The aim of this study was to evaluate the effects of melatonin on the inflammatory response and hydroxyproline production in an experimental acute and chronic model of trinitrobenzene sulfonic (TNBS) acid-induced colitis in Wistar rats. In the acute model, melatonin (0.5, 1, and 2 mg/kg, i.p.) was applied 48, 24, and 1 hr prior to the induction of colitis and 24 and 48 hr after; the severity of colitis was less evident in melatonin-treated animals with significant response in the group treated with 2 mg/kg. All doses investigated significantly reduced the myeloperoxidase activity (MPO). In the chronic studies, melatonin (1 and 2 mg/kg, i.p.) was administered daily 24 hr before hapten instillation and for 7 or 21 days after TNBS; melatonin (2 mg/kg) worsened colitis evolution in the 21-day study with a significant increase in MPO activity and tumor necrosis factor-alpha production with respect to TNBS group. Histological slides were in concordance with macroscopic data where areas of extensive necrosis and edema, fibrosis, and absence of regenerated epithelium were observed. Moreover, the hydroxyproline determination, used as indicator of collagen production and fibrosis, also showed a marker increase. The results obtained in this experimental model showed that short-term administration is protective while in the long term it negatively influences evolution of inflammatory colitis; therefore, the immunostimulatory effect of melatonin in some situations when given chronically, such as during inflammatory bowel disease, might lead to negative consequences.

La respuesta tisular a implantes dentales con plataforma reducida (platform switching) La respuesta tisular a implantes dentales con plataforma reducida (platform switching)

El efecto de la fatiga cíclica sobre los pilares de implantes dentales The effect of the cyclic fatigue in dental implant abutments

En la actualidad, la implantología oral constituye una modalidad terapéutica en el tratamiento prostodóncico de los pacientes mayores edéntulos totales. La utilización de implantes oseointegrados para rehabilitar la mandíbula o el maxilar edéntulos ha aumentado en el tratamiento de los pacientes geriátricos. La odontología clínica ha demostrado la aplicación con éxito de las técnicas implantológicas orales en los pacientes ancianos. Las sobredentaduras son una excelente modalidad terapéutica de prótesis sobre implantes con una buena respuesta funcional y estética en estos pacientes. La valoración médica y un plan de tratamiento es necesaria para optimizar los beneficios de la rehabilitación oral con sobredentaduras implantosoportadas sobre la calidad de vida de los pacientes geriátricos. Algunos implantes pueden constituir los elementos retentivos, mediante ataches de las sobredentaduras. Los resultados clínicos de muchos estudios demuestran que la rehabilitación prostodóncica mediante una sobredentadura con implantes de los pacientes edéntulos representa una terapéutica implantológica con éxito. Palabras clave: Implantes dentales, sobredentaduras, adultos mayores, oseointegración, implantología oral. SUMMARY Today, oral implantology constitute a therapeutic modality in the prosthodontic treatment of totally edentulous patients. Use of osseointegrated implants to restore edentulous mandible and maxilla has increased in the treatment of geriatric patients. Clinical dentistry have demonstrated the successfull application of oral implantology techniques in older patients. Overdentures are an excellent treatment modality of implant prosthesis with a good functional and aesthetic response in these patients. Medical assessment and treatment planning is needed for optimize the benefits of oral rehabilitation with implant overdentures over quality of life in geriatric patients. Several implants can be retentive components, by attachments, of overdentures. Clinical outcomes of many studies demonstrate that prosthodontic rehabilitation in the maxilla or mandible of edentulous patients with overdentures supported by several implants is a successful implant treatment.

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Introduction and Objectives: Today, oral implantology constitute a therapeutic modality in the prosthodontic treatment of edentulous geriatric patients. This study reports the long-term evaluation of edentulous patients treated with mandibular overdentures by early loading of implants with acid-etched surface. Materials and Methods: 13 edentulous patients were treated with 45 TSA Defcon ® acid-etched surface implants for prosthodontic rehabilitation with overdentures in the mandible. All implants were inserted in onestage. Implants were loaded after a healing free-loading period between 6 weeks. Clinical findings (implant and prosthodontics) were followed during 15 years. Results: Clinical results indicate a survival and success rate of implants of 94.4%. One implant were lost during the healing period. After, two implants were lost by periimplantitis. 76.9% of patients were treated with overdentures with bar (61.5% by 4 implants and 15.4% by 3 implants), and the rest of patients (23.1%) with overdentures retained with 2 implants. 77% of patients need attachment changes. Two overdentures were removed. Conclusions: Clinical results of this study indicate that rehabilitation with mandibular overdentures of geriatric patients with etched-surface implants early loaded can achieve long-term successful outcomes.

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