Influência da agulha irrigadora e da dilatação do canal radicular na eficácia da irrigação endodôntica

Introduction: The irrigation of root canals aims to their cleaning and disinfection, improving endodontic treatment success. Objective: To investigate the influence of the diameter and type of irrigation needle and the root canal enlargement on the mechanical efficacy of endodontic irrigation. Material and methods: Twelve human single-rooted mandibular incisors were used. During some instrumentation stages (enlargement by #20, #30, and #40 K file), root canals were filled with radiographic contrast solution mixed to propyleneglycol and zinc oxide. Needles with different diameters and designs were employed: G1 – 23G and lateral opening; G2 – 22G and apical opening; G3 – 30G and lateral opening; G4 – 30G and apical opening. The needles were inserted up to resistance, with 1 mm step-back to avoid root canal obliteration. The irrigation was performed with 2 mL of distilled water. Before and after irrigation/aspiration, teeth were radiographed at bucco-lingual and mesiodistal direction, using a digital radiographic system. Then, root canal areas, before (filled by contrast solution) and after irrigation (remnant of contrast solution), were submitted to image subtraction with Adobe Photoshop CS4 software. Subsequently, the areas were measured by Image Tool 3.0 software, allowing the obtaining of the cleaning percentage for each modality. Data were analysed by using Anova and Tukey’s test. The level of significance was set at P < 0.05. Results: For all root canal enlargements, 30G needles (G3 e G4) presented a better cleaning efficacy. In all groups, higher cleaning efficacy percentage was observed at #30 and #40 K file enlargement. Conclusion: Regardless their design, thinner needles were more effective; a better cleaning efficacy occurred in more enlarged root canals.

Repercussões endodônticas dos procedimentos clareadores

Tooth bleaching is a treatment modality that raises great interest, due to the important role played by aesthetics in current life style. To perform such procedure, nowadays, there are several bleaching substances at several concentrations, as well as, diverse clinical techniques. When suggesting this procedure, the dentist should take into consideration several factors related to the patient to determine which will be the most appropriate technique/material combination for solving the clinical problem. The procedure indication should not only be based on the expectations exhibited by the patient, but also on respecting the biological principles to maintain the integrity of both the endodontic and periodontal tissues.

Associação de prótese fixa, implantes e estética periodontal para reabilitação de pacientes parcialmente edêntulos

Periodontitis is a chronic inflammatory disease that results in the destruction of teeth and their supporting tissues with subsequent tooth loss. The replacement of missing teeth for implant-supported restorations has proven to be a highly predictable treatment method with good long-term prognosis. However, some consequences of tooth loss prevents dental implant placement in an ideal position, where regenerative procedures are necessary for this type of rehabilitation. Less invasive procedures such as conventional prosthesis emerge as a therapeutic option in cases where there is enough bone structure for implants and patient´s non-acceptance for invasive procedures. Thus, this paper aims to present the resolution of rehabilitation through a noninvasive and multidisciplinary treatment. One female patient referred to the clinic presented maladaptive bilateral mandibular fixed prostheses, endodontic lesions, gingival recession, and root sensitivity. For proper resolution of this case, an association among osseointegrated implants, fixed partial prosthesis, tooth extraction, and aesthetic periodontal procedures with the use of subepithelial connective tissue graft was proposed. After two years, the patient shows excellent aesthetics and chewing. Within the limits of this scenario, this paper discusses the various factors that may affect the choice of a particular treatment modality for the rehabilitation of edentulous single spaces.

Significações de si: sala de apoio como lugar destinado ao não saber na escola

The qualitative study, in its descriptive and interpretive modality, was based on Piaget's theoretical framework in order to analyze the significances of fifty-two students attending classes with tutors. The results indicated that the significances of students about difficulties on learning, errors and tutoring have to do with stereotypes, stigmas and inferiority of their condition to achieve learning objectives. Learning difficulties are seen as a problem of their own personal or family situation, while tutoring a place of punishment for those who have learning difficulties.

Estudo exploratório sobre a delimitação e práticas contemporâneas da educação não formal

This paper presents the survey, demarcation and discussion of different forms of education, which are education unintentional or intentional informal education, which unfolds in formal and non-formal education. The study of the proposed theme was carried through the review, critical analysis and synthesis of academic and scientific literature relevant to different forms of education. It approaches so prominent non-formal education, due to the significant rise of the practices related to it and increase the visibility of the professionals who took teaching as craft specifically in this educational modality. The main sub-areas of non-formal education presented in the article are: corporate education, non-formal education in social held on nongovernmental organizations (NGOs), non-formal education aimed at prevention and health promotion, formation of free courses to people in different areas of knowledge and practice. At the end, pointing to the importance of considering the non-formal education records within its ambit the existence of political and pedagogical rationales different, even opposite, which requires teachers and researchers in the educational field constant vigilance epistemological, so to contribute to the construction and consolidation of a critical education, creative and emancipatory.

O desenvolvimento da expressão modalizadora “pode ser”. um caso de (inter)subjetivização no português

Based on a functionalist approach, this paper analyzes the modalized expression pode ser as a complement-taking predicate which embeds a proposition (pode ser1) and as an independent structure (pode ser2), in contemporary written and spoken Brazilian Portuguese texts. We aim to identify degrees of (inter)subjectivity, revealing a process of (inter)subjectification (TRAUGOTT, 2010 among others). The analysis carried out in this paper is supported by parameters of (inter)subjectivity of modal elements (TRAUGOTT; DASHER, 2002) and by the notion of modality as a multifunctional category, serving not only to encodethe speaker’s attitude regarding the modalized content, but also as a pragmatic strategy, as a regulator of communicative situation. The exam reveals pode ser as a strongly demanded structure in interaction, a fairly requested set and also productive and useful for interpersonal relationships. The examination of semantic, discursive and morphosyntactic properties indicates a shift from syntax (pode ser1) to discourse (pode ser2), interpreted as a development of (inter)subjectification.

Análise do programa de aquisição de alimentos (PAA) - modalidade compra com doação simultânea: O caso do assentamento Estrela da Ilha, em Ilha Solteira-SP

Pós-graduação em Agronomia - FEIS

Uso de viscum album no ponto de acupuntura VG14 como terapia adjuvante à mastectomia radical em cadelas com neoplasias mamárias

Coordenação de Aperfeiçoamento de Pessoal de Nível Superior (CAPES)

Peritoneal dialysis per se is a risk factor for sclerostin-associated adynamic bone disease

Conselho Nacional de Desenvolvimento Científico e Tecnológico (CNPq)

Desempenho e uso eficiente da terra de modalidades de consorciação com milho e forrageiras

This study was developed with the aim of evaluating the performance and land use efficiency of different arrangements of intercropping with maize and forage. The field experiment was conducted in Tangar da Serra/MT. The experimental design was a randomized block in factorial scheme 3x2 + 1, were as three arrangements of intercropping, two species of forage and an additional treatment with maize monoculture in four replication. In maize monoculture and intercropping were evaluated: plant height and ear insertion height, plant population, weight of 100 grains, productivity, number of grain rows and number of grain per row. In forages intercropping with maize were evaluated plant population and dry matter accumulation. The arrangements with Maize + Forage sown in the line and Maize + Forage sown in two rows between rows with the species Urochloa hybrid promoted best corn yields. The modality and species affect both the productivity of maize as forages species. Grain yield of maize is higher in monoculture. The higher dry matter accumulation of Urochloa hybrid occurs in the Maize + Forage sown in one row between rows, while, for the Urochloa brizantha the arrangements studied do not affect their yields. The arrangement with best land use efficiency is Maize + Forage sown in two rows between rows for both study forage species.

Synergistic effect of photodynamic therapy and cisplatin: a novel approach for cervical cancer

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

Maxillo-mandibular counter-clockwise rotation and mandibular advancement with TMJ Concepts (R) total joint prostheses Part I - Skeletal and dental stability

The purpose of this study was to evaluate skeletal and dental stability in patients who had temporomandibular joint (TMJ) reconstruction and mandibular counterclockwise advancement using TMJ Concepts total join, prostheses (TMJ Concepts Inc. Ventura, CA) with maxillary osteotomies being performed at the same operation. All patients were operated at Baylor University Medical Center, Dallas TX, USA, by one surgeon (Wolford). Forty-seven females were studied; the average post-surgical follow-up was 40.6 months. Lateral cephalograms were analyzed to estimate surgical and post-surgical changes. During surgery, the occlusal plane angle decreased 14.9 +/- 8.0 degrees. The maxilla moved forward and upward. The posterior nasal spine moved downward and forward. The mandible advanced 7.9 +/- 3.5 mm at the lower incisor tips, 12.4 +/- 5.4 mm at Point B, 17.3 +/- 7.0 mm at menton, 18.4 +/- 8.5 mm at pogonion, and 11.0 +/- 5.3 mm at gonion. Vertically, the lower incisors moved upward -2.9 +/- 4.0 mm. At the longest follow-up post surgery, the maxilla showed minor horizontal changes while all mandibular measurements remained stable. TMJ reconstruction and mandibular advancement with TMJ Concepts total joint prosthesis in conjunction with maxillary osteotomies for counter-clockwise rotation of the rnaxillo-mandibular complex was a stable procedure for these patients at the longest follow-up.

Chin augmentation with conchal cartilage

Profile enhancement most frequently involves mentoplasty. For this purpose, the author performs conchal grafts to the chin. A total of 28 women aged 15 to 76 years (mean age, 38.11 ± 15.11 years) requested mentoplasty by itself or combined with rhinoplasty, rhytidoplasty, or submental lipoplasty. The conchal cartilage was harvested subperichondrally through a posterior 3-cm incision. The specimen measured 3 x 1 cm, which was sufficient to project the chin 2 to 3 mm. For 4 to 5 mm of projection, both cartilages were used. The graft was positioned under the periosteum and held with two 5-0 nylon sutures. In these cases, the conchal cartilage graft was a suitable option for chin augmentations up to 5 mm.

Automated peritoneal dialysis is associated with better survival rates compared to continuous ambulatory peritoneal dialysis: a propensity score matching analysis

The impact of peritoneal dialysis modality on patient survival and peritonitis rates is not fully understood, and no large-scale randomized clinical trial (RCT) is available. In the absence of a RCT, the use of an advanced matching procedure to reduce selection bias in large cohort studies may be the best approach. The aim of this study is to compare automated peritoneal dialysis (APD) and continuous ambulatory peritoneal dialysis (CAPD) according to peritonitis risk, technique failure and patient survival in a large nation-wide PD cohort. This is a prospective cohort study that included all incident PD patients with at least 90 days of PD recruited in the BRAZPD study. All patients who were treated exclusively with either APD or CAPD were matched for 15 different covariates using a propensity score calculated with the nearest neighbor method. Clinical outcomes analyzed were overall mortality, technique failure and time to first peritonitis. For all analysis we also adjusted the curves for the presence of competing risks with the Fine and Gray analysis. After the matching procedure, 2,890 patients were included in the analysis (1,445 in each group). Baseline characteristics were similar for all covariates including: age, diabetes, BMI, Center-experience, coronary artery disease, cancer, literacy, hypertension, race, previous HD, gender, pre-dialysis care, family income, peripheral artery disease and year of starting PD. Mortality rate was higher in CAPD patients (SHR1.44 CI95%1.21-1.71) compared to APD, but no difference was observed for technique failure (SHR0.83 CI95%0.69-1.02) nor for time till the first peritonitis episode (SHR0.96 CI95%0.93-1.11). In the first large PD cohort study with groups balanced for several covariates using propensity score matching, PD modality was not associated with differences in neither time to first peritonitis nor in technique failure. Nevertheless, patient survival was significantly better in APD patients.

O que os homens têm a dizer sobre as mulheres? Os novos posicionamentos de jovens do gênero masculino frente às transformações femininas nas relações afetivas: uma leitura sob a ótica da Psicologia Analítica

Pós-graduação em Educação Sexual - FCLAR