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Dive into the research topics where Juliana Paiva Marques Lima is active.

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Featured researches published by Juliana Paiva Marques Lima.


European Journal of Oral Sciences | 2009

Evaluation of the antimicrobial effect of photodynamic antimicrobial therapy in an in situ model of dentine caries

Juliana Paiva Marques Lima; Mary A.S. Melo; Fátima Maria Cavalcante Borges; Alrieta Henrique Teixeira; Carolina Steiner-Oliveira; Marinês Nobre dos Santos; Lidiany Karla Azevedo Rodrigues; Iriana Carla Junqueira Zanin

Photodynamic antimicrobial therapy (PACT) promotes bacterial death as a result of the photosensitization of microbial components. This study evaluated the effect of PACT on dentine caries produced in situ. Over the course of 14 d, 20 volunteers wore intra-oral devices containing human dentine slabs that were treated 10 times daily with a 40% sucrose solution. Afterwards, the antimicrobial effect of toluidine blue O, associated with 47 or 94 J cm(-2) of a light-emitting diode, was evaluated. Before and after the treatments, dentine samples were analysed with regard to the total number of microorganisms, total streptococci, mutans streptococci, and lactobacilli. Significant reductions in the bacterial count were observed for PACT with both energy densities tested, with the following values observed for 47 and 94 J cm(-2) of irradiation: for total streptococci, 3.45 and 5.18; for mutans streptococci, 3.08 and 4.16; for lactobacilli, 3.24 and 4.66; and for total microorganisms, 4.29 and 5.43, respectively. The control, treated with 94 J cm(-2) of irradiation alone, was also effective against all bacteria. To conclude, PACT was effective in killing oral microorganisms present in dentine caries produced in situ and may be a useful technique for eliminating bacteria from dentine carious lesions before restoration.


Journal of Dentistry | 2009

In situ effects of restorative materials on dental biofilm and enamel demineralisation

R.P. Sousa; Iriana Carla Junqueira Zanin; Juliana Paiva Marques Lima; S.M.L.C. Vasconcelos; Mary A.S. Melo; H.C.P. Beltrão; Lidiany Karla Azevedo Rodrigues

OBJECTIVES Since secondary caries is one of the main reasons for replacing restorations, this study assessed the effects of different restorative materials on the microbiological composition of dental biofilm and on enamel demineralisation around the restoration. METHODS A randomized, double-blind, split-mouth in situ design was conducted in one phase of 14 days, during which, 20 volunteers wore palatal devices containing five human dental enamel slabs. Each slab was randomly restored with one of the following materials: Filtek-Z-250/Single Bond, control group (composite resin), Permite (amalgam), Fuji II (encapsulated resin-modified glass ionomer), Vitremer (resin-modified glass ionomer) and Ketac Molar (conventional glass ionomer). The volunteers used fluoride dentifrice, 3x/day and a 20% sucrose solution was dripped onto the slabs 8x/day. The biofilm formed on the slabs was analyzed to determine the counts of total streptococci, mutans streptococci and lactobacilli. Enamel demineralisation was determined by cross-sectional microhardness (CSMH) at 20 and 70 microm from the margin of the restoration. Kruskal-Wallis and analysis of variance, followed by least mean squares (LMS) test, were used to evaluate microbiota and CSMH among the groups. The significance level used was 5%. RESULTS No statistically significant differences were found in the cariogenic microbiota grown on the slabs. At a 20-mum distance, only Fuji II statistically differed from the other groups, showing the lowest demineralisation. At 70 microm, Fuji II significantly inhibited demineralisation when compared to Permite, Filtek-Z-250 and Ketac Molar. CONCLUSIONS In the context of fluoride dentifrice and under the cariogenic exposure conditions of this study, only the encapsulated resin-modified glass ionomer material provided additional protection against secondary caries.


Laser Physics | 2010

In vitro photodynamic antimicrobial chemotherapy in dentine contaminated by cariogenic bacteria

Mary A.S. Melo; D. M. de-Paula; Juliana Paiva Marques Lima; Fátima Maria Cavalcante Borges; Carolina Steiner-Oliveira; Marinês Nobre-dos-Santos; Iriana Carla Junqueira Zanin; E. B. Barros; Lidiany Karla Azevedo Rodrigues

The development of a method to ensure bacterial-free substrates without extensive cavity preparation would be highly useful to dentistry, since there is no currently available effective method for killing residual bacteria in dentinal tissue. This randomized in vitro study determined parameters for using toluidine blue O (TBO) with a light-emitting diode (LED) for dentine caries disinfection and monitored intrapulpal/periodontal temperatures during irradiation. Occlusal human dentine slabs were immersed in Streptococcus mutans culture for demineralization induction. Slabs were allocated to 10 groups (n = 15), which were treated with 0.1 mg ml−1 TBO with 5 min of incubation time or 0.9% NaCl solution for 5, 10 or 15 min, and submitted or not to irradiation for 5, 10 or 15 min (47, 94, and 144 J/cm2). Before and after treatments, dentine samples were analyzed with regard to S. mutans counts. In whole teeth, temperature in pulp and periodontium was measured by thermocouples during irradiation. Kruskal-Wallis/Student-Newman-Keuls, and ANOVA/Tukey test were respectively utilized to compare log reductions and temperature rises between groups. Bacterial reduction was observed when dentine was exposed to both TBO and LED at all irradiation times, as well as to LED alone for 10 and 15 min. Temperature increases lower than 2°C were observed for either pulp or periodontium. Concluding, LED combined with TBO is a safe and effective approach for dentine caries disinfection. Nevertheless, additional studies should be conducted to determine the influence of the irradiation in S. mutans viability in dentinal surface/tubules.


Journal of Conservative Dentistry | 2012

Antimicrobial effect of chlorhexidine digluconate in dentin: In vitro and in situ study

Fátima Maria Cavalcante Borges; Mary A.S. Melo; Juliana Paiva Marques Lima; Iriana Carla Junqueira Zanin; Lidiany Karla Azevedo Rodrigues

Aim: The aim of this study was to evaluate a very short-term in vitro and in situ effect of 2% chlorhexidine-digluconate-based (CHX) cavity cleanser on the disinfection of dentin demineralized by cariogenic bacteria. Materials and Methods: Human dentin slabs were randomly allocated and used in 2 distinct phases, in vitro and in situ, for obtaining demineralized dentin. In vitro, the slabs (n=15) were immersed for 5 days in BHI broth inoculated with Streptococcus mutans CTT 3440. In situ, a double-blind design was conducted in one phase of 14 days, during which 20 volunteers wore palatal devices containing two human dental dentin slabs. On 5th day in vitro and 14th day in situ, the slabs were allocated to the two groups: Control group (5 μl of 0.9% NaCl solution) and CHX group (5 μl of 2% chlorhexidine digluconate solution, Cavity Cleanser™ BISCO, Schaumburg, IL, EUA), for 5 minutes. The microbiological analyses were performed immediately before and after the treatments. Results: The log reductions means found for CHX treatment on tested micro organisms were higher when compared to Control group either in vitro or in situ conditions. Conclusions: Our results showed that CHX was effective in reducing the cultivable microbiota in contaminated dentin. Furthermore, although the use of chlorhexidine-digluconate-based cavity disinfectant did not completely eliminate the viable microorganisms, it served as a suitable agent to disinfect tooth preparations.


Microscopy Research and Technique | 2013

Dentin erosion by whitening mouthwash associated to toothbrushing abrasion: a focus variation 3D scanning microscopy study.

Juliana Paiva Marques Lima; Mary A.S. Melo; Vanara Florêncio Passos; CÍcero L.N. Braga; Lidiany Karla Azevedo Rodrigues; Sérgio Lima Santiago

The aim of this study was to determine the erosive potential of hydrogen peroxide (HP) containing mouthwash on dentin assessed by Focus variation three‐dimensional (3D) microscopy. Twenty dentin slabs were selected and randomly allocated into two groups (n = 10): DW—Distilled water (pH = 7.27) and HP—1.5% (pH = 3.78). Each specimen was cyclically demineralized (4 × 60 s/day, 10 days) with HP or DW and brushed 3×/day (200 g, 150 strokes—toothpaste with 1,450 ppmF as NaF). Between the challenges, the specimens were exposed to artificial saliva. Afterward, dentin loss was analyzed using focus variation 3D microscopy, and the data were submitted to unpaired t‐test (α = 0.05). Statistically significant difference was found between the mean wear rate (μm, ±SD) of HP (1.98 ± 0.51) and DW (1.45 ± 0.39). The results suggest that the use of HP‐containing mouthwash associated to brushing may increase the risk of tissue loss and focus variation 3D microscopy may be used as a technique for quantifying dental wear. Microsc. Res. Tech. 76:904–908, 2013.


Laser Physics | 2010

In vitro assessment of thermal changes in human teeth during photodynamic antimicrobial chemotherapy performed with red light sources

D. M. de-Paula; Mary A.S. Melo; Juliana Paiva Marques Lima; Marinês Nobre-dos-Santos; Iriana Carla Junqueira Zanin; Lidiany Karla Azevedo Rodrigues

AbstractPhoto-disinfection of deep dentin caries lesions may be a useful tool for preserving tooth structure. However, increase of pulpal temperature higher than 5.5°C may put pulp vitality in danger.ObjectivesThis in vitro study evaluated thermal effects of radiation of the red spectrum (λ = 600−700 nm, 94 J cm−2) on pulpal and periodontal areas when irradiating deep dentin cavities in human teeth.MethodsTooth preparation was performed at occlusal surface in 10 human teeth, which were irradiated by five different light units, four diode GaAlAs lasers: Coherent (C); Kondortech (B); Whitening lase (W); and K5000 with 2 different tips (K1 and K2), as well as one light emitting diode Laserbeam (LED). After application of toluidine blue O dye in the cavity, variation of temperature was measured in duplicate using a digital thermometer and 2 K-type thermocouples one placed inside the pulpal chamber and the other on root surface at the cementoenamel junction, simultaneously. The mean average temperature rise (ΔT) was calculated for each group.ResultsΔT values were analyzed by ANOVA and Tukey tests. Pulpal temperature increase ranged from 0.62 ± 0.51 to 1.25 ± 0.50°C. Group C presented the highest ΔT, which was statistically significant different from B, K1, and K2. The lowest ΔT value was found for group K2, which statistically differed from the group W. No other statistically significant difference was found. At the root surface, ΔT values were lower than 0.5°C for all devices and no statistically significantly difference was found among them.ConclusionWith regard to thermal side effects, the use of these red light sources operating at 94 J cm−2 may be considered harmless for dental tissues.


Photomedicine and Laser Surgery | 2015

The Influence of Dentin Demineralization on Morphological Features of Cavities Using Er:YAG Laser

Mary Anne S. Melo; Juliana Paiva Marques Lima; Vanara Florêncio Passos; Lidiany Karla Azevedo Rodrigues

OBJECTIVE The purpose of this study was to evaluate the influence of erbium-doped: yttrium-aluminum-garnet (Er:YAG) laser parameters and different degrees of demineralization on morphological features, diameter, and depth of prepared cavities. BACKGROUND DATA Minimally invasive dentin caries removal has been recommended. Ablation of deep caries lesions using Er:YAG laser should preserve remaining demineralized dentin; however, the influence of the degree of mineralization of this substrate had not been entirely described. MATERIALS AND METHODS A randomized, factorial design was used to study the effects of two factors. Laser parameter was tested at two levels (250 mJ/4 Hz vs. 200 mJ/2 Hz) and degree of demineralization was tested at four levels (control, two-four-eight cycles). Twelve slabs of human dentin were divided into four groups according to the number of cycles induced by pH-cycling: G1, zero cycles; G2, two cycles, G3, four cycles, and G4, eight cycles. An Er:YAG laser was used at an output energy of 250 mJ/4 Hz and 200 mJ/2 Hz for all groups, for 10 sec at 12 mm distance focus/object. Circumference and depth of the cavities were measured on scanning electron microscopy (SEM) images using image analysis software. The mean values were subjected to two way analysis of variance (ANOVA) and Tukey tests. RESULTS When using 250 mJ/4 Hz, the mean values of circumferential area increased significantly in relation to control (503.54 μm(2)) with increasing demineralization level (eight cycles) (555.45 μm(2)). Regardless of the demineralization level, there was also significant statistical difference in the studied measurements of the cavities when 250 mJ/4 Hz and 200 mJ/2 Hz were used. SEM also showed that laser cavity preparations left no smear layer, and the dentinal tubules were clear. CONCLUSIONS The circumferential area and depth measurements were affected by laser parameter and demineralization level (eight cycles). Energy level output represents a relevant factor for increased circumferential area and depth measurements. High demineralized artificially caries-affected dentin may also imply higher ablation. Appropriated parameter of laser pulse frequency/power density for demineralized dentin should be used for effective less-invasive caries treatment.


Dental Traumatology | 2009

Esthetic considerations for reshaping of autotransplanted premolars replacing maxillary central incisors: a case report

Juliana Paiva Marques Lima; José Jeová Siebra Moreira Neto; Haroldo César Pinheiro Beltrão; Fátima Maria Cavalcante Borges; Renato Luís Maia Nogueira; Augusto Darwin Moeira De Araújo Lima

Autotransplantation is a safe and currently common procedure in cases of agenesis and tooth loss. Autotransplantation of premolars to replace missing maxillary central incisors has been shown to be an excellent treatment choice, especially in young patients in the 9-12-year-old age range. The choice for adequate restorative materials and techniques is also essential, direct composite resin being indicated in most cases. This paper reports the case of two premolars autotransplanted to replace both maxillary central incisors and addresses the esthetic issues involved in the reshaping of these teeth to incisor morphology.


Restorative Dentistry and Endodontics | 2016

Carbohydrate-electrolyte drinks exhibit risks for human enamel surface loss

Mary Anne S. Melo; Vanara Florêncio Passos; Juliana Paiva Marques Lima; Sérgio Lima Santiago; Lidiany Karla Azevedo Rodrigues

Objectives The aim of this investigation was to give insights into the impact of carbohydrate-electrolyte drinks on the likely capacity of enamel surface dissolution and the influence of human saliva exposure as a biological protective factor. Materials and Methods The pH, titratable acidity (TA) to pH 7.0, and buffer capacity (β) of common beverages ingested by patients under physical activity were analyzed. Then, we randomly distributed 50 specimens of human enamel into 5 groups. Processed and natural coconut water served as controls for testing three carbohydrate-electrolyte drinks. In all specimens, we measured surface microhardness (Knoop hardness numbers) and enamel loss (profilometry, µm) for baseline and after simulated intake cycling exposure model. We also prepared areas of specimens to be exposed to human saliva overnight prior to the simulated intake cycling exposure. The cycles were performed by alternated immersions in beverages and artificial saliva. ANOVA two-way and Tukey HDS tests were used. Results The range of pH, TA, and β were 2.85 - 4.81, 8.33 - 46.66 mM/L and 3.48 - 10.25 mM/L × pH, respectively. The highest capacity of enamel surface dissolution was found for commercially available sports drinks for all variables. Single time human saliva exposure failed to significantly promote protective effect for the acidic attack of beverages. Conclusions In this study, carbohydrate-electrolyte drinks usually consumed during endurance training may have a greater capacity of dissolution of enamel surface depending on their physicochemical proprieties associated with pH and titratable acidity.


Journal of Conservative Dentistry | 2015

Effect of epigallocatechin-3-gallate application for remaining carious dentin disinfection.

Jorgiana Silva de Assis; Ramille Araujio Lima; Juliana Paiva Marques Lima; Lidiany Karle Azevedo Rodrigues; Sérgio Lima Santiago

Context: Epigallocatechin-3-gallate (EGCG) is a flavonoid extracted from green tea that demonstrated antimicrobial activity. Aims: To evaluate the efficacy of EGCG 0.5%, 1%, and 2% concentrations as an antimicrobial solution in dentin caries-like lesions induced in a bacterial-based in vitro model. Materials and Methods: Twenty-five human dentin specimens were submitted to a microbial-based caries model by immersion in brain heart infusion (BHI) broth inoculated with Streptococcus mutans UA159, for 5 days. After the demineralization period, the specimens were randomly divided into groups: Group I: 0.9% saline solution; Group II: 2% chlorhexidine digluconate; Group III: 0.5% EGCG; Group IV: 1% EGCG; and Group V: 2% EGCG. After the treatments, carious dentin samples were harvested from dentin specimens and analyzed by colony-forming unit (CFU) counts. Data were analyzed by ANOVA and Tukeys test. Results: Log reduction values (SD, CFU.mg-1) for Groups I–V were: 5.02 (0.16), 3.96 (0.43), 4.74 (0.26), 4.89 (0.56), and 4.91 (0.40), respectively. There was no statistical difference between the EGCG concentrations and saline solution (P > 0.05). Furthermore, there was no statistical difference between EGCG concentrations (P > 0.05). However, there was a statistically significant difference between the chlorhexidine digluconate group and the other groups (P < 0.05). Conclusion: EGCG at the studied concentrations were not effective in eliminating S. mutans from dentin caries-like lesions.

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Mary A.S. Melo

Federal University of Ceará

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D. M. de-Paula

Federal University of Ceará

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