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1.
Int J Prosthodont ; 37(7): 13-17, 2024 Feb 21.
Artigo em Inglês | MEDLINE | ID: mdl-38489216

RESUMO

PURPOSE: To evaluate and compare the accuracy of conventional and 3D-printed casts using five different 3D printers. MATERIALS AND METHODS: In the control group (CG group, n = 5), five conventional impressions using light- and heavy-body polyvinyl siloxane were obtained from the master model, resulting in five stone models. In the test groups, five different scans were performed by a well-trained and experienced clinician using a TRIOS intraoral scanner. All data were exported in STL file format, processed, and sent to five 3D printers. Five casts were manufactured in each printer group: SG (CARES P20, Straumann); FG (Form 2, Formlabs); WG (Duplicator 7, Wanhao); ZG (Zenith D, Zenith); and MG (Moonray S100, Moonray). Measurements of the accuracy (trueness and precision) of the casts obtained from conventional elastomeric impressions and 3D-printing methods were accomplished using a 3D analysis software (Geomagic Control). RESULTS: The FG group showed the lowest values for trueness (indicating a value closer to real dimensions), which were similar to the SG group only (P > .05). MG, WG, and ZG groups presented higher values and were similar compared to each other. Data on precision demonstrated that all 3D-printed groups showed lower values for precision (smaller deviation) when compared to the CG. CONCLUSIONS: The trueness depends on the chosen 3D printer. All of the tested 3D printers were more precise than cast models obtained from conventional elastomeric impressions.


Assuntos
Desenho Assistido por Computador , Implantes Dentários , Impressão Tridimensional , Técnica de Moldagem Odontológica , Imageamento Tridimensional
2.
J Prosthodont ; 2024 Mar 14.
Artigo em Inglês | MEDLINE | ID: mdl-38483093

RESUMO

PURPOSE: The purpose of this study was to evaluate the flexural strength (FS), flexural modulus (FM), and fatigue limit (FL) of 3D-printed resin-based polymers and composites and compare them to 3D-printed composites. MATERIALS AND METHODS: A bar-shaped specimen (25 × 2 × 2 mm) was CAD designed according to ISO 4049:2019, and 60 duplicates of the 3D model were nested at a 45-degree angle with the printing platform and 3D-printed with three materials: denture teeth resin (Denture Teeth, Formlabs), temporary crown and bridge resin (Temporary CB, Formlabs), and composite (Flexcera Smile Ultra+, Desktop Health). The 3D model was also imported into a dental CAM software, duplicated 60 times, nested, and milled from a 3D-milled composite puck (Ivotion Denture Teeth, Ivoclar). All specimens were post-processed following the manufacturer's recommendation. The specimens were then subjected to a three-point bending test until failure using a Universal Testing Machine at a crosshead speed of 0.75 mm/min, and FS and FM were calculated. The remaining thirty specimens were tested for Fatigue Limit using the staircase approach starting at 50% FS maximum up to 1.2 M cycles at 10 Hz. The data were analyzed using one-way ANOVA and the Weibull distribution (α = 0.05). RESULTS: The results showed that Ivotion and Flexcera had higher FS (110.3 ± 7.1 MPa and 107.6 ± 6.4 MPa, respectively) and FM (3.3 ± 0.1 GPa and 3.0 ± 0.2 GPa, respectively) compared to the 3D-printed Denture Teeth (FS = 66.4 ± 18.5 MPa and FM = 1.8 ± 0.1 GPa) and Temporary CB (FS = 79.6 ± 12.1 MPa and FM = 2.7 ± 0.4 GPa). Weibull analysis showed that the Ivotion and Flexcera had a more uniform and narrower spatial distribution of defects (m: 27.98 and 29.19) than the printed materials, which had m values of 8.17 and 4.11 for Temporary CB and Denture Teeth, respectively. Although no differences were found in the static properties (FS and FM) between Ivotion and Flexcera, Ivotion presented a higher endurance limit than Flexcera (51.43 vs. 40.95 MPa). The Temporary CB presented 21.08 MPa and Denture Teeth presented 17.80 MPa of endurance limit. CONCLUSIONS: 3D-milled (Ivotion Denture Teeth) and 3D-printed (Flexcera Smile Ultra+) composites outperformed 3D-printed resins (Formlabs Denture Teeth and Temporary Crown & Bridge) in terms of flexural properties and fatigue resistance. 3D-milled (Ivotion) and 3D-printed (Flexcera) composites exhibited similar flexural properties, but 3D-milled composites showed a 25% higher fatigue endurance limit, suggesting improved clinical longevity.

3.
Clin Oral Implants Res ; 34 Suppl 26: 304-348, 2023 Sep.
Artigo em Inglês | MEDLINE | ID: mdl-37750515

RESUMO

OBJECTIVES: The aim of this study was to review available evidence for Type 1A (immediate implant placement and immediate loading) of single tooth replacement in the maxillary esthetic zone. MATERIALS AND METHODS: An electronic search was conducted utilizing the databases of MEDLINE, Embase, and Cochrane to identify publications reporting on the outcomes of Type 1A for single tooth replacement in the maxillary esthetic zone. The success and survival rates of the included articles were reported, which were further categorized according to the clinical criteria reported in Type 1A. Mean survival rates were univariately compared between risk groups and additionally between studies published before and since 2012 using bias-corrected and study size-weighed bootstrap tests. A study time-correcting meta-analysis was then performed to obtain an overall effect for the study pool. RESULTS: A total of 3118 publications were identified in the search, with a total of 68 articles included. A mean number of implants per study were 37.2 and mean follow-up was 2.8 years. All the included studies utilizing Type 1A report highly selective inclusion and exclusion criteria. Univariate risk group comparison determined that studies before 2012 report a significantly lower mean survival rate (difference of -1.9 percentage points [PP], 95% CI: [-0.3, -4.0], p = .02), facial gap dimension had an impact on survival rates (+3.1 PP [0.2, 5.3] for width >2 mm, p = .04), as well as presence of endodontic infection (+2.6 PP [0.9, 5.1], p = .004). CONCLUSIONS: Type 1A has a high survival rate in studies reporting strict patient and site selection criteria. Further research is required to assess esthetic and functional success with Type 1A treatments.


Assuntos
Implantes Dentários , Humanos , Seleção de Pacientes , Estética Dentária , Bases de Dados Factuais
4.
Clin Oral Implants Res ; 34 Suppl 26: 349-356, 2023 Sep.
Artigo em Inglês | MEDLINE | ID: mdl-37750529

RESUMO

OBJECTIVES: Working Group 5 was convened to discuss and find consensus on the topics of implant placement and loading protocols associated with single missing teeth in the anterior maxilla (aesthetic zone). Consensus statements, clinical recommendations, patient perspectives and future research suggestions were developed and presented to the plenary for discussion and approval. MATERIALS AND METHODS: Two systematic reviews were developed and submitted prior to the conference. The group considered in detail the systematic reviews and developed statements, clinical recommendations, patient perspectives and future research suggestions based on the findings of the reviews and experience of group members. Definitive versions were developed after presentation to and discussion by the plenary. RESULTS: Five consensus statements were developed and approved from each systematic review. Twelve clinical recommendations were developed by the group based on both reviews and experience. Three patient perspectives were developed, and five suggestions made for future research. CONCLUSIONS: Based on the findings of the systematic reviews and experience of group members, the Type 1A protocol (immediate placement and immediate loading), when utilized in the anterior maxilla under favorable conditions, is considered predictable and is associated with high survival rates. The procedure is considered clinically viable and is associated with aesthetic outcomes, although surgical, technical, and biological complications can occur.


Assuntos
Implantes Dentários , Perda de Dente , Humanos , Consenso , Guias de Prática Clínica como Assunto , Revisões Sistemáticas como Assunto
5.
Int J Prosthodont ; 2022 Dec 06.
Artigo em Inglês | MEDLINE | ID: mdl-36484676

RESUMO

PURPOSE: To evaluate and compare the accuracy of conventional and 3D-printed casts using five different 3D printers. MATERIALS AND METHODS: In the control group (CG group, n = 5), five conventional impressions using light- and heavy-body polyvinyl siloxane were obtained from the master model, resulting in five stone models. In the test groups, five different scans were performed by a well-trained and experienced clinician using a TRIOS intraoral scanner. All data were exported as an STL file format, processed, and sent to five 3D printers. Five casts were manufactured in each group: SG (CARES P20, Straumann); FG (Form 2, Formlabs); WG (Duplicator 7, Wanhao); ZG (Zenith D, Zenith); and MG (Moonray S100, Moonray). Measurements of the accuracy (trueness and precision) of the casts obtained from conventional elastomeric impressions and 3D-printing methods were accomplished using a 3D analysis software (Geomagic Control). RESULTS: The FG group showed the lowest values for trueness (closer to real dimensions), which were similar to the SG group only (P > .05). Groups MG, WG, and ZG presented higher values and were similar compared to each other. Data on precision demonstrated that all 3D-printed groups showed lower values for precision (smaller deviation) when compared to the control group. CONCLUSION: The trueness depends on the chosen 3D printer. All of the tested 3D printers were more precise than cast models obtained from conventional elastomeric impressions.

6.
Sci Rep ; 12(1): 10822, 2022 Jun 25.
Artigo em Inglês | MEDLINE | ID: mdl-35752655

RESUMO

The roughness property of rocks is significant in engineering studies due to their mechanical and hydraulic performance and the possibility of quantifying flow velocity and predicting the performance of wells and rock mass structures. However, the study of roughness in rocks is usually carried out through 2D linear measurements (through mechanical profilometer equipment), obtaining a coefficient that may not represent the entire rock surface. Thus, based on the hypothesis that it is possible to quantify the roughness coefficient in rock plugs reconstructed three-dimensionally by the computer vision technique, this research aims to an alternative method to determine the roughness coefficient in rock plugs. The point cloud generated from the 3D model of the photogrammetry process was used to measure the distance between each point and a calculated fit plane over the entire rock surface. The roughness was quantified using roughness parameters ([Formula: see text]) calculated in hierarchically organized regions. In this hierarchical division, the greater the quantity of division analyzed, the greater the detail of the roughness. The main results show that obtaining the roughness coefficient over the entire surface of the three-dimensional model has peculiarities that would not be observed in the two-dimensional reading. From the 2D measurements, mean roughness values ([Formula: see text]) of [Formula: see text] and [Formula: see text] were obtained for samples 1 and 2, respectively. By the same method, the results of the [Formula: see text] coefficient applied three-dimensionally over the entire rocky surface were at most [Formula: see text] and [Formula: see text], respectively, showing the difference in values along the surface and the importance of this approach.

7.
Int J Prosthodont ; 35(1): 27-36, 2022.
Artigo em Inglês | MEDLINE | ID: mdl-35230353

RESUMO

PURPOSE: To digitally evaluate the static and dynamic occlusion of patients treated with both removable conventional complete dentures (CCDs) and implant-retained removable overdentures (IODs) and to correlate two different methods of occlusal analysis. MATERIALS AND METHODS: Eleven totally edentulous patients were treated with bimaxillary CCDs. Later, mandibular CCDs were replaced by IODs retained by either two or four implants. The distribution of the occlusal contacts in static and dynamic occlusion was compared by means of the digital method (DM; T-Scan III) and the analog method (AM; articulating paper). Scores 0, 1, and 2 were assigned for inadequate, satisfactory, and adequate distribution of the occlusal contacts, respectively. The frequencies of scores were compared in relation to the types of denture by means of Fisher exact test (P < .05). The correlation between methods was assessed by means of the kappa agreement coefficient (κ) and the correlation coefficient phi (φ) (P < .05). RESULTS: Significant differences between CCDs and IODs were found in the right lateral mandibular movement (DM, P = .024; AM, P = .008), as well as in the left lateral mandibular movement (DM, P = .035). The methods of analysis of the occlusion showed a moderate agreement (κ = 0.604; P < .001) and a moderate correlation (φ = 0.605; P < .001). CONCLUSION: The digital and analog methods showed a significant agreement and moderate correlation, irrespective of the type of complete denture. The T-Scan III digital system seems to be a consistent and reproducible method to analyze occlusion.


Assuntos
Implantes Dentários , Retenção de Dentadura , Prótese Dentária Fixada por Implante/métodos , Retenção de Dentadura/métodos , Prótese Total , Prótese Total Inferior , Revestimento de Dentadura , Humanos , Mandíbula , Satisfação do Paciente , Estudos Prospectivos , Qualidade de Vida
8.
J Prosthodont ; 31(6): 543-548, 2022 Jul.
Artigo em Inglês | MEDLINE | ID: mdl-35343618

RESUMO

Treatment planning for the transition of patients from terminal dentition to full-arch implant rehabilitation poses challenges. Such challenges pertain to achieving the new orientation of the occlusal and esthetic plane as well as the change of vertical dimension of occlusion (VDO), while the fixed provisionalization using a digital workflow still tends to be considered complex and hard to perform. This article illustrates step-by-step the utilization of a digital workflow protocol in the treatment planning for rehabilitation of terminal dentition patients, simplifying the smile design and ensuring that fixed provisionalization serves both functional and esthetic requirements. This protocol includes facially driven, three-dimensional (3D) digital smile design and chairside mock-up restoration workflows that enable prosthetically driven assessment prior to implant treatment planning and 3D printing of surgical templates and prefabricated interim prostheses, which can predictably reduce chairside time and adjustments at the surgical and fixed provisionalization appointment.


Assuntos
Implantes Dentários , Prótese Dentária Fixada por Implante , Desenho Assistido por Computador , Dentição , Estética Dentária , Humanos , Fluxo de Trabalho
9.
Sci Rep ; 12(1): 1486, 2022 01 27.
Artigo em Inglês | MEDLINE | ID: mdl-35087044

RESUMO

The quantitative determination of average roughness parameters, from the determination of height variations of the surface points, is frequently used to estimate the adhesion between an adhesive and the surface of a substrate. However, to determine the interaction between an adhesive and a surface of a heterogeneous material, such as a red ceramic, it is essential to define other roughness parameters. This work proposes a method for determining the roughness of red ceramic blocks from a three-dimensional evaluation, with the objective of estimating the contact area that the ceramic substrate can provide for a cementitious matrix. The study determines the average surface roughness from multiple planes and proposes the adoption of 2 more roughness parameters, the valley area index and the average valley area. The results demonstrate that there are advantages in using the proposed multiple plane method for roughness computation and that the valley area parameters are efficient to estimate the extent of adhesion between the materials involved.

10.
Lancet Reg Health Am ; 6: 100102, 2022 Feb.
Artigo em Inglês | MEDLINE | ID: mdl-34870262

RESUMO

BACKGROUND: Brazil has faced two simultaneous problems related to respiratory health: forest fires and the high mortality rate due to COVID-19 pandemics. The Amazon rain forest is one of the Brazilian biomes that suffers the most with fires caused by droughts and illegal deforestation. These fires can bring respiratory diseases associated with air pollution, and the State of Pará in Brazil is the most affected. COVID-19 pandemics associated with air pollution can potentially increase hospitalizations and deaths related to respiratory diseases. Here, we aimed to evaluate the association of fire occurrences with the COVID-19 mortality rates and general respiratory diseases hospitalizations in the State of Pará, Brazil. METHODS: We employed machine learning technique for clustering k-means accompanied with the elbow method used to identify the ideal quantity of clusters for the k-means algorithm, clustering 10 groups of cities in the State of Pará where we selected the clusters with the highest and lowest fires occurrence from the 2015 to 2019. Next, an Auto-regressive Integrated Moving Average Exogenous (ARIMAX) model was proposed to study the serial correlation of respiratory diseases hospitalizations and their associations with fire occurrences. Regarding the COVID-19 analysis, we computed the mortality risk and its confidence level considering the quarterly incidence rate ratio in clusters with high and low exposure to fires. FINDINGS: Using the k-means algorithm we identified two clusters with similar DHI (Development Human Index) and GDP (Gross Domestic Product) from a group of ten clusters that divided the State of Pará but with diverse behavior considering the hospitalizations and forest fires in the Amazon biome. From the auto-regressive and moving average model (ARIMAX), it was possible to show that besides the serial correlation, the fires occurrences contribute to the respiratory diseases increase, with an observed lag of six months after the fires for the case with high exposure to fires. A highlight that deserves attention concerns the relationship between fire occurrences and deaths. Historically, the risk of mortality by respiratory diseases is higher (about the double) in regions and periods with high exposure to fires than the ones with low exposure to fires. The same pattern remains in the period of the COVID-19 pandemic, where the risk of mortality for COVID-19 was 80% higher in the region and period with high exposure to fires. Regarding the SARS-COV-2 analysis, the risk of mortality related to COVID-19 is higher in the period with high exposure to fires than in the period with low exposure to fires. Another highlight concerns the relationship between fire occurrences and COVID-19 deaths. The results show that regions with high fire occurrences are associated with more cases of COVID deaths. INTERPRETATION: The decision-make process is a critical problem mainly when it involves environmental and health control policies. Environmental policies are often more cost-effective as health measures than the use of public health services. This highlight the importance of data analyses to support the decision making and to identify population in need of better infrastructure due to historical environmental factors and the knowledge of associated health risk. The results suggest that The fires occurrences contribute to the increase of the respiratory diseases hospitalization. The mortality rate related to COVID-19 was higher for the period with high exposure to fires than the period with low exposure to fires. The regions with high fire occurrences is associated with more COVID-19 deaths, mainly in the months with high number of fires. FUNDING: No additional funding source was required for this study.

11.
J Prosthet Dent ; 127(5): 675-679, 2022 May.
Artigo em Inglês | MEDLINE | ID: mdl-33454113

RESUMO

The present clinical report describes the rehabilitation of a patient diagnosed with ectodermal dysplasia performed by an interdisciplinary team in a comprehensive approach aided by digital technology. The complexity of the treatment was related to predictability regarding timing and the type of approach. The patient was referred for treatment because of congenitally missing and abnormally shaped permanent teeth. The need for an interdisciplinary team involving orthodontic, periodontic, and prosthodontic specialists was identified. A virtual treatment plan was developed to guide tooth movement, placement of dental implants, and tooth preparation for indirect restorations. Therefore, each treatment phase could be communicated to the patient and treatment team in a predictable way.


Assuntos
Anodontia , Displasia Ectodérmica , Displasia Ectodérmica/complicações , Humanos , Planejamento de Assistência ao Paciente , Prostodontia , Técnicas de Movimentação Dentária
12.
Rev. andal. med. deporte ; 14(3): 150-154, 2021-09-02. graf
Artigo em Português | IBECS | ID: ibc-227405

RESUMO

Objetivo: Comparar os protocolos tradicional e supersérie, com intervalo de recuperação equiparado, quanto ao volume total de treinamento (número de repetições x peso), número total de repetições por exercício e percepção subjetiva de esforço em uma sessão de treinamento.Método: Dezesseis homens treinados realizaram de forma randomizada os protocolos. No protocolo tradicional foram executadas três séries com intervalos de dois minutos entre séries e três minutos entre exercícios. No protocolo supersérie, 30 segundos após o término de cada série, o voluntário realizava o outro exercício. Depois de finalizado o segundo exercício da supersérie, o voluntário aguardava o término do intervalo (dois minutos) para reiniciar o primeiro exercício da supersérie.Resultados: Verificou-se maior volume total de treinamento no protocolo tradicional em comparação ao supersérie (p = 0.003). Adicionalmente, no protocolo tradicional os voluntários realizaram maior número de repetições (p < 0.05) em cinco dos oito exercícios. Com relação à percepção subjetiva de esforço, os participantes relataram maiores valores de esforço no protocolo supersérie quando comparado ao protocolo tradicional (p = 0.017).Conclusão: Foi observada redução no volume total de treinamento com a utilização do protocolo supersérie, comparado ao protocolo tradicional, em uma sessão de treinamento na musculação. Adicionalmente, houve uma maior percepção subjetiva de esforço dos sujeitos no protocolo supersérie. Sendo assim, a aplicação do protocolo tradicional torna-se uma alternativa eficiente quando o objetivo é priorizar o volume de treinamento. (AU)


Objetivo: Comparar el protocolo tradicional y el de superserie, con pausa equiparada, en cuanto al volumen total de entrenamiento (número de repeticiones x peso), número total de repeticiones por ejercicio y percepción subjetiva de esfuerzo, en una sesión de entrenamiento.Método: Dieciséis hombres entrenados realizaron de forma aleatorizada los protocolos. En el protocolo tradicional se realizaron tres series con intervalos de dos minutos entre las series y tres minutos entre los ejercicios. En el protocolo de superserie, 30 segundos después de finalizada cada serie, el voluntario realizaba el otro ejercicio. Después de finalizado el segundo ejercicio de la superserie, el voluntario aguardaba el final del intervalo (dos minutos) para reiniciar el primer ejercicio de la superserie.Resultados: Se verificó mayor volumen total de entrenamiento en el protocolo tradicional en comparación con el protocolo superserie (p = 0.003). Adicionalmente, en el protocolo tradicional, los voluntarios realizaron mayor número de repeticiones (p < 0.05) en cinco de los ocho ejercicios de la sesión de entrenamiento. En cuanto a la percepción subjetiva de esfuerzo los participantes reportaron mayores valores de esfuerzo en el protocolo superserie comparado con el protocolo tradicional (p = 0.017).Conclusión: Se observó reducción en el volumen total de entrenamiento con la utilización del protocolo superserie, comparado al protocolo tradicional, en una sesión completa de entrenamiento de musculación. Adicionalmente, hubo una mayor percepción subjetiva de esfuerzo de los sujetos en el protocolo superserie. Por lo tanto, la aplicación del protocolo tradicional se convierte en una alternativa eficiente cuando el objetivo es priorizar el volumen de entrenamiento. (AU)


Objective: To compare the traditional protocol and supersets, with equal rest interval, on volume load (number of repetitions x load), total number of repetitions per exercise, and rating of perceived exertion in a training session.Method: Sixteen resistance trained men randomly performed the protocols. In traditional protocol, three sets were performed with rest intervals of two minutes between sets and three minutes between exercises. In the superset protocol, 30 seconds after the end of each set, the subject performed the other exercise. After completing the second exercise of the superset, the volunteer waited for the end of the rest intervals (two minutes) to restart the first exercise of the superset.Results: There was a higher total training volume in traditional protocol compared to superset protocol (p = 0.003). Additionally, in traditional protocol, the volunteers performed a greater number of repetitions (p < 0.05) in five of the eight exercises of the training session. Regarding the median rating of perceived exertion of the training session, it was verified that the participants reported higher effort values in the superset protocol when compared to the traditional protocol (p = 0.017).Conclusion: A reduction in the total volume of training was observed with the use of the superset protocol alternated by body segment, compared to the traditional protocol, in a complete resistance training session. Additionally, there was a higher rating of perceived exertion of the subjects in the superset protocol. Thus, the application of the traditional protocol becomes an efficient alternative when the goal is to prioritize the training volume. (AU)


Assuntos
Humanos , Masculino , Treinamento Intervalado de Alta Intensidade/instrumentação , Treinamento Resistido/instrumentação , Guias como Assunto , Percepção
13.
Compend Contin Educ Dent ; 42(6): F1-F11, 2021 Jun.
Artigo em Inglês | MEDLINE | ID: mdl-34077670

RESUMO

Ten keys for successful esthetic-zone single immediate implants encapsulate in an evidence-based manner the treatment planning and replacement of single hopeless teeth in the maxillary anterior sextant. These include two treatment-planning, five surgical, and three prosthetic keys, which, collectively, aim to minimize soft- and hard-tissue complications for an optimal esthetic implant restoration. The Straightforward, Advanced, and Complex (SAC) classification is designed to aid clinicians in the treatment planning of dental implant cases. As per this classification, cases are stratified by the degree of surgical and restorative risk and complexity for both the surgical and prosthetic phases of treatment. A technique-sensitive and skill-demanding task, the replacement of multiple adjacent teeth in the esthetic zone poses significant challenges for clinicians and is considered a complex SAC procedure surgically and restoratively. This article presents a case report on the replacement of multiple adjacent teeth in the esthetic zone, demonstrating the use of 10 key principles to achieve an optimal esthetic outcome.


Assuntos
Implantes Dentários para Um Único Dente , Implantes Dentários , Implantação Dentária Endóssea , Estética Dentária , Humanos , Maxila/cirurgia
14.
J Prosthet Dent ; 126(2): 164-166, 2021 Aug.
Artigo em Inglês | MEDLINE | ID: mdl-32800579

RESUMO

The increased precision and design of surgical templates for static computer-aided implant surgery has led to concerns of excessive heat generation from the friction between the twist drills, metal sleeves in the surgical template, and guide handles during osteotomy preparation. In addition, the presence of a surgical template can prevent proper cooling of the twist drill as it enters the osteotomy site, leading to greater heat generation. This excessive heat may result in bone necrosis and failure of osseointegration to the implant surface. This article describes a straightforward technique of incorporating an existing design feature in many virtual implant planning software programs to add an irrigation channel to the implant surgical template for effective cooling during osteotomy preparation.


Assuntos
Implantes Dentários , Implantação Dentária Endóssea , Temperatura Alta , Humanos , Osteotomia , Temperatura , Irrigação Terapêutica
15.
Materials (Basel) ; 13(23)2020 Dec 02.
Artigo em Inglês | MEDLINE | ID: mdl-33276474

RESUMO

Titanium (Ti) corrodes clinically in the presence of bacteria. We investigated this phenomenon as a function of Ti particles found in biopsied tissues around peri-implantitis sites and surface roughness of failed Ti implants. Tissue biopsies were surgically collected from peri-implantitis sites, processed, and embedded in resin. The resin-embedded samples were hand trimmed to the region of interest and semi-thick (500 nm) sections were collected onto coverslips. One section was toluidine blue post-stained as a reference. The remainder sections were left unstained for energy-dispersive X-ray spectroscopy (EDX) analysis. Processed samples were examined under scanning electron microscopy (SEM) and EDX. Corresponding failed implants were also removed and examined under SEM and EDX. Five out of eight biopsied samples demonstrated the presence of Ti particles in the soft tissue, suggesting the true rate among all failures was between 24.5% and 91.5% (the lower bound of a 95% confidence interval for the true rate of Ti presence). SEM analysis of failed implant bodies also indicated changes in surface morphology and appeared less detailed with decreased weight percent of Ti on the surface of the failed implants. In conclusion, Ti particles were noted in 5/8 biopsied samples. Surface morphologies were smoother in failed implants compared with the reference implant.

16.
Materials (Basel) ; 13(15)2020 Jul 26.
Artigo em Inglês | MEDLINE | ID: mdl-32722625

RESUMO

To mitigate the corrosion of titanium implants and improve implant longevity, we investigated the capability to coat titanium implants with SiC and determined if the coating could remain intact after simulated implant placement. Titanium disks and titanium implants were coated with SiC using plasma-enhanced chemical vapor deposition (PECVD) and were examined for interface quality, chemical composition, and coating robustness. SiC-coated titanium implants were torqued into a Poly(methyl methacrylate) (PMMA) block to simulate clinical implant placement followed by energy dispersive spectroscopy to determine if the coating remained intact. After torquing, the atomic concentration of the detectable elements (silicon, carbon, oxygen, titanium, and aluminum) remained relatively unchanged, with the variation staying within the detection limits of the Energy Dispersive Spectroscopy (EDS) tool. In conclusion, plasma-enhanced chemical vapor deposited SiC was shown to conformably coat titanium implant surfaces and remain intact after torquing the coated implants into a material with a similar hardness to human bone mass.

17.
Sensors (Basel) ; 20(12)2020 Jun 23.
Artigo em Inglês | MEDLINE | ID: mdl-32586025

RESUMO

Spectral information provided by multispectral and hyperspectral sensors has a great impact on remote sensing studies, easing the identification of carbonate outcrops that contribute to a better understanding of petroleum reservoirs. Sensors aboard satellites like Landsat series, which have data freely available usually lack the spatial resolution that suborbital sensors have. Many techniques have been developed to improve spatial resolution through data fusion. However, most of them have serious limitations regarding application and scale. Recently Super-Resolution (SR) convolution neural networks have been tested with encouraging results. However, they require large datasets, more time and computational power for training. To overcome these limitations, this work aims to increase the spatial resolution of multispectral bands from the Landsat satellite database using a modified artificial neural network that uses pixel kernels of a single spatial high-resolution RGB image from Google Earth as input. The methodology was validated with a common dataset of indoor images as well as a specific area of Landsat 8. Different downsized scale inputs were used for training where the validation used the ground truth of the original size images, obtaining comparable results to the recent works. With the method validated, we generated high spatial resolution spectral bands based on RGB images from Google Earth on a carbonated outcrop area, which were then properly classified according to the soil spectral responses making use of the advantage of a higher spatial resolution dataset.

18.
Artigo em Inglês | MEDLINE | ID: mdl-32466153

RESUMO

The relationship between the fires occurrences and diseases is an essential issue for making public health policy and environment protecting strategy. Thanks to the Internet, today, we have a huge amount of health data and fire occurrence reports at our disposal. The challenge, therefore, is how to deal with 4 Vs (volume, variety, velocity and veracity) associated with these data. To overcome this problem, in this paper, we propose a method that combines techniques based on Data Mining and Knowledge Discovery from Databases (KDD) to discover spatial and temporal association between diseases and the fire occurrences. Here, the case study was addressed to Malaria, Leishmaniasis and respiratory diseases in Brazil. Instead of losing a lot of time verifying the consistency of the database, the proposed method uses Decision Tree, a machine learning-based supervised classification, to perform a fast management and extract only relevant and strategic information, with the knowledge of how reliable the database is. Namely, States, Biomes and period of the year (months) with the highest rate of fires could be identified with great success rates and in few seconds. Then, the K-means, an unsupervised learning algorithms that solves the well-known clustering problem, is employed to identify the groups of cities where the fire occurrences is more expressive. Finally, the steps associated with KDD is perfomed to extract useful information from mined data. In that case, Spearman's rank correlation coefficient, a nonparametric measure of rank correlation, is computed to infer the statistical dependence between fire occurrences and those diseases. Moreover, maps are also generated to represent the distribution of the mined data. From the results, it was possible to identify that each region showed a susceptible behaviour to some disease as well as some degree of correlation with fire outbreak, mainly in the drought period.


Assuntos
Mineração de Dados , Incêndios , Leishmaniose , Malária , Doenças Respiratórias , Brasil/epidemiologia , Humanos , Descoberta do Conhecimento , Leishmaniose/epidemiologia , Malária/epidemiologia , Doenças Respiratórias/epidemiologia
19.
Sensors (Basel) ; 20(7)2020 Apr 09.
Artigo em Inglês | MEDLINE | ID: mdl-32283787

RESUMO

Total Suspended Solids (TSS) and chlorophyll-a concentration are two critical parameters to monitor water quality. Since directly collecting samples for laboratory analysis can be expensive, this paper presents a methodology to estimate this information through remote sensing and Machine Learning (ML) techniques. TSS and chlorophyll-a are optically active components, therefore enabling measurement by remote sensing. Two study cases in distinct water bodies are performed, and those cases use different spatial resolution data from Sentinel-2 spectral images and unmanned aerial vehicles together with laboratory analysis data. In consonance with the methodology, supervised ML algorithms are trained to predict the concentration of TSS and chlorophyll-a. The predictions are evaluated separately in both study areas, where both TSS and chlorophyll-a models achieved R-squared values above 0.8.


Assuntos
Clorofila A/química , Aprendizado de Máquina , Tecnologia de Sensoriamento Remoto/métodos , Algoritmos , Monitoramento Ambiental , Sistemas de Informação Geográfica , Processamento de Imagem Assistida por Computador , Qualidade da Água
20.
Artigo em Inglês | MEDLINE | ID: mdl-31696062

RESUMO

Small colony variants (SCV) of Staphylococcus aureus have been reported as implicated in chronic infections. Here, we investigated the genomic and transcriptomic changes involved in the evolution from a wild-type to a SCV from in a patient with prosthetic joint infection relapse. The SCV presented a stable phenotype with no classical auxotrophy and the emergence of rifampicin resistance. Whole Genome Sequencing (WGS) analysis showed only the loss of a 42.5 kb phage and 3 deletions, among which one targeting the rpoB gene, known to be the target of rifampicin and to be associated to SCV formation in the context of a constitutively active stringent response. Transcriptomic analysis highlighted a specific signature in the SCV strain including a complex, multi-level strategy of survival and adaptation to chronicity within the host including a protection from the inflammatory response, an evasion of the immune response, a constitutively activated stringent response and a scavenging of iron sources.


Assuntos
Artrite Infecciosa/microbiologia , Fenótipo , Infecções Relacionadas à Prótese/microbiologia , Infecções Estafilocócicas/microbiologia , Staphylococcus aureus , Antibacterianos/farmacologia , Doença Crônica , Perfilação da Expressão Gênica , Genoma Bacteriano , Genômica/métodos , Humanos , Testes de Sensibilidade Microbiana , Recidiva , Staphylococcus aureus/efeitos dos fármacos , Staphylococcus aureus/fisiologia , Transcriptoma
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