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silva_kg_dr_araca.pdf: 1119234 bytes, checksum: 5618d5d8828102cf1192a2ce0a173ef5 (MD5) / Coordenação de Aperfeiçoamento de Pessoal de Nível Superior (CAPES) / O objetivo desse estudo foi avaliar in situ o potencial remineralizador de selantes que contenham fosfato de cálcio amorfo e/ou fluoreto com lesão artificial de cárie em esmalte de superfície lisa. Dez voluntários participaram desse estudo triplo cego com duração de 5 dias para cada grupo (esmalte desmineralizado + Fluroshield, esmalte desmineralizado + Aegis (ACP), esmalte desmineralizado + Fluoreto (experimental), esmalte desmineralizado + ACP + Fluoreto (experimental) e esmalte desmineralizado – Controle) e intervalo de 7 dias entre eles. Dez dias antes do início e durante todo o experimento os voluntários utilizaram dentifrício não fluoretado. Após o período experimental, foram avaliadas a porcentagem de recuperação de microdureza de superfície (%MDS), recuperação da área mineral integrada (_Z) e determinada a concentração de fluoreto (μg F/mm3), cálcio (μg Ca/mm3) e fósforo (μg P/mm3) presentes no esmalte. Os dados obtidos da %MDS e _Z foram submetidos à Análise de Variância seguida do teste de Tukey, e os do fluoreto, cálcio e fósforo foram submetidos ao teste de Kruskal-Wallis (p<0,05). Todas as variáveis foram submetidas à análise de regressão e ajustadas de acordo com a tendência. Os grupos de materiais com fluoreto e/ou ACP apresentaram maior capacidade remineralizadora (%MDS e _Z) quando comparado com o grupo Controle. O grupo com apenas ACP apresentou resultado melhor ou semelhante quando comparado com os outros grupos e a associação do ACP e fluoreto não mostrou ser mais eficiente. A lesão de cárie mostrou-se mais remineralizada na distância de 150 ìm quando comparada com a de 600 ìm para os valores de %MDS. As concentrações de fluoreto, cálcio e fósforo presentes no esmalte variaram de acordo com o grupo analisado. Entre as variáveis avaliadas, somente foi verificada correlação entre %MDS e _Z. / The purpose of this study was to evaluate in situ the remineralizing potential of sealants containing amorphous calcium phosphate and/or fluoride in artificially induced carious lesions on smooth enamel surfaces. Ten volunteers took part in this triple-blind study, which had the duration of 5 days for each group: demineralized enamel + Fluroshield; demineralized enamel + Aegis (ACP); demineralized enamel + Fluoride (experimental); demineralized enamel + ACP + Fluoride (experimental) and demineralized enamel (Control). A wash-out period of 7 days was allowed between the treatments. Ten days before and during the whole experiment the volunteers used a non-fluoridated dentifrice. After the experimental period, the percentage recovery of surface microhardness (%RSM) and the recovery of integrated mineral area (HZ) were evaluated. The concentration of fluoride (Jg F/mm3), calcium (Jg Ca/mm3) and phosphorous (Jg P/mm3) present in enamel was also determined. Data obtained from %RSM and HZ were submitted to Analysis of Variance and Tukey’s test. Data from fluoride, calcium and phosphorous concentration were submitted to Kruskal-Wallis test. Significance level was set at 5%. All variables were also evaluated by regression analysis and adjusted according to the tendency. The groups with materials containing fluoride and/or ACP presented a higher remineralizing capacity (%RSM and HZ) than the Control group. The group with material containing only ACP showed a better or similar result compared to the other groups. The association between ACP and fluoride did not show a greater efficacy. For %RSM, the 150-Jm distance showed a higher remineralization of the artificially induced carious lesions compared to the 600-Jm distance. The concentrations of fluoride, calcium and phosphorous present in enamel varied according to the group.
| Identifer | oai:union.ndltd.org:IBICT/oai:repositorio.unesp.br:11449/104232 |
| Date | 20 December 2007 |
| Creators | Silva, Kélio Garcia [UNESP] |
| Contributors | Universidade Estadual Paulista (UNESP), Pedrini, Denise [UNESP] |
| Publisher | Universidade Estadual Paulista (UNESP) |
| Source Sets | IBICT Brazilian ETDs |
| Language | Portuguese |
| Detected Language | Portuguese |
| Type | info:eu-repo/semantics/publishedVersion, info:eu-repo/semantics/doctoralThesis |
| Format | 70 f. : il. + 1 CD-ROM |
| Source | Aleph, reponame:Repositório Institucional da UNESP, instname:Universidade Estadual Paulista, instacron:UNESP |
| Rights | info:eu-repo/semantics/openAccess |
| Relation | -1, -1 |
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