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1.
Vet Rec ; 183(3): 97, 2018 07 21.
Artigo em Inglês | MEDLINE | ID: mdl-29703789

RESUMO

Twenty-seven microbiological samples were taken from root canals (RC) of the canine teeth of 20 dogs where the pulps were non-vital and exposed due to complicated crown fractures. These pulps were cultured for aerobic/anaerobic bacteria. Antimicrobial susceptibility of isolates was determined using the Kirby-Bauer diffusion test. A total of 49 cultivable isolates, belonging to 27 different microbial species and 18 different genera, were recovered from the 27 RCs sampled. Twenty (40.81 per cent) of the cultivable isolates were Gram positive while 29 (59.19 per cent) were Gram negative. Facultative anaerobes were the most common bacteria (77.56 per cent). Aerobic isolates represented 18.36 per cent, and strict anaerobes 4.08 per cent. The antimicrobials with the highest in vitro efficacy were gentamicin (100 per cent) and enrofloxacin (93.32 per cent).


Assuntos
Antibacterianos/farmacologia , Bactérias/efeitos dos fármacos , Bactérias/isolamento & purificação , Dente Canino/microbiologia , Testes de Sensibilidade Microbiana/veterinária , Animais , Cães , Feminino , Masculino
2.
Prog Orthod ; 18(1): 4, 2017 Dec.
Artigo em Inglês | MEDLINE | ID: mdl-28133715

RESUMO

BACKGROUND: The aim of this study is to investigate the amount and the distribution of biofilm in patients wearing fixed appliances and its relation with age, gender, frequency of tooth brushing, and patient motivation. METHODS: The sample comprised 52 patients (15.5 ± 3.6 years old, 30 females and 22 males) wearing fixed orthodontic appliances. Dental biofilm was assessed using a modified plaque index (PI). A questionnaire was used to collect patient's information, including gender, age, treatment motivation, and frequency of tooth brushing. RESULTS: Gingival (PI score = 0.9 ± 0.7), mesial (0.8 ± 0.6), and distal (0.8 ± 0.5) areas accumulated more biofilm than occlusal areas (0.3 ± 0.3) (P < 0.038). The maxillary lateral incisors (1.1 ± 0.8) and maxillary canines (1.0 ± 0.8) had more biofilm than other teeth (P < 0.05). The maxillary arch (0.8 ± 0.7) had significantly more biofilm than mandibular arch (0.6 ± 0.6) (P = 0.042). No significant difference was found between the right side (0.7 ± 0.7) and left side (0.7 ± 0.6) (P = 0.627). Less biofilm was found in females (0.6 ± 0.5), adults (0.3 ± 0.3), and "self-motivated" patients (0.3 ± 0.3), compared with males (0.9 ± 0.5), children (0.8 ± 0.6), and "family-motivated" patients (1.1 ± 0.5) (P < 0.001). The amount of biofilm was associated with self-report of the frequency of daily tooth brushing (P < 0.001). CONCLUSIONS: Patients wearing fixed orthodontic appliances have the highest biofilm accumulation on the maxillary lateral incisors and maxillary canines, particularly in the gingival area and areas behind arch wires. Less biofilm was observed in female and adult patients and in those who were self-motivated and brushed their teeth more often.


Assuntos
Biofilmes/crescimento & desenvolvimento , Aparelhos Ortodônticos/microbiologia , Adolescente , Fatores Etários , Dente Canino/microbiologia , Índice de Placa Dentária , Feminino , Gengiva/microbiologia , Humanos , Incisivo/microbiologia , Masculino , Motivação , Aparelhos Ortodônticos/efeitos adversos , Fatores de Risco , Fatores Sexuais , Escovação Dentária
3.
Stomatologiia (Mosk) ; 94(1): 14-19, 2015.
Artigo em Russo | MEDLINE | ID: mdl-25909607

RESUMO

Double blind study presents clinical and laboratory estimation of root canal system (RC) cleaning by endodontic treatment of apical periodontitis by means of galvanophoresis of hydroxide copper-calcium (GP HCC). In 60 patients the amount and composition of RC fluid from incisors and canines by GP HCC were estimated within 2 weeks with three different galvano-pair and the efficiency of RC decontamination were compared by standard report irrigation and GP HCC. The intensity of electroosmotic allocation of RC liquid by GP HCC is gradually increased at 4-5 day, and then slowly reduced at 10-12 day. The RC liquid contained proteins and carbohydrates - typical rests of pulp and biofilm. GP HCC suppresses aerobic and anaerobic microflora in RC 65.5% more effectively than standard irrigation and may be seen as an alternative method of endodontic treatment of apical periodontitis.


Assuntos
Compostos de Cálcio/administração & dosagem , Cobre/administração & dosagem , Cavidade Pulpar/microbiologia , Hidróxidos/administração & dosagem , Periodontite Periapical/tratamento farmacológico , Preparo de Canal Radicular/métodos , Adulto , Biofilmes/efeitos dos fármacos , Dente Canino/microbiologia , Eletroforese , Feminino , Humanos , Incisivo/microbiologia , Masculino , Pessoa de Meia-Idade , Adulto Jovem
4.
IEEE J Biomed Health Inform ; 19(1): 358-66, 2015 Jan.
Artigo em Inglês | MEDLINE | ID: mdl-25710065

RESUMO

Biofilm is a formation of microbial material on tooth substrata. Several methods to quantify dental biofilm coverage have recently been reported in the literature, but at best they provide a semiautomated approach to quantification with significant input from a human grader that comes with the grader's bias of what is foreground, background, biofilm, and tooth. Additionally,human assessment indices limit the resolution of the quantification scale; most commercial scales use five levels of quantification for biofilm coverage (0%, 25%, 50%, 75%, and 100%). On the other hand, current state-of-the-art techniques in automatic plaque quantification fail to make their way into practical applications owing to their inability to incorporate human input to handle misclassifications. This paper proposes a new interactive method for biofilm quantification in Quantitative light-induced fluorescence(QLF) images of canine teeth that is independent of the perceptual bias of the grader. The method partitions a QLF image into segments of uniform texture and intensity called superpixels; every superpixel is statistically modeled as a realization of a single 2-D Gaussian Markov random field (GMRF) whose parameters are estimated; the superpixel is then assigned to one of three classes (background, biofilm, tooth substratum) based on the training set of data. The quantification results show a high degree of consistency and precision. At the same time, the proposed method gives pathologists full control to postprocess the automatic quantification by flipping misclassified superpixels to a different state (background,tooth, biofilm) with a single click, providing greater usability than simply marking the boundaries of biofilm and tooth as done by current state-of-the-art methods.


Assuntos
Biofilmes/crescimento & desenvolvimento , Dente Canino/patologia , Placa Dentária/microbiologia , Placa Dentária/patologia , Interpretação de Imagem Assistida por Computador/métodos , Modelos Estatísticos , Algoritmos , Simulação por Computador , Dente Canino/microbiologia , Humanos , Microscopia de Fluorescência/métodos , Reprodutibilidade dos Testes , Sensibilidade e Especificidade
5.
PLoS One ; 9(12): e113744, 2014.
Artigo em Inglês | MEDLINE | ID: mdl-25463050

RESUMO

Periodontal disease (PD) is a significant problem in dogs affecting between 44% and 63.6% of the population. The main etiological agent for PD is plaque, a microbial biofilm that colonizes teeth and causes inflammation of the gingiva. Understanding how this biofilm initiates on the tooth surface is of central importance in developing interventions against PD. Although the stages of plaque development on human teeth have been well characterized little is known about how canine plaque develops. Recent studies of the canine oral microbiome have revealed distinct differences between the canine and human oral environments and the bacterial communities they support, particularly with respect to healthy plaque. These differences mean knowledge about the nature of plaque formation in humans may not be directly translatable to dogs. The aim of this study was to identify the bacterial species important in the early stages of canine plaque formation in vivo and then use isolates of these species in a laboratory biofilm model to develop an understanding of the sequential processes which take place during the initial colonization of enamel. Supra-gingival plaque samples were collected from 12 dogs at 24 and 48 hour time points following a full mouth descale and polish. Pyrosequencing of the 16S rDNA identified 134 operational taxonomic units after statistical analysis. The species with the highest relative abundance were Bergeyella zoohelcum, Neisseria shayeganii and a Moraxella species. Streptococcal species, which tend to dominate early human plaque biofilms, had very low relative abundance. In vitro testing of biofilm formation identified five primary colonizer species, three of which belonged to the genus Neisseria. Using these pioneer bacteria as a starting point, viable two and three species communities were developed. Combining in vivo and in vitro data has led us to construct novel models of how the early canine plaque biofilm develops.


Assuntos
Dente Canino/microbiologia , Esmalte Dentário/microbiologia , Placa Dentária/microbiologia , RNA Ribossômico 16S/genética , Actinomycetales/genética , Actinomycetales/isolamento & purificação , Actinomycetales/patogenicidade , Animais , Biofilmes/classificação , Dente Canino/patologia , Esmalte Dentário/patologia , Placa Dentária/genética , Placa Dentária/patologia , Cães , Humanos , Moraxella/genética , Moraxella/isolamento & purificação , Moraxella/patogenicidade , Neisseria/genética , Neisseria/isolamento & purificação , Neisseria/patogenicidade , Filogenia , Saliva/microbiologia
6.
J Contemp Dent Pract ; 15(1): 61-5, 2014 Jan 01.
Artigo em Inglês | MEDLINE | ID: mdl-24939266

RESUMO

The present study aims to evaluate the antimicrobial effect of two new intracanal preparations against E. faecalis. Thirty single-rooted human canine teeth were used. The crowns were removed and the roots were instrumented using a conventional technique. Three groups of ten teeth each were infected with 108 CFU/ ml of E. faecalis for 21 days. The root canals were flled with new intracanal medications containing 3% doxycycline hydrochloride (DX) or 2% chlorhexidine digluconate (CHX). Ten teeth received no medication (NM)-negative control. Microbial samples were obtained 21 days after contamination: 14 days under the effect of the intracanal medications and 7 days after replacing the medications by BHI broth. The samples were homogenized, diluted, seeded on BHI agar and incubated for 48h/36°C. The number of colony forming units (CFU/ml) was obtained and analyzed statistically. All intracanal dressings significantly reduced the number of bacterial cells in the root canal after 14 days with medication. After the period with 7 days with BHI broth, the CFU counts of E. faecalis remained at low values. However, the NM group showed a significant increase of CFU in this period to similar values of the initial contamination. 3% doxycycline hydrochloride gel and 2% CHX gel were effective to eliminate E. faecalis from the root canal system.


Assuntos
Antibacterianos/farmacologia , Anti-Infecciosos Locais/farmacologia , Clorexidina/análogos & derivados , Cavidade Pulpar/microbiologia , Doxiciclina/farmacologia , Enterococcus faecalis/efeitos dos fármacos , Irrigantes do Canal Radicular/farmacologia , Carga Bacteriana/efeitos dos fármacos , Química Farmacêutica , Clorexidina/farmacologia , Dente Canino/microbiologia , Humanos , Teste de Materiais , Irrigantes do Canal Radicular/química , Preparo de Canal Radicular/instrumentação , Preparo de Canal Radicular/métodos , Fatores de Tempo
7.
Implant Dent ; 22(5): 525-9, 2013 Oct.
Artigo em Inglês | MEDLINE | ID: mdl-24013397

RESUMO

PURPOSE: The objective of this study was to investigate the relationship between various clinical factors and bacterial contamination of bone chips (BC) collected during dental implant surgery and to elucidate how bacterial contamination might be minimized. MATERIALS AND METHODS: Implants were installed in 55 partially edentulous patients (36 men and 19 women), among whom the relationship between various clinical factors and bacterial contamination of BC collected by bone trap was investigated in 37. The effect of rinsing with a saline on BC was determined in 18 patients. Number of contaminating microorganisms was expressed as colony-forming units (CFUs). RESULTS: CFUs in the maxilla were lower than those in the mandible (P < 0.01). CFUs at the incisors or canines were lower than those at the premolars or molars (P < 0.01). Logistic regression analysis revealed a relationship between average bacterial count and duration of surgery (odds ratio, 1.046; 95% CI, 1.012-1.081). Rinsing of BC reduced bacterial contamination. CONCLUSION: Duration of surgery is a major clinical factor affecting contamination risk in BC, and rinsing of BC with a sterile saline solution reduces bacterial number.


Assuntos
Implantação Dentária Endóssea/microbiologia , Infecção da Ferida Cirúrgica/etiologia , Adulto , Idoso , Carga Bacteriana , Dente Canino/microbiologia , Dente Canino/cirurgia , Implantação Dentária Endóssea/efeitos adversos , Implantação Dentária Endóssea/estatística & dados numéricos , Feminino , Humanos , Incisivo/microbiologia , Incisivo/cirurgia , Arcada Parcialmente Edêntula/cirurgia , Masculino , Mandíbula , Maxila , Pessoa de Meia-Idade , Dente Molar/microbiologia , Dente Molar/cirurgia , Fatores de Risco , Células-Tronco , Fatores de Tempo
8.
J Dent Res ; 92(7): 616-21, 2013 Jul.
Artigo em Inglês | MEDLINE | ID: mdl-23674263

RESUMO

We aimed to determine the bacterial diversity of different oral micro-niches and to assess whether saliva and plaque samples are representative of oral microbial composition. We took minute samples from each surface of the individual teeth and gingival crevices of two healthy volunteers (112 samples per donor), as well as samples from the tongue dorsum and non-stimulated and stimulated saliva. DNA was extracted from 67 selected samples of each donor, and the 16S rRNA gene was amplified by PCR and pyrosequenced to obtain, on average, over 2,700 reads per sample, which were taxonomically assigned to obtain a geographic map of bacterial diversity at each tooth and sulcus location. Analysis of the data shows considerable differences in bacterial composition between teeth at different intra-oral locations and between surfaces of the same tooth. The most pronounced differences were observed in incisors and canines, where genera like Streptococcus were found at 40% to 70% on the vestibular surfaces but were almost absent on the lingual sides. Saliva samples, especially non-stimulated saliva, were not representative of supra-and subgingival plaque in the two individuals tested. We suggest that more precise sampling is required for the proper determination of oral microbial composition and to relate that diversity to epidemiological, clinical, and etiological parameters.


Assuntos
Bactérias/classificação , Boca/microbiologia , Actinobacillus/classificação , Actinomycetaceae/classificação , Adulto , Dente Pré-Molar/microbiologia , Capnocytophaga/classificação , Dente Canino/microbiologia , DNA Bacteriano/análise , Placa Dentária/microbiologia , Fusobacterium/classificação , Gengiva/microbiologia , Haemophilus/classificação , Humanos , Incisivo/microbiologia , Masculino , Dente Molar/microbiologia , Mucosa Bucal/microbiologia , Palato/microbiologia , Reação em Cadeia da Polimerase , Prevotella/classificação , RNA Bacteriano/análise , RNA Ribossômico 16S/análise , Saliva/microbiologia , Streptococcus/classificação , Língua/microbiologia , Veillonella/classificação , Adulto Jovem
9.
Pediatr Dent ; 35(1): E23-8, 2013.
Artigo em Inglês | MEDLINE | ID: mdl-23635890

RESUMO

PURPOSE: The purpose of this study was to investigate whether there are microbiological differences in bacterial samples collected from labial piercings made of different materials. METHODS: Sterile piercings of 4 materials were randomly allocated to 80 pierced subjects. After 2 weeks, microbiologic samples were collected and processed by checkerboard DNA-DNA hybridization methods. Wilcoxon signed ranks and Mann-Whitney tests were used for statistical analysis (adjustment for multiple comparisons). RESULTS: There were no statistically significant differences between material groups in relation to baseline data. In samples from stainless steel piercings, the total microbial load was significantly higher than the other materials (P<.05). Ten (mainly periopathogenic) species were found at significantly higher levels (P<.001) on steel than on polypropylene and/or polytetrafluoroethylene piercings. CONCLUSIONS: Labial piercings made of stainless steel could promote the development of a pathogenic biofilm.


Assuntos
Bactérias/isolamento & purificação , Piercing Corporal/instrumentação , Lábio/microbiologia , Polipropilenos/química , Politetrafluoretileno/química , Aço Inoxidável/química , Titânio/química , Adolescente , Adulto , Aggregatibacter actinomycetemcomitans/isolamento & purificação , Bactérias/classificação , Carga Bacteriana , Dente Pré-Molar/microbiologia , Biofilmes , Campylobacter/classificação , Estudos de Coortes , Dente Canino/microbiologia , Desenho de Equipamento , Feminino , Fusobacterium/isolamento & purificação , Humanos , Incisivo/microbiologia , Leptotrichia/isolamento & purificação , Lábio/cirurgia , Masculino , Hibridização de Ácido Nucleico , Peptostreptococcus/isolamento & purificação , Doenças Periodontais/microbiologia , Streptococcus/classificação , Propriedades de Superfície , Adulto Jovem
10.
Int Endod J ; 45(5): 435-8, 2012 May.
Artigo em Inglês | MEDLINE | ID: mdl-22211829

RESUMO

AIM: To assess the effectiveness of three systems of mechanical preparation to reduce Enterococcus faecalis within root canals. METHODOLOGY: Twenty-four human single-rooted canine teeth were standardized to a length of 17 mm and the canal contents removed using a size 20 K-file, as the last apical file. After irrigation and sterilization, the canals were contaminated with E. faecalis and incubated for 21 days at 37 °C with 5% CO(2). Then, the teeth were divided into three groups for mechanical preparation with: ProTaper rotary system, ProTaper manual system and manual K-files. Samples of the root canal contents, before and after the debridement, were collected with sterile paper points for 1 min. Then, the samples were diluted and plated in Brain Heart Infusion (BHI) agar. The colony-forming units were counted and the percentage reduction calculated. The reduction and log CFU mL(-1) were compared between groups using Wilcoxon nonparametric test and two-way analysis of variance, respectively. RESULTS: There was a significant reduction in the number of CFU/mL (P = 0.000) before and after debridement for all the systems used. However, there was no significant difference between the systems. CONCLUSION: All the three instrumentation systems reduced E. faecalis counts to a similar degree.


Assuntos
Cavidade Pulpar/microbiologia , Enterococcus faecalis/isolamento & purificação , Preparo de Canal Radicular/instrumentação , Carga Bacteriana , Técnicas Bacteriológicas , Dente Canino/microbiologia , Ácido Edético/uso terapêutico , Desenho de Equipamento , Humanos , Teste de Materiais , Pulpectomia/instrumentação , Irrigantes do Canal Radicular/uso terapêutico , Preparo de Canal Radicular/métodos , Hipoclorito de Sódio/uso terapêutico , Temperatura , Fatores de Tempo
11.
Lasers Med Sci ; 27(6): 1165-8, 2012 Nov.
Artigo em Inglês | MEDLINE | ID: mdl-22108869

RESUMO

The success of endodontic treatment depends on the complete elimination of microorganisms from the root canal system, thus the search for new procedures to eliminate them is justified. The aim of this study was to assess bacterial reduction after intracanal irradiation with the Er:YAG laser. The canals of 70 extracted human maxillary canines were prepared up to file #40 using 1% NaOCl, irrigated with 17% EDTA, and then washed with physiological solution activated by ultrasound. The roots were sterilized by autoclaving, inoculated with 10 µl of a suspension containing 1.5 × 10(8) CFU/ml of Enterococcus faecalis ATCC 29212 and incubated at 37°C for 72 h. The canals were irradiated with the Er:YAG laser using two energy settings: 60 mJ and 15 Hz, and 100 mJ and 10 Hz. The remaining bacteria were counted immediately and 48 h after laser irradiation. The results showed a high bacterial reduction at both time points. With 60 mJ and 15 Hz there was an immediate reduction of 99.73% and the reduction was 77.02% after 48 h, and with 100 mJ and 10 Hz there was an immediate reduction of 99.95% and the reduction was 84.52% after 48 h. Although the best results were observed with 100 mJ of energy, the difference between the two settings was not statistically significant. The count performed 48 h after irradiation showed that E. faecalis were able to survive, and can grow even from small numbers.


Assuntos
Dente Canino/microbiologia , Enterococcus faecalis/efeitos da radiação , Lasers de Estado Sólido/uso terapêutico , Preparo de Canal Radicular/métodos , Dente Canino/efeitos da radiação , Humanos , Tratamento do Canal Radicular
12.
Angle Orthod ; 81(5): 907-14, 2011 Sep.
Artigo em Inglês | MEDLINE | ID: mdl-21542722

RESUMO

OBJECTIVE: To test the null hypothesis that stainless steel and ceramic brackets show no differences in biofilm adhesion. MATERIALS AND METHODS: Twenty adolescents (6 boys, 14 girls) who had received fixed orthodontic therapy for 18.9 ± 3.2 months were divided into a metal and a ceramic bracket group. Thirty brackets per group were taken from central incisors, canines, and second premolars and quantitatively analyzed for biofilm coverage with the Rutherford backscattering detection method. Five micrographs were obtained per bracket with views from the buccal, mesial, distal, gingival, and occlusal aspects, resulting in a total of 300 images. Biofilm formation between groups was compared using the Mann-Whitney U-test (α = .05). RESULTS: Total biofilm formation was 12.5% ± 5.7% (3.3 ± 1.6 mm(2)) of the surface on metal and 5.6% ± 2.4% (1.5 ± 0.6 mm(2)) on ceramic brackets. Differences between groups were statistically significant (P < .05). A pairwise comparison of biofilm formation revealed significantly lower biofilm formation on ceramic brackets with respect to intraoral location (central incisor, canine, second premolar) and bracket surface (buccal, mesial, distal). CONCLUSIONS: The hypothesis was rejected. The results indicate that ceramic brackets exhibit less long-term biofilm accumulation than metal brackets.


Assuntos
Biofilmes/crescimento & desenvolvimento , Cerâmica/química , Ligas Dentárias/química , Braquetes Ortodônticos/microbiologia , Aço Inoxidável/química , Adolescente , Aderência Bacteriana , Dente Pré-Molar/microbiologia , Dente Canino/microbiologia , Índice de Placa Dentária , Feminino , Seguimentos , Hemorragia Gengival/classificação , Humanos , Processamento de Imagem Assistida por Computador , Incisivo/microbiologia , Estudos Longitudinais , Masculino , Microscopia Eletrônica de Varredura , Índice Periodontal , Bolsa Periodontal/classificação , Espectrometria por Raios X , Propriedades de Superfície
13.
J Clin Dent ; 21(1): 13-9, 2010.
Artigo em Inglês | MEDLINE | ID: mdl-20527507

RESUMO

OBJECTIVE: This investigation assessed regional differences in dental plaque and gingivitis within the human dentition in conjunction with microbiological analyses of dental plaque. METHODS: Forty-one adults (23 males and 18 females; age range 19-44 years) were enrolled, and a calibrated dental examiner completed whole mouth examinations for dental plaque (PI) and gingivitis (GI) using the Turesky modification of the Quigley-Hein Index (TMQH) and the L6e-Silness (LS) Index, respectively. Dental plaque samples were collected from the anterior surfaces and posterior teeth to determine viable anaerobic bacteria. During this visit, subjects underwent a whole mouth dental prophylaxis and were provided a marketed fluoride dentifrice for twice-daily oral hygiene. Subjects were recalled on day 15 and day 30 for whole mouth assessments of PI and GI, followed by the collection of dental plaque from the anterior and posterior teeth for microbiological analyses during these visits. RESULTS: Low plaque and gingival scores were common on anterior surfaces, in contrast to greater frequencies of higher PI and GI scores on the posterior regions or the entire dentition. Correspondingly, mean scores for PI and GI were significantly lower among the anterior surfaces in comparison to all other regions of the mouth (posterior, Ramfjord surfaces, or the entire dentition) over each phase of the study (p < 0.0001). While prophylaxis resulted in lower clinical scores from baseline to the day-15 recall visit (p < 0.05), anterior surfaces demonstrated lower scores than posterior regions during this recall visit (p < 0.05). Although dental plaque scores increased from the day-15 to the day-30 evaluations, gingival scores maintained broad reductions, with anterior scores consistently lower than the corresponding posterior regions (p <0.05). Microbiological analyses indicated significantly lower numbers of viable bacteria from the anterior surfaces in comparison to posterior regions at both recall visits (p < 0.05). CONCLUSION: Anterior surfaces routinely demonstrated lower levels of dental plaque scores than the other regions of the dentition. Higher gingival inflammation levels were also correlated with increased plaque deposits associated with posterior teeth. Microbiological analyses confirm clinical observations with significantly higher numbers of viable bacteria in the dental plaque collected from the posterior regions. The human dentition demonstrates significant regional differences in the prevalence of dental plaque, gingivitis, and corresponding anaerobic bacteria, with posterior surfaces consistently reporting higher scores than the anterior regions. These consistent differences should be taken into account in performing plaque and gingivitis studies when assessing the efficacy of oral health products for controlling dental health.


Assuntos
Bactérias Anaeróbias/isolamento & purificação , Placa Dentária/classificação , Gengivite/classificação , Dente/patologia , Adulto , Dente Pré-Molar/microbiologia , Dente Pré-Molar/patologia , Cariostáticos/uso terapêutico , Contagem de Colônia Microbiana , Dente Canino/microbiologia , Dente Canino/patologia , Placa Dentária/microbiologia , Índice de Placa Dentária , Profilaxia Dentária , Dentifrícios/uso terapêutico , Feminino , Fluoretos/uso terapêutico , Seguimentos , Gengivite/microbiologia , Humanos , Incisivo/microbiologia , Incisivo/patologia , Masculino , Dente Molar/microbiologia , Dente Molar/patologia , Índice Periodontal , Dente/microbiologia , Escovação Dentária/instrumentação , Adulto Jovem
14.
Rio de Janeiro; s.n; 2009. 98 p. ilus, tab.
Tese em Português | LILACS, BBO - Odontologia | ID: lil-540422

RESUMO

O presente trabalho teve por objetivo avaliar a ação do laser de baixa intensidade associado ao corante azul de toluidina, como agente bactericida durante a fase de instrumentação dos canais radiculares, comparando sua utilização associada ou não ao hipoclorito de sódio 0,5%. Para tal, 90 caninos humanos foram instrumentados, autoclavados e 88 imersos em caldo TSB (Tryptcase Soy Broth). Em seguida foram inoculados com suspensão de E. faecalis e incubados em estufa a 37°C, por 72 horas, para permitir a formação do biofilme. As amostras foram randomicamente divididas em 4 grupos de 22 dentes cada e 1 grupo controle negativo com 2 dentes. Grupo I: reinstrumentados e irrigados com soro fisiológico com posterior aplicação de terapia fotodinâmica (PDT); Grupo II: reinstrumentados e irrigados com hipoclorito de sódio a 0,5% com posterior aplicação de PDT; Grupo III: reinstrumentados e irrigados com hipoclorito de sódio a 0,5%; Grupo IV controle positivo: não foi realizado nenhum tipo de tratamento antes da coleta do material e Grupo V controle negativo: não foram contaminados. Para a coleta da dentina intracanal utilizou-se uma broca Gates Glidden número 6. A atividade antimicrobiana foi avaliada por meio da contagem de UFCs (unidades formadoras de colônias). Os dentes foram então imersos em meio seletivo para enterococos, incubados em estufa a 37º C por 72 horas e avaliados quanto à alteração de coloração do meio. Todas as amostras, exceto o controle negativo, apresentaram-se positivas. Com a finalidade de certificar-se da formação do biofilme e da confirmação dos resultados das contagens das UFCs, 9 amostras foram avaliadas ao MEV (microscopia eletrônica de varredura)...


This current paper aims to assess the action of low-intensity laser together with toluidine blue as a bactericidal agent during the instrumentation phase of radicular canals, comparing its associated or non-associated use with sodium hypochlorite 0.5%. To do so, 90 human canines were instrumented, autoclaved, and 88 were immersed into TSB, and were then inoculated with an E. faecalis suspension and brought into an incubator at 37 degrees Celsius for 72 hours in order to allow the formation of biofilm. The samples were randomly divided into 5 groups, 4 of which composed of 22 samples each plus 1 negative control. Group I: reinstrumented and irrigated with saline solution and subsequent application of photodynamic therapy (PDT); Group II: reinstrumented and irrigated with sodium hypochlorite 0.5% and subsequent PDT application; Group III: reinstrumented and irrigated with sodium hypochlorite 0.5%; Group IV: positive control (no previous treatment before material collection); Group V: negative control (2 samples) with no contamination. The collection of intracanal dentin was obtained by using a Gates Glidden drill nr. 6. The antimicrobial activity was assessed by CFUs counting. The teeth were then immersed in a selected medium for Enterococcus, incubated at 37 degrees Celsius for 72 hours. They were then assessed for medium turbidity. All samples, with the exception of the negative control, showed positive. In order to make sure of the formation of biofilm and the confirmation of the CFUs counting, 9 samples were scavenged under the electron microscope...


Assuntos
Humanos , Enterococcus faecalis/efeitos da radiação , Fotoquimioterapia/métodos , Hipoclorito de Sódio/efeitos da radiação , Infecções Bacterianas/radioterapia , Terapia com Luz de Baixa Intensidade/instrumentação , Tratamento do Canal Radicular/instrumentação , Biofilmes , Cloreto de Tolônio/efeitos da radiação , Dente Canino/microbiologia , Microscopia Eletrônica de Varredura , Estatísticas não Paramétricas
15.
J Periodontol ; 79(12): 2290-6, 2008 Dec.
Artigo em Inglês | MEDLINE | ID: mdl-19053919

RESUMO

BACKGROUND: The goal of this study was to determine whether site-specific differences in the subgingival microbiota could be detected by the checkerboard method in subjects with periodontitis. METHODS: Subjects with at least six periodontal pockets with a probing depth (PD) between 5 and 7 mm were enrolled in the study. Subgingival plaque samples were collected with sterile curets by a single-stroke procedure at six selected periodontal sites from 161 subjects (966 subgingival sites). Subgingival bacterial samples were assayed with the checkerboard DNA-DNA hybridization method identifying 37 species. RESULTS: Probing depths of 5, 6, and 7 mm were found at 50% (n = 483), 34% (n = 328), and 16% (n = 155) of sites, respectively. Statistical analysis failed to demonstrate differences in the sum of bacterial counts by tooth type (P = 0.18) or specific location of the sample (P = 0.78). With the exceptions of Campylobacter gracilis (P <0.001) and Actinomyces naeslundii (P <0.001), analysis by general linear model multivariate regression failed to identify subject or sample location factors as explanatory to microbiologic results. A trend of difference in bacterial load by tooth type was found for Prevotella nigrescens (P <0.01). At a cutoff level of > or = 1.0 x 10(5), Porphyromonas gingivalis and Tannerella forsythia (previously T. forsythensis) were present at 48.0% to 56.3% and 46.0% to 51.2% of sampled sites, respectively. CONCLUSIONS: Given the similarities in the clinical evidence of periodontitis, the presence and levels of 37 species commonly studied in periodontitis are similar, with no differences between molar, premolar, and incisor/cuspid subgingival sites. This may facilitate microbiologic sampling strategies in subjects during periodontal therapy.


Assuntos
Bactérias/classificação , Periodontite Crônica/microbiologia , Gengiva/microbiologia , Bolsa Periodontal/microbiologia , Actinomyces/isolamento & purificação , Adulto , Idoso , Bactérias/isolamento & purificação , Bacteroides/isolamento & purificação , Dente Pré-Molar/microbiologia , Campylobacter/isolamento & purificação , Periodontite Crônica/terapia , Contagem de Colônia Microbiana , Dente Canino/microbiologia , DNA Bacteriano/análise , Feminino , Humanos , Incisivo/microbiologia , Masculino , Pessoa de Meia-Idade , Dente Molar/microbiologia , Hibridização de Ácido Nucleico/métodos , Bolsa Periodontal/terapia , Porphyromonas gingivalis/isolamento & purificação , Prevotella nigrescens/isolamento & purificação , Curetagem Subgengival/instrumentação
16.
J Endod ; 34(2): 138-42, 2008 Feb.
Artigo em Inglês | MEDLINE | ID: mdl-18215668

RESUMO

This study analyzed the antimicrobial effect of photodynamic therapy (PDT) in association with endodontic treatment. Twenty patients were selected. Microbiological samples were taken after accessing the canal, endodontic therapy, and PDT. At the end of the first session, the root canal was filled with Ca(OH)(2), and after 1 week, a second session of the therapies was performed. Endodontic therapy gave a mean reduction of 1.08 log. The combination with PDT significantly enhanced the reduction (1.83 log, p = 0.00002). The second endodontic session gave a similar diminution to the first (1.14 log), and the second PDT was significantly more effective than the first (p = 0.002). The second total reduction was significantly higher than the second endodontic therapy (p = 0.0000005). The total first + second reduction (3.19 log) was significantly different from the first combination (p = 0.00006). Results suggest that the use of PDT added to endodontic treatment leads to an enhanced decrease of bacterial load and may be an appropriate approach for the treatment of oral infections.


Assuntos
Bactérias/efeitos dos fármacos , Necrose da Polpa Dentária/tratamento farmacológico , Periodontite Periapical/tratamento farmacológico , Fotoquimioterapia/métodos , Tratamento do Canal Radicular , Adulto , Bactérias/crescimento & desenvolvimento , Hidróxido de Cálcio/uso terapêutico , Contagem de Colônia Microbiana , Terapia Combinada , Dente Canino/microbiologia , Cavidade Pulpar/microbiologia , Necrose da Polpa Dentária/microbiologia , Necrose da Polpa Dentária/terapia , Humanos , Iminas/uso terapêutico , Incisivo/microbiologia , Lasers Semicondutores/uso terapêutico , Periodontite Periapical/microbiologia , Periodontite Periapical/terapia , Fármacos Fotossensibilizantes/uso terapêutico , Polietilenos/uso terapêutico , Polilisina/análogos & derivados , Polilisina/uso terapêutico , Porfirinas/uso terapêutico , Materiais Restauradores do Canal Radicular/uso terapêutico , Preparo de Canal Radicular/métodos
17.
Arch Gerontol Geriatr ; 44(2): 119-24, 2007.
Artigo em Inglês | MEDLINE | ID: mdl-16723159

RESUMO

Pneumonia can be a life-threatening infection, especially in the elderly, and it is a significant cause of morbidity and mortality. The purpose of this study was to assess the existence of oral infectious pathogens potentially causing the respiratory disease in the dependent elderly. The dental plaques of 138 dependent elderly were examined to identify microorganisms by the culture method. Twenty-one species of microorganisms were detected in the dental plaques in this study. In 89 cases out of 138 (64.5%), potential respiratory pathogens colonized in the dental plaques of the dependent elderly. The results of the present study revealed that bacteria that commonly cause respiratory infection colonized in dental plaques of the aged, dependent subjects. Therefore, dental plaques must be considered a specific reservoir of colonization and subsequent aspiration pneumonia in dependent elderly.


Assuntos
Placa Dentária/microbiologia , Reservatórios de Doenças , Infecções Respiratórias/microbiologia , Idoso , Idoso de 80 Anos ou mais , Dente Canino/microbiologia , Dentaduras , Feminino , Humanos , Masculino , Higiene Bucal , Pneumonia Aspirativa
18.
Microb Pathog ; 38(1): 47-51, 2005 Jan.
Artigo em Inglês | MEDLINE | ID: mdl-15652295

RESUMO

Bartonella henselae causes chronic bacteremia in cats. To test if B. henselae DNA can be recovered from the dental pulp of cats buried a year previously, we used PCR with primers for a sequence of the conserved groEL to test 104 teeth from 11 cats. Seven of the cats were found positive; canine teeth were more frequently positive than molar teeth. Where PCR sequences could be determined, they were identical to those of B. henselae Marseille (four cats), B. henselae Houston (one cat) or similar to those of B. grahamii (one cat). Our study indicates that dental pulp from the teeth of cats, especially the canine teeth, may be used for the PCR detection of Bartonella in animals buried for a year.


Assuntos
Infecções por Bartonella/veterinária , Bartonella/isolamento & purificação , Doenças do Gato/microbiologia , Polpa Dentária/microbiologia , Animais , Proteínas de Bactérias/genética , Bartonella/genética , Infecções por Bartonella/microbiologia , Bartonella henselae/genética , Bartonella henselae/isolamento & purificação , Sepultamento , Gatos , Chaperonina 60/genética , Dente Canino/microbiologia , DNA Bacteriano/análise , Exumação , Genes Bacterianos , Dente Molar/microbiologia , Reação em Cadeia da Polimerase , Análise de Sequência de DNA , Fatores de Tempo
19.
J Clin Periodontol ; 31(1): 60-7, 2004 Jan.
Artigo em Inglês | MEDLINE | ID: mdl-15058376

RESUMO

OBJECTIVES: During orthodontic treatment, changes in subgingival plaque colonization and tissue inflammation and remodelling have been described. This study uses a longitudinal design to examine subgingival colonization of Actinobacillus actinomycetemcomitans (Aa) and alkaline phosphatase (ALP) and aspartate aminotransferase (AST) activities in gingival crevicular fluid (GCF) in order to assess whether these parameters have potential as biomarkers of tissue responses to orthodontic tooth movement in humans. MATERIALS & METHODS: Twenty-one patients (ages: 11.2-22.5; mean 17.1 +/- 3.3 years) participated in the study. An upper canine from each patient undergoing treatment for distal movement served as the test tooth (DC), and its contralateral (CC) and antagonist (AC) canines were used as controls. The CC was included in the orthodontic appliance, but was not subjected to the orthodontic force; the AC was free from any orthodontic appliance. The subgingival plaque and GCF around the experimental teeth was harvested from both mesial and distal tooth sites immediately before appliance activation and on day 28. Clinical gingival condition was evaluated at the baseline and at the end of the experimental period. Aa colonization was determined by culture methods, while ALP and AST activities were evaluated spectrophotometrically. RESULTS: Throughout the study, the clinical conditions worsened in both the DCs and the CCs as compared with the baseline, whereas no significant differences were found between the DCs and the CCs, or between mesial and distal sites of each of these teeth on day 28. In the ACs, clinical parameters remained at baseline levels throughout the study. Similar results were found for Aa colonization, which increased significantly on day 28 in the DC and CC groups. On day 28, ALP and AST activities were significantly elevated in all sites from the DC and CC groups as compared with the ACs, where, conversely, enzymatic activities remained at the baseline levels. However, ALP activity in the DC group was significantly greater than in the CCs at mesial (tension) sites on day 28, while AST activity in the DCs was significantly elevated as compared with the CC group at the distal (compression) sites. Greater ALP activity in the DC group was observed at the tension sites compared with the compression sites on day 28. CONCLUSIONS: Our results suggest that Aa subgingival colonization, and ALP and AST activities in GCF reflect the tissue responses that occur in the periodontium during orthodontic treatment.


Assuntos
Aggregatibacter actinomycetemcomitans/crescimento & desenvolvimento , Fosfatase Alcalina/análise , Aspartato Aminotransferases/análise , Dente Canino/microbiologia , Líquido do Sulco Gengival/enzimologia , Técnicas de Movimentação Dentária , Adolescente , Adulto , Biomarcadores/análise , Criança , Dente Canino/enzimologia , Placa Dentária/microbiologia , Índice de Placa Dentária , Feminino , Seguimentos , Gengiva/microbiologia , Líquido do Sulco Gengival/microbiologia , Humanos , Estudos Longitudinais , Masculino , Fios Ortodônticos , Índice Periodontal , Estresse Mecânico
20.
Vet Microbiol ; 65(3): 195-207, 1999 Mar 12.
Artigo em Inglês | MEDLINE | ID: mdl-10189194

RESUMO

Digoxigenin labelled whole chromosomal DNA probes directed against three feline members of the genus Porphyromonas (P. gingivalis VPB 3492, P. circumdentaria NCTC 12469T and P. salivosa VPB 3313) were used to identify and quantify organisms in samples taken from the gingival margins of 40 domestic cats with different grades of periodontal disease. At the right upper canine tooth, the grade of periodontal disease ranged from 0 to 5 and the cfu of facultative/obligate anaerobes ranged from 5.5 x 10(4) to 2.0 x 10(6)). In 38 of the 40 cats, at least one of the three Porphyromonas species was isolated and regression analysis showed that the cfu of total Porphyromonas sp. was a highly significant indicator of the grade of periodontal disease (p < 0.001, R2 0.510). Feline P. gingivalis was isolated from 37 of the 40 cats and regression analysis showed that it was a highly significant predictor of the grade of periodontal disease (p < 0.001, R2 0.561). The cfu of P. salivosa was a significant predictor of the grade of periodontal disease (p < 0.001, R2 0.286) and regression analysis showed that there was a significant positive relationship between cfu of P. circumdentaria and grade of periodontal disease (p = 0.018, R2 0.116). The periodontal grades at the right upper third premolar tooth ranged from 0 to 6. The cfu of facultative/obligate anaerobes isolated ranged from 1.2 x 10(5) to 7.9 x 10(6), and regression analysis showed that cfu was a significant predictor of periodontal grade (p < 0.001, R2 0.378). The cfu of total Porphyromonas species ranged from 1.2 x 10(4) to 1.7 x 10(6) and regression analysis of the cfu against the grade of periodontal disease showed a highly significant association (p < 0.001, R2 0.633). The cfu of P. gingivalis ranged from 0 to 1.1 x 10(6) and regression analysis of the cfu of P. gingivalis against the grade of periodontal disease showed a highly significant association (p < 0.001, R2 0.439). The cfu of P. salivosa was a significant predictor of the grade of periodontal disease (p < 0.001, R2 0.479) and the same association was found between cfu of P. circumdentaria and grade of periodontal disease (p = 0.002, R2 0.204). This study has established Porphyromonas as anumerically significant and highly prevalent genus in feline periodontal disease.


Assuntos
Infecções por Bacteroidaceae/veterinária , Doenças do Gato/microbiologia , Gengiva/microbiologia , Doenças Periodontais/veterinária , Porphyromonas/classificação , Animais , Infecções por Bacteroidaceae/diagnóstico , Infecções por Bacteroidaceae/microbiologia , Dente Pré-Molar/microbiologia , Southern Blotting/veterinária , Doenças do Gato/diagnóstico , Gatos , Contagem de Colônia Microbiana , Dente Canino/microbiologia , Sondas de DNA , DNA Bacteriano/química , Feminino , Masculino , Doenças Periodontais/diagnóstico , Doenças Periodontais/microbiologia , Índice Periodontal , Porphyromonas/genética , Porphyromonas/crescimento & desenvolvimento , Porphyromonas gingivalis/classificação , Porphyromonas gingivalis/genética , Porphyromonas gingivalis/crescimento & desenvolvimento , Análise de Regressão
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