Evandro Luiz Siqueira

In vitro study of effect of solvent on root canal retreatment

The aim of this study was to assess the effectiveness of five different solvents: xylol, eucalyptol, halothane, chloroform and orange oil on softening gutta-percha in simulated root canals. One drop of solvent was placed into a reservoir made in a simulated canal whose channel was previously instrumented and filled with gutta-percha and N-Rickert sealer. After 5 min, softening was evaluated for each solvent by the penetration of a spreader while applying force with a 442 Instron apparatus to reach a depth of 5 mm. The results were analyzed statistically by the Kruskal-Wallis test. Xylol and orange oil were better in softening gutta-percha than the other solvents. There was no significant difference between xylol and orange oil, but these were statistically different from eucalyptol, halothane and chloroform (p < 0.01).

Influence of dentin on pH of 2% chlorhexidine gel and calcium hydroxide alone or in combination

The aims of endodontic treatment in cases of apical periodontitis are to reduce as much as possible the number of microorganisms inside the root canal system and to inactivate toxins produced by them. Most of the times, these objectives are not achieved solely by chemomechanical preparation, and intracanal dressing may be necessary. In these cases, calcium hydroxide is used as a root canal dressing due to its well-known and recognized antimicrobial activity. Chlorhexidine has a wide spectrum of antimicrobial activity and its association with calcium hydroxide has been recommended in an attempt to amplify antimicrobial effects of calcium hydroxide. It is also known that dentin exerts a buffering effect under wide pH variations, and may be responsible for decreasing the antimicrobial activity of drugs inside the root canal. The objectives of this study were to assess the pH of 2% chlorhexidine gel and calcium hydroxide alone or in combination, as well as the influence of dentin on the pH of these compounds. Dentin powder was obtained from bovine teeth and added as 1.8% to the volume of the medications. All substances were individually stored in plastic flasks, in triplicate. A pH meter was used at five different moments to assess pH in viscous medium: immediately after preparation and after 24 h, and 7, 14, and 21 days. Results were analyzed by paired Students t-test. Statistically significant differences were observed in the 2% chlorhexidine gel group alone or associated with calcium hydroxide and added of dentin powder (P < 0.05). Mean pH values indicated the influence of dentin powder because of a significant increase in pH. Calcium hydroxide with propylene glycol as the vehicle always showed high pH, demonstrating that this compound was not affected by the presence of dentin.

Shelf-life of a 2.5% sodium hypochlorite solution as determined by arrhenius equation

Accelerated stability tests are indicated to assess, within a short time, the degree of chemical degradation that may affect an active substance, either alone or in a formula, under normal storage conditions. This method is based on increased stress conditions to accelerate the rate of chemical degradation. Based on the equation of the straight line obtained as a function of the reaction order (at 50 and 70 degrees C) and using Arrhenius equation, the speed of the reaction was calculated for the temperature of 20 degrees C (normal storage conditions). This model of accelerated stability test makes it possible to predict the chemical stability of any active substance at any given moment, as long as the method to quantify the chemical substance is available. As an example of the applicability of Arrhenius equation in accelerated stability tests, a 2.5% sodium hypochlorite solution was analyzed due to its chemical instability. Iodometric titration was used to quantify free residual chlorine in the solutions. Based on data obtained keeping this solution at 50 and 70 degrees C, using Arrhenius equation and considering 2.0% of free residual chlorine as the minimum acceptable threshold, the shelf-life was equal to 166 days at 20 degrees C. This model, however, makes it possible to calculate shelf-life at any other given temperature.

Effect of Nitrogen Ion Implantation on the Flexibility of Rotary Nickel-Titanium Instruments

INTRODUCTION The aim of this study was to assess the effect of nitrogen ion implantation on the flexibility of rotary nickel-titanium (NiTi) instruments as measured by the load required to bend implanted and nonimplanted instruments at a 30° angle. METHODS Thirty K3 files, size #40, 0.02 taper and 25-mm length, were allocated into 2 groups as follows: group A, 15 files exposed to nitrogen ion implantation at a dose of 2.5 × 10(17) ions/cm(2), voltage 200 KeV, current density 1 μA/cm(2), temperature 130°C, and vacuum conditions of 10 × 10(-6) mm Hg for 6 hours; and group B, 15 nonimplanted files. One extra file was used for process control. All instruments were subjected to bend testing on a modified troptometer, with measurement of the load required for flexure to an angle of 30°. The Mann-Whitney U test was used for statistical analysis. Findings with P <.05 were considered significant. RESULTS The mean load required to bend instruments at a 30° angle was 376.26 g for implanted instruments and 383.78 g for nonimplanted instruments. The difference was not statistically significant. CONCLUSIONS Our findings show that nitrogen ion implantation has no appreciable effect on the flexibility of NiTi instruments.

The Influence of Dentine on the pH of Calcium Hydroxide, Chlorhexidine Gel, and Experimental Bioactive Glass-Based Root Canal Medicament

Objectives. To evaluate the influence of dentine on the pH of different medications in standardized simulated canals. Materials and Methods. Forty resin blocks were divided into groups with and without dentine powder, as follows: 2% chlorhexidine gel; 2% chlorhexidine gel associated with calcium hydroxide PA; calcium hydroxide PA delivered in propylene glycol 600; and NPG delivered in distilled water. The dentine powder was obtained from the root dentine of bovine teeth and added to the medications. The simulated canals were placed in containers with 1.5 mL of deionized water and pH was monitored in multiple intervals, up to 30 days. The mean pH values were calculated and submitted to statistical analysis using paired Students t-test and ANOVA complemented by the Tukey test (p < 0.05). Results. There was no statistical difference between the groups with and without dentine powder (p > 0.05). The pH values of calcium hydroxide were significantly higher than those of NPG in the first 24 hours (p < 0.05). After 7 days, both behaved in a similar manner. Conclusion. The addition of dentine powder to the medications evaluated did not alter the pH of the external solution in any of the time points tested.

Resistência ao cisalhamento de dentes submetidos a duas técnicas de clareamento, pós-restaurados ou não

The authors tested the shear strength in teeth subjected to two bleaching techniques with use of 50 upper central incisors divided into 5 groups, namely: control (intracoronal access only), bleaching without heat, bleaching catalyzed by controlled heat, bleaching catalyzed by controlled heat and restored with last generation composite resin, and sound teeth. Following the shearing test it was observed that teeth subjected to dental bleaching with sodium perborate/Peridrol with or without applications of controlled heat, although they presented a slight reduction in shear strength, this was not statistically significant as compared to that from teeth where endodontic access was effected without bleaching. Restoration of the tooth subsequently to dental bleaching with fourth generation dentinal adhesive and photopolymerized resin augments the resistance of the bleached dental element. There are no statistical differences between resistance to shear in bleached teeth without the use of heat with those where heat was employed in a controlled form as preconized in this study. Sound teeth present greater resistance than teeth bleached with heat, without heat, and those not bleached with statistical significance at the level of 5%. When compared to teeth bleached and restored, they did not present significant statistical differences