In vitro assessment of cytotoxicity of giomer on human gingival fibroblasts

Root coverage on restored root surfaces has been considered as a challenging issue. The evaluation of cytotoxic effects of restorative materials is a fundamental requirement for sustaining the cell attachment and the clinical success of root coverage. The aim of the present study was to compare the human gingival fibroblast cytotoxicity of the recently introduced giomer composite (GC) with resin ionomer (RI) restorative material. Discs (6x2 mm) of GC and RI restorative materials were prepared using sterile Teflon mold. Extracts from the materials were incubated to cell culture medium for 24, 48 and 72 h. Human gingival fibroblasts (HGF) were exposed to the extracts of the materials while the un-incubated media served as the control group. The cytotoxicity of the materials were evaluated by 3-(4,5-dimethylthiazol-2-yl)-2,5-diphenyltetrazolium bromide (MTT) assay. In order to compare the mean values of the measured parameters a Kruskal-Walis test was carried out. MTT assay indicated that human gingival fibroblasts proliferated well in the presence of GC extract. The proliferation rate was higher in cells incubated with GC compared to RI extracts but the differences were not statistically significant (p= 0.09). This in vitro study indicated that GC is a non-toxic material for HGF. However, further studies are needed to assess the other biologic and clinical behavior of this material prior to it being considered as a potentially suitable restorative material to restore the carious root lesions candidated to root coverage procedures

Effect of chlorhexidine on the shear bond strength of self-etch adhesives to dentin

The aim of this study was to investigate the effect of chlorhexidine on shear bond strength of self-etch adhesives to dentin. The crowns of 60 sound human premolars were horizontally sectioned to expose the coronal dentin. Dentin surfaces were polished with 320 grit silicon carbide papers, and were randomly divided into 4 groups (n = 15). In group 1, two-step self-etch adhesive resin (Clearfil SE Bond) was used. In group 2, the surface was rinsed with chlorhexidine 2% solution prior to Clearfil SE bond application. In groups 3 and 4, the procedure was repeated similar to groups 1 and 2. In this case, onestep self-etch adhesive resin (Clearfil S3 Bond) was used. Then Z100 composite resin was applied. Subsequent to thermocycling, the shear bond strengths were measured. Data were analyzed using oneway ANOVA. In this study, p < 0.05 was considered significant. There were no significant differences between groups (p = 0.321). The use of 2% chlorhexidine had no effect on the shear bond strength of two-step and one-step self-etching adhesive resins. Moreover, there was no significant difference in the shear bond strength values between two-step and one-step self-etching adhesive resins.Key words: Chlorhexidine, shear bond strength, one-step self-etch adhesive resin, two-step self-etch adhesive resin

Effect of simulated pulpal pressure on composite bond strength to dentin prepared using Er, Cr: YSGG laser

Bonding to dentin with adhesive systems is affected by the tubular fluid flow induced by pulpal pressure. The aim of this study was to evaluate the effect of simulated pulpal pressure on the microtensile bond strength of an adhesive to dentin surface prepared by laser irradiation. Crowns oftwenty human extracted third molars were subjected to Er, Cr: YSGG laser beams. Specimens were divided into two groups according to pulpal pressure simulation. In the first group resin composite (Z-250 Filtek) was bonded to flat surfaces of samples using dentin bonding agent (Single Bond) under simulated pulpal pressure. In the second group, the same procedure was carried out without pulpal pressure simulation. After storing the teeth in saline solution at 37°C for 24 h, thirty 1-mm-thick sliceswere cut from the samples in each group and subjected to bond strength test. Microtensile bond strength was determined using a universal testing machine at a crosshead speed of 2 mm/min. Statistical significance was determined by T-test (p < 0.05). There was a statistically significantdifference in the mean microtensile bond strengths between the groups (p < 0.0005). Simulated pulpal pressure had a negative effect on microtensile bond strength of laser ablated dentin when Single Bondadhesive system was used

Non-classical forms of pemphigus: pemphigus herpetiformis, IgA pemphigus, paraneoplastic pemphigus and IgG/IgA pemphigus

The pemphigus group comprises the autoimmune intraepidermal blistering diseases classically divided into two major types: pemphigus vulgaris and pemphigus foliaceous. Pemphigus herpetiformis, IgA pemphigus, paraneoplastic pemphigus and IgG/IgA pemphigus are rarer forms that present some clinical, histological and immunopathological characteristics that are different from the classical types. These are reviewed in this article. Future research may help definitively to locate the position of these forms in the pemphigus group, especially with regard to pemphigus herpetiformis and the IgG/ IgA pemphigus.Universidade Federal de São Paulo (UNIFESP), Escola Paulista de Medicina (EPM) Dermatology DepartmentUniversidade Federal de São Paulo (UNIFESP), Escola Paulista de Medicina (EPM) Dermatology and Pathology DepartmentsUNIFESP, EPM, Dermatology DepartmentUNIFESP, EPM, Dermatology and Pathology DepartmentsSciEL