Odontologia
URI Permanente para esta coleção
Navegar
Navegando Odontologia por Data de Publicação
Agora exibindo 1 - 20 de 185
Resultados por página
Opções de Ordenação
Monografia Acesso embargado Influência da reabilitação oral na satisfação e na qualidade de vida do desdentado total: revisão de literatura(2017) Hawerroth, DéboraTotal edentulism creates a condition of aggravation to oral health, it decreases masticatory capacity and makes the consumption of several foods with important nutrients difficult. In addition, it influences phonation, negatively affects the appearance of the individual, and it may arouse a probable psychological shock, which generates a direct interference in the person’s quality of life. The current therapeutic proposals for total edentulous are conventional total dentures, implant-retained overdentures and implant-supported fixed prostheses. Patients rehabilitated with total removable prostheses are very commonly dissatisfied regarding the prosthesis retention and stability, especially the lower prosthesis. The implants, when used as fixation for these type of prostheses, add advantages in these aspects. However, there are some limitations that do not allow its indication in all cases, such as general health conditions, quantity and quality of bone, and the high cost for most individuals who need dental prostheses. Thus, through a narrative review of the literature, this work aims at evaluating total edentulous individuals, describing and interpreting satisfaction, quality of life, as well as psychosocial, nutritional, aesthetic and physiological aspects, seeking the best proposal for the rehabilitation of these patients.Monografia Acesso fechado Influência de diferentes técnicas obturadoras no preenchimento dos canais secundários(2017) Matos, Luiza de OliveiraThe premolars present morphological complexity of the canals. Studies indicate the prevalence of secondary canals to be found in the middle and apical thirds. The objective of the present study is to evaluate the influence of different shaping and filling techniques in the filling of secondary canals through two differents filling and shaping techniques. Forty artificial, radiopaque and unirradicular premolars had their crowns sectioned and had a standardized length of 19 mm length. Two secondary canals were made in the apical and middle thirds, in the mesial and distal walls of all specimens with a 0.4 mm diameter drill, and then the teeth were divided into groups according to the shaping and filling technique: MM/TCL- shaping with manual technique and filling with the lateral condensation technique, PT/TCL- shaping with the mechanized technique (pro taper system) and filling with the lateral condensation technique, MM/THT- shaping with manual technique and filling with tagger hybrid technique and PT/THT- shaping with mechanized technique (pro taper system) and filling with tagger hybrid technique. All specimens were x-rayed, and then the images were analyzed by a radiologist who did the evaluation blind. The evaluation crieteria were: “completely filled” for when there was radiopaque material throughout the extent of the secondary artificial canals, “partially filled” for when presented radiopaque material in part of the canals extension and “empty” for when it didn’t presente radiopaque material in your extension. After the evaluation, the chi-square test and the Pearson's test were applied to verify possible differences and where they were to fill the secondary canals. It was considered statistically significant for 0.05. The results showed a significant difference in the apical third, in which the PT/TCL group had the highest percentage of fully filled secondary canals while the MM/TCL group had the highest amount of empty canals. In the treatment of teeth where the prevalence of secondary canals in the apical third is larger, the lateral condensation technique presented a better performance when associated with the mechanized modeling technique.Monografia Acesso fechado Impasses, discussões e a importância do teste da linguinha para diagnóstico de anquiloglossia em bebês(2017) Sulzbach, Bianca PatrícioThe evaluation and early diagnosis of the lingual frenulum of infants makes it possible to favor the adequate development of orofacial functions. The purpose of this study was to conduct a thorough discussion of the impasses and the importance of the test of the tongue. In order to help evaluate and diagnose the anatomical variations of the lingual frenulum and its possible interference in breastfeeding and oral functions, guiding effective conducts and promoting an evidence - based practice.Artigo Científico Acesso fechado Fluorose dentária - desdobramentos atuais sobre o uso racional de fluoretos durante a primeira infância: revisão narrativa(2017) Laitart, AndressaIntroduction: Dental fluorosis is an alteration in the development of enamel caused by chronic ingestion of fluoride during the process of formation of dental elements. Objective: To elaborate a literature review between 2007 and 2017 on dental fluorosis, focusing on the rational use of fluorides during early childhood. Literature review: The use of fluoride dentifrice is usually associated with the occurrence of dental fluorosis, especially when there is use of this product beyond the established limit. Most of the cases of dental fluorosis reported in the current literature, including in Brazil, indicate a very mild or mild degree, and are therefore not considered a public health problem. Conclusion: It is important that preventive measures be followed by parents or guardians in the form of supervising toothbrushing with fluoridated dentifrices from infancy, in order to obtain the beneficial effects of fluoride.Monografia Acesso fechado Efetividade de selantes aplicados por estudantes de odontologia na prevenção de lesões cariosas em dentes permanentes(2017) Marques, Viviane SilveiraObjective: This study aims to evaluate the pit and fissures sealants effectiveness when applying for Undergraduate Dental students at the University of Southern Santa Catarina (Unisul), after at least 6 months, as well as to estimate caries prevalence into participants. Methods: This is an observational and cross sectional study, with a non-probabilistic and intentional sample and includes individuals who received sealants in permanent teeth at the clinics of the degree course in Dentistry. The participants were identified by the medical records at Unisul. The effectiveness of pit and fissures sealants was assessed by analysis of retention standards, and will follow validated script. The prevalence of caries in sealed teeth was assessed by ICDAS II index. The sociodemographic variables age, sex and monthly household income the considered. A researcher training was conducted by supervisor of research in clinics at the University of Southern Santa Catarina. The descriptive analysis and the Chi square test was tested and p value ≤0,05. The project was approved by ethical counsel at the Unisul University by number 1,824,523. Results: The response rate was 94.7% (n = 18). The sample was 2/3 of female (72.2% CI95% 49.1, 87.5), 60% received 3 or less Brazilian monthly household income, highest proportion of participants had sealed their teeth at least 9 months. Less than 2/3 of the sample received Fluroshield as restorative material, with relative isolation being the most prevalent (72.2% CI 95% 49.1; 87.5). The prevalence of some loss of retention was 50% (95% CI 29.0, 71.0). Among the 57 teeth evaluated, 70.2% had total retention. The teeth most affected by loss of retention were maxillary left second molars (40%). More than 2/3 of the sample did not presented dental caries (88.9% CI 95%, 96.9%). No significant associations were found. Conclusion: Although the patients had no caries recurrence, half of the sample presented some loss of retention of the sealants, even though to a greater number of total retentions between the teeth were present. This reflects the importance and attention to the planning and correct application of sealing techniques by dentistry students.Estudo de Caso Acesso fechado Mordida aberta anterior - estudo de caso(2017) Back, Letícia MeyerDental malocclusion is altered growth and development, with the anterior open bite defined as the negative vertical overlap between the incisal edges of the anterosuperior and inferior teeth. Considered a complex anomaly, difficult to treat and with a high degree of impairment of the facial and aesthetic balance, it generates significant dental and skeletal alterations. The aim of this study is to study a case and review the literature on the etiology and treatment modalities of anterior open bite. In the present study, an infant-juvenile patient with mixed dentition and presence of anterior open bite was selected. In this patient, the interceptive device, McNamara with lingual grid, was installed. After 4 months of use of the orthodontic device, correction of the anterior open bite, improvement in facial harmony and lingual interposition was observed. It is concluded with this work that the treatment of this malocclusion should be performed early and preferably in a multidisciplinary manner. It is of great importance that dentistry professionals know the main etiologies for the development of this malocclusion, since early intervention results in better results and greater stability of the treatment, besides directly interfering in the quality of life of the patient by restoring the correct functioning of the stomatognathic system.Monografia Acesso aberto Prótese total sobre implantes: revisão de literatura(2017) Broering, Fernanda MachadoDentistry has stood out in the world scene when practicing rehabilitation procedures and techniques, aiming at the health and esthetics of individuals. Within this context, oral rehabilitation using the full denture procedure on implants with immediate loading showed a significant advance in recent years. The osseointegration was proposed by Bränemark through two surgical stages, but the evolution of the surgical techniques provided the improvement of the diagnostic methods, the improvement in the quality of the implant, as well as the knowledge of the tissue biology adjacent to the implant. In this way, the development of new technologies has been supporting studies for a single surgical stage and the placement of the prosthesis on newly installed implants. The objective of this research is to review the literature studies that support the use of the total prosthesis over newly installed implants. It is concluded that the total prosthesis procedure on the implants brings advantages to the patients, since there is the reduction of the working time, less postoperative discomfort and, above all, it returns the masticatory and aesthetic function immediately after the surgery.Monografia Acesso aberto Enucleação de cisto periapical com uso de biomaterial no defeito ósseo: relato de caso clínico(2017) Turnes, Candida Francisca dos SantosIntrodução: O cisto periapical é uma das lesões de origem inflamatória mais comuns dentre os cistos odontogênicos. Geralmente são assintomáticos e encontrados em radiografias de rotina. Dentre os tratamentos cirúrgicos temos a enucleação, marsupialização/descompressão ou associação das duas técnicas. Quando a opção de tratamento for enucleação, podem ser utilizados, para melhor cicatrização da cavidade óssea remanescente, enxertos ósseos associados a uma membrana de colágeno. Relato de caso: caso clínico de enucleação de um cisto periapical na região do dente 21, seguido de preenchimento da cavidade óssea remanescente com biomaterial particulado e estabilização do mesmo com uma membrana de colágeno adaptada sobre a região. Resultados: O acompanhamento clínico-radiográfico sugeriu formação óssea em toda área previamente comprometida. Conclusões: a enucleação do cisto periapical foi um tratamento efetivo, pois permitiu uma cicatrização adequada e rápido retorno do paciente à sua rotina.Artigo Científico Acesso fechado Perfil dos pacientes com necessidades especiais atendidos no Centro de Especialidades Odontológicas (CEO) do município de Palhoça - SC(2017) Southier, Rafaela CarlottoIntroduction: Patients with special needs (PSN) require specialized care, which can be onlay for a period or throughout their life. In general, ther oral healter has just been cause for concernard monitorns, and special protocols of care from patients with normal conditions. Objective: To describe the profile of patients with special needs attended at the dental specialty center (CDS) of the municipality of Palhoça - SC. Method: The study was observational and cross-sectional, approved by the Unisul Ethics Committee (Report: 2.135.804). Eighty-theree records of special patients attended at the CDS were evaluated and data on sex, age group, special need classification and type of dental procedures were collected. Data analysis was performed using descriptive analysis. Results: Of the 83 medical records analyzed, 48,2% the female and 51,8% male sex, the age group with the highest prevalence was 19 and 59 years old (38.6%). According to the classification of the special need, it was observed that 26.4% had congenital defects among them Down syndrome was the most prevalent (7.2%), while 24.1% had behavioral deviations. Physical defects and chronic systemic diseases accounted for 8.4% of patients. The total number of dental procedures performed was 468, with the highest demand being for preventive procedures with 26.92%, followed by diagnosis (19.66%) and restorative with 19.23%; the lowest demand was observed for referrals 6.84%. Conclusion: Among the clinical conditions, the most prevalent were congenital defects, with preventive procedures being the most prevalent. Descriptive studies serve as a basis for guiding the organization of services, in this case, public scope and offering subsidies for specific actions to these patients.Monografia Acesso aberto Avaliação da sobrevivência de implantes dentários instalados durante ou após cirurgias de levantamento de seio maxilar, utilizando dois substitutos ósseos: estudo em humanos(2017) Farias, Jean JesséO objetivo deste estudo foi avaliar a sobrevivência de implantes dentários em função, instalados durante ou após cirurgia de levantamento de seio maxilar comparando dois substitutos ósseos aloplásticos compostos por hidroxiapatita sintética reabsorvível pura ou associada ao β-tricálcio fosfato (Osteogen® e BoneCeramic™) para o preenchimento do seio maxilar, avaliar o ganho ósseo vertical e o índice de sobrevivência dos implantes instalados nestas cirurgias. Foram avaliados prontuários de 41 pacientes, onde, no total, foram realizadas 56 cirurgias para levantamento de seio maxilar, em 28 cirurgias foi utilizado para preenchimento o Osteogen® e nas outras 28 foi usado o BoneCeramic™. Ao total, 92 implantes foram instalados no mesmo momento da cirurgia ou após seis meses da enxertia. A pesquisa ficou dividida em quatro grupos: A pesquisa ficou dividida em quatro grupos: BI: (BoneCeramic™ e implante simultâneo); Grupo BT: (BoneCeramic™ e implante instalado após período de ossificação); Grupo OI: (Osteogen® e implante simultâneo); Grupo OT: (Osteogen® e implante instalado após período de ossificação). A taxa de sobrevivência dos implantes onde se utilizou o Osteogen® foi de 95,05% no grupo OI e 100% no grupo OT, após 24 meses de função, porém, esta diferença não estatisticamente significante. Nos grupos onde se utilizou o BoneCeramic™, o índice de sobrevivência dos implantes foi de 94,73% no grupo BI e 96% no grupo BT. O aumento ósseo vertical foi satisfatório em todos os grupos, possibilitando em todos os casos a instalação dos implantes. O ganho ósseo foi estatisticamente significativo, (p=0,001), entre o grupo OT (8,01mm), e entre o grupo BT (13,15mm).Estudo de Caso Acesso aberto Osteotomia para tratamento de erupção passiva alterada - relato de caso com acompanhamento clínico de seis meses(2017) Najmeddine, YasminGummy smile is characterized by exposure of 3mm or more of gingiva during smile. One of the responsible factors is altered passive eruption that is characterized by the incomplete apical migration of the bone crest after the teeth have been into occlusion. In this case, the exposure of the crown is incomplete and result in a disproportion between the height and width of the tooth. The aim of this work was to report the treatment of Altered Passive Eruption with six months follow-up. Gengivectomy, osteotomy/osteoplasty and gengivoplasty were performed to correct the gummy smile and restore the harmony between the height and width of the anterior teeth. It can be concluded that the osteotomy in order to return the correct relationship between the cementum-enamel junction and bone crest is a safe and predictable option to obtain the harmony of the gingival margin of the anterior teeth.Monografia Acesso fechado Hidróxido de cálcio induz a neoformação de tecido mineralizado: caso clínico(2017) Nunes, LuannaPatient R. M. S., male, leucoderma, 10 years old, attended the Dental Clinic of the Southern University of the State of Santa Catarina, reporting as main complaint fracture in the crown of element 11. After radiographic examination it was possible to identify the incomplete apexogenesis of this tooth, besides the presence of a necrotic pulp. Aiming to stimulate neoformation of mineralized tissue at the dental apex, the calcium hydroxide based dressing was used. He remained for eight months, always with radiographic control. Apexification was observed radiographically and proved through the use of an instrument introduced inside the canal. Endodontic treatment was performed and the tooth was restored.Estudo de Caso Acesso aberto Dispositivo interoclusal para o tratamento de subluxação da articulação temporomandibular – relato de caso clínico(2017) Fischer, Luisa GarciaPatient MZ, female, leucoderma, 60 years old, attended the Dental Clinic of the Southern University of Santa Catarina, reporting as main complaint pain in the temporomandibular joint (TMJ) and masseter muscle. The clinical examination showed a mouth opening deviation to the left side and presence of articular click on this same side. Computed tomography of the TMJ showed right-side opening limitation and a "subluxation" on the left side of the joint. An occlusal splint was fitted, and night use was recommended to improve muscle and joint pain. Considerations regarding chewing, yawning and muscle rest were also passed on. After a year and nine months of treatment, the patient reported great pain relief. The occlusal splint was efficient in treating pain from TMJ.Artigo Científico Acesso aberto Efetividade do óleo essencial lemon tea tree na eliminação do biofilme de enterococcus faecalis em dentina bovina(2017) Silva, Gabriela PontesAim: The aim of this study was to evaluate and compare, ex vivo, the effectiveness of calcium hydroxide [Ca(OH)2] and Lemon Tea Tree essential oil (LTT) against E. faecalis biofilm on root canal of bovine teeth. Methods: After E. faecalis biofilm formation in 42 dentin tubes of bovine teeth, the specimens were randomly divided according to the intracanal dressing (n=10): G1- Ca(OH)2; G2- LTT 5%; e G3- control - saline 0.85%. After 7 days, intracanal medication was removed and the collection of microbiological samples from the remaining biofilm was performed. The dentin tubes without medication were immediately immersed in sterile culture medium and stored for 7 days to allow the analysis of residual antimicrobial effect of each medication. After that, another microbiological sampling was performed. The bacterial viability test, by colony forming units (CFUs) counting, was carried out from the material collected in both moments. The architecture of biofilms of 4 specimens of each group were analyzed by scanning electron microscopy. The mean values of CFUs were analyzed by one way ANOVA and post hoc Tukey tests (P < 0.05). Results: Results obtained after removal of medications showed a 100% microbial reduction promoted by Ca(OH)2 (P < 0,001) and 96,31% promoted by LTT 5% (p < 0,004), compared to the control. Only Ca(OH)2 showed significant residual antimicrobial effect (P = 0,001), although LTT 5% had eliminated 69,89% of E. faecalis cells. Conclusion: The LTT 5%, as intracanal dressing, showed excellent antimicrobial effectiveness, comparable to the Ca(OH)2, against E. faecalis biofilm on root canal of bovine teeth.Artigo Científico Acesso aberto Avaliação da adaptação marginal e porosidade do agregado de trióxido mineral na presença de sangue(2018) Santos, Mariana Parizato dosIntroduction: Teeth in the process of rhizogenesis may have their root formation interrupted by etiological factors, leading to thin dentine walls and open apices, being necessary a treatment to obtain better conditions to obtain a possibility of extravasation of the material for a periapical region. The technique of revascularization can give rise to a periapical barrier, through the induction of bleeding, the periapical origin in order to create a clot within the canal, which is protected by a material to allow a neoformation of dental structures. Repair cements are developed for use in the presence of blood, and their properties may be altered in the presence of blood. The present work is evaluated by the marginal adaptation and porosity by computerized microtomography. Materials and Methods: Twenty four roots of bovine incisors 10 mm high were filled with Mineral Trioxide Aggregate (MTA). The examples were randomly divided into two groups, according to the storage medium (G1 and G2). All the specimens were attached the analysis through microtomography computerised, evaluation of the parameters marginal adaptation, number of pores and percentage of porosity. The results were evaluated by statistical tests. Results: The G2 group presented a lower percentage of closed porosity. Conclusion: It is possible that the exposure to blood has a negative effect on MTA, due to the increase in the percentage of pores on material.Monografia Acesso fechado Aromaterapia: seu uso no controle da ansiedade no paciente odontológico(2018) Neis, Lucas de Lara CostaAnxiety is a common disorder in patients who need dental treatment and this represents a barrier to the proper care of the professional. The use of complementary therapies such as aromatherapy can help the professional in controlling the patient anxiety. Objective: Evaluate the effect of aromatherapy on patients anxiety during dental treatments. Materials and method: This is a pilot study composite with 70 patients in Unisul-school clinic care were divided into two groups. In one group the patients inhaled the lavender aroma and in the control group inhaled water vapor. A questionnaire was used to evaluate anxiety in both groups, before and during dental care. The data were analyzed by chi-square test or Fisher's Exact test. Results: The range age of the participants was 43.50 years (SD = 12.82), 50% consisted in women and 50% were men equally distributed in groups. In the association test that verify the difference between the groups, 80% of patients of the control group had reduction in the anxiety above 30% and were considered cured (p > 0.001). Conclusion: The use of aromatherapy in clinics is an alternative for the control of anxiety in dental treatment.Artigo Científico Acesso embargado Conhecimento, atitudes e práticas dos acadêmicos do curso de odontologia da Universidade do Sul de Santa Catarina em relação a pacientes HIV-positivo(2018) Silva, Karina Ferreira daObjective: To evaluate students knowledge, attitudes and practices in Dentistry course at the University of the South of Santa Catarina in the face of HIV-positive patients. Materials and Methods: Descriptive cross-sectional study with the application of a questionnaire composed of 40 objective questions. Sixty-four academics regularly enrolled between the fifth and ninth period participated in the study. Data were collected between February and March of 2018, by a single examiner and in the classrooms of each phase that comprised the study. The results were analyzed according to descriptive analyins. Results: Of the students, 76.6% were female, with a mean age of 23 years and 7 months; 50% associated recurrent herpes as the most frequent disease among patients with virus-induced immunosuppression; 51.6% could not answer which neoplasms were more frequent in patients with the disease; 53% of the students did not know of the possibility of xerostomia, hyposalivation and increased volume of the major salivary glands in the patients; and, 57.8% did not know that linear gingival erythema is linked to the manifestation of the disease. Approximately 80% of participants treated all patients as potentially infected and cared about the risk of occupational exposure to HIV; 90% used personal protective equipment for all clinical procedures and feel prepared to control the infection. Conclusion: Unisul dentistry academics showed a lack of knowledge about the pathology and stomatologic manifestations of the HIV / AIDS disease and satisfactory knowledge about infection control and risk of occupational exposure.Monografia Acesso fechado Autopercepção e condições de saúde bucal de adultos atendidos na clínica da Universidade do Sul de Santa Catarina(2018) Costa, Juliana Fortes Lages MartinsOral health self-perception can be a predictor of normative status and contribute to planning oral health services and quality of life. Objective: To evaluate the agreement between negative self-perception and oral treatment needs of adults attended at the University of Southern Santa Catarina (UNISUL) and associated factors. Method: Descriptive and cross-sectional study with adults aged 20 to 59 years, attended at the school of Dentistry at the UNISUL, Palhoça, SC. Data included: oral health self-perception, general health conditions (smoking, physical activity and alcohol consumption), gingival bleeding, prosthesis use, unilateral chewing and use of dental services. Clinical conditions assessed by students: prevalence of caries, prevalence of calculus and O'Leary index. Besides sex, age, schooling and household monthly income. Descriptive analysis and association by Pearson's Chi-Square test was conducted. Results: The prevalence of negative self-perception was 31.9%. With age, the significant increase to negative self-perception was observed, the inverse for higher schooling (12.9%). Using public service (52.1%) and unilateral chewing (20%) were associated with negative self-perception. A concordance of 95% and 100% between caries and calculus and negatively reporting oral health was observed respectively. For the dental biofilm the agreement was 67%. Conclusions: Significant agreement with negative self-perception was observed and suggesting that adults perceive their poor oral health and needs, although lower value for biofilm, in this case, initial conditions in the development of oral diseases.Artigo Científico Acesso embargado Comparação da eficácia de dois sistemas rotatórios na desobturação endodôntica(2018) Santos, Nicole Buss dosIntroduction: After filling, the tooth may present therapeutic failure, requiring endodontic retreatment. The new intervention consists in the removal of all the filling material of the root canal, achievement of a new instrumentation, cleaning and three-dimensional obturation trying to restore periapical health. Materials and methods: Thirty unirradicular human teeth were instrumented and obturated in a similar way and divided into two groups. G1, the filling material was removed using instruments of the Protaper® Universal Retreatment system. G2, the removing of obturated material was made with the Easy © ProDesign Logic RT system. After the endodontic retreatment, the teeth were cleaved longitudinally. The specimens were analyzed by thirds(cervical, medium and apical) in the stereomicroscope with a 16x magnification and following the scores:0 (when the third showed a trace of filling material in less than 20% of the area),and 1(when the third analyzed showed a vestige of filling material in more than 21% of the area). The results were analyzed for the quantitative variable, by the t-student test, and for the qualitative variables, by Fisher's exact test, considering, p <0.05. Results: In the t-student test, G2 presented average time of endodontic retreatment lower than G1, Fisher's exact test showed no statistical difference between the amount of traces of remaining obturated material in the cervical, medium and apical thirds comparing the two groups studied.(p>0,05). Conclusion: In general, the two groups were generally effective in removing the filling material, but G2 presented statistically lower average working time. Key words: Endodontics; Endodontic retreatment; Protaper® Universal Retreat; Easy© ProDesign Logic RT.Artigo Científico Acesso embargado Análise de sobrevivência dos implantes curtos e/ou estreitos no tratamento de maxilas atróficas – estudo de 4 anos(2018) Cardoso, Maria EduardaTo evaluate the survival of 14 cases of atrophic maxillae of patients totally edentulous or with indication of exodontia of the remaining elements, treated by protocol type prosthesis, supported only by implants of diameter and / or reduced length, evaluated during a period of 4 years. 6 implants in 14 patients with atrophic maxilla, except one patient who already had one in the mouth and was decided to keep it in function, followed by the protocol type prosthesis. the analyzed variables were: the presence of mobility, pain, radiolucidez peri-implant and bleeding. During the postoperative controls, there was a loss of two implants, in the remaining marginal bone losses, which remained stable after the second year. With in the limitations of this study it is possible to conclude that the use of short and / or narrow implants presented satisfactory results when used in the treatment of the atrophic maxilla with survival rate of 97.59%. it was also possible to observe that the complications were few and of easy resolution without causing great damages to the treatment and to the patient.