Two-and tridimensional analysis of periapical repair after endodontic surgery

Objective The aim of this study was to evaluate repair after endodontic surgery using two- and tridimensional imaging methods. Materials and methods Periapical radiographs and cone beam computed tomography (CBCT) were performed before the surgeries and after 48 h (baseline), 4 months, and 8 months. The area (square millimeters) of periapical lesions in CBCT and in radiographs was compared regarding the percentage of repair. In the CBCT, multiple areas were converted to volume. Repeated-measures analyses and paired t tests (α=0.05) were used to compare the methods. Correlation coefficients were calculated between the periods of evaluation within the CBCT volumetric analysis. Bland-Altman plots were used to compare the methods, based on the 95 % limits of agreement for the difference of the means. Results Baseline showed a larger lesion volume (192.54 mm3 ) than 4-month (79.79 mm3 ) and 8-month (47.51 mm3 ) periods. No differences were found in the percentage of repair in the first 4 months and after 8 months. The volumetric analysis showed a higher percentage of repair when the first and last 4 months were compared. No differences were found in the percentage of repair by area in the CBCTs. Repair of 73 % was obtained after 8 months. Similar results were observed by the Bland-Altman agreement analyses. Conclusions The percentage of repair varied after 8 months, when lower values were obtained by volumetric evaluation. Clinical relevance Considering the outcome at follow-up periods over 4 months, tridimensional evaluation by CBCT is more capable of determining the absence of periapical bone repair than conventional two-dimensional radiographs. Therefore, the use of CBCT would be suggested only for more complex cases with slower evolution of repair or for the association of factors that make prognosis difficult after surgery.

Diagnóstico e planejamento em cirurgia parendodôntica: utilização da tomografia cone beam

The ability to tridimensionally evaluate pathological and anatomical areas, in apical surgery planning, presents a number of advantages. Cone beam computed tomography (CBCT) was developed for dental applications. This paper aims to present a literature review on CBCT, highlighting its advantages over both conventional computed tomography (CT) and radiography. Moreover, its clinical applications in apical surgery are discussed. LITERATURE REVIEW AND CONCLUSION: Unlikely CT, CBCT captures a volume of data in a single 360º rotation, providing benefits such as higher accuracy, better resolution, reduced scanning time and reduced radiation dose. In the maxillofacial region, CBCT has been mainly used in the assessment of dento-alveolar pathology and oral traumatology. CBCT provides a better diagnosis and quantitative information on periodontal bone levels than conventional radiography. It has also been used for patients requiring surgical facial reconstruction, orthognathic surgery, dental implants, and more complex tooth extractions. Besides that, it seems to be a significant tool in modern endodontic practice, presenting useful applications in apical surgery.

Avaliação do uso de Selante de Fibrina derivado do veneno de serpente como arcabouço biológico de células tronco mesenquimais na regeneração óssea do fêmur de ratos

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

Avaliação tridimensional das alterações maxilomandibulares após expansão rápida de maxila assistida cirurgicamente

Coordenação de Aperfeiçoamento de Pessoal de Nível Superior (CAPES)

A geometria tridimensional apresentada nos livros didáticos de matemática do 5º ano do ensino fundamental

O presente trabalho realiza um estudo referente à Geometria Tridimensional, no que tange a sua metodologia apresentada nos livros didáticos de Matemática. Esse instrumento tem passado por um processo de avaliação mais rigoroso nas últimas décadas pelos órgãos governamentais para a promoção do livro com qualidade o que é importante, porém uma análise crítica de seus conteúdos é essencial para que esse instrumento torne-se adequado a cada realidade e um aliado no planejamento do educador no processo de ensino e aprendizagem da Geometria. Essa disciplina é considerada por vários autores e especialista da educação como um conhecimento muito pertinente para a formação integral do aluno, ao proporcionar o desenvolvimento do raciocínio visual, espacial e lógico, abrangendo também a formação cultural e profissional. Nesse sentido, considerando a importância da escolha de um livro adequado e coerente para a qualidade desse ensino, objetivouse com esse estudo realizar uma análise e reflexão sobre os conteúdos da Geometria Tridimensional apresentada em dois livros didáticos de matemática do 5º ano do ensino fundamental submetidos aos critérios eliminatórios do Programa Nacional do Livro Didático - PNLD (2013) e aprovado pelo Ministério da Educação. Mediante levantamento bibliográfico da literatura pertinente e análise de documentos oficiais foi possível verificar que os mesmos apresentaram progressos em alguns aspectos atendendo de forma parcial as propostas atuais para esse ensino demonstrando que ainda precisam evoluir

Simulação computacional por elementos finitos de múltiplas fissuras em sólidos usando técnica de fragmentação da malha

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

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.

Reconstrução de maxila severamente atrófica via enxerto ósseo autógeno de calota craniana: descrição de técnica

Bone reconstructions are traditionally conducted with autogenous grafts harvested from intra- or extra-oral donor sites to reestablish the lost bone volume for further implant-prosthetic rehabilitation. The calvarial bone has been studied as an excellent donor site in large atrophic situations, presenting low resorption rates, as well as complications and minimal morbidity. The hospitalization time is short, with low pain levels, short functional limitations, and invisible scars. The skull microarchitecture is predominantly cortical in the presence of growth factors that demonstrate their osteogenic, osteoinductive, and osteoconductive abilities resulting in low resorption rate and high predictability when compared to the iliac crest. Dural lacerations, extra and subdural bleeding, cerebrospinal fluid leakage, and brain damage have been minimized due to the development of surgical technique. The delimitation of diploe, preserving the internal skull cortex before osteotomy at the donor made it possible to reduce accidents and complications. The aim of this paper is to show a technical and to discuss aspects of the use of calvarial bone in the reconstruction of severely atrophic maxilla for oral rehabilitation with osseointegrated implants.

Arcabouço tridimensional para células tronco, processo de obtenção do mesmo e seu uso

A presente invenção descreve um arcabouço (scaffold) tridimensional biodegradável de fibrina, formado por uma serinoprotease extraída a partir de veneno de serpente, um crioprecipitado rico em fibrinogênio extraído de bubalinos, o diluente cloreto de cálcio e uma solução de uma população de células tronco. O arcabouço é apropriado para suportar uma população de 106 células por mL de fibrina por um período prolongado de tempo, em que as células tronco são mesenquimais, de tecido umbilical e células tronco mononucleares. A invenção descreve, ainda, o processo de obtenção do arcabouço, cujos componentes são providos separadamente e polimerizam-se in situ após mistura. O arcabouço descrito apresenta inúmeras aplicações médicas, podendo aumentar a vascularização, a quimiotaxia celular, a regeneração nervosa e/ou a cicatrização de feridas no local da administração. Devido à sua origem animal, não há o risco de transmitir doenças infecciosas.

Parâmetros construtivos de kirigami tridimensional de 90 graus de abertura

Origami folds and kirigami cuts merged in an oriental technique called Origamic Architecture (or 3D kirigami) that has intrinsic relationships with geometry as well as these paper arts. Despite its potential, it is not very used as a didactic resource because of the lack of parameters in its construction. There are many studies about programs development and computational language to help the design of pop-up structures, as origamic architecture is also known. However, there are few studies concerning the study of positioning the lines and creases, which is essential in the process of creating a 3D kirigami design, especially in the development of spatial perception of the figure. Limited to the 90o open type models, this article is about the establishment of some initial guidelines for design of an origamic architecture through visual elements as point, line and shape. It is presented some basic models to illustrate the constructive parameters detected as well as some models elaborated by the author, showing the viability of the guidelines established.

Contribuições da reconstrução racional didática no desenvolvimento de concepções epistemologicamente mais aceitáveis sobre a natureza da ciência e do progresso científico

This study inserts itself in the research line conceptions on the nature of the science (CNC) in the school atmosphere. More specifically, on that teacher of natural sciences who claims not to be interested in philosophy, it is usually noticed a tendency to understand and to teach a vision of a ready/ finished and unalterable science, which directly influences the students conception of science. Discussed here is the application of a didactic rational reconstruction in high school, the results of which are compatible with a more epistemologically acceptable educational concep tion on the nature of science as something provisory, variable and controversial.

Rotações no espaço tridimensional por meio de produtos quaterniônicos

Pós-graduação em Matemática Universitária - IGCE

Análises físico-químicas e biológicas de diferentes scaffolds à base de polihidroxibutirato e polihidroxibutirato-co-valerato

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