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Journal of Applied Oral Science, Volume: 16, Número: 3, Publicado: 2008
  • Editorial: the Cochrane Collaboration and Oral Health: a Brazilian experience

    Souza, Raphael F.; Fedorowicz, Zbys; Santos, Carlos F.
  • Dealing with dental implant failures Review

    Levin, Liran

    Resumo em Inglês:

    An implant-supported restoration offers a predictable treatment for tooth replacement. Reported success rates for dental implants are high. Nevertheless, failures that mandate immediate implant removal do occur. The consequences of implant removal jeopardize the clinician's efforts to accomplish satisfactory function and esthetics. For the patient, this usually involves further cost and additional procedures. The aim of this paper is to describe different methods and treatment modalities to deal with dental implant failure. The main topics for discussion include identifying the failing implant, implants replacing failed implants at the exact site, and the use of other restorative options.When an implant fails, a tailor made treatment plan should be provided to each patient according to all relevant variables. Patients should be informed regarding all possible treatment modalities following implant failure and give their consent to the most appropriate treatment option for them.
  • In vitro wear resistance of three types of polymethyl methacrylate denture teeth Original Articles

    Reis, Katia Rodrigues; Bonfante, Gerson; Pegoraro, Luiz Fernando; Conti, Paulo Cesar Rodrigues; Oliveira, Pedro Cesar Garcia de; Kaizer, Osvaldo Bazzan

    Resumo em Inglês:

    The wear resistance of denture teeth is important to the longevity of removable prostheses of edentulous patients. The ability of denture teeth to maintain a stable occlusal relationship over time may be influenced by this property. The purpose of this in vitro study was to evaluate the wear resistance of polymethyl methacrylate (PMMA) denture teeth based on their chemical composition when opposed by a ceramic antagonist. The maxillary canines (n=10) of 3 PMMA denture teeth (Trubyte Biotone, cross-linked PMMA; Trilux, highly cross-linked IPN (interpenetrating polymer network)-PMMA; and Vivodent, highly cross-linked PMMA) were secured in an in vitro 2-body wear-testing apparatus that produced sliding contact of the specimens (4.5 cycles/s, sliding distance of 20 mm, under 37°C running water) against glazed or airborne particle abraded ceramic. Wear resistance was measured as height loss (mm) under 300 g (sliding force) after 100,000 cycles, using a digital measuring microscope. Mean values were analyzed by 2-way ANOVA and Tukey's test (a=0.05). The wear of Trubyte Biotone (0.93 ± 0.14 mm) was significantly higher than that of both other types of teeth tested against abraded ceramic (p<0.05). The Vivodent tooth (0.64 ± 0.17 mm) exhibited the best wear resistance among the denture teeth tested against airborne particle abraded ceramic. There were no statistically significant differences (p>0.05) in wear among the 3 denture teeth evaluated against glazed ceramic. Trilux and Vivodent teeth tested against either glazed or airborne particle abraded ceramic did not differ significantly from each other (p<0.05). All teeth showed significantly more wear against airborne particle abraded ceramic than against glazed ceramic (p<0.05). In conclusion, the three types of PMMA denture teeth presented significantly different wear resistance against the abraded ceramic. The high-strength PMMA denture teeth were more wear-resistant than the conventional PMMA denture tooth.
  • Nasoendoscopy of velopharynx before and during diagnostic therapy Original Articles

    Pegoraro-Krook, Maria Inês; Dutka-Souza, Jeniffer de Cassia Rillo; Marino, Viviane Cristina de Castro

    Resumo em Inglês:

    Nasoendoscopy is an important tool for assessing velopharyngeal function. The purpose of this study was to analyze velar and pharyngeal wall movement and velopharyngeal gap during nasoendoscopic evaluation of the velopharynx before and during diagnostic therapy. Nasoendoscopic recordings of 10 children with operated cleft lip and palate were analyzed according to the International Working Group Guidelines. Ratings of movement of velum and pharyngeal walls, and size, location and shape of gaps were analyzed by 3 speech-language pathologists (SLPs). Imaging was obtained during repetitions of the syllable /pa/ during a single nasoendoscopic evaluation: (a) before diagnostic therapy, and (b) after the children were instructed to impound and increase intraoral air pressure (diagnostic therapy). Once the patients impounded and directed air pressure orally, the displacement of the velum, right, left and posterior pharyngeal walls increased 40, 70, 80, and 10%, respectively. Statistical significance for displacement was found only for right and left lateral pharyngeal walls. Reduction in gap size was observed for 30% of the patients and other 40% of the gaps disappeared. Changes in gap size were found to be statistically significant between the two conditions. In nasoendoscopic assessment, the full potential of velopharyngeal displacement may not be completely elicited when the patient is asked only to repeat a speech stimulus. Optimization of information can be done with the use of diagnostic therapy's strategies to manipulate VP function. Assuring the participation of the SLP to conduct diagnostic therapy is essential for management of velopharyngeal dysfunction.
  • Influence of energy density of different light sources on knoop hardness of a dual-cured resin cement Original Articles

    Piva, Evandro; Correr-Sobrinho, Lourenço; Sinhoreti, Mario Alexandre Coelho; Consani, Simonides; Demarco, Flávio Fernando; Powers, John Michael

    Resumo em Inglês:

    The purpose of this study was to evaluate the Knoop hardness of a dual-cured resin-based luting cement irradiated with different light sources as well energy density through a ceramic sample. Three light-curing unit (LCUs) were tested: tungsten halogen light (HAL), light-emitting diode (LED) and xenon plasma-arc (PAC) lamp. Disc-shaped specimens were fabricated from a resin-based cement (Enforce). Three energy doses were used by modifying the irradiance (I) of each LCU and the irradiation time (T): 24 Jcm-2 (I/2x2T), 24 Jcm-2 (IxT) and 48 Jcm-2 (Ix2T). Energy doses were applied through a 2.0-mm-thick ceramic sample (Duceram Plus). Three groups underwent direct irradiation over the resin cement with the different LCUs and a chemically-activated group served as a control. Thirteen groups were tested (n=10). Knoop hardness number (KHN) means were obtained from cross-sectional areas. Two-way ANOVA and the Holm-Sidak method were used for statistical comparisons of activation mode and energy doses (a=5%). Application of 48 J.cm-2 energy dose through the ceramic using LED (50.5±2.8) and HAL (50.9±3.7) produced significantly higher KHN means (p<0.05) than the control (44.7±3.8). LED showed statistically similar performance to HAL. Only HAL showed a relationship between the increase of LCU energy dose and hardness increase.
  • Prenatal dental care: evaluation of professional knowledge of obstetricians and dentists in the cities of Londrina/PR and Bauru/SP, Brazil, 2004 Original Articles

    Zanata, Régia Luzia; Fernandes, Karen Barros Parron; Navarro, Patrícia Silva Lopes

    Resumo em Inglês:

    The purpose of this study was to assess the current knowledge and recommendations of obstetricians and dentists as to the dental care to pregnant patients in the cities of Londrina/PR and Bauru/SP, Brazil. Questionnaires were distributed to professionals of both cities, arguing on the following issues: oral health during pregnancy; contact between prenatal care and dental care providers; prenatal fluoride supplementation; selection of therapeutic agents for local anesthesia, pain control and treatment of infection; and dental procedures that can be performed during each trimester. Data were analyzed by frequency of responses and statistical analyses were carried out using X² (type of workplace/service) and t test (time since graduation), significant if p<0.05. Seventy-nine obstetricians and 37 dentists responded the questionnaires. Most physicians referred the patient to dental care only when a source of dental problem was mentioned, limiting the adoption of a preventive approach. Forty-three percent of dentists and 34% of obstetricians did not know the potential contribution of periodontal infection as a risk factor for preterm low birth-weight babies. There was divergence from scientific literature as to the recommendation of local anesthetics (dentists and obstetricians), prenatal fluoride supplementation (obstetricians) and dental radiographs (dentists). The findings of this survey with dentists and obstetricians showed that dental management during pregnancy still presents some deviations from scientific literature recommendations, indicating the need to update these health care professionals in order to establish guidelines for prenatal dental care.
  • Enamel susceptibility to red wine staining after 35% hydrogen peroxide bleaching Original Articles

    Berger, Sandrine Bittencourt; Coelho, Alessandra Sanchez; Oliveira, Valéria Aparecida Pessatti; Cavalli, Vanessa; Giannini, Marcelo

    Resumo em Inglês:

    Concern has been expressed regarding the staining of enamel surface by different beverages after bleaching. This study investigated the influence of 35% hydrogen peroxide bleaching agents on enamel surface stained with wine after whitening treatments. Flat and polished bovine enamel surfaces were submitted to two commercially available 35% hydrogen peroxide bleaching agents or kept in 100% humidity, as a control group (n = 10). Specimens of all groups were immersed in red wine for 48 h at 37°C, immediately, 24 h or 1 week after treatments. All specimens were ground into powder and prepared for the spectrophotometric analysis. Data were subjected to two-way analysis of variance and Fisher's PLSD test at 5% significance level. The amount of wine pigments uptake by enamel submitted to bleaching treatments was statistically higher than that of control group, independently of the evaluation time. Results suggested that wine staining susceptibility was increased by bleaching treatments.
  • Presence of bacteria in dentinal tubules Original Articles

    Kina, José Ricardo; Kina, Juliana; Kina, Eunice Fumico Umeda; Kina, Mônica; Soubhia, Ana Maria Pires

    Resumo em Inglês:

    This study demonstrated that a significant number of bacteria is present in the radicular dentinal tubules of periodontally diseased human teeth. Ten periodontally diseased teeth were prepared and stained by Brown and Brenn technique for histological examination. Bacteria were detected in all teeth. It is suggested that bacteria may invade dentinal tubules exposed to periodontal pocket and are very hard to be eliminated by conventional mechanical and chemical periodontal therapy. Contaminated dentinal tubules of periodontally diseased teeth can thus act as active bacterial reservoirs to promote recolonization of mechanically treated root surfaces, which could interfere with the periodontal healing and progression of the disease.
  • Pulpal temperature increase with high-speed handpiece, Er:YAG laser and ultrasound tips Original Articles

    Mollica, Fernanda Brandão; Camargo, Fernanda Pelogia; Zamboni, Sandra Costa; Pereira, Sarina Maciel Braga; Teixeira, Symone Cristina; Nogueira Junior, Lafayette

    Resumo em Inglês:

    The aim of this study was to compare intrapulpal temperature increase produced by high-speed handpiece, Er:YAG laser and CVDentus ultrasound tips during cavity preparation. Thirty bovine mandibular incisors with an enamel/dentin thickness of 4 mm at buccal surface had their roots amputated and were allocated to the following groups (n=10): Group I- high-speed handpiece; Group II- noncontact Er:YAG laser (250 mJ/4Hz); and Group III- CVDentus ultrasouns tips. All devices were used with water cooling. Class V cavities were prepared to a depth of 3.5 mm, measured with a periodontal probe. A type T thermocouple was placed inside the pulp chamber to determine the temperature increase (°C), which was recorded by a data acquisition system ADS 2000 IP (Lynx Technology) linked to a notebook computer. Data were analyzed statistically by one-way ANOVA and Tukey's test (p=0.05). The mean temperature rises were: 1.10°C (±0.56) for Group I, 0.84°C (±0.55) for Group II, and 3.00°C (± 1.34) for Group III. There were no statistically significant differences (p>0.05) between Groups I and II, but both of them differed significantly from Group III (p<0.05). In conclusion, the use of Er:YAG laser and high-speed handpiece for cavity preparation resulted in similar temperature increase. Although ultrasound tips generated significantly higher intrapulpal temperature increase, it remained below the critical value of 5.5°C and may be considered safe for use.
  • Influence of application site of provisional cement on the marginal adaptation of provisional crowns Original Articles

    Cardoso, Mayra; Torres, Marcelo Ferreira; Rego, Mariana Ribeiro de Moraes; Santiago, Luiz Carlos

    Resumo em Inglês:

    INTRODUCTION: Marginal discrepancies may lead to cement washout and marginal leakage, damaging periodontal and pulp tissues or causing premature loss of the restoration. PURPOSE: This study evaluated the influence of application site of provisional cement on the marginal adaptation of provisional crowns. MATERIAL AND METHODS: Four different application sites of provisional cement (Temp Bond NE, Kerr Corporation) were used for cementation of provisional crowns on phantom teeth prepared for full crown restorations, performing 4 experimental groups (n=10): cement applied to all internal surfaces of the crown (CAO); cement applied to all internal surfaces of the crown, except for the occlusal surface (CA); cement applied to the cervical crown margin (CM); and cement applied to the cervical tooth margin (TM). A comparison microscope (Mitutoyo America Corporation) was used to measure the distances between the internal tangents of two circular marks, one made on the provisional crown and one made apical to the tooth preparation margin, in areas corresponding to buccal, lingual, mesial and distal surfaces. Marginal adaptation was determined before and after cementation, with 0.0001-mm accuracy. Data were analyzed statistically by ANOVA and Tukey's test at 5% significance level. RESULTS: Mean values of marginal opening obtained for each group were: CAO: 145 µm; CA: 67 µm; CM: 46 µm; TM: 34 µm. CA, CM and TM presented significantly lower marginal openings than CAO (p<0.05). CONCLUSION: complete filling of the crown with provisional cement, including the occlusal surface, provided grater marginal discrepancies when compared to the other methods evaluated.
  • Evaluation of tissue response to periodontal dressings: histological study in tooth sockets of rats Original Articles

    Saito, Célia Tomiko Matida Hamata; Bernabé, Pedro Felício Estrada; Okamoto, Tetuo; Murata, Sueli Satomi; Hamata, Marcelo Matida; Sundefeld, Maria Lúcia Marçal Mazza

    Resumo em Inglês:

    Although the use of periodontal dressings is currently limited, there are some indications for their use. Selection of any material that will have direct contact with live tissues, such as periodontal dressings, should be careful in order to allow surgical wound healing. The aim of this study was to evaluate the intensity of inflammatory response and bone formation in tooth sockets of rats after implantation of three periodontal dressings. After removal of the right maxillary incisors of 84 male rats, each tooth socket received implantation of a polyethylene tube, 63 of which were filled with non-eugenol periodontal dressing and the remaining 21 tubes remained empty (control group). Histological evaluation assessed the intensity of inflammatory response and presence and location of bone tissue formation at postoperative periods of 7, 14 and 28 days. Statistical analysis was performed by the Kruskal-Wallis test at 5% significance level. Regarding the inflammatory infiltrate, at 28 days, there was statistically significant difference between one of periodontal dressings and control group (p<0.05). Analysis of postoperative periods, showed that the control group presented statistically significant reduction in the inflammatory infiltrate comparing the 14- and 28-day periods (p<0.05). Regarding bone tissue formation, there was difference in control group between the 7- and 28-day periods (p<0.05). Within the experimental conditions, it may be concluded that no differences were found in the inflammatory response among the groups at 7 and 14 days and that Voco pacTM dressing induced a more intensive inflammatory reaction at 28 days.
  • Oral myofunctional and electromyographic evaluation of the orbicularis oris and mentalis muscles in patients with class II/1 malocclusion submitted to first premolar extraction Original Articles

    Souza, Denize Ramirez de; Semeghini, Tatiana Adamov; Kroll, Lucio Benedito; Berzin, Fausto

    Resumo em Inglês:

    OBJECTIVE: The aim of this study was to assess the presence of oral myofunctional alterations before and after first premolar extraction in Class II/1 malocclusion patients that could endanger the long-term dental arch stability. MATERIAL AND METHODS: The study was performed by means of morphological, functional and electromyographic analyses in 17 Class II/1 malocclusion patients (group T) and 17 Class I malocclusion patients (group C -control), both groups with 12-30-year age range (mean age: 20.93 ± 4.94 years). RESULTS: Data analyzed statistically by Student's t-test showed a significant decrease (p<0.05) in the maxillary and mandibular dental arch perimeters after orthodontic treatment, but lip posture at rest did not present statistically significant differences after treatment (p>0.05). The Kruskal-Wallis test analyzed data from lip posture (orbicularis oris muscle) at rest and during swallowing, as well as the mentalis muscle behavior during the above-mentioned function, not showing statistically significant differences (p>0.05) after treatment (groups T1 and T2). However, group T differed significantly from group C (p<0.05). Lip posture during swallowing showed statistically significant differences (p<0.05) for subjects submitted to orthodontic therapy when compared to data acquired before the treatment. The electromyographic analysis confirmed these data. CONCLUSIONS: Found myofunctional alterations observed after the orthodontic treatment in Class II/1 malocclusion seemed to jeopardize the long-term orthodontic stability, making recurrence possible.
  • Influence of different adhesive systems on the pull-out bond strength of glass fiber posts Original Articles

    Silva, Luciana Mendonça da; Andrade, Andréa Mello de; Machuca, Melissa Fernanda Garcia; Silva, Paulo Maurício Batista da; Silva, Ricardo Virgolino C. da; Veronezi, Maria Cecília

    Resumo em Inglês:

    This in vitro study evaluated the tensile bond strength of glass fiber posts (Reforpost - Angelus-Brazil) cemented to root dentin with a resin cement (RelyX ARC - 3M/ESPE) associated with two different adhesive systems (Adper Single Bond - 3M/ESPE and Adper Scotchbond Multi Purpose (MP) Plus - 3M/ESPE), using the pull-out test. Twenty single-rooted human teeth with standardized root canals were randomly assigned to 2 groups (n=10): G1- etching with 37% phosphoric acid gel (3M/ESPE) + Adper Single Bond + #1 post (Reforpost - Angelus) + four #1 accessory posts (Reforpin - Angelus) + resin cement; G2- etching with 37% phosphoric acid gel + Adper Scotchbond MP Plus + #1 post + four #1 accessory posts + resin cement. The specimens were stored in distilled water at 37°C for 7 days and submitted to the pull-out test in a universal testing machine (EMIC) at a crosshead speed of 0.5 mm/min. The mean values of bond strength (kgf) and standard deviation were: G1- 29.163 ± 7.123; G2- 37.752 ±13.054. Statistical analysis (Student's t-test; a=0.05 showed no statistically significant difference (p<0.05) between the groups. Adhesive bonding failures between resin cement and root canal dentin surface were observed in both groups, with non-polymerized resin cement in the apical portion of the post space when Single Bond was used (G1). The type of adhesive system employed on the fiber post cementation did not influence the pull-out bond strength.
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