Analysis of the peri-implant soft tissues in contact with zirconia abutments: an evidence-based literature review

The aim of this study is to evaluate through a literature review, the soft tissue response in contact with zirconia abutments, including case reports comparing prosthetics rehabilitations with zirconia and titanium abutments upto 3 years of follow-up as well as the factors that should be considered on implant's abutment selection. Metallic abutments can provide grayish color when in contact with thin soft tissues which may lead the implant prosthetic treatment to failure. In this context, the abutments of zirconia stand out because there is an excellent linking between esthetics and the health of peri-implant soft tissues. A consult of the published researches was made on the PubMed database from 2000 to September 2012. The including criteria were: literature reviews, clinical studies and case reports in English that focused on the response of the soft tissue in contact with zirconia implant abutments. The studies that were not in English and did not match the tackled issue were excluded. A total of 32 articles were found. According to the search strategy, just 16 articles were selected for this review. Three studies affirmed that zirconia abutments have an excellent soft tissue response; one study showed increased gingival recession with zirconia abutments and nine studies do not stand out any difference on biological behavior between titanium and zirconia abutments. Three studies affirmed that zirconia abutments provide natural gingival appearance, anatomic contour and greater esthetics. The use of zirconia abutments is recommended for anterior regions because of their greater optical properties and esthetic results and more studies should be performed and analyzed longitudinally regarding their biological response. The zirconia abutments have been established to be essential in order to achieve great esthetic results in cases of thin peri-implant soft tissues and in regions where the three-dimensional placement of implants is more superficial.

Differences in acoustic and perceptual parameters of the voice between elderly and young women at habitual and high intensity

The present study aimed to compare elderly and young female voices in habitual and high intensity. The effect of increased intensity on the acoustic and perceptual parameters was assessed. Sound pressure level, fundamental frequency, jitter, shimmer, and harmonic to noise ratio were obtained at habitual and high intensity voice in a group of 30 elderly women and 30 young women. Perceptual assessment was also performed. Both groups demonstrated an increase in sound pressure level and fundamental frequency from habitual voice to high intensity voice. No differences were found between groups in any acoustic variables on samples recorded with habitual intensity level. No significant differences between groups were found in habitual intensity level for pitch, hoarseness, roughness, and breathiness. Asthenia and instability obtained significant higher values in elderly than young participants, whereas, the elderly demonstrated lower values for perceived tension and loudness than young subjects. Acoustic and perceptual measures do not demonstrate evident differences between elderly and young speakers in habitual intensity level. The parameters analyzed may lack the sensitivity necessary to detect differences in subjects with normal voices. Phonation with high intensity highlights differences between groups, especially in perceptual parameters. Therefore, high intensity should be included to compare elderly and young voice.

Corrupção e política criminal: o processo legislativo e a realidade dos tribunais

Pós-graduação em Direito - FCHS

Avaliação de uma nova abordagem cirúrgico-restauradora para tratamento de recessões gengivais associadas à lesão cervical não-cariosa: estudo clínico controlado randomizado

Coordenação de Aperfeiçoamento de Pessoal de Nível Superior (CAPES)

Segmental osteotomy for the correction of a malpositioned single implant: an 8-year follow-up

This case report is an 8-year follow-up of a malpositioned single implant, which was treated with segmental osteotomy, to confirm the treatment's characteristics, indications, and advantages. Deep buccal positioning of an endosseous implant placed in the maxillary left central incisor area did not permit acceptable prosthetic rehabilitation, despite its favorable bone insertion with no significant marginal bone loss. The surgical procedure included osteotomy and block movement performed toward the lingual and cervical position, fixed with a provisional prosthesis and miniplates and mini-implants. A connective tissue graft was necessary for esthetics optimization and was performed in a second stage. Advantages including the prevention of alveolar ridge damage, the improvement of gingival contour, and the use of an already integrated implant are presented. Clinically satisfactory hard and soft tissue stability permitted us to consider segmental surgery as a reliable alternative for malpositioned osseointegrated implants.

Enxerto de tecido conjuntivo para correção da margem peri-implantar

Soft tissue recessions frequently cause esthetic disharmony and dissatisfaction. The results of coverage in peri-implant sites, in comparison with soft tissue coverage around a tooth, is less predictable. This clinical report describes the correction of an esthetic problem with a single-tooth implant-supported using a subepithelial connective tissue graft (SCTG) combined with the re-establishment of a new limit of gingival margin, and emergence crown profile. After anamnese and clinical exam it was observed an implant in the region of tooth 22 in vestibular position to alveolar ridge with a recession of 5 mm in its vestibular face. In the first cirurgical procedure the crown and the abutment were removed and a SCTG associated with a coronally positioned flap was performed in order to re-establish the limit of gingival margin. After 90 days, it was observed that the tissue in the implant site showed no adequate volume or thickness. Because of that, another SCTG was performed. The reopening procedure to install the healing cap was performed after 4 weeks. Then the prosthesis was installed. At 180 and 360 days postoperative, the implant adjacent tissue presented regular contour, color compatible with health and absence of bleeding. The patient was satisfied with the esthetic result. According to the clinical results and favorable esthetics it was possible to conclude that the use of ETC to correct an esthetic deficiency may be a feasible approach to establish new and stable peri-implant soft tissue contours.

Fratura do seio frontal: relato de caso

The frontal sinus fractures are derived from accidents of great intensity. Are usually associated with fractures of the midface, including the naso-orbital fractures and zygomatic ethmoid. Several treatment modalities have been proposed. In this case it was used to access bicoronal reconstruction of the anterior frontal sinus, and restore contour fronto-naso-orbital-ethmoid with satisfactory results.

Adesivo tecidual de fibrina e sua aplicação na implantodontia

The purpose of this literature review was to evaluate the use of fibrin tissue adhesive in implant dentistry. Materials and Methods: A literature search of Medline-PubMed for articles published, describing the use of fibrin tissue adhesive in implant dentistry was performed and articles were critically reviewed. Results: The literature review reveals clinical trials and experimental studies with regard to the use of fibrin tissue adhesive in implant dentistry. This material consists of 2 components: highly purified, freeze-dried human fibrinogen with factor XIII and a starter solution containing human thrombin. Clotting factor XIII is admitted for reinforcement of the fibrin network. The components are reconstituted before use and when mixed form a clot by mimicking the terminal phase of the physiological clotting cascade. Several studies showed that fibrin tissue adhesive is fully absorbed by macrophages within 2 weeks of application. Adhesive fibrin tissue may be used for to prevent bone loss, to create contour in the periimplant soft tissue and osseous tissue, to sculpt emergence profile for prosthetic components and to mimic tissue architecture. In the last years fibrin tissue adhesive also find use as material for the controlled delivery of drugs and biologics. Conclusions: The fibrin tissue adhesive presents good properties such as biocompatibility, hemostatic properties and ability to break down like the physiologic clot. This material, alone or associated with other materials, can be used with the implants immediately after extraction. In this condition it brings the necessary anchoring and efficient maintenance of osseous/mucosal contour, which it is important for the clinical success.

Reabilitação estética por meio de prótese ocular a base de PMMA: relato de caso

Eye loss results on facial asymmetry compromising its aesthetics. Ocular prostheses are important to re-establish aesthetics; protect the anophthalmic cavity; recover function such as the redirection of lachrymatory liquid; and reintegrate the patient to society. The aim of this study was to describe a case report, demonstrating clinical and laboratorial procedures for confection of ocular prostheses and highlighting their advantages. A female patient was afflicted by toxoplasmosis, which led to the loss of her eye. An eye visceration was performed. The patient reported no previous use of ocular prosthesis. A PMMA ocular prosthesis was manufactured restoring patient’s aesthetic and facial contour. The patient was satisfied with the treatment. Therefore the present study has shown that PMMA ocular prosthesis is able to restore facial aesthetics and can be a safe and satisfactory alternative for patients that have lost their eyes due to toxoplasmosis.

Fabrication techniques for ocular prostheses: an overview

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

Concordância entre o débito cardíaco estimado através das técnicas de termodiluição transpulmonar e de análise de contorno de pulso e a técnica de termodiluição de artéria pulmonar em cães anestesiados com isoflurano

Pós-graduação em Anestesiologia - FMB

Variabilidade da precipitação na Unidade de Gerenciamento de Recursos Hídricos do médio Paranapanema

Analysis of variability of rainfall UGRHI-17 is important because it is located in an area of agriculture. This importance is through a better dialogue between research and farmers, who can see this, an analysis of events that impact your direct planting. Noting the periodic occurrence of these events, agriculture can be prevented by protecting your planting and ensuring a good harvest. The analysis and observation of the entire region is through the location of the stations, which allow a more complete analysis if they are well scattered throughout the unit. Through calculations parse wet and dry years, and this work will be given emphasis to the wet years. They presented the climatological average above average extracted for all seasons. These wet years are generally associated with events such as El Niño and the intensification of SACZ. For these years, was also observed the spatial distribution of rainfall through isolines. How to deal with regional data, the Geostatistics was a resource used in this work to make the analysis more complete and closer to the actual data from the wide year-to-interannual scale. Their adoption is in the preparation of contour, making the spatial distribution more accurate.

A eletrodinâmica escalar generalizada de Duffin-Kemmer-Petiau, uma análise funcional de sua dinâmica quântica covariante e o equilíbrio termodinâmico

Coordenação de Aperfeiçoamento de Pessoal de Nível Superior (CAPES)

Física e o som: possibilidades didáticas e experimentais para o ensio de acústica

We studied in this work some aspects of the physics of sound and music as a tool for physics teaching. The theory of sound since it is generated by some stimulus to its uptake by the human body, in areas such as: frequency, intensity, tone and propagation. The literature of the subject research was combined with the study of free software that captures waves on a computer, using a microphone, and allows to analyze the waves and frequencies involved in the sound, being able to distinguish tones, frequencies and intensities. We have analyzed some instruments (guitar, harmonica and pitch), including voice, from the quantitative and qualitative point of view. Finally we analyze textbooks in their acoustic topics and try to understand how important these materials give to this topic in basic education. We suggest a teaching sequence that could be applied in a high school classroom

Caracterização da distribuição física dos dolomitos do membro Búzios no Campo de Badejo - Bacia de Campos

In the region of Badejo oil Ffeld (Campos Basin) lies an Lower Albian dolomitic layer that shows reservoir rock and seal conditions, among others and, it is occasionally karstified. This work applies geostatistical techniques of ordinary and indicatior kriging, in an attempt to determine a method that assists the analysis of different scenarios offered for petroleum drilling from a quantitative point of view this fact is justified, because there are different visions and strategies that would be adopted under different dolomite conditions (stable - low porosity and high density; reservoir - high porosity and medium density; instable - high porosity and low dentisty). The main objective is a methodological introduction that has not been tested in dolomites before aiming to characterize the distribution of the three conditions described above by ordinary and indicatior kriging, which was based on the obtained data from the dolomite layer identification through well logs interpretation and correlation, followed by seismic interpretation. In addition, it was generated structural contour maps, based on 2D and 3D seismic data interpretation, and then, seismic attributes maps were calculated, in order to transform them into pseudo-density maps, i.e., maps that correlate the density values with the attribute values. As primary results, structural contour maps and seismic attributes were obtained and ordinary and indicatior kriging maps were done, on which it is possible to interpret the distribution of the main reservoir and risk probability for drilling of exploration wells obtaining trends N35E and N10W direction for areas of stability or reservoir levels, while the central part of the map presents a higher risk for loss of drilling fluid. The cut-off values levels were based on the values of first and third quartiles of cumulative histogram (instable and stable zones, respectively), as well as the reservoir level was set as the interval...