Dimensional changes in soft tissues around dental implants following free gingival grafting: an experimental study in dogs

ObjectiveTo study the buccal dimensional tissue changes at oral implants following free gingival grafting, with or without including the keratin layer, performed at the time of implant installation into alveolar mucosa.Material and methodsThe mandibular premolars and first molars were extracted bilaterally in six Beagle dogs. In the right side of the mandible (Test), flaps were first elevated, and the buccal as well as part of the lingual masticatory mucosa was removed. An incision of the periosteum at the buccal aspect was performed to allow the flap to be coronally repositioned. Primary wound closure was obtained. In the left side, the masticatory (keratinized) mucosa was left in situ, and no sutures were applied (Control). After 3months of healing, absence of keratinized mucosa was confirmed at the test sites. Two recipient sites were prepared at each side of the mandible in the region of the third and fourth premolars. All implants were installed with the shoulder placed flush with the buccal alveolar bony crest, and abutments were connected to allow a non-submerged healing. Two free gingival mucosal grafts were harvested from the buccal region of the maxillary canines. One graft was left intact (gingival mucosal graft), while for the second, the epithelial layer was removed (gingival connective tissue graft). Subsequently, the grafts were fixed around the test implants in position of the third and fourth premolars, respectively. After 3months, the animals were euthanized and ground sections obtained.ResultsSimilar bony crest resorption and coronal extension of osseointegration were found at test and control sites. Moreover, similar dimensions of the peri-implant soft tissues were obtained at test and control sites.ConclusionsThe increase in the alveolar mucosal thickness by means of a gingival graft affected the peri-implant marginal bone resorption and soft tissue recession around implants. This resulted in outcomes that were similar to those at implants surrounded by masticatory mucosa, indicating that gingival grafting in the absence of keratinized mucosa around implants may reduce the resorption of the marginal crest and soft tissue recession.

Healing at implant sites prepared conventionally or by means of Sonosurgery (R): an experimental study in dogs

ObjectiveTo compare peri-implant tissue healing at implants installed in sites prepared with conventional drills or a sonic device.Material and methodsIn six Beagle dogs, the mandibular premolars and first molars were extracted bilaterally. After 3 months, full-thickness muco-periosteal flaps were elevated and recipient sites were prepared in both sides of the mandible. In the right side (control), the osteotomies were prepared using conventional drills, while, at the left side (test), a sonic device (Sonosurgery((R))) was used. Two implants were installed in each side of the mandible. After 8weeks of non-submerged healing, biopsies were harvested and ground sections prepared for histological evaluation.ResultsThe time consumed for the osteotomies at the test was more than double compared to the conventional control sites. No statistically significant differences were found for any of the histological variables evaluated for hard and soft tissue dimensions. Although not statistically significant, slightly higher mineralized bone-to-implant contact was found at the test (65.4%) compared to the control (58.1) sites.ConclusionsSimilar healing characteristics in osseointegration and marginal hard tissue remodeling resulted at implants installed into osteotomies prepared with conventional drills or with the sonic instrument (Sonosurgery((R))).

Healing of implants installed in over- or under-prepared sites: an experimental study in dogs

ObjectiveTo study bone healing at implants installed with different insertion torques.Material and methodsIn six Labrador dogs, all mandibular premolars and first molars were extracted. After 4months of healing, flaps were elevated, and two implant sites were prepared at each side of the mandible. In the right side of the mandible, the distal sites were prepared conventionally, while the mesial sites were over-prepared by 0.2mm. As a consequence, a final insertion torque of similar to 30Ncm at the distal and a minimal insertion torque close to 0Ncm at the mesial sites were obtained. In the left sides of the mandible, however, the recipient sites were underprepared by 0.3mm resulting in an insertion torque of 70Ncm at both implants. Cover screws were applied, and flaps sutured to fully submerge the experimental sites. After 4months, the animals were sacrificed and ground sections obtained for histological evaluation.ResultsThe mineralized bone-to-implant contact was in the range of 55.2-62.1%, displaying the highest value at implants with similar to 30Ncm insertion torque and the lowest value at the implant sites with close to 0Ncm insertion torque. No statistically significant differences were revealed. Bone density was in the range of 43.4-54.9%, yielding the highest value at implants with 70Ncm insertion torque and the lowest at the implant sites with close to 0Ncm insertion torque. The difference between the sites of similar to 30Ncm and the corresponding 70Ncm insertion torque reached statistical significance.ConclusionsSimilar amounts of osseointegration were obtained irrespective of the insertion torque applied. Moreover, implants installed in sites with close to 0Ncm insertion torque may properly osseointegrate as well.

Longitudinal evaluation of the structural integrity of teeth affected by molar incisor hypomineralisation

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

Description of three new species of Moenkhausia (Teleostei, Characiformes, Characidae) with the definition of the Moenkhausia jamesi species complex

From the examination of extensive comparative material currently identified as M. jamesi we verified that there are, at least, three new species under this name. These, along with M. jamesi and M. justae, form what we herein called the M. jamesi species complex, by sharing the following group of characters: a short maxilla, with its distal margin not exceeding anterior third of the second infraorbital; first through third teeth of the inner row of premaxilla and first and second dentary teeth with cusps arranged in a pronounced arch, humeral spot positioned between the fourth and seventh scales of the lateral line and extending up to four scale rows above the lateral line and one scale row below the lateral line, and a vertically oval to round spot at the base of the caudal fin rays. Moenkhausia ischyognatha sp. n., from Rio Xingu basin, differs from the other species of the complex by its lower head depth. Moenkhausia alesis sp. n., from the river system Tocantins-Araguaia, differs from M. jamesi, M. ischyognatha, and M. sthenosthoma by the number of scale rows above the lateral line. Moenkhausia sthenosthoma sp. n., from the Rio Madeira basin, differs from M. jamesi by the number of scale rows between the lateral line and the midventral scale series. Moenkhausia justae can be diagnosed from the other species of the complex by having a tri to pentacuspidate tooth on the maxilla.

Pancreatitis subtypes survey in 852 childhood-onset systemic lupus erythematosus patients: a multicenter cohort

Pancreatitis is a rare and a life-threatening SLE manifestation in childhood-onset systemic lupus erythematosus (c-SLE). The objective of this study was to systematically classify pancreatitis in c-SLE according to the International Study Group of Pediatric Pancreatitis (INSPPIRE) and determine the overall prevalence, clinical features, laboratory and first episode outcomes. A multicenter cohort study in 10 Pediatric Rheumatology centers, including 852 cSLE patients. Pancreatitis was diagnosed in 22/852 (2.6%) cSLE patients. It was classified as acute pancreatitis in 20 (91%), acute recurrent pancreatitis in 2 (9%) and none of them had chronic pancreatitis. None of them had gallstones, traumatic pancreatitis or reported alcohol/tobacco use. The comparison of patients with pancreatitis (first episode) and without this complication revealed a shorter disease duration [1(0-10) vs. 4(0-23) years, p < 0.0001] and higher median of SLEDAI-2K [21(0-41) vs. 2(0-45), p < 0.0001]. The frequencies of fever (p < 0.0001), weight loss (p < 0.0001), serositis (p < 0.0001), nephritis (p < 0.0001), arterial hypertension (p < 0.0001), acute renal failure (p < 0.0001), macrophage activation syndrome (p < 0.0001) and death (p = 0.001) were also higher in patients with pancreatitis. The frequencies of intravenous methylprednisolone use (p < 0.0001) and the median of prednisone dose [55(15-60) vs. 11(1-90)mg/day, p < 0.0001] were significantly higher in patients with pancreatitis. Of note, the two patients with acute recurrent pancreatitis had two episodes, with pain-free interval of 1 and 4 years. This was the first study characterizing pancreatitis using the INSPPIRE standardized definitions in patients with cSLE showing that the predominant form is acute pancreatitis seen in association with glucocorticoid treatment and active severe disease.

Estratégias pedagógicas no ensino da clínica ampliada na atenção primária à saude: percepções e vivências dos alunos de graduação médica

Coordenação de Aperfeiçoamento de Pessoal de Nível Superior (CAPES)

Visões de autonomia do professor e sua influência na prática pedagógica

Currently many studies have highlighted the importance of development autonomy of teachers to improve the quality of education. Our study aimed to explore the concepts of autonomy presented that teachers working in kindergarten and first grades of elementary school. Our aim was to understand how these concepoes helped or hindered the development of the action of the teacher second Contreras (2002). The results showed that the conceptions, presented by the teacher, were high ly individualistic, demonstrate a professional focused only on matters relating to the didactic and pedagogic classroom.

Using landscape metrics to analyze micro-scale soil erosion processes

Methods of recording soil erosion using photographs exist but they are not commonly considered in scientific studies. Digital images may hold an expressive amount of information that can be extracted quickly in different manners. The investigation of several metrics that were initially developed for landscape ecology analysis constitutes one method. In this study we applied a method of landscape metrics to quantify the spatial configuration of surface micro-topography and erosion-related features, in order to generate a possible complementary tool for environmental management. In a 3.7 m wide and 9.7 m long soil box used during a rainfall simulation study, digital images were systematically acquired in four instances: (a) when the soil was dry; (b) after a short duration rain for initial wetting; (c) after the first erosive rain; and (d) after the 2nd erosive rain. Thirteen locations were established in the box and digital photos were taken at these locations with the camera positioned at the same orthogonal distance from the soil surface under the same ambient light intensity. Digital photos were converted into bimodal images and seven landscape metrics were analyzed: percentage of land, number of patches, density of patches, largest patch index, edge density, shape index, and fractal dimension. Digital images were an appropriate tool because they can generate data very quickly. The landscape metrics were sensitive to changes in soil surface micro-morphology especially after the 1st erosive rain event, indicating significant erosional feature development between the initial wetting and first erosive rainfall. The method is considered suitable for spatial patterns of soil micro-topography evolution from rainfall events that bear similarity to landscape scale pattern evolution from eco-hydrological processes. Although much more study is needed for calibrating the landscape metrics at the micro-scale, this study is a step forward in demonstrating the advantages of the method.

Desempenho agronômico e produtivo de cultivares de soja em diferentes ciclos e safras

With the objective of gathering technical data about soybean cultivars performance in Botucatu, state of São Paulo, Brazil, an experiment was conducted to evaluate seventeen genotypes. The experiment was conducted during the Summer seasons of 2002/03, 2003/04, and 2004/05. The experiment was set in the field according to a complete block design with four repetitions. The soybean cultivars were ‘Embrapa 48’, ‘BRS 132’. ‘BRS 183’, ‘BRS 212’, ‘IAC 22’, and ‘IAC 23’ (early cycled varieties), ‘BRS 133’, ‘BRS 154’, ‘BRS 156’, ‘BRS 184’, ‘BRS 214’, ‘IAC 18’, and ‘IAC 24’ ( semi early varieties), and ‘BRS 134’, ‘BRS 215’, ‘IAC 8.2’, and ‘IAC 19’ (medium cycled varieties ). All the varieties, during the three cropping years, showed adequate plant height and first pod height of insertion for mechanical harvest. Among the production components, mass of 100 grains showed the highest variability. Cultivar ‘BRS 154’ (medium cycle) showed the highest variation in mass of 100 grains and was also the highest yielding variety in the cropping year of 2004/05. The majority of the cultivars yielded above 3,000 kg ha -1 during the cropping years of 2002/03 and 2004/05. The best yielding performance during the three cropping years were displayed by cultivars ‘IAC 22’ (early cycle), ‘BRS 133’ and ‘BRS 156’ ( both semi early cycled varieties).

Viabilidade técnica e econômica da incorporação do balanço eletrolítico na formulação de rações para poedeiras em segundo ciclo de produção

Coordenação de Aperfeiçoamento de Pessoal de Nível Superior (CAPES)

Análise multivariada de características reprodutivas e produtivas de vacas da raça Holandesa

Coordenação de Aperfeiçoamento de Pessoal de Nível Superior (CAPES)