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González CC, Ñaupari-Villasante R, Dos Santos de Castro A, Mendez-Bauer L, Dávila-Sanchez A, Aliaga-Sancho P, Gutierrez MF, Reis A, Loguercio AD. Clinical evaluation of posterior restorations over wet and dry dentin using an etch-and-rinse adhesive: A 36-month randomized clinical trial. Dent Mater 2024; 40:619-628. [PMID: 38369403 DOI: 10.1016/j.dental.2024.02.009] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Key Words] [MESH Headings] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 11/18/2023] [Revised: 01/30/2024] [Accepted: 02/12/2024] [Indexed: 02/20/2024]
Abstract
OBJECTIVES To evaluate the clinical performance of posterior restorations over wet and dry dentin with an etch-and-rinse adhesive after 36 months of clinical service. METHODS Forty-five participants were recruited, each one had at least two posterior teeth that needed restoration. Ninety restorations were placed on Class I or Class II cavities. For the restoration protocol, a simplified etch-and-rinse adhesive (Adper Single Bond 2) was applied over wet (WD) or dry dentin (DD) and later restored with a bulk-fill composite (Filtek Bulk Fill) under rubber dam isolation. Each restoration was evaluated using the World Dental Federation (FDI) criteria after 6, 12, and 36 months of clinical service, regarding the following principal restoration characteristics: postoperative sensitivity, marginal discoloration, marginal adaptation, fracture of material and retention, and recurrence of caries. Kruskal Wallis analysis of variance rank (α = 0.05) and Kaplan-Meier survival analysis were used for statistical analysis. RESULTS After 36 months of clinical evaluation, no significant difference between groups was observed in each FDI criterion (p > 0.05). Twenty restorations (WD=10, DD=10) showed minor marginal staining, and twenty-two restorations (WD=11, DD=11) presented small marginal adaptation defects (p > 0.05). Four restorations were lost (WD = 2, DD = 2) and the fracture rates (95% confidence interval) were 94.9% for each one, without significant difference between wet and dry dentin (p > 0.05). SIGNIFICANCE The degree of dentin moisture does not seem to affect the clinical performance of a simplified etch-and-rinse adhesive in posterior restorations when the adhesive is applied vigorously over the dentine surface.
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Affiliation(s)
- Claudia C González
- Department of Restorative Dentistry, School of Dentistry, State University of Ponta, Ponta Grossa, PR, Brazil
| | - Romina Ñaupari-Villasante
- Department of Restorative Dentistry, School of Dentistry, State University of Ponta, Ponta Grossa, PR, Brazil
| | | | - Luján Mendez-Bauer
- Research Department, Faculty of Dentistry, Francisco Marroquím University, Guatemala city, Guatemala
| | - Andrés Dávila-Sanchez
- Universidad San Francisco de Quito USFQ, Department of Restorative Dentistry and Dental Materials, School of Dentistry, Quito, Ecuador
| | - Paulina Aliaga-Sancho
- Universidad San Francisco de Quito USFQ, Department of Restorative Dentistry and Dental Materials, School of Dentistry, Quito, Ecuador
| | - Mario Felipe Gutierrez
- Universidad de los Andes, Facultad de Odontología, Santiago, Chile; University of Chile, Institute for Research in Dental Sciences, Faculty of Dentistry, Santiago, Chile
| | - Alessandra Reis
- Department of Restorative Dentistry, School of Dentistry, State University of Ponta, Ponta Grossa, PR, Brazil
| | - Alessandro D Loguercio
- Department of Restorative Dentistry, School of Dentistry, State University of Ponta, Ponta Grossa, PR, Brazil.
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Castro AS, Maran BM, Gutierrez MF, Chemin K, Mendez-Bauer ML, Bermúdez JP, Reis A, Loguercio AD. Effect of Dentin Moisture in Posterior Restorations Performed with Universal Adhesive: A Randomized Clinical Trial. Oper Dent 2022; 47:E91-E105. [PMID: 35405005 DOI: 10.2341/20-215-c] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Accepted: 04/10/2021] [Indexed: 11/23/2022]
Abstract
OBJECTIVES This double-blind, randomized clinical trial evaluated the influence of dentin moisture on postoperative sensitivity (POS), as well as, on clinical performance in posterior bulk-fill composite restorations, using a universal adhesive, until 12 months after clinical service. METHODS AND MATERIALS In accordance with a split-mouth design, 45 patients received posterior restorations, restored with a bulk-fill resin composite (Filtek Bulk Fill, 3M Oral Care) and a universal adhesive used in etch-and-rinse mode (SBU; Single Bond Universal Adhesive), which were applied on dry or moist dentin, with a cavity depth of at least 3 mm. Three operators placed 90 Class I/Class II restorations. Patients were evaluated for spontaneous and stimulated POS in the baseline, and after 48 hours, 7 days, and at 6 and 12 months. In addition, secondary parameters (marginal discoloration, marginal adaptation, fracture, and recurrent caries) were evaluated by World Dental Federation (FDI) criteria after 7 days and at 6 and 12 months. Statistical analyzes were performed using the Chi-square, Fisher exact, Friedman, Kruskall-Wallis, and Mann-Whitney tests (α=0.05). RESULTS No significant spontaneous and stimulated POS was observed when SBU was applied in dry and moist dentin (p>0.05). A significant and higher risk of spontaneous POS (20.0%; 95%CI 10.9-33.82 for dry dentin and 22.22%; 95%CI 12.54-36.27 for moist dentin) occurred up to 48 hours after restoration placement for the dry and moist dentin groups (p<0.02). However, the POS intensity was mild up to 48 hours with no significant difference between dry and moist dentin groups (p>0.79). When secondary parameters were evaluated, no significant differences between the groups were observed. CONCLUSION Dentin moisture did not influence POS in posterior bulk-fill composite restorations when associated with a universal adhesive applied in etch-and-rinse mode.
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Affiliation(s)
- A S Castro
- Andrea S Castro, DDS, MS, assistante professor, School of Dentistry, Tuiuti University, Curitiba, PR, Brazil
| | - B M Maran
- Bianca M Maran, DDS, MS, PhD, Department of Restorative Dentistry, School of Dentistry, State University of Western Paraná, Cascavel, PR, Brazil
| | - M F Gutierrez
- Mario F Gutierrez, DDS, MS, PhD, assistant professor, University de los Andes, Chile; assistant professor, Institute for Research in Dental Sciences, Faculty of Dentistry, University of Chile, Santiago, Chile
| | - K Chemin
- Kaprice Chemin, DDS, MS, PhD, assistant professor, School of Dentistry, Department of Health Sciences, School Unicesumar, Ponta Grossa, PR, Brazil
| | - M L Mendez-Bauer
- Maria L Mendez-Bauer, DDS, MSc, PhD, associate professor, Research Department, School of Dentistry, University Francisco Marroquin, Guatemala City, Guatemala
| | - J P Bermúdez
- Jorge P Bermúdez, DDS, MS, PhD student, Department of Prosthodontics, School of Dentistry, State University of Ponta Grossa, Ponta Grossa, PR, Brazil
| | - A Reis
- Alessandra Reis, DDS, PhD, associate professor, Department of Restorative Dentistry, School of Dentistry, State University of Ponta Grossa, Ponta Grossa, PR, Brazil
| | - A D Loguercio
- *Alessandro D Loguercio, DDS, MS, PhD, associate professor, Department of Restorative Dentistry, School of Dentistry, State University of Ponta Grossa, Ponta Grossa, PR, Brazil
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Ortega-Moncayo MG, Aliaga-Sancho P, Pulido C, Gutierrez MF, Rodriguez-Salazar E, Burey A, León K, Román-Oñate Y, Galvao Arrais CA, Loguercio AD, Dávila-Sánchez A. Is the use of a potassium nitrate dentifrice effective in reducing tooth sensitivity related to in-office bleaching? A randomized triple-blind clinical trial. J ESTHET RESTOR DENT 2021; 34:951-958. [PMID: 34617663 DOI: 10.1111/jerd.12826] [Citation(s) in RCA: 3] [Impact Index Per Article: 1.0] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 06/16/2021] [Revised: 09/21/2021] [Accepted: 09/24/2021] [Indexed: 11/29/2022]
Abstract
OBJECTIVE The aims of this study were to evaluate whether the use of a dentifrice containing 5% potassium nitrate (KNO3 ) prior to and during in-office dental bleaching reduces bleaching-induced tooth sensitivity and affects bleaching efficiency. MATERIALS AND METHODS Thirty-eight individuals were randomly distributed into two groups (n = 19). The experimental group performed toothbrushing using a dentifrice containing 5% KNO3 , one week before treatment and before the first and second bleaching sessions. In the control group, a placebo dentifrice without KNO3 was applied as described for the first group. Tooth sensitivity was recorded on visual analog scales (VAS) and numeric rating scales (NRS) immediately and up to 48 h after bleaching sessions. Color change at different time intervals, was evaluated with shade guide units (∆SGU) and a digital spectrophotometer (∆E CIELab 1976 and CIEDE2000) at baseline and 7, 15, and 30 days post-bleaching. Mann-Whitney test and t-test were used to evaluate TS intensity for NRS and VAS scales, respectively, and T-test was used for color difference evaluation. RESULTS No significant difference in tooth sensitivity's absolute risk and intensity were observed between tested groups in any evaluated treatment time for NRS (p = 0.91) or VAS scales (p = 0.48). T-test showed no significant difference in both ∆E and ∆SGU tooth color among the experimental and control groups during the different evaluation times (p = 0.27). CONCLUSION The use of a dentifrice containing 5% KNO3 does not prevent post-operatory tooth sensitivity but allows the same whitening efficiency as a regular dentifrice. CLINICAL SIGNIFICANCE The use of a dentifrice-containing KNO3 did not prevent bleaching-induced tooth sensitivity when high-concentrated hydrogen peroxide was used for in-office bleaching.
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Affiliation(s)
- María Gracia Ortega-Moncayo
- Postgraduate Student. School of Dentistry, Universidad San Francisco de Quito USFQ, Diego de Robles y Av. Interoceánica, Quito, 170901, Ecuador
| | - Paulina Aliaga-Sancho
- Department of Restorative Dentistry and Dental Materials. School of Dentistry, Universidad San Francisco de Quito USFQ, Diego de Robles y Av. Interoceánica, Quito, Ecuador, 170901, Ecuador
| | - Camilo Pulido
- Department of Restorative Dentistry and Dental Materials. School of Dentistry, Universidad San Francisco de Quito USFQ, Diego de Robles y Av. Interoceánica, Quito, Ecuador, 170901, Ecuador
| | - Mario Felipe Gutierrez
- Facultad de Odontología, Universidad de los Andes, Monseñor Álvaro del Portillo 12455, Santiago, 7550000, Chile.,Facultad de Odontología, Universidad Finis Terrae, Av. Pedro de Valdivia 1509, Santiago, 7501015, Chile
| | - Estuardo Rodriguez-Salazar
- Department of Prosthodontics, School of Dentistry, Universidad Francisco Marroquin (UFM), Guatemala City, Guatemala
| | - Adrieli Burey
- Department of Biological and Health Sciences, School of Dentistry, Centro Universitario Cesumar Unicesumar, Centro, Brazil
| | - Katherine León
- Postgraduate Student. School of Dentistry, Universidad San Francisco de Quito USFQ, Diego de Robles y Av. Interoceánica, Quito, 170901, Ecuador
| | - Yolanda Román-Oñate
- Department of Prosthodontics. School of Dentistry, Universidad San Francisco de Quito USFQ, Diego de Robles y Av. Interoceánica, Quito, 170901, Ecuador
| | - Cesar Augusto Galvao Arrais
- Department of Restorative Dentistry. School of Dentistry, State University of Ponta Grossa, Ponta Grossa, Brazil
| | - Alessandro D Loguercio
- Department of Restorative Dentistry. School of Dentistry, State University of Ponta Grossa, Ponta Grossa, Brazil
| | - Andrés Dávila-Sánchez
- Department of Restorative Dentistry and Dental Materials. School of Dentistry, Universidad San Francisco de Quito USFQ, Diego de Robles y Av. Interoceánica, Quito, Ecuador, 170901, Ecuador
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Gutierrez MF, Perdigão J, Malaquias P, Cardenas AM, Siqueira F, Hass V, Reis A, Loguercio AD. Effect of Methacryloyloxydecyl Dihydrogen Phosphate–Containing Silane and Adhesive Used Alone or in Combination on the Bond Strength and Chemical Interaction With Zirconia Ceramics Under Thermal Aging. Oper Dent 2020; 45:516-527. [DOI: 10.2341/18-093-l] [Citation(s) in RCA: 4] [Impact Index Per Article: 1.0] [Reference Citation Analysis] [What about the content of this article? (0)] [Abstract] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Accepted: 09/20/2019] [Indexed: 11/23/2022]
Abstract
Clinical Relevance
Achieving durable bonding to zirconia is fundamental for the application of a methacryloyloxydecyl dihydrogen phosphate (MDP)–containing silane solution or an MDP-containing silane solution associated with an MDP-containing universal adhesive.
SUMMARY
Objectives: To evaluate the effect of a methacryloyloxydecyl dihydrogen phosphate (MDP)–containing silane coupling agent and universal adhesive, used alone or in combination, on the microshear bond strength (μSBS) to zirconia after 24 hours of water storage (24h) and after 10,000 thermocycles (TC), complemented with chemical analysis of the surface to establish the presence of MDP on the surface of the zirconia after bonding procedures.
Methods and Materials: Thirty computer-aided design/computed-aided manufacturing blocks of zirconia were cut into four sections (6×6×6 mm) and sintered. Zirconia sections (n=96) were assigned to 24 groups according to three factors: 1) silane (no silane, Monobond S [MBS], Monobond P [MB+]), 2) adhesive + resin cement (no adhesive + Enforce [ENF], no adhesive + RelyX Ultimate [REX], Prime&Bond Elect + Enforce [PBE/ENF], Scotchbond Universal + RelyX Ultimate [SBU/REX]), and 3) thermocycling (no thermocycling [24h], 10,000 thermocycles [TC]). Upon silane/adhesive application, cylinder-shaped matrices were filled with resin cement and light cured. Specimens were tested in μSBS (1.0 mm/min) after 24h or TC. The μSBS data were analyzed using twoway ANOVA and Tukey’s post hoc test (α=0.05). In addition, micro-Raman spectroscopy was used to analyze the zirconia surface for immediate chemical interaction analysis (n=24).
Results: For the 24h condition, PBE/ENF resulted in lower mean μSBS than both groups with silane without PBE (MBS and MB+ groups; p<0.001). SBU alone or MB+ alone and MB+ associated with SBU showed the highest mean μSBS (p<0.001). For the TC condition, all groups showed a significant decrease in mean μSBS compared with those of 24h (p<0.001), with the exception of MB+ associated to SBU (p>0.05). However, the application of MB+ alone or MB+ associated to SBU resulted in higher mean μSBS (p<0.001) after TC than the remaining TC groups. In terms of chemical interaction, only the SBU groups, alone or combined with both of the silane agents, were associated with the methacrylate groups after rinsing.
Conclusions: The results of the current study support the use of an MDP-containing silane solution or an MDP-containing silane solution associated with an MDP-containing universal adhesive for bonding to air-abraded zirconia, as a more stable bonding after thermocycling.
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Dávila-Sánchez A, Gutierrez MF, Bermudez JP, Méndez-Bauer ML, Hilgemberg B, Sauro S, Loguercio AD, Arrais CAG. Influence of flavonoids on long-term bonding stability on caries-affected dentin. Dent Mater 2020; 36:1151-1160. [PMID: 32620332 DOI: 10.1016/j.dental.2020.05.007] [Citation(s) in RCA: 11] [Impact Index Per Article: 2.8] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 12/03/2019] [Revised: 03/27/2020] [Accepted: 05/13/2020] [Indexed: 12/20/2022]
Abstract
OBJECTIVES To evaluate the effect of experimental dentin pre-treatment solutions formulated with different flavonoids on microtensile bond strength (μTBS), nanohardness (NH) and ultra-morphological characteristics of artificial caries-affected dentin (CAD) bonded using a universal bonding system. METHODS A microbiological method was used to create an artificial CAD in 91 human molars. Five experimental pre-treatment solutions were created using the following flavonoids: quercetin (QUE); hesperidin (HES); rutin (RUT); naringin (NAR), or proanthocyanidin (PRO). A placebo solution (PLA) with no flavonoids added was also evaluated. The flavonoids or placebo solutions were applied to the CAD prior to the application and photoactivation of a universal adhesive (Scotchbond Universal, 3M Oral Care). A control group (CON), in which only the bonding agent was applied without any flavonoid solution, was also evaluated. A 3-mm-thick block of resin composite (Opallis, FGM) was built up on the flat bonded CAD surfaces and was light-cured following the manufacturer's instructions. Specimens were sectioned to obtain resin-dentin slices and sticks (cross-sectional area of 0.8 mm2). The μTBS, NH, and confocal ultramorphology analysis of resin-dentin interface was evaluated at 24 h and after thermo-cycling aging (25,000 cycles). The results were analyzed using 2-way ANOVA followed by Bonferroni's post hoc test (pre-set α = 0.05). RESULTS The specimens from groups QUE, NAR, and RUT presented greater μTBS values than those from CON group (p<0.05). Specimens from some of these experimental groups presented greater nanomechanical properties (p<0.05), and no morphological degradation at the resin-dentin interface after aging. SIGNIFICANCE The use of exogenous cross-linkers as dentin pre-treatment before bonding procedures may represent a suitable strategy to improve the longevity of universal adhesive systems applied to caries-affected dentin.
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Affiliation(s)
- Andrés Dávila-Sánchez
- Department of Restorative Dentistry, San Francisco de Quito University (USFQ), Pampite y Diego de Robles Zip Code 170901, Quito, EC-P, Ecuador
| | - Mario Felipe Gutierrez
- Department of Biomaterials, School of Dentistry, Universidad de los Andes, Monseñor Alvaro del Portillo 12455, Santiago, Postal code 7550000, Chile; Institute for Research in Dental Sciences, Faculty of Dentistry, University of Chile, Av. Olivos 943, Independencia, Santiago, Postal code 8380544, Chile
| | - Jorge Pailover Bermudez
- Department of Restorative Dentistry, State University of Ponta Grossa, Rua General Carlos Cavalcanti, 4748, Uvaranas, Ponta Grossa, Parana, 84030-900 Brazil
| | - María Luján Méndez-Bauer
- Department of Restorative Dentistry, State University of Ponta Grossa, Rua General Carlos Cavalcanti, 4748, Uvaranas, Ponta Grossa, Parana, 84030-900 Brazil; Research Department, School of Dentistry, University Francisco Marroquín (UFM), 6th street 7-11 zone 10, Postal code: 01010, Guatemala
| | - Bruna Hilgemberg
- Department of Restorative Dentistry, State University of Ponta Grossa, Rua General Carlos Cavalcanti, 4748, Uvaranas, Ponta Grossa, Parana, 84030-900 Brazil
| | - Salvatore Sauro
- Dental Biomaterials, Dental Biomaterials and Minimally Invasive Dentistry, Departmento de Odontologia, Facultad de Ciencias de la Salud Universidad, CEU-Cardenal Herrera, Alfara del Patriarca (Valencia), 46115 Spain
| | - Alessandro D Loguercio
- Department of Restorative Dentistry, State University of Ponta Grossa, Rua General Carlos Cavalcanti, 4748, Uvaranas, Ponta Grossa, Parana, 84030-900 Brazil
| | - Cesar Augusto Galvão Arrais
- Department of Restorative Dentistry, State University of Ponta Grossa, Rua General Carlos Cavalcanti, 4748, Uvaranas, Ponta Grossa, Parana, 84030-900 Brazil.
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Loguercio AD, Rezende M, Gutierrez MF, Costa TF, Armas-Vega A, Reis A. Randomized 36-month follow-up of posterior bulk-filled resin composite restorations. J Dent 2019; 85:93-102. [PMID: 31100332 DOI: 10.1016/j.jdent.2019.05.018] [Citation(s) in RCA: 35] [Impact Index Per Article: 7.0] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 03/19/2019] [Revised: 05/10/2019] [Accepted: 05/13/2019] [Indexed: 11/26/2022] Open
Abstract
OBJECTIVE The aim of this double blind, randomized controlled trial was to evaluate the 36-month clinical performance of the layering technique (incremental [IF] vs. bulk-fill [BF]) in posterior composite resin restorations bonded with self-etch (SE) and etch-and-rinse (ER) strategies. METHODS Posterior dental cavities of 72 participants (n = 236), with a cavity depth of at least 3 mm, were randomly divided into four groups. The restorations were bonded using either the Tetric N-Bond ER or Tetric N-Bond SE. The composite resin Tetric N-Ceram Bulk-Fill was placed either IF or using BF. Two experienced and calibrated examiners evaluated the restorations using FDI criteria in the baseline and after 12, 24 and 36-month. The statistical analyses were performed using the Wilcoxon Signed rank test (α = 0.05) RESULTS: After 36-month, 14, 21 and 33 restorations showed minor fractures, marginal desadaptation and color mismatch, respectively (p > 0.05). Thirty-three restorations showed some marginal discoloration after 36-month with significant difference between ER (3 for ER-IF; 3 for ER-BF) and SE (14 for SE-IF; 12 for SE-BF; p < 0.05). CONCLUSION The BF technique showed excellent clinical performance, which was comparable during the 36-month of clinical evaluation with the 2-mm IF and it was not affected by the adhesive strategy. However, using the ER strategy reduces the risk of some marginal discoloration, irrespectively of the filling technique. CLINICAL RELEVANCE The bulk-fill material showed excellent clinical behavior when compared to its use in an incremental filling technique, mainly when associated to etch-and-rinse adhesive material after 3 years of clinical evaluation.
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Affiliation(s)
- A D Loguercio
- Department of Restorative Dentistry, State University of Ponta Grossa, Paraná, Brazil; School of Dentistry, Federal University of Parana, Curitiba, Brazil.
| | - M Rezende
- Department of Restorative Dentistry, State University of Ponta Grossa, Paraná, Brazil; Paulo Picanco School of Dentistry, Fortaleza, Ceara, Brazil
| | - M F Gutierrez
- Department of Restorative Dentistry, State University of Ponta Grossa, Paraná, Brazil; Institute for Research in Dental Science, Faculty of Dentistry, University of Chile, Chile
| | - T F Costa
- School of Dentistry, Federal University of Parana, Curitiba, Brazil
| | - A Armas-Vega
- Facultad de Ciencias de la Salud Eugenio Espejo, Universidad UTE, Quito, Equador
| | - A Reis
- Department of Restorative Dentistry, State University of Ponta Grossa, Paraná, Brazil
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Cardenas AM, Siqueira F, Hass V, Malaquias P, Gutierrez MF, Reis A, Perdigão J, Loguercio A. Effect of MDP-containing Silane and Adhesive Used Alone or in Combination on the Long-term Bond Strength and Chemical Interaction with Lithium Disilicate Ceramics. J Adhes Dent 2019; 19:203-212. [PMID: 28580465 DOI: 10.3290/j.jad.a38414] [Citation(s) in RCA: 11] [Impact Index Per Article: 2.2] [Reference Citation Analysis] [What about the content of this article? (0)] [Abstract] [MESH Headings] [Subscribe] [Scholar Register] [Indexed: 11/06/2022]
Abstract
PURPOSE To evaluate the effect of a silane and an adhesive containing MDP, used alone or combined in the same solution, on the microshear bond strength (μSBS) to lithium disilicate ceramics immediately and after 1-year water storage, and compare the bond strength results with the Raman spectra of the treated lithium disilicate surfaces. MATERIALS AND METHODS A total of 30 CAD/CAM blocks of lithium disilicate (LD; IPS e.max CAD) were cut into four square sections (6 x 6 x 6 mm; n = 60 per group) and processed as recommended by the manufacturer. The LD specimens were divided into 12 groups according to the following independent variables: silane coupling agent (no silane; silane without 10-MDP [MBS, Monobond S]; silane with 10-MDP [MB+, Monobond Plus]) and adhesive + luting composite (no adhesive + Enforce; no adhesive + RelyX Ultimate; Prime & Bond Elect [PBE], a silane- and MDP-free universal adhesive + Enforce; Scotchbond Universal Adhesive [SBU], a silane- and MDP-containing universal adhesive + RelyX Ultimate). After each treatment, cylindrical, transparent matrices were filled with a luting composite and light cured. Specimens were stored in water (37°C for 24 h or 1 year) and submitted to the microshear bond strength (μSBS) test. The failure pattern and μSBS were statistically evaluated (α = 0.05). In addition, specimens were examined for chemical interaction using Raman spectroscopy. RESULTS The use of the adhesive PBE alone showed higher mean μSBS compared with both groups with silane (MSB or MB+) without PBE (p < 0.001) at 24 h. The use of the SBU adhesive or MBS silane alone, as well as MB+ associated with SBU, showed higher mean μSBS (p < 0.001) at 24 h. After 1-year water storage, all groups showed a significant decrease in mean μSBS. However, the application of PBE or SBU associated with MB+ silane showed higher 1-year mean μSBS (p < 0.001). In terms of chemical interaction, when silane (MSB or MB+) was applied, only a slight decrease of Si-O peaks occurred. Otherwise, when PBE or SBU adhesives were applied, methacrylate peaks were only observed in the SBU groups. CONCLUSION The best results in terms of bond strength after water storage were obtained when an MDP-containing silane was associated with a universal adhesive. The use of a simplified bonding protocol that includes either a silane or a universal adhesive is not recommended.
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Malaquias P, Gutierrez MF, Hass V, Stanislawczuk R, Bandeca MC, Arrais C, Farago PV, Reis A, Loguercio AD. Two-year Effects of Chlorhexidine-containing Adhesives on the In Vitro Durability of Resin-dentin Interfaces and Modeling of Drug Release. Oper Dent 2018; 43:201-212. [PMID: 29504885 DOI: 10.2341/16-333-l] [Citation(s) in RCA: 10] [Impact Index Per Article: 1.7] [Reference Citation Analysis] [What about the content of this article? (0)] [Abstract] [MESH Headings] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/23/2022]
Abstract
OBJECTIVES To evaluate the effects of addition of diacetate chlorhexidine (CHX) at different concentrations into two etch-and-rinse adhesive systems on CHX release, as well as the immediate (IM) and two-year (2-Y) resin-dentin microtensile bond strength (μTBS) and nanoleakage (NL). METHODS CHX was added to XP Bond (XP) and Ambar (AM) at concentrations of 0.0 wt% (control); 0.01 wt%; 0.05 wt%; and 0.1 to 0.2 wt%. To assess the cumulative CHX release, adhesive disks were made in a metallic matrix and after light-curing were stored in water. Ultraviolet spectrophotometric measurements of the storage solution were performed to examine the release kinetics of CHX. For μTBS and NL, the occlusal enamel of molars was removed and the adhesives were applied to the dentin surface after acid etching. After composite resin build-up, specimens were sectioned to obtain μTBS sticks. The specimens were subjected to μTBS and NL at IM and after 2-Y. In addition, specimens underwent examination for CHX using micro-Raman spectroscopy. All data were submitted to statistical analysis (α=0.05). RESULTS With regard to CHX release, AM showed a slower and gradual release of CHX while XP released CHX more quickly ( p<0.05), and CHX was still present in the hybrid layers after 2-Y. Both adhesives showed CHX release at 2-Y water storage. Both CHX-containing adhesives showed higher μTBS values than did the control group ( p<0.05).
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Mesa LM, Lindt I, Negro L, Gutierrez MF, Mayora G, Montalto L, Ballent M, Lifschitz A. Aquatic toxicity of ivermectin in cattle dung assessed using microcosms. Ecotoxicol Environ Saf 2017; 144:422-429. [PMID: 28654874 DOI: 10.1016/j.ecoenv.2017.06.016] [Citation(s) in RCA: 13] [Impact Index Per Article: 1.9] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Key Words] [MESH Headings] [Track Full Text] [Subscribe] [Scholar Register] [Received: 01/31/2017] [Revised: 05/30/2017] [Accepted: 06/05/2017] [Indexed: 05/25/2023]
Abstract
Ivermectin (IVM) is a parasiticide widely used for livestock. It is a semisynthetic derivative of avermectin, a macrocyclic lactone produced by Streptomyces avermitilis. This drug is only partly metabolized by livestock; considerable amounts of parent drug are excreted mostly via feces. To simulate exposure of aquatic invertebrates and macrophytes to direct excretion of cattle dung into surface waters, a microcosm experiment with IVM spiked in cattle dung was conducted. The objectives of this study were to characterize accumulation of IVM in water, sediment+dung, roots of the floating fern Salvinia and the zooplankton Ceriodaphnia dubia, the amphipod Hyalella and the apple snail Pomacea; to determine the effect of this drug spiked in cattle dung on life-history traits of these invertebrates; and to evaluate the influence of IVM on aquatic nutrient cycling. Dung was spiked with IVM to attain concentrations of 1150, 458, 50 and 22µgkg-1dung fresh weight, approximating those found in cattle dung at days 3, 7, 16 and 29 following subcutaneous injection. Concentrations found in dung during the first week of excretion were lethally toxic to Ceriodaphnia dubia and Hyalella, whereas no mortality was observed in Pomacea. Concentrations of IVM in roots, sediment + dung and Pomacea increased significantly from the lowest to the highest treatment level. The effect of this drug on decomposition and release of nutrients from dung would have negative consequences for nutrient cycling in water. Increasing concentrations in sediment + dung with days of the experiment suggested that toxic concentrations would persist for an extended period in the water-sediment system. IVM represents an ecological risk for aquatic ecosystems, underscoring the need for livestock management strategies to limit its entry into water bodies.
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Affiliation(s)
- Leticia M Mesa
- Instituto Nacional de Limnología (INALI-CONICET-UNL), Ciudad Universitaria, Paraje El Pozo, CP 3000 Santa Fe, Argentina.
| | - I Lindt
- Facultad de Bioquímica y Ciencias Biológicas - Escuela Superior de Sanidad "Dr. Ramón Carrillo", UNL, Ciudad Universitaria, Paraje El Pozo, 3000 Santa Fe, Argentina
| | - L Negro
- Instituto Nacional de Limnología (INALI-CONICET-UNL), Ciudad Universitaria, Paraje El Pozo, CP 3000 Santa Fe, Argentina; Facultad de Bioquímica y Ciencias Biológicas - Escuela Superior de Sanidad "Dr. Ramón Carrillo", UNL, Ciudad Universitaria, Paraje El Pozo, 3000 Santa Fe, Argentina
| | - M F Gutierrez
- Instituto Nacional de Limnología (INALI-CONICET-UNL), Ciudad Universitaria, Paraje El Pozo, CP 3000 Santa Fe, Argentina; Facultad de Bioquímica y Ciencias Biológicas - Escuela Superior de Sanidad "Dr. Ramón Carrillo", UNL, Ciudad Universitaria, Paraje El Pozo, 3000 Santa Fe, Argentina
| | - G Mayora
- Instituto Nacional de Limnología (INALI-CONICET-UNL), Ciudad Universitaria, Paraje El Pozo, CP 3000 Santa Fe, Argentina
| | - L Montalto
- Instituto Nacional de Limnología (INALI-CONICET-UNL), Ciudad Universitaria, Paraje El Pozo, CP 3000 Santa Fe, Argentina; Facultad de Humanidades y Ciencias (UNL), Ciudad Universitaria, Paraje El Pozo, 3000 Santa Fe, Argentina
| | - M Ballent
- Laboratorio de Farmacología, Centro de Investigación Veterinaria de Tandil (CIVETAN), CONICET-CICPBA, Facultad de Ciencias Veterinarias, UNCPBA, Campus Universitario, 7000 Tandil, Argentina
| | - A Lifschitz
- Laboratorio de Farmacología, Centro de Investigación Veterinaria de Tandil (CIVETAN), CONICET-CICPBA, Facultad de Ciencias Veterinarias, UNCPBA, Campus Universitario, 7000 Tandil, Argentina
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Martini EC, Parreiras SO, Gutierrez MF, Loguercio AD, Reis A. Effect of Different Protocols in Preconditioning With EDTA in Sclerotic Dentin and Enamel Before Universal Adhesives Applied in Self-etch Mode. Oper Dent 2017; 42:284-296. [DOI: 10.2341/16-014-l] [Citation(s) in RCA: 7] [Impact Index Per Article: 1.0] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/23/2022]
Abstract
SUMMARY
Objectives:
The aim of this study was to investigate the effect of different protocols of 17% ethylene diamine tetra-acetic acid (EDTA) conditioning on the etching pattern and immediate bond strength of universal adhesives to enamel and sclerotic dentin.
Methods and Materials:
Forty bovine teeth with sclerotic dentin and 20 human third molars were randomly divided into eight groups resulting from the combination of the main factors surface treatment (none, two-minute EDTA conditioning manual application, 30-second EDTA manual application, 30-second EDTA sonic application) and adhesives systems (Scotchbond Universal Adhesive [SBU] and Prime & Bond Elect [PBE]). Resin-dentin and enamel-dentin bond specimens were prepared and tested under the microtensile bond strength (μTBS) and microshear bond strength (μSBS) tests, respectively. The etching pattern produced on the unground enamel and the sclerotic dentin surfaces under the different protocols and adhesive systems was evaluated under scanning electron microscopy.
Results:
For enamel, only the main factor adhesive was significant (p<0.0001), with SBU showing the highest μSBS. In sclerotic dentin, the lowest mean was observed for the group without EDTA application and the highest mean in the group with EDTA application with the sonic device for 30 seconds. Regardless of the EDTA protocol, the highest means of μTBS were observed for SBU (p<0.05).
Conclusions:
EDTA conditioning improves the bonding performance of universal adhesives in the self-etch mode on sclerotic dentin, mainly when applied for 30 seconds with the aid of a sonic device. EDTA pretreatment also improves the retentive etching pattern of enamel, but it does not result in higher enamel bond strength.
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Affiliation(s)
- EC Martini
- Eveline Claudia Martini, DDS, graduate student, Department of Restorative Dentistry, State University of Ponta Grossa, Paraná, Brazil
| | - SO Parreiras
- Sibelli Olivieri Parreiras, DDS, graduate student, Department of Restorative Dentistry, State University of Ponta Grossa, Paraná, Brazil
| | - MF Gutierrez
- Mario Felipe Gutierrez, DDS, graduate student, Department of Restorative Dentistry, State University of Ponta Grossa, Paraná, Brazil and professor, Institute for Research in Dental Sciences, Faculty of Dentistry, University of Chile, Santiago, Chile
| | - AD Loguercio
- Alessandro Dourado Loguercio, DDS, MS, PhD, associate professor, Department of Restorative Dentistry, State University of Ponta Grossa, Paraná, Brazil
| | - A Reis
- Alessandra Reis, DDS, PhD, associate professor, Department of Restorative Dentistry, State University of Ponta Grossa, Paraná, Brazil
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11
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Siqueira F, Cardenas AM, Gutierrez MF, Malaquias P, Hass V, Reis A, Loguercio AD, Perdigão J. Laboratory Performance of Universal Adhesive Systems for Luting CAD/CAM Restorative Materials. J Adhes Dent 2017; 18:331-40. [PMID: 27419246 DOI: 10.3290/j.jad.a36519] [Citation(s) in RCA: 12] [Impact Index Per Article: 1.7] [Reference Citation Analysis] [What about the content of this article? (0)] [Abstract] [MESH Headings] [Subscribe] [Scholar Register] [Indexed: 11/06/2022]
Abstract
PURPOSE To evaluate the microshear bond strength (μSBS) of several universal adhesive systems applied on five different indirect restorative materials. MATERIALS AND METHODS Five CAD/CAM materials were selected: 1) indirect resin composite (LAV); 2) feldspathic glass ceramic (VTR); 3) leucite-reinforced glass-ceramic (EMP); 4) lithium disilicate ceramic (EMX); 5) yttrium-stabilized zirconium dioxide (CZI). For each material, 15 blocks were cut into 4 rectangular sections (6 × 6 × 6 mm) (n = 60 per group), and processed as recommended by the respective manufacturer. For each indirect material, the following adhesive systems were applied according to the respective manufacturer's instructions: 1) AdheSE Universal [ADU]; 2) All-Bond Universal (ABU); 3) Ambar Universal (AMB); 4) Clearfil Universal (CFU); 5) Futurabond U (FBU); 6) One Coat 7 Universal (OCU); 7) Peak Universal Bond (PUB); 8) Prime&Bond Elect (PBE); 9) Scotchbond Universal Adhesive (SBU); 10) Xeno Select (XEN, negative control). After the application of the adhesive system, cylinder-shaped transparent matrices were filled with a dual-curing resin cement (NX3) and light cured. Specimens were stored in water (37°C for 24 h) and tested in shear mode at 1.0 mm/min (mSBS). The failure pattern and μSBS were statistically evaluated (a = 0.05). RESULTS LAV, VTR, and EMP showed a greater number of cohesive fractures than EMX and CZI (p < 0.0001). PUB was the only adhesive for which the mean μSBS reached the highest ranking of statistical significance for all five substrates. When each adhesive was compared across the five substrates, 8 out of 10 (ADU, ABU, AMB, CFU, OCU, PUB, PBE, and SBU) reached the statistically highest mean μSBS when applied on CZI. CONCLUSION The specific chemical composition of universal adhesives was not the decisive factor in the bond strength values measured for different CAD/CAM indirect materials. There was a wide variability in mean μSBS when different universal adhesives were applied to the several CAD/CAM indirect materials. Most universal adhesives bonded well to air-abraded zirconia.
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12
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Loguercio AD, Hass V, Gutierrez MF, Luque-Martinez IV, Szezs A, Stanislawczuk R, Bandeca MC, Reis A. Five-year Effects of Chlorhexidine on the In Vitro Durability of Resin/Dentin Interfaces. J Adhes Dent 2016; 18:35-42. [PMID: 26814314 DOI: 10.3290/j.jad.a35514] [Citation(s) in RCA: 8] [Impact Index Per Article: 1.0] [Reference Citation Analysis] [What about the content of this article? (0)] [Abstract] [MESH Headings] [Subscribe] [Scholar Register] [Indexed: 11/06/2022]
Abstract
PURPOSE To evaluate the effect of an acid containing 2% chlorhexidine (Ac/CHX) or a 2% CHX aqueous solution (Aq/CHX) on the immediate and 5-year bonding properties of resin/dentin interfaces produced by two adhesives. The presence of CHX in these interfaces was also evaluated under micro-Raman spectroscopy. MATERIALS AND METHODS Forty-two molars were ground to expose a flat dentin surface. In the control group, the surfaces were etched with conventional phosphoric acid, and Prime&Bond NT (PB) and Adper Single Bond 2 (SB) were applied. In Ac/CHX, an acid containing 2% CHX was applied after adhesive application. In the Aq/CHX group, an aqueous solution of 2% CHX was applied for 60 s after etching. After placing the restoration, specimens were prepared and tested using the microtensile bond strength test (μTBS, 0.5 mm/min) immediately or after 5 years. For nanoleakage (NL), specimens at each period were immersed in silver nitrate solution and examined by EDX-SEM. In addition, specimens at each period underwent examination for CHX using micro-Raman spectroscopy. Data were submitted to appropriate statistical analysis (a=0.05). RESULTS After 5 years, NL was more pronounced in the control than in the Ac/CHX or Aq/CHX (p<0.001). Significant reductions in the μTBS were observed for all groups; however, they were more pronounced for the control (p<0.001). CHX was still present in the hybrid layers Ac/CHX or Aq/CHX groups after 5 years. CONCLUSION The use of a 2% chlorhexidine-containing acid or the application of an aqueous CHX primer may increase the long-term stability of resin/dentin interfaces.
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Loguercio AD, Stanislawczuk R, Malaquias P, Gutierrez MF, Bauer J, Reis A. Effect of Minocycline on the Durability of Dentin Bonding Produced with Etch-and-Rinse Adhesives. Oper Dent 2016; 41:511-519. [PMID: 26918930 DOI: 10.2341/15-023-l] [Citation(s) in RCA: 11] [Impact Index Per Article: 1.4] [Reference Citation Analysis] [What about the content of this article? (0)] [Abstract] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/23/2022]
Abstract
OBJECTIVES To evaluate the effect of minocycline and chlorhexidine pretreatment of acid-etched dentin on the longevity of resin-dentin bond strength (μTBS) and nanoleakage of two-step etch-and-rinse adhesives. METHODS Before application of Prime & Bond NT and Adper Single Bond 2 in occlusal dentin, the dentin surfaces were treated with 37% phosphoric acid, rinsed, air-dried, and rewetted with water (control group), 2% minocycline, or 2% chlorexidine digluconate. Composite buildups were constructed incrementally, and specimens were longitudinally sectioned to obtain bonded sticks (0.8 mm2) to be tested in tension (0.5 mm/min) immediately or after 24 months of water storage. For nanoleakage, two specimens of each tooth/period were immersed in the silver nitrate solution, photo-developed, and polished with SiC paper for analysis under energy-dispersive X-ray spectroscopy/scanning electron microscopy. RESULTS Reductions of the μTBS and increases in the nanoleakage were observed for both adhesives when the rewetting procedure was performed with water. Stable bonds were observed for the 2% minocycline and 2% chlorexidine digluconate groups after 24 months. CONCLUSIONS The use of 2% minocycline as pretreatment of acid-etched dentin is one alternative to retard the degradation of resin-dentin interfaces over a 24-month period as well as 2% chlorexidine digluconate.
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Reno U, Gutierrez MF, Regaldo L, Gagneten AM. The impact of Eskoba, a glyphosate formulation, on the freshwater plankton community. Water Environ Res 2014; 86:2294-300. [PMID: 25654931 DOI: 10.2175/106143014x13896437493580] [Citation(s) in RCA: 3] [Impact Index Per Article: 0.3] [Reference Citation Analysis] [What about the content of this article? (0)] [Abstract] [MESH Headings] [Track Full Text] [Subscribe] [Scholar Register] [Indexed: 06/04/2023]
Abstract
This study analyzed the acute effects of a glyphosate-based herbicide (Eskoba) on the microalgae Chlorella vulgaris, the cladoceran Simocephalus vetulus, and the copepod Notodiaptomus conifer, and evaluated the recovery ability of the surviving micro-crustaceans. Survival, age of first reproduction, and fecundity were used as endpoints for S. vetulus, while survival and time to reach the adult stage were used as endpoints for N. conifer. The registered order of sensitivity was S. vetulus (48-hour effective concentration [EC50]: 21 mg/L) > C. vulgaris (72-hour EC50: 58.59 mg/ L) > N. conifer (48-hour EC50: 95 mg/L). Despite the growth of C. vulgaris stimulated after 24 hours of exposure to the commercial formulation of glyphosate Eskoba, it was inhibited after 48 hours by all the concentrations tested. In postexposure experiments, microcrustaceans reduced their life expectancy, S. vetulus decreased its fertility, and N. conifer inhibited its sexual maturity. In summary, it was demonstrated that these species lost their recovery ability.
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15
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Devesa M, Loureiro CL, Rivas Y, Monsalve F, Cardona N, Duarte MC, Poblete F, Gutierrez MF, Botto C, Pujol FH. Subgenotype diversity of hepatitis B virus American genotype F in Amerindians from Venezuela and the general population of Colombia. J Med Virol 2008; 80:20-6. [PMID: 18041024 DOI: 10.1002/jmv.21024] [Citation(s) in RCA: 71] [Impact Index Per Article: 4.4] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 12/18/2022]
Abstract
The objective of this study was the evaluation of the genetic diversity found in HBV circulating among Venezuelan Amerindians and the general population in Colombia. Phylogenetic analysis of the S region in 194 isolates showed that genotype F is highly predominant in Colombia and Venezuela. This might be related to the genetic background of the population. F3 is the main subgenotype which circulates in both countries. Phylogenetic analysis of 61 complete genome sequences of HBV American genotypes confirms the presence of two genotypes F and H, and 4 F subgenotypes. In Venezuela, subgenotypes F1, F2, and F3 circulate in East and West Amerindians, while only F3 was found among South Amerindians. Japreira community derived from Yucpa Amerindians around 150 years ago. However, several Japreira HBV sequences were forming a clade that can be classified as subgenotype 2b, differing from Yucpa sequences that belong mainly to subgenotype F3. The apparent absence of correlation between the phylogenetic groupings of HBV isolates with the ethnical origin in aboriginal populations might be suggesting a recent origin of HBV American subgenotypes, or a genetic drift effect.
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Affiliation(s)
- M Devesa
- Laboratorio de Virología Molecular, CMBC, IVIC, Caracas, Venezuela
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Medina SM, Gutierrez MF, Liprandi F, Ludert JE. Identification and type distribution of astroviruses among children with gastroenteritis in Colombia and Venezuela. J Clin Microbiol 2000; 38:3481-3. [PMID: 10970410 PMCID: PMC87413 DOI: 10.1128/jcm.38.9.3481-3483.2000] [Citation(s) in RCA: 46] [Impact Index Per Article: 1.9] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [MESH Headings] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/20/2022] Open
Abstract
Astrovirus infections were detected by enzyme immunoassay in 12 (5%) of 251 stool samples from children with gastroenteritis from Bogota, Colombia. In addition, astroviruses were detected by reverse transcription-PCR in 3 (10%) of 29 stool samples negative for other enteric pathogens collected in Caracas, Venezuela, from children with gastroenteritis. Astrovirus type 1 was the most frequently detected virus.
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Affiliation(s)
- S M Medina
- Laboratorio de Virología, Departamento de Microbiología, Facultad de Ciencias, Pontificia Universidad Javeriana, Bogotá, Colombia
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