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DOAJ Open Access 2025
Application of on-demand aqueous chlorine dioxide solution for non-surgical root canal treatment

Tsuyoshi Shimaoka, Hazuki Maezono, Shunka Ono et al.

Abstract Oral biofilms contribute to apical periodontitis, a major cause of tooth loss. This study evaluated the potential of an on-demand aqueous chlorine dioxide solution, “matching transformation system” (MA-T), as a safer alternative to conventional root canal irrigants. The antibacterial activity of MA-T was assessed against mono-species biofilms (Enterococcus faecalis, Parvimonas micra, Fusobacterium nucleatum), polymicrobial biofilms derived from human supragingival plaque, and an in vitro infected root canal model using E. faecalis. Antibacterial efficacy was evaluated using viable cell counting and confocal laser scanning microscopy (CLSM) to quantify the reduction in bacterial load. Biofilm mass was assessed by crystal violet (CV) staining. Cytotoxicity was evaluated by treating rat osteoblasts and human periodontal ligament fibroblasts with MA-T or NaOCl, followed by assessment of ATP levels and morphological integrity. MA-T eradicated planktonic bacteria, inhibited biofilm formation, and significantly reduced viable bacteria in established biofilms without affecting the total amount of biofilm biomass time-dependently. The infected root canal model showed a substantial decrease in bacterial load. Compared with NaOCl, MA-T-treated cells retained higher ATP levels and normal morphology. MA-T could be a promising root canal irrigant offering effective disinfection and superior biocompatibility, making it a potential alternative to traditional root canal irrigants as NaOCl.

Medicine, Science
DOAJ Open Access 2025
Assessment of the Effect of the Degree of Root Canal Taper on the Fracture Resistance of Endodontically Treated Teeth: An In Vitro Study

Zanwer Abdul, Bestoon Faraj

Objective: To evaluate and compare the fracture resistance of endodontically treated mandibular premolars using two different root canal preparation tapers. Methods: Eighty extracted single canal mandibular premolars were used. The specimens were sectioned for 13-mm roots. Then, all samples were randomly divided into four root canal preparation groups (n=20). Group 1 (n=20): Unprepared (control group). Group 2: A. (n=10) and B.(n=10), preparations with RACE EVO (FKG Dentaire SA, La Chaux de Fonds, Switzerland) rotary instruments up to size 30 taper 0.04, and size 30 taper 0.06, respectively, without obturation. Group 3 (n=20) and Group 4 (n=20): preparations with RACE EVO rotary instruments up to size 30 taper 0.04 and size 30 taper 0.06, respectively, then obturated with AH plus sealer by single cone obturation technique. Mechanical vertical compression testing with a universal testing machine exposed the samples to axial forces. Testing continued at 1 mm/min until samples shattered. The results were statistically analyzed by One-way ANOVA (p<0.05). Results: Different root canal taper preparations did not alter the fracture resistance of endodontically treated teeth in this study. G 1 had the strongest fracture resistance (898.00 N), whereas G 4 had the lowest (763.00 N). The groups did not vary statistically (P > 0.05). Conclusions: Root fracture resistance was unaffected by root canal preparation tapers. Conversely, the taper 0.06 preparations group had the least fracture resistance. The most unrepairable type III fractures were in taper 0.06 preparations.

DOAJ Open Access 2025
The effect of liquid platelet-rich fibrin on oral cells and tissue engineered oral mucosa models in vitro

Krit Rattanawonsakul, George Seleiro, Victoria Workman et al.

Abstract Liquid formulations of platelet-rich fibrin (Liquid-PRF) have been shown to promote oral soft tissue healing for some clinical applications, however, the efficacy of liquid-PRF as a standalone treatment remains uncertain. The aim of the present study was to investigate the effects of liquid-PRF on oral cells in vitro using two-dimensional cell culture and three-dimensional tissue-engineered oral mucosa models. Media was conditioned with liquid-PRF prepared from blood samples and applied to oral fibroblasts, keratinocytes and tissue-engineered oral mucosa models. Metabolic activity, migration, proliferation and epithelial morphology were assessed. Liquid-PRF was shown to be biocompatible, with no cytotoxic effects observed on oral mucosa cells or 3D oral mucosa models. Cytokine analysis confirmed the presence of key growth factors, including PDGF-BB, TGF-β1, and EGF. Liquid-PRF increased oral fibroblast proliferation and promoted keratinocyte migration in 2D cultures. In tissue-engineered oral mucosa models, liquid-PRF showed no significant improvement in metabolic activity, epithelium thickness, morphology or proliferative capacity. The results suggest that growth factors in liquid-PRF were able to stimulate the proliferation and migration of oral mucosa cells in 2D culture, however these effects could not be demonstrated in 3D oral mucosa models. Factors secreted from liquid PRF were able to support the growth of cells and the development and maintenance of a healthy epithelium. Despite improvements in keratinocyte migration and fibroblast proliferation the results from 3D models indicate that factors secreted from liquid-PRF alone may not be sufficient to stimulate oral soft tissue repair.

Medicine, Science
DOAJ Open Access 2024
Doses of fluoride toothpaste for children up to 24 months

Henny Sudradjat, Frederic Meyer, Pascal Fandrich et al.

Abstract Aim The aim of this study was to test the dose of fluoride toothpaste by parents for their children aged up to 24 months. Methods Parents who use fluoride toothpastes for their children were asked to dose two commercially available toothpastes (A and B) with 1000 ppm fluoride each for their children as they would normally do at home. The toothpaste amounts were weighed, and as reference, the weight of an ‘optimal’ grain of rice-size amount of each toothpaste was used. Results 61 parents dosed a mean of 0.263 ± 0.172 g toothpaste A and 0.281 ± 0.145 g toothpaste B. The parents’ mean doses were 5.9 times higher for toothpaste A and 7.2 times higher for toothpaste B than an ‘optimal’ grain of rice-size amount (the reference dose as recommended). The difference between parent’s and reference dose was statistically significant (p < 0.001). Moreover, 39.3% of parents were not aware about conditions of use and warnings that have to be printed on the package of fluoride toothpastes. Conclusion In this study, parents significantly overdosed the toothpaste for their children. To avoid fluoride intake from toothpaste, parents can choose fluoride-free alternatives for the oral care of their infants and toddlers.

DOAJ Open Access 2023
Indian Endodontic Society: Position statement for deep caries management and vital pulp therapy procedures

Ruchika Roongta Nawal, Ajay Logani, Pankaj Sangwan et al.

This position statement on Vital Pulp Therapy (VPT) procedures, endorsed by the Indian Endodontic Society (IES), aims to provide a comprehensive perspective on the management of deep caries and exposed pulp within the realm of endodontic practice. VPT serves as the cornerstone of modern endodontics, particularly with advancements in biomaterials and regenerative methods. Its primary goal is to preserve the vitality of the dental pulp while simultaneously promoting the overall health of the tooth and periapical structures. In the diverse and dynamic landscape of Indian dentistry, the IES recognizes the need for a position statement tailored to the unique needs and challenges encountered by dental practitioners in India. This position statement presents evidence-based recommendations on VPT, considering not only international perspectives from reputed international organizations, but also the distinct factors influencing dental care in India. Drawing upon the collective expertise of the expert committee, this statement addresses key aspects of VPT, including patient selection, accurate diagnosis, effective treatment techniques, and follow-up protocols. While conventional endodontic therapy remains important, IES emphasizes the significance of VPT in well-selected cases. The statement also addresses areas of potential conflict, identifies avenues for future research, and presents the current status based on the best available scientific evidence. By providing a comprehensive overview of VPT, this position statement aims to serve as a valuable guide for dental practitioners, educators, and researchers, fostering optimal patient care and advancing the field of endodontics in India through evidence-based practice and continuous learning.

DOAJ Open Access 2023
Osteogenic and anti-inflammatory effect of the multifunctional bionic hydrogel scaffold loaded with aspirin and nano-hydroxyapatite

Shaoping Li, Yundeng Xiaowen, Yuqing Yang et al.

Although tissue engineering offered new approaches to repair bone defects, it remains a great challenge to create a bone-friendly microenvironment and rebuild bone tissue rapidly by a scaffold with a bionic structure. In this study, a multifunctional structurally optimized hydrogel scaffold was designed by integrating polyvinyl alcohol (PVA), gelatin (Gel), and sodium alginate (SA) with aspirin (ASA) and nano-hydroxyapatite (nHAP). The fabrication procedure is through a dual-crosslinking process. The chemical constitution, crystal structure, microstructure, porosity, mechanical strength, swelling and degradation property, and drug-release behavior of the hydrogel scaffold were analyzed. Multi-hydrogen bonds, electrostatic interactions, and strong “egg-shell” structure contributed to the multi-network microstructure, bone tissue-matched properties, and desirable drug-release function of the hydrogel scaffold. The excellent performance in improving cell viability, promoting cell osteogenic differentiation, and regulating the inflammatory microenvironment of the prepared hydrogel scaffold was verified using mouse pre-osteoblasts (MC3T3-E1) cells. And the synergistic osteogenic and anti-inflammatory functions of aspirin and nano-hydroxyapatite were also verified. This study provided valuable insights into the design, fabrication, and biological potential of multifunctional bone tissue engineering materials with the premise of constructing a bone-friendly microenvironment.

DOAJ Open Access 2022
Variations of root and canal morphology of mandibular second molars in Chinese individuals: a cone-beam computed tomography study

Lin Yang, Jingchao Han, Qibao Wang et al.

Abstract Background The mandibular second molars demonstrate variations on root and canal morphology. The aim of this study was to investigate all the root canal morphology of mandibular second molars and analyze the morphological variations in patients by gender and age in a Chinese population use CBCT imaging. Methods Cone-beam computed tomographic images of 1200 bilateral mandibular second molars were obtained from 600 patients (300 females and 300 males) who required a preoperative assessment for implant surgery, surgical removal of impacted teeth, orthodontic treatment, surgery of maxillofacial tumour and cysts or LeFort I osteotomy. CBCT images were divided into 5 groups according to age: “15–24 years”, “25–34 years”, “35–44 years”, “45–54 years” and “≥ 55 years”; and 2 groups by gender: “females” and “males”. The following information were recorded: the number of roots and canals and their morphology, the frequency and configuration of C-shaped canals by gender, age and position (left and right). The chi-square test was used to analyse differences between groups. P value of < 0.05 was considered statistically significant. Results Of the 1200 teeth, 61% had two separate roots located mesiodistally, 35.6% had one C-shaped root. The 45.3% teeth had three canals in two-rooted mandibular second molars. The mesial root showed a Vertucci type II configuration in 28.9% cases followed by type IV(24.4%). While the distal root showed a significant higher prevalence of type I configuration in 95.6%. In the examined 1200 teeth, 430 teeth (35.8%) had C-shaped root canals. The prevalence of C-shaped root canal systems was significantly higher in females (42.5%) than in males (29.1%) (P = 0.000), and did not differ with age (P = 0.126). The 80.4% C-shaped canals were bilateral (P = 0.000) and did not differ with side (left and right) (P = 0.758). Conclusions The most commonly observed root morphology for the mandibular second molars was 2 separate roots with three canals.The prevalence of C-shaped root canal is 35.8% and is more higher in females than in males.

DOAJ Open Access 2021
The analysis of research methods and results on resistance of nickel-titanium endodontic instruments to torsion load: the systematic review

D. S. Shirokova, Z. S. Khabadze, D. V. Voskresenskaya et al.

Relevance. The objective of this study was to analyze current data concerning research methods and results on resistance of nickel-titanium endodontic instruments to torsion load in order to minimize complications of dental root canal treatment. The use of the nickel -titanium endodontic instruments is a special importance to ensure high-quality dental root canal treatment; it prevents the further contamination of the canals with microorganisms. However, these instruments can form a fracture under torsional load which leads to further complications.Aim. The analysis of research methods and results on resistance of nickel-titanium endodontic instruments to torsion load for minimization complications.Materials and methods. A series of publications in the electronic databases such as Google Scholar, Pub Med was analyzed in the course of a systematic review of the literature. The articles dealing with nickel-titanium endodontic instruments and torsion load that directly influences the quality of dental root canal treatment were included in the paper.Results. 73 articles were viewed during the review. Having analyzed the literature for inclusion criteria, the total number of publications has become 51. There were 16 main methods which demonstrated the influence of torsion load on endodontic instruments. These methods were summarized in the Table 1.Conclusions. As regards literature data, there are a various number of methods which converge to one conclusion: nickel-titanium instruments cannot fully resist torsion load. Fracture is caused approximately in 0,5-5% of cases.

DOAJ Open Access 2021
Complications Following Masseteric Nerve Neurectomy with Radiofrequency for the Treatment of Temporomandibular Disorders—A Case Series and Literature Review

Il-San Cho, Jung Hwan Jo, Ji Woon Park

This article describes two cases of masseteric nerve neurectomy with radiofrequency done with the intention to treat temporomandibular disorders and related symptoms; the patients then visited our clinic complaining of side-effects after the procedure. A literature review was conducted to find scientific evidence relevant to masseteric nerve neurectomy with radiofrequency. A 21-year-old male patient visited with the chief complaint of swelling of both cheeks, dizziness, and generalized lethargy occurring after masseteric nerve neurectomy using radiofrequency. His mouth opening range was restricted. Magnetic resonance imaging indicated post-procedural inflammation with hemorrhage within both masseter muscles. A 28-year-old male patient visited with the chief complaint of occlusal discomfort and disocclusion after masseteric nerve neurectomy using radiofrequency. His occlusion was abnormal with only both second molars occluding. Overbite was −1 mm. Cone-beam computed tomography indicated degenerative joint disease of both condyles. In case 1, pharmacotherapy and physical therapy relieved overall symptoms. In case 2, although exacerbation of symptoms repeatedly occurred, long-term stabilization splint and physical therapy alleviated the temporomandibular disorders symptoms. However, the occlusion remained unstable. Scientific evidence of masseteric nerve neurectomy using radiofrequency for the treatment of temporomandibular disorders is still lacking. Therefore, conservative treatment should remain as the first line approach for temporomandibular disorders.

Technology, Engineering (General). Civil engineering (General)
DOAJ Open Access 2020
An Msx2-Sp6-Follistatin Pathway Operates During Late Stages of Tooth Development to Control Amelogenesis

Intan Ruspita, Intan Ruspita, Pragnya Das et al.

BackgroundAmeloblasts are epithelially derived cells responsible for enamel formation through a process known as amelogenesis. Amongst the several transcription factors that are expressed during amelogenesis, both Msx2 and Sp6 transcription factors play important role. Msx2 and Sp6 mouse mutants, exhibit similar amelogenesis defects, namely enamel hypoplasia, while humans with amelogenesis imperfecta (AI) carry mutations in the human homologues of MSX2 or SP6 genes. These across species similarities in function indicate that these two transcription factors may reside in the same developmental pathway. In this paper, we test whether they work in a coordinated manner to exert their effect during amelogenesis.MethodsTwo different dental epithelial cell lines, the mouse LS8 and the rat G5 were used for either overexpression or silencing of Msx2 or Sp6 or both. Msx2 mutant mouse embryos or pups were used for in vivo studies. In situ hybridization, semi-quantitative and quantitative real time PCR were employed to study gene expression pattern. MatInspector was used to identify several potential putative Msx2 binding sites upstream of the murine Sp6 promoter region. Chromatin Immunoprecipitation (chIP) was used to confirm the binding of Msx2 to Sp6 promoter at the putative sites.ResultsUsing the above methods we identified that (i) Msx2 and Sp6 exhibit overlapping expression in secretory ameloblasts, (ii) Sp6 expression is reduced in the Msx2 mouse mutant secretoty ameloblasts, and (iii) that Msx2, like Sp6 inhibits follistatin expression. Specifically, our loss-of function studies by silencing Msx2 and/or Sp6 in mouse dental epithelial (LS8) cells showed significant downregulation of Sp6 but upregulation of Fst expression. Transient transfection of Msx2 overexpression plasmid, up-regulated Sp6 and downregulated Fst expression. Additionally, using MatInspector, we identified several potential putative Msx2 binding sites, 3.5 kb upstream of the murine Sp6 promoter region. By chIP, we confirmed the binding of Msx2 to Sp6 promoter at these sites, thus suggesting that Sp6 is a direct target of Msx2.ConclusionCollectively, these results show that Sp6 and Msx2 work in a concerted manner to form part of a network of transcription factors that operate during later stages of tooth development controlling ameloblast life cycle and amelogenesis.

DOAJ Open Access 2020
Maksiller Daimi Kesici Dişte İzlenen Çift Diş Oluşumunun Tedavisi: Olgu Raporu

Seda Elmas, Mesut Odabaş

Füzyon ve geminasyon, özellikle süpernumere diş veya hipodontiyle birlikte görüldüğü durumlarda klinik olarak ayırıcı tanı koymak zor olmaktadır. Bu nedenle çoğu araştırmacı bu dişler için “çift diş” terimini kullanmayı tercih etmektedir. Eğer bu dişler komşu iki diş germinin birleşmesi sonucu oluşuyorsa füzyon; tek diş germinin bölünme girişimi sonucu oluşuyorsa geminasyon olarak tanımlanmaktadır. Bu olgu sunumunda daimi üst sol santral dişi etkileyen çift diş olgusunun tedavisi anlatılmaktadır. Yapılan klinik ve radyografik muayeneler sonucunda, bu dişin üst sol santral kesici ile süpernumere dişin füzyonundan oluştuğu belirlenmiştir. Çift diş, komşu santral dişin kron boyutunda olacak şekilde ikiye ayrılarak süpernumere diş, ilgili kökle birlikte çekilmiştir. Bir yıllık takip sonunda sol santral kesici dişin vitalitesinin devam ettiği belirlenmiştir. Bu olgu, çift dişin ayrılmasında doğru teşhisin önemli olduğunu ve konik ışınlı bilgisayarlı tomografi (KIBT) tabanlı verilerin komplike olan tedavi planlanmasında oldukça yararlı olduğunu göstermektedir.

DOAJ Open Access 2020
Knowledge and attitudes of Iranian dental students regarding infection control during the COVID-19 pandemic

Mohammad ESMAEELINEJAD, Majid MIRMOHAMMADKHANI, Amin NAGHIPOUR et al.

Abstract COVID-19 is an emerging and rapidly-evolving situation. This study aimed to measure the level of knowledge and attitude of the Iranian dental students towards COVID-19 and its infection control strategies. This cross-sectional study was designed using a web-based method. The questionnaire associated with COVID-19 was sent to all Iranian students in the clinical course. The extracted data regarding the knowledge and attitude of the students were statistically analyzed. In this study, 531 dental students of the clinical course in 32 Iranian universities were included. The mean age of the participants was 23.13 ± 2.29 years. The average percentage of knowledge and attitude scores were 59.7% (moderate) and 66.0% (neutral), respectively. The association between the attitude of the students and their semesters was statistically significant (r = 0.183, p < 0.001). The age of the students was also significantly associated with their attitudes (r = 0.150, p = 0.001). The outbreak of COVID-19 might resurge due to re-opening of the dental faculties. Training courses on COVID-19 infection prevention strategies should be held for dental students, especially the junior ones, and the guidelines should be sent to all of them.

DOAJ Open Access 2020
ROLE OF FLUID ON THE CONTACT DEFORMATION RESPONSE OF BIOLOGICAL TISSUE

Michael V. Swain

This paper will focus on the role of fluids on the indentation deformation response of tooth and eye tissues. All natural biological materials contain fluid and function in a fluidic environment, which plays a critical role in responding to loading events as well as tissue nutrition. The location of this fluid varies and is considered as both bound and mobile with much of it located in cell compartments that are also able to respond directly to loading. The extent of the fluid content varies from less than 10 % in the case of the highly mineralised enamel to more than 80 % in the case of soft eye tissues. The role of the fluid and its response during loading is also complicated by the hierarchical structure of biological tissues, be they mineralised or not. The mechanisms by which the presence of fluid in these materials influences the mechanical response is still poorly understood and has not been systematically investigated. The present paper presents data generated over many years on both the above biological tissues and attempts to present indications as to the mechanism(s) by which the presence of fluid contributes to the deformation. The situation associated with contact loading with the presence of mobile fluid in the tissues results in a more complex situation than the classic elastic-plastic contact situation, but the latter still forms the basis for much of the analysis of instrumented indentation force-displacement load-unloading curves using various shapes of indenters, especially for mineralised structures. In the case of soft tissues the absence of agreed protocols for interpretation of force-displacement-time responses is restricting clinical/biological applications.

Engineering (General). Civil engineering (General)
DOAJ Open Access 2017
Oral Granular Cell Tumor: Report of Case Series and a Brief Review of the Literature

Karakostas Panayiotis, Matiakis Apostolos, Anagnostou Eleftherios et al.

Background/Aim: The present analysis focuses on examining a case series of eight patients diagnosed with a granular cell tumor located in the oral cavity. Case series: The patients’ clinical states were thoroughly studied, along with the histopathological and immunohistochemical examinations findings. Their surgical treatment and postoperative course are also within the scope of this analysis. Numerous histogenesis theories and the appropriate tumor treatment are mentioned within the article being always in accordance with the relative literature. Conclusions: Oral granular cell tumor is a benign oral disease of possible neural origin commonly located on the tongue. Surgical excision is the treatment of choice. In any case, histological and immunohistochemical examination confirm both the clinical diagnosis and the differential diagnosis between oral squamous cell carcinoma.

DOAJ Open Access 2016
Rapid palatal expansion effects on mandibular transverse dimensions in unilateral posterior crossbite patients: a three-dimensional digital imaging study

Alessandro Ugolini, Tiziana Doldo, Luis T. Huanca Ghislanzoni et al.

Abstract Background The purpose of this controlled study was to investigate indirect effects on mandibular arch dimensions, 1 year after rapid palatal expansion (RPE) therapy. Methods Thirty-three patients in mixed dentition (mean age 8.8 years) showing unilateral posterior crossbite and maxillary deficiency were treated with a RPE (Haas type) cemented on the first permanent molars. Treatment protocol consisted of two turns per day until slight overcorrection of the molar transverse relationship occurred. The Haas expander was kept on the teeth as a passive retainer for an average of 6 months. Study models were taken prior (T1) and 15 months on average (T2) after expansion. A control group of 15 untreated subjects with maxillary deficiency (mean age 8.3 years) was also recorded with a 12-month interval. Stone casts were digitized with a 3D scanner (3Shape, DK). Results In the treated group, both mandibular intermolar distance (+1.9 mm) and mandibular molar angulation (+9°) increased. Mandibular incisor angulation showed an increase of 1.9°. There was little effect on intercanine distance and canine angulation. Controls showed a reduction in transverse arch dimension and a decrease in molar and canine angulation values. Conclusions RPE protocol has indirect widening effects on the mandibular incisors and first molars.

DOAJ Open Access 2013
Congenital gingival cyst of neonate: Dentist′s enigma

Deepak Chauhan, Kapil Rajiv Sharma, Jai Ram Kaundal et al.

Gingival cysts of the newborn are small keratin-filled cysts on the alveolar mucosa of infants that exists at birth. They are remnants of the dental lamina and are usually multiple in numbers, but do not increase in size. The diagnosis is made at the clinical level. Since, this lesion tends to undergo involution or regresses spontaneously within a few weeks or months after birth so unnecessary therapeutic intervention is avoided. Complications are rarely observed. Pain on sucking, refusal to feed and airway obstruction can occur in rare instances. However parents remain anxious about the prevailing condition. Hence they should be reassured by providing suitable information about the simple nature of this lesion.

DOAJ Open Access 2011
A comparative evaluation of efficacy of Punica granatum and chlorhexidine on plaque and gingivitis

Sakshi Ahuja, Vidya Dodwad, Bhavna Jha Kukreja et al.

Background: Periodontal diseases are chronic bacterial infections that lead to gingival inflammation, periodontal tissue destruction, and alveolar bone loss. Acting as powerful allies in the fight against periodontal disease, natural compounds can help safeguard against lethal age-related diseases that emanate from our mouths. Punica granatum (pomegranate) shrub belongs to the Punicaceae family which has been used as an astringent, hemostatic, antidiabetic, antihelmintic, and also for diarrhea and dysentery. The aim of the present work was to investigate the possible efficacy of hydroalcoholic extract from Punica granatum fruit as an antiplaque and antigingivitis agent when compared with chlorhexidine. Materials and Methods: Twenty subjects diagnosed with chronic generalized gingivitis were selected and randomly divided into two groups: Group 1 - Pomegranate mouthwash and Group 2 - Chlorhexidine mouthwash. Punica granatum mouthwash was prepared using raw Punica granatum fruit. Patients were instructed to use the prescribed mouthwash for 15 days. Clinical evaluation was undertaken using the gingival index, the plaque index, and bleeding on probing at baseline, 7 days, and 15 days. Results: The clinical study observed significant improvement in gingival status in both the sites (P<0.05). Subjects using Punica granatum mouthwash showed significant improvement in bleeding and gingivitis score as compared with chlorhexidine. In contrast, Punica granatum was shown not to be so effective in reducing plaque scores. Chlorhexidine still remains as a standard in the reduction of plaque in subjects with gingivitis. Conclusion: Punica granatum mouthwash is beneficial in improving gingival status due to its profound styptic action, with sufficient reduction in plaque scores.

DOAJ Open Access 2005
Surface tension of calcium hydroxide associated with different substances Tensão superficial do hidróxido de cálcio associado a diferentes substâncias

Carlos Estrela, Cyntia Rodrigues de Araújo Estrela, Luiz Fernando Guimarães et al.

The purpose of this study was to evaluate the surface tension of calcium hydroxide (CH) associated with different substances (deionized distilled water, camphorated paramonochlorophenol, 2% chlorhexidine digluconate, Otosporin, 3% sodium lauryl ether sulphate; Furacin, PMC Furacin) using tensiometer. The action of the substances studied on the dentinal structure enhances the property of surface tension. This method consists in the application of force to separate a platinum ring immersed in the substances. Thus, torsion was applied to the screw until the platinum ring separated during substances testing. Considering the methodology applied, the following can be concluded: distilled water alone or associated with CH presented a high surface tension (70.00 and 68.40 dynes/cm); calcium hydroxide in association with anionic detergent showed low surface tension (31.60 dynes/cm); camphorated paramonochlorophenol plus CH presented low surface tension (37.50 dynes/cm); 2% chlorhexidine associated with calcium hydroxide showed high surface tension values (58.00 dynes/cm); Otosporin plus calcium hydroxide showed low surface tension (35.40 dynes/cm); paramonochlorophenol Furacin mixed with calcium hydroxide presented surface tension equal to 45.50 dynes/cm; sodium hypochlorite presented high surface tension (75.00 dynes/cm). Antimicrobial agents more indicated in endodontics, i.e. CH, chlorhexidine and hypochlorite, presented the highest surface tension.<br>Estudou-se a tensão superficial do hidróxido de cálcio associado a diferentes substâncias (água destilada deionizada, paramonoclorofenol canforado, digluconato de clorexidina 2%, Otosporin, sulfato éter lauril sódio 3%, furacin, PMC furacin) usando tensiômetro. O modelo experimental consistiu na aplicação de uma força para separar um anel de platina imerso na superfície das substâncias, exercido por um tensiômetro. Considerando a metodologia aplicada, pode-se concluir: a água destilada isolada ou associada com o hidróxido de cálcio apresenta alta tensão superficial (70,00 e 68,40 dinas/cm); hidróxido de cálcio associado ao detergente aniônico mostrou baixa tensão superficial (31,60 dinas/cm); paramonoclorofenol canforado mais hidróxido de cálcio apresentou baixa tensão superficial (37,50 dinas/cm); clorexidina 2% associada com hidróxido de cálcio mostrou um alto valor de tensão superficial (58,00 dinas/cm); Otosporin mais hidróxido de cálcio mostrou baixa tensão superficial (35,40 dinas/cm); paramonoclorofenol furacin misturado com hidróxido de cálcio apresentou tensão superficial igual a 45,50 dinas/cm; hipoclorito de sódio apresentou alta tensão superficial (75,00 dinas/cm).

DOAJ Open Access 2005
Urgências em odontologia: um estudo retrospectivo

Maria Cristina MUNERATO, Diogo Luís FIAMINGHI, Paulo C. PETRY

Este estudo teve o propósito de realizar um levantamento epidemiológico retrospectivo dos registros de atendimentos do setor de urgência da Faculdade de Odontologia - UFRGS, durante o semestre de 2002/1. Um total de 918 pacientes foi atendido neste período e foram analisados os dados referentes à idade, gênero, história médica pregressa, uso de fármacos, diagnóstico relacionado à queixa e achados estomatológicos, bem como o tratamento de urgência realizado. Foi constatado que: 63,51% dos pacientes tinham entre 21 e 50 anos, com predominância do gênero feminino (65,24%) em relação ao gênero masculino (34,76%); as causas mais freqüentes de atendimentos foram: pulpite, abscesso periapical agudo, cárie profunda, necrose pulpar, cárie, abscesso periodontal e fratura dentária. Os tratamentos mais realizados foram: abertura de câmara, restauração provisória, exodontia e prescrição de medicamento.

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