Talita Tartari

Color Stability, Radiopacity, and Chemical Characteristics of White Mineral Trioxide Aggregate Associated with 2 Different Vehicles in Contact with Blood

INTRODUCTION Discoloration of mineral trioxide aggregate (MTA) can be exacerbated by the interaction of the cement with body fluids such as blood. This study aimed to analyze the color alteration, chemical characteristics, and radiopacity of MTA manipulated with 2 different vehicles after immersion in blood or distilled water (DW). METHODS MTA mixed with 100% DW or 80% DW/20% propylene glycol (PG) as vehicles were placed into rubber rings and incubated at 37°C and 100% relative humidity until set. Color assessment and scanning electron microscopy/energy-dispersive spectroscopy analysis were performed after setting and repeated after 7, 15, and 30 days after immersion in blood and DW. Statistical analysis for color alteration and radiopacity was performed using nonparametric Kruskal-Wallis and Dunn tests (P < .05). RESULTS When 80% DW/20% PG was used as the vehicle, significantly lower color alterations were observed for all time periods compared with 100% DW when immersed in blood (P < .05). All surfaces displayed morphologic changes after immersion in both media because of loss of bismuth. A decrease in radiopacity was observed over time in all groups, with a statistically significant difference after 30 days for groups DW immersed in blood and 80% DW/20% immersed in both media (P < .05). CONCLUSIONS The ratio of 80% DW/20% PG as a vehicle for MTA results in a lower color alteration when in contact with blood.

Tissue dissolution and modifications in dentin composition by different sodium hypochlorite concentrations

ABSTRACT Sodium hypochlorite (NaOCl) remains the most used irrigation solution during root canal preparation because of characteristics such as wide-spectrum antimicrobial activity and organic tissue dissolution capacity. However, these solutions can alter dentin composition and there is no consensus on the optimal concentration of NaOCl to be used. Objectives To determine the organic matter dissolution and changes in dentin chemical composition promoted by different concentrations of NaOCl over time. Material and Methods: Fragments of bovine muscle tissue were weighed before and after 5, 10, and 15 min of immersion in the groups (n=10): G1- 0.9% saline solution; G2- 1% NaOCl; G3- 2.5% NaOCl; and G4- 5% NaOCl. Bovine dentin fragments were subjected to the same irrigants and absorption spectra were collected by Attenuated Total Reflectance of Fourier Transform Infrared Spectroscopy (ATR-FTIR) before and after 0,5, 1, 2, 3, 5, 8, and 10 min of immersion in the solutions. The ratios of the amide III/phosphate and carbonate/phosphate absorption bands were determined. The tissue dissolution and carbonate/phosphate ratios were submitted to the two-way analysis of variance (ANOVA) with Tukey’s multiple-comparison test (α<0.05) and to the one-way analysis of variance with Tukey’s (α<0.05). The amide III/phosphate ratio was analyzed by Friedman test (α<0.05) and the Kruskal-Wallis test with Dunn’s post-hoc (α<0.05). Results The increase in NaOCl concentration and contact time intensified the dissolution of organic matter and dentin collagen with reduction in the amide III/phosphate ratio. Significant differences between all groups (p<0.05) were observed in the dissolution of organic matter at 10 min and in the amide III/phosphate ratio between the saline solution and 5% NaOCl at 5 min. The carbonate/phosphate ratio decreased significantly in G2, G3, and G4 after 0,5 min of immersion (p<0.05), but more alterations did not occur in the subsequent periods (p>0.05). Intergroup differences were not observed in this ratio (p>0.05). Conclusions The increase in the exposure time and in the concentration of NaOCl solution lead to an increase in the tissue dissolution and dentin collagen deproteination. Furthermore, some carbonate ions are removed from the dentin inorganic phase by the NaOCl.

Do different strains of E. faecalis have the same behavior towards intracanal medications in in vitro research

The aim of this study was to evaluate the antimicrobial action of different endodontic pastes against Enterococcus faecalis ATCC 29212, isolated from the urinary tract, and compare the action with E. faecalis ATCC 4083, isolated from the root canal. For this purpose, dentin blocks were infected for 21 days with both bacteria at different time-intervals to ensure there would be no cross contamination. After this period, blocks were immersed in the test medications for 7 days, according to the following groups: CH/S, CH/P, CH/CMCP, CH/CHX, CH/DAP and TAP. Images of the samples were captured with a confocal microscope and the percentage of live cells was computed by means of the Bioimage program. The ATCC 29212 strain was shown to be more resistant to CH/SS, Calen, CH/DAP, and TAP than the ATCC 4083 strain. The antimicrobial action of the medications against each strain were divergent concerning the order of susceptibility. The authors concluded that the strains behaved in a different manner: in general, those extracted from the urinary tract were more resistant to the tested medications. Therefore, when E. faecalis must be used for in vitro research in endodontics, we suggest the use of ATCC 4083 strain to obtain results that are closer to the clinical reality.

Influence of the instrument used for cervical preflaring on the precision of 2 Eletronic Apex Locators

ABSTRACT ObjectiveThis study was aimed at evaluating the influence of cervical preflaring using LA-Axxes No. 1 bur (SybronEndo, Glendora, USA) or S1 and SX ProTaper files (Dentsply Maillefer, Ballaigues, Switzerland) on the accuracy of the Electronic Apex Locators (EALs): Root ZX mini (J. Morita Corporation, Tokyo, Japan), and Joypex 5 (Denjoy, Changsha, China).MethodsThirty mandibular incisors were accessed, and the root canal length (RCL) was determined with a K-file #15, with the aid of a st ereo microscope. Afterwards, the specimens were divided into 2 groups (n = 15) referring to the cervical preflaring with LA-Axxess or ProTaper files. The teeth were embedded in alginate and the RCL was determined by the EALs before and after preflaring. Data were classified into: accurate, if the difference in RCL measurement were ≤0.05 mm; and inaccurate, if the difference were >0.5 mm or beyond the RCL.ResultsMcNemars test ( α 0.05) af ter the cervical preflaring, regardless of the used instrument. ConclusionThe preflaring procedure increased the number of accurate measurements for both EALs, with statistical difference for Joypex 5 w hen the preflaring was performed with LA-Axxess. However, after the cervical preflaring, the EALs showed similar accuracy, regardless of the used instrument.Indexing terms: Dental instruments. Endodontics. Odontometry.

Alveolar bone regeneration in rats after grafting of anorganic bovine bone and thick synthetic bioceramic

Introduction: It remains uncertain whether the use of biomaterial in apical surgeries facilitates or induces bone regeneration. This study comparatively analyzed the effects of socket filling with anorganic bovine medullary bone and dense synthetic bioceramic on bone regeneration in 48 rats. Methods: Forty-eight Wistar albino rats were randomly divided into three groups which had the socket filled after dental extraction as follows: GI (n = 12) blood clot (control); GII (n = 18) anorganic bovine bone; GIII (n = 18) dense synthetic bioceramic. Specimens were harvested at 7, 15 and 30 days post-surgery. Quantitative microscopic analyses of inflammatory infiltration, fibroblastic density, angioblastic density, and bone neoformation were performed. Data were subjected to Kruskal–Wallis test (α < 0.05) to detect differences between groups within the same time interval. Results: Although some differences were detected between experimental and control groups for inflammatory infiltrate and angioblastic density within 7 days, and bone formation in 15 days, the process of repair was similar for all groups within 30 days. Conclusions: There was no difference between the two types of material both of which did not delay the process of bone regeneration. Should they be used in apical surgery, they may act as osteoconductive and osteofilling material in large bone defects.