Efeitos de dois regimes de aplicação de clodronato dissódico na reabsorção radicular e movimentação dentária em Rattus norvegicus

O objetivo dos autores foi avaliar microscopicamente, a influência de dois regimes de aplicação do clodronato dissódico na movimentação dentária e reabsorção radicular de Rattus novergicus. Foram utilizados 63 ratos, adultos, machos, com dentição permanente completa e peso aproximado de 300g. Os animais foram divididos em três grupos com 21 espécimes cada: Grupo Controle, animais submetidos à movimentação dentária induzida sem aplicação do medicamento; Grupo A, animais submetidos à movimentação com aplicação do Clodronato por via subcutânea em dias alternados; Grupo B, animais submetidos à movimentação e aplicação da droga por via subcutânea apenas no quinto e décimo segundo dias. Para avaliar os eventos celulares que ocorrem durante todo o ciclo de movimentação, os grupos foram subdivididos em três, com sete animais cada um e foi realizada a eutanásia no sétimo, décimo e décimo quarto dias. Este procedimento foi realizado com anestesia por inalação de dietil-éter e administração intra-abdominal de 40mg/Kg de pentobarbital sódico. As peças foram incluídas em parafina e os cortes teciduais (4-6m), corados por Hematoxilina-Eosina, foram usados para observações gerais e avaliação quantitativa em microscópio de luz. A análise dos resultados foi feita utilizando análise de variância (ANOVA) e o teste de Tukey foi utilizado para comparações múltiplas entre as médias. Foi considerado o nível de significância em 5%. A taxa de movimentação foi menor no Grupo A quando comparado ao grupo controle sendo estatisticamente significante (p< 0,01). No Grupo B, a taxa de movimentação foi menor que no grupo controle e maior que no Grupo A, porém sem significância estatística. Para as variáveis lacunas de reabsorção e número de osteoclastos houve diferença estatisticamente significativa quando o grupo controle foi comparado aos dois outros grupos. De acordo com os resultados, o Clodronato reduz a reabsorção radicular e a movimentação dentária, mas este último aspecto pode ser minimizado a depender do regime de aplicação do medicamento.

Efetividade da aplicação semestral de verniz fluoretado na redução da incidência de cárie dentária em pré-escolares: resultados após 18 meses

O objetivo deste trabalho foi avaliar se, após 18 meses de acompanhamento, a aplicação semestral de verniz fluoretado em pré-escolares reduz a incidência de cárie na dentição decídua. Os possíveis efeitos adversos e a aceitabilidade da intervenção também foram investigados. Desenho do estudo: ensaio clínico controlado, randomizado, duplo-cego, com uso de placebo. Ingressaram no estudo 200 crianças na faixa etária de 12 a 48 meses, recrutadas em uma unidade da rede pública de saúde. Cem crianças foram alocadas no grupo teste (verniz fluoretado Duraphat, Colgate Oral Pharmaceuticals, New York, NY, USA) e 100 no grupo controle (verniz placebo, Colgate Oral Pharmaceuticals, New York, NY, USA). Os exames clínicos, seguidos das aplicações semestrais de verniz nos grupos teste e controle, foram realizados por duas odontopediatras treinadas (Kappa=0,85) que utilizaram o International Caries Detection and Assessment System II (ICDAS II) para registrar o índice ceo-s nos níveis c1 (lesão ativa em esmalte não cavitado, lesão em esmalte cavitada e lesão em dentina) e c3 (lesão em dentina) de detecção de doença. Verificou-se também a ocorrência de efeitos adversos e outras queixas por entrevistas telefônicas com os responsáveis 7 a 10 dias após a primeira aplicação de verniz. Como resultado aos 18 meses de acompanhamento, 85 crianças do grupo teste e 92 do grupo controle foram examinadas. As diferenças nos incrementos médios de cárie, entre os grupos teste e controle, foram -0,9 (IC95%: -2,4;0,4) no nível c1 e -0,8 (IC95%:-1,9;0,2) no nível c3. O risco de desenvolvimento de novas lesões de cárie em dentina foi 30% (RR=0,70; IC 95%:0,49;0,99) menor nas crianças do grupo teste em relação às do grupo controle. Foram feitas entrevistas com 183 responsáveis sobre os efeitos adversos e a aceitabilidade da intervenção. Um relatou que a sua criança sentiu ardência na cavidade bucal após a aplicação do placebo e outro ficou incomodado com a coloração amarelada dos dentes da criança imediatamente após a aplicação do verniz fluoretado. A aplicação semestral de verniz fluoretado na dentição decídua de pré-escolares reduz o risco de desenvolver lesão de cárie dentária em dentina. Além disso, essa intervenção é segura e bem aceita pelos pais e pelas crianças.

Avaliação tridimensional da sínfise mandibular em crânios secos e sua associação com diferentes classificações de tipos faciais

O objetivo deste trabalho foi desenvolver um estudo morfológico quantitativo e qualitativo da região da sínfise mandibular (SM), através da construção de modelos tridimensionais (3D) e avaliar o seu grau de associação com diferentes classificações de padrões faciais. Foram avaliados 61 crânios secos humanos de adultos jovens com oclusão normal, com idade entre 18 e 45 anos e dentadura completa. Tomografias computadorizadas de feixe cônico (TCFC) de todos os crânios foram obtidas de forma padronizada. O padrão facial foi determinado por método antropométrico e cefalométrico. Utilizando o critério antropométrico, tomando como referência o índice facial (IF), o padrão facial foi classificado em: euriprósopo (≤84,9), mesoprósopo (85,0 - 89,9) e leptoprósopo (≥90,0). Pelo critério cefalométrico, o plano mandibular (FMA) determinou o padrão facial em curto (≤21,0), médio (21,1 - 29,0) e longo (≥29,1); e o índice de altura facial (IAF) classificou a face em hipodivergente (≥0,750), normal (0,749 - 0,650) e hiperdivergente (≤0,649). A construção de modelos 3D, representativos da região da SM, foi realizada com o auxílio do software ITK-SNAP. Os dentes presentes nesta região, incisivos, caninos e pré-molares inferiores, foram separados do modelo por técnica de segmentação semi-automática, seguida de refinamento manual. Em seguida, foram obtidos modelos 3D somente com o tecido ósseo, possibilitando a mensuraçãodo volume ósseo em mm3 (VOL) e da densidade radiográfica, pela média de intensidade dos voxels (Mvox). No programa Geomagic Studio 10 foi feita uma superposição anatômica dos modelos 3D em bestfit para estabelecer um plano de corte padronizado na linha média. Para cada sínfise foi medida a altura (Alt), a largura (Larg) e calculado o índice de proporção entre altura e largura (PAL). A avaliação da presença de defeitos alveolares foi feita diretamente na mandíbula,obtendo-se a média de todas as alturas ósseas alveolares (AltOss) e a média da dimensão das deiscências presentes (Medef). O índice de correlação intra-classe (ICC) com valores entre 0,923 a 0,994,indicou alta reprodutibilidade e confiabilidade das variáveis medidas. As diferenças entre os grupos, determinados pelas classificações do padrão facial (IF, FMA e IAF), foram avaliadas através da análise de variância (oneway ANOVA) seguida do teste post-hoc de Tukey. O grau de associação entre o padrão facial e as variáveis Vol, Mvox, PAL, Alt, Larg, AltOss e Medef foi avaliado pelo coeficiente de correlação de Pearson com um teste t para r. Os resultados indicaram ausência de diferença ou associação entre o volume, densidade radiográfica e presença de defeitos alveolares da SM e o padrão facial quando determinado pelo IF, FMA e IAF. Verificou-se tendência de SM mais longas nos indivíduos com face alongada, porém a largura não mostrou associação com o padrão facial. Estes resultados sugerem que as classificações utilizadas para determinar o padrão facial não representam satisfatoriamente o caráter 3D da face humana e não estão associadas com a morfologia da SM.

East African Freshwater Fisheries Research Organization Annual Report 1972

Feeding habits of many animals have been used widely in animal classifications. This is so, because the type of diet an organism requires demands structural specialisation which will utilise the available resource. Many animals may however have many structural modifications to enable them to be described as omnivourous or generalised feeders such as H. empodisma and H. riponianus (GREENWOOD 1960) which may show varying degrees of structural and adaptational intermediacy between two trophic groups. Generally, however, the diet of many animals including fish changes as the animal grow larger. The change in structural modifications is usually correlated with changes in the diet. In fishes the change may involve change from tricuspid to biscuspid and finally to unicuspid type of teeth. The degree of modification in the structure depends on the diet, thus Haplochromis that feeds on soft tissues of snails only requires modifications in oral dentition while Haplochromis that feeds on both soft tissues and shells of snails require modification in the lower pharyngeal bone for grinding purposes. Other modifications connected with food utilisation may be located in the alimentary canal. (I) The fish species that are commercially exploited are Protopterus aethiopicus, Clarias mossambicus, Tilapia esculenta, Tilapia amphimelas and Tilapia hybrids. The other fish species present in the lake but not commercially exploited are: Gnathonemus sp. Alestes sp. Labeo sp., Barbus paludinoses, Barbus jacksoni, Barbus lineomaculatus, Barbus regersi, Leptogrlanis sp., Schilbe sp., Haplochromis spp. and Hemihaplochromis sp. (2) Protopterus sp. and Clarias sp. are mostly caught with hooks on long lines. There has been a steady increase in number of hooks on the lake. Since the stocks of Protopterus and C/arias in the lake have a limit, we should control the number of hooks used by each of the fishermen in order to avoid overharvesting. (3) All the previous studies on Lake Kitangiri fisheries suggested the use of gill nets with mesh size greater than 88.9 mm in order to avoid the capture of immature Ti/apia spp. But if the fishermen are to obtain economic gains from the fishery, the optimum mesh size for use is 88.9 -101.6 mm. (4) The gillnet is a passive gear with very beneficial selective characteristics. Unfortunately the drive-in fishery which exists on Lake Kitangiri more or less destroys the gillnet selectivity characteristics. It is therefore recommended that the beating of water with poles be discouraged and stopped. (5) There is need for provision of stable fishing canoes to replace the unstable bottle palm dug-out canoes which are currently being used and which are very risky to operate. (6) The fish processing facilities on Lake Kitangiri are still inadequate. Most of the fish is sun dried, Since sun drying is very difficult during the rainy season, most fishermen carry out intensive fishing during the dry season, Concentrating most of the fishing effort in anyone season instead of spreading evenly this effort over the whole year could damage the age structure of the exploitable stocks. (7) There are considerable fluctuations in the volume of water of the lake. The feasibility of regulating the water loss through the effluent Sibiti river should be investigated by the Water Development Department. (8) Damming the Sibiti river is an expensive undertaking and therefore, the Rural Development Bank of Tanzania should be asked to assess the economic feasibility of such a project.

SEXUAL DIMORPHISM IN THE SNUB-NOSED LANGURS (COLOBINAE, RHINOPITHECUS)

Sexual dimorphism in the dentition and skeleton of the four extant species of snub-nosed langurs, Rhinopithecus (R.) bieti, R. (R.) brelichi, R. (R.) roxellana and R. (Presbytiscus) avunculus, was studied. The species shared a similar general pattern of sexual dimorphism, but were found to differ in respects that appear to reflect the influence of disparate socioecological and environmental factors. All the species showed marked canine dimorphism, but the very high degree of canine dimorphism in R. bieti appeared to be due to the intensity of intermale competition for mates during a temporally restricted breeding season, and possibly also to the intensity of competition between males for other resources during other times of the year. Sexual dimorphism in the postcranial skeleton of Rhinopithecus species was also most pronounced in R. bieti and may be related to the relatively higher frequency of terrestrial locomotion in males of the species. (C) 1995 Wiley-Liss, Inc.

A importância da qualidade de vida na Saúde Oral dos idosos

Projeto de Pós-Graduação/Dissertação apresentado à Universidade Fernando Pessoa como parte dos requisitos para obtenção do grau de Mestre em Medicina Dentária

Lesões Cervicais Não Cariosas

Projeto de Pós-Graduação/Dissertação apresentado à Universidade Fernando Pessoa como parte dos requisitos para obtenção do grau de Mestre em Medicina Dentária

Prevalência de má oclusão em crianças com idade escolar

Projeto de Pós-Graduação/Dissertação apresentado à Universidade Fernando Pessoa como parte dos requisitos para obtenção do grau de Mestre em Medicina Dentária

Tratamento do traumatismo dentário em dentição primária

Projeto de Pós-Graduação/Dissertação apresentado à Universidade Fernando Pessoa como parte dos requisitos para obtenção do grau de Mestre em Medicina Dentária

Ranking of length-class seasonal and regional effects on dietary compositions of the co-occurring Pagrus auratus (Sparidae) and Pseudocaranx georgianus (Carangidae)

Using an effective combination of multivariate testing and ordination analyses, this study compares the extents to which the diets of two co-occurring fish species (Pagrus auratus and Pseudocaranx georgianus) are related to body size (length class), season and region and the rank order importance of those effects. Thus, volumetric dietary compositions were determined for these species on the lower west coast of Australia, where both are abundant, and for P. auratus from the mid west coast and P. georgianus from the south coast. The diet of P. auratus on the lower west coast was strongly related to body size and slightly less to season. With increasing body size, its diet shifted from predominantly ophiuroids to larger prey, such as brachyuran crabs, teleosts, echinoids and ultimately asteroids, probably reflecting a shift from foraging over soft sediments to areas over and around reefs. Seasonal changes on the lower west coast were restricted mainly to small P. auratus, while larger fish underwent seasonal changes further north. Analyses using a common size range of medium to larger P. auratus demonstrated that dietary composition differed more between regions than seasons. The relationships between diet and length class of P. georgianus on both the lower west and south coasts were less pronounced than for P. auratus and seasonal changes were restricted to the south coast, where amphipod consumption increased markedly in summer. The diet of P. georgianus was related far more to region than length class and season, with more small teleosts, small crabs, carideans and littorinids and less amphipods, isopods and small bivalves being ingested on the lower west than south coasts. Although crabs and teleosts were important typifying prey of P. auratus and P. georgianus, when co-occurring, the former predator tended to ingest greater volumes of larger and often less mobile prey. This reflects differences in dentition, jaw morphology and feeding behaviour and reduces the potential for competition for food resources. The results imply that P. auratus and P. georgianus are opportunistic feeders and that the effects of length class, season and region on dietary composition and their rank orders can vary markedly between species and for length class and season between regions for the same species.

Post-mortem examination of a wild muntjac from Northern Ireland.

1. Deer are of major concern with regards to impacts on biodiversity, forestry and agriculture as well as human health. The invasive Reeves’ muntjac deer Muntiacus reevesi, native to Asia but established in Great Britain, has recently appeared in the wild in Ireland.

2. The first verified record in the wild in Northern Ireland was confirmed during June 2009 as a result of a road traffic accident near Newtownards, Co. Down. The second record was a culled animal shot in the grounds of Mount Stewart, Co. Down during June 2011.

3. The current report aimed to perform a detailed investigation of the most recently obtained animal to establish a) its age, b) its genetic relationship with the first animal and c) the threat it might pose in terms of carrying endo- or ecto-parasites or other micro-pathogens, principally viruses and bacteria.

4. Analysis of its dentition suggested the culled animal was 56 weeks old (range 55-57 weeks).

5. Genetic analysis indicated that there was no possibility of a father-son relationship with the buck killed in 2009. There was a 6.25% probability of both individuals being full-sibs and a 25% probability of a half-sib relationship.

6. The deer was free from all the major pathogens. Most significantly, a novel species of Gammaherpesvirus was detected most closely matching type 2 ruminant rhadinovirus (Gammaherpesvirinae) from mule deer. Further sequencing is required to provide a definitive classification. There is no evidence suggesting this virus is pathogenic but its detection is nonetheless of concern.

7. During late 2009 (after the first animal was recovered) and early 2010, there were a number of sightings of muntjac within the vicinity of Mount Stewart. Our results indicate that the animal shot in June 2011 could not have been this same animal, as the shot animal must have been born in spring 2010. Moreover, genetic analysis indicates that the two recovered individuals were highly unlikely to share the same mother and father, suggesting they were the offspring of a minimum of three breeding adults (two fathers and one mother or two mothers and one father). This brings the total number of known individuals to 5 including the two offspring. The location of the breeding adults is unknown and may be either in captivity with subsequent escapees, or deliberate releases, or be free living in the wild. However, a further sighting during early 2012 may suggest a wild origin.

Minimal intervention dentistry and older patients part 2: minimally invasive operative interventions

As described in the first paper of this two part series, the expansion of our older population and the concomitant reduction in levels of edentulism will result in an increase in the number of patients presenting in general practice with complex restorative challenges. The application of the concepts of minimal intervention dentistry and minimally invasive operative techniques may offer a powerful armamentarium to the general dentist to provide ethical and conservative treatment to older patients.

Clinical Relevance: When it is unavoidable, operative intervention should be as minimally invasive as practicable in older patients to preserve the longevity of their natural dentition.

Is the shortened dental arch an underused treatment strategy in the Republic of Ireland?

OBJECTIVES: To determine the proportion of Republic of Ireland 35-44 and 65+ year-olds currently satisfying the criteria for a classic shortened dental arch (SDA) of 20 anterior teeth.

RESEARCH DESIGN: Secondary analysis of data collected in the 2000/02 epidemiological survey of the oral health of Irish adults.

CLINICAL SETTING: Participants underwent a clinical oral examination in health board dental clinics and completed a detailed interview pertaining to dental and general health.

PARTICIPANTS: The analysis is based on a random sample of adults, aged 35 to 44 years (n = 978), and 65 years and older (n = 714).

MAIN OUTCOME MEASURES: The SDA was measured as 20 teeth in the mouth in the positions normally described as from the left second premolar to the right second premolar in each arch.

RESULTS: Only one of the 35-44 year-olds and none of the 65+ year-olds had teeth in their mouths in positions normally described as a classic SDA. However, of the 35-44 year old age group only five patients who had at least a premolar dentition of 20 contiguous teeth had been provided with a removable denture compared to one patient from the 65+ years group.

CONCLUSIONS: Very few older patients in the Republic of Ireland have a SDA based on the measure used. However, very few have been provided with removable dentures where they already possess at least a premolar dentition of 20 contiguous teeth. Suggested reasons for this may include limitations of the data recorded, patient preferences and economic factors.

Prosthodontic care for elderly patients

For older patients, clinicians should consider maintaining teeth and using functionally-orientated treatment strategies as an alternative to removable prostheses. When the remaining dentition has a poor prognosis, key teeth should be preserved as overdenture abutments and a gradual transition to edentulousness planned. Where complete dentures are provided, these can be retained using dental implants to overcome many of the problems associated with conventional replacement dentures.

CLINICAL RELEVANCE: The elderly population of today is better informed and more demanding of oral healthcare providers than previous generations. Clinicians should be aware of all the prosthodontic treatment options available for older patients.

Gerodontology--how big is the challenge in Ireland?

Population trends suggest that the Irish population is ageing, and that this population will have substantial treatment needs. These patients will be better informed than previous generations, and will demand treatment aimed at preserving a natural dentition. This will impact upon delivery of oral healthcare and manpower planning needs to consider how to address the increased demand for dental care. Poor oral health is associated with systemic health problems, including cardiovascular disease, respiratory disease and diabetes mellitus. It also has a negative impact upon quality of life, and the World Health Organisation has encouraged public healthcare administrators and decision makers to design effective and affordable strategies for better oral health and quality of life of older adults, which, in turn, are integrated into general health management programmes. Treatment concepts such as minimally invasive dentistry and the shortened dental arch concept are discussed in the context of these demographic changes and recommendations.