Erosion and abrasion-inhibiting in situ effect of the Euclea natalensis plant of African regionsAbstract: This study evaluated the effect of Euclea natalensis gel on the reduction of erosive wear with or without abrasion, in enamel and dentin. During two five-day experimental crossover phases, volunteers (n = 10) wore palatal devices containing human enamel and dentin blocks (E = 8 and D = 8). The gel was applied in a thin layer in the experimental group, and was not applied in the control group. In the intraoral phase, volunteers used the palatal appliance for 12 h before the gel treatment, and were instructed to start the erosive challenges 6 h after the gel application. Erosion was performed with Coca-Cola ® (for 5 min) 4 times/day. The appliance was then put back into the mouth and was brushed after 30 minutes. After intraoral exposure, the appliances were removed and the specimens were analyzed using profilometry (mean ± SD, μm). The Euclea natalensis gel caused less wear in enamel in the experimental group (EROS = 12.86 ± 1.75 µm; EROS + ABRAS = 12.13 ± 2.12 µm) than in the control group (EROS = 14.12 ± 7.66 µm; EROS + ABRAS = 16.29 ± 10.72 µm); however, the groups did not differ from each other significantly. A statistically significant value was found for erosion and eros + abrasion in dentin (p = 0.001). Euclea natalensis may play a role in the prevention of dentin loss under mild erosive and abrasive conditions. A clinical trial is required to confirm these promising results in a clinical situation.
Objective: To determine the rate of dental caries and periodontal rates in Mozambican population. Material and Methods: The sample size was 722, categorized in age groups of 6,12, 15-19 and 35-44 in public schools and markets randomly selected in five provinces of Mozambique (Maputo, Gaza, Manica, Tete and Zambezia), in urban and rural areas. Clinical examinations were performed by calibrated examiners using WHO, DMFT/dmft and CPI indexes. Data analysis was descriptive and analytical, using a Chi-square test and Pearson's correlation (P <0.05). Results: The adults aged 35-44 presented higher dental caries (DMFT=1.94) than those aged 6 years (dmft = 1.16), 12 years (DMFT=0.60), and 15-19 years (DMFT=0.87). Dental caries was more prevalent in urban area (1.89) than rural area (1.33) with statistical difference p=0.004. The dental caries was the highest at Manica Province n=68 (85%) and lowest in Tete Province n=70 (31%). Regarding to periodontal status, the most prevalent disease, was Calculus in adults of 35-44 n=95 (59.4%), and the prevalence of individual free of periodontal disease was n=182 (34.3%). Conclusion: When assessing this population for dental caries and periodontal status, the 35-44 years old presented the highest rate of both diseases at all age.
Este estudo avaliou in situ a ação do gel contendo euclea natalensis na redução da erosão associada ou não abrasão em esmalte e dentina humanos. O estudo foi realizado em duas fases cruzadas de cinco dias cada (SG-sem gel e CG-com gel) nas quais 10 voluntários utilizaram placas palatinas com 4 blocos de esmalte e 4 blocos de dentina, distribuídos em duas fileiras horizontais contendo 4 blocos, correspondendo aos subgrupos: erosão (Eros); erosão + abrasão (30min) (Eros + Abras). Em fases alternadas metade dos voluntários teve a aplicação do gel em todos espécimes do aparelho e na outra metade os espécimes não sofreram tratamento nenhum. O gel foi aplicado durante 5 minutos, sendo o mesmo removido após este tempo. Na etapa experimental os aparelhos foram imersos em refrigerante 4x ao dia, por 5 minutos. A seguir o aparelho foi colocado na boca por 30 minutos. Após este período os voluntários escovaram 4 espécimes da fileira Eros + Abras e recolocaram o aparelho. A outra fileira (Eros) não foi escovada. A análise da perda de estrutura dentária foi realizada por meio de teste de perfilometria e microdureza. Foi utilizada a análise de variância (ANOVA) a 2 critérios (presença ou ausência da aplicação do gel) de acordo com cada substrato e o teste TUCKEY (p<0,05). Não houve associação entre perda de dureza e condições ou grupos testados (p>0,05). O desgaste dentário médio nos blocos de esmalte para o grupo CG foi de 12,86µm eros e 12,13µm eros+abras e para os blocos de dentina foi de 5,95µm eros e 6,16µm eros+abras. A média de desgaste dentário para o grupo SG, em blocos de esmalte foi de 14,08µm eros e 16,29µm eros+abras e, nos blocos de dentina foi de 13,64µm eros e 12,63µm eros+abras. Houve diferença significativa entre os grupos (p<0,05). Concluiu-se que o gel contendo euclea natalensis é capaz de reduzir o desgaste associado ou não a abrasão, independente do tipo de substrato, esmalte ou dentina.
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