Aparelho Herbst x osteotomia sagital mandibular bilateral no tratamento do padrão II, classe II, divisão 1 em adultos: relato de casos

Two treatment options are available for adult patients with skeletal Class II malocclusion caused by mandibular deficiency: combined mandibular advancement surgery and orthodontic treatment or mandibular advancement appliance. This study aimed to analyze the effects of two therapeutic modalities of Class II malocclusion treatment with mandibular deficiency. Two distinct individuals with Class II malocclusion division 1 and mandibular deficiency were treated after growth spurt. The first individual used the Herbst appliance as a therapeutic option and the second individual was treated with bilateral sagittal osteotomy. The cephalometric, occlusion and face results were evaluated for both individuals. Correction of Class II malocclusion was observed on both Herbst and surgery patients resulting on a normal occlusal relationship with normal overjet and overbite. Therefore it was concluded that Herbst appliance can be used to treat borderline skeletal Class II in adult patients.

Infra-oclusão de molares decíduos: diagnóstico e tratamento

Infraocclusion of deciduous molars is defined by total or partial periodontal ligament absence and characterized by the cementum or dentin anatomical fusion with alveolar bone. This study aims to report an ankylosis clinical case, the implications and treatments management options in the deciduos dentition.

Reaproveitamento imediato da ação expansora em um caso de expansão rápida da maxila assistida cirurgicamente

Immediate reutilization of the expanding action in a case of rapid maxillary expansion surgically assisted. The orthopedic rapid maxillary expansion (RME) and rapid maxillary expansion surgically assisted (RMESA) are conducted with the aim of giving an appropriate jaw, capable of providing a normal occlusion. In extreme cases, where there is a severe atresia, it is necessary to perform an expansion beyond that allowed by the expander, followed by another conventional device or a butterfly expander, when the atresia is in the anterior maxillary region. In this situation, there are two options: wait about 90 days to allow intermaxillary suture restructuring and perform a new RME / RMESA or proceed immediately to the expansion process. Considering the biological cost, financial and clinical time, the procedure of reusing the immediate expander action becomes the technique of choice in these cases, been the operational procedure performed simplified and in just four steps. This work will show a case report where, after accomplishing the RMESA was observed that even after changing the shape of the maxillary arch, the severity of atresia could not be corrected, especially in the anterior region, and more expansion was needed. Aiming to correct the atresia in the anterior maxilla, the technique used was to reuse the immediate expander action through the change of an intraoral screw expander for a conventional butterfly type screw expander.

Tratamento da classe II divisão 2 com aparelho de Herbst após o pico de crescimento puberal

Patients with Class II division 2 malocclusion and mandibular retrusion have limited treatment options after the growth peak, such as surgical-orthodontic treatment or mandibular advancement devices. Among bite-jumping devices, the Herbst appliance allows greater increase of mandibular growth since it does not require patient compliance and allows continuous use. This case report presents the treatment of a Class II division 2 malocclusion in a patient after growth peak, performed in two stages. The first stage included the upper incisors proclination and overjet increase with multibracket appliance to benefit next stage. The second stage involved mandibular advancement using Herbst appliance aiming to correct the Class II molar relationship. The treatment resulted in a stable occlusion with periodontal health, normal functions and facial aesthetics improvement. Dental and skeletal changes arising from treatment could be assessed by cephalometric analysis and superimposition of pretreatment and post-treatment cephalometric tracings. Antero-posterior discrepancy was corrected by means of dental movement as well as by mandibular growth increment stimulated by the Herbst appliance.

Sistema Essix MTM: uma alternativa estética para a movimentação

The increased interest in orthodontics by adults has led companies to develop new treatment alternatives that use less visible and more aesthetic orthodontic appliances. The aesthetic aligners stand out among the treatment options that attend these expectations. This paper presented some relevant aspects of these devices, as well as two cases treated with Essix MTM (Dentsply) system, in which all aesthetic and functional objectives proposed treatment have been achieved. The results of this study support the idea that, when properly indicated, aesthetic aligners are a viable treatment option within the clinical routine of the orthodontist.

Extração de incisivo inferior: uma alternativa no tratamento da classe III

The correction of a Class III malocclusion in adult patients is one of the major challenges in orthodontics due to facial deformities occurring during the unfavorable growth of this kind of pattern, as well as the treatment options capable of producing facial changes aesthetically acceptable and adequate for today's beauty standards. One acceptable alternative treatment is the removal of a lower incisor. For a Class III correction through a lower incisor extraction a thorough analysis and planning must be carried out by taking into consideration the amount of overjet and overbite, periodontal condition of the teeth and the possibility of obtaining a good dental occlusion with acceptable facial aesthetics. Will be presented two case reports of patients presenting an anteroinferior crowding, Class III malocclusion condition. The treatment through a lower incisor extraction and the reasons why this treatment was adopted will be discussed.

Protocolo mandibular com implantes curtos

Jaws atrophy represents a great challenge to Implantology regarding rehabilitation of edentulous areas. This paper reports an extreme mandibular atrophy with only 9mm of height between the mental foramina. In these situations, treatment options include bone augmentation techniques, transmandibular, or short dental implants. It is well accepted that bone grafts to improve height do not have good predictability. Besides, osteogenic distraction is associated with a great patient discomfort and transmandibular implants are related with high failure rates. Also, surgical-prosthetic rehabilitations with short dental implants had been associated to good success rates. The purpose of this clinical case is to report a severe mandibular atrophy, successfully treated with four short dental implants between mental foramina for implant-supported prosthesis.

Predictability of short dental implants: a literature review

Introduction: In clinical situations where severe bone resorption has occurred following tooth loss, implant treatment options may comprise either a previous bone reconstruction or only the use of short implants. Objective: This non-systematic review summarizes and discusses some aspects of the use of short implants, such as: biomechanical aspects, success rate, longevity and surgical-prosthetic planning. Literature review: Current and relevant references were selected in order to compare short dental implants to conventional ones. Several studies have highlighted the great importance of wide-diameter implants. Dental short implants have shown high predictability and success rates when some biomechanical aspects are taken into consideration. Conclusion: Placement of short dental implants is a viable treatment method for patients with decreased bone height.

Transformação cosmética de caninos em incisivos laterais: uma abordagem sistemática

A agenesia de dentes do grupamento anterossuperior é de fácil percepção pelo leigo por afetar a estética do sorriso, sendo esse o motivo principal da busca por tratamento nesses casos. Atualmente, as diferentes opções de tratamento ampliam as possibilidades clínicas mas também trazem dúvidas e discussões sobre qual abordagem seria a ideal. O objetivo desse estudo foi avaliar, por meio da execução de um caso clínico, os parâmetros de importância no planejamento da transformação de caninos em incisivos laterais pelo uso da técnica restauradora direta com resinas compostas. Com o avanço das propriedades mecânicas, das cores e técnicas de estratificação dos materiais compósitos atuais, resultados altamente estéticos e mais duráveis podem ser conquistados. Em casos de agenesia de incisivos laterais e reposicionamento de caninos, a reanatomização com resinas compostas em incisivos laterais é um procedimento viável e com previsibilidade de resultados quando um método multidisciplinar e racional de trabalho é utilizado pela equipe odontológica.

Hipersensibilidade dentinária cervical: em busca de um tratamento eficaz

The knowledge of the etiology of any disease or condition is paramount to a safe and effective treatment. This literature review aims to show some options to treat dentine hypersensitivity (HSDC). The loss of cervical enamel and cementum exposure of tubules leads to a painful condition and patient discomfort, called HSDC. This loss of tooth structure occurs due to formation of cervical lesions in cases of gingival recession, abrasion, erosion, or abfraction by the association of two or more factors. Some treatments are not effective, but there are effective therapies, such as: application of ferric oxalate, potassium oxalate, potassium nitrate, fluoride varnish, solutions of calcium phosphate, adhesives and Bonding procedures. Therefore, the identification and removal of etiological factors is essential to successful treatment of HSDC normally associated to tubules obliterate and consequent reduction of fluid motion within the dentin.

Novas formas de organização da produção canavieira na região de Ribeirão Preto/SP: qualificação profissional e o Programa Renovação

Coordenação de Aperfeiçoamento de Pessoal de Nível Superior (CAPES)

Tentativa católica de modernidade: o conceito de pessoa humana e sua realização histórica (1960-1980)

Pós-graduação em História - FCHS

Seleção de materiais e design: um método com base nas redes neurais artificiais

Pós-graduação em Design - FAAC

Reconhecimento de cores de objetos e de alimentos de cromaticidades opostas por pintos de corte

The aim of this research was to evaluate, by preference tests, the ability of perception of broiler chicks in the recognition of objects and foods of different colors. The survey was conducted in Brazil and consisted in the conditioning of 60 sexed one-day-old chicks using 30 male chicks and 30 female chicks for three days with blue balls and red food colors chosen for having opposed chromaticities. After the conditioning phase, a preference test was performed, in which the animals were placed individually in the center of an arena test with four options: red food, blue food, red balls and blue balls. Each bird was measured for 10 minutes. Latency to the first peck and the number of pecks, the number of sequential pecks at each object type or food, the total time the bird in each occupied compartment and the first occupied slot were recorded. According to the results, female chicks are less inhibited when in contact with a new situation when compared with males. However, males were able to establish a standard environment in the conditioning phase and opted for the compartment which was closer to that situation, associating the blue color to the ball and red color to the food. Overall, among the types of object colors and between types of food colors, the birds took less time for the decision on the choice of blue food and blue ball, showing a greater attraction, at first, to this color. Between the two ball colors, shorter latency period, greater number of interactions as well as more time spent on site were related to the blue sphere, verifying greater preference for this object. When evaluating the types of food colors, it was observed that the highest averages related to the number of pecks, and sequential pecks occurred with red food. Therefore, it is concluded that the birds recognized the red and blue food object, with the blue color having greater attractiveness for broiler chicks when compared to red.

Liberação de nutrientes da palhada de forrageiras consorciadas com milho e sucessão com soja

In tropical regions there is rapid decomposition of plant material deposited on the soil, and the ability to recycle nutrients through this decomposition is one of the most important aspects of cover crops. The aim of this study was to evaluate the yield and nutrient release from forage crops intercropped with maize for silage, and soybean in succession. The study was conducted in the experimental area of Universidade Estadual Paulista, Ilha Solteira campus, Brazil. The experiment consisted of maize for silage intercropped with four forage species (Urochloa brizantha cv. Marandu, Urochloa ruziziensis, Panicum maximum cv. Tanzania, and Panicum maximum cv. Aries) sown in three modalities: in the maize row, together with fertilizer; broadcast at maize sowing; and broadcast in the V4 stage of maize, in a randomized block design in a 4 x 3 factorial arrangement with four replications. The evaluation of nutrient release was performed during the soybean cropping that followed the intercropping by the litter bag method at 30, 60, 90, and 120 days after sowing of soybean. Panicum maximum cv. Tanzania showed higher dry matter yield when sown by broadcasting at maize sowing. Sowing of forages in the maize row, and through broadcasting at maize sowing led to greater dry matter yield for straw formation. Intercropping of maize with forages in the autumn is an alternative for increasing the amount of straw and cycling of macronutrients in a no-till system. Potassium was the nutrient with the greatest accumulation in the forage straws (up to 150 kg ha(-1)), with 100 % release at 90 days after sowing soybean. The forage straws are thus an excellent alternative for cycling of this nutrient. Panicum maximum cv. Tanzania sown by broadcasting at the time of maize sowing showed greater phosphorus cycling (13 kg ha(-1)). Panicum maximum cv. Tanzania broadcast in the V4 stage of maize is the option with least potential for straw production and nutrient cycling, while the other options (forages and sowing modalities) have higher potential for use, at the criteria of machine availability for setting up intercropping with corn.