Search

Objective: To evaluate the pulp tissue of rat molars after pulpotomies with mineral trioxide aggregate (MTA), Biodentine TM (BDT) and calcium hydroxide (CH) mixed with sterile saline solution (24 hours, 72 hours, 7 days and 15 days), through correlating MPO activity with active neutrophils and MMP8 activity with tissue remodeling . Material and Methods: Thirty-eight Wistar rats were randomly distributed into groups (control, I (MTA gray), II (BDT), and III (CH)) and subdivided according to the study period of 24 hours, 72 hours, 7 days or 15 days after pulpotomy. MMP8 activity was assessed through fluorescence technique, and MPO activity was determined using the MPO assay. Results: A gradual decrease of MPO and MM8 activity occurred in the group MTA over the experimental periods (p

The aim of this study was to evaluate the clinical, radiographic and histological outcomes of the dentin-pulp complex from primary molars after pulpotomy with mineral trioxide aggregate (MTA) and 15.5% ferric sulfate (FS). Thirty-one primary molars were randomly allocated into MTA or FS groups. Clinical and radiographic evaluations were recorded at 3-, 6-, 12- and 18-month follow-up. Teeth at the regular exfoliation period were extracted and processed for histological analysis. Clinical and radiographic data were tested by statistical analysis (p≤0.01). Histological outcomes were analyzed descriptively. All of the treated teeth presented clinical success over the experimental periods. Both groups exhibited 100% of radiographic success at 3, 6 and 12 months. At the 18-month follow-up, one tooth from FS group presented inter-radicular radiolucency (p>0.01). Histologically, the treated teeth presented pulp vitality and absence of inflammatory infiltrate into the connective tissue. Only MTA group showed hard tissue barrier surrounded by odontoblasts over the pulp stumps. Both MTA and 15.5% FS are effective for pulpotomies of primary teeth. Although MTA is considered the first-choice material, FS may be a suitable alternative when treatment cost is an issue. Resumo O objetivo deste estudo foi avaliar os resultados clínicos, radiográficos e histológicos do complexo dentino-pulpar de molares decíduos após pulpotomia com agregado trióxido mineral (MTA) e sulfato férrico (SF) 15,5%. Trinta e um molares decíduos foram alocados aleatoriamente nos grupos MTA ou SF. As avaliações clínicas e radiográficas foram realizadas aos 3, 6, 12 e 18 meses de acompanhamento. Os dentes no período regular de esfoliação foram extraídos e processados para análise histológica. Os dados clínicos e radiográficos foram analisados estatisticamente (p≤0,01). O resultados histológicos foram analisados descritivamente. Todos os dentes tratados apresentaram sucesso clínico ao longo dos períodos experimentais. Ambos os grupos exibiram 100% de sucesso radiográfico aos 3, 6 e 12 meses. Aos 18 meses de acompanhamento, um dente do grupo SF apresentou radiolucidez interradicular (p>0,01). Histologicamente, os dentes tratados apresentaram vitalidade pulpar e ausência de infiltrado inflamatório no tecido conjuntivo. Somente o grupo MTA mostrou barreira de tecido duro rodeada por odontoblastos sobre os cotos pulpares. MTA e SF 15,5% são eficazes para pulpotomias de dentes decíduos. Embora o MTA seja considerado o material de primeira escolha, o SF pode ser uma alternativa adequada quando o custo do tratamento é um problema.

Impaction of permanent maxillary central incisors is a rare condition that can affect esthetics and oral function. The etiology of impaction is multifactorial and may be related to embryologic reasons, hereditary factors, mechanical obstacles, and pathologic elements, such as the presence of supernumerary teeth. The purpose of this report is to discuss the case of a 10-year-old patient who presented an impacted permanent maxillary right central incisor due to a supernumerary tooth. Surgical removal of the supernumerary tooth and orthodontic traction of the impacted central incisor by the closed eruption technique were performed. After 12 months, the permanent maxillary right central incisor was adequately positioned in the arch. The multidisciplinary treatment allowed the functional and esthetic rehabilitation to happen in a short period of time, thus reducing the patient's psychological impact caused by the lack of an anterior tooth.

This paper reports a series of clinical cases of ankyloglossia in children, which were approached by different techniques: frenotomy and frenectomy with the use of one hemostat, two hemostats, a groove director or laser. Information on the indications, contraindications, advantages and disadvantages of the techniques was also presented. Children diagnosed with ankyloglossia were subjected to different surgical procedures. The choice of the techniques was based on the age of the patient, length of the frenulum and availability of the instruments and equipment. All the techniques presented are successful for the treatment of ankyloglossia and require a skilled professional. Laser may be considered a simple and safe alternative for children while reducing the amount of local anesthetics needed, the bleeding and the chances of infection, swelling and discomfort.

O objetivo deste trabalho foi avaliar, in vitro, os efeitos de diferentes concentrações do fator de crescimento transformador beta 1 (TGF-β1) em células-tronco derivadas da polpa de dentes decíduos esfoliados humanos (SHED), com relação à viabilidade, proliferação, migração e diferenciação celular. As SHED foram mantidas em meio de cultura MEMα + soro fetal bovino (FBS) 10% + penicilina e estreptomicina 1% e tratadas com TGF-β1 na concentração de 1,0; 5,0 e 10,0 ng/mL. Após 1, 3, 5 e 7 dias, foram avaliadas a viabilidade celular pelo método MTT e a proliferação pelo método SRB. Após 24 h de tratamento com TGF-β1, foi realizado um ensaio de migração celular por meio de insertos com poros de 8 μm. Para a avaliação da diferenciação celular de SHED em odontoblastos foram analisados por meio da RT-PCR os marcadores DSPP e DMP-1, após tratamento com TGF-β1 nas diferentes concentrações por 14 dias. Os resultados foram submetidos à ANOVA seguido do teste de Tukey. Em relação à viabilidade celular, as diferentes concentrações de TGF-β1 não tiveram efeito citotóxico sobre SHED. As células tratadas com diferentes concentrações de TGF-β1 apresentaram maiores taxas de proliferação que as do controle negativo (MEMα + 10% de FBS) a partir do 3o dia (p=0,000). Observou-se maiores taxas de migração em direção aos meios contendo TGF-β1, mas sem diferença estatisticamente significativa entre as diferentes concentrações utilizadas, entretanto, houve diferença estatisticamente significativa entre as diferentes concentrações de TGF-β1 com o controle positivo (p=0,000), controle negativo (p=0,000) e entre o controle positivo e negativo (p=0,002). A expressão de DMP-1 foi observada de forma crescente nas doses de 1,0 e 5,0 ng/mL de TGF-β1 ao longo do período (1, 7 e 14 dias) e na dose de 10,0 ng/mL a marcação foi mais intensa desde o primeiro dia do estímulo. Em relação à expressão de DSPP, o grupo tratado com 10,0 ng/mL apresentou marcação após 14 dias de tratamento. Sendo assim, este estudo permite concluir que as diferentes concentrações de TGF-β1 estimularam a proliferação e migração celular, sem efeito citotóxico sobre as células ao longo do período do estudo. Em relação à diferenciação celular a concentração 10,0 ng/mL de TGF-β1 estimulou à expressão de DMP-1 e DSPP. The aim of this study was to evaluate, in vitro, the effect of transforming growth factor beta 1 (TGF-β1) in stem cells derived from the pulp of human exfoliated deciduous teeth (SHED) regarding to cell viability, proliferation, migration and differentiation. SHED were maintained in MEMα culture medium + 10% fetal bovine serum (FBS) + 1% penicillin and streptomycin, and treated with TGF-β1 at the following concentrations of 1.0; 5.0 and 10.0 ng/mL. After 1, 3, 5 and 7 days, cell viability was assessed by MTT assay and proliferation by the SRB method. After 24h of TGF-β1 treatment, cell migration assay was carried out using inserts of 8 μm pore size. To evaluate SHED differentiation into odontoblasts, DMP-1 and DSPP markers were analyzed by RT-PCR, after treatment at different concentrations of TGF-β1 for 14 days. The results were submitted by ANOVA and Tukey test. With respect to cell viability, the different TGF-β1 concentrations did not have cytotoxic effect on SHED. The cells treated by different TGF-β1 concentrations showed higher proliferation rates than those of the negative control (MEMα + 10% FBS) after the third day (p = 0.000). Higher rates of migration towards the media containing TGF-β1 were observed, but there were no statistically significant differences among the concentrations. All different TGF-β1 concentrations showed statistically significant differences with the positive control (p=0.000) and negative control (p=0.000). Statistically significant differences were observed between positive and negative control (p=0.002). DMP-1 expression was observed incrementally at TGF-β1 concentrations of 1.0 and 5.0 ng/mL at 1, 7, and 14 days and the concentration of 10.0 ng/mL was more intense from day one of the stimulus. DSPP expression was more intense after 14 days of treatment with the concentration of 10.0 ng/mL. Thus, this study concluded that different TGF-β1 concentrations stimulated cell proliferation and migration, without cytotoxic effect on the cells throughout the study period. From the perspective of cell differentiation, TGF-β1 concentration of 10.0 ng/mL was capable of stimulating DMP-1 and DSPP expression.

Low-Level Laser Therapy stimulates the proliferation of a variety of types of cells. However, very little is known about its effect on stem cells from human exfoliated deciduous teeth (SHED). Objective This study aimed to evaluate the influence of different laser therapy energy densities on SHED viability and proliferation. Material and Methods SHED were irradiated according to the groups: I (1.2 J/cm2 - 0.5 mW – 10 s), II (2.5 J/cm2 – 10 mW – 10 s), III (3.7 J/cm2 – 15 mW – 10 s), IV (5.0 J/cm2 – 20 mW – 10 s), V (6.2 J/cm2 – 25 mW – 10 s), and VI (not irradiated – control group). Cell viability was assessed 6 and 24 h after irradiation measuring the mitochondrial activity and using the Crystal Violet assay. Cell proliferation was assessed after 24, 48, and 72 h of irradiation by SRB assay. Results MTT assay demonstrated differences from 6 to 24 hours after irradiation. After 24 h, groups I and IV showed higher absorbance values than those of control group. Crystal Violet assay showed statistically differences in the absorbance rate from 6 to 24 h after irradiation for groups III and VI. At 24 h after irradiation, Group III absorbance rate was greater than that of groups I, II, and IV. Group VI absorbance rate was greater than that of groups I and IV. SRB assay showed that the group I had higher rates than those of groups II, III, V, and VI, at 24 h after irradiation. After 48 h, group I exhibited the greatest cell proliferation rate followed by groups III, V, and VI. After 72 h, group III exhibited the lowest cell proliferation rate than those of groups II, IV, and V. Conclusions The Low-Level Laser Therapy energy densities used in this study did not cause loss of cell viability and stimulated SHED proliferation within the parameters described in this study.

Made available in DSpace on 2019-10-06T16:43:34Z (GMT). No. of bitstreams: 0 Previous issue date: 2019-07-29. Added 1 bitstream(s) on 2021-07-15T15:23:50Z : No. of bitstreams: 1 S1678-77572019000100465.pdf: 3117208 bytes, checksum: 3cf9e5564aa52e112e1496a2a43ab4d9 (MD5) PURPOSE: To compare, both qualitatively and quantitatively, the inflammatory cells, vascular density and IL-6 immunolabeled cells present in the pulp after pulpotomy with white MTA versus 15.5% ferric sulfate (FS). METHODOLOGY: Forty-eight mandibular first molars from 24 Wistar rats were divided into MTA or FS groups and subdivided according to the period after pulpotomy procedure (24, 48 and 72 hours). Four teeth (sound and untreated) were used as controls. Histological sections were obtained and assessed through the descriptive analysis of morphological aspects of pulp tissue and the quantification of inflammatory cells, vascular density and interleukin-6 (IL-6) expression. Data were statistically analyzed (p