Monitoriza����o do ensino de prótese total no pr��-cl��nico da cl��nica de reabilita����o oral II

Disserta����o para obten����o do grau de Mestre no Instituto Superior de Ci��ncias da Sa��de Egas Moniz

Conce����o e projeto de uma prótese trocant��rica

O tratamento de elei����o para uma mobiliza����o precoce nos casos de fratura trocant��rica do f��mur �� cir��rgico, em que se usam tradicionalmente placas laterais e parafusos ou cavilhas intramedulares. O principal objetivo deste trabalho �� o de cria����o e desenvolvimento de uma nova placa trocant��rica de conten����o (TPC - Trochanteric Plate of Contention), sistema para fixa����o de fraturas trocant��ricas e especialmente vocacionada para as fraturas de obliquidade reversa. Nesta disserta����o apresenta-se um conceito de tratamento de fraturas trocant��ricas. Este estudo tem como objetivo o desenvolvimento de um sistema alternativo de fixa����o interna que dever�� permitir a elimina����o, ou pelo menos reduzir, os problemas de cut-out. Mais, nos casos em que o cut-out n��o pode ser evitado, o sistema foi desenvolvido para permitir a substitui����o da cabe��a do f��mur, preservando a placa e o parafuso do colo do f��mur, o que o tornar�� numa prótese total. A especificidade da sua geometria foi desenhada para ultrapassar as falhas de sistemas alternativos especialmente em pacientes com fragilidade ��ssea, resultante da perda da sua densidade, anisometria e desorganiza����o da microestrutura trabecular, associada �� osteoporose. As propriedades biomec��nicas deste novo sistema, TPC, dever�� cumprir as linhas de orienta����o da norma ASTM (American Standard Specifications and Test Methods) F384-12.

O BANCO MUNDIAL E A EDUCA����O NO BRASIL: ESTUDO REALIZADO A PARTIR DAS TESES DEFENDIDAS NA UNIVERSIDADE ESTADUAL DE CAMPINAS (UNICAMP), NO PER��ODO DE 1995 A 2007

Este estudo visa analisar as interferencias do Banco Mundial na Educacao Brasileira a partir do estudo de seis teses (aqui identificadas pelas iniciais A,B,C, D, E e F) de doutorado relativas ao tema, defendidas na Universidade Estadual de Campinas (Unicamp), sendo quatro delas (A, B, C, e D) voltadas a area de educacao e duas (E e F) a area de Ciencias Sociais e Economia. O estudo das teses parte dos objetivos de cada uma, que podem ser resumidos da seguinte forma: a Tese A - ����A Mundializacao da Educacao: o Projeto Neoliberal de Sociedade e de Educacao no Brasil e na Venezuela. (MELO, 2003) -, sob a orientacao do Prof. Dr. Nilson Joseph Demange, teve como objetivo investigar o processo de mundializacao da educacao como elemento de uma nova fase de internacionalizacao e acumulacao capitalista, conduzida hegemonicamente pelos sujeitos politicos coletivos que assumem o projeto neoliberal de sociabilidade, especialmente o Fundo Monetario Internacional e o Banco Mundial, que buscam ser condutores das reformas estruturais para a America Latina e Caribe; a Tese B . ����O Capital Financeiro e a Educacao no Brasil. (DEITOS, 2005) -, sob a orientacao da Profa. Dra. Maria Elizabete Sampaio Prado Xavier, teve como objetivo definir quais as consequencias da consolidacao do projeto, para a redefinicao das politicas educacionais na America Latina e Caribe; a Tese C . ����Globalizacao e Descentralizacao: o Processo de Desconstrucao do Sistema Educacional Brasileiro pela Via da Municipalizacao. (ROSAR, 1995) -, sob a orientacao do Prof. Dr. Demerval Saviani, teve como objetivo analisar as reformas educacionais empreendidas no Brasil, no periodo de 1995-2002, particularmente a politica educacional nacional para o ensino medio e profissional, com financiamento externo do Banco Internacional para Reforma e Desenvolvimento (BIRD); a Tese D . ����As Politicas Educacionais para o Desenvolvimento e o Trabalho Docente. (SOUZA, 1999) ., sob a orientacao da Profa. Dra. Liliana Rolisen Petrilli Segnini, trata da politica educacional para o ensino de 1���� grau, tracada segundo a visao de seu autor no ambito de projetos federais, com o objetivo de induzir a municipalizacao do ensino, transferindo encargos para o municipio, sem a realizacao de investimentos financeiros satisfatorios nessa instancia; a Tese E . ����Economia, poder e influencias externa: O Grupo Banco Mundial e as Politicas de Ajustes Estruturais na America Latina, nas Decadas de Oitenta e Noventa. (COELHO, 2002) ., sob a orientacao do Prof. Dr. Sebastiao Carlos Velasco e Cruz, teve como objetivo analisar as relacoes entre o projeto educacional implementado pelo governo estadual, no periodo entre 1995 e 1998 e suas concepcoes de politicas educacionais; a Tese F - ����A Questao Social e os Limites do Projeto Liberal no Brasil. (GIMENES, 2007) ., sob a orientacao do Prof. Dr. Carlos Alonso Barbosa de Oliveira, teve como objetivo analisar a relacao entre a economia, o poder politico e a influencia externa, focalizando o Grupo Banco Mundial e os programas de ajustamento estrutural na America Latina. Por fim este estudo mescla teses brasileiras advindas da area da Educacao e da Economia; foca o banco mundial e sua influencia no Brasil, oferecendo uma visao das conexoes logicas existentes entre elas. Como conclusao deste trabalho, apresentaremos as consideracoes finais de cada uma das teses, bem como as limitacoes e sugestoes para

Cen��rio da produ����o acad��mica em hist��ria da matem��tica no ensino de matem��tica: uma an��lise reflexiva das teses e disserta����es (1990-2010)

This research aims to make a reflective analysis about the academic production originated in the stricto sensu post graduation programs in the country, produced in the period of 1990 to 2010, in the field of History of Mathematics, especifically on works about the History of Mathematics in Mathematics education and that present pedagogical proposals that make use of the History of Mathematics in order to teach Mathematics. Defending the thesis that the researches on mathematics education with goals turned to the use of didactic proposals related to the history of mathematic that take in consideration the coherency between epistemological aspects inherent to mathematics history and anthological elements materialized on the conceptions of mathematics and mathematics history and of apprenticeship (implicitly or explicitly exposed) may originate significant contribution to the field of history of mathematics on education. Among these, nine were Master���s Degree dissertations and five PHD���s theses. The reflective analysis was accomplished from two matrixes; one from theoretical nature and the other, ontologic nature, elaborated from the pretexts of Sanches Gamboa, about the epistemological analysis from academic production in the field of Mathematics Education and the following theoretical perspectives in the field of History of Mathematics Education, that are: linear evolutionary theory, structural construtivist operative, evolutionary discontinuous, historical and socialcultural investigation and the use of activities estimulating the usage of verbal and nonverbal expressions. These perspectives were based on the works of Miguel and Miorim, Mendes and Radford. As results, we have detected some established dissonances between the categories related to theoretical and ontologic levels and the pedagogical proposal presented in these researches. On the other hand, we have discovered works that are able to establish consonances between the theoretical and ontological elements and the presented pedagogical proposal. These works carry significative contributions to the field of History of Mathematics applied to Mathematics pedagogical practice, inclusively presenting significative theoretical elements to the production of knowledge recognized as scientific in the Mathematics field

Satisfa����o e impacto da sa��de oral na qualidade de vida em pacientes reabilitados com prótese total dupla

Introduction: The rehabilitation of edentulous patients is one of the main challenges of Dentistry. Objective: To assess the satisfaction and the impact of oral health on quality of life of patients rehabilitated with conventional complete dentures in both arcades. Method: A clinical trial with 25 patients rehabilitated with CCD was conducted. The impact of oral health in individuals quality of life was evaluated through the Brazilian version of the OHIP-Edent and the patient satisfaction was evaluated using a specific questionnaire. The instruments were applied before and 3 months after rehabilitation. Results: There was a statistically significant improvement (p <0.001) on the impact of the quality of life of the denture users after the new rehabilitation. The analysis of 4 OHIP domains also showed statistically significant improvement (p <0.001). The final overall satisfaction with the dentures was statistically superior to initial satisfaction (p <0.001). The analysis of the specific aspects of satisfaction with CCD after 3 months of rehabilitation also showed significant results in the improvement of every aspect. Conclusion: Patients disappointed with their dentures, have their quality of life improved after the new rehabilitation, reducing the negative impact of the prostheses on oral health, and improving their satisfaction with the rehabilitation.

Resumo de disserta����es e teses: a estrutura composicional �� luz da An��lise Textual dos Discursos

This doctoral dissertationproposes the description, interpretation and analysis of the compositional structure of thesis and dissertation abstracts, with regard to the linguistic mechanisms that evidence text zones of different typological sequences, such as those of the text plan. Along these lines, the research problem was developed from the notion of compositional structure (sequences and text plans), as one of the levels or plans of text analysis, according to the theoretical framework proposed by Jean-Michel Adam (2011a). The main objective of this study was to recognize how the compositional structure, of thesis and dissertation abstracts, is achieved, with respect to text units and the global organization of this text category. The hypothesis posed in this research posits that specific informational text composition categories of abstracts are necessary to process the representation of the original text and the way in which it makes its meaning. Subsequently, this study is based on the theoretical and methodological framework of Text Linguistics (TL) and, above all, Textual Discourse Analysis (TDA), as we endeavor to understand the organizational structure of abstracts from both a linguistic and textual perspective. This structure involves the text plan of abstracts, with respect to their communicative purpose, i.e, the sharing of scientific information in its standard textual form. Thus, the development of this study, from a theoretical and methodological perspective, is based on the theoretical and descriptive premises from TDA (ADAM, 2011a, 2012; PASSEGGI et al., 2010), and also from TL (BEAUGRANDE; DRESSLER, (2012 [1981]); COSERIU; LAMAS (2010); MARCUSCHI, 2009 [1983]; F��VERO; KOCH, 1994;KOCH, 2006; BENTES, 2004; BENTES; LEITE, 2010), within the field of text studies. The methodology of this study relies on empirical, documental research, which is qualitative, and adopts a descriptive and interpretive approach. From the empirical perspective, our objective is to understand the problems pertaining to the textual composition of abstracts, aiming to elucidate them in light of the theoretical and methodological framework previously mentioned. The corpus of the analysis is comprised of seven abstracts designated for systematic data collection. These texts, written between 2004 and 2011,were selected from Master���s theses and Doctoral dissertations in their electronic version, from the graduate program at the Federal University of Rio Grande do Norte. A thorough review of the literature reveals a clear fluctuation in the terminology of the concept, ���abstract���. The results of the analysis revealed that the abstracts, which comprise the corpus of analysis in this study, in general, present typological heterogeneity, while the text plan remains fixed. Finally, the new knowledge gained in this research contributes both to the understanding of the compositional structure of abstracts as well as their production.

Duplica����o r��pida de prótese total: passo-a-passo

This study presents a simple, fast and low cost technique for fabrication new conventional dentures from the duplication of old prosthesis in use by the patient. Colorless acrylic resin was poured into the moulds obtained by duplication of prosthesis. With the replicas obtained a functional impressions using polyether should be performed and they are stabilized with occlusal registration in acrylic resin. The molds need to be castings and mounted on an semi-adjustable articulator. The artificial teeth are positioned with the assistance of a guide made condensation silicone to reproduce the positioning of the teeth of the old prosthesis and fixed with wax 7. After approval of the teeth on the trial in wax, without adjustment of the planes, the prosthesis may be processed in the laboratory. After occlusal adjustment in the articulator the same can be installed.

Prótese parcial remov��vel retida por implantes: relato de caso

A aus��ncia de dentes posteriores inferiores representa dificuldades no planejamento e controle de próteses parciais remov��veis, pois o suporte �� proporcionado por dentes e mucosa, que apresentam caracter��sticas anat��micas diferentes. O planejamento de próteses parciais remov��veis apoiadas sobre implantes na regi��o distal torna a prótese dento-implanto-suportada e n��o dento-muco-suportada sendo, uma op����o aos casos de extremidade livre. Por meio deste relato de caso, um paciente portador de arco classe II de Kennedy foi reabilitado com prótese parcial remov��vel apoiada sobre implante na regi��o distal. A coloca����o do implante resultou em uma oclus��o mais est��vel, o que melhorou a funcionalidade da prótese e proporcionou maior conforto ao paciente. Observou-se que esta resolu����o pode ser uma alternativa vi��vel de tratamento, pois apresenta custo reduzido em rela����o �� prótese fixa sobre implantes, entretanto, requer um acompanhamento em longo prazo com uma s��rie de casos para tornar-se um m��todo rotineiro de tratamento.

Prótese parcial remov��vel retida por implantes: relato de caso

A aus��ncia de dentes posteriores inferiores representa dificuldades no planejamento e controle de próteses parciais remov��veis, pois o suporte �� proporcionado por dentes e mucosa, que apresentam caracter��sticas anat��micas diferentes. O planejamento de próteses parciais remov��veis apoiadas sobre implantes na regi��o distal torna a prótese dento-implanto-suportada e n��o dento-muco-suportada sendo, uma op����o aos casos de extremidade livre. Por meio deste relato de caso, um paciente portador de arco classe II de Kennedy foi reabilitado com prótese parcial remov��vel apoiada sobre implante na regi��o distal. A coloca����o do implante resultou em uma oclus��o mais est��vel, o que melhorou a funcionalidade da prótese e proporcionou maior conforto ao paciente. Observou-se que esta resolu����o pode ser uma alternativa vi��vel de tratamento, pois apresenta custo reduzido em rela����o �� prótese fixa sobre implantes, entretanto, requer um acompanhamento em longo prazo com uma s��rie de casos para tornar-se um m��todo rotineiro de tratamento.

Um olhar cr��tico sobre a individualiza����o da curva de compensa����o em prótese total

Objetivo: Buscar na literatura evid��ncias cient��ficas que suportem os benef��cios da individualiza����o da curva de compensa����o em prótese total, pela t��cnica do desgaste de Paterson, em rela����o �� curva de compensa����o n��o individualizada. Metodologia: Realizou-se, em Dezembro de 2009, uma revis��o sistem��tica da literatura nas bases de dados MEDLINE, LILACS e BBO com os termos ���prótese total��� e ���oclus��o���. Para abranger uma maior quantidade de dados, realizou-se uma busca manual atrav��s das refer��ncias dos artigos inicialmente selecionados. Resultados: Obteve-se 1273 refer��ncias na base dados MEDLINE, 64 na LILACS e 103 na BBO, num total de 1440 refer��ncias. Dessas, apenas 24 tratavam do assunto ���curva de compensa����o���, as quais somaram-se mais 13 artigos selecionados manualmente. Conclus��o: A partir dos resultados obtidos, conclui-se que n��o existem dados suficientes que comprovem clinicamente os benef��cios da individualiza����o da curva de compensa����o em rela����o ��s próteses totais com curva de compensa����o n��o individualizada. Ensaios cl��nicos controlados e randomizados s��o necess��rios para que se possa determinar qual o procedimento mais adequado.

Um olhar cr��tico sobre a individualiza����o da curva de compensa����o em prótese total

Objetivo: Buscar na literatura evid��ncias cient��ficas que suportem os benef��cios da individualiza����o da curva de compensa����o em prótese total, pela t��cnica do desgaste de Paterson, em rela����o �� curva de compensa����o n��o individualizada. Metodologia: Realizou-se, em Dezembro de 2009, uma revis��o sistem��tica da literatura nas bases de dados MEDLINE, LILACS e BBO com os termos ���prótese total��� e ���oclus��o���. Para abranger uma maior quantidade de dados, realizou-se uma busca manual atrav��s das refer��ncias dos artigos inicialmente selecionados. Resultados: Obteve-se 1273 refer��ncias na base dados MEDLINE, 64 na LILACS e 103 na BBO, num total de 1440 refer��ncias. Dessas, apenas 24 tratavam do assunto ���curva de compensa����o���, as quais somaram-se mais 13 artigos selecionados manualmente. Conclus��o: A partir dos resultados obtidos, conclui-se que n��o existem dados suficientes que comprovem clinicamente os benef��cios da individualiza����o da curva de compensa����o em rela����o ��s próteses totais com curva de compensa����o n��o individualizada. Ensaios cl��nicos controlados e randomizados s��o necess��rios para que se possa determinar qual o procedimento mais adequado.

Avalia����o do planejamento de prótese parcial remov��vel em modelos recebidos por laborat��rios de Jo��o Pessoa-PB

Objective: To evaluate the planning and quality of plaster models for fabricati on of removable parti al dentures received from three commercial prosthodonti c laboratories located in the city of Jo��o Pessoa, PB, Brazil, which perform the casting procedures in their facilities. Methods: Forty 40 plaster models were photographed per laboratory, totalizing 120 models. The evaluation was performed using two questi onnaires, one designed for the dental prosthesis technicians, and another applied by the investigator for the visual evaluati on of the models. Data were analyzed using the SPSS soft ware version 13.0. Results: Ninety-two (76.7%) models did not present planning. In addition, no model presented references of insertion plane or guide pins. Calculati on of the mouth preparati on index (MPI) to evaluate the distribution of the oclusal and cingulum abutments or rests showed that 86 (71.7%) models were classifi ed as poor, 23 (19.2%) models as good and only 11 (9,.2%) models as acceptable. Defects were found in 102 (85%) models. Conclusion: The prosthodontists are not preparing the mouth of their pati ents, neglecti ng the planning of removable partial dentures, and passing this responsibility to the dental prosthesis technicians. In addition, the quality of the models sent to the laboratories was unsatisfactory.

Avalia����o do planejamento de prótese parcial remov��vel em modelos recebidos por laborat��rios de Jo��o Pessoa-PB

Objective: To evaluate the planning and quality of plaster models for fabricati on of removable parti al dentures received from three commercial prosthodonti c laboratories located in the city of Jo��o Pessoa, PB, Brazil, which perform the casting procedures in their facilities. Methods: Forty 40 plaster models were photographed per laboratory, totalizing 120 models. The evaluation was performed using two questi onnaires, one designed for the dental prosthesis technicians, and another applied by the investigator for the visual evaluati on of the models. Data were analyzed using the SPSS soft ware version 13.0. Results: Ninety-two (76.7%) models did not present planning. In addition, no model presented references of insertion plane or guide pins. Calculati on of the mouth preparati on index (MPI) to evaluate the distribution of the oclusal and cingulum abutments or rests showed that 86 (71.7%) models were classifi ed as poor, 23 (19.2%) models as good and only 11 (9,.2%) models as acceptable. Defects were found in 102 (85%) models. Conclusion: The prosthodontists are not preparing the mouth of their pati ents, neglecti ng the planning of removable partial dentures, and passing this responsibility to the dental prosthesis technicians. In addition, the quality of the models sent to the laboratories was unsatisfactory.

Reabilita����o Oclusal com Prótese Parcial Remov��vel Provis��ria Tipo ���Overlay��� ��� Relato de Caso

An appropriate design of a prosthetic rehabilitation should not impute the restoration of occlusal vertical dimension (OVD) to new prostheses, at the risk of the patient does not adapt to a new condition, since a certain amount of time is often necessary for adaptation to a new OVD. This article performed prosthetic rehabilitation with an overlay provisional removable partial denture prior to definitive treatment because the patient showed a considerable decrease in the OVD. Three techniques for OVD determination were used. It is possible to conclude that the use of interim removable partial dentures is of great importance at the beginning of the rehabilitation treatment in order to adapt the patient to a new occlusal condition.

Reabilita����o Oclusal com Prótese Parcial Remov��vel Provis��ria Tipo ���Overlay��� ��� Relato de Caso

An appropriate design of a prosthetic rehabilitation should not impute the restoration of occlusal vertical dimension (OVD) to new prostheses, at the risk of the patient does not adapt to a new condition, since a certain amount of time is often necessary for adaptation to a new OVD. This article performed prosthetic rehabilitation with an overlay provisional removable partial denture prior to definitive treatment because the patient showed a considerable decrease in the OVD. Three techniques for OVD determination were used. It is possible to conclude that the use of interim removable partial dentures is of great importance at the beginning of the rehabilitation treatment in order to adapt the patient to a new occlusal condition.