AVALIAÇÃO IN VITRO DA RESISTÊNCIA DA COLAGEM DE BRAQUETES LINGUAIS COM DIFERENTES ESPESSURAS DE RESINA

Este estudo avaliou a colagem de braquetes linguais nas faces linguais de pré-molares superiores com diferentes espessuras de PADs, confeccionados com a resina fotopolimerizável Transbond XT nas espessuras de 1,0 mm e 2,0 mm e comparando-os com a menor espessura possível. Foi utilizado o adesivo Sondhi Rapid Set para a colagem indireta. Avaliou-se a força de resistência sob cisalhamento cinco minutos após a colagem em uma máquina de ensaios mecânicos Kratos, com velocidade de cruzeta de 1,0 mm/min. A força média da resistência da colagem sob cisalhamento para o Grupo I foi de 9,69 MPa (DP 4,02 MPa), para o Grupo II foi de 6,15 MPa (DP 2,69 MPa) e para o Grupo III foi de 5,73 MPa (DP 1,62 MPa). O Grupo I, com menor espessura do PAD, apresentou força de resistência da colagem sob cisalhamento significativamente maior do que os Grupos II e III (PADs com 1,0 e 2,0 mm respectivamente). Estes por sua vez, não apresentaram diferença estatisticamente significante ao nível de p<0,05. O índice 1 de Adesivo Remanescente predominou nos Grupos I e II, caracterizando um maior número de fraturas do tipo adesiva. No Grupo 3 predominou o Índice 2, com fraturas do tipo coesiva.(AU)

Análise imuno-histoquímica das proteínas RANK, RANKL e OPG em dentes de ratos reimplantados

The RANK / RANKL / OPG sy stem plays an important role in bone formation and resorption . This finding has been regarded as one of the m ost important advances in the understanding of bone biology with respect to osteoclastogenesis. The aim of this study was to investigate the expression of RANKL / RANK / OPG markers in reimplanted t eeth of rats, and to observe the relationship between the expression of these markers and to oth and bone resorption. Thirty male Wistar rats (Rattus norvegicus albinos) had their maxillary right incisors extrac ted , and were divided into 2 groups according to the period that the extracted teeth were kept in dry air before reimplantation : G1 (n = 15) - 5 minutes , and G2 (n = 15) - 60 minutes . After reimplantation, teeth were analyzed at intervals of 1, 3 and 7 da ys. After these experimental periods, the animals were euthanized. Longitudinal sections with 5μm thick were obtained and stained with Hematoxylin and Eosin for histological analysis , while 3μm thick sections were subjected to immunohistochemical analysis of OPG , RANK and RANKL. The results showed that the RANK / RANKL / OPG system actively participates in both the repair process, as well as tooth and bone resorption . Extr a - alveolar time of 60 minutes before replantation caused minor expressions of RANKL a nd OPG, not influencing the expression of RANK; RANKL immunostaining showed higher in both groups when compared to other biomarkers, participating in all phases of bone and tooth resorption; RANKL was associated to both osteoclastogenesis and c ell ular proliferation , and was expressed in both groups.

Influência da estratigrafia mecânica no desenvolvimento de falhas distensionais em bacias do tipo Rifte: contribuição da modelagem física

In the last decades, analogue modelling has been used in geology to improve the knowledge of how geological structures are nucleated, how they grow and what are the main important points in such processes. The use of this tool in the oil industry, to help seismic interpretations and mainly to search for structural traps contributed to disseminate the use of this tool in the literature. Nowadays, physical modelling has a large field of applications, since landslide to granite emplacement along shear zones. In this work, we deal with physical modelling to study the influence of mechanical stratifications in the nucleation and development of faults and fractures in a context of orthogonal and conjugated oblique basins. To simulate a mechanical stratigraphy we used different materials, with distinct physical proprieties, such as gypsum powder, glass beads, dry clay and quartz sand. Some experiments were run along with a PIV (Particle Image Velocimetry), an instrument that shows the movement of the particles to each deformation moment. Two series of experiments were studied: i) Series MO: We tested the development of normal faults in a context of an orthogonal (to the extension direction) basin. Experiments were run taking into account the change of materials and strata thickness. Some experiments were done with sintectonic sedimentation. We registered differences in the nucleation and growth of faults in layers with different rheological behavior. The gypsum powder layer behaves in a more competent mode, which generates a great number of high angle fractures. These fractures evolve to faults that exhibit a higher dip than when they cross less competent layers, like the one of quartz sand. This competent layer exhibits faulted blocks arranged in a typical domino-style. Cataclastic breccias developed along the faults affecting the competent layers and showed different evolutional history, depending on the deforming stratigraphic sequence; ii) Series MOS2: Normal faults were analyzed in conjugated sub-basins (oblique to the extension direction) developed in a sequence with and without rheological contrast. In experiments with rheological contrast, two important grabens developed along the faulted margins differing from the subbasins with mechanical stratigraphy. Both experiments developed oblique fault systems and, in the area of sub-basins intersection, faults traces became very curved.

Recuperação avançada de óleos pesados em poços fraturados utilizando aquecimento eletromagnético indutivo

The success achieved by thermal methods of recovery, in heavy oils, prompted the emergence of studies on the use of electromagnetic waves as heat generating sources in oil reservoirs. Thus, this generation is achieved by three types of different processes according to the frequency range used. They are: the electromagnetic induction heating, the resistive and the dielectric, also known as radiation. This study was based on computer simulations in oil reservoirs with characteristics similar to those found in the sedimentary basins of the Brazilian Northeast. All cases studied were simulated using the software STARS, CMG (Computer Group, version 2012.10 Modeling). Some simulations took into account the inclusion of electrically sensitive particles in certain sectors of the reservoir model studied by fracturing. The purpose of this work is the use of the electromagnetic induction heating as a recovery method of heavy oil, to check the influence of these aforementioned particles on the reservoir model used. Comparative analyses were made involving electromagnetic induction heating, the operation of hydraulic fracturing and the injection of water to the different situations of the reservoir model studied. It was found that fracturing the injection well in order that the electromagnetic heating occurs in the same well where there is water injection, there was a considerable increase in the recovery factor and in the cumulative oil production in relation to the models in which hydraulic fracturing occurred in the production well and water injection in the injection well. This is due to the generation of steam in situ in the reservoir.

Expressão geofísica-estrutural do lineamento transbrasiliano na porção central da Bacia do Parnaíba (Maranhão-Piauí)

The objective of this study was to characterize the structural-geophysical expression of the Transbrasiliano Lineament (TBL) in the east-central portion of the Parnaíba Basin. The TBL corresponds to a major Neoproterozoic NE-trending shear zone related to the Brasiliano orogenic cycle, with dextral strike-slip kinematics, underlying (but also laterally exposed in the NE and SW basin edges) the sedimentary section of the Parnaíba Basin. In this study, the interpretation of gravity and magnetic anomaly maps is consistent with the TBL kinematics, the signature of the geophysical anomalies corresponding to the high (plastic behaviour) and subsequent declining temperature (ductile to brittle behaviour) stages during Brasiliano and late Brasiliano times. The pattern of residual gravity anomalies is compatible with an S-C dextral pair shaping the geological bodies of an heterogeneous basement, such as slices of gneisses and granulites (positive anomalies), granitic and low-medium grade metasedimentary rocks (negative anomalies). Such anomalies curvilinear trends, ranging from NNE (interpreted as S surfaces) to NE (C surfaces), correspond to flattening surfaces (S), while the NE rectilinear trend must represent a C band. The narrower magnetic anomalies also display NNE to NE (S surfaces) trends and should correspond to similar (although narrower and more discontinuous) sources in the equivalent anomaly patterns. Pre-Silurian pull-apart style grabens may contribute to the NE negative gravimetric anomalies, although this interpretation demands control by seismic data analysis. On the other hand, the curvilinear anomalies associated to contractional trends are incompatible with their interpretation as pre-Silurian graben, in both maps. In the (reduced to the pole) magnetic anomalies map, most of these are again associated to low-temperature shear zones (C planes) and faults, juxtaposing distinct blocks in terms of magnetic properties, or eventually filled with basic bodies. It is also possible that some isolated magnetic anomalies correspond to igneous bodies of late-Brasiliano or Mesozoic age. The basement late discontinuities pattern can be interpreted in analogy to the Riedel fractures model, with steep dipping surfaces and a sub-horizontal movement section. This study also explored 2D gravity modeling controlled by the interpretation of a dip seismic line as regards to the Transbrasiliano Lineament. The rock section equivalent to the Jaibaras Group occupying a graben structure (as identified in the seismic line) corresponds to a discrete negative anomaly superimposed to a gravimetric high, once again indicating a stronger influence of older crystalline basement rocks as gravimetric sources, mainly reflecting the heterogeneities and anisotropies generated at high temperature conditions and their subsequent cooling along the TBL, during the Brasiliano cycle.

Expressão geofísica-estrutural do lineamento transbrasiliano na porção central da Bacia do Parnaíba (Maranhão-Piauí)

The objective of this study was to characterize the structural-geophysical expression of the Transbrasiliano Lineament (TBL) in the east-central portion of the Parnaíba Basin. The TBL corresponds to a major Neoproterozoic NE-trending shear zone related to the Brasiliano orogenic cycle, with dextral strike-slip kinematics, underlying (but also laterally exposed in the NE and SW basin edges) the sedimentary section of the Parnaíba Basin. In this study, the interpretation of gravity and magnetic anomaly maps is consistent with the TBL kinematics, the signature of the geophysical anomalies corresponding to the high (plastic behaviour) and subsequent declining temperature (ductile to brittle behaviour) stages during Brasiliano and late Brasiliano times. The pattern of residual gravity anomalies is compatible with an S-C dextral pair shaping the geological bodies of an heterogeneous basement, such as slices of gneisses and granulites (positive anomalies), granitic and low-medium grade metasedimentary rocks (negative anomalies). Such anomalies curvilinear trends, ranging from NNE (interpreted as S surfaces) to NE (C surfaces), correspond to flattening surfaces (S), while the NE rectilinear trend must represent a C band. The narrower magnetic anomalies also display NNE to NE (S surfaces) trends and should correspond to similar (although narrower and more discontinuous) sources in the equivalent anomaly patterns. Pre-Silurian pull-apart style grabens may contribute to the NE negative gravimetric anomalies, although this interpretation demands control by seismic data analysis. On the other hand, the curvilinear anomalies associated to contractional trends are incompatible with their interpretation as pre-Silurian graben, in both maps. In the (reduced to the pole) magnetic anomalies map, most of these are again associated to low-temperature shear zones (C planes) and faults, juxtaposing distinct blocks in terms of magnetic properties, or eventually filled with basic bodies. It is also possible that some isolated magnetic anomalies correspond to igneous bodies of late-Brasiliano or Mesozoic age. The basement late discontinuities pattern can be interpreted in analogy to the Riedel fractures model, with steep dipping surfaces and a sub-horizontal movement section. This study also explored 2D gravity modeling controlled by the interpretation of a dip seismic line as regards to the Transbrasiliano Lineament. The rock section equivalent to the Jaibaras Group occupying a graben structure (as identified in the seismic line) corresponds to a discrete negative anomaly superimposed to a gravimetric high, once again indicating a stronger influence of older crystalline basement rocks as gravimetric sources, mainly reflecting the heterogeneities and anisotropies generated at high temperature conditions and their subsequent cooling along the TBL, during the Brasiliano cycle.

Petrologia e geoquímica do magmatismo ediacarano Serra do Caramuru, Rio Grande do Norte, NE do Brasil

The Serra do Caramuru and Tapuio stocks, located in the extreme NE of Rio Piranhas-Seridó Domain (RN), are representative of the Ediacaran-Cambrian magmatism, an important magmatic feature of the Brasilian / Panafrican orogeny of the Borborema Province. These bodies are lithologically similar, intrusive in paleoproterozoic gneiss embasement, being separated by a thin belt of mylonitic orthogneiss. The field relations show a magmatic stratigraphy initiated by dioritic facies that coexists with the porphyritic granitic and equigranular granitic I facies, and less frequently with equigranular granitic II facies. These rocks are crosscut by late granitic dykes and sheets with NE-SW / NNE-SSW orientation. The dioritic facies (diorite, quartz diorite, quartz monzodiorites, tonalite and granodiorite) is leucocratic to melanocratic, rich in biotite and hornblende. The granitic facies are hololeucocratic to leucocratic, and have biotite ± hornblende. Petrographic and geochemical (whole rock) data, especially from Serra do Caramuru pluton, suggest fractionation of zircon, apatite, clinopyroxene (in diorites), opaque minerals, titanite, biotite, hornblende, allanite, plagioclase, microcline and garnet (in dykes). The behavior of trace elements such as Zr, La and Yb indicates that the dioritic magma does not constitute the parental magma for the granitic facies. On the other hand, the granitic facies seems to be cogenetic to each other, displaying differentiation trends and very similar rare earth elements (REE) spectra [12.3≤(La/Yb)N≤190.8; Eu/Eu*=0.30-0.68]. Field relationships and REE patterns [6.96≤(La/Yb)N≤277.8; Eu/Eu*=0.18-0.58] demonstrate that the granitic dykes and sheets are not cogenetically related to the Serra do Caramuru magmatism. The dioritic facies is metaluminous (A/CNK = 0.88-0.74) and shoshonitic, whereas the granitic ones are metaluminous to peraluminous (A/CNK = 1.08-0.93) and high potassium calc-alkaline. Dykes and sheets are strictly peraluminous (A/CNK = 1.01-1.04). Binary diagrams relating compatible and incompatible trace elements and microtextures indicate the fractional crystallization as the dominant mechanism of magmatic evolution of the various facies. The Serra do Caramuru and Tapuio stocks have well preserved magmatic fabric, do not show metamorphic minerals and are structurally isotropic, showing crosscutting contact with the ductile fabric of the basement. These observations lead to interpretate a stage of relative tectonic stability, consistent with the orogenic relaxation period of the Brasiliano / Pan-African orogeny. Chemical plots involving oxides and trace elements indicate late to post-collisional emplacement. In this context, the assumed better mechanism to describe the stocks emplacement within an extensional T Riedel joint, with ENE-WSW extensional vector. The U-Pb zircon age of 553 ± 10 Ma allows correlating the Serra do Caramuru magmatism to the group of post-collisional bodies, equigranular high potassium calc-alkaline granites of the NE of Rio Piranhas-Seridó Domain.

Petrologia e geoquímica do magmatismo ediacarano Serra do Caramuru, Rio Grande do Norte, NE do Brasil

The Serra do Caramuru and Tapuio stocks, located in the extreme NE of Rio Piranhas-Seridó Domain (RN), are representative of the Ediacaran-Cambrian magmatism, an important magmatic feature of the Brasilian / Panafrican orogeny of the Borborema Province. These bodies are lithologically similar, intrusive in paleoproterozoic gneiss embasement, being separated by a thin belt of mylonitic orthogneiss. The field relations show a magmatic stratigraphy initiated by dioritic facies that coexists with the porphyritic granitic and equigranular granitic I facies, and less frequently with equigranular granitic II facies. These rocks are crosscut by late granitic dykes and sheets with NE-SW / NNE-SSW orientation. The dioritic facies (diorite, quartz diorite, quartz monzodiorites, tonalite and granodiorite) is leucocratic to melanocratic, rich in biotite and hornblende. The granitic facies are hololeucocratic to leucocratic, and have biotite ± hornblende. Petrographic and geochemical (whole rock) data, especially from Serra do Caramuru pluton, suggest fractionation of zircon, apatite, clinopyroxene (in diorites), opaque minerals, titanite, biotite, hornblende, allanite, plagioclase, microcline and garnet (in dykes). The behavior of trace elements such as Zr, La and Yb indicates that the dioritic magma does not constitute the parental magma for the granitic facies. On the other hand, the granitic facies seems to be cogenetic to each other, displaying differentiation trends and very similar rare earth elements (REE) spectra [12.3≤(La/Yb)N≤190.8; Eu/Eu*=0.30-0.68]. Field relationships and REE patterns [6.96≤(La/Yb)N≤277.8; Eu/Eu*=0.18-0.58] demonstrate that the granitic dykes and sheets are not cogenetically related to the Serra do Caramuru magmatism. The dioritic facies is metaluminous (A/CNK = 0.88-0.74) and shoshonitic, whereas the granitic ones are metaluminous to peraluminous (A/CNK = 1.08-0.93) and high potassium calc-alkaline. Dykes and sheets are strictly peraluminous (A/CNK = 1.01-1.04). Binary diagrams relating compatible and incompatible trace elements and microtextures indicate the fractional crystallization as the dominant mechanism of magmatic evolution of the various facies. The Serra do Caramuru and Tapuio stocks have well preserved magmatic fabric, do not show metamorphic minerals and are structurally isotropic, showing crosscutting contact with the ductile fabric of the basement. These observations lead to interpretate a stage of relative tectonic stability, consistent with the orogenic relaxation period of the Brasiliano / Pan-African orogeny. Chemical plots involving oxides and trace elements indicate late to post-collisional emplacement. In this context, the assumed better mechanism to describe the stocks emplacement within an extensional T Riedel joint, with ENE-WSW extensional vector. The U-Pb zircon age of 553 ± 10 Ma allows correlating the Serra do Caramuru magmatism to the group of post-collisional bodies, equigranular high potassium calc-alkaline granites of the NE of Rio Piranhas-Seridó Domain.

Pirometamorfismo provocado por intrusões básicas cenozoicas em rochas da Bacia Potiguar, RN: integração de dados geológicos e petrofísicos

The Potiguar Basin is located in the Brazilian Equatorial Margin and presents sedimentary rocks affected by Cenozoic basic igneous intrusions, known as Macau Magmatism. The most prominent effect related to these intrusions is the formation of buchites, pyrometamorphic rocks that occur at very high temperatures and very low pressures in the sanidinite metamorphic facies. Through literature review, field observations, petrographic and petrophysical data, accessing the database of previous studies and results from this research, it was possible to characterize and estimate the effects produced in the thermal aureole of some hypabyssal bodies in the basin. The most relevant features associated with the intrusions are: compactation, hydraulic fracturing, partial melting and recrystallization of country rocks. According to the observed mineral occurrences, temperature of 800 to 1200 °C and pressure below 0,5 kbar were estimated at the contacts of the igneous bodies. The thermal modeling of the São João plug indicates thermal effects extending up to 150 m away from the contact and cooling time of approximately 265,000 years. After the peak of temperature, followed a cooling phase registered by remobilization and precipitation of minerals at low-temperature in faults, fractures and geodes, interpreted as derived from reactions with sedimentary rocks and metasomatic / hydrothermal fluids with abundant carbonatization and silicification.

Pirometamorfismo provocado por intrusões básicas cenozoicas em rochas da Bacia Potiguar, RN: integração de dados geológicos e petrofísicos

The Potiguar Basin is located in the Brazilian Equatorial Margin and presents sedimentary rocks affected by Cenozoic basic igneous intrusions, known as Macau Magmatism. The most prominent effect related to these intrusions is the formation of buchites, pyrometamorphic rocks that occur at very high temperatures and very low pressures in the sanidinite metamorphic facies. Through literature review, field observations, petrographic and petrophysical data, accessing the database of previous studies and results from this research, it was possible to characterize and estimate the effects produced in the thermal aureole of some hypabyssal bodies in the basin. The most relevant features associated with the intrusions are: compactation, hydraulic fracturing, partial melting and recrystallization of country rocks. According to the observed mineral occurrences, temperature of 800 to 1200 °C and pressure below 0,5 kbar were estimated at the contacts of the igneous bodies. The thermal modeling of the São João plug indicates thermal effects extending up to 150 m away from the contact and cooling time of approximately 265,000 years. After the peak of temperature, followed a cooling phase registered by remobilization and precipitation of minerals at low-temperature in faults, fractures and geodes, interpreted as derived from reactions with sedimentary rocks and metasomatic / hydrothermal fluids with abundant carbonatization and silicification.

Efeito da oxigenação hiperbárica no reparo ósseo de ratos diabéticos

The chronic state of hyperglycemia due to diabetes mellitus affects multiples organs impairing life quality. In bone, diabetes alters strength and mineral density and also suppresses the osteoblast activity, leading to an unbalanced bone healing process. Hyperbaric oxygen therapy (HBO) is suggested as an adjuvant treatment to accelerate bone repair. This study evaluated the effects of HBO in the number of mast cells and in new bone formation at the initial stage of bone repair in normoglycemic and diabetic rats. It was hypothesized that HBO treatment may improve bone repair in diabetic bone. The rats were equally divided in four groups: Control (C); Control + HBO (CH); Diabetes (D) and Diabetes + HBO (DH). Diabetes was induced by streptozotocin (65mg/kg) and femoral bone defects were created thirty days after diabetes induction in all groups. HBO initiated immediately after surgery procedure and was performed daily, for 7 days, in the CH e DH groups. Seven days after surgery, all animals were euthanized. The femur diaphyses were removed, fixated, decalcified and processed for paraffin embedding. The semi-serial histological sections obtained were stained with Hematoxylin-Eosin (HE), Mallory Trichrome and Toluidine Blue. The qualitative analysis was conducted in the histology slides stained with HE, where it was evaluated the morphological aspects of bone repair in the lesion area, observing the presence of clot, inflammatory cells, granulation tissue, type of bone tissue, morphology of bone cells, and thickness and organization of bone trabeculae. In the slides stained with Mallory Trichrome and Toluidine Blue were evaluated the percentage of new bone formation and number of mast cells, respectively. The qualitative analysis showed that the CH group presented a more advanced stage of bone repair compared to the C group, showing thicker trabeculae and greater bone filling of the lesion area. In D and DH group, the lesion area was partially filled with new bone formation tissue and presented thinner trabeculae and fewer areas associated to osteoclasts compared to control group. The histomorphometric analysis showed a significant improvement in new bone formation (p<0.001) comparing CH (38.08 ± 4.05) and C (32.05 ± 5.51); C and D (24.62 ± 2.28 and CH and DH (27.14 ± 4.21) groups. In the normoglycemic rats there was a significant increasing in the number of mast cells (p<0.05) comparing C (8.06 ± 5.15) and CH (21.06 ± 4.91) groups. In conclusion, this study showed that diabetes impaired bone repair and HBO was only able to increase new bone formation and the number of mast cells in the normoglycemic animals.

Prevenção de úlceras por pressão segundo a perspectiva do enfermeiro intensivista

Analisar a atuação dos enfermeiros de unidade de terapia intensiva na prevenção da úlcera por pressão. Método: trata-se de estudo descritivo desenvolvido com 13 enfermeiros da unidade de terapia intensiva do Hospital Universitário Onofre Lopes (HUOL), em Natal-RN. Foi aplicado um questionário, submetido à análise de conteúdo temática. O estudo foi aprovado pelo Comitê de Ética da Universidade Federal do Rio Grande do Norte (UFRN), sob o CAAE n. 0240.0.051.000-10. Resultados: os enfermeiros reportaram a realização da mudança de decúbito, a avaliação de risco, a discussão com os colegas sobre as medidas adotadas, a higiene e hidratação da pele do paciente através de uso de ácidos graxos essenciais e hidratante corporal, o cuidado com a disposição dos lençóis, de forma a evitar dobras, a utilização de colchão de ar e a aplicação de placas de hidrocoloide nas proeminências ósseas. Conclusão: a prática da prevenção das úlceras por pressão aplicada pelos enfermeiros da unidade de terapia intensiva ocorre sem padronização dos cuidados

Síndroma compartimental aguda ou das locas: Conceitos essenciais

A síndroma compartimental aguda define-se como sendo a falência da circulação intersticial por conflito de espaço. Representa, habitualmente, uma severa complicação das lesões traumáticas, podendo envolver potencialmente qualquer compartimento do organismo. Mais frequente em fraturas de alta energia cinética e em lesões por esmagamento dos membros, é uma verdadeira emergência ortopédica, por forma a conseguir-se a redução da pressão intracompartimental e restabelecer a perfusão dos tecidos em sofrimento. Assim, a fasciotomia cirúrgica descompressiva, em tempo oportuno, pode evitar a isquémia irreversível dos tecidos mioneurais contidos nos diferentes compartimentos osteomiofasciais, isto é, as retrações fibrosas musculares, a necrose muscular, as lesões nervosas permanentes, a perda permanente da função e, como última consequência, a amputação dos membros. A definição da melhor altura para a fasciotomia nem sempre é uma tarefa fácil, envolvendo critérios clínicos e, também, a determinação do valor da pressão intracompartimental, mormente nos doentes em estado de inconsciência. Nos casos em que houver dúvidas e nos doentes em risco de desenvolver esta complicação, é defensável efetuar uma fasciotomia precoce, mesmo sabendo que pode ser desnecessária, uma vez que as complicações relacionadas com as fasciotomias tardias são devastadoras. Com efeito, o risco de infeção e de septicémia são elevados, a taxa de amputações é considerável e, por vezes, perde-se a vida. As sequelas da síndrome compartimental aguda são uma das causas frequentes de litigância contra os cirurgiões ortopedistas.

Níveis de cálcio e relação cálcio: fósforo em rações para poedeiras leves de 24 a 40 semanas de idade

v. 17, n. 2, p. 206-216, abr./jun. 2016.

Revascularização pulpar

O tratamento de dentes permanentes imaturos com comprometimento pulpar pode ser muitas vezes um desafio. Em dentes com a polpa vital, a manutenção da vitalidade pulpar é essencial, o que permitirá a continuação do desenvolvimento natural da porção radicular do elemento dentário. Já em dentes onde a polpa se encontre necrosada e/ ou infetada, há, inevitavelmente, a interrupção do desenvolvimento radicular, deixando o elemento dentário com paredes dentinárias finas e com o ápice aberto, o que torna o tratamento ainda mais desafiante, uma vez que o tratamento endodôntico convencional, baseado na preparação químico-mecânica e no preenchimento do sistema de canais radiculares com um material bioinerte, torna-se difícil ou até impossível. Atualmente, os tratamentos mais realizados para estes dentes passam pela apexificação com Hidróxido de cálcio (Ca(OH)2), ou a inserção de uma barreira apical de Agregado de Mineral Trióxido (MTA) seguidas pela obturação convencional do canal radicular. Ambas as técnicas têm um bom potencial na resolução das infeções e no encerramento apical; no entanto, não permitem a continuação do desenvolvimento radicular, o que mantém as paredes dentinárias finas e frágeis e o elemento dentário mais susceptível a fraturas. Estudos recentes têm vindo a demonstrar resultados positivos com uma nova abordagem de base biológica denominada revascularização pulpar. A técnica baseia-se na desinfeção do canal radicular e uma subsequente indução da formação de um coágulo sanguíneo no interior no canal, que servirá de base para a proliferação de um novo tecido, e uma possível regeneração do tecido pulpar. Desta forma pode-se alcançar além da resolução das infeções, a continuação do desenvolvimento radicular, o que resulta em raízes mais longas, com paredes mais espessas e no fecho apical normal. Embora a revascularização pulpar tenha vindo a demonstrar bons resultados clínicos e radiográficos, estudos histológicos demonstraram que o tecido formado no espaço pulpar pode não ser exatamente polpa. Mais estudos parecem ser necessários para que a técnica possa vir a ser executada com uma maior previsibilidade. A engenharia tecidular tem vindo a estudar diversas possibilidades para aprimorar a técnica, o que pode torná-la mais previsível no futuro.