Correção da deficiência transversa da maxila por meio da expansão rápida da maxila cirurgicamente assistida

Fundamentation: The correction of maxillary transverse deficiencies involves orthodontic and surgical procedures that can be performed before or after skeletal maturity. The surgically assisted rapid maxillary expansion (SAR ME) is performed by osteotomies through the lateral walls of the maxilla, zygomatic and canines buttresses, palatal and pterygomaxillary sutures, causing the maxillary disjunction. Followed by activation of the expander to the desired over-expansion in order to correct intercuspal later. Objective: The purpose of this study was to discuss the issues involved in the diagnosis of maxillary atresia, SAR ME indications, as well as surgical technique, through a case study. Methods: The male patient, 19 years old, had severe transverse maxillary deficiency with facial pattern III , Class III , with great lip incompetence. The patient underwent general anesthesia in a hospital environment, the osteotomies was done according to the technique described by Epker and Wolford (1980). Postoperatively, the patient underwent activations daily for 15 days and after 6 months, the orthodontist installed fixed orthodontic appliance to prepare the patient to orthognathic surgery later. Conclusion: The diagnosis by clinical evaluation and models study is essential for the indication of SAR ME and this procedure provides good predictability in the correction of transverse deficiency, with minimal morbidity.

Acessos cirúrgicos a articulação temporomandibular: revisão de literatura

The choice of surgical approach to diseases that affect the pre-auricular region has been subject of much discussion in the literature. Access pre-hearing, have been used with high compliance rate of success, and during the history of surgery, several modifications were made in this approach with the goal of reducing the irreversible consequences especially regarding common in condylar fractures as paralysis and facial scars. The views range from the indication of surgical treatment for all fractures, until the conviction that no fracture of the bone segment should be surgically treated. Therefore, this study is of relevance, since offers surgeons warn about the care on the anatomical structures involved in these surgical approaches and describe, seeking a comparison between them, the advantages of them by means of a literature review covering from the extensive bouts of Bellinger (1940) and Al-Kayat (1979) that provide a broad view of the surgical field to access modified and increasingly smaller as the endaural (2001) which not only allows a satisfactory field of aesthetics as maintenance the patient without any signs of scarring.

Procedimentos básicos em periodontia: método lógico para estabilizar a doença periodontal avançada

To treat periodontal disease is essential to establish a control in all etiological factors that cause destructive activity in periodontal tissues. Basic periodontal therapy may be applied to eliminate or/and to control all etiologic factors involved in disease development. In this paper, some aspects to stabilize advanced periodontal disease using basic periodontal therapy are analyzed and discussed.

Aspectos clínicos influentes no planejamento das próteses sobre implantes tipo overdenture e protocolo

The aim of his study was to review the current scientific literature in order to discuss the surgical, prosthetics and psychological/psychosocial aspects during the treatment planning of edentulous patients, when a total fixed prosthesis or overdenture is indicated. To identify studies to take part in this review, a search was conducted for the following databases: PubMed, Dentistry and Oral Sciences Source, Journals@Ovid, SpringerLink, Wiley Online Library, Nature (NPG), Oxford Journals. It was used as descriptors: total fixed prostheses and overdentures. Inclusion criteria were: clinical articles, clinical case reports, case series, literature reviews and systematic reviews that addressed the study and comparison of total fixed prostheses and overdentures for a surgical- prosthetic planning. Exclusion criteria were: laboratory and in vitro studies and those whose first language was not English or Portuguese. Of a total of 454 articles, after an analysis according to inclusion and exclusion criteria, 76 articles were selected. During an implantsupported prosthesis rehabilitation with dental in edentulous patients, the use of alternative procedures appear to be effective when compared to more invasive surgical techniques, and thus, the amount of dental implants possible to install associated with prosthetic issues such as lip support, smile line, quantity and quality of mucosa, phonetics, etc., will allow an appropriate treatment planning to each clinical case

Protocolo radiográfico para a instalação de mini-implantes: descrição da técnica

In the last decade mini-screws have gained popularity in orthodontics field and a correct placement of mini-screws is a critical point to the success of the skeletal anchorage. A careful clinical and radiographic diagnostic before insertion mini-screw is an essential requirement to achieve the central point of the radicular septum. The correct application of these pre-surgical procedures should avoid possible iatrogenic damages in periodontal ligament, dental roots, nasomaxillary cavities, or even important vascular tissues. As of today, periapical radiographs is a regular pre surgical procedure during mini-screw insertion technique. Nevertheless, accurate execution of the radiographic parallax technique can offer to us useful and precise radiographic images, to decide the right local insertion of mini-screws in to the septum bone. The purpose of this paper is to describe the ¬application of new positioning circular guides in conjunction with a ¬parallax radiographic protocol before placement of orthodontic mini-screws.

Procedimentos para o dimensionamento de reservatório de água pluvial para residências unifamiliares: viabilidade e aprimoramento metodológico

This paper focus to apply, to discuss and to propose the Maximum Harvesting Method improvement, regarding the method application, for household rainwater harvesting systems. For this purpose, the rainwater was considered to supply the flush toilet demand in a household for 3, 4, and 5 inhabitants. The 80, 120 and 200m2 catchments areas and the 0, 1, 2 and 4mm first flushes discharges were also considered. Further, the improvement suggestions for cistern volume calculus and volume/level dynamics variation in a period were presented and the results were compared applying the Simulation Analyses Method. The results indicate that the Maximum Harvesting Method could be applied and that the improvement proposal can be used to determinate the cistern volume as well to analyze the dynamic behavior of volume/level, constituting by itself a single tool to assist rainwater harvesting systems designers.

Análise comparativa de exposição do operador à radiação entre as técnicas radial, femoral e radial com dispositivo protetor em procedimentos de cardiologia intervencionista

Pós-graduação em Fisiopatologia em Clínica Médica - FMB

Educação a distância aplicada à formação continuada: análise dos procedimentos de avaliação de cursos

Pós-graduação em Educação Escolar - FCLAR

Procedimentos de avaliação em terapia de casais a partir de múltiplos instrumentos

Conjugal problems may damage parents and children relationships favoring the appearance of behavior problems, as well as causing psychological problems. Given the lack of studies which value several interrelated behavioral repertoires, the present paper aims at presenting assessment results employing multiple instruments in regards to the three couples that sought clinical services at a University clinic. Results indicated that participants were presenting communication deficits, problem solving difficulties, and problems in expressing affection confirming literature findings. Problems in other areas were also reported, which influenced the marital relationship. It stands out that the children were presenting indications of behavior problems. The relevance of data collection applying different instruments is discussed, and it is necessary that intervention programs consider individual difficulties, besides setting up singular objectives for each person searching for service.

Procedimentos metodológicos em design gráfico voltados a jornais diários impressos: estudos e relatos de experiência

This paper summarizes a research that has been developed from the concern about a company’s strategic planning, once regarding the product development process and its methodological guidelines. Our goal was to check if there is an ideal methodology, peculiar to the graphic design, which could be applied to a printed newspaper condition. And then, we could deduce, according to the design practices in newspapers, its relevance. We did not intend to create a specific graphic design methodology for daily newspapers, nor the analysis of methods, but we wanted to emphasize that the familiarization with acknowledged methods in the field of visual communication, during the process of professional formation, might ease good choices in the work practice on design. The understanding of the gradual introduction of graphic design on printed daily newspapers brings about, thus, not only their visual improvement, but also allows that this kind of journalism (which depends on a graphic interface in order to make their product come true) reconsider the newspaper as a whole.

Treinamento de habilidades sociais educativas parentais: comparação de procedimentos a partir do tempo de intervenção

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

A arte nas ondas do rádio: ações e procedimentos para esta prática

This paper proposes an extension of the personal experience of the listener through radio. The radio, because it is a medium of reaching, disseminating and having considerable accessibilities towards the production of its contents, and if exploited, could very well combine functionality with aesthetics in the production and broadcasting of programs, something that makes the radio not only a means for transmission of information. In the production of dramatic art, for example, the use of other elements, such as sound effects, may suggest form and consistency to the object described during the practice of radio utterance. The proper combination of function and aesthetic in music, sound effects and voiceover radio can change the mood of the listener and even promote their creativity.

Portal único (SILSTM) para ovário-histerectomia vídeo-assistida em cadelas

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

Parada cardíaca perioperatória e por fator anestésico em pacientes geriátricos: revisão sistemática com meta-análise e análise de metarregressão

Coordenação de Aperfeiçoamento de Pessoal de Nível Superior (CAPES)

Desenvolvimento de procedimentos e métodos analíticos no campo forense aplicando os princípios da química verde

Coordenação de Aperfeiçoamento de Pessoal de Nível Superior (CAPES)