Parâmetros de força ideal aplicada aos principais movimenetos ortodônticos

The orthodontic movement is a result of the system of forces application and it depends on the response of periodontal tissues to this system. The forces must have a magnitude considered ideal, to has maximum response of tissue without pain or root resorption, and keep the health of the periodontal ligament, during all the tooth movement. Therefore, it seems adequate by means of an available literature to estimate parameters of ideal force, for different types of movements; with intention of assisting the orthodontists in optimum control of the tooth movement and thus to diminish the possibility to generate deleterious effects.

Variáveis que afetam o procedimento de colagem direta ortodôntica: braquetes e materiais adesivos

Following the introduction of the acid-etching technique in enamel surface, direct attachment of orthodontic appliances on the surface of the tooth and/or restorations became a routine procedure in the assembly of the fixed devices. The attainment of a success result is related to the criterion attention to the details and the steps of the bonding technique, as well as, to the knowledge of the characteristics of the adhesive materials and orthodontic brackets. This paper presents some aspects of various types of brackets and adhesives materials.

Variáveis que afetam o procedimento de colagem direta ortodôntica: procedimentos clinicos

Direct bonding of orthodontics attachments to the teeth or restoration has become a routine in fixed appliance therapy. The technique used seems to be simple, but meticulous attention to detail and steps, a thorough understanding of factors involved are needed to ensure a successful outcome into different surfaces. It is the purpose of this article to review concerning aspects to orthodontic bonding in enamel and restorations fabricated from different materials; affording assistance to the reader wiser accomplishment and successful procedure.

Innovation in pediatric surgery: the use of ultrasonic CVD tips: case report

The non-eruption of teeth due to highly keratinized gingival mucosa is a frequent event in the pediatric dentistry, which harms the oral aesthetics and function. A surgical excision of the involved area is indicated, exposing the non-erupted tooth. This procedure involves anesthesia and cutting instruments that may increase the fear and anxiety in young patients. The use of new technologies has avoided these instruments and has promoted more comfort to the patients. This study presents clinical cases in which gingivectomy was performed using the innovative method with an ultrasound-activated CVD tip. It was concluded that this method presented effectiveness, promoted more comfort, and less fear to the patients, making its use a viable alternative to pediatric surgery.

Tratamiento quirúrgico de mesiodents en odontopediatría

Supernumerary teeth are a relatively frequent disorder of odontogenesis that can interfere with the development of the germs teeth. This pathology is most common in the maxillary anterior area, called mesiodens, and their prevalence is generally reported to occur more frequently in male than female, in a ratio of 2:1. The aim of this article was to report the clinical procedures performed in the Clinic of Pediatric Dentistry at the Araraquara School of Dentistry when the presence of two mesiodens, radiographically shown, caused retention of permanent anterior teeth, resulting in esthetic and funcional disturb. All the surgical procedures, etiology and the importancy of the early diagnostic for the appropriate treatment was detailed described.

Efeito citotóxico de agentes clareadores a base de peróxido de hidrogênio a 20% e 38% sobre células odontoblastóides

The aim of this in vitro study was to evaluate the trans-enamel and transdentinal cytotoxic effects of two in-office tooth bleaching techniques that employ bleaching gels containing 20% and 38% of H2 O2 on cultured odontoblast-like cell line (MDPC-23). Sixty enamel/dentin discs were obtained from bovine central incisors and placed individually in artificial pulp chambers. Six groups were formed according to the following enamel treatments: G1- 20% H2 O2 (1 application); G2- 20% H2 O2 (2 applications); G3- 38% H2 O2 (1 application); G4- 38% H2 O2 (2 applications); G5- 38% H2 O2 (3 applications); and G6- control (no treatment). In G1 and G2, the bleaching gel was left in contact with the enamel surface for 45 min in each application. However, in G3, G4, and G5 the bleaching gel was applied for only 10 min per application. After the last application, the extracts were collected and applied on previously cultured cells (30.000 cells/cm2 ) for 24 h. Cell metabolism was evaluated by the MTT assay and cell morphology was analysed by scanning electron microscopy. Cell metabolism decreased by 96.29%; 96.11%; 96.42%; 95.62%; and 97.18% in G1, G2, G3, G4, and G5, respectively. All treated groups differed significantly from non-treated control group (G6) (p < 0.05). However, the difference in cell metabolism among treated groups was not significant statistically. In addition, significant morphological cell alterations were observed in all treated groups. Under the tested experimental conditions, the extracts collected after both tooth bleaching techniques evaluated in this study caused severe toxic effects on cultured odontoblast-like cell MDPC-23.

Reparo periapical de dentes tratados endodonticamente submetidos a movimentação ortodôntica

The relationship of Orthodontics and Endodontics is being clarified with the development of evidence-based dentistry. However, few studies have reported the repair of periapical lesions with orthodontic treatment. Therefore, the aim of this study was to evaluate the available evidence on periapical repair of endodontically treated teeth during orthodontic movement. The strategy used was the electronic search with keywords and criteria including studies published up to July 2011. It was also carried out qualitative assessment of the articles methodology. Although a significant number of studies have reported this topic, only two filled the criteria for inclusion in this systematic review. The results obtained in the literature suggest that orthodontic treatment should be interrupted to perform endodontic treatment. During this therapy, the use of root canal dressing based on calcium hydroxide for at least 14 days, and sealer with adequate biological property are indicated. After this phase, orthodontic movement of the endodontically treated teeth can be resumed without waiting period.

Tratamento cirúrgico de canino incluso em mento: relato de caso

The mandibular and maxillary canines when well positioned in the arch, are important functionally and aesthetically. Although these teeth are frequently malpositioned in the dental arch, their absence of eruption are not common, occuring more frequently with the maxillary canine than the mandibular canine. The canine transmigration is a well-known pre eruptive phenomenon in which the tooth goes thru the facial midline, occurring more frequently in the mandible than in maxila. Females are more susceptible than males and the right side more than the left one. Normally the patients do not show any symptoms, and this condition is observed during radiographic exams to diagnose the late exfoliation of the deciduous canine or for any other purpose. Due to the relationship between impacted canines and pathologic lesions, infection, trauma to the adjacent teeth, pain, ectopic eruption and interference with prosthesis, it´s indicated the surgical extraction of these teeth. The goal of this article is to describe and discuss the surgical treatment of an impacted canine (43) in the chin.

A utilização do enxerto ósseo autógeno para tratamento de lesão de furca grau II

Destruction of bone and periodontal ligament as a result of periodontal disease can lead to anatomical defects in the furcation area. Treatment of these lesions is a major challenge to the clinician. Periodontal instruments have limited access to this area and plaque and calculus removal from root surfaces are extremely difficult. For proper treatment planning a number of factors must be taken into consideration to achieve immediate and long term success. Surgical therapy associated with bone grafts may be a viable option in the treatment of class II furcation defects, aiming to restore lost tissues. The aim of this paper is to report a clinical case where a simplified surgical approach with the use of autogenous graft was used to treat a class II furcation defect Twelve months after the surgery, an increase in clinical attachment level and pocket depth reduction resulted in a complete closure of the furcation lesion.

Uma opção terapêutica para o aumento da faixa de gengiva inserida: o enxerto de tecido conjuntivo livre

Several periodontal procedures have been described in the literature to correct mucogingival alterations or to achieve root coverage. The epithelized free gingival graft is a well established periodontal surgery to increase the width of keratinized gingiva with good stability in the long term follow up. However, this procedure is not commonly used in aesthetic areas since the grafted tissue presents differences of color and contrast. The free connective tissue graft emerges as a viable option to increase attached gingiva in areas where aesthetics results are required. The removal of an epithelized free gingival graft from the hard palate region creates a sore and raw surgical wound that slowly repairs, while the connective tissue graft produces only a line of incision that can be easily sutured promoting a more confortable outcome for the patient. This paper aims to report a case where a free connective tissue graft was used to increase the width of attached gingiva in a tooth with gingival recession. This technique presented satisfactory esthetics results, with a better contrast and color matching with the surrounding tissues.

Efeito de um gel de peróxido de carbamida a 10% sobre a resistência de união de restaurações adesivas à dentina

The present study aimed to analyze the effects of tooth bleaching with 10% carbamide peroxide (CP) gel on the bond strength of resin composite restorations to dentin. Material and Methods: Twenty cavities were prepared on the buccal surface of bovine teeth. After acid etching and application of bonding agent on dentin and enamel, the cavities were restored with composite resin. The specimens were divided into groups according to treatment on the surface of enamel / restoration: G1 - control (no treatment) and G2 (10% PC gel application for 8h/day during 14 days). After this period, the teeth were cut to produce beams with 0.81 mm2 cross-sectional area, which were subjected to microtensile test. The fractures were examined with a stereomicroscope and classified as cohesive in resin or dentin, adhesive, or mixed. Results: The statistical analysis (ANOVA / χ2) revealed that the factor treatment interfered with the bond strength, which was significantly higher for specimens of G2 (p <0.05). Adhesive fractures occurred in most of specimens of both groups with values ranging from 48.3% to 75%. Mixed fractures were the second more frequent in G1 and cohesive resin failure in G2. Conclusion: It was concluded that tooth bleaching with 10% of PC increased the bond strength of adhesive restorations to dentin.

Efeitos de diferentes sistemas de clareamento dental sobre a rugosidade e morfologia superficial do esmalte e de uma resina composta restauradora

The aim of this study was to evaluate and compare the roughness and superficial morphology of enamel and a composite restorative resin after different bleaching techniques application. Material and Methods: Bovine incisors were selected and standardized cavities were prepared on the buccal surface, which were restored with composite resin. The teeth were distributed according to the following treatments: G1- bleaching with 10% carbamide peroxide (CP); G2 - bleaching with 38% hydrogen peroxide (HP); and G3 - bleaching with 38% of HP associated to light irradiation. For G1, the bleaching gel was applied for 8 hours daily during 21 days. For G2 and G3, 3 sessions were performed, consisting of 3 applications of 15 minutes each, with 7 days of intervals between the sessions. For G3, the LED (470nm) light was used to activate the bleaching agent for 6 minutes. The surface of enamel and composite resin were evaluated before and after the bleaching procedures using a roughness tester and an atomic force microscope. Results: The results showed significant differences in surface roughness of enamel after bleaching only for G1 (Wilcoxon, p<0.05). For composite resin, neither group showed a statistical difference compared to control (Mann-Whitney, p>0.05). Conclusion: It was concluded that the increase in the roughness of enamel occurred only after bleaching therapy using a gel with 10% of CP. The bleaching procedures evaluated in this investigation did not increase the roughness or cause changes in the superficial morphology of the composite resin.

Considerações gerais sobre prótese fixa adesiva

The success rate of resin-bonded fixed partial dentures is directly related to the adhesive system and the tooth preparation design for good retention. These resin-bonded bridges represent a prosthodontic alternative, based on their costeffectiveness, conservative techniques, and ease of laboratory manufacturing. Through a thorough review of the literature, this study aimed to report on cavity designs, types of materials used, and the advantages and disadvantages of the resin-bonded fixed partial denture. One of significant advantages of the resin-bonded fixed partial dentures is the conservation of the tooth structure, whereas its main disadvantage includes aesthetic limitations, given that the alloy may in fact be visible. Preparation design, cement type, and casting alloy type, as well as surface treatment, are among the factors that influence the longevity of resin-bonded fixed partial dentures. Treatments with resin-bonded fixed partial dentures present a bright outlook regarding the conservation of tooth structures, as well as a high level of success.

Associação entre implantes odontológicos e próteses parciais removíveis: revisão de literatura

Unilateral or bilateral distal-extension removable partial dentures present complex biomechanics. The movements in different directions, associated with the alveolar ridge shape and soft tissue resilience can lead to damaging forces on the supporting structures. The association between implants / removable partial denture aims to provide better mechanical and biological properties to the stomatognathic system. OBJECTIVE: The aim of this paper was to review the articles about the effect of implant support on distal extension removable partial dentures. LITERATURE REVIEW AND CONCLUSION: Studies have shown that this combination provides greater support, retention and stability to the prosthesis, thus limiting their approach movement toward supporting tissues and providing functional and psychological comfort to patients.

Associação entre implantes odontológicos e próteses parciais removíveis: revisão de literatura

Introduction: Unilateral or bilateral distal-extension removable partial dentures present complex biomechanics. The movements in different directions, associated with the alveolar ridge shape and soft tissue resilience can lead to damaging forces on the supporting structures. The association between implants / removable partial denture aims to provide better mechanical and biological properties to the stomatognathic system. Objective: The aim of this paper was to review the articles about the effect of implant support on distal extension removable partial dentures. Literature review and conclusion: Studies have shown that this combination provides greater support, retention and stability to the prosthesis, thus limiting their approach movement toward supporting tissues and providing functional and psychological comfort to patients.