975 resultados para Dental Elements


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The concepts of buccal health promotion and the increase of life expectancy have contributed for the highest maintenance of dental elements. Thus, with the new alimentary and behavioral habits the irreversible loss of dental hard tissue of non-carious origin has increased substantially, being divided in attrition, erosion and abrasion. The dental erosion is a chronic pathology defined as the superficial loss of dental hard tissue as a result of a chemical process not involving bacteria caused by acid that could be intrinsic, extrinsic or unknown etiology, causing irreversible loss of mineral tissue and dentinal hypersensitivity. The aim of this paper is to present a review of literature on the main factors that can cause the injuries of erosion, including the different aspects related to its etiology, classification, diagnosis, prevention and treatment.

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Conselho Nacional de Desenvolvimento Científico e Tecnológico (CNPq)

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The contemporary implant dentistry is in constant technological development, improving the oral rehabilitation process of partial or totally edentulous patients. On the other hand, anatomical limitations, such as the maxillary sinus and the mandibular canal in the posterior region of the jaws can limit the implant placement. Furthermore, due to the absence of dental elements, alveolar ridge atrophy is frequently observed. This aspect represents a loss either in quantity or quality of the bone tissue available for the dental implant rehabilitation. To make possible the dental implant rehabilitation even in adverse conditions, some solutions have been considered, such as the use of short implants (≤ 10 mm length) and/or small diameter implants (2,8; 3,3 and 3,5 mm width). The aim of this study is to present a literature review considering the use of short implants in oral rehabilitation, presenting the currently view of the matter. Based on the literature review, the use of short implants produced similar clinical success to conventional implants (greater than 10 mm in length). Therefore, its use can be considered a viable alternative, where anatomical limitations are present.

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Hypohidrotic ectodermal dysplasia (HED) is a rare disease of genetic etiology. The most frequent form is of recessive linked to X-chromosome inheritance with affected male and female carriers. It can occur through autosomal mutations, of the gene EDA1 gene being responsible for the majority of the cases. It is characterized by the triad: hypohidrosis, oligodontia and hypotrichosis. We present two cases of patients with HED in which we observed characteristic signs of this syndrome: delicate skin, sparce hair, eyebrows and eyelashes, periorbital wrinkles, perioral and periorbital hyperpigmentation, prominent lips, in addition the patient in case 2 also present the depressed nasal bridge. We also found decreased salivary and lacrimal secretion and maxillary hypoplasia in both cases. At the oral examination in case 1 the upper right and left deciduous canines and lower right deciduous canine were present, and in case 2 the upper and lower (right and left) deciduous canines and two upper (one right and other left) permanent incisors were present with altered morphology, all of these dental elements were healthy. The early dental treatment of patients with HED, especially in the presence of oligodontia, as observed in our cases, is important not only to provide a better quality of life for these patients in the short term, but also an attempt to minimize the changes in facial growth to which these patients are subject.

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The aim of this study is to demonstrate through a case report, a proposed treatment for discolored teeth, with and without pulp vitality, by the technique of external and internal tooth bleaching with hydrogen peroxide to 35% Lase Peroxide Sensy (DMC) using Whitening Lase II Device (DMC), and a silicone guide (3M ESPE) in the palatine portion of the upper teeth. In this clinical case, the patient had darkened dental elements 11 and 22, and dissatisfaction with the coloring of other elements. It was observed that the techniques used and the materials chosen allowed for an excellent aesthetic result, with technical simplicity and low cost, and minimal occurrence of signs and symptoms

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The clinical records correspond to a set of documents where all information of the patient is stored. When properly confectioned and filed by the dentist, it may serve as a tool for success in dental expertise. The aim of this paper is to present the importance of proper confection of dental records in human identification by means the presentation of a case of identification, occurred in a São Paulo state city. The notes present in the dental records of the alleged victim were very poor, even with a contradiction. However, having endodontic treatment been performed, the comparative analysis between the radiographs of the skull of the victim (postmortem) and the endodontic treatment of tooth 22 (antemortem) permitted to observe total coincidence between the details of such treatment, and anatomical features present in other dental elements. These important parameters of comparison indicated that the body was of the suspect and, due to the number of coincidences, it could not belong to another individual. Nevertheless, the clinical documentation provided was deficient, and presented contradictory data. Because of its fundamental importance for human identification, it is essential that dental professionals take the necessary care to ensure its proper confection and custody, seeking to make the clinical records also an efficient instrument of consultation in identification cases.

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The oral rehabilitation has achieved great prominence in the dental implant, especially in the cases of reposition of units dental elements, so it is possible to replace each missing element to implant into your space where the tooth was loss. The reverse planning is fundamental to an appropriate rehabilitation, because promote the elimination of problems that might compromise the aesthetics and function of future dental implants. The objective of this study was to report the treatment plan for a patient in need of oral rehabilitation with implant dental prosthesis, using indications and techniques based on the literature, emphasizing the importance of reverse planning. We conducted an osseointegrated implant surgery using the principles of a connect procedure, thus allowing their successfully installing increasing the predictability of treatment. It is concluded that the success of rehabilitation treatment is directly related to the initial planning, a correct clinical approach and an integrated multidisciplinary team.

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This is a clinical case report of a patient who presented with dental stains in the buccal and proximal aspects of the anterior teeth. Buccal stains were removed using the enamel microabrasion technique, and vital tooth bleaching with carbamide peroxide was also performed. Restorative procedures employing composite resin were done for a better result in the proximal aspect of teeth. Clinical significance: The authors observed the combination of these esthetic techniques improved the patient's smile. Today, dental esthetics attempts to imitate natural teeth by making them white, well-shaped, and aligned with no spots. This has enabled the development of several esthetic techniques, such as microabrasion to remove dental enamel surface stains and surface irregularities,1-6 and vital tooth bleaching to treat yellowish teeth.7 The enamel microabrasion technique uses different abrasive agents associated with chemical solutions,1,2,4,6 allowing the removal of intrinsic, hard-texture stains, and different coloring spots on the enamel surface, as well as correction of irregularities on the dental buccal surface.1,8 The various microabrasive products include the Opalustre® (Ultradent Products, http://www.ultradent.com)or Prema® Compound (Premier Dental Products, http://www.premusa.com), a low-concentration hydrochloric acid product associated with silica microparticles that is certainly effective for microabrasion technique,4,6,9,10 providing a good safety profile for the patient and professional. The microabrasion technique also promotes micro-reduction on the adamantine surface.4,5,10 In some cases, after its completion, microabrasion may cause teeth to become darker or yellowish because of the thinner remaining enamel surface, leading to more evident observation of the dentinal tissue, which in general determines tooth color. In these clinical conditions, correction of the color pattern of dental elements can be obtained with carbamide peroxide products applied in custom trays, such as the bleaching products Whiteness Perfect at 10% or 16% (FGM Productos Odontologicos, http://www.fgm.ind.br) or Opalescence® at 10% or 15% (Ultradent Products), with a considerable margin of clinical success, provided it is well indicated, well performed, and supervised by the professional.4,6,9,10 Considering all the aforementioned aspects, the authors present a clinical case about a dental-enamel microabrasion technique used to remove buccal enamel surface stains associated with dental vital bleaching and restorative procedures in the proximal aspect of anterior teeth. - See more at: https://www.dentalaegis.com/cced/2010/08/different-esthetic-techniques-used-in-combination-to-recover-the-smile#sthash.McFoH7El.dpuf

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

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O conhecimento prévio do posicionamento dos dentes nas arcadas dentárias é um dos assuntos importantes em Ortodontia, para que o diagnóstico e a planificação do tratamento sejam corretamente realizados e, principalmente, para que o prognóstico da estabilidade da correção seja favorável. A literatura comprova a necessidade da avaliação das arcadas dentárias quanto à sua forma, dimensão e posição dos dentes, respeitando-se as variações individuais. Este estudo objetivou definir o posicionamento dos dentes nas arcadas dentárias, determinando a média de desvios lineares e angulares, no plano horizontal. Para tanto, utilizou-se uma amostra de 61 pares de modelos de gesso, obtidos de jovens brasileiros, leucodermas, com idades de 12 a 21 anos portadores de oclusão normal. Após o preparo, estes modelos foram digitalizados por vista oclusal e inseridos em um programa computadorizado CorelDraw 9, onde foram obtidas curvas e linhas que determinaram as variáveis lineares e angulares nas arcadas superiores e inferiores. Com base nos resultados obtidos, para esta amostra, pode-se concluir que na arcada superior, os incisivos laterais se posicionam para lingual em relação aos incisivos centrais e caninos; os caninos em relação aos incisivos centrais encontram-se para vestibular; os caninos em relação aos primeiros pré-molares se posicionam para lingual; entre pré-molares não há proeminência de nenhum deles; os segundos pré-molares estão para lingual em relação aos primeiros molares; e, os segundos molares se posicionam para lingual quando comparados aos primeiros molares. Na arcada inferior os caninos se encontram para vestibular em relação aos incisivos; os primeiros pré-molares se posicionam para lingual em relação aos caninos e aos segundos pré-molares; os segundos pré-molares em relação aos primeiros molares estão para vestibular; e, os segundos molares se posicionam para lingual em relação aos primeiros molares. Nas variáveis angulares, com exceção dos segundos molares inferiores em relação aos primeiros molares, todas as porções distais das faces vestibulares dos molares superiores e inferiores se encontram para lingual em comparação com as porções mesiais.

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O conhecimento prévio do posicionamento dos dentes nas arcadas dentárias é um dos assuntos importantes em Ortodontia, para que o diagnóstico e a planificação do tratamento sejam corretamente realizados e, principalmente, para que o prognóstico da estabilidade da correção seja favorável. A literatura comprova a necessidade da avaliação das arcadas dentárias quanto à sua forma, dimensão e posição dos dentes, respeitando-se as variações individuais. Este estudo objetivou definir o posicionamento dos dentes nas arcadas dentárias, determinando a média de desvios lineares e angulares, no plano horizontal. Para tanto, utilizou-se uma amostra de 61 pares de modelos de gesso, obtidos de jovens brasileiros, leucodermas, com idades de 12 a 21 anos portadores de oclusão normal. Após o preparo, estes modelos foram digitalizados por vista oclusal e inseridos em um programa computadorizado CorelDraw 9, onde foram obtidas curvas e linhas que determinaram as variáveis lineares e angulares nas arcadas superiores e inferiores. Com base nos resultados obtidos, para esta amostra, pode-se concluir que na arcada superior, os incisivos laterais se posicionam para lingual em relação aos incisivos centrais e caninos; os caninos em relação aos incisivos centrais encontram-se para vestibular; os caninos em relação aos primeiros pré-molares se posicionam para lingual; entre pré-molares não há proeminência de nenhum deles; os segundos pré-molares estão para lingual em relação aos primeiros molares; e, os segundos molares se posicionam para lingual quando comparados aos primeiros molares. Na arcada inferior os caninos se encontram para vestibular em relação aos incisivos; os primeiros pré-molares se posicionam para lingual em relação aos caninos e aos segundos pré-molares; os segundos pré-molares em relação aos primeiros molares estão para vestibular; e, os segundos molares se posicionam para lingual em relação aos primeiros molares. Nas variáveis angulares, com exceção dos segundos molares inferiores em relação aos primeiros molares, todas as porções distais das faces vestibulares dos molares superiores e inferiores se encontram para lingual em comparação com as porções mesiais.

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Vivianite is a bluish mineral sometimes encountered in archaeological deposits. It is notable for its tendency to change color from white or grayish to blue on exposure to air. Vivianite requires specific conditions for its formation-sources of iron, phosphate, and water, as well as low levels of oxygen and sulfide. Microbial activity is also thought to play a part in vivianite formation. The majority of archaeological texts do not discuss vivianite to any great degree, preventing a more detailed interpretation of site conditions and features. Vivianite was found in 25 exhumed burials from the North Brisbane Burial Ground, Queensland, Australia. Research indicated that bone or tissue samples for DNA analysis are best taken from areas distant from vivianite encrustations and that presence of vivianite has implications for artifact conservation. Vivianite at the North Brisbane Burial Grounds helped protect some skeletal and dental elements, preserved the impressions of metal coffin lacing, and also corroborated the oral history of temporary waterlogging and acted as a measure of pollution levels across the site. (c) 2006 Wiley Periodicals, Inc.