Giana da Silveira Lima

A survey of oral and maxillofacial biopsies in children: a single-center retrospective study of 20 years in Pelotas-Brazil

Despite the large number of published cases about oral and maxillofacial pediatric lesions, the literature is scarce on epidemiological studies regarding the prevalence of these entities. This study retrieved oral and maxillofacial pediatric lesions from the Center of Diagnosis of Oral Diseases (CDDB) at the Dental School of the Federal University of Pelotas (UFPEL), comprising a 20-year period (1983-2002). From the total of 9,465 biopsies received in this period, 625 (6.6%) were from children aged 0 to 14 years. Regardless of the histopathological diagnosis, patient data referring to lesion location, sex and age were collected. Diagnoses were grouped in 13 categories. As much as 89% of the cases occurred in patients aged 7 to 14 years (53% in females and 47% in males). Mucocele (17.2%) was the most common type of lesion, followed by dentigerous cyst (8.6%). In the category of odontogenic tumors, odontoma was the most frequent lesion (64.2%). Malignant lesions were observed in a small section of the sample (1.2%). Generally, the results of the present study are in line with those reported in the literature concerning the most prevalent lesions in the pediatric population. Most lesions were benign, and malignant lesions were diagnosed in a very small part of the sample.

BAPO as an alternative photoinitiator for the radical polymerization of dental resins

OBJECTIVES This study evaluated the performance of phenylbis (2,4,6-trimethylbenzoyl)-phosphine oxide (BAPO) as an alternative photoinitiator in the polymerization kinetics (PK), flexural strength (σ) and elastic modulus (E) of a model dental resin. METHODS A monomer mixture based on Bis-GMA and TEGDMA was used as model dental resin. Initially a screening was performed to evaluate BAPO concentrations (0.125, 0.25, 0.50, 1, 2, and 4 mol%). Photoinitiator systems were formed with the combination of camphorquinone (CQ), ethyl-dimethylamino benzoate (EDAB), diphenyliodonium hexafluorophosphate (DPIHFP), and BAPO. Groups with unitary photoinitiator systems (BAPO and CQ), binary (BAPO+EDAB, BAPO+DPIHFP and CQ+EDAB), ternary (BAPO+CQ+EDAB, BAPO+CQ+DPIHFP, BAPO+EDAB+DPIHFP and CQ+EDAB+DPIHFP) and quaternary (BAPO+CQ+EDAB+DPIHFP) were formulated for evaluation. Real-time Fourier transform infrared spectroscopy was used to investigate the PK and test mini-bending to evaluate σ and E. RESULTS When only CQ was used, a slow polymerization reaction was observed and a lower monomer conversion. When only BAPO was used as photoinitiator an increase in the polymerization rate was observed and conversion was higher than CQ+EDAB. The ternary system (BAPO+EDAB+DPIHFP) showed the highest polymerization and conversion rate, in short photo-activation time. SIGNIFICANCE BAPO it is a potential photoinitiator for the photopolymerization of dental materials.

Polymerization kinetics and reactivity of alternative initiators systems for use in light-activated dental resins

OBJECTIVES The purpose of this study was to evaluate the reactivity and polymerization kinetics behavior of a model dental adhesive resin with water-soluble initiator systems. METHODS A monomer blend based on Bis-GMA, TEGDMA and HEMA was used as a model dental adhesive resin, which was polymerized using a thioxanthone type (QTX) as a photoinitiator. Binary and ternary photoinitiator systems were formulated using 1mol% of each initiator. The co-initiators used in this study were ethyl 4-dimethylaminobenzoate (EDAB), diphenyliodonium hexafluorophosphate (DPIHFP), 1,3-diethyl-2-thiobarbituric acid (BARB), p-toluenesulfinic acid and sodium salt hydrate (SULF). Absorption spectra of the initiators were measured using a UV-Vis spectrophotometer, and the photon absorption energy (PAE) was calculated. The binary system camphorquinone (CQ)/amine was used as a reference group (control). Twelve groups were tested in triplicate. Fourier-transform infrared spectroscopy (FTIR) was used to investigate the polymerization reaction during the photoactivation period to obtain the degree of conversion (DC) and maximum polymerization rate (R(p)(max)) profile of the model resin. RESULTS In the analyzed absorption profiles, the absorption spectrum of QTX is almost entirely localized in the UV region, whereas that of CQ is in the visible range. With respect to binary systems, CQ+EDAB exhibited higher DC and R(p)(max) values. In formulations that contained ternary initiator systems, the group CQ+QTX+EDAB was the only one of the investigated experimental groups that exhibited an R(p)(max) value greater than that of CQ+EDAB. The groups QTX+EDAB+DPIHFP and QTX+DPIHFP+SULF exhibited values similar to those of CQ+EDAB with respect to the final DC; however, they also exhibited lower reactivity. SIGNIFICANCE Water-soluble initiator systems should be considered as alternatives to the widely used CQ/amine system in dentin adhesive formulations.

Ytterbium trifluoride as a radiopaque agent for dental cements

AIM To evaluate the radiopacity, degree of conversion (DC) and flexural strength of an experimental dental cement, with several added radiopaque substances. METHODOLOGY Titanium dioxide, quartz, zirconia, bismuth oxide, barium sulphate and ytterbium trifluoride were added to the experimental cement in five different concentrations. Radiopacity was evaluated with a phosphor plate system, and the radiodensity of specimens was compared with an aluminium step-wedge. DC was evaluated with FT-infrared spectroscopy following 20 s of photo-activation. Specimens with dimensions of 12 x 2 x 2 mm were used for the flexural strength test. Data were analysed with two-way anova and Tukeys post hoc test. RESULTS Radiopacity of the experimental dental cements with barium sulphate and bismuth oxide at 40% and ytterbium fluoride at 30% and 40% showed no significant differences in comparison with 3 mm of Al (181, 96). CONCLUSIONS The experimental dental cements with at least 30% added ytterbium trifluoride had satisfactory radiopacity without influencing other properties.

Kinetics of Conversion of Two Dual-cured Adhesive Systems

The aim of this study was to evaluate the kinetics of conversion of Scotchbond Multi-purpose Plus (3M ESPE, St Paul, MN) and Prime&Bond NT (Dentsply De Trey, Konstanz, Germany) used in light-cured, self-cured, or dual-cured versions. The adhesive systems were used in the light-cured version (without the use of chemical initiator) or mixed with its respective chemical initiator either with light activation (dual-cured) or not (self-cured). The degree of conversion (DC) was monitored as a function of time during 5 minutes with a Fourier transform infrared spectrometer equipped with an attenuated total reflectance device. Light-cured and dual-cured modes of Scotchbond Multi-purpose Plus presented the highest DC at 5 minutes. The addition of the self-cure activator (dual-cured mode) to Prime&Bond NT reduced the DC. For the self-cured versions, only the Scotchbond Multi-purpose Plus presented any polymerization reaction at 5 minutes. For the two bonding systems tested, it appears that light curing of the adhesive is important in order to reach a high DC in the first moments after the bonding procedure.

Synthesis of phosphate monomers and bonding to dentin: Esterification methods and use of phosphorus pentoxide

OBJECTIVES The aim of this study was to synthesize an acidic monomer using an alternative synthetic pathway and to evaluate the influence of the acidic monomer concentration on the microtensile bond strength to dentin. METHODS The intermediary 5-hydroxypentyl methacrylate (HPMA) was synthesized through methacrylic acid esterification with 1,5-pentanediol, catalyzed by p-toluenesulfonic acid. To displace the reaction balance, the water generated by esterification was removed by three different methods: anhydrous sodium sulfate; molecular sieves or azeotropic distillation. In the next step, a phosphorus pentoxide (4.82 mmol) slurry was formed in cold acetone and 29 mmol of HPMA was slowly added by funnel addition. After the reaction ended, solvent was evaporated and the product was characterized by 1HNMR and FTIR. The phosphate monomer was introduced in a self-etch primer at concentrations of 0, 15, 30, 50, 70 and 100 wt%. Clearfil SE Bond was used as commercial reference. Microtensile bond strength to dentin was evaluated 24h after the bonding procedures, followed by fracture analysis (n=20). Data was submitted to ANOVA and Tukeys post hoc test. RESULTS The highest yield was obtained (62%) when azeotropic distillation was used, while the reaction with molecular sieves was not feasible. The phosphoric moiety attachment to the monomer was successfully performed with a quantitative yield that reached around 100%. The acidic monomer concentration significantly affected the bond strength and the highest mean (55.1+/-12.8 MPa) was obtained when 50% of acidic monomer was used. CONCLUSION The synthesis pathways described in the present study appear to be a viable alternative for developing phosphate monomers.

1,3‐Diethyl‐2‐thiobarbituric acid as an alternative coinitiator for acidic photopolymerizable dental materials

The ethyl-4-dimethylaminobenzoate (EDAB) is widely used as a coinitiator of the camphorquinone (CQ), but in acidic circumstances it might present some instability, reducing the polymerization efficiency of the material. Considering this, new coinitiators are being evaluated. Hence, this study evaluated the kinetic of polymerization (KP), the degree of conversion (DC), and the rate of polymerization (RP ) of experimental resin adhesives containing 1,3-diethyl-2-thiobarbituric acid (TBA) as a coinitiator of the CQ. The experimental monomeric blend was prepared with bisphenol A glycidyl dimethacrylate, 2-hydroxyethyl methacrylate, and acidic monomers. CQ was added at 1 mol % as photoinitiator. Six groups were formulated: four containing concentrations of 0.1, 0.5, 1, and 2 mol % of TBA, one without coinitiator, and the last one containing 1 mol % of EDAB (control group). The KP and the RP were performed using real-time Fourier Transform infrared spectroscopy. The group without coinitiator has not formed a polymer, whereas the addition of TBA resulted in the conversion of monomers in polymer. The DC of the adhesives was as higher as the increase in the TBA content. The group with 2 mol % of TBA presented improved DC and reactivity (RP ) than the other groups and the control one. Hence, the TBA has performed as a coinitiator of the CQ for the radical polymerization of methacrylate resin adhesives and it has improved the DC and the reactivity of the materials. Thus, it is a potential coinitiator for the photopolymerization of dental materials.

Diclofenac in hyaluronic acid gel: an alternative treatment for actinic cheilitis

Objective Actinic cheilitis (AC) is a precancerous lesion of the lip vermillion caused by prolonged exposure to ultraviolet light. The aim of this study was to evaluate the effect of 3% diclofenac in 2.5% hyaluronic acid gel in the treatment of AC. Methods Thirty-four patients with chronic AC were treated twice a day with topical diclofenac during a period of 30 to 180 days. The individuals were followed up every 15 days by means of clinical examination and digital photographic documentation. Results Of the 27 patients that completed the study, 12 (44%) showed complete remission of the whitish plaques and exfoliative areas, and 15 (56%) had partial remission of the clinical picture of cheilitis. The latter group was submitted to excision of the leukoplakic areas which diagnosis varied from mild to moderate epithelial dysplasia. Conclusion The results suggest a promising role for diclofenac in hyaluronic acid gel in the treatment of AC. This treatment has the advantages of not being invasive and showing few side effects.

Nanoparticle loading level and properties of experimental hybrid resin luting agents.

PURPOSE This study investigated the influence of nanoparticle loading level on properties of experimental hybrid resin luting agents. MATERIALS AND METHODS Silanated 2-μm barium borosilicate glass microparticles and 7-nm silica nanoparticles were used. Five materials were obtained by loading a photocurable Bis-GMA/TEGDMA co-monomer with a total mass fraction of 60% inorganic fillers. The mass fraction of nanoparticles was set at 0% (control), 1% (G1), 2.5% (G2.5), 5% (G5), or 10% (G10). The properties evaluated were flexural strength (σ) and modulus (E(f) ), Knoop hardness number (KHN), and film thickness (FT). Dispersion/interaction of the particles with the resin phase was assessed by scanning electron microscopy (SEM). Data were submitted to statistical analysis (5%). RESULTS For σ, G1 > G2.5 = G5 = G10, and control > G10. For E(f) , G2.5 > control = G1 > G5 > G10. For KHN, G5 = G10 > control = G1 = G2.5. For FT, G10 = G5 > control = G1, and G10 > G2.5. Incorporation of nanoparticles was associated with observation of clusters in the SEM analysis. The clusters were more frequent for higher nanoparticle loadings. CONCLUSION Modest incorporation of nanoparticles may improve the properties of resin luting materials. Nanofiller mass fractions above 2.5% should, however, be avoided because they may be detrimental to the properties of the resin luting agents.

Tetrahydrofuran as alternative solvent in dental adhesive systems.

OBJECTIVE To evaluate the influence of tetrahydrofuran (THF) on the resin-to-dentin microtensile bond strength (microTBS) after water storage, for 24h and 6 months, and to compare its behavior with that of traditional solvents. METHODS Seven versions of monomer/solvent mixtures (primers) were prepared using the following solvent and water combinations: (1) THF, (2) acetone, (3) ethanol, (4) water, (5) THF/water, (6) acetone/water and (7) ethanol/water. An experimental adhesive resin was also synthesized to compare adhesive systems with the different primers. Forty-two bovine incisors, randomly separated into seven groups, had their superficial coronal dentin exposed. After acid-etching and rinsing, the excess water was removed from the surface with absorbent paper. Each experimental primer was applied with agitation (30s) followed by a mild air stream (10s). The experimental adhesive resin was applied and light-activated (20s). Resin composite restorations were constructed incrementally. Restored teeth were stored in distilled water at 37 degrees C (24h) and sectioned to obtain sticks with an area of 0.5mm(2). Half the specimens were subjected to the microTBS test immediately after being cut and the other half were tested after 6 months of water storage. Data (MPa) were analyzed by two-way ANOVA (solvent type and storage time as factors) and Tukey-Kramers test at alpha=0.05. RESULTS Factors and interaction showed a statistical effect. After 6 months storage, acetone groups and primers containing THF showed similar microTBS to initial means. SIGNIFICANCE THF seems to be a promising solvent for use in dental adhesive systems, maintaining bond strength on dentin substrate after storage.