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ABSTRACT: Objective: The aim of this study was to evaluate, ex vivo, bacterial coronal leakage with different antimicrobial agents applied to the dentine for indirect pulp treatment (IPT). Study Design: Sixty extracted teeth were prepared and randomly distributed into 5 groups (n=10): Group 1: no antimicrobial dentine treatment; group 2: 1% chlorhexidine (CHX)+1% thymol varnish (Cervitec®); group 3: 2 % CHX solution; group 4: 40% CHX varnish (EC40™) and group 5: Clearfil™ Protect Bond (CPB). Ten teeth served as controls. The teeth were restored using a resin-modified glass ionomer cement (GIC) and then mounted in a two-chamber device. The coronal access was exposed to Streptococcus mutans for 45 days. The appearance of turbidity in the BHI broth of the lower chamber was considered as specimen leakage. Results: Survival analysis, determined by non parametric Kaplan-Meier and log-rank tests, showed that the best results were for groups EC40™+GIC and GIC alone; yet there were not statistically significant differences between them. All specimens of CPB+GIC and 2% CHX+GIC, leaked at 45 days. Conclusions: In IPT the use of GIC without pretreatment of the dentine and pretreatment with 40% CHX varnish resulted in a significant delay of bacterial coronal leakage.
Medicina oral, patologia oral y cirugia bucal 12/2012;
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ABSTRACT: Objective: The aim of this study was to determine the decalcifying efficacy of 7% maleic acid (MA), 2% chlorhexidine (CHX), and combinations of 7% MA + 0.2% cetrimide (CTR) and 2% CHX + 0.2% CTR, in four time periods. Study Design: Four specimens per tooth were obtained from a 2-mm thick slice of the cervical third of the root of ten human incisors. At 1, 2, 3 and 5 minutes of immersion, the concentrations of Ca2+ were measured by atomic absorption spectrophotometry. The results were analyzed using the Mann-Whitney U-test. Results: Statistically significant differences were seen for the extracted calcium in all time periods. The amount of calcium extracted by 7% MA was the highest at all four immersion times, followed by 7% MA + 0.2% CTR. Two percent CHX and its combination with 0.2% CTR extracted virtually no calcium. Conclusions: The decalcifying capacity of 7% MA and 2% CHX diminished when combined with 0.2% CTR.
Medicina oral, patologia oral y cirugia bucal 08/2012;
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ABSTRACT: The antimicrobial activity of lactic acid (LA) alone or in combination with chlorhexidine (CHX) and cetrimide (CTR) against three Enterococcus faecalis strains, E. faecalis ATCC 29212, E. faecalis EF-D1 and E. faecalis U-1765, one Enterococcus durans strain and one dual-species biofilm was investigated.
The irrigating solutions tested were 20%, 15%, 10%, 5% and 2.5% LA, alone and in combination with 2% CHX and with 0.2% CTR. The biofilms were grown in the MBECTM high-throughput device for 24 hours and exposed to the solutions for 30 seconds and 1 minute. "Eradication" was defined as 100% bacterial kill.
Twenty percent LA eradicated all enterococci biofilms after 30 seconds contact time. The association of LA+0.2% CTR achieved better results than LA alone, in contrast with the results obtained using LA+2% CHX. E. durans was eradicated by all the tested solutions at 1 minute. The dual-species biofilm, E. faecalis ATCC 29212+E. durans, gave intermediate values of the pure cultures.
LA is capable of eradicating enterococci biofilm at a concentration of 20%. The combination of lower concentrations with 0.2% CTR achieved eradication after 1 minute.
Medicina oral, patologia oral y cirugia bucal 05/2012; 17(5):e902-6.
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ABSTRACT: To evaluate, in vitro, the antimicrobial activity and biofilm formation of three chlorhexidine varnishes in four E. faecalis strains: E. faecalis ATCC 29212, E. faecalis EF-D1 (from failed endodontic treatment), E. faecalis 072 (cheese) and E. faecalis U-1765 (nosocomial infection), and one E. durans strain (failed endodontic treatment).
The direct contact test was used to study the antimicrobial activity. Bacterial suspensions were exposed for one hour to EC40, Cervitec (CE) and Cervitec Plus (CEP) varnishes. "Eradication " was defined as 100% bacterial kill. The formation of enterococci biofilms was tested on the surface of the varnishes after 24 hours of incubation and expressed as percentage of biofilm reduction.
EC40 eradicated all strains except E. faecalis ATCC 29212, where 98.78% kill was achieved. CE and CEP showed antimicrobial activity against all the strains, but most clearly against E. durans and E. faecalis 072. EC40 completely inhibited the formation of biofilm of E. faecalis ATCC 29212, E. faecalis 072 and E. durans. CE and CEP led to over 92% of biofilm reduction, except in the case of E. faecalis U-1765 on CEP (76.42%).
The three varnishes studied were seen to be effective in killing the tested strains of enterococci and in inhibiting the formation of biofilm, the best results being observed with EC40.
Medicina oral, patologia oral y cirugia bucal 02/2012; 17(4):e705-9.
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ABSTRACT: To determine the E. faecalis biofilm formation on the surface of five adhesive systems (AS) and its relationship with roughness.
The formation of E. faecalis biofilms was tested on the surface of four dual-cure AS: AdheSE DC, Clearfil DC Bond, Futurabond DC and Excite DSC and one light-cure antimicrobial AS, Clearfil Protect Bond, after 24 hours of incubation, using the MBEC high-throughput device.
E. faecalis biofilms grew on all the adhesives. The least growth of biofilm was on Excite DSC, Clearfil Protect Bond, and the control. Futurabond DC resulted in the greatest roughness and biofilm amount. There was a close relationship between the quantity of biofilm and roughness, except for Clearfil Protect Bond, which showed little biofilm but high roughness.
None of the tested AS prevented E. faecalis biofilm formation, although the least quantity was found on the surface of Clearfil Protect Bond.
Medicina oral, patologia oral y cirugia bucal 12/2011; 17(3):e501-5.
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ABSTRACT: To evaluate the solubility of five root canal sealers in orange oil, eucalyptol, xylol and chloroform solvents.
The solubility of RoekoSeal, Sealer 26, Epiphany, Endomethasone and EZ-Fill sealers was assessed in orange oil, eucalyptol, xylol, chloroform and distilled water. Seventy-five samples of root canal sealers were prepared and then divided into five groups for immersion in solvent for 2, 5 or 10 min. The means of loss weight were determined for each material in each solvent at all immersion periods, and the values were compared by factorial analysis of variance (anova) and SNK multiple comparisons.
In the orange and eucalyptus oil groups, there was no significant difference among RoekoSeal, Sealer26, Epiphany and EZ-Fill at the three immersion periods (P > 0.05). With xylol, no significant differences were found at 5 and 10 min (P > 0.05) for each root sealer. Orange and eucalyptus oil solvents were as effective as chloroform at 2 min in dissolving all the root sealers.
Xylol was the most effective solvent followed by the chloroform and the essential oils (eucalyptol and orange oil). Orange oil behaved in a similar way to eucalyptus oil.
International Endodontic Journal 06/2011; 44(11):1024-8. · 2.18 Impact Factor
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ABSTRACT: To determine the distance from the anatomical root apex to the major apical foramen and the position of the major foramen on the root apex.
Crowns of 926 human teeth were sectioned at the cementum-enamel junction. Specimens were mounted on microscope slides for measurement parallel to the long axis of the teeth. The major foramen was identified as the largest-diameter opening at the root apex. A total of 1331 root specimens were evaluated using an optical stereomicroscope to an accuracy of 0.01 mm at 40 x (+/-10) magnification. The distance from the anatomical apex to the most apical point of the major foramen was measured, and its location (central, buccal, lingual, mesial and distal) was recorded.
The mean distance between the major foramen and the anatomical root apex was 0.69 mm; the mean distance was larger in posterior teeth (0.82 mm) and smaller in anterior teeth (0.39 mm). A wide range of anatomical apex to major foramen distances were observed in all tooth groups: the greatest distance was in maxillary molars (0.95 mm) followed by mandibular pre-molars (0.87 mm) and mandibular molars (0.80 mm). The major foramen was at the tip of the root in 40% of teeth. The most frequent deviations of the foramen were to the buccal (20%) and distal (14%).
In this sample of teeth without apical resorption the distance between the major foramen and the anatomical root apex was always <1 mm. Deviation of the major foramen from the anatomic apex varied widely amongst tooth groups.
International Endodontic Journal 02/2009; 42(4):329-34. · 2.18 Impact Factor
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ABSTRACT: Aim: To evaluate the cytotoxicity of 15% citric acid, 5% phosphoric acid and 2.5% NaOCl on cultured fibroblasts using MTT colorimetric assay. Methodology: Irrigating solutions of 5% phosphoric acid, 15% citric acid, and 2.5% NaOCl, diluted at 0.1% and 0.5%, were applied to cell cultures of 3T3L1 fibroblasts. The cell viability was determined by means of MTT colorimetric assay after a period of 1, 6 and 24 hours. Percentages of cell viability were analyzed using the Kruskal-Wallis test for global comparisons and the Mann-Whitney U-test for pairwise comparisons. Results: The percentage of cell viability diminished progressively over a 24 hour period in all solutions at both dilutions. At 0.1% dilution, 2.5% NaOCl (63.39%) and 15% citric acid (53.91%) showed the highest percentage of cell viability (p=0.083). At 0.5% dilution, 2.5% NaOCl again showed the highest cell viability value (48.51%). Conclusions: The irrigating solution with the highest percentage of cell viability was 2.5% NaOCl at both 0.1% and 0.5% dilutions. A very low percentage of cell viability was obtained with 15% citric acid and 5% phosphoric acid at 0.5% dilution.
Medicina oral, patologia oral y cirugia bucal 01/2009; 15(1):e90-e94.
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ABSTRACT: To evaluate and compare ex vivo the decalcifying effect of 15% EDTA, 15% citric acid, 5% phosphoric acid and 2.5% sodium hypochlorite on root canal dentine.
Two 2-mm-thick slices were cut from the coronal third of the root of 10 human incisors. Each slice was sectioned into two equal parts. Specimens were assigned to one of four groups (n = 10) for immersion in 20 mL of either 15% EDTA, or 15% citric acid, 5% phosphoric acid or 2.5% NaOCl, for three time periods (5, 10 and 15 min). The concentration of Ca(2+) extracted from the dentine was measured by atomic absorption spectrophometry. The amount of calcium extracted was analysed using the Kruskal-Wallis test for global comparisons and the Mann-Whitney U-test for pairwise comparisons.
In the three time periods, 15% EDTA and 15% citric acid extracted the largest amount of calcium, with no significant differences between them. The 2.5% NaOCl solution extracted insignificant amounts of calcium, whereas 15% EDTA extracted 86.72% of the calcium in the first 5 min, and 15% citric acid and 5% phosphoric acid had a similar pattern of calcium removal (77.03% and 67.08% in first 5 min, respectively).
Solutions of 15% EDTA, 15% citric acid and 5% phosphoric acid decalcify root dentine, with most calcium extracted during the first 5 min of action. The efficacy of 15% citric acid and 15% EDTA solutions was significantly greater than that of 5% phosphoric acid solution at each time period (5, 10 and 15 min).
International Endodontic Journal 06/2008; 41(5):418-23. · 2.18 Impact Factor
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ABSTRACT: The accuracy of three electronic apex locators (EALs) (Justy II, Root ZX, and Neosono Ultima EZ) is evaluated, together with the concordance of the measurements obtained by two different operators. Twenty single-root human teeth were used, sectioning the crown to gain access to the root canal. A first operator (A) determined the reference (or control) length (corresponding to the actual length) for each tooth, after which all teeth were measured individually and independently by the other two operators (B and C). The results obtained with each EAL and by each operator were in turn compared with the corresponding control length. The statistical analysis of the results showed EAL reliability in detecting the apex to vary from 80% to 85% and 85% to 90% (depending on the operator) for the Justy II and Neosono systems, respectively, whereas reliability was found to be 85% for the Root ZX device. These results, combined with a high interobserver concordance, suggest electronic root canal measurement to be an objective and acceptably reproducible technique.
Journal of Endodontics 05/2004; 30(4):231-3. · 2.88 Impact Factor
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ABSTRACT: A comparison was made of the apical leakage of three sealers. Fifty single-root human teeth were randomly divided into 5 groups (n = 10; 3 experimental and 2 control). The teeth of the positive-control and experimental groups were instrumented with K-type files to size 45. The experimental groups were obturated by laterally-vertically, condensed gutta-percha with Endomethasone, Top Seal, or RSA sealer cements. The positive-control group was nonobturated and the negative-control group was noninstrumented. The root surfaces were then coated with nail varnish (except the apex in the experimental groups) and immersed in black ink (for 1 week at 37 degrees C). The statistical evaluation of the results obtained by clearing and cross-section techniques showed no significant differences between sealers. Leakage, as determined by the clearing technique, was significantly greater than that quantified by cross-section analysis.
Journal of Endodontics 07/2002; 28(6):423-6. · 2.88 Impact Factor
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ABSTRACT: This study evaluated the in vitro microleakage of six dentin adhesive systems. Triangle-shaped Class V cavities with coronal margin in enamel and gingival margin in cementum or root dentin were cut in the buccal surfaces of 90 non-carious single-root human teeth. These teeth were randomly assigned into six groups (n = 15) for the evaluation of six different dentin adhesive systems: One Step, Prime & Bond 2.0, Syntac Single, Single Bond, Optibond Solo and Syntac Sprint. The preparations were restored with Degufill Ultra composite and polished using the Enhance system. Each group was randomly divided into three subgroups (n = 5): samples of the first subgroup were immersed in 2% methylene blue solution for seven days; those of the second subgroup remained in a similar solution for 31 days; those of the third subgroup were thermocycled 500x at 5-55 degrees C and immersed in 2% methylene blue for seven days. All 90 teeth were then embedded in methacrylate and bucco-lingually sectioned; the dye penetration was evaluated using an 0-4 ordinal scale. All of the dentin adhesive groups showed minimal leakage at the enamel margins with increased leakage at the gingival margins. Optibond Solo showed the best outcomes among the dentin adhesives tested.
Operative Dentistry 26(6):550-5. · 1.24 Impact Factor
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ABSTRACT: Recently, several adhesive systems have been introduced that combine the primer and bonding resin in a single bottle. The purpose of this study was to evaluate the bonding efficiency of these one-component adhesives under conditions of simulated pulpal pressure and to determine the influence of storage time on the shear bond strength. One hundred caries-free human molars were embedded with epoxy resin in cylindrical rubber molds. Flat dentin surfaces at a level 1 mm above the pulpal chamber were obtained and used as the region for bonding. The specimens were randomly assigned to five groups (n = 20): (1) Syntac Single, (2) Prime & Bond 2.0, (3) One Step, (4) Single Bond, and (5) OptiBond Solo. Each bonding system was combined with the same composite resin (Herculite XRV). After resin polymerization, half of the samples from each group were tested at 1 week and the other half at 4 weeks. During the bonding procedure and storage time a pulpal pressure of 20 cm of serum was applied. Analysis of the data by one-way ANOVA testing showed that the shear bond strengths were significantly different (P < 0.001). OptiBond Solo and Single Bond presented the best results. As the storage time increased there was a significant decrease in the shear bond strength for all the adhesive systems used.
Operative Dentistry 24(2):73-80. · 1.24 Impact Factor
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ABSTRACT: In this current piece of work we study the area of dentinal diffusion obtained with various irrigating agents which eliminate the smear layer: critic acid at concentrations of 10, 25 and 50%, 15% ethylene-diamino-tetraacetic acid (EDTA), and REDTA (compound of EDTA). All the agents proved their efficiency in eliminating the smear layer, which was corroborated by use of the sweep electron microscope and objectified using computerized image analysis, thus obtaining different diffusion areas with the various irrigating solutions used.
Bulletin du Groupement international pour la recherche scientifique en stomatologie & odontologie 39(3-4):103-9.
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ABSTRACT: The effectiveness of ultrasonic and sonic instrumentation in eliminating the smear layer from instrumented root channels. The results were examined with S.E.M. and the effective areas of dental diffusion were calculated using the computerized image analyzer. The agents used: citric acid at concentrations of 10, 25 and 50% as well as 15% EDTA, proved their efficiency with both types of mechanical instrumentation. However, the area of diffusion found was always greater using the ultrasonic instrumentation technique as opposed to the sonic instrumentation technique. 1, 2.5 and 5.25% sodium hypochlorite, as well as 10 volume hydrogen peroxide were not effective in eliminating the smear layer using both types of instrumentation.
Bulletin du Groupement international pour la recherche scientifique en stomatologie & odontologie 39(3-4):111-7.
