Tecido ósseo homólogo para utilização em odontologia

The use of bone grafts from bone tissue banks, also known as bone allografts, has increased in the last years, although most of its users still have concerns on resources and processing protocols. The objective of this paper was to make a literature review about the use of bone allografts in Dentistry, and also about the legal considerations regarding this biomaterial. Studies regarding the donor selection, the cross-infection risks and processing protocols of this biomaterial are still rare but essential, and allied to those regarding its clinical application, can base its use.

Photoelasticity in Dentistry: a literature review

Introduction and Objective: Photoelasticity consists of an experimental technique of stress analysis. This technique is very used in most different areas including Dentistry. This literature review presents the several applications of photoelastic technique in Dentistry the several applications of photoelastic technique in Dentistry as well as its advantages and disadvantages. Literature review: Based on this method of analysis, it is possible the verification of the stress distribution and deformation in structures with complex geometry as maxilla and mandible. It can be used to evaluate the distribution of stress on several types of prosthesis as removable partial denture systems with different retention systems, conventional implant prosthesis, overdentures and Brånemark protocols. Moreover, photoelasticity can be used to assess the stress generated by various by various orthodontic movements, different orthodontic systems and different materials (orthodontic wires). In addition, it is used to analyze different defects of maxillectomy, splint types on traumatized tooth and post-core restoration methods. This technique can also be used to assess dental instruments such as evaluation of different designs of periodontal probe. Conclusion: The photoelastic analysis has been a technique of great importance in health area studies, more specifically in Dentistry. Based on this method of analysis, it is possible to measure the stress distribution and deformation in structures with complex geometry as maxilla and mandible.

Interactions between restorative dentistry and periodontics: luting post nonmetallic (Part II)

Endodontically treated teeth have necessary use of intracanal posts. Due to the constant need and search for esthetic materials with properties similar to tooth structure remaining fi berglass posts esthetic came good these shortcomings and are increasingly used as a fi rst option for prosthetic rehabilitation. In this case report is described step by step how to perform the cementation of a nonmetallic post and core construction for making a piece prosthetic onlay in a simplifi ed way, by choosing the self-etching cementation technique.

Interactions between restorative dentistry and periodontics: preparation and cementation of an onlay in Empress (Part III)

The relentless pursuit by cosmetic dentistry brought the evolution of materials ceramics. The IPS-Empress system was upgrading of indirect restorations based on lithium disilicate. The ceramic restoration posterior allow a new esthetic approach due to its translucency and resistance without any weakening of the remaining dental element, being an option more conservative when compared to conventional prosthetic restorations.

Application of the finite element method in Dentistry

The finite element method (FEM) involves a series of computational procedures to calculate the stress in each element, which performs a model solution. Such a structural analysis allows the determination of stress resulting from external force, pressure, thermal change, and other factors. This method is extremely useful for indicating mechanical aspects of biomaterials and human tissues that can hardly be measured in vivo. The results obtained can then be studied using visualization software within the FEM environment to view a variety of parameters, and to fully identify implications of the analysis. Objective: An overview to show application of FEM in dentistry was undertaken. Literature review: This paper shows the basic concept, advances, advantages, limitations and applications of finite element method (FEM) in dentistry. Conclusion: It is extremely important to verify what the purpose of the study is in order to correctly apply FEM.

Application of hte finite element method in Dentistry

Introduction: The finite element method (FEM) involves a series of computational procedures to calculate the stress in each element, which performs a model solution. Such a structural analysis allows the determination of stress resulting from external force, pressure, thermal change, and other factors. This method is extremely useful for indicating mechanical aspects of biomaterials and human tissues that can hardly be measured in vivo. The results obtained can then be studied using visualization software within the FEM environment to view a variety of parameters, and to fully identify implications of the analysis. Objective: An overview to show application of FEM in dentistry was undertaken. Literature review: This paper shows the basic concept, advances, advantages, limitations and applications of finite element method (FEM) in dentistry. Conclusion: It is extremely important to verify what the purpose of the study is in order to correctly apply FEM.

Imageologia na odontologia e aspectos legais

The technology, through the advent of new equipments that allow imaging exams, has helped very much in the diagnosis and prognosis of diseases in Dentistry. The use of informatics, in general, in the manufacture of clinical reports is increasingly present in the dental offices. The legal validity of these systems is questioned, and is matter of discussion. This work makes considerations about Imageology or Diagnostic by image, a new area that is appearing on Dentistry. Among other exams, there are: digital radiography, tomography, computed tomography, artomography, magnetic resonance, computed cefalometry and ultra-sonography. It permits the professional to obtain a better diagnostic, and to the patient, the visualization of his problem and treatment. A survey on the possibilities of using informatics in Dentistry, particularly in Radiology, was also carried out, as well as the legal aspects, which are in accordance with the Law 8.935/94, what guarantees its practicability. Digital Certification is a mechanism that provides legal validity to documents and, as such, to radiographic images and others. It is a procedure that the dentist should take to ensure that he/she has safeguarded the judicial proofs that may be necessary in an eventual demand.

Human identification by means of conventional and digital Cheiloscopy: a study of the literature

One of the areas of human identification is Cheiloscopy, the name given to the study of the lips, their characteristics (such as thickness, position of the grooves and grooves) and the record of the impressions left by them. There are variations in the layout of the lines and fissures of the lips, which are unique to each individual, permanent and unchanging. The lip print rarely changes, enduring minor traumas such as inflammation or sores. In criminal investigations, lip prints, visible through the presence of lipstick, can be found on glasses, napkins, clothes, cigarettes, indicating a relationship between the subject and the scene of the crime. Latent impressions may be revealed employing specific chemicals such as powder of silver and aluminum nitrate. Although it is not a very common method, Cheiloscopy may become very useful in forensics due to the extensive amount of valuable information that it brings. The objective of this study was to review the literature on the use of Cheiloscopy in human identification, using traditional and digital methods. It was found that the literature is still in need of studies in this area. The advent of new digital technologies can facilitate the implementation of technical expertise, generating speed and objectivity. New research studies are necessary, especially in the development of digital methods. The application of Cheiloscopy can greatlyhelp with Law, in the identification of living suspects and dead individuals. In the end the benefit will fall to society as a whole.

Effectiveness of different methods for the detection of binge drinking in dentistry students

The purpose of this study was to estimate the alcoholic beverage consumption among undergraduate students of a Dentistry Course and compare the effectiveness of screening methods for the detection of binge drinking. A total of 284 undergraduate students participated in the research. We used the full AUDIT and their reduced forms (AUDIT-3 and AUDIT-C). In addition, a ROC curve was created and its area was calculated. Of the students, 91.0% and 90.6% of the male and female genders, respectively, reported alcohol beverage consumption. Bing-drinking behavior occurred in 69.2% of the men and in 52.4% of the women. The 3 methods showed good discriminatory ability. For the women, there was a significant difference between the AUDIT-3 and AUDIT-C. Both the complete version of AUDIT and its reduced forms presented good discriminatory ability

Dentistry teachers and the burnout syndrome

The Burnout Syndrome is considered a psychosocial problem to which teachers are routinely exposed. This study was conducted to estimate the prevalence of burnout in Dentistry teachers and its relation to relevant socio-demographic variables. The participants were 70 teachers from the undergraduate Dentistry Course, Faculty of Dentistry of Araraquara – UNESP. Oldenburg Burnout Inventory (OLBI) was used. The prevalence of burnout was estimated. In order to compare performed. Mean age of participants was 46.0 ± 6.1 and teaching experience was 19.6±7.6 years. The prevalence of burnout was 17.1%. Low mean scores for Exhaustion (2.11±0.61) and Disengagement (1.73±0.50) were observed. There reported taking medication due to work (p=0.008) and for those who have thought about quit teaching (p=0.001). There scores according to the habit of taking medication, the experience as a teacher and gender

Predictors of Burnout Syndrome in Dentistry Students

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

Laboratory testes with quality data in Dentistry

In laboratory tests, just following the manufacturer’s instructions of materials or equipments may not be enough to obtain reliable data. Thus, intra and inter-examiners studies may be required. The aim of this study was to illustrate the application of the Intraclass Correlation Coefficient (r) in a study related to the color changing and hardness of composite resin conducted by two examiners. The color and hardness of 10 specimens of composite resin were evaluated by a colorimetric spectrophotometer and hardness tester, respectively, at two different times. Two trained examiners performed two measurements with an interval of one week. Specimens were stored in artificial saliva at 37±1ºC for 7 days. The Intraclass Correlation was used for analysis of intra and inter-examiner reproducibility. The intra-examiner reproducibility was 0.79, 0.44 and 0.76 for L, a and b color coordinates for the examiner 1 and 0.84, 0.23, 0.21 for examiner 2. For hardness, r-values were 0.00 and 0.23 for the examiner 1 and 2, respectively, showing unsatisfactory agreement on color and hardness evaluation for both examiners. It was noted that only the observation of protocol for use of equipment and examiners training were not sufficient to collect reliable information. Thus, adjustments in the experimental protocol were made and devices were produced to standardize the measurements. The reproducibility study was performed again. For examiner 1, values as 0.90, 0.59 and 0.79 were verified for L, a and b coordinates and, for examiner 2 were obtained values of 0.90, 0.75, 0.95. In relation to hardness, r-values of 0.75 and 0.71 were obtained for examiners 1 and 2, respectively. The inter-examiner reproducibility was 0.86, 0.87, 0.91 for L, a and b coordinates and 0.79 for hardness. It was concluded that intra and inter-examiner calibration is essential for obtaining quality measurements in laboratory tests.

Estimativa da altura por dimensões dentárias: uma revisão da literatura

The knowledge of Forensic Anthropology is very importance in cases of identification of human remains. One phase of this process is the study of human height, which can be accomplished with relative ease when intact corpses, complete skeletons or long bones are available. However, the experience of Forensic Dentistry is essential in situations in which there is only information of the skull or of the teeth. The objective of this study was to review in the literature and evaluate works concerning the estimate of the height calculated from dental dimensions. Carrea, in 1920, proposed the estimation of the probable height of an individual by developing formulas for maximum and minimum heights from measurements of the lower central and lateral incisors and canines. The method was used in the case "Josef Mengele", to complement estimates. Tested in the Brazilian population, 70% of match between the actual and the estimated stature were obtained. Using more precise instruments, in the modified method, 96% of correct matching were verified. Recently, a new formula was introduced to estimate height, from measurements of upper teeth, because the technique cannot be used when jaw is not available. The correlation between height and dental dimensions is demonstrated. However, there is still a lack in scientific literature in this field, and further studies are necessary. The estimate of height from dental dimensions can be very useful and important, especially in situations where the complete skeleton it not found, and long bones are not available.

Importância da correta confecção do prontuário odontológico para identificação humana: relato de caso

The clinical records correspond to a set of documents where all information of the patient is stored. When properly confectioned and filed by the dentist, it may serve as a tool for success in dental expertise. The aim of this paper is to present the importance of proper confection of dental records in human identification by means the presentation of a case of identification, occurred in a São Paulo state city. The notes present in the dental records of the alleged victim were very poor, even with a contradiction. However, having endodontic treatment been performed, the comparative analysis between the radiographs of the skull of the victim (postmortem) and the endodontic treatment of tooth 22 (antemortem) permitted to observe total coincidence between the details of such treatment, and anatomical features present in other dental elements. These important parameters of comparison indicated that the body was of the suspect and, due to the number of coincidences, it could not belong to another individual. Nevertheless, the clinical documentation provided was deficient, and presented contradictory data. Because of its fundamental importance for human identification, it is essential that dental professionals take the necessary care to ensure its proper confection and custody, seeking to make the clinical records also an efficient instrument of consultation in identification cases.