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J. Health Biol. Sci. (Online) ; 8(1): 1-6, 20200101. ilus
Article in English | LILACS | ID: biblio-1129911


Objective: To evaluate the radioprotective effect of a homeopathic solution in salivary function and parotid glands morphology of irradiated rats. Materials and Methods: The sample consisted of 150 rats randomly divided into 6 groups. The groups were named based on the substance administered: Control- saline solution; Irradiated Control- saline solution and 15 Gy of X radiation; Alcohol-hydroalcoholic solution dynamized at 15 CH; Irradiated Alcohol- hydroalcoholic solution dynamized at 15 CH and 15 Gy of X radiation; Homeopathy- 0.25 ml (1mL/kg) of the irradiated hydroalcoholic solution and dynamized at 15 CH; Irradiated homeopathy- homeopathic solution and 15 Gy of X radiation. Each group was subdivided into 5 different subgroups, based on the time point of euthanasia: 12 hours, 3, 10, 17, and 24 days. The medication was administered for 7 days before and 7 days after the radiation treatment. On the day of euthanasia, salivation was induced with pilocarpine and collected. The animals were then sacrificed and the parotid glands were removed. Results: Salivary function analysis showed that only group irradiated homeopathy euthanized on day 17 had a statistically significant difference when compared to other irradiated groups, presenting a higher salivation flow rate. The only group that showed a statistically significant difference in the number of acini over time was the irradiated alcohol group, which presented a tendency of reduction. Conclusion: The homeopathic solution presented a late radioprotective effect based on salivary function and morphological analysis of the parotid gland.

Objetivo: Avaliar o efeito radioprotetor de uma solução homeopática na função salivar e na morfologia das glândulas parótidas de ratos irradiados. Materiais e Métodos: A amostra foi composta por 150 ratos divididos aleatoriamente em 6 grupos. Os grupos foram nomeados com base na substância administrada: solução salina controle; Solução salina controle irradiada e 15 Gy de radiação X; Solução álcool-hidroalcoólica dinamizada a 15 CH; Solução hidroalcoólica de álcool irradiado dinamizada a 15 CH e 15 Gy de radiação X; Homeopatia - 0,25 ml (1mL / kg) da solução hidroalcoólica irradiada e dinamizada a 15 CH; Homeopatia irradiada - solução homeopática e 15 Gy de radiação X. Cada grupo foi subdividido em 5 subgrupos diferentes, com base no tempo da eutanásia: 12 horas, 3, 10, 17 e 24 dias. O medicamento foi administrado por 7 dias antes e 7 dias após o tratamento com radiação. No dia da eutanásia, a salivação foi induzida com pilocarpina e coletada. Os animais foram então sacrificados e as glândulas parótidas foram removidas. Resultados: A análise da função salivar mostrou que apenas a homeopatia irradiada por grupo sacrificada no dia 17 apresentou diferença estatisticamente significante quando comparada a outros grupos irradiados, apresentando maior taxa de fluxo de salivação. O único grupo que apresentou diferença estatisticamente significante no número de ácinos ao longo do tempo foi o grupo álcool irradiado, o qual apontou uma tendência de redução. Conclusão: A solução homeopática apresentou efeito radioprotetor tardio baseado na função salivar e na análise morfológica da glândula parótida.

Parotid Gland , Homeopathy , Radiotherapy , Salivary Glands , Salivation , Therapeutics , X-Rays
Braz. oral res. (Online) ; 34: e082, 2020. tab, graf
Article in English | LILACS, BBO | ID: biblio-1132687


Abstract This study aims to assess the influence of high-density material on the radiographic diagnosis of proximal caries in digital systems with automatic exposure compensation, and to evaluate the effect of subjective adjustment of brightness and contrast to undertake this diagnostic task. Twenty bitewing radiographs of forty posterior human teeth with non-cavitated carious lesions, confirmed by micro-CT, were obtained with two digital systems. A porcelain-fused-to-metal crown attached to a titanium implant was inserted into the exposed area, and all the radiographs were repeated. Five radiologists assessed the radiographs and diagnosed proximal carious lesions. Afterwards, the observers were asked to adjust image brightness and contrast, based on their subjective perception, and to reassess the images. Thirty percent of each experimental group was reassessed to test intraobserver reproducibility, totaling 208 images per observer. Intraobserver and interobserver agreements ranged from fair to substantial. Sensitivity, specificity, predictive values, and area under the ROC curve were calculated and compared for each radiographic system, using ANOVA (α = 0.05). Overall, presence of high-density material and adjustment of brightness and contrast did not significantly influence the radiographic diagnosis of proximal caries (p ≥ 0.05). Regarding Digora Optime, adjustment of brightness and contrast significantly increased (p < 0.05) the diagnostic accuracy of proximal carious lesions in the presence of high-density material. In conclusion, the presence of high-density material in the X-rayed region does not influence radiographic diagnosis of proximal caries. However, when it is present in the X-rayed area, subjective adjustment of brightness and contrast is recommended for use with the Digora Optime digital system.

Humans , Radiography, Dental, Digital , Dental Caries , Radiographic Image Enhancement , Observer Variation , Reproducibility of Results , ROC Curve
Article | IMSEAR | ID: sea-192327


Objectives: The aim of this study was to assess, using the CDR Wireless®, the effect of different exposure times on caries detection and pixel intensity values. Materials and Methods: Forty teeth were x-rayed using a Schick CDR Wireless sensor at eight different exposure times – 0.06, 0.10, 0.13, 0.16, 0.20, 0.25, 0.30, and 0.32 s. Four observers evaluated the images for presence of carious lesions scoring proximal surfaces of each tooth on a 5-point scale. Scores were compared to histological sections of the teeth. Accuracy was evaluated by means of ROC curve analysis. Radiographs of an aluminum step wedge were obtained using the same eight exposure times. Pixel intensity measurements were obtained, and mean pixel values were statistically analyzed using linear regression. Results: The Az for each exposure time varied from 0.53 to 0.62. Two-way analysis of variance and Tukey test demonstrated that the exposure time of 0.25 s presented the best result and was significantly higher than 0.30 s and 0.35 s. In regard to mean pixel values, two different behaviors were observed, and the exposure time of 0.20 s presented mean pixel values in both phases. Conclusion: The performance of the exposure times from 0.06 s to 0.25 s was satisfactory for proximal caries detection, and 0.25 s is the best as indicated for this finality. Clinical Relevance: Considering that a reduction of exposure time represents a reduction of patient exposure dose, and this reduction cannot neglect image quality, the behavior of any digital system must be carefully evaluated.

ABCD arq. bras. cir. dig ; 32(1): e1422, 2019. tab, graf
Article in English | LILACS | ID: biblio-983676


ABSTRACT Background: Systemic bone loss may lead to more severe periodontal destruction, decreasing local bone mineral density. Aim: A cross-sectional designed was performed to study associations among alveolar bone pattern, salivary leptin concentrations, and clinical periodontal status in premenopausal obese and eutrophic women. Methods: Thirty morbid obese (G1) and 30 normal-weight (G2) women were included. Anthropometric and periodontal measurements (probing depth - PD, clinical attachment levels - CAL, presence of calculus, bleeding on probing -BOP, and plaque accumulation) were assessed. OHIP-14 was used for assessment of oral health impact on quality of life. Panoramic radiography was used to obtain the panoramic mandibular index (PMI), mandibular cortical index (MCI), and mental index (MI). Intraoral periapical (PA) radiography was taken to measure the total trabecular bone volume. Leptin was measured in saliva of fasted overnight women. Results: Groups 1 and 2 differed in all anthropometric aspects, but height. Pocket depth, calculus, BOP, and plaque index were worse in G1. No differences between groups were found considering OHIP. Normal-weight subjects showed higher proportion of dense bone trabeculae than obese subjects for pre-molars, but not for molars. Mental and panoramic mandibular indexes did not differ and were in normal level. Leptin concentration was dependent only on BMI. Conclusion: Obesity affected the periodontal conditions, the alveolar bone pattern, and the salivary leptin concentration.

RESUMO Racional: A perda óssea sistêmica pode levar à destruição periodontal mais severa, diminuindo a densidade mineral óssea local. Objetivo: Investigar as associações entre padrão ósseo alveolar, concentrações de leptina salivar e estado periodontal em mulheres obesas na pré-menopausa e eutróficas. Métodos: Foram avaliadas 30 mulheres com obesidade mórbida (G1) e 30 com peso normal (G2). Foram analisadas as medidas antropométricas e periodontais (profundidade de sondagem - PS, nível clínico de inserção - NCI, presença de cálculo, sangramento à sondagem - SS e acúmulo de placa). O impacto da saúde bucal na qualidade de vida foi mensurado por meio do questionário OHIP-14. Radiografia panorâmica foi utilizada para obter o índice mandibular panorâmico (PMI), índice cortical mandibular (MCI) e índice mental (MI); já a radiografia periapical intraoral (AF) para medir o volume ósseo trabecular total. A leptina salivar foi coletada no período da manhã com a paciente em jejum. Resultados: Os grupos 1 e 2 diferiram em todos os aspectos antropométricos, exceto em estatura. Profundidade de bolsa, cálculo, SS e índice de placa foram piores no G1. Não foram encontradas diferenças entre os grupos considerando o OHIP. Indivíduos com peso normal apresentaram maior proporção de trabéculas ósseas densas do que os obesos para pré-molares, mas não para molares. Índices radiomorfométricos não diferiram entre os grupos e estavam dentro de valores normais. A concentração de leptina esteve associada ao IMC. Conclusão: A obesidade afetou as condições periodontais, o padrão ósseo alveolar e a concentração de leptina salivar.

Humans , Female , Adult , Saliva/chemistry , Alveolar Bone Loss/metabolism , Leptin/analysis , Quality of Life , Bone Density , Case-Control Studies , Dental Plaque Index , Cross-Sectional Studies , Alveolar Bone Loss/etiology , Obesity/complications , Obesity/metabolism
RGO (Porto Alegre) ; 67: e2019007, 2019. tab, graf
Article in English | LILACS-Express | LILACS | ID: biblio-1002970


ABSTRACT Objetive: The objective of this study was to analyze mandibular measurements obtained from 225 computed tomography scans of the Osteological and CT Biobanks of Faculdade de Odontologia de Piracicaba Universidade Estadual de Campinas, aiming to verify the existence of a relationship between these measures and sexual dimorphism and ancestry. Methods: We sought to establish a mathematical model capable of estimating sex and ancestry. Of these scans, 126 were male, 94 were female and 5 were unidentified, aged 15 to 100 years, and ancestry known for the skin color phenotype (white, black, brown and yellow). Measurements were made between the following points: right lateral condylion and left lateral condylion; right lateral condylion and pogonion; left lateral condylion and pogonion; mesial border of right mental foramen and mesial border of left mental foramen. The area delimited by the triangle formed by the measurements between right lateral condylion and left lateral condylion was also analyzed; right lateral condylion and pogonion; and left lateral condylion and pogonion. Student t test for homogeneous variances showed that there was statistical difference in the means as a function of sex, except for the area measure, which was not used in the model. Results: It was possible to establish a mathematical model with accuracy of 69.2%. There was no statistical difference in the averages as a function of ancestry. Conclusion: It is concluded that the measures investigated help in the process of estimating sex, but were not adequate to estimate ancestry. The proposed methodology should be expanded to other population groups so that it can be improved.

RESUMO Objetivo: Analisar medidas mandibulares obtidas de 225 tomografias computadorizadas do "Biobanco Osteológico e Tomográfico da Faculdade de Odontologia de Piracicaba Universidade Estadual de Campinas", visando verificar a existência de relação entre essas medidas, o dimorfismo sexual e a ancestralidade. Métodos: Buscou-se estabelecer um modelo matemático capaz de estimar sexo e ancestralidade. Destas tomografias, 126 eram do sexo masculino, 94 do sexo feminino e 5 estavam sem identificação, com idades entre 15 e 100 anos, e ancestralidade conhecida para o fenótipo cor da pele (branco, negro, pardo e amarelo). Foram realizadas medidas entre os pontos: kondylion lateral direito e kondylion lateral esquerdo; kondylion lateral direito e pogônio; kondylion lateral esquerdo e pogônio; borda mesial do forame mentoniano direito e borda mesial do forame mentoniano esquerdo. Analisou-se também a área delimitada pelo triângulo formado pelas medidas entre kondylion lateral direito e kondylion lateral esquerdo; kondylion lateral direito e pogônio; e kondylion lateral esquerdo e pogônio. O teste t de Student para variâncias homogêneas demonstrou que houve diferença estatística nas médias em função do sexo, à exceção da medida de área, que não foi utilizada no modelo. Resultados: Foi possível estabelecer um modelo matemático com acurácia de 69,2%. Não houve diferença estatística nas médias em função da ancestralidade. Conclusão: Conclui-se que as medidas investigadas auxiliam no processo de estimativa do sexo, porém não foram adequadas para estimar a ancestralidade. A metodologia proposta deve ser expandida para outros grupos populacionais para que possa ser aperfeiçoada.

J. appl. oral sci ; 25(6): 674-679, Nov.-Dec. 2017. tab, graf
Article in English | LILACS | ID: biblio-893666


Abstract To calculate root canal volume and surface area in microCT images, an image segmentation by selecting threshold values is required, which can be determined by visual or automatic methods. Visual determination is influenced by the operator's visual acuity, while the automatic method is done entirely by computer algorithms. Objective: To compare between visual and automatic segmentation, and to determine the influence of the operator's visual acuity on the reproducibility of root canal volume and area measurements. Material and methods: Images from 31 extracted human anterior teeth were scanned with a μCT scanner. Three experienced examiners performed visual image segmentation, and threshold values were recorded. Automatic segmentation was done using the "Automatic Threshold Tool" available in the dedicated software provided by the scanner's manufacturer. Volume and area measurements were performed using the threshold values determined both visually and automatically. Results: The paired Student's t-test showed no significant difference between visual and automatic segmentation methods regarding root canal volume measurements (p=0.93) and root canal surface (p=0.79). Conclusion: Although visual and automatic segmentation methods can be used to determine the threshold and calculate root canal volume and surface, the automatic method may be the most suitable for ensuring the reproducibility of threshold determination.

Humans , Dental Pulp Cavity/diagnostic imaging , Endodontics , X-Ray Microtomography , Algorithms , Image Processing, Computer-Assisted/methods , Imaging, Three-Dimensional/methods , Reproducibility of Results
Braz. dent. j ; 27(4): 476-480, July-Aug. 2016. graf
Article in English | LILACS | ID: lil-794622


Abstract This case report aimed to highlight the usefulness of cone beam computed tomography (CBCT) and its post-processing tools for the diagnosis, follow-up and treatment planning of invasive cervical resorption (ICR). A 16-year-old female patient was referred for periapical radiographic examination, which revealed an irregular but well demarcated radiolucency in the mandibular right central incisor. In addition, CBCT scanning was performed to distinguish between ICR and internal root resorption. After the diagnosis of ICR, the patient was advised to return shortly but did so only six years later. At that time, another CBCT scan was performed and CBCT registration and subtraction were done to document lesion progress. These imaging tools were able to show lesion progress and extent clearly and were fundamental for differential diagnosis and treatment decision.

Resumo Com este relato de caso clínico objetiva-se enfatizar a contribuição das ferramentas de pós-processamento aplicadas às imagens de tomografia computadorizada de feixe cônico (TCFC) no diagnóstico, acompanhamento e decisão do tratamento de reabsorção cervical invasiva (ICR). Paciente do sexo feminino, com 16 anos de idade foi encaminhada para realização de radiografia periapical e foi observada radiolucência irregular, na raiz do incisivo central inferior direito. A TCFC foi realizada no intuito de se obter diagnóstico diferencial entre ICR e reabsorção radicular interna. Após o diagnóstico de ICR, o paciente foi orientado a retornar em breve, mas o fez somente seis anos mais tarde. Fez-se assim outra tomografia e registro e subtração foram realizados para documentar a progressão da lesão. Essas ferramentas foram capazes de revelar claramente o progresso da lesão, sua real extensão e foram fundamentais para o diagnóstico diferencial e decisão de tratamento.

Humans , Female , Adolescent , Cone-Beam Computed Tomography/methods , Root Resorption/pathology , Root Resorption/diagnostic imaging , Tooth Cervix/pathology
J. appl. oral sci ; 24(1): 45-51, Jan.-Feb. 2016. graf
Article in English | LILACS | ID: lil-777359


ABSTRACT The use of natural substances and micronutritional approaches has been suggested as a therapeutic alternative to benefit the bone healing associated with no side effects. Nevertheless, the influence of micronutritional interventions with therapeutic proprieties on the bone repair has yet to be intensely evaluated, and no evidence is available exploring the impact of micronutrient supplementation on the peri-implant bone healing. Objective This study investigated the effect of micronutrients supplementation on the bone repair around implants. Material and Methods One screw-shaped titanium implant was inserted in each tibia of each rat, which were assigned to: daily administration, for 30 d, of the placebo solution (Placebo group-n:18) or micronutrients supplementation (Micronutrients group-n:18), based on calcium, magnesium, zinc, and vitamin D3 intake. After, the animals were sacrificed. One of the implants was removed by applying a counter-torque force to evaluate the force to rupture the bone-implant interface. The other implant was evaluated by microcomputed tomography (CT) examination to determine the bone-to-implant contact (BIC) and the bone volume (BV/TV). Results No statistically significant differences were observed between the groups for both counter-torque values and microCT parameters (p>0.05). Conclusion Within the limits of this study, micronutrients supplementation did not provide additional benefits to the bone healing around dental implants.

Animals , Male , Bone Regeneration/drug effects , Dental Implantation, Endosseous/methods , Dietary Supplements , Micronutrients/pharmacology , Bone Screws , Bone-Implant Interface , Calcium/pharmacology , Cholecalciferol/pharmacology , Fracture Healing/drug effects , Magnesium/pharmacology , Placebo Effect , Rats, Wistar , Tibia/drug effects , Titanium , Torque , Treatment Outcome , X-Ray Microtomography , Zinc/pharmacology
Rev. estomatol. Hered ; 25(3): 238-245, jul.-sept. 2015. tab
Article in Spanish | LILACS, LIPECS | ID: lil-781761


En la actualidad existe una gran aceptación por la medicina y la odontología, en que la práctica clínica debe ser ôbasada en evidencia científicaõ, tanto como sea posible. Es por eso que múltiples trabajos se han publicado orientados a disminuir las dosis de radiación en los diferentes tipos de modalidades imaginológicas usados en la odontología, ya que el mayor efecto de las radiaciones, sobre todo en niños, nos obliga a tomar medidas necesarias para racionalizar su uso, especialmente con la tomografía computarizada Cone Beam (TCCB), método que aporta las mayores dosis en la odontología. Esta revisión fue escrita utilizando un enfoque de este tipo con el propósito de racionalizar la dosis de radiación en nuestros pacientes. El equipo del proyecto SEDENTEXCT recopiló y analizó relevantes publicaciones en la literatura, pautas que han demostrado su eficacia en el pasado, para llegar a formular recomendaciones que contribuyan a la optimización del uso de las radiaciones ionizantes en la odontología, ayudando de esa manera a ver con otros ojos la dosis recibida por los pacientes, y con la presente se recomienda tener en cuenta dicho documento para poder prescribir de manera más adecuada los exámenes complementarios que usamos diariamente...

There is now wide acceptance in medicine and dentistry that clinical practice should be as ôevidence-basedõ as possible. Which is why many works have been published aimed at reducing radiation doses in different types of imaging modalities in dentistry, and that the major effect of radiation especially in children requires us to take necessary steps to rationalize their use especially the Cone Beam Computed Tomography (CBCT) method that provides the highest doses in dentistry. This review was written using this approach because of the purpose of streamlining the radiation dose in our patients. SEDENTEXCT team collected and analyzed relevant publications in the literature, guidelines that have proven effective in the past to reach recommendations, which can contribute to optimizing the use of ionizing radiation in dentistry, helping to see with others eyes the dose received by our patients. This paper recommend to consider the SEDENTEXCT project to prescribe more appropriately complementary exams we use daily...

Humans , Radiation, Ionizing , Dose-Response Relationship, Radiation
Braz. dent. j ; 26(3): 272-276, May-Jun/2015. tab, graf
Article in English | LILACS | ID: lil-751857


The aim of this study was to evaluate the effect of low shrinkage monomers on physicochemical properties of dental resin composites. Two low shrinkage resin composites: one with a crosslink branching monomer (Kalore, GC Corp) and a novel monomer (Venus Diamond, Heraeus Kulzer) were compared to a conventional resin composite formulation (Filtek Z250, 3M/ESPE). The volumetric shrinkage was evaluated by µCT analysis (n=5) and the physicochemical properties by degree of C=C conversion (DC), flexural strength (FS) and Young's modulus (YM) (n=10). All samples were light cured by a LED device (Radii, SDI) with 16 J/cm2. The results were analysed by one-way ANOVA and Tukey test for multiple comparisons (α=0.05). No statistical difference was found between µCT shrinkage values to Kalore (1.8%) and Venus Diamond (1.7%) (p≥0.05); Z250 presented statistical highest shrinkage value (2.0%). Kalore presented higher statistical DC (60.8%) than Venus Diamond (49.5%) and Z250 (49.6%). No statistical difference was found between FS or YM properties to Venus Diamond and Z250; Kalore presented statistical lowest FS and YM properties (p≥0.05). Conclusion: Using novel monomers seem to reduce polymerization shrinkage without affecting the physicochemical properties evaluated of resin composites rather than using crosslink branching monomers.

O objetivo deste trabalho foi avaliar o efeito de monômeros de baixa contração de polimerização nas propriedades físico-químicas de resinas compostas. Duas resinas de baixa contração de polimerização com monômeros do tipo crosslink (Kalore GC Corp) ou do tipo novelar (Venus Diamond Heraeus Kulzer) foram comparadas a uma resina composta convencional (Filtek Z250 3M/ESPE). A contração de polimerização foi avaliada através da análise por µCT (n=5) e as propriedades físico-químicas através da análise do grau de conversão C=C (GC) resistência flexural (RF) e módulo de Young (MY) (n=10). Todas as amostras foram fotoativadas com uma fonte de LED (Radii SDI) com 16 J/cm2. Todos os resultados foram submetidos aos testes de análise de variância de 1 fator e ao teste de Tukey para comparações múltiplas (α=0,05). Nenhuma diferença estatística foi encontrada para os valores de contração de polimerização para Kalore (1,8 %) e Venus Diamond (1,7 %) (p≥0,05). Z250 apresentou estatisticamente maior contração de polimerização (2,0%). Kalore apresentou estatisticamente maior GC (60,8%) que Venus Diamond (49,5%) e Z250 (49,6%). Nenhuma diferença estatística foi encontrada para as propriedades RF e MY entre Venus Diamond e Z250. Kalore apresentou os menores valores estatisticos para FS e MY (p≥0,05). O monômero novelar parece reduzir a contração de polimerização sem afetar as propriedades físico-químicas avaliadas das resinas compostas de forma mais adequada que a utilização de monômeros do tipo crosslinker.

Composite Resins/chemistry , Materials Testing , X-Ray Microtomography
Int. j. morphol ; 33(1): 327-332, Mar. 2015. ilus
Article in English | LILACS | ID: lil-743805


Dental implant and chin osteotomy are executed on the mandible body and the mental nerve is an important anatomical limit. The aim of this research was to know the position of the mental nerve loop comparing result in panoramic radiography and cone beam computed tomography. We analyzed 94 hemimandibles and the patient sample comprised female and male subjects of ages ranging from 18 to 52 years (mean age, 35 years) selected randomly from the database of patients at the Division of Oral Radiology at Piracicaba Dental School State University of Campinas; the anterior loop (AL) of the mental nerve was evaluated regarding the presence or absence, which was classified as rectilinear or curvilinear and measurement of its length was obtained. The observations were made in the digital panoramic radiography (PR) and the cone beam computed tomography (CBCT) according to a routine technique. The frequencies of the AL identified through PR and CBCT were different: in PR the loop was identified in 42.6% of cases, and only 12.8% were bilateral. In contrast, the AL was detected in 29.8% of the samples using CBCT, with 6.4% being bilateral; Statistical comparison between PR and CBCT showed that the PR led to false-positive diagnosis of the AL in this sample. According to the results of this study, the frequency of AL is low. Thus, it can be assumed that it is not a common condition in this population.

Implantes dentales y la osteotomía de mentón son realizadas en el cuerpo mandibular y el nervio mental es un importante limite anatómico. El objetivo de esta investigación es conocer la posición del bucle del nervio mental comparando resultados entre radiografia panorámica y tomografía computadorizada de haz cónico (TCHC). Fueron analizadas 94 hemimandíbulas; la muestra de pacientes de sexo feminino y masculino con edades fluctuando entre 18 y 52 años (edad media, 35 años) seleccionados de la base de datos de pacientes de la División de Radiología de la Facultad de Odontología de Piracicaba, Universidad Estadual de Campinas; el bucle anterior (BA) del nervio mental fue evaluado según su presencia o ausencia, el cual fue clasificado como rectilíneo o curvilíneo obteniéndose el largo total del bucle; las observaciones fueron realizadas en radiografías panorámicas digitales (RP) y en TCHC de acuerdo a técnicas de rutina. La frecuencia de identificación del BA en RP y TCHC fue diferente: en la PR, el BA se identificó en un 42,6% de los casos y solo el 12,8% fue bilateral. En contraste, el BA fue detectado en el 29,8% de la muestra utilizando TCHC, con un 6,4% bilateral; la comparación estadística entre RP y TCHC muestra que la RP lleva a diagnósticos falsos positivos de la muestra de BA. De acuerdo con los resultados de este estudio, la frecuencia de BA es baja. Por este motivo se puede asumir que esta es una condición anatómica poco frecuente en la población estudiada.

Humans , Male , Female , Adolescent , Adult , Middle Aged , Cone-Beam Computed Tomography , Mandible/diagnostic imaging , Mandibular Nerve/diagnostic imaging , Radiography, Panoramic , Chin/innervation , Mandible/innervation , Mandibular Nerve/anatomy & histology
Rev. estomatol. Hered ; 25(1): 60-77, ene. 2015. ilus, tab
Article in Spanish | LILACS, LIPECS | ID: lil-781740


La Tomografía Computarizada Cone Beam (TCCB) es una tecnología en rápido desarrollo que proporciona imágenes de alta resolución espacial del complejo craneofacial en tres dimensiones (3D). Durante la última década, el número de publicaciones relacionadas a la TCCB en la literatura se ha incrementado de manera significativa, pero la cuestión fundamental es si esta tecnología conduce a mejores resultados. La TCCB y su aplicación en la ortodoncia es muy importante ya que esta nueva tecnología va evolucionando cada vez más rápido y nuevas imágenes se necesitan para responder algunos casos como los de recidiva. La imagen tomográfica nos va permitir tener una visión diferente comparando con las imágenes convencionales, y esta visión va de la mano con los movimientos realizados para la corrección de la maloclusión o desproporción facial...

Cone Beam Computed Tomography (CBCT) is a rapidly evolving technology that provides high spatial resolution of the craniofacial complex in three dimensions (3D). During the last decade, the number of publications related to CBCT in the literature has increased significantly, but the fundamental question is whether this technology leads to better results. CBCT and the application in orthodontics is very important as this new technology evolves ever faster and new images are needed to answer some cases, for example cases of recurrence. The tomographic image will allow us to give a different view compared to conventional images, and this view goes hand in hand with the movements for correcting malocclusion or facial disproportion...

Humans , Orthodontics , Orthopedics , Tomography, X-Ray Computed
Rev. Clín. Ortod. Dent. Press ; 13(1): 18-24, fev.-mar. 2014. ilus
Article in Portuguese | LILACS, BBO | ID: biblio-855973


Resumo / Apesar da facilidade na técnica cirúrgica para instalação mini-implantes ortodônticos, o correto posicionamento desses dispositivos é fundamental para a estabilidade e sucesso do tratamento. Erros de posicionamento podem causar a perda prematura, reabsorções radiculares ou inviabilizar a criação dos vetores de força desejados. Guias prototipados podem transferir para a clínica o planejamento virtual realizado a partir de tomografias computadorizadas. Apresentamos um novo método que combina os modelos digitais com as tomografias computadorizadas para geração dos guias prototipados, com maior precisão e comodidade para o clínico. O uso desse tipo de guia pode aumentar ainda mais a previsibilidade e a taxa de sucesso dos mini-implantes ortodônticos.

Surgery, Computer-Assisted/methods , Dental Implants/classification , Orthodontic Anchorage Procedures/methods , Tomography, X-Ray Computed
Int. j. morphol ; 32(1): 214-220, Mar. 2014. ilus, tab
Article in English | LILACS | ID: lil-708749


This study evaluated the stress distribution based on the canine pillar geometry in human skull, using a finite element analysis. Computed tomography of human skull was used to build a finite element model, which was composed by all bony structures of canine pillar: canine eminence, canine fossa, frontal process of maxilla, glabellum and superciliary arch. A support on the bite contact of maxillary canine tooth and a resultant force of the masticatory muscles was applied in the simulation. Equivalent Von-mises and maximum principal stresses were analyzed along the structures that compose the canine pillar geometry. Von-mises stress presented high stress concentrated at the canine fossa and frontal process of maxilla. Maximum principal stress showed compression areas at the canine fossa and part of frontal process and tensile stress at canine eminence and part of the frontal process. In conclusion, the different stress areas means different force concentrations transmitted along the canine pillar geometry during a peak canine bite.

Este estudio evaluó la distribución de la tensión sobre la geometría del pilar canino en el cráneo humano, utilizando análisis de elementos finitos. Se usó la tomografía computarizada de cráneo humano para construir un modelo de elementos finitos compuesto por todas las estructuras óseas del pilar canino: eminencia canina, fosa canina, proceso frontal del maxilar, glabela y arco superciliar. Se aplicó en la simulación un soporte ubicado sobre el contacto de mordida del diente canino maxilar y una fuerza resultante de los músculos de la masticación. Tensiones Equivalentes de Von-Mises y tensiones principales máximas fueron analizadas a lo largo de las estructuras que componen la geometría de pilar canino. La tensión de Von-Mises fue alta y concentrada en la fosa canina y proceso frontal del maxilar. La tensión principal máxima mostró áreas de compresión en la fosa canina y parte del proceso frontal y la tensión de tracción en la eminencia canina y parte del proceso frontal. Las diferentes áreas de tensión significan diferentes concentraciones de tensiones transmitida a lo largo de la geometría del pilar canino durante una mordedura canina máxima.

Humans , Skull/anatomy & histology , Skull/physiology , Stress, Mechanical , Finite Element Analysis , Biomechanical Phenomena
Odontol. clín.-cient ; 12(4): 269-272, Out.-Dez. 2013. ilus, tab
Article in English | LILACS-Express | LILACS | ID: lil-778261


The precise location of the mental foramina is of paramount importance when using implantology to carry out oral rehabilitation procedures not affecting crucial anatomic structures. Panoramic radiography has become the imaging method of choice in many of these cases because of its lower cost and the fact that with it a general assessment of the maxillofacial complex can be made. This study set out to evaluate the distance between the mental foramina and the relationship between them and the mandibular base, and the posterior border of the mandible ramus, as well as the relationship between the bilateral mandibular foramina. The morphometric procedures were carried out by three examiners experienced in Dental Radiology, firstly on 58 human mandibles, with the aid of digital calipers and then on the respective panoramic radiographs of the mandibles, with Image J software, with and without the aid of artificial markers for delimitating the areas of interest. Using Friedman's statistical analysis, there were statistically significant differences between various measurements analyzed and compared to the gold standard, which points to the need to use more accurate imaging tests.

A localização precisa do forame mentoniano tornou-se uma necessidade premente para a execução de procedimentos de reabilitações orais, empregando a implantodontia, que não afetem estruturas anatômicas importantes, sendo a radiografia panorâmica o método de imagem de escolha em muitos desses casos por ter baixo custo e pela possibilidade de avaliação geral do complexo maxilo facial. Este trabalho teve como objetivo avaliar a distância entre os forames mentonianos e a sua relação com a base mandibular, borda posterior do ramo da mandíbula e a relação entre os forames mandibulares bilateralmente. As morfometrias foram realizadas por três experientes avaliadores em Radiologia Odontológica, primeiramente em 58 mandíbulas humanas, com o auxílio de paquímetro digital e depois nas respectivas radiografias panorâmicas das mandíbulas, com o software Image J, com e sem o auxílio de marcadores artificiais para delimitação das áreas de interesse. Por meio da utilização da análise estatística de Friedman, observaram-se diferenças estatísticas significativas em diversas medidas analisadas, quando comparadas ao padrão ouro, fato que demonstra a necessidade da utilização de exames por imagem mais precisos.

Rev. cuba. estomatol ; 50(4): 443-448, sep.-dic. 2013.
Article in English | LILACS, CUMED | ID: lil-705656


The knowledge of the location, trajectory, and characteristics of the neurovascular bundles in the jaws is fundamental to reduce risk of injuries to this structure during surgical procedures, especially when anatomical variations are present. The presence of anatomical variations associated with the mental foramen has been reported in some cases and is frequently undervalued in clinical procedures. Sensorial disturbances, such as paresthesia in the lower lip or cheeks, may occur as result of pressure on the mental foramen. These anatomical variations can be detected in clinical practice by imaging exams. Computed tomography has been established as a valuable imaging modality capable of providing in-depth information about maxillofacial structures, allowing detailed evaluation of their topography and anatomical variations, such as additional mental foramina. The objective of this article was to describe a case with double mental foramina that only could be observed in computed tomography images. The use of cone beam computed tomography has increased in dentistry, thus anatomical variations that may have an influence on the diagnosis and treatment planning must be recognized. Have a good knowledge of additional mental foramina may contribute to adequate anesthetic techniques and to avoid misdiagnosis of bone lesions and eventual damages to the nerves and vessel during surgical procedures in that region(AU)

El conocimiento de la ubicación, trayectoria y características de los haces neurovasculares en la mandíbula es de fundamental importancia para reducir el riesgo de lesión en estas estructuras durante procedimientos quirúrgicos, especialmente cuando hay presencia de variaciones anatómicas. La presencia de estas variaciones anatómicas relacionadas con el agujero mentoniano ha sido reportada en algunos casos y no es frecuentemente valorada en los procedimientos clínicos. Alteraciones sensoriales, tales como parestesias en el labio inferior o en las mejillas, pueden ocurrir como resultado de la presión en el agujero mentoniano. Estas variaciones anatómicas pueden ser detectadas en la práctica clínica a través de los exámenes de diagnóstico por imágenes. La tomografía computarizada se ha establecido como una técnica de imagen útil capaz de proporcionar información detallada de las estructuras maxilofaciales, lo que permite una evaluación minuciosa de su topografía y de las variaciones anatómicas, tales como el agujero mentoniano accesorio. El objetivo de este artículo es describir un caso con agujeros mentonianos dobles que solo pudieron ser observados en las imágenes de tomografía computarizada. El uso de la tomografía computarizada de haz cónico se ha incrementado en la odontología, así las variaciones anatómicas que pueden tener influencia sobre el diagnóstico y planificación del tratamiento pueden ser conocidas. El conocimiento de los forámenes mentonianos adicionales puede contribuir a una adecuada técnica de anestesia y evitar errores diagnósticos de lesiones óseas y daño eventual de los nervios y vasos durante procederes quirúrgicos en la región(AU)

Humans , Male , Adult , Cone-Beam Computed Tomography/methods , Mandible/diagnostic imaging , Mandibular Injuries/diagnostic imaging , Diagnostic Errors/prevention & control
Stomatos ; 19(37): 4-8, Jul.-Dec. 2013. ilus
Article in English | LILACS | ID: lil-766117


Gardner's syndrome (GS) is a hereditary disorder characterized by multiple osteomas, enostosis, epidermoid cysts, subcutaneous desmoid tumors and multiple gastrointestinal polyps. Given the variety of clinical manifestations, the triad of symptoms that better characterizes the GS is composed by polyps of the colon, multiple osteomas and tumors of soft tissue. The osteomas are most common in the frontal bone and mandible. A significant feature of GS is the progression to malignancy of the intestinal polyps in almost 100% of patients. Early detection of GS allows for an excellent prognosis and may be a lifesaving event. Thus, the aim of this case report was to describe the radiographic aspects of GS in the dentomaxillofacial region and to discuss with the current scientific literature.

A síndrome de Gardner (SG) é uma desordem caracterizada por múltiplos osteomas, enostosis, cistos epidermoides, tumores desmoides subcutâneos e múltiplos pólipos gastrointestinais. Considerando a variedade de manifestações clínicas, a tríade dos sintomas que melhor caracterizam a SG é composta por pólipos do cólon, múltiplos osteomas e tumores de tecido mole. Os osteomas são mais comuns no osso frontal e mandíbula. Uma característica significativa da SG é a progressão maligna dos pólipos intestinais em aproximadamente 100% dos pacientes. A detecção precoce da SG favorece um excelente prognóstico e pode salvar vidas. Então, o objetivo deste relato de caso foi descrever os aspectos radiográficos da SG na região dento-maxilo-facial e discutir com a literatura científica atual.

Osteoma , Diagnostic Imaging , Gardner Syndrome/diagnostic imaging , Radiography, Panoramic
Braz. j. oral sci ; 12(2): 109-113, Apr.-June 2013. tab
Article in English | LILACS, BBO | ID: lil-694428


Dentists’ incorrect behavior with regards to Oral Radiology, as reported in the literature, has beenrelated to inadequate training of undergraduates. Aim: This study assessed dental undergraduates’knowledge of Oral Radiology. Methods: A questionnaire containing 30 questions pertaining tothree domains - General Principles, Radiobiology/Radioprotection and Technique/Interpretation- was used as data collection instrument. A total of 195 students answered the questionnaires.Results: No statistically significant differences were found between second-, third- and fourthyearstudents (p>0.05) when the whole questionnaire and the General Principles domain (p>0.05)were considered. The Technique/Interpretation domain presented a borderline statistical significancelevel (p=0.051), with more correct answers attributed to second-year students. A statisticallysignificant difference (p<0.05) was seen for the Radiobiology/Radioprotection domain, in whichthe fourth-year students performed better. Conclusions: Dental undergraduates’ knowledge ofOral Radiology did not increase or decrease significantly comparing the undergraduate years.However, with the exception of the Technique/Interpretation domain, students of more advancedundergraduate years answered more correctly the questions. Nevertheless, the Technique/Interpretation domain should be reinforced throughout the undergraduate course.

Education, Dental , Surveys and Questionnaires , Radiation Protection , Radiography, Dental , Radiology
Braz. j. oral sci ; 12(1): 16-19, jan.-mar. 2013. ilus, tab
Article in English | LILACS, BBO | ID: lil-671926


Aim: To compare panoramic radiography and cone beam computed tomography (CBCT) in the diagnosis of bifid mandibular condyle. Methods: The sample consisted of 350 individuals who underwent panoramic radiography and CBCT. In the panoramic radiographs and CBCT images, the presence or absence of bifid mandibular condyle was determined. Results: Presence of bifid mandibular condyle was detected in four cases (1.1%). In all cases, the relation of one condylar process to the other was mediolateral and history of trauma was reported. None of the individuals had symptoms. In two cases, panoramic radiography did not reveal the presence of bifid mandibular condyle. Conclusions: Initial screening for bifid mandibular condyle can be performed by panoramic radiography; however, CBCT images can reveal morphological changes and the exact orientation of the condyle heads.

Humans , Male , Female , Temporomandibular Joint/abnormalities , Mandibular Condyle/abnormalities , Radiography, Panoramic , Tomography/methods
Braz. dent. j ; 24(1): 30-34, 2013. tab, graf
Article in English | LILACS | ID: lil-671344


This study evaluated the applicability of the regression method for determining vertebral age developed by Caldas et al. (2007) by testing this method in children from low-income families of the rural zone. The sample comprised cephalometric and hand-wrist radiographs of 76 boys and 64 girls aged 7.0 to 14.9 years living in a medium-sized city in the desert region of the northeastern region of Brazil, with an HDI of 0.678. C3 and C4 vertebrae were traced and measured on cephalometric radiographs to estimate the bone age. The average age, average hand-wrist age and average error estimated for girls and boys were, respectively, 10.62 and 10.44 years, 11.28 and 10.57 years, and 1.42 and 1.18 years. Based on these results, the formula proposed by Caldas et al. (2007) was not applicable to the studied population, and new multiple regression models were developed to obtain the children's vertebral bone age accurately.

O objetivo deste estudo foi avaliar a aplicabilidade do método de análise para determinar a idade vertebral proposto por Caldas et al., 2007 em crianças de baixa renda. A amostra se constituiu de radiografias cefalometricas e carpais de 76 meninos e 64 meninas com idade entre 7,0 a 14,9 anos que vivem em zona rural de um município sergipano. Os corpos das vértebras C3 e C4 foram traçadas e mensuradas e em seguida as idades ósseas foram estimadas. A idade media estimada para as meninas foi de 10,62 anos e a idade óssea carpal foi de 11,28 anos; o erro médio de 1,42 anos. A idade media estimada para os meninos foi de 10,44 anos e a idade óssea carpal foi de 10,57 anos com erro médio de 1,18 anos. Baseado nos resultados, o modelo proposto por Caldas et al. (2007) não pode ser aplicada na população estudada, e portanto novos modelos de regressão foram desenvolvidos.

Adolescent , Child , Female , Humans , Male , Age Determination by Skeleton/methods , Bone Development , Child Development , Cervical Vertebrae/growth & development , Poverty , Algorithms , Brazil , Carpal Bones/growth & development , Cervical Vertebrae , Regression Analysis , Rural Population , Sex Factors