Purpose To compare the Atraumatic Restorative Treatment (ART) associated with Brix3000™ to ART considering treatment time, pain experienced, and acceptability to children. Methods This study was accepted in Research Ethics Committee in July 2019 (number 3469402). Healthy patients ( n = 20) aged 3–9 years, with at least one primary molar with occlusal dentine caries without cusp involvement were randomly allocated to either the ART + Brix3000™ group or the ART-only group. The sample was characterised by sex, age, tooth location and caries experience. Time spent and pain experience scores were recorded at prophylaxis, caries removal and restoration. The pain experience (intense, moderate, or mild) was evaluated by the Face, Legs, Activity, Cry, Consolability-revised scale (FLACC-r). Acceptability was assessed by a five-point hedonic facial scale (dichotomised into ‘like’ and ‘indifferent/dislike’ bins) and by an open-question interview. Mann–Whitney, Chi-square, and Fisher’s exact tests were applied to discern differences in time, pain/sample characterisation and acceptability, respectively. Results The ART + Brix3000™ group required 8.6 ± 3.1 min to remove caries tissue, whereas the ART group required only 4.8 ± 2.0 min ( p = 0.03). The total time spent with treatments was 13.1 ± 4.0 min for ART + Brix3000™, and 9.8 ± 2.7 min for ART ( p = 0.03). There was no difference in pain experience and acceptability found among the groups ( p > 0.05). Conclusion Although the ART + Brix3000™ technique demanded more treatment time than the ART alone, there were no differences in either pain experience or acceptability.
Background Chemical–mechanical caries removal (CMCR) products are in constant evolution and were recommended during the COVID-19 pandemic as substitutes for conventional caries removal. Aim Characterize the worldwide scientific literature about CMCR products, over the years, by means of a critical review. Design Electronic search was performed on Medline/PubMed, Scopus, Web of Science, Cochrane Library, Lilacs, and Embase up to November 2020. Year, journal, country of authors, and type of study were the data extracted from the retrieved studies. Additional data of the clinical studies and systematic reviews were investigated. Results 2221 records were identified, 397 selected. 2011–2020 period concentrates higher number of publications ( n = 169), in the Journal of Dental Research ( n = 51), developed in Brazil ( n = 45) and India ( n = 44). Most studies were in vitro ( n = 211) and clinical trials ( n = 101). Carisolv™ ( n = 48) and Papacarie Duo Gel™ ( n = 33) were the most used products, prescript in isolated usage ( n = 101), and compared with drills ( n = 77). CMCR were more studied in primary teeth ( n = 78), receiving glass ionomer cement (GIC) ( n = 51) as restorative material. The most evaluated outcomes were time spent ( n = 48) and pain ( n = 41). Clinical application of CMCR takes more time than other techniques, but can also reduce patient anxiety, pain, and need for anesthesia. Conclusion In vitro and clinical studies with CMCR products have been increasing, mostly carried out in developing countries, evaluating Carisolv™ and Papacarie Duo Gel™. Clinical studies tend to evaluate the time spent and pain compared to drills for removing caries in primary teeth, posteriorly restored with GIC. CMCR clinical application reduces anxiety, pain, and need for anesthesia, despite increase treatments’ time.
A oficina "Da planta ao fitocosmético" integra o projeto de extensão da Faculdade de Farmácia (FF) da Universidade Federal do Rio de Janeiro (UFRJ) intitulado "Estabelecimento de uma relação multidisciplinar construtiva com as escolas públicas: uma contribuição da Faculdade de Farmácia da UFRJ". Essa oficina foi trabalhada com alunos de uma escola de ensino fundamental e uma escola de ensino médio, ambas localizadas no município do Rio de Janeiro. O seu objetivo principal foi promover o contato dos alunos e dos professores de escolas públicas com a universidade, gerando e difundindo o conhecimento técnico-científico e humanístico sobre a importância dos hábitos de higiene para a saúde e informações sobre plantas utilizadas como fitocosmético. Para tal, foram ofertadas oficinas teóricas e práticas nas escolas, de modo a promover a interação dialógica entre os alunos e os professores de escolas públicas com a Universidade. Neste contexto, foi possível aproximá-los de atividades, materiais e conceitos sobre autocuidado, bem estar, hábitos de higiene, cosméticos e fitocosméticos. Os professores que acompanharam os alunos nas escolas sentiram-se encorajados a manter a criatividade em sala de aula. Para os acadêmicos, o projeto possibilitou o crescimento pessoal e técnico, e foram instigados a desenvolver aptidões além da sala de aula.Palavras-chave: Fitocosméticos. Extensão universitária. Escola pública.
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