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Trauma Surgery. J Oral Maxillofac Surg 2023; 81:E147-E194. [PMID: 37833022 DOI: 10.1016/j.joms.2023.06.028] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [MESH Headings] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 10/15/2023]
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Kumar P, Kotumachagi SS, Fabi AJ, Srivastava P, Shanmugam AKP, Rajendran R. Comparative Evaluation of Maintenance of Cell Viability of an Experimental Transport Media "Ringer 's Lactate" with Dextrose Normal Saline ORS Egg White and Infant Milk Formula for Transportation of an Avulsed Tooth. Int J Clin Pediatr Dent 2023; 16:453-458. [PMID: 37496931 PMCID: PMC10367282 DOI: 10.5005/jp-journals-10005-2611] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Download PDF] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 07/28/2023] Open
Abstract
Background and objective The viability of the periodontal ligament (PDL) cells on the root surface of the avulsed tooth determines the prognosis of the replanted tooth, which in turn is determined by a suitable transport medium in which the tooth was stored. The aim of the present study is to evaluate and compare the effectiveness of Ringer's lactate (RL) as a storage medium for an avulsed tooth in maintaining the PDL cell viability with dextrose normal saline (DNS), oral rehydration salt (ORS), egg white (EW), and infant milk formula (IMF). Materials and methods A total of 85 freshly extracted human teeth were divided into five experimental groups and two control groups. The positive and negative controls corresponded to 0-minute and 8-hour dry time, respectively. The experimental teeth were stored dry for 30 minutes and then immersed in one of five experimental media (RL, DNS, ORS, EW, and IMF) for 45 minutes. The teeth were then treated with collagenase type III and trypsin for 10 minutes. The number of viable PDL cells was counted with a hemocytometer and analyzed. Results Statistical analysis showed that IMF, RL, and EW had no statistically significant differences among them in maintaining the viability of the PDL cells but were significantly better than DNS. No statistically significant difference between RL, EW, and ORS in the number of viable PDL cells. Conclusion Infant milk formula (IMF), RL, and EW showed similar results within the parameters of the study; they can be used as alternative storage media for avulsed teeth. DNS showed poor results, and ORS could serve as short-term storage media if the other solutions are not readily available. Clinical significance The search for an appropriate storage media with favorable pH and osmolality along with easy availability is the basic thought behind this study. How to cite this article Kumar P, Kotumachagi SS, Fabi AJ, et al. Comparative Evaluation of Maintenance of Cell Viability of an Experimental Transport Media "Ringer's Lactate" with Dextrose Normal Saline ORS Egg White and Infant Milk Formula for Transportation of an Avulsed Tooth. Int J Clin Pediatr Dent 2023;16(3):453-458.
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Affiliation(s)
- Pravin Kumar
- Department of Dental Surgery, Government Arignar Anna Memorial Cancer Hospital & Research Institute, Kanchipuram, Tamil Nadu, India
| | - Suresh S Kotumachagi
- Department of Pedodontics, Government Dental College, Bengaluru, Karnataka, India
| | - Anselm J Fabi
- Department of Dental Surgery, Chengalpattu Medical College and Hospital, Chennai, Tamil Nadu, India
| | - Pooja Srivastava
- Department of Pedodontics, Sudha Rustagi College of Dental Sciences & Research, Faridabad, Haryana, India
| | - Ajit KP Shanmugam
- Department of Dental Surgery, Government Sivagangai Medical College and Hospital, Sivaganga, Tamil Nadu, India
| | - Rameswari Rajendran
- Department of Dental Surgery, Government Sivagangai Medical College and Hospital, Sivaganga, Tamil Nadu, India
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Singh S, Kini S, Pai S, H. R. R, Purayil TP. Survival of human periodontal ligament fibroblast cells in Cornisol and HBSS for transportation of avulsed teeth: a comparative ex vivo study. Acta Odontol Scand 2021; 79:112-117. [PMID: 32730717 DOI: 10.1080/00016357.2020.1795248] [Citation(s) in RCA: 1] [Impact Index Per Article: 0.3] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 01/09/2023]
Abstract
OBJECTIVE Viability of periodontal ligament fibroblast cells (PDFC) is one of the key factors in determining the success of replantation of avulsed teeth. Extra-oral time and transport media are closely related to the same. The present study aims to evaluate and compare the efficiency of Cornisol, Hank's balanced salt solution (HBSS) and normal saline in preserving the viability of PDFC. MATERIALS AND METHODS The human PDFC were isolated from primary culture from freshly extracted human premolars. Effect of Cornisol, HBSS and normal saline on viability of isolated PDFC was assessed using standard MTT assay. The cells were exposed to the experimental solutions (Cornisol/HBSS/normal saline) for varying time points (30 min, 1 h, 24 h, 48 h and 96 h) and viability was determined by colorimetric MTT method by quantifying the amount of formazan crystal formed (optical density). Experiment was performed in triplicates and the data were subjected to statistical analysis. RESULTS Statistical analysis was performed using the Kruskal-Wallis ANOVA with post hoc Bonferroni's test with a significance level of p value ≤.05. Cornisol ≥ HBSS > saline. CONCLUSION Cornisol can be used as a storage media for avulsed teeth and is significantly more effective than HBSS in maintaining the periodontal ligament cell viability at tested time intervals.
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Affiliation(s)
- Shruti Singh
- Department of Conservative Dentistry and Endodontics, Manipal College of Dental Sciences, Manipal Academy of Higher Education, Manipal, India
| | - Sandya Kini
- Department of Conservative Dentistry and Endodontics, Manipal College of Dental Sciences, Manipal Academy of Higher Education, Manipal, India
| | - Swathi Pai
- Department of Conservative Dentistry and Endodontics, Manipal College of Dental Sciences, Manipal Academy of Higher Education, Manipal, India
| | - Rajeshwari H. R.
- Department of Periodontology, Manipal College of Dental Sciences, Manipal Academy of Higher Education, Manipal, India
| | - Tina Puthen Purayil
- Department of Conservative Dentistry and Endodontics, Manipal College of Dental Sciences, Manipal Academy of Higher Education, Manipal, India
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Souza BDM, Garcia LFR, Bortoluzzi EA, Felippe WT, Felippe MCS. Effects of several storage media on viability and proliferation capacity of periodontal ligament cells. Eur Arch Paediatr Dent 2019; 21:53-59. [DOI: 10.1007/s40368-019-00450-8] [Citation(s) in RCA: 5] [Impact Index Per Article: 1.0] [Reference Citation Analysis] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 10/08/2018] [Accepted: 05/13/2019] [Indexed: 11/29/2022]
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Viability and Reproducibility of Periodontal Ligament Cells on Avulsed Teeth Stored in Ham's F-10 Solution. J Clin Pediatr Dent 2018; 42:203-207. [PMID: 29698133 DOI: 10.17796/1053-4628-42.3.6] [Citation(s) in RCA: 8] [Impact Index Per Article: 1.3] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Submit a Manuscript] [Subscribe] [Scholar Register] [Indexed: 11/17/2022] Open
Abstract
OBJECTIVES The purpose of the present study was to evaluate the efficacy of Ham's F-10 in maintaining the viability and reproducibility of PDL cells on avulsed teeth. STUDY DESIGN Sixty mature, healthy extracted premolars were used. The experimental media used were Ham's F-10, Hank's balanced salt solution (HBSS), skim milk, and tap water (n = 15 specimens each). Cell viability was tested after 1, 3, 6, and 24 h storage in medium. Cell reproducibility was assessed by methyl-thiazol-tetrazolium (MTT) assay after1, 3, and 6 h storage in Ham's F-10, HBSS, and tap water. RESULTS The viability of PDL cells stored in Ham's F-10 and HBSS was significantly greater than that of samples stored in milk and tap water at all-time points (P<0.001). A significant difference in cell viability between samples stored in Ham's F-10 and HBSS (favoring the former) was observed only at 6h (P=0.04). MTT assay results were significantly better for samples stored in Ham's F-10 and HBSS than for those stored in tap water (P<0.001), with a significant difference between Ham's F-10 and HBSS observed only at 3h (P<0.001). CONCLUSIONS Ham's F-10 is capable of preserving PDL cells viable and reproducible better than milk and tap water and similar to HBSS.
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Tuncer Budanur D, Zibandeh N, Genç D, Gökalp M, Kaşali K, Akkoç T, Sepet E. Effect of cDMEM media containing Ectoine on human periodontal ligament mesenchymal stem cell survival and differentiation. Dent Traumatol 2018. [DOI: 10.1111/edt.12396] [Citation(s) in RCA: 1] [Impact Index Per Article: 0.2] [Reference Citation Analysis] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 12/14/2022]
Affiliation(s)
- Damla Tuncer Budanur
- Pediatric Dentistry Department; Faculty of Dentistry; Istanbul University; Istanbul Turkey
| | - Noushin Zibandeh
- Pediatric Allergy-Immunology Department; Faculty of Medicine; Marmara University; Istanbul Turkey
| | - Deniz Genç
- Pediatric Allergy-Immunology Department; Faculty of Medicine; Marmara University; Istanbul Turkey
| | - Muazzez Gökalp
- Pediatric Allergy-Immunology Department; Faculty of Medicine; Marmara University; Istanbul Turkey
| | - Kamber Kaşali
- Department of Biostatistics; Faculty of Medicine; Ataturk University; Erzurum Turkey
| | - Tunç Akkoç
- Pediatric Allergy-Immunology Department; Faculty of Medicine; Marmara University; Istanbul Turkey
| | - Elif Sepet
- Pediatric Dentistry Department; Faculty of Dentistry; Istanbul University; Istanbul Turkey
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Reis MVDP, Soares CJ, Soares PBF, Rocha AM, Salgueiro CCDM, Sobral MHNR, Moura CCG. Replanted teeth stored in a newly developed powdered coconut water formula. Dent Traumatol 2018; 34:114-119. [DOI: 10.1111/edt.12383] [Citation(s) in RCA: 5] [Impact Index Per Article: 0.8] [Reference Citation Analysis] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Accepted: 12/28/2017] [Indexed: 11/30/2022]
Affiliation(s)
- Manuella Verdinelli de Paula Reis
- Department of Operative Dentistry and Dental Materials; Biomechanics Research Group; Federal University of Uberlândia; Uberlândia MG Brazil
| | - Carlos José Soares
- Department of Operative Dentistry and Dental Materials; Biomechanics Research Group; Federal University of Uberlândia; Uberlândia MG Brazil
| | | | - Aletheia Moraes Rocha
- Department of Operative Dentistry and Dental Materials; Biomechanics Research Group; Federal University of Uberlândia; Uberlândia MG Brazil
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Roskamp L, Trevilatto PC, Souza CM, Silva Neto UX, Carneiro E, Fariniuk LF, Westphalen VPD. Types of External Root Resorption of Replanted Teeth: Analysis of the Clinical Aspects and of Interleukin-4 Gene Polymorphisms Involvement. J Endod 2017; 43:1792-1796. [PMID: 28818443 DOI: 10.1016/j.joen.2017.06.027] [Citation(s) in RCA: 5] [Impact Index Per Article: 0.7] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 03/15/2017] [Revised: 06/12/2017] [Accepted: 06/16/2017] [Indexed: 11/17/2022]
Abstract
INTRODUCTION The absence or presence of root resorption on the surface of a replanted tooth indicates an immune-inflammatory reaction. Recent research even suggests the participation of host predominant immunologic profile on types of resorptions detected on the root surface. Because interleukin 4 (IL-4) is an important anti-inflammatory cytokine, this study aimed to investigate the association of clinical variables and polymorphisms in IL4 with types of resorption of replanted teeth after 1 year of follow-up. METHODS One hundred twenty-seven avulsed teeth that were replanted were selected. Periapical radiographs were taken after replantation and for 1 year to detect the types of root resorption. Real-time polymerase chain reaction was used to genotype IL4 polymorphisms. The χ2 and Z tests were performed to verify the association of clinical and genetic variables with the outcomes of replanted teeth (P < .05). RESULTS An association was observed of extra-alveolar time, storage medium, and development of the root (P < .05), but not of IL4 polymorphisms, with the outcomes of replanted teeth (P > .05). CONCLUSIONS Extraoral time, storage medium, and development of the root, but not IL4 polymorphisms, may influence the types of resorption of avulsed and replanted teeth in the first year after trauma.
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Affiliation(s)
- Liliane Roskamp
- School of Life Sciences, Pontifícia Universidade Católica do Paraná, Curitiba, Brazil.
| | | | - Cleber Machado Souza
- School of Life Sciences, Pontifícia Universidade Católica do Paraná, Curitiba, Brazil
| | | | - Everdan Carneiro
- School of Life Sciences, Pontifícia Universidade Católica do Paraná, Curitiba, Brazil
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Roskamp L, Trevilatto PC, Souza CM, Silva Neto UX, Carneiro E, Fariniuk LF, Westphalen VPD. Analysis of the association of clinical factors and IL4 gene polymorphisms with root resorption in avulsed teeth after 1 year of replantation. Int Endod J 2017; 51:12-19. [PMID: 28617966 DOI: 10.1111/iej.12797] [Citation(s) in RCA: 5] [Impact Index Per Article: 0.7] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 05/16/2016] [Accepted: 06/09/2017] [Indexed: 01/19/2023]
Abstract
AIM To investigate the association of clinical variables and polymorphisms (tag SNPs) in the interleukin 4 (IL4) gene, with the prognosis of avulsed and replanted teeth. METHODOLOGY Ninety-four patients who suffered avulsion and had their teeth replanted and endodontically treated were included. Periapical radiographs were obtained soon after tooth replantation and after 1 year. For genotypic IL4 gene analysis, the DNA from oral mucosa cells was collected, and polymorphisms were investigated by real-time PCR. Univariate and multivariate analyses were performed to verify the association of clinical and genetic variables and the outcome of the replanted teeth (P < 0.05). RESULTS After multivariate analysis, extra-alveolar time longer than 1 h was significantly associated with external root resorption. No significant association was observed between IL4 gene polymorphisms and root resorption. CONCLUSION No association between root resorption and IL4 gene polymorphisms was observed. An extra-alveolar time of more than 1 h was associated with a susceptibility for external root resorption. Replanting the tooth in its socket immediately is the most important factor to maintain a healthy root surface.
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Affiliation(s)
- L Roskamp
- School of Life Sciences, Pontifícia Universidade Católica do Paraná, Curitiba, Paraná, Brazil
| | - P C Trevilatto
- School of Life Sciences, Pontifícia Universidade Católica do Paraná, Curitiba, Paraná, Brazil
| | - C M Souza
- School of Life Sciences, Pontifícia Universidade Católica do Paraná, Curitiba, Paraná, Brazil
| | - U X Silva Neto
- School of Life Sciences, Pontifícia Universidade Católica do Paraná, Curitiba, Paraná, Brazil
| | - E Carneiro
- School of Life Sciences, Pontifícia Universidade Católica do Paraná, Curitiba, Paraná, Brazil
| | - L F Fariniuk
- School of Life Sciences, Pontifícia Universidade Católica do Paraná, Curitiba, Paraná, Brazil
| | - V P D Westphalen
- School of Life Sciences, Pontifícia Universidade Católica do Paraná, Curitiba, Paraná, Brazil
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Cho SY, Lee Y, Shin SJ, Kim E, Jung IY, Friedman S, Lee SJ. Retention and Healing Outcomes after Intentional Replantation. J Endod 2016; 42:909-15. [DOI: 10.1016/j.joen.2016.03.006] [Citation(s) in RCA: 29] [Impact Index Per Article: 3.6] [Reference Citation Analysis] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 01/26/2016] [Revised: 03/08/2016] [Accepted: 03/08/2016] [Indexed: 01/30/2023]
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Moura CCG, Soares PBF, Reis MVP, Dechichi P, Salgueiro CCM, Sobral MHNR, Zanetta Barbosa D, Soares CJ. Powdered coconut water as a storage medium to preserve the viability of periodontal ligament cells: a laboratory study. Int Endod J 2015; 50:84-89. [PMID: 26667879 DOI: 10.1111/iej.12603] [Citation(s) in RCA: 6] [Impact Index Per Article: 0.7] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 05/16/2015] [Accepted: 12/08/2015] [Indexed: 11/30/2022]
Abstract
AIM To investigate the ability of newly developed powdered coconut water formulas (ACP) with different osmolarities to maintain the viability of periodontal ligament (PDL) cells over time compared with other solutions. METHODOLOGY Dogs teeth were extracted and stored for two periods, 3 h or 24 h, in the following media: long-shelf life CW (CW), pH-adjusted long-shelf life CW (pH-CW) and powdered CW that was pH and osmolality adjusted (ACP-404-I, 250 mOsm kg-1 H2 O; pH 7.0; ACP-404-II, 372 mOsm kg-1 H2 O; pH 7.0; ACP-404-III, 300 mOsm kg-1 H2 O; pH 7.4). The positive control group (Pc) corresponded to immediate measurement after tooth extraction, and two negative controls (Nc) corresponded to 3 h and 24 h of dry time. PDL cells were extracted, and cell viability analysed by Trypan blue exclusion. Data were analysed statistically using two-way anova followed by the Tukey test and one-way anova followed by the Dunnett test (P < 0.05). RESULTS At 3 h and 24 h, ACP-404-I had a performance similar to those of ACP-404-II and pH-CW, with significantly higher (P = 0.004) percentages of viable cells than ACP-404-III and CW. The positive control group had a significantly higher (P = 0.002) percentage of viable cells than the negative control groups, CW and ACP-404-III, irrespective of the period evaluated. CONCLUSION Powdered coconut water formulas, ACP-404-I and ACP-404-II, preserved viability for up to 24 h.
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Affiliation(s)
- C C G Moura
- Department of Endodontics, Federal University of Uberlândia, Uberlândia, Brazil
| | - P B F Soares
- Department of Oral and Maxillofacial Surgery and Implantology, Federal University of Uberlândia, Uberlândia, Brazil
| | - M V P Reis
- Department of Operative Dentistry and Dental Materials, Federal University of Uberlândia, Uberlândia, Brazil
| | - P Dechichi
- Department of Morphology, Biomedical Sciences Institute, Federal University of Uberlândia, Uberlândia, Brazil
| | - C C M Salgueiro
- Veterinary Sciences Institute, Ceará State University, Fortaleza, Brazil
| | - M H N R Sobral
- Veterinary Sciences Institute, Ceará State University, Fortaleza, Brazil
| | - D Zanetta Barbosa
- Department of Oral and Maxillofacial Surgery and Implantology, Federal University of Uberlândia, Uberlândia, Brazil
| | - C J Soares
- Department of Operative Dentistry and Dental Materials, Federal University of Uberlândia, Uberlândia, Brazil
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Bashaw MA. Guideline Implementation: Autologous Tissue Management. AORN J 2015; 102:270-80; quiz 281-3. [DOI: 10.1016/j.aorn.2015.07.003] [Citation(s) in RCA: 4] [Impact Index Per Article: 0.4] [Reference Citation Analysis] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 05/11/2015] [Accepted: 07/06/2015] [Indexed: 11/28/2022]
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de Paula Reis MV, Moura CCG, Soares PBF, Leoni GB, Souza-Neto MD, Barbosa DZ, Soares CJ. Histologic and micro-computed tomographic analyses of replanted teeth stored in different kind of media. J Endod 2013; 40:665-9. [PMID: 24767561 DOI: 10.1016/j.joen.2013.09.023] [Citation(s) in RCA: 23] [Impact Index Per Article: 2.1] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 07/11/2013] [Revised: 09/17/2013] [Accepted: 09/17/2013] [Indexed: 11/25/2022]
Abstract
INTRODUCTION Coconut water (CW) and soy milk (SM) have been proposed as storage media for avulsed teeth because of their nutrients that preserve cell viability. The present study investigated the periodontal healing process of dog teeth replanted after storage in CW, SM, and whole milk (WM) using micro-computed tomographic (μCT) and histologic analyses compared with immediate tooth replantation. METHODS Forty roots of 10 adult beagle dogs were extracted and subjected to the following protocols: immediate replantation after extraction (control), stored in CW with an adjusted pH, and SM and WM for 50 minutes before replantation. The animals were euthanized 28 days postoperatively, and the obtained specimens were scanned using a μCT scanner and subjected to routine processing for histometric analyses under an optical microscope. RESULTS CW and SM performed similarly to WM; however, SM showed significantly higher ankylosis than the control group. CONCLUSIONS Additionally, this study showed that the combined use of histologic analysis and μCT is a promising method to better identify tooth resorption and the repair process and to evaluate the total extension of the periodontium. CW as a storage medium is a promising transport media for avulsed teeth.
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Affiliation(s)
- Manuella Verdinelli de Paula Reis
- Biomechanics Group, Department of Operative Dentistry and Dental Materials, School of Dentistry, Federal University of Uberlândia, Uberlândia, Brazil
| | - Camilla Christian Gomes Moura
- Biomechanics Group, Department of Operative Dentistry and Dental Materials, School of Dentistry, Federal University of Uberlândia, Uberlândia, Brazil
| | - Priscilla Barbosa Ferreira Soares
- Biomechanics Group, Department of Operative Dentistry and Dental Materials, School of Dentistry, Federal University of Uberlândia, Uberlândia, Brazil
| | - Graziela Bianchi Leoni
- Oral and Maxillofacial Surgery and Implantology Department, School of Dentistry, Federal University of Uberlândia, Uberlândia, Brazil
| | - Manoel Damião Souza-Neto
- Oral and Maxillofacial Surgery and Implantology Department, School of Dentistry, Federal University of Uberlândia, Uberlândia, Brazil
| | - Darceny Zanetta Barbosa
- Department of Restorative Dentistry, Faculty of Dentistry, University of São Paulo, Ribeirão Preto, Brazil
| | - Carlos José Soares
- Biomechanics Group, Department of Operative Dentistry and Dental Materials, School of Dentistry, Federal University of Uberlândia, Uberlândia, Brazil.
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