419 resultados para Traumatismo múltiplo
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In the treatment of extrusive luxation cases, it is important that the repositioning of extruded tooth in the socket is done as soon as possible. If this does not occur, periapical clot becomes organized and makes replantation difficult reposition. In this article the patient referred to the Clinics for dental trauma sustaining extrusive luxation of the maxillary right central incisor. The patient reported having suffered a bicycle accident 12 days before, which caused traumatic tooth injuries. The repositioning was attempted without success and an alternative form of treatment was necessary to solve the case. Intentional tooth replantation, which is the deliberate extraction of the tooth and its replantation, was indicated. This technique allows clot removal and correct repositioning of the extruded tooth. Care should be taken as endodontic treatment is required for the prevention of subsequent infection-related resorption. Intracanal dressing with calcium hydroxide was used for 30 days before final root filling. Splint, systemic antibiotics and avoidance of further damage to the root surface is also important. After 49 months, showed clinical and radiographic characteristics of normality and demonstrates the availability of this technique to adversity in trauma.
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Coordenação de Aperfeiçoamento de Pessoal de Nível Superior (CAPES)
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Coordenação de Aperfeiçoamento de Pessoal de Nível Superior (CAPES)
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The objective was to evaluate levels of multiple supplements supplied to beef heifers in low supply of pasture on intake and nutrients digestibility, pH and concentration of ruminal ammonia nitrogen, nitrogen balance, synthesis and microbial efficiency. Five Nellore heifers with initial body weight of 344.00 +/- 21.10 kg and average initial age of 22 months were used. The following supplements were evaluated as fed to the animals: control (mineral supplement) and supplementation levels of 2, 4, 6 and 8 kg/animal/day, composing the following percentages of body weight (BW): 0.55, 1.11, 1.66 and 2.22%, respectively. The experimental design was a Latin square with five replications and five supplements. Intakes of total dry matter, crude protein (CP) and total digestible nutrients, and total apparent digestibility of dry matter, crude protein, total carbohydrates and no fiber carbohydrates increased linearly (P <0.0001) and dry matter intake of forage decreased (P <0.0001) with supplementation levels. Supplementation strategies promoted reduction on ruminal pH (P = 0.0343) and increased concentration of ruminal ammonia nitrogen (NH3-N) (P = 0.0004) before the supply of supplements, and after, this NH3-N presented quadratic behavior (P = 0.0023). Nitrogen intake, excretion of urea in urine and nitrogen excretion in feces increased linearly (P <0.0001) according to supplementation levels. The supply of high levels of multiple supplements reduces forage intake and presents itself as an alternative to cattle maintained in a systems with low supply of pasture in the dry season.
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Fundação de Amparo à Pesquisa do Estado de São Paulo (FAPESP)
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Pós-graduação em Agronegócio e Desenvolvimento - Tupã
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The development of an accurate diagnosis and appropriate treatment plan can be a complex task, especially in cases of dentoalveolar trauma. The authors present a case report of crown-root fracture caused by trauma and highlight the importance of a multidisciplinary approach for the treatment. An eighteen year-old boy had a bicycle accident resulting in dental trauma. The upper right first molar showed a complicated crownroot fracture and the lower left second pre-molar showed an uncomplicated crown-root fracture. Endodontic treatment, controlled tooth extrusion, periodontal surgery for recovery of biological width, and porcelain crown and onlay restorations were performed. Esthetic and functional results were achieved. At the two-year follow-up it was observed that the tooth/onlay interface of the upper right first molar was stained and the onlay of the left lower second pre-molar was fractured. Therefore, the interface stained was repaired and a porcelain crown was made for the lower second premolar. The clinical case presented herein leads to the conclusion that a multidisciplinary treatment plan is extremely important for a proper resolution in cases of dentoalveolar trauma.
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Mucocele is a retention phenomenon from minor salivary gland caused by the excretory ducts rupture. This phenomenon may be caused by local trauma and its location is usually more frequent in the lower lip. Clinically, they appear as nodular lesions and may be exophytic and pedunculated. Histologically, this lesion can be classified as mucus extravasation phenomenon and mucus retention cyst. The treatments described in the literature are total lesion excision, marsupialization, cryosurgery, laser or micromarsupialização. To report a case of mucocele by mucus extravasation developed after a local trauma. A 7 years old Male was attended in the Pediatric Dentistry Clinic, Araçatuba School of Dentistry, complaining about the appearance of lesion in the lower lip since 40 days approximately. During clinical oral examination, it was observed that the lesion was pedunculated, nodular, fibrous to palpation, around 2 cm in diameter, similar in color to the surrounding mucosa, smoothly in surface, non-ulcerated and asymptomatic. As treatment, it was chosen the total lesion excision. Histopathology test confirmed the clinical diagnosis of: mucocele. Since mucocele is a frequent lesions in the oral cavity, it is extremely important that the professionals can to recognize this lesion (its pathogenesis and clinical features), to achieve a definitive diagnosis and perform an appropriate treatment.
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Pós-graduação em Odontologia - FOA
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Fundação de Amparo à Pesquisa do Estado de São Paulo (FAPESP)
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Coordenação de Aperfeiçoamento de Pessoal de Nível Superior (CAPES)
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Coordenação de Aperfeiçoamento de Pessoal de Nível Superior (CAPES)
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Coordenação de Aperfeiçoamento de Pessoal de Nível Superior (CAPES)
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Pós-graduação em Engenharia de Produção - FEB
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Fundação de Amparo à Pesquisa do Estado de São Paulo (FAPESP)