Influência de tratamentos de superfície e agentes cimentantes na sobrevivência de coroas de Y-TZP recobertas por porcelana

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

The fitness of copings constructed over UCLA abutments and the implant, constructed by different techniques: casting and casting with laser welding

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

Contribuição ao estudo das relações dos conectores maiores de próteses parciais removíveis com tecidos gengivais

The effect in the gingival tissue of four distinctive types of relationships between the major conector and the gingival margin was investigated in eight subjects in association with the experimental gingivitis model. The subjects wore appliances constructed in acrylic resin (retained by means of embrasure hooks) throughout the day an night, except during meals. After the appliances had been placed, the subjects were abstained from any oral hygiene for twenty-one days. Records of the Plaque Index, Gingival Index and probing deplh were taken at baseline and at each week. Data showed that there was a small increase in the Plaque Index and Gingival Index for the four areas and that the degree of inflammation of the covered areas was higher in the area without relief

Estudo clínico comparativo da manutenção do aprofundamento de sulco nas vestibuloplastias mandibulares, através das técnicas de tuneilização submucosa e epitelização secundária

For some time, oral surgeons have tried several surgical procedures to improve the alveolar ridge for prosthetic appliance construction. The techniques used for this purpose are divided into four groups: submucosal vestibuloplasty; secondary epithelization; soft tissue grafting and transpositional flaps. Twenty patients who had problems to wear dentures due to unsatisfactory retention and stability were selected at the Oral and MaxilloFacial Surgery and Traumatology Clinic of Dental School of São José dos Campos. They were divided in two groups and operated by submucosal vestibuloplasty using stents and secondary epithelization vestibuloplasty by Clark's technique and were evaluated twelve months after operations in relationship of the sulcus depth. The results were obtained by clinical and radiological examination before and after surgery, and they are similar to those found in the literature reaching satisfactory functional judgement

Estudo comparativo in vitro da resistência à remoção de grampos circunferenciais aplicados sobre dentes íntegros e restaurados com resina composta

An experimental study was undertaken in arder to find out lhe behavior of the required force to yield dislodgement of circumierential clasps of removable partial dentures ou two groups of samples. 1 with retentive terminais engaging and acting ou enamel 2 with retentive terminais engaging on enamel and acting on composite resm With this aim a device was designed based on a sewing machine (brand name Elgin) that could repeatedly simulate lhe introduction-removal movement of circunferencial clasps ou the samples. ln addiction the device had a platform to sustain the samples and permit measurements, a cycle counter and a dynamometer. The samples were constructed by inclusion in dental stone of extracted natural molar teeth whose retentive areas were ou natural enamel or composite resin addictions.The clasps were fabricated from wax ups of resin and wax and were cast with chromium cobalt alloy. The composite resin used was one of the last generation, monomodal type, photopolymerized and binded to the enamel by the acid etching technique. Tests were carried out in aqueous enviroment. Is was established a maximum of 5.000 cycles for each of the samples. Observatins were made from 100 to 100 cycles until 2.000 and from 200 to 200 cycles to 5.000. Results showed that variations in the amount of the required force for dislodgement of the clasps from the samples during the test periods had no significancy eather to those with retentive areas on the enamel or to those with retentive fabricated with addictions of composite resin

Protese ocular individualizada em resina acrílica com esfera oca

The technique proposed aims at reducing the weight of individualized ample ocular prostheses using acrylic resins as well as simplifying laboratory procedure. For that, prefabricated hollow spheres made of plastic material, were inserted in the sclera. The average weights of the solid conventional sclera (5.30g) and those of the respective prefabricated plastic ones (3.91g) were compared. The weight reduction was significative with a confidence interval of 95% by the Student t test. ln addition, for illustration purpose, the technique was applied to patients in the ward of the Maxillofacial Prostheses Dicipline of the Dentistry School in the Campus of São José dos Campos - UNESP, having each patient received a solid prosthesis and a hollow prefabricated one made of plastic material. It has been concluded that the prostheses material spheres were inserted are lighter than the ones which received solid spheres; furthermore, thr technique is viable for ample anophtalmic cavities and requires few sessions

Resistência de união entre um cimento resinoso e uma cerâmica aluminizada submetida a diferentes tratamentos de superfície

Pós-graduação em Odontologia Restauradora - ICT

Estudo da resistência à tração de cápsulas e troqueis metálicos cimentados, em função de alívio e retenção para o cimento

Pós-graduação em Odontologia Restauradora - ICT

Regeneração óssea vertical usando barreira não-porosa de politetrafluoretileno em implantes osteointegrados inseridos parcialmente na tíbia de coelhos

The purpose of this study was to evaluate the possibility to obtaining guided bone regeneration utilizing a nonporous PTFE barrier in the osseointegrated implants, protruding from the bone level of the rabbit tíbia. The histologic characteristics of the interface between titanium implants, one group titanium-plasma coated, another group with acid-treated surfaces and the regenerated bone were also studied Twenty Screw-Vent implants were placed in tibias of five rabbits, two at the right side and two at the left side, protruding 3 mm from the bone level, to create a horizontal bone defect. ln the experimental side, the implants and adjacent bone were protected with a nonporous PTFE barrier. Histologic analysis after three months showed that all implants were in direct contact with the bane. Histologic measurements showed an average gain in bone height of the 2.15 and 2.42 mm for the barrier group and 1.95 and 0.43 mm for the control defects, in the titanium plasma-spray and acid-treated implant surfaces, respectively. The results suggest that the placement of implants protruding 3 mm from crestal bone defects may result in vertical bone augmentation and the regenerated bone is able to osseointegrate implants. lt seems to be critical the use of the PTFE barrier when acid-treated surface implants are inserted

Efeito da infiltração de sílica pelo método sol-gel na resistência à flexão de bicamadas de porcelana e Y-TZP

Coordenação de Aperfeiçoamento de Pessoal de Nível Superior (CAPES)

Aumento de gengiva queratinizada em mucosa peri-implantar

Introduction: Recent studies have evaluated the relationship between the width of keratinized mucosa and peri-implant tissue health. Insufficiently wide keratinized tissue can be increased surgically, for example by free gingival grafting. The presence or reconstruction of keratinized tissue around the implant can facilitate restorative procedures, promote aesthetics and allow the maintenance of an oral hygiene routine without irritation or discomfort to the patient. Objective: To describe a patient who underwent free gingival graft surgery to increase the width of keratinized tissue in the region of previously implants to support a type of prosthetic protocol. Case report: A patient who had received dental implants to support a type of prosthetic protocol presented with inflamed peri-implant mucosa, but with no keratinized tissue. Free gingival tissue was obtained from the palate and grafted into the anterior maxilla. Sixty days after muco-gingival surgery, we observed that the free gingival graft favored peri-implant health and prosthetic casting. Conclusion: The free gingival graft technique is both easy to perform and effective in increasing the width of keratinized mucosa following implantation.

Interdisciplinaridade do plano de tratamento após reimplante dentário: relato de caso

O tratamento de escolha para a avulsão dentária é o reimplante dentário, no entanto diversos fatores interferem no prognóstico e a reabsorção radicular é a principal seqüela podendo levar a perda dentária. O objetivo do trabalho foi relatar um caso clínico de reimplante dentário com perda dentária por extensa reabsorção radicular e os planos de tratamento instituídos para reposição do dente perdido. Paciente após acidente motociclístico apresentou avulsão dentária e fratura coronária do elemento 21 e subluxação e fratura coronária do 11. Após quatro anos do reimplante o dente foi perdido por reabsorção radicular externa. Um novo plano de tratamento foi instituído e como a paciente apresentava uma maloclusão foi realizado um tratamento ortodôntico e uma cirurgia ortognática seguido da colocação de um implante para reposição do 21. Como não ocorreu a osseointegração do implante após três tentativas foi realizada uma prótese fixa adesiva associada à laminado de porcelana para o restabelecimento da função e a estética. Desta forma a interdisciplinaridade permitiu a elaboração de planos de tratamento, capaz de eliminar os imprevistos e conduzir o caso a um sucesso.

Reconstrução imediata de fenestração peri-implantar com enxerto autógeno em bloco de ramo mandibular

Alveolar wall fenestrations are common during implant placement. The aim of this paper is to report a case where a peri-implant bone fenestration was reconstructed immediately after implant placement by an autogenous mandibular bone block. A male patient was referred to the Department of Surgical and Integrated Clinics to substitute his Kennedy´s Class IV removable partial denture for an implantsupported fixed prosthesis. A peri-implant bone fenestration at the buccal wall was seen at the region of 12, being reconstructed by a mandibular bone block secured by a bicortical screw. Six months later the surgical procedures, an implant-supported complete fixed partial prosthesis was developed. The autogenous bone block harvested from the mandibular ramus was a safe alternative to reconstruct the peri-implant bone defect such as fenestration types.

Procedimentos básicos em periodontia: método lógico para estabilizar a doença periodontal avançada

To treat periodontal disease is essential to establish a control in all etiological factors that cause destructive activity in periodontal tissues. Basic periodontal therapy may be applied to eliminate or/and to control all etiologic factors involved in disease development. In this paper, some aspects to stabilize advanced periodontal disease using basic periodontal therapy are analyzed and discussed.

Enxerto de tecido conjuntivo para correção da margem peri-implantar

Soft tissue recessions frequently cause esthetic disharmony and dissatisfaction. The results of coverage in peri-implant sites, in comparison with soft tissue coverage around a tooth, is less predictable. This clinical report describes the correction of an esthetic problem with a single-tooth implant-supported using a subepithelial connective tissue graft (SCTG) combined with the re-establishment of a new limit of gingival margin, and emergence crown profile. After anamnese and clinical exam it was observed an implant in the region of tooth 22 in vestibular position to alveolar ridge with a recession of 5 mm in its vestibular face. In the first cirurgical procedure the crown and the abutment were removed and a SCTG associated with a coronally positioned flap was performed in order to re-establish the limit of gingival margin. After 90 days, it was observed that the tissue in the implant site showed no adequate volume or thickness. Because of that, another SCTG was performed. The reopening procedure to install the healing cap was performed after 4 weeks. Then the prosthesis was installed. At 180 and 360 days postoperative, the implant adjacent tissue presented regular contour, color compatible with health and absence of bleeding. The patient was satisfied with the esthetic result. According to the clinical results and favorable esthetics it was possible to conclude that the use of ETC to correct an esthetic deficiency may be a feasible approach to establish new and stable peri-implant soft tissue contours.