The analysed parameters observed by the authors were similar to those of the control group, suggesting xenogenic graft being an acceptable material and a graft option.

The objective of this study was to evaluate the long-term influence of xenogenic grafts on bone crestal height and radiographic density following extraction of teeth. The right and left third lower molars of 22 patients were surgically extracted, and one randomly chosen socket was filled with a xenogenic graft (Gent-Tech). The contralateral molar was left to heal naturally, serving as a paired control. Digital intraoral radiographies were taken at surgery and 2, 6, and 24 months after, to evaluate bone density (BD) and alveolar bone crest to cementoenamel junction distance. The data obtained were subjected to two-way analysis of variance and Tukey's test (α = 0.05). The significant decrease in cementoenamel junction distance observed for both groups was limited to the first 6 months. BD values increased significantly in the first 6 months, with no alterations observed up to 24 months for both groups. BD was higher for the experimental group at all time points (p < 0.05). Socket grafting with the xenogenic materials tested did not changed bone crestal height and bone radiographic density in the long term.

This study evaluated bone responses to titanium implants in the presence of an inorganic graft material. The bilateral mandible incisors of 24 rabbits were surgically extracted and one of the exposed sockets, chosen at random, was filled with an inorganic xenogenic bone graft (Gen-ox®), whereas the remaining socket was left to heal naturally and served as a control. After 60 days, titanium implants were inserted in the specific areas, and on days 0, 30, 60, and 180 after the implant insertions, six animals of each group were killed. Digital periapical radiography of implant region was obtained and vertical bone height (VBH) and bone density (BD) were evaluated by digital analysis system. In the undecalcified tissue cuts, bone-to-implant contact (BIC) and bone area (BA) within the limits of the implant threads were evaluated and compared statistically by means of two-way ANOVA and Tukey's test (ρ < 0.05). No significant differences were detected in VBH and BA, either between groups or between different experimental intervals. The BD was significantly higher in the experimental group than in the control group in all the intervals tested, but there were no significant differences by interval. The BIC was statistically lower in the control group on day 0; however, a significant increase was observed on days 60 and 180 (ρ < 0.05). The use of an inorganic xenograft prior to insertion of a titanium implant did not interfere with the course of osseointegration.

Paracoccidioidomycosis (PCM) is a deep mycosis with primary lung manifestations that may present cutaneous and oral lesions. Oral lesions mimic other infectious diseases or even squamous cell carcinoma, clinically and microscopically. Sometimes, the dentist is the first to detect the disease, because lung lesions are asymptomatic, or even misdiagnosed. An unusual case of PCM with 5 months of evolution presenting pulmonary, oral, and cutaneous lesions that was diagnosed by the dentist based on oral lesions is presented and discussed.

No abstract

The bone healing or the course of osseointegration was not impaired by the use of an inorganic xenogenic graft before insertion of a titanium implant.

Purpose: To evaluate the radiopacity produced by seven commercially available (AH Plus, Epiphany, Sealapex, Acroseal, Sealer 26, Endomethasone and Endofill) and one experimental (MBP) root canal sealers.Methods: Sealer radiopacity testing was performed according to ANSI/ADA Specification No. 57. Specimens were radiographed with an aluminum stepwedge, and the resulting images were digitalized. Radiographic densities expressed in Aluminum mm (mm Al) were compared using an ANOVA and Tukey's test (α=0.05).Results: AH Plus (10 mm Al) and Epiphany (9.0 mm Al) were the most radiopaque root canal sealers, followed by Sealapex (8 mm Al), Endofill (7 mm Al), Endomethasone (7 mm Al), MBP (7 mm Al) and Sealer 26 (6 mm Al). Acroseal (5 mm Al) showed the smallest radiopacity among the tested sealers (P<0.05).Conclusion: The radiopacities of the tested sealers were above the minimum level recommended by ANSI/ADA Specification No. 57.Key words: Radiopacity; root canal filling; digital radiography; sealer ResumoObjetivo: Avaliar a radiopacidade produzida por sete cimentos comercialmente disponíveis (AH Plus, Epiphany, Sealapex, Acroseal, Sealer 26, Endomethasone and Endofill) e um em estágio experimental (MBP). Metodologia: Depois de homogeneizados os materiais, o teste de radiopacidade foi executado conforme a especificação n o 57 da ANSI/ADA. Radiografou-se os espécimes junto a uma escala de Alumínio e as imagens resultantes foram digitalizadas. As densidades radiográficas expressas em milímetros de Alumínio (mm Al) foram comparadas por meio da análise de variância e teste de Tukey (α=0.05).Resultados: Os cimentos AH Plus (10 mm Al) e Epiphany (9 mm Al) apresentaram as maiores radiopacidades seguidos pelo Sealapex (8 mm Al), Endofill (7 mm Al), Endométhasone (7 mm Al), MBP (7 mm Al) e Sealer 26 (6 mm Al). Acroseal (5 mm Al) mostrou a menor radiopacidade entre os cimentos testados (P<0.05).Conclusão: Concluiu-se que as diferentes radiopacidades dos cimentos testados estão acima do nível mínimo recomendado pela especificação nº 57 da ANSI/ADA.

It is necessary to preserve height and thickness of the alveolar bone to facilitate rehabilitation with osteointegratable implants or simply to maintain bone integrity after extraction. Biomaterials associated with resorbable or non-resorbable membranes, when placed in the region of the socket, may contribute to avoid this unwanted reabsorption. Objective The objective of this study was to evaluate the distance of the crest of alveolar ridge to the cementoenamel junction (CEJ) of the lower second molars and the bone density of the third molar socket filled with Gen-Tech®, 5 years after an exodontia using cone beam computed tomography (CBCT) to visualize the central region of the sockets, without overlapping of the buccal and lingual cortical bones.Material and Methods A total of 12 individuals from an initial group of 39 patients submitted to extraction of the unruptured lower third molars and grafting of an association of inorganic bovine bone matrix, organic bovine bone matrix, collagen and bone morphogenetic proteins (BMP) (Gen-Tech®) on one side and the contralateral sockets filled only by clot, returned to control after 5 years, and were submitted to CBCT. The distance from the crest of alveolar bone to the CEJ and the bone density (BD) were measured using the i-CAT Vision Software.Results The results showed that the distance from the crest of alveolar bone to the CEJ in the control group was similar to that observed before the exodontia; in the experimental group, this distance was smaller. Considering the BD measurement, a significantly higher density was observed in the experimental group (p<0.05).Conclusion Part of the biomaterial was not absorbed and allowed the stability of the evaluated parameters after 5 years, being able to be used as a bone substitute in the socket.