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Sample records for bloqueo infraorbitario intraoral

  1. Esclerosis sistémica complicada con síncope y bloqueo AV completo

    Directory of Open Access Journals (Sweden)

    Francisco Femenía

    2010-10-01

    Full Text Available La esclerosis sistémica es una compleja enfermedad que afecta el tejido conectivo, el sistema vascular y el sistema inmunológico, y se caracteriza por fibrosis cutánea y de órganos viscerales. Los bloqueos de rama y los hemibloqueos se presentan en el 25 a 75% de los casos y constituyen predictores independientes de mortalidad. Los bloqueos auriculoventriculares de segundo o tercer grado son muy raros. Presentamos el caso de una mujer de 47 años de edad, con diagnóstico de esclerosis sistémica, quien presenta episodio sincopal secundario a bloqueo auriculoventricular completo con necesidad de implante de marcapasos definitivo.

  2. A comparison of the accuracy of intraoral scanners using an intraoral environment simulator.

    Science.gov (United States)

    Park, Hye-Nan; Lim, Young-Jun; Yi, Won-Jin; Han, Jung-Suk; Lee, Seung-Pyo

    2018-02-01

    The aim of this study was to design an intraoral environment simulator and to assess the accuracy of two intraoral scanners using the simulator. A box-shaped intraoral environment simulator was designed to simulate two specific intraoral environments. The cast was scanned 10 times by Identica Blue (MEDIT, Seoul, South Korea), TRIOS (3Shape, Copenhagen, Denmark), and CS3500 (Carestream Dental, Georgia, USA) scanners in the two simulated groups. The distances between the left and right canines (D3), first molars (D6), second molars (D7), and the left canine and left second molar (D37) were measured. The distance data were analyzed by the Kruskal-Wallis test. The differences in intraoral environments were not statistically significant ( P >.05). Between intraoral scanners, statistically significant differences ( P Kruskal-Wallis test with regard to D3 and D6. No difference due to the intraoral environment was revealed. The simulator will contribute to the higher accuracy of intraoral scanners in the future.

  3. Esclerosis sistémica complicada con síncope y bloqueo AV completo

    OpenAIRE

    Francisco Femenía; Mauricio Arce; Martín Arrieta

    2010-01-01

    La esclerosis sistémica es una compleja enfermedad que afecta el tejido conectivo, el sistema vascular y el sistema inmunológico, y se caracteriza por fibrosis cutánea y de órganos viscerales. Los bloqueos de rama y los hemibloqueos se presentan en el 25 a 75% de los casos y constituyen predictores independientes de mortalidad. Los bloqueos auriculoventriculares de segundo o tercer grado son muy raros. Presentamos el caso de una mujer de 47 años de edad, con diagnóstico de esclerosis sistémic...

  4. Bloqueo y ensombrecimiento en un grupo de vertebrados filogenéticamente antiguo: los anfibios

    OpenAIRE

    Daneri, M. Florencia; Muzio, Rubén N

    2013-01-01

    En este artículo se describe el estudio de los fenómenos de bloqueo y ensombrecimiento en una tarea de aprendizaje espacial en un anfibio, el sapo terrestre Rhinella arenarum. Ambos fenómenos de aprendizaje, ampliamente observados en otras clases de vertebrados, se describen por primera vez en un grupo con un cerebro flogenéticamente antiguo, como es el caso de los anfibios. Específicamente, se observó durante el aprendizaje espacial: (1) bloqueo entre claves visuales asociadas a una meta, y ...

  5. Bloqueo y ensombrecimiento en un grupo de vertebrados filogenéticamente antiguo: los anfibios

    OpenAIRE

    M. Florencia Daneri; Rubén N. Muzio

    2013-01-01

    En este artículo se describe el estudio de los fenómenos de bloqueo y ensombrecimiento en una tarea de aprendizaje espacial en un anfibio, el sapo terrestre Rhinella arenarum. Ambos fenómenos de aprendizaje, ampliamente observados en otras clases de vertebrados, se describen por primera vez en un grupo con un cerebro filogenéticamente antiguo, como es el caso de los anfibios. Específicamente, se observó durante el aprendizaje espacial: (1) bloqueo entre claves visuales asociadas a una meta,...

  6. Evaluation of the Beam Quality of Intraoral X-ray Equipment using Intraoral Standard Films

    International Nuclear Information System (INIS)

    Lee, Sang Sub; Kwon, Hyok Rak; Sim, Woo Hyoun; Oh, Seung Hyoun; Lee, Ji Youn; Jeon, Kug Jin; Kim, Kee Deog; Park, Chang Seo

    2000-01-01

    This study was to evaluate the beam quality of intraoral X-ray equipment used at Yonsei University Dental Hospital (YUDH) using the half value layer (HVL) and the characteristic curve of intraoral standard X-ray film. The study was done using the intraoral X-ray equipment used at each clinical department at YUDH. Aluminum filter was used to determine the HVL. Intraoral standard film was used to get the characteristic curve of each intraoral X-ray equipment. Most of the HVLs of intraoral X-ray equipment were higher than the least recommended thickness, but the REX 601 model used at the operative dentistry department and the X-707 model used at the pediatric dentistry department had HVLs lower than the recommended thickness. The slopes of the characteristic curves of films taken using the PANPAS 601 model and REX 601 model at operative dentistry department, the X-70S model of prosthodontic dentistry department, and the REX 601 model at the student clinic were relatively low. HVL and the characteristic curve of X-ray film can be used to evaluate the beam quality of intraoral X-ray equipment. In order to get the best X-ray films with the least radiation exposure to patients and best diagnostic information in clinical dentistry, X-ray equipment should be managed in the planned and organized fashion.

  7. Intra-oral pressure-based voicing control of electrolaryngeal speech with intra-oral vibrator.

    Science.gov (United States)

    Takahashi, Hirokazu; Nakao, Masayuki; Kikuchi, Yataro; Kaga, Kimitaka

    2008-07-01

    In normal speech, coordinated activities of intrinsic laryngeal muscles suspend a glottal sound at utterance of voiceless consonants, automatically realizing a voicing control. In electrolaryngeal speech, however, the lack of voicing control is one of the causes of unclear voice, voiceless consonants tending to be misheard as the corresponding voiced consonants. In the present work, we developed an intra-oral vibrator with an intra-oral pressure sensor that detected utterance of voiceless phonemes during the intra-oral electrolaryngeal speech, and demonstrated that an intra-oral pressure-based voicing control could improve the intelligibility of the speech. The test voices were obtained from one electrolaryngeal speaker and one normal speaker. We first investigated on the speech analysis software how a voice onset time (VOT) and first formant (F1) transition of the test consonant-vowel syllables contributed to voiceless/voiced contrasts, and developed an adequate voicing control strategy. We then compared the intelligibility of consonant-vowel syllables among the intra-oral electrolaryngeal speech with and without online voicing control. The increase of intra-oral pressure, typically with a peak ranging from 10 to 50 gf/cm2, could reliably identify utterance of voiceless consonants. The speech analysis and intelligibility test then demonstrated that a short VOT caused the misidentification of the voiced consonants due to a clear F1 transition. Finally, taking these results together, the online voicing control, which suspended the prosthetic tone while the intra-oral pressure exceeded 2.5 gf/cm2 and during the 35 milliseconds that followed, proved efficient to improve the voiceless/voiced contrast.

  8. Osteosíntesis intraoral asistida por endoscopia en las fracturas del proceso condilar de la mandíbula: revisión de 53 casos Endoscopically assisted intraoral osteosynthesis in mandibular condylar process fractures: a review of 53 cases

    Directory of Open Access Journals (Sweden)

    Carlos Cristobal Goizueta-Adame

    2012-12-01

    Full Text Available Objetivos: La reducción anatómica con fijación rígida de la fractura extracapsular del cóndilo de la mandíbula es esencial para asegurar la correcta función articular. El abordaje intraoral ha demostrado ser una vía segura y de escasa morbilidad. Los autores revisan una serie de 53 pacientes con fracturas extracapsulares de cóndilo mandibular tratados mediante reducción abierta y fijación interna rígida a través de un acceso exclusivamente intraoral asistido por endoscopia. Material y métodos: El objetivo de la cirugía fue la reducción anatómica y la fijación interna mediante osteosíntesis rígida a través de una incisión intraoral. Se realizó una revisión de los casos intervenidos entre 2007 y 2011. Resultados: Treinta y cinco fracturas subcondíleas y 20 fracturas de cuello de cóndilo fueron intervenidas por este método. Un 55% de las fracturas presentaron una o más fracturas asociadas. A partir del control postoperatorio con ortopantomografía, se constató la corrección o mejoría del alineamiento de los fragmentos en 51 fracturas (92%. En 37 pacientes (69,8% se evitó la fijación intermaxilar. En estos pacientes se recuperó la apertura oral a las 5 semanas y media de la cirugía. En el resto, el plazo fue de casi 9 semanas de media tras la retirada del bloqueo. Cinco pacientes presentaron alteraciones oclusales, mientras que una paciente presentó limitación de apertura oral. Conclusiones: La reducción abierta con fijación interna rígida de las fracturas extracapsulares de cóndilo mandibular mediante abordaje intraoral asistido por endoscopia es un tratamiento eficaz, seguro y reproducible.Objectives: The anatomic reduction with rigid fixation of an extracapsular mandibular condyle fracture is essential to ensure that the joint functions correctly. The intraoral approach has been shown to be safe and with a low morbidity. The authors review a series of 53 patients with extracapsular mandibular condyle

  9. Bloqueo facetario guiado por TC; eficacia diagnóstica, eficacia terapéutica e indicaciones radiológicas.

    OpenAIRE

    Motos Cabodevilla, Naiara

    2013-01-01

    El origen del dolor lumbar puede ser diverso pero una de las principales causa es el síndrome facetario. Este estudio tiene como objetivo determinar la eficacia diagnóstica y eficacia terapéutica de los bloqueos facetarios mediante infiltraciones guiadas por tomografía computarizada (TC). Asimismo establecer posibles indicaciones o criterios diagnósticos radiológicos del síndrome facetario El bloqueo facetario guiado por TC es un procedimiento simple, seguro y mínimamente invasivo que puede s...

  10. Intraoral scanning systems - a current overview.

    Science.gov (United States)

    Zimmermann, M; Mehl, A; Mörmann, W H; Reich, S

    2015-01-01

    There is no doubt today about the possibilities and potential of digital impression-taking with the aid of intraoral optical impression systems, and the past few years have seen a considerable increase in the range of optical intraoral scanners available on the market. On the strength of numerous innovations and a wider range of indications in orthodontics and implantology, intraoral scanning systems appear to be a highly promising development for the future. Digital impression-taking with intraoral scanners has already shown itself in some respects to be clearly superior to conventional impression- taking. Particularly worthy of mention is the versatile integration of digital impressions into diagnostic and treatment concepts to provide a customizable healthcare solution for the patient. It remains exciting to look forward to future developments that will allow us to observe digital impression-taking--as with other digital applications already established in everyday life--becoming firmly established in the routine of dentistry and dental technology. This article presents an overview of the benefits and limitations of digital impression-taking using intraoral scanning systems, and includes a summary of all the relevant intraoral scanners available on the market at present.

  11. 21 CFR 872.6890 - Intraoral dental wax.

    Science.gov (United States)

    2010-04-01

    ... 21 Food and Drugs 8 2010-04-01 2010-04-01 false Intraoral dental wax. 872.6890 Section 872.6890...) MEDICAL DEVICES DENTAL DEVICES Miscellaneous Devices § 872.6890 Intraoral dental wax. (a) Identification. Intraoral dental wax is a device made of wax intended to construct patterns from which custom made metal...

  12. 21 CFR 872.4130 - Intraoral dental drill.

    Science.gov (United States)

    2010-04-01

    ... 21 Food and Drugs 8 2010-04-01 2010-04-01 false Intraoral dental drill. 872.4130 Section 872.4130...) MEDICAL DEVICES DENTAL DEVICES Surgical Devices § 872.4130 Intraoral dental drill. (a) Identification. An intraoral dental drill is a rotary device intended to be attached to a dental handpiece to drill holes in...

  13. Stationary intraoral tomosynthesis for dental imaging

    Science.gov (United States)

    Inscoe, Christina R.; Wu, Gongting; Soulioti, Danai E.; Platin, Enrique; Mol, Andre; Gaalaas, Laurence R.; Anderson, Michael R.; Tucker, Andrew W.; Boyce, Sarah; Shan, Jing; Gonzales, Brian; Lu, Jianping; Zhou, Otto

    2017-03-01

    Despite recent advances in dental radiography, the diagnostic accuracies for some of the most common dental diseases have not improved significantly, and in some cases remain low. Intraoral x-ray is the most commonly used x-ray diagnostic tool in dental clinics. It however suffers from the typical limitations of a 2D imaging modality including structure overlap. Cone-beam computed tomography (CBCT) uses high radiation dose and suffers from image artifacts and relatively low resolution. The purpose of this study is to investigate the feasibility of developing a stationary intraoral tomosynthesis (s-IOT) using spatially distributed carbon nanotube (CNT) x-ray array technology, and to evaluate its diagnostic accuracy compared to conventional 2D intraoral x-ray. A bench-top s-IOT device was constructed using a linear CNT based X-ray source array and a digital intraoral detector. Image reconstruction was performed using an iterative reconstruction algorithm. Studies were performed to optimize the imaging configuration. For evaluation of s-IOT's diagnostic accuracy, images of a dental quality assurance phantom, and extracted human tooth specimens were acquired. Results show s-IOT increases the diagnostic sensitivity for caries compared to intraoral x-ray at a comparable dose level.

  14. Influencia del bloqueo directo y el uno contra uno en el éxito del lanzamiento en baloncesto

    Directory of Open Access Journals (Sweden)

    Verónica Muñoz Arroyave

    2015-03-01

    Full Text Available El presente estudio tiene como objetivo analizar el impacto del uno contra uno y el bloqueo directo sobre la eficacia en los lanzamientos. Se desarrolló un instrumento ad hoc denominado sistema de observación de conceptos fundamentales en baloncesto (SOCFB para estudiar las acciones ofensivas del Fútbol Club Barcelona Regal en la Copa del Rey en la temporada 2013-2014. Se analizaron un total de 643 acciones ofensivas donde se destacan los siguientes hallazgos: a el 34 % de las acciones del jugador con balón finalizaron en lanzamiento mientras que el 66 % terminaron en pases; b la principal consecuencia del uno contra uno interior fueron los lanzamientos (z = 6,2, p < 0,001; c en el uno contra uno exterior se encontraron relaciones estadísticamente significativas con el espacio exterior de la zona (z = 3,3, p < 0,001 y la lateralidad del espacio lateral izquierdo (z = 2, p <0,05; d en el bloqueo directo se observaron relaciones estadísticamente significativas con las acciones que no finalizaron. De estos resultados podemos extraer las siguientes conclusiones: a el bloqueo directo es el concepto más utilizado y fue utilizado como medio para la generación de ventajas; b el uno contra uno interior genera más lanzamientos y de mayor efectividad.

  15. The CT appearance of intraoral chewing gum

    Energy Technology Data Exchange (ETDEWEB)

    Towbin, Alexander J. [Cincinnati Children' s Hospital Medical Center, Department of Radiology, Cincinnati, OH (United States)

    2008-12-15

    When imaged, intraoral chewing gum has the potential to be misdiagnosed. Chewing gum has a characteristic appearance on CT: it is ovoid in shape, hyperdense, and has small internal locules of air. Reports have described the appearance of gum on radiographs and abdominal CT images; however, no reports could be found detailing its appearance within the mouth. This report describes the appearance of intraoral chewing gum as well as the properties of the gum that lead to this appearance. Because of the potential for misdiagnosis, screening for intraoral foreign bodies should be considered prior to imaging. (orig.)

  16. The CT appearance of intraoral chewing gum

    International Nuclear Information System (INIS)

    Towbin, Alexander J.

    2008-01-01

    When imaged, intraoral chewing gum has the potential to be misdiagnosed. Chewing gum has a characteristic appearance on CT: it is ovoid in shape, hyperdense, and has small internal locules of air. Reports have described the appearance of gum on radiographs and abdominal CT images; however, no reports could be found detailing its appearance within the mouth. This report describes the appearance of intraoral chewing gum as well as the properties of the gum that lead to this appearance. Because of the potential for misdiagnosis, screening for intraoral foreign bodies should be considered prior to imaging. (orig.)

  17. Dose measurements in intraoral radiography using thermoluminescent dosimeters

    Science.gov (United States)

    Azorín, C.; Azorín, J.; Aguirre, F.; Rivera, T.

    2015-01-01

    The use of X-ray in medicine demands to expose the patient and the professional to the lowest radiation doses available in agreement with ALARA philosophy. The reference level for intraoral dental radiography is 7 mGy and, in Mexico, a number of examinations of this type are performed annually. It is considered that approximately 25% of all the X-rays examinations carried out in our country correspond to intraoral radiographies. In other hand, most of the intraoral X-ray equipment correspond to conventional radiological systems using film, which are developed as much manual as automatically. In this work the results of determining the doses received by the patients in intraoral radiological examinations made with different radiological systems using LiF:Mg,Cu,P+PTFE thermoluminescent dosimeters are presented. In some conventional radiological systems using film, when films are developed manual or automatically, incident kerma up to 10.61 ± 0.74 mGv were determined. These values exceed that reference level suggested by the IAEA and in the Mexican standards for intraoral examinations.

  18. Dose measurements in intraoral radiography using thermoluminescent dosimeters

    International Nuclear Information System (INIS)

    Azorín, C; Rivera, T; Azorín, J; Aguirre, F

    2015-01-01

    The use of X-ray in medicine demands to expose the patient and the professional to the lowest radiation doses available in agreement with ALARA philosophy. The reference level for intraoral dental radiography is 7 mGy and, in Mexico, a number of examinations of this type are performed annually. It is considered that approximately 25% of all the X-rays examinations carried out in our country correspond to intraoral radiographies. In other hand, most of the intraoral X-ray equipment correspond to conventional radiological systems using film, which are developed as much manual as automatically. In this work the results of determining the doses received by the patients in intraoral radiological examinations made with different radiological systems using LiF:Mg,Cu,P+PTFE thermoluminescent dosimeters are presented. In some conventional radiological systems using film, when films are developed manual or automatically, incident kerma up to 10.61 ± 0.74 mGv were determined. These values exceed that reference level suggested by the IAEA and in the Mexican standards for intraoral examinations

  19. The Intraoral Ultrasonography in Dentistry | Caglayan | Nigerian ...

    African Journals Online (AJOL)

    Intraoral USG is also used in dentistry for examining the salivary glands and ducts, as well as the mouth floor, the buccal, labial, and palatal mucosa, the tongue, periodontal tissues, and periapical lesions. The main purpose of this review is to provide detailed information about intraoral USG applications in dentistry.

  20. Evaluation of occupational exposure in intraoral radiography; Avaliacao da dose ocupacional em radiografia intraoral

    Energy Technology Data Exchange (ETDEWEB)

    Miguel, Cristiano; Barros, Frieda S.; Rocha, Anna S.P.S.; Godoi, Walmor C., E-mail: miguel_cristianoch@yahoo.com.br, E-mail: saicla@utfpr.edu.br, E-mail: annarocha@yahoo.com, E-mail: walmor.godoi@gmail.com [Universidade Tecnologica Federal do Parana (UTFPR), Curitiba, PR (Brazil); Tilly Junior, Joao G., E-mail: joao.tilly@derax.com.br [Universidade Federal do Parana (HC/UFPR), Curitiba, PR (Brazil). Hospital das Clinicas

    2014-07-01

    The intraoral radiography is widely performed in the dental office due to low cost and agility. The doses in intraoral radiology are considered low, however it is known that doses below the threshold for deterministic radiation has the potential to induce stochastic effects. An intraoral radiography has a risk of inducing fatal cancer or serious in order of 1:10,000,000. Besides the patient, the dentist may also be being exposed to radiation during the work with the radiographics practices. The bibliographies demonstrates the lack of information on radiation protection of dentists, however, the occupational dose reduction was observed in radiology over the past 14 years. This work aims to evaluate the effective dose of radiation to which workers can be exposed dentists in dental offices to perform intraoral radiographs. In this context, a study was be conducted between June 2013 and May 2014 with 44 professionals in Curitiba city. For each dentist was given a personal dosimeter to be used for 30 days. During this period, the number of radiographies and the length of the cable triggers of the X-ray equipment was registered and, the dosimeter´s dose was read. It was observed that the cables triggers meet regulatory standards and allow dentists to get the mean minimum distance of two meters from the radiation source in 93% of cases. Through analysis of the doses, it was concluded that occupational exposures of these workers are within the recommended threshold by regulatory 453/1998 of the Ministry of Health from Brazil. (author)

  1. Esclerosis sistémica complicada con síncope y bloqueo AV completo Systemic sclerosis complicated with syncope and complete AV block

    Directory of Open Access Journals (Sweden)

    Francisco Femenía

    2010-10-01

    Full Text Available La esclerosis sistémica es una compleja enfermedad que afecta el tejido conectivo, el sistema vascular y el sistema inmunológico, y se caracteriza por fibrosis cutánea y de órganos viscerales. Los bloqueos de rama y los hemibloqueos se presentan en el 25 a 75% de los casos y constituyen predictores independientes de mortalidad. Los bloqueos auriculoventriculares de segundo o tercer grado son muy raros. Presentamos el caso de una mujer de 47 años de edad, con diagnóstico de esclerosis sistémica, quien presenta episodio sincopal secundario a bloqueo auriculoventricular completo con necesidad de implante de marcapasos definitivo.Systemic sclerosis is a complex disease that affects the connective tissue, the vascular system and the immune system. It typically produces skin and organ fibrosis. Cardiac bundle branch blocks and fascicular blocks occur in 25-75% of the cases and were found to be independent predictors of mortality. Second and third degree atrioventricular block are very rare. We present the case of a 47 year-old female with diagnosis of systemic sclerosis, presented with syncope secondary to complete atrioventricular block requiring permanent pacemaker implantation.

  2. Bloqueios nervosos guiados por ultra-som Bloqueos nerviosos guiados por ultrasonido Ultrasound-guided nerve blocks

    Directory of Open Access Journals (Sweden)

    Pablo Escovedo Helayel

    2007-02-01

    Full Text Available JUSTIFICATIVA E OBJETIVOS: As técnicas de bloqueios nervosos guiados por ultra-som são baseadas na visualização direta das estruturas nervosas, da agulha de bloqueio e das estruturas anatômicas adjacentes. Desta maneira, é possível depositar a solução de anestésico local precisamente em torno dos nervos e acompanhar a sua dispersão em tempo real, obtendo-se, assim, um bloqueio mais eficaz, de menor latência, menor dependência de referências anatômicas, menor volume de solução anestésica e maior segurança. CONTEÚDO: O artigo revisa os aspectos relativos aos mecanismos físicos para formação de imagens, a anatomia ultra-sonográfica do neuroeixo e dos plexos braquial e lombossacral, os equipamentos e materiais empregados nos bloqueios, os ajustes do aparelho de ultra-som para melhorar as imagens, os planos de visualização das agulhas de bloqueio e as técnicas e o treinamento em bloqueios guiados por ultra-som. CONCLUSÕES: Os passos para se obter sucesso em anestesia regional incluem a identificação exata da posição dos nervos, a localização precisa da agulha, sem lesões nas estruturas adjacentes e, finalmente, a injeção cuidadosa de anestésico local junto aos nervos. Embora a neuroestimulação forneça grande auxílio na identificação dos nervos, esta não consegue, isoladamente, preencher todas essas exigências. Por isso, acredita-se que os bloqueios guiados por ultra-som serão a técnica de eleição para anestesia regional num futuro não muito distante.JUSTIFICATIVA Y OBJETIVOS: Las técnicas de bloqueos nerviosos guiados por ultrasonido se basan en la visualización directa de las estructuras nerviosas, de la aguja de bloqueo y de las estructuras anatómicas adyacentes. De esa manera, se puede depositar la solución de anestésico local precisamente en torno de los nervios y acompañar su dispersión en tiempo real, obteniéndose así, un bloqueo más eficaz, de menor latencia, menor dependencia de

  3. Comparison of two intraoral scanners based on three-dimensional surface analysis

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    Kyung-Min Lee

    2018-02-01

    Full Text Available Abstract Background This in vivo study evaluated the difference of two well-known intraoral scanners used in dentistry, namely iTero (Align Technology and TRIOS (3Shape. Methods Thirty-two participants underwent intraoral scans with TRIOS and iTero scanners, as well as conventional alginate impressions. The scans obtained with the two intraoral scanners were compared with each other and were also compared with the corresponding model scans by means of three-dimensional surface analysis. The average differences between the two intraoral scans on the surfaces were evaluated by color-mapping. The average differences in the three-dimensional direction between each intraoral scans and its corresponding model scan were calculated at all points on the surfaces. Results The average differences between the two intraoral scanners were 0.057 mm at the maxilla and 0.069 mm at the mandible. Color histograms showed that local deviations between the two scanners occurred in the posterior area. As for difference in the three-dimensional direction, there was no statistically significant difference between two scanners. Conclusions Although there were some deviations in visible inspection, there was no statistical significance between the two intraoral scanners.

  4. Diagnostic reference levels in intraoral dental radiography in Korea

    International Nuclear Information System (INIS)

    Kim, Eun Kyung; Han, Won Jeong; Choi, Jin Woo; Jung, Yun Hoa; Yoon, Suk Ja; Lee, Jae Seo

    2012-01-01

    The objectives of this study were to survey the radiographic exposure parameters, to measure the patient doses for intraoral dental radiography nationwide, and thus to establish the diagnostic reference levels (DRLs) in intraoral dental X-ray examination in Korea. One hundred two intraoral dental radiographic machines from all regions of South Korea were selected for this study. Radiographic exposure parameters, size of hospital, type of image receptor system, installation duration of machine, and type of dental X-ray machine were documented. Patient entrance doses (PED) and dose-area products (DAP) were measured three times at the end of the exit cone of the X-ray unit with a DAP meter (DIAMENTOR M4-KDK, PTW, Freiburg, Germany) for adult mandibular molar intraoral dental radiography, and corrections were made for room temperature and pressure. Measured PED and DAP were averaged and compared according to the size of hospital, type of image receptor system, installation duration, and type of dental X-ray machine. The mean exposure parameters were 62.6 kVp, 7.9 mA, and 0.5 second for adult mandibular molar intraoral dental radiography. The mean patient dose was 2.11 mGy (PED) and 59.4 mGycm2 (DAP) and the third quartile one 3.07 mGy (PED) and 87.4 mGycm 2 (DAP). Doses at university dental hospitals were lower than those at dental clinics (p 2 (DAP) as the DRLs in adult mandibular molar intraoral dental radiography in Korea.

  5. Accuracy of intraoral digital impressions using an artificial landmark.

    Science.gov (United States)

    Kim, Jong-Eun; Amelya, Ami; Shin, Yooseok; Shim, June-Sung

    2017-06-01

    Intraoral scanners have been reported to have limited accuracy in edentulous areas. Large amounts of mobile tissue and the lack of obvious anatomic landmarks make it difficult to acquire a precise digital impression of an edentulous area with an intraoral scanner. The purpose of this in vitro study was to determine the effect of an artificial landmark on a long edentulous space on the accuracy outcomes of intraoral digital impressions. A mandibular model containing 4 prepared teeth and an edentulous space of 26 mm in length was used. A blue-light light-emitting diode tabletop scanner was used as a control scanner, and 3 intraoral scanners were used as experimental groups. Five scans were made using each intraoral scanner without an artificial landmark, and another 5 scans were performed after application of an artificial landmark (a 4×3 mm alumina material) on the edentulous area. The obtained datasets were used to evaluate trueness and precision. Without an artificial landmark on the edentulous area, the mean trueness for the intraoral scanner ranged from 36.1 to 38.8 μm and the mean precision ranged from 13.0 to 43.6 μm. With an artificial landmark on the edentulous area, accuracy was improved significantly: the mean trueness was 26.7 to 31.8 μm, and the mean precision was 9.2 to 12.4 μm. The use of an alumina artificial landmark in an edentulous space improved the trueness and precision of the intraoral scanners tested. Copyright © 2016 Editorial Council for the Journal of Prosthetic Dentistry. Published by Elsevier Inc. All rights reserved.

  6. Diurnal variation of intraoral pH and temperature.

    Science.gov (United States)

    Choi, Jung Eun; Lyons, Karl M; Kieser, Jules A; Waddell, Neil J

    2017-01-01

    The aim of this study was to measure continuously the intraoral pH and temperature of healthy individuals to investigate their diurnal variations. Seventeen participants (mean age, 31±9 years) wore a custom-made intraoral appliance fitted with a pH probe and thermocouple for two sets of 24 h, while carrying out normal daily activities including sleep. The continuous changes in intraoral pH and temperature were captured using a sensor placed on the palatal aspect of the upper central incisors. The collected data were categorised into different status (awake and sleep) and periods (morning, afternoon, evening and night). Both quantitative and qualitative analyses were conducted. The intraoral pH change was found to show a distinctive daily rhythm, showing a 12-h interval between maximum (7.73) and minimum (6.6) pH values. The maximum and minimum values were found to repeat after 24 h. The mean pH over 48 h (two sets of 24 h) was found to be 7.27 (±0.74). There was significant difference found in pH when subjects were awake and asleep and different periods during the day ( P pH. There was a significant difference found in temperature depending on the time of the day, except between morning and afternoon ( P =0.78). Our results showed that there is a distinctive daily, circadian-like pattern in intraoral pH variation over a 24-h period, which has been considered as one of the risk factors in sleep-related dental diseases.

  7. Mondani intraoral welding: historical process and main practical applications.

    Science.gov (United States)

    Dal Carlo, L; Pasqualini, M E; Mondani, P M; Rossi, F; Moglioni, E; Shulman, M

    2017-01-01

    The intraoral welder was invented by Dr. Pierluigi Mondani during the early 70’s to weld titanium needle implants to a titanium bar in patient’s mouth and to load them immediately by means of resin prosthesis. The clinical use documented dates back to 1972. Over the years, many practical applications have been added to the initial one, which have expanded the use of this device. In this scientific work, main applications are described. The aim of the work was to trace the historical process of intra-oral welding according to Mondani and describe the main practical applications. Intra-oral welding is a process introduced by dr. Pier Luigi Mondani of Genova (Italy) which allows to firmly conjoin titanium implants of any shape by means of a titanium bar or also directly between them in the mouth during surgery. The immediate stabilization achieved by intraoral welding increases implants success rate, allows immediate loading even in situations of bone atrophy, saves implants that are running into failure, re-evaluates fractured implants, allows to stabilize submerged implants postponing prosthesis management, allows to achieve efficient rehabilitation protocols to deal with difficult cases. The 40-years’ experience with intra-oral welding described in this article, confirms the ease of use and efficiency in providing immediate stabilization of titanium implants of all types.

  8. Intraoral gothic arch tracing.

    Science.gov (United States)

    Rubel, Barry; Hill, Edward E

    2011-01-01

    In order to create optimum esthetics, function and phonetics in complete denture fabrication, it is necessary to record accurate maxillo-mandibular determinants of occlusion. This requires clinical skill to establish an accurate, verifiable and reproducible vertical dimension of occlusion (VDO) and centric relation (CR). Correct vertical relation depends upon a consideration of several factors, including muscle tone, inter-dental arch space and parallelism of the ridges. Any errors made while taking maxillo-mandibular jaw relation records will result in dentures that are uncomfortable and, possibly, unwearable. The application of a tracing mechanism such as the Gothic arch tracer (a central bearing device) is a demonstrable method of determining centric relation. Intraoral Gothic arch tracers provide the advantage of capturing VDO and CR in an easy-to-use technique for practitioners. Intraoral tracing (Gothic arch tracing) is a preferred method of obtaining consistent positions of the mandible in motion (retrusive, protrusive and lateral) at a comfortable VDO.

  9. 21 CFR 872.1810 - Intraoral source x-ray system.

    Science.gov (United States)

    2010-04-01

    ... (CONTINUED) MEDICAL DEVICES DENTAL DEVICES Diagnostic Devices § 872.1810 Intraoral source x-ray system. (a... structures. The x-ray source (a tube) is located inside the mouth. This generic type of device may include... 21 Food and Drugs 8 2010-04-01 2010-04-01 false Intraoral source x-ray system. 872.1810 Section...

  10. Extraoral periapical radiography: an alternative approach to intraoral periapical radiography

    International Nuclear Information System (INIS)

    Kumar, Rahul; Khambete, Neha; Priya, Ekta

    2011-01-01

    It is difficult to take intraoral radiographs in some patients who are intolerable to place the film in their mouth. For these patients, Newman and Friedman recommended a new technique of extraoral film placement. Here we report various cases that diagnostic imaging was performed in patients using the extraoral periapical technique. This technique was used to obtain the radiographs for the patients with severe gag reflex, pediatric dental patients, and patients with restricted mouth opening. This technique can be recommended as an alternative to conventional intraoral periapical technique in cases where intraoral film placement is difficult to achieve.

  11. Complete-arch accuracy of intraoral scanners.

    Science.gov (United States)

    Treesh, Joshua C; Liacouras, Peter C; Taft, Robert M; Brooks, Daniel I; Raiciulescu, Sorana; Ellert, Daniel O; Grant, Gerald T; Ye, Ling

    2018-04-30

    Intraoral scanners have shown varied results in complete-arch applications. The purpose of this in vitro study was to evaluate the complete-arch accuracy of 4 intraoral scanners based on trueness and precision measurements compared with a known reference (trueness) and with each other (precision). Four intraoral scanners were evaluated: CEREC Bluecam, CEREC Omnicam, TRIOS Color, and Carestream CS 3500. A complete-arch reference cast was created and printed using a 3-dimensional dental cast printer with photopolymer resin. The reference cast was digitized using a laboratory-based white light 3-dimensional scanner. The printed reference cast was scanned 10 times with each intraoral scanner. The digital standard tessellation language (STL) files from each scanner were then registered to the reference file and compared with differences in trueness and precision using a 3-dimensional modeling software. Additionally, scanning time was recorded for each scan performed. The Wilcoxon signed rank, Kruskal-Wallis, and Dunn tests were used to detect differences for trueness, precision, and scanning time (α=.05). Carestream CS 3500 had the lowest overall trueness and precision compared with Bluecam and TRIOS Color. The fourth scanner, Omnicam, had intermediate trueness and precision. All of the scanners tended to underestimate the size of the reference file, with exception of the Carestream CS 3500, which was more variable. Based on visual inspection of the color rendering of signed differences, the greatest amount of error tended to be in the posterior aspects of the arch, with local errors exceeding 100 μm for all scans. The single capture scanner Carestream CS 3500 had the overall longest scan times and was significantly slower than the continuous capture scanners TRIOS Color and Omnicam. Significant differences in both trueness and precision were found among the scanners. Scan times of the continuous capture scanners were faster than the single capture scanners

  12. Evaluation of occupational exposure in intraoral radiography

    International Nuclear Information System (INIS)

    Miguel, Cristiano; Barros, Frieda S.; Rocha, Anna S.P.S.; Godoi, Walmor C.; Tilly Junior, Joao G.

    2014-01-01

    The intraoral radiography is widely performed in the dental office due to low cost and agility. The doses in intraoral radiology are considered low, however it is known that doses below the threshold for deterministic radiation has the potential to induce stochastic effects. An intraoral radiography has a risk of inducing fatal cancer or serious in order of 1:10,000,000. Besides the patient, the dentist may also be being exposed to radiation during the work with the radiographics practices. The bibliographies demonstrates the lack of information on radiation protection of dentists, however, the occupational dose reduction was observed in radiology over the past 14 years. This work aims to evaluate the effective dose of radiation to which workers can be exposed dentists in dental offices to perform intraoral radiographs. In this context, a study was be conducted between June 2013 and May 2014 with 44 professionals in Curitiba city. For each dentist was given a personal dosimeter to be used for 30 days. During this period, the number of radiographies and the length of the cable triggers of the X-ray equipment was registered and, the dosimeter´s dose was read. It was observed that the cables triggers meet regulatory standards and allow dentists to get the mean minimum distance of two meters from the radiation source in 93% of cases. Through analysis of the doses, it was concluded that occupational exposures of these workers are within the recommended threshold by regulatory 453/1998 of the Ministry of Health from Brazil. (author)

  13. Magnetic resonance imaging of intraoral hard and soft tissues using an intraoral coil and FLASH sequences

    Energy Technology Data Exchange (ETDEWEB)

    Fluegge, Tabea; Eisenbeiss, Anne-Kathrin; Schmelzeisen, Rainer; Nelson, Katja [University Medical Center Freiburg, Department of Oral and Maxillofacial Surgery, Freiburg (Germany); Hoevener, Jan-Bernd; Ludwig, Ute; Hennig, Juergen [University Medical Center Freiburg, Medical Physics, Department of Radiology, Freiburg (Germany); Spittau, Bjoern [Albert Ludwig University of Freiburg, Institute of Anatomy and Cell Biology, Freiburg (Germany)

    2016-12-15

    To ascertain the feasibility of MRI as a non-ionizing protocol for routine dentomaxillofacial diagnostic imaging. Wireless coils were used for MRI of intraoral hard and soft tissues. FLASH MRI was applied in vivo with a mandible voxel size of 250 x 250 x 500 μm{sup 3}, FOV of 64 x 64 x 28 mm{sup 3} and acquisition time of 3:57 min and with a maxilla voxel size of 350 μm{sup 3} and FOV of 34 cm{sup 3} in 6:40 min. Ex vivo imaging was performed in 4:38 min, with a resolution of 200 μm{sup 3} and FOV of 36.5 cm{sup 3}. Cone beam (CB) CT of the mandible and subjects were acquired. MRI was compared to CBCT and histological sections. Deviations were calculated with intraclass correlation coefficient (ICC) and coefficient of variation (c{sub v}). A high congruence between CBCT, MRI and specimens was demonstrated. Hard and soft tissues including dental pulp, periodontium, gingiva, cancellous bone and mandibular canal contents were adequately displayed with MRI. Imaging of select intraoral tissues was achieved using custom MRI protocols with an easily applicable intraoral coil in a clinically acceptable acquisition time. Comparison with CBCT and histological sections helped demonstrate dimensional accuracy of the MR images. The course of the mandibular canal was accurately displayed with CBCT and MRI. (orig.)

  14. Magnetic resonance imaging of intraoral hard and soft tissues using an intraoral coil and FLASH sequences

    International Nuclear Information System (INIS)

    Fluegge, Tabea; Eisenbeiss, Anne-Kathrin; Schmelzeisen, Rainer; Nelson, Katja; Hoevener, Jan-Bernd; Ludwig, Ute; Hennig, Juergen; Spittau, Bjoern

    2016-01-01

    To ascertain the feasibility of MRI as a non-ionizing protocol for routine dentomaxillofacial diagnostic imaging. Wireless coils were used for MRI of intraoral hard and soft tissues. FLASH MRI was applied in vivo with a mandible voxel size of 250 x 250 x 500 μm 3 , FOV of 64 x 64 x 28 mm 3 and acquisition time of 3:57 min and with a maxilla voxel size of 350 μm 3 and FOV of 34 cm 3 in 6:40 min. Ex vivo imaging was performed in 4:38 min, with a resolution of 200 μm 3 and FOV of 36.5 cm 3 . Cone beam (CB) CT of the mandible and subjects were acquired. MRI was compared to CBCT and histological sections. Deviations were calculated with intraclass correlation coefficient (ICC) and coefficient of variation (c v ). A high congruence between CBCT, MRI and specimens was demonstrated. Hard and soft tissues including dental pulp, periodontium, gingiva, cancellous bone and mandibular canal contents were adequately displayed with MRI. Imaging of select intraoral tissues was achieved using custom MRI protocols with an easily applicable intraoral coil in a clinically acceptable acquisition time. Comparison with CBCT and histological sections helped demonstrate dimensional accuracy of the MR images. The course of the mandibular canal was accurately displayed with CBCT and MRI. (orig.)

  15. PAPEL DEL FACTOR DE BLOQUEO INDUCIDO POR PROGESTERONA (PIBF) EN EMBARAZO Y CÁNCER

    OpenAIRE

    Gutiérrez-Rodríguez, Araceli; Camacho-Arroyo, Ignacio

    2016-01-01

    El factor de bloqueo inducido por progesterona (PIBF) es una proteína inmunomoduladora por medio de la cual la progesterona ejerce varios de sus efectos inmunológicos en diferentes células de alta proliferación, que incluyen desde células embrionarias hasta células tumorales. El PIBF ocasiona un incremento en la síntesis de anticuerpos asimétricos y de citocinas tipo Th2 como las interleucinas (IL) 4, 6 y 10, así como una disminución en la actividad citotóxica de las células NK...

  16. Unusual presentation of firework injury causing intraoral burns

    Directory of Open Access Journals (Sweden)

    Patel Chintan

    2005-01-01

    Full Text Available Fireworks are commonly used in celebrate festive occasions. We present a case of an unusual presentation of intraoral firework injury, which is a very rare case. A fifteen year old boy kept four explosive papercaps wrapped in a small polythene bags in between his left molars and crushed them. This resulted in a contused lacerated wound over the left buccal mucosa. Patient was treated conservatively with maintenance of intraoral hygiene, antibiotics, proteolytic enzymes and analgesics. It took 18 days for complete healing of the wound.

  17. A comparative evaluation of intraoral and extraoral digital impressions: An in vivo study.

    Science.gov (United States)

    Sason, Gursharan Kaur; Mistry, Gaurang; Tabassum, Rubina; Shetty, Omkar

    2018-01-01

    The accuracy of a dental impression is determined by two factors: "trueness" and "precision." The scanners used in dentistry are relatively new in market, and very few studies have compared the "precision" and "trueness" of intraoral scanner with the extraoral scanner. The aim of this study was to evaluate and compare accuracy of intraoral and extraoral digital impressions. Ten dentulous participants (male/female) aged 18-45 years with an asymptomatic endodontically treated mandibular first molars with adjacent teeth present were selected for this study. The prepared test tooth was measured using a digital Vernier caliper to obtain reference datasets. The tooth was then scanned using the intraoral scanner, and the extraoral scans were obtained using the casts made from the impressions. The datasets were divided into four groups and then statistically analyzed. The test tooth preparation was done, and dimples were made using a round diamond point on the bucco-occlusal, mesio-occlusal, disto-occlusal, and linguo-occlusal lines angles, and these were used to obtain reference datasets intraorally using a digital Vernier caliper. The test tooth was then scanned with the IO scanner (CS 3500, Carestream dental) thrice and also impressions were made using addition silicone impression material (3M™ ESPE) and dental casts were poured in Type IV dental stone (Kalrock-Kalabhai Karson India Pvt. Ltd., India) which were later scanned with the EO scanner (LAVA™ Scan ST Design system [3M™ ESPE]) thrice. The Datasets obtained from Intraoral and Extraoral scanner were exported to Dental Wings software and readings were obtained. Repeated measures ANOVA test was used to compare differences between the groups and independent t -test for comparison between the readings of intraoral and extraoral scanner. Least significant difference test was used for comparison between reference datasets with intraoral and extraoral scanner, respectively. A level of statistical significance of P

  18. Full-Mouth Intraoral Radiographic Survey in Rabbits.

    Science.gov (United States)

    Regalado, Adriana; Legendre, Loïc

    2017-09-01

    Dental pathologies are highly prevalent in pet rabbit populations, making oral radiography an essential tool in the evaluation of lagomorph dentitions. The unique anatomy of the rabbit's mouth limits the examination of the conscious animal to the rostral portion of it's mouth. In addition, the oral examination of an aradicular hypsodont tooth is restricted to the short coronal fraction of its crown. Erstwhile images obtained by the extraoral technique were once considered the most practical and informative tool in rabbit dentistry; however, limited visualization of the key structures of individual teeth became the major drawback of this technique. As new imaging technologies are becoming widely available and affordable for veterinarians, intraoral radiography offers the ability to prevent, diagnose, and treat oral pathologies in lagomorphs. This article describes a step-by-step procedure to obtain a full-mouth radiographic survey in rabbits. For this technique, a standard dental X-ray generator and intraoral storage phosphor plates are used while applying the bisecting angle technique. Among the advantages of this technique are detailed visualization of internal and external dental structures, identification of early lesions, and detection of occult pathologies. Furthermore, intraoral images offer superior resolution and higher diagnostic quality with minimal radiation exposure, making this method safer for the veterinarian, staff members, and their patients.

  19. Digital Intraoral Imaging Re-Exposure Rates of Dental Students.

    Science.gov (United States)

    Senior, Anthea; Winand, Curtis; Ganatra, Seema; Lai, Hollis; Alsulfyani, Noura; Pachêco-Pereira, Camila

    2018-01-01

    A guiding principle of radiation safety is ensuring that radiation dosage is as low as possible while yielding the necessary diagnostic information. Intraoral images taken with conventional dental film have a higher re-exposure rate when taken by dental students compared to experienced staff. The aim of this study was to examine the prevalence of and reasons for re-exposure of digital intraoral images taken by third- and fourth-year dental students in a dental school clinic. At one dental school in Canada, the total number of intraoral images taken by third- and fourth-year dental students, re-exposures, and error descriptions were extracted from patient clinical records for an eight-month period (September 2015 to April 2016). The data were categorized to distinguish between digital images taken with solid-state sensors or photostimulable phosphor plates (PSP). The results showed that 9,397 intraoral images were made, and 1,064 required re-exposure. The most common error requiring re-exposure for bitewing images was an error in placement of the receptor too far mesially or distally (29% for sensors and 18% for PSP). The most common error requiring re-exposure for periapical images was inadequate capture of the periapical area (37% for sensors and 6% for PSP). A retake rate of 11% was calculated, and the common technique errors causing image deficiencies were identified. Educational intervention can now be specifically designed to reduce the retake rate and radiation dose for future patients.

  20. Application of intra-oral dental scanners in the digital workflow of implantology

    NARCIS (Netherlands)

    van der Meer, Wicher J; Andriessen, Frank S; Wismeijer, Daniel; Ren, Yijin

    2012-01-01

    UNLABELLED: Intra-oral scanners will play a central role in digital dentistry in the near future. In this study the accuracy of three intra-oral scanners was compared. MATERIALS AND METHODS: A master model made of stone was fitted with three high precision manufactured PEEK cylinders and scanned

  1. Application of intra-oral dental scanners in the digital workflow of implantology

    NARCIS (Netherlands)

    van der Meer, W.J.; Andriessen, F.S.; Wismeijer, D.; Ren, Y.

    2012-01-01

    Intra-oral scanners will play a central role in digital dentistry in the near future. In this study the accuracy of three intra-oral scanners was compared. Materials and methods: A master model made of stone was fitted with three high precision manufactured PEEK cylinders and scanned with three

  2. Validation of 3D documentation of palatal soft tissue shape, color, and irregularity with intraoral scanning

    NARCIS (Netherlands)

    Deferm, Julie T.; Schreurs, Ruud; Baan, Frank; Bruggink, Robin; Merkx, Matthijs A. W.; Xi, Tong; Bergé, Stefaan J.; Maal, Thomas J. J.

    2017-01-01

    The purpose of this study was to assess the feasibility of 3D intraoral scanning for documentation of palatal soft tissue by evaluating the accuracy of shape, color, and curvature. Intraoral scans of ten participants' upper dentition and palate were acquired with the TRIOS® 3D intraoral scanner by

  3. Recent advances in dental optics - Part I: 3D intraoral scanners for restorative dentistry

    Science.gov (United States)

    Logozzo, Silvia; Zanetti, Elisabetta M.; Franceschini, Giordano; Kilpelä, Ari; Mäkynen, Anssi

    2014-03-01

    Intra-oral scanning technology is a very fast-growing field in dentistry since it responds to the need of an accurate three-dimensional mapping of the mouth, as required in a large number of procedures such as restorative dentistry and orthodontics. Nowadays, more than 10 intra-oral scanning devices for restorative dentistry have been developed all over the world even if only some of those devices are currently available on the market. All the existing intraoral scanners try to face with problems and disadvantages of traditional impression fabrication process and are based on different non-contact optical technologies and principles. The aim of this publication is to provide an extensive review of existing intraoral scanners for restorative dentistry evaluating their working principles, features and performances.

  4. Bloqueio seletivo dos nervos supraescapular e axilar promove analgesia satisfatória e menor grau de bloqueio motor: comparação com o bloqueio interescalênico El bloqueo selectivo de los nervios supraescapular y axilar promueve una analgesia satisfactoria y un menor grado de bloqueo motor: comparación con el bloqueo interescalénico Selective suprascapular and axillary nerve block provides adequate analgesia and minimal motor block: comparison with interscalene block

    Directory of Open Access Journals (Sweden)

    Patrícia Falcão Pitombo

    2013-02-01

    . El objetivo de este estudio fue comparar el bloqueo de los nervios supraescapular y axilar en las cirugías artroscópicas de hombro con el abordaje interescalénico del plexo braquial. MÉTODO: Sesenta y ocho pacientes fueron ubicados en dos grupos de 34, de acuerdo con la técnica utilizada: grupo Interescalénico (GI y grupo selectivo (GS, siendo ambos abordajes realizados con neuroestimulador. En el GI, y después de la respuesta motora adecuada, se inyectaron 30 mL de levopubivacaina en exceso enantiomérico de un 50% al 0,33% con adrenalina 1:200.000. En el GS, y después de la respuesta motora del nervio supraescapular y axilar, se inyectaron 15 mL de la misma sustancia en cada nervio. Enseguida se realizó la anestesia general. Las variables que se evaluaron fueron: tiempo para la realización de los bloqueos, analgesia, consumo de opioide, bloqueo motor, estabilidad cardiocirculatoria, satisfacción y aceptabilidad por parte del paciente. RESULTADOS: El tiempo para la ejecución del bloqueo interescalénico fue significativamente menor que para la realización del bloqueo selectivo. La analgesia fue significativamente mayor en el postoperatorio inmediato en el GI y en el postoperatorio tardío en el GS. El consumo de morfina fue significativamente mayor en la primera hora en el GS. El bloqueo motor fue significativamente menor en el GS. La estabilidad cardiocirculatoria, satisfacción y aceptabilidad de la técnica por el paciente no fueron diferentes entre los grupos. Ocurrió un fallo en el GI y dos en el GS. CONCLUSIONES: Ambas técnicas son seguras y eficaces con el mismo grado de satisfacción y de aceptabilidad. El bloqueo selectivo de ambos nervios presentó una analgesia satisfactoria, con la ventaja de proporcionar un bloqueo motor restringido al hombro.BACKGROUND AND OBJECTIVE: Shoulder arthroscopic surgeries evolve with intense postoperative pain. Several analgesic techniques have been advocated. The aim of this study was to compare suprascapular

  5. Clinical Acceptability of the Internal Gap of CAD/CAM PD-AG Crowns Using Intraoral Digital Impressions

    Science.gov (United States)

    Kim, Tae-Gyung; Kim, Sungtae; Lee, Jae-Hoon

    2016-01-01

    The purpose of this study was to compare the internal gap between CAD/CAM palladium-silver crowns and cast gold crowns generated from intraoral digital versus conventional impressions and to determine the clinical acceptability. Nickel-chrome master dies were made from the prepared resin tooth with the conventional impression method (n = 40). For ICC (Intraoral, CAD/CAM) group, 10 intraoral digital impressions were made, and 10 CAD/CAM crowns of a PD-AG (palladium-silver) machinable alloy were generated. For IC (Intraoral, Cast) group, 10 gold crowns were cast from ten intraoral digital impressions. For CCC (Conventional, CAD/CAM) group, 10 CAD/CAM PD-AG crowns were made using the conventional impression method. For CC (Conventional, Cast) group, 10 gold crowns were fabricated from 10 conventional impressions. One hundred magnifications of the internal gaps of each crown were measured at 50 points with an optical microscope and these values were statistically analyzed using a two-way analysis of variance (α = 0.05). The internal gap of the intraoral digital impression group was significantly larger than in the conventional impression group (P 0.05). Within the limitations of this in vitro study, crowns from intraoral digital impressions showed larger internal gap values than crowns from conventional impressions. PMID:28018914

  6. Clinical Acceptability of the Internal Gap of CAD/CAM PD-AG Crowns Using Intraoral Digital Impressions

    Directory of Open Access Journals (Sweden)

    Tae-Gyung Kim

    2016-01-01

    Full Text Available The purpose of this study was to compare the internal gap between CAD/CAM palladium-silver crowns and cast gold crowns generated from intraoral digital versus conventional impressions and to determine the clinical acceptability. Nickel-chrome master dies were made from the prepared resin tooth with the conventional impression method (n=40. For ICC (Intraoral, CAD/CAM group, 10 intraoral digital impressions were made, and 10 CAD/CAM crowns of a PD-AG (palladium-silver machinable alloy were generated. For IC (Intraoral, Cast group, 10 gold crowns were cast from ten intraoral digital impressions. For CCC (Conventional, CAD/CAM group, 10 CAD/CAM PD-AG crowns were made using the conventional impression method. For CC (Conventional, Cast group, 10 gold crowns were fabricated from 10 conventional impressions. One hundred magnifications of the internal gaps of each crown were measured at 50 points with an optical microscope and these values were statistically analyzed using a two-way analysis of variance (α=0.05. The internal gap of the intraoral digital impression group was significantly larger than in the conventional impression group (P0.05. Within the limitations of this in vitro study, crowns from intraoral digital impressions showed larger internal gap values than crowns from conventional impressions.

  7. Accuracy of five intraoral scanners compared to indirect digitalization.

    Science.gov (United States)

    Güth, Jan-Frederik; Runkel, Cornelius; Beuer, Florian; Stimmelmayr, Michael; Edelhoff, Daniel; Keul, Christine

    2017-06-01

    Direct and indirect digitalization offer two options for computer-aided design (CAD)/ computer-aided manufacturing (CAM)-generated restorations. The aim of this study was to evaluate the accuracy of different intraoral scanners and compare them to the process of indirect digitalization. A titanium testing model was directly digitized 12 times with each intraoral scanner: (1) CS 3500 (CS), (2) Zfx Intrascan (ZFX), (3) CEREC AC Bluecam (BLU), (4) CEREC AC Omnicam (OC) and (5) True Definition (TD). As control, 12 polyether impressions were taken and the referring plaster casts were digitized indirectly with the D-810 laboratory scanner (CON). The accuracy (trueness/precision) of the datasets was evaluated by an analysing software (Geomagic Qualify 12.1) using a "best fit alignment" of the datasets with a highly accurate reference dataset of the testing model, received from industrial computed tomography. Direct digitalization using the TD showed the significant highest overall "trueness", followed by CS. Both performed better than CON. BLU, ZFX and OC showed higher differences from the reference dataset than CON. Regarding the overall "precision", the CS 3500 intraoral scanner and the True Definition showed the best performance. CON, BLU and OC resulted in significantly higher precision than ZFX did. Within the limitations of this in vitro study, the accuracy of the ascertained datasets was dependent on the scanning system. The direct digitalization was not superior to indirect digitalization for all tested systems. Regarding the accuracy, all tested intraoral scanning technologies seem to be able to reproduce a single quadrant within clinical acceptable accuracy. However, differences were detected between the tested systems.

  8. Intraoral pH and temperature during sleep with and without mouth breathing.

    Science.gov (United States)

    Choi, J E; Waddell, J N; Lyons, K M; Kieser, J A

    2016-05-01

    To measure and compare the intraoral pH and temperature of individuals during sleep with and without mouth breathing. Ten healthy participants [mean age = 25·8 (± 4·3)] wore a custom-made appliance fitted with a pH probe and thermocouple for two sets of 48 h. Continuous pH and temperature measurements were taken from the palatal aspect of the upper central incisors. To simulate mouth breathing during sleep, participants wore a nose clip for two nights of the four, with the first group (n = 5) wearing the nose clip during the first night and the rest (n = 5) wearing the nose clip during the second night of sleep to balance any potential bias from the wearing sequence. Both qualitative and quantitative analyses were conducted. The mean intraoral pH during daytime was 7·3 (± 0·4) and during sleep was 7·0 (± 0·5). The mean intraoral pH during sleep with mouth breathing was 6·6 (± 0·5), which was statistically significant compared with the normal sleep condition (P pH decreased slowly over the hours of sleep in all participants. When sleeping with forced mouth breathing, intraoral pH showed a greater fall over a longer period of time. The mean intraoral temperature was 33·1 °C (± 5·2) during daytime and 33·3 °C (± 6·1) during sleep, with no statistical significance between sleep with and without mouth breathing (P > 0·05). The results suggest that mouth breathing during sleep is related to a decrease in intraoral pH compared with normal breathing during sleep, and this has been proposed as a causal factor for dental erosion and caries. © 2015 John Wiley & Sons Ltd.

  9. Intraoral giant condyloma acuminatum

    Directory of Open Access Journals (Sweden)

    Gupta R

    2001-09-01

    Full Text Available A case of intraoral giant condyloma acuminatum is reported in a 50- year- old Indian. He did not respond to topical application of podophyllin 20% but responded partially to electric cauterisation. Surgical excision was done to get rid of the warty growh completely. Since there were no skin or genital lesions and no history of marital or extramarital sexual contact the lesion was probably acquired from environmental sources. Nonsexual transmission should be considered especially when the lesions are extragenital.

  10. Stationary intraoral digital tomosynthesis using a carbon nanotube X-ray source array.

    Science.gov (United States)

    Shan, J; Tucker, A W; Gaalaas, L R; Wu, G; Platin, E; Mol, A; Lu, J; Zhou, O

    2015-01-01

    Intraoral dental tomosynthesis and closely related tuned-aperture CT (TACT) are low-dose three-dimensional (3D) imaging modalities that have shown improved detection of multiple dental diseases. Clinical interest in implementing these technologies waned owing to their time-consuming nature. Recently developed carbon nanotube (CNT) X-ray sources allow rapid multi-image acquisition without mechanical motion, making tomosynthesis a clinically viable technique. The objective of this investigation was to evaluate the feasibility of and produce high-quality images from a digital tomosynthesis system employing CNT X-ray technology. A test-bed stationary intraoral tomosynthesis unit was constructed using a CNT X-ray source array and a digital intraoral sensor. The source-to-image distance was modified to make the system comparable in image resolution to current two-dimensional intraoral radiography imaging systems. Anthropomorphic phantoms containing teeth with simulated and real caries lesions were imaged using a dose comparable to D-speed film dose with a rectangular collimation. Images were reconstructed and analysed. Tomosynthesis images of the phantom and teeth specimen demonstrated perceived image quality equivalent or superior to standard digital images with the added benefit of 3D information. The ability to "scroll" through slices in a buccal-lingual direction significantly improved visualization of anatomical details. In addition, the subjective visibility of dental caries was increased. Feasibility of the stationary intraoral tomosynthesis is demonstrated. The results show clinical promise and suitability for more robust observer and clinical studies.

  11. Radiation exposure and dose evaluation in intraoral dental radiology

    International Nuclear Information System (INIS)

    Poppe, B.; Looe, H. K.; Pfaffenberger, A.; Eenboom, F.; Chofor, N.; Sering, M.; Ruehmann, A.; Poplawski, A.; Willborn, K.

    2007-01-01

    In this study, dose area product measurements have been performed to propose diagnostic reference levels (DRLs) in intraoral dental radiology. Measurements were carried out at 60 X-ray units for all types of intraoral examinations performed in clinical routine. The third quartile values calculated range from 26.2 to 87.0 mGy cm 2 . The results showed that there exists a large difference between the patient exposures among different dental facilities. It was also observed that dentists working with faster film type or higher tube voltage are not always associated with lower exposure. The study demonstrated the necessity to have the DRLs laid out as guidelines in dental radiology. (authors)

  12. Validation of 3D documentation of palatal soft tissue shape, color, and irregularity with intraoral scanning.

    Science.gov (United States)

    Deferm, Julie T; Schreurs, Ruud; Baan, Frank; Bruggink, Robin; Merkx, Matthijs A W; Xi, Tong; Bergé, Stefaan J; Maal, Thomas J J

    2018-04-01

    The purpose of this study was to assess the feasibility of 3D intraoral scanning for documentation of palatal soft tissue by evaluating the accuracy of shape, color, and curvature. Intraoral scans of ten participants' upper dentition and palate were acquired with the TRIOS® 3D intraoral scanner by two observers. Conventional impressions were taken and digitized as a gold standard. The resulting surface models were aligned using an Iterative Closest Point approach. The absolute distance measurements between the intraoral models and the digitized impression were used to quantify the trueness and precision of intraoral scanning. The mean color of the palatal soft tissue was extracted in HSV (hue, saturation, value) format to establish the color precision. Finally, the mean curvature of the surface models was calculated and used for surface irregularity. Mean average distance error between the conventional impression models and the intraoral models was 0.02 ± 0.07 mm (p = 0.30). Mean interobserver color difference was - 0.08 ± 1.49° (p = 0.864), 0.28 ± 0.78% (p = 0.286), and 0.30 ± 1.14% (p = 0.426) for respectively hue, saturation, and value. The interobserver differences for overall and maximum surface irregularity were 0.01 ± 0.03 and 0.00 ± 0.05 mm. This study supports the hypothesis that the intraoral scan can perform a 3D documentation of palatal soft tissue in terms of shape, color, and curvature. An intraoral scanner can be an objective tool, adjunctive to the clinical examination of the palatal tissue.

  13. Intraoral Laser Welding (ILW in Implant Prosthetic Dentistry: Case Report

    Directory of Open Access Journals (Sweden)

    Carlo Fornaini

    2012-01-01

    Full Text Available The aim of this clinical study was to describe the possibility of using the Nd:YAG laser device utilized in the dental offices to weld metals intraorally. The authors, before applying this technique “in vivo” on human subjects, tested the “in vitro” metal welding efficacy of dental Nd:YAG device firstly by interferometry, SEM, and EDS and subsequently by thermal camera and thermocouples in order to record temperature changes during the welding process on bovine jaws. Four implants were inserted in the edentulous maxillary arch of a 67 years old male patient. Immediately after that, a bar previously made by the dental technician was intraorally welded to the abutments by Nd:YAG laser (Fidelis Plus III, Fotona, Slovenia with these parameters: 9.90 mJ, 1 Hz, 15 msec, 0.6 mm spot. Then the prosthesis was connected to the bar with four OT Caps. This clinical study, even if preliminary, suggests that laser welding technique may be intraorally used without side effects.

  14. Intra-oral Sebaceous Gland Tumours in Two Dogs.

    Science.gov (United States)

    Go, D-M; Lee, S-H; Woo, S-H; Kim, D-Y

    2017-11-01

    A 12-year-old female miniature schnauzer and a 12-year-old neutered female cocker spaniel each had a grey-yellow nodular lesion arising from the gingiva. Microscopical examination showed that both nodules were composed of varied proportions of sebocytes and basal-type reserve cells with few ducts lined by stratified squamous epithelium. Based on the histopathological findings, the cases were diagnosed as sebaceous adenoma and sebaceous epithelioma, respectively. In man, the occurrence of sebaceous neoplasms in the oral cavity has been reported to some extent, but these lesions are very rare in animals. To the best of our knowledge, this is the first report of intra-oral sebaceous neoplasms in dogs. Intra-oral sebaceous epithelioma has never been reported in animals. Copyright © 2017 Elsevier Ltd. All rights reserved.

  15. The need for national diagnostic reference levels: entrance surface dose measurement in intraoral radiography

    International Nuclear Information System (INIS)

    Mortazavi, S. M. J.; Shareghi, A.; Kavousi, A.; Ghiassi-Nejad, M.; Jafari-Zadeh, M.; Nazeri, F.; Mozdarani, H.

    2004-01-01

    Background: Intraoral radiographies are the most frequent X-ray examinations in humans. According to International Commission on Radiation Protection recommendations, the selection of a diagnostic reference level should be specific to a country or region. Critical organs such as thyroid gland are exposed to X-rays in intraoral radiography and these exposures should be kept as low as reasonably achievable. To assist the development of DRLs for intraoral radiography, a National Radiation Protection Department-sponsored pilot study was carried out. Materials and methods: thermoluminescent dosimetry is widely acknowledged to be the recommended method for measuring entrance surface doses. In this study, entrance surface doses was measured using LiF thermoluminescent dosimeters on the skin (either mandibular or maxillary arcs) of 40 patients. Three thermoluminescent dosimetry chips were placed on the skin of each patient. The doses were averaged for each radiography and mean entrance surface doses of all patients calculated. Results: the mean ±SD entrance surface dose at the center of the beam on the patient's skin in intraoral radiography was 1.173 ±0.606 mGy (ranged from 0.01 o 0.40 m Gy). The mean entrance surface doses for male and female patients were 1.380± 0.823, and 1.004± 0.258 respectively. No statistically significant difference was found between these means. Despite its necessity , in national level , there is no published data on the diagnostic reference levels for intraoral radiography. However, the results obtained in this study are lower than those reported by investigators in other countries. Conclusion: in IR Iran , due to lack of large scale studies, no diagnostic reference levels have been set for X-ray diagnostic procedures. Due to lack of national diagnostic reference levels, it is not possible to clarify whether in intraoral radiographies any dose reduction techniques are needed. We intend to perform similar nationwide studies to set the

  16. Cyanoacrylate for Intraoral Wound Closure: A Possibility?

    Directory of Open Access Journals (Sweden)

    Parimala Sagar

    2015-01-01

    Full Text Available Wound closure is a part of any surgical procedure and the objective of laceration repair or incision closure is to approximate the edges of a wound so that natural healing process may occur. Over the years new biomaterials have been discovered as an alternate to conventional suture materials. Cyanoacrylate bioadhesives are one among them. They carry the advantages of rapid application, patient comfort, resistance to infection, hemostatic properties, and no suture removal anxiety. Hence this study was undertaken to study the effect of long chain cyanoacrylate as an adhesive for intraoral wound closure and also to explore its hemostatic and antibacterial effects. Isoamyl-2-cyanoacrylate (AMCRYLATE was used as the adhesive in the study. In conclusion isoamyl cyanoacrylate can be used for intraoral wound closure, as an alternative to sutures for gluing the mucoperiosteum to bone, for example, after impaction removal, periapical surgeries, and cleft repair. Its hemostatic and antibacterial activity has to be further evaluated.

  17. Evaluation of radiation protection conditions in intraoral radiology

    Energy Technology Data Exchange (ETDEWEB)

    Miguel, Cristiano; Barros, Frieda Saicla; Rocha, Anna Silvia Penteado Setti da, E-mail: miguel_cristianoch@yahoo.com.br [Universidade Tecnologica Federal do Parana (PPGEB/UTFPR), Curitiba, PR (Brazil). Programa de Pos-graduacao em Engenharia Biomedica; Tilly Junior, Joao Gilberto [Universidade Federal do Parana (UNIR/UFPR), Curitiba, PR (Brazil). Hospital de Clinicas. Unidade de Imagem e Radioterapia; Almeida, Claudio Domingues de [Instituto de Radioprotecao e Dosimetria (IRD/CNEN-RJ), Rio de Janeiro, RJ (Brazil). Dept. de Fisica Medica

    2016-04-15

    Introduction: The dental radiology represents about 20% of human exposure to radiation in radio diagnostic. Although the doses practiced in intraoral dentistry are considered low, they should not be ignored due to the volume of the performed procedures. This study presents the radiation protection conditions for intraoral radiology in Curitiba - PR. Methods: Data was collected through a quantitative field research of a descriptive nature during the period between September of 2013 and December of 2014. The survey sample consisted of 97 dentists and 130 intraoral equipment. The data related to the equipment was collected using structured questions and quality control evaluations. The evaluations of the entrance skin dose, the size of the radiation field and the total filtration were performed with dosimetry kits provided and evaluated by IRD/CNEN. The exposure time and voltage were measured using noninvasive detectors. The occupational dose was verified by thermoluminescent dosimeters. The existence of personal protection equipment, the type of image processing and knowledge of dentists about radiation protection were verified through the application of a questionnaire. Results: Among the survey's results, it is important to emphasize that 90% of the evaluated equipment do not meet all the requirements of the Brazilian radiation protection standards. Conclusion: The lack of knowledge about radiation protection, the poor operating conditions of the equipment, and the image processing through visual method are mainly responsible for the unnecessary exposure of patients to ionizing radiation. (author)

  18. Piezosurgical osteotomy for harvesting intraoral block bone graft

    Science.gov (United States)

    Lakshmiganthan, Mahalingam; Gokulanathan, Subramanium; Shanmugasundaram, Natarajan; Daniel, Rajkumar; Ramesh, Sadashiva B.

    2012-01-01

    The use of ultrasonic vibrations for the cutting of bone was first introduced two decades ago. Piezoelectric surgery is a minimally invasive technique that lessens the risk of damage to surrounding soft tissues and important structures such as nerves, vessels, and mucosa. It also reduces damage to osteocytes and permits good survival of bony cells during harvesting of bone. Grafting with intraoral bone blocks is a good way to reconstruct severe horizontal and vertical bone resorption in future implants sites. The piezosurgery system creates an effective osteotomy with minimal or no trauma to soft tissue in contrast to conventional surgical burs or saws and minimizes a patient's psychological stress and fear during osteotomy under local anesthesia. The purpose of this article is to describe the harvesting of intraoral bone blocks using the piezoelectric surgery device. PMID:23066242

  19. Piezosurgical osteotomy for harvesting intraoral block bone graft

    Directory of Open Access Journals (Sweden)

    Mahalingam Lakshmiganthan

    2012-01-01

    Full Text Available The use of ultrasonic vibrations for the cutting of bone was first introduced two decades ago. Piezoelectric surgery is a minimally invasive technique that lessens the risk of damage to surrounding soft tissues and important structures such as nerves, vessels, and mucosa. It also reduces damage to osteocytes and permits good survival of bony cells during harvesting of bone. Grafting with intraoral bone blocks is a good way to reconstruct severe horizontal and vertical bone resorption in future implants sites. The piezosurgery system creates an effective osteotomy with minimal or no trauma to soft tissue in contrast to conventional surgical burs or saws and minimizes a patient′s psychological stress and fear during osteotomy under local anesthesia. The purpose of this article is to describe the harvesting of intraoral bone blocks using the piezoelectric surgery device.

  20. El blocao (y el bloqueo de José Díaz Fernández

    Directory of Open Access Journals (Sweden)

    Luis Fernando Bueno Morillas

    2015-06-01

    Full Text Available El blocao (1928 fue la primera novela de José Díaz Fernández. Supuso un éxito editorial insólito hasta entonces porque reunía tres características novedosas: una actitud crítica ante la guerra de Marruecos, una integración de las novedades vanguardistas en la que su autor llamó literatura de avanzada y un posicionamiento del intelectual al lado de las reivindicaciones del pueblo. Sin embargo, aunque publicó otra novela un año después (La Venus mecánica, un libro teórico en el que definía la literatura que él propugnaba y practicaba (El nuevo romanticismo y algunas narraciones breves, Díaz Fernández se bloqueó y dejó la literatura narrativa que tan buenas expectativas levantó. Analizaremos las posibles causas de ese bloqueo.

  1. Validity of scoring caries and primary molar hypomineralization (DMH) on intraoral photographs.

    Science.gov (United States)

    Elfrink, M E C; Veerkamp, J S J; Aartman, I H A; Moll, H A; Ten Cate, J M

    2009-11-01

    The aims of this study were to assess whether intraoral photographs could be used to score caries and hypomineralization on primary molars (Using adapted Molar Incisor Hypomineralization (MIH)-criteria), and also to assess the reliability and validity in 3-7 year-old Dutch children of these scores by comparing them to direct clinical scorings. Cross-sectional study. In this study 62 children (38.7% girls) with a mean age of 4.96 years (SD 1.27) participated. The children were rated clinically by their own dentist (authors JV or ME) for caries reaching the dentine in their primary molars (WHO criteria) and also for primary molar hypomineralization using the adapted MIH-criteria. For the intraoral photographs, a digital intraoral camera was used. The two paediatric dentists rated all the intraoral photographs on caries and hypomineralizations on the second primary molars, using the same criteria for the clinical scoring as for the scoring of the photographs. They scored independently, at least 2 weeks after the initial clinical scoring to avoid observational bias with the clinical scoring. This clinical observation was used as the gold standard from which sensitivity, specificity, Positive Predictive Value (PPV), Negative Predictive Value (NPV) and the Positive and Negative Likelihood Ratio were computed. To test the intra-observer agreement 25 % of the photographs were scored again, at least 2 weeks after the initial scoring of the images. Inter- and intra-observer agreement were tested using Cohen's Kappa. The mean prevalence of clinically detected caries at tooth level was 46.7% and the mean prevalence of clinically detected hypomineralizations in second primary molars at tooth level was 21.8%. The sensitivity of assessing caries using intraoral photographs was 85.5%, the specificity 83.6%, the positive likelihood ratio 5.2 and the negative likelihood ratio was 0.17. For Primary Molar Hypomineralization (DMH) the sensitivity was 72.3%, the specificity 92.8%, the

  2. Assessment of intraoral image artifacts related to photostimulable ...

    African Journals Online (AJOL)

    2015-04-21

    Apr 21, 2015 ... Materials and Methods: A total of 11,443 intraoral images, including 4291 periapical and 7152 bitewing ... that produce a latent image when exposed to radiation. ..... dropped on the floor or if a patient bites hard into their.

  3. High fear of intra-oral injections: prevalence and relationship to dental fear and dental avoidance among 10- to 16-yr-old children.

    Science.gov (United States)

    Berge, Karin G; Agdal, Maren L; Vika, Margrethe; Skeie, Marit S

    2016-12-01

    The present study aimed to: (i) estimate the prevalence of self-reported high fear of intra-oral injections, high blood-injury fear, and injection fear; (ii) explore the overlap between high fear of intra-oral injections and high fear of dental treatment; and (iii) evaluate the possible consequence of high fear of intra-oral injections in terms of avoidance of dental care. The sample included 1,441 subjects, 10- to 16-yr of age, attending elementary schools in a county of Norway. Data were collected using questionnaires that were completed in classrooms. The survey instruments used were the Intra-Oral Injection Fear-scale, the Children's Fear Survey Schedule-Dental Subscale, the Injection Phobia scale for children, and the Mutilation Questionnaire for children. In total, 13.9% of the children reported high intra-oral injection fear. A strong association was found between fear of intra-oral injections and dental fear. When an intra-oral injection was needed, 10.6% would avoid dental treatment. In multiple regression analysis, high intra-oral injection fear was found to be associated with avoidance of dental treatment (OR = 6.52; 95% CI: 3.99-10.67). It was concluded that high fear of intra-oral injections was prevalent and might lead to avoidance of necessary dental treatment. Hence, intra-oral injection fear should be addressed before treatment of dental fear. © 2016 Eur J Oral Sci.

  4. Intraoral approach: A newer technique for filler injection

    Directory of Open Access Journals (Sweden)

    Chytra V Anand

    2010-01-01

    Full Text Available Filler injections are the most common aesthetic procedures used for volume correction. Various techniques have been described in the use of fillers. This article reviews the available literature on a new technique using the intraoral approach for injection of fillers.

  5. The accuracy of the CAD system using intraoral and extraoral scanners for designing of fixed dental prostheses.

    Science.gov (United States)

    Shimizu, Sakura; Shinya, Akikazu; Kuroda, Soichi; Gomi, Harunori

    2017-07-26

    The accuracy of prostheses affects clinical success and is, in turn, affected by the accuracy of the scanner and CAD programs. Thus, their accuracy is important. The first aim of this study was to evaluate the accuracy of an intraoral scanner with active triangulation (Cerec Omnicam), an intraoral scanner with a confocal laser (3Shape Trios), and an extraoral scanner with active triangulation (D810). The second aim of this study was to compare the accuracy of the digital crowns designed with two different scanner/CAD combinations. The accuracy of the intraoral scanners and extraoral scanner was clinically acceptable. Marginal and internal fit of the digital crowns fabricated using the intraoral scanner and CAD programs were inferior to those fabricated using the extraoral scanner and CAD programs.

  6. In vivo and in vitro assessment of an intraoral dental colorimeter.

    Science.gov (United States)

    Karaagaclioglu, Lale; Terzioglu, Hakan; Yilmaz, Burak; Yurdukoru, Bengul

    2010-06-01

    The purpose of this study was to assess the performance of an intraoral dental colorimeter. In vivo repeatability of an intraoral colorimeter was assessed by performing color measurements of 30 individuals' right maxillary central incisor. Three consecutive measurements from each individual were made. In the in vitro part of the study, 25 metal-ceramic and 25 all-ceramic specimens were prepared. Five shades of metal-ceramic and all-ceramic specimens were selected for color determination. A widely recognized in vitro colorimeter was used as the control group for the in vitro performance assessment of the in vivo colorimeter. The color differentiation capability of two colorimeters was compared with the readings obtained from ceramic specimens. DeltaE values between shade groups of ceramic specimens were calculated and statistically analyzed with Student's t-test. The repeatability of the intraoral instrument was evaluated statistically with Intraclass correlation coefficient. The in vivo evaluation results showed that the overall repeatability coefficient values of L*, a*, and b* notations of the intraoral colorimeter were "excellent." The color differences (DeltaE) calculated between the colorimeters were significant only between shades A(1)-B(1) for metal-ceramic specimens (p= 0.002); however, from 5 of 10 shade couples of all-ceramic specimens, the color differences obtained from the readings of the in vivo colorimeter were significantly different from that of the in vitro colorimeter (p colorimeter exhibited successful in vivo repeatability; however, the color difference detection performance of the device varied depending on the translucency of the specimens.

  7. Computer-aided analysis of digital dental impressions obtained from intraoral and extraoral scanners.

    Science.gov (United States)

    Bohner, Lauren Oliveira Lima; De Luca Canto, Graziela; Marció, Bruno Silva; Laganá, Dalva Cruz; Sesma, Newton; Tortamano Neto, Pedro

    2017-11-01

    The internal and marginal adaptation of a computer-aided design and computer-aided manufacturing (CAD-CAM) prosthesis relies on the quality of the 3-dimensional image. The quality of imaging systems requires evaluation. The purpose of this in vitro study was to evaluate and compare the trueness of intraoral and extraoral scanners in scanning prepared teeth. Ten acrylic resin teeth to be used as a reference dataset were prepared according to standard guidelines and scanned with an industrial computed tomography system. Data were acquired with 4 scanner devices (n=10): the Trios intraoral scanner (TIS), the D250 extraoral scanner (DES), the Cerec Bluecam intraoral scanner (CBIS), and the Cerec InEosX5 extraoral scanner (CIES). For intraoral scanners, each tooth was digitized individually. Extraoral scanning was obtained from dental casts of each prepared tooth. The discrepancy between each scan and its respective reference model was obtained by deviation analysis (μm) and volume/area difference (μm). Statistical analysis was performed using linear models for repeated measurement factors test and 1-way ANOVA (α=.05). No significant differences in deviation values were found among scanners. For CBIS and CIES, the deviation was significantly higher (PDentistry. Published by Elsevier Inc. All rights reserved.

  8. Absorbed and effective dose from periapical radiography by portable intraoral x-ray machine

    International Nuclear Information System (INIS)

    Cho, Jeong Yeon; Han, Won Jeong; Kim, Eun Kyung

    2007-01-01

    The purpose of this study was to measure the absorbed dose and to calculate the effective dose for periapical radiography done by portable intraoral x-ray machines. 14 full mouth, upper posterior and lower posterior periapical radiographs were taken by wall-type 1 and portable type 3 intraoral x-ray machines. Thermoluminescent dosemeters were placed at 23 sites at the layers of the tissue-equivalent ART woman phantom for dosimetry. Average tissue absorbed dose and radiation weighted dose were calculated for each major anatomical site. Effective dose was calculated using 2005 ICRP tissue weighted factors. On 14 full mouth periapical radiographs, the effective dose for wall-type x-ray machine was 30 Sv; for portable x-ray machines were 30 Sv, 22 Sv, 36 Sv. On upper posterior radiograph, the effective dose for wall-type x-ray machine was 4 Sv; for portable x-ray machines doses were 4 Sv, 3 Sv, 5 Sv. On lower posterior radiograph, the effective dose for wall type x-ray machine was 5 Sv; for portable x-ray machines doses were 4 Sv, 4 Sv, 5 Sv. Effective doses for periapical radiographs performed by portable intraoral x-ray machines were similar to doses for periapical radiographs taken by wall type intraoral x-ray machines

  9. Bloqueio "3 em 1" por via anterior: bloqueio parcial, completo ou superdimensionado? Correlação entre anatomia, clínica e radio imagens Bloqueo "3 en 1" por vía anterior: bloqueo parcial, completo o superdimensionado? Correlación entre anatomía, clínica y radio imágenes Anterior "3-in-1" blockade: partial, total or overdimensioned block? Correlation between anatomy, clinic and radio images

    Directory of Open Access Journals (Sweden)

    Karl Otto Geier

    2004-08-01

    em 1" ou "2,5 em 1", sem a participação do nervo obturador. Com cateter curto (G2, o bloqueio "3 em 1" foi classificado como completo em 6,6% dos casos (um paciente. Porém, com cateter longo (G3, o resultado tende a ser mais previsível em relação aos outros grupos, especialmente quando o cateter alcança o espaço paravertebral lombossacral, resultando num bloqueio "3 em 1" completo em 20% dos casos (três pacientes ou, raramente, num bloqueio "3 em 1" superdimensionado em 13,2% dos casos (dois pacientes.JUSTIFICATIVA Y OBJETIVOS: El clásico bloqueo "3 en 1" por vía anterior ha suscitado divergencias cuanto al envolvimiento anestésico de sus tres participantes, el nervio femoral, el nervio cutáneo lateral del muslo y el nervio obturador. El objetivo de este estudio es verificar el resultado del bloqueo "3 en 1" por vía anterior, a través de las técnicas: inyección única (G1, catéteres cortos (G2 y catéteres largos (G3. Los bloqueos "3 en 1", clínicamente identificados como completos o superdimensionados fueron, adicionalmente, investigados por medio de radio imagen. MÉTODO: La identificación del espacio subfascial ilíaco en los bloqueos "3 en 1" con inyección única o con catéteres fue hecha por la pérdida de resistencia al aire. En varios eventos dolorosos, el volumen anestésico administrado varió entre 30 y 40 ml y la introducción cranial de los catéteres fue hasta 18 cm en el espacio subfascial ilíaco. Cuando la pesquisa clínica apuntaba envolvimiento del nervio obturador o de otro nervio adicional al bloqueo "3 en 1", se complementava la investigación con estudio radiográfico y tomodensiométrico con el propósito de establecer correspondencia con la anatomía pélvica. RESULTADOS: El envolvimiento de los nervios femoro cutáneo lateral y obturador no fueron constantes, al contrario del nervio femoral. En el estudio, ningún bloqueo "3 en 1" completo con inyección única (G1 se manifestó, y si un bloqueo "2 en 1", con la

  10. Multiple intraoral neurofibromas: Case report and review of the literature

    Directory of Open Access Journals (Sweden)

    C Krithika

    2009-01-01

    Full Text Available Neurofibromatosis type I (NF I is an autosomal dominant disease transmitted with a high degree of penetrance. The disease is expressed in different forms. NF I accounts for almost 90% of the cases although nine types have been described to date. We report one such case of a 40-year-old male who presented with multiple nodules on the body and multiple intraoral soft tissue swellings. He was diagnosed to have NF I, having satisfied the diagnostic criteria for the same. This paper highlights the clinical features and diagnostic criteria of NF, the prevalence and the significance of intraoral neurofibromas and the need for the general practitioner to be aware of this condition.

  11. Accuracy of Intraoral Digital Impressions for Whole Upper Jaws, Including Full Dentitions and Palatal Soft Tissues.

    Directory of Open Access Journals (Sweden)

    Ning Gan

    Full Text Available Intraoral digital impressions have been stated to meet the clinical requirements for some teeth-supported restorations, though fewer evidences were proposed for larger scanning range. The aim of this study was to compare the accuracy (trueness and precision of intraoral digital impressions for whole upper jaws, including the full dentitions and palatal soft tissues, as well as to determine the effect of different palatal vault height or arch width on accuracy of intraoral digital impressions. Thirty-two volunteers were divided into three groups according to the palatal vault height or arch width. Each volunteer received three scans with TRIOS intraoral scanner and one conventional impression of whole upper jaw. Three-dimensional (3D images digitized from conventional gypsum casts by a laboratory scanner were chose as the reference models. All datasets were imported to a specific software program for 3D analysis by "best fit alignment" and "3D compare" process. Color-coded deviation maps showed qualitative visualization of the deviations. For the digital impressions for palatal soft tissues, trueness was (130.54±33.95μm and precision was (55.26±11.21μm. For the digital impressions for upper full dentitions, trueness was (80.01±17.78μm and precision was (59.52±11.29μm. Larger deviations were found between intraoral digital impressions and conventional impressions in the areas of palatal soft tissues than that in the areas of full dentitions (p0.05, but arch width was found to have a significant effect on precision of intraoral digital impressions for full dentitions (p = 0.016. A linear correlation was found between arch width and precision of digital impressions for whole upper jaws (r = 0.326, p = 0.034 for palatal soft tissues and r = 0.485, p = 0.002 for full dentitions. It was feasible to use the intraoral scanner to obtain digital impressions for whole upper jaws. Wider dental arch contributed to lower precision of an intraoral

  12. Prevalence and intraoral distribution of Candida albicans in Sjögren's syndrome.

    OpenAIRE

    Tapper-Jones, L; Aldred, M; Walker, D M

    1980-01-01

    An imprint culture technique has been employed to study the prevalence and intraoral distribution of Candida albicans in 16 patients with Sjögren's syndrome and in 16 healthy controls matched for age, sex, and dental status. The prevalence and intraoral density of C. albicans was found to be significantly higher at almost all sites in the Sjögren's patients than in the controls. The distribution of candida was also altered, being significantly higher in the floor of the mouth and anterior lab...

  13. Factors affecting intra-oral pH - a review.

    Science.gov (United States)

    Loke, C; Lee, J; Sander, S; Mei, L; Farella, M

    2016-10-01

    One of the greatest challenges to modern dentistry is the progressive destruction of tooth material due to chemical erosion. Dental erosion is the loss of dental hard tissue, without the action of bacteria, in which demineralisation of enamel and dentine results due to a decrease in intra-oral pH. The aim of this review was to appraise the scientific literature on the factors that can affect intra-oral pH. The review will examine (i) the protective role of human saliva, in terms of its mineral composition, flow rates and buffering systems and (ii) sources of in-mouth acids such as extrinsic acids, which are derived from the diet and environment, as well as intrinsic acids, which are related to disorders of the gastro-oesophageal tract. This review may assist clinicians to identify the risk factors for tooth wear and to recommend adequate preventive measures to patients. © 2016 John Wiley & Sons Ltd.

  14. Radiation exposure to children in intraoral dental radiology

    International Nuclear Information System (INIS)

    Looe, H. K.; Pfaffenberger, A.; Chofor, N.; Eenboom, F.; Sering, M.; Ruehmann, A.; Poplawski, A.; Willborn, K.; Poppe, B.

    2006-01-01

    In this study, dose area product (DAP) measurements have been performed aiming at establishing diagnostic reference levels (DRLs) in paediatric intraoral dental radiology. Measurements were carried out at 52 X-ray units for all types of intraoral examinations performed in clinical routine. Not all X-ray units have pre-set child exposure settings with reduced exposure time or in some cases lower tube voltage. Child examinations are carried out using adult exposure settings at these units, which increases the DAP third quartile values by up to 50%. For example, third quartile values for peri-apical examination ranges from 14.4 to 40.9 mGy cm 2 for child settings and 20.6 to 48.8 mGy cm 2 when the adult settings are included. The results show that there exists a large difference between the patient exposures among different dental facilities. It was also observed that clinics working with faster film type or higher tube voltage are not always associated with lower exposure. (authors)

  15. Recurrent intraoral HSV-1 infection: A retrospective study of 58 immunocompetent patients from Eastern Europe.

    Science.gov (United States)

    Tovaru, Serban; Parlatescu, Ioanina; Tovaru, Mihaela; Cionca, Lucia; Arduino, Paolo-Giacomo

    2011-03-01

    To revise the clinical features of the recurrent intraoral herpetic infection (RIOH) with respect to precipitating factors, demographic, clinical features and outcome. Fifty-eight, unrelated Caucasian, immunocompetent patients with positive laboratory test for intraoral Herpes simplex virus infection were studied. The mean age in the women's group (n=42) was 41.23 years (± 21.73) and in the men's group was 32.25 years (±15.68). Possible trigger factors were identified in 9 cases (15.5%). General symptoms were noted in 20 cases (34.48%). Most of patients in this study presented multiple lesions. 14 patients had vermillion lesions associated with intraoral lesions. In most of the cases both fixed and mobile mucosa was concomitantly involved. Treatment was prescribed in order to control the symptoms and to shorten the evolution with minimal side effects. Intraoral secondary herpetic infection could be polymorphous and sometimes associated with general symptoms. The recognition of its atypical features may prevent unnecessary and costly investigations and treatments for unrelated though clinically similar-appearing disorders.

  16. A controlled evaluation of oral screen effects on intra-oral pressure curve characteristics.

    Science.gov (United States)

    Knösel, Michael; Jung, Klaus; Kinzinger, Gero; Bauss, Oskar; Engelke, Wilfried

    2010-10-01

    The purpose of this study was to quantify the impact of oral screen (OS) application on intra-oral pressure characteristics in three malocclusion groups. Fifty-six randomly recruited participants (26 males and 30 females) who met the inclusion criteria of either an Angle Class I occlusal relationships or Angle Class II1 or II2 malocclusions, were assigned by dentition to group I (n = 31), group II1 (n = 12), or group II2 (n = 13). Two 3 minute periods of intra-oral pressure monitoring were conducted on each participant, using two different oral end fittings connected to a piezo-resistive relative pressure sensor: (1) a flexible OS and (2) a small-dimensioned air-permeable end cap (EC), which was placed laterally in the premolar region, thus recording intra-oral pressure independent of the influence of the OS. Pressure curve characteristics for both periods and between the malocclusion groups were evaluated with reference to the frequency of swallowing peaks, duration, and altitude of negative pressure plateau phases and the area under the pressure curve. Statistical analysis was undertaken using analysis of variance (ANOVA), the Wilcoxon Mann-Whitney test, and spearman correlation coefficient. A median number of two peaks (median height -20.9 mbar) and three plateau phases (median height of -2.3 mbar) may be regarded as normative for normal occlusion subjects during a 3 minute period, at rest. OS application raised the median average duration and height of intra-oral negative pressure plateau phases in the II1 subjects, exceeding those of group I, but less than the plateau duration in group II2. Median peak heights were distinctively lower in groups I and II1 during OS application. It is concluded that additional training for extension of intra-oral pressure phases may be a promising approach to pre-orthodontic Class II division 1 treatment.

  17. Evidence for use of intraoral scanners under clinical conditions for obtaining full-arch digital impressions is insufficient.

    Science.gov (United States)

    Khraishi, Hadil; Duane, Brett

    2017-03-01

    Data sourcesPubMed, Scopus, Cochrane Library, Web of Science, Embase. Relevant papers were also searched from the reference lists of selected studies. A web search of current manufacturers of intraoral scanners.Study selectionStudies with full-arch digital impressions recorded intraorally that tested any of the following outcomes; validity, repeatability, reproducibility, time efficiency. Patient acceptance of digital impressions were considered for the review.Data extraction and synthesisInitially, only titles of the papers identified from the databases were screened, then further screening of the abstracts of the selected titles was carried out. Then finally, full text articles of the selected abstracts were read and only relevant articles were included in the review. Two examiners assessed the quality of the chosen articles using the QUADAS checklist. Any disagreement was resolved by discussion between the two examiners.ResultsOnly eight studies were found that carried out full-arch intraoral scanning. Four studies reported on validity, repeatability and reproducibility of digital measurements. These studies were included in the qualitative assessment. Two intraoral scanners were tested, Lava COS and iTero. In assessing scanning times and patient perception, six and four studies were included, respectively. A decrease in the scanning time was noted as the operator gained experience.ConclusionsThe literature lacks sufficient evidence to comment on the use of intraoral scanners under clinical conditions. Further studies are needed to properly assess the reliability, accuracy, reproducibility and scanning times of intraoral scans.

  18. EVOLUCIÓN DE FENÓMENOS BÁSICOS DE APRENDIZAJE EN TAREAS DE MEMORIA ESPACIAL: BLOQUEO, ENSOMBRECIMIENTO E INHIBICIÓN LATENTE EN ANFIBIOS

    OpenAIRE

    MARÍA FLORENCIA DANERI; RUBÉN NÉSTOR MUZIO

    2015-01-01

    En este artículo se describen desde una perspectiva comparativa los fenómenos de bloqueo, ensombrecimiento e inhibición latente, enfatizando su presencia en tareas de aprendizaje espacial. Estos fenómenos de aprendizaje, ampliamente observados en otras clases de vertebrados e invertebrados, han sido recientemente descriptos por primera vez en anfibios, un grupo de vertebrados con un cerebro filogenéticamente antiguo. Tomando como modelo al sapo terrestre Rhinella arenarum, se revisarán los tr...

  19. Accuracy of Intraoral Digital Impressions for Whole Upper Jaws, Including Full Dentitions and Palatal Soft Tissues.

    Science.gov (United States)

    Gan, Ning; Xiong, Yaoyang; Jiao, Ting

    2016-01-01

    Intraoral digital impressions have been stated to meet the clinical requirements for some teeth-supported restorations, though fewer evidences were proposed for larger scanning range. The aim of this study was to compare the accuracy (trueness and precision) of intraoral digital impressions for whole upper jaws, including the full dentitions and palatal soft tissues, as well as to determine the effect of different palatal vault height or arch width on accuracy of intraoral digital impressions. Thirty-two volunteers were divided into three groups according to the palatal vault height or arch width. Each volunteer received three scans with TRIOS intraoral scanner and one conventional impression of whole upper jaw. Three-dimensional (3D) images digitized from conventional gypsum casts by a laboratory scanner were chose as the reference models. All datasets were imported to a specific software program for 3D analysis by "best fit alignment" and "3D compare" process. Color-coded deviation maps showed qualitative visualization of the deviations. For the digital impressions for palatal soft tissues, trueness was (130.54±33.95)μm and precision was (55.26±11.21)μm. For the digital impressions for upper full dentitions, trueness was (80.01±17.78)μm and precision was (59.52±11.29)μm. Larger deviations were found between intraoral digital impressions and conventional impressions in the areas of palatal soft tissues than that in the areas of full dentitions (pimpressions for palatal soft tissues was slightly better than that for full dentitions (p = 0.049). There was no significant effect of palatal vault height on accuracy of digital impressions for palatal soft tissues (p>0.05), but arch width was found to have a significant effect on precision of intraoral digital impressions for full dentitions (p = 0.016). A linear correlation was found between arch width and precision of digital impressions for whole upper jaws (r = 0.326, p = 0.034 for palatal soft tissues and r

  20. Accuracy of Intraoral Digital Impressions for Whole Upper Jaws, Including Full Dentitions and Palatal Soft Tissues

    Science.gov (United States)

    Gan, Ning; Xiong, Yaoyang; Jiao, Ting

    2016-01-01

    Intraoral digital impressions have been stated to meet the clinical requirements for some teeth-supported restorations, though fewer evidences were proposed for larger scanning range. The aim of this study was to compare the accuracy (trueness and precision) of intraoral digital impressions for whole upper jaws, including the full dentitions and palatal soft tissues, as well as to determine the effect of different palatal vault height or arch width on accuracy of intraoral digital impressions. Thirty-two volunteers were divided into three groups according to the palatal vault height or arch width. Each volunteer received three scans with TRIOS intraoral scanner and one conventional impression of whole upper jaw. Three-dimensional (3D) images digitized from conventional gypsum casts by a laboratory scanner were chose as the reference models. All datasets were imported to a specific software program for 3D analysis by "best fit alignment" and "3D compare" process. Color-coded deviation maps showed qualitative visualization of the deviations. For the digital impressions for palatal soft tissues, trueness was (130.54±33.95)μm and precision was (55.26±11.21)μm. For the digital impressions for upper full dentitions, trueness was (80.01±17.78)μm and precision was (59.52±11.29)μm. Larger deviations were found between intraoral digital impressions and conventional impressions in the areas of palatal soft tissues than that in the areas of full dentitions (pimpressions for palatal soft tissues was slightly better than that for full dentitions (p = 0.049). There was no significant effect of palatal vault height on accuracy of digital impressions for palatal soft tissues (p>0.05), but arch width was found to have a significant effect on precision of intraoral digital impressions for full dentitions (p = 0.016). A linear correlation was found between arch width and precision of digital impressions for whole upper jaws (r = 0.326, p = 0.034 for palatal soft tissues and r

  1. Accuracy of 3-dimensional curvilinear measurements on digital models with intraoral scanners.

    Science.gov (United States)

    Mack, Spencer; Bonilla, Tammy; English, Jeryl D; Cozad, Benjamin; Akyalcin, Sercan

    2017-09-01

    Our objectives were to evaluate and compare the digital dental models generated from 2 commercial intraoral scanners with manual measurements when performing 3-dimensional surface measurements along a curved line (curvilinear). Dry mandibles (n = 61) with intact dentition were used. The mandibles were digitized using 2 chair-side intraoral scanners: Cadent iTero (Align Technology, San Jose, Calif) and Lythos Digital Impression system (Ormco, Orange, Calif). Digitized 3-dimensional models were converted to individual stereolithography files and used with commercial software to obtain the curvilinear measurements. Manual measurements were carried out directly on the mandibular teeth. Measurements were made on different locations on the dental arch in various directions. One-sample t tests and linear regression analyses were performed. To further graphically examine the accuracy between the different methods, Bland-Altman plots were computed. The level of significance was set at P 0.05). Bland-Altman analysis showed no fixed bias of 1 approach vs the other, and random errors were detected in all comparisons. Although the mean biases of the digital models obtained by the iTero and Lythos scanners, when compared with direct caliper measurements, were low, the comparison of the 2 intraoral scanners yielded the lowest mean bias. No comparison displayed statistical significance for the t scores; this indicated the absence of proportional bias in these comparisons. The intraoral scanners tested in this study produced digital dental models that were comparatively accurate when performing direct surface measurements along a curved line in 3 dimensions. Copyright © 2017 American Association of Orthodontists. Published by Elsevier Inc. All rights reserved.

  2. Validity of Intraoral Scans Compared with Plaster Models: An In-Vivo Comparison of Dental Measurements and 3D Surface Analysis.

    Directory of Open Access Journals (Sweden)

    Fan Zhang

    Full Text Available Dental measurements have been commonly taken from plaster dental models obtained from alginate impressions can. Through the use of an intraoral scanner, digital impressions now acquire the information directly from the mouth. The purpose of this study was to determine the validity of the intraoral scans compared to plaster models.Two types of dental models (intraoral scan and plaster model of 20 subjects were included in this study. The subjects had impressions taken of their teeth and made as plaster model. In addition, their mouths were scanned with the intraoral scanner and the scans were converted into digital models. Eight transverse and 16 anteroposterior measurements, 24 tooth heights and widths were recorded on the plaster models with a digital caliper and on the intraoral scan with 3D reverse engineering software. For 3D surface analysis, the two models were superimposed by using best-fit algorithm. The average differences between the two models at all points on the surfaces were computed. Paired t-test and Bland-Altman plot were used to determine the validity of measurements from the intraoral scan compared to those from the plaster model.There were no significant differences between the plaster models and intraoral scans, except for one measurement of lower intermolar width. The Bland-Altman plots of all measurements showed that differences between the two models were within the limits of agreement. The average surface difference between the two models was within 0.10 mm.The results of the present study indicate that the intraoral scans are clinically acceptable for diagnosis and treatment planning in dentistry and can be used in place of plaster models.

  3. Validity of Intraoral Scans Compared with Plaster Models: An In-Vivo Comparison of Dental Measurements and 3D Surface Analysis

    Science.gov (United States)

    2016-01-01

    Purpose Dental measurements have been commonly taken from plaster dental models obtained from alginate impressions can. Through the use of an intraoral scanner, digital impressions now acquire the information directly from the mouth. The purpose of this study was to determine the validity of the intraoral scans compared to plaster models. Materials and Methods Two types of dental models (intraoral scan and plaster model) of 20 subjects were included in this study. The subjects had impressions taken of their teeth and made as plaster model. In addition, their mouths were scanned with the intraoral scanner and the scans were converted into digital models. Eight transverse and 16 anteroposterior measurements, 24 tooth heights and widths were recorded on the plaster models with a digital caliper and on the intraoral scan with 3D reverse engineering software. For 3D surface analysis, the two models were superimposed by using best-fit algorithm. The average differences between the two models at all points on the surfaces were computed. Paired t-test and Bland-Altman plot were used to determine the validity of measurements from the intraoral scan compared to those from the plaster model. Results There were no significant differences between the plaster models and intraoral scans, except for one measurement of lower intermolar width. The Bland-Altman plots of all measurements showed that differences between the two models were within the limits of agreement. The average surface difference between the two models was within 0.10 mm. Conclusions The results of the present study indicate that the intraoral scans are clinically acceptable for diagnosis and treatment planning in dentistry and can be used in place of plaster models. PMID:27304976

  4. Management of Subcondylar Fracture through Intraoral Approach with Rigid Internal Fixation.

    Science.gov (United States)

    Patil, Ravi S; Gudi, Santosh S

    2011-09-01

    In Oral and Maxillofacial Surgery, the majority of the condylar fractures are treated by closed reduction with generally satisfactory long term results. But in such cases of closed reduction, patient will be uncomfortable owing to long term application of inter maxillary fixation (IMF). Where as, Disadvantages of extra oral open reduction and fixation of condylar fracture includes facial nerve damage, facial scars etc. which are surely eliminated by the intraoral reduction and rigid fixation. The present study was conducted to determine the efficacy of reduction and fixation of low sub-condylar fractures through intra-oral approach. In this study, ten patients with low sub-condylar fracture, reported to department of Oral and Maxillofacial Surgery. P.M.N.M. Dental College and Hospital Bagalkot were included. These patients were treated by open reduction and internal fixation through intra-oral approach. All the patients were evaluated postoperatively for mouth opening, occlusion and mandibular deviation with regular radiographic examination for 6 weeks. All operated patients followed for 6 weeks, maximum mouth opening was more than 40 mm in seven patients (range from 40 to 50 mm) and less than 40 mm in three patients. Occlusion was satisfactory in all and none of the patients showed deviation of mandible on mouth opening. Statistical analysis showed that postoperative mouth opening was significant ('t' value = 7.88, 'P' = (0.000) value = 1.96, 'P' value (0.081), 0.05]. For occlusion standard photographs were obtained at sixth week and found minor occlusal corrections in two patients are treated by elastic traction for few days. Open reduction with internal fixation through intraoral approach has proved to be safe for early function and also effective by avoiding the patient discomfort due to long term intermaxillary fixation, psychological effect, facial nerve damage, facial scar and weight loss.

  5. Versatility of radial forearm free flap for intraoral reconstruction

    Directory of Open Access Journals (Sweden)

    Jeremić Jelena V.

    2015-01-01

    Full Text Available Introduction. The radial forearm free flap has an important role in reconstruction of the oncologic defects in the region of head and neck. Objective. The aim was to present and evaluate clinical experience and results in the radial forearm free transfer for intraoral reconstructions after resections due to malignancies. Methods. This article illustrates the versatility and reliability of forearm single donor site in 21 patients with a variety of intraoral oncologic defects who underwent immediate (19 patients, 90.5% or delayed (2 patients, 9.5% reconstruction using free flaps from the radial forearm. Fascio-cutaneous flaps were used in patients with floor of the mouth (6 cases, buccal mucosa (5 cases, lip (1 case and a retromolar triangle (2 cases defects, or after hemiglossectomy (7 cases. In addition, the palmaris longus tendon was included with the flap in 2 patients that required oral sphincter reconstruction. Results. An overall success rate was 90.5%. Flap failures were detected in two (9.5% patients, in one patient due to late ischemic necrosis, which appeared one week after the surgery, and in another patient due to venous congestion, which could not be salvaged after immediate re-exploration. Two patients required re-exploration due to vein thrombosis. The donor site healed uneventfully in all patients, except one, who had partial loss of skin graft. Conclusion. The radial forearm free flap is, due to multiple advantages, an acceptable method for reconstructions after resection of intraoral malignancies. [Projekat Ministarstva nauke Republike Srbije, br. 41006

  6. Accuracy of complete-arch model using an intraoral video scanner: An in vitro study.

    Science.gov (United States)

    Jeong, Il-Do; Lee, Jae-Jun; Jeon, Jin-Hun; Kim, Ji-Hwan; Kim, Hae-Young; Kim, Woong-Chul

    2016-06-01

    Information on the accuracy of intraoral video scanners for long-span areas is limited. The purpose of this in vitro study was to evaluate and compare the trueness and precision of an intraoral video scanner, an intraoral still image scanner, and a blue-light scanner for the production of digital impressions. Reference scan data were obtained by scanning a complete-arch model. An identical model was scanned 8 times using an intraoral video scanner (CEREC Omnicam; Sirona) and an intraoral still image scanner (CEREC Bluecam; Sirona), and stone casts made from conventional impressions of the same model were scanned 8 times with a blue-light scanner as a control (Identica Blue; Medit). Accuracy consists of trueness (the extent to which the scan data differ from the reference scan) and precision (the similarity of the data from multiple scans). To evaluate precision, 8 scans were superimposed using 3-dimensional analysis software; the reference scan data were then superimposed to determine the trueness. Differences were analyzed using 1-way ANOVA and post hoc Tukey HSD tests (α=.05). Trueness in the video scanner group was not significantly different from that in the control group. However, the video scanner group showed significantly lower values than those of the still image scanner group for all variables (P<.05), except in tolerance range. The root mean square, standard deviations, and mean negative precision values for the video scanner group were significantly higher than those for the other groups (P<.05). Digital impressions obtained by the intraoral video scanner showed better accuracy for long-span areas than those captured by the still image scanner. However, the video scanner was less accurate than the laboratory scanner. Copyright © 2016 Editorial Council for the Journal of Prosthetic Dentistry. Published by Elsevier Inc. All rights reserved.

  7. Radiografia intraoral e convencional da hemiarcada superior direita de gatos domésticos Intraoral and convencional radiography of the right maxilla hemiarcade of domestic cats

    Directory of Open Access Journals (Sweden)

    A.C. Nepomuceno

    2013-02-01

    Full Text Available A proposta com este trabalho foi avaliar a hemiarcada superior direita de gatos domésticos por meio de técnicas radiográficas odontológicas do paralelismo, empregando-se filmes intraorais aos posicionadores de Han Shin. As imagens obtidas por essa metodologia foram correlacionadas com as técnicas radiográficas convencionais (extraorais, com o intuito de se estabelecerem vantagens ou desvantagens para detectar possíveis afecções dentais e periodontais. Foram utilizados 30 gatos, sem raça definida, 17 machos e 13 fêmeas, faixa etária entre um e três anos, confinados em gatis do Departamento de Zootecnia da Universidade Federal de Lavras/MG. Com os animais sob anestesia geral, foram realizadas radiografias da hemiarcada superior direita, incluindo três incisivos, um canino, três pré-molares e um molar em radiografias intraorais e extraorais. As imagens radiográficas foram analisadas e efetuaram-se comparações qualitativas entre pares intraorais e convencionais dos mesmos animais. Para se estabelecer a técnica radiográfica dental mais bem adaptada, foram realizadas análises estatísticas pelo teste de McNemar (qui-quadrado modificado. A técnica intraoral mostrou ser superior à extraoral (PThe aim of this research was to evaluate the right maxilla hemiarcade of cats through parallel dental radiographic techniques, applying Han Shin intraoral film positioner. Images obtained with this method were correlated with conventional radiographic techniques (extraoral. The goal was to establish the advantages and disadvantages to detect possible dental and periodontal diseases. Thirty mixed breed cats were evaluated, 17 males and 13 females, ages one to three years old, confined in catteries in the Department of Zootecnia of the Federal University of Lavras/MG. Radiographies of the right maxilla were taken with the animals under general anesthesia, and three incisors, one canine, three premolars and one molar teeth were included in the

  8. Comparison of caries detection methods using varying numbers of intra-oral digital photographs with visual examination for epidemiology in children

    Science.gov (United States)

    2013-01-01

    Background This was a method comparison study. The aim of study was to compare caries information obtained from a full mouth visual examination using the method developed by the British Association for the Study of Community Dentistry (BASCD) for epidemiological surveys with caries data obtained from eight, six and four intra-oral digital photographs of index teeth in two groups of children aged 5 years and 10/11 years. Methods Five trained and calibrated examiners visually examined the whole mouth of 240 5-year-olds and 250 10-/11-year-olds using the BASCD method. The children also had intra-oral digital photographs taken of index teeth. The same 5 examiners assessed the intra-oral digital photographs (in groups of 8, 6 and 4 intra-oral photographs) for caries using the BASCD criteria; dmft/DMFT were used to compute Weighted Kappa Statistic as a measure of intra-examiner reliability and intra-class correlation coefficients as a measure of inter-examiner reliability for each method. A method comparison analysis was performed to determine the 95% limits of agreement for all five examiners, comparing the visual examination method with the photographic assessment method using 8, 6 and 4 intra-oral photographs. Results The intra-rater reliability for the visual examinations ranged from 0.81 to 0.94 in the 5-year-olds and 0.90 to 0.97 in the 10-/11-year-olds. Those for the photographic assessments in the 5-year-olds were for 8 intra-oral photographs, 0.86 to 0.94, for 6 intra-oral photographs, 0.85 to 0.98 and for 4 intra-oral photographs, 0.80 to 0.96; for the 10-/11-year-olds were for 8 intra-oral photographs 0.84 to 1.00, for 6 intra-oral photographs 0.82 to 1.00 and for 4 intra-oral photographs 0.72 to 0.98. The 95% limits of agreement were −1.997 to 1.967, -2.375 to 2.735 and −2.250 to 2.921 respectively for the 5-year-olds and −2.614 to 2.027, -2.179 to 3.887 and −2.594 to 2.163 respectively for the 10-/11-year-olds. Conclusions The photographic

  9. Intra-oral electron therapy for carcinoma of the oral cavity using transparent acrylic tubes

    International Nuclear Information System (INIS)

    Terashima, Hiromi; Nakata, Hajime; Yoshiura, Takao; Ogawa, Masato; Yoshida, Akio; Ikemura, Kunio

    1986-01-01

    Intra-oral electron therapy for carcinoma of the oral cavity is a well-established treatment modality. However, the conventional metallic tubes were inconvenient to use because the irradiation field had to be confirmed by a side mirror. We devised transparent acrylic tubes which enable the positioning easy by confirming the tumor and irradiation field directry. Seven cases of various intra-oral carcinomas were treated with these new transparent acrylic tubes and good results were obtained. (author)

  10. Effect of intra-oral aging on t→m phase transformation, microstructure, and mechanical properties of Y-TZP dental ceramics.

    Science.gov (United States)

    Miragaya, Luciana Meireles; Guimarães, Renato Bastos; Souza, Rodrigo Othávio de Assunção E; Santos Botelho, Glauco Dos; Antunes Guimarães, José Guilherme; da Silva, Eduardo Moreira

    2017-08-01

    The aim of the present study was to evaluate the influence of intra-oral aging on the tetragonal-to-monoclinic (t→m) phase transformation of two Y-TZP dental ceramics - Lava Frame (Frame) and Lava Plus (Plus) - and determine the impact of this response on their microstructures and mechanical properties: flexural strength, Young's modulus, microhardness and fracture toughness. Standardized ceramic specimens were analyzed by X-ray diffraction (XRD), scanning electron microscopy (SEM) and atomic force microscopy (AFM). After the baseline analysis, the specimens were attached to personalized intra-oral resin appliances and exposed to the oral cavity of 20 subjects for 60 days and then analyzed again. Specimens produced for mechanical properties evaluation were also analyzed before and after the 60-day intra-oral aging. The data were analyzed using two-way ANOVA and Tukey HSD's post hoc test (α=0.05). Weibull analysis was used to evaluate the strength reliability. Both Y-TZP ceramics suffered t→m phase transformation after 60-day intra-oral aging (Plus=4.7%/Frame=7.7%). SEM and AFM analyses showed dislodgement of ZrO 2 grains and a significant increase in roughness after intra-oral aging for both ceramics. Both Y-TZP ceramics suffered a decrease on flexural strength, Young's modulus and fracture toughness after intra-oral aging (pdental ceramics. Copyright © 2017 Elsevier Ltd. All rights reserved.

  11. Evaluation of OK-432 Injection Therapy as Possible Primary Treatment of Intraoral Ranula.

    Science.gov (United States)

    Kono, Michihide; Satomi, Takafumi; Abukawa, Harutsugi; Hasegawa, On; Watanabe, Masato; Chikazu, Daichi

    2017-02-01

    A ranula is a pseudocyst caused by mucous extravasation from the sublingual gland. Recently, a sclerosing agent, OK-432 (picibanil), has been reported to be highly effective for treating lymphangioma and cervical cystic lesions. The present study assessed the effectiveness of OK-432 injection therapy for intraoral ranula to clarify whether it can be used as the primary treatment. The present study was a retrospective clinical study of patients with intraoral ranula who received OK-432 injection therapy from 2005 to 2015. The ranula size was measured on computed tomography or magnetic resonance imaging studies. We dissolved 1 Klinische Einheit (KE) unit of OK-432 powder in normal saline equal to the aspiration volume. The primary endpoint was the treatment results. The secondary endpoints were the relation between the treatment results and the lesion length and aspiration volume. A total of 23 patients received OK-432 injection therapy for an intraoral ranula. The mean lesion size was 19.96 mm. The mean aspiration volume was 2.14 mL. The number of injections was 1 to 4 (mean 1.70). The treatment results were complete regression (CR) in 18 (78.2%), partial regression (PR) in 3 (13.0%), and no response (NR) in 2 (8%) patients after the last injection. The overall efficacy rate was 91.2% (21 of 23). No serious complications were observed. The lesion length and aspiration volume of the CR group was 17.38 mm and 1.40 mL, respectively. The lesion length and aspiration volume of the PR/NR group was 29.20 mm and 4.80 mL, respectively. The PR/NR group lesions were significantly larger than the CR group lesions. OK-432 injection therapy for intraoral ranula is safe and effective compared with other surgical therapies. This therapy could potentially become a primary treatment of intraoral ranula. Copyright © 2016 American Association of Oral and Maxillofacial Surgeons. Published by Elsevier Inc. All rights reserved.

  12. Effect of Software Version on the Accuracy of an Intraoral Scanning Device.

    Science.gov (United States)

    Haddadi, Yasser; Bahrami, Golnosh; Isidor, Flemming

    2018-04-06

    To investigate the impact of software version on the accuracy of an intraoral scanning device. A master tooth was scanned with a high-precision optical scanner and then 10 times with a CEREC Omnicam scanner with software versions 4.4.0 and 4.4.4. Discrepancies were measured using quality control software. Mean deviation for 4.4.0 was 36.2 ± 35 μm and for 4.4.4 was 20.7 ± 14.2 μm (P ≤ .001). Software version has a significant impact on the accuracy of an intraoral scanner. It is important that researchers also publish the software version of scanners when publishing their findings.

  13. Continuous measurement of intra-oral pH and temperature: development, validation of an appliance and a pilot study.

    Science.gov (United States)

    Choi, J E; Loke, C; Waddell, J N; Lyons, K M; Kieser, J A; Farella, M

    2015-08-01

    To describe a novel approach for continuous measurement of intra-oral pH and temperature in individuals carrying out normal daily activities over 24 h. We designed, validated and constructed a custom-made appliance fitted with a pH probe and a thermocouple. Six subjects wore the appliance over a 24-h period for two non-consecutive days, while the intra-oral pH and temperature were measured continuously and recorded. Intra-oral pH and temperature were very similar across different recording days, the difference being not statistically significant (P ≥ 0.14). There was a noticeable difference in the pattern of variation of pH between day and night. During the day, the mean pH was 7.3 (±0.4) and dropped markedly only after consumption of acidic food and drinks. The intra-oral pH decreased slowly during sleep with an average pH of 6.6 (±0.4) being recorded. The difference between day and night was statistically significant (P = 0.002). The mean intra-oral temperature was 33.9 °C (±0.9) during daytime and 35·9 °C (±0·5) during sleep (P = 0.013) with minor fluctuations occurring over 24 h. The continuous and simultaneous intra-oral pH and temperature measurement system described in this report is reliable, easy to construct, able to measure variables over a sustained period and may serve as a future diagnostic tool in a number of applications. © 2015 John Wiley & Sons Ltd.

  14. Validation of assessment of intraoral digital photography for evaluation of dental restorations in clinical research.

    Science.gov (United States)

    Signori, Cácia; Collares, Kauê; Cumerlato, Catarina B F; Correa, Marcos B; Opdam, Niek J M; Cenci, Maximiliano S

    2018-04-01

    The aim of this study was to investigate the validity of assessment of intraoral digital photography in the evaluation of dental restorations. Intraoral photographs of anterior and posterior restorations were classified based on FDI criteria according to the need for intervention: no intervention, repair and replacement. Evaluations were performed by an experienced expert in restorative dentistry (gold standard evaluator) and 3 trained dentists (consensus). The clinical inspection was the reference standard method. The prevalence of failures was explored. Cohen's kappa statistic was used. Validity was accessed by sensitivity, specificity, likelihood ratio and predictives values. Higher prevalence of failed restorations intervention was identified by the intraoral photography (17.7%) in comparison to the clinical evaluation (14.1%). Moderate agreement in the diagnosis of total failures was shown between the methods for the gold standard evaluator (kappa = 0.51) and consensus of evaluators (kappa = 0.53). Gold standard evaluator and consensus showed substantial and moderate agreement for posterior restorations (kappa = 0.61; 0.59), and fair and moderate agreement for anterior restorations (kappa = 0.36; 0.43), respectively. The accuracy was 84.8% in the assessment by intraoral photographs. Sensitivity and specificity values of 87.5% and 89.3% were found. Under the limits of this study, the assessment of digital photography performed by intraoral camera is an indirect diagnostic method valid for the evaluation of dental restorations, mainly in posterior teeth. This method should be employed taking into account the higher detection of defects provided by the images, which are not always clinically relevant. Copyright © 2018 Elsevier Ltd. All rights reserved.

  15. Effect of an intraoral retrusion plate on maxillary arch dimensions in complete bilateral cleft lip and palate patients

    NARCIS (Netherlands)

    Oosterkamp, B.C.; van Oort, R.P.; Dijkstra, P.U.; Stellingsma, K.; Bierman, M.W.; de Bont, L.G.

    Objective: The aim of this study was to analyze maxillary arch dimensions in patients with complete bilateral cleft lip and palate treated with an intraoral retrusion plate prior to lip closure. Patients: The effects of the intraoral retrusion plate were evaluated on serially obtained maxillary

  16. Accuracy of four different digital intraoral scanners: effects of the presence of orthodontic brackets and wire.

    Science.gov (United States)

    Jung, Yoo-Ran; Park, Ji-Man; Chun, Youn-Sic; Lee, Kkot-Nim; Kim, Minji

    The objective of this study was to compare the accuracy of four different digital intraoral scanners and the effects of buccal brackets and orthodontic wire. For this study, three sets of models (Control model, BKT model with buccal bracket, and WBKT model with buccal bracket and orthodontic wire) were scanned using four different types of intraoral scanners: E4D dentist, iTero, Trios, and Zfx IntraScan. The mesiodistal width of the teeth, intercanine width, and intermolar width measured by four scanners were compared. Three-dimensional (3D) images of the brackets were taken using the four scanners. Data were analyzed with one-way ANOVA, independent t test, and post-hoc Tukey test at a significance level of P brackets and orthodontic wire. Comparison of 3D bracket images scanned by the four scanners showed differences in image distortion among the scanners. Bracket characteristics did not affect the 3D bracket images. The four intraoral scanners used in this study differed in accuracy. However, the results acquired by iTero and Trios were more reliable. Effects of buccal brackets and orthodontic wire on the 3D images taken by intraoral scanners were not clinically significant.

  17. An analysis of the physiologic parameters of intraoral wear: a review

    International Nuclear Information System (INIS)

    Lawson, Nathaniel C; Cakir, Deniz; Burgess, John O; Janyavula, Sridhar

    2013-01-01

    This paper reviews the conditions of in vivo mastication and describes a novel method of measuring in vitro wear. Methods: parameters of intraoral wear are reviewed in this analysis, including chewing force, tooth sliding distance, food abrasivity, saliva lubrication, and antagonist properties. Results: clinical measurement of mastication forces indicates a range of normal forces between 20 and 140 N for a single molar. During the sliding phase of mastication, horizontal movement has been measured between 0.9 and 2.86 mm. In vivo wear occurs by three-body abrasion when food particles are interposed between teeth and by two-body abrasion after food clearance. Analysis of food particles used in wear testing reveals that food particles are softer than enamel and large enough to separate enamel and restoration surfaces and act as a solid lubricant. In two-body wear, saliva acts as a boundary lubricant with a viscosity of 3 cP. Enamel is the most relevant antagonist material for wear testing. The shape of a palatal cusp has been estimated as a 0.6 mm diameter ball and the hardest region of a tooth is its enamel surface. pH values and temperatures have been shown to range between 2–7 and 5–55 °C in intraoral fluids, respectively. These intraoral parameters have been used to modify the Alabama wear testing method. (paper)

  18. Intraoral Digital Impressions for Virtual Occlusal Records: Section Quantity and Dimensions

    Directory of Open Access Journals (Sweden)

    Eneko Solaberrieta

    2016-01-01

    Full Text Available The purpose of this study was to locate the 3D spatial position mandibular cast and determine its occlusal contacts in a novel way by using an intraoral scanner as part of the virtual occlusal record procedure. This study also analyzes the requirements in quantity and dimensions of the intraoral virtual occlusal record. The results showed that the best section combination consists of 2 lateral and frontal sections, the width of this section being that of 2 teeth (24 mm × 15 mm. This study concluded that this procedure was accurate enough to locate the mandibular cast on a virtual articulator. However, at least 2 sections of the virtual occlusal records were necessary, and the best results were obtained when the distance between these sections was maximum.

  19. Intraoral Digital Impressions for Virtual Occlusal Records: Section Quantity and Dimensions

    Science.gov (United States)

    Solaberrieta, Eneko; Garmendia, Asier; Brizuela, Aritza; Otegi, Jose Ramon; Pradies, Guillermo; Szentpétery, Andras

    2016-01-01

    The purpose of this study was to locate the 3D spatial position mandibular cast and determine its occlusal contacts in a novel way by using an intraoral scanner as part of the virtual occlusal record procedure. This study also analyzes the requirements in quantity and dimensions of the intraoral virtual occlusal record. The results showed that the best section combination consists of 2 lateral and frontal sections, the width of this section being that of 2 teeth (24 mm × 15 mm). This study concluded that this procedure was accurate enough to locate the mandibular cast on a virtual articulator. However, at least 2 sections of the virtual occlusal records were necessary, and the best results were obtained when the distance between these sections was maximum. PMID:26881226

  20. Intraoral scan bodies in implant dentistry: A systematic review.

    Science.gov (United States)

    Mizumoto, Ryan M; Yilmaz, Burak

    2018-04-05

    Intraoral scan body (ISB) design is highly variable and its role in the digital workflow and accuracy of digital impressions is not well understood. The purpose of this systematic review was to determine the relevant reports pertaining to ISBs with regard to design and accuracy and to describe their evolution and role in the digital dentistry workflow. Special attention was placed on their key features in relation to intraoral scanning technology and the digitization process. A MEDLINE/PubMed search was performed to identify relevant reports pertaining to ISB usage in dentistry. This search included but was not limited to scan body features and design, scan body accuracy, and scan body techniques and the role of ISBs in computer-aided design and computer-aided manufacturing (CAD-CAM) processes. Commercially available scan bodies were examined, and a patient situation was shown highlighting the use of ISBs in the digital workflow. Deficiencies in the reports were found regarding various scan body topics, including ISB features/design, accuracy, and the role of ISBs in CAD-CAM processes. ISBs are complex implant-positioning-transfer devices that play an essential role in the digital workflow and fabrication of accurately fitting implant-supported restorations. With scanner technology rapidly evolving and becoming more widespread, future studies are needed and should be directed toward all parts of the digital workflow when using ISBs. By understanding the basic components of ISBs and how they relate to digital scanning and CAD-CAM technology, more emphasis may be placed on their importance and usage in the digital workflow to ensure accurate transfer of implant position to the virtual and analog definitive cast. Efforts should be made by clinicians to identify an optimal ISB design in relation to the specific intraoral scanning technology being used. Copyright © 2017 Editorial Council for the Journal of Prosthetic Dentistry. Published by Elsevier Inc. All rights

  1. A miniature X-ray tube based on carbon nanotube for an intraoral dental radiography

    International Nuclear Information System (INIS)

    Kim, Hyun Jin; Park, Han Beom; Lee, Ju Hyuk; Cho, Sung Oh

    2016-01-01

    The number of human teeth that can be radiographically taken is limited. Moreover, at least two X-ray shots are required to get images of teeth from both sides of the mouth. In order to overcome the disadvantages of conventional dental radiography, a dental radiograph has been proposed in which an X-ray tube is inserted into the mouth while an X-ray detector is placed outside the mouth. The miniature X-ray tube is required small size to insert into the mouth. Recently, we have fabricated a miniature x-ray tube with the diameter of 7 mm using a carbon nanotube (CNT) field. But, commercialized miniature X-ray tube were adopted a thermionic type using tungsten filament. The X-ray tubes adopted thermionic emission has a disadvantage of increasing temperature of x-ray tube. So it need to cooling system to cool x-ray tube. On the other hands, X-ray tubes adopted CNT field emitters don't need cooling systems because electrons are emitted from CNT by applying high voltage without heating. We have developed the miniature x-ray tube that produce x-ray with uniform spatial distribution based on carbon nanotube field emitters. The fabricated miniature x-ray tube can be stably and reliably operated at 50kV without any vacuum pump. The developed miniature X-ray tube was applied for intraoral dental radiography that employs an intra-oral CNT-based miniature X-ray tube and extra-oral X-ray detectors. An X-ray image of many teeth was successfully obtained by a single X-ray shot using the intra-oral miniature X-ray tube system. Furthermore, images of both molar teeth of pig were simultaneously obtained by a single X-ray shot. These results show that the intraoral dental radiography, which employs an intraoral miniature X-ray tube and an extraoral X-ray detector, performs better than conventional dental radiography

  2. A miniature X-ray tube based on carbon nanotube for an intraoral dental radiography

    Energy Technology Data Exchange (ETDEWEB)

    Kim, Hyun Jin; Park, Han Beom; Lee, Ju Hyuk; Cho, Sung Oh [KAIST, Daejeon (Korea, Republic of)

    2016-05-15

    The number of human teeth that can be radiographically taken is limited. Moreover, at least two X-ray shots are required to get images of teeth from both sides of the mouth. In order to overcome the disadvantages of conventional dental radiography, a dental radiograph has been proposed in which an X-ray tube is inserted into the mouth while an X-ray detector is placed outside the mouth. The miniature X-ray tube is required small size to insert into the mouth. Recently, we have fabricated a miniature x-ray tube with the diameter of 7 mm using a carbon nanotube (CNT) field. But, commercialized miniature X-ray tube were adopted a thermionic type using tungsten filament. The X-ray tubes adopted thermionic emission has a disadvantage of increasing temperature of x-ray tube. So it need to cooling system to cool x-ray tube. On the other hands, X-ray tubes adopted CNT field emitters don't need cooling systems because electrons are emitted from CNT by applying high voltage without heating. We have developed the miniature x-ray tube that produce x-ray with uniform spatial distribution based on carbon nanotube field emitters. The fabricated miniature x-ray tube can be stably and reliably operated at 50kV without any vacuum pump. The developed miniature X-ray tube was applied for intraoral dental radiography that employs an intra-oral CNT-based miniature X-ray tube and extra-oral X-ray detectors. An X-ray image of many teeth was successfully obtained by a single X-ray shot using the intra-oral miniature X-ray tube system. Furthermore, images of both molar teeth of pig were simultaneously obtained by a single X-ray shot. These results show that the intraoral dental radiography, which employs an intraoral miniature X-ray tube and an extraoral X-ray detector, performs better than conventional dental radiography.

  3. Guides for intraoral x-rays

    International Nuclear Information System (INIS)

    Ogunsunlade, O.A.

    1988-01-01

    An h-shaped exterior guide for use in combination with a SNAP-A-RAY film holder for accurately aligning a beam from an X-ray cone with an X-ray film during the process of taking intraoral periapical dental X-rays of the maxillary and mandibular teeth is described comprising: a first guide arm laterally and detachably connectable through a housing means; a traverse arm extending from the midpoint of the first guide arm and parallel to the X-ray film; and a second guide arm extending perpendicularly from an end of the traverse arm toward a plane of the X-ray film and in parallel relation up to an end point of the first guide arm

  4. Motivation and compliance with intraoral elastics.

    Science.gov (United States)

    Veeroo, Helen J; Cunningham, Susan J; Newton, Jonathon Timothy; Travess, Helen C

    2014-07-01

    Intraoral elastics are commonly used in orthodontics and require regular changing to be effective. Unfortunately, poor compliance with elastics is often encountered, especially in adolescents. Intention for an action and its implementation can be improved using "if-then" plans that spell out when, where, and how a set goal, such as elastic wear, can be put into action. Our aim was to determine the effect of if-then plans on compliance with elastics. To identify common barriers to compliance with recommendations concerning elastic wear, semistructured interviews were carried out with 14 adolescent orthodontic patients wearing intraoral elastics full time. Emerging themes were used to develop if-then plans to improve compliance with elastic wear. A prospective pilot study assessed the effectiveness of if-then planning aimed at overcoming the identified barriers on compliance with elastic wear. Twelve participants were randomized equally into study and control groups; the study group received information about if-then planning. The participants were asked to collect used elastics, and counts of these were used to assess compliance. A wide range of motivational and volitional factors were described by the interviewed participants, including the perceived benefits of elastics, cues to remember, pain, eating, social situations, sports, loss of elastics, and breakages. Compliance with elastic wear was highly variable among patients. The study group returned more used elastics, suggesting increased compliance, but the difference was not significant. The use of if-then plans might improve compliance with elastic wear when compared with routine clinical instructions. Copyright © 2014 American Association of Orthodontists. Published by Mosby, Inc. All rights reserved.

  5. Co-occurrence of intraoral hemangioma and port wine stain: A rare case

    Directory of Open Access Journals (Sweden)

    Prasanna Kumar Rao

    2012-01-01

    Full Text Available Hemangiomas are neoplastic proliferations of endothelial cells, characterized by a period of growth after birth, and eventual spontaneous involution. The course can be uneventful with spontaneous resolution; or it may be marked by complications such as infection, bleeding, ulceration, visual defects and feeding difficulties. Apart from these, rare life-threatening complications such as congestive heart failure and consumption coagulopathy may also be seen. Although hemangiomas commonly occur in the head and neck region, intraoral occurrence is relatively rare. A port wine stain is defined as a macular telangiectatic patch which is present at birth and remains throughout life. They may be localized or extensive, affecting a whole limb. This article reports a rare case of co-occurrence of port wine stain with intraoral hemangioma.

  6. Development of a computer simulation system of intraoral radiography using perspective volume rendering of CT data

    International Nuclear Information System (INIS)

    Okamura, Kazutoshi; Tanaka, Takemasa; Yoshiura, Kazunori; Tokumori, Kenji; Kanda, Shigenobu

    2002-01-01

    The purpose of this study was to evaluate the usefulness of a computer simulation system for intraoral radiography as an educational aid for radiographic training for dental students. A dried skull was scanned with a multidetector CT, and the series of slice data was transferred to a workstation. A software AVS Express Developer was used to construct the x-ray projected images from the CT slice data. Geometrical reproducibilities were confirmed using numerical phantoms. We simulated images using the perspective projection method with an average value algorithm on this software. Simulated images were compared with conventional film images projected from the same geometrical positions, including eccentric projection. Furthermore, to confirm the changes of the image depending on the projection angles of the x-ray beam, we constructed simulation images in which the root apexes were enhanced with the maximum value algorithm. Using this method, high resolution simulated images with perspective projection, as opposed to parallel, were constructed. Comparing with conventional film images, all major anatomic components could be visualized easily. Any intraoral radiographs at an arbitrary angular projection could be simulated, which was impossible in the conventional training schema for radiographic technique. Therefore, not only standard projected images but also eccentric projections could be displayed. A computer simulation system of intraoral radiography with this method may be useful for training in intraoral radiographic technique for dental students. (author)

  7. A Study of the Resolution of Dental Intraoral X-Ray Machines

    International Nuclear Information System (INIS)

    Kim, Seon Ju; Chung, Hyon De

    1990-01-01

    The purpose of this study was to assess the resolution and focal spot size of dental X-ray machines. Fifty dental X-ray machines were selected for measuring resolution and focal spot size. These machines were used in general dental clinics. The time on installation of the X-ray machine varies from 1 years to 10 years. The resolution of these machines was measured with the test pattern. The focal spot size of these machines was measured with the star test pattern. The following results were obtained: 1. The resolution of dental intraoral X-ray machines was not significantly changed in ten years. 2. The focal spot size of dental intraoral X-ray machines was not significantly increased in ten years. The statistical analysis between the mean focal spot size and nominal focal spot size was significant at the 0.05 level about the more than 3 years used machines.

  8. A method of multi-view intraoral 3D measurement

    Science.gov (United States)

    Zhao, Huijie; Wang, Zhen; Jiang, Hongzhi; Xu, Yang; Lv, Peijun; Sun, Yunchun

    2015-02-01

    In dental restoration, its important to achieve a high-accuracy digital impression. Most of the existing intraoral measurement systems can only measure the tooth from a single view. Therfore - if we are wilng to acquire the whole data of a tooth, the scans of the tooth from multi-direction ad the data stitching based on the features of the surface are needed, which increases the measurement duration and influence the measurement accuracy. In this paper, we introduce a fringe-projection based on multi-view intraoral measurement system. It can acquire 3D data of the occlusal surface, the buccal surface and the lingual surface of a tooth synchronously, by using a senor with three mirrors, which aim at the three surfaces respectively and thus expand the measuring area. The constant relationship of the three mirrors is calibrated before measurement and can help stitch the data clouds acquired through different mirrors accurately. Therefore the system can obtain the 3D data of a tooth without the need to measure it from different directions for many times. Experiments proved the availability and reliability of this miniaturized measurement system.

  9. Accuracy of single-tooth restorations based on intraoral digital and conventional impressions in patients.

    Science.gov (United States)

    Boeddinghaus, Moritz; Breloer, Eva Sabina; Rehmann, Peter; Wöstmann, Bernd

    2015-11-01

    The purpose of this clinical study was to compare the marginal fit of dental crowns based on three different intraoral digital and one conventional impression methods. Forty-nine teeth of altogether 24 patients were prepared to be treated with full-coverage restorations. Digital impressions were made using three intraoral scanners: Sirona CEREC AC Omnicam (OCam), Heraeus Cara TRIOS and 3M Lava True Definition (TDef). Furthermore, a gypsum model based on a conventional impression (EXA'lence, GC, Tokyo, Japan) was scanned with a standard laboratory scanner (3Shape D700). Based on the dataset obtained, four zirconia copings per tooth were produced. The marginal fit of the copings in the patient's mouth was assessed employing a replica technique. Overall, seven measurement copings did not fit and, therefore, could not be assessed. The marginal gap was 88 μm (68-136 μm) [median/interquartile range] for the TDef, 112 μm (94-149 μm) for the Cara TRIOS, 113 μm (81-157 μm) for the laboratory scanner and 149 μm (114-218 μm) for the OCam. There was a statistically significant difference between the OCam and the other groups (p < 0.05). Within the limitations of this study, it can be concluded that zirconia copings based on intraoral scans and a laboratory scans of a conventional model are comparable to one another with regard to their marginal fit. Regarding the results of this study, the digital intraoral impression can be considered as an alternative to a conventional impression with a consecutive digital workflow when the finish line is clearly visible and it is possible to keep it dry.

  10. The optimum circular field size for dental radiography with intraoral films

    NARCIS (Netherlands)

    Straaten, F.J. van; Aken, J. van

    Intraoral radiographs are often made with circular fields to irradiate the film, and in many instances these fields are much larger than the film. The feasibility of reducing a circular radiation field without increasing the probability of excessive cone cutting was evaluated clinically, and an

  11. Transporte electrogénico en el colon de ratas privadas de sodio : bloqueo de canales epiteliales versus inhibición de la NA, K-ATPASA

    OpenAIRE

    Carra, Graciela E.; Galella, Flavia; Widenberg, Johan; Ibáñez, Jorge E.; Saraví, Fernando D.

    2014-01-01

    La privación dietaria de sodio estimula la secreción de aldosterona. En el colon de rata, la aldosterona elevada aumenta la absorción de Na+, pero además torna electrogénico el mecanismo de absorción (normalmente electroneutro). Dicho transporte electrogénico puede suprimirse mediante el bloqueo de los canales epiteliales de Na+ en la membrana apical o la inhibición de la Na, KATPasa de la membrana basolateral. La absorción electrogénica de sodio está estrechamen...

  12. Reliability of intra-oral quantitative sensory testing (QST) in patients with atypical odontalgia and healthy controls - a multicentre study.

    Science.gov (United States)

    Baad-Hansen, L; Pigg, M; Yang, G; List, T; Svensson, P; Drangsholt, M

    2015-02-01

    The reliability of comprehensive intra-oral quantitative sensory testing (QST) protocol has not been examined systematically in patients with chronic oro-facial pain. The aim of the present multicentre study was to examine test-retest and interexaminer reliability of intra-oral QST measures in terms of absolute values and z-scores as well as within-session coefficients of variation (CV) values in patients with atypical odontalgia (AO) and healthy pain-free controls. Forty-five patients with AO and 68 healthy controls were subjected to bilateral intra-oral gingival QST and unilateral extratrigeminal QST (thenar) on three occasions (twice on 1 day by two different examiners and once approximately 1 week later by one of the examiners). Intra-class correlation coefficients and kappa values for interexaminer and test-retest reliability were computed. Most of the standardised intra-oral QST measures showed fair to excellent interexaminer (9-12 of 13 measures) and test-retest (7-11 of 13 measures) reliability. Furthermore, no robust differences in reliability measures or within-session variability (CV) were detected between patients with AO and the healthy reference group. These reliability results in chronic orofacial pain patients support earlier suggestions based on data from healthy subjects that intra-oral QST is sufficiently reliable for use as a part of a comprehensive evaluation of patients with somatosensory disturbances or neuropathic pain in the trigeminal region. © 2014 John Wiley & Sons Ltd.

  13. Age and gender differences in mechanically induced intraoral temporal summation and conditioned pain modulation in healthy subjects.

    Science.gov (United States)

    Khan, Junad; Korczeniewska, Olga; Benoliel, Rafael; Kalladka, Mythili; Eliav, Eli; Nasri-Heir, Cibelle

    2018-04-13

    The aim of this study was to investigate intraoral temporal summation (TS) and conditioned pain modulation (CPM) and compare the outcome with TS and CPM induced in the forearm. In addition, we aimed to study the effect of age and gender on intraoral and forearm TS and CPM. Mechanical stimulation was induced with # 5.46 von Frey filament applying 26 grams of force. A single stimulus, followed by a train of 30 successive stimuli, was applied intraorally and to the dominant forearm. CPM was assessed with the TS test as the painful stimulus and with immersion of the nondominant hand in a hot water bath as the conditioning stimulus. Gender was significantly associated with TS but not with CPM measures. Females had significantly lower mean TS measured in the face and in the dominant forearm compared with males. Age was significantly associated with CPM, but not with TS measures. In both sites examined, older patients had significantly lower mean CPM compared with younger patients. Mechanical TM elicited in the oral cavity can be used as test stimulus for CPM testing. Intraoral modulation, both TS and CPM, has an extent similar to that of the standard cutaneous extremity. TS was lower in females, and CPM was reduced with age. Copyright © 2018 Elsevier Inc. All rights reserved.

  14. Comparison of intra-oral and study cast measurements in the assessment of malocclusion.

    Science.gov (United States)

    Ovsenik, Maja; Farcnik, Franc M; Verdenik, Ivan

    2004-06-01

    Malocclusion assessment methods are based on registrations and measurements made on study casts, which requires that impressions be taken. In addition to being costly and time-consuming, this process can be unpleasant for very young children. Therefore, the aim of this study was to evaluate the reliability of intra-oral measurements that compute a malocclusion index score to determine malocclusion severity in the mixed dentition. The research was part of a longitudinal study in Slovenia on a sample of 530 3-year-old children. At 8 years of age (mean 8.5 years, standard deviation 0.2), a cohort of 101 children (44 boys, 57 girls) was randomly selected in a cross-sectional study. Quantitative registrations of space and occlusal anomalies were performed intra-orally as well as on study casts. Kappa (kappa) statistics were used to evaluate the agreement between clinical and study cast malocclusion assessments. Systematic bias of measurements was tested using Wilcoxon's signed rank test. The results showed complete agreement between the two measurements for anterior crossbite, anterior open bite and overjet scores (kappa = 1); excellent reliability for the buccal segment relationship (kappa = 0.93), transverse occlusion of posterior teeth (kappa = 0.87); and substantial agreement for overbite (kappa = 0.79) and midline deviation (kappa = 0.71). For the remainder of the traits the agreement was moderate: rotation of incisors (kappa = 0.58), crowding of upper incisors (kappa = 0.51), axial inclination of teeth (kappa = 0.44) and lower incisor crowding (kappa = 0.41). Intra-orally small, but statistically significant scoring of lower incisor rotation and crowding was identified. On the study casts the most favourable axial inclination was found for buccal segment occlusion. Overall classification into severity grades, based on the total malocclusion score, showed excellent agreement between the two methods (kappa = 0.89), without statistically significant bias

  15. Prevalence and intraoral distribution of Candida albicans in Sjögren's syndrome.

    Science.gov (United States)

    Tapper-Jones, L; Aldred, M; Walker, D M

    1980-03-01

    An imprint culture technique has been employed to study the prevalence and intraoral distribution of Candida albicans in 16 patients with Sjögren's syndrome and in 16 healthy controls matched for age, sex, and dental status. The prevalence and intraoral density of C. albicans was found to be significantly higher at almost all sites in the Sjögren's patients than in the controls. The distribution of candida was also altered, being significantly higher in the floor of the mouth and anterior labial sulcus in the Sjögren's group. There was an approximate inverse relationship between candida populations and rate of salivary flow. Mean candida densities were found to be significantly higher in those Sjögren's patients with detectable serum rheumatoid factor in the serum. However, patients with primary Sjögren's syndrome had significantly higher mean candida densities compared with patients with secondary Sjögren's syndrome.

  16. Accuracy of full-arch scans using intraoral and extraoral scanners: an in vitro study using a new method of evaluation.

    Science.gov (United States)

    Muallah, Jonas; Wesemann, Christian; Nowak, Roxana; Robben, Jan; Mah, James; Pospiech, Peter; Bumann, Axel

    The aim of this study was to compare the accuracy of six intraoral scanners as regards clinically relevant distances using a new method of evaluation. An additional objective was to compare intraoral scanners with the indirect digitization of model scanners. A resin master model was created by 3D printing and drilled in five places to reflect the following distances: intermolar width (IMW), intercanine width (ICW), and arch length (AL). To determine a gold standard, the distances were measured with a coordinate measuring instrument (Zeiss O-Inspect 422). The master model was scanned 37 times with the following intraoral scanners: Apollo DI (Sirona), CS 3500 (Carestream Dental), iTero (Cadent), PlanScan (Planmeca), Trios (3Shape), and True Definition (3M Espe), and indirectly digitized with the OrthoX Scan (Dentaurum). The digital models were then measured, and deviations from the gold standard calculated. Significant differences were found between the devices. Among the intraoral scanners, Trios and iTero showed the most accurate results, although CS 3500, True Definition, and Apollo DI achieved comparable results. PlanScan demonstrated the highest deviations from the gold standard, and presented a high standard deviation (SD). Direct digitization revealed comparable (and, in fact, slightly higher) accuracy than indirect digitization. Both indirect digitization and most of the intraoral scanners were therefore demonstrated to be suitable for use in the orthodontic office, with the exception of PlanScan, which did not meet the demands of individual orthodontic treatment.

  17. Intraoral frostbite and Leidenfrost effect.

    Science.gov (United States)

    Divya, V C; Saravanakarthikeyan, B

    2018-04-21

    Current lifestyle trends encouraging the rise in use of liquid nitrogen in food and beverages may eventually increase the episodes of injuries reported as well. Here, we report the first case of intraoral frostbite as a result of direct injury to the tissues due to ingestion of liquid nitrogen. The mechanism of injury to the oral mucosa in the absence of any injury to the gastric mucosa is explained correlating it to the Leidenfrost phenomenon. Awareness and proper regulations for the use of liquid nitrogen are unavailable and must be created in order to avoid any potential mortality. The diagnostician must consider the possibility of a chemical agent such as liquid nitrogen, which is so widely being used in the food and beverage industry, as a possible aetiological factor of oral mucosal injury. © 2018 Australian Dental Association.

  18. Intraoral blue (Jadassohn-Tieche) nevus.

    Science.gov (United States)

    Hasse, C D; Zoutendam, G L; Gombas, O F

    1978-05-01

    Blue nevus of the oral mucosa is a distinctly uncommon clincial entity. Careful review of the literature yielded thirty-one previously reported cases. The present article reports the occurrence of a blue nevus of the hard palate in a 58-year-old man. It is of interest since it is the smallest (1 by 1 mm.) intraoral blue nevus to be reported. A clinicopathologic study of the previous thirty-one cases and of our case suggests that this lesion has no age or sex predilection. The most common site of occurrence was the hard palate. There appears to be no tendency toward recurrence. A brief review of the historical background, clinical features, theories of possible origin, and differential diagnosis is presented. Excisional biopsy of localized areas of oral pibmentation, together with histopathologic study, is indicated to rule out melanoma.

  19. Establishment of local diagnostic reference levels for quality control in intraoral radiography.

    Science.gov (United States)

    Izawa, Maki; Harata, Yasuo; Shiba, Noriyoshi; Koizumi, Nobuhide; Ozawa, Tomonori; Takahashi, Nobutoshi; Okumura, Yasuhiko

    2017-01-01

    To investigate the dosage and imaging conditions for patients undergoing intraoral radiography at Meikai University Hospital and establish assurance and quality control data. Tube voltage, exposure time, and air kinetic energy released per unit mass (air kerma) of three intraoral radiography units were measured. To calculate the patient entrance dose (PED) for each radiograph using Insight film, we extracted data for 1063 patients from their exposure records. The PED was compared with the diagnostic reference level (DRL) from the European Commission and the UK. The tube voltage of the three units was maintained at 60 ± 2 kV. Differences in exposure time were less than 1.7 % for all units. The air kerma rates were well maintained within a 4.2 % error. Based on the patient data, there were no significant differences in the mean exposure times for males and females for all anatomical sites. The mean PED ranged from 1.09 ± 0.31 mGy for the mandibular incisors to 2.42 ± 0.33 mGy for the maxillary molars. The mean PED at the mandibular molars using InSight film was 1.59 ± 0.20 mGy, being less than the recommended value based on the DRL for intraoral radiography in the UK. We concluded that radiographic conditions at the hospital have been properly maintained. This basic quality control data may assist other dental radiation facilities to reduce patient dosage.

  20. The tongue microbiome in healthy subjects and patients with intraoral halitosis

    NARCIS (Netherlands)

    Seerangaiyan, Kavitha; van Winkelhoff, Arie Jan; Harmsen, Hermie J. M.; Rossen, John W. A.; Winkel, Edwin G.

    2017-01-01

    Intra-oral halitosis (IOH) is an unpleasant odor emanating from the oral cavity. It is thought that the microbiota of the dorsal tongue coating plays a crucial role in this condition. The aim of the study was to investigate the composition of the tongue microbiome in subjects with and without IOH. A

  1. The Soft Seal disposable laryngeal mask airway in adults: comparison of two insertion techniques without intra-oral manipulation.

    Science.gov (United States)

    Kuvaki, B; Küçükgüçlü, S; Iyilikçi, L; Tuncali, B E; Cinar, O

    2008-10-01

    We investigated whether insertion of the disposable Soft Seal laryngeal mask airway (SSLM) was successful without intra-oral digital manipulation. One hundred patients undergoing anaesthesia using the SSLM were randomly assigned into two groups. Insertion was performed by either a direct or a rotational technique, both without intra-oral digital manipulation. The primary outcome measure was successful insertion at first attempt. Other outcomes included insertion time, fibreoptic assessment of the airway view and airway morbidity. The first attempt success rate was higher (98%) with the direct technique than with the rotational technique (75%; p = 0.002) but insertion time was faster with the latter method (mean [range] 15 [8-50] s) than with the direct method (20 [8-56] s; p = 0.035). Fibreoptic assessment and airway morbidity were similar in both groups. We conclude that the SSLM can be successfully inserted without intra-oral digital manipulation.

  2. Using Intraoral Scanning Technology for Three-Dimensional Printing of Kennedy Class I Removable Partial Denture Metal Framework: A Clinical Report.

    Science.gov (United States)

    Hu, Feng; Pei, Zhenhua; Wen, Ying

    2017-11-16

    Removable partial dentures (RPDs) are used to restore missing teeth and are traditionally fabricated using the lost-wax casting technique. The casting process is arduous, time-consuming, and requires a skilled technician. The development of intraoral scanning and 3D printing technology has made rapid prototyping of the RPD more achievable. This article reports a completed case of direct fabrication of a maxillary RPD metal framework (Kennedy Class I) using intraoral scanning and 3D printing techniques. Acceptable fit and satisfactory clinical outcome were demonstrated. Intraoral scanning and 3D printing for fabrication of the RPD metal framework is a useful alternative to conventional impression and casting techniques, especially for patients suffering from nasal obstruction or intolerance. © 2017 by the American College of Prosthodontists.

  3. ABOUT EXPERIENCE OF THE DR.SUNI1800 INTRAORAL RADIOVISIOGRAPH AND OPENDENTAL EMR-SYSTEM INTEGRATION

    Directory of Open Access Journals (Sweden)

    A. V. Semenets

    2015-05-01

    Full Text Available Digital radiovisiography is widely used X-ray technology in the dentistry practice for the diagnostics currently. The brief overview of the market of the digital radiovisiographs and related radiology information systems is given. High hardware and software prices are often combined with insufficient and low-quality support services. The Dr.Suni 1800 intraoral radiovisiograph installation problems due to the outdated software are described. The abilities of the open-source free software usage in the radiology diagnoses tasks are shown. The existing methodology of the Dr.Suni 1800 intraoral radiovisiograph and the OpenDental medical information system integration is improved. An updated step-by-step integration procedure is presented. The Windows 7 (32-bit edition compatibility is confirmed.

  4. Comparison of cone - beam computed tomography and intraoral radiography in detection of recurrent caries under composite restorations

    Energy Technology Data Exchange (ETDEWEB)

    Kasraei, Shahin; Shokri, Abbas; Poorolajal, Jalal; Rahmani, Hamid, E-mail: Dr.a.shokri@gmail.com [Hamadan University of Medical Sciences Hamadan (Iran, Islamic Republic of); Khajeh, Samira [Kurdistan University of Medical Sciences, Sanandaj (Iran, Islamic Republic of)

    2017-01-15

    Secondary caries is the most common cause of dental restoration failures. This study aimed to compare the diagnostic accuracy of conventional and digital intraoral radiography and cone beam computed tomography (CBCT) for detection of recurrent caries around composite restorations mesio-occluso-distal (MOD) cavities were prepared using bur on 45 extracted sound human molar teeth. The teeth were divided into 3 groups. In the control group, cavities were restored with composite resin after etching and bonding (n=15). In Group 2, 500-μm thick wax was placed over the buccal, lingual and gingival walls and the cavities were restored with composite resin. Group 3 specimens were subjected to pH cycling and artificial caries were created on the buccal, lingual and gingival walls. The cavities were restored with composite. Conventional and digital photo-stimulable phosphor (PSP; Optime) radiographs and two CBCTs images (NewTom 3G and Cranex 3D) were obtained from them. Presence or absence of caries in the cavity walls was assessed on these images. Data were analyzed using Kappa statistic. The diagnostic accuracy of CBCT was significantly higher than that of digital and conventional intraoral radiography (p<0.05). The accuracy was 0.83, 0.78, 0.55 and 0.49 for CBCT Cranex 3D, CBCT NewTom 3G, conventional and digital intraoral radiography, respectively. CBCT has a higher diagnostic accuracy than digital and conventional intraoral radiography for detection of secondary caries around composite restorations. (author)

  5. Comparison of cone - beam computed tomography and intraoral radiography in detection of recurrent caries under composite restorations

    International Nuclear Information System (INIS)

    Kasraei, Shahin; Shokri, Abbas; Poorolajal, Jalal; Rahmani, Hamid; Khajeh, Samira

    2017-01-01

    Secondary caries is the most common cause of dental restoration failures. This study aimed to compare the diagnostic accuracy of conventional and digital intraoral radiography and cone beam computed tomography (CBCT) for detection of recurrent caries around composite restorations mesio-occluso-distal (MOD) cavities were prepared using bur on 45 extracted sound human molar teeth. The teeth were divided into 3 groups. In the control group, cavities were restored with composite resin after etching and bonding (n=15). In Group 2, 500-μm thick wax was placed over the buccal, lingual and gingival walls and the cavities were restored with composite resin. Group 3 specimens were subjected to pH cycling and artificial caries were created on the buccal, lingual and gingival walls. The cavities were restored with composite. Conventional and digital photo-stimulable phosphor (PSP; Optime) radiographs and two CBCTs images (NewTom 3G and Cranex 3D) were obtained from them. Presence or absence of caries in the cavity walls was assessed on these images. Data were analyzed using Kappa statistic. The diagnostic accuracy of CBCT was significantly higher than that of digital and conventional intraoral radiography (p<0.05). The accuracy was 0.83, 0.78, 0.55 and 0.49 for CBCT Cranex 3D, CBCT NewTom 3G, conventional and digital intraoral radiography, respectively. CBCT has a higher diagnostic accuracy than digital and conventional intraoral radiography for detection of secondary caries around composite restorations. (author)

  6. Analgesia pós-operatória para procedimentos cirúrgicos ortopédicos de quadril e fêmur: comparação entre bloqueio do compartimento do psoas e bloqueio perivascular inguinal Analgesia postoperatoria para procedimientos quirúrgicos ortopédicos de cadera y fémur: comparación entre bloqueo del compartimiento del psoas y bloqueo perivascular inguinal Postoperative analgesia for orthopedic surgeries of the hip and femur: a comparison between psoas compartment and inguinal paravascular blocks

    Directory of Open Access Journals (Sweden)

    Luiz Eduardo Imbelloni

    2006-12-01

    dos cinco nervos do plexo lombar.JUSTIFICATIVA Y OBJETIVOS: Este estudio evaluó la eficacia de la inyección única de bupivacaína a 0,25% en el compartimiento del psoas o perivascular inguinal a través del estimulador de nervios periféricos para analgesia postoperatoria en pacientes sometidos a intervenciones quirúrgicas ortopédicas. MÉTODO: Cien pacientes recibieron bloqueo del plexo lumbar a través del compartimiento del psoas y fueron comparados con 100 pacientes que recibieron bloqueo del plexo lumbar vía perivascular inguinal, identificados por el estimulador de nervios periféricos con la inyección de 40 mL bupivacaína a 0,25% sin epinefrina. La analgesia en los nervios ilioinguinal, genitofemoral, cutáneo femoral lateral, femoral y obturatorio fue evaluada a las 4, 8, 12, 16, 20 y 24 horas después del final de la intervención quirúrgica. La intensidad del dolor también fue medida en el mismo período. La cantidad de opioides administrada en el postoperatorio fue anotada. En cinco pacientes de cada grupo, un estudio radiográfico con contraste no iónico se realizó para medir la dispersión de la solución anestésica. RESULTADOS: Los nervios ilioinguinal, genitofemoral, cutáneo femoral lateral, femoral y obturatorio fueron bloqueados en 92% de los pacientes en el compartimiento del psoas versus 62% en el bloqueo perivascular inguinal. El bloqueo del plexo lumbar redujo la necesidad de opioides y 42% de los pacientes sometidos al bloqueo del compartimiento del psoas y 36% de los pacientes en el bloqueo inguinal no necesitaron analgésico adicional en el postoperatorio. La duración de la analgesia fue de aproximadamente 21 horas con el bloqueo del compartimiento del psoas y 15 horas en el bloqueo perivascular inguinal. CONCLUSIONES: El bloqueo del compartimiento del psoas y perivascular inguinal es una excelente técnica para la analgesia postoperatoria en intervenciones quirúrgicas ortopédicas reduciendo la necesidad de opioides. Ese

  7. Diagnostic Performance of the Intraoral Radiographs on the Interproximal Dental Caries

    International Nuclear Information System (INIS)

    Kim, Soo Ji; Kang, Byung Cheol

    1998-01-01

    The purpose of this study was to evaluated the diagnostic performance of the senior dental students for the proximal dental caries in intraoral radiographs and to compare it with the dental hospital residents, the reference group. It was also investigated the diagnostic performance according to the carious lesion depth. Thirty-five intraoral periapical and bitewing radiographs with 213 proximal surface included in this study were selected from the dental patients at Chonnam National University Hospital. The observers were 181 senior dental students from 5 dental schools and 40 dentists who were second year resident from 5 dental hospitals. They were asked to evaluate the presence ro the absence of the proximal dental caries. The results were as follows : 1. The mean of the hitting rate for the overall observers was 184.51 surfaces and the diagnostic accuracy was 86.62%. 2. The diagnostic performance of the sound proximal tooth surfaces was very high, i.e., 91.5% true negative rate and 8.5% false positive rate. 3. The diagnostic performance of the dentist group was higher than the student group (P 0.001).

  8. New intraoral x-ray fluorographic imaging for dentistry

    International Nuclear Information System (INIS)

    Higashi, T.; Osada, T.; Aoyama, W.; Iguchi, M.; Suzuki, S.; Kanno, M.; Moriya, K.; Yoshimura, M.; Tusuda, M.

    1983-01-01

    A new dental x-ray fluorographic unit has been developed. This unit is composed of small intraoral x-ray tube, a compact x-ray image intensifier, and a high-resolution TV system. The purposes for developing this equipment were to (1) directly observe the tooth during endodontic procedures and (2) reduce x-ray exposure to the patient and the dentist. The radiation exposure can be reduced to about 1/600 the exposure used with conventional dental film. In clinical trials, a satisfactory fluorographic dental image for endodontic treatment was obtained with this new device

  9. Intraoral corrosion of self-ligating metallic brackets and archwires and the effect on friction

    Science.gov (United States)

    Tima, Lori Lynn

    The purpose of this study was to investigate how the frictional coefficient was affected due to intraoral use. A secondary aim of this study was to determine whether or not there was a relationship between corrosion of orthodontic alloys and friction via scanning electron microscopic qualitative analysis. Orthodontic brackets and 0.019 x 0.025 inch stainless steel archwires were collected and divided into three groups of n=10: used bracket and used wires (UBUW), used brackets and new wires (UBNW), and new brackets and new wires (NBNW). New materials were as-received from the manufacturer, and used materials were clinically used bracket and wires collected from patients following orthodontic treatment. Archwires were pulled through bracket slots at a rate of 0.5mm/min while friction forces were measured. Following a cleaning process, the surface topography of the bracket slots was examined under a scanning electron microscope (SEM). Based on a 1-factor MANOVA, there was no significant group effect (all p>0.05) on frictional forces. Partial eta squared values indicated that intraoral exposure had only a small effect on frictional forces (≤ 3%). Qualitative analysis of SEM images did not show an association between surface characteristics of the bracket slots and magnitude of frictional force. Results suggest that surface corrosion from intraoral use does not significantly affect friction at the bracket wire interface.

  10. Fluoride and urea chewing gums in an intra-oral experimental caries model

    NARCIS (Netherlands)

    Sjogren, K; Ruben, J; Lingstrom, P; Lundberg, AB; Birkhed, D

    2002-01-01

    The aim of the present investigation was to evaluate the effect of sugar-free chewing gums containing fluoride (F) and urea in an intra-oral experimental caries model. Placebo chewing gums (without any active ingredient) and no gum served as controls. Fifteen subjects participated in a cross-over,

  11. Avance maxilar en pacientes fisurados labio palatinos con distractor intraoral

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    Adoración Martínez Plaza

    2015-07-01

    Conclusiones: La DO intraoral es una técnica alternativa exitosa para avance del maxilar en pacientes fisurados labio palatinos que necesiten un avance inferior a 10 mm. Produce mejoras en el perfil esquelético y blando. Los dispositivos internos no producen impacto psicológico. La contención más larga en el tiempo. La recidiva es difícil de definir y calcular.

  12. The combined use of radiotherapy and immunochemotherapy with Krestin for intra-oral cancer

    International Nuclear Information System (INIS)

    Komatsu, Yukihisa; Kuroda, Manabu

    1981-01-01

    Interstitial irradiation with needles 226 Ra was performed on 3 patients with intra-oral cancer. Krestin, an immunotherapeutic agent, was administered three times a day. All patients were also given 600 mg of FT-207/day as adjuvant chemotherapy. Moreover, one of them was also given 0.75 mg/day of eskinon every day. As parameters of immunological competence, PPD and PHA intracutaneous responses and the lymphocyte count in peripheral blood were used. Ulcers of intra-oral cancer were completely heated and there was no lymph node enargement. Though there were changes in PPD intracutaneous responses among three patients, positive responses were maintained. Absolute values of the lymphocyte count in peripheral blood were almost above 1,000/mm 3 in patients treated with both krestin and FT-207, but those in a patient treated with additional eskinon decreased gradually to 450/mm 3 . (Tsunoda, M.)

  13. Facial exposure dose assessment during intraoral radiography by radiological technologists

    Energy Technology Data Exchange (ETDEWEB)

    Yu, Hwan; Yang, Han Joon [Dept. of International Radiological Science, Hallym University of Graduate Studies, Chuncheon (Korea, Republic of)

    2014-09-15

    The study examined the changes in the decreased facial exposure dose for radiological technologists depending on increased distance between the workers and the X-ray tube head during intraoral radiography. First, the facial phantom similar to the human tissues was manufactured. The shooting examination was configured to the maxillary molars for adults (60 kVp, 10 mA, 50 msec) and for children (60 kVp, 10 mA, 20 msec), and the chamber was fixed where the facial part of the radiation worker would be placed using the intraoral radiography equipment. The distances between the X-ray tube head and the phantom were set to 10 cm, 15 cm, 20 cm, 25 cm, 30 cm, 35 cm, and 40 cm. The phantom was radiated 20 times with each examination condition and the average scattered doses were examined. The rate at the distance of 40 cm decreased by about 92.6% to 7.43% based on the scattered rays radiated at the distance of 10 cm under the adult conditions. The rate at the distance of 40 cm decreased by about 97.6% to 2.58% based on the scattered rays radiated at the distance of 10 cm under the children conditions. Protection from the radiation exposure was required during the dental radiographic examination.

  14. Maxillary advancement using distraction osteogenesis with intraoral device.

    Science.gov (United States)

    Takigawa, Yoko; Uematsu, Setsuko; Takada, Kenji

    2010-11-01

    This article describes the surgical orthodontic treatment of maxillary hypoplasia in a patient with cleft lip and palate using maxillary distraction osteogenesis with internal maxillary distractors. Maxillary advancement was performed to correct the retrusive maxillary facial profile and Class III malocclusion. Rotational movement of the distraction segment was made to correct the upper dental midline. Although maxillary advancement was insufficient because of unexpected breakage of the intraoral distractor after completion of the distraction, skeletal traction with a face mask compensated for the shortage. Successful esthetic improvement and posttreatment occlusal stability were achieved with no discernible relapse after 2 years of retention.

  15. Evaluation and clinical use of an intraoral inferior alveolar nerve block in the horse.

    Science.gov (United States)

    Henry, T; Pusterla, N; Guedes, A G P; Verstraete, F J M

    2014-11-01

    Local anaesthesia is often required to facilitate invasive procedures in equine dental patients under standing sedation. To show that an intraoral approach can be used to desensitise the inferior alveolar nerve in horses and report complications seen with this technique. The distance of the mandibular foramen from the distal (caudal) edge of the mandibular third molar tooth, rostral edge of the mandibular ramus and ventral margin of the mandible were measured in 26 adult equine skulls of various ages and breeds. Computed tomography (CT) was used to verify the placement of the local anaesthetic with a custom-made device on 4 equine cadaver heads. The technique was applied in 43 clinical cases having procedures performed on the mandibular quadrants using the delivery device. Computed tomography demonstrated that the intraoral approach provided deposition of the local anaesthetic at the mandibular foramen and anatomical localisation of mandibular foramen indicated that anaesthetic solution could be delivered with a 38 mm needle. Clinical patients to lerated invasive dental procedures following the inferior alveolar nerve block with a 5 ml dose of local anaesthetic, without evidence of self-inflicted lingual trauma. The inferior alveolar nerve was successfully desensitised with the intraoral approach with minimal complications. The reduced volume of local anaesthetic and ability to deposit the local anaesthetic in close proximity to the nerve compared with an extraoral technique may decrease the complication of self-inflicted lingual trauma. © 2013 EVJ Ltd.

  16. Standing intraoral extractions of cheek teeth aided by partial crown removal in 165 horses (2010-2016).

    Science.gov (United States)

    Rice, M K; Henry, T J

    2018-01-01

    Diseased cheek teeth in horses often require invasive extraction techniques that carry a high rate of complications. Techniques and instrumentation were developed to perform partial crown removal to aid standing intraoral extraction of diseased cheek teeth in horses. To analyse success rates and post-surgical complications in horses undergoing cheek teeth extraction assisted by partial crown removal. Retrospective cohort study. This study included 165 horses with 194 diseased cheek teeth that were extracted orally assisted by partial crown removal between 2010 and 2016. Medical records were analysed, including case details, obtained radiographs, surgical reports and follow-up information. Follow-up information (≥2 months) was obtained for 151 horses (91.5%). There were 95 horses examined post-operatively by the authors and, 16 horses by the referring veterinarian; in 40 horses, post-operative follow up was obtained by informal telephone interviews with the owner. Successful standing intraoral extraction of cheek teeth was obtained in 164/165 horses (99.4%). Twenty-five of these horses (15.2%) required additional intraoral extraction methods to complete the extraction, including minimally invasive transbuccal approach (n = 21) and tooth sectioning (n = 4). There was one (0.6%) horse with intraoral extraction failure that required standing repulsion to complete the extraction. The intraoperative complication of fractured root tips occurred in 11/165 horses (6.7%). Post-operative complications occurred in 6/165 horses (3.6%), including alveolar sequestra (n = 4), mild delay of alveolar healing at 2 months (n = 1), and development of a persistent draining tract secondary to a retained root tip (n = 1). Specialised instrumentation and additional training in the technique are recommended to perform partial crown removal in horses. Horses with cheek teeth extraction by partial crown removal have an excellent prognosis for a positive outcome. The term partial coronectomy

  17. On the tip of the tongue: learning typing and pointing with an intra-oral computer interface.

    Science.gov (United States)

    Caltenco, Héctor A; Breidegard, Björn; Struijk, Lotte N S Andreasen

    2014-07-01

    To evaluate typing and pointing performance and improvement over time of four able-bodied participants using an intra-oral tongue-computer interface for computer control. A physically disabled individual may lack the ability to efficiently control standard computer input devices. There have been several efforts to produce and evaluate interfaces that provide individuals with physical disabilities the possibility to control personal computers. Training with the intra-oral tongue-computer interface was performed by playing games over 18 sessions. Skill improvement was measured through typing and pointing exercises at the end of each training session. Typing throughput improved from averages of 2.36 to 5.43 correct words per minute. Pointing throughput improved from averages of 0.47 to 0.85 bits/s. Target tracking performance, measured as relative time on target, improved from averages of 36% to 47%. Path following throughput improved from averages of 0.31 to 0.83 bits/s and decreased to 0.53 bits/s with more difficult tasks. Learning curves support the notion that the tongue can rapidly learn novel motor tasks. Typing and pointing performance of the tongue-computer interface is comparable to performances of other proficient assistive devices, which makes the tongue a feasible input organ for computer control. Intra-oral computer interfaces could provide individuals with severe upper-limb mobility impairments the opportunity to control computers and automatic equipment. Typing and pointing performance of the tongue-computer interface is comparable to performances of other proficient assistive devices, but does not cause fatigue easily and might be invisible to other people, which is highly prioritized by assistive device users. Combination of visual and auditory feedback is vital for a good performance of an intra-oral computer interface and helps to reduce involuntary or erroneous activations.

  18. Radiation protection and quality assurance in dental radiology: I. Intraoral radiography

    International Nuclear Information System (INIS)

    Martinez-Beneyto, Y.; Alcaraz, M.; Jodar-Porlan, S.; Saura-Iniesta, A.M.; Velasco-Hidalgo, E.

    2001-01-01

    This paper studies 2524 official reports on quality assurance in dental radiography, made in the context of the three first revisions of these dental clinics as a result of the entry into force of the regulations establishing the duties for these types of facilities. In the results section we present a quantitative analysis of the facilities equipped with an intraoral device, making a special reference to the brands they have available, as well as their physical features (KV, mAs, filtration, length of cone) and the deviations detected in their operation. Some of the features in the process of obtaining radiological images at those facilities (film control, development time, liquid renewal) are determined, and the average dose of ionizing radiation used in order to obtain the radiological image of the same tooth is presented. This paper shows, in a quantitative way, the characteristic features of intraoral dental radiology in our medium. The study is intended to be continued during the next years, which would allow the assessment of the prospective improvement in dental radiological performances as a result of the newly established regulations. (author)

  19. Application of intra-oral dental scanners in the digital workflow of implantology.

    Directory of Open Access Journals (Sweden)

    Wicher J van der Meer

    Full Text Available Intra-oral scanners will play a central role in digital dentistry in the near future. In this study the accuracy of three intra-oral scanners was compared.A master model made of stone was fitted with three high precision manufactured PEEK cylinders and scanned with three intra-oral scanners: the CEREC (Sirona, the iTero (Cadent and the Lava COS (3M. In software the digital files were imported and the distance between the centres of the cylinders and the angulation between the cylinders was assessed. These values were compared to the measurements made on a high accuracy 3D scan of the master model.The distance errors were the smallest and most consistent for the Lava COS. The distance errors for the Cerec were the largest and least consistent. All the angulation errors were small.The Lava COS in combination with a high accuracy scanning protocol resulted in the smallest and most consistent errors of all three scanners tested when considering mean distance errors in full arch impressions both in absolute values and in consistency for both measured distances. For the mean angulation errors, the Lava COS had the smallest errors between cylinders 1-2 and the largest errors between cylinders 1-3, although the absolute difference with the smallest mean value (iTero was very small (0,0529°. An expected increase in distance and/or angular errors over the length of the arch due to an accumulation of registration errors of the patched 3D surfaces could be observed in this study design, but the effects were statistically not significant.For making impressions of implant cases for digital workflows, the most accurate scanner with the scanning protocol that will ensure the most accurate digital impression should be used. In our study model that was the Lava COS with the high accuracy scanning protocol.

  20. Analgesia pós-operatória em correção cirúrgica de pé torto congênito: comparação entre bloqueio nervoso periférico e bloqueio peridural caudal Analgesia postoperatoria en corrección quirúrgica de pie jorobado congénito: comparación entre bloqueo nervioso periférico y bloqueo epidural caudal Postoperative analgesia for the surgical correction of congenital clubfoot: comparison between peripheral nerve block and caudal epidural block

    Directory of Open Access Journals (Sweden)

    Monica Rossi Rodrigues

    2009-12-01

    con dolor postoperatorio intenso. La técnica más utilizada en niños es la epidural caudal asociada a la anestesia general. Posee la limitante de una corta duración de la analgesia postoperatoria. Los bloqueos de nervios periféricos han sido indicados como procedimientos con una baja incidencia de complicaciones y un tiempo prolongado de analgesia. El objetivo del estudio actual, fue comparar el tiempo de analgesia de los bloqueos nerviosos periféricos y del bloqueo caudal y el consumo de morfina, en las primeras 24 horas después de la corrección de PJC en niños. MÉTODO: Estudio randómico doble ciego, en niños sometidos a la intervención quirúrgica para liberación posteromedial de PJC, ubicadas en cuatro grupos conforme a la técnica anestésica: caudal (ACa; bloqueos isquiático y femoral (IF; bloqueos isquiático y safeno (IS; bloqueo isquiático y anestesia local (IL, asociados a la anestesia general. En las primeras 24 horas, los pacientes recibieron dipirona y paracetamol vía oral y fueron evaluados por un anestesiólogo que no conocía la técnica usada. Conforme a las puntuaciones de la escala CHIPPS (Children's and infants postoperative pain scale, se administraba morfina vía oral (0,19 mg.kg-1 por día. RESULTADOS: Fueron estudiados 118 niños distribuidos en los grupos ACa (30, IF (32, IS (28 IL (28. El tiempo promedio entre el bloqueo y la primera dosis de morfina fue de 6,16 horas en el grupo ACa, 7,05 horas en el IF, 7,58 horas en el IS y 8,18 horas en el IL. El consumo de morfina fue de 0,3 mg.kg-1 por día en los cuatro grupos. No hubo diferencia significativa entre los grupos. CONCLUSIONES: Los bloqueos nerviosos periféricos no promovieron un tiempo más elevado de analgesia, ni tampoco una reducción en el consumo de morfina en las primeras 24 horas, en niños sometidos a la corrección de PJC cuando se les comparó con el bloqueo epidural caudal.BACKGROUND AND OBJECTIVES: Correction of congenital clubfoot (CCF is associated with

  1. EVOLUCIÓN DE FENÓMENOS BÁSICOS DE APRENDIZAJE EN TAREAS DE MEMORIA ESPACIAL: BLOQUEO, ENSOMBRECIMIENTO E INHIBICIÓN LATENTE EN ANFIBIOS

    Directory of Open Access Journals (Sweden)

    MARÍA FLORENCIA DANERI

    2015-01-01

    Full Text Available En este artículo se describen desde una perspectiva comparativa los fenómenos de bloqueo, ensombrecimiento e inhibición latente, enfatizando su presencia en tareas de aprendizaje espacial. Estos fenómenos de aprendizaje, ampliamente observados en otras clases de vertebrados e invertebrados, han sido recientemente descriptos por primera vez en anfibios, un grupo de vertebrados con un cerebro filogenéticamente antiguo. Tomando como modelo al sapo terrestre Rhinella arenarum, se revisarán los tres fenómenos de aprendizaje asociativo mencionados en una situación de aprendizaje espacial: (1 bloqueo entre claves visuales asociadas a una meta, (2 ensombrecimiento de una clave visual lejana por la presencia de una clave cercana y (3 inhibición latente debida a la pre-exposición a una cla ve visual. Todos los entrenamientos se llevaron a cabo en una arena circular de color blanco, utilizando agua como recompensa. Dentro de la arena, se distribuyeron cuatro piletas de acrílico en forma de cruz contra las paredes laterales (sólo una tenía acceso a la recompensa. En las paredes interiores de la arena circular se colocaron varias señales visuales para guiar a los animales. Los resultados obtenidos en sapos indican que estos fenómenos, observados previamente en aves y mamíferos, también se encuentran en este grupo (uti lizando un paradigma de aprendizaje espacial con claves visuales cercanas y lejanas. Este primer registro en anfibios sugiere que los mecanismos biológicos de estos fenómenos de aprendizaje han surgido muy tempranamente en el curso de la evolución de los vertebrados totalmente terrestres y que los mismos han sido fuertemente conservados. El análisis comparado de estos hallazgos contribuirá a mejorar el entendimiento de los mecanismos biológicos que subyacen al aprendizaje espacial, en busca de patrones funcionales comunes con otras clases de vertebrados y potencialmente presentes en un ancestro común.

  2. Comparison of Adaptation between the Major Connectors Fabricated from Intraoral Digital Impressions and Extraoral Digital Impressions.

    Science.gov (United States)

    Gan, Ning; Ruan, Yaye; Sun, Jian; Xiong, Yaoyang; Jiao, Ting

    2018-01-11

    The objective was to compare the adaptation between the major connectors of removable partial dentures derived from intraoral digital impressions and extraoral digital impressions. Twenty-four volunteers were enrolled. Each volunteer received an intraoral digital impression and one extraoral digital impression digitized from conventional gypsum impression. A software was used to create the major connectors on digital impression datasets. After all the virtual major connectors designed from Group intraoral digital impressions (Group I) and Group extraoral digital impressions (Group E) were directly fabricated by 3D printing technique, the adaptation of the final major connectors in volunteers' mouths were measured. The adaptation ranged from 159.87 to 577.99 μm in Group I while from 120.83 to 536.17 μm in Group E. The adaptation of major connectors in Group I were found better at the midline palatine suture while the adaptation of major connectors in Group E were found better at the two sides of the palatal vault. In both groups, the highest accuracy in adaptation was revealed at the anterior margin of the major connectors. It is feasible to manufacture the major connectors by digital impression and 3D printing technique. Both the adaptation of the two kinds of digital impressions were clinical acceptable.

  3. Clinical evaluation of all-ceramic crowns fabricated from intraoral digital impressions based on the principle of active wavefront sampling.

    Science.gov (United States)

    Syrek, Andreas; Reich, Gunnar; Ranftl, Dieter; Klein, Christoph; Cerny, Barbara; Brodesser, Jutta

    2010-07-01

    The aim of the present study was to compare the fit of all-ceramic crowns fabricated from intraoral digital impressions with the fit of all-ceramic crowns fabricated from silicone impressions. Twenty patients agreed to take part in the study to receive two Lava crowns each for the same preparation. One crown was fabricated from intraoral scans using the Lava Chairside Oral Scanner (Lava C.O.S.), and the other crown from a two-step silicone impression. Prior to cementation the fit of both crowns was clinically evaluated by two calibrated and blinded examiners; the marginal fit was also scored from replicas. Data from the replica scores were analysed by Anderson-Darling test, Levene's test and Mann-Whitney test. All tests were performed with alpha-level of 0.05. Median marginal gap in the conventional impression group was 71microm (Q1:45microm; Q3:98microm), and in the digital impression group 49microm (Q1:32microm; Q3:65microm). Mann-Whitney test revealed a significant difference between the groups (pdigitally fabricated crowns. 1. Crowns from intraoral scans revealed significantly better marginal fit than crowns from silicone impressions. 2. Marginal discrepancies in both groups were within the limits of clinical acceptability. 3. Crowns from intraoral scans tended to show better interproximal contact area quality. 4. Crowns from both groups performed equally well with regard to occlusion. Copyright 2010 Elsevier Ltd. All rights reserved.

  4. Bloqueio extraconal para facectomia com implante de lente intra-ocular: influência do fentanil associado ao anestésico local na qualidade do bloqueio e na analgesia pós-operatória Bloqueo extraconal para facectomia con implantación de lente intra-ocular: influencia del fentanil asociado al anestésico local en la calidad del bloqueo y en la analgesia pos-operatoria Extraconal block for cataract extraction surgery with implantation of intraocular lens: contribution of fentanyl associated to local anesthetics for quality of block and postoperative analgesia

    Directory of Open Access Journals (Sweden)

    Daniel Espada Lahoz

    2003-09-01

    melhorou a qualidade do bloqueio quanto à motilidade do músculo reto medial e diminuiu a necessidade de analgésicos no pós-operatório.JUSTIFICATIVA Y OBJETIVOS: La anestesia locorregional para cirugías oftalmológicas ofrece ventajas, como: mínimas alteraciones fisiológicas, anestesia completa, bloqueo de los reflejos oculares, pequeña incidencia de náuseas y vómitos, menor tiempo de recuperación y analgesia pos-operatoria. La preocupación constante con la calidad del bloqueo, así como la abordaje de la analgesia pos-operatoria debe quedar bajo la responsabilidad del anestesiologista. El objetivo de este estudio fue evaluar si el fentanil contribuye en la calidad del bloqueo extraconal y en la analgesia pos-operatoria de facectomias con implantación de lente intra-ocular. MÉTODO: Se estudió la asociación del fentanil y bupivacaína a 0,75% en la calidad del bloqueo ocular y en la analgesia pos-operatoria en 164 pacientes sometidos a facectomia con implantación de lente intra-ocular (técnica extracapsular, de ambos sexos con homogeneidad de parámetros antropométricos, ojo operado, clasificación del estado físico (ASA e índice de riesgo cardíaco de Goldman. Los pacientes fueron distribuidos en dos grupos (82 pacientes en cada grupo por sorteo de forma aleatoria, con y sin fentanil. Se evaluó la calidad del bloqueo por: aparecimiento de dolor en el per-operatorio, manutención de movimentación de los párpados o del globo ocular, persistencia del reflejo de Bell, número de bloqueos realizados para la obtención de condiciones quirúrgicas y evaluación del bloqueo por el cirujano. La analgesia pos-operatoria fue evaluada por la necesidad de complementación analgésica por el paciente. RESULTADOS: Fentanil asociado a la solución anestésica en el bloqueo extraconal aumentó significativamente el bloqueo del músculo recto medial (con fentanil - 17,1%, sin fentanil - 32,9% y diminuyó el consumo de analgésicos en el período pos-operatorio (uso

  5. Accuracy evaluation of intraoral optical impressions: A clinical study using a reference appliance.

    Science.gov (United States)

    Atieh, Mohammad A; Ritter, André V; Ko, Ching-Chang; Duqum, Ibrahim

    2017-09-01

    Trueness and precision are used to evaluate the accuracy of intraoral optical impressions. Although the in vivo precision of intraoral optical impressions has been reported, in vivo trueness has not been evaluated because of limitations in the available protocols. The purpose of this clinical study was to compare the accuracy (trueness and precision) of optical and conventional impressions by using a novel study design. Five study participants consented and were enrolled. For each participant, optical and conventional (vinylsiloxanether) impressions of a custom-made intraoral Co-Cr alloy reference appliance fitted to the mandibular arch were obtained by 1 operator. Three-dimensional (3D) digital models were created for stone casts obtained from the conventional impression group and for the reference appliances by using a validated high-accuracy reference scanner. For the optical impression group, 3D digital models were obtained directly from the intraoral scans. The total mean trueness of each impression system was calculated by averaging the mean absolute deviations of the impression replicates from their 3D reference model for each participant, followed by averaging the obtained values across all participants. The total mean precision for each impression system was calculated by averaging the mean absolute deviations between all the impression replicas for each participant (10 pairs), followed by averaging the obtained values across all participants. Data were analyzed using repeated measures ANOVA (α=.05), first to assess whether a systematic difference in trueness or precision of replicate impressions could be found among participants and second to assess whether the mean trueness and precision values differed between the 2 impression systems. Statistically significant differences were found between the 2 impression systems for both mean trueness (P=.010) and mean precision (P=.007). Conventional impressions had higher accuracy with a mean trueness of 17.0

  6. Intraoral dental radiography: experimental study and clinical use in two horses and a llama

    International Nuclear Information System (INIS)

    O'Brien, R.T.

    1996-01-01

    A technique for intraoral radiography of the maxillary cheek teeth in large animals using strips of nonscreen and commercial dental x-ray film is described. The method was initially tested using horse cadaver heads and subsequently on three large animal patients with signs of dental disease. Limitations of the described technique include necessity for general anesthesia, special x-ray film and manual developing. Additionally, the need for very accurate adjustment of incident beam angle, beam centering point and depth in the oral cavity provide a major technical challenge. After becoming famillar with the technique, the major limitation was increased time for manual film developing. The images provided by nonscreen technique were subjectively superior. The anatomic detail of the apical and periodontal regions of the teeth was better than on survey radiographs. Nonscreen intraoral technique should be considered for anesthetized large animal patients with signs of dental disease

  7. Evaluation of radiation dose to patients in intraoral dental radiography using Monte Carlo Method

    International Nuclear Information System (INIS)

    Park, Il; Kim, Kyeong Ho; Oh, Seung Chul; Song, Ji Young

    2016-01-01

    The use of dental radiographic examinations is common although radiation dose resulting from the dental radiography is relatively small. Therefore, it is required to evaluate radiation dose from the dental radiography for radiation safety purpose. The objectives of the present study were to develop dosimetry method for intraoral dental radiography using a Monte Carlo method based radiation transport code and to calculate organ doses and effective doses of patients from different types of intraoral radiographies. Radiological properties of dental radiography equipment were characterized for the evaluation of patient radiation dose. The properties including x-ray energy spectrum were simulated using MCNP code. Organ doses and effective doses to patients were calculated by MCNP simulation with computational adult phantoms. At the typical equipment settings (60 kVp, 7 mA, and 0.12 sec), the entrance air kerma was 1.79 mGy and the measured half value layer was 1.82 mm. The half value layer calculated by MCNP simulation was well agreed with the measurement values. Effective doses from intraoral radiographies ranged from 1 μSv for maxilla premolar to 3 μSv for maxilla incisor. Oral cavity layer (23⁓82 μSv) and salivary glands (10⁓68 μSv) received relatively high radiation dose. Thyroid also received high radiation dose (3⁓47 μSv) for examinations. The developed dosimetry method and evaluated radiation doses in this study can be utilized for policy making, patient dose management, and development of low-dose equipment. In addition, this study can ultimately contribute to decrease radiation dose to patients for radiation safety

  8. Evaluation of radiation dose to patients in intraoral dental radiography using Monte Carlo Method

    Energy Technology Data Exchange (ETDEWEB)

    Park, Il; Kim, Kyeong Ho; Oh, Seung Chul; Song, Ji Young [Dept. of Nuclear Engineering, Kyung Hee University, Yongin (Korea, Republic of)

    2016-11-15

    The use of dental radiographic examinations is common although radiation dose resulting from the dental radiography is relatively small. Therefore, it is required to evaluate radiation dose from the dental radiography for radiation safety purpose. The objectives of the present study were to develop dosimetry method for intraoral dental radiography using a Monte Carlo method based radiation transport code and to calculate organ doses and effective doses of patients from different types of intraoral radiographies. Radiological properties of dental radiography equipment were characterized for the evaluation of patient radiation dose. The properties including x-ray energy spectrum were simulated using MCNP code. Organ doses and effective doses to patients were calculated by MCNP simulation with computational adult phantoms. At the typical equipment settings (60 kVp, 7 mA, and 0.12 sec), the entrance air kerma was 1.79 mGy and the measured half value layer was 1.82 mm. The half value layer calculated by MCNP simulation was well agreed with the measurement values. Effective doses from intraoral radiographies ranged from 1 μSv for maxilla premolar to 3 μSv for maxilla incisor. Oral cavity layer (23⁓82 μSv) and salivary glands (10⁓68 μSv) received relatively high radiation dose. Thyroid also received high radiation dose (3⁓47 μSv) for examinations. The developed dosimetry method and evaluated radiation doses in this study can be utilized for policy making, patient dose management, and development of low-dose equipment. In addition, this study can ultimately contribute to decrease radiation dose to patients for radiation safety.

  9. Use of digital impression systems with intraoral scanners for fabricating restorations and fixed dental prostheses.

    Science.gov (United States)

    Takeuchi, Yoshimasa; Koizumi, Hiroyasu; Furuchi, Mika; Sato, Yohei; Ohkubo, Chikahiro; Matsumura, Hideo

    2018-01-01

    Accurate impressions are essential in fabri-cating dental restorations and fixed dental prostheses. During the last decade, digital impression systems have improved substantially. This review discusses the accuracy of digital impression systems for fabrication of dental restorations and fixed dental prostheses. A literature search in PubMed was performed for the period from July 2010 through June 2017. The search keywords were Cerec, digital impression, direct digitalization, indirect digitalization, and intraoral scanner. Only relevant studies are summarized and discussed in this review. In general, the latest systems have considerably reduced the time required for impression making, and the accuracy and marginal fit of digital impression systems have recently improved. Restorations and fixed dental prostheses fabricated with currently available digital impression systems and intraoral scanners exhibit clinically acceptable ranges of marginal gap in both direct and indirect procedures.

  10. Analyses of superficial and depth doses in intraoral radiology

    Energy Technology Data Exchange (ETDEWEB)

    Silva Santos de Oliveira, C.; Morais, R.P. de; Nascimento Souza, D. do [Universidade Federal de Sergipe - CCET - Dept. de Fisica, Sao Cristovao, SE (Brazil)

    2006-07-01

    In this work dosimetric analysis using thermoluminescence technique to study the beams characteristics of x-rays employed in dental radiology has been carried out. The obtained results with CaSO{sub 4}:Dy thermoluminescent dosimeters (TLD) were compared to the doses obtained with parallel-plates ionization chamber. Dosimetric evaluations were also done using radiographic films of large dimensions. The x-rays equipments analyzed were installed in the radiological services of Odontology Department of Sergipe Federal University (U.F.S.). Depending on the anatomical region to be examined the proper exposure time was select, for a fix voltage of 70 kV. The results with TLD and ionization chamber have been determined to female and male individuals. The intraoral regions analysed were the peri apical of the incisors, molar and pre-molar teeth and the occlusive region. These regions were simulated using acrylic plates absorbers installed on the film packet holder. The evaluation of the depth doses in the intraoral tissue was obtained using different acrylic plate thickness. The air kerma values have been evaluated with the ionization chamber located in the dental cone exit of the x-rays equipments. The integrated areas of the thermoluminescent glow curves showed coherent values when compared to the ones obtained with the ionization chamber and both methods presented a linear dependence with the exposition time. The analyses with films have allowed the evaluation of the beam scattering in the simulator apparatus. The studies had proven that the analysis of superficial dose and in depth used in dental radiology can be carried with thermoluminescent dosimeters. (authors)

  11. Analyses of superficial and depth doses in intraoral radiology

    International Nuclear Information System (INIS)

    Silva Santos de Oliveira, C.; Morais, R.P. de; Nascimento Souza, D. do

    2006-01-01

    In this work dosimetric analysis using thermoluminescence technique to study the beams characteristics of x-rays employed in dental radiology has been carried out. The obtained results with CaSO 4 :Dy thermoluminescent dosimeters (TLD) were compared to the doses obtained with parallel-plates ionization chamber. Dosimetric evaluations were also done using radiographic films of large dimensions. The x-rays equipments analyzed were installed in the radiological services of Odontology Department of Sergipe Federal University (U.F.S.). Depending on the anatomical region to be examined the proper exposure time was select, for a fix voltage of 70 kV. The results with TLD and ionization chamber have been determined to female and male individuals. The intraoral regions analysed were the peri apical of the incisors, molar and pre-molar teeth and the occlusive region. These regions were simulated using acrylic plates absorbers installed on the film packet holder. The evaluation of the depth doses in the intraoral tissue was obtained using different acrylic plate thickness. The air kerma values have been evaluated with the ionization chamber located in the dental cone exit of the x-rays equipments. The integrated areas of the thermoluminescent glow curves showed coherent values when compared to the ones obtained with the ionization chamber and both methods presented a linear dependence with the exposition time. The analyses with films have allowed the evaluation of the beam scattering in the simulator apparatus. The studies had proven that the analysis of superficial dose and in depth used in dental radiology can be carried with thermoluminescent dosimeters. (authors)

  12. Intra-oral orthosis vs amitriptyline in chronic tension-type headache: a clinical and laser evoked potentials study

    Directory of Open Access Journals (Sweden)

    Sardaro Michele

    2006-05-01

    Full Text Available Abstract Background In the present study, we examined clinical and laser-evoked potentials (LEP features in two groups of chronic tension-type headache (CTTH patients treated with two different approaches: intra-oral appliance of prosthesis, aiming to reduce muscular tenderness, and 10 mg daily amitriptyline. Methods Eighteen patients with diagnosed CTTH participated in this open label, controlled study. A baseline evaluation was performed for clinical features, Total Tenderness Score (TTS and a topographic analysis of LEPs obtained manually and the pericranial points stimulation in all patients vs. healthy subjects. Thereafter, patients were randomly assigned to a two-month treatment by either amitriptyline or intra-oral appliance. Results and discussion Both the intra-oral appliance and amitriptyline significantly reduced headache frequency. The TTS was significantly reduced in the group treated with the appliance. The amplitude of P2 response elicited by stimulation of pericranial zones showed a reduction after amitriptyline treatment. Both therapies were effective in reducing headache severity, the appliance with a prevalent action on the pericranial muscular tenderness, amitriptyline reducing the activity of the central cortical structures subtending pain elaboration Conclusion The results of this study may suggest that in CTTH both the interventions at the peripheral and central levels improve the outcome of headache.

  13. Simulation of dental intensifying screen for intraoral radiographic using MCNP5 code

    International Nuclear Information System (INIS)

    Ferreira, Vanessa M.; Oliveira, Renato C.M.; Barros, Graiciany P.; Oliveira, Arno H.; Veloso, M. Auxiliadora F.

    2011-01-01

    One of basic principles for radiological protection is the optimization of techniques for obtain radiographic images, in way that the dose in the patient is kept as low as reasonably achievable (ALARA). Intensifying screens are used in medical radiology, which reduce considerably the dose rates in the production of radiographic images, maintaining the quality of these, while in dental radiology, there is no a intensifying screen available for intraoral examinations. From this technological requirement, this paper evaluates a computational modeling of an intensifying screen for use in intraoral radiography. For this, it was used the Monte Carlo code MCNP5 that allows the radiography simulation through the transport of electrons and photons in the different materials present in this examination. The goal of an intensifying screen is the conversion of X-ray photons to photons in the visible spectrum, knowing that radiographic films are more sensitive to light photons than to X-ray photons. So the screen should be composed of an efficient material for converting x-rays photons in light photons, therefore was made simulations using different materials, thicknesses and positions possible for placing screen in radiographic film in order to find the way more technically feasible. (author)

  14. Amitriptyline and intraoral devices for migraine prevention: a randomized comparative trial

    OpenAIRE

    Bruno, Marco A. D.; Krymchantowski, Abouch V.

    2018-01-01

    ABSTRACT Objectives: Nonpharmacological treatments, such as the Nociceptive Trigeminal Inhibition Tension Suppression System (NTI-tss), are approved for migraine prophylaxis. We aimed at evaluating the effectiveness of the NTI-tss and to compare its efficacy with amitriptyline and with a sham intraoral device in the preventive treatment of migraine. Methods: Consecutive patients with migraine were randomized to receive 25 mg of amitriptyline/day (n = 34), NTI-tss (n = 33) and a non-occlusal...

  15. Intraoral conversion of occlusal force to electricity and magnetism by biting of piezoelectric elements.

    Science.gov (United States)

    Kameda, Takashi; Ohkuma, Kazuo; Sano, Natsuki; Ogura, Hideo; Terada, Kazuto

    2012-01-01

    Very weak electrical, magnetic and ultrasound signal stimulations are known to promote the formation, metabolism, restoration and stability of bone and surrounding tissues after treatment and operations. We have therefore investigated the possibility of intraoral generation of electricity and magnetism by occlusal force in an in vitro study. Biting bimorph piezoelectric elements with lead zirconate titanate (PZT) using dental models generated appropriate magnetism for bone formation, i. e. 0.5-0.6 gauss, and lower electric currents and higher voltages, i. e. 2.0-6.0 μA at 10-22 V (appropriate levels are 30 μA and 1.25 V), as observed by a universal testing machine. The electric currents and voltages could be changed using amplifier circuits. These results show that intraoral generation of electricity and magnetism is possible and could provide post-operative stabilization and activation of treated areas of bone and the surrounding tissues directly and/or indirectly by electrical, magnetic and ultrasound stimulation, which could accelerate healing.

  16. Efficiency of the cervical lead shield during intraoral radiography

    International Nuclear Information System (INIS)

    Kaffe, I.; Littner, M.M.; Shlezinger, T.; Segal, P.

    1986-01-01

    The cervical lead shield was compared with the conventional lead apron with regard to efficiency of protection against radiation during a full-month survey (fourteen periapical and two bitewing radiographs). The study was performed on a Temex tissue-equivalent human phantom, and thermoluminescent dosimetry was used to measure radiation absorption in the ovaries, testes, and thyroid gland areas. Results showed that the cervical shield significantly reduces the amount of radiation to the skin in all three areas and is equally as effective as the combination of lead apron and thyroid shield. It is therefore recommended as a protective measure during intraoral radiography

  17. Reliability of intra-oral camera using teledentistry in screening of oral diseases – Pilot study

    Directory of Open Access Journals (Sweden)

    Kalyana Chakravarthy Pentapati

    2017-04-01

    Conclusion/recommendations: Intra-oral camera was shown to be a reliable tool to identify common oral diseases. Further studies involving applications like sealant retention, pre-malignant lesions, recurrent apthae, gingival recession and dental malocclusion and effectiveness in regular screening are needed.

  18. Panoramic dental radiography with an intra-oral X-ray tube

    International Nuclear Information System (INIS)

    Hollender, L.

    1980-01-01

    Surveys of the complete dentition and jaws can be obtained in various ways. Panoramic radiography with an intra-oral X-ray tube results in a lower radiation exposure than other methods, and is less time-consuming. However, the symmetrical views generally employed result in relatively poor imaging of the molars. This disadvantage can be overcome by using lateral projections which also cause less discomfort for the patient and, particularly in combination with intensifying screens, a further reduction in radiation exposure. Some possible future trends are suggested. (Auth.)

  19. Factors influencing the design of aiming devices for intraoral radiography and their practical application

    NARCIS (Netherlands)

    Aken, J. van; Verhoeven, J.W.

    Intraoral roentgenograms can be made according to the long-tube paralleling technique utilizing aiming devices. These instruments consist of a bite block, an indicator rod, and a collimator plate. For the position of the film in relation to the bite block surface, the following data are decisive and

  20. Application of Intra-Oral Dental Scanners in the Digital Workflow of Implantology

    Science.gov (United States)

    van der Meer, Wicher J.; Andriessen, Frank S.; Wismeijer, Daniel; Ren, Yijin

    2012-01-01

    Intra-oral scanners will play a central role in digital dentistry in the near future. In this study the accuracy of three intra-oral scanners was compared. Materials and methods: A master model made of stone was fitted with three high precision manufactured PEEK cylinders and scanned with three intra-oral scanners: the CEREC (Sirona), the iTero (Cadent) and the Lava COS (3M). In software the digital files were imported and the distance between the centres of the cylinders and the angulation between the cylinders was assessed. These values were compared to the measurements made on a high accuracy 3D scan of the master model. Results: The distance errors were the smallest and most consistent for the Lava COS. The distance errors for the Cerec were the largest and least consistent. All the angulation errors were small. Conclusions: The Lava COS in combination with a high accuracy scanning protocol resulted in the smallest and most consistent errors of all three scanners tested when considering mean distance errors in full arch impressions both in absolute values and in consistency for both measured distances. For the mean angulation errors, the Lava COS had the smallest errors between cylinders 1–2 and the largest errors between cylinders 1–3, although the absolute difference with the smallest mean value (iTero) was very small (0,0529°). An expected increase in distance and/or angular errors over the length of the arch due to an accumulation of registration errors of the patched 3D surfaces could be observed in this study design, but the effects were statistically not significant. Clinical relevance For making impressions of implant cases for digital workflows, the most accurate scanner with the scanning protocol that will ensure the most accurate digital impression should be used. In our study model that was the Lava COS with the high accuracy scanning protocol. PMID:22937030

  1. Papel del factor de bloqueo inducido por Progesterona (PIBF en embarazo y cáncer

    Directory of Open Access Journals (Sweden)

    Araceli Gutiérrez-Rodríguez

    2016-01-01

    Full Text Available El factor de bloqueo inducido por progesterona (PIBF es una proteína inmunomoduladora por medio de la cual la progesterona ejerce varios de sus efectos inmunológicos en diferentes células de alta proliferación, que incluyen desde células embrionarias hasta células tumorales. El PIBF ocasiona un incremento en la síntesis de anticuerpos asimétricos y de citocinas tipo Th2 como las interleucinas (IL 4, 6 y 10, así como una disminución en la actividad citotóxica de las células NK y en la producción de citocinas tipo Th1, como el factor de necrosis tumoral alfa (TNFα e IL-12. Lo anterior provoca una reducción en la relación Th1/Th2 que es característica del embarazo sano, lo que tiene como consecuencia un aumento en la inmunidad humoral y una disminución en la inmunidad celular. Estos mecanismos inmunomoduladores tienen como resultado una evasión del sistema inmune de la madre por parte del feto para que el embarazo llegue a término. De manera interesante, diversos estudios sugieren que estos mismos mecanismos son utilizados por las células cancerosas para facilitar la progresión de tumores que presentan sobre-expresión del PIBF.

  2. Surface changes of metal alloys and high-strength ceramics after ultrasonic scaling and intraoral polishing.

    Science.gov (United States)

    Yoon, Hyung-In; Noh, Hyo-Mi; Park, Eun-Jin

    2017-06-01

    This study was to evaluate the effect of repeated ultrasonic scaling and surface polishing with intraoral polishing kits on the surface roughness of three different restorative materials. A total of 15 identical discs were fabricated with three different materials. The ultrasonic scaling was conducted for 20 seconds on the test surfaces. Subsequently, a multi-step polishing with recommended intraoral polishing kit was performed for 30 seconds. The 3D profiler and scanning electron microscopy were used to investigate surface integrity before scaling (pristine), after scaling, and after surface polishing for each material. Non-parametric Friedman and Wilcoxon signed rank sum tests were employed to statistically evaluate surface roughness changes of the pristine, scaled, and polished specimens. The level of significance was set at 0.05. Surface roughness values before scaling (pristine), after scaling, and polishing of the metal alloys were 3.02±0.34 µm, 2.44±0.72 µm, and 3.49±0.72 µm, respectively. Surface roughness of lithium disilicate increased from 2.35±1.05 µm (pristine) to 28.54±9.64 µm (scaling), and further increased after polishing (56.66±9.12 µm, P scaling (from 1.65±0.42 µm to 101.37±18.75 µm), while its surface roughness decreased after polishing (29.57±18.86 µm, P scaling significantly changed the surface integrities of lithium disilicate and zirconia. Surface polishing with multi-step intraoral kit after repeated scaling was only effective for the zirconia, while it was not for lithium disilicate.

  3. Intraoral Morgellons disease or delusional parasitosis: a first case report.

    Science.gov (United States)

    Dovigi, Allan J

    2010-08-01

    Morgellons disease is a new emerging disease that is still controversial and believed to be, by some practitioners, as nothing more than delusional parasitosis. The Center for Disease Control has recently launched an epidemiological investigation into this disease due to the increased number of reports. A first case is reported of an oral lesion and symptoms consistent with Morgellons disease. The nature of the characteristic fibers associated with the intraoral lesion is investigated. Research has started at a number of institutions to elucidate the nature of this emerging disease.

  4. Intraoral 3D Scanning or Dental Impressions for the Assessment of Dental Arch Relationships in Cleft Care: Which is Superior?

    Science.gov (United States)

    Chalmers, E V; McIntyre, G T; Wang, W; Gillgrass, T; Martin, C B; Mossey, P A

    2016-09-01

    This study was undertaken to evaluate intraoral 3D scans for assessing dental arch relationships and obtain patient/parent perceptions of impressions and intraoral 3D scanning. Forty-three subjects with nonsyndromic unilateral cleft lip and palate (UCLP) had impressions taken for plaster models. These and the teeth were scanned using the R700 Orthodontic Study Model Scanner and Trios® Digital Impressions Scanner (3Shape A/S, Copenhagen, Denmark) to create indirect and direct digital models. All model formats were scored by three observers on two occasions using the GOSLON and modified Huddart Bodenham (MHB) indices. Participants and parents scored their perceptions of impressions and scanning from 1 (very good) to 5 (very bad). Intra- and interexaminer reliability were tested using GOSLON and MHB data (Cronbach's Alpha >0.9). Bland and Altman plots were created for MHB data, with each model medium (one-sample t tests, P 0.9) were good for all formats with the direct digital models having the lowest interexaminer differences. Participants had higher ratings for scanning comfort (84.8%) than impressions (44.2%) (P impressions (51.2%) (P > .05). None disliked scanning, but 16.3% disliked impressions. Data for parents and children positively correlated (P 3D scans was superior to indirect digital and to plaster models; Subjects with UCLP preferred intra-oral 3D scanning to dental impressions, mirrored by parents/carers; This study supports the replacement of conventional impressions with intra-oral 3D scans in longitudinal evaluations of the outcomes of cleft care.

  5. Absorbed doses from intraoral radiography with special emphasis on collimator dimensions

    International Nuclear Information System (INIS)

    Stenstroem, B.; Henrikson, C.O.; Holm, B.; Richter, S.; Huddinge Univ. Hospital, Huddinge

    1986-01-01

    Thermoluminescence dosimeters were used in a phantom head and on patients to measure the absorbed dose to organs of special interest from full surveys with intraoral films (20 exposures) and single bitewing exposures. Two x-ray machines were used, operating at 65 kVp. The apertures of the circular tube collimators had diameters of 55 mm and 48 mm. Rectangular (35 mm x44 mm) tube collimators were also used. The distance from the x-ray focus to the open end of the collimators (FSD) was 0.20 and 0.35 m. Exposure values for Kodak Ultra-Speed film (speed group D) were used. The maximum skin dose measured from the full surveys decreased by 25 per cent on changing from the circular to the rectangular apertures. Using 0.35 m FSD and rectangular collimator the maximum skin dose was 13 mGy. The absorbed doses to the salivary glands and the thyroid gland were significantly reduced on changing from circular to rectangular apertures. The doses in the central part of the parotid and the thyroid glands were then 0.5 and 0.12 mGy, respectively, from a full survey with 20 intraoral films. With a leaded shield the thyroid dose was reduced to 0.05 mGy. All dose values could be further reduced by 40 per cent by using Kodak Ektaspeed film (speed group E)

  6. Intraoral digital impressions to enhance implant esthetics.

    Science.gov (United States)

    Hinds, Kenneth F

    2014-09-01

    Providing an accurate soft-tissue transfer for anterior implants is not a new concept; however, it is currently an especially relevant one. There are numerous documented cases in which residual excess cement with cement-retained implant restorations was a contributing cause in periimplantitis. In 2012, Wadhwani et al reported the importance of placing the crown abutment margins supragingivally for ease of cement removal as a possible solution to address this important issue. Therefore, if placement of the crown abutment margin location is imperative, making an impression that reproduces the soft tissue is equally critical. In 1997, this author introduced the "custom impression coping" to achieve such an accurate transfer. Given the wide use of intraoral digital impressions in 2014, this discussion describes how to fabricate a "custom scan body" using that technology to replicate the transition zone in the virtual environment.

  7. Precision of intraoral digital dental impressions with iTero and extraoral digitization with the iTero and a model scanner.

    Science.gov (United States)

    Flügge, Tabea V; Schlager, Stefan; Nelson, Katja; Nahles, Susanne; Metzger, Marc C

    2013-09-01

    Digital impression devices are used alternatively to conventional impression techniques and materials. The aims of this study were to evaluate the precision of digital intraoral scanning under clinical conditions (iTero; Align Technologies, San Jose, Calif) and to compare it with the precision of extraoral digitization. One patient received 10 full-arch intraoral scans with the iTero and conventional impressions with a polyether impression material (Impregum Penta; 3M ESPE, Seefeld, Germany). Stone cast models manufactured from the impressions were digitized 10 times with an extraoral scanner (D250; 3Shape, Copenhagen, Denmark) and 10 times with the iTero. Virtual models provided by each method were roughly aligned, and the model edges were trimmed with cutting planes to create common borders (Rapidform XOR; Inus Technologies, Seoul, Korea). A second model alignment was then performed along the closest distances of the surfaces (Artec Studio software; Artec Group, Luxembourg, Luxembourg). To assess precision, deviations between corresponding models were compared. Repeated intraoral scanning was evaluated in group 1, repeated extraoral model scanning with the iTero was assessed in group 2, and repeated model scanning with the D250 was assessed in group 3. Deviations between models were measured and expressed as maximums, means, medians, and root mean square errors for quantitative analysis. Color-coded displays of the deviations allowed qualitative visualization of the deviations. The greatest deviations and therefore the lowest precision were in group 1, with mean deviations of 50 μm, median deviations of 37 μm, and root mean square errors of 73 μm. Group 2 showed a higher precision, with mean deviations of 25 μm, median deviations of 18 μm, and root mean square errors of 51 μm. Scanning with the D250 had the highest precision, with mean deviations of 10 μm, median deviations of 5 μm, and root mean square errors of 20 μm. Intraoral and extraoral scanning

  8. Comparison of intraoral scanning and conventional impression techniques using 3-dimensional superimposition.

    Science.gov (United States)

    Rhee, Ye-Kyu; Huh, Yoon-Hyuk; Cho, Lee-Ra; Park, Chan-Jin

    2015-12-01

    The aim of this study is to evaluate the appropriate impression technique by analyzing the superimposition of 3D digital model for evaluating accuracy of conventional impression technique and digital impression. Twenty-four patients who had no periodontitis or temporomandibular joint disease were selected for analysis. As a reference model, digital impressions with a digital impression system were performed. As a test models, for conventional impression dual-arch and full-arch, impression techniques utilizing addition type polyvinylsiloxane for fabrication of cast were applied. 3D laser scanner is used for scanning the cast. Each 3 pairs for 25 STL datasets were imported into the inspection software. The three-dimensional differences were illustrated in a color-coded map. For three-dimensional quantitative analysis, 4 specified contact locations(buccal and lingual cusps of second premolar and molar) were established. For twodimensional quantitative analysis, the sectioning from buccal cusp to lingual cusp of second premolar and molar were acquired depending on the tooth axis. In color-coded map, the biggest difference between intraoral scanning and dual-arch impression was seen (Pimpression and the smallest difference was seen between dual-arch and full-arch impression. The two- and three-dimensional deviations between intraoral scanner and dual-arch impression was bigger than full-arch and dual-arch impression (P.05).

  9. Quantitative analysis of alveolar bone change following implant placement using intraoral radiographic subtraction

    International Nuclear Information System (INIS)

    Kimura, Hiroyuki; Kanda, Shigenobu; Tanaka, Takemasa

    2002-01-01

    The purpose of this study was to develop a procedure for quantitative analysis using intraoral radiographs of alveolar bone after placement of dental implants and to consider the validity of the method. We evaluated the ten patients (2 males and 8 females, average age: 48.4 years-old), who were treated with dental implant operation in the site of mandibular molar region, since October of 1999 until September of 2000 in Kimura Dental Clinic (Kumamoto, Japan). We evaluated the intraoral radiographs taken pre- and post- operatively and at follow-up examination. To detect alveolar bone change on radiograph, we adopted the digital subtraction method. Although the radiographs were taken under an ordinary technique with cone indicator, we did not apply the standardized technique with fixing material customized for each patient. Therefore, we used geometric correction and density compensation before subtraction. We assessed the basic statistical values (mean, variance, kurtosis and skewness) of the region of interest (ROI) of the subtracted images. Also, we noted PPD (probing pocket depth) and BOP (bleeding on probing) at each site as indicators of clinical findings and all implanted sites were classified according to the PPD or BOP, i.e. PPD increased group ''PPD (+)'' and PPD stable group ''PPD (-)'', likewise BOP positive group ''BOP (+)'' and negative group ''BOP (-)''. We considered the statistical values of ROI in each group and compared these findings. Mean and variance values of PPD (+) were higher than those of PPD (-) and there was a significant difference in mean value (p=0.031). Similarly, mean and variance values of BOP (+) were statistically higher than those of BOP (-) (p=0.041 and p=0.0087, respectively). Concerning kurtosis and skewness, there was no difference between PPD (+) and PPD (-), or between BOP (+) and BOP (-). Using our method, the radiographs taken for follow-up examination could be assessed quantitatively. It is suggested that geometric

  10. Densitometric evaluation of intraoral x-ray films: Ektaspeed versus Ultraspeed

    International Nuclear Information System (INIS)

    Kaffe, I.; Littner, M.M.; Kuspet, M.E.

    1984-01-01

    Recently a new speed E intraoral dental x-ray film was introduced by the Eastman Kodak Company in order to reduce the radiation dose to the patient. In the present study the new higher-speed EP21 film was compared with the speed D DF58 film with regard to speed and quality (fog plus base, sharpness, resolution, and contrast) of the resulting images. Results showed no deterioration in the image with 50% dose reduction when the EP21 film was used as compared to the DF58 film. Therefore, this new type of film is highly recommended for routine radiographic examinations

  11. Intraoral hydatid cyst: A rare case report

    Directory of Open Access Journals (Sweden)

    Ravi Kiran Alaparthi

    2015-01-01

    Full Text Available "Hydatid" is a Greek word which means "a drop of water." Hydatid cysts occur in hydatid disease or echinococcosis, which is one of the most geographically prevalent zoonosis. This zoonotic infection in humans is mainly caused by infection by the larval stage of the dog tapeworm Echinococcus granulosus. This tapeworm infestation is widespread in sheep, goats, cattle, and dogs. This chronic disease is present worldwide among herding populations who live in close proximity to dogs and herd animals. It is a serious and potentially fatal condition and symptoms may occur a long time after the early infection. The most frequently affected organs are liver, lungs, followed by bones and brain, and extremely unusual occurrence has been found in the oral cavity, which was noticed in the present case. So hereby, we reveal a very rare case of intraoral hydatid cyst in a 20-year-old female patient.

  12. Intraoral versus extraoral measurement of the height of the interproximal contact area in maxillary anterior teeth.

    Science.gov (United States)

    Sghaireen, Mohd G; Albhiran, Heyam Mobark; Alzoubi, Ibrahim A; Lynch, Edward; Al-Omiri, Mahmoud K

    2015-01-01

    This study aimed to clinically quantify the apicoincisal height of the upper interproximal areas directly in patients' mouths compared to measurements on stone models. One hundred and fifty participants (75 females and 75 males, age range 20-45 years) were recruited for this study. A digital caliper was used to measure the anterior maxillary interproximal contact areas directly in patients' mouths and on stone models. The digital caliper accuracy was up to 0.01. The Statistical Package for Social Sciences software (SPSS, version 19.0, Chicago, Ill., USA) was used for statistical analysis. Statistical significance was based on probability values contacts as well as the measurement on stone models showed that the dimensions of interproximal contacts on both sides of each tooth were significantly different (p contact point was larger than that of the distal contact point of each tooth. The largest contact point was the one between the central incisors (direct intraoral measurement = 2.9-6.49 mm; model measurement = 3.31-6.91 mm). On the other hand, the contact point between the canine and first premolar was the smallest on both sides of the arch (0.63-2.52 mm intraorally, 0.98-2.88 mm on models). The intraoral measurement of contact points was more accurate than model measurements, and the differences were statistically significant (p contact point dimensions using a digital caliper was more precise than measuring contact points on stone models; hence, it is a viable, quick and adequate method to be used routinely. © 2015 S. Karger AG, Basel.

  13. Knowledge, Attitude and Performance of Shiraz General Dentists about Infection Control Principles during Preparing Intraoral Radiographies

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    Abdolaziz Hagh Negahdar

    2017-02-01

    Full Text Available Background & Objective: Infection control in dental centers is affected by the persons’ attitude and knowledge about mechanisms of infection transmission. This study was designed to evaluate the knowledge and the attitude of Shiraz dentists about infection control during intraoral radiographies preparation. Materials & Methods: In this cross-sectional, and analytical research, the attitude and the knowledge of 45 male and 25 female, randomly selected dentists, were obtained through completion of a researcher- planed questioner which its validity and reliability had been confirmed. Data were analyzed using Cronbach`s alpha, one-way ANOVA, student’s t-test, and Pearson’s correlation coefficient in SPSS (V.21. Results: The average of the dentists’ age was 40.59±10.72 and their average occupational experience was 13.49±9.75 years. The mean score obtained for knowledge about infection control during intraoral radiographic procedures was less than fifty percent of total obtainable score, and was assessed as weak knowledge. There was no significant difference in the level of knowledge between studied male and female dentists (P>0.05. In addition, no significant relationship was detected between level, age/experience, and the university of education (P>0.05. The attitude of the dentists about infection control during intraoral radiography preparation assessed as moderate to good level. Conclusions: The results showed that the main reason for the present problems is insufficient knowledge of the dentists in related subjects. Therefore, the solution, which is recommended among dentists, is to raise their awareness and to change their attitudes and culture in order to improve their performance.

  14. Comparison of JPEG and wavelet compression on intraoral digital radiographic images

    International Nuclear Information System (INIS)

    Kim, Eun Kyung

    2004-01-01

    To determine the proper image compression method and ratio without image quality degradation in intraoral digital radiographic images, comparing the discrete cosine transform (DCT)-based JPEG with the wavelet-based JPEG 2000 algorithm. Thirty extracted sound teeth and thirty extracted teeth with occlusal caries were used for this study. Twenty plaster blocks were made with three teeth each. They were radiographically exposed using CDR sensors (Schick Inc., Long Island, USA). Digital images were compressed to JPEG format, using Adobe Photoshop v. 7.0 and JPEG 2000 format using Jasper program with compression ratios of 5 : 1, 9 : 1, 14 : 1, 28 : 1 each. To evaluate the lesion detectability, receiver operating characteristic (ROC) analysis was performed by the three oral and maxillofacial radiologists. To evaluate the image quality, all the compressed images were assessed subjectively using 5 grades, in comparison to the original uncompressed images. Compressed images up to compression ratio of 14: 1 in JPEG and 28 : 1 in JPEG 2000 showed nearly the same the lesion detectability as the original images. In the subjective assessment of image quality, images up to compression ratio of 9 : 1 in JPEG and 14 : 1 in JPEG 2000 showed minute mean paired differences from the original images. The results showed that the clinically acceptable compression ratios were up to 9 : 1 for JPEG and 14 : 1 for JPEG 2000. The wavelet-based JPEG 2000 is a better compression method, comparing to DCT-based JPEG for intraoral digital radiographic images.

  15. ARTROPLASTIA DE LA ARTICULACIÓN TEMPORO-MANDIBULAR Y EMPLEO DEL ACTIVADOR INTRAORAL.

    OpenAIRE

    Merino Martijena, Adolfo

    2014-01-01

    Sixty Clinic Quirurgical Cases were Diagnostic with Anquilosis by the Pre Articular (Arthoplastic) Technique Using the Intra-Oral Activator design by the Author of this research the results were satisfactory in the one hundred per-cent of the treated cases.This Technique has the advantage of being very confortable don't cause pain is of casy manipulation and health in the rehabilitation process allowing the masticate recuperation and the mandible movements. Fueron efectuados 60 casos clíni...

  16. Riscos cardiovasculares do bloqueio androgênico Riesgos cardiovasculares del bloqueo androgénico Cardiovascular risks of androgen deprivation therapy

    Directory of Open Access Journals (Sweden)

    Adriano Freitas Ribeiro

    2010-09-01

    Full Text Available O adenocarcinoma de próstata é o câncer mais comum no sexo masculino após o câncer de pele. Entre as várias formas de tratamento do câncer de próstata, a terapia de bloqueio androgênico é uma modalidade consagrada nos pacientes com doença metastática ou localmente avançada, que provavelmente resulta em aumento de sobrevida. No entanto, o bloqueio androgênico é causador de uma série de consequências adversas. Complicações como osteoporose, disfunção sexual, ginecomastia, anemia e alterações na composição corporal são bem conhecidas. Recentemente, uma série de complicações metabólicas foi descrita como aumento da circunferência abdominal, resistência à insulina, hiperglicemia, diabete, dislipidemia e síndrome metabólica com consequente aumento do risco de eventos coronarianos e mortalidade cardiovascular nessa população específica. Este artigo de atualização apresenta uma revisão bibliográfica realizada no MEDLINE de toda literatura publicada em inglês no período de 1966 até junho de 2009, com as seguintes palavras-chave: androgen deprivation therapy, androgen supression therapy, hormone treatment, prostate cancer, metabolic syndrome e cardiovascular disease, no intuito de analisar quais seriam os reais riscos cardiovasculares da terapia de deprivação androgênica, também chamada bloqueio androgênico, nos pacientes com câncer de próstata.El adenocarcinoma de próstata es el cáncer más común en el sexo masculino después del cáncer de piel. Entre las varias formas de tratamiento del cáncer de próstata, la terapia de bloqueo androgénico es una modalidad consagrada en los pacientes con enfermedad metastásica o localmente avanzada, que probablemente resulta en aumento de sobrevida. Mientras tanto, el bloqueo androgénico es causante de una serie de consecuencias adversas. Complicaciones como osteoporosis, disfunción sexual, ginecomastia, anemia y alteraciones en la composición corporal son

  17. Comparison of intraoral scanning and conventional impression techniques using 3-dimensional superimposition

    Science.gov (United States)

    Rhee, Ye-Kyu

    2015-01-01

    PURPOSE The aim of this study is to evaluate the appropriate impression technique by analyzing the superimposition of 3D digital model for evaluating accuracy of conventional impression technique and digital impression. MATERIALS AND METHODS Twenty-four patients who had no periodontitis or temporomandibular joint disease were selected for analysis. As a reference model, digital impressions with a digital impression system were performed. As a test models, for conventional impression dual-arch and full-arch, impression techniques utilizing addition type polyvinylsiloxane for fabrication of cast were applied. 3D laser scanner is used for scanning the cast. Each 3 pairs for 25 STL datasets were imported into the inspection software. The three-dimensional differences were illustrated in a color-coded map. For three-dimensional quantitative analysis, 4 specified contact locations(buccal and lingual cusps of second premolar and molar) were established. For twodimensional quantitative analysis, the sectioning from buccal cusp to lingual cusp of second premolar and molar were acquired depending on the tooth axis. RESULTS In color-coded map, the biggest difference between intraoral scanning and dual-arch impression was seen (Pimpression and the smallest difference was seen between dual-arch and full-arch impression. CONCLUSION The two- and three-dimensional deviations between intraoral scanner and dual-arch impression was bigger than full-arch and dual-arch impression (P.05). PMID:26816576

  18. Bloqueo aurículo-ventricular de primer grado en tirotoxicosis aguda First degree atrio-ventricular block in acute thyrotoxicosis

    Directory of Open Access Journals (Sweden)

    Antonio R. Vilches

    2004-02-01

    Full Text Available El cuadro clínico de la tirotoxicosis incluye síntomas cardiovasculares variados. La taquicardia sinusal es el trastorno electrocardiográfico más frecuente y los trastornos de conducción son extremadamente raros como modo de presentación. Comunicamos un caso de bloqueo aurículo-ventricular de primer grado en una paciente con hipertiroidismo recién diagnosticado y que comenzó días antes de la consulta con un cuadro general inespecífico. Su evaluación ulterior demostró que se trataba de una tirotoxicosis aguda autoinmune, y su tratamiento con metimazol corrigió el trastorno totalmente. Se discuten los mecanismos fisiopatológicos involucrados y las implicancias clínicas desde el punto de vista del internista.Thyrotoxicosis may present with a variety of cardiovascular symptoms. Sinus tachycardia is the most frequently encountered electrocardiographic abnormality and conduction disturbances are extremely uncommon. We present a case of first degree atrio-ventricular block in a patient with newly diagnosed hyperthyroidism and discuss the underlying pathophysiological mechanisms and the clinical implications from the internist’s standpoint.

  19. Surgical resection of a huge cemento-ossifying fibroma in skull base by intraoral approach.

    Science.gov (United States)

    Cheng, Xiao-Bing; Li, Yun-Peng; Lei, De-Lin; Li, Xiao-Dong; Tian, Lei

    2011-03-01

    Cemento-ossifying fibroma, also known as ossifying fibroma, usually occurs in the mandible and less commonly in the maxilla. The huge example in the skull base is even rare. We present a case of a huge cemento-ossifying fibroma arising below the skull base of a 30-year-old woman patient. Radiologic investigations showed a giant, lobulated, heterogeneous calcified hard tissue mass, which is well circumscribed and is a mixture of radiolucent and radiopaque, situated at the rear of the right maxilla to the middle skull base. The tumor expands into the right maxillary sinus and the orbital cavity, fusing with the right maxilla at the maxillary tuberosity and blocking the bilateral choanas, which caused marked proptosis and blurred vision. The tumor was resected successfully by intraoral approach, and pathologic examination confirmed the lesion to be a cemento-ossifying fibroma. This case demonstrates that cemento-ossifying fibroma in the maxilla, not like in the mandible, may appear more aggressive because the extensive growth is unimpeded by anatomic obstacles and that the intraoral approach can be used to excise the tumor in the skull base.

  20. Comparison of Ventilation With One-Handed Mask Seal With an Intraoral Mask Versus Conventional Cuffed Face Mask in a Cadaver Model: A Randomized Crossover Trial.

    Science.gov (United States)

    Amack, Andrew J; Barber, Gary A; Ng, Patrick C; Smith, Thomas B; April, Michael D

    2017-01-01

    We compare received minute volume with an intraoral mask versus conventional cuffed face mask among medics obtaining a 1-handed mask seal on a cadaver model. This study comprised a randomized crossover trial of adult US Army combat medic volunteers participating in a cadaver laboratory as part of their training. We randomized participants to obtain a 1-handed mask seal during ventilation of a fresh unembalmed cadaver, first using either an intraoral airway device or conventional cuffed face mask. Participants obtained a 1-handed mask seal while a ventilator delivered 10 standardized 750-mL breaths during 1 minute. After a 5-minute rest period, they repeated the study with the alternative mask. The primary outcome measure was received minute volume as measured by a respirometer. Of 27 recruited participants, all completed the study. Median received minute volume was higher with the intraoral mask compared with conventional cuffed mask by 1.7 L (95% confidence interval 1.0 to 1.9 L; Pcadaver model. The intraoral mask may prove a useful airway adjunct for ventilation. Copyright © 2016 American College of Emergency Physicians. Published by Elsevier Inc. All rights reserved.

  1. Measurement of scattered and transmitted X-rays from intra-oral and panoramic dental X-ray equipment.

    Science.gov (United States)

    Holroyd, John Richard

    2018-04-10

    To quantify the levels of transmitted radiation arising from the use of intra-oral dental X-ray equipment and scattered radiation arising from the use of both intra-oral and panoramic X-ray equipment. Methods: Levels of scattered radiation were measured at 1 m from a phantom, using an 1800 cc ion chamber. Transmitted radiation was measured using both: i) a phantom and Dose Area Product (DAP) meter, ii) a patient and an 1800 cc ion chamber. Results: For intra-oral radiography the patient study gave a maximum transmission of 1.80% (range 0.04% to 1.80%, mean 0.26%) and the phantom study gave a maximum transmission of 6% (range 2% to 6%, mean 5%). The maximum scattered radiation, per unit DAP, was 5.5 nGy (mGy cm2)-1 at 70 kVp and a distance of 1 m. For panoramic radiography the maximum scattered radiation was 9.3 nGy (mGy cm2)-1 at 80 kVp and a distance of 1 m. Conclusions: Typical doses from scattered and transmitted radiation in modern dental practice have been measured and values are presented to enable the calculation of adequate protection measures for dental radiography rooms. Advances in knowledge: Previous studies have used a phantom and measured radiation doses at 1 m from the phantom to determine the radiation dose transmitted through a patient, whereas this study uses both patient and phantom measurements together with a large area dose meter, positioned to capture the entire X-ray beam, to ensure more realistic dose measurements can be made. © 2018 IOP Publishing Ltd.

  2. Pleomorphic adenoma of the accessory parotid gland: case report and reappraisal of intraoral extracapsular dissection for management.

    Science.gov (United States)

    Tsegga, Tibebu M; Britt, Jennifer D; Ellwanger, Aragon R

    2015-03-01

    Pleomorphic adenoma is the most common tumor of the major and minor salivary glands. Rarely is it found evolving from an ectopic location of major salivary glandular tissue in the mid cheek. A healthy 56-year-old woman presented to our institution with a 20-year duration of a slowly growing right cheek soft tissue mass that was causing facial asymmetry. No significant functional or neurosensory dysfunction was appreciated. Radiologic examination showed a heterogeneous, hyperintense, well-delineated mass within the region of the right buccal fat pad. Fine-needle aspiration biopsy showed benign salivary gland elements consistent with pleomorphic adenoma. The decision was made to perform intraoral extracapsular dissection for removal. Discussion of the clinical assessment and magnetic resonance imaging evaluation with an emphasis on intraoral extracapsular dissection for definitive surgical therapy of longstanding benign salivary gland tumors is emphasized. Published by Elsevier Inc.

  3. [Imaging analysis of temporomandibular joint anatomy changes after intraoral condylectomy combined with orthognathic surgery].

    Science.gov (United States)

    Luo, N J; Li, Z L; Yi, B; Liang, C; Wang, X; Wang, X X

    2016-06-01

    To quantitatively analyze the changes of facial symmetry and temporomandibular joint structure at different periods after intraoral condylectomy combined with orthognathic surgery, and to evaluate the long-term stability after the operation. Spiral CT data of 10 cases treated by intraoral condylectomy combined with orthognathic surgery were collected, and then reconstructed by ProPlan software. Mark points were drawn on the 3D-images reconstructed immediately after the operation, and 6 months and 12 months after the operation. The measurements parameters included condylar axis angle in three dimensions, condylar-glenoid relative position and condylar facial morphology related indicators. The results were statistically analyzed by the consistency test and the variance of repeated measurement data. The facial asymmetry of the patients was corrected after operation, the height of the affected mandibular ascending ramus(T1: [67.81±6.95]mm, T2: [64.49±6.24]mm, T3: [63.05±7.07]mm)as well as the degree of pogonion deviation decreased(T1: [2.79±4.93]mm, T2: [0.37±4.20]mm, T3: [0.33 ± 3.97]mm)(P0.05). The post-operative 3D changes of the position and shape of the resected and its contralateral condylar showed that the bilateral condylar axis angle in the horizontal plane gradually grew after operation(affected condyle: 71.95° ± 7.47°, 74.73°±8.44°, 76.56°±5.22°; control condyle: 72.60°±5.56°, 76.00°±5.30°, 77.19°±6.20° and had significant difference between all the post-operative periods)(P0.05). The intraoral condylectomy combined with orthognathic surgery can eliminate condylar lesions effectively and correct the facial asymmetry caused by condylar benign tumor and hyperplasia. The facial symmetry can be maintained well after the operation, and the post-operative condylar morphology changes tended to be stable six months after the operation.

  4. Examination of the Position Accuracy of Implant Abutments Reproduced by Intra-Oral Optical Impression

    Science.gov (United States)

    Odaira, Chikayuki; Kobayashi, Takuya; Kondo, Hisatomo

    2016-01-01

    An impression technique called optical impression using intraoral scanner has attracted attention in digital dentistry. This study aimed to evaluate the accuracy of the optical impression, comparing a virtual model reproduced by an intraoral scanner to a working cast made by conventional silicone impression technique. Two implants were placed on a master model. Working casts made of plaster were fabricated from the master model by silicone impression. The distance between the ball abutments and the angulation between the healing abutments of 5 mm and 7 mm height at master model were measured using Computer Numerical Control Coordinate Measuring Machine (CNCCMM) as control. Working casts were then measured using CNCCMM, and virtual models via stereo lithography data of master model were measured by a three-dimensional analyzing software. The distance between ball abutments of the master model was 9634.9 ± 1.2 μm. The mean values of trueness of the Lava COS and working casts were 64.5 μm and 22.5 μm, respectively, greater than that of control. The mean of precision values of the Lava COS and working casts were 15.6 μm and 13.5 μm, respectively. In the case of a 5-mm-height healing abutment, mean angulation error of the Lava COS was greater than that of the working cast, resulting in significant differences in trueness and precision. However, in the case of a 7-mm-height abutment, mean angulation errors of the Lava COS and the working cast were not significantly different in trueness and precision. Therefore, distance errors of the optical impression were slightly greater than those of conventional impression. Moreover, the trueness and precision of angulation error could be improved in the optical impression using longer healing abutments. In the near future, the development of information technology could enable improvement in the accuracy of the optical impression with intraoral scanners. PMID:27706225

  5. The optimum circular field size for dental radiography with intraoral films

    International Nuclear Information System (INIS)

    van Straaten, F.J.; van Aken, J.

    1982-01-01

    Intraoral radiographs are often made with circular fields to irradiate the film, and in many instances these fields are much larger than the film. The feasibility of reducing a circular radiation field without increasing the probability of excessive cone cutting was evaluated clinically, and an optimum field size was determined. A circular radiation field 4.5 cm. at the tube end was found to minimize cone cutting and reduce the area of tissue irradiated by at least 44 percent. Findings suggest that current I.C.R.P. recommendations for a 6 to 7.5 cm. diameter circular field may be too liberal

  6. Cardiomiopatía hipertrófica y síndrome de Wolff-Parkinson-White con bloqueo aurículo-ventricular completo. Una extraña asociación: Reporte de un caso Hypertrophic cardiomyopathy and Wolff-Parkinson-White Syndrome with complete auriculoventricular block. A strange association: Report of one case

    Directory of Open Access Journals (Sweden)

    Franco J Vallejo

    2007-12-01

    Full Text Available Paciente masculino de 22 años quien ingresa por episodio de síncope. En el electrocardiograma se encuentra patrón de Wolff-Parkinson-White y signos de sobrecarga auricular e hipertrofia ventricular izquierda con bloqueo aurículo-ventricular completo. El ecocardiograma transtorácico es compatible con cardiomiopatía hipertrófica no obstructiva. Se lleva a estudio electrofisiológico donde se encuentra pre-excitación por vía accesoria y bloqueo aurículo-ventricular infrahisiano; se realiza ablación y se implanta marcapasos bicameral.A 22 years old male patient is admitted for a syncope episode. An electrocardiogram shows a Wolff-Parkinson-White pattern and signs of auricular overload with left ventricular hypertrophy and complete auriculoventricular block. The transthoracic echocardiogram is compatible with non-obstructive hypertrophic cardiomyopathy. An electrophysiological study is carried out, finding pre-excitation through an accessory way and infra-His auriculoventricular block. An ablation is performed and a bicameral pacemaker is implanted.

  7. Análisis de los resultados obtenidos durante la práctica clínica habitual en la reversión del bloqueo neuromuscular superficial con sugammadex : valoración de su impacto farmacoeconómico

    OpenAIRE

    Ripoll Coronado, Laura Isabel

    2014-01-01

    Introducción: Sugammadex revierte de manera rápida y eficaz el bloqueo neuromuscular (BNM) inducido por rocuronio y vecuronio. Sin embargo, la dosis requerida para la reversión del BNM superficial es aún desconocida, y se utiliza la misma dosis que para revertir el BNM moderado. Se investigó si dosis menores de sugammadex en la reversión del BNM superficial obtienen resultados no inferiores a la dosis empleada habitualmente y si sugammadex a estas dosis es superior a la neostigmina. Se valora...

  8. Análisis de los resultados obtenidos durante la práctica clínica habitual en la reversión del bloqueo neuromuscular superficial con sugammadex : valoración de su impacto farmacoeconómico

    OpenAIRE

    Ripoll Coronado, Laura Isabel

    2014-01-01

    Sugammadex revierte de manera rápida y eficaz el bloqueo neuromuscular (BNM) inducido por rocuronio y vecuronio. Sin embargo, la dosis requerida para la reversión del BNM superficial es aún desconocida, y se utiliza la misma dosis que para revertir el BNM moderado. Se investigó si dosis menores de sugammadex en la reversión del BNM superficial obtienen resultados no inferiores a la dosis empleada habitualmente y si sugammadex a estas dosis es superior a la neostigmina. Se valora el impacto fa...

  9. Clinical evaluation comparing the fit of all-ceramic crowns obtained from silicone and digital intraoral impressions based on wavefront sampling technology.

    Science.gov (United States)

    Pradíes, Guillermo; Zarauz, Cristina; Valverde, Arelhys; Ferreiroa, Alberto; Martínez-Rus, Francisco

    2015-02-01

    The aim of this study was to compare the fit of ceramic crowns fabricated from conventional silicone impressions with the fit of ceramic crowns fabricated from intraoral digital impressions. Twenty-five participants with 30 posterior teeth with a prosthetic demand were selected for the study. Two crowns were made for each preparation. One crown was fabricated from an intraoral digital impression system (IDI group) and the other crown was fabricated from a conventional two-step silicone impression (CI group). To replicate the interface between the crown and the preparation, each crown was cemented on its corresponding clinical preparation with ultra-flow silicone. Each crown was embedded in acrylic resin to stabilise the registered interface and then cut in 2mm thick slices in a buco-lingual orientation. The internal gap was determined as the vertical distance from the internal surface of the crown to the prepared tooth surface at four points (marginal gap, axial gap, crest gap, and occlusal fossa gap) using stereomicroscopy with a magnification of 40×. Data was analysed by using Wilcoxon signed rank test (α=0.05). Internal adaptation values were significantly affected by the impression technique (p=0.001). Mean marginal gap was 76.33 ± 65.32 μm for the crowns of the IDI group and 91.46 ± 72.17 μm for the CI group. All-ceramic crowns fabricated from intraoral digital impressions with wavefront sampling technology demonstrated better internal fit than crowns manufactured from silicone impressions. Impressions obtained from an intraoral digital scanner based on wavefront sampling technology can be used for manufacturing ceramic crowns in the normal clinical practice with better results than conventional impressions with elastomers. Copyright © 2014 Elsevier Ltd. All rights reserved.

  10. Bloqueio do nervo frênico após realização de bloqueio do plexo braquial pela via interescalênica: relato de caso A bloqueo del nervio frénico después de la realización de bloqueo del plexo braquial por la vía interescalénica: relato de caso Phrenic nerve block after interscalene brachial plexus block: case report

    Directory of Open Access Journals (Sweden)

    Luis Henrique Cangiani

    2008-04-01

    Full Text Available JUSTIFICATIVA E OBJETIVOS: Bloqueio do nervo frênico é um evento adverso do bloqueio do plexo braquial; entretanto, na sua maioria, sem repercussões clínicas importantes. O objetivo deste relato foi apresentar um caso em que ocorreu bloqueio do nervo frênico, com comprometimento ventilatório, em paciente com insuficiência renal crônica submetido a instalação de fístula arteriovenosa extensa, sob bloqueio do plexo braquial pela via perivascular interescalênica. RELATO DO CASO: Paciente do sexo masculino, 50 anos, tabagista, portador de insuficiência renal crônica em regime de hemodiálise, hipertensão arterial, hepatite C, diabetes mellitus, doença pulmonar obstrutiva crônica, a ser submetido à instalação de fístula arteriovenosa extensa no membro superior direito sob bloqueio de plexo braquial pela via interescalênica. O plexo braquial foi localizado com utilização do estimulador de nervo periférico. Foram injetados 35 mL de uma solução de anestésico local, constituída de uma mistura de lidocaína a 2% com epinefrina a 1:200.000 e ropivacaína a 0,75% em partes iguais. Ao final da injeção o paciente apresentava-se lúcido, porém com dispnéia e predomínio de incursão respiratória intercostal ipsilateral ao bloqueio. Não havia murmúrio vesicular na base do hemitórax direito. A SpO2 manteve-se em 95%, com cateter nasal de oxigênio. Não foi necessária instalação de métodos de auxílio ventilatório invasivo. Radiografia do tórax revelou que o hemidiafragma direito ocupava o 5° espaço intercostal. O quadro clínico foi revertido em três horas. CONCLUSÕES: O caso mostrou que houve paralisia total do nervo frênico com sintomas respiratórios. Apesar de não ter sido necessária terapêutica invasiva para o tratamento, fica o alerta para a restrição da indicação da técnica nesses casos.JUSTIFICATIVA Y OBJETIVOS: El bloqueo del nervio frénico es un evento adverso del bloqueo del plexo braquial, sin

  11. Patient doses during intra-oral radiography in dental offices

    International Nuclear Information System (INIS)

    Sakaino, Rie; Harata, Yasuo; Okano, Tomohiro; Sato, Kenji; Yosue, Takashi; Nishikawa, Keiichi; Sano, Tsukasa; Kobayashi, Ikuo

    2011-01-01

    Measurement of patient entrance dose (PED) and dose area product (DAP) at various dental offices in the Tokyo bay area and comparison of PEDs with the existing diagnostic reference levels recommended in the United Kingdom (UK). The survey included 28 dental clinics categorized by the type of intra-oral radiography used. PED was measured by placing an optically stimulated luminescence dosimeter (OSLD) at the tip of the cone. Exposure parameters were those used for the adult mandibular molar region in the respective clinics. The OSLD readings were calibrated using an ionizing chamber manufactured according to standards of the Japan Quality Assurance Organization. The area (A), of the X-ray beam, was calculated by exposing an X-ray film placed at the tip of the cone and measuring the exposed area. Then the DAP was calculated as the product of PED times A. The PED estimated at various dental clinics differed by a factor of 120. The mean, minimum, maximum, median and third quartile values of PEDs were 4.99, 0.18, 21.7, 3.60 and 5.76 mGy, respectively. At 60-70 kV, PEDs observed in clinics using digital imaging systems were below 2.1 mGy which was lower than that of clinics using films that were E-speed or faster. It was also observed that PEDs were directly proportional to the tube current and exposure time. The mean, minimum, maximum, median and third quartile of DAPs were 13.0, 0.45, 61.4, 9.34 and 13.4 cGy cm 2 , respectively. The DAP values showed a linear correlation coefficient of 0.99 with PED values. Measurement of PED and DAP using OSLD and X-ray film can play a useful role in optimization of radiation protection for patients during intra-oral radiography. This method can be conveniently applied to set up diagnostic reference levels by carrying out mass surveys in Japan. (author)

  12. Elemental, microstructural, and mechanical characterization of high gold orthodontic brackets after intraoral aging.

    Science.gov (United States)

    Hersche, Sepp; Sifakakis, Iosif; Zinelis, Spiros; Eliades, Theodore

    2017-02-01

    The purpose of the present study was to investigate the elemental composition, the microstructure, and the selected mechanical properties of high gold orthodontic brackets after intraoral aging. Thirty Incognito™ (3M Unitek, Bad Essen, Germany) lingual brackets were studied, 15 brackets as received (control group) and 15 brackets retrieved from different patients after orthodontic treatment. The surface of the wing area was examined by scanning electron microscopy (SEM). Backscattered electron imaging (BEI) was performed, and the elemental composition was determined by X-ray EDS analysis (EDX). After appropriate metallographic preparation, the mechanical properties tested were Martens hardness (HM), indentation modulus (EIT), elastic index (ηIT), and Vickers hardness (HV). These properties were determined employing instrumented indentation testing (IIT) with a Vickers indenter. The results were statistically analyzed by unpaired t-test (α=0.05). There were no statistically significant differences evidenced in surface morphology and elemental content between the control and the experimental group. These two groups of brackets showed no statistically significant difference in surface morphology. Moreover, the mean values of HM, EIT, ηIT, and HV did not reach statistical significance between the groups (p>0.05). Under the limitations of this study, it may be concluded that the surface elemental content and microstructure as well as the evaluated mechanical properties of the Incognito™ lingual brackets remain unaffected by intraoral aging.

  13. Effect of heat treatments on machinability of gold alloy with age-hardenability at intraoral temperature.

    Science.gov (United States)

    Watanabe, I; Baba, N; Watanabe, E; Atsuta, M; Okabe, T

    2004-01-01

    This study investigated the effect of heat treatment on the machinability of heat-treated cast gold alloy with age-hardenability at intraoral temperature using a handpiece engine with SiC wheels and an air-turbine handpiece with carbide burs and diamond points. Cast gold alloy specimens underwent various heat treatments [As-cast (AC); Solution treatment (ST); High-temperature aging (HA), Intraoral aging (IA)] before machinability testing. The machinability test was conducted at a constant machining force of 0.784N. The three circumferential speeds used for the handpiece engine were 500, 1,000 and 1,500 m/min. The machinability index (M-index) was determined as the amount of metal removed by machining (volume loss, mm(3)). The results were analyzed by ANOVA and Scheffé's test. When an air-turbine handpiece was used, there was no difference in the M-index of the gold alloy among the heat treatments. The air-turbine carbide burs showed significantly (pmachinability of the gold alloy using the air-turbine handpiece. The heat treatments had a small effect on the M-index of the gold alloy machined with a SiC wheel for a handpiece engine.

  14. The correlationship between mandibular radiomorphometric indices in panorama and bone mineral density in Cu-equivalent image of intraoral film

    International Nuclear Information System (INIS)

    Kim, Jae Duk

    2003-01-01

    To determine whether the mandibular radiomorphometric indices in panoramic radiography are correlated with the bone mineral density of Cu-equivalent images in intraoral film. The bone mineral density (BMD) of the mandibular premolar area was measured in the Cu-equivalent image of intraoral film. The Panoramic Mandibular Index (PMI) and Mandibular Cortical Width (MCW) were measured in panoramic radiographs of six dry mandibles, and the Pearson correlation between PMI, MCW, and BMD were tested. There were no significant correlations between PMI and BMD (r=0.280), nor between MCW and BMD (r=0.237). The results show that PMI and MCW were poor diagnostic indicators of mandibular BMD in the six dry mandibles used in this study. The correlationship between the mandibular radiomorphometric indices (PMI and MCW) and mandibular BMD needs to be researched further using large in vivo patient samples.

  15. Intraoral Salivary Duct Cyst: Clinical and Histopathologic Features of 177 Cases.

    Science.gov (United States)

    Stojanov, Ivan J; Malik, Umer A; Woo, Sook-Bin

    2017-12-01

    The salivary duct cyst (SDC) is a reactive ductal ectasia most frequently seen in major salivary glands, and likely caused by obstruction. The aim of this study is to define the clinical and histopathologic spectrum of intraoral SDCs. Cases were retrieved from the archives of Harvard School of Dental Medicine/StrataDx, Inc. from January 2012 to August 2014. There were 177 cases of which 103 (58.2%) occurred in females, with a median age of 56 (range 2-95). Approximately half of cases (45.8%) presented in the area of the buccal mucosa, lower lip mucosa, or mandibular vestibule, and 23.2% presented in the floor of mouth. SDCs were lined at least focally by 1-2 layers of cuboidal/columnar epithelium in 85.3% of cases and showed varying degrees of metaplasia (oncocytic, mucous cell, squamous, ciliated, apocrine-like) in 68.4% of cases. Intraluminal mucous stasis was present in 41.8% of SDCs, incipient calcification was present within 4.5% of SDCs, and chronic obstructive sialadenitis was seen in 90.2% of cases. No cysts showed adenomatous ductal proliferations or true papillary structures with fibrovascular cores, although 41.2% exhibited reactive undulation of cyst lining. Thirty-nine 'papillary oncocytic cystadenoma-like' SDCs (22.0%) demonstrated complete oncocytic metaplasia and marked undulation. An additional seven such cysts (4.0%) had a 'Warthin tumor-like' lymphoplasmacytic infiltrate. Intraoral SDCs occur most commonly in the sixth decade of life in locations distinct from extravasation mucoceles, likely secondary to intraluminal obstruction. SDCs show diverse histopathology and certain phenotypic variants may be mistaken for papillary oncocytic cystadenoma or Warthin tumor.

  16. Bloqueo mediático, redes sociales y malestar ciudadano. Para entender el movimiento español del 15-M

    Directory of Open Access Journals (Sweden)

    Xosé Ramón Rodríguez-Polo

    2013-01-01

    Full Text Available El movimiento del 15-M ha sido la movilización más importante que ha vivido España en los últimos años. En este trabajo proponemos analizar este fenómeno mediante el estudio de cuatro elementos que consideramos que presentan las claves para entender algunas de sus causas y el enorme respaldo social que alcanzó. Empleando el análisis secundario de datos abordamos el estudio de la situación de bloqueo del debate público, la incidencia política que facilitan los medios sociales, los colectivos activistas y el descontento de la ciudadanía española. Del análisis de la opinión pública se colige que el problema económico de la crisis derivó, por causa de su gestión, en un problema social, para transformarse finalmente en un problema político, manifestado en un clima de enorme descontento con la situación política y con el gobierno. La irrupción del 15-M hizo aflorar todo el malestar acumulado, convirtiendo un acto organizado por colectivos minoritarios en toda una marea ciudadana de repulsa.

  17. La inmunización con productos de excreción-secreción de Trichinella spiralis unido al bloqueo de CTLA-4 produce un elevado grado de protección ante un reto con el parásito

    Directory of Open Access Journals (Sweden)

    José Lino Zumaquero-Ríos

    2017-04-01

    Full Text Available En la búsqueda de una vacuna experimental efectiva contra Trichinella spiralis se han utilizado diferentes estrategias, pero el grado de protección alcanzado en la casi totalidad de los ensayos es insuficiente para lograr un adecuado control de la enfermedad. En la literatura hay evidencias de que moléculas inhibidoras de la activación de los linfocitos T están implicadas en la regulación de la respuesta inmune contra los helmintos. El bloqueo de estas moléculas puede ser un blanco potencial para el tratamiento de las infecciones causadas por estos parásitos. Por otra parte, se ha informado que la inmunización con productos de excreción-secreción de larvas musculares de T. spiralis proporciona una inmunidad protectora parcial. La infección con el parásito induce una elevada población de linfocitos T reguladores que modulan la respuesta inmune. En este trabajo encontramos que la inmunización con antígenos de excreción-secreción de larvas musculares, más el bloqueo de la molécula inhibidora CTLA-4 en los linfocitos T, causa una significativa reducción de las larvas del parásito en un modelo experimental murino. De esta forma, queda demostrado que la eliminación del efecto supresor inducido por el helminto da por resultado una respuesta Th2 protectora más potente.

  18. Five years experience with a new intraoral maxillary distraction device (RID).

    Science.gov (United States)

    Picard, Arnaud; Diner, Patrick A; Galliani, Eva; Tomat, Catherine; Vazquez, Ma rie Paule; Carls, Friedrich P

    2011-10-01

    Maxillary distraction osteogenesis is well established for the treatment of severe retromaxilla. We report our experience since 2004 of the treatment of 19 patients using a new intraoral maxillary distraction device. Maxillary advancement was successful in all patients with mean advancement of 9.6mm (range 4-17) measured at a point in lateral cephalograms. The new device limited surgical exposure and the amount of materials implanted, and improved control in every phase of the distraction. It was psychologically accepted by patients and was more comfortable than existing devices. Copyright © 2010 The British Association of Oral and Maxillofacial Surgeons. Published by Elsevier Ltd. All rights reserved.

  19. Bloqueio neuromuscular residual após o uso de rocurônio ou cisatracúrio Bloqueo neuromuscular residual después del uso de rocuronio o cisatracúrio Residual neuromuscular block after rocuronium or cisatracurium

    Directory of Open Access Journals (Sweden)

    Bruno Salomé de Morais

    2005-12-01

    Full Text Available JUSTIFICATIVA E OBJETIVOS: O bloqueio neuromuscular residual na sala de recuperação pós-anestésica (SRPA é um fenômeno que pode aumentar a morbidade pós-operatória, com incidência variando entre 0% e 93%. O objetivo deste estudo foi avaliar a incidência do bloqueio neuromuscular residual na SRPA. MÉTODO: Foram estudados 93 pacientes submetidos à cirurgia geral com o uso de cisatracúrio ou rocurônio. Após a admissão na SRPA foi realizada a monitorização objetiva da função neuromuscular (aceleromiografia - TOF GUARD. O bloqueio neuromuscular residual foi definido como SQE JUSTIFICATIVA Y OBJETIVOS: El bloqueo neuromuscular residual en la sala de recuperación posanestésica (SRPA es un fenómeno que puede aumentar la morbidez posoperatoria, con incidencia variando entre 0% y 93%. La finalidad de este estudio fue evaluar la incidencia del bloqueo neuromuscular residual en la SRPA. MÉTODO: Fueron estudiados 93 pacientes sometidos a cirugía general con el uso de cisatracúrio o rocuronio. Después de la admisión en la SRPA fue realizada la monitorización objetiva de la función neuromuscular (aceleromiografia - TOF-GUARD. El bloqueo neuromuscular residual fue definido como TOF BACKGROUND AND OBJECTIVES: Residual neuromuscular block in the post-anesthetic recovery unit (PACU may increase postoperative morbidity from 0% to 93%. This study aimed at evaluating the incidence of residual neuromuscular block in the PACU. METHODS: Participated in this study 93 patients submitted to general anesthesia with cisatracurium or rocuronium. After PACU admission, neuromuscular function was objectively monitored (acceleromyography - TOF GUARD. Residual neuromuscular block was defined as TOF < 0.9. RESULTS: From 93 patients, 53 received cisatracurium and 40 rocuronium. Demographics, procedure length and the use of antagonists were comparable between groups. Residual neuromuscular block was 32% in subgroup C (cisatracurium and 30% in subgroup R

  20. Processing of Intraoral Olfactory and Gustatory Signals in the Gustatory Cortex of Awake Rats.

    Science.gov (United States)

    Samuelsen, Chad L; Fontanini, Alfredo

    2017-01-11

    The integration of gustatory and olfactory information is essential to the perception of flavor. Human neuroimaging experiments have pointed to the gustatory cortex (GC) as one of the areas involved in mediating flavor perception. Although GC's involvement in encoding the chemical identity and hedonic value of taste stimuli is well studied, it is unknown how single GC neurons process olfactory stimuli emanating from the mouth. In this study, we relied on multielectrode recordings to investigate how single GC neurons respond to intraorally delivered tastants and tasteless odorants dissolved in water and whether/how these two modalities converge in the same neurons. We found that GC neurons could either be unimodal, responding exclusively to taste (taste-only) or odor (odor-only), or bimodal, responding to both gustatory and olfactory stimuli. Odor responses were confirmed to result from retronasal olfaction: monitoring respiration revealed that exhalation preceded odor-evoked activity and reversible inactivation of olfactory receptors in the nasal epithelium significantly reduced responses to intraoral odorants but not to tastants. Analysis of bimodal neurons revealed that they encode palatability significantly better than the unimodal taste-only group. Bimodal neurons exhibited similar responses to palatable tastants and odorants dissolved in water. This result suggested that odorized water could be palatable. This interpretation was further supported with a brief access task, where rats avoided consuming aversive taste stimuli and consumed the palatable tastants and dissolved odorants. These results demonstrate the convergence of the chemosensory components of flavor onto single GC neurons and provide evidence for the integration of flavor with palatability coding. Food perception and choice depend upon the concurrent processing of olfactory and gustatory signals from the mouth. The primary gustatory cortex has been proposed to integrate chemosensory stimuli

  1. Síndrome de Horner y bloqueo del plexo braquial ipsilateral en un caso de analgesia epidural para el trabajo del parto Horner´s sydrome and ipsilateral brachial plexus block during an epidural analgesia labour procedure

    OpenAIRE

    J. Avellanosa; J. Vera; P. Morillas; E. Gredilla; F. Gilsanz

    2006-01-01

    El Síndrome de Horner es una complicación de la anestesia epidural que aparece más frecuentemente en pacientes obstétricas debido a los cambios fisiológicos y anatómicos propios del embarazo; sin embargo, su incidencia es baja, y sólo se han descrito dos casos previos asociando un bloqueo del plexo braquial. Presentamos el caso de una gestante de 23 años que precisó analgesia epidural para el trabajo de parto. Tras comprobar la correcta colocación del catéter se administró una dosis inicial e...

  2. Long-term stability of intra-oral maxillary distraction in unilateral cleft lip and palate: a case report.

    Science.gov (United States)

    Nevzatoğlu, Sirin; Küçükkeleş, Nazan; Güzel, Zeki

    2013-11-01

    This case report presents short and long-term treatment results of a unilateral cleft lip and palate patient treated with a modified intra-oral tooth-bone borne distraction appliance. The chief complaints of a 16 year-old, unilateral cleft lip and palate patient were poor facial aesthetics, crowding and a fistula. Severe maxillary retrognathism was treated via distraction osteogenesis of the maxilla and performed using an intra-oral tooth-bone borne appliance. Treatment continued to completion with a multibracket system. At an eight-year review following the distraction procedure, the short and long-term results were determined cephalometrically. Following the distraction, A-point advanced 7 mm, 2 mm of which relapsed during fixed appliance treatment. At the end of the active treatment, the patient's skeletal and dental Class III relationship improved to Class I, which was preserved at the long-term review. The profile was markedly improved by the distraction osteogenesis. In cases of severe maxillary retrognathism as a result of a cleft lip and palate, maxillary distraction osteogenesis provides a viable alternative to orthognathic surgery.

  3. Técnica quirúrgica para abordaje intraoral de quiste dermoide cervical de gran tamaño: a propósito de un caso clínico Surgical technique for intraoral approach to a large cervical dermoid cyst: case report

    Directory of Open Access Journals (Sweden)

    Víctor Gómez-Carrillo

    2011-09-01

    Full Text Available Lesiones benignas de extensión submilohioidea pueden abordarse por vía intraoral, eludiendo una cicatriz cutánea y garantizando la preservación de las ramas del nervio facial. Se aborda el suelo de boca, consiguiendo una buena exposición del campo quirúrgico extirpando la glándula sublingual. Se diseca el conducto submaxilar para evitar su morbilidad. Se diseca la lesión en todos sus polos. Una vez que se encuentra completamente despegada, se vacía parcialmente de contenido para que pueda caber por la incisión que se ha realizado.Submilohyoid benign lesions can be approached intraorally, thus avoiding skin scars and ensuring the preservation of facial nerve branches. The floor of the mouth is opened and better exposure of the surgical field is achieved by removing the sublingual gland. The submandibular duct is identified and probed to prevent damage. The lesion is totally dissected and its contents removed so it could fit through the incision made.

  4. Precise positioning of an intraoral distractor using augmented reality in patients with hemifacial microsomia.

    Science.gov (United States)

    Qu, Miao; Hou, Yikang; Xu, Yourong; Shen, Congcong; Zhu, Ming; Xie, Le; Wang, Hao; Zhang, Yan; Chai, Gang

    2015-01-01

    Through three-dimensional real time imaging, augmented reality (AR) can provide an overlay of the anatomical structure, or visual cues for specific landmarks. In this study, an AR Toolkit was used for distraction osteogenesis with hemifacial microsomia to define the mandibular osteotomy line and assist with intraoral distractor placement. 20 patients with hemifacial microsomia were studied and were randomly assigned to experimental and control groups. Pre-operative computed tomography was used in both groups, whereas AR was used in the experimental group. Afterwards, pre- and post-operative computed tomographic scans of both groups were superimposed, and several measurements were made and analysed. Both the conventional method and AR technique achieved proper positioning of the osteotomy planes, although the AR was more accurate. The difference in average vertical distance from the coronoid and condyle process to the pre- and post-operative cutting planes was significant (p 0.05) was observed in the average angle between the two planes. The difference in deviations between the intersection points of the overlaid mandible across two cutting planes was also significant (p Augmented reality tools such as the AR Toolkit may be helpful for precise positioning of intraoral distractors in patients with hemifacial microsomia in craniofacial surgery. Copyright © 2014 European Association for Cranio-Maxillo-Facial Surgery. Published by Elsevier Ltd. All rights reserved.

  5. Stereologic, histopathologic, flow cytometric, and clinical parameters in the prognostic evaluation of 74 patients with intraoral squamous cell carcinomas

    DEFF Research Database (Denmark)

    Bundgaard, T; Sørensen, Flemming Brandt; Gaihede, M

    1992-01-01

    BACKGROUND AND METHODS: A consecutive series of all 78 incident cases of intraoral squamous cell carcinoma occurring during a 2-year period in a population of 1.4 million inhabitants were evaluated by histologic score (the modified classification of Jacobsson et al.), flow cytometry, stereology, ...

  6. Bloqueio do plexo braquial pela via posterior com uso de neuroestimulador e ropivacaína a 0,5% Bloqueo del plexo braquial por la vía posterior con el uso de neuroestimulador y ropivacaína a 0,5% Posterior brachial plexus block with nerve stimulator and 0.5% ropivacaine

    Directory of Open Access Journals (Sweden)

    Lúcia Beato

    2005-08-01

    Full Text Available JUSTIFICATIVA E OBJETIVOS: Existem várias maneiras de abordar o plexo braquial dependendo da experiência do anestesiologista e da região a ser operada. O bloqueio do plexo braquial pela via posterior pode representar uma alternativa para cirurgias de ombro, clavícula e úmero proximal. O objetivo deste estudo foi mostrar os resultados observados em pacientes submetidos a bloqueio do plexo braquial pela via posterior com uso de neuroestimulador e ropivacaína a 0,5%. MÉTODO: Vinte e dois pacientes com idade entre 17 e 76 anos, estado físico ASA I e II, submetidos a cirurgias ortopédicas envolvendo o ombro, clavícula e úmero proximal foram anestesiados com bloqueio de plexo braquial pela via posterior utilizando neuroestimulador a partir de 1 mA. Obtida a contração desejada, a corrente foi diminuída para 0,5 mA e, permanecendo a resposta contrátil, foram injetados 40 mL de ropivacaína a 0,5%. Foram avaliados os seguintes parâmetros: latência, analgesia, duração da cirurgia, duração da analgesia e do bloqueio motor, complicações e efeitos colaterais. RESULTADOS: O bloqueio foi efetivo em 20 dos 22 pacientes; a latência média foi de 15,52 min; a duração média da cirurgia foi de 1,61 hora. A média de duração da analgesia foi de 15,85 horas e do bloqueio motor 11,16 horas. Não foram observados sinais e sintomas clínicos de toxicidade do anestésico local e nenhum paciente apresentou efeitos adversos do bloqueio. CONCLUSÕES: Nas condições deste estudo o bloqueio de plexo braquial pela via posterior com o uso do neuroestimulador e ropivacaína a 0,5% demonstrou ser uma técnica efetiva, confortável para o paciente e de fácil realização.JUSTIFICATIVA Y OBJETIVOS: Existen varios modos de abordar el plexo braquial dependiendo de la experiencia del anestesiologista y de la región que será operada. El bloqueo del plexo braquial por la vía posterior puede representar una alternativa para cirugías de hombro, clav

  7. Use of monocortical miniplates for the intraoral treatment of mandibular fractures.

    Science.gov (United States)

    Chiodo, Thomas A; Milles, Maano

    2009-03-01

    Fixation of mandibular fractures using rigid hardware has gained wide acceptance over the past 3 decades. The goal of rigid internal fixation is to allow for fracture healing with limited, or no, time in maxillo-mandibular fixation. There has been significant evolution in plate and screw materials and design over the past 30 years. The term miniplate is used to describe a fracture plate with a screw diameter of 2.0 mm or less. With correct diagnosis and understanding of the forces affecting mandible fractures, miniplates can be applied transorally in various situations, allowing for less invasive treatment with open reduction of mandible fractures. This article describes the use of monocortical miniplates for the intraoral treatment of mandibular fractures.

  8. La toma de decisiones en baloncesto. Una propuesta de árboles decisionales para la enseñanza del bloqueo directo

    Directory of Open Access Journals (Sweden)

    Ernesto Suárez-Cadenas

    Full Text Available Resumen El presente artículo tiene por objetivo clarificar conceptos relacionados con la toma de decisiones en el deporte y proponer su aplicación para la enseñanza-aprendizaje del bloqueo directo (BD en baloncesto. Se realiza un repaso histórico hasta llegar a las teorías modernas de mayor vigencia en el ámbito deportivo. De la misma forma, se analiza el estado del arte actual de la enseñanza y aprendizaje de la toma de decisiones, mostrando las distintas ventajas e inconvenientes del uso de las estrategias de enseñanza intencional e incidental. Posteriormente, a partir de los conceptos revisados (reglas si-entonces y las distintas estrategias de enseñanza incidental e intencional, se establece una propuesta de entrenamiento del BD en baloncesto. A través de distintos árboles decisionales y de propuestas de tareas específicas se ha intentado resolver el problema de cómo potenciar la toma de decisiones de los jugadores durante el BD atendiendo a la lógica interna y a los principios del juego, pero intentando, a la vez, que los jugadores desarrollen una toma de decisiones propia, única e individual.

  9. Manejo anestésico para la cirugía urgente traumatológica en miembro superior en una gestante de 23 semanas: rol del bloqueo ecoguiado del plexo braquial mediante abordaje infraclavicular. Reporte de caso

    OpenAIRE

    Guerrero-Domínguez, Rosana; López-Herrera-Rodríguez, Daniel; Fernández-López, Jesús; Luengo, Ángeles; Jiménez, Ignacio

    2014-01-01

    Describimos el tratamiento anestésico de una mujer de 34 años en su 23 semana de gestación con una lesión vascular y tendinosa de antebrazo que requirió una reparación quirúrgica urgente. El bloqueo nervioso del plexo braquial evita el riesgo potencial de intubación fallida y de broncoaspiración, además de reducir la exposición fetal a fármacos potencialmente teratógenos. Mientras sea posible una técnica anestésica regional, debería ser usada. Si es inevitable una anestesia general, se requie...

  10. Placebo-controlled randomized clinical trial of the effect two different low-level laser therapies (LLLT)--intraoral and extraoral--on trismus and facial swelling following surgical extraction of the lower third molar.

    Science.gov (United States)

    Aras, Mutan Hamdi; Güngörmüş, Metin

    2010-09-01

    The purpose of this study is to compare the effects of extraoral and intraoral low-level laser therapies (LLLT) on postoperative trismus and oedema following the removal of mandibular third molars. Forty-eight patients who were to undergo surgical removal of their lower third molars were studied. Patients were randomly allocated to one of three groups: extraoral LLLT, intraoral LLLT, or placebo. In the study, a Ga-Al-As diode laser device with a continuous wavelength of 808 nm was used, and the laser therapy was applied by using a 1 x 3-cm handpiece. The flat-top laser beam profile was used in this therapy. For both of the LLLT groups, laser energy was applied at 100 mW (0.1 W) for a total of 120 s (0.1 W x 120 s = 12 J). Patients in the extraoral-LLLT group (n = 16) received 12-J (4 J/cm(2)) low-level laser irradiation, and the laser was applied at the insertion point of the masseter muscle immediately after the operation. Patients in the intraoral-LLLT group (n = 16) received 12-J (4 J/cm(2)) low-level laser irradiation intraorally at the operation site 1 cm from the target tissue. In the placebo group (n = 16), the handpiece was inserted intraorally at the operation site and then was touched extraorally to the masseter muscle for 1 min at each site (120 s total), but the laser was not activated. The size of the interincisal opening and facial swelling were evaluated on the second and seventh postoperative days. At the second postoperative day, trismus (29.0 +/- 7.6 mm [p = 0.010]) and swelling (105.3 +/- 5.0 mm [p = 0.047]) in the extraoral-LLLT group were significantly less than in the placebo group (trismus: 21.1 +/- 7.6 mm, swelling: 109.1 +/- 4.4 mm). Trismus (39.6 +/- 9.0 mm [p = 0.002]) in the extraoral-LLLT group at the seventh postoperative day was also significantly less than in the placebo group (29.0 +/- 6.2 mm). However, at the seventh postoperative day in the intraoral-LLLT group, only trismus (35.6 +/- 8.5 [p = 0.002]) was significantly less than

  11. Exposure reduction in general dental practice using digital x-ray imaging system for intraoral radiography with additional x-ray beam filter

    International Nuclear Information System (INIS)

    Shibuya, Hitoshi; Mori, Toshimichi; Hayakawa, Yoshihiko; Kuroyanagi, Kinya; Ota, Yoshiko

    1997-01-01

    To measure exposure reduction in general dental practice using digital x-ray imaging systems for intraoral radiography with additional x-ray beam filter. Two digital x-ray imaging systems, Pana Digital (Pana-Heraus Dental) and CDR (Schick Technologies), were applied for intraoral radiography in general dental practice. Due to the high sensitivity to x-rays, additional x-ray beam filters for output reduction were used for examination. An Orex W II (Osada Electric Industry) x-ray generator was operated at 60 kVp, 7 mA. X-ray output (air-kerma; Gy) necessary for obtaining clinically acceptable images was measured at 0 to 20 cm in 5 cm steps from the cone tip using an ionizing chamber type 660 (Nuclear Associates) and compared with those for Ektaspeed Plus film (Eastman Kodak). The Pana Digital system was used with the optional filter supplied by Pana-Heraus Dental which reduced the output to 38%. The exposure necessary to obtain clinically acceptable images was only 40% of that for the film. The CDR system was used with the Dental X-ray Beam Filter Kit (Eastman Kodak) which reduced the x-ray output to 30%. The exposure necessary to obtain clinically acceptable images was only 20% of that for the film. The two digital x-ray imaging systems, Pana Digital and CDR, provided large dose savings (60-80%) compared with Ektaspeed Plus film when applied for intraoral radiography in general dental practice. (author)

  12. Trueness and precision of digital impressions obtained using an intraoral scanner with different head size in the partially edentulous mandible.

    Science.gov (United States)

    Hayama, Hironari; Fueki, Kenji; Wadachi, Juro; Wakabayashi, Noriyuki

    2018-03-01

    It remains unclear whether digital impressions obtained using an intraoral scanner are sufficiently accurate for use in fabrication of removable partial dentures. We therefore compared the trueness and precision between conventional and digital impressions in the partially edentulous mandible. Mandibular Kennedy Class I and III models with soft silicone simulated-mucosa placed on the residual edentulous ridge were used. The reference models were converted to standard triangulated language (STL) file format using an extraoral scanner. Digital impressions were obtained using an intraoral scanner with a large or small scanning head, and converted to STL files. For conventional impressions, pressure impressions of the reference models were made and working casts fabricated using modified dental stone; these were converted to STL file format using an extraoral scanner. Conversion to STL file format was performed 5 times for each method. Trueness and precision were evaluated by deviation analysis using three-dimensional image processing software. Digital impressions had superior trueness (54-108μm), but inferior precision (100-121μm) compared to conventional impressions (trueness 122-157μm, precision 52-119μm). The larger intraoral scanning head showed better trueness and precision than the smaller head, and on average required fewer scanned images of digital impressions than the smaller head (pdigital impressions. Digital impressions are partially comparable to conventional impressions in terms of accuracy; the use of a larger scanning head may improve the accuracy for removable partial denture fabrication. Copyright © 2018 Japan Prosthodontic Society. Published by Elsevier Ltd. All rights reserved.

  13. Dose and risk evaluation to the thyroid gland in intra-oral dental radiology

    International Nuclear Information System (INIS)

    Souza, Edmilson M.; Lima, Marco A.F.; Kelecom, Alphonse; Correa, Samanda C.A.; Silva, Ademir X.; Brito, Alan

    2008-01-01

    Intra-oral technique is one of the most frequently used procedures of dental radiology, allowing the detection of a variety of dental anomalies such as caries, dental trauma and periodontal lesions, while exposing patients to relatively low doses of radiation. However, although the adverse effects of doses generated by dental radiology are essentially stochastic, a number of epidemiological studies have provided evidence of an increased risk of thyroid tumors for dental radiography. Many studies have measured doses of radiation for dental radiography, but only a few have estimated thyroid dose. Furthermore, most of the studies on dose evaluation in dental radiology are based on standardized calculation phantoms, which neglect the variance of the patient size or even sex. The purpose of this study is to use the Monte Carlo code MCNPX and the FAX (Female Adult voXel) and MAX (Male Adult voXel) phantoms to investigate how absorbed doses to the thyroid gland in intraoral dental examinations vary in female and male patients. The lifetime cancer incidence attributable to dental examinations were estimated using the Biological Effects of Ionizing Radiations (BEIR) VII Committee Report. The phantoms study proved a useful trial for detecting the radiation dose to the thyroid gland and conclusively supported that the anatomy may be regarded as an influencing factor in radiation dose received during dental examination. Finally, the results have also confirmed that the association of the MCNPX code and the MAX and FAX phantoms is very useful in dosimetric studies on radiographic examinations of female and male patients. (author)

  14. Patrón visual de jugadoras experimentadas de voleibol durante la acción del bloqueo

    Directory of Open Access Journals (Sweden)

    Sara Vila-Maldonado

    2015-01-01

    Full Text Available El objetivo del presente estudio fue analizar el com- portamiento visual de las jugadoras de voleibol en una situación de bloqueo basándose en la figura de la colo- cadora. La muestra quedó compuesta por 29 jugadoras de voleibol (23.10 ± 3.74 años que competían de mane- ra federada. Se analizó el comportamiento visual de las jugadoras utilizando secuencias de vídeo proyectadas a tamaño real. Las participantes visionaron el mismo número de colocaciones, realizadas por dos jugadoras distintas, de su mismo nivel competitivo. Dentro del comportamiento visual se analizó la duración, núme- ro y orden de las fijaciones visuales, y los movimientos sacádicos. El número medio de fijaciones de las parti- cipantes fue de 3.61, con una duración media de 3.56 s. Encontramos un patrón en el comportamiento visual de las participantes del estudio basado en sus fijaciones visuales. Inicialmente las participantes utilizaban la vi- sión periférica para detectar diferentes estímulos de la escena y posteriormente su tendencia fue a utilizar la visión fóvea centrándose en distintas zonas concretas. Las zonas más fijadas por las participantes, de las cua- les extraen la información para su toma de decisiones, son fondo (FD y codo-muñeca (CM en primer lugar, seguidas de cabeza (CB, balón (BA, hombro-codo (HC, balón-muñeca (BM y tronco (TR.

  15. A Novel Approach to Determine the Prevalence of Type of Soft Palate Using Digital Intraoral Impression

    Directory of Open Access Journals (Sweden)

    Saurabh Chaturvedi

    2017-01-01

    Full Text Available Aim. To determine the prevalence of type of soft palate in targeted population. Materials and Methods. Using computer technology in dentistry, intraoral digital scanner, and 3D analysis software tool, study was conducted. 100 patients selected from the outpatient clinics were divided into two groups based on the ages of 20–40 years and 41–60 years with equal ratio of males and females. Each selected patient’s maxillary arch was scanned with intraoral scanner; images so obtained were sectioned in anteroposterior cross section and with the 3D analysis software; the angulation between hard and soft palate was determined. Results. The prevalence of type II soft palate (angulation between hard and soft palate is between 10 and 45 degrees was highest, 60% in group 1 and 44% in group 2. The difference between genders was statistically significant with p value <0.05 in both the groups, although females had higher angulation compared to the males in all classes of both groups. Conclusions. In targeted population of Aseer Province, Saudi Arabia, the prevalence of type II soft palate was more common, with higher soft palate angulation among females. The advanced age had no effect in the type of soft palate in the region.

  16. A Novel Method for Intraoral Access to the Superior Head of the Human Lateral Pterygoid Muscle

    Directory of Open Access Journals (Sweden)

    Aleli Tôrres Oliveira

    2014-01-01

    Full Text Available Background. The uncoordinated activity of the superior and inferior parts of the lateral pterygoid muscle (LPM has been suggested to be one of the causes of temporomandibular joint (TMJ disc displacement. A therapy for this muscle disorder is the injection of botulinum toxin (BTX, of the LPM. However, there is a potential risk of side effects with the injection guide methods currently available. In addition, they do not permit appropriate differentiation between the two bellies of the muscle. Herein, a novel method is presented to provide intraoral access to the superior head of the human LPM with maximal control and minimal hazards. Methods. Computational tomography along with digital imaging software programs and rapid prototyping techniques were used to create a rapid prototyped guide to orient BTX injections in the superior LPM. Results. The method proved to be feasible and reliable. Furthermore, when tested in one volunteer it allowed precise access to the upper head of LPM, without producing side effects. Conclusions. The prototyped guide presented in this paper is a novel tool that provides intraoral access to the superior head of the LPM. Further studies will be necessary to test the efficacy and validate this method in a larger cohort of subjects.

  17. A Novel Approach to Determine the Prevalence of Type of Soft Palate Using Digital Intraoral Impression

    Science.gov (United States)

    Khaled Addas, Mohamed; Al Humaidi, Abdullah Saad Ali; Al Qahtani, Abdulrazaq Mohammed; Al Qahtani, Mubarak Daghash

    2017-01-01

    Aim To determine the prevalence of type of soft palate in targeted population. Materials and Methods Using computer technology in dentistry, intraoral digital scanner, and 3D analysis software tool, study was conducted. 100 patients selected from the outpatient clinics were divided into two groups based on the ages of 20–40 years and 41–60 years with equal ratio of males and females. Each selected patient's maxillary arch was scanned with intraoral scanner; images so obtained were sectioned in anteroposterior cross section and with the 3D analysis software; the angulation between hard and soft palate was determined. Results The prevalence of type II soft palate (angulation between hard and soft palate is between 10 and 45 degrees) was highest, 60% in group 1 and 44% in group 2. The difference between genders was statistically significant with p value <0.05 in both the groups, although females had higher angulation compared to the males in all classes of both groups. Conclusions In targeted population of Aseer Province, Saudi Arabia, the prevalence of type II soft palate was more common, with higher soft palate angulation among females. The advanced age had no effect in the type of soft palate in the region. PMID:28951740

  18. Characteristics of Kodak Insight, an F-speed intraoral film.

    Science.gov (United States)

    Ludlow, J B; Platin, E; Mol, A

    2001-01-01

    This study reports film speed, contrast, exposure latitude, resolution, and response to processing solution depletion of Kodak Insight intraoral film. Densitometric curves were generated by using International Standards Organization protocol. Additional curves were generated for Ultra-speed, Ektaspeed Plus, and Insight films developed in progressively depleted processing solutions. Eight observers viewed images of a resolution test tool for maximum resolution assessment. Images of an aluminum step-wedge were reviewed to determine useful exposure latitude. Insight's sensitivity in fresh automatic processor solutions places it in the F-speed group. An average gradient of 1.8 was found with all film types. Insight provided 93% of the useful exposure latitude of Ektaspeed Plus film. Insight maintained contrast in progressively depleted processing solutions. Like Ektaspeed Plus, Insight was able to resolve at least 20 line-pairs per millimeter. Under International Standards Organization conditions, Insight required only 77% of the exposure of Ektaspeed Plus film. Insight film provided stable contrast in depleted processing solutions.

  19. Evolution of diagnostic reference levels in Spanish intraoral radiology

    International Nuclear Information System (INIS)

    Alcaraz, M.; Velasco, F.; Martinez-Beneyto, Y.; Alcaraz-Saura, M.; Velasco, E.; Achel, G. D.; Canteras, M.

    2008-01-01

    A total of 16 175 official reports of quality assurance on dental radiodiagnostic surgeries from 16 Spanish autonomous regions compiled during 2002-09 were studied to determine the evolution of diagnostic reference levels (DRLs) for obtaining a diagnostic image in the normal conditions of clinical practice in Spanish dental clinics. A DRL of 3.1 mGy was set in 2009, which represents a 35.4 % decrease compared with the dose determined in 2002 (4.8 mGy). During the same period, the mean dose fell by only 17.2 %. The DRL recommended by the European Union in 2004 for intraoral radiology is 4 mGy, and this study shows that 83.4 % of the installations used a dose below this. Of the installations using indirect or direct digital systems 1.1 and 1.2 %, respectively, used doses higher than those recommended, while 14.2 % of those using radiographic film exceeded this limit. (authors)

  20. Geometric estimation method for x-ray digital intraoral tomosynthesis

    Science.gov (United States)

    Li, Liang; Yang, Yao; Chen, Zhiqiang

    2016-06-01

    It is essential for accurate image reconstruction to obtain a set of parameters that describes the x-ray scanning geometry. A geometric estimation method is presented for x-ray digital intraoral tomosynthesis (DIT) in which the detector remains stationary while the x-ray source rotates. The main idea is to estimate the three-dimensional (3-D) coordinates of each shot position using at least two small opaque balls adhering to the detector surface as the positioning markers. From the radiographs containing these balls, the position of each x-ray focal spot can be calculated independently relative to the detector center no matter what kind of scanning trajectory is used. A 3-D phantom which roughly simulates DIT was designed to evaluate the performance of this method both quantitatively and qualitatively in the sense of mean square error and structural similarity. Results are also presented for real data acquired with a DIT experimental system. These results prove the validity of this geometric estimation method.

  1. The prophylactic effect of neck irradiation combined with intra-oral electron beam irradiation for early tongue cancer

    International Nuclear Information System (INIS)

    Kawamori, Jiro; Kamata, Rikisaburo; Sanuki, Eiichi

    1993-01-01

    Between 1967 and 1988, 102 patients with Stage T1-2N0 squamous cell carcinoma of the tongue were treated with uneven fractional irradiation therapy (intra-oral electron beam irradiation with and without prophylactic ipsilateral upper neck irradiation at the Dept. of Radiology, Nihon University School of Medicine. Of 102 primary lesions, 89 cases were controlled with this therapy. In this study, these 89 cases were investigated in order to analyze the prophylactic effect of upper neck irradiation. Of the 89 patients, 42 received only intra-oral electron beam irradiation, while the remaining 47 received a combination of intra-oral electron beam irradiation and prophylactic irradiation to the ipsilateral upper neck. Twenty three of the 89 (25.8%) developed metastasis to the neck after the radiotherapy. A breakdown of these 23 cases reveals that 3/21 (14.3%) received 40-50 Gy to the neck, 9/26 (34.6%) received 20-40 Gy to the neck, and 11/42 (26.2%) received no irradiation to the neck (p<0.05 between first and second groups, and between first and third groups). The neck metastasis was classified into one of three categories based on the region in which it first appeared (ipsilateral upper neck, ipsilateral lower neck or contralateral neck). The first metastasis was seen in the ipsilateral upper neck, in the ipsilateral lower neck and in the contralateral neck in 17, 4 and 2 patients, respectively. In 1/19 who had received 40-50 Gy, in 5/21 who had received 20-40 Gy and in 11/42 who had not received neck irradiation the first metastasis appeared in the ipsilateral upper neck. The five year survival rate was 94%, 75% and 85% in the patients receiving 40-50 Gy, 20-40 Gy and no neck irradiation, respectively. These results suggest that prophylactic irradiation of 40-50 Gy to the ipsilateral upper neck might decrease the incidence of neck metastasis and slightly prolong survival time. (author)

  2. Evaluation of surface radiation dose to the thyroid gland and the gonads during routine full-mouth intraoral periapical and maxillary occlusal radiography

    Directory of Open Access Journals (Sweden)

    Soheyl Sheikh

    2010-01-01

    Full Text Available Aim: The quantitative aspects of radiation doses to critical organs can help the dental professionals to take the necessary radiation protective measures as deemed necessary and can help the general public to allay radiation exposure fear in dental radiography, if any. Our study determines the surface radiation dose to thyroid and gonads in full-mouth intraoral periapical (IOPA and maxillary occlusal radiography.Materials and Methods: A total number of 120 subjects participated in the study. The surface radiation dose was estimated to the thyroid gland and the gonads in full-mouth IOPA radiography using 10 IOPA (E speed films and in maxillary occlusal radiography. The measurements were calculated using a digital pocket dosimeter (PD-4507.Results: The average dose at the thyroid gland level during full-mouth intraoral and maxillary occlusal radiography was estimated to be 10.93 mRads (1.093 Χ 10 -2 mGy and 0.4 mRads (4.0 Χ 10 -2 mGy, respectively. The average surface radiation dose at the gonadal region during a full mouth intraoral and maxillary occlusal radiography was estimated to be 1.5 mRads (1.5 Χ 10 -2 mGy and 0.15 mRads (1.5 Χ 10 -3 mGy, respectively. Conclusion: Our results suggest that although the radiation exposure doses to critical organs namely thyroid and gonads is within the safe limits still precautionary measures for these organs are advocated.

  3. Clinical marginal fit of zirconia crowns and patients' preferences for impression techniques using intraoral digital scanner versus polyvinyl siloxane material.

    Science.gov (United States)

    Sakornwimon, Nawapat; Leevailoj, Chalermpol

    2017-09-01

    The use of digital intraoral scanners is increasing; however, evidence of its precision in making crown impressions clinically remains scarce. Patients should also feel more comfortable with digital impressions, but only a few studies evaluating this subject have been performed. The purpose of this clinical study was to evaluate the marginal fit of monolithic zirconia crowns and patients' preferences for digital impressions versus polyvinyl siloxane (PVS) impressions. Sixteen participants with indications for single molar crowns were included. After crown preparation, digital impressions by intraoral scanner and PVS impressions were made. The participants were asked to complete a 6-item questionnaire with a visual analog scale related to perceptions of each of the following topics: time involved, taste/smell, occlusal registration, size of impression tray/scanner, gag reflex, and overall preference. Computer-aided design and computer-aided manufacturing monolithic zirconia crowns were fabricated from both impressions. The crowns were evaluated intraorally, and a blinded examiner measured the marginal discrepancy of silicone replicas under a stereomicroscope. Intraexaminer reliability was evaluated by calculating the intraclass correlation coefficient. Data for patients' preferences and marginal discrepancies were analyzed using the paired t test (α=.05). Visual analog scale scores for digital impressions were statistically significantly higher than those for PVS impressions in every topic (Pdigital group on all sides (P>.05). No differences were found in the clinical marginal fit of zirconia crowns fabricated from either digital impressions compared with PVS impressions. Furthermore, patients' satisfaction with digital impressions was significantly higher than with conventional impressions. Copyright © 2016 Editorial Council for the Journal of Prosthetic Dentistry. Published by Elsevier Inc. All rights reserved.

  4. Patients' preferences when comparing analogue implant impressions using a polyether impression material versus digital impressions (Intraoral Scan) of dental implants

    NARCIS (Netherlands)

    Wismeijer, D.; Mans, R.S.; Van Genuchten, M.J.I.M; Reijers, H.A.

    2014-01-01

    Objectives: The primary objective of this clinical study was to assess the patients' perception of the difference between an analogue impression approach on the one hand and an intra-oral scan (IO scan) on the other when restoring implants in the non-aesthetic zone. A second objective was to analyse

  5. Patients' preferences when comparing analogue implant impressions using a polyether impression material versus digital impressions (Intraoral Scan) of dental implants

    NARCIS (Netherlands)

    Wismeijer, D.; Mans, R.; van Genugten, M.; Reijers, H.A.

    2014-01-01

    Objectives The primary objective of this clinical study was to assess the patients' perception of the difference between an analogue impression approach on the one hand and an intra-oral scan (IO scan) on the other when restoring implants in the non-aesthetic zone. A second objective was to analyse

  6. Influence of intra-oral sensory impairment by anaesthesia on food comminution and mixing in dentate subjects.

    Science.gov (United States)

    Yoshida, E; Fueki, K; Wakabayashi, N

    2015-06-01

    Sensory input from sensory receptors regarding food morsels can affect jaw motor behaviours during mastication. The aim was to clarify the effects of intra-oral sensory input on the food-comminuting and food-mixing capacities of dentate subjects. Eleven dentate subjects without sensory dysfunction in their oro-facial region participated in this study. Local anaesthesia was achieved on the periodontal structures and on the oral mucosa of the subjects' preferred chewing side by injecting a lidocaine solution with adrenalin. At baseline (control) and after anaesthesia, data on the subjects' food-comminuting and food-mixing capacities were gathered. The food-comminuting capacity was quantified by measuring the degree of pulverisation of peanuts (objective hardness; 45.3 [Newton, N]) after a prescribed 20 chewing strokes. The food-mixing capacity was measured as the degree of immixture of a two-coloured paraffin wax cube after 10 chewing strokes. Wax cubes of three different hardness levels were used (soft, medium and hard: 20.3, 32.6 and 75.5 [N], respectively) and were chewed in random order. After anaesthesia, the subjects' food-comminuting capacity significantly decreased (P food-mixing capacity for each hardness level of the wax cubes (P food-mixing capacity (P deterioration of the mixing capacity increased as the hardness increased. In conclusion, intra-oral sensory input can affect both food-comminuting and food-mixing capacities. © 2015 John Wiley & Sons Ltd.

  7. Marginal and internal fit of CAD-CAM-fabricated composite resin and ceramic crowns scanned by 2 intraoral cameras.

    Science.gov (United States)

    de Paula Silveira, Alessandra C; Chaves, Sacha B; Hilgert, Leandro A; Ribeiro, Ana Paula D

    2017-03-01

    The precision of fit of chairside computer-aided design and computer-aided manufacturing (CAD-CAM) complete crowns is affected by digital impression and restorative material. The purpose of this in vitro study was to evaluate by microcomputed tomography (μCT) the marginal and internal adaptation of composite resin and ceramic complete crowns fabricated with 2 different intraoral cameras and 2 restorative materials. Ten extracted human third molars received crown preparations. For each prepared molar, 2 digital impressions were made with different intraoral cameras of the CEREC system, Bluecam and Omnicam. Four groups were formed: LB (Lava Ultimate+Bluecam), EB (Emax+Bluecam), LO (Lava Ultimate+Omnicam), and EO (Emax+Omnicam). Before measuring the precision of fit, all crowns were stabilized with a silicone material. Each unit (crown + prepared tooth) was imaged with μCT, and marginal and internal discrepancies were analyzed. For the 2D analysis, 120 measurements were made of each crown for marginal adaptation, 20 for marginal discrepancy (MD), and 20 for absolute marginal discrepancy (AMD); and for internal adaptation, 40 for axial space (AS) and 40 for occlusal space (OS). After reconstructing the 3D images, the average internal space (AIS) was calculated by dividing the total volume of the internal space by the contact surface. Data were analyzed with 2-way ANOVA and quantile regression. Regarding marginal adaptation, no significant differences were observed among groups. For internal adaptation measured in the 2D evaluation, a significant difference was observed between LO and EO for the AS variable (Mann-Whitney test; POmnicam, and composite resin crowns showed less discrepancy than did ceramic crowns. The marginal adaptations assessed in all groups showed values within the clinically accepted range. Moreover, the composite resin blocks associated with the Bluecam intraoral camera demonstrated the best results for AIS compared with those of the other groups

  8. Surgical Resolution of Bilateral Hypertrophy of Masseter Muscle Through Intraoral Approach.

    Science.gov (United States)

    Trento, Guilherme Dos Santos; Benato, Leonardo Silva; Rebellato, Nelson Luis Barbosa; Klüppel, Leandro Eduardo

    2017-06-01

    Masseter muscle hypertrophy is an untypical anomaly with no definite cause and its diagnosis is easily completed through physical examination and imaging examinations. In some cases, patient may report signs and symptoms of well-localizated pain. However, it is generally asymptomatic and patient's chief complaint is about esthetic because of facial asymmetry. In this case, surgery is carefully indicated. The aim of this article is to report a case of a male patient with no painful and functional complaints but an important unease over his facial asymmetry. Patient underwent surgery involving bilateral resection of mandibular angles and unilateral resection of masseter muscle through intraoral approach. Surgical approaches and techniques rely heavily on surgeon. There are few reports in the literature about this anomaly, but those available present several techniques. The surgeon's dexterity and knowledge become extremely important, whereas this procedure is essentiallyesthetic.

  9. Digital subtraction radiographic evaluation of the standardize periapical intraoral radiographs

    International Nuclear Information System (INIS)

    Cho, Bong Hae; Nah, Kyung Soo

    1993-01-01

    The geometrically standardized intraoral radiographs using 5 occlusal registration material were taken serially from immediate, 1 day, 2, 4, 8, 12 and 16 weeks after making the bite blocks. The qualities of those subtracted images were evaluated to check the degree of reproducibility of each impression material. The results were as follows: 1. The standard deviations of the grey scales of the overall subtracted images were 4.9 for Exaflex, 7.2 for Pattern resin, 9.0 for Tooth Shade Acrylic, 12.2 for XCP only, 14.8 for Impregum. 2. The standard deviation of the grey scales of the overall subtracted images were grossly related to those of the localized horizontal line of interest. 3. Exaflex which showed the best subtracted image quality had 15 cases of straight, 14 cases of wave, 1 case of canyon shape. Impregum which showed the worst subtracted image quality had 4 cases of straight, 8 cases of wave, 18 cases of canyon shape respectively.

  10. Diagnostic Accuracy of Quantitative Sensory Testing to Discriminate Inflammatory Toothache and Intraoral Neuropathic Pain.

    Science.gov (United States)

    Porporatti, André Luís; Costa, Yuri Martins; Stuginski-Barbosa, Juliana; Bonjardim, Leonardo Rigoldi; Duarte, Marco Antônio Hungaro; Conti, Paulo César Rodrigues

    2015-10-01

    A differential diagnosis between inflammatory toothache (IT) and intraoral neuropathic pain is challenging. The aim of this diagnostic study was to quantify somatosensory function of subjects with IT (acute pulpitis) and atypical odontalgia (AO, intraoral neuropathic pain) and healthy volunteers and to quantify how accurately quantitative sensory testing (QST) discriminates an IT or AO diagnosis. The sample consisted of 60 subjects equally divided (n = 20) into 3 groups: (1) IT, (2) AO, and (3) control. A sequence of 4 QST methods was performed over the dentoalveolar mucosa in the apical maxillar or mandibular area: mechanical detection threshold, pain detection threshold (PDT), dynamic mechanical allodynia, and temporal summation. One-way analysis of variance, Tukey post hoc analyses, and z score transformation were applied to the data. In addition, the receiver operating characteristic curve analysis, diagnostic accuracy, sensitivity, specificity, likelihood ratios, and diagnostic odds ratio of the QST methods were calculated (α = 5%). Somatosensory abnormalities were found for the AO group, which is consistent with a low detection threshold to touch and pain and the presence of mechanical allodynia. For the IT group, no somatosensory abnormality was observed when compared with the control group. The most accurate QST to discriminate the diagnostic differences between IT and healthy individuals is the PDT. The diagnostic differences between AO and healthy individuals and between IT and AO are best discriminated with the mechanical detection threshold, PDT, and dynamic mechanical allodynia. The proposed QST methods may aid in the differential diagnosis between IT and AO with strong accuracy and may be used as complementary diagnostic tests. Copyright © 2015 American Association of Endodontists. Published by Elsevier Inc. All rights reserved.

  11. Identification of the Procedural Accidents During Root Canal Preparation Using Digital Intraoral Radiography and Cone Beam Computed Tomography

    Directory of Open Access Journals (Sweden)

    Csinszka K.-Ivácson A.-

    2016-09-01

    Full Text Available Crown or root perforation, ledge formation, fractured instruments and perforation of the roots are the most important accidents which appear during endodontic therapy. Our objective was to evaluate the value of digital intraoral periapical radiographs compared to cone beam computed tomography images (CBCT used to diagnose some procedural accidents. Material and methods: Eleven extracted molars were used in this study. A total of 18 perforations and 13 ledges were created artifically and 10 instruments were fractured in the root canals. Digital intraoral periapical radiographs from two angles and CBCT scans were made with the teeth fixed in position. The images were evaluated and the number of detected accidents were stated in percentages. Statistical analysis was performed using the chi square-test. Results: On digital periapical radiographs the evaluators identified 12 (66.66% perforations, 10 (100 % separated instruments and 10 (76.9% created ledges. The CBCT scans made possible the recognition of 17 (94.66 % perforations, 9 (90 % separated instruments and 13 (100% ledges. The totally recognized accidental procedures showed significant differences between the two groups. (p<0.05 Conclusion: Digital periapical radiographs are the most common imaging modalities used during endodontic treatments. Though, the CBCT allows a better identification of the procedural accidents.

  12. Accuracy and efficiency of full-arch digitalization and 3D printing: A comparison between desktop model scanners, an intraoral scanner, a CBCT model scan, and stereolithographic 3D printing.

    Science.gov (United States)

    Wesemann, Christian; Muallah, Jonas; Mah, James; Bumann, Axel

    2017-01-01

    The primary objective of this study was to compare the accuracy and time efficiency of an indirect and direct digitalization workflow with that of a three-dimensional (3D) printer in order to identify the most suitable method for orthodontic use. A master model was measured with a coordinate measuring instrument. The distances measured were the intercanine width, the intermolar width, and the dental arch length. Sixty-four scans were taken with each of the desktop scanners R900 and R700 (3Shape), the intraoral scanner TRIOS Color Pod (3Shape), and the Promax 3D Mid cone beam computed tomography (CBCT) unit (Planmeca). All scans were measured with measuring software. One scan was selected and printed 37 times on the D35 stereolithographic 3D printer (Innovation MediTech). The printed models were measured again using the coordinate measuring instrument. The most accurate results were obtained by the R900. The R700 and the TRIOS intraoral scanner showed comparable results. CBCT-3D-rendering with the Promax 3D Mid CBCT unit revealed significantly higher accuracy with regard to dental casts than dental impressions. 3D printing offered a significantly higher level of deviation than digitalization with desktop scanners or an intraoral scanner. The chairside time required for digital impressions was 27% longer than for conventional impressions. Conventional impressions, model casting, and optional digitization with desktop scanners remains the recommended workflow process. For orthodontic demands, intraoral scanners are a useful alternative for full-arch scans. For prosthodontic use, the scanning scope should be less than one quadrant and three additional teeth.

  13. Intraoral Approach and Stereolithographic-guided Large Mandibular Reconstruction with Fibula Free Flap

    Directory of Open Access Journals (Sweden)

    Artur Diaz-Carandell, MD

    2014-08-01

    Full Text Available Summary: The reconstruction of mandibular defects has always been of great concern, and it still represents a challenge for head-and-neck reconstructive surgeons. The mandible plays a major role in mastication, articulation, swallowing, respiration, and facial contour. Thus, when undertaking mandibular reconstruction, restoration of both function and cosmetics should be considered as the measure of success. Microsurgical reconstruction is the gold-standard method to repair a segmental mandibular defect. Reconstruction of sizeable defects often needs a large neck incision, leading to unsatisfactory cosmetic outcomes. Virtual surgical planning and stereolithographic modeling are new techniques that offer excellent results and can provide precise data for mandibular reconstruction and improve postoperative outcomes. We present a case of complete intraoral resection and reconstruction of a large ameloblastoma of the mandible.

  14. Identification of the Procedural Accidents During Root Canal Preparation Using Digital Intraoral Radiography and Cone Beam Computed Tomography

    OpenAIRE

    Csinszka K.-Ivácson A.-; Maria Monea Adriana; Monica Monea; Mihai Pop; Angela Borda

    2016-01-01

    Crown or root perforation, ledge formation, fractured instruments and perforation of the roots are the most important accidents which appear during endodontic therapy. Our objective was to evaluate the value of digital intraoral periapical radiographs compared to cone beam computed tomography images (CBCT) used to diagnose some procedural accidents. Material and methods: Eleven extracted molars were used in this study. A total of 18 perforations and 13 ledges were created artifically and 10 i...

  15. A clinico-radiographic study to compare and co-relate sagittal condylar guidance determined by intraoral gothic arch tracing method and panoramic radiograph in completely edentulous patients.

    Science.gov (United States)

    Shetty, Sanath; Kunta, Mythili; Shenoy, Kamalakanth

    2018-01-01

    The purpose of this study was to compare and correlate sagittal condylar guidance determined by intraoral gothic arch tracing method and panoramic radiograph in edentulous patients. Twelve completely edentulous patients were selected by the inclusion and exclusion criteria. Conventional steps in the fabrication of complete denture till jaw relation were carried out. Intraoral gothic arch tracing and protrusive interocclusal records were obtained for each patient. Protrusive interocclusal record was used to program the Hanau Wide-Vue semi-adjustable articulator, thus obtaining the sagittal condylar guidance angle. Using RadiAnt DICOM software, on the orthopantomogram obtained for each patient in the study, two reference lines were drawn. The Frankfort's horizontal plane and the mean curvature line (joining the most superior and the inferior points on the glenoid fossa curvature) were drawn. The mean curvature line was extended to intersect the Frankfort's horizontal plane, thus obtaining the radiographic sagittal condylar guidance angle. The condylar guidance angles obtained by these two methods were compared and subjected to paired t -test. There was no statistically significant difference between the sagittal condylar guidance angles obtained between right and left sides with intraoral gothic arch tracing and radiographic methods ( P = 0.107 and 0.07, respectively). Within the limitations of this study, it was concluded that the protrusive condylar guidance angles obtained by panoramic radiograph may be used for programming semi-adjustable articulators.

  16. Diagnostic accuracy of insight intraoral film on dental caries

    Energy Technology Data Exchange (ETDEWEB)

    Yoon, Young Nam; Lee, Byung Do [Wonkwang University College of Medicine, Iksan (Korea, Republic of); Lee, Sang Rae [Kyunghee University College of Medicine, Seoul (Korea, Republic of)

    2004-03-15

    To compare the diagnostic accuracy of Kodak Insight film with other intra-oral films in the detection of dental caries. Periapical radiographs of 99 extracted human teeth with sound proximal surfaces and interproximal artificial cavities were made on Kodak Ultra speed, Ektaspeed, Agfa Ektaspeed and Kodak Insight films and automatically processed. Six dentists examined the presence of dental caries using a five-point confidence rating scale and compared the diagnostic accuracy by ROC (Receiver Operating Characteristic) analysis and ANOVA test. The sensitivity of Kodak Ultra speed, Ektaspeed, Agfa Ektaspeed and Insight film were 0.84, 0.77, 0.75 and 0.79 respectively. The specificity of Kodak Ultra speed, Ektaspeed, Agfa Ektaspeed and Insight film were 0.97, 0.95, 0.96 and 0.94 respectively. The mean ROC areas (Az) of Kodak Ultra speed, Ektaspeed, Agfa Ektaspeed and Insight film were 0.917, 0.910, 0.894, 0.909 respectively. There was no significant differences between Az of Insight film and other films (p = 0.178). Theses results suggested that Kodak Insight film have the comparative diagnostic accuracy of dental caries with Ultraspeed and Ektaspeed films. (77)

  17. Diagnostic accuracy of insight intraoral film on dental caries

    International Nuclear Information System (INIS)

    Yoon, Young Nam; Lee, Byung Do; Lee, Sang Rae

    2004-01-01

    To compare the diagnostic accuracy of Kodak Insight film with other intra-oral films in the detection of dental caries. Periapical radiographs of 99 extracted human teeth with sound proximal surfaces and interproximal artificial cavities were made on Kodak Ultra speed, Ektaspeed, Agfa Ektaspeed and Kodak Insight films and automatically processed. Six dentists examined the presence of dental caries using a five-point confidence rating scale and compared the diagnostic accuracy by ROC (Receiver Operating Characteristic) analysis and ANOVA test. The sensitivity of Kodak Ultra speed, Ektaspeed, Agfa Ektaspeed and Insight film were 0.84, 0.77, 0.75 and 0.79 respectively. The specificity of Kodak Ultra speed, Ektaspeed, Agfa Ektaspeed and Insight film were 0.97, 0.95, 0.96 and 0.94 respectively. The mean ROC areas (Az) of Kodak Ultra speed, Ektaspeed, Agfa Ektaspeed and Insight film were 0.917, 0.910, 0.894, 0.909 respectively. There was no significant differences between Az of Insight film and other films (p = 0.178). Theses results suggested that Kodak Insight film have the comparative diagnostic accuracy of dental caries with Ultraspeed and Ektaspeed films. (77)

  18. Three-Dimensional Implant Positioning with a Piezosurgery Implant Site Preparation Technique and an Intraoral Surgical Navigation System: Case Report.

    Science.gov (United States)

    Pellegrino, Gerardo; Taraschi, Valerio; Vercellotti, Tomaso; Ben-Nissan, Besim; Marchetti, Claudio

    This case report describes new implant site preparation techniques joining the benefits of using an intraoral navigation system to optimize three-dimensional implant site positioning in combination with an ultrasonic osteotomy. A report of five patients is presented, and the implant positions as planned in the navigation software with the postoperative scan image were compared. The preliminary results are useful, although further clinical studies with larger populations are needed to confirm these findings.

  19. Accuracy of single-abutment digital cast obtained using intraoral and cast scanners.

    Science.gov (United States)

    Lee, Jae-Jun; Jeong, Ii-Do; Park, Jin-Young; Jeon, Jin-Hun; Kim, Ji-Hwan; Kim, Woong-Chul

    2017-02-01

    Scanners are frequently used in the fabrication of dental prostheses. However, the accuracy of these scanners is variable, and little information is available. The purpose of this in vitro study was to compare the accuracy of cast scanners with that of intraoral scanners by using different image impression techniques. A poly(methyl methacrylate) master model was fabricated to replicate a maxillary first molar single-abutment tooth model. The master model was scanned with an accurate engineering scanner to obtain a true value (n=1) and with 2 intraoral scanners (CEREC Bluecam and CEREC Omnicam; n=6 each). The cast scanner scanned the master model and duplicated the dental stone cast from the master model (n=6). The trueness and precision of the data were measured using a 3-dimensional analysis program. The Kruskal-Wallis test was used to compare the different sets of scanning data, followed by a post hoc Mann-Whitney U test with a significance level modified by Bonferroni correction (α/6=.0083). The type 1 error level (α) was set at .05. The trueness value (root mean square: mean ±standard deviation) was 17.5 ±1.8 μm for the Bluecam, 13.8 ±1.4 μm for the Omnicam, 17.4 ±1.7 μm for cast scanner 1, and 12.3 ±0.1 μm for cast scanner 2. The differences between the Bluecam and the cast scanner 1 and between the Omnicam and the cast scanner 2 were not statistically significant (P>.0083), but a statistically significant difference was found between all the other pairs (POmnicam, 9.2 ±1.2 μm for cast scanner 1, and 6.9 ±2.6 μm for cast scanner 2. The differences between Bluecam and Omnicam and between Omnicam and cast scanner 1 were not statistically significant (P>.0083), but there was a statistically significant difference between all the other pairs (POmnicam in video image impression had better trueness than a cast scanner but with a similar level of precision. Copyright © 2016 Editorial Council for the Journal of Prosthetic Dentistry. Published by

  20. Bloqueio dos nervos femoral e isquiático guiados por ultrassom em paciente anticoagulado: case reports Bloqueo de los nervios femoral e isquiático guiados por ultrasonido en paciente anticoagulado Ultrasound-guided femoral and sciatic nerve blocks in an anticoagulated patient: relato de casos

    Directory of Open Access Journals (Sweden)

    Leonardo Henrique Cunha Ferraro

    2010-08-01

    Full Text Available JUSTIFICATIVA E OBJETIVOS: O uso de ultrassom para guiar a punção em bloqueios de nervos periféricos tem-se tornado cada vez mais frequente. Com a menor probabilidade de promover lesões vasculares, o ultrassom torna-se uma ferramenta interessante na realização de bloqueios periféricos, especialmente nos pacientes em uso de anticoagulantes ou com distúrbios da coagulação. O objetivo foi relatar dois casos em que se realizaram os bloqueios isquiático e femoral guiados por ultrassom em pacientes anticoagulados. RELATO DOS CASOS: No primeiro caso, a cirurgia realizada consistiu na amputação de antepé esquerdo devido a necrose e sinais de infecção e, no segundo caso, em limpeza cirúrgica de joelho esquerdo. Os pacientes apr esentavam distúrbios de coagulação com atividade de protrombina e tempo de tromboplastina ativado acima dos valores da normalidade. Ambos os pacientes foram submetidos a bloqueio femoral e isquiático guiados por ultrassom, evoluindo sem alteração motora ou sensitiva nos territórios desses nervos e sem hematoma no local da punção. CONCLUSÕES: A anticoagulação impõe certas restrições à aplicação das técnicas anestésicas regionais clássicas. Com o avanço dos equipamentos e métodos de ultrassom, hoje é possível identificar com alta precisão estruturas vasculares e neurais. Isso possibilita que a punção guiada por ultrassom seja mais precisa, tanto para atingir a área de interesse como para minimizar os riscos de lesão vascular acidental. Até o presente, não se recomenda a realização de bloqueio periférico em pacientes anticoagulados ou portadores de coagulopatias. Entretanto, considerando que há poucos relatos sobre bloqueios regionais com ultrassom em situações de coagulopatias, a segurança de tal técnica nessas condições ainda não foi estabelecida.JUSTIFICATIVA Y OBJETIVOS: El uso del ultrasonido para guiar la punción en bloqueos de nervios periféricos se ha convertido

  1. Fatigue failure of dental implants in simulated intraoral media.

    Science.gov (United States)

    Shemtov-Yona, K; Rittel, D

    2016-09-01

    Metallic dental implants are exposed to various intraoral environments and repetitive loads during service. Relatively few studies have systematically addressed the potential influence of the environment on the mechanical integrity of the implants, which is therefore the subject of this study. Four media (groups) were selected for room temperature testing, namely dry air, saliva substitute, same with 250ppm of fluoride, and saline solution (0.9%). Monolithic Ti-6Al-4V implants were loaded until fracture, using random spectrum loading. The study reveals that the only aggressive medium of all is the saline solution, as it shortens significantly the spectrum fatigue life of the implants. The quantitative scanning electron fractographic analysis indicates that all the tested implants grew fatigue cracks of similar lengths prior to catastrophic fracture. However, the average crack growth rate in the saline medium was found to largely exceed that in other media, suggesting a decreased fracture toughness. The notion of a characteristic timescale for environmental degradation was proposed to explain the results of our spectrum tests that blend randomly low and high cycle fatigue. Random spectrum fatigue testing is powerful technique to assess and compare the mechanical performance of dental implants for various designs and/or environments. Copyright © 2016 Elsevier Ltd. All rights reserved.

  2. Accuracy of cone beam computed tomography, intraoral radiography, and periodontal probing for periodontal bone defects measurement

    Directory of Open Access Journals (Sweden)

    Eskandarlo A

    2011-02-01

    Full Text Available "nBackground and Aims: Cone beam computed tomography (CBCT produces high-quality data about diagnosis and periodontal treatment. To date, there is not enough research regarding periodontal bone measurement using CBCT. The aim of this study was to compare the accuracy of CBCT in measuring periodontal defects to that of intraoral radiography and probing methods."nMaterials and Methods: Two-hundred and eighteen artificial osseous defects (buccal and lingual infrabony, interproximal, horizontal, crater, dehiscence and fenestration defects were created on 13 mandibles of dry skulls. The mandibles were put into a plexiglass box full of water to simulate soft tissue. CBCT images, radiographic images taken with parallel technique and direct measurements using a WHO periodontal probe were recorded and compared to a standard reference (digital caliper. Inter and intra observe consistencies were assessed using Intra class correlation coefficient and pearson correlation."nResults: Inter and intra observer consistencies were high for CBCT and probing methods (ICC- Intra class correlation coefficient>88%, but moderate for intraoral radiography (ICC-Intra class correlation coefficient > 54%. There were not any significant differences between observers for all techniques (P>0/05. According to paired T-test analysis, mean difference for CBCT technique (0.01 mm was lower than that for probing (0.04 mm and radiography (0.62 mm. CBCT was able to measure all kinds of lesions, but radiography could not measure defects in the buccal and lingual sites."nConclusion: All three modalities are useful for identifying periodontal defects. Compared to probing and radiography, the CBCT technique has the most accuracy in measuring periodontal defects.

  3. Coat-sleeve type giant congenital melanocytic nevus with intraoral blue nevus: A rare case report

    Directory of Open Access Journals (Sweden)

    Lata M Kale

    2017-01-01

    Full Text Available Congenital melanocytic nevi (CMN are visible hyperpigmented (melanocytic, benign, tumor like proliferations in the skin resulting from faulty development of pigment cell precursors in the embryo, and are composed of an abnormal mixture of skin elements. Giant congenital melanocytic nevus (GCMN is usually defined as a melanocytic lesion present at birth that will reach a larger size in adulthood. GCMN is a rare variety of CMN which is characterized by its size (diameter ≥20 cm and the potential for malignant transformation. It is infrequently associated with other findings, which makes the clinical picture complex. In this case, we report a rare association of GCMN with intraoral blue nevus in a 24-year-old male patient.

  4. Evaluation of the composition of filters additional of equipment radiological intraoral by energy dispersive x-ray fluorescence (EDXRF)

    International Nuclear Information System (INIS)

    Franca, Alana Caroline; Torres, Catarina A.M.P.; Rocha, Ana S.S.; Deniak, Valeriy; Lara, Alessandro L.; Paschuk, Sergei A.; Fernandes, Angela; Westphalen, Fernando Henrique

    2013-01-01

    The need for high quality standards for radiographic images in order to make a diagnosis assertive, and being the additional filtration required in the intraoral X-ray equipment show the need of evaluating these filters. This study aims to examine the influence of the elemental composition of the filters of X-ray of dental intraoral equipment in the radiographic images quality. The filters analysis were performed by using the energy dispersive X-ray fluorescence method (EDXRF). Ten conventional filters were analysed. In this study, 33 radiographic exposures were performed using films: twenty radiographs in the incisor region and ten in the molar region, three exposures were also made in the same regions with same conditions without using filter. After radiographs development, optical density was measure and all radiographs were submitted to subjective evaluation by dental radiologists. Data obtained were correlated to effects evaluation of the elemental composition of all filters in the quality of the radiographic images. The elements found were: aluminum, cobalt, copper, sulfur, iron, manganese, titanium, zinc, and zirconium. The images obtained were identified in groups: Molars to 0.3 s; Incisors to 0.2 s; Incisors to 0.3 s, and for the group without filters. From the results obtained it was concluded that both unclear radiographs and ideal radiographs were produced by using filters of elementary common. Therefore, conventional filters evaluated were an acceptable option to produce quality images in dental radiology, despite differences in the composition of the alloys. (author)

  5. Evaluation of the composition of filters additional of equipment radiological intraoral by energy dispersive x-ray fluorescence (EDXRF)

    Energy Technology Data Exchange (ETDEWEB)

    Franca, Alana Caroline; Torres, Catarina A.M.P.; Rocha, Ana S.S.; Deniak, Valeriy; Lara, Alessandro L.; Paschuk, Sergei A., E-mail: alanacarolinef@gmail.com, E-mail: sergei@utfpr.edu.br [Universidade Tecnologica Federal do Parana (CPGEI/UTFPR), Curitiba, PR (Brazil). Programa de Pos-Graduacao em Engenharia Eletrica e Informatica Industrial; Fernandes, Angela; Westphalen, Fernando Henrique, E-mail: angelafernandes@ufpr.br [Universidade Federal do Parana (UFPR), Curitiba, PR (Brazil). Setor de Ciencias da Saude

    2013-07-01

    The need for high quality standards for radiographic images in order to make a diagnosis assertive, and being the additional filtration required in the intraoral X-ray equipment show the need of evaluating these filters. This study aims to examine the influence of the elemental composition of the filters of X-ray of dental intraoral equipment in the radiographic images quality. The filters analysis were performed by using the energy dispersive X-ray fluorescence method (EDXRF). Ten conventional filters were analysed. In this study, 33 radiographic exposures were performed using films: twenty radiographs in the incisor region and ten in the molar region, three exposures were also made in the same regions with same conditions without using filter. After radiographs development, optical density was measure and all radiographs were submitted to subjective evaluation by dental radiologists. Data obtained were correlated to effects evaluation of the elemental composition of all filters in the quality of the radiographic images. The elements found were: aluminum, cobalt, copper, sulfur, iron, manganese, titanium, zinc, and zirconium. The images obtained were identified in groups: Molars to 0.3 s; Incisors to 0.2 s; Incisors to 0.3 s, and for the group without filters. From the results obtained it was concluded that both unclear radiographs and ideal radiographs were produced by using filters of elementary common. Therefore, conventional filters evaluated were an acceptable option to produce quality images in dental radiology, despite differences in the composition of the alloys. (author)

  6. Síndrome de Tako-Tsubo em decorrência de bloqueio neuromuscular residual: relato de caso Síndrome de Tako-Tsubo como consecuencia de bloqueo neuromuscular residual: relato de caso Tako-Tsubo syndrome secondary to residual neuromuscular blockade: case report

    Directory of Open Access Journals (Sweden)

    Marcos Guilherme Cunha Cruvinel

    2008-12-01

    Full Text Available JUSTIFICATIVA E OBJETIVOS: A síndrome de Tako-Tsubo é uma complicação pós-operatória rara, com mortalidade em torno de 5%. O objetivo deste relato é apresentar o bloqueio neuromuscular residual como fator desencadeante da referida síndrome, discutir sobre a mesma e alertar sobre o bloqueio neuromuscular residual. RELATO DO CASO: Paciente do sexo feminino, 61 anos, estado físico ASA I, submetida à anestesia geral associada a bloqueio paravertebral cervical para reparo artroscópico de lesão de manguito rotator. Após extubação foi evidenciado bloqueio neuromuscular residual por meio do exame clínico. Na sala de recuperação pós-anestésica evoluiu com sonolência, taquicardia, hipertensão arterial e acidose respiratória grave. Após a reintubação, evoluiu com parada cardíaca em atividade elétrica sem pulso, revertida com adrenalina e massagem cardíaca externa. Apresentou no pós-operatório elevação de segmento ST, aumento de troponina e acinesia de segmento médio-apical de ventrículo esquerdo com fração de ejeção estimada em 30%. A cineangiocoronariografia mostrou coronárias isentas de ateromatose significativa e grave comprometimento da função sistólica com acinesia inferior e ântero-septo-apical com hipercontratilidade compensatória de suas porções basais. Com o tratamento instituído houve recuperação funcional completa. CONCLUSÕES: O bloqueio neuromuscular residual associado à paralisia diafragmática e possível atelectasia pulmonar levando a insuficiência respiratória, hipercapnia e descarga adrenérgica foram os fatores desencadeantes da síndrome de Tako-Tsubo com sua grave repercussão clínica.JUSTIFICATIVA Y OBJETIVOS: El Síndrome de Tako-Tsubo es una complicación postoperatoria rara con una mortalidad en torno de un 5%. El objetivo de este relato es presentar el bloqueo neuromuscular residual como factor desencadenante del referido síndrome, discutir sobre él y alertar sobre el bloqueo

  7. Intraoral Scanner Technologies: A Review to Make a Successful Impression

    Directory of Open Access Journals (Sweden)

    Raphaël Richert

    2017-01-01

    Full Text Available To overcome difficulties associated with conventional techniques, impressions with IOS (intraoral scanner and CAD/CAM (computer-aided design and manufacturing technologies were developed for dental practice. The last decade has seen an increasing number of optical IOS devices, and these are based on different technologies; the choice of which may impact on clinical use. To allow informed choice before purchasing or renewing an IOS, this article summarizes first the technologies currently used (light projection, distance object determination, and reconstruction. In the second section, the clinical considerations of each strategy such as handling, learning curve, powdering, scanning paths, tracking, and mesh quality are discussed. The last section is dedicated to the accuracy of files and of the intermaxillary relationship registered with IOS as the rendering of files in the graphical user interface is often misleading. This overview leads to the conclusion that the current IOS is adapted for a common practice, although differences exist between the technologies employed. An important aspect highlighted in this review is the reduction in the volume of hardware which has led to an increase in the importance of software-based technologies.

  8. Intra-oral cone radiation therapy for selected carcinomas of the oral cavity

    International Nuclear Information System (INIS)

    Wang, C.C.; Doppke, K.P.; Biggs, P.J.

    1983-01-01

    A study of 101 patients with early carcinomas of the oral cavity, T1 and T2, treated by external cobalt 60 beam and/or intra-oral cone (IOC) radiation therapy between 1964 through 1980 was made. The two year disease-free survival rate, including surgical salvage, was 88% and the local control rate was 85%. The incidence of radiation complications, i.e., soft tissue ulceration and/or osteoradionecrosis, was 14% and varied with various tumor sites and radiation doses delivered. The present review shows that local control and radiation complications are closely related to radiation doses and varies with different tumor sites of the oral cavity. Radiation therapy dosages expressed in terms of TDF values for these lesions are herein recommended. With proper selections of lesions arising from the oral cavity, combined external beam and IOC radiation therapy has been found extremely efficacious in achieving good local tumor control and high survival rates with excellent cosmetic and functional results and minimum radiation sequalae

  9. Amitriptyline and intraoral devices for migraine prevention: a randomized comparative trial

    Directory of Open Access Journals (Sweden)

    Marco A. D. Bruno

    Full Text Available ABSTRACT Objectives: Nonpharmacological treatments, such as the Nociceptive Trigeminal Inhibition Tension Suppression System (NTI-tss, are approved for migraine prophylaxis. We aimed at evaluating the effectiveness of the NTI-tss and to compare its efficacy with amitriptyline and with a sham intraoral device in the preventive treatment of migraine. Methods: Consecutive patients with migraine were randomized to receive 25 mg of amitriptyline/day (n = 34, NTI-tss (n = 33 and a non-occlusal splint (n = 30. The headache frequency was evaluated at six and 12 weeks. Results: The amitriptyline group showed, respectively, 60% and 64% reduction in attack frequency at six and 12 weeks (P = 0.000. In the NTI-tss and non-occlusal splint groups, reduction was 39% and 30%, respectively, at six weeks and 48% for both groups at 12 weeks. Conclusions: Amitriptyline proved superior to the NTI-tss and the non-occlusal splint. Despite its approval by the United States Food and Drug Administration, the NTI-tss was not superior to a sham device.

  10. Eficacia anestésica y duración analgésica de la bupivacaína al 0.25% + morfina vs bupivacaína al 0.25% en bloqueo del plexo braquial para cirugía de miembro superior en pacientes del Hospital Vicente Corral Moscoso, Cuenca 2014

    OpenAIRE

    Espinoza Bernal, Flora Judith

    2016-01-01

    Introducción: La cirugía de miembro superior es un reto para el anestesiólogo por que amerita el dominio de técnicas de anestesia regional y manejo de complicaciones y analgesia en las primeras 48 horas. Objetivo: Comparar la eficacia anestésica entre bupivacaína al 0.25% + morfina y bupivacaína al 0.25% en bloqueo del plexo braquial para cirugía de miembro superior en el H.V.C.M, Cuenca 2014. Metodología: se diseñó un estudio clínico aleatorio simple ciego, para valorar el efecto de la...

  11. Stereologic, histopathologic, flow cytometric, and clinical parameters in the prognostic evaluation of 74 patients with intraoral squamous cell carcinomas

    DEFF Research Database (Denmark)

    Bundgaard, T; Sørensen, Flemming Brandt; Gaihede, M

    1992-01-01

    , tumor size, and the TNM classification. RESULTS: The investigation showed a significant difference between the volume-weighted mean nuclear volume (nuclear vv) of oral leukoplakia (n = 29) and oral squamous cell carcinomas (P = 0.001). The value of the parameters as prognostic indicators of survival......BACKGROUND AND METHODS: A consecutive series of all 78 incident cases of intraoral squamous cell carcinoma occurring during a 2-year period in a population of 1.4 million inhabitants were evaluated by histologic score (the modified classification of Jacobsson et al.), flow cytometry, stereology...

  12. Random Pattern Vertically Oriented, Partial Thickness Buccinator Myomucosal Flap for Intraoral Reconstruction: A Report of Two Cases

    Directory of Open Access Journals (Sweden)

    Amin Rahpeyma

    2016-05-01

    Full Text Available Introduction: Reconstruction of the oral cavity witha flap design containing the buccal mucosa and buccinator muscle but excluding the facial artery and vein is the topic of these case reports. Case Reports: This article uses random pattern vertically oriented partial thickness buccinator myomucosal flap for intraoral reconstruction in two cases. The first was for lining the mandibular anterior vestibule in a trauma patient. The second was for oral side coverage of bone graft in special cleft patient. In both patients, this flap survived and good bone coverage with non-keratinized mucosa was obtained. Conclusion:  Thin long buccal myomucosal flap not including facial artery and vein can survive.

  13. An Intraoral Miniature X-ray Tube Based on Carbon Nanotubes for Dental Radiography

    Directory of Open Access Journals (Sweden)

    Hyun Jin Kim

    2016-06-01

    Full Text Available A miniature X-ray tube based on a carbon-nanotube electron emitter has been employed for the application to a dental radiography. The miniature X-ray tube has an outer diameter of 7 mm and a length of 47 mm. The miniature X-ray tube is operated in a negative high-voltage mode in which the X-ray target is electrically grounded. In addition, X-rays are generated only to the teeth directions using a collimator while X-rays generated to other directions are shielded. Hence, the X-ray tube can be safely inserted into a human mouth. Using the intra-oral X-ray tube, a dental radiography is demonstrated where the positions of an X-ray source and a sensor are reversed compared with a conventional dental radiography system. X-ray images of five neighboring teeth are obtained and, furthermore, both left and right molar images are achieved by a single X-ray shot of the miniature X-ray tube.

  14. An intraoral miniature x-ray tube based on carbon nanotubes for dental radiography

    International Nuclear Information System (INIS)

    Kim, Hyun Jin; Kim, Hyun Nam; Raza, Hamid Saeed; Park, Han Beom; Cho, Sung Oh

    2016-01-01

    A miniature X-ray tube based on a carbon-nanotube electron emitter has been employed for the application to a dental radiography. The miniature X-ray tube has an outer diameter of 7 mm and a length of 47 mm. The miniature X-ray tube is operated in a negative high-voltage mode in which the X-ray target is electrically grounded. In addition, X-rays are generated only to the teeth directions using a collimator while X-rays generated to other directions are shielded. Hence, the X-ray tube can be safely inserted into a human mouth. Using the intra-oral X-ray tube, a dental radiography is demonstrated where the positions of an X-ray source and a sensor are reversed compared with a conventional dental radiography system. X-ray images of five neighboring teeth are obtained and, furthermore, both left and right molar images are achieved by a single X-ray shot of the miniature X-ray tube

  15. An intraoral miniature x-ray tube based on carbon nanotubes for dental radiography

    Energy Technology Data Exchange (ETDEWEB)

    Kim, Hyun Jin; Kim, Hyun Nam; Raza, Hamid Saeed; Park, Han Beom; Cho, Sung Oh [Dept. of Nuclear and Quantum Engineering, Korea Advanced Institute of Science and Technology, Daejeon (Korea, Republic of)

    2016-06-15

    A miniature X-ray tube based on a carbon-nanotube electron emitter has been employed for the application to a dental radiography. The miniature X-ray tube has an outer diameter of 7 mm and a length of 47 mm. The miniature X-ray tube is operated in a negative high-voltage mode in which the X-ray target is electrically grounded. In addition, X-rays are generated only to the teeth directions using a collimator while X-rays generated to other directions are shielded. Hence, the X-ray tube can be safely inserted into a human mouth. Using the intra-oral X-ray tube, a dental radiography is demonstrated where the positions of an X-ray source and a sensor are reversed compared with a conventional dental radiography system. X-ray images of five neighboring teeth are obtained and, furthermore, both left and right molar images are achieved by a single X-ray shot of the miniature X-ray tube.

  16. Comparison of accuracies of an intraoral spectrophotometer and conventional visual method for shade matching using two shade guide systems.

    Science.gov (United States)

    Parameswaran, Vidhya; Anilkumar, S; Lylajam, S; Rajesh, C; Narayan, Vivek

    2016-01-01

    This in vitro study compared the shade matching abilities of an intraoral spectrophotometer and the conventional visual method using two shade guides. The results of previous investigations between color perceived by human observers and color assessed by instruments have been inconclusive. The objectives were to determine accuracies and interrater agreement of both methods and effectiveness of two shade guides with either method. In the visual method, 10 examiners with normal color vision matched target control shade tabs taken from the two shade guides (VITAPAN Classical™ and VITAPAN 3D Master™) with other full sets of the respective shade guides. Each tab was matched 3 times to determine repeatability of visual examiners. The spectrophotometric shade matching was performed by two independent examiners using an intraoral spectrophotometer (VITA Easyshade™) with five repetitions for each tab. Results revealed that visual method had greater accuracy than the spectrophotometer. The spectrophotometer; however, exhibited significantly better interrater agreement as compared to the visual method. While VITAPAN Classical shade guide was more accurate with the spectrophotometer, VITAPAN 3D Master shade guide proved better with visual method. This in vitro study clearly delineates the advantages and limitations of both methods. There were significant differences between the methods with the visual method producing more accurate results than the spectrophotometric method. The spectrophotometer showed far better interrater agreement scores irrespective of the shade guide used. Even though visual shade matching is subjective, it is not inferior and should not be underrated. Judicious combination of both techniques is imperative to attain a successful and esthetic outcome.

  17. The efficacy of an intraoral fluoride-releasing system in irradiated head and neck cancer patients: a preliminary study.

    Science.gov (United States)

    Meyerowitz, C; Watson, G E

    1998-09-01

    This study compared the anticaries effectiveness of an intraoral fluoride-releasing system, or IFRS, with a standard regimen of daily application of a 1.1 percent neutral sodium fluoride gel in custom trays. Caries protection in subjects in the IFRS group was comparable to that in subjects in the 1.1 percent neutral sodium fluoride group. The subjects all had head or neck cancer and had received radiation therapy, but no more recently than three months before taking part in the study. Overall, IFRS devices were well-tolerated and patient satisfaction was high. The IFRS appears to offer several advantages over the daily application of fluoride gels in custom trays.

  18. Chairside treatment of amelogenesis imperfecta, including establishment of a new vertical dimension with resin nanoceramic and intraoral scanning.

    Science.gov (United States)

    Zimmermann, Moritz; Koller, Christina; Hickel, Reinhard; Kühnisch, Jan

    2016-09-01

    Amelogenesis imperfecta is a hereditary disease affecting the structural development of tooth substance. This clinical report describes a 1-visit chairside treatment of an 8-year-old patient with amelogenesis imperfecta, using computer-aided design and computer-aided manufacturing (CAD-CAM) technology. Intraoral scanning was performed using the Cerec Omnicam. Thirteen resin nanoceramic crowns (Lava Ultimate) were fabricated chairside by using a Cerec MCXL milling unit and seated adhesively. The patient's treatment included establishing a new occlusal vertical dimension and new centric relationship. Reevaluation after 6 months showed a stable situation. Copyright © 2016 Editorial Council for the Journal of Prosthetic Dentistry. Published by Elsevier Inc. All rights reserved.

  19. Skeletal and soft tissue changes and stability in cleft lip and palate patients after distraction osteogenesis using a new intraoral maxillary device.

    Science.gov (United States)

    Ansari, Edward; Tomat, Catherine; Kadlub, Natacha; Diner, Patrick A; Bellocq, Thomas; Vazquez, Marie-Paule; Picard, Arnaud

    2015-04-01

    The authors have recently reported on the use of an internal maxillary distraction device. In this study, we report on the hard and soft tissue movements achieved with this intraoral distraction device, and the stability changes after distraction osteogenesis for maxillary hypoplasia in patients with cleft lip and palate. Ten male patients with severe hypoplasia of the maxilla, with complete uni- or bilateral cleft lip and palate were included. The mean age of the patients at the time of operation was 11.91 years (±3.41). To evaluate the distraction process and stability, superimpositions on the preoperative lateral cephalograms were performed. The mean follow-up (FU) was 15.42 months (±3.94). Cephalometric measurements at all of the maxillary hard and soft tissue points improved significantly. Maxillary point A was advanced by 8.25 mm (±3.17; P distraction soft tissue point A' had advanced 7.10 mm (±2.69; P distraction. Maxillary horizontal relapse at point A was 14.1% at FU. Vertical relapse was not significant. This rigid intraoral distraction device can be successfully used in the correction of severe maxillary hypoplasia. The marked aesthetic improvement and low psychological encumbrance make this device viable for the treatment of cleft-related hypoplasia of the maxilla. Copyright © 2014 European Association for Cranio-Maxillo-Facial Surgery. Published by Elsevier Ltd. All rights reserved.

  20. First detection of lead in black paper from intraoral film

    International Nuclear Information System (INIS)

    Guedes, Debora F.C.; Silva, Reginaldo S.; Veiga, Marcia A.M.S. da; Pecora, Jesus D.

    2009-01-01

    Lead (Pb) contamination in the black paper that recovers intraoral films (BKP) has been investigated. BKP samples were collected from the Radiology Clinics of the Dental School of Ribeirao Preto, University of Sao Paulo, Brazil. For sake of comparison, four different methods were used. The results revealed the presence of high lead levels, well above the maximum limit allowed by the legislation. Pb contamination levels achieved after the following treatments: paper digestion in nitric acid, microwave treatment, DIN38414-54 method and TCLP method were 997 μg g -1 , 189 μg g -1 , 20.8 μg g -1 , and 54.0 μg g -1 , respectively. Flame atomic absorption spectrometry (FAAS) and inductively coupled plasma mass spectrometry (ICP-MS) were employed for lead determination according to the protocols of the applied methods. Lead contamination in used BKP was confirmed by scanning electron microscopy coupled with energy dispersive X-ray microanalysis (SEM-EDS). All the SEM imaging was carried out in the secondary electron mode (SE) and backscattered-electron mode (QBSD) following punctual X-ray fluorescence spectra. Soil contamination derived from this product revealed the urgent need of addressing this problem. These elevated Pb levels, show that a preliminary treatment of BKP is mandatory before it is disposed into the common trash. The high lead content of this material makes its direct dumping into the environment unwise.

  1. Cone beam computed tomography and intraoral radiography for diagnosis of dental abnormalities in dogs and cats

    International Nuclear Information System (INIS)

    Roza, Marcello R.; Fioravanti, Maria Clorinda S.; Silva, Luiz Antonio F.; Barriviera, Mauricio; Januario, Alessandro L.; Bezerra, Ana Cristina B.

    2011-01-01

    The development of veterinary dentistry has substantially improved the ability to diagnose canine and feline dental abnormalities. Consequently, examinations previously performed only on humans are now available for small animals, thus improving the diagnostic quality. This has increased the need for technical qualification of veterinary professionals and increased technological investments. This study evaluated the use of cone beam computed tomography and intraoral radiography as complementary exams for diagnosing dental abnormalities in dogs and cats. Cone beam computed tomography was provided faster image acquisition with high image quality, was associated with low ionizing radiation levels, enabled image editing, and reduced the exam duration. Our results showed that radiography was an effective method for dental radiographic examination with low cost and fast execution times, and can be performed during surgical procedures

  2. Influence of physical parameters on radiation protection and image quality in intra-oral radiology

    Science.gov (United States)

    Belinato, W.; Souza, D. N.

    2011-10-01

    In the world of diagnostic imaging, radiography is an important supplementary method for dental diagnosis. In radiology, special attention must be paid to the radiological protection of patients and health professionals, and also to image quality for correct diagnosis. In Brazil, the national rules governing the operation of medical and dental radiology were specified in 1998 by the National Sanitary Surveillance Agency, complemented in 2005 by the guide "Medical radiology: security and performance of equipment." In this study, quality control tests were performed in public clinics with dental X-ray equipment in the State of Sergipe, Brazil, with consideration of the physical parameters that influence radiological protection and also the quality of images taken in intra-oral radiography. The accuracy of the exposure time was considered acceptable for equipment with digital timers. Exposure times and focal-spot size variations can lead to increased entrance dose. Increased dose has also been associated with visual processing of radiographic film, which often requires repeating the radiographic examination.

  3. Influence of physical parameters on radiation protection and image quality in intra-oral radiology

    International Nuclear Information System (INIS)

    Belinato, W.; Souza, D.N.

    2011-01-01

    In the world of diagnostic imaging, radiography is an important supplementary method for dental diagnosis. In radiology, special attention must be paid to the radiological protection of patients and health professionals, and also to image quality for correct diagnosis. In Brazil, the national rules governing the operation of medical and dental radiology were specified in 1998 by the National Sanitary Surveillance Agency, complemented in 2005 by the guide 'Medical radiology: security and performance of equipment.' In this study, quality control tests were performed in public clinics with dental X-ray equipment in the State of Sergipe, Brazil, with consideration of the physical parameters that influence radiological protection and also the quality of images taken in intra-oral radiography. The accuracy of the exposure time was considered acceptable for equipment with digital timers. Exposure times and focal-spot size variations can lead to increased entrance dose. Increased dose has also been associated with visual processing of radiographic film, which often requires repeating the radiographic examination.

  4. Influence of physical parameters on radiation protection and image quality in intra-oral radiology

    Energy Technology Data Exchange (ETDEWEB)

    Belinato, W. [Instituto Federal de Ensino Basico, Tecnico e Tecnologico da Bahia, Av. Amazonas, 1350-45030-220, Zabele, Vitoria da Conquista, BA (Brazil); Departamento de Fisica, Universidade Federal de Sergipe, Av. Marechal Rondon s/n, 49100-000 Rosa Elze, Sao Cristovao, SE (Brazil); Souza, D.N., E-mail: divanizi@ufs.br [Departamento de Fisica, Universidade Federal de Sergipe, Av. Marechal Rondon s/n, 49100-000 Rosa Elze, Sao Cristovao, SE (Brazil)

    2011-10-01

    In the world of diagnostic imaging, radiography is an important supplementary method for dental diagnosis. In radiology, special attention must be paid to the radiological protection of patients and health professionals, and also to image quality for correct diagnosis. In Brazil, the national rules governing the operation of medical and dental radiology were specified in 1998 by the National Sanitary Surveillance Agency, complemented in 2005 by the guide 'Medical radiology: security and performance of equipment.' In this study, quality control tests were performed in public clinics with dental X-ray equipment in the State of Sergipe, Brazil, with consideration of the physical parameters that influence radiological protection and also the quality of images taken in intra-oral radiography. The accuracy of the exposure time was considered acceptable for equipment with digital timers. Exposure times and focal-spot size variations can lead to increased entrance dose. Increased dose has also been associated with visual processing of radiographic film, which often requires repeating the radiographic examination.

  5. Accuracy and precision of 3 intraoral scanners and accuracy of conventional impressions: A novel in vivo analysis method.

    Science.gov (United States)

    Nedelcu, R; Olsson, P; Nyström, I; Rydén, J; Thor, A

    2018-02-01

    To evaluate a novel methodology using industrial scanners as a reference, and assess in vivo accuracy of 3 intraoral scanners (IOS) and conventional impressions. Further, to evaluate IOS precision in vivo. Four reference-bodies were bonded to the buccal surfaces of upper premolars and incisors in five subjects. After three reference-scans, ATOS Core 80 (ATOS), subjects were scanned three times with three IOS systems: 3M True Definition (3M), CEREC Omnicam (OMNI) and Trios 3 (TRIOS). One conventional impression (IMPR) was taken, 3M Impregum Penta Soft, and poured models were digitized with laboratory scanner 3shape D1000 (D1000). Best-fit alignment of reference-bodies and 3D Compare Analysis was performed. Precision of ATOS and D1000 was assessed for quantitative evaluation and comparison. Accuracy of IOS and IMPR were analyzed using ATOS as reference. Precision of IOS was evaluated through intra-system comparison. Precision of ATOS reference scanner (mean 0.6 μm) and D1000 (mean 0.5 μm) was high. Pairwise multiple comparisons of reference-bodies located in different tooth positions displayed a statistically significant difference of accuracy between two scanner-groups: 3M and TRIOS, over OMNI (p value range 0.0001 to 0.0006). IMPR did not show any statistically significant difference to IOS. However, deviations of IOS and IMPR were within a similar magnitude. No statistical difference was found for IOS precision. The methodology can be used for assessing accuracy of IOS and IMPR in vivo in up to five units bilaterally from midline. 3M and TRIOS had a higher accuracy than OMNI. IMPR overlapped both groups. Intraoral scanners can be used as a replacement for conventional impressions when restoring up to ten units without extended edentulous spans. Copyright © 2017 The Authors. Published by Elsevier Ltd.. All rights reserved.

  6. Cutting and coagulation during intraoral soft tissue surgery using Er: YAG laser.

    Science.gov (United States)

    Onisor, I; Pecie, R; Chaskelis, I; Krejci, I

    2013-06-01

    To find the optimal techniques and parameters that enables Er:YAG laser to be used successfully for small intraoral soft tissue interventions, in respect to its cutting and coagulation abilities. In vitro pre-tests: 4 different Er:YAG laser units and one CO2 unit as the control were used for incision and coagulation on porcine lower jaws and optimal parameters were established for each type of intervention and each laser unit: energy, frequency, type, pulse duration and distance. 3 different types of intervention using Er:YAG units are presented: crown lengthening, gingivoplasty and maxillary labial frenectomy with parameters found in the in vitro pre-tests. The results showed a great decrease of the EMG activity of masseter and anterior temporalis muscles. Moreover, the height and width of the chewing cycles in the frontal plane increased after therapy. Er:YAG is able to provide good cutting and coagulation effects on soft tissues. Specific parameters have to be defined for each laser unit in order to obtain the desired effect. Reduced or absent water spray, defocused light beam, local anaesthesia and the most effective use of long pulses are methods to obtain optimal coagulation and bleeding control.

  7. Medicine and ionizing rays: a help sheet in analysing risks in intra-oral dental radiology and applicable texts

    International Nuclear Information System (INIS)

    Gauron, C.

    2009-01-01

    This document proposes a synthesis of useful knowledge for radioprotection in the case of intra-oral dental radiology. In the first part, several aspects are considered: the concerned personnel, the course of treatment procedures, the hazards, the identification of the risk associated with ionizing radiation, the risk assessment and the determination of exposure levels, the strategy to control the risks (reduction of risks, technical measures concerning the installation or the personnel, teaching and information, prevention and medical monitoring), and risk control assessment. A second part indicates the various applicable legal and regulatory texts (European directives, institutions in charge of radioprotection, general arrangements applicable to workers and patients, and regulatory texts concerning worker protection or patient protection against ionizing radiations)

  8. Bloqueio pleural bilateral: analgesia e funções pulmonares em pós-operatório de laparotomias medianas Bloqueo pleural bilateral: analgesia y funciones pulmonares en pós-operatorio de laparotomias medianas Bilateral pleural block: analgesia and pulmonary functions in postoperative of median laparotomies

    Directory of Open Access Journals (Sweden)

    Karl Otto Geier

    2004-08-01

    Full Text Available JUSTIFICATIVA E OBJETIVOS: Não obstante o bloqueio pleural ter sido convertido quase numa panacéia analgésica, resultados contraditórios foram publicados. O objetivo deste estudo foi observar o desempenho analgésico e espirométrico das funções pulmonares no pós-operatório imediato de 21 pacientes com o bloqueio pleural bilateral em laparotomias medianas de urgência. MÉTODO: Bloqueio pleural bilateral foi realizado em decúbito dorsal horizontal em 21 pacientes com 20 ml de bupivacaína a 0,375% com adrenalina a 1:400.000 administrados por cateter em cada hemitórax durante o pós-operatório imediato. Soluções aleatórias de bupivacaína e de solução fisiológica foram administradas por residentes ou enfermeiras que desconheciam o conteúdo das seringas, e seus desfechos analgésicos avaliados de acordo com a escala de dor Prince Henry ao comparar os valores pré e pós-bloqueio pleural bilateral. Em função da dor pós-operatória, testes espirométricos das funções pulmonares também foram determinados mediante espirômetro portátil. RESULTADOS: Analgesia pós-operatória, com duração média de 247,75 ± 75 minutos foi constatada em todos os pacientes com a bupivacaína, embora tenha persistido dor residual de menor intensidade na região suprapúbica em cinco pacientes (8% e em dois pacientes na apófise xifóide (3,2%. Nenhum efeito analgésico foi obtido com solução fisiológica. Face à dor pós-operatória, as funções pulmonares, avaliadas antes e após os bloqueios, registraram melhora com a bupivacaína na CVF (p JUSTIFICATIVA Y OBJETIVOS: No obstante el bloqueo pleural haber sido convertido casi en una panacea analgésica, fueron publicados resultados contradictorios. El objetivo de este estudio fue observar el desempeño analgésico y espirométrico de las funciones pulmonares en el pós-operatorio inmediato de 21 pacientes con el bloqueo pleural bilateral en laparotomias medianas de urgencia. M

  9. First detection of lead in black paper from intraoral film

    Energy Technology Data Exchange (ETDEWEB)

    Guedes, Debora F.C., E-mail: defcg@usp.br [Departamento de Odontologia Restauradora, Faculdade de Odontologia de Ribeirao Preto, Universidade de Sao Paulo, Av. do Cafe, S/N, Monte Alegre, CEP 14040-904, Ribeirao Preto, SP (Brazil); Silva, Reginaldo S. [Departamento de Odontologia Restauradora, Faculdade de Odontologia de Ribeirao Preto, Universidade de Sao Paulo, Av. do Cafe, S/N, Monte Alegre, CEP 14040-904, Ribeirao Preto, SP (Brazil); Veiga, Marcia A.M.S. da [Departamento de Quimica, Faculdade de Filosofia, Ciencias e Letras de Ribeirao Preto, Universidade de Sao Paulo, Av. do Cafe, S/N, Monte Alegre, CEP 14040-904, Ribeirao Preto, SP (Brazil); Pecora, Jesus D. [Departamento de Odontologia Restauradora, Faculdade de Odontologia de Ribeirao Preto, Universidade de Sao Paulo, Av. do Cafe, S/N, Monte Alegre, CEP 14040-904, Ribeirao Preto, SP (Brazil)

    2009-10-30

    Lead (Pb) contamination in the black paper that recovers intraoral films (BKP) has been investigated. BKP samples were collected from the Radiology Clinics of the Dental School of Ribeirao Preto, University of Sao Paulo, Brazil. For sake of comparison, four different methods were used. The results revealed the presence of high lead levels, well above the maximum limit allowed by the legislation. Pb contamination levels achieved after the following treatments: paper digestion in nitric acid, microwave treatment, DIN38414-54 method and TCLP method were 997 {mu}g g{sup -1}, 189 {mu}g g{sup -1}, 20.8 {mu}g g{sup -1}, and 54.0 {mu}g g{sup -1}, respectively. Flame atomic absorption spectrometry (FAAS) and inductively coupled plasma mass spectrometry (ICP-MS) were employed for lead determination according to the protocols of the applied methods. Lead contamination in used BKP was confirmed by scanning electron microscopy coupled with energy dispersive X-ray microanalysis (SEM-EDS). All the SEM imaging was carried out in the secondary electron mode (SE) and backscattered-electron mode (QBSD) following punctual X-ray fluorescence spectra. Soil contamination derived from this product revealed the urgent need of addressing this problem. These elevated Pb levels, show that a preliminary treatment of BKP is mandatory before it is disposed into the common trash. The high lead content of this material makes its direct dumping into the environment unwise.

  10. Unique migration of a dental needle into the parapharyngeal space: successful removal by an intraoral approach and simulation for tracking visibility in X-ray fluoroscopy.

    Science.gov (United States)

    Okumura, Yuri; Hidaka, Hiroshi; Seiji, Kazumasa; Nomura, Kazuhiro; Takata, Yusuke; Suzuki, Takahiro; Katori, Yukio

    2015-02-01

    The first objective was to describe a novel case of migration of a broken dental needle into the parapharyngeal space. The second was to address the importance of simulation elucidating visualization of such a thin needle under X-ray fluoroscopy. Clinical case records (including computed tomography [CT] and surgical approaches) were reviewed, and a simulation experiment using a head phantom was conducted using the same settings applied intraoperatively. A 36-year-old man was referred after failure to locate a broken 31-G dental needle. Computed tomography revealed migration of the needle into the parapharyngeal space. Intraoperative X-ray fluoroscopy failed to identify the needle, so a steel wire was applied as a reference during X-ray to locate the foreign body. The needle was successfully removed using an intraoral approach with tonsillectomy under surgical microscopy. The simulation showed that the dental needle was able to be identified only after applying an appropriate compensating filter, contrasting with the steel wire. Meticulous preoperative simulation regarding visual identification of dental needle foreign bodies is mandatory. Intraoperative radiography and an intraoral approach with tonsillectomy under surgical microscopy offer benefits for accessing the parapharyngeal space, specifically for cases medial to the great vessels. © The Author(s) 2014.

  11. Effects of short-term training on behavioral learning and skill acquisition during intraoral fine motor task

    DEFF Research Database (Denmark)

    Kumar, Abhishek; Grigoriadis, Joannis; Trulsson, Mats

    2015-01-01

    Sensory information from the orofacial mechanoreceptors are used by the nervous system to optimize the positioning of food, determine the force levels, and force vectors involved in biting of food morsels. Moreover, practice resulting from repetition could be a key to learning and acquiring a motor...... movements. Thirty healthy volunteers were asked to intraorally manipulate and split a chocolate candy, into two equal halves. The participants performed three series (with ten 10 trials) of the task before and after a short-term (approximately 30min) training. The accuracy of the split and vertical jaw...... task induces behavior learning, skill acquisition and optimization of jaw movements in terms of better performance and reduction in the duration of jaw movements, during the task. The finding of the present study provides insights on into how humans learn oral motor behaviors or the kind of adaptation...

  12. Comparação das técnicas transarterial e de estimulação de múltiplos nervos para bloqueio do plexo braquial por via axilar usando lidocaína com epinefrina Comparación de las técnicas transarterial y de estimulación de múltiples nervios para bloqueo del plexo braquial por vía axilar usando lidocaína con epinefrina Comparison of transarterial and multiple nerve stimulation techniques for axillary block using lidocaine with epinephrine

    Directory of Open Access Journals (Sweden)

    Luiz Eduardo Imbelloni

    2005-02-01

    resulta en alta efectividad para el bloqueo axilar del plexo braquial. La técnica de utilizar múltiples estímulos exige más tiempo y mayor experiencia. Este estudio prospectivo compara la latencia y el índice de éxito del bloqueo del plexo braquial usando dos técnicas de localización: transarterial o múltipla estimulación de los nervios. MÉTODO: La lidocaína con epinefrina, 800 mg, fue usada inicialmente para el bloqueo axilar. En el grupo transarterial, 30 mL de lidocaína a 1,6% con epinefrina fueron inyectados profundamente y 20 mL superficialmente a la arteria axilar. En el grupo de múltipla estimulación, tres nervios fueron localizados eléctricamente y bloqueados con volúmenes 20 mL, 20 mL y 10 mL de la solución. El bloqueo fue considerado efectivo cuando la analgesia estaba presente en todos los nervios en la área distal al codo. RESULTADOS: El tiempo de latencia (8,8 ± 2,3 min versus 10,2 ± 2,4 min; p-valor = 0,010 fue significativamente menor en el grupo transarterial. Bloqueos sensitivos completos en los cuatro nervios (mediano, ulnar, radial y musculocutáneo fueron logrados en un 92,5% versus 83,3% en el grupo de múltipla estimulación y acceso transarterial, respectivamente sin diferencia significativa (p-valor = 0,68. El nervio musculocutáneo fue significativamente más fácil de bloquear con el estimulador de nervio periférico (p = 0,034. CONCLUSIONES: La técnica de múltipla estimulación para el bloqueo axilar usando estimulador de nervios (3 inyecciones y la técnica transarterial (2 inyecciones producen resultados semejantes en la calidad del bloqueo. El nervio musculocutáneo es más facilmente bloqueado con el uso del estimulador del nervio periférico. La técnica de múltipla estimulación necesitó menor suplementación del bloqueo y aumentó el tiempo para el inicio de la cirugía.BACKGROUND AND OBJECTIVES: High-dose transarterial technique results in highly effective axillary block. The multiple nerve stimulation technique

  13. Comparative analysis of intraoral radiographs with variation of tube angulation to detect insufficient crown margins.

    Science.gov (United States)

    Sailer, Benjamin F; Geibel, Margrit-Ann

    2013-01-01

    Variations in angulation of the x-ray tube affect the appearance of insufficient approximal crown margins on intraoral radiographs. This study examines the impact of such angular variation on the assessment of digital radiographs using three different X-ray tubes--Heliodent DS (Sirona), Gendex Expert DC (KaVo Dental) and Focus (KaVo Dental)--as well as the Gendex Visualix eHD CCD sensor (KaVo Dental). The test specimens, crowned teeth 46 from two mandibles provided by the Institute of Anatomy and Cell Biology, were examined with each tube. The results indicate great differences in the angles indicative of insufficient crown margins on X-ray images. Because of beam divergence and the crown marginal gap, the length and width of which frequently varies, it is difficult to infer any optimum angle from the data. This leads to the conclusion that at present, it is not possible to establish ideal angles for visualization of insufficient approximal crown margins.

  14. A comparison of intraoral antimicrobial effects of stabilized stannous fluoride dentifrice, baking soda/peroxide dentifrice, conventional NaF dentifrice and essential oil mouthrinse.

    Science.gov (United States)

    Bacca, L A; Leusch, M; Lanzalaco, A C; Macksood, D; Bouwsma, O J; Shaffer, J B; Howard-Nordan, K S; Knippenberg, S H; Kreutzjans, M K; Miller, J M; Poore, C L; Sunberg, R J; Vastola, K A; Becus, M; Bartizek, R D; Block, R P; Briner, W W; White, D J

    1997-01-01

    The intraoral antimicrobial activity of four commercial oral products-conventional NaF dentifrice (Crest), baking soda/peroxide/NaF dentifrice (Mentadent), essential oil mouthrinse (Listerine) and SnF2 dentifrice (Crest Plus Gum Care)-have been compared in three test regimens. Formulations were compared for their ability to suppress the regrowth and apical extension of dental plaque following toothbrushing during thirty hours of non-brushing where products were used as oral rinses (30-hour plaque regrowth model). Formulations were also compared for their ability to suppress the colony-forming units (cfu) of facultative anaerobic bacteria sampled from buccal gingival surfaces following use (Gingival Surface Microbial Index-GSMI model). Lastly, formulations were compared for effects in suppressing the glycolytic metabolic activity and regrowth activity of in vivo-treated dental plaques sampled at various periods following topical use and incubated under controlled ex vivo conditions (Plaque Glycolysis and Regrowth-PGRM model). In thirty-hour plaque regrowth testing, the rank ordered antimicrobial efficacy of formulations followed SnF2 > essential oils > NaF = water = baking soda/peroxide. In GSMI testing, all formulations were shown to suppress the cfu of facultative anaerobic bacteria relative to baseline, although SnF2 treatment was observed to reduce bacterial levels to a significantly greater degree than NaF dentifrice or baking soda/peroxide dentifrice up to two hours following brushing. In PGRM testing, the SnF2 dentifrice provided significant inhibition of bacterial metabolism and regrowth following topical application when compared with the NaF dentifrice as control. The baking soda/peroxide dentifrice provided no reduction in either bacterial metabolism or regrowth in PGRM. Previous studies had demonstrated modest effects for essential oil rinse in reducing PGRM plaque regrowth, with no effects for this treatment on plaque metabolism. Overall, these results

  15. Dental and skeletal changes after intraoral molar distalization with sectional jig assembly.

    Science.gov (United States)

    Gulati, S; Kharbanda, O P; Parkash, H

    1998-09-01

    The present study was conducted on 10 subjects to evaluate dental and skeletal changes after intraoral molar distalization. The maxillary molars were distalized with a sectional jig assembly. Sentalloy open coil springs were used to exert 150 gm of force for a period of 12 weeks. A modified Nance appliance was the main source of anchorage. The pre- and postdistalization records included dental study casts, clinical photographs, and cephalograms. A total of 665 readings recorded from lateral cephalograms and dental casts were subjected to statistical analysis. The mean distal movement of the first molar was 2.78 mm, which was highly significant (o < 0.001). It moved distally at the rate of 0.86 mm/month. There was clinically some distal tipping (3.50 degrees) and distopalatal rotation (2.40 degrees). These changes were statistically significant (p < 0.001). The second molars accompanied the first molars and moved distally by nearly the same amount. There was 1.00 mm increase in the overjet and 2.60 degrees mesial tip of second premolar. The changes in the facial skeleton and dentition bases were minimal and statistically not significant. However, there was clockwise rotation of the mandible of 1.30 degrees that was statistically significant. This was the result of molar extrusion (1.60 mm).

  16. The repeatability of an intraoral dental colorimeter.

    Science.gov (United States)

    Tung, Francis F; Goldstein, Gary R; Jang, Sungkoo; Hittelman, Eugene

    2002-12-01

    Characterizing and reproducing color remain one of the most challenging aspects of dentistry. A relatively new intraoral colorimeter measures the color of natural teeth and metal-ceramic restorations and prints out a color recipe for the Vintage Halo Porcelain System. The reliability of the colorimeter is unknown. The purpose of this study was to evaluate the reliability of a contact dental colorimeter and to correlate the shade registered by the colorimeter with the shade selected by experienced clinicians. In part I of the study, 2 examiners (A and B) took 2 colorimeter measurements from the maxillary right central incisors of 11 subjects. The examiners were blinded to their own data and those of other investigators. The readings were repeated 3 weeks later with the same protocol. The Cronbach alpha reliability coefficient was used to analyze the collected data. In part II of the study, 2 experienced clinicians (examiners D and E) selected a shade from the classic Vita Lumin Vacuum shade guide for the maxillary right central incisors of the same 11 subjects. The clinicians were blinded to each other's selections and the colorimeter readings. It should be noted that the manufacturer of the colorimeter uses the terms shade, value, and hue to represent chroma, value, and hue, respectively, as defined in the Glossary of Prosthodontic Terms (J Prosthet Dent 1999;81:39-110). The reliability analysis results for each of the combined trials for shade, value, and hue were all >.94. The interexaminer reliability alpha values were >.9 for shade and value and.64 to.74 for hue. The interexaminer alpha represented the value range of each of 4 measurements. The intraexaminer reliability alpha values for shade, value, and hue were.99,.95, and.96 for examiner A and.99,.93, and.97 for examiner B, respectively. In part II of the study, the colorimeter agreed with itself 82% of the time, whereas clinicians agreed with each other on the selected shade 73% of the time. Selections made

  17. Side effects of intraoral devices for OSAS treatment.

    Science.gov (United States)

    Teixeira, Andressa Otranto de Britto; Andrade, Ana Luiza Ladeia; Almeida, Rhita Cristina da Cunha; Almeida, Marco Antonio de Oliveira

    2017-10-14

    Intraoral devices have increasingly assumed a key role in the treatment of obstructive sleep apnea syndrome, but there are limitations to their indication and side effects that result from their continuous use, as well as the use of the continuous positive airway pressure device. To evaluate the changes in dental positioning caused by the continuous use of mandibular advancement devices. A prospective longitudinal study with a sample of 15 patients, with evaluation of complete documentation after a mean time of 6.47 months, assessed changes in dental positioning due to the use of the Twin Block oral device for the treatment of patients with apnea. The following variables were evaluated: overjet, overbite, upper and lower intermolar distances, upper and lower intercanine distances, Little's irregularity index and the incisor mandibular plane angle. An intraclass correlation test was performed and a correlation index>0.08 was accepted. After verifying the normal sample distribution (Shapiro-Wilks), a parametric test was used (t test), with a significance level set at 5%. There was a decrease in the values of overjet, overbite and Little's irregularity index, whereas there was an increase in the lower intercanine distance and IMPA values. All these variables are influenced, at different levels, by the forward inclination of the lower incisors, an action that can be expected due to the force applied by the device on the dentition. The other variables did not show statistically significant differences. After a mean time of 6.47 months of use of the mandibular advancement device, there were statistically significant changes in the dental positioning, but they were not clinically relevant. However, it is relevant that this device is commonly in use over long periods of time, making the monitoring of these patients of the utmost importance for the duration of their therapy. Copyright © 2017 Associação Brasileira de Otorrinolaringologia e Cirurgia C

  18. Patients' preferences when comparing analogue implant impressions using a polyether impression material versus digital impressions (Intraoral Scan) of dental implants.

    Science.gov (United States)

    Wismeijer, Daniel; Mans, Ronny; van Genuchten, Michiel; Reijers, Hajo A

    2014-10-01

    The primary objective of this clinical study was to assess the patients' perception of the difference between an analogue impression approach on the one hand and an intra-oral scan (IO scan) on the other when restoring implants in the non-aesthetic zone. A second objective was to analyse the difference in time needed to perform these two procedures. Thirty consecutive patients who had received 41 implants (Straumann tissue level) in the non-aesthetic zone in an implant-based referral practice setting in the Netherlands. As they were to receive crown and or bridge work on the implants, in one session, the final impressions were taken with both an analogue technique and with an intraoral scan. Patients were also asked if, directly after the treatment was carried out, they would be prepared to fill out a questionnaire on their perception of both techniques. The time involved following these two procedures was also recorded. The preparatory activities of the treatment, the taste of the impression material and the overall preference of the patients were significantly in favour of the IO scan. The bite registration, the scan head and gag reflex positively tended to the IO scan, but none of these effects were significant. The overall time involved with the IO scan was more negatively perceived than the analogue impression. Overall less time was involved when following the analogue impression technique than with the IO scan. The overall preference of the patients in our sample is significantly in favour of the approach using the IO scan. This preference relates mainly to the differences between the compared approaches with respect to taste effects and their preparatory activities. The patients did perceive the duration of IO scan more negatively than the analogue impression approach. © 2013 John Wiley & Sons A/S. Published by John Wiley & Sons Ltd.

  19. Finish line distinctness and accuracy in 7 intraoral scanners versus conventional impression: an in vitro descriptive comparison.

    Science.gov (United States)

    Nedelcu, Robert; Olsson, Pontus; Nyström, Ingela; Thor, Andreas

    2018-02-23

    Several studies have evaluated accuracy of intraoral scanners (IOS), but data is lacking regarding variations between IOS systems in the depiction of the critical finish line and the finish line accuracy. The aim of this study was to analyze the level of finish line distinctness (FLD), and finish line accuracy (FLA), in 7 intraoral scanners (IOS) and one conventional impression (IMPR). Furthermore, to assess parameters of resolution, tessellation, topography, and color. A dental model with a crown preparation including supra and subgingival finish line was reference-scanned with an industrial scanner (ATOS), and scanned with seven IOS: 3M, CS3500 and CS3600, DWIO, Omnicam, Planscan and Trios. An IMPR was taken and poured, and the model was scanned with a laboratory scanner. The ATOS scan was cropped at finish line and best-fit aligned for 3D Compare Analysis (Geomagic). Accuracy was visualized, and descriptive analysis was performed. All IOS, except Planscan, had comparable overall accuracy, however, FLD and FLA varied substantially. Trios presented the highest FLD, and with CS3600, the highest FLA. 3M, and DWIO had low overall FLD and low FLA in subgingival areas, whilst Planscan had overall low FLD and FLA, as well as lower general accuracy. IMPR presented high FLD, except in subgingival areas, and high FLA. Trios had the highest resolution by factor 1.6 to 3.1 among IOS, followed by IMPR, DWIO, Omnicam, CS3500, 3M, CS3600 and Planscan. Tessellation was found to be non-uniform except in 3M and DWIO. Topographic variation was found for 3M and Trios, with deviations below +/- 25 μm for Trios. Inclusion of color enhanced the identification of the finish line in Trios, Omnicam and CS3600, but not in Planscan. There were sizeable variations between IOS with both higher and lower FLD and FLA than IMPR. High FLD was more related to high localized finish line resolution and non-uniform tessellation, than to high overall resolution. Topography variations were low

  20. Validation of a tactical analysis methodology for the study of pick and roll in basketball

    Directory of Open Access Journals (Sweden)

    Alejandro Vaquera

    2013-01-01

    Full Text Available El objetivo de esta investigación se centra en el diseño y validación de una propuesta metodológica de análisis táctico para el estudio del bloqueo directo en baloncesto, aplicando los principios de la metodología observacional y el registro contextualizado de acciones. Se han desarrollado tres fases: Fase 1 Identificación y selección de variables, donde se han definido y catalogado las variables conductuales (bloqueo directo, contextuales (zona del campo, tiempo de posesión y periodo de juego y evaluativas (resultado de la acción. Fase 2 Creación ad hoc de instrumentos de registro, en la que se ha adaptado una herramienta informática (software VA-Sports: Baloncesto para atender a las particularidades y necesidades específicas del estudio de acciones de bloqueo directo. Fase 3 Control de la calidad del dato, en la que se fijaron los criterios de selección de la muestra, se desarrolló el proceso de entrenamiento de observadores, y se verificó el nivel de acuerdo interno o concordancia intraobservador, para evaluar la fiabilidad de la propuesta metodológica. Fueron analizadas un total de 192 acciones de bloqueo directo correspondientes a 6 partidos completos de la Liga ACB española. Se pudo constatar una elevada fiabilidad de la propuesta metodológica diseñada que, en su conjunto obtuvo un elevado valor promedio de Kappa (0.994, lo que permite concluir que las variables de análisis propuestas resultan precisas, en su definición y categorización para estudiar acciones de bloqueo directo. Las variables tiempo de posesión, periodo de juego y resultado de la acción, han evidenciado un nivel de concordancia máximo (valor Kappa de 1.000, al tiempo que las variables bloqueo directo y zona del campo, también han evidenciado un grado de objetividad elevado (valores de Kappa de .990 y .981 respectivamente.

  1. Introduction of a new removable adjustable intraoral maxillary distraction system for correction of maxillary hypoplasia.

    Science.gov (United States)

    Figueroa, Alvaro A; Polley, John W; Figueroa, Alexander L

    2009-09-01

    Distraction osteogenesis has become a treatment alternative to treat severe craniofacial skeletal dysplasias. A rigid external distraction device has been successfully used to advance the maxilla as well as the maxillary, orbital, and forehead complex (monobloc) in children as young as 2 years, adolescents, and adults. For this severe group of patients, the technique has been found to be simpler and safer than traditional surgical methods. Maxillary and midfacial advancement through distraction has been found to be extremely stable in the patients in whom the technique was used.The authors introduce an intraoral distractor for those patients requiring a moderate maxillary advancement. The advantages of the device include ease of insertion, vector adjustability, reactivation capabilities, and no need for second procedure for its removal.The above approaches have provided predictable and stable results. A detailed description of the device, necessary orthodontic and surgical procedures, case reports, and cephalometric outcomes are presented. The techniques can be applied alone or as an adjunct to traditional orthognathic and craniofacial surgical procedures.

  2. Intraoral Temperature Triggered Shape-Memory Effect and Sealing Capability of A Transpolyisoprene-Based Polymer

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    Gakuji Tsukada

    2015-11-01

    Full Text Available In dentistry, pure gutta-percha (trans-1,4-polyisoprene (TPI is widely used as a main component of root canal filling materials. TPI has an interesting shape memory formed through cross-linking, and this characteristic is expected to be very effective for development of novel dental treatments; in particular, modification of the shape recovery temperature to the intraoral temperature (37 °C will enhance the applicability of the shape-memory effect of TPI in root canal filling. In this study, trial test specimens consisting of varying proportions of TPI, cis-polyisoprene, zinc oxide, stearic acid, sulfur and dicumyl peroxide were prepared and the temperature dependence of their shape recovery, recovery stress and relaxation modulus were measured. Additionally, their sealing abilities were tested using glass tubing and a bovine incisor. As the ratio of cross-linking agent in the specimens increased, a decrease in recovery temperature and an increase in recovery stress and recovery speed were observed. In addition, the test specimen containing the highest concentration of cross-linking agent showed superior sealing ability under a thermal stimulus of 37 °C in both sealing ability tests.

  3. Bloqueio bilateral do nervo pudendo para hemorroidectomia em paciente acondroplásico: relato de caso Bloqueo bilateral del nervio pudendo para hemorroidectomía en paciente acondroplásico: relato de caso Bilateral blockade of the pudend nerve to hemorrhoidectomy in achondroplasic patient: case report

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    Bruno Salomé de Morais

    2006-04-01

    ética espontánea. La anestesia de esos pacientes presenta varias particularidades. El objetivo del presente relato fue el de describir un caso de paciente acondroplásico, con previo historial de intervención quirúrgica de la columna para descompresión medular, sometido a Hemorroidectomía a través de bloqueo bilateral de los nervios pudendos. RELATO DEL CASO: Paciente del sexo masculino, 47 años, acondroplásico, que fue ingresado para la realización de hemorroidectomía.Al hacérsele el examen físico presentaba el cuello acortado con extensión limitada de la cabeza, Mallampati clase IV, distancia tireomentoniana de 6 cm y abertura de la boca de 3,5 cm. La columna vertebral presentaba cifosis torácica y lordosis lumbar acentuada, además de cicatriz quirúrgica en la región lumbar. Fue realizado el bloqueo bilateral de los nervios pudendos con ropivacaina a 1%, por vía transperineal, con una aguja aislada de 0,8 mm x 100 mm 21G (Stimuplex A100 BBraun, Melsungen, Germany conectada al estimulador de nervios periféricos (Stimuplex-DIG, BBraun.El paciente fue colocado en decúbito ventral y la cirugía iniciada después de 15 minutos da administración del anestésico. Durante todo el procedimiento, el paciente permaneció consciente y no relató ningún dolor o incomodidad. Hasta el momento del alta hospitalaria (22h después de la realización del bloqueo, el paciente no refirió dolor, incomodidad, náusea, vómito, bloqueo motor, retención o incontinencia urinaria. Después del alta, evolucionó bien presentando evacuación después de 31 horas de efectuada la cirugía. CONCLUSIONES: El caso mostró el uso del bloqueo bilateral de los nervios pudendos, con el auxilio del neuroestimulador como técnica anestésica aislada para la hemorroidectomía.BACKGROUND AND OBJECTIVES: The achondroplasic dwarfism or achondroplasia is the most common form of dwarfism and occurs, in most of the cases, as a result of spontaneous genetic alteration. The anesthesia in these

  4. [To bite or to scan? Dental impressions with alginate, PVS or -intra-oral scanning; processing time and patient comfort. A pilotstudy].

    Science.gov (United States)

    Darroudi, M; Ariens, Z P A; Zinsmeister, V Z; Breuning, K H

    2017-02-01

    In recent years technology has enabled dental professionals to make digital dental models using intra-oral scanners. In a study involving 10 test cases, a comparison was made between the digital impression technique and 2 -conventional impression techniques, using alginate and Polivinyl Syloxane™. With the 3 different techniques, dental impressions were made of the lower and upper arches; the processing time required for each and the differences in patient comfort were recorded. The individuals in the test cases experienced no difference in comfort between the alginate and the digital impression. The impression technique involving Polivinyl Syloxane™ was experienced as less comfortable. The digital impression technique appeared to be the most time consuming.

  5. Perirectal block for out-patient anorectal surgery: A new technique Bloqueo perirrectal para cirugía anorrectal ambulatoria: una nueva técnica

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    Javier H. Eslava-Schmalbach

    2011-03-01

    Full Text Available Introduction. Perirectal block using four puncture places has been classically described for rectal surgery.
    Objective. This paper was aimed at showing the quality of anesthesia and postoperative analgesia using a new two-puncture-site technique.
    Materials and methods. Patients scheduled for ambulatory rectal surgery between January/2003 and December/2007 were included consecutively. The new two-puncture technique was used. Alternative anesthetic management and level of postoperative pain requirements were evaluated (rated visual analogue scale-VAS. Follow-up was done by telephone between 1st and 10th postoperative day to evaluate complications, pain (yes/no, and satisfaction level (1-5 points score.
    Results. Four hundred and nine subjects were included; 50.61% were female. Mean age was 43 (95%CI: 41-44; range: 17-85, 12.7% were aged over 60. According to the American Society of Anesthesiology (ASA, 72.6% were classified as ASA1 and 26.1% ASA2. External and internal hemorrhoidectomy was performed on 31% of patients; 61.6% had two or more procedures. Lidocaine was used on 406 subjects. Ropivacaine was added for 9.2% of them and levobupivacaine for 89.4%. 394 patients were followed-up. Median follow-up was 4 days. A response was obtained from 346 subjects (84.6%; 105 (30.3% recalled having suffered pain during the post-operative period, being most frequent in the lidocaine+ropivacaine group (17/39, 43.5% than in the lidocaine+bupivacaine group (88/307, 28.6%. Satisfaction was evaluated by 336 subjects (82.1%, 332 of them (98.8% awarding a score of 5. Two subjects (0.6% scored this 2 and 1. Subjects did not mention complications.
    Conclusions. The new peri-rectal two-puncture block technique is easy and also provides analgesia and a high degree of satisfaction.

    Introducción. El bloqueo perirrectal de cuatro punciones ha sido descrito clásicamente para cirugía rectal. El objetivo de este artículo es describir la calidad de

  6. The Effects on Absorbed Dose Distribution in Intraoral X-ray Imaging When Using Tube Voltages of 60 and 70 kV for Bitewing Imaging

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    Kristina Hellén-Halme

    2013-10-01

    Full Text Available Objectives: Efforts are made in radiographic examinations to obtain the best image quality with the lowest possible absorbed dose to the patient. In dental radiography, the absorbed dose to patients is very low, but exposures are relatively frequent. It has been suggested that frequent low-dose exposures can pose a risk for development of future cancer. It has previously been reported that there was no significant difference in the diagnostic accuracy of approximal carious lesions in radiographs obtained using tube voltages of 60 and 70 kV. The aim of this study was, therefore, to evaluate the patient dose resulting from exposures at these tube voltages to obtain intraoral bitewing radiographs.Material and Methods: The absorbed dose distributions resulting from two bitewing exposures were measured at tube voltages of 60 and 70 kV using Gafchromic® film and an anatomical head phantom. The dose was measured in the occlusal plane, and ± 50 mm cranially and caudally to evaluate the amount of scattered radiation. The same entrance dose to the phantom was used. The absorbed dose was expressed as the ratio of the maximal doses, the mean doses and the integral doses at tube voltages of 70 and 60 kV.Results: The patient receives approximately 40 - 50% higher (mean and integral absorbed dose when a tube voltage of 70 kV is used.Conclusions: The results of this study clearly indicate that 60 kV should be used for dental intraoral radiographic examinations for approximal caries detection.

  7. Tratamiento del rinofima con láser de CO2: Presentación de un caso Treatment of rhinophyma with CO2 laser: A case report

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    J.L. Cebrián Carretero

    2006-04-01

    Full Text Available Introducción. El rinofima es una alteración cutánea de la región nasal que produce problemas estéticos importantes. Describimos nuestra experiencia en un caso de rinofima avanzado y su resolución por medio de una técnica sencilla. Material y métodos. Previa desinfección cutánea se realizó anestesia infiltrativa y bloqueo troncular de nervios infraorbitarios y etmoidales. A continuación se realizó la resección de casi todo el espesor cutáneo con un láser de CO2 Lumenis Sharplan conservando la dermis profunda para permitir la curación por segunda intención. Posteriormente se aplicó vaselina y se realizaron curas y lavados diarios. El paciente fue dado de alta al día siguiente de la intervención. Resultados. Los resultados estéticos fueron muy buenos. El dolor postoperatorio fue controlado con analgesia habitual. En la primera semana se objetivaba un buen grado de cicatrización. A los 2 meses la reepitelización fue completa y ya no se observaban costras ni eritema. Conclusión. La utilización del láser de CO2 en el tratamiento del rinofima avanzado logra unos excelentes resultados estéticos con una morbilidad y riesgo operatorio mínimos.Introduction. Rhinophyma is a skin alteration of the nasal region that causes considerable aesthetic problems. We describe our experience with a case of advanced rhinophyma and its resolution by means of a simple technique. Materials and methods. The skin area was disinfected beforehand, anaesthesia infiltration and the infraorbital and ethmoidal nerve trunks were blocked. Then, using a Lumenis Sharplan CO2 laser almost the complete skin thickness was resected while preserving the deep dermis layer so as to allow second intention healing. Later, Vaseline was applied and the area was treated daily. The patient was discharged the day after the intervention. Results. The aesthetic results were very good. Postoperative pain was controlled with standard analgesics. Adequate healing was

  8. Bloqueio do plexo braquial, por via infraclavicular vertical, em paciente com doença pulmonar obstrutiva crônica: relato de caso Bloqueo del plexo braquial, por vía infraclavicular vertical, en paciente con enfermedad pulmonar obstructiva crónica: relato de caso Infraclavicular vertical brachial plexus blockade in patients with chronic obstructive pulmonary disease: case report

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    Diogo Brüggemann da Conceição

    2006-10-01

    Full Text Available JUSTIFICATIVA E OBJETIVOS: Os pacientes com doença pulmonar obstrutiva crônica (DPOC têm risco aumentado de complicações pós-operatórias, sobretudo quando submetidos à anestesia geral. O bloqueio do plexo braquial representa uma alternativa para estes pacientes em intervenções cirúrgicas de membros superiores. O objetivo deste relato foi apresentar um caso de bloqueio do plexo braquial, por via infraclavicular vertical em paciente com DPOC com fratura de cotovelo. RELATO DO CASO: Paciente do sexo feminino, 67 anos, 52 kg, estado físico ASA III, com indicação de osteossíntese de cotovelo, portadora de bronquiectasias desde nove anos de idade após uma pneumonia. Apresentava tosse produtiva habitualmente, e fora submetida à avaliação de seu pneumologista que a liberou para o procedimento. Após instalação de monitorização com pressão arterial não-invasiva, ECG e oxímetro de pulso, foi realizado bloqueio do plexo braquial por via infraclavicular vertical com 30 mL de ropivacaína a 0,5%. A intervenção cirúrgica foi realizada sem intercorrências. A paciente recebeu alta hospitalar no dia seguinte ao procedimento cirúrgico. CONCLUSÕES: O bloqueio do plexo braquial por via infraclavicular vertical é uma técnica alternativa para portadores de DPOC e fratura de cotovelo, por sua menor morbidade quando comparado com a anestesia geral e com a via supraclavicular.JUSTIFICATIVA Y OBJETIVOS: Los pacientes con enfermedad pulmonar obstructiva crónica (DPOC presentan riesgo mayor de complicaciones postoperatorias especialmente cuando se les someten a la anestesia general. El bloqueo del plexo braquial representa una alternativa para esos pacientes en intervenciones quirúrgicas de miembros superiores. El objetivo de este relato fue el de presentar un caso de bloqueo del plexo braquial, por vía infraclavicular vertical en paciente con DPOC con fractura de codo. RELATO DEL CASO: Paciente del sexo femenino, 67 años, 52 kg

  9. Involvement of transient receptor potential vanilloid 2 in intra-oral incisional pain.

    Science.gov (United States)

    Urata, K; Shinoda, M; Ikutame, D; Iinuma, T; Iwata, K

    2018-03-05

    To examine whether transient receptor potential vanilloid 2 (TRPV2) contributes to the changes in intra-oral thermal and mechanical sensitivity following the incision of buccal mucosa. Buccal mucosal pain threshold was measured after the incision. Changes in the number of TRPV2-immunoreactive (IR) trigeminal ganglion (TG) neurons which innervate the whisker pad skin and buccal mucosa, changes in the number of isolectin B4-negative/isolectin B4-positive TRPV2-IR TG neurons which innervate the whisker pad skin and the buccal mucosa, and the effect of peripheral TRPV2 antagonism on the pain threshold of incisional whisker pad skin and buccal mucosa were examined after these injuries. Buccal mucosal pain hypersensitivities were induced on day 3 following the incision. The total number of TRPV2-IR TG neurons and the number of isolectin B4-negative TRPV2-IR TG neurons which innervate the whisker pad skin and buccal mucosa were increased. Buccal mucosal TRPV2 antagonism completely suppressed the heat and mechanical hypersensitivities, but not cold hypersensitivity. TRPV2 antagonist administration to the incisional whisker pad skin only partially suppressed pain hypersensitivities. The increased expression of TRPV2 in peptidergic TG neurons innervating the incisional buccal mucosa is predominantly involved in buccal mucosal heat hyperalgesia and mechanical allodynia following buccal mucosal incision. © 2018 John Wiley & Sons A/S. Published by John Wiley & Sons Ltd. All rights reserved.

  10. [Precision of digital impressions with TRIOS under simulated intraoral impression taking conditions].

    Science.gov (United States)

    Yang, Xin; Sun, Yi-fei; Tian, Lei; Si, Wen-jie; Feng, Hai-lan; Liu, Yi-hong

    2015-02-18

    To evaluate the precision of digital impressions taken under simulated clinical impression taking conditions with TRIOS and to compare with the precision of extraoral digitalizations. Six #14-#17 epoxy resin dentitions with extracted #16 tooth preparations embedded were made. For each artificial dentition, (1)a silicone rubber impression was taken with individual tray, poured with type IV plaster,and digitalized with 3Shape D700 model scanner for 10 times; (2) fastened to a dental simulator, 10 digital impressions for each were taken with 3Shape TRIOS intraoral scanner. To assess the precision, best-fit algorithm and 3D comparison were conducted between repeated scan models pairwise by Geomagic Qualify 12.0, exported as averaged errors (AE) and color-coded diagrams. Non-parametric analysis was performed to compare the precisions of digital impressions and model images. The color-coded diagrams were used to show the deviations distributions. The mean of AE for digital impressions was 7.058 281 μm, which was greater than that of 4.092 363 μm for the model images (Pimpressions were no more than 10 μm, which meant that the consistency between the digital impressions was good. The deviations distribution was uniform in the model images,while nonuniform in the digital impressions with greater deviations lay mainly around the shoulders and interproximal surfaces. Digital impressions with TRIOS are of good precision and up to the clinical standard. Shoulders and interproximal surfaces scanning are more difficult.

  11. Effects of intraoral aging on surface properties of coated nickel-titanium archwires.

    Science.gov (United States)

    Rongo, Roberto; Ametrano, Gianluca; Gloria, Antonio; Spagnuolo, Gianrico; Galeotti, Angela; Paduano, Sergio; Valletta, Rosa; D'Antò, Vincenzo

    2014-07-01

    To evaluate the effects of intraoral aging on surface properties of esthetic and conventional nickel-titanium (NiTi) archwires. Five NiTi wires were considered for this study (Sentalloy, Sentalloy High Aesthetic, Superelastic Titanium Memory Wire, Esthetic Superelastic Titanium Memory Wire, and EverWhite). For each type of wire, four samples were analyzed as received and after 1 month of clinical use by an atomic force microscope (AFM) and a scanning electronic microscope (SEM). To evaluate sliding resistance, two stainless steel plates with three metallic or three monocrystalline brackets, bonded in passive configuration, were manufactured; four as-received and retrieved samples for every wire were pulled five times at 5 mm/min for 1 minute by means of an Instron 5566, recording the greatest friction value (N). Data were analyzed by one-way analysis of variance and by Student's t-test. After clinical use, surface roughness increased considerably. The SEM images showed homogeneity for the as-received control wires; however, after clinical use esthetic wires exhibited a heterogeneous surface with craters and bumps. The lowest levels of friction were observed with the as-received Superelastic Titanium Memory Wire on metallic brackets. When tested on ceramic brackets, all the wires exhibited an increase in friction (t-test; P Sentalloy, showed a statistically significant increase in friction between the as-received and retrieved groups (t-test; P < .05). Clinical use of the orthodontic wires increases their surface roughness and the level of friction.

  12. Evaluation of X-Ray Protective Measurements in Intraoral Radiography Equipped Centers in Yazd

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    D.Goodarzi Pour

    2005-02-01

    Full Text Available Statement of Problem: A few decades have past from using radiographic technology as an accurate paraclinical method and always protective measurements is applicated against ionizing radiation. As dentalradiography is a routine procedure in dentistry the importance of protective strategies is clear.Propose: The aim of this descriptive study is to evaluate the protection principles in centers which haveintraoral radiographic devices in Yazd.Material and Methods: We have considered all three aspects of practitioner, environment and patientprotection using questionnaire and visiting those centers.Results: 33/7% of dental offices ,10 clinics ,3 institution and faculty of dentistry had intraoral radiographicequipments. Stablishment of protection principles for radiographer was favorable. 7.7% of centers had x-ray room with leaded walls, 23.1% had curtain , in 69/2% of centers radiographers stood in correct position anddistance while taking radiograph. Regarding to protection of environment, beams leakage control in 23.1% dental offices, 70% of clinics, all institution and faculty of dentistry have done.Conclusion: Non of the centers used rectangular localizator, thyroid shield, film holder and just some centers used leaded apron in specific circumstances. We have concluded that patient protection constitute less consideration. Generally lack of protective consideration is related to deficient knowledge of operators. Lackof information about protection equipments causes decrease of demanding of these tools and ultimately lack of these equipments in the market.

  13. Blocking and unblocking in a navigation task

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    V.D. Chamizo

    2005-01-01

    Full Text Available Bloqueo y desbloqueo en una tarea de navegación. Rodrigo, Chamizo, McLaren y Mackintosh (1997 demostraron el efecto de bloqueo en una tarea de navegación usando una piscina circular: unas ratas a las que inicialmente se las entrenó a usar tres puntos de referencia (ABC para encontrar una plataforma invisible aprendieron menos con respecto a un cuarto punto de referencia (X que se añadió posteriormente, de lo que lo hicieron otras ratas entrenadas desde el principio con estos cuatro puntos de referencia (ABCX. El propósito del experimento que se presenta aquí era el de demostrar desbloqueo usando un procedimiento similar al del trabajo previo. Inicialmente se entrenó a tres grupos de ratas a encontrar una plataforma invisible en presencia de tres puntos de referencia: ABC para los grupos Bloqueo y Desbloqueo, y LMN para el grupo de Control. Posteriormente, se entrenó a todos los animales a encontrar la plataforma en presencia de cuatro puntos de referencia, ABCX. En este segundo entrenamiento, a diferencia de los animales del grupo Bloqueo a los que sólo se les añadió un nuevo punto de referencia (X con respecto al primer entrenamiento, los animales del grupo Desbloqueo también tuvieron un cambio en la posición de la plataforma. En el grupo de Control, tanto los cuatro puntos de referencia como la posición de plataforma fueron totalmente novedosos al inicio de este segundo entrenamiento. Como en Rodrigo y cols. (1997, se encontró un efecto de bloqueo: las ratas del grupo Bloqueo aprendieron menos con respecto al punto de referencia añadido (X de lo que lo hicieron los animales del grupo de Control. Sin embargo, las ratas del grupo Desbloqueo aprendieron sobre el punto de referencia añadido (X tanto como los animales del grupo de Control. Los resultados se interpretan como un efecto de desbloqueo debido a un cambio en la posición de la plataforma entre las dos fases de entrenamiento, de manera similar a

  14. Estudo comparativo da eficácia analgésica pós-operatória de 20, 30 ou 40 mL de ropivacaína no bloqueio de plexo braquial pela via posterior Estudio comparativo de la eficacia analgésica postoperatoria de 20, 30 o 40 mL de ropivacaína en el bloqueo de plexo braquial por la vía posterior A comparative study on the postoperative analgesic efficacy of 20, 30, or 40 mL of ropivacaine in posterior brachial plexus block

    Directory of Open Access Journals (Sweden)

    Marcos Guilherme Cunha Cruvinel

    2007-10-01

    Full Text Available JUSTIFICATIVA E OBJETIVOS: As intervenções cirúrgicas por via artroscópica no ombro estão relacionadas com a dor pós-operatória de grande intensidade. Dentre as técnicas de analgesia, o bloqueio do plexo braquial é a que oferece os melhores resultados. O objetivo deste estudo foi determinar qual volume de anestésico local no bloqueio de plexo braquial pela via posterior propicia analgesia pós-operatória para essas operações de maneira mais eficiente. MÉTODO: Noventa pacientes submetidos a bloqueio do plexo braquial pela via posterior foram divididos aleatoriamente em três grupos de 30. Grupo 1 - volume de 20 mL; Grupo 2 - volume de 30 mL; e Grupo 3 - volume de 40 mL. Em todos os grupos, o anestésico usado foi a ropivacaína a 0,375%. O bloqueio foi avaliado por meio da pesquisa de sensibilidade térmica utilizando-se algodão embebido em álcool e a dor pós-operatória foi avaliada seguindo-se uma escala numérica verbal (ENV nas primeiras 24 horas. RESULTADOS: Nos três grupos a analgesia pós-operatória foi similar segundo os parâmetros avaliados; ENV de dor média, tempo até a primeira queixa de dor e consumo de opióides no pós-operatório. No grupo de 20 mL houve um maior consumo de analgésicos não-opióides após a 12ª hora de pós-operatório. Nos grupos de 30 e 40 mL a extensão do bloqueio foi muito maior. CONCLUSÕES: Este estudo mostrou que o bloqueio do plexo braquial pela via posterior é uma técnica que promove analgesia eficaz para intervenções cirúrgicas no ombro. Os três diferentes volumes estudados promoveram analgesia similar. A maior extensão do bloqueio com volumes maiores não se traduziu em melhor analgesia.JUSTIFICATIVA Y OBJETIVOS: Las intervenciones quirúrgicas por vía artroscópica en hombro están relacionadas al dolor postoperatorio de gran intensidad. Entre las técnicas de analgesia, el bloqueo del plexo braquial es el que ofrece los mejores resultados. El objetivo de este estudio

  15. Intraoperative Hemorrhage and Postoperative Sequelae after Intraoral Vertical Ramus Osteotomy to Treat Mandibular Prognathism

    Science.gov (United States)

    Chen, Chun-Ming; Lai, Steven; Chen, Ker-Kong; Lee, Huey-Er

    2015-01-01

    Objective. To investigate the factors affecting intraoperative hemorrhage and postoperative sequelae after orthognathic surgery. Materials and Methods. Eighty patients with mandibular prognathism underwent surgical mandibular setback with intraoral vertical ramus osteotomy (IVRO). The correlation between the blood loss volume and postoperative VAS with the gender, age, and operating time was assessed using the t-test and Spearman rank correlation coefficient. The correlation between the magnitude of mandibular setback with the presence of TMJ clicking symptoms and lip sensation was also assessed. Results. The mean operating time and blood loss volume for men and women were 249.52 min and 229.39 min, and 104.03 mL and 86.12 mL, respectively. The mean VAS in men and women was 3.21 and 2.93, and 1.79 and 1.32 on the first and second postoperative days. There is no gender difference in the operating time, blood loss, VAS, TMJ symptoms, and lip numbness. The magnitude of mandibular setback was not correlated with immediate and long-term postoperative lip numbness. Conclusion. There are no gender differences in the intraoperative hemorrhage and postoperative sequelae (pain, lip numbness, and TMJ symptoms). In addition, neither symptom was significantly correlated with the amount of mandibular setback. PMID:26543855

  16. Intraoperative Hemorrhage and Postoperative Sequelae after Intraoral Vertical Ramus Osteotomy to Treat Mandibular Prognathism

    Directory of Open Access Journals (Sweden)

    Chun-Ming Chen

    2015-01-01

    Full Text Available Objective. To investigate the factors affecting intraoperative hemorrhage and postoperative sequelae after orthognathic surgery. Materials and Methods. Eighty patients with mandibular prognathism underwent surgical mandibular setback with intraoral vertical ramus osteotomy (IVRO. The correlation between the blood loss volume and postoperative VAS with the gender, age, and operating time was assessed using the t-test and Spearman rank correlation coefficient. The correlation between the magnitude of mandibular setback with the presence of TMJ clicking symptoms and lip sensation was also assessed. Results. The mean operating time and blood loss volume for men and women were 249.52 min and 229.39 min, and 104.03 mL and 86.12 mL, respectively. The mean VAS in men and women was 3.21 and 2.93, and 1.79 and 1.32 on the first and second postoperative days. There is no gender difference in the operating time, blood loss, VAS, TMJ symptoms, and lip numbness. The magnitude of mandibular setback was not correlated with immediate and long-term postoperative lip numbness. Conclusion. There are no gender differences in the intraoperative hemorrhage and postoperative sequelae (pain, lip numbness, and TMJ symptoms. In addition, neither symptom was significantly correlated with the amount of mandibular setback.

  17. Bloqueo aurículo-ventricular congénito completo: Reporte de un caso y revisión de la literatura Congenital complete atrioventricular block: eport of one case and literature review

    Directory of Open Access Journals (Sweden)

    Alejandro Díaz D

    2008-02-01

    Full Text Available El bloqueo aurículo-ventricular completo congénito, es una entidad poco común, que presenta alta morbilidad y mortalidad con incidencia real que permanece desconocida y requiere alto índice de sospecha para su diagnóstico y, por ende, su temprana intervención. Se observa en hijos de madres con enfermedades autoinmunes del tejido conectivo, en especial, lupus eritematoso sistémico cuando su aparición es congénita. A nivel postnatal, es más frecuente que ocurra por cardiopatías congénitas. También puede manifestarse en corazones normales desde el punto de vista estructural. El hallazgo clínico característico es bradicardia persistente que se manifiesta desde la vida intrauterina y repercute en la estabilidad circulatoria del feto llegando a producir hidrops, complicación seria y letal. Después del nacimiento aparece igualmente con bradicardia que puede o no descompensar la parte hemodinámica del paciente. El diagnóstico se hace por sospecha clínica, con ecocardiografía fetal y postnatal, electrocardiograma y detección de anticuerpos maternos tipo antiRo y antiLa. La implantación de un marcapasos es el tratamiento definitivo que contribuye a mejorar la sobrevida y el pronóstico de estos pacientes. Se presenta el caso de una paciente prematura, de 31 semanas, debido a hidrops no inmune, en quien se diagnosticó bloqueo aurículo-ventricular completo congénito secundario a lupus materno confirmado por anticuerpos anti-nucleares francamente positivos y anticuerpos antiRo y antiLa positivos, quien recibió manejo con soporte inotrópico y posterior implantación de marcapasos. Presentó mejoría completa de la falla cardiaca y se remitió hacia otra institución para manejo convencional del prematuro.Complete congenital atrioventricular block is a rare entity that has a high morbidity and mortality. Its real incidence remains unknown and a high suspicion index is needed for its diagnosis and consequently for its early

  18. Error-Free Text Typing Performance of an Inductive Intra-Oral Tongue Computer Interface for Severely Disabled Individuals.

    Science.gov (United States)

    Andreasen Struijk, Lotte N S; Bentsen, Bo; Gaihede, Michael; Lontis, Eugen R

    2017-11-01

    For severely paralyzed individuals, alternative computer interfaces are becoming increasingly essential for everyday life as social and vocational activities are facilitated by information technology and as the environment becomes more automatic and remotely controllable. Tongue computer interfaces have proven to be desirable by the users partly due to their high degree of aesthetic acceptability, but so far the mature systems have shown a relatively low error-free text typing efficiency. This paper evaluated the intra-oral inductive tongue computer interface (ITCI) in its intended use: Error-free text typing in a generally available text editing system, Word. Individuals with tetraplegia and able bodied individuals used the ITCI for typing using a MATLAB interface and for Word typing for 4 to 5 experimental days, and the results showed an average error-free text typing rate in Word of 11.6 correct characters/min across all participants and of 15.5 correct characters/min for participants familiar with tongue piercings. Improvements in typing rates between the sessions suggest that typing ratescan be improved further through long-term use of the ITCI.

  19. Psychological, behavioral, and clinical effects of intra-oral camera: a randomized control trial on adults with gingivitis.

    Science.gov (United States)

    Araújo, Mário-Rui; Alvarez, Maria-João; Godinho, Cristina A; Pereira, Cícero

    2016-12-01

    To evaluate the effects of using an intra-oral camera (IOC) during supportive periodontal therapy (SPT), on the psychological, behavioral, and clinical parameters of patients with gingivitis, outlined by evidence and a theory-based framework. A group of 78 adult patients with gingivitis receiving an SPT was randomized into two groups: IOC and control. Bleeding on Marginal Probing (BOMP), self-reported dental hygiene behaviors, and psychological determinants of behavior change (outcome expectancies, self-efficacy, and planning) and IOC opinion were evaluated 1 week before or during the appointment and 4 months later. Repeated-measures anova was used to compare groups over time. Almost all the patients brushed their teeth daily, while 78% either never or hardly ever used dental floss. The IOC group showed significant improvements in BOMP index (P < 0.001), self-reported flossing (P < 0.05), and self-efficacy (P < 0.05) compared to the control group. The use of IOC significantly improves clinical, behavioral, and psychological determinants of periodontal health 4 months after treatment. © 2016 John Wiley & Sons A/S. Published by John Wiley & Sons Ltd.

  20. The three-dimensional assessment of dynamic changes of the proximal segments after intraoral vertical ramus osteotomy.

    Science.gov (United States)

    Ohba, Seigo; Nakao, Noriko; Awara, Kousuke; Tobita, Takayoshi; Minamizato, Tokutarou; Kawasaki, Takako; Koga, Takamitsu; Nakatani, Yuya; Yoshida, Noriaki; Asahina, Izumi

    2015-10-01

    The aim of this study was to assess the positional changes of the proximal segments after intraoral vertical ramus osteotomy (IVRO). Fifteen patients underwent IVRO and were followed according to the authors' unique postoperative management regimen. The analyses of the positions and angles of the proximal segments were performed on frontal and lateral cephalograms, which were taken before surgery (T1) and within 3 days (T2), at 4 weeks (T3), and later than 6 months after surgery (T4). The three-dimensional positions of the condylar heads were also assessed by CT images, which were taken before and 1 year after surgery. The proximal segments temporarily swung posteriorly and laterally with a center on the condylar head as a fulcrum point at T2 and T3, compared with T1, and they repositioned at T4. The condylar heads moved inferior approximately 2 mm with lateral rotation one year after surgery, as seen in the CT. The condylar heads changed their positions physiologically for newly established jaw movement after IVRO with the authors' post-operative management regimen because the post-operative skeletal stability and the jaw function were good and stable using this method.

  1. Case Series of an Intraoral Balancing Appliance Therapy on Subjective Symptom Severity and Cervical Spine Alignment

    Directory of Open Access Journals (Sweden)

    Young Jun Lee

    2013-01-01

    Full Text Available Objective. The objective of this study was to investigate the effect of a holistic intraoral appliance (OA on cervical spine alignment and subjective symptom severity. Design. An observational study on case series with holistic OA therapy. Setting. An outpatient clinic for holistic temporomandibular joint (TMJ therapy under the supervision of the Pain Center, CHA Biomedical center, CHA University. Subjects. Ambulatory patients presenting with diverse chief complaints in the holistic TMJ clinic. Main Measures. Any immediate change in the curvature of cervical spine and the degree of atlantoaxial rotation was investigated in the images of simple X-ray and computed tomography of cervical spine with or without OA. Changes of subjective symptom severity were also analyzed for the holistic OA therapy cases. Results. A total of 59 cases were reviewed. Alignment of upper cervical spine rotation showed an immediate improvement (. Changes of subjective symptom severity also showed significant improvement (. Conclusion. These cases revealed rudimentary clinical evidence that holistic OA therapy may be related to an alleviated symptom severity and an improved cervical spinal alignment. These results show that further researches may warrant for the holistic TMJ therapy.

  2. Measurement of spectra for intra-oral X-ray beams using biological materials as attenuator

    International Nuclear Information System (INIS)

    Zenóbio, Madelon A.F.; Nogueira-Tavares, Maria S.; Zenóbio, Elton G.; Squair, Peterson Lima; Santos, Marcus A.P.; Silva, Teógenes A. da

    2011-01-01

    In diagnostic radiology, the radiation interaction probability in matter is a strong function of the X-ray energy. The knowledge of the X-ray energy spectral distribution allows optimizing the radiographic imaging system in order to obtain high quality images with as low as reasonably achievable patient doses. In this study, transmitted X-ray spectra through dentin and enamel that are existing materials in intra-oral radiology were experimentally determined in an X-ray equipment with 40–70 kV variable range. Dentin and enamel samples with 0.4–3.8 and 0.6–2.6 mm thick were used as attenuators. X-ray transmitted spectra were measured with XR-100T model CdTe detector and half-value layers (HVL) were determined. Characteristics of both dentin and enamel transmitted spectra showed that they have differences in the penetration power in matter and in the spectrum distribution. The results will be useful for phantom developments based on dentin and enamel for image quality control in dental radiology. - Highlights: ► The X-ray energy spectral distribution, optimize the radiographic imaging system. Transmitted X-ray spectra through dentin and enamel were experimentally determined. X-ray transmitted spectra were measured (XR-100T model CdTe detector). The transmitted spectra showed differences in the penetration power and spectrum distribution. Dentin and enamel transmitted spectra will be useful for phantom developments.

  3. Rinoplastia do nariz negróide por via intra-oral sem ressecções externas: avaliação da eficácia da técnica

    Directory of Open Access Journals (Sweden)

    Castilho Helton Traber de

    2002-01-01

    Full Text Available OBJETIVO: Avaliar a eficácia da técnica de redução da largura da base nasal do nariz negróide, modificando a inclinação dos eixos das narinas pela mobilização de tecidos internos, por abordagem intra-oral, evitando cicatrizes externas. MÉTODOS: Foram operadas 11 pacientes adulta do sexo feminino, com idade variando entre 19 a 45 anos, distribuindo-se em 2 da raça caucasóide e 9 da raça negróide, sendo desta 5 de cor parda e 4 de cor negra. O método de fotografia foi padronizado, e as imagens em papel foram digitalizadas. Por meio de software foram mensurados nas fotografias pré-operatórias e com 3 meses após a rinoplastia, 8 índices relativos à base nasal baseados em pontos antropométricos. Os valores obtidos foram submetidos à análise estatística descritiva e inferencial. RESULTADOS: Não houve diferença estatisticamente significante em 7 índices relativos a redução da largura da base nasal e à inclinação dos eixos das narinas. Apenas houve alteração significante no aumento do Ângulo Nasolabial (p=0,001. CONCLUSÃO: A técnica de rinoplastia de nariz negróide por via intra-oral sem ressecções externas, apenas com mobilização dos tecidos internos, não é eficaz para a reduzir a largura da base nasal.

  4. Comparison of two needle models in terms of bevel deformation during truncal block of the inferior alveolar nerve

    OpenAIRE

    Almendros Marqués, Nieves; Delgado Molina, Esther; Tamarit Borrás, Meritxell; Berini Aytés, Leonardo; Gay Escoda, Cosme

    2007-01-01

    Objetivos: Evaluar las posibles diferencias existentes en cuanto a la deformación del bisel de dos tipos de aguja de igual longitud y calibre externo, pero de distinto diámetro interno, durante el bloqueo troncal del nervio dentario inferior. Diseño del estudio: Cuatro operadores de similar formación quirúrgica realizaron el bloqueo troncal del nervio dentario inferior y la anestesia infiltrativa del nervio bucal para proceder a la extracción quirúrgica o convencional del tercer molar infe...

  5. Influência da procainamida sobre o bloqueio neuromuscular produzido pelo rocurônio e investigação sobre o mecanismo de ação da procainamida na junção neuromuscular Influencia de la procainamida sobre el bloqueo neuromuscular producido por el rocuronio e investigación sobre el mecanismo de acción de la procainamida en la junción neuromuscular Influence of procainamide on the neuromuscular blockade caused by rocuronium and investigation on the mechanism of action of procainamide on the neuromuscular junction

    Directory of Open Access Journals (Sweden)

    Thalita Duque Martins

    2007-02-01

    el bloqueo neuromuscular producido por la d-tubocurarina ya está comprobada, pero sin embargo el mecanismo es controvertido. El objetivo del estudio fue el de evaluar la influencia de la procainamida en el bloqueo neuromuscular producido por el rocuronio e investigar los mecanismos de esa interacción. MÉTODO: Se utilizaron 15 ratones (250 a 300 g en preparación descrita por Bülbring. Se formaron los siguientes grupos (n = 5 cada: procainamida - 20 µg.mL-1 (Grupo I; rocuronio - 4 µg.mL-1 (Grupo II y rocuronio - 4µg.mL-1 y procainamida - 20µg.mL-1 (Grupo III. Se evaluó: 1 la amplitud de las contracciones musculares bajo la estimulación indirecta en cada grupo, antes y después de la adición de los fármacos; 2 los potenciales de placa terminal en miniatura (PPTM; 3 la eficacia de la 4-aminopiridina en la reversión del bloqueo neuromuscular. El mecanismo de la interacción se estudió en Biventer cervicis (n = 5 y diafragma de ratón desnervado (n = 5, observándose la influencia de la procainamida en la respuesta a la acetilcolina antes y después de la adición de la procainamida. RESULTADOS: De forma aislada, la procainamida no alteró las respuestas neuromusculares. El bloqueo producido con el Grupo III fue de 68,6% ± 7,1%, con una diferencia significativa (p = 0,0067 con relación al Grupo II (10,4% ± 4,5%, revertido por la 4-aminopiridina. La procainamida ocasionó un aumento en la frecuencia de los PPTM, seguido de bloqueo revertido por la 4-aminopiridina. En Biventer cervicis, la procainamida aumentó la respuesta a la acción de contracción de la acetilcolina, resultado no observado con el diafragma desnervado. CONCLUSIONES: La procainamida potenció el bloqueo producido por el rocuronio. Las alteraciones observadas con PPTM y Biventer cervicis identificaron una acción presináptica. El antagonismo de la 4-aminopiridina sobre el bloqueo de los PPTMs sugirió la desensibilización de los receptores por la procainamida.BACKGROUND AND OBJECTIVES

  6. Generación de inclusiones no metálicas y su efecto sobre el bloqueo de boquillas de colada continua en aceros ultra bajo carbono estabilizados con titanio

    Directory of Open Access Journals (Sweden)

    Vega-Becerra, O.

    2005-12-01

    Full Text Available This work presents a thermodynamic and experimental analysis of the phases that precipitate in the non metallic inclusions depending on the contents of aluminium (Al, titanium (Ti and oxygen (O in the steel, and their influence on the nozzle clogging. For the thermodynamic analysis, the program FACT WIN (Facility For The Analysis of Chemical Thermodynamics subroutine Equilib. was used. The experimental tests were carried out in an TAMMANN furnace, in an argon atmosphere. The control of the content of dissolved oxygen was carried out by means of sensors of solid electrolyte bases zirconia. The characterization of the inclusions was carried out with SEM, EDS and by means of the technique of fractional reduction with carbon. A good agreement was observed between the thermodynamic predictions and the experimental results.

    En este trabajo se presenta un análisis termodinámico y experimental de las fases que precipitan en inclusiones no metálicas en función de los contenidos de aluminio (Al, titanio (Ti y oxígeno (O en el acero y su influencia sobre el bloqueo de boquillas de colada continua. Para el análisis termodinámico se utilizó el programa FACT-WIN (Facility For The Analysis of Chemical Thermodynamics subrutina Equilib. Las pruebas experimentales se realizaron en un horno TAMMANN, en atmósfera de argón. El control del contenido de oxígeno disuelto se llevó a cabo mediante sensores de electrólito sólido base zirconia. La caracterización de las inclusiones se realizó por SEM, EDS y mediante la técnica de reducción fraccionada con carbono. Se observó una buena concordancia entre las predicciones termodinámicas y los resultados experimentales.

  7. Clinically Detectable Dental Identifiers Observed in Intra-oral Photographs and Extra-oral Radiographs, Validated for Human Identification Purposes.

    Science.gov (United States)

    Angelakopoulos, Nikolaos; Franco, Ademir; Willems, Guy; Fieuws, Steffen; Thevissen, Patrick

    2017-07-01

    Screening the prevalence and pattern of dental identifiers contributes toward the process of human identification. This research investigated the uniqueness of clinical dental identifiers in photographs and radiographs. Panoramic and lateral cephalometric radiographs and five intra-oral photographs of 1727 subjects were used. In a target set, two observers examined different subjects. In a subset, both observers examined the same subjects (source set). The distance between source and target subjects was quantified for each identifier. The percentage of subjects in the target set being at least as close as the correct subject was assessed. The number of molars (34.6%), missing teeth (42%), and displaced teeth (59.9%) were the most unique identifiers in photographs and panoramic and lateral cephalometric radiographs, respectively. The pattern of rotated teeth (14.9%) was the most unique in photographs, while displaced teeth was in panoramic (37.6%) and lateral cephalometric (54.8%) radiographs. Morphological identifiers were the most unique, highlighting their importance for human identifications. © 2016 American Academy of Forensic Sciences.

  8. Valoración a largo plazo de los resultados de tratamiento mediante osteosíntesis con miniplacas en sus diferentes usos en cirugía craneomaxilofacial

    OpenAIRE

    Marí Roig, Antonio

    2003-01-01

    Después de la introducción de la osteosíntesis con miniplacas hace más de 25 años, siguen existiendo controversias en su aplicación en determinadas situaciones de la cirugía craneomaxilofacial. En las fracturas mandibulares se utilizan diferentes tipos de placas asociadas o no a bloqueo intermaxilar con un indice de complicaciones muy variable (James y col, 1981; Limchayseng 1988); el tratamiento más adecuado cuando existen dientes en el foco de fractura. La utilización del bloqueo intermaxi...

  9. Dentists' use of digital radiographic techniques: Part I - intraoral X-ray: a questionnaire study of Swedish dentists.

    Science.gov (United States)

    Svenson, Björn; Ståhlnacke, Katri; Karlsson, Reet; Fält, Anna

    2018-03-01

    The present study aims to gain knowledge about the dentist's use and choice of digital intraoral imaging methods. A questionnaire sent to 2481 dentists within the Swedish Dental Society contained questions about the type of X-ray technique used, problems experienced with digital radiography, and reasons for choosing digital technology, and about indications, clinic size and type of service. Response rate was 53%. Ninety-eight percent of the dentists had made the transition to digital radiography; only 2% used film technique, and solid-state detector (SSD) was the most used digital technique. More years in service decreases the likelihood of applying individual indications for performing a full mouth examination. More retakes were done with SSDs compared to storage phosphor plates. Reasons for choosing digital techniques were that work was easier and communication with the patients improved. However, dentists also experienced problems with digital techniques, such as exposure and projection errors and inadequate image quality. The Swedish Radiation Safety Authority states that all radiological examinations should be justified, something not always followed. This study showed that 98% of the respondents, Swedish dentists within the Swedish Dental Society, used digital techniques, and the most used was the solid-state technique.

  10. Optimum image compression rate maintaining diagnostic image quality of digital intraoral radiographs

    International Nuclear Information System (INIS)

    Song, Ju Seop; Koh, Kwang Joon

    2000-01-01

    The aims of the present study are to determine the optimum compression rate in terms of file size reduction and diagnostic quality of the images after compression and evaluate the transmission speed of original or each compressed images. The material consisted of 24 extracted human premolars and molars. The occlusal surfaces and proximal surfaces of the teeth had a clinical disease spectrum that ranged from sound to varying degrees of fissure discoloration and cavitation. The images from Digora system were exported in TIFF and the images from conventional intraoral film were scanned and digitalized in TIFF by Nikon SF-200 scanner(Nikon, Japan). And six compression factors were chosen and applied on the basis of the results from a pilot study. The total number of images to be assessed were 336. Three radiologists assessed the occlusal and proximal surfaces of the teeth with 5-rank scale. Finally diagnosed as either sound or carious lesion by one expert oral pathologist. And sensitivity and specificity and kappa value for diagnostic agreement was calculated. Also the area (Az) values under the ROC curve were calculated and paired t-test and oneway ANOVA test was performed. Thereafter, transmission time of the image files of the each compression level were compared with that of the original image files. No significant difference was found between original and the corresponding images up to 7% (1:14) compression ratio for both the occlusal and proximal caries (p<0.05). JPEG3 (1:14) image files are transmitted fast more than 10 times, maintained diagnostic information in image, compared with original image files. 1:14 compressed image file may be used instead of the original image and reduce storage needs and transmission time.

  11. Comparison of Accuracy Between a Conventional and Two Digital Intraoral Impression Techniques.

    Science.gov (United States)

    Malik, Junaid; Rodriguez, Jose; Weisbloom, Michael; Petridis, Haralampos

    To compare the accuracy (ie, precision and trueness) of full-arch impressions fabricated using either a conventional polyvinyl siloxane (PVS) material or one of two intraoral optical scanners. Full-arch impressions of a reference model were obtained using addition silicone impression material (Aquasil Ultra; Dentsply Caulk) and two optical scanners (Trios, 3Shape, and CEREC Omnicam, Sirona). Surface matching software (Geomagic Control, 3D Systems) was used to superimpose the scans within groups to determine the mean deviations in precision and trueness (μm) between the scans, which were calculated for each group and compared statistically using one-way analysis of variance with post hoc Bonferroni (trueness) and Games-Howell (precision) tests (IBM SPSS ver 24, IBM UK). Qualitative analysis was also carried out from three-dimensional maps of differences between scans. Means and standard deviations (SD) of deviations in precision for conventional, Trios, and Omnicam groups were 21.7 (± 5.4), 49.9 (± 18.3), and 36.5 (± 11.12) μm, respectively. Means and SDs for deviations in trueness were 24.3 (± 5.7), 87.1 (± 7.9), and 80.3 (± 12.1) μm, respectively. The conventional impression showed statistically significantly improved mean precision (P < .006) and mean trueness (P < .001) compared to both digital impression procedures. There were no statistically significant differences in precision (P = .153) or trueness (P = .757) between the digital impressions. The qualitative analysis revealed local deviations along the palatal surfaces of the molars and incisal edges of the anterior teeth of < 100 μm. Conventional full-arch PVS impressions exhibited improved mean accuracy compared to two direct optical scanners. No significant differences were found between the two digital impression methods.

  12. Bloqueio do plexo lombar pela via posterior para analgesia pós-operatória em artroplastia total do quadril: estudo comparativo entre Bupivacaína a 0,5% com Epinefrina e Ropivacaína a 0,5% Bloqueo del plexo lumbar por la vía posterior para analgesia postoperatoria en artroplastia total de la cadera: estudio comparativo entre Bupivacaína a 0,5% con Epinefrina y Ropivacaína a 0,5% Posterior lumbar plexus block in postoperative analgesia for total hip arthroplasty: a comparative study between 0.5% Bupivacaine with Epinephrine and 0.5% Ropivacaine

    Directory of Open Access Journals (Sweden)

    Leonardo Teixeira Domingues Duarte

    2009-06-01

    Full Text Available JUSTIFICATIVA E OBJETIVOS: O bloqueio do plexo lombar pela via posterior promove analgesia pós-operatória efetiva na artroplastia total do quadril. Ropivacaína e bupivacaína não apresentaram qualquer diferença na eficácia analgésica em diferentes bloqueios de nervos periféricos. O objetivo deste estudo foi comparar a eficácia da analgesia pós-operatória resultante da administração em dose única da bupivacaína a 0,5% ou da ropivacaína a 0,5% no bloqueio do plexo lombar pela via posterior na artroplastia total do quadril. MÉTODO: Trinta e sete pacientes foram alocados aleatoriamente em dois grupos, segundo o anestésico local utilizado no bloqueio: Grupo B - bupivacaína a 0,5% com epinefrina 1:200.000 ou Grupo R - ropivacaína a 0,5%. Durante o período pós-operatório, os escores de dor e o consumo de morfina na analgesia controlada pelo paciente foram comparados entre os grupos. O sangramento durante a operação e a incidência de efeitos adversos e de complicações também foram comparados. RESULTADOS: Apesar dos escores de dor terem sido menores no Grupo R 8, 12 e 24 horas após o bloqueio, essas diferenças não foram clinicamente significativas. Regressão linear múltipla não identificou o anestésico local como variável independente. Não houve diferença no consumo de morfina, no sangramento intraoperatório e na incidência de complicações e efeitos adversos entre os dois grupos. CONCLUSÕES: A bupivacaína a 0,5% e a ropivacaína a 0,5% produziram alívio eficaz e prolongado da dor pós-operatória após artroplastia total do quadril, sem diferença clínica, quando doses equivalentes foram administradas no bloqueio do plexo lombar pela via posterior.JUSTIFICATIVA Y OBJETIVOS: El bloqueo del plexo lumbar por la vía posterior, genera una analgesia postoperatoria efectiva en la artroplastia total de la cadera. La ropivacaína y la bupivacaína no arrojaron ninguna diferencia en la eficacia analgésica en

  13. Long-Term Stability of Pre-Orthodontic Orthognathic Bimaxillary Surgery Using Intraoral Vertical Ramus Osteotomy Versus Conventional Surgery.

    Science.gov (United States)

    Jeong, Jeong-Hwa; Choi, Sung-Hwan; Kim, Kee-Deog; Hwang, Chung-Ju; Lee, Sang-Hwy; Yu, Hyung-Seog

    2018-02-20

    The aim of the present study was to compare the long-term stability of bimaxillary surgery using an intraoral vertical ramus osteotomy (IVRO) with and without presurgical orthodontic treatment. The present retrospective study included 31 consecutive patients with skeletal Class III malocclusions who had undergone bimaxillary surgery (Le Fort I osteotomy and bilateral IVRO). Patients were divided into 2 groups based on treatment type: pre-orthodontic orthognathic surgery (POGS; n = 17) and conventional surgery with presurgical orthodontic treatment (CS; n = 14). Lateral cephalograms were obtained before surgery, 1 day after surgery, 1 month after surgery, 1 year after surgery, and 2 years after surgery to evaluate skeletal and soft tissue changes between the 2 groups. Data were analyzed using χ 2 tests, Mann-Whitney U tests, repeated-measures analyses of variance, and independent t tests. There was no significant difference in skeletal or soft tissue measurements-with the exception of the angle between the sella-and-nasion plane and the occlusal plane (SN-OP; P surgery. These findings suggest that POGS and CS have similar long-term stability in patients with skeletal Class III malocclusion. Copyright © 2018. Published by Elsevier Inc.

  14. In vitro infrared thermography assessment of temperature peaks during the intra-oral welding of titanium abutments

    Science.gov (United States)

    Degidi, Marco; Nardi, Diego; Sighinolfi, Gianluca; Merla, Arcangelo; Piattelli, Adriano

    2012-07-01

    Control of heat dissipation and transmission to the peri-implant area during intra-oral welding is very important to limit potential damage to the surrounding tissue. The aim of this in vitro study was to assess, by means of thermal infrared imaging, the tissue temperature peaks associated with the thermal propagation pathway through the implants, the abutments and the walls of the slot of the scaffold, generated during the welding process, in three different implant systems. An in vitro polyurethane mandible model was prepared with a 7.0 mm v-shape slot. Effects on the maximum temperature by a single welding procedure were studied using different power supplies and abutments. A total of 36 welding procedures were tested on three different implant systems. The lowest peak temperature along the walls of the 7.0 mm v-shaped groove (31.6 ± 2 °C) was assessed in the specimens irrigated with sterile saline solution. The highest peak temperature (42.8 ± 2 °C) was assessed in the samples with a contemporaneous power overflow and premature pincers removal. The results of our study suggest that the procedures used until now appear to be effective to avoid thermal bone injuries. The peak tissue temperature of the in vitro model did not surpass the threshold limits above which tissue injury could occur.

  15. Comparative analysis of 3D data accuracy of single tooth and full dental arch captured by different intraoral and laboratory digital impression systems.

    Science.gov (United States)

    Ryakhovskiy, A N; Kostyukova, V V

    2016-01-01

    The aim of this study was to compare the accuracy of digital impressions taken by different intraoral and laboratory scanners. For this purpose a synthetic jaw model with prepared tooth was scanned using intraoral scanning systems: 3D Progress (MHT S.P.A., IT - MHT Optic Research AG, CH); True Definition (3M ESPE, USA); Trios (3Shape A/S, DNK); CEREC AC Bluecam, CEREC Omnicam (Sirona Dental System GmbH, DE); Planscan (Planmeca, FIN); and laboratory scanning systems: s600 ARTI (Zirkonzahn GmbH, IT); Imetric Iscan D104, CH); D900 (3Shape A/S, DNK); Zfx Evolution (Zfx GmbH, DE) (each n=10). Reference-scanning was done by ATOS Core (GOM mbH, DE). The resulting digital impressions were superimposed with the master-scan. The measured deviations by points (trueness) for intraoral scanners were: True Definition - 15.0±2.85 μm (single tooth) and 45.0±19.11 µm (full arch); Trios - 17.1±1.44 and 58.8±27.36 µm; CEREC AC Bluecam - 22.3±5.58 and 20.3±4.13 µm; CEREC Omnicam - 25.0±1.06 and 78.5±27.03 µm; 3D Progress - 26.4±5.75 and 213.5±47.44 µm; Planscan - 54.6±11.58 and 205.2±21.73 µm. For laboratory scanners: Imetric Iscan D104 - 10.2±0.87 μm (stamp) and 65.3±5.36 µm (full arch); Zfx Evolution - 12.8±0.83 and 66.4±2.80 µm; Zirkonzahn s600 ARTI - 15.1±1.36 and 65.9±1.33 µm; 3Shape D900 - 19.9±0.53 and 63.6±0.83 µm. Precision was: True Definition - 19.9±2.77 μm (single tooth) and 40.1±11.04 µm (full arch); Trios - 25.8±2.49 and 69.9±18.95 µm; CEREC AC Bluecam - 36.4±2.78 and 46.6±3.44 µm; CEREC Omnicam - 37.6±3.29 and 76.2±13.36 µm; 3D Progress - 76.9±11.04 and 102.2±8.06 µm; Planscan - 74.3±6.58 and 93.9±15.32 µm. For laboratory scanners: Imetric Iscan D104 - 11.7±4.39 μm (stamp) and 31.2±5.58 µm (full arch); Zfx Evolution - 8.4±0.49 and 24.8±3.98 µm; Zirkonzahn s600 ARTI - 13.4±6.74 and 20.7±4.34 µm; 3Shape D900 - 10.4±0.93 and 17.8±0.62 µm. Whole deviation of the dental arch was: 3D Progress - 98.0±5.70 µm

  16. Evaluation of a dentifrice containing 8% arginine, calcium carbonate, and sodium monofluorophosphate to repair acid-softened enamel using an intra-oral remineralization model.

    Science.gov (United States)

    Sullivan, R; Rege, A; Corby, P; Klaczany, G; Allen, K; Hershkowitz, D; Goldder, B; Wolff, M

    2014-01-01

    An intra-oral remineralization study was conducted to compare the ability of a dentifrice containing 8% arginine and calcium carbonate (Pro-Argin Technology), and 1450 ppm fluoride as sodium monofluorophosphate (MFP) to remineralize acid-softened bovine enamel specimens compared to a silica-based dentifrice with 1450 ppm fluoride as MFP. The intra-oral clinical study employed a double blind, two-treatment, crossover design, and used an upper palatal retainer to expose the enamel specimens to the oral environment during product use and periods of remineralization. The retainer was designed to house three partially demineralized bovine enamel samples. The study population was comprised of 30 adults, ages 18 to 70 years. The study consisted of two treatment phases with a washout period lasting seven (+/- three) days preceding each treatment phase. A silica-based dentifrice without fluoride was used during the washout period. The Test Dentifrice used in this study contained 8% arginine, calcium carbonate, and 1450 ppm fluoride as sodium monofluorophosphate (MFP). The Control Dentifrice was silica-based and contained 1450 ppm fluoride as MFP. The treatment period consisted of a three-day lead-in period with the assigned product. The panelists brushed two times per day during the three-day lead-in period with the assigned product. On the fourth day, the panelists began brushing with the assigned product with the retainer in their mouth. The panelists brushed for one minute, followed by a one-minute swish with the slurry and a rinse with 15 ml of water in the morning, in the afternoon, and night with the retainer in the mouth. The panelists brushed only their teeth and not the specimens directly. Changes in mineral content before and after treatment were measured using a Knoop microhardness tester. The results of the study showed that percent remineralization values for the Test Dentifrice and Control Dentifrice were 14.99% and 8.66%, respectively. A statistical analysis

  17. Bloqueo de los nervios iliohipogástrico e ilioinguinal para analgesia posquirúrgica en cesárea tipo Pfannenstiel realizada bajo anestesia general: ¿qué concentración del anestésico local usar? Iliohypogastric and ilioinguinal block for postsurgical analgesia after pfannenstiel cesarean section performed under general anaesthesia

    Directory of Open Access Journals (Sweden)

    Héctor Iván García García

    1998-03-01

    Full Text Available El bloqueo bilateral de los nervios Iliohipogástrico e Ilioinguinal con bupivacaína al 0.5% puede proveer analgesia luego de cesárea con incisión de Pfannenstiel aunque la cantidad de droga usada está cerca de la dosis máxima segura. Diseñamos este estudio para comparar el efecto analgésico de la bupivacaína al 0.5% y diluida al 0.25%. Se incluyeron treinta pacientes aleatoriamente asignadas a un grupo de estudio (bupivacaína 0.25%, n= 15 y uno de control (bupivacaína 0.5%, n=15. Se evaluaron las pacientes con una Escala Visual Análoga (EVA a las O, 4, 8, 12 y 24 horas posoperatorias por médicos que no sabían a qué grupo pertenecían y sólo en caso de necesidad se prescribió analgesia IM con Diclofenaco. Los puntajes de analgesia y los requerimientos de anal. gesia complementaria fueron notoriamente simila. res en ambos grupos y no hubo diferencias estadísticamente significativas. Concluimos que el bloqueo de estos nervios es una técnica analgésica efectiva (el dolor siempre estuvo en promedio por debajo de 4 en la EVA, que no es afectada por la dilución del anestésico y que además es segura pues no se presentaron complicaciones. The Iliohypogastric and Ilioinguinal bilate. ral block with 0.5% bupivacaine can provide analgesia after Pfannenstiel cesarean section although the required amount of the drug is near the maximum secure dose. We designed this study in order to compare the analgesic effect of 0.5% bupivacaine and diluted 0.25% bupivacaine. Thirty patients were included in the study and asigned in aleatory form to either a study (0.25% bupivacaine n=15 or a control group (0.5% bupivacaine n=15. They were evaluated with the Visual Analogue Scale (VAS at 0,4,8,12,24 postoperative hours by physicians who did not know the group of the patient and prescribed intramuscular analgesia with Dicofenac only if required. The analgesia scores and the complementery analgesia requirements were similar in both groups and there were

  18. Inverted L osteotomy: a new approach via intraoral access through the advances of virtual surgical planning and custom fixation

    Directory of Open Access Journals (Sweden)

    Peter B. Franco, DMD

    2016-03-01

    Full Text Available We introduce a novel surgical approach via intraoral access to the Inverted L osteotomy utilizing virtual surgical planning (VSP and patient-specific customized mandibular fixation. VSP in orthognathic surgery has been well documented in its ability to increase preoperative and intraoperative efficiency, decrease cost and operating room time, and improve predictability and patient outcomes. In addition to occlusal splints, the adjunctive cutting guides and reference templates generated through computer-aided design and computer-aided manufacturing further aids in the precise transfer of the virtual plan to the intraoperative procedure. As the application of VSP is becoming more prevalent in the surgical treatment dentofacial deformities, 3-D virtual planning is moving beyond cutting jigs and guides and into the fabrication of patient-specific customized mandibular reconstruction plates in both the orthognathic and reconstructive arenas. Orthognathic surgery can be essential for the establishment of sound function and ideal esthetics for individuals who possess a dentofacial deformity. VSP and customized mandibular reconstruction plates have great potential to help safely guide the inverted L osteotomy and produce predictable functional and esthetic results while improving efficiency preoperatively as well as intraoperatively.

  19. Analgesia pós-operatória em cirurgia ortopédica: estudo comparativo entre o bloqueio do plexo lombar por via perivascular inguinal (3 em 1 com ropivacaína e a analgesia subaracnóidea com morfina Analgesia pós-operatoria en cirugía ortopédica: estudio comparativo entre el bloqueo del plexo lombar por vía perivascular inguinal (3 en 1 con ropivacaína y la analgesia subaracnóidea con morfina Postoperative analgesia following orthopedic surgery: a study comparing perivascular lumbar plexus inguinal block with ropivacaine (3 in 1 and spinal anesthesia with morphine

    Directory of Open Access Journals (Sweden)

    Neuber Martins Fonseca

    2003-04-01

    Full Text Available JUSTIFICATIVA E OBJETIVOS: O bloqueio do plexo lombar pelo acesso perivascular inguinal, chamado de bloqueio 3 em 1, tem sido utilizado para analgesia pós-operatória. O objetivo deste estudo foi comparar a analgesia pós-operatória do bloqueio 3 em 1 a da morfina subaracnóidea em pacientes submetidos a cirurgias ortopédicas em membro inferior (MI. MÉTODO: Foram estudados 40 pacientes escalados para cirurgia ortopédica de MI, de ambos os sexos, estado físico ASA I e II, com idades entre 15 e 75 anos, distribuídos em 2 grupos (M e BPL. Foi realizada anestesia subaracnóidea em todos os pacientes, em L3-L4 ou L4-L5, com 20 mg de bupivacaína isobárica a 0,5%. No grupo M (n = 20 foi associado 50 µg de morfina ao anestésico local. No grupo BPL (n = 20 foi realizado o bloqueio 3 em 1 ao término da cirurgia, utilizando 200 mg de ropivacaína a 0,5%. Avaliou-se a analgesia e a intensidade da dor às 4, 8, 12, 14, 16, 20 e 24 horas após o término da cirurgia, o nível do bloqueio subaracnóideo, o tempo cirúrgico e as complicações. RESULTADOS: A duração da analgesia no grupo BPL foi de 13,1 ± 2,47, enquanto no grupo M todos os pacientes referiam dor e ausência de bloqueio motor no primeiro instante avaliado (4 horas. Houve falha do bloqueio de um dos 3 nervos em 3 pacientes. A incidência de náusea e prurido foi significativamente maior no grupo M. Quanto à retenção urinária, não houve diferença significante entre os grupos. Não houve depressão respiratória, hipotensão arterial ou bradicardia. A analgesia pós-operatória foi mais efetiva no grupo BPL, comparada ao grupo M às 4, 8, 12,14 e 16 horas. Às 20 e 24 horas não houve diferença significante entre os grupos. CONCLUSÕES: A analgesia pós-operatória proporcionada pelo bloqueio 3 em 1 apresentou efeitos colaterais inferiores à morfina subaracnóidea com tempo de analgesia semelhante.JUSTIFICATIVA Y OBJETIVOS: El bloqueo del plexo lumbar por el acceso

  20. Intraoral radiology in general dental practices - a comparison of digital and film-based X-ray systems with regard to radiation protection and dose reduction.

    Science.gov (United States)

    Anissi, H D; Geibel, M A

    2014-08-01

    The purpose of this study was to gain insight into the distribution and application of digital intraoral radiographic techniques within general dental practices and to compare these with film-based systems in terms of patient dose reduction. 1100 questionnaires were handed out to general dental practitioners. Data was analyzed with respect to the type of system by using descriptive statistics and nonparametric tests, i.e. Kruskal-Wallis, Mann-Whitney and chi-square test (SPSS 20). 64% of the questioned dentists still use film-based radiology, 23% utilize storage phosphor plate (SPP) systems and 13% use a charge-coupled device (CCD). A strong correlation between the number of dentists working in a practice and the use of digital dental imaging was observed. Almost 3/4 of the film users work with E- or F-speed film. 45% of them refuse to change to a digital system. The use of lead aprons was popular, while only a minority preferred thyroid shields and rectangular collimators. A fourfold reduction of exposure time from D-speed film to CCD systems was observed. Due to detector size and positioning errors, users of CCD systems take significantly more single-tooth radiographs in total. Considering the number of radiographs per patient, there is only a slight tendency towards more X-rays with CCD systems. Up to image generation, digital systems seem to be as or even more difficult to handle than film-based systems, while their handling was favored after radiographic exposure. Despite a slight increase of radiographs taken with CCD systems, there is a significant dosage reduction. Corresponding to the decrease in exposure time, the patient dose for SPP systems is reduced to one half compared to film. The main issues in CCD technology are positioning errors and the size of the X-ray detectors which are difficult to eliminate. The usage of radiation protection measures still needs to be improved. ► Responsible use of digital intraoral radiology results in a significant

  1. An estimation of the percentage of dose in intraoral radiology exams using Monte Carlo simulation

    International Nuclear Information System (INIS)

    Bonzoumet, S.P.J.; Braz, D.; Lopes, R.T.; Anjos, M.J.; Universidade do Estado do Rio de Janeiro; Padilha, Lucas

    2005-01-01

    In this work we used the EGS4 code in a simulated study of dose percentage in intraoral examination to 10 energy range to 140 keV. The simulation was carried out on a model consisting of different geometry (cheek, tooth and mouth cavity) under normal incidence X-ray beam over the surface of the various simulated materials. It was observed that for energy smaller than 30 keV most of the energy is deposited on the cheek. In 30 keV there is a point of maximum radiation absorption in the tooth (approximately 60% of the energy of the incident radiation is deposited on the tooth) in relation to other simulated materials. It means that in this energy there is a better contrast in the radiographic image of the tooth and a smaller dose on the cheek. In 40 keV the deposited energy in the tooth is roughly equal to the energy that is transmitted (to the radiographic film or buccal cavity) causing a degradation in the radiographic image and/or a higher dose in the oral cavity. For energies above 40 keV, the amount of energy transmitted (to the oral cavity and/or radiographic film) is higher than the energy deposited in other materials, i.e, it only contributes to increasing of dose in the regions close to the oral cavity and the radiographic image degradation. These results can provide important information for radiological procedures applied in dentistry where the image quality is a relevant factor to a dental evaluation needs as well as reducing dose in the oral cavity.

  2. Impact of digital intraoral scan strategies on the impression accuracy using the TRIOS Pod scanner.

    Science.gov (United States)

    Müller, Philipp; Ender, Andreas; Joda, Tim; Katsoulis, Joannis

    2016-04-01

    Little information is available on the impact of different scan strategies on the accuracy of full-arch scans with intraoral scanners. The aim of this in-vitro study was to investigate the trueness and precision of full-arch maxillary digital impressions comparing three scan strategies. Three scan strategies (A, B, and C) were applied each five times on one single model (A, first buccal surfaces, return from occlusal-palatal; B, first occlusal-palatal, return buccal; C, S-type one-way). The TRIOS Pod scanner (3shape, Copenhagen, Denmark) with a color detector was used for these digital impressions. A cast of a maxillary dentate jaw was fabricated and scanned with an industrial reference scanner. This full-arch data record was digitally superimposed with the test scans (trueness) and within-group comparison was performed for each group (precision). The values within the 90/10 percentiles from the digital superimposition were used for calculation and group comparisons with nonparametric tests (ANOVA, post-hoc Bonferroni). The trueness (mean ± standard deviation) was 17.9 ± 16.4 μm for scan strategy A, 17.1 ± 13.7 μm for B, and 26.8 ± 14.7 μm for C without statistically significant difference. The precision was lowest for scan strategy A (35.0 ± 51.1 μm) and significantly different to B (7.9 ± 5.6 μm) and C (8.5 ± 6.3 μm). Scan strategy B may be recommended as it provides the highest trueness and precision in full-arch scans and therefore minimizes inaccuracies in the final reconstruction.

  3. A novel technique for reference point generation to aid in intraoral scan alignment.

    Science.gov (United States)

    Renne, Walter G; Evans, Zachary P; Mennito, Anthony; Ludlow, Mark

    2017-11-12

    When using a completely digital workflow on larger prosthetic cases it is often difficult to communicate to the laboratory or chairside Computer Aided Design and Computer Aided Manufacturing system the provisional prosthetic information. The problem arises when common hard tissue data points are limited or non-existent such as in complete arch cases in which the 3D model of the complete arch provisional restorations must be aligned perfectly with the 3D model of the complete arch preparations. In these instances, soft tissue is not enough to ensure an accurate automatic or manual alignment due to a lack of well-defined reference points. A new technique is proposed for the proper digital alignment of the 3D virtual model of the provisional prosthetic to the 3D virtual model of the prepared teeth in cases where common and coincident hard tissue data points are limited. Clinical considerations: A technique is described in which fiducial composite resin dots are temporarily placed on the intraoral keratinized tissue in strategic locations prior to final impressions. These fiducial dots provide coincident and clear 3D data points that when scanned into a digital impression allow superimposition of the 3D models. Composite resin dots on keratinized tissue were successful at allowing accurate merging of provisional restoration and post-preparation 3D models for the purpose of using the provisional restorations as a guide for final CLINICAL SIGNIFICANCE: Composite resin dots placed temporarily on attached tissue were successful at allowing accurate merging of the provisional restoration 3D models to the preparation 3D models for the purposes of using the provisional restorations as a guide for final restoration design and manufacturing. In this case, they allowed precise superimposition of the 3D models made in the absence of any other hard tissue reference points, resulting in the fabrication of ideal final restorations. © 2017 Wiley Periodicals, Inc.

  4. Development and functional demonstration of a wireless intraoral inductive tongue computer interface for severely disabled persons.

    Science.gov (United States)

    N S Andreasen Struijk, Lotte; Lontis, Eugen R; Gaihede, Michael; Caltenco, Hector A; Lund, Morten Enemark; Schioeler, Henrik; Bentsen, Bo

    2017-08-01

    Individuals with tetraplegia depend on alternative interfaces in order to control computers and other electronic equipment. Current interfaces are often limited in the number of available control commands, and may compromise the social identity of an individual due to their undesirable appearance. The purpose of this study was to implement an alternative computer interface, which was fully embedded into the oral cavity and which provided multiple control commands. The development of a wireless, intraoral, inductive tongue computer was described. The interface encompassed a 10-key keypad area and a mouse pad area. This system was embedded wirelessly into the oral cavity of the user. The functionality of the system was demonstrated in two tetraplegic individuals and two able-bodied individuals Results: The system was invisible during use and allowed the user to type on a computer using either the keypad area or the mouse pad. The maximal typing rate was 1.8 s for repetitively typing a correct character with the keypad area and 1.4 s for repetitively typing a correct character with the mouse pad area. The results suggest that this inductive tongue computer interface provides an esthetically acceptable and functionally efficient environmental control for a severely disabled user. Implications for Rehabilitation New Design, Implementation and detection methods for intra oral assistive devices. Demonstration of wireless, powering and encapsulation techniques suitable for intra oral embedment of assistive devices. Demonstration of the functionality of a rechargeable and fully embedded intra oral tongue controlled computer input device.

  5. A 3 years retrospective study of survival for zirconia-based single crowns fabricated from intraoral digital impressions.

    Science.gov (United States)

    Gherlone, Enrico; Mandelli, Federico; Capparè, Paolo; Pantaleo, Giuseppe; Traini, Tonino; Ferrini, Francesco

    2014-09-01

    To evaluate the clinical performance of glass-ceramic/zirconia crowns fabricated using intraoral digital impressions - a retrospective study with a three-year follow-up. 70 consecutive patients with a total of 86 glass-ceramic/zirconia crowns were treated by a single clinician using standardized clinical and laboratory protocols. A complete digital workflow was adopted for the purpose except for the veneering procedure for the glass-ceramic crowns. Occlusal adjustments were made before the ceramic glazing procedure. Before cementation, all abutments where carefully cleaned with a 70% alcoholic solution and air dried. Cementation was performed using dual-curing, self-adhesive resin cement. Patients were re-examined after 12, 24 and 36 months, to assess crown chipping/fractures. After the three-year follow-up, none of the zirconia-based restoration was lost ("apparent" survival rate 100%) otherwise, the chipping rate of the veneering material increased from 9.3% after 12 months, to 14% after 24 months to 30.2% after 36 months. As a consequence, the "real" success rate after 3 years was 69.8%. After 3 years the success rate of zirconia-based crowns was 69.8%, while the incidence of the chipping was 30.2%. Assuming an exponential increase in chipping rate between 12 and 36 months it can be argued that, among others, the fatigue-mechanism could be advocated as the main factor for the failure of glass-ceramic veneered zirconia especially after 24 months. Copyright © 2014 Elsevier Ltd. All rights reserved.

  6. Bloqueio neuromuscular prolongado após administração de mivacúrio: relato de caso Bloqueo neuromuscular prolongado después de administración de mivacúrio: relato de caso Prolonged neuromuscular block after mivacurium: case report

    Directory of Open Access Journals (Sweden)

    Karina Bernardi Pimenta

    2005-10-01

    metabolismo enzimático se volvió opción de bloqueador neuromuscular para estos procedimientos. El relato de caso tiene como objetivo llamar la atención para la ocurrencia de bloqueo neuromuscular prolongado después de la administración del mivacúrio y las conductas que fueron adoptadas. RELATO DEL CASO: Se describe un caso de paciente programado para procedimiento de corta duración en régimen ambulatorial y que presentó bloqueo neuromuscular prolongado después de administración del mivacúrio. El diagnóstico fue posteriormente confirmado por la demostración de niveles reducidos de actividad de la colinestesterasis plasmática. CONCLUSIONES: La averiguación laboratorial pre-operatoria, mismo incluyendo la dosificación de la actividad de la colinesterasis, no precave la posibilidad del bloqueo neuromuscular prolongado debido a la posibilidad de alteración cualitativa de la actividad de la enzima, no existiendo recomendación para averiguación sistemática. Ocurriendo esta complicación, se debe sedar el paciente y mantener ventilación mecánica hasta la completa recuperación de la fuerza muscular y realizar exámenes laboratoriales para el diagnóstico definitivo. Es de responsabilidad del anestesista la colecta de muestra sanguínea para realización de tests cuantitativos y cualitativos de la colinesterasis plasmática. Paciente y familiares deben ser orientados en cuanto a la importancia de la averiguación para clasificación de la variante atípica de la colinesterasis plasmática y sus implicaciones anestésicas.BACKGROUND AND OBJECTIVES: With the introduction of new drugs with short action, there has been increase in the number of outpatient procedures. Mivacurium, with duration of action of 15-30 minutes and enzymatic metabolism has become the neuromuscular blocker of choice for these procedures. This case report aim at calling the attention to prolonged neuromuscular block after mivacurium and its management approaches. CASE REPORT: Patient

  7. Estudio comparativo de la fiabilidad y reproducibilidad en la medición de los tamaños dentarios y las medidas de las arcadas dentarias entre registros manuales y digitales 3d obtenidos por escaneado intraoral y extraoral

    OpenAIRE

    Marín Arias, Diana Monserrat

    2016-01-01

    Tradicionalmente, los ortodoncistas han realizado las mediciones dentales en los modelos de yeso, pero los avances tecnológicos permiten ahora a los ortodoncistas realizar esas mediciones en los modelos digitales. El propósito de este estudio fue comparar la fiabilidad y reproducibilidad de las medidas de los tamaños dentarios y las arcadas dentarias entre el método manual y los métodos digitales 3D obtenidos por un escáner intraoral CEREC Omnicam (Sirona Dental Systems) y dos escáneres extra...

  8. In vivo determination of tooth mobility after fixed orthodontic appliance therapy with a novel intraoral measurement device.

    Science.gov (United States)

    Konermann, Anna; Al-Malat, R; Skupin, J; Keilig, L; Dirk, C; Karanis, R; Bourauel, C; Jäger, A

    2017-05-01

    Valid measurement systems recording tooth mobility upon displacement within the subtle range of physiological strains are missing. Here, we introduce a novel in vivo measurement device and demonstrate a first clinical application by monitoring tooth mobility changes during retention after fixed multibracket appliance therapy. Tooth mobility was measured in vivo on 21 patients (11 female, 10 male; mean age 16.1 ± 3.1 years) by displacing the upper first incisor 0.2 mm lingually for 0.2, 0.5, 1, 2, 5, and 10 s with the novel intraoral device. Measurements were recorded directly after, as much as 2, 7, and 14 days and up to 6 months after appliance debonding. Device performance was precise and valid in clinical use. Data revealed significant interindividual varying tooth mobility, which was very high during the first 2 days after appliance removal. After 1 week, mobility values decreased, but were generally higher upon short loadings compared to long ones. After 3 months, tooth mobility was significantly lower than directly after debonding. Interestingly, males exhibited significantly less mobility than females. Our work is the first using an in vivo measurement device capable of performing and recording tooth displacements within this delicate range and in such precision. Furthermore, our findings elucidate tooth mobility changes after multibracket treatment, giving important information for retention periods. Establishment of this novel measurement device in clinical use is an important improvement when approaching the complexity of tooth mobility in vivo regarding different issues like orthodontics, periodontal disease, or bruxism.

  9. Evaluation of a dentifrice containing 8% arginine, calcium carbonate, and sodium monofluorophosphate to prevent enamel loss after erosive challenges using an intra-oral erosion model.

    Science.gov (United States)

    Sullivan, R; Rege, A; Corby, P; Klaczany, G; Allen, K; Hershkowitz, D; Godder, B; Wolff, M

    2014-01-01

    The objective of this study was to assess the ability of a dentifrice containing 8% arginine and calcium carbonate (Pro-Argin' Technology), and 1450 ppm fluoride as sodium monofluorophosphate (MFP) to prevent enamel loss from an erosive acid challenge in comparison to a silica-based dentifrice with 1450 ppm fluoride as MFP using an intra-oral erosion model. The intra-oral clinical study used a double blind, two-treatment, crossover design. A palatal retainer was used to expose the enamel specimens to the oral environment during the five-day treatment period. The retainer was designed to house three partially demineralized bovine enamel samples. The study population was composed of 24 adults, ages 18 to 70 years. The study consisted of two treatment periods, with a washout period lasting seven (+/- three) days preceding each treatment phase. A silica-based dentifrice without fluoride was used during the washout period. The Test Dentifrice used in this study contained 8% arginine and calcium carbonate (Pro-Argin Technology), and 1450 ppm fluoride as sodium monofluorophosphate (MFP). The Control Dentifrice was silica-based and contained 1450 ppm fluoride as MFP. The treatment period lasted five days, during which the panelists wore the retainer 24 hours a day (except during meals and the ex vivo acid challenges) and brushed with their assigned product while wearing the retainer. The panelists brushed once in the morning and once in the evening each day for one minute, followed by a one-minute swish with the slurry and a rinse with 15 ml of water. The panelists brushed only their teeth and not the specimens directly. There were four ex vivo challenges with 1% citric acid dispersed throughout the day: two in the morning, one in the afternoon, and one in the evening. Mineral loss was monitored by a quantitative light fluorescence (QLF) technique. Twenty-three of 24 subjects successfully completed the study. The one subject who did not complete the study did so for

  10. DESARROLLO EMBRIONARIO Y ESTRATEGIAS ANTILUTEOLITICAS HORMONALES EN PROGRAMAS DE TRANSPLANTE DE EMBRIONES BOVINOS

    Directory of Open Access Journals (Sweden)

    Néstor Tovío L

    2008-04-01

    Full Text Available Durante el desarrollo embrionario se establecen múltiples interacciones entre hormonas, factores de crecimiento (FC y diferente tipo de moléculas, con lo cual se genera una serie de señales que desencadenan el reconocimiento materno de preñez (RMP entre los días 15 y 17, momento en el cual se genera un “periodo crítico”, cuando el endometrio libera la hormona prostaglandina F2a (PGF2apara causar regresión del cuerpo lúteo (CL, en el cual se sintetiza progesterona (P4, hormona encargada de favorecer un adecuado ambiente uterino para el desarrollo embrionario y el mantenimiento de la preñez. El embrión en desarrollo genera señales antiluteolíticas que bloquean la producción de la PGF2a, por lo que se podría sugerir que el mantenimiento de la preñez es dependiente de la efectividad de este bloqueo, entre otros factores; el cual es generado por la acción del Interferón tau (IFN-t, producido en las células mononucleares del trofoblasto embrionario. Este bloqueo garantiza la integridad del CL y de esta forma la producción normal de P4. Por lo anterior se podría pensar que la manipulación estratégica apoyada hormonalmente, mejora las condiciones para el efectivo bloqueo de los agentes luteolíticos que tienen su mayor actividad durante el llamado “periodo crítico”, con lo cual se mejora la tasa de sobrevivencia en programas de transplante embrionario ya que se crearía un ambiente uterino adecuado para el establecimiento y normal desarrollo del embrión. Por esto mismo, últimamente se han planteado mecanismos de apoyo hormonal que causan un bloqueo apropiado en cuanto a la producción de PGF2a uterina durante los días15 y 17 del ciclo estral.

  11. Signal loss in magnetic resonance imaging caused by intraoral anchored dental magnetic materials

    International Nuclear Information System (INIS)

    Blankenstein, F.H.; Naumann, M.; Truong, B.; Thomas, A.; Schroeder, R.J.

    2006-01-01

    Purpose: to measure the maximum extent of the signal loss areas in the center of the susceptibility artifacts generated by ferromagnetic dental magnet attachments using three different sequences in the 1.5 and 3.0 Tesla MRI. Materials and methods: five different pieces of standard dental magnet attachments with volumes of 6.5 to 31.4 mm 3 were used: a NdFeB magnet with an open magnetic field, a NdFeB magnet with a closed magnetic field, a SmCo magnet with an open magnetic field, a stainless steel keeper (AUM-20) and a PdCo piece. The attachments were placed between two cylindrical phantoms and examined in 1.5 and 3.0 Tesla MRI using gradient echo and T1- and T2-weighted spin echoes. We measured the maximum extent of the generated signal loss areas parallel and perpendicular to the direction of B O . Results: in gradient echoes the artifacts were substantially larger and symmetrically adjusted around the object. The areas with total signal loss were mushroom-like with a maximum extent of 7.4 to 9.7 cm parallel to the direction of B O and 6.7 to 7.4 cm perpendicular to B O . In spin echoes the signal loss areas were obviously smaller, but not centered. The maximum values ranged between 4.9 and 7.2 cm (parallel B O ) and 3.6 and 7.0 cm (perpendicular B O ). The different ferromagnetic attachments had no clinically relevant influence on the signal loss neither in 1.5 T nor 3.0 T MRI. Conclusions: ferromagnetic materials used in dentistry are not intraorally standardized. To ensure, that the area of interest is not affected by the described artifacts, the maximum extent of the signal loss area should be assumed: a radius of up to 7 cm in 1.5 and 3.0 T MRI by T1 and T2 sequences, and a radius of up to 10 cm in T2* sequences. To decide whether magnet attachments have to be removed before MR imaging, physicians should consider both the intact retention of the keepers and the safety distance between the ferromagnetic objects and the area of interest. (orig.)

  12. Estudo comparativo entre clonidina associada à bupivacaína e bupivacaína isolada em bloqueio de plexo cervical para endarterectomia de carótida Estudio comparativo entre la clonidina asociada a la bupivacaína y la bupivacaína aislada en bloqueo de plexo cervical para endarterectomía de carótida A comparative study between bupivacaine and clonidine associated with bupivacaine in cervical plexus block for carotid endarterectomy

    Directory of Open Access Journals (Sweden)

    Walter Pinto Neto

    2009-08-01

    Full Text Available JUSTIFICATIVA E OBJETIVOS: O bloqueio de plexo cervical permite avaliação neurológica durante a endarterctomia, além de manter analgesia pós-operatória. A clonidina é agonista alfa2 com efeito analgésico em diferentes bloqueios. O objetivo deste estudo foi comparar o efeito analgésico da clonidina com bupivacaína em relação à bupivacaína isolada em bloqueio de plexo cervical. MÉTODO: Foram avaliados 30 pacientes de forma aleatória e duplamente-encoberta divididos em dois grupos: G1 recebeu 1,5 mg.kg-1 de bupivacaína a 0,375% associados a 150 ¼g de clonidina (2 mL e G2, 1,5 mg.kg-1 de bupivacaína a 0,375% associados à solução fisiológica (2 mL. Foram avaliados: frequência cardíaca e pressão arterial nos momentos 0 (bloqueio, 30, 60, 90 e 120 minutos; necessidade de complementação anestésica; momento para primeira complementação analgésica; quantidade de analgésico usada e intensidade da dor nos momentos 0 (término da operação, 30, 60, 120, 240 e 360 minutos. RESULTADOS: A complementação anestésica com lidocaína foi de 3,8 mL no G1 e 3,6 mL no G2 sem diferença estatística significativa. O momento para a primeira complementação foi de 302,6 ± 152,6 minutos no G1, e de 236,6 ± 132,9 minutos no G2, sem diferença significativa. Não houve diferença na dose de dipirona e tramadol usada. Não houve diferença na intensidade da dor entre os grupos. CONCLUSÃO: A associação de 150 ¼g de clonidina à bupivacaína em bloqueio de plexo cervical para endarterectomia de carótida não promoveu melhora significativa do efeito analgésico avaliado por intensidade da dor, primeira complementação analgésica e quantidade de analgésico complementar.JUSTIFICATIVA Y OBJETIVOS: El bloqueo de plexo cervical permite la evaluación neurológica durante la endarterectomía, además de mantener la analgesia postoperatoria. La clonidina es agonista alfa-2 con un efecto analgésico en diferentes bloqueos. El objetivo de

  13. Evaluation of Surface Roughness of Ceramic and Resin Composite Material Used for Conservative Indirect Restorations, after Repolishing by Intraoral Means.

    Science.gov (United States)

    Vrochari, Areti D; Petropoulou, Aikaterini; Chronopoulos, Vasilios; Polydorou, Olga; Massey, Ward; Hellwig, Elmar

    2017-06-01

    To evaluate and compare the mean surface roughness (Ra) of one ceramic and one resin composite material used for indirect restorations, after grinding and repolishing by intraoral means. The materials used were the lithium disilicate glass ceramic IPS e.max Press (EMP) and the indirect resin composite restoration system Gradia (GR). Twelve specimen disks were prepared from each material according to the manufacturer of each material. Five initial measurements of the Ra (Ra 1 ) were made on each specimen as a referral basis, and the specimens were ground with a fine (red) diamond bur. The specimens were repolished using (a) Komet Dialite Polishing Kit for EMP and (b) Enhance Finishing and Polishing System and Prisma Gloss Polishing Paste for GR. Five final Ra (Ra 2 ) measurements were performed on each specimen. All measurements were made using a laser profilometer. Scanning electron microscopy (SEM) was also used to visualize the initial surface morphology and the morphological changes on the specimens' surface after repolishing. A highly significant difference was found between Ra 1EMP and Ra 2EMP (p materials exhibited Ra 2 above the critical threshold for increased plaque accumulation and periodontal inflammation. If enamel-to-enamel roughness found in occlusal contact areas is considered as baseline, both materials were clinically acceptable after repolishing. © 2015 by the American College of Prosthodontists.

  14. Infection control in digital intraoral radiography: evaluation of microbiological contamination of photostimulable phosphor plates in barrier envelopes.

    Science.gov (United States)

    MacDonald, David S; Waterfield, J Douglas

    2011-01-01

    The detectors (both solid-state sensors and photostimulable phosphor [PSP] plates) used for digital intraoral radiography cannot be autoclaved, and barriers are typically used to prevent the spread of infection. The aim of this study was to determine the effectiveness of a barrier envelope system for PSP plates. Disinfected PSP plates were aseptically inserted into barrier envelopes and placed in a periapical location. One PSP plate was placed in each of 28 patients, and 12 plates in each of 2 volunteers (D.S.M., J.D.W.). After retrieval, each PSP plate was removed from its barrier envelope, immersed in trypticase soy broth and aliquots were plated on trypticase soy agar. Bacterial colonies were counted 2 days later. Fifty-two PSP plates in barrier envelopes were evaluated for contamination. Quality assurance of the PSP plates before clinical placement revealed defects in the integrity of 4 barrier envelopes, caused by forceps-related damage or failure to achieve a uniform seal. These defects allowed substantial contamination. Contamination also occurred as a result of failure to extract the PSP plate from the barrier envelope cleanly. Of the 44 barriers with no obvious defects that were placed by either final-year dental students or a radiologist, only 3 allowed bacterial contamination of the PSP plate. Detectors contained in barrier envelopes remain a potential source of contamination. PSP plates must be disinfected between removal from a contaminated barrier envelope and placement in a new barrier envelope. In addition, placement into the barrier envelope should ideally be carried out under aseptic conditions. Finally, the integrity of each sealed barrier envelope must be verified visually before release to the clinic.

  15. Analysis of Shade Matching in Natural Dentitions Using Intraoral Digital Spectrophotometer in LED and Filtered LED Light Sources.

    Science.gov (United States)

    Chitrarsu, Vijai Krishnan; Chidambaranathan, Ahila Singaravel; Balasubramaniam, Muthukumar

    2017-10-31

    To evaluate the shade matching capabilities in natural dentitions using Vita Toothguide 3D-Master and an intraoral digital spectrophotometer (Vita Easyshade Advance 4.0) in various light sources. Participants between 20 and 40 years old with natural, unrestored right maxillary central incisors, no history of bleaching, orthodontic treatment, or malocclusion and no rotations were included. According to their shades, subjects were randomly selected and grouped into A1, A2, and A3. A total of 100 participants (50 male and 50 female) in each group were chosen for this study. Shade selection was made between 10 am and 2 pm for all light sources. The same examiner selected the shade of natural teeth with Vita Toothguide 3D-Master under natural light within 2 minutes. Once the Vita Toothguide 3D-Masterwas matched with the maxillary right central incisor, the L*, a*, and b* values, chroma, and hue were recorded with Vita Easyshade Advance 4.0 by placing it on the shade tab under the same light source. The values were statistically analyzed using one-way ANOVA and Tukey's HSD post hoc test with SPSS v22.0 software. The mean ∆E* ab values for shades A1, A2, and A3 for groups 1, 2, and 3 were statistically significantly different from each other (p spectrophotometer showed statistically significant differences in shade matching compared to Vita Toothguide 3D-Master. Incandescent light showed more accurate shade matching than the filtered LED, LED, and daylight. © 2017 by the American College of Prosthodontists.

  16. Evaluation of the effect scan pattern has on the trueness and precision of six intraoral digital impression systems.

    Science.gov (United States)

    Mennito, Anthony S; Evans, Zachary P; Lauer, Abigail W; Patel, Ravi B; Ludlow, Mark E; Renne, Walter G

    2018-03-01

    Clinicians have been slow to adopt digital impression technologies due possibly to perceived technique sensitivities involved in data acquisition. This research has two aims: determine whether scan pattern and sequence affects the accuracy of the three-dimensional (3D) model created from this digital impression and to compare the 5 imaging systems with regards to their scanning accuracy for sextant impressions. Six digital intraoral impression systems were used to scan a typodont sextant with optical properties similar to natural teeth. The impressions were taken using five different scan patterns and the resulting digital models were overlayed on a master digital model to determine the accuracy of each scanner performing each scan pattern. Furthermore, regardless of scan pattern, each digital impression system was evaluated for accuracy to the other systems in this same manner. No differences of significance were noted in the accuracy of 3D models created using six distinct scan patterns with one exception involving the CEREC Omnicam. Planmeca Planscan was determined to be the truest scanner while 3Shape Trios was determined to be the most precise for sextant impression making. Scan pattern does not significantly affect the accuracy of the resulting digital model for sextant scanning. Companies who make digital impression systems often recommend a scan pattern specific for their system. However, every clinical scanning scenario is different and may require a different approach. Knowing how important scan pattern is with regards to accuracy would be helpful for guiding a growing number of practitioners who are utilizing this technology. © 2018 Wiley Periodicals, Inc.

  17. Comparação entre raquianestesia, bloqueio combinado raqui-peridural e raquianestesia contínua para cirurgias de quadril em pacientes idosos: estudo retrospectivo Comparación entre raquianestesia, bloqueo combinado raqui-peridural y raquianestesia continua para cirugías de cuadril en pacientes ancianos: estudio retrospectivo Comparison between spinal, combined spinal-epidural and continuous spinal anesthesias for hip surgeries in elderly patients: a retrospective study

    Directory of Open Access Journals (Sweden)

    Luiz Eduardo Imbelloni

    2002-06-01

    Full Text Available JUSTIFICATIVA E OBJETIVOS: Diversas questões envolvem os estudos, as análises e o tamanho da amostra para que sejam demonstrados os benefícios da anestesia regional. Análise de dados geralmente custa menos e requer menos tempo quando comparado com amplo estudo aleatório controlado. Esta análise retrospectiva compara a raquianestesia contínua, o bloqueio combinado raqui-peridural e a raquianestesia simples para cirurgias de quadril em pacientes idosos durante quatro anos, para determinar as possíveis vantagens e desvantagens das três técnicas. MÉTODO: Foram avaliados 300 prontuários sendo que: 100 pacientes receberam raquianestesia simples (Grupo 1, 100 receberam bloqueio combinado raqui-peridural (Grupo 2 e 100 receberam raquianestesia contínua (Grupo 3 nos últimos quatro anos. Todos os bloqueios foram realizados em decúbito lateral esquerdo. Foram avaliados: sucesso de punção, nível da analgesia, bloqueio motor de membros inferiores, qualidade da anestesia, necessidade de complementação, incidência de falhas, parestesias, cefaléia pós-punção, alterações cardiovasculares, confusão mental e delírio, transfusão sangüínea e mortalidade. RESULTADOS: Não existiu diferença significativa entre os grupos em relação a idade, peso e sexo. Os pacientes do grupo 2 foram menores do que os do grupo 1 e 3. As doses utilizadas foram de 15,30 mg de bupivacaína no grupo 1; 23,68 mg no grupo 2 e 10,10 mg no grupo 3. Não foi encontrada diferença significativa (p JUSTIFICATIVA Y OBJETIVOS: Diversas cuestiones envuelven los estudios, las análisis y el tamaño de la muestra para que sean demostrados los beneficios de la anestesia regional. Las análisis de datos generalmente cuestan menos y requieren menos tiempo, cuando comparado con un amplio estudio aleatorio controlado. Esta análisis retrospectiva compara la raquianestesia continua, el bloqueo combinado raqui-peridural y la raquianestesia simple para cirugías de cuadril en

  18. Gestalt Breastfeeding: Helping Mothers and Infants Optimize Positional Stability and Intraoral Breast Tissue Volume for Effective, Pain-Free Milk Transfer.

    Science.gov (United States)

    Douglas, Pamela; Keogh, Renee

    2017-08-01

    In the past decade, biological nurturing and activation of maternal and infant instincts after birth have constituted a major advance in clinical breastfeeding support. Yet, physiologic breastfeeding initiation is not enough to ensure ongoing pain-free and effective breastfeeding for many pairs. Current interventions, including "hands-off" mammalian approaches, do not improve breastfeeding outcomes, including in randomized controlled trials. Back-arching, difficulty latching or staying on the breast, and fussing at the breast are common signs of infant positional instability during breastfeeding. These cues are, however, often misdiagnosed as signs of medical conditions or oral connective tissue abnormalities, and underlying positional instability is not addressed. New clinical approaches are urgently required. This article offers a clinical approach to fit and hold (or latch and positioning)- gestalt breastfeeding, which aims to optimize positional stability and intraoral breast tissue volumes for pain-free effective breastfeeding. The word gestalt (pronounced "ger-shtolt") means a whole that is more than the sum of its parts. Gestalt breastfeeding builds on the theoretical foundations of complexity science, physiologic breastfeeding initiation, and new understandings of the biomechanics of infant suck elucidated in ultrasound studies. It also integrates simple psychological strategies from applied functional contextualism, popularly known as Acceptance and Commitment Therapy, empowering women to attend mindfully to breast sensations and their infant's cues. Gestalt breastfeeding can be reproduced for research purposes, including in comparison studies with oral surgery, and has the potential to improve breastfeeding outcomes.

  19. El efecto de preexposición al eI en la aversión gustativa condicionada: papel relativo del contexto y de las claves de inyección

    Directory of Open Access Journals (Sweden)

    Luis Aguado

    2000-01-01

    Full Text Available En tres experimentos con ratas Wistar como sujetos se analizó el papel de las claves de inyección en el retraso del aprendizaje de aversiones gustativas tras la preexposición al estímulo incondicionado (malestar gástrico inducido por una inyección de LiCl. La extinción de dichas claves entre la preexposición y el condicionamiento eliminó el efecto de preexposición únicamente cuando la preexposición se llevó a cabo en un contexto familiar y, por el contrario, el efecto no se vio alterado cuando la preexposición se realizó en un contexto nuevo. Estos resultados sugieren que el bloqueo por el contexto tiene lugar cuando éste es nuevo, mientras que cuando es familiar el bloqueo es producido por las claves de inyección.

  20. Influência da freqüência de estímulos na instalação do bloqueio neuromuscular produzido pelo rocurônio e pancurônio: avaliação pelo método acelerográfico Influencia de la frecuencia de estímulos en la instalación del bloqueo neuromuscular producido por el rocuronio y pancuronio: evaluación por el método acelerográfico Influence of stimulation frequency on rocuronium and pancuronium-induced neuromuscular block onset: acceleromyography evaluation

    Directory of Open Access Journals (Sweden)

    Derli da Conceição Munhóz

    2004-02-01

    entre os grupos. As condições de intubação traqueal foram satisfatórias em 117 pacientes (97,5% e insatisfatórias em 3 (2,5%. CONCLUSÕES: O início de ação e o tempo para obtenção do bloqueio neuromuscular total no músculo adutor do polegar, produzidos pelo rocurônio e pelo pancurônio, são mais curtos quando há emprego de maiores freqüências de estímulos.JUSTIFICATIVA Y OBJETIVOS: Factores relacionados al paciente y al bloqueador neuromuscular (BNM, así como otros inherentes a la monitorización de la función neuromuscular pueden influenciar en la instalación del bloqueo neuromuscular. El objetivo de este estudio fue evaluar la influencia de dos frecuencias diferentes de estímulos sobre el tiempo de instalación del bloqueo producido por el pancuronio y por el rocuronio. MÉTODO: Fueron incluidos en el estudio 120 pacientes, estado físico ASA I y II, sometidos a cirugías electivas bajo anestesia general, distribuidos aleatoriamente en dos grupos, de acuerdo con la frecuencia de estímulo empleada, para la monitorización del bloqueo neuromuscular: Grupo I - 0,1 Hz (n = 60 y Grupo II - 1 Hz (n = 60. En cada grupo se formaron dos subgrupos (n = 30 de acuerdo con el bloqueador neuromuscular empleado: Subgrupo P (pancuronio y Subgrupo R (rocuronio. La medicación pre-anestésica consistió de midazolam (0,1 mg.kg-1 por vía muscular, 30 minutos antes de la cirugía. La inducción anestésica fue obtenida con propofol (2,5 mg.kg-1 precedido de alfentanil (50 µg.kg-1 y seguido de pancuronio o rocuronio. Los pacientes fueron ventilados bajo máscara con oxígeno a 100% hasta la obtención de reducción de 75% o más en la amplitud de la respuesta del músculo aductor del pulgar, cuando fueron realizadas las maniobras de laringoscopia e intubación traqueal. La función neuromuscular fue monitorizada con aceleromiografia. Fueron evaluados: tiempo de inicio de acción del pancuronio y del rocuronio; tiempo para instalación del bloqueo total y

  1. Three-Dimensional Accuracy of Digital Static Interocclusal Registration by Three Intraoral Scanner Systems.

    Science.gov (United States)

    Wong, Kuan Yee; Esguerra, Roxanna Jean; Chia, Vanessa Ai Ping; Tan, Ying Han; Tan, Keson Beng Choon

    2018-02-01

    Prior studies have defined the accuracy of intraoral scanner (IOS) systems but the accuracy of the digital static interocclusal registration function of these systems has not been reported. This study compared the three-dimensional (3D) accuracy of the digital static interocclusal registration of 3 IOS systems using the buccal bite scan function. Three IOS systems compared were 3M TM True Definition Scanner (TDS), TRIOS Color (TRC), and CEREC AC with CEREC Omnicam (CER). Using each scanner, 7 scans (n = 7) of the mounted and articulated SLA master models were obtained. The measurement targets (SiN reference spheres and implant abutment analogs) were in the opposing models at the right (R), central (C), and left (L) regions; abutments #26 and #36, respectively. A coordinate measuring machine with metrology software compared the physical and virtual targets to derive the global 3D linear distortion between the centroids of the respective target reference spheres and abutment analogs (dR R , dR C , dR L , and dR M ) and 2D distances between the pierce points of the abutment analogs (dX M , dY M , dZ M ), with 3 measurement repetitions for each scan. Mean 3D distortion ranged from -471.9 to 31.7 μm for dR R , -579.0 to -87.0 μm for dR C , -381.5 to 69.4 μm for dR L , and -184.9 to -23.1 μm for dR M . Mean 2D distortion ranged from -225.9 to 0.8 μm for dX M , -130.6 to -126.1 μm for dY M , and -34.3 to 26.3 μm for dZ M . Significant differences were found for interarch distortions across the three systems. For dR R and dR L , all three test groups were significantly different, whereas for dR C , the TDS was significantly different from the TRC and CER. For 2D distortion, significant differences were found for dX M only. Interarch and global interocclusal distortions for the three IOS systems were significantly different. TRC performed overall the best and TDS was the worst. The interarch (dR R , dR C , dR L ) and interocclusal (dX M ) distortions observed will

  2. Efecto del tipo de colocación en el comportamiento visual y la toma de decisiones en bloqueadores de voleibol

    Directory of Open Access Journals (Sweden)

    Sara Vila-Maldonado

    2012-01-01

    Full Text Available El objetivo del presente estudio ha sido analizar el comportamiento visual y de la toma de decisiones de jugadores de voleibol en la acción del bloqueo, ante dos situaciones diferentes de colocación: en apoyo y en salto. La muestra estaba compuesta por siete jugadores (25,14 ± 3,98 años de edad de categoría absoluta, que participaban durante el juego en la acción del bloqueo. Todos los participantes competían en liga FEV. Se utilizó el sistema de registro de los movimientos oculares Mobile Eye de los laboratorios ASL para analizar el comportamiento visual, y el software Suberlab 4.0 para analizar la toma de decisiones. Los resultados muestran que los jugadores de voleibol usan diferentes estrategias visuales en los dos tipos de colocación analizadas; además la fijación balón-muñeca es la más repetida.

  3. Sanidad Penitenciaria: reflexiones sobre la inercia de los sistemas y la baja efectividad de las políticas sanitarias en España

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    J.R. Repullo

    2014-02-01

    Full Text Available El bloqueo en la aplicación de la transferencia de la sanidad penitenciaria a las CCAA, supone un problema sanitario y social, y también indica una gran debilidad institucional y política. El artículo revisa la dinámica de poder entre administraciones y niveles, señalando el carácter subordinado de las agendas sanitarias frente a las políticas y económicas, así como las importantes capacidades de bloqueo del entorno. Sobre esta base se postulan algunas estrategias de mejora de la factibilidad futura de integración de la sanidad penitenciaria en el Sistema Nacional de Salud, a partir de la conciencia de que se precisa acumular poder e influencia, promover mejoras de servicios que mejoren la atractividad y deseabilidad de la sanidad penitenciaria, y asumir plazos más dilatados para que arraiguen cambios culturales.

  4. Accuracy and precision of polyurethane dental arch models fabricated using a three-dimensional subtractive rapid prototyping method with an intraoral scanning technique.

    Science.gov (United States)

    Kim, Jae-Hong; Kim, Ki-Baek; Kim, Woong-Chul; Kim, Ji-Hwan; Kim, Hae-Young

    2014-03-01

    This study aimed to evaluate the accuracy and precision of polyurethane (PUT) dental arch models fabricated using a three-dimensional (3D) subtractive rapid prototyping (RP) method with an intraoral scanning technique by comparing linear measurements obtained from PUT models and conventional plaster models. Ten plaster models were duplicated using a selected standard master model and conventional impression, and 10 PUT models were duplicated using the 3D subtractive RP technique with an oral scanner. Six linear measurements were evaluated in terms of x, y, and z-axes using a non-contact white light scanner. Accuracy was assessed using mean differences between two measurements, and precision was examined using four quantitative methods and the Bland-Altman graphical method. Repeatability was evaluated in terms of intra-examiner variability, and reproducibility was assessed in terms of inter-examiner and inter-method variability. The mean difference between plaster models and PUT models ranged from 0.07 mm to 0.33 mm. Relative measurement errors ranged from 2.2% to 7.6% and intraclass correlation coefficients ranged from 0.93 to 0.96, when comparing plaster models and PUT models. The Bland-Altman plot showed good agreement. The accuracy and precision of PUT dental models for evaluating the performance of oral scanner and subtractive RP technology was acceptable. Because of the recent improvements in block material and computerized numeric control milling machines, the subtractive RP method may be a good choice for dental arch models.

  5. Two-year follow-up of changes in bite force and occlusal contact area after intraoral vertical ramus osteotomy with and without Le Fort I osteotomy.

    Science.gov (United States)

    Choi, Y J; Lim, H; Chung, C J; Park, K H; Kim, K H

    2014-06-01

    This study was performed to examine the longitudinal changes in bite force and occlusal contact area after mandibular setback surgery via intraoral vertical ramus osteotomy (IVRO). Patients with mandibular prognathism who underwent IVRO (surgical group: 39 men and 39 women) were compared with subjects with class I skeletal and dental relationships (control group; 32 men and 35 women). The surgical group was divided into two subgroups: 1-jaw surgery (n = 30) and 2-jaw surgery (n = 48). Bite force and contact area were measured in maximum intercuspation with the Dental Prescale System before treatment, within 1 month before surgery, and at 1, 3, 6, 9, 12, and 24 months postsurgery. A linear mixed model was used to investigate the time-dependent changes and associated factors. Bite force and contact area decreased during presurgical orthodontic treatment, were minimal at 1 month postsurgery, and increased gradually thereafter. The 1-jaw and 2-jaw subgroups showed no significant differences in bite force. The time-dependent changes in bite force were significantly different according to the contact area (P contact area gradually increase throughout the postsurgical evaluation period. Increasing the occlusal contact area may be essential for improving bite force after surgery. Copyright © 2014 International Association of Oral and Maxillofacial Surgeons. Published by Elsevier Ltd. All rights reserved.

  6. Analgesia pós-operatória com bloqueio bilateral do nervo pudendo com bupivacaína S75:R25 a 0,25%: estudo piloto em hemorroidectomia sob regime ambulatorial Analgesia pos-operatoria con bloqueo bilateral del nervio pudendo con bupivacaína S75:R25 a 0,25%: estudio piloto en hemorroidectomia bajo régimen ambulatorial Bilateral pudendal nerves block for postoperative analgesia with 0.25% S75:R25 bupivacaine: pilot study on outpatient hemorrhoidectomy

    Directory of Open Access Journals (Sweden)

    Luiz Eduardo Imbelloni

    2005-12-01

    permitirão demonstrar se esta técnica deve ser a primeira opção para analgesia em hemorroidectomias. A permanência de anestesia perineal por 20,21 horas deverá induzir novos trabalhos com o bloqueio dos nervos pudendos orientado por estimulador para o ato cirúrgico.JUSTIFICATIVA Y OBJETIVOS: La hemorroidectomia puede ser realizada bajo varias técnicas anestésicas y en régimen ambulatorial. El dolor pos-operatorio es intenso y puede atrasar el retorno para el hogar. El objetivo de este estudio fue evaluar las ventajas y la realización del bloqueo bilateral de los nervios pudendos para analgesia pos-operatoria en hemorroidectomias. MÉTODO: El bloqueo bilateral de los nervios pudendos con bupivacaína S75:R25 a 0,25% fue realizado con estimulador de nervios en 35 pacientes sometidos a la hemorroidectomia bajo raquianestesia. Fueron evaluadas intensidad del dolor, duración de la analgesia, analgesia de demanda y eventuales complicaciones relacionadas a la técnica. Los datos fueron evaluados a las 6, 12, 18, 24 y 30 horas después del término de la intervención quirúrgica. RESULTADOS: En todos los pacientes, fue logrado éxito con la estimulación de ambos los nervios pudendos. En ningún momento de la evaluación ocurrió dolor intenso. Hasta 12 horas después del bloqueo, todos los pacientes presentaron anestesia en la región perineal; con 18 horas, 17 pacientes y 24 horas, 10 pacientes A analgesia pos-operatoria fue óptima en 18 pacientes; satisfactoria, en cinco pacientes; e insatisfactoria, en siete pacientes. La duración media de la analgesia fue de 23,77 horas. No ocurrieron alteraciones de la presión arterial, de la frecuencia cardiaca, ni fueron observados náuseas o vómitos. Todos los pacientes tuvieron micción espontánea. Ninguna complicación local o sistémica fue relacionada al anestésico local. Veintisiete pacientes clasificaron de excelente la técnica de analgesia y apenas tres pacientes del sexo masculino quedaron satisfechos

  7. Awareness of complications and maintenance mode of oral piercing in a group of adolescents and young Italian adults with intraoral piercing

    Science.gov (United States)

    Fusco, Francesca; Corridore, Denise; Ottolenghi, Livia

    2015-01-01

    Background The aim of the study was to focus the awareness of complications of oral piercing among a group of adolescents and young Italian adults with intraoral piercings. Material and Methods A total of 225 teenagers were asked to complete a questionnaire on the awareness of complications of oral piercing. An additional questionnaire was administered in case of oral piercing worn, based on site piercing, knowledge about piercer license, oral and systemic risks due to oral piercing, disinfection and sterilization of the material pierced, information by the piercer about piercing hygiene maintenance and post-piercing dentist check-up. After questionnaire all partecipants received a brochure with some information about risks and maintenance mode of piercing. Results Data revealed that more than 50% of teens surveyed was found to wear a piercing. Only 25.3% was aware of the risk of HCV cross-infection and only 17.3% reported of knowledge about risk of endocarditis. Only 17% checked the piercer license and only 18% sterilization and disinfection of the materials used. 53.7% did not received explanations about the risks associated with piercing. With regard to the maintenance mode of the piercing, it has been suggested to brush the piercing bar in 17% of cases. The post piercing specialist visits have been suggested only in 7% of cases. Conclusions The general lack of awareness of complications and maintenance mode related to oral piercing needs to be addressed by some education programs performed at school and by dentists. Key words: Oral piercing, oral health, oral complications. PMID:25858082

  8. MRI with intraoral orthodontic appliance-a comparative in vitro and in vivo study of image artefacts at 1.5 T.

    Science.gov (United States)

    Zachriat, C; Asbach, P; Blankenstein, K I; Peroz, I; Blankenstein, F H

    2015-01-01

    We investigated artefacts caused from orthodontic appliances at 1.5-T MRI of the head and neck region and whether the image quality can be improved utilizing the artefact-minimizing sequence WARP. In vitro tests were performed by phantom measurements of different orthodontic devices applying different types of MR sequences [echoplanar imaging (EPI), turbo spin echo (TSE) and TSE-WARP, gradient echo (GRE)]. Two independent readers determined after calibration the level of artefacts. Subsequently, the interobserver agreement was calculated. The measurement of artefacts was based on the American Society for Testing Materials Standard F 2119-07. For in vivo imaging, one test person was scanned with an inserted multibracket appliance. The level of artefacts for 27 target regions was evaluated. In vitro: ceramic brackets and ferromagnetic steel brackets produced artefact radii up to 1.12 and 7.40 cm, respectively. WARP reduced these artefacts by an average of 32.7%. The Bland-Altman-Plot indicated that maximum measurement differences of 3 mm have to be expected with two calibrated observers. In vivo: the EPI sequence for brain imaging was not analysable. The TSE sequence of the brain did not demonstrate artefacts except for the nasal cavity. Conversely, the TSE sequence of the cervical spine revealed severe artefacts in the midface region. The GRE sequence appeared to be more susceptible to artefacts than did the TSE sequence. In vitro measurements allow an estimation of the in vivo artefact size. Orthodontic appliances may often remain intraorally when performing MRI. WARP showed a more significant effect in vitro than in vivo.

  9. Functional Alterations of Postcentral Gyrus Modulated by Angry Facial Expressions during Intraoral Tactile Stimuli in Patients with Burning Mouth Syndrome: A Functional Magnetic Resonance Imaging Study

    Science.gov (United States)

    Yoshino, Atsuo; Okamoto, Yasumasa; Doi, Mitsuru; Okada, Go; Takamura, Masahiro; Ichikawa, Naho; Yamawaki, Shigeto

    2017-01-01

    Previous findings suggest that negative emotions could influence abnormal sensory perception in burning mouth syndrome (BMS). However, few studies have investigated the underlying neural mechanisms associated with BMS. We examined activation of brain regions in response to intraoral tactile stimuli when modulated by angry facial expressions. We performed functional magnetic resonance imaging on a group of 27 BMS patients and 21 age-matched healthy controls. Tactile stimuli were presented during different emotional contexts, which were induced via the continuous presentation of angry or neutral pictures of human faces. BMS patients exhibited higher tactile ratings and greater activation in the postcentral gyrus during the presentation of tactile stimuli involving angry faces relative to controls. Significant positive correlations between changes in brain activation elicited by angry facial images in the postcentral gyrus and changes in tactile rating scores by angry facial images were found for both groups. For BMS patients, there was a significant positive correlation between changes in tactile-related activation of the postcentral gyrus elicited by angry facial expressions and pain intensity in daily life. Findings suggest that neural responses in the postcentral gyrus are more strongly affected by angry facial expressions in BMS patients, which may reflect one possible mechanism underlying impaired somatosensory system function in this disorder. PMID:29163243

  10. Functional Alterations of Postcentral Gyrus Modulated by Angry Facial Expressions during Intraoral Tactile Stimuli in Patients with Burning Mouth Syndrome: A Functional Magnetic Resonance Imaging Study

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    Atsuo Yoshino

    2017-11-01

    Full Text Available Previous findings suggest that negative emotions could influence abnormal sensory perception in burning mouth syndrome (BMS. However, few studies have investigated the underlying neural mechanisms associated with BMS. We examined activation of brain regions in response to intraoral tactile stimuli when modulated by angry facial expressions. We performed functional magnetic resonance imaging on a group of 27 BMS patients and 21 age-matched healthy controls. Tactile stimuli were presented during different emotional contexts, which were induced via the continuous presentation of angry or neutral pictures of human faces. BMS patients exhibited higher tactile ratings and greater activation in the postcentral gyrus during the presentation of tactile stimuli involving angry faces relative to controls. Significant positive correlations between changes in brain activation elicited by angry facial images in the postcentral gyrus and changes in tactile rating scores by angry facial images were found for both groups. For BMS patients, there was a significant positive correlation between changes in tactile-related activation of the postcentral gyrus elicited by angry facial expressions and pain intensity in daily life. Findings suggest that neural responses in the postcentral gyrus are more strongly affected by angry facial expressions in BMS patients, which may reflect one possible mechanism underlying impaired somatosensory system function in this disorder.

  11. Diagnostic Accuracy of CBCT with Different Voxel Sizes and Intraoral Digital Radiography for Detection of Periapical Bone Lesions: An Ex-Vivo Study

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    Shirin Sakhdari

    2016-10-01

    Full Text Available Objectives: This study sought to assess the diagnostic accuracy of cone beam computed tomography (CBCT with different voxel sizes and intraoral digital radiography with photostimulable phosphor (PSP plate for detection of periapical (PA bone lesions.Materials and Methods: In this ex vivo diagnostic study, one-millimeter defects were created in the alveolar sockets of 15 bone blocks, each with two posterior teeth. A no-defect control group was also included. Digital PA radiographs with PSP plates and CBCT scans with 200, 250 and 300μ voxel sizes were obtained. Four observers evaluated the possibility of lesion detection using a 5-point scale. Sensitivity, specificity, positive predictive value (PPV and negative predicative value (NPV were analyzed using one-way ANOVA and Tamhane’s post hoc test. Kappa and weighted kappa statistics were applied to assess intraobserver and interobserver agreements.Results: Cochrane Q test showed no significant difference between PSP and CBCT imaging modalities in terms of kappa and weighted kappa statistics (P=0.675. The complete sensitivity and complete NPV for 200 and 250 μ voxel sizes were higher than those of 300 μ voxel size and digital radiography (P<0.001. No significant difference was noted in other parameters among other imaging modalities (P=0.403.Conclusions: The results showed that high-resolution CBCT scans had higher diagnostic accuracy than PSP digital radiography for detection of artificially created PA bone lesions. Voxel size (field of view must be taken into account to minimize patient radiation dose.Keywords: Diagnosis; Cone-Beam Computed Tomography; Radiography, Dental, Digital; Periapical Periodontitis

  12. MRI with intraoral orthodontic appliance—a comparative in vitro and in vivo study of image artefacts at 1.5 T

    Science.gov (United States)

    Zachriat, C; Asbach, P; Blankenstein, K I; Peroz, I

    2015-01-01

    Objectives: We investigated artefacts caused from orthodontic appliances at 1.5-T MRI of the head and neck region and whether the image quality can be improved utilizing the artefact-minimizing sequence WARP. Methods: In vitro tests were performed by phantom measurements of different orthodontic devices applying different types of MR sequences [echoplanar imaging (EPI), turbo spin echo (TSE) and TSE-WARP, gradient echo (GRE)]. Two independent readers determined after calibration the level of artefacts. Subsequently, the interobserver agreement was calculated. The measurement of artefacts was based on the American Society for Testing Materials Standard F 2119-07. For in vivo imaging, one test person was scanned with an inserted multibracket appliance. The level of artefacts for 27 target regions was evaluated. Results: In vitro: ceramic brackets and ferromagnetic steel brackets produced artefact radii up to 1.12 and 7.40 cm, respectively. WARP reduced these artefacts by an average of 32.7%. The Bland–Altman-Plot indicated that maximum measurement differences of 3 mm have to be expected with two calibrated observers. In vivo: the EPI sequence for brain imaging was not analysable. The TSE sequence of the brain did not demonstrate artefacts except for the nasal cavity. Conversely, the TSE sequence of the cervical spine revealed severe artefacts in the midface region. The GRE sequence appeared to be more susceptible to artefacts than did the TSE sequence. Conclusions: In vitro measurements allow an estimation of the in vivo artefact size. Orthodontic appliances may often remain intraorally when performing MRI. WARP showed a more significant effect in vitro than in vivo. PMID:25734243

  13. Relación entre daño mitocondrial y producción de H2O2 en embriones bovinos producidos in vitro con alto y bajo potencial de desarrollo

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    Marlene Jiménez

    2001-04-01

    Full Text Available

    Los embriones producidos in vitro (EPIV presentan bloqueo en el
    desarrollo en el momento de la activación del genoma (8-16 células en bovinos, limitando la producción de blastocitos (35%. Este fenómeno ha sido relacionado con la producción de Especies Reactivas de Oxígeno (ERO. Entre las fuentes de ERO se han descrito altas tensiones de oxígeno, exposición a la luz y alteración del metabolismo oxidativo (1. Los EPIV con baja competencia para superar el bloqueo presentan fallas en la funcionalidad mitocondrial (1 y nucleolar, exhibiendo un retardo en su tasa de clivaje (2. Algunos autores han relacionado el tiempo al primer clivaje con la cantidad relativa de ciertos
    transcriptos, como Glutatión (2, un limpiador de ERO, sugiriendo que los embriones incompetentes presentan fallas  transcripcionales que les impiden defenderse contra las ERO producidas en cultivo, quizás manteniendo niveles elevados de H2O2 lo que los hace más susceptibles al daño celular.
    Hasta el presente no se ha efectuado un estudio de cinética de producción de ERO, en EPIV bovinos con alta y baja competencia durante el desarrollo temprano, ni se ha logrado esclarecer el papel de la mitocondria en la generación de ERO (como fuente o como blanco.
    Los objetivos de este estudio son determinar la cinética de producción de H2O2 en embriones con alta y baja competencia para superar el bloqueo y la relación de éstos con procesos de daño mitocondrial y mortalidad embrionaria.

     

     

  14. Estrategia quirúrgica reconstructiva en un caso de duplicación palatina compleja

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    Diego-José Caycedo

    Full Text Available La duplicación palatina es una malformación congénita rara de las estructuras craneofaciales. En la mayoría de casos se asocia a otras malformaciones faciales de diferente grado de severidad. Presentamos el caso de un paciente con duplicación de paladar y fisuras faciales raras, con el planteamiento y la estrategia quirúrgica para su reconstrucción. Con el apoyo de las imágenes escanográfícas con reconstrucción tridimensional se realizó el planeamiento quirúrgico. Programamos resección en cuña de los segmentos mediales de cada paladar, a cada lado de la fisura facial, y transferencia medial en bloque del maxilar comprometido. La gran variación anatómica encontrada durante el procedimiento, 2 orificios infraorbitarios divididos por la fisura facial, y la alteración del seno maxilar del lado comprometido, nos impusieron un reto quirúrgico para la reconstruccion. Logramos la resección en bloque planeada recreando un único paladar. La evolución postoperatoria fue favorable, no se presentaron complicaciones y la oclusión funcional resultante fue la esperada.

  15. Dual renin-angiotensin system blockade plus oral methylprednisone for the treatment of proteinuria in IgA nephropathy Doble bloqueo del sistema renina-angiotensina más metilprednisona oral para el tratamiento de la proteinuria en la nefropatía por IgA

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    Hernán Trimarchi

    2007-10-01

    Full Text Available Renin-angiotensin system inhibition is a widely accepted approach to initially deal with proteinuria in IgA nephropathy, while the role of immunosuppressants remains controversial in many instances. A prospective, uncontrolled, open-label trial was undertaken in patients with biopsy-proven IgA nephropathy with proteinuria > 0.5 g/day and normal renal function to assess the efficacy of a combination treatment of angiotensin converting enzyme inhibitors plus angiotensin receptor blockers enalapril valsartan coupled with methylprednisone to decrease proteinuria to levels below 0.5 g/day. Twenty patients were included: Age 37.45 ± 13.26 years (50% male; 7 patients (35% were hypertensive; proteinuria 2.2 ± 1.86 g/day; serum creatinine 1.07 ± 0.29 mg/dl; mean follow-up 60.10 ± 31.47 months. IgA nephropathy was subclassified according to Haas criteria. Twelve patients (60% were class II; seven (35% were class III and one (5% class V. All patients received dual reninangiotensin system blockade as tolerated. Oral methylprednisone was started at 0.5 mg/kg/day for the initial 8 weeks and subsequently tapered bi-weekly until the maintenance dose of 4 mg was reached. Oral steroids were discontinued after 24 weeks (6 months of therapy but renin-angiotensin inhibition remained unchanged. At 10 weeks of therapy proteinuria decreased to 0.15 ± 0.07 g/day (P El doble bloqueo del sistema renina-angiotensina con inhibidores de la enzima convertidora de angiotensina junto a bloqueadores del receptor tipo I de angiotensina II es aceptado como tratamiento en la proteinuria de la nefropatía por IgA, ya que el rol de los inmunosupresores continúa siendo controvertido. Estudio prospectivo, no controlado, abierto para pacientes con nefropatía por IgA con proteinurias >0.5 g/día y creatininas séricas <1.4 mg/dl, para evaluar la eficacia de tratamiento de enalapril más valsartán asociado a metilprednisona vía oral para disminuir las proteinurias a <0.5 g

  16. Oral radiation protector appliance

    International Nuclear Information System (INIS)

    Persico, T.M.; Dudas, R.M.; Shusta, G.W.

    1982-01-01

    An appliance for protecting teeth, gingiva, periodontal or alveola bone, salivary glands, and adjacent body areas against the harmful side effects of radiation therapy consists of an intraoral portion and an extraoral portion that may be selectively attached. The intraoral portion is substantially u-shaped to encompass the teeth and adjacent areas. The intraoral part may be made of lead sheet coated with plastic; the extraoral portion may be of lead sheet

  17. Anestesia peridural para cesariana: estudo comparativo entre Bupivacaína Racêmica (S50-R50 e Bupivacaína com excesso enantiomérico de 50% (S75-R25 a 0,5% associadas ao Sufentanil Anestesia epidural para cesárea: estudio comparativo entre Bupivacaína Racémica (S50-R50 y Bupivacaína con exceso enantiomérico de 50% (S75-R25 a 0,5% asociadas al Sufentanil Epidural block for cesarean section: a comparative study between 0.5% racemic Bupivacaine (S50-R50 and 0.5% enantiomeric excess Bupivacaine (S75-R25 associated with Sufentanil

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    Angélica de Fátima de Assunção Braga

    2009-06-01

    bupivacaína racémica a 0,5% asociada a opioides por vía epidural constituye una técnica anestésica utilizada en cesárea, sin embargo su toxicidad se pone en tela de juicio. La bupivacaína con exceso enantiomérico de 50%, presenta un menor cardio y neurotoxicidad. Se evaluó la eficacia de la bupivacaína racémica y de la bupivacaína con exceso enantiomérico de 50% a 0,5%, asociadas al sufentanil, por vía epidural en embarazadas sometidas a la cesárea. MÉTODO: Cincuenta embarazadas a término, sometidas a la cesárea electiva bajo bloqueo epidural, distribuidas en dos grupos, de acuerdo con el anestésico local usado: Grupo I - bupivacaína racémica a 0,5% con vasoconstrictor; Grupo II - bupivacaína con exceso enantiomérico de 50% (S75-R25 a 0,5% con vasoconstrictor. En los dos grupos el anestésico local (100 mg estuvo asociado al sufentanil (20 µg y el volumen total usado de la solución fue de 24 mL. Se evaluaron: la latencia del bloqueo sensitivo; nivel máximo del bloqueo sensitivo; grado del bloqueo motor; tiempo para la regresión del bloqueo motor; duración de la analgesia; efectos colaterales maternos y repercusiones neonatales. RESULTADOS: La latencia, el nivel máximo del bloqueo sensitivo, el grado del bloqueo motor y la duración de la analgesia fueron similares en los dos grupos; el tiempo para la regresión del bloqueo motor fue significativamente menor en el Grupo II. Los efectos colaterales ocurrieron con frecuencia similar en los dos grupos. Hubo ausencia de alteraciones cardiocirculatorias maternas y repercusiones neonatales. CONCLUSIONES: La bupivacaína racémica y la bupivacaína con exceso enantiomérico de 50%, por vía epidural, proporcionan una anestesia adecuada para la realización de la cesárea. La bupivacaína con exceso enantiomérico de 50%, es una alternativa promisoria para ese tipo de procedimiento, por presentar un menor tiempo para la regresión del bloqueo motor, lo que mucho se desea en la paciente obst

  18. Forced oral opening for cadavers with rigor mortis: two approaches for the myotomy on the temporal muscles.

    Science.gov (United States)

    Nakayama, Y; Aoki, Y; Niitsu, H; Saigusa, K

    2001-04-15

    Forensic dentistry plays an essential role in personal identification procedures. An adequate interincisal space of cadavers with rigor mortis is required to obtain detailed dental findings. We have developed intraoral and two directional approaches, for myotomy of the temporal muscles. The intraoral approach, in which the temporalis was dissected with scissors inserted via an intraoral incision, was adopted for elderly cadavers, females and emaciated or exhausted bodies, and had a merit of no incision on the face. The two directional approach, in which myotomy was performed with thread-wire saw from behind and with scissors via the intraoral incision, was designed for male muscular youths. Both approaches were effective to obtain a desired degree of an interincisal opening without facial damage.

  19. Oral lichen planus

    International Nuclear Information System (INIS)

    Rasool, S.; Katpar, S.; Ali, A.

    2007-01-01

    Lichen planus is a mucocutaneous dermatological disorder, with intraoral manifestation. Skin lesions prevail with oral mucosal lesions. Prevalence of lichen planus, as an oral pre-malignant lesion, is 1-2 % population. Lateral border, dorsal tongue, gingiva, hard palate and vermilion border are common sites and lesions appear as reticular, plaque-like and papular intraoral types. Skin presents with pururitic, polygonal papules. Atrophic and erosive are the known intraoral pre-malignant types. A case report is presented, which responded well to steroid therapy. (author)

  20. Rapid, labile, and protein synthesis-independent short-term memory in conditioned taste aversion.

    Science.gov (United States)

    Houpt, T A; Berlin, R

    1999-01-01

    Short-term memory is a rapid, labile, and protein-synthesis-independent phase of memory. The existence of short-term memory in conditioned taste aversion (CTA) learning has not been demonstrated formally. To determine the earliest time at which a CTA is expressed, we measured intraoral intake of sucrose at 15 min, 1 hr, 6 hr, or 48 h after contingent pairing of an intraoral infusion of 5% sucrose (6.6 ml over 6 min) and toxic lithium chloride injection (76 mg/kg). Rats were implanted with intraoral catheters to allow presentation of taste solutions at arbitrary times. Intraoral intake was measured under conditions of long-delay, single-trial learning typical of CTA. Rats decreased intraoral intake of sucrose at 15 min after contingent pairing of sucrose and LiCl, but not after noncontingent LiCl or sucrose. Thus CTA learning can be expressed rapidly. To determine if short-term CTA memory is labile and decays in the absence of long-term memory, we measured intraoral intake of sucrose after pairing sucrose with low doses of LiCl. Rats received an intraoral infusion of 5% sucrose (6 ml/6 min); 30 min later LiCl was injected at three different doses (19, 38, or 76 mg/kg). A second intraoral infusion of sucrose was administered 15 min, 1 hr, 3 hr, 4.5 hr, 6 hr, or 48 hr later. The formation of long-term CTA memory was dependent on the dose of LiCl paired with sucrose during acquisition. Low doses of LiCl induced a CTA that decayed within 6 hr after pairing. Central administration of the protein synthesis inhibitor cycloheximide prior to LiCl injection blocked long-term CTA expression at 6 and 48 hr, but not short-term CTA expression at 1 hr. Thus, short-term memory for CTA learning exists that is acquired rapidly and independent of protein synthesis, but labile in the absence of long-term memory formation.

  1. Sialadenoma papilliferum in a young patient: a case report and review of the literature.

    Science.gov (United States)

    Mahajan, Dipti; Khurana, Nita; Setia, Namrata

    2007-03-01

    Sialadenoma papilliferum is a rare exophytic tumor of salivary gland origin, accounting for less than 1% of minor salivary gland tumors. It usually occurs in males older than 50 years as a painless papillary intraoral lesion. An 18-year-old male patient presented with an exophytic intraoral lesion present for approximately 12 years. The tumor was excised with a clinical diagnosis of infected hemangioma. However, histopathological diagnosis was consistent with sialadenoma papilliferum. The patient was followed up at regular intervals and no evidence of recurrence was noted. Our patient, aged 18 years, with tumor lasting for 12 years becomes the youngest case of intraoral sialadenoma papilliferum yet reported. This case highlights the importance of keeping sialadenoma papilliferum as a differential diagnosis of an intraoral exophytic proliferative lesion even in a young patient.

  2. Bupivacaína racêmica a 0,5% e mistura com excesso enantiomérico de 50% (S75-R25 a 0,5% no bloqueio do plexo braquial para cirurgia ortopédica. Estudo comparativo Bupivacaína racémica a 0,5% y mezcla con exceso enantiomérico del 50% (S75-R25 a 0,5% en el bloqueo del plexo braquial para cirugía ortopédica. Estudio comparativo Comparative study of 0.5% racemic bupivacaine versus enantiomeric mixture (S75-R25 of 0.5% bupivacaine in brachial plexus block for orthopedic surgery

    Directory of Open Access Journals (Sweden)

    Roberto Tsuneo Cervato Sato

    2005-04-01

    cirurgia ortopédica de membro superior.JUSTIFICATIVA Y OBJETIVOS: Con la finalidad de encontrar una droga más segura que la bupivacaína racémica, varios estudios fueron realizados con sus isómeros. Este estudio tiene como objetivo evaluar la eficacia de la mezcla con exceso enantiomérico del 50% (MEE50% de bupivacaína (S75-R25 a 0,5% comparada la de la bupivacaína racémica a 0,5% en el bloqueo del plexo braquial en pacientes sometidos a cirugía ortopédica de miembros superiores. MÉTODO: Participaron de este estudio, aleatorio y doblemente encubierto, 40 pacientes, con edade entre 18 y 90 años, estado físico ASA I y II, sometidos a cirugía ortopédica de miembros superiores, distribuidos en dos grupos: Grupo R, que recibió la solución de bupivacaína racémica a 0,5%, y Grupo L, que recibió la solución de la mezcla con exceso enantiomérico del 50% de bupivacaína (S75-R25 a 0,5%, ambas con epinefrina 1:200.000 y en un volumen de 0,6 mL.kg-1 (3 mg.kg-1, limitados a 40 mL. Fueron investigadas las características motoras y sensoriales de cada nervio envolvido (nervios musculocutáneo, radial, mediano, ulnar y cutáneo medial del antebrazo, bien como la incidencia de efectos colaterales. RESULTADOS: No hubo diferencia estadística significativa con relación a los aspectos demográficos. Los parámetros hemodinámicos fueron semejantes entre los grupos, solo que la presión arterial sistólica fue mayor en el Grupo R. No hubo diferencia significativa con relación al tiempo necesario para alcanzar la mayor intensidad de los bloqueos motor y sensitivo. Con una excepción, la latencia del bloqueo motor del grupo muscular inervado por el n. ulnar fue mayor en el Grupo L (10,75 versus 14,25 minutos. CONCLUSIONES: En ambos grupos fueron observados bloqueos motor y sensitivo adecuados para la realización de la cirugía, con pocos efectos colaterales, sugiriendo que la mezcla con exceso enantiomérico del 50% de bupivacaína (S75-R25 a 0,5% con epinefrina es

  3. Comparison of the marginal fit of lithium disilicate crowns fabricated with CAD/CAM technology by using conventional impressions and two intraoral digital scanners.

    Science.gov (United States)

    Abdel-Azim, Tamer; Rogers, Kelly; Elathamna, Eiad; Zandinejad, Amirali; Metz, Michael; Morton, Dean

    2015-10-01

    Conventional impression materials and techniques have been used successfully to fabricate fixed restorations. Recently, digital pathways have been developed, but insufficient data are available regarding their marginal accuracy. The purpose of this in vitro study was to compare the marginal gap discrepancy of lithium disilicate single crowns fabricated with computer-aided design and computer-aided manufacturing (CAD/CAM) technology by using both conventional and 2 digital impression techniques. One typodont maxillary right central incisor was prepared for a ceramic crown. Ten impressions were made by using each method: conventional with polyvinyl siloxane impression material, Lava COS (3M ESPE), and iTero (Cadent) intraoral scanning devices. Lithium disilicate (e.max CAD) crowns were fabricated with CAD/CAM technology, and the marginal gap was measured for each specimen at 4 points under magnification with a stereomicroscope. The mean measurement for each location and overall mean gap size by group were calculated. Statistically significant differences among the impression techniques were tested with F and t tests (α=.05). The average (±SD) gap for the conventional impression group was 112.3 (±35.3) μm. The digital impression groups had similar average gap sizes; the Lava group was 89.8 (±25.4) μm, and the iTero group was 89.6 (±30.1) μm. No statistically significant difference was found in the effects among impression techniques (P=.185) CONCLUSIONS: Within the limitations of this study, digital and conventional impressions were found to produce crowns with similar marginal accuracy. Copyright © 2015 Editorial Council for the Journal of Prosthetic Dentistry. Published by Elsevier Inc. All rights reserved.

  4. Los empresarios estadounidenses y su relación con Cuba

    Directory of Open Access Journals (Sweden)

    Cristina Padilla Dieste

    1999-01-01

    Full Text Available Desde los primeros meses después del triunfo de la Revolución en Cuba, los empresarios estadounidenses desempeñaron un activo papel para incidir en la decisiones que tomaría el gobierno de Estados Unidos para declarar el bloqueo económico, el cual desde entonces es el eje de la disputa entre esas dos naciones. Ya durante los años setenta, enmedio de las sanciones, algunos empresarios tuvieron diversos acercamientos tendientes a suavizar el conflicto. A inicios de los noventa, a raíz de los cambios en materia económica que experimenta la isla, de nueva cuenta los hombres de negocios del país del norte vuelven a tener un papel protagónico en las posiciones que juegan para propiciar las condiciones que pongan fin al bloqueo y se reanuden así las relaciones económicas entre ambos países. La intervención de los empresarios en este momento del proceso permite calificarlos como uno de los actores económicos externos más relevantes cuya influencia pueda cambiar las relaciones políticas entre los dos países.

  5. Absorbed bone marrow dose in certain dental radiographic techniques

    International Nuclear Information System (INIS)

    White, S.C.; Rose, T.C.

    1979-01-01

    The absorbed dose of radiation in the bone marrow of the region of the head and neck was measured during intraoral, panoramic, and cephalometric radiography. Panoramic radiography results in a dose a fifth or less than that from an intraoral survey. The use of rectangular collimation reduces the bone marrow absorbed dose from an intraoral survey by about 60%. Comparison of the doses from dental radiography with natural environmental radiation shows that an intraoral set of films results in the same total dose to the bone marrow as 65 days of background exposure. The use of rectangular collimation reduces this value to 25 days. Panoramic radiography results in significantly less irradiation, as it reduces the value to 14 days or fewer. Dental radiography thus involves exposures in the range of variation of natural environmental background values

  6. Bloqueo del receptor del factor de crecimiento semejante a la Insulina Tipo I utilizando oligodeoxinucleótidos antisentido en cáncer de mama experimental Type I insulin-like growth factor receptor antisense strategies in experimental breast cancer

    Directory of Open Access Journals (Sweden)

    Mariana Salatino

    2004-04-01

    Full Text Available Evaluamos el efecto del bloqueo de la expresión del receptor del factor de crecimiento semejante a la insulina tipo I (IGF-IR sobre el crecimiento in vivo de cáncer de mama empleando una estrategia "antisentido". Utilizamos el adenocarcinoma mamario murino progestágeno-dependiente C4HD. La administración intratumoral o sistémica de oligodeoxinucleótidos antisentido fosfotiolados al ARNm del IGF-IR (AS[S]ODN inhibió el crecimiento tumoral. El efecto antitumoral fue específico debido a su dosis-dependencia y a la falta de efecto en ratones tratados con el S[S]ODN "sentido". Los tumores obtenidos de ratones tratados con AS[S]ODN mostraron: disminución en la expresión de IGF-IR y en la fosforilación del sustrato del receptor de insulina-1, inhibición de la activación de PI-3K/Akt, p42/p44MAPK y ErbB-2, mientras que la expresión y activación del receptor de progesterona no se afectó. Es la primera demostración que el crecimiento de cáncer de mama puede ser inhibido por la administración in vivo de AS[S]ODN al IGF-IR.We addressed the effect of targeting type I insulin-like growth factor receptor (IGF-IR, with antisense strategies in in vivo growth of breast cancer cells. We used C4HD tumors from an experimental model of hormonal carcinogenesis in which medroxyprogesterone acetate induced mammary adenocarcinomas in Balb/c mice. Intratumor or systemic administration of phosphorothiolated antisense oligodeoxynucleotides (AS[S]ODN to IGF-IR mRNA resulted in a significant inhibition of C4HD tumor growth. The antitumor effect was specific since inhibition of tumor growth was dose-dependent and no effect was observed in mice treated with sense S[S]ODN. Tumors from AS[S]ODN-treated mice showed a decrease in IGF-IR expression and in insulin receptor substrate-1 tyrosine phosphorylation. Activation of PI-3K/Akt, p42/p44 MAPK and ErbB-2 was abolished in tumors treated with AS[S]ODN. Progesterone receptor expression or activity remained

  7. Comparative evaluation of three obturation techniques in primary incisors using digital intra-oral receptor and C.B.C.T-an in vitro study.

    Science.gov (United States)

    Akhil, Jose E J; Prashant, Babaji; Shashibushan, K K

    2018-05-10

    Successful pulpectomy in primary teeth depends on quality of obturation. It can be evaluated using digital intra-oral receptor (D.I.O.R) and cone beam computed tomography (C.B.C.T). The purposes of this study were to compare 3 different obturation techniques such as lentulospiral, insulin syringe, and endodontic plugger in primary incisors and to evaluate its quality of obturation using D.I.O.R and C.B.C.T technique. Thirty-three extracted primary incisors were biomechanically prepared and obturated with zinc oxide eugenol cement by 3 different obturation techniques. The obturation was evaluated for length of obturation and voids using D.I.O.R and C.B.C.T methods. There was a statistically significant difference between all the groups in length of obturation (P = 0.02) in both D.I.O.R and C.B.C.T. Significant differences (P = 0.03) were present in number of voids among 3 obturation techniques in C.B.C.T. Statistically more voids were observed with D.I.O.R in lentulospiral (P = 0.04) group and in insulin syringe (P = 0.02) group. Acceptable result was obtained with lentulospiral in length of obturation compared to insulin syringe and endodontic plugger technique. Insulin syringe technique resulted in increased underfilling with least number of voids. More number of voids were seen in middle one-third and least number of voids were observed at apical one third of the root among all the 3 techniques of obturation. The study concluded that void identification is improved with D.I.O.R compared to C.B.C.T. Lentulospiral reported effective length of obturation, while insulin syringe with least number of voids. D.I.O.R (2-Dimensional) is efficient in detecting voids compared to C.B.C.T (3-Dimensional) in obturated primary teeth.

  8. Simulação de bloqueios periféricos guiados por ultra-som: curva de aprendizado dos residentes de anestesiologia do CET-SMA/HSL Simulacro de bloqueos periféricos guiados por ultrasonido: curva de aprendizaje de los residentes de anestesiología del CET-SMA/HSL Simulation of ultrasound-guided peripheral nerve block: learning curve of CET-SMA/HSL anesthesiology residents

    Directory of Open Access Journals (Sweden)

    Marilia Bonifácio Baranauskas

    2008-04-01

    Full Text Available JUSTIFICATIVA E OBJETIVOS: A técnica de ultra-som tem sido cada vez mais utilizada para a realização de bloqueios de nervos periféricos. Existem poucos relatos na literatura que analisam a curva de aprendizado da técnica de ultra-som. O objetivo do estudo foi avaliar a curva de aprendizado dos residentes de Anestesiologia do CET-SMA/HSL em bloqueios periféricos guiados por ultra-som por meio de modelo experimental de gelatina. MÉTODO: Foi desenvolvido modelo experimental com cuba preenchida de gelatina e azeitona submersa. Nove residentes foram distribuídos aleatoriamente em três grupos (G1, G2 e G3 compostos, cada um, de um R1, um R2 e um R3. Os três grupos receberam explanação teórica. O G1 recebeu duas horas de treinamento prático, o G2 uma hora e o G3 não treinou. Na seqüência, os participantes foram solicitados a posicionar a agulha no ponto médio da parede da azeitona, próximo ao transdutor e reposicionar a agulha entre a azeitona e o fundo da cuba, simulando a injeção perineural do anestésico. Foram avaliadas a velocidade e eficácia das tarefas, além das falhas técnicas. RESULTADOS: O G1 apresentou média de tempo para realização das tarefas de 37,63 segundos, sem falhas técnicas; no G2 observou-se média de 64,40 segundos, ocorrendo duas falhas técnicas e o G3 apresentou média de 93,83 segundos, com 12 falhas técnicas. CONCLUSÕES: O estudo permite concluir que o maior tempo de treinamento em modelo experimental de bloqueios periféricos guiados por ultra-som melhorou a curva de aprendizado na simulação da técnica.JUSTIFICATIVA Y OBJETIVOS: La técnica de ultrasonido ha sido cada vez más utilizada para la realización de bloqueos de nervios periféricos. Existen pocos relatos en la literatura que analizan la curva de aprendizaje de la técnica de ultrasonido. El objetivo del estudio fue evaluar la curva de aprendizaje de los residentes de Anestesiología del CET-SMA/HSL en bloqueos periféricos guiados

  9. X-Ray diagnostics and their relation to a successful endodontic treatment

    International Nuclear Information System (INIS)

    Cecetkova, A.; Ondrasovicova, J.

    2008-01-01

    Radiography plays very major rule in endodontic. One of the most used method is intraoral radiography ( intraoral diagnostic x-ray, x-ray with hand root instrument, recall, after call and follow up x-ray ). These radiographic pictures help us detect the morphology of the root canal system, endodontic complications and periapical lessions. X-ray radiographs have to be isometric in the ortoradial projection. Some cases we may use the ex-centric projection (mesial and distal projection). Endodontic complications as broken hand root instrument, via falsa, intra-canal step may be confirmed by intraoral x-ray radiographs. (authors)

  10. Accuracy of Buccal Scan Procedures for the Registration of Habitual Intercuspation.

    Science.gov (United States)

    Zimmermann, M; Ender, A; Attin, T; Mehl, A

    2018-04-09

    Accurate reproduction of the jaw relationship is important in many fields of dentistry. Maximum intercuspation can be registered with digital buccal scan procedures implemented in the workflow of many intraoral scanning systems. The aim of this study was to investigate the accuracy of buccal scan procedures with intraoral scanning devices for the registration of habitual intercuspation in vivo. The hypothesis was that there is no statistically significant difference for buccal scan procedures compared to registration methods with poured model casts. Ten individuals (full dentition, no dental rehabilitations) were subjects for five different habitual intercuspation registration methods: (CI) poured model casts, manual hand registration, buccal scan with inEOS X5; (BC) intraoral scan, buccal scan with CEREC Bluecam; (OC4.2) intraoral scan, buccal scan with CEREC Omnicam software version 4.2; (OC4.5β) intraoral scan, buccal scan with CEREC Omnicam version 4.5β; and (TR) intraoral scan, buccal scan with Trios 3. Buccal scan was repeated three times. Analysis of rotation (Rot) and translation (Trans) parameters was performed with difference analysis software (OraCheck). Statistical analysis was performed with one-way analysis of variance and the post hoc Scheffé test ( p0.05) differences in terms of translation between groups CI_Trans (98.74±112.01 μm), BC_Trans (84.12±64.95 μm), OC4.2_Trans (60.70±35.08 μm), OC4.5β_Trans (68.36±36.67 μm), and TR_Trans (66.60±64.39 μm). For rotation, there were no significant differences ( p>0.05) for groups CI_Rot (0.23±0.25°), BC_Rot (0.73±0.52°), OC4.2_Rot (0.45±0.31°), OC4.5β_Rot (0.50±0.36°), and TR_Rot (0.47±0.65°). Intraoral scanning devices allow the reproduction of the static relationship of the maxillary and mandibular teeth with the same accuracy as registration methods with poured model casts.

  11. Application of a stent splint to protect intraoral organs from radiation injury to a 97 year-old patient with multiple oral cancers who survived over 100 year-old

    Energy Technology Data Exchange (ETDEWEB)

    Yanagisawa, Shigetaka; Kawamura, Tetsuo; Shimizu, Masatsugu; Aoki, Hirooki; Mizuki, Harumi; Ashizawa, Akira [Oita Medical Coll., Hasama (Japan)

    1989-06-01

    Radiation therapy had been used with increasing frequency in recent years in the management of oral cancers of advanced ages. In those cases we have to take good care to maintain the oral health of patients undergoing cancerocidal dose of radiation therapy. Using splints, as a tissue displacer, during radiation, we could treat a 99-year-old female patient without serious radiation sequelae, successfully she survived over 100 year-old. As she visited us at 97 year-old, the primary lesions located on the left upper lip, nose, upper and lower gums were diagnosed as multiple verrucous carcinoma histologically. Seventeen months after the first radiotherapy to the lip, nose and upper jaw, we planned again radiotherapy to the recurrent tumor of the lower gum. In order to eliminate and minimize side effects of the second irradiation for the contigenous intraoral organs, we devised a splint to exclude the tongue and upper gum apart from a radiation field. The splint, as tissue displacer, was made of heat-cured acrylic resin and divided into two pieces which were formed like full denture without artificial teeth. They were applied to the upper and lower jaws. The lower one had a large wing to exclude the tongue from irradiation field. After setting of the splint, she had been clenched slightly with an aid of chin cap. Then we could finish successfully the radiotherapy with 10 MV X-ray 40 Gy as scheduled without serious troubles. (author).

  12. Application of a stent splint to protect intraoral organs from radiation injury to a 97 year-old patient with multiple oral cancers who survived over 100 year-old

    International Nuclear Information System (INIS)

    Yanagisawa, Shigetaka; Kawamura, Tetsuo; Shimizu, Masatsugu; Aoki, Hirooki; Mizuki, Harumi; Ashizawa, Akira

    1989-01-01

    Radiation therapy had been used with increasing frequency in recent years in the management of oral cancers of advanced ages. In those cases we have to take good care to maintain the oral health of patients undergoing cancerocidal dose of radiation therapy. Using splints, as a tissue displacer, during radiation, we could treat a 99-year-old female patient without serious radiation sequelae, successfully she survived over 100 year-old. As she visited us at 97 year-old, the primary lesions located on the left upper lip, nose, upper and lower gums were diagnosed as multiple verrucous carcinoma histologically. Seventeen months after the first radiotherapy to the lip, nose and upper jaw, we planned again radiotherapy to the recurrent tumor of the lower gum. In order to eliminate and minimize side effects of the second irradiation for the contigenous intraoral organs, we devised a splint to exclude the tongue and upper gum apart from a radiation field. The splint, as tissue displacer, was made of heat-cured acrylic resin and divided into two pieces which were formed like full denture without artificial teeth. They were applied to the upper and lower jaws. The lower one had a large wing to exclude the tongue from irradiation field. After setting of the splint, she had been clenched slightly with an aid of chin cap. Then we could finish successfully the radiotherapy with 10 MV X-ray 40 Gy as scheduled without serious troubles. (author)

  13. Bloqueio 3-em-1 prolongado versus analgesia sistêmica no tratamento da dor pós-operatória após a reconstrução do ligamento cruzado anterior do joelho Bloqueo 3 en 1 prolongado versus analgesia sistemica en el tratamiento del dolor postoperatorio después de la reconstrucción del ligamento cruzado anterior de la rodilla Extended three-in-one block versus intravenous analgesia for postoperative pain management after reconstruction of anterior cruciate ligament of the knee

    Directory of Open Access Journals (Sweden)

    Víctor A. Contreras-Domínguez

    2007-06-01

    Full Text Available JUSTIFICATIVA E OBJETIVOS: O bloqueio femoral contínuo (3-em-1 é usado para a analgesia pós-operatória de artroplastia de quadril e joelho com bons resultados, apresentando vantagens sobre outras técnicas de analgesia locorregional ou sistêmica e com baixa incidência de complicações. O objetivo deste estudo foi avaliar clinicamente a utilidade do bloqueio femoral contínuo em comparação com a analgesia por via venosa na reconstrução do ligamento cruzado anterior. MÉTODO: Foi realizado um estudo prospectivo, controlado, com 60 pacientes com estado físico ASA I. Os paciente foram divididos em dois grupos: Grupo 1 (n = 30: bloqueio femoral contínuo com infusão de bupivacaína e clonidina; Grupo 2 (n = 30: infusão por via venosa de cetoprofeno. A intervenção cirúrgica foi realizada sob raquianestesia e sedação. O tratamento da dor pós-operatória foi feito com analgesia controlada pelo paciente (PCA usando morfina. A dor pós-operatória foi registrada 2, 4, 6, 24 e 36 horas após a intervenção cirúrgica usando a Escala Visual Analógica (VAS. O consumo de morfina, a satisfação dos pacientes e as complicações também foram registradas. RESULTADOS: No Grupo 1, o VAS pós-operatório entre 4 e 48 horas após a intervenção cirúrgica foi de 21 mm ± 2 e no Grupo 2 foi de 45 mm ± 4 (p JUSTIFICATIVA Y OBJETIVOS: El bloqueo femoral continuo (tres-en-uno se usa para la analgesia postoperatoria de artroplastia de cadera y rodilla con buenos resultados, presentando ventajas sobre otras técnicas de analgesia loco regional o sistemica y con baja incidencia de complicaciones. El objetivo de este estudio fue el de evaluar clínicamente la utilidad del bloqueo femoral continuo en comparación con la analgesia intravenosa en la reconstrucción del ligamento cruzado anterior. MÉTODOS: Se realizó un estudio prospectivo controlado con 60 pacientes de estado físico ASA I. Los pacientes fueron divididos en dos grupos: Grupo 1 (n

  14. Supervisión de sistemas lógicos de control utilizando el diagrama de evolución del estado*

    Directory of Open Access Journals (Sweden)

    Daniel Gómez

    2011-07-01

    Full Text Available Resumen: Los sistemas de fabricación actuales están controlados y supervisados por controladores lógicos programables. El análisis y mantenimiento de un programa de control es una tarea muy compleja debido a su gran tamaño medido tanto en líneas de código como en número de variables utilizadas. El análisis de los posibles problemas que puede presentar el proceso controlado, como por ejemplo, cuellos de botella y bloqueos, requiere de herramientas formales. Sin embargo, las herramientas existentes presentan importantes limitaciones. En este trabajo se propone el uso del diagrama de evolución del estado para realizar dicho análisis. Este diagrama complementa a otras herramientas formales basadas en redes de Petri o autómatas finitos y permite analizar los sistemas de control lógico a partir de las señales físicas del proceso. Resulta ser una herramienta de gran utilidad en las fases de validación y puesta en marcha, así como para la supervisión de procesos durante la fase de ejecución. Palabras clave: Control lógico, Autómatas finitos, Redes de Petri, Grafos orientados, Bloqueos, Cuellos de botella, Diagrama de estado

  15. Anestesia raquídea versus anestesia intrarticular en cirugía artroscópica de rodilla. [Spinal anesthesia versus intra-articular anesthesia in arthroscopic surgery of the knee.

    Directory of Open Access Journals (Sweden)

    Lucas Daniel Marangoni

    2016-11-01

      Discusión Conclusión: Las  ventajas encontradas a favor de la anestesia intraarticular fueron: Estadías hospitalarias acortadas, se evitaron efectos indeseables de la anestesia raquídea: bloqueo motor, nauseas, vómitos, hipotensión, pérdida transitoria de esfínter urinario y retención urinaria (globo vesical. Disminución de los costos y mayor aceptación de los pacientes.

  16. Caracterización de arritmias cardíacas tras el uso de infusiones analgésicas continuas de tramadol o lidocaína en perras ovariohisterectomizadas

    OpenAIRE

    Buriticá Gaviria, Edwin Fernando; Echeverry Bonilla, Diego Fernando; Arévalo Carbonell, Mario Fernando; Alvarado Poveda, Ana María; Ospina-Argüelles, Diego Alejandro

    2017-01-01

    Resumen El uso de infusiones analgésicas continuas (IACs) es una estrategia eficaz para el control del dolor posquirúrgico en caninos; sin embargo, dependiendo del fármaco empleado, la electrofisiología cardiaca puede verse alterada por la presencia de taquiarritmias, bradiarritmias, complejos ventriculares, fibrilación o bloqueos atrioventriculares. El objetivo de este estudio fue valorar la frecuencia cardiaca y caracterizar las anormalidades electrocardiográficas observadas durante el empl...

  17. Factors involved in dental surgery fires: a review of the literature.

    Science.gov (United States)

    VanCleave, Andrea M; Jones, James E; McGlothlin, James D; Saxen, Mark A; Sanders, Brian J; Walker, LaQuia A

    2014-01-01

    Surgical fires are well-characterized, readily preventable, potentially devastating operating room catastrophes that continue to occur from 20 to 100 times per year or, by one estimate, up to 600 times per year in US operating rooms, sometimes with fatal results. The most significant risk factors for surgical fires involve (a) the use of an ignition source, such as laser or electrocautery equipment, in or around an oxygen-enriched environment in the head, neck, and upper torso area and (b) the concurrent delivery of supplemental oxygen, especially via nasal cannula. Nonetheless, while these 2 conditions occur very commonly in dental surgery, especially in pediatric dental surgery where sedation and anesthesia are regularly indicated, there is a general absence of documented dental surgical fires in the literature. Barring the possibility of underreporting for fear of litigation, this may suggest that there is another mechanism or mechanisms present in dental or pediatric dental surgery that mitigates this worst-case risk of surgical fires. Some possible explanations for this include: greater fire safety awareness by dental practitioners, incidental ventilation of oxygen-enriched environments in patient oral cavities due to breathing, or suction used by dental practitioners during procedures. This review of the literature provides a background to suggest that the practice of using intraoral suction in conjunction with the use of supplemental oxygen during dental procedures may alter the conditions needed for the initiation of intraoral fires. To date, there appear to be no published studies describing the ability of intraoral suctioning devices to alter the ambient oxygen concentration in an intraoral environment. In vivo models that would allow examination of intraoral suction on the ambient oxygen concentration in a simulated intraoral environment may then provide a valuable foundation for evaluating the safety of current clinical dental surgical practices

  18. Investigation of clinical conditions affecting quality control in a dental X-ray unit

    International Nuclear Information System (INIS)

    Akiyama, Hironori; Koseki, Takakazu; Itagaki, Keisuke; Yotsui, Yoritaka; Gamoh, Shoko; Shimizutani, Kimishige

    2011-01-01

    In this study, to clarify quality control issues in a dental X-ray unit, we surveyed the uniformity and safety of absorbed doses and exposure time from dental X-ray units, and evaluated image quality of intraoral radiography at Osaka Dental University Hospital. Measurements of dose and exposure time were carried out five times and the mean was calculated at twenty-two dental X-ray units in our university hospital using the standard parameters for the mandibular molar region in adults. Intraoral radiography for evaluation of image quality was taken using D-speed films under the standard parameters for the mandibular molar region in adults and E-speed films for pediatric patients. Evaluation of image quality was performed by three oral radiologists. Dose and exposure time differed significantly among units. Image quality of intraoral radiography using D-speed films was not significantly better than that of E-speed films. This study demonstrated that it is necessary to establish a uniform dose and exposure time and to change D-speed films to E-speed films when obtaining intraoral radiography in our hospital. (author)

  19. Aroma release in the oral cavity after wine intake is influenced by wine matrix composition.

    Science.gov (United States)

    Esteban-Fernández, Adelaida; Muñoz-González, Carolina; Jiménez-Girón, Ana; Pérez-Jiménez, María; Pozo-Bayón, María Ángeles

    2018-03-15

    The aim of this study has been to investigate if wine matrix composition might influence the interaction between odorants and oral mucosa in the oral cavity during a "wine intake-like" situation. Aroma released after exposing the oral cavity of three individuals to different wines (n=12) previously spiked with six target aromas was followed by an -in vivo intra-oral SPME approach. Results showed a significant effect of wine matrix composition on the intra-oral aroma release of certain odorants. Among the wine matrix parameters, phenolic compounds showed the largest impact. This effect was dependent on their chemical structure. Some phenolic acids (e.g. hippuric, caffeic) were associated to an increase in the intra-oral release of certain odorants (e.g. linalool, β-ionone), while flavonoids showed the opposite effect, decreasing the intra-oral release of aliphatic esters (ethyl hexanoate). This work shows for the first time, the impact of wine composition on oral-mucosa interactions under physiological conditions. Copyright © 2017 Elsevier Ltd. All rights reserved.

  20. Síndrome de Bayés

    Directory of Open Access Journals (Sweden)

    María C. Gaviria

    2017-11-01

    Full Text Available Resumen: Introducción: El bloqueo interatrial avanzado, sumado a la aparición posterior de arritmias supraventriculares, principalmente fibrilación auricular y aleteo auricular, se conoce como síndrome de Bayés. Sus alteraciones anatómicas y eléctricas, así como sus complicaciones, son de gran impacto en este tipo de pacientes, y hasta la fecha se les había dado poca importancia. En lo que respecta al tratamiento, existen muchos interrogantes sobre la necesidad de anticoagulación en pacientes con bloqueo interatrial en ausencia de fibrilación auricular y flutter auricular. Métodos y materiales: Se presenta la primera revisión no sistemática de la literatura en Colombia y, posteriormente, se exponen tres casos de pacientes que inicialmente tenían bloqueo interatrial avanzado y que, a lo largo de los años de seguimiento, desarrollaron fibrilación auricular. Se muestran los electrocardiogramas que documentan el bloqueo interatrial, las características demográficas, los antecedentes personales relevantes, las imágenes de ecocardiografía y el manejo actual relacionado de los casos. Conclusiones: Los profesionales de la salud precisan mayor conocimiento sobre este síndrome, para así garantizar un diagnóstico temprano que lleve a un seguimiento adecuado y se logre impactar el pronóstico. Así mismo, es ideal que se fomenten estudios que faciliten la correcta caracterización demográfica de la población en pro de generar nuevas hipótesis con miras hacia el tratamiento óptimo. Abstract: Introduction: Bayés syndrome is characterised by the presence of an advanced inter-atrial block and the subsequent appearance of supraventricular arrhythmias, mainly, atrial fibrillation and atrial flutter. Its anatomical and electrical disturbances, as well as its complications, have a great impact on those who suffer from it, which, up until now have been given little importance. As regards treatment, there is a lot of controversy on the

  1. Feasibility and Accuracy of Digitizing Edentulous Maxillectomy Defects: A Comparative Study.

    Science.gov (United States)

    Elbashti, Mahmoud E; Hattori, Mariko; Patzelt, Sebastian Bm; Schulze, Dirk; Sumita, Yuka I; Taniguchi, Hisashi

    The aim of this study was to evaluate the feasibility and accuracy of using an intraoral scanner to digitize edentulous maxillectomy defects. A total of 20 maxillectomy models with two defect types were digitized using cone beam computed tomography. Conventional and digital impressions were made using silicone impression material and a laboratory optical scanner as well as a chairside intraoral scanner. The 3D datasets were analyzed using 3D evaluation software. Two-way analysis of variance revealed no interaction between defect types and impression methods, and the accuracy of the impression methods was significantly different (P = .0374). Digitizing edentulous maxillectomy defect models using a chairside intraoral scanner appears to be feasible and accurate.

  2. Bloqueio peribulbar com a associação da mistura enantiomérica de bupivacaína (S75-R25 a 0,5% e lidocaína a 2%: efeitos da adição de hialuronidase Bloqueo peribulbar con la asociación de la mezcla enantiomérica de bupivacaína (S75-R25 a 0,5% y lidocaína a 2%: efectos de la adición de hialuronidasa Peribulbar block with the association of 0.5% enantiomeric mixture of bupivacaine (S75-R25 and 2% lidocaine: effects of hyaluronidase addition

    Directory of Open Access Journals (Sweden)

    Luiz Fernando Soares

    2002-07-01

    Full Text Available JUSTIFICATIVA E OBJETIVOS: Os benefícios da adição de hialuronidase ao anestésico local em bloqueio peribulbar permanecem controversos. Este estudo comparou os efeitos da hialuronidase sobre a acinesia dos músculos retos, elevador da pálpebra e orbicular do olho após a realização de bloqueio peribulbar com a associação da mistura enantiomérica de bupivacaína (S75-R25 a 0,5% e lidocaína a 2%. MÉTODO: Foram estudados 35 pacientes divididos em grupo 1, que recebeu uma combinação de iguais volumes de mistura enantiomérica de bupivacaína (S75-R25 a 0,5% e lidocaína a 2% com adrenalina 5 µg.ml-1 e grupo 2, que recebeu a mesma solução anestésica adicionada de hialuronidase 50 UI.ml-1. A motilidade dos músculos retos, orbicular do olho e elevador da pálpebra foi avaliada 1, 5, 10 e 15 minutos após o bloqueio. RESULTADOS: Os escores de motilidade dos músculos extra-oculares diminuíram significativamente durante o período de observação, sem diferenças entre os grupos. Os percentuais de pacientes que apresentaram acinesia do globo ocular em cada momento do estudo não diferiram significativamente entre os grupos. Os escores de dor à injeção do anestésico local não diferiram entre os grupos. A anestesia cirúrgica foi satisfatória em todos os pacientes. CONCLUSÕES: Este estudo não demonstrou nenhum efeito da adição de hialuronidase na concentração de 50 UI.ml-1 sobre a acinesia dos músculos retos, elevador da pálpebra e orbicular do olho durante a instalação de bloqueio peribulbar realizado com a associação da mistura enantiomérica de bupivacaína (S75-R25 a 0,5% e lidocaína a 2% com adrenalina 5 µg.ml-1.JUSTIFICATIVA Y OBJETIVOS: Los beneficios de la adición de hialuronidasa al anestésico local en bloqueo peribulbar permanecen en controversia. Este estudio comparó los efectos de la hialuronidasa sobre la acinesia de los músculos rectos, elevador de la pálpebra y orbicular del ojo después de la

  3. Revista de tesis

    OpenAIRE

    Revista, Facultad de Medicina

    2011-01-01

    Sindromes abdominales agudos y bloqueo anestésico esplácnico semi-lunar. Tesis de grado "Meritoria". 1945. - Presentada por Guillermo Moreno Díaz / Estudio de algunas funciones hepáticas de la anemia tropical. Tesis de grado. 1945. - Presentada por Primitivo Rey Rey / Endoscopia, laringe, traquea, bronquios y esófago. Tesis de grado declarada "Meritoria". 1945. - Presentada por Carlos Alberto /  Cleves. el neumoperitoneo en el tratamiento de la tuberculosis intestinal y peritoneal y como medi...

  4. Treatment results and complications in clinical combinations of radiation and chemotherapy in the treatment of localized cancer in the head and neck

    International Nuclear Information System (INIS)

    Masaki, Norie; Shigematsu, Yasushi

    1981-01-01

    By using chemotherapy combined with radiotherapy, significant improvements were achieved in treatment results of localized non-Hodgkin's lymphoma, intraoral cancer, and carcinoma of the maxillary sinus. Administering chemotherapy with radiation was given sumultaneously in the patients with intraoral cancer (BLM iv) and with carcinoma of the maxillary sinus (5-FU ia). In the patients with non-Hodgkin's lymphoma, chemotherapy (1 or 2 cycles of COPP) was administered and followed by radiotherapy. If radiation dose were reduced by about 50% in the intraoral cancer, 20% in carcinoma of the maxillary sinus, and 10% in non-Hodgkin's lymphoma, acute and/or chronic complications were within tolerable limits in this series of observations, although toxicity was dose-related for both chemotherapy and radiotherapy. (author)

  5. The Patient Care During Before Radiotherapy in Oral Cavity Cancer

    International Nuclear Information System (INIS)

    Jeon, Byeong Chul; Park, Jae Il

    1995-01-01

    All patients who will Undergo irradiation of the oral cavity cancer will need dental before and during Radiotherapy. The extent of the region and the presence of numerous critical normal tissues(mucosa, gingiva, teeth and the alveolar ridge, alveolar bony structure, etc) in the oral cavity area, injury to which could result in serious functional impairment. Therefore I evaluate the Usefulness of custom-made intraoral shielding device before and during Radiotherapy in oral cavity cancer. Materials and Methods (1): Manufacture process of Custom-made intraoral shielding device Containing Cerroband. A. Acquisition of impression B. Matrix Constitution C. Separation by Separator D. Sprinkle on method E. Trimming F. Spacing G. Fill with Cerroband Materials and Methods (2):A. Preannealing B. TLD Set up C. Annealing D. TLD Reading Results = Therefore dosimetric characteristics in oral cavity by TLD Compared to isodose curve dose distribution Ipsilateral oral mucosa, Contralateral oral mucosa, alveolar ridge, tongue, dose was reduced by intraoral shielding device containing Cerroband technique Compared to isodose plan. The custom-made intra-oral shielding device containing Cerroband was useful in reducing the Contralateral oral mucosa dose and Volume irradiated.

  6. An experimental study for the reduction of population dose

    International Nuclear Information System (INIS)

    Muroi, Makoto

    1984-01-01

    It is a well-known fact that to reduce the amount of X-ray exposure, it is absolutely necessary to limit the field size to the minimum needed for the purpose of examination and size of the object. However, as dental X-ray apparatuses are not fitted with movable collimators, a fixed field size is applied to all exposures of intraoral radiography that is most frequently used for the dental region. Therefore, as one means of reducing the field size, the development of a changeable diaphragm for use in intraoral radiography has been undertaken. Also measurements were made of critical organ doses by field size and a nationwide survey was carried out to ascertain the frequency of intraoral radiography, through which review was made of the degree of contribution the changeable diaphragm could bring about in reducing the population dose. Much effort has led to success in the building of a changeable diaphragm into a central ray indicating cone which permits easy tube head alignment and maintenace of a set focus-skin distance. It was also found that approximately 50% of all intraoral radiography performed in Japan could have been accomplished by smaller field sizes. (author)

  7. Intraoral radiology in general dental practices. A comparison of digital and film-based X-ray systems with regard to radiation protection and dose reduction

    Energy Technology Data Exchange (ETDEWEB)

    Anissi, H.D. [Ulm Univ. (Germany). Dentistry; Geibel, M.A. [Ulm Univ. (Germany). Dept. of Dentomaxillofacial Surgery

    2014-08-15

    Purpose: The purpose of this study was to gain insight into the distribution and application of digital intraoral radiographic techniques within general dental practices and to compare these with film-based systems in terms of patient dose reduction. Materials and Methods: 1100 questionnaires were handed out to general dental practitioners. Data was analyzed with respect to the type of system by using descriptive statistics and nonparametric tests, i.e. Kruskal-Wallis, Mann-Whitney and chi-square test (SPSS 20). Results: 64% of the questioned dentists still use film-based radiology, 23% utilize storage phosphor plate (SPP) systems and 13% use a charge-coupled device (CCD). A strong correlation between the number of dentists working in a practice and the use of digital dental imaging was observed. Almost 3/4 of the film users work with E- or F-speed film. 45% of them refuse to change to a digital system. The use of lead aprons was popular, while only a minority preferred thyroid shields and rectangular collimators. A fourfold reduction of exposure time from D-speed film to CCD systems was observed. Due to detector size and positioning errors, users of CCD systems take significantly more single-tooth radiographs in total. Considering the number of radiographs per patient, there is only a slight tendency towards more X-rays with CCD systems. Up to image generation, digital systems seem to be as or even more difficult to handle than film-based systems, while their handling was favored after radiographic exposure. Conclusion: Despite a slight increase of radiographs taken with CCD systems, there is a significant dosage reduction. Corresponding to the decrease in exposure time, the patient dose for SPP systems is reduced to one half compared to film. The main issues in CCD technology are positioning errors and the size of the X-ray detectors which are difficult to eliminate. The usage of radiation protection measures still needs to be improved. (orig.)

  8. Intraoral radiology in general dental practices. A comparison of digital and film-based X-ray systems with regard to radiation protection and dose reduction

    International Nuclear Information System (INIS)

    Anissi, H.D.; Geibel, M.A.

    2014-01-01

    Purpose: The purpose of this study was to gain insight into the distribution and application of digital intraoral radiographic techniques within general dental practices and to compare these with film-based systems in terms of patient dose reduction. Materials and Methods: 1100 questionnaires were handed out to general dental practitioners. Data was analyzed with respect to the type of system by using descriptive statistics and nonparametric tests, i.e. Kruskal-Wallis, Mann-Whitney and chi-square test (SPSS 20). Results: 64% of the questioned dentists still use film-based radiology, 23% utilize storage phosphor plate (SPP) systems and 13% use a charge-coupled device (CCD). A strong correlation between the number of dentists working in a practice and the use of digital dental imaging was observed. Almost 3/4 of the film users work with E- or F-speed film. 45% of them refuse to change to a digital system. The use of lead aprons was popular, while only a minority preferred thyroid shields and rectangular collimators. A fourfold reduction of exposure time from D-speed film to CCD systems was observed. Due to detector size and positioning errors, users of CCD systems take significantly more single-tooth radiographs in total. Considering the number of radiographs per patient, there is only a slight tendency towards more X-rays with CCD systems. Up to image generation, digital systems seem to be as or even more difficult to handle than film-based systems, while their handling was favored after radiographic exposure. Conclusion: Despite a slight increase of radiographs taken with CCD systems, there is a significant dosage reduction. Corresponding to the decrease in exposure time, the patient dose for SPP systems is reduced to one half compared to film. The main issues in CCD technology are positioning errors and the size of the X-ray detectors which are difficult to eliminate. The usage of radiation protection measures still needs to be improved. (orig.)

  9. A new method for assessing the accuracy of full arch impressions in patients.

    Science.gov (United States)

    Kuhr, F; Schmidt, A; Rehmann, P; Wöstmann, B

    2016-12-01

    To evaluate a new method of measuring the real deviation (trueness) of full arch impressions intraorally and to investigate the trueness of digital full arch impressions in comparison to a conventional impression procedure in clinical use. Four metal spheres were fixed with composite using a metal application aid to the lower teeth of 50 test subjects as reference structures. One conventional impression (Impregum Penta Soft) with subsequent type-IV gypsum model casting (CI) and three different digital impressions were performed in the lower jaw of each test person with the following intraoral scanners: Sirona CEREC Omnicam (OC), 3M True Definition (TD), Heraeus Cara TRIOS (cT). The digital and conventional (gypsum) models were analyzed relative to the spheres. Linear distance and angle measurements between the spheres, as well as digital superimpositions of the spheres with the reference data set were executed. With regard to the distance measurements, CI showed the smallest deviations followed by intraoral scanners TD, cT and OC. A digital superimposition procedure yielded the same order for the outcomes: CI (15±4μm), TD (23±9μm), cT (37±14μm), OC (214±38μm). Angle measurements revealed the smallest deviation for TD (0.06°±0,07°) followed by CI (0.07°±0.07°), cT (0.13°±0.15°) and OC (0.28°±0.21°). The new measuring method is suitable for measuring the dimensional accuracy of full arch impressions intraorally. CI is still significantly more accurate than full arch scans with intraoral scanners in clinical use. Conventional full arch impressions with polyether impression materials are still more accurate than full arch digital impressions. Digital impression systems using powder application and active wavefront sampling technology achieve the most accurate results in comparison to other intraoral scanning systems (DRKS-ID: DRKS00009360, German Clinical Trials Register). Copyright © 2016 Elsevier Ltd. All rights reserved.

  10. Estudio dieléctrico del envejecimiento físico

    OpenAIRE

    Hernández, M. C; Suárez, N; Puma, M

    2006-01-01

    La influencia del envejecimiento físico en las propiedades dieléctricas de un poliarilato y un policarbonato derivados de la tirosina: Poli(DTH succinato) y poli(DTO carbonato) respectivamente, es estudiada utilizando la técnica de Corrientes de Polarización Estimuladas Térmicamente (TSPC). La caracterización dieléctrica, utilizando electrodos de bloqueo, permite estudiar el efecto de los cambios estructurales del material sobre las relajaciones asociadas con la redistribución de cargas debid...

  11. Ocular complications associated with local anesthesia administration in dentistry.

    Science.gov (United States)

    Boynes, Sean G; Echeverria, Zydnia; Abdulwahab, Mohammad

    2010-10-01

    The most widely used method for controlling pain during dental procedures is the intraoral administration of local anesthetics in close proximity to a specific nerve or fiber to obtund nerve conduction. The most commonly anesthetized nerves in dentistry are branches or nerve trunks associated with the maxillary and mandibular divisions of the trigeminal nerve (cranial nerve V). However, other nerves may be inadvertently affected by intraoral local anesthesia injections, resulting in anesthetic complications of structures far from the oral cavity. Practitioners should be aware of potential ocular complications following intraoral injections in dentistry. These complications include oculomotor paralysis and vision loss. The knowledge of these conditions and their potential cause should alert the dentist to the importance of appropriate injection techniques and an understanding of management protocol. Copyright © 2010 Elsevier Inc. All rights reserved.

  12. Differential effect of intravenous S-ketamine and fentanyl on atypical odontalgia and capsaicin-evoked pain

    DEFF Research Database (Denmark)

    Baad-Hansen, Lene; Juhl, Gitte Irene; Jensen, Troels Staehelin

    2007-01-01

    temporal summation were compared between groups and sides. Both drugs failed to produce an analgesic effect on spontaneous AO pain, but fentanyl effectively reduced capsaicin-evoked pain. AO patients showed increased sensitivity to capsaicin and heat pain, but no significant differences in cold......Atypical odontalgia (AO) is an intraoral pain condition of currently unknown mechanisms. In 10 AO patients and 10 matched healthy controls, we examined the effect of intravenous infusion of an N-methyl-D-aspartate (NMDA) receptor antagonist S-ketamine and a mu-opioid agonist fentanyl on spontaneous...... AO pain and on an acute intraoral nociceptive input evoked by topical application of capsaicin. The drugs were administered in a randomized, placebo-controlled, cross-over manner. Furthermore, measures of intraoral sensitivity to mechanical and thermal quantitative sensory testing (QST) including...

  13. Ropivacaína, articaína ou combinação de ropivacaína e articaína em anestesia peridural para cesariana: estudo randomizado, prospectivo e duplo-cego Ropivacaína, articaína o la combinación de ropivacaína y articaína en la anestesia epidural para cesárea: estudio aleatorio, prospectivo y doble ciego Ropivacaine, articaine or combination of ropivacaine and articaine for epidural anesthesia in cesarean section: a randomized, prospective, double-blinded study

    Directory of Open Access Journals (Sweden)

    Derya Arslan Yurtlu

    2013-02-01

    Full Text Available JUSTIFICATIVA E OBJETIVOS: Iniciar a anestesia peridural com anestésicos locais de longa duração consome uma quantidade significativa de tempo, o que pode ser problemático em centros de anestesia obstétrica muito movimentados. Aventamos a hipótese de que uma combinação de articaína e ropivacaína proporcionaria início mais rápido e mesmo uma recuperação precoce das características do bloqueio sensório-motor. MÉTODOS: Sessenta parturientes a termo agendadas para cesariana eletiva foram randomicamente alocadas em três grupos para receber 20 mL de articaína a 2% (Grupo A, 10 mL de articaína a 2% + 10 mL de ropivacaína a 0,75% (Grupo AR ou 20 mL de ropivacaína a 0,75% (Grupo R via cateter peridural. O tempo de início do bloqueio sensorial até T10-T6 e o nível máximo de bloqueio, o tempo para a regressão de dois segmentos do nível máximo de bloqueio sensorial e o tempo de início e duração do bloqueio motor foram todos registrados. A necessidade de analgésicos adicionais, intra- e pós-operatoriamente, também foi registrada. RESULTADOS: Os dados demográficos foram semelhantes. Os tempos de início do bloqueio sensorial até os níveis T10 e T6 foram significativamente menores nos grupos A e AR, em comparação com o Grupo R (p JUSTIFICATIVA Y OBJETIVOS: Iniciar la anestesia epidural con anestésicos locales de larga duración consume una cantidad significativa de tiempo, siendo un problema en los centros de anestesia obstétrica que tienen mucho movimiento. Barajamos la hipótesis de que una combinación de articaína y ropivacaína proporcionaría un inicio más rápido e incluso una rápida recuperación de las características del bloqueo sensitivo motor. MÉTODOS: Sesenta parturientes a término que tenían cita para la cesárea electiva se ubicaron aleatoriamente en tres grupos para recibir 20 mL de articaína al 2% (Grupo A, 10 mL de articaína al 2% + 10 mL de ropivacaína al 0,75% (Grupo AR o 20 mL de ropivaca

  14. Clinical and fiberoptic endoscopic assessment of swallowing in patients with chronic obstructive pulmonary disease

    Directory of Open Access Journals (Sweden)

    Macri, Marina Rodrigues Bueno

    2014-01-01

    Full Text Available Introduction: Chronic obstructive pulmonary disease is characterized by progressive and partially reversible obstruction of pulmonary airflow. Aim: To characterize swallowing in patients with chronic obstructive pulmonary disease and correlate the findings with the degree chronic obstructive pulmonary disease, heart and respiratory rate, oxygen saturation, and smoking. Method: We conducted a prospective cohort study of 19 patients (12 men and 7 women; age range, 50–85 years with confirmed medical diagnosis of chronic obstructive pulmonary disease. This study was performed in 2 stages (clinical evaluation and functional assessment using nasolaryngofibroscopy on the same day. During both stages, vital signs were checked by medical personnel. Results: Clinical evaluation of swallowing in all patients showed the clinical signs of cough. The findings of nasolaryngofibroscopy highlighted subsequent intraoral escape in 5 patients (26.5%. No patient had tracheal aspiration. There was no association of subsequent intraoral escape with degree of chronic obstructive pulmonary disease, heart and respiratory rate, oxygen saturation, or smoking. Conclusion: In patients with chronic obstructive pulmonary disease, there was a prevalence of oral dysphagia upon swallowing and nasolaryngofibroscopy highlighted the finding of subsequent intraoral escape. There was no correlation between intraoral escape and the degree of chronic obstructive pulmonary disease, heart and respiratory rate, oxygen saturation, or smoking.

  15. Aguja dental rota en el espacio pterigomandibular. Reporte de un caso

    OpenAIRE

    Ghersi Miranda, Hugo; Martinez López, Alan

    2014-01-01

    Los accidentes por fractura de agujas dentales durante la colocación de anestesia, son infrecuentes.Dentro de las zonas más afectadas con esta complicación es el espacio pterigo mandibular, almomento de realizar el bloqueo del nervio alveolar inferior. Los motivos por los cuales sepueden fracturar las agujas son varios, inicialmente se debió al material poco flexible con el queeran construídas, luego que se mejoró la aleación, permitiéndole mayor resistencia, la fractura sedebe principalmente...

  16. Unilateral Vision Loss after a Dental Visit

    Science.gov (United States)

    Khattab, Mohammed H.; Wiegand, Annette; Storch, Marcus; Hoerauf, Hans; Feltgen, Nicolas

    2018-01-01

    Intraoral local anesthetics are widely used for performing painless dental treatments; however, in some cases, they may cause ocular complications such as meiosis, diplopia, nystagmus, ophthalmoplegia, ptosis, and amaurosis. Mostly, the symptoms disappear after several hours; rarely, they have a prolonged character. We describe the case of a 38-year-old young man who had reduced vision in the left eye 5 days after having received intraoral local anesthesia. A diagnosis of cilioretinal artery occlusion with optic disc swelling was made. Ten weeks later, the patient's visual acuity had increased to 20/20, and the swelling of the optic disc had subsided. Although various possible mechanisms for ocular complications after intraoral local anesthetic administration were suggested in the literature, the exact etiology remains unclear. In this case, inadvertent intravascular injection is believed to be the cause. PMID:29681838

  17. [Rare earth magnets in conjunction with fixed orthodontics. An "attractive" solution for the positioning of impacted teeth].

    Science.gov (United States)

    Dereudre, B

    2001-11-01

    Two rare earth permanent magnets are used to align impacted teeth: one is bonded on the crown of the ectopic tooth, the other, intraoral, guides the impacted tooth to the desired place by its attractive power. The intraoral magnet is fixed to an edgewise arch. The adjustments allowed by fixed appliance create better final tooth position than with removable appliance. Our experience depicts an improvement of stability in results and a diminution of periodontal breakdown.

  18. Bases anatômicas para o bloqueio anestésico do plexo braquial por via infraclavicular Bases anatómicas para el bloqueo anestésico del plexo braquial por vía infraclavicular Anatomical basis for infraclavicular brachial plexus block

    Directory of Open Access Journals (Sweden)

    Luiz Carlos Buarque de Gusmão

    2002-06-01

    bloqueo anestésico del plexo braquial por via infraclavicular. Con la idea de solucionar el punto donde los fascículos del plexo braquial pueden ser localizados en el interior de la fosa, propusimos medidas a partir de la face anterior de la clavícula y del ángulo formado por el encuentro del músculo deltóide con la clavícula (ángulo deltoclavicular. La primera medida permite localizar en profundidad el local donde pasa el plexo braquial. Ya la segunda, determina la proyección de los fascículos dentro de la fosa, lo que corresponde al punto de entrada de la aguja en la superficie cutánea. MÉTODO: Fueron efectuadas medidas entre la face anterior de la clavícula y los fascículos del plexo braquial, y del ángulo deltoclavicular hasta la proyección superficial de los fascículos. Con base en los encuentros anatómicos fue propuesta una técnica de abordaje del plexo braquial por via infraclavicular. RESULTADOS: Fueron analizadas 100 regiones infraclaviculares de cadáveres fijados. La fosa infraclavicular fue detectada en 96 casos. En ésas, los fascículos del plexo braquial se localizan totalmente o parcialmente en 97,9%. La medida comparada entre la face anterior de la clavícula y los fascículos del plexo, fue de 2,49 cm y del ángulo deltoclavicular hasta la proyección superficial de los fascículos estaba en 2,21 cm. CONCLUSIONES: Los datos obtenidos permiten la determinación exacta del punto de introducción de la aguja, la cual, dirigida perpendicular a la piel, alcanza el plexo braquial sin peligro de provocar pneumotórax o lesión vascular, posibilitando una mayor seguridad a los anestesiologistas, y permitiendo la vuelta de la práctica del bloqueo del plexo abajo de la clavícula.BACKGROUND AND OBJECTIVES: This study shows the constant infraclavicular fossa presence, aiming at using it as a pathway for infraclavicular brachial plexus block. Determining the point where brachial plexus fascicles may be located within the fossa, the authors have

  19. Influence of abutment tooth geometry on the accuracy of conventional and digital methods of obtaining dental impressions.

    Science.gov (United States)

    Carbajal Mejía, Jeison B; Wakabayashi, Kazumichi; Nakamura, Takashi; Yatani, Hirofumi

    2017-09-01

    Direct (intraoral) and indirect (desktop) digital scanning can record abutment tooth preparations despite their geometry. However, little peer-reviewed information is available regarding the influence of abutment tooth geometry on the accuracy of digital methods of obtaining dental impressions. The purpose of this in vitro study was to evaluate the influence of abutment tooth geometry on the accuracy of conventional and digital methods of obtaining dental impressions in terms of trueness and precision. Crown preparations with known total occlusal convergence (TOC) angles (-8, -6, -4, 0, 4, 8, 12, 16, and 22 degrees) were digitally created from a maxillary left central incisor and printed in acrylic resin. Each of these 9 reference models was scanned with a highly accurate reference scanner and saved in standard tessellation language (STL) format. Then, 5 conventional polyvinyl siloxane (PVS) impressions were made from each reference model, which was poured with Type IV dental stone scanned using both the reference scanner (group PVS) and the desktop scanner and exported as STL files. Additionally, direct digital impressions (intraoral group) of the reference models were made, and the STL files were exported. The STL files from the impressions obtained were compared with the original geometry of the reference model (trueness) and within each test group (precision). Data were analyzed using 2-way ANOVA with the post hoc least significant difference test (α=.05). Overall trueness values were 19.1 μm (intraoral scanner group), 23.5 μm (desktop group), and 26.2 μm (PVS group), whereas overall precision values were 11.9 μm (intraoral), 18.0 μm (PVS), and 20.7 μm (desktop). Simple main effects analysis showed that impressions made with the intraoral scanner were significantly more accurate than those of the PVS and desktop groups when the TOC angle was less than 8 degrees (Pimpression and the TOC angle on the precision of single-tooth dental impressions (F=2

  20. Accuracy of complete-arch dental impressions: a new method of measuring trueness and precision

    OpenAIRE

    Ender, Andreas; Mehl, Albert

    2013-01-01

    STATEMENT OF PROBLEM: A new approach to both 3-dimensional (3D) trueness and precision is necessary to assess the accuracy of intraoral digital impressions and compare them to conventionally acquired impressions. PURPOSE: The purpose of this in vitro study was to evaluate whether a new reference scanner is capable of measuring conventional and digital intraoral complete-arch impressions for 3D accuracy. MATERIAL AND METHODS: A steel reference dentate model was fabricated and measured with a...

  1. Surface Characteristics and Biofilm Development on Selected Dental Ceramic Materials

    Directory of Open Access Journals (Sweden)

    Kyoung H. Kim

    2017-01-01

    Full Text Available Background. Intraoral adjustment and polishing of dental ceramics often affect their surface characteristics, promoting increased roughness and consequent biofilm growth. This study correlated surface roughness to biofilm development with four commercially available ceramic materials. Methods. Four ceramic materials (Vita Enamic®, Lava™ Ultimate, Vitablocs Mark II, and Wieland Reflex® were prepared as per manufacturer instructions. Seventeen specimens of each material were adjusted and polished to simulate clinical intraoral procedures and another seventeen remained unaltered. Specimens were analysed by SEM imaging, confocal microscopy, and crystal violet assay. Results. SEM images showed more irregular surface topography in adjusted specimens than their respective controls. Surface roughness (Ra values were greater in all materials following adjustments. All adjusted materials with the exception of Vitablocs Mark II promoted significantly greater biofilm growth relative to controls. Conclusion. Simulated intraoral polishing methods resulted in greater surface roughness and increased biofilm accumulation.

  2. Patient radiation dose in some dental radiography clinics in Khartoum, Sudan

    International Nuclear Information System (INIS)

    Mohamed, Aziza Hamed Abdelgadir

    2016-01-01

    Patient dose audit is an important tool for quality control and it is important for monitoring patient exposure. The DAP meter has proved to be an easy and accurate tool for patient dosimetry and for establishment of diagnostic reference levels in dental radiology. The objective of this study was measure patient dose in dental radiography in some dental radiography clinics in Khartoum. The study was performed in five dental clinics comprising six panoramic and six intraoral dental radiography devices in Khartoum state. The incident surface air kerma (k i ) and dose area product were measured for intraoral and panoramic dental examinations, respectively for digital and film imaging modalities. Incident surface air kerma (k i ) was measured using calibrated dose rate meter where dose area product were determined from dose width product (DWP) measured using 3 cc pencil type CT ionization chamber. For intraoral examinations, the maximum, average and minimum, (1.95, 1.48, and 1.24) mGy, (5.84, 4.54, and 3.6) mGy for digital and imaging, respectively. This result was lower in digital in traol and higher in film imaging. The result for panoramic examination calculated dose area product (DAP) mean value for adult and pediatric was (103, 70.42) mGy cm 2 , respectively, where the dose for digital imaging was highest in two centers, compared to previous study. Increased patient dose in intraoral dental radiography could partially be explained by the use of circular collimators. or intraoral x-ray equipment the downward trend in patient dose can only be continue, a through the adoption of digital imaging methods. Our results are relatively higher in digital panoramic dental examinations. It is important to point out that non of the dental units under study were covered by regular quality assurance programme.(Author)

  3. Factores del estrés académico en los estudiantes de las generaciones 2013 (undécimos 2013), 2014 (undécimos 2014) y 2015 (décimos 2014) del Colegio Humanístico Costarricense (CHC)

    OpenAIRE

    Araya, Guillermo; Camacho, Carolina; Montero, Melina; Picado, Adrián

    2016-01-01

    El estrés es un elemento de la cotidianidad humana, por ende, también, del ámbito académico. Este se manifiesta mediante alteraciones en la conducta, problemáticas psicosomáticas y sociales, como bajo rendimiento, dolores corporales, bloqueos mentales, inclusión fallida en los grupos sociales, deserción, etc.El objeto del estudio fue determinar los factores de estrés más comunes que influyen dentro de las diferentes áreas de la vida del estudiante. La población analizada fueron los estudiante...

  4. Planificación territorial y crecimiento urbano: desarticulaciones y desafíos de la sostenibilidad urbano-regional en Santiago metropolitano.

    OpenAIRE

    Cooper Apablaza, Marcelo; Henríquez Ruiz, Cristian

    2010-01-01

    Los instrumentos de planificación territorial de carácter normativo –planes reguladores de nivel comunal y metropolitano–, han manifestado una limitada capacidad para asumir la sostenibilidad del crecimiento urbano, situación que se ha expresado particularmente en procesos de modificación o actualización de los mismos instrumentos en Santiago de Chile. La opción de la población por la vivienda en extensión, a partir del bloqueo ciudadano a las instancias de densificación en altura; el signifi...

  5. Programa de detección de errores innatos del metabolismo, Minas de Matahambre 2008-2012

    OpenAIRE

    Oliva López, Yinet; González García, Raúl

    2014-01-01

    Introducción: los errores innatos del metabolismo son un grupo muy heterogéneo de enfermedades congénitas, determinadas por el bloqueo de un paso metabólico debido a la mutación de genes responsables del funcionamiento del mismo. Con herencia autosómico recesiva y en algunos casos ligada al cromosoma X, su diagnóstico precoz y el uso correcto de todas las opciones terapéuticas posibles es fundamental para asegurar la supervivencia y la mejor calidad de vida posible de los individuos afectados...

  6. Diseño preliminar de una honeynet para estudiar patrones de ataques en las redes de datos de la ESPOL

    OpenAIRE

    Pazmiño, Mayra; Aviles, Jorge; Abad Robalino, Cristina Lucia

    2009-01-01

    En la actualidad las redes de datos se ven frecuentemente atacadas y vulneradas. Por lo tanto, es muy importante la elaboración de una estrategia correcta que nos permita tener un grado adecuado de protección hacia las mismas. Formando parte de dicha estrategia encontramos dispositivos de detección y bloqueos de ataques. Dentro del “arsenal de defensa” de las redes en el Campus Politécnico, podemos encontrar una gran gama de mecanismos como firewalls, sistemas de detección de intrusos (IDS), ...

  7. Traumatismo penetrante facial por arpón. A propósito de un caso

    Directory of Open Access Journals (Sweden)

    Pablo Veiga San Román

    2015-01-01

    Full Text Available Los traumatismos penetrantes causados por el disparo de un fusil de pesca submarina son extremadamente raros. El tratamiento quirúrgico está condicionado por el «mecanismo de barba», que impide una retirada segura de la flecha en sentido contrario al de su entrada, ya que la aleta del fusil provocaría graves daños. Presentamos un caso clínico y un sistema sencillo de bloqueo del retroceso de la aleta que permitió una retirada segura en sentido retrógrado.

  8. In vitro evaluation of prosthodontic impression on natural dentition: a comparison between traditional and digital techniques

    Science.gov (United States)

    MALAGUTI, G.; ROSSI, R.; MARZIALI, B.; ESPOSITO, A.; BRUNO, G.; DARIOL, C.; DI FIORE, A.

    2016-01-01

    SUMMARY Objectives The aim of this in vitro study is to evaluate the marginal and internal fit of zirconia core crowns manufactured following different digital and traditional workflows. Methods A 6° taper shoulder prepared abutment tooth was used to produce 20 zirconia core crowns using four different scanning techniques: scanned directly with the extraoral lab scanner, scanned with intraoral scanner, dental impressions using individual dental tray and polyether, dental casts from a polyether impressions. Marginal and internal fits were evaluated with digital photography and the silicone replica method. Results Medium marginal gaps were 76,00 μm ± 28.9 for extraoral lab scanner, 80.50 μm ± 36,2 for intraoral scanner, 88.10 μm ± 34,8 for dental impression scan and 112,4 μm ± 37,2 for dental cast scan. Medium internal gaps were 23.20 μm ± 10,3 for extraoral lab scanner, 16.20 μm ± 8.3 for intraoral scanner, 27.20 μm ± 16.7 for dental impression scan and 30.20 μm ± 12.7 for dental cast scan. Conclusion Internal gap were extensively lower than 70 μm described in literature. Marginal fit was higher than ideal values for all the techniques but within the limit of clinical success. Intraoral scanners obtained the best results for internal gap. PMID:28280529

  9. Clinical evaluation of the intraoral fluoride releasing system in radiation-induced xerostomic subjects. Part 2: Phase I study.

    Science.gov (United States)

    Chambers, Mark S; Mellberg, James R; Keene, Harris J; Bouwsma, Otis J; Garden, Adam S; Sipos, Tibor; Fleming, Terence J

    2006-10-01

    Radiation-induced xerostomia can result in the rapid onset and progression of dental caries in head and neck cancer patients. Topically applied fluorides have been successfully used to inhibit the formation of dental caries in this population. However, because intensive daily self-application is required, compliance is an issue. The intraoral fluoride-releasing system (IFRS) containing a sodium fluoride core is a newly developed, sustained-release, passive drug delivery system that does not require patient involvement except for periodic replacement, thus reducing the effect of patient compliance on its effectiveness in dental caries prevention. Twenty-two head and neck cancer patients from U. T. M. D. Anderson Cancer Center, with radiation-induced xerostomia, were entered into a pilot study to contrast the daily home use of a 0.4% stannous fluoride-gel-containing tray (control group) to IFRS (study group) with respect to tolerability and adherence, and to obtain information on relative caries preventive efficacy. Participants were stratified on the basis of radiation exposure and randomly assigned to treatment with either IFRS or stannous fluoride gel. Patients in both groups were fitted with two IFRS retainers and also were instructed to use a 1100-ppm fluoride conventional sodium fluoride dentifrice twice daily. The study was conducted as a single-blinded, parallel-cell trial. Pre-existing carious lesions were restored prior to the beginning of the study. The efficacy variable was determined by the mean number of new or recurrent decayed surfaces. Patients were examined for caries 4, 8, 12, 24, 36, and 48 weeks after initiation of treatment. Reports of adverse reactions were based on information volunteered by patients and that were elicited during interviews. At baseline, the resting and stimulated salivary flow rates (g/5min) were significantly greater in the control group than in the study group (pIFRS groups during the study period. The rate of new or

  10. Management of an Endodontic Infection with an Extra Oral Sinus Tract in a Single Visit: A Case Report

    OpenAIRE

    Satish Kumar, Krishnamurthy; Subbiya, Arunajatesan; Vivekanandhan, Paramasivam; Prakash, Venkatachalam; Tamilselvi, Ramachandran

    2013-01-01

    Chronic apical periodontitis can drain through a sinus tract, which may be intra-oral or extra-oral, though an intra-oral drainage is more common. Though such cases can be treated in a single visit, there is no report on a single visit endodontic treatment for a chronic apical periodontitis with a draining sinus. This case report demonstrates that the apical periodontitis with a cutaneous sinus tract can be successfully treated endodontically as a single visit procedure, if the patient is in ...

  11. Sistemas de liberação controlada com bupivacaína racêmica (S50-R50 e mistura enantiomérica de bupivacaína (S75-R25: efeitos da complexação com ciclodextrinas no bloqueio do nervo ciático em camundongos Sistemas de liberación controlada con bupivacaína racémica (S50-R50 y mescla enantiomérica de bupivacaína (S75-R25: efectos de la complexación con ciclodextrinas en el bloqueo del nervio ciático en ratones Drug-delivery systems for racemic bupivacaine (S50-R50 and bupivacaine enantiomeric mixture (S75-R25: cyclodextrins complexation effects on sciatic nerve blockade in mice

    Directory of Open Access Journals (Sweden)

    Daniele Ribeiro de Araújo

    2005-06-01

    Full Text Available JUSTIFICATIVA E OBJETIVOS: Os efeitos adversos associados ao uso de bupivacaína levaram à procura por novos anestésicos locais (AL com perfil de bloqueio semelhante e menos tóxicos, surgindo novas preparações como a mistura enantiomérica de bupivacaína (S75-R25. Os sistemas de liberação controlada, contendo AL em carreadores como ciclodextrinas (CD, têm como objetivo melhorar a eficácia anestésica e o índice terapêutico dessas drogas. Este estudo visou a preparação, a caracterização e a avaliação da eficácia anestésica dos complexos de inclusão da mistura enantiomérica da bupivacaína (S75-R25 e da bupivacaína racêmica (S50-R50 com hidroxipropilb-ciclodextrina (HPb-CD comparando-os com as preparações atualmente utilizadas na clínica. MÉTODO: Os complexos de inclusão foram preparados misturando-se quantidades apropriadas de HPb-CD e S50-R50 ou S75-R25 nas razões molares (1:1 e 1:2 e caracterizados por estudos de solubilidade de fases. Determinaram-se as constantes de afinidade (K de cada AL pela HPb-CD. Os bloqueios motor e sensorial induzidos pelas drogas livres e complexadas foram avaliados, em camundongos, através do bloqueio do nervo ciático. Para a realização dos experimentos, utilizaram-se três concentrações de AL: 0,125%; 0,25% e 0,5%. RESULTADOS: Os estudos de solubilidade indicaram a formação de complexos de inclusão de S50-R50 e S75-R25 com HPb-CD, com valores de constante de afinidade (K similares para os dois anestésicos: 14,7 M-1 (S50-R50:HP-bCD e 14,3 M-1 (S75-R25:HP-bCD. Os testes em animais mostraram que a complexação potencializou o bloqueio nervoso diferencial induzido pelos AL: i a duração do bloqueio motor induzido por S75-R25 foi similar à do S50-R50, mas menos intenso (p JUSTIFICATIVA Y OBJETIVOS: Los efectos adversos asociados al uso de bupivacaína llevaron a la búsqueda por nuevos anestésicos locales (AL con perfil de bloqueo semejante y menos tóxicos, surgiendo nuevas

  12. 18-gauge needle cap as adjunct to prevent kinking of endotracheal tube.

    Science.gov (United States)

    Chan, Fuan Chiang; Kawamoto, Henry K; Bradley, James P

    2012-11-01

    A self-retaining Dingman mouth retractor is widely used to keep the mouth open during cleft palate and intraoral surgery. The airway is at risk of being crushed or occluded as the gag (tongue plate) of the Dingman mouth retractor is being pushed against the endotracheal tube.Kinking of the endotracheal tube between the teeth and Dingman mouth retractor has been reported even with the oral Ring-Adair-Elwyn or flexometallic or armored endotracheal tubes. To minimize kinking of the endotracheal tube and its consequent complications, we routinely insert an 18-gauge needle cap at the potential space between the teeth and the tongue plate (gag) of the Dingman mouth retractor, which is situated lateral to the endotracheal tube. In our experience of approximately 5000 intraoral cases using a Dingman mouth retractor and 18-gauge needle cap, we have not had any tooth avulsion or aspiration of the 18-gauge foreign body while maintaining a consistent and secured airway during cleft palate and intraoral surgery.

  13. Evaluation of sexual dimorphism using permanent maxillary first molar in Sri Ganganagar population

    Directory of Open Access Journals (Sweden)

    Sakshi Mehta

    2017-01-01

    Full Text Available Aim of Study: The aim is to evaluate existence of sexual dimorphism by variation in right and left permanent maxillary molars using buccolingual width (BLW and mesio-distal width (MDW measured intraorally and on study casts among Sri Ganganagar population. Materials and Methods: Fifty patients (25 males and 25 females with 17–25 years of age were selected. Impressions of maxillary arch were taken and the BLW and MDW were measured using digital Vernier calipers on study casts and intraorally. Results: Highly significant correlation was found between MDW and BLW of both the maxillary permanent first molars for both genders (P < 0.05 intraorally. The MDW and BLW on study cast of both sides in both gender were more on left side in males while on right side in females. Conclusion: Left maxillary permanent first molar showed minimum mean difference of measurements on study cast and introrally than right, thus better predictor for gender dimorphism in forensics.

  14. Tooth enamel hypoplasia in PHACE syndrome.

    Science.gov (United States)

    Chiu, Yvonne E; Siegel, Dawn H; Drolet, Beth A; Hodgson, Brian D

    2014-01-01

    Individuals with PHACE syndrome (posterior fossa malformations, hemangiomas, arterial anomalies, cardiac defects, eye abnormalities, sternal cleft, and supraumbilical raphe syndrome) have reported dental abnormalities to their healthcare providers and in online forums, but dental involvement has not been comprehensively studied. A study was conducted at the third PHACE Family Conference, held in Milwaukee, Wisconsin, in July 2012. A pediatric dentist examined subjects at enrollment. Eighteen subjects were enrolled. The median age was 4.2 years (range 9 mos-9 yrs; 14 girls, 4 boys). Eleven of 18 patients had intraoral hemangiomas and five of these (50%) had hypomature enamel hypoplasia. None of the seven patients without intraoral hemangiomas had enamel hypoplasia. No other dental abnormalities were seen. Enamel hypoplasia may be a feature of PHACE syndrome when an intraoral hemangioma is present. Enamel hypoplasia increases the risk of caries, and clinicians should refer children with PHACE syndrome to a pediatric dentist by 1 year of age. © 2014 Wiley Periodicals, Inc.

  15. Rapid, Labile, and Protein Synthesis– Independent Short-Term Memory in Conditioned Taste Aversion

    OpenAIRE

    Houpt, Thomas A.; Berlin, RoseAnn

    1999-01-01

    Short-term memory is a rapid, labile, and protein-synthesis-independent phase of memory. The existence of short-term memory in conditioned taste aversion (CTA) learning has not been demonstrated formally. To determine the earliest time at which a CTA is expressed, we measured intraoral intake of sucrose at 15 min, 1 hr, 6 hr, or 48 h after contingent pairing of an intraoral infusion of 5% sucrose (6.6 ml over 6 min) and toxic lithium chloride injection (76 mg/kg). Rats were implanted with int...

  16. Marginal and internal fit of zirconia copings obtained using different digital scanning methods

    Directory of Open Access Journals (Sweden)

    Lorena Oliveira PEDROCHE

    Full Text Available Abstract The objective of this study was to evaluate the marginal and internal fit of zirconia copings obtained with different digital scanning methods. A human mandibular first molar was set in a typodont with its adjacent and antagonist teeth and prepared for an all-ceramic crown. Digital impressions were made using an intraoral scanner (3Shape. Polyvinyl siloxane impressions and Type IV gypsum models were also obtained and scanned with a benchtop laboratory scanner (3Shape D700. Ten zirconia copings were fabricated for each group using CAD-CAM technology. The marginal and internal fit of the zirconia copings was assessed by the silicone replica technique. Four sections of each replica were obtained, and each section was evaluated at four points: marginal gap (MG, axial wall (AW, axio-occlusal edge (AO and centro-occlusal wall (CO, using an image analyzing software. The data were submitted to one-way ANOVA and Tukey’s test (α = 0.05. They showed statistically significant differences for MG, AO and CO. Regarding MG, intraoral scanning showed lower gap values, whereas gypsum model scanning showed higher gap values. Regarding AO and CO, intraoral digital scanning showed lower gap values. Polyvinyl siloxane impression scanning and gypsum model scanning showed higher gap values and were statistically similar. It can be concluded that intraoral digital scanning provided a lower mean gap value, in comparison with conventional impressions and gypsum casts scanned with a standard benchtop laboratory scanner.

  17. New fixation method for maxillary distraction osteogenesis using locking attachments.

    Science.gov (United States)

    Suzuki, Eduardo Yugo; Buranastidporn, Boonsiva; Ishii, Masatoshi

    2006-10-01

    The external traction hooks of the intraoral splint used in the rigid external distraction (RED) system for maxillary distraction osteogenesis interfere with the surgical procedures. The purpose of this study is to introduce an innovative splint fixation method for maxillary distraction osteogenesis with Locking Attachments and evaluate their advantages, such as reduction of operating time compared with the traditional intraoral splint method. Retrospective comparison of operative times of maxillary Le Fort I osteotomy procedures was carried out with the traditional protocol using the intraoral splint cemented to the maxillary dentition (n = 14), and a removable intraoral splint that is inserted postsurgically (n = 14). Operative procedure times were compared and analyzed statistically using the data extracted from the surgical records. There were no complications inserting the removable splint postsurgically, including pain, discomfort, or time-consuming procedure. Stable and secure splint fixation was obtained before the distraction procedure and the desired treatment goals were obtained in all patients. The total operative procedure times were significantly reduced in the Locking Attachments group by 24% to 41% (approximately 65 minutes) compared with earlier operations involving the conventional splints (P Maxillary distraction osteogenesis with the Locking Attachments is a highly effective fixation approach to manage severe hypoplastic maxilla, eliminating lip constraints resulting from scarring and allowing for easier, more deliberate and careful dissection. The use of the Locking Attachments is reliable in craniofacial surgery and has proved to be advantageous in the reduction of the operating time and surgical risks.

  18. Repeat film analysis and its implications for quality assurance in dental radiology: An institutional case study

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    Shruthi Acharya

    2015-01-01

    Full Text Available Context: The goal of any radiologist is to produce the highest quality diagnostic radiographs, while keeping patient exposure as low as reasonably achievable (ALARA. Aims: The aim of this study was to describe the reasons for radiograph rejections through a repeat film analysis in an Indian dental school. Settings and Design: An observational study conducted in the Department of Oral Medicine and Radiology, Manipal College of Dental Sciences, Manipal. Materials and Methods: During a 6-month study period, a total of 9,495 intra-oral radiographs and 2339 extraoral radiographs taken in the Radiology Department were subjected to repeat film analysis. Statistical Analysis Used: SPSS Version 16. Descriptive analysis used. Results: The results showed that the repeat rates were 7.1% and 5.86% for intraoral and extraoral radiographs, respectively. Among the causes for errors reported, positioning error (38.7% was the most common, followed by improper angulations (26.1%, and improper film placement (11.2% for intra-oral radiographs. The study found that the maximum frequency of repeats among extraoral radiographs was for panoramic radiographs (49% followed by lateral cephalogram (33%, and paranasal sinus view (14%. It was also observed that repeat rate of intraoral radiographs was highest for internees (44.7%, and undergraduate students (28.2%. Conclusions: The study pointed to a need for more targeted interventions to achieve the goal of keeping patient exposure ALARA in a dental school setting.

  19. Modelo predictivo de intubación difícil : estudio cefalométrico y radiográfico

    OpenAIRE

    Mayoral Sanz, Pedro

    2003-01-01

    El manejo de la vía aérea es una de las principales responsabilidades del anestesiólogo, ya que durante la anestesia quedan abolidos los mecanismos de compensacion respiratoria, y se produce un bloqueo de dicha vía. El anestesiólogo debe mantener permeable la vía aérea mediante las distintas técnicas de intubación. En ocasiones se encuentran dificultades a la hora de intubar, y esta situación se denomina Intubación Difícil. Es frecuente, 3-37%, complicada de resolver y con graves consecuencia...

  20. La precariedad: el resultado de 11 contradicciones

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    Antonio Gómez Villar

    2017-12-01

    Full Text Available Proponemos pensar la precariedad como el resultado de 11 contradicciones, esto es, atravesando bloqueos, puntos de crisis, rupturas, apertura de nuevos planos y líneas de fuga inmanentes a la nueva configuración del trabajo postfordista. En cada contradicción podemos reconocer muchos de los medios que tenemos a nuestra disposición para articular proyectos de liberación del capital, para crear instituciones e institucionalidades que posibiliten el que consideramos el mayor de los legados de la teoría (postoperaista: la posibilidad que tiene el conocimiento de devenir autónomo.

  1. Implementación de una plataforma tecnológica para prevenir la fuga de datos en la red administrativa del servicio integrado de seguridad zonal

    OpenAIRE

    Espol; Bacilio Zambrano, Johanna Rosalyn

    2016-01-01

    Controlar y monitorear los dispositivos y el envío de información dentro y fuera de la institución. mediante la implementación de la plataforma CosoSys Endpoint Protector nos permite realizar controles a través de políticas de seguridad de difusión de archivos usando monitoreo, bloqueos y restricción de adjuntos en correos electrónicos, mensajería instantánea, navegadores web, servicios en la nube o dispositivos portátiles de almacenamiento, con el fin de proteger la confidencialidad de la in...

  2. The Intraoral Ultrasonography in Dentistry

    African Journals Online (AJOL)

    2016-06-03

    Jun 3, 2016 ... mucosa, the tongue, periodontal tissues, and periapical lesions. The main purpose ... in dentistry were reported in 1963 by Baum et al.[2]. Ultrasound is the .... in most cases, is not easily detected if it is depressed when placing the ..... changes of patients with chronic renal failure by CBCT. Dentomaxillofac ...

  3. Development and evolution of distraction devices: Use of indigenous appliances for Distraction Osteogenesis-An overview

    Science.gov (United States)

    Andrade, Neelam; Gandhewar, Trupti; Kalra, Rinku

    2011-01-01

    An attempt has been made to review various devices as well as the outstanding studies done in the past for understanding the methodology of distraction for regeneration of bone. Lengthening of underdeveloped bones inclusive of the maxillofacial complex has been obtained by distraction osteogenesis by many authors. This could be achieved by the use of various extraoral or intraoral devices. Devices used for distraction osteogenesis must have a minimum of 2 important characteristics – they should be able to transfer distraction forces directly to the bone and secondly, should offer adequate rigidity for osseous consolidation to occur. With advanced technology and biomechanical engineering, preformed intraoral distraction devices are now available worldwide. The introduction of these intraoral bone-bourne devices have eliminated the need for bulky, cumbersome extraoral distraction devices which had problems such as external scars, pin tract infections, nerve or tooth bud injuries and poor patient compliance. The design of completely internalized custom made appliance has opened new vistas in the field of Oral and Maxillofacial Surgery. Indigenous internal devices are also economical and locally available. PMID:23482829

  4. Large oral lipoma: Case report and literature review in Iran

    Directory of Open Access Journals (Sweden)

    Ahmad Motagi

    2012-01-01

    Full Text Available Lipoma is a benign mesenchymal tumor of fat with uncertain pathogenesis. Although the most common mesenchymal neoplasm in trunk and proximal portions of the extremities, it is rarely seen in the oral cavity. Oral lipomas are clinically soft, smooth-surfaced nodular masses that mostly are less than 3 cm in size. Typically the tumor is asymptomatic unless bitten or become noticeable because of their size. The buccal mucosa and buccal vestibule are the most common intraoral sites and account for 50% of all cases. Reported here is a relatively large lipoma of buccal mucosa that was treated surgically under local anesthesia. In an 18-month postsurgical follow up no complication or recurrence has occurred. This case will also be compared to intraoral lipomas reported in Iranian population. As lipomas are usually smaller than 3 cm in diameter, lipoma with the size reported, is of clinical importance. Since the large lipomas are in differential diagnosis with other, even malignant, mesenchymal, or salivary gland tumors. Thus, this case report recommends clinical awareness in diagnosis of large intraoral soft tissue lesions.

  5. Dose area product measurement for diagnostic reference levels and analysis of patient dose in dental radiography

    International Nuclear Information System (INIS)

    Han, S.; Lee, B.; Shin, G.; Choi, J.; Kim, J.; Park, C.; Park, H.; Lee, K.; Kim, Y.

    2008-01-01

    In this study, diagnostic reference levels (DRLs) were suggested and patient doses were analysed through the dose-area product value in dental radiography. In intraoral radiography, at three sites, i.e. molar, premolar and incisor on the maxilla and acquired third quartile values: 55.5, 46 and 36.5 mGy cm 2 , respectively, were measured. In panoramic, cephalo-metric and cone beam computed tomography, the values were 120.3, 146 and 3203 mGy cm 2 (16 x 18 cm), respectively. It has been shown that, in intraoral radiography, the patient dose changes proportionally to the value of mA s, but the change in extra-oral radiography in response to mA s could not be confirmed. The authors could confirm, however, the difference in dose according to the manufacturer in all dental radiography examinations, except for panoramic radiography. Depending on the size of hospital, there were some differences in patient dose in intraoral radiography, but no difference in patient dose in extra-oral radiography. (authors)

  6. Burden of orofacial pain in a socially deprived and culturally diverse area of the United Kingdom.

    Science.gov (United States)

    Joury, Easter; Bernabe, Eduardo; Gallagher, Jennifer E; Marcenes, Wagner

    2018-07-01

    Little is known about the burden and impact of orofacial pain in deprived areas, and whether it mediates the relationship between socioeconomic position and impacts on daily life. We analysed data from a representative sample of 2168 adults, aged 16 to 65 years, from the East London Oral Health Inequality study. Participants completed a validated questionnaire on demographics, socioeconomic position (area deprivation), orofacial pain (by anatomical site) in the past month, and impacts related to oral conditions on daily life. Negative binomial regression models with robust variance estimator were fitted. The prevalence of orofacial pain was high (30.2%). The most common subset of orofacial pain was intraoral pain (27.5%). The prevalence of pain related to temporomandibular disorders was 6.8%. The most common subsets of intraoral pain were tooth (20.4%) and gingival (11.4%) pain. Orofacial pain, its subsets (intraoral and temporomandibular disorder-related pain), and intraoral pain subsets (tooth and gingival pain) consistently showed associations with all dimensions of impacts on daily life that were highly statistically significant: functional limitation, psychological discomfort, disabilities, and handicap. Socioeconomic inequalities were present in orofacial pain and some dimensions of impacts on daily life. Orofacial pain did not mediate the relationship between area deprivation and impacts on daily life. Our study demonstrated a substantial burden and impact of orofacial pain in a socially deprived and culturally diverse area of the United Kingdom. To address this burden, interventions that lie within the remit of health services are needed to improve access to dental care for adults with orofacial pain.

  7. An epidemiological study for the reduction of population radiation dose

    International Nuclear Information System (INIS)

    Gamo, Makoto

    1989-01-01

    The correlation of tube voltage with patient exposure was studied using effective dose as an indicator of dose reduction in intraoral radiography. The results were as follows: l. The salivary gland tissues contributed the most to the effective dose of intraoral radiography. 2. In the 50 to 90 kV range, there was no appreciable correlation between tube voltage and effective dose. 3. Therefore, it was suggested that adjusting the tube voltage for maximum image quality does not effect radiation protection. 4. This study reconfirmed the fact that increases in voltages up to 90 kV reduce skin doses. (author)

  8. Proximal caries detection: Sirona Sidexis versus Kodak Ektaspeed Plus.

    Science.gov (United States)

    Khan, Emad A; Tyndall, Donald A; Ludlow, John B; Caplan, Daniel

    2005-01-01

    This study compared the accuracy of intraoral film and a charge-coupled device (CCD) receptor for proximal caries detection. Four observers evaluated images of the proximal surfaces of 40 extracted posterior teeth. The presence or absence of caries was scored using a five-point confidence scale. The actual status of each surface was determined from ground section histology. Responses were evaluated by means of receiver operating characteristic (ROC) analysis. Areas under ROC curves (Az) were assessed through a paired t-test. The performance of the CCD-based intraoral sensor was not different statistically from Ektaspeed Plus film in detecting proximal caries.

  9. Lava ultimate resin nano ceramic for CAD/ CAM: customization case study.

    Science.gov (United States)

    Koller, M; Arnetzl, G V; Holly, L; Arnetzl, G

    2012-01-01

    Lava Ultimate Resin Nano Ceramic (RNC) blocks are innovative new CAD/CAM materials that make it possible to achieve superior esthetic results in easy steps. The blocks are made of nano ceramic particles embedded in a highly cured resin matrix. Therefore, composite materials can be used to characterize and adjust resin nano ceramic restorations after milling. The milled RNC restorations can be individualized intra-orally or extra-orally, either before or after insertion. Unlike conventional ceramic restorations, customization and glaze firing is neither necessary nor possible with RNC restorations. This opens up the opportunity for intraoral individualization and adaptation of the restorations.

  10. Anesthetic concerns in a huge congenital sublingual swelling obscuring airway access

    Directory of Open Access Journals (Sweden)

    Nilesh Kumar

    2015-01-01

    Full Text Available Presence of intraoral pathology poses a great challenge during management of pediatric airway. We report management of big intraoral cystic swelling physically occupying the entire oral cavity restricting access to airway. Preintubation aspiration of swelling was done to decrease its size and make room for airway manipulation, followed by laryngoscopy and intubation in lateral position. Airway patency is at risk in postoperative period also, in this case, though the swelling decreased in size postoperatively but presence of significant edema required placement of tongue stitch and modified nasopharyngeal airway. Case report highlights simple maneuvers to manage a difficult case.

  11. A Hairy Situation: Laser Hair Removal after Oral Reconstruction.

    Science.gov (United States)

    Shields, Bridget E; Moye, Molly S; Bayon, Rodrigo; Sperry, Steven M; Wanat, Karolyn A

    2018-03-01

    To present a case series of 4 patients who underwent postoperative hair removal using the long-pulsed Alexandrite or Nd:YAG laser following intraoral cutaneous flap reconstruction. Patients underwent epilation in dermatology clinic with long-pulsed Alexandrite or Nd:YAG lasers, spaced 8 weeks apart, until hair removal was achieved. All patients achieved improvement in hair removal regardless of initial flap donor site with significant improvement in quality of life and minimal side effects. The long-pulsed Alexandrite and Nd:YAG represent safe and effective treatment options to improve patient quality of life following intraoral flap repair following excision of malignancy.

  12. Erratum to "Clinical evaluation of the intraoral fluoride releasing system in radiation-induced xerostomic subjects. Part 2: Phase I study".

    Science.gov (United States)

    Chambers, Mark S; Fleming, Terence J; Toth, Béla B; Lemon, James C; Craven, Timothy E; Bouwsma, Otis J; Garden, Adam S; Espeland, Mark A; Keene, Harris J; Martin, Jack W; Sipos, Tibor

    2007-01-01

    Radiation-induced xerostomia can result in the rapid onset and progression of dental caries in head and neck cancer patients. Topically applied fluorides have been successfully used to inhibit the formation of dental caries in this population. However, because intensive daily self-application is required, compliance is an issue. The intraoral fluoride-releasing system (IFRS) containing a sodium fluoride core is a newly developed, sustained-release, passive drug delivery system that does not require patient involvement except for periodic replacement, thus reducing the effect of patient compliance on its effectiveness in dental caries prevention. Twenty-two head and neck cancer patients from U. T. M. D. Anderson Cancer Center, with radiation-induced xerostomia, were entered into a pilot study to contrast the daily home use of a 0.4% stannous fluoride-gel-containing tray (control group) to IFRS (study group) with respect to tolerability and adherence, and to obtain information on relative caries preventive efficacy. Participants were stratified on the basis of radiation exposure and randomly assigned to treatment with either IFRS or stannous fluoride gel. Patients in both groups were fitted with two IFRS retainers and also were instructed to use a 1100-ppm fluoride conventional sodium fluoride dentifrice twice daily. The study was conducted as a single-blinded, parallel-cell trial. Pre-existing carious lesions were restored prior to the beginning of the study. The efficacy variable was determined by the mean number of new or recurrent decayed surfaces. Patients were examined for caries 4, 8, 12, 24, 36, and 48 weeks after initiation of treatment. Reports of adverse reactions were based on information volunteered by patients and that were elicited during interviews. At baseline, the resting and stimulated salivary flow rates (g/5min) were significantly greater in the control group than in the study group (pIFRS groups during the study period. The rate of new or

  13. Evaluación  de estructuras metálicas de los casos de Dentaduras Parciales Removibles: Facultad de Odontología de la Universidad Central de Venezuela

    OpenAIRE

    Sánchez Y, Andrés Eloy; Morelly, Eddie; Vieira, Jorge

    2007-01-01

    Resumen. Se analizó la influencia de la forma de envío del modelo de trabajo sobre la calidad de las estructuras metálicas de 120 casos de prótesis parciales removibles (PPR), de los cuales 40 estructuras son de casos en los que se envía el modelo de trabajo sin preparación; 40 estructuras de casos que se envía el modelo de trabajo con línea de máximo contorno, calibración y tripodización; 40 casos donde se prepararon lechos, alivios y bloqueos en el modelo de trabajo.    Los parámetros evalu...

  14. Peridural torácica alta associada ou não à peridural torácica baixa em pacientes ambulatoriais: implicações clínicas Peridural torácica alta asociada o no a la peridural torácica baja en pacientes ambulatoriales: implicaciones clínicas High thoracic epidural anesthesia associated or not to low thoracic epidural anesthesia in outpatient procedures: clinical implications

    Directory of Open Access Journals (Sweden)

    Djalma Sperhacke

    2004-08-01

    Full Text Available JUSTIFICATIVA E OBJETIVOS: Sob bloqueio peridural torácico baixo ou médio, as alterações hemodinâmicas são facilmente controladas. Como o bloqueio peridural torácico alto (T2-T3 acomete, freqüentemente, as raízes do plexo braquial (C4C5-T1(T2, algumas destas responsáveis pela formação do nervo frênico (C3-C4-C5 é de se supor, possíveis repercussões motoras deste último. O presente estudo realizado em cirurgias estéticas, sob bloqueio peridural segmentar isolado em T2-T3 ou associado ao bloqueio peridural segmentar em T11-T12, avaliou as repercussões motoras na dinâmica respiratória assim como nos membros superiores e inferiores. MÉTODO: Trinta e duas pacientes, estado físico ASA I e II, sem doença pulmonar broncoespástica, em atividade e peso corporal igual ou superior a 50 kg, foram submetidas a 21 bloqueios peridurais torácicos isolados em T2-T3 e as 11 restantes, a bloqueios combinados em T11-T12, com ropivacaína a 7,5% (45 a 90 mg associada ao sufentanil (10 a 20 µg. Repercussões hemodinâmicas, respiratórias e motoras nos membros superiores e inferiores foram avaliadas respectivamente, sob monitorização não-invasiva, espirometria, força de preensão da mão e escala de Bromage. RESULTADOS: A média de duração das cirurgias mamárias foi de 105 minutos com depressão motora dos membros superiores (p JUSTIFICATIVA Y OBJETIVOS: Sobre bloqueo peridural torácico bajo o medio, las alteraciones hemodinâmicas son fácilmente controladas. Como el bloqueo peridural torácico alto (T2-T3 acomete, frecuentemente, las raíces del plexo braquial (C4C5-T1(T2, algunas de estas responsables por la formación del nervio frénico (C3-C4-C5 es de suponer, posibles repercusiones motoras de este último. El presente estudio realizado en cirugías estéticas, sobre bloqueo peridural segmentar aislado en T2-T3 o asociado al bloqueo peridural segmentar en T11-T12, evaluó las repercusiones motoras en la dinámica respiratoria

  15. Vacuum characteristics of the sucking cycle and relationships with milk removal from the breast in term infants.

    Science.gov (United States)

    Cannon, Anna Maria; Sakalidis, Vanessa Susanna; Lai, Ching Tat; Perrella, Sharon Lisa; Geddes, Donna Tracy

    2016-05-01

    The importance of an infant's intra-oral vacuum in milk removal from the breast has been established. However, the relationship between the vacuum curve and milk transfer is not well understood. To investigate the parameters of the infant suck cycle in relation to the volume of milk removed from the breast. Cross-sectional study to elucidate the role of infant intra-oral vacuum in efficient milk removal from the breast. Nineteen fully breastfed term infants. Intra-oral vacuum was recorded during monitored breastfeeds using a pressure transducer. Ultrasound imaging (milk flow) and respiratory inductive plethysmography (swallowing) were used to determine the nutritive sucking (NS) portion of the feed. Milk intake was determined by weighing infants before and after feeds. Vacuum traces of the first and next 2min of NS from the first breast were analysed. The volumes of milk removed during both NS periods were negatively associated with peak vacuum (pmilk removal during breastfeeding. It also appears that infants modify their sucking dynamics to adapt to changes in milk flow during milk ejection as the breast empties. Copyright © 2016 Elsevier Ireland Ltd. All rights reserved.

  16. Soft tissue-preserving computer-aided impression: a novel concept using ultrasonic 3D-scanning.

    Science.gov (United States)

    Vollborn, Thorsten; Habor, Daniel; Pekam, Fabrice Chuembou; Heger, Stefan; Marotti, Juliana; Reich, Sven; Wolfart, Stefan; Tinschert, Joachim; Radermacher, Klaus

    2014-01-01

    Subgingival preparations are often affected by blood and saliva during impression taking, regardless of whether one is using compound impression techniques or intraoral digital scanning methods. The latter are currently based on optical principles and therefore also need clean and dry surfaces. In contrast, ultrasonic waves are able to non-invasively penetrate gingiva, saliva, and blood, leading to decisive advantages, as cleaning and drying of the oral cavity becomes unnecessary. In addition, the application of ultrasound may facilitate the detection of subgingival structures without invasive manipulation, thereby reducing the risk of secondary infection and treatment time, and increasing patient comfort. Ultrasound devices commonly available for medical application and for the testing of materials are only suitable to a limited extent, as their resolution, precision, and design do not fulfill the requirements for intraoral scanning. The aim of this article is to describe the development of a novel ultrasound technology that enables soft tissue-preserving digital impressions of preparations for the CAD/CAM-based production of dental prostheses. The concept and development of the high-resolution ultrasound technique and the corresponding intraoral scanning system, as well as the integration into the CAD/CAM process chain, is presented.

  17. Code of practice for radiation protection in dentistry (1987)

    International Nuclear Information System (INIS)

    1988-01-01

    This code is intended as a guide to safe practices and lays down detailed requirements for the following protective measures : allocation of responsibility and need for clinical assessment of the indications for radiography; provision of appropriate equipment, film and processing facilities; adoption of procedures to minimise exposure to radiation. This code deals with radiographic procedures commonly used in general and specialist dental practice. These entail : intra-oral radiography: periapical, bitewing and occlusal views; panoramic radiography: intra-oral tube radiography and panoramic tomography; radiography of the complete skull or certain parts of the dento-maxillo-facial region; hand and wrist radiography for the sole purpose of the determination of the bone age

  18. Digital Smile Design concept delineates the final potential result of crown lengthening and porcelain veneers to correct a gummy smile.

    Science.gov (United States)

    Trushkowsky, Richard; Arias, David Montalvo; David, Steven

    Prior to initiating any treatment, it is necessary to visualize the desired outcomes. It then becomes possible to formulate the steps required to achieve this result. Digital Smile Design (DSD) utilizes patient input and information gathered through diagnostic procedures to create an esthetic treatment scheme. In the case presented here, the NYUCD Esthetic Evaluation Form, intraoral and extraoral photographs, mounted diagnostic casts, physical examination, and radiographs were the diagnostic modalities. The gathered information served as a starting point for a wax-up and intraoral mock-up. This case report demonstrates how the DSD served as a template for crown lengthening procedures and design of the final porcelain veneer restorations.

  19. A clinical trial of a rare earth screen/film system in a periapical cassette

    International Nuclear Information System (INIS)

    Kogon, S.L.; Stephens, R.G.; Reid, J.A.; Lubus, N.J.

    1984-01-01

    In a clinical trial, a slow rare earth screen/film system (Siemens Titan 2D/Kodak XG) was used to obtain intraoral radiographs at conventional monitoring stages in endodontic treatment. The screen film image proved to be an effective substitute for the direct-exposure Ultraspeed periapical film. The intraoral cassettes, designed and fabricated for the study, were an adaptation of the flexible, vacuum-sealed cassettes used in mammography. It is believed that when a practicable periapical cassette is manufactured, many additional indications for the system are probable. Major reductions in patient exposure of at least 85% to 90% per periapical film would be effected

  20. Bedside Ultrasound for the Diagnosis of Peritonsillar Abscess

    Directory of Open Access Journals (Sweden)

    Harshal Bhakta

    2017-09-01

    Full Text Available History of present illness: A 34-year-old male presented to the Emergency Department with fever, sore throat, and difficulty swallowing. On exam, the patient had trismus, a deviated uvula, and swelling of his left peritonsillar space. An intraoral point of care ultrasound (POCUS was performed, which revealed a fluid collection in the patient’s left peritonsillar space. The patient was diagnosed with a peritonsillar abscess (PTA and needle aspiration was performed under direct ultrasound guidance. The patient tolerated the procedure well and was sent home with a course of antibiotics. Significant findings: The first video is an intraoral ultrasound using the high frequency endocavitary probe demonstrating an anechoic fluid collection adjacent to the patient’s enlarged left tonsil. The second video shows real-time ultrasound-guided successful drainage of the PTA. Discussion: Peritonsillar abscesses are the most common deep space infection of the head and neck1, most commonly affecting children and young adults.2 The ability of physicians to accurately differentiate PTA from peritonsillar cellulitis (PTC by physical exam alone is limited. Traditionally, PTA has been treated using landmark-based needle aspiration.3 If unsuccessful, computed tomography (CT imaging and otolaryngology (ENT consultation is usually required.3 Although diagnosis of PTA using intraoral ultrasound has a sensitivity and specificity of between 89%-95% and 79%-100% respectively, it is still underutilized in comparison to these traditional methods.4 Studies have shown the use of ultrasound for diagnosis and treatment of PTA leads to significantly better outcomes and higher success rates of drainage (when compared to landmark-based needle aspiration, less need for CT imaging, and less need for ENT consultation.3 Utilizing intraoral point-of-care ultrasound is an efficient, safe, and cost-effective way of diagnosing and treating PTA.

  1. In Situ analysis of CO2 laser irradiation on controlling progression of erosive lesions on dental enamel.

    Science.gov (United States)

    Lepri, Taísa Penazzo; Scatolin, Renata Siqueira; Colucci, Vivian; De Alexandria, Adílis Kalina; Maia, Lucianne Cople; Turssi, Cecília Pedroso; Corona, Silmara Aparecida Milori

    2014-08-01

    The present study aimed to evaluate in situ the effect of CO2 laser irradiation to control the progression of enamel erosive lesions. Fifty-six slabs of bovine incisors enamel (5 × 3 × 2.5 mm(3) ) were divided in four distinct areas: (1) sound (reference area), (2) initial erosion, (3) treatment (irradiated or nonirradiated with CO2 laser), (4) final erosion (after in situ phase). The initial erosive challenge was performed with 1% citric acid (pH = 2.3), for 5 min, 2×/day, for 2 days. The slabs were divided in two groups according to surface treatment: irradiated with CO2 laser (λ = 10.6 µm; 0.5 W) and nonirradiate. After a 2-day lead-in period, 14 volunteers wore an intraoral palatal appliance containing two slabs (irradiated and nonirradiated), in two intraoral phases of 5 days each. Following a cross-over design during the first intraoral phase, half of the volunteers immersed the appliance in 100 mL of citric acid for 5 min, 3×/day, while other half of the volunteers used deionized water (control). The volunteers were crossed over in the second phase. Enamel wear was determined by an optical 3D profilometer. Three-way ANOVA for repeated measures revealed that there was no significant interaction between erosive challenge and CO2 laser irradiation (P = 0.419). Erosive challenge significantly increased enamel wear (P = 0.001), regardless whether or not CO2 laser irradiation was performed. There was no difference in enamel wear between specimens CO2 -laser irradiated and non-irradiated (P = 0.513). Under intraoral conditions, CO2 laser irradiation did not control the progression of erosive lesions in enamel caused by citric acid. © 2014 Wiley Periodicals, Inc.

  2. Influência da nifedipina no bloqueio neuromuscular produzido pelo atracúrio e pelo cisatracúrio: estudo em preparações nervo frênico-diafragma de rato Influencia de la nifedipina en el bloqueo neuromuscular producido por atracurio y cisatracurio: estudio en preparación nervio frénico diafragma de ratón Influence of nifedipine on the neuromuscular block produced by atracurium and cistracurium: study in rat phrenic-diaphragmatic nerve preparation

    Directory of Open Access Journals (Sweden)

    Silmara Rodrigues de Sousa

    2006-04-01

    produzido pelo atracúrio e cisatracúrio. Estudos eletrofisiológicos demonstraram ação pré-sináptica e ausência de ação despolarizante sobre a fibra muscular.JUSTIFICATIVA Y OBJETIVOS: Los bloqueadores de canales de calcio pueden reaccionar con los bloqueadores neuromusculares potenciando sus efectos. Los estudios sobre esta interacción presentan resultados controvertidos. En algunos estudios estas drogas produjeron el bloqueo neuromuscular, o contractura, o no se observó ningún efecto sobre las respuestas musculares esqueléticas. El estudio evaluó los efectos de la nifedipina sobre la respuesta muscular y su posible relación con los bloqueadores neuromusculares en el diafragma del ratón. MÉTODO: Fueron utilizados 25 ratones, con peso entre 250 y 300 g sacrificadas con anestesia con pentobarbital (40 mg.kg-1 por vía intraperitoneal. La preparación fue montada de acuerdo con la técnica descripta por Bulbring. El diafragma fue mantenido bajo tensión, conectado con un transductor isométrico y sometido a estímulo indirecto de 0,1 Hz de frecuencia. Las contracciones del diafragma fueron registradas en un fisiógrafo. Para la evaluación de los efectos de las drogas en la transmisión neuromuscular, las mismas fueron añadidas aisladamente o asociadas a la preparación en las siguientes concentraciones: nifedipina (4 µg.mL-1; atracurio (20 µg.mL-1; cisatracurio (3 µg.mL-1 . En las preparaciones nervio frénico-diafragma se evaluaron: 1 la amplitud de las respuestas del músculo diafragma al estímulo indirecto, antes y 45 minutos después de la adición de nifedipina y de los bloqueadores neuromusculares aisladamente y después de la asociación de las drogas; 2 los efectos de la nifedipina en los potenciales de la membrana (PM y potenciales de la placa terminal en miniatura (PPTM. RESULTADOS: La nifedipina, cuando empleada aisladamente, no cambió la amplitud de las respuestas musculares, pero aumentó significativamente la actividad bloqueadora

  3. Novel technique and simple approach for supra-alar region and supra-alar crease correction by supra-alar cinching.

    Science.gov (United States)

    Selvaraj, Loganathan

    2016-01-01

    This technical report describes a simple and innovative surgical technique for supra-alar sidewall region constriction and supra-alar crease attenuation by cinching technique through intraoral approach.

  4. Novel technique and simple approach for supra-alar region and supra-alar crease correction by supra-alar cinching

    OpenAIRE

    Selvaraj, Loganathan

    2016-01-01

    This technical report describes a simple and innovative surgical technique for supra-alar sidewall region constriction and supra-alar crease attenuation by cinching technique through intraoral approach.

  5. Fundamental Tongue Motions for Trumpet Playing: A Study Using Cine Magnetic Resonance Imaging (Cine MRI).

    Science.gov (United States)

    Furuhashi, Hiroko; Chikui, Toru; Inadomi, Daisuke; Shiraishi, Tomoko; Yoshiura, Kazunori

    2017-12-01

    Though the motions of structures outside the mouth in trumpet performance have been reported, the dynamics of intraoral structures remain unelucidated. This study explored the tongue's movement in trumpet playing using cine magnetic resonance imaging (cine MRI) and demonstrated the effects of intraoral anatomical structures on changes in pitch and dynamics. Cine MRI was applied to 18 trumpet players, who were divided into two groups (7 beginner, 11 advanced) based on their ability to play a certain high note. They were instructed to play a custom-made MRI-compatible simulated trumpet. Pitch-change tasks and dynamics-change tasks were assigned. The positions of the anatomical points and intraoral areas were identified on outlined images, and the changes associated with each task were evaluated. A forward and upward projection of the tongue was observed in the production of higher pitches, and there were no significant differences in all areas. In louder dynamics, a backward and downward bending of the tongue occurred, the tongue area became smaller (pcine MRI that certain tongue movements were associated with each task. Tongue protrusion in the production of higher pitch and bending in louder dynamics can be rationalized using acoustics theory and the movements of anatomical structures. These findings seem to be consistent regardless of the player's proficiency.

  6. Study on the characteristics of insight dental x-ray film

    International Nuclear Information System (INIS)

    Song, Young Han; Lee, Wan; Lee, Byung Do

    2003-01-01

    To investigate the characteristics of the newly marketed, Insight dental X-ray film. Kodak Ultraspeed (DF-58), E-speed, Agfa Dentus M2, and Kodak Insight (IP-21) films were radiographed using a Trophy intra-oral radiographic machine. 10 step exposure times were prepared and each step exposure was monitored using a FH 40G (ESM Eberline Instruments) dosimeter for each of the 4 types of intra-oral film. All films were manually processed and the radiographic densities at 6 site of each processed film were measured, and the characteristic curves of each of the 4 types intra-oral films were created utilizing these dosimetric data and radiographic densities, based on ISO 5779. The film contrast, speed, and base plus fog density of Insight film were compared with those of the 3 other films examined in this experiment. E-speed film showed greatest average gradients followed by Insight film. E-speed and Ultraspeed film showed great average gradients at low density levels. Insight film showed the fastest speed followed by E-speed, Dentus M2 and Ultraspeed film. Dentus M2 film showed greatest base plus fog density level followed by Insight film. Kodak Insight film showed fastest film speed with comparable film contrast on characteristic curve.

  7. Epidemiology of gingivitis in schoolchildren in Bucharest, Romania: a cross-sectional study.

    Science.gov (United States)

    Funieru, C; Klinger, A; Băicuș, C; Funieru, E; Dumitriu, H T; Dumitriu, A

    2017-04-01

    Gingivitis is the most prevalent oral disease in children, being strongly associated to social gradients. Many studies have reported different results concerning the extent and intra-oral distribution of gingivitis in children. The aim of this study was to investigate the epidemiologic parameters and socio-related risk factors of gingivitis in the 10-17-year-old Bucharest schoolchildren population and to analyze its intra-oral distribution. Cross-sectional data were obtained from 1595 schoolchildren, social condition being assigned using a simple questionnaire. Classes of students were used as clusters in a single-stage cluster sampling method. An intra-oral exam was performed for all the children included in this study. Silness and Löe scores, prevalence and the extent of gingivitis were calculated. The gingival scores showed a mild inflammation and the prevalence of gingivitis was 91%. Boys had a higher gingival (0.19 vs. 0.18; p gingival conditions (p Gingivitis was more severe on the upper teeth, with the maximum score being reached at the right upper lateral incisor (0.63 on distal surface). Gingival condition in Bucharest schoolchildren population was associated to social gradients. School dental services are also another factor that seems to be related with gingivitis. © 2016 John Wiley & Sons A/S. Published by John Wiley & Sons Ltd.

  8. Digital Morphometrics: A New Upper Airway Phenotyping Paradigm in OSA.

    Science.gov (United States)

    Schwab, Richard J; Leinwand, Sarah E; Bearn, Cary B; Maislin, Greg; Rao, Ramya Bhat; Nagaraja, Adithya; Wang, Stephen; Keenan, Brendan T

    2017-08-01

    OSA is associated with changes in pharyngeal anatomy. The goal of this study was to objectively and reproducibly quantify pharyngeal anatomy by using digital morphometrics based on a laser ruler and to assess differences between subjects with OSA and control subjects and associations with the apnea-hypopnea index (AHI). To the best of our knowledge, this study is the first to use digital morphometrics to quantify intraoral risk factors for OSA. Digital photographs were obtained by using an intraoral laser ruler and digital camera in 318 control subjects (mean AHI, 4.2 events/hour) and 542 subjects with OSA (mean AHI, 39.2 events/hour). The digital morphometric paradigm was validated and reproducible over time and camera distances. A larger modified Mallampati score and having a nonvisible airway were associated with a higher AHI, both unadjusted (P digital morphometrics is an accurate, high-throughput, and noninvasive technique to identify anatomic OSA risk factors. Morphometrics may also provide a more reproducible and standardized measurement of the Mallampati score. Digital morphometrics represent an efficient and cost-effective method of examining intraoral crowding and tongue size when examining large populations, genetics, or screening for OSA. Copyright © 2017 American College of Chest Physicians. Published by Elsevier Inc. All rights reserved.

  9. A questionnaire on the use of digital denture impressions in a preclinical setting.

    Science.gov (United States)

    Wegner, Kerstin; Michel, Karin; Seelbach, Paul Henryk; Wöstmann, Bernd

    Since February 2010, intraoral scanning (Lava COS system, 3M ESPE, Seefeld, Germany) has been integrated into the preclinical curriculum at the Department of Prosthodontics of the Justus Liebig University. All students were given a lecture and were trained using a guided scan exercise. After preparing three teeth (mandibular first premolars and mandibular first molar in the 4th quadrant) for cast crowns, the students were asked to scan the maxillary and mandibular teeth. Their acceptance of the new module, "Scanning," was analyzed with the use of a questionnaire (n = 108). The evaluation showed that 63.9% of the students perceived the digital impression to be informative, and had an overall positive opinion of this new digital technology. Concerning the difficulty of the scanning process, approximately 60.2% considered it to be manageable, while 55.6% reported that the magnified view of their preparations improved their understanding of preparing chamfer finish lines. Altogether, the majority of students appreciated this intraoral scanning device as an enhancement of their education. They indicated that this method contributes to a better understanding of crown preparations. In conclusion, the implementation of intraoral scanning seems promising in preclinical education and will be continued in the curriculum.

  10. Evaluacion del componente central y periferico de fatiga muscular en pacientes neuropaticos y miopaticos

    Directory of Open Access Journals (Sweden)

    L. G. Cohen

    1983-09-01

    Full Text Available Utilizando un método de cuantificación del electromiograma, se investigaron parte de los mecanismos centrales y periféricos responsables de la fatiga muscular en enfermos crónicamente denervados y en pacientes con compromiso muscular primitivo. Se observó en los denervados que los mecanismos de fatiga muscular, no difieren mayormente de los observados en el grupo de sujetos sanos, por el contrario, en los miopáticos a más del componente central, existen otros de orden periférico, tales como la pérdida de unidades motoras funcionantes durante el esfuerzo y el bloqueo temporario de la transmisión neuromuscular, que contribuye al desarrollo de la fatiga.

  11. Anestesia espinhal com 10 mg de bupivacaína hiperbárica associada a 5 µg de sufentanil para cesariana: estudo de diferentes volumes Anestesia espinal con 10 mg de bupivacaína hiperbárica asociada a 5 µg de sufentanil para cesárea: estudio de diferentes volúmenes Spinal Block with 10 mg of hyperbaric bupivacaine associated with 5 µg of sufentanil for cesarean section: study of different volumes

    Directory of Open Access Journals (Sweden)

    Angélica de Fátima de Assunção Braga

    2010-04-01

    alteraciones fisiológicas inherentes al embarazo, baricidad, dosis y volumen del anestésico local. El objetivo de este estudio fue evaluar la efectividad y los efectos colaterales de diferentes volúmenes de la asociación de bupivacaína hiperbárica y sufentanil por vía subaracnoidea en cesáreas. MÉTODO: Cuarenta pacientes, ASA I y II, sometidos a cesárea electiva bajo raquianestesia distribuidos en dos grupos, de acuerdo con el volumen de la solución anestésica usada: Grupo I (4 mL y Grupo II (3 mL. En los dos grupos, el anestésico local empleado fue la bupivacaína hiperbárica (10 mg-2 mL asociada al sufentanil (5 µg-1 mL. En el Grupo I, para la obtención del volumen de 4 mL, se añadió 1 mL de solución fisiológica a 0,9%. Se evaluaron: latencia del bloqueo; nivel máximo del bloqueo sensitivo; grado del bloqueo motor; tiempo para regresión del bloqueo motor; duración total de la analgesia; efectos adversos maternos y repercusiones neonatales. RESULTADOS: La latencia, el nivel máximo del bloqueo sensitivo, el grado y el tiempo para la regresión del bloqueo motor fueron similares en los dos grupos; la duración de la analgesia fue mayor en el Grupo I, con una diferencia significativa con relación al Grupo II. Los efectos adversos se dieron a menudo de forma similar en los dos grupos. Se registró la ausencia de las alteraciones cardiocirculatorias maternas y de las repercusiones neonatales. CONCLUSIONES: La bupivacaína hiperbárica en dosis de 10 mg asociada al sufentanil en dosis de 5 µg, con un volumen de 4 mL, fue más eficaz que la misma asociación en un menor volumen (3 mL, proporcionando una mejor analgesia intra y postoperatoria, sin repercusiones materno-fetales.BACKGROUND AND OBJECTIVES: Several factors affect the cephalad dispersion of the anesthetic solution in the subarachnoid space; among them, physiological changes of pregnancy and the dose and volume of the local anesthetics should be mentioned. The objective of this study was to assess

  12. Maxillary anterior segmental distraction osteogenesis with 2 different types of distractors.

    Science.gov (United States)

    Choi, Hye-Young; Hwang, Chung-Ju; Kim, Hee-Jin; Yu, Hyung-Seog; Cha, Jung-Yul

    2012-05-01

    Maxillary anterior segmental distraction osteogenesis (DO) has been the alternative treatment option for patients with midfacial retrusion. To investigate a potentially more effective maxillary anterior segmental DO, a newly designed intraoral alveolar distractor was applied. The objectives of this study were to investigate the skeletal and dental effects of maxillary anterior segmental DO and the relapse pattern. The study was carried out for 8 patients with unilateral cleft lip and palate (mean age, 16 years 7 months). Four patients were treated with an intraoral appliance (IA), and the remaining with a rigid external distractor (RED). Dental and skeletal measurements were obtained for both groups. These measurements were compared for different time points including pre-DO (T1), post-DO (T2), postconsolidation (T3), and 1-year follow-up (T4). Horizontal change of A point was significantly larger after distraction period (T2) in the RED group (mean, 11.0 mm; median, 10.1 mm) than in the IA group (mean, 6.6 mm; median, 7.4 mm) (P distraction, showing a significant difference between groups (P Maxillary anterior segmental DO is effective for the treatment of patients with cleft lip and palate. The alveolar space is regained, and the facial profile is improved without velopharyngeal problems. Superior results are obtained using the RED appliance for maxillary anterior segmental DO relative to the use of the intraoral distractor appliance.

  13. Dose measurements in dental radiology using thermoluminescent dosimetry;Medicoes de dose em radiodiagnostico odontologico utilizando dosimetria termoluminescente

    Energy Technology Data Exchange (ETDEWEB)

    Chiara, Ana Claudia M. de; Costa, Alessandro M. [Universidade de Sao Paulo (FFCLRP/USP), Ribeirao Preto, SP (Brazil). Faculdade de Filosofia, Ciencias e Letras; Pardini, Luiz Carlos [Universidade de Sao Paulo (FORP/USP), Ribeirao Preto, SP (Brazil). Faculdade de Odontologia

    2009-07-01

    The aim of this work was the implementation of a code of practice for dosimetry in dental radiology using the technique of thermoluminescent dosimetry. General principles for the use of thermoluminescent dosimeters were followed. The irradiations were performed using ten X-ray equipment for intra-oral radiography and an X-ray equipment for panoramic radiography. The incident air kerma was evaluated for five different exposure times used in clinical practice for intra-oral radiographs. Using a backscatter factor of 1.2, it was observed that approximately 40% of the entrance skin dose values found for intra-oral radiographs are above the diagnostic reference level recommended in national regulation. Different configurations of voltage and current were used representing the exposure as a child, woman and man for panoramic radiographs. The results obtained for the air kerma area product were respectively 53.3 +- 5.2 mGy.cm{sup 2}, 101.5 +- 9.5 mGy.cm{sup 2} and 116.8 +- 10.4 mGy.cm{sup 2}. The use of thermoluminescent dosimetry requires several procedures before a result is recorded. The use of dosimeters with ionization chambers or semiconductors provides a simple and robust method for routine measurements. However, the use of thermoluminescent dosimetry can be of great value to large-scale surveys to establish diagnostic reference levels. (author)

  14. Dose measurements in dental radiology using thermoluminescent dosimetry

    International Nuclear Information System (INIS)

    Chiara, Ana Claudia M. de; Costa, Alessandro M.; Pardini, Luiz Carlos

    2009-01-01

    The aim of this work was the implementation of a code of practice for dosimetry in dental radiology using the technique of thermoluminescent dosimetry. General principles for the use of thermoluminescent dosimeters were followed. The irradiations were performed using ten X-ray equipment for intra-oral radiography and an X-ray equipment for panoramic radiography. The incident air kerma was evaluated for five different exposure times used in clinical practice for intra-oral radiographs. Using a backscatter factor of 1.2, it was observed that approximately 40% of the entrance skin dose values found for intra-oral radiographs are above the diagnostic reference level recommended in national regulation. Different configurations of voltage and current were used representing the exposure as a child, woman and man for panoramic radiographs. The results obtained for the air kerma area product were respectively 53.3 +- 5.2 mGy.cm 2 , 101.5 +- 9.5 mGy.cm 2 and 116.8 +- 10.4 mGy.cm 2 . The use of thermoluminescent dosimetry requires several procedures before a result is recorded. The use of dosimeters with ionization chambers or semiconductors provides a simple and robust method for routine measurements. However, the use of thermoluminescent dosimetry can be of great value to large-scale surveys to establish diagnostic reference levels. (author)

  15. In Vivo Force Decay of Niti Closed Coil Springs

    Science.gov (United States)

    Cox, Crystal; Nguyen, Tung; Koroluk, Lorne; Ko, Ching-Chang

    2014-01-01

    Introduction Nickel-titanium (NiTi) closed coil springs are purported to deliver constant forces over extended ranges of activation and working times. In vivo studies supporting this claim are limited. The objective of this study is to evaluate changes in force decay properties of NiTi closed coil springs after clinical use. Methods Pseudoelastic force-deflection curves for 30 NiTi coil springs (used intra-orally) and 15 matched laboratory control springs (simulated intra-oral conditions - artificial saliva, 37°C) were tested pre- and post-retrieval via Dynamic Mechanical Analysis (DMA) and the Instron machine, respectively, to evaluate amount of force loss and hysteresis change following 4, 8, or 12 weeks of working time (n=10 per group). Effect of the oral environment and clinical use on force properties were evaluated by comparing in vivo and in vitro data. Results The springs studied showed a statistically significant decrease in force (~12%) following 4 weeks of clinical use (pspace closure at an average rate of 0.91mm per month was still observed despite this decrease in force. In vivo and in vitro force loss data were not statistically different. Conclusions NiTi closed coil springs do not deliver constant forces when used intra-orally, but they still allow for space closure rates of ~1mm/month. PMID:24703289

  16. Interleucina-6: ¿amiga o enemiga? Bases para comprender su utilidad como objetivo terapéutico = Interleukin-6: friend or foe? Basis to understand its utility as a therapeutic target

    Directory of Open Access Journals (Sweden)

    Saavedra Ramírez, Publio Giovanni

    2011-06-01

    Full Text Available Las citocinas son moléculas de comunicación intercelular. Exhiben una gran cantidad de funciones en diferentes sistemas y procesos orgánicos; en particular, ejercen una acción muy importante en los mecanismos que producen la inflamación. La interleucina-6 es una molécula pleiotrópica con acciones proinflamatorias y antinflamatorias. Diversas fuentes de evidencia la vinculan de modo importante y directo con la fisiopatología de diferentes enfermedades autoinmunes. Este artículo revisa las bases moleculares y los diversos efectos biológicos de esta citoquina, así como la experiencia clínica acumulada hasta la fecha con terapias dirigidas al bloqueo de sus acciones proinflamatorias en pacientes con artritis reumatoide.

  17. En la Búsqueda de Alternativas para la Judicialización de la Salud: El Estado de Cosas Inconstitucional en la Salud Pública de Brasil

    Directory of Open Access Journals (Sweden)

    Gabriel Faustino Santos

    2016-10-01

    Full Text Available La investigación se ocupa del control judicial de las políticas públicas en salud. El objetivo es demostrar la relevancia del modelo de control estructural y dialógico de las políticas públicas por la jurisdicción constitucional mediante la adopción de nuevas teorías, tales como el estado de cosas inconstitucional, en contrapunto al paradigma dominante de litigios individuales en Brasil. El método utilizado es el enfoque deductivo y se utiliza la investigación teórica como método de procedimiento. Se defiende el reconocimiento del estado de cosas inconstitucional en la salud de Brasil como medio para superar los bloqueos institucionales y garantizar este derecho social.

  18. Cirugía de las arritmias en las cardiopatías congénitas

    Directory of Open Access Journals (Sweden)

    Fernando Hornero

    2008-10-01

    Full Text Available La propia fisiopatología de las cardiopatías congénitas y el impacto de algunas correcciones quirúrgicas pueden predisponer al desarrollo de arritmias cardíacas, que incluyen taquicardia supraventricular macrorreentrante, flutter, fibrilación auricular, taquicardia auricular ectópica, taquicardia ventricular, síndrome del seno enfermo, bloqueo auriculoventricular y muerte súbita, entre otras. En la actualidad el tratamiento definitivo de estas arritmias y su profilaxis durante la corrección quirúrgica son procesos eficaces, con baja morbilidad y gran beneficio clínico para el paciente. En este trabajo se revisa el estado actual del tratamiento quirúrgico de las arritmias en las cardiopatías congénitas.

  19. The Use of Fluorescence Technology versus Visual and Tactile Examination in the Detection of Oral Lesions: A Pilot Study.

    Science.gov (United States)

    Ayoub, Hadeel M; Newcomb, Tara L; McCombs, Gayle B; Bonnie, Marshall

    2015-02-01

    This study compared the effectiveness of the VELscope® Vx versus visual and tactile intraoral examination in detecting oral lesions in an adult, high risk population. The pilot study compared the intra oral findings between 2 examination types. The sample was comprised of 30 participants who were addicted to either cigarettes or a dual addiction (cigarettes plus hookah). High risk population was defined as males who were current cigarette smokers or had a dual addiction. Two trained and experienced licensed dental hygienists conducted all examinations. Throughout the study, all visual and tactile intraoral examinations were conducted first by one dental hygienist first, followed by the VELscope® Vx fluorescence examinations by the second dental hygienist. All subjects received an inspection of the lips, labial and buccal mucosa, floor of the mouth, dorsal, ventral and lateral sides of the tongue, hard and soft palate, and visual inspection of the oropharynx and uvula. Both evaluations took place in 1 visit in the Dental Hygiene Research Center at Old Dominion University and external sites. All participants received oral cancer screening information, recommendations, referrals for tobacco cessation programs and brochures on the 2 types of examinations conducted. Participants were considered high risk based on demographics (current smokers and mostly males). Neither visual and tactile intraoral examination nor the VELscope® Vx examination showed positive lesions. No lesions were detected; therefore, no referrals were made. Data indicated the duration of tobacco use was significantly higher in cigarette smokers (14.1 years) than dual addiction smokers (5 years) (p>0.005). The average numbers of cigarettes smoked per day were 13.5 compared to 14.2 cigarettes for dual addiction smokers. Results from this study suggest the visual and tactile intraoral examination produced comparative results to the VELscope® Vx examination. Findings from this study support that the

  20. Immediate Implant Placement of a Single Central Incisor Using a CAD/CAM Crown-Root Form Technique: Provisional to Final Restoration.

    Science.gov (United States)

    Vafiadis, Dean; Goldstein, Gary; Garber, David; Lambrakos, Anthony; Kowalski, Bj

    2017-02-01

    Preserving soft and hard tissues after extraction and implant placement is crucial for anterior esthetics. This technique will show how the information gathered from a cone-beam computed tomography (CBCT) scan of the maxillary left central incisor and an intra-oral digital impression can be merged to fabricate a CAD/CAM crown-root matrix to be used as an immediate provisional restoration that mimics the natural anatomy. Due to trauma, a left central incisor appeared to be fractured and was scheduled for extraction and implant placement. The crown-root configuration captured by the CBCT scan was merged with the digital files from an intra-oral digital impression. A CAD/CAM crown-root matrix was fabricated. Because the matrix shell was fabricated with the exact anatomy of the natural tooth, it replicated the position and three dimensional anatomy of the soft and hard tissue. It was connected to the implant with a customized provisional abutment. A digital impression of a coded healing abutment was made to fabricate the final implant abutment and final restoration. Throughout the treatment time and 36 months after completion, the thickness of tissue, emergence profile, and adjacent papilla was analyzed by clinical evaluation and photography and seemed to be maintained. The use of a pre-operative intra-oral digital scan of the clinical crown-root architecture and the CBCT scan of the bone/root anatomy, can be used together to fabricate a CAD/CAM crown-root form provisional matrix. This digital design helps in the preservation of the 3D tissue topography, as well as the final restoration. The preservation of soft and hard tissue after extraction and implant placement has always been paramount for ideal anterior implant esthetics. Using the information from digital files from CBCT scans and intra-oral scans may help the clinician identify critical anatomical features that can be replicated in the provisional and final CAD/CAM restoration. (J Esthet Restor Dent 29

  1. An epidemiological study for the reduction of the population radiation dose

    International Nuclear Information System (INIS)

    Fujii, Tsutomu

    1986-01-01

    Doses to patients from Radiographic examinations should be as low as reasonably achievable. The optimization of radiation protection was investigated for intraoral radiography, using image assessments of radiographs exposed under five different tube voltages, three types of film and eight milliampere second (mAs) values. The results obtained were as follows : 1. It was suggested that the most suitable tube voltage for image quality of intraoral radiography was 60 kV, regardless of film type. 2. On the basis of eye appeal, non screen-type films had higher diagnostic values than screen-type films, and Kodak ultra speed film was the best of all. 3. Screen-type films should be changed to non screen-type films which have the advantages of better image quality and lower patient exposure. (author)

  2. Test ifm kursus (Dorthe) - Patient discomfort and retakes in periapical examination of mandibular third molars using digital receptors and film

    DEFF Research Database (Denmark)

    Matzen, Louise Hauge; Christensen, Jennifer; Wenzel, Ann

    2009-01-01

    OBJECTIVE: The aim was to compare patient discomfort and evaluate the frequency of retakes using intraoral digital receptors and conventional film for radiographic examination of mandibular third molars. STUDY DESIGN: Both mandibular third molar regions were examined in 110 patients with 2 of 5...... digital intraoral receptors. Discomfort was scored on a visual analog scale (VAS) for each receptor and for film as a reference. If the whole tooth was not imaged on the digital image, a retake was performed using film. t Tests evaluated differences in VAS score, chi-squared tests evaluated differences...... in frequency of remakes, and logistic regression analyses evaluated factors predisposing for retake. RESULTS: No significant difference existed in VAS scores between right and left sides for film (P = .24). The digital receptors were more uncomfortable than film (P

  3. A Technique for Digital Impression and Bite Registration for a Single Edentulous Arch.

    Science.gov (United States)

    Fang, Yiqin; Fang, Jing-Huan; Jeong, Seung-Mi; Choi, Byung-Ho

    2018-03-09

    Few studies have reported the application of digital technology for the process of impression and interocclusal recordings in edentulous patients. This article describes a digitizing system for generating digital edentulous models with a jaw relationship by taking direct digital impressions and a virtual bite registration using intraoral digital scanning. A specialized scan retractor was used to make digital impressions of edentulous jaws in patients' mouths using an intraoral scanner. Virtual bite registration was obtained with optical scanning of the buccal surfaces of both jaws at the occlusal vertical dimension. The registration was then used as a reference for aligning both jaws. Digital edentulous models that include the jaw relationship would be clinically beneficial for the fabrication of complete dentures in edentulous patients. © 2018 by the American College of Prosthodontists.

  4. Case report of giant sialolith (megalith) of the Wharton's duct

    African Journals Online (AJOL)

    2015-11-15

    Nov 15, 2015 ... Department of Oral and Maxillofacial Surgery, Faculty of Dentistry,. Ordu University ... sialolithiasis cases occur in the pediatric population.[5] More ... via intraoral approach under general anesthesia [Figure 4]. The incision was ...

  5. Exposure reduction of 96% in intraoral radiography

    International Nuclear Information System (INIS)

    Kircos, L.T.; Vandre, R.H.; Lorton, L.

    1986-01-01

    This study compared the diagnostic quality of E-speed film, xeroradiographic cassettes, and a screen-film imaging system used in medical radiology. The surfaces of defects simulating caries were scored for the presence and depth of the defects under ideal viewing conditions by independent observers. Receiver Operator Characteristics analysis of the data showed no significant differences regarding diagnostic potential among the three systems. The true-positive fraction was 1.00 for all systems and all operators, and the false-positive fraction was .011, .011, and .007, respectively. An exposure of 5.5 mR was used to produce images with the screen-film combination, and 150 mR was used for standard dental systems. This study showed that an exposure reduction of 96% is possible while maintaining high-quality radiographs for the diagnosis of caries

  6. Short-Term Evaluation of Intraoral Soft Splints

    Science.gov (United States)

    1994-06-01

    typical orofacial pain problems (McGlynn and Cassisi, 1985; Fricton, 1991b). The objective outcome measure should both assess the degree of muscle pain ...Second Edition. Chicago, Year Book Medical Publishers, pp 218-21. Bell, W.E. (1989) Orofacial Pains Classification, Diagnosis, Management. Fourth...Fricton, J.R. (1990) Musculoskeletal measures of orofacial pain . Anesth Prog 37:136-43. Fricton, J.R. (1991a) Recent advances in teaporomandibular

  7. The Intraoral Ultrasonography in Dentistry | Caglayan | Nigerian ...

    African Journals Online (AJOL)

    The PDF file you selected should load here if your Web browser has a PDF reader plug-in installed (for example, a recent version of Adobe Acrobat Reader). If you would like more information about how to print, save, and work with PDFs, Highwire Press provides a helpful Frequently Asked Questions about PDFs.

  8. The Role of Lip Adhesion in the Treatment of Cleft Lips

    African Journals Online (AJOL)

    user

    2004-12-02

    Dec 2, 2004 ... presence of a wide alveolar cleft (gap>7mm) with severely malpositioned maxillary segments. LA was performed at ... example head caps and elastic bands and intraoral orthodontic .... arch alignment in bilateral cleft lip and.

  9. Baixas doses de bupivacaína a 0,5% isobárica para raquianestesia unilateral Bajas dosis de bupivacaína a 0,5% isobárica para raquianestesia unilateral Low isobaric 0.5% bupivacaine doses for unilateral spinal anesthesia

    Directory of Open Access Journals (Sweden)

    Luiz Eduardo Imbelloni

    2004-06-01

    raquianestesia unilateral é a estabilidade hemodinâmica e sua rápida regressão, podendo ser uma nova opção para cirurgia ambulatorial.JUSTIFICATIVA Y OBJETIVOS: La raquianestesia unilateral puede presentar diversas ventajas, principalmente en el paciente ambulatorial. Bajas dosis de anestésicos locales, lenta velocidad de inyección subaracnóidea y posición de decúbito lateral son relacionados con la facilidad de producir distribución unilateral en la raquianestesia. En este estudio, fue verificada la posibilidad de obtenerse raquianestesia unilateral con bupivacaína a 0,5% isobárica. MÉTODO: La raquianestesia con 1 ml de bupivacaína isobárica a 0,5% (5 mg fue realizada a través de aguja 27G Quincke en 25 pacientes, estado físico ASA I y II sometidos a cirugías ortopédicas. La punción subaracnóidea fue realizada por vía lateral con el paciente en decúbito lateral, con el miembro a ser operado vuelto para arriba, y 1 ml de bupivacaína hipobárica fue inyectado en la velocidad de 1 ml.30s-1. Bloqueos sensitivo y motor (picada de aguja y escala de 0 a 3 fueron comparados entre el lado a ser operado y el contralateral. RESULTADOS: Los bloqueos motor y sensitivo entre el lado operado y el contralateral fueron significativamente diferentes en todos los tiempos evaluados. En el miembro operado todos los pacientes presentaran anestesia quirúrgica. En el miembro contralateral, a los 20 minutos, 9 pacientes presentaron bloqueo sensitivo; a los 40 minutos 18 pacientes y a los 60 minutos 17 pacientes. Por tanto, el bloqueo sensitivo unilateral ocurrió en 7 pacientes (28% y en ambos miembros en 18 pacientes (72%. Raquianestesia unilateral fue obtenida en 28% de los pacientes. Estabilidad hemodinámica fue observada en todos los pacientes. Ningún paciente desenvolvió cefalea pós-raquianestesia. CONCLUSIONES: La bupivacaína isobárica (5 mg proporciona predominante bloqueo unilateral después de 20 minutos en la posición lateral. La solución isobárica de

  10. Measurement of radiation dose in dental radiology

    International Nuclear Information System (INIS)

    Helmrot, E.; Carlsson, G. A.

    2005-01-01

    Patient dose audit is an important tool for quality control and it is important to have a well-defined and easy to use method for dose measurements. In dental radiology, the most commonly used dose parameters for the setting of diagnostic reference levels (DRLs) are the entrance surface air kerma (ESAK) for intraoral examinations and dose width product (DWP) for panoramic examinations. DWP is the air kerma at the front side of the secondary collimator integrated over the collimator width and an exposure cycle. ESAK or DWP is usually measured in the absence of the patient but with the same settings of tube voltage (kV), tube current (mA) and exposure time as with the patient present. Neither of these methods is easy to use, and, in addition, DWP is not a risk related quantity. A better method of monitoring patient dose would be to use a dose area product (DAP) meter for all types of dental examinations. In this study, measurements with a DAP meter are reported for intraoral and panoramic examinations. The DWP is also measured with a pencil ionisation chamber and the product of DWP and the height H (DWP x H) of the secondary collimator (measured using film) was compared to DAP. The results show that it is feasible to measure DAP using a DAP meter for both intraoral and panoramic examinations. The DAP is therefore recommended for the setting of DRLs. (authors)

  11. Accuracy of digital peripical radiography and cone-beam computed tomography in detecting external root resorption

    Energy Technology Data Exchange (ETDEWEB)

    Creanga, Adriana Gabriela [Division of Dental Diagnostic Science, Rutgers School of Dental Medicine, Newark (United States); Geha, Hassem; Sankar, Vidya; Mcmahan, Clyde Alex; Noujeim, Marcel [University of Texas Health Science Center San Antonio, San Antonio (United States); Teixeira, Fabrico B. [Dept. of Endodontics, University of Iowa, Iowa City (United States)

    2015-09-15

    The purpose of this study was to evaluate and compare the efficacy of cone-beam computed tomography (CBCT) and digital intraoral radiography in diagnosing simulated small external root resorption cavities. Cavities were drilled in 159 roots using a small spherical bur at different root levels and on all surfaces. The teeth were imaged both with intraoral digital radiography using image plates and with CBCT. Two sets of intraoral images were acquired per tooth: orthogonal (PA) which was the conventional periapical radiograph and mesioangulated (SET). Four readers were asked to rate their confidence level in detecting and locating the lesions. Receiver operating characteristic (ROC) analysis was performed to assess the accuracy of each modality in detecting the presence of lesions, the affected surface, and the affected level. Analysis of variation was used to compare the results and kappa analysis was used to evaluate interobserver agreement. A significant difference in the area under the ROC curves was found among the three modalities (P=0.0002), with CBCT (0.81) having a significantly higher value than PA (0.71) or SET (0.71). PA was slightly more accurate than SET, but the difference was not statistically significant. CBCT was also superior in locating the affected surface and level. CBCT has already proven its superiority in detecting multiple dental conditions, and this study shows it to likewise be superior in detecting and locating incipient external root resorption.

  12. Three-dimensional plotting and printing of an implant drilling guide: simplifying guided implant surgery.

    Science.gov (United States)

    Flügge, Tabea Viktoria; Nelson, Katja; Schmelzeisen, Rainer; Metzger, Marc Christian

    2013-08-01

    To present an efficient workflow for the production of implant drilling guides using virtual planning tools. For this purpose, laser surface scanning, cone beam computed tomography, computer-aided design and manufacturing, and 3-dimensional (3D) printing were combined. Intraoral optical impressions (iTero, Align Technologies, Santa Clara, CA) and digital 3D radiographs (cone beam computed tomography) were performed at the first consultation of 1 exemplary patient. With image processing techniques, the intraoral surface data, acquired using an intraoral scanner, and radiologic 3D data were fused. The virtual implant planning process (using virtual library teeth) and the in-office production of the implant drilling guide was performed after only 1 clinical consultation of the patient. Implant surgery with a computer-aided design and manufacturing produced implant drilling guide was performed during the second consultation. The production of a scan prosthesis and multiple preoperative consultations of the patient were unnecessary. The presented procedure offers another step in facilitating the production of drilling guides in dental implantology. Four main advantages are realized with this procedure. First, no additional scan prosthesis is needed. Second, data acquisition can be performed during the first consultation. Third, the virtual planning is directly transferred to the drilling guide without a loss of accuracy. Finally, the treatment cost and time required are reduced with this facilitated production process. Copyright © 2013 American Association of Oral and Maxillofacial Surgeons. Published by Elsevier Inc. All rights reserved.

  13. Digital Workflow for Computer-Guided Implant Surgery in Edentulous Patients: A Case Report.

    Science.gov (United States)

    Oh, Ji-Hyeon; An, Xueyin; Jeong, Seung-Mi; Choi, Byung-Ho

    2017-12-01

    The purpose of this article was to describe a fully digital workflow used to perform computer-guided flapless implant placement in an edentulous patient without the use of conventional impressions, models, or a radiographic guide. Digital data for the workflow were acquired using an intraoral scanner and cone-beam computed tomography (CBCT). The image fusion of the intraoral scan data and CBCT data was performed by matching resin markers placed in the patient's mouth. The definitive digital data were used to design a prosthetically driven implant position, surgical template, and computer-aided design and computer-aided manufacturing fabricated fixed dental prosthesis. The authors believe this is the first published case describing such a technique in computer-guided flapless implant surgery for edentulous patients. Copyright © 2017 American Association of Oral and Maxillofacial Surgeons. Published by Elsevier Inc. All rights reserved.

  14. Problems associated with veterinary dental radiography

    International Nuclear Information System (INIS)

    Eisner, E.R.

    1990-01-01

    Veterinarians have been radiographing animal skulls for many years, but sophisticated dentistry was not widely used until the 1970s. Elevated awareness of veterinary dental techniques has led to the need for producing accurate radiographic images of the teeth and periodontal structures. Many problems arise for the clinician who treats small animals who has, before this time, radiographed the skull of dogs and cats solely for the purpose of assessing neoplastic, infectious, or traumatic disease of the mandible, maxilla, or calvarium and now desires to perform dental radiography. This chapter will describe the advantages and disadvantages of some of the more common types of radiographic equipment and supplies, discuss extraoral and intraoral radiographic positioning and technique, identify anatomic landmarks and diagnostic features of intraoral radiography, and offer suggestions concerning the art of using dental radiography in veterinary practice

  15. Trauma cardiaco cerrado

    Directory of Open Access Journals (Sweden)

    Camilo Alvarado

    2016-01-01

    Full Text Available El trauma cardiaco constituye una de las primeras causas de mortalidad en la población general. Requiere alto índice de sospecha en trauma cerrado severo, mecanismo de desaceleración y en presencia de signos indirectos como: equimosis, huella del volante o del cinturón en el tórax anterior. Las lesiones incluyen: conmoción cardiaca, ruptura cardiaca, lesión cardiaca indirecta como la trombosis coronaria aguda, lesión aórtica, lesión del pericardio y herniación cardiaca. Entre las manifestaciones clínicas están: la angina refractaria a nitratos, el dolor pleurítico, la hipotensión arterial, la taquicardia, la ingurgitación yugular que aumenta con la inspiración, el galope por tercer ruido, el frote pericárdico, los soplos de reciente aparición, los estertores crepitantes por edema pulmonar. El electrocardiograma es el primer eslabón en el algoritmo diagnóstico con hallazgos como: la taquicardia sinusal, los complejos ventriculares prematuros, la fibrilación auricular, el bloqueo de rama derecha y los bloqueos auriculoventriculares. La radiografía de tórax ayuda a descartar lesiones adicionales óseas y pulmonares. La troponina I tiene un valor predictivo negativo del 93% para el trauma cardiaco, otras enzimas como la creatina quinasa total y la creatina quinasa fracción MB son menos específicas. El ecocardiograma está indicado en caso de hipotensión persistente, electrocardiograma con alteraciones o falla cardiaca aguda. El tratamiento incluye la estabilización inicial y un manejo específico de las lesiones. Entre las complicaciones se incluyen: el taponamiento cardiaco, la contusión miocárdica, el síndrome coronario agudo, las arritmias cardíacas y la lesión aórtica. El pronóstico se determina en mayor medida por los signos vitales al ingreso y la presencia de paro cardiaco durante el abordaje inicial.

  16. ¿Existe relación entre la concentración de inducción anestésica de sevofluorano y la incidencia de agitación postanestésica en niños?

    Directory of Open Access Journals (Sweden)

    Alejandro González Arellano

    2017-12-01

    Full Text Available Introducción. La inducción anestésica con sevofluorano se asocia con agitación postanestésica (APA en niños. Concentraciones de sevofluorano mayores a 6% producen actividad cerebral epileptiforme, la que podría estar relacionada a APA. El propósito de este estudio fue comparar el efecto de dos diferentes concentraciones de inducción anestésica con sevofluorano sobre la incidencia de APA, en niños sometidos a cirugía infraumbilical. Método. Estudio prospectivo y doble ciego, en pacientes de 2 a 7 años, operados de fimosis o hernia inguinal con anestesia general y bloqueo epidural caudal. Los pacientes fueron aleatorizados para recibir sevofluorano 5% (grupo S5 o sevofluorano 8% (grupo S8. Se registraron variables demográficas, signos vitales, profundidad anestésica utilizando índice biespectral (BIS y respuesta motora durante distintos momentos de la anestesia. Se evaluó la presencia de agitación en pabellón y recuperación utilizando la escala de APA pediátrica (PAED. Análisis estadístico: t-test o Mann-Whitney y test Chi-cuadrado o Fisher, p < 0,05 considerada significativa. Resultados. Se reclutaron 33 pacientes, 16 en el grupo S5 y 17 en el grupo S8. Ambos grupos fueron comparables en cuanto a variables demográficas, signos vitales, respuesta motora y valores de BIS. No hubo diferencias significativas en la incidencia de APA en pabellón (S5: 31,3% y S8: 35,3% y en recuperación (S5: 43,8% y S8: 41,2%, entre los grupos. Conclusión. No habría relación entre la concentración de inducción anestésica de sevofluorano y la incidencia de APA en niños sometidos a cirugía infraumbilical con anestesia general y bloqueo caudal.

  17. Medición del daño genético inducido por el basuco en linfocitos humanos empleando la prueba de micronúcleos con Citocalasina B

    Directory of Open Access Journals (Sweden)

    AP. Ocampo

    2001-07-01

    Full Text Available El bazuco es una mezcla compleja que se deriva del proceso de extracción de la cocaína. El frecuente consumo de bazuco constituye un problema de salud pública. La prueba de micronúcleos en linfocitos humanos de sangre periférica por bloqueo de la citocinesis con Citocalasina B, es más sensible y precisa para evaluar daño  cromosómico porque permite registrar micronúcleos originados de fragmentos de cromosomas o cromosomas enteros en células que se han dividido una sola vez. El objetivo del presente estudio fue evaluar el daño genético, inducido por el bazuco en linfocitos humanos in vitro empleando la prueba de micronúcleos con Citocalasina B.

  18. Glaucoma maligno en paciente con cirugía previa de catarata traumática e implante valvular: reporte de caso

    Directory of Open Access Journals (Sweden)

    Juan Carlos Serna-Ojeda

    2015-07-01

    Full Text Available El glaucoma maligno es un glaucoma secundario asociado con un bloqueo ciliar y dirección equivocada del flujo del humor acuoso. Se presenta el caso de un paciente masculino de 19 años con antecedente de explosión de filtro metálico en ojo derecho. Se encuentra con una presión intraocular de 52 mmHg y cristalino luxado a cámara anterior. Se inicia terapia máxima para glaucoma y se realiza facoemulsificación con posterior colocación de válvula de Ahmed, y 3 semanas después de la cirugía presenta hallazgos clínicos compatibles con glaucoma maligno. Se presenta el seguimiento del paciente y los estudios de imagen indicados

  19. Glottal volume velocity waveform characteristics in subjects with and without vocal training, related to gender, sound intensity, fundamental frequency, and age

    NARCIS (Netherlands)

    Sulter, AM; Wit, HP

    Glottal volume velocity waveform characteristics of 224 subjects, categorized in four groups according to gender and vocal training, were determined, and their relations to sound-pressure level, fundamental frequency, intra-oral pressure, and age were analyzed. Subjects phonated at three intensity

  20. An Innovative Treatment Strategy to Counteract Retroactive Forces In Bimaxillary Dentoalveolar Cases

    Directory of Open Access Journals (Sweden)

    Reena R Kumar

    2010-01-01

    This paper presents a case report of a 30 yrs old male patient with Class I Bimaxillary Protrusion treated using innovative lingual forces with a labial appliance (without any additional intraoral or extraoral anchorage devices effectively with negligible anchorage loss.

  1. Glottal volume velocity waveform characteristics in subjects with and without vocal training, related to gender, sound intensity, fundamental frequency, and age

    NARCIS (Netherlands)

    Sulter, AM; Wit, HP

    1996-01-01

    Glottal volume velocity waveform characteristics of 224 subjects, categorized in four groups according to gender and vocal training, were determined, and their relations to sound-pressure level, fundamental frequency, intra-oral pressure, and age were analyzed. Subjects phonated at three intensity

  2. Comparison of marginal and internal fit of 3-unit ceramic fixed dental prostheses made with either a conventional or digital impression.

    Science.gov (United States)

    Su, Ting-Shu; Sun, Jian

    2016-09-01

    For 20 years, the intraoral digital impression technique has been applied to the fabrication of computer aided design and computer aided manufacturing (CAD-CAM) fixed dental prostheses (FDPs). Clinical fit is one of the main determinants of the success of an FDP. Studies of the clinical fit of 3-unit ceramic FDPs made by means of a conventional impression versus a digital impression technology are limited. The purpose of this in vitro study was to evaluate and compare the internal fit and marginal fit of CAD-CAM, 3-unit ceramic FDP frameworks fabricated from an intraoral digital impression and a conventional impression. A standard model was designed for a prepared maxillary left canine and second premolar and missing first premolar. The model was scanned with an intraoral digital scanner, exporting stereolithography (STL) files as the experimental group (digital group). The model was used to fabricate 10 stone casts that were scanned with an extraoral scanner, exporting STL files to a computer connected to the scanner as the control group (conventional group). The STL files were used to produce zirconia FDP frameworks with CAD-CAM. These frameworks were seated on the standard model and evaluated for marginal and internal fit. Each framework was segmented into 4 sections per abutment teeth, resulting in 8 sections per framework, and was observed using optical microscopy with ×50 magnification. Four measurement points were selected on each section as marginal discrepancy (P1), mid-axial wall (P2), axio-occusal edge (P3), and central-occlusal point (P4). Mean marginal fit values of the digital group (64 ±16 μm) were significantly smaller than those of the conventional group (76 ±18 μm) (Pdigital group (111 ±34 μm) were significantly smaller than those of the conventional group (132 ±44 μm) (Pdigital and conventional impressions showed clinically acceptable marginal and internal fit. The marginal and internal fit of frameworks fabricated from the intraoral

  3. [Comparative analysis of 3D data visibility of the prepared tooth finishing line on a synthetic jaw model, captured by international scanners in a laboratory conditions].

    Science.gov (United States)

    Ryakhovskiy, A N; Kostyukova, V V

    The aim of the study was to compare accuracy of digital impression's finishing line and the zone under it taken by different intraoral scanning systems. Parameters of comparison were: different level of the finishing line to the gingiva and width of sulcus after retraction. For this purpose two synthetic jaw models with prepared teeth were scanned using intraoral scanning systems: 3D Progress (MHT S.P.A., IT - MHT Optic Research AG, CH); True Definition (3M ESPE, USA); Trios (3Shape A/S, DNK); CEREC AC Bluecam, CEREC Omnicam (Sirona Dental System GmbH, DE); Planscan (Planmeca, FIN) (each n=10). Reference-scanning was done by ATOS Core (GOM mbH, DE). The resulting digital impressions were superimposed with the master-scan. The lowest measured deviations (trueness) for intraoral scanners, where the finishing line was 0.5 mm above gingiva were with scanner True Definition - 18.8±6.63 (on the finishing line) and 51.0±14.33 µm (0.3 mm under the finishing line). In conditions where finishing line was on the same level with gingiva, scanner Trios showed the best results: 17.0±3.96 and 52.7±6.52 µm. When the finishing line was 0.5 mm under gingiva, none of the testing scanners could visualize the zone 0.3 mm lower the finishing line. The best results for accuracy o the finishing line in that circumstances showed Trios: 15.1±5.05 µm. The optimum visualization of the finishing line and the zone under it was reached when the sulcus was 0.3 mm after retraction. Thus, the best accuracy was obtained with Trios: 10.3±2.69 (on the finishing line) and 57.2±13.58 µm (0.3 mm under finishing line). The results show that intraoral scanners also provide enough accuracy for indicating finishing line and the zone under it in different conditions of preparation and gingiva retraction. However, not all of the testing scanners can properly indicate finishing line and the zone under it when shoulder is below gingiva and the width of sulcus is less than 0.2 mm.

  4. Effect of simulated chairside grinding procedures using commercially available abrasive agents on the surface properties of zirconia

    Directory of Open Access Journals (Sweden)

    Ramandeep Sandhu

    2017-01-01

    Clinical Significance: Carbide burs along with copious water irrigation when used to grind zirconia intra-orally produces has a polishing effect, minimal change in hardness & no phase transformation. The present study advocates the use of carbides for chair-side grinding of zirconia.

  5. Hydrofluoric acid on dentin should be avoided.

    NARCIS (Netherlands)

    Loomans, B.A.C.; Mine, A.; Roeters, F.J.M.; Opdam, N.J.M.; Munck, J. De; Huysmans, M.C.D.N.J.M.; Meerbeek, B. Van

    2010-01-01

    Hydrofluoric acid can be used for intra-oral repair of restorations. Contamination of tooth substrate with hydrofluoric acid cannot always be avoided. OBJECTIVES: To investigate the bonding effectiveness to hydrofluoric acid contaminated dentin by, micro-tensile bond strength testing, SEM and TEM.

  6. The image intensifier in oral and maxillofacial surgery

    International Nuclear Information System (INIS)

    Gans, B.J.; Kallal, R.H.; Helgerson, A.C.; Verona, S.R.

    1982-01-01

    The mobile image intensifier has been found useful in the removal of foreign bodies from both intraoral and extraoral sites. The safety of the machine has been verified, and a technique for its application is described. Additional uses for the machine are stated

  7. Radiovisiographic evaluation of pilocarpol lesions

    International Nuclear Information System (INIS)

    Cecetkova, A.; Ondrasovicova, J.; Hanusinova, V.

    2006-01-01

    Radiodiagnostic, one of the most commonly used accessory investigative and imaging methods, is developing and it has recently become basic and everyday investigative method. Dental radiodiagnostic is today defined as 'dentist equals dental radiodiagnostician'. Radiovisiography (rvg) is a novel way of rtg image scanning straight to the computer monitor without using film and under condition of short exposure time (0.16-0.32 s). Rvg uses intraoral sensor (CCD) instead of rtg film. Rvg is composed of three parts. Radio - is the part which contains X-rays generator with microprocessor set up to short exposure time. This part also contains intraoral sensor. Visio - is the part of rvg unit which absorbs signal from CCD sensor during the exposure time. This signal is subsequently transformed into digital image in analog-digital convertor. Graphy - is the part which contains digital record saving unit coupled with output system (PC monitor, printer). (authors)

  8. Relationship of image magnification between periapical standard film and orthopantomogram

    International Nuclear Information System (INIS)

    Kim, Young Tae; Park, Tae Won

    1986-01-01

    The author studied the magnification ratio of teeth length in orthopantomogram through intraoral film taken by standardized paralleling technique. In this study, intraoral radiograph and orthopantomogram were taken in 2 cases of dry skull and 36 adults (504 teeth). The obtained results were as follows: 1. In case of dry skull, the magnification ratio of standard films was 4.6% to 5.9% and that of Orthopantomograph 5 was 15.1% to 33.1%. The magnification ratio of to the standard film was 9.2% to 26.5%. 2. In case of adults, the magnification ratio Orthopantomograph 5 to the standard films was 9.5% to 24.6%. 3. There were no significant difference in magnification between left and right. 4. Anterior teeth had lesser magnification than teeth. 5. It was considered that teeth length showed in Orthopantomograph 5 was magnified 15.4% to 31.3% than actual teeth length.

  9. Roentgenologic investigations for the anterior tooth length

    Energy Technology Data Exchange (ETDEWEB)

    Cho, Won Pyo; Ahn, Hyung Kyu [College of Dentistry, Seoul National University , Seoul (Korea, Republic of)

    1972-11-15

    The author measured the length of crown, root and tooth on the films which was taken by intraoral bisecting technic with mesh plate on the films. The films were taken from the dry skulls, dentiform, same patients who had to be removed their upper incisors, and the other patients who admitted for dental care. From this serial experiment the results were made as follows: 1. By using the film and mesh plate in the oral cavity, the real tooth length can be measured easily on the film surfaces. 2. The film distortion in the oral cavity can be avoided when taking the film using the mesh plate and film together. 3. When measuring the film, length of crown was elongated and length of root was shortened. 4. When using the well-trained bisecting technic, the real tooth length can be measured directly on the intraoral film.

  10. Sturge-Weber syndrome

    Directory of Open Access Journals (Sweden)

    Natarajan Manivannan

    2012-01-01

    Full Text Available Encephalotrigeminal angiomatosis (Sturge-Weber syndrome is a rather uncommon congenital condition characterized by the combination of venous angioma of the leptomeninges over the cerebral cortex with ipsilateral angiomatous lesions of the face, and sometimes the skull, jaws, and oral soft tissues. A case of portwine stain with intraoral gingival hemangioma is presented. There were no other systemic manifestations. Patient reported with a complaint of localized tumor-like swelling in gums. Based on the presence of sharply demarcated vascular lesion unilaterally on the face and with ipsilateral intraoral vascular hyperplasia in the lip and gingiva, a variant of encephalotrigeminal angiomatosis was diagnosed. Ultrasound Doppler flowmetry was used to determine the blood flow. Dental management included plaque control instructions, scaling, root planning, and excision of the lesion done under general anesthesia. Close follow-up and meticulous plaque control have kept the oral condition under fairly good control.

  11. Rotational Distraction for the Treatment of Severe Mandibular Retrognathia.

    Science.gov (United States)

    Ito, Osamu; Mitsugi, Masaharu; Alcalde, Rafael E; Yano, Tomoyuki; Uemura, Noriko; Okazaki, Mutsumi

    2015-07-01

    The main problem with intraoral distraction of the mandible is the inability to achieve the three-dimensional mandibular correction as planned preoperatively. We developed a technique that allows spontaneous changes in the direction of mandibular elongation using an intraoral distractor. After mandibular osteotomy, the distractor is fixed to the distal segment of the mandible using a single bicortical screw, allowing anterior-posterior, vertical and limited lateromedial changes in the vector of distraction. Mandibular lengthening is performed while keeping the maxilla and mandible in class I occlusion with intermaxillary fixation. As the distraction device is activated allowing mandibular elongation, the proximal segment, guided by the surrounding soft tissues, moves and rotates posterosuperiorly. Mandibular lengthening is continued until the condylar head reaches an adequate position in the mandibular fossa as confirmed clinically and radiographically. Thirty-three patients with mandibular retrognathia received this treatment and good results were obtained.

  12. Removable orthodontic appliances: new perspectives on capabilities and efficiency.

    Science.gov (United States)

    Hamid Zafarmand, A; Mahdi Zafarmand, M

    2013-06-01

    Removable appliances are a dependable choice for many patients but like all orthodontic appliances, they have some limitations in use. Patient selection and appropriate appliance design are two key factors for success. Many patients, especially adults, prefer intra-oral appliances to extra-oral devices. Sometimes a removable intra-oral appliance can solve a dental problem in a shorter period of time compared to fixed treatment, and this has also been repeatedly seen in molar distalisation. From the interceptive perspective, the appliance can prevent or alleviate an impending crowding for erupting permanent incisors. This article describes 5 patients with different orthodontic problems: impending crowding for erupting upper canine with 2 approaches, provision of space for upper cuspids, resolution of chronic attrition of anterior teeth, relief of space shortage for upper canines eruption, and reduction of excess overjet. All subjects were treated with removable appliances of various designs.

  13. Comunicación y bloqueo institucional.- El caso de Canal 13 [de Costa Rica

    Directory of Open Access Journals (Sweden)

    Lic. William Ortiz A.

    1999-01-01

    Full Text Available institución especializada en la comunicación social puede ser estudiada de muchas maneras. El abordaje que procuramos asume una perspectiva crítica y considera la institución desde el punto de vista de la relación entre un mensaje y un sujeto receptor, es decir, se trata de la relación que vincula un conjunto de programas emitidos con un público, el cual los consume en su calidad de espectador. Pero como esta relación no se materializa si no es al interior de una sociedad, interesa situar constantemente a la institución dentro de la colectividad humana de la que forma parte y, más concretamente, dentro del estado y no dentro de la sociedad civil.

  14. Effects of Various Cryotherapy Applications on Postoperative Pain in Molar Teeth with Symptomatic Apical Periodontitis: A Preliminary Randomized Prospective Clinical Trial.

    Science.gov (United States)

    Gundogdu, Eyup Candas; Arslan, Hakan

    2018-03-01

    The purpose of the study was to evaluate the effects of intracanal, intraoral, and extraoral cryotherapy on postoperative pain in molar teeth with symptomatic apical periodontitis. A total of 100 patients were randomly distributed into 4 groups: control (without cryotherapy application), intracanal cryotherapy application, intraoral cryotherapy application, and extraoral cryotherapy application. The postoperative pain of the patients was recorded at the first, third, fifth, and seventh days. The data were statistically analyzed by using linear regression, χ 2 , one-way analysis of variance, Tukey post hoc, and Kruskal-Wallis H tests (P = .05). There were no statistically significant differences among the groups in terms of demographic data (P > .05). The preoperative pain levels and preoperative visual analogue scale (VAS) scores of pain on percussion were similar among the groups (P > .05). The linear regression analysis demonstrated that group variable had the most significant effect on postoperative pain at day 1 (P < .001) among the other variables (group, age, gender, tooth number, preoperative pain levels, and VAS scores of pain on percussion). When compared with the control group, all the cryotherapy groups exhibited less percussion pain and less postoperative pain at the first, third, fifth, and seventh days (P < .05). Within the study limitations, all the cryotherapy applications (intracanal, intraoral, and extraoral) resulted in lower postoperative pain levels and lower VAS scores of pain on percussion versus those of the control group. Copyright © 2017 American Association of Endodontists. Published by Elsevier Inc. All rights reserved.

  15. Interactive relationship between the mechanical properties of food and the human response during the first bite.

    Science.gov (United States)

    Dan, Haruka; Kohyama, Kaoru

    2007-05-01

    Biting is an action that results from interplay between food properties and the masticatory system. The mechanical factors of food that cause biting adaptation and the recursive effects of modified biting on the mechanical phenomena of food are largely unknown. We examined the complex interaction between the bite system and the mechanical properties. Nine subjects were each given a cheese sample and instructed to bite it once with their molar teeth. An intra-oral bite force-time profile was measured using a tactile pressure-measurement system with a sheet sensor inserted between the molars. Time, force, and impulse for the first peak were specified as intra-oral parameters of the sample fracture. Mechanical properties of the samples were also examined using a universal testing machine at various test speeds. Besides fracture parameters, initial slope was also determined as a mechanical property possibly sensed shortly after bite onset. The bite profile was then examined based on the mechanical parameters. Sample-specific bite velocities were identified as characteristic responses of a human bite. A negative correlation was found between bite velocity and initial slope of the sample, suggesting that the initial slope is the mechanical factor that modifies the consequent bite velocity. The sample-specific bite velocity had recursive effects on the following fracture event, such that a slow velocity induced a low bite force and high impulse for the intra-oral fracture event. We demonstrated that examination of the physiological and mechanical factors during the first bite can provide valuable information about the food-oral interaction.

  16. Browse Title Index

    African Journals Online (AJOL)

    Items 51 - 100 of 127 ... ... working conditions, compensation, and carer development in a Nigerian tertiary ... Vol 8, No 1 (2017), Identifying social labels for mental illness in a ... Vol 7, No 3 (2016), Intra-oral foreign body in a toddler and the risk of ...

  17. Intergrated dental care in nursing homes

    NARCIS (Netherlands)

    Gerritsen, P.F.M.

    2015-01-01

    The thesis deals with integrated dental care in nursing homes. First, the dental treatment needs were ascertained of 432 residents in three Dutch nursing homes that offer integrated dental care. Dentist researchers intra-orally examined the residents and found that 72% required dental treatment.

  18. Halitosis management by the general dental practitioner-results of an international consensus workshop

    NARCIS (Netherlands)

    Seemann, R.; Conceicao, M. D.; Filippi, A.; Greenman, J.; Lenton, P.; Nachnani, S.; Quirynen, M.; Roldan, S.; Schulze, H.; Sterer, N.; Tangerman, A.; Winkel, E. G.; Yaegaki, K.; Rosenberg, M.

    Clinical investigations on patients suffering from halitosis clearly reveal that in the vast majority of cases the source for an offensive breath odor can be found within the oral cavity (90%). Based on these studies, the main sources for intra-oral halitosis where tongue coating,

  19. Free muscle transfer with split thickness skin graft coverage in head and neck reconstructive surgery

    NARCIS (Netherlands)

    Bos, K. E.; Balm, A. J.; Schouwenburg, P. F.; Hilgers, F. J.; de Boer, J. B.

    1991-01-01

    Sixteen patients (eight females and eight males) who underwent microsurgical free tissue transfers for head and neck reconstruction are reviewed. In this series, the flap reconstruction was completed on eleven patients with extra-oral defects and five with intra-oral defects. Split thickness skin

  20. Histopathologic, stereologic, epidemiologic, and clinical parameters in the prognostic evaluation of squamous cell carcinoma of the oral cavity

    DEFF Research Database (Denmark)

    Bundgaard, T; Bentzen, S M; Wildt, J

    1996-01-01

    BACKGROUND: Prognostic indicators that could assist in a more precise selection of patients with oral cancer for differentiated therapy would be clinically valuable.METHODS: A consecutive series of 161 cases of intraoral squamous cell carcinoma (SCC) occurring during a 5-year period in a population...