Dried distiller's grains for feedlot Nellore cattle fed non-forage-based diets.

This study aimed to evaluate intake, animal performance and carcass traits with the inclusion of corn dried distiller grains (DDGs) replacing cornmeal (Zea mays L.) in non-forage-based diets for finishing feedlot Nellore cattle. Sixty-four uncastrated Nellore cattle weighing 267.22 ± 20.4 kg and 18 ± 3 months old were distributed in 16 pens. Experimental diets were based on cornmeal, cottonseed cake, a mineral mixture and increased levels of DDG replacing cornmeal (0, 10, 20 and 30% on a dry matter basis). The study lasted 135 days, and the intake of nutrients and body weight gain were monitored. At the end of the study, the animals were slaughtered to measure their carcass traits. During the first 34 days of the study, the DDG levels linearly increased dry matter intake and intake of all nutrients. In other phases of the feedlot, the DDG levels did not have any effect on DMI or ADG but caused a quadratic effect on hot carcass weight. Thus, DDG can replace cornmeal in non-forage diets fed to feedlot Nellore cattle without any negative effect on intake or animal performance.

Different fat sources in supplements for beef cattle at pasture.

We investigated the consequences of fat supplementation (free oil and rumen-protected oil) on the nutrient intake and digestion of beef cattle at pasture. Five rumen-cannulated Nelore bulls, with a median body weight (BW) of 467.8 ± 32.8 kg and an age of 26 months, were distributed in a Latin square design (5 × 5). The treatments were as follows: WF, no additional fat; PA, rumen-protected palm oil; PS, rumen-protected soybean oil; SO, soybean-free oil and CO, free corn oil. Nutrient intake and digestibility, ruminal pH and ammonia (NH3-N), serum urea and nitrogen balance were analysed. The supplements with different oil sources did not alter (P > 0.05) the intake and digestibility of dry matter (DM), forage DM intake (DM), organic matter (OM), crude protein (CP), neutral detergent fibre (NDF), neutral detergent fibre-corrected ash and protein (apNDF), nonfibre carbohydrates (NFC) or total digestible nutrients (TDN) compared to WF. An increase (P < 0.05) in the intake and digestibility of EE was observed with the inclusion of fat, independent of the source. No differences were observed between WF and other supplements with regard to ruminal parameters (pH and NH3-N) (P > 0.05) and serum urea (P > 0.05). The nitrogen balance was not affected by the fat source (P > 0.05). Supplementation of grazing beef cattle (2 g/kg BW) with free oil (130 g/kg DM supplement) or rumen-protected oil (160 g/kg DM supplement) did not interfere with nutrient intake and digestibility.

"A lack of information keeps us from medicine, well-being, harmony ": a mixed method study with plaintiffs requesting medicines in administrative cases. / "A falta de informação nos afasta do remédio, do bem-estar, da harmonia...": estudo de método misto com demandantes de medicamentos pela via administrativa.

The need to request public health managers to ensure the right of access to medicines characterizes an administrative case and the method to do so is called the administrative route. This mixed method study aimed to analyze the perceptions of plaintiffs requesting medications by the administrative route about barriers to access medicines in the Brazilian public health sector. Data were gathered through focus groups and questionnaires. The results point to the interdependence of pharmaceutical services with the interfacing areas to ensure access. The barriers related to individuals reflect the commitment to develop citizenship, justifying the cost of the medicine to motivate the demand. Barriers to service provision include irregular availability of medicines, insufficient resources, and unsatisfactory quality of services. The difficulty in obtaining medical consultations and prescriptions originating in the public sector are barriers to the health sector. The barriers above the health sector are compliance with administrative procedures, corruption, and clientelism. The administrative route intensifies inequities in access to healthcare in Brazil.

A necessidade de recorrer ao gestor público de saúde para efetivar o direito ao acesso a medicamentos caracteriza a via administrativa. O estudo analisou as percepções dos usuários que acionaram a via administrativa sobre as barreiras para o acesso a medicamentos no setor público de saúde de uma capital brasileira. Foi realizado estudo de método misto com grupo focal, questionário com demandantes e descrição dos medicamentos demandados pela via administrativa. Os resultados apontam a interdependência da assistência farmacêutica com as áreas de interfaceamento para a garantia do acesso. As barreiras relativas aos indivíduos refletem o comprometimento do desenvolvimento da cidadania, justificando o custo do medicamento motivar a demanda. As barreiras à prestação dos serviços contemplam disponibilidade irregular dos medicamentos, insuficiência de recursos e qualidade insatisfatória dos serviços. A dificuldade para conseguir consultas médicas e a exigência da prescrição originada no setor público são barreiras ao setor saúde. As barreiras acima do setor saúde são cumprimento dos procedimentos administrativos, corrupção e clientelismo. A via administrativa intensifica as iniquidades no acesso à saúde no Brasil.

"A falta de informação nos afasta do remédio, do bem-estar, da harmonia... ": estudo de método misto com demandantes de medicamentos pela via administrativa / "A lack of information keeps us from medicine, well-being, harmony... ": a mixed method study with plaintiffs requesting medicines in administrative cases

Resumo A necessidade de recorrer ao gestor público de saúde para efetivar o direito ao acesso a medicamentos caracteriza a via administrativa. O estudo analisou as percepções dos usuários que acionaram a via administrativa sobre as barreiras para o acesso a medicamentos no setor público de saúde de uma capital brasileira. Foi realizado estudo de método misto com grupo focal, questionário com demandantes e descrição dos medicamentos demandados pela via administrativa. Os resultados apontam a interdependência da assistência farmacêutica com as áreas de interfaceamento para a garantia do acesso. As barreiras relativas aos indivíduos refletem o comprometimento do desenvolvimento da cidadania, justificando o custo do medicamento motivar a demanda. As barreiras à prestação dos serviços contemplam disponibilidade irregular dos medicamentos, insuficiência de recursos e qualidade insatisfatória dos serviços. A dificuldade para conseguir consultas médicas e a exigência da prescrição originada no setor público são barreiras ao setor saúde. As barreiras acima do setor saúde são cumprimento dos procedimentos administrativos, corrupção e clientelismo. A via administrativa intensifica as iniquidades no acesso à saúde no Brasil.

Abstract The need to request public health managers to ensure the right of access to medicines characterizes an administrative case and the method to do so is called the administrative route. This mixed method study aimed to analyze the perceptions of plaintiffs requesting medications by the administrative route about barriers to access medicines in the Brazilian public health sector. Data were gathered through focus groups and questionnaires. The results point to the interdependence of pharmaceutical services with the interfacing areas to ensure access. The barriers related to individuals reflect the commitment to develop citizenship, justifying the cost of the medicine to motivate the demand. Barriers to service provision include irregular availability of medicines, insufficient resources, and unsatisfactory quality of services. The difficulty in obtaining medical consultations and prescriptions originating in the public sector are barriers to the health sector. The barriers above the health sector are compliance with administrative procedures, corruption, and clientelism. The administrative route intensifies inequities in access to healthcare in Brazil.

Modulating the lipid profile of beef using cottonseed and crude glycerin.

The search for healthy food leads to demand for functional foods that do not harm the health of the consumers. The objective was to evaluate the impact of the supply of cottonseed and crude glycerin as modulators of the lipid profile of the beef produced on pasture. The concentrated supplement was formulated with two levels of cottonseed (0 and 25%) and/or two levels of crude glycerin (0 and 15%), totaling four experimental groups. Two experiments were conducted; the first experiment was outlined in a 5 × 5 Latin square design, contrasting the protein-energy supplementation with the mineral supplementation. The concentrate supplementation allowed the increase in intake and digestibility of the dry matter (P = 0.03), ether extract, crude protein, and non-fibrous carbohydrate (P < 0.01). However, the results showed no effect of crude glycerin or cottonseed inclusion on intake or nutrients digestibility. The second experiment evaluated the protein-energy supplementation and its impact on the lipid profile of meat produced, carcass characteristics, and animal performance. There was no influence of cottonseed or crude glycerin in performance or carcass characteristics. However, the use of the cottonseed reduced the content of short-chain fatty acids, omega 3 linolenic acid, conjugated linoleic acid (CLA) C18: 2 cis 9 trans 11 (P < 0.01), and the inclusion of crude glycerin led to increased conjugated linoleic acid (CLA) C18: 2 cis 9 trans 11 (P = 0.04). An important result is given by illustrating the impact of these fatty acids in the nutritional quality of the meat. Thus, it is possible to manipulate the lipid profile of meat produced by cottonseed or crude glycerin supplementation, without affecting the animal performance.

Supplementation with different protein profiles for grazing beef cattle supplemented in tropical grass during the rainy-dry transition season.

The objective of this study was to evaluate increasing levels of inclusion of dry distillery grains (DDGs) in substitution of corn and urea in multiple supplements for beef cattle of Urochloa brizantha cv. Marandu on the consumption, digestibility, and efficiency of microbial synthesis and use of nitrogen. We used four Nellore bulls cannulated in the rumen with an average age of 24 months and 445.12 ± 34.4 kg of body weight (BW), in a 4 × 4 Latin square design. Supplements differed by the inclusion level of DDG (0%, 31.5%, 63.0%, and 94.5%). Increasing levels of DDG inclusion decreased dry matter intake (DMI) (P = 0.002), forage (P = 0.002), organic matter (OM) (P = 0.001), crude protein (CP) (P = 0.037), and total digestible nutrients (TDN) (P < 0.001) and had a quadratic effect on the intake of non-fibrous carbohydrates (NFC) (P = 0.002). It was observed an increase in the digestibility of ether extract (EE) (P = 0.005), however a decrease in the digestibility of NFC (P = 0.001). Inclusion of DDG did not influence ruminal pH. There was a quadratic effect at collection times for ruminal ammoniacal nitrogen (P < 0.05), except for the supplement with 94.5% DDG where the effect was linear (P = 0.002). Nitrogen intake was 10.9% higher when there was no DDG in the supplement, compared with the supplement with 94.5% DDG (P = 0.039). The excretion of N by feces was greater when there was a greater amount of DDG in the supplement (P = 0.027), the opposite occurred with urine excretion of N, being higher when there was less amount of DDG in the supplement (P = 0.027). Increasing levels of DDG did not affect ruminal microbial protein yield (P > 0.05). Replacing corn and urea with up to 94.5% DDGs in multiple supplements resulted in no adverse effect efficiency of microbial synthesis, although nutrient intake, total digestible nutrients, and use of nitrogen were reduced at 94.5% DDG inclusion.

Effects of rumen-protected oil supplementation on finishing grazing beef cattle.

The objective of this study was to evaluate the effects of rumen-protected oil (soybean and palm oil) in supplements for beef cattle during the fattening phase in pastures on the intake and digestibility of nutrients, animal performance, and carcass characteristics. Forty-eight noncastrated male Nellore cattle (15 ± 2 months and 389.5 ± 20 kg of body weight) were used in a completely randomized design to evaluate the following treatments: protein-energy supplement (PES) without rumen-protected oil (control: CO), PES containing palm rumen-protected oil (PRPO), PES containing soybean rumen-protected oil (SRPO), and PES containing a mixture of soybean and palm rumen-protected oil (SPRPO). The study lasted 112 days, and there was a decrease in crude protein intake (P < 0.05) and an increase in ether extract intake (P < 0.05) when rumen-protected oil was included in the supplements. In comparison to the palm rumen-protected oil supplement, the soybean rumen-protected oil supplement promoted a lower average daily gain (ADG) (P < 0.05); however, regardless of the rumen-protected oil source, an increase in the fat thickness of the subcutaneous tissue was observed. In addition, there was no difference in carcass gain (P > 0.05) regardless of oil source. Rumen-protected oil is a tool to increase the finishing of pasture-finished young beef cattle in the dry season.

Efficiency of nitrogen metabolism in beef cattle grazing pasture and supplemented with different protein levels in the rainy season.

Supplementation of animals in the rainy season is essential to maximise weight gain. Thus, the objective was to evaluate the effects of supplementation with low-, medium- and high-protein levels on nutritional parameters of grazing beef cattle in the rainy season. Eight rumen-cannulated Nellore bulls (437 kg body weight) were used in a 4 × 4 double Latin square design with four supplements and four experimental periods. The treatments were mineral supplement (ad libitum) and supplements with low-protein (LPSU), medium-protein (MPS) and high-protein (HPS) levels, providing 106, 408 and 601 g/day of crude protein (CP), respectively. There was no difference (P > 0.05) between treatments for dry matter and forage intake, ruminal pH, ruminal ammonia nitrogen (RAN) at time 0 (before supplementation) and microbial protein yield. Animals on MPS had a higher (P > 0.05) intake and digestibility of CP, higher RAN levels (3 and 6 h after supplementation), increased nitrogen intake and a better nitrogen balance than animals on LPSU. The HPS provided higher (P > 0.05) RAN at time 6 and a better nitrogen balance when compared with MPS. We therefore infer that the high-protein supplement positively impacts nitrogen metabolism and efficiency in grazing beef cattle during the rainy season.

Effects of protein-energetic supplementation frequency on growth performance and nutritional characteristics of grazing beef cattle.

Two experiments were conducted to evaluate reduced supplementation frequencies for grazing beef cattle in rainy season. In experiment 1, evaluating the nutritional parameters, four rumen-cannulated Nellore bulls (BW = 410 kg) were used. In experiment 2, evaluating animal performance, 48 Nellore bulls (BW = 358 kg) were used. The treatments were as follows: mineral supplement (MS) alone and MS plus protein-energy supplement provided 3×, 5× and 7×/week. Supplementation frequency did not affect (P > 0.05) intake and digestibility. Average daily gain was greater (P < 0.001) to supplementation compared with MS. The supplementation 5×/week resulted in greater weight gain per hectare (9.24) and higher economic returns during the study period (1.64%) compared to other supplementations. Supplementation 5×/week increased animal performance and positively influenced economic returns.

Delayed tooth replantation following root canal filling with calcium hydroxide and MTA: Histomorphometric study in rats.

OBJECTIVE: The aim of this study was to perform a histomorphometric evaluation of the repair process in rat teeth replanted after root canals were filled with calcium hydroxide (CH) and mineral trioxide aggregate (MTA). DESIGN: Upper right incisors were extracted from 30 rats divided into three groups (n=10). The teeth were stored dry for 60min, after which the pulp and periodontal ligament (PDL) were removed and immersed in acidulated-phosphate sodium fluoride solution. In Group I, the root canals were filled with saline; in Group II, they were filled with CH; and in Group III, they were filled with CH, and the foramen was sealed with an MTA plug. The teeth were replanted, and the animals were sacrificed after 60 days. The sections with teeth were removed for histological preparation (haematoxylin and eosin, H&E). The characteristics of the PDL, cementum, dentine, and alveolar bone, as well as the occurrence of inflammatory and replacement root resorption and apical sealing, were subjected to histological and morphometric analysis (P<0.05). RESULTS: Group I was the most affected by root resorption (mean=67.05%). In Groups II and III, the resorption averaged 42.2% and 11.7%, respectively. Group III was less affected by inflammatory resorption and presented more areas of apical sealing by mineralized tissue (P<0.05). CONCLUSION: An apical MTA plug improved the repair of the replanted tooth by decreasing surface resorption and repairing mineralized tissue in the periapical region.

Sequencing the transcriptome of milk production: milk trumps mammary tissue.

BACKGROUND: Studies of normal human mammary gland development and function have mostly relied on cell culture, limited surgical specimens, and rodent models. Although RNA extracted from human milk has been used to assay the mammary transcriptome non-invasively, this assay has not been adequately validated in primates. Thus, the objectives of the current study were to assess the suitability of lactating rhesus macaques as a model for lactating humans and to determine whether RNA extracted from milk fractions is representative of RNA extracted from mammary tissue for the purpose of studying the transcriptome of milk-producing cells. RESULTS: We confirmed that macaque milk contains cytoplasmic crescents and that ample high-quality RNA can be obtained for sequencing. Using RNA sequencing, RNA extracted from macaque milk fat and milk cell fractions more accurately represented RNA from mammary epithelial cells (cells that produce milk) than did RNA from whole mammary tissue. Mammary epithelium-specific transcripts were more abundant in macaque milk fat, whereas adipose or stroma-specific transcripts were more abundant in mammary tissue. Functional analyses confirmed the validity of milk as a source of RNA from milk-producing mammary epithelial cells. CONCLUSIONS: RNA extracted from the milk fat during lactation accurately portrayed the RNA profile of milk-producing mammary epithelial cells in a non-human primate. However, this sample type clearly requires protocols that minimize RNA degradation. Overall, we validated the use of RNA extracted from human and macaque milk and provided evidence to support the use of lactating macaques as a model for human lactation.

Endaural access to remove the projectile from a firearm.

BACKGROUND: Surgical approaches to temporomandibular region have been the subject of numerous controversies in the literature. Pre-auricular approaches have been used with the observance of high success rate, and during surgery history, various modifications of this approach were conducted in order to reduce irreversible sequelae. Thus, given the relevance of the study, this article proposes to alert the professionals that carry out these surgical approaches in relation to the anatomical structures involved and to describe and emphasise the benefits of endaural approach. CASE REPORT: A Caucasian male patient, victim of a firearm injury, sustained a wound on the right pre-auricular region, and at the time of assessment, he complained of pain, mouth opening difficulty and dysphagia. On physical examination, there was oedema and ecchymosis in the right periorbital region. In the radiological examination, a foreign body compatible with a firearm projectile was observed in the right pre-auricular region, being in accordance with the information collected. The endaural incision and divulsion by plans was then made until the projectile. DISCUSSION: For proper exposure of the region, several studies were designed to evaluate the patterns of branching and anastomosis of the facial nerve. As for the best cosmetic result with the different pre-auricular approaches, the endaural approach was described as an approach that offers great cosmetic results because the incision design guides the surgeon in the wound closure and causes a decrease in the tension of flap, unlike that observed by some authors.

Reimplante dentário após o preenchimento do canal com pasta de B-glicerofosfato de cálcio ou pasta de hidróxido de cálcio + MTA: estudo histomorfométrico em ratos / Tooth replantation after root canal filling with paste B-glycerophosphate calcium or calcium hydroxide paste: histomorphometric study in rats

A avulsão dentária acomete principalmente pacientes jovens e que possuem dentes com rizogênese incompleta, sendo frequente a necrose pulpar e a apicificação que é prejudicada. O amplo forame dificulta a inserção de curativos de demora. Assim é importante o uso de um curativo de demora a favorecer o controle da reabsorção radicular e a formação de uma barreira de tecido mineralizado permitindo o selamento apical. O hidróxido de cálcio tem sido o material mais utilizado para esse fim. O objetivo deste trabalho foi estudar o processo de reparo de incisivos de ratos com elementos dentais reimplantados tardiamente após a obturação do canal radicular com pasta de β-glicerofosfato de cálcio ou pasta de hidróxido de cálcio. Foram empregados 30 ratos machos divididos em 3 grupos de 10 animais. Os elementos dentais foram extraídos e mantidos em meio seco por 60 minutos. Após esse período os elementos dentais sofreram um preparo especifico descrito a seguir. No Grupo I os dentes foram preenchidos com soro fisiológico. No Grupo II, utilizou-se a pasta de hidróxido de cálcio no interior do conduto e plug apical de cimento MTA. E, no grupo III utilizou-se a pasta de β-glicerofosfato de cálcio. Os dentes foram reimplantados e a eutanásia dos animais foi realizada 60 dias após para a avaliação histomorfométrica em H.E (Hematoxicilina-Eosina). Os resultados demonstraram que os grupos I e III foram mais comprometidos pela reabsorção radicular inflamatória do que o grupo II. O grupo II apresentou menor comprometimento pela reabsorção total do que o grupo II (p<0,05). Nos grupos I e III a região periapical apresentou a maior extensão de tecido conjuntivo fibroso com a presença de infiltrado inflamatório. Conclui-se que o β-glicerofosfato de cálcio não foi mais eficiente do que o hidróxido de cálcio no controle da reabsorção radicular e no reparo da região periapical por tecido mineralizado...

Thooth avulsion mainly affects young patients who have incomplete root formation, with frequent necrotic pulp and apexification impaired. The large foramen hinders the insertion of dressings delay. The use of a long time fill to facilitate control of formation and resorption of mineralized tissue barrier permitting the apical seal. Calcium hydroxide and MTA has been the most widely used material for this purpose. The objective of this work is to study the repair process of rat incisors with dental elements reimplanted late after root canal filling with paste β-glycerophosphate calcium or calcium hydroxide paste. Were used 30 male rats were divided into 3 groups of 10 animals. All the teeth were extracted and kept in dry for 60 minutes. In Group I, the root canals were filled with saline. Group II used the paste of calcium hydroxide and finished with a MTA plug and Group III were used β-glycerophosphate calcium paste. The teeth were reimplanted and euthanasia was performed 60 days later for histomorfometric analyse with HE(Hematoxiciline-Eosine). Results showed that the groups I and III were more impaired by inflammatory root resorption than group II. Group II had less involvement by total reabsorption of the group II (p <0,05). In groups I and III, the periapical region showed the greatest extent of fibrous connective tissue with inflammatory infiltrate. It is concluded that β-glycerophosphate calcium were less effective than calcium hydroxide in the control of root resorption and repair of the periapical area of mineralized tissue...

Reimplante dentário após o preenchimento do canal com pasta de B-glicerofosfato de cálcio ou pasta de hidróxido de cálcio + MTA: estudo histomorfométrico em ratos / Tooth replantation after root canal filling with paste B-glycerophosphate calcium or calcium hydroxide paste: histomorphometric study in rats

A avulsão dentária acomete principalmente pacientes jovens e que possuem dentes com rizogênese incompleta, sendo frequente a necrose pulpar e a apicificação que é prejudicada. O amplo forame dificulta a inserção de curativos de demora. Assim é importante o uso de um curativo de demora a favorecer o controle da reabsorção radicular e a formação de uma barreira de tecido mineralizado permitindo o selamento apical. O hidróxido de cálcio tem sido o material mais utilizado para esse fim. O objetivo deste trabalho foi estudar o processo de reparo de incisivos de ratos com elementos dentais reimplantados tardiamente após a obturação do canal radicular com pasta de β-glicerofosfato de cálcio ou pasta de hidróxido de cálcio. Foram empregados 30 ratos machos divididos em 3 grupos de 10 animais. Os elementos dentais foram extraídos e mantidos em meio seco por 60 minutos. Após esse período os elementos dentais sofreram um preparo especifico descrito a seguir. No Grupo I os dentes foram preenchidos com soro fisiológico. No Grupo II, utilizou-se a pasta de hidróxido de cálcio no interior do conduto e plug apical de cimento MTA. E, no grupo III utilizou-se a pasta de β-glicerofosfato de cálcio. Os dentes foram reimplantados e a eutanásia dos animais foi realizada 60 dias após para a avaliação histomorfométrica em H.E (Hematoxicilina-Eosina). Os resultados demonstraram que os grupos I e III foram mais comprometidos pela reabsorção radicular inflamatória do que o grupo II. O grupo II apresentou menor comprometimento pela reabsorção total do que o grupo II (p<0,05). Nos grupos I e III a região periapical apresentou a maior extensão de tecido conjuntivo fibroso com a presença de infiltrado inflamatório. Conclui-se que o β-glicerofosfato de cálcio não foi mais eficiente do que o hidróxido de cálcio no controle da reabsorção radicular e no reparo da região periapical por tecido mineralizado

Thooth avulsion mainly affects young patients who have incomplete root formation, with frequent necrotic pulp and apexification impaired. The large foramen hinders the insertion of dressings delay. The use of a long time fill to facilitate control of formation and resorption of mineralized tissue barrier permitting the apical seal. Calcium hydroxide and MTA has been the most widely used material for this purpose. The objective of this work is to study the repair process of rat incisors with dental elements reimplanted late after root canal filling with paste β-glycerophosphate calcium or calcium hydroxide paste. Were used 30 male rats were divided into 3 groups of 10 animals. All the teeth were extracted and kept in dry for 60 minutes. In Group I, the root canals were filled with saline. Group II used the paste of calcium hydroxide and finished with a MTA plug and Group III were used β-glycerophosphate calcium paste. The teeth were reimplanted and euthanasia was performed 60 days later for histomorfometric analyse with HE(Hematoxiciline-Eosine). Results showed that the groups I and III were more impaired by inflammatory root resorption than group II. Group II had less involvement by total reabsorption of the group II (p <0,05). In groups I and III, the periapical region showed the greatest extent of fibrous connective tissue with inflammatory infiltrate. It is concluded that β-glycerophosphate calcium were less effective than calcium hydroxide in the control of root resorption and repair of the periapical area of mineralized tissue

Periapical tissue reactions to calcium hydroxide and MTA after external root resorption as a sequela of delayed tooth replantation.

Clinical experience has shown that most avulsed teeth are replanted after a long extra-alveolar time and dry or inadequate wet storage, causing necrosis of periodontal ligament cells. This condition invariably leads to development of external root resorption, leaving the filling material in contact with the periapical connective tissues. In this study, the periapical tissue reactions to calcium hydroxide (CH) and mineral trioxide aggregate (MTA) were evaluated after occurrence of external root resorption as an expected sequela of delayed tooth replantation. Twenty male Wistar rats (Rattus norvegicus, albinus) had their right upper incisor extracted and maintained in dry storage for 60 min. Then, the dental papilla, enamel organ, pulp tissue, and periodontal ligament were removed, and the teeth were immersed in a 2% acidulated phosphate sodium fluoride solution, pH 5.5, for 10 min. The teeth were randomly assigned into two groups (n = 10), in which the canals were filled with either a CH and saline paste (CH group) or MTA (MTA group). The sockets were irrigated with saline, and the teeth were replanted. After 80 days, it was possible to observe large areas of replacement root resorption and some areas of inflammatory root resorption in both groups. More severe inflammatory tissue reaction was observed in contact with calcium hydroxide compared with the mineral trioxide aggregate. New bone formation was more intense at the bottom of the socket in the MTA group. In conclusion, as far as periapical tissue compatibility is concerned, intracanal MTA can be considered as a viable option for root canal filling in delayed tooth replantation, in which external root resorption is an expected sequela.

Oral rehabilitation after surgical removal of pleomorphic adenoma.

Although tumors of minor salivary glands are rare, the pleomorphic adenoma is the most common pathology among the benign neoplasm and can be found with high prevalence in the junction between hard palate and soft palate. The treatment of choice for most of maxillary tumors is surgical through either a total or partial maxillectomy. However, surgical defects caused by such type of treatment lead to both clinical and psychologic disorders for the patient. The immediate oral rehabilitation using interim palate obturator after maxillectomy provides optimization on the healing process, recovers the stomatognathic functions after surgery, and avoids psychosocial sequelae for the patients. This clinical report aimed to present the rehabilitation with immediate palate obturator of a patient who underwent a partial maxillectomy due to a hard palate pleomorphic adenoma of minor salivary glands. We report the clinical importance of the prosthetic rehabilitation and the improvements on both quality of life and stomatognathic functions of this patient. It can be concluded that the immediate rehabilitation of the patient after partial maxillectomy by using an interim palate obturator was a great option and provided clinical benefits in the immediate postoperative period, improving the patient's quality of life, allowing the patient's reinsertion into society, and reducing the surgical treatment sequelae.

Estudo histomorfométrico de incisivos de ratos submetidos a diferentes níveis de luxação extrusiva e subluxação / Histomorphometric study of incisors of rats after extrusive luxation and subluxation

Este estudo avaliou as consequências de níveis diferentes de luxação e subluxação de dentes anteriores de ratos sem reposicionamento e o processo de reparo do tecido pulpar e do periodonto adjacentes. Realizou-se avaliação histológica descritiva e histomorfométrica. Utilizou-se 39 ratos divididos em 3 grupos sendo esses: GI: realizou-se a subluxação dos incisivos superiores. GII: realizou-se luxação extrusiva dos referidos dentes em 1 mm e GIII: luxação em 2 mm dos dentes acima citados. A avaliação qualitativa histológica das laminas foi realizada, utilizando tabela de scores previamente desenvolvida e descrita no texto. Foi utilizado também o programa imagelab 2000 para a quantificação da área compreendida pela superfície da câmara pulpar após esses movimentos traumáticos nos elementos dentais estudados. Observou-se como resultado qualitativo, que dentro desses limites previamente estabelecidos de luxação, ocorreu pouca, e em alguns casos nenhum, processo de reabsorção da estrutura dentinária. Agora, com relação ao comprometimento pulpar, observou-se que, quanto maior o trauma sofrido pelo dente, maior foi o processo degenerativo do conteúdo pulpar, apresentando em alguns casos, áreas de abscesso instaladas, concorrendo também com a revascularização do referido dente.

This study evaluated the consequences of different levels of dislocation and subluxation of the anterior teeth of rats without repositioning and repair process of the pulp tissue and periodontal healing. Carried out histological description and histomorphometry. We used 39 rats divided into 3 groups and these: GI: it was a subluxation of the upper incisors. GII: held extrusive luxation of those teeth in 1 mm and GIII: dislocation of 2 mm above the teeth. The qualitative assessment of histological slides was performed using table scores previously developed and described in the text. We also used ImageLab 2000 software to quantify the area including the surface of the pulp chamber after these movements in traumatic dental elements studied. Observed as a result qualitatively, that within those limits previously established dislocation, there was little, and in some cases non-existent, resorption of the dentin structure. Now, with respect to pulp involvement, it was observed that the greater trauma suffered by the tooth, greater degeneration of the pulp content, presenting in some cases, areas of abscess installed, also competing with revascularization of that tooth.

Avaliação clinica de enxertos ósseos autógenos de crista ilíaca em maxilas atróficas para instalação de implantes osseointegráveis / Clinical evaluation of bone autogenous bone graft from iliac crest in a atrophic maxillae to perform ossointegrated implants

A falta de estrutura óssea influência diretamente no resultado protético, quando se utiliza implantes osseointegrados. Os enxertos ósseos para reconstrução total de maxilas atróficas anterior aos implantes, tornam-se, muitas vezes, um procedimento indispensável. O osso ilíaco é uma área doadora muito utilizada para enxertos ósseos. Avaliou-se clinicamente 12 pacientes com atrofias totais de maxila, que foram submetidos a enxertos retirados da crista ilíaca. Encontrou-se uma melhora do perfil externo, bem como no posicionamento labial dos pacientes após o enxerto ósseo. Em todos os casos houve aumento do rebordo alveolar. Concluiu-se também, que é possível utilizar enxertos ósseos da crista do ilíaco para reconstruções de maxila atróficas, para instalação de implantes osseointegrados.

The lack of bone structure direct influences prosthethic results, when there is a need for the use of osseointegrated implants. The bone graft for the reconstruction of atrophic total maxillae before the implants has become, in many cases. Was analyzed 12 patients with total maxillae atrophy who where undergone to bone graft surgery from the iliac crest. Was found an improvement of the external profile, as well as, in the patients in the patients lip positioning after bone graft. In all cases there was an increase of bone in alveolar crest. Also in conclusion, it is possible the use iliac bone graft to reconstructed atrophic total maxillae in order to perform osseointegrated implants.