Prosthetic rehabilitation of a patient with gastroesophageal reflux disease: 4-year followup

The gastroesophageal reflux disease (GERD) is one of the main causes of dental erosion. The aim of this case presented is to describe the prosthetic rehabilitation of a patient with GERD after 4 years of followup. A 33-year-old male patient complained about tooth sensitivity. The lingual surface of the maxillary anterior teeth and the cusps of the upper and lower posterior teeth presented wear. It was suspected that the feeling of heartburn reported by the patient associated with the intake of sports supplements (isotonics) was causing gastroesophageal changes. The patient was referred to a gastroenterologist and was diagnosed with GERD. Dental treatment was performed with metal-free crowns and porcelain veneers after medical treatment of the disease. With the change in eating habits, the treatment of GERD and lithium disilicate ceramics provided excellent cosmetic results after 4 years and the patient reported satisfaction with the treatment.

Noninvasive and multidisciplinary approach to the functional and esthetic rehabilitation of amelogenesis imperfecta: a pediatric case report

Case Report. An 8-year-old girl with amelogenesis imperfecta (AI) reported unsatisfactory aesthetics, difficulty in mastication, and dental hypersensitivity. The intraoral examination observed mixed dentition, malocclusion in anteroposterior relationships, anterior open bite, and dental asymmetry. A hypoplastic form of AI was diagnosed in the permanent dentition. A multidisciplinary planning was performed and divided into preventive, orthopedic, and rehabilitation stages. Initially, preventive treatment was implemented, with fluoride varnish applications, in order to protect the fragile enamel and reduce the dental sensitivity. In the second stage, the patient received an interceptive orthopedic treatment to improve cross-relationship of the arches during six months. Finally, the rehabilitation treatment was executed to establish the vertical dimension. In the posterior teeth, indirect composite resin crowns were performed with minimally invasive dental preparation. Direct composite resin restorations were used to improve the appearance of anterior teeth. Follow-Up. The follow-up was carried out after 3, 6, 12, and 18 months. After 18 months of follow-up, The restoration of integrity, oral hygiene, and patient satisfaction were observed . Conclusion. Successful reduction of the dental hypersensitivity and improvement of the aesthetic and functional aspects as well as quality of life were observed.

Prosthetic rehabilitation of a patient after a partial mandibulectomy

The treatment of orofacial tumors may cause facial deformities by losses of structures that affect basic functions, i.e. feeding, speech, and the reduction of patient self-steam. A white male patient was diagnosed with epidermoid cancer on the mandibular alveolar ridge with infiltration staging IV A. The patient was submitted to a mandibulectomy associated with a complete extraction of mandibular teeth. For rehabilitation, a conventional denture for the mandibular arch and a removable partial denture for the maxillary arch were fabricated. A correct occlusal adjustment and a satisfactory amount of alveolar bone was favorable for conventional dentures of the prostheses bases improve their retention and stability. After one year of follow-up, the patient was adapted to the prostheses, satisfied with their retention, and reported an improvement on his feeding. The prosthetic rehabilitation of patients after a partial mandibulectomy is essential for their self-steam. Conventional dentures may have their retention and stability improved if they are well fabricated, recorded and have a balanced occlusion. A correct occlusal adjustment and an adequate retention of the prostheses bases may improve their retention and stability. Patients without xerostomy and with a satisfactory amount of alveolar bone may have a favorable prognosis for conventional dentures.

Degradação de pastagens na Região Amazônica: propriedades físicas do solo e crescimento de raízes

O objetivo deste trabalho foi avaliar: (i) a relação entre a degradação de pastagens de colonião manejadas com queima, e as modificações nas propriedades físicas e morfológicas de um Argissolo Vermelho-Amarelo da Amazônia; (ii) o crescimento radicular de pastagens com diferentes níveis de degradação; (iii) o potencial de recuperação de pastagens degradadas de colonião com a introdução de andropógon. Numa propriedade rural da Região de Marabá, PA, foram estudados quatro tipos de pastagem: pastagem produtiva de colonião (Panicum maximum Jacq.); pastagem de colonião em declínio produtivo; pastagem de colonião degradada (capoeira); pastagem de colonião degradada e recuperada com andropógon (Andropogon gayanus Kunth). Como referência das propriedades do solo antes do desmatamento, estudou-se, também, uma reserva de mata nativa. A queima das pastagens foi prática usual, e apesar disso, estas não foram adubadas. A degradação da pastagem diminuiu a cobertura do solo e o deixou exposto à chuva e ao pisoteio do gado, o que resultou em aumento da densidade do solo na camada superficial e diminuição do grau de floculação da argila e da porosidade total. A diminuição da produção da parte aérea na pastagem degradada foi acompanhada de diminuição do número de raízes no perfil do solo, e da concentração do sistema radicular próximo à superfície. O andropógon demonstrou bom potencial para recuperação das áreas de pastagens degradadas, na Região Amazônica.

Impactos ambientais da mineração no estado de São Paulo

Generally, mining causes significant impact over the environment, since this activity often involves suppression of vegetation, soil exposure and erosion resulting in important changes in the quantity and quality of surface and ground-waters and in air pollution, among other negative effects. The prevention and mitigation of these impacts in the State of Sao Paulo are made through the environmental licensing. Another way of environmental management includes programs like mining and environmental zoning and regional mining director plans. But there is clear dissociation between the actions effectively taken and those recommended in the projects, limiting the recovery of degraded areas to measures that only attenuate the visual impact. this paper presents considerations on the subject and challenges of the industry to adapt to the Federal Constitution and the National Policy on Environment.

Estresse oxidativo em clones de seringueira sob ataque de oídio

Coordenação de Aperfeiçoamento de Pessoal de Nível Superior (CAPES)

Recuperação de área de preservação permanente através da nucleação como subsídio à adequação legal da atividade de extração de argila em pequena propriedade

Conselho Nacional de Desenvolvimento Científico e Tecnológico (CNPq)

Chemical attributes of a degraded soil after application of water treatment sludges

Mining is an activity that tends to degrade the environment. The restoration of mining areas, aims to accelerate and improve the succession process according to its future use. The objective of this work was to rehabilitate a soil degraded by tin mining activities in the Amazon Basin (Jamari National Forest, State of Rondonia) with the application of water treatment sludge (WTS), and verify the effect of Sludge on Values of pH (CaCl2 0.01 mol L-1), organic matter, P, Ca, Mg, K, H+Al, and soil micronutrient contents when Cultivated with native plants, legumes, and grass species. A factorial (3 x 5) experimental design was used to optimize the rehabilitation of these areas including three N rates (100, 200, and 300 mg N ka(-1) soil supplied by WTS), five plant species (grasses, legumes, and native plants), and two controls (degraded soil with no fertilizer and degraded soil fertilized with mineral fertilizers), with four replications. WTS increased pH values. The chemical products used to treat the water contributed, in greater extension, to increase soil Ca and Fe contents. The use of WTS as fertilizer proved viable, since it contains nutrients for plants; however, nitrogen Should not be used as a criterion to define the rate of Sludge application, because it is present at small amounts in the WTS.

Oral Rehabilitation After Surgical Removal of Pleomorphic Adenoma

Although tumors of minor salivary glands are rare, the pleomorphic adenoma is the most common pathology among the benign neoplasm and can be found with high prevalence in the junction between hard palate and soft palate. The treatment of choice for most of maxillary tumors is surgical through either a total or partial maxillectomy. However, surgical defects caused by such type of treatment lead to both clinical and psychologic disorders for the patient. The immediate oral rehabilitation using interim palate obturator after maxillectomy provides optimization on the healing process, recovers the stomatognathic functions after surgery, and avoids psychosocial sequelae for the patients. This clinical report aimed to present the rehabilitation with immediate palate obturator of a patient who underwent a partial maxillectomy due to a hard palate pleomorphic adenoma of minor salivary glands. We report the clinical importance of the prosthetic rehabilitation and the improvements on both quality of life and stomatognathic functions of this patient. It can be concluded that the immediate rehabilitation of the patient after partial maxillectomy by using an interim palate obturator was a great option and provided clinical benefits in the immediate postoperative period, improving the patient's quality of life, allowing the patient's reinsertion into society, and reducing the surgical treatment sequelae.

Some particularities of dam rehabilitation projects

The number of dams, which need rehabilitation, is growing, not only in countries that have a long tradition in dam building and operation but,also in those regions where the infrastructure is still in full development. Though rehabilitation projects generally deal with problems that are common in dam engineering practice there are some peculiarities which are a characteristic of such projects and which must be duly taken into account to avoid unsuccess and/or unnecessary costs. Regular safety inspection is essential to forestall the development of structural, hydrological and operational unsafety. if need of major repair or overall rehabilitation of a dam becomes apparent design oft he rehabilitation project must be preceded by a comprehensive checkup of the structure and appurtenant works, as well as by an evaluation of its hydrological safety inclusive of all relevant environmental aspects. The availability of complete records on the clam's structural behaviour and on meteorological and hydrological data, as well as the knowledge of the materials properties of the existing structure are important for the successful design of a rehabilitation project. To this end the installation of monitoring devices in the existing structure may be necessary to generate representative data. While the criteria to be used in structural design should correspond to current standards, the definition of hydrological design criteria depends on considerations that vary widely from region to region or even from one country to another. Some basic hydrological safety requirements, however, are recommended for general acceptance. Dam rehabilitation projects demand very careful and detailed construction planning because of their dependence on river flow conditions, operational restrictions and, often, on procedures or limitations imposed to avoid harm to the environment. of utmost importance is the timely availability of the financial funds required to complete the project, in order to avoid delays which could result in structural or operational unsafety. Since every dam sooner or later will have to undergo major repair or updating of safety, rehabilitation may evolve to a speciality of dam engineering.

Diagnosis of a compacted area for mining through the mechanical resistance to the penetration using geostatistical methods in the Amazon Forest

The mining process promotes land modification and complete landscape alteration. Those alterations in the surface are shown more obviously in the aesthetical aspect as the visual elements of form, texture, climbs, complexity and color which composes the landscape. As a consequence, mining has impacts on the topography, in the soil, in the vegetation and in the area's drainage, with a direct influence on the enterprise. A quite common problem in the recovery of degraded areas in mineral exploration is the compaction of the soil due to the intense traffic of machines and earth movement. The most common problem of the compaction of a degraded surface is an increase of the mechanical resistance to the penetration of plant roots, a reduction of the aeration, an alteration of the flow of water and heat, also in the availability of water and nutrients. Thus, the present work had the basic objective of diagnosing the compaction of an area degraded by mining in a spacial way, through the mechanical resistance and the penetration, to guide the future subsoiling in the area requiring recovery. Through the studies, it was concluded that the krigagem method in agreement with the space variation allows the division of the area under study into sub areas facilitating a future work to reduce costs and unnecessary interference to the atmosphere. The method was shown to be quite appropriate and it can be used in the diagnosis of compaction in a degraded area by mining, foreseeing the subsoiling requirement.

Plant nutrients in a degraded soil treated with water treatment sludge and cultivated with grasses and leguminous plants

The objective of this work was to evaluate rates for applications of water treatment sludge (WTS) as a nutrient source for grasses and leguminous plants cropped in a soil degraded by tin mining in the Amazon Region (Natural Forest of Jamari, Rondonia State, Brazil). The treatments consisted of three rates of nitrogen supplied by WTS (100, 150 and 200 mg kg -1 soil), five combinations of plants, two controls (absolute control, without fertilization; and chemical control, soil+lime+chemical fertilizers). WTS modified the contents of macro and micronutrients in the degraded soil, but it was not, as used in the present study, sufficient for the rehabilitation of the degraded area. © 2006 Elsevier Ltd. All rights reserved.

Environmental solutions of recovery of Amazonian forest mining operations

In order for the projects of recovery of degraded areas to be successful, it is necessary to have a perfect recovery of the soil where the revegetation will be implanted as an initial action in the recovery of the whole process. The use of native forest species fully adapted to these types of terrain is another aspect of great importance, once the non-selection of these species, even if abundant in the surrounding areas, as it is in our case, implies great mortality of individuals during the planting and their low fixation during the process. The establishment of a monitoring program that contemplates the advancements obtained in the soil, the vegetation and the return of wild animals also collaborate in the evaluation of the success of the process. And, finally, the effective participation of the mining company, accepting and applying the techniques tested and indicated by research, even if, initially, the return time is longer than expected, also guarantees the success of the process. The mining company not only implemented a partnership with important universities in Brazil to obtain solutions for the environmental problems but also applied the developed techniques and the monitoring program. In the present work, we have attempted to summarize important aspects to evaluate the advancements in the rehabilitation plan for those areas, being here presented some results of the monitoring of areas under different levels of recovery, in accordance with the techniques adopted. Biological parameters of the soil were used to verify the efficiency of these different techniques in the recovery process. This work is part of the monitoring program of areas in rehabilitation by the mining company, implemented as of 1999 and in partnership with universities. The microbial activity was determined through the quantification of the carbon and nitrogen microbial biomass (BMC and BMN) and the activity of the dehydrogenase evaluated in the mining floor and tailing areas in different levels of soil preparation and planting of native species. The analysis of the parameters studied revealed that the preparation of the soil, following the three years proposed by the methodology, was important for the success in establishing the rehabilitation process. Some of the areas analyzed already show some parameters with values close or superior to those found in the capoeira (secondary forest), the latter being the non-treated area. © 2010 WIT Press.

Restoration of a degraded area using soil tillage systems in Campinas, São Paulo, Brazil

In Brazil the intensive agriculture use, mainly pasture, is the main cause of the presence of extensive areas of degraded lands. This study aimed to assess the impact of different soil management practices in a pasture degraded area used as garbage disposal. The experiment was performed at the Faculdade de Engenharia Agrícola, Universidade Estadual de Campinas - UNICAMP, in Campinas, state of São Paulo, Brazil, from 1990 to 1996. This area has undergone a process of recovery through removal of trash deposited on the surface, in 1985, levelling of soil, followed by application of limestone, subsoiling, planting of legumes (Crotalaria juncea) and crop rotation (soybean and maize). Since 1990 only popcorn maize was grown and established plots managed with different soil tillage systems, including harrow, chisel plow, moldboard plow, no tillage, disk plow and revolving hoe. One plot was planted exclusively with guinea grass (Panicum maximum) to serve as a reference for minimum loss of soil and another grown on a downhill direction to correspond to the expected maximum erosion. There were differences in sediment loss, nutrient loss and productivity of the popcorn maize in the period analyzed. The chisel plow and no tillage treatments caused the slightest loss of soil and nutrients, compared to other tillage systems. The results show that the soil management systems influenced the physical and chemical characteristics of soil, allowing an economical and environmental recovery of the area, providing the conditions for grain agricultural production.