Associação da raspagem com antibioticoterapia em um caso de periodontite agressiva generalizada

The treatment of aggressive periodontitis is a challenge to the clinician, therefore the search for effective treatment protocols of this disease is important. The aim of this case report was demonstrate the effectiveness of the combination of systemic antibiotics with non-surgical periodontal therapy in the treatment of generalized aggressive periodontitis. a 27-year-old patient (RCS), smoker for 11 years (10 cigarettes/day on average), with no systemic alteration, attended the periodontal clinic with a complaint abnormal dental position. After the clinical examination, the diagnosis of generalized aggressive periodontitis was defined. The non-surgical periodontal treatment was executed associated with administration of amoxicillin plus metronidazole for ten days. Clinical parameters (Clinical Attachment level, marginal gingival level, periodontal probing depth, bleeding on probing, plaque index and gingival index) and radiographic parameters (distance between the cemento-enamel junction and the bone crest) were evaluated before and after non-surgical periodontal treatment, after antibiotic therapy and three, six and 12 months after the treatment. After one year follow-up, the results showed improvement in clinical and radiographic parameters with stabilized and decreased tooth mobility and absence of tooth loss. It was concluded that the association of non-surgical periodontal therapy with the administration of amoxicillin/metronidazole was effective in the treatment of generalized aggressive periodontitis.

Complicações Associadas aos Enxertos Ósseos Aposicionais com Osso Autógeno

Introdution: Tooth extraction results in alveolar ridge resorption due to the progressive reabsorption, which frequently is a limitating factor of dental implants treatment, in function of the insufficient bone height for execution, could be indicated the use of grafts for increase of the alveolar edge. However, the success of the bone graft requests the meticulous attendance of the clinical stages. Proposition: The objective of this research was to evaluate the postoperative complications associated to the autogenous bone grafts. Materials and Methods: Through a random retrospective analysis, 90 file records of patients submitted to the surgical procedure of autogenous bone graft in the period of January from 2000 to the March of 2008. A clinical record was elaborated with base in the necessary data for this evaluation. Results: About the file data analysis, 59 female with average of 49,42 years and 31 male with average of 47,90 years. The previous diseases most related were arterial hypertension, stomachache and diabetis. The smokers was noticed in 13,3% of patients. The donor site most used was a mandibular ramus. The postoperative complications in receiving area represented 17,8% of file datas analysed and in the donor site only one patient showed parestesis. Conclusion: Among the total analyzed files it was observed that the postoperative complications associated with the autogenous bone grafts represented 18,9% of the patients submitted to the procedure, more frequently affecting the receiving area, obtaining partial exposure of the bone graft and absence of inserted gingiva on vestibular cortical bone.

Reabilitação oral de paciente com síndrome da combinação: relato de caso

The Combination Syndrome represents an important pathologic condition of the masticatory system that requires a complex rehabilitation treatment. The presence of flaccid mucosa is one of the most common features due to bone resorption of the pre-maxilla caused by anterior hyperfunction of the mandibular teeth on the maxillary complete denture, where the impact of oclusal loading in this region results in movement of the maxillary prosthesis into the ridge, resulting in increased resorption of the residual ridge, internal misfit and loss of the retention of the maxillary complete denture. The presence of flaccid mucosa, in such cases, leads to problems of support and stability of the maxillary complete denture, which can be treated by surgical reduction of the thickness of the tissue or using specific techniques of fabrication of prostheses. This article describes the oral rehabilitation of a patient with the Combination Syndrome where the surgical reduction of flaccid mucosa was not performed, using a modified technique of functional impression in two steps, with the objective of generating forces and less distortion in flaccid mucosa during functional impression.

Interação entre odontologia restauradora e periodontia - parte 2: reanatomização dentária

The development of new dental materials has expanded dental therapeutic modalities ensuring excellence in aesthetic restorative treatments. Thus, the direct restorative procedures have been used in cases of dental reconstruction allowing an effective treatment with a low cost, while preserving healthy tooth structure. However, the clinician must be used to the techniques and the material in order to ensure longevity and success in the direct restorative procedure. The aim of this paper is to descrive, after completion of periodontal surgical procedures, the direct restorative step performed for dental reconstruction and diastema closure. The integration between Restorative Dentistry and periodontics enableb the restoration of a harmonious smile in a conservative manner, ensuring aesthetics and patient stisfaction.

Associação da cárie dentária com indicadores antropométricos do estado nutricional em pré-escolares

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

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.

Avaliação do perfil de risco de cárie dentária em gestantes de Araraquara, Brasil

The knowledge of risk of carried during pregnant is essential for an appropriate treatment using educational and preventives actions to mother for a good care of their oral health and that of children. The main objective of present retrospective study was to identify the risk of caries of pregnants (aged 15-44, mean= 25 years) came to clinic of Preventive Odontology of Araraquara-UNSEP from 1999 to 2007, using 166 medical records obtained by the third pregraduate year students, following the pre-established guidelines. The information collected includes: classification of caries risk diagnosis, pregnancy trimester, carbohydrates ingestion (between or during foods), dental plaques (O'Leary's plaque control registry) and the number of teeth with caries. The statistical analysis used the Chi2 and ANOVA tests. Most of patients showed a 25 % or more of teeth surfaces with dental plaques (92.1 %) and carbohydrates consumption among foods (89.2 %). The mean (SD) of carried and restores teeth was of 7.9 (5.1) and 4.0 (3.4), respectively and the posterior teeth were the more involved by caries/restorations. As regards the diagnosis of caries risk, classification of high risk was observed in the 38.5 % of pregnants, moderate in the 47.6 %) and low in the 13.9 %. There was a statistically significant association (p= 0.001) between the carbohydrates consumption and the diagnosis of caries risk. The plaque's rate was similar in the different trimesters of pregnancy (f= 0.223; p= 0.803). The caries risk of most pregnant women was high or moderate and it was associated with the consumption of carbohydrates.

Conhecimento de mães sobre os procedimentos de emergência nos casos de avulsão dentária

Introduction: Despite tooth avulsion following trauma being relatively common in children, the available studies show that adults have limited knowledge about it. Aim: The purpose of this study was to assess, by a questionnaire, the mothers’ general knowledge about the immediate management of tooth avulsion. Material and method: This descriptive study was carried out on a convenient sample of mothers (n= 65) who participated of the “Pastoral da Criança”, from Araraquara, SP, Brazil. The questionnaire comprised 15 questions about personal data and knowledge on tooth avulsion management. Results: Participants were, on average, 35 years old. A total of 30.8% of the mothers reported that their children suffered dental trauma. The majority had never received advice on this subject (76.9%); and did not know how teeth are kept in the dental arch (69.2%). Almost a half of the sample believed that an avulsed tooth can be replanted (49.2%). In relation to the management of tooth avulsion, 40% of them would clean the avulsed tooth with water, even if it was not dirty (38.5%). Most of them (69.2%) would take the tooth by hand for cleaning purposes, regardless the tooth region; and believed that brushing the tooth was important to take the dirty out (67.7%). Conclusion: The general knowledge of mothers about the immediate management of tooth avulsion was considered inadequate endangering the successful treatment of tooth avulsion.

Push-out bond strength of calcium hydroxide and mineral trioxide aggregate based sealers

The adhesiveness of six root canal sealers: Acroseal, Endo CPM, Epiphany, White MTA, Sealapex and Sealer 26 to dentin, was evaluated in a push-out test design. Methods: Twenty eight roots of freshly extracted teeth were gauged with a size 5 Largo drill. With a cutting machine slices of 2 mm were prepared, rinsed with 5.25% NaOCl and a final rinse with 17% EDTA, dried and filled with one of the sealers. After setting their bond strength was measured in a mechanical testing machine. The data were statistically analyzed by using a One Way ANOVA and post hoc Tukey test. Results: The mean and standard deviation from values of bond strength was: Sealapex 2.2±0.4; Endo CPM 3.8±1.3; White MTA 6.0±1.4; Epiphany 10.9±2.6; Sealer 26 12.3±2.3; and Acroseal 12.2±1.4. Acroseal, Sealer 26 and Epiphany presented a significantly (P<0.01) greater bond strength compared with the other sealers. Also White MTA showed higher adhesiveness compared with Endo CPM and Sealapex (P<0.01). Conclusion: The bond strength between endodontic sealers and root dentin was maximal when Acroseal, Sealer 26 and Epiphany were used; Sealapex e Endo CPM, in turn, presented the lowest bond strength mean values.

Avaliação do uso de Selante de Fibrina derivado do veneno de serpente como arcabouço biológico de células tronco mesenquimais na regeneração óssea do fêmur de ratos

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

A implantação das reformas educacionais em Bauru na década de 1970

The work has for theme to understand the implementation of educational reforms in the decade of 1970 in the city of Bauru, because the city is a hub of academic reference of the central region of the State of São Paulo in Brazil. In this way, the work is committed to investigate the process of reorganization of basic and higher education system, as well as analyze their reflections on education in this region. He was subsidized by bibliographical and documental sources, using semi-structured interviews of a qualitative character

Desenvolvimento, implantação e avaliação do desempenho de biorreator anaeróbico de leito fluidizado e leito fixo com filtros biológicos em materiais diversos

This study aimed to develop, implement and evaluate the performance of a new type of bioreactor for anaerobic treatment of wastewater using different filling materials like trickling filters post-reactor. This bioreactor has mixed characteristics of the UASB reactors and horizontal flow from the point of view of removal of BOD (Biochemical Oxygen Demand) ssed (settled solids), TS (Total Solids), SS (Suspended Solid), SD (Dissolved Solids) and turbidity. The experimental model consists of a bioreactor with a volume of 12 m³, 2/3 filled by fluidized bed and 1/3 for fixed. The fluidized bed is made of polystyrene plates used as a system percolation and compartmentalized trickling filters, where each compartment was filled with a support medium with different characteristics (gravel number 4, plastic rings of polystyrene, PET and HDPE) . In addition, the output of a filter system was installed three entries filled with activated carbon. The bioreactor was installed in private residence in the city of Igarapava-SP (20° 02'40.18"S and 47° 45'01.36" W). The system was highly efficient as the removal of organic contaminant load 92% on average reducing the BOD, a significant result when compared to other anaerobic systems. For the other parameters, the mean reduction was 96% for turbidity, 99% ssed, 67.5% ST, 57% SD and 88% of SS. As for its operation the system was capable of operating in continuous flow without the need for maintenance during the entire period of evaluation and without energy, as it operates taking advantage of the natural slope of the terrain where it is installed. The environmental impacts were minimized due to the preservation of local vegetation allowing the ecosystem to remain unchanged beyond the prototype was completely sealed preventing exhalation of odors and therefore not causing inconvenience to neighboring populations. Given these facts it was concluded that the prototype is shown to be highly feasible deployed as a new alternative for treatment of sewage in rural and urban settings (individual homes, condos, farms, ranches, etc.) Due to ease of design and operability, and sustainability at all stages of execution.

Pesquisa de salmonella em mutuns (mitu mitu) mantidos em cativeiro

We collected 50 samples of curasow feces from the Scientific and Cultural Breeding Center in the city of Poços de Caldas. The samples were enriched in broth medium Tetrationato and Cystine-selenite and plated on Salmonella Shigella (SS), Mac Conkey (MC), endo-C (EC), Brilliant Green (VB) and Eosyn Methilen Blue EMB, remaining at 37 °C for 24h. Colonies suspected of Salmonella were inoculated in tubes containing Agar Triple Sugar Iron (TSI) and again incubated at 37 ºC for 24h. Tubes with characteristic growth were submitted to slide agglutination test with polyvalent somatic and flagellar serum. The medium SS, MC and VB were the most efficient for growing, and 36% of samples were positive for Salmonella spp. As birds are important reservoirs of Salmonella spp and it may represent a high risk to human health, there is a need to implement a cleaning routine in enclosures avoiding contamination between the enclosures and the consequent entrainment of these micro-organisms, by the keepers until their homes or other venues. The presence of Salmonella in breeding centers may be responsible for lower hatchability of eggs, undermining the purpose of the entity, which is to study and maintain the various birds species.