Evaluation Of the Salivary Flow in Patients with Schizophrenia. A Literature Review

Schizophrenia is a chronic psychiatric disease that affects approximately 1% of the global population. Schizophrenia is characterised by positive, negative and cognitive symptoms. The etiological factors of this psychiatric illness are not fully deciphered, but the most incriminated are genetic factors and environmental risk factors.The treatment of schizophrenia has the role of reduction the duration and intensity of episodes and consists in the administration of typical or atypical antipsychotic drugs, antiparkinsonian, anxiolytic, sedatives or antidepressants. Of these, some of the drugs may have side effects that modify patients' salivary flow rates.Xerostomy is a subjective sign characterized by a dry mouth sensation and is caused by hypofunction of the salivary glands. According to a series of studies, xerostomia can be an adverse effect of typical antipsychotic medication as well as antiparkinsonian medication. Sialorrhea is caused by hyperfunction of the salivary glands and is characterized by an increased secretion of saliva. This side effect is especially noticeable during the night sleep. Alteration of salivary function creates increased discomfort to the schizophrenic patient, which causes him to give up regular medication.The aim of this study is to review the literature on the link between schizophrenia, the treatment of schizophrenia and impaired salivary function.</em

EVALUATION OF THE KNOWLEDGE LEVEL OF DENTAL POSTOPERATIVE SENSITIVITY WITHIN DENTAL PRACTITIONERS

The aim of the present study was to assess by using a questionnaire, the knowledge and understanding level of dental postoperative sensitivity through dental practitioners. A number of 431 dental practitioners coming from rural or urban practices, in private or public environment, with a bachelor’s degree or with postgraduate studies received this specifically developed questionnaire. The questionnaire consisted of a series of socio-demographic questions, followed by 14 questions related to postoperative sensitivity. The questionnaire contained 7 single-choice and 7 multiple-choice questions. For the statistical analysis of the obtained results Pearson Chi-square and Independent sample t-test were used. For all 14 questions, the correct answers were indicated by the majority of respondents, regardless of the training level or the environment of origin. Both postgraduate and bachelor’s degree dental practitioners had a similar level of knowledge regarding the etiology, symptomatology and therapeutic management of postoperative dental sensitivity. The knowledge level about dental postoperative sensitivity does not differ between dental practitioners in the public and private sectors

STUDIES ON VICKERS HARDNESS AND THE ELASTICITY MODULUS OF MATERIALS FOR DENTAL RESTORATION

The aim of this study was to evaluate the Vickers hardness (HV), indentation and Young`s modulus to 4 materials of coronal restoration. Materials and methods Six samples of 5mm in diameter and 6 inches were made of the following materials: Filtek Z250 (3M ESPE Co.), Zmack Comp (Zermack SpA, Italy), Kalore (GC Corporation, Japan); Dyract eXtra (Dentsply De Trey Gmbh, Germany). After polymerization of the samples for 40 seconds using the LEDidition lamp (Ivoclaire Vivadent clinical, Austria), these were finished, polished and kept in distilled water at room temperature for 48 hours. The hardness was measured at the UMT-2 Tribometer (CETR), and the values obtained in GPA were converted to Vickers hardness (kgf/mm2). For each sample, six indentations were made and the mean of the values obtained was calculated. On the same device, the Young`s modulus was also measured for all samples. Results Statistical data showed that the mean HV and modulus of elasticity values were the folowing: Filtek Z 250> Zmack Comp> Dyract eXtra> Kalore. In the case of the depth of the indentation, the values were inversely proportional to the Vickers hardness of the materials: Kalore> Dyract eXtra> Zmack Comp> Filtek Z 250. Conclusion Vickers hardness and Young's modulus were higher to the microhybrid composite compared to nano-hybrid composite and compomer

The Impact of Simulated Gastric Acid and Toothbrushing on Surface Characteristics of Resin-Modified Glass-Ionomer Cements

Background and Objectives: The aim of this in vitro study was to evaluate the effect of simulated gastric acid associated with toothbrushing on the surface condition of three resin-modified glass-ionomer cements (RMGIC). Materials and Methods: One hundred and sixty samples of each material were obtained and included in three study groups according to the tested material: Group I (Ionolux, VOCO GmbH, Cuxhaven, Germany); Group II (Vitremer, 3 M-ESPE, St. Paul, MN, USA); and Group III (Fuji II LC, GC Corporation, Tokyo, Japan). The samples were submersed in hydrochloric acid 0.01 M (pH 3.8) for 3 h and exposed to a toothbrushing procedure at a frequency of 10,000 cycles with medium and hard bristles immediately or 30 min after the acid attack. Profilometric measurements were performed by using a non-contact profilometer (Dektak XT, Bruker, Billerica, MA, USA) in order to assess the surface roughness. ANOVA and Bonferroni post hoc tests were used for the statistical analysis at a significance level of p &lt; 0.05. Results: Exposure of RMGICs to the erosive effect of hydrochloric acid in association with toothbrushing 30 min after the chemical attack increased the surface roughness of all three RMGICs. Exposure of the three tested materials exclusively to the action of hydrochloric acid did not affect the surface roughness. Conclusions: One year of hydrochloric acid challenge associated with one year of toothbrushing with medium-hardness bristles performed 30 min after the acid attack increase the surface roughness of two of the three types of RMGIC tested (Ionolux and Fuji II LC)

Evaluation of the Surface Roughness of Bulk-Fill Composite Resins after Submission to Acidic and Abrasive Aggressions

This in vitro study aimed to assess the erosive effect of hydrochloric acid in association with toothbrushing procedure on the surface condition of three bulk-fill composite resins used for direct restoration. A total of 480 samples (160 from each composite resin): X-tra Fil (VOCO, Germany)—group A, Filtek Bulk-fill Posterior (3M-ESPE, St. Paul, MN, USA)—group B, G-aenial Posterior (GC Japan)—group C were prepared, submitted to chemical attack for 60 min with hydrochloric acid 30% and, subsequently, submitted to the abrasive effect of toothbrushing using 10,000 cycles with medium and hard bristles, at three different times (immediately and after 30 min after acid attack or without any chemical attack). The surface roughness of the samples was measured using a noncontact profilometer (Dektak XT, Bruker, Billerica, MA, USA). The values were analyzed using ANOVA and post hoc Bonferroni tests, with a p < 0.05. Chemical attack for 60 min associated with one year of toothbrushing with toothbrushes having medium or hard bristles increase the surface roughness of tested bulk-fill composite resins. No differences were recorded between toothbrushing with medium or firm bristles immediately or 30 min after acidic challenge for each of the three bulk-fill composite resins. Exposure to hydrochloric acid determines no effect on surface roughness of bulk-fill composite resins

In Vitro Evaluation of Gastric Acid and Toothbrushing Effect on the Surface State of Different Types of Composite Resins

Background and Objectives: The aim of this in vitro study was to evaluate the effect of gastric acid associated with the effect of toothbrushing on the surface roughness of different types of composite resin used for direct restorations. Materials and Methods: The materials used in this study were two microhybrid (Filtek Z250, Herculite XRV) and two nanohybrid (Filtek Z550, Herculite XRV Ultra) composite resins. Two hundred and forty cylindrical samples with a height of 2 mm and a diameter of 6 mm were divided into four groups (groups A, B, C and D) corresponding to each tested material (n = 60). Each group was divided in two subgroups: subgroup I&mdash;the samples were submersed in hydrochloric acid and immediately submitted to toothbrushing; subgroup II&mdash;the samples were submitted only to toothbrushing. The simulation of the acid attack was performed by immersing the samples in a 0.01 M hydrochloric acid solution for 90 min. This procedure was followed immediately by toothbrushing simulation with 10,000 cycles. The acid attack and toothbrushing simulation were performed for two times. The surface roughness evaluation was performed with a Proscan 2100 profilometer. Repeated Measures ANOVA and Bonferroni post-hoc tests were used to perform the statistical analysis. Results: Simulation of one year of toothbrushing associated or not to hydrochloric acid exposure increases the surface roughness of microhybrid and nanohybrid composite resins. Six months of toothbrushing associated to six months of hydrochloric acid exposure increase the surface roughness of nanohybrid composite resins. Conclusions: Microhybrid composite resins surface becomes rougher after toothbrush and acid submersion when comparing to nanohybrid composite resins