RESUMEN
Este estudio se realizó con el propósito de analizar el efecto de la aplicación de ondas de USBI sobre la velocidad y distancia de movimiento dentario, y su efecto a nivel histológico en ratas Sprague-Dawley. Veintitrés ratas macho Sprague-Dawley fueron parte del experimento, las que fueron divididas aleatoriamente en tres grupos. Cinco ratas fueron utilizadas como control sin movimiento dentario ortodóncico (MDO), nueve ratas fueron sometidas a una aplicación de fuerza ortodóncica sin aplicación de USBI y nueve fueron sometidas a una aplicación de fuerza ortodóncica con USBI. Estas fuerzas ortodóncicas fueron realizadas entre el aspecto mesio vestibular del primer molar superior izquierdo y el incisivo central superior, traccionando el molar hacia mesial, aplicando una fuerza aproximada de 50 gramos durante 21 días, debido a problemas con la sedación estos dos últimos grupos quedaron compuestos de seis y ocho ratas respectivamente. En el grupo MDO sin USBI, se registró una reducción del espacio entre molares e incisivos de 2 mm. En el grupo MDO con USBI dicha reducción fue de 3.4 mm, siendo esta diferencia estadísticamente significativa. Histológicamente el grupo MDO c/USBI mostró un perímetro vascular y espacios medulares aumentados respecto de los otros grupos, no obstante, no se encontraron diferencias significativas en la cantidad de osteoclastos. Fue posible observar y demostrar cuantitativamente que el USBI es una forma de estimulación mecánica eficiente para la aceleración del MDO sobre un período experimental de 21 días, donde se observaron diferencias significativas entre el grupo control, el grupo MDO sin USBI y el grupo MDO con USBI en la magnitud del movimiento dentario. Se observó una mayor vascularidad en el grupo con USBI, expresando perímetros vasculares de mayor tamaño, esto pudo deberse al efecto estimulatorio del ultrasonido sobre la angiogénesis.
The objective of this study was to analyze the effect of USBI wave application on the speed and distance of dental movement, and its effect at histological level in SpragueDawley rats. In this study twenty-three male Sprague-Dawley rats were randomly divided into three groups. Five rats were used as control without orthodontic tooth movement (MDO), nine rats were subjected to an orthodontic force application without USBI application, and nine were subjected to an orthodontic force application with USBI. The orthodontic forces were performed between the vestibular mesio aspect of the first upper left molar and upper central incisor, pulling the molar mesially, applying an approximate force of 50 grams for 21 days. In light of sedation problems these last two groups were composed of six and eight rats respectively. In the MDO group without USBI, there was a reduction in the space between molars and incisors of 2 mm. In the MDO group with USBI this reduction was 3.4mm, this difference being statistically significant. Histologically, the MDO c / USBI group showed a vascular perimeter and enlarged spinal spaces with respect to the other groups, however, no significant differences were found in the amount of osteoclasts. It was possible to quantitatively demonstrate that USBI is a form of efficient mechanical stimulation for MDO acceleration over an experimental 21-day period, where significant differences were observed in tooth movement between the control group, the group without USBI and the group with USBI. A greater vascularity was observed in the group with USBI, expressing larger vascular perimeters, which could be due to the stimulatory effect of ultrasound on angiogenesis.
Asunto(s)
Animales , Masculino , Ratas , Técnicas de Movimiento Dental , Ultrasonido , Alveolo Dental/anatomía & histología , Ratas Sprague-DawleyRESUMEN
The aim was to describe the star volume analysis in ridge preservation using different grafting materials. Bilateral extraction of the first mandibular molars of sixteen male rabbits was performed, divided at random into four groups (n= 4 in each group) according to graft, using: blood clot (G1), xenograft (G2), pure phase beta-tricalcium phosphate (G3) and biphasic calcium phosphate (60 % HA / 40 % beta-TCP) (G4). Rabbits were euthanized at 4, 6, or 8 wk post-extraction; the trabecular bone structures was evaluated by star volume analysis. The Levene test was used to analyze variance, as was the independent sample t-test. A P-value of < 0.001 was used to establish a statistically significant. The star volume analysis of the mandibular trabecula shows that the marrow space star volume (V*m.space) was higher than the trabecular star volume (V*tr). At 6-week post-extraction, new trabecular bone was evident. At 8-week post-extraction V*tr increase in all groups and the V*m.space diminish, suggesting coarsening of the internal architecture. In G2, some trabecular bone was observed in the central region. In G3, most of the socket regions were occupied by newly formed and loose trabecular bone and in the G4, the sockets were almost entirely filled with trabecular bone. Star volume analysis is adequate to analysis of bone patterns formation using bone substitutes.
El objetivo de esta investigación fue describir el volumen estrella en preservación alveolar utilizando diferentes injertos óseos. La exodoncia bilateral del primer molar mandibular de 16 conejos machos fue realizada, dividiéndolos en 4 grupos (n= 4 en cada grupo) de acuerdo al injerto utilizado, siendo: coágulo sanguíneo (G1), xenoinjerto (G2), beta-tricalcio fosfato puro (G3) y fosfato de calcio bifásico (60 % HA / 40 % beta-TCP) (G4). Los conejos fueron sometidos a eutanasia a las 4, 6 u 8 semanas post exodoncia; el trabeculado óseo fue evaluado por medio del volumen estrella. La prueba de Levene fue utilizado para el análisis de varianza y luego la prueba t-test para muestras independientes. El valor de P menor a 0.001 fue establecido como significancia estadística. El análisis del volumen estrella del trabeculado mostró que el espacio medular de volumen estrella (V*m.space) fue mayor que trabeculado (V*tr). A 6 semanas post exodoncia, nuevo trabeculado óseo fue evidente. A las 8 semanas post exodoncia V*tr aumenta en todos los grupos y el V*m.space disminuye, sugiriendo un engrosamiento de la arquitectura interna. En el grupo G2, algún trabeculado óseo fue observado en la región central. En el G3, la mayoría del alveolo fue ocupado por nuevo hueso y perdió trabeculado óseo y en G4, el alveolo fue ocupado casi enteramente por hueso trabecular. El análisis de volumen estrella es adecuado para analizar el modelo de formación ósea utilizando sustitutos óseos.
Asunto(s)
Animales , Conejos , Trasplante Óseo/métodos , Alveolo Dental/anatomía & histología , Alveolo Dental/cirugía , Aumento de la Cresta Alveolar , Extracción Dental , Cicatrización de Heridas , Sustitutos de Huesos , Mandíbula/anatomía & histologíaRESUMEN
BACKGROUND: There are numerous methods to measure the dimensions of the gingival tissue, but few have compared the effectiveness of one method over another. OBJECTIVE: This study aimed to describe a new method and to estimate the validity of gingival biotype assessment with the aid of computed tomography scanning (CTS). MATERIALS AND METHODS: In each patient different methods of evaluation of the gingival thickness were used: transparency of periodontal probe, transgingival, photography, and a new method of CTS). Intrarater and interrater reliability considering the categorical classification of the gingival biotype were estimated with Cohen's kappa coefficient, intraclass correlation coefficient (ICC), and ANOVA (P < .05). The criterion validity of the CTS was determined using the transgingival method as the reference standard. Sensitivity and specificity values were computed along with theirs 95% CI. RESULTS: Twelve patients were subjected to assessment of their gingival thickness. The highest agreement was found between transgingival and CTS (86.1%). The comparison between the categorical classifications of CTS and the transgingival method (reference standard) showed high specificity (94.92%) and low sensitivity (53.85%) for definition of a thin biotype. CONCLUSION: The new method of CTS assessment to classify gingival tissue thickness can be considered reliable and clinically useful to diagnose thick biotype.
Asunto(s)
Pesos y Medidas Corporales/instrumentación , Encía/anatomía & histología , Encía/diagnóstico por imagen , Adolescente , Adulto , Anciano , Brasil , Tomografía Computarizada de Haz Cónico/métodos , Femenino , Humanos , Incisivo , Masculino , Maxilar/anatomía & histología , Persona de Mediana Edad , Bolsa Periodontal , Periodoncia/instrumentación , Fotoiniciadores Dentales , Reproducibilidad de los Resultados , Sensibilidad y Especificidad , Estadísticas no Paramétricas , Alveolo Dental/anatomía & histología , Percepción Visual , Adulto JovenRESUMEN
PURPOSE: To evaluate the effects of low-level laser therapy (LLLT) on peri-implant bone regeneration by means of resonance frequency analysis and histologic analysis of bone-to-implant contact (BIC). MATERIALS AND METHODS: Thirty-two male New Zealand rabbits were randomly divided into four groups of eight animals each, one control group (nonirradiated animals) and three experimental groups that received LLLT (group E5 = 5 J per session; group E10 = 10 J per session; group E20 = 20 J per session). The mandibular left incisor was surgically extracted in all animals, and a nanoparticle-treated-surface osseointegrated implant was placed immediately afterward. The experimental groups were irradiated with aluminum-gallium-arsenide laser diode every 48 hours over a 13-day period for a total of seven sessions. Implant stability quotients (ISQs) were measured at the time of implant placement and 30 days after the last LLLT session. The animals were then euthanized and dissected, and histologic slides of the implant region were obtained for BIC evaluation. RESULTS: Significant differences in ISQ were detected between groups before and after LLLT, with group E20 showing significantly higher values than controls. The percentage of BIC was also significantly higher in group E20 than in control animals. CONCLUSION: Laser therapy at a dose of 20 J per treatment session, based on the irradiation protocol used in this study, was able to significantly increase ISQ values and BIC after implant placement, indicating that laser irradiation effected an improvement in peri-implant bone healing.
Asunto(s)
Implantes Dentales , Terapia por Luz de Baja Intensidad/métodos , Mandíbula/efectos de la radiación , Oseointegración/efectos de la radiación , Animales , Interfase Hueso-Implante/anatomía & histología , Interfase Hueso-Implante/efectos de la radiación , Implantación Dental Endoósea/métodos , Diseño de Prótesis Dental , Retención de Prótesis Dentales , Láseres de Estado Sólido/uso terapéutico , Masculino , Mandíbula/anatomía & histología , Mandíbula/cirugía , Nanopartículas/química , Osteogénesis/efectos de la radiación , Conejos , Distribución Aleatoria , Propiedades de Superficie , Alveolo Dental/anatomía & histología , Alveolo Dental/efectos de la radiación , Alveolo Dental/cirugía , VibraciónRESUMEN
Objetivos: evaluar las respuestas clínicas e histológicas y determinar la calidad del hueso obtenido por medio del aloinjerto utilizado en un alvéolo posextracción en el que se realizó una técnica de preservación del volumen alveolar, a fin de colocar implantes. Caso clínico: una paciente de 47 años recibió un tratamiento de preservación del volumen alveolar posextracción mediante aloinjerto de hueso liofilizado (matriz ósea UNC en polvo) contenido por una lámina ósea cortical (matriz ósea UNC en membrana). A los 120 días, se tomó biopsia y se colocaron implantes. La muestra se observó con microscopía óptica. Conclusión: histológicamente, se identificaron restos de partículas y de lámina ósea, e intensos fenómenos de angiogénesis y neoformación ósea. La observación clínica permitió visualizar los márgenes nítidos del reborde y verificar la conservación del volumen ósea en el lugar en el que se realizó la fijación primaria de los implantes. La técnica de preservación con los biomateriales citados permite la colocación del implante en una posición adecuada, con resultados funcionales y estéticos.
Asunto(s)
Humanos , Adulto , Femenino , Alveolo Dental/anatomía & histología , Extracción Dental , Trasplante Óseo/métodos , Aumento de la Cresta Alveolar/métodos , Liofilización/métodos , Matriz Ósea , Cicatrización de Heridas/fisiología , Implantación Dental Endoósea/métodos , Prótesis Dental de Soporte Implantado/métodosRESUMEN
The buccal alveolar wall represents the most important structure to provide shape and volume of the alveolous following tooth extraction. The aim of the study was the evaluation of buccal alveolar bone structures following minimally invasive surgery. In 15 patients (3 male, 12 female), aged 2067 years, 3 central incisors, 5 lateral incisors, and 7 bicuspids were removed using flapless enucleation. The enucleation comprised endoscopically assisted mesiodistal root sectioning with inward fragmentation of the oral and apical parts followed by internal reduction of the buccal root lamella. Buccal bone height before extraction was 10.61 mm, following extraction 10.50 mm. Crestal width of the buccal bone plate was 1.11 mm before and 1.40 mm after tooth removal. Apical buccal bone width before was 0.66 mm and after extraction 0.40 mm. Gingival height was 13.58 mm before and 13.56 mm following extraction. Following transalveolar enucleation, the buccal alveolar bone wall remains unchanged concerning height and crestal width.
La pared alveolar bucal representa la estructura más importante para proveer la forma y el volumen de los alveólos dentales posterior a la extracción dental. El objetivo del estudio fue evaluar las estructuras de hueso alveolar bucal después de la cirugía mínimamente invasiva. En 15 pacientes (3 hombres, 12 mujeres), con edades entre 20 a 67 años, 3 incisivos centrales, 5 incisivos laterales y 7 premolares fueron removidos utilizando enucleación sin colgajo. La enucleación comprende el seccionamiento mesio-distal de la raíz dental endoscópicamente asisitido a través de fragmentación interna de la porción lingual y apical radicular y posteriomente una reducción interna de la lamela de raíz bucal. La altura ósea bucal antes de la extracción fue 10,61 mm y después de la extracción fue 10,50 mm. La anchura de la cresta ósea bucal fue 1,11 mm y 1,40 mm después de la extracción del diente. El grosor del hueso apical antes de la extracción fue 0,66 mm y 0,40 mm después de la extracción. La altura gingival fue 13,58 mm antes de la extracción y 13,56 mm después de la extracción. Después de la enucleación transalveolar, la pared del hueso alveolar bucal se mantiene sin cambios en relación con la altura y del grosor del reborde alveolar.
Asunto(s)
Humanos , Masculino , Femenino , Adulto , Persona de Mediana Edad , Anciano , Extracción Dental/métodos , Proceso Alveolar/anatomía & histología , Proceso Alveolar/cirugía , Alveolo Dental/anatomía & histología , Alveolo Dental/cirugía , Endoscopía , MicrocirugiaRESUMEN
O tecido adiposo pode regular o metabolismo ósseo e estar envolvido na fisiopatologia da osteoporose. O presente estudo teve como objetivo verificar a condição periodontal e o padrão ósseo alveolar por meio de índices radiomorfométricos da panorâmica e medidas lineares realizadas em radiografias periapicais, além da análise da leptina como biomarcador em pacientes obesas mórbidas. A amostra foi constituída por 60 mulheres na faixa etária de 20 a 35 anos, sendo divididas em 2 grupos: Grupo Experimental (GE-Obesas de Grau III, IMC >40Kg/m2) e Grupo Controle (GC- Eutróficas, IMC 18,5 a 24,99Kg/m2). Foram avaliadas 30 obesas e 30 eutróficas. Para avaliação antropométrica foi utilizado o IMC e medida da relação cintura-quadril. A condição periodontal destas pacientes foi avaliada por meio de índice de placa de Turesky, profundidade de sondagem, índice de sangramento gengival, nível de inserção clínica e presença de cálculo. O padrão ósseo foi avaliado por meio de análise radiográfica: 2 periapicais da região posterior inferior (direita e esquerda) por meio da técnica do paralelismo, sendo avaliado o padrão trabecular através da escala visual de Lindh e a perda óssea por meio distância da junção cemento-esmalte à crista óssea; e análise da radiografia panorâmica através dos índices radiomorfométricos. A dosagem da leptina salivar foi realizada por meio do ELISA. Foi aplicado o questionário OHIP-14 sobre o impacto das condições bucais na qualidade de vida. Teste t de Student e o Qui-quadrado foram adotados para comparação entre grupos (p<0,05). Entre as pacientes examinadas, foi observado maior índice de placa, de sangramento gengival (ISG) e presença de cálculo em obesas (p<0,05). Além de maior prevalência de sítios com profundidade de sondagem de 3mm e 4mm no grupo das obesas (p<0,05). A perda óssea alveolar foi maior em obesas, porém não foi significativa (p>0,05). Porém, foi significativa em relação ao padrão trabecular, sendo que as obesas...
Adipose tissue may adjust bone metabolism and can be involved in the pathophysiology of osteoporosis. This study aims to evaluate the periodontal conditions, the bone alveolar pattern through panoramic radiomorphometric indexes and linear measurements on periapical radiographs, as well as analysis of leptin as a biomarker in morbidly obese subjects. The sample consists of 60 women aged 20-35 years, divided into two groups: experimental group (EG- obesity level III, BMI> 40Kg/m2) and control group (CG-eutrophic, BMI 18.5 and 24.99 kg/m2). The sample consists of 30 obese and 30 normal weight. Anthropometric measures were using the BMI and haist-to-hip ratio. The periodontal status was assessed through Turesky´s plaque index, probing depth, gingival bleeding index, clinical attachment level and presence of dental calculus. Bone pattern was evaluated by radiographs: 2 periapicals lower posterior (left and right) through parallel technique, evaluated the trabecular pattern trough visual scale by Lindh and measured linear distances between cement-enamel junction to alveolar crest; and panoramic analysis by radiomorphometric indexes; and measured of salivary leptin by ELISA. The OHIP- 14 questionnaire was applied on the impact of oral conditions on the quality of life. Student´s "t" test and Chi-square were adopted for comparison between groups (p <0.05). Among the subjects examined, there was a greater plaque index, gingival bleeding (GI) and presence of calculus in obese (p <0.05). In addition, higher prevalence of sites with probing depth 3mm e 4mm in the obese group (p < 0.05). The alveolar bone loss was greater in obese group, however there was no significant difference to the control group (p>0.05). There was significant difference relative to the trabecular pattern, and obese women had greater marrow spaces, suggesting lower bone density than eutrophic (p < 0.05). Regarding radiomorphometric indexes, both groups showed values within the normal range...
Asunto(s)
Humanos , Femenino , Adulto Joven , Adulto , Persona de Mediana Edad , Alveolo Dental/anatomía & histología , Alveolo Dental , Leptina/análisis , Obesidad Mórbida/metabolismo , Saliva/química , Factores de Edad , Antropometría , Enfermedades Periodontales/etiología , Enfermedades Periodontales/metabolismo , Biomarcadores/análisis , Obesidad Mórbida/complicaciones , Calidad de Vida , Radiografía Panorámica , Valores de Referencia , Estadísticas no ParamétricasRESUMEN
Se evaluó la eficacia del hueso liofilizado humano (Matriz Ósea UNC en Polvo) injertado en cavidades alveolares post-extracción, recubierto por una lámina ósea cortical (Matriz Ósea UNC en membrana), en el tratamiento de preservación del perfil volumétrico del reborde alveolar.La metodología de trabajo se fundamentó en: 1) El estudio de una casuística de 27 casos clínicos en pacientes de ambos sexos que poseían elementos dentarios unirradiculares con indicación de extracción. Se injertó en las cavidades óseas resultantes hueso liofilizado, contenido in situ mediante una lámina ósea cortical parcialmente desmineralizada. Los pacientes fueron evaluados clínica y radiográficamente, mediante modelos de estudio, Rx convencional y radiovisiografía que permitieron mensurar las modificaciones producidas por resorción durante un año. Se realizaron controles pre y post-operatorios, a los 7, 15, 30, 60, 90, 120, 180 y 360 días. A los modelos de yeso preliminares y a los obtenidos a los 120 y 360 días se les efectuaron cortes transversales en las zonas de estudio y se los escaneó. Las imágenes obtenidas se procesaron mediante un analizador de imágenes (Image Pro-Plus). Los datos se analizaron estadísticamente con software específico (SPSS). El estudio demostró que las mayores modificaciones dimensionales del reborde se observaron sobre el área superficial del alvéolo y en los primeros 4 meses post-extracción. La lámina cortical presentó características físicas, estructurales y biológicas que le permitieron actuar como barrera física oclusiva, minimizando los fenómenos de inhibición celular heterotípica y favoreciendo los procesos osteogénicos por el mecanismo de osteopromoción...
Human efficacy lyophilized bone (UNC Bone Matrix Powder) grafted post-extraction alveolar sacs, covered by a cortical bone plate (UNC Bone Matrix membrane), in the treatment volume preservation ridge profile was evaluated. The working methodology was based on: 1) The study of a case series of 27 clinical cases in patients of both sexes who had single-rooted tooth elements indicating extraction. It was grafted bone cavities in the resulting lyophilized bone content in situ by a partially demineralized cortical bone plate. Patients were evaluated clinically and radiographically, using study models, and conventional Rx radiovisiography that allowed mensurar resorption induced changes for a year. Pre and post-operative controls at 7, 15, 30, 60, 90, 120, 180 and 360 days were performed. A preliminary plaster models and those obtained at 120 and 360 days transects were conducted in the study areas and were scanned. The images obtained were processed by an image analyzer (Image Pro-Plus). The data were statistically analyzed with software (SPSS) .The study showed that older flange dimensional changes were observed on the surface area of the alveoli and in the first 4 months post-extraction. The cortical sheet submitted physical, structural, and biological characteristics that allowed him to act as occlusive physical barrier, minimizing heterotypic cellular inhibition phenomena and processes favoring osteogenic mechanism osteopromoción...
Asunto(s)
Humanos , Masculino , Aloinjertos , Alveolo Dental/anatomía & histología , Alveolo Dental/lesiones , Extracción Dental/métodos , Liofilización/métodos , Regeneración Ósea , Procedimientos Quirúrgicos Orales , Cirugía BucalRESUMEN
O objetivo deste estudo foi comparar, por meio de tomografia computadorizada de feixe cônico, a inclinação axial dos dentes posteriores e a morfologia óssea alveolar mandibular entre indivíduos com diferentes padrões faciais. Para isso, foram utilizadas 58 tomografias de indivíduos maiores de 14 anos de idade não tratados ortodonticamente. Os indivíduos foram divididos em 3 grupos de acordo com o padrão facial avaliado pelo índice VERT de Ricketts: Grupo 1: composto por 18 indivíduos com padrão braquifacial, com idade média de 21,58 anos (d.p.=7,43); Grupo 2: composto por 23 indivíduos com padrão mesofacial, com idade média de 19,14 anos (d.p.=5,19); e Grupo 3: composto por 17 indivíduos com padrão dolicofacial, com idade média de 19,09 anos (d.p.=6,89). Foi realizada uma avaliação quantitativa das tábuas ósseas vestibular e lingual dos dentes pósteroinferiores, em tomografias de feixe cônico. As medidas utilizadas foram: altura do osso mandibular vestibular e lingual, largura mandibular cervical e média, inclinação mandibular, inclinação da face vestibular, largura do molar, angulação do molar e ângulo dente/osso. A comparação intergrupos foi realizada com a utilização do teste ANOVA a um critério de seleção e teste de Tukey quando necessário. Para verificar se existe correlação entre o padrão facial e as variáveis estudadas foi utilizado o teste de correlação de Pearson. Os resultados demonstraram que os indivíduos braquifaciais apresentaram uma menor inclinação mandibular quando comparados aos indivíduos mesofaciais e dolicofaciais. Houve diferença significante da altura mandibular vestibular entre os três grupos avaliados, sendo que esta foi menor no grupo braquifacial, intermediária no grupo mesofacial e maior no grupo dolicofacial. A altura mandibular lingual foi menor no grupo braquifacial em comparação aos grupos mesofacial e dolicofacial. A largura mandibular média foi maior nos indivíduos braquifaciais em relação aos mesofaciais...
The aim of this study was to compare, with cone beam computed tomography, the axial inclination of posterior teeth and mandibular alveolar bone morphology among individuals with different facial patterns. For this, 58 CT scans of untreated individuals orthodontically aged more than 14 years were used. The subjects were divided into 3 groups according to the facial pattern evaluated by the VERT index by Ricketts: Group 1 comprised 18 individuals with brachyfacial pattern, with a mean age of 21.58 years (s.d.=7.43); Group 2 comprised 23 individuals with mesofacial pattern, with a mean age of 19.14 years (s.d.=5.19); and Group 3 comprised 17 individuals with dolichofacial pattern, with a mean age of 19.09 years (s.d.=6.89). A quantitative assessment of the buccal and lingual bone plates of the mandibular posterior teeth were made in cone beam CT scans. The variables measured were: buccal and lingual mandibular height, cervical and middle mandibular width, mandibular inclination, inclination of the buccal surface, molar width, molar angle and tooth/bone angle. The intergroup comparison was performed by one-way ANOVA and Tukey test when necessary. To check whether there is a correlation between facial pattern and the variables studied, the Pearson correlation test was used. The results showed that the brachyfacial subjects had a smaller mandibular angle when compared to mesofacial and dolichofacial individuals. There was significant difference in the buccal mandibular height between the three groups, and this was smaller in the brachyfacial group, intermediate in the mesofacial group and larger in the dolichofacial group. Lingual mandibular height was smaller in brachyfacial group when compared to mesofacial and dolichofacial groups. The mean mandibular width was greater in brachyfacial than in mesofacial subjects...
Asunto(s)
Humanos , Masculino , Femenino , Adolescente , Adulto Joven , Alveolo Dental/anatomía & histología , Alveolo Dental , Diente Molar/anatomía & histología , Diente Molar , Tomografía Computarizada de Haz Cónico/métodos , Análisis de Varianza , Cefalometría/métodos , Cara/anatomía & histología , Imagenología Tridimensional , Odontometría , Valores de ReferenciaRESUMEN
O objetivo deste estudo foi comparar, por meio de tomografia computadorizada de feixe cônico, a inclinação axial dos dentes posteriores e a morfologia óssea alveolar mandibular entre indivíduos com diferentes padrões faciais. Para isso, foram utilizadas 58 tomografias de indivíduos maiores de 14 anos de idade não tratados ortodonticamente. Os indivíduos foram divididos em 3 grupos de acordo com o padrão facial avaliado pelo índice VERT de Ricketts: Grupo 1: composto por 18 indivíduos com padrão braquifacial, com idade média de 21,58 anos (d.p.=7,43); Grupo 2: composto por 23 indivíduos com padrão mesofacial, com idade média de 19,14 anos (d.p.=5,19); e Grupo 3: composto por 17 indivíduos com padrão dolicofacial, com idade média de 19,09 anos (d.p.=6,89). Foi realizada uma avaliação quantitativa das tábuas ósseas vestibular e lingual dos dentes pósteroinferiores, em tomografias de feixe cônico. As medidas utilizadas foram: altura do osso mandibular vestibular e lingual, largura mandibular cervical e média, inclinação mandibular, inclinação da face vestibular, largura do molar, angulação do molar e ângulo dente/osso. A comparação intergrupos foi realizada com a utilização do teste ANOVA a um critério de seleção e teste de Tukey quando necessário. Para verificar se existe correlação entre o padrão facial e as variáveis estudadas foi utilizado o teste de correlação de Pearson. Os resultados demonstraram que os indivíduos braquifaciais apresentaram uma menor inclinação mandibular quando comparados aos indivíduos mesofaciais e dolicofaciais. Houve diferença significante da altura mandibular vestibular entre os três grupos avaliados, sendo que esta foi menor no grupo braquifacial, intermediária no grupo mesofacial e maior no grupo dolicofacial. A altura mandibular lingual foi menor no grupo braquifacial em comparação aos grupos mesofacial e dolicofacial. A largura mandibular média foi maior nos indivíduos braquifaciais em relação aos mesofaciais.
The aim of this study was to compare, with cone beam computed tomography, the axial inclination of posterior teeth and mandibular alveolar bone morphology among individuals with different facial patterns. For this, 58 CT scans of untreated individuals orthodontically aged more than 14 years were used. The subjects were divided into 3 groups according to the facial pattern evaluated by the VERT index by Ricketts: Group 1 comprised 18 individuals with brachyfacial pattern, with a mean age of 21.58 years (s.d.=7.43); Group 2 comprised 23 individuals with mesofacial pattern, with a mean age of 19.14 years (s.d.=5.19); and Group 3 comprised 17 individuals with dolichofacial pattern, with a mean age of 19.09 years (s.d.=6.89). A quantitative assessment of the buccal and lingual bone plates of the mandibular posterior teeth were made in cone beam CT scans. The variables measured were: buccal and lingual mandibular height, cervical and middle mandibular width, mandibular inclination, inclination of the buccal surface, molar width, molar angle and tooth/bone angle. The intergroup comparison was performed by one-way ANOVA and Tukey test when necessary. To check whether there is a correlation between facial pattern and the variables studied, the Pearson correlation test was used. The results showed that the brachyfacial subjects had a smaller mandibular angle when compared to mesofacial and dolichofacial individuals. There was significant difference in the buccal mandibular height between the three groups, and this was smaller in the brachyfacial group, intermediate in the mesofacial group and larger in the dolichofacial group. Lingual mandibular height was smaller in brachyfacial group when compared to mesofacial and dolichofacial groups. The mean mandibular width was greater in brachyfacial than in mesofacial subjects.
Asunto(s)
Humanos , Masculino , Femenino , Adolescente , Adulto Joven , Adulto , Alveolo Dental/anatomía & histología , Alveolo Dental , Diente Molar/anatomía & histología , Diente Molar , Tomografía Computarizada de Haz Cónico/métodos , Análisis de Varianza , Cefalometría/métodos , Cara/anatomía & histología , Imagenología Tridimensional , Odontometría , Valores de ReferenciaRESUMEN
UNLABELLED: Different filling materials have been used in an attempt to repair bone loss situations. OBJECTIVE: The present study aimed to examine the effect of a bone matrix in post - extraction remodelling of the alveolar bone, and to perform a histomorphometric analysis of the residual alveolar ridges in Wistar rats. MATERIAL AND METHODS: Both rat first lower molars were extracted and the right alveoli were filled with particles of a bone matrix with mineral components (MO - UNC) (experimental group, EG). The left alveoli were used as a control group (CG). The animals were sacrificed at 0 hr., 15, 30 and 60 days after extraction, and the samples were processed. Histological sections were made at the level of the mesial alveolus of the first lower molar. Repair of the alveoli was histologically evaluated and a histomorphometric study of total alveolar volume (TAV), height of the buccal plate (Bh), height of the lingual plate (Lh) and percentage of osseointegration (OI) of the particles was performed to compare the residual ridges of CG with those of the EG. Statistical analysis of the data was performed. RESULTS: In the cases of the experimental group, newly - formed bone tissue was identified around the MO - UNC particles (osseointegration). Histomorphometric data indicate that, at 60 days post - extraction, TAV was significantly greater for EG when compared with CG (p <0.05) and the percentage of osseointegration of the particles increased as a function of time (57.6 %, 90.5% y 95.5%, for EG at 15, 30 y 60 days respectively). CONCLUSIONS: The bone matrix (MO - UNC) evaluated in this study is an osteoconductive material that prevents the collapse of post - extraction alveolar bone.
Asunto(s)
Proceso Alveolar/anatomía & histología , Matriz Ósea/anatomía & histología , Oseointegración/fisiología , Alveolo Dental/anatomía & histología , Proceso Alveolar/fisiología , Proceso Alveolar/ultraestructura , Animales , Matriz Ósea/fisiología , Matriz Ósea/ultraestructura , Masculino , Diente Molar/cirugía , Ratas Wistar , Factores de Tiempo , Extracción Dental , Alveolo Dental/ultraestructuraRESUMEN
UNLABELLED: Different filling materials have been used in an attempt to repair bone loss situations. OBJECTIVE: The present study aimed to examine the effect of a bone matrix in post - extraction remodelling of the alveolar bone, and to perform a histomorphometric analysis of the residual alveolar ridges in Wistar rats. MATERIAL AND METHODS: Both rat first lower molars were extracted and the right alveoli were filled with particles of a bone matrix with mineral components (MO - UNC) (experimental group, EG). The left alveoli were used as a control group (CG). The animals were sacrificed at 0 hr., 15, 30 and 60 days after extraction, and the samples were processed. Histological sections were made at the level of the mesial alveolus of the first lower molar. Repair of the alveoli was histologically evaluated and a histomorphometric study of total alveolar volume (TAV), height of the buccal plate (Bh), height of the lingual plate (Lh) and percentage of osseointegration (OI) of the particles was performed to compare the residual ridges of CG with those of the EG. Statistical analysis of the data was performed. RESULTS: In the cases of the experimental group, newly - formed bone tissue was identified around the MO - UNC particles (osseointegration). Histomorphometric data indicate that, at 60 days post - extraction, TAV was significantly greater for EG when compared with CG (p <0.05) and the percentage of osseointegration of the particles increased as a function of time (57.6
, for EG at 15, 30 y 60 days respectively). CONCLUSIONS: The bone matrix (MO - UNC) evaluated in this study is an osteoconductive material that prevents the collapse of post - extraction alveolar bone.
Asunto(s)
Alveolo Dental/anatomía & histología , Matriz Ósea/anatomía & histología , Oseointegración/fisiología , Proceso Alveolar/anatomía & histología , Alveolo Dental/ultraestructura , Animales , Diente Molar/cirugía , Extracción Dental , Factores de Tiempo , Masculino , Matriz Ósea/fisiología , Matriz Ósea/ultraestructura , Proceso Alveolar/fisiología , Proceso Alveolar/ultraestructura , Ratas WistarRESUMEN
UNLABELLED: Different filling materials have been used in an attempt to repair bone loss situations. OBJECTIVE: The present study aimed to examine the effect of a bone matrix in post - extraction remodelling of the alveolar bone, and to perform a histomorphometric analysis of the residual alveolar ridges in Wistar rats. MATERIAL AND METHODS: Both rat first lower molars were extracted and the right alveoli were filled with particles of a bone matrix with mineral components (MO - UNC) (experimental group, EG). The left alveoli were used as a control group (CG). The animals were sacrificed at 0 hr., 15, 30 and 60 days after extraction, and the samples were processed. Histological sections were made at the level of the mesial alveolus of the first lower molar. Repair of the alveoli was histologically evaluated and a histomorphometric study of total alveolar volume (TAV), height of the buccal plate (Bh), height of the lingual plate (Lh) and percentage of osseointegration (OI) of the particles was performed to compare the residual ridges of CG with those of the EG. Statistical analysis of the data was performed. RESULTS: In the cases of the experimental group, newly - formed bone tissue was identified around the MO - UNC particles (osseointegration). Histomorphometric data indicate that, at 60 days post - extraction, TAV was significantly greater for EG when compared with CG (p <0.05) and the percentage of osseointegration of the particles increased as a function of time (57.6
, 90.5
y 95.5
, for EG at 15, 30 y 60 days respectively). CONCLUSIONS: The bone matrix (MO - UNC) evaluated in this study is an osteoconductive material that prevents the collapse of post - extraction alveolar bone.
Asunto(s)
Proceso Alveolar/anatomía & histología , Matriz Ósea/anatomía & histología , Oseointegración/fisiología , Alveolo Dental/anatomía & histología , Proceso Alveolar/fisiología , Proceso Alveolar/ultraestructura , Animales , Matriz Ósea/fisiología , Matriz Ósea/ultraestructura , Masculino , Diente Molar/cirugía , Ratas Wistar , Factores de Tiempo , Extracción Dental , Alveolo Dental/ultraestructuraRESUMEN
The aim of this study was to analyze the anatomotopographic location of the mandibular foramen in the right and left ramus, and to verify the influence of the amount of dental alveoli on the foramen position. Thirty-five adult dry human mandibles of Araraquara Dental School, UNESP - São Paulo State University were assessed, with or without dental alveoli. Measurements were obtained, using a ruler and a digital caliper. The following distances were measured: FI - distance between the lowest point of the mandibular incisure and the mandibular foramen (F point); FB - distance between the mandibular base and F point; FP - distance between the posterior margin of the ramus and F point; FA - distance between the anterior margin of the ramus and F point; FT - distance between the apex of the retromolar trigone and F point. The Mann-Whitney test was used to compare each measurement according to hemi-arch, and the Kruskal-Wallis test was used to analyze the influence of the presence of alveoli on the measures. For multiple comparison, Dunn's method was used. There was no statistically significant difference in the location of the mandibular foramen when compared to the right and left hemi-arches. The amount of dental alveoli influenced, significantly, only on FA and FP distances. Thus, it was concluded that the right and left mandibular ramus showed symmetry in the location of the mandibular foramen, and the amount of alveoli influenced on the distances of the anterior and posterior margins of the mandibular ramus, in relation to the mandibular foramen.
El objetivo de este trabajo fue evaluar la posición anátomo-topográfica del foramen mandibular en ambas ramas de la mandíbula y verificar la influencia de la cantidad de alvéolos dentales en la posición del foramen. Se evaluaron 35 mandíbulas humanas secas de individuos adultos de la Facultad de Odontología de Araraquara, Universidade Estadual Paulista - UNESP, con o sin alvéolos dentales. Se utilizó regla y calibrador digital para realizar las mediciones de las distancias entre: el punto más profundo de la incisura de la mandíbula y el foramen mandibular (FI); base de la mandíbula y el foramen (FB); margen posterior de la rama mandibular y el foramen mandibular (FP); margen anterior de la rama mandibular y el foramen (FA) y la distancia entre el vértice del trígono retromolar y el foramen mandibular (FT). Para la comparación de cada medida según hemiarcada se realizó el test de Mann-Whitney y para la influencia de la presencia de alvéolos en las medidas se utilizó el test de Kruskal-Wallis y para comparación múltiple el método de Dunn. No hubo diferencia estadística significativa en la localización del foramen mandibular al comparar el hemiarco mandibular derecho con el izquierdo. La cantidad de alvéolos dentales interfirió, de manera significativa, sólo en las distancias FA y FP. Se concluyó que las ramas mandibulares derecha e izquierda presentan simetría en el posicionamiento del foramen mandibular y la cantidad de alvéolos interfirió en las distancias de las márgenes anterior y posterior de la rama mandibular en relación con el foramen de la mandíbula.
Asunto(s)
Humanos , Alveolo Dental/anatomía & histología , Mandíbula/anatomía & histología , Puntos Anatómicos de Referencia , Ápice del DienteRESUMEN
PURPOSE: The aim of this study was to describe an experimental surgical technique to be used in the evaluation of bone grafts in rabbits. METHODS: The operative technique was performed in jaws, with external approach from the labial commissure to the last molar tooth. An incision about 1cm extended forward to the alveolar ridge, followed by a exposing the cervical region of the alveolar bone and dental elements was done. Thus, after extraction of first molar with forceps, the tooth socket left was filled with hydroxyapatite. The bone gain was analyzed by histopathological studies. RESULTS: The histological analyses indicated formed bone surrounding the biomaterial. CONCLUSION: The experimental model using the tooth socket of the rabbit molar is a feasible procedure for studies of bone grafts.
Asunto(s)
Materiales Biocompatibles/administración & dosificación , Durapatita/administración & dosificación , Diente Molar/cirugía , Osteogénesis/fisiología , Extracción Dental , Alveolo Dental/cirugía , Animales , Trasplante Óseo/métodos , Masculino , Modelos Animales , Conejos , Reproducibilidad de los Resultados , Alveolo Dental/anatomía & histologíaRESUMEN
Within oral rehabilitation alveolar ridge preservation following extraction is important. This research study shows a histological, histochemical and histomorphometrical evaluation in two cases of post extraction ridge-socket preservation performed with FDBA. In two patients dental extraction procedures were performed and sockets were immediately filled with FDBA. Six months later a biopsy of grafted area was obtained and rehabilitated through dental implant. Grafted bone samples were treated for histological and histochemical analysis. Bone tissue area was measured. Laboratory analysis of three samples showed inactive bone surfaces, neither osteoblasts nor osteoclasts were found, only osteocyte and osteogenous cells were observed. These findings do not mean that tissue is metabolically inactive, rather bone genesis develop from a tissue matrix with the potential to generate undifferentiated osteocytes, and a micro environment with proteins such as bone morphogenetic proteins (BPM). Inactive biomaterial particles were not observed. Samples showed 0 percent and 30 percent bone tissue respectively. Considering histological differences between this and other research studies, it is necessary to develop further investigation to increase knowledge of processes involved in bone regeneration as well as bone quality, considering the variability that could be seen in each patient.
Dentro de la rehabilitación oral, es importante preservar el reborde alveolar post exodoncia. Se expone un análisis histológico, histoquímico e histomorfométrico de dos casos clínicos de terapias de regeneración ósea de alvéolos post extracción mediante FDBA. En dos pacientes se extrajeron piezas dentarias destruidas y se indujo regeneración ósea mediante FDBA. Seis meses después, se obtuvo una biopsia del injerto y mediante un implante de titanio fue rehabilitado. Para el análisis Histológico e Histomorfométrico, las muestras fueron tratadas con las técnicas Hematoxilina-Eosina, Azul de Alcián, Masson, Von Kossa y colorante Picrosirius de Junqueira.Se midió el área total de tejido, así como el área de tejido óseo. Las superficies de hueso de las muestras se observaron inactivas, no fueron encontrados osteoblastos ni osteoclastos, sólo osteocitos y células osteógenas, lo que no significa que el hueso esté en estado quiescente, sino mas bien a que su génesis ocurre a partir de la matriz de tejido donde se encuentran células con potencialidad de formar osteocitos indiferenciados y un microambiente con proteinas de la familia de factor de crecimiento transformante beta. No fueron encontradas partículas de biomaterial inactivo. En las muestras se cuantificó 0 por ciento y 30 por ciento de hueso mineralizado. Dadas las diferencias histológicas encontradas con otros estudios, es necesario profundizar el conocimiento en los procesos involucrados en la regeneración ósea dependiendo del biomaterial utilizado, y la calidad ósea resultante en cada procedimiento en particular sin perder de vista la variabilidad que puede presentarse dependiendo de cada caso clínico.
Asunto(s)
Persona de Mediana Edad , Alveolo Dental/anatomía & histología , Alveolo Dental/crecimiento & desarrollo , Alveolo Dental , Cirugía Bucal/métodos , Rehabilitación Bucal/métodos , Trasplante Homólogo/métodosRESUMEN
O cirurgião-dentista necessita muitas vezes visualizar imagens associadas a estruturas importantes onde um bom conhecimento da anatomia crânio facial e dentomaxilar é imprescindível na elaboração de um diagnóstico correto. O seio maxilar é uma estrutura anatômica localizada no terço médio da face, sendo de extrema importância por estar localizado muito próximo às estruturas dentárias posteriores, devendo fazer parte do conhecimento dos cirurgiões-dentistas, nas diversas especialidades. Nesse estudo foram avaliados 50 exames de Tomografia Computadorizada de Feixe Cônico (TCFC) onde os seios maxilares podiam ser visualizados, resultando em um total de 78 extensões para diferentes regiões foram encontradas, 17 indivíduos apresentavam espessamento da membrana sinusal, 14 mostravam imagens compatíveis com cistos de retenção de muco e 6 apresentavam velamento do seio maxilar, variando entre total e parcial. Um total de 64 septos foram identificados no interior da cavidade sinusal, 86 cúpulas alveolares localizadas nas raízes dos diferentes dentes, 126 raízes foram encontradas em íntimo contato com o assoalho sinusal. Os resultados foram estatisticamente significantes para a relação entre cúpulas alveolares e extensões alveolares para a raiz palatina do dente 26, a presença de septos no teto dos seios maxilares de mulheres e da relação da média da região desdentada do dente 26 para os homens, com os valores de p < 0,05. Diversos fatores relacionados à morfologia do osso maxilar, a ausência de dentes e a própria conformação da cavidade sinusal podem resultar em diferentes formatos entre indivíduos e variações até no mesmo indivíduo. O exame por Tomografia Computadorizada de Feixe Cônico (TCFC) dos seios maxilares permite uma avaliação tridimensional e sua relação com as estruturas adjacentes, ou seja, uma perfeita reprodução da região dentomaxilofacial, auxiliando de maneira precisa os profissionais que irão intervir junto ou próximo a essa estrutura anatômica.
Dentistry professionals are required to analyze, in many cases, images associated to important structures where a great knowledge of the dentomaxillofacial anatomy is vital for an accurate diagnostic. The maxillary sinus is an anatomical structure that occupies the upper 2/3s of the maxillary bone and it is very important because the proximity with the posterior dental structures, it must be well known by dentists in the several specialties. In this study, 50 Cone Beam Computed Tomography (CBCT) exams in which the maxillary sinus could be evaluated, showed a total of 78 extension toward different regions were achieved, 17 subjects displayed a mucosal thickening, 14 evidenced a compatible imaging of mucous retention cysts and 6 presented a partially or completely filled maxillary sinus. A total of 64 maxillary sinus septa were identified, 86 different roots were localized inside de sinus, 126 roots were found to be in proximity with the sinus floor. The results were statistically significant to the relation made between these roots, which were inside the sinus and the alveolar extensions to the palatine root of the tooth 26, the presence of maxillary sinus septa located in the roof of the women maxillary sinus and the relation made between the median value for men in the edentulous region of the tooth 26, with a p value < 0,05. Its anatomy is one of the most varied, and many factors related to the maxillary bone morphology like edentulousness and the sinus conformation can result on different shapes, even in the same person. The Cone Beam Computed Tomography (CBCT) of the maxillary sinus provides a three-dimensional evaluation and its relationship with the boundary structures. It is a precise reproduction of the dentomaxillofacial region, providing valuable support to the professional who will work on or next to this anatomical structure.
Asunto(s)
Humanos , Masculino , Femenino , Tomografía Computarizada de Haz Cónico , Seno Maxilar/anatomía & histología , Seno Maxilar , Alveolo Dental/anatomía & histología , Factores Sexuales , Tabique Nasal/anatomía & histologíaRESUMEN
InicíoPortuguês (Brasil)English (United Kingdom)EspañSpanish Formal International)French (Fr) 0Minha EstanteEmail SenhaEntrar CancelarEsqueci minha senhaCriar minha estanteO que é a Estante Virtual? ServiçosServiçosTrabalhos decorrentesEstatistícasComo citarFormato MARCFormato OAI DC Dissertação de MestradoDocumentoDissertação de MestradoAutorMenezes, Carolina Carmo de (Catálogo USP)Nome completoCarolina Carmo de MenezesUnidade da USPFaculdade de Odontologia de BauruÁrea do ConhecimentoOrtodontia e Odontolgia em Saúde ColetivaData de Defesa2011-02-18ImprentaBauru,2011OrientadorJanson, Guilherme dos Reis Pereira (Catálogo USP)Banca examinadoraJanson, Guilherme dos Reis Pereira (Presidente)Carreira, Daniela Gamba GaribFerreira, Flávio Augusto CotrimTítulo em portuguêsInfluência do padrão de crescimento sobre a espessura da cortical óssea alveolar e sua correlação com a estabilidade dos mini-implantesPalavras-chave em portuguêsFatores de RiscoOrtodontiaProcedimentos de ancoragem ortodônticaResumo em portuguêsO objetivo deste estudo foi avaliar a influência do padrão de crescimento craniofacial na espessura da cortical óssea alveolar e correlacioná-lo com a estabilidade dos mini-implantes ortodônticos. A amostra constituiu de 30 pacientes com 56 mini-implantes inseridos na região posterior vestibular da maxila como recurso de ancoragem na retração anterior. Inicialmente, os pacientes foram divididos de acordo com a média do ângulo FMA, em padrão de crescimento horizontal (grupo GH) e vertical (grupo GV). As espessuras das corticais ósseas foram mensuradas nos cortes axiais das imagens de tomografia computadorizada de feixe cônico. As médias econtradas em cada grupo foram comparadas pelo teste t. A correlação de Pearson foi realizada entre os valores do ângulo FMA e as espessuras das corticais ósseas. Posteriormente, para avaliar a influência do padrão de...
This study aimed the assessment of the craniofacial growth pattern influence on the alveolar bone cortical thickness as well as the evaluation of the stability of orthodontic mini-implants. The sample comprised 56 mini-implants inserted on the posterior buccal region of the maxilla of 30 patients with the purpose of orthodontic anchorage for the anterior retraction. Initially, patients were divided by FMA mean according to the growth pattern as: horizontal group (GH group) and vertical group (GV group). The alveolar cortical bone thicknesses were measured in the axial sections of the images of cone-beam computed tomography. The means found for each group were compared with the t test. Pearson´s correlation was performed for the values of growth pattern (FMA) and for the thicknesses of cortical bone. In order to evaluate the influence of growth pattern on the stability of mini-implants, these devices were divided in two other groups, according to the growth pattern as: GMI(H), horizontal and GMI(V), vertical. The mobility degree and success rate of mini-implants shown by these two groups were compared using Mann-Whitney tests and Fisher Exact test. Through these tests and the Chi-square test the influence of the following variables on the degree of stability were evaluated: soft tissue characteristics of the insertion site, sensibility degree, plaque retention around miniimplant, observation period and technique used. The results demonstrated that the thickness of the anterior buccal cortical bone (upper and lower) and the posterior cortical bone (lower) were greater for the GH group than for the GV group. There was a significant negative correlation between the FMA and the thicknesses of the lower anterior regions (buccal and lingual) and upper regions (buccal). No significant difference was found regarding the mobility degree and the success rate of miniimplants between the groups GMI(H) and GMI(V). Total success rate...
Asunto(s)
Humanos , Masculino , Femenino , Adulto Joven , Alveolo Dental/anatomía & histología , Cráneo/crecimiento & desarrollo , Crecimiento/fisiología , Implantes Dentales , Métodos de Anclaje en Ortodoncia/métodos , Cefalometría , Maxilar , Factores de Riesgo , Factores Sexuales , Estadísticas no Paramétricas , Resultado del TratamientoRESUMEN
Foi desenvolvido projeto de pesquisa clínica e radiográfica para avaliar a influência do ângulo formado entre a superfície dental e a crista óssea na determinação da profundidade de sondagem do sulco gengival e complementarmente no comportamento da margem gengival por vestibular de dentes molares inferiores inclinados para mesial. Para tanto foram incluídos 30 sítios mesiais e 30 distais no grupo teste, com igual número de sítios controles de molares inferiores com inclinação normal. Nos dentes que forneceram esses sítios também foi feita a determinação da profundidade do sulco gengival na região vestibular central do dente, identificando-se a qualidade e quantidade de gengiva ceratinizada, respectivamente pela metodologia de Kan et al. (2010) e pela mensuração com sonda periodontal da distância da margem gengival à junção mucogengival. Foram incluídos pacientes periodontal e sistemicamente saudáveis, excluindo-se pacientes que tivessem sido submetidos a procedimentos ósseos regenerativos prévios nas áreas de interesse, diabéticos relutantes ao controle médico, usuários de drogas e/ou álcool, portadores de alterações sistêmicas que interfiram no metabolismo ósseo (como por exemplo, osteoporose e hiperparatireoidismo). Os exames foram realizados por examinador competente, devidamente calibrado. Para análise radiográfica as imagens foram transferidas para o computador, realizando-se as mensurações dos ângulos interessados com o programa de computador MB-Ruler Pro (MB-Software solutions). A análise estatística foi realizada no programa GraphPad Prism versão 5.03 para Windows (GraphPad, Usa). Os resultados obtidos em linhas gerais mostraram que houve influência significativa do ângulo entre a superfície dental e a crista óssea (p > 0,0001) na determinação do sulco gengival proximal em áreas de dentes inclinados, porém não há essa influência na profundidade de sondagem do sulco gengival por vestibular para áreas com...
A clinical and radiographic research project was developed to assess the influence of the angle formed between the tooth surface and the alveolar bone crest in determining the probing depth of the gingival sulcus and complementary also to evaluate the behavior of the buccal gingival margin of mesially inclined molars. Therefore, 30 mesial and 30 distal sites of inclined lower molars were included in the test group, with an equal number of sites of lower molars with normal inclination in the control group. In addition in all the teeth of both test and control groups the depth of the clinical gingival sulcus at the central buccal region of the tooth was assessed by measuring with a periodontal probe, identifying the quality of the keratinized gingiva through the methodology of Kan et al. (2010) and determining the width of keratinized gingiva by measuring the distance from the free gingival margin to the mucogingival junction. The study was done in systemic and periodontally healthy individuals, excluding patients who had undergone bone-regenerative procedures in the areas of interest, diabetics reluctant to medical control, alcohol and / or drug users, and individuals suffering from systemic conditions that might interfere with bone metabolism (like osteoporosis and hyperparathyroidism). The examinations were performed by a competent and properly calibrated examiner. The radiographic images were then transferred to a computer in order to analyze the measurements of the involved angles with the computer program MB-Ruler Pro (MB-Software solutions). Statistical analysis was performed using GraphPad Prism version 5.03 for Windows (GraphPad, Usa). The results in general showed that there was significant influence of the angle between the tooth surface and the alveolar bone crest on the depth of the gingival sulcus in proximal areas of inclined teeth (p > 0,0001), but there was no such influence in the probing...
Asunto(s)
Humanos , Masculino , Femenino , Adulto , Persona de Mediana Edad , Alveolo Dental/anatomía & histología , Cavidad Pulpar/anatomía & histología , Diente Molar/anatomía & histología , Encía/anatomía & histología , Distribución de Chi-Cuadrado , Diente Molar , Odontometría , Propiedades de SuperficieRESUMEN
PURPOSE: The aim of this study was to describe an experimental surgical technique to be used in the evaluation of bone grafts in rabbits. METHODS: The operative technique was performed in jaws, with external approach from the labial commissure to the last molar tooth. An incision about 1cm extended forward to the alveolar ridge, followed by a exposing the cervical region of the alveolar bone and dental elements was done. Thus, after extraction of first molar with forceps, the tooth socket left was filled with hydroxyapatite. The bone gain was analyzed by histopathological studies. RESULTS: The histological analyses indicated formed bone surrounding the biomaterial. CONCLUSION: The experimental model using the tooth socket of the rabbit molar is a feasible procedure for studies of bone grafts.
OBJETIVO: Descrever uma técnica cirúrgica em coelhos para avaliação de enxertos ósseos. MÉTODOS: A técnica operatória consiste numa incisão na topografia da comissura labial até o ultimo molar. Uma incisão de 1cm no rebordo para expor o osso alveolar e a região cervical dos molares. Realizou-se a exodontia com fórceps e o alvéolo é preenchido com hidroxiapatita. Após o tempo de cicatrização é realizada a avaliação histológica. RESULTADOS: A análise histológica mostrou o novo osso formado rodeando biomaterial. CONCLUSÃO: O modelo cirúrgico para avaliação de enxertos ósseos utilizando molares de coelhos se mostrou factível.