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1.
Braz. j. oral sci ; 21: e225042, jan.-dez. 2022. ilus
Article in English | LILACS, BBO | ID: biblio-1354728

ABSTRACT

Aim: Although bulk fill composites have been widely used as restorative material, there is no consensus regarding the best clinical protocol in terms of composite technique and adhesive system. Therefore, this clinical trial evaluated the clinical performance of bulk fill composites for class I restorations under different protocols. Methods: A randomized clinical trial including 155 class I restorations was conducted using different adhesive systems: conventional technique (phosphoric acid + conventional three-step adhesive system) (Group 1, 2 and 3); or self-etching adhesive system (Groups 4, 5 and 6). Control groups 1 and 4 were restored with conventional composite; groups 2 and 5 with low viscosity bulk fill and conventional composite as occlusal coverage; groups 3 and 6 with high viscosity bulk fill. The FDI criteria was used for clinical evaluation at baseline and after 6 months. Results: All groups showed good clinical performance. At baseline, the adhesive system did not affect postoperative hypersensitivity. After 6 months, group 5 showed a significant reduction in color and translucency; group 6 a reduction in terms of anatomical form and for postoperative sensitivity and an improvement in patient satisfaction (p<0.05). Considering the same restorative technique, the use of the self-etching adhesive system showed a significant decrease in color and translucency (p<0.05). Conclusion: All groups showed favorable clinical performance, and promising results were found for the conventional adhesive system and high viscosity bulk fill protocol


Subject(s)
Phosphoric Acids , Adhesives , Composite Resins , Dental Restoration, Permanent , Esthetics, Dental , Clinical Studies as Topic
2.
Rev. chil. endocrinol. diabetes ; 15(1): 29-34, 2022. ilus
Article in Spanish | LILACS | ID: biblio-1359364

ABSTRACT

Los cuidados actuales de la diabetes incluyen altos niveles de tecnología y los pacientes utilizan diferentes dispositivos que pueden ayudar en su control metabólico, pero pueden impactar negativamente en su piel. Sensores de glucosa como el Freestyle, Dexcom, el Enlite de Medtronic y los sistemas de infusión continua de insulina contienen diferentes productos químicos que están en contacto directo con la piel del paciente y pueden causar una dermatitis irritativa o de contacto alérgica. Las lesiones incluyen eczema, prurito, heridas, cicatrices y cambios en la pigmentación de la piel. Los productos químicos involucrados que pueden ocasionarlas son el isobornil acrilato, N, N- dimetilacrilamida, etil cianoacrilato y colophonium, forzando a los pacientes a cambiar los sitios de infusión, el set de infusión o el sensor mismo más pronto de lo esperado, para reducir el nivel de daño en la piel. Existe gran número de productos que permiten proteger la piel y reducir el contacto de la piel con la cánula de la bomba o el sensor. Para reducir o prevenir el daño existen productos como cremas o spray y parches de hidrocoloide que actúan como barrera y existen técnicas para aplicar y retirar cuidadosamente los parches y adhesivos de los dispositivos. Una vez que las lesiones se han producido, el tratamiento incluye pomadas y a veces corticoides tópicos y/o antibióticos. Para prevenir o reducir el daño de la piel asociado al sensor y uso de la bomba de insulina, la industria que los produce debería incluir la información en relación a los productos químicos incluidos en cada dispositivo.


Diabetes care nowadays includes a high level of technology and patients use different devices which can help them in their glycemic control, but can have a negative impact on their skin. Glucose sensors such as Freestyle, Dexcom, Medtronic Enlite and also continuous subcutaneous insulin infusion systems contain different chemical products which are in direct contact with the patient's skin and can cause irritative or allergic contact dermatitis. Lesions include eczema, pruritus, wounds, scars and changes in skin pigmentation. The chemical products which can induce them are isobornyl acrylate, N, N- dimethylacrylamide, ethyl cyanoacrylate and colophonium, forcing patients to change the infusion site, set or the sensor itself, earlier than expected, in order to reduce the level of skin damage. There are a number of products which can protect the skin and reduce it's contact with the pump cannula or the sensor. To reduce or prevent damage, we have products such as barrier cream or spray films and hydrocolloid blister plasters and actions such as careful application and removal of device's patches and adhesives. Once lesions are established, treatment includes ointments and sometimes topical steroids and/ or antibiotics. In order to prevent or reduce skin damage related to sensor and insulin pump use, the manufacturers should include the information related to the chemicals included in each device.


Subject(s)
Humans , Skin Diseases/etiology , Insulin Infusion Systems/adverse effects , Skin/injuries , Blood Glucose Self-Monitoring/adverse effects , Adhesives/adverse effects , Dermatitis, Allergic Contact/etiology , Glycemic Control/adverse effects
3.
Rev. cuba. estomatol ; 58(2): e3283, 2021. tab, graf
Article in Spanish | LILACS, CUMED | ID: biblio-1289402

ABSTRACT

Introducción: Las restauraciones indirectas de resina son ampliamente empleadas para realizar tratamientos estéticos en dientes posteriores. Recientemente se ha propuesto el uso de resinas precalentadas como agentes de unión. Objetivo: Evaluar la resistencia a la tracción de restauraciones indirectas cementadas con una resina precalentada comparándola con un cemento de resina autoadhesivo y un cemento resinoso. Métodos: Las preparaciones dentarias se realizaron en 45 premolares con piedras diamantadas calibradas. Las muestras se dividieron aleatoriamente en tres conjuntos (n = 15) según los grupos experimentales: grupo 1 (resina precalentada), grupo 2 (resina autoadhesiva) y grupo 3 (cemento de resinoso adhesivo). Las muestras fueron incluidas en acrílico autopolimerizable. Se realizaron restauraciones indirectas para cada muestra, las superficies internas fueron microarenadas y se aplicó silano antes de la cementación con los agentes de unión. La resistencia a la tracción se realizó utilizando una máquina universal de ensayos con una velocidad de cruceta de 5 mm/min. El análisis estadístico se llevó a cabo con ANOVA de un factor y la prueba post hoc de Tukey. Se adoptó un nivel de significancia de p < 0,05. Resultados: La resina Filtek Z250 XT precalentada a 60 °C durante 15 minutos tuvo una fuerza de resistencia a la tracción de 5,775 MPa, similar a RelyX Ultimate con 5,442 MPa (p > 0,05), ambos grupos poseen una fuerza de resistencia a la tracción significativamente mayor que RelyX U200 (3,430 MPa). Conclusiones: La resina precalentada (Filtek, Z250 XT) y el cemento resinoso (RelyX Ultimate) muestran las mismas propiedades de resistencia a la tracción cuando se usan como agentes adhesivos en restauraciones indirectas de resina(AU)


Introduction: Indirect resin restorations are widely used in the esthetic treatment of posterior teeth. Preheated resins have been recently proposed as luting agents. Objective: Evaluate the tensile bond strength of indirect restorations cemented with a preheated resin versus a self-adhesive resin cement and a resinous cement. Methods: Tooth preparation was conducted of 45 premolars using calibrated diamond-coated stones. The samples were randomly divided into three sets (n = 15) according to the following experimental groups: Group 1 (preheated resin), Group 2 (self-adhesive resin) and Group 3 (adhesive resinous cement), and soaked in self-polimerizable acrylic. Indirect restorations were performed for each sample. The inner surfaces were microsanded, and silane was applied before cementation with the luting agents. Tensile bond strength was verified with a universal testing machine at a crosshead speed of 5 mm/min. Statistical analysis was based on one-factor ANOVA and Tukey's post hoc test. A significance level of p < 0.05 was established. Results: The Filtek Z250 XT resin preheated at 60°C for 15 minutes displayed a tensile bond strength of 5.775 MPa, similar to RelyX Ultimate with 5.442 MPa (p > 0.05). Both groups displayed a significantly greater tensile bond strength than RelyX U200 (3.430 MPa). Conclusions: The preheated resin (Filtek Z250 XT) and the resinous cement (RelyX Ultimate) exhibit the same tensile bond strength properties when used as luting agents in indirect resin restorations(AU)


Subject(s)
Humans , Adhesives , Resin Cements/therapeutic use , Dental Cements/therapeutic use , Statistical Analysis , Esthetics, Dental
4.
Article in Chinese | WPRIM | ID: wpr-922056

ABSTRACT

OBJECTIVE@#To study the safety of alginate based gastric mucosal protective adhesive and its feasibility as a submucosal injection.@*METHODS@#The feasibility of using alginate-based gastric mucosal protective gel as submucosal injection was evaluated by @*RESULTS@#After injection of different concentrations of alginate base mucosal protective adhesive solution, the uplift height was significantly higher than that of normal saline (@*CONCLUSIONS@#Gastric mucosa protector is a promising new medical device product with feasibility and good biocompatibility as submucosal uplift injection agent.


Subject(s)
Adhesives , Alginates , Animals , Feasibility Studies , Gastric Mucosa , Injections , Rats , Swine
5.
Article in Chinese | WPRIM | ID: wpr-921749

ABSTRACT

Hot melt pressure-sensitive adhesive(HMPSA) has broad application potential in the field of traditional Chinese medicine(TCM) plasters due to its high drug loading, weak skin irritation, satisfactory adhesion, etc. compared with rubber plasters.However, the structure of HMPSA is prone to suffer from the damage caused by volatile oils in TCM plasters. In view of this, a kind of HMPSA with a stable structure was prepared by physical blending of DINCH, polypropylene wax and liquid rubber(LIR) in the present study, which is denoted as DPL. The dosage of cinnamon volatile oil(CVO), the model drug, was selected with viscosity, softening point and cohesion as evaluation indexes. The interaction between DPL and HMPSA was investigated by Fourier transform infrared spectroscopy(FT-IR) and differential scanning calorimetry(DSC). The compatibility of HMPSA with CVO and its transdermal ability were studied by in vitro transdermal test, adhesion, scanning electron microscopy( SEM) and rheological evaluation. The results showed that 5% CVO began to damage the structure of HMPSA. The initial adhesion and holding adhesion of DPL-modified HMPSA(DPL-HMPSA) were not significantly changed compared with those of HMPSA, whereas the 180° peel strength was decreased. FI-IR unraveled that DPL formed the n-π conjugated system with styrene-isoprene-styrene block copolymer(SIS), and there was no significant difference in the glass transition temperature according to DSC results, which indicated the good compatibility of DPL with HMPSA. With 5% CVO loaded, the drug content of DPL-HMPSA was 1. 14 times higher than that of HMPSA, and the decrease rate of drug content in DPL-HMPSA was 16% lower than that in HMPSA after 3 months. SEM demonstrated that CVO did not cause obvious structural damage to DPL-HMPSA. Rheological evaluation revealed that the storage modulus and loss factor of DPL-HMPSA were higher than those of HMPSA, and the cohesion was also stronger. The percutaneous penetration rate of cinnamaldehyde in DPL-HMPSA was 2. 25 times that of HMPSA. In conclusion, DPL-HMPSA had more stable structure, better compatibility with CVO, and higher in vitro transdermal efficiency of cinnamaldehyde than before the modification. This study can provide reference for the mitigation of the matrix structure damage caused by volatile oil components in TCM plasters and the enhancement of the content and in vitro transdermal rate of drug.


Subject(s)
Adhesives , Administration, Cutaneous , Cinnamomum zeylanicum , Oils, Volatile , Spectroscopy, Fourier Transform Infrared
6.
Article in English | WPRIM | ID: wpr-879969

ABSTRACT

To investigate the effect of captopril on the dentin bonding durability of self-etch adhesive. Different concentrations of captopril ethanol solutions or captopril ethanol/water solutions were prepared to pretreat dentin as primer for the self-etch adhesives. The surface morphology of the dentin was observed with scanning electron microscopy (SEM). Based on the morphology analysis, the pretreatment condition was selected and two self-etch adhesives were employed to evaluate the improvement effect of the captopril pretreatment on the dentin bonding durability. : SEM showed that the pretreatment of captopril ethanol solutions and captopril ethanol/water solutions were able to remove the smear lay and partially expose collagen matrix. According to the SEM results, the pretreating condition of captopril ethanol/water solution with the pretreating time of was selected for further dentin bonding study. For Clearfil SEBOND system, the immediate bonding strength increased from to  (0.05]. For Clearfil S BOND system, there was no significant difference in the immediate bonding strength between the experimental group [(4.07) MPa] and the control group[(4.11) MPa]. But after one-year aging, the bonding strength of the experimental group was higher than that of the control group <0.05]. : The pretreatment with captopril ethanol/water solution increases the dentin bonding strength of the self-etch adhesive systems and also improves the bonding durability.


Subject(s)
Adhesives , Captopril , Dental Bonding , Dentin , Dentin-Bonding Agents , Materials Testing , Microscopy, Electron, Scanning , Resin Cements
7.
J. appl. oral sci ; 29: e20200448, 2021. tab, graf
Article in English | LILACS | ID: biblio-1154618

ABSTRACT

Abstract Denture adhesives need complete removal due to their frequent replacement. Objective Our study investigates the removal of denture adhesives from denture base materials, using different methods. Methodology PMMA and Polyamide denture base materials were used to fabricate 120 samples (15×15×1.5mm). One side of the samples was left as processed and the other polished with a usual procedure, hydrated for 24 h, dried, and weighted. They received 0.2 g of three adhesive creams on their unpolished surface (Corega, Olivafix, Fittydent), pressed on polysulfide material, stored under 37°C and 95% rel. humidity for 1 h and 60 of them, following their separation from polysulfide base, brushed under running water, whereas the rest inserted in a cleanser bath (Fittydent Super) for 5 min. The samples were dried and inserted in the oven (37°C) for additional 10 min and weighted again. Roughness tests of denture materials and light microscopy of adhesives creams were also used to evaluate the materials. Time lapse images of spayed with water adhesives on PMMA base were also taken to evaluate the volumetric changes of adhesives. Weight data before and after adhesive removal, indicating the amount of remaining adhesive, were statistically analyzed using Welch's ANOVA and Games-Howell multiple comparisons tests at α=0.05 level of significance. Results Roughness of Polyamide was higher than PMMA and Fittydent showed greater volumetric changes than the others. Significant differences (p<0.05), were found between PMMA and Polyamide bases, between Olivafix and Fittydent adhesives, and between brushing and cleansing methods but only for PMMA-Olivafix combination. Conclusions Adhesives showed a stronger adherence to PMMA surface, and Fittydent was the most difficult to be removed. Removal methods were not effective for all adhesives or denture base materials. These indicate that removal methods, adhesive type and denture base material are all playing a significant role in the removal of adhesives from denture surfaces.


Subject(s)
Denture Bases , Nylons , Surface Properties , Materials Testing , Adhesives , Polymethyl Methacrylate
8.
Rev. latinoam. enferm. (Online) ; 29: e3500, 2021. tab
Article in English | LILACS, BDENF | ID: biblio-1347620

ABSTRACT

Objective: to estimate the incidence of medical adhesive-related skin injury in the peripheral venous catheter fixation region in critical cancer patients, to identify risk factors, and to establish a risk prediction model for its development. Method: a prospective cohort study with a sample of 100 adult and aged patients hospitalized in an intensive care unit. The data were analyzed using descriptive, bivariate and multivariate statistics with Cox regression. Results: the incidence of medical adhesive-related skin injury was 31.0% and the incidence density was 3.4 cases per 100 people-days. The risk factors were as follows: alcoholism, smoking habit, hospitalization due to deep vein thrombosis, acute respiratory failure, immediate postoperative period, heart disease, dyslipidemia, use of antiarrhythmics, blood transfusion, friction injury, pressure injury, turgor, edema, hematoma, petechiae, low values in the Braden scale, clinical severity of the patient, elasticity, moisture, texture and color. The predictive model consisted in the following: decreased skin turgor, presence of hematoma and edema. Conclusion: medical adhesive-related skin injury at the peripheral venous catheter insertion site has a high incidence in critical cancer patients and is associated with decreased turgor, presence of hematoma and edema, evidence that can support the clinical practice.


Objetivo: estimar la incidencia de lesión cutánea relacionada con adhesivos médicos en la región de fijación del catéter venoso periférico en pacientes oncológicos críticos, identificar factores de riesgo y establecer un modelo de predicción de riesgo para su desarrollo. Método: cohorte prospectiva con una muestra de 100 pacientes adultos y adultos mayores ingresados en una unidad de terapia intensiva. Los datos se analizaron mediante estadística descriptiva, bivariada y multivariada con regresión de Cox. Resultados: la incidencia de lesión cutánea relacionada con adhesivos médicos fue del 31,0% y la densidad de incidencia fue de 3,4 casos por 100 personas-día. Los factores de riesgo fueron: alcoholismo, tabaquismo, hospitalización por trombosis venosa profunda, insuficiencia respiratoria aguda, postoperatorio inmediato, cardiopatía, dislipidemia, uso de antiarrítmicos, transfusión de sangre, lesión por fricción, lesión por presión, turgencia, edema, hematoma, petequias, bajos valores en la escala de Braden, gravedad clínica del paciente, elasticidad, humedad, textura y coloración. El modelo predictivo estuvo compuesto por: disminución de la turgencia cutánea, presencia de hematomas y edema. Conclusión: la lesión cutánea relacionada con adhesivos médicos en el sitio de inserción del catéter venoso periférico tiene una alta incidencia en pacientes oncológicos críticos y se asocia a disminución de la turgencia, presencia de hematoma y edema, dicha evidencia puede servir de base para la práctica clínica.


Objetivo: estimar a incidência de lesão de pele relacionada a adesivo médico em região de fixação de cateter venoso periférico em pacientes oncológicos críticos, identificar fatores de risco e estabelecer modelo de predição de risco para o seu desenvolvimento. Método: coorte prospectiva com amostra de 100 pacientes adultos e idosos internados em unidade de terapia intensiva. Os dados foram analisados por estatística descritiva, bivariada e multivariada com regressão de Cox. Resultados: a incidência da lesão de pele relacionada a adesivo médico foi de 31,0% e a densidade de incidência foi de 3,4 casos por 100 pessoas-dia. Os fatores de risco foram: etilismo, tabagismo, internação por trombose venosa profunda, insuficiência respiratória aguda, pós-operatório imediato, cardiopatia, dislipidemia, uso de antiarrítmico, hemotransfusão, lesão por fricção, lesão por pressão, turgor, edema, hematoma, petéquias, valores baixos na escala de Braden, gravidade clínica do paciente, elasticidade, umidade, textura e coloração. Compuseram o modelo preditivo: turgor de pele diminuído, presença de hematomas e edema. Conclusão: a lesão de pele relacionada a adesivo médico em sítio de inserção de cateter venoso periférico tem elevada incidência em pacientes oncológicos críticos e está associada ao turgor diminuído, presença de hematoma e edema, evidências essas que podem embasar a prática clínica.


Subject(s)
Humans , Adult , Aged , Skin/injuries , Adhesives/adverse effects , Incidence , Prospective Studies , Risk Factors , Intensive Care Units , Neoplasms/complications
9.
Int. j. odontostomatol. (Print) ; 14(2): 236-241, June 2020. tab
Article in English | LILACS | ID: biblio-1090680

ABSTRACT

There is no information about the possible impact in denture retention after the use of common denture adhesives (DAs) when poor denture foundations (PDF) are present. Moreover, there is a lack of information about which current formulation provides greater retention and for how long. Twelve models from edentulous patients with different ridge shape and border height were used and complete dentures were manufactured. Four different formulation brands of DAs were tested after 10 minutes and three, six, nine, and 12 hours of DA application using a universal testing machine. The Fittydent® and Fixodent® adhesives had the highest retention at 12 hours. The PDF group increased on average its retention by 400 %. However, the group presented lower retention compared to the good denture foundation group. In conclusion, DAs significantly increased denture retention. The PDF group were the most benefited with the application of DAs. The Fixodent® paste had the highest retention.


No existe información acerca del posible impacto en la retención de dentaduras después del uso de adhesivos dentales comunes (DAs) cuando existen rebordes alveolares deficientes (PDF). Más aun, existe una falta de información acerca de cuál formula actual provee mayor retención y por cuanto tiempo. Doce modelos de pacientes edentulos con diferentes formas y alturas en sus rebordes alveolares fueron usados, y dentaduras completas les fueron realizadas. Cuatro diferentes fórmulas y marcas de DAs fueron evaluadas después de 10 minutos, tres, seis, nueve y 12 horas de que se aplicó el DA usando una maquina universal de pruebas. Los adhesivos Fittydent® y Fixodent® presentaron la retención más alta a las 12 horas. El grupo con PDF incrementó su retención hasta en un 400 %. Sin embargo, el grupo presentó menor retención cuando se comparó con el grupo que posee adecuados procesos alveolares. Los DAs incrementaron significativamente la retención de las dentaduras. El grupo PDF fue el más beneficiado con la aplicación de DAs. La pasta Fixodent® provee la más alta retención.


Subject(s)
Humans , Denture Retention/methods , Dental Cements/chemistry , Alveolar Process , In Vitro Techniques , Adhesives
10.
Int. j. odontostomatol. (Print) ; 14(1): 55-59, mar. 2020. tab, graf
Article in English | LILACS | ID: biblio-1056501

ABSTRACT

ABSTRACT: The aim of this study was to analyze the bond strength of total-etch and self-etch adhesive systems to dentin of primary and permanent teeth. Methods: Thirty sound naturally exfoliated primary molars deciduous teeth (DT) and thirty sound permanent bicuspids permanent teeth (PT) were randomly divided into six groups (n=10 per group) according to two commercial adhesive systems: Adper Single Bond 2; 3M ESPE (Total-etch) and Adper Easy Bond; 3M ESPE (selfetch and total-etch). Specimens submitted to cyclic loading in a universal Instron testing machine. Bond strength values (MPa) were analyzed by ANOVA test and Duncan post hoc test (a=0.05). Results: Mean values were higher in PT compared to DT. In deciduous teeth, no significantly differences observed. Total etch AdperTM Single Bond 2 showed significantly higher bond strength than self-etch AdperTM with additional acid etching in PT (p=0.031). Conclusion: Our findings suggest that the highest bond strength was found in dentin tissue of PT with total etch AdperTM employing the adhesive the Single Bond 2 of one step self-etch.


RESUMEN: El objetivo de este estudio fue analizar la fuerza de unión de los sistemas adhesivos de grabado total y autograbado a la dentina de los dientes primarios y permanentes. Métodos: treinta sonidos exfoliaron naturalmente los molares primarios dientes caducifolios (DT) y treinta sonidos. Los dientes permanentes de los premolares permanentes (PT) se dividieron aleatoriamente en seis grupos (n = 10 por grupo) de acuerdo con dos sistemas adhesivos comerciales: Adper Single Bond 2; 3M ESPE (Grabado total) y Adper Easy Bond; 3M ESPE (autograbado y grabado total). Muestras sometidas a carga cíclica en una máquina universal de pruebas Instron. Los valores de resistencia de la unión (MPa) se analizaron mediante la prueba ANOVA y la prueba post hoc de Duncan (a = 0.05). Resultados: Los valores medios fueron mayores en PT en comparación con DT. En dientes deciduos, no se observaron diferencias significativas. Total etch AdperTM Single Bond 2 mostró una fuerza de unión significativamente mayor que la autograbado AdperTM con grabado ácido adicional en PT (p = 0.031). Conclusión: Nuestros hallazgos sugieren que la mayor fuerza de unión se encontró en el tejido de dentina de PT con grabado total AdperTM empleando el adhesivo Single Bond 2 de autograbado de un solo paso.


Subject(s)
Humans , Dental Bonding , Dentin-Bonding Agents , Dental Cements/classification , Dental Cements/chemistry , Tooth, Deciduous , In Vitro Techniques , Adhesives , Dentition, Permanent , Shear Strength , Molar
11.
J. Health Biol. Sci. (Online) ; 8(1): 1-5, 01/01/2020. ilus
Article in Portuguese | LILACS | ID: biblio-1104328

ABSTRACT

Objetivos: revisar a literatura acerca do uso de ACA no procedimento adesivo. Métodos: Realizaram-se duas buscas distintas na literatura, na base de dados PubMed, na qual a primeira se utilizou das palavras-chave "Restorative dentistry" e "Alternativeconditioning", combinadas entre si pelo operador booleno "AND". Encontraram-se 28 estudos sem restrição de período em que, após a leitura crítica de títulos e resumos, selecionaram-se três. A segunda busca utilizou as palavras-chave "Alternativeconditioning", "Adhesives" e "Dentistry", combinadas pelo operador booleano "AND", encontrando 72 estudos sem restrição de período e, após a leitura de títulos e resumos, selecionaram-se três. Entre eles, o Ácido Fosfórico (AF) foi incapaz de remover a camada hipermineralizada de dentina das Lesões Cervicais Não Cariosas (LCNC). Resultados: Notou-se a eficácia do EDTA, como alternativa ao condicionamento convencional, nas superfícies tratadas com clorexidina. Já o ácido metafosfórico a 40% dispôs de precipitação do mineral bruxita. O condicionamento com Ácido Cítrico (AC) a 5% e Cloreto Férrico Anidro (CFA) a 0,6% e 1,8%, ambos exibiram ótima microtração. O condicionamento com Ácido Nítrico (AN) a 10% e Oxalato Férrico (OF) a 3% reduziu a resistência de união. Entretanto, o resultado pode variar conforme o adesivo utilizado. Conclusão: Os estudos comprovaram a eficácia da aplicação de ACA em procedimentos adesivos, contribuindo com o aumento da retenção das restaurações.


Objective: The Alternative Conditioning Agents (ACA) aim to reduce the biodegradation of adhesive interfaces in resinous restorations. Methods: The aim was to review the literature on the use of ACA in the adhesive procedure. Two different searches were performed in the literature, in the PubMed database, in which the first one used the keywords "Restorative dentistry" and "Alternative conditioning", combined with the Boolene operator "AND". There were 28 studies without period restrictions in which, after critical reading of titles and abstracts, 3 were selected. The second search used the keywords "Alternative conditioning", "Adhesives" and "Dentistry", combined by the Boolean operator "AND", finding 72 studies without period restriction and, after reading titles and abstracts, 3 were selected. Among these, phosphoric acid (PA) was unable to remove the hypermineralized dentin layer from non-carious cervical lesions (NCCL). Results: The efficacy of EDTA, as an alternative to conventional conditioning, was noted on surfaces treated with chlorhexidine. Metaphosphoric acid at 40% had precipitation of the "bruxita" bauxite/brucite mineral. The conditioning with 5% Citric Acid (CA) and 0.6% and 1.8% Anhydrous Ferric Chloride (AFC) both showed excellent microtraction. Citric Acid (CA) conditioning at 10% and Ferric Oxalate (FO) at 3% reduced the bond strength. However, the result may vary according to the adhesive used. Conclusion: Studies have proven the efficacy of ACA in adhesive procedures, contributing to increased retention of restorations.


Subject(s)
Dental Materials , Acid Etching, Dental , Adhesives
12.
Rev. Esc. Enferm. USP ; 54: e03588, 2020. tab
Article in English, Portuguese | LILACS, BDENF | ID: biblio-1125564

ABSTRACT

Abstract OBJECTIVE To compare the intensity of pain, the healing process and women's satisfaction with the repair of perineal trauma during vaginal delivery using surgical glue or suture. METHOD Cross-sectional study aligned with a clinical trial conducted at a maternity in Itapecerica da Serra, São Paulo. The sample consisted of women who were evaluated between 10 and 20 days after delivery. The outcomes were analyzed according to the distribution of women in the experimental group (EG: perineal repair with Glubran-2® surgical glue; n=55) and in the control group (CG: perineal repair with Vicryl® suture thread; n=55). RESULTS 110 puerperal women were evaluated. There was no difference between EG and CG regarding sociodemographic and clinical-obstetric characteristics. The intensity of perineal pain, assessed by the visual numeric scale was lower among women in the EG compared to the CG (p<0.001). According to the REEDA scale, there was no significant difference in perineal healing (p=0.267) between EG and CG. The satisfaction of women with perineal repair, assessed using a five-point scale, was higher with the use of surgical glue (p=0.035). CONCLUSION Surgical glue showed advantages in relation to perineal pain and greater satisfaction for women compared to the use of suture. The healing process was similar for both types of repair.


Resumen OBJETIVO Comparar la intensidad del dolor, el proceso de cicatrización y la satisfacción de la mujer con la reparación del trauma perineal durante el parto normal utilizando pegamento quirúrgico o hilo de sutura. MÉTODO Estudio transversal anidado a un ensayo clínico realizado en el hospital-maternidad de Itapecerica da Serra, São Paulo. La muestra consistió en mujeres que fueron evaluadas entre 10 y 20 días después del parto. Los resultados se analizaron según la distribución de las mujeres en el grupo experimental (GE: reparación perineal con pegamento quirúrgico Glubran-2®; n=55) y en el grupo control (GC: reparación perineal con hilo Vicryl®; n=55). RESULTADOS Se evaluaron 110 mujeres en el postparto. No hubo diferencia entre GE y CG en cuanto a las características sociodemográficas y clínico-obstétricas. La intensidad del dolor perineal, evaluada mediante la escala numérica visual, fue menor entre las mujeres del GE en comparación con aquellas del GC (p<0,001). Según la escala REEDA, no hubo diferencias significativas en la cicatrización perineal (p=0,267) entre el GE y GC. La satisfacción de las mujeres con la reparación perineal, evaluada mediante una escala de cinco puntos, fue mayor con el uso de pegamento quirúrgico (p=0,035). CONCLUSIÓN El pegamento quirúrgico mostró ventajas con relación al dolor perineal y mayor satisfacción de las mujeres, en comparación con el hilo de sutura. El proceso de cicatrización fue similar para ambos tipos de reparación.


Resumo OBJETIVO Comparar a intensidade da dor, o processo de cicatrização e a satisfação da mulher com o reparo do trauma perineal no parto normal por meio de cola cirúrgica ou fio de sutura. MÉTODO Estudo transversal alinhado a um ensaio clínico realizado na maternidade de Itapecerica da Serra, São Paulo. A amostra foi constituída por mulheres que foram avaliadas entre 10 a 20 dias após o parto. Os desfechos foram analisados segundo a distribuição das mulheres no grupo experimental (GE: reparo perineal com cola cirúrgica Glubran-2®; n=55) e no grupo controle (GC: reparo perineal com fio Vicryl®; n=55). RESULTADOS Foram avaliadas 110 puérperas. Não houve diferença entre GE e GC quanto às características sociodemográficas e clínico-obstétricas. A intensidade da dor perineal, avaliada pela escala visual numérica, foi menor entre as mulheres do GE em comparação ao GC (p<0,001). Segundo a escala REEDA, não houve diferença significativa na cicatrização perineal (p=0,267) entre GE e GC. A satisfação das mulheres com o reparo perineal, avaliada por escala de cinco pontos, foi maior com o uso da cola cirúrgica (p=0,035). CONCLUSÃO A cola cirúrgica mostrou vantagens em relação à dor perineal e maior satisfação das mulheres comparada com o uso do fio de sutura. O processo de cicatrização foi similar nos dois tipos de reparo.


Subject(s)
Humans , Female , Perineum/injuries , Wound Healing , Natural Childbirth , Pain , Polyglactin 910 , Adhesives/therapeutic use , Cross-Sectional Studies , Obstetric Nursing
14.
Article in English | WPRIM | ID: wpr-811433

ABSTRACT

PURPOSE: The aim of this study was to evaluate the microshear bond strength (µSBS) of four computer-aided design/computer-aided manufacturing (CAD/CAM) blocks repaired with composite resin using three different surface treatment protocols.MATERIALS AND METHODS: Four different CAD/CAM blocks were used in this study: (1) flexible hybrid ceramic (FHC), (2) resin nanoceramic (RNC), (c) polymer infiltrated ceramic network (PICN) and (4) feldspar ceramic (FC). All groups were further divided into four subgroups according to surface treatment: control, hydrofluoric acid etching (HF), air-borne particle abrasion with aluminum oxide (AlO), and tribochemical silica coating (TSC). After surface treatments, silane was applied to half of the specimens. Then, a silane-containing universal adhesive was applied, and specimens were repaired with a composite, Next, μSBS test was performed. Additional specimens were examined with a contact profilometer and scanning electron microscopy. The data were analyzed with ANOVA and Tukey tests.RESULTS: The findings revealed that silane application yielded higher µSBS values (P<.05). All surface treatments were showed a significant increase in µSBS values compared to the control (P<.05). For FHC and RNC, the most influential treatments were AlO and TSC (P<.05).CONCLUSION: Surface treatment is mandatory when the silane is not preferred, but the best bond strength values were obtained with the combination of surface treatment and silane application. HF provides improved bond strength when the ceramic content of material increases, whereas AlO and TSC gives improved bond strength when the composite content of material increases.


Subject(s)
Adhesives , Aluminum Oxide , Ceramics , Clinical Protocols , Dental Bonding , Dental Restoration Repair , Hydrofluoric Acid , Microscopy, Electron, Scanning , Polymers , Shear Strength , Silicon Dioxide
15.
Article in English | WPRIM | ID: wpr-811272

ABSTRACT

OBJECTIVES: The need for proper wound closure is of paramount importance after any intra-oral surgery. Various wound closure techniques have been described in literature using traditional non-absorbable suture materials. These include like synthetic absorbable sutures, surgical staples and tissue adhesives. Cyanoacrylates are among the most commonly used biocompatible tissue adhesives. To evaluate and compare intraoral wound healing using 3-0 silk sutures and n-butyl-2-cyanoacrylate after alveoloplasty.MATERIALS AND METHODS: A total of 20 patients requiring bilateral alveoloplasty in the same arch (upper or lower) were included in this study. Patients with any pre-existing pathology or systemic disease were excluded. After alveoloplasty was performed, the wound was closed using 3-0 braided silk sutures on one side, and using n-butyl-2-cyanoacrylate bio adhesive on the other side. Patients were evaluated based on the following parameters: time required to achieve wound closure; the incidence of immediate and postoperative hemostasis; the time to the use of the first rescue medication; the side where pain first arises; and the side where wound healing begins first.RESULTS: Compared to 3-0 silk sutures, cyanoacrylate demonstrated better hemostatic properties, reduced operative time, reduced postoperative pain and better wound healing.CONCLUSION: These data suggest that cyanoacrylate glue is an adequate alternative to conventional sutures to close the surgical wound after alveoloplasty, and better than are 3-0 silk sutures.


Subject(s)
Adhesives , Alveoloplasty , Cyanoacrylates , Enbucrilate , Hemostasis , Humans , Incidence , Operative Time , Pain, Postoperative , Pathology , Silk , Sutures , Tissue Adhesives , Wound Closure Techniques , Wound Healing , Wounds and Injuries
16.
Rev. clín. periodoncia implantol. rehabil. oral (Impr.) ; 12(3): 135-139, Dec. 2019. tab, graf
Article in Spanish | LILACS | ID: biblio-1058327

ABSTRACT

RESUMEN: El uso de medios auxiliares como es el caso de los adhesivos dentales permitirá que la adhesión entre la prótesis y la mucosa sea mejor y se logre una mejor retención, estabilidad y eficiencia masticatoria. Se realizó una búsqueda en internet en las siguientes bases de datos, Pubmed, EBSCO, BEIC, Cochrane y Epistemonikos. Para la búsqueda electrónica se utilizaron las palabras "denture adhesive", "dental adhesive", "complete denture wearers", "retention", "support", "stability", "masticatory performance", "Candida albicans" y "quality of life" relacionadas con el operador booleano AND. Al aplicar los criterios de inclusión y exclusión terminando con 14 artículos. Finalmente, quedaron 5 ensayos clínicos aleatorizados, 3 ensayos clínicos no aleatorizados, 2 estudios observacionales de cohorte prospectivos, 3 artículos in vivo y 1 estudio in vitro. Los adhesivos dentales han demostrado un mejoramiento en la retención, adhesión, estabilidad y eficiencia masticatoria en los portadores de prótesis totales, independiente de su presentación, sea en forma de polvo, crema, tiras o almohadillas. Por medio de su uso, se ha demostrado que los portadores de prótesis totales han podido mejorar su calidad de vida, tanto en la seguridad del manejo de su aparato protésico como en el aspecto nutricional, pues permite que se alimenten de mejor forma, esto incluso es posible observar cuando se prescriben en aquellos pacientes con prótesis recién instaladas.


ABSTRACT: Introduction: When performing the oral rehabilitation of edentulous patients using total prostheses, in some cases, a slight maladjustment of the prosthetic device within the oral cavity can compromise the chewing, swallowing and phonation functions. With the use of ancillary means such as dental adhesives, which allow the adhesion between the prosthesis and the mucosa, a better retention, stability and masticatory efficiency is achieved, and therefore, an increase in the quality of life of the patient. Main objective: To perform a narrative review to describe the contribution of the use of dental adhesives in patients with total dentures. Method: We searched the following databases, Pubmed, EBSCO, BEIC, Cochrane and Epistemonikos. The words "denture adhesive", "dental adhesive", "complete denture wearers", "retention", "support", "stability", "masticatory performance", "Candida albicans" and "quality of life " were searched electronically with the Boolean operator AND. Results: As a result, 394 articles were obtained, 85 of which were selected by title, of which the repeated articles were eliminated, leaving 32; then, the abstracts were read, leaving 22 articles. The remaining articles were read completely, the inclusion and exclusion criteria were applied, ending with 14 articles. Finally, 5 randomized clinical trials, 3 non-randomized clinical trials, 2 prospective cohort observational studies, 3 in vivo articles and 1 in vitro study were included. Conclusion: Dental adhesives have showed an increase in retention, stability, ability and masticatory efficiency in patients with total prostheses, regardless of their presentation. Through its use, it has been demonstrated that total denture wearers have been able to improve their quality of life, even patients with recently installed prostheses.


Subject(s)
Humans , Adhesives , Jaw, Edentulous , Dental Prosthesis , Dental Cements , Mastication
17.
Braz. dent. j ; 30(5): 467-475, Sept.-Oct. 2019. tab, graf
Article in English | LILACS | ID: biblio-1039150

ABSTRACT

Abstract This study evaluated the immediate and 6-month dentin bond strength of universal adhesives used in etch-and-rinse or self-etch bonding strategies. The adhesives tested were Ambar Universal, G-Bond, Single Bond Universal, Tetric N-Bond Universal, and Ybond Universal. Gold standard adhesives (Scotchbond Multipurpose Plus and Clearfil SE Bond) were controls. Microtensile dentin bond strength (n=5 teeth), pH, and C=C conversion (n=3) were evaluated. Data were analyzed at α=0.05. All adhesives showed differences in pH. Ybond had intermediately strong aggressiveness, whereas the others were ultra-mild. The C=C conversion was different in most adhesives. In the etch-and-rinse strategy, all adhesives showed similar results generally except for G-Bond, which had lower bond strength than most adhesives. G-Bond and Tetric-N-Bond showed lower bond strengths after 6 months compared with 24 h, whereas the other adhesives had stable dentin bonds. In the self-etch strategy, G-Bond had lower bond strength than most adhesives. After 6 months, Ambar was the only adhesive showing lower dentin bond strength compared with 24 h. Most adhesives had discreet drops in bond strength during aging when used in the self-etch strategy. The failure modes were also material dependent, with a general pattern of increased adhesive and/or pre-testing failures after storage. In conclusion, the bonding performance of universal adhesives to dentin is material dependent. Most adhesives had stable dentin bonds with results comparable to the gold standard materials, particularly when applied in the self-etch mode. In general, it seems the use of universal adhesives in dentin should not be preceded by phosphoric acid etching.


Resumo Este estudo avaliou a resistência de união à dentina imediata e após 6 meses de adesivos universais utilizando estratégias de união convencional ou autocondicionante. Os adesivos testados foram Ambar Universal, G-Bond, Single Bond Universal, Tetric N-Bond Universal e Ybond Universal. Adesivos padrão-ouro (Scotchbond Multipurpose Plus e Clearfil SE Bond) foram os controles. Resistência de união à microtração na dentina (n=5 dentes), pH e conversão de C=C (n=3) foram avaliados. Os dados foram analisados considerando α=0,05. Todos os adesivos mostraram diferenças de pH comparados aos demais. Ybond Universal teve agressividade intermediária forte, enquanto os outros foram ultramoderados. A conversão de C=C foi diferente em quase todos adesivos. No modo convencional, em geral todos os adesivos mostraram resultados similares exceto G-Bond, que teve menor resistência de união que a maioria dos adesivos. G-Bond e Tetric-N-Bond mostraram resistências de união menores após 6 meses comparados a 24 h, enquanto os outros adesivos apresentaram estável união à dentina. No modo autocondicionante, G-Bond teve menor resistência de união que quase todos os adesivos. Após 6 meses, Ambar foi o único adesivo mostrando menor resistência de união à dentina comparado a 24 h. A maioria dos adesivos teve discreta queda na resistência de união durante o envelhecimento quando usados na estratégia autocondicionante. Os modos de falha também foram material dependentes, com um padrão geral de mais falhas adesivas e/ou pré-teste após o armazenamento. Em conclusão, o desempenho de união de adesivos universais à dentina é material dependente. Grande parte dos adesivos apresentou estável união à dentina com resultados comparáveis ao materiais padrão-ouro, particularmente quando aplicados no modo autocondicionante. Em geral, parece que o uso de adesivos universais em dentina não deve ser precedido por condicionamento com ácido fosfórico.


Subject(s)
Dental Bonding , Dentin-Bonding Agents , Tensile Strength , Materials Testing , Adhesives , Resin Cements , Dental Cements , Dentin
18.
Rev. odontol. UNESP (Online) ; 48: e20180132, 2019. tab, ilus
Article in Portuguese | LILACS, BBO | ID: biblio-991494

ABSTRACT

Resumo Introdução Os cimentos resinosos são extensivamente utilizados na fixação de restaurações indiretas de cerâmica e cerômero, sendo classificados em duas categorias: os cimentos resinosos convencionais, que não apresentam uma adesão inerente à estrutura dental e requerem o uso de um sistema adesivo e os cimentos resinosos autoadesivos, que não requerem um tratamento adesivo prévio do substrato dentário. Objetivo Avaliar a resistência de união de dois cimentos resinosos, convencional e autoadesivo, quando utilizados na cimentação de restaurações cerâmicas e ceroméricas, trazendo elementos para propiciar melhor compreensão da interação adesiva em procedimentos de cimentação com as referidas categorias de cimentos resinosos. Material e método Dentes humanos (n=20), cedidos pelo banco de dentes da Universidade Federal de Alfenas (UNIFAL), foram preparados para que cilindros de cerâmica ou de cerômero fossem cimentados utilizando-se dois tipos de cimentos resinosos (autoadesivo e convencional). Após a cimentação, 20 palitos foram obtidos e submetidos ao teste de tração, avaliando-se a força necessária para a fratura. Os valores obtidos foram submetidos à análise estatística empregando-se a análise de variância (ANOVA) e o teste de Tukey. Resultado As forças mínimas e máximas necessárias ao rompimento do cimento convencional foram superiores às mesmas requeridas para o rompimento da união promovida pelo cimento autoadesivo, bem como as medianas e as médias aritméticas, independentemente do material restaurador empregado. O teste de Tukey demonstrou que as diferenças entre os cimentos empregados são estatisticamente significantes, independentemente do material restaurador. Conclusão Os resultados deste trabalho sugerem que o material utilizado para a confecção dos corpos de prova (cerâmica ou cerômero) não influenciou na resistência à tração, sendo que o cimento convencional apresentou valores superiores de resistência.


Abstract Introduction Resin cements are extensively used in the fixation of indirect restorations of ceramics and ceramics, divided into two categories: conventional resin cements, which do not present an inherent adhesion to the dental structure and require the use of an adhesive system, and the self-adhesive resin cements, which do not require a prior adhesive treatment of the dental substrate. Objective: To evaluate the microtensile bond strength of two resin-based cements, conventional and self-adhesive, according to required operating protocols, when luting ceramic and indirect composite restorations. Material and method Human molars (n=20) donated by UNIFAL teeth bank were prepared and, after being divided into two groups, ceramic or composite cylinders were luted to them with two resin-based cements (conventional and self-adhesive). Prepared teeth were sectioned vertically in both buccal-lingual and mesio-distal directions, to obtain 8 mm high, square-shaped "sticks" that were subject to microtensile bond strength test, and the necessary force to fracture them was evaluated. Results were subject to two-way ANOVA and Tukey test. Result Minimum and maximum forces to disrupt conventional cement were greater than the required one for self-adhesive cement, as well as mean bond strength, despíte of the restorative material. Tukey test showed that diferences were statistically significant, regardless the restorative material. Conclusion Restorative materials did not influence microtensile bond strength values, with no statistically significant differences. The difference between microtensile bond strength values of resin cements tested was statistically significant.


Subject(s)
Tensile Strength , Adhesives , Analysis of Variance , Resin Cements , Dental Porcelain , Shear Strength , Dental Restoration, Permanent
19.
Rev. odontol. UNESP (Online) ; 48: e20190007, 2019. tab
Article in Portuguese | LILACS, BBO | ID: biblio-991492

ABSTRACT

Resumo Introdução Os adesivos autocondicionantes apresentam técnica adesiva simplificada e diminuição na sensibilidade pós-operatória. Quando aplicados sobre a dentina, atuam sobre a smear layer, cuja efetiva remoção ainda constitui um desafio. Uma substância utilizada como pré-tratamento dentinário na ajuda da remoção da smear layer é o etilenodiamino tetracético dissódico (EDTA). Objetivo Avaliar os efeitos do EDTA em associação com sistemas adesivos autocondicionantes na resistência de união ao microcisalhamento. Material e método Foram seccionadas as superfícies oclusais de 72 terceiros molares humanos extraídos, para expor superfície dentinária plana. Os dentes preparados foram divididos em: dentina sem pré-tratamento; dentina tratada com EDTA 0,1M; dentina tratada com EDTA 0,5M. Cada grupo recebeu tratamento de três sistemas adesivos autocondicionantes: Single Bond Universal (SBU), AdheSE (AdheSE) e Clearfil SE Bond (CSEB). Foi delimitada a área adesiva e assim posicionada uma matriz transparente, para inserção com resina composta Z250XT seguida de polimerização por 40 segundos. Após 24 horas de armazenamento, os dentes foram submetidos ao ensaio de microcisalhamento. Os dados obtidos foram analisados estatisticamente, utilizando-se os testes Two-Way ANOVA e Bonferroni, e sendo considerado nível de significância de 5%. Resultado Não houve diferença estatística significante na resistência de união entre os pré-tratamentos dentinários (p=0,8353), porém houve diferença significativa entre os adesivos (p<0,05) CSEB e AdheSE, mostrando semelhança entre CSEB e SBU, e entre SBU e AdheSE. Conclusão O pré-tratamento dentinário com solução de EDTA não afetou a resistência de união com nenhum dos sistemas adesivos autocondicionantes utilizados.


Abstract Introduction Self-etching adhesives have simplified adhesive technique and decreased the postoperative sensitivity. When applied on dentin, it acts on the smear layer, but it is still a challenge in the effectiveness of this removal. A substance used as a pre-treatment for the removal of the smear layer is disodium ethylenediaminetetraacetic acid (EDTA). Objective To evaluate the effects of EDTA in association with self-etching adhesive systems on micro-shear bond strength. Material and method The occlusal surfaces of 72 extracted human third molars were sectioned to expose a flat dentin surface. The prepared teeth were divided into: dentin without pre-treatment; dentin treated with 0.1M EDTA; dentin treated with 0.5M EDTA. Each group received treatment of 3 self-etching adhesive systems: Single Bond Universal (SBU), AdheSE (AdheSE), and Clearfil SE Bond (CSEB). The adhesive area was delimited and positioned a transparent matrix for insertion with Z250XT composite resin followed by polymerization for 40 seconds. After 24h of storage, the teeth were submitted to the micro-shear test. The data were analyzed statistically using the Two-Way ANOVA and Bonferroni tests, considering a level of significance of 5%. Result There was no statistically significant difference in bond strength between dentin pre-treatments (p = 0.8353), but showed a significant difference between CSEB and AdheSE adhesives (p <0.05), showing similarity between CSEB and SBU, and between SBU and AdheSE. Conclusion Dentin pretreatment with EDTA solution did not affect bond strength with any of the self-etching adhesive systems used.


Subject(s)
Pretreatment , Adhesives , Treatment Outcome , Edetic Acid , Dentin , Sodium Hypochlorite , Efficacy , Shear Strength , Dentin Sensitivity , Polymerization
20.
Article in English | WPRIM | ID: wpr-759992

ABSTRACT

Pseudoaneurysm of internal maxillary artery (IMA) after trauma is rare, and most cases reported are caused by maxilla-facial blunt trauma. Pseudoaneurysm is discontinuity in the vascular wall leading to an extravascular hematoma that freely communicates with the intravascular space producing pulsatile hematoma rapidly. A 44-years-old woman presented with a pulsatile swelling and pain in the left parotid region. She underwent the masticatory muscle reduction using needle injection in dentistry 1 month ago. The left facial pulsatile swelling developed after the procedure immediately and uncontrolled bleeding occurred on the day of visit to our institution. We performed emergency angiography and diagnosed pseudoaneurysm of left IMA. We treated by embolization with Histoacryl Glue through left IMA. IMA total occlusion was confirmed and symptoms improved. Pseudoaneurysm following blunt trauma of the face have been reported but are few. Furthermore, there is no report of IMA pseudoaneurysm due to direct injury by needle. Recently, many cosmetic surgery procedures using injection techniques have been performed, and it is necessary to pay attention to the direct vessel injury by the needle. And endovascular therapies can give early recovery with minimal morbidity and avoids injury to the facial nerve and its branches.


Subject(s)
Adhesives , Aneurysm, False , Angiography , Dentistry , Emergencies , Enbucrilate , Facial Nerve , Female , Hematoma , Hemorrhage , Humans , Masticatory Muscles , Maxillary Artery , Needles , Parotid Region , Surgery, Plastic
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