ABSTRACT
BACKGROUND: The purpose of this study was to compare the pain perception and anesthetic efficacy of 2% lignocaine with 1:200,000 epinephrine, buffered lignocaine, and 4% articaine with 1:200,000 epinephrine for the inferior alveolar nerve block. METHODS: This was a double-blind crossover study involving 48 children aged 5–10 years, who received three inferior alveolar nerve block injections in three appointments scheduled one week apart from the next. Pain on injection was assessed using the Wong-Baker Faces pain scale and the sound eye motor scale (SEM). Efficacy of anesthesia was assessed by subjective (tingling or numbness of the lip, tongue, and corner of mouth) and objective signs (pain on probing). RESULTS: Pain perception on injection assessed with Wong-Baker scale was significantly different between buffered lignocaine and lignocaine (P < 0.001) and between buffered lignocaine and articaine (P = 0.041). The onset of anesthesia was lowest for buffered lignocaine, with a statistically significant difference between buffered lignocaine and lignocaine (P < 0.001). Moreover, the efficacy of local analgesia assessed using objective signs was significantly different between buffered lignocaine and lignocaine (P < 0.001) and between lignocaine and articaine. CONCLUSION: Buffered lignocaine was the least painful and the most efficacious anesthetic agent during the inferior alveolar nerve block injection in 5–10-year-old patients.
Subject(s)
Child , Humans , Analgesia , Anesthesia , Appointments and Schedules , Buffers , Carticaine , Cross-Over Studies , Epinephrine , Hypesthesia , Lidocaine , Lip , Mandibular Nerve , Pain Perception , TongueABSTRACT
A low pH and a high titratable acidity of juices and cola-based beverages are relevant factors that contribute to dental erosion, but the relative importance of these properties to maintain salivary pH at demineralizing levels for long periods of time after drinking is unknown. In this crossover study conductedin vivo, orange juice, a cola-based soft drink, and a 10% sucrose solution (negative control) were tested. These drinks differ in terms of their pH (3.5 ± 0.04, 2.5 ± 0.05, and 5.9 ± 0.1, respectively) and titratable acidity (3.17 ± 0.06, 0.57 ± 0.04 and < 0.005 mmols OH- to reach pH 5.5, respectively). Eight volunteers with a normal salivary flow rate and buffering capacity kept 15 mL of each beverage in their mouth for 10 s, expectorated it, and their saliva was collected after 15, 30, 45, 60, 90, and 120 s. The salivary pH, determined using a mini pH electrode, returned to the baseline value at 30 s after expectoration of the cola-based soft drink, but only at 90 s after expectoration of the orange juice. The salivary pH increased to greater than 5.5 at 15 s after expectoration of the cola drink and at 30 s after expectoration of the orange juice. These findings suggest that the titratable acidity of a beverage influences salivary pH values after drinking acidic beverages more than the beverage pH.
Subject(s)
Humans , Beverages , Citrus sinensis/chemistry , Saliva/chemistry , Buffers , Carbonated Beverages , Cross-Over Studies , Citric Acid/chemistry , Cola/chemistry , Hydrogen-Ion Concentration , Reference Values , Time Factors , Titrimetry , Tooth Erosion/chemically inducedABSTRACT
Two simple, precise and accurate first derivative spectrophotometric methods were developed for the determination of Zolpidem Tartrate in pharmaceutical formulations in phosphate buffer pH 6.8 and acetate buffer pH 4.0. Beer’s law was obeyed over the concentration range 0.5-20 μg/ml in both phosphate buffer (pH 6.8) (Method A) and acetate buffer (pH 4.0) (Method B). The regression equations were found to be y = 0.101x+0.012 (r2 = 0.999) and y = 0.064x+0.009 (r2 = 0.999) in Method A and B respectively. The % RSD in precision studies was found to be 0.28-0.69 (Intra-day) and 0.31-0.73 (Inter-day) for Method A and 0.25-0.82 (Intra-day) and 0.26-0.57 (Inter-day) for Method B respectively. The % RSD in accuracy studies was also found to be 0.14-0.19 (Method A) and 0.18-0.23 (Method B) with percentage recovery 98.67-99.78 and 98.56-99.83 Method A and B respectively.
ABSTRACT
Purpose: To compare the caries prevalence, saliva buffering capacity (SBC), oral hygiene (OH), dietary habits, family income (FI) and frequency of visits to a dental office (Do) between Brazilian children living in areas with and without fluoridated public water supply. Methods: Forty-six 5-7-year-old preschoolers were selected in Itatiba, SP, Brazil; 19 were from a fluoridated area, and 27 were from a non-fluoridated area. The caries index was determined according to the World Health Organization criteria, and the SBC was assessed by titration with hydrochloric acid. The FI, frequency of OH and visits to Do were estimated by questionnaire. The dietary habits were assessed with a diet chart. The differences between the groups were analyzed with Mann-Whitney-U tests (α=0.05). Results: Children from the non-fluoridated area showed significantly higher dmft/DMFT than those from the fluoridated area, but they showed significantly lower SBC, OH frequency and FI. No significant differences were observed between the areas for dietary habits and visits to Do. Conclusion: Children from fluoridated areas showed higher salivary buffering capacity, family income and oral hygiene frequency as well as lower caries prevalence, supporting the beneficial effect of fluoride in the tap water for caries prevention.
Objetivo: Comparar prevalência de cárie, capacidade tamponante da saliva (CTS), higiene bucal (HB), hábitos dietéticos, renda familiar (RF) e frequência de visita a consultórios odontológicos (Co) entre crianças brasileiras residentes em áreas de água de abastecimento público fluoretadas e não fluoretadas. Metodologia: Quarenta e seis crianças entre 5-7 anos foram selecionadas em Itatiba-SP-Brasil, sendo 19 pertencentes à área fluoretada e 27 à área não fluoretada. O índice de cárie foi determinado de acordo com o critério da Organização Mundial de Saúde e a CTS foi medida por titulação com ácido clorídrico. A RF, frequência de HB e visita ao Co foram estimadas por questionário. Os hábitos dietéticos foram avaliados com diário de dieta. As diferenças entre as variáveis foram analisadas pelo teste de Mann Whitney (α=0,05). Resultados: As crianças da área não fluoretada apresentaram significativamente maior ceod/CPOD que àquelas da área fluoretada, porém significativamente menor CTS, HB e RF. Com relação a hábitos dietéticos e visitas ao Co, não foi observada diferença significativa entre as áreas. Conclusão: As crianças da área fluoretada apresentaram maior capacidade tamponante da saliva, renda familiar e frequência de higiene bucal, assim como menor prevalência de cárie, reforçando o efeito benéfico do flúor nas águas de abastecimento para prevenir a cárie.
Subject(s)
Humans , Male , Female , Child, Preschool , Child , Dental Caries/epidemiology , Fluoridation , Feeding Behavior , Income , Oral Hygiene , Saliva , Surveys and QuestionnairesABSTRACT
Objetivo: Realizou-se um estudo, no período de 2002 a 2009, com a finalidade de verificar se as mudanças nas classes de cobertura da terra e no uso do solo podem exercer influência na ocorrência da raiva, nos municípios de Jacareí e de Santa Branca, situados na Região do Vale do Paraíba, no Estado de São Paulo, Sudeste do Brasil. Métodos: A ferramenta utilizada para avaliar estas alterações foi o sensoriamento remoto, através de imagens de satélite Land-sat. Para pesquisar a presença do vírus da raiva (RABV) foram coletados animais silvestres atropelados nas rodovias, morcegos encontrados na área urbana em atitude suspeita, morcegos hematófagos da espécie Desmodus rotundus e animais de interesse econômico (ADIE) que vieram a óbito por enfermidade com sintomatologia nervosa. O material coletado, sistema nervoso central (SNC), desses animais foi encaminhado para o laboratório de referência nacional, o Instituto Pasteur de São Paulo (IP-SP) e para o Laboratório de Sanidade Animal da Agência Paulista de Tecnologia dos Agronegócios (APTA)- Pólo Regional do Vale Paraíba (PRDTA/VP) - Pindamonhangaba-SP. A determinação da presença do antígeno viral foi feita através da prova de imunofluorescência direta (IFD) e o isolamento do vírus através da inoculação intracerebral em camundongos (IC). Os inóculos das amostras foram submetidos à prova de reação em cadeia pela polimerase transcriptase reversa (RT-PCR) para verificar a presença do vírus da raiva. Resultados: No período de estudo tivemos a ocorrência de dez casos da doença, sendo três em morcegos insetívoros na zona urbana de Jacareí, e sete em ADIE, sendo dois, em Jacareí e cinco, em Santa Branca. Todos os animais silvestres terrestres examinados foram negativos para a presença do vírus da raiva em todas as provas realizadas (IFD, IC, RT-PCR)...
Objective: This study was carried out during the period of 2002-2009, with the purpose to verify whether the changes in types of land cover and in land use can influence the occurrence of rabies in Jacareí and Santa Branca, situated in the Vale do Paraíba, State of São Paulo, southeastern brazil. Methods: The tool used to evaluate these alterations was the remote sensing through images of satellite land-sat. In order to search for the presence of rabies virus, brain materials were collected from wild animals roadkilled in highways, bats found in the urban area in suspicious attitude, desmodus rotundus hematophagous bats captured in rural areas and farm animals of economic importance (aei) dead with suspect of rabies. For rabies diagnosis, specimens of central nervous system (cns) of these animals were sent to the Pasteur Institute of São Paulo (IP-SP) - national reference laboratory and to the laboratory of animal Paulista Agency for Agribusiness Technology (APTA) - Polo Valley Regional of Paraíba (PRDTA / VP), in Pindamonhangaba, state of SP. The presence of viral antigen was determined by the direct fluorescent antibody technique (D-FAT) and the isolation of the virus by means of intracerebal mouse inoculation test (MIT). The brain suspensions were submitted to reverse transcriptase. Polymerase chain reaction to check the presence of rabies virus. Results: In the period of study, 10 positive cases were detected, being 3 in insectivorous bats in the urbane zone of jacareí, and 7 in aei, being 2 in jacareí and 5 in santa branca. All the terrestrial wild animals examined were negative for the presence of rabies virus in all tests performed (d-fat, mit, and rt-pcr)...