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1.
J Biomech Eng ; 143(10)2021 10 01.
Artigo em Inglês | MEDLINE | ID: mdl-34008848

RESUMO

Rotator cuff (RC) tears cause pain and functional disability of the shoulder. Despite advances in suture anchors, there are still reports about the incidence of surgical-related injuries to RC mainly associated with sutures. The purpose of this study was to design and evaluate the mechanical behavior of sutureless implants to repair RC tears. We hypothesized that the implants present mechanical characteristics suitable for the surgical treatment of RC tears as suture anchors. Three different implants (T1, T2, T3) were designed and fabricated with titanium: T1 has two rods and rectangular head; T2 has two rods with a small opening and enlarged rectangular head; and T3 has three rods and a circular head. The implants were fixed in rigid polyurethane foam blocks by a series of blows, and the applied mechanical loads along with the number of blows were quantified. Pullout tests using tapes fixed between the implant head and testing machine grip were conducted until implant failure. The maximum pullout strength and displacement of the implant relative to the rigid foam block were computed. Statistical significance was set at p < 0.05. Owing to its geometric configuration, implant T2 presented the best characteristics related to stability, strength, and ease of insertion. Implant T2 confirms our hypothesis that its mechanical behavior is compatible with that of suture anchors, which could lead to the reduction of RC repair failures and simplify the arthroscopic procedure.


Assuntos
Lesões do Manguito Rotador
2.
Rev Bras Ortop (Sao Paulo) ; 54(3): 247-252, 2019 May.
Artigo em Inglês | MEDLINE | ID: mdl-31363277

RESUMO

Objective To evaluate the mechanical properties of sutures commonly used in orthopedic surgeries, characterizing their behavior through tensile tests and determining which one has greater mechanical strength. Method Tensile tests of different sutures were performed in a mechanical testing machine BME 10 kN, using a 50 kgf maximum capacity loading cell. Seven samples from each suture material were tested. Both ends of the sample material were fixed in the proper metal claw, maintaining an initial length of 5 cm. Tests were performed at a speed of 20 mm/minute and at room temperature, recording data for maximum displacement and maximum force at the rupture point. Results FiberWire® #2 (Artrhex, Naples, FL, USA) presented the highest mean strength of rupture (240.17 N), followed by HiFi® #2 (Conmed, Utica, NY, USA) (213.39N) and Ethibond® #5 (Ethicon Inc., Somerville, NJ, USA) (207.38 N). Ethibond® #2 (Ethicon Inc., Somerville, NJ, USA) had the lowest mean strength of rupture (97.8 N). Conclusion Non-absorbable braided polyblend sutures, more recently introduced, are superior to conventional, braided polyester sutures, and FiberWire® #2 is the most resistant suture evaluated in the present study.

3.
Rev. Bras. Ortop. (Online) ; 54(3): 247-252, May-June 2019. graf
Artigo em Inglês | LILACS | ID: biblio-1013724

RESUMO

Abstract Objective To evaluate the mechanical properties of sutures commonly used in orthopedic surgeries, characterizing their behavior through tensile tests and determining which one has greater mechanical strength. Method Tensile tests of different sutures were performed in a mechanical testing machine BME 10 kN, using a 50 kgf maximum capacity loading cell. Seven samples from each suture material were tested. Both ends of the sample material were fixed in the proper metal claw, maintaining an initial length of 5 cm. Tests were performed at a speed of 20 mm/minute and at room temperature, recording data for maximum displacement and maximum force at the rupture point. Results FiberWire® #2 (Artrhex, Naples, FL, USA) presented the highest mean strength of rupture (240.17 N), followed by HiFi® #2 (Conmed, Utica, NY, USA) (213.39N) and Ethibond® #5 (Ethicon Inc., Somerville, NJ, USA) (207.38 N). Ethibond® #2 (Ethicon Inc., Somerville, NJ, USA) had the lowestmean strength of rupture (97.8 N). Conclusion Non-absorbable braided polyblend sutures, more recently introduced, are superior to conventional, braided polyester sutures, and FiberWire® #2 is the most resistant suture evaluated in the present study.


Resumo Objetivo Avaliar as propriedades mecânicas dos fios de sutura normalmente usados nas cirurgias ortopédicas e caracterizar seu comportamento por meio de ensaios de tração para verificar qual deles apresenta maior resistência mecânica. Método Os ensaios de tração dos diferentes tipos de fios de sutura foram feitos na máquina de ensaios mecânicos BME 10 kN, comcélula de carga de capacidademáxima de 50 kgf. Foram ensaiadas sete amostras de cada tipo de fio de sutura, foram fixadas cada uma das extremidades da amostra na garra metálica própria para o ensaio de fios e manteve-se o comprimento inicial de 5 cm. Os ensaios foram feitos com uma velocidade de 20 mm/minuto e à temperatura ambiente, registraram-se os dados de força máxima e o deslocamento máximo na ruptura dos fios. Resultados A força média de rupturamais elevada foi observada na sutura FiberWire® 2 (Artrhex, Naples, FL, EUA) (240,17 N), seguida pela HiFi® 2 (Conmed, Utica, NY, EUA) (213,39 N) e Ethibond® 5 (Ethicon Inc., Somerville, NJ, EUA) (207,38 N). A menor força média de ruptura foi obtida para o fio Ethibond® 2 (Ethicon Inc., Somerville, NJ, EUA) (97,8 N). Conclusão Os fios de sutura não absorvíveis de polimistura trançada, de surgimento mais recente, são superiores ao fio de sutura convencional de poliéster trançado. O FiberWire® 2 é o mais resistente dos fios avaliados no presente estudo.


Assuntos
Ombro , Suturas , Fenômenos Biomecânicos , Articulação Acromioclavicular/cirurgia , Articulação Acromioclavicular/lesões
4.
Int J Nurs Pract ; 25(4): e12738, 2019 Aug.
Artigo em Inglês | MEDLINE | ID: mdl-31090150

RESUMO

AIM: To examine the influence of body mass index, bioimpedance, and skin folds on the distribution of body interface pressure in regions with the potential to develop pressure ulcers in contact with support surfaces. DESIGN: This was a descriptive and analytical study. METHODS: Twenty healthy volunteer adults were investigated in April 2017. Body mass index, skin folds, waist circumference, bioimpedance, and interface pressure on bony prominences were investigated. Descriptive statistics and correlations were analysed. RESULTS: Peak pressures in the subscapular region presented moderate and significant correlations with body mass index, waist circumference, total and extracellular body water, fat-free mass, and lean mass per body segment. The peak pressure on the right heel showed a moderate correlation with total and extracellular body water, fat-free mass, and lean mass per segment. CONCLUSION: The need for multicenter research was evident, focusing on bioimpedance assessment as a risk factor for the development of pressure ulcers.


Assuntos
Impedância Elétrica , Úlcera por Pressão/fisiopatologia , Adulto , Índice de Massa Corporal , Feminino , Humanos , Masculino , Fatores de Risco , Circunferência da Cintura
5.
Rev Lat Am Enfermagem ; 26: e3083, 2018 Nov 29.
Artigo em Inglês, Português, Espanhol | MEDLINE | ID: mdl-30517574

RESUMO

OBJECTIVE: to evaluate the interface pressure (IP) of support surfaces (SSs) on bony prominences. METHOD: a quasi-experimental study with repeated measures on each SS. Twenty healthy adult volunteers participated in the study. The participants were placed in the supine position on a standard operating table for evaluation of IP on the bony prominences of the occipital, subscapular, sacral, and calcaneal regions using sensors. Seven evaluations were performed for each bony prominence: one on a standard operating table, and the others on tables containing SSs made of viscoelastic polymer, soft foam, or sealed foam. Descriptive statistics and analysis of variance were used to analyze the data. RESULTS: the mean IP was higher on the viscoelastic polymer-based SS compared to the other SSs (p<0.001). The mean IP was relatively lower on the density-33 sealed foam and density-18 soft foam. In addition, this variable was comparatively higher in the sacral region (42.90 mmHg) and the calcaneal region (15.35 mmHg). CONCLUSION: IP was relatively lower on foam-based SSs, especially on density-18 soft foam and density-33 sealed foam. Nonetheless, IP was not reduced on the viscoelastic polymer SS compared to the control SS.


Assuntos
Salas Cirúrgicas , Mesas Cirúrgicas , Posicionamento do Paciente/instrumentação , Assistência Perioperatória , Úlcera por Pressão/prevenção & controle , Adulto , Desenho de Equipamento , Feminino , Humanos , Masculino , Pessoa de Meia-Idade , Adulto Jovem
6.
Biosci. j. (Online) ; 34(6): 1824-1834, nov.-dec. 2018. ilus, graf
Artigo em Inglês | LILACS | ID: biblio-968982

RESUMO

One of greatest challenges of dentists is the rehabilitation of free-end Kennedy class I and class II patients due to the improper occurrence of stress around the supporting structures of conventional removable dentures during mastication. This work aimed to compare the stress distribution in different prosthetic solutions. For this analysis, four photoelastic models (PM) were produced simulating a Kennedy class I arch with the remaining teeth 34 through 44. In all models, teeth 33, 34, 43, and 44 received metal crowns. In addition to the crowns, the A model (PMA) received a conventional removable partial denture (RPD), the B model (PMB) received a RPD associated with a semi-rigid attachment, the C model (PMC) received a RPD associated with a rigid attachment, and the D model (PMD) received a RPD associated with implant and rigid attachment. Evenly distributed loads were applied on the last artificial tooth of the prostheses. Based on the results of the distributed load, the conventional prosthesis presented the best results for all regions (averages ranging from 25.70 to 17.80), followed by the prosthesis associated with the implant, the prosthesis associated with the rigid attachment, and lastly, the prosthesis associated with the semi-rigid attachment. The same result can be observed in the localized load, where the conventional prosthesis presented superior results in all regions (averages ranging from 47.35 to 8.30), followed by the prosthesis associated with the implant, the prosthesis associated with the rigid attachment and, with the prosthesis associated with the semi-rigid attachment. Based on the data obtained, it may be concluded that the conventional RPD presented a balanced stress distribution in the three regions analyzed, and when associated with the semi-rigid attachment, it presented a more favorable behavior than that associated with the rigid attachment.


Um dos maiores desafios para os cirurgiões-dentistas consiste na reabilitação de pacientes com extremidade livre classe I e classe II de Kennedy, devido à ocorrência inadequada de tensão em torno das estruturas de suporte das próteses removíveis convencionais durante o processo da mastigação. O objetivo deste trabalho foi analisar comparativamente a distribuição de tensão em diferentes soluções protéticas. Para essa análise, foram confeccionados quatro Modelos Fotoelásticos (MF) simulando um arco classe I de Kennedy, e tendo como dentes remanescentes do dente 34 ao 44. Em todos os modelos, os dentes 33, 34, 43 e 44 receberam coroas metálicas. Além das coroas, o modelo A (MFA) recebeu uma Prótese Parcial Removível (PPR) convencional, o modelo B (MFB) recebeu uma PPR associada a encaixe semirrígido, o modelo C (MFC) recebeu uma PPR associada a encaixe rígido e o modelo D (MFD) recebeu uma PPR associada a implante e encaixe rígido. Foram aplicadas cargas uniformemente distribuídas e localizadas no último dente artificial das próteses. Baseado nos resultados da carga distribuída, a prótese convencional apresentou os melhores resultados para todas as regiões (médias variando entre 25,70 e 17,80), seguida da prótese associada ao implante, a prótese associada ao encaixe rígido e, finalmente, com a prótese associada ao encaixe semirrígido. O mesmo resultado pode ser observado na carga localizada, onde a prótese convencional apresentou resultados superiores em todas as regiões (médias variando entre 47,35 e 8,30), seguida da prótese associada ao implante, a prótese associada ao encaixe rígido e, finalmente, com a prótese associada ao encaixe semirrígido. Baseado nos dados obtidos pôde-se concluir que a PPR convencional apresentou uma distribuição equilibrada de tensões nas três regiões analisadas e, quando associado à fixação semi-rígida, apresentou um comportamento mais favorável do que aquele associado à fixação rígida.


Assuntos
Prótese Parcial Removível , Prostodontia , Dente Artificial , Implantes Dentários , Dentaduras , Prótese Dentária
7.
Rev. latinoam. enferm. (Online) ; 26: e3083, 2018. tab, graf
Artigo em Inglês | LILACS, BDENF - Enfermagem | ID: biblio-978621

RESUMO

Abstract Objective: to evaluate the interface pressure (IP) of support surfaces (SSs) on bony prominences. Method: a quasi-experimental study with repeated measures on each SS. Twenty healthy adult volunteers participated in the study. The participants were placed in the supine position on a standard operating table for evaluation of IP on the bony prominences of the occipital, subscapular, sacral, and calcaneal regions using sensors. Seven evaluations were performed for each bony prominence: one on a standard operating table, and the others on tables containing SSs made of viscoelastic polymer, soft foam, or sealed foam. Descriptive statistics and analysis of variance were used to analyze the data. Results: the mean IP was higher on the viscoelastic polymer-based SS compared to the other SSs (p<0.001). The mean IP was relatively lower on the density-33 sealed foam and density-18 soft foam. In addition, this variable was comparatively higher in the sacral region (42.90 mmHg) and the calcaneal region (15.35 mmHg). Conclusion: IP was relatively lower on foam-based SSs, especially on density-18 soft foam and density-33 sealed foam. Nonetheless, IP was not reduced on the viscoelastic polymer SS compared to the control SS.


RESUMO Objetivo: valiar a pressão de interface (PI) das superfícies de apoio (SAs) em proeminências ósseas. Método: um estudo quase experimental com medidas repetidas em diferentes SAs. Vinte voluntários adultos saudáveis participaram do estudo. Os participantes foram colocados em decúbito dorsal em uma mesa cirúrgica para avaliação da PI nas proeminências ósseas das regiões occipital, subescapular, sacral e calcânea utilizando sensores. Sete avaliações foram realizadas para cada proeminência óssea: uma avaliação em uma mesa de operação padrão e as outras avaliações em mesas contendo SAs à base de polímero viscoelástico, espuma macia, ou espuma selada. Estatística descritiva e análise de variância foram utilizadas para analisar os dados. Resultados: a PI média foi maior na SA feita de polímero viscoelástico em comparação com as outras SAs (p<0,001). A PI média foi relativamente menor na espuma selada de densidade 33 e na espuma macia de densidade 18. Além disso, essa variável foi comparativamente maior na região sacral (42,90 mmHg) e na região calcânea (15,35 mmHg). Conclusão: a PI foi menor em SAs à base de espuma, especialmente espuma macia de densidade 18 e espuma selada de densidade 33. No entanto, a PI não foi reduzida na SA à base de polímero viscoelástico comparado com a SA controle.


RESUMEN Objetivo: evaluar la presión de interfaz (PI) de las superficies de apoyo (SAs) en prominencias óseas. Método: un estudio casi experimental con medidas repetidas en diferentes SAs. Veinte voluntarios adultos saludables participaron del estudio. Los participantes fueron colocados en decúbito dorsal en una mesa quirúrgica para evaluación de la PI en las prominencias óseas de las regiones occipital, subescapular, sacra y calcánea utilizando sensores. Siete evaluaciones fueron realizadas para cada prominencia ósea: una evaluación en una mesa de operación estándar y otras evaluaciones en mesas que contenían SAs a base de polímero viscoelástico, espuma blanda, o espuma sellada. Fueron utilizadas la estadística descriptiva y el análisis de la varianza para analizar los datos. Resultados: la PI media fue mayor en la SA hecha de polímero viscoelástico en comparación con las otras SAs (p<0,001). La PI media fue relativamente menor en la espuma sellada de densidad 33 y en la espuma blanda de densidad 18. Además, esa variable fue comparativamente mayor en la región sacra (42,90 mmHg) y en la región calcánea (15,35 mmHg). Conclusión: la PI fue menor en SAs a base de espuma, especialmente espuma blanda de densidad 18 y espuma sellada de densidad 33. Sin embargo, la PI no fue reducida en la SA a base de polímero viscoelástico comparado con la SA control.


Assuntos
Humanos , Masculino , Feminino , Assistência Perioperatória/normas , Úlcera por Pressão/prevenção & controle , Posicionamento do Paciente/instrumentação , Mesas Cirúrgicas/normas
8.
Int J Nurs Pract ; 23(4)2017 Aug.
Artigo em Inglês | MEDLINE | ID: mdl-28643855

RESUMO

AIM: To assess the scientific evidence about the types of support surfaces used in intraoperative surgical practice in the prevention of pressure ulcers due to surgical positioning. METHOD: This is an integrative literature review. The electronic databases Cochrane, PubMed, Web of Science, Scopus, Lilacs, and CINAHL were used. The descriptors surgical patients, support surfaces, perioperative care, patient positioning, and pressure ulcer were used in the search strategy. Articles that addressed the use of support surfaces intraoperatively, published between 1990 and 2016, were selected. The PRISMA guidelines were used to structure the review. RESULTS: Of 18 evaluated studies, most were in English, followed by Portuguese and Spanish; most were performed by nurses. The most commonly cited support surfaces were viscoelastic polymer, micropulse mattresses, gel based mattresses, and foam devices. CONCLUSION: There are gaps in knowledge regarding the most efficient support surfaces and the specifications of the products used to prevent pressure ulcers due to surgical positioning.


Assuntos
Úlcera por Pressão/prevenção & controle , Leitos , Humanos , Posicionamento do Paciente , Assistência Perioperatória
9.
J Oral Implantol ; 43(4): 254-260, 2017 Aug.
Artigo em Inglês | MEDLINE | ID: mdl-28628390

RESUMO

The aim of this study was to assess the effect of a diamond-like carbon (DLC) coating on the removal torque of prefabricated implant screws after cyclic loading. Four groups with two crowns supported by two implants (n = 5) were obtained according to splinted and nonsplinted prosthesis, using titanium or DLC screws (splinted crowns with titanium screw [STi], splinted crowns with DLC screw [SC], nonsplinted crowns and titanium screw [NSTi], and nonsplinted crowns and DLC screw [NSC]). The prosthetic screws were tightened at 32 Ncm and retightened, and the specimens were submitted to 106 mechanical cycles (4 Hz/98 N). After cyclic loading, loosening torque was evaluated, and the final measurements were performed. Data were analyzed by two-way analysis of variance and Tukey's test (α = .005). There was statistically significance in the interaction of screw × splinting (P = .003). For the group that used titanium screws, NSTi showed smaller removal torque compared with STi. It was concluded that the use of the DLC coating screws in nonsplinted prosthesis maintain the torque after cyclic loading.


Assuntos
Retenção em Prótese Dentária , Prótese Dentária Fixada por Implante , Prótese Parcial Fixa , Coroas , Planejamento de Prótese Dentária , Análise do Estresse Dentário , Humanos , Titânio , Torque
10.
J Oral Implantol ; 41(1): 3-9, 2015 Feb.
Artigo em Inglês | MEDLINE | ID: mdl-23397888

RESUMO

The aim of this study was to analyze the effect of the separation of prosthetic crowns from fixed partial dentures by means of stress gradient evaluation. Three photoelastic models were created to examine contiguous implants with varying contact between the crowns (contact point [CP], contact surface [CS], splinted [SP]). The SP group presented the best results, followed by the CS group, indicating that the use of splinted prosthetic crowns and crowns with broad surface contacts is viable when considering the stress values.


Assuntos
Coroas , Prótese Dentária Fixada por Implante , Planejamento de Dentadura , Prótese Parcial Fixa , Algoritmos , Processo Alveolar/fisiopatologia , Fenômenos Biomecânicos , Força de Mordida , Arco Dental/fisiopatologia , Planejamento de Prótese Dentária , Análise do Estresse Dentário/instrumentação , Humanos , Mandíbula/fisiopatologia , Estresse Mecânico , Propriedades de Superfície
11.
Acta Ortop Bras ; 22(1): 17-20, 2014.
Artigo em Inglês | MEDLINE | ID: mdl-24644414

RESUMO

OBJECTIVE: To compare, using photoelasticity, internal stress produced by USS II type screw with 5.2 and 6.2 mm external diameters, when submitted to three different pullout strengths. METHODS: Two photoelastic models were especially made. The simulation was performed using loads of 1.8, 2.4 e 3.3 kgf.The fringe orders were evaluated around the screws. In all the models analyzed the shear stress were calculated. RESULTS: Independently of the applied load, the smaller screw showed higher values of shear stress. CONCLUSION: According to the analysis performed, we observed that the place of highest stress was in the first thread of the lead, close to the head of the screws. Experimental study.

12.
Acta ortop. bras ; Acta ortop. bras;22(1): 17-20, 2014. graf
Artigo em Inglês | LILACS | ID: lil-703992

RESUMO

Objective: To compare, using photoelasticity, internal stress produced by USS II type screw with 5.2 and 6.2 mm external diameters, when submitted to three different pullout strengths. Methods: Two photoelastic models were especially made. The simulation was performed using loads of 1.8, 2.4 e 3.3 kgf.The fringe orders were evaluated around the screws. In all the models analyzed the shear stress were calculated. Results: Independently of the applied load, the smaller screw showed higher values of shear stress. Conclusion: According to the analysis performed, we observed that the place of highest stress was in the first thread of the lead, close to the head of the screws. Experimental study. .

13.
Braz Dent J ; 24(2): 147-51, 2013.
Artigo em Inglês | MEDLINE | ID: mdl-23780359

RESUMO

Lack of passivity has been associated with biomechanical problems in implant-supported prosthesis. The aim of this study was to evaluate the passivity of three techniques to fabricate an implant framework from a Co-Cr alloy by photoelasticity. The model was obtained from a steel die simulating an edentulous mandible with 4 external hexagon analog implants with a standard platform. On this model, five frameworks were fabricated for each group: a monoblock framework (control), laser and TIG welding frameworks. The photoelastic model was made from a flexible epoxy resin. On the photoelastic analysis, the frameworks were bolted onto the model for the verification of maximum shear stress at 34 selected points around the implants and 5 points in the middle of the model. The stresses were compared all over the photoelastic model, between the right, left, and center regions and between the cervical and apical regions. The values were subjected to two-way ANOVA, and Tukey's test (α=0.05). There was no significant difference among the groups and studied areas (p>0.05). It was concluded that the stresses generated around the implants were similar for all techniques.


Assuntos
Ligas de Cromo/química , Prótese Dentária Fixada por Implante , Soldagem em Odontologia/métodos , Lasers , Gases em Plasma , Técnica de Fundição Odontológica , Projeto do Implante Dentário-Pivô , Implantes Dentários , Soldagem em Odontologia/instrumentação , Resinas Epóxi/química , Humanos , Arcada Edêntula/reabilitação , Mandíbula/patologia , Teste de Materiais , Modelos Dentários , Estresse Mecânico , Propriedades de Superfície , Soldagem/instrumentação , Soldagem/métodos
14.
Braz. dent. j ; Braz. dent. j;24(2): 147-151, Mar-Apr/2013. tab, graf
Artigo em Inglês | LILACS | ID: lil-675660

RESUMO

Lack of passivity has been associated with biomechanical problems in implant-supported prosthesis. The aim of this study was to evaluate the passivity of three techniques to fabricate an implant framework from a Co-Cr alloy by photoelasticity. The model was obtained from a steel die simulating an edentulous mandible with 4 external hexagon analog implants with a standard platform. On this model, five frameworks were fabricated for each group: a monoblock framework (control), laser and TIG welding frameworks. The photoelastic model was made from a flexible epoxy resin. On the photoelastic analysis, the frameworks were bolted onto the model for the verification of maximum shear stress at 34 selected points around the implants and 5 points in the middle of the model. The stresses were compared all over the photoelastic model, between the right, left, and center regions and between the cervical and apical regions. The values were subjected to two-way ANOVA, and Tukey's test (α=0.05). There was no significant difference among the groups and studied areas (p>0.05). It was concluded that the stresses generated around the implants were similar for all techniques.


Resumo A falta de passividade tem sido associada a problemas biomecânicos em próteses implantossuportadas. A proposta deste estudo foi avaliar, por meio da fotoelasticidade, a influência de três diferentes de fabricação de infraestrutura em liga de Co-Cr na passividade destas. O modelo foi obtido a partir de uma matriz de aço simulando uma mandíbula edêntula com 4 análogos de implantes de hexágono externo com plataforma padrão. Neste modelo, foram confeccionados cinco amostras para cada grupo: infraestruturas em monobloco, infraestruturas soldadas a laser e soldadas a TIG. O modelo fotoelástico foi feito com uma resina epóxi flexível (GIII, Polipox Industria e Comercio Ltda.). Na análise fotoelástica, as infraestruturas foram aparafusadas no modelo para a verificação da tensão de cisalhante máxima em 34 pontos selecionados ao redor dos implantes e 5 pontos na região média do modelo. Foram comparadas as tensões em todo o modelo fotoelástico, entre as regiões direita, esquerda e centro e também entre as regiões cervical e apical. Os valores foram submetidos à análise de variância a dois critérios, seguido pelo teste de Tukey (α=0,05). Os resultados não mostraram diferença significativa entre as tensões presentes nos grupos e nas áreas estudadas. Conclui-seque as tensões geradas ao redor dos implantes foram semelhantes entre as diferentes técnicas de confecção e entre todas as regiões analisadas. .


Assuntos
Humanos , Ligas de Cromo/química , Prótese Dentária Fixada por Implante , Soldagem em Odontologia/métodos , Lasers , Gases em Plasma , Técnica de Fundição Odontológica , Projeto do Implante Dentário-Pivô , Implantes Dentários , Modelos Dentários , Soldagem em Odontologia/instrumentação , Resinas Epóxi/química , Arcada Edêntula/reabilitação , Teste de Materiais , Mandíbula/patologia , Estresse Mecânico , Propriedades de Superfície , Soldagem/instrumentação , Soldagem/métodos
15.
Int J Oral Maxillofac Implants ; 28(2): e98-e105, 2013.
Artigo em Inglês | MEDLINE | ID: mdl-23527374

RESUMO

PURPOSE: To verify the effectiveness of a countertorque device in dental implants in redistributing stress to the bone-implant interface during tightening of the abutment screw. MATERIALS AND METHODS: Two prismatic photoelastic samples containing implants were made, one with a 3.75-mm-diameter implant and the other with a 5.0-mm-diameter implant (both implants had an external-hexagon interface) and the respective abutments were attached (CeraOne). The samples were placed in a support and submitted to torques of 10, 20, 32, and 45 Ncm with an electronic torque meter. The torque application was repeated 10 times on each sample (n = 10) with and without a countertorque device. Photoelastic patterns were detected; thus, a photographic register of each test was selected. The fringe patterns were analyzed at discrete points near the implants' external arch. RESULTS: In both implants analyzed, a stress gradient reduction was observed through the implant with the countertorque device. CONCLUSIONS: The countertorque device used in this study proved to be effective in reducing the stresses generated in the peri-implant bone tissue during torque application.


Assuntos
Dente Suporte , Implantes Dentários , Instrumentos Odontológicos , Análise do Estresse Dentário/métodos , Torque , Projeto do Implante Dentário-Pivô , Planejamento de Prótese Dentária , Falha de Restauração Dentária , Elasticidade , Estresse Mecânico
16.
ImplantNews ; 10(6a): 111-116, 2013. ilus, graf
Artigo em Português | LILACS | ID: lil-761253

RESUMO

Novas superfícies de implantes foram desenvolvidas para melhorar o processo de osseointegração guiando principalmente a diferenciação de células-tronco mesenquimais humanas (CTMh) em osteoblastos. Este estudo avaliou o efeito de diferentes superfícies de implantes na diferenciação de CTMh em osteoblastos. Uma nova superfície de implante (Acqua) foi comparada com a superfície NeoPoros. As CTMh foram cultivadas em discos de titânio preparados com duas superfícies, e experimentos diferentes foram realizados para avaliar a viabilidade celular, a proliferação, a atividade de fosfatase alcalina, a mineralização e a expressão dos genes relacionados aos osteoblastos. Além disso, microscopia eletrônica de varredura e espectroscopia de fotoelétrons de raio X foram feitas para avaliar a composição química e a topografia das superfícies. Após três e sete dias, a superfície Acqua mostrou níveis mais altos de proliferação celular, quando comparada com a superfície NeoPoros (p < 0,05). A atividade da fosfatase alcalina foi seis vezes maior na superfície Acqua após 14 dias de cultura celular (p < 0,05). Além disso, a quantidade de cálcio depositado nas superfícies, devido ao processo de mineralização, foi o dobro na superfície Acqua após 14 e 28 dias (p < 0,05). Para a análise da expressão gênica, os níveis de mRNA do genes da fosfatase alcalina (ALP) e sialoproteína óssea (BSP) foram maiores para Acqua aos três, sete e 14 dias, em comparação com a superfície NeoPoros. Dentro das limitações deste estudo, a superfície Acqua foi capaz de induzir melhor diferenciação das CTMh em osteoblastos, comparadas com a superfície NeoPoros. Uma maior expressão de genes marcadores de osteoblastos, bem como maior atividade de fosfatase alcalina e teor de cálcio, foram observados para a superfície Acqua...


New implant surfaces have been developed to improve the osseointegration process mainly guiding the differentiation of human mesenchymal stem cells (hMSC) into osteoblasts. This study evaluated the effect of different implant surfaces in hMSC differentiation into osteoblasts. A novel implant surface (Acqua) was compared to Neoporos surface. hMSCs were cultured on titanium disks prepared with the two different surfaces and experiments to evaluate cell viability and proliferation, alkaline phosphatase activity, mineralization and gene expression of osteoblast marker genes were conducted. Also, scanning electron microscopy and X-ray Photoelectron Spectroscopy were conducted to evaluate the topography and chemical composition of both surfaces. After three and seven days, Acqua surface showed higher levels of cell proliferation compared to Neoporos surface (p < 0.05). Alkaline phosphatase activity was 6-fold higher on Acqua surface after 14 days of cell culture (p < 0.05). Also, the amount of calcium deposited on the surfaces due to the mineralization process was 2-fold higher for Acqua surface after 14 and 28 days (p < 0.05). For gene expression analysis, alkaline phosphatase (ALP) and bone sialoprotein (BSP) mRNA levels were higher for Acqua at three, seven and 14 days compared to Neoporos surface. Within the limitations of this study, the Acqua surface was able to better induce the differentation of hMSCs into osteoblasts compared to the Neoporos surface. Higher expression of osteoblast marker genes as well as higher alkaline phosphatase activity and calcium content were observed for Acqua...


Assuntos
Humanos , Implantação Dentária , Osteoblastos , Células-Tronco
17.
Work ; 41 Suppl 1: 1612-7, 2012.
Artigo em Inglês | MEDLINE | ID: mdl-22316945

RESUMO

The human work possess a history and, in this dimension, the man is submitted to the conditions that confer it physical and psychological consequences. The activity of work in the present time imposes adverse labor conditions. The ergonomics is a science that it aims at to study the real activity of the work with sights its transformation. This study it was carried through in a sector of processing of meats in a Agroindustry, with the objective to analyze ergonomically the conditions of work and the possible risks it greets it of the workers. It was verified that in the accomplishment of the activities it had an overload of the musculature of superior members, where if it verified the requirement of repetitive movements during four working hours. Also observed the organization of the work, the position of the employees and way to carry through the activities. With the study we conclude that the ergonomic risks in the sector are related to the position during the accomplishment of the activities, requirement of repetitive movements, e the cold that affects the muscular control, reducing some motor abilities as the dexterity and the force.


Assuntos
Temperatura Baixa , Transtornos Traumáticos Cumulativos/etiologia , Ergonomia , Doenças Profissionais/etiologia , Exposição Ocupacional , Animais , Antropometria , Humanos , Decoração de Interiores e Mobiliário , Carne , Estudos de Casos Organizacionais , Suínos
18.
Acta Ortop Bras ; 20(1): 17-20, 2012.
Artigo em Inglês | MEDLINE | ID: mdl-24453574

RESUMO

OBJECTIVE: To analyze the shear forces on the vertebral body L4 when submitted to a compression force by means of transmission photoelasticity. METHODS: Twelve photoelastic models were divided into three groups, with four models per group, according to the positioning of the sagittal section vertebrae L4-L5 (sections A, B and C). The simulation was performed using a 15N compression force, and the fringe orders were evaluated in the vertebral body L4 by the Tardy compensation method. RESULTS: Photoelastic analysis showed, in general, a homogeneous distribution in the vertebral bodies. The shear forces were higher in section C than B, and higher in B than A. CONCLUSION: The posterior area of L4, mainly in section C, showed higher shear concentrations, corresponding to a more susceptible area for bone fracture and spondylolisthesis. Economic and Decision Analyses - Development of an Economic or Decision Model. Level I.

19.
Braz Dent J ; 23(6): 686-91, 2012.
Artigo em Inglês | MEDLINE | ID: mdl-23338261

RESUMO

The aim of this study was to assess the effect of different plasma arc welding parameters on the flexural strength of titanium alloy beams (Ti-6Al-4V). Forty Ti-6Al-4V and 10 NiCr alloy beam specimens (40 mm long and 3.18 mm diameter) were prepared and divided into 5 groups (n=10). The titanium alloy beams for the control group were not sectioned or subjected to welding. Groups PL10, PL12, and PL14 contained titanium beams sectioned and welded at current 3 A for 10, 12 or 14 ms, respectively. Group NCB consisted of NiCr alloy beams welded using conventional torch brazing. After, the beams were subjected to a three-point bending test and the values obtained were analyzed to assess the flexural strength (MPa). Statistical analysis was carried out by one-way ANOVA and Tukey's HSD test at 0.05 confidence level. Significant difference was verified among the evaluated groups (p<0.001), with higher flexural strength for the control group (p<0.05). No significant differences was observed among the plasma welded groups (p>0.05). The NCB group showed the lowest flexural strength, although it was statistically similar to the PL 14 group (p>0.05). The weld depth penetration was not significantly different among the plasma welded groups (p=0.05). Three representative specimens were randomly selected to be evaluated under scanning electron microcopy. The composition of the welded regions was analyzed by energy dispersive X-ray spectroscopy. This study provides an initial set of parameters supporting the use of plasma welding during fabrication of titanium alloy dental frameworks.


Assuntos
Ligas Dentárias/química , Soldagem em Odontologia/métodos , Gases em Plasma/química , Titânio/química , Ligas , Argônio/química , Ligas de Cromo/química , Soldagem em Odontologia/instrumentação , Humanos , Teste de Materiais , Microscopia Eletrônica de Varredura , Maleabilidade , Espectrometria por Raios X , Estresse Mecânico , Propriedades de Superfície , Soldagem/instrumentação , Soldagem/métodos
20.
Acta ortop. bras ; Acta ortop. bras;20(1): 17-20, 2012. ilus, tab
Artigo em Português | LILACS | ID: lil-616921

RESUMO

OBJETIVO: Analisar as tensões geradas no corpo vertebral L4 quando submetida à força de compressão, utilizando a técnica da fotoelasticidade de transmissão. MÉTODOS: Doze modelos fotoelásticos foram utilizados e divididos em três grupos, sendo cada grupo formado por quatro modelos, de acordo com a localização do corte sagital nas vértebras L4-L5 (cortes A, B e C). A simulação foi realizada utilizando uma força compressão de 15 N e as ordens de franjas foram avaliadas no corpo vertebral L4 utilizando o método de compensação de Tardy. RESULTADOS: A análise fotoelástica mostrou que em geral, as tensões se distribuíram de forma homogênea nos corpos vertebrais. As tensões no corte C foram maiores que no B, que por sua vez foram maiores que no corte A. CONCLUSÃO: A região posterior do corpo vertebral L4, principalmente no corte C, apresentou maiores concentrações de tensões, sendo assim, é a área mais susceptível à fratura vertebral e à espondilolistese. Análises econômicas e de decisão. Desenvolvimento de modelo econômico ou de decisão, Nível de evidência I.


OBJECTIVE: to analyze the shear forces on the vertebral body L4 when submitted to a compression force by means of transmission photoelasticity. METHODS: Twelve photoelastic models were divided into three groups, with four models per group, according to the positioning of the sagittal section vertebrae L4-L5 (sections A, B and C). The simulation was performed using a 15N compression force, and the fringe orders were evaluated in the vertebral body L4 by the Tardy compensation method. RESULTS: Photoelastic analysis showed, in general, a homogeneous distribution in the vertebral bodies. The shear forces were higher in section C than B, and higher in B than A. CONCLUSION: The posterior area of L4, mainly in section C, showed higher shear concentrations, corresponding to a more susceptible area for bone fracture and spondylolisthesis. Economic and Decision Analyses - Development of an Economic or Decision Model. Level I.


Assuntos
Humanos , Osteoporose , Região Lombossacral/lesões , Resistência à Tração/fisiologia , Coluna Vertebral , Fenômenos Biomecânicos
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