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Reabilitação oral a partir de uma abordagem interdisciplinar 跨学科方法的口腔康复
Pub Date : 1900-01-01 DOI: 10.24077/2022;135102399202
Tiago Messias Cardoso Batista, Cibelle Dutra Raiol, Adan Lucas Pantoja de Santana, Edson D’Agnoluzzo Filho, Aladim Gomes Lameira
Rehabilitation Implantology can be a safe alternative for solving complex cases, especially when working in an interdisciplinary way with other specialties. The objective of this article is to describe a clinical case of oral rehabilitation of a 33-year-old female patient, with symptoms of inflammation and pain in element 24, due to failure in previous endodontic treatment. The image examination revealed root perforations, leakage of obturator material, periapical lesion, and loss of the buccal bone wall. In order to preserve as much bone structure as possible, element 24 was removed in a minimally traumatic way, starting with orthodontic apparatus 72 hours before extraction surgery. After extraction, guided bone regeneration therapy (GBR) was performed with a healing period of 8 months. Then, an implant was installed for subsequent rehabilitation with a single prosthesis. Interdisciplinary integration enabled the perfect reestablishment of the patients oral functions.
康复种植学是解决复杂病例的安全选择,特别是在与其他专业跨学科合作时。本文的目的是描述一名33岁女性患者的口腔康复临床病例,由于先前的根管治疗失败,患者在第24单元出现炎症和疼痛症状。图像检查显示牙根穿孔、闭孔材料渗漏、根尖周围病变和颊骨壁丢失。为了尽可能多地保留骨结构,在拔牙手术前72小时开始使用正畸器,以最小创伤的方式移除24号元素。拔牙后行引导骨再生治疗(GBR),愈合期8个月。然后,安装一个种植体,用于随后的单假体康复。跨学科的整合使患者的口腔功能得到了完美的重建。
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引用次数: 0
Influência dos sistemas de polimento na rugosidade de superfície da resina acrílica autopolimerizável 抛光系统对自聚合丙烯酸树脂表面粗糙度的影响
Pub Date : 1900-01-01 DOI: 10.24077/2019;1039-155159
Carlos Frederico Bettcher Silva, Brunely Castello Gabriel, Joyce Fontana Cesar, Lucas Augusto Vieira Brito, Ricardo Huver de Jesus, Lucas Campagnaro Maciel
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引用次数: 0
Reposicionamento coronal do retalho para recobrimento de recessões gengivais múltiplas utilizando matriz de colágeno tridimensional associada às proteínas derivadas da matriz do esmalte – série de casos 冠状皮瓣重新定位,以覆盖多个牙龈衰退使用三维胶原基质与来自牙釉质基质的蛋白质-病例系列
Pub Date : 1900-01-01 DOI: 10.24077/2022;135102465267
Flávia Sukekava, Julia Helena Luiz, Jaques Luiz
Gingival recession is the generic term that means exposure of the teeth root surface. It can cause aesthetic problems, dentin hypersensitivity or even favor the appearance of root caries. Depending on the patients complaint, it can be treated in different ways, such as through direct resin restorations, root desensitization or even surgical root coverage. The latter can be obtained through coronal/lateral repositioning of the flap with or without a connective tissue graft. Currently, the removal of subepithelial connective tissue graft from the patients palate be replaced by 3D collagen matrices, generating satisfactory aesthetic results. The aim of this case series was to evaluate the evolution of root coverage treatment using the protocol for covering multiple gingival recessions with the association of soft tissue substitute and enamel matrix-derivative proteins. Seven systemic healthy adult patients complaining of root exposure sought at our clinic. Coronal flap repositioning associated with soft tissue substitute and enamel matrix-derivative proteins was proposed. All patients were treated with the same surgical technique. At the end of 30 months postoperatively, the patients self-reported satisfactory results, with root coverage close to 85% and total coverage in 50% of the treated teeth, with no complaints of pain, considerable edema and/or hemorrhage in the immediate postoperative period. This protocol used seems to obtain satisfactory results regarding aesthetic complaints or dentin hypersensitivity reported by patients at the beginning of treatment.
牙龈萎缩是指牙齿根部表面暴露的通用术语。它会导致美观问题,牙本质过敏,甚至有利于牙根龋的外观。根据患者的投诉,可以通过不同的方式治疗,如直接树脂修复,根脱敏甚至手术根覆盖。后者可通过带或不带结缔组织移植物的冠状/外侧皮瓣重新定位获得。目前,从患者上颚移除的上皮下结缔组织移植物可被3D胶原基质代替,产生满意的美学效果。本病例系列的目的是评估使用与软组织替代品和牙釉质基质衍生物蛋白相关的方案覆盖多种牙龈衰退的根覆盖治疗的演变。7名全身性健康成人患者抱怨根暴露寻求在我们的诊所。冠状皮瓣重新定位与软组织替代物和牙釉质基质衍生物蛋白相关。所有患者均采用相同的手术技术。在术后30个月结束时,患者自我报告满意的结果,牙根覆盖率接近85%,治疗牙齿的总覆盖率为50%,术后立即无疼痛、明显水肿和/或出血的主诉。该方案似乎获得满意的结果关于美观投诉或牙本质过敏报告的患者在治疗开始。
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引用次数: 0
Cirurgia periodontal guiada – fluxo digital para correção de sorriso gengival 引导牙周手术-牙龈微笑矫正数字流
Pub Date : 1900-01-01 DOI: 10.24077/2022;13512429231
Jessica Mezzadri, K. Silva, Gabriela Fracasso de Moraes, Ana Paula Tulio Manfron
To promote an effective and predictable treatment planning in cases of gingival smile correction, a periodontal surgical guided from virtual planning could be used. The guide was designed using planning software, based on the patient’s facial aesthetic analysis, photos and intraoral scanning. The present case report describes a gingival smile correction, using digital planning combined with high-power diode laser for periodontal surgery. After 16 months of preservation, there was less exposure of the gingiva in the smile and a high level of patient aesthetic satisfaction. Considering the importance of the correct treatment planning, it may be concluded that use of surgical guided made from a digital planning provided a predictable, personalized and safe treatment to the patient.
为了提高牙龈微笑矫正的治疗计划的有效性和可预测性,可以采用虚拟计划引导的牙周手术。根据患者的面部美学分析、照片和口腔内扫描,使用规划软件设计指南。本病例报告描述了牙龈微笑矫正,采用数字规划结合高功率二极管激光牙周手术。保存16个月后,患者在微笑中牙龈的暴露减少,患者对美学的满意度较高。考虑到正确的治疗计划的重要性,可以得出结论,使用数字化计划的手术指导为患者提供了可预测、个性化和安全的治疗。
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引用次数: 0
Avaliação das condições dos moldes e modelos para confecção de próteses parciais removíveis a grampo 评估可拆卸局部义齿的模具和模型的状况
Pub Date : 1900-01-01 DOI: 10.24077/2020;1142-122126
Rafael Dario Werneck, Luciana Fernandes Marba, Nathalia Silveira Finck, Mariana Itaborai Moreira Freitas
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引用次数: 0
Avaliação de vedamento marginal de restaurações em esmalte em incremento único com material do tipo alkasite alkasite型单增量牙釉质修复的边缘密封评价
Pub Date : 1900-01-01 DOI: 10.24077/2022;135102270100
Everton Ribeiro dos Santos, Lidiane de Souza Machado Colombo, Darlene Ribeiro dos Santos Gerzson, M. Cumerlato, Letiane de souza Machado, Alexandre da Silveira Gerzson
The direct restoration technique is the most used to treat the sequelae of dental caries. With the constant evolution of dental materials, emerged in the dental market Cention n (Ivoclar Vivadent), material belonging to the group of alkasite materials. This material has as proposal a higher mechanical resistance than the composite resin, with the similar color to the tooth and with good marginal sealing power. The present study aimed to compare the marginal infiltration of enamel in restorations using Cention n (Ivoclar Vivadent) with and without the use of adhesive and composite resin. Twenty one cavities were performed on the buccal surface of seven bovine incisor teeth. The cavities were divided into three groups: Group I - restoration with Cention n (Ivoclar Vivadent) without adhesive; Group II - restoration with Cention n (Ivoclar Vivadent) with adhesive; and Group III - adhesive system and vittra APS (FGM) resin. The collected data were submitted to the Anova statistical test in which the comparison between Groups I and II, II and III, and I and III was performed. In none of the cases a significant difference was found (p <0.05). Despite the limitations of an in vitro study, the results suggest that the marginal sealing of composite resin and alkasite do not differ significantly from each other.
直接修复技术是治疗龋齿后遗症最常用的方法。随着牙科材料的不断演变,在牙科市场上出现了Cention n (Ivoclar Vivadent),材料属于碱石材料组。该材料具有比复合树脂更高的机械阻力,与牙齿颜色相近,具有良好的边缘密封能力。本研究的目的是比较使用粘接剂和复合树脂与不使用粘接剂和复合树脂修复体时牙釉质边缘浸润的情况。对7颗牛切牙的颊面进行了21个空腔的修复。将牙槽分为三组:第一组:采用无粘接剂的Cention n (Ivoclar Vivadent)修复;II组:用粘接剂修复n (Ivoclar Vivadent);第三组-胶粘剂体系和体外APS (FGM)树脂。收集到的数据进行Anova统计检验,对I组与II组、II组与III组、I组与III组进行比较。无显著性差异(p <0.05)。尽管体外研究存在局限性,但结果表明复合树脂和碱石矿的边缘密封性没有显著差异。
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引用次数: 0
Redução de fratura de arco zigomático sob anestesia local – relato de caso 局部麻醉下颧弓骨折复位-病例报告
Pub Date : 1900-01-01 DOI: 10.24077/2019;1141-5256
Lucas Silva Barreto, Victor Hugo Moraes Salviano, Bruna Pedral Sampaio de Souza Dantas, Larissa Oliveira Ramos Silva, Edval Reginaldo Tenório, R. Carvalho
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引用次数: 0
Reabilitação superior e inferior com implantes submetidos à carga imediata em paciente com doença periodontal 牙周病患者上、下种植体即刻负重康复
Pub Date : 1900-01-01 DOI: 10.24077/2019;1039-2534
Gustavo Palhares Katayama
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引用次数: 0
Tomada de arco facial e montagem de articulador semi-ajustável para diagnóstico oclusal – relato de caso 用于咬合诊断的面部弓取和半可调关节安装-病例报告
Pub Date : 1900-01-01 DOI: 10.24077/2021;1349-125134
A. Queiroz, Robson de Lima Gomes, G. Rodrigues, V. Figueiredo
Objective: It consists of reporting a clinical case of taking a facial arch and assembling a semi-adjustable articulator (ASA) for occlusal diagnosis. Case report: A 22-year-old female patient sought dental care because she was sensitive to element 24. It was clinically observed that the patient had a non-carious cervical lesion. The patient showed a physiological occlusion and an unfavorable positioning of elements 22 and 23. Thus, an attempt was made to investigate the presence of abrasive and erosive habits, which were not reported by the patient. Thus, a clinical evaluation and model assembly in ASA was conducted to identify possible occlusal interference, which would be triggering such injury. The following figures report the clinical case, occlusal registration, taking the facial arch itself, removing the facial arch, angulation adjustments in the ASA, mounting the upper and lower model in the position of maximum usual intercuspation. Conclusion: The use of the semi-adjustable articulator and the facial arch contributed to the diagnosis, planning and treatment of the case. Therefore, these instruments must be part of the dental surgeon’s clinical practice in order to offer greater predictability during oral rehabilitation.
目的:报告一例采用面弓和半可调关节器(ASA)进行咬合诊断的临床病例。病例报告:一名22岁女性患者因对元素24敏感而求医。临床观察发现患者宫颈有非龋齿性病变。患者表现出生理性闭塞和元素22和23的不利定位。因此,我们试图调查患者未报告的磨蚀和侵蚀习惯的存在。因此,我们在ASA中进行了临床评估和模型组装,以确定可能引发这种损伤的咬合干扰。下图为临床病例报告,咬合配准,取面弓本身,去除面弓,在ASA中调整角度,将上下模型安装在通常最大间隔位置。结论:半可调关节器及面弓的使用有助于本病的诊断、规划和治疗。因此,这些仪器必须是牙科医生临床实践的一部分,以便在口腔康复期间提供更大的可预测性。
{"title":"Tomada de arco facial e montagem de articulador semi-ajustável para diagnóstico oclusal – relato de caso","authors":"A. Queiroz, Robson de Lima Gomes, G. Rodrigues, V. Figueiredo","doi":"10.24077/2021;1349-125134","DOIUrl":"https://doi.org/10.24077/2021;1349-125134","url":null,"abstract":"Objective: It consists of reporting a clinical case of taking a facial arch and assembling a semi-adjustable articulator (ASA) for occlusal diagnosis. Case report: A 22-year-old female patient sought dental care because she was sensitive to element 24. It was clinically observed that the patient had a non-carious cervical lesion. The patient showed a physiological occlusion and an unfavorable positioning of elements 22 and 23. Thus, an attempt was made to investigate the presence of abrasive and erosive habits, which were not reported by the patient. Thus, a clinical evaluation and model assembly in ASA was conducted to identify possible occlusal interference, which would be triggering such injury. The following figures report the clinical case, occlusal registration, taking the facial arch itself, removing the facial arch, angulation adjustments in the ASA, mounting the upper and lower model in the position of maximum usual intercuspation. Conclusion: The use of the semi-adjustable articulator and the facial arch contributed to the diagnosis, planning and treatment of the case. Therefore, these instruments must be part of the dental surgeon’s clinical practice in order to offer greater predictability during oral rehabilitation.","PeriodicalId":108656,"journal":{"name":"Full Dentistry in Science","volume":"1 1","pages":"0"},"PeriodicalIF":0.0,"publicationDate":"1900-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"130286275","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
引用次数: 0
Prescrições medicamentosas realizadas por cirurgiões-dentistas – estudo transversal 牙科医生开的药物处方-横断面研究
Pub Date : 1900-01-01 DOI: 10.24077/2019;1040-105114
Karol Oliveira de Amorim Silva, Augusto Mateus Freitas Lopes, Francisco de Assis Vilar Sobreira Júnior, J. C. Lemos
{"title":"Prescrições medicamentosas realizadas por cirurgiões-dentistas – estudo transversal","authors":"Karol Oliveira de Amorim Silva, Augusto Mateus Freitas Lopes, Francisco de Assis Vilar Sobreira Júnior, J. C. Lemos","doi":"10.24077/2019;1040-105114","DOIUrl":"https://doi.org/10.24077/2019;1040-105114","url":null,"abstract":"","PeriodicalId":108656,"journal":{"name":"Full Dentistry in Science","volume":"8 1","pages":"0"},"PeriodicalIF":0.0,"publicationDate":"1900-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"128891549","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
引用次数: 0
期刊
Full Dentistry in Science
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