996 resultados para Reconstrução alveolar
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Objective: To study bony and soft tissue changes at implants installed in alveolar bony ridges of different widths.Material and methods: In 6 Labrador dogs, the mandibular premolars and first molars were extracted, and a buccal defect was created in the left side at the third and fourth premolars by removing the buccal bone and the inter-radicular and interdental septa. Three months after tooth extraction, full-thickness mucoperiosteal flaps were elevated, and implants were installed, two at the reduced (test) and two at the regular-sized ridges (control). Narrow or wide abutments were affixed to the implants. After 3 months, biopsies were harvested, and ground sections prepared for histological evaluation.Results: A higher vertical buccal bony crest resorption was found at the test (1.5 +/- 0.7 mm and 1.0 +/- 0.7 mm) compared to the control implants (1.0 +/- 0.5 mm and 0.7 +/- 0.4 mm), for both wide and narrow abutment sites. A higher horizontal alveolar resorption was identified at the control compared to the test implants. The difference was significant for narrow abutment sites. The peri-implant mucosa was more coronally positioned at the narrow abutment, in the test sites, while for the control sites, the mucosal adaptation was more coronal at the wide abutment sites. These differences, however, did not reach statistical significance.Conclusions: Implants installed in regular-sized alveolar ridges had a higher horizontal, but a lower vertical buccal bony crest resorption compared to implants installed in reduced alveolar ridges. Narrow abutments in reduced ridges as well as wide abutments in regular-sized ridges yielded less soft tissue recession compared to their counterparts.
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Objective: To compare with pristine sites bone resorption and soft tissue adaptation at implants placed immediately into extraction sockets (IPIES) in conjunction with deproteinized bovine bone mineral (DBBM) particles and a collagen membrane.Material and methods: The mesial root of the third premolar in the left side of the mandible was endodontically treated (Test). Flaps were elevated, the tooth hemi-sectioned, and the distal root removed to allow the immediate installation of an implant into the extraction socket in a lingual position. DBBM particles were placed into the defect and on the outer contour of the buccal bony ridge, concomitantly with the placement of a collagen membrane. A non-submerged healing was allowed. The premolar on the right side of the mandible was left in situ (control). Ground sections from the center of the implant as well as from the center of the distal root of the third premolar of the opposite side of the mandible were obtained. The histological image from the implant site was superimposed to that of the contralateral pristine distal alveolus, and dimensional variation evaluated for the hard tissue and the alveolar ridge.Results: After 3 months of healing, both histological and photographic evaluation revealed a reduction of hard and soft tissue dimensions.Conclusion: The contour augmentation performed with DBBM particles and a collagen membrane at the buccal aspects of implants placed IPIES was not able to maintain the tissue volume.
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Objective: To compare the hard tissue changes at implants installed applying edentulous ridge expansion (E.R.E.) at sites with a buccal bony wall thickness of 1 or 2 mm.Material and methods: In six Labrador dogs, the first and second maxillary incisors were extracted, and the buccal alveolar bony plates and septa were removed. After 3 months of healing, partial-thickness flaps were dissected, and the E.R.E. was applied bilaterally. Hence, an expansion of the buccal bony crest was obtained in both sides of the maxilla with a displacement of either a 1- or a 2-mm-wide buccal bony plate at the test and control sites, respectively. After 3 months of healing, biopsies were obtained for histological analyses.Results: A buccal vertical resorption of the alveolar crest of 2.3 +/- 0.8 and 2.1 +/- 1.1 mm, and a coronal level of osseointegration at the buccal aspect of 2.7 +/- 0.5 and 2.9 +/- 0.9 mm were found at the test (1 mm) and control (2 mm) sites, respectively. The differences did not reach statistical significance. The mean values of the mineralized bone-to-implant contact (MBIC%) ranged from 62% to 73% at the buccal and lingual sites. No statistically significant differences were found. Horizontal volume gains of 1.8 and 1.1 mm were observed at the test and control sites, respectively, and the difference being statistically significant.Conclusions: Implants installed using the E.R.E. technique yielded a high degree of osseointegration. It is suggested that the displacement of buccal bony plates of 1 mm thickness is preferable compared with that of wider dimensions.
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Fundação de Amparo à Pesquisa do Estado de São Paulo (FAPESP)
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Purpose: Autogenous bones are frequently used because of their lack of antigenicity, but good osteoconductive and osteoinductive properties. This study evaluated the biological behavior of perforated and nonperforated cortical block bone grafts.Methods: Ten nonsmoking patients who required treatment due to severe resorption of the alveolar process and subsequent implant installation were included in the study. The inclusion criteria was loss of one or more teeth; the presence of atrophy of the alveolar process with the indication of reconstruction procedures to allow rehabilitation with dental implants; and the absence of systemic disease, local infection, or inflammation. The patients were randomly divided into two groups based on whether they received a perforated (inner surface) or nonperforated graft. After a 6-month healing period, a biopsy was performed and osseointegrated implants were installed in the same procedure.Results: Fibrous connective tissue was evident at the interface in patients who received nonperforated grafts. However, full union between the graft and host bed was visible in those who had received a perforated graft.Conclusions: We found that cortical inner side perforations at donor sites increased the surface area and opened the medullary cavity. Our results indicate an increased rate of graft incorporation in patients who received such perforated grafts.
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Recent studies have suggested that tacrolimus monotherapy is a beneficial therapeutic alternative for the normalization of cyclosporin- induced bone loss in animal models and humans. The mechanism accounting for this action is unclear at present. In the present study, we attempted to determine the effect of tacrolimus monotherapy on alveolar bone using histological, histomorphometrical and transmission electron microscopy (TEM).Groups of rats (n= 10 each) were treated with either tacrolimus (1mg/ kg/ day, s.c.) or drug vehicle for 60 days. Fragments containing maxillary molars were processed for light microscopy to investigate the alveolar bone volume, trabecular separation, number of osteoclasts and osteoblasts, and transmission electron microscopy to investigate their ultrastructural basic phenotype.Treatment with tacrolimus monotherapy during 60 days may induce increases in alveolar bone volume (BV/ TV,%; P < 0.05) and a non- significant decrease in trabecular separation (Tb. Sp, mm; P > 0.05), represented by a decrease in osteoclast number (N. Oc/ BS; P < 0.05) and maintenance of osteoblast number (N. Ob/ BS; P > 0.05). Osteoblasts were often observed as a continuous layer of active cells on the bone surface. Osteoclasts appeared to be detached from the resorbed bone surface, which was often filled by active osteoblasts and collagen- rich matrix. Moreover, osteoclasts in the treated group were frequently observed as inactive cells (without ruffled border, clear zone and detached from the bone surface).Within the limits of the present study, we conclude that tacrolimus leads to an increase in alveolar bone formation, which probably exerts action on osteoclasts. Tacrolimus could, therefore, play a crucial role in the control of both early osteoclast differentiations from precursors, as well as in functional activation.
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The head is the most important and specialized region in the body because it contains a range of specialized organs and, because it has interconnections between specialized organs, there is a great overlap of images. Thus, computed tomography (CT) helps in diagnosing diseases in this region, such as oral conditions, as they provide millimetric slices or cuts and demonstrate the relationship between the various anatomical structures involved, in volume and depth. Within dentistry, CT helps in the identification of pathological processes such as infection, tumors, visualization of embedded teeth and bone bed. This study aimed to assess the density of the mandibular alveolar bone at a determined point to later predict how periodontal disease is involved in bone resorption. For this, we performed a blind retrospective study (n = 124) of the CT scan files of dog skulls at FMVZ-UNESP in order to determine the density of the jaw bone using a Hounsfield scale, in the region of the dental apex of the cranial root of the first molar tooth in dogs. The results obtained were evaluated using mean and standard deviation (27.28 +/- 9.53 HU) in order to predict the normal density of the mandibular alveolar bone in the studied region. Thus, this data analysis allows a more concise evaluation of bone resorption of mandibular alveolar bone and, therefore, provides an adequate surgical planning in cases of osteosynthesis given mainly by the presence of installed periodontal disease.
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Foraminifera scientific studies became, historically, of your apply in relative dating of rocks, stratigraphic correlations and paleoenvironmental reconstruction. In the last decades, they have been applied on the studies of modern ecosystems, with or without antrhopic influence. Both aspects are interest of petroleum industry. Among other approaches, foraminífera are used as good indicators of the fluctuation of relative sea level. This study aimed to survey and taxonomic study of the community structure of foraminifera in surface samples of a core, 60 cm, collected in mangrove located in Itapanhaú river in Bertioga (SP).It also aims to contribute to the discussion about typical patterns of community structure of mangrove margins and provide elements for discussion on the relative sea level behavior in this area in almost modern times. It was been collected 6 samples along the core of 60 cm of length, each one 10 cm depth. They were made in laboratory and in each sample sought to find at least 100 foraminifera per ml. The species identification was made with reference specified material and collection available on IGCE-UNESPetro, Rio Claro. The community structure was studied in terms of richness, diversity and species composition and was made the results comparison from similar areas to interpret the depositional environment. Were found 21 species within them 13 calcareous and 8 binders, being the most abundant and frequent species Ammonia tepida, Ammonia parkinsoniana e Elphidium spp. Essentially there wasn’t change in the community structure within the period covered by the core which reflects an environment of outer margin of mangrove without noticeable change in relative sea level at the respective time of deposition of muddy sediments. The community structure here recognized its similar to estuarine environment well maintained which indicates a low human impact in the area over the time interval. The agreement of the results...
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This paper relates the concepts of brand management in the educational context of Brazilian higher education to demonstrate how can we do a reconstruction and the importance of establishing a solid relationship with the public of an organization to become loyal to your brand . The reflections in this project seek to demonstrate how PR professionals can plan the reconstruction process of a brand. To achieve the ultimate goal of the project seeks to introduce the concepts of branding, PR and stakeholders in order to highlight the new challenges that organizations face today. To illustrate the concepts aborted, the procedures suggested for the reconstruction of a brand are used in the case study of the Centro Universitário da FEI. For this, it is a diagnosis of the organization and subsequently suggested a process for strategic rebrading, as well as the association of a brand management with public relations
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The SPECT (Single Photon Emission Computed Tomography) systems are part of a medical image acquisition technology which has been outstanding, because the resultant images are functional images complementary to those that give anatomic information, such as X-Ray CT, presenting a high diagnostic value. These equipments acquire, in a non-invasive way, images from the interior of the human body through tomographic mapping of radioactive material administered to the patient. The SPECT systems are based on the Gamma Camera detection system, and one of them being set on a rotational gantry is enough to obtain the necessary data for a tomographic image. The images obtained from the SPECT system consist in a group of flat images that describe the radioactive distribution on the patient. The trans-axial cuts are obtained from the tomographic reconstruction techniques. There are analytic and iterative methods to obtain the tomographic reconstruction. The analytic methods are based on the Fourier Cut Theorem (FCT), while the iterative methods search for numeric solutions to solve the equations from the projections. Within the analytic methods, the filtered backprojection (FBP) method maybe is the simplest of all the tomographic reconstruction techniques. This paper's goal is to present the operation of the SPECT system, the Gamma Camera detection system, some tomographic reconstruction techniques and the requisites for the implementation of this system in a Nuclear Medicine service
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Os solos, assim como as rochas, materiais inconsolidados e regolíticos, apresentam propriedades e características específicas, relativas a seus ambientes de formação. A partir de então o solo torna-se uma fonte de informação de toda a história evolutiva de uma região em seus mais variados parâmetros. Uma das formas de entender essa evolução dinâmica da paisagem é gerando um modelo de paleosuperfícies a partir da interpolação de confluências de drenagem. O trabalho objetivou reconstruir a paleogeografia da área inserida na bacia do Rio Jequitaí, a partir do Método de Isobases Confluentes, procurando analisar e identificar a evolução dos solos. A área está localizada na região centro-norte de Minas Gerais, sendo o Rio Jequitaí um afluente do Alto Rio São Francisco. O trabalho consistiu, na primeira etapa, em levantamento biblio/cartográfico da área em estudo. Durante esse levantamento, além de detectar as características físicas, bióticas e sócio-econômicas de modo a completar, reorganizar e adequar as informações da área, foi levantado um banco de dados base para a geração das Isobases, o qual foi constituído por modelos digitais de elevação (DEM) do programa ASTER e de dados vetoriais da principal rede de drenagem da bacia do Jequitaí. Na segunda etapa, as paleosuperfícies foram geradas usando aplicativos do programa ArcGis da ESRI. O produto final são as proto-superfícies para cada ordem de confluência. Assim no término do trabalho tem-se uma reconstrução da paleopaisagem correspondente, bem como das pro-estruturas equivalentes às condições de equilíbrio dinâmico daquele momento. A partir dos resultados obtidos foi possível concluir que a metodologia das Isobases Confluentes permite correlacionar os dados palinológicos, geocronológicos e geomorfológicos obtidos durante o estudo, para a reconstrução dos ambientes... (Resumo completo, clicar acesso eletrônico abaixo)
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The representation of real objects in virtual environments has applications in many areas, such as cartography, mixed reality and reverse engineering. The generation of these objects can be performed in two ways: manually, with CAD (Computer Aided Design) tools, or automatically, by means of surface reconstruction techniques. The simpler the 3D model, the easier it is to process and store it. Multiresolution reconstruction methods can generate polygonal meshes in different levels of detail and, to improve the response time of a computer program, distant objects can be represented with few details, while more detailed models are used in closer objects. This work presents a new approach to multiresolution surface reconstruction, particularly interesting to noisy and low definition data, for example, point clouds captured with Kinect sensor
Imunomarcação da OPG e RANKL no reparo ósseo após a cirurgia de elevação do seio maxilar com Bio-Oss
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Coordenação de Aperfeiçoamento de Pessoal de Nível Superior (CAPES)
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Bajo la perspectiva discursiva, específicamente francesa y según estudios realizados por Hall (2002), Souza Santos (2005) entre otros, que están analizando el concepto de identidad, como los estudios de Celada (2002, 2009, 2010), Serrani (1997, 2003, 2005) y Zoppi-Fontana (2009), con relación al proceso de enseñanza y aprendizaje de Lengua Extranjera, verificamos que la construcción de la identidad se da en proceso de constante reconfiguración, visto que aprender otra lengua implica entrar en contacto con otros modos de ver y de nombrar el mundo, y de este modo es necesario “desplazarse” de sí mismo y reconfigurarse con relación a otro(s) hablante(s) de esta nueva lengua a ser aprendida. En nuestro caso se trata de aprender y enseñar lenguas próximas: portugués y español, con rasgos lingüístico-discursivos de aproximaciones y de distanciamientos. Para tanto, este estudio preliminar tiene como objetivos: verificar como acontece actualmente la constitución de la(s) identidad(es) en el proceso de enseñanza y aprendizaje de Español Lengua Extranjera (ELE) en Brasil y de Portugués Lengua Extranjera (PLE) en Argentina, en especial en la formación del profesor de estas lenguas; observar contextos de enseñanza y aprendizaje, los que posibilitan la inserción del profesor de Portugués (PLE) en Argentina y del profesor de Español (ELE) en las regiones enfocadas, considerando las Leyes brasileña y argentina que determinan la oferta de la enseñanza de las referidas lenguas: Ley 26.468, de enero de 2009, que determina la oferta obligatoria del Portugués en Argentina y la Ley no. 11.161, de agosto de 2005, sobre la enseñanza de la Lengua Española en Brasil. La metodología, de tipo interpretativista, presupone como instrumentos la realización de análisis de las Leyes que promueven la enseñanza de ELE en Brasil y de PLE en Argentina, así como de entrevistas, preguntas e análisis de los datos levantados.
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The aim of this study was to evaluate the local anesthetic solution, composed by Prilocaine 3% and felipressin 0,03 UI/ml, influence on the alveolar repair process in rats after dental extraction. This research was previously approved by the Ethic Committee in Research of the Masters Degree Program in Oral and Maxillofacial Surgery of the Marília University (UNIMAR), Marília, São Paulo, Brazil. It was an experimental, randomly controlled study, with bifactorial analysis (group control versus experimental group, in function of the postoperative times (2 X 4)). For the accomplishment of this study 32 rats were used (Rattus norvegicus, albinus, Wistar), males, adults, weighing between 280 and 320 grams. The animals were selected and divided into Group I (control) and Group II (Citocain 3%® - Prilocaine 3% with felipressin 0,03UI/ml) with 16 rats each; being four animals of the Group I and four of the Group II, destined to the euthanasia in the postoperative periods of 3rd, 7th, 15th and 24th days. The histological analysis with base in the developed methodology, allowed us to conclude that the anesthetic solution of Citocain 3%® applied with gauze compress on the surgical dental wound, produced tissue events that committed the basic biological principles, that are responsible for the regeneration of the gingival epithelium and the alveolar process repair in rats. The Group I presented better results in the alveolar repair when compared to the Group II.