RESUMO | A presente pesquisa in vitro teve como objetivo avaliar a superfície de três resinas compostas quando submetidas a tratamentos de polimento e jato de bicarbonato. As alterações foram avaliadas pela análise rugosimétrica. Foram testadas três resinas compostas, de diferentes tamanhos de partículas-nanohíbrida (Z350 XT-3M ESPE), microhíbrida (Z250-3M ESPE) e microparticulada (Durafill-Heraeus Kulzer)-. Para cada resina foram confeccionados quinze corpos de prova aleatoriamente divididos em 3 grupos: polimento com pontas de silicone (Enhace+PoGo-Dentsply), pontas de borracha (astropol-Ivoclar Vivadent) e discos fléxiveis (Sof-Lex-3M ESPE). A rugosidade das amostras foi analisada por meio do Rugosímetro (Mitutoyo SJ-201P-Tókio-Japan). A mensuração da rugosidade foi realizada antes e após o polimento. Em seguida, cada grupo foi submetido à termociclagem e ao jato de bicarbonato, quando foi realizada a ultima leitura da rugosidade. A análise de variância mostrou haver diferença estatisticamente significante (p<0,05) entre as resinas (p=0,0008), entre os polimentos (p=0,0001), e na interação entre resina e polimento (p=0,007), porém entre os momentos não houve diferença estatisticamente significante (p=0,305). Dentre as resinas avaliadas a que apresentou maior grau de rugosidade foi a microparticulada (Durafill-Heraeus Kulzer), e o sistema de polimento que mostrou menor eficiência foi o sistema que utiliza pontas de borracha (Astropol-Ivoclar Vivadent).

Background: The elimination of the pathogenic microorganisms of the periodontal pocket is one of the main points for success in periodontal treatment. The objective of this study is to investigate the clinical and antimicrobial effect of papain-mediated photodynamic therapy in the clinical treatment of periodontal disease. Methods: Twenty patients with chronic periodontitis will be selected. Patients will be randomly divided into 2 groups (n = 10). Group 1 will receive conventional periodontal treatment and group 2 will receive conventional treatment and antimicrobial photodynamic therapy (PACT). Conventional treatment will consist of oral hygiene guidance, with brushing technique instructions and recommendation of daily flossing. The calculus deposits on the teeth will be removed with ultrasound equipment and curettes for scraping and root planning. The PACT will be performed at the end of each periodontal treatment session, at sites with bags ≥4 mm. PapaMblue photosensitizer will be deposited in the periodontal pockets with a syringe and a pre-irradiation time of 1 minute will be adopted. Then, the laser emitting wavelength of 660 nm, with power of 100 mW, for 2 minutes, radiant exposure of 30 J/cm2 and power density of 250 mW/cm2 will be applied. Patients will undergo clinical evaluations before treatment (day 1) at 30, 60, and 90 days after the end of treatment; and microbiological evaluations before and immediately after treatment. The distribution of the data within each group and the homogeneity of the variances will be verified. With this information, the most appropriate statistical test in each evaluation will be used. The sample calculation is based on the literature and the significance level of 5% will be adopted. Discussion: The combination of PACT with methylene blue in a papain gel and the conventional treatment may increase the reduction of bacteria in periodontal pockets.

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