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Biomedical subjects

E Osorio

Publications and source records attributed to E Osorio.

At least 19 recordsLinked to original sources

Effect of load cycling and in vitro degradation on resin-dentin bonds using a self-etching primer.

The objective of this study was to evaluate the effect of in vitro degradation and mechanical loading on microtensile bond strength (MTBS) and microleakage (ML) of a resin composite to dentin using a self-etching primer adhesive [Clearfil SE Bond (SEB)] under two hydration statuses. Twenty-four flat dentin surfaces were divided in groups: 1) blot-dried, 2) air-dried. SEB was applied and resin buildups were performed with Tetric Ceram. Specimens were divided in four subgroups: a) sectioned into beams, b) load cycled, c) beams were immersed in NaOCl for 5 h, d) load cycled and immersed in NaOCl. Beams were tested in tension. For ML testing, 80 Class V cavities were prepared and molars divided in subgroups as described above (in group c and d, specimens were kept in distilled water for 1 year, instead of the 5-h NaOCl immersion). ML was assessed by dye penetration. Analysis of variance and multiple comparisons tests were used for MTBS. For ML, Mann-Whitney U and Wilcoxon matched pairs signed ranked were used (p<0.05). SEB applied to completely dehydrated dentin produced the highest MTBS, at 24-h evaluation. In vitro degradation always decreased MTBS, and fatigue loading only diminished MTBS on dehydrated dentin. Load cycling increased dye penetration on dentin margins. Degradation always increased ML in both enamel and dentin margins.

Dental Caries↗

EDTA treatment improves resin-dentin bonds' resistance to degradation.

The existence of unprotected collagen fibrils within the hybrid layer compromises the longevity of restorations. This phenomenon may be avoided if solutions other than strong acids are used for dentin demineralization. The hypothesis to be tested is that bond durability may be improved by EDTA demineralization. Dentin surfaces (human and bovine) were bonded: (1) after phosphoric-acid-etching, and after EDTA demineralization with (2) a total-etch adhesive and (3) a self-etching adhesive. After the teeth were sectioned into beams, half of the specimens were immersed in NaOCl, while the other half was immersed in water. Beams were tested to failure in tension. ANOVA and multiple-comparisons tests were used (P < 0.05). No differences in bond strength were found among the 3 bonding procedures, although bonds made to human molars were 43-61% higher than those to bovine incisors. After NaOCl immersion, only specimens subjected to EDTA demineralization maintained the initial bond strength. We conclude that the collagen network is better-preserved after EDTA demineralization.

Analysis of Variance↗

Human cytomegalovirus-associated periodontitis in renal transplant patients.

BACKGROUND: Human cytomegalovirus (HCMV) infection is associated with renal transplant failure. Periodontal pockets may be reservoirs for HCMV replication. OBJECTIVES: This study was done to determine active HCMV replication in saliva and gingival crevicular fluid of renal transplant patients affected by periodontitis. METHODS: HCMV pp67-mRNA amplification was analyzed in oral fluids of 38 transplant recipients at 6 months' posttransplantation. Patients received antiviral therapy until 3 months' posttransplantation. The HCMV-positive cell line VR-977 was the positive control, and oral fluids from healthy volunteers served as the negative control. Periodontitis was diagnosed by clinical examination. Serum HCMV IgG and IgM were analyzed to differentiate recent and latent infection. RESULTS: Prevalence of gingival overgrowth was 68.4%. HCMV gene transcripts were detected in the saliva of 21% and the gingival crevicular fluid of 18% of patients. All patients (100%) with HCMV pp67-mRNA detected in saliva demonstrated clinical manifestations of viral infection, as did 86% of patients with HCMV pp67-mRNA detected in the gingival crevicular fluid. Serum IgM was positive in 7.9% of patients and IgG in 65.8%; however, associations with active mRNA replication were not statistically significant. CONCLUSIONS: Renal transplant patients affected by periodontitis are at risk of viral replication within the periodontal tissues despite antiviral therapy. This study suggests that use of HCMV pp67-mRNA detection in saliva and gingival crevicular fluid provides markers of active viral infection, and evidence for a link between HCMV-associated periodontitis and renal transplant complications.

Adult↗

Hydrolytic stability of experimental hydroxyapatite-filled dental composite materials.

OBJECTIVES: The purpose of this study was to analyze the behavior in water, related to mechanical properties, of experimental composites for dental restoration. METHODS: The studied materials were composed of a visible-light-curing monomer mixture (Bis-GMA and TEGDMA or HEMA) and micrometric, nanometric or a mixture of both sizes hydroxyapatite particles as a reinforcing filler. Filler particles were modified with a coupling agent (citric, hydrosuccinic, acrylic or methacrylic acid or silane). The hydrolytic stability of the evaluated materials was studied through total elution and water-uptake tests. Percent net-mass variation was daily monitored and analyzed as a function of time. Mechanical performance was examined through flexural properties and Vickers hardness. Morphological surface changes were observed with scanning electron microscopy. ANOVA statistical analysis was performed (P<0.05). RESULTS: In general, the use of HEMA instead of TEGDMA did not substantially worsen the composite quality. Dental composites containing only nanometric particles of hydroxyapatite as a filler are unsuitable for clinical performance. Midway-filled composite resins loaded with micro-HAP particles, coated with citric, acrylic or methacrylic acid displayed low percent elution and water-uptake values. Mechanical properties were similar or even superior to those measured for silane treated particles. SIGNIFICANCE: More research is needed to further improve the interaction of nano-HAP particles with the polymeric matrix, either as a single filler or, preferentially, mixed with micro-HAP, that will allow to increase the total loading of reinforcing filler and, hence, to improve the mechanical properties.

Analysis of Variance↗

Microleakage and SEM interfacial micromorphology of amalgam restorations using three adhesive systems.

OBJECTIVE: This study evaluated the microleakage and interfacial micromorphology of Class V cervical amalgam restorations lined with OptiBond, AElitebond, or Panavia 21. METHODS: Unlined amalgams served as control. Cavities were treated with each dentin bonding system according to the manufacturers' instructions and restored with Tytin non-gamma 2 spherical amalgam. After one week of storage in tap water at 37 degrees C, the specimens were thermocycled (1000 cycles, 6-60 degrees C, 30s dwell time). Microleakage was assessed by means of basic fuchsin dye penetration and recorded according to an ordinal scale. RESULTS: None of the systems tested in this study completely eliminated microleakage. Kruskal-Wallis one-way ANOVA and Mann-Whitney U test found that on the occlusal wall, Panavia 21 and the control group had the least leakage (P<0.05). No statistically significant differences were found at dentin margins (P>0.05). Wilcoxon matched pairs signed rank test found that Panavia 21 and the control group had less leakage at the occlusal than at the dentin margins (P<0.05); when AElitebond and OptiBond groups were evaluated, microleakage at the enamel and at the dentin margins was similar for each group. With the adhesive systems, perhaps the hydrophilic bonding agents incorporated the dye during specimen immersion and/or sectioning. CONCLUSIONS: The use of adhesives may not be as worthy as resin cements for sealing and bonding amalgam restorations to enamel and dentin.

Adhesives↗

Principal component analysis and cluster analysis for the characterization of dental composites.

Various experimental dental materials were characterized using chemometric methods. The main aim of the study was to ascertain which composite materials present the best properties for use in restorative dentistry. Bisphenol-alpha-glycidyl methacrylate-based composites containing hydroxyapatite as a filler and a coupling agent were prepared using a photocuring polymerization procedure. Several chemical and mechanical properties of experimental composites were measured and the corresponding data were further studied using principal component analysis and cluster analysis. Results from the characterization allowed the most appropriate materials to be selected. Various composites presented acceptable general properties suggesting their suitability as substitutes for commercial materials in dentistry.

Cluster Analysis↗

Microleakage of Class V resin-modified glass ionomer and compomer restorations.

STATEMENT OF PROBLEM: Resin-modified glass ionomers and polyacid-modified resin composites (compomers) have been introduced to provide esthetic restorations. However, there is concern about the marginal sealing ability of these materials, especially at the dentin (cementum) aspects of restorations. PURPOSE: This in vitro study evaluated the microleakage of Class V restorations made with resin-modified glass ionomers or a compomer. MATERIAL AND METHODS: Thirty noncarious human molar teeth were used. Standardized kidney-shaped Class V cavity preparations were placed in the buccal and lingual surfaces at the cementoenamel junction. Teeth were randomly assigned to 3 experimental groups of 10 teeth each and restored as follows: group 1, Fuji II LC; group 2, Vitremer; and group 3, Dyract. In all cases, the manufacturers' instructions were strictly followed. All materials were placed in a single increment. Unfinished restorations were immediately coated with the respective manufacturers' sealer or varnish and this was either light cured for 20 seconds or allowed to air-dry. After 24 hours, teeth were finished to contour and to the cavosurface margins, coated with nail varnish except for 1 mm around the restoration margin, thermocycled (1000x, 5-55 degrees C) and placed in a solution of 2% basic fuchsin dye for 24 hours at room temperature. The staining along the tooth restoration interface was recorded. RESULTS: Kruskal-Wallis 1-way analysis of variance revealed significant differences among all restorative materials for the overall, occlusal, and gingival scores (P =.03, P =.01, P =.01, respectively). Occlusal and gingival scores for each matched pair of restorative materials using the Wilcoxon test showed statistically significant differences between Fuji II LC glass ionomer cement and Dyract composite, both for the occlusal (P =.005) and gingival (P =.005) margins and also as an overall evaluation (P =.01), with Fuji II LC showing the least dye penetration. Vitremer revealed dye penetration scores not significantly different from Fuji II LC glass ionomer cement or Dyract composite. CONCLUSION: Resin-modified glass ionomers showed less or similar microleakage than the polyacid-modified composite resin tested.

Analysis of Variance↗

A 24-month study comparing sealant and fluoride varnish in caries reduction on different permanent first molar surfaces.

OBJECTIVE: The aim of this study was to determine the separate effects of dental sealants and fluoride varnish on dental caries in fissured and nonfissured surfaces of permanent first molars. METHODS: A clinical trial was conducted with three groups of 6- to 8-year-old schoolchildren: a sealant group (n = 100), in which Delton was applied to first molars; a varnish group (n = 98), in which Duraphat was applied to first molars; and a control group (n = 116), which had no intervention as part of the study. Absolute and percent caries reductions were compared at 24 months. RESULTS: Compared to the controls, sealants resulted in a 68 percent and 87 percent reduction on fissured and nonfissured surfaces, respectively. The corresponding figures for varnish were 38 percent and 66 percent. CONCLUSION: Sealant and fluoride varnish are effective in preventing caries in both fissured and nonfissured surface.

Bisphenol A-Glycidyl Methacrylate↗

Influence of enamel prophylaxis on wettability of three commercially available orthophosphoric acids.

An in vitro study was performed to assess the wettability of orthophosphoric acid after different procedures for cleaning the enamel surface. Ninety noncarious third molars were randomly distributed into three groups with different enamel surface treatments: an air-powder polisher unit, prophylaxis pastes, and no enamel surface cleaning. Three commercially available orthophosphoric acids were used, and there were 10 teeth in each group. Acid viscosity values and contact-angle measurements were obtained. Each enamel surface was also examined with the scanning electron microscope. Results suggested that the surface treatment with which the best spreading of the acid solution was attained was the air-powder polisher. The least spreading of the acid was obtained with prophylaxis pastes, in which contact angles were even higher than those obtained on the untreated enamel surface. The 3M acid solution was the one that showed the best spreading onto the enamel surface.

Acid Etching, Dental↗

Effectiveness of visible light fissure sealant (Delton) versus fluoride varnish (Duraphat): 24-month clinical trial.

The present study compares visible-light Delton with Duraphat fluoride varnish for the prevention of occlusal caries in permanent first molars. A clinical trial was carried out in three groups of 6-8-yr-old schoolchildren: a sealant group (100 children), in which Delton light-polymerized fissure sealant was applied to permanent first molars; a varnish group (98 children), in which Duraphat was applied to permanent first molars; and a control group (116 children). Replacement (sealant) and reapplication (varnish) was carried out every 6 months. Percent effectiveness at 24 months (percentage of saving from caries taking molars as analysis unit) for those molars initially healthy and with complete occlusal eruption was analyzed. 272, 252 and 238 molars met the inclusion criteria in the control, varnish and sealant groups, respectively. Of these, 45.2%, 28.2% and 10.5% developed caries after 24 months. The effectiveness was greater in the sealed molars than in the varnished molars (62.7%).

Bias↗

The influence of dft index on sealant success: a 48-month survival analysis.

Early loss of pit and fissure sealants is considered to be primarily dependent on inadequate isolation of the tooth from salivary contamination during application. Gradual additional loss is considered to be caused by occlusal wear, shearing forces, and marginal failure. Our hypothesis is that the caries risk of the child may be an additional factor in sealant loss. The objective of this study was to analyze the influence of caries history in primary teeth (dft index) on the success of sealants. Delton light-polymerized sealant was applied in 104 six- to eight-year-old children, followed for four years on a six-month-visit basis. All sound permanent first molars were sealed during the study. A survival analysis was used to describe sealant success over time. A Cox proportional hazards regression model was built to test the influence on sealant success of the dft index and site of sealant application (mandibular occlusal surface, maxillary fossae, and maxillary distolingual fissure), controlling for some potential confounders. Sealant half-life was 46 months. Site and dft index were related to sealant survival. The maxillary fossae showed the best retention, followed by the mandibular occlusal site and the maxillary disto-lingual fissure. The higher the dft, the higher the risk of sealant failure. This study has implications for sealant study designs and public sealant programs.

Bisphenol A-Glycidyl Methacrylate↗

Short-term changes in lymphocytes after placement of silver amalgam restorations in healthy subjects.

OBJECTIVES: The purpose of this study was to evaluate the changes in lymphocyte subpopulations that have led to immune system alterations after amalgam restorations were placed. METHODS: A controlled, quasi-experimental pretest-posttest design was used to investigate the immune effects of silver amalgam restorations in a sample of 60 individuals (30 experimental and 30 control subjects) aged 18 to 21 y. Two blood samples were obtained 15 d apart from each participant. In each experimental subject, two amalgam restorations were placed in posterior teeth immediately after the first blood sample was collected. The changes in lymphocyte subpopulations in the two groups were compared by multivariate analysis. RESULTS: There was a greater change in T8 lymphocytes in experimental than in control subjects; increases in B, DR, NK, and CD45R lymphocytes were smaller in experimental than in control subjects; the changes in T3 and T4 lymphocytes did not differ significantly between the two groups. SIGNIFICANCE: Despite the statistical significance of some differences between the two groups, the differences are not considered to be clinically relevant for the 2 wk time period after placement.

B-Lymphocytes↗

Effect of naloxone in the median eminence on gonadotrophin secretion in intact male rats.

To evaluate whether the median eminence (ME) is a site of action of opioids on gonadotropin secretion, we injected naloxone into the ME in male rats and measured LH and FSH serum levels. Injection into the ME of either 0.5 or 1 microgram of naloxone significantly decreased serum LH levels 10 and 30 min postinjection. A dose of 0.1 microgram had not effect. Naloxone at the doses used had no significant effect on FSH secretion. From these data it can be concluded that endogenous opioids exert a tonic stimulation on LH secretion under our experimental conditions.

Animals↗

Modulation of LH secretion by progesterone and estradiol after naloxone injection in the median eminence.

To evaluate whether the median eminence (ME) is a site of action of opioids on gonadotropin secretion, and to determinate the role of estradiol (E) and progesterone (P) in modifying these secretion in response to naloxone, we injected naloxone (1, 2.5 and 5 micrograms) into the ME in ovariectomized rats treated with estradiol benzoate (OVX+E) or ovariectomized rats treated with estradiol benzoate plus progesterone (OVX+E+P), and measured LH and FSH serum levels 10 and 30 min postinjection. Naloxone injection at doses of 2.5 and 5 micrograms significantly increased serum LH levels in OVX+E animals 10 and 30 min postinjection, whereas naloxone injection at all doses in OVX+E+P rats did not have any significant effect on LH secretion 10 and 30 min postinjection, when compared with values obtained in controls injected with saline. The injection of naloxone into the ME did not modify FSH secretion. We conclude that naloxone, acting within the ME, can elicit LH release in OVX+E rats, while it abolishes this effect in OVX+E+P rats.

Animals↗

Androgenic status in cyclic and postmenopausal women: a comparison between smokers and nonsmokers.

Serum total testosterone (T), free testosterone (fT) sex hormone binding globulin (SHBG), androstenedione (A) and 3 alpha androstanediol glucuronide (3 alpha-diol G) levels as well as serum free androgen index (FAI), fT/T and 3 alpha-diol G/T ratios were measured in premenopausal and cyclic women, grouped according to sexual status and smoking status. Our results showed that serum T, fT, SHBG, A and 3 alpha-diol G levels were lower in cyclic women in the follicular than in the luteal phase of the ovarian cycle, although the differences between these values were not significant. Postmenopausal women had significantly lower values of T, fT, A 3 alpha-diol G, FAI and 3 alpha diolG/T but not SHBG and fT/T than cyclic women. When we compared women smokers and nonsmokers, women smokers had serum levels of T, fT, SHBG, 3 alpha-diol G, and values of FAI, fT/T and 3 alpha-diol G/T, similar to those in nonsmokers. Serum A levels were higher in women smokers than in nonsmokers, although the difference was significant only in postmenopausal women.

Androgens↗