963 resultados para Periodontite apical
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Objective: The goal of this study was to evaluate the efficacy of the Self-Adjusting File (SAF) and ProTaper for removing calcium hydroxide [Ca(OH)2] from root canals. Material And Methods: Thirty-six human mandibular incisors were instrumented with the ProTaper system up to instrument F2 and filled with a Ca(OH)2-based dressing. After 7 days, specimens were distributed in two groups (n=15) according to the method of Ca(OH)2 removal. Group I (SAF) was irrigated with 5 mL of NaOCl and SAF was used for 30 seconds under constant irrigation with 5 mL of NaOCl using the Vatea irrigation device, followed by irrigation with 3 mL of EDTA and 5 mL of NaOCl. Group II (ProTaper) was irrigated with 5 mL of NaOCl, the F2 instrument was used for 30 seconds, followed by irrigation with 5 mL of NaOCl, 3 mL of EDTA, and 5 mL of NaOCl. In 3 teeth Ca(OH)2 was not removed (positive control) and in 3 teeth canals were not filled with Ca(OH)2 (negative control). Teeth were sectioned and prepared for the scanning electron microscopy. The amounts of residual Ca(OH)2 were evaluated in the middle and apical thirds using a 5-score system. Results: None of the techniques completely removed the Ca(OH)2 dressing. No difference was observed between SAF and ProTaper in removing Ca(OH)2 in the middle (P=0.11) and the apical (P=0.23) thirds. Conclusion: The SAF system showed similar efficacy to rotary instrument for removal of Ca(OH)2 from mandibular incisor root canals.
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Paclobutrazol applied to the soil is used for the production management of mango in most of orchards on the semiarid region. However, it is necessary to identify other plant growth regulators that might be applied to the leaves, so as to minimize the risk of residues in the soil and plant. The present paper has the purpose to evaluate the effect of plant regulators in the management of vegetative growth on mangoes 'Tommy Atkins'. Three plant growth regulators, sprayed to the leaves, were evaluated: prohexadione-Ca, ethyl-trinexapac and chlormequat chloride, applied in two dosages, and compared to paclobutrazol applied to the soil. In order to compare the effects of the treatment, data were recorded on the vegetative growth (number and length of the shoots). Furthermore, the levels of gibberellins in the apical area of the shoots of 'Tommy Atkins' were quantified, from the beginning of the experiment until the beginning of floral induction. The results showed that sprayings with prohexadione-Ca, trinexapac-ethyl and chlormequat chloride in a dosage of 1.5 g a.i. plant-1 plant was as efficient as a dose of 4.0 g a.i. plant-1 of paclobutrazol applied to the soil, regarding the regulation of vegetative growth of 'Tommy Atkins'. © ISHS 2013.
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A comprehensive biostratinomic study was carried out with abundant stems from the Lower Permian Motuca Formation of the intracratonic Parnaíba Basin, central-north Brazil. The fossils represent a rare tropical to subtropical paleofloristic record in north Gondwana. Tree ferns dominate the assemblages (mainly Tietea, secondarily Psaronius), followed by gymnosperms, sphenophytes, other ferns and rare lycophytes. They are silica-permineralized, commonly reach 4 m length (exceptionally more than 10 m), lie loosely on the ground or are embedded in the original sandstone or siltstone matrix, and attract particular attention because of their frequent parallel attitudes. Many tree fern stems present the original straight cylindrical to slightly conical forms, other are somewhat flattened, and the gymnosperm stems are usually more irregular. Measurements of stem orientations and dimensions were made in three sites approximately aligned in a W-E direction in a distance of 27.3 km at the conservation unit Tocantins Fossil Trees Natural Monument In the eastern site, rose diagrams for 54 stems indicate a relatively narrow azimuthal range to SE. These stems commonly present attached basal bulbous root mantles and thin cylindrical sandstone envelopes, which sometimes hold, almost adjacent to the lateral stem surface, permineralized fern pinnae and other small plant fragments. In the more central site, 82 measured stems are preferentially oriented in the SW-NE direction, the proportion of gymnosperms is higher and cross-stratification sets of sandstones indicate paleocurrents mainly to NE and secondarily to SE. In the western site, most of the 42 measured stems lie in E-W positions. The predominantly sandy succession, where the fossil stems are best represented, evidences a braided fluvial system under semiarid conditions. The low plant diversity, some xeromorphic features and the supposedly almost syndepositional silica impregnation of the plants are coherent with marked dry seasons. Thick mudstones and some coquinites below and above the sandy interval may represent lacustrine facies formed in probably more humid conditions. The taphonomic history of the preserved plants began with exceptional storms that caused fast-flowing high water in channels and far into the floodplains. In the eastern site region, many tree ferns only fell, thus sometimes covering and protecting plant litter and leaves from further fragmentation. Assemblages of the central and western sites suggest that the trees were uprooted and transported in suspension (floating) parallel to the flow. Heavier ends of stems (according to their form or because of attached basal bulbous root mantle or large apical fronds) were oriented to upstream because of inertial forces. During falling water stage, the stems were stranded on riverbanks, usually maintaining the previous transport orientation, and were slightly buried. The perpendicular or oblique positions of some stems may have been caused by interference with other stems or shallow bars. Rare observed stems were apparently waterlogged before the final depositional process and transported as bedload. The differences of interpreted channel orientations between the three sites are expected in a braided fluvial system, considering the very low gradients of the basin and the work scale in the order of tens of kilometers. The mean direction of the drainage probably was to east and the flows apparently became weaker downstream. This study seems to provide reliable data for paleocurrent interpretations, especially considering areas with scarce preserved sedimentary structures. © 2013 Elsevier Ltd.
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Objective: To investigate the influence of the presence or absence of keratinized mucosa on the alveolar bony crest level as it relates to different buccal marginal bone thicknesses. Material and methods: In six beagle dogs, the mandibular premolars and first molars were extracted bilaterally. In the right side of the mandible (test), flaps were elevated, and the buccal as well as part of the lingual masticatory mucosa was removed. The flap was released coronally to allow a primary wound closure. In the left side, the wounds were left unsutured with the keratinized mucosa remaining (control). After 3 months of healing, a complete absence of keratinized mucosa was found at the test sites. Two recipient sites were prepared at each side of the mandible, one in the premolar and one in the molar region. A buccal bony ridge width of approximately 1 and 2 mm was obtained at the premolar and molar region, respectively. Implants were installed with the shoulder flush with the buccal alveolar bony crest, and abutments were connected to allow a nonsubmerged healing. At least 2 mm of keratinized mucosa was surrounding the control sites, while at the test sites, the implants were bordered by alveolar mucosa. After 3 months, the animals were euthanized and ground sections obtained. Results: A higher vertical bony crest resorption was observed at the test compared with the control sites both at the premolar and molar regions, the differences being statistically significant. The top of the peri-implant mucosa was located more coronally at the control compared with the test sites. The horizontal resorption measured 1 mm below the implant shoulder was similar at the test and control sites. Only limited differences were found between premolar and molar sites, with the exclusion of the horizontal resorption that was higher at the test compared with the control sites. Conclusions: A higher alveolar buccal bony crest resorption and a more apical soft tissue marginal position should be expected, when implants are surrounded with thin alveolar mucosa at the time of installation, independently of the thickness of the buccal bony crest. © 2013 John Wiley & Sons A/S.
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In this study, curved maxillary molar root canals were instrumented with RaCe rotary system to evaluate: 1. the occurrence of canal transportation using a radiographic platform; 2. the action of the instruments on the dentin walls, centering ability and canal enlargement by analysis of digital images; and the percentage of regular dentin surfaces and debris within the canal by histological analysis. Ten mesiobuccal roots of extracted human maxillary molars were embedded in acrylic resin and sectioned at the middle and apical thirds. Root canal shaping was performed using the RaCe rotary system at 250 rpm and 1 Ncm torque. Each instrument set was used five times according to a crowndown technique in the following sequence: 40/0.10, 35/0.08, 25/0.06, 25/0.04, 25/0.02 (working length - WL), 30/0.02 (WL) and 35/0.02 (WL). Each instrument was inserted until resistance was felt and then pulled back, followed by brushing movements towards all canal walls. Each specimen was assessed by three study methods: radiographic platform, digitized image assessment and histological analysis. The radiographic platform showed lack of apical transportation. No statistically significant difference (Wilcoxon test, p>0.05) was found between the middle and apical thirds regarding instrument action on dentin walls, centering ability, area of root canal enlargement, percentage of regular dentin surfaces and debris within the root canal. It may be concluded that RaCe system is a suitable method for the preparation of curved root canals, regarding the maintenance of root canal original path, action on dentin walls, canal enlargement and removal of debris from the root canal lumen.
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Introduction: Hydrogen peroxide tooth bleaching is claimed to cause alterations in dental tissue structures. This study investigated the influence of the number of bleaching sessions on pulp tissue in rats. Methods: Male Wistar rats were studied in 5 groups (groups 1S-5S) of 10 each, which differed by the number (1-5) of bleaching sessions. In each session, the animals were anesthetized, and 35% hydrogen peroxide gel was applied to 3 upper right molars. Two days after the experimental period, the animals were killed, and their jaws were processed for light microscope evaluation. Pulp tissue reactions were scored as follows: 1, no or few inflammatory cells and no reaction; 2, <25 cells and a mild reaction; 3, between 25 and 125 cells and a moderate reaction; and 4, 125 or more cells and a severe reaction. Results from each experimental group were compared between groups and within groups to the corresponding unbleached upper left molars and analyzed for significant differences using the Kruskal-Wallis test (P < .05). Results: All tissue sections showed significant bleaching-induced changes in the dental pulp. After 1 bleaching session, necrotic tissue in the pulp horns and underlying inflammatory changes were observed. The extent and intensity of these changes increased with the number of bleaching sessions. After 5 sessions, the changes included necrotic areas in the pulp tissue involving the second third of the radicular pulp and intense inflammation in the apical third. Conclusions: The number of bleaching sessions directly influenced the extent of pulp damage. © 2013 American Association of Endodontists.
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The aim of this paper was to report the diagnosis and evaluation of periradicular bone repair by using computed tomography and digital subtraction radiography in an endodontic surgery case treated with mineral trioxide aggregate (MTA). The patient had local swelling and fistula 7years after trauma in the upper jaw. Periapical lesion on tooth #12 and root resorption of tooth #11 were detected radiographically. Endodontic therapy and placement of intracanal medication were carried out. After 3months, with no improvement in the clinical signs and symptoms, computed tomography was performed, showing extensive apical bone resorption on tooth #12 and dental resorption promoting communication of the root canal with the periodontium of tooth #11. The patient was referred to endodontic surgery. After surgery and postoperative periods of 15, 30, 60, 90, and 120days, standardized radiographs were taken, digitized, and subjected to digital subtraction of the images using Adobe Photoshop CS software. Four years later, a cone-beam computed tomography was performed, showing bone repair and absence of root resorption at tooth #11. In this clinical case, digital subtraction radiography was effective for early detection of new bone formation and evolution of repair. © 2011 John Wiley & Sons A/S.
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Aim To compare the effect of recombinant human bone morphogenetic protein-2 (rhBMP-2) in an absorbable collagen sponge carrier (ACS) with autogenous bone graft for augmentation of the edentulous atrophic anterior maxilla. Methods Twenty-four subjects were enrolled in a randomized, controlled, parallel-group, open-label clinical trial. Subjects either received rhBMP-2/ACS (1.5 mg/ml) or particulated autogenous bone harvested from the mandibular retromolar region. A titanium-mesh was used to provide space and wound stability. A guide was used to standardize clinical recordings using an analogue caliper. Alveolar ridge width was also assessed using cone-beam computed tomography. Results rhBMP-2/ACS yielded significantly greater radiographic horizontal bone gain compared with autogenous bone graft at immediate subcrestal levels (1.5 ± 0.7 versus 0.5 ± 0.9 mm; p = 0.01); non-significant differences were observed at mid- (2.9 ± 0.8 versus 2.9 ± 0.9 mm; p = 0.98) and apical (1.7 ± 0.9 versus 1.8 ± 1.1 mm; p = 0.85) crestal levels. No significant differences in clinical horizontal bone gain were observed at 6 months between rhBMP-2/ACS and autogenous bone graft (3.2 ± 0.9 mm versus 3.7 ± 1.4 mm; p = 0.31). Sixty-two implants were placed after 6 month of healing with no significant differences between groups for number of implants, implant size, primary stability and survival. Conclusions rhBMP-2/ACS appears a realistic alternative for augmentation of the edentulous atrophic anterior maxilla. © 2013 John Wiley & Sons A/S. Published by John Wiley & Sons Ltd.
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Pós-graduação em Agronomia (Agricultura) - FCA
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Conselho Nacional de Desenvolvimento Científico e Tecnológico (CNPq)
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Pós-graduação em Ciências Biológicas (Biologia Celular e Molecular) - IBRC
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Conselho Nacional de Desenvolvimento Científico e Tecnológico (CNPq)
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Pós-graduação em Ciências Biológicas (Biologia Vegetal) - IBRC
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Coordenação de Aperfeiçoamento de Pessoal de Nível Superior (CAPES)
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Pós-graduação em Biopatologia Bucal - ICT