Relationship between temporomandibular disorders and orthodontic treatment: a literature review

OBJETIVO: revisar a literatura mais atual, dos últimos 15 anos, em busca de estudos clínicos que relatem a relação entre a disfunção temporomandibular (DTM) e o tratamento ortodôntico e/ou a má oclusão. A intenção foi verificar se o tratamento ortodôntico aumentaria o aparecimento de sinais e sintomas de DTM, e se o tratamento ortodôntico seria um recurso para o tratamento ou prevenção dos sinais e sintomas de DTM. MÉTODOS: artigos dos tipos revisão de literatura, editorial, carta, estudo experimental em animais e comunicação foram excluídos dessa revisão. Foram incluídos artigos prospectivos, longitudinais, caso-controle ou retrospectivo com amostra maior, com relevante análise estatística. Estudos que abordassem deformidades e síndromes craniofaciais e tratamento por cirurgia ortognática também foram excluídos, bem como aqueles que relatassem apenas a associação entre má oclusão e DTM. RESULTADOS: foram encontrados 20 artigos relacionando Ortodontia à DTM, segundo os critérios adotados. Os estudos, então, associando sinais e sintomas de DTM ao tratamento ortodôntico apresentaram resultados heterogêneos. Alguns encontraram efeitos positivos do tratamento ortodôntico para os sinais e sintomas de DTM; entretanto, nenhum deles apresentou diferença estatisticamente significativa. CONCLUSÕES: todos os estudos citados nessa revisão de literatura relataram que o tratamento ortodôntico não forneceu risco ao desenvolvimento de sinais e sintomas de DTM, independentemente da técnica utilizada para tratamento, da exodontia ou não de pré-molares e do tipo de má oclusão previamente apresentada pelo paciente. Alguns estudos realizados com acompanhamento em longo prazo concluíram que o tratamento ortodôntico não seria preventivo ou uma modalidade de tratamento para DTM.

Implant-abutment gap versus microbial colonization: Clinical significance based on a literature review

Microorganisms from the oral cavity may settle at the implant-abutment interface (IAI). As a result, tissue inflammation could occur around these structures. The databases MEDLINE/PubMed and PubMed Central were used to identify articles published from 1981 through 2012 related to the microbial colonization in the implant-abutment gap and its consequence in terms of crest bone loss and osseointegration. The following considerations could be put forward, with respect to the clinical importance of IAI: (a) the space present at the IAI seems to allow bacterial leakage to occur, in spite of the size of this space; (b) bacterial leakage seems to occur at the IAI, irrespective of the type of connection. More studies are necessary to clarify the relationship between leakage at IAI and abutment connection designs; (c) losses at the peri-implant bone crests cannot be related to the IAI size, since few studies have shown no relationship. Also, the microbial leakage at the IAI cannot be related to the bone crest loss, since there are no articles reporting this relationship; remains controversial the influence of the IAI position on the bone crest losses. © 2013 Wiley Periodicals, Inc. J Biomed Mater Res Part B: Appl Biomater 101B: 1321-1328, 2013. Copyright © 2013 Wiley Periodicals, Inc.

Evolution of perceived exertion concepts and mechanisms: a literature review

Fundação de Amparo à Pesquisa do Estado de São Paulo (FAPESP)

Analysis of the peri-implant soft tissues in contact with zirconia abutments: an evidence-based literature review

The aim of this study is to evaluate through a literature review, the soft tissue response in contact with zirconia abutments, including case reports comparing prosthetics rehabilitations with zirconia and titanium abutments upto 3 years of follow-up as well as the factors that should be considered on implant's abutment selection. Metallic abutments can provide grayish color when in contact with thin soft tissues which may lead the implant prosthetic treatment to failure. In this context, the abutments of zirconia stand out because there is an excellent linking between esthetics and the health of peri-implant soft tissues. A consult of the published researches was made on the PubMed database from 2000 to September 2012. The including criteria were: literature reviews, clinical studies and case reports in English that focused on the response of the soft tissue in contact with zirconia implant abutments. The studies that were not in English and did not match the tackled issue were excluded. A total of 32 articles were found. According to the search strategy, just 16 articles were selected for this review. Three studies affirmed that zirconia abutments have an excellent soft tissue response; one study showed increased gingival recession with zirconia abutments and nine studies do not stand out any difference on biological behavior between titanium and zirconia abutments. Three studies affirmed that zirconia abutments provide natural gingival appearance, anatomic contour and greater esthetics. The use of zirconia abutments is recommended for anterior regions because of their greater optical properties and esthetic results and more studies should be performed and analyzed longitudinally regarding their biological response. The zirconia abutments have been established to be essential in order to achieve great esthetic results in cases of thin peri-implant soft tissues and in regions where the three-dimensional placement of implants is more superficial.

Acrylic resin cytotoxicity for denture base - Literature review

Acrylic resin is a widely used material in clinical practice, and a satisfactory biocompatibility is essential. When the resin polymerization reaction is incomplete, residual monomers are released into the oral cavity. The aim of this study was to evaluate, through a literature review, the cytotoxicity caused by the denture base acrylic resin used, and its components. The selection of published studies was performed on the Pubmed database from January 2008 to July 2013. The keywords used were: cytotoxicity and acrylic resins, cytotoxicity and denture base resins and cytotoxicity and oral prosthesis. Inclusion criteria were: in vitro studies and literature reviews published in English that evaluated the acrylic resin cytotoxicity for denture base and its components. Studies with no reference to the search strategy were excluded. A total of 182 articles were found. Among these, only 13 were included for writing this review. The MTT test is the most common test used to evaluate acrylic resin cytotoxicity. Auto-polymerized resin is more cytotoxic than heat-polymerized resin because of its higher quantity of residual monomers which cause cell and tissue changes in the oral mucosa. However, more studies are necessary for the development of biocompatible materials.

Auditoria no Sistema Único de Saúde: o papel do auditor no serviço odontológico

A auditoria, na saúde, verifica os processos e resultados da prestação de serviços, pressupondo o desenvolvimento de um modelo de atenção adequado, de acordo com as legislações vigentes. Nesta pesquisa, objetivou-se analisar as atividades da auditoria no Sistema Único de Saúde no serviço de saúde bucal, buscando demonstrar as ações e a sua inserção nas três esferas de governo. Foram realizadas análise documental e levantamentos bibliográficos sobre os sistemas de auditoria e o papel do auditor no serviço odontológico desde 1969. Os resultados mostraram que foram encontrados seis artigos sobre auditoria odontológica no SUS e que a atuação do auditor odontológico é abrangente no gerenciamento do sistema, consistindo no controle, na avaliação, na supervisão e na orientação, bem como na garantia da participação social e acesso aos serviços. Na saúde bucal o auditor analisa, monitora e fiscaliza o planejamento das estratégias e os procedimentos efetuados; realiza o cadastramento dos profissionais, das unidades de saúde e a programação física orçamentária; viabiliza os dados para o sistema de informação e o pagamento dos serviços prestados; examina o cumprimento das pactuações, dando um enfoque educativo e não mais policialesco à resolubilidade dos problemas. Conclui-se que existem poucos estudos sobre auditoria odontológica no SUS e que o sistema de auditoria é um instrumento administrativo confiável e essencial para os gestores no desenvolvimento das ações de saúde.

Alterações orais em crianças prematuras e de baixo peso ao nascer: a importância da relação entre pediatras e odontopediatras

OBJETIVO: Apresentar uma revisão de literatura sobre as alterações orais em crianças prematuras e de baixo peso ao nascer. FONTES DE DADOS: Foram selecionados artigos em inglês e português, desde 1976 até 2009, pesquisados no PubMed, Lilacs e na Bibliografia Brasileira de Odontologia (BBO), além de livros e consensos nacionais e internacionais. As palavras-chave utilizadas foram: prematuro, recém-nascido de baixo peso, cárie dentária, hipoplasia do esmalte dentário, manifestações bucais e dentição primária. Selecionaram-se artigos avaliando incidência, prevalência e etiologia das alterações orais, além de revisões de literatura e relatos de casos clínicos. SÍNTESE DOS DADOS: As alterações orais mais comuns em crianças prematuras e de baixo peso ao nascer são os defeitos no esmalte dentário (hipoplasias e hipocalcificações), a predisposição ao desenvolvimento de lesões de cárie dentária, as alterações na cronologia de erupção dentária e as alterações no palato com consequente aparecimento de maloclusão. Outras alterações também são relatadas, como diferenças nas dimensões das coroas dentárias e na espessura e porosidade do esmalte dentário. A interação entre pediatras e odontopediatras é fundamental no manejo dessas crianças. CONCLUSÕES: O conhecimento das alterações orais em crianças pré-termo e de baixo peso ao nascer por parte dos pediatras e odontopediatras favorece a atuação multidisciplinar com o objetivo de educar, prevenir e atenuar as possíveis mudanças físicas e dentárias nessas crianças.

Computational tool to support design of DAC Converter model AD7528 with the object code in XML

Based on literature review, electronic systems design employ largely top-down methodology. The top-down methodology is vital for success in the synthesis and implementation of electronic systems. In this context, this paper presents a new computational tool, named BD2XML, to support electronic systems design. From a block diagram system of mixed-signal is generated object code in XML markup language. XML language is interesting because it has great flexibility and readability. The BD2XML was developed with object-oriented paradigm. It was used the AD7528 converter modeled in MATLAB / Simulink as a case study. The MATLAB / Simulink was chosen as a target due to its wide dissemination in academia and industry. From this case study it is possible to demonstrate the functionality of the BD2XML and make it a reflection on the design challenges. Therefore, an automatic tool for electronic systems design reduces the time and costs of the design.

A escola na transição para o digital: desafios para a incorporação de TIC e a contribuição da TVD

Pós-graduação em Televisão Digital: Informação e Conhecimento - FAAC

Taxa de câmbio: uma abordagem integrada - teoria e história econômica

Coordenação de Aperfeiçoamento de Pessoal de Nível Superior (CAPES)

Análise descritiva dos planos de ensino de literatura das escolas de ensino médio de Umuarama-PR

Pós-graduação em Educação - FFC

A oralidade nos cursos a distância de licenciatura em Letras com habilitação em língua portuguesa: uma análise discursiva

Coordenação de Aperfeiçoamento de Pessoal de Nível Superior (CAPES)

Leituras sobre usuário e uso de informação na Ciência da Informação

Considering aspects of international literature in the area of Information Science (IS) regarding need, search, behavior and use of information, this study aims to explore the historical path and interpretations of the concepts of user and use of information, under the support reference of the notions of information system and subject agency. For such, a corpus was formed with 15 literature reviews of the Annual Review of Information Science and Technology - ARIST - which brought a theoretical panorama on the concepts here studied. The analysis of these reviews was tooled with categorizations of the use of information proposed by Rachel Anne Fleming-May, making it possible to situate two initial phases identified, particularized for orbiting a notion of information system, being the first phase characterized by a more static conception of system and the second by a more dynamic meaning. Finally, a third and last phase was found in reading ARIST, which was better visualized after the year 2000. In the first decade of the 21st century, studies started considering, complementarily to previous phases, the agency of subjects from the notions of interaction and context, in actions of use, production and appropriation of information and knowledge.

Noções de sujeito em modelos teóricos na Ciência da Informação: do enfoque no sistema à consideração da agência em contexto

Considering the investigating course of Information Science which, under different perspectives, admits theoretical constructions influenced by objective and/or subjective and/or social dimensions of information, this paper aims to identify conceptual elements about notions of user employed in modeling constructs in the area. For such, an investigation was made in a corpus comprised of 15 literature reviews on need, search, behavior and use of information published in the Annual Review of Information Science and Technology - ARIST. Corpus analysis allowed to illustrate the subject-object relation in traditional and alternative approaches, directed towards objective and subjective dimensions of information. It also allowed to propose systemic and emerging models, the latter comprising of the relative attraction of subjective and social dimensions. In the end, a table is outlined with results pointing towards the displacement and/or transcendence of the strict notion of subject, underlying as a singularity managing or using information in a system - then considering, complementarily, other possibilities for acting. In this direction, the subject is then conceived not only in terms of management or use actions, but also taking as fundament his/her agency in the process of appropriation and construction of information and knowledge, interactively and in context.

Uso de sistemas construídos de áreas alagadas (Constructed Wetland System - CWS) para tratamento de efluentes

A large proportion of fresh water is greatly impaired due to increasing pollution; this could be minimized through the expansion of investment in sanitation programs. But the major problem faced by third world countries and developing ones in this respect, is the high cost of projects and their implementation. In an attempt to find a simple technology, efficient and inexpensive, this study aimed to verify the effectiveness of using constructed wetland systems (CWS) for removal of bacteria and nutrients from sanitary sewer effluent from the STS Piracicamirim - Piracicaba - SP. The installation of prototypes was followed, and testing prior to regularize the flow held, but due to malfunction of these and outages of the STS activity can not evaluate the effectiveness of both as to the parameters proposed: temperature, pH, dissolved oxygen, conductivity, total dissolved solids (TDS), nitrite, nitrate, ammonia, total nitrogen, total phosphorus, chemical oxygen demand (COD), sulfide, sulfate, biochemical oxygen demand (BOD), total coliform and Escherichia coli. To establish results about the effectiveness of these types if the system were conducted literature reviews of papers published with the same theme. Analysis of these results showed fairly good efficiencies in wastewater treatment, especially for nutrients and coliforms