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Morfologia do preparo de canais radiculares com limas nitiflex e flexofile 用nitiflex和flexofile锉预备根管的形态
Pub Date : 1999-07-01 DOI: 10.1590/S0103-06631999000300014
H. F. Pesce, J. M. F. Medeiros, Admilson Carrascoza, Jacy Simi Junior
The aim of this study was to evaluate the effectiveness of root canal preparation with Nitiflex file and Flexofile. Forty mesio-buccal upper molar roots were used. After the preparation, the root canals were molded using an impression paste being then examined for the presence or absence of apical deviation, taper and surface. The results did not indicate any statistical difference between the use of the two types of instruments.
本研究的目的是评估使用Nitiflex锉和Flexofile锉进行根管预备的有效性。使用40个中颊上磨牙根。预备完成后,使用印模膏对根管进行模塑,然后检查是否存在根尖偏差、锥度和表面。结果显示两种仪器的使用没有统计学差异。
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引用次数: 3
Resistência de união entre cimentos e liga de níquel-cromo, em função da ciclagem térmica e variações no procedimento de união 水泥与镍铬合金之间的粘结强度,取决于热循环和粘结过程的变化
Pub Date : 1999-07-01 DOI: 10.1590/S0103-06631999000300011
R. R. Martuci, A. Muench, Joel Bianchi, Leonardo Eloy Rodrigues Filho
We evaluated tensile bond strengths between a nickel-chromium alloy and cements at different times (one and 90 days) using or not thermocycling. Alloy used was Litecast B, and luting cements were Ketac-Cem, Vitremer, and Fluoride Enforce with three variations: a) only primer; b) with primer and bond; c) only with bond. Metallic discs with 6 mm diameter were cemented together and immersed in distilled water. Half specimens were thermocycled and half one not. Conclusions were: Ketac-Cem presented low bonding strength, being that of Vitremer very higher; the material Enforce when used only with primer increased adhesion with time but yet remained relatively low after 90 days; Enforce used with bond only achieved superior adhesion, still present specially with termocycling after 90 days; influence of thermocycling depends on adhesive system.
我们评估了镍铬合金与水泥在不同时间(1天和90天)使用或不使用热循环的拉伸结合强度。使用的合金为Litecast B,粘结剂为Ketac-Cem、Vitremer和氟化物强化剂,有三种变化:a)仅底漆;B)带底漆和粘结剂;C) only with bond。将直径为6毫米的金属盘粘合在一起,浸入蒸馏水中。一半的标本进行了热循环,一半没有。结论:Ketac-Cem的结合强度较低,而Vitremer的结合强度较高;仅与底漆一起使用时,材料的附着力随着时间的推移而增加,但在90天后仍然相对较低;仅与粘结剂配合使用,达到优异的附着力,90天后仍具有特殊的摩托车性能;热循环的影响取决于胶粘剂体系。
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引用次数: 3
In vivo and in vitro studies of a cetylamine fluoride mouthrinse: evaluation of a device used for in vitro experiments 氟化十六胺漱口水的体内和体外研究:体外实验用装置的评价
Pub Date : 1999-07-01 DOI: 10.1590/S0103-06631999000300006
Sílvia Magaly Sasso Carvalho, A. Polizello, D. P. Leitão, A. Spadaro
A mouthrinse containing cetylamine fluoride (230 ppm in fluoride) was prepared for in vitro studies of fluoride clearance and adsorption by enamel and/or hydroxyapatite using a device that simulates the oral cavity. In vivo studies of fluoride clearance from this mouthrinse were conducted and compared with other fluoride sources. The amount of fluoride adsorbed to tooth blocks or powdered hydroxyapatite, both treated with this cetylamine fluoride mouthrinse once or twice a day, was determined. The results of these studies showed that it is possible to prepare a mouthrinse with cetylamine fluoride for alternative use by patients for the prevention and therapy of dental caries.
使用模拟口腔的装置制备了一种含氟十六胺(氟含量为230 ppm)的漱口水,用于牙釉质和/或羟基磷灰石对氟的清除和吸附的体外研究。对这种漱口水清除氟化物的体内研究进行了研究,并与其他氟化物来源进行了比较。对牙块或粉末状羟基磷灰石吸附的氟化物量进行了测定,这两种牙块均用这种含氟十六胺漱口水处理,每天一次或两次。这些研究结果表明,用氟化十六胺制备漱口水供患者替代使用,以预防和治疗龋齿是可能的。
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引用次数: 0
In vitro evaluation of the marginal microleakage of class II amalgam restoration associated with dentin adhesive 牙本质粘接剂联合ⅱ类汞合金修复体边缘微渗漏的体外评价
Pub Date : 1999-07-01 DOI: 10.1590/S0103-06631999000300010
F. S. Oliveira, S. M. B. Silva, M. F. Bijella, J. E. Lima
A microinfiltracao marginal de restauracoes de amalgama classe II (Dispersalloy), associada ao verniz convencional (Copalite) e a dois adesivos dentinarios (Scotchbond Multi-uso Plus e Multi Bond Alpha), foi avaliada e comparada in vitro atraves de dois metodos: escores e medidas lineares. Foram utilizados 45 pre-molares higidos que receberam duas cavidades independentes M e D. Apos a restauracao, foram submetidos a termociclagem e armazenados em uma solucao de fucsina basica a 0,5% durante 24 horas. A analise da infiltracao do corante permitiu concluir que nenhum dos tres sistemas restauradores foi capaz de eliminar a microinfiltracao marginal. No entanto, ela foi menor e estatisticamente significante para as restauracoes associadas aos adesivos dentinarios, quando comparadas aquelas com o verniz cavitario. O metodo das medidas lineares foi mais sensivel do que o de escores.
在体外,采用评分和线性测量两种方法对II类汞合金(分散合金)与传统清漆(Copalite)和两种牙本质粘接剂(Scotchbond Multi-uso Plus和Multi Bond Alpha)修复的边缘微渗漏进行了评估和比较。45颗前磨牙分别接受两个独立的牙腔M和d,修复后进行热循环,在0.5%的碱性品红溶液中保存24小时。对染料渗漏的分析表明,三种修复系统都不能消除边缘微渗漏。然而,与牙本质黏合剂相关的修复相比,它更小,具有统计学意义。线性测量法比评分法更敏感。
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引用次数: 5
Antifungal susceptibility of Candida albicans isolated from oral mucosa of patients with cancer 肿瘤患者口腔黏膜白色念珠菌的抗真菌敏感性研究
Pub Date : 1999-07-01 DOI: 10.1590/S0103-06631999000300003
L. J. Costa, E. G. Birman, S. H. Alves, A. E. Cury
O crescente numero de infeccoes fungicas bucais em pacientes imunocomprometidos tem estimulado a pesquisa de drogas mais eficientes. Procuramos, assim, avaliar a suscetibilidade in vitro de cepas de Candida albicans de pacientes com câncer submetidos ou nao a radioterapia frente as seguintes drogas: anfotericina B, cetoconazol, miconazol e itraconazol. A tecnica de diluicao em agar YNB e o subcultivo em AS foram respectivamente utilizados para determinacao da CIM (Concentracao Inibitoria Minima) e da CFM (Concentracao Fungicida Minima). Com esta metodologia, a droga que mostrou melhor atividade antifungica para cepas de C. albicans isoladas de qualquer dos grupos de pacientes foi a anfotericina B, apresentando baixos valores de CIM em comparacao aos azois, e de CFM. Contudo, e necessario lembrar que o tratamento com antibioticos polienicos pode causar efeitos toxicos, mesmo em doses necessarias para se atingir bons resultados com os antifungicos. A coexistencia de outras especies nesses pacientes, principalmente entre os submetidos a radioterapia, as condicoes locais, bem como o uso de outras drogas, devem ser tambem considerados. Acredita-se, porem, que o uso adequado dos antifungicos atuais e a disponibilidade de novas drogas que nao produzam consequencias indesejaveis possam conduzir a melhores resultados na clinica diaria.
免疫功能低下患者口腔真菌感染的增加刺激了对更有效药物的研究。因此,我们试图评估接受或未接受放疗的癌症患者白色念珠菌菌株对以下药物的体外敏感性:两性霉素B、酮康唑、咪康唑和伊曲康唑。分别采用YNB琼脂稀释法和AS传代法测定mic(最低抑菌浓度)和CFM(最低杀菌浓度)。在这种方法下,两性霉素B对两组患者分离的白色念珠菌菌株表现出最好的抗真菌活性,其mic值较偶氮唑低,CFM值较低。然而,有必要记住,使用多烯类抗生素治疗可能会引起毒性作用,即使是在达到良好的抗真菌效果所需的剂量。在这些患者中,其他物种的共存,特别是在接受放射治疗的患者中,局部条件和其他药物的使用也必须考虑。然而,人们认为,适当使用现有的抗真菌药物和获得不会产生不良后果的新药可以在日常临床中带来更好的结果。
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引用次数: 4
Avaliação in vitro da força de união, através de teste de tração, de porcelana feldspática com diversos tratamentos superficiais à resina composta 采用拉伸试验对复合树脂不同表面处理的长石瓷进行体外粘结强度评价
Pub Date : 1999-07-01 DOI: 10.1590/S0103-06631999000300009
Américo Mendes Carneiro Júnior, R. Carvalho, M. L. Turbino
In the search for the recovery of the dental aspect, the porcelain stands out among restoring materials. The use of this material has increased considerably over the last years, therefore increasing the probability of fractures. Even so, not every failure demands the restoration of the material: the possibility of a repair exists with compounded resin. This study proposed to evaluate in vitro the bonding strength of the composite resin to feldspathic porcelain with several surface treatments: roughened with diamond burs or sandblasted with aluminum oxide of 50 micra, isolated or associatedly etched with phosphoric acid for 15 seconds, or with hydrofluoric acid for 1 or 4 minutes. All the specimens were previously regularized with 220-grit silicon carbide paper. After the superficial treatments, they received the adhesive system for porcelain, Scotchbond Multi-Purpose Dental Plus Adhesive System (3M). After making the union with the composed resin (Restorative Z100, 3M), they were stored in distilled water at 37oC, for 7 days, followed by thermocycling (600 cycles of 1 minute, between 5 and 55oC), and submitted to a tensile strength test. With the obtained results, the conclusion was that with all the proposed treatments an improvement happened in the resistance of the tensile bonding strength (when compared to those observed in the group control without any superficial treatment). The sandblasting produced a better resistance than the roughening with a diamond bur; but, when associated to the etching with any of the selected acids, independent of the time of application, there was no statistical difference among those treatments.
在修复牙齿方面的研究中,瓷器在修复材料中脱颖而出。在过去几年中,这种材料的使用大大增加,因此增加了骨折的可能性。即便如此,并不是所有的故障都需要修复材料:复合树脂存在修复的可能性。本研究提出在体外评估复合树脂与长石瓷的结合强度,采用几种表面处理:用金刚石毛刺粗化或用50微米的氧化铝喷砂,用磷酸分离或联合蚀刻15秒,或用氢氟酸蚀刻1或4分钟。所有的样品之前都用220粒度的碳化硅纸进行了规整。表面治疗后,他们接受了瓷粘接系统,Scotchbond Multi-Purpose Dental Plus adhesive system (3M)。与复合树脂(Restorative Z100, 3M)结合后,在37℃的蒸馏水中保存7天,然后在5 ~ 55℃之间进行热循环(600次,1分钟),并进行拉伸强度测试。根据所获得的结果,结论是,在所有提出的治疗中,抗拉结合强度都有所改善(与未进行任何肤浅治疗的对照组相比)。喷砂比金刚钻粗化的耐磨性好;但是,当与任何选定的酸蚀刻相关联时,与应用时间无关,这些处理之间没有统计学差异。
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引用次数: 4
Macrophage phagocytosis of Candida albicans. An in vitro study 白色念珠菌的巨噬细胞吞噬作用。体外研究
Pub Date : 1999-07-01 DOI: 10.1590/S0103-06631999000300005
I. Weinfeld, E. G. Birman, C. R. Paula
Tendo em vista a indefinida literatura em relacao aos macrofagos e a fagocitose de fungos, bem como os resultados conflitantes frente a diversas metodologias empregadas, propusemo-nos a estabelecer um modelo experimental para estudar a fagocitose de Candida albicans. Utilizamos macrofagos peritoneais ativados, obtidos de camundongos isogenicos da linhagem A/SN e duas cepas de Candida albicans, sendo uma sorotipo A e a outra B, apresentando diferentes niveis de patogenicidade in vivo. Avaliamos a fagocitose pela contagem de macrofagos contendo em seu interior celulas vivas e/ou mortas, determinando-se o indice de fagocitose pela multiplicacao da porcentagem de macrofagos que fagocitaram e do numero medio de leveduras por macrofagos. Valemo-nos de corantes vitais como vermelho neutro e fluorescentes (diacetato de fluoresceina e brometo de etidio), examinando o material a luz da microscopia de fase e fluorescencia. Pudemos concluir que este e um modelo eficiente, em face da metodologia utilizada, onde verificamos um comportamento diferente dos macrofagos em relacao as duas cepas estudadas; a porcentagem e o indice de fagocitose dos macrofagos foram maiores frente a cepa de Candida albicans sorotipo A (nao patogenica in vivo), quando comparada a de sorotipo B, embora o numero medio de leveduras por macrofagos fosse semelhante para ambas as cepas.
鉴于关于巨噬细胞和真菌吞噬的文献不明确,以及不同方法的结果相互矛盾,我们建议建立一个研究白色念珠菌吞噬的实验模型。我们使用活化的腹腔巨噬细胞,从A/SN同源小鼠和两株白色念珠菌(血清型A和血清型B)中获得,在体内表现出不同的致病性水平。我们通过计数含有活细胞和/或死细胞的巨噬细胞来评估吞噬作用,通过巨噬细胞吞噬百分比的倍增和每个巨噬细胞酵母的平均数量来确定吞噬指数。我们使用重要的染料,如中性红和荧光(二乙酸荧光素和溴化乙啶),在荧光和相显微镜下检查材料。我们可以得出结论,这是一个有效的模型,考虑到所使用的方法,我们验证了巨噬细胞相对于两种研究菌株的不同行为;白色念珠菌血清型a株(体内非致病性)的巨噬细胞吞噬率和吞噬指数均高于B株,尽管两株巨噬细胞的平均酵母数量相似。
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引用次数: 7
Avaliação das disfunções craniomandibulares em pacientes parcialmente edentados unilaterais: um estudo longitudinal sobre o efeito da utilização de Prótese Parcial Removível (PPR) 单侧部分无牙患者颅下颌功能障碍的评估:使用可移动部分假体(PPR)效果的纵向研究
Pub Date : 1999-07-01 DOI: 10.1590/S0103-06631999000300012
C. Gil, A. Nakamae
This study was performed to compare the severity of Craniomandibular Disorder's (CMD), signs and symptoms in 29 subjects with shortened dental arches (SDA), who required prosthodontic treatment and were followed and longitudinally evaluated for two years after the removable partial denture (RPDs) treatment. In each case, to measure and compare differences before and after reconstruction procedures, the degree of severity of CMD was checked on a score basis methodology, following clinical history, muscular and temporomandibular joint (TMJ) sensibility examination, clicking and mandibular movements (MM) registration. Twenty-nine other subjects acted as a control group. After non parametric statistical analysis it was concluded that subjects had a significant higher CMD severity prevalence before RPD treatment and that an adequate indication and treatment with RPD acts positively, resulting in a decline in the prevalence of these disorders.
本研究比较了29例需要修复治疗的短牙弓(SDA)患者的颅下颌骨疾病(CMD)的严重程度、体征和症状,并对这些患者进行了为期两年的可摘局部义齿(rpd)治疗后的随访和纵向评估。在每个病例中,为了测量和比较重建手术前后的差异,根据临床病史,肌肉和颞下颌关节(TMJ)敏感性检查,咔哒声和下颌运动(MM)登记,以评分为基础的方法检查CMD的严重程度。另外29名受试者作为对照组。经非参数统计分析得出结论,受试者在RPD治疗前有明显更高的CMD严重程度患病率,适当的适应症和RPD治疗积极作用,导致这些疾病的患病率下降。
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引用次数: 6
Avaliação do tratamento endodôntico em radiografias periapicais e panorâmicas 根尖周和全景x线片根管治疗的评价
Pub Date : 1999-07-01 DOI: 10.1590/S0103-06631999000300015
C. D. Sewell, Marlene Fenyo-Pereira, J. L. Marques, Jurandyr Panella
Periapical and panoramic radiography with a ellipsopantomograph device, are compared in the evaluation of endodontic treatment. With this objective, radiographies carried out under both techniques with the same patient having at least one tooth endodontically treated, were analysed by three observers, taking into consideration the apical conditions (periapical lesions), the root canal filling (material type, filling and apical level), tooth restoration and filling of the pulpar camera. The results demonstrated that periapical radiography is a better way to define the appearance of difuse periapical bone rarefaction, root canal filling with gutta-percha, insatisfactory endodontic treatment, an inadequate juxtaposition of the restoration material to the anterior region, and the presence of metallic casted restorations in the posterior region. Other result evaluations were not significant. The diagnostic agreement among the observers is higher in periapical radiography.
在评价根管治疗时,比较了根尖周和全景x线摄影与椭圆型断层摄影装置。为此,对同一患者至少有一颗牙进行了根管治疗,在两种技术下进行的x线片,由三名观察员进行分析,考虑到根尖状况(根尖周围病变),根管填充(材料类型,填充和根尖水平),牙齿修复和牙髓相机填充。结果表明,根尖周x线片是一种更好的方法来定义弥漫性根尖周骨疏松,根管填充杜胶,根管治疗不满意,修复材料与前区并置不足以及金属铸造修复体在后区存在的外观。其他结果评价无显著意义。在根尖周放射学中,观察者之间的诊断一致性较高。
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引用次数: 3
IgA anti-Streptococcus mutans em crianças com e sem cárie dentária IgA抗变形链球菌在有无龋齿儿童中的应用
Pub Date : 1999-07-01 DOI: 10.1590/S0103-06631999000300002
S. C. Yazaki, Cristiane Yumi Koga-Ito, Antonio Olavo Cardosos Jorge, C. S. Unterkircher
Dental caries is a chronic infectious disease that needs at least four components to develop. As a susceptible host, a pathogenic microbiota, a high-sucrose diet and time. This work assess the relationships between Streptococcus mutans and dental plaque; Streptococcus mutans and IgA antibodies in children with and without caries experience. In order to achieve this goal we have used Mitis Salivarius bacitracin agar (DIFCO) to determine the colony forming units (CFU/mL), the simplified oral hygiene index (SOHI) for measuring bacterial plaque and ELISA for antibody detection. The results obtained have not shown any correlations between colony forming units of S. mutans and IgA antibodies. A significant correlation was found between bacterial plaque index and specific IgA in children with carious lesions.
龋齿是一种慢性传染病,至少需要四个因素才能形成。作为一个易感宿主,一个致病菌群,一个高蔗糖的饮食和时间。本研究评估了变形链球菌与牙菌斑之间的关系;有无龋齿患儿的变形链球菌和IgA抗体。为了达到这一目的,我们采用Mitis Salivarius bacitracin agar (DIFCO)测定菌落形成单位(CFU/mL),简化口腔卫生指数(SOHI)测定菌斑,ELISA检测抗体。获得的结果没有显示变形链球菌的集落形成单位和IgA抗体之间的任何相关性。龋齿患儿菌斑指数与特异性IgA有显著相关性。
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引用次数: 6
期刊
Revista de odontologia da Universidade de Sao Paulo
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