocorreram em 20% dos pacientes (14 casos. Na via pré-esternal ocorreram 24,43% (9 casos, na via retro-esternal 42,85% (3 casos, e mediastino posterior 7,69% (2 casos.( X2= 3,39; p= 0,18 A mortalidade operatória foi de 15,71%, sendo a insuficiência respiratória sua maior causa.((X2= 3,29; p= 0,19. A sobrevida em cinco anos foi de 13,5%. CONCLUSÕES: A esofagectomia com anastomose esôfago-gástrica cervical é o nosso método de escolha. Os melhores resultados foram obtidos com a execução da anastomose esôfago-gástrica cervical na parede posterior do estômago, e através do mediastino posterior.BACKGROUND: From August 1968 to March 2000 we attended 180

  19. Enamel and dentine demineralization by a combination of starch and sucrose in a biofilm – caries model

    OpenAIRE

    Juliana Nunes BOTELHO; Mario VILLEGAS-SALINAS; Pía TRONCOSO-GAJARDO; Rodrigo Andrés GIACAMAN; Jaime Aparecido CURY

    2016-01-01

    Abstract Sucrose is the most cariogenic dietary carbohydrate and starch is considered non-cariogenic for enamel and moderately cariogenic for dentine. However, the cariogenicity of the combination of starch and sucrose remains unclear. The aim of this study was to evaluate the effect of this combination on Streptococcus mutans biofilm composition and enamel and dentine demineralization. Biofilms of S. mutans UA159 were grown on saliva-coated enamel and dentine slabs in culture medium containi...

  20. Validation of a Cariogenic Biofilm Model to Evaluate the Effect of Fluoride on Enamel and Root Dentine Demineralization

    OpenAIRE

    Fernández, Constanza E.; Tenuta, Livia M. A.; Jaime A. Cury

    2016-01-01

    Due to gingival recession both enamel and root dentine are at risk of developing caries. Both tissues are exposed to a similar environment, however there is not a validated model to evaluate the effect of fluoride on these dental substrates simultaneously. Hence, this study aimed to validate a caries model to evaluate the effect of fluoride to prevent demineralization on enamel and root-dentine. Streptococcus mutans UA159 biofilms were formed on saliva-coated bovine enamel and root dentine sl...

  1. Micromorphological characterization of adhesive interface of sound dentin and total-etch and self-etch adhesives

    OpenAIRE

    Drobac Milan; Stojanac Igor; Ramić Bojana; Premović Milica; Petrović Ljubomir

    2015-01-01

    Introduction. The ultimate goal in restorative dentistry has always been to achieve strong and permanent bond between the dental tissues and filling materials. It is not easy to achieve this task because the bonding process is different for enamel and dentin - dentin is more humid and more organic than enamel. It is moisture and organic nature of dentin that make this hard tissue very complex to achieve adhesive bond. One of the first and most widely used t...

  2. Anterior cervical discectomy and fusion for noncontiguous cervical spondylotic myelopathy

    Directory of Open Access Journals (Sweden)

    Sun Qizhi

    2016-01-01

    Full Text Available Background: Noncontiguous cervical spondylotic myelopathy (CSM is a special degenerative disease because of the intermediate normal level or levels between supra and infraabnormal levels. Some controversy exists over the optimal procedure for two noncontiguous levels of CSM. The study was to evaluate the outcomes of the anterior cervical discectomy and fusion (ACDF with zero-profile devices for two noncontiguous levels of CSM. Materials and Methods: 17 consecutive patients with two noncontiguous levels of CSM operated between December 2009 and August 2012 were included in the study. There were 12 men and 5 women with a mean age of 60.7 years (range 45-75 years. Involved disc levels were C3/4 and C5/6 in 11 patients and C4/5 and C6/7 in six patients. Preoperative plain radiographs, computed tomography (CT with 3-D reconstruction and magnetic resonance imaging (MRI of the cervical spine were taken in all patients. All radiographs were independently evaluated by 2 spine surgeons and 1 radiologist. The outcomes were assessed by the average operative time, blood loss, Japanese Orthopedic Association (JOA score, improvement rate, neck dysfunction index (NDI, swallowing quality of life (SWAL-QOL score, the cervical lordosis and complications. Results: The mean followup was 48.59 months (range 24-56 months. The average operative time and blood loss was 105.29 min and 136.47 ml, respectively. The preoperative JOA score was 8.35, which significantly increased to 13.7 at the final followup ( P 0.05. Cerebrospinal fluid leak, dysphagia and radiological adjacent segment degeneration occurred in one patient, respectively. Conclusion: The ACDF with zero-profile devices is generally effective and safe in treating two noncontiguous levels of CSM.

  3. An Inquiry into Acupuncture Treatment on Cervical Vertebral Disease

    Institute of Scientific and Technical Information of China (English)

    2006-01-01

    @@ Introduction: The cervical vertebral diseases are the diseases of cervical osteoarticular and ligament hypertrophy that cause stenosis of vertebral canals and intervertebral foraminae and compression of nerve roots or cervical segments.

  4. Scanning electron microscopy evaluation of the interaction pattern between dentin and resin after cavity preparation using Er:YAG laser

    International Nuclear Information System (INIS)

    The aim of this study was to describe the interaction pattern formed between dentin and resin on cavities prepared with an erbium laser (Er:YAG). The morphological aspect of the irradiated dentin after acid etching was also observed. Ten dentin disks were obtained from fresh extracted third molars. Each disk received two cavities, one prepared with a conventional high-speed drill, while the other cavity was obtained by the use of an Er:YAG laser (KaVo KEY Laser, KaVo Co.). The laser treatment was performed with 250 mJ/pulse, 4 Hz, non contact mode, focused beam, and a fine water mist was used. Five disks were prepared for morphological analysis of the acid etched dentin. The other five disks had their cavities restored with Single Bond (3M) followed by Z100 resin (3M). The specimens were observed under scanning electron microscopy after dentin-resin interface demineralization and deproteinization. It was observed that the morphological characteristics of the acid-etched irradiated dentin were not favorable to the diffusion of monomers through the collagen network. The dentin resin interfacial aspect of irradiated dentin, after acid etching, showed thin tags and scarce hybridization zones, which agreed with the morphology of the irradiated and acid-etched dentin substrate observed. (author)

  5. Shear bond strength of Biodentine, ProRoot MTA, glass ionomer cement and composite resin on human dentine ex vivo

    OpenAIRE

    Kaup, Markus; Dammann, Christoph Heinrich; Schäfer, Edgar; Dammaschke, Till, 1965-

    2015-01-01

    Introduction The aim of this study was to compare the shear bond strength of Biodentine, ProRoot MTA (MTA), glass ionomer cement (GIC) and composite resin (CR) on dentine. Methods 120 extracted human third molars were embedded in cold-cured-resin and grinned down to the dentine. For each material 30 specimens were produced in standardised height and width and the materials were applied according to manufacturers´ instructions on the dentine samples. Only in the CR group a self-etching dentine...

  6. Detecting cervical cancer by quantitative promoter hypermethylation assay on cervical scrapings : A feasibility study

    NARCIS (Netherlands)

    Reesink-Peters, N; Wisman, G.B.A.; Jeronimo, C; Tokumaru, CY; Cohen, Y; Dong, SM; Klip, HG; Buikema, HJ; Suurmeijer, AJH; Hollema, H; Boezen, HM; Sidransky, D; van der Zee, AGJ

    2004-01-01

    Current morphology-based cervical cancer screening is associated with significant false-positive and false-negative results. Tumor suppressor gene hypermethylation is frequently present in cervical cancer. It is unknown whether a cervical scraping reflects the methylation status of the underlying ep

  7. Structure and composition of enamel and dentin after thermal treatment or infrared laser irradiation

    International Nuclear Information System (INIS)

    The main purpose of this work is to identify the crystallographic structure, optical properties, chemical composition and electron paramagnetic signals that laser irradiation or oven heating produces on the tissue. The thermal treatment was conducted in oven with temperature range below 1000 deg C and the laser irradiation with holmium (Ho:YLF - 2,065 μm) and erbium (Er:YAG - 2,94 μm) laser. The tissue characterization was carried out with X-ray diffraction, scanning electron microscopy, ultraviolet and visible transmission spectroscopy, light microscopy, infrared transmission/reflection spectroscopy and electron paramagnetic resonance. The holmium irradiated enamel (600-800 J/cm2) shows the presence of tetracalcium phosphate that coexists with the natural phase (hydroxyapatite). The irradiated dentin shows only the sharper diffraction peaks of the natural phase. The narrows peaks, observed after irradiation, could be assigned to the dentin crystal growth and impurities elimination. Tissue discoloration is observed after thermal treatment with temperatures above 100 deg C. Heated enamel become white-opaque and the origin is assigned to the water elimination, which promotes higher light scattering by the prismatic structure. On the other hand, heated dentin, with similar temperatures becomes brown. The dentin browning changes with the temperature and shown two peaks, at 375 deg C and 700 deg C. The peak at 375 deg C is assigned to the collagen structure degradation and at 700 deg C to the cyanate formation. The dentin discoloration produced with temperatures below 200 deg C is reversible after the tissue hydration. Both enamel and dentin discoloration are also observed in erbium irradiated tissues. Thermal treatments, heating in oven or laser irradiation, change mainly the organic matrix composition and water present in the tissues. The inorganic matrix is more stable and its radicals are changed, with more predominance, only at temperatures higher than 500 deg C

  8. The effects of various irrigating solutions on intra-radicular dentinal surface: An SEM analysis

    Directory of Open Access Journals (Sweden)

    J V Karunakaran

    2012-01-01

    Full Text Available Aim: The action of irrigant solutions on intra- radicular dentinal surface were evaluated in an in vitro setting using a scanning electron microscope (SEM and it was observed that sodium hypochlorite and MTAD produced the cleanest surface and that none of the irrigants were able to produce an ideal preparation of the dentinal surface when used individually. The primary objective of endodontic therapy is to achieve a clean, optimal environment in root canals to avoid unsuccessful treatment outcomes. The complexities of the root canal system necessitate the use of irrigating solutions which act on radicular dentin surface, modifying it. The action of irrigants can be beneficial, and yet at the same time, as they modify the surface structure of dentin, they can have an adverse impact on the properties of dentin. The present study was undertaken to assess the effect of various irrigants on the dentinal surface using an SEM. Materials and Methods: Forty-five roots were randomly divided into nine groups (n=5 and prepared by sectioning at the level of cemento-enamel junction (CEJ and 10 mm from the CEJ and split longitudinally. The dentin surface was prepared and the cemental surfaces were coated with double layer of varnish. The irrigants tested were normal saline, de-ionized water, 17% ethylenediaminetetraacetic acid (EDTA, 5% sodium hypochlorite (NaOCl, 5% NaOCl with ultrasonic agitation, 3% hydrogen peroxide, 2% chlorhexidine (CHX, MTAD, and MTAD with ultrasonic agitation. The prepared samples were placed in the irrigant solution for 3 min, subsequently dehydrated, sputter coated, and observed under SEM. The images were subsequently analyzed for dentinal surface changes. Results: 17% EDTA and MTAD produced the cleanest dentinal surface. Ultrasonic agitation enhanced the effect of irrigants. 5% NaOCl and 3% hydrogen peroxide were efficient at removal of organic debris, but were unable to remove the smear layer. De-ionized water, normal saline, and 2

  9. Chlorhexidine Nanocapsule Drug Delivery Approach to the Resin-Dentin Interface.

    Science.gov (United States)

    Priyadarshini, B M; Selvan, S T; Lu, T B; Xie, H; Neo, J; Fawzy, A S

    2016-08-01

    In this study, we are introducing a new drug-delivery approach to demineralized dentin substrates through microsized dentinal tubules in the form of drug-loaded nanocapsules. Chlorhexidine (CHX) is widely used in adhesive dentistry due to its nonspecific matrix metalloproteinase inhibitory effect and antibacterial activities. Poly(ε-caprolactone) nanocapsules (nano-PCL) loaded with CHX were fabricated by interfacial polymer deposition at PCL/CHX ratios of 125:10, 125:25, and 125:50. Unloaded nanocapsules (blank) were fabricated as control. The fabricated nanocapsules were characterized in vitro in terms of particle size, surface charges, particle recovery, encapsulation efficiency, and drug loading. Nanocapsule morphology, drug inclusion, structural properties, and crystallinity were investigated by scanning and transmission electron microscopes (SEM/TEM), energy-dispersive x-ray analysis, Fourier transform infrared spectroscopy, and x-ray diffraction. Initial screening of the antibacterial activities and the cytotoxicity of the nanocapsules were also conducted. Nanocapsules, as carried on ethanol/water solution, were delivered to demineralized dentin specimens connected to an ex vivo model setup simulating the pulpal pressure to study their infiltration, penetration depth, and retention inside the dentinal tubules by SEM/TEM. Nanocapsules were Ag labeled and delivered to demineralized dentin, followed by the application of a 2-step etch-and-rinse dentin adhesive. CHX-release profiles were characterized in vitro and ex vivo up to 25 d. Spherical nanocapsules were fabricated with a CHX core coated with a thin PCL shell. The blank nanocapsules exhibited the largest z-average diameter with negatively charged ζ-potential. With CHX incorporation, the nanocapsule size was decreased with a positive shift in ζ-potential. Nano-PCL/CHX at 125:50 showed the highest drug loading, antibacterial effect, and CHX release both in vitro and ex vivo. SEM and TEM revealed the deep

  10. Effect of diamond bur cutting efficacy on dentin bond strengths of different bonding systems

    Directory of Open Access Journals (Sweden)

    Shirani F.

    2009-03-01

    Full Text Available "nBackground and Aim: As composite-dentin bond strength is affected by cavity preparation and the bond strength of composite resin to new and used bur prepared dentin has not yet been evaluated, this study evaluated the effects of cutting dentin with different cutting efficacy (new and used of burs on composite-dentin shear bond strength using self-etching primer bonding system and total etching bonding system. "nMaterials and Methods: Sixty caries free human 3rd molar were sectioned in occlosal surface to expose dentin, then polished with silicon carbide paper and randomly divided into four groups. Each group was prepared in a depth of 0.5mm of dentin, using new diamond bur, or used diamond bur. To change into a used bur, each new rough diamond bur had to work on bovine enamel for 30 minutes, under a load of 150g. Then, each group was bonded, using a total etch adhesive (single Bond or a self etch adhesive (clearfil SE Bond So there were 4 groups : 1-SE Bond, New bur; 2-SE Bond , used bur; 3-Single Bond , New bur ; 4-Single Bond, used bur. Similar composite capsules(Filtek Z250 were bonded to dentin surface and cured. specimens were stored in physiologic saline for 48h at 370 c , then put under shearing load to define composite - dentin shear bond strength. Results were interpreted via statistical analysis (T-test & two - way variance. "nResults: Shear bond strength of each group was as follows: 1-(27.3Mpa, 2-(33.5Mpa, 3-(16.9Mpa 4-(19.3Mpa. Statistical analysis proved that shear bond strength of used diamond bur prepared groups (2,4 was more than new diamond bur prepared ones (1,3. This statistical difference, specially, was seen between SE Bond groups (1,2 but not between single Bond groups (3,4. Also, shear bond strength of (SE Bond bonded groups (1,2 were more significantly than (single Bond bonded ones (3,4. "nConclusion: This study show that Bur cutting efficiency influences composite - dentin shear bond strength especially when the

  11. Economic burden of cervical cancer in Malaysia

    OpenAIRE

    Sharifa E. W. Puteh; Paul Ng; Aljunid, Syed M

    2008-01-01

    Cervical cancers form the second highest number of female cancers in Malaysia, imposing a substantial amount of cost burden on its management. However, an estimation of cost burden of abnormal smears, cervical pre-invasive and invasive diseases needs to be done to show how much spending has been allocated to the problem. An expert panel committee came up with the clinical pathway and management algorithm of  cervical pre invasive and invasive diseases from July-December 2006 Malaysia. An acti...

  12. Cervical screening: Frequently asked questions (FAQs)

    OpenAIRE

    Public Health Agency

    2012-01-01

    Testing for high-risk human papillomavirus (HR-HPV) as triage and test of cure was introduced into the Northern Ireland Cervical Screening Programme on Monday 28 January 2013. This policy change will significantly alter the screening pathway for women with a mild dyskaryosis or borderline smear result. The link between HR-HPV infection and the development of cervical cancer has now been clearly established, with almost 100% of cervical cancers containing HPV DNA. Women with no evidence of HR-...

  13. Telomerase activity in cervical intraepithelial neoplasia

    Institute of Scientific and Technical Information of China (English)

    王淑珍; 孙建衡; 张伟; 金顺钱; 王洪平; 金玉生; 曲萍; 刘毅; 李茉

    2004-01-01

    Background It was reported that telomerase expression is closely associated with cellular immortality and cancer. This study was designed to investigate the relationship between telomerase expression and the carcinogenesis of cervical cancer, the possible use of telomerase as a marker of cervical intraepithelial neoplasia (CIN) progression or regression, and the natural history of CIN. Methods Telomeric repeat amplification protocol (TRAP) assay was used to measure telomerase activity in cervical scrapings and biopsy samples obtained from 105 cases affected with various cervical conditions, including chronic cervicitis (n=20), CIN (n=64, 16 cases of CIN Ⅰ , 20 cases of CIN Ⅱ, and 28 cases of CIN Ⅲ ), and invasive squamous cell carcinoma (n =21 ).Results In exfoliated cell samples, telomerase activity was detected in 5 of 20 (25. 0% ) cases of cervicitis, 10 of 16 (62.5%) cases of CIN Ⅰ , 11 of 20 (55.0%) cases of CIN Ⅱ, 23 of 28 (82.1%) cases of CIN Ⅲ, and 13 of 21 (61.9%) cases of carcinoma. In cervical biopsy samples, telomerase activity was detected in 6 of 20 (30. 0%) cases of cervicitis, 8 of 16 (50. 0%) cases of CIN Ⅰ , 9 of 20 (45.0%) cases of (CIN Ⅱ, 27 of 28 (96. 4%) cases of CIN Ⅲ, and 20 of 21 (95. 2%) cases of carcinoma. Telomerase activation was significantly higher in CIN samples than in cervicitis samples. Telomerase activity was detected at similar frequency in samples from cervical scrapings and cervical biopsies.Conclusion These results seem to suggest that telomerase expression may be associated with carcinogenesis of the cervix. TRAP assay of cervical scraping samples could be used to monitor and predict the development of CIN in clinical practice.

  14. Cervical Spine Instrumentation in Children.

    Science.gov (United States)

    Hedequist, Daniel J; Emans, John B

    2016-06-01

    Instrumentation of the cervical spine enhances stability and improves arthrodesis rates in children undergoing surgery for deformity or instability. Various morphologic and clinical studies have been conducted in children, confirming the feasibility of anterior or posterior instrumentation of the cervical spine with modern implants. Knowledge of the relevant spine anatomy and preoperative imaging studies can aid the clinician in understanding the pitfalls of instrumentation for each patient. Preoperative planning, intraoperative positioning, and adherence to strict surgical techniques are required given the small size of children. Instrumentation options include anterior plating, occipital plating, and a variety of posterior screw techniques. Complications related to screw malposition include injury to the vertebral artery, neurologic injury, and instrumentation failure. PMID:27097300

  15. PROGNOSTIC FACTORS IN CERVICAL CARCINOMA

    Institute of Scientific and Technical Information of China (English)

    路平; 梁秋冬; 魏磊; 郑全庆

    2002-01-01

    Objective: To evaluate factors for prognosis of cervical carcinoma. Methods: Expressions of mn23- HI, erbB3 and erbB4 were examined by immunohistochemical staining. The apoptosis was detected in situ by the TdT mediated duip-biotin nick end-labeling (TUNEL) technique. Mitotic cell were counted by HE dyeing. Results: FIGO stage and lymph node metastasis were the most important factors for evaluating prognosis in adenocarcinoma or squamous cell carcinoma. AI/MI was positively correlated with 5-year survival of cervical carcinoma. Positive expression of nm23-H1 combed with negative expression of erbB4 [nm23-H1(+)/erbB4(-)] predicted good prognosis for adeno-carcinoma. In multivariable Cox regression analysis, only FIGO stage and AI/MI were into equation. Conclusion: FIGO stage and AI/MI were independent evaluating parameter for adenocarcinoma or squamous cell carcinoma.

  16. Cervical cancer screening at crossroads

    DEFF Research Database (Denmark)

    Lynge, Elsebeth; Rygaard, Carsten; Baillet, Miguel Vazquez-Prada;

    2014-01-01

    ) demonstrated that HPV testing provides better protection against cervical cancer than cytology, but it requires extra repeated testing. HPV vaccination RCTs, furthermore, have proved that HPV vaccination protects against vaccine-type high-grade CIN in women vaccinated prior to sexual activity, but less so...... cancer case. The discovery of human papillomavirus (HPV) as the cause of cervical cancer dramatically changed perspectives for disease control. Screening with HPV testing was launched around 1990, and preventive HPV vaccination was licensed in 2006. Long-term randomized controlled trials (RCT...... in women vaccinated later. The challenge now is therefore to find an algorithm for screening of a heterogeneous population including non-vaccinated women; women vaccinated prior to start of sexual activity; and women vaccinated later....

  17. [Hpv cofactors in cervical carcinogenesis].

    Science.gov (United States)

    Pinto, Alvaro P; Tulio, Siumara; Cruz, Olívia Russo

    2002-01-01

    Human papillomavirus (HPV) plays a central rule in uterine cervix carcinogenesis. Other factors direct or indirectly influence the installation of this mechanism in cervical squamous epithelium. Investigations regarding mechanisms of interaction of these factors with viral elements are found in the literature of the last 20 years. The present review article discusses possible co-factors of HPV in the genesis of the squamous carcinoma of uterine cervix, taking into account only the factors whose association with the virus or cervical cancer has been documented by experimental studies, and not based just on clinical or epidemiological data. Among the approached parameters are immunological factors (local and humoral immune response), the association with Acquired Immune Deficiency Syndrome, genetic factors as protein p53 polymorphism, tabagism and the use of oral contraceptives. All these factors interact in variable intensity with oncoproteins and other HPV elements, increasing and facilitating the virus action in host cells, leading to the development of immortalization and carcinogenesis. PMID:12185639

  18. Preventive vaccines for cervical cancer

    Directory of Open Access Journals (Sweden)

    WHEELER COSETTE M

    1997-01-01

    Full Text Available The potential use of vaccines for the human papillomavirus (HPV in the prevention and treatment of cervical cancer is a possibility in the near future. Close to 20 genotypes of HPV, of the 75 that have been identified, infect the femine genital tract, but four subtypes (16, 18, 31 and 45 have been associated in close to 80% of cervical cancers. this article proposes that in order to design an effective prophylactic vaccine against HPV infection, an adequate immune response should be guaranteed through four goals; a activation of antigens present in the cell; b overcoming the host response and viral genetic variability in the T cell response; c generation of high levels of T and B memory cells; and d persistence of antigens.

  19. Correlação clinica entre a mielopatia cervical e o índice de Torg Correlation between the clinic and the index of cervical myelopathy Torg

    Directory of Open Access Journals (Sweden)

    Agnaldo Rogério Lozorio

    2012-01-01

    Full Text Available OBJETIVO: A mielopatia cervical é uma disfunção da medula espinhal relacionada a degeneração típica do envelhecimento, cuja patologia se relaciona com a isquemia e compressão da medula. Muitos são os problemas clínicos apresentados por portadores de mielopatia, nos casos mais graves este acometimento pode levar a para ou tetraplegia quando não tratado. Devido a patologia primária desta doença ser causada por compressão gerando isquemia medular, julgamos poder existir uma correlação entre o grau de compressão e clínica dos pacientes portadores de mielopatia cervical, porém não encontramos nenhum estudo na literatura que realizou esta correlação, por existir esta dúvida na literatura é que objetivamos em nosso estudo analisar a correlação entre o grau do comprometimento clínico dos pacientes com mielopatia cervical e o índice de Torg. MÉTODOS: Estudo prospectivo, de caráter descritivo, avaliados 46 pacientes, realizado mensuração radiográfica do índice de Torg e análise clínica através da escala de JOA e Nurick. RESULTADOS: Dos 46 pacientes, 100% apresentaram Torg OBJECTIVE: Cervical myelopathy is a spinal cord dysfunction related to degeneration typical of aging. Its primary pathology is related to ischemia and spinal cord compression. Patients with myelopathy present many clinical problems; more severe cases may lead to quadriplegia if not treated in a timely manner. Because the primary pathology of this disease is caused by compression, thus generating spinal cord ischemia, we believed there must be a correlation between the degree of compression and the clinical assessment of patients with cervical myelopathy, but we did not find any study in the literature that made this correlation. Because there is doubt the literature we aimed, in our study, to analyze the correlation between the degree of clinical impairment of patients with cervical myelopathy and the Torg index. METHODS: A prospective, descriptive

  20. Methods for Cervical Cancer Screening

    Directory of Open Access Journals (Sweden)

    Tatiana Vargas-Revilla

    2014-12-01

    This article is divided in three sections: the first one focuses on the general impact of cervical cancer has hadin CostaRica, these condsection gathers information about different methodologies used around the world to detect this cancer and the third one makes reference to the current development of the screening devise in Mexico that works as a monitoring system and can used by women without external assistance.

  1. ISASS Policy Statement - Cervical Interbody

    OpenAIRE

    Singh, Kern; Qureshi, Sheeraz

    2014-01-01

    Morgan Lorio, MD, FACS, Chair, ISASS Task Force on Coding & Reimbursement In 2011, CPT code 22551 was revised to combine or bundle CPT codes 63075 and 22554 when both procedures were performed at the same site/same surgical session. The add on code +22552 is used to report each additional interspace. 2014 heralded a downward pressure on this now prime target code (for non-coverage?) 22551 through an egregious insurer attempt to redefine cervical arthrodesis, effectively removing spine surgeon...

  2. Os Odontoideum: Rare Cervical Lesion

    Directory of Open Access Journals (Sweden)

    Kristie A Robson

    2011-05-01

    Full Text Available We report the case of a 22-year-old Marine who presented to the emergency department, after a martial arts exercise, with transient weakness and numbness in all extremities. Computed tomography cervical spine radiographs revealed os odontoideum. Lateral flexion–extension radiographs identified atlanto-axillary instability. This abnormality is rare and can be career ending for military members who do not undergo surgical fusion. [West J Emerg Med. 2011;12(4:520–522.

  3. Laparoscopic Fertility Sparing Management of Cervical Cancer

    Directory of Open Access Journals (Sweden)

    Chiara Facchini

    2014-03-01

    Full Text Available Fertility can be preserved after conservative cervical surgery. We report on a 29-year-old woman who was obese, para 0, and diagnosed with cervical insufficiency at the first trimester of current pregnancy due to a previous trachelectomy. She underwent laparoscopic transabdominal cervical cerclage (LTCC for cervical cancer. The surgery was successful and she was discharged two days later. The patient underwent a caesarean section at 38 weeks of gestation. Laparoscopic surgery is a minimally invasive approach associated with less pain and faster recovery, feasible even in obese women.

  4. Magnetic resonance imaging of cervical myelopathy

    Energy Technology Data Exchange (ETDEWEB)

    Chosa, Hirofumi; Yamano, Kouichirou; Ihara, Fumitoshi; Ueda, Yoshiaki; Maekawa, Masayuki; Tokuhisa, Ginichirou; Kuwano, Tadashi; Kamo, Yoshi; Nomura, Shigeharu (Kyushu Rosai Hospital, Fukuoka (Japan))

    1990-03-01

    Forty-three patients operated for cervical myelopathy were examined with a 1.5 T magnetic resonance imaging. Cord compression was demonstrated directly on the sagittal image in cases of cervical disc herniation, cervical spondylosis and O.P. L.L. Herniated disc material was seen positive on axial image. But factors of cord compression in cases of cervical spondylosis and O.P. L.L. were not clearly confirmed, so additional examinations such as myelogram, tomogram and CT was needed. (author).

  5. ANTERIOR OSTEOPHYTE IDENTIFICATION IN CERVICAL VERTEBRAE

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    A. T. Chougale

    2011-06-01

    Full Text Available Radiologist always examines X-ray to determine abnormal changes in cervical, lumbar & thoracic vertebrae. Osteophyte (bony growth may appear at the corners of vertebrae so that vertebral shape becomes abnormal. This paper presents the idea from Image processing techniques such as customised Hough transform which will be used for segmentation which should be independent of rotation, scale, noise & shape. This segmented image will be then used for computing size invariant, convex hull based features to differentiate normal cervical vertebrae from cervical vertebrae containing anterior osteophyte. This approach effectively finds anterior osteophytes in cervical vertebrae.

  6. The potential therapeutic targets for cervical cancer

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    L Priyanka Dwarampudi

    2013-01-01

    Full Text Available In case of invasive cervical carcinoma several molecular events were reported and these molecular events resulting in multiple genetic abnormalities. In order to control these tumors multiple molecular therapeutic targets are needed with different molecular mechanisms. Unfortunately, these molecular targets were in early stages of development. Because of less degree of success of conventional therapeutics for late stages of cervical cancer and lowering of prognosis of patients there is an increase in interest for the development of potential therapeutic targets for cervical cancer. This review article emphasizes the current molecular targeted agents; with special attention to estrogen receptors for human papilloma virus infected cervical cancer.

  7. Studying the Physical Function and Quality of Life Before and After Surgery in Patients With Stage I Cervical Cancer

    Science.gov (United States)

    2016-02-09

    Cervical Adenocarcinoma; Cervical Adenosquamous Carcinoma; Cervical Squamous Cell Carcinoma; Lymphedema; Sexual Dysfunction and Infertility; Stage IA1 Cervical Cancer; Stage IA2 Cervical Cancer; Stage IB1 Cervical Cancer

  8. O uso da ausculta cervical na inferência de aspiração traqueal em crianças com paralisia cerebral The use of cervical auscultation in tracheal aspiration in children with cerebral palsy

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    Ana Maria Furkim

    2009-12-01

    Full Text Available OBJETIVO: comparar a detectabilidade da ausculta cervical na avaliação clínica com a comprovação da aspiração na videofluoroscopia da deglutição em crianças com paralisia cerebral tetraparética espástica com disfagia orofaríngea. MÉTODOS: estudo retrospectivo com análise de 101 prontuários de crianças, na faixa etária de 1 a 12 anos, pertencentes a uma instituição, com diagnóstico de paralisia cerebral tetraparética espástica e que foram encaminhadas e avaliadas por equipe interdisciplinar. Foi realizada anamnese com avaliação clínica da alimentação com ausculta cervical e videofluoroscopia da deglutição. RESULTADOS: os resultados estatísticos mostraram que há relação significante entre a ausculta cervical positiva e a penetração ou aspiração laríngea constatada na videofluoroscopia da deglutição e que a ausculta cervical negativa está mais associada à não penetração/aspiração. CONCLUSÃO: concluiu-se que a ausculta cervical pode ser utilizada para inferência do risco de aspiração e, portanto, como alerta para atuação precoce nessa população, além da vantagem de ser um método não invasivo.PURPOSE: to compare the efficacy of cervical auscultation during the clinical evaluation with the confirmation of aspiration in the videofluoroscopy of deglutition in oropharyngeal dysphagic children with tetraparetic cerebral palsy. METHODS: retrospective study with analysis of 101 notes of children, between 1 and 12-year old, enrolled in one institution, with the diagnosis of cerebral palsy spastic quadriplegia and referred and evaluated by interdisciplinary team. Clinical history, clinical evaluation of feeding with cervical auscultation and videofluoroscopy of deglutition were performed. RESULTS: the statistical results showed significance between positive cervical auscultation and laryngeal penetration or aspiration during the videofluoroscopy of deglutition and a negative cervical auscultation is

  9. Non-thermal atmospheric plasma brush induces HEMA grafting onto dentin collagen

    Science.gov (United States)

    Chen, Mingsheng; Zhang, Ying; Dusevich, Vladimir; Liu, Yi; Yu, Qingsong; Wang, Yong

    2014-01-01

    Objective Non-thermal atmospheric plasma (NTAP) brush has been regarded as a promising technique to enhance dental interfacial bonding. However, the principal enhancement mechanisms have not been well identified. In this study, the effect of non-thermal plasmas on grafting of HEMA, a typical dental monomer, onto dentin collagen thin films was investigated. Methods Human dentin was sectioned into 10-um-thick films. After total demineralization in 0.5 M EDTA solution for 30 min, the dentin collagen films were water-rinsed, air-dried, treated with 35 wt% HEMA aqueous solution. The films were then subject to plasma-exposure under a NTAP brush with different time (1–8 min) / input power (5–15 w). For comparison, the dentin collagen films were also treated with the above HEMA solution containing photo-initiators, then subject to light-curing. After plasma-exposure or light-curing, the HEMA-collagen films were rinsed in deionized water, and then examined by FTIR spectroscopy and TEM. Results The FITR results indicated that plasma-exposure could induce significant HEMA grafting onto dentin collagen thin films. In contrast, light-curing led to no detectable interaction of HEMA with dentin collagen. Quantitative IR spectral analysis (i.e., 1720/3075 or 749/3075, HEMA/collagen ratios) further suggested that the grafting efficacy of HEMA onto the plasma-exposed collagen thin films strongly depended on the treatment time and input power of plasmas. TEM results indicated that plasma treatment did not alter collagen’s banding structure. Significance The current study provides deeper insight into the mechanism of dental adhesion enhancement induced by non-thermal plasmas treatment. The NTAP brush could be a promising method to create chemical bond between resin monomers and dentin collagen. PMID:25458523

  10. Dentine oxygen isotopes (δ (18)O) as a proxy for odontocete distributions and movements.

    Science.gov (United States)

    Matthews, Cory J D; Longstaffe, Fred J; Ferguson, Steven H

    2016-07-01

    Spatial variation in marine oxygen isotope ratios (δ (18)O) resulting from differential evaporation rates and precipitation inputs is potentially useful for characterizing marine mammal distributions and tracking movements across δ (18)O gradients. Dentine hydroxyapatite contains carbonate and phosphate that precipitate in oxygen isotopic equilibrium with body water, which in odontocetes closely tracks the isotopic composition of ambient water. To test whether dentine oxygen isotope composition reliably records that of ambient water and can therefore serve as a proxy for odontocete distribution and movement patterns, we measured δ (18)O values of dentine structural carbonate (δ (18) OSC) and phosphate (δ (18) OP) of seven odontocete species (n = 55 individuals) from regional marine water bodies spanning a surface water δ (18)O range of several per mil. Mean dentine δ (18) OSC (range +21.2 to +25.5‰ VSMOW) and δ (18) OP (+16.7 to +20.3‰) values were strongly correlated with marine surface water δ (18)O values, with lower dentine δ (18) OSC and δ (18) OP values in high-latitude regions (Arctic and Eastern North Pacific) and higher values in the Gulf of California, Gulf of Mexico, and Mediterranean Sea. Correlations between dentine δ (18) OSC and δ (18) OP values with marine surface water δ (18)O values indicate that sequential δ (18)O measurements along dentine, which grows incrementally and archives intra- and interannual isotopic composition over the lifetime of the animal, would be useful for characterizing residency within and movements among water bodies with strong δ (18)O gradients, particularly between polar and lower latitudes, or between oceans and marginal basins.

  11. Transmission of Curing Light through Moist, Air-Dried, and EDTA Treated Dentine and Enamel

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    E. Uusitalo

    2016-01-01

    Full Text Available Objective. This study measured light transmission through enamel and dentin and the effect of exposed dentinal tubules to light propagation. Methods. Light attenuation through enamel and dentin layers of various thicknesses (1 mm, 2 mm, 3 mm, and 4 mm was measured using specimens that were (1 moist and (2 air-dried (n=5. Measurements were repeated after the specimens were treated with EDTA. Specimens were transilluminated with a light curing unit (maximum power output 1869 mW/cm2, and the mean irradiance power of transmitting light was measured. The transmission of light through teeth was studied using 10 extracted intact human incisors and premolars. Results. Transmitted light irradiance through 1 mm thick moist discs was 500 mW/cm2 for enamel and 398 mW/cm2 for dentin (p<0.05. The increase of the specimen thickness decreased light transmission in all groups (p<0.005, and moist specimens attenuated light less than air-dried specimens in all thicknesses (p<0.05. EDTA treatment increased light transmission from 398 mW/cm2 to 439 mW/cm2 (1 mm dentin specimen thickness (p<0.05. Light transmission through intact premolar was 6.2 mW/cm2 (average thickness 8.2 mm and through incisor was 37.6 mW/cm2 (average thickness 5.6 mm. Conclusion. Light transmission through enamel is greater than that through dentin, probably reflecting differences in refractive indices and extinction coefficients. Light transmission through enamel, dentin, and extracted teeth seemed to follow Beer-Lambert’s law.

  12. Effect of Fluoride-Releasing Adhesive Systems on the Mechanical Properties of Eroded Dentin.

    Science.gov (United States)

    Guedes, Ana Paula Albuquerque; Moda, Mariana Dias; Suzuki, Thaís Yumi Umeda; Godas, André Gustavo de Lima; Sundfeld, Renato Herman; Briso, André Luiz Fraga; Santos, Paulo Henrique dos

    2016-01-01

    The aim of the study was to evaluate the effect of erosive pH cycling with solutions that simulate dental erosion on Martens hardness (HMV) and elastic modulus (Eit) of dentin restored with fluoride-releasing adhesive systems. Twenty-seven bovine dentin slabs were restored with three adhesive systems: Adper Single Bond 2 total-etch adhesive system, One Up Bond F and Clearfil SE Protect fluoride-containing self-etching adhesive systems. The restorations were made with Filtek Z250. The HMV and Eit values at distances of 10, 30, 50 and 70 µm from the interface were evaluated using a dynamic ultra microhardness tester before and after immersion in deionized water, citric acid and hydrochloric acid (n=9). Data were submitted to repeated-measures ANOVA and Fisher's PLSD tests (=0.05). After erosive cycling, HMV values of dentin decreased in all groups. For dentin restored with Adper Single Bond 2, the lowest values were found closer to the hybrid layer, while for One Up Bond F and Clearfil SE Protect, the values remained unaltered at all distances. For dentin restored with fluoride-releasing adhesive systems, a decrease in Eit was found, but after 30 µm this difference was not significant. The acid substances were able to alter HMV and Eit of the underlying dentin. For fluoride-releasing adhesives, the greater the distance from bonded interface, the lower the Eit values. The fluoride in One Up Bond F and Clearfil SE Protect was able to protect the underlying dentin closer to the materials. In this way, the fluoride from adhesive systems could have some positive effect in the early stages of erosive lesions. PMID:27058377

  13. Effect of Fluoride-Releasing Adhesive Systems on the Mechanical Properties of Eroded Dentin.

    Science.gov (United States)

    Guedes, Ana Paula Albuquerque; Moda, Mariana Dias; Suzuki, Thaís Yumi Umeda; Godas, André Gustavo de Lima; Sundfeld, Renato Herman; Briso, André Luiz Fraga; Santos, Paulo Henrique dos

    2016-01-01

    The aim of the study was to evaluate the effect of erosive pH cycling with solutions that simulate dental erosion on Martens hardness (HMV) and elastic modulus (Eit) of dentin restored with fluoride-releasing adhesive systems. Twenty-seven bovine dentin slabs were restored with three adhesive systems: Adper Single Bond 2 total-etch adhesive system, One Up Bond F and Clearfil SE Protect fluoride-containing self-etching adhesive systems. The restorations were made with Filtek Z250. The HMV and Eit values at distances of 10, 30, 50 and 70 µm from the interface were evaluated using a dynamic ultra microhardness tester before and after immersion in deionized water, citric acid and hydrochloric acid (n=9). Data were submitted to repeated-measures ANOVA and Fisher's PLSD tests (=0.05). After erosive cycling, HMV values of dentin decreased in all groups. For dentin restored with Adper Single Bond 2, the lowest values were found closer to the hybrid layer, while for One Up Bond F and Clearfil SE Protect, the values remained unaltered at all distances. For dentin restored with fluoride-releasing adhesive systems, a decrease in Eit was found, but after 30 µm this difference was not significant. The acid substances were able to alter HMV and Eit of the underlying dentin. For fluoride-releasing adhesives, the greater the distance from bonded interface, the lower the Eit values. The fluoride in One Up Bond F and Clearfil SE Protect was able to protect the underlying dentin closer to the materials. In this way, the fluoride from adhesive systems could have some positive effect in the early stages of erosive lesions.

  14. In vivo assessment of secondary caries and dentin characteristics after traditional amalgam restorations

    Science.gov (United States)

    de Assunção Pinheiro, Isauremi Vieira; Borges, Boniek Castillo Dutra; de Lima, Kenio Costa

    2012-01-01

    Objective This study aimed to evaluate in vivo the occurrence of secondary caries and dentin characteristics in permanent molars after traditional amalgam restorations, by means of clinical visual examination, radiographs and laser-induced fluorescence (LF) (DIAGNOdent). Methods: Thirty first permanent molars of 30 schoolchildren in the 7 to14 year-old age group were included. Caries was removed by hand. Thus, indirect pulp capping was performed with glass-ionomer cement (GIC), the cavity was varnished and amalgam filled. LF was measured before and after cavity preparation and after a 12-month observation period. Dentin color after cavity preparation and after the 12-month observation period was recorded. Recurrent caries was also investigated by visual clinical and radiographic examinations, in addition to dentin thickness between pulp and indirect GIC pulp capping. Data was analyzed by ANOVA for repeated measurements, paired “t” test and descriptive statistic. Results: There were statistically significant differences (P<.05) among LF scores for dentin in all periods evaluated, with the lowest scores shown after 12 month of observation. There was no statistical difference between dentin color after cavity preparation and following 12 months of observation. Moreover, there was no recurrent caries attack at 12-month follow-up; dentin thickness between pulp and indirect GIC pulp capping was similar between baseline and final observation periods. It was concluded that the clinical restorative procedure using hand caries removal, indirect pulp capping with GIC, varnishing and amalgam filling the cavity did not provide secondary caries and increased dentin mineral content after 12 months. PMID:22904654

  15. Application of 10% Ascorbic Acid Improves Resin Shear Bond Stregth in Bleached Dentin

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    Kamizar Kamizar

    2014-10-01

    Full Text Available Normal 0 false false false IN X-NONE X-NONE MicrosoftInternetExplorer4 Restoration of the teeth immediately after bleaching with H2O2 35% is contraindicated due to the remnants of free radical that will stay inside dentin for 2-3 weeks which will compromise the adhesiveness of composite resin. Objective: The aim of this study was to evaluate the influence of 10% ascorbic acid on shear bond strength of composite placed on bleached dentin. Methods:Twenty seven samples were divided equally into three groups. Group 1: dentin was etched with 35% phosphoric acid; Group 2: dentin was bleached with 35% H2O2 followed by etching with 35% phosphoric acid; Group 3: dentin was bleached with 35% H2O2, followed by application of 10% ascorbic acid and etched with 35% phosphoric acid. All samples were then stored at 370C for 24 hours. The Universal Testing Machine was used to measure shear bond strength and the results were analyzed with Kruskal Wallis and Mann Whitney test. Results: After nine independent experiments, 10% ascorbic acid application on bleached dentin resulted in highest increased in bond stregth (56.04±11.06MPa compared to Group 2 (29.09±7.63MPa and Group 1 (25.55±2.22MPa and the difference was statistically significant (p<0.05. Conclusion: Application of 10% ascorbic acid to the bleached dentin improved the shear bond strength of resin composite.

  16. Degradation in the dentin-composite interface subjected to multi-species biofilm challenges.

    Science.gov (United States)

    Li, Y; Carrera, C; Chen, R; Li, J; Lenton, P; Rudney, J D; Jones, R S; Aparicio, C; Fok, A

    2014-01-01

    Oral biofilms can degrade the components in dental resin-based composite restorations, thus compromising marginal integrity and leading to secondary caries. This study investigates the mechanical integrity of the dentin-composite interface challenged with multi-species oral biofilms. While most studies used single-species biofilms, the present study used a more realistic, diverse biofilm model produced directly from plaques collected from donors with a history of early childhood caries. Dentin-composite disks were made using bovine incisor roots filled with Z100(TM) or Filtek(TM) LS (3M ESPE). The disks were incubated for 72 h in paired CDC biofilm reactors, using a previously published protocol. One reactor was pulsed with sucrose, and the other was not. A sterile saliva-only control group was run with sucrose pulsing. The disks were fractured under diametral compression to evaluate their interfacial bond strength. The surface deformation of the disks was mapped using digital image correlation to ascertain the fracture origin. Fracture surfaces were examined using scanning electron microscopy/energy-dispersive X-ray spectroscopy to assess demineralization and interfacial degradation. Dentin demineralization was greater under sucrose-pulsed biofilms, as the pH dropped Biofilm growth with sucrose pulsing also caused preferential degradation of the composite-dentin interface, depending on the composite/adhesive system used. Specifically, Z100 specimens showed greater bond strength reduction and more frequent cohesive failure in the adhesive layer. This was attributed to the inferior dentin coverage by Z100 adhesive, which possibly led to a higher level of chemical and enzymatic degradation. The results suggested that factors other than dentin demineralization were also responsible for interfacial degradation. A clinically relevant in vitro biofilm model was therefore developed, which would effectively allow assessment of the degradation of the dentin

  17. In vitro photodynamic antimicrobial chemotherapy in dentine contaminated by cariogenic bacteria

    Science.gov (United States)

    Melo, M. A. S.; de-Paula, D. M.; Lima, J. P. M.; Borges, F. M. C.; Steiner-Oliveira, C.; Nobre-Dos-Santos, M.; Zanin, I. C. J.; Barros, E. B.; Rodrigues, L. K. A.

    2010-06-01

    The development of a method to ensure bacterial-free substrates without extensive cavity preparation would be highly useful to dentistry, since there is no currently available effective method for killing residual bacteria in dentinal tissue. This randomized in vitro study determined parameters for using toluidine blue O (TBO) with a light-emitting diode (LED) for dentine caries disinfection and monitored intrapulpal/periodontal temperatures during irradiation. Occlusal human dentine slabs were immersed in Streptococcus mutans culture for demineralization induction. Slabs were allocated to 10 groups ( n = 15), which were treated with 0.1 mg ml-1 TBO with 5 min of incubation time or 0.9% NaCl solution for 5, 10 or 15 min, and submitted or not to irradiation for 5, 10 or 15 min (47, 94, and 144 J/cm2). Before and after treatments, dentine samples were analyzed with regard to S. mutans counts. In whole teeth, temperature in pulp and periodontium was measured by thermocouples during irradiation. Kruskal-Wallis/Student-Newman-Keuls, and ANOVA/Tukey test were respectively utilized to compare log reductions and temperature rises between groups. Bacterial reduction was observed when dentine was exposed to both TBO and LED at all irradiation times, as well as to LED alone for 10 and 15 min. Temperature increases lower than 2°C were observed for either pulp or periodontium. Concluding, LED combined with TBO is a safe and effective approach for dentine caries disinfection. Nevertheless, additional studies should be conducted to determine the influence of the irradiation in S. mutans viability in dentinal surface/tubules.

  18. CLINICOPATHOLOGICAL STUDY OF CERVICAL LYMPHADENOPATHY

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    Pradeep Kulal

    2015-07-01

    Full Text Available BACKGROUND AND OBJECTIVE : The analysis of lymph node enlargement in the neck is not a n easy task. It is challenge for surgeon to assess its clinical behaviour and come to a final diagnosis. These diseases which can be neoplastic also demands correct diagnosis for further management. The study intends to find out systematically the various p athological conditions presenting with enlarged lymph nodes in the neck, also various modes of clinical presentation and behaviour of these conditions. Relevant investigations have also been studied. METHODS AND MATERIALS : The study population consisted of patients above 12 years presenting with cervical lymph node enlargement. The material consists of patients during the period of January 2011 to J uly 2012. This study consists of 100 consecutive cases. Diagnosis is made on the basis of histopathological fi ndings. Patient was examined systemically giving utmost importance to local examination. After making a clinical diagnosis, further relevant investigations were done to confirm the diagnosis. Treatment was instituted appropriately and followed up the patie nts. RESULTS : Majority of the cases in this study had non - neoplastic causes for cervical lymphadenopathy in which tuberculosis is most common. Male and female ratio of 1.38:1 is noted with most cases between 12 and 30 years. Posterior triangle group of lym ph nodes was most commonly affected in tuberculosis. In lymphomas level 2 group of among the groups of lesions, with regard to local characteristics like number, laterality , mobility and involvement of other group of lymph nodes etc .FNAC by virtue of it being inexpensive, quick in getting results and easy to perform , is one of the important and essential diagnostic procedures. INTERPRETATION AND CONCLUSION : Clinical symptoms in cervical lymphadenopathy is of limited significance because clinical behaviour can be highly variable As cervical lymphadenopathy is an important disease, it always

  19. Efeitos do tratamento da Classe II divisão 1 em pacientes dolicofaciais tratados segundo a Terapia Bioprogressiva (AEB cervical e arco base inferior), com ênfase no controle vertical Treatment effects on Class II division 1 high angle patients treated according to the Bioprogressive therapy (cervical headgear and lower utility arch), with emphasis on vertical control

    OpenAIRE

    Viviane Santini Tamburús; João Sarmento Pereira Neto; Vânia Célia Vieira de Siqueira; Weber Luiz Tamburús

    2011-01-01

    OBJETIVO: o presente estudo investigou o controle vertical e os efeitos do tratamento ortodôntico em pacientes dolicofaciais, empregando o AEB cervical e o arco base inferior. MÉTODOS: foi realizada a avaliação cefalométrica de 26 pacientes dolicofaciais com Classe II, divisão 1, idade média de 114 meses. O tratamento ortodôntico envolveu a utilização do AEB cervical na arcada superior e arco base na arcada inferior, até a obtenção da chave de oclusão normal dos molares, e finalizado segundo ...

  20. Associação entre a contagem de linfócitos T CD4+ e a gravidade da neoplasia intra-epitelial cervical diagnosticada pela histopatologia em mulheres infectadas pelo HIV Association between CD4+ T-cell count and intraepithelial cervical neoplasia diagnosed by histopathology in HIV-infected women

    OpenAIRE

    Juliana Barroso Zimmermmann; Victor Hugo de Melo; Lúcia Porto Fonseca de Castro; Márcio José Martins Alves; Sebastião Guerra Zimmermmann; Dora Mendez Del Castillo

    2006-01-01

    OBJETIVO: avaliar a associação entre a contagem de linfócitos T CD4+ e a gravidade da neoplasia intra-epitelial cervical em pacientes HIV positivas. MÉTODOS: estudo transversal no qual foram incluídas 87 pacientes infectadas pelo HIV, confirmado por testes sorológicos prévios. Todas eram portadoras do HPV cervical, diagnosticado por meio da reação em cadeia da polimerase. Foram realizados anamnese, exame físico e colposcopia de todas em pacientes. A biópsia do colo uterino foi realizada quand...