Simplificação no tratamento da fratura de ângulo mandibular por meio do acesso intrabucal

Mandibular fractures are the injury most commonly found in the facial bones. They have varied etiology, such as automobile, motorcycle and cycling accidents, physical abuse and falls. The choice of treatment of mandibular fractures most often employed is the reduction and fixation of bone fragments. Regarding fractures involving the mandibular angle, access headgear is the most widely used, in view of the action of masticatory muscles causing greater displacement of fractured stumps. Therefore, the proposal to introduce a conservative approach and facilitated for the treatment of fractures of the mandibular angle, as well as to demystify the contraindication to intraoral approach cases unfavorable fracture displacement, this work is to report a clinical casesurgical mandibular angle fracture, treated by intraoral approach. The fracture was fixed with two plates, one following the external oblique line system (1.5 mm) and a lower system (2.0 mm), with the help of percutaneous trocar. This approach is very promising for these cases, in order to ease the technical as well as by reducing the technical complications of extraoral approach.

Análise Biomecânica em implantes com diferentes tipos de conexão: estudo pelo MEF-3D

The aim of this study was to evaluate the biomechanical behavior of different implant connection types, by means of three-dimensional finite element analysis. 3 Three-dimensional models were created with a graphic modeling software: SolidWorks 2006 and Rhinoceros 4.0, and InVesalius (CTI, São Paulo, Brasil), the bone was obtained by computerized tomography of a sagittal section of the molar region. The model was composed by bone block with an implant (4 x 10 mm) (Conexão Sistemas de Prótese, São Paulo), with different implant connections: external hex, internal hex and Morse-taper with the corresponding prosthetic component Ucla or Morse-taper abutment. The Three-dimensional models were transferred to finite element software Femap 10.0 (Siemens PLM Software Inc., CA, USA), to generate a mesh, boundary conditions and loading. An axial (200N) and oblique load (100N) was applied on the occlusal surface of the crowns. Analyses were performed using the finite element software NEiNastran 9.0 (Noran Engineering, Inc., USA) and transferred to the Femap 10.0 to obtain the results; after the results were visualized using von Mises stress maps and Maximum stress principal. The results showed the stress distribution was similar between models, with a little superiority of Morse-taper connection. It was concluded that: the three connection types were biomechanical viable; The Morse-taper connection presented the better internal stress distribution; there was not significant biomechanical differences on the bone.

Straight and angulated abutments in platform switching: influence of loading on bone stress by three-dimensional finite element analysis

PURPOSE: In view of reports in the literature on the benefits achieved with the use of platform switching, described as the use of an implant with a larger diameter than the abutment diameter, the goal being to prevent the (previously) normal bone loss down to the first thread that occurs around most implants, thus enhancing soft tissue aesthetics and stability and the need for implant inclination due to bone anatomy in some cases, the aim of this study was to evaluate bone stress distribution on peri-implant bone, by using three-dimensional finite element analysis to simulate the influence of implants with different abutment angulations (0 and 15 degrees) in platform switching. METHODS: Four mathematical models of an implant-supported central incisor were created with varying abutment angulations: straight abutment (S1 and S2) and angulated abutment at 15 degrees (A1 and A2), submitted to 2 loading conditions (100 N): S1 and A1-oblique loading (45 degrees) and S2 and A2-axial loading, parallel to the long axis of the implant. Maximum (σmax) and minimum (σmin) principal stress values were obtained for cortical and trabecular bone. RESULTS: Models S1 and A1 showed higher σmax in cortical and trabecular bone when compared with S2 and A2. The highest σmax values (in MPa) in the cortical bone were found in S1 (28.5), followed by A1 (25.7), S2 (11.6), and A2 (5.15). For the trabecular bone, the highest σmax values were found in S1 (7.53), followed by A1 (2.87), S2 (2.85), and A2 (1.47). CONCLUSIONS: Implants with straight abutments generated the highest stress values in bone. In addition, this effect was potentiated when the load was applied obliquely.

Influência do material oclusal na distribuição de tensões em próteses implantossuportadas unitárias

Objective: the aim of this study was to evaluate the influence of occlusal veneering material in single fixed implant-supported crowns through the 3-D finite element method. Material and methods: Four models were fabricated using the Rhinoceros 4.0, SolidWorks, and InVesalius softwares. Each model represented a block of mandibular bone with an external hexagon implant of 5 mm x 10 mm and different veneering materials including NiCr (1), porcelain (2), composite resin (3), and acrylic resin (4). An axial load of 200 N and an oblique load of 100 N were applied. Results: model (2) with porcelain veneering presented a lower stress concentration for the NiCr framework, followed by the composite resin and acrylic resin. The stress distribution to the implant and bone tissue was similar for all models. Conclusions: there is no difference of stress distribution to the implant and supporting structures by varying the veneering material of a single implant-supported prosthesis.

Influência da angulação do implante e tipo de intermediário na distribuição das tensões

The aim of this study was to evaluate the influence of implant angulation and abutment type (UCLA and Estheticone) on stress distribution in screw-retained implant-supported prostheses through photoelasticity. Three models were fabricated with photoelastic resin PL-2 (Vishay, Micro-Measurements Group, Inc Raleigh, N.C., USA) containing one external hexagon implant with 3.75x10mm (Master screw, Conexão Sistemas de Prótese Ltda., Arujá, São Paulo) with 0°, 17° and 30° degrees and a screw-retained prostheses with UCLA and Estheticone abutments. The assembly was positioned in a circular polariscope; axial and oblique (45° degrees) loads of 100N were applied in fixed points on the occlusal crown surfaces by a universal testing machine. The stress generated was photographed and analyzed qualitatively with appropriate software (Adobe Photoshop®). The results demonstrated the same number of fringes for both abutment types for each angulation, with fringes increasing in the same way. A higher number of fringes were closer in the oblique loading mode. It was concluded that there was no significant difference in stress distribution in prostheses with UCLA and Estheticone abutments. Higher stress concentrations were observed with increased implant angulation. Stress concentration and intensity were higher in the oblique load than in axial load application.

Influência do material oclusal na distribuição de tensões em próteses implantossuportadas unitárias

Objective: the aim of this study was to evaluate the influence of occlusal veneering material in single fixed implant-supported crowns through the 3-D finite element method. Material and methods: Four models were fabricated using the Rhinoceros 4.0, SolidWorks, and InVesalius softwares. Each model represented a block of mandibular bone with an external hexagon implant of 5 mm x 10 mm and different veneering materials including NiCr (1), porcelain (2), composite resin (3), and acrylic resin (4). An axial load of 200 N and an oblique load of 100 N were applied. Results: model (2) with porcelain veneering presented a lower stress concentration for the NiCr framework, followed by the composite resin and acrylic resin. The stress distribution to the implant and bone tissue was similar for all models. Conclusions: there is no difference of stress distribution to the implant and supporting structures by varying the veneering material of a single implant-supported prosthesis.

Emprego de ma teriais rest auradores adesivos direto no ângulo incisal de incisivos centrais fra turados

A case report of a patient who presents as chief complaint presence of stained restorations in the anterior teeth. After analysis and discussion of the clinical therapeutic approaches to be adopted, it was observed the presence of type class IV restorations on teeth 11 and 21, due to an oblique coronal fracture in the past. But the patient was not satisfied with the aesthetic result, then where was planned the realization of the removal of the restorations, for subsequently be used direct restorative materials for the correction of form, function and esthetics. The final result showed that the restorations were able to return the form, function and aesthetic dental, thereby evidencing the proven development of restorative dentistry in the solution of aesthetic problems.

Mapeamento geológico-geotécnico pelo método de detalhamento progressivo: aplicação no planejamento e gestão de obras rodoviárias

Coordenação de Aperfeiçoamento de Pessoal de Nível Superior (CAPES)

A articulação do quadril em uma perspectiva preditora da velocidade de marcha em idosas e como foco de intervenção de duas modalidades terapêuticas: Método Pilates e Haste Vibratória

Coordenação de Aperfeiçoamento de Pessoal de Nível Superior (CAPES)

Análise das tensões em próteses implantossuportadas esplintadas, variando o tipo de conexão protética e a inclinação do implante: estudo pelo método dos elementos finitos tridimensionais não linear

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

Análise da distribuição de tensões em reabilitação com implantes cone morse em maxilar posterior: estudo pelo MEF 3D não linear

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

Início de ativação muscular de estabilizadores primários e a capacidade física para avaliar estabilização lombo-pélvica

Introduction: Due to the high incidence of low back pain without apparent cause, different approaches to evaluate the lumbar instability has been proposed, such as surface electromyography to determine pre-activation and the ability of lumbar stabilization through functional physical assessment. In this context, the objective of this study was to evaluate the early activation of the primary stabilizing muscles in subjects without low back pain, with different physical abilities function (CFF). Method: Study participants were 20 subjects with 19.8 ± 1.4 years, 55.7 ± 8.8 kilos, 1.66 ± 0.08 m, of both sexes. The subjects underwent six Tests Physical Function (TFF) and the Test of Fast Moving Flexion Arm (TMRFB) to capture the electromyographic activity of the lumbar multifidus muscles (LM) and internal oblique - lower fibers (HI). Were assigned weights for each functional test and the result of the physical capacity of the final functional subject ranged from 0 to 100%. In the analysis of TMRB was considered the onset time of activation between the ML and HI. Results: Regarding TFF 2 (10%) subjects were considered to have normal physical capacity, 6 (30%) with good physical ability and 12 (60%) with regular physical capacity or poor. As for TMRFB average values of initiation of muscle activation in 75% of subjects were within the limits to characterize the condition of pre-muscle activation. Conclusion:The results obtained in the TFF were low compared with the CFF of asymptomatic subjects evaluated. This fact does not mean that the condition of stabilization of the subject is appropriate. However, the results obtained in the electromyographic examination to suggest that 25% of asymptomatic subjects tested did not have a proper condition of lumbar stabilization.

Os desenhos da cidade observada: uma reflexão singular

How are teachers Cartoons observation Architecture Schools in several decades, the idea was to try and explain firsthand the look and fundamental elements of drawings to the Architect. We start looking through the design of: 1 A projective gaze: the invisible is made visible by interactivity and space and time are perceived by the distance that look place between them; 2nd In bidirectional contamination: the object fills the subject, double-hand, bringing the tactile qualities of architecture in continuous resonance, 3rd Strangeness by slow look: draw as perceptual expansion strategy; 4 Articulation of the structural elements of the design while similar language to architecture and city through the selection of appropriate signs and codes, exclusive and singular.

Effects of saccadic eye movements on postural control in older adults

Saccadic eye movements have been shown to affect posture by decreasing the magnitude of body sway in young adults. However, there is no evidence of how the search for visual information that occurs during eye movements affects postural control in older adults. The purpose of the present study was to determine the influence of saccadic eye movements on postural control in older adults while they stood on 2 different bases of support. Twelve older adults stood upright in 70-s trials under 2 stance conditions (wide and narrow) and 3 gaze conditions (fixation, saccadic eye movements at 0.5 Hz, and saccadic eye movements at 1.1 Hz). Head and trunk sway amplitude and mean sway frequency were measured in both the anterior/posterior (AP) and medial/lateral (ML) directions. The results showed that the amplitude of body sway was reduced during saccades compared with fixation, as previously observed in young adults. However, older adults exhibited similar sway amplitude and frequency in the AP direction under the wide and narrow stance conditions, which is different from observations in young adults, who display larger sway in a narrow stance compared with a wide stance while performing saccades. These results suggest that although older adults are affected by saccadic eye movements by a decrease in the amplitude of body sway, as observed in young adults, they present a more rigid postural control strategy that does not allow larger sway during a more challenging stance condition.

Efeito distrator do telefone celular sobre a condução simulada de automóveis: situações de uso manual e viva-voz

Conselho Nacional de Desenvolvimento Científico e Tecnológico (CNPq)