Publications by authors named "Manoel D Sousa Neto"

This study evaluated the osteogenic potential of the bioactive glasses SinGlass (45S5) and SinGlass High (F18) in regenerating critical bone defects in rat calvaria. Both biomaterials promoted new bone formation around the particles, with the SinGlass High (F18) group exhibiting a higher rate of bone maturation. Histomorphological and birefringence analyses revealed better organization of the newly formed bone in the biomaterial-treated groups, and immunohistochemistry indicated the expression of osteogenic markers such as osteocalcin, immunostaining for bone morphogenetic protein 2 (BMP 2), and immunostaining for bone morphogenetic protein 4 (BMP 4).

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Objectives: To evaluate cases of persistent apical periodontitis (PAP) and what are the imaging and clinical aspects that could be considered in the PAP diagnosis and in their treatment decision-making process.

Methodology: 423 patients with apical periodontitis at the time of non-surgical root canal treatment (NSRCT) were followed-up for at least 1 year. Periapical radiographic images were used to compare and determine periapical status at each time using the PAI scoring system.

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Introduction: This study aimed to evaluate, using microcomputed tomography, the impact of various mechanized systems on the geometry of the root canal system and dentin thickness in mandibular first molars. The hypothesis proposed that different systems would produce significant variations in root canal system preparation.

Methods: Mesial and distal canals of mandibular molars were selected and divided into 5 groups (n = 10) based on the system used: 2Shape (25.

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We established a proof-of-concept model system for the biological healing of periapical lesions using stem cell spheroids. Mesenchymal stem cells from human exfoliated deciduous teeth (SHED) were cultured in a 2D monolayer and then as 3D multicellular spheroids. An image of a periapical lesion of an upper lateral incisor tooth was obtained by computed tomography and was used as a model for photopolymer resin 3D printing to generate a negative frame of the lesion.

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Objective: Electronic cigarettes have become increasingly popular and can deliver nicotine at levels comparable to traditional tobacco cigarettes. However, the potential adverse effects of these alternative smoking devices on dental health remain uncertain. This study investigates changes in the cariogenic potential of tooth surfaces and analyzes alterations in the chemical composition of aerosols generated from sweet-flavored e-liquids used in electronic cigarettes.

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The aim was to evaluate the chemical, morphological aspects and microhardness of root dentin after treatment with Triton™ solution. Twenty blocks of root dentin were distributed in two groups (n = 10): Control (C) (2.5% NaOCl+17% EDTA+2.

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Article Synopsis
  • * Maxillary central incisors were used, with color changes measured before and after treatment, plus after a year of storage, revealing that color became more yellow over time.
  • * Results indicated that neither the sealing method nor the access approach influenced tooth discoloration significantly, though more voids were noted with the Bio-C sealer when using minimally invasive access.
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Objectives: To investigate the association between genetic polymorphisms in suppressor of cytokine signaling-1 (SOCS-1), tumor necrosis factor-⍺ (TNF-α) and its receptors 1 and 2 (TNFRSF1A and TNFRSF1B), receptor activator of nuclear factor kappa-b (RANK), receptor activator of nuclear factor-kappa B ligand (RANKL) and osteoprotegerin (OPG), and persistent apical periodontitis (PAP).

Methods: Patients with pulp necrosis and apical periodontitis at the time of non-surgical root canal treatment were followed up for at least one year. A total of 423 subjects were included, 172 with signs/symptoms of PAP and 251 with apical periodontitis healed.

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Background And Objectives: Pulp calcification is associated with many factors and triggers, including individual genetic predisposition and orthodontic forces. This study aimed to investigate whether genetic polymorphisms in are associated with a risk of dental pulp calcifications in orthodontic patients.

Materials And Methods: Digital orthopantomography (OPG) and genomic DNA from 132 patients were analyzed in this cross-sectional study.

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Aim: To evaluate the influence of different levels of metal artifact reduction (MAR) tool and milliamperage (mA) on the diagnosis of fracture extension in endodontically treated teeth using cone beam CT (CBCT).

Materials And Methods: Ten maxillary premolars were endodontically treated and positioned in the empty sockets of a human maxilla covered with wax. CBCT acquisitions were performed using the Eagle Edge device (Dabi Atlante, Brazil) adjusted to 120 kVp, FOV of 4 × 6 cm, exposure time of 24 s and voxel size of 0.

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Aim: To investigate the hypothesis supporting the link between periodontitis and dopaminergic neuron degeneration.

Materials And Methods: Adult male Wistar rats were used to induce dopaminergic neuronal injury with 6-hydroxydopamine (6-OHDA) neurotoxin and experimental periodontitis via ligature placement. Motor function assessments were conducted before and after periodontitis induction in controls and 6-OHDA-injury-induced rats.

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Article Synopsis
  • The study aimed to evaluate how different combinations of endodontic sealers affect the bond strength of secondary obturation and the penetrability of the sealers in tooth treatments.
  • Researchers used 48 mandibular premolars, dividing them into groups based on the primary and secondary sealers used (AH Plus and Bio-C Sealer) and tested their bond strength and penetrability with various methods, including microscopy.
  • Results showed that the AHP/AHP and BCS/AHP combinations had the highest bond strength values, while AHP demonstrated better penetrability than BCS in both initial and retreatment scenarios.*
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Objectives: This systematic review assessed the morphological characteristics of non-carious cervical lesions (NCCL), among clinical and ex-vivo studies assessed by observational and imaging methods.

Design: The search strategy was conducted on four online databases (MEDLINE, Embase, Scopus and Web of Science) and grey literature (Google Scholar and OpenGrey). The study selection was performed by three reviewers from March to September (2023).

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Introduction: The aim of this study was to evaluate the volume of dentin removal and the volume of remnants of restorative material after the removal of an esthetic restorative coronal set and cervical barrier in endodontically treated mandibular molars with the aid of different magnification methods using 3-dimensional (3D) micro-computed tomographic (micro-CT) morphometric analysis.

Methods: A sample of 30 mandibular first molars (N = 30) was used. All teeth were endodontically treated, and the specimens were initially scanned using micro-CT imaging and reconstructed.

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Objective: To compare digital panoramic radiography (DPR) and cone beam CT (CBCT) in the detection and classification of pulp calcifications in posterior teeth in relation to tooth condition and its location.

Methods: Two hundred and fifty patients with simultaneous DPR and CBCT scans were selected from a dental image bank. For each posterior tooth, its condition was registered (healthy, restored, or decayed).

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Article Synopsis
  • The study aimed to assess how genetic variations in certain interleukins and other genes affect oral health-related quality of life (OHRQoL) in patients undergoing root canal treatment (RCT).
  • It involved 108 participants with specific dental issues, tracking OHRQoL before and after RCT using the Oral Health Impact Profile (OHIP-14) and analyzing genetic polymorphisms through saliva samples.
  • Findings revealed significant impacts of NOS2 and SOCS1 gene polymorphisms on various aspects of OHRQoL, especially influencing physical and psychological discomfort related to dental health.
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Molar-incisor hypomineralization (MIH) is a qualitative defect of dental enamel characterized by demarcated opacities present in permanent first molars and other teeth. It is considered a major clinical challenge in dentistry because it makes affected teeth more susceptible to fractures and dental caries. Its diagnosis is mainly clinical and there are few technological resources that allow for a more accurate diagnosis, especially with respect to the depth of the defect in the dental enamel.

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To evaluate the impact on the quality of filling with of low-fusion and conventional gutta-percha cones. Thirty-six maxillary canines were prepared and divided into three groups: I-conventional cone with Downpack at 200 °C at 4 mm from the WL; II-low-fusion cone with Downpack at 100 °C up to 4 mm from the WL; III-low-fusion cone with Downpack at 100 °C up to 7 mm from the WL. Temperature variations were measured in thirds on the external surface of the root.

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Article Synopsis
  • - The study investigated the link between specific genetic polymorphisms in BMP2, BMP4, SMAD6, and RUNX2 and the occurrence of pulp stones (PS) in a group of 117 participants, divided into those with PS (63) and those without (54).
  • - Genetic testing was performed using saliva samples, and various statistical methods were applied to analyze the data, revealing that the SMAD6 gene polymorphisms, particularly rs2119261, were significantly associated with PS.
  • - In contrast, no significant associations were found between PS risk and the genetic variations in BMP2, BMP4, or RUNX2, highlighting the potential role of SMAD6 mutations in the development of pulp stones.
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Introduction: The development of dedicated coils and new magnetic resonance imaging (MRI) sequences has led to an increase in image resolution and a reduction in artifacts. Consequently, numerous studies have demonstrated the utility of MRI as a nonionizing alternative to cone-beam computed tomographic imaging. The aim of this systematic review was to evaluate the accuracy of MRI in clinical applications in endodontics.

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Aim: To mensure the physicochemical properties of three ceramic cement endodontic sealers AH Plus Bioceramic, Bio-C Sealer and Bio-C Sealer Ion with an epoxy resin sealer, AH Plus.

Material And Methods: These properties were measured: hardening time (HT), dimensional change (DC), solubility (SL), flow (FL) and radiopacity (RD). The distilled water obtained from the SL test was analyzed with atomic absorption spectrometry.

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Article Synopsis
  • The study assessed a method to evaluate the spatial geometry of root canal preparation (RCP) using new CBCT software called e-Vol DX, analyzing scans from 168 mandibular molar root canals before and after RCP with various nickel-titanium (NiTi) instruments.
  • Researchers employed a 3-point scoring system to identify the risk levels of dentinal wall wear during RCP, categorizing risks as mild, moderate, or severe based on cementum/dentin thickness measurements.
  • The results indicated that there were no significant differences in operative risk among the different NiTi systems used, suggesting that the spatial geometry method aids in clinical planning for safe root canal enlargement without increasing risk.
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The survival of endodontically treated teeth depends on the remaining tooth structure. The aim of this study was to evaluate the impact of different access cavities on root canal preparation, restorative protocol, and fracture resistance of endodontically treated teeth. Fifty-six mandibular molars were divided into control (n=8) and experimental (n=16) groups according to access cavity: Traditional, Conservative, and Truss; and redistributed (n=8) according to instrumentation protocols: Reciproc Blue and R-motion.

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Aim: To evaluate the bond strength (BS) and analysis of the adhesive interface in root canals filled with bioceramic gutta percha sealers and cones.

Material And Methods: Ninety-six maxillary canines were divided into eight groups according to the endodontic sealer (AH Plus, AH Plus Bioceramic, Bio-C Sealer or Bio-C Sealer Ion and gutta percha cones (conventional or bioceramic) tested. They were analyzed using the BS test, failure pattern, analysis of the adhesive interface by scanning electron microscopy and confocal laser scanning microscopy.

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