Um dos principais objetivos do cimento, que fixa a restauração protética ao dente, é o selamento da fenda existente entre os mesmos. Para avaliar a infiltração marginal, foram feitos preparos cavitários padronizados, em 20 dentes naturais extraídos. As coroas totais foram fundidas em NiCr, sendo 10 cimentadas com cimento de fosfato de zinco e 10 com cimento resinoso Panavia 21. As amostras foram submetidas à ciclagem térmica e em seguida foram colocadas em solução de azul de metileno a 0,5%. Após o seccionamento vestíbulo-lingual, os corpos-de-prova foram examinados com lupa de aumento. Houve diferença significante entre os dois cimentos testados, sendo que 100% das amostras cimentadas com cimento de fosfato de zinco apresentaram infiltração atingindo dentina e polpa e 100% das amostras cimentadas com Panavia 21 não sofreram qualquer tipo de infiltração. Conclui-se que: o cimento resinoso Panavia 21 apresentou melhores resultados, quanto ao grau de infiltração, quando comparado com o cimento de fosfato de zinco, na cimentação de coroas metálicas fundidas em NiCr.
This study compared the transmission of tensions in fresh, fixed and macerated dog mandibles in order to clarify the diversity of behavior of bone tissues under dry and moist conditions. Double-exposure holographic interferometry was applied and holograms were obtained from 12 fresh hemi-mandibles under static load (control group), which were randomly assigned to 2 groups: 6 were fixed in 10% formalin and 6 were macerated. The specimens were submitted to the same initial force and their respective holograms were obtained. Analysis of the holograms showed that the fresh specimens transmitted significantly less tension than the fixed and macerated ones (p<0.05), and the tension direction was different. An average two-fold tension increment was observed in the experimental conditions. The holographic interferometry method was efficient in quantifying and qualifying tension transmission. However, depending on the type of analysis, the anatomical specimens must be fresh because macerated specimens will produce different results.
Endodontically treated teeth can be restored with prosthetic crowns over cast metal cores or prefabricated posts with composite resin cores. Prosthetic failure is frequently observed possibly due to microleakage. To verify the influence of the core materials in the microleakage of cast crowns, this research studied three experimental conditions: (a) teeth with partial dental remaining core with prefabricated post and partial composite resin cores, (b) teeth with cast metal posts/cores, and (c) teeth with prefabricated posts and composite resin cores. Teeth preparations were standardized, duplicated and the crowns were made in NiCr alloy, which were cemented with zinc phosphate cement. The specimens were submitted to thermocycling and mechanical stresses. They were immerged in a 0,05% aqueous solution of basic fuchsin for 8 hours during 3 days. The crowns were sliced buccal-lingually, and their microleakage was evaluated by glass magnification, according to a score scale. There was no statistical difference between conditions (a) and (c). Microleakage at cervical region of axial wall was observed in both cases. Condition (b) showed higher microleakage, which reached medium third of axial wall.
This study aimed to present a wireless mandibular motion tracking device and optoelectronic data acquisition system developed to analyze the real-time spatial motion of the entire mandible during mouth opening and closing with no restriction of any movement. The procedures were divided into three phases: confection of a kinematic arch, dynamic digital video image acquisition, and image processing and analysis by using graphic computation. Four sequences of jaw opening/closing movements were recorded in lateral view: two from the maximum intercuspation (MIC) and the other two from a forced mandibular retruded position. Jaw motion was recorded by a digital video camera and processed as spatial coordinates corresponding to the position variation of the markers in the kinematic arch. The results showed that the method was capable of recording and processing the dynamics of the mandibular movements during jaw opening/closing using pixel-magnitude points. The mandible showed points with less displacement located near the temporomandibular joint during the opening/closing movements from the mandibular retruded position. When the jaw movements were recorded from MIC, these points were located near the mandibular foramen.
Bioética, principios y dilemas éticos en Odontología Bioethics, principles and ethical dilemmas in dentistry Resumen: La bioética surge por la necesidad de responder y tratar de solucionar los grandes conflictos que se presentan en la sociedad. La Bioética es un término moderno que se le atribuye la paternidad a Van Rensselaer Potter (1970) al publicar el artículo "Bioethics, the science of survival", Potter establece la existencia de una estrecha relación entre el mundo de las ciencias de la vida, sus hechos y los valores éti-cos, posteriormente la bioética se relacionó fundamentalmente con la ética médica. Tom L. Beauchamp y James F. Childress publican los "Principios de ética biomédica" el año 1979, siendo considerado un texto clásico en la ética biomédica, en la que se establece cuatro principios bioéticos: la autonomía, no maleficencia, beneficencia y justicia. El análisis y la reflexión bioética son esenciales en el ejercicio profesional del odontólogo, esto permitirá una práctica clínica basado en los valores, que involucrara a todo el personal de salud, orientando las estrategias que permitan afrontar de manera adecuada los dilemas éticos que puedan surgir durante el proceso de atención al paciente. Finalmente, la práctica de odontología requiere de profesionales de un grado más alto en valores.
No abstract
Com a preocupação de avaliar os efeitos danosos da transmissão de calor aos tecidos periodontais, este trabalho teve como objetivo avaliar a temperatura gerada durante a remoção de pinos intra-radiculares com o uso de instrumentos cortantes rotatórios (ICR) em alta rotação. Para se obter os registros da temperatura durante os desgastes, foram fixados fios termopares ao redor do terço médio e terço apical da raiz de incisivos centrais superiores extraídos, conectados a termômetros digitais. Através da análise de variância, verificou-se que houve diferença estatisticamente significante, de 5%, entre as regiões medidas e as ligas utilizadas. Analisando as regiões, observou-se, na região mediana, amplitude de 9,1oC, e, na região apical, amplitude de 6,2oC. A liga de CuAlZn (GOLDENT) alcançou média de amplitude maior, 10,3oC, as ligas de CuAl (DURACAST), 6,3oC, e a de PdAg (PORS-ON 4), 6,3oC. Provavelmente, os fatores que interferiram foram o grau de refrigeração, a pressão e o corte intermitente. Baseando-se na metodologia utilizada, concluiu-se que a remoção de pinos intra-radiculares, através do uso de ICR em alta rotação, pode gerar amplitudes de temperatura críticas de acordo com a região do desgaste e liga utilizada.
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