Implant-retained finger prosthesis with modified retention system

Background: Amputations affect both the physical and the psychological aspects of an individual, causing significant impact on self-esteem. The main causes of finger amputations are work-related accidents with dangerous machinery, road traffic accidents, and animal bites, as well as systemic diseases such as diabetes. This report aims to describe a simple technique for fabrication of implant-retained finger prosthesis with a modified base of the retention system.Case Description and Methods: The O-Ring retention system was used with a modified hexagon-shaped base and a metallic capsule adapted to the acrylic resin to attach the prosthesis to the implant.Findings and Outcomes: The prosthesis was made with silicone, and after osseointegration, it was installed without complications, leading to a patient satisfied with the end result and encouraged to return to social life.

Expectativas prévias ao implante coclear e avaliação pós implante em adolescentes

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

Auto-organização e autonomia em Hegel: uma abordagem a partir das linhas fundamentais da filosofia do direito

The German philosopher G.W.F. Hegel (1770-1831) had as one of his thesis in the doctorate the affirmation that philosophy can only be properly taken as a system. He intends with that to point out the identity between thinking and being. This is, for Hegel, the task of philosophy, i. e., to bring together all that was set apart. This position can be recognized in all his works and it is tried here to exemplify it in The Philosophy of Right and in special in the section dedicated to the abstract right. This one is the first moment of the text in question that begins with the statement of the dignity of the person confirmed in the property. The following moments make evident that the formal ones are also results. It becomes clear in this way that the all the moments create together an ongoing organization, disorganization and reorganization. This process reveals the relation as a constitutive element of thinking and being exemplified in the abstract right. Each moment overcomes the preceding one and comes out as a much more complex one. In the case of the abstract right what appears is the realization of a free subject in all that he does as the making of himself.

Desenvolvimento das habilidade de auto-cuidado em crianças com atraso neuropsicomotor

Introduction: The neuropsicomotor development could be negatively affected by several factors occurred in the pre, peri and pos natal period. The early stimulation is implemented by a set of dynamic activities which aim the child development according to the child’s phase. Objective: The purpose of this study was to analyze the functional skills acquisition in the self care area in children with development delay. Participated of this study 9 caregiver of children aged of 0 to 3 years with delay neuropsicomotor. Method: For the data collect was used the self-care area of the Pediatric Evaluation of Disability Inventory (PEDI) in the version adapted for Brazil. The data collect was performed in two different stages, with an interval of 6 months between the collects. The raw score were transformed in continuous score by the Rasch statistics, then was applied the Shapiro-Wilk and t-student test. Results: The participants obtained a signifi cant higher score in the second stage than in the fi rst (p<0,01). Conclusion: The results of the present study suggests that the early stimulation could be an important intervention in the process of self-care skills acquisition in children with neuropsicomotor delay.

Influência da ingestão do triptofano dietético sobre a preferência na escolha do macho pela fêmea, auto-balanceamento da dieta e desempenho zootécnico em tilápia-do-Nilo e Pirapitinga

Pós-graduação em Aquicultura - FCAV

Photoelastic stress analysis of splinted and unitary implant-supported prostheses

The aim of this study was to evaluate the effects that splinting and different lengths of implants have on the stress distribution in implant-supported prostheses by photoelastic analysis. A total of five photoelastic resin models were made with different proposed situations, and 400 load applications were performed for the analysis. Compared with the unitary prosthesis, the splinted implant-supported prosthesis acted favorably in the distribution of stresses and strains to the implant (p < 0.001). The increase in length was a significant factor in the stress distribution (p < 0.05) and, ultimately, the overall reduction in stress. It was concluded that the splinted implant-supported prosthesis behaved better biomechanically compared with the unitary prosthesis.

MODIFIED INDEXING TECHNIQUE FOR THE IMMEDIATE INTERIM RESTORATION OF A DENTAL IMPLANT

Because of the functional and esthetic requirements of patients, different techniques have been proposed to reduce the time between dental implant placement and interim restoration fabrication. This article describes a modified indexing technique by using a surgical template for open-tray impression and definitive cast development during immediate loading procedures. This technique does not use a complete impression of the oral cavity and, therefore, is more comfortable, less time consuming, and less expensive. It also allows the fabrication of interim restorations with the optimal shape for developing an adequate emergence profile.

Association of Interleukin 4 Gene Polymorphisms With Dental Implant Loss

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

Impact of Replacing Conventional Complete Dentures with Implant-Supported Fixed Complete Dentures

The aim of this study was to assess the impact of replacing conventional mandibular complete dentures with implant-supported fixed complete dentures (ISFDs) on the oral health related quality of life (OHOOL) of edentulous patients and on the associated kinesiographic parameters. The patients had their complete dentures replaced by ISFDs and were assessed after 1, 2, 3, 6, and 12 months. An improvement of general OHQOL was observed 2 months after treatment with ISFDs. Kinesiographic recordings revealed significant mandibular vertical and horizontal opening increases and a greater vertical intrusion of the maxillary complete dentures during clenching after the treatment with ISFD.

Piezosurgery Applied to Implant Dentistry: Clinical and Biological Aspects

Piezosurgery is a new and modern technique of bone surgery in implantology. Selective cutting is possible for different ultrasonic frequencies acting only in hard tissues (mineralized), saving vital anatomical structures. With the piezoelectric osteotomy technique, receptor site preparation for implants, autogenous bone graft acquistition (particles and blocks), osteotomy for alveolar bone crest expansion, maxillary sinus lifting, and dental implant removal can be performed accurately and safely, providing excellent clinical and biological results, especially for osteocyte viability. The aim of this review was, through literature review, to present clinical applications of piezosurgery in implant dentistry and outline their advantages and disadvantages over conventional surgical systems. Moreover, this study addressed the biological aspects related to piezosurgery that differentiate it from those of bone tissue approaches. Overall, piezosurgery enables critical operations in simple and fully executable procedures; and effectively, areas that are difficult to access have less risk of soft tissue and neurovascular tissue damage via piezosurgery.

Repair Technique for Fractured Implant-Supported Metal-Ceramic Restorations: A Clinical Report

The fracture of porcelain structures have been related in either natural dentition or implant-supported restorations. Techniques using a composite resin or indirect methods can be used. This article presents a porcelain fracture on implant-supported metal-ceramic restoration. IPS Empress e.max laminate veneer restoration was used to repair the fracture. With this technique, it was possible to restore aesthetics and function, combined with low cost and patient satisfaction.

BIOMECHANICAL BEHAVIOR OF THE SYSTEM PROSTHESIS/DENTAL IMPLANT: ANALYSIS BY THE PHOTOELASTICITY METHOD

One of the main reasons for the failure in dental implant treatments is the overload, which can cause bone resorption and later, the osseointegration loss in the implant. Therefore, the aim of this study was to analyze the tension generated around dental implants in the rehabilitation of three mandible posterior teeth, varying the connection type, the disposal, and the quantity of implants. The photoelasticity method was used in order to accomplish it. Through photoelasticity, the quantity and localization of the tensions around the implants in the different studied groups were compared (three straight line implants, three offset placement implants, two implants with a mesial cantilever, and two implants with a pontic). The results showed that the tension quantity and disposition around the dental implants of the connection external hexagon and internal hexagon were similar in all groups. In the group where the cantilever was used, an increase of the tension around the implant, adjacent to the cantilever, was observed. From the results it is concluded that the type of connection used in this study did not influence the tension quantity and distribution around the implants; however, the prosthetic configuration with the cantilever use, led to an increase of the tension around the implant, adjacent to the cantilever.

Avaliação da auto-suficiência energética em reatores anaeróbios aplicados ao tratamento de resíduos da indústria de produção do etanol

Ethanol, the main automotive biofuel, has its production based on the fermentation of sugars found in biological materials and on the distillation of the alcoholic media formed during the fermentative process. Stillage is the main residue from ethanol production, containing a high organic loading in addition to acidic and corrosive characteristics. Considering the available technologies to treat stillage, we highlight anaerobic digestion, which allows the reduction of the impacts associated to pollutants loading of this effluent and the generation of energy from the methane gas produced in the process. Based on the high treatment efficiency usually associated to the anaerobic process, this work aimed to assess whether anaerobic systems applied to the treatment of stillage are energetically self-sufficient. First we evaluated the energy recovery capacity in an anaerobic reactor applied to the treatment of stillage resulting from corn-to-ethanol processing. The results indicated the great influence that a correct selection of electrical equipment and their respective operating periods have on the net energy balance of the anaerobic treatment. The high energy consumption of the heater would not allow the system to achieve a positive net energy balance – the maximum energy recovery would reach only 0.68% of the consumption. However, the replacement of the mixture equipment would result in energy gains ranging from 8.5 to 967.9% of the consumption. In this work we also assessed the efficiency of methane yields for a few studies and the correlation between some parameters of the anaerobic process. With respect to the methane yield, we noted that mesophilic systems tend to be more advantageous than the thermophilic ones (efficiency of 76.45 ± 22.51% vs. 69.40 ± 30.36%). Considering the study... (Complete abstract click electronic access below)

Avaliação da auto-suficiência energética de reatores anaeróbios no tratamento de esgoto sanitário e água cinza

The anaerobic treatment of sewage is widely employed in Brazil and it is an appreciated way for the treatment of effluents, helping to reduce the environmental impact in rivers. The methane gas obtained from the process can be applied to improve the energetic efficiency of the system, reducing the amount of waste and the cost of the treatment process. This work presents the net energy balance of anaerobic reactors applied to the treatment of sewage. The analysis was performed considering full-scale and laboratory-scale treatment systems. In laboratory scale, the results from three kinds of systems were compared regarding the biological treatment of greywater. Two of them (UASB7 and UASB12) were anaerobic and the other one was a combined anaerobic-aerobic system (UASB7/SBR6). Greywater methanization (compared to theoretical maximum) was calculated considering 100% removal (g BOD/day), the literature percentage removal and the anionic surfactant presence in the effluentt. For each of these three cases, the efficiencies were, respectively, 16.9%, 43.6% and 51.3% in UASB7 reactor, 25.6%, 50.3% and 59.2% in UASB12 reactor and 30.6%, 61.2% and 71.9% in UASB7/SBR6 reactor. The energetic potential was found to be 4.66x10-4, 7.77x10-4 and 5.12x10-4 kWh/L for the UASB7, UASB12 and UASB7/SBR6 reactors, respectively. The pumping system, the aeration (in the anaerobic-aerobic system) and the temperature controlled heating system were considered to calculate the energetic consumption. However, the third one was not employed since tropical regions like Brazil do not need heating systems and also because of its high energetic consumption. The calculated net energy balance in the reactors was negative in the case of greywater, respectively -0.16, -0.28 and -0.18 kWh/L for the reactors UASB7, UASB12 and UASB7/SRB6. In full scale (ETE Jardim das Flores - Rio Claro, SP), the average energy... (Complete abstract click electronic access below)

Auto-ecologia de Geonoma gamiova Barb. Rodr. (Arecaceae) em mata ombrófila densa montana (Parque Estadual Carlos Botelho, SP)

Geonoma é um dos mais complexos gêneros de palmeiras neotropicais e possui aproximadamente 80 espécies distribuídas nos Neotrópicos. Espécies desse gênero apresentam pequeno a médio porte e são típicas de sub-bosque de florestas em áreas com grande pluviosidade. Este trabalho teve como objetivo analisar a auto-ecologia de Geonoma gamiova em duas escalas espaciais, relacionando sua estrutura populacional entre hábitats (fundo de vale x encosta) e microsítios (local de ocorrência clonal). O trabalho foi realizado no núcleo São Miguel Arcanjo do Parque Estadual Carlos Botelho que possui uma área de 37.794 ha e uma amplitude altitudinal de 50 a 975 metros. A área apresenta relevo de montanhas com vales profundos e morros paralelos e a vegetação presente no Parque é a Floresta Ombrófila Densa. Foram distribuídas 30 parcelas de 5 x 20m em três trilhas no Parque, onde foram quantificados os indivíduos de Geonoma gamiova em três estágios de desenvolvimento e foi caracterizado o hábitat. Foram marcados 42 indivíduos de Geonoma gamiova para avaliar o crescimento vegetativo e sua ecologia reprodutiva, avaliando-se também a estrutura dos microsítios em que esses indivíduos se encontravam. Os indivíduos apresentaram uma distribuição de tamanho populacional em forma de J invertido. Geonoma gamiova foi a segunda palmeira mais abundante na área estudada. O tamanho das moitas foi maior no fundo de vale, porém, os parâmetros mensurados para verificar a estrutura de comunidade, assim como a abundância dos indivíduos de G. gamiova não apresentaram diferença significativa (p > 0,05) entre os hábitats. Não houve nenhuma correlação significativa (p > 0,05) entre o número de estipes por moita e as variáveis microclimáticas e edáficas mensuradas. O crescimento dos estipes, avaliado pelo aumento do número de nós, apresentou diferença significativa, sendo maior.... (Resumo completo, clicar acesso eletrônico abaixo)