A comparative study of smear layer removal and erosion in apical intraradicular dentine with three irrigating solutions: a scanning electron microscopy evaluation

Introduction: This study compared the efficacy of BioPure MTAD (Dentsply Tulsa, Tulsa, OK), 17% EDTA, and 42% citric acid in endodontic smear layer removal and degree of erosion in the apical third of endodontic canals. Methods: Ninety-six extracted single-rooted human teeth were randomized into four groups (n = 24) and instrumented using System GT nickel-titanium rotary instruments (Dentsply Tulsa, Tulsa, OK). Each canal was irrigated with one of the following solutions: BioPure MTAD, 17% EDTA, 42% citric acid, or 5.25% NaOCl (control). Next, all specimens were irrigated with 5.25% NaOCl. Results: Evaluation by scanning electron microscopy showed no significant differences among test irrigants in removing the smear layer. However, the efficacy of BioPure MTAD and 17% EDTA in removing the smear layer was significantly greater than 5.25% NaOCl (control). The erosive effects of irrigating solutions could not be evaluated. Conclusions: In conclusion, the protocols used in this study were not sufficient to completely remove the smear layer in the apical third of prepared root canals. © 2009 American Association of Endodontists

Dietary fluoride intake by children: When to use a fluoride toothpaste?

Fluoride is recommended for its cariostatic effect, but excessive fluoride intake may have health risks. Increased prevalence of dental fluorosis in areas with low fluoride content in drinking water has been attributed to the inappropriate excessive intake of fluoride supplements (tablets and drops) and toothpaste ingestion. The aim of the present study was to estimate the fluoride intake and the risk of fluorosis in children (6 months–6 years) in the Castelli Romani area (province of Rome, Italy), which is volcanic, therefore with a higher concentration of fluorine. Measurements of the fluoride content in drinking water, mineral waters, vegetables and commercial toothpaste for children were performed. The fluoride concentrations of all samples were determined using a Fluoride Ion Selective Electrode (GLP 22, Crison, Esp). Data were analyzed by descriptive statistics. Differences between samples were determined by Student’s t-test. The fluoride content in tap water samples collected from public sources averaged from 0.35 to 1.11 ppm. The Pavona area showed the highest content of fluoride with respect to the others (p ≤ 0.05). The fluoride content in mineral water samples averaged from 0.07 to 1.50 ppm. The fluoride content of some vegetables showed increased mean values when compared to control vegetables (p ≤ 0.05). Within the limitations of the present study, considerations should be made when prescribing fluoride toothpaste for infants (6 months–4 years) in the areas with high fluoride content, because involuntary ingestion is consistent

PROCLO, Teologia platonica

Personalmente ho curato la traduzione dei libri III (pp. 241-327), IV (pp. 329-426) e VI (pp. 559-659)

Enneadi di Plotino

Personalmente ho curato la traduzione della terza "Enneade

Agrumi: erosione dentale e fluoro. Prima parte

Aim of the work. The aim of the study was to evaluate erosion effectiveness and fluoride concentration of pure citrus drinks and citrus soft drinks. Materials and methods. 7 pure citrus drinks and 12 citrus soft drinks were considered. In both cases, samples were analyzed for pH and fluoride concentration. The measurement of pH was carried out using a pH electrode connected with GLP 22 Crison® pHmeter. Fluoride concentration was carried out using a selective electrode Crison®. Results. The study demonstrated that both pure citrus drinks and citrus soft drinks show pH values ranged between 3.6 and 1.8 and thus lower respect to critical pHs which are expected for enamel and dentine demineralization and dissolution. Regarding fluoride, measurements carried out on citrus soft drinks, generally show an absence of this ion and, only in three cases, concentrations ranged between 0.1 and 0.16 ppm. Conclusion. Our data showed that erosive potential of pure citrus drinks and citrus soft drinks is capable of dissolving, in vitro, considerable amounts of enamel and dentine. In vivo, erosion is probably limited from many factors as calcium concentration and saliva buffering effect. Absence or very little concentration of ionic fluoride dissolved in tested drinks was observed

Agrumi: erosione dentale e fluoro. Seconda parte

Aim of the work. The aim of the study was to evaluate erosion effectiveness and fluoride concentration of pure citrus drinks and citrus soft drinks. Materials and methods. 7 pure citrus drinks and 12 citrus soft drinks were considered. In both cases, samples were analyzed for pH and fluoride concentration. The measurement of pH was carried out using a pH electrode connected with GLP 22 Crison® pHmeter. Fluoride concentration was carried out using a selective electrode Crison®. Results. The study demonstrated that both pure citrus drinks and citrus soft drinks show pH values ranged between 3.6 and 1.8 and thus lower respect to critical pHs which are expected for enamel and dentine demineralization and dissolution. Regarding fluoride, measurements carried out on citrus soft drinks, generally show an absence of this ion and, only in three cases, concentrations ranged between 0.1 and 0.16 ppm. Conclusion. Our data showed that erosive potential of pure citrus drinks and citrus soft drinks is capable of dissolving, in vitro, considerable amounts of enamel and dentine. In vivo, erosion is probably limited from many factors as calcium concentration and saliva buffering effect. Absence or very little concentration of ionic fluoride dissolved in tested drinks was observed

Microstructural analysis of apical third after treatment with MTAD: an in vitro study

Aim: the goal of current endodontic treatment is to thouroughly clean, shape and tri-dimensionally obdurate root canals. The aim of the present in vitro study was to evaluate how acid pretratment of root surface can be an useful procedure for the above mentioned results.Methodology: the present in vitro study evaluated the microstructural acyion of MTAD, applied for 1,3 or 5 minutes, on root canal walls. The study was performed using SEM analysis and each specimen was judged accordin to a specific score which comprised both intra and peritubular cleanness and erosion of wall surfaces. Results. results showed that the use of MTAD did not allow perfect cleaning of the endodontic space and smear layer was still present. However a stastically significant differenced was noted among the test and control groups. Conclusions:MTAD showed a positive clinical action supporting the cleaning effect due to NaOCl irrigating solutions, but still complete elimination of smear layer was not obtained. As a result, ideal cleaning of the endodontic space is still not available with current materials and techniques

A Comparative Study of Smear Layer Removal and Erosion in Apical Intraradicular Dentine With Three Irrigating Solutions: A Scanning Electron Microscopy Evaluation

Introduction: This study compared the efficacy of BioPure MTAD (Dentsply Tulsa, Tulsa, OK), 17% EDTA, and 42% citric acid in endodontic smear layer removal and degree of erosion in the apical third of endodontic canals. Methods: Ninety-six extracted single-rooted human teeth were randomized into four groups (n = 24) and instrumented using System GT nickel-titanium rotary instruments (Dentsply Tulsa, Tulsa, OK). Each canal was irrigated with one of the following solutions: BioPure MTAD, 17% EDTA, 42% citric acid, or 5.25% NaOCl (control). Next, all specimens were irrigated with 5.25% NaOCl. Results: Evaluation by scanning electron microscopy showed no significant differences among test irrigants in removing the smear layer. However, the efficacy of BioPure MTAD and 17% EDTA in removing the smear layer was significantly greater than 5.25% NaOCl (control). The erosive effects of irrigating solutions could not be evaluated. Conclusions: In conclusion, the protocols used in this study were not sufficient to completely remove the smear layer in the apical third of prepared root canals. © 2009 American Association of Endodontists