CBCT location of the fusion between the buccal and lingual cortical in the mandibular ramus: importance to sagittal split osteotomy.

BACKGROUND: Mandibular Sagittal Split Osteotomy (MSSO) is a popular technique in orthognathic surgery used both to advance and to retreat the mandible. However, MSSO may incur in important complications, such as bad splits and sensorineural injuries. Knowing the location of the fusion between the buccal and lingual cortical (FBLC) in the mandibular ramus and the bone thickness in the region where osteotomies will be performed is determinant in MSSO planning to avoid complications. The aim of this study was to document and evaluate possible differences between sexes regarding the location of the FBLC in relation to the superior cortical of mandibular foramen (MF) and bone thickness in the region of interest for MSSO in a Brazilian population. MATERIAL AND METHODS: Eighty five cone-beam Computed Tomography (CBCT) scans were used to perform linear measurements to determine the location of the FBLC. Bone thickness from the mandibular canal (MC) to the cortical external surfaces and the diameter of the MC were measured at three different points: mandibular ramus (A), mandibular angle (B) and mesial of the second molar (C). RESULTS: The FBLC was located at a mean distance of 8.3 mm from the superior cortical of the MF in males and 8.1 mm in females. There was no difference between males and females regarding the mean bone thickness from the MC to the buccal external surface at all the points investigated (p>0.05). Bone thickness from the lingual external surface to the MC was bigger among females than males in regions B and C (p < 0.05). The diameter of the MC was bigger among males in regions B and C. CONCLUSION: Sexual dimorphism regarding mandibular bone thickness but not regarding the location of FBLC was present. This fundamental knowledge may assist to the panning of MSSO.

Efficacy of naproxen with or without esomeprazole for pain and inflammation in patients after bilateral third molar extractions: A double blinded crossover study.

BACKGROUND: Using a double-blinded randomized crossover design, this study aimed to evaluate acute postoperative pain management, swelling and trismus in 46 volunteers undergoing extractions of the two lower third molars, in similar positions, at two different appointments who consumed a tablet of either NE (naproxen 500 mg + esomepraz ole 20 mg) or only naproxen (500 mg) every 12 hours for 4 days. MATERIAL AND METHODS: Parameters were analyzed: self-reported pain intensity using a visual analog scale (VAS) pre- and postoperative mouth opening; incidence, type and severity of adverse reactions; total quantity consumed of rescue medication; and pre- and postoperative swelling. RESULTS: Female volunteers reported significantly more postoperative pain at 1, 1.5, 2, 3 and 4hrs after surgery while also taking their first rescue medication at a time significantly earlier when consuming NE when compared to naproxen (3.7hrs and 6.7hrs). Conversely, no differences were found between each drug group in males. CONCLUSIONS: In conclusion, throughout the entire study, pain was mild after using either drug in both men and women with pain scores on average well below 40mm (VAS), although in women naproxen improved acute postoperative pain management when compared to NE.

Treatment of Dentin Hypersensitivity Using Nano-Hydroxyapatite Pastes: A Randomized Three-Month Clinical Trial.

OBJECTIVES: This randomized clinical trial tested the three-month desensitizing effect of two protocols using nano-hydroxyapatite formulations compared with Pro-Argin and fluoride varnish. METHODS: Twenty-eight subjects with 137 teeth presenting dentin exposure with a minimal hypersensitivity of four on the visual analog scale (VAS) took part of this study. The subjects were randomly assigned to four groups: Desensibilize Nano-P paste (20% hydroxyapatite [HAP], potassium nitrate, and sodium fluoride [NaF]; 9000 ppm fluoride [F]); Desensibilize Nano-P associated with experimental home-care pastes (10% HA, potassium nitrate, and NaF; 900 ppm F); Pro-Relief professional paste (8% arginine with Pro-Argin technology) associated with home-care toothpaste (8% arginine, sodium monofluorophosphate, 1450 ppm F); and Duraphat professional varnish (NaF varnish, 22,600 ppm F). The professional treatments were performed in weekly appointments over three weeks. The home-care products were used continuously for three months. A VAS was used to assess the tooth sensitivity response after standardized evaporative stimulus at baseline and after one month and three months. The baseline score was deducted from the final score, and the means were analyzed using nested analysis of variance, while the comparison between times was performed by a general linear model (p<0.05). RESULTS: At the first month all treatments were effective, but there were no significant differences among them (p=0.94). At the third month, despite the fact that NaF varnish had the lowest effect in reducing hypersensitivity, no significant difference was found among the treatments (p=0.09). Only Pro-Relief increased its effect over time (p=0.049). CONCLUSIONS: Nano-hydroxyapatite formulations (with or without home->care product association) were as effective as the other treatments in reducing dentin hypersensitivity over three months.

Histochemistry profile of the biceps brachii muscle fibres of capuchin monkeys (Cebus apella, Linnaeus, 1758) / Perfil histoquímico das fibras do músculo bíceps braquial do macaco-prego (Cebus apella, Linnaeus, 1758)

A general analysis of the behaviour of “Cebus” shows that when this primate moves position to feed or perform another activity, it presents different ways of locomotion. This information shows that the brachial biceps muscle of this animal is frequently used in their locomotion activities, but it should also be remembered that this muscle is also used for other development activities like hiding, searching for objects, searching out in the woods, and digging in the soil. Considering the above, it was decided to research the histoenzimologic characteristics of the brachial biceps muscle to observe whether it is better adpted to postural or phasic function. To that end, samples were taken from the superficial and deep regions, the inserts proximal (medial and lateral) and distal brachial biceps six capuchin monkeys male and adult, which were subjected to the reactions of m-ATPase, NADH-Tr. Based on the results of these reactions fibres were classified as in Fast Twitch Glycolitic (FG), Fast Twitch Oxidative Glycolitic (FOG) and Slow Twitc (SO). In general, the results, considering the muscle as a whole, show a trend of frequency FOG> FG> SO. The data on the frequency were studied on three superficial regions FOG=FG>SO; the deep regions of the inserts proximal FOG=FG=SO and inserting the distal FOG>FG=SO. In conclusion, the biceps brachii of the capuchin monkey is well adapted for both postural and phasic activities.

Uma análise geral do comportamento do “Cebus apella” mostra que este primata quando desloca para se alimentar ou realizar outra atividade apresenta diferentes maneiras de locomoção. Estas informações mostram que o músculo bíceps braquial deste animal é usado freqüentemente nas suas atividades de locomoção, mas deve ser lembrado ainda que este músculo é usado também para desenvolvimento de outras atividades como esconder-se, procurar objetos, vasculhar arboredos, além de cavar o chão. Considerando-se o exposto acima decidiu-se pesquisar as características histoenzimológicas do músculo bíceps braquial do macaco-prego com o objetivo de comparar se este músculo esta melhor adaptado para funções posturais ou fásicas. As amostras foram retiradas das regiões superficiais e profundas; inserções proximais (medial e lateral) e distal de seis macacos-prego machos e adultos, os quais foram submetidos às reações de m-ATPase, NADH-Tr. Baseado nos resultados das reações, as fibras foram classificadas em Fast Twitch Glycolitic (FG), Fast Twitch Oxidative Glycolitic (FOG) e Slow Twitch (SO). Quanto à área dos diferentes tipos de fibras, os resultados encontrados foram semelhantes em todas as amostras estudadas, e as fibras de contração rápida foram sempre maiores do que as de contração lenta (FG=FOG>SO). Os dados obtidos sobre a frequência foram: nas três regiões superficiais estudadas FOG=FG>SO; nas regiões profundas das inserções proximais FOG=FG=SO e na inserção distal FOG>FG=SO. Baseado nestes dados pode-se concluir que o músculo bíceps braquial do macaco-prego está bem adaptado tanto para atividades posturais como fásicas.

Histochemistry profile of the biceps brachii muscle fibres of capuchin monkeys (Cebus apella, Linnaeus, 1758)

A general analysis of the behaviour of Cebus shows that when this primate moves position to feed or perform another activity, it presents different ways of locomotion. This information shows that the brachial biceps muscle of this animal is frequently used in their locomotion activities, but it should also be remembered that this muscle is also used for other development activities like hiding, searching for objects, searching out in the woods, and digging in the soil. Considering the above, it was decided to research the histoenzimologic characteristics of the brachial biceps muscle to observe whether it is better adpted to postural or phasic function. To that end, samples were taken from the superficial and deep regions, the inserts proximal (medial and lateral) and distal brachial biceps six capuchin monkeys male and adult, which were subjected to the reactions of m-ATPase, NADH-Tr. Based on the results of these reactions fibres were classified as in Fast Twitch Glycolitic (FG), Fast Twitch Oxidative Glycolitic (FOG) and Slow Twitc (SO). In general, the results, considering the muscle as a whole, show a trend of frequency FOG> FG> SO. The data on the frequency were studied on three superficial regions FOG=FG>SO; the deep regions of the inserts proximal FOG=FG=SO and inserting the distal FOG>FG=SO. In conclusion, the biceps brachii of the capuchin monkey is well adapted for both postural and phasic activities.

Uma análise geral do comportamento do Cebus apella mostra que este primata quando desloca para se alimentar ou realizar outra atividade apresenta diferentes maneiras de locomoção. Estas informações mostram que o músculo bíceps braquial deste animal é usado freqüentemente nas suas atividades de locomoção, mas deve ser lembrado ainda que este músculo é usado também para desenvolvimento de outras atividades como esconder-se, procurar objetos, vasculhar arboredos, além de cavar o chão. Considerando-se o exposto acima decidiu-se pesquisar as características histoenzimológicas do músculo bíceps braquial do macaco-prego com o objetivo de comparar se este músculo esta melhor adaptado para funções posturais ou fásicas. As amostras foram retiradas das regiões superficiais e profundas; inserções proximais (medial e lateral) e distal de seis macacos-prego machos e adultos, os quais foram submetidos às reações de m-ATPase, NADH-Tr. Baseado nos resultados das reações, as fibras foram classificadas em Fast Twitch Glycolitic (FG), Fast Twitch Oxidative Glycolitic (FOG) e Slow Twitch (SO). Quanto à área dos diferentes tipos de fibras, os resultados encontrados foram semelhantes em todas as amostras estudadas, e as fibras de contração rápida foram sempre maiores do que as de contração lenta (FG=FOG>SO). Os dados obtidos sobre a frequência foram: nas três regiões superficiais estudadas FOG=FG>SO; nas regiões profundas das inserções proximais FOG=FG=SO e na inserção distal FOG>FG=SO. Baseado nestes dados pode-se concluir que o músculo bíceps braquial do macaco-prego está bem adaptado tanto para atividades posturais como fásicas.