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    Biomineralization induced by chitosan and collagen‐based materials with fluoride for dentin coverage: Chemical and morphological analysis
    (Wiley) Nahórny, Sidnei; Oliveira, Ivone Regina de; Soares, Luís Eduardo Silva
    The prevention and treatment of erosive tooth wear are becoming increasingly important due to its increasing prevalence. The use of natural solutions to modify dental surfaces has become an area of research. Organic materials such as chitosan and hydrolyzed collagen may be a promising option to treat dentin. This in vitro study aimed to evaluate the influence of chitosan or hydrolyzed collagen, alone or com- bined with acidulated phosphate fluoride (APF) gel, on the composition and morphol- ogy of dentin after erosion. Bovine dentin samples were prepared (n = 84) and treated with artificial saliva (AS, negative control); APF gel (F, positive control); chitosan solution (Chi); hydrolyzed collagen solution (Col); fluoride/chitosan composi- tion (F_Chi); and fluoride/hydrolyzed collagen composition (F_Col). Erosive cycles (six cycles of immersion in orange juice for 1 min, followed by immersion in AS for 1 hr) were performed. The materials were characterized by their morphology, composition, and particle size distribution. Micro-energy dispersive X-ray fluorescence spectros- copy and scanning electron were used to evaluate the dentin's inorganic chemical composition and morphology. The F_Col and F groups had a reduction in calcium loss by 17 and 26%, respectively (p < .001). Both of these groups still had a covering layer of agglomerates at the dentin surface after the erosive cycles. The fluoridated chitosan or collagen solutions improved the dentin resistance to erosion as a novel hybrid-fluoride-based material approach to provide surface protection from erosion.
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    Does the composition of toothpaste affect the tooth resistance to erosion/abrasion processes?
    (CDRR Editors) Luz, Bruna Ribeiro; Silva, Gustavo Henrique Faria; Silva, Marcelo Henrique Pereira Marques da; Laurindo, Vinicius Silva; Seefeldt, Vanessa Borelli; Nahórny, Sidnei; Soares, Luís Eduardo Silva
    This study aimed to evaluate the tooth after brushing with toothpaste containing or not active compounds and with different fluoride concentrations after erosion to establish and compare the effectiveness of each dentifrice in its use. Enamel, E (n=36) and dentin, D (n=36) bovine specimens were treated with artificial saliva (AS - control), fluoridated dentifrice (FD), 8% arginine (AR), and calcium silicate (CS). The samples (n=72) were subjected to cycles of demineralization (orange juice) followed by remineralization (saliva) and then tooth brushing (AR, FD and CS). The above cycle was repeated 3´/day for five days. Micro energy-dispersive X-ray fluorescence spectrometry (µ-EDXRF), roughness testing and scanning electron microscopy (SEM) were performed. The mean of roughness values (Ra, μm) were E-AS, 0.20; E-FD, 0.15; E-AR, 0.18; E-CS, 0.18; D-AS, 0.31; D-FD, 0.30; D-AR, 0.37; D-CS, 0.44. The SEM images showed a clear loss of tooth substance in AS and FD treatments. A significant positive mineral variation was observed on the dentin after brushed with AR (p<0.05). The FD dentifrice minimized the erosive effects of the orange juice. Arginine and calcium silicate could improve dental protection by the deposition of a surface layer of deposits. Different active compounds resulted in diverse degrees of protection regarding the type of substrate. The high concentration of fluoride and the inclusion of active compounds improves the dentifrice protection level.
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    Dentifrícios contendo fitoterápicos em sua composição e seus benefícios: uma revisão de literatura
    (CDRR Editors) Lopes, Ludimila Carla Fróes; Soares, Luís Eduardo Silva
    Os dentifrícios são produtos de higiene pessoal utilizados na prevenção e no tratamento das doenças prevalentes na cavidade bucal como a cárie dentária e as doenças periodontais. Este estudo trata-se de uma revisão de literatura, com caráter narrativo sobre os dentifrícios contendo fitoterápicos em sua composição e seus benefícios relatados. A revisão de literatura foi realizada com artigos publicados na língua portuguesa e inglesa, encontrados entre os meses de janeiro e agosto de 2021 nas bases de dados online do Scielo, BVS, PubMed e Google Acadêmico. Com as informações selecionadas, foi realizada uma análise narrativa, relacionando os dentifrícios e seus componentes bem como as propriedades de cada fitoterápico. Foram selecionados 22 artigos entre osanos de 1999 e 2021. A adição de fitoterápicos aos dentifrícios potencializa sua ação. As indicações usuais dos fitoterápicos estão associadas no tratamento de infecções, inflamações, odontalgias e processos cicatriciais, dentre outras. A utilização de forma correta dos fitoterápicos fornece uma série de benefícios, vistoque os produtos naturais são de fácil acesso, apresentam baixa toxicidade e biocompatibilidade comprovada cientificamente. Os fitoterápicos presentes nos dentifrícios são opções viáveis no controle e tratamento das afecções bucais, principalmente o biofilme dentário.
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    Enamel erosion prevention and mechanism: effect of 10.6-μm wavelength CO2 laser low power density irradiation studied by X-ray fluorescence and infrared spectroscopy and scanning electron microscopy
    (Springer Nature Link) Lopes, Francialza Veras Viana; Sanches, Roberto Pizarro; Vasconcelos, Getúlio de; Bhattacharjee, Tanmoy T.; Santo, Ana Maria do Espírito; Soares, Luís Eduardo Silva
    Purpose This study assessed the effects of carbon dioxide (CO2) laser (λ = 10.6 μm, 5 W, 70 J/cm2) irradiation alone and after treatment with neutral fluoride gel on enamel and their efficacy in preventing enamel erosion compared to untreated and fluoride gel-treated enamel. Methods Enamel surfaces of the bovine incisor (n = 7/group) were treated with artificial saliva (S, negative control), neutral fluoride (NF, positive control), CO2 laser irradiation (L), and NF + laser (NF + L). Samples were acid demineralized (soft drink, pH ~ 3.2, 10 min), remineralized (saliva, 37 °C, 1 h), and analyzed using micro-energy-dispersive X-ray fluorescence spectrom- etry (μ-EDXRF), attenuated total reflectance–Fourier-transform infrared (ATR-FTIR) spectroscopy, and scanning electron microscopy (SEM). Results Results suggest that NF gives the best protection against erosion, followed by NF + L and L. μ- EDXRF showed that changes due to laser treatment in L and NF + L were uneven. SEM images showed morphological changes in L and NF + L such as craters, fissures, and roughness in some regions, again indicating the unevenness of laser-induced enamel changes. ATR-FTIR mean spectra intensity levels and principal component analysis also indicate higher efficacy of fluoride over laser treatments and unevenness of laser treatments. Conclusion Overall, it can be concluded that CO2 laser parameters need to be further investigated to promote adequate protection with minimum surface changes.
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    Combined morphological-compositional analysis of the interaction of collagen and chitosan based-materials with demineralized bovine dentin
    (Brazilian Journals Publicações de Periódicos) Nahórny, Sidnei; Oliveira, Ivone Regina de; Soares, Luís Eduardo Silva
    Treatments to promote the biomineralization of dentin are the focus of much research with different materials and processes. Biomineralization is a process mediated by an organic matrix in which organic macromolecules act as models for the nucleation and growth of mineral crystals to form hierarchically ordered hybrid materials, such as bones or teeth. This study describes the application of novel materials based on collagen and chitosan aimed to protect the dentin from erosive conditions. The dentin morphology of the bovine teeth treated with these materials was visualized using scanning electron microscopy (SEM). In additions, it was possible to confirm the data by analyzing the distribution of inorganic content of dentin by micro energy-dispersive X-ray fluorescence spectrometry (µ-EDXRF). The association of analytical techniques demonstrated greater surface coverage for the chitosan-fluoride followed by the hydrolyzed collagen. Both materials are promising for the application of dentin coverage in dentistry.
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    Intranasal photobiomodulation therapy for COVID-19-related olfactory dysfunction: A Brazilian multicenter case series
    (ELSEVIER) Soares, Luís Eduardo Silva; Guirado, Milena Miranda Goulart; Berlingieri, Giuseppina; Ramires, Marcia Christina Camargo Hernandes; Lyra, Luciana Aparecida de Oliveira P.; Teixeira, Inessa Solek; Oliveira, Patrícia Costa; Tateno, Ricardo Yudi; Palma, Luiz Felipe; Campos, Luana
    Olfactory dysfunction is commonly seen in COVID-19 patients; however, little is known about the pathophysiology and management. The present study aimed to report a series of cases in which three protocols of intranasal photobiomodulation therapy (PBMT) were used for COVID-19-related olfactory dysfunction. Irrespective of the PBMT protocol, olfaction recovery was noted in all cases but with varying degrees of improvement. Although intranasal PBMT seems to be a promising therapeutic modality, more research is needed to better define effectiveness.