A microscopia eletrônica de varredura pode ser usada para medir quantitativamente a rugosidade da dentina? / Can Scanning Electron Microscopy be used to quantitatively measure dentine roughness?

Objective: The aim of this study was to determine if SEM used with imaging software could be used to quantitatively determine the extent of dentine roughness due to tooth-brushing. Material and methods: Flat, polished dentine surfaces were subjected to 25,000 cycles of simulated tooth-brushing at 2 strokes per second with a load of 200 g. At the end of the brushing cycle, dentine surfaces were first assessed using profilometry and then subjected to SEM analysis. Ra (average roughness) readings were obtained for profilometric assessment. Using imaging software, the horizontal distance between adjacent characteristic grooves noted on micrographs was measured, ensuring that the middle of each crest of the associated groove was used as the reference point, the Crest-to-Crest distance (C-C distance). These two parameters were examined statistically for correlation. Results: When Spearman Rank tests were utilized the correlation between average Ra and crest to crest measurements was 0.709 (p <0.01). The Bland Altman plot, however, showed poor agreement between the two test parameters. Conclusion: Further work is needed to validate the use of this methodology in the quantitative assessment of tooth surface loss due to abrasion (AU)

Objetivo: O objetivo deste estudo foi determinar se o MEV usado com software de imagem poderia ser usado para determinar quantitativamente a extensão da rugosidade da dentina devido à escovação dentária. Material e Métodos: Superfícies dentinárias planas e polidas foram submetidas a 25.000 ciclos de escovação dentária simulada a 2 movimentos por segundo com uma carga de 200g. No final do ciclo de escovação, as superfícies dentinárias foram primeiro avaliadas por perfilometria e depois submetidas à análise MEV. Leituras de Ra (rugosidade média) foram obtidas para avaliação perfilométrica. Utilizando um software de imagem, foi medida a distância horizontal entre sulcos característicos adjacentes observados nas micrografias, garantindo que o meio de cada crista do sulco associado fosse usado como ponto de referência, a distância crista a crista (distância CC). Esses dois parâmetros foram examinados estatisticamente para correlação. Resultados: Quando foram utilizados os testes de Spearman Rank, a correlação entre a média de Ra e as medidas de crista a crista foi de 0,709 (p<0,01). O gráfico de Bland Altman, no entanto, mostrou fraca concordância entre os dois parâmetros de teste. Conclusão: Mais trabalhos são necessários para validar o uso desta metodologia na avaliação quantitativa da perda da superfície dentária devido à abrasão(AU)

Anti-erosion effect of an experimental varnish on eroded dentin

Abstract This in vitro study evaluated the effect of an experimental varnish containing 20% nano-hydroxyapatite (nHAP) associated with 5% stannous chloride (SnCl2) against erosive-abrasive wear on bovine dentin. Samples of bovine cervical dentin were pre-eroded (0.3% citric acid, pH 2.6 for 10 minutes) and randomized into 4 groups (n=10): Control group - experimental varnish without active ingredient (CG); experimental varnish containing 20% nHAP (nHG); experimental varnish containing 5% SnCl2 (24.800 ppm Sn2+) (SnG); experimental varnish containing 20% nHAP associated with 5% SnCl2 (18.300 ppm Sn2+) (nHSnG). After applying the materials, the erosive-abrasive challenges were performed for five days. Erosive dentin loss and analysis of the pattern of dentinal obliteration were performed by 3D confocal laser microscopy. A one-way ANOVA/Bonferroni test was performed to analyze the data (α=0.05). The SnG and nHSnG experimental groups presented more effectiveness in preventing erosive wear when compared to the other groups (p<0.05). There was no statistically significant difference between the SnG and nHSnG groups (p = 0.731) in tooth structure dentin loss. Regarding the amount of open dentinal tubules, the highest amount of obstructed dentinal tubules was demonstrated in SnG and nHSnG (p < 0.05) when compared to the others. Between SnG and nHSnG there was no significant difference (p = 0.952) in the amount of closed dentinal tubules in the dentin. Experimental varnishes containing 5% SnCl2 associated or not with 20% nHAP showed to be a promising strategy in preventing erosive-abrasive wear of dentin. In addition, nHSnG was able to obliterate dentinal tubules.

Resumo Este estudo in vitro avaliou o efeito de um verniz experimental contendo 20% de nano-hidroxiapatita (nHAP) associado a 5% de cloreto estanoso (SnCl2) contra o desgaste erosivo-abrasivo da dentina bovina. As amostras de dentina cervical bovina foram pré-erodificadas (0,3% de ácido cítrico, pH 2,6 durante 10 minutos) e aleatorizadas em 4 grupos (n=10): Grupo controle - verniz experimental sem ingrediente ativo (GC); verniz experimental contendo 20% nHAP (GnH); verniz experimental contendo 5% SnCl2 (24.800 ppm Sn2+) (GSn); verniz experimental contendo 20% nHAP associado a 5% SnCl2 (18.300 ppm Sn2+) (GnHSn). Após a aplicação dos materiais, os desafios erosivo-abrasivos foram realizados durante cinco dias. Perda de dentina erosiva e análise do padrão de obliteração dentinária foram realizadas por microscopia laser confocal 3D. Foi realizado o teste ANOVA/Bonferroni unidireccional para analisar os dados (α=0,05). Os grupos experimentais GSn e GnHSn apresentaram maior eficácia na prevenção do desgaste erosivo quando comparados com os outros grupos (p<0,05). Não houve diferença estatisticamente significativa entre os grupos GSn e GnHSn (p = 0,731) na perda de dentina da estrutura dentária. Relativamente à quantidade de túbulos dentinários abertos, a maior quantidade de túbulos dentinários obstruídos foi demonstrada em GSn e GnHSn (p < 0,05) quando comparada com os outros grupos. Entre GSn e GnHSn, não houve diferença significativa (p = 0,952) na quantidade de túbulos dentinários fechados na dentina. Os vernizes experimentais contendo 5% de SnCl2 associados ou não a 20% de nHAP mostraram ser uma estratégia promissora na prevenção do desgaste erosivo-abrasivo da dentina. Além disso, o GnHSn conseguiu obliterar os túbulos dentinários.

The ability of different formulations of artificial saliva to protect dentin from erosive wear / Ação protetora de diferentes formulações de saliva artificial no desgaste erosivo

Objective: Evaluate the protective effect of artificial saliva formulations associated or not with mucin on dentin. Materials and Methods: Bovine dentin specimens were randomly allocated to 10 groups (n = 20) according to the artificial saliva tested and the presence or absence of mucin: Amaechi et al. (1998); Klimek et al. (1982); Vieira et al. (2005) and Eisenburger et al. (2001) and deionized water (control). Samples were submitted to an erosive cycle consisting of two immersions of 120 min in the saliva, followed by 1 min in hydrochloric acid solution, and new storage in saliva for 120 min. Surface loss (µm) was measured before and after the cycle. Data were analyzed using 2-way ANOVA and Tukey's test (p < 0.05). Results: A significant difference was observed for the saliva formulation but not for the presence of mucin. The deionized water provided the highest surface loss and the Eisenburger's saliva formulation the lowest. The groups testing the Amaechi, Klimek, and Vieira saliva did not present significant differences. Conclusion: Eisenburger's saliva formulation provides a higher protective effect against dentin erosion. The presence of mucin did not increase the erosion-preventive effect of artificial saliva formulations. (AU)

Objetivo: Avaliar o efeito protetor de formulações de saliva artificial associadas ou não à mucina sobre a dentina submetida a erosão. Material e Métodos: Espécimes de dentina bovina foram alocados em 10 grupos (n = 20) de acordo com a saliva testada e a presença ou ausência de mucina: . Amaechi et al. (1998); Klimek et al. (1982); Vieira e cols. (2005), Eisenburger et al (2001) e agua deionizada (controle). As amostras foram submetidas a um ciclo erosivo composto por duas imersões de 120 min na saliva, seguidas de 1 min em solução de ácido clorídrico e novo armazenamento na saliva por 120 min. A perda de superfície (µm) foi medida antes e depois do ciclo. Os dados foram analisados usando ANOVA 2 fatores e teste de Tukey (p <0,05). Resultados: Foi observada diferença significativa para a formulação de saliva, mas não para a presença de mucina. A água deionizada proporcionou a maior perda de superfície e a formulação de saliva de Eisenburger a menor. Os grupos que testaram a saliva Amaechi, Klimek e Vieira não apresentaram diferenças significativas entre si. Conclusão: A formulação de saliva de Eisenburger fornece o maior efeito protetor contra a erosão dentinária e a presença de mucina não aumentou o efeito preventivo de erosão de formulações de saliva artificial (AU).

Enamel Surface Roughness Evaluation after Bracket Debonding: Comparison between Light Cure and Self Cure Adhesive Resin 3-Dimensional Profilometric Study

Introduction: After fixed orthodontic treatment, following bracket removal, the debonding procedure should lead to restitutio ad integrum of the enamel or, at least, restore the enamel surface as closely as possible to its pretreatment condition. Adhesion of brackets in orthodontics is that they should be strong enough to prevent failure during all treatment but also low enough, so that enamel damage would be minimal during bracket removal after treatment. Material and Methods: A total of 60 premolars were collected and stored in distilled water. The extracted teeth were divided into two groups of 30 each, group A was to be bonded with self?cure adhesive while group B light cure adhesive was to be used. A standardised protocol was followed for adhering the brackets to the tooth surfaces. All the teeth were bonded with metal brackets (3M Unitek, Gemini Twin Brackets 0.022 slot). In group A, bonding adhesive (3M Unitek self cure adhesive primer) was applied. In group B, the bonding adhesive (3M Unitek light cure adhesive primer) was photopolymerized for 10 seconds after application. Results: Surface roughness of enamel as assessed by profilometry shows that light cure adhesive creates more roughness as compared to self cure adhesive. To conclude, self cure adhesive is clinically better than light cure adhesive. Discussion: In the present study enamel surface roughness were compared after debonding. Enamel surface roughness after bracket debonding depends o

Exploration of the relationship between the urethral pressure profilometry and the complications of artificial urethral sphincter implantation / 中华泌尿外科杂志

Objective:To explore the potential relationship of urethral pressure profilometry and the complications of artificial urethral sphincter (AUS) implantation.Methods:The clinical data of patients who underwent AUS implantation in Beijing Hospital from March 2019 to March 2022 were retrospectively analyzed. All the patients were male. The average course of disease was 43.1 months(ranging 11-120 months). The average age was (68.6±13.2) years. The median number of pads used was 4.5 (3.0, 6.0). The preoperative maximum urethral pressure (MUP) was (84.6±25.5) cmH 2O, and the maximum urethral closure pressure (MUCP) was 51.0 (41.0, 74.0) cmH 2O. AUS implantation was performed through a single perineal incision in all patients. The sleeve size was mainly determined by the measured urethral circumference of the patient. After installation of all components, the urethral pressure profilometry was performed under the state of device inactivation and activation. The pump was activated 6 weeks after the operation, and telephone follow-up was performed 3 months after the activation of the device. The urinary control and complications were recorded. The results of follow-up were compared with the results of urethral pressure profilometry, and the preliminary conclusions were drawn. Results:In this study, 3 patients (20%) received 4.0cm cuffs, 10 patients (66.7%) received 4.5cm cuffs, and 2 patients (13.3%) received 5.0cm cuffs. The MUP and MUCP of AUS device in inactivated state were (82.5±30.2) cmH 2O and 51.0(48.0, 77.0) cmH 2O. In the activated state, MUP was (138.9±21.7) cmH 2O and MUCP was 109.0(94.0, 133.0) cmH 2O. Compared with that before operation, the urethral pressure in the inactivated state did not increase significantly (all P > 0.05), while the urethral pressure in the activated state increased significantly (all P < 0.001). The patients were followed-up for 3-33 months. Thirteen patients (86.7%) used the initial installation device, and all of them met the standard of social continence. One patient died of cerebrovascular accident. One patient took out the device due to urethral erosion. The incidence of complications was 26.7% (4/15), including painless hematuria in 2 cases, scrotum and penis infection in 1 case, and urethral erosion in 1 case. The MUP and MUCP of these patients were (100.0 ± 40.7) cmH 2O and (80.8 ± 39.7) cmH 2O respectively. In the intraoperative active state, the MUP was (151.5 ± 15.3) cmH 2O and the MUCP was (123.0 ± 17.2) cmH 2O. The MUP of the other 3 patients in the device activation state was significantly higher than the average value, and all of them were above 150 cm H 2O, except one patient who was infected due to cognitive problems and chronic urinary retention. In 11 patients without complications, the MUP and MUCP were (76.1±24.7) cmH 2O and (55.1±20.0) cmH 2O respectively. In the intraoperative active state, the MUP was (134.4±22.5) cmH 2O and the MUCP was (108.5±29.8) cmH 2O. Conclusions:AUS implantation has a definite curative effect. Poor comprehension, and MUP higher than 150 cmH 2O in the activated state of the device may be risk factors for complications.

Clinical Wear Assessment of Composite Restorations Using a Digital Optical Surface Profilometry - A Retrospective Study

Dental composites form the main stay in majority of the restorative procedures due to their aesthetic properties and adhesive technology. The major disadvantage with these materials is that they have less abrasion resistance and they wear on clinical service. The aim of this study was to evaluate the wear resistance of mandibular molar class-1 composite restored teeth at different intervals of time. METHODSIn this retrospective pilot study, thirty patients were randomly selected with mandibular first and second molars restored with class-1 composite restorations and were grouped according to the retrospective clinical duration of the teeth restored as 1-3 years, 3-5 years and 5-7 years. High resolution images of these restorations were captured using DSLR with macro lens attached and assessed for surface irregularities and the clinical duration of the restoration was recorded. The images were magnified using NIH-IMAGE J and processed in Adobe Photoshop and digital optical surface profilometry was used to measure the irregularities formed on the surface of the restoration. RESULTSThere was a significant increase in the mean, maximum and minimum diameter of craters and notches formed between the three groups (p < 0.05). But there was no statistically significant difference that was seen with the area of tooth assessed, length and angle of craters formed (p > 0.05). CONCLUSIONSWear of the restorations increased on increased clinical duration and varied according to the dietary habits of the patients.

Surface Roughness of Tooth Coloured Restorative Materials

@#This study compared the surface roughness of selected tooth coloured restorative materials that were polished according to manufacturers’ instructions and Sof-Lex. It also assessed the surface roughness of polished materials after thermocycling. Filtek Z350XT, Beautifil-Bulk Restorative and Cention N, were used in this study. A stainless steel mould (10mm diameter x 2mm height) was used to fabricate 75 cylindrical specimens: 15 Filtek Z350XT (FZ), 30 Beautifil-Bulk Restorative (BB) and 30 Cention N (CN). All 15 FZ specimens were polished with Sof-Lex. Fifteen BB and CN specimens were polished according to manufacturers’ instructions. The remaining fifteen BB and CN specimens were polished using Sof-Lex. All the specimens were subjected to thermocycling (1000 cycles). Surface roughness was assessed quantitatively with profilometry after specimen preparation (Mylar stage), polishing and thermocycling. Data were analysed using SPSS version 25.0 at α=0.05. When polished according to manufacturers’ instructions, BB had the lowest mean surface roughness (Ra) values (0.13±0.01μm) followed sequentially by CN (0.14±0.03μm) and FZ (0.15±0.02μm). The differences were not statistically significant. When polished with Sof-Lex, BB exhibited the smoothest surface (0.116±0.03μm) followed sequentially by and FZ (0.150±0.02μm) and CN (0.157±0.02μm). Thermocycling caused an increase in the Ra. The differences were statistically significant. All materials tested had Ra values below the threshold value of 0.2 µm at Mylar stage and after polishing with their recommended polishing system and Sof-Lex. Thermocycling produced rougher surfaces that did not exceed the threshold Ra value. Polishability was material dependent.

Color stability and gloss of esthetic restorative materials after chemical challenges

Abstract This study evaluated gloss and color changes of esthetic restorative materials subjected to different acidic beverages. Specimens of resin composites (Z350XT (Z350), IPS Empress Direct (ED), Charisma Diamond (CD)) were prepared and the initial surface gloss and color (ΔE) were measured (n=10). Then, the specimens were immersed in 4 mL of each of the different beverages (cranberry juice; Coca-Cola; coffee or artificial saliva) during 15 min, 3x/day for 14 days and new gloss and color readings were obtained. Color change was evaluated with the ΔE formula and gloss change values were obtained by the formula: (final gloss - initial gloss). Data was submitted to two-way ANOVA followed by Tukey's post hoc test (a=0.05). CD showed the lowest color change among resin composites. The highest ΔE values were obtained after immersion in coffee and cranberry juice. Coffee promoted the highest gloss change (worst gloss retention), followed by cranberry juice, Coca-cola and artificial saliva (p<0.05). The type of beverage significantly influenced the gloss of resin composites. Coca-cola reduced gloss of the three resin composites in a similar manner. Coffee affected the ED gloss more than that of Z350 and CD, while cranberry juice affected Z350 more than ED and CD. Saliva had a more pronounced effect on the gloss retention of CD than ED. The beverages used in this study influenced the optical surface properties of the composites studied.

Resumo O objetivo foi avaliar as alterações de brilho e cor de materiais restauradores estéticos submetidos ao armazenamento em diferentes bebidas ácidas. Foram preparados espécimes de compósitos de resina (Z350XT (Z350), IPS Empress Direct (ED), Charisma Diamond (CD) e o brilho e a cor (ΔE) de superfície mensurados (n=10). Em seguida, os espécimes foram imersos em 4 mL de cada uma das diferentes bebidas (suco cranberry, Coca-Cola, café, ou saliva artificial) durante 15 min, 3x/dia durante 14 dias e o brilho e a cor novamente mensurados. A alteração de cor foi avaliada pela fórmula ΔE e os valores de alteração de brilho foram obtidos pela fórmula: (brilho final - brilho inicial). Os dados foram submetidos à ANOVA e Tukey (a = 0,05). CD apresentou menor alteração de cor quando comparado aos demais compósitos e maiores valores de ΔE foram obtidos após imersão em suco de café e cranberry. O café promoveu maior perda de brilho, seguido pelo suco cranberry, Coca-cola e saliva artificial (p <0,05). O tipo de bebida influenciou significativamente no brilho dos compósitos resinosos. Coca-cola reduziu o brilho dos três compósitos de maneira similar. O café promoveu maior alteração do brilho do ED, quando comparado ao Z350 e CD, enquanto o suco de cranberry afetou mais o Z350 do que o ED e o CD. A saliva teve efeito mais significativo na perda do brilho do CD do que o ED. As bebidas utilizadas neste estudo influenciaram as propriedades ópticas de superfície dos compósitos.

Characterization of Conventional and High-Translucency Y-TZP Dental Ceramics Submitted to Air Abrasion

Abstract This study evaluated the effect of air-abrasion on t®m phase transformation, roughness, topography and the elemental composition of three Y-TZP (Yttria-stabilized tetragonal zirconia polycrystal) dental ceramics: two conventional (Lava Frame and IPS ZirCad) and one with high-translucency (Lava Plus). Plates obtained from sintered blocks of each ceramic were divided into four groups: AS (as-sintered); 30 (air-abrasion with 30 mm Si-coated Al2O3 particles); 50 (air-abrasion with 50 mm Al2O3 particles) and 150 (air-abrasion with 150 mm Al2O3 particles). After the treatments, the plates were submitted to X-ray diffractometry; 3-D profilometry and SEM/EDS. The AS surfaces were composed of Zr and t phases. All treatments produced t®m phase transformation in the ceramics. The diameter of air-abrasion particles influenced the roughness (150>50>30>AS) and the topography. SEM analysis showed that the three treatments produced groove-shaped microretentions on the ceramic surfaces, which increased with the diameter of air-abrasion particles. EDS showed a decrease in Zr content along with the emergence of O and Al elements after air-abrasion. Presence of Si was also detected on the plates air-abraded with 30 mm Si-coated Al2O3 particles. It was concluded that irrespective of the type and diameter of the particles, air-abrasion produced t®m phase transformation, increased the roughness and changed the elemental composition of the three Y-TZP dental ceramics. Lava Plus also behaved similarly to the conventional Y-TZP ceramics, indicating that this high translucency ceramic could be more suitable to build monolithic ceramic restorations in the aesthetic restorative dentistry field.

Resumo Este estudo avaliou o efeito da abrasão a ar na transformação de fase t®m, na rugosidade, topografia e composição elementar de três cerâmicas Y-TZP (Zircônia tetragonal policristalina estabilizada por ítrio): duas convencionais (Lava Frame e ZirCad) e uma de alta translucidez (Lava Plus). Placas obtidas de blocos sinterizados de cada cerâmica foram divididos em quatro grupos: AS (pré-sinterizado); 30 (jateamento com partículas de Al2O3 de 30 mm cobertas com Si); 50 (jateamento com partículas de Al2O3 de 50 mm) e 150 (jateamento com partículas de Al2O3 de 150 mm). Após os tratamentos, as placas foram submetidas à difratometria de Rx, perfilometria 3-D e microscopia eletrônica de varredura com espectroscopia de energia dispersiva de Rx (SEM/EDS). As superfícies pré-sinterizadas apresentaram predominantemente Zr e fase tetragonal. Todos os tratamentos superficiais produziram transformação t®m nas cerâmicas avaliadas. A topografia e a rugosidade foram influenciadas pelo diâmetro das partículas abrasivas (150>50>30>AS). A análise através de SEM mostrou que os três tratamentos produziram fendas retentivas nas superfícies das cerâmicas, por influência do tamanho das partículas. A análise através de EDS mostrou uma diminuição da concentração de Zr, paralela ao surgimento de O e Al, após o jateamento. No grupo tratado com partículas de Al2O3 de 30 mm cobertas com Si foi também observado um aumento de Si após o jateamento. Concluiu-se que, independente do tipo e do diâmetro das partículas, o jateamento produziu transformação t®m, aumentou a rugosidade e alterou a composição elementar das cerâmicas avaliadas. A Lava Plus apresentou comportamento semelhante às cerâmicas convencionais, indicando que esta cerâmica de alta translucidez pode ser mais adequada à confecção de restaurações monolíticas no campo da odontologia estética restauradora.

Influência de tensoativos sobre o efeito protetor da película e interação com NaF no desenvolvimento da erosão dental / Influence of surfactant agents on acquired pellicle protector effect and sodium fluoride interaction during dental erosion development

A erosão dental é um processo multifatorial que envolve a desmineralização do esmalte/dentina pela ação química de ácidos extrínsecos ou intrínsecos. A película adquirida é um filme, livre de bactérias, que cobre os dentes e atua como barreira de difusão ou membrana permeável seletiva, prevenindo o contato direto de ácidos com a superfície dos dentes. Os dentifrícios, normalmente usados no controle do biofilme bucal, possuem agentes tensoativos, que podem influenciar na adsorção de proteínas salivares, e atuar diretamente na formação da película adquirida e na liberação de fluoretos para o meio bucal. Assim, verificou-se a ação destes agentes na formação e proteção da película adquirida, sua interação com fluoreto de sódio (NaF) no esmalte, e consequentemente sua interferência na proteção contra a erosão dental. Foram testados três tensoativos (Lauril Sulfato de Sódio - LSS, Tween 20 ­ T20 e Cocoamidopropil Betaína - CAPB), em duas concentrações (1,0% e 1,5%). A água foi utilizada como controle negativo. Amostras de esmalte bovino foram submetidas a um modelo de des/remineralização com ácido cítrico durante 5 dias, imersão em saliva humana para formação de película adquirida e em soluções com os tensoativos testados, associados ou não ao NaF (275 ppm). A solução de NaF foi utilizada como controle positivo. A análise da energia de superfície do esmalte foi determinada por goniometria e a formação de película adquirida quantificada por espectroscopia (FTIR). A erosão inicial foi determinada por microdureza no primeiro dia (mensurada após o primeiro ácido, após o tratamento e após o segundo ácido) e a perda de estrutura de esmalte foi definida por perfilometria ao final de cinco dias de ciclo. Ainda, foi quantificado o flúor solúvel em KOH adsorvido na superfície do esmalte com eletrodo específico. Os resultados de goniometria mostraram que apenas o LSS e o CAPB em ambas concentrações diminuíram o ângulo de contato entre a água e o esmalte. Quanto à quantificação da formação de película, não foi possível verificar diferença significante entre os grupos testados. Com relação à erosão, os dados de dureza mostraram que os tensoativos, independente da concentração, não interferiram no reendurecimento do esmalte, porém o LSS a 1% e 1,5% interferiu no potencial de proteção do NaF, e o T20 a 1% e 1,5% e o CAPB a 1,5% protegeram o esmalte, porém não foram superiores ao efeito do NaF. Já a análise perfilometria mostrou que o T20 a 1% resultou em menores valores de perda que a 1,5%, e ainda que o CAPB 1% e 1,5% foi capaz de proteger comparado ao controle negativo, no entanto nenhum agente associado ao NaF protegeu mais do que o controle positivo. Os dados da concentração de flúor KOH-solúvel indicaram que os tensoativos reduziram a adsorção do CaF2 ao esmalte. Conclui-se que os tensoativos testados reduziram o ângulo de contato da água com o esmalte (exceção do T20). O LSS reduziu o potencial protetor do NaF e da película na erosão inicial e nenhum agente testado interferiu na capacidade protetora do NaF contra a progressão do desgaste erosivo(AU)

Dental erosion can be defined as a multifactorial process that induces tooth dissolution by intrinsic or extrinsic acids. Acquired pellicle is a film, free from bacteria, that covers all tooth tissues, and acts as a selective membrane that prevents direct contact of the acids with enamel/dentin surface. Dentifrices, frequently used in the biofilm control, have some constituents, such as surfactant agents, which influence on the adsorption of salivary proteins, and may directly affect the formation of salivary pellicle and the fluoride release on oral environment. Thus, it was verified the influence of surfactants over the protective effect of the acquired pellicle, and on the interaction of fluoride with enamel. Three different surfactants were tested (Sodium Lauryl Sulphate - SLS, Tween 20 ­ T20 and Cocoamidopropyl Betaine - CAPB), in 2 different concentrations (1.0% and 1.5%). Water was used as negative control. Bovine enamel samples were selected and submitted to an in vitro des/remineralization model with citric acid during 5 days, immersion in human saliva for acquired pellicle formation and immersion in the surfactant solutions, associated or not with sodium fluoride (NaF ­ 275ppm). A NaF solution was used as positive control. The surface wettability was determined by contact angle between water and the enamel using a tensiometer, and the acquired enamel pellicle formation was assessed using a spectrophotometer (FTIR). Initial erosion was defined by microhardness at the first cycle day (measured after the first acid, after treatment and after the second acid), and the structure loss was determined by profilometry. The KOH-soluble fluoride was also quantified after the end of the cycle. The surface energy analysis showed that only SLS and CAPB in both concentrations decreased the contact angle between enamel and water. Regarding the proteins quantification, no differences were found between the groups. Concerning initial erosion, microhardness data showed that all surfactants, in both concentrations, did not interfered with enamel remineralization, but 1% and 1,5% SLS interfered on NaF protective effect. 1% and 1,5% T20 and 1,5%, CAPB despite presenting some protective effect against new acid challenge, did not promote the same protection as NaF. Profilometry results showed that the 1% T20 promoted lower surface loss than at 1.5%, while 1% and 1.5% CAPB protected enamel compared to negative control group. However, no agent associated with NaF showed higher protection than the positive control. KOH-soluble fluoride analysis showed that all surfactants reduced the CaF2 adsorption over enamel surface. It can be concluded that the surfactants tested reduced the enamel contact angle (except for T20). The SLS decreased the protective potential of NaF associated with the pellicle in initial erosion and no agent tested interfered with the protective effect of NaF on enamel erosive wear(AU)

Erosive softening and erosive loss of enamel: hardness and profilometry analysis / Erosão e desgaste erosivo do esmalte: análises por microdureza e perfilometria

Objetivo: Esse trabalho tem como objetivo determinar e diferenciar a erosão e o desgaste erosivo do esmalte induzidos pelos ácidos cítrico e clorídrico. Materiais e Métodos: Quarenta amostras de esmalte foram divididas em 2 grupos: 1) 0,05 M de ácido cítrico (pH 2,5) simulando a erosão extrínseca e 2) 0,01 M de ácido clorídrico (pH 2,2) simulando a erosão intrínseca. Amostras de esmalte foram submetidas aos desafios erosivos. A microdureza de superfície (erosão) ou a perfilometria (desgaste erosivo) foi realizada após 30 s, depois a cada 60 s até 10 min, depois a cada 5 min até 30 min e depois de 60, 90 e 120 min. Resultados: A erosão (perda de dureza do esmalte) foi mensurável até 1 e 2 min de exposição aos ácidos clorídrico e cítrico, respectivamente. O desgaste erosivo aumentou significativamente ao longo do tempo para ambos os ácidos. Após 8 min, o ácido cítrico foi mais agressivo comparado ao clorídrico (p < 0,001). Conclusão: A progressão da erosão do esmalte do amolecimento ao desgaste erosivo é altamente dependente do tipo de ácido, sendo o ácido cítrico mais agressivo em estágios avançados. Portanto, este resultado deve ser considerado na escolha do método de análise para estudos laboratoriais.

Objective: This study aimed to determine and differentiate erosive softening and enamel erosive loss induced by citric and hydrochloric acids. Material and Methods: Forty enamel specimens were divided into 2 groups: 1) 0.05 M citric acid (pH 2.5) simulating extrinsic erosion and 2) 0.01 M hydrochloric acid (pH 2.2) simulating intrinsic erosion. The enamel specimens were submitted to erosive challenges. Surface microhardness (softening) or contact profilometry (loss) was done after 30 s, after each 60 s up to 10 min, after each 5 min up to 30 min and after 60, 90 and 120 min. Results: Erosive softening (enamel hardness loss) was measurable up to 1 and 2 min for hydrochloric and citric acids, respectively. Erosive loss was significantly increased over time for both types of acids. After 8 min, citric acid was more aggressive than hydrochloric acid (p < 0.001). Conclusion: The progression of enamel erosion from erosive softening to erosive loss is highly dependent on the type of acid, being citric acid more aggressive in later stages. Therefore, this finding should be considered when choosing the method of analysis for laboratory studies

Carbohydrate-electrolyte drinks exhibit risks for human enamel surface loss

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

Dissolution of human enamel in still flavoured water drinks in vitro

AIM: This study aimed to investigate the erosive potential of these drinks using human enamel in vitro. MATERIAL AND METHODS: A range of bottled, still flavoured water drinks available in the UK were investigated and their erosive potential was compared by measuring pH and titratable acidity. Six beverages were chosen for the main study and also both a negative (distilled water) and positive control (orange juice). Human enamel specimens were prepared, sectioned and varnished leaving an exposure window visible to have contact with test solutions. Each specimen was randomly allocated in groups of six. Each group was exposed to 20 ml of one of the eight test solutions for 10, 30, 60 and 90 min. Quantitative light-induced fluorescence was used to ensure the teeth selected were free of artefacts and diseased areas. Erosion was measured using non-contact optical profilometry. RESULTS: Enamel loss occurred with all test drinks and the positive control (p<0.05) and in most cases the still water drinks were just as erosive as the positive control. Only vitamin water at 30 min was not significantly different from the negative control (p= 0.86), All drinks tested resulted in significant enamel loss (p<0.01). These results may indicate that consumers should think of still water beverages as potentially acidic drinks rather than just flavoured healthy water alternatives. CONCLUSION: This study indicates the need for preventive advice to be given by dentists about such beverages and therefore ultimately to make patients and consumers more aware of hidden erosive risks.

Effect of ion-implantation on surface characteristics of nickel titanium and titanium molybdenum alloy arch wires.

Aim: To evaluate the changes in surface roughness and frictional features of 'ion-implanted nickel titanium (NiTi) and titanium molybdenum alloy (TMA) arch wires' from its conventional types in an in-vitro laboratory set up. Materials and Methods: 'Ion-implanted NiTi and low friction TMA arch wires' were assessed for surface roughness with scanning electron microscopy (SEM) and 3 dimensional (3D) optical profilometry. Frictional forces were studied in a universal testing machine. Surface roughness of arch wires were determined as Root Mean Square (RMS) values in nanometers and Frictional Forces (FF) in grams. Statistical Analysis Used: Mean values of RMS and FF were compared by Student's 't' test and one way analysis of variance (ANOVA). Results: SEM images showed a smooth topography for ion-implanted versions. 3D optical profilometry demonstrated reduction of RMS values by 58.43% for ion-implanted NiTi (795.95 to 330.87 nm) and 48.90% for TMA groups (463.28 to 236.35 nm) from controls. Nonetheless, the corresponding decrease in FF was only 29.18% for NiTi and 22.04% for TMA, suggesting partial correction of surface roughness and disproportionate reduction in frictional forces with ion-implantation. Though the reductions were highly significant at P < 0.001, relations between surface roughness and frictional forces remained non conclusive even after ion-implantation. Conclusion: The study proved that ion-implantation can significantly reduce the surface roughness of NiTi and TMA wires but could not make a similar reduction in frictional forces. This can be attributed to the inherent differences in stiffness and surface reactivity of NiTi and TMA wires when used in combination with stainless steel brackets, which needs further investigations.

Evaluation And Comparison of Mechanical And Chemical Surface Modifications of Commercial Titanium For Orthodontic Implants .

Objective: The study evaluated two different methods of modification of titanium surface by blasting with various materials and by acid etching with different acids and to compare the surface roughness levels, surface wettability and surface configuration of variously treated surfaces of titanium. Materials and methods: Commercially pure titanium (Grade I) sheets of 0.2mm thick and 4.5mm diameter are used for this study. Blasting of the titanium substrates with various blasting materials is done using Alumina, Hydroxyapatite, and Tricalcium phosphate, Acid etching with Hydrofluoric acid, Hydrochloric acid and sulfuric acid .Surface roughness levels were measured with the help of surface profilometer and surface analyzer. Surface wettability is measured with help of contact angle measurement using light microscope and surface configuration was determined with the help of scanning electron microscopy. Results: Titanium sheets Blasted with alumina (100), and dual etched with HCL+H2SO4 Showed highest surface roughness values, samples, blasted with biphasic material (combination of Hydroxyapatite and tricalcium phosphate) showed uniform rougher surface in scanning electron pictomicrograph. And Samples blasted with biphasic material and those treated with Hydrofluoric acid 2% showed lowest contact angle Measurements. Conclusion: The modification of the titanium surface by both chemical and mechanical methods, have shown the uniform surface roughness and increase in the surface area of the samples.

Development of an orange juice surrogate for the study of dental erosion

The aim of this study was to create a synthetic juice (SJ) to be used as a surrogate for natural orange juices in erosion studies, verifying its erosive potential. The SJ was formulated based on the chemical composition of orange juices from different locations. Forty enamel and 40 root dentin specimens were randomly assigned into 4 experimental groups (n=10): SJ; 1% Citric Acid (CA); Minute Maid Original® (MM) and Florida Natural Original® (FN). The specimens were immersed in their respective solutions for 5 min, 6x/day for 5 days, in an erosion-remineralization cycling model. Enamel specimens were analyzed by surface Knoop microhardness and optical profilometry and dentin specimens only by optical profilometry. Outcomes were analyzed statistically by ANOVA followed by Tukey’s test considering a significance level of 5%. For enamel, the surface loss and microhardness changes found for MM and SJ groups were similar (p>0.05) and significantly lower (p<0.01) than those found in the CA group. For dentin, CA promoted significantly greater (p<0.01) surface loss compared with all the other groups. No significant difference (p>0.05) was observed in dentin surface loss between MM and SJ. In conclusion, CA was the most erosive solution, and SJ had a similar erosive potential to that of MM natural orange juice.

O objetivo deste estudo foi criar um suco sintético (SJ) para ser usado como substituto do suco de laranja natural em estudos de erosão dental, verificando o seu potencial erosivo. O SJ foi formulado com base na composição química de sucos de laranja de diferentes locais. Quarenta espécimes de esmalte e 40 de dentina radicular foram aleatoriamente alocados em 4 grupos experimentais (n=10): SJ; 1% Citric acid (CA); Minute Maid Original® (MM) e Florida Natural Original® (FN). Os espécimes foram imersos nas suas respectivas soluções por 5 min, 6x/dia por 5 dias, em um modelo de ciclagem de erosão-remineralização. Os espécimes de esmalte foram analisados por microdureza de superfície Knoop e perfilometria ótica, enquanto que os espécimes de dentina foram analisados somente por perfilometria. Os resultados foram analisados estatisticamente com o teste de ANOVA, seguido pelo teste de Tukey, considerando um nível de significância de 5%. Para o esmalte, a perda superficial e as alterações de microdureza encontradas para os grupos MM e SJ foram similares (p>0,05) e significantemente menores (p<0,01) do que as encontradas para o grupo CA. Para dentina, CA promoveu significantemente (p<0,01) a maior perda de superfície quando comparada aos outros grupos. Não foram encontradas diferenças significantes (p>0,05) entre a perda de superfície de dentina dos grupos MM e SJ. Concluiu-se que CA foi a solução mais erosiva e SJ apresentou um potencial erosivo semelhante ao do suco de laranja natural MM.

In vitro surface roughness of different glass ionomer cements indicated for ART restorations

Aim: The aim of this in vitro study was to evaluate the surface roughness of three glass ionomer cements (GICs) indicated for ART restorations. Methods: Ten cylindrical specimens of three commercial glass ionomers cements (Vidrion R - S.S. White, Maxxion R - FGM and Vitromolar DFL) were prepared (n=30) without surface finishing or protection. Twenty-four hours after preparation, the surface roughness measurements were obtained as the mean of three readings of the surface of each specimen by profilometry. The roughness values (Ra, ìm) were subjected to one-way ANOVA and Tukey’s test (p<0.05). Results: No statistically significant difference swere observed between Vidrion R (0.18 ± 0.05) and Vitromolar (0.21 ± 0.05), whereas Maxxion R presented significantly higher roughness values than those of the other materials. Conclusions: It may be concluded that characteristics of particle size and composition of the different GICs affected their surface roughness 24 h after preparation.

Eficacia y seguridad del retinaldehido y el Ácido retinoico tópico en el tratamiento del fotoenvejecimiento / Efficacy and safety of retinaldehyde and topical retinoic acid in the treatment of photoaging

El ácido retinoico tópico es eficaz para el tratamiento del fotoenvejecimiento. Sin embargo la irritación cutánea secundaria a su uso es un factor limitante del tratamiento. El retinaldehído es un precursor inmediato del ácido retinoico que posee actividad biológica en la piel, con menos efectos secundarios. Objetivo: comparar la eficacia y tolerancia del retinaldehido y el ácido retinoico tópicos en el tratamiento del fotoenvejecimiento, mediante perfil profilométrico y análisis clínico - fotográfico y determinar los efectos secundarios de estos medicamentos. Métodos: se incluyeron 126 mujeres colombianas (35 a 60 años), quienes no habían recibido tratamientos previos, no estaban embarazadas, ni lactando. En total 119 pacientes completaron las 24 semanas de seguimiento: a 61 pacientes se les aplicó retinaldehído y a 58, ácido retinoico. Se realizó un seguimiento clínico (que evaluó mejoría y tolerancia), en las semanas 4, 8, 16 y 20, y además se realizó profilometría del área de la pata de gallina y seguimiento fotográfico al ingreso y en la semana 24.

Topical retinoic acid has been effectively used to treat photo aging; nevertheless, cutaneous irritation as a side effect is a limiting factor for treatment. Retinaldehyde is an immediate precursor of retinoic acid that has biologic activity in the skin, with few side effects. The objective of this investigation was to compare efficacy and tolerability of topical retinoic acid and retinaldehyde in the treatment of photo aging, by means of profilometry and clinical-photographic analysis and to determine side effects from both medications. Methods: were included 160 colombian women (aged 35 to 60 years), who hadn't had previous treatments and weren't pregnant or breast feeding. A total of 119 patients completed 24 weeks of treatment. Of these, 61 used retinaldehyde and 58 retinoic acid. Clinical evaluation was carried out on weeks 4, 8, 16 and 20, and profilometry of the “crow's feet” area was done at the beginning and at week 24.

Calibração da técnica de moiré aplicada a perfilometria de protótipos mecânicos / Calibration method applied to a moiré technique in experiments of mechanical archetypes

A perfilometria é uma técnica amplamente utilizada na construção de mapas e gráficos de relevos aplicados a uma vasta área do conhecimento. Frente às necessidades de suprir a demanda da indústria e da área de desenvolvimento de protótipos quanto a técnicas não invasivas na investigação da superfície de materiais em geral, o presente trabalho buscou propor uma metodologia de calibração aplicada à técnica de moiré para investigações perfilométricas em protótipos mecânicos buscando baixos custos e flexibilidade. A técnica de moiré consiste na comparação de dois retículos periódicos, onde um segue o comportamento da superfície do objeto (retículo modelo - Rm) e outro não está deformado, seguindo o comportamento de um plano de referência, (retículo de referência - Rr). A luz que passa entre os retículos se sobrepõe formando padrões de moiré ou franjas de moiré que se comportam como ondas senoidais. Nos ensaios de calibração, usou-se um cone de relevo conhecido para a determinação de uma constante de correção de mapas gerados digitalmente. Os ensaios realizados aplicaram a metodologia para a determinação do perfil de um mouse de computador e para a determinação da deformação de uma chapa metálica. A metodologia proposta para a calibração da técnica de moiré mostrouse capaz de realizar os mapeamentos, com resolução máxima na ordem de centésimos de milímetros, podendo então ser usada em aplicações com níveis de precisão inferiores a essa ordem.

Profilometry is a measurement technique widely used in map and relief graphic construction, being applied to vast areas of knowledge. The aim of the present investigation was to introduce a calibration method applied to a moiré technique in experiments of mechanical archetypes, with low cost and flexibility, due to the need for supplying demands from both industry and mechanical archetype development for non-invasive techniques. The moiré technique basically consists of the comparison of two periodic structures. One of them follows the behavior of the object surface (reticulum model - Rm) and the other one is kept constant without deformation, working as a reference plane (reference reticulum - Rr). The light that passes between the reticulum overlaps and forms a moiré standard, also called moiré fringe which behaves as sinusoidal waves. In the present calibration tests, a relief cone was used to determine a correction constant in the generated maps. The technique was applied to draw the profile of a computer mouse, and to determine deformation on a metallic blade, mounted over a deformation test table. The proposed methodology for the calibration applied to the moiré technique showed to allow the construction of maps with maximum resolution of hundredths of millimeters. Results also showed that the technique might be used in applications with lower levels of precision as well.

Imitating the restoration of orbital defect by a digital face model in condition of open-eyes / 实用口腔医学杂志

Objective:To build 3D digitized face model of unilateral orbital defect and to realize imitating design of defect section.Methods:Phase measuring profilometry was employed to acquire a 3-D digitized face model with open eyes.By Geomagic software,the image of normal orbit was extracted and mirrored with the image of the deformed side of the orbit.Results:A 3-D digitized face model of unilateral orbital defect was successfully reconstructed and 3-D normal orbit data of defect section was acquired.Conclusion:The use of phase measuring profilometry and RE software is a convenient and effective method to the computer-aided design for the restoration of unilateral orbital defect.