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Master's Dissertation
DOI
https://doi.org/10.11606/D.25.2022.tde-18072022-095438
Document
Author
Full name
Mirela Cesar de Barros
Institute/School/College
Knowledge Area
Date of Defense
Published
Bauru, 2022
Supervisor
Committee
Andrade, Flaviana Bombarda de (President)
Duarte, Marco Antonio Hungaro
Gomes, Brenda Paula Figueiredo de Almeida
Oliveira, Luciane Dias de
Title in Portuguese
Efeito da agitação ultrassônica em diferentes protocolos de irrigação final na inativação do LPS bacteriano
Keywords in Portuguese
Endotoxinas
Fusobacterium nucleatum
Hipoclorito de sódio
Própolis
Teste do Limulus
Ultrassom
Abstract in Portuguese
Objetivo: Avaliar a efetividade de soluções irrigadoras alternativas associadas ou não à irrigação ultrassônica passiva (PUI) sobre Fusobacterium nucleatum e sua endotoxina (LPS). Material e Métodos: Noventa cilindros de dentina foram contaminados com F. nucleatum (ATCC 51190) por 7 dias. Amostras foram divididas em 1 grupo controle e grupos experimentais de acordo com os irrigantes: Hipoclorito de sódio 2,5% (NaOCl), Clorexidina 2% (CLX), NaOCl 2,5% + solução de hidróxido de cálcio 0,14% (Ca(OH)2) e extrato etanólico de própolis 10% (EEP), e os métodos de agitação PUI ou irrigação convencional (IC). Coletas antes e após a irrigação foram realizadas para quantificação das unidades formadoras de colônias (UFC/mL) e LPS, utilizando o ensaio LAL cinético cromogênico. Em seguida, as amostras foram submetidas à análise por microscopia confocal de varredura a laser para quantificar a viabilidade bacteriana. A distribuição dos dados foi verificada pelo teste de Shapiro- Wilk. Comparações intragrupos e intergrupos foram realizadas pelo teste de Wilcoxon e Kruskal-Wallis, respectivamente, seguido pelo pós-teste de Dunn. O teste de Mann- Whitney foi realizado para comparação entre as técnicas de irrigação ( = .05). Resultados: Todos os irrigantes foram eficazes em reduzir a contagem de UFC/mL (p>.05). Menores valores de viabilidade bacteriana e LPS foram observados para os irrigantes PUI-ativados. O maior percentual de redução do LPS assim como a menor viabilidade foram atribuídos ao NaOCl 2,5% (p<.05). EEP 10% e NaOCl + Ca(OH)2 0,14% PUI-ativados apresentaram desempenho estatisticamente similar ao NaOCl 2,5% (p>.05). Conclusão: O EEP 10% quando ativado teve a mesma ação antimicrobiana e anti-LPS que a solução de NaOCl 2,5%. A PUI favoreceu a ação de todas as soluções investigadas sobre o F. nucleatum e sua endotoxina.
Title in English
Ultrasonic agitation effect on different final irrigation protocols on bacterial LPS inactivation
Keywords in English
Endotoxins
Fusobacterium nucleatum
Limulus Test
Propolis
Sodium hypochlorite
Ultrasound
Abstract in English
Objective: To evaluate the effectiveness of alternative irrigating solutions associated or not with passive ultrasonic irrigation (PUI) on Fusobacterium nucleatum and its endotoxin (LPS). Material and Methods: Ninety dentin cylinders were contaminated with F. nucleatum strain (ATCC 51190) for 7 days. The specimens were divided into 1 control group and experimental groups according to the irrigant: 2.5% sodium hypochlorite (NaOCl), 2% chlorhexidine (CHX), 2.5% NaOCl + 0.14% calcium hydroxide solution (Ca(OH)2), and 10% ethanolic extract of propolis (EEP), and agitation methods, PUI ou CI. Samples before and after irrigation were performed to quantify colony forming units (CFU/mL) and LPS using the LAL assay. Then, the specimens were subjected to confocal laser scanning microscopy analysis to quantify the bacterial viability. Data distribution was confirmed by the Shapiro-Wilk test. Intragroup and intergroup comparisons were performed using the Wilcoxon and Kruskal-Wallis tests, respectively, followed by Dunn's post-test. The Mann-Whitney test was performed to compare the irrigation techniques ( = .05). Results: All irrigants were effective in reducing the CFU/mL count after irrigation with no significant differences (p>.05). Lower values of bacterial viability and LPS were observed for PUIactivated irrigants. The highest percentage of LPS reduction, as well as the lowest viability, were attributed to 2.5% NaOCl. 10% EEP and NaOCl + 0.14% Ca(OH)2 associated with PUI-activated showed similar performance to 2.5% NaOCl (p>.05).. Conclusion: The 10% EEP when activated had the same antimicrobial and anti-LPS action as the 2.5% NaOCl solution. The PUI favored the action of all investigated solutions on F. nucleatum and its endotoxin.
 
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Publishing Date
2022-07-20
 
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