Avaliação de ph externo utilizando diferentes soluções irrigantes e medicações intracanais / External ph evaluation using different irrigation solutions and intracanal medications

O objetivo do presente estudo foi mensurar o pH externo radicular de dentes bovinos que foram desinfetados em solução de cloramina por 7 dias. Neste estudo foram utilizadas soluções irrigadoras, hipoclorito de sódio 1%, clorexidina 0,12% e hipoclorito de sódio 2,5% associadas ao edta e as medicações intracanais, hidróxido de cálcio, hidróxido de cálcio com PMCC e clorexidina gel 2%. O preparo químico mecânico foi realizado com as limas easy logic e as soluções foram agitadas com ultrassom durante 3 minutos e após os dentes foram imersos em água deionizada em eppendorfs estéreis e mantidos em estufa a 37°C. O pH externo foi analisado utilizando as fitas medidoras de pH no período de 24 horas, 48 horas, 7 dias, 10 dias e 15 dias. A normalidade dos valores obtidos de cada ensaio foi testada através do teste Kolmogorof- Smirnov, e o teste estatístico foi ANOVA de uma via e comparações múltiplas de Tukey. Os resultados mostraram que houve diferença estatística nos valores de pH nos grupos avaliados dentro dos tempos (p< 0,05). Concluiu-se que mesmo com as variações de pH nos períodos avaliados, as medicações e as soluções irrigantes podem ser utilizadas de forma associadas na endodontia, com o intuito de eliminar o maior número de microrganismos dos canais radiculares(AU)

The objective of the present study was to measure the external root pH of bovine teeth that were disinfected in chloramine solution for 7 days. Irrigating solutions, 1% sodium hypochlorite, 0.12% chlorhexidine and 2.5% sodium hypochlorite associated with edta and intracanal medications, calcium hydroxide, calcium hydroxide with PMCC and chlorhexidine gel 2%. The mechanical chemical preparation was performed with the easy logic files and the solutions were shaken with ultrasound for 3 minutes and after the teeth were immersed in deionized water in eppendorfs and kept in an oven at 37 ° C. The external pH was analyzed using the pH measuring tapes in the period of 24 hours, 48 hours, 7 days, 10 days and 15 days. The normal values obtained from each test were tested using the Kolmogorof-Smirnov test, and the statistical test was one-way ANOVA and Tukey's multiple comparisons. The results showed that there was a statistical difference in pH values in the groups evaluated within the times (p< 0.05). It was concluded that even with pH variations in the evaluated periods, medications and irrigating solutions can be used in an associated way in endodontics, in order to eliminate the largest number of microorganisms in the root canals(AU)

Effect of disinfectant with benzethon chloramine and isopropanol as main active ingredients on the accuracy of dental impression / 北京大学学报(医学版)

OBJECTIVE@#To assess the effect of disinfectant (Cavicide) with benzethon chloramine and isopropanol as main active ingredients disinfectant on dental impression accuracy.@*METHODS@#The effect of Cavicide on three impression materials (alginate, polyether and vinylpolysiloxane) were assessed using a standard model. The standard model was digitized by an extraoral scanner (IScan D103i, Imetric). For each kind of impression materials, thirty impressions were taken following the manufactures' instruction in the same conditions. Subsequently, the impressions were randomly divided into three groups, with ten impressions in each group. After the impression taking was completed, the three groups underwent pure water rinse for 1 min (blank control, BC), 2% glutaraldehyde solution immersion disinfection for 30 min (glutaraldehyde, GD), and Cavicide solution spray disinfection for 5 min (Cavicide, CC), respectively. All the impressions were digitized by the extraoral scanner (IScan D103i, Imetric) after disinfection and exported to a dedicated three-dimensional analysis software (Geomagic Qualify 2014, Geomagic, USA). In the software, the digital models of the impressions were trimmed to teeth and then superimposed with the digitized standard model via best-fit alignment. Root mean square (RMS) was used to evaluate the deviations between the impression and the standard model. The deviation in the anterior and posterior regions was evaluated respectively. One-way ANOVA test and the LSD post-hoc test were used to compare the deviations between the three groups (P < 0.05). The color map of each superimposition was saved for visual analysis.@*RESULTS@#For the polyether and vinylpolysiloxane materials, the difference between the three groups was not statistically significant (P=0.933, P=0.827). For the alginate material, the difference in posterior region between group GD and group BC, as well as group GD and group CC were statistically significant (GD vs. BC, P=0.001; GD vs. CC, P=0.002), while the difference between group BC and group CC was not statistically significant (P=0.854). The visual analysis showed an obvious deviation in the buccal-lingual direction in group GD.@*CONCLUSION@#Disinfectant (Cavicide) with benzethon chloramine and isopropanol as main active ingredients using spray disinfection has no effect on the accuracy of the alginate, polyether and vinylpolysiloxane impressions.

Antiseptics and microcosm biofilm formation on titanium surfaces

Abstract Oral rehabilitation with osseointegrated implants is a way to restore esthetics and masticatory function in edentulous patients, but bacterial colonization around the implants may lead to mucositis or peri-implantitis and consequent implant loss. Peri-implantitis is the main complication of oral rehabilitation with dental implants and, therefore, it is necessary to take into account the potential effects of antiseptics such as chlorhexidine (CHX), chloramine T (CHT), triclosan (TRI), and essential oils (EO) on bacterial adhesion and on biofilm formation. To assess the action of these substances, we used the microcosm technique, in which the oral environment and periodontal conditions are simulated in vitro on titanium discs with different surface treatments (smooth surface - SS, acid-etched smooth surface - AESS, sand-blasted surface - SBS, and sand-blasted and acid-etched surface - SBAES). Roughness measurements yielded the following results: SS: 0.47 µm, AESS: 0.43 µm, SB: 0.79 µm, and SBAES: 0.72 µm. There was statistical difference only between SBS and AESS. There was no statistical difference among antiseptic treatments. However, EO and CHT showed lower bacterial counts compared with the saline solution treatment (control group). Thus, the current gold standard (CHX) did not outperform CHT and EO, which were efficient in reducing the biofilm biomass compared with saline solution.

Radiolabelling of a lung cancer-targeting small molecule polypeptide with (131)I and its radioactivity distribution in normal rabbits / 南方医科大学学报

<p><b>OBJECTIVE</b>To establish a labeling method for a specific lung cancer-targeting small molecule peptide cNGQGEQc with ¹³¹I and observe the radioactivity distribution of the labeled peptide in rabbits using single-photon emission computed tomography (SPECT).</p><p><b>METHODS</b>Chloramine-T method was used for ¹³¹I labeling of the tyrosine amino group on cNGQGEQc, and the labeling efficiency and radiochemical purity of ¹³¹I-cNGQGEQc were determined with paper chromatography. The stability of ¹³¹I-cNGQGEQc in saline and human serum was assessed after incubation in water bath at 37 degrees celsius; for 24 h. The octanol-water partition coefficient lg P (the radioactivity counting ratio of ¹³¹I-cNGQGEQc dissolved in 100 µl octanol or in 100 µl saline) was calculated. SPECT was performed in 3 male New Zealand white rabbits after intravenous injection of ¹³¹I-cNGQGEQc to observe the dynamic distribution of the peptide with the time-radioactivity curve (T-A curve) of the region of interest (ROI).</p><p><b>RESULTS</b>With a labeling efficiency of 90%, ¹³¹I-cNGQGEQc showed a radiochemical purity of was 95% after purification with HPLC. The radiochemical purity of ¹³¹I-cNGQGEQc was (93.12 ± 1.18)% and (88.34 ± 5.43)% after intubation in saline and human serum for 24 h, respectively. The octanol-water partition coefficient lg P of ¹³¹I-cNGQGEQc was -1.75, suggesting its hydrosolubility. In rabbits with intravenous injection of ¹³¹I-cNGQGEQc, SPECT visualized the kidneys at 1 min after the injection; the imaging of the heart and liver became attenuated at 5 min when the bladder was visualized with an increasing radioactivity. The radioactivity of the soft tissues began to fade at 30 min. No gallbladder visualization was detected, and the radioactivity of the abdomen remained low. No obvious radioactivity concentration was observed in the thyroid and stomach. The T-A curves of the ROI of all the tissues and organs descended over time.</p><p><b>CONCLUSION</b>Radiolabeling of cNGQGEQc with ¹³¹I is simple and highly efficient. ¹³¹I-cNGQGEQc has good stability in vitro and good distribution characteristics for in vivo imaging, and is cleared mainly by renal excretion due to its hydrosolubility. These results provide experimental basis for further studies of diagnosis and therapy of lung cancer with targeting polypeptide.</p>

A papaína no tratamento da periodontite crônica / Papain in the treatment of chronic periodontitis

A raspagem subgengival e o alisamento radicular constituem o "padrão ouro" e o tratamento de eleição para a periodontite; porém, é um procedimento difícil de ser executado, que requer um intenso treinamento e que pode expor a dentina, causando hipersensibilidade dentinária pela remoção excessiva de cemento, ou produzir defeitos, como sulcos e ranhuras, além de deixar cálculo residual e não conseguir atingir toda as superfície radicular. Recentemente, um gel a base de papaína e cloramina foi introduzido no mercado (Papacárie®), utilizado no tratamento da remoção de dentina cariada. Este gel poderia auxiliar na remoção do cálculo subgengival com menor desgaste do cemento. O objetivo deste trabalho foi comparar a eficácia e analisar a superfície radicular na utilização de um gel à base de papaína e cloramina, associado ao alisamento radicular, na região subgengival. Após receberem instruções de higiene oral, raspagem supragengival e polimento coronário, 18 pacientes com periodontite crônica, 6 mulheres e 12 homens, com idade média de 51 anos (±8) foram tratados num modelo de boca dividida. O tratamento-teste foi constituído pela aplicação do gel na área subgengival por 1 min., seguida pelo alisamento radicular; o tratamento-controle foi constituído pela raspagem subgengival e alisamento radiculares. A terapia foi executada por 3 operadoras e os exames inicial, de 28 dias e 3 meses, foram realizados por um único examinador. Quatro dentes nunca tratados de dois outros pacientes (2 incisivos centrais inferiores e 2 premolares), com indicação para extração, foram submetidos ao tratamento teste e controle e, após a exodontia, analisados em microscopia eletrônica de varredura (MEV). Ao longo dos 3 meses, os resultados demonstraram significativa melhora nos parâmetros clínicos: sangramento à sondagem, profundidade de bolsa e ganho de inserção, tanto no lado-teste, como no lado-controle, principalmente aos 28 dias; mas não foi observada significância estatística ...

Although subgingival scaling and root planing are the “gold standard” for elective treatment of periodontitis, they are difficult procedures to perform. As well as requiring intensive training, they can expose the dentin, causing dentin hypersensitivity by excessive removal of cement, or produce defects such as ridges and grooves, leaving residual calculus, whilst the whole root surface cannot be reached. A papain- and chloramine-based gel (Papacárie®) has recently been introduced to remove carious dentin. This gel may help in the removal of subgingival calculus with reduced consumption of cement. The objective of this study was to compare the effectiveness of a papain- and chloramine-based gel and analyze the root surface in the region associated with subgingival root planing. After receiving oral hygiene instructions, supragingival scaling and coronary polishing, 18 chronic periodontitis patients (6 women and 12 men with a mean age of 51 years ± 8) were treated using a split-mouth model. The test treatment was established by applying the gel to the subgingival area for 1 minute, followed by root planing; whilst the control treatment was established by subgingival scaling and root planing. The therapy was performed by 3 operators, examinations initially and after 28 days and 3 months being performed by a single examiner. Four previously untreated teeth (2 lower central incisors and 2 premolars) with indication for extraction in two other patients were treated as test and control and analyzed by scanning electron microscopy (SEM) following extraction. Although over the 3 months the results showed marked improvement in clinical parameters: bleeding on probing, pocket depth and attachment gain on both test and control sides, especially after 28 days; the difference between the two forms of therapy was not found to be statistically significant. The mean plaque index remained high throughout the study. The SEM analysis showed that the test treatment left ...

A papaína no tratamento da periodontite crônica / Papain in the treatment of chronic periodontitis

A raspagem subgengival e o alisamento radicular constituem o "padrão ouro" e o tratamento de eleição para a periodontite; porém, é um procedimento difícil de ser executado, que requer um intenso treinamento e que pode expor a dentina, causando hipersensibilidade dentinária pela remoção excessiva de cemento, ou produzir defeitos, como sulcos e ranhuras, além de deixar cálculo residual e não conseguir atingir toda as superfície radicular. Recentemente, um gel a base de papaína e cloramina foi introduzido no mercado (Papacárie®), utilizado no tratamento da remoção de dentina cariada. Este gel poderia auxiliar na remoção do cálculo subgengival com menor desgaste do cemento. O objetivo deste trabalho foi comparar a eficácia e analisar a superfície radicular na utilização de um gel à base de papaína e cloramina, associado ao alisamento radicular, na região subgengival. Após receberem instruções de higiene oral, raspagem supragengival e polimento coronário, 18 pacientes com periodontite crônica, 6 mulheres e 12 homens, com idade média de 51 anos (±8) foram tratados num modelo de boca dividida. O tratamento-teste foi constituído pela aplicação do gel na área subgengival por 1 min., seguida pelo alisamento radicular; o tratamento-controle foi constituído pela raspagem subgengival e alisamento radiculares. A terapia foi executada por 3 operadoras e os exames inicial, de 28 dias e 3 meses, foram realizados por um único examinador. Quatro dentes nunca tratados de dois outros pacientes (2 incisivos centrais inferiores e 2 premolares), com indicação para extração, foram submetidos ao tratamento teste e controle e, após a exodontia, analisados em microscopia eletrônica de varredura (MEV). Ao longo dos 3 meses, os resultados demonstraram significativa melhora nos parâmetros clínicos: sangramento à sondagem, profundidade de bolsa e ganho de inserção, tanto no lado-teste, como no lado-controle, principalmente aos 28 dias; mas não foi observada significância estatística...

Although subgingival scaling and root planing are the “gold standard” for elective treatment of periodontitis, they are difficult procedures to perform. As well as requiring intensive training, they can expose the dentin, causing dentin hypersensitivity by excessive removal of cement, or produce defects such as ridges and grooves, leaving residual calculus, whilst the whole root surface cannot be reached. A papain- and chloramine-based gel (Papacárie®) has recently been introduced to remove carious dentin. This gel may help in the removal of subgingival calculus with reduced consumption of cement. The objective of this study was to compare the effectiveness of a papain- and chloramine-based gel and analyze the root surface in the region associated with subgingival root planing. After receiving oral hygiene instructions, supragingival scaling and coronary polishing, 18 chronic periodontitis patients (6 women and 12 men with a mean age of 51 years ± 8) were treated using a split-mouth model. The test treatment was established by applying the gel to the subgingival area for 1 minute, followed by root planing; whilst the control treatment was established by subgingival scaling and root planing. The therapy was performed by 3 operators, examinations initially and after 28 days and 3 months being performed by a single examiner. Four previously untreated teeth (2 lower central incisors and 2 premolars) with indication for extraction in two other patients were treated as test and control and analyzed by scanning electron microscopy (SEM) following extraction. Although over the 3 months the results showed marked improvement in clinical parameters: bleeding on probing, pocket depth and attachment gain on both test and control sides, especially after 28 days; the difference between the two forms of therapy was not found to be statistically significant. The mean plaque index remained high throughout the study. The SEM analysis showed that the test treatment left...

Chlorinated drinking water, cancers and adverse health outcomes in Gangtok, Sikkim, India.

Long-term impacts of drinking chlorinated water on the incidence of cancers and other adverse health outcomes were assessed in a population-based cross-sectional study. The study was conducted by comparing a group exposed to chlorinated drinking water for more than thirty years with control groups with less or no exposure to chlorine. A house-to-house survey was completed to gather information on residential history, age, education, income, source and extent of treatment of water and health characteristics. All residents below thirty years of age were excluded from the database used for analyses to ensure that the groups were comparable. Fourteen cancer cases were found in the long-term exposed groups of 1085 persons and 9 cancer cases in the two control populations of 725 persons. The odds ratio for cancers (OR) was 1.05 (95% CI = 0.43-2.65) and is not statistically significant. Odds ratios for gastrointestinal disorders, kidney problems and skin infections were statistically significant ranging from 2.06 (95% CI = 1.01-4.17) to 2.2 (95% CI = 1.45-3.33). These OR values indicate that there is no significant association between the incidence of cancer and exposure to chlorinated water while chlorinating drinking water significantly reduced the incidence of non-carcinogenic adverse health effects like gastrointestinal diseases, skin infections, and kidney diseases.

Use of chloramine-T and two dyes in the sensitive determination of stavudine in pharmaceuticals

Three new methods are described for the assay of stavudine (STV) in bulk drug and in dosage forms using chloramine-T (CAT) and two dyes, methyl orange and indigocarmine, as reagents. Titrimetry involves treating STV with a measured excess of CAT in hydrochloric acid medium, and after the oxidation of STV is judged to be complete, the unreacted oxidant is determined iodometrically. Spectrophotometric methods entail the addition of a known excess of CAT to STV in hydrochloric acid medium followed by determination of residual oxidant by reacting with a fixed amount of either methyl orange and measuring the absorbance at 520 nm (Method A) or indigo carmine and measuring the absorbance at 610 nm (Method B). In all the methods, the amount of CAT reacted corresponds to the amount of STV. In titrimetric method, the reaction follows 1:1 stoichiometry (STV: CAT), and is applicable over the range 1.5-10 mg of STV. In spectrophotometric methods, the absorbance is found to increase linearly with concentration of STV. The systems obey Beer's law for 0.2-2.0 and 1.0-10.0 mg/mL for method A and method B, respectively. The apparent molar absorptivities are calculated to be 5.7x10(4) and 1.5x10(4) L/mol/cm for method A and method B, respectively, and the corresponding Sandell sensitivity values are 0.004 and 0.015 µg/cm². The limits of detection and quantification are reported for both methods. Intra-day and inter-day precision and accuracy of the developed methods were evaluated as per the current ICH guidelines. The methods were successfully applied to the assay of STV in tablet and capsule formulations and the results were compared with those of a reference method by applying Student's t-test and F-test. No interference was observed from common tablet adjuvants. The accuracy and reliability of the methods were further ascertained by performing recovery experiments via standard-addition method.

Descrevem-se três novos métodos para o ensaio de estavudina (STV) na matéria-prima e nas formulações utilizando-se clroamina-T (CAT) e dois corantes, alaranjado de metila e índigo carmim como reagentes. A titulação envolve o tratamento de STV com excesso medido de CAT em meio de ácido clorídrico, e, quando a oxidação se completar, o oxidante que não reagiu é determinado iodometricamente. Os métodos espectrofotométricos compreendem a adição de excesso conhecido de CAT ao STV em ácido clorídrico, seguida da determinação do oxidante residual por meio da reação com quantidade fixada de alaranjado de metila, medindo-se a absorvância a 520 nm (Método A) ou índigo carmim, medindo-se a absorvância a 610 nm (Método B). Em todos os métodos, a quantidade de CAT que reagiu corresponde à quantidade de STV. No método titulométrico, a reação segue a estequiometria 1:1 (STV:CAT) e é aplicável na faixa de 1,5 a 10 mg de STV. Nos métodos espectrofotométricos, a absorvância aumenta linearmente com a concentração de STV. Os sistemas obedecem a lei de Beer nos intervalos de 0,2 a 2,0 mg/mL e 1,0 a 10,00 mg/mL para os métodos A e B, respectivamente, e os valores de sensibilidade de Sandell correspondentes são 0,004 e 0,015 µg/cm². Os limites de detecção e de quantificação são apresentados para ambos os métodos. A precisão e a exatidão intra-dia e inter-dia dos métodos desenvolvidos são avaliadas de acordo com as normas ICH. Os métodos foram aplicados com êxito aos ensaios de STV em comprimidos e em cápsulas e os resultados foram comparáveis com aqueles obtidos com o método de referência, utilizando-se o teste t de Student e o teste F. Não se observou interferência dos adjuvantes comuns em comprimidos. A exatidão e a confiabilidade dos métodos foram ajustadas por meio de experimentos de recuperação via método de adição de padrão.

Simultaneous control of microorganisms and disinfection by-products by sequential chlorination / 生物医学与环境科学（英文）

<p><b>OBJECTIVE</b>To introduce a new sequential chlorination disinfection process in which short-term free chlorine and chloramine are sequentially added.</p><p><b>METHODS</b>Pilot tests of this sequential chlorination were carried out in a drinking water plant.</p><p><b>RESULTS</b>The sequential chlorination disinfection process had the same or better efficiency on microbe (including virus) inactivation compared with the free chlorine disinfection process. There seemed to be some synergetic disinfection effect between free chlorine and monochloramine because they attacked different targets. The sequential chlorination disinfection process resulted in 35.7%-77.0% TTHM formation and 36.6%-54.8% THAA5 formation less than the free chlorination process. The poorer the water quality was, the more advantage the sequential chlorination disinfection had over the free chlorination.</p><p><b>CONCLUSION</b>This process takes advantages of free chlorine's quick inactivation of microorganisms and chloramine's low disinfection by-product (DBP) yield and long-term residual effect, allowing simultaneous control of microbes and DBPs in an effective and economic way.</p>

Synergetic inactivation of microorganisms in drinking water by short-term free chlorination and subsequent monochloramination / 生物医学与环境科学（英文）

<p><b>OBJECTIVE</b>To introduce synergetic inactivation of microorganisms in drinking water by short-term free chlorination for less than 15 minutes followed by monochloramination.</p><p><b>METHODS</b>Indicator microorganisms such as Escherichia coli, Staphylococcus aureus, Candida albicans, and spores of Bacillus subtilis were used to assess the efficiency of sequential chlorination and free chlorination.</p><p><b>RESULTS</b>The sequential chlorination was more efficient in inactivating these microorganisms than free chlorination, indicating that synergy was provided by free chlorine and monochloramine. Ammonia addition time, temperature and pH had influences on this synergy.</p><p><b>CONCLUSIONS</b>The possible mechanism of this synergy might involve three aspects: free chlorine causing sublethal injury to microorganisms and monochloramine further inactivating them; different ability of free chlorine and monochloramine to penetrate and inactivate microorganism congeries; and higher concentration of residual chlorine in sequential chlorination than in free chlorination.</p>

Comparison of antimicrobial efficacy of four endodontic irrigants using an in vitro model infected by Enterococcus faecalis / 中华口腔医学杂志

<p><b>OBJECTIVE</b>To compare the antimicrobial efficacy of four endodontic irrigants using an in vitro model infected by Enterococcus faecalis (Ef).</p><p><b>METHODS</b>The root canals of fifty extracted teeth were infected by Ef in vitro. The test groups were irrigated with 3% H(2)O(2), 2.5% sodium hypochlorite (SH), 2% chloramine-T (CR), and 2% chlorhexidine (CHX), respectively, and the control group was irrigated with 0.9% NaCl. The concentration of Ef in canals of each group was calculated before and after irrigation. The residual bacteria within the dentinal tubules and vitalities of the residual bacteria were also examined.</p><p><b>RESULTS</b>All chemical irrigants were significantly more effective than 0.9% NaCl (P < 0.05); 2.5% SH and 2% CHX were statistically more effective than 3% H(2)O(2) (P < 0.05). Residual bacteria could be found in the dentinal tubules and propagated 72 h after.</p><p><b>CONCLUSIONS</b>2% CR and 2% CHX had almost the equivalent antimicrobial effect as 2.5% SH, but 3% H(2)O(2) was less effective.</p>

El uso de un gel a base de papaína en odontopediatría: un caso clínico / The use of a papain-based gel in pediatric dentistry: a clinical case

La caries dental es una infección bacteriana multifactorial crónica que determina la destrucción localizada de los tejidos dentarios mineralizados. El tratamiento tradicional para la remoción de la caries incluye el uso de fresas adaptadas a motores de baja y/o alta revolución, de manera de obtener una cavidad lista para recibir el material restaurador. Con el objeto de disminuir todos los inconvenientes de la tradicional remoción de caries, fue desarrollado un método de remoción química y mecánica, donde el gel ablanda la dentina infectada, preservando a máximo el tejido dentario sano. Con la finalidad de promover la utilización de este sistema, incluso en trabajos de campo y en Salud Pública, este nuevo producto, totalmente nacional, a base de papaína y cloramina, fue desarrollado y denominado Papacarie(R). Debido a su facilidad de utilización, tanto como a sus propiedades antiinflamatorias y antimicrobianas, fue elegido este método para la remoción del tejido cariado. El objetivo del presente trabajo fue describir la técnica de utilización del Papacárie(R) en pacientes odontopediátricos en un caso clínico

Utilización del gel de la papaya para la remoción de la caries: reporte de un caso con seguimiento clínico de un año / Utilization of the papain gel for caries removal: report of a case with a one-year clinical follow-up

El Papacárie(R) es un nuevo método de remoción química y mecánica del tejido cariado básicamente constituido por papaína, cloramina, azul de toluidina, sales y espesantes. El presente estudio tiene como objetivo presentar la utilización del sistema Papacárie(R) en lesiones de caries, demostrando su efectividad, así como el modus operandi del mismo

Factors affecting bacterial growth in drinking water distribution system / 生物医学与环境科学（英文）

<p><b>OBJECTIVE</b>To define the influence of some parameters, including assimilable organic carbon (AOC), chloramine residual, etc. on the bacterial growth in drinking water distribution systems.</p><p><b>METHODS</b>Three typical water treatment plants in a northern city (City T) of China and their corresponding distribution systems were investigated. Some parameters of the water samples, such as heterotrophic plate content (HPC), AOC, COD(Mn), TOC, and phosphate were measured.</p><p><b>RESULTS</b>The AOC in most water samples were more than 100 microg/L, or even more than 200 microg/L in some cases. The HPC in distribution systems increased significantly with the decrease of residual chlorine. When the residual chlorine was less than 0.1 mg/L, the magnitude order of HPC was 10(4) CFU/mL; when it was 0.5-0.7 mg/L, the HPC was about 500 CFU/mL.</p><p><b>CONCLUSION</b>For controlling the biostability of drinking water, the controlling of AOC and residual chlorine should be considered simultaneously. The influence of phosphors on the AOC tests of water is not significant. Phosphors may not be the limiting nutrient in the water distribution systems.</p>

Papacárie®: um novo sistema para a remoção química e mecânica do tecido cariado: relato de caso clínico / Papacárie®: a new system for the chemo-mechanical caries removal: case report

A cárie dentária é uma infecção bacteriana crônica multifatorial que determina a destruição localizada de tecidos dentários mineralizados. O tratamento tradicional para a remoção da cárie inclui o uso de brocas adaptadas a motores de baixa e/ou alta rotação, de modo a tornar a cavidade pronta para receber o material restaurador. Visando diminuir todos os inconvenientes da tradicional remoção da cárie, foi desenvolvido o método de remoção química e mecânica da cárie, onde um gel amolece a dentina infectada, preservando ao máximo o tecido dentário sadio. Com a grande finalidade de promover a ampla utilização destes sistemas, inclusive em trabalhos de campo e em saúde pública, é que um novo produto, totalmente nacional, à base de papaína e cloramina foi desenvolvido e denominado Papacárie. Devido a sua facilidade de utilização, bem como às suas propriedades antiinflamatórias e antimicrobianas elegeu-se o presente método para a remoção do tecido cariado. O presente relato tem por objetivos descrever a técnica de utilização do Papacárie® em paciente odontopediatra demonstrando seu protocolo de utilização

Present situation about using sources of water in 3 provinces of Mekong delta, 2002

The study about using water sources in diet in community was performed at 3 provinces of Mekong Delta in January 2002. The total number of investigated households were 1639, the samples were collected by investigating 30 groups method. The investigating about major water source using diet showed that on average, about 70% (35-92%) of households used river water, 17.6% (2.0-48%) used tap water and 10.8% (0-20.8%) used rain water. 40% of points used the river water to supply water with community, far latrine-fishpond from 10m, 26% was closed cattle-breeding cage (under 10m). The river water-processing method was alum accumulation, the pasteurization rate without chloramine was nearly 80% and about 20% of households used non-boiled drinking-water. The rate of households used boring well was very low (2-4%), 10% of households entered using processed river water because they were very poor

Mechanism of action of sodium hypochlorite

The choice of an irrigating solution for use in infected root canals requires previous knowledge of the microorganisms responsible for the infectious process as well as the properties of different irrigating solutions. Complex internal anatomy, host defenses and microorganism virulence are important factors in the treatment of teeth with asymptomatic apical periodontitis. Irrigating solutions must have expressive antimicrobial action and tissue dissolution capacity. Sodium hypochlorite is the most used irrigating solution in endodontics, because its mechanism of action causes biosynthetic alterations in cellular metabolism and phospholipid destruction, formation of chloramines that interfere in cellular metabolism, oxidative action with irreversible enzymatic inactivation in bacteria, and lipid and fatty acid degradation. The aim of this work is to discuss the mechanism of action of sodium hypochlorite based on its antimicrobial and physico-chemical properties.

Surto de reaçöes hemolíticas associado a residuais de cloro e cloraminas na água de hemodiálise / Outbreak of hemolytic reactions associated with chlorine and chloramine residuals in hemodialysis water

OBJETIVO: Relatar o processo de investigaçäo da contaminaçäo da água e a conseqüente avaliaçäo do surto ocorrido no serviço de hemodiálise. MÉTODOS: Em setembro de 2000, 16 pacientes sob terapia de hemodiálise de um hospital em Minas Gerais apresentaram reaçöes hemolíticas compatíveis a sintomas de intoxicaçäo por cloro e cloramina em água. Foi feita a mediçäo das concentraçöes de cloro e cloramina em amostras coletadas em diversos pontos do sistema de tratamento e distribuiçäo de água do serviço inspecionado. A identificaçäo dos casos ocorridos durante o período de estudo foi feita pela revisäo das anotaçöes de prontuários dos pacientes. Foi feita a revisäo dos procedimentos da equipe técnica, médica e de enfermagem por meio de entrevistas. RESULTADOS: A taxa de sintomas foi significativamente alta (p<0,028) durante o período epidêmico em relaçäo ao período pré-epidêmico. Os pacientes afetados fizeram hemodiálise com água tratada por osmose reversa e usaram capilares dialisadores reprocessados manualmente. A água e os capilares apresentaram, durante o período epidêmico, concentraçöes residuais acima dos padröes desejáveis impostos pela Portaria 82 do Ministério da Saúde/GM, que exige o máximo de 0,5 mg/l para cloro e 0,1 mg/l para cloramina. Risco relativo de 2,58 (1,06 a 6,28) caracteriza elevadas concentraçöes de cloro livre e cloramina quanto à apresentaçäo dos sintomas nos expostos. CONCLUSAO A vigilância dos procedimentos é necessária para que a água utilizada no processo de hemodiálise atenda aos padröes mínimos recomendados