The aim of this study was to quantify biofilm on the internal surface of upper complete dentures following six possible cleansing methods. Thirty-six edentulous subjects were submitted to a time-series trial and dentures were cleansed according to six methods: (i) rinsing with water; (ii) soaking in an alkaline peroxide solution (Bonyplus); (iii) brushing with dentifrice (Dentu-Creme) and soft Johnson and Johnson's toothbrush; (iv) combination between soaking and brushing according to methods 2 and 3; (v) brushing with dentifrice (Dentu-Creme) and soft Oral B toothbrush; (vi) combination between soaking and brushing according to methods 2 and 5. Each method was randomly used throughout 21 days. Denture biofilm was disclosed by 1% neutral red solution and quantified by means of digital photos taken from the internal surface. The six methods presented significant differences in percentage of biofilm coverage (repeated measures anova, P < 0.0001). Method 1 showed the highest values, 2 was intermediate and other results were the lowest. The most efficacious approach was 6. Biofilm tended to accumulate predominantly over specific zones of the denture base, but this pattern did not change regardless of the method employed. It can be concluded that brushing alone was more effective than the chemical method employed. The best results were obtained by a combination of methods.
Adequate denture hygiene can prevent and treat infection in edentulous patients. They
are usually elderly and have difficulty for brushing their teeth.ObjectiveThis study evaluated the efficacy of complete denture biofilm removal using
chemical (alkaline peroxide-effervescent tablets), mechanical (ultrasonic) and
combined (association of the effervescent and ultrasonic) methods. Material and MethodsEighty complete denture wearers participated in the experiment for 21 days. They
were distributed into 4 groups (n=20): (1) Brushing with water (Control); (2)
Effervescent tablets (Corega Tabs); (3) Ultrasonic device (Ultrasonic Cleaner,
model 2840 D); (4) Association of effervescent tablets and ultrasonic device. All
groups brushed their dentures with a specific brush (Bitufo) and water, 3 times a
day, before applying their treatments. Denture biofilm was collected at baseline
and after 21 days. To quantify the biofilm, the internal surfaces of the maxillary
complete dentures were stained and photographed at 45º. The photographs were
processed and the areas (total internal surface stained with biofilm) quantified
(Image Tool 2.02). The percentage of the biofilm was calculated by the ratio
between the biofilm area multiplied by 100 and the total area of the internal
surface of the maxillary complete denture. ResultsThe Kruskal-Wallis test was used for comparison among groups followed by the Dunn
multiple-comparison test. All tests were performed respecting a significance level
of 0.05. Significant difference was found among the treatments (KW=21.18;
P<0.001), the mean ranks for the treatments and results for Dunn multiple
comparison test were: Control (60.9); Chemical (37.2); Mechanical (35.2) and
Combined (29.1). ConclusionThe experimental methods were equally effective regarding the ability to remove
biofilm and were superior to the control method (brushing with water). Immersion
in alkaline peroxide and ultrasonic vibration can be used as auxiliary agents for
cleaning complete dentures.
The effervescent tablets significantly reduced mutans streptococci and total aerobes from denture biofilm. However, they was not as effective against C. albicans. Ultrasonic cleansing presented a discrete antimicrobial effect and was less effective than the tablets for complete denture disinfection.
Both chlorhexidine-based treatments had a similar ability to remove denture biofilm. Immersion in 0.12% or 2.0% chlorhexidine solutions can be used as an auxiliary method for cleaning complete dentures.
On February 6, 1994, a large debris flow developed because of intense rains in a 800-m-high mountain range called Serra do Cubatão, the local name for the Serra do Mar, located along the coast of the state of São Paulo, Brazil. It affected the Presidente Bernardes Refinery, owned by Petrobrás, in Cubatão. The damages amounted to about US $40 million because of the muck cleaning, repairs, and 3-week interruption of the operations. This prompted Petrobrás to conduct studies, carried out by the authors, to develop protection works, which were done at a cost of approximately US $12 million. The paper describes the studies conducted on debris flow mechanics. A new criteria to define rainfall intensities that trigger debris flows is presented, as well as a correlation of slipped area with soil porosity and rain intensity. Also presented are (a) an actual grain size distribution of a deposited material, determined by laboratory and a large-scale field test, and (b) the size distribution of large boulders along the river bed. Based on theory, empirical experience and backanalysis of the events, the main parameters as the front velocity, the peak discharge and the volume of the transported sediments were determined in a rational basis for the design of the protection works. Finally, the paper describes the set of the protection works built, emphasizing their concept and function. They also included some low-cost innovative works.
The planar oscillatory flow crystallizer (planar‐OFC) was designed with a rectangular cross‐section to improve the flow and suspension of solids of conventional OFCs. Residence time distribution experiments with liquid and solid tracers were performed to assess the effect of the net flow rate, Q, the frequency, f, and the amplitude of oscillation, x0, on the axial dispersion of liquids, , and solids, , in three planar‐OFCs with different geometries. It was found that Q and f have in general positive effects on and , and x0 has negative effects. Furthermore, identical values of and were obtained in each crystallizer. It was also found that the interaction between Q and x0 is the most significant one in all systems. These results show that the three crystallizers have similar axial dispersion performances with liquids and solids. This is of paramount importance for multiphase systems such as crystallization.
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