RESUMO
AIM: The mandibular division of the trigeminal nerve is the largest of the three major divisions of the trigeminal nerve (fifth cranial nerve). In this way, many health professionals belonged to different fields are commonly evaluating patients suffering with orofacial pain and stomatognatic dysfunction associated to this structure. But, in the most cases, it is difficult to establish a correct diagnosis due to the anatomical complexity of the head and neck surfaces, especially when the focus is the trigeminal nerve. Thus, the objective of this research was to present the anatomical variations of the mandibular nerve and its branches correlated to more common clinical situations. METHODS: For this purpose, 20 human heads were anatomically dissected, so to study their structures, an external, medial and endocranial view. RESULTS: No significant variations related to ophthalmic and maxillary nerves were observed. Anatomical variations were observed in 20% of the total human heads dissected, all related to mandibular nerve and its branches: masseter, temporal, auriculotemporal and lingual. Variations in three to seven, on the number of the following nerves ramus, masseter and temporal were described. CONCLUSIONS: According to the present data using the described methodology, it was possible to conclude that anatomical variations are present in many subjects and they can explain many clinical situations that involve the stomatognathic structures.
Assuntos
Variação Genética , Nervo Mandibular/anatomia & histologia , Adulto , Nervo da Corda do Tímpano/anatomia & histologia , Dor Facial/etiologia , Humanos , Complicações Intraoperatórias/prevenção & controle , Nervo Lingual/anatomia & histologia , Traumatismos do Nervo Lingual , Masculino , Mandíbula/anatomia & histologia , Pessoa de Meia-Idade , Traumatismos do Nervo TrigêmeoRESUMO
AIM: The success of ceramic restorations is influenced by biocompatibility and resistance provided after bonding with an adhesive system. The aim of this in vitro study was to evaluate the adhesive bond strength between ceramic (IPS Classic V, Ivoclar Vivadent) and composite resin (Z-250, 3M), submitted or not to thermocycling treatment. METHODS: Forty ceramic cylinders were obtained with the following dimensions: 2 mm diameter and 3 mm high. The bond surface was polished with polishing paper (#600), conditioned with 10% hydrofluoric acid and silanized, according to manufacturer's recommendations. Later, the ceramic cylinders were bonded, with resinous cement (Rely X, 3M) to composite resin cylinders (Z-250, 3M) with the same dimensions, under 1 kg load. The assemblies were divided into two groups submitted to the following treatments: Group 1 (control): immersed in distilled water at 37 degrees C for 3 days, and Group 2: thermocycled (500 cycles) into two baths (5 degrees C and 55 degrees C), with 1 min of storing time each. In order to evaluate the adhesive resistance, the assemblies were tractioned in a universal testing machine (EMIC MEM 2000) with a crosshead speed of 0.5 mm/min. Obtained data were submitted to statistical analysis (ANOVA and Tukey's test). RESULTS: The means (MPa) and standard deviation obtained for Groups 1 and 2 were, respectively, 29.64+/-9.48 and 17.55+/-4.78. Group 1 presented significantly higher values than Group 2 (P<0.05). CONCLUSION: The results obtained in this study showed that the thermocycling procedure decreased the adhesive resistance between the materials studied.
Assuntos
Cerâmica , Resinas Compostas , Cimentos de Resina , Teste de Materiais , Mecânica , TemperaturaRESUMO
AIM: To assess the effect of acupuncture on the temporal and masseter muscles activity employing surface electromyography. METHODS: Thirty volunteers were evaluated according to three groups of acupuncture application: selected local points, selected points at distance and association of local and distant points. Bipolar surface electrodes were positioned bilaterally on the anterior portion of temporal muscle, as well as in the median region of masseter muscle. An electromyograph connected to a computer and a specific software registered the muscular activity before and after acupuncture, in the following experimental conditions: 1- Rest Position (RP); 2- Maximum Intercuspation Clenching (MIC); 3- Bilateral Molar Clenching with Cotton Rolls (BMCCR). The mean values obtained for the activities of the studied muscles were submitted to Analysis of Variance and Tukey complementary test. RESULTS: The electromyographic activity of the studied muscles was lower after the application of the methods of acupuncture in the Rest, and higher after the application of the acupuncture in the Maximum Intercuspation Clenching; the electromyographic activity of the temporal muscle was higher than the masseter muscle in the Rest and lower in the Bilateral molar clenching with cotton rolls; the electromyographic activity showed to be modified after the three used methods of acupuncture in the Maximum Intercuspation Clenching. In this clinical condition, the method of long-distance acupuncture was higher than the application of local needles and the associated method. CONCLUSION: Acupuncture provided alterations in the activity of the studied muscles, favoring conditions of rest and muscular tightness.