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Sample records for hiperestesia dentinal causas

  1. Retracción gingival e hiperestesia dentinal: Causas y prevención Gingival recession and dentine hypersensitivity

    Directory of Open Access Journals (Sweden)

    Jorge Sotres Vázquez

    2004-08-01

    Full Text Available Se realizó una investigación en 230 pacientes que acudieron a los Servicios de Prótesis y Periodoncia de la Clínica Estomatológica "Hermanos Gómez" durante el año 2002. Se les evaluó la presencia de retracción gingival, sus causas y la relación existente con la hiperestesia dentinal. Se determinó que el 17,3 % de los dientes examinados presentaron algún grado de retracción gingival. Las causas más frecuentes fueron ausencia de dientes antagonistas e inserciones frénicas anormales. Existió una estrecha relación entre la hiperestesia dentinal y la retracción gingival. No existieron diferencias significativas de retracción gingival según el sexo, pero sí con la edad, pues aumentó significativamente según aumentó la edad.A research study was performed on 230 patients who went to the Denture and Periodontics Service at "Hermanos Gómez" dental clinic in the year 2002. They were evaluated as to presence of gingival recession, its causes and its relation with dentine hypersensitity. It was determined that 17,3% of examined teeth presented with some level of gingival recession frequently caused by lack of opposite teeth and abnormal frenal insertions. Gingival recession did not show significant differences by sex but it did by age since it markedly increased with the age.

  2. Clinical evaluation of dentin hypersensitivity treatment with the low intensity Gallium-Aluminum-Arsenide laser - AsGaAl Avaliação clínica do tratamento da hiperestesia dentinária com laser de baixa potência de Arseniato de Gálio-Alumínio - AsGaAl

    Directory of Open Access Journals (Sweden)

    Luciana Chucre Gentile

    2004-12-01

    Full Text Available The dentin hypersensitivity is a painful condition rather prevalent in the general population. There are several ways of treatment for such condition, including the low intensity lasers. The proposal of this study was to verify the effectiveness of the Gallium-Aluminum-Arsenide diode laser in the treatment of this painful condition, using a placebo as control. MATERIALS AND METHODS: Thirty-two patients were selected, 22 females and 10 males, with ages ranging from 20 to 52 years old. The 32 patients were randomly distributed into two groups, treated and control; the sample consisted of 68 teeth, 35 in the treated group and 33 in the control group. The treated group was exposed to six laser applications with intervals from 48 to 72 hours, and the control group received, as placebo, applications of a curing light. RESULTS: A significant reduction was observed in the pain condition between the initial phase and after six laser applications; however, such reduction could also be observed for the control group exposed to the placebo. CONCLUSION: Therapy with the low intensity Gallium-Aluminum-Arsenide laser - AsGaAl induces a statistically significant reduction in the painful condition after each application and between the beginning and end of treatment, although there was no statistically significant difference between the treated group (laser and the control group (placebo at the end of treatment and after the mediate evaluation results (after 6 weeks, this way impairing the real measurement of laser effectiveness and placebo effect.A hiperestesia dentinária trata-se de uma condição dolorosa bastante prevalente nas populações mundiais. Várias são as modalidades de tratamento para tal condição, entre elas, os lasers de baixa potência. A proposta deste estudo foi a de verificar a efetividade do laser de diodo de Arseniato de Gálio-Alumínio no tratamento desta condição dolorosa, utilizando-se um placebo como controle. MATERIAIS E M

  3. Mercadeando causas ambientales

    OpenAIRE

    Diana Forero

    2013-01-01

    En el presente escrito se presentan varias alternativas para el desarrollo del mercadeo de causas ambientales a través de entidades sin ánimo de lucro. En la primera parte se exploran los modelos de mercadeo que se han empelado con mayor regula-ridad: la filantropía estratégica, el mercadeo social y el mercadeo de causas. Se muestran las actividades más comunes en cada tipo de mercadeo y algunos puntos clave para desarrollarlo. En la segunda parte se presentan las barreras para la gestión del ...

  4. Las causas del desempleo

    OpenAIRE

    García Balbás, Salomé

    2014-01-01

    En este documento vamos a tratar de dar respuesta a la siguiente pregunta: ¿cuáles son las causas del desempleo? Para ello realizaremos un repaso de las principales teorías económicas del desempleo llegando a la conclusión de que existe una causa fundamental que lo genera: la rigidez de los salarios a la baja. Consideramos el desempleo como la existencia de un exceso de oferta en el mercado de trabajo y haremos alusión, únicamente, a la existencia de desempleo involuntario. La exposición de l...

  5. Peritubular dentin lacks piezoelectricity.

    Science.gov (United States)

    Habelitz, S; Rodriguez, B J; Marshall, S J; Marshall, G W; Kalinin, S V; Gruverman, A

    2007-09-01

    Dentin is a mesenchymal tissue, and, as such, is based on a collagenous matrix that is reinforced by apatite mineral. Collagen fibrils show piezoelectricity, a phenomenon that is used by piezoresponse force microscopy (PFM) to obtain high-resolution images. We applied PFM to image human dentin with 10-nm resolution, and to test the hypothesis that zones of piezoactivity, indicating the presence of collagen fibrils, can be distinguished in dentin. Piezoelectricity was observed by PFM in the dentin intertubular matrix, while the peritubular dentin remained without response. High-resolution imaging of chemically treated intertubular dentin attributed the piezoelectric effect to individual collagen fibrils that differed in the signal strength, depending on the fibril orientation. This study supports the hypothesis that peritubular dentin is a non-collagenous tissue and is thus an exception among mineralized tissues that derive from the mesenchyme.

  6. Mercadotecnia social y de causas.

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    Julie A. Garrett

    2015-01-01

    Full Text Available A partir de 1960 el público estadounidense empezó a presionar a la comunidad empresarial para que manifestará su responsabilidad social. Para los años ochenta, las empresas consideraron nuevos modelos de filantropía, American Express, acuñó la frase de "mercadotecnia de causas" para describir las relaciones beneficiosas entre las empresas y las entidades sin fines de lucro. México ha sido un ejemplo al aceptar la participación empresarial en cuestiones comunitarias y sociales gracias a los esfuerzos de la Organización Panamericana de la Salud.

  7. Mercadotecnia social y de causas.

    OpenAIRE

    Julie A. Garrett; Lisa S Rochlin; Gloria Coe

    2015-01-01

    A partir de 1960 el público estadounidense empezó a presionar a la comunidad empresarial para que manifestará su responsabilidad social. Para los años ochenta, las empresas consideraron nuevos modelos de filantropía, American Express, acuñó la frase de "mercadotecnia de causas" para describir las relaciones beneficiosas entre las empresas y las entidades sin fines de lucro. México ha sido un ejemplo al aceptar la participación empresarial en cuestiones comunitarias y sociales gracias a los es...

  8. Regulation of Reactionary Dentine Formation.

    Science.gov (United States)

    Neves, V C M; Sharpe, P T

    2018-04-01

    During the treatment of dental caries that has not penetrated the tooth pulp, maintenance of as much unaffected dentine as possible is a major goal during the physical removal of decayed mineral. Damage to dentine leads to release of fossilized factors (transforming growth factor-β [TGF-β] and bone morphogenic protein [BMP]) in the dentine that are believed to stimulate odontoblasts to secrete new "tertiary" dentine (reactionary dentine). This is formed on the pulpal surface of existing dentine and rethickens the dentine. We have previously shown that activation of Wnt/β-catenin signaling is pivotal for tooth repair in exposed pulp injury, and the pathway can be activated by small-molecule GSK-3 antagonists, resulting in enhanced reparative dentine formation. Here, we use a nonexposed pulp injury model to investigate the mechanisms of reactionary dentine formation in vivo, using small molecules to modulate the Wnt/β-catenin, TGF-β, and BMP pathways. We found that a local increase of Wnt activation at the injury site enhances reactionary dentine secretion. In addition, inhibition of TGF-β, BMP, or Wnt pathways does not impede reactionary dentine formation, although inhibition of TGF-β and/or BMP signaling does result in more disorganized, nontubular reactionary dentine. This suggests that Wnt/β-catenin signaling plays no major role in the formation of reactionary dentine, but in common with reparative dentine formation, exogenous elevation of Wnt/β-catenin signaling can enhance tertiary dentine formation. Release of latent TGF-β or BMPs from dentine is not required for the deposition of mineral to form reactionary dentine but does play a role in its organization.

  9. 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

  10. Polymer Nanocarriers for Dentin Adhesion

    Science.gov (United States)

    Osorio, R.; Osorio, E.; Medina-Castillo, A.L.; Toledano, M.

    2014-01-01

    To obtain more durable adhesion to dentin, and to protect collagen fibrils of the dentin matrix from degradation, calcium- and phosphate-releasing particles have been incorporated into the dental adhesive procedure. The aim of the present study was to incorporate zinc-loaded polymeric nanocarriers into a dental adhesive system to facilitate inhibition of matrix metalloproteinases (MMPs)-mediated collagen degradation and to provide calcium ions for mineral deposition within the resin-dentin bonded interface. PolymP-nActive nanoparticles (nanoMyP) were zinc-loaded through 30-minute ZnCl2 immersion and tested for bioactivity by means of 7 days’ immersion in simulated body fluid solution (the Kokubo test). Zinc-loading and calcium phosphate depositions were examined by scanning and transmission electron microscopy, elemental analysis, and x-ray diffraction. Nanoparticles in ethanol solution infiltrated into phosphoric-acid-etched human dentin and Single Bond (3M/ESPE) were applied to determine whether the nanoparticles interfered with bonding. Debonded sticks were analyzed by scanning electron microscopy. A metalloproteinase collagen degradation assay was also performed in resin-infiltrated dentin with and without nanoparticles, measuring C-terminal telopeptide of type I collagen (ICTP) concentration in supernatants, after 4 wk of immersion in artificial saliva. Numerical data were analyzed by analysis of variance (ANOVA) and Student-Newman-Keuls multiple comparisons tests (p calcium regardless of zinc incorporation. Nanoparticles failed to infiltrate demineralized intertubular dentin and remained on top of the hybrid layer, without altering bond strength. Calcium and phosphorus were found covering nanoparticles at the hybrid layer, after 24 h. Nanoparticle application in etched dentin also reduced MMP-mediated collagen degradation. Tested nanoparticles may be incorporated into dental adhesive systems to provide the appropriate environment in which dentin MMP

  11. Causas e importancia del desempleo juvenil

    OpenAIRE

    Vila Gómez, Juan Francisco

    1985-01-01

    A la hora de estudiar el problema del desempleo juvenil no hay que tener en cuenta solamente las causas de este problema; su conocimiento y análisis es importante para los encargados de las tomas de decisiones, planificadores y educadores. En el caso de España -y de la Comunidad Valenciana-, este problema se explica por la crisis económica de 1975, el Baby-Boom de los sesenta, la falta de relación entre los programas de enseñanza y demanda laboral, el proceso de innovación tecnológica y sus r...

  12. Dentin Permeability of Carious Primary Teeth

    African Journals Online (AJOL)

    primary dental pulp make it difficult to determine which modality offers the best ... The most common pathology of the dentine is dental caries. ... to evaluate dentine permeability is to calculate its hydraulic conductance (Lp) using fluid filtration ...

  13. Improved reactive nanoparticles to treat dentin hypersensitivity.

    Science.gov (United States)

    Toledano-Osorio, Manuel; Osorio, Estrella; Aguilera, Fátima S; Luis Medina-Castillo, Antonio; Toledano, Manuel; Osorio, Raquel

    2018-05-01

    The aim of this study was to evaluate the effectiveness of different nanoparticles-based solutions for dentin permeability reduction and to determine the viscoelastic performance of cervical dentin after their application. Four experimental nanoparticle solutions based on zinc, calcium or doxycycline-loaded polymeric nanoparticles (NPs) were applied on citric acid etched dentin, to facilitate the occlusion and the reduction of the fluid flow at the dentinal tubules. After 24 h and 7 d of storage, cervical dentin was evaluated for fluid filtration. Field emission scanning electron microscopy, energy dispersive analysis, AFM and Nano-DMA analysis were also performed. Complex, storage, loss modulus and tan delta (δ) were assessed. Doxycycline-loaded NPs impaired tubule occlusion and fluid flow reduction trough dentin. Tubules were 100% occluded in dentin treated with calcium-loaded NPs or zinc-loaded NPs, analyzed at 7 d. Dentin treated with both zinc-NPs and calcium-NPs attained the highest reduction of dentinal fluid flow. Moreover, when treating dentin with zinc-NPs, complex modulus values attained at intertubular and peritubular dentin were higher than those obtained after applying calcium-NPs. Zinc-NPs are then supposed to fasten active dentin remodeling, with increased maturity and high mechanical properties. Zinc-based nanoparticles are then proposed for effective dentin remineralization and tubular occlusion. Further research to finally prove for clinical benefits in patients with dentin hypersensitivity using Zn-doped nanoparticles is encouraged. Erosion from acids provokes dentin hypersensitivity (DH) which presents with intense pain of short duration. Open dentinal tubules and demineralization favor DH. Nanogels based on Ca-nanoparticles and Zn-nanoparticles produced an efficient reduction of fluid flow. Dentinal tubules were filled by precipitation of induced calcium-phosphate deposits. When treating dentin with Zn-nanoparticles, complex modulus

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

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    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.

  15. Femtosecond laser ablation of dentin

    International Nuclear Information System (INIS)

    Alves, S; Vilar, R; Oliveira, V

    2012-01-01

    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)

  16. Buffering action of human dentin in vitro.

    Science.gov (United States)

    Camps, J; Pashley, D H

    2000-01-01

    The purpose of this study was to determine the relative contributions of the mineral and organic phases of dentin to its total buffering capacity and to compare the buffering abilities of normal and caries-affected dentin for acids used in adhesive dentistry. Disks of normal and caries-affected human coronal dentin 0.6 mm thick were prepared. Fifty microL of various acids were applied to the surface of mineralized or completely demineralized dentin for varying lengths of time. They were collected from the surface and combined with water rinses to permit titration of the total amount of acid applied, the amount recovered, the total amount that was taken up by the dentin, and the amount that diffused across dentin into 1 mL of water. Equal volumes of acids were applied to mineralized or demineralized dentin powder or hydroxyapatite powder. About 88% to 90% of applied acid was recovered from the surface; only 10% to 12% of the acid was taken up by dentin. Of the H+ that was taken up, only 1% to 2% actually diffused across 0.6 mm of dentin. Increasing the application time of 37% phosphoric acid did not increase the amount of H+ that diffused across dentin. Increasing the concentration of phosphoric acid from 10% to 65% produced only slight increases in H+ diffusion across dentin. There was no difference in the buffering capacity of normal vs caries-affected dentin disks. Almost all of the buffering capacity of dentin is due to its mineral phase. The high buffering capacity of dentin and the high reactivity of H+ insure that little H+ diffuses through dentin more than 0.6 mm thick.

  17. Effect of desensitizing toothpastes on dentin

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    Shelon Cristina Souza Pinto

    2012-10-01

    Full Text Available The objective of this study was to analyze the effects of toothbrushing with desensitizing toothpastes on dentin permeability and dentinal tubule occlusion. Fifty rats provided two hundred incisor teeth divided into five groups: DW, brushed with distilled water (control; FT, brushed with fluoride toothpaste; SCT, brushed with strontium chloride toothpaste; PCT, brushed with potassium citrate toothpaste; and PNT, brushed with potassium nitrate toothpaste. Cavities were prepared to expose the dentinal tubules, and the incisor teeth were brushed using the experimental agents. After each treatment, Evans blue dye solution was applied to the teeth. Dentin permeability was analyzed using scanning electron microscopy and energy-dispersive X-rays (EDX. There were significant differences (p < 0.0001, ANOVA among the groups regarding dentin permeability, number of dentinal tubules, diameter of dentinal tubules, and opened tubular area. In the SCT, PCT and PNT groups, opened and partially occluded tubules, deposits, and a few smear layers were observed. In the DW and FT groups, most of the dentinal tubules were open, with no deposits or smear layers on the dentin. EDX revealed peaks of calcium and phosphorus in all of the groups, as well as traces of strontium in the SCT group and of potassium in the PCT and PNT groups. Desensitizing toothpaste decreased dentin permeability, although it produced only partial dentin tubule occlusion.

  18. Dentin-cement Interfacial Interaction

    Science.gov (United States)

    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 caustic effect of the calcium silicate cement’s hydration products degrades the collagenous component of the interfacial dentin. This degradation leads to the formation of a porous structure which facilitates the permeation of high concentrations of Ca2+, OH-, and CO32- ions, leading to increased mineralization in this region. Comparison of the dentin-restorative interfaces shows that there is a dentin-mineral infiltration with the Biodentine, whereas polyacrylic and tartaric acids and their salts characterize the penetration of the GIC. A new type of interfacial interaction, “the mineral infiltration zone”, is suggested for these calcium-silicate-based cements. PMID:22436906

  19. Hereditary dentine disorders: dentinogenesis imperfecta and dentine dysplasia

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    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

  20. Microshear bonding effectiveness of different dentin regions

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    Anelise F Montagner

    2015-01-01

    Full Text Available Aim: The aim of this in vitro study was to evaluate the influence of dentin surfaces with different tubule orientation on bond strength of a multimode adhesive system. Materials and Methods: Twenty human molars were selected and prepared in different ways in order to produce different dentin regions. The teeth were randomized (n = 5 according to the application modes of a multimode adhesive system (etch-and-rinse and self-etching and to the dentin region (occlusal and proximal - 1.5 mm depth from dentinoenamel junction. Cylindrical restorations were performed on dentin with a starch tube. The samples remained immersed in distilled water for 24 h and the microshear bond strength (μSBS test was performed. The μSBS values were expressed in MPa and analyzed with ANOVA and Tukey′s test (P < 0.05. Results: There was no significant difference in the bond strength values between the application modes of the adhesive system (P = 0.19; however, the dentin regions (P < 0.05 significantly affected the μSBS. The proximal dentin presented higher bond strength values than occlusal dentin. Conclusion: The dentin surfaces with different tubule orientation influenced the bonding effectiveness of the adhesive system tested.

  1. Unicystic ameloblastoma with the presence of dentin

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    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.

  2. Raman spectra of human dentin mineral

    NARCIS (Netherlands)

    Tsuda, H; Ruben, J; Arends, J

    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

  3. Pulpal progenitors and dentin repair.

    Science.gov (United States)

    Harichane, Y; Hirata, A; Dimitrova-Nakov, S; Granja, I; Goldberg, A; Kellermann, O; Poliard, A

    2011-07-01

    Mesenchymal stem cells are present in the dental pulp. They have been shown to contribute to dentin-like tissue formation in vitro and to participate in bone repair after a mandibular lesion. However, their capacity to contribute efficiently to reparative dentin formation after pulp lesion has never been explored. After pulp exposure, we have identified proliferative cells within 3 zones. In the crown, zone I is near the cavity, and zone II corresponds to the isthmus between the mesial and central pulp. In the root, zone III, near the apex, at a distance from the inflammatory site, contains mitotic stromal cells which may represent a source of progenitor cells. Stem-cell-based strategies are promising treatments for tissue injury in dentistry. Our experiments focused on (1) location of stem cells induced to leave their quiescent state early after pulp injury and (2) implantation of pulp progenitors, a substitute for classic endodontic treatments, paving the way for pulp stem-cell-based therapies.

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

    International Nuclear Information System (INIS)

    Aminzadeh, A.; Aminzadeh, A.; Khosravy, K.

    2002-01-01

    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

  5. Machinability of some dentin simulating materials.

    Science.gov (United States)

    Möllersten, L

    1985-01-01

    Machinability in low speed drilling was investigated for pure aluminium, Frasaco teeth, ivory, plexiglass and human dentin. The investigation was performed in order to find a suitable test material for drilling experiments using paralleling instruments. A material simulating human dentin in terms of cuttability at low drilling speeds was sought. Tests were performed using a specially designed apparatus. Holes to a depth of 2 mm were drilled with a twist drill using a constant feeding force. The time required was registered. The machinability of the materials tested was determined by direct comparison of the drilling times. As regards cuttability, first aluminium and then ivory were found to resemble human dentin most closely. By comparing drilling time variances the homogeneity of the materials tested was estimated. Aluminium, Frasaco teeth and plexiglass demonstrated better homogeneity than ivory and human dentin.

  6. Causas externas e mortalidade materna: proposta de classificacao

    OpenAIRE

    Alves, Mercia Maria Rodrigues; Alves, Sandra Valongueiro; Antunes, Maria Bernadete de Cerqueira; Santos, Dirce Luiza Pereira dos

    2013-01-01

    OBJETIVO: Analisar os óbitos por causas externas e causas mal definidas em mulheres em idade fértil ocorridos na gravidez e no puerpério precoce. MÉTODOS: Foram estudados 399 óbitos de mulheres em idade fértil de Recife, PE, de 2004 a 2006. A pesquisa utilizou o método Reproductive Age Mortality Survey e um conjunto de instrumentos de investigação padronizados. Foram usados como fontes de dados laudos do Instituto Médico Legal, prontuários hospitalares e da Estratégia Saúde da Família e ...

  7. Fracture mechanism of coronal teenage dentin

    Science.gov (United States)

    Panfilov, P. E.; Kabanova, A. V.; Borodin, I. N.; Guo, J.; Zang, Z.

    2017-10-01

    The structure of coronal teenage dentin and the development of cracks in it are studied on microand nanolevels. The material is found to fail according to a ductile mechanism on a microlelvel and according to a ductile-brittle mechanism on a nanoscale. This behavior is similar to the failure of a polyethylene film and rubber, when significant elastic and irreversible deformation precedes crack growth. The viscoelastic behavior can be considered as the reaction of dentin to an applied mechanical load.

  8. Effect of desensitizing agents on dentin permeability.

    Science.gov (United States)

    Ishihata, Hiroshi; Kanehira, Masafumi; Nagai, Tomoko; Finger, Werner J; Shimauchi, Hidetoshi; Komatsu, Masashi

    2009-06-01

    To investigate the in vitro efficacy of two dentin desensitizing products at reducing liquid permeability through human dentin discs. The tested hypothesis was that the products, in spite of different chemical mechanisms were not different at reducing or eliminating flow through dentin discs. Dentin slices (1 mm thick) were prepared from 16 extracted human third molars and their permeability was indirectly recorded in a split chamber model, using a chemiluminescence technique, after EDTA treatment (control), after soaking with albumin, and after desensitizer application. Two products were studied: MS Coat, a self-curing resin-containing oxalate product, and Gluma Desensitizer, a glutaraldehyde/HEMA-based agent without initiator. The dentin slices were mounted between an upper chamber, filled with an aqueous solution of 1% potassium ferricyanide and 0.3% hydrogen peroxide, and a lower chamber filled with 1% sodium hydroxide solution and 0.02% luminol. The upper solution was pressurized, and upon contact with the luminol solution a photochemical signal was generated and recorded as a measure of permeability throughout two consecutive pressurizing cycles at 2.5 and 13 kPa (26 and 133 cm H2O), respectively. The permeability of the control and albumin-soaked samples was similarly high. After application of the desensitizing agents, dentin permeability was reduced to virtually zero at both pressure levels (P < 0.001).

  9. 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

  10. Violência e mortes por causas externas

    Directory of Open Access Journals (Sweden)

    Graciete Oliveira Vieira

    2003-02-01

    Full Text Available Através de um estudo ecológico caracterizou-se a violência e as mortes por causas externas em Salvador e Bahia utilizando-se dados da Fundação Nacional de Saúde-Ministério da Saúde, dos registros de mortalidade e das estimativas populacionais do IBGE. O risco de morrer por homicídio no Brasil é 3 vezes o do Estados Unidos, chegando a ser 40 vezes superior ao do Japão. Homicídio foi a primeira causa de anos potenciais de vidas perdidos (13,4% no Brasil (1997, seguido por acidentes de trânsito (10,6%. Causas externas foi a segunda causa de morte em Salvador e Bahia (1996. A violência tem raízes sócio-culturais e político-ideológicas e pode ser prevenida por ações intersetoriais e multidisciplinares.

  11. Effects of matrix metallproteinases on dentin bonding and strategies to increase durability of dentin adhesion

    Directory of Open Access Journals (Sweden)

    Jung-Hyun Lee

    2012-02-01

    Full Text Available The limited durability of resin-dentin bonds severely compromises the longevity of composite resin restorations. Resin-dentin bond degradation might occur via degradation of water-rich and resin sparse collagen matrices by host-derived matrix metalloproteinases (MMPs. This review article provides overview of current knowledge of the role of MMPs in dentin matrix degradation and four experimental strategies for extending the longevity of resin-dentin bonds. They include: (1 the use of broad-spectrum inhibitors of MMPs, (2 the use of cross-linking agents for silencing the activities of MMPs, (3 ethanol wet-bonding with hydrophobic resin, (4 biomimetic remineralization of water-filled collagen matrix. A combination of these strategies will be able to overcome the limitations in resin-dentin adhesion.

  12. Dentin and pulp sense cold stimulus.

    Science.gov (United States)

    Tokuda, Masayuki; Tatsuyama, Shoko; Fujisawa, Mari; Morimoto-Yamashita, Yoko; Kawakami, Yoshiko; Shibukawa, Yoshiyuki; Torii, Mistuso

    2015-05-01

    Dentin hypersensitivity is a common symptom, and recent convergent evidences have reported transient receptor potential (TRP) channels in odontoblasts act as mechanical and thermal molecular sensor, which detect stimulation applied on the exposed dentin surface, to drive multiple odontoblastic cellular functions, such as sensory transduction and/or dentin formation. In the present study, we confirmed expression of TRP melastatin subfamily member-8 (TRPM8) channels in primary cultured cells derived from human dental pulp cells (HPCs) and mouse odontoblast-lineage cells (OLCs) as well as in dentin matrix protein-1 (DMP-1) and dentin sialoprotein (DSP) positive acutely isolated rat odontoblasts from dental pulp tissue slice culture by immunohistochemical analyses. In addition, we detected TRPM8 channel expression on HPCs and OLCs by RT-PCR and Western blotting analyses. These results indicated that both odontoblasts and dental pulp cells express TRPM8 channels in rat, mouse and human, and therefore we hypothesize they may contribute as cold sensor in tooth. Copyright © 2015 Elsevier Ltd. All rights reserved.

  13. [Mantle dentin as biomodel of materials for structural teeth restoration].

    Science.gov (United States)

    Starodubova, A V; Vinnichenko, Yu A; Pourovskaya, I Ya; Rusanov, F S

    The article describes a structural element of natural teeth - mantle dentin. It has been shown that the presence of this element in the structure of a natural tooth largely ensures its strength under the influence of repeated loads in a functional oral environment and arrests crack growth at the enamel/dentine interface. This later effect is explained by the influence of a thin layer of mantle dentine, which has physical and mechanical characteristics different from that of the main dentin.

  14. Causas "fracas" e redes causais complexas em psiquiatria

    Directory of Open Access Journals (Sweden)

    Luís Fernando S. C. de Araújo

    2014-03-01

    Full Text Available OBJETIVOS: Realizamos uma análise do conceito de causalidade aplicado em psiquiatria e propomos sua abordagem baseada nas ideias de influências causais fracas e de redes causais complexas. MÉTODO: Análise conceitual de artigos e livros selecionados. RESULTADOS: Identificamos o modelo de causalidade INUS, proposto pelo filósofo J. L. Mackie que contorna algumas das dificuldades relacionadas à presença de múltiplas causas interdependentes, como parece ocorrer no caso dos transtornos mentais e mostramos que tal modelo se aplica bem ao TEPT. CONCLUSÃO: Sugerimos que o fracasso na busca de causas "fortes" para os transtornos mentais talvez indique a necessidade de revisão de nossas expectativas, com a adoção de modelos alternativos de causalidade.

  15. Prevention of root caries with dentin adhesives.

    Science.gov (United States)

    Grogono, A L; Mayo, J A

    1994-04-01

    This in vitro investigation determined the feasibility of using dentin adhesives to protect root surfaces against caries. The roots of 22 recently extracted human teeth were all painted with a protective lacquer leaving two unprotected small windows. On each specimen, one window (control) was left untreated and the other window (experimental) was treated using a dentin adhesive (Scotchbond Multi-Purpose). The roots were then immersed in an in vitro acetate/calcium/phosphate demineralization model at pH 4.3. After 70 days, the samples were removed and sectioned through the windows. The undecalcified ground sections were examined under transmitted and polarized light. Lesions characteristic of natural root caries were seen in the untreated control windows. No such lesions were apparent in the experimental windows. The results of this preliminary study suggest that dentin adhesives may provide protection against root caries.

  16. 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.

  17. Tromboflebitis extensa como causa de fiebre insidiosa puerperal

    OpenAIRE

    Charco Roca, Luisa María; Bonmatí García, Lorena; Rubio Postigo, Gem

    2015-01-01

    Los eventos tromboembólicos son factores contribuyentes esenciales de morbilidad y mortalidad materna. La enfermedad tromboembólica complicada en el periodo puerperal a menudo se presenta con fiebre de causa desconocida y un dolor abdominal que puede confundirse con síntomas del postparto (1). El diagnostico de estos procesos deben hacerse por tomografía axial computerizada (TAC) (1,2). La terapia antiinflamatoria, antibiótica y anticoagulante oportuna y eficaz puede mejorar significativament...

  18. Effect of dentin bonding agent diffusing through dentin slices on the reactive oxygen species production and apoptosis of pulpal cells

    Directory of Open Access Journals (Sweden)

    Bor-Shiunn Lee

    2015-04-01

    Conclusion: The three DBAs after diffusion through 0.2- or 0.5-mm dentin slice still exhibit cytotoxicity to dental pulp cells. However, the 0.5-mm dentin slice is found to be a better barrier than the 0.2-mm dentin slice to protect dental pulp cells from DBA-induced cytotoxicity.

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

    Directory of Open Access Journals (Sweden)

    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.

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

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    Parvin Mirzakoucheki

    2015-05-01

    Full Text Available 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 Single Bond Plus adhesives and restored with composite resin. Teeth were sectioned into beams, and the specimens were subjected to MTBS test. Data were analyzed using two-way ANOVA and post hoc Tukey tests. Results There was a statistically significant interaction between dentin treatment and adhesive on MTBS to coronal dentin (p = 0.003. Despite a trend towards worse MTBS being noticed in the experimental groups, TAP application showed no significant effect on MTBS (p = 0.064. Conclusions The etch-and-rinse adhesive Adper Single Bond Plus presented higher mean bond strengths than the self-etch adhesive Filtek P90, irrespective of the group. The superior bond performance for Adper Single Bond when compared to Filtek P90 adhesive was confirmed by a fewer number of adhesive failures. The influence of TAP in bond strength is insignificant.

  1. Dentine hypersensitivity: real or imagined | Gbadebo | Nigerian ...

    African Journals Online (AJOL)

    Background: Dentine hypersensitivity is a common presentation of cause of pain and or discomfort with mastication which has been shown to affect the quality of life of the affected individual. It is also a common cause of presentation at the dental clinics. However, the cause, diagnosis and possible management to give relief ...

  2. 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.

  3. Penetration of amalgam constituents into dentine

    NARCIS (Netherlands)

    Scholtanus, Johannes D.; Ozcan, Mutlu; Huysmans, Marie-Charlotte D. N. J. M.

    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

  4. Penetration of amalgam constituents into dentine.

    NARCIS (Netherlands)

    Scholtanus, J.D.; Ozcan, 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

  5. Dentin Hypersensitivity: Recent Concepts in Management

    Directory of Open Access Journals (Sweden)

    Vijay Mantri

    2011-01-01

    Full Text Available Tooth sensitivity is a very common clinical presentation which can cause considerable concern for patients. Dentin hypersensitivity (DH is characterized by short sharp pain arising from exposed dentin in response to stimuli. The most widely accepted theory of how the pain occurs is Brannstrom′s hydrodynamic theory, fluid movement within the dentinal tubules. The condition generally involves the facial surfaces of teeth near the cervical aspect and is very common in premolars and canines. This condition is frequently encountered by dentists, periodontists, hygienists and dental therapists. Some dental professionals lack confidence in treating DH. The management of this condition requires a good understanding of the complexity of the problem, as well as the variety of treatments available. This review considers the etiopathogenesis, incidence, diagnosis, prevention and management of dentinal hypersensitivity. DH is diagnosed after elimination of other possible causes of the pain. Any treatment plan for DH should include identifying and eliminating predisposing etiologic factors. Professionals should appreciate the role causative factors play in localizing and initiating hypersensitive lesions. It is important to identify these factors so that prevention can be included in the treatment plan. Treatments can be self-administered by the patient at home or be applied by a dental professional in the dental office. At-home methods tend to be simple and inexpensive and can treat simultaneously generalized DH affecting many teeth Desensitizing treatment should be delivered systematically, beginning with prevention and at-home treatments. The latter may be supplemented with in-office modalities.

  6. 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.

  7. 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.

  8. Causas externas e mortalidade materna: proposta de classificacao

    Directory of Open Access Journals (Sweden)

    Mercia Maria Rodrigues Alves

    2013-06-01

    Full Text Available OBJETIVO: Analisar os óbitos por causas externas e causas mal definidas em mulheres em idade fértil ocorridos na gravidez e no puerpério precoce. MÉTODOS: Foram estudados 399 óbitos de mulheres em idade fértil de Recife, PE, de 2004 a 2006. A pesquisa utilizou o método Reproductive Age Mortality Survey e um conjunto de instrumentos de investigação padronizados. Foram usados como fontes de dados laudos do Instituto Médico Legal, prontuários hospitalares e da Estratégia Saúde da Família e entrevistas com os familiares das mulheres falecidas. Óbitos por causa externa na gravidez foram classificados de acordo com a circunstância da morte usando-se o código O93 e calculadas as razões de mortalidade materna antes e depois da classificação. RESULTADOS: Foram identificados 18 óbitos na presença de gravidez. A maioria das mulheres tinha entre 20 e 29 anos, de quatro a sete anos de estudo, eram negras, solteiras. Quinze óbitos foram classificados com o código O93 como morte relacionada à gravidez (13 por homicídio - O93.7; dois por suicídio - O93.6 e três mortes maternas obstétricas indiretas (uma homicídio - O93.7 e duas por suicídio - O93.6. Houve incremento médio de 35,0% nas razões de mortalidade materna após classificação. CONCLUSÕES: Os óbitos por causas mal definidas e no puerpério precoce não ocorrem por acaso e sua exclusão dos cálculos dos indicadores de mortalidade materna aumentam os níveis de subinformação.

  9. CAUSAS DE DESERCIÓN EN INGRESANTES A LA FOLP

    OpenAIRE

    Tomas, Leandro Juan; Medina, María Mercedes; Seara, Sergio Eduardo

    2010-01-01

    La deserción universitaria se ha convertido en problema estructural de la educación superior. En la FOLP se investigó esta problemática buscando identificar las posibles causas y a partir de los resultados, sugerir intervenciones para promover acciones específicas y disminuir el abandono universitario. Este trabajo se propuso caracterizar el comportamiento de la deserción, bajo la premisa de generar y proponer un seguimiento permanente que pudiese ser asumido por la administrac...

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

    Energy Technology Data Exchange (ETDEWEB)

    Sanches Borges, Ana Flavia [Department of Dental Materials at Piracicaba Dental School, State University of Campinas, Piracicaba, SP (Brazil); Andrade Bitar, Renata [Biomedical Engineering, Valley of Paraiba University (UNIVAP) (Brazil); Kantovitz, Kamila Rosamilia [Department of Pediatric Dentistry at Piracicaba Dental School, State University of Campinas, Piracicaba, SP (Brazil); Bortollazo Correr, Americo [Department of Dental Materials at Piracicaba Dental School, State University of Campinas, Piracicaba, SP (Brazil); Martin, Airton Abrahao [Biomedical Engineering Post Graduation, Valley of Paraiba University (UNIVAP) (Brazil); Puppin-Rontani, Regina Maria [Department of Pediatric Dentistry at Piracicaba Dental School, State University of Campinas, Piracicaba, SP (Brazil)], E-mail: rmpuppin@fop.unicamp.br

    2007-12-30

    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.

  11. 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.

  12. O hipertexto e o estranho: causas e efeitos

    Directory of Open Access Journals (Sweden)

    Everton Vinicius de Santa

    2010-07-01

    Full Text Available Segundo Barthes, o texto ideal é aquele que se apresenta em redes múltiplas e que se entrelaça, sem comprometer sua estrutura. Redes ou nós que fazem com que esse texto ofereça um universo de significantes e significados, ou seja, não tem início, é reversível, possui diversas entradas e isso se choca com a noção tradicional de práticas de leitura e escrita linear. Nesse sentido, nosso objetivo é demonstrar como o hipertexto causa "estranheza" partindo do conceito de “estranho” apontado por Freud em seu artigo Das Unheimlich (1919, a fim de que possamos compreender como essa relação obra/leitor vem sendo alterada e provocando sensações de dinamicidade distintas da inércia do papel, como observamos em O Jogo da Amarelinha (1963, de Julio Cortázar, e em textos de temática fantástica, como em E.T.A. Hoffmann e Edgar Allan Poe, não no sentido do assustador, mas do provocativo, do foregrounding que gera causas e efeitos significantes nas práticas literárias digitais conectadas ao ciberespaço.

  13. Porcine dentin sialoprotein glycosylation and glycosaminoglycan attachments.

    Science.gov (United States)

    Yamakoshi, Yasuo; Nagano, Takatoshi; Hu, Jan Cc; Yamakoshi, Fumiko; Simmer, James P

    2011-02-03

    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. 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 tentatively assigned at Thr200, Thr216 and Thr

  14. 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

  15. Dentine tubule infection and endodontic therapy implications.

    Science.gov (United States)

    Oguntebi, B R

    1994-07-01

    A critical review of the literature suggests that the microenvironment of dentinal tubules appears to favour the selection of relatively few bacterial types irrespective of the aetiology of the infection process; coronal dental caries or pulpar necrosis. These bacteria may constitute an important reservoir from which root canal infection and reinfection may occur following pulp necrosis or during and after endodontic treatment. Previous studies of this microflora have utilized microbiological culture techniques which need to be supplemented by those that allow in situ demonstration as well as identification of the bacteria. Newer treatment strategies that are designed to eliminate this microflora must include agents that can penetrate the dentinal tubules and destroy these microorganisms, since they are located in an area beyond the host defence mechanisms where they cannot be reached by systemically administered antimicrobial agents.

  16. In vivo Dentin Caries Model using Rat Molars

    OpenAIRE

    Takashi, HIGASHI; Junji, TAGAMI; Nobuhiro, HANADA; Cariology and Operative Dentistry, Department of Restorative Sciences, Tokyo Medical and Dental University; Cariology and Operative Dentistry, Department of Restorative Sciences, Tokyo Medical and Dental University; Department of Oral Science The National Institute of Infectious Diseases(NIID)

    2000-01-01

    Experimental dentinal caries was induced in rat molars which were inoculated orally with Streptococcus mutans and maintained on a carionenic diet 2000. After 30 days on the diet, the rats were sacrificed. The caries lesions were confirmed with a caries detector, then nanohardness determination of caries dentin were measured with nanoindentation. After hardness measurement, the lesion was examined by SEM and EDS. Dentin caries in sixteen fissures was induced among 20 fissures in the mandibular...

  17. Deformation Behavior of Human Dentin under Uniaxial Compression

    Directory of Open Access Journals (Sweden)

    Dmitry Zaytsev

    2012-01-01

    Full Text Available Deformation behavior of a human dentin under compression including size and rate effects is studied. No difference between mechanical properties of crown and root dentin is found. It is mechanically isotropic high elastic and strong hard tissue, which demonstrates considerable plasticity and ability to suppress a crack growth. Mechanical properties of dentin depend on a shape of samples and a deformation rate.

  18. Comprehensive proteomic analysis of human dentin

    Czech Academy of Sciences Publication Activity Database

    Jágr, Michal; Eckhardt, Adam; Pataridis, Statis; Mikšík, Ivan

    2012-01-01

    Roč. 120, č. 4 (2012), s. 259-268 ISSN 0909-8836 R&D Projects: GA ČR(CZ) GA203/08/1428; GA ČR(CZ) GAP206/12/0453 Institutional research plan: CEZ:AV0Z50110509 Institutional support: RVO:67985823 Keywords : dentin * mass spectrometry * proteomics * tooth * two-dimensional gel electrophoresis Subject RIV: CB - Analytical Chemistry, Separation Impact factor: 1.420, year: 2012

  19. Obesidade infantil: causas e estratégias preventivas

    Directory of Open Access Journals (Sweden)

    Vanessa Margareth Soares

    2015-04-01

    Full Text Available Esta pesquisa teve como objetivo auxiliar a compreensão das causas da obesidade infantil bem como mostrar algumas estratégias simples que podem contribuir na prevenção dessa doença. O caso ‘sobrepeso e obesidade’ é tratado por muitas pessoas sem a devida importância, por entenderem que o mesmo é apenas uma questão estética que não interfere em nada além da saúde física da criança obesa ou sobrepesada, o que é um engano, pois a obesidade e o sobrepeso tem várias causas e uma extensão de problemas, como a hipertensão e o diabetes entre outros, que estão associados direta ou indiretamente a esse mal. A pesquisa foi realizada com crianças de 4 a 5 anos, de uma escola pública e uma privada do município de Sinop - MT, tendo como respaldo metodológico a observação participante utilizando-se de questionários implícitos em diálogos, onde tivemos a oportunidade de compreender alguns aspectos sobre os hábitos alimentares e físicos das mesmas. Os diálogos foram analisados de forma qualitativa, onde munidos do índice de massa corporal, caderno de impressões, podemos constatar que o maior mal que a obesidade causa é o psicológico, pois as crianças sobrepesadas observadas se excluem do convívio social. Aos responsáveis e sociedade em geral cabe a responsabilidade de dar continuidade aos saberes aplicados em sala, estabelecendo hábitos mais saudáveis no ambiente em que vivem.Palavras-chave: educação; educação física e alimentar; obesidade infantil; alunos de 4 e 5 anos.

  20. Chemical treatment of the intra-canal dentin surface: a new approach to modify dentin hydrophobicity

    Directory of Open Access Journals (Sweden)

    Cesar GAITAN-FONSECA

    2013-01-01

    Full Text Available Objective This study evaluated the hydrophobicity of dentin surfaces that were modified through chemical silanization with octadecyltrichlorosilane (OTS. Material and Methods An in vitro experimental study was performed using 40 human permanent incisors that were divided into the following two groups: non-silanized and silanized. The specimens were pretreated and chemically modified with OTS. After the chemical modification, the dentin hydrophobicity was examined using a water contact angle measurement (WCA. The effectiveness of the modification of hydrophobicity was verified by the fluid permeability test (FPT. Results and Conclusions Statistically significant differences were found in the values of WCA and FPT between the two groups. After silanization, the hydrophobic intraradicular dentin surface exhibited in vitro properties that limit fluid penetration into the sealed root canal. This chemical treatment is a new approach for improving the sealing of the root canal system.

  1. Clinical efficacy of toothpaste containing potassium citrate in treating dentin hypersensitivity

    Directory of Open Access Journals (Sweden)

    Shih-Ya Shen

    2009-12-01

    Conclusion: The prevalence of dentin hypersensitivity in this study was 38%. The use of desensitizing toothpaste containing potassium citrate with oral hygiene instruction can effectively reduce dentin hypersensitivity.

  2. Efficacy of Modified Bioactive Glass for Dentin Remineralization and Obstruction of Dentinal Tubules

    Directory of Open Access Journals (Sweden)

    Mahshid Saffarpour

    2017-10-01

    Full Text Available Objectives: This study assessed the efficacy of modified bioactive glass (MBG for dentin remineralization and obstruction of dentinal tubules.Materials and Methods: Thirty-six dentin discs were made from 20 third molars and were stored in 12% lactic acid solution for two weeks to induce demineralization. The samples were divided into three groups (n=12: 1- BG, 2- BG modified with 5% strontium (Sr and 3- BG modified with 10% Sr. After applying the BG, the samples were stored in artificial saliva for 7, 14 and 21 days. Attenuated Total Reflection-Fourier Transform Infrared Spectroscopy (ATR-FTIR, X-ray Diffraction (XRD analysis, Scanning Electron Microscopy (SEM, and Energy-Dispersive X-ray (EDX analysis were used to assess remineralization. Also, 6 dentin discs were divided into three groups of BG, BG modified with 5% Sr and BG modified with 10% Sr, to examine tubular occlusion. The discs were etched using 0.5M of EDTA for two minutes and were stored in artificial saliva for 7 days. Changes in dentin surface morphology were evaluated under SEM.Results: Group 3 showed high rates of remineralization at days 7 and 14, although the rate decreased at day 21. Group 2 exhibited high rates of remineralization at days 7, 14 and 21. Dentinal tubules were partially occluded by BG and BG modified with 5% Sr, while they were almost completely obstructed after the use of BG modified with 10% Sr.Conclusions: Strontium increases remineralization. Addition of 10% Sr to BG enhances apatite formation; however, the apatite dissolves over time. Addition of 5% Sr to BG stabilizes the apatite lattice and increases the remineralization.

  3. Strontium effects on root dentin tubule occlusion and nanomechanical properties.

    Science.gov (United States)

    Saeki, Kuniko; Marshall, Grayson W; Gansky, Stuart A; Parkinson, Charles R; Marshall, Sally J

    2016-02-01

    Dentin hypersensitivity often is treated by promotion of dentin tubule occlusion. In this in vitro study we evaluated nanomechanical properties and degree of tubule occlusion conferred to sound and demineralized human root dentin following treatment with a 10% (w/w) strontium acetate solution and its relation to the treatment duration and delivery method. 24 human cervical root dentin disks (8 groups of 3) were polished through 0.25 μm. 12 disks were subjected to an acid challenge (1% citric acid, pH 3.8) for 2 min. The specimens were incubated in artificial saliva, treated by soaking or brushing with deionized (DI) water or a solution of 10% strontium acetate for 2 min twice a day for 28 days. The occlusion percent and nanomechanical properties were determined at the baseline, 5, 14 and 28 days. Cross-sectioned specimens were prepared to evaluate the depth affected by strontium acetate / dentin interaction by SEM. Statistical analysis was performed using linear mixed effects models. A 10% strontium acetate treatment over 5-28 days significantly increased tubule occlusion for normal root dentin and to a lesser extent for demineralized dentin and increased the AFM based nanomechanical properties of demineralized dentin. Brushing was more effective than soaking in recovery of properties of demineralized dentin when treated with strontium. No difference in tubuleocclusion was found between the two delivery methods. Strontium acetate itself proved to have the ability to occlude dentin tubules and result in small changes in the mechanical properties of dentin. Copyright © 2015 Academy of Dental Materials. Published by Elsevier Ltd. All rights reserved.

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

    NARCIS (Netherlands)

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

    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

  5. An unusual oral habit presenting as Dentin Hypersensitivity | Afolabi ...

    African Journals Online (AJOL)

    We present the case of a 30-year-old man with an unusual oral habit- office pin chewing and filing of the front tooth which resulted in dentine hypersensitivity. Clinical relevance: The role of daily oral habits and techniques of cessation were suggested in the management of dentine hypersensitivity. Keywords: Unusual oral ...

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

    NARCIS (Netherlands)

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

    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

  7. 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

    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=

  8. The effect of propolis fluoride on caries dentine activity

    Science.gov (United States)

    Darwita, Risqa Rina; Soekanto, Sri Angky; Finisha, Andanali Rhukul; Wahyuni, Hardiati Nur; Andiani, Salsabila Ghina

    2018-02-01

    This research was conducted to analyze the effect of propolis fluoride on the occurrence of arrested caries dentine surface. The design of the study was a clinical trial experimental. The respondent were primary school students aged 6-8 years, from primary school in Kukusan, Depok, West Java, Indonesia. They were screened of dental examination and the total number of 296 children with an age range of 6-8 year old were included in the study. All students who had dentin caries were get dental treatment with propolis fluoride topical application in dentin caries surface. After one month, two months and four months all students who were got propolis fluoride topical application in dentin caries surface were controlled. All data were analyzed by Wilcoxon test. The total number of dentinal decay of 296 student was 1740 surfaces indicated to Flolis topical application. After one, two and three months of Flolis application, all arrested of dentinal decay was evaluated, the result of evaluation from the second month to the third month evaluation was found that the arrested dentinal caries surfaces were decreased significantly at 29.36% (pcaries surface from the first month to the third month was decreased significantly at 38.62% (pcaries, and their ability to arrest dental caries was significantly different. Flolis was found to be effective in arresting dentinal caries surface until three months application, and should be repeated after 3 months of Flolis application.

  9. Water evaporation from substrate tooth surface during dentin treatments.

    Science.gov (United States)

    Kusunoki, Mizuho; Itoh, Kazuo; Gokan, Yuka; Nagai, Yoshitaka; Tani, Chihiro; Hisamitsu, Hisashi

    2011-01-01

    The purpose of this study was to evaluate changes in the quantity of water evaporation from tooth surfaces. The amount of water evaporation was measured using Multi probe adapter MPA5 and Tewameter TM300 (Courage+Khazaka Electric GmbH, Köln, Germany) after acid etching and GM priming of enamel; and after EDTA conditioning and GM priming of dentin. The results indicated that the amount of water evaporation from the enamel surface was significantly less than that from the dentin. Acid etching did not affect the water evaporation from enamel, though GM priming significantly decreased the evaporation (83.48 ± 15.14% of that before priming). The evaporation from dentin was significantly increased by EDTA conditioning (131.38 ± 42.08% of that before conditioning) and significantly reduced by GM priming (80.26 ± 7.43% of that before priming). It was concluded that dentin priming reduced water evaporation from the dentin surface.

  10. Changes in dimensions and weight of human dentine after different drying procedures and during subsequent rehydration

    NARCIS (Netherlands)

    Van der Graaf, E R; Ten Bosch, J J

    Shrinkage of dentine and the decrease in its weight after drying were measured. Three drying procedures were used, freeze-drying and drying in nitrogen at 60 and 100 degrees C. The dentine was subsequently rehydrated while measuring its dimensions. Rehydrated dentine was weighed. Dentine weight

  11. Causas y consecuencias de la deficiencia de hierro

    Directory of Open Access Journals (Sweden)

    Olivares Manuel

    2004-01-01

    Full Text Available La deficiencia de hierro es la deficiencia nutricional más prevalente y la principal causa de anemia a escala mundial. Además de las manifestaciones propias de la anemia, se han descrito otras manifestaciones no hematológicas tales como: disminución de la capacidad de trabajo físico y de la actividad motora espontánea, alteraciones de la inmunidad celular y de la capacidad bactericida de los neutrófilos, disminución de la termogénesis, alteraciones funcionales e histológicas del tubo digestivo, falla en la movilización de la vitamina A hepática, mayor riesgo de parto prematuro, bajo peso de nacimiento y de morbilidad perinatal, menor transferencia de hierro al feto, una disminución de la velocidad de crecimiento, alteraciones conductuales y del desarrollo mental y motor, velocidad de conducción más lenta de los sistemas sensoriales auditivo y visual, y reducción del tono vagal. La prevención de la deficiencia de hierro incluye cambios en los hábitos alimentarios, fortificación de los alimentos y la suplementación con hierro.

  12. Darwin, Hume, Morgan, and the verae causae of psychology.

    Science.gov (United States)

    Clatterbuck, Hayley

    2016-12-01

    Charles Darwin and C. Lloyd Morgan forward two influential principles of cognitive ethological inference that yield conflicting results about the extent of continuity in the cognitive traits of humans and other animals. While these principles have been interpreted as reflecting commitments to different senses of parsimony, in fact, both principles result from the same vera causa inferential strategy, according to which "We ought to admit no more causes of natural things, than such as are both true and sufficient to explain their appearances". Instead, the conflict stems from Darwin's and Morgan's views about the true causes of human psychology. Darwin holds a thoroughly Humean philosophy of the human mind, from which he infers significant continuity between human and animal minds. In contrast, Morgan argues that Humean cognitive mechanisms cannot account for a class of uniquely human behaviors, and therefore, he concludes that there is a significant discontinuity between human and animal cognition. This historical debate is informative for current controversies in comparative psychology. Copyright © 2016 Elsevier Ltd. All rights reserved.

  13. La angustia por la causa // The angst by the cause

    Directory of Open Access Journals (Sweden)

    Juan Manuel Uribe

    2011-12-01

    Full Text Available El artículo pretende mostrar cómo en todo acto de fundación se sucede una pérdida, un resto que se pretende olvidar desde los múltiples discursos humanos, incluido el científico; empero, eso que resta y que se pretende olvidar es precisamente lo que retorna para descompletar, para desajustar la imaginaria completitud del ser de deseantes. Dicho retorno y la operación de resta, de des-completitud, es lo que genera la angustia, connatural al registro de lo simbólico. Para comprender este sentimiento y el movimiento de la fundación humana, Lacan crea en su algebra el "a", operador de la causa y objeto mismo que se mueve en el registro de lo real. // The present work tries to show how after every foundation act a loss appears, a memory that they pretend to forget from various human speeches, including scientific discourse; nevertheless, this that continue and is expected to be forgot is exactly what return to make incomplete, to disarrange the completeness imaginary of the desire person. Mentioned return and subtraction operation, of un-completeness, is the generator factor of angst, inherent to the symbolic record. Understanding this feeling and the movement of the human foundation, Lacan creates the "a" in his algebra, cause operator and object by itself that moves inside the real record.

  14. Principales causas de muerte en España : el uso de años de vida perdidos

    OpenAIRE

    Arriaga, Eduardo

    1993-01-01

    En este artículo se analiza el nivel y cambio de la mortalidad de españa por causas de muerte desde 1981 a 1986. Primero se consideran grandes grupos de causas de muerte por edades, y posteriormente cada una de las causas principales de muerte. El análisis permite determinar las principales causas de muerte que operaban en españa en los dos años mencionados. Además, se determina el impacto que los cambios de mortalidad de cada causa tuvo sobre la vida humana, y las causas de muerte que más rá...

  15. 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.

    2014-01-01

    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 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

  16. Dentin biomodification: strategies, renewable resources and clinical applications.

    Science.gov (United States)

    Bedran-Russo, Ana K; Pauli, Guido F; Chen, Shao-Nong; McAlpine, James; Castellan, Carina S; Phansalkar, Rasika S; Aguiar, Thaiane R; Vidal, Cristina M P; Napotilano, José G; Nam, Joo-Won; Leme, Ariene A

    2014-01-01

    The biomodification of dentin is a biomimetic approach, mediated by bioactive agents, to enhance and reinforce the dentin by locally altering the biochemistry and biomechanical properties. This review provides an overview of key dentin matrix components, targeting effects of biomodification strategies, the chemistry of renewable natural sources, and current research on their potential clinical applications. The PubMed database and collected literature were used as a resource for peer-reviewed articles to highlight the topics of dentin hierarchical structure, biomodification agents, and laboratorial investigations of their clinical applications. In addition, new data is presented on laboratorial methods for the standardization of proanthocyanidin-rich preparations as a renewable source of plant-derived biomodification agents. Biomodification agents can be categorized as physical methods and chemical agents. Synthetic and naturally occurring chemical strategies present distinctive mechanism of interaction with the tissue. Initially thought to be driven only by inter- or intra-molecular collagen induced non-enzymatic cross-linking, multiple interactions with other dentin components are fundamental for the long-term biomechanics and biostability of the tissue. Oligomeric proanthocyanidins show promising bioactivity, and their chemical complexity requires systematic evaluation of the active compounds to produce a fully standardized intervention material from renewable resource, prior to their detailed clinical evaluation. Understanding the hierarchical structure of dentin and the targeting effect of the bioactive compounds will establish their use in both dentin-biomaterials interface and caries management. Copyright © 2013 Academy of Dental Materials. Published by Elsevier Ltd. All rights reserved.

  17. Remineralizing Efficacy of Fluorohydroxyapatite Gel on Artificial Dentinal Caries Lesion

    Directory of Open Access Journals (Sweden)

    Qianqian Wang

    2015-01-01

    Full Text Available The aim was to evaluate the remineralizing efficacy of fluorohydroxyapatite (FHA gel on artificial dentinal caries lesion in vitro. Artificial carious lesions were made on occlusal cavities of teeth by exposing the dentin surface to a demineralizing solution. Each cavity was capped with a 3 mm thick FHA gel for 4 weeks. After the FHA gel was removed, the surface morphology and structure of the dentin were characterized by scanning electron microscopy (SEM, energy-dispersive X-ray spectroscopy (EDX, X-ray diffraction (XRD, and Fourier transform infrared spectroscopy (FT-IR. The dentin mineral density (DMD was measured by micro-computed tomography (Micro-CT. A layer of dense and orderly hexagonal crystal structure, with average diameter of 1 μm and thickness of 4~5 μm, could be observed on dentin surface. These crystals exhibited elemental peaks for calcium, phosphorus, carbon, and oxygen and characteristic peaks of hydroxyapatite (HA and fluorapatite (FA via XRD and FT-IR. The DMD of dentin surface layer significantly increased after it was capped with FHA gel (P<0.05. In the present study, the FHA gel could rapidly construct apatite on the artificial dentin caries surface and significantly increase the mineral density, which suggests that FHA gel might be a proper IPT material with remineralizing function.

  18. Association between Severity of Tooth Wear and Dentinal Hypersensitivity

    Directory of Open Access Journals (Sweden)

    Ashok Ayer

    2016-11-01

    Full Text Available Background & Objectives: Tooth wear (attrition, abrasion, erosion, and abfraction is perceived globally as ever increasing problem. Several outcome of the tooth wear are hypersensitivity, esthetic problems, functional impairment, annoyance to the patient, and fracture of the tooth. Among these, the measurable and more commonly reported outcome is hypersensitivity to stimuli. Although dentin hypersensitivity is a common clinical condition and is generally reported by the patient after experiencing a sharp, short pain caused by one of the several different external stimuli, it is often inadequately understood. None of the scientific literature available till date attempted to establish the relationship between tooth wear and dentin hypersensitivity which could be a key factor in monitoring those patients.  The aim of the study was to estimate the association between severity of teeth wear and sensitivity in the patients with reported dentinal hypersensitivity.Materials & Methods: Fifty patients with dentin hypersensitivity were investigated for tooth wear. Tooth wear measured using exact tooth wear index and level of sensitivity to stimuli was recorded using a numerical rating scale. Results: Enamel wear at cervical region of teeth showed a positive correlation (p=.010, similarly, dentin wear at cervical region of teeth showed positive correlation and significant association (p<.001 with dentinal hypersensitivity.Conclusion: The observation supports a significant association between severities of tooth surface wear and dentinal hypersensitivity.

  19. A micromechanics model of the elastic properties of human dentine

    Energy Technology Data Exchange (ETDEWEB)

    Kinney, J. H. [Lawrence Livermore National Lab. (LLNL), Livermore, CA (United States); Balooch, M. [Lawrence Livermore National Lab. (LLNL), Livermore, CA (United States); Marshall, G. W. [Univ. of California, San Francisco, CA (United States). Dept. of Restorative Dentistry; Marshall, S. J. [Univ. of California, San Francisco, CA (United States). Dept. of Restorative Dentistry

    1999-10-01

    A generalized self-consistent model of cylindrical inclusions in a homogeneous and isotropic matrix phase was used to study the effects of tubule orientation on the elastic properties of dentin. Closed form expressions for the five independent elastic constants of dentin were derived in terms of tubule concentration, and the Young's moduli and Poisson ratios of peri- and intertubular dentin. An atomic force microscope (AFM) indentation technique determined the Young's moduli of the peri- and intertubular dentin as approximately 30 GPa and 15 GPa, respectively. Over the natural variation in tubule density found in dentin, there was only a slight variation in the axial and transverse shear moduli with position in the tooth, and there was no measurable effect of tubule orientation. We conclude that tubule orientation has no appreciable effect on the elastic behavior of normal dentin, and that the elastic properties of healthy dentin can be modeled as an isotropic continuum with a Young's modulus of approximately 16 GPa and a shear modulus of 6.2 GPa.

  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. Dietary adaptions in the ultrastructure of dinosaur dentine.

    Science.gov (United States)

    Brink, Kirstin S; Chen, Yu-Cheng; Wu, Ya-Na; Liu, Wei-Min; Shieh, Dar-Bin; Huang, Timothy D; Sun, Chi-Kuang; Reisz, Robert R

    2016-12-01

    Teeth are key to understanding the feeding ecology of both extant and extinct vertebrates. Recent studies have highlighted the previously unrecognized complexity of dinosaur dentitions and how specific tooth tissues and tooth shapes differ between taxa with different diets. However, it is unknown how the ultrastructure of these tooth tissues contributes to the differences in feeding style between taxa. In this study, we use third harmonic generation microscopy and scanning electron microscopy to examine the ultrastructure of the dentine in herbivorous and carnivorous dinosaurs to understand how the structure of this tissue contributes to the overall utility of the tooth. Morphometric analyses of dentinal tubule diameter, density and branching rates reveal a strong signal for dietary preferences, with herbivorous saurischian and ornithischian dinosaurs consistently having higher dentinal tubule density than their carnivorous relatives. We hypothesize that this relates to the hardness of the dentine, where herbivorous taxa have dentine that is more resistant to breakage and wear at the dentine-enamel junction than carnivorous taxa. This study advocates the detailed study of dentine and the use of advanced microscopy techniques to understand the evolution of dentition and feeding ecology in extinct vertebrates. © 2016 The Author(s).

  2. Adhesion of resin composite core materials to dentin.

    Science.gov (United States)

    O'Keefe, K L; Powers, J M

    2001-01-01

    This study determined (1) the effect of polymerization mode of resin composite core materials and dental adhesives on the bond strength to dentin, and (2) if dental adhesives perform as well to dentin etched with phosphoric acid as to dentin etched with self-etching primer. Human third molars were sectioned 2 mm from the highest pulp horn and polished. Three core materials (Fluorocore [dual cured], Core Paste [self-cured], and Clearfil Photo Core [light cured]) and two adhesives (Prime & Bond NT Dual Cure and Clearfil SE Bond [light cured]) were bonded to dentin using two dentin etching conditions. After storage, specimens were debonded in microtension and bond strengths were calculated. Scanning electron micrographs of representative bonding interfaces were analyzed. Analysis showed differences among core materials, adhesives, and etching conditions. Among core materials, dual-cured Fluorocore had the highest bond strengths. There were incompatibilities between self-cured Core Paste and Prime & Bond NT in both etched (0 MPa) and nonetched (3.0 MPa) dentin. Among adhesives, in most cases Clearfil SE Bond had higher bond strengths than Prime & Bond NT and bond strengths were higher to self-etched than to phosphoric acid-etched dentin. Scanning electron micrographs did not show a relationship between resin tags and bond strengths. There were incompatibilities between a self-cured core material and a dual-cured adhesive. All other combinations of core materials and adhesives produced strong in vitro bond strengths both in the self-etched and phosphoric acid-etched conditions.

  3. Dentinal tubules revealed with X-ray tensor tomography.

    Science.gov (United States)

    Jud, Christoph; Schaff, Florian; Zanette, Irene; Wolf, Johannes; Fehringer, Andreas; Pfeiffer, Franz

    2016-09-01

    Dentin is a mineralized material making up most of the tooth bulk. A system of microtubules, so called dentinal tubules, transverses it radially from the pulp chamber to the outside. This highly oriented structure leads to anisotropic mechanical properties directly connected to the tubules orientation and density: the ultimate tensile strength as well as the fracture toughness and the shear strength are largest perpendicular to dentinal tubules. Consequently, the fatigue strength depends on the direction of dentinal tubules, too. However, none of the existing techniques used to investigate teeth provide access to orientation and density of dentinal tubules for an entire specimen in a non-destructive way. In this paper, we measure a third molar human tooth both with conventional micro-CT and X-ray tensor tomography (XTT). While the achievable resolution in micro-CT is too low to directly resolve the dentinal tubules, we provide strong evidence that the direction and density of dentinal tubules can be indirectly measured by XTT, which exploits small-angle X-ray scattering to retrieve a 3D map of scattering tensors. We show that the mean directions of scattering structures correlate to the orientation of dentinal tubules and that the mean effective scattering strength provides an estimation of the relative density of dentinal tubules. Thus, this method could be applied to investigate the connection between tubule orientation and fatigue or tensile properties of teeth for a full sample without cutting one, non-representative peace of tooth out of the full sample. Copyright © 2016 The Academy of Dental Materials. All rights reserved.

  4. Adhesive sealing of dentin surfaces in vitro: A review

    Science.gov (United States)

    Abu-Nawareg, Manar M; Zidan, Ahmed Z; Zhou, Jianfeng; Agee, Kelli; Chiba, Ayaka; Tagami, Jungi; Pashley, David H

    2016-01-01

    Purpose The purpose of this review is to describe the evolution of the use of dental adhesives to form a tight seal of freshly prepared dentin to protect the pulp from bacterial products, during the time between crown preparation and final cementum of full crowns. The evolution of these “immediate dentin sealants” follows the evolution of dental adhesives, in general. That is, they began with multiple-step, etch-and-rinse adhesives, and then switched to the use of simplified adhesives. Methods Literature was reviewed for evidence that bacteria or bacterial products diffusing across dentin can irritate pulpal tissues before and after smear layer removal. Smear layers can be solubilized by plaque organisms within 7–10 days if they are directly exposed to oral fluids. It is likely that smear layers covered by temporary restorations may last more than one month. As long as smear layers remain in place, they can partially seal dentin. Thus, many in vitro studies evaluating the sealing ability of adhesive resins use smear layer-covered dentin as a reference condition. Surprisingly, many adhesives do not seal dentin as well as do smear layers. Results Both in vitro and in vivo studies show that resin-covered dentin allows dentinal fluid to cross polymerized resins. The use of simplified single bottle adhesives to seal dentin was a step backwards. Currently, most authorities use either 3-step adhesives such as Scotchbond Multi-Purposea or OptiBond FLb or two-step self-etching primer adhesives, such as Clearfil SEc, Unifil Bondd or AdheSEe, respectfully. PMID:26846037

  5. Use of poly (amidoamine dendrimer for dentinal tubule occlusion: a preliminary study.

    Directory of Open Access Journals (Sweden)

    Tianda Wang

    Full Text Available The occlusion of dentinal tubules is an effective method to alleviate the symptoms caused by dentin hypersensitivity, a significant health problem in dentistry and daily life. The in situ mineralization within dentinal tubules is a promising treatment for dentin hypersensitivity as it induces the formation of mineral on the sensitive regions and occludes the dentinal tubules. This study was carried out to evaluate the in vitro effect of a whole generation poly(amidoamine (PAMAM dendrimer (G3.0 on dentinal tubule occlusion by inducing mineralization within dentinal tubules. Dentin discs were treated with PAMAM dendrimers using two methods, followed by the in vitro characterization using Attenuated total reflection Fourier-transform infrared spectroscopy (ATR-FTIR, X-ray diffraction (XRD, Field emission scanning electron microscopy (FE-SEM and Energy-Dispersive X-ray Spectroscopy (EDS. These results showed that G3.0 PAMAM dendrimers coated on dentin surface and infiltrated in dentinal tubules could induce hydroxyapatite formation and resulted in effective dentinal tubule occlusion. Moreover, crosslinked PAMAM dendrimers could induce the remineralization of demineralized dentin and thus had the potential in dentinal tubule occlusion. In this in vitro study, dentinal tubules occlusion could be achieved by using PAMAM dendrimers. This could lead to the development of a new therapeutic technique for the treatment of dentin hypersensitivity.

  6. Dentin-bonded all-ceramic crowns: current status.

    Science.gov (United States)

    Burke, F J; Qualtrough, A J; Hale, R W

    1998-04-01

    Dentin-bonded all-ceramic crowns employ contemporary techniques to lute the crown to the tooth using a resin luting material and dentin-bonding system. The advantages of these crowns are that they provide good esthetics and fracture resistance and can be used in cases of substantial tooth loss. Their principal disadvantages are that the luting procedure is more time-consuming and that these crowns should not be used where margins are subgingival. Dentin-bonded all-ceramic crowns may be a useful addition to the dentist's armamentarium, but long-term clinical studies are needed to fully assess their performance.

  7. Temperature increase beneath etched dentin discs during composite polymerization.

    Science.gov (United States)

    Karaarslan, Emine Sirin; Secilmis, Asli; Bulbul, Mehmet; Yildirim, Cihan; Usumez, Aslihan

    2011-01-01

    The purpose of this in vitro study was to measure the temperature increase during the polymerization of a composite resin beneath acid-etched or laser-etched dentin discs. The irradiation of dentin with an Er:YAG laser may have a positive effect on the thermal conductivity of dentin. This technique has not been studied extensively. Forty dentin discs (5 mm in diameter and 0.5 or 1 mm in height) were prepared from extracted permanent third molars. These dentin discs were etched with 20% orthophosphoric acid or an Er:YAG laser, and were then placed on an apparatus developed to measure temperature increases. The composite resin was polymerized with a high-intensity quartz tungsten halogen (HQTH) or light-emitting diode unit (LED). The temperature increase was measured under the dentin disc with a J-type thermocouple wire that was connected to a data logger. Five measurements were made for each dentin disc, curing unit, and etching system combination. Differences between the initial and the highest temperature readings were taken, and the five calculated temperature changes were averaged to determine the value of the temperature increase. Statistical analysis was performed with a three-way ANOVA and Tukey HSD tests at a 0.05 level of significance. Further SEM examinations were performed. The temperature increase values varied significantly, depending on etching systems (p < 0.05), dentin thicknesses (p < 0.05), and curing units (p < 0.05). Temperature increases measured beneath laser-etched discs were significantly higher than those for acid-etched dentin discs (p < 0.05). The HQTH unit induced significantly higher temperature increases than the LED unit (p < 0.05). The LED unit induced the lowest temperature change (5.2°C) in the 1-mm, acid-etched dentin group. The HQTH unit induced the highest temperature change (10.4°C) for the 0.5-mm, laser-etched dentin group. The risk of heat-induced pulpal damage should be taken into consideration

  8. Influence of EDC on Dentin-Resin Shear Bond Strength and Demineralized Dentin Thermal Properties

    Directory of Open Access Journals (Sweden)

    Lin Tang

    2016-11-01

    Full Text Available This study aimed to evaluate the bonding strength and thermal properties of demineralized dentin with and without EDC treatment. Sound human molars were randomly divided into seven treatment groups (n = 20: control, 80% ethanol, and five EDC ethanol solutions (0.01–1.0 M. In each group, 16 samples were used for bond strength assessment and 4 samples were used for scanning electron microscopy (SEM analysis. A further 70 intact molars were used to obtain a fine demineralized dentin powder, treated with the same solutions and were evaluated the crosslink degree by ninhydrin test and denaturation temperature (Td by differential scanning calorimetry. EDC-treated specimens (<1.0 M had a higher bond strength, especially 0.3 and 0.5 M group, than the control counterpart. There was a significant drop in bond strength of 1.0 M EDC group. SEM revealed a homogeneous and regular interface under all treatments. EDC treatment significantly increased the demineralized dentin cross-link degree and Td compared with the control and ethanol treatments. The 0.3 and 0.5 M treatments showed the highest cross-link degree and Td. In terms of mechnical and theramal properties consideration, 0.3 and 0.5 M EDC solutions may be favorable for when applied with etch-and-rinse adhesives, but it is still needed further long-term study.

  9. Causas de la recesión de 1937

    Directory of Open Access Journals (Sweden)

    García Mario

    1993-12-01

    Full Text Available La mayor parte de los logros obtenidos durante el proceso de recuperación que se inicio a partir de 1934 se perdió hacía fines de 1937. Las causas principales de la recesión fueron, a juzgar por los datos que el autor tenía entonces a  su disposición, la especulación en inventarios y la caída en la contribución neta del Gobierno. Esta última, que había sido la fuente de la recuperación, cayó por primera vez en un momento en que los empresarios, ante la posibilidad de encontrarse con diversos cuellos de botella, anticiparon sus pedidos y aumentaron los precios. La confluencia de un nivel excesivo de inventarios y la disminución en las ventas provocaron el derrumbe de la producción y de la actividad económica en general. Otras explicaciones de la recesión, propuestas por diversos autores, carecen, según este enfoque de importancia casual.

    Most of the achievements gained during the period of recovery that began in 1934 were lost cowards the end of 1937. The principal causes of the recession were, to judge from the data the author then had available, speculation in inventories and a fall in government spending. The latter, which had been the source of the recovery , tell for the first time at a moment in which entrepreneurs, faced with the possibility of  diverse bottlenecks, had anticipated their orders and raised prices,The simultaneous occurrence of an excessive level of inventories and the decrease in sales led to the collapse of production and of economic activity in general.Other explanations for the recession proposed by different authors lack causal importance according to this analysis.

  10. La leucemia del bambino come causa di disgregazione familiare

    Directory of Open Access Journals (Sweden)

    G. Varchetta

    2003-05-01

    Full Text Available

    Introduzione: le patologie del bambino, soprattutto se gravi e durature, possono essere definite come “malattie della famiglia” a causa dell’intensità di assistenza richiesta, delle difficoltà organizzative quotidiane e dello stress causato. Obiettivo: identificare il ruolo di alcuni potenziali fattori di rischio coinvolti nella rottura di famiglie di bambini leucemici.

    Materiali e metodi: mediante l’uso di questionari, sono state studiate, durante l’anno 2002, 150 cartelle cliniche di bambini leucemici dell’ospedale pediatrico “Santobono-Pausillipon”- Dipartimento di Oncologia; 11 casi sono stati esclusi per incompletezza dei dati. Outcome è stata considerata la “separazione familiare.” Sono state analizzate le seguenti variabili: trapianto di midollo osseo, lavoro del padre, della madre e loro età ed educazione, sesso ed età del bambino (CA, numerosità della famiglia, stato socio-economico, probabilità clinica di guarire (CPR, appartenenza ad una associazione. Sono state condotte analisi bivariate e logistiche. Risultati: all’analisi bivariata CA e CPR, entrambi stratificati in tre livelli, sono risultati associati alla separazione. L’Odds Ratio grezzo (OR della separazione familiare con CA di 5/10 anni e bambini di 11 anni o più a confronto con quelli d’età di 0/4 era, rispettivamente, di 8.68 (p=0.02 e di 5.7 (p=0.07. L’OR grezzo della separazione con un CPR medio e un CPR buono confrontato con un CPR basso ha dato rispettivamente 0.35 (p=0.02 e 0.08 (p‹0.001. Un modello logistico che includeva CPR come variabile principale e controllata per CA ha evidenziato che la probabilità di guarigione è media o alta e, dopo aver aggiustato per l’età del bambino, è stato ottenuto un rischio di rottura familiare rispettivamente di 0.29 (p=0.01 e 0.08 (p=0.02.

    Conclusioni: la rottura dell’unità familiare è evento frequente in caso di grave

  11. 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.

  12. Optothermal transfer simulation in laser-irradiated human dentin.

    Science.gov (United States)

    Moriyama, Eduardo H; Zangaro, Renato A; Lobo, Paulo D C; Villaverde, Antonio Balbin; Pacheco, Marcos T; Watanabe, Ii-Sei; Vitkin, Alex

    2003-04-01

    Laser technology has been studied as a potential replacement to the conventional dental drill. However, to prevent pulpal cell damage, information related to the safety parameters using high-power lasers in oral mineralized tissues is needed. In this study, the heat distribution profiles at the surface and subsurface regions of human dentine samples irradiated with a Nd:YAG laser were simulated using Crank-Nicolson's finite difference method for different laser energies and pulse durations. Heat distribution throughout the dentin layer, from the external dentin surface to the pulp chamber wall, were calculated in each case, to investigate the details of pulsed laser-hard dental tissue interactions. The results showed that the final temperature at the pulp chamber wall and at the dentin surface are strongly dependent on the pulse duration, exposure time, and the energy contained in each pulse.

  13. Detection of dentin antigenic fractions by salivary immunoglobulin G ...

    African Journals Online (AJOL)

    SAM

    2014-05-28

    May 28, 2014 ... non-collagenous proteins (NCP) and signaling molecules ... periodontal tissues and by signals and cytokines production ... Dentin extract was stored at -80°C until use. .... An effective mechanism to prevent self-reactivity is the.

  14. Amalgam shear bond strength to dentin using different bonding agents.

    Science.gov (United States)

    Vargas, M A; Denehy, G E; Ratananakin, T

    1994-01-01

    This study evaluated the shear bond strength of amalgam to dentin using five different bonding agents: Amalgambond Plus, Optibond, Imperva Dual, All-Bond 2, and Clearfil Liner Bond. Flat dentin surfaces obtained by grinding the occlusal portion of 50 human third molars were used for this study. To contain the amalgam on the tooth surface, cylindrical plastic molds were placed on the dentin and secured with sticky wax. The bonding agents were then applied according to the manufacturers' instructions or light activated and Tytin amalgam was condensed into the plastic molds. The samples were thermocycled and shear bond strengths were determined using an Instron Universal Testing Machine. Analysis by one-way ANOVA indicated significant difference between the five groups (P < 0.05). The bond strength of amalgam to dentin was significantly higher with Amalgambond Plus using the High-Performance Additive than with the other four bonding agents.

  15. Comparison of removed dentin thickness with hand and rotary instruments

    Science.gov (United States)

    Shahriari, Shahriar; Abedi, Hasan; Hashemi, Mahdi; Jalalzadeh, Seyed Mohsen

    2009-01-01

    INTRODUCTION: The aim of this study was to evaluate the amount of dentine removed after canal preparation using stainless steel (SS) hand instruments or rotary ProFile instruments. MATERIALS AND METHODS: Thirty-six extracted human teeth with root canal curvatures less than 30º were embedded in clear polyester resin. The roots were cut horizontally at apical 2, 4 and 7 mm. Dentin thickness was measured at each section and the sections were accurately reassembled using a muffle. Root canals were randomly prepared by SS hand instruments or rotary ProFile instruments. Root sections were again separated, and the remaining dentin thickness was measured. Mann-Whitney U and t tests were performed for analytic comparison of the results. RESULTS: The thickness of removed dentin was significantly different between the two used methods (Pinstrumentation group (Protary instrumentation prepares root canals with a greater conservation of tooth structure. PMID:23940489

  16. 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.

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

    International Nuclear Information System (INIS)

    Peres, C.

    1990-01-01

    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)

  18. Bonding stability of adhesive systems to eroded dentin

    Directory of Open Access Journals (Sweden)

    Janaina Barros CRUZ

    2015-01-01

    Full Text Available This in vitro study evaluated the immediate and 6 months microshear bond strength (µSBS of different adhesive systems to sound and eroded dentin. Sixty bovine incisors were embedded in acrylic resin and ground to obtain flat buccal dentin surfaces. Specimens were randomly allocated into two groups: sound dentin (immersion in artificial saliva and eroded dentin (erosive challenge following a pH cycling model comprising 4 ×/day Sprite Light® drink for 10 days. Then, specimens were reassigned according to the adhesive system: etch-and-rinse adhesive (Adper Single Bond, two-step self-etch system (Clearfil SE Bond, or one-step self-etch adhesive (Adper Easy One. Polyethylene tubes with an internal diameter of 0.76 mm were placed over pre-treated dentin and filled with resin composite (Z250. Half of the specimens were evaluated by the µSBS test after 24 h, and the other half 6 months later, after water storage at 37°C. Failure mode was evaluated using a stereomicroscope (400×. Data were analyzed by three-way repeated measures analysis of variance and Tukey’s post hoc tests (α = 0.05. After 6 months of water aging, marked reductions in µSBS values were observed, irrespective of the substrate. The µSBS values for eroded dentin were lower than those obtained for sound dentin. No difference in bonding effectiveness was observed among adhesive systems. For all groups, adhesive/mixed failure was observed. In conclusion, eroded dentin compromises the bonding quality of adhesive systems over time.

  19. Bond strength of compomers to dentin using acidic primers.

    Science.gov (United States)

    Tate, W H; You, C; Powers, J M

    1999-10-01

    To determine the in vitro bond strengths of seven compomer/bonding agent restorative systems to human dentin. Seven compomer/bonding agents were bonded to human dentin, stored in water at 37 degrees C for 24 hours, and debonded in tension. Bonding conditions were with and without phosphoric acid etching, with and without the use of combined primer/bonding agents, and under moist and wet bond interfaces. Without phosphoric acid etching, F2000/F2000 Compomer Primer/Adhesive and F2000/Single Bond Dental Adhesive System were less sensitive to dentin wetness. With moist dentin, bond strengths of Dyract/Prime & Bond 2.1, Dyract AP/Prime & Bond 2.1, Hytac/OSB light-curing, one-component bonding agent, F2000/Single Bond, and Freedom/STAE single component light-cured dentin/enamel adhesive system, were improved with phosphoric acid etching. Also, with moist dentin, the bond strength of F2000/F2000 Compomer Primer/Adhesive in the 3M Clicker dispensing system was higher without phosphoric acid etching, whereas bonds of Compoglass/Syntac Single-component were not affected by phosphoric acid etching. Bonding did not occur without primer/bonding agent, regardless of surface condition or use of phosphoric acid etching.

  20. Tabulador de causas múltiplas de morte Multiple causes- of-death tabulator

    Directory of Open Access Journals (Sweden)

    Augusto H. Santo

    1999-08-01

    Full Text Available O uso de causas múltiplas de morte vem sendo atualmente preconizado para descrever e analisar os determinantes patológicos da mortalidade em populações, como complemento ao uso tradicional da causa básica de morte. O estudo das causas múltiplas pode realizar-se por meio da apresentação de todas as menções das causas básicas e associadas de morte e por meio de associações de causas. Um programa para microcomputador foi desenvolvido para processar bancos de dados contendo as causas de morte informadas no Modelo Internacional de Atestado Médico de Causa de Morte, denominado Tabulador de Causas Múltiplas, que gera uma tabela matriz a partir da qual podem ser derivadas as demais formas de apresentação e análise, além de poder ser usado como instrumento de crítica dos dados de mortalidade.The use of multiple-causes-of-death is currently being recommended in order to describe and analyze the pathological determinants of mortality in populations, as a supplement to the traditional use of the underlying cause of death. Multiple-causes-of-death can be studied by presenting all underlying and associated causes mentioned, and by means of associations of causes of death. Microcomputer software has been developed to process data files containing causes of death informed by physicians on the International Form of Medical Certificate of Causes of Death. The Multiple Cause of Death Tabulator software generates a matrix table from which the above forms of presentation and analysis can be achieved and mortality data be edited.

  1. Doctrina. La embriaguez y la toxicomanía como causas de despido disciplinario

    OpenAIRE

    Luis Enrique Nores Torres

    2004-01-01

    En el presente trabajo se aborda la embriaguez y la toxicomanía como causas de despi¬do improcedente en el Estatuto de los Trabajadores. A tal efecto se analizan las conduc¬tas básicas que dan pie a tal despido, los requisitos necesarios para que se produzca y la prueba de su incumplimiento. También se realiza una referencia a dichas causas de despido en los Convenios Colectivos.

  2. Mortalidad por causas externas en Medellín, 1999-2006

    Directory of Open Access Journals (Sweden)

    Doris Cardona Arango

    2008-01-01

    Full Text Available Caracterizar el comportamiento de la mortalidad por causas externas en la ciudad de Medellín, Colombia, entre 1999-2006, según sexo, edad y causa básica de muerte fue el objetivo de este estudio descriptivo longitudinal, con fuente de información secundaria de 22 128 registros de defunción por causas externas. El análisis realizado es univariado y bivariado por sexo, grupos de edad y causa de muerte. Las causas externas registradas en el periodo fueron: 72.9 por ciento por homicidio; 15.3 por ciento, accidente de transporte; 7.3 por ciento, traumatismos; 4.2 por ciento, por suicidio, y por otras causas, 0.4 por ciento. La mayor tasa de mortalidad se presentó en el grupo de edad de 20 a 24 años (27.6 por cien mil habitantes, hecho que merece especial consideración por las implicaciones sociales, familiares y laborales que representa el fallecimiento de una persona en su etapa productiva.

  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. Hipótesis actuales relacionadas con la sensibilidad dentinal

    Directory of Open Access Journals (Sweden)

    Andrés Pérez Ruiz

    1999-08-01

    Full Text Available Se hace una revisión sobre las hipótesis actuales concernientes a la sensibilidad dentinal, centrando el análisis en las teorías acerca de la presencia de nervios en la dentina, la transmisión del impulso nervioso mediante el odontoblasto y el movimiento de fluidos dentro de la dentina. Por ser la explicación de la sensibilidad de la dentina uno de los más complejos problemas de la fisiología y la histología del diente, se exponen los hechos morfológicos y funcionales que apoyan la validez de los mecanismos mencionados. Se concluye que aunque la teoría hidrodinámica tiene una sólida base experimental y es la de mayor aceptación en la actualidad, pudieran estar involucrados en la génesis del dolor dentinal más de una de estas explicaciones probables.A review of the present hypotheses of dentinal sensitivity was carried out. The analysis was centered on the theories of the existance of nerves in dentin, the transfer of nervous impulse through odontoblast and the fluid flow in the dentin. Since the explanation of dentin sensitivity is one of the most complex problems of dental physiology and histology; the morphological and functional aspects that support the validity of the mentioned mechanisms are stated. It is concluded that although the hydrodynamic theory has a sound experimental basis and is widely accepted at present, more than one of these likely theories could be involved in the genesis of dentinal pain.

  5. Innovative Approaches to Regenerate Enamel and Dentin

    Directory of Open Access Journals (Sweden)

    Xanthippi Chatzistavrou

    2012-01-01

    Full Text Available The process of tooth mineralization and the role of molecular control of cellular behavior during embryonic tooth development have attracted much attention the last few years. The knowledge gained from the research in these fields has improved the general understanding about the formation of dental tissues and the entire tooth and set the basis for teeth regeneration. Tissue engineering using scaffold and cell aggregate methods has been considered to produce bioengineered dental tissues, while dental stem/progenitor cells, which can differentiate into dental cell lineages, have been also introduced into the field of tooth mineralization and regeneration. Some of the main strategies for making enamel, dentin, and complex tooth-like structures are presented in this paper. However, there are still significant barriers that obstruct such strategies to move into the regular clinic practice, and these should be overcome in order to have the regenerative dentistry as the important mean that can treat the consequences of tooth-related diseases.

  6. Sealing Occlusal Dentin Caries in Permanent Molars

    DEFF Research Database (Denmark)

    Qvist, Vibeke; Borum, Mette Kit; Møller, Kirsten Dynes

    2017-01-01

    The purpose of this study was to investigate the possibility of postponing restorative intervention of manifest occlusal caries in young, permanent dentition by non-invasive sealing. This RCT-designed study included 521 occlusal lesions in 521 patients aged 6 to 17 y. Based on clinical and radiog......The purpose of this study was to investigate the possibility of postponing restorative intervention of manifest occlusal caries in young, permanent dentition by non-invasive sealing. This RCT-designed study included 521 occlusal lesions in 521 patients aged 6 to 17 y. Based on clinical...... longevity of sealings and restorations until retreatments, and 3) compare effectiveness of sealings and restorations to halt caries progression in sealed lesions and beneath restorations. Furthermore, we aimed to identify factors influencing longevity and the effectiveness of sealings and restorations.......001). The median survival time for sealings not replaced by restorations was 7.3 y (CI, 6.4 y to NA). Survival of sealings was increased in patients with low caries risk and/or excellent oral hygiene, second molars compared with first molars, and lesions not extending the middle one-third of the dentin. Survival...

  7. The effect of air thinning on dentin adhesive bond strength.

    Science.gov (United States)

    Hilton, T J; Schwartz, R S

    1995-01-01

    The purpose of this study was to determine if air thinning three dentin adhesives would affect bond strength to dentin. Ninety human molars were mounted in acrylic and the occlusal surfaces ground to expose a flat dentin surface. Thirty teeth were randomly assigned to one of the following dentin bonding agent/composite combinations: A) Universal Bond 3/TPH (Caulk), B) All-Bond 2/Bis-Fil-P (Bisco), and C) Scotchbond Multi-Purpose/Z-100 (3m). The primers were applied following the manufacturers' instructions. The adhesives were applied by two methods. A thin layer of adhesive was applied with a brush to 15 specimens in each group and light cured. Adhesive was brushed on to the remaining 15 teeth in the group, air thinned for 3 seconds, and then polymerized. The appropriate composite was applied in 2 mm increments and light cured utilizing a 5 mm-in-diameter split Teflon mold. Following 3 months of water storage, all groups were shear tested to failure on an Instron Universal Testing Machine. Bond strength was significantly higher in all groups when the dentin bonding agent was painted on without being air thinned. Scotchbond Multi-Purpose had significantly higher bond strength than All-Bond 2, which had significantly higher bond strength than Universal Bond 3.

  8. The fracture properties and toughening mechanisms of bone and dentin

    Science.gov (United States)

    Koester, Kurt John

    The mechanical properties of bone and dentin and in particular their fracture properties, are the subject of intense research. The relevance of these properties is increasing as our population ages and fracture incidence impacts the lives of a greater portion of the population. A robust framework is needed to understand the fracture properties of bone and dentin to guide researchers as they attempt to characterize the effects of aging, disease, and pharmaceutical treatments on the properties of these mineralized tissues. In the present work, this framework is provided and applied to human bone, human dentin, and animal bone. In situ electron microscopy was also used to identify the salient toughening mechanisms in bone and dentin. It was found that bone and dentin are extrinsically toughened materials and consequently their fracture properties are best characterized utilizing a crack-growth resistance approach. A description of the different mechanical measurements commonly employed when using small animal models (rats and mice) to evaluate the influence of drug therapies on bone fragility is provided. A study where these properties were measured for a large population of wild-type rats and mice was also conducted. Given my findings, it was determined that for the most complete understanding of small animal bone it was necessary to measure strength and toughness. Strength measurements probe the flaw distribution and toughness measurements to evaluate the resistance to facture in the presence of a single dominant worst-case flaw.

  9. EFFECT OF SURFACE CONDTIONINGON BOND STRENGTH TO ENAMEL AND DENTIN

    Directory of Open Access Journals (Sweden)

    M MOUSAVINASAB

    2002-09-01

    Full Text Available Introduction. Compoglass is a trade mark of dental compomers and because of its partially resinus structure, surface conditioning of dental surfaces is needed for a better bonding process. In this study, the effect of enamel and dentin conditioning procedure on shear bond strength (SBS of compoglass to tooth surfaces was studied. Methods. four groups each one including 11 sound premolars were chosen and their surfaces were prepared as following groups: group1, unconitioned dentin; group 2, dentin conditioning with phosphoric acid 35%; group 3, dentin conditioning with polyacrylic acid 20% group 4, unconditioning enamel; group 5, enamel conditioning with phosphoric acid 35%; and group 6, enamel conditioning with polyacrylic acid 20%. Compoglass was bonded to prepared surfaces and after fixation of the samples in acrylic molds, all samples were tested under shear force of instron testing machine at a rate of 1 mm/min speed. Results. The mean SBS obtained in these 6 groups were 6.207, 8.057, 10.146, 25.939 and 11.827 mpa. the mode of fracture also studied using a streomicroscope. Statistical analysis of the results showed that the maximum SBS obtained in group 5 and the lowest SBS about 6.207 mpa obtained in group 1. Despite increase in SBS group 2 and 3, there was no statistical differncies between group 1, 2 and 3. Discussion. Based on results of this study, conditioning of enamel and dentin surface due to improve SBS is recommeneded.

  10. Enamel and dentin bond strength following gaseous ozone application.

    Science.gov (United States)

    Cadenaro, Milena; Delise, Chiara; Antoniollo, Francesca; Navarra, Ottavia Chiara; Di Lenarda, Roberto; Breschi, Lorenzo

    2009-08-01

    To evaluate the effects of gaseous ozone application on enamel and dentin bond strength produced by two self-etching adhesive systems. The shear bond strength test was conducted to assess adhesion on enamel (protocol 1), while the microtensile bond strength test was performed on dentin (protocol 2). Protocol 1: 96 bovine incisors were randomly divided into 4 groups, and enamel surfaces were bonded in accordance with the following treatments: (1E) ozone + Clearfil Protect Bond; (2E) Clearfil Protect Bond (control); (3E) ozone + Xeno III; (4E) Xeno III (control). Ozone gas was applied for 80 s. Shear bond strength was measured with a universal testing machine. Protocol 2: 40 noncarious human molars were selected. Middle/deep dentin was exposed and bonded in accordance with the following treatments: (1D) ozone+Clearfil Protect Bond; (2D) Clearfil Protect Bond (control); (3D) ozone+Xeno III (4D) Xeno III (control). Four-mm-thick buildups were built on the adhesives, then specimens were sectioned in accordance with the nontrimming technique. Specimens were stressed until failure occurred, and failure modes were analyzed. Shear bond and microtensile bond strength data were analyzed using two-way ANOVA and Tukey's post-hoc test. No statistical differences were found between ozone treated specimens and controls, neither on enamel nor on dentin irrespective of the tested adhesive. Clearfil Protect Bond showed higher bond strength to enamel than Xeno III, irrespective of the ozone treatment (p enamel and dentin bond strength.

  11. Dentin and dental pulp regeneration by the patient's endogenous cells.

    Science.gov (United States)

    Kim, Sahng G; Zheng, Ying; Zhou, Jian; Chen, Mo; Embree, Mildred C; Song, Karen; Jiang, Nan; Mao, Jeremy J

    2013-03-01

    The goal of regenerative endodontics is to restore the functions of the dental pulp-dentin complex. Two approaches are being applied toward dental pulp-dentin regeneration: cell transplantation and cell homing. The majority of previous approaches are based on cell transplantation by delivering ex vivo cultivated cells toward dental pulp or dentin regeneration. Many hurdles limit the clinical translation of cell transplantation such as the difficulty of acquiring and isolating viable cells, uncertainty of what cells or what fractions of cells to use, excessive cost of cell manipulation and transportation, and the risk of immune rejection, pathogen transmission, and tumorigenesis in associated with ex vivo cell manipulation. In contrast, cell homing relies on induced chemotaxis of endogenous cells and therefore circumvents many of the difficulties that are associated with cell transplantation. An array of proteins, peptides, and chemical compounds that are yet to be identified may orchestrate endogenous cells to regenerate dental pulp-dentin complex. Both cell transplantation and cell homing are scientifically valid approaches; however, cell homing offers a number of advantages that are compatible with the development of clinical therapies for dental pulp-dentin regeneration.

  12. PERFIL DOS ATENDIMENTOS POR CAUSAS EXTERNAS EM HOSPITAL PÚBLICO

    Directory of Open Access Journals (Sweden)

    Marlos Victor Fonsêca de Lima

    2012-01-01

    Full Text Available El objetivo fue identificar el perfil de los atendimientos por causas externas en la urgencia de un hospital público de referencia del Estado. Investigación descriptiva documental, con enfoque cuantitativo. En el análisis de datos, el período de enero a diciembre de 2009 se realizó 4.464 atendimientos por causas externas. La mayor frecuencia de las lesiones ocurrió en personas entre 21 y 40 años (37,70% y hombres (68,6%. Cuanto a las causas, las caídas (29% fue la mayor variable, seguido por accidente de motocicleta (17,98%, accidentes domiciliario (16,53%, agresión física (10,43% y accidente de motocicleta (8,84%. Se observó que 23,3% de los atendimientos realizados en la urgencia fueron de la población procedente de municipios aledaños. Hay, por lo tanto, la necesidad de mejorar la calidad de las informaciones acerca de las quejas motivadas por causas externas, principales causas de hospitalización y gastos en salud.

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

    Directory of Open Access Journals (Sweden)

    Peter Panfilov

    2016-01-01

    Full Text Available 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(PO45OH; 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.

  14. Different methods of dentin processing for application in bone tissue engineering: A systematic review.

    Science.gov (United States)

    Tabatabaei, Fahimeh Sadat; Tatari, Saeed; Samadi, Ramin; Moharamzadeh, Keyvan

    2016-10-01

    Dentin has become an interesting potential biomaterial for tissue engineering of oral hard tissues. It can be used as a scaffold or as a source of growth factors in bone tissue engineering. Different forms of dentin have been studied for their potential use as bone substitutes. Here, we systematically review different methods of dentin preparation and the efficacy of processed dentin in bone tissue engineering. An electronic search was carried out in PubMed and Scopus databases for articles published from 2000 to 2016. Studies on dentin preparation for application in bone tissue engineering were selected. The initial search yielded a total of 1045 articles, of which 37 were finally selected. Review of studies showed that demineralization was the most commonly used dentin preparation process for use in tissue engineering. Dentin extract, dentin particles (tooth ash), freeze-dried dentin, and denatured dentin are others method of dentin preparation. Based on our literature review, we can conclude that preparation procedure and the size and shape of dentin particles play an important role in its osteoinductive and osteoconductive properties. Standardization of these methods is important to draw a conclusion in this regard. © 2016 Wiley Periodicals, Inc. J Biomed Mater Res Part A: 104A: 2616-2627, 2016. © 2016 Wiley Periodicals, Inc.

  15. Modification of dentin surface to enamel-like structure: A potential strategy for improving dentin bonding durability, desensitizing and self-repairing

    Directory of Open Access Journals (Sweden)

    Hongye Yang

    2014-01-01

    Full Text Available Introduction: Current theories of dentin bonding are based on the concept of "hybrid layer". However, the histological complexity of dentin, as well as the vulnerability of the hybrid layer, goes against the long-term effect of dentin bonding. At the same time, post-operative sensitivity is more likely to occur after traditional adhesive restoration. The Hypothesis: Compared to dentin bonding, enamel bonding exhibits a more optimal immediate and long-term performance, owing to its higher degree of mineralization, well-arranged enamel crystals and the porous structure after etching. Moreover, "enamel hypersensitivity" is never going to happen due to the lack of tubules existing in dentin. In light of this phenomenon, we brought up the concept and the proposal method to form an "enamel-like" dentin, simulating enamel structure to achieve satisfying durability of dentin bonding and obtain good performance for preventing post-operative sensitivity. With the application of mesoporous silicon bi-directionally binding to hydroxyapatite of dentin itself and hydroxyapatite nanorods synthetized in vitro, we may be able to form an enamel-like "functional layer" via ion-regulating self-assembly. Evaluation of Hypothesis: This paper explains how to achieve dentin enamel-like modification by chemical methods, especially, details the strategies and possible mechanisms of the hypothesis. Validation of the hypothesis is more likely to eliminate the adverse effect of dentinal fluid, improve long-term performance of dentin bonding, offer strategies for desensitizing treatment and self-repairing carious-affected dentin, and furthermore, provide the possibility to introduce new theories of dentin bonding.

  16. Effect of sonic application mode on the resin-dentin bond strength and dentin permeability of self-etching systems.

    Science.gov (United States)

    Mena-Serrano, Alexandra; Costa, Thays Regina Ferreira da; Patzlaff, Rafael Tiago; Loguercio, Alessandro Dourado; Reis, Alessandra

    2014-10-01

    To compare manual and sonic adhesive application modes in terms of the permeability and microtensile bond strength of a self-etching adhesive applied in the one-step or two-step protocol. Self-etching All Bond SE (Bisco) was applied as a one- or a two-step adhesive under manual or sonic vibration modes on flat occlusal dentin surfaces of 64 human molars. Half of the teeth were used to measure the hydraulic conductance of dentin at 200 cm H₂O hydrostatic pressure for 5 min immediately after the adhesive application. In the other half, composite buildups (Opallis) were constructed incrementally to create resin-dentin sticks with a cross-sectional area of 0.8 mm² to be tested in tension (0.5 mm/min) immediately after restoration placement. Data were analyzed using a two-way ANOVA and Tukey's test (α = 0.05). The fluid conductance of dentin was significantly reduced by the sonic vibration mode for both adhesives, but no effect on the bond strength values was observed for either adhesive. The sonic application mode at an oscillating frequency of 170 Hz can reduce the fluid conductance of the one- and two-step All Bond SE adhesive when applied on dentin.

  17. Doença de Chagas como causa básica de óbito na região sudeste do Brasil: presença de causas contributárias

    Directory of Open Access Journals (Sweden)

    Dalva Marli Valério Wanderley

    1994-02-01

    Full Text Available Estudaram-se os atestados de pessoas falecidas no Estado de São Paulo, Brasil, em 1987, cuja causa básica foi a cardiopatia chagásica, com a finalidade de conhecer a informação adicional que está presente no atestado como "causa contributária". Foram analisadas as informações existentes em 1.308 Declarações de Óbito. As causas contributárias foram identificadas e registradas a partir de uma leitura direta do atestado. Foram identificadas 261 Declarações com causas contributárias (20%, sendo 185 com apenas uma causa registrada e 75 com duas. As seis primeiras causas foram: megas, embolias, doença pulmonar crônica, infecções (exceto doença de Chagas, hipertensão arterial e desnutrição. Analisando a presença das causas contributárias no subgrupo de menores de 50 anos e de 50 anos ou mais, constatou-se uma maior proporção no grupo mais idoso e um perfil diferenciado de causas em cada subgrupo. As causas contributárias não apresentaram associação com sexo e local de residência.

  18. Doença de Chagas como causa básica de óbito na região sudeste do Brasil: presença de causas contributárias

    Directory of Open Access Journals (Sweden)

    Wanderley Dalva Marli Valério

    1994-01-01

    Full Text Available Estudaram-se os atestados de pessoas falecidas no Estado de São Paulo, Brasil, em 1987, cuja causa básica foi a cardiopatia chagásica, com a finalidade de conhecer a informação adicional que está presente no atestado como "causa contributária". Foram analisadas as informações existentes em 1.308 Declarações de Óbito. As causas contributárias foram identificadas e registradas a partir de uma leitura direta do atestado. Foram identificadas 261 Declarações com causas contributárias (20%, sendo 185 com apenas uma causa registrada e 75 com duas. As seis primeiras causas foram: megas, embolias, doença pulmonar crônica, infecções (exceto doença de Chagas, hipertensão arterial e desnutrição. Analisando a presença das causas contributárias no subgrupo de menores de 50 anos e de 50 anos ou mais, constatou-se uma maior proporção no grupo mais idoso e um perfil diferenciado de causas em cada subgrupo. As causas contributárias não apresentaram associação com sexo e local de residência.

  19. 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

  20. Principales causas de la morosidad en la jurisdicción laboral

    Directory of Open Access Journals (Sweden)

    Rafael Ospina Morales

    2006-01-01

    Full Text Available El proyecto desarrollado es de gran magnitud e importancia, toda vez que surgen “cascadas de leyes” que al poco tiempo de su vigencia, están siendo modificadas, adicionadas o derogadas, por quienes solucionan todos los problemas de Estado con sus administrados, expidiendo leyes, SINAVERIGUARLAS CAUSAS que han generado la patología social en determinado momento. La Ley debe tener en cuenta el fenómeno social, pero no a la ligera, sino profundizando sobre el origen y causa del mismo. Esto es lo que pregona científicamente la Escuela Constructivista. Con la presente investigación se contribuye a establecer algunas de las causas que generan la morosidad en la jurisdicción laboral.

  1. Effects of different desensitizing treatments on root dentin permeability

    Directory of Open Access Journals (Sweden)

    Raydsa Raíssa Moura ROSA

    Full Text Available Abstract The objective of this study was to evaluate the effects of diode laser and a desensitizing dentifrice on dentin permeability. Fifty-two root dentin fragments were obtained (5 × 5mm and treated with 24% EDTA gel. The samples were divided into 4 groups (n = 13: G1, control (no treatment; G2, diode laser (λ = 908 nm, 1.5 W, continuous mode, 20s; G3, application of abrasive dentifrice for 1 minute (Elmex Sensitive Professional (International Gaba; and G4, application of abrasive dentifrice for 1 minute followed by irradiation with diode laser. Ten samples per group were immersed in 2% methylene blue solution for 4h. The specimens were washed, longitudinally sectioned, observed under optical microscopy, photographed and assessed based on the degree of dye leakage. The remaining samples were observed under scanning electron microscopy (SEM. The leakage data were subjected to ANOVA test, followed by Tukey’s t-test (α = 5%. Groups 2, 3 and 4 showed less dye penetration than the control group (p < 0.05, but were similar among each other. SEM images showed that dentinal tubules were open in G1, and fused and occluded in G2. Group 3 showed dentinal tubules that were occluded by the metal ions from the toothpaste. G4 presented similar characteristics to G3, and the presence of fused dentin. The diode laser and the dentifrice were effective in reducing dentinal permeability, and the combination of the two treatments did not show better results than either one used alone.

  2. O foro competente nas causas matrimoniais segundo a instrução Dignitas Connubii

    Directory of Open Access Journals (Sweden)

    Orsi, João Carlos

    2006-01-01

    Full Text Available A instrução Dignitas Connubii apresenta as normas que devem ser observadas nos tribunais eclesiásticos, dada para ser um vademecum para juízes e ministros dos tribunais, visando dar um tratamento mais veloz e seguro às causas de nulidade matrimonial. Importa observar que a Instrução recolhe todo o material extracodicial referente ao foro competente nas referidas causas matrimoniais. Tal informação é de grande importância para a justiça eclesiástica

  3. IDEAS SOBRE LAS CAUSAS DE LA OBESIDAD EN ESTUDIANTES UNIVERSITARIOS MEXICANOS Y ESPAÑOLES

    OpenAIRE

    Rigoberto León Sánchez; Blanca Elizabeth Jiménez Cruz; Asunción López Manjón; Kirareset Barrera García

    2014-01-01

    Diversos estudios han mostrado que los profesionales de la salud estigmatizan la obesidad, incluso aquellos que dedican su labor a la atención del paciente obeso. Es posible que dichas creencias negativas tengan que ver con la atribución de las causas de la obesidad, es decir, si se supone que la persona obesa tiene o no responsabilidad sobre su padecimiento. El propósito del presente trabajo fue examinar las creencias sobre las causas de la obesidad de dos grupos de estudiantes universitario...

  4. Prevención de incendios provocados por causas eléctricas en centros comerciales

    OpenAIRE

    Ñauta Chuisaca, Pedro Santiago; Ulloa Duran, Marco Javier

    2009-01-01

    A lo largo del tiempo se ha venido dando muchos incendios en la ciudad y en todo el país. Estos incendios son debidos a diversas causas, siendo las más señaladas por parte de la población y el personal que mitiga e investiga los mismos las de origen eléctrico, principalmente los cortocircuitos. Por tal razón se ha visto necesario establecer un marco de referencia en donde indique cuales son las causas eléctricas que pueden provocar incendios, para luego indicar las protecciones y medidas nece...

  5. La disolución de las Sociedades Mercantiles: Causa ex voluntate

    OpenAIRE

    Huertas López, Josefa

    2014-01-01

    Estudiando el Derecho Mercantil, se encuentra todo lo referente a las sociedades mercantiles, empezando por su constitución, transformación, fusión, escisión hasta de su extinción. Este estudio pese a la complejidad de su título, se centra en la disolución de las sociedades mercantiles y en concreto en la disolución por “CAUSA EX VOLUNTATE”. Diversos son los criterios que han utilizado los distintos autores a lo largo del tiempo para agruparlas, centrándose en las causas de disolución (arts. ...

  6. 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

  7. Effect of immediate and delayed dentin sealing on the fracture strength, failure type and Weilbull characteristics of lithiumdisilicate laminate veneers

    NARCIS (Netherlands)

    Gresnigt, Marco M.M.; Cune, Marco S.; de Roos, Joanne G.; Özcan, Mutlu

    OBJECTIVES: Adhesion on dentin is less reliable than on enamel, which could affect the durability of laminate veneers (LV). Immediate dentin sealing (IDS) is suggested instead of delayed dentin sealing (DDS) to overcome hypersensitivity and prevent debonding from dentin. This study evaluated the

  8. Transmission electron microscopical study of teenage crown dentin on the nanometer scale

    Energy Technology Data Exchange (ETDEWEB)

    Panfilov, Peter, E-mail: peter.panfilov@urfu.ru [Ural Federal University, Ekaterinburg (Russian Federation); Kabanova, Anna [Ural Federal University, Ekaterinburg (Russian Federation); Guo, Jinming; Zhang, Zaoli [Erich Schmid Institute for Materials Science, Austrian Academy of Sciences, Leoben (Austria)

    2017-02-01

    Statement of significance: This is the first transmission electron microscopic study of teenage crown dentin on the nanometer scale. Samples for TEM were prepared by mechanical thinning and chemical polishing that allowed obtaining the electron transparent foils. It was firstly shown that human dentin possesses the layered morphology: the layers are oriented normally to the main axis of a tooth and have the thickness of ~ 50 nm. HA inorganic phase of teenage crown dentin is in the amorphous state. The cellular structure, which was formed from collagen fibers (diameter is ~ 5 nm), are observed near DEJ region in teenage dentin, whereas bioorganic phase of teenage crown dentin near the pulp camera does not contain the collagen fibers. Cracks in dentin thin foils have sharp tips, but big angles of opening (~ 30{sup °}) with plastic zone ahead crack tip. It means that young crown human dentin exhibits ductile or viscous-elastic fracture behavior on the nanometer scale. - Highlights: • Dentin has layered morphology. • Mineral component of dentin is in amorphous state. • Collagen fibers form cellular structure in dentin. • Cracks in dentin behave by elastic-plastic manner.

  9. Transmission electron microscopical study of teenage crown dentin on the nanometer scale

    International Nuclear Information System (INIS)

    Panfilov, Peter; Kabanova, Anna; Guo, Jinming; Zhang, Zaoli

    2017-01-01

    Statement of significance: This is the first transmission electron microscopic study of teenage crown dentin on the nanometer scale. Samples for TEM were prepared by mechanical thinning and chemical polishing that allowed obtaining the electron transparent foils. It was firstly shown that human dentin possesses the layered morphology: the layers are oriented normally to the main axis of a tooth and have the thickness of ~ 50 nm. HA inorganic phase of teenage crown dentin is in the amorphous state. The cellular structure, which was formed from collagen fibers (diameter is ~ 5 nm), are observed near DEJ region in teenage dentin, whereas bioorganic phase of teenage crown dentin near the pulp camera does not contain the collagen fibers. Cracks in dentin thin foils have sharp tips, but big angles of opening (~ 30 ° ) with plastic zone ahead crack tip. It means that young crown human dentin exhibits ductile or viscous-elastic fracture behavior on the nanometer scale. - Highlights: • Dentin has layered morphology. • Mineral component of dentin is in amorphous state. • Collagen fibers form cellular structure in dentin. • Cracks in dentin behave by elastic-plastic manner.

  10. Deformation behavior of human dentin in liquid nitrogen: a diametral compression test.

    Science.gov (United States)

    Zaytsev, Dmitry; Panfilov, Peter

    2014-09-01

    Contribution of the collagen fibers into the plasticity of human dentin is considered. Mechanical testing of dentin at low temperature allows excluding the plastic response of its organic matrix. Therefore, deformation and fracture behavior of the dentin samples under diametral compression at room temperature and liquid nitrogen temperature are compared. At 77K dentin behaves like almost brittle material: it is deformed exclusively in the elastic regime and it fails due to growth of the sole crack. On the contrary, dentin demonstrates the ductile response at 300K. There are both elastic and plastic contributions in the deformation of dentin samples. Multiple cracking and crack tip blunting precede the failure of samples. Organic phase plays an important role in fracture of dentin: plasticity of the collagen fibers could inhibit the crack growth. Copyright © 2014 Elsevier B.V. All rights reserved.

  11. Structure and microstructure of coronary dentin in non-erupted human deciduous incisor teeth

    Directory of Open Access Journals (Sweden)

    Costa Luciane R.R S.

    2002-01-01

    Full Text Available The dentin structure of non-erupted human deciduous mandibular and maxillary central and lateral incisor teeth was studied employing light and scanning electron microscopy. For light microscopy, nitric-acid-demineralized and ground sections were used. The sections were stained by hematoxylin-eosin, picrosirius and azo-carmim methods, and ground specimens were prepared using a carborundum disk mounted in a handpiece. For SEM study, teeth were frozen in liquid nitrogen and fractured at longitudinal and transversal directions. Structurally, demineralization and ground methods revealed tubules with primary and secondary curvatures, canaliculi, giant tubules, interglobular dentin, predentin, and intertubular dentin. Scanning electron microscopy showed three-dimensional aspects of dentinal tubules, canaliculi, peritubular dentin, intertubular dentin, and predentin. This study contributes to knowledge about dentin morphology showing characteristics of teeth not yet submitted to mastication stress.

  12. Penetration of varnishes into demineralized root dentine in vitro

    NARCIS (Netherlands)

    Arends, J; Duschner, H; Ruben, JL

    1997-01-01

    In this paper the penetration of three different varnishes employed in caries prevention (Duraphat(R), Fluor Protector(R) and Cervitec(R)) into demineralized dentine is quantified using confocal laser scanning microscopy. The results show that the varnish penetration into lesions about 85 mu m in

  13. Bonding strategies for MIH-affected enamel and dentin.

    Science.gov (United States)

    Krämer, Norbert; Bui Khac, Ngoc-Han Nana; Lücker, Susanne; Stachniss, Vitus; Frankenberger, Roland

    2018-02-01

    Aim of the present study was to evaluate resin composite adhesion to dental hard tissues affected by molar incisor hypomineralisation (MIH). 94 freshly extracted human molars and incisors (53 suffering MIH) were used. 68 teeth (35 with MIH) were used for μ-TBS tests in enamel and dentin, 26 (18 with MIH) for qualitative evaluation. Specimens were bonded with Clearfil SE Bond, Scotchbond Universal, and OptiBond FL. For MIH affected enamel, additional OptiBond FL groups with NaOCl and NaOCl+Icon were investigated. Beside fractographic analysis, also qualitative evaluations were performed using SEM at different magnifications as well as histological sectioning. Highest μ-TBS values were recorded with dentin specimens (ANOVA, mod. LSD, p0.05). Pre-test failures did not occur in dentin specimens. Sound enamel specimens exhibited significantly higher μ-TBS values than MIH enamel (p0.05), however, it caused less pre-test failures (pMIH enamel is the limiting factor in adhesion to MIH teeth. MIH-affected dentin may be bonded conventionally. Copyright © 2017 The Academy of Dental Materials. Published by Elsevier Ltd. All rights reserved.

  14. Dentin dysplasia type I : Five cases within one family

    NARCIS (Netherlands)

    Kalk, WWI; Batenburg, RHK; Vissink, A

    Five cases of dentin dysplasia type I within one family are described. Clinically and radiologically, such patients are characterized by a delayed eruption pattern, opacity of the incisional margins, hypermobility of the teeth, short and defective roots, and obliterated pulp chambers. A conservative

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

    NARCIS (Netherlands)

    Scholtanus, J.D.

    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

  16. Bio-reconstruction of root canal using dentin post

    Directory of Open Access Journals (Sweden)

    Navin Mishra

    2013-01-01

    Full Text Available This case report describes the successful management of complicated crown fracture of left maxillary central incisor (#21 of 23-year-old male using dentin (biological post made from human tooth. Endodontic treatment was initiated and sectional obturation was done using ProTaper gutta-percha and AH Plus sealer. The coronal space was modified to receive a human dentin post. A two-step procedure comprising direct and indirect technique of post fabrication was done to achieve the accuracy of biological post. A maxillary cuspid from an institutional tooth bank was taken, sectioned mesiodistally using a diamond disc simulating the length and thickness of mock post. Dentin post was first verified on the plaster model and then cemented in tooth #21. Core build up was done with composite and porcelain fused to metal (PFM crown was luted. On the follow-up visits, patient was asymptomatic and radiographic evaluation revealed normal periradicular architecture. Biological posts may be good alternatives to conventional post systems as they preserve internal dentin walls, provide excellent adhesion, and resilience similar to natural tooth structure.

  17. Cyclophilin B Deficiency Causes Abnormal Dentin Collagen Matrix.

    Science.gov (United States)

    Terajima, Masahiko; Taga, Yuki; Cabral, Wayne A; Nagasawa, Masako; Sumida, Noriko; Hattori, Shunji; Marini, Joan C; Yamauchi, Mitsuo

    2017-08-04

    Cyclophilin B (CypB) is an endoplasmic reticulum-resident protein that regulates collagen folding, and also contributes to prolyl 3-hydroxylation (P3H) and lysine (Lys) hydroxylation of collagen. In this study, we characterized dentin type I collagen in CypB null (KO) mice, a model of recessive osteogenesis imperfecta type IX, and compared to those of wild-type (WT) and heterozygous (Het) mice. Mass spectrometric analysis demonstrated that the extent of P3H in KO collagen was significantly diminished compared to WT/Het. Lys hydroxylation in KO was significantly diminished at the helical cross-linking sites, α1/α2(I) Lys-87 and α1(I) Lys-930, leading to a significant increase in the under-hydroxylated cross-links and a decrease in fully hydroxylated cross-links. The extent of glycosylation of hydroxylysine residues was, except α1(I) Lys-87, generally higher in KO than WT/Het. Some of these molecular phenotypes were distinct from other KO tissues reported previously, indicating the dentin-specific control mechanism through CypB. Histological analysis revealed that the width of predentin was greater and irregular, and collagen fibrils were sparse and significantly smaller in KO than WT/Het. These results indicate a critical role of CypB in dentin matrix formation, suggesting a possible association between recessive osteogenesis imperfecta and dentin defects that have not been clinically detected.

  18. Effect of dentin desensitizing procedures on methyl methacrylate ...

    African Journals Online (AJOL)

    Background: Acrylic and bisacryl resins are widely used both during the temporization phase as well as for provisional restorations and the effect of external agents on dentin sensitivity can be reduced by the ... Materials and Methods: Forty extracted restoration and caries free human premolar teeth were used in this study.

  19. Mortalidade em idosos por diabetes mellitus como causa básica e associada

    Directory of Open Access Journals (Sweden)

    Cláudia Medina Coeli

    2002-04-01

    Full Text Available OBJETIVO:Analisar a mortalidade por diabetes mellitus em idosos e a subenumeração do diabetes como causa do óbito de acordo com estatísticas baseadas unicamente em causa básica de óbito. MÉTODOS:Foram revisadas todas as 2.974 declarações de óbito ocorridas em 1994 de idosos residentes em um núcleo habitacional localizado na cidade do Rio de Janeiro, RJ. Destas, foram estudados 291 óbitos, tendo o diabetes mellitus como causa básica (150 e associada (141. A proporção de óbitos em que a diabetes aparece como causa básica em relação ao total de óbitos por diabetes foi calculada de forma global e segundo sexo e faixa etária. RESULTADOS:Dos 291 óbitos estudados, 138 (47,4% ocorreram em homens, e 153, em mulheres (52,6%. As taxas de mortalidade apresentaram crescimento contínuo com o avançar da idade, sendo superiores no sexo masculino, embora a diferença entre sexos tenha sido menor para a análise baseada unicamente na causa básica. Observou-se proporção elevada de óbitos domiciliares (22%. A proporção de óbitos por diabetes como causa básica foi de 51,5%, sendo maior nas mulheres do que nos homens. CONCLUSÕES:A análise das estatísticas de mortalidade baseadas unicamente na causa básica do óbito pode levar a perfis distorcidos, em função da subenumeração não ocorrer aleatoriamente. Estudos adicionais em coortes de idosos brasileiros diabéticos são necessários para permitir uma avaliação mais acurada da mortalidade nesse grupo.

  20. Fracture toughness of dentin/resin-composite adhesive interfaces.

    Science.gov (United States)

    Tam, L E; Pilliar, R M

    1993-05-01

    The reliability and validity of tensile and shear bond strength determinations of dentin-bonded interfaces have been questioned. The fracture toughness value (KIC) reflects the ability of a material to resist crack initiation and unstable propagation. When applied to an adhesive interface, it should account for both interfacial bond strength and inherent defects at or near the interface, and should therefore be more appropriate for characterization of interface fracture resistance. This study introduced a fracture toughness test for the assessment of dentin/resin-composite bonded interfaces. The miniature short-rod specimen geometry was used for fracture toughness testing. Each specimen contained a tooth slice, sectioned from a bovine incisor, to form the bonded interface. The fracture toughness of an enamel-bonded interface was assessed in addition to the dentin-bonded interfaces. Tensile bond strength specimens were also prepared from the dentin surfaces of the cut bovine incisors. A minimum of ten specimens was fabricated for each group of materials tested. After the specimens were aged for 24 h in distilled water at 37 degrees C, the specimens were loaded to failure in an Instron universal testing machine. There were significant differences (p adhesives tested. Generally, both the fracture toughness and tensile bond strength measurements were highest for AllBond 2, intermediate for 3M MultiPurpose, and lowest for Scotchbond 2. Scanning electron microscopy of the fractured specimen halves confirmed that crack propagation occurred along the bond interface during the fracture toughness test. It was therefore concluded that the mini-short-rod fracture toughness test provided a valid method for characterization of the fracture resistance of the dentin-resin composite interface.

  1. Temperature rise produced by different light-curing units through dentin.

    Science.gov (United States)

    Yazici, A Rüya; Müftü, Ali; Kugel, Gerard

    2007-11-01

    This study investigated the temperature rise caused by different light curing units and the temperature increase in dentin of different thicknesses. Dentin discs of 1.0 and 2.0 mm thicknesses were prepared from extracted human mandibular molars. Temperatures were recorded directly at the surface of the light guide tip, under dentin discs with different thicknesses, and through a sandwich composed of 2 mm thick cured composite and dentin using a K-type thermocouple. The curing units used were two quartz-tungsten-halogen lights (Spectrum and Elipar Trilight-ET) and a light-emitting diode (LED). The highest temperature rise was observed under a Mylar strip using ET standard mode. Under 1 and 2 mm thick dentin barriers, the lowest temperature rise was measured for the LED curing light. Significant differences in temperature rise existed among all curing units except between the Spectrum and ET exponential modes under a 1 mm thick dentin barrier with cured composite. Temperature rises were insignificant between the Spectrum and ET exponential modes and between two modes of Trilight when the same experimental setup was used under a 2 mm thick dentin barrier. For all curing units, temperature elevation through 2 mm of dentin was less than for 1 mm of dentin thickness. The ET standard mode produced the highest and the LED produced the lowest temperature rise for all tested conditions. The thickness of dentin and light-curing unit might affect temperature transmission.

  2. 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.

  3. Morphological Analysis of Dentin Surface after Conditioning with Two Different methods: Chemical and Mechanical.

    Science.gov (United States)

    Rafael, Caroline Freitas; Quinelato, Valquíria; Morsch, Carolina Schaffer; DeDeus, Gustavo; Reis, Claudia Mendonca

    2016-01-01

    Alternative pretreatment strategies of dentin and adhesionare constantly being developed and studied with the goal of improving the adhesion of resin restorative materials with this tissue. The objectives of the present study were to evaluate the ability of airborne-particle abrasion (APA) with aluminum oxide on dentin to remove the smear layer and the effects produced on the dentin microstructure. The phosphoric acid (PA) was used for a comparison. For that, 20 human third molars were randomly allocated into two experimental groups, according to the dentin pretreatment method used: G1 (N = 10) - PA, G2 (N = 10) -APA. For dentin surface analyses, an environmental scanning electron microscope (ESEM) was employed to observe dentin surfaces before and after the procedures. Before pretreatment, the specimens of both groups were smear covered. After pretreatment, the G1 images revealed dentin tubule orifices opened, enlarged and some erosive effects. (G2) exposed tubule orifices without enlargement, but crack-like alterations were observed on the surfaces. In this way, APA with aluminum oxide was able to remove the smear layer. The influences of the dentin roughness on adhesion and the consequences on dentin integrity and hardness need further investigations. A good conditioning of the dentin before cementation is necessary in order to obtain a satisfactory rehabilitation in adhesive dentistry. So, it is necessary to know all methods to do it.

  4. In vivo remineralization of dentin using an agarose hydrogel biomimetic mineralization system

    Science.gov (United States)

    Han, Min; Li, Quan-Li; Cao, Ying; Fang, Hui; Xia, Rong; Zhang, Zhi-Hong

    2017-02-01

    A novel agarose hydrogel biomimetic mineralization system loaded with calcium and phosphate was used to remineralize dentin and induce the oriented densely parallel packed HA layer on defective dentin surface in vivo in a rabbit model. Firstly, the enamel of the labial surface of rabbits’ incisor was removed and the dentin was exposed to oral environment. Secondly, the hydrogel biomimetic mineralization system was applied to the exposed dentin surface by using a custom tray. Finally, the teeth were extracted and evaluated by scanning electron microscopy, X-ray diffraction, and nanoindentation test after a certain time of mineralization intervals. The regenerated tissue on the dentin surface was composed of highly organised HA crystals. Densely packed along the c axis, these newly precipitated HA crystals were perpendicular to the underlying dental surface with a tight bond. The demineralized dentin was remineralized and dentinal tubules were occluded by the grown HA crystals. The nanohardness and elastic modulus of the regenerated tissue were similar to natural dentin. The results indicated a potential clinical use for repairing dentin-exposed related diseases, such as erosion, wear, and dentin hypersensitivity.

  5. The effect of MTA application on the affected dentine remineralization after partial caries excavation (in vivo)

    Science.gov (United States)

    Pratiwi, A. R.; Meidyawati, R.; Djauharie, N.

    2017-08-01

    On deep carious lesions, only thin dentine remains, causing a high risk of pulp exposure during the removal of all infected dentine. A minimally invasive technique is required, such as a partial caries excavation method in the infected dentine tissue and the use of bioactive material that can promote (Mineral Trioxide Aggregate) MTA remineralization. To compare the remineralization of deep carious lesion-affected dentine with the removal of some and all the infected dentine after the application of MTA. Subjects were divided into two groups: group I had only some parts of the infected dentine removed before MTA application, while group II had all the infected dentine removed before MTA application. Each group was measured on the pixel grey value before the treatment and again four weeks after the MTA application, and then the results were compared. Furthermore, the enhancement of both groups’ grey values were compared. Remineralization occurred in both groups after the MTA application. There was no significant difference in the remineralization level of the affected dentine in both groups I and II four weeks after the MTA application. Remineralization occurred in the affected dentine in both groups, either by removing only some parts or all the infected dentine in the deep carious lesion.

  6. Combining Bioactive Multifunctional Dental Composite with PAMAM for Root Dentin Remineralization

    Directory of Open Access Journals (Sweden)

    Shimeng Xiao

    2017-01-01

    Full Text Available Objectives. The objectives of this study were to: (1 develop a bioactive multifunctional composite (BMC via nanoparticles of amorphous calcium phosphate (NACP, 2-methacryloyloxyethyl phosphorylcholine (MPC, dimethylaminohexadecyl methacrylate (DMAHDM and nanoparticles of silver (NAg; and (2 investigate the effects of combined BMC + poly (amido amine (PAMAM on remineralization of demineralized root dentin in a cyclic artificial saliva/lactic acid environment for the first time. Methods. Root dentin specimens were prepared and demineralized with 37% phosphoric acid for 15 s. Four groups were prepared: (1 root dentin control; (2 root dentin with BMC; (3 root dentin with PAMAM; (4 root dentin with BMC + PAMAM. Specimens were treated with a cyclic artificial saliva/lactic acid regimen for 21 days. Calcium (Ca and phosphate (P ion concentrations and acid neutralization were determined. The remineralized root dentin specimens were examined via hardness testing and scanning electron microscopy (SEM. Results. Mechanical properties of BMC were similar to commercial control composites (p = 0.913. BMC had excellent Ca and P ion release and acid-neutralization capability. BMC or PAMAM alone each achieved slight mineral regeneration in demineralized root dentin. The combined BMC + PAMAM induced the greatest root dentin remineralization, and increased the hardness of pre-demineralized root dentin to match that of healthy root dentin (p = 0.521. Significance. The excellent root dentin remineralization effects of BMC + PAMAM were demonstrated for the first time. BMC + PAMAM induced effective and complete root dentin remineralization in an acid challenge environment. The novel BMC + PAMAM method is promising for Class V and other restorations to remineralize and protect tooth structures.

  7. Effects of a Dicalcium and Tetracalcium Phosphate-Based Desensitizer on In Vitro Dentin Permeability.

    Directory of Open Access Journals (Sweden)

    Jianfeng Zhou

    Full Text Available The present study evaluated the effectiveness of a dicalcium and tetracalcium phosphate-based desensitizer in reducing dentin permeability in vitro. Dentin fluid flow was measured before and after treatment of dentin with patent dentinal tubules using 1 or 3 applications of the dicalcium and tetracalcium phosphate containing agent TeethmateTM (TM and comparing the results with two sodium fluoride varnishes VellaTM (VLA and VanishTM (VAN, after storage in artificial saliva for 24 h, 48 h and 7 days. Significant differences were observed among the 4 methods employed for reducing dentin permeability (p < 0.001 and the 3 post-treatment times (p < 0.001. VLA and VAN never achieved 50% permeability reductions consistently in any of the 3 time periods. Only the calcium phosphate-based desensitizer applied for 3 times consistently reduced dentin permeability by 50% after 24 h. When applied once, the permeability reduction of TM increased progressively over the 3 time periods. After 7 days, only one and three applications of the calcium phosphate-based desensitizer consistently reduced dentin permeability by more than 50%. Permeability reductions corresponded well with scanning electron microscopy examination of dentinal tubule orifice occlusion in dentin specimens treated with the agents. Overall, the dicalcium and tetracalcium phosphate-based desensitizer is effective in reducing dentin permeability via a tubule occlusion mechanism. The ability of the agent to reduce dentin permeability renders it to be potentially useful as a clinical dentin desensitizing agent, which has to be confirmed in future clinical studies. By contrast, the two sodium fluoride varnishes are not effective in dentin permeability reduction and should be considered as topical fluoride delivering agents rather than tubular orifice-blocking agents.

  8. EL LEGADO CON CAUSA ONEROSA QUE NO PUEDE ESTIMARSE EN DINERO

    Directory of Open Access Journals (Sweden)

    Alejandro Guzmán Brito

    2008-01-01

    Full Text Available El Código Civil reconoce un tipo de legado que denomina "con causa onerosa que pueda estimarse en dinero" (artículo 1367; pero que va mencionado de paso, en tema concerniente a su modo de contribuir subsidiariamente al cumplimiento de las legítimas y mejoras lesionadas en un testamento, o al pago de las deudas hereditarias, cuando no hay lo suficiente en la herencia para cubrirlas. De ello, empero, se deduce la existencia de un legado con causa onerosa que no puede estimarse en dinero, que, por lo demás, estaba reconocido en el artículo 1543 del "Proyecto de 1853", y que puede reponerse como posible. Ayuda a configurar su estructura y funciones el tipo donatario que el Código Civil llama "con causa onerosa" (artículo 1404, en el entendido que tal causa nunca es apreciable en dinero. De donde que se sugiera que el legado en examen debe analógicamente configurarse, no como suspensiva o resolutoriamente condicionado, sino como puro y simple, cuyo efecto, por ende, es hacer adquirir el emolumento de que se trate, pero también deberlo mientras la causa esté pendiente, de modo que si la causa no sigue, hay que restituirlo, y sólo lucrarlo cuando sigue.The Civil Code recognizes a kind of legacy, that he calls "with onerous cause, that could be estimated in money" (article 1367; but that is mentioned incidentally in the subject of contribution to payment of legal hereditary portion or hereditary debts, when there is not enough in the heritage to fill them. This, however, suggests the existence of a legacy with cause that can not be estimated in money, which, also incidentally, was recognized in article 1543 of "Project 1853" and that he may recover as possible. Help to shape its structure and functions the kind of gift, that the Civil Code call "with onerous cause" (article 1404, on the understanding that such cause is never appreciably in money. This suggests that the legacy under review must analogic configured, not as unter suspensive or

  9. Mineral Apposition Rates in Coronal Dentine of Mandibular First Molars in Soay Sheep: Results of a Fluorochrome Labeling Study.

    Science.gov (United States)

    Kahle, Patricia; Witzel, Carsten; Kierdorf, Uwe; Frölich, Kai; Kierdorf, Horst

    2018-05-01

    We studied the spatio-temporal variation of mineral apposition rate (MAR) in postnatally formed coronal dentine of mandibular first molars from Soay sheep repeatedly injected with different fluorochromes. MAR declined along the cuspal to cervical crown axis, and from early to late formed dentine, that is, from the dentine at the enamel-dentine-junction (EDJ) to the dentine adjacent to the dentine-pulp-interface (DPI). Highest mean MARs (about 21 µm/day) were recorded in cuspal dentine formed in the period of 28-42 days after birth. Lowest values (distributions in sheep dentine aimed at assessing temporal variation of incorporation into forming dentine. Such data are useful in a variety of contexts, including, for example, the exposure to pollutants and the reconstruction of husbandry practices or feeding regimes. Anat Rec, 301:902-912, 2018. © 2017 Wiley Periodicals, Inc. © 2017 Wiley Periodicals, Inc.

  10. Causa Memetika

    OpenAIRE

    Knedla, Dalibor

    2011-01-01

    This bachelor thesis focuses on the controversial topic of memetics. Memetics is rather new science which links sociology, biology and psychology together. The central aim of memetics is to explain the cultural transfer, using the Darwinian concepts of evolution. The thesis is divided into three chapters. Each chapter deals with the different perspective of the memetic theory. The first chapter describes the theory itself and foundations of the theory, the second chapter describes problematic...

  11. Three-dimensional finite element analysis of the stress distribution in the endodontically treated maxillary central incisor by glass fiber post and dentin post

    Directory of Open Access Journals (Sweden)

    Sarfaraz Memon

    2016-01-01

    Conclusion: The FEA results showed that the stress in the cervical area of the dentin was more for fiber post when compared to dentin post, and maximum displacement values were less for dentin post in comparison to fiber post.

  12. Molecular detection of bacteria associated to caries activity in dentinal lesions.

    Science.gov (United States)

    Neves, Beatriz Gonçalves; Stipp, Rafael Nóbrega; da Silva Bezerra, Daniela; de Figueiredo Guedes, Sarah Florindo; Rodrigues, Lidiany Karla Azevedo

    2017-07-01

    This study aimed at identifying and quantifying Actinomyces naeslundii, Bifidobacterium spp., Streptococcus mitis group, Lactobacillus acidophilus, Lactobacillus casei group, Streptococcus gordonii, and Streptococcus mutans in active and inactive carious dentine lesions of children with early childhood caries by using quantitative polymerase chain reaction. Fifty-six dentin lesion samples, classified as active (n = 39) or inactive (n = 17), were collected from children aged from 2 to 5 years old. Dentinal-cavitated lesions were evaluated by Nyvad criteria for the assessment of caries lesion activity. Relative quantification revealed that Bifidobacterium spp. and the L. casei group were significantly more abundant in active dentin lesions (p oral microbiota related to dentin caries activity status is relevant, this study provides insights to better understand the differences in the microbiotas between active and arrested dentin cavities.

  13. Molecular study of the dentin-pulp complex responses to caries progression

    Directory of Open Access Journals (Sweden)

    Yani Corvianindya Rahayu

    2007-03-01

    Full Text Available The dentin-pulp complex exhibits various responses to caries, including events of injury, defense, and repair. The overall responses dependent on pulp cell activity and the signaling processes, which regulate the behavior of these cells. The signals for tissue repair are thought to be mediated by dentin-bound growth factors released during caries progression. Growth factors are a key of molecules responsible for signaling a variety of cellular process following dental injury. The endogenous proteolytic enzymes (Matrix metalloproteinases, MMPs present in dentin matrix might also participate in releasing bioactive molecule. Several members of the MMP family are found in the soft and hard tissue compartment of dentin-pulp complex. Their presumed role in many physiological process during the development and maintenance of the dentin-pulp complex, they may also contribute to the pathogenesis of dentin caries and the responses elicited by caries.

  14. Principales causas de la morosidad en la jurisdicción laboral

    OpenAIRE

    Rafael Ospina Morales

    2006-01-01

    El proyecto desarrollado es de gran magnitud e importancia, toda vez que surgen cascadas de leyes que al poco tiempo de su vigencia, están siendo modificadas, adicionadas o derogadas, por quienes solucionan todos los problemas de Estado con sus administrados, expidiendo leyes, SINAVERIGUARLAS CAUSAS que han generado la patología social en determinado momento. La Ley debe tener en cuenta el fenómeno social, pero no a la ligera, sino profundizando sobre el origen y ...

  15. Síndrome oculoglandular de Parinaud como possível causa de catarata cortical

    OpenAIRE

    Hemerly, Mariana Heid Rocha; Mattos, Marcelo Berno; Saraiva, Fábio Petersen; Mattos, Fellipe Berno

    2014-01-01

    According to the World Health Organization, cataract is the leading cause of blindness and visual impairment throughout the world. However, the etiology of cataracts often remains unknown. This report describes the development of cortical cataract in a patient after Parinaud's oculoglandular syndrome caused by the fungus Sporothrix schenckii. De acordo com a Organização Mundial de Saúde, a catarata é a principal causa de cegueira e deficiência visual em todo o mundo. No entanto, a etiologi...

  16. A CAUSA E AS POLÍTICAS DE DIREITOS HUMANOS NO BRASIL

    Directory of Open Access Journals (Sweden)

    Fabiano Engelmann

    Full Text Available Pretende-se analisar a emergência e consolidação da causa dos direitos humanos no Brasil nas últimas décadas. O argumento principal é que o movimento dos direitos humanos emerge, como em outros contextos da América latina, a partir da contestação do regime militar-autoritário e consolida-se a partir de marcos institucionais após a redemocratização do país. A análise do perfil das causas e dos trajetos dos principais líderes do movimento no Brasil permite afirmar que os direitos humanos transformam-se, ao longo da década de 90, em uma “causa de Estado”. Um dos indicadores mais forte dessa transformação é a articulação entre os movimentos militantes e a burocracia governamental e a expansão de programas de direitos humanos principalmente nas regiões sul, sudeste e norte.

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

    International Nuclear Information System (INIS)

    Fumero Sanchez, Yanisley; Rodriguez Jorrin, Daimy; Castanneda Marin, Raul

    2009-01-01

    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

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

    OpenAIRE

    Vatkar, Niranjan Ashok; Hegde, Vivek; Sathe, Sucheta

    2016-01-01

    Aim: To compare the vitality of Enterococcus faecalis within dentinal tubules after subjected to five root canal disinfection methods. Materials and Methods: Dentin blocks (n = 60) were colonized with E. faecalis. After 4 weeks of incubation, the dentin blocks were divided into one control and five test groups (n = 10 each). The root canals of test groups were subjected to one of the disinfection methods, namely, normal saline (NS), sodium hypochlorite (NaOCl), chlorhexidine digluconate (C...

  19. Experimental resin cements containing bioactive fillers reduce matrix metalloproteinase-mediated dentin collagen degradation.

    Science.gov (United States)

    Osorio, Raquel; Yamauti, Monica; Sauro, Salvatore; Watson, Thimoty F; Toledano, Manuel

    2012-09-01

    Collagen dentin matrix may represent a suitable scaffold to be remineralized in the presence of bioactive materials. The purpose of this study was to determine if experimental resin cements containing bioactive fillers may modulate matrix metalloproteinase-mediated collagen degradation of etched dentin. Human dentin beams demineralized using 10% phosphoric acid or 0.5 mol/L EDTA were infiltrated with the following experimental resins: (1) unfilled resin, (2) resin with Bioglass 45S5 particles (Sylc; OSspray Ltd, London, UK), and (3) resin with β-tricalcium phosphate-modified calcium silicate cement (HCAT-β) particles. The filler/resin ratio was 40/60 wt%. The specimens were stored in artificial saliva, and the determination of C-terminal telopeptide (ICTP) was performed by radioimmunoassay after 24 hours, 1 week, and 4 weeks. Scanning electron microscopic analysis of dentin surfaces after 4 weeks of storage was also executed. Collagen degradation was prominent both in phosphoric acid and EDTA-treated dentin. Resin infiltration strongly reduced the MMP activity in demineralized dentin. Resin-containing Bioglass 45S5 particles exerted higher and more stable protection of collagen at all tested dentin states and time points. HCAT-β induced collagen protection from MMPs only in EDTA-treated specimens. Dentin remineralization was achieved when dentin was infiltrated with the resin cements containing bioactive fillers. MMP degradation of dentin collagen is strongly reduced in resin-infiltrated dentin. The inclusion of Bioglass 45S5 particles exerted an additional protection of collagen during dentin remineralization. Copyright © 2012 American Association of Endodontists. Published by Elsevier Inc. All rights reserved.

  20. Dentin and dental pulp regeneration by the patient’s endogenous cells

    OpenAIRE

    KIM, SAHNG G.; ZHENG, YING; ZHOU, JIAN; CHEN, MO; EMBREE, MILDRED C.; SONG, KAREN; JIANG, NAN; MAO, JEREMY J.

    2013-01-01

    The goal of regenerative endodontics is to restore the functions of the dental pulp–dentin complex. Two approaches are being applied toward dental pulp–dentin regeneration: cell transplantation and cell homing. The majority of previous approaches are based on cell transplantation by delivering ex vivo cultivated cells toward dental pulp or dentin regeneration. Many hurdles limit the clinical translation of cell transplantation such as the difficulty of acquiring and isolating viable cells, un...

  1. Bond strength and microleakage of current dentin adhesives.

    Science.gov (United States)

    Fortin, D; Swift, E J; Denehy, G E; Reinhardt, J W

    1994-07-01

    The purpose of this in vitro study was to evaluate shear bond strengths and microleakage of seven current-generation dentin adhesive systems. Standard box-type Class V cavity preparations were made at the cemento-enamel junction on the buccal surfaces of eighty extracted human molars. These preparations were restored using a microfill composite following application of either All-Bond 2 (Bisco), Clearfil Liner Bond (Kuraray), Gluma 2000 (Miles), Imperva Bond (Shofu), OptiBond (Kerr), Prisma Universal Bond 3 (Caulk), Scotchbond Multi-Purpose (3M), or Scotchbond Dual-Cure (3M) (control). Lingual dentin of these same teeth was exposed and polished to 600-grit. Adhesives were applied and composite was bonded to the dentin using a gelatin capsule technique. Specimens were thermocycled 500 times. Shear bond strengths were determined using a universal testing machine, and microleakage was evaluated using a standard silver nitrate staining technique. Clearfill Liner Bond and OptiBond, adhesive systems that include low-viscosity, low-modulus intermediate resins, had the highest shear bond strengths (13.3 +/- 2.3 MPa and 12.9 +/- 1.5 MPa, respectively). Along with Prisma Universal Bond 3, they also had the least microleakage at dentin margins of Class V restorations. No statistically significant correlation between shear bond strength and microleakage was observed in this study. Adhesive systems that include a low-viscosity intermediate resin produced the high bond strengths and low microleakage. Similarly, two materials with bond strengths in the intermediate range had significantly increased microleakage, and one material with a bond strength in the low end of the spectrum exhibited microleakage that was statistically greater. Thus, despite the lack of statistical correlation, there were observable trends.

  2. 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.

  3. Causas básicas e associadas de morte por Aids, Estado de São Paulo, Brasil, 1998

    Directory of Open Access Journals (Sweden)

    Santo Augusto Hasiak

    2000-01-01

    Full Text Available OBJETIVOS: Descrever o padrão da mortalidade devida a Aids segundo causas básica e associadas de morte no Estado de São Paulo, em 1998. MÉTODOS: Os dados sobre a mortalidade e a população residente no Estado de São Paulo, SP, para 1998, foram obtidos na Fundação Sistema Estadual de Análise de Dados (Seade. As causas de morte foram codificadas pelas disposições da Décima Revisão da Classificação Estatística Internacional de Doenças e Problemas Relacionados à Saúde. Os registros de Aids como causa básica e associada de morte foram recuperados e revistos. RESULTADOS: A Aids foi a causa básica em 4.619 mortes, correspondendo à décima causa (2,0% e ao coeficiente de mortalidade de 13,1 por 100.000 habitantes. As razões das mortes e os respectivos coeficientes entre homens e mulheres foram de 2,4 e 2,5. A Aids foi a segunda causa entre os homens de 20 a 34 anos de idade e entre as mulheres de 25 a 34. A idade média ao morrer entre as mulheres (34,1±12,2 anos foi estatisticamente menor que a dos homens (36,4±10,7 anos -- p<0,001. As principais causas associadas em mortes por Aids foram a insuficiência respiratória (36,1%, pneumonias (27,0%, tuberculose (19,6%, septicemias (18,6%, toxoplasmose (12,2%, pneumonia por P. carinii (8,3% e caquexia (7,9%. A Aids apresentou-se como causa associada em outras 84 mortes. As principais causas básicas destas mortes foram neoplasias malignas (28/84, afecções devidas ao uso do álcool (23/84 e diabetes mellitus (7/84. A idade média ao morrer por Aids como causa básica (35,7±11,2 anos foi estatisticamente menor que a idade média nas mortes em que Aids foi mencionada como causa associada (39,9±11,8 anos -- p<0,001. CONCLUSÕES: As causas múltiplas de morte resgatam parcialmente a história natural da Aids e oferecem subsídios para medidas preventivas adequadas e específicas.

  4. Influence of matrix metalloproteinase synthetic inhibitors on dentin microtensile bond strength of resin cements.

    Science.gov (United States)

    Stape, T H S; Menezes, M S; Barreto, B C F; Aguiar, F H B; Martins, L R; Quagliatto, P S

    2012-01-01

    This study evaluated the effect of dentin pretreatment with 2% chlorhexidine (CHX) or 24% ethylenediamine tetra-acetic acid gel (EDTA) on the dentin microtensile bond strength (μTBS) of resin cements. Composite blocks were luted to superficial noncarious human dentin (n=10) using two resin cements (RelyX ARC [ARC] and RelyX U100 [U100]) and three dentin pretreatments (without pretreatment-control, CHX, and EDTA). CHX was applied for 60 seconds on the acid-etched dentin in the ARC/CHX group, and for the same time on smear layer-covered dentin in the U100/CHX group. EDTA was applied for 45 seconds on smear-covered dentin in the U100/EDTA group, and it replaced phosphoric acid conditioning in the ARC/EDTA group for 60 seconds. After storage in water for 24 hours, specimens were prepared for microtensile bond strength testing. The results were submitted to two-way analysis of variance (ANOVA) followed by Tukey test. ARC produced significantly higher μTBS (pEDTA was used. For ARC, no pretreatment and CHX produced higher μTBS than EDTA. For U100, EDTA produced higher μTBS; no statistical difference occurred between CHX pretreatment and when no pretreatment was performed. While CHX did not affect immediate dentin bond strength of both cements, EDTA improved bond strength of U100, but it reduced dentin bond strength of ARC.

  5. Morphology and chemical composition of dentin in permanent first molars with the diagnose MIH.

    Science.gov (United States)

    Heijs, Suzanne C B; Dietz, Wolfram; Norén, Jörgen G; Blanksma, Nynke G; Jälevik, Birgitta

    2007-01-01

    The purpose of this investigation was to study the morphology and distribution of some inorganic elements in dentin in first permanent molars from children with Molar-Incisor Hypomineralization (MIH). Sixty four tooth sections from thirty two children were examined in polarized light. Fifteen representative sections were selected for SEM/XRMA analysis; 5 were used for SEM analysis and 10 for XRMA analysis. No morphological changes in the dentin were revealed in polarized light microscopy (PLM). However, in all but two sections interglobular dentin was found. The SEM analyzes confirmed the findings of the PLM with no structural changes to be found in the dentin. The XRMA results showed a difference in the concentration of elements between dentin below normal and dentin below carious or hypomineralized enamel. Elements related to organic matter appeared with higher values in dentin below hypomineralized and carious enamel. The morphological and chemical findings in dentin below hypomineralized enamel imply that the odontoblasts are not affected in cases of MIH, but may be affected by hypocalcemia, reflected by the presence of interglobular dentin.

  6. Effect of a novel bioactive glass-ceramic on dentinal tubule occlusion: an in vitro study.

    Science.gov (United States)

    Zhong, Y; Liu, J; Li, X; Yin, W; He, T; Hu, D; Liao, Y; Yao, X; Wang, Y

    2015-03-01

    This in vitro study aimed to assess the ability and efficacy of HX-BGC, a novel bioactive glass-ceramic (SiO2-P2 O5-CaO-Na2 O-SrO), to reduce dentine tubule permeability. Dentine discs from human third molars were etched and randomly allocated into five groups: Group 1--distilled water; Group 2--Sensodyne Repair toothpaste (containing NovaMin®); Group 3--HX-BGC toothpaste (containing 7.5% HX-BGC); Group 4--control toothpaste (without HX-BGC); and Group 5--HX-BGC powder. Specimens were treated daily by brushing with an electric toothbrush for 20 seconds. Between daily treatments (7 days total), specimens were immersed in artificial saliva for 24 hours. Dentine permeability was measured at baseline, after the first treatment, after the first 24-hour immersion in artificial saliva and at the end of day 7. Dentine morphology and surface deposits were observed by scanning electron microscopy after one day and 7 days of treatment, respectively. Sensodyne Repair and bioactive glass-ceramic toothpaste significantly and immediately lowered dentine permeability. The HX-BGC powder group showed the highest reduction in dentine permeability after 7 days of treatment. The novel bioactive glass-ceramic material HX-BGC is effective in reducing dentine permeability by occluding open dentine tubules, indicating that HX-BGC may be a potential treatment for dentine hypersensitivity. © 2015 Australian Dental Association.

  7. The effect of dentin on the pulp tissue dissolution capacity of sodium hypochlorite and calcium hydroxide.

    Science.gov (United States)

    Slutzky-Goldberg, Iris; Hanut, Aiham; Matalon, Shlomo; Baev, Valery; Slutzky, Hagay

    2013-08-01

    Sodium hypochlorite (NaOCl) and calcium hydroxide (Ca[OH]2) have tissue dissolution capacity. The aim of this study was to evaluate the potential effect of dentin on their tissue dissolution capacity in a novel dentin model. Dentin models were prepared from 25 freshly extracted human molar teeth; the crowns were separated from the roots, and a rectangular inner shape was prepared. Pulp tissue samples adjusted to similar weights of 6.5 ± 0.2 mg were randomly divided into 6 groups: NaOCl groups in test tubes or dentin models for 1 hour, Ca(OH)2 groups in test tubes or dentin models for 1 week, and control groups saline in test tubes or dentin models for 1 week. The final weights after the experimental period were checked and compared with the initial weights. The differences were statistically analyzed. The tissue dissolution capacity of Ca(OH)2 was affected by the presence of dentin. Similarly, NaOCl lost its effect on the pulp tissue after incubation in dentin. Comparison between all test groups showed highly significant differences (P interactions between local endodontic medicaments, dentin, and pulp tissue. Copyright © 2013 American Association of Endodontists. Published by Elsevier Inc. All rights reserved.

  8. A review: Biodegradation of resin–dentin bonds

    Directory of Open Access Journals (Sweden)

    Masanori Hashimoto

    2011-02-01

    Full Text Available Resin–dentin bonding was first achieved through mechanical hybridization between resin and collagen fibrils using a functional monomer containing resin system. In the last decade, new adhesive resin systems were frequently released onto the market within a short-period of time. Before and after commercialization, the bond integrity has been tested by bond tests, and leakage evaluation by researchers, but it is very difficult for clinicians to obtain a comprehensive, up-to-date understanding of their nature and degradation. Although newly developed adhesive resins have attempted to improve the bond strength at least in the first 24 h after bonding, the long-term durability of the bonds has not yet been established analytically. However, numerous recent studies have shown micromorphological evidence of biodegradation of resin–dentin bonds, due to hydrolysis of the resin and collagen fibrils within the bonds. This review mainly summarizes the most recent work in biodegradation of resin–dentin bonds based on micromorphological analyses of data obtained by scanning and transmission electron microscopy.

  9. 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.

  10. Separate whitening effects on enamel and dentin after fourteen days.

    Science.gov (United States)

    Kugel, Gerard; Petkevis, Jason; Gurgan, Sevil; Doherty, Eileen

    2007-01-01

    The purpose of this study was to investigate the mechanism of action of a bleaching agent, as it relates to enamel and dentin. Twenty-six extracted human molar teeth were sectioned at the cemento-enamel junction and were randomly assigned to two groups. L*a*b* readings were taken with a spectrophotometer: on buccal surfaces of the crown, at enamel and dentin. The teeth were exposed to carbamide peroxide or placebo gel and L*a*b* scores were again recorded to determine color changes. Treatments were compared using ancova test with baseline color as the covariate. Relative to placebo, buccal surfaces exhibited the greatest Deltab* and DeltaL* color change. On buccal surfaces, the adjusted mean (SE) treatment differences were -7.8 (1.00) for Deltab* and 5.7 (0.97) for DeltaL, with groups differing significantly (p enamel surfaces, treatment differences were -3.6 (0.61) for Deltab* and 4.6 (0.80) for DeltaL* (p tooth crowns exposed to carbamide peroxide 15% was because of the color change in enamel. As compared to enamel, dentin was less affected after 14 days.

  11. Ectopic expression of dentin sialoprotein during amelogenesis hardens bulk enamel.

    Science.gov (United States)

    White, Shane N; Paine, Michael L; Ngan, Amanda Y W; Miklus, Vetea G; Luo, Wen; Wang, HongJun; Snead, Malcolm L

    2007-02-23

    Dentin sialophosphpoprotein (Dspp) is transiently expressed in the early stage of secretory ameloblasts. The secretion of ameloblast-derived Dspp is short-lived, correlates to the establishment of the dentinoenamel junction (DEJ), and is consistent with Dspp having a role in producing the specialized first-formed harder enamel adjacent to the DEJ. Crack diffusion by branching and dissipation within this specialized first-formed enamel close to the DEJ prevents catastrophic interfacial damage and tooth failure. Once Dspp is secreted, it is subjected to proteolytic cleavage that results in two distinct proteins referred to as dentin sialoprotein (Dsp) and dentin phosphoprotein (Dpp). The purpose of this study was to investigate the biological and mechanical contribution of Dsp and Dpp to enamel formation. Transgenic mice were engineered to overexpress either Dsp or Dpp in their enamel organs. The mechanical properties (hardness and toughness) of the mature enamel of transgenic mice were compared with genetically matched and age-matched nontransgenic animals. Dsp and Dpp contributions to enamel formation greatly differed. The inclusion of Dsp in bulk enamel significantly and uniformly increased enamel hardness (20%), whereas the inclusion of Dpp weakened the bulk enamel. Thus, Dsp appears to make a unique contribution to the physical properties of the DEJ. Dsp transgenic animals have been engineered with superior enamel mechanical properties.

  12. Pulp stem cells: implication in reparative dentin formation.

    Science.gov (United States)

    Dimitrova-Nakov, Sasha; Baudry, Anne; Harichane, Yassine; Kellermann, Odile; Goldberg, Michel

    2014-04-01

    Many dental pulp stem cells are neural crest derivatives essential for lifelong maintenance of tooth functions and homeostasis as well as tooth repair. These cells may be directly implicated in the healing process or indirectly involved in cell-to-cell diffusion of paracrine messages to resident (pulpoblasts) or nonresident cells (migrating mesenchymal cells). The identity of the pulp progenitors and the mechanisms sustaining their regenerative capacity remain largely unknown. Taking advantage of the A4 cell line, a multipotent stem cell derived from the molar pulp of mouse embryo, we investigated the capacity of these pulp-derived precursors to induce in vivo the formation of a reparative dentin-like structure upon implantation within the pulp of a rodent incisor or a first maxillary molar after surgical exposure. One month after the pulp injury alone, a nonmineralized fibrous matrix filled the mesial part of the coronal pulp chamber. Upon A4 cell implantation, a mineralized osteodentin was formed in the implantation site without affecting the structure and vitality of the residual pulp in the central and distal parts of the pulp chamber. These results show that dental pulp stem cells can induce the formation of reparative dentin and therefore constitute a useful tool for pulp therapies. Finally, reparative dentin was also built up when A4 progenitors were performed by alginate beads, suggesting that alginate is a suitable carrier for cell implantation in teeth. Copyright © 2014 American Association of Endodontists. Published by Elsevier Inc. All rights reserved.

  13. Aspects of dentinal and pulpal pain. Pain of dentinal and pulpal origin--a review for the clinician.

    Science.gov (United States)

    Figdor, D

    1994-04-01

    Recent advances in understanding the mechanisms of pain arising from the dental pulp serve to benefit patients by improving the clinician's ability to diagnose and treat pain. There are two types of pain arising from the pulp which are mediated by entirely different nerve fibres, each with their own individual characteristics. One is a short, sharp fast pain which is induced by stimuli which cause a rapid fluid flow within the dentinal tubules. Such stimuli include cold, heat, air, drilling, and osmotic stimuli. Once the affected teeth are identified, they can often be treated by sealing the open, exposed dentine. The second type of pain is experienced as a slow, dull, aching, poorly localized pain which is mediated by pain fibres activated by stimuli which are noxious to the pulp, such as prolonged damaging heat and inflammatory mediators. Pain of this character can be difficult to diagnose and often indicates serious pulp damage necessitating removal of the offending pulp by endodontic therapy.

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

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    Bruhvi Poptani

    2012-01-01

    Full Text Available 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 one. The crown portions of the teeth were horizontally sectioned below the central groove to expose the dentin. The adhesive resins from all groups were bonded to the teeth with their respective composites. Specimens of sizes 1 × 1 × 6 mm 3 were obtained. Fifty specimens that bonded to dentin from each group were selected. Twenty-five of the specimens were tested for debonding without thermocycling and the remaining were subjected to thermocycling followed by μTBS testing. The data were analyzed with one-way ANOVA and Dunnett′s-test for comparison with the reference group(Vth Generation. Results: There was no significant difference (P > 0.05 between the fifth- and seventh-generation adhesives before and after thermocycling. The results of our study showed significantly higher value (P < 0.05 of μTBS of seventh-generation Group II (Clearfil S 3 compared to the fifth-generation before and after thermocycling. Conclusion: The study demonstrated that the Clearfil S 3 bond had the highest μTBS values. In addition, of the five tested seventh-generation adhesive resins were comparable to the fifth-generation DBA.

  15. Longevity of Self-etch Dentin Bonding Adhesives Compared to Etch-and-rinse Dentin Bonding Adhesives: A Systematic Review.

    Science.gov (United States)

    Masarwa, Nader; Mohamed, Ahmed; Abou-Rabii, Iyad; Abu Zaghlan, Rawan; Steier, Liviu

    2016-06-01

    A systematic review and meta-analysis were performed to compare longevity of Self-Etch Dentin Bonding Adhesives to Etch-and-Rinse Dentin Bonding Adhesives. The following databases were searched for PubMed, MEDLINE, Web of Science, CINAHL, the Cochrane Library complemented by a manual search of the Journal of Adhesive Dentistry. The MESH keywords used were: "etch and rinse," "total etch," "self-etch," "dentin bonding agent," "bond durability," and "bond degradation." Included were in-vitro experimental studies performed on human dental tissues of sound tooth structure origin. The examined Self-Etch Bonds were of two subtypes; Two Steps and One Step Self-Etch Bonds, while Etch-and-Rinse Bonds were of two subtypes; Two Steps and Three Steps. The included studies measured micro tensile bond strength (μTBs) to evaluate bond strength and possible longevity of both types of dental adhesives at different times. The selected studies depended on water storage as the aging technique. Statistical analysis was performed for outcome measurements compared at 24 h, 3 months, 6 months and 12 months of water storage. After 24 hours (p-value = 0.051), 3 months (p-value = 0.756), 6 months (p-value=0.267), 12 months (p-value=0.785) of water storage self-etch adhesives showed lower μTBs when compared to the etch-and-rinse adhesives, but the comparisons were statistically insignificant. In this study, longevity of Dentin Bonds was related to the measured μTBs. Although Etch-and-Rinse bonds showed higher values at all times, the meta-analysis found no difference in longevity of the two types of bonds at the examined aging times. Copyright © 2016 Elsevier Inc. All rights reserved.

  16. Effect of dentin biomodifiers on the immediate and long-term bond strengths of a simplified etch and rinse adhesive to dentin.

    Science.gov (United States)

    Singh, Payal; Nagpal, Rajni; Singh, Udai Pratap

    2017-08-01

    This in vitro study evaluated the effect of dentin biomodifiers on the immediate and long-term bond strengths of a simplified etch and rinse adhesive to dentin. Flat coronal dentin surfaces were prepared in 120 extracted human molars. Teeth were randomly divided into 5 groups ( n = 24) according to 5 different surface pre-treatments: No pre-treatment (control); 1M carbodiimide (EDC); 0.1% epigallocatechin-3-gallate (EGCG); 2% minocycline (MI); 10% sodium ascorbate (SA). After surface pre-treatment, adhesive (Adper Single Bond 2 [SB], 3M ESPE) was applied. Composite was applied into transparent plastic tubes (2.5 mm in diameter), which was placed over the bonded dentin surface. From each group, 10 samples were subjected to shear bond strength (SBS) evaluation at 24 hours (immediate) and remaining 10 samples were tested after 6 months (delayed). Additionally, 4 samples per group were subjected to scanning electron microscopic analysis for observation of resin-dentin interface. The data were statistically analysed with Shaperio‑Wilk W test, 2-way analysis of variance (ANOVA), and post hoc Tukey's test. At 24 hours, SBS of all surface pre-treatment groups were comparable with the control group, with significant differences found between EDC and SA groups only ( p = 0.009). After 6 months storage, EDC, EGCG, and MI pre-treatments preserved the resin-dentin bond strength with no significant fall. Dentin pre-treatment with all the dentin biomodifiers except SA resulted in significant preservation of resin-dentin bond over 6 months storage period, without negatively affecting the immediate bond strength of the etch and rinse adhesive tested.

  17. Effect of dentin biomodifiers on the immediate and long-term bond strengths of a simplified etch and rinse adhesive to dentin

    Directory of Open Access Journals (Sweden)

    Payal Singh

    2017-07-01

    Full Text Available Objectives This in vitro study evaluated the effect of dentin biomodifiers on the immediate and long-term bond strengths of a simplified etch and rinse adhesive to dentin. Materials and Methods Flat coronal dentin surfaces were prepared in 120 extracted human molars. Teeth were randomly divided into 5 groups (n = 24 according to 5 different surface pre-treatments: No pre-treatment (control; 1M carbodiimide (EDC; 0.1% epigallocatechin-3-gallate (EGCG; 2% minocycline (MI; 10% sodium ascorbate (SA. After surface pre-treatment, adhesive (Adper Single Bond 2 [SB], 3M ESPE was applied. Composite was applied into transparent plastic tubes (2.5 mm in diameter, which was placed over the bonded dentin surface. From each group, 10 samples were subjected to shear bond strength (SBS evaluation at 24 hours (immediate and remaining 10 samples were tested after 6 months (delayed. Additionally, 4 samples per group were subjected to scanning electron microscopic analysis for observation of resin-dentin interface. The data were statistically analysed with Shaperio‑Wilk W test, 2-way analysis of variance (ANOVA, and post hoc Tukey's test. Results At 24 hours, SBS of all surface pre-treatment groups were comparable with the control group, with significant differences found between EDC and SA groups only (p = 0.009. After 6 months storage, EDC, EGCG, and MI pre-treatments preserved the resin-dentin bond strength with no significant fall. Conclusions Dentin pre-treatment with all the dentin biomodifiers except SA resulted in significant preservation of resin-dentin bond over 6 months storage period, without negatively affecting the immediate bond strength of the etch and rinse adhesive tested.

  18. Microtensile bond strength of three simplified adhesive systems to caries-affected dentin.

    Science.gov (United States)

    Scholtanus, J D; Purwanta, Kenny; Dogan, Nilgun; Kleverlaan, Cees J; Feilzer, Albert J

    2010-08-01

    The purpose of the study was to determine the microtensile bond strength of three different simplified adhesive systems to caries-affected dentin. Fifteen extracted human molars with primary carious lesions were ground flat until dentin was exposed. Soft caries-infected dentin was excavated with the help of caries detector dye. On the remaining hard dentin, a standardized smear layer was created by polishing with 600-grit SiC paper. Teeth were divided into three groups and treated with one of the three tested adhesives: Adper Scotchbond 1 XT (3M ESPE), a 2-step etch-andrinse adhesive, Clearfil S3 Bond (Kuraray), a 1-step self-etching or all-in-one adhesive, and Clearfil SE Bond (Kuraray), a 2-step self-etching adhesive. Five-mm-thick composite buildups (Z-250, 3M ESPE) were built and light cured. After water storage for 24 h at 37ºC, the bonded specimens were sectioned into bars (1.0 x 1.0 mm; n = 20 to 30). Microtensile bond strength of normal dentin specimens and caries-affected dentin specimens was measured in a universal testing machine (crosshead speed = 1 mm/min). Data were analyzed using two-way ANOVA and Tukey's post-hoc test (p adhesives were found. Adper Scotchbond 1 XT and Clearfil S3 Bond showed significantly lower bond strength values to caries-affected dentin. For Clearfil SE Bond, bond strength values to normal and caries-affected dentin were not significantly different. All the tested simplified adhesives showed similar bond strength values to normal dentin. For the tested 2-step etch-and-rinse adhesive and the all-in-one adhesive, the bond strength values to caries-affected dentin were lower than to normal dentin.

  19. Penetration pattern of rhodamine dyes into enamel and dentin: confocal laser microscopy observation.

    Science.gov (United States)

    Kwon, S R; Wertz, P W; Li, Y; Chan, D C N

    2012-02-01

    Enamel and dentin are susceptible to extrinsic and intrinsic stains. The purposes of this study were to determine the penetration pattern of Rhodamine B and dextran-conjugated Rhodamine B into the enamel and dentin as observed by confocal laser microscopy and to relate it to the penetration pattern of hydrogen peroxide commonly used as an active ingredient in tooth-whitening agents and high-molecular-weight staining molecules. Eighteen recently extracted human maxillary anterior teeth were used. Teeth were cleaned and painted with nail varnish except for the crown area above the cemento-enamel junction (CEJ). The painted teeth were then immersed in Rhodamine B and dextran-conjugated Rhodamine B (70 000 MW) for 4, 7, 10 and 15 days. Teeth were sliced to 3 mm thickness in transverse plane and mounted on a glass slide just prior to observation with confocal laser microscopy. Rhodamine B and dextran-conjugated Rhodamine B readily penetrated into the enamel and dentin when exposed for 4 and 7 days, respectively. Rhodamine B penetrated along the interprismatic spaces of the enamel into the dentin. The penetration was accentuated in sections with existing crack lines in the enamel. Rhodamine B was readily absorbed into the dentinal tubules at the dentino-enamel junction and continued to penetrate through the dentin via the dentinal tubules into the pre-dentin. Within the limitations of this study, it is concluded that Rhodamine B and dextran-conjugated Rhodamine B when applied to the external surface of the tooth readily penetrate into the enamel and dentin via the interprismatic spaces in the enamel and dentinal tubules in the dentin, suggesting that stain molecules and bleaching agents possibly exhibit similar penetration pathways. © 2011 The Authors. ICS © 2011 Society of Cosmetic Scientists and the Société Française de Cosmétologie.

  20. Inactivation of local root canal medicaments by dentine: an in vitro study.

    Science.gov (United States)

    Haapasalo, H K; Sirén, E K; Waltimo, T M; Ørstavik, D; Haapasalo, M P

    2000-03-01

    The aim of the study was to investigate the inactivation by dentine of the antibacterial activity of various commonly used local root canal medicaments. The medicaments tested were saturated calcium hydroxide solution, 1% sodium hypochlorite, 0.5% and 0.05% chlorhexidine acetate, and 2/4% and 0.2/0.4% iodine potassium iodide. Dentine was sterilized by autoclaving and crushed into powder with a particle size of 0.2-20 microns. Aliquots of dentine suspension were incubated with the medicaments in sealed test tubes at 37 degrees C for 24 h or 1 h before adding the bacteria. In some experiments bacteria were added simultaneously with dentine powder and the medicament. Enterococcus faecalis A197A was used as a test organism. Samples for bacterial culturing were taken from the suspensions at 5 min, 1 h and 24 h after adding the bacteria. Dentine powder had an inhibitory effect on all medicaments tested. The effect was dependent on the concentration of the medicament as well as on the length of the time the medicament was preincubated with dentine powder before adding the bacteria. The effect of calcium hydroxide on E. faecalis was totally abolished by the presence of dentine powder. Similarly, 0.2/0.4% iodine potassium iodide lost its effect after preincubation for 1 h with dentine before adding the bacteria. The effect of 0.05% chlorhexidine and 1% sodium hypochlorite on E. faecalis was reduced but not totally eliminated by the presence of dentine. No inhibition could be measured when full strength solutions of chlorhexidine and iodine potassium iodide were used in killing E. faecalis. The dentine powder model appears to be an efficient tool for the study of interactions between local endodontic medicaments, dentine, and microbes.

  1. 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...

  2. Potential Role of Dentin Sialoprotein by Inducing Dental Pulp Mesenchymal Stem Cell Differentiation and Mineralization for Dental Tissue Repair

    OpenAIRE

    Yuan, Guo-Hua; Yang, Guo-Bin; Wu, Li-An; Chen, Zhi; Chen, Shuo

    2010-01-01

    Introduction: Dentin sialoprotein (DSP) is a dentin extracellular matrix protein, a unique marker of dentinogenesis and plays a vital role in odontoblast differentiation and dentin mineralization. Recently, studies have shown that DSP induces differentiation and mineralization of periodontal ligament stem cells and dental papilla mesenchymal cells in vitro and rescues dentin deficiency and increases enamel mineralization in animal models.The hypothesis: DSP as a nature therapeutic agent stimu...

  3. Fadiga óssea: causa de dor em joelhos na osteoartrite

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    Wilson Campos Tavares Júnior

    2012-10-01

    Full Text Available A dor no joelho é o sintoma mais comum na osteoartrite, sendo a principal causa de incapacidade crônica em idosos e uma das principais fontes de morbidade atribuível à osteoartrite em geral. As causas de dor no joelho em pessoas com osteoartrite não são facilmente entendidas e o conhecimento sobre as causas da dor é fundamental para que futuramente sejam realizadas intervenções específicas. A fadiga óssea representa o remodelamento do osso subcondral na osteoartrite, levando a uma consequente alteração na forma do osso e/ou perda óssea. No entanto, a fadiga óssea não é algo facilmente interpretado, pois é de difícil detecção na ausência de defeitos claros da cortical e pela sobreposição de estruturas ósseas nas radiografias convencionais. A fadiga óssea está associada não apenas a dor no joelho, mas também a rigidez e incapacidade. Se a fadiga ocorre antes da osteoartrite avançada, isso sugere que alterações no osso subcondral podem ocorrer simultaneamente a alterações da cartilagem e que tratamentos visando sua preservação podem não ser eficazes. Lesões com padrão de edema ósseo estão associadas e são fatores preditivos para fadiga óssea. Este trabalho tem por objetivo rever a literatura mostrando a importância da fadiga óssea e de como diagnosticar esta alteração nos exames de imagem.

  4. SOLIDARIEDADE E APARÊNCIA DE SOLIDARIEDADE: A IRONIA NO CONTO “A CAUSA SECRETA”

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    Daniela Freitas Torres

    2008-11-01

    Full Text Available Este estudo analisa o conto “A causa secreta”, de Machado de Assis, cujo enredo gira em torno do personagem Fortunato, que se mostra uma figura muito solidária perante os outros, mas na verdade, essa abnegação revela-se como uma grande ironia ao longo do texto. Aborda primeiramente, a questão da solidariedade sob o prisma de diferentes visões, desde o conceito cristão até algumas abordagens da sociedade atual para esse assunto, observando a presença desse sentimento nas ações do personagem Fortunato. A seguir, é colocado em pauta o tema ironia e sua presença na literatura, bem como suas implicações na obra machadiana e, em especial, no conto estudado. Posteriormente, apresenta-se uma breve abordagem sobre sadismo, seus conceitos e sua relação com a “causa secreta” presente no conto. A partir daí estuda-se a relação entre a questão de a solidariedade ser apenas uma aparência, utilizada para esconder o sadismo, que seria o elemento central da constituição psicológica do personagem Fortunato. Para concluir, mostram-se as reflexões possíveis em relação à condição humana que podem ser proporcionadas a partir da leitura de “A causa secreta”, evidenciando a incompletude humana que, sendo reconhecida e aceita pelo leitor, poderá levar a um trabalho de autoconhecimento.

  5. Comprehensive analyses of how tubule occlusion and advanced glycation end-products diminish strength of aged dentin

    Science.gov (United States)

    Shinno, Yuko; Ishimoto, Takuya; Saito, Mitsuru; Uemura, Reo; Arino, Masumi; Marumo, Keishi; Nakano, Takayoshi; Hayashi, Mikako

    2016-01-01

    In clinical dentistry, since fracture is a major cause of tooth loss, better understanding of mechanical properties of teeth structures is important. Dentin, the major hard tissue of teeth, has similar composition to bone. In this study, we investigated the mechanical properties of human dentin not only in terms of mineral density but also using structural and quality parameters as recently accepted in evaluating bone strength. Aged crown and root dentin (age ≥ 40) exhibited significantly lower flexural strength and toughness than young dentin (age mineral density; but showed significantly lower flexural strength than young dentin. Dentin with strong alignment of the c-axis in hydroxyapatite exhibited high fracture strength, possibly because the aligned apatite along the collagen fibrils may reinforce the intertubular dentin. Aged dentin, showing a high advanced glycation end-products (AGEs) level in its collagen, recorded low flexural strength. We first comprehensively identified significant factors, which affected the inferior mechanical properties of aged dentin. The low mechanical strength of aged dentin is caused by the high mineral density resulting from occlusion of dentinal tubules and accumulation of AGEs in dentin collagen.

  6. Influences of the cold atmospheric plasma jet treatment on the properties of the demineralized dentin surfaces

    Science.gov (United States)

    Xiaoming, ZHU; Heng, GUO; Jianfeng, ZHOU; Xiaofei, ZHANG; Jian, CHEN; Jing, LI; Heping, LI; Jianguo, TAN

    2018-04-01

    Improvement of the bonding strength and durability between the dentin surface and the composite resin is a challenging job in dentistry. In this paper, a radio-frequency atmospheric-pressure glow discharge (RF-APGD) plasma jet is employed for the treatment of the acid-etched dentin surfaces used for the composite restoration. The properties of the plasma treated dentin surfaces and the resin-dentin interfaces are analyzed using the x-ray photoemission spectroscopy, contact angle goniometer, scanning electron microscope and microtensile tester. The experimental results show that, due to the abundant chemically reactive species existing in the RF-APGD plasma jet under a stable and low energy input operating mode, the contact angle of the plasma-treated dentin surfaces decreases to a stable level with the increase of the atomic percentage of oxygen in the specimens; the formation of the long resin tags in the scattered clusters and the hybrid layers at the resin-dentin interfaces significantly improve the bonding strength and durability. These results indicate that the RF-APGD plasma jet is an effective tool for modifying the chemical properties of the dentin surfaces, and for improving the immediate bonding strength and the durability of the resin-dentin bonding in dentistry.

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

    Directory of Open Access Journals (Sweden)

    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.

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

    NARCIS (Netherlands)

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

    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

  9. Microtensile bond strength of three simplified adhesive systems to caries-affected dentin

    NARCIS (Netherlands)

    Scholtanus, J.D.; Purwanta, K.; Dogan, N.; Kleverlaan, C.J.; Feilzer, A.J.

    2010-01-01

    Purpose: The purpose of the study was to determine the microtensile bond strength of three different simplified adhesive systems to caries-affected dentin. Materials and Methods: Fifteen extracted human molars with primary carious lesions were ground flat until dentin was exposed. Soft

  10. Microtensile Bond Strength of Three Simplified Adhesive Systems to Caries-affected Dentin

    NARCIS (Netherlands)

    Scholtanus, Johannes; Purwanta, Kenny; Dogan, Nilgun; Kleverlaan, Cees J.; Feilzer, Albert J.

    Purpose: The purpose of the study was to determine the microtensile bond strength of three different simplified adhesive systems to caries-affected dentin. Materials and Methods: Fifteen extracted human molars with primary carious lesions were ground flat until dentin was exposed. Soft

  11. 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.

  12. Relationship between mineral distributions in dentine lesions and subsequent remineralization in vitro

    NARCIS (Netherlands)

    Kawasaki, K; Ruben, J; Tsuda, H; Huysmans, MCDNJM; Takagi, O

    2000-01-01

    Though the mineral distribution of the dentine carious lesion varies largely from tooth to tooth and from patient to patient, there are two main distribution profiles that characterize natural carious lesions in dentine. These profiles include softened and subsurface lesion types. The mineral

  13. In Vitro Evaluation of Dentin Hydraulic Conductance After 980 nm Diode Laser Irradiation.

    Science.gov (United States)

    Rizzante, Fabio A P; Maenosono, Rafael M; Duarte, Marco A H; Furuse, Adilson Y; Palma-Dibb, Regina G; Ishikiriama, Sérgio K

    2016-03-01

    Dentin hypersensitivity treatments are based on the physical obliteration of the dentinal tubules to reduce hydraulic conductance. The aim of the present study is to evaluate the hydraulic conductance of bovine root dentin after irradiation with a 980-nm diode laser, with or without associated fluoride varnish. Sixty bovine root dentin specimens were divided into six groups (n = 10 in each group): G1, G3, and G5 (0.5 W, 0.7 W, and 1 W diode laser, respectively); G2, G4, and G6 (fluoride varnish application + 0.5 W, 0.7 W, and 1 W diode laser, respectively). The dentin hydraulic conductance was evaluated at four time periods with a fluxmeter: 1) with smear layer, 2) after 37% phosphoric acid etching, 3) after the treatments, and 4) after 6% citric acid challenge. After the dentinal fluid flow measurements, specimens were also evaluated for mineral composition using energy dispersive X-ray spectroscopy (EDS). Analysis demonstrated a better result with increased irradiation power (P diode laser irradiation was associated with the application of fluoride varnish (P laser irradiation, the 1 W group was superior when compared with the 0.5 W and 0.7 W irradiated groups immediately after treatment (P laser treatments. Laser irradiation of exposed dentin promoted significant reduction in the dentin hydraulic conductance, mainly with higher energy densities and association with fluoride varnish.

  14. 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.

  15. Causas de decomiso en un matadero porcino industrial en el Norte de España

    OpenAIRE

    Ruiz Alonso, Alejandro

    2017-01-01

    El sector porcino español es el cuarto más importante del mundo, además de suponer un gran volumen de exportaciones tanto a la Unión Europea como a terceros países. Debido a esto es importante conocer y comprender las principales causas de decomiso ya que causan importantes pérdidas económicas tanto a granjas como industrias y en algunos casos pueden comprometer el estatus sanitario de la población humana. Para realizar el estudio se contó con la colaboración del SVO, que proporcionó los dato...

  16. Las enfermedades neoplásicas como causa de la incapacidad permanente

    OpenAIRE

    Ares Camerino, A.; Sainz Vera, B.; Marchena Aparicio, J.C.; Soto Pino, M.L.

    2008-01-01

    El cáncer es la primera causa de mortalidad en hombres y la segunda en mujeres, tras las enfermedades cardiovasculares. Desde el punto de vista económico, los costes atribuibles a las enfermedades neoplásicas son principalmente indirectos (pérdida de productividad asociada a la mortalidad o a la incapacidad permanente). Analizando las incapacidades permanentes producidas en la Diputación Provincial de Cádiz en el período 1990-2005, que fueron un total de 208, se concluye, por orden de frecuen...

  17. DISPLASIAS CORTICALES COMO CAUSA DE EPILEPSIA Y SUS REPRESENTACIONES EN LAS IMÁGENES

    OpenAIRE

    Gálvez M, Marcelo; Rojas C, Gonzalo; Cordovez M, Jorge; Ladrón de Guevara, David; Campos P, Manuel; López S, Isabel

    2009-01-01

    La epilepsia es una alteración neurológica crónica caracterizada por crisis convulsivas recurrentes y espontáneas, que clínicamente se clasifican como generalizadas o parciales, dentro de las cuales aproximadamente el 30% de los pacientes con epilepsia parcial son refractarios al tratamiento médico. Dentro del grupo refractario debemos descartar la presencia de una displasia cortical como causa subyacente de las crisis. Las displasias corticales son un tipo de malformaciones del desarrollo co...

  18. Causas de subnotificación de accidentes de trabajo y eventos adversos en Chile

    Directory of Open Access Journals (Sweden)

    Carolina Luengo

    Full Text Available RESUMEN Objetivo Describir las causas de subnotificación de accidentes de trabajo (AT y eventos adversos EA reportados por la literatura internacional e informantes claves del área de la salud y prevención de riesgos en Chile. Métodos Estudio de abordaje cualitativo y descriptivo, que incluye una revisión sistematizada de la literatura siguiendo el método SALSA de revisión (por sus siglas en inglés Search, Appraisal, Synthesis and Analyses; búsqueda, evaluación, síntesis y análisis y ajustado a la Declaración PRISMA (por sus siglas en inglés, Preferred Reporting Items for Systematic reviews and Meta-Analyses; ítems de reporte preferidos para las revisiones sistemáticas y metaanálisis, y entrevistas a informantes clave del área de la salud y prevención de riesgos en Chile. Resultados Las principales causas de subnotificación de AT reportados por la literatura y por informantes clave fueron el factor económico y el desconocimiento. En cuanto a los EA, las principales causas señaladas fueron el temor a las sanciones, el escaso apoyo de las jefaturas, la falta de conocimiento y la sobrecarga de trabajo. Conclusiones Es importante seguir avanzando en el tema de la notificación de AT y EA e implementar medidas dirigidas a minimizar las que podrían ser las causas principales de subnotificación. En el caso de los AT, que el factor económico no sea un impedimento, sino un aliciente y en los EA, erradicar el temor a las sanciones y elaborar recomendaciones centradas en mejoras hacia el sistema, más que hacia la persona, en pro de un aprendizaje conjunto. En ambos casos, combatir el desconocimiento mediante capacitación y apoyo permanente y sistemático.

  19. SOBRE LAS CAUSAS DEL SUBDESARROLLO DEL SUR DE ESPAÑA: EL PAPEL DE LA AGRICULTURA

    Directory of Open Access Journals (Sweden)

    Víctor O. Martín Martín

    2009-01-01

    Full Text Available En España, la Reforma Agraria Liberal decimonónica debió haber supuesto la transición hacia un capitalismo agrario en el campo. Sin embargo lo que se generó fue un capitalismo atrasado, basado en el sistema de pago en trabajo o semifeudal. El objetivo de este artículo es aportar unas primeras conclusiones que muestren que una de las causas del subdesarrollo o atraso actual del Sur de España (Andalucía y Extremadura debe ser buscada en la inconclusa culminación del capitalismo agrario en estas regiones.

  20. Causas de fracaso de cirugía primaria del ligamento cruzado anterior en futbolistas catalanes

    OpenAIRE

    García, Santiago Gómez

    2013-01-01

    El gran incremento de las demandas deportivas y de actividad física de la población ha aumentado el número de cirugías primarias del ligamento cruzado anterior. El estudio identificó las causas potenciales de recidiva¹ de inestabilidad en un grupo de futbolistas federados sometidos a cirugía de revisión. Fueron estudiados retrospectivamente 17 casos de cirugías de revisión del ligamento cruzado anterior, de un total de 629 operaciones de estabilización primaria de rodilla, en el periodo compr...

  1. Mortalidade por causas relacionadas ao aborto no Brasil: declínio e desigualdades espaciais

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    Bruno Gil de Carvalho Lima

    2000-03-01

    Full Text Available Além de constituir causa freqüente de internamentos obstétricos em países pobres, o aborto representa a incapacidade do sistema público de saúde de prover informação suficiente sobre métodos contraceptivos para prevenir gestações em vez de interrompê-las. No Brasil, as altas taxas de utilização de serviços de saúde por abortamentos refletem as dificuldades persistentes de contracepção e planejamento familiar. Além disso, a mortalidade por aborto serve como indicador da qualidade dos procedimentos abortivos, um ponto importante num país onde tal prática é ilegal e, portanto, clandestinamente realizada. No presente estudo, analisamos as taxas de mortalidade por causas relacionadas ao aborto entre mulheres de 10 a 54 anos de idade, incluindo aquelas que morreram por abortamentos espontâneos e provocados, de 1980 a 1995, segundo região de residência. As informações utilizadas foram obtidas do banco de dados sobre mortalidade do Sistema Único de Saúde --Ministério da Saúde. Dados sobre população foram obtidos junto à Fundação Instituto Brasileiro de Geografia e Estatística. Estudaram-se 2 602 óbitos. Do total de óbitos, 15% foram devidos a aborto retido, aborto espontâneo e aborto induzido com indicação legalmente admitida. Oitenta e cinco por cento dos óbitos foram causados por aborto induzido sem indicação legalmente admitida e por aborto sem causa especificada. Os coeficientes de mortalidade por causas relacionadas ao aborto têm decrescido continuamente no Brasil, mas tais avanços têm-se distribuído desigualmente no país. A região que apresentou a menor queda na taxa (38% em 15 anos foi o Nordeste. As mulheres que morreram por aborto tiveram uma média de idade decrescente no período estudado.

  2. Prevalencia y causas de ceguera en Perú: encuesta nacional

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    Betty Campos

    2014-11-01

    Full Text Available OBJETIVO: Estimar la prevalencia de ceguera y deficiencia visual en adultos de Perú y precisar sus causas, evaluar la cobertura y la calidad de los servicios de cirugía de catarata y determinar las barreras que impiden acceder a esos servicios. MÉTODOS: Estudio poblacional transversal con muestreo aleatorio por conglomerado en dos pasos de personas de 50 años o más, representativo de todo el país, mediante la metodología estándar de la Evaluación Rápida de Ceguera Evitable. Se midió la agudeza visual y se examinó el cristalino y el polo posterior por oftalmoscopía directa. Se calculó la cobertura de cirugía de catarata y se evaluó su calidad, además de las causas de tener una agudeza visual < 20/60 y las barreras para acceder a ese tratamiento. RESULTADOS:Se examinaron 4 849 personas. La prevalencia de ceguera fue 2,0% (intervalo de confianza de 95%: 1,5-2,5%. La catarata fue la causa principal de ceguera (58,0%, seguida por el glaucoma (13,7% y la degeneración macular relacionada con la edad (11,5%. Los errores de refracción no corregidos fueron la principal causa de deficiencia visual moderada (67,2%. La cobertura de cirugía de catarata fue de 66,9%, y 60,5% de los ojos operados de catarata logró una AV ≥ 20/60 con la corrección disponible. Las principales barreras para someterse a la cirugía de catarata fueron el alto costo (25,9% y no saber que el tratamiento es posible (23,8%. CONCLUSIONES: La prevalencia de ceguera y deficiencia visual en Perú es similar a la de otros países latinoamericanos. La baja cobertura de cirugía de catarata y el envejecimiento poblacional indican que para aumentar el acceso a estos servicios se debe mejorar la educación de la población en salud ocular y la capacidad resolutiva de los servicios oftalmológicos y de cirugía de catarata, y reducir su costo.

  3. Causas psicosociales de la deserción universitaria”

    OpenAIRE

    Lizeth Reyes Ruiz; Eglys Castañeda Carranza; Dayana Pabón Castro

    2012-01-01

    Este artículo presenta las causas psicosociales de la deserción estudiantil del programa de Psicología de una Universidad de Barranquilla entre el 2009 y 2011. De un total de 65 personas, la muestra fue de 16 personas que cumplían con los criterios de selección. Se revisó la información existente en la Institución acerca de las pruebas MMPI y RAVEN, las pruebas saber 11, aspectos financieros, familiares y académicos. Los resultados muestran la correlación existente entre estas variables y la ...

  4. LA EVO-DEVO COMO CIENCIA HISTÓRICA DE CAUSAS REMOTAS

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    Gustavo Caponi

    2009-10-01

    Full Text Available ABSTRACT EVO-DEVO AS HISTORICAL SCIENCE OF ULTIMATES CAUSES Having as starting point that a proximal cause is one which effects can be registered in the states of an individual organism, in this work I will argue that what defines an ultimate cause is the fact that its effects can be registered in the evolution of lineages, and not simply in population states. This, on the other hand, not only will allow us to clarify how the developmental constraints can be understood as causes of the evolutionary phenomena; but also it will allow us to point the eminently historical character of Developmental Evolutionary Biology that Wallace Arthur lessened in Biased Embryos and Evolution. Thus, and following this latter reasoning, I will also try to show that, although the action of developmental constraints could happen beyond the limits of a population or a particular species, that does not imply that we are before a comeback of typological thought in Evolutionary Biology. Key Words: Evolutionary Developmental Biology; Typological Thought; Ultimate Causes.   RESUMEN Partiendo de la premisa de que una causa próxima es aquella cuyos efectos pueden ser registrados en los estados de un organismo individual, en este trabajo sostendré que lo que define a una causa remota es el hecho de que sus efectos puedan ser registrados en la evolución de linajes, y no simplemente en estados poblacionales. Esto, por otra parte, no sólo nos permitirá entender en qué sentido los constreñimientos ontogenéticos deben ser comprendidos como causas remotas de los fenómenos evolutivos; sino que además nos permitirá poner en evidencia el carácter eminentemente histórico de la Biología Evolucionaria del Desarrollo que Wallace Arthur menoscabó en Biased Embryos and Evolution.  Así, y siguiendo esta última línea de razonamiento, también intentaré mostrar que, aunque la acción de dichos constreñimientos ontogenéticos pueda verificarse más allá de los l

  5. El ajuste de plantillas: el papel de los despidos por causas objetivas

    OpenAIRE

    Castillo Lorenzo, Jesús

    2016-01-01

    Este estudio académico sobre el ajuste de plantillas en las empresas lo he redactado, centrándome en los ajustes que se realizan por despidos por causas objetivas,que en la mayoría de los casos son despidos económicos. El trabajo que he desarrollado me parece un trabajo interesante, porque trata un tema actual como es la crisis económica y social que padece España y los países de la UE. Me agrada haber tratado este tema,porque me interesa la legislación la...

  6. Dentin matrix degradation by host Matrix Metalloproteinases: inhibition and clinical perspectives towards regeneration.

    Directory of Open Access Journals (Sweden)

    Catherine eChaussain

    2013-11-01

    Full Text Available Bacterial enzymes have long been considered solely accountable for the degradation of the dentin matrix during the carious process. However, the emerging literature suggests that host-derived enzymes, and in particular the matrix metalloproteinases (MMPs contained in dentin and saliva can play a major role in this process by their ability to degrade the dentin matrix from within. These findings are important since they open new therapeutic options for caries prevention and treatment. The possibility of using MMP inhibitors to interfere with dentin caries progression is discussed. Furthermore, the potential release of bioactive peptides by the enzymatic cleavage of dentin matrix proteins by MMPs during the carious process is discussed. These peptides, once identified, may constitute promising therapeutical tools for tooth and bone regeneration.

  7. Optical properties of composite restorations influenced by dissimilar dentin restoratives.

    Science.gov (United States)

    Marjanovic, Jovana; Veljovic, Djordje N; Stasic, Jovana N; Savic-Stankovic, Tatjana; Trifkovic, Branka; Miletic, Vesna

    2018-05-01

    To evaluate optical properties (color and translucency) of 'sandwich' restorations of resin-based composites and esthetically unfavorable dentin restoratives. Cylindrical 'dentin' specimens (8mm in diameter and 2mm thick, N=5/group) were prepared using EverX Posterior (GC), Biodentine (Septodont), experimental hydroxyapatite (HAP) or conventional composites (Gradia Direct Posterior, GC; Filtek Z250 and Filtek Z500, 3M ESPE). Capping 'enamel' layers were prepared using composites (Gradia Direct Posterior, Filtek Z250 or Z550) of A1 or A3 shade and the following thickness: 0.6, 1 or 2mm. Color (ΔE) and translucency parameter (TP) were determined using a spectrophotometer (VITA Easyshade Advance 4.0, VITA Zahnfabrik). Data were statistically analyzed using analysis of variance with Tukey's post-hoc tests (α=0.05). TP was greatly affected by layer thickness, whilst ΔE depended on shade and layer thickness of the capping composite. HAP and Biodentine showed significantly lower TP and higher ΔE (deviation from 'ideal white') than composites (p<0.05). Greater TP was seen in EverX_composite groups than in corresponding control groups of the same shade and thickness. TP of composites combined with Biodentine or HAP was below 2, lower than the corresponding control groups (p<0.05). Within-group differences of ΔE were greatest in HAP_composite groups. EverX_Gradia and EverX_FiltekZ250 combinations showed the most comparable ΔE with the control groups. A 2mm thick layer of composite covering dentin restoratives with unfavorable esthetics is recommended for a final 'sandwich' restoration that is esthetically comparable to a conventional, mono-composite control restoration. Copyright © 2018 The Academy of Dental Materials. Published by Elsevier Inc. All rights reserved.

  8. Pulp-dentin Regeneration: Current State and Future Prospects.

    Science.gov (United States)

    Cao, Y; Song, M; Kim, E; Shon, W; Chugal, N; Bogen, G; Lin, L; Kim, R H; Park, N-H; Kang, M K

    2015-11-01

    The goal of regenerative endodontics is to reinstate normal pulp function in necrotic and infected teeth that would result in reestablishment of protective functions, including innate pulp immunity, pulp repair through mineralization, and pulp sensibility. In the unique microenvironment of the dental pulp, the triad of tissue engineering would require infection control, biomaterials, and stem cells. Although revascularization is successful in resolving apical periodontitis, multiple studies suggest that it alone does not support pulp-dentin regeneration. More recently, cell-based approaches in endodontic regeneration based on pulpal mesenchymal stem cells (MSCs) have demonstrated promising results in terms of pulp-dentin regeneration in vivo through autologous transplantation. Although pulpal regeneration requires the cell-based approach, several challenges in clinical translation must be overcome-including aging-associated phenotypic changes in pulpal MSCs, availability of tissue sources, and safety and regulation involved with expansion of MSCs in laboratories. Allotransplantation of MSCs may alleviate some of these obstacles, although the long-term stability of MSCs and efficacy in pulp-dentin regeneration demand further investigation. For an alternative source of MSCs, our laboratory developed induced MSCs (iMSCs) from primary human keratinocytes through epithelial-mesenchymal transition by modulating the epithelial plasticity genes. Initially, we showed that overexpression of ΔNp63α, a major isoform of the p63 gene, led to epithelial-mesenchymal transition and acquisition of stem characteristics. More recently, iMSCs were generated by transient knockdown of all p63 isoforms through siRNA, further simplifying the protocol and resolving the potential safety issues of viral vectors. These cells may be useful for patients who lack tissue sources for endogenous MSCs. Further research will elucidate the level of potency of these iMSCs and assess their

  9. In Vitro Study of Dentin Hypersensitivity Treated by 980-nm Diode Laser.

    Science.gov (United States)

    Liu, Ying; Gao, Jie; Gao, Yan; Xu, Shuaimei; Zhan, Xueling; Wu, Buling

    2013-01-01

    To investigate the ultrastructural changes of dentin irradiated with 980-nm diode laser under different parameters and to observe the morphological alterations of odontoblasts and pulp tissue to determine the safety parameters of 980-nm diode laser in the treatment of dentin hypersensitivity (DH). Twenty extracted human third molars were selected to prepare dentin discs. Each dentin disc was divided into four areas and was irradiated by 980-nm diode laser under different parameters: Group A: control group, 0 J/cm(2); Group B: 2 W/CW (continuous mode), 166 J/cm(2); Group C: 3W/CW, 250 J/cm(2); and Group D: 4W/CW, 333 J/cm(2). Ten additional extracted human third molars were selected to prepare dentin discs. Each dentin disc was divided into two areas and was irradiated by 980-nm diode laser: Group E: control group, 0 J/cm(2); and Group F: 2.0 W/CW, 166 J/cm(2). The morphological alterations of the dentin surfaces and odontoblasts were examined with scanning electron microscopy (SEM), and the morphological alterations of the dental pulp tissue irradiated by laser were observed with an upright microscope. The study demonstrated that dentinal tubules can be entirely blocked after irradiation by 980-nm diode laser, regardless of the parameter setting. Diode laser with settings of 2.0 W and 980-nm sealed exposed dentin tubules effectively, and no significant morphological alterations of the pulp and odontoblasts were observed after irradiation. Irradiation with 980-nm diode laser could be effective for routine clinical treatment of DH, and 2.0W/CW (166 J/cm(2)) was a suitable energy parameter due to its rapid sealing of the exposed dentin tubules and its safety to the odontoblasts and pulp tissue.

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

    Energy Technology Data Exchange (ETDEWEB)

    Chen, Chaoqun; Mao, Caiyun; Sun, Jian; Chen, Yi; Wang, Wei [Department of Stomatology, The First Affiliated Hospital, College of Medicine, Zhejiang University (China); Pan, Haihua; Tang, Ruikang [Centre for Biopathways and Biomaterials, Department of Chemistry, Zhejiang University (China); Gu, Xinhua [Department of Stomatology, The First Affiliated Hospital, College of Medicine, Zhejiang University (China)

    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, 10 s) were pretreated with a 5% GA solution for 3 min 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 7 days to 2 days. 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. - Highlights: • GA cross-linking can promote the remineralization kinetics of dentin collagen. • GA-induced remineralization can reshape the demineralized dentin collagen layer. • The GA-induced remineralization enhances the degradation resistance of collagen. • GA-induced remineralization provides a new approach to improve bonding durability.

  11. In Vitro Study of Dentin Hypersensitivity Treated by 980-nm Diode Laser

    Science.gov (United States)

    Liu, Ying; Gao, Jie; Gao, Yan; XU, Shuaimei; Zhan, Xueling; Wu, Buling

    2013-01-01

    Introduction: To investigate the ultrastructural changes of dentin irradiated with 980-nm diode laser under different parameters and to observe the morphological alterations of odontoblasts and pulp tissue to determine the safety parameters of 980-nm diode laser in the treatment of dentin hypersensitivity (DH). Methods: Twenty extracted human third molars were selected to prepare dentin discs. Each dentin disc was divided into four areas and was irradiated by 980-nm diode laser under different parameters: Group A: control group, 0 J/cm2; Group B: 2 W/CW (continuous mode), 166 J/cm2; Group C: 3W/CW, 250 J/cm2; and Group D: 4W/CW, 333 J/cm2. Ten additional extracted human third molars were selected to prepare dentin discs. Each dentin disc was divided into two areas and was irradiated by 980-nm diode laser: Group E: control group, 0 J/cm2; and Group F: 2.0 W/CW, 166 J/cm2. The morphological alterations of the dentin surfaces and odontoblasts were examined with scanning electron microscopy (SEM), and the morphological alterations of the dental pulp tissue irradiated by laser were observed with an upright microscope. Results: The study demonstrated that dentinal tubules can be entirely blocked after irradiation by 980-nm diode laser, regardless of the parameter setting. Diode laser with settings of 2.0 W and 980-nm sealed exposed dentin tubules effectively, and no significant morphological alterations of the pulp and odontoblasts were observed after irradiation. Conclusions: Irradiation with 980-nm diode laser could be effective for routine clinical treatment of DH, and 2.0W/CW (166 J/cm2) was a suitable energy parameter due to its rapid sealing of the exposed dentin tubules and its safety to the odontoblasts and pulp tissue. PMID:25606318

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

    International Nuclear Information System (INIS)

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

    2016-01-01

    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, 10 s) were pretreated with a 5% GA solution for 3 min 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 7 days to 2 days. 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. - Highlights: • GA cross-linking can promote the remineralization kinetics of dentin collagen. • GA-induced remineralization can reshape the demineralized dentin collagen layer. • The GA-induced remineralization enhances the degradation resistance of collagen. • GA-induced remineralization provides a new approach to improve bonding durability.

  13. Characterization of the elastic and viscoelastic properties of dentin by a nanoindentation creep test.

    Science.gov (United States)

    Chuang, Shu-Fen; Lin, Shih-Yun; Wei, Pal-Jen; Han, Chang-Fu; Lin, Jen-Fin; Chang, Hsien-Chang

    2015-07-16

    Dentin is the main supporting structure of teeth, but its mechanical properties may be adversely affected by pathological demineralization. The purposes of this study were to develop a quantitative approach to characterize the viscoelastic properties of dentin after de- and re-mineralization, and to examine the elastic properties using a nanoindentation creep test. Dentin specimens were prepared to receive both micro- and nano-indentation tests at wet and dry states. These tests were repeatedly performed after demineralization (1% citric acid for 3 days) and remineralization (artificial saliva immersion for 28 days). The nanoindentation test was executed in a creep mode, and the resulting displacement-time responses were disintegrated into primary (transient) and secondary (viscous) creep. The structural changes and mineral densities of dentin were also examined under SEM and microCT, respectively. The results showed that demineralization removed superficial minerals of dentin to the depth of 400 μm, and affected its micro- and nano-hardness, especially in the hydrate state. Remineralization only repaired the minerals at the surface layer, and partially recovered the nanohardness. Both the primary the secondary creep increased in the demineralized dentin, while the hydration further enhanced creep deformation of untreated and remineralized dentin. Remineralization reduced the primary creep of dentin, but did not effectively increase the viscosity. In conclusion, water plasticization increases the transient and viscous creep strains of demineralized dentin and reduces load sustainability. The nanoindentation creep test is capable of analyzing the elastic and viscoelastic properties of dentin, and reveals crucial information about creep responses. Copyright © 2015 Elsevier Ltd. All rights reserved.

  14. [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".

  15. Tensile and bending fatigue of the adhesive interface to dentin.

    Science.gov (United States)

    Belli, Renan; Baratieri, Luiz Narciso; Braem, Marc; Petschelt, Anselm; Lohbauer, Ulrich

    2010-12-01

    The aim of this study was to evaluate the fatigue limits of the dentin-composite interfaces established either with an etch-and-rinse or an one-step self-etch adhesive systems under tensile and bending configurations. Flat specimens (1.2 mm×5 mm×35 mm) were prepared using a plexiglass mold where dentin sections from human third molars were bonded to a resin composite, exhibiting the interface centrally located. Syntac Classic and G-Bond were used as adhesives and applied according to the manufacturer's instructions. The fluorochrome Rhodamine B was added to the adhesives to allow for fractographic evaluation. Tensile strength was measured in an universal testing machine and the bending strength (n=15) in a Flex machine (Flex, University of Antwerp, Belgium), respectively. Tensile (TFL) and bending fatigue limits (BFL) (n=25) were determined under wet conditions for 10(4) cycles following a staircase approach. Interface morphology and fracture mechanisms were observed using light, confocal laser scanning and scanning electron microscopy. Statistical analysis was performed using three-way ANOVA (mod LSD test, pTensile and bending characteristic strengths at 63.2% failure probability for Syntac were 23.8 MPa and 71.5 MPa, and 24.7 MPa and 72.3 MPa for G-Bond, respectively. Regarding the applied methods, no significant differences were detected between adhesives. However, fatigue limits for G-Bond (TFL=5.9 MPa; BFL=36.2 MPa) were significantly reduced when compared to Syntac (TFL=12.6 MPa; BFL=49.7 MPa). Fracture modes of Syntac were generally of adhesive nature, between the adhesive resin and dentin, while G-Bond showed fracture planes involving the adhesive-dentin interface and the adhesive resin. Cyclic loading under tensile and bending configurations led to a significant strength degradation, with a more pronounced fatigue limit decrease for G-Bond. The greater decrease in fracture strength was observed in the tensile configuration. Copyright © 2010 Academy of

  16. Direct linear measurement of root dentin thickness and dentin volume changes with post space preparation: A cone-beam computed tomography study

    Directory of Open Access Journals (Sweden)

    Shoeb Yakub Shaikh

    2018-01-01

    Full Text Available Aim: The purpose of the present study was direct linear measurement of dentin thickness and dentin volume changes for post space preparation with cone-beam computed tomography (CBCT. Materials and Methods: Ten maxillary central incisors were scanned, before and after root canal and post space preparation, with Orthophos XG three-dimensional hybrid unit. Thirteen axial section scans of each tooth from orifice to apex and dentin thickness for buccal, lingual, mesial, and distal were measured using proprietary measuring tool and thereafter subjected to statistical analysis. Furthermore, dentin volume was evaluated using ITK-SNAP software. Results: There was statistically significant difference between the dentin thickness in pre- and postinstrumentation (paired t-test and also between different groups (one-way ANOVA. In the shortest post length of 4.5mm the post space preparation resulted in 2.17% loss of hard tissue volume, where as 11mm longest post length post space preparation resulted in >40% loss of hard tissue volume. Conclusion: CBCT axial section scan for direct measurements of root dentin thickness can be guideline before and after post space preparation for selection of drill length and diameter.

  17. Mortalidade infantil por causas evitáveis em uma cidade do Nordeste do Brasil

    Directory of Open Access Journals (Sweden)

    Suelayne Gonçalves do Nascimento

    2014-04-01

    Full Text Available Estudo de corte transversal que objetivou descrever a ocorrência da mortalidade infantil em Recife (PE entre 2000 e 2009, segundo causas evitáveis. A população foi composta pelos óbitos infantis de mães residentes na cidade do Recife e a classificação de evitabilidade adotou a Lista de causas de mortes evitáveis por intervenções do Sistema Único de Saúde. Para análise dos dados utilizou-se estatística descritiva. Foi observado decréscimo no coeficiente de mortalidade infantil de 20,4 para 12,1 por 1.000 nascidos vivos. Do total de 3.743 óbitos registrados, 2.861 (76,4% foram classificados como evitáveis. Destacaram-se os óbitos reduzíveis por adequada atenção à mulher na gestação. A abordagem da evitabilidade auxilia nas discussões relacionadas à organização, qualidade e acesso aos serviços de saúde, bem como na identificação dos óbitos que poderiam ter sido prevenidos ou evitados por uma adequada atenção à saúde materno-infantil.

  18. Suspensão de cirurgia de catarata e suas causas Reasons for cataract surgery cancelation

    Directory of Open Access Journals (Sweden)

    Rodrigo Pessoa Cavalcanti Lira

    2001-10-01

    Full Text Available Com o objetivo de verificar as causas de suspensão de cirurgia de catarata e sugerir medidas para melhorar a eficiência do serviço prestado à população, foi realizado um estudo transversal no serviço de oftalmologia de um hospital universitário do Estado de São Paulo. A amostra foi composta por 200 indivíduos. A média de idade foi de 68± 11,4 anos. As causas de suspensão de cirurgia foram: condição clínica desfavorável (23,1%; horário cirúrgico insuficiente (35,9%; e não comparecimento do paciente (41%. Os fatores causadores foram, majoritariamente, as razões sociais e o funcionamento do hospital.To study the reasons for canceling cataract surgeries, and to suggest actions to improve the efficiency of patient care. A cross-sectional study was carried out in a university hospital's ophthalmology clinic of the state of São Paulo, Brazil. Two hundred subjects were randomly selected. The mean age was 68± 11.4 years old. The reasons for canceling surgery were: unpropitious clinical condition (23.1%; tight schedule (35.9%; and patient non-attendance (41%. Most of the reasons related to social issues and the hospital's administrative aspects.

  19. Shear Bond Strength of Composite to Nd-YAG Lased Dentin with and without Dye

    Directory of Open Access Journals (Sweden)

    H. Kermanshah

    2004-06-01

    Full Text Available Statement of Problem: The achievement of a good and durable dentin/composite resin bond is an important task in restorative dentistry. The application of acid conditioners and dentin bonding agents is an accepted method to enhance this bond strength. Pretreating of dentin surface by laser irradiation seems to be a supplemental way to obtain better results,since lased dentin is more roughened and has a widest surface area to interact with acidconditioner.Purpose: In this study, the effect of dentin surface pretreating by Nd-YAG laser on dentin/composite shear bond strength was examined. Moreover, the effect of Chinese ink as a surface energy absorber on this value was investigated.Methods and Materials: Thirty-nine freshly extracted human teeth without dentinal caries were collected and their occlusal dentins were exposed using a diamond disk. The collected samples were divided into three identical groups. The dentin surface of the first group was lased by an Nd-YAG pulsed laser (100 mJ, 20 Hz through a 320 mm fiber optic in a swiping movement. In the second group, 10% solution of Chinese ink was applied on the dentinal surface before lasing. The samples of the third group were not lased at all. Thedentinal surface prepared by 35% phosphoric acid and Scotchbond MP primer and adhesive. Then, composite resin was cured on dentinal surface. After incubation, in water at 37°C for 24 hours, the samples were tested by Digital Tritest ELE machine.Results: The values of bond strength were 20.83±3.96 MPa, 17.83±3.63 MPa and 19.38±4.88 MPa for the lased, unlased and dye-enhanced groups, respectively. The results were not significant by ANOVA test (a=0.05. Although in the Weiboul modulus, the lased group offered better bond strength.Conclusion: Further studies are required to determine whether chemical as well as physical alterations to the dentin surface are induced by laser etching, and whether these influence the performance of the range of dentin

  20. Dentin surface treatment using a non-thermal argon plasma brush for interfacial bonding improvement in composite restoration

    Science.gov (United States)

    Ritts, Andy Charles; Li, Hao; Yu, Qingsong; Xu, Changqi; Yao, Xiaomei; Hong, Liang; Wang, Yong

    2010-01-01

    The objective of this study is to investigate the treatment effects of non-thermal atmospheric gas plasmas on dentin surfaces for composite restoration. Extracted unerupted human third molars were used by removing the crowns and etching the exposed dentin surfaces with 35% phosphoric acid gel. The dentin surfaces were treated by using a non-thermal atmospheric argon plasma brush for various durations. The molecular changes of the dentin surfaces were analyzed using FTIR/ATR and an increase in carbonyl groups on dentin surfaces was detected with plasma treated dentin. Adper Single Bond Plus adhesive and Filtek Z250 dental composite were applied as directed. To evaluate the dentin/composite interfacial bonding, the teeth thus prepared were sectioned into micro-bars as the specimens for tensile test. Student Newman Keuls tests showed that the bonding strength of the composite restoration to peripheral dentin was significantly increased (by 64%) after 30 s plasma treatment. However, the bonding strength to plasma treated inner dentin did not show any improvement. It was found that plasma treatment of peripheral dentin surface up to 100 s gave an increase in interfacial bonding strength, while a prolong plasma treatment of dentin surfaces, e.g., 5 min treatments, showed a decrease in interfacial bonding strength. PMID:20831586

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

    Directory of Open Access Journals (Sweden)

    Gurudutt Nayak

    2014-05-01

    Full Text Available 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.

  2. Effects of dentin on the antimicrobial properties of endodontic medicaments.

    Science.gov (United States)

    Haapasalo, Markus; Qian, Wei; Portenier, Isabelle; Waltimo, Tuomas

    2007-08-01

    Successful treatment of apical periodontitis is dependent on the elimination of the infective microflora from the necrotic root canal system. Antimicrobial irrigating solutions and other locally used disinfecting agents and medicaments have a key role in the eradication of the microbes. While most if not all presently used disinfecting agents rapidly kill even the resistant microbes when tested in vitro in a test tube, the effectiveness of the same agents is clearly weaker in the in vivo conditions. Recent studies have given valuable information about the interaction of endodontic disinfecting agents with dentin and other compounds present in the necrotic root canal. As a result of such interactions the antimicrobial effectiveness of several of our key disinfectants may be weakened, or even eliminated under certain circumstances. Different disinfectants show different sensitivity to the action by the various potential inactivators, such as dentin, serum proteins, hydroxyapatite, collagen derived from different sources, and microbial biomass. This review is a summary of our present knowledge of the mostly negative interactions between endodontic disinfecting agents and the various compounds present in the root canal environment.

  3. Accelerated fatigue of dentin with exposure to lactic acid.

    Science.gov (United States)

    Do, D; Orrego, S; Majd, H; Ryou, H; Mutluay, M M; Xu, Hockin H K; Arola, D

    2013-11-01

    Composite restorations accumulate more biofilm than other dental materials. This increases the likelihood for the hard tissues supporting a restoration (i.e. dentin and enamel) to be exposed to acidic conditions beyond that resulting from dietary variations. In this investigation the fatigue strength and fatigue crack growth resistance of human coronal dentin were characterized within a lactic acid solution (with pH = 5) and compared to that of controls evaluated in neutral conditions (pH = 7). A comparison of the fatigue life distributions showed that the lactic acid exposure resulted in a significant reduction in the fatigue strength (p ≤ 0.001), and nearly 30% reduction in the apparent endurance limit (from 44 MPa to 32 MPa). The reduction in pH also caused a significant decrease (p ≤ 0.05) in the threshold stress intensity range required for the initiation of cyclic crack growth, and significant increase in the incremental rate of crack extension. Exposure of tooth structure to lactic acid may cause demineralization, but it also increases the likelihood of restored tooth failures via fatigue, and after short time periods. © 2013 Elsevier Ltd. All rights reserved.

  4. Comparison of propagation-based phase-contrast tomography approaches for the evaluation of dentin microstructure

    Science.gov (United States)

    Deyhle, Hans; Weitkamp, Timm; Lang, Sabrina; Schulz, Georg; Rack, Alexander; Zanette, Irene; Müller, Bert

    2012-10-01

    The complex hierarchical structure of human tooth hard tissues, enamel and dentin, guarantees function for decades. On the micrometer level the dentin morphology is dominated by the tubules, micrometer-narrow channels extending from the dentin-enamel junction to the pulp chamber. Their structure has been extensively studied, mainly with two-dimensional approaches. Dentin tubules are formed during tooth growth and their orientation is linked to the morphology of the nanometer-sized components, which is of interest for example for the development of bio-inspired dental fillings. Therefore, a method has to be identified that can access the three-dimensional organization of the tubules, e.g. density and orientation. Tomographic setups with pixel sizes in the sub-micrometer range allow for the three-dimensional visualization of tooth dentin tubules both in phase and absorption contrast modes. We compare high-resolution tomographic scans reconstructed with propagation based phase retrieval algorithms as well as reconstructions without phase retrieval concerning spatial and density resolution as well as rendering of the dentin microstructure to determine the approach best suited for dentin tubule imaging. Reasonable results were obtained with a single-distance phase retrieval algorithm and a propagation distance of about 75% of the critical distance of d2/λ, where d is the size of the smallest objects identifiable in the specimen and λ is the X-ray wavelength.

  5. PLGA nanoparticles as chlorhexidine-delivery carrier to resin-dentin adhesive interface.

    Science.gov (United States)

    Priyadarshini, Balasankar Meera; Mitali, Kakran; Lu, Thong Beng; Handral, Harish K; Dubey, Nileshkumar; Fawzy, Amr S

    2017-07-01

    To characterize and deliver fabricated CHX-loaded PLGA-nanoparticles inside micron-sized dentinal-tubules of demineralized dentin-substrates and resin-dentin interface. Nanoparticles fabricated by emulsion evaporation were assessed in-vitro by different techniques. Delivery of drug-loaded nanoparticles to demineralized dentin substrates, interaction with collagen matrix, and ex-vivo CHX-release profiles using extracted teeth connected to experimental setup simulating pulpal hydrostatic pressure were investigated. Furthermore, nanoparticles association/interaction with a commercial dentin-adhesive applied to demineralized dentin substrates were examined. The results showed that the formulated nanoparticles demonstrated attractive physicochemical properties, low cytotoxicity, potent antibacterial efficacy, and slow degradation and gradual CHX release profiles. Nanoparticles delivered efficiently inside dentinal-tubules structure to sufficient depth (>10μm) against the simulated upward pulpal hydrostatic-pressure, even after bonding-resins infiltration and were attached/retained on collagen-fibrils. These results verified the potential significance of this newly introduced drug-delivery therapeutic strategy for future clinical applications and promote for a new era of future dental research. This innovative drug-delivery strategy has proven to be a reliable method for delivering treatments that could be elaborated for other clinical applications in adhesive and restorative dentistry. Copyright © 2017 The Academy of Dental Materials. Published by Elsevier Ltd. All rights reserved.

  6. Effect of Dentin Wetness on the Bond Strength of Universal Adhesives

    Directory of Open Access Journals (Sweden)

    An-Na Choi

    2017-10-01

    Full Text Available The effects of dentin wetness on the bond strength and adhesive interface morphology of universal adhesives have been investigated using micro-tensile bond strength (μTBS testing and confocal laser scanning microscopy (CLSM. Seventy-two human third molars were wet ground to expose flat dentin surfaces. They were divided into three groups according to the air-drying time of the dentin surfaces: 0 (without air drying, 5, and 10 s. The dentin surfaces were then treated with three universal adhesives: G-Premio Bond, Single Bond Universal, and All-Bond Universal in self-etch or etch-and-rinse mode. After composite build up, a μTBS test was performed. One additional tooth was prepared for each group by staining the adhesives with 0.01 wt % of Rhodamine B fluorescent dye for CLSM analysis. The data were analyzed statistically using ANOVA and Tukey’s post hoc tests (α = 0.05. Two-way ANOVA showed significant differences among the adhesive systems and dentin moisture conditions. An interaction effect was also observed (p < 0.05. One-way ANOVA showed that All-Bond Universal was the only material influenced by the wetness of the dentin surfaces. Wetness of the dentin surface is a factor influencing the micro-tensile bond strength of universal adhesives.

  7. The measurement of enamel and dentine abrasion by tooth whitening products using an in situ model.

    Science.gov (United States)

    Joiner, A; Collins, L Z; Cox, T F; Pickles, M J; Weader, E; Liscombe, C; Holt, J S

    2005-01-01

    To determine the enamel and dentine wear of two whitening toothpastes using an in situ model with ex vivo brushing. Human enamel/dentine (approximately 50:50) blocks (approximately 4 x 4mm) were placed in the upper buccal aspects of full or partial dentures of a group of 25 subjects. Subjects brushed the specimens ex vivo with either a calcium carbonate/perlite or silica containing whitening toothpaste under exaggerated conditions as compared to normal for 30 s, twice per day. Specimens were removed after 4, 8 and 12 weeks and the wear to the enamel and dentine was determined. Enamel wear was determined by change in Knoop indent length and dentine wear was determined from the enamel-dentine step height, measured using optical profilometry. The mean wear after 12 weeks was for enamel 0.27 and 0.19 microns, and for dentine 34.3 and 61.1 microns, for the calcium carbonate/perlite and silica toothpastes respectively. There were no significant differences between products after 12 weeks. The rate of wear was found to decrease throughout the duration of the study. There were no significant differences between the two whitening toothpastes in terms of enamel and dentine wear after 12 weeks brushing.

  8. Analysis of the Color and Fluorescence Alterations of Enamel and Dentin Treated With Hydrogen Peroxide.

    Science.gov (United States)

    Caneppele, Taciana Marco Ferraz; Rocha Gomes Torres, Carlos; Bresciani, Eduardo

    2015-10-01

    The aim of this study was to evaluate the effect of hydrogen peroxide whitening on fluorescence and color of bovine enamel and dentin. Twenty five dentin discs and 25 enamel discs, with 6 mm diameter and 1 mm thick, were obtained. Direct fluorescence (spectrofluorophotometry) and color (spectrophotometry) were assessed. After fluorescence and color baseline measurements, specimens were immersed in a 35% hydrogen peroxide (HP) solution for 1 h. This procedure was repeated after 7 days. Final fluorescence and color measurements were performed after the second immersion. Chemical characterization of 5 additional specimens was also performed. Data were submitted to repeated analysis of variance and Tukey's test for fluorescence and unpaired t-test for color and chemical components (pwhitening. Enamel presented lower fluorescence than dentin at baseline, but this parameter did not decrease after whitening. Color changes were observed for both substrates, with significantly greater whitening effect in dentin (ΔE=10.37) (pWhitening by hydrogen peroxide induced significant decrease in fluorescence of tooth dentin and promoted significant color changes in dentin and enamel with more accentuated outcomes in dentin.

  9. 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.

  10. Influence of previous acid etching on bond strength of universal adhesives to enamel and dentin.

    Science.gov (United States)

    Torres, Carlos Rocha Gomes; Zanatta, Rayssa Ferreira; Silva, Tatiane Josefa; Huhtala, Maria Filomena Rocha Lima; Borges, Alessandra Bühler

    2017-01-01

    The objective of this study was to evaluate the effect of acid pretreatment on the bond strength of composite resin bonded to enamel and dentin with 2 different universal self-etching adhesives. The null hypothesis was that the acid treatment performed prior to adhesive application would not significantly change the bond strength to enamel or dentin for either universal adhesive tested. A sample of 112 bovine incisors were selected and embedded in acrylic resin. Half were ground until a flat enamel surface was obtained, and the other half were polished until a 6 × 6-mm area of dentin was exposed, resulting into 2 groups (n = 56). The enamel and dentin groups were divided into 2 subgroups according to the adhesive system applied: Futurabond U or Scotchbond Universal. Each of these subgroups was divided into 2 additional subgroups (n = 14); 1 subgroup received phosphoric acid pretreatment, and 1 subgroup did not. The bond strength was assessed with a microtensile test. Data from enamel and dentin specimens were analyzed separately using 1-way analysis of variance. The acid pretreatment did not significantly change the bond strength of the adhesives tested, either to enamel (P = 0.4161) or to dentin (P = 0.4857). The acid etching pretreatment did not affect the bond strength to dentin and enamel when the tested universal multipurpose adhesive systems were used.

  11. The effect of dentine surface preparation and reduced application time of adhesive on bonding strength.

    Science.gov (United States)

    Saikaew, Pipop; Chowdhury, A F M Almas; Fukuyama, Mai; Kakuda, Shinichi; Carvalho, Ricardo M; Sano, Hidehiko

    2016-04-01

    This study evaluated the effects of surface preparation and the application time of adhesives on the resin-dentine bond strengths with universal adhesives. Sixty molars were cut to exposed mid-coronal dentine and divided into 12 groups (n=5) based on three factors; (1) adhesive: G-Premio Bond (GP, GC Corp., Tokyo, Japan), Clearfil Universal Bond (CU, Kuraray Noritake Dental Inc., Okayama, Japan) and Scotchbond Universal Adhesive (SB, 3M ESPE, St. Paul, MN, USA); (2) smear layer preparation: SiC paper ground dentine or bur-cut dentine; (3) application time: shortened time or as manufacturer's instruction. Fifteen resin-dentine sticks per group were processed for microtensile bond strength test (μTBS) according to non-trimming technique (1mm(2)) after storage in distilled water (37 °C) for 24h. Data were analyzed by three-way ANOVA and Dunnett T3 tests (α=0.05). Fractured surfaces were observed under scanning electron microscope (SEM). Another 12 teeth were prepared and cut into slices for SEM examination of bonded interfaces. μTBS were higher when bonded to SiC-ground dentine according to manufacturer's instruction. Bonding to bur-cut dentine resulted in significantly lower μTBS (padhesive resin interface. This was more pronounced when adhesives were bonded with a reduced application time and on bur cut dentine. The performance of universal adhesives can be compromised on bur cut dentine and when applied with a reduced application time. Copyright © 2016 Elsevier Ltd. All rights reserved.

  12. Effect of final irrigation protocols on microhardness reduction and erosion of root canal dentin

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    Flávia Emi Razera BALDASSO

    2017-05-01

    Full Text Available Abstract This study aimed to evaluate the effect of final irrigation protocols on microhardness reduction and erosion of root canal dentin. Sixty root canals from mandibular incisors were instrumented and randomly divided into six groups (n = 10 according to the irrigant used: QMiX, 17% EDTA, 10% citric acid (CA, 1% peracetic acid (PA, 2.5% NaOCl (solution control, and distilled water (negative control. The chelating solutions were used to irrigate the canal followed by 2.5% NaOCl as a final flush. After the irrigation protocols, all specimens were rinsed with 10 mL of distilled water to remove any residue of the chemical solutions. Before and after the final irrigation protocols, dentin microhardness was measured with a Knoop indenter. Three indentations were made at 100 µm and 500 µm from the root canal lumen. Afterwards, the specimens were prepared for scanning electron microscopic analysis and the amount of dentin erosion was examined. Wilcoxon and Kruskal-Wallis tests were used to analyze the results with a significance level set at 5%. At 100 µm, all protocols significantly reduced dentin microhardness (p < .05, while at 500 µm, this effect was detected only in the EDTA and QMiX groups (p < .05. CA was the irrigant that caused more extensive erosion in dentinal tubules, followed by PA and EDTA. QMiX opened dentinal tubules, but did not cause dentin erosion. Results suggest that QMiX and 17% EDTA reduced dentin microhardness at a greater depth. Additionally, QMiX did not cause dentin erosion.

  13. Ultrastructural investigation of root canal dentine surface after application of active ultrasonic method

    Directory of Open Access Journals (Sweden)

    Mitić Aleksandar

    2008-01-01

    Full Text Available INTRODUCTION The basic work principle of all ultrasonic techniques is the piezoelectric effect of producing high frequency ultrasounds of small length, which are transmitted over the endodontic extensions or canal instruments into the root canal. When in contact with the tissue, ultrasonic vibrations are converted into mechanical oscillations. Ultrasonic waves and the obtained oscillations along with the synergic effect of irrigation bring about the elimination of smear layer from the root canal walls. OBJECTIVE The aim of the study was to ultrastucturally examine the effect of smear layer removal from the walls of canals by the application of the active ultrasonic method without irrigation, that is by the application of ultrasound and irrigation using distilled water and 2.5% NaOCl. METHOD The investigation comprised 35 single-canal, extracted human teeth. After removal of the root canal content, experimental samples were divided into three groups. According to the procedure required, the first group was treated by ultrasound without irrigation; the second one by ultrasound with irrigation using distilled water; and the third group was treated by ultrasound and irrigation using 2.5% NaOCl solution. The control samples were treated by machine rotating instruments (Pro-File and were rinsed by distilled water. RESULTS The obtained results showed that the ultrasonic treatment of the root canal without irrigation did not remove the smear layer. The dentine canals are masked, and big dentine particles are scattered on the intertubular dentine. The ultrasonic treatment by using irrigation with distilled water provides cleaner dentine walls and open dentine tubules but with smaller particles on the intertubular dentine. The ultrasound treatment by using irrigation with 2.5% NaOCl solution provides a clean intertubular dentine surface without a smear layer and clearly open dentine tubules. CONCLUSION Instrumentation of the root canal by application of

  14. The effect of endodontic regeneration medicaments on mechanical properties of radicular dentin

    Science.gov (United States)

    Yassen, Ghaeth H.

    Endodontic regeneration treatment of necrotic immature teeth has gained popularity in recent years. The approach suggests a biological alternative to induce a continuous root development. In this project, three in vitro experiments were conducted to investigate the effect of three medicaments used in endodontic regeneration on mechanical properties and chemical structure of radicular dentin. In the first experiment, we investigated longitudinally the effect of medicaments on the indentation properties of the root canal surface of immature teeth using a novel BioDent reference point indenter. A significant difference in the majority of indentation parameters between all groups was found after one-week and one-month application of medicaments (p double antibiotic paste (DAP) > control > calcium hydroxide [Ca(OH)2]. The four-week exposure of dentin to TAP and DAP caused 43% and 31% increase in total indentation distance outcome, respectively. In the second experiment, we investigated longitudinally the effect of medicaments on the chemical structure of immature radicular dentin by measuring the phosphate/amide I ratios of dentin using Attenuated Total Reflection Fourier Transform Infrared Spectroscopy. Phosphate/amide I ratios were significantly different between the four groups after one week, two weeks and four week application of medicaments (p untreated dentin > DAP-treated dentin > TAP-treated dentin. In the third experiment, we investigated longitudinally the effect of medicaments on root fracture resistance and microhardness of radicular dentin. For the microhardness, the two-way interaction between group and time was significant (pmedicaments caused significant decrease in fracture resistance ranging between 19%-30% after three month application compared to one week application. The three medicaments used in endodontic regeneration caused significant change in the chemical integrity of the superficial radicular dentin and significantly affected the indentation

  15. 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.

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

    International Nuclear Information System (INIS)

    Shepherd, Thomas J.; Dirks, Wendy; Manmee, Charuwan; Hodgson, Susan; Banks, David A.; Averley, Paul; Pless-Mulloli, Tanja

    2012-01-01

    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.

  17. The mechanical properties of human dentin for 3-D finite element modeling: Numerical and analytical evaluation.

    Science.gov (United States)

    Grzebieluch, Wojciech; Będziński, Romuald; Czapliński, Tomasz; Kaczmarek, Urszula

    2017-07-01

    The FEM is often used in investigations of dentin loading conditions; however, its anisotropy is mostly neglected. The purpose of the study was to evaluate the anisotropy and the elastic properties of an equivalent homogenous material model of human dentin as well as to compare isotropic and anisotropic dentin FE-models. Analytical and numerical dentin homogenization according to Luciano and Barbero was performed and E-modulus (E), Poisson's ratios (v) G-modulus (G) were calculated. The E-modulus of the dentin matrix was 28.0 GPa, Poisson's ratio (v) was 0.3; finite element models of orthotropic and isotropic dentin were created, loaded and compared using Ansys® 14.5 and CodeAster® 11.2 software. Anisotropy of the dentin ranged from 6.9 to 35.2%. E-modulus and G-modulus were as follows: E1 = 22.0-26.0 GPa, E2/E3 = 15.7-23.0 GPa; G12/G13 = 6.96-9.35 GPa and G23 = 6.08-8.09 GPa (highest values in the superficial layer). In FEM analysis of the displacement values were higher in the isotropic than in the orthotropic model, reaching up to 16% by shear load, 37% by compression and 23% in the case of shear with bending. Strain values were higher in the isotropic model, up to 35% for the shear load, 31% for compression and 35% in the case of shear with bending. The decrease in the volumetric fraction and diameter of tubules increased the G and E values. Anisotropy of the dentin applied during FEM analysis decreased the displacements and strain values. The numerical and analytical homogenization of dentin showed similar results.

  18. 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.

  19. Effects of a pulsed Nd:YAG laser on enamel and dentin

    Science.gov (United States)

    Myers, Terry D.

    1990-06-01

    Enamel and dentin samples were exposed extraorally to a pulsed neodymium yttriuma1uminumgarnet (Nd:YAG) laser. The lased samples were observed using both scanning electron microscopy and histological techniques to determine the effects of the laser. The present study has provided the following points: (1) Properly treated, enamel can be 1aser etched to a depth comparable to that achieved with phosphoric acid etching; and (2) both carious and noncarious dentin can be vaporized by the Nd:YAG laser. No cracking or chipping of any enamel or dentin sample was observed histologically or under the SEM.

  20. Diagnóstico de policitemia absoluta como posible causa de episodios convulsivos en un perro

    Directory of Open Access Journals (Sweden)

    Sandra Acevedo T.

    2010-12-01

    Full Text Available Se expone el caso de un perro poodle de 3 años de edad, el cual hace un año comenzó a convulsionar esporádicamente, principalmente después de hacer ejercicio y en algunas ocasiones presentó temblor generalizado. Al examen clínico realizado se observó mucosas orales y oculares hiperémicas. Al realizar los exámenes paraclínicos complementarios se encontró en hemogramas seriados un aumento marcado del hematocrito y la hemoglobina con niveles de proteínas plasmáticas en rangos normales, y una eritropoyectina 10 veces por debajo del rango normal. Se realizó ecografía abdominal y evaluación cardiaca. El diagnóstico fue de policitemia absoluta como la causa de las convulsiones.

  1. Causas psicosociales de la deserción universitaria”

    Directory of Open Access Journals (Sweden)

    Lizeth Reyes Ruiz

    2012-07-01

    Full Text Available Este artículo presenta las causas psicosociales de la deserción estudiantil del programa de Psicología de una Universidad de Barranquilla entre el 2009 y 2011. De un total de 65 personas, la muestra fue de 16 personas que cumplían con los criterios de selección. Se revisó la información existente en la Institución acerca de las pruebas MMPI y RAVEN, las pruebas saber 11, aspectos financieros, familiares y académicos. Los resultados muestran la correlación existente entre estas variables y la deserción universitaria.

  2. A paixão da causalidade: uma fala em causa?,

    OpenAIRE

    Gori, Roland

    1998-01-01

    Este artigo coloca a questão de saber de onde provém a neces- sidade de se buscarem causas psicológicas para o sofrimento e para a doença, transformando o pathos dessas experiências cruciais na busca de uma explicação aceitável pela razão. Partindo de fragmen- tos clínicos e da análise do texto de Tausk sobre "a gênese do apare- lho de influenciar" na esquizofrenia, o trabalho visa explicitar a especificidade da posição psicanalítica em relação às proposições psicológicas (por vezes influenci...

  3. El deporte como causa de estrés oxidativo y hemólisis

    OpenAIRE

    Javier F. Bonilla; Raúl Nárvaez; Lilian Chuaire

    2005-01-01

    Desde hace más de tres décadas se estableció que el ejercicio puede producir la anemia, una de las causas en la deficiencia de oxigenación a los tejidos. Sin embargo, esta relación preliminar realmente corresponde a un evento donde el plasma se diluye, razón por la cual no es una verdadera anemia, por lo que se acuñó el término “pseudoanemia del deportista”. La nueva información relaciona el ejercicio, de moderado a exhaustivo, con la pérdida de sangre a través de los sistemas gastrointestina...

  4. Hepatocarcinoma como causa de abdome agudo em adolescente: relato de caso

    Directory of Open Access Journals (Sweden)

    João Augusto dos Santos Martines

    2012-08-01

    Full Text Available O carcinoma hepatocelular (CHC é pouco prevalente nos países ocidentais, porém é um dos tumores mais freqüentes na Ásia e a quinta causa de câncer no mundo.É relatado um caso de adolescente do sexo feminino sem fatores de risco para um tumor extremamente agressivo, internada no Hospital Universitário da Universidade de São Paulo. A apresentação clínica foi de abdome agudo secundário a sangramento para cavidade peritoneal por ruptura do tumor evidenciado através de tomografia computorizada multidetectores (TCMD confirmado por laparotomia exploradora e biópsia hepática e tratada com rafia hemostática do parênquima hepático.

  5. Los conflictos intraestatales contemporáneos: una aproximación a sus causas estructurales

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    Hugo F. Guerrero Sierra

    2012-07-01

    Full Text Available La propuesta del presente artículo es plantear un análisis conceptual en torno al fenómeno del conflicto social, específicamente cuando este deriva en dinámicas de orden violento. Del mismo modo, una vez establecida esta puntualización conceptual, y a través de la alusión a casos particulares, se presenta un breve recorrido por diferentes aportes que, desde el mundo de la academia, se han venido planteando respecto a la conexión entre el fenómeno de los conflictos intraestatales y sus posibles causas estructurales.

  6. Distribuição espacial da violência: mortalidade por causas externas em Salvador (Bahia, Brasil

    Directory of Open Access Journals (Sweden)

    Paim Jairnilson Silva

    1999-01-01

    Full Text Available O presente estudo teve como objetivo descrever a distribuição da mortalidade por causas externas no espaço urbano de Salvador, Estado da Bahia, Brasil, em 1991. Foram calculados indicadores de mortalidade por causas externas e por tipos específicos de violência. A mortalidade proporcional por causas externas foi de 15% e a taxa de mortalidade correspondeu a 78,0 óbitos por 100 000 habitantes. As taxas de mortalidade por homicídios e por acidentes de transporte foram de 32,2 e 21,8 por 100 000 habitantes, respectivamente. Os idosos apresentaram um maior risco de morte por causas externas, seguidos dos adultos jovens e adolescentes. No caso dos idosos, 38% das mortes foram por acidentes de transporte e 28%, por quedas. Em relação aos jovens, predominam os homicídios, especialmente no sexo masculino e na faixa etária de 15 a 29 anos. Constatou-se uma distribuição desigual da mortalidade por causas externas no espaço urbano, penalizando, especialmente no caso dos homicídios, as populações residentes em bairros pobres, com taxas superiores ao coeficiente médio de Salvador. É necessário desenvolver medidas de prevenção e controle, incluindo políticas públicas e ações programáticas de saúde, orientadas para o espaço social sujeito a maior risco de morte por causas externas.

  7. Causas e conseqüências de quedas de idosos atendidos em hospital público

    Directory of Open Access Journals (Sweden)

    Fabrício Suzele Cristina Coelho

    2004-01-01

    Full Text Available OBJETIVO: Investigar a história da queda relatada por idosos, identificando fatores possivelmente relacionados, assim como local de ocorrência, causas e conseqüências. MÉTODOS: A amostra da investigação constou de 50 idosos, de ambos os sexos, com idade de 60 anos ou mais, residentes em Ribeirão Preto, SP, que haviam sido atendidos em duas unidades de um hospital público. Foram consultados prontuários e realizadas visitas domiciliares para aplicação de um questionário estruturado com perguntas abertas, fechadas e mistas relativas à queda. RESULTADOS: Os dados obtidos mostraram uma realidade que não difere substancialmente daquela encontrada em outros países. A maioria das quedas ocorreu entre idosos do sexo feminino (66%, com idade média de 76 anos, no próprio lar do idoso (66%. As causas foram principalmente relacionadas ao ambiente físico (54%, acarretando sérias conseqüências aos idosos, sendo as fraturas as mais freqüentes (64%. A queda teve grande impacto na vida do idoso no que se refere às atividades da vida diária. Provocou maior dependência para a realização de atividades como: deitar/levantar-se, caminhar em superfície plana, cortar unhas dos pés, tomar banho, caminhar fora de casa, cuidar das finanças, fazer compras, usar transporte coletivo e subir escadas. CONCLUSÕES: O estudo demonstrou que a queda ocorrida entre os idosos traz sérias conseqüências físicas, psicológicas e sociais, reforçando a necessidade de prevenção da queda, garantindo ao idoso melhor qualidade de vida, autonomia e independência.

  8. Causas e conseqüências de quedas de idosos atendidos em hospital público

    Directory of Open Access Journals (Sweden)

    Suzele Cristina Coelho Fabrício

    2004-02-01

    Full Text Available OBJETIVO: Investigar a história da queda relatada por idosos, identificando fatores possivelmente relacionados, assim como local de ocorrência, causas e conseqüências. MÉTODOS: A amostra da investigação constou de 50 idosos, de ambos os sexos, com idade de 60 anos ou mais, residentes em Ribeirão Preto, SP, que haviam sido atendidos em duas unidades de um hospital público. Foram consultados prontuários e realizadas visitas domiciliares para aplicação de um questionário estruturado com perguntas abertas, fechadas e mistas relativas à queda. RESULTADOS: Os dados obtidos mostraram uma realidade que não difere substancialmente daquela encontrada em outros países. A maioria das quedas ocorreu entre idosos do sexo feminino (66%, com idade média de 76 anos, no próprio lar do idoso (66%. As causas foram principalmente relacionadas ao ambiente físico (54%, acarretando sérias conseqüências aos idosos, sendo as fraturas as mais freqüentes (64%. A queda teve grande impacto na vida do idoso no que se refere às atividades da vida diária. Provocou maior dependência para a realização de atividades como: deitar/levantar-se, caminhar em superfície plana, cortar unhas dos pés, tomar banho, caminhar fora de casa, cuidar das finanças, fazer compras, usar transporte coletivo e subir escadas. CONCLUSÕES: O estudo demonstrou que a queda ocorrida entre os idosos traz sérias conseqüências físicas, psicológicas e sociais, reforçando a necessidade de prevenção da queda, garantindo ao idoso melhor qualidade de vida, autonomia e independência.

  9. Causas de la deserción en la hospitalización parcial de adolescentes

    Directory of Open Access Journals (Sweden)

    Juana Velázquez Argota

    1997-04-01

    Full Text Available Se presentan los resultados del estudio de las causas de deserción de 23 adolescentes que funcionan al nivel neurótico en régimen de hospitalización parcial. Se distingue más de una causa de deserción, tanto en el grupo en que la deserción se produjo en la primera semana de hospitalización (9 casos, como en los de estadía más prolongada (14 casos, y se destacan la vaguedad de la conciencia de enfermedad, la pretensión de establecer una alianza psicopática con el terapeuta y la no formulación por el terapeuta de los objetivos de ingreso con claridad. Para prevenir la deserción se recomienda, antes de decidir el ingreso, explicar los objetivos de la hospitalización, trabajar en el desarrollo de la conciencia de enfermedad y el manejo psicoterapéutico cuidadoso de la propuesta de alianza psicopática.The results of the study about the causes of the dropout of 23 adolescents functioning at the neurotic level in a partial hospitalization regimen are presented. There is more than one cause of dropout, both in the group where it took place during the first week of hospitalization (9 cases and in those with a longer stay. It is stressed the vagueness of the consciousness of the disease, the pretension to establish a psychopathic alliance with the therapist, and the unclear formulation on the part of the therapist of the objectives of admission. To prevent the dropout, it is recommended, before deciding the admission, to explain the objectives of hospitalization, to work on the development of the conciousness of the disease, and the careful psychotherapeutic management of the proposal of the psychopathic alliance.

  10. Cetoacidosis Diabética como causa de ingreso en UTIPP

    Directory of Open Access Journals (Sweden)

    Frank Ernesto Medina Alí

    2005-01-01

    Full Text Available Se realizó un estudio descriptivo con el objetivo de describir el comportamiento de los ingresos por cetoacidosis diabética en adolescentes en la unidad de terapia intensiva polivalente pediátrica (utipp de Camagüey, desde enero de 1999 hasta diciembre del 2003, teniendo en cuenta que el adolescente diabético presenta problemas y características en su comportamiento que lo hacen marcadamente diferentes del niño y el adulto diabético y generalmente la diabetes del adolescente se considera ¿inestable¿ dado sus frecuentes episodios de hipoglucemia y cetoacidosis . El universo quedó integrado por 54 pacientes que ingresaron por esta causa, los cuales se obtuvieron del libro de ingresos y egresos y de la revisión de historias clínicas y los datos se procesaron en microstat. Se obtuvo como resultados que el grupo de edades más afectados fue el de 10-14 años con 62.96%, las féminas con 57.40% predominando como el año más afectado, el 1999 con 17 pacientes para un 31.48% con una disminución significativa en los años siguientes sólo ingresando el 12.97% en el 2003, el debut de la diabetes y las transgresiones dietéticas fueron las causas que más se presentan. Se concluye que la cetoacidosis es frecuente en la adolescencia, que la CAD severa constituye la forma más frecuente de debut, y que todo médico debe estar capacitado para reconocer precozmente dicho cuadro con el fin de evitar las complicaciones fatales para la vida de estos pacientes.

  11. ¿Fue una meningitis tuberculosa terminal la causa de muerte de Simón Bolívar?

    Directory of Open Access Journals (Sweden)

    Fernando Guzmán Mora

    2014-09-01

    Full Text Available Simón Bolívar. Mucho se ha especulado sobre la causa de su uerte. Algunos han llegado al extremo de acusar a sus propios médicos de haber administrads medicamentos equivocados para los conocimientos de aquel entonces. Otros han mencionado la malaria como la enfermedad que causó su deceso. Las opiniones no son iguales y encuentran particular divergencia tres teorías sobre la causa última de su muerte: El paludismo, el absceso hepático amebiano y la tuberculosis.

  12. 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.

  13. Efficacy of calcium oxide and calcium hydroxide nanoparticles on the elimination of Enterococcus faecalis in human root dentin.

    Science.gov (United States)

    Louwakul, Phumisak; Saelo, Attapon; Khemaleelakul, Saengusa

    2017-04-01

    The objective of this study was to compare the antibacterial effect of calcium oxide nanoparticles (CONPs) and calcium hydroxide nanoparticles (CHNPs) against Enterococcus faecalis in a dentinal block model. E. faecalis strain JCM 7783 was introduced into dentinal tubules of semicylindrical dentin specimens by centrifugation and incubated for 1 week. Fifty microliters of CONPs or CHNPs was placed on the root canal side of the infected dentin specimens. The specimens were then incubated in aerobic condition at 37 °C and 100 % relative humidity for 1 week. The treated dentin specimens were subjected to fluorescent staining and confocal laser scanning microscopy (CLSM) to analyze the proportions of non-vital and vital bacterial cells inside the dentinal tubules. Scanning electron microscopy (SEM) was used to confirm the effect of the medicaments on the bacteria in the dentinal tubules. Calcium oxide (CO) and calcium hydroxide (CH) were used as controls. Based on the CLSM and SEM analyses, CHNPs were more efficient than CONPs in the elimination of the bacteria in the dentinal tubules. CONPs significantly killed more E. faecalis than CO and CH (P < .05). Neither CO nor CH was able to kill the bacteria. CHNPs were more effective than CONPs in the elimination of E. faecalis in dentinal tubules. CHNPs are effective nanoparticles in killing endodontic bacteria present in dentinal tubules. They have potential as an intracanal medicament, which may be beneficial in root canal therapy.

  14. Demineralized dentin matrix composite collagen material for bone tissue regeneration.

    Science.gov (United States)

    Li, Jianan; Yang, Juan; Zhong, Xiaozhong; He, Fengrong; Wu, Xiongwen; Shen, Guanxin

    2013-01-01

    Demineralized dentin matrix (DDM) had been successfully used in clinics as bone repair biomaterial for many years. However, particle morphology of DDM limited it further applications. In this study, DDM and collagen were prepared to DDM composite collagen material. The surface morphology of the material was studied by scanning electron microscope (SEM). MC3T3-E1 cells responses in vitro and tissue responses in vivo by implantation of DDM composite collagen material in bone defect of rabbits were also investigated. SEM analysis showed that DDM composite collagen material evenly distributed and formed a porous scaffold. Cell culture and animal models results indicated that DDM composite collagen material was biocompatible and could support cell proliferation and differentiation. Histological evaluation showed that DDM composite collagen material exhibited good biocompatibility, biodegradability and osteoconductivity with host bone in vivo. The results suggested that DDM composite collagen material might have a significant clinical advantage and potential to be applied in bone and orthopedic surgery.

  15. What's new in dentine bonding? Self-etch adhesives.

    Science.gov (United States)

    Burke, F J Trevor

    2004-12-01

    Bonding to dentine is an integral part of contemporary restorative dentistry, but early systems were not user-friendly. The introduction of new systems which have a reduced number of steps--the self-etch adhesives--could therefore be an advantage to clinicians, provided that they are as effective as previous adhesives. These new self-etch materials appear to form hybrid layers as did the previous generation of materials. However, there is a need for further clinical research on these new materials. Advantages of self-etch systems include, no need to etch and rinse, reduced post-operative sensitivity and low technique sensitivity. Disadvantages include, the inhibition of set of self- or dual-cure resin materials and the need to roughen untreated enamel surfaces prior to bonding.

  16. Failure in a composite resin-dentin adhesive bond

    Energy Technology Data Exchange (ETDEWEB)

    Rezgui, B. (Dept. de Genie Mecanique, Ecole Nationale d' Ingenieurs de Monastir, Monastir (Tunisia)); Abdennagi, H. (Dept. de Genie Mecanique, Ecole Nationale d' Ingenieurs de Monastir, Monastir (Tunisia)); Sahtout, S. (Dept. de Genie Mecanique, Ecole Nationale d' Ingenieurs de Monastir, Monastir (Tunisia) Dept. d' Odontologie, Faculte de Chirurgie Dentaire de Monastir (Tunisia)); Belkhir, M.S. (Dept. de Genie Mecanique, Ecole Nationale d' Ingenieurs de Monastir, Monastir (Tunisia) Dept. d' Odontologie, Faculte de Chirurgie Dentaire de Monastir (Tunisia))

    1993-11-01

    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.).

  17. Photoacoustic imaging of teeth for dentine imaging and enamel characterization

    Science.gov (United States)

    Periyasamy, Vijitha; Rangaraj, Mani; Pramanik, Manojit

    2018-02-01

    Early detection of dental caries, cracks and lesions is needed to prevent complicated root canal treatment and tooth extraction procedures. Resolution of clinically used x-ray imaging is low, hence optical imaging techniques such as optical coherence tomography, fluorescence imaging, and Raman imaging are widely experimented for imaging dental structures. Photoacoustic effect is used in photon induced photoacoustic streaming technique to debride the root canal. In this study, the extracted teeth were imaged using photoacoustic tomography system at 1064 nm. The degradation of enamel and dentine is an indicator of onset of dental caries. Photoacoustic microscopy (PAM) was used to study the tooth enamel. Images were acquired using acoustic resolution PAM system. This was done to identify microscopic cracks and dental lesion at different anatomical sites (crown and cementum). The PAM tooth profile is an indicator of calcium distribution which is essential for demineralization studies.

  18. A análise da mortalidade por causa básica e por causas múltiplas Analysis of mortality by underlying and multiple causes of death

    Directory of Open Access Journals (Sweden)

    Ruy Laurenti

    1974-12-01

    Full Text Available Foram comentados alguns aspectos das estatísticas de mortalidade por causas básicas e por causas múltiplas. Utilizando uma amostra de óbitos ocorridos em hospitais e obtendo informações adicionais através dos prontuários médicos, foram refeitos os atestados comparando-os com os originais. Foi verificado que a causa básica está declarada incorretamente em 37,7% dos casos e que existem discordâncias que se compensam. O número médio de diagnósticos por atestados de óbito foi de 1,9, elevando-se para 2,9 quando se dispõem de informações adicionais. O número médio de diagnósticos adicionais que acompanhou a causa básica aumentou quanto mais longa foi a evolução da doença básica. A codificação de causas múltiplas tem como vantagens o reconhecimento de freqüências de doenças que raramente são consideradas básicas e as estatísticas de mortalidade por causas múltiplas não são afetadas pelas mudanças das regras de seleção da causa de morte.Some aspects of mortality statistics based on underlying and multiple causes of death are analysed. A sample was drawn for study from deaths ocurred in hospitals using the official death certificates. With the help of additional information taken from medical records the death certificates were filled out again and compared with the original ones showing that the basic cause of death was incorrectly stated in 37.7% of the official death certificates and that there were some counterbalancing divergences. The average number of diagnosis per official death certificate was 1.9. With additional information it went up to 2.9. The longer the evolution of the basic illness, the greater the increase of the average number of additional diagnosis accompanying the basic cause. The multiple causes of death classification allowed acknowledgement of rare causes of death that very seldomly appeared as underlying causes of death. The mortality statistics by causes are not affected by the changes

  19. Dentine bond strength and antimicrobial activity evaluation of adhesive systems.

    Science.gov (United States)

    André, Carolina Bosso; Gomes, Brenda Paula Figueiredo Almeida; Duque, Thais Mageste; Stipp, Rafael Nobrega; Chan, Daniel Chi Ngai; Ambrosano, Glaucia Maria Bovi; Giannini, Marcelo

    2015-04-01

    This study evaluated the dentine bond strength (BS) and the antibacterial activity (AA) of six adhesives against strict anaerobic and facultative bacteria. Three adhesives containing antibacterial components (Gluma 2Bond (glutaraldehyde)/G2B, Clearfil SE Protect (MDPB)/CSP and Peak Universal Bond (PUB)/chlorhexidine) and the same adhesive versions without antibacterial agents (Gluma Comfort Bond/GCB, Clearfil SE Bond/CSB and Peak LC Bond/PLB) were tested. The AA of adhesives and control groups was evaluated by direct contact method against four strict anaerobic and four facultative bacteria. After incubation, according to the appropriate periods of time for each microorganism, the time to kill microorganisms was measured. For BS, the adhesives were applied according to manufacturers' recommendations and teeth restored with composite. Teeth (n=10) were sectioned to obtain bonded beams specimens, which were tested after artificial saliva storage for one week and one year. BS data were analyzed using two-way ANOVA and Tukey test. Saliva storage for one year reduces the BS only for GCB. In general G2B and GCB required at least 24h for killing microorganisms. PUB and PLB killed only strict anaerobic microorganisms after 24h. For CSP the average time to eliminate the Streptococcus mutans and strict anaerobic oral pathogens was 30 min. CSB showed no AA against facultative bacteria, but had AA against some strict anaerobic microorganisms. Storage time had no effect on the BS for most of the adhesives. The time required to kill bacteria depended on the type of adhesive and never was less than 10 min. Most of the adhesives showed stable bond strength after one year and the Clearfil SE Protect may be a good alternative in restorative procedures performed on dentine, considering its adequate bond strength and better antibacterial activity. Copyright © 2015 Elsevier Ltd. All rights reserved.

  20. Antimicrobial 2-hydroxyisocaproic acid and chlorhexidine resist inactivation by dentine.

    Science.gov (United States)

    Sakko, M; Tjäderhane, L; Sorsa, T; Hietala, P; Rautemaa, R

    2016-04-01

    To compare the antibacterial activity of 2-hydroxyisocaproic acid (HICA) with currently used root canal medicaments and to examine their interactions with potential inhibitors in nutrient-deficient and nutrient-rich conditions. First, the antibacterial activity of single concentrations of HICA, calcium hydroxide solution or slurry, chlorhexidine digluconate or acetate was tested against Enterococcus faecalis with and without potential inhibitors: dentine powder (DP), hydroxyapatite or bovine serum albumin, in a low concentration of peptone water. Relative viable counts were determined by culture at 1, 24 and 48 h. In the second set of experiments, the activity of three concentrations of HICA was evaluated against two isolates of E. faecalis with and without potential inhibitors in nutrient-rich thioglycollate broth using a modification of a standard microdilution method. The minimum bactericidal concentration was determined by culture at 1, 24 and 48 h. Concentrations of ≥33 mg mL(-1) of HICA were found to be bactericidal against E. faecalis in both nutrient-deficient and nutrient-rich environments at 24- to 48-h incubation, whereas the initial activity of Ca(OH)2 slurry was lost at 48-h incubation. HICA tolerated well all tested potential inhibitors up to 19 mg mL(-1) . DP concentrations higher than this inhibited its activity in a dose-dependent manner in both environments. DP demonstrated moderate antibacterial activity, and it enhanced the otherwise limited activity of Ca(OH)2 slurry and solution. DP did not impact on the activity of chlorhexidine. These results support the long-term antibacterial activity of HICA and indicate its tolerance to clinically relevant concentrations of dentine and other inhibitors commonly present in the root canal system. Therefore, HICA may have potential as an interappointment medication in the treatment of root canal infections. © 2015 International Endodontic Journal. Published by John Wiley & Sons Ltd.

  1. Indentation damage and mechanical properties of human enamel and dentin.

    Science.gov (United States)

    Xu, H H; Smith, D T; Jahanmir, S; Romberg, E; Kelly, J R; Thompson, V P; Rekow, E D

    1998-03-01

    Understanding the mechanical properties of human teeth is important to clinical tooth preparation and to the development of "tooth-like" restorative materials. Previous studies have focused on the macroscopic fracture behavior of enamel and dentin. In the present study, we performed indentation studies to understand the microfracture and deformation and the microcrack-microstructure interactions of teeth. It was hypothesized that crack propagation would be influenced by enamel rods and the dentino-enamel junction (DEJ), and the mechanical properties would be influenced by enamel rod orientation and tooth-to-tooth variation. Twenty-eight human third molars were used for the measurement of hardness, fracture toughness, elastic modulus, and energy absorbed during indentation. We examined the effect of enamel rod orientation by propagating cracks in the occlusal surface, and in the axial section in directions parallel and perpendicular to the occlusal surface. The results showed that the cracks in the enamel axial section were significantly longer in the direction perpendicular to the occlusal surface than parallel. The cracks propagating toward the DEJ were always arrested and unable to penetrate dentin. The fracture toughness of enamel was not single-valued but varied by a factor of three as a function of enamel rod orientation. The elastic modulus of enamel showed a significant difference between the occlusal surface and the axial section. It is concluded that the cracks strongly interact with the DEJ and the enamel rods, and that the mechanical properties of teeth are functions of microstructural orientations; hence, single values of properties (e.g., a single toughness value or a single modulus value) should not be used without information on microstructural orientation.

  2. 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.

  3. Recruitment of dental pulp cells by dentine and pulp extracellular matrix components.

    Science.gov (United States)

    Smith, J G; Smith, A J; Shelton, R M; Cooper, P R

    2012-11-01

    The present study aimed to determine whether dentine tissue and preparations of extracellular matrix (ECM) from pulp (pECM) and dentine (dECM), and breakdown products, influenced pulp cell migration. Chemotaxis transwell and agarose spot assays demonstrated that both dentine and pulp ECM molecules acted as chemoattractants for primary pulp cells. Chemoattractant activities of dECM and pECM were enhanced when subjected to acid and enzymatic breakdown, respectively. This enhanced activity following physiologically relevant breakdown may be pertinent to the disease environment. Pulp cell migration in response to dental ECMs was dependent on an active rho pathway. Recruited cells exhibited increased stem cell marker expression indicating that dental ECMs and their breakdown products selectively attract progenitor cells that contribute to repair processes. In conclusion, combined these results indicate that ECM molecules contribute to cell recruitment necessary for regeneration of the dentine-pulp complex after injury. Copyright © 2012 Elsevier Inc. All rights reserved.

  4. Optical changes of dentin in the near-IR as a function of mineral content

    Science.gov (United States)

    Berg, Rhett A.; Simon, Jacob C.; Fried, Daniel; Darling, Cynthia L.

    2017-02-01

    The optical properties of human dentin can change markedly due to aging, friction from opposing teeth, and acute trauma, resulting in the formation of transparent or sclerotic dentin with increased mineral density. The objective of this study was to determine the optical attenuation coefficient of human dentin tissues with different mineral densities in the near-infrared (NIR) spectral regions from 1300-2200 nm using NIR transillumination and optical coherence tomography (OCT). N=50 dentin samples of varying opacities were obtained by sectioning whole extracted teeth into 150 μm transverse sections at the cemento-enamel junction or the apical root. Transillumination images were acquired with a NIR camera and attenuation measurements were acquired at various NIR wavelengths using a NIR sensitive photodiode. Samples were imaged with transverse microradiography (gold standard) in order to determine the mineral density of each sample.

  5. Clinical evaluation of Carisolv in the chemico-mechanical removal of carious dentin.

    Science.gov (United States)

    Munshi, A K; Hegde, A M; Shetty, P K

    2001-01-01

    The Chemo-mechanical caries removal technique involves the application of chemical agents, to cause a selective softening of the carious dentine and facilitate removal by gentle excavation. Carisolv is one such new chemical agent used in this minimal invasive technique of carious dentine removal. The present study was, therefore, undertaken to evaluate the efficacy of Carisolv in the chemo-mechanical removal of carious dentine, the time taken for caries removal, the perception of the treatment by the patient, and to evaluate the restorations, radiographically. Accordingly, fifty primary and permanent molars with dentinal carious lesions were excavated using this technique of caries removal. The chemo-mechanical caries removal technique using Carisolv proved to be an effective atraumatic treatment modality with potential interest for use in clinical pediatric dentistry.

  6. Structural and thermal behaviour of carious and sound powders of human tooth enamel and dentine

    International Nuclear Information System (INIS)

    Tiznado-Orozco, Gaby E; Garcia-Garcia, R; Reyes-Gasga, J

    2009-01-01

    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 - , CO 3 2- and PO 4 3- FTIR bands were also found.

  7. Dentin-Composite Bond Strength Measurement Using the Brazilian Disk Test

    Science.gov (United States)

    Carrera, Carola A.; Chen, Yung-Chung; Li, Yuping; Rudney, Joel; Aparicio, Conrado; Fok, Alex

    2016-01-01

    Objectives This study presents a variant of the Brazilian disk test (BDT) for assessing the bond strength between composite resins and dentin. Methods Dentin-composite disks (φ 5 mm × 2 mm) were prepared using either Z100 or Z250 (3M ESPE) in combination with one of three adhesives, Adper Easy Bond (EB), Adper Scotchbond Multi-Purpose (MP) and Adper Single Bond (SB), and tested under diametral compression. Acoustic emission (AE) and digital image correlation (DIC) were used to monitor debonding of the composite from the dentin ring. A finite element (FE) model was created to calculate the bond strengths using the failure loads. Fracture modes were examined by scanning electron microscopy (SEM). Results Most specimens fractured along the dentin-resin composite interface. DIC and AE confirmed interfacial debonding immediately before fracture of the dentin ring. Results showed that the mean bond strength with EB (14.9±1.9 MPa) was significantly higher than with MP (13.2±2.4 MPa) or SB (12.9±3.0 MPa) (p0.05). Z100 (14.5±2.3 MPa) showed higher bond strength than Z250 (12.7±2.5 MPa) (padhesive failure mode. EB failed mostly at the dentin-adhesive interface, whereas MP at the composite-adhesive interface; specimens with SB failed at the composite-adhesive interface and cohesively in the adhesive. Conclusions The BDT variant showed to be a suitable alternative for measuring the bond strength between dentin and composite, with zero premature failure, reduced variability in the measurements, and consistent failure at the dentin-composite interface. PMID:27395367

  8. Microstructure and wettability of root canal dentine and root canal filling materials after different chemical irrigation

    Energy Technology Data Exchange (ETDEWEB)

    Antonijevic, Djordje; Milovanovic, Petar [Laboratory for Anthropology, Institute for Anatomy, Faculty of Medicine, University of Belgrade, Belgrade (Serbia); Brajkovic, Denis [Department of Dentistry, Faculty of Medical Sciences, University of Kragujevac, Kragujevac (Serbia); Ilic, Dragan [Department of Restorative Medicine, School of Dental Medicine, University of Belgrade, Belgrade (Serbia); Hahn, Michael; Amling, Michael [Department of Osteology and Biomechanics (IOBM), University Medical Center Hamburg-Eppendorf, Lottestr. 55A, 22529 Hamburg (Germany); Rakocevic, Zlatko [Laboratory for Atomic Physics, Institute for Nuclear Science “Vinca”, University of Belgrade, Belgrade (Serbia); Djuric, Marija [Laboratory for Anthropology, Institute for Anatomy, Faculty of Medicine, University of Belgrade, Belgrade (Serbia); Busse, Björn, E-mail: b.busse@uke.uni-hamburg.de [Department of Osteology and Biomechanics (IOBM), University Medical Center Hamburg-Eppendorf, Lottestr. 55A, 22529 Hamburg (Germany)

    2015-11-15

    Graphical abstract: - Highlights: • Different irrigation solutions and disinfectants were used for treatment of root canal dentine and gutta-percha points. • Materials surface characteristics were assessed using quantitative backscattered electron imaging, reference point indentation, and contact angle analyzer. • The most significant differences in mineralization, indentation, and adhesive outcomes were observed after ethylenediaminetetraacetic acid treatment. • Irrigation solutions confer to superior sealing ability of endodontic filling materials. • Micromechanical characteristics of dentine after irrigation are considerable reduced. - Abstract: 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.

  9. The prevalence of dentin hypersensitivity in general dental practices in the northwest United States.

    Science.gov (United States)

    Cunha-Cruz, Joana; Wataha, John C; Heaton, Lisa J; Rothen, Marilynn; Sobieraj, Martin; Scott, JoAnna; Berg, Joel

    2013-03-01

    The prevalence of dentin hypersensitivity is uncertain, yet appropriate diagnosis and treatment of dentin hypersensitivity require accurate knowledge regarding its prevalence. The authors conducted a study to estimate the prevalence of dentin hypersensitivity in general dental practices and to investigate associated risk factors. The authors conducted a cross-sectional survey of 787 adult patients from 37 general dental practices within Northwest Practice-based Research Collaborative in Evidence-based DENTistry (PRECEDENT). Dentin hypersensitivity was diagnosed by means of participants' responses to a question regarding pain in their teeth and gingivae, and practitioner-investigators conducted a clinical examination to rule out alternative causes of pain. Participants recorded their pain level on a visual analog scale and the Seattle Scales in response to a one-second air blast. The authors used generalized estimating equation log-linear models to estimate the prevalence and the prevalence ratios. The prevalence of dentin hypersensitivity was 12.3 percent; patients with hypersensitivity had, on average, 3.5 hypersensitive teeth. The prevalence of dentin hypersensitivity was higher among 18- to 44-year olds than among participants 65 years or older; it also was higher in women than in men, in participants with gingival recession than in those without gingival recession and in participants who underwent at-home tooth whitening than in those who did not. Hypersensitivity was not associated with obvious occlusal trauma, noncarious cervical lesions or aggressive toothbrushing habits. One in eight participants from general practices had dentin hypersensitivity, which was a chronic condition causing intermittent, low-level pain. Patients with hypersensitivity were more likely to be younger, to be female and to have a high prevalence of gingival recession and at-home tooth whitening. Given dentin hypersensitivity's prevalence, clinicians should diagnose it only after

  10. Effect of Collagen Matrix Saturation on the Surface Free Energy of Dentin using Different Agents.

    Science.gov (United States)

    de Almeida, Leopoldina de Fátima Dantas; Souza, Samilly Evangelista; Sampaio, Aline Araújo; Cavalcanti, Yuri Wanderley; da Silva, Wander José; Del Bel Cur, Altair A; Hebling, Josimeri

    2015-07-01

    The surface free energy of conditioned-dentin is one of the factors that interfere with monomeric infiltration of the interfibrillar spaces. Saturation of the tooth matrix with different substances may modulate this energy and, consequently, the wettability of the dentin. To evaluate the influence of different substances used to saturate conditioned-dentin on surface free energy (SFE) of this substrate. Dentin blocks (4 × 7 × 1 mm, n = 6/ group), obtained from the roots of bovine incisors, were etched using phosphoric acid for 15 seconds, rinsed and gently dried. The surfaces were treated for 60 seconds with: ultra-purified water (H20-control); ethanol (EtOH), acetone (ACT), chlorhexidine (CHX), ethylenediaminetetraacetic acid (EDTA); or sodium hypochlorite (NaOCl). The tooth surfaces were once again dried with absorbent paper and prepared for SFE evaluation using three standards: water, formamide and bromonaphthalene. Analysis of variance (ANOVA) and Dunnet's tests (a = 0.05) were applied to the data. Ethylenediaminetetraacetic acid was the only substance that caused a change to the contact angle for the standards water and formamide, while only EtOH influenced the angles formed between formamide and the dentin surface. None of the substances exerted a significant effect for bromonaphtha-lene. In comparison to the control, only EDTA and NaOCl altered both polar components of the SFE. Total SFE was increased by saturation of the collagen matrix by EDTA and reduced when NaOCl was used. Saturation of the collagen matrix by EDTA and EtOH changed the surface free energy of the dentin. In addition, the use of NaOCl negatively interfered with the properties evaluated. The increase of surface free energy and wettability of the dentin surface would allow higher penetration of the the adhesive system, which would be of importance to the clinical success of resin-dentin union.

  11. Ions-modified nanoparticles affect functional remineralization and energy dissipation through the resin-dentin interface.

    Science.gov (United States)

    Toledano, Manuel; Osorio, Raquel; Osorio, Estrella; Medina-Castillo, Antonio Luis; Toledano-Osorio, Manuel; Aguilera, Fátima S

    2017-04-01

    The aim of this study was to evaluate changes in the mechanical and chemical behavior, and bonding ability at dentin interfaces infiltrated with polymeric nanoparticlesstandard deviations and modes of failure are (NPs) prior to resin application. Dentin surfaces were treated with 37% phosphoric acid followed by application of an ethanol suspension of NPs, Zn-NPs or Ca-NPs followed by the application of an adhesive, Single Bond (SB). Bonded interfaces were stored for 24h, submitted to microtensile bond strength test, and evaluated by scanning electron microscopy. After 24h and 21 d of storage, the whole resin-dentin interface adhesive was evaluated using a Nano-DMA. Complex modulus, storage modulus and tan delta (δ) were assessed. AFM imaging and Raman analysis were performed. Bond strength was not affected by NPs infiltration. After 21 d of storage, tan δ generally decreased at Zn-NPs/resin-dentin interface, and augmented when Ca-NPs or non-doped NPs were used. When both Zn-NPs and Ca-NPs were employed, the storage modulus and complex modulus decreased, though both moduli increased at the adhesive and at peritubular dentin after Zn-NPs infiltration. The phosphate and the carbonate peaks, and carbonate substitution, augmented more at interfaces promoted with Ca-NPs than with Zn-NPs after 21 d of storage, but crystallinity did not differ at created interfaces with both ions-doped NPs. Crosslinking of collagen and the secondary structure of collagen improved with Zn-NPs resin-dentin infiltration. Ca-NPs-resin dentin infiltration produced a favorable dissipation of energy with minimal stress concentration trough the crystalline remineralized resin-dentin interface, causing minor damage at this structure. Copyright © 2017 Elsevier Ltd. All rights reserved.

  12. Dentin bond strength and degree of conversion evaluation of experimental self-etch adhesive systems

    OpenAIRE

    Yazdi, Fatemeh-Maleknejad; Moosavi, Horieh; Atai, Mohammad; Zeynali, Mahsa

    2015-01-01

    Background The aim of this study was to investigate the effect of different concentrations of 10-methacryloyloxydecyl dihydrogen phosphate (10-MDP) monomer in one-step self-etch experimental adhesives on dentinal microshear bond strength (?SBS), their degree of conversion and bonded micro structure. Material and Methods Composite resin cylinders (Clearfil AP-X) were bonded on human sound molar dentinal surfaces by using five experimental one-step self-etching adhesives (1-SEAs) containing 0% ...

  13. 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.

  14. Microstructure and wettability of root canal dentine and root canal filling materials after different chemical irrigation

    International Nuclear Information System (INIS)

    Antonijevic, Djordje; Milovanovic, Petar; Brajkovic, Denis; Ilic, Dragan; Hahn, Michael; Amling, Michael; Rakocevic, Zlatko; Djuric, Marija; Busse, Björn

    2015-01-01

    Graphical abstract: - Highlights: • Different irrigation solutions and disinfectants were used for treatment of root canal dentine and gutta-percha points. • Materials surface characteristics were assessed using quantitative backscattered electron imaging, reference point indentation, and contact angle analyzer. • The most significant differences in mineralization, indentation, and adhesive outcomes were observed after ethylenediaminetetraacetic acid treatment. • Irrigation solutions confer to superior sealing ability of endodontic filling materials. • Micromechanical characteristics of dentine after irrigation are considerable reduced. - Abstract: 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.

  15. Dentin bond strength and nanoleakage of the adhesive interface after intracoronal bleaching.

    Science.gov (United States)

    Cavalli, Vanessa; Sebold, Maicon; Shinohara, Mirela Sanae; Pereira, Patrícia Nóbrega Rodrigues; Giannini, Marcelo

    2018-04-01

    This study evaluated dentin bond strength (BS) and nanoleakage of non- and pre-etched dentin immediately (T 0 ,), 7 days (T 7 ), and 14 days (T 14 ) after bleaching. Bovine incisors (150) were selected and half of them submitted to intrapulpal dentin etching (e). Non- and pre-etched dentin were subjected to the following (n = 15): no bleaching/control (C); 35% carbamide peroxide (CP); 35% hydrogen peroxide (35% HP); 25% hydrogen peroxide (25% HP); and sodium perborate (SP). Bleaching agents were applied to the pulp chamber four times within a 72-h interval. Afterwards, pulp chamber dentin was prepared for the BS test at different evaluation times (n = 5): T 0 , T 7 , and T 14 . Composite blocks were built on pulp chamber and sectioned in slices. Slices were reduced to an hour-glass shape with a cross-sectional area of 0.8 mm 2 and submitted to microtensile BS test. Two additional specimens for each group were prepared for nanoleakage evaluation by transmission electron microscopy (TEM). Results were analyzed by ANOVA (two-way) and Dunnett's test (p bleaching for both sound and pre-etched dentin (p bleached dentin increased for all groups, whereas the pre-etched SPe group presented BS similar to the Ce. Nanoleakage within the hybrid layer was perceptible immediately after bleaching, although a decrease in nanoleakage was observed for all groups at T 14 . Adhesive restorations should be performed 7-14 days after bleaching, according to the bleaching agent used. Intracoronal bleaching should be performed preferably with sodium perborate if previous dentin etching is applied. © 2018 Wiley Periodicals, Inc.

  16. Effect of hydrostatic pressure on regional bond strengths of compomers to dentine.

    Science.gov (United States)

    Zheng, L; Pereira, P N; Somphone, P; Nikaido, T; Tagami, J

    2000-09-01

    The aim of this study was to evaluate the effect of hydrostatic pressure on the regional bond strengths of compomers to dentine. Thirty freshly extracted molars were ground flat to expose the dentine and randomly divided into two groups for bonding: no hydrostatic pressure and hydrostatic pressure of 15cm H(2)O. Xeno CF, Dyract AP and F 2000 were applied to dentine surfaces pretreated by the respective bonding systems following the manufactures' instructions, and then restored with Clearfil AP-X. After 24h storage in water, the teeth were sectioned into 0.7-mm thick slabs and visually divided into three regional subgroups: the region communicating with the pulp through dentinal tubules (pulp horn); the region between the pulp horns (center); and the region between the pulp horn and DEJ (periphery). The specimens were trimmed to a cross-sectional area of 1mm(2) and subjected to the micro-tensile bond test. The data were analyzed by one- and three-way ANOVA, and Fisher's PLSD (p0.05). However, hydrostatic pressure significantly decreased the bond strength of F 2000 to all regions (phydrostatic pressure (p>0.05). For Dyract AP and F 2000, the fracture modes were affected by hydrostatic pressure, while, for Xeno CF, there were no significant differences between the fracture modes with non- or positive hydrostatic pressure. Simulated pulpal pressure of 15cm H(2)O had a greater influence on the bond strengths of compomers to dentine than did dentine regions. Therefore, when measuring the bond strengths of compomers to dentine under the simulated in vivo conditions, the wetness of the dentine surface, as well as the intrinsic properties of each material should be seriously considered.

  17. Shear bond strength after dentin bleaching with 10% carbamide peroxide agents

    OpenAIRE

    Basting, Roberta Tarkany; Freitas, Patrícia Moreira de; Pimenta, Luiz André Freire; Serra, Mônica Campos

    2004-01-01

    This in vitro study evaluated the shear bond strength (SBS) of dentin treated with two 10% carbamide peroxide bleaching agents 15 days after bleaching and storage in artificial saliva. Dentin fragments were randomly divided into 3 groups (n = 20) for the treatment with the two different bleaching agents (Rembrandt 10% or Opalescence 10%) or with a placebo agent, applied to the tooth surface for 8 hours a day. During the remaining time, the specimens were stored in artificial saliva. After 42 ...

  18. Transgresores y globalización en Costa Rica : un análisis de las causas sociales del delito

    OpenAIRE

    Calderón Umaña, Rodolfo Mauricio

    2008-01-01

    La tesis quiere aportar a la construcción de esos “enfoques alternativos” sobre la criminalidad, los cuales se orientan hacia el estudio de las causas sociales del delito y anteponen la prevención a la represión.

  19. 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.

  20. Treatment of dentin with stannous fluoride - SEM and electron microprobe study

    International Nuclear Information System (INIS)

    Ellingsen, J.E.; Roella, G.

    1987-01-01

    The effect of SnF 2 -treatment of dentin surfaces was investigated by means of scanning electron microscopy (SEM) and electron microprobe analysis. Human dentin was treated with aqueous SnF 2 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 H 2 O for the same time period. Examination of the SnF 2 -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 SnF 2 . 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)

  1. Effect of photoactivated riboflavin on the biodegradation-resistance of root-dentin collagen.

    Science.gov (United States)

    Priyadarshini, Balasankar Meera; Lu, Thong Beng; Fawzy, Amr S

    2017-12-01

    This study was conducted to evaluate the effect of UVA-activated 1% riboflavin solution on structural integrity; mechanical properties and stability; and collagenase-mediated collagen solubilisation resistance of demineralized root dentin collagen matrix. Root dentin specimens demineralized with 17% EDTA for 7days were treated with 1% RF for 1min followed by UVA photo-activation at intensity 7mW/cm 2 for 1min. Control specimens were completely devoid of riboflavin and/or UVA treatments. Specimens were challenged with bacterial collagenase type-I solution for different time-periods at 37°C. Collagen solubilisation resistance was evaluated in terms of hydroxyproline (HYP) liberation. Mechanical characterization of dentin specimens before and after 24h of exposure to collagenase solution was done in terms of apparent-elastic modulus (E appr ) and ultimate tensile strength (UTS). Variations in dentin collagen-network structure with exposure time in collagenase were visualized by TEM. Crosslinking dentin with UVA-activated riboflavin significantly decreased HYP release and increased E appr and UTS compared to control specimens with storage time in collagenase. Moreover, crosslinked specimens showed higher structural resistance to collagenase effect reflected from dense, well-formed collagen fibrils-network with characteristic collagen cross-banding. UVA-activated riboflavin treatment increased collagenase-mediated collagen degradation resistance and enhanced mechanical stability against collagenase challenges of root dentin after EDTA demineralization. Copyright © 2017 Elsevier B.V. All rights reserved.

  2. External apical root resorption diagnosis by using FII human dentine fraction and salivary IGg.

    Science.gov (United States)

    Da-Costa, Tânia Maris Pedrini Soares; Hidalgo, Mirian Marubayashi; Consolaro, Alberto; Lima, Carlos Eduardo de Oliveira; Tanaka, Evelise Ono; Itano, Eiko Nakagawa

    2018-06-01

    External apical root resorption as a consequence of orthodontic treatment is an inflammatory pathological process that results in permanent loss of tooth structure from the root apex. This study aimed to investigate the diagnostic potential of human dentine fractions and salivary IgG in external apical root resorption. Saliva samples were collected from 10 patients before (T0) and after 3 (T3), 6 (T6) and 12 (T12) months of orthodontic treatment. The total dentinal extract, obtained from human third molars, was fractioned by gel filtration chromatography in three fractions denominated FI, FII and FIII. The root resorption analysis of the upper central incisors was performed by digital image subtraction method. Reactivity of salivary IgG to antigenic fractions of dentine was determined by enzyme-linked immunosorbent assay (Elisa). Regardless of treatment, FI dentin fraction with high MM (root resorptions were detected. Our results suggest that FII human dentine fraction and salivary IgG have potential to be used in diagnosis and monitoring of external apical root resorption. The development of a practical and accessible biochemical test using saliva and FII dentine fraction may help in the prevention of severe root resorption. Copyright © 2018. Published by Elsevier Masson SAS.

  3. 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.

  4. Evaluation of a 6% hydrogen peroxide tooth whitening gel on enamel and dentine microhardness in vitro.

    Science.gov (United States)

    Joiner, Andrew; Thakker, Gopal; Cooper, Yvonne

    2004-01-01

    The aims of this study were to evaluate the effects of a novel 6% hydrogen peroxide containing tooth whitener, Xtra White (XW), on enamel and dentine microhardness in vitro. Polished human enamel and dentine specimens were prepared and baseline microhardness determined. In study 1, enamel specimens were exposed to 20 min cycles of either water, XW or Sprite Light for up to 28 cycles. In studies 2 and 3, enamel specimens were treated with 20 min cycles of either XW or water and exposed to whole saliva at all other times. In study 3, an additional exposure to a fluoride containing toothpaste was conducted. In total, 28 treatments were conducted in order to simulate a 2 weeks product use. In study 4, dentine specimens were treated as per study 3. Final microhardness measurements were taken and for studies 3 and 4 colour measurements were additionally taken. XW and water gave no statistically significant (p>0.05) changes in enamel and dentine microhardness after 28 treatments. Sprite Light gave a significant (penamel microhardness after one 20 min treatment. XW showed significant bleaching of enamel and dentine specimens as compared to the water control. XW does not have any significant effect on enamel and dentine microhardness.

  5. Liquid nitrogen-treated autogenous dentin as bone substitute: an experimental study in a rabbit model.

    Science.gov (United States)

    Atiya, Basim K; Shanmuhasuntharam, Palasuntharam; Huat, Siar; Abdulrazzak, Shurooq; Oon, Ha

    2014-01-01

    Different forms of dentin, including untreated, undemineralized, demineralized, boiled, or mixed with other materials, have been evaluated for efficacy as bone substitutes. However, the effects of application of liquid nitrogen-treated dentin for bone grafting remain unknown. The objective of this study was to chronologically evaluate bone healing following grafting with liquid nitrogen-treated dentin in a rabbit model. Autogenous dentin treated with liquid nitrogen at -196°C for 20 minutes was used. In 16 New Zealand White rabbits, a bone defect (5 mm in diameter) was created in each femur and randomly grafted with either autogenous dentin (experimental group) or autogenous bone grafts (positive control). In another four rabbits (negative control), a similar defect in each femur was left empty. The rabbits were sacrificed at 2, 4, 8, and 12 weeks. Explants of grafted sites were harvested for histologic and histomorphometric analysis. At 2 and 4 weeks in both the experimental and positive control groups, accelerated formation of new bone was observed, which was undergoing remodeling at 8 and 12 weeks. The mean new bone score was higher in the experimental than in the negative control groups, but this was not statistically significant. The present results demonstrated that liquid nitrogen-treated autogenous dentin has both osteoconductive and osteoinductive properties and therefore has potential as a bone substitute.

  6. Effect of theobromine-containing toothpaste on dentin tubule occlusion in situ.

    Science.gov (United States)

    Amaechi, Bennett T; Mathews, Sapna M; Mensinkai, Poornima K

    2015-01-01

    Dentin hypersensitivity (DH) is treated by either occlusion of dentin tubules or nerve desensitization. This in situ study compared dentin tubules occlusion by theobromine-containing dentifrices with (Theodent-classic-F®, TCF) and without (Theodent-classic®, TC) fluoride with 1,500 ppm fluoride toothpaste, Colgate®-Regular (Fluoride) and Novamin®-containing toothpaste, Sensodyne®-5000-Nupro (Novamin®). Each subject wore four intraoral appliances bearing dentin blocks while using one of four test dentifrices (n = 20/dentifrice) twice daily for 7 days. The four appliances were removed successively after 1, 2, 3, and 7 days. Treated blocks and their control (untreated) blocks were examined with scanning electron microscopy (SEM). Effects were compared statistically (ANOVA/Tukey's) based on percentage of surface area covered by deposited precipitate layer (%DPL) and percentage of fully open (%FOT), partially occluded (%POT), and completely occluded (%COT) tubules in each block calculated relative to the number of tubules in their control blocks. SEM observation indicated an increased %COT and %DPL over time. After 1 and 2 days, %COT was comparable with TC and TCF, and significantly (p Theobromine-containing toothpastes with and without fluoride have equal potential in occluding dentin tubules within a shorter time period than Novamin®-containing toothpaste; however, the three demonstrated equal potential after 1 week, but not the fluoride toothpaste. Theobromine-containing toothpaste promoted dentin tubule occlusion thus shows potential to relief DH.

  7. In Vitro Evaluation of Dentin Tubule Occlusion for Novel Calcium Lactate Phosphate (CLP Paste

    Directory of Open Access Journals (Sweden)

    Jen-Chang Yang

    2017-02-01

    Full Text Available Introduction: The objective of this in vitro study is to evaluate the effective and long-term occlusion of dentinal tubules using a novel calcium lactate phosphate (CLP based desensitizing agent. Methods: Dentin disks (n = 9 were pre-etched using 1 M lactic acid for 30 s and individually treated with Colgate® Pro-Relief™ paste, CLP paste, and double distilled water (ddH2O by a rubber-cupped handpiece. Dentin disks were analyzed under optical micrographs for pre-treatment, directly after treatment, and 14 days post-treatment. One-way ANOVA and post-hoc Tukey’s test were used to determine whether there were any statistically significant differences in dentinal tubule diameter. Results: A significant decrease occurred in the mean tubule diameter for dentin disks treated with CLP paste. A decrease was observed from 3.52 ± 0.83 µm to 2.62 ± 0.42 µm right after treatment, further decreasing to 1.71 ± 0.45 µm after immersion in artificial saliva for 14 days (p < 0.05. Conclusions: The results suggest that the CLP based desensitizing paste has remineralization properties and provides instant and lasting effectiveness in dentinal tubule occlusion.

  8. Deformation behavior of human enamel and dentin-enamel junction under compression.

    Science.gov (United States)

    Zaytsev, Dmitry; Panfilov, Peter

    2014-01-01

    Deformation behavior under uniaxial compression of human enamel and dentin-enamel junction (DEJ) is considered in comparison with human dentin. This deformation scheme allows estimating the total response from all levels of the hierarchical composite material in contrast with the indentation, which are limited by the mesoscopic and microscopic scales. It was shown for the first time that dental enamel is the strength (up to 1850MPa) hard tissue, which is able to consider some elastic (up to 8%) and plastic (up to 5%) deformation under compression. In so doing, it is almost undeformable substance under the creep condition. Mechanical properties of human enamel depend on the geometry of sample. Human dentin exhibits the similar deformation behavior under compression, but the values of its elasticity (up to 40%) and plasticity (up to 18%) are much more, while its strength (up to 800MPa) is less in two times. Despite the difference in mechanical properties, human enamel is able to suppress the cracking alike dentin. Deformation behavior under the compression of the samples contained DEJ as the same to dentin. This feature allows a tooth to be elastic-plastic (as dentin) and wear resistible (as enamel), simultaneously. © 2013 Elsevier B.V. All rights reserved.

  9. Use of an ultrasonic device for the determination of elastic modulus of dentin.

    Science.gov (United States)

    Miyazaki, Masashi; Inage, Hirohiko; Onose, Hideo

    2002-03-01

    The mechanical properties of dentin substrate are one of the important factors in determining bond strength of dentin bonding systems. The purpose of this study was to determine the elastic modulus of dentin substrate with the use of an ultrasonic device. The dentin disks of about 1 mm thickness were obtaining from freshly extracted human third molars, and the dentin disk was shaped in a rectangular form with a line diamond point. The size and weight of each specimen was measured to calculate the density of the specimen. The ultrasonic equipment employed in this study was composed of a Pulser-Receiver (Model 5900PR, Panametrics), transducers (V155, V156, Panametrics) and an oscilloscope. The measured two-way transit time through the dentin disk was divided by two to account for the down-and-back travel path, and then multiplied by the velocity of sound in the test material. Measuring the longitudinal and share wave sound velocity determine elastic modulus. The mean elastic modulus of horizontally sectioned specimens was 21.8 GPa and 18.5 GPa for the vertically sectioned specimens, and a significant difference was found between the two groups. The ultrasonic method used in this study shows considerable promise for determination of the elastic modulus of the tooth substrate.

  10. Influence of laser etching on enamel and dentin bond strength of Silorane System Adhesive.

    Science.gov (United States)

    Ustunkol, Ildem; Yazici, A Ruya; Gorucu, Jale; Dayangac, Berrin

    2015-02-01

    The aim of this in vitro study was to evaluate the shear bond strength (SBS) of Silorane System Adhesive to enamel and dentin surfaces that had been etched with different procedures. Ninety freshly extracted human third molars were used for the study. After the teeth were embedded with buccal surfaces facing up, they were randomly divided into two groups. In group I, specimens were polished with a 600-grit silicon carbide (SiC) paper to obtain flat exposed enamel. In group II, the overlying enamel layer was removed and exposed dentin surfaces were polished with a 600-grit SiC paper. Then, the teeth in each group were randomly divided into three subgroups according to etching procedures: etched with erbium, chromium:yttrium-scandium-gallium-garnet laser (a), etched with 35% phosphoric acid (b), and non-etched (c, control). Silorane System Adhesive was used to bond silorane restorative to both enamel and dentin. After 24-h storage in distilled water at room temperature, a SBS test was performed using a universal testing machine at a crosshead speed of 1 mm/min. The data were analyzed using two-way ANOVA and Bonferroni tests (p enamel and dentin (p > 0.05). The SBS of self-etch adhesive to dentin was not statistically different from enamel (p > 0.05). Phosphoric acid treatment seems the most promising surface treatment for increasing the enamel and dentin bond strength of Silorane System Adhesive.

  11. Causas da variabilidade do tempo de execução dos processos em diferentes sistemas construtivos

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    Herbert Melo Cruz

    Full Text Available Resumo Um dos grandes desafios para o gerenciamento da construção é a execução das atividades de acordo com as durações programadas, sendo comum a ocorrência de variabilidade. O objetivo desta pesquisa foi analisar as causas da variabilidade do tempo de execução dos processos em diferentes sistemas construtivos, classificando-as em níveis de risco. A metodologia consistiu em um estudo de casos múltiplos em diferentes sistemas construtivos, sendo aplicado com diversos trabalhadores de obras um questionário com 31 causas de variabilidade divididas em oito categorias. Visou-se levantar as variáveis frequência e intensidade de atraso. Foram observadas obras de concreto armado (convencional, alvenaria estrutural e paredes de concreto moldadas no local. Para a análise dos dados foi criado um fator de atraso e aplicada uma metodologia de classificação das causas em níveis de risco através da análise de clusters. Como resultados foram apontadas as principais causas de variabilidade para cada um dos sistemas, sendo algumas semelhantes: retrabalho, baixa qualidade do trabalho e socialização. Análises estatísticas apontaram diferenças entre os sistemas: aqueles mais industrializados tiveram maior quantidade de causas classificadas em níveis de alto risco, porém o impacto da variabilidade no processo foi menor. Há deficiências por parte dos gestores para lidar com os impactos da variabilidade nos processos.

  12. O "hum" venoso como causa de zumbido pulsátil de origem vascular

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    Dib Gabriel Cesar

    2004-01-01

    Full Text Available Zumbido é uma das queixas otológicas mais comuns com que o otorrinolaringologista se depara. O "hum" venoso é descrito como uma causa pouco comum de zumbido vascular, pouco lembrado ou reconhecido como entidade clínica. OBJETIVO: O objetivo do estudo é identificar os casos de "hum" venoso dentre os pacientes com zumbido pulsátil atendidos no Ambulatório de Zumbido da Disciplina de Otorrinolaringologia da UNIFESP-EPM e compará-los com a literatura. MATERIAL E MÉTODO: Estudo retrospectivo dos pacientes com "hum" venoso realizado na UNIFESP-EPM de abril de 1997 a abril de 2003, analisando-se os parâmetros: idade de aparecimento, freqüência, lado acometido, presença de perda auditiva e tontura associadas, fatores de piora e melhora, resultados de audiometria, exame vestibular e tomografia computadorizada de ossos temporais, evolução e tratamento realizados. Foi utilizado um protocolo de exames e tratamento e os resultados foram comparados com os da literatura. RESULTADOS: O zumbido pulsátil ocorreu em 7,5% e o "hum" venoso em 3% do total de pacientes com zumbido, todos no sexo feminino, sem prevalência por época de aparecimento, acometendo mais a orelha esquerda. Em todos os pacientes houve melhora com tratamento clínico, não sendo necessária intervenção cirúrgica em nenhum caso. CONCLUSÃO: O "hum" venoso não é uma causa incomum de zumbido (39% dos zumbidos pulsáteis como citado na literatura. O tratamento deve ser realizado atuando-se sobre os fatores responsáveis pelo zumbido e decorrentes do mesmo. Em grande número de casos o mesmo desaparece espontaneamente, não necessitando de tratamento. O tratamento cirúrgico raramente é necessário, devendo ser reservado apenas aos casos em que não haja melhora com o tratamento clínico.

  13. Causas genéticas de deficiência de ferro Genetic causes for iron deficiency

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    Sara Teresinha O. Saad

    2010-06-01

    Full Text Available As causas genéticas de deficiência de ferro, real ou funcional, ocorrem por defeitos em muitas proteínas envolvidas na absorção e metabolismo de ferro. Neste capítulo descreveremos sucintamente causas genéticas de carência de ferro para a síntese de hemoglobina, que cursa então com anemia microcítica e hipocrômica. Ressalto que estas são alterações raras, com poucas descrições na literatura. Em alguns casos, o ferro funcional não está disponível para os eritroblastos sintetizarem hemoglobina, ou o eritroblasto é incapaz de captar ferro da circulação, mas o ferro está acumulado em tecidos ou nas mitocôndrias. Nos últimos anos, várias descobertas, principalmente oriundas de descrições em humanos ou de modelos animais, ajudaram a elucidar a implicação dos componentes do metabolismo do ferro na deficiência de ferro hereditária, que afetam desde a absorção intestinal até sua inclusão final no heme.The genetic causes of iron deficiency, real or functional, occur due to defects in many proteins involved in the absorption and metabolism of iron. In this chapter we briefly describe the genetic causes of iron deficiency in the synthesis of hemoglobin, resulting in hypochromic or microcytic anemia. These alterations are rare with few descriptions in the literature. In some cases, functional iron is not available for erythroblasts to synthesis hemoglobin, or erythroblasts may be incapable of capturing iron from the circulation although iron is accumulated in tissues and mitochondrias. Many discoveries have been made over the last few years, mainly resulting from the description of human or animal models, which have elucidated the implications of the components in iron metabolism in hereditary iron deficiency involving all processes from intestinal absorption to the final inclusion into heme.

  14. El Enigma de las Causas de la Diabetes Mellitus Tipo 2 El Enigma de las Causas de la Diabetes Mellitus Tipo 2

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    Juan Manuel Malacara

    2012-02-01

    Full Text Available Type 2 diabetes mellitus the most frequent metabolic disease, is induced by factors so far largely unknown. Genetic and environmental causes are implicated, among the latter obesity and sedentary life are the most important. The discovery of new hormones controlling food intake such as leptin, ghrelin and the YY3-36 peptide, are expected to provide new tools to reduce overfeeding. The genes associated with type 2 diabetes are intensively sought without success.It is possible that the genetic transmission is more complex than suppossed. The theory of the thrifty gene proposes an explanation for the increased obesity and diabetes in ethnic groups in transition from preindustrial to industrialized cultures. The theory of the fetal origins of adult disease, proposes that in the fetal life there is a window for metabolic programming under stress or caloric restriction. If the subject, however, at the adult life consumes excessive caloric intake, has a high risk for the metabolic syndrome. The mechanisms involved in insulin resistance are complex, and several molecules are under study as candidates to explain it. The diminution in insulin secretion is an other important factor for the initiation of type 2 diabetes. Glucotoxicity and lipotoxicity are factors that further reduce insulin secretion. Recent evidence indicates that inflammation is implicated in the onset of both diabetes and atherosclerosis. The elucidation of the nature of this process, as well as the pathways involved will be another important tool for a better management of this disease.La causa de la diabetes mellitus tipo 2, la enfermedad metabólica más frecuente, no es bien conocida. Tiene un componente genético y otro ambiental, en éste destacan la obesidad y el sedentarismo. El conocimiento de las nuevas hormonas que controlan la alimentación: la leptina, la ghrelina y el péptido YY3-36, es una esperanza para el control de la obesidad. No se han identificado los genes

  15. Long-term dentin remineralization by poly(amido amine) and rechargeable calcium phosphate nanocomposite after fluid challenges.

    Science.gov (United States)

    Liang, Kunneng; Xiao, Shimeng; Wu, Junling; Li, Jiyao; Weir, Michael D; Cheng, Lei; Reynolds, Mark A; Zhou, Xuedong; Xu, Hockin H K

    2018-04-01

    Previous studies investigated short-term dentin remineralization; studies on long-term dentin remineralization after fluid challenges mimicking fluids in oral environment are lacking. The objective of this study was to develop a long-term remineralization method to via poly(amido amine) (PAMAM) and rechargeable composite containing nanoparticles of amorphous calcium phosphate (NACP) after fluid challenges for the first time. NACP composite was immersed at pH 4 to exhaust its calcium (Ca) and phosphate (P) ions, and then recharged with Ca and P ions, to test the remineralization of the exhausted and recharged NACP composite. Dentin was acid-etched with 37% phosphoric acid. Four groups were prepared: (1) dentin control, (2) dentin with PAMAM, (3) dentin with the recharged NACP composite, and (4) dentin with PAMAM plus recharged NACP composite. PAMAM-coated dentin was immersed in phosphate-buffered saline with shaking for 72 days, because there is fluid flow in the mouth which could potentially detach the PAMAM from dentin. Specimens were treated with a cyclic artificial saliva/lactic acid regimen for 35 days. After 72days of immersion plus shaking, the PAMAM still successfully fulfilled its mineralization nucleation. The recharged NACP composite still provided acid-neutralization and ion re-release, which did not decrease with increasing the number of recharge cycles. The immersed-PAMAM plus NACP achieved complete dentin remineralization and restored the hardness to that of healthy dentin. In conclusion, superior long-term remineralization of the PAMAM plus NACP method was demonstrated for the first time. The immersed-PAMAM plus recharged NACP completely remineralized the pre-demineralized dentin, even after prolonged fluid-challenge similar to that in oral environment. The novel PAMAM plus NACP composite method is promising to provide long-term tooth protection and caries inhibition. Copyright © 2018 The Academy of Dental Materials. Published by Elsevier Ltd. All

  16. Effects of different peracetic acid formulations on post space radicular dentin.

    Science.gov (United States)

    Belizário, Lauriê Garcia; Kuga, Milton Carlos; Castro-Núñez, Gabriela Mariana; Escalante-Otárola, Wilfredo Gustavo; Só, Marcus Vinicius Reis; Pereira, Jefferson Ricardo

    2018-01-05

    The optimal irrigating solution with antimicrobial and dentin cleansing properties for post space preparation for fiber posts is unclear. Peracetic acid is one option but is available in various chemical formulations that require evaluation. The purpose of this in vitro study was to evaluate dentin surface cleanliness based on the presence of a smear layer and the number of open dentin tubules. It also investigates the chemical composition of residues after canal irrigation with a 1% peracetic acid solution (PA) at low or high concentration of hydrogen peroxide during the preparation of intracanal fiber posts. After filling the root canals of 40 mandibular incisors, a rotary instrument was used for intracanal preparation to place fiber posts. The teeth were divided into 4 groups (n=10) according to the post space irrigation protocol as follows: CG (control): distilled water; NA (NaOCl): 2.5% sodium hypochlorite; LH: PA with low concentration of hydrogen peroxide; and HH: PA with high concentrations of hydrogen peroxide. After irrigation, the teeth were sectioned, and the intracanal dentin surface was subjected to analysis using energy dispersive spectroscopy to evaluate chemical composition and to scanning electron microscopy (×500) to evaluate the presence of the smear layer. The number of open dentin tubules was measured by scanning electron microscopy analysis (×2000) using photo-editing software. ANOVA and the Tukey test (α=.05) were used to evaluate the data, except for the presence of a smear layer, for which the Kruskal-Wallis and Dunn tests were used (α=.05). The highest concentrations of oxygen in the dentin residues were detected in LH and HH (P.05). NA had a higher concentration of chlorine (P.05), except for HH, which also had a larger number of open dentin tubules than CG and NA (P<.05). PA 1% with a low concentration of hydrogen peroxide yielded a lower amount of smear layer and a larger number of open dentin tubules in the dentin of the post

  17. Structure and composition of enamel and dentin after thermal treatment or infrared laser irradiation

    International Nuclear Information System (INIS)

    Bachmann, Luciano

    2004-01-01

    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/cm 2 ) 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

  18. LA ADICCIÓN A LA PORNOGRAFÍA: CAUSAS Y CONSECUENCIAS

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    Angélica Velasco

    2017-01-01

    Full Text Available La pornografía puede definirse como el material audiovisual que presenta de forma explícita actividades sexuales y genitales de manera inocultable, con el objetivo de excitar al espectador. El objetivo de este trabajo es identificar las principales causas y consecuencias de la adicción a la pornografía en hombres y mujeres. Se empleó la metodología de la revisión sistemática de literatura (RSL, tomando como referencia investigaciones previas publicadas en bases de datos científicas y publicaciones web especializadas. Este trabajo concluye que la adicción a la pornografía puede generar problemas físicos, mentales, psicológicos y sociales, que son equiparables con los que genera la adicción al consumo de sustancias psicoactivas. Establecer estrategias de autocontrol, incrementar la actividad física y la participación en actividades sociales son algunas de las alternativas que pueden ayudar a combatir y prevenir la adicción.

  19. Causas de la congestión en la jurisdicción contencioso administrativa

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    Rafael Ballén Molina

    2006-01-01

    Full Text Available Mediante la investigación se estudiaron el movimiento de los procesos que cursan en el Consejo de Estado y en los Tribunales Contencioso Administrativos del País, las actividades que desarrollan los servidores públicos para administrar justicia. La congestión hace referencia a la acumulación de procesos en el despacho, es decir al represamiento de procesos, que puede existir por un desequilibrio entre la demanda de servicios y la capacidad del Estado para atenderla en su totalidad. En síntesis, se establecen las principales causas de la congestión tanto en el Consejo de Estado como en los Tribunales y las posibles alternativas de solución. Este trabajo genera un impacto directo en quienes se hayan relacionados estrechamente con esta jurisdicción y uno indirecto en todos los servidores públicos, en especial en los de las ramas judicial y ejecutiva. En sentido amplio y general, el impacto alcanza a toda la comunidad nacional, toda vez que de una u otra forma es tocada por este tipo de jurisdicción.

  20. Hábeas Corpus: contribuciones a la causa del estado de derecho

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    Norma Bouyssou

    2016-09-01

    Full Text Available La garantía del hábeas corpus despliega, con total humildad, razones para la permanente expansión de la libertad o bien para su contínuo resguardo. Su bajo perfil, sin embargo, es confundido con indiferencia en orden a su compromiso con la causa de la ciencia del derecho; ello se explica, por un lado, debido a la generalizada creencia que su reconocimiento expreso como derecho positivo -en los más altos niveles normativos-, es anticuerpo suficiente para puestas en peligro o atentados directos contra la autonomía personal a manos del Estado y, por el otro, lógicamente anclado en el predio precedente, en una suerte de desubicación contemporánea frente a un punto de partida de contención teorético (y en desuso del abuso del poder político, al que no obstante se le exigen soluciones con mayor intervención fáctica (y menos frenos en las relaciones sociales, aunque necesariamente adecuadas al orden anterior. Corresponde exponer la disconformidad con los pies en claves propias a la ciencia jurídica, sin hacer a un lado lo pragmático, método dual que se aplicará sobre la excursión que sigue, a la que se invita.

  1. Scanning electron microscopy evaluation of the interaction pattern between dentin and resin after cavity preparation using Er:YAG laser

    International Nuclear Information System (INIS)

    Schein, Marcelo Thome

    2001-01-01

    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)

  2. DENTINE CARIES: ACID-TOLERANT MICROORGANISMS AND ASPECTS ON COLLAGEN DEGRADATION.

    Science.gov (United States)

    Lager, Anders Hedenbjörk

    2014-01-01

    Dental caries is a common disease all over the world, despite the fact that it can be both effectively prevented and treated. It is driven by acids produced by oral microorganisms as a consequence of their metabolism of dietary carbohydrates. Given enough acid challenge, eventually the tooth enamel barrier will be broken down, and the carious lesion will extend into underlying hard tissue, forming a macroscopic cavity in the dentine. In comparison to biofilm on enamel, a dentine carious lesion provides a vastly different environment for the residing microorganisms. The environment influences the types and numbers of microorganisms that can colonize the dentine caries lesion. The overall aims for this thesis are to enumerate and further study microorganisms found in established dentine caries lesions and also to illuminate how host-derived proteolytic enzymes might contribute to this degradation, not only to better understand the caries process in dentine but also to find incitements for new methods to influence the natural progression of caries lesions. In Paper I, the numbers of remaining viable microorganisms after completed excavation using two excavation methods were investigated. Samples of carious dentine tissue were collected before and after excavation and cultivated on different agar media in different atmospheres. Analysis was performed by counting the number of colony-forming units (CFUs). Key findings: The number of remaining microorganisms after excavation was low for both methods, but some microorganisms always remained in the cavity floors even when the cavities were judged as caries free using normal clinical criteria. In Paper II, the acid tolerant microbiota in established dentine caries lesions was investigated. Samples were taken as in Paper I, but on three levels (superficial, center of lesion, floor of lesion after completed excavation). The samples were cultivated in anaerobic conditions on solid pH-selective agar media of different acidity

  3. Anti-dentine antibodies with root resorption during orthodontic treatment.

    Science.gov (United States)

    Ramos, Solange de Paula; Ortolan, Geórgia Oliveira; Dos Santos, Lívia Marques; Tobouti, Priscila Lie; Hidalgo, Miriam Marubayashi; Consolaro, Alberto; Itano, Eiko Nakagawa

    2011-10-01

    The aim of this study was to analyse serum IgG levels and salivary secretory IgA (sIgA) levels in human dentine extract (HDE) before (T0) and 6 months after (T6) orthodontic treatment and to correlate anti-HDE autoantibodies to root resorption. Fifty orthodontic patients were selected, 19 males (15.6 ± 8.5 years) and 31 females (21.4 ± 11.2 years), 19 in the mixed dentition (10.3 ± 1.9 years) and 31 in the permanent dentition (24.6 ± 9.9 years). Fifty individuals not undergoing orthodontic treatment matched by gender and age were selected as the controls. Periapical radiographs of the upper central incisors and saliva sampling were obtained of all patients at T0 and T6. Serum samples were collected from the permanent dentition patients (n = 31). Antibody levels were determined by means of immunoenzyme assay. At T6, root resorption was classified as grade 0 (no resorption), grade 1 (slight resorption), and grade 2 (moderate to severe resorption). Differences between antibody levels at T0 and T6 and among different grades of resorption were determined by paired t- and Kruskal-Wallis tests, respectively. Spearman's rank correlation coefficient was applied to detect correlation between sIgA and IgG levels, and logistic regression to determine the association of root resorption grade and the studied variables. Differences were considered significant at P root resorption patients during treatment and was not correlated to salivary sIgA levels or other variables. Patients who had grade 2 root resorption at T6 showed higher levels of anti-HDE sIgA (P root shape were the main factors associated with the degree of root resorption. The results suggest that variations to systemic and local humoural immune response to dentine antigens may occur during orthodontic treatment. High levels of salivary sIgA before treatment were associated with more advanced lesions after 6 months of treatment.

  4. Uso de álcool como causa necessária de morte no Brasil, 2010 a 2012

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    Leila Posenato Garcia

    Full Text Available OBJETIVO:Descrever a mortalidade por doenças, condições e lesões para as quais o consumo de álcool é causa necessária durante o triênio de 2010 a 2012 no Brasil. MÉTODOS: Foi realizado um estudo descritivo com dados do Sistema de Informações sobre Mortalidade (SIM do Ministério da Saúde do Brasil. Foram considerados os óbitos cujas causas básicas foram classificadas em qualquer um dos 78 códigosda Classificação Estatística Internacional de Doenças e Problemas Relacionados à Saúde (CID-10 correspondentes às doenças, condições e lesões para as quais o uso de álcool é causa necessária. RESULTADOS: Foram registrados 55 380 óbitos pelas causas consideradas, sendo 88,5% de homens. A taxa de mortalidade bruta (TMB no triênio foi de 9,6 por 100 000 habitantes na população geral, 17,35 por 100 000 homens para o sexo masculino e 2,15 por 100 000 mulheres para o sexo feminino. TMB mais elevadas foram observadas nos grupos de 50 a 59 (28,45 e de 60 a 69 (27,23 anos de idade e em pessoas de cor da pele preta ou parda (10,15. As regiões Nordeste (11,70 e Centro-Oeste (11,04 exibiram as taxas de mortalidade ajustadas mais elevadas. As doenças do fígado foram as principais causas de morte (55,3%. CONCLUSÕES: A mortalidade por causas associadas ao consumo de álcool é elevada no Brasil, especialmente entre os homens, na faixa etária de 50 a 69 anos e nos residentes das regiões Nordeste e Centro-Oeste.

  5. Dentin-composite bond strength measurement using the Brazilian disk test.

    Science.gov (United States)

    Carrera, Carola A; Chen, Yung-Chung; Li, Yuping; Rudney, Joel; Aparicio, Conrado; Fok, Alex

    2016-09-01

    This study presents a variant of the Brazilian disk test (BDT) for assessing the bond strength between composite resins and dentin. Dentin-composite disks (ϕ 5mm×2mm) were prepared using either Z100 or Z250 (3M ESPE) in combination with one of three adhesives, Adper Easy Bond (EB), Adper Scotchbond Multi-Purpose (MP) and Adper Single Bond (SB), and tested under diametral compression. Acoustic emission (AE) and digital image correlation (DIC) were used to monitor debonding of the composite from the dentin ring. A finite element (FE) model was created to calculate the bond strengths using the failure loads. Fracture modes were examined by scanning electron microscopy (SEM). Most specimens fractured along the dentin-resin composite interface. DIC and AE confirmed interfacial debonding immediately before fracture of the dentin ring. Results showed that the mean bond strength with EB (14.9±1.9MPa) was significantly higher than with MP (13.2±2.4MPa) or SB (12.9±3.0MPa) (p0.05). Z100 (14.5±2.3MPa) showed higher bond strength than Z250 (12.7±2.5MPa) (pstrength between dentin and composite, with zero premature failure, reduced variability in the measurements, and consistent failure at the dentin-composite interface. The new test could help to predict the clinical performance of adhesive systems more effectively and consistently by reducing the coefficient of variation in the measured bond strength. Copyright © 2016 Elsevier Ltd. All rights reserved.

  6. The hardness and chemical changes in demineralized primary dentin treated by fluoride and glass ionomer cement

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    Gisele Fernandes DIAS

    Full Text Available Abstract Background Fluoride plays an important role in the control of dental caries. Aim To evaluate the chemical exchange between restoration of glass ionomer cement of high viscosity (GIC and primary dentin with application of sodium fluoride (NaF 2% through changes in hardness from uptake of calcium, phosphate and fluoride. Material and method Class I cavities were prepared in 40 sound primary molars, and the sample was divided into two groups (n=20 according to dentin condition: sound (1 and demineralized (2. Sub-groups (n=10 were formed to investigate the isolated action of the GIC or the association with NaF (F. This in vitro study examined the chemical exchange under two conditions, sound and demineralized dentin (pH cycling, to simulate the occurrence of mineral loss for the caries lesion. G1 and G2 received GIC restoration only; groups G1F and G2F received NaF before GIC restoration. The specimens were prepared for Knoop hardness test and micro-Raman spectroscopy. A two-way ANOVA test (α = 0.05 was used for statistical analysis. Micro-Raman data were qualitatively described. Result Increased hardness was observed in all the sites of direct contact with GIC in sound and demineralized dentin for all groups (p0.05. In the evaluation of micro-Raman, direct contact between GIC and dentin for sound and demineralized dentin resulted in increased peaks of phosphate. Conclusion The exchange between GIC and demineralized dentin may induce changes of mechanical properties of the substrate, and uptake of mineral ions (phosphate occurs without the influence of NaF.

  7. 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.

  8. 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.

  9. Grinding efficiency of abutment tooth with both dentin and core composite resin on axial plane.

    Science.gov (United States)

    Miho, Otoaki; Sato, Toru; Matsukubo, Takashi

    2015-01-01

    The purpose of this study was to evaluate grinding efficiency in abutment teeth comprising both dentin and core composite resin in the axial plane. Grinding was performed over 5 runs at two loads (0.5 or 0.25 N) and two feed rates (1 or 2 mm/sec). The grinding surface was observed with a 3-D laser microscope. Tomographic images of the grinding surfaces captured perpendicular to the feed direction were also analyzed. Using a non-ground surface as a reference, areas comprising only dentin, both dentin and core composite resin, or only core composite resin were analyzed to determine the angle of the grinding surface. Composite resins were subjected to the Vickers hardness test and scanning electron microscopy. Data were statistically analyzed using a one-way analysis of variance and multiple comparison tests. Multiple regression analysis was performed for load, feed rate, and Vickers hardness of the build-up material depending on number of runs. When grinding was performed at a constant load and feed rate, a greater grinding angle was observed in areas comprising both dentin and composite resin or only composite resin than in areas consisting of dentin alone. A correlation was found between machinability and load or feed rate in areas comprising both dentin and composite resin or composite resin alone, with a particularly high correlation being observed between machinability and load. These results suggest that great caution should be exercised in a clinical setting when the boundary between the dentin and composite resin is to be ground, as the angle of the grinding surface changes when the rotating diamond point begins grinding the composite resin.

  10. Effect of storage solutions on microhardness of crown enamel and dentin.

    Science.gov (United States)

    Aydın, Berdan; Pamir, Tijen; Baltaci, Aysun; Orman, Mehmet N; Turk, Tugba

    2015-01-01

    The aim of this study was to determine alterations in microhardness of crown dentin and enamel, after 2 and 12-month storage in de-ionized water, 0.2% glutaraldehyde, Hanks' Balanced Salt Solution (HBSS), 0.1% sodium hypochlorite (NaOCl) or 0.1% thymol. Freshly extracted, nonsterile 60 intact human premolars were distributed to five groups. Six teeth from each group were evaluated after two, and other six teeth were evaluated after 12 months storage. After grinding and polishing of teeth, Vickers hardness was evaluated with making indentations on enamel and dentin, using a pyramid diamond indenter tip exerting 100 g load for 15 s. After 2 months storage in solutions, range of the hardness values (HV) of enamel and dentin were in between 315-357 and 64-67, respectively. However, 12 months storage of the teeth resulted in a statistically significant decrease in microhardness when compared to microhardness of teeth stored for 2 months (P = 0.001). Although the differences were not significant regarding solutions, all solutions decreased the microhardness both in enamel and dentin (P > 0.05). However, decrease in microhardness was relatively less in de-ionized water and thymol solutions while glutaraldehyde decreased microhardness the most: 63% for enamel and 53% for dentin. Microhardness of enamel and dentin was in an acceptable range when teeth were stored for 2 months in de-ionized water, glutaraldehyde, HBSS, NaOCl or in thymol; thus, teeth kept up to 2 months in these solutions can be used for mechanical in vitro tests. However, 12 months storage significantly decreased the microhardness of enamel and dentin.

  11. In vivo effect of a self-etching primer on dentin.

    Science.gov (United States)

    Milia, E; Lallai, M R; García-Godoy, F

    1999-08-01

    To determine the ultrastructural aspects of the dentin collagen area in the cavity preparation floor produced in vivo after phosphoric acid acid-etching or after using Clearfil Liner Bond 2 self-etching primer (LB2 Primer). Twenty-four non-carious third molars scheduled for extraction from young adult patients (16-30 years old) were used. Conventional Class I cavities (+/- 2 mm deep) were prepared on the occlusal surfaces of all teeth using a cylindrical diamond bur on a high-speed handpiece with copious water spray. To avoid dehydration of the dentin, the smear layer-covered dentin was briefly air-dried for 2 seconds. Cavities were assigned at random to the following groups: Group A: Dentin etched for 15 seconds with 34% phosphoric acid, rinsed for 20 seconds and then briefly air-dried for 2 seconds with oil-free compressed air leaving the surfaces slightly moist. Group B: LB2 Primer was applied to the cavity surfaces for 30 seconds and then briefly air-dried to remove the solvent. Group C: The untreated dentin smear layer was used as a control. In all three groups, the cavities were filled incrementally with a resin-based composite (APX), light curing every increment for 40 seconds. After 30 minutes, the teeth were extracted atraumatically and the samples immediately prepared for evaluation with the transmission electron microscope. The use of a self-etching primer did not produce significant morphological changes in the moist dentin substrate. Adverse morphological conditions where observed when there was an excess water on the dentin surface. Phosphoric acid altered the collagen more severely than the self-etching primer.

  12. Challenges of stem cell-based pulp and dentin regeneration: a clinical perspective.

    Science.gov (United States)

    Huang, George T-J; Al-Habib, Mey; Gauthier, Philippe

    2013-03-01

    There are two types of approaches to regenerate tissues: cell-based and cell-free. The former approach is to introduce exogenous cells into the host to regenerate tissues, and the latter is to use materials other than cells in an attempt to regenerate tissues. There has been a significant advancement in stem cell-based pulp and dentin regeneration research in the past few years. Studies in small and large animals have demonstrated that pulp/dentin-like tissues can be regenerated partially or completely in the root canal space with apical openings of 0.7-3.0 mm using dental pulp stem cells, including stem cells from apical papilla (SCAP) and subpopulations of pulp stem cells. Bone marrow mesenchymal stem cells (BMMSCs) and adipose tissue-derived MSCs (ADMSCs) have also been shown to regenerate pulp-like tissue. In contrast, the cell-free approach has not produced convincing evidence on pulp regeneration. However, one crucial concept has not been considered nor defined in the field of pulp/dentin regeneration and that is the critical size defect of dentin and pulp. Without such consideration and definition, it is difficult to predict or anticipate the extent of cell-free pulp regeneration that would occur. By reasoning, cell-free therapy is unlikely to regenerate an organ/tissue after total loss. Similarly, after a total loss of pulp, it is unlikely to regenerate without using exogenously introduced cells. A cell homing approach may provide a limited amount of tissue regeneration. Although stem cell-based pulp/dentin regeneration has shown great promise, clinical trials are difficult to launch at present. This article will address several issues that challenge and hinder the clinical applications of pulp/dentin regeneration which need to be overcome before stem cell-based pulp/dentin regeneration can occur in the clinic.

  13. Evaluation of the effect of photodynamic antimicrobial therapy in dentin caries: a pilot in vivo study

    Science.gov (United States)

    Borges, F. M. C.; de-Melo, M. A. S.; Lima, J. M. P.; Zanin, I. C. J.; Rodrigues, L. K. A.; Nobre-dos-Santos, M.

    2010-02-01

    In vitro and in situ studies have demonstrated that the photodynamic antimicrobial therapy (PACT) is effective in reducing Streptococcus mutans population in artificially carious dentin. This pilot in vivo study evaluated the antimicrobial effect of PACT using toluidine blue O (TBO) and a light-emitting diode (LED) in carious dentin lesions. Five healthy adult volunteers (19-36 yr), with at least 4 active carious cavities each, participated in this study. Teeth of each volunteer were randomly divided into four groups: (1) without TBO and without light (Control); (2) with TBO alone (TBO); (3) with LED at 94/J cm2 alone (LED); and (4) with TBO plus LED at 94 J/cm2 (PACT). Each cavity was divided into two halves. The baseline carious dentin sample was collected from half of each cavity. Following, the treatments were performed using a random distribution of tooth into treatments. Then, the second collection of carious dentin samples was performed. Before and after treatments, dentin samples were analyzed with regard to the counts of total viable microorganisms, total streptococci, mutans streptococci, and lactobacilli. The data were statistically analyzed by Kruskal-Wallis and Student-Newman-Keuls tests (α=5%). Log reductions ranged from -0.12 to 2.68 and significant reductions were observed for PACT (group 4) when compared to the other groups (1, 2, and 3) for total streptococci and mutans streptococci. Concluding, PACT was effective in killing oral microorganisms present in in vivo carious dentin lesions and may be a promising technique for eliminating bacteria from dentin before restoration.

  14. Raman Microspectrometry: An Alternative Method of Age Estimation from Dentin and Cementum

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    Karuna Kumari

    2017-10-01

    Full Text Available Introduction: Raman spectroscopy is simple, quick, sensitive and non destructive form of tissue examination that provides vital data about the structure, molecular composition and interactions within a sample. The human hard tissues like teeth and bone are able to resist decay for long even after other tissues are lost, thus have valuable forensic importance. Aim: To ascertain the known age of the teeth by analysing dentin and cementum using Raman microspectrometry and assess the accuracy of age estimation by comparison of dentin with cementum. Materials and Methods: The sound permanent extracted tooth specimens (40 of age ranging between 12-74 years were collected and sectioned longitudinally and different dentinal and cemental areas were analysed by Raman microspectrometry. The spectra of dentin and cementum were used as predictors of age estimation. For each sample, ratios were obtained for dentin and cementum areas, and Pearson’s correlation coefficient was calculated. Ratios, which had a correlation coefficient greater than 0.40 were used for further statistical analysis. This led to selection of ratios only for dentin areas, and it allowed us to develop a regression formula. Partial Least Square (PLS regression method was used for computing our model. Results: A significant correlation was observed between the actual chronological age and predicted age of the individual using dentinal areas of the tooth. A closest to the estimated result was achieved, with an error of three years between predicted and actual chorological age. Conclusion: Raman microspectrometry may be considered as an alternative to the conventional method of age estimation and contribute to the identification of individuals.

  15. Adhesion of multimode adhesives to enamel and dentin after one year of water storage.

    Science.gov (United States)

    Vermelho, Paulo Moreira; Reis, André Figueiredo; Ambrosano, Glaucia Maria Bovi; Giannini, Marcelo

    2017-06-01

    This study aimed to evaluate the ultramorphological characteristics of tooth-resin interfaces and the bond strength (BS) of multimode adhesive systems to enamel and dentin. Multimode adhesives (Scotchbond Universal (SBU) and All-Bond Universal) were tested in both self-etch and etch-and-rinse modes and compared to control groups (Optibond FL and Clearfil SE Bond (CSB)). Adhesives were applied to human molars and composite blocks were incrementally built up. Teeth were sectioned to obtain specimens for microtensile BS and TEM analysis. Specimens were tested after storage for either 24 h or 1 year. SEM analyses were performed to classify the failure pattern of beam specimens after BS testing. Etching increased the enamel BS of multimode adhesives; however, BS decreased after storage for 1 year. No significant differences in dentin BS were noted between multimode and control in either evaluation period. Storage for 1 year only reduced the dentin BS for SBU in self-etch mode. TEM analysis identified hybridization and interaction zones in dentin and enamel for all adhesives. Silver impregnation was detected on dentin-resin interfaces after storage of specimens for 1 year only with the SBU and CSB. Storage for 1 year reduced enamel BS when adhesives are applied on etched surface; however, BS of multimode adhesives did not differ from those of the control group. In dentin, no significant difference was noted between the multimode and control group adhesives, regardless of etching mode. In general, multimode adhesives showed similar behavior when compared to traditional adhesive techniques. Multimode adhesives are one-step self-etching adhesives that can also be used after enamel/dentin phosphoric acid etching, but each product may work better in specific conditions.

  16. 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.

  17. 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

    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. 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. 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 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.

  18. Perfil de vítimas e tratamento de lesões por causas externas segundo atendimento pelo Centro de Reabilitação Municipal de Uberlândia, MG – Causas externas e fisioterapia

    Directory of Open Access Journals (Sweden)

    Carla Andréa Gondim Lemos

    2013-06-01

    Full Text Available No Brasil, as causas externas são responsáveis por grande número de incapacidades. A maioria das pesquisas tem dado ênfase à mortalidade e à demanda de atendimentos hospitalares, pouco se sabendo sobre a evolução das vítimas não fatais. O objetivo do presente estudo foi conhecer o perfil das vítimas e as características das lesões por causas externas, o tratamento fisioterapêutico e a evolução funcional de pacientes atendidos em um centro público de reabilitação. Os dados foram colhidos, prospectivamente, por entrevistas com os pacientes que ingressaram no Centro de Reabilitação Municipal (CEREM de Uberlândia, de janeiro a julho de 2005. A maioria dos pacientes era do sexo masculino e predominaram aqueles de 20 a 59 anos, com baixas renda e escolaridade; as principais causas das lesões foram as quedas e os acidentes de trânsito; quase a metade dos eventos ocorreram em vias públicas e as fraturas foram comuns, principalmente em membros superiores. Os recursos fisioterapêuticos mais utilizados foram a cinesioterapia, a eletroterapia e a termoterapia por adição, e a maioria dos tratamentos iniciados foi concluída. O perfil dos pacientes que procuram o CEREM devido a lesões por causas externas parece refletir, sobretudo, aquele das pessoas que sofrem tais lesões. Recursos fisioterapêuticos relativamente simples mostraram-se suficientes para uma boa evolução dos pacientes.

  19. Shear bond strength of porcelain laminate veneers to enamel, dentine and enamel-dentine complex bonded with different adhesive luting systems.

    Science.gov (United States)

    Öztürk, Elif; Bolay, Şükran; Hickel, Reinhard; Ilie, Nicoleta

    2013-02-01

    The aim of this study was to evaluate the shear bond strength of porcelain laminate veneers to 3 different surfaces by means of enamel, dentine, and enamel-dentine complex. One hundred thirty-five extracted human maxillary central teeth were used, and the teeth were randomly divided into 9 groups (n=15). The teeth were prepared with 3 different levels for bonding surfaces of enamel (E), dentine (D), and enamel-dentine complex (E-D). Porcelain discs (IPS e.max Press, Ivoclar Vivadent) of 2mm in thickness and 4mm in diameter were luted to the tooth surfaces by using 2 light-curing (RelyX Veneer [RV], 3M ESPE; Variolink Veneer [VV], Ivoclar Vivadent) and a dual-curing (Variolink II [V2], Ivoclar Vivadent) adhesive systems according to the manufacturers' instructions. Shear bond strength test was performed in a universal testing machine at 0.5mm/min until bonding failure. Failure modes were determined under a stereomicroscope, and fracture surfaces were evaluated with a scanning electron microscope. The data were statistically analysed (SPSS 17.0) (p=0.05). Group RV-D exhibited the lowest bond strength value (5.42±6.6MPa). There was statistically no difference among RV-D, V2-D (13.78±8.8MPa) and VV-D (13.84±6.2MPa) groups (p>0.05). Group VV-E exhibited the highest bond strength value (24.76±8.8MPa). The type of tooth structure affected the shear bond strength of the porcelain laminate veneers to the 3 different types of tooth structures (enamel, dentine, and enamel-dentine complex). When dentine exposure is necessary during preparation, enough sound enamel must be protected as much as possible to maintain a good bonding; to obtain maximum bond strength, preparation margins should be on sound enamel. Copyright © 2012 Elsevier Ltd. All rights reserved.

  20. Effect of tropical fruit juices on dentine permeability and erosive ability in removing the smear layer: An in vitro study

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    Kanittha Kijsamanmith

    2016-06-01

    Conclusion: We conclude that tropical fruit juices, especially green mango and lime, increase dentine permeability and have a strong erosive ability to remove the smear layer, which causes dentine hypersensitivity.

  1. Exploring Some Aspects Associated with Dentine Hypersensitivity in Children

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    Caleb Shitsuka

    2015-01-01

    Full Text Available Background. The etiology of dentine hypersensitivity (DH is still inconclusive and there are few studies concerning it in children. Aim. To evaluate clinical, dietary, and salivary variables in children with DH complaints. Design. Forty-eight children were asked about DH. Data regarding dietary habits were collected from the children’s parents and an examination was performed to determine dental erosion. Dental biofilm was estimated by oral hygiene status, according to Greene and Vermillion’s Simplified Oral Hygiene Index (OHI-S. Whole saliva was collected under mechanical stimulation and evaluated salivary flow rate, initial pH, buffer capacity, and calcium and phosphate concentrations. The temperature of soft drinks, drinking method, sense of bitter taste, and other variables were also determined. Possible factors associated with DH were analyzed by univariate and multiple Poisson regression analyses. The prevalence ratio (PR values and 95% confidence intervals (95% CI were calculated. Results. DH was associated with the presence of dental erosion (PR; 95% CI = 2.23; 1.05 to 4.71 and salivary flow rate (2.49; 1.05 to 5.91. When the presence of erosion was not included, other variables were retained as follows: bitter taste (2.36; 1.38 to 4.03, OHI-S (0.47; 0.23 to 0.97. Conclusion. DH in children is associated with factors related to dental erosion.

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

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    Romeo Umberto

    2012-01-01

    Full Text Available 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 at 0.5 W PW (T on 100 m and T off 100 ms, fluence 62.2 J/cm2 in defocused mode with a 320 μ fiber. Each tooth received three 1′ applications; G3 (48 teeth received NaF gel plus laser at same G2 parameters. NRS was checked at each control. Results. Significant pain reduction was showed. The NRS reduction percentages were calculated, and there was a concrete decrease of DH above all in G3 than G2 and G1. Conclusion. Diode laser is a useful device for DH treatment if used alone and mainly if used with NaF gel.

  3. Analysis of human enamel and dentine by neutron activation analysis

    International Nuclear Information System (INIS)

    Soares, Marco A.B.

    2005-01-01

    Determination of trace elements in dental tissues has been of great interest to study the correlation between element composition and caries as well as food habits of individuals. In the present study dentine and enamel samples from healthy individuals were analysed by neutron activation analysis. The teeth were provided form dental clinics, and they were previously washed using purified water and acetone. Then they were dried at 40 deg C and ground in a agate mortar. The samples and element standards were irradiated with thermal neutrons at the IEA-R1 nuclear reactor. Long irradiations of 8 h under thermal neutron flux of 5x10 12 n cm -2 s -1 were used for Ca, Na, Sr and Zn determinations. In short irradiations of 15 s and under neutron flux of 10 12 n cm -2 s -1 the elements Mg, Mn, Na e Sr were determined. The induced gamma activities of the samples and standards were measured using a hyperpure Ge detector coupled to a gamma ray spectrometer. Elemental concentrations were calculated by comparative method. Results obtained showed that Ca, Mg and Na are present in both tissues at the level of percentages and the elements Mn, Sr and Zn at the μg g -1 levels. For quality control of the results the certified reference materials NIST 1400 Bone Ash and NIST 1486 Bone Meal were analysed. (author)

  4. Porphyrin involvement in redshift fluorescence in dentin decay

    Science.gov (United States)

    Slimani, A.; Panayotov, I.; Levallois, B.; Cloitre, T.; Gergely, C.; Bec, N.; Larroque, C.; Tassery, H.; Cuisinier, F.

    2014-05-01

    The aim of this study was to evaluate the porphyrin involvement in the red fluorescence observed in dental caries with Soprolife® light-induced fluorescence camera in treatments mode (SOPRO, ACTEON Group, La Ciotat, France) and Vistacam® camera (DÜRR DENTAL AG, Bietigheim-Bissingen, Germany). The International Caries Detection and Assessment System (ICDAS) was used to rand the samples. Human teeth cross-sections, ranked from ICDAS score 0 to 6, were examined by epi-fluorescence microscopy and Confocal Raman microscopy. Comparable studies were done with Protoporphyrin IX, Porphyrin I and Pentosidine solutions. An RGB analysis of Soprolife® images was performed using ImageJ Software (1.46r, National Institutes of Health, USA). Fluorescence spectroscopy and MicroRaman spectroscopy revealed the presence of Protoporphyrin IX, in carious enamel, dentin and dental plaque. However, the presence of porphyrin I and pentosidine cannot be excluded. The results indicated that not only porphyrin were implicated in the red fluorescence, Advanced Glygation Endproducts (AGEs) of the Maillard reaction also contributed to this phenomenon.

  5. Violência, culpa e ato: causas e efeitos subjetivos em adolescentes

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    Henrique Figueiredo Carneiro

    2010-12-01

    Full Text Available Este trabalho apresenta um relato de pesquisa realizada sobre a violência e o adolescente, evidenciando o objetivo, as causas e os efeitos subjetivos que desencadeiam a violência na atualidade. Apresenta também uma investigação qualitativa com referencial teórico-conceitual da psicanálise, em destaque os conceitos de mal-estar, lei, anomia, limites, laços sociais, necessidade, desejo, culpa, passagem ao ato, individualismo, discurso capitalista, amor, vida e morte. Foram utilizados fotografias e fragmentos de filmes apresentados aos adolescentes inseridos no projeto Pró-jovem, desenvolvido na cidade de Maracanaú, Ceará, Brasil. As análises confirmaram os pressupostos da pesquisa de que a violência guarda relação direta com a ineficácia dos discursos normativos, que a culpa não comparece em consequência dos atos desfechados contra o próximo e que o sujeito não se guia por uma referência mítica do representante da lei.(* Colaboradores da pesquisa: doutora Marta Gerez Ambertín (Universidad de Santiago del Estero - Argentina; mestra em Psicologia Márcia Batista dos Santos (Universidade de Fortaleza - Brasil; alunos de Mestrado em Psicologia: Thiago Costa Matos Carneiro da Cunha (Labio, Rossana Vaz Borja (Labio, Carla Renata Braga de Souza (Labio/Leipcs, Lisieux D’Jesus Luzia de Araújo Rocha (Labio/Otium - Universidade de Fortaleza - Brasil; graduado em Psicologia Marcus Vinicius Ximenes Rocha (Universidade de Fortaleza – Brasil; bolsista de I. C. CNPq: Ricardo Pinheiro Maia Júnior; bolsista de I. C. Funcap: Rayana Silva Lima (Universidade de Fortaleza. Projeto apoiado pelo CNPq por meio de Bolsa de Produtividade em Pesquisa concedida ao Prof. Dr. Henrique Figueiredo Carneiro.

  6. Paucity of Nanolayering in Resin-Dentin Interfaces of MDP-based Adhesives.

    Science.gov (United States)

    Tian, F; Zhou, L; Zhang, Z; Niu, L; Zhang, L; Chen, C; Zhou, J; Yang, H; Wang, X; Fu, B; Huang, C; Pashley, D H; Tay, F R

    2016-04-01

    Self-assembled nanolayering structures have been reported in resin-dentin interfaces created by adhesives that contain 10-methacryloyloxydecyl dihydrogen phosphate (10-MDP). These structures have been hypothesized to contribute to bond durability. The objective of the present study was to determine the extent of nanolayering in resin-dentin interfaces after application of commercialized 10-MDP-containing self-etch and universal adhesives to human dentin. Seven commercialized adhesives were examined: Adhese Universal (Ivoclar-Vivadent), All-Bond Universal (Bisco, Inc.), Clearfil SE Bond 2, Clearfil S3 Bond Plus, Clearfil Universal Bond (all from Kuraray Noritake Dental Inc.), G-Premio Bond (GC Corp.), and Scotchbond Universal (3M ESPE). Each adhesive was applied in the self-etch mode on midcoronal dentin according to the respective manufacturer's instructions. Bonded specimens (n = 6) were covered with flowable resin composite, processed for transmission electron microscopy, and examined at 30 random sites without staining. Thin-film glancing angle X-ray diffraction (XRD) was used to detect the characteristic peaks exhibited by nanolayering (n = 4). The control consisted of 15%wt, 10%wt, and 5%wt 10-MDP (DM Healthcare Products, Inc.) dissolved in a mixed solvent (ethanol and water weight ratio 9:8, with photoinitiators). Experimental primers were applied to dentin for 20 s, covered with hydrophobic resin layer, and examined in the same manner. Profuse nanolayering with highly ordered periodicity (~3.7 nm wide) was observed adjacent to partially dissolved apatite crystallites in dentin treated with the 15% 10-MDP primer. Three peaks in the 2θ range of 2.40° (3.68 nm), 4.78° (1.85 nm), and 7.18° (1.23 nm) were identified from thin-film XRD. Reduction in the extent of nanolayering was observed in the 10% and 5% 10-MDP experimental primer-dentin interface along with lower intensity XRD peaks. Nanolayering and characteristic XRD peaks were rarely observed in

  7. Locus de control y causas de satisfacción e insatisfacción en estudiantes universitarios

    OpenAIRE

    Conesa Davila, Pedro Javier

    1991-01-01

    Con base teorica en las teorias de Rotter (1966) sobre locus de control, y Herzberg (1957, 1959, 1965, 1966, 1968) sobre satisfaccion laboral, se estudia en 965 estudiantes de las Facultades de Veterinaria y Matematicas (U.C.M.) si el locus de control (medido por el cuestionario I.E., de Rotter) determina diferencias en las causas de satisfaccion e insatisfaccion en su vida universitaria percibidas por estos estudiantes. y turno. Los resultados muestran que existen ligeras diferencias, debida...

  8. Mortalidade por causas externas no estado do Rio de Janeiro no período de 1976 a 1980

    Directory of Open Access Journals (Sweden)

    Célia Landmann Szwarcwald

    1986-03-01

    Full Text Available O presente trabalho teve por objetivo o de determinar as tendências da mortalidade por causas externas no período de 1976 a 1980, no Estado do Rio de Janeiro. Foram estudadas as principais causas externas de óbito e sua distribuição temporal e espacial. Os acidentes de trânsito de veículo a motor se revelaram como a principal causa externa de morte e, entre eles, os atropelamentos mostraram-se de real gravidade, sobretudo entre as crianças em idade escolar (5 a 14 anos. O estudo revelou um aumento de 70% na taxa de homicídios nos 5 anos pesquisados, e estes já se constituem no principal f ator de mortalidade entre os adultos jovens de 20 a 29 anos. Evidenciou-se, também, grande número de óbitos classificados como "lesões ignoradas se acidental ou intencionalmente infligidas", apontando para falhas no sistema de classificação dos óbitos por causas externas no Estado do Rio de Janeiro.Deaths due to accident and violent causes were studied in Rio de Janeiro, Brasil from 1976 to 1980. Spatial and time distributions of the main causes of death were analysed. Motor vehicle traffic accidents had shown to be the first cause of death, mainly among school age children (5-14 years old. An increase of 70% in homicide rates was observed and homicides are actually the first cause of death among young adults (20-29 years old. A substantial proportion of misclassifications was found, as indicated by the great number of deaths classified as ''other violences".

  9. Temperature rise induced by various light curing units through human dentin.

    Science.gov (United States)

    Dogan, Arife; Hubbezoglu, Ihsan; Dogan, Orhan Murat; Bolayir, Giray; Demir, Hakan

    2009-05-01

    This study investigated temperature rises caused by different light curing units (LCUs) in dentin of different thicknesses. The different LCUs tested in this study were namely: quartz-tungsten-halogen (QTH) (Heliolux DLX) LCU, plasma arc (PAC) (Apollo 95E Elite) LCU, and light emitting diode (LED) (Mini LED) in standard curing mode as well as pulse and soft-start modes. One hundred and forty dentin disks of 0.5, 1, 1.5, and 2 mm thickness were prepared from mandibular molars (n=7). Temperatures were recorded using a L-type thermocouple in direct contact with the light guide tip. For all curing units/modes, dentin thickness was inversely proportional to temperature rise and that QTH light gave significantly higher values compared to PAC and LED in all the test conditions. The highest temperature rise was observed under 0.5-mm-thick dentin disk with QTH, whereas the lowest temperature rise was registered with LED light in pulse mode under 2-mm-thick dentin.

  10. Does Shortened Application Time Affect Long-Term Bond Strength of Universal Adhesives to Dentin?

    Science.gov (United States)

    Saikaew, P; Matsumoto, M; Chowdhury, Afma; Carvalho, R M; Sano, H

    2018-04-09

    This study evaluated the effect of shortened application time on long-term bond strength with universal adhesives. Three universal adhesives were used: Clearfil Universal Bond (CU, Kuraray Noritake Dental Inc, Tokyo, Japan), Scotchbond Universal Adhesive (SB, 3M ESPE, St Paul, MN, USA) or G-Premio Bond (GP, GC Corp, Tokyo, Japan). Sixty molars were cut to expose midcoronal dentin and prepared with a regular diamond bur. Each adhesive was applied either according to the manufacturer's instruction or with shortened time. Specimens were stored in distilled water at 37°C for 24 hours and then cut into resin-dentin sticks. Microtensile bond strength (μTBS) was tested after either 24 hours or 1 year of water storage. Data were analyzed by the three-way ANOVA and Duncan tests ( α=0.05). Fracture modes were analyzed under a scanning electron microscope (SEM). One dentin stick per group was selected after fracture mode analysis and further observed using transmission electron microscopy (TEM). Six additional dentin discs were prepared and conditioned with each adhesive under the different application time to observe the adhesive-smear layer interaction by SEM. Shortened application time affected the μTBS ( puniversal adhesives to bur-cut dentin. The performance of universal adhesives can be compromised when applied using a shortened application time.

  11. Shear bond strength of a new one-bottle dentin adhesive.

    Science.gov (United States)

    Swift, E J; Bayne, S C

    1997-08-01

    To test the shear bond strength of a new adhesive, 3M Single Bond, to dentin surfaces containing different degrees of moisture. Two commercially available one-bottle adhesives (Prime & Bond, One-Step) and a conventional three-step system (Scotchbond Multi-Purpose Plus) were included for comparison. 120 bovine teeth were embedded in acrylic and the labial surfaces were polished to 600 grit to create standardized dentin surfaces for testing. Resin composite was bonded to dentin using a gelatin capsule technique. Four adhesive systems were evaluated with three different degrees of surface moisture (moist, wet, and overwet). Shear bond strengths of adhesives to dentin were determined using a universal testing machine and analyzed by ANOVA and Tukey's post hoc tests. Single Bond had mean shear bond strengths of 19.2, 23.2 and 20.3 MPa to moist, wet, and overwet dentin, respectively. Bond strengths of the three-component system Scotchbond Multi-Purpose Plus ranged from 23.1 to 25.3 MPa, but were not significantly higher than the values for Single Bond. Prime & Bond had bond strengths similar to those of Single Bond, but One-Step had significantly lower bond strengths (P < 0.05) in the wet and overwet conditions.

  12. Effects of bioactive glass with and without mesoporous structures on desensitization in dentinal tubule occlusion

    Energy Technology Data Exchange (ETDEWEB)

    Chen, Wen-Cheng [Advanced Medical Devices and Composites Laboratory, Department of Fiber and Composite Materials, College of Engineering, Feng Chia University, Taichung 40724, Taiwan (China); Kung, Jung-Chang [Department of Family Dentistry, Kaohsiung Medical University Hospital, Kaohsiung Medical University, Kaohsiung 80708, Taiwan (China); Chen, Cheng-Hwei [School of Dentistry, College of Dental Medicine, Kaohsiung Medical University, Kaohsiung, Taiwan (China); Hsiao, Yu-Cheng [Department of Fragrance and Cosmetic Science, Kaohsiung Medical University, Kaohsiung 807, Taiwan (China); Shih, Chi-Jen, E-mail: cjshih@kmu.edu.tw [Department of Fragrance and Cosmetic Science, Kaohsiung Medical University, Kaohsiung 807, Taiwan (China); Chien, Chi-Sheng, E-mail: jannie.gissing@msa.hinet.net [Department of Biomedical Engineering, National Cheng Kung University, Tainan, Taiwan (China); Department of Orthopaedics, Chi Mei Foundation Hospital, Tainan, Taiwan (China); Department of Electrical Engineering, Southern Taiwan University of Science and Technology, Tainan, Taiwan (China)

    2013-10-15

    Bioactive glass (BG) is a potential material for treating dentin hypersensitivity due to its high ability of dissolution. In this study, conventional BG and BG with well-ordered mesopore structures (MBG) were applied for dentinal tubule occlusion. We used X-ray diffractometer (XRD), scanning electronic microscope (SEM), and Fourier transform infrared (FTIR) to investigate the physiochemical properties and the dentinal tubule occlusion ability of BG and MBG groups. The results showed that the major crystallite phase of MBG and BG agents was monocalcium phosphate monohydrate. MBG pastes, mixed with 30 and 40 wt% phosphoric acid hardening solutions, had the ability to create a penetration depth greater than 50 μm. These results showed that BG with mesoporous structures turned the pastes mixed with suitable phosphoric acid solution into a material with great ability for occluding dentinal tubules; it has a short reaction time and good operability, and these agents have better potential for the treatment of dentin hypersensitivity than BG without mesoporous structures.

  13. On the fracture of human dentin: Is it stress- orstrain-controlled?

    Energy Technology Data Exchange (ETDEWEB)

    Nalla, R.K.; Kinney, J.H.; Ritchie, R.O.

    2006-02-01

    Despite substantial clinical interest in the fracture resistance of human dentin, there is little mechanistic information in archival literature that can be usefully used to model such fracture. In fact, although the fracture event indent in, akin to other mineralized tissues like bone, is widely believed to be locally strain-controlled, there has never been any scientific proof to support this belief. The present study seeks to address this issue through the use of a novel set of in vitro experiments in Hanks' balanced salt solution involving a double-notched bend test geometry, which is designed to discern whether the critical failure events involved in the onset of fracture are locally stress- or strain-controlled. Such experiments are further used to characterize the notion of ''plasticity'' in dentin and the interaction of cracks with the salient microstructural features. It is observed that fracture in dentin is indeed locally strain-controlled and that the presence of dentinal tubules does not substantially affect this process of crack initiation and growth. The results presented are believed to be critical steps in the development of a micromechanical model for the fracture of human dentin that takes into consideration the influence of both the microstructure and the local failure mode.

  14. On the fracture of human dentin: Is it stress- orstrain-controlled?

    Energy Technology Data Exchange (ETDEWEB)

    Nalla, R.K.; Kinney, J.H.; Ritchie, R.O.

    2006-02-01

    Despite substantial clinical interest in the fractureresistance of human dentin, there is little mechanistic information inarchival literature that can be usefully used to model such fracture. Infact, although the fracture event indent in, akin to other mineralizedtissues like bone, is widely believed to be locally strain-controlled,there has never been any scientific proof to support this belief. Thepresent study seeks to address this issue through the use of a novel setof in vitro experiments in Hanks' balanced salt solution involving adouble-notched bend test geometry, which is designed to discern whetherthe critical failure events involved in the onset of fracture are locallystress- or strain-controlled. Such experiments are further used tocharacterize the notion of "plasticity" in dentin and the interaction ofcracks with the salient microstructural features. It is observed thatfracture in dentin is indeed locally strain-controlled and that thepresence of dentinal tubules does not substantially affect this processof crack initiation and growth. The results presented are believed to becritical steps in the development ofa micromechanical model for thefracture of human dentin that takes into consideration the influence ofboth the microstructure and the local failure mode.

  15. Wear of dentine in vitro by toothpaste abrasives and detergents alone and combined.

    Science.gov (United States)

    Moore, C; Addy, M

    2005-12-01

    To measure in vitro the abrasion of dentine by toothpaste detergents and abrasives alone and combined. Detergents used were tego betain, sodium lauryl sulphate (SLS), adinol and pluronic diluted to 1% w/v. Abrasives were three artificial silicas, tixosil 73 and 123 and Zeodent 113, and calcium carbonate used at 2.5% w/v. Flat human dentine specimens were brushed with aqueous detergent solutions or abrasive slurries, detergent abrasive slurries and water for 20,000 brush strokes. Dentine loss was measured by non-contacting profilometry at 10,000 and 20,000 strokes. Silica particle size distribution was measured by laser deflection. Loss of dentine occurred with all detergents, abrasives and detergent abrasion combinations, but was not linear with number of brush strokes. Water appeared to remove the smear layer only, but all detergents exceeded the predicted smear layer thickness. The silica abrasives differed in abrasion properties despite similar particle size distribution. Different detergents modulated the abrasives actions in mainly positive or mainly negative directions. Detergents appear able to attack the dentine surface to produce wear. Abrasives vary considerably in wear produced under similar conditions. Detergents modulate the effect of abrasives in a way that may reflect the rheological properties of the mixture.

  16. Incidence of dentinal defects after root canal preparation: reciprocating versus rotary instrumentation.

    Science.gov (United States)

    Bürklein, Sebastian; Tsotsis, Polymnia; Schäfer, Edgar

    2013-04-01

    The purpose of this study was to evaluate the incidence of dentinal defects after root canal preparation with reciprocating instruments (Reciproc and WaveOne) and rotary instruments. One hundred human central mandibular incisors were randomly assigned to 5 groups (n = 20 teeth per group). The root canals were instrumented by using the reciprocating single-file systems Reciproc and WaveOne and the full-sequence rotary Mtwo and ProTaper instruments. One group was left unprepared as control. Roots were sectioned horizontally at 3, 6, and 9 mm from the apex and evaluated under a microscope by using 25-fold magnification. The presence of dentinal defects (complete/incomplete cracks and craze lines) was noted and analyzed by using the chi-square test. No defects were observed in the controls. All canal preparation created dentinal defects. Overall, instrumentation with Reciproc was associated with more complete cracks than the full-sequence files (P = .021). Although both reciprocating files produced more incomplete cracks apically (3 mm) compared with the rotary files (P = .001), no statistically significant differences were obtained concerning the summarized values of all cross sections (P > .05). Under the conditions of this study, root canal preparation with both rotary and reciprocating instruments resulted in dentinal defects. At the apical level of the canals, reciprocating files produced significantly more incomplete dentinal cracks than full-sequence rotary systems (P < .05). Copyright © 2013 American Association of Endodontists. Published by Elsevier Inc. All rights reserved.

  17. Enzyme-catalyzed hydrolysis of dentin adhesives containing a new urethane-based trimethacrylate monomer

    Science.gov (United States)

    Park, Jong-Gu; Ye, Qiang; Topp, Elizabeth M.; Spencer, Paulette

    2009-01-01

    A new trimethacrylate monomer with urethane-linked groups, 1,1,1-tri-[4-(methacryloxyethylamino-carbonyloxy)-phenyl]ethane (MPE), was synthesized, characterized, and used as a co-monomer in dentin adhesives. Dentin adhesives containing 2-hydroxyethyl methacrylate (HEMA, 45% w/w) and 2,2-bis[4(2-hydroxy-3-methacryloyloxy-propyloxy)-phenyl] propane (BisGMA, 30% w/w) in addition to MPE (25% w/w) were formulated with H2O at 0 (MPE0), 8 (MPE8) and 16 wt % water (MPE16) to simulate the wet demineralized dentin matrix and compared with controls [HEMA/BisGMA, 45/55 w/w, at 0 (C0), 8 (C8) and 16 wt% water (C16)]. The new adhesive showed a degree of double bond conversion and mechanical properties comparable with control, with good penetration into the dentin surface and a uniform adhesive/dentin interface. On exposure to porcine liver esterase, the net cumulative methacrylic acid (MAA) release from the new adhesives was dramatically (P < 0.05) decreased relative to the control, suggesting that the new monomer improves esterase resistance. PMID:19582843

  18. Effects of in-office bleaching on human enamel and dentin. Morphological and mineral changes.

    Science.gov (United States)

    Llena, Carmen; Esteve, Irene; Forner, Leopoldo

    2018-05-01

    The effects of HP-based products upon dental enamel and dentin are inconclusive. To evaluate changes in micromorphology and composition of calcium (Ca) and phosphate (P) in enamel and dentin after the application of 37.5% hydrogen peroxide (HP) and 35% carbamide peroxide (CP) METHODS: Crowns of 20 human teeth were divided in two halves. One half was used as control specimen and the other as experimental specimen. The control specimens were kept in artificial saliva, and the experimental specimens were divided into four groups (n=5 each): group 1 (enamel HP for 45min); group 2 (dentin HP for 45min); group 3 (enamel CP for 90min); and group 4 (dentin CP for 90min). The morphological changes were evaluated using confocal laser scanning microscopy (CLSM), while the changes in the composition of Ca and P were assessed using environmental scanning electron microscopy combined with a microanalysis system (ESEM+EDX). The results within each group and between groups were compared using the Wilcoxon test and Mann-Whitney U-test, respectively (p0.05). When bleaching products with a neutral pH are used in clinical practice, both, the concentration and the application time should be taken into account in order to avoid possible structural and mineral changes in enamel and dentin. Copyright © 2018 Elsevier GmbH. All rights reserved.

  19. Replica of human dentin treated with different desensitizing agents: a methodological SEM study in vitro

    Directory of Open Access Journals (Sweden)

    Pereira Jose Carlos

    2002-01-01

    Full Text Available This is a preliminary study to determine a methodological sequence in vitro which may allow the reproduction of dentin for SEM analysis, after the use of different desensitizing agents. Dentin discs obtained from extracted human third molars were etched with 6% citric acid, an artificial smear layer was created and the surface dentin discs were divided into four quadrants. Quadrants 2, 3 and 4 of each disc were conditioned with 6% citric acid. The desensitizing agents (Oxa-Gel®, Gluma Desensitizer and an experimental agent were applied to quadrants 3 and 4. To evaluate the acid resistance of the treatment, quadrant 4 was etched again with 6% citric acid. An impression was then taken with Aquasil ULV. After a setting period of 6 min, each disc was removed from the impression and stored in a moist-free environment for 24 h at 37ºC. After that time, a low-viscosity epoxy resin (Araltec GY 1109 BR was poured into the impression and cured for 24 h. All specimens were metal-coated for SEM analysis. Comparison of the photomicrographs of dentin discs with their respective impressions and resin replicas showed that this technique can reproduce the characteristics of the dentin surface treated with desensitizing agents.

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

    Science.gov (United States)

    Vatkar, Niranjan Ashok; Hegde, Vivek; Sathe, Sucheta

    2016-01-01

    To compare the vitality of Enterococcus faecalis within dentinal tubules after subjected to five root canal disinfection methods. Dentin blocks (n = 60) were colonized with E. faecalis. After 4 weeks of incubation, the dentin blocks were divided into one control and five test groups (n = 10 each). The root canals of test groups were subjected to one of the disinfection methods, namely, normal saline (NS), sodium hypochlorite (NaOCl), chlorhexidine digluconate (CHX), neodymium-doped yttrium aluminum garnet (Nd: YAG) laser, and diode laser. The effect of disinfection methods was assessed by LIVE/DEAD BacLight stain under the confocal laser scanning microscopy to determine the "zone of dead bacteria" (ZDB). Mean values were calculated for ZDB and the difference between groups was established. Penetration of E. faecalis was seen to a depth of >1000 μm. Viable bacteria were detected with NS irrigation. NaOCl and CHX showed partial ZDB. When the root canals were disinfected with Nd: YAG and diode lasers, no viable bacteria were found. 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.

  1. Effect of ethanol-wet bonding with hydrophobic adhesive on caries-affected dentine.

    Science.gov (United States)

    Huang, Xueqing; Li, Li; Huang, Cui; Du, Xijin

    2011-08-01

    Frequently encountered in clinical practice, caries-affected dentine (CAD) is the most challenging bonding substrate. This study evaluated the effect of ethanol-wet bonding with hydrophobic adhesive to sound dentine and to CAD. In the control groups, prepared sound dentine and CAD were bonded with Adper Single Bond 2 using a traditional water-wet bonding technique. In the experimental groups, the specimens were treated as follows: Group 1, rinsed with stepwise ethanol dehydration; Group 2, immersion in 100% ethanol, three times, for 20 s each time; and Group 3, immersion in 100% ethanol for 20 s. Microtensile bond strength (μTBS) testing was used to evaluate the effects of the different protocols on bonding. The microhardness of debonded dentine surfaces was measured to ensure the presence of CAD. Interfacial nanoleakage was evaluated by field-emission scanning electron microscopy. Treatment significantly improved the μTBS in CAD in Groups 1 and 2, but had no effect on Group 3. Conversely, treatment significantly reduced the μTBS in sound dentine in Groups 2 and 3, but had no effect in Group 1. The presence of nanoleakage varied with the ethanol-wet protocol used. In conclusion, ethanol-wet bonding can potentially improve bond efficacy to CAD when an appropriate protocol is used. © 2011 Eur J Oral Sci.

  2. Micro energy-dispersive x-ray fluorescence spectrometry study of dentin coating with nanobiomaterials

    Science.gov (United States)

    Soares, Luís. Eduardo Silva; Nahorny, Sídnei; Marciano, Fernanda Roberta; Zanin, Hudson; Lobo, Anderson de Oliveira

    2015-06-01

    New biomaterials such as multi-walled carbon nanotubes oxide/graphene oxide (MWCNTO/GO), nanohydroxyapatite (nHAp) and combination of them together or not to acidulated phosphate fluoride gel (F) have been tested as protective coating before root dentin erosion. Fourteen bovine teeth were cleaned, polished, divided into two parts (n=28) and assigned to seven groups: (Control) - without previous surface treatment; F treatment; nHAp; MWCNTO/GO; F+nHAp; F+MWCNTO/GO and F+MWCNTO/GO/nHAp composites. Each sample had two sites of pre-treatments: acid etched area and an area without treatment. After the biomaterials application, the samples were submitted to six cycles (demineralization: orange juice, 10 min; remineralization: artificial saliva, 1 h). Micro energy-dispersive X-ray fluorescence spectrometry (μ-EDXRF) mapping area analyses were performed after erosive cycling on both sites (n=84). μ-EDXRF mappings showed that artificial saliva and MWCNTO/GO/nHAp/F composite treatments produced lower dentin demineralization than in the other groups. Exposed dentin tubules allowed better interaction of nanobiomaterials than in smear layer covered dentin. Association of fluoride with other biomaterials had a positive influence on acid etched dentin. MWCNTO/GO/nHAp/F composite treatment resulted in levels of demineralization similar to the control group.

  3. Long-term bond strength of adhesive systems applied to etched and deproteinized dentin

    Directory of Open Access Journals (Sweden)

    Ninoshka Uceda-Gómez

    2007-12-01

    Full Text Available The aim of this study was to evaluate the early and 12-month bond strength of two adhesive systems (Single Bond-SB and One Step-OS applied to demineralized dentin (WH and demineralized/NaOCl-treated dentin (H. Twenty flat dentin surfaces were exposed, etched, rinsed and slightly dried. For the H groups, a solution of 10% NaOCl was applied for 60 s, rinsed (15 s and slightly dried. The adhesives were applied according to the manufacturer's instructions and composite resin crowns were incrementally constructed. After 24 h (water-37ºC, the specimens was sectioned in order to obtain resin-dentin sticks (0.8 mm². The specimens were tested in microtensile (0.5 mm/min immediately (IM or after 12 months of water storage (12M. The data (MPa were subjected to ANOVA and Tukey's test (a=0.05. Only the main factors adhesive and time were significant (p=0.004 and p=0.003, respectively. SB (42.3±9.1 showed higher bond strengths than OS (33.6±11.6. The mean bond strength for IM-group (42.5±8.7 was statistically superior to 12M (33.3±11.8. The use of 10% NaOCl, after acid etching, did not improve the immediate and the long-term resin-dentin bond strength.

  4. Effect of Dentin Wetness on the Bond Strength of Universal Adhesives

    Science.gov (United States)

    Lee, Ji-Hye; Son, Sung-Ae; Jung, Kyoung-Hwa; Kwon, Yong Hoon

    2017-01-01

    The effects of dentin wetness on the bond strength and adhesive interface morphology of universal adhesives have been investigated using micro-tensile bond strength (μTBS) testing and confocal laser scanning microscopy (CLSM). Seventy-two human third molars were wet ground to expose flat dentin surfaces. They were divided into three groups according to the air-drying time of the dentin surfaces: 0 (without air drying), 5, and 10 s. The dentin surfaces were then treated with three universal adhesives: G-Premio Bond, Single Bond Universal, and All-Bond Universal in self-etch or etch-and-rinse mode. After composite build up, a μTBS test was performed. One additional tooth was prepared for each group by staining the adhesives with 0.01 wt % of Rhodamine B fluorescent dye for CLSM analysis. The data were analyzed statistically using ANOVA and Tukey’s post hoc tests (α = 0.05). Two-way ANOVA showed significant differences among the adhesive systems and dentin moisture conditions. An interaction effect was also observed (p adhesives. PMID:29068404

  5. Influence of irrigation regimens on the adherence of Enterococcus faecalis to root canal dentin.

    Science.gov (United States)

    Kishen, Anil; Sum, Chee-Peng; Mathew, Shibi; Lim, Chwee-Teck

    2008-07-01

    Enterococcus faecalis is frequently associated with post-treatment endodontic infections. Because adherence of bacteria to a substrate is the earliest stage in biofilm formation, eliciting the factors that links adherence of this bacterium to dentin would help in understanding its association with treatment-failed root canals. This investigation aimed to study the effects of endodontic irrigants on the adherence of E. faecalis to dentin. The bacteria adherence assay was conducted by using fluorescence microscopy, and the adhesion force was measured by using atomic force microscopy. There were significant increases in adherence and adhesion force after irrigation of dentin with ethylenediaminetetraacetic acid (EDTA), whereas sodium hypochlorite (NaOCl) reduced it. With the use of chlorhexidine (CHX), the force of adhesion increased, but the adherence assay showed a reduction in the number of adhering bacteria. The irrigation regimen of EDTA, NaOCl, and CHX resulted in the least number of adhering E. faecalis cells. This study highlighted that chemicals that alter the physicochemical properties of dentin will influence the nature of adherence, adhesion force, and subsequent biofilm formation of E. faecalis to dentin.

  6. Dentinal Dysplasia Type I: A Case Report with a 6-Year Followup

    Directory of Open Access Journals (Sweden)

    Sezin Ozer

    2013-01-01

    Full Text Available Introduction. Dentin dysplasia is a rare disturbance of dentin formation characterized by normal enamel but atypical dentin formation with abnormal pulpal morphology that is inherited as an autosomal pulpal morphology. Case Presentation. A 7-year-old female who had problems in chewing function was referred to Oral and Maxillofacial Surgery Department at the Faculty of Dentistry in Ondokuz Mayıs University. In the radiographic examination, it was determined that some of the unerupted permanent teeth of the patient had short, blunted, and malformed roots with obliterated pulp chambers, although the bone below the teeth showed well-defined margins. This unusual case of generalized short roots presents a case demonstrating both classic and atypical features of dentinal dysplasia type I (DDI in the mixed and permanent dentitions. Conclusion. There are still many issues in the diagnosis and management of patients with dentin dysplasia. Early diagnosis, clinical and radiographic findings, as well as treatment of this condition and the initiation of effective preventive strategies may help prevent or delay loss of dentition.

  7. Effect of photon-initiated photoacoustic streaming on removal of apically placed dentinal debris.

    Science.gov (United States)

    Arslan, H; Capar, I D; Saygili, G; Gok, T; Akcay, M

    2014-11-01

    To compare the efficacy of photon-induced photoacoustic streaming (PIPS) technique with conventional, sonic and ultrasonic irrigation on the removal of apically placed dentinal debris from an artificial groove created in a root canal. Root canal preparation was performed up to size 40 on 48 extracted single-rooted teeth using ProTaper rotary instruments. The specimens were then split longitudinally, and a standardized groove was prepared in the apical part of each segment. Each groove was filled with dentinal debris mixed with 5% NaOCl. Each tooth was reassembled and irrigated as follows: (i) conventional irrigation with 1% NaOCl, (ii) sonic, (iii) ultrasonic irrigation, and (iv) PIPS. The root segments were disassembled, and the amount of remaining dentinal debris was evaluated under a stereomicroscope at 20× magnification, using a four-grade scoring system. The data were evaluated statistically using Kruskal-Wallis and Mann-Whitney U-tests with a 95% confidence level (P = 0.05). Photon-induced photoacoustic streaming removed significantly more dentinal debris than conventional irrigation (P streaming was more effective than conventional, sonic and ultrasonic irrigation in the removal of apically placed dentinal debris. © 2014 International Endodontic Journal. Published by John Wiley & Sons Ltd.

  8. Comparison of shear bond strength of amalgam bonded to primary and permanent dentin

    Directory of Open Access Journals (Sweden)

    Mahdi S

    2008-06-01

    Full Text Available Amalgam′s non-adhesive characteristics necessitate cavity preparations incorporating retentive features, which often require the removal of non-carious tooth structure. Use of adhesives beneath amalgam restorations, would be helpful to overcome this disadvantage. This study was undertaken to compare the mean shear bond strength of amalgam bonded to primary and permanent dentin, to evaluate the efficacy of amalgam adhesives in pediatric dentistry.27 primary and 28 permanent posterior teeth with intact buccal or lingual surfaces were grounded to expose dentin and wet-polished with 400-grit silicone carbide paper. Scotchbond Multi Purpose Plus adhesive system was applied to the dentin surfaces and light cured. Amalgam was condensed onto the treated dentin through a plastic mold.shear bond strength testing was done using an Instron Universal testing machine, at a crosshead speed of 0.5 mm/min.The data were analyzed by independent samples t-test The difference among the two groups was not statistically significant (p>0.05 Bonded amalgam showed the same level of bond strength to primary and permanent dentin; so, application of amalgam bonding agents in pediatric dentistry can be recommended.

  9. Effects of bioactive glass with and without mesoporous structures on desensitization in dentinal tubule occlusion

    International Nuclear Information System (INIS)

    Chen, Wen-Cheng; Kung, Jung-Chang; Chen, Cheng-Hwei; Hsiao, Yu-Cheng; Shih, Chi-Jen; Chien, Chi-Sheng

    2013-01-01

    Bioactive glass (BG) is a potential material for treating dentin hypersensitivity due to its high ability of dissolution. In this study, conventional BG and BG with well-ordered mesopore structures (MBG) were applied for dentinal tubule occlusion. We used X-ray diffractometer (XRD), scanning electronic microscope (SEM), and Fourier transform infrared (FTIR) to investigate the physiochemical properties and the dentinal tubule occlusion ability of BG and MBG groups. The results showed that the major crystallite phase of MBG and BG agents was monocalcium phosphate monohydrate. MBG pastes, mixed with 30 and 40 wt% phosphoric acid hardening solutions, had the ability to create a penetration depth greater than 50 μm. These results showed that BG with mesoporous structures turned the pastes mixed with suitable phosphoric acid solution into a material with great ability for occluding dentinal tubules; it has a short reaction time and good operability, and these agents have better potential for the treatment of dentin hypersensitivity than BG without mesoporous structures.

  10. Learning from evolutionary optimisation: what are toughening mechanisms good for in dentine, a nonrepairing bone tissue?

    Science.gov (United States)

    Zaslansky, Paul; Currey, John D; Fleck, Claudia

    2016-09-12

    The main mass of material found in teeth is dentine, a bone-like tissue, riddled with micron-sized tubules and devoid of living cells. It provides support to the outer wear-resistant layer of enamel, and exhibits toughening mechanisms which contribute to crack resistance. And yet unlike most bone tissues, dentine does not remodel and consequently any accumulated damage does not 'self repair'. Because damage containment followed by tissue replacement is a prime reason for the crack-arresting microstructures found in most bones, the occurrence of toughening mechanisms without the biological capability to repair is puzzling. Here we consider the notion that dentine might be overdesigned for strength, because it has to compensate for the lack of cell-mediated healing mechanisms. Based on our own and on literature-reported observations, including quasistatic and fatigue properties, dentine design principles are discussed in light of the functional conditions under which teeth evolved. We conclude that dentine is only slightly overdesigned for everyday cyclic loading because usual mastication stresses may come close to its endurance strength. The in-built toughening mechanisms constitute an evolutionary benefit because they prevent catastrophic failure during rare overload events, which was probably very advantageous in our hunter gatherer ancestor times. From a bio-inspired perspective, understanding the extent of evolutionary overdesign might be useful for optimising biomimetic structures used for load bearing.

  11. Construction and in vitro test of a new electrode for dentin resistance measurement.

    Science.gov (United States)

    Stein, Steffen; Gente, Michael

    2013-10-01

    It is necessary to reduce the tooth substance before treating a tooth with a dental crown. The preparation often requires reduction of the dentin. This results in a dentin wound and a thinner substance over the pulp, increases the risk of inflammation, and could result in necrosis of the pulp. To give the dentist information about the amount of dentin over the pulp during preparation, the Prepometer was developed. The function of this device is based on the measurement of the electric resistance of the tooth substance. The measuring behavior of the first-generation Prepometer is characterized by smaller values of electric resistance before reaching full contact of the measuring head to the dentin surface and the actual value RT. This measuring behavior can mislead inexperienced therapists with inaccurate values that suggest thinner dentin than the reality. In this study, a new electrode based on the technology of active guard drive was constructed to overcome this issue. The results show that improvement in the measuring behavior of the new electrode could be achieved, eliminating the earlier disadvantage of the Prepometer.

  12. Antibacterial TAP-mimic electrospun polymer scaffold: effects on P. gingivalis-infected dentin biofilm.

    Science.gov (United States)

    Albuquerque, Maria Tereza P; Evans, Joshua D; Gregory, Richard L; Valera, Marcia C; Bottino, Marco C

    2016-03-01

    This study sought to investigate, in vitro, the effects of a recently developed triple antibiotic paste (TAP)-mimic polymer nanofibrous scaffold against Porphyromonas gingivalis-infected dentin biofilm. Dentin specimens (4 × 4 × 1 mm(3)) were prepared from human canines. The specimens were sterilized, inoculated with P. gingivalis (ATCC 33277), and incubated for 1 week to allow for biofilm formation. Infected dentin specimens were exposed for 3 days to the following treatments: antibiotic-free polydioxanone scaffold (PDS, control), PDS + 25 wt% TAP [25 mg of each antibiotic (metronidazole, ciprofloxacin, and minocycline) per mL of the PDS polymer solution], or a saturated TAP-based solution (50 mg of each antibiotic per mL of saline solution). In order to serve as the negative control, infected dentin specimens were left untreated (bacteria only). To determine the antimicrobial efficacy of the TAP-mimic scaffold, a colony-forming unit (CFU) per milliliter (n = 10/group) measurement was performed. Furthermore, additional specimens (n = 2/group) were prepared to qualitatively study biofilm inhibition via scanning electron microscopy (SEM). Statistics were performed, and significance was set at the 5% level. Both the TAP-mimic scaffold and the positive control (TAP solution) led to complete bacterial elimination, differing statistically (p mimic scaffold against an established P. gingivalis-infected dentin biofilm. Collectively, the data suggest that the proposed nanofibrous scaffold might be used as an alternative to the advocated clinical gold standard (i.e., TAP) for intracanal disinfection prior to regenerative endodontics.

  13. Collagen Orientation and Crystallite Size in Human Dentin: A Small Angle X-ray Scattering Study

    Energy Technology Data Exchange (ETDEWEB)

    Pople, John A

    2001-03-29

    The mechanical properties of dentin are largely determined by the intertubular dentin matrix, which is a complex composite of type I collagen fibers and a carbonate-rich apatite mineral phase. The authors perform a small angle x-ray scattering (SAXS) study on fully mineralized human dentin to quantify this fiber/mineral composite architecture from the nanoscopic through continuum length scales. The SAXS results were consistent with nucleation and growth of the apatite phase within periodic gaps in the collagen fibers. These mineralized fibers were perpendicular to the dentinal tubules and parallel with the mineralization growth front. Within the plane of the mineralization front, the mineralized collagen fibers were isotropic near the pulp, but became mildly anisotropic in the mid-dentin. Analysis of the data also indicated that near the pulp the mineral crystallites were approximately needle-like, and progressed to a more plate-like shape near the dentino-enamel junction. The thickness of these crystallites, {approx} 5 nm, did not vary significantly with position in the tooth. These results were considered within the context of dentinogenesis and maturation.

  14. Oral histories: a simple method of assigning chronological age to isotopic values from human dentine collagen.

    Science.gov (United States)

    Beaumont, Julia; Montgomery, Janet

    2015-01-01

    Stable isotope ratios of carbon (δ(13)C) and nitrogen (δ(15)N) in bone and dentine collagen have been used for over 30 years to estimate palaeodiet, subsistence strategy, breastfeeding duration and migration within burial populations. Recent developments in dentine microsampling allow improved temporal resolution for dietary patterns. A simple method is proposed which could be applied to human teeth to estimate chronological age represented by dentine microsamples in the direction of tooth growth, allowing comparison of dietary patterns between individuals and populations. The method is tested using profiles from permanent and deciduous teeth of two individuals. Using a diagrammatic representation of dentine development by approximate age for each human tooth (based on the Queen Mary University of London Atlas), this study estimated the age represented by each dentine section. Two case studies are shown: comparison of M1 and M2 from a 19th century individual from London, England, and identification of an unknown tooth from an Iron Age female adult from Scotland. The isotopic profiles demonstrate that variations in consecutively-forming teeth can be aligned using this method to extend the dietary history of an individual or identify an unknown tooth by matching the profiles.

  15. The dynamics of TGF-β in dental pulp, odontoblasts and dentin.

    Science.gov (United States)

    Niwa, Takahiko; Yamakoshi, Yasuo; Yamazaki, Hajime; Karakida, Takeo; Chiba, Risako; Hu, Jan C-C; Nagano, Takatoshi; Yamamoto, Ryuji; Simmer, James P; Margolis, Henry C; Gomi, Kazuhiro

    2018-03-13

    Transforming growth factor-beta (TGF-β) is critical for cell proliferation and differentiation in dental pulp. Here, we show the dynamic mechanisms of TGF-β in porcine dental pulp, odontoblasts and dentin. The mRNA of latent TGF-β1 and TGF-β3 is predominantly expressed in odontoblasts, whereas the mRNA expression level of latent TGF-β2 is high in dental pulp. TGF-β1 is a major isoform of TGF-β, and latent TGF-β1, synthesized in dental pulp, is primarily activated by matrix metalloproteinase 11 (MMP11). Activated TGF-β1 enhances the mRNA expression levels of MMP20 and full-length dentin sialophosphoprotein (DSPP) in dental pulp cells, coinciding with the induction of odontoblast differentiation. Latent TGF-β1 synthesized in odontoblasts is primarily activated by MMP2 and MMP20 in both odontoblasts and dentin. The activity level of TGF-β1 was reduced in the dentin of MMP20 null mice, although the amount of latent TGF-β1 expression did not change between wild-type and MMP20 null mice. TGF-β1 activity was reduced with the degradation of DSPP-derived proteins that occurs with ageing. We propose that to exert its multiple biological functions, TGF-β1 is involved in a complicated dynamic interaction with matrix metalloproteinases (MMPs) and/or DSPP-derived proteins present in dental pulp, odontoblasts and dentin.

  16. [Changes of dentin, dental pulp and periodontium tissue in tail-suspended rats].

    Science.gov (United States)

    Yuan, Lin-tian; Wen, Ling-ying; Luo, Ya-ning; Hu, Pei-zhen; Jiang, Wei-zhong; Wu, Xing-yu

    2003-08-01

    To investigate the metabolic changes of calcium and phosphorus in dentin, dental pulp and periodontium in tail-suspended rats, and the functions of TGF-beta 1, c-fos, collagen-I and collagen IV in dentin, dental pulp and periodontium. Relative percentage contents of Ca, P in dentin, dental pulp and periodontium were measured with scanning electron microscope and energy spectrum analytical system in 3 groups of rats. The expression of TGF-beta 1, c-fos, collagen-I and collagen IV were also observed. In the suspension group, the relative percentage content of Ca declined significantly, while P increased slightly. There were no significant differences of Ca, P in alveolar bone. The expressions of TGF-beta 1, c-fos and collagen-I declined, but the expression of collagen-IV in pulp vessel increased. There were no significant changes of expressions of TGF-beta 1, c-fos, collagen-I and collagen-IV in the vicinity of PDL. After adopting artificial countermeasures, the above expressions restored partly. Weightlessness might cause abnormal mineralization in dentin, and 1.5 G artificial countermeasures could eliminate the above changes of mineral metabolism. The poor mineralization of dentin might be associated with the reduced secretion of TGF-beta 1, c-fos and collagen-I in tail-suspended rats.

  17. Odontoblasts: Specialized hard-tissue-forming cells in the dentin-pulp complex.

    Science.gov (United States)

    Kawashima, Nobuyuki; Okiji, Takashi

    2016-07-01

    Odontoblasts are specialized cells that produce dentin and exhibit unique morphological characteristics; i.e., they extend cytoplasmic processes into dentinal tubules. While osteoblasts, which are typical hard-tissue-forming cells, are generated from mesenchymal stem cells during normal and pathological bone metabolism, the induction of odontoblasts only occurs once during tooth development, and odontoblasts survive throughout the lives of healthy teeth. During the differentiation of odontoblasts, signaling molecules from the inner enamel epithelium are considered necessary for the differentiation of odontoblast precursors, i.e., peripheral dental papilla cells. If odontoblasts are destroyed by severe external stimuli, such as deep caries, the differentiation of dental pulp stem cells into odontoblast-like cells is induced. Various bioactive molecules, such as non-collagenous proteins, might be involved in this process, although the precise mechanisms responsible for odontoblast differentiation have not been fully elucidated. Recently, our knowledge about the other functional activities of odontoblasts (apart from dentin formation) has increased. For example, it has been suggested that odontoblasts might act as nociceptive receptors, and surveillance cells that detect the invasion of exogenous pathogens. The regeneration of the dentin-pulp complex has recently gained much attention as a promising future treatment modality that could increase the longevity of pulpless teeth. Finally, congenital dentin anomalies, which are concerned with the disturbance of odontoblast functions, are summarized. © 2016 Japanese Teratology Society.

  18. REPRESENTAÇÕES SOCIAIS SOBRE AS CAUSAS DOS ACIDENTES COM MATERIAIS PERFUROCORTANTES POR TÉCNICOS DE ENFERMAGEM

    Directory of Open Access Journals (Sweden)

    Juliana Almeida Marques Lubenow

    2012-01-01

    Full Text Available Los accidentes con material corto-punzante son serios debido a las enfermedades que puedan ser causadas. El estudio es descriptivo, con abordaje cualitativa e fue desarrollado en hospital privado en Piauí, entre marzo y junio de 2011. El objetivo es analizar las causas atribuidas por técnicos de enfermería al su proprio accidente, utilizando la Teoría de las Representaciones Sociales. Fueran hechas entrevistas en profundidad con 16 profesionales que sufrirán ese tipo de accidente. Los dados fueran procesados a través del programa ALCESTE 4.8 que evidenció falta de cuidado como la principal causa identificada por elles. También fueran apuntadas negligencia del colega de trabajo e agitación del paciente. La representación social predominante es que el accidente solamente ocurre pelo comportamiento irresponsable del profesional. Por lo tanto, cada exposición percutánea debe ser analizada individualmente en la búsqueda de causas reales que non culpen solamente el trabajador.

  19. Effect of fluoride on caries progression and dentin apposition in rats fed on a cariogenic or non-cariogenic diet.

    Science.gov (United States)

    Kortelainen, S; Larmas, M

    1993-02-01

    The effect of fluoride in drinking water on the progression of dentinal caries and dentin apposition was studied in Wistar rats. The initiation of enamel caries lesions was first induced for 2 wk with S. sobrinus and a 43% sucrose diet after weaning. Thereafter the animals were fed on either a cariogenic or a non-cariogenic diet and distilled water supplemented with 0, 1, 7 or 19 ppm fluoride. The areas of dentinal caries and dentin apposition were quantified after tetracycline staining. Fluoride reduced dentinal caries progression after the initiation of lesions in the presence of a cariogenic diet at a concentration of 19 ppm F, and without sucrose at 1 ppm F. The effect of fluoride in reducing dentin apposition with a cariogenic diet was dose-dependent, whereas fluoride in non-cariogenic groups had practically no effect on dentin formation. These results suggest that fluoride together with a high concentration of sucrose in the diet might have an odontoblast-mediated effect on the regulation of the progression of dentinal caries.

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

    International Nuclear Information System (INIS)

    Britto, Cynthia Tannure Coelho

    2003-01-01

    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)

  1. Effect of etching on bonding of a self-etch adhesive to dentine affected by amelogenesis imperfecta.

    Science.gov (United States)

    Epasinghe, Don Jeevanie; Yiu, Cynthia Kar Yung

    2018-02-01

    Dentine affected by amelogenesis imperfecta (AI) is histologically altered due to loss of hypoplastic enamel and becomes hypermineralized. In the present study, we examined the effect of additional acid etching on microtensile bond strength of a self-etch adhesive to AI-affected dentine. Flat coronal dentine obtained from extracted AI-affected and non-carious permanent molars were allocated to two groups: (a) Clearfil SE Bond (control); and (b) Clearfil SE Bond and additional etching with 34% phosphoric acid for 15 seconds. The bonded teeth were sectioned into .8-mm 2 beams for microtensile bond strength testing, and stressed to failure under tension. The bond strength data were analyzed using two-way analysis of variance (dentine type and etching step) and Student-Newman-Keuls multiple comparison test (P<.05). Representative fractured beams from each group were examined under scanning electron microscopy. Both factors, dentine substrate (P<.001) and etching step (P<.05), and their interactions (P<.001), were statistically significant. Additional etching had an adverse effect on the bond strength of Clearfil SE Bond to normal dentine (P<.005), and no significant improvement was found for AI-affected dentine (P=.479). Additional acid etching does not improve the bond strength of a self-etch adhesive to AI-affected dentine. © 2017 John Wiley & Sons Australia, Ltd.

  2. Potential Role of Dentin Sialoprotein by Inducing Dental Pulp Mesenchymal Stem Cell Differentiation and Mineralization for Dental Tissue Repair

    Directory of Open Access Journals (Sweden)

    Zhi Chen

    2010-09-01

    Full Text Available Introduction: Dentin sialoprotein (DSP is a dentin extracellular matrix protein, a unique marker of dentinogenesis and plays a vital role in odontoblast differentiation and dentin mineralization. Recently, studies have shown that DSP induces differentiation and mineralization of periodontal ligament stem cells and dental papilla mesenchymal cells in vitro and rescues dentin deficiency and increases enamel mineralization in animal models.The hypothesis: DSP as a nature therapeutic agent stimulates dental tissue repair by inducing endogenous dental pulp mesenchymal stem/progenitor cells into odontoblast-like cells to synthesize and to secrete dentin extracellular matrix forming new tertiary dentin as well as to regenerate a functional dentin-pulp complex. As DSP is a nature protein, and clinical procedure for DSP therapy is easy and simple, application of DSP may provide a new avenue for dentists with additional option for the treatment of substantially damaged vital teeth.Evaluation of the hypothesis: Dental caries is the most common dental disease. Deep caries and pulp exposure have been treated by various restorative materials with limited success. One promising approach is dental pulp stem/progenitor-based therapies to regenerate dentin-pulp complex and restore its functions by DSP induction in vivo.

  3. Potential Role of Dentin Sialoprotein by Inducing Dental Pulp Mesenchymal Stem Cell Differentiation and Mineralization for Dental Tissue Repair.

    Science.gov (United States)

    Yuan, Guo-Hua; Yang, Guo-Bin; Wu, Li-An; Chen, Zhi; Chen, Shuo

    2010-01-01

    INTRODUCTION: Dentin sialoprotein (DSP) is a dentin extracellular matrix protein, a unique marker of dentinogenesis and plays a vital role in odontoblast differentiation and dentin mineralization. Recently, studies have shown that DSP induces differentiation and mineralization of periodontal ligament stem cells and dental papilla mesenchymal cells in vitro and rescues dentin deficiency and increases enamel mineralization in animal models. THE HYPOTHESIS: DSP as a nature therapeutic agent stimulates dental tissue repair by inducing endogenous dental pulp mesenchymal stem/progenitor cells into odontoblast-like cells to synthesize and to secrete dentin extracellular matrix forming new tertiary dentin as well as to regenerate a functional dentin-pulp complex. As DSP is a nature protein, and clinical procedure for DSP therapy is easy and simple, application of DSP may provide a new avenue for dentists with additional option for the treatment of substantially damaged vital teeth. EVALUATION OF THE HYPOTHESIS: Dental caries is the most common dental disease. Deep caries and pulp exposure have been treated by various restorative materials with limited success. One promising approach is dental pulp stem/progenitor-based therapies to regenerate dentin-pulp complex and restore its functions by DSP induction in vivo.

  4. Influence of the Dentinal Wall on the pH of Sodium Hypochlorite during Root Canal Irrigation

    NARCIS (Netherlands)

    Macedo, Ricardo Gomes; Herrero, Noemi Pascual; Wesselink, Paul; Versluis, Michel; van der Sluis, Luc

    Introduction: The purpose of this study was to evaluate the influence of dentin on the pH levels of different concentrations of sodium hypochlorite (NaOCl) solutions over time and to evaluate if preconditioning of dentin with 17% EDTA or agitation of the NaOCl solution influences these pH levels.

  5. Scanning electron microscopic observations of fibrous structure of cemento-dentinal junction in healthy teeth.

    Science.gov (United States)

    Pratebha, B; Jaikumar, N D; Sudhakar, R

    2014-01-01

    The cemento-dentinal junction (CDJ) is a structural and biologic link between cementum and dentin present in the roots of teeth. Conflicting reports about the origin, structure and composition of this layer are present in literature. The width of this junctional tissue is reported to be about 2-4 μm with adhesion of cementum and dentin by proteoglycans and by collagen fiber intermingling. The objective of this study is to observe and report the fibrous architecture of the CDJ of healthy tooth roots. A total of 15 healthy teeth samples were collected, sectioned into halves, demineralized in 5% ethylenediaminetetraacetic acid, processed using NaOH maceration technique and observed under a scanning electron microscope. The CDJ appeared to be a fibril poor groove with a width of 2-4 µm. Few areas of collagen fiber intermingling could be appreciated. A detailed observation of these tissues has been presented.

  6. Stereomicroscopic evaluation of dentinal defects induced by new rotary system: "ProTaper NEXT".

    Science.gov (United States)

    Shori, Deepa Deepak; Shenoi, Pratima Ramakrishna; Baig, Arshia R; Kubde, Rajesh; Makade, Chetana; Pandey, Swapnil

    2015-01-01

    The objective of this study was to evaluate dentinal defects formed by new rotary system - Protaper next™ (PTN). Sixty single-rooted premolars were selected. All specimens were decoronated and divided into four groups, each group having 15 specimens. Group I specimens were prepared by Hand K-files (Mani), Group II with ProTaper Universal (PT; Dentsply Maillefer), Group III with Hero Shaper (HS; Micro-Mega, Besancon, France), and Group IV with PTN (Dentsply Maillefer). Roots of each specimen were sectioned at 3, 6, and 9mm from the apex and were then viewed under a stereomicroscope to evaluate presence or absence of dentinal defects. In roots prepared with hand files (HFs) showed lowest percentage of dentinal defects (6.7%); whereas in roots prepared with PT, HS, and PTN it was 40, 66.7, and 26.7%, respectively. There was significant difference between the HS group and the PTN group (P hand instruments induced minimal defects.

  7. Adhesive permeability affects coupling of resin cements that utilise self-etching primers to dentine.

    Science.gov (United States)

    Carvalho, R M; Pegoraro, T A; Tay, F R; Pegoraro, L F; Silva, N R F A; Pashley, D H

    2004-01-01

    To examine the effects of an experimental bonding technique that reduces the permeability of the adhesive layer on the coupling of resin cements to dentine. Extracted human third molars had their mid to deep dentin surface exposed flat by transversally sectioning the crowns. Resin composite overlays were constructed and cemented to the surfaces using either Panavia F (Kuraray) or Bistite II DC (Tokuyama) resin cements mediated by their respective one-step or two-step self-etch adhesives. Experimental groups were prepared in the same way, except that the additional layer of a low-viscosity bonding resin (LVBR, Scotchbond Multi-Purpose Plus, 3M ESPE) was placed on the bonded dentine surface before luting the overlays with the respective resin cements. The bonded assemblies were stored for 24 h in water at 37 degrees C and subsequently prepared for microtensile bond strength testing. Beams of approximately 0.8 mm(2) were tested in tension at 0.5 mm/min in a universal tester. Fractured surfaces were examined under scanning electron microscopy (SEM). Additional specimens were prepared and examined with TEM using a silver nitrate-staining technique. Two-way ANOVA showed significant interactions between materials and bonding protocols (p0.05). SEM observation of the fractured surfaces in Panavia F showed rosette-like features that were exclusive for specimens bonded according to manufacturer's directions. Such features corresponded well with the ultrastructure of the interfaces that showed more nanoleakage associated with the more permeable adhesive interface. The application of the additional layer of the LVBR reduced the amount of silver impregnation for both adhesives suggesting that reduced permeability of the adhesives resulted in improved coupling of the resin cements to dentin. Placement of an intermediate layer of a LVBR between the bonded dentine surface and the resin cements resulted in improved coupling of Panavia F to dentine.

  8. ON THE DURABILITY OF RESIN-DENTIN BONDS: IDENTIFYING THE WEAKEST LINKS

    Science.gov (United States)

    Zhang, Zihou; Beitzel, Dylan; Mutluay, Mustafa; Tay, Franklin R.; Pashley, David H.; Arola, Dwayne

    2015-01-01

    Fatigue of resin-dentin adhesive bonds is critical to the longevity of resin composite restorations. Objectives The objectives were to characterize the fatigue and fatigue crack growth resistance of resin-dentin bonds achieved using two different commercial adhesives and to identify apparent “weak-links”. Methods Bonded interface specimens were prepared using Adper Single Bond Plus (SB) or Adper Scotchbond Multi-Purpose (SBMP) adhesives and 3M Z100 resin composite according to the manufacturers instructions. The stress-life fatigue behavior was evaluated using the twin bonded interface approach and the fatigue crack growth resistance was examined using bonded interface Compact Tension (CT) specimens. Fatigue properties of the interfaces were compared to those of the resin-adhesive, resin composite and coronal dentin. Results The fatigue strength of the SBMP interface was significantly greater than that achieved by SB (p≤0.01). Both bonded interfaces exhibited significantly lower fatigue strength than that of the Z100 and dentin. Regarding the fatigue crack growth resistance, the stress intensity threshold (ΔKth) of the SB interface was significantly greater (p≤0.01) than that of the SBMP, whereas the ΔKth of the interfaces was more than twice that of the parent adhesives. Significance Collagen fibril reinforcement of the resin adhesive is essential to the fatigue crack growth resistance of resin-dentin bonds. Resin tags that are not well hybridized into the surrounding intertubular dentin and/or poor collagen integrity are detrimental to the bonded interface durability. PMID:26169318

  9. Influence of dentinal regions on bond strengths of different adhesive systems.

    Science.gov (United States)

    Ozer, F; Unlü, N; Sengun, A

    2003-06-01

    This in vitro study assessed comparatively the shear bond strengths of three composite resins, 3M Valux Plus (3MVP), Herculite (H), Clearfil AP-X (CAP-X), a polyacid modified composite resin Dyract (D), and a resin modified glass-ionomer materials Vitremer (V), to cervical and buccal dentine regions of extracted human molar teeth. Four different bonding systems, 3M ScotchBond Multipurpose (SB), Clearfil Liner Bond 2 (LB2), Opti Bond (OB), and Prime & Bond 2.1 (PB 2.1) were used with the manufacturer's respective composite and compomer materials. One hundred freshly extracted mandibular molar teeth were selected for this study. Flat buccal dentine surfaces were created on 50 teeth and cylindrical rods of the five materials were bonded to the dentine surfaces. For assessment of cervical bond strengths, the materials were bonded to mesial and distal enamel bordered occlusal dentinal surfaces of the remaining 50 teeth. The five groups of restorative procedures were applied as follows; Group 1: SB + 3MVP, Group 2: LB2 + CAP-X, Group 3: OB + H, Group 4: PB2.1 + D, Group 5: Vitremer primer (VP) VP + V. Each restorative procedure thus had 20 specimens (10 buccal + 10 cervical). After 24 h of water storage (37 degrees C), the specimens were tested on a Universal Testing machine in shear with a cross head speed of 0.5 mm min-1. The bond strength values were calculated in MPa and the results were evaluated statistically using Kruskal-Wallis one-way/anova and Mann-Whitney U-tests. It was found that the bond strengths of SB + 3MVP, LB2 + CAP-X and VP + V to buccal dentine surfaces were significantly stronger (P 0.05). Vitremer was found the least successful adhesive material in terms of shear bond strength on both buccal and occluso-cervical dentine surfaces.

  10. Mini-interfacial Fracture Toughness of a Multimode Adhesive Bonded to Plasma-treated Dentin.

    Science.gov (United States)

    Ayres, Ana Paula Almeida; Pongprueksa, Pong; De Munck, Jan; Gré, Cristina Parise; Nascimento, Fábio Dupart; Giannini, Marcelo; Van Meerbeek, Bart

    2017-01-01

    To investigate the bonding efficacy of a multimode adhesive to plasma-treated and -untreated (control) dentin using a mini-interfacial fracture toughness (mini-iFT) test. Twenty human molars were used in a split-tooth design (n = 10). The adhesive Scotchbond Universal (SBU; 3M ESPE) was applied in etch-and-rinse (E&R) and self-etch (SE) modes. Mid-coronal dentin was exposed and covered with a standardized smear layer ground to 320 grit. One half of each dentin surface received 15 s of non-thermal atmospheric plasma (NTAP), while the other half was covered with a metallic barrier and kept untreated. Following the E&R mode, dentin was plasma treated immediately after phosphoric acid etching. SBU and a resin-based composite were applied to dentin following the manufacturer's instructions. Six mini-iFT specimens were prepared per tooth (1.5 x 2.0 x 16 to 18 mm), and a single notch was prepared at the adhesive-dentin interface using a 150-μm diamond blade under water cooling. Half of the mini-iFT specimens were immediately loaded until failure in a 4-point bending test, while the other half were first stored in distilled water for 6 months. After testing, the exact dimensions of the notch were measured with a measuring optical microscope, from which ΚIc was determined. Three-way ANOVA revealed higher mini-iFT for SBU applied in E&R than SE mode for both storage times, irrespective of NTAP treatment. Overall, mini-iFT did not decrease for any of the experimental groups upon 6-month aging, while plasma treatment did not show a direct beneficial effect on mini-iFT of SBU applied in either E&R or SE mode.

  11. Evaluation of matrix metalloproteinase and cysteine cathepsin activity in dentin hybrid layer by gelatin zymography.

    Science.gov (United States)

    Mahalaxmi, Sekar; Madhubala, Manavalan Madhana; Jayaraman, Mahendran; Sathyakumar, Shanmugasundaram

    2016-01-01

    The aim of this study was to comparatively assess the gelatinolytic activity of matrix metalloproteinases(MMPs) and Cysteine Cathepsins (CCs) in the adhesive interface using etch and rinse adhesive at different time intervals using zymographic technique. Twenty freshly extracted non-carious human third molars were used in this study. Occlusal surfaces were ground flat and 1mm thick horizontal dentin slabs were obtained from each tooth using a diamond disc. The dentin surface was polished with 600-grit silicon-carbide paper. Five out of 20 samples were directly pulverized. In the remaining fifteen samples, the dentin was etched and adhesive was applied and light cured according to the manufacturer's instructions. A 1mm thick flowable composite was build up and light cured. Bonded specimens were cut vertically into 3 to 4 dentin slabs by means of diamond disc to expose the adhesive/dentin interfaces. These were then ground down to 500 µm thick resin-dentin interface using a hard tissue microtome. These sections were then pulverised into powder. Following this, every five samples were subjected to zymographic analysis after 1 day, 7 days and 21 days. Zymograms showed clear, thicker bands on all three isoforms in the etched samples compared to control samples at 1st and 7th day intervals and became inactive at 21st day for all three isoforms. MMP 9 activity was relatively higher when compared to CCs and MMP 2. Etch and rinse adhesive activated MMPs and CCs within the hybrid layer that remained active till 7th day and no gelatinolytic activity was found on 21st day and MMPs are more active compared to CCs and MMP-2.

  12. Improved degree of conversion of model self-etching adhesives through their interaction with dentin

    Science.gov (United States)

    Zhang, Ying; Wang, Yong

    2011-01-01

    Objective To investigate the correlation of the chemical interaction between model self-etching adhesives and dentin with the degree of conversion (DC) of the adhesives. Methods The model self-etching adhesives contained bis[2-methacryloyloxy)ethyl] phosphate (2MP) and 2-hydroxyethyl methacrylate (HEMA) with a mass ratio of 1/1, and 0-40% water contents, respectively. The adhesives were applied either onto the prepared dentin surface or unreactive substrates (such as glass slides), agitated for 15s, then light-cured for 40s. The DCs of the adhesives were determined using micro-Raman spectral and mapping analysis. Results The DCs of the adhesives cured on the dentin substrate were found to be significantly higher than those on the unreactive glass substrate. Moreover, the DCs of the adhesives displayed a decreasing trend as the distance from the dentin surface became greater. The chemical interaction of the acidic 2MP/HEMA adhesives with the mineral apatite in dentin was proposed to play a significant role for the observations. The chemical interaction could be validated by the spectral comparison in the phosphate regions of 1100 cm−1 and 960 cm−1 in the Raman spectra. The results also revealed a notable influence of water content on the DC of adhesives. The DCs of the adhesive at 10% water content exhibited the highest DC level for both substrates. Conclusions Interaction with dentin dramatically improved the degree of conversion of self-etching adhesives. Our ability to chemically characterize the a/d interface including in situ detection of the DC distribution is very important in understanding self-etching adhesive bonding under in vivo conditions. PMID:22024375

  13. Improved degree of conversion of model self-etching adhesives through their interaction with dentine.

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    Zhang, Ying; Wang, Yong

    2012-01-01

    To investigate the correlation of the chemical interaction between model self-etching adhesives and dentine with the degree of conversion (DC) of the adhesives. The model self-etching adhesives contained bis[2-methacryloyloxy)ethyl] phosphate (2MP) and 2-hydroxyethyl methacrylate (HEMA) with a mass ratio of 1/1, and 0-40% water contents, respectively. The adhesives were applied either onto the prepared dentine surface or unreactive substrates (such as glass slides), agitated for 15s, then light-cured for 40s. The DCs of the adhesives were determined using micro-Raman spectral and mapping analysis. The DCs of the adhesives cured on the dentine substrate were found to be significantly higher than those on the unreactive glass substrate. Moreover, the DCs of the adhesives displayed a decreasing trend as the distance from the dentine surface became greater. The chemical interaction of the acidic 2MP/HEMA adhesives with the mineral apatite in dentine was proposed to play a significant role for the observations. The chemical interaction could be validated by the spectral comparison in the phosphate regions of 1100 cm(-1) and 960 cm(-1) in the Raman spectra. The results also revealed a notable influence of water content on the DC of adhesives. The DCs of the adhesive at 10% water content exhibited the highest DC level for both substrates. Interaction with dentine dramatically improved the degree of conversion of self-etching adhesives. Our ability to chemically characterise the a/d interface including in situ detection of the DC distribution is very important in understanding self-etching adhesive bonding under in vivo conditions. Copyright © 2011 Elsevier Ltd. All rights reserved.

  14. Measurements and modelling of the influence of dentine colour and enamel on tooth colour.

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    Battersby, Paul D; Battersby, Stephen J

    2015-03-01

    We provide a quantitative predictive model for the extent to which coloured dentine, visible through the enamel, contributes to tooth colour. Our model uses (L(*),a(*),b(*)) measurements rather than spectral measurements. We have used a model system, composed of a slice of bovine enamel placed on top of coloured paper. We have measured the colour of the enamel-paper combination, as an analogue for a tooth, and have related this to the colour of the paper, as an analogue for dentine. By changing the paper colour, we have been able to explore how the colour of dentine determines tooth colour, according to our model system. We have also compared hydrated and desiccated samples. In qualitative terms, superimposing the enamel on top of the paper increases the "lightness" for all colours tested except white while simultaneously reducing the chromaticity, a measure of the extent to which the colour differs from grey. Desiccated enamel is much more effective at increasing the lightness and reducing the chromaticity than hydrated enamel. Quantitatively, our measurements are reproduced by the mathematical model we have developed to within 2% in "lightness" and about 8% in chromaticity. We are able to predict the colour of an analogue for a tooth, composed of bovine enamel and coloured paper, from the colour of an analogue for the dentine, the coloured paper alone, with good accuracy. This understanding provides insights into the role of dentine colour in determining tooth colour. Our work helps quantify the importance of dentine colour, compared to other, extrinsic causes of colour, such as staining, in determining the visible colour of teeth. Our predicted colours represent a baseline to which extrinsic sources will add. Copyright © 2015. Published by Elsevier Ltd.

  15. Chemical/molecular structure of the dentin-enamel junction is dependent on the intratooth location.

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    Xu, Changqi; Yao, Xiaomei; Walker, Mary P; Wang, Yong

    2009-03-01

    The dentin-enamel junction (DEJ) plays an important role in preventing crack propagation from enamel into dentin. This function stems from its complex structure and materials properties that are different from either dentin or enamel. The molecular structural differences in both mineral and organic matrix across the DEJ zone were investigated by two-dimensional confocal Raman microspectroscopic mapping/imaging technique. The intensity ratios of 1450 (CH, matrix)/960 (P-O, mineral) decreased gradually to nearly zero across the DEJ. The width of this transition zone was dependent on the intratooth location, with 12.9 +/- 3.2 microm width at occlusal positions and 6.2 +/- 1.3 microm at cervical positions. The difference in width was significant (P < 0.001). Concurrently, spectral differences in both organic and inorganic matrices across the DEJ were also noted. For example, the ratios of 1243 (amide III)/1450 (CH) within the DEJ were lower than the values in dentin; however, the ratios of 1665 (amide I)/1450 (CH) within the DEJ were higher than those values in dentin. In addition, the ratios of 1070 (carbonate)/960 (phosphate) within the dentin were lower than the values in the DEJ. Raman images indicated that the distribution of the above ratios across the DEJ zone were also different at occlusal and cervical positions. The results suggest that the intratooth-location-dependent structure of the DEJ may be related to its function. Micro-Raman spectroscopic/imaging analysis of the DEJ provides a powerful means of identifying the functional width and molecular structural differences across the DEJ.

  16. Efficacy of stannous, fluoride and their their combination in dentin erosion prevention in vitro

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    Amnah Abdullah ALGARNI

    2015-01-01

    Full Text Available The aim of this study was to compare the protective effects of solutions containing stannous (Sn, fluoride (F and their combination in the prevention of dentin erosion. Forty bovine root dentin specimens (4’4’2 mm3 were prepared and randomly assigned to 4 groups (n = 10: SnCl2 (800 ppm/6.7 mM Sn, NaF (250 ppm/13 mM F, NaF/SnCl2 (800 ppm/6.7 mM Sn; 250 ppm/13 mM F, and deionized water (DIW as a negative control. An acquired pellicle was formed on dentin samples by incubation in clarified, pooled, stimulated human saliva for 24 hours. The specimens were subjected to 5 daily cycles, each consisting of 5 of min demineralization (0.3%/15.6 mM citric acid, pH 2.6, 6’/day and 60 min of re-mineralization in clarified human saliva. Thirty minutes after the 1st, 3rd and 5th demineralization episodes of each day, the specimens were treated with one of the test solutions for 2 min. Surface loss was measured via optical profilometry. Mixed-model ANOVA followed by Tukey’s test were used for the statistical analysis. Sn, F, and their combination significantly reduced the dentin surface loss by 23%, 36%, and 60% compared with DIW, respectively. All groups were significantly different (p < 0.05. The combination of Sn and F significantly reduced the amount of dentin surface loss compared with all other groups. The F group also significantly reduced surface loss compared with Sn and DIW, followed by the Sn group, which showed significantly greater protection compared with the DIW control. The daily use of a combined fluoride and stannous solution is promising for preventing dentin erosion.

  17. Sealing ability and bond strength of four contemporary adhesives to enamel and to dentine.

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    Atash, R; Vanden Abbeele, A

    2005-12-01

    To compare the shear bond strength and microleakage of four adhesive systems to the enamel and dentine of primary bovine teeth. 120 bovine primary mandibular incisors were collected and stored in an aqueous 1% chloramine solution at room temperature for no longer than 3 months after extraction (80 for shear bond testing and 40 for microleakage evaluation). The adhesives tested were Clearfil SE bond (SE), Adper Prompt L Pop (LP), Xeno III (XE), and Prime and Bond NT (PB). For shear bond strength testing the specimens were wet ground to 600 grit SiC paper to expose a flat enamel or dentine surface. After bonding and restoration with Dyract AP (DAP), the teeth were subjected to shear stress using a universal testing machine. For microleakage evaluation, facial class V cavities were prepared half in enamel and half in cementum. All cavities were restored with DAP. After thermocycling and immersion in 2% methylene blue, the dye penetration was evaluated under a stereomicroscope. All data were analysed by Chi-square tests or Fisher's tests when adapted in order to determine the significant differences between groups. Results were considered as significant for p enamel 11.06 to 5.34, in decreasing order SE, LP, XE and PB and on dentine 10.47 to 4.74, in decreasing order SE, XE, LP and PB. Differences in bond strengths between the four systems on enamel and dentine were all statistically significant, excepted for XE vs LP (shear bond at dentine). No significant differences were recorded in the microleakage degree between the four adhesive systems on enamel and on dentine (p > 0.0.5). The highest shear bond strength was achieved by Clearfil SE bond and the lowest by Prime and Bond NT. There was no significant difference concerning the sealing ability of the four adhesive systems.

  18. Smear layer-deproteinizing improves bonding of one-step self-etch adhesives to dentin.

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    Thanatvarakorn, Ornnicha; Prasansuttiporn, Taweesak; Thittaweerat, Suppason; Foxton, Richard M; Ichinose, Shizuko; Tagami, Junji; Hosaka, Keiichi; Nakajima, Masatoshi

    2018-03-01

    Smear layer deproteinizing was proved to reduce the organic phase of smear layer covered on dentin surface. It was shown to eliminate hybridized smear layer and nanoleakage expression in resin-dentin bonding interface of two-step self-etch adhesive. This study aimed to investigate those effects on various one-step self-etch adhesives. Four different one-step self-etch adhesives were used in this study; SE One (SE), Scotchbond™ Universal (SU), BeautiBond Multi (BB), and Bond Force (BF). Flat human dentin surfaces with standardized smear layer were prepared. Smear layer deproteinizing was carried out by the application of 50ppm hypochlorous acid (HOCl) on dentin surface for 15s followed by Accel ® (p-toluenesulfinic acid salt) for 5s prior to adhesive application. No surface pretreatment was used as control. Microtensile bond strength (μTBS) and nanoleakage under TEM observation were investigated. The data were analyzed by two-way ANOVA and Tukey's post-hoc test and t-test at the significant level of 0.05. Smear layer deproteinizing significantly improved μTBS of SE, SU, and BB (player observed in control groups of SE, BB, and BF, and reticular nanoleakage presented throughout the hybridized complex in control groups of BB and BF were eliminated upon the smear layer deproteinizing. Smear layer deproteinizing by HOCl and Accel ® application could enhance the quality of dentin for bonding to one-step self-etch adhesives, resulting in the improving μTBS, eliminating hybridized smear layer and preventing reticular nanoleakage formation in resin-dentin bonding interface. Copyright © 2018 The Academy of Dental Materials. Published by Elsevier Ltd. All rights reserved.

  19. Preventive effects of different protective agents on dentin erosion: An in vitro investigation.

    Science.gov (United States)

    Poggio, Claudio; Gulino, Chiara; Mirando, Maria; Colombo, Marco; Pietrocola, Giampiero

    2017-01-01

    The purpose of this in vitro study was to evaluate the preventive effects of different protective agents on dentine erosion, measuring mean percentage weight loss. Dissolution of dentine under erosive challenges caused by soft drinks was analyzed: specimens were weighed following each immersion period, with mean percent weight losses calculated. Extracted teeth were sectioned into uniform slabs. Seventy permanent enamel specimens were randomly distributed to seven groups. Initial weights of all dentin specimens were performed. The fluoride pastes Remin Pro, MI Paste Plus, Tooth Mousse, Biorepair, Biorepair Plus and Regenerate were used in this study. A control group was treated just with tap water. The specimens then were immersed in Coca-Cola for a total of 32 min at room temperature. Finally each specimen was dry and weighed. The mass loss was calculated as a percentage of that observed prior the fluoride pastes application. Weight loss data were subjected to Analysis of Variance (One-way ANOVA) followed by Bonferroni's post hoc tests. Percent weight loss of specimens exposed to early stages in Coca-Cola showed linear progression with time. Specimen's application of fluoridated varnishes such as Biorepair or Regenerate, prior immersion in Coca-Cola, significantly protect dentin from demineralization. Otherwise, application of Tooth Mousse or Biorepair Plus increased dentin demineralization starting from 24 min of immersion in Coca-Cola. Despite the limitations of this study, the protective pastes that showed the less weight loss due to the acidic challenge are Biorepair and Regenerate. Key words: Dentine, erosion, protective agents, soft drinks, toothpastes.

  20. Diabetes Mellitus como causa de perda auditiva Diabetes mellitus as etiological factor of hearing loss

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    Clícia Adriana S. Maia

    2005-04-01

    Full Text Available Os pacientes com diabetes mellitus freqüentemente apresentam sintomas como tontura, zumbidos e hipoacusia. Via de regra, a perda auditiva é do tipo sensorioneural, confundindo-se, por vezes, com presbiacusia, principalmente por ocorrer em pacientes acima dos 40 anos de idade. A angiopatia e a neuropatia causadas pelo diabetes mellitus têm sido considerados importantes fatores responsáveis pelas manifestações vestibulococleares nesses pacientes. Porém, existe controvérsia no que se refere à etiopatogênese da perda auditiva, sendo que parte dos autores advoga que ela ocorre devido à neuropatia, outra parte à angiopatia, e outra, ainda, à associação das duas. Porém há também os que entendem que o diabetes mellitus e a perda auditiva poderiam ser partes integrantes de uma síndrome genética e não dependentes entre si. Realizamos uma extensa revisão bibliográfica procurando analisar se há relação "causa e efeito" entre o diabetes mellitus e a perda auditiva. Pudemos observar que, apesar do grande número de estudos realizados, a controvérsia ainda é grande, sendo que novas perspectivas, como no campo da genética, estão sendo estudadas, mostrando que novos rumos podem ser tomados para se chegar à conclusão do tema.Patients with diabetes mellitus often show symptoms such as dizziness, tinnitus, and hearing impairment. In general, hearing loss is sensorineural, which is sometimes confused with presbycusis, mainly because it develops in patients older than 40 years of age. Angiopathy and neuropathy caused by diabetes mellitus have been considered important factors for the vestibular-cochlear disorders found in these patients. However, there is controversy regarding the etiopathogenesis of hearing loss, as some researchers support that it develops due to neuropathy, others say it is due to angiopathy, or even a combination of both. Yet, some researchers believe diabetes mellitus and hearing loss are part of a genetic

  1. Un texto de Immanuel Kant sobre las causas de los terremotos (1756

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    Maximiliano HERNÁNDEZ MARCOS

    2009-11-01

    Full Text Available RESUMEN: El siguiente texto es la versión española del primero de los tres ensayos que Kant publicó con ocasión del terremoto de Lisboa de 1755. Es un ejercicio típicamente ilustrado de explicación de los fenómenos a base de combinar observación y razonamiento, Kant indaga las posibles causas naturales de los terremotos y trata de extraer consecuencias pragmáticas para paliar consecuencias destructivas. Especial interés histórico tiene al respecto su hipótesis de la cominicación subterránea, a través de extensas grutas, entre amplias zonas montañosas y sus depresiones correspondientes (ríos, lagos, mares, la cual explicaría tanto la dirección de los seísmos como la simultaneidad de sus efectos vibratorios en lugares geográficos de ese tipo pero muy distantes entre sí. En la misma línea argumentativa se sitúa su atribución del mismo origen físico a terremotos y volcanes: una inflamación gaseosa en esas grutas subterráneas comunicadas entre sí.ABSTRACT: The following text is the Spanish version of the first of three essays that Kant published in the aftermath of the Lisbon earthquake of 1755. In a typical englihnment exercise of explaining phenomena based on a combination of observation and reason, Kant looks into the possible natural causes of earthquakes and tries to extract pragmatic consequences to mitigate their destructive consequences. Of special historic interest is his hypothesis about subterranean comunication between large mauntainous areas and their corresponding depressions (rives, lakes, seas by means of extensive caverns, which would explain both the direction of the earthquakes and the simultaneity of their vibratory effects in very different geographic areas of this type. His attributing the same physical origin to earthquake and volcanoes can be situated within this same argumentative line: a gaseous ignition in these intercomunicating underground caverns.

  2. Morbimortalidad neonatal: agrupación de causas y factores para la prevención

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    Ernesto Plata Rueda

    1959-05-01

    Full Text Available La mortalidad neonatal no ha podido ser disminuida a las cifras ideales ni aun en los países de gran desarrollo como los Estados Unidos. En Colombia corre paralela con las altas cifras de mortalidad infantil general. Un estudio estadístico con miras hacia la prevención, hecho en un establecimiento que puede considerarse como modelo entre nosotros, puede ser de gran ayuda y orientación para otras instituciones. Se hace un esbozo de las disponibilidades y organización de la clínica de maternidad David Restrepo, fundación establecida en Bogotá para la clase media económica. Se analizan los resultados estadísticos sobre 8.026 recién nacidos vivos que han sido atendidos por el autor. En relación con la mortalidad global hospitalaria, la cifra obtenida en la clínica es muy satisfactoria si se la compara con estadísticas extranjeras y nacionales. Al comentar el índice de prematurez en asocio a las cifras de mortalidad, se comparan estadísticas nacionales y extranjeras para demostrar cómo la definición actualmente aceptada de prematuro no es adecuada para nuestro medio. Es en extremo difícil poder comparar estadísticas sobre mortalidad de prematuros. Se dan numerosos ejemplos y se establecen las normas de igualdad de condiciones que deben tenerse en cuenta. Estas circunstancias explican que la cifra de la clínica Restrepo se la más baja entre las consultadas. Se destaca la importancia que la prematurez tiene como un telón de fondo en la mortalidad global neonatal. Se hace referencia a la nutrición de la embarazada para una campaña en este sentido. El estudio de la mortalidad según el tiempo en que ocurren las muertes permite determinar que las primeras horas son las de mayor peligro y requieren especial vigilancia y atención. En relación con las causas de muerte, se pone de presente la dificultad para aplicar las clasificaciones anatomopatológicas entre nosotros

  3. Causas do desmatamento no Brasil e seu ordenamento no contexto mundial

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    Ronaldo de Albuquerque e Arraes

    2012-03-01

    Full Text Available Este trabalho busca prover algumas respostas a questões persistentes nas agendas de pesquisadores do meio ambiente sobre o desmatamento no Brasil, notadamente na região amazônica, cuja taxa de devastação florestal recente ultrapassa uma área de 20.000 km² por ano. Objetiva-se testar a eficácia da ação de órgãos públicos fiscalizadores, bem como os efeitos de fatores socioeconômicos sobre as causas do desmatamento. Inicialmente, comparam-se as taxas de desmatamento acumuladas em 749 municípios da Amazônia Legal com as taxas de desmatamento de 130 países ao longo do período 1988-2002. Ipeadata, IBGE e Inpe forneceram as informações sobre as características político-socioeconômicas e ambientais dos municípios. A partir de três níveis ordenados de desmatamento com observações mundiais fornecidas pelo World Development Indicators - WDI (2006 do Banco Mundial, referentes à ordenação dos graus de desenvolvimento dos países, a aplicação de um modelo de escolha discreta multinomial ordenado permitiu extrair as seguintes conclusões: a presença de um órgão ambiental oficial em cada município é eficaz na redução do desmatamento, tornando os níveis de desmatamento equiparados aos níveis dos países desenvolvidos. Aumento do nível educacional, redução da desigualdade de renda e o cumprimento de leis regulatórias para delimitar a expansão da fronteira agropecuária são ações igualmente relevantes para conter o desmatamento da região.

  4. A (invisibilidade do acidente de trabalho fatal entre as causas externas: estudo qualitativo

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    Kamile Miranda Lacerda

    Full Text Available Objetivo descrever o trabalho das vítimas dos acidentes fatais e as circunstâncias desses óbitos relacionados com o trabalho ocorridos em 2004, em Salvador, Bahia. Métodos coleta de dados realizada através de questões semiabertas obtidas em entrevista domiciliar com os familiares das vítimas, por meio da autópsia verbal (AV. A análise de conteúdo foi empregada na análise das narrativas. A reconstituição dos 91 acidentes de trabalho (AT é apresentada em duas seções temáticas: a caracterização do trabalho do acidentado e a circunstância da morte. Resultados evidenciou-se a presença marcante do trabalho precário mesmo entre aqueles com vínculo formal, mas essas condições são especialmente flagrantes entre aqueles não regulamentados. A extensão da jornada de trabalho não decorreu de livre escolha, mas de estratégia para auferir a renda mínima necessária. O espaço da rua emergiu como local de AT típico não apenas de AT de trajeto. A morte no trânsito e sua relação com o trabalho, fenômeno ainda pouco explorado, foi evidenciada, além da identificação de homicídio como circunstância de morte decorrente do trabalho precário. Conclusões a prevenção da morte e da violência no trabalho requer uma ação integrada das políticas setoriais. A autópsia verbal mostrou-se técnica promissora na produção de informações sobre as causas dos AT, podendo contribuir para a superação da subnotificação.

  5. Efficacy of two commercially available dentifrices in reducing dentinal hypersensitivity

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    Prasad KVV

    2010-01-01

    Full Text Available Objective: A parallel design clinical study evaluated reduction in hypersensitivity after brushing for 12 weeks with Anchor toothpaste (containing potassium citrate, zinc citrate, triclosan and sodium monofluorophosphate (test and Colgate Total (sodium fluoride, silica, triclosan and copolymer (control dentifrices. Materials and Methods: Sixty adults with sensitivity to hot and cold stimulus in at least two tooth surfaces were stratified at the baseline examination by tactile, hot and cold stimuli scores in two balanced groups. Subjects were randomly allocated the test and control dentifrices and evaluated after 6 and 12 weeks of dentifrice use for hypersensitivity. Results: The two teeth that were selected in each patient were designated as two different sets. The 12 th -week scores as compared to baseline scores for tactile, heat and cold tests in the test group showed a reduction in tooth hypersensitivity by 36.67% (P < 0.01, 20.35% (P < 0.01 and 53.64 % (P < 0.01, respectively, in the first set of teeth and 43.75% (P < 0.01, 24.48% (P < 0.01 and 59.78% (P < 0.01, respectively, in the second set of teeth. The 12 th -week scores as compared to baseline scores for tactile, heat and cold tests in the control group showed a reduction in tooth hypersensitivity by 42.86% (P < 0.01, 13.02% (P < 0.01 and 45.14% (P < 0.01, respectively, in the first set of teeth and 40% (P < 0.01, 16.59% (P < 0.01 and 44.16% (P < 0.01, respectively, in the second set of teeth. Conclusions: Both the products reduced dentinal hypersensitivity in the study subjects at the end of the 12-week period. However, there was no statistically significant difference in reduction in hypersensitivity between the two products.

  6. Effect of cariogenic challenge on the stability of dentin bonds

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    Fernanda Blos BORGES

    2014-01-01

    Full Text Available Objective: The oral environment is subject to biofilm accumulation and cariogenic challenge, and few studies exist on the effect of these factors on the bond strength of adhesive systems. The aim of this study was to test if the exposure of adhesive interfaces to cariogenic challenge under biofilm accumulation could promote higher degradation than the exposure to biofilm accumulation alone. Material And Methods: Five molars were ground until exposure of medium dentin and then restored (Single Bond 2 and Z250 3M ESPE. The tooth/resin sets were cut to obtain beam-shaped specimens, which were distributed according to the aging conditions (n=20: water for 24 h (control; biofilm under cariogenic challenge for 3, 5 or 10 days; biofilm without cariogenic challenge for 10 days; and water for 3 months. Microcosm biofilms were formed from human saliva and grown in a saliva analogue medium, supplemented or not with sucrose to promote cariogenic challenge. Specimens were tested for microtensile bond strength, and failure modes were classified using light microscopy. Bond strength data were analyzed using ANOVA and failure modes were analyzed using ANOVA on ranks (α=0.05. Results: No significant differences in bond strength were detected among the aging methods (P=0.248. The aging period was associated with an increase in the frequency of adhesive failures for the groups aged for 10 days or longer (P<0.001. Conclusion: Aging leads to a higher prevalence of interfacial adhesive failures, although this effect is not associated with cariogenic challenge or reduction in bond strengths.

  7. Whole-field macro- and micro-deformation characteristic of unbound water-loss in dentin hard tissue.

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    Chen, Zhenning; Nadeau, Bobby; Yu, Kevin; Shao, Xinxing; He, Xiaoyuan; Goh, M Cynthia; Kishen, Anil

    2018-04-06

    High-resolution deformation measurements in a functionally graded hard tissue such as human dentin are essential to understand the unbound water-loss mediated changes and their role in its mechanical integrity. Yet a whole-field, 3-dimensional (3D) measurement and characterization of fully hydrated dentin in both macro- and micro-scales remain to be a challenge. This study was conducted in 2 stages. In stage-1, a stereo-digital image correlation approach was utilized to determine the water-loss and load-induced 3D deformations of teeth in a sagittal section over consecutively acquired frames, from a fully hydrated state to nonhydrated conditions for a period up to 2 hours. The macroscale analysis revealed concentrated residual deformations at the dentin-enamel-junction and the apical regions of root in the direction perpendicular to the dentinal tubules. Significant difference in the localized deformation characteristics was observed between the inner and outer aspects of the root dentin. During quasi-static loadings, further increase in the residual deformation was observed in the dentin. In stage-2, dentin microstructural variations induced by dynamic water-loss were assessed with environmental scanning electron microscopy and atomic force microscopy (AFM), showing that the dynamic water-loss induced distention of dentinal tubules with concave tubular edges, and concurrent contraction of intertubular dentin with convex profile. The findings from the current macro- and micro-scale analysis provided insight on the free-water-loss induced regional deformations and ultrastructural changes in human dentin. © 2018 WILEY-VCH Verlag GmbH & Co. KGaA, Weinheim.

  8. The use of acetone to enhance the infiltration of HA nanoparticles into a demineralized dentin collagen matrix.

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    Besinis, Alexandros; van Noort, Richard; Martin, Nicolas

    2016-03-01

    This study investigates the role of acetone, as a carrier for nano-hydroxyapatite (nano-HA) in solution, to enhance the infiltration of fully demineralized dentin with HA nanoparticles (NPs). Dentin specimens were fully demineralized and subsequently infiltrated with two types of water-based nano-HA solutions (one containing acetone and one without). Characterization of the dentin surfaces and nano-HA particles was performed using scanning electron microscopy (SEM) and transmission electron microscopy (TEM). The surface wettability and infiltration capacity of the nano-HA solutions were quantified by means of contact angle measurements and energy dispersive X-ray spectroscopy (EDS), respectively. Contact angle measurements were taken at baseline and repeated at regular intervals to assess the effect of acetone. The P and Ca levels of infiltrated dentin specimens were measured and compared to sound dentin and non-infiltrated controls. The presence of acetone resulted in an eight-fold decrease in the contact angles of the nano-HA solutions recorded on the surface of demineralized dentin compared to nano-HA solutions without acetone (one-way ANOVA, pacetone. Infiltration of demineralized dentin with the nano-HA solution containing acetone restored the lost mineral content by 50%, whereas the mean mineralization values for P and Ca in dentin treated with the acetone-free nano-HA solution were less than 6%. Acetone was shown to act as a vehicle to enhance the capacity to infiltrate demineralized dentin with HA NPs. The successful infiltration of dentin collagen with HA NPs provides a suitable scaffold, whereby the infiltrated HA NPs have the potential to act as seeds that may initiate heterogenous mineral growth when exposed to an appropriate mineral-rich environment. Copyright © 2015 Academy of Dental Materials. Published by Elsevier Ltd. All rights reserved.

  9. Dentinal temperature transients caused by exposure to CO2 laser irradiation and possible pulpal damage.

    Science.gov (United States)

    Jeffrey, I W; Lawrenson, B; Saunders, E M; Longbottom, C

    1990-02-01

    An investigation is described that attempts to establish, in vitro, the characteristics of heat transference following laser irradiation of bovine dentinal tissue and the relationship with the periodicity of radiation. The results of this study appear to indicate that at depths of overlying dentine of up to 3 mm, laser-induced thermal injury to the pulp is a definite possibility. Fail-safe facilities to prevent build up of heat must be incorporated into the design of dental lasers to allow their beneficial effects to be utilized without the risk of iatrogenic damage.

  10. Risk of initial and moderate caries lesions in primary teeth to progress to dentine cavitation

    DEFF Research Database (Denmark)

    Guedes, Renata S; Piovesan, Chaiana; Floriano, Isabela

    2016-01-01

    AIM: To investigate the risk of sound surfaces, and initial and moderate caries lesions to progress to dentine cavitation in preschool children. DESIGN: A cohort study was designed with 639 children (12-59 months old) who had been examined by visual inspection during a survey in 2010. After 2 years......, 469 children were re-examined regarding the presence of dentine cavitations. The probability of progression was calculated for sound and carious (initial and moderate lesions) surfaces. Relative risk of progression and 95% confidence intervals for each condition compared with sound surfaces were...

  11. Primum non nocere - The effects of sodium hypochlorite on dentin as used in endodontics.

    Science.gov (United States)

    Gu, Li-Sha; Huang, Xue-Qing; Griffin, Brandon; Bergeron, Brian R; Pashley, David H; Niu, Li-Na; Tay, Franklin R

    2017-10-01

    The medical literature is replete with the maxim 'primum non nocere', cautioning health care providers to avoid doing any harm to human subjects in their delivery of medical care. Sodium hypochlorite (NaOCl) is a well-established irrigant for root canal treatment because of its antimicrobial and organic tissue remnant dissolution capability. However, little is known about the deleterious effect of this strong oxidizing agent on the integrity of human mineralized dentin. Iatrogenically-induced loss of dentin integrity may precipitate post-treatment root fracture and has potential medico-legal complications. In the present work, transmission electron microscopy provided evidence for collagen destruction in the surface/subsurface of dentin treated with high NaOCl concentrations and long contact times. Size exclusion chromatography showed that the hypochlorite anion, because of its small size, penetrated the water compartments of apatite-encapsulated collagen fibrils, degraded the collagen molecules and produced a 25-35µm thick, non-uniform "ghost mineral layer" with enlarged, coalesced dentinal tubules and their lateral branches. Fourier transform-infrared spectroscopy identified increases in apatite/collagen ratio in NaOCl-treated dentin. The apatite-rich, collagen-sparse dentin matrix that remained after NaOCl treatment is more brittle, as shown by the reductions in flexural strength. Understanding the deleterious effects of NaOCl on mineralized dentin enables one to balance the risks and benefits in using high NaOCl concentrations for lengthy periods in root canal debridement. Delineating the mechanism responsible for such a phenomenon enables high molecular weight, polymeric antimicrobial and tissue dissolution irrigants to be designed that abides by the maxim of 'primum non nocere' in contemporary medical practices. The antimicrobial and tissue-dissolution capacities of NaOCl render it a well-accepted agent for root canal debridement. These highly desirable

  12. Alteration of dentin-enamel mechanical properties due to dental whitening treatments.

    Science.gov (United States)

    Zimmerman, B; Datko, L; Cupelli, M; Alapati, S; Dean, D; Kennedy, M

    2010-05-01

    The mechanical properties of dentin and enamel affect the reliability and wear properties of a tooth. This study investigated the influence of clinical dental treatments and procedures, such as whitening treatments or etching prior to restorative procedures. Both autoclaved and non-autoclaved teeth were studied in order to allow for both comparison with published values and improved clinical relevance. Nanoindentation analysis with the Oliver-Pharr model provided elastic modulus and hardness across the dentin-enamel junction (DEJ). Large increases were observed in the elastic modulus of enamel in teeth that had been autoclaved (52.0 GPa versus 113.4 GPa), while smaller increases were observed in the dentin (17.9 GPa versus 27.9 GPa). Likewise, there was an increase in the hardness of enamel (2.0 GPa versus 4.3 GPa) and dentin (0.5 GPa versus 0.7 GPa) with autoclaving. These changes suggested that the range of elastic modulus and hardness values previously reported in the literature may be partially due to the sterilization procedures. Treatment of the exterior of non-autoclaved teeth with Crest Whitestrips, Opalescence or UltraEtch caused changes in the mechanical properties of both the enamel and dentin. Those treated with Crest Whitestrips showed a reduction in the elastic modulus of enamel (55.3 GPa to 32.7 GPa) and increase in the elastic modulus of dentin (17.2 GPa to 24.3 GPa). Opalescence treatments did not significantly affect the enamel properties, but did result in a decrease in the modulus of dentin (18.5 GPa to 15.1 GPa). Additionally, as expected, UltraEtch treatment decreased the modulus and hardness of enamel (48.7 GPa to 38.0 GPa and 1.9 GPa to 1.5 GPa, respectively) and dentin (21.4 GPa to 15.0 GPa and 1.9 GPa to 1.5 GPa, respectively). Changes in the mechanical properties were linked to altered protein concentration within the tooth, as evidenced by fluorescence microscopy and Fourier transform infrared spectroscopy. Published by Elsevier Ltd.

  13. Enamel and dentin bond strengths of a new self-etch adhesive system.

    Science.gov (United States)

    Walter, Ricardo; Swift, Edward J; Boushell, Lee W; Braswell, Krista

    2011-12-01

    statement of problem:  Self-etch adhesives typically are mildly acidic and therefore less effective than etch-and-rinse adhesives for bonding to enamel.   The purpose of this study was to evaluate the enamel and dentin shear bond strengths of a new two-step self-etch adhesive system, OptiBond XTR (Kerr Corporation, Orange, CA, USA).   The labial surfaces of 80 bovine teeth were ground to create flat, 600-grit enamel or dentin surfaces. Composite was bonded to enamel or dentin using the new two-step self-etch system or a three-step etch-and-rinse (OptiBond FL, Kerr), two-step self-etch (Clearfil SE Bond, Kuraray America, Houston, TX, USA), or one-step self-etch adhesive (Xeno IV, Dentsply Caulk, Milford, DE, USA). Following storage in water for 24 hours, shear bond strengths were determined using a universal testing machine. The enamel and dentin data sets were subjected to separate analysis of variance and Tukey's tests. Scanning electron microscopy was used to evaluate the effects of each system on enamel.   Mean shear bond strengths to enamel ranged from 18.1 MPa for Xeno IV to 41.0 MPa for OptiBond FL. On dentin, the means ranged from 33.3 MPa for OptiBond FL to 47.1 MPa for Clearfil SE Bond. OptiBond XTR performed as well as Clearfil SE Bond on dentin and as well as OptiBond FL on enamel. Field emission scanning electron microscope revealed that OptiBond XTR produced an enamel etch pattern that was less defined than that of OptiBond FL (37.5% phosphoric acid) but more defined than that of Clearfil SE Bond or Xeno IV.   The new two-step self-etch adhesive system formed excellent bonds to enamel and dentin in vitro. OptiBond XTR, a new two-step self-etch adhesive system, is a promising material for bonding to enamel as well as to dentin. © 2011 Wiley Periodicals, Inc.

  14. Desigualdades sociales en la mortalidad de enfermedades por causas externas, tumores, enfermedades metabólicas en el departamento de Caldas 2010-2013

    OpenAIRE

    Marín Ocampo, Angela María

    2017-01-01

    Objetivo. Determinar las desigualdades sociales en la mortalidad de enfermedades por causas externas, enfermedades metabólicas y tumores en los municipios del departamento de Caldas en el período 2010-2013.

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

    International Nuclear Information System (INIS)

    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 introduces weaknesses in tooth structure. If the demineralized dentin could be strengthened by the application of fluoride, then the dentin-resin composite bond strength might also improve. To test this hypothesis, the present study evaluated the influence of fluoride applications on the strength of the dentin-resin composite bond by (1) tensile strength testing analyses, (2) SEM analyses of tooth structure, and (3) detection of calcium (Ca) and fluorine (F) distribution patterns by micro proton-induced X-ray emission (μ-PIXE) and micro proton-induced gamma-ray emission (μ-PIGE) analyses conducted at the Takasaki Ion Accelerators for Advanced Radiation Application (TIARA) at the Takasaki Advanced Radiation Research Institute (TARRI). In this study, the dentin in extracted human molars was exposed by grinding and the dentin was etched with 35% phosphoric acid. Fluoride was applied at two concentrations, 0.022% (100 ppm F) and 2.21% (10,000 ppm F) NaF solution, for two time periods, 30 and 60 s, prior to bonding the resin composite with the treated dentin. Controls were prepared in the same manner, but without the fluoride application. Bond strength was measured with a micro-tensile testing unit, and the fluorine and calcium distributions at the interface between dentin and resin composite were detected by μ-PIGE and μ-PIXE analysis, respectively. Results indicate that the 10,000 ppm F applications resulted in higher bond strengths than observed in either the 100 ppm F applications or

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

    Science.gov (United States)

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

    2011-10-01

    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 introduces weaknesses in tooth structure. If the demineralized dentin could be strengthened by the application of fluoride, then the dentin-resin composite bond strength might also improve. To test this hypothesis, the present study evaluated the influence of fluoride applications on the strength of the dentin-resin composite bond by (1) tensile strength testing analyses, (2) SEM analyses of tooth structure, and (3) detection of calcium (Ca) and fluorine (F) distribution patterns by micro proton-induced X-ray emission (μ-PIXE) and micro proton-induced gamma-ray emission (μ-PIGE) analyses conducted at the Takasaki Ion Accelerators for Advanced Radiation Application (TIARA) at the Takasaki Advanced Radiation Research Institute (TARRI). In this study, the dentin in extracted human molars was exposed by grinding and the dentin was etched with 35% phosphoric acid. Fluoride was applied at two concentrations, 0.022% (100 ppm F) and 2.21% (10,000 ppm F) NaF solution, for two time periods, 30 and 60 s, prior to bonding the resin composite with the treated dentin. Controls were prepared in the same manner, but without the fluoride application. Bond strength was measured with a micro-tensile testing unit, and the fluorine and calcium distributions at the interface between dentin and resin composite were detected by μ-PIGE and μ-PIXE analysis, respectively. Results indicate that the 10,000 ppm F applications resulted in higher bond strengths than observed in either the 100 ppm F applications or

  17. Fluorine analysis of human dentin surrounding resin composite after fluoride application by {mu}-PIGE/PIXE analysis

    Energy Technology Data Exchange (ETDEWEB)

    Okuyama, Katsushi, E-mail: katsu@den.hokudai.ac.jp [Graduate School of Dental Medicine, Hokkaido University, Department of Restorative Dentistry, Kita-13, Nishi-7, Kita-ku, Hokkaido, Sapporo 060-8586 (Japan) and School of Dentistry, University of North Carolina, Department of Operative Dentistry, 302 Brauer, CB 7450, Chapel Hill, NC 27599-7450 (United States); Komatsu, Hisanori [Graduate School of Dental Medicine, Hokkaido University, Department of Restorative Dentistry, Kita-13, Nishi-7, Kita-ku, Hokkaido, Sapporo 060-8586 (Japan); Yamamoto, Hiroko [Graduate School of Dentistry, Osaka University, 1-8 Yamada-Oka, Osaka, Suita 565-0871 (Japan); Pereira, Patricia N.R. [School of Dentistry, University of North Carolina, Department of Operative Dentistry, 302 Brauer, CB 7450, Chapel Hill, NC 27599-7450 (United States); Bedran-Russo, Ana K. [University of Illinois at Chicago, College of Dentistry, Department of Restorative Dentistry, 801 S. Paulina St., Chicago, IL 60612 (United States); Nomachi, Masaharu [Graduate School of Science, Osaka University, 1-1 Machikaneyama, Osaka, Toyonaka 560-0043 (Japan); Sato, Takahiro [TARRI, JAEA, Advanced Radiation Technology, 1233 Watanuki-machi, Gunma, Takasaki 370-1292 (Japan); Sano, Hidehiko [Graduate School of Dental Medicine, Hokkaido University, Department of Restorative Dentistry, Kita-13, Nishi-7, Kita-ku, Hokkaido, Sapporo 060-8586 (Japan)

    2011-10-15

    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 introduces weaknesses in tooth structure. If the demineralized dentin could be strengthened by the application of fluoride, then the dentin-resin composite bond strength might also improve. To test this hypothesis, the present study evaluated the influence of fluoride applications on the strength of the dentin-resin composite bond by (1) tensile strength testing analyses, (2) SEM analyses of tooth structure, and (3) detection of calcium (Ca) and fluorine (F) distribution patterns by micro proton-induced X-ray emission ({mu}-PIXE) and micro proton-induced gamma-ray emission ({mu}-PIGE) analyses conducted at the Takasaki Ion Accelerators for Advanced Radiation Application (TIARA) at the Takasaki Advanced Radiation Research Institute (TARRI). In this study, the dentin in extracted human molars was exposed by grinding and the dentin was etched with 35% phosphoric acid. Fluoride was applied at two concentrations, 0.022% (100 ppm F) and 2.21% (10,000 ppm F) NaF solution, for two time periods, 30 and 60 s, prior to bonding the resin composite with the treated dentin. Controls were prepared in the same manner, but without the fluoride application. Bond strength was measured with a micro-tensile testing unit, and the fluorine and calcium distributions at the interface between dentin and resin composite were detected by {mu}-PIGE and {mu}-PIXE analysis, respectively. Results indicate that the 10,000 ppm F applications resulted in higher bond strengths than observed in either the 100 ppm F

  18. Kekuatan perlekatan geser semen ionomer kaca terhadap dentin dan NiCr alloy (Shear bond strenght of glass ionomer cement in dentin and NiCr alloy

    Directory of Open Access Journals (Sweden)

    Mira Leonita

    2006-03-01

    Full Text Available Glass ionomer cements were used broadly in restorative dentistry. That’s why researchers always try to invent new form of glass ionomer cement. The newest invention was the paste-paste formulation. Shear bond strenght of powder-liquid glass ionomer cement and paste-paste glass ionomer cement in dentin and NiCr alloy was tested to 4 groups of samples. Each group consisted contain 6 samples that were shaped into cylinder with 4 mm of diameter and 5 mm of height. Group A was dentin with powder-liquid glass ionomer cement, group B was dentin with paste-paste glass ionomer cement, group C was alloy with powder-liquid glass ionomer cement, and group D was alloy with paste-paste glass ionomer cement. Each sample in each group was tested with Autograph. The datas were analyzed statistically using T-test with level of signficance 0.05. The result showed that powder-liquid glass ionomer cement shear bond strenght was 211 N and paste-paste glass ionomer cement was 166.92 N. That showed that powder-liquid glass ionomer cement had a better shear bond strenght.

  19. Causas y sobrevida en pacientes quemados en el centro de referencia del nororiente de Colombia

    Directory of Open Access Journals (Sweden)

    Carlos E. Ramírez-Blanco

    Full Text Available Introducción y Objetivo: En el mundo, las quemaduras son causa importante de morbilidad y responsables del fallecimiento de más de 300.000 personas al año. Más del 90% de estas muertes ocurren en países con ingresos bajos o medios. El objetivo de este estudio es caracterizar los pacientes quemados hospitalizados en el centro de referencia para el nororiente de Colombia, el Hospital Universitario de Santander, en Bucaramanga. Material y Método. Realizamos un estudio observacional, descriptivo y longitudinal, con información tomada de historias clínicas de pacientes quemados hospitalizados en el Hospital Universitario de Santander en un periodo de 12 meses. Obtuvimos información sociodemográfica y médica. Llevamos a cabo un análisis estadístico con medidas de tendencia central, proporciones, incidencia global y específica, además de densidad de incidencia global y específica. Resultados. Durante el 2014 se hospitalizaron en el centro de estudio 402 pacientes quemados provenientes de 12 departamentos del país, 234 (58.2% hombres y 168 (41.8% mujeres, con edades de entre 6 días y 83 años. Las quemaduras comprometían entre el 1-80% de superficie corporal; el 95.5% de los pacientes tenían vinculación con el Sistema General de Seguridad Social Nacional. Los agentes causales incluyeron líquidos calientes (52.5%, fuego (10.0%, gasolina (9.2%, electricidad (7.5% y químicos (3.7%, entre otros, y produjeron quemaduras de segundo y/o tercer grado. La mediana de la estancia hospitalaria fue de 14 días, con mortalidad acumulada del 1.5% que se relacionó con la profundidad y extensión de la quemadura. Consideramos que el tipo de agente compromete con mayor frecuencia a un grupo etario determinado por las actividades propias de la edad; que la profundidad de la quemadura puede tener relación con el agente causal debido a la temperatura que alcanza; y que la extensión de la quemadura es el único predictor de mortalidad y se relaciona

  20. MORIR SIN OTORRINOLARINGÓLOGO. Causas de muerte otorrinolaringológicas en una comunidad rural del siglo XIX

    Directory of Open Access Journals (Sweden)

    Rosana Villaoslada Fuentes

    2018-05-01

    Full Text Available Introducción y objetivo: Mohedas de Granadilla es una localidad Extremeña situada al norte de la provincia de Cáceres. El objetivo de nuestro estudio es el análisis de la enfermedad y la muerte en esta localidad durante el siglo XIX.Material y Método: Para elaborar este trabajo nos hemos servido de fuentes demográficas que nos aportaban una información exhaustiva de los diagnósticos de defunción de las personas fallecidas en nuestra localidad, tales como el registro Civil y los archivos parroquiales referentes al siglo XIX.Resultados: Entre el 1 de Enero de 1870 y el 31 de Diciembre de 1900 se produjeron 1114 defunciones en Mohedas, con una tasa de mortalidad  media de 44 por mil habitantes, la tasa de mortalidad media disminuyó a lo largo del tiempo, de forma que en los primeros 16 años la tasa fue de 44,09 por cada mil habitantes, y en los segundos quince fue de 43,08 por mil.En relación con las causas de muerte otorrinolaringológicas, las infecciosas fueron las más frecuentes, dentro de éstas predominó la difteria (angina diftérica, laringitis diftérica, garrotillo o crup laríngeo. Otras causas menos frecuentes fueron: la tuberculosis laríngea, la parotioditis o las amigdalitis.  Conclusiones: Podemos concluir que la mortalidad en esta comunidad fue alta pero semejante a todo el medio rural de la Extremadura de aquellos años. Dentro de las causas otorrinolaringológicas las infecciosas fueron las más frecuentes.   

  1. Mortalidad y años de esperanza de vida perdidos a causa del consumo de alcohol en Argentina. 2008

    Directory of Open Access Journals (Sweden)

    Laura Débora Acosta

    2012-01-01

    Full Text Available Los datos sobre prevalencia de consumo de alcohol en Argentina, podrían indicar un fuerte impacto del consumo de alcohol en la mortalidad general y en la esperanza de vida, en especial en el sexo masculino. El objetivo de este trabajo es analizar el impacto del consumo de alcohol en la mortalidad de los argentinos en el año 2008, mediante la metodología propuesta por el Centers of Disease Control and Prevention (CDC, 1990, suavizando los casos con el promedio de defunciones producidas entre los años 2007 a 2009. Así mismo se analizan los Años de Esperanza de Vida Perdidos (AEVP del año 2008, según la metodología propuesta por Arriaga (1996. Se utilizaron fuentes de datos secundarios: registro de defunciones y datos de prevalencia de consumo de alcohol en la población. En ese año se produjeron 11.013 muertes atribuidas al consumo de alcohol (3,6% del total de muertes en la población, de las cuales el 73% se produjeron en el sexo masculino. Los AEVP a causa del consumo de alcohol fueron de 0,20 años en mujeres y 0,80 años en hombres. Las causas con más impacto en la pérdida de esperanza de vida son las causas externas de mortalidad y el grupo más afectado fue el de 15 a 34 años. Los resultados de este trabajo reflejan la necesidad de potenciar las estrategias de intervención dirigidas a controlar el consumo de alcohol, en especial en hombres jóvenes.

  2. Mathematical simulation of the thermal diffusion in dentine irradiated with Nd:YAG laser using finite difference method

    Science.gov (United States)

    Moriyama, Eduardo H.; Zangaro, Renato A.; Lobo, Paulo D. d. C.; Villaverde, Antonio G. J. B.; Watanabe-Sei, Ii; Pacheco, Marcos T. T.; Otsuka, Daniel K.

    2002-06-01

    Thermal damage in dental pulp during Nd:YAG laser irradiation have been studied by several researchers; but due to dentin inhomogeneous structure, laser interaction with dentin in the hypersensitivity treatment are not fully understood. In this work, heat distribution profile on human dentine samples irradiated with Nd:YAG laser was simulated at surface and subjacent layers. Calculations were carried out using the Crank-Nicolson's finite difference method. Sixteen dentin samples with 1,5 mm of thickness were evenly distributed into four groups and irradiated with Nd:YAG laser pulses, according to the following scheme: (I) 1 pulse of 900 mJ, (II) 2 pulses of 450 mJ, (III) 3 pulses of 300 mJ, (IV) 6 pulses of 150 mJ; corresponding to a total laser energy of 900 mJ. The pulse interval was 300ms, the pulse duration of 900 ms and irradiated surface area of 0,005 mm2. Laser induced morphological changes in dentin were observed for all the irradiated samples. The heat distribution throughout the dentin layer, from the external dentin surface to the pulpal chamber wall, was calculated for each case, in order to obtain further information about the pulsed Nd:YAG laser-oral hard tissue interaction. The simulation showed significant differences in the final temperature at the pulpal chamber, depending on the exposition time and the energy contained in the laser pulse.

  3. In vitro Comparative Evaluation of Tensile Bond Strength of 6(th), 7(th) and 8(th) Generation Dentin Bonding Agents.

    Science.gov (United States)

    Kamble, Suresh S; Kandasamy, Baburajan; Thillaigovindan, Ranjani; Goyal, Nitin Kumar; Talukdar, Pratim; Seal, Mukut

    2015-05-01

    Newer dentin bonding agents were developed to improve the quality of composite restoration and to reduce time consumption in its application. The aim of the present study was to evaluate tensile bond strength of 6(th), 7(th) and 8(th) generation bonding agents by in vitro method. Selected 60 permanent teeth were assigned into 20 in each group (Group I: 6(th) generation bonding agent-Adper SE plus 3M ESPE, Group II: 7(th) generation bonding agent-G-Bond GC Corp Japan and Group III: 8(th) generation dentin adhesives-FuturaBond, DC, Voco, Germany). With high-speed diamond disc, coronal dentin was exposed, and selected dentin bonding agents were applied, followed by composite restoration. All samples were saved in saline for 24 h and tensile bond strength testing was done using a universal testing machine. The obtained data were tabulated and statistically analyzed using ANOVA test. The tensile bond strength readings for 6(th) generation bonding agent was 32.2465, for 7(th) generation was 31.6734, and for 8(th)-generation dentine bonding agent was 34.74431. The highest tensile bond strength was seen in 8(th) generation bonding agent compared to 6(th) and 7(th) generation bonding agents. From the present study it can be conclude that 8(th) generation dentine adhesive (Futura DC, Voco, Germany) resulted in highest tensile bond strength compared to 6(th) (Adper SE plus, 3M ESPE) and 7(th) generation (G-Bond) dentin bonding agents.

  4. In vitro dentin permeability after application of Gluma® desensitizer as aqueous solution or aqueous fumed silica dispersion

    Directory of Open Access Journals (Sweden)

    Hiroshi Ishihata

    2011-04-01

    Full Text Available OBJECTIVES: To assess and to compare the effects of Gluma® Desensitizer (GDL with an experimental glutaraldehyde and HEMA containing fumed silica dispersion (GDG on dentin permeability using a chemiluminous tracer penetration test. MATERIAL AND METHODS: Twenty disc-shaped dentin specimens were dissected from extracted human third molars. The dentin specimens were mounted in a split chamber device for determination of permeability under liquid pressure using a photochemical method. Ten specimens were randomly selected and allocated to the evaluation groups Gluma® Desensitizer as aqueous solution and glutaraldehyde/HEMA as fumed silica dispersion, respectively. Dentin disc permeability was determined at two pressure levels after removal of smear with EDTA, after albumin soaking, and after application of the desensitizing agents. Two desensitizer-treated and rinsed specimens of each group were examined by scanning electron microscopy (SEM for surface remnants. RESULTS: Comparatively large standard deviations of the mean EDTA reference and albumin soaked samples permeability values refected the differences of the dentin substrates. The mean chemiluminescence values of specimen treated with GDL and GDG, respectively, were signifcantly reduced after topical application of the desensitizing agents on albumin-soaked dentin. The effects of GDL and GDG on permeability were not signifcantly different. Treated specimens showed no surface remnants after rinsing. CONCLUSIONS: The experimental desensitizer gel formulation reduced dentin permeability as effectively as the original Gluma® Desensitizer solution.

  5. Fabrication and characterization of dendrimer-functionalized nano-hydroxyapatite and its application in dentin tubule occlusion.

    Science.gov (United States)

    Lin, Xuandong; Xie, Fangfang; Ma, Xueling; Hao, Yuhong; Qin, Hejia; Long, Jindong

    2017-06-01

    The occlusion of dentinal tubules is an effective method to alleviate the symptoms of dentin hypersensitivity. In this paper, we successfully modified nano-hydroxyapatite (n-HAP) with carboxyl-terminated polyamidoamine dendrimers by an aqueous-based chemical method and verified by fourier transform infrared spectroscopy (FTIR) and transmission electron microscope (TEM). Then the demineralization dentin discs were randomly divided into 4 groups, corresponding to subsequent brushing experiments: deionized water and kept in artificial saliva (AS), dendrimer-functionalized n-HAP and stored in AS, n-HAP and saved in AS, dendrimer-functionalized n-HAP and stored in deionized water. After 7 days of simulated brushing, dentin discs followed the in vitro characterization using scanning electron microscopy (SEM), energy-dispersive X-ray spectroscopy and microhardness test. These data suggested that dendrimer-functionalized n-HAP could crosslink with collagen fibers and resulted in effective dentinal tubule occlusion. Moreover, the new material can induce the HAP formation with the help of superficial carboxyl and fill the spaces in dentinal tubules furtherly. The microhardness of dendrimer-functionalized n-HAP-treated specimens was significantly higher than others. In summary, dendrimer-functionalized n-HAP can be a new therapeutic material for the treatment of dentin hypersensitivity.

  6. Internacionalização e ativismo judicial: as causas coletivas Internationalization and judicial activism: the collective causes

    Directory of Open Access Journals (Sweden)

    Fabiano Engelmann

    2006-01-01

    Full Text Available O artigo pretende fornecer elementos para a análise da relação entre o fenômeno de internacionalização do direito e a emergência de modalidades de advogados engajados na representação judicial de causas coletivas. São analisadas duas dimensões: uma primeira expõe um panorama exploratório das causas coletivas no cenário nacional e internacional, pela catalogação das decisões judiciais na Corte Interamericana de Direitos Humanos e em tribunais brasileiros. Uma segunda dimensão de análise aborda, com base em entrevistas, casos representativos de promoção de causas coletivas nas décadas de 1990 e 2000. Essas duas dimensões permitem avançar a hipótese de que a redemocratização política nacional e a constituição de redes internacionais de circulação de causas políticas e jurídicas contribuem para a definição dos perfis de ativismo judicial legitimados no espaço jurídico em diferentes períodos.The article intends the analysis of the relation between the phenomenon of internationalization of Law and the emergency of modalities of lawyers engaged in the judicial representation of collective causes. Two dimensions are analyzed: the first one displays an exploratory panorama of the collective causes in the national and international scene, out of a survey of the profile of demands of the Inter-American Court of Human Rights and Brazilian courts. The second dimension approaches, from interviews, representative cases of promotion of collective causes in the decades of 1990 and 2000. These two dimensions allow to advance the hypothesis that the national political redemocratization and the constitution of international networks of circulation of political and legal causes contribute for the definition of the profiles of judicial activism legitimated in the legal space in different periods.

  7. Posibles causas de aneurisma y pseudoaneurisma de la fístula arteriovenosa en pacientes con insuficiencia renal

    OpenAIRE

    Franco Pérez, Neobalis; Valdés Pérez, Calixto; Savigne Gutiérrez, William Orlando; Reynaldo Concepción, Daniel

    2015-01-01

    El acceso vascular ideal debe proporcionar un flujo adecuado a las necesidades de la diálisis, debe ser de larga duración y tener una baja tasa de complicaciones. La realización de una fístula autóloga se considera de primera elección como acceso vascular para la hemodiálisis. Si bien se conocen las causas de los aneurismas y pseudoaneurismas de las fistulas, estos son muy pocos frecuentes y por ello es importante conocer que aparecen. Mostramos varios casos de aneurismas y pseudoaneurismas d...

  8. Causas e impactos de la deportación de migrantes centroamericanos de Estados Unidos a México

    OpenAIRE

    Izcara Palacios, Simón Pedro; Andrade Rubio, Karla Lorena

    2015-01-01

    Durante la última década el número de migrantes expulsados con una orden de deportación de Estados Unidos a México casi se ha duplicado. No todos los migrantes deportados a México tienen nacionalidad mexicana, algunos son ciudadanos de países centroamericanos. Este artículo, fundamentado en una metodología cualitativa que incluye entrevistas en profundidad a 75 migrantes centroamericanos que fueron deportados de los Estados Unidos, analiza las causas y el efecto de la deportación de inmigrant...

  9. La contaminación atmosférica derivada de las aglomeraciones urbanas y otras causas

    OpenAIRE

    Almenar-Muñoz, Mercedes

    2017-01-01

    [ES] Se analiza el incumplimiento de varios Estados miembros de los niveles máximos permitidos por la UE respecto a la calidad del aire y propone medidas urgentes para paliar este grave problema ambiental. También se aborda el tratamiento de la contaminación atmosférica en el planeamiento urbanístico. Almenar-Muñoz, M. (2017). La contaminación atmosférica derivada de las aglomeraciones urbanas y otras causas. Actualidad Jurídica Ambiental. (67):1-10. http://hdl.handle.net/10251...

  10. Causas de desapego a tratamiento, dieta y seguimiento de pacientes con diabetes y factores asociados con la enfermedad

    OpenAIRE

    De la Cruz Maldonado, María Guadalupe; Vargas Morales, Juan Manuel; Ledezma Tristán, Erika Selene; Holguín Carrillo, Mariana Carolina; Martínez Castellanos, Alan Ytzeen; Fragoso Morales, Lilia Esperanza

    2013-01-01

    La Diabetes Mellitus (DM) es un problema de salud pública mundial que se presenta en una gran cantidad de países. En la región de las Américas, para el 2007, la mortalidad evitable por DM fue de 22,000 casos. México ocupa el segundo lugar mundial en prevalencia de diabetes y se estima que para 2018 podría ocupar el primer lugar. En este estudio se presentan las principales causas de desapego al tratamiento farmacológico y dieta indicada, en pacientes de un municipio de San Luis Potosí.Las pri...

  11. Synthesis of Calcium Phosphate Composite Organogels by Using Emulsion Method for Dentine Occlusion Materials

    Science.gov (United States)

    Nopteeranupharp, C.; Akkarachaneeyakorn, K.; Songsasaen, A.

    2018-03-01

    Dentinal hypersensitivity (DH) is one of the most human’s problems caused by the erosion of enamel. There are many methods and materials to solve this problem. Calcium phosphate is an excellent alternative for curing this symptom because of its osteoconductivity, and biocompatibility properties. The low-cost and low-toxicity calcium phosphate nanogel was fabricated by using emulsion method and characterized by using TEM, EDX, and DLS techniques. The results showed that P123 (poly (ethylene oxide)19-block-Poly (propylene oxide)69-block-poly (ethylene oxide)19) has played a major role as template and gel formation, SDS was used as a surfactant to form water-in-oil emulsion nanodroplets with circle-like shape. Moreover, the ability of synthesised organogel to occlude the exposed dentine tubules was tested on the model of human’s dentine slices. The results showed that calcium phosphate composite organogel can be efficiently occluded on dentine slice, characterized by SEM technique, after 1 day.

  12. Effect of MTA and Portland Cement on Fracture Resistance of Dentin

    Directory of Open Access Journals (Sweden)

    Maryam Forghani

    2013-06-01

    Full Text Available Background and aims. It is important to evaluate the effects of endodontic materials on tooth structures to avoid endodontic treatment failure. The aim of the present study was to investigate the effect of mineral trioxide aggregates (MTA and Portland cement (PC on fracture resistance of dentin. Materials and methods. Thirty-six freshly extracted human single-rooted premolar teeth were selected. The crowns were removed and the roots were randomly divided into two experimental groups and one control group. The root samples were longitudinally divided into two halves and a dentin bar (2×2×10 mm was cut from each root section for short-term (2 weeks and long-term (12 weeks evaluations. The root sections in the experimental groups were exposed to MTA or PC, while keeping the control group specimens in physiologic saline. The fracture resistance of each specimen was measured using an Instron testing machine. The results were statistically analyzed using ANOVA, a post hoc Tukey test and paired ttest at 5% significance level. Results. The fracture resistance of MTA-treated specimens significantly increased between 2 and 12 weeks (P0.05. Conclusion. The results showed that MTA increased the fracture resistance of root dentin, while PC had no significant effect on dentin fracture resistance.

  13. A Model System for Predicting Drug Penetration thru Decayed Dentin into Inflamed Pulps

    Science.gov (United States)

    1991-01-09

    INTRODUCTION Patients seeking emergency treatment for non-traumatic pain of odonto - genic origin are frequently manifesting the symptoms of "acute" pulpitis...products in this research does not reflect Government endorsement. 21 REFERENCES BRANNSTROM, H. and GARBEROGLIO, R. (1972): The Dentinal Tubules and Odonto

  14. The dentin organic matrix - limitations of restorative dentistry hidden on the nanometer scale

    Energy Technology Data Exchange (ETDEWEB)

    Bertassoni, Luiz E; Orgel, Joseph P.R.; Antipova, Olga; Swain, Michael V [IIT; (Sydney)

    2012-07-25

    The prevention and treatment of dental caries are major challenges occurring in dentistry. The foundations for modern management of this dental disease, estimated to affect 90% of adults in Western countries, rest upon the dependence of ultrafine interactions between synthetic polymeric biomaterials and nanostructured supramolecular assemblies that compose the tooth organic substrate. Research has shown, however, that this interaction imposes less than desirable long-term prospects for current resin-based dental restorations. Here we review progress in the identification of the nanostructural organization of the organic matrix of dentin, the largest component of the tooth structure, and highlight aspects relevant to understating the interaction of restorative biomaterials with the dentin substrate. We offer novel insights into the influence of the hierarchically assembled supramolecular structure of dentin collagen fibrils and their structural dependence on water molecules. Secondly, we review recent evidence for the participation of proteoglycans in composing the dentin organic network. Finally, we discuss the relation of these complexly assembled nanostructures with the protease degradative processes driving the low durability of current resin-based dental restorations. We argue in favour of the structural limitations that these complexly organized and inherently hydrated organic structures may impose on the clinical prospects of current hydrophobic and hydrolyzable dental polymers that establish ultrafine contact with the tooth substrate.

  15. Morphology and chemical composition of dentin in permanent first molars with the diagnose MIH

    NARCIS (Netherlands)

    Heijs, Suzanne C. B.; Dietz, Wolfram; Noren, Jorgen G.; Blanksma, Nynke G.; Jalevik, Birgitta

    2007-01-01

    The purpose of this investigation was to study the morphology and distribution of some inorganic elements in dentin in first permanent molars from children with Molar-Incisor Hypomineralization (MIH). Sixty four tooth sections from thirty two children were examined in polarized light. Fifteen

  16. Adhesive/Dentin Interface: The Weak Link in the Composite Restoration

    Science.gov (United States)

    Spencer, Paulette; Ye, Qiang; Park, Jonggu; Topp, Elizabeth M.; Misra, Anil; Marangos, Orestes; Wang, Yong; Bohaty, Brenda S.; Singh, Viraj; Sene, Fabio; Eslick, John; Camarda, Kyle; Katz, J. Lawrence

    2010-01-01

    Results from clinical studies suggest that more than half of the 166 million dental restorations that were placed in the United States in 2005 were replacements for failed restorations. This emphasis on replacement therapy is expected to grow as dentists use composite as opposed to dental amalgam to restore moderate to large posterior lesions. Composite restorations have higher failure rates, more recurrent caries, and increased frequency of replacement as compared to amalgam. Penetration of bacterial enzymes, oral fluids, and bacteria into the crevices between the tooth and composite undermines the restoration and leads to recurrent decay and premature failure. Under in vivo conditions the bond formed at the adhesive/dentin interface can be the first defense against these noxious, damaging substances. The intent of this article is to review structural aspects of the clinical substrate that impact bond formation at the adhesive/dentin interface; to examine physico-chemical factors that affect the integrity and durability of the adhesive/dentin interfacial bond; and to explore how these factors act synergistically with mechanical forces to undermine the composite restoration. The article will examine the various avenues that have been pursued to address these problems and it will explore how alterations in material chemistry could address the detrimental impact of physico-chemical stresses on the bond formed at the adhesive/dentin interface. PMID:20195761

  17. Evaluation of the dentin changes in teeth subjected to endodontic treatment and photodynamic therapy

    Directory of Open Access Journals (Sweden)

    Mariane Floriano Lopes Santos LACERDA

    Full Text Available Abstract Introduction Antimicrobial photodynamic therapy (PDT is an efficient adjuvant technique to promote disinfection of the root canal system. Therefore, it is important to investigate changes to dentin morphology and permeability induced by the use of diode laser on the root dentin. Objective The purpose of this study was to investigate morphological changes and the percentage of apical leakage after the use of laser. Material and method Forty single-rooted teeth were instrumented using rotary system and irrigated. Teeth were randomly divided in two groups: G1 - not exposed to PDT (control, and G2 - pretreated with toluidine blue photosensitizer and irradiated with AsGaAl laser diode. Ten teeth in each group were evaluated by SEM for morphological changes. The other ten teeth were filled and stained with Rhodamine B to evaluate the apical leakage. Result The results showed significant difference between G1 and G2 (p 0.001. The apical leakage was significantly higher in G2 than in G1 (p <0.001 - Student's t-test. Conclusion It was concluded that the use of low-level laser reduced the smear layer and opened the dentinal tubules. Use of laser increased the permeability of the apical dentin.

  18. The acid-base resistant zone in three dentin bonding systems.

    Science.gov (United States)

    Inoue, Go; Nikaido, Toru; Foxton, Richard M; Tagami, Junji

    2009-11-01

    An acid-base resistant zone has been found to exist after acid-base challenge adjacent to the hybrid layer using SEM. The aim of this study was to examine the acid-base resistant zone using three different bonding systems. Dentin disks were applied with three different bonding systems, and then a resin composite was light-cured to make dentin disk sandwiches. After acid-base challenge, the polished surfaces were observed using SEM. For both one- and two-step self-etching primer systems, an acid-base resistant zone was clearly observed adjacent to the hybrid layer - but with differing appearances. For the wet bonding system, the presence of an acid-base resistant zone was unclear. This was because the self-etching primer systems etched the dentin surface mildly, such that the remaining mineral phase of dentin and the bonding agent yielded clear acid-base resistant zones. In conclusion, the acid-base resistant zone was clearly observed when self-etching primer systems were used, but not so for the wet bonding system.

  19. Purple sweet potato (Ipomea Batatas P. as dentin hypersensitivity desensitization gel

    Directory of Open Access Journals (Sweden)

    Chariza Hanum Mayvita Iskandar

    2015-12-01

    Full Text Available Background: Dentin hypersensitivity is a short sharp sense of pain in the teeth when exposed to excitatory stimulus. A total of 74% of world population experiencing dentin hypersensitivity. Home treatment topical desensitization is rarely found in Indonesia. The use of dentrifice is less practical because it must be done with regular brushing. Indonesia has abundant natural resources, one of which is purple sweet potato. Purple sweet potato (Ipomea Batatas P. has highest potasium ions compared to other foodstuffs. Potassium ions can be a solution of dentin hypersensitivity by temporary blocking the suffix pulp nerve impulses. Purpose: The research objective was to determine the effectiveness of the 10% purple sweet potato extract gel of the dental pain threshold score. Method: An experimental study carried out by dental pain threshold score measurements using vitality tester into the teeth with gum recession. Samples included 32 respondents with a single blind and pre-post test control group design. They were divided into treatment group and negative control group. Paired T-test and Wilcoxon were used as data analysis. Result: The results showed dental pain threshold score increasing either in treatment group and negative control, although not as significant as in the treatment group. Conclusion: 10% purple sweet potato extract gel containing potassium ions is able to reduce the pain of dentin hypersensitivity.

  20. The scientific rationale and development of an optimized dentifrice for the treatment of dentin hypersensitivity.

    Science.gov (United States)

    Tavss, Edward A; Fisher, Steven W; Campbell, Shannon; Bonta, Yolanda; Darcy-Siegel, Joann; Blackwell, Bernie L; Volpe, Anthony R; Miller, Steven E

    2004-02-01

    To describe the development of a new dentin hypersensitivity treatment, Colgate Sensitive Maximum Strength dentifrice, containing 5% potassium nitrate as the anti-hypersensitivity active agent. The objective was to develop a home-use hypersensitivity dentifrice that would be superior to the market leader, improving on what is available, which also contains 5% potassium nitrate as the anti-hypersensitivity active agent. In vivo (clinicals, taste evaluation and rat caries), in vitro (potassium flux) and analytical (rheology, dispensed volume, scanning electron microscopy, electron scanning chemical analysis and radioactive dentin abrasion) methods were performed. The objective was accomplished with the development of a new activated silica technology that resulted in enhanced potassium ion activity. In vitro documentation, supported by clinical studies, demonstrated that the resulting formula is more effective than the market leader for relief of hypersensitivity pain. Fast pain relief in less than 2 weeks and long-lasting protection against pain with regular use have also been clinically documented. Furthermore, FDA-required in vivo and in vitro studies indicate that this formula, which contains 0.45% stannous fluoride (1100 ppm fluoride) as the anti-caries active agent, is effective against caries. Good taste, acceptable rheology, acceptable abrasivity, and cosmetic and chemical stability have all been engineered into this unique dentin hypersensitivity treatment. In summary, a highly efficacious consumer friendly treatment for dentin hypersensitivity has been developed.

  1. Effect of chlorhexidine on the adhesion of dental cements in dentin

    International Nuclear Information System (INIS)

    Carvajal Villalobos, Marco Vinicio; Torres Montoya, Jeimy; Vindas Ramirez, Cinthya Carolina

    2013-01-01

    The effect of pretreatment with 0.2% chlorhexidine was evaluated in the adhesion strength in the dentin shear of three self-adhesive cements after one week of storage. 48 healthy teeth (premolars and molars) extracted were used. The occlusal surface was removed, exposing the dentin. Self-adhesive cements RelyX U100 (3M ESPE), SpeedCEM (Ivoclar) and BisCem (Bisco) were placed in an Ultradent cylindrical abutment (2mm diameter) in dentin pretreated with 0.2% chlorhexidine for 60 seconds and in dentin without treatment for 40 seconds. Removed the cylinder all the samples were photocured an additional 40 seconds. After one week, the adhesion force was in eight groups on a universal test machine at 0.01 cm/min. The ANOVA tests were used to analyze the data. The use of chlorhexidine at 0.2% did not affect the average strength of adhesion in shear, while the type of cement if the affection [es

  2. Dentin dysplasia type I with pyogenic granuloma in a 12-year-old girl

    Directory of Open Access Journals (Sweden)

    Nirmala SVSG

    2009-06-01

    Full Text Available This paper presents a case of dentin dysplasia, a rarely reported disorder that is also associated with pyogenic granuloma in a 12-year-old girl. The case presented as excessively mobile teeth that appeared radiographically as rootless teeth and also as a soft tissue lesion in the right maxillary anterior region.

  3. The ability of different nickel-titanium rotary instruments to induce dentinal damage during canal preparation

    NARCIS (Netherlands)

    Bier, C.A.S.; Shemesh, H.; Tanomaru-Filho, M.; Wesselink, P.R.; Wu, M.K.

    2009-01-01

    The purpose of this study was to compare the incidence of dentinal defects (fractures and craze lines) after canal preparation with different nickel-titanium rotary files. Two hundred sixty mandibular premolars were selected. Forty teeth were left unprepared (n = 40). The other teeth were prepared

  4. Interradicular dentin dysplasia associated with amelogenesis imperfecta with taurodontism or trichodentoosseous syndrome: A diagnostic dilemma

    Directory of Open Access Journals (Sweden)

    Veda Hegde

    2014-01-01

    Full Text Available Amelogenesis imperfecta is a hereditary disorder with diverse clinical presentation, where enamel is the tissue that is primarily affected either quantitatively or qualitatively. Hypomaturation/hypoplastic amelogenesis imperfecta with taurodontism is a rare variant of amelogenesis imperfecta which is often confused with trichodentoosseous syndrome. We report a rare case of hereditary enamel defect with taurodontism associated with interradicular dentin dysplasia.

  5. Effect of gamma radiation and endodontic treatment on mechanical properties of human and bovine root dentin

    International Nuclear Information System (INIS)

    Novais, Veridiana Resende; Soares, Priscilla Barbosa Ferreira; Guimaraes, Carlla Martins; Schliebe, Lais Rani Sales Oliveira; Braga, Stella Sueli Lourenco; Soares, Carlos Jose

    2016-01-01

    This study evaluated the effect of gamma radiation and endodontic treatment on the microhardness and flexural strength of human and bovine root dentin. Forty single rooted human teeth and forty bovine incisor teeth were collected, cleaned and stored in distilled water at 4 °C. The human and bovine teeth were divided into 4 groups (n=10) resulting from the combination of two study factors: first, regarding the endodontic treatment in 2 levels: with or without endodontic treatment; and second, radiotherapy in two levels: with or without radiotherapy by 60 Gy of Co-60 gamma radiation fractioned into 2 Gy daily doses five days per week. Each tooth was longitudinally sectioned in two parts; one-half was used for the three-point bending test and the other for the Knoop hardness test (KHN). Data were analyzed by 3-way ANOVA and Tukey HSD test (α=0.05). No significant difference was found for flexural strength values. The human dentin had significantly higher KHN than the bovine. The endodontic treatment and radiotherapy resulted in significantly lower KHN irrespective of tooth origin. The results indicated that the radiotherapy had deleterious effects on the microhardness of human and bovine dentin and this effect is increased by the interaction with endodontic therapy. The endodontic treatment adds additional negative effect on the mechanical properties of radiated tooth dentin; the restorative protocols should be designed taking into account this effect. (author)

  6. Solvent composition of one-step self-etch adhesives and dentine wettability.

    Science.gov (United States)

    Grégoire, Geneviève; Dabsie, Firas; Dieng-Sarr, Farimata; Akon, Bernadette; Sharrock, Patrick

    2011-01-01

    Our aim was to determine the wettability of dentine by four commercial self-etch adhesives and evaluate their spreading rate on the dentine surface. Any correlation with chemical composition was sought, particularly with the amount of solvent or HEMA present in the adhesive. The adhesives used were AdheSE One, Optibond All.In.One, Adper Easy Bond and XenoV. Chemical compositions were determined by proton nuclear magnetic resonance (NMR) spectroscopy of the adhesives dissolved in dimethylsulfoxide. Apparent contact angles for sessile drops of adhesives were measured on dentine slices as a function of time for up to 180s. The water contact angles were determined for fully polymerised adhesives. All adhesives were water-based with total solvent contents ranging from 27% to 73% for HEMA-free adhesives, and averaging 45% for HEMA containing adhesives. The contents in hydrophobic groups decreased as water contents increased. No differences were found in the adhesive contact angles after 180s even though the spreading rates were different for the products tested. Water contact angles differed significantly but were not correlated with HEMA or solvent presence. Manufacturers use different approaches to stabilise acid co-monomer ingredients in self-etch adhesives. Co-solvents, HEMA, or acrylamides without co-solvents are used to simultaneously etch and infiltrate dentine. A large proportion of water is necessary for decalcification action. Copyright © 2010 Elsevier Ltd. All rights reserved.

  7. Osteogenesis imperfecta with ectopic mineralizations in dentin and cementum and a COL1A2 mutation.

    Science.gov (United States)

    Kantaputra, Piranit Nik; Sirirungruangsarn, Yuddhasert; Intachai, Worrachet; Ngamphiw, Chumpol; Tongsima, Sissades; Dejkhamron, Prapai

    2018-04-10

    We report a Thai father (patient 1) and his daughter (patient 2) affected with osteogenesis imperfecta type IV and dentinogenesis imperfecta. Both were heterozygous for the c.1451G>A (p.Gly484Glu) mutation in COL1A2. The father, a Thai boxer, had very mild osteogenesis imperfecta with no history of low-trauma bone fractures. Scanning electron micrography of the primary teeth with DI of the patient 2, and the primary teeth with DI of another OI patient with OI showed newly recognized dental manifestations of teeth with DI. Normal dentin and cementum might have small areas of ectopic mineralizations. Teeth affected with DI have well-organized ectopic mineralizations in dentin and cementum. The "French-fries-appearance" of the crystals at the cemento-dentinal junction and abnormal cementum have never been reported to be associated with dentinogenesis imperfecta, either isolated or osteogenesis imperfecta-associated. Our study shows for the first time that abnormal collagen fibers can lead to ectopic mineralization in dentin and cementum and abnormal cementum can be a part of osteogenesis imperfecta.

  8. Bonding effectiveness of self-etch adhesives to dentin after 24 h water storage.

    Science.gov (United States)

    Sarr, Mouhamed; Benoist, Fatou Leye; Bane, Khaly; Aidara, Adjaratou Wakha; Seck, Anta; Toure, Babacar

    2018-01-01

    This study evaluated the immediate bonding effectiveness of five self-etch adhesive systems bonded to dentin. The microtensile bond strength of five self-etch adhesives systems, including one two-step and four one-step self-etch adhesives to dentin, was measured. Human third molars had their superficial dentin surface exposed, after which a standardized smear layer was produced using a medium-grit diamond bur. The selected adhesives were applied according to their respective manufacturer's instructions for μTBS measurement after storage in water at 37°C for 24 h. The μTBS varied from 11.1 to 44.3 MPa; the highest bond strength was obtained with the two-step self-etch adhesive Clearfil SE Bond and the lowest with the one-step self-etch adhesive Adper Prompt L-Pop. Pretesting failures mainly occurring during sectioning with the slow-speed diamond saw were observed only with the one-step self-etch adhesive Adper Prompt L-Pop (4 out of 18). When bonded to dentin, the self-etch adhesives with simplified application procedures (one-step self-etch adhesives) still underperform as compared to the two-step self-etch adhesive Clearfil SE Bond.

  9. Hybridization quality and bond strength of adhesive systems according to interaction with dentin

    Science.gov (United States)

    Salvio, Luciana Andrea; Hipólito, Vinicius Di; Martins, Adriano Luis; de Goes, Mario Fernando

    2013-01-01

    Objective: To evaluate the hybridization quality and bond strength of adhesives to dentin. Materials and Methods: Ten human molars were ground to expose the dentin and then sectioned in four tooth-quarters. They were randomly divided into 5 groups according to the adhesive used: Two single-step self-etch adhesives – Adper Prompt (ADP) and Xeno III (XE), two two-step self-etching primer systems – Clearfil SE Bond (SE) and Adhe SE (ADSE), and one one-step etch-and-rinse system – Adper Single Bond (SB). Resin composite (Filtek Z250) crown buildups were made on the bonded surfaces and incrementally light-cured for 20 s. The restored tooth-quarters were stored in water at 37°C for 24 h and then sectioned into beams (0.8 mm2 in cross-section). Maximal microtensile bond strength (μ-TBS) was recorded (0.5 mm/min in crosshead speed). The results were submitted to one-way ANOVA and Tukey's test (α = 0.05). Thirty additional teeth were used to investigate the hybridization quality by SEM using silver methenamine or ammoniacal silver nitrate dyes. Results: SE reached significantly higher μ-TBS (P 0.05), and between SB and ADP (P > 0.05); ADSE and XE were significantly higher than SB and ADP (P adhesives with dentin. The hybridization quality was essential to improve the immediate μ-TBS to dentin. PMID:24926212

  10. Human and Bovine Dentin Composition and Its Hybridization Mechanism Assessed by FT-Raman Spectroscopy

    Directory of Open Access Journals (Sweden)

    L. E. S. Soares

    2013-01-01

    Full Text Available FT-Raman spectroscopy was used to study the human and bovine dentin and their interactions with adhesive systems. Ten human (H molars and ten bovine (B teeth were prepared exposing the dentin and then each specimen was divided into two parts. The resulted forty dentin segments were treated either with the total-etch one bottle adhesive (Prime & Bond 2.1, PB or with the single-step self-etching adhesive (Xeno III, X and divided into four groups: HPB (control, HX, BPB, and BX. Each group was analyzed by FT-Raman spectroscopy before and after the adhesive treatment. Six regions of the Raman spectrum were analyzed and the integrated areas of organic and inorganic peaks were calculated. Bovine untreated specimens showed higher peak area of PO4 3−ν2  content than in human specimens. Human untreated specimens had higher peak areas of PO4 3−ν4 and CO3 2−ν1  contents than in bovine specimens. The peak areas of amide III, CH2, and amide I contents were higher in human than in bovine specimens (before treatments. Treated dentin showed no significant statistical differences between the adhesives for both inorganic and organic contents considering the same substrate. However, the differences found between human and bovine specimens after adhesives application show a reduced accuracy of these substrates as a substitute to the human specimens.

  11. Morphology and thickness of the diffusion of resin through demineralized or unconditioned dentinal matrix

    Directory of Open Access Journals (Sweden)

    Arrais César Augusto Galvão

    2002-01-01

    Full Text Available The formation of a hybrid layer is the main bonding mechanism of current dentin-bonding systems. This study evaluated the morphology and thickness of the resin-infiltrated dentinal layer after the application of adhesive systems. The dentin-bonding agents were evaluated on flat dentinal preparations confected on the occlusal surfaces of human teeth. The test specimens were prepared and inspected under scanning electron microscopy at a magnification of X 2,000. The adhesive systems were responsible for different hybrid layer thicknesses (p < 0.05, and the mean values were: for Scotchbond MP Plus (SM, 7.41 ± 1.24mum; for Single Bond (SB, 5.55 ± 0.82mum; for Etch & Prime 3.0 (EP, 3.86 ± 1.17mum; and for Clearfil SE Bond (CB, 1.22 ± 0.45mum. The results suggest that the conventional three-step adhesive system (SM was responsible for the thickest hybrid layer, followed by the one-bottle adhesive (SB. The self-etching adhesives, EP and CB, produced the formation of the thinnest hybrid layers.

  12. Sodium Hypochlorite Irrigation and Its Effect on Bond Strength to Dentin

    Directory of Open Access Journals (Sweden)

    Tariq S. Abuhaimed

    2017-01-01

    Full Text Available Effective shaping and cleaning of root canals are essential for the success of endodontic treatment. Due to the complex anatomy of root canal spaces, the use of various instrumentation techniques alone is not effective in producing bacteria-free root canal spaces. Irrigation, disinfectants, rinses, and intervisit medications are used in conjunction with the mechanical instrumentation to ensure the success of endodontic treatment. Sodium hypochlorite (NaOCl, a halogenated compound, is routinely used to irrigate the root canal during endodontic treatments. NaOCl has been known for its antibacterial action, proteolytic and dissolution capacity, and debridement properties. NaOCl, however, can alter the composition of dentin and hence its interaction with the adhesive resins used to bond the restorative materials to treated dentin. This review therefore covers in depth the action of NaOCl on dentin-adhesive resin bond strength including both enhancement and reduction, then mechanisms proposed for such action, and finally how the adverse action of NaOCl on dentin can be reversed.

  13. Sodium Hypochlorite Irrigation and Its Effect on Bond Strength to Dentin.

    Science.gov (United States)

    Abuhaimed, Tariq S; Abou Neel, Ensanya A

    2017-01-01

    Effective shaping and cleaning of root canals are essential for the success of endodontic treatment. Due to the complex anatomy of root canal spaces, the use of various instrumentation techniques alone is not effective in producing bacteria-free root canal spaces. Irrigation, disinfectants, rinses, and intervisit medications are used in conjunction with the mechanical instrumentation to ensure the success of endodontic treatment. Sodium hypochlorite (NaOCl), a halogenated compound, is routinely used to irrigate the root canal during endodontic treatments. NaOCl has been known for its antibacterial action, proteolytic and dissolution capacity, and debridement properties. NaOCl, however, can alter the composition of dentin and hence its interaction with the adhesive resins used to bond the restorative materials to treated dentin. This review therefore covers in depth the action of NaOCl on dentin-adhesive resin bond strength including both enhancement and reduction, then mechanisms proposed for such action, and finally how the adverse action of NaOCl on dentin can be reversed.

  14. Systematic review of noninvasive treatments to arrest dentin non-cavitated caries lesions

    Science.gov (United States)

    de Assunção, Isauremi Vieira; da Costa, Giovanna de Fátima Alves; Borges, Boniek Castillo Dutra

    2014-01-01

    AIM: To systematically review the literature on the efficacy of noninvasive methods of arresting the progression of non-cavitated occlusal carious lesions in dentin. METHODS: The Medline/PubMed, LILACS, SciELO and Scopus databases were searched to identify relevant publications through to November 2013. Only clinical trials evaluating the ability of noninvasive methods to arrest the progression of occlusal non-cavitated carious lesions in dentin were included. Screening, data extraction and quality assessment were conducted independently and in duplicate. RESULTS: Of 167 citations identified, nine full text articles were screened and five were included in the analysis. All papers reported on occlusal fissure sealing using a self-curing glass ionomer (n = 1) or resin-based (n = 4) sealant. Only the use of resin-based sealant to obliterate occlusal fissures arrested the progression of non-cavitated occlusal carious lesions in dentin. CONCLUSION: Occlusal fissure sealing with a resin-based sealant may arrest the progression of non-cavitated occlusal dentinal caries. Further clinical trials with longer follow-up times should be performed to increase scientific evidence. PMID:24868513

  15. Ceramic inlays : effect of mechanical cycling and ceramic type on restoration-dentin bond strength

    NARCIS (Netherlands)

    Trindade, F.Z.; Kleverlaan, C.J.; da Silva, L.H.; Feilzer, A.J.; Cesar, P.F.; Bottino, M.A.; Valandro, L.F.

    2016-01-01

    This study aimed to evaluate the bond strength between dentin and five different ceramic inlays in permanent maxillary premolars, with and without mechanical cycling. One hundred permanent maxillary premolars were prepared and divided into 10 groups (n=10) according to the ceramic system (IPS e.Max

  16. Effect of gamma radiation and endodontic treatment on mechanical properties of human and bovine root dentin

    Energy Technology Data Exchange (ETDEWEB)

    Novais, Veridiana Resende; Soares, Priscilla Barbosa Ferreira; Guimaraes, Carlla Martins; Schliebe, Lais Rani Sales Oliveira; Braga, Stella Sueli Lourenco; Soares, Carlos Jose, E-mail: carlosjsoares@ufu.br [Universidade Federal de Uberlandia (UFU), MG (Brazil)

    2016-11-15

    This study evaluated the effect of gamma radiation and endodontic treatment on the microhardness and flexural strength of human and bovine root dentin. Forty single rooted human teeth and forty bovine incisor teeth were collected, cleaned and stored in distilled water at 4 °C. The human and bovine teeth were divided into 4 groups (n=10) resulting from the combination of two study factors: first, regarding the endodontic treatment in 2 levels: with or without endodontic treatment; and second, radiotherapy in two levels: with or without radiotherapy by 60 Gy of Co-60 gamma radiation fractioned into 2 Gy daily doses five days per week. Each tooth was longitudinally sectioned in two parts; one-half was used for the three-point bending test and the other for the Knoop hardness test (KHN). Data were analyzed by 3-way ANOVA and Tukey HSD test (α=0.05). No significant difference was found for flexural strength values. The human dentin had significantly higher KHN than the bovine. The endodontic treatment and radiotherapy resulted in significantly lower KHN irrespective of tooth origin. The results indicated that the radiotherapy had deleterious effects on the microhardness of human and bovine dentin and this effect is increased by the interaction with endodontic therapy. The endodontic treatment adds additional negative effect on the mechanical properties of radiated tooth dentin; the restorative protocols should be designed taking into account this effect. (author)

  17. Bonding of the Polymer Polyetheretherketone (PEEK) to Human Dentin: Effect of Surface Treatments.

    Science.gov (United States)

    Rocha, Regina Furbino Villefort; Anami, Lilian Costa; Campos, Tiago Moreira Bastos; Melo, Renata Marques de; Souza, Rodrigo Othávio de Assunção E; Bottino, Marco Antonio

    2016-01-01

    Polyetheretherketone (PEEK) is a material suitable for frameworks of fixed dental prostheses. The effect of different surface treatments on the bond strength of PEEK bonded to human dentin was evaluated. One hundred PEEK cylinders (3 mm×3 mm) were divided into five groups according to surface treatment: silica coating, sandblasting with 45 μm Al2O3 particles, etching with 98% sulfuric acid for 5, 30 and for 60 s. These cylinders were luted with resin cement onto 50 human molars. First, each tooth was embedded in epoxy resin and the buccal dentin surface was exposed. Then, two delimited dentin areas (Æ:3 mm) per tooth were etched with 35% phosphoric acid and bonded with a two-step self-priming adhesive system. After the luting procedure the specimens were stored in water (24 h/37 °C). Shear bond strength (SBS) was tested using a universal testing machine (crosshead speed 0.5 mm/min; load cell 50 kgf) and failure types were assessed. Stress data (MPa) were analyzed using the Kruskal-Wallis test. Comparison of the proportions of different failure types was performed using the Bonferroni method (pPEEK, resin cement and dentin.

  18. Effect of Enamel and Dentin Surface Treatment on the Self-Adhesive Resin Cement Bond Strength.

    Science.gov (United States)

    Mushashe, Amanda Mahmmad; Gonzaga, Carla Castiglia; Cunha, Leonardo Fernandes da; Furuse, Adilson Yoshio; Moro, Alexandre; Correr, Gisele Maria

    2016-01-01

    The aim of this study was to evaluate the effect of enamel and dentin surface treatment on the micro-shear bond strength of self-adhesive cement. Seventy-two extracted third molars had their crowns embedded in acrylic resin and worn to obtain a flat enamel or dentin surface. The enamel and dentin specimens were randomly assigned to 8 groups (n=12) that were based on surface treatment (11.5% polyacrylic acid solution or no treatment), substrate condition (wet or dry) and storage period (1 day or 90 days), and treated accordingly. Cylinders (1 × 1 mm) were fabricated using self-adhesive resin cement (RelyX U200) following the manufacturer's instructions. The specimens were stored in distilled water at 37 °C for either 1 day or 90 days and subjected to micro-shear bond strength test (EMIC DL 2000 at 0.5 mm/min). After this, the failure type of the specimens was determined. Data were subjected to statistical analysis (a=0.05). According to the results, the 11.5% polyacrylic acid application decreased the bond strength in both enamel and dentin samples. The moist groups showed higher bond strength than the dry ones, regardless of the substrate and surface treatment. Storage period did not influence bond strength. In conclusion, surface treatment with 11.5% polyacrylic acid and absence of moisture decreased the bond strength of the resin-cement (RelyU200), regardless of the storage period.

  19. Effect of adhesive resin cements on bond strength of ceramic core materials to dentin.

    Science.gov (United States)

    Gundogdu, M; Aladag, L I

    2018-03-01

    The aim of the present study was to evaluate the effects of self-etch and self-adhesive resin cements on the shear bond strength of ceramic core materials bonded to dentin. Extracted, caries-free, human central maxillary incisor teeth were selected, and the vestibule surfaces were cut flat to obtain dentin surfaces. Ceramic core materials (IPS e.max Press and Prettau Zirconia) were luted to the dentin surfaces using three self-etch adhesive systems (Duo-Link, Panavia F 2.0, and RelyX Ultimate Clicker) and two self-adhesive resin systems (RelyX U200 Automix and Maxcem Elite). A shear bond strength test was performed using a universal testing machine. Failure modes were observed under a stereomicroscope, and bonding interfaces between the adhesive resin cements and the teeth were evaluated with a scanning electron microscope. Data were analyzed with Student's t-test and one-way analysis of variance followed by Tukey's test (α = 0.05). The type of adhesive resin cement significantly affected the shear bond strengths of ceramic core materials bonded to dentin (P materials when the specimens were luted with self-adhesive resin cements (P materials.

  20. The dentin-enamel junction and the fracture of human teeth

    Science.gov (United States)

    Imbeni, V.; Kruzic, J. J.; Marshall, G. W.; Marshall, S. J.; Ritchie, R. O.

    2005-03-01

    The dentin-enamel junction (DEJ), which is the interfacial region between the dentin and outer enamel coating in teeth, is known for its unique biomechanical properties that provide a crack-arrest barrier for flaws formed in the brittle enamel1. In this work, we re-examine how cracks propagate in the proximity of the DEJ, and specifically quantify, using interfacial fracture mechanics, the fracture toughness of the DEJ region. Careful observation of crack penetration through the interface and the new estimate of the DEJ toughness (~5 to 10 times higher than enamel but ~75% lower than dentin) shed new light on the mechanism of crack arrest. We conclude that the critical role of this region, in preventing cracks formed in enamel from traversing the interface and causing catastrophic tooth fractures, is not associated with the crack-arrest capabilities of the interface itself; rather, cracks tend to penetrate the (optical) DEJ and arrest when they enter the tougher mantle dentin adjacent to the interface due to the development of crack-tip shielding from uncracked-ligament bridging.

  1. Effect of Green Tea Extract on the Treatment of Dentin Erosion: An in Vitro Study

    Directory of Open Access Journals (Sweden)

    M Mirkarimi

    2012-01-01

    Full Text Available Objective: The aim of this study was to analyze the impact of green tea on dentin erosion.Materials and Methods: Twelve extracted sound human premolars were immersed in Coca Cola with a pH of 2.8 for 5 minutes. The surface microhardness was measured with a Knoop diamond under a load of 50gr/10s. The teeth were immersed in green tea (Camellia sinensis solution for one minute. The microhardness values were measured again and compared with pretreatment values by the Wilcoxon test. Three eroded teeth, which were treated with green tea, were evaluated under scanning electron microscope.Results: The mean ± SD of microhardness values before and after immersion in green tea were 46.5±2.79 and 54.5±4.4, respectively with statistically significant differences between the two measurements (P<0.01. In SEM evaluation there was an improvement in eroded dentin appearance and there were deposits on the dentin surface.Conclusion: Green tea (Camellia sinensis increased the microhardness of eroded dentin and improved the eroded texture.

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

    African Journals Online (AJOL)

    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 ...

  3. Shear Bond Strengths and Morphological Evaluation of Filled and Unfilled Adhesive Interfaces to Enamel and Dentine

    Science.gov (United States)

    Mortazavi, Vajihesadat; Fathi, Mohammadhosein; Ataei, Ebrahim; Khodaeian, Niloufar; Askari, Navid

    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 unfilled (Single Bond (SB)) adhesive systems (n = 12). A universal resin composite was placed into the translucent plastic cylinders (3 mm in diameter and 2 mm in length) and seated against the enamel and dentine surfaces and polymerized for 40 seconds. Shear bond strength was determined using a universal testing machine, and the results were statistically analyzed using two-way ANOVA, one-way ANOVA, t-test, and Tukey HSD post hoc test with a 5% level of significance.There were no statistically significant differences in bond strength between the adhesive systems in enamel, but CSEB and SB exhibited significantly higher and lower bond strength to dentine, respectively, than the other tested adhesive systems while there were no statistically significant differences between PBNT and OBSP. PMID:23209471

  4. Shear Bond Strengths and Morphological Evaluation of Filled and Unfilled Adhesive Interfaces to Enamel and Dentine

    Directory of Open Access Journals (Sweden)

    Vajihesadat Mortazavi

    2012-01-01

    Full Text Available 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 unfilled (Single Bond (SB adhesive systems (n=12. A universal resin composite was placed into the translucent plastic cylinders (3 mm in diameter and 2 mm in length and seated against the enamel and dentine surfaces and polymerized for 40 seconds. Shear bond strength was determined using a universal testing machine, and the results were statistically analyzed using two-way ANOVA, one-way ANOVA, t-test, and Tukey HSD post hoc test with a 5% level of significance.There were no statistically significant differences in bond strength between the adhesive systems in enamel, but CSEB and SB exhibited significantly higher and lower bond strength to dentine, respectively, than the other tested adhesive systems while there were no statistically significant differences between PBNT and OBSP.

  5. Interradicular dentin dysplasia associated with amelogenesis imperfecta with taurodontism or trichodentoosseous syndrome: a diagnostic dilemma.

    Science.gov (United States)

    Hegde, Veda; Srikanth, K

    2014-01-01

    Amelogenesis imperfecta is a hereditary disorder with diverse clinical presentation, where enamel is the tissue that is primarily affected either quantitatively or qualitatively. Hypomaturation/hypoplastic amelogenesis imperfecta with taurodontism is a rare variant of amelogenesis imperfecta which is often confused with trichodentoosseous syndrome. We report a rare case of hereditary enamel defect with taurodontism associated with interradicular dentin dysplasia.

  6. Interfacial fracture of dentin adhesively bonded to quartz-fiber reinforced composite

    International Nuclear Information System (INIS)

    Melo, Renata M.; Rahbar, Nima; Soboyejo, Wole

    2011-01-01

    The paper presents the results of an experimental study of interfacial failure in a multilayered structure consisting of a dentin/resin cement/quartz-fiber reinforced composite (FRC). Slices of dentin close to the pulp chamber were sandwiched by two half-circle discs made of a quartz-fiber reinforced composite, bonded with bonding agent (All-bond 2, BISCO, Schaumburg) and resin cement (Duo-link, BISCO, Schaumburg) to make Brazil-nut sandwich specimens for interfacial toughness testing. Interfacial fracture toughness (strain energy release rate, G) was measured as a function of mode mixity by changing loading angles from 0 deg. to 15 deg. The interfacial fracture surfaces were then examined using Scanning Electron Microscopy (SEM) and Energy Dispersive X-ray Spectroscopy (EDX) to determine the failure modes when loading angles changed. A computational model was also developed to calculate the driving forces, stress intensity factors and mode mixities. Interfacial toughness increased from ∼ 1.5 to 3.2 J/m 2 when the loading angle increases from ∼ 0 to 15 deg. The hybridized dentin/cement interface appeared to be tougher than the resin cement/quartz-fiber reinforced epoxy. The Brazil-nut sandwich specimen was a suitable method to investigate the mechanical integrity of dentin/cement/FRC interfaces.

  7. Micro-shear bond strength of resin cement to dentin after application of desensitizing toothpastes.

    Science.gov (United States)

    Bavbek, Andac Barkin; Goktas, Baris; Cekic-Nagas, Isil; Egilmez, Ferhan; Ergun, Gulfem; Eskitascioglu, Gurcan

    2013-01-01

    The aim of the study was to evaluate the effect of three desensitizing toothpastes on bonding of resin cements to dentin. The occlusal surfaces of 72 maxillary third molars were ground to obtain flat dentin surfaces and then divided into three groups according to three desensitizing toothpastes used: Sensodyne Rapid Relief (GlaxoSmithKline, SmithKline Beecham Ltd., Slough, UK), Signal Sensitive Expert (Unilever Sanayi ve Ticaret Türk A.Ş., Ümraniye, İstanbul, Turkey) and Colgate Sensitive Pro-Relief (Colgate Palmolive, New York, NY). Following bonding of the resin cement (Clearfil™ SA Cement, Kuraray Co, Osaka, Japan) to dentin, the specimens were light cured for 40 s with a LED (Elipar S10, 3M Espe, St. Paul, MN). The strength measurements were accomplished with a micro-shear testing machine (Bisco, Schaumburg, IL) at a cross-head speed of 0.5 mm/min until the failure occurs. Failure modes were examined using a stereomicroscope and scanning electron microscope. The data were analyzed with one-way analysis of variance (ANOVA) and Tukey HSD test (α = 0.05). ANOVA revealed that the application of desensitizing toothpastes had significant effects on bond strength of the resin cement tested to dentin (p < 0.05). Mixed failures were observed in all of the groups. The use of a desensitizing toothpaste before cementation might alter the bond strength of adhesively luted restorations.

  8. Effect of green tea as a protective measure against dental erosion in coronary dentine

    Directory of Open Access Journals (Sweden)

    Maria Denise Rodrigues DE MORAES

    2016-01-01

    Full Text Available Abstract The aim of this study was to evaluate the effect of green tea as a protective measure on eroded dentin. Disks of human coronary dentin were selected based on surface hardness and randomly assigned to 3 groups (n = 10: DW - distilled water, CHX - 0.2% chlorhexidine digluconate, and GT - green tea. The disks were allowed to acquire pellicle for 2 hours and were then subjected to 3 cycles per day of demineralization (C6H8O7 0.05 M, pH 3.75, 60 s, treatment (DW or CHX or GT, 5 min and remineralization (artificial saliva, 60 min over a period of 3 days. Changes in the dentin were determined by loss of surface hardness (%SHL and mechanical profilometry analysis at the end of each day. Data were analyzed by two-way ANOVA followed by Tukey’s test for %SHL and profilometry (p 0.05. A significant difference was observed between DW and GT treatments for wear and roughness measurements (p < 0.05. The green tea extract solution was able to reduce the wear and roughness caused by dentin erosion under the conditions of this study.

  9. Effect of a retention groove on the shear bond strength of dentin-bonded restorations

    NARCIS (Netherlands)

    de Kok, P.; de Jager, N.; Veerman, I.A.M.; Hafeez, N.; Kleverlaan, C.J.; Roeters, J.F.M.

    2016-01-01

    Statement of problem. With the increasing use of minimally invasive restorations, effective adhesion becomes more important. Applying mechanical retention to a flat dentin surface might improve the adhesion of ceramic and composite resin restorations. Purpose. The purpose of this in vitro study was

  10. Degradation in the fatigue strength of dentin by diamond bur preparations: Importance of cutting direction.

    Science.gov (United States)

    Majd, B; Majd, H; Porter, J A; Romberg, E; Arola, D

    2016-01-01

    The objectives of this investigation were to evaluate the degradation in fatigue strength of dentin by diamond bur preparations and to identify the importance of cutting direction. Three groups of coronal dentin specimens were prepared from unrestored third molars, including a flaw free "control," and two groups that received a diamond bur cutting treatment performed parallel or perpendicular to the specimen length. The specimens were subjected to static or cyclic flexural loading to failure and the results were compared with data for carbide bur cutting. Under static loading diamond bur cutting resulted in significantly lower flexure strength (p ≤ 0.05) than the control for both cutting directions (from 154 to ∼124 MPa). However, there was no significant difference in the strength between the control and carbide bur treated specimens. Similarly, the fatigue strength of the diamond bur treated specimens was significantly lower (p ≤ 0.0001) than that of the control for both cutting directions. Cutting in the perpendicular direction resulted in nearly 60% reduction to the endurance limit (from 44 to 19 MPa). Based on the results, diamond bur cutting of cavity preparations causes a reduction in the fatigue strength of dentin, regardless of the cutting direction. To maintain the durability of dentin, cavity preparations introduced using diamond burs must be performed with appropriate cutting direction and followed by a finishing pass. © 2014 Wiley Periodicals, Inc.

  11. Influence of temporary cement contamination on the surface free energy and dentine bond strength of self-adhesive cements.

    Science.gov (United States)

    Takimoto, Masayuki; Ishii, Ryo; Iino, Masayoshi; Shimizu, Yusuke; Tsujimoto, Akimasa; Takamizawa, Toshiki; Ando, Susumu; Miyazaki, Masashi

    2012-02-01

    The surface free energy and dentine bond strength of self-adhesive cements were examined after the removal of temporary cements. The labial dentine surfaces of bovine mandibular incisors were wet ground with #600-grit SiC paper. Acrylic resin blocks were luted to the prepared dentine surfaces using HY Bond Temporary Cement Hard (HY), IP Temp Cement (IP), Fuji TEMP (FT) or Freegenol Temporary Cement (TC), and stored for 1 week. After removal of the temporary cements with an ultrasonic tip, the contact angle values of five specimens per test group were determined for the three test liquids, and the surface-energy parameters of the dentine surfaces were calculated. The dentine bond strengths of the self-adhesive cements were measured after removal of the temporary cements in a shear mode at a crosshead speed of 1.0mm/min. The data were subjected to one-way analysis of variance (ANOVA) followed by Tukey's HSD test. For all surfaces, the value of the estimated surface tension component γ(S)(d) (dispersion) was relatively constant at 41.7-43.3 mJm(-2). After removal of the temporary cements, the value of the γ(S)(h) (hydrogen-bonding) component decreased, particularly with FT and TC. The dentine bond strength of the self-adhesive cements was significantly higher for those without temporary cement contamination (8.2-10.6 MPa) than for those with temporary cement contamination (4.3-7.1 MPa). The γ(S) values decreased due to the decrease of γ(S)(h) values for the temporary cement-contaminated dentine. Contamination with temporary cements led to lower dentine bond strength. The presence of temporary cement interferes with the bonding performance of self-adhesive cements to dentine. Care should be taken in the methods of removal of temporary cement when using self-adhesive cements. Copyright © 2011 Elsevier Ltd. All rights reserved.

  12. Amalgam shear bond strength to dentin using single-bottle primer/adhesive systems.

    Science.gov (United States)

    Cobb, D S; Denehy, G E; Vargas, M A

    1999-10-01

    To evaluate the in vitro shear bond strengths (SBS) of a spherical amalgam alloy (Tytin) to dentin using several single-bottle primer/adhesive systems both alone: Single Bond (SB), OptiBond Solo (Sol), Prime & Bond 2.1 (PB), One-Step (OS) and in combination with the manufacturer's supplemental amalgam bonding agent: Single Bond w/3M RelyX ARC (SBX) and Prime & Bond 2.1 w/Amalgam Bonding Accessory Kit (PBA). Two, three-component adhesive systems, Scotchbond Multi-Purpose (SBMP) and Scotchbond Multi-Purpose Plus w/light curing (S + V) and w/o light curing (S+) were used for comparison. One hundred eight extracted human third molars were mounted lengthwise in phenolic rings with acrylic resin. The proximal surfaces were ground to expose a flat dentin surface, then polished to 600 grit silicon carbide paper. The teeth were randomly assigned to 9 groups (n = 12), and dentin surfaces in each group were treated with an adhesive system according to the manufacturer's instructions, except for S + V specimens, where the adhesive was light cured for 10 s before placing the amalgam. Specimens were then secured in a split Teflon mold, having a 3 mm diameter opening and amalgam was triturated and condensed onto the treated dentin surfaces. Twenty minutes after condensation, the split mold was separated. Specimens were placed in distilled water for 24 hrs, then thermocycled (300 cycles, between 5 degrees C and 55 degrees C, with 12 s dwell time). All specimens were stored in 37 degrees C distilled water for 7 days, prior to shear strength testing using a Zwick Universal Testing Machine at a cross-head speed of 0.5 mm/min. The highest to the lowest mean dentin shear bond strength values (MPa) for the adhesive systems tested were: S + V (10.3 +/- 2.3), SBX (10.2 +/- 3.5), PBA, (6.4 +/- 3.6), SOL (5.8 +/- 2.5), SBMP (5.7 +/- 1.8), S+ (4.8 +/- 2.3), PB (2.7 +/- 2.6), SB (2.7 +/- 1.1) and OS (2.5 +/- 1.8). One-way ANOVA and Duncan's Multiple Range Test indicated significant

  13. Effect of different diode laser wavelengths on root dentin decontamination infected with Enterococcus faecalis.

    Science.gov (United States)

    Borges, Caroline Cristina; Estrela, Carlos; Lopes, Fabiane Carneiro; Palma-Dibb, Regina Guenka; Pecora, Jesus Djalma; De Araújo Estrela, Cyntia Rodrigues; Sousa-Neto, Manoel Damião de

    2017-11-01

    The objective of this study was to evaluate the antibacterial effect and the ultrastructural alterations of diode laser with different wavelengths (808nm and 970nm) and its association with irrigating solutions (2.5% sodium hypochlorite and 2% chlorhexidine) in root dentin contaminated by a five days biofilm. Thirteen uniradicular teeth were sectioned into 100 dentin intraradicular blocks. Initially, the blocks were immersed for 5min in 17% EDTA and washed with distilled water for 5min, then samples were sterilized for 30min at 120°C. The dentin samples were inoculated with 0.1mL of E. faecalis suspension in 5mL BHI (Brain Heart Infusion) and incubated at 37°C for 5days. After contamination, the specimens were distributed into ten groups (n=10) according to surface treatment: GI - 5mL NaOCl 2.5%, GII - 5mL NaOCl 2.5%+808nm diode (0.1W for 20s), GIII - 5mL NaOCl 2.5%+970nm diode (0.5W for 4s), GIV - 808nm diode (0.1W for 20s), GV - 970nm diode (0.5W for 4s), GVI - CHX 2%, GVII - CHX 2%+808nm diode (0.1W for 20s), GVIII - CHX 2%+970nm diode (0.5W for 4s), GIX - positive control and GX - negative control. Bacterial growth was analyzed by turbidity and optical density of the growth medium by spectrophotometry (nm). Then, the specimens were processed for analysis ultrastructural changes of the dentin surface by SEM. The data was subject to the One-way ANOVA test. GI (77.5±12.1), GII (72.5±12.2), GIII (68.7±8.7), GV (68.3±8.7), GVI (62.0±5.5) and GVII (67.5±3.3) were statistically similar and statistically different from GIV (58.8±25.0), GVIII (59.2±4.0) and control groups (pdiode laser; erosion of the intertubular dentin in blocks submitted to 808nm diode laser irradiation; and an increased erosion of the intertubular dentin when 2.5% NaOCl was associated to the different wavelengths lasers. All the therapeutic protocols were able to reduce the bacterial contingent in dentin blocks, and the association of diode laser and solutions did not significantly improve

  14. Extrafibrillar collagen demineralization-based chelate-and-rinse technique bridges the gap between wet and dry dentin bonding.

    Science.gov (United States)

    Mai, Sui; Wei, Chin-Chuan; Gu, Li-Sha; Tian, Fu-Cong; Arola, Dwayne D; Chen, Ji-Hua; Jiao, Yang; Pashley, David H; Niu, Li-Na; Tay, Franklin R

    2017-07-15

    Limitations associated with wet-bonding led to the recent development of a selective demineralization strategy in which dentin was etched with a reduced concentration of phosphoric acid to create exclusive extrafibrillar demineralization of the collagen matrix. However, the use of acidic conditioners removes calcium via diffusion of very small hydronium ions into the intrafibrillar collagen water compartments. This defeats the purpose of limiting the conditioner to the extrafibrillar space to create a collagen matrix containing only intrafibrillar minerals to prevent collapse of the collagen matrix. The present work examined the use of polymeric chelators (the sodium salt of polyacrylic acid) of different molecular weights to selectively demineralize extrafibrillar dentin. These polymeric chelators exhibit different affinities for calcium ions (isothermal titration calorimetry), penetrated intrafibrillar dentin collagen to different extents based on their molecular sizes (modified size-exclusion chromatography), and preserve the dynamic mechanical properties of mineralized dentin more favorably compared with completely demineralized phosphoric acid-etched dentin (nanoscopical dynamic mechanical analysis). Scanning and transmission electron microscopy provided evidence for retention of intrafibrillar minerals in dentin surfaces conditioned with polymeric chelators. Microtensile bond strengths to wet-bonded and dry-bonded dentin conditioned with these polymeric chelators showed that the use of sodium salts of polyacrylic acid for chelating dentin prior to bonding did not result in significant decline in resin-dentin bond strength. Taken together, the findings led to the conclusion that a chelate-and-rinse conditioning technique based on extrafibrillar collagen demineralization bridges the gap between wet and dry dentin bonding. The chelate-and-rinse dental adhesive bonding concept differentiates from previous research in that it is based on the size

  15. Sealing properties of a self-etching primer system to normal caries-affected and caries-infected dentin.

    Science.gov (United States)

    Lee, Kwang-Won; Son, H-H; Yoshiyama, Masatoshi; Tay, Franklin R; Carvalho, Ricardo M; Pashley, David H

    2003-09-01

    To compare the ability of an experimental antibacterial self-etching primer adhesive system to seal exposure sites in normal, caries-affected and caries-infected human dentin. 30 extracted human third molars were used within 1 month of extraction. 10 intact normal teeth comprised the normal group. 20 teeth with occlusal caries that radiographically extended halfway to the pulp were excavated using caries-detector solution (CDS) and a #4 round carbide bur in a slowspeed handpiece. Half of those teeth were fully excavated free of CDS-stained material without exposing the pulp, and were designated as the caries-affected dentin group. The remaining 10 teeth were excavated as close to the pulp as possible without obtaining an exposure, but whose dentin continued to stain red with CDS; this group was designated as the caries-infected dentin group. The remaining dentin thickness in all of the specimens in the other two groups was then reduced to the same extent as the caries-infected group. Direct exposures of the pulp chamber were made with a 1/4 round bur in the normal dentin or a 25 gauge needle in the other two groups. After measuring the fluid flow through the exposure, the sites were then sealed with an experimental antibacterial fluoride-containing self-etching primer adhesive systems (ABF). Fluid conductance was remeasured every week for 16 weeks. The fluid conductance through the exposure fell 99% in all groups following resin sealing. The seals of normal and caries-affected dentin remained relatively stable over the 16 weeks, while the seals of caries-infected dentin gradually deteriorated, reaching significance at 8 weeks. TEM examination revealed very thin (ca. 0.5 mm) hybrid layers in normal dentin, 3-4 microm thick hybrid layers in caries-affected dentin and 40 microm thick hybrid layers in caries-infected dentin. The tubules of caries-infected dentin were enlarged and filled with bacteria. Resin tags passed around these bacteria in the top 20-40 microm

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

    International Nuclear Information System (INIS)

    Magalhaes, Manoelita Figueiredo de

    2001-01-01

    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 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 the

  17. Comparative Evaluation of Fluoridated Mouthwash and Sodium Bicarbonate in Management of Dentin Hypersensitivity: An In Vitro SEM Study.

    Science.gov (United States)

    Rikame, Vasundhara; Doshi, Yogesh; Horowitz, Robert A; Kevadia-Shah, Vidhi; Shah, Mona

    2018-01-01

    Sodium bicarbonate (ie, baking soda) can be used as an adjunct to surgical periodontal therapy to reduce dentin hypersensitivity (DH). Sodium bicarbonate mouthwash has numerous appealing attributes, including high availability, low cost, low abrasivity, water solubility, buffering capability, and, in high concentrations, antimicrobial properties. It is also safe to use. The primary underlying cause of DH is open dentinal tubules from loss of either cementum or enamel. The aim of this in vitro study was to evaluate, through scanning electron microscopic examination, the effect of sodium bicarbonate on dentinal tubule occlusion and compare it with that of fluoridated mouthwash.

  18. Color management of porcelain veneers: influence of dentin and resin cement colors.

    Science.gov (United States)

    Dozic, Alma; Tsagkari, Maria; Khashayar, Ghazal; Aboushelib, Moustafa

    2010-01-01

    Porcelain veneers have become an interesting treatment option to correct the shape and color of anterior teeth. Because of their limited thickness and high translucency, achieving a good color match is influenced by several variables. The aim of this work was to investigate the influence of natural dentin and resin cement colors on final color match of porcelain veneers. A preselected shade tab (A1) was chosen as the target color for a maxillary central incisor, and its color parameters (L*a*b*) were measured using a digital spectrophotometer (SpectroShade, MHT). Nine natural dentin colors (Natural Die Material, Ivoclar Vivadent) representing a wide range of tooth colors were used to prepare resin replicas of the maxillary central incisor with a standard preparation for porcelain veneers. The prepared porcelain veneers (IPS Empress Esthetic, A1, 0.6 mm thick, Ivoclar Vivadent) were cemented on the resin dies (nine groups of natural dentin colors) using seven shades of resin cement (Variolink Veneers, Ivoclar Vivadent). The L*a*b* values of the cemented veneers were measured, and DE values were calculated against the preselected target color (A1). DE greater than 3.3 was considered as a significant color mismatch detectable by the human eye. The seven shades of resin cement had no significant influence on the final color of the veneers, as the measured DE values were almost identical for every test group. On the other hand, the color of natural dentin was a significant factor that influenced final color match. None of the 63 tested combinations (nine natural dentin colors and seven resin cement colors) produced an acceptable color match. Thin porcelain veneers cannot mask underlying tooth color even when different shades of resin cement are used. Incorporation of opaque porcelain (high chroma) may improve final color match.

  19. Bond Stability of a Universal Adhesive System to Eroded/Abraded Dentin After Deproteinization.

    Science.gov (United States)

    Augusto, M G; Torres, Crg; Pucci, C R; Schlueter, N; Borges, A B

    Erosive/abrasive challenges can potentially compromise bonding to dentin. Aiming to improve the quality and stability of bonding to this substrate, this study investigated the combined effect of erosion and toothbrush abrasion on the microtensile bond strength (μTBS) stability to dentin using a universal adhesive system in total and self-etching modes, associated or not associated with deproteinization. Bovine dentin specimens were divided into five groups according to the organic matrix condition (n=20): control (C); erosion (E); erosion + abrasion (EA); erosion + sodium hypochlorite (EH); erosion + abrasion + sodium hypochlorite (EAH). The groups were further divided (n=10) according to the mode of application (total or self-etching) of a universal adhesive. After the bonding procedure, composite blocks were built up, and the samples were cut to obtain sticks for μTBS testing. For each specimen, one-half of the sticks was immediately tested, and the other one-half was tested after artificial aging (5000 thermocycles, 5°C and 55°C). Three-way analysis of variance (α=5%) showed a significant difference for the triple interaction ( p=0.0007). Higher μTBS means were obtained for the EH and EAH groups compared with the E and EA groups. The control group showed immediate μTBS values similar to that of the E and EA groups for both bond strategies. Erosion and erosion/abrasion did not significantly influence the immediate μTBS to dentin. Artificial aging reduced μTBS values for the groups C, E, and EA using the total-etching mode. Deproteinization maintained the bond stability to artificially aged eroded and eroded/abraded dentin.

  20. Effect of LASER Irradiation on the Shear Bond Strength of Zirconia Ceramic Surface to Dentin

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    Sima Shahabi

    2012-09-01

    Full Text Available Background and Aims: Reliable bonding between tooth substrate and zirconia-based ceramic restorations is always of great importance. The laser might be useful for treatment of ceramic surfaces. The aim of the present study was to investigate the effect of laser irradiation on the shear bond strength of zirconia ceramic surface to dentin. Materials and Methods: In this experimental in vitro study, 40 Cercon zirconia ceramic blocks were fabricated. The surface treatment was performed using sandblasting with 50-micrometer Al2O3, CO2 laser, or Nd:YAG laser in each test groups. After that, the specimens were cemented to human dentin with resin cement. The shear bond strength of ceramics to dentin was determined and failure mode of each specimen was analyzed by stereo-microscope and SEM investigations. The data were statistically analyzed by one-way analysis of variance and Tukey multiple comparisons. The surface morphology of one specimen from each group was investigated under SEM. Results: The mean shear bond strength of zirconia ceramic to dentin was 7.79±3.03, 9.85±4.69, 14.92±4.48 MPa for CO2 irradiated, Nd:YAG irradiated, and sandblasted specimens, respectively. Significant differences were noted between CO2 (P=0.001 and Nd:YAG laser (P=0.017 irradiated specimens with sandblasted specimens. No significant differences were observed between two laser methods (P=0.47. The mode of bond failure was predominantly adhesive in test groups (CO2 irradiated specimens: 75%, Nd:YAG irradiated: 66.7%, and sandblasting: 41.7%. Conclusion: Under the limitations of the present study, surface treatment of zirconia ceramics using CO2 and Nd:YAG lasers was not able to produce adequate bond strength with dentin surfaces in comparison to sandblasting technique. Therefore, the use of lasers with the mentioned parameters may not be recommended for the surface treatment of Cercon ceramics.

  1. Dentinal tubule occluding capability of nano-hydroxyapatite; The in-vitro evaluation.

    Science.gov (United States)

    Baglar, Serdar; Erdem, Umit; Dogan, Mustafa; Turkoz, Mustafa

    2018-04-29

    In this in-vitro study, the effectiveness of experimental pure nano-hydroxyapatite (nHAP) and 1%, 2%, and 3% F¯ doped nano-HAp on dentine tubule occlusion was investigated. And also, the cytotoxicity of materials used in the experiment was evaluated. Nano-HAp types were synthesized by the precipitation method. Forty dentin specimens were randomly divided into five groups of; 1-no treatment (control), 2-specimens treated with 10% pure nano-HAp and 3, 4, 5 specimens treated with 1%, 2%, and 3% F - doped 10% nano-HAp, respectively. To evaluate the effectiveness of the materials used; pH, FTIR, and scanning electron microscopy evaluations were performed before and after degredation in simulated body fluid. To determine cytotoxicity of the materials, MTT assay was performed. Statistical evaluations were performed with F and t tests. All of the nano-HAp materials used in this study built up an effective covering layer on the dentin surfaces even with plugs in tubules. It was found that this layer had also a resistance to degradation. None of the evaluated nano-HAp types were have toxicity. Fluoride doping showed a positive effect on physical and chemical stability until a critical value of 1% F - . The all evaluated nano-HAp types may be effectively used in dentin hypersensitivity treatment. The formed nano-HAp layers were seem to resistant to hydrolic deletion. The pure and 1% F - doped nano-HAp showed the highest biocompatibility thus it was assessed that pure and 1% F - doped materials may be used as an active ingredient in dentin hypersensitivity agents. © 2018 Wiley Periodicals, Inc.

  2. Comparison of Dentinal Crack Formation With Reciproc, Mtwo and ProTaper Root Canal Preparation Systems

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    Nazari Moghaddam

    2016-06-01

    Full Text Available Background Instrumentation with rotary instruments could potentially cause dentinal cracks possibly leading to tooth fracture. Reciproc files require a single file to finalize the root canal preparation and the effect of this procedure has not been compared with other systems. Objectives The aim of this study was to compare the incidence of dentinal micro-cracks following root canal preparations with ProTaper, Mtwo and Reciproc files. Materials and Methods In an experimental in vitro trial, 80 maxillary and mandibular first molars were selected and their crowns and distal roots were cut. The roots were then examined to remove any previous cracks and defects. An impression polyether material was used to simulate teeth periodontal ligament (PDL. The teeth were divided to four experimental groups (n = 20 and prepared using Reciproc, Mtwo and ProTaper or remained unprepared as a control group. The specimens were then sectioned horizontally on 3, 5 and 9 mm from the apex and number of micro-cracks was determined by stereomicroscope. The incidence of dentinal cracks on different systems or sections were statistically analyzed by means of the chi-square test. Results Dentinal defects on 3-mm, 5-mm and 9-mm sections from the apex were noted in 10 (5.6%; 7 (3.9% and 9 (5.0% samples of all, respectively. Following canal preparation using Reciproc, ProTaper and Mtwo systems, the defects were observed in 7 (3.9%, 12 (6.7% and 7 (3.9% the sections, respectively. No significant differences were observed regarding the defect incidence on the studied instrumentation files or sections. Conclusions Regarding the study limitations, dentinal cracks were observed in all files and distances from the apex. Although there was more crack incidence in ProTaper files, no significant differences were noted regarding the studied systems and sections from the apex.

  3. Effectiveness of immediate bonding of etch-and-rinse adhesives to simplified ethanol-saturated dentin

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    Leandro Afonso Guimarães

    2012-04-01

    Full Text Available This study examined the immediate bond strength of etch-and-rinse adhesives to demineralized dentin saturated with either water or absolute ethanol. The research hypothesis was that there would be no difference in bond strength to dentin between water or ethanol wet-bonding techniques. The medium dentin of 20 third molars was exposed (n = 5. The dentin surface was then acid-etched, left moist and randomly assigned to be saturated via either water wet-bonding (WBT or absolute ethanol wet-bonding (EBT. The specimens were then treated with one of the following etch-and-rinse adhesive systems: a 3-step, water-based system (Adper Scotchbond Multipurpose, or SBMP or a 2-step, ethanol/water-based system (Adper Single Bond 2, or SB. Resin composite build-ups were then incrementally constructed. After water storage for 24 h at 37°C, the tensile strength of the specimens was tested in a universal testing machine (0.5 mm/min. Data were analyzed by two-way ANOVA and Tukey's test (a = 5%. The failure modes were verified using a stereomicroscope (40'. For both adhesives, no significant difference in bond strength was observed between WBT and EBT (p > 0.05. The highest bond strength was observed for SB, regardless of the bonding technique (p < 0.05. No significant interaction between adhesives and bonding techniques was noticed (p = 0.597. There was a predominance of adhesive failures for all tested groups. The EBT and WBT displayed similar immediate bond strength means for both adhesives. The SB adhesive exhibited higher means for all conditions tested. Further investigations are needed to evaluate long-term bonding to dentin mediated by commercial etch-and-rinse adhesives using the EBT approach.

  4. Spectroscopic and thermal characterization of bovine enamel and dentine using the photoacoustic effect

    International Nuclear Information System (INIS)

    Stolf, Sandro Fernando

    2003-01-01

    The optical and thermal properties of dental tissues determine the nature and extent of the tissue response through the processes of absorption, transmission, reflection and scattering of the laser light and the heat produced by the absorption of that light. The spectroscopic characterization of bovine dentine and enamel, and the determination of the thermal diffusivity were the aim of this study. The photoacoustic spectra from these tissues were obtained in the Near-Infrared range 900 - 2500 nm, which is the clinical range for odontological application of most lasers. Photoacoustic spectra were taken from block, slices and powder of enamel and dentine. Also photoacoustic spectra were registered before and after 2, 5 and 10 h of topical fluoride (2.26%) application. Using the same technique spectra were taken from dentine and enamel after irradiation with Nd:YAG, Er:YAG, Ho:YLF and CO 2 . It is evident from the results that the presence of O-H in the composition of hydroxyapatite and the water present in the teeth tissue make the obtention of spectrum from components other than O-H bond a very difficult task. In this way, only bands assigned to overtones and combinations of O-H stretch were observed. The thermal diffusivity of the bovine dentine was also measured using the photoacoustic technique. The thermal diffusivity is the physical quantity which measures the rate of heat diffusion throughout the sample. For higher values of the thermal diffusivity the heat diffusion and temperature rise will be faster. As there is many studies devoted to the processes of heat transfer throughout dental tissues using bovine teeth, it is important the determination of its thermal diffusivity. The measured value was found to be a = 2.0 (±0.1).1O -3 cm 2 /s for the both direction, perpendicular and parallel to the dentinal tubules. These a lues indicate that there is no difference between the thermal diffusivities for the both directions. (author)

  5. Influence of dental restorations and mastication loadings on dentine fatigue behaviour: Image-based modelling approach.

    Science.gov (United States)

    Vukicevic, Arso M; Zelic, Ksenija; Jovicic, Gordana; Djuric, Marija; Filipovic, Nenad

    2015-05-01

    The aim of this study was to use Finite Element Analysis (FEA) to estimate the influence of various mastication loads and different tooth treatments (composite restoration and endodontic treatment) on dentine fatigue. The analysis of fatigue behaviour of human dentine in intact and composite restored teeth with root-canal-treatment using FEA and fatigue theory was performed. Dentine fatigue behaviour was analysed in three virtual models: intact, composite-restored and endodontically-treated tooth. Volumetric change during the polymerization of composite was modelled by thermal expansion in a heat transfer analysis. Low and high shrinkage stresses were obtained by varying the linear shrinkage of composite. Mastication forces were applied occlusally with the load of 100, 150 and 200N. Assuming one million cycles, Fatigue Failure Index (FFI) was determined using Goodman's criterion while residual fatigue lifetime assessment was performed using Paris-power law. The analysis of the Goodman diagram gave both maximal allowed crack size and maximal number of cycles for the given stress ratio. The size of cracks was measured on virtual models. For the given conditions, fatigue-failure is not likely to happen neither in the intact tooth nor in treated teeth with low shrinkage stress. In the cases of high shrinkage stress, crack length was much larger than the maximal allowed crack and failure occurred with 150 and 200N loads. The maximal allowed crack size was slightly lower in the tooth with root canal treatment which induced somewhat higher FFI than in the case of tooth with only composite restoration. Main factors that lead to dentine fatigue are levels of occlusal load and polymerization stress. However, root canal treatment has small influence on dentine fatigue. The methodology proposed in this study provides a new insight into the fatigue behaviour of teeth after dental treatments. Furthermore, it estimates maximal allowed crack size and maximal number of cycles for a

  6. CD146 positive human dental pulp stem cells promote regeneration of dentin/pulp-like structures.

    Science.gov (United States)

    Matsui, Mikiko; Kobayashi, Tomoko; Tsutsui, Takeo W

    2018-04-01

    CD146 and STRO-1 are endothelial biomarkers that are co-expressed on the cellular membranes of blood vessels within human dental pulp tissue. This study characterized the percentage of dentin-like structures produced by CD146-positive (CD146 + ) human dental pulp stem cells (DPSCs), compared with their CD146-negative (CD146 - ) counterparts. DPSC populations were enriched using magnetic-activated cell sorting (MACS), yielding CD146 + and CD146 - cells, as well as mixtures composed of 25% CD146 + cells and 75% CD146 - cells (CD146 +/- ). Cell growth assays indicated that CD146 + cells exhibit an approximate 3-4 h difference in doubling time, compared with CD146 - cells. Cell cycle distributions were determined by flow cytometry analysis. The low percentage of CD146 + cells' DNA content in G 0 /G 1 phase were compared with CD146 - and non-separated cells. In contrast to CD146 - and non-separated cells, prompt mineralization was observed in CD146 + cells. Subsequently, qRT-PCR revealed high mRNA expression of CD146 and Alkaline phosphatase in mineralization-induced CD146 + cells. CD146 + cells were also observed high adipogenic ability by Oil red O staining. Histological examinations revealed an increased area of dentin/pulp-like structures in transplanted CD146 + cells, compared with CD146 - and CD146 +/- cells. Immunohistochemical studies detected dentin matrix protein-1 (DMP1) and dentin sialophosphoprotein (DSPP), as well as human mitochondria, in transplanted DPSCs. Co-expression of CD146 and GFP indicated that CD146 was expressed in transplanted CD146 + cells. CD146 + cells may promote mineralization and generate dentin/pulp-like structures, suggesting a role in self-renewal of stem cells and dental pulp regenerative therapy.

  7. Light-emitting diode assessment of dentinal defects: the role of presumed extraction forces

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    Marcelo Santos Coelho

    2017-07-01

    Full Text Available Objectives The evaluation of iatrogenic dentinal defects in extracted teeth may be influenced by extraction forces and prolonged dry times. The purpose of this study was to compare the presence of dentinal defects in freshly extracted, periodontally compromised teeth with those in a group of teeth with uncontrolled extraction forces and storage time. Materials and Methods The experimental group consisted of eighteen roots obtained from teeth extracted due to periodontal reasons with class II or III mobility. They were kept in saline and sectioned within 1 hour following extraction. The control group consisted of matched root types obtained from an anonymous tooth collection, consistent with previous dentinal defect studies. The slices were obtained at 3, 6, and 9 mm from the apex. The imaging process exposed all specimens to no more than 60 seconds of dry time. The × 12.8 magnification was used for the 9 mm slices and × 19.2 magnification for the 3 mm and 6 mm slices under light-emitting diode (LED transillumination. The root canal spaces and periodontal tissues were masked to minimize extraneous factors that might influence the evaluators. Chi-square test was used for statistical analysis. Results Dentinal defects were detected in 17% of the experimental group teeth, compared to 61% of control teeth (p = 0.015. Conclusions LED transillumination assessment of freshly extracted roots with class II or III mobility showed smaller number of dentinal defects than roots with uncontrolled storage time and extraction forces. The use of freshly extracted roots with mobility should be considered for future dental defect assessment studies.

  8. Effect of tooth whitening strips on fatigue resistance and flexural strength of bovine dentin in vitro.

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    Laura E Tam

    Full Text Available To determine the effects of whitening strips on bovine dentin fatigue resistance and flexural strength in vitro.A total of eighty bovine dentin specimens (2x2x17mm were treated with either: control glycerine gel on plastic film wrap or whitening strips containing 9.5% hydrogen peroxide. Treatment was applied for 30 minutes, twice a day, for 1- or 4-weeks. After the last treatment, ten specimens per group were randomly selected to undergo fatigue testing (106 cycles, 3Hz, 20N while the other ten were subjected to flexural strength testing after ten days of storage in artificial saliva. Kaplan-Meier method with a log rank test, Wilcoxon test and Cox regression were used to assess fatigue test results (p<0.05. One-way ANOVA and Tukey's tests were used to compare the flexural strength results (p<0.05.There were significant differences in survival during the fatigue test among the groups (p<0.001. Treatment (control or bleach was a significant factor for specimen survival (p<0.001, Exp(B = 33.45. There were significant differences in mean flexural strength (p<0.001. No significant difference was found between "1-wk control" and "4-wk control". The mean flexural strength and fatigue resistance of the "4-wk bleach" were significantly lower than all the other groups.The use of whitening strips reduced the fatigue resistance and flexural strength of bovine dentin in vitro. Until the effect of whitening strips on mechanical properties of human dentin is fully elucidated, it remains prudent to advise patients to avoid excessive direct use of whitening strips on dentin.

  9. Structure-property relations and crack resistance at the bovine dentin-enamel junction.

    Science.gov (United States)

    Lin, C P; Douglas, W H

    1994-05-01

    The present report is a study of the fracture behavior of the dentin-enamel complex, involving enamel, dentin, and the dentin-enamel junction (DEJ), that combines experimental design, computational finite element analysis, and fractography. Seven chevron-notched short-bar bovine DEJ specimens were utilized in this study. The general plane of the DEJ was approximately perpendicular to the fracture plane. All specimens were stored at 37 degrees C and 100% relative humidity for 24 h prior to being tested. A fracture test set-up was designed for application of tensile load on the DEJ specimens to initiate a crack at the vertex of the chevron in the enamel, across the DEJ zone and into the bulk dentin. During fracture testing, a water chamber was used to avoid dehydration of the specimen. The results showed that the lower boundary value of the fracture toughness of the DEJ perpendicular to its own plane was 3.38 +/- 0.40 MN/m1.5 and 988.42 +/- 231.39 J/m2, in terms of KIC and GKC, respectively. In addition, there was an extensive plastic deformation (83 +/- 12%) collateral to the fracture process at the DEJ zone. The fractography revealed that the deviation of the crak path involved an area which was approximately 50-100 microns deep. The parallel-oriented coarse collagen bundles with diameters of 1-5 microns at the DEJ zone may play a significant role in resisting the enamel crack. This reflects the fact, that in the intact tooth, the multiple full thickness cracks commonly found in enamel do not typically cause total failure of the tooth by crack extension into the dentin.

  10. No-waiting dentine self-etch concept-Merit or hype.

    Science.gov (United States)

    Huang, Xue-Qing; Pucci, César R; Luo, Tao; Breschi, Lorenzo; Pashley, David H; Niu, Li-Na; Tay, Franklin R

    2017-07-01

    A recently-launched universal adhesive, G-Premio Bond, provides clinicians with the alternative to use the self-etch technique for bonding to dentine without waiting for the adhesive to interact with the bonding substrate (no-waiting self-etch; Japanese brochure), or after leaving the adhesive undisturbed for 10s (10-s self-etch; international brochure). The present study was performed to examine in vitro performance of this new universal adhesive bonded to human coronal dentine using the two alternative self-etch modes. One hundred and ten specimens were bonded using two self-etch application modes and examined with or without thermomechanical cycling (10,000 thermal cycles and 240,000 mechanical cycles) to simulate one year of intraoral functioning. The bonded specimens were sectioned for microtensile bond testing, ultrastructural and nanoleakage examination using transmission electron microscopy. Changes in the composition of mineralised dentine after adhesive application were examined using Fourier transform infrared spectroscopy. Both reduced application time and thermomechanical cycling resulted in significantly lower bond strengths, thinner hybrid layers, and significantly more extensive nanoleakage after thermomechanical cycling. Using the conventional 10-s application time improved bonding performance when compared with the no-waiting self-etch technique. Nevertheless, nanoleakage was generally extensive under all testing parameters employed for examining the adhesive. Although sufficient bond strength to dentine may be achieved using the present universal adhesive in the no-waiting self-etch mode that does not require clinicians to wait prior to polymerisation of the adhesive, this self-etch concept requires further technological refinement before it can be recommended as a clinical technique. Although the surge for cutting application time to increase user friendliness remains the most frequently sought conduit for advancement of dentine bonding

  11. Microtensile bond strength of contemporary adhesives to primary enamel and dentin.

    Science.gov (United States)

    Marquezan, Marcela; da Silveira, Bruno Lopes; Burnett, Luiz Henrique; Rodrigues, Célia Regina Martins Delgado; Kramer, Paulo Floriani

    2008-01-01

    The purpose of this study was to assess bond strength of three self-etching and two total-etch adhesive systems bonded to primary tooth enamel and dentin. Forty extracted primary human molars were selected and abraded in order to create flat buccal enamel and occlusal dentin surfaces. Teeth were assigned to one of the adhesive systems: Adper Scotch Bond Multi Purpose, Adper Single Bond 2, Adper Prompt L-Pop, Clearfil SE Bond and AdheSE. Immediately to adhesive application, a composite resin (Filtek Z250) block was built up. After 3 months of water storage, each sample was sequentially sectioned in order to obtain sticks with a square cross-sectional area of about 0.72 mm2. The specimens were fixed lengthways to a microtensile device and tested using a universal testing machine with a 50-N load cell at a crosshead speed of 0.5 mm/min. Microtensile bond strength values were recorded in MPa and compared by Analysis of Variance and the post hoc Tukey test (a = 0.05). In enamel, Clearfil SE Bond presented the highest values, followed by Adper Single Bond 2, AdheSE and Adper Scotch Bond Multi Purpose, without significant difference. The highest values in dentin were obtained with Adper Scotch Bond Multi Purpose and all other adhesives did not present significant different values from that, except Adper Prompt L-Pop that achieved the lowest bond strength in both substrates. Adper Scotch Bond Multi Purpose and Adper Single Bond 2 presented significantly lower values in enamel than in dentin although all other adhesives presented similar results in both substrates. contemporary adhesive systems present similar behaviors when bonded to primary teeth, with the exception of the one-step self-etching system; and self-etching systems can achieve bond strength values as good in enamel as in dentin of primary teeth.

  12. Assessment of enamel-dentin caries lesions detection using bitewing PSP digital images

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    Marianna Guanaes Gomes Torres

    2011-10-01

    Full Text Available OBJECTIVES: The aim of this study was to evaluate the detection of enamel-dentin occlusal caries using photostimulable phosphor plates. MATERIAL AND METHODS: The ability to detect enamel-dentin occlusal caries in 607 premolars and molars from 47 patients between 10 and 18 years old, referred to the School of Dentistry of the Federal University of Bahia, Brazil, was evaluated based on clinical and radiographic examinations, using the criteria proposed in a previous study. A total of 156 bitewing digital images were obtained using Digora® (Soredex Medical Systems, Helsinki, Finland phosphor plates. The plates were scanned and the images were captured and displayed on a computer screen. Image evaluation was done using Digora® for Windows 2.1 software, Soredex®. The radiologists were allowed to use enhancement tools to obtain better visibility during scoring of the teeth based on the radiographic criteria proposed in a previous study. Descriptive analysis and chi-squared proportion tests were done at 5% significance level. RESULTS: The results of clinical examination showed a higher prevalence of teeth with a straight dark line or demineralization of the occlusal fissure (score 1 and a lower prevalence of sealed teeth (score 5. In the bitewing digital images, 47 teeth presented visible radiolucency, circumscribed, in dentin under occlusal enamel (enamel-dentin caries lesions. CONCLUSIONS: Correlating the clinical and radiographic findings, it was found that in the majority of teeth diagnosed by radiographic images as having enamel-dentin caries, no caries could be detected by clinical examination.

  13. Perfil de mortalidade por causas externas entre Adventistas do Sétimo Dia e a população geral

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    Ana Paula Costa Velten

    Full Text Available Resumo Este estudo teve por objetivo comparar o perfil de mortalidade por causas externas entre Adventistas do Sétimo Dia e população geral do Espírito Santo no período de 2003 a 2009. Realizou-se busca dos Adventistas no banco nominal do Sistema de Informação sobre Mortalidade de posse das informações dos Adventistas fornecidas pelas sedes administrativas da instituição. Os óbitos por causas externas ocorridos no período estudado foram então separados em dois grupos: Adventistas e população geral. Os Adventistas apresentaram menor mortalidade proporcional por causas externas (10% que a população geral (19%, sendo o sexo masculino o principal responsável por essa diferença. Em ambos os grupos os óbitos predominaram na faixa de 20 a 29 anos. As mortes por causas acidentais foram mais expressivas entre os Adventistas (68,08% enquanto as mortes por causas intencionais relacionadas às agressões e lesões autoprovocadas foram mais significativas na população geral (53,67% de todas as mortes. A razão de mortalidade padronizada para as causas externas foi 41,3, sendo assim ser Adventista reduziu a mortalidade em 58,7%. Acredita-se que o benefício dos Adventistas verificado em relação à mortalidade por causas externas possa estar relacionado à recomendação de abstinência do consumo de álcool por esse grupo.

  14. Causas de fallo en la implantación del TPM y modelo de puesta en marcha integrador

    Directory of Open Access Journals (Sweden)

    Rafael Mateo Martínez

    2010-02-01

    Full Text Available Las empresas modernas precisan ser competitivas para sobrevivir en el mercado, por este motivo muchas compañías se plantean estrategias como el TPM (Total Productive Maintenance para la obtención de mejoras tangibles e intangibles en la organización que les ayuden a afrontar las dificultades del negocio. La gran mayoría de las organizaciones no son capaces de acometer con éxito la implantación del TPM, por no considerar las causas de fallo que se pueden presentar durante las diferentes etapas de desarrollo del modelo de implantación. El presente trabajo de investigación define, mediante un análisis de las publicaciones y estudios de caso existentes, un modelo genérico de implantación del TPM, y recopila las barreras, facilitadores y causas más comunes de fallo que se deben de tener en cuenta en cada etapa de su desarrollo y que pueden afectar al éxito de la implementación

  15. Poly (amido amine) and nano-calcium phosphate bonding agent to remineralize tooth dentin in cyclic artificial saliva/lactic acid

    Energy Technology Data Exchange (ETDEWEB)

    Liang, Kunneng [State Key Laboratory of Oral Diseases, West China Hospital of Stomatology, Sichuan University, Chengdu 610041 (China); Department of Endodontics, Periodontics and Prosthodontics, University of Maryland School of Dentistry, Baltimore, MD 21201 (United States); Weir, Michael D.; Reynolds, Mark A. [Department of Endodontics, Periodontics and Prosthodontics, University of Maryland School of Dentistry, Baltimore, MD 21201 (United States); Zhou, Xuedong [State Key Laboratory of Oral Diseases, West China Hospital of Stomatology, Sichuan University, Chengdu 610041 (China); Li, Jiyao, E-mail: jiyaoliscu@163.com [State Key Laboratory of Oral Diseases, West China Hospital of Stomatology, Sichuan University, Chengdu 610041 (China); Xu, Hockin H.K., E-mail: hxu@umaryland.edu [Department of Endodontics, Periodontics and Prosthodontics, University of Maryland School of Dentistry, Baltimore, MD 21201 (United States); Center for Stem Cell Biology & Regenerative Medicine, University of Maryland School of Medicine, Baltimore, MD 21201 (United States); Department of Mechanical Engineering, University of Maryland Baltimore County, Baltimore County, MD 21250 (United States)

    2017-03-01

    The objectives of this study were to develop a novel method to remineralize dentin lesions, and investigate the remineralization effects of poly (amido amine) (PAMAM) dendrimer plus a bonding agent with nanoparticles of amorphous calcium phosphate (NACP) in a cyclic artificial saliva/lactic acid environment for the first time. Dentin lesions were produced via phosphoric acid. Four groups were tested: (1) dentin control, (2) dentin with PAMAM, (3) dentin with NACP bonding agent, and (4) dentin with PAMAM plus NACP bonding agent. Specimens were treated with cyclic artificial saliva/lactic acid. The remineralized dentin was examined using scanning electron microscopy (SEM), energy dispersive spectroscopy (EDS), hardness and attenuated total reflection Fourier transform infrared spectroscopy (ATR-FTIR). NACP bonding agent yielded a dentin shear bond strength similar to commercial controls (Prime & Bond NT, Dentsply; Scotchbond Multi-purpose, 3M) (p > 0.1). Increasing NACP in bonding agent from 0 to 40% did not affect bond strength. NACP bonding agent neutralized the acid and released Ca ions with concentrations of 4 to 20 mmol/L, and P ions of 2 to 9 mmol/L. PAMAM or NACP bonding agent alone achieved slight remineralization. The PAMAM + NACP group achieved the greatest dentin remineralization p < 0.05). At 20 days, PAMAM + NACP increased the hardness of pre-demineralized dentin to reach the normal dentin hardness (p > 0.1). In conclusion, superior remineralization of PAMAM + NACP bonding agent was demonstrated for the first time. PAMAM + NACP bonding agent induced dentin remineralization under acid challenge, when conventional remineralization methods such as PAMAM alone did not work well. The novel PAMAM + NACP bonding agent method is promising to improve the longevity of resin-dentin bonds, inhibit caries, and protect teeth. - Highlights: • PAMAM induced moderate remineralization for dentin in artificial saliva/lactic acid. • Acid challenge reduced the

  16. Poly (amido amine) and nano-calcium phosphate bonding agent to remineralize tooth dentin in cyclic artificial saliva/lactic acid

    International Nuclear Information System (INIS)

    Liang, Kunneng; Weir, Michael D.; Reynolds, Mark A.; Zhou, Xuedong; Li, Jiyao; Xu, Hockin H.K.

    2017-01-01

    The objectives of this study were to develop a novel method to remineralize dentin lesions, and investigate the remineralization effects of poly (amido amine) (PAMAM) dendrimer plus a bonding agent with nanoparticles of amorphous calcium phosphate (NACP) in a cyclic artificial saliva/lactic acid environment for the first time. Dentin lesions were produced via phosphoric acid. Four groups were tested: (1) dentin control, (2) dentin with PAMAM, (3) dentin with NACP bonding agent, and (4) dentin with PAMAM plus NACP bonding agent. Specimens were treated with cyclic artificial saliva/lactic acid. The remineralized dentin was examined using scanning electron microscopy (SEM), energy dispersive spectroscopy (EDS), hardness and attenuated total reflection Fourier transform infrared spectroscopy (ATR-FTIR). NACP bonding agent yielded a dentin shear bond strength similar to commercial controls (Prime & Bond NT, Dentsply; Scotchbond Multi-purpose, 3M) (p > 0.1). Increasing NACP in bonding agent from 0 to 40% did not affect bond strength. NACP bonding agent neutralized the acid and released Ca ions with concentrations of 4 to 20 mmol/L, and P ions of 2 to 9 mmol/L. PAMAM or NACP bonding agent alone achieved slight remineralization. The PAMAM + NACP group achieved the greatest dentin remineralization p < 0.05). At 20 days, PAMAM + NACP increased the hardness of pre-demineralized dentin to reach the normal dentin hardness (p > 0.1). In conclusion, superior remineralization of PAMAM + NACP bonding agent was demonstrated for the first time. PAMAM + NACP bonding agent induced dentin remineralization under acid challenge, when conventional remineralization methods such as PAMAM alone did not work well. The novel PAMAM + NACP bonding agent method is promising to improve the longevity of resin-dentin bonds, inhibit caries, and protect teeth. - Highlights: • PAMAM induced moderate remineralization for dentin in artificial saliva/lactic acid. • Acid challenge reduced the

  17. The effect of Er:YAG laser irradiation on the bond stability of self-etch adhesives at different dentin depths.

    Science.gov (United States)

    Karadas, Muhammet; Çağlar, İpek

    2017-07-01

    The aim of this study was to evaluate the effect of Er:YAG laser irradiation on the micro-shear bond strength of self-etch adhesives to the superficial dentin and the deep dentin before and after thermocycling. Superficial dentin and deep dentin surfaces were prepared by flattening of the occlusal surfaces of extracted human third molars. The deep or superficial dentin specimens were randomized into three groups according to the following surface treatments: group I (control group), group II (Er:YAG laser; 1.2 W), and group III (Er:YAG laser; 0.5 W). Clearfil SE Bond or Clearfil S 3 Bond was applied to each group's dentin surfaces. After construction of the composite blocks on the dentin surface, the micro-shear bond testing of each adhesive was performed at 24 h or after 15,000 thermal cycles. The data were analyzed using a univariate analysis of variance and Tukey's test (p  0.05). However, deep-dentin specimens irradiated with laser showed significantly higher bond strengths than did control specimens after thermocycling (p adhesives may be altered by the dentin depth. Regardless of the applied surface treatment, deep dentin showed significant bond degradation.

  18. Zinc-Containing Restorations Create Amorphous Biogenic Apatite at the Carious Dentin Interface: A X-Ray Diffraction (XRD) Crystal