Association between xerostomia, oral and general health, and obesity in adults. A cross-sectional pilot study.

BACKGROUND: The objective of this study was to analyse the association between oral and general health variables and obesity indicators with the sensation of dry mouth or xerostomia as evaluated on the Xerostomia Inventory (XI). MATERIAL AND METHODS: A total of 354 randomly selected subjects participated in this cross-sectional pilot study and completed an anonymous questionnaire. Anthropometric, clinical, and xerostomic variables were evaluated. Kruskal-Wallis, ANOVA and Bonferroni test were used for multiple comparisons. ROC curves and multinomial logistic regression were used to determine the (OR) risk of xerostomia. RESULTS: A total of 30.7 % of respondents reported xerostomia based on XI. The dry mouth question, the XI taken as a "gold standard", showed a diagnostic sensitivity of 70.37 %, and a specificity of 83.27 % (AUC=0.768, p<0.001). Logistical regression showed the highest xerostomia OR was associated to patients with bad self-perceived health, 6.31 (CI 95% 2.89-13.80, p<0.001). In the model adjusted for tooth mobility, bone or respiratory diseases, and the consumption of anxiolytics and antidepressants, the OR was 3.46 (CI 95% 1.47-8.18, p=0.005). CONCLUSIONS: a high prevalence of xerostomia was found in this cross-sectional pilot study, which was significantly more frequent in women, and increased with age. Xerostomia was associated to several systemic diseases, psychological conditions, and oral functional disorders such as tooth mobility. These preliminary results can serve as the basis for developing guidelines for the application of innovative measures designed to improve the quality of life of individuals with xerostomia.

Endodontic and aesthetic management of a conoid tooth with type IIIA dens invaginatus.

BACKGROUND: Dens invaginatus is a dental developmental abnormality caused by an infolding of the enamel organ into the adjacent dental papilla before the calcification of the dental tissues. The clinical presentation of dens invaginatus varies according to its severity, from mild forms, in which we might find a deeper than normal cingulum pit, to severe cases, in which there is a pronounced infolding reaching the apical foramen. The very nature of the invagination favours the contamination from the oral environment to the pulp space and the onset of caries. Therefore, patients might present with symptoms or signs of pulpitis and/or apical periodontitis. The aim of this paper is to present the successful endodontic and restorative management of a conoid shaped upper lateral incisor, affected by dens invaginatus type IIIA. CASE REPORT: A 13-year-old girl was referred to our office for endodontic and aesthetic treatment of the right upper lateral incisor, which was asymptomatic. Clinical, radiographic and photographic examinations were performed. The diagnosis of this tooth was dens invaginatus, Oehlers type IIIA with chronic apical periodontitis. Full isolation and magnification were used to achieve correct endodontic management of the aberrant internal anatomy of the tooth. Ultrasonic tips and a combination of manual and mechanical instruments were used for cleaning and shaping. Warm vertical condensation technique was used for sealing the canal system. As the final restoration it was chosen an indirect composite crown bonded to the tooth surface with minor preparation and using an adhesive technique. Radiographic healing and satisfaction of the aesthetic needs was achieved up to 5 years from completion of treatment. CONCLUSION: This case report shows the successful outcomes of a complex case based on proper diagnosis and correct treatment strategies for arresting the progression of apical periodontitis in challenging internal anatomies, as well as the fulfillment of a young patient aesthetic needs.

The juxta-oral organ of Chievitz (organum yuxtaorale) updated: Embryology, anatomy, function and pathology.

BACKGROUND: The Chievitz's organ or juxta-oral organ is a mysterious bilateral structure, phylogenetically preserved, which develops from the mouth epithelium as an invagination that loses connection to it in the prenatal period. It is located laterally to the walls of the oral cavity in an imprecise anatomical location and receives abundant innervation from the buccal nerve. Structurally it consists of non-keratinizing squamous-like neuroepithelial cells surrounded by two layers of connective tissue with nerve fibers and different morphotypes of sensory corpuscles. Its function is completely unknown although based on its rich innervation it is assumed that works as a mechanoreceptor. METHODS: We have performed immunohistochemistry for axonal and Schwann cells, and the putative mechanoproteins ASIC2, TRPV4 and Piezo2 in sections of fetal juxta-oral organ. RESULTS: Intraparenchymatous nerve fibers and sensory corpuscles were observed as well as immunoreactivity for Piezo2 in both nerve fibers and epithelial parenchymatous cells. CONCLUSIONS: We add indirect evidence that the juxtaoral organ is a mechanoreceptor because in addition to its dense innervation, the epithelial cells and sensory nerve fibers display immunoreactivity for the mechanogated ion channel Piezo2. Based on current knowledge, the functional and clinical importance of the juxta-oral organ should be further investigated.

Successful pulp revascularization of an autotransplantated mature premolar with fragile fracture apicoectomy and plasma rich in growth factors: a 3-year follow-up.

AIM: This case report demonstrates a positive outcome of the adjuvant use of fragile fracture (FF), which is a technique used to harvest dental pulp stem cells (DPSCs), and platelet-rich plasma (PRP) in a mandibular premolar (tooth 44) with a completely formed root that was transplanted into a surgically created socket and which maintained pulp vitality and function. SUMMARY: After virtual surgical planning, a 3D tooth replica of tooth 44 was fabricated. A surgical socket was created in the position of tooth 14; then, tooth 44 was extracted and the root dentine was abraded using a turbine diamond bur 3 mm from the apex until a circular groove was prepared around the outer circumference of the root; and then, an FF was performed without damaging the pulp tissue. PRP was placed in the socket, after which the donor tooth was inserted in the recipient area. At 2 weeks post-treatment, orthodontic traction was applied. At 3-year follow-up, the tooth had adequate alignment and was asymptomatic. Response to pulp testing was positive, and the presence of pulp canal obliteration was observed as a sign of pulpal healing. KEY LEARNING POINTS: Autotransplantation is a good alternative for replacing missing teeth, with repair of tissues and pulp revascularization. Revascularization of an autotransplanted mature tooth using the fragile fracture technique and PRP scaffold is a feasible option and might have positive effects on the long-term outcome of the procedure. Including completely formed teeth as donors in autotransplantation, maintaining vitality and their functions is an option that warrants further study.

Class I and Class II small leucine-rich proteoglycans in human cutaneous pacinian corpuscles.

Pacinian corpuscles are onion bulb-like multilayered mechanoreceptors that consist of a complicated structure of axon terminals, Schwann related cells (inner core), endoneural related cells (intermediate layer) and perineurial related cells (outer core-capsule). The cells forming those compartments are continuous and share the properties of that covering the nerve fibers. Small leucine-rich proteoglycans are major proteoglycans of the extracellular matrix and regulate collagen fibrillogenesis, cell signalling pathways and extracellular matrix assembly. Here we used immunohistochemistry to investigate the distribution of class I (biglycan, decorin, asporin, ECM2 and ECMX) and class II (fibromodulin, lumican, prolargin, keratocan and osteoadherin) small leucine-rich proteoglycans in human cutaneous Pacinian corpuscles. The distribution of these compounds was: the inner core express decorin, biglycan, lumican, fibromodulin, osteoadherin; the intermediate layer display immunoreactivity for osteoadherin; the outer core biglycan, decorin, lumican, fibromodulin and osteoadherin; and the capsule contains biglycan, decorin, fibromodulin, and lumican. Asporin, prolargin and keratocan were undetectable. These results complement our knowledge about the distribution of small leucine-rich proteoglycans in human Pacinian corpuscles, and help to understand the composition of the extracellular matrix in these sensory formations.

Dental students' knowledge regarding the indications for antibiotics in the management of endodontic infections.

AIM: To determine the knowledge of undergraduate Spanish dental students regarding the indications of systemic antibiotics in the management of endodontic infections. METHODOLOGY: The final year dental students from four Spanish dental schools were requested to answer a one-page questionnaire on the indications for systemic antibiotics in the treatment of endodontic infections. One hundred and seventy-five students were asked to participate in this research. Data were analysed using descriptive statistics and chi-square test. RESULTS: One hundred and four students (93.7%) completed satisfactorily the survey and were included in the study. The average duration of antibiotic therapy was 7.0 ± 2.0 days. All respondents chose amoxicillin as the first-choice antibiotic in patients with no medical allergies, alone (47%) or associated with clavulanic acid (53%). The first drug of choice for patients with an allergy to penicillin was clindamycin 300 mg (99%). For cases of irreversible pulpitis, up to 63% of students would prescribe antibiotics. For the scenario of a necrotic pulp, symptomatic apical periodontitis and no swelling, 44% would prescribe antibiotics. Almost 40% of students would prescribe antibiotics for necrotic pulps with asymptomatic apical periodontitis and a sinus tract. CONCLUSIONS: It is necessary for the Spanish schools of dentistry to improve students' knowledge about antibiotics and their indications in endodontics. Interactive education analysing real endodontic cases using problem-based learning would help students acquire better skills in prescribing antibiotics in pulp-periapical pathosis.

Primer premolar maxilar con tres conductos. A propósito de un caso / Maxillary first premolar with three canals. A case report

El éxito en el tratamiento de conductos radiculares va a depender entre otras cosas, del conocimiento de la morfología interna y externa de los dientes. Los primeros premolares maxilares presentan una amplia variación en la configuración de las raíces y los conductos radiculares, que debemos estudiar para el correcto diagnóstico y plan de tratamiento. Presentamos un caso clínico de un primer premolar superior con dos raíces y tres conductos

The success of root canal treatment depends on the knowledge of the internal and external tooth morphology among other things. Maxillary first premolars are said to exhibit large variation in root canal morphology we must know to make a proper diagnosis and treatment plan. This article reports a case of an upper left first premolar with two roots and three Canals

Candidiasis oral en el paciente mayor / Oral candidosis in the older patient

La candidiasis o candidosis oral es la enfermedad infecciosa ocasionada por el crecimiento de las colonias de Cándida y la penetración de las mismas en los tejidos orales cuando las barreras físicas y las defensas del huésped se encuentran alteradas. Es una infección frecuente de la cavidad oral de los adultos de edad avanzada. Aunque la incidencia real se desconoce, se sabe que existe una prevalencia aumentada en ciertas ocasiones como ocurre en ancianos, en presencia de prótesis mucosoportadas, xerostomía o en patologías asociadas frecuentemente en los mayores. Los tipos clínicos más característicos son la forma seudomembranosa y la eritematosa (palatina y lingual). Pueden tener evolución aguda o crónica según la persistencia de los factores predisponentes. También son frecuentes procesos bucales comúnmente asociados: estomatitis protética, queilitis angular, glositis romboidal y lengua vellosa. La mayor parte de las candidiasis orales tienen un diagnóstico clínico, pero ha de confirmarse demostrando la penetración de la cándida en la mucosa oral, siendo el frotis la técnica de elección. Antes de comenzar el tratamiento, debemos estar seguros que se trata de una candidiasis oral, el tipo clínico y los factores predisponentes relacionados con la infección. Empezaremos siempre eliminando estos factores predisponentes, en el adulto mayor, la polifarmacología, la xerostomía, enfermedades crónicas y el uso de prótesis mucosoportadas son situaciones frecuentes que habrá que controlar. Instauraremos medidas higiénicas bucales y posteriormente si es necesario, utilizaremos fármacos antifúngicos, comenzando siempre con formas tópicas (AU)

Oral Candidiasis or Candidosis is the infectious disease caused by the growth of colonies of Candida and penetration in the oral tissues when physical barriers and host defenses are altered. It is the most common fungal infection of oral involvement. It is a common infection of the oral cavity in elderly adults. Although the true incidence is unknown, it is known that there is an increased prevalence in certain situations in the elderly: tissue-borne prosthesis, xerostomia or disorders frequently associated. The most characteristic clinical types are pseudomembranous and erythematous (palatal and lingual) form. They may have acute or chronic evolution as the persistence of predisposing factors. They are also frequent mouth commonly associated processes: denture stomatitis, angular cheilitis, rhomboid glossitis and hairy tongue. Most oral candidiasis have a clinical diagnosis, but must be confirmed by demonstrating penetration of candida on the oral mucosa, being the preferred technique smears. Before starting treatment, we must be sure that it is an oral candidiasis, clinical type and predisposing factors associated with infection. Always start eliminating these predisposing factors in the elderly, the polypharmacy, xerostomia, chronic diseases and the use of tissue-borne prostheses are common situations which must be controlled. We will initiate oral hygiene measures and then if necessary, use antifungaldrugs, always starting with topical forms (AU)

La endodoncia en los pacientes mayores / Endodontics in older patients

La endodoncia en el paciente geriátrico es un procedimiento cada vez más habitual en la clínica odontológica. Debemos, dadas las características médicas y dentales de muchos de estos pacientes mayores, planificar correctamente los procesos instrumentales y prever las posibles dificultades que puedan surgir motivadas por conductos estrechos, cámaras pulpares calcificadas etc. En la instrumentación de estos dientes, someteremos a los instrumentos a alto estrés por torsión, motivado por la amplia superficie de contacto entre el instrumento y las paredes, por lo que será totalmente necesario la realización de una preinstrumentación rotatoria y consideramos que es una buena opción el uso del movimiento recíproco. La preparación de los conductos debe dejar un remanente dentinario suficiente, mantenimiento del foramen apical y conicidad progresiva que facilita la administración de irrigantes a lo largo de la longitud de los conductos y las fuerzas de condensación para la obturación. Como irrigantes utilizamos, de forma general, el hipoclorito de sodio al 5% a lo largo de toda la fase instrumental; y una combinación del hipoclorito con un quelante durante la irrigación preobturación que activaremos con algún dispositivo ultrasónico o de aspiración apical negativa. La obturación la realizaremos con sistemas termoplásticos que nos aportan el mejor sellado tridimensional del sistema de conductos (AU)

Endodontics in geriatric patients is an increasingly common procedure in the dental clinic. Medical and dental characteristics of these patients makes us properly plan our procedures to anticipate possible difficulties as narrow ducts, calcifications etc. Our procedures should provide for the possible difficulties that may arise cause by narrow ducts, calcified pulp chambers, etc. During the instrumentation of these teeth, we submit a high stress of torsion to our instruments, motivated by the wide surface of contact between the instrument and the walls. For these reason, it will be absolutely necessary to make a rotary preinstrumentation, then, for the final instrumentation, we must consider the alternating rotation as a good option. The canal preparation should leave one sufficient dentin remnant, maintenance of the apical foramen and the proper taper to facilitate the administration of irrigants along the length of the ducts and the forces of condensation for obturation. Asirrigants we use, in general, sodium hypochlorite 5% throughout the entire instrumental phase; and a combination of hypochlorite with a chelat or for irrigation preobturation, in this phase we will activate with any ultrasonic device or with apical negative pressure. We will make the obturation with thermoplastic systems that provide us a completely three-dimensional sealing of the root canal system (AU)

Amoxicillin-Loaded Sponges Made of Collagen and Poly[(methyl vinyl ether)-co-(maleic anhydride)] for Root Canal Treatment: Preparation, Characterization and In Vitro Cell Compatibility.

The difficulty of eliminating Enterococcus faecalis and other bacteria infecting dental root canals makes it desirable to develop formulations capable of sustained release of antibiotics within the canal. With this function in view, in this work we compared the mechanical, drug release and biocompatibility properties of amoxicillin-loaded collagen (CL) and CL complexed with poly[(methyl vinyl ether)-co-(maleic anhydride)] (PVMMA), with or without glutaraldehyde (GTA) or the natural product genipin (GN) as cross-linker. Collagen was not denatured by complexation with PVMMA. Only CL-PVMMA-GN sponges did not disintegrate during 7 days exposure to cell culture medium (un-cross-linked CL disintegrated within 24 h and un-cross-linked CL-PVMMA within 4 days), and CL-PVMMA-GN sponges also exhibited the most appropriate combination of mechanical properties (hardness, modulus of deformability and plasticity). CL-PVMMA-GN sponges absorbed aqueous medium faster than other cross-linked formulations, but their maximum uptake was less; and drug release from CL-PVMMA-GN sponges tended to be faster than from any other, except un-cross-linked CL-PVMMA, maximum release taking about 4 days. No formulation significantly altered the viability of L929 fibroblast-like mouse connective tissue cells, but cells growing on sponges showed signs of non-adherence. It is concluded that genipin-cross-linked CL-PVMMA sponges merit further investigation as antibiotics vehicles and aids to tissue regeneration in the dental root canal.

The corrosion of nickel-titanium rotary endodontic instruments in sodium hypochlorite.

AIM: To evaluate the corrosion resistance of nickel-titanium (NiTi) endodontic rotary instruments immersed in 5.25% sodium hypochlorite (NaOCl) solution. METHODOLOGY: The corrosion performance of NiTi instruments (S1 25 mm, ProTaper Dentsplay Maillefer, Ballaigues, Switzerland) was evaluated using commercial 5.25% NaOCl solution (pH = 12.3), and the same solution partially neutralized adding H2SO4 to reach pH = 10.1. Electrochemical measurements were carried out using a potentiostat equipped with a five-channel zero resistance ammeter (ZRA) for galvanic current measurements. The instruments were sectioned into three parts (cutting part, noncutting part and shank) and degreased with acetone and rinsing with demineralized water prior to being immersed in NaOCl solution for testing. Each set of the three parts constituted one 'virtual' instrument through the ZRA, giving access to the galvanic currents that circulate between the three parts. Nine instruments were employed to check the reproducibility of the electrochemical measurements. RESULTS: The corrosion potential (E(corr)) of the NiTi alloy reached the passive domain in approximately 20 s of immersion in the solution having a pH 10.1. After this initial period the potential remained steady, indicating that stable passivation was achieved. However, at pH 12.3 no stationary state was achieved even after 6000 s of immersion time. Thus, the alloy was not stable in this medium from a corrosion point of view. CONCLUSIONS: The corrosion resistance of NiTi alloy was enhanced by lowering the pH of NaOCl solution to 10.1, which allows the system to reach the stability domain of the passivating species TiO2 and NiO2.

La influencia de la permeabilidad manual en el porcentaje de separación de los instrumentos rotatorios de NiTi / The influence of a manual glide path on the separation rate of Niti rotary instruments

El propósito doble de este estudio fue evaluar el porcentaje de fracturas de los instrumentos rotatorios de Ni-ti al seguir una permeabilidad preparada manualmente con limas manuales de acero inoxidable antes de la instrumentación con limas rotatorias y comparar los resultados en este estudio con los obtenidos en dos análisis previos en que no se empleó la técnica de permeabilidad manual. Se dividieron un total de 208 conductos radiculares obtenidos de una muestra de molares humanos superiores e inferiores recientemente extraídos en tres grupos que correspondieron a K3, ProFile y ProTaper. Se emplearon los 2/3 coronales de cada diente. En los tres grupos la porción apical de las muestras se preparó con limas manuales K de acero inoxidable de calibres 10-20. Los topes apicales se prepararon con instrumentos rotatorios K3, ProFile y ProTaper. El análisis del modelo de regresión logística indicó que la rotura estaba significativamente asociada con el ángulo de curvatura del conducto (OR= 1.078; 95% CI= 1.032-1.12; p= 0,001) y con el número de usos clínicos (las limas empleadas más de ocho veces se rompieron más frecuentemente que las empleadas de 1 a 2 veces; OR= 22.686; CI 95%: 2,6-191.3; p= 0,004). El porcentaje de rotura obtenido en este estudio es significativamente menor que en nuestros estudios previos, en que el ángulo de curvatura era también mayor de 30° y la velocidad constante de rotación de 350 rpm, pero en que los conductos no se prepararon inicialmente con limas manuales (25/205= 12% frente a l6/6l = 26%, p= 0,007). Basándose en los resultados de este estudio, recomendamos el uso de limas manuales de acero inoxidable para preparar el tercio apical de los conductos curvados antes de emplear las limas rotatorias

The dual purpose of this study was, to evaluate the fracture rate of Ni-Ti rotary instruments when following a manual glide path and using stainless steel band files before carrying out instrumentation by means of rotary files and, to compare the results in this study with those obtained in two previous analyses, in which the glide path technique was not used. A total of 208 canals obtained from a pool of freshly extracted human mandibular and maxillary molars was divided into three groups corresponding to; K3, ProFile and ProTaper. The coronal 2/3 of each tooth were used. In all three groups the apical portion of the samples was prepared with size 10-20 stainless steel K-type hand files. The apical stops were prepared using K3, ProFile and ProTaper rotary instruments. Logistic regression model analysis indicated that breakage was significantly associated with the angle of curvature of the canal (OR = 1.078; 95% Cl= 1.032-1.12;p = 0.001), and with the number of clinical uses (files used more than eight times broke more frequently that those used 1 o 2 times; OR: 22.686; 95% Cl: 2.6-191.3; p= 0.004). The breakage rate obtained in the present study is significantly lower than in our previous studies, in which the angle of curvature was also greated than 30° and rotational speed a constant 350 rpm, but in which the canals were not first prepared with hand files (25/205 = 12% versus 16/61 = 26%, p = 0.007). Based on the results of this study, were recommend the use of stainless steel band files to prepare the apical 1/3 of curved canals before introducing rotary files

Analysis of the area and length of masticatory cycles in male and female subjects.

It is difficult to determine the existence of a normal or physiological masticatory cycle, because there exists great individual diversity. This study presents some data about two parameters of masticatory cycles according to the frontal plane, i.e. the area and length of right-sided and left-sided cycles in a group of 30 young people, 18 women and 12 men. For our study the Myotronics K6-1 kinesiograph was used. It registers the magnetic field and allows us to obtain graphic recordings of the jaw movement in the three space planes. Other authors have analysed these parameters, but none of those reviewed provides information about the distribution to each side or according to the gender of sampling subjects selected for the analysis. We have tried to describe the normal morphology of the masticatory cycles and, also, establish a reference so as to provide help in the diagnosis of the functional pathology of the masticatory system.

Estudio de la filtración en materiales de obturación a retro / Study of leakage in retrofilling materials

Introducción: La elección de un material biocompatble adecuado en la obturación a retro es uno de los objetivos para el éxito en una apicetomía. Objetivos: Valorar la filtración en los materiales más utilizados en las obturaciones a retro. Material y métodos: Estudiamos la filtración de MTA® (Maillefer), gutapercha (Dentsply Detrey), amalgama (Tytin©), IRM© (Dentsply Detrey) como materiales en obturaciones a retro, con azul de metileno y posterior diafanización para ser estudiados en lupa estereoscópica. Previamente se estandarizaron los niveles de filtración por medio de un programa de medición digital por ordenador (Micro Image© 3.0). El análisis estadístico de filtración se realizó por medio de la comparación global o Kruskal-wallis y la comparación dos a dos o de Bonferroni. Resultados: El cemento MTA® (Maillefer) junto con la amalgama Tytin® Kerr poseen los índices más bajos de filtración- en las obturaciones-. a. retro (AU)

Estudio comparativo de microfiltración con tres sistemas de foto olimerización / Comparative study of microfiltration with three fotopolymerizer systems

La aparición de nuevas energías ionizantes como el láser de argón, el gas xenón (luz plasma), luz halógena de intensidad progresiva junto con la mejora de las resinas compuestas nos permitirá acortar el tiempo de curado, la colocación de mayores espesores de material y una menor contracción de polimerización. El objetivo de este estudio es observar el grado de filtración in vitro de cavidades de clase 11 obturadas con composite y polimerizadas con luz halógena continua, luz halógena de intensidad progresiva y luz plasma: Se realizaron 60 cavidades de clase 11 estandarizadas y se dividieron aleatoriamente en tres grupos polimerizando cada grupo con una de las siguientes lámparas: Wavelight®, Astralis® 7 y Heliolux© GTE siguiendo las indicaciones de las casas comerciales. Se sometieron a un proceso de termociclado y posteriormente se sumergieron en azul de metileno durante 24h. Tras la observación con lupa estereoscópica encontramos una menor filtración con la Astralis 7 aunque las diferencias no son estadísticamente significativas (AU)

Fusión-Geminación. Retratamiento endodóncico de ambos incisivos centrales fusionados / Fusion-Germination. Retreatment root canal both upper central incisors fused

La fusión y la geminación son anomalías dentarias por unión, catalogadas por otros autores como anomalías de forma, de etiopatogenia no muy clara, que ocasionan frecuentemente problemas estéticos, cariosos y periodontales, exigiendo en ocasiones un proceder terapéutico multidisciplinar. Presentamos un caso clínico de retratamiento endodóncico de ambos incisivos centrales superiores fusionados, donde la existencia de raíces muy cortas dificultó aún más el tratamiento de conductos, ya de por sí complejo en este tipo de anomalías (AU)

Estudio de la relación hueso compacto y hueso esponjoso en cortes seriados a nivel mandibular / Study of the relation between compact bone and spongy bone in differents shapes at mandibular level

La relación entre el hueso cortical y el hueso esponjoso es uno de los factores a tener en cuenta, para la localización de líneas de fractura en la estructura ósea y en las técnicas de colocación de implantes dentales. El objetivo de este estudio fue evaluar, tanto en la masa ósea compacta como en la masa ósea esponjosa, los parámetros Área, Aspecto, Center X, Center Y., Diámetro máximo, Diámetro mínimo, Diámetro Ave, Área de agujeros, Perímetro y Redondez en 20 hemimandíbulas humanas. Por los resultados obtenidos, podemos concluir que, la sínfisis mandibular es la región que presenta mayor área de hueso compacto; también esta zona es, después del cóndilo la que presenta mayor área de hueso esponjoso. Todo ello confirma a la sínfisis mandibular como la zona de mayor robustez de la mandíbula, y como la región más indicada para el anclaje de implantes dentales para sobredentaduras (AU)

Alteraciones en la densidad óptica de una resina compuesta sometida a la acción de un colorante / Alterations in the optical density of a composite resin subjected to the action of a colouring agent

Se estudia la coloración de una resina compuesta tras, ser sumergida en café. Dicho estudio se realiza en resinas con y sin opaque, analizándola mediante la relación entre intensidad transmitida e intensidad incidente (densidad óptica). Los resultados fueron analizados con un programa informático SPSS (AU)

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