Prevalence and factors associated with dry socket following routine dental extractions.

BACKGROUND: Dry socket (DS) or fibrinolytic osteitis is a relatively common complication that can occur following tooth extraction. This study aimed to determine the prevalence of DS and identify its associated predictive and mediating variables. MATERIAL AND METHODS: This study is classified as prospective observational, cross-sectional, and multicenter. Patients were consecutively selected in accordance with established criteria for tooth extraction. Data on patient demographics, surgical procedures and postoperative outcomes were collected. Nominal variables were analyzed using the Chi-Square Test, while associations involving ordinal values or considering counts or layers were examined using the Kendall's Tau-B Test or Mantel-Haenszel Test for trend. The GLM Mediation Model was employed to investigate potential mediation or indirect effects or potential underlying mechanisms of predictive variables on the development of DS. Two-tailed significance level of p ≤0.05 was considered statistically significant. RESULTS: A total of 1,357 patients undergoing routine dental extractions were included. DS was observed in 13 patients (prevalence of 1%). DS was associated with younger patients (under 50 years old), longer procedures, and the presence of surgical accidents, but only when mediated by surgical complexity. Smoking, particularly in combination with complex surgeries and surgical accidents, was associated with DS. Postoperative pain for more than two days and reported at moderate to high levels, emerged as a potential warning sign for DS. The use of antibiotics was found to significantly reduce the risk of DS (RR reduction of 36% and absolute risk reduction of 0.63%). CONCLUSIONS: Routine dental extractions revealed a 1% prevalence of dry socket. The obtained results suggests that DS is a multifactorial condition influenced by various factors, including gender, age, smoking, antibiotic prescription and surgical factors such as length, technique and accidents, nevertheless, those associations were observed mainly considering the influence of one variable on another.

Effects of rumen-undegradable protein on intake, performance, and mammary gland development in prepubertal and pubertal dairy heifers.

The objective of this study was to evaluate the influence of different amounts of rumen-undegradable protein (RUP) on intake, N balance, performance, mammary gland development, carcass traits, and hormonal status of Holstein heifers at different physiological stages (PS). Sixteen prepubertal (PRE) heifers (initial BW = 106 ± 7.6 kg; age = 4.3 ± 0.46 mo) and 16 pubertal (PUB) heifers (initial BW = 224 ± 7.9 kg; age = 12.6 ± 0.45 mo) were used in an experiment over a period of 84 d. Four diets with increasing RUP contents (38, 44, 51, and 57% of dietary crude protein) and heifers at 2 PS (PRE or PUB) were used in a 4 × 2 factorial arrangement of treatments in a completely randomized design. Throughout the experiment, 2 digestibility trials were performed over 5 consecutive days (starting at d 36 and 78) involving feed and ort sampling and spot collections of feces and urine. At d 0 and 83, body ultrasound images were obtained for real-time carcass trait evaluation. The mammary gland was ultrasonically scanned at d 0 and every 3 wk during the experiment. Blood samples were taken at d 0 and 84 to determine serum concentrations of progesterone, estrogen, insulin-like growth factor I (IGF-I), and insulin. No interaction between PS and the level of RUP was found for any trait. Apparent digestibility of dry matter, organic matter, and neutral detergent fiber corrected for ash and protein was not affected by RUP level but was lower for PRE compared with PUB heifers. Sorting against neutral detergent fiber corrected for ash and protein (tendency only) and for crude protein was greater for PUB than PRE heifers. Pubertal heifers had greater average daily gain (905 vs. 505 g/d) and N retention (25.9 vs. 12.5 g/d) than PRE heifers. In addition, average daily gain and N retention were greatest at 51% RUP of dietary protein. Mammary ultrasonography indicated no effects of RUP amounts on mammary gland composition, whereas PRE heifers had greater pixel values than PUB, indicating higher contents of fat rather than protein in the mammary glands of PRE heifers. Serum progesterone and IGF-I concentration was affected only by PS, and PRE heifers had greater values of progesterone and IGF-I concentrations than PUB heifers. Serum insulin concentration was unaffected by PS but tended to be higher at 51% of RUP. In conclusion, an RUP level of 51% increases body weight, average daily gain, feed efficiency, and N retention in heifers regardless of the PS. In addition, PRE heifers have a lower sorting ability and reduced intake, total-tract digestibility, and N retention. They also have higher amounts of fat in their mammary glands, even at moderate growth rates.

Sugarcane silage treated with calcium hydroxide in feedlot cattle diet: animal performance and meat quality / Desempenho e qualidade da carne de novilhos confinados alimentados com silagem de cana-de-açúcar tratada com hidróxido de cálcio

Este estudo teve como objetivo avaliar silagem de cana-de-açúcar (Saccharum officinarum L) tratada com hidróxido de cálcio - Ca(OH)2 - (cal hidratada) como único volumoso em ração para confinamento de gado de corte, com respeito ao desempenho e qualidade da carne dos animais. Quarenta e cinco novilhos Canchim (22 meses de idade, 345 kg de peso vivo- PV) foram distribuídos, em um delineamento em blocos casualizados, em três tratamentos (rações totais - RTs - com 35% de volumoso): T1 - RT com cana-de-açúcar fresca; T2 - RT com silagem de cana-de-açúcar tratada com hidróxido de cálcio (10 g Ca(OH)2/kg de forragem fresca); T3 - RT com silagem de milho. Foram avaliados o consumo de matéria seca (CMS), consumo de MS digestível (CMSD), consumo de proteína bruta (CPB), eficiência alimentar (EA), ganho médio diário (GMD) e rendimento de carcaça (RC). A carne foi avaliada quanto a parâmetros de qualidade (pH, capacidade de retenção de água, perdas no cozimento, cor e força de cisalhamento) e de análise sensorial descritiva. Os novilhos alimentados com a silagem de cana-de-açúcar tratada com hidróxido de cálcio apresentaram similares (P>0.05) CMS (10,8 kg/d), CMSD (8,5 kg/d) e RC (52,6%); mais alto (P0.05) (1,5 kg PV/d e 0,15 kg PV/kg CMS, respectivamente). As diferentes rações não afetaram (P>0.05) os parâmetros de qualidade e os atributos sensoriais da carne, com exceção da cor da gordura e sabor estranho na carne. Concluiu-se que o hidróxido de cálcio pode ser indicado como um eficiente aditivo para...

This study aimed to evaluate sugarcane (Saccharum officinarum L) silage treated with calcium hydroxide - Ca(OH)2 - (slacked lime) as the only roughage source in a feedlot ration, regarding animal performance and meat quality. Forty five Canchim steers (22 months old, 345 kg body weight - BW) were assigned, in a complete randomized block design, to three treatments (total mixed rations - TMRs - with 35% roughage): T1- TMR with fresh sugarcane; T2 - TMR with sugarcane silage treated with calcium hydroxide (10 g Ca(OH)2/kg of fresh forage); T3 - TMR with corn silage. Dry matter intake (DMI), digestible DM intake (DDMI), crude protein intake (CPI), feed efficiency (FE), average daily gain (ADG) and dressing percentage (DP) were evaluated. Meat was analyzed for quality parameters (pH, water holding capacity, cooking loss, color and shear force) and sensory attributes. Steers fed the silage treated with calcium hydroxide presented similar (P>0.05) DMI (10.8 kg DM/d), DDMI (8.5 kg/d) and DP (52.6%); higher CPI (1.8 vs. 1.4 kg/d) and lower (P0.05) ADG and FE (1.5 kg BW/d and 0.15 kg BW/kg DMI, respectively). The different rations did not affect (P>0.05) meat quality parameters and sensory attributes, except for fat color and off flavor sensory attribute. It was concluded that calcium hydroxide can be indicated as an efficient additive for sugarcane ensilage. Feedlot cattle fed TMR containing sugarcane silage treated with Ca (OH)2, as the only roughage source, presented adequate performance and meat quality.

Sugarcane silage treated with calcium hydroxide in feedlot cattle diet: animal performance and meat quality / Desempenho e qualidade da carne de novilhos confinados alimentados com silagem de cana-de-açúcar tratada com hidróxido de cálcio

Este estudo teve como objetivo avaliar silagem de cana-de-açúcar (Saccharum officinarum L) tratada com hidróxido de cálcio - Ca(OH)2 - (cal hidratada) como único volumoso em ração para confinamento de gado de corte, com respeito ao desempenho e qualidade da carne dos animais. Quarenta e cinco novilhos Canchim (22 meses de idade, 345 kg de peso vivo- PV) foram distribuídos, em um delineamento em blocos casualizados, em três tratamentos (rações totais - RTs - com 35% de volumoso): T1 - RT com cana-de-açúcar fresca; T2 - RT com silagem de cana-de-açúcar tratada com hidróxido de cálcio (10 g Ca(OH)2/kg de forragem fresca); T3 - RT com silagem de milho. Foram avaliados o consumo de matéria seca (CMS), consumo de MS digestível (CMSD), consumo de proteína bruta (CPB), eficiência alimentar (EA), ganho médio diário (GMD) e rendimento de carcaça (RC). A carne foi avaliada quanto a parâmetros de qualidade (pH, capacidade de retenção de água, perdas no cozimento, cor e força de cisalhamento) e de análise sensorial descritiva. Os novilhos alimentados com a silagem de cana-de-açúcar tratada com hidróxido de cálcio apresentaram similares (P>0.05) CMS (10,8 kg/d), CMSD (8,5 kg/d) e RC (52,6%); mais alto (P<0.05) CPB (1,8 vs. 1,4 kg/d) e menor (P<0.05) GMD (1,58 vs. 1,81 kg PV/d) comparados aos que receberam silagem de milho. Comparados aos animais alimentados com cana-de-açúcar fresca, os novilhos alimentados com silagem de cana-de-açúcar tratada com hidróxido de cálcio apresentaram maior (P<0.05) CMS (10,9 vs. 9,4 kg MS/d), CMSD (8,70 vs. 7,4 kg/d), CPB (1,8 vs. 1,1 kg/d) e RC (52,7 vs. 51,2%), mas o GMD e EA foram similares (P>0.05) (1,5 kg PV/d e 0,15 kg PV/kg CMS, respectivamente). As diferentes rações não afetaram (P>0.05) os parâmetros de qualidade e os atributos sensoriais da carne, com exceção da cor da gordura e sabor estranho na carne. Concluiu-se que o hidróxido de cálcio pode ser indicado como um eficiente aditivo para...(AU)

This study aimed to evaluate sugarcane (Saccharum officinarum L) silage treated with calcium hydroxide - Ca(OH)2 - (slacked lime) as the only roughage source in a feedlot ration, regarding animal performance and meat quality. Forty five Canchim steers (22 months old, 345 kg body weight - BW) were assigned, in a complete randomized block design, to three treatments (total mixed rations - TMRs - with 35% roughage): T1- TMR with fresh sugarcane; T2 - TMR with sugarcane silage treated with calcium hydroxide (10 g Ca(OH)2/kg of fresh forage); T3 - TMR with corn silage. Dry matter intake (DMI), digestible DM intake (DDMI), crude protein intake (CPI), feed efficiency (FE), average daily gain (ADG) and dressing percentage (DP) were evaluated. Meat was analyzed for quality parameters (pH, water holding capacity, cooking loss, color and shear force) and sensory attributes. Steers fed the silage treated with calcium hydroxide presented similar (P>0.05) DMI (10.8 kg DM/d), DDMI (8.5 kg/d) and DP (52.6%); higher CPI (1.8 vs. 1.4 kg/d) and lower (P<0.05) ADG (1.58 vs. 1.81 kg BW/d) and FE (0.15 vs. 0.17 kg BW/kg DMI) in comparison to those receiving corn silage. Compared to animals fed the fresh sugarcane, steers fed sugarcane silage treated with calcium hydroxide presented higher (P<0.05) DMI (10.9 vs. 9.4 kg DM/d), DDMI (8.7 vs. 7.4 kg/d), CPI (1.8 vs. 1.1 kg/d) and DP (52.7% vs. 51.2%) but similar (P>0.05) ADG and FE (1.5 kg BW/d and 0.15 kg BW/kg DMI, respectively). The different rations did not affect (P>0.05) meat quality parameters and sensory attributes, except for fat color and off flavor sensory attribute. It was concluded that calcium hydroxide can be indicated as an efficient additive for sugarcane ensilage. Feedlot cattle fed TMR containing sugarcane silage treated with Ca (OH)2, as the only roughage source, presented adequate performance and meat quality.(AU)

Effect of protein supplementation on milk production and metabolism of dairy cows grazing tropical grass.

The objectives of this study were to determine if midlactation dairy cows (Bos taurus L.) grazing intensively managed elephantgrass would have their protein requirement met exclusively with the pasture and an energy concentrate, making the use of protein ingredients unnecessary, as well as to determine the dietary crude protein (CP) content that would optimize the efficiency of N utilization (ENU). Thirty-three Holstein and crossbred (Holstein × Jersey) midlactation dairy cows, producing approximately 20 kg/d, were grouped within breed into 11 blocks according to milk yield and days in milk. Within blocks, cows were randomly assigned to 1 of 3 treatments and remained in the study for 11 wk. The control treatment contained only finely ground corn, minerals, and vitamins, and it was formulated to be 8.7% CP. Two higher levels of CP (formulated to be 13.4 and 18.1%) were achieved by replacing corn with solvent-extracted soybean meal (SSBM). Pasture was fertilized with 50 kg of N/ha after each grazing cycle and averaged 18.5% CP (dry matter basis). No differences were observed in milk yield or milk fat, protein, and casein content or casein yield. In addition, pasture intake was not different among treatments. Milk urea N increased linearly as the concentrate CP content increased. Cows fed the 8.7% CP concentrate had higher ENU. In another experiment, 4 ruminally cannulated Holstein dry cows were used in a metabolism trial designed in a 4×4 Latin square. Cows were fed the same treatments described as well as a fourth treatment with 13.4% CP in the concentrate, in which urea replaced SSBM as the main N source. Ruminal volatile fatty acid concentration and microbial synthesis were not affected by levels or sources of N in the concentrate. Ruminal NH(3)N content increased as the concentrate CP content increased. Inclusion of SSBM in the concentrate did not increase production and decreased the ENU of midlactation dairy cows grazing on tropical forage. Supplementation of an 8.7% CP concentrate, resulting in a diet with CP levels between 15.3 and 15.7% of dry matter, was sufficient to meet the protein requirements of such milk production, with the highest ENU (18.4%).