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Efficacy of Negative-Pressure Wound Therapy with Tetrachlorodecaoxygen-Anion Complex Instillation Compared with Standard Negative-Pressure Wound Therapy for Accelerated Wound Healing: A Prospective, Randomized, Controlled Trial.
Burusapat, C, Sringkarawat, S
Plastic and reconstructive surgery. 2021;(2):339-352
Abstract
BACKGROUND Negative-pressure wound therapy (NPWT) with instillation is a novel wound therapy. The optimal solution is still being investigated. Tetrachlorodecaoxygen-anion complex (TCDO) causes increased phagocytosis and oxygenation. The authors' objective was to investigate the efficacy of NPWT with TCDO instillation (NPWTi) and to compare the results with NPWT alone. METHODS A randomized controlled trial was conducted. Inclusion criteria were wound size greater than 4 cm2 and depth greater than 10 mm. Exclusion criteria were malignancy, immunocompromise, and allergy to TCDO. Patients were randomized into NPWT and NPWTi groups. Outcome measurements consisted of wound surface area, depth, volume, tissue culture, and pathologic evaluation. RESULTS A total of 24 patients in each group were enrolled. The percentages of wound surface area reduction of NPWTi and NPWT groups were 24.1 ± 6.8 and 28.2 ± 7.6 on day 12, and 19.0 ± 6.6 and 22.7 ± 7.8 on day 15, respectively (p < 0.05). The percentages of wound depth reduction were 16.4 ± 5.3 and 22.5 ± 10.5 on day 12, and 12.0 ± 6.7 and 14.1 ± 8.0 on day 15, respectively (p < 0.05). The percentages of wound volume reduction were 17.9 ± 4.6 and 21.6 ± 5.8 on day 12, and 14.7 ± 6.0 and 17.1 ± 6.6 on day 15, respectively (p < 0.05). No statistically significant difference in microbial reduction was found between the groups. Histopathologic examination showed that more angiogenesis was observed in the NPWTi group than in the NPWT group. CONCLUSIONS NPWT with TCDO instillation statistically significantly accelerated wound healing, but it did not show significant microbial reduction. The authors' results suggest that TCDO instillation may be an adjunctive treatment in NPWT. CLINICAL QUESTION/LEVEL OF EVIDENCE Therapeutic, II.
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Evaluation of Resin-Based Material Containing Copaiba Oleoresin (Copaifera Reticulata Ducke): Biological Effects on the Human Dental Pulp Stem Cells.
Couto, RSD, Rodrigues, MFSD, Ferreira, LS, Diniz, IMA, Silva, FS, Lopez, TCC, Lima, RR, Marques, MM
Biomolecules. 2020;(7)
Abstract
The purpose of this study was to analyze in vitro the biological effects on human dental pulp stem cells triggered in response to substances leached or dissolved from two experimental cements for dental pulp capping. The experimental materials, based on extracts from Copaifera reticulata Ducke (COP), were compared to calcium hydroxide [Ca(OH)2] and mineral trioxide aggregate (MTA), materials commonly used for direct dental pulp capping in restorative dentistry. For this, human dental pulp stem cells were exposed to COP associated or not with Ca(OH)2 or MTA. Cell cytocompatibility, migration, and differentiation (mineralized nodule formation (Alizarin red assay) and gene expression (RT-qPCR) of OCN, DSPP, and HSP-27 (genes regulated in biomineralization events)) were evaluated. The results showed that the association of COP reduced the cytotoxicity of Ca(OH)2. Upregulations of the OCN, DSPP, and HSP-27 genes were observed in response to the association of COP to MTA, and the DSPP and HSP-27 genes were upregulated in the Ca(OH)2 + COP group. In up to 24 h, cell migration was significantly enhanced in the MTA + COP and Ca(OH)2 + COP groups. In conclusion, the combination of COP with the currently used materials for dental pulp capping [Ca(OH)2 and MTA] improved the cell activities related to pulp repair (i.e., cytocompatibility, differentiation, mineralization, and migration) including a protective effect against the cytotoxicity of Ca(OH)2.
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Does Adding Various Accelerators to Mineral Trioxide Aggregate Have a Negatively Effect on Push-Out Bond Strength?
İlker, A, Sarıyılmaz, E, Çakici, F
Medical principles and practice : international journal of the Kuwait University, Health Science Centre. 2019;(1):36-40
Abstract
OBJECTIVE This study compares the effect of the white mineral trioxide aggregate (WMTA) accelerators, including disodium hydrogen orthophosphate (Na2HPO4; 2.5 wt%), calcium chloride (CaCl2; 5 and 10 wt%), and KY jelly, on the push-out bond strength of WMTA. The null hypothesis was that the WMTA accelerators would not affect the push-out bond strength of WMTA. MATERIALS AND METHODS Slices (2-mm-thick) were obtained from 75 human mandibular molar distal roots. The slices were enlarged up to size 6 Gates-Glidden burs to obtain a 1.5-mm canal diameter. The slices were randomly divided into 4 experimental groups and a control group (n = 15 in each group). Freshly prepared WMTA mixture was placed into the root slices and stored at 37°C in a 100% humidified atmosphere for 60 days. The force required to dislodge the WMTA cement from the root slice was determined using a universal testing machine. The push-out bond strength was calculated. RESULTS Push- out bond strength of 5- and 10-wt% CaCl2, and 2.5-wt% Na2HPO4 WMTA groups was significantly lower than in the KY-jelly and control groups (p < 0.05). The mean push-out bond strength of KY jelly was lower than in the control group but not statistically significant. CONCLUSION The addition of KY jelly to WMTA did not have an adverse effect on the push-out bond strength of WMTA, in contrast to the other accelerators, including Na2HPO4 and CaCl2, which reduced the push-out bond strength.
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Comparative study of Cu-based bimetallic oxides for Fenton-like degradation of organic pollutants.
Wang, Q, Ma, Y, Xing, S
Chemosphere. 2018;:450-456
Abstract
In order to provide useful information for the rational design of effective Fenton-like catalyst, a series of Cu-based bimetallic oxides were synthesized and their Fenton-like performances for the degradation of Orange II and ciprofloxacin were compared. The structure, chemical oxidation state, surface charge property and redox ability of the catalysts were also investigated by different characterization techniques. Among them, NiCu exhibited the highest adsorption capacity towards Orange II and the highest activity for the production of OH from H2O2 decomposition, which could be attributed to its high surface area and highly positively charged surface. However, FeCu exhibited the highest activity for the degradation of Orange II. The reason might be that FeCu has more unpaired electrons and higher redox ability, thus promoting the activation of adsorbed Orange II through the electron transfer process. By contrast, NiCu exhibited the highest activity for the removal of ciprofloxacin because ciprofloxacin was mainly degraded by OH. Finally, the main degradation intermediates of Orange II and ciprofloxacin were determined by liquid chromatography-mass spectrometry.
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Human Pulp Responses to Partial Pulpotomy Treatment with TheraCal as Compared with Biodentine and ProRoot MTA: A Clinical Trial.
Bakhtiar, H, Nekoofar, MH, Aminishakib, P, Abedi, F, Naghi Moosavi, F, Esnaashari, E, Azizi, A, Esmailian, S, Ellini, MR, Mesgarzadeh, V, et al
Journal of endodontics. 2017;(11):1786-1791
Abstract
INTRODUCTION Questions exist regarding the efficacy of resin-containing materials such as TheraCal directly applied on the pulp. This study sought to investigate the clinical efficacy of TheraCal as compared with Biodentine and ProRoot mineral trioxide aggregate (MTA) for partial pulpotomy. METHODS In this clinical trial, partial pulpotomy was performed for 27 sound human maxillary and mandibular third molars scheduled for extraction. The teeth were randomly divided into 3 groups (n = 9) and underwent partial pulpotomy with TheraCal, Biodentine, and ProRoot MTA. The teeth were then restored with glass ionomer cement. Clinical and electric pulp tests were performed after 1 and 8 weeks. The teeth were radiographed and extracted at 8 weeks. Histologic sections were prepared and analyzed for pulp inflammation and dentinal bridge formation. Data were analyzed by using one-way analysis of variance. RESULTS Clinical examination showed no sensitivity to heat, cold, or palpation in ProRoot MTA and Biodentine groups. Two patients in TheraCal group (20%) reported significant pain at 1 week. Periapical radiographs showed no periapical pathology, and electric pulp test revealed a normal pulp response with no hypersensitivity. Inflammation was absent with all materials at 8 weeks. Normal pulp organization was seen in 33.33% of the teeth in ProRoot MTA, 11.11% in TheraCal, and 66.67% in Biodentine group (P = .06). Biodentine group showed complete dentinal bridge formation in all teeth, whereas this rate was 11% and 56% in TheraCal and ProRoot MTA groups, respectively (P = .001). CONCLUSIONS Overall, Biodentine and MTA performed better than TheraCal when used as partial pulpotomy agent and presented the best clinical outcomes.
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Suboptimal push-out bond strengths of calcium silicate-based sealers.
Oliveira, DS, Cardoso, ML, Queiroz, TF, Silva, EJ, Souza, EM, De-Deus, G
International endodontic journal. 2016;(8):796-801
Abstract
AIM: To evaluate and compare the push-out bond strength of MTA Fillapex (Angelus, Londrina, Brazil) and iRoot SP (Innovative BioCeramix Inc., Vancouver, Canada) to the dentine walls of root canals. AH Plus (Dentsply DeTrey, Konstaz, Germany) and MTA (Angelus, Londrina, Brazil) were used as reference materials. METHODOLOGY Sixty extracted human single-rooted teeth were selected. After standardized canal preparation and irrigation, the canals were dried with paper points and filled with one of four sealers: AH Plus, iRoot SP, MTA and MTA Fillapex. Roots were sectioned, and push-out tests were performed. The values of bond strength were analysed using the Kruskal-Wallis test. Mann-Whitney with Bonferroni correction was used to isolate the differences. The alpha-type error was set at 0.05 for the analyses. RESULTS All specimens had measurable adhesion to root dentine and no premature failure occurred. There were significant differences amongst materials (P = 0.000). MTA-filled specimens had higher push-out bond strength values (P = 0.000). AH Plus had significantly higher bond strength than both Fillapex and iRoot SP (P = 0.000). Both Fillapex and iRoot SP had the lowest push-out bond strength amongst all experimental groups (P = 0.000). No difference occurred between the two calcium silicate-based root canal sealers (P = 0.265). CONCLUSION The adhesion to root dentine associated with newer calcium silicate-based sealers was compromised even when well-monitored laboratory conditions were used.
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A Randomized Trial Using 3Mixtatin Compared to MTA in Primary Molars with Inflammatory Root Resorption: A Novel Endodontic Biomaterial.
Aminabadi, NA, Huang, B, Samiei, M, Agheli, S, Jamali, Z, Shirazi, S
The Journal of clinical pediatric dentistry. 2016;(2):95-102
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Abstract
OBJECTIVES Novel methods for preserving primary teeth can help to maintain their developmental, esthetic, and functional capabilities. The aim of this study was to assess the success of the repair of bony defects, caused by pre-treatment perforations, with a mixture of three antibiotics combined with simvastatin (3Mixtatin) compared to MTA in hopeless primary molars. STUDY DESIGN In this randomized clinical trial, 80 teeth from 65 healthy children aged 3-6 years with interradicular or periapical root resorption and/or perforation in primary molars were treated either with 3Mixtatin or MTA before conventional pulpectomy and restoration. The subjects were followed up clinically and radiographically for 4, 6, 12 and 24 months after pulp treatment to evaluate and compare the healing process. The data were compared using chi-square test at a significance level of 0.05. RESULTS By the end of 24 months in 3Mixtatin group, 31 (96.8%) teeth revealed no clinical signs or symptoms with arrested resorption progress in radiographs. In MTA group, clinical signs and symptoms including pain, mobility and sinus tract were observed in 18 (48.6%) teeth with cessation of root/interradicular radiolucency in 7 (18.9%) teeth without bone repair. CONCLUSIONS Radiographic and clinical healing occurred more successfully following 3Mixtatin treatment compared to treatment with MTA, it may lead to a paradigm shift in the pulpal treatment of primary teeth in the future.
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A comparative evaluation of ProRoot mineral trioxide aggregate and Portland cement as a pulpotomy medicament.
Bhagat, D, Sunder, RK, Devendrappa, SN, Vanka, A, Choudaha, N
Journal of the Indian Society of Pedodontics and Preventive Dentistry. 2016;(2):172-6
Abstract
INTRODUCTION Recently, some studies have compared mineral trioxide aggregate (MTA) with portland cement (PC), concluding that the principle ingredients of PC are similar to those of MTA. The purpose of the present study was to evaluate the biocompatibility of PC as a pulpotomy medicament. MATERIALS AND METHODS Thirty premolars that scheduled for extraction for therapeutic reasons were randomly assigned to two experimental groups: ProRoot MTA (PMTA) and PC. After isolation and pulp exposure, pulpotomy was carried out and pulps were dressed with PMTA and PC. After 6 months, the teeth were extracted and prepared for histological analysis based on Cox et al. criteria. The data were analyzed by Z-test of proportion with 1% of allowed error. RESULTS No statistically significant difference was found between the two groups with respect to inflammatory response, soft tissue organization, and dentine bridge formation (P > 0.05). CONCLUSIONS PC was associated with similar favorable biological response to pulpotomy treatment as PMTA. The findings of this study support the idea that PC can be considered a cheaper substitute to MTA.
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Targeted Therapy Alone for Acute Promyelocytic Leukemia.
Lo-Coco, F, Di Donato, L, , , Schlenk, RF, ,
The New England journal of medicine. 2016;(12):1197-8
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Bond strength of different restorative materials to light-curable mineral trioxide aggregate.
Cantekin, K
The Journal of clinical pediatric dentistry. 2015;(2):143-8
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UNLABELLED The aim of the present study was to evaluate the bond strength of methacrylate-based (MB) composites, silorane-based (SB) composites, and glass-ionomer cement (GIC) in comparison to TheraCal and to compare those findings with the reference pulp capping material (MTA). STUDY DESIGN A total of 90 acrylic blocks were prepared. Each of the blocks were prepared as 15 mm high and 10 mm diameter and the blocks had a 2 mm high and a 5 mm diameter central hole. In 45 of the samples, the holes were fully filled with TheraCal and in the other 45 samples, the holes were fully filled with MTA. The TheraCal and the MTA samples were randomly divided into 3 subgroups of 15 specimens each: Group-1: Methacrylate-based (MB) composite; Group-2: Silorane-based (SB) composite; and Group-3: Glass-ionomer cement (GIC). For the shear bond strength (SBS) test, each block was secured in a universal testing machine. After the SBS test, the fractured surfaces were examined under a stereomicroscope at ×25 magnification. RESULTS The analysis of variance that compared the experimental groups revealed the presence of significant differences among the groups (P < 0.001). The highest (19.3 MPa) and the lowest (3.4 MPa) bond strength value were recorded for the MB composite-TheraCal and the GIC-TheraCal, respectively.There were significant differences in bond strength between the TheraCal and the MTA groups for the MB composite subgroup (P < 0.001) and the SB composite subgroup (P < 0.05); however, there was no significant difference in bond strength for the GIC subgroup (P ≯ 0.05). Conlusions: The results from this in vitro study suggest that the new pulp capping material, known as light-curable MTA, showed clinically acceptable and higher shear bond scores compared to MTA when used with the MB composite.