Factors associated with the municipal provision of orthodontics in the Brazilian Unified Health System.

BACKGROUND: The Brazilian federal government issued Ministerial Ordinance No. 718 in 2010 to expand the funding of orthodontic treatment provided by Brazilian municipalities via the Unified Health System (SUS in Portuguese). AIM: To identify social and structural factors associated with Brazilian municipalities that provide fixed orthodontic appliance therapy and interceptive orthodontic therapy. METHODS: Official Brazilian government databases were used for data collection. Poisson regression with robust variance was used for statistical analysis. RESULTS: Municipalities hosting Dental Specialty Centers (DSCs) with greater installed capacity (type III DSC with 7 dental chairs or over), which employed dentists specializing in pediatric dentistry and orthodontics, were more likely to offer orthodontic services via SUS. CONCLUSIONS: Federal, state, and municipal managers need to review the funding of orthodontic services via SUS, which can be used for creating DSCs and hiring professionals with expertise in orthodontics.

Parents' perceptions and related factors of the oral health status of Brazilian children enrolled in public preschools.

PURPOSE: This study aimed to evaluate parents' perceptions of the oral health status of children enrolled in public preschools and associated factors. METHODS: This was a cross-sectional study with data collected via self-administered questionnaire. A total of 474 questionnaires were distributed in public preschools in the city of Canoas, Rio Grande do Sul, the southernmost state of Brazil. Poisson regression models were used in the multivariate analysis (p < 0.05). RESULTS: The study included 171 (36%) valid questionnaires. The prevalence of parents who perceived the oral health status of their children as negative was 29.8% (n = 51). Mother being unemployed (vs employed) increased by 16% the likelihood of parents perceiving the oral health status of their children as negative (prevalence ratio [PR] 1.16; 95% confidence interval [CI] 1.02-1.31. Parents having (vs having not) observed difficulties in the child's ability to eat increased by 27% the likelihood of perceiving the child's oral health status as negative (PR 1.27; 95% CI 1.08-1.48), while child's tooth brushing 1-2 (vs 3 or more) times a day and family income up to 2 (vs 3 or more) minimum wages increased it by 14% (PR 1.14; 95% CI 1.03-1.27 for both). Current or past use (vs no use) of pacifiers increased by 12% the likelihood of parents' negative perceptions (PR 1.12; 95% CI 1.00-1.25). CONCLUSION: We can conclude that unemployed mothers, low-income families, parents having observed child's feeding difficulties, child's tooth brushing 1-2 times a day, and current or past use of pacifiers contributed significantly to parents' negative perception of the child's oral health status. These factors are essential for the planning, implementation, monitoring, and evaluation of actions aimed at controlling the oral health of children enrolled in public preschools.

A prospective cohort study on the effects of RME in the mandibular dentition of cleft subjects.

PURPOSE: Rapid maxillary expansion (RME) is the most frequent orthopedic procedure in cleft subjects. However, little is known about its effects on the mandible. The aim of this study was to investigate the spontaneous response of the mandibular teeth following RME. METHODS: This prospective cohort study was carried out with a sample of thirty participants with unilateral cleft lip and palate (UCLP), 8-15 years old, who had transverse maxillary deficiency. Two participants were excluded. They were allocated into three groups: G1 (n = 10), G2 (n = 10), and G3 (n = 8). G1 was treated with a Fan-type expander; G2 with an iMini expander; and G3 with a Hyrax expander. Measurements were performed in Cone Beam CT scans obtained before treatment (T1) and 3 months post-expansion (T2). The primary outcomes were buccolingual inclination of mandibular first molars and canines, and intercanine and intermolar width at different levels. RESULTS: Dental changes were significant (P < 0.05) for intercanine width, increasing in G1 and G2, and for intermolar width, increasing in G2 and G3. There were no significant differences among groups (P > 0.05). CONCLUSION: RME in UCLP subjects performed with these expanders may lead to significant spontaneous changes in both anterior and posterior region of the mandible.

Three-dimensional skeletal mandibular changes associated with Herbst appliance treatment.

OBJECTIVES: Three-dimensional evaluation of skeletal mandibular changes following Herbst appliance treatment. SETTING AND SAMPLE POPULATION: Retrospective case-control study, based on a sample size calculation. Twenty-five pubertal patients treated with Herbst appliance (HAG), and 25 matched Class II patients who received other non-orthopaedic dental treatments (CG). MATERIAL AND METHODS: Three-dimensional models were generated from pre-treatment (T0) and post-treatment (T1) cone beam computed tomograms. Volumetric registration on the cranial base was used to assess mandibular displacement; volumetric regional registration was performed to evaluate mandibular growth. Quantitative measurements of X, Y, Z and 3D Euclidian changes, and also qualitative visualization by colour-mapping and semi-transparent overlays were obtained. RESULTS: Downward displacement of the mandible was observed in both HAG and CG (2.4 mm and 1.5 mm, respectively). Significant forward displacement of the mandible was observed in the HAG (1.7 mm). HAG showed greater 3D superior and posterior condylar growth than the CG (3.5 mm and 2.0 mm, respectively). Greater posterior growth of the ramus was noted in the HAG than in CG. CONCLUSIONS: Immediately after Herbst therapy, a significant mandibular forward displacement was achieved, due to increased bone remodelling of the condyles and rami compared to a comparison group. Three-dimensional changes in the direction and magnitude of condylar growth were observed in Herbst patients.

Ingestion of a RPE activation key: Why do these accidents still happen?

AIM: To draw attention and increase professional awareness about the potentially serious complications that may occur when these misfortunes happen and to what actions could be implemented to avoid such accidents. METHODS: The present case report is of an accidental ingestion of a rapid maxillary expander (RPE) activation key in a cardiac patient and the subsequent diagnostic confirmation with radiographs and the management of this accident thereafter. RESULTS: On the third day after the accidental ingestion of the RPE key, the patient's parents reported that the key was expelled in the stools without further complication. CONCLUSIONS: Ingestion of foreign bodies is a potential complication during orthodontic treatment. These types of accidents may cause serious consequences to the patient, especially if there is a pre-existing systemic condition, such as heart disease or respiratory problems.

Effects of packaging, mineral oil coating, and storage time on biogenic amine levels and internal quality of eggs.

This study was carried out with the aim of evaluating the effects of mineral oil application on eggshells and the use of plastic packages with lids on the physical-chemical and microbiological quality and biogenic amine contents of eggs stored under refrigeration for up to 125 d. A total of 1,920 eggs from 46-wk-old Hyline W36 laying hens were randomly distributed into 4 groups soon after classification: (i) 480 eggs were stored in pulp carton tray packages; (ii) 480 eggs were stored in plastic packages with lids; (iii) 480 eggs were stored in carton packages after the application of mineral oil; and (iv) 480 eggs were stored in plastic packages with lids after the application of mineral oil. The internal quality was measured by Haugh units, by the counts of mesophilic and psychrotrophic microorganisms, by the most probable number of total and thermal-tolerant coliforms, by the counts of molds and yeasts, by the analysis of Salmonella spp. and Staphylococcus spp., and by the levels of biogenic amines in the egg yolk and albumen. The application of mineral oil to the eggshell resulted in higher Haugh unit values throughout storage, and the use of plastic packages altered the internal quality. The application of mineral oil and the use of packaging had no effects on the microbiological and biogenic amine results. Microbiological analyses showed the absence of Salmonella spp., Staphylococcus aureus, thermal-tolerant coliforms, and fungi. However, the highest counts of mesophilic (1.1 × 10(7) cfu/g) and psychrotrophic (6.7 × 10(7) cfu/g) microorganisms were recorded. The highest values of biogenic amines detected and quantified were putrescine (2.38 mg/kg) and cadaverine (7.27 mg/kg) in the egg yolk and putrescine (1.95 mg/kg), cadaverine (2.83 mg/kg), and phenylethylamine (2.57 mg/kg) in the albumen. Despite these results, the biogenic amine levels recorded were considered low and would not be harmful to consumer health.

Bioactive amines and microbiological quality in pasteurized and refrigerated liquid whole egg.

The objective of this study was to evaluate the correlation between the levels of bioactive amines and the microbiological quality of liquid pasteurized egg stored under refrigeration. Pasteurized whole egg liquid was obtained from 2 types of different raw materials, fresh eggs, and commercial fertile eggs. They were stored under refrigeration over a period of 21 d. The treatments were arranged in a completely randomized split plot, with the plots being the 2 types of liquid pasteurized egg, and the subplots being the 4 storage periods (1, 7, 14, and 21 d). The storage period did not contribute to the increase (P > 0.05) of contamination by mesophilic aerobic microorganisms and total coliforms in commercial liquid pasteurized egg. However, for fertile eggs, the storage period led to an increase (P < 0.05) in the numbers of microorganisms. Levels of the amines putrescine, cadaverine, and tyramine were detected only in fertile liquid pasteurized egg, and the storage period contributed to the increase (P < 0.05) in the levels of these amines. There was a high correlation between total coliform most probable number and cadaverine levels, and a moderate correlation between the numbers of aerobic mesophilic microorganisms and tyramine levels. It was concluded that the most contaminated liquid pasteurized eggs were the fertile liquid pasteurized eggs and this caused the highest levels of bioactive amines in them compared with all the eggs that had been subjected to pasteurization and refrigerated storage.

Toxicity of sediments from a mangrove forest patch in an urban area in Pernambuco (Brazil).

Industrial and urban residues are discharged every day to the rivers and may arrive at the mangrove forest and prejudice the quality of the environment and the organisms present there. The mangrove forest patch studied is encircled by an urban area of the city of Recife (Brazil) that has approximate 1.5 million inhabitants and is one of the most industrialized centers in Northeast Brazil. The aim of this study was to assess the quality of the sediments of this mangrove patch in terms of metal contamination and ecotoxicology. Samples of surface sediment were collected in six stations for toxicological tests and trace metal determination (Cr, Zn, Mn, Fe, Cu, Pb, Co and Ni), in July and August, 2006 (rainy season); and in January and February 2007 (dry season). Toxicity tests with solid-phase sediments were carried out with the copepod Tisbe biminiensis in order to observe lethal and sub-lethal endpoints and correlate them with chemical data. In June, there were no observed lethal effect, but two stations presented sub-lethal effects. In January, lethal effect occurred in three stations and sub-lethal in one station. The levels for Zn and Cr were at higher levels than international proposed guidelines (NOAA). There was a negative significant correlation between the copepods׳ fecundity, and Zn and Cr concentrations. Therefore, the studied sediments can be considered to have potential toxic to benthos due to the high content of Zn and Cr.

Effect of increased post length due to the presence of the remaining coronal structure on the fracture strength of post-retained restorations.

This study evaluated the effects of the remaining coronal tissue and post type on the fracture strength of incisors. Sixty human maxillary central incisors were sectioned at the cemento-enamel junction or at 2 mm above this junction. The roots received cast cores and posts, fibre posts, or relined fibre posts (n = 10 each). A compressive load was applied over the cores untilfracture. In the absence of coronal structure, the fracture strength did not differ among the post types evaluated. In the presence of remaining coronal structure, the fracture strength was higher in specimens with cast cores and posts.

Influência do período de armazenamento na qualidade do ovo integral pasteurizado refrigerado / Influence of storage period on refrigerated pasteurized whole egg quality

Avaliaram-se o pH e a qualidade microbiológica de ovos integrais pasteurizados refrigerados obtidos de dois tipos de matéria-prima: o ovo in natura (comercial ) e o ovo galado (ovo fértil). Os tratamentos foram dispostos no delineamento inteiramente ao acaso, em parcelas subdivididas, sendo na parcela dois tipos de ovos integrais pasteurizados, o comercial e o galado, e na subparcela quatro períodos de estocagem sob temperatura de refrigeração, um, sete, 14 e 21 dias. Não foi observada a presença de Salmonella spp. em nenhuma amostra analisada, e para os ovos comerciais, o período de estocagem não contribuiu para o aumento (P>0,05) da contaminação por mesófilos aeróbios, coliformes a 35ºC, Staphylococcus spp. e bolores e leveduras. Para as amostras de ovos galados, o período de armazenamento influenciou no aumento (P<0,05) da contagem de mesófilos aeróbios, coliformes a 35ºC, bolores e leveduras, e Staphylococcus spp. Os valores de pH aumentaram durante os primeiros dias do armazenamento e depois voltaram a diminuir. Concluiu-se que os ovos integrais galados pasteurizados apresentam pior qualidade em relação aos ovos integrais comerciais pasteurizados, e que o período de validade sob refrigeração desses tipos de ovos poderia ser de sete e 14 dias, respectivamente.

The pH and microbiological quality of refrigerated pasteurized whole eggs at 4ºC obtained from two types of raw materials, in nature (commercial) egg and the fertile egg were evaluated. The treatments were arranged in a completely randomized split plot design, the two types of pasteurized whole eggs (commercial and fertile) were alloted to the plots and four periods of storage under refrigeration (one, seven, 14 and 21 days) to the split plot. The presence of Salmonella spp. was not observed in the samples and the commercial pasteurized whole egg storage period did not contribute to the increase (P>0.05) in mesophilic aerobic coliforms at 35ºC, Staphylococcus spp and mold and yeast contamination. For samples of fertile pasteurized whole eggs, the storage period influenced the increased (P<0.05) count of mesophilic aerobic, coliforms at 35ºC, mold and yeast and Staphylococcus spp. The pH values rose during the first days of storage and then decreased again. It was concluded that fertile pasteurized whole eggs have lower quality than the commercial pasteurized whole eggs, and that the shelf life of these could be seven and 14 days, respectively.

Effects of lipid sources in the diet of laying hens on the fatty acid profiles of egg yolks.

The effects of different dietary lipids on the fatty acid profiles of eggs produced by 20- and 54-wk-old Dekalb laying hens were investigated. The 4 treatments were based on the lipid source added to the diet: soybean oil, sunflower oil, linseed oil, or control (no added oil). The experimental design was a simple random-sample design using a 4 × 2 factorial arrangement (4 treatments and 2 ages). The fatty acid composition of the yolks of eggs produced by the laying hens was analyzed. The fatty acid profiles found in the egg yolks were the same as those provided in each diet. Eggs laid by hens fed the diet containing soybean oil had a large amount of n-6 polyunsaturated fatty acids (PUFA), whereas eggs laid by hens fed the diet containing linseed oil had the highest percentage of n-3 PUFA. A decrease in PUFA deposition in egg yolks was observed as the laying hens got older. Eggs of hens fed the diet containing linseed oil presented an n-6:n-3 ratio of 2.01 in younger chickens and 2.17 in older ones. The trans fat percentages found in the egg yolks of all treatments were very low. It was concluded that the quantity of fatty acids present in the egg yolk may be altered according to the source of lipids in the diets; the addition of linseed oil to the ration of laying hens resulted in the production of n-3-enriched eggs and excellent n-6:n-3 ratios, and the egg yolks had insignificant amounts of trans fat, irrespective of the different lipid sources added to the diets or the age of the chickens.

Fontes de lipídios na dieta de poedeiras: desempenho produtivo e qualidade dos ovos / Lipids sources on layer hen diet: performance and egg quality

Os efeitos de fontes de lipídios na dieta de poedeiras sobre o desempenho produtivo e a qualidade do ovo foram verificados em dois experimentos. Foram utilizados quatro tratamentos, definidos de acordo com a fonte lipídica adicionada nas rações: óleo de soja, óleo de girassol, óleo de linhaça e ração controle (sem adição de óleo). Os experimentos foram realizados com poedeiras de 20 e 54 semanas de idade, respectivamente, com duração de oito semanas. Avaliaram-se os parâmetros produtivos - consumo de ração, conversão alimentar, produção e peso dos ovos - e de qualidade do ovo - porcentagens de gema, albúmen e casca, sólidos da gema, unidades Haugh, pH do albúmen, e cor da gema. Somente o peso do ovo de poedeiras jovens foi afetado pela inclusão de óleos vegetais na ração. Esses ovos apresentaram maior peso e maior porcentagem de gema que os produzidos pelas poedeiras jovens alimentadas com ração-controle. Concluiu-se que a utilização de diferentes fontes de lipídios na ração de poedeiras não altera o desempenho produtivo e a qualidade interna dos ovos, com exceção do peso do ovo de poedeiras novas, que aumenta com a utilização de óleos vegetais.

The effects of different sources of fat in the diet of layer hens on performance and egg quality were recorded in two experiments. Four treatments were defined by the lipid source added to the diets: soybean oil, sunflower oil, linseed oil and control diet (without oil added). The experiments were carried out with layers from 20 to 54 weeks of age, respectively, for eight weeks. Production parameters (feed intake, feed conversion, egg production, and egg weight) and quality of eggs (percentages of yolk, albumen, and shell; total solids of yolk; Haugh units; pH of albumen; and yolk color) were evaluated. Among the parameters of production and quality of the eggs, only the weight of eggs and percentage of yolk of young hens were affected by the inclusion of vegetable oils in the diet. These eggs were significantly heavier and had higher percentage when compared with the eggs of hens fed the control diet. It was concluded that the utilization of different sources of oils in layers diet did not change performance and egg quality , except egg weigh of young layers, that increased with the utilization of vegetables oils.

ELISA indireto para detecção de IgG antivírus da doença de Newcastle em soro de codorna / Indirect ELISA for the detection of IgG specific to Newcastle disease virus in quail serum

An indirect ELISA for the detection of japanese quail IgG specific to Newcastle disease virus (NDV) was developed. The secondary anti-quail IgG was produced in Balb/c mice, by inoculating Freund's complete adjuvant emulsified japanese quail-IgG extract. The purification of IgG was achieved using the caprilic acid method. The ELISA was compared to the haemagglutination-inhibition (HI) test for antibodies to NDV. ELISA cut-off point was established through TG-ROC analysis. Total correlation was observed between the ELISA and the HI, being the ELISA efficient in the identification of positive and negative sera, with high sensitivity and specificity (100 percent). These results validate the use of the indirect ELISA as an alternative for the detection of NDV-specific IgG in japanese quail sera, with the advantage of high sensitivity and automation

Tooth displacement due to occlusal contacts: a three-dimensional finite element study.

The use of the Finite Element Method (FE) is an appropriate way to study occlusal forces and tooth movement. The purpose of this study was to evaluate the effects of different occlusal contact patterns on tooth displacement in an adult dentition using a three-dimensional FE model of a human maxilla and mandible. Initially, images of a computerized tomography scan were redrawn in a computer program (CATIA) followed by the FE mesh construction. The MSC/Patran software was used to develop the FE mesh comprising 520,445 elements and 106,633 nodes. The MSC/Nastran program was utilized as pre and post-processor for all mathematical calculations necessary to evaluate dental and mandibular biomechanics. Four occlusal patterns were tested: FEM 1 - standard occlusal contacts; FEM 2 - removal of mesial marginal and mesial tripoidism contacts; FEM 3 - removal of distal marginal and distal tripoidism contacts; FEM 4 - similar to FEM 3 with added contacts between upper and lower incisors. Small changes in the standard distribution of occlusal contacts resulted in an imbalance of occlusal forces and changes in dental positioning. All simulations tested showed mesial displacement of posterior teeth. The most significant changes were registered in the model presenting unstable occlusal contacts when the anterior teeth were in occlusion (FEM 4). These findings may explain mandibular incisors crowding and maxillary incisors flaring as a result of small variations in dental contacts.

Salmonela em ovos comerciais: ocorrência, condiçöes de armazenamento e desinfecçäo da casca / Samonella in table eggs: occurrence in retails, storage conditions and eggshell disinfections

Este trabalho teve por objetivos verificar a ocorrência de salmonelas na casca e na gema de ovos de galinha distribuídos em pontos de venda da cidade de Campinas-SP, estudar o efeito do tempo e da temperatura de armazenagem sobre a multiplicaçäo de Salmonella enteritidis (SE) na casca e na gema de ovos contaminados artificialmente por contato com maravalhas e na multiplicaçäo de SE em clara e preparaçöes artificialmente contaminadas e verificar o efeito da desinfecçäo de ovos por imersäo em duas soluçöes desinfetantes sobre a contagem bacteriana e de SE da casca de ovos artificialmente contaminados. Das 124 amostras com 10 ovos cada, obtidas no comércio, 12 (9,6 por cento) e quatro (3,2 por cento) foram positivas para salmonelas na casca e na gema, respectivamente. SE foi o único sorovar identificado. Ovos experimentalmente contaminados apresentaram SE na casca pelo período de estudo de 21 dias tanto nos mantidos em temperatura ambiente, como em refrigeraçäo. Houve migraçäo da contaminaçäo de SE da casca para a gema a partir de 24 horas, com maior intensidade nos ovos mantidos em temperatura ambiente. Clara de ovos, clara batida e glacê näo se mostraram substratos apropriados para a multiplicaçäo de SE quando armazenados tanto em temperatura ambiente como em refrigeraçäo. Näo houve aumento da contaminaçäo original no período de 24 e 168 horas do estudo. Ao contrário, houve reduçäo de um ciclo logaritmo da contaminaçäo original na preparaçäo de glacês mantidas nas duas condiçöes de armazenagem. A desinfecçäo da casca de ovos com soluçäo do composto quaternário de amônia na dosagem de 400ppm e aquecida a 45§C foi mais eficiente do que quando se utilizaram 50,2ppm de cloro, nas mesmas condiçöes de uso, tanto na reduçäo de mesófilos totais como para SE