Potential of Viruses as Environmental Etiological Factors for Non-Syndromic Orofacial Clefts.

In this study, we analyzed the potential of viral infections in the species Homo sapiens as environmental causes of orofacial clefts (OFCs). A scoring system was adapted for qualitatively assessing the potential of viruses to cause cleft lip and/or palate (CL/P). This assessment considered factors such as information from the literature, nucleotide and amino acid similarities, and the presence of Endogenous Viral Elements (EVEs). The analysis involved various algorithm packages within Basic Local Alignment Search Tool 2.13.0 software and databases from the National Center for Biotechnology Information and the International Committee on Taxonomy of Viruses. Twenty significant viral species using different biosynthesis strategies were identified: Human coronavirus NL63, Rio Negro virus, Alphatorquevirus homin9, Brisavirus, Cosavirus B, Torque teno mini virus 4, Bocaparvovirus primate2, Human coronavirus HKU1, Monkeypox virus, Mammarenavirus machupoense, Volepox virus, Souris mammarenavirus, Gammapapillomavirus 7, Betainfluenzavirus influenzae, Lymphocytic choriomeningitis mammarenavirus, Ledantevirus kern, Gammainfluenzavirus influenzae, Betapolyomavirus hominis, Vesiculovirus perinet, and Cytomegalovirus humanbeta5. The evident viral etiological potential in relation to CL/P varies depending on the Baltimore class to which the viral species belongs. Given the multifactorial nature of CL/P, this relationship appears to be dynamic.

Using citation networks to evaluate the impact of text length on keyword extraction.

The identification of key concepts within unstructured data is of paramount importance in practical applications. Despite the abundance of proposed methods for extracting primary topics, only a few works investigated the influence of text length on the performance of keyword extraction (KE) methods. Specifically, many studies lean on abstracts and titles for content extraction from papers, leaving it uncertain whether leveraging the complete content of papers can yield consistent results. Hence, in this study, we employ a network-based approach to evaluate the concordance between keywords extracted from abstracts and those from the entire papers. Community detection methods are utilized to identify interconnected papers in citation networks. Subsequently, paper clusters are formed to identify salient terms within each cluster, employing a methodology akin to the term frequency-inverse document frequency (tf-idf) approach. Once each cluster has been endowed with its distinctive set of key terms, these selected terms are employed to serve as representative keywords at the paper level. The top-ranked words at the cluster level, which also appear in the abstract, are chosen as keywords for the paper. Our findings indicate that although various community detection methods used in KE yield similar levels of accuracy. Notably, text clustering approaches outperform all citation-based methods, while all approaches yield relatively low accuracy values. We also identified a lack of concordance between keywords extracted from the abstracts and those extracted from the corresponding full-text source. Considering that citations and text clustering yield distinct outcomes, combining them in hybrid approaches could offer improved performance.

The Intersection of Health Literacy and Public Health: A Machine Learning-Enhanced Bibliometric Investigation.

In recent decades, health literacy has garnered increasing attention alongside a variety of public health topics. This study aims to explore trends in this area through a bibliometric analysis. A Random Forest Model was utilized to identify keywords and other metadata that predict average citations in the field. To supplement this machine learning analysis, we have also implemented a bibliometric review of the corpus. Our findings reveal significant positive coefficients for the keywords "COVID-19" and "Male", underscoring the influence of the pandemic and potential gender-related factors in the literature. On the other hand, the keyword "Female" showed a negative coefficient, hinting at possible disparities that warrant further investigation. Additionally, evolving themes such as COVID-19, mental health, and social media were discovered. A significant change was observed in the main publishing journals, while the major contributing authors remained the same. The results hint at the influence of the COVID-19 pandemic and a significant association between gender-related keywords on citation likelihood, as well as changing publication strategies, despite the fact that the main researchers remain those who have been studying health literacy since its creation.

Glutamine supplementation accelerates functional recovery of EDL muscles after injury by modulating the expression of S100 calcium-binding proteins.

The aim of the current study was to investigate the effect of glutamine supplementation on the expression of HSP70 and the calcium-binding proteins from the S100 superfamily in the recovering extensor digitorum longus (EDL) muscle after injury. Two-month-old Wistar rats were subjected to cryolesion of the EDL muscle and then randomly divided into two groups (with or without glutamine supplementation). Starting immediately after the injury, the supplemented group received daily doses of glutamine (1 g/kg/day, via gavage) for 3 and 10 days orally. Then, muscles were subjected to histological, molecular, and functional analysis. Glutamine supplementation induced an increase in myofiber size of regenerating EDL muscles and prevented the decline in maximum tetanic strength of these muscles evaluated 10 days after injury. An accelerated upregulation of myogenin mRNA levels was detected in glutamine-supplemented injured muscles on day 3 post-cryolesion. The HSP70 expression increased only in the injured group supplemented with glutamine for 3 days. The increase in mRNA levels of NF-κB, the pro-inflammatory cytokines IL-1ß and TNF-α, and the calcium-binding proteins S100A8 and S100A9 on day 3 post-cryolesion in EDL muscles was attenuated by glutamine supplementation. In contrast, the decrease in S100A1 mRNA levels in the 3-day-injured EDL muscles was minimized by glutamine supplementation. Overall, our results suggest that glutamine supplementation accelerates the recovery of myofiber size and contractile function after injury by modulating the expression of myogenin, HSP70, NF-κB, pro-inflammatory cytokines, and S100 calcium-binding proteins.

Rumen degradation kinetics of coffee hulls treated with calcium oxide under aerobic or anaerobic conditions / Cinética de degradación ruminal de la cascarilla de café tratada con óxido de calcio en condiciones de aerobiosis o anaerobiosis / Cinética de degradação ruminal da casca de café tratada com óxido de cálcio em condição de aerobiose ou anaerobiose

Abstract Background: Coffee hulls obtained from dry processing, have the potential to be used in ruminant diets. Objective: To evaluate the chemical composition and in situ degradability of dry matter (DM) and neutral detergent fiber (NDF) of coffee hulls treated with calcium oxide (CaO) in different environmental conditions (EC). Methods: Coffee hulls were subjected to treatments distributed in a 2 × 2 factorial arrangement, consisting of two levels of CaO (0 and 5%, on a DM basis) and two environmental conditions (aerobiosis and anaerobiosis) in a completely randomized design with four replicates, totaling sixteen experimental units. Five-gram samples were incubated in the rumen of two male cattle for 0, 3, 6, 9, 12, 24, 48, 72, 96, and 120 h. Results: Regarding dry matter degradation kinetic parameters, except for fraction b, the potential and effective degradability was affected (p<0.05) by a CaO × EC interaction. As for estimated fiber degradation parameters, the potentially degradable fraction b was affected (p<0.05) by CaO and EC. Treatment with CaO increased fraction b in 4.08 percentage points. Conclusions: The use of CaO in the treatment of coffee hulls increases the effective and potential degradability of DM and reduces the undegradable fiber fraction. Anaerobic condition is the best environment for the treatment of coffee hulls with CaO.

Resumen Antecedentes: la cáscara de café obtenida por procesamiento en seco presenta potencial de uso en la alimentación de rumiantes. Objetivo: Evaluar la composición química, la degradabilidad in situ de la materia seca (DM) y de la fibra detergente neutra (NDF) de la cascara de café tratada con óxido de calcio (CaO) en diferentes condiciones ambientales (EC). Métodos: la cáscara de café fue sometida a tratamientos distribuidos en un diseño factorial 2 x 2, dos dosis de CaO (0 a 5% en base seca), y dos condiciones ambientales (aeróbica y anaeróbica) en un diseño completamente al azar con cuatro repeticiones, totalizando dieciséis unidades experimentales. Las muestras de cinco gramos se incubaron en el rumen de dos bovinos machos durante 0, 3, 6, 9, 12, 24, 48, 72, 96 y 120 horas. Resultados: para los parámetros cinéticos de degradación de la DM, a excepción de la fracción b, la degradabilidad potencial y efectiva fueron afectadas (p<0,05) por la interacción CaO × EC. En cuanto a los parámetros estimados de la degradación de la fibra, la fracción potencialmente degradable b presentó efecto (p<0,05) para CaO y EC. El tratamiento con CaO promovió un aumento de la fracción b en 4,08 puntos porcentuales. Conclusión: la utilización del CaO para el tratamiento de la cáscara de café aumenta la degradabilidad efectiva y potencial de la DM y reducción de la fracción no degradable de la fibra. La condición de anaerobiosis se constituye en el mejor ambiente para el tratamiento de la cascara de café con CaO.

Resumo Antecedentes: cascas de café obtidas pelo processamento a seco têm potencial de serem usadas na alimentação de ruminantes. Objetivo: avaliar a composição química, a degradabilidade in situ da matéria seca (DM) e da fibra em detergente neutro (NDF) da casca de café tratada com óxido de cálcio (CaO) em diferentes condições de ambiente (EC). Métodos: a casca de café foi submetida aos tratamentos, distribuídos em esquema fatorial 2 × 2, sendo duas doses de CaO (0 e 5% base da matéria seca) e duas condições de ambiente (aeróbico e anaeróbico), em delineamento inteiramente casualizado, com quatro repetições, totalizando dezesseis unidades experimentais. Amostras de cinco gramas foram incubadas no rúmen de dois bovinos machos, nos tempos 0, 3, 6, 9, 12, 24, 48, 72, 96 e 120 horas. Resultados: para os parâmetros cinéticos de degradação da DM, à exceção da fração b, a degradabilidade potencial e efetiva foram afetados (p<0,05) pela interação CaO × EC. Quanto aos parâmetros estimados da degradação da fibra, a fração potencialmente degradável (b) apresentou efeito (p<0,05) para CaO e EC. O tratamento com CaO promoveu aumento da fração b em 4,08 pontos percentuais. Conclusões: a utilização do CaO no tratamento da casca de café promove aumento da degradabilidade efetiva e potencial da DM e redução da fração indegradável da fibra. A condição de anaerobiose constitui-se no melhor ambiente para o tratamento da casca de café com CaO.

Effect of Wild Lactobacillus buchneri Strains on the Fermentation Profile and Microbial Populations of Sugarcane Silage.

BACKGROUND: Sugarcane silage has been increasing as a feed in the tropics by dairy farmers. However, sugarcane normally had high yeast population that leads to intense alcoholic fermentation and excessive Dry-Matter (DM) loss during ensilage and after air exposure, as well. There are several patents that have recently shown the benefits of applying Lactobacillus buchneri in forage preservation. OBJECTIVE: This study aimed to investigate the changes in pH, DM, Water-Soluble Carbohydrates (WSC) and fermentation end product concentrations that occur in sugarcane silage with or without inoculation with L. buchneri after 45 days of ensiling. METHODS: Sugarcane plants were harvested with approximately 16 months of growth and chopped at 2 cm. Four strains of wild L. buchneri (56.1, 56.4, 56.9 and 56.26) and the commercial inoculant "Lalsil Cana" were evaluated. For all treatments, the theoretical application rate was 1.0 × 106 colony- forming units (cfu) per g of fresh weight. Data from the silo openings were analysed as a completely randomized design, with four replicates per treatment (inoculants). RESULTS: The treatment with L. buchneri affected the DM content, pH, Lactic Acid Bacteria (LAB) population, DM recovery, and concentrations of WSC, lactic acid, acetic acid and ethanol of sugarcane silage after 45 days of ensiling. Yeasts and molds populations and the concentrations of propionic and butyric acids were not affected by the treatments. CONCLUSION: Lactobacillus buchneri 56.1 and 56.4 are considered the most suitable strains for improving the fermentation of sugarcane silage and thus are potential inoculants for silage production. At present, we are preparing the patent application.

Intake, apparent digestibility, rumen fermentation and nitrogen efficiency in sheep fed a tropical legume silage with or without concentrate.

Legume silage can increase the forage quality of the diets as well as supply it with nitrogen, calcium and phosphorus. The objective was to evaluate the intake, apparent digestibility, rumen fermentation and nitrogen efficiency in sheep fed a tropical legume silage with or without concentrate. Twelve crossbred sheep with an average initial body weight of 32.2 ± 1.26 kg, with six animals cannulated in the rumen were distributed into four 3 × 3 Latin squares. The treatments were 1) Stylosanthes silage without concentrate (StS), 2) Stylosanthes silage with concentrate (StS+C), and 3) corn silage with concentrate (CS+C). StS diet showed lowest intake, except for neutral detergent fiber (NDF). The diets StS+C and CS+C showed similar intake of dry matter (DM) and crude protein. The intake of total digestible nutrients was higher for CS+C diet than diets StS+C and StS. Animals fed CS+C diet had lowest ruminal pH. The nitrogen use efficiency was similar for the diets with concentrate. In conclusion, StS+C diet replacing CS+C diet decreases the intake of total digestible nutrients.

An evaluation of the effectiveness of a chemical additive based on sodium benzoate, potassium sorbate, and sodium nitrite on the fermentation and aerobic stability of corn silage.

We evaluated the effectiveness of an additive comprising sodium benzoate, potassium sorbate, and sodium nitrite (SSL) as active ingredients for its ability to improve the aerobic stability of corn silages made in North America. In experiment 1, treatment with SSL (1.5 and 2.0 L/t) on whole-plant corn (WPC) was compared with treatment with an additive containing buffered propionic acid and citric acid (BPA; 2 L/t) on corn harvested at 32 and 38% dry matter and ensiled for 120 d. Silage treated with BPA was higher in ammonia-N and propionic acid relative to other treatments. Treatments with all of the additives had numerically, but not statistically, fewer yeasts compared with untreated silage. Both application rates of SSL resulted in lower concentrations of ethanol compared with untreated and BPA silages. Treatment with BPA improved the aerobic stability of silages compared with untreated silage, but the effect from SSL was markedly greater. In experiment 2, WPC was untreated or treated with 2 or 3 L of SSL/t or a microbial inoculant containing Enterococcus faecium M74, Lactobacillus plantarum CH6072, and Lactobacillus buchneri LN1819 (final total lactic acid bacteria application rate of 150,000 cfu/g of fresh forage). Silages were air stressed for 24 h at 28 and 42 d of storage and ensiled for 49 d before opening. Inoculation had no effect on acid end products, ethanol, number of yeasts, or aerobic stability compared with other treatments. Treatment with SSL decreased the amount of ethanol, had no effect on number of yeasts, and improved aerobic stability in a dose-dependent manner compared with other treatments. In experiment 3, WPC was untreated or treated with 2 L of SSL/t and ensiled for 5, 15, and 30 d. Treatment with SSL resulted in silage with fewer yeasts and lower concentrations of ethanol after all times of ensiling compared with untreated silage. In addition, SSL improved aerobic stability after each period of ensiling, but the effect was more at 15 and 30 d compared with 5 d of storage. Treating WPC with SSL can improve the aerobic stability of corn silage made in North America, and the effect can be observed as soon as 5 d after ensiling.

Agronomic Evaluation of Sorghum Hybrids for Silage Production Cultivated in Semiarid Conditions.

The aim of this study was to study the agronomic traits of different Sorghum bicolor (L.) Moench hybrids for silage productionin semiarid conditions. It was a 1-year evaluation conducted in a randomized block design with 24 treatments and three replicates. The treatments were sorghum hybrids developed by the breeding program of "Embrapa Milho e Sorgo" (Brazilian Agricultural Research Corporation). The fresh matter yield (FMY) in the first cut varied from 22,643.56 to 44,033.15 kg/ha, with an average of 32,607.37 kg/ha, leading to the formation of two groups. Similar results were observed for the dry matter yield (DMY), in which the highest group yielded from 9,471.32 to 14,540.23 kg/ha dry matter (DM). For plant regrowth, there was an increase in the number of stems and a decrease in the amount of panicles. Two groups were formed for the accumulated dry matter yield (ADMY), averaging 14,217.91 kg/ha; the highest group showed mean values of 18,003.00 to 14,221.94 kg/ha. The evaluated sorghum hybrids exhibited satisfactory accumulated forage yields due to their high yield in regrowth, which indicates that they are suitable for use in animal production systems in semi-arid regions.

The Effect of Mucin in Artificial Saliva on Erosive Rehardening and Demineralization.

The effect of mucin in artificial saliva on rehardening (RE-experiment) and inhibition (DE-experiment) of erosion was evaluated. The treatment groups were: artificial saliva with mucin, artificial saliva without mucin, human saliva, and water. For the RE-experiment, after immersion of enamel blocks in citric acid (4 min), hardness was measured and blocks were subjected to treatment for 2 h. For the DE-experiment, sound blocks were subjected to treatment for 2 h and immersed in citric acid (4 min). Percentages of hardness recovery (RE) and loss (DE) were analyzed (ANOVA/Tukey's test). The salivas promoted similar rehardening, but only the saliva with mucin was similar to human saliva with regard to enamel protection against erosion.

Gasoline from biomass through refinery-friendly carbohydrate-based bio-oil produced by ketalization.

The introduction of biomass-derived compounds as an alternative feed into the refinery structure that already exists can potentially converge energy uses with ecological sustainability. Herein, we present an approach to produce a bio-oil based on carbohydrate-derived isopropylidene ketals obtained by reaction with acetone under acidic conditions directly from second-generation biomass. The obtained bio-oil showed a greater chemical inertness and miscibility with gasoil than typical bio-oil from fast pyrolysis. Catalytic upgrading of the bio-oil over zeolites (USY and Beta) yielded gasoline with a high octane number. Moreover, the co-processing of gasoil and bio-oil improved the gasoline yield and quality compared to pure gasoil and also reduced the amount of oxygenated compounds and coke compared with pure bio-oil, which demonstrates a synergistic effect.

Application of an active attachment model as a high-throughput demineralization biofilm model.

OBJECTIVES: To investigate the potential of an active attachment biofilm model as a high-throughput demineralization biofilm model for the evaluation of caries-preventive agents. METHODS: Streptococcus mutans UA159 biofilms were grown on bovine dentine discs in a high-throughput active attachment model. Biofilms were first formed in a medium with high buffer capacity for 24h and then subjected to various photodynamic therapies (PACT) using the combination of Light Emitting Diodes (LEDs, Biotable(®)) and Photogem(®). Viability of the biofilms was evaluated by plate counts. To investigate treatment effects on dentine lesion formation, the treated biofilms were grown in a medium with low buffer capacity for an additional 24h. Integrated mineral loss (IML) and lesion depth (LD) were assessed by transversal microradiography. Calcium release in the biofilm medium was measured by atomic absorption spectroscopy. RESULTS: Compared to the water treated control group, significant reduction in viability of S. mutans biofilms was observed when the combination of LEDs and Photogem(®) was applied. LEDs or Photogem(®) only did not result in biofilm viability changes. Similar outcomes were also found for dentine lesion formation. Significant lower IML and LD values were only found in the group subjected to the combined treatment of LEDs and Photogem(®). There was a good correlation between the calcium release data and the IML or LD values. CONCLUSIONS: The high-throughput active attachment biofilm model is applicable for evaluating novel caries-preventive agents on both biofilm and demineralization inhibition. PACT had a killing effect on 24h S. mutans biofilms and could inhibit the demineralization process.

Effect of experimental xylitol and fluoride-containing dentifrices on enamel erosion with or without abrasion in vitro.

This in vitro study aimed to analyze the effect of including xylitol into a fluoridated dentifrice to provide protection against enamel erosion with or without abrasion. Bovine enamel specimens were subjected to erosion or erosion plus abrasion (7 days) and the treatment with the following dentifrices: 10% xylitol; 10% xylitol plus 1,030 ppm F (NaF); 1,030 ppm F; and placebo. The erosive challenges were performed 4 times a day (2 min at a time). The specimens were exposed to the slurries of the dentifrices 2 times daily (15 s at a time). Half of the specimens per group were additionally abraded using an electrical toothbrush (F = 1.5 N). Between the challenges, the specimens were remineralized by artificial saliva. Enamel loss was measured profilometrically (µm). The data were statistically analyzed by two-way ANOVA and Bonferroni's post-hoc test (P < 0.05). Ten percent xylitol plus F and F dentifrices significantly reduced enamel erosion compared to placebo and xylitol dentifrices. On the other hand, all dentifrices presented a significant potential to protect against enamel erosion plus abrasion compared to placebo, with 10% xylitol plus F showing the best results. Based on this result, the inclusion of 10% xylitol increased the effect of the fluoridated dentifrice against enamel erosion plus abrasion in vitro. In situ or clinical studies are needed to confirm the data.

Effects of experimental xylitol varnishes and solutions on bovine enamel erosion in vitro.

This in vitro study aimed to analyze the effects of application of xylitol varnishes and solutions to protect against enamel erosion. Twelve bovine enamel specimens were pre-treated with 5% NaF-Duraphat varnish, 10% xylitol varnish, 20% xylitol varnish, placebo varnish, 5% NaF solution, 10% xylitol solution or 20% xylitol solution. The varnishes and solutions were applied for 6 h and 1 min, respectively. Controls remained untreated (n = 12). Specimens were then subjected to erosive demineralization (Coca-Cola, 4 × 90 s/d) and remineralization (artificial saliva, 2 h) cycling for 10 days. After 5 days, the varnishes and solutions were reapplied. After reapplication, two specimens per group were analyzed by SEM. Enamel loss was measured profilometrically after the 5th and 10th days. Data were then analyzed statistically by ANOVA and Tukey's post-hoc test (n = 10, P < 0.05). After the 5th day, all varnishes and 20% xylitol solution significantly reduced the enamel loss when compared to the placebo varnish/control. After 10 days of erosive pH cycling, both xylitol varnishes and solutions significantly reduced the enamel erosion when compared with the control. However, 10% xylitol solution produced a smooth layer on eroded enamel and significantly reduced the enamel erosion when compared to the placebo varnish/control. Xylitol thus appears to be a good option to partially reduce enamel erosion.

In vivo effects on the expression of vascular endothelial growth factor-A165 messenger ribonucleic acid of an infrared diode laser associated or not with a visible red diode laser.

OBJECTIVE: This study investigated and correlated the kinetic expression of vascular endothelial growth factor (VEGF)-A(165) messenger ribonucleic acid (mRNA) with the associated use or not of an infrared laser and a visible red laser during the wound healing in rats. BACKGROUND DATA: There is a lack of scientific evidence demonstrating the influence of low-level laser therapy (LLLT) on the expression of VEGF mRNA in vivo. MATERIALS AND METHODS: Forty-five Wistar rats were randomly allocated to one of three groups: I (n = 5, nonoperated animals), II (n = 25, operated animals), and III (n = 25, animals operated and subjected to laser irradiation). A surgical wound was performed using a scalpel in the right side of the tongue of operated animals. In group III, two sessions of laser irradiation were performed, one right after the surgical procedure (infrared laser, 780 nm, 70 mW, 35 J/cm(2)) and the other 48 h later (visible red laser, 660 nm, 40 mW, 5 J/cm(2)). Five animals each were sacrificed 1, 3, 5, and 7 days postoperatively in groups II and III, and samples of tongue tissue were obtained. The animals of group I were sacrificed on day 7. Total RNA was extracted using guanidine-isothiocyanate-phenol-chloroform method. The results of horizontal electrophoresis after reverse transcription polymerase chain reaction permitted the ratio of VEGF-A(165) mRNA and glyceraldehyde 3-phosphate dehydrogenase mRNA expression for groups I, II, and III to be assessed (two-way analysis of variance and Tukey test, p < 0.05). RESULTS: The expression of VEGF-A(165) mRNA in group II (0.770 +/- 0.098) was statistically greater than that observed in groups I (0.523 +/- 0.164) and III (0.504 +/- 0.069) in the first day after surgery (p < 0.05). Significant differences between the groups were not observed in other time periods. CONCLUSION: LLLT influenced the expression of VEGF-A(165) mRNA during wound healing after a surgical procedure on the tongue of Wistar rats.

Knowledge and attitude of parents or caretakers regarding transmissibility of caries disease.

Dental caries is a transmissible infectious disease in which mutans streptococci are generally considered to be the main etiological agents. Although the transmissibility of dental caries is relatively well established in the literature, little is known whether information regarding this issue is correctly provided to the population. The present study aimed at evaluating, by means of a questionnaire, the knowledge and usual attitude of 640 parents and caretakers regarding the transmissibility of caries disease. Most interviewed adults did not know the concept of dental caries being an infectious and transmissible disease, and reported the habit of blowing and tasting food, sharing utensils and kissing the children on their mouth. 372 (58.1%) adults reported that their children had already been seen by a dentist, 264 (41.3%) answered that their children had never gone to a dentist, and 4 (0.6%) did not know. When the adults were asked whether their children had already had dental caries, 107 (16.7%) answered yes, 489 (76.4%) answered no, and 44 (6.9%) did not know. Taken together, these data reinforce the need to provide the population with some important information regarding the transmission of dental caries in order to facilitate a more comprehensive approach towards the prevention of the disease.

Repair of furcal perforation treated with mineral trioxide aggregate in a primary molar tooth: 20-month follow-up.

Furcal perforations may occur during access opening of the pulp chamber or cavity preparation. The perforation can cause an inflammatory reaction in the periodontal ligament. Management of these iatrogenic accidents can pose a significant clinical challenge, mainly when they occur in primary teeth. Current developments in the techniques and materials utilized for root perforation repair have enhanced this procedure's prognosis. Recently, mineral trioxide aggregate (MTA) has been used for several dental purposes. This biocompatible material promotes bone healing and elimination of clinical symptoms. The purpose of this case report was to describe the treatment of a furcal perforation using mineral trioxide aggregate (MTA) in a primary molar tooth. After 20 months, the tooth was asymptomatic. The radiolucent image had disappeared and bone formation at the furcation area had been observed, suggesting healing of the underlying periodontal tissues. Therefore, MTA may be considered an alternative option for the repair of furcal perforation in primary teeth, prolonging the longevity of these dental elements.

Knowledge and attitude of parents or caretakers regarding transmissibility os caries disease

Dental caries is a transmissible infectious disease in which mutans streptococci are generally considered to be the main etiological agents. Although the transmissibility of dental caries is relatively well established in the literature, little is known whether information regarding this issue is correctly provided to the population. The present study aimed at evaluating, by means of a questionnaire, the knowledge and usual attitude of 640 parents and caretakers regarding the transmissibility of caries disease. Most interviewed adults did not know the concept of dental caries being an infectious and transmissible disease, and reported the habit of blowing and tasting food, sharing utensils and kissing the children on their mouth. 372 (58.1 percent) adults reported that their children had already been seen by a dentist, 264 (41.3 percent) answered that their children had never gone to a dentist, and 4 (0.6 percent) did not know. When the adults were asked whether their children had already had dental caries, 107 (16.7 percent) answered yes, 489 (76.4 percent) answered no, and 44 (6.9 percent) did not know. Taken together, these data reinforce the need to provide the population with some important information regarding the transmission of dental caries in order to facilitate a more comprehensive approach towards the prevention of the disease.