Photobiomodulation and glass ionomer sealant as complementary treatment for hypersensitivity in molar incisor hypomineralisation in children: protocol for a blinded randomised clinical trial.

INTRODUCTION: Photobiomodulation has been widely used as a complementary treatment for dentin hypersensitivity, with reports of clinical success. However, the literature offers only one study, in which photobiomodulation was used for the treatment of sensitivity in molars with molar incisor hypomineralisation (MIH). The aim of the proposed study is to determine whether photobiomodulation enhances the results of treatment with glass ionomer sealant on molars with MIH that present sensitivity. METHODS AND ANALYSIS: The study involves 50 patients from 6 to 12 years of age that will be randomly allocated in two groups. Group 1 (control group) (n=25): toothpaste with a concentration of fluoride ≤1000 ppm two times a day, glass ionomer sealant and sham low-level laser (LLL) and group 2 (n=25): toothpaste with a concentration of fluoride ≤1000 ppm two times a day, glass ionomer sealant and active LLL. The evaluations will involve MIH record, Simplified Oral Hygiene Index (OHI), Schiff Cold Air Sensitivity Scale (SCASS) and visual analogue scale (VAS) before the procedure. Immediately after the procedure, the hypersensitivity index (SCASS/VAS) will be registered. Records of OHI and SCASS/VAS will be registered after 48 hours as well as 1 month after the procedure. The persistence of the sealant will also be registered. It is expected that by the second consultation, a decrease in sensitivity will be observed due to the treatments received in the two groups. ETHICS AND DISSEMINATION: This protocol has been approved by the local medical ethical committee (certificate: CEUCU 220516). The findings will be published in a peer-reviewed journal. TRIAL REGISTRATION NUMBER: NCT05370417.

Comparative study between photodynamic therapy and the use of probiotics in the reduction of halitosis in mouth breathing children: Study protocol for a randomized controlled clinical trial.

INTRODUCTION: Halitosis is a term that defines any odor or foul smell the emanates from the oral cavity, the origin of which may be local or systemic. One of the causes of local or oral halitosis is low salivary flow and dry mouth, which is also one of the complaints of individuals with the mouth-breathing habit. The aim of this study is to determine the effectiveness of antimicrobial photodynamic therapy (aPDT) and the use of probiotics for the treatment of halitosis in mouth-breathing children. METHODS: Fifty-two children between 7 and 12 years of age with a diagnosis of mouth breathing and halitosis determined through an interview and clinical examination will be selected. The participants will be divided into 4 groups: Group 1-treatment with brushing, dental floss and tongue scraper; Group 2-brushing, dental floss and aPDT applied to the dorsum and middle third of the tongue; Group 3-brushing, dental floss and probiotics; Group 4-brushing, dental floss, aPDT and probiotics. The use of a breath meter and microbiological analysis of the tongue coating will be performed before, immediately after treatment and 7 days after treatment. The quantitative analysis will involve counts of colony-forming bacteria per milliliter and real-time polymerase chain reaction. The normality of the data will be determined using the Shapiro-Wilk test. Parametric data will be submitted to analysis of variance and nonparametric data will be compared using the Kruskal-Wallis test. The results of each treatment in the different periods of the study will be compared using the Wilcoxon test. DISCUSSION: Due to the low level of evidence, studies are needed to determine whether treatment with aPDT using annatto as the photosensitizer and blue led as the light source is effective at diminishing halitosis in mouth-breathing children.

Vascular photobiomodulation in the treatment of children with temporomandibular disorders: Study protocol for a randomized, controlled, blind, clinical trial.

BACKGROUND: This study aims to verify if the use of intravascular laser irradiation of blood (ILIB) influences the reduction of pain and increases the range of motion in opening and closing of the mouth in children and adolescents with temporomandibular disorders (TMD). METHODS: This will be a blind, randomized, and controlled clinical trial, which will be carried out on children between 6 and 12 years of age who enter the Catholic University of Uruguay, Faculty of Health Sciences, Postgraduate School, for treatment. To be included, children must present temporomandibular disorders, based on the diagnostic criteria will be the Research Diagnostic Criteria for Temporomandibular Disorders (RDC/TMD). Forty-five participants will be randomized to three groups: Group 1-ILIB with 2 sessions of 20 minutes for 12 weeks (n = 15); Group 2-Placebo laser application with 2 sessions of 20 minutes for 12 weeks (n = 15); Group 3-Control with no treatment (n = 15). Irradiation will be performed by continuous and direct transcutaneous application to the radial artery, by means of a bracelet that inserts the laser beam. The laser to be used is infrared, power 100 mW ± 20%, wavelength 808 nm ± 10 nm, continuous application. RDC/TMD and pain evaluated through a visual analog scale will be the outcome measures. DISCUSSION: Due to the low level of evidence, new studies are needed on the effect of ILIB in children with TMD.

Magnetic hybrid gels for emulsified oil adsorption: an overview of their potential to solve environmental problems associated to petroleum spills.

Hydrogels (HGs) based on gelatin and crosslinked with gum Arabic have been prepared by the thaw-freezing method, employing two different concentrations of gum Arabic (15 and 50% w/w). Magnetic gels or ferrogels (FGs) were prepared by applying the breath in method to incorporate iron oxide magnetic nanoparticles to the HG matrix. The obtained HG and FG were characterized by XRD, FTIR, and SEM, and the FG composition was estimated by atomic absorption spectroscopy in terms of Fe content. The adsorption of crude oil onto HG and FG was explored achieving very satisfactory results. FG was regenerated by washing with toluene, maintaining efficiency of almost 90% after the fourth cycle. Equilibrium studies were performed to determine the capacity of the prepared FG for adsorption of crude oil from seawater synthetic solutions. The experiments were carried out as a function of different initial concentrations of oil residue (24 to 240 mg/L) exploring different contact times. Equilibrium data were found to fit very well with the Sips models. The kinetic data adsorption of oil onto the FG-15 was better fitted by a pseudo-second-order kinetic indicating that at the initial stages of adsorption, external mass transfer could control the whole rate of the crude oil uptake while intraparticle diffusion controlled the global rate of adsorption at later stages. The obtained results showed that the FG prepared by employing 15% of gum Arabic as the crosslinker (FG-15) has a high removal efficiency of crude oil reaching 1.53 g/g of FG at pH 5.5 and 0.59 g/g for oil/water emulsions in the order of 0.1 g/L. The magnetic properties extend its application. The reached data suggest that the materials presented here may be useful to further the design of systems or devices intended for the remediation of petroleum spills and/or its derivatives in marine water as well as other surfaces such as polluted rocks or soil.

Slow freezing versus vitrification for the cryopreservation of zebrafish (Danio rerio) ovarian tissue.

The aim of the present study was to compare the efficiency of vitrification and slow freezing techniques for the cryopreservation of zebrafish ovarian tissue containing immature follicles. In Experiment 1, assessment of cell membrane integrity by trypan blue exclusion staining was used to select the best cryoprotectant solution for each cryopreservation method. Primary growth (PG) oocytes showed the best percentage of membrane integrity (63.5 ± 2.99%) when SF4 solution (2 M methanol + 0.1 M trehalose + 10% egg yolk solution) was employed. The vitrification solution, which presented the highest membrane integrity (V2; 1.5 M methanol + 5.5 M Me2SO + 0.5 M sucrose + 10% egg yolk solution) was selected for Experiment 2. Experiment 2 aimed to compare the vitrification and slow freezing techniques in the following parameters: morphology, oxidative stress, mitochondrial activity, and DNA damage. Frozen ovarian tissue showed higher ROS levels and lower mitochondrial activity than vitrified ovarian tissue. Ultrastructural observations of frozen PG oocytes showed rupture of the plasma membrane, loss of intracellular contents and a large number of damaged mitochondria, while vitrified PG oocytes had intact mitochondria and cell plasma membranes. We conclude that vitrification may be more effective than slow freezing for the cryopreservation of zebrafish ovarian tissue.

Lesões de cárie proximais na dentição decídua: freqüência de lesões homólogas / Approximal caries lesion on primary teeth: homologous lesions frequency

O objetivo deste estudo transversal observacional foi avaliar a experiência de cárie na superfície proximal de molares decíduos quanto à ocorrência de comportamento bilateral e ao envolvimento de superfícies adjacentes. A população estudada foi o arquivo de pacientes do Ambulatório de Odontopediatria (UFRGS). Das 670 fichas de pacientes avaliadas, 208 possuíam radiografias interproximais bilaterais. As fichas dos indivíduos que apresentaram lesão de cárie e/ou restauração proximal (kappa intra-examinador: 0,84), com adequado contraste e ausência de sobreposição foram selecionados para a análise. As imagens radiográficas foram avaliadas aleatoriamente de acordo com a presença de lesões proximais/restaurações e posteriormente foi analisada a freqüência de acometimento em superfícies homólogas e adjacentes. Assim, 64 pares de radiografias interproximais compuseram a amostra, com ocorrência de 81% de lesões cariosas em faces homólogas. Dentre estas, 58% apresentaram mais de um par de superfícies homólogas com lesão cariosa. Além disso, 48% dos indivíduos mostraram exclusivamente lesões de cárie em pares homólogos. As superfícies distais dos primeiros molares inferiores foram as mais acometidas pela ocorrência bilateral(41%). Outro aspecto analisado foi a ocorrência simultânea de lesões em faces proximais adjacentes: em 59% das crianças, ambas as faces de contato apresentaram lesão cariosa diagnosticada através da imagem radiográfica. A partir da metodologia utilizada, concluiu-se que lesões cariosas de molares decíduos apresentam comportamento bilateral em faces homólogas, o que representa uma informação útil durante a investigação de lesões em pacientes com experiência de cárie.