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Sample records for bloqueo infraorbitario intraoral

  1. Analgesia postoperatoria en la queiloplastia del lactante. Estudio comparativo: bloqueo infraorbitario intraoral bilateral con bupivacaína 0,25% con adrenalina vs. analgesia intravenosa con tramadol Postoperative analgesia for the management of chieloplasty in the breast-fed baby. Comparative study: bilateral intraoral blockade of the infraorbitary nerve with bupivacaine 0.25% plus adrenaline versus intravenous analgesia with tramadol

    OpenAIRE

    J. A. Delgado; A. Martínez-Tellería; M. E. Cano; J. Galera; R. Fernández-Valades; A. Ruiz-Montes

    2005-01-01

    Objetivo: Comparar la eficacia y duración del bloqueo del nervio infraorbitario intraoral bilateral frente a la analgesia intravenosa convencional con tramadol en el control del dolor postoperatorio en lactantes sometidos a queiloplastia por labio leporino. Material y métodos: Tras la realización de una adecuada valoración preanestésica y la obtención del consentimiento informado de los padres, realizamos un estudio prospectivo, controlado aleatorizado y doble ciego en 25 niños, ASA I, con ed...

  2. Bloqueo auriculoventricular completo fetal

    OpenAIRE

    Bustos,Paola; Santiago,Claudia; Bahamondes,Francisco; Jaramillo,Luis

    2002-01-01

    Uno de los disturbios más graves del ritmo cardíaco fetal es el bloqueo aurículoventricular completo o de 3er grado (BAVC), condición de fácil detección clínica y ecocardiográfica, y muchas veces de altísima mortalidad fetal, que indica la necesidad de intervención terapéutica urgente. Se presenta el caso clínico de una paciente que teniendo el antecedente de un RN anterior con el mismo diagnóstico, se envía a nuestro servicio con bradiarritmia en el feto actual, para realizar estudio y trata...

  3. Intraoral neuropathy.

    Science.gov (United States)

    Merrill, Robert L

    2004-10-01

    Chronic nonodontogenic toothache has been reported in the literature since the 1700s. This problem has followed a similar scenario since those first reports. The patient typically is misdiagnosed and then subjected to multiple unnecessary procedures, ultimately resulting in tooth extractions because of dentists and physicians being unaware of the existence of atypical odontalgia and other types of intraoral neuropathic pain that are treatable without sacrificing the teeth. This paper reviews the medications and procedures used to treat nonodontogenic toothache.

  4. Intraoral Pain Disorders.

    Science.gov (United States)

    Edens, Mary Hil; Khaled, Yasser; Napeñas, Joel J

    2016-08-01

    Those experiencing intraoral pain associated with dental and oral diseases are likely to pursue treatment from medical and dental providers. The causes for intraoral pain include odontogenic, periodontal, oral mucosal, or contiguous hard and soft tissue structures to the oral cavity. Providers should be vigilant when diagnosing these, as they should be among the first in their differential diagnoses to be ruled out. This review provides brief overviews of frequently encountered oral/dental diseases that cause intraoral pain, originating from the teeth, the surrounding mucosa and gingivae, tongue, bone, and salivary glands and their causes, features, diagnosis, and management strategies. Copyright © 2016 Elsevier Inc. All rights reserved.

  5. Bloqueo sesamoideo abaxial con ketamina en el caballo

    OpenAIRE

    Cruz Amaya, Jorge Mario

    2003-01-01

    En este trabajo se ha evaluado la posibilidad que tiene la Ketamina de actuar como analgésico local, utilizando el modelo experimental de la lampara de luz concentrada como estímulo doloroso supramaximo. En este modelo, el fármaco a evaluar se aplica sobre los nervios digitales palmares (bloqueo sesamoideo abaxial) y posteriormente, el estímulo nocivo, en la piel de la cuartilla. Antes de inducir el bloqueo se determinó el tiempo de retirada normal para un caballo sin analgesia al aplicarse e...

  6. 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.

  7. 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.

  8. The Intraoral Ultrasonography in Dentistry

    African Journals Online (AJOL)

    2018-02-23

    Feb 23, 2018 ... resorption in edentulous patients; second molar implants may also cause lingual nerve injuries. It should be .... with narrow palates; small-footprint convex probes may be more appropriate. However, their ... tissue around implants are measurable by intraoral USG.[52]. On buccal surfaces, it is quite easy to ...

  9. 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.

  10. 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...

  11. 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.)

  12. 21 CFR 872.5570 - Intraoral devices for snoring and intraoral devices for snoring and obstructive sleep apnea.

    Science.gov (United States)

    2010-04-01

    ... 21 Food and Drugs 8 2010-04-01 2010-04-01 false Intraoral devices for snoring and intraoral devices for snoring and obstructive sleep apnea. 872.5570 Section 872.5570 Food and Drugs FOOD AND DRUG... Devices § 872.5570 Intraoral devices for snoring and intraoral devices for snoring and obstructive sleep...

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

    Energy Technology Data Exchange (ETDEWEB)

    Lee, Sang Sub; Kwon, Hyok Rak; Sim, Woo Hyoun; Oh, Seung Hyoun; Lee, Ji Youn; Jeon, Kug Jin; Kim, Kee Deog; Park, Chang Seo [Dept. of Oral and Maxillofacial Radiology, College of Dentistry, Yensei University, Seoul (Korea, Republic of)

    2000-09-15

    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.

  14. 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.

  15. Isolated Horner's syndrome caused by intraoral gunshot.

    Science.gov (United States)

    Toledano, R; Corres, J; Culebras, A; Riva, E; Masjuán, J

    2006-12-01

    A 45-year-old man developed Horner's syndrome after sustaining an intraoral gunshot in a suicide attempt. Examination did not show any major vascular injury or other neurological symptoms. Radiograph of the skull and helical computed tomography angiography of the brain and neck detected a bullet embedded in the interior of the left internal carotid artery (ICA) sheath. Surgical examination showed an intact left ICA. Horner's syndrome resulting from intraoral trauma rarely presents as an isolated sign and is generally associated with carotid injuries. It may herald a life-threatening artery injury and needs urgent investigation.

  16. 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...

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

    African Journals Online (AJOL)

    Compared to other medical imaging methods, USG has several advantages of being real time, portable, inexpensive, radiation free, and noninvasive. In the medicine, most of the USG applications are transcutaneous. However, intraoral USG has been a relatively rare application, it has recently been drawing more interest.

  18. 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.

  19. Intraoral digital radiography: elements of effective imaging.

    Science.gov (United States)

    Cederberg, Robert

    2012-10-01

    Intraoral digital imaging has evolved from an experimental and sometimes disparaged technique in the mid 1980s to a reliable and ubiquitously used technology today. There are many advantages for use of digital radiographic techniques in dentistry, one of the chief ones being patient dose reduction. However, as important as dose reduction is for safe and effective radiography, practicing dentists would also like to understand the fundamental differences between digital system configurations so they may be able to make an informed choice as to which system best fits their needs. In addition, there has been considerable debate on the following topics: sensor technology; factors associated with image display; optimum techniques for image manipulation; and image storage, retrieval, and archiving. This article provides insight into these and other elements of effective imaging in intraoral digital imaging.

  20. 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)

  1. Bloqueo aurículo-ventricular familiar progresivo tipo I: descripción clínica de una familia

    Directory of Open Access Journals (Sweden)

    Guillermo Mora, MD

    2011-08-01

    Full Text Available Se presenta el caso de una familia con bloqueo aurículo-ventricular, que compromete varias generaciones, con herencia mendeliana autosómica dominante, que afecta de manera progresiva el sistema de conducción cardiaco llevando a síncope y muerte súbita en edades tempranas. Esta entidad corresponde al bloqueo familiar cardiaco progresivo tipo I, descrito principalmente en Suráfrica. El tratamiento con marcapaso definitivo fue exitoso.

  2. Organ absorbed doses in intraoral dental radiography.

    Science.gov (United States)

    Lecomber, A R; Faulkner, K

    1993-11-01

    A dental radiography unit operating at 70 kV (nominal) and 20 cm focus-skin distance was used to irradiate an anthropomorphic phantom loaded with lithium fluoride thermoluminescent dosemeters, in order to assess the variation in organ absorbed dose with intraoral periapical radiographic view. 14 views using the bisecting-angle technique and four views using the paralleling technique were studied. The results are presented and the doses and dose distributions examined. Doses for the paralleling and bisecting-angle techniques are compared, and the effects of focus-skin distance and beam collimation upon patient dosimetry discussed. Sources of uncertainty in dental dosimetry studies using phantoms are also considered.

  3. 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.

  4. 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)

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

    Science.gov (United States)

    Flügge, Tabea; Hövener, Jan-Bernd; Ludwig, Ute; Eisenbeiss, Anne-Kathrin; Spittau, Björn; Hennig, Jürgen; Schmelzeisen, Rainer; Nelson, Katja

    2016-12-01

    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 × 250 × 500 μm 3 , FOV of 64 × 64 × 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. • MRI is a clinically available diagnostic tool in dentistry • Intraoral hard and soft tissues can be imaged with a high resolution with MRI • The dimensional accuracy of MRI is comparable to cone beam CT.

  6. 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.)

  7. 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.)

  8. 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.

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

    Science.gov (United States)

    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. PMID:22232725

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

    Energy Technology Data Exchange (ETDEWEB)

    Kumar, Rahul [Vasantdada Patil Dental College and Hospital, Sangli (India); Khambete, Neha [CSMSS Dental College and Hospital, Aurangabad (India); Priya, Ekta [Saveetha Dental College and Hospital, Chennai (India)

    2011-12-15

    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. [The most frequent mistakes in intraoral radiography].

    Science.gov (United States)

    Rother, U; Schwarz, H M

    1976-01-01

    The authors analysed 2000 intra-oral radiographs that had been taken, using the bisecting technique according to the isometry rule of Cieszynski/Dieck, at an institution being typical of the ambulatory public health service during a period of 5 months. 602 (30.1%) faulty radiographs were detected. The classification of the faulty radiographs showed that 395 (65.6%) were caused by errors in projection; 116 (19.3%), by errors in the dark-room; 59 (9.8%), by errors in exposure; and 32 (5.3%), by defective equipment. Defects in the film material used in the present study were not observed. The relatively high rate of faults calls for improvements of the programs for the education and the advanced training of stomatologists and stomatological nurses, and for improvement of the radiographic technique.

  12. 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

  13. Intraoral capillary haemangioma: A rare case report

    Directory of Open Access Journals (Sweden)

    Sushma Parimi

    2016-01-01

    Full Text Available Hemangiomas are common benign vascular tumors of the head and neck region which account for 7% of all benign tumors of infancy and childhood. Adults are rarely affected, and they have a female predilection. Based on the microscopic appearance, they are classified into capillary, cavernous, mixed, and sclerosing variety. Incidence of intraoral capillary hemangioma (CH is infrequent, and its topographical presentation on the palatal mucosa and gingiva marks extreme rarity. They are uncommonly encountered by the dentists. The aim of this article is to present a case of CH in a 46-year-old male who presented with a swelling on the posterior hard palate on the left side involving the palatal gingiva and palatal mucosa.

  14. 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.

  15. 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.

  16. 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.

  17. Coma profundo consecutivo a bloqueo del plexo braquial: A propósito de 1 caso

    Directory of Open Access Journals (Sweden)

    Domingo Ángel Labrada Tapia

    2002-04-01

    Full Text Available Se presenta el caso clínico infrecuente de un paciente masculino de 17 años de edad, que sufrió un accidente de tránsito y por el cual mostraba herida avulsiva del miembro superior izquierdo. Se le practicó bloqueo del plexo braquial por la técnica perivascular interescalénica, donde se utilizó como agente anestésico la mepivacaína al 2 %. Minutos después, el paciente cae en coma profundo con resolución muscular total, pupilas midriáticas y arreactivas, reflejo fotomotor, corneal y parpabral ausentes. Se intuba y acopla al respirador mecánico Mark-8, y la hemodinamia se mantuvo sin presentar convulsiones. Posteriormente, de forma paulatina, se recupera totalmente sin dejar secuelasThe clinical unfrequent case of a 17-year-old male patient that had an avulsive wound of the left upper limb as a result of a traffic accident is presented. Block of the brachial plexus was performed by the interscalene perivascular technique. Mepivacaine 2 % was used as an anesthetic. Some minutes later, the patient had a deep coma with total muscular resolution, mydriatic and non-reactive pupils. The photomotor, corneal and eyelid reflexes were absent. He was intubated and coupled to the Mark-8 mechanical respirator. The hemodynamics was maintained without presenting convulsions. Later on, he recovered himself gradually and had no sequelae

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

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    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.

  19. 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.

  20. 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.

  1. Dental models made with an intraoral scanner: A validation study.

    NARCIS (Netherlands)

    Cuperus, A.M.; Harms, M.C.; Rangel, F.A.; Bronkhorst, E.M.; Schols, J.G.J.H.; Breuning, K.H.

    2012-01-01

    INTRODUCTION: Our objectives were to determine the validity and reproducibility of measurements on stereolithographic models and 3-dimensional digital dental models made with an intraoral scanner. METHODS: Ten dry human skulls were scanned; from the scans, stereolithographic models and digital

  2. Utilidad de la ecografía en el bloqueo anestésico de la extremidad pelviana en el perro

    OpenAIRE

    Echeverry Bonilla, Diego Fernando

    2012-01-01

    La presente Tesis Doctoral evaluó la utilidad de la ecografía en el bloqueo anestésico de los nervios ciático, femoral y plexo lumbar en el perro. Las características anatómicas de estas estructuras nerviosas fueron evaluadas en 12 cadáveres. La utilidad de la ecografía para el bloqueo anestésico de estas estructuras fue evaluada en in vitro 27 cadáveres caninos mediante la inyección guiada por ecografía de una tinción alrededor de los nervios estudiados y la posterior...

  3. Intra-oral PTH Administration Promotes Tooth Extraction Socket Healing

    Science.gov (United States)

    Kuroshima, S.; Kovacic, B.L.; Kozloff, K.M.; McCauley, L.K.; Yamashita, J.

    2013-01-01

    Intermittent parathyroid hormone (PTH) administration increases systemic and craniofacial bone mass. However, the effect of PTH therapy on healing of tooth extraction sites is unknown. The aims of this study were to determine the effect of PTH therapy on tooth extraction socket healing and to examine whether PTH intra-oral injection promotes healing. The mandibular first molars were extracted in rats, and subcutaneous PTH was administered intermittently for 7, 14, and 28 days. In a second study, maxillary second molars were extracted, and PTH was administered by either subcutaneous or intra-oral injection to determine the efficacy of intra-oral PTH administration. Healing was assessed by micro-computed tomography and histomorphometric analyses. PTH therapy accelerated the entire healing process and promoted both hard- and soft-tissue healing by increasing bone fill and connective tissue maturation. PTH therapy by intra-oral injection was as effective as subcutaneous injection in promoting tooth extraction socket healing. The findings suggest that PTH therapy promotes tooth extraction socket healing and that intra-oral injections can be used to administer PTH. PMID:23611925

  4. 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

  5. Anaesthetic management of a case of schwannoma with intraoral extension

    Directory of Open Access Journals (Sweden)

    Mamta Bhardwaj

    2015-04-01

    Full Text Available Schwannoma is a benign nerve sheath tumour. This benign lesion frequently occurs in the soft tissues of head and neck region and has various complicated growth patterns. These patients can present a challenge to the anaesthesiologist due to intraoral extension, leading to difficult mask ventilation and intubation. We report a 16 year old male with mandibular nerve schwannoma with intraoral extension. Intraoral examination revealed a diffuse swelling in the left side of soft palate with deviation of uvula to right side. He was advised gargles with 4 ml of 2% xylocaine viscous and 2–3 puffs of 10% xylocaine spray done in oral cavity and oropharynx. Check laryngoscopy revealed Cormack and Lehane grade 1 view. Patient was intubated using standard induction technique and successfully managed

  6. 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.

  7. 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

  8. 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.

  9. ¿Está viva la OMC? Bloqueos y consensos en las negociaciones de las Conferencias Ministeriales de Bali

    Directory of Open Access Journals (Sweden)

    Julieta Zelicovich

    2017-05-01

    Full Text Available Tras más de una década de bloqueos en las negociaciones comerciales multilaterales, tanto en la Conferencia Ministerial de Bali, en 2013, como en la Conferencia Ministerial de Nairobi, en 2015, los miembros de la OMC lograron destrabar acuerdos multilaterales. El artículo propone indagar acerca de los factores que explican ese cambio en la dinámica de negociación, tratando de vislumbrar si se trata de un vuelco estructural o de resultados coyunturales. Para ello se recurre a la metodología de estudio de caso con process tracing, analizando la incidencia de variables del contexto internacional y variables internas a la dinámica de las negociaciones en los resultados mencionados

  10. A new combination mirror with template for intraoral photography

    Directory of Open Access Journals (Sweden)

    Ashwin Prakash

    2016-01-01

    Full Text Available A new design of a mirror for intraoral photography is presented. Advantages of this mirror are reduced armamentarium, better photographic views, elimination of fingers appearing on occlusal views, adult and pediatric size availability, customization according to user preference, and availability of a free template for download to enable easy fabrication and use.

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

    African Journals Online (AJOL)

    Assessment of intraoral image artifacts related to photostimulable phosphor plates in a dentomaxillofacial radiology department. ... Of these, 2008 were of adult patients and 336 were of pediatric patients. While movement of the phosphor plate in the disposable pocket was the most common cause of the observed image ...

  12. Pyogenic granuloma: a rare case of an infantile intraoral lesion ...

    African Journals Online (AJOL)

    The onset of symptoms is mostly observed at adolescence in children. In this presentation, the second youngest case of gingival PG in the literature is ... Intraoral lesions of neonatal period are unfamiliar to the parents resulting in their anxiety. The PG is a benign lesion that can be healed completely, with good cosmetic ...

  13. 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.

  14. 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.

  15. Intraoral lipoma at an unusual site: A rare presentation

    Directory of Open Access Journals (Sweden)

    Moni Thakur

    2017-01-01

    Full Text Available Lipomas are soft tissue benign mesenchymal tumors and are composed of mature adipocytes. They can occur anywhere on the human body where fat is found and thus called it is called “universal tumor” or “ubiquitous tumor.” However, its representation in the oral cavity is rare, i.e., 1%–4% only. Most of the patients affected are above 40 years of age with no gender predilection, but some studies reported male predilection and is uncommon in children. The size of the tumor rarely exceeds 25 mm in diameter and is mostly asymptomatic until secondarily infected or grow to a large size and interfere with mastication and speech. The most common site of occurrence intraorally is buccal mucosa, tongue, lips and floor of the mouth. Here, we report a case of intraoral lipoma occurring at an unusual site (retromolar area in a 35-year-old female patient with a histopathologically confirmed diagnosis.

  16. 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.

  17. 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.

  18. Dental models made with an intraoral scanner: a validation study.

    Science.gov (United States)

    Cuperus, Anne Margreet R; Harms, Marit C; Rangel, Frits A; Bronkhorst, Ewald M; Schols, Jan G J H; Breuning, K Hero

    2012-09-01

    Our objectives were to determine the validity and reproducibility of measurements on stereolithographic models and 3-dimensional digital dental models made with an intraoral scanner. Ten dry human skulls were scanned; from the scans, stereolithographic models and digital models were made. Two observers measured transversal distances, mesiodistal tooth widths, and arch segments on the skulls and the stereolithographic and digital models. All measurements were repeated 4 times. Arch length discrepancy and tooth size discrepancy were calculated. Statistical analysis was performed by using paired t tests. For the measurements on the stereolithographic and digital models, statistically significant differences were found. However, these differences were considered to be clinically insignificant. Digital models had fewer statistically significant differences and generally the smallest duplicate measurement errors compared with the stereolithographic models. Stereolithographic and digital models made with an intraoral scanner are a valid and reproducible method for measuring distances in a dentition. Copyright © 2012 American Association of Orthodontists. Published by Mosby, Inc. All rights reserved.

  19. Breakaway safety feature for an intra-oral cone system

    International Nuclear Information System (INIS)

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

    1984-01-01

    With an increasing number of high energy accelerators in operation, intra-oral electron radiotherapy is likely to become a more widely-used modality in the treatment of lesions of the oral cavity. However, there is one potential problem associated with this modality which concerns patient safety. There must never be any uncontrolled movement of the couch or gantry while the cone is in the patients's mouth, otherwise serious consequences could occur. In an effort to overcome this problem, a set of cones previously constructed by the authors for use in intra-oral electron radiotherapy has been modified to include a breakaway safety feature. This modification consists of separating the plate into which each of the treatment cones screws, into two pieces, the dividing line being in the shape of a cone frustum flaring out in the upward direction

  20. Order of magnitude dose reduction in intraoral radiography

    International Nuclear Information System (INIS)

    Kircos, L.T.; Angin, L.L.; Lorton, L.

    1987-01-01

    This comparative clinical investigation concerns the radiation dose from intraoral radiography using E-speed film and rectangular and circular beam collimation. Dose to organs not of diagnostic importance (brain, lens of the eye, thyroid, and breast) is reduced by approximately an order of magnitude when rectangular collimation and E-speed film are used in periapical radiography. And dose to the thyroid and breast is further reduced by a third with the use of a full leaded apron and thyroid shield

  1. Order of magnitude dose reduction in intraoral radiography

    Energy Technology Data Exchange (ETDEWEB)

    Kircos, L.T.; Angin, L.L.; Lorton, L.

    1987-03-01

    This comparative clinical investigation concerns the radiation dose from intraoral radiography using E-speed film and rectangular and circular beam collimation. Dose to organs not of diagnostic importance (brain, lens of the eye, thyroid, and breast) is reduced by approximately an order of magnitude when rectangular collimation and E-speed film are used in periapical radiography. And dose to the thyroid and breast is further reduced by a third with the use of a full leaded apron and thyroid shield.

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

    Directory of Open Access Journals (Sweden)

    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.

  3. Immediately Loaded Intraorally Welded Complete-Arch Maxillary Provisional Prosthesis.

    Science.gov (United States)

    Albiero, Alberto Maria; Benato, Renato; Fincato, Andrea

    2015-01-01

    Guided implant surgery is not completely accurate when using computer-designed stereolithographic surgical guides. Complications are frequently reported when combining computer-guided flapless surgery with an immediately loaded prefabricated prosthesis. Achieving passive fit of a prefabricated prosthesis on the inserted implants the same day of the surgery can be difficult. The aim of this report is to show a new treatment approach to immediately loaded implants inserted with computer-guided surgery using an intraoral welded full-arch provisional prosthesis.

  4. 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.

  5. 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)

  6. Intraoral Neurinoma of the Lingual Nerve: An Uncommon Tumor in Floor of the Mouth

    Directory of Open Access Journals (Sweden)

    Santhosh Kumar kuppusamy

    2014-01-01

    Full Text Available Neurinoma or schwannoma is an uncommon benign tumor that arises primarily from the nerve sheath of Schwann cells. About 25% has been reported in head and neck region extracranially, but only 1% in the intraoral origin. Intraorally, the tongue is the most common site followed by the palate, floor of the mouth, lips and buccal mucosa. In review of literature, intraoral schwannoma of the lingual nerve origin has not been reported frequently. So, we present a case of intraoral neurinoma of the lingual nerve.

  7. Evaluación del efecto de bloqueo en el condicionamiento clásico de preferencias

    Directory of Open Access Journals (Sweden)

    César A. Contreras-Bejarano

    2011-02-01

    Full Text Available Esta investigación experimental tuvo como objetivo poner a prueba el efecto de bloqueode Kamin en el condicionamiento clásico de preferencias. Se diseñaron tres partes: Estudio1, Experimento 1 y Experimento 2. El Estudio preliminar (n = 54 consistió en laelección de los estímulos condicionados (marcas publicitarias ficticias y del estímulo incondicionado(figura femenina con una proporción controlada de la medida de cintura/cadera. En el Experimento 1 (n = 60 se efectuó el entrenamiento en condicionamientoclásico de preferencias. Finalmente, en el Experimento 2 (n = 40, se examinó el efecto debloqueo en el condicionamiento clásico de preferencias con pruebas de tipo cognoscitivoy afectivo. Participaron estudiantes universitarios de diferentes carreras entre 17 y 25años. Los resultados indican que se manifestó un efecto de bloqueo en tres de las cuatropruebas utilizadas para evaluar dicho fenómeno. Se plantea, a manera de conclusión,que este efecto potencialmente explica diferentes fenómenos en los campos de la publicidady el mercadeo, especialmente en lo que concierne a competencia de marcas.

  8. Bloqueo auriculoventricular paroxístico desencadenado por estímulo vagal con síncope recurrente

    Directory of Open Access Journals (Sweden)

    Matías Calandrelli

    2008-01-01

    Full Text Available El bloqueo auriculoventricular completo (BAVC paroxístico con ECG de reposo normal es una entidad poco frecuente.Se presenta el caso de una paciente de 34 años que cursaba el segundo mes de embarazo y consultó por cuadros sincopales recurrentes.Luego de ser evaluada con ECG, eco-Doppler cardíaco, tilt test, estudio electroencefalográfico, TAC y RM de cerebro se descartó cardiopatía de base y se interpretó que se trataba de síncope neurocardiogénico.Por persistencia de los síntomas se realizó un Holter de 5 días hasta que presentó un nuevo síncope y se arribó al diagnóstico de BAVC paroxístico. Se indicó un marcapasos definitivo VDD y seis meses después persistía asintomática

  9. Influence of intraoral temperature and relative humidity on the dentin bond strength: an in situ study.

    Science.gov (United States)

    Saraiva, Letícia O; Aguiar, Thaiane R; Costa, Leonardo; Cavalcanti, Andrea N; Giannini, Marcelo; Mathias, Paula

    2015-01-01

    The effect of the intraoral environment during adhesive restorative procedures remains a concern, especially in the absence of rubber dam isolation. To evaluate the temperature and relative humidity (RH) at anterior and posterior intraoral sites and their effects on the dentin bond strength of two-step etch-and-rinse adhesive systems. Sixty human molars were assigned to six groups according to the adhesive systems (Adper Single Bond Plus and One Step Plus) and intraoral sites (incisor and molar sites). The room condition was used as a control group. Dentin fragments were individually placed in custom-made acetate trays and direct composite restorations were performed. The intraoral temperature and RH were recorded during adhesive procedures. Then, specimens were removed from the acetate trays and sectioned to obtain multiple beams for the microtensile bond strength test. In addition, the adhesive interface morphology was evaluated through scanning electron microscopy. Intraoral conditions were statistically analyzed by paired Students' t-tests and the bond strength data by two-way analysis of variance and Tukey test (α = 0.05). The posterior intraoral site showed a significant increase in the temperature and RH when compared with the anterior site. However, both intraoral sites revealed higher temperatures and RH than the room condition. In regards to the adhesive systems, the intraoral environment did not affect the bond strength, and the One Step Plus system showed the highest bond strength means. Despite the fact that remarkable changes in the intraoral conditions were observed for both anterior and posterior sites, the intraoral environment was not able to compromise the immediate dentin bond strength. Some conditions of intraoral temperature and relative humidity may not impair the dentin bond strength of two-step etch-and-rinse adhesive systems. Thus, an adequate relative isolation seems to be a good alternative under the specific clinical conditions in

  10. 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

  11. 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

  12. Establishment of diagnostic reference levels for dental intraoral radiography

    International Nuclear Information System (INIS)

    Diagnostic reference levels (DRLs) is a tool for the optimisation of radiological procedures. Establishment of a DRL is a requirement of national regulations. Measurements performed by the Greek Atomic Energy Commission on 529 dental intraoral radiographic facilities have been used in order to define DRLs for digital and film imaging modalities, taking into account the region of the mouth to be imaged. Thus, different DRL values have been proposed for minimum (usually incisors), maximum (usually maxillary molars) and average exposure settings, both for film and digital imaging. The results have been compared with similar studies performed in Europe and the USA and are in line with the most recent ones. (authors)

  13. 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.

  14. Efficiency of the cervical lead shield during intraoral radiography

    Energy Technology Data Exchange (ETDEWEB)

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

    1986-12-01

    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.

  15. 21 CFR 872.1810 - Intraoral source x-ray system.

    Science.gov (United States)

    2010-04-01

    ... 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... (CONTINUED) MEDICAL DEVICES DENTAL DEVICES Diagnostic Devices § 872.1810 Intraoral source x-ray system. (a...

  16. Intraoral telangiectasias associated with Raynaud disease: a report of two cases.

    Science.gov (United States)

    Philipone, Elizabeth; Yoon, Angela J; Zegarelli, David

    2010-01-01

    The finding of intraoral telangiectasias in two patients previously diagnosed with Raynaud disease is reported. Neither patient exhibited any other feature of CREST syndrome, namely, calcinosis cutis, esophageal dysfunction, or sclerodactyly. To the authors' knowledge, this is the first time intraoral telangiectasias has been reported in conjunction with Raynaud disease in the absence of any other features of CREST syndrome.

  17. 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

  18. 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

  19. 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.

  20. Evaluation of physical properties of different digital intraoral sensors.

    Science.gov (United States)

    Al-Rawi, Wisam; Teich, Sorin

    2013-09-01

    Digital technologies provide clinically acceptable results comparable to traditional films while having other advantages such as the ability to store and manipulate images, immediate evaluation of the image diagnostic quality, possible reduction in patient radiation exposure, and so on. The purpose of this paper is to present the results of the evaluation of the physical design of eight CMOS digital intraoral sensors. Sensors tested included: XDR (Cyber Medical Imaging, Los Angeles, CA, USA), RVG 6100 (Carestream Dental LLC, Atlanta, GA, USA), Platinum (DEXIS LLC., Hatfield, PA, USA), CDR Elite (Schick Technologies, Long Island City, NY, USA), ProSensor (Planmeca, Helsinki, Finland), EVA (ImageWorks, Elmsford, NY, USA), XIOS Plus (Sirona, Bensheim, Germany), and GXS-700 (Gendex Dental Systems, Hatfield, PA, USA). The sensors were evaluated for cable configuration, connectivity interface, presence of back-scattering radiation shield, plate thickness, active sensor area, and comparing the active imaging area to the outside casing and to conventional radiographic films. There were variations among the physical design of different sensors. For most parameters tested, a lack of standardization exists in the industry. The results of this study revealed that these details are not always available through the material provided by the manufacturers and are often not advertised. For all sensor sizes, active imaging area was smaller compared with conventional films. There was no sensor in the group that had the best physical design. Data presented in this paper establishes a benchmark for comparing the physical design of digital intraoral sensors.

  1. Comparison of absorbed doses resulting from various intraoral periapical radiography

    Energy Technology Data Exchange (ETDEWEB)

    Kang, Mi Ae; Park, Tae Won [Dept. of Oral and Maxillofacial Radiology, Graduate School, Seoul National University, Seoul (Korea, Republic of)

    1995-08-15

    This study was designed to measure the absorbed dose to organs of special interest from full mouth with intraoral film (14 films) and to compare the five periapical techniques. Thermoluminescent crystals (TLD-100 chip) were located in brain, orbit, bone marrow of mandibular ramus, bone marrow of mandibular body, bone marrow of 4th cervical spine, parotid gland, submandibular gland and thyroid gland. X-ray machine was operated at 70 kVp and round collimating film holding device (XCP) and rectangular collimating film holding device (Precision Instrument) were used. The distance from the X-ray focus to the open end of the collimator was 8 inch, 12 inch and 16 inch. The following results obtained; 1. The absorbed dose was the highest in bone marrow of mandibular body (5.656 mGy) and the lowest in brain (0.050 mGy). 2. Generally, the lowest absorbed dose was measured from 16 inch cylinder, rectangular collimating film holding device with paralleling technique. But, in bone marrow of mandibular body and the floor of mouth, the highest absorbed dose was measured from 12 inch cylinder, rectangular collimating film holding device with paralleling techniques. 3. Comparing of five intraoral radiographic techniques, it was appeared statistically significant reduction of the absorbed doses measured with rectangualr collimating film holding device compared to XCP film holding device (p<0.05). 4. No statistically significant reduction in the absorbed dose was found as cylinder length was change (p>0.05).

  2. Comparison of absorbed doses resulting from various intraoral periapical radiography

    International Nuclear Information System (INIS)

    Kang, Mi Ae; Park, Tae Won

    1995-01-01

    This study was designed to measure the absorbed dose to organs of special interest from full mouth with intraoral film (14 films) and to compare the five periapical techniques. Thermoluminescent crystals (TLD-100 chip) were located in brain, orbit, bone marrow of mandibular ramus, bone marrow of mandibular body, bone marrow of 4th cervical spine, parotid gland, submandibular gland and thyroid gland. X-ray machine was operated at 70 kVp and round collimating film holding device (XCP) and rectangular collimating film holding device (Precision Instrument) were used. The distance from the X-ray focus to the open end of the collimator was 8 inch, 12 inch and 16 inch. The following results obtained; 1. The absorbed dose was the highest in bone marrow of mandibular body (5.656 mGy) and the lowest in brain (0.050 mGy). 2. Generally, the lowest absorbed dose was measured from 16 inch cylinder, rectangular collimating film holding device with paralleling technique. But, in bone marrow of mandibular body and the floor of mouth, the highest absorbed dose was measured from 12 inch cylinder, rectangular collimating film holding device with paralleling techniques. 3. Comparing of five intraoral radiographic techniques, it was appeared statistically significant reduction of the absorbed doses measured with rectangualr collimating film holding device compared to XCP film holding device (p 0.05).

  3. 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

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

    Science.gov (United States)

    Lee, Kyung-Min

    2018-02-12

    This in vivo study evaluated the difference of two well-known intraoral scanners used in dentistry, namely iTero (Align Technology) and TRIOS (3Shape). 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. 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. Although there were some deviations in visible inspection, there was no statistical significance between the two intraoral scanners.

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

    Directory of Open Access Journals (Sweden)

    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.

  6. In vivo intraoral reflectance confocal microscopy of an amalgam tattoo.

    Science.gov (United States)

    Yélamos, Oriol; Cordova, Miguel; Peterson, Gary; Pulitzer, Melissa P; Singh, Bhuvanesh; Rajadhyaksha, Milind; DeFazio, Jennifer L

    2017-10-01

    The majority of oral pigmentations are benign lesions such as nevi, melanotic macules, melanoacanthomas or amalgam tattoos. Conversely, mucosal melanomas are rare but often lethal; therefore, excluding oral melanomas in this setting is crucial. Reflectance confocal microscopy is a non-invasive, in vivo imaging system with cellular resolution that has been used to distinguish benign from malignant pigmented lesions in the skin, and more recently in the mucosa. However, lesions located posteriorly in the oral cavity are difficult to assess visually and difficult to biopsy due to their location. Herein we present a patient with previous multiple melanomas presenting with an oral amalgam tattoo in the buccal mucosa, which was imaged using an intraoral telescopic probe attached to a commercially available handheld RCM. In this case report we describe this novel probe, the first RCM description of an amalgam tattoo and we discuss its differences with the findings described in oral melanomas.

  7. A Rare Clinical Presentation of Intraoral Darier's Disease

    Directory of Open Access Journals (Sweden)

    K. G. D. Manoja

    2011-01-01

    Full Text Available Darier's disease, also known as keratosis follicularis or dyskeratosis follicularis, is a rare disorder of keratinization. It is an autosomal dominant genodermatosis with high penetrance and variable expressivity. Its manifestation appears as hyperkeratotic papules primarily affecting seborrheic areas on the head, neck, thorax, and less frequently the oral mucosa. When oral manifestations are present, the palatal and alveolar mucosae are primarily affected. They usually asymptomatic and are discovered in routine dental examination. Histologically, the lesions present as suprabasal clefts in the epithelium with acantholytic and dyskeratotic cells represented by “corps ronds and grains.” This paper reports a case of an adult male patient who presented with painful whitish lesions on buccal mucosa with crusty lips as the only clinical sign of Darier's disease. As this patient did not have skin lesions or family history, an intraoral biopsy confirmed the diagnosis of Darier's disease by a multidisciplinary team.

  8. Removal of an extensive mandibular odontoma using an intraoral approach.

    Science.gov (United States)

    Lehman, Hadas; Lustmann, Joshua; Regev, Eran

    2013-01-01

    Odontomas, the most common odontogenic tumors, occur more frequently in the maxilla and are rarely larger than a tooth. They are usually found incidentally on routine dental radiographs during the second decade of life. The treatment of choice is surgical removal, and large tumors are challenging as damage may occur to surrounding anatomic structures. In this article we describe a "giant" compound odontoma occupying the entire body of the mandible and ramus in a 7-year-old girl. A conservative intraoral enucleation was used to avoid facial scarring and preserve mandibular continuity and function. The huge bony defect healed completely without a bone graft or further intervention. This case report emphasizes the importance of the early diagnosis of these lesions and a conservative surgical approach as well as the extraordinary healing potential of young patients.

  9. Intraoral epithelioid hemangioendothelioma: An intermediate vascular tumor- A case report

    Directory of Open Access Journals (Sweden)

    Bhari Sharanesha Manjunatha

    2009-01-01

    Full Text Available Vascular neoplasms, other than benign are characterized as intermediate or malignant. They are often enshrouded in controversy, because the same neoplasm could show variability in biologic behavior that may not be correlated with microscopic features. The intermediate grade vascular neoplasm is named as epithelioid hemangioendothelioma (EHE. Epithelioid hemangioendothelioma of the oral cavity has been infrequently reported. To the best of our knowledge, the review of the English litera-ture revealed a total of 30 cases of intraoral EHE reported till today. We report such a rare case in a 20 year old male, presented with a growth in lower anterior lingual gingiva since five months before the diagnosis with a history of similar swelling, twice in the same area. The differential diagnosis and brief review of literature is also discussed in the current article.

  10. Impact of Orthodontic Brackets on the Intraoral Scan Data Accuracy

    Science.gov (United States)

    Park, Ji-Man; Choi, Shin-Ae; Myung, Ji-Yun; Chun, Youn-Sic

    2016-01-01

    This study aims to compare the impact of buccal and lingual brackets on the accuracy of dental arch data acquired by 4 different digital intraoral scanners. Two pairs of dental casts, one with buccal brackets and the other with lingual brackets, were used. Digital measurements of the 3D images were compared to the actual measurements of the dental models, which were considered standard values. The horizontal measurements included intercanine widths and intermolar widths. The Mann–Whitney U test was performed for comparisons. iTero® and Trios® both showed high accuracy with relatively small maximum deviation of measurements. iTero showed a significantly higher accuracy in most of the arch width measurements on the buccal bracket model than on the lingual model (P scanners should be used more cautiously in arches with lingual brackets than in those with buccal brackets. PMID:27999798

  11. Chronic intraoral pain--assessment of diagnostic methods and prognosis.

    Science.gov (United States)

    Pigg, Maria

    2011-01-01

    The overall goal of this thesis was to broaden our knowledge of chronic intraoral pain. The research questions were: What methods can be used to differentiate inflammatory, odontogenic tooth pain from pain that presents as toothache but is non-odontogenic in origin? What is the prognosis of chronic tooth pain of non-odontogenic origin, and which factors affect the prognosis? Atypical odontalgia (AO) is a relatively rare but severe and chronic pain condition affecting the dentoalveolar region. Recent research indicates that the origin is peripheral nerve damage: neuropathic pain. The condition presents as tooth pain and is challenging to dentists because it is difficult to distinguish from ordinary toothache due to inflammation or infection. AO is of interest to the pain community because it shares many characteristics with other chronic pain conditions, and pain perpetuation mechanisms are likely to be similar. An AO diagnosis is made after a comprehensive examination and assessment of patients' self-reported characteristics: the pain history. Traditional dental diagnostic methods do not appear to suffice, since many patients report repeated care-seeking and numerous treatment efforts with little or no pain relief. Developing methods that are useful in the clinical setting is a prerequisite for a correct diagnosis and adequate treatment decisions. Quantitative sensory testing (QST) is used to assess sensory function on skin when nerve damage or disease is suspected. A variety of stimuli has been used to examine the perception of, for example, touch, temperature (painful and non-painful), vibration, pinprick pain, and pressure pain. To detect sensory abnormalities and nerve damage in the oral cavity, the same methods may be possible to use. Study I examined properties of thermal thresholds in and around the mouth in 30 pain-free subjects: the influence of measurement location and stimulation area size on threshold levels, and time variability of thresholds

  12. 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)

  13. 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)

  14. 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.

  15. 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

  16. Intraoral Scanning for Single-Tooth Implant Prosthetics: Rationale for a Digital Protocol.

    Science.gov (United States)

    Duello, George V

    2018-01-01

    Conventional and implant prosthetics have benefited from recent advances in digital dentistry. Intraoral scanning devices can generate files that can be used for the design and milling of implant prosthetics both in the office and out of the office in the dental laboratory. This article will discuss the rationale for clinicians to consider the benefits of using intraoral scanners in their offices to provide patients with a unique experience in contrast to conventional elastomeric impression techniques.

  17. 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.

  18. Bloqueo electrónico de la hebilla del cinturón de seguridad con detección del correcto abrochado

    OpenAIRE

    Prevosti Vives, Montserrat

    2011-01-01

    Impulsado por la problemática actual en el campo de la automoción, concretamente en el mal uso de los sistemas de retención de pasajeros, el presente proyecto consiste en el desarrollo de una idea, la investigación de su novedad, el análisis y estrategia de sus alternativas, el diseño de la solución, el cumplimiento de la normativa correspondiente y la redacción de una patente de la invención. La evolución de la idea nace con el concepto de un bloqueo electrónico de la hebilla ...

  19. 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.

  20. Intra-oral schwannoma: Case report and literature review

    Directory of Open Access Journals (Sweden)

    Martins Manoela

    2009-01-01

    Full Text Available Schwannoma is a relatively uncommon, slow-growing benign tumor that is derived apparently from the Schwann cells. The tongue is the most common site, followed by the palate, floor of mouth, buccal mucosa, lips, and jaws. It can present itself at any age. Usually, this lesion is not taken into account during clinical practice and the differential diagnosis includes numerous benign neoformations based on epithelial and connective tissues. Immunohistochemical features can be useful in determining the neural differentiation. Anti-S100 protein is probably the most used antibody to identify this lesion. The schwannoma is usually a solitary lesion, and can be multiple when associated with neurofibromatosis. In the current study, authors report a case of an intraoral schwannoma situated at the vestibule with 20 years of evolution treated by complete surgical excision. The diagnosis was established based on clinical, histopathological, and immunohistochemical aspects. The patient is under clinical control, with no signs of recurrence even after four years.

  1. 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.

  2. 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.

  3. Symptomatic Intraoral Submuscular Lipoma Located Nearby Mental Foramen.

    Science.gov (United States)

    Choi, Hwan Jun; Byeon, Je Yeon

    2016-07-01

    This report describes and discusses the clinical investigations available for the investigation of intraoral fatty tumors of the chin, with a focus on lipomas. Lipomas are relatively uncommon tumors in the oral cavity; only 1% to 4% of cases occur at this site. The presence of lipoma in the head and neck area may raise problems in surgical resection. Treatment of lipoma needs wide excision to reduce recurrence. But there are important structures on mental foramen, especially mental nerve. So careful dissection must be done to avoid nerve injury. Importantly, the development of sarcomatous change within the lipoma cannot be ruled out at imaging and requires a histologic specimen. Because of the histologic similarity between normal adipose tissue and lipoma, accurate clinical and surgical information is very important in making a definitive diagnosis. Thus, a clinician sending a surgical specimen for microscopic analysis must provide the oral pathologist with all available clinical and surgical information. The treatment of oral lipomas, including all the histologic variants, is simple surgical excision. No recurrence is observed. Although the growth of oral lipomas is usually limited, they can reach great dimensions, interfering with speech and mastication and reinforcing the need for excision. In this study, the authors describe the clinical and histopathologic features of symptomatic 2 patients of oral lipomas.

  4. 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.

  5. 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)

  6. 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.

  7. 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.

  8. Bloqueo aurículo-ventricular familiar progresivo tipo I: descripción clínica de una familia Progressive familial atrio-ventricular block type I: clinical description of a family

    Directory of Open Access Journals (Sweden)

    Guillermo Mora

    2011-10-01

    Full Text Available Se presenta el caso de una familia con bloqueo aurículo-ventricular, que compromete varias generaciones, con herencia mendeliana autosómica dominante, que afecta de manera progresiva el sistema de conducción cardiaco llevando a síncope y muerte súbita en edades tempranas. Esta entidad corresponde al bloqueo familiar cardiaco progresivo tipo I, descrito principalmente en Suráfrica. El tratamiento con marcapaso definitivo fue exitoso.We present the case of a family with atrio-ventricular block that involves several generations, with dominant autosomal mendelian inheritance that progressively affects the cardiac conduction system leading to syncope and sudden death in early life. This entity corresponds to progressive familial atrio-ventricular block type I, described mainly in South Africa . Treatment with permanent pacemaker therapy was successful.

  9. Technical errors in intraoral radiographs performed by undergraduate students

    Directory of Open Access Journals (Sweden)

    Luiz Carlos Laureano da Rosa

    Full Text Available Objectives: To evaluate the technical errors in periapical examinations performed by dental students. Methods: Patient record charts at the dental clinic of the dentistry course were analyzed. Of these, the charts that presented at least ten periapical intraoral radiographs were used in the study, therefore a total of 219 patient record charts were selected, totaling 2 821 radiographs. The radiographs were analyzed one by one, using an uniform light negatoscope, in a darkened room, by a professional radiologist, taking into consideration the following evaluation criteria: technically good and unsatisfactory radiographs. The technical errorswere classified as errors in radiographic technique and radiographic processing errors. The data on quality critera stipulated and obtainedin the evaluation were tabulated, intervals of confidence were used to infer the percentage that were suitable and unsuitable in the studied period, and were statistically analyzed using the chi-square test, at the level of significance of 5%. Results: The results were: of the 2 821 radiographs analyzed, only 1 425 (50.51% were technically good. of the 1 396 (49.49% considered inadequat, 1 155 (82.74% presented errors in radiographic technique, while 241 (17.26% presented radiographic processing errors. The most frequently repeated error was image overlapping (32.88%, followed by the underexposure (25.43%, cut of the tooth (9.31%, chemicalcontamination problems (4.51%, cone cut (3.15%, other errors in radiographic technique (1.86% and other radiographic processing errors (1.43%. Conclusion: The conclusion was that steps must be taken to improve the quality of radiographs obtained because, although they did not make it impossible to interpret the radiographs, this was made extremely difficult, and the depreciated the value of the achives of past clinical situations and cases.

  10. IDEFIX: identification of dental fixtures in intraoral x rays

    Science.gov (United States)

    Lehmann, Thomas M.; Schmitt, Walter; Horn, Harald; Hillen, Walter

    1996-04-01

    In dental implantology more than one hundred enossal implant systems are in use. Once embedded, the dental x-ray examination is the most important tool for determining implants' producer, name, and type. In this paper, we present a system for automatic detection and identification of dental fixtures in intraoral x rays (IDEFIX) combining common direct digital image acquisition techniques with specially designed image analysis. IDEFIX can process any digital radiograph (e.g. RVG, Sens-A-Ray, Schick, Sidexis, Digora) as well as digitized dental films. A reference database has been generated by precise measurement on the implant systems used so far (eight implants) including parameters like length, diameter, and cross section area. After binarization of the current digital x-ray image, a parameter set is extracted from each detected object applying mathematical morphology. All objects are classified using a simplified nearest neighbor method and the Euclidean distance metric. If the distance of the objects' parameter set to one of the reference sets is below a given threshold, name and type of the identified dental fixture are displayed on the screen. Otherwise, the actual object will be rejected as a no-implant. IDEFIX has been evaluated by processing various in-vitro acquired radiographs. Different implants were classified captured with identical conditions as well as acquired varying the angulation of the x-ray tube. It is shown that misangulations up to twenty degrees are tolerable preserving correct identification. Other image structures like teeth or fillings result in large distances to all reference parameter sets and, therefore, they are reliably recognized as non-implants.

  11. 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

  12. Proximal caries detection accuracy using intraoral bitewing radiography, extraoral bitewing radiography and panoramic radiography.

    Science.gov (United States)

    Kamburoglu, K; Kolsuz, E; Murat, S; Yüksel, S; Ozen, T

    2012-09-01

    To compare proximal caries detection using intraoral bitewing, extraoral bitewing and panoramic radiography. 80 extracted human premolar and molar teeth with and without proximal caries were used. Intraoral radiographs were taken with Kodak Insight film (Eastman Kodak Co., Rochester, NY) using the bitewing technique. Extraoral bitewing and panoramic images were obtained using a Planmeca Promax Digital Panoramic X-ray unit (Planmeca Inc., Helsinki, Finland). Images were evaluated by three observers twice. In total, 160 proximal surfaces were assessed. Intra- and interobserver kappa coefficients were calculated. Scores obtained from the three techniques were compared with the histological gold standard using receiver operating characteristic analysis. Az values for each image type, observer and reading were compared using z-tests, with a significance level of α = 0.05. Kappa coefficients ranged from 0.883 to 0.963 for the intraoral bitewing, from 0.715 to 0.893 for the extraoral bitewing, and from 0.659 to 0.884 for the panoramic radiography. Interobserver agreements for the first and second readings for the intraoral bitewing images were between 0.717 and 0.780, the extraoral bitewing readings were between 0.569 and 0.707, and the panoramic images were between 0.477 and 0.740. The Az values for both readings of all three observers were highest for the intraoral bitewing. Az values for the extraoral bitewing images were higher than those of the panoramic images without statistical significance (p > 0.05). Intraoral bitewing radiography was superior to extraoral bitewing and panoramic radiography in diagnosing proximal caries of premolar and molar teeth ex vivo. Similar intra- and interobserver coefficients were calculated for extraoral bitewing and panoramic radiography.

  13. Intraoral somatosensory abnormalities in patients with atypical odontalgia – a controlled multicenter quantitative sensory testing study

    Science.gov (United States)

    Baad-Hansen, Lene; Pigg, Maria; Ivanovic, Susanne El’Masry; Faris, Hanan; List, Thomas; Drangsholt, Mark; Svensson, Peter

    2013-01-01

    Intraoral somatosensory sensitivity in patients with atypical odontalgia (AO) has not been investigated systematically according to the most recent guidelines. The aims of this study were to: 1. Examine intraoral somatosensory disturbances in AO patients using healthy subjects as reference and 2. Evaluate the percent agreement between intraoral quantitative sensory testing (QST) and qualitative sensory testing (QualST). Forty-seven AO patients and 69 healthy controls were included at Universities of Washington, Malmö and Aarhus. In AO patients, intraoral somatosensory testing was performed on the painful site, the corresponding contralateral site and at thenar. In healthy subjects, intraoral somatosensory testing was performed bilaterally on the upper premolar gingiva and at thenar. Thirteen QST and 3 QualST parameters were evaluated at each site, z-scores were computed for AO patients based on the healthy reference material and LossGain scores were created. 87.3% of AO patients had QST abnormalities compared with controls. The most frequent somatosensory abnormalities in AO patients were somatosensory gain with regard to painful mechanical and cold stimuli and somatosensory loss with regard to cold detection and mechanical detection. The most frequent LossGain code was L0G2 (no somatosensory loss with gain of mechanical somatosensory function)(31.9% of AO patients). Percent agreement between corresponding QST and QualST measures of thermal and mechanical sensitivity ranged between 55.6 and 70.4% in AO patients and between 71.1 and 92.1% in controls. In conclusion, intraoral somatosensory abnormalities were commonly detected in AO patients and agreement between quantitative and qualitative sensory testing was good to excellent. PMID:23725780

  14. Intraoral somatosensory abnormalities in patients with atypical odontalgia--a controlled multicenter quantitative sensory testing study.

    Science.gov (United States)

    Baad-Hansen, Lene; Pigg, Maria; Ivanovic, Susanne Eímasry; Faris, Hanan; List, Thomas; Drangsholt, Mark; Svensson, Peter

    2013-08-01

    Intraoral somatosensory sensitivity in patients with atypical odontalgia (AO) has not been investigated systematically according to the most recent guidelines. The aims of this study were to examine intraoral somatosensory disturbances in AO patients using healthy subjects as reference, and to evaluate the percent agreement between intraoral quantitative sensory testing (QST) and qualitative sensory testing (QualST). Forty-seven AO patients and 69 healthy control subjects were included at Universities of Washington, Malmö, and Aarhus. In AO patients, intraoral somatosensory testing was performed on the painful site, the corresponding contralateral site, and at thenar. In healthy subjects, intraoral somatosensory testing was performed bilaterally on the upper premolar gingiva and at thenar. Thirteen QST and 3 QualST parameters were evaluated at each site, z-scores were computed for AO patients based on the healthy reference material, and LossGain scores were created. Compared with control subjects, 87.3% of AO patients had QST abnormalities. The most frequent somatosensory abnormalities in AO patients were somatosensory gain with regard to painful mechanical and cold stimuli and somatosensory loss with regard to cold detection and mechanical detection. The most frequent LossGain code was L0G2 (no somatosensory loss with gain of mechanical somatosensory function) (31.9% of AO patients). Percent agreement between corresponding QST and QualST measures of thermal and mechanical sensitivity ranged between 55.6% and 70.4% in AO patients and between 71.1% and 92.1% in control subjects. In conclusion, intraoral somatosensory abnormalities were commonly detected in AO patients, and agreement between quantitative and qualitative sensory testing was good to excellent. Copyright © 2013 International Association for the Study of Pain. Published by Elsevier B.V. All rights reserved.

  15. 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

  16. 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

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

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    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.

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

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    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.

  19. Ophthalmologic complications after intraoral local anesthesia: case report and review of literature

    NARCIS (Netherlands)

    Steenen, Serge A.; Dubois, Leander; Saeed, Peerooz; de Lange, Jan

    2012-01-01

    Intraoral administration of local anesthetics is one of the most common dental procedures. Ophthalmologic complications can occur after maxillary as well as mandibular local anesthetic injections and may be underreported and sometimes misinterpreted. A review of the literature from the years

  20. 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.

  1. Lower incisor intrusion with intraoral transosseous stainless steel wire anchorage in rabbits.

    Science.gov (United States)

    Wu, Jian-chao; Huang, Ji-na; Lin, Xin-ping

    2010-06-01

    The purpose of this research was to investigate the potential use of intraoral transosseous stainless steel wires as anchorage for intrusion of the lower incisors using a rabbit model. Placement of intraoral transosseous stainless steel wires around incisors is similar to that of intraoral transosseous wiring of edentulous mandibular fractures. Ten male New Zealand rabbits, 9 +/- 1.5 months of age, average weight 1.8 +/- 0.3 kg, were used in this study. One lower incisor was intruded with a 50 g bilateral force using a coil spring for 10 weeks, while the other incisor served as the control. Clinical measurements of the distances between the occlusal edges of the incisors (EE) were performed weekly with a calliper. In addition to standard descriptive statistical calculations, a paired Student's t-test was used for comparison of the two groups. All surgical sites healed uneventfully after insertion of the wires. Significant differences were found in the change of EE between the experimental and control sides from 4 weeks onwards. Intrusion of the incisor, 4 +/- 0.58 mm, was seen on the test side, while EE on the control side remained unchanged. Within the limits of this animal study, it is concluded that the intraoral transosseous stainless steel wire anchorage system is a cost-effective method for intrusion of lower incisors when the use of other anchorage system is not possible.

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

    NARCIS (Netherlands)

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

    2009-01-01

    AIM: 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

  3. 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

  4. Detection of periapical bone defects in human jaws using cone beam computed tomography and intraoral radiography.

    Science.gov (United States)

    Patel, S; Dawood, A; Mannocci, F; Wilson, R; Pitt Ford, T

    2009-06-01

    To compare the diagnostic accuracy of intraoral digital periapical radiography with that of cone beam computed tomography (CBCT) for the detection of artificial periapical bone defects in dry human jaws. Small and large artificial periapical lesions were prepared in the periapical region of the distal root of six molar teeth in human mandibles. Scans and radiographs were taken with a charged couple device (CCD) digital radiography system and a CBCT scanner before and after each periapical lesion had been created. Sensitivity, specificity, positive predictive values, negative predictive values and Receiver Operator Characteristic (ROC) curves as well as the reproducibility of each technique were determined. The overall sensitivity was 0.248 and 1.0 for intraoral radiography and CBCT respectively, i.e. these techniques correctly identified periapical lesions in 24.8% and 100% of cases, respectively. Both imaging techniques had specificity values of 1.0. The ROC Az values were 0.791 and 1.000 for intraoral radiography and CBCT, respectively. With intraoral radiography, external factors (i.e. anatomical noise and poor irradiation geometry), which are not in the clinician's control, hinder the detection of periapical lesions. CBCT removes these external factors. In addition, it allows the clinician to select the most relevant views of the area of interest resulting in improved detection of the presence and absence of artificial periapical lesions.

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

    Energy Technology Data Exchange (ETDEWEB)

    Cho, Jeong Yeon; Han, Won Jeong; Kim, Eun Kyung [Dankook Univ. School of Dentistry, Seoul (Korea, Republic of)

    2007-09-15

    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.

  6. 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.

  7. [Intra-oral restoration and correction of single- and multi-unit dental prostheses

    NARCIS (Netherlands)

    Roeters, F.J.M.; Loomans, B.A.C.

    2014-01-01

    In cases of a fracture of the porcelain or non-aesthetic margin of a correctly functioning single- or multi-unit dental prosthesis, an intra-oral restoration or correction using a resin composite can generally be chosen. To establish adhesion to metal, porcelain, resin and composite,

  8. Intraoral distraction osteogenesis to lengthen the ascending ramus - Experience with seven patients

    NARCIS (Netherlands)

    Jansma, J; Bierman, MWJ; Becking, AG

    2004-01-01

    Seven children with facial asymmetry, mean age 12 years (range 11-14.5) were treated by intraoral distraction osteogenesis to lengthen the hypoplastic ramus. We achieved a mean increase in length of the ramus of 13 mm (range 10-16). In only one patient did we achieve a posterior open bite on the

  9. A new intraoral device to facilitate preparation of the guide plane for removable dental prostheses.

    Science.gov (United States)

    Borges, Alexandre Luiz Souto; Borges, Alessandra Buhler; da Silva, Lucas Hian; Uemura, Eduardo Shigueuki; Saavedra, Guilherme de Siqueira Ferreira Anzalone

    2012-01-01

    This article presents a prototype of an intraoral device that facilitates preparation of parallel guide planes with accuracy and minimal occlusal divergence. The design of this device facilitates transfer of the desired path of insertion from the diagnostic cast to the mouth quickly and efficiently.

  10. Intraoral distraction osteogenesis to lengthen the ascending ramus. Experience with seven patients

    NARCIS (Netherlands)

    Jansma, Johan; Bierman, Michiel W. J.; Becking, Alfred G.

    2004-01-01

    Seven children with facial asymmetry, mean age 12 years (range 11-14.5) were treated by intraoral distraction osteogenesis to lengthen the hypoplastic ramus. We achieved a mean increase in length of the ramus of 13mm (range 10-16). In only one patient did we achieve a posterior open bite on the

  11. Chairside intraoral qualitative somatosensory testing: reliability and comparison between patients with atypical odontalgia and healthy controls.

    Science.gov (United States)

    Baad-Hansen, Lene; Pigg, Maria; Ivanovic, Susanne Elmasry; Faris, Hanan; List, Thomas; Drangsholt, Mark; Svensson, Peter

    2013-01-01

    To assess intraoral inter- and intraexaminer reliability of three qualitative measures of intraoral somatosensory function and to compare these measures between patients with atypical odontalgia (AO) and healthy controls. Thirty-one AO patients and 47 healthy controls participated. Inter- and intraexaminer reliability was tested on a subgroup of 46 subjects (25 AO; 21 healthy). Sensitivity to touch, cold, and pinprick stimuli was evaluated on the painful gingival site and the corresponding contralateral site in AO patients, and bilaterally on the gingiva of the first maxillary premolars in controls. Patients were asked to report hypersensitivity, hyposensitivity, or normal sensitivity to stimuli on the painful site compared with the nonpainful site. Kappa values were calculated, and chi-square and Fisher's exact tests were used to compare frequencies between groups. Kappa values ranged between 0.63 and 0.75. The frequency of hypersensitivity to either modality was significantly higher in patients (29% to 61%) than in controls (9% to 17%) (P .057). Only 3.2% of the AO patients had no reports of abnormal sensitivity on any of the tests, compared with 59.6% of the healthy subjects (P < .001). Intraoral qualitative somatosensory testing can detect intraoral sensory disturbances in AO patients, and the reliability is sufficient for initial screening of orofacial somatosensory function.

  12. 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

  13. Immediate loading of zygomatic implants using the intraoral welding technique: a 12-month case series.

    Science.gov (United States)

    Degidi, Marco; Nardi, Diego; Piattelli, Adriano; Malevez, Chantal

    2012-10-01

    The aim of this prospective study was to evaluate the concept of intraoral welding as a suitable technique for fabricating a fixed restoration for the edentulous maxilla the day of surgery using standard and zygomatic implants. Ten consecutive patients (four men, six women; mean age, 62.3 ± 11.6 years) were involved in this study, each of whom had an edentulous atrophic maxilla and received two standard and two zygomatic implants. All implants were loaded immediately with a fixed prosthesis supported by an intraorally welded titanium framework. Definitive abutments were connected to the implants, and a titanium bar was welded to them using an intraoral welding unit. This framework was used to support the definitive prosthesis, which was fitted the day of implant placement. Patients were checked for swelling, pain, and framework stability at 1, 3, 6, and 12 months. A total of 20 immediately loaded standard and 20 zygomatic implants were used. The cases included in this study achieved a 100% prosthetic success rate at the 12-month follow-up. No fracture or radiographically detectable alteration of the welded frameworks was noticed. It is possible to successfully rehabilitate the edentulous atrophic maxilla with a permanently fixed prosthesis supported by an intraorally welded titanium framework attached to standard and zygomatic implants the day of surgery.

  14. 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.

  15. 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

  16. 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

  17. 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.

  18. Accuracy of intraoral and extraoral digital data acquisition for dental restorations

    Directory of Open Access Journals (Sweden)

    Heike Rudolph

    2016-02-01

    Full Text Available ABSTRACT The computer-aided design (CAD and computer-aided manufacturing (CAM process chain for dental restorations starts with taking an impression of the clinical situation. For this purpose, either extraoral digitization of gypsum models or intraoral digitization can be used. Despite the increasing use of dental digitizing systems, there are only few studies on their accuracy. Objective This study compared the accuracy of various intraoral and extraoral digitizing systems for dental CAD/CAM technology. Material and Methods An experimental setup for three-dimensional analysis based on 2 prepared ceramic master dies and their corresponding virtual CAD-models was used to assess the accuracy of 10 extraoral and 4 intraoral optical non-contact dental digitizing systems. Depending on the clinical procedure, 10 optical measurements of either 10 duplicate gypsum dies (extraoral digitizing or directly of the ceramic master dies (intraoral digitizing were made and compared with the corresponding CAD-models. Results The digitizing systems showed differences in accuracy. However, all topical systems were well within the benchmark of ±20 µm. These results apply to single tooth measurements. Conclusions Study results are limited, since only single teeth were used for comparison. The different preparations represent various angles and steep and parallel opposing tooth surfaces (incisors. For most digitizing systems, the latter are generally the most difficult to capture. Using CAD/CAM technologies, the preparation angles should not be too steep to reduce digitizing errors. Older systems might be limited to a certain height or taper of the prepared tooth, whereas newer systems (extraoral as well as intraoral digitization do not have these limitations.

  19. 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

    OpenAIRE

    Franco J Vallejo; Paula A Montaña; Carlos Vesga; Antonio Miranda; José E Citelli; Alberto Negrete; Efraín Gil

    2007-01-01

    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 ablaci...

  20. Comparación de las técnicas anestésicas de bloqueo mandibular troncular convencional directa y Gow-Gates en exodoncia de molares mandibulares

    OpenAIRE

    Proaño de Casalino, Doris; Facultad de Estomatología, Universidad Peruana Cayetano Heredia. Lima,; Guillén Galarza, Manuel Fernando; Escuela de Estomatología. Universidad Nacional de Trujillo. Trujillo

    2014-01-01

    Se presenta una evaluación clínica para determinar si existen diferencias entre el bloqueo mandibularproducido por la técnica troncular convencional directa y la técnica Gow-Gates en pacientes quenecesitaron exodoncias mandibulares, considerando como indicadores: dolor a la penetración einyección anestésica, tiempo de aparición de los primeros síntomas de anestesia, territorioanestesiado a los 5, 10 y 15 minutos, penetración intravascular, anestesia del nervio Bucal Largoy resultado anestésic...

  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. 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.

  3. Comparison of antibacterial-coated and non-coated suture material in intraoral surgery by isolation of adherent bacteria

    Directory of Open Access Journals (Sweden)

    Klaus Pelz

    2015-09-01

    In terms of the total number of oral bacteria, and especially oral pathogens, that adhered to suture material, no reduction was demonstrated for Vicryl Plus. The use of triclosan-coated suture material offers no advantage in intraoral surgery.

  4. Case report of nipple shield trauma associated with breastfeeding an infant with high intra-oral vacuum.

    Science.gov (United States)

    Perrella, Sharon L; Lai, Ching T; Geddes, Donna T

    2015-07-26

    Nipple pain is associated with early cessation of breastfeeding and may be caused by high intra-oral vacuum. However identification of high intra-oral vacuum is typically restricted to the research setting. This is the first reported case of an infant with high intra-oral vacuum that was clinically identified through a specific pattern of nipple trauma associated with nipple shield use. Knowledge of clinical signs associated with high intra-oral vacuum may facilitate early recognition of this unusual breastfeeding challenge. The mother of an exclusively breastfed 3 month old infant had severe bilateral nipple pain with minimal trauma that persisted from birth. The nipples were not misshapen immediately after breastfeeding and adjustments to infant attachment at the breast did not attenuate the pain. Examination of the infant's oral anatomy was unremarkable with no ankyloglossia present. Microbiological cultures of nipple swabs and breast milk were negative for bacterial and fungal growth, and prescribed antimicrobial treatments did not reduce the nipple pain. Mild blanching and erythema of the nipples were occasionally observed, and were not consistent with nipple vasospasm. Nipple shields were used regularly as they modified the pain, although this resulted in blisters that corresponded with the nipple shield holes. Measurement of infant intra-oral vacuum during breastfeeding confirmed intra-oral vacuum up to 307 % higher than reference values. Breastfeeding gradually became less painful, and after 6 months was completely comfortable. High intra-oral vacuum is difficult to assess in the clinical setting and is likely an under-reported cause of early weaning that is not well understood. This original case report highlights high intra-oral vacuum as at differential diagnosis to be considered by health professionals when evaluating mothers experiencing strong nipple pain during the initiation of breastfeeding. A clinical screening tool is needed to enable prompt

  5. The Efficiency of Operating Microscope Compared with Unaided Visual Examination, Conventional and Digital Intraoral Radiography for Proximal Caries Detection

    OpenAIRE

    Peker, Ilkay; Toraman Alkurt, Meryem; Bala, Oya; Altunkaynak, Bulent

    2009-01-01

    Objective. The purpose of this study was to evaluate the efficiency of operating microscope compared with unaided visual examination, conventional and digital intraoral radiography for proximal caries detection. Materials and Methods. The study was based on 48 extracted human posterior permanent teeth. The teeth were examined with unaided visual examination, operating microscope, conventional bitewing and digital intraoral radiographs. Then, true caries depth was determined by histological ex...

  6. 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

  7. 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.

  8. 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.

  9. 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.

  10. 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.

  11. A posteriori registration and subtraction of panoramic compared with intraoral radiography.

    Science.gov (United States)

    Deserno, Thomas M; Rangarajan, Janaki Raman; Hoffmann, Jens; Brägger, Urs; Mericske-Stern, Regina; Enkling, Norbert

    2009-08-01

    To demonstrate the feasibility of panoramic image subtraction for implant assessment. Three titanium implants were inserted into a fresh pig mandible. One intraoral and 2 panoramic images were obtained at baseline and after each of 6 incremental (0.3, 0.6, 1.0, 1.5, 2.0, 2.5 mm) removals of bone. For each incremental removal of bone, the mandible was removed from and replaced in the holding device. Images representing incremental bone removals were registered by computer with the baseline images and subtracted. Assessment of the subtraction images was based on visual inspection and analysis of structured noise. Incremental bone removals were more visible in intraoral than in panoramic subtraction images; however, computer-based registration of panoramic images reduced the structured noise and enhanced the visibility of incremental removals. The feasibility of panoramic image subtraction for implant assessment was demonstrated.

  12. 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

  13. 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.

  14. What's the angle: a study of the angle bisected in intraoral radiography.

    Science.gov (United States)

    Manson-Hing, L R

    1980-01-01

    Intraoral radiographs were made via the bisecting-the-angle technique on patients of different ages, sexes, and races. The tooth-film angles for various areas of the mouth were measured and found to be close to 30 degrees for all areas of the mouth except the mandibular posterior regions. The study was conducted to assist in quick positioning of the x-ray beam in difficult cases.

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

    OpenAIRE

    Merino Martijena, Adolfo; Doctor en Odontología. Director de Asuntos Administrativos. Fac. Odontología. Jefe de la Sección de Cirugía Bucomáxilofacial del Departamento de Estomatología médico-quirúrgico.

    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. 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.

  17. 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.

  18. Intraoral versus extraoral bitewing radiography in detection of enamel proximal caries: an ex vivo study.

    Science.gov (United States)

    Abu El-Ela, Walaa Hussein; Farid, Mary Medhat; Mostafa, Mostafa Saad El-Din

    2016-01-01

    To compare the diagnostic accuracy of digital intraoral and extraoral bitewing (EO BW) radiography in the detection of enamel proximal caries regardless of their ability to separate contacts. Artificial caries with different degrees of decalcification was induced in 80 human sound premolars and molars using formic acid. Intraoral radiographs were taken with photostimulable phosphor plate (PSP) and complementary metal oxide semiconductor (CMOS), using the paralleling bitewing technique. Extraoral bitewing radiographs were obtained using Sirona digital panoramic X-ray unit (Sirona Siemens, Bensheim, Germany). In total, 160 proximal surfaces were assessed by 2 observers twice. Area under the receiver operating characteristic curve (Az) values for each image type, observer and reading were compared using z-tests, with a significance level of p ≤ 0.05. Sensitivity, specificity, positive-predictive value and negative-predictive value for each observer and reading were calculated. Spearman's test showed a strong positive correlation between the duration of demineralization and histological grading of carious teeth surfaces. For the three radiographic techniques, intraobserver reliability was strong to excellent. Moreover, interobserver agreement was strong. The differences between all detection methods were not statistically significant (p > 0.05). Intraoral bitewing using CMOS sensor had the highest sensitivity while EO BW had the highest specificity in the detection of incipient proximal caries. Within the limits of the ex vivo design, the difference in diagnostic accuracy between the three radiographic techniques was not significant. EO BW could be used in the detection of enamel proximal caries with results comparable with intraoral bitewing with PSP plate and CMOS sensor.

  19. Use of an Intraoral Laser Scanner During the Prosthetic Phase of Implant Dentistry: A Pilot Study.

    Science.gov (United States)

    Lee, Cameron Y S; Wong, Natalie; Ganz, Scott D; Mursic, Jonathan; Suzuki, Jon B

    2015-08-01

    The accuracy of a digital impression technique to fabricate the implant restoration and abutment for a dental implant using an intraoral laser scanner was evaluated in 36 patients who were missing a single posterior tooth in either the mandible or maxilla that was restored with a single implant. The spatial position of each integrated implant, including the surrounding anatomic hard and soft tissues of adjacent structures, was captured utilizing a special scanning abutment with an intraoral laser scanner. Data from the scanning protocol was then delivered via the Internet in the form of an STL file to the manufacturing site for the production of a custom computer-aided design abutment and crown. All 36 restorations and abutments were delivered to the patients and evaluated for marginal integrity, interproximal contact points, and occlusion. Of the 36 patients, 6 required contact adjustments, 7 required occlusal adjustments, and 3 required a gingivectomy around the implant to completely seat the restoration. Chair time for adjustments did not exceed 15 minutes. The findings suggest that an intraoral laser scanner can be used with confidence to obtain consistent and accurate digital impressions to fabricate custom restorations and abutments for dental implants.

  20. Clinical ligation forces and intraoral friction during sliding on a stainless steel archwire.

    Science.gov (United States)

    Iwasaki, Laura R; Beatty, Mark W; Randall, C Jared; Nickel, Jeffrey C

    2003-04-01

    The efficiency of tooth movement associated with some orthodontic mechanics can be compromised by friction between archwire and bracket. This study examined the effects of bracket ligation forces (F(N Ligation)) and mastication on friction when sliding a bracket along an archwire. Preliminary data from 5 orthodontists and 5 orthodontic residents characterized average tight and loose stainless steel F(N Ligation). These values were reproduced by a calibrated operator in a custom device used to estimate changes in the measurement of ex vivo and intraoral frictional forces, represented by mu(a), the apparent coefficient of static friction. Ten subjects chewed gum with the device in place to determine whether vibration eliminated friction when compared to ex vivo measurements. Nested analysis of variance and Tukey HSD tests determined the effects of ligation type and environmental variables. No significant differences (P >.01) were found between ex vivo and intraoral mu(a) values for tight and loose stainless steel ligation. Intraoral mu(a) values for elastic ligation were significantly greater than ex vivo mu(a) values (P friction when sliding a bracket along an archwire. In addition, there was considerable intraoperator variation in F(N Ligation), although ligation techniques were well controlled. Variations in clinical ligation forces are likely to be equal or greater than these experimental data. These variations could affect treatment efficiency.

  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. Multifactorial assessment of measurement errors affecting intraoral quantitative sensory testing reliability.

    Science.gov (United States)

    Moana-Filho, Estephan J; Alonso, Aurelio A; Kapos, Flavia P; Leon-Salazar, Vladimir; Durand, Scott H; Hodges, James S; Nixdorf, Donald R

    2017-07-01

    Measurement error of intraoral quantitative sensory testing (QST) has been assessed using traditional methods for reliability, such as intraclass correlation coefficients (ICCs). Most studies reporting QST reliability focused on assessing one source of measurement error at a time, e.g., inter- or intra-examiner (test-retest) reliabilities and employed two examiners to test inter-examiner reliability. The present study used a complex design with multiple examiners with the aim of assessing the reliability of intraoral QST taking account of multiple sources of error simultaneously. Four examiners of varied experience assessed 12 healthy participants in two visits separated by 48h. Seven QST procedures to determine sensory thresholds were used: cold detection (CDT), warmth detection (WDT), cold pain (CPT), heat pain (HPT), mechanical detection (MDT), mechanical pain (MPT) and pressure pain (PPT). Mixed linear models were used to estimate variance components for reliability assessment; dependability coefficients were used to simulate alternative test scenarios. Most intraoral QST variability arose from differences between participants (8.8-30.5%), differences between visits within participant (4.6-52.8%), and error (13.3-28.3%). For QST procedures other than CDT and MDT, increasing the number of visits with a single examiner performing the procedures would lead to improved dependability (dependability coefficient ranges: single visit, four examiners=0.12-0.54; four visits, single examiner=0.27-0.68). A wide range of reliabilities for QST procedures, as measured by ICCs, was noted for inter- (0.39-0.80) and intra-examiner (0.10-0.62) variation. Reliability of sensory testing can be better assessed by measuring multiple sources of error simultaneously instead of focusing on one source at a time. In experimental settings, large numbers of participants are needed to obtain accurate estimates of treatment effects based on QST measurements. This is different from clinical

  3. Controle da dor pós-operatória da artroplastia total do joelho: é necessário associar o bloqueio do nervo isquiático ao bloqueio do nervo femoral? Control del dolor postoperatorio de la artroplastia total de la rodilla: ¿es necesario asociar el bloqueo del nervio isquiático al bloqueo del nervio femoral? Control of postoperative pain following total knee arthroplasty: is it necessary to associate sciatic nerve block to femoral nerve block?

    Directory of Open Access Journals (Sweden)

    Affonso H. Zugliani

    2007-10-01

    Full Text Available JUSTIFICATIVA E OBJETIVOS: A artroplastia total do joelho (ATJ promove grande trauma tecidual, produzindo intensa dor no pós-operatório. A analgesia pós-operatória de boa qualidade é fundamental, devendo-se considerar que a mobilização articular precoce é um importante aspecto para obtenção de bons resultados. Há controvérsias na literatura sobre a eficácia do bloqueio isolado do nervo femoral. O objetivo deste estudo foi avaliar a analgesia pós-operatória com a associação do bloqueio dos nervos isquiático e femoral. MÉTODO: Foram estudados 17 pacientes submetidos à ATJ sob raquianestesia, divididos em dois grupos: A e B. No Grupo A (n = 9 foi realizado bloqueio do nervo femoral e no Grupo B (n = 8, bloqueio dos nervos femoral e isquiático. Os bloqueios foram realizados no pós-operatório imediato utilizando-se 20 mL de ropivacaína a 0,5% em cada um. A dor foi aferida nas primeiras 24 horas pela Escala Analógica Visual e escala verbal. Foi observado o tempo decorrido entre os bloqueios e a primeira queixa de dor (M1. RESULTADOS: A mediana do tempo de analgesia (M1 no Grupo A foi de 110 min. e no Grupo B de 1.285 min. (p = 0,0001. Não foram observadas complicações atribuíveis às técnicas utilizadas. CONCLUSÃO: O bloqueio do nervo isquiático, quando associado ao bloqueio do nervo femoral, nas condições deste estudo, melhorou de maneira significativa a qualidade da analgesia pós-operatória da ATJ.JUSTIFICATIVA Y OBJETIVOS: La artroplastia total de la rodilla (ATR promueve gran trauma del tejido produciendo un intenso dolor en el postoperatorio. La analgesia de postoperatorio de buena calidad es fundamental, debiendo considerar que la movilización articular precoz es un importante aspecto para la obtención de buenos resultados. Existen controversias en la literatura sobre la eficacia del bloqueo aislado del nervio femoral. El objetivo de este estudio fue evaluar la analgesia en postoperatorio con la asociaci

  4. 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

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    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

  5. Comparative study of cone beam computed tomography and intraoral periapical radiographs in diagnosis of lingual-simulated external root resorptions.

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    Bernardes, Ricardo Affonso; de Paulo, Renata Silvéria; Pereira, Luciana Oliveira; Duarte, Marco Antonio Hungaro; Ordinola-Zapata, Ronald; de Azevedo, José Ribamar

    2012-08-01

    Owing to a lack of symptoms and difficult visualization in routine intraoral radiographs, diagnosis of external root resorptions can be challenging. The goal of this study was to compare two image acquisition methods, intraoral radiographs and cone beam computed tomography (CBCT), in the diagnosis of external resorption. Thirty-four maxillary and mandibular bicuspids were divided into three groups. Perforations measuring 0.3 and 0.6 mm in diameter and 0.15 and 0.3 mm in depth, respectively, were made on the lingual root surfaces in thirty teeth, and four were used as controls. Next, teeth were mounted on an apparatus and radiographed at mesial, distal, and orthoradial angulations. CBCT images were also taken. The analysis of the intraoral radiographic and tomographic images was carried out by two experts using standardized scores. Data were then compared statistically. A strong agreement between the examiners was observed in both diagnosis methods, the intraoral radiographic (r = 0.93) and the tomographic analysis (r = 1.0). Tomography had higher statistically significant detection values than intraoral radiography (P radiography was significantly higher than that of 0.3-mm perforations (P radiography, regardless of the tooth or the dimensions of the resorption evaluated. © 2012 John Wiley & Sons A/S.

  6. Reliability of intraoral quantitative sensory testing (QST) in patients with atypical odontalgia and healthy controls – a multicenter study

    Science.gov (United States)

    Baad-Hansen, Lene; Pigg, Maria; Yang, Guangju; List, Thomas; Svensson, Peter; Drangsholt, Mark

    2014-01-01

    Summary The reliability of comprehensive intraoral quantitative sensory testing (QST) protocol has not been examined systematically in patients with chronic orofacial pain. The aim of the present multi-center study was to examine test-retest and inter-examiner reliability of intraoral 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 AO patients and 68 healthy controls were subjected to bilateral intraoral gingival QST and unilateral extratrigeminal QST (thenar) on three occasions (twice on one day by two different examiners and once approximately one week later by one of the examiners). Intraclass correlation coefficients and kappa values for inter-examiner and test-retest reliability were computed. Most of the standardized intraoral QST measures showed fair to excellent inter-examiner (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 AO patients and the healthy reference group. These reliability results in chronic orofacial pain patients support earlier suggestions based on data from healthy subjects that intraoral 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. PMID:25284726

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

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    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.

  8. INCIDENCE OF TUMOR CELLS PRESENCE ON HISTOPATHOLOGICAL SPECIMENTS MARGINS IN RELATION TO WIDENESS OF INTRAORAL CARCINOMAS EXCISION

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    Dragan Mihailović

    2003-07-01

    Full Text Available Correct surgical therapy considers radical excision of tumor formation, what can be certificated by absence of tumor cells on histopathological specimen margins.The aim of this investigation is to estimate incidence of presence of tumor cells on histopathological specimen margins in cases of intraoral carcinomas, surgically excised in macroscopically normal tissue with different wideness of normal tissue zone and relation to postoperative survival of this patients with intraoral carcinomas.Fifty seven patients with intraoral carcinomas were divided in three groups according to wideness of zone of excision in macroscopically normal tissue. Lowest percent of presence of tumor cells on margins of histopathological specimens were in group of patients with zone of excision behind zone of indurations of soft tissue, but patients from this group had shortest postoperative survival period. Presence of tumor cells on margins of histopathological specimens of excided intraoral carcinomas was found in high number of 81,07%.It can be said that presence of tumor cells on margins of histopathological specimens of exceeded intraoral carcinomas was found in extremely high number of 81,07%, but direct statistical significant relation in-between wideness of surgical excision and postoperative survival period was not found what show that another factors connected with postoperative survival of this patients must be examine.

  9. 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

  10. Effects of fluoride on caries development and progression using intra-oral models.

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    Wefel, J S

    1990-02-01

    This paper reviews the use of intra-oral model systems to help elucidate the role of fluoride and its mechanism of action in caries prevention. The intra-oral models currently in use were found to be of three general types. The most widely used system has consisted of a removable appliance that relies on the use of dacron gauze or a recessed sample to enhance plaque formation. Similarly, the banding model of Ogaard requires the presence of orthodontic band material to produce a plaque accumulation niche for demineralization, while the crown single-section technique relies mainly on placement of the sections in plaque-retentive areas (below contact points). In general, the models may be used for the assessment of food cariogenicity, an evaluation of de- and re-mineralization, and measurement of fluoride incorporation into enamel or root substrates. On evaluation of lesion initiation and progression in vivo, it is apparent that few non-destructive in vivo techniques are available that offer the sensitivity of laboratory-based analysis. Thus, the use of intra-oral models that allow lesion formation and progression to occur in the oral environment, but can be measured with the sensitivity of in vitro techniques, has been extremely important. Although the magnitude of the fluoride dose, the longevity of fluoride in the oral environment, and the time required for remineralization are different from those found in vitro, it is apparent that the presence of fluoride in the aqueous phase is now thought to be of primary importance. Mechanistically, the presence of fluoride will both inhibit demineralization by acid and promote remineralization under more neutral conditions. Thus, one of fluoride's major contributions is to affect the rates of lesion formation and progression. It was concluded that low-concentration fluoride agents with a high frequency of application would best fulfill the above needs.

  11. Effect of beverages and mouthwashes on the hardness of polymers used in intraoral prostheses.

    Science.gov (United States)

    Goiato, Marcelo Coelho; Dos Santos, Daniela Micheline; Andreotti, Agda Marobo; Nobrega, Adhara Smith; Moreno, Amalia; Haddad, Marcela Filié; Pesqueira, Aldiéris Alves

    2014-10-01

    The mechanical properties of acrylic resins used in intraoral prostheses may be altered by frequent exposure to liquids such as beverages and mouthwashes. This study aimed to evaluate the effect of thermocycling and liquid immersion on the hardness of four brands of acrylic resins commonly used in removable prostheses (Onda Cryl, QC-20, Clássico, Lucitone). For each brand of resin, seven specimens were immersed in each of six solutions (coffee, cola, red wine, Plax-Colgate, Listerine [LI], Oral B), and seven more were placed in artificial saliva (control). The hardness was tested using a microhardness tester before and after 5000 thermocycles and after 1, 3, 24, 48, and 96 hours of immersion. The results were analyzed using three-way repeated-measures ANOVA and Tukey's test (p hardness of the resins decreased following thermocycling and immersion in the solutions. Specimens immersed in cola and wine exhibited significant decreases in hardness after immersion for 96 hours, although the greatest significant decrease in hardness occurred in specimens immersed in LI. However, according to American Dental Association specification 12, the Knoop hardness of acrylic resins for intraoral prostheses should not be below 15. Thus, the median values of superficial hardness observed in most of the acrylic resins in this study are considered clinically acceptable. The microhardness of polymers used for intraoral prostheses decreases following thermocycling. Among specimens immersed in beverages, those immersed in cola or wine experienced the greatest decrease in microhardness. Immersion of acrylic resins in LI significantly decreased the microhardness in relation to the initial value. Among the resins assessed, QC-20 exhibited the lowest initial hardness. © 2014 by the American College of Prosthodontists.

  12. 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.

  13. 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

  14. 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.

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

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    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.

  16. Effect of Intraoral Mechanical Cleaning Techniques on Bond Strength of Cast Crowns to Metal Cores.

    Science.gov (United States)

    AlZain, Sahar; Kattadiyil, Mathew T; AlHelal, Abdulaziz; Alqahtani, Ali

    2017-11-30

    To evaluate the effect of cleaning of metal cores from provisional cement, using an intraoral airborne-particle abrasion method, on the bond strength of permanent resin cement with cast crowns to cores. Thirty stainless steel models of a standard complete crown tooth preparation were fabricated. Thirty Type III gold crowns were fabricated. Each cast crown corresponded to one stainless steel crown preparation model. All crowns were cemented with noneugenol zinc oxide cement and stored for 7 days at 37°C. All crowns were debonded, and the cement was cleaned with airborne-particle abrasion using 50 μm aluminum oxide at 4.1 bar (0.41 MPa) followed by ultrasonic cleaning. Based on the mechanical cleaning technique of the remaining provisional cement on surfaces of cast cores, specimens were equally divided into 3 groups: hand cleaning (HC) with a dental excavator, hand cleaning followed by polishing using a brush and pumice (BP), and hand cleaning followed by intraoral airborne-particle abrasion (APA). All crowns were then cemented to their corresponding cores using universal resin cement. All crowns were stored for 7 days at 37°C. An Instron universal testing machine was used to record the bond strength of crowns. Airborne-particle abrasion method for intraoral mechanical cleaning revealed a statistically significantly higher bond strength compared to the other two methods. When comparing the three methods of provisional cement cleaning from metal cores, airborne-particle abrasion resulted in the highest bond strength for cast crowns. © 2017 by the American College of Prosthodontists.

  17. Increased pain sensitivity to intraoral capsaicin in patients with atypical odontalgia.

    Science.gov (United States)

    Baad-Hansen, Lene; List, Thomas; Jensen, Troels Staehelin; Svensson, Peter

    2006-01-01

    To use 2 well-characterized stimuli, the intraoral capsaicin model and the "nociceptive-specific" electrode, to compare superficial nociceptive function between patients with atypical odontalgia (AO) and matched healthy controls. Furthermore, the authors aimed to describe the sensitivity, specificity, and positive predictive values (PPV) of the techniques if group differences could be established. Thirty-eight patients with AO and 27 matched healthy controls participated in this study. Thirty microliters of 5% capsaicin was applied to the gingiva on the left and right sides of all participants as a pain-provocation test. The participants scored the capsaicin-evoked pain continuously on a 0-to-10 visual analog scale (VAS). Furthermore, individual electrical sensory and pain thresholds to stimulation with a "nociceptive-specific" electrode on the facial skin above the infraorbital or mental nerve were determined. AO patients had higher VAS pain scores for capsaicin application than healthy controls (ANOVA: F > 4.88; P .262). No main effects of group or stimulation side on the electrical sensory and pain thresholds were detected (ANOVA: F .579). Sensitivity was 0.51; specificity, 0.81; and PPV, 0.77 when a VAS value of > or = 8 for capsaicin-evoked pain was used. AO patients show increased sensitivity to intraoral capsaicin but normal sensitivity to "nociceptive-specific" electrical stimulation of the face in an area proximal to the painful site. The use of the intraoral pain-provocation test with capsaicin as a possible adjunct to the diagnostic workup is hampered by the only moderately good sensitivity and specificity.

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

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    Hitoshi Ajioka

    Full Text Available 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.

  19. 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

  20. 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.

  1. 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

  2. Removal of a Maxillary Third Molar Displaced into Pterygopalatine Fossa via Intraoral Approach

    Directory of Open Access Journals (Sweden)

    Nedim Özer

    2013-01-01

    Full Text Available The removal of impacted maxillary third molars is one of the most common procedures performed in oral and maxillofacial surgery units with low rates of complications and morbidity. A few cases of accidental displacement of third molars into adjacent anatomical spaces, such as the infratemporal fossa, the pterygomandibular space, the maxillary sinus, buccal space, or the lateral pharyngeal space, during surgical interventions have been reported. In this paper, a case of a maxillary third molar accidentally displaced into the pterygopalatine fossa is presented, and the removal of the tooth via intraoral approach is described.

  3. 3D monitoring and quality control using intraoral optical camera systems.

    Science.gov (United States)

    Mehl, A; Koch, R; Zaruba, M; Ender, A

    2013-01-01

    The quality of intraoral scanning systems is steadily improving, and they are becoming easier and more reliable to operate. This opens up possibilities for routine clinical applications. A special aspect is that overlaying (superimposing) situations recorded at different times facilitates an accurate three-dimensional difference analysis. Such difference analyses can also be used to advantage in other areas of dentistry where target/actual comparisons are required. This article presents potential indications using a newly developed software, explaining the functionality of the evaluation process and the prerequisites and limitations of 3D monitoring.

  4. A monolateral TMJ replacement under intraoral endoscopic assistance for jaw osteomielitis: a modified approach.

    Science.gov (United States)

    Belli, E; Mici, E; Mazzone, N; Catalfamo, L; Fini, G; Liberatore, G M

    2015-01-01

    Alloplastic replacement has become a valid treatment for TMJ endstage disease. The Alkayat and Bramley pre-auricular approach combined with the submandibular incision are the current surgical approaches for TMJ surgery. The present study shows a modified approach using intraoral endoscopic assistance. A female patient affected by jaw osteomielitis with condylar detachment was treated with total left TMJ alloplastic replacement combined with a right TMJ arthroplasty. No subamandibular incision was performed and, subsequently, the risks for permanent or temporary damage to the marginalis mandibulae nerve and surgical submandibular scar were avoided. Postoperative CT-Scan evidenced a good prosthesis position. No complications occurred after two years of follow-up.

  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. A clinical comparison of extraoral panoramic and intraoral radiographic modalities for detecting proximal caries and visualizing open posterior interproximal contacts.

    Science.gov (United States)

    Terry, Glenn L; Noujeim, Marcel; Langlais, Robert P; Moore, William S; Prihoda, Thomas J

    2016-01-01

    The purpose of this study was to compare extraoral panoramic bitewings (BWs) to intraoral photostimulable phosphor (PSP) plate BWs for the detection of proximal surface caries and to establish if there was any difference between extraoral BWs, intraoral BWs and panoramic radiographs in visualizing open posterior interproximal contacts. Extraoral panoramic and intraoral BW images were acquired on each of 20 patients, resulting in 489 total non-restored, readable surfaces that were evaluated by 4 observers. The ANOVA analysis to determine diagnostic variability between and within each subject was utilized. The surfaces included in the study extended from the distal of each canine to the last posterior contact in each arch with non-readable proximal surfaces excluded (i.e.surfaces where over half the enamel layer was overlapped or where those surfaces were not visible in one or both modalities). The statistical analysis indicated that the overall mean area under the receiver operating characteristic curves across all observers for the intraoral BWs and extraoral panoramic BWs were 0.832 and 0.827, respectively, and the difference of 0.005 was not significant at p = 0.7781. The percentage of non-readable proximal surfaces across the three modalities was 4.1% for intraoral BWs, 18.3% for extraoral panoramic BWs and 51.5% for the standard panoramic images. The investigators concluded there was no significant difference in posterior proximal surface caries detection between the modalities. Extraoral panoramic BWs were much better than panoramic radiographs in visualizing open posterior interproximal contacts, 81.7% vs 48.5%, but below the 95.9% value for intraoral BWs.

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

    Science.gov (United States)

    Oliveira, Aleli Tôrres; Camilo, Anderson Aparecido; Bahia, Paulo Roberto Valle; Carvalho, Antonio Carlos Pires; DosSantos, Marcos Fabio; da Silva, Jorge Vicente Lopes; Monteiro, André Antonio

    2014-01-01

    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. PMID:24963484

  8. Clinical evaluation of CAD/CAM metal-ceramic posterior crowns fabricated from intraoral digital impressions.

    Science.gov (United States)

    Tamim, Hazem; Skjerven, Henrik; Ekfeldt, Anders; Rønold, Hans Jacob

    2014-01-01

    The aim of this in vivo study was to evaluate the accuracy of metal-ceramic crowns fabricated using computer-aided design/computer-assisted manufacturing (CAD/CAM) in conjunction with intraoral digital impressions. Fifty patients in a general practice participated in the study. Patients were provided with crowns fabricated from digital impressions taken with an intraoral chairside scanner. Prior to crown insertion, the marginal integrity, esthetics, and occlusal and articulation contacts were evaluated using California Dental Association (CDA) criteria. The precementation space of the crowns was evaluated with the replica technique. No adjustments were needed for any of the interproximal contact points. Adjustments of occlusion and articulation contacts were needed in 20% of the restorations. Clinical evaluation of the marginal integrity showed satisfactory results according to the CDA criteria. The 50 silicone replicas showed a median precementation space of 46 μm at the marginal measurement location, 94 μm at the midaxial location, and 185 μm at the centro-occlusal location. The precementation spaces of the crowns were within the acceptable range for CAD/CAM restorations.

  9. Influence of different rubber dam application on intraoral temperature and relative humidity.

    Science.gov (United States)

    Haruyama, Akiko; Kameyama, Atsushi; Tatsuta, Chihiro; Ishii, Kurumi; Sugiyama, Toshiko; Sugiyama, Setsuko; Takahashi, Toshiyuki

    2014-01-01

    The purpose of this study was to investigate the effect of type of rubber dam and application method on the moisture exclusion effect. The intraoral temperature and relative humidity were compared among various moisture exclusion appliances. Various dry field techniques were applied to 5 subjects and intraoral temperature and relative humidity measured 5 min after placing a digital hygro-thermometer in the mouth. The relative humidity was 100% in all subjects when moisture was excluded by means of cotton rolls alone. When only tooth 36 was exposed, relative humidity was significantly lower with latex, urethane, or 3-dimensional sheets than with cotton rolls alone, and was similar to the level of humidity in the room. When a local rubber dam was used, the relative humidity was significantly higher than the indoor humidity (prelative humidity between exposure of 4 teeth and 1 tooth, but variation in the relative humidity was more marked in 4- than in 1-tooth exposure. The creation of an air vent did not influence the moisture exclusion effect. These results suggest that the rubber dam isolation technique excludes moisture to a level equivalent to the humidity in the room when only a single tooth is exposed, but the moisture exclusion effect may be inconsistent when several teeth are exposed.

  10. 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.

  11. 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.

  12. Anatomical variations of trabecular bone structure in intraoral radiographs using fractal and particles count analyses

    International Nuclear Information System (INIS)

    Amer, Maha Eshak; Heo, Min Suk; Brooks, Sharon L; Benavides, Erika

    2012-01-01

    This study was performed to evaluate possible variations in maxillary and mandibular bone texture of normal population using the fractal analysis, particles count, and area fraction in intraoral radiographs. Periapical radiographs of patients who had full mouth intraoral radiographs were collected. Regions of interest (100X100 pixels) were located between the teeth of the maxillary anterior, premolar, and molar area, as well as the mandibular anterior, premolar, and molar areas. The fractal dimension (FD) was calculated by using the box counting method. The particle count (PC) and area fraction (AF) analyses were also performed. There was no significant difference in the FD values among the different groups of age, gender, upper, and lower jaws. The mean FD value was 1.49±0.01. The mean PC ranged from 44 to 54, and the mean AF ranged from 10.92 to 11.85. The values of FD, PC, and AF were significantly correlated with each other except for the upper molar area. According to the results, patients with normal trabecular pattern showed a FD of approximately 1.5. Based on these results, further investigation would be recommended if the FD value of patient significantly different from this number, since the alteration of this value indicates microstructural modification of trabecular pattern of the jaws. Additionally, with periapical radiographs, simple and cost-effective, PC and AF could be used to assess the deviation from the normal.

  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. Microbial adherence on various intraoral suture materials in patients undergoing dental surgery.

    Science.gov (United States)

    Banche, Giuliana; Roana, Janira; Mandras, Narcisa; Amasio, Mario; Gallesio, Cesare; Allizond, Valeria; Angeretti, Alessandra; Tullio, Vivian; Cuffini, Anna Maria

    2007-08-01

    Sutures used in oral surgery should avoid or limit bacterial adhesion and proliferation to those parts exposed to oral fluids. Hence, microbial colonization on various intraoral suture materials from patients undergoing dental surgery was compared. During dentoalveolar surgery, various suture materials were used in 60 patients, who were randomly divided into 5 groups of 12. In each group, silk was placed intraorally in association with a different type of suture (ie, Supramid, Synthofil, Ethibond Excel, Ti-cron, Monocryl) at the same site to compare microbial colonization intraindividually. Eight days postoperatively, the sutures were removed, and adhered micro-organisms were isolated, counted, and identified through enzymatic activities and fermentation of sugars. In all 60 patients, silk sutures exhibited the smallest affinity toward the adhesion of bacteria compared with considerable proliferation with nonresorbable multifilament sutures (Supramid, Synthofil, Ethibond Excel, Ti-cron). On the contrary, the microbial load was significantly lower when absorbable monofilament Monocryl was used. A greater quantity of bacteria was found on nonresorbable sutures than on absorbable ones, and nearly 2 times more facultative anaerobic bacteria were isolated in total. Our results show that bacteria adhere with different affinity to various types of suture materials. Absorbable silk and Monocryl exhibited the smallest number of adherent bacteria. Colonization by pathogens on sutures leads to the recommendation that sutures should be removed as early as possible after surgery is performed, to eliminate or to limit the reservoir for oral pathogens. This recommendation is dependent on whether the suture is absorbable.

  15. 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.

  16. 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).

  17. Activation of lateral hypothalamus-projecting parabrachial neurons by intraorally delivered gustatory stimuli

    Directory of Open Access Journals (Sweden)

    Kenichi eTokita

    2014-07-01

    Full Text Available The present study investigated a subpopulation of neurons in the mouse parabrachial nucleus (PbN, a gustatory and visceral relay area in the brainstem, that project to the lateral hypothalamus (LH. We made injections of the retrograde tracer Fluorogold (FG into LH, resulting in fluorescent labeling of neurons located in different regions of the PbN. Mice were stimulated through an intraoral cannula with one of seven different taste stimuli, and PbN sections were processed for immunohistochemical detection of the immediate early gene c-Fos, which labels activated neurons. LH projection neurons were found in all PbN subnuclei, but in greater concentration in lateral subnuclei, including the dorsal lateral subnucleus (dl. Fos-like immunoreactivity (FLI was observed in the PbN in a stimulus-dependent pattern, with the greatest differentiation between intraoral stimulation with sweet (0.5 M sucrose and bitter (0.003 M quinine compounds. In particular, sweet and umami-tasting stimuli evoked robust FLI in cells in the dl, whereas quinine evoked almost no FLI in cells in this subnucleus. Double-labeled cells were also found in the greatest quantity in the dl. Overall, these results support the hypothesis that the dl contains direct a projection to the LH that is activated preferentially by appetitive compounds; this projection may be mediated by taste and/or postingestive mechanisms.

  18. Numerical Evaluation of Image Contrast for Thicker and Thinner Objects among Current Intraoral Digital Imaging Systems

    Directory of Open Access Journals (Sweden)

    Oyunbat Dashpuntsag

    2017-01-01

    Full Text Available The purpose is to evaluate the performance of current intraoral digital detectors in detail using a precise phantom and new method. Two aluminum step wedges in 0.5 mm steps were exposed by two photostimulable phosphor plate (PSP systems—one with automatic exposure compensation (AEC and the other without AEC—and a CCD sensor. Images were obtained with 3 doses at 60 kV. The effect of metallic material also was evaluated. The contrast-to-noise ratio (CNR for thinner steps and the low contrast value (LCV for thicker steps were obtained. The CCD system was the best under all conditions (P<0.001, although the Gray value was sensitive to the dose, and the Gray value-dose relation varied greatly. The PSP system with AEC was superior to that without AEC for the LCV (P<0.001 but was inferior to it regarding the CNR (P<0.001. CNR and LCV in the PSP system without AEC were not affected by the metallic plate. Intraoral digital imaging systems should be chosen according to their diagnostic purpose. PSP system with AEC may be the best for detecting molar proximal caries, whereas the PSP system without AEC may be better for evaluating small bone regeneration in periodontal disease. The CCD system provided the best performance.

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

    Energy Technology Data Exchange (ETDEWEB)

    Kim, Soo Ji; Kang, Byung Cheol [Faculty of Dental Science, Graduate School, Department of Oral and Maxillofacial Radiology, College of Dentistry, Chonnam National University, Kwangju (Korea, Republic of)

    1998-02-15

    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<0.05). 4. The proximal dental caries perceptibility increased as the lesion depth increased significantly (P<0.001) except no difference between the carious lesion depth III and IV (P>0.001).

  20. 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.

  1. Rehabilitations with immediate loading of one-piece implants stabilized with intraoral welding.

    Science.gov (United States)

    Pasqualini, M E; Lauritano, D; Rossi, F; Dal Carlo, L; Shulman, M; Meynardi, F; Colombo, D; Manenti, P; Comola, G; Zampetti, P

    2018-01-01

    The authors present an implant prosthesis procedure that uses screws on one-piece implants connected with a titanium pin at their abutment level and one supporter titanium bar in order to guarantee immediate stabilization. These can be implanted and fitted with customized temporary crowns in a single surgical procedure, restoring function and aesthetics and consenting recovery of the bone deficit with reduced healing times and limited patient discomfort. One-piece wide-diameter titanium screw implants with thread measurements of 2.1 and 2.6 mm (smaller diameter) up to diameter of 4.5 mm with one abutment of 2.0 and 2.5 mm respectively, were positioned and splinted by intraoral welding. One-piece titanium implants were used together with a pin (needle) titanium implant as supporting structure to achieve deep stabilization. The Scialom-like pin has a diameter of 1.2 mm and it is long enough to reach deep cortical bone that is “bicorticalism”. The One-piece implant is tightly connected to the needle implant by means of Mondani intra-oral welding technique. In severely atrophic anterior maxilla, the use of this method allows the immediate loading of a fixed resin prosthesis soon after surgery. These implants yielded satisfactory functional and aesthetic outcome in bone-deficient upper anterior sectors, without invasive regenerative procedures. The low invasiveness of this approach also consents rapid healing, reduced biological burden and greater patient benefit.

  2. 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.

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

    Energy Technology Data Exchange (ETDEWEB)

    Ferreira, Vanessa M.; Oliveira, Renato C.M., E-mail: vanessamachado@ufmg.br [Curso Superior de Tecnologia em Radiologia. Faculdade de Medicina da Universidade Federal de Minas Gerais, Belo Horizonte, MG (Brazil); Barros, Graiciany P.; Oliveira, Arno H.; Veloso, M. Auxiliadora F. [Departamento de Engenharia Nuclear. Escola de Engenharia. Universidade Federal de Minas Gerais, Belo Horizonte, MG (Brazil)

    2011-07-01

    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)

  4. 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)

  5. 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

  6. 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

  7. An intra-oral cone for an 18 MeV linear accelerator

    International Nuclear Information System (INIS)

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

    1982-01-01

    A set of intra-oral cones has been constructed for electron beam therapy from a linear accelerator. The 4 cm x 4 cm treatment accessory provided with this machine was modified by simply removing the lower collimator and replacing it with a brass plate into which all the cones can fit, so that they are easily interchangeable. Six circular cones, with diameters ranging from 27 mm to 45 mm, plus two elliptical cones are currently in use. A light field system has been built that fits into the acrylic compartment directly above the base, and provides a clear, well-illuminated view of the treatment field. The dosimetry for these cones shows that the percent depth dose curve for a 41 mm diameter field is the same as that obtained with the 4 cm x 4 cm treatment accessory, and that the isodose curves are very similar. This intra-oral cone system has been in operation for over two years and we have found it very useful in boosting the dose to specific primary lesions in the oral cavity, for example, oral tongue, floor of mouth, retromolar trigone, and soft palate

  8. Neurofibroma paciniano: relato de um caso raro de localização intra-oral Pacinian neurofibroma: report of a rare intraoral case

    Directory of Open Access Journals (Sweden)

    Lélia B. Souza

    2003-12-01

    Full Text Available O neurofibroma paciniano é uma lesão rara encontrada predominantemente em mãos, incluindo digitais, em nádegas e pés. As lesões podem ser solitárias ou múltiplas como componente da doença de Von Recklinghausen. Na cavidade oral, o neurofibroma paciniano é um achado incomum, existindo apenas um caso relatado na literatura mundial. O objetivo deste trabalho é apresentar um caso de neurofibroma paciniano localizado em mucosa gengival, bem como descrever as suas características clínicas e histopatológicas, contribuindo, assim, para um melhor conhecimento desta entidade.PPacinian Neurofibroma is a rare lesion that has been reported predominantly on the hand, including the digits, on buttocks and feet. The lesions can be solitaries or multiples as part of the Von Recklinghausen's disease. The intraoral site is unusual and just one case has been related in the world's literature. The purpose of this report is to present one case of pacinian neurofibroma and to describe its clinical and histopathological features contributing for the best knowledge about this entity.

  9. A prospective placebo-controlled double-blind trial of antibiotic prophylaxis in intraoral bone grafting procedures: A pilot study

    NARCIS (Netherlands)

    Lindeboom, Jerome A. H.; van den Akker, Hans P.

    2003-01-01

    Objective. A pilot study was conducted to assess the efficacy of a single-dose preoperative prophylactic of the penicillin pheneticillin compared with placebo in the antibiotic prophylaxis of surgical wound infections in intra-oral bone grafting procedures. Patients and Methods. Twenty patients (age

  10. 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

  11. 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

  12. Immediate rehabilitation of the edentulous mandible using Ankylos SynCone telescopic copings and intraoral welding: a pilot study.

    Science.gov (United States)

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

    2012-12-01

    The aim of this prospective study was to assess the suitability of immediate rehabilitation of the edentulous mandible using SynCone copings and the intraoral welding technique. Patients with an edentulous mandible were fitted with a removable restoration supported by an intraorally welded titanium bar. Copings were connected to their respective SynCone 5-degree abutments and then welded to a titanium bar using an intraoral welding unit. This framework was used to support the definitive restoration, which was delivered on the day of implant placement. Restoration success and survival, implant success, and biologic or technical complications were assessed immediately after surgery and at 6 and 12 months. Twenty-two patients were consecutively treated with 88 immediately loaded implants. No acrylic resin fractures or radiographically detectable alterations of the welded frameworks were present in the 22 restorations delivered. One implant (1.1%) failed 1 month after surgery; all remaining implants (98.9%) were clinically stable at the 12-month follow-up. Within its limitations, this pilot study demonstrated that it is possible to successfully rehabilitate the edentulous mandible on the day of surgery with a definitive restoration supported by an intraorally welded titanium framework and SynCone 5-degree abutments.

  13. 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)

  14. Clinical evaluation comparing the fit of all-ceramic crowns obtained from silicone and digital intraoral impressions

    NARCIS (Netherlands)

    Zarauz, C.; Valverde, A.; Martinez-Rus, F.; Hassan, B.; Pradies, G.

    2016-01-01

    Objectives The aim of this study is to compare the fit of all-ceramic crowns fabricated from conventional silicone impressions with the fit of all-ceramic crowns fabricated from intraoral digital impressions. Methods Twenty patients with 26 posterior teeth with a prosthetic demand were selected for

  15. A Study on Possibility of Clinical Application for Color Measurements of Shade Guides Using an Intraoral Digital Scanner.

    Science.gov (United States)

    Yoon, Hyung-In; Bae, Ji-Won; Park, Ji-Man; Chun, Youn-Sic; Kim, Mi-Ae; Kim, Minji

    2016-11-07

    To assess if color measurement with intraoral scanner correlates with digital colorimeter and to evaluate the possibility of application of a digital scanner for shade selection. The L*a*b* values of the five shade tabs (A1, A2, A3, A3.5, and A4) were obtained with an intraoral scanner (TRIOS Pod) and a colorimeter (ShadeEye). Both devices were calibrated according to the manufacturer's instructions before measurements. Color measurement values were compared with paired t-test, and a Pearson's correlation analysis was performed to evaluate the relationship of two methods. The L*a*b* values of the colorimeter were significantly different from those of the digital scanner (p < 0.001). The L* and b* values of both methods were strongly correlated with each other (both p < 0.05). The device repeatability in both methods were reported to be excellent (p < 0.05). Within the limitations of this study, color measurements with digital intraoral scanners and computer-assisted image analysis were in accordance with those of the colorimeter with respect to L* and b* values; however, all the coordinates of shade tabs were significantly different between two methods. The digital intraoral scanner may not be used as the primary method of color selection in clinical practices, considering significant differences in color parameters with colorimeter. The scanner's capability in shade selection should be further evaluated. © 2016 by the American College of Prosthodontists.

  16. 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, ...

  17. 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)

  18. 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

    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...

  19. The Effect of Short-Term Auditory Deprivation on the Control of Intraoral Pressure in Pediatric Cochlear Implant Users.

    Science.gov (United States)

    Jones, David L.; Gao, Sujuan; Svirsky, Mario A.

    2003-01-01

    A study investigated whether two speech measures (peak intraoral air pressure (IOP) and IOP duration) obtained during production of intervocalic stops would be altered by the presence or absence of a cochlear implant in five children (ages 7-10). The auditory condition affected peak IOP more than IOP duration. (Contains references.) (Author/CR)

  20. 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.

  1. 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

  2. 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 dental arch relationships using intraoral 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.

  3. Does long-term intraoral service affect the mechanical properties and elemental composition of multistranded wires of lingual fixed retainers?

    Science.gov (United States)

    Zinelis, Spiros; Pandis, Nikolaos; Al Jabbari, Youssef S; Eliades, George; Eliades, Theodore

    2017-06-15

    The aim of this study was to evaluate the elemental and mechanical alterations of stainless steel (SS) multistranded orthodontic wires used in fixed retention after intraoral ageing. Two types of 0.022-inch, seven-stranded wires, Lingual Retainer Wire (LRW) and Tru-Chrome (TCH), from the same manufacturer (Rocky Mountain Orthodontics, Denver, Colo, USA) were tested. Thirty-three samples from LRW group and thirty-seven from TCH were collected, whereas three unused wires from each package were used as controls. The median ageing time for LRW was 7.4 years and 8.4 for TCH. All samples were subjected to scanning electron microscope/X-ray energy dispersive spectroscopy analysis. Three spectra were taken from the surface of each wire and then all samples were used for the assessment of Martens hardness, indentation modulus (EIT), and elastic index (ηIT) with the instrumented indentation testing method (IIT). The intraoral ageing time was statistically compared between the two groups by Mann-Whitney rank sum test and the compositional and mechanical properties were compared by unpaired t-test. The Spearman correlation between elemental content and ageing time was carried out for all elements (a = 0.05). No significant differences were found for both the elemental content and for the mechanical properties between the wires tested. Spearman analysis revealed no correlation between elemental content and intraoral time while two groups share statistically equal intraoral ageing times (P > 0.05). Both wires seemed to maintain their mechanical and elemental integrity within a period of 14-year intraoral exposure, whereas no measurable ionic release could be identified. © The Author 2017. Published by Oxford University Press on behalf of the European Orthodontic Society. All rights reserved. For permissions, please email: journals.permissions@oup.com

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

    Science.gov (United States)

    Silva, Luiz Antonio F.; Barriviera, Mauricio; Januário, Alessandro L.; Bezerra, Ana Cristina B.; Fioravanti, Maria Clorinda S.

    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. PMID:22122905

  5. 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.

  6. Limited cone-beam CT and intraoral radiography for the diagnosis of periapical pathology.

    Science.gov (United States)

    Lofthag-Hansen, Sara; Huumonen, Sisko; Gröndahl, Kerstin; Gröndahl, Hans-Göran

    2007-01-01

    To compare intraoral periapical radiography with 3D images for the diagnosis of periapical pathology. Maxillary molars and premolars and mandibular molars with endodontic problems and examined with periapical radiographs and a 3D technique (3D Accuitomo) were retrospectively selected and evaluated by 3 oral radiologists. Numbers of roots and root canals, presence and location of periapical lesions, and their relation to neighboring structures were studied. Among 46 teeth, both techniques demonstrated lesions in 32 teeth, and an additional 10 teeth were found in the Accuitomo images. As regards individual roots, 53 lesions were found in both techniques, and 33 more roots were found to have lesions in Accuitomo images. Artefacts were sometimes a problem in Accuitomo images. In 32 of the 46 cases, all observers agreed that additional clinically relevant information was obtained with Accuitomo images. A high-resolution 3D technique can be of value for diagnosis of periapical problems.

  7. A study of radiological condition on dixel (direct digital intraoral radiographic system)

    Energy Technology Data Exchange (ETDEWEB)

    Naitoh, Nunetaka; Shiojima, Masaru; Iida, Hiroto; Hayashi, Masanori; Nakamura, Moriatsu; Kikuchi, Atsushi [Aichi-Gakuin Univ., Nagoya (Japan)

    1995-06-01

    The dixel unit (J. Morita Co., Japan) is a direct digital intraoral radiographic system using a charged coupled device (CCD). We studied an optimum exposure using the dixel by a subjective evaluation. Moreover we used the dixel clinically for the diagnosis of proximal caries and periapical lesions. The results are summarized below. An optimum exposure in the dixel was 1/3 to 1/2 compared to the Ektaspeed film (Eastman Kodak Co., USA). An image showed on the monitor in 15 seconds after the radiography. The image on the monitor was magnified about sixty times. The image quality was in fair agreement with that of the Ektaspeed film. We consider that the dixel unit is a suitable system for clinical use. (author).

  8. Effective dose equivalent to the operator in intra-oral dental radiography

    Energy Technology Data Exchange (ETDEWEB)

    de Haan, R.A.; van Aken, J. (Utrecht Univ., (The Netherlands))

    1990-08-01

    The effective dose equivalent to the operator in intra-oral dental radiography has been determined. The exposure from a bitewing radiograph and periapical views of the left maxillary incisors and first molar was measured at nine heights and 16 positions, all 1 m from the patient. The effective dose equivalent was determined using data from ICRP 51 (International Commission on Radiological Protection: Data for Use in Protection Against External Radiation). The values presented are related to an exposure of 1 C kg-1 (3876 R) measured free in air at the tube-end. They thus constitute ratios which are not influenced by the sensitivity of the film or other detector used and form standard tables which permit the calculation of the effective dose equivalent in clinical situations.

  9. An investigation of potential applications of intensifying screens in intraoral radiography

    International Nuclear Information System (INIS)

    Stephens, R.G.; Kogon, S.L.; Reid, J.A.

    1982-01-01

    In medicine, the somewhat degraded image from the screen/film system is accepted for most diagnostic purposes in the interest of radiation thrift. In dentistry, however, the superb image resolution and sharpness of the radiation-intensive, direct-exposure film is the standard for intraoral radiography. There may be occasions in dental practice where such quality is not necessary, thus making the high level of exposure difficult to justify. In a laboratory study, screen-type radiographs were effectively substituted for ultraspeed film in the monitoring stages of endodontic therapy and as posttreatment films in operative dentistry. Even with a slow system, the radiation exposure was one sixteenth of the usual periapical dose. If clinical trials support these conclusions, only the lack of a practical periapical cassette limits the application of this significant method of radiation reduction to dental practice

  10. An investigation of potential applications of intensifying screens in intraoral radiography

    Energy Technology Data Exchange (ETDEWEB)

    Stephens, R.G.; Kogon, S.L.; Reid, J.A.

    1982-11-01

    In medicine, the somewhat degraded image from the screen/film system is accepted for most diagnostic purposes in the interest of radiation thrift. In dentistry, however, the superb image resolution and sharpness of the radiation-intensive, direct-exposure film is the standard for intraoral radiography. There may be occasions in dental practice where such quality is not necessary, thus making the high level of exposure difficult to justify. In a laboratory study, screen-type radiographs were effectively substituted for ultraspeed film in the monitoring stages of endodontic therapy and as posttreatment films in operative dentistry. Even with a slow system, the radiation exposure was one sixteenth of the usual periapical dose. If clinical trials support these conclusions, only the lack of a practical periapical cassette limits the application of this significant method of radiation reduction to dental practice.

  11. Effective dose equivalent to the operator in intra-oral dental radiography

    International Nuclear Information System (INIS)

    de Haan, R.A.; van Aken, J.

    1990-01-01

    The effective dose equivalent to the operator in intra-oral dental radiography has been determined. The exposure from a bitewing radiograph and periapical views of the left maxillary incisors and first molar was measured at nine heights and 16 positions, all 1 m from the patient. The effective dose equivalent was determined using data from ICRP 51 (International Commission on Radiological Protection: Data for Use in Protection Against External Radiation). The values presented are related to an exposure of 1 C kg-1 (3876 R) measured free in air at the tube-end. They thus constitute ratios which are not influenced by the sensitivity of the film or other detector used and form standard tables which permit the calculation of the effective dose equivalent in clinical situations

  12. A study of radiological condition on dixel (direct digital intraoral radiographic system)

    International Nuclear Information System (INIS)

    Naitoh, Nunetaka; Shiojima, Masaru; Iida, Hiroto; Hayashi, Masanori; Nakamura, Moriatsu; Kikuchi, Atsushi

    1995-01-01

    The dixel unit (J. Morita Co., Japan) is a direct digital intraoral radiographic system using a charged coupled device (CCD). We studied an optimum exposure using the dixel by a subjective evaluation. Moreover we used the dixel clinically for the diagnosis of proximal caries and periapical lesions. The results are summarized below. An optimum exposure in the dixel was 1/3 to 1/2 compared to the Ektaspeed film (Eastman Kodak Co., USA). An image showed on the monitor in 15 seconds after the radiography. The image on the monitor was magnified about sixty times. The image quality was in fair agreement with that of the Ektaspeed film. We consider that the dixel unit is a suitable system for clinical use. (author)

  13. 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

  14. Success and High Predictability of Intraorally Welded Titanium Bar in the Immediate Loading Implants

    Directory of Open Access Journals (Sweden)

    Vaniel Fogli

    2014-01-01

    Full Text Available The implants failure may be caused by micromotion and stress exerted on implants during the phase of bone healing. This concept is especially true in case of implants placed in atrophic ridges. So the primary stabilization and fixation of implants are an important goal that can also allow immediate loading and oral rehabilitation on the same day of surgery. This goal may be achieved thanks to the technique of welding titanium bars on implant abutments. In fact, the procedure can be performed directly in the mouth eliminating possibility of errors or distortions due to impression. This paper describes a case report and the most recent data about long-term success and high predictability of intraorally welded titanium bar in immediate loading implants.

  15. Intraoral framework pick-up technique to improve fit of a metal-resin implant prosthesis

    Directory of Open Access Journals (Sweden)

    Mirza Rustum Baig

    2012-01-01

    Full Text Available The achievement of passive fit is an important prerequisite for the prevention of complications in full-arch screw-retained implant prosthesis. With cemented prosthesis, the cementation compensates for the discrepancies in the cast framework, but the lack of retrievability seems undesirable. The aim of this paper is to propose a modified screw-retained prosthesis design for complete arch implant fixed rehabilitation. A technique for the fabrication of a full-arch metal-resin implant-supported screw-retained prosthesis is described. Cementation of the framework to the abutments intraorally improves the passivity of fit of the prosthesis on the implants. Maintenance of screw-access channels in the final prosthesis ensures retrievability. The metal-resin design allows for easy repair and maintenance. The prosthesis is cost-effective compared to conventional options and can be employed as a viable treatment alternative when considering metal-acrylic resin complete arch fixed prosthesis.

  16. 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.

  17. 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)

  18. Use of Intraoral Welding to Increase the Predictability of Immediately Loaded Computer-Guided Implants.

    Science.gov (United States)

    Albiero, Alberto Maria; Benato, Renato; Benato, Andrea; Degidi, Marco

    Inaccuracy of computer-guided implant placement may lead to complications when combined with an immediately loaded prefabricated prosthesis. The aim of this case series was to describe the use of an intraoral welding technique to increase the predictability of immediately loaded implants supporting a fixed full-arch prosthesis after computer-guided flapless implant placement. A total of 60 Ankylos plus implants (Dentsply) with a width of 3.5 mm and a length of 8 to 14 mm were placed consecutively in 10 patients. The implants were functionally loaded using the intraoral welding technique on the day of surgery. The accuracy of guided implant placement was assessed by matching the planning cone beam computed tomography (CBCT) scans with postoperative CBCT scans. No mechanical or biologic complications were registered at the 1-year follow-up. The global coronal deviation of implant placement from the guide plan ranged from 0.25 to 2.84 mm (SD: 0.6 mm), with a mean of 1.28 mm. Average angle deviation was 3.42 degrees (range 0.38-7.82 degrees; SD: 1.52 degrees). The global apical deviation ranged between 0.36 and 3.85 mm (SD: 0.71 mm), with a mean of 1.65 mm. Despite the inaccuracy registered, this guided-welded approach allowed successful achievement of a passive fit of the full-arch prosthesis on the inserted implants the same day of the surgery and provided a high implant and prosthetic survival rate at the 1-year follow-up.

  19. Current status on the application of image processing of digital intraoral radiographs amongst general dental practitioners.

    Science.gov (United States)

    Tohidast, Parisa; Shi, Xie-Qi

    2016-01-01

    The objectives of this study were to present the subjective knowledge level and the use of image processing on digital intraoral radiographs amongst general dental practitioners at Distriktståndvrden AB, Stockholm. A questionnaire, consisting of12 questions, was sent to 12 dental prac- tices in Stockholm. Additionally, 2000 radiographs were randomly selected from these clinics for evaluation of applied image processing and its effect on image quality. Descriptive and analytical statistical methods were applied to present the current status of the use of image proces- sing alternatives for the dentists' daily clinical work. 50 out of 53 dentists participated in the survey.The survey showed that most of dentists in.this study had received education on image processing at some stage of their career. No correlations were found between application of image processing on one side and educa- tion received with regards to image processing, previous working experience, age and gender on the other. Image processing in terms of adjusting brightness and contrast was frequently used. Overall, in this study 24.5% of the 200 images were actually image processed in practice, in which 90% of the images were improved or maintained in image quality. According to our survey, image processing is experienced to be frequently used by the dentists at Distriktstandvåden AB for diagnosing anatomical and pathological changes using intraoral radiographs. 24.5% of the 200 images were actually image processed in terms of adjusting brightness and/or contrast. In the present study we did not found that the dentists' age, gender, previous working experience and education in image processing influence their viewpoint towards the application of image processing.

  20. 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.

  1. Construction and testing of a computer-based intraoral laser scanner for determining tooth positions.

    Science.gov (United States)

    Commer, P; Bourauel, C; Maier, K; Jäger, A

    2000-11-01

    An optical set-up for intraoral data acquisition based on the principle of laser triangulation was developed. The system consists of a pig-tailed laser with line generating optics, a stepping motor driven positioning stage, a commercial CCD (charge coupled device) camera system with frame grabber interface, a control personal computer and a mirror system compensating for the fact that there is no possibility of watching an object directly in the mouth under a certain angle except from a facial position during intraoral scanning. Due to the size of the prototype measurements were still restricted to plaster casts. In order to evaluate its accuracy, the measurements were compared with those taken with a commercial laser scanner and a coordinate measurement table. The accuracy of the prototype scanner was determined to be DeltaXYZ=0.04 mm using gauge blocks of given dimensions and proved to range between the commercial laser scanner and the coordinate measurement table (i.e., it was slightly better than that of the commercial scanner). Applications in orthodontics were demonstrated by scanning plaster casts and measuring distances on reconstructed surfaces. The measured distances showed a maximum deviation of about +/-0.2 mm compared with the data of the coordinate measurement table, which served as a reference. In addition, reconstruction of three-dimensional tooth movements was performed on the scan data. The translational and rotational parameters gained from the superimposition of scanned point clouds and describing tooth movement were also in good accordance with the reference. The achieved accuracy proved to be sufficient for further development which should include a reduction in size and the use of more precise device components.

  2. [Is the precision of intraoral digital impressions in orthodontics enough?

    Science.gov (United States)

    Duvert, Romain; Gebeile-Chauty, Sarah

    2017-12-01

    Replacing impression by intraoral camera is a paradigm shift. However no in vivo independent studies have compared the accuracy of analog impressions with three systems of digital impression. Are digital recordings precise enough for our orthodontic practices? Five impressions of the maxillary and mandibular arch of the same subject were conducted in vinylpolysiloxane, cast in plaster type IV then scanned by a laboratory scanner (VPS group). A model (maxilla and mandible) is the reference. Five scans of the maxillary and mandibular arch of the plaster model reference (group EXO) and the subject in intra-oral (INTRA group) were performed successively by the Lythos™ cameras (Ormco) version 1, iTero ® (AlignTech) version 1 and TRIOS ® (3shape) version 2. Numerical models of each group were cut and stacked Best Fit technique references models. The images of the INTRA group have a lack of accuracy of 18 microns (p = 3.88 10 -08 ) compared to images of EXO and VPS group. The maxillary arch has greater fidelity of 6 microns with respect to the mandibular arch in the three systems (p = 0.002). The fingerprinting technique (analog or digital) and the camera model - despite a difference on the number of points recorded - has no statistically significant effect on accuracy. Carried out under ideal conditions, the accuracy of the cameras is certainly less than conventional impressions VPS but is clinically sufficient. The reduction of acquisition time may affect the accuracy, smooth out errors and get the arches contracted. © EDP Sciences, SFODF, 2017.

  3. Factors associated with dental caries, periodontitis and intra-oral lesions in individuals with HIV / AIDS.

    Science.gov (United States)

    Souza, Anderson Jambeiro de; Gomes-Filho, Isaac Suzart; Silva, Carlos Alberto Lima da; Passos-Soares, Johelle de Santana; Cruz, Simone Seixas da; Trindade, Soraya Castro; Figueiredo, Ana Claudia Morais Godoy; Buischi, Yvonne de Paiva; Seymour, Gregory J; Cerqueira, Eneida de Moraes Marcílio

    2018-05-01

    This study aimed to investigate the factors associated with oral diseases in individuals with HIV/AIDS. A cross sectional study was carried out which included 312 individuals registered in the Specialized Care Services for HIV/AIDS in three municipalities of the State of Bahia: Feira de Santana, Santo Antonio de Jesus and Juazeiro, Brazil. Socioeconomic-demographic characteristics related to life style and to dental caries, periodontitis and intra-oral mucosal lesions were investigated in patients with HIV/AIDS infection. Prevalence Ratio with 95% Confidence Interval and significance level of 5% were employed for the statistical analysis. The majority of the individuals evaluated were male with a mean age (± standard deviation) of 41.5 ± 11.3 years, and a mean time of HIV infection diagnosis (± standard deviation) of 5.2 ± 4.4 years. The presence of dental caries was observed in 78.7% of the sample, periodontitis in 25.4% and 36.2% showed intra-oral lesions. Oral health status showed a statistically significant association with the following variables: gender, age, schooling level, current occupation, family income, past and current smoking, antiretroviral use time, latest viral burden dosage, latest CD4-positive T lymphocyte count, use of complete/partial dental prosthesis, need for dental prosthesis, and use of dental floss. With the exception of those factors directly related to HIV/AIDS i.e., antiretroviral use time, latest viral burden dosage and latest CD4-positive T lymphocyte count, the factors associated with oral diseases in this population were the same as those associated with oral diseases in the non-HIV/AIDS population.

  4. Computer-assisted surgery and intraoral welding technique for immediate implant-supported rehabilitation of the edentulous maxilla: case report and technical description.

    Science.gov (United States)

    Albiero, Alberto Maria; Benato, Renato

    2016-09-01

    Complications are frequently reported when combining computer assisted flapless surgery with an immediate loaded prefabricated prosthesis. The authors have combined computer-assisted surgery with the intraoral welding technique to obtain a precise passive fit of the immediate loading prosthesis. An edentulous maxilla was rehabilitated with four computer assisted implants welded together intraorally and immediately loaded with a provisional restoration. A perfect passive fit of the metal framework was obtained that enabled proper osseointegration of implants. Computer assisted preoperative planning has been shown to be effective in reducing the intraoperative time of the intraoral welding technique. No complications were observed at 1 year follow-up. This guided-welded approach is useful to achieve a passive fit of the provisional prosthesis on the inserted implants the same day as the surgery, reducing intraoperative time with respect to the traditional intraoral welding technique. Copyright © 2015 John Wiley & Sons, Ltd. Copyright © 2015 John Wiley & Sons, Ltd.

  5. 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

  6. 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.

  7. 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 (pceramics. Copyright © 2017 Elsevier Ltd. All rights reserved.

  8. 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

  9. 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.

  10. Radiation absorbed from dental implant radiography: a comparison of linear tomography, CT scan, and panoramic and intra-oral techniques

    Energy Technology Data Exchange (ETDEWEB)

    Clark, D.E.; Danforth, R.A.; Barnes, R.W.; Burtch, M.L. (Loma Linda Univ., CA (USA))

    1990-01-01

    Absorbed radiation dose in bone marrow, thyroid, salivary gland, eye, and skin entrance was determined by placement of lithium fluoride thermoluminescent dosimeters (TLD's) at selected anatomical sites within and on a human-like x-ray phantom. The phantom was exposed to radiation from linear tomographic and computer-assisted tomographic (CT) simulated dental implant radiographic examinations. The mean dose was determined for each anatomical site. Resulting dose measurements from linear tomography and computer-assisted tomography are compared with reported panoramic and intra-oral doses. CT examination delivered the greatest dose, while linear tomography was generally lowest. Panoramic and intra-oral doses were similar to those of linear tomography.

  11. 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...

  12. Detection of root perforations using conventional and digital intraoral radiography, multidetector computed tomography and cone beam computed tomography

    OpenAIRE

    Shokri, Abbas; Eskandarloo, Amir; Noruzi-Gangachin, Maruf; Khajeh, Samira

    2014-01-01

    Objectives This study aimed to compare the accuracy of conventional intraoral (CI) radiography, photostimulable phosphor (PSP) radiography, cone beam computed tomography (CBCT) and multidetector computed tomography (MDCT) for detection of strip and root perforations in endodontically treated teeth. Materials and Methods Mesial and distal roots of 72 recently extracted molar were endodontically prepared. Perforations were created in 0.2, 0.3, or 0.4 mm diameter around the furcation o...

  13. Behavioral and neural responses to gustatory stimuli delivered non-contingently through intra-oral cannulas.

    Science.gov (United States)

    Soares, Ernesto S; Stapleton, Jennifer R; Rodriguez, Abel; Fitzsimmons, Nathan; Oliveira, Laura; Nicolelis, Miguel A L; Simon, Sidney A

    2007-11-23

    The act of eating requires a decision by an animal to place food in its mouth. The reasons to eat are varied and include hunger as well as the food's expected reward value. Previous studies of tastant processing in the rat primary gustatory cortex (GC) have used either anesthetized or awake behaving preparations that yield somewhat different results. Here we have developed a new preparation in which we explore the influences of intra-oral and non-contingent tastant delivery on rats' behavior and on their GC neural responses. We recorded single-unit activity in the rat GC during two sequences of tastant deliveries, PRE and POST, which were separated by a waiting period. Six tastants ranging in hedonic value from sucrose to quinine were delivered in the first two protocols called 4TW and L-S. In the third one, the App L-S protocol, only hedonically positive tastants were used. In the 4TW protocol, tastants were delivered in blocks whereas in the two L-S protocols tastants were randomly interleaved. In the 4TW and L-S protocols the probability of ingesting tastants in the PRE sequence decreased exponentially with the trial number. Moreover, in both protocols this decrease was greater in the POST than in the PRE sequence likely because the subjects learned that unpleasant tastants were to be delivered. In the App L-S protocol the decrease in ingestion was markedly slower than in the other protocols, thus supporting the hypothesis that the decrease in appetitive behavior arises from the non-contingent intra-oral delivery of hedonically negative tastants like quinine. Although neuronal responses in the three protocols displayed similar variability levels, significant differences existed between the protocols in the way the variability was partitioned between chemosensory and non-chemosensory neurons. While in the 4TW and L-S protocols the former population displayed more changes than the latter, in the App L-S protocol variability was homogeneously distributed between

  14. A STUDY OF INSERTION OF LMA CLASSIC™ WITH AND WITHOUT DIGITAL INTRAORAL MANIPULATION IN ANAESTHETISED PATIENTS

    Directory of Open Access Journals (Sweden)

    Eeshwar Rao Madishetti

    2017-11-01

    Full Text Available BACKGROUND Airway management is the most essential skill in anaesthesiology and inability to secure the airway is one of the most common reasons for major anaesthesia-related morbidities and mortalities. Laryngeal Mask Airway (LMA has established role in modern anaesthetic practice. It is used for airway maintenance of spontaneously breathing patients who are undergoing elective short surgical procedures. The aim of the study is to evaluate the modified technique of insertion of LMA Classic™, which does not require the insertion of fingers into the patient’s mouth as against the standard technique. MATERIALS AND METHODS Patients were randomly allocated to one of two equal-sized groups (n=100.Patients were randomised to standard technique group (standard insertion technique with digital intraoral manipulation or modified technique group (modified insertion technique without digital intraoral manipulation using computer generated random number table and sealed envelope technique. RESULTS Both the groups were comparable with respect to distribution of age (0.935, weight (0.733 and sex (0.606 and the p values were nonsignificance. As indicated in Table 2, the groups were comparable with respect to American Society of Anaesthesiologists Physical Status of the patients. The duration of the entire surgical procedure was similar in both the groups. This implies that the duration for which the LMA ClassicTM was in situ in the patient was comparable between the two groups. The incidence of postoperative sore throat was comparable in both the groups. Five patients who had blood on the LMA ClassicTM at the end of the procedure had sore throat, 4 had sore throat after 1 hour and 1 after 24 hours. The glottic view obtained with the fiberoptic bronchoscope passed through the LMA ClassicTM was comparable in both the groups. Though more number of patients (68 patients had grade 1 view in the modified group compared to standard group (58 patients, it was not

  15. Intra-oral flow patterns and speeds in a suspension-feeding fish with gill rakers removed versus intact.

    Science.gov (United States)

    Smith, Jennifer C; Sanderson, S Laurie

    2008-12-01

    Oreochromis aureus, a species of tilapia, is a suspension-feeding fish that employs a pumping action to bring water into its mouth for filtering.To address questions about water flow inside the mouth, we used a microthermistor flow probe to determine the speed of intra-oral flow during suspension feeding in this species before and after surgical removal of gill rakers. Synchronization with high-speed external videotapes of the fish and high-speed video endoscopy inside the oropharyngeal cavity allowed the first correlation of oral actions with intra-oral flow patterns and speeds during feeding. This analysis established the occurrence of a brief reversal of flow ( approximately 80-ms duration) from posterior to anterior in the oropharyngeal cavity prior to every feeding pump (250-500-ms duration). In industrial crossflow filtration, oscillating or pulsatile flow increases filtration performance by enhancing the back-migration of particles from the region near the filter surface to the bulk flow region, thus reducing particle accumulation that can clog the filter. In endoscopic videotapes, these pre-pump reversals, as well as post-pump reversals ( approximately 500-ms duration), were observed to lift mucus and particles from the branchial arches for subsequent transport toward the esophagus. Intra-oral flow speeds were reduced markedly after removal of the gill rakers. We hypothesize that the decrease in crossflow speed during feeding pumps following the removal of gill rakers and mucus could be due to increased loss of water between the anterior branchial arches.

  16. Comparison of intraoral radiography and cone-beam computed tomography for the detection of periodontal defects: an in vitro study.

    Science.gov (United States)

    Bagis, Nilsun; Kolsuz, Mehmet Eray; Kursun, Sebnem; Orhan, Kaan

    2015-05-28

    This study aimed to compare the diagnostic accuracy of cone-beam computed tomography (CBCT) unit with digital intraoral radiography technique for detecting periodontal defects. The study material comprised 12 dry skulls with maxilla and mandible. Artificial defects (dehiscence, tunnel, and fenestration) were created on anterior, premolar and molar teeth separately using burs. In total 14 dehiscences, 13 fenestrations, eight tunnel and 16 without periodontal defect were used in the study. These were randomly created on dry skulls. Each teeth with and without defects were images at various vertical angles using each of the following modalities: a Planmeca Promax Cone Beam CT and a Digora photostimulable phosphor plates. Specificity and sensitivity for assessing periodontal defects by each radiographic technique were calculated. Chi-square statistics were used to evaluate differences between modalities. Kappa statistics assessed the agreement between observers. Results were considered significant at P < 0.05. The kappa values for inter-observer agreement between observers ranged between 0.78 and 0.96 for the CBCT, and 0.43 and 0.72 of intraoral images. The Kappa values for detecting defects on anterior teeth was the least, following premolar and molar teeth both CBCT and intraoral imaging. CBCT has the highest sensitivity and diagnostic accuracy for detecting various periodontal defects among the radiographic modalities examined.

  17. Endoscope-assisted intraoral removal of the thyroid isthmus mass using a frenotomy incision.

    Science.gov (United States)

    Woo, Seung Hoon

    2013-09-01

    A thyroid isthmus nodule is a relatively rare condition. A small number of patients will present with thyroid mass isolated at the thyroid isthmus, which can cause discomfort in swallowing and cosmetic problems. Thus, some patients choose to have these nodules excised. The surgical removal of the thyroid isthmus mass is usually accomplished through an external incision of the neck. However, this procedure inevitably results in a neck scar. We report a case of an 18-year-old woman with a thyroid isthmus mass. We implemented a modified approach for the removal of the thyroid isthmus mass by using a frenotomy incision of the mouth, accompanied by an endoscope system. A modified approach for the removal of the thyroid isthmus mass was used on the patient. The total operating time was 70 minutes. The patient continues to be free of any diseases 12 months after the excision. Resection of the thyroid isthmus mass can be performed by an intraoral endoscope-assisted approach through a frenotomy incision of the mouth. We described the detailed procedures for an endoscope-assisted transoral thyroid isthmus mass excision using a frenotomy incision.

  18. Intraoral removal of a thyroglossal duct cyst using a frenotomy incision.

    Science.gov (United States)

    Kim, Jin Pyeong; Park, Jung Je; Lee, Eun Jae; Woo, Seung Hoon

    2011-12-01

    Thyroglossal duct cyst (TGDC) is one of the most common causes of anterior neck swelling close to the midline. Surgical removal of a TGDC is usually accomplished through an external neck incision, including the removal of the middle part of hyoid bone and a block of tissues extending to the foramen cecum. However, this procedure inevitably results in a neck scar. We report the case of a 20-year-old woman with TGDC. We implemented a modified approach to TGDC removal through a frenotomy incision of the mouth using an endoscope system. The patient received a modified approach to TGDC removal. The total operative time was 60 minutes. She remains free of disease 12 months after her surgery. We describe, in a single patient, a procedure in detail for endoscope-assisted transoral TGDC excision using an intraoral frenotomy incision. The advantage of this approach is the avoidance of a neck scar. Our experience with this patient indicates that resection of a TGDC appears to be feasible through a transoral endoscope-assisted approach using a frenotomy incision in the mouth. Further experience with this procedure is required.

  19. Skin Absorbed Doses from Full Mouth Standard Intraoral Radiography in Bisecting Angle and Paralleling techniques

    Energy Technology Data Exchange (ETDEWEB)

    Nah, Kyung Soo; Kim, Ae Ji [Dept. of Oral Radiology, College of Dentistry, Pusan National University, Pusan (Korea, Republic of); Doh, Shi Hong [Dept. of Applied physics . National Fisheries University of Pusan Department of Radiotherapy, Pusan (Korea, Republic of); Kim, Hyun Ja [Dept. of Oral Radiology, Baptist Hospital, Pusan (Korea, Republic of); Yoo, Meong Jin [Dept. of Radiology, College of Dentistry, Pusan National University, Pusan (Korea, Republic of)

    1990-08-15

    This study was performed to measure the skin absorbed doses from full mouth standard intraoral radiography(14 exposures) in bisecting angle and paralleling techniques. Thermoluminescent dosimeters were used in a phantom. Circular tube collimator (60 mm in diameter, 20 cm in length) and rectangular collimator (35 mm X 44 mm, 40 cm in length) were set for bisecting angle and paralleling techniques respectively. All measurement sites were classified into 8 groups according to distance from each point of central rays. The results were as follows: 1. The skin absorbed doses from the paralleling technique were significantly decreased than those from the bisecting technique in both points at central ray and points away from central ray. The percentage rats of decrease were greater at points away from central ray than those at central ray. 2. The skin absorbed doses at the lens of eye, parotid gland, submandibular gland and thyroid region were significantly decreased in paralleling technique, but those of the midline of palate remained similar in both techniques. 3. The highest doses were measured at the site 20 mm above the point of central ray for the mandibular premolars in bisecting angle technique and at the point of central ray for the mandibular premolars in paralleling techniques. The lowest doses were measured at the thyroid region in both techniques.

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

    Directory of Open Access Journals (Sweden)

    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.

  1. 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).

  2. 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

  3. Evaluation of Honey as a Topical Therapy for Intraoral Wound Healing in Rats.

    Science.gov (United States)

    Chamani, Goli; Zarei, Mohammad Reza; Mehrabani, Mitra; Mehdavinezhad, Ali; Vahabian, Mehrangiz; Ahmadi-Motamayel, Fatemah

    2017-03-01

    Honey is one of the oldest known medicines. Its medical and therapeutic importance has been recently rediscovered. Honey is an effective treatment for infected wounds and ulcers. The aim of this study was to determine the effect of honey as a topical therapy for intraoral wound healing in rats. Thirty-two male rats were divided into experimental and control groups (consisting of 16 rats, 4 animals in each group). A 2-mm mucosal defect was made to the depth of the periosteum using punch biopsy. Honey was applied to the wound every day, and the ulcer size was measured daily. On days 2, 4, 6, and 8, four rats were euthanized from each group (experimental and control groups), and tissues were histopathologically evaluated. Healing processes were studied as follows: the size of ulcer, inflammatory response, reepithelialization, and granulation tissue formation. The mean rank of wound size was significantly reduced in the honey group (2.50), as compared to the control group (6.50). Reepithelialization and granulation tissue formation mean rank were significantly higher in the honey group (6.50) than in the control group (2.50). Inflammation mean rank was statistically lower in the honey group (2.63) compared with the control group (6.38). Honey was shown to have a beneficial effect on the healing of oral ulcers in rats in this model. Further research may shed light on the effects of honey on different types of ulcers in humans.

  4. [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.

  5. 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.

  6. Sliding window adaptive histogram equalization of intraoral radiographs: effect on image quality.

    Science.gov (United States)

    Sund, T; Møystad, A

    2006-05-01

    To investigate whether contrast enhancement by non-interactive, sliding window adaptive histogram equalization (SWAHE) can enhance the image quality of intraoral radiographs in the dental clinic. Three dentists read 22 periapical and 12 bitewing storage phosphor (SP) radiographs. For the periapical readings they graded the quality of the examination with regard to visually locating the root apex. For the bitewing readings they registered all occurrences of approximal caries on a confidence scale. Each reading was first done on an unprocessed radiograph ("single-view"), and then re-done with the image processed with SWAHE displayed beside the unprocessed version ("twin-view"). The processing parameters for SWAHE were the same for all the images. For the periapical examinations, twin-view was judged to raise the image quality for 52% of those cases where the single-view quality was below the maximum. For the bitewing radiographs, there was a change of caries classification (both positive and negative) with twin-view in 19% of the cases, but with only a 3% net increase in the total number of caries registrations. For both examinations interobserver variance was unaffected. Non-interactive SWAHE applied to dental SP radiographs produces a supplemental contrast enhanced image which in twin-view reading improves the image quality of periapical examinations. SWAHE also affects caries diagnosis of bitewing images, and further study using a gold standard is warranted.

  7. 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.

  8. 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.

  9. 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.

  10. Removal of supragingival plaque in an intraoral model by use of the Sonicare toothbrush.

    Science.gov (United States)

    Stanford, C M; Srikantha, R; Kirchner, H L; Wu, C D

    2000-10-01

    This study was performed to evaluate plaque removal efficacy of a mechanical toothbrush in a controlled in vivo trial. The study used enamel sections, obtained from extracted human teeth, to evaluate the efficacy of supragingival plaque removal by a mechanical powered toothbrush in various modes of use. Enamel sections were positioned in milled depressions on metal extensions of a maxillary partial denture that bilaterally extended along the buccal corridors. Four sections were used per side, positioned zero, 2 or 3mm from the surface of the metal extension. The prosthesis was worn for 16 hours, whereupon four enamel sections (two per side) were removed. Intra-oral brushing was then performed for 5 or 15 seconds on the remaining four sections. The total of adherent bacteria was then assayed from all enamel sections. Ten to twenty trials were performed (n=4 pairs/trial) for each set of variables. When the electric toothbrush was used as a manual brush ('off'), it was equivalent in plaque removal to a conventional toothbrush (Oral-B 35; P = 0.49). However, when the powered brush was in its active mode ('on'), it removed more bacteria (P < 0.0001); this efficacy was observed even when the bristle tips were at a distance from the plaque surface.

  11. Identification of postmenopausal women at risk of osteoporosis using panoramic and intraoral radiographs- a review.

    Science.gov (United States)

    Aggarwal, A; Panat, S R

    2012-01-01

    Osteoporosis is one of the most common human bone diseases affecting millions of people, including over one-third of females above the age of 65. Osteoporosis is characterized by decreased bone density and weakened bones. There is evidence that osteoporosis affects the craniofacial and oral structures, although the contribution of osteoporosis in the loss of periodontal attachments, teeth, and height of the residual ridge has not been clearly elucidated. Therefore, the relationship between systemic osteoporosis and oral health is still a complex problem of great interest to a large number of researchers and clinicians. In addition, the dentist could screen patients with unrecognized osteoporosis using information already available in the dental office. The purpose of screening is to identify individuals who are likely to benefit from treatment. The fact that dental radiographs are regularly made on a large fraction of the adult population makes their potential use as a marker of skeletal health an exciting avenue of research. The purpose of this article was to review the use of various intraoral as well as panoramic radiographs to promote early identification of patients at risk for osteoporosis.

  12. Skin Absorbed Doses from Full Mouth Standard Intraoral Radiography in Bisecting Angle and Paralleling techniques

    International Nuclear Information System (INIS)

    Nah, Kyung Soo; Kim, Ae Ji; Doh, Shi Hong; Kim, Hyun Ja; Yoo, Meong Jin

    1990-01-01

    This study was performed to measure the skin absorbed doses from full mouth standard intraoral radiography(14 exposures) in bisecting angle and paralleling techniques. Thermoluminescent dosimeters were used in a phantom. Circular tube collimator (60 mm in diameter, 20 cm in length) and rectangular collimator (35 mm X 44 mm, 40 cm in length) were set for bisecting angle and paralleling techniques respectively. All measurement sites were classified into 8 groups according to distance from each point of central rays. The results were as follows: 1. The skin absorbed doses from the paralleling technique were significantly decreased than those from the bisecting technique in both points at central ray and points away from central ray. The percentage rats of decrease were greater at points away from central ray than those at central ray. 2. The skin absorbed doses at the lens of eye, parotid gland, submandibular gland and thyroid region were significantly decreased in paralleling technique, but those of the midline of palate remained similar in both techniques. 3. The highest doses were measured at the site 20 mm above the point of central ray for the mandibular premolars in bisecting angle technique and at the point of central ray for the mandibular premolars in paralleling techniques. The lowest doses were measured at the thyroid region in both techniques.

  13. A directly converting high-resolution intra-oral X-ray imaging sensor

    CERN Document Server

    Spartiotis, K; Schulman, T; Puhakka, K; Muukkonen, K

    2003-01-01

    A digital intra-oral X-ray imaging sensor with an active area of 3.6x2.9 cm sup 2 and consisting of six charge-integrating CMOS signal readout circuits bump bonded to one high-resistivity silicon pixel detector has been developed and tested. The pixel size is 35 mu m. The X-rays entering the sensor window are converted directly to electrical charge in the depleted detector material yielding minimum lateral signal spread and maximum image sharpness. The signal charge is collected on the gates of the input field effect transistors of the CMOS signal readout circuits. The analog signal readout is performed by multiplexing in the current mode independent of the signal charge collection enabling multiple readout cycles with negligible dead time and thus imaging with wide dynamic range. Since no intermediate conversion material of X-rays to visible light is needed, the sensor structure is very compact. The analog image signals are guided from the sensor output through a thin cable to signal processing, AD conversio...

  14. 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.

  15. 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.

  16. The Effects of Transcutaneous and Intraoral Low-Level Laser Therapy After Extraction of Lower Third Molars: A Randomized Single Blind, Placebo Controlled Dual-Center Study.

    Science.gov (United States)

    Kahraman, Sevil Altundag; Cetiner, Sedat; Strauss, Robert A

    2017-08-01

    The surgical removal of impacted third molars is one of the most common procedures performed by oral and maxillofacial surgeons. The purpose of this study is to determine whether either transcutaneous or intraoral low-level laser therapy (LLLT) reduces postoperative pain and assists in the healing of mandibular third molar extraction. This randomized, placebo controlled, single-blind, split-mouth design study was conducted on 60 patients with full bony impacted similar position mandibular third molars bilaterally. The patients were divided into two groups of 30 each: transcutaneous LLLT and intraoral LLLT and the other side of each group treated with nonactive laser (60 teeth). The laser treatment consisted of administering laser energy immediately before and after the extraction procedure with gallium aluminum arsenide (GaAlAs) 830 nm diode lasers. Postoperative pain and healing of the sockets were compared in transcutaneous and intraoral group with placebo for 1 week following the extraction. Descriptive and bivariate statistics was computed, and the p-value was set at 0.05. Intraoral LLLT application resulted in a statistically significant reduction of postoperative pain in comparison with transcutaneous laser group and placebo. The unhealed socket numbers were compared in two groups at seventh day and no differences were observed. The results of this study suggest that single-session intraoral LLLT is more effective than extraoral application for reducing postoperative pain. It was postulated that the differences between skin and mucosa could have effect on the results. Although intraoral use would allow closer application to the surgical site, the size of some laser devices precludes their use intraorally.

  17. 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

  18. 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.

  19. 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.

  20. 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.

  1. Radiografia intraoral e convencional da hemiarcada superior direita de gatos domésticos

    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 (P<0,05, para achados referentes a espaço periodontal aumentado, canal radicular amplo e arredondamento de ápice, e também para a avaliação mais bem detalhada de dentes caninos, pré-molares e molares em gatos.

  2. Diagnostic accuracy of 4 intraoral radiographic techniques for misfit detection at the implant abutment joint.

    Science.gov (United States)

    Darós, Pollyana; Carneiro, Vinícius Cavalcanti; Siqueira, Amanda Pasolini; de-Azevedo-Vaz, Sergio Lins

    2017-11-15

    A misfit or gap at the implant-abutment joint (IAJ) requires detection as it may compromise the health of the peri-implant tissue. However, which radiographic technique provides the most orthogonal relationship between the central beam and the implant/image receptor is unclear. The purpose of this in vitro study was to evaluate the diagnostic accuracy of 4 intraoral radiographic techniques on misfit detection at the IAJ. Twenty implants were placed in polyamide jaws, and customized dental implant abutments with a metal collar were installed. Different gaps were simulated by placing one or three 50-μm-thick polyester strips at the IAJ; the absence of the strip represented the control group (no gap). The 4 radiographic techniques were evaluated by using different film holders: a periapical with bisecting angle (PBA), a bitewing interproximal (BI), a periapical with standard paralleling (PSP), and a periapical with modified paralleling (PMP) holder (with a custom-made paralleling index). A total of 240 digital radiographs were evaluated by 4 clinicians experienced with dental implants. Differences were evaluated by using receiver operating characteristic (ROC) curves (Az) and Fisher tests (α=.05). Diagnostic values (sensitivity, specificity, accuracy, and positive and negative predictive values) were also obtained. The Kappa test was used to assess intra- and interevaluator reproducibility, which ranged from moderate to almost perfect. All diagnostic values, except specificity, were lower for the PBA technique for both the 50- and 150-μm gaps. Az values for the PBA technique were significantly lower than those obtained for the other 3 techniques (P<.05), which did not differ from each other. The 150-μm gaps were more easily detected than the 50-μm gaps only for PBA (P<.05). The BI, PSP, and PMP techniques detected misfits at the IAJ most accurately. The PBA technique is not recommended for this purpose. Copyright © 2017 Editorial Council for the Journal of

  3. Effect of laser pointer on students\\\\\\' levels of technical errors during intraoral radiographs

    Directory of Open Access Journals (Sweden)

    Farshid Shams

    2015-12-01

    Full Text Available Background and Aims: According to concerns of technical errors in intraoral radiographs and reports of positive effects of central ray laser pointer on the students, technical errors and shortcomings of earlier research, this study was conducted at Department of Oral and Maxillofacial Radiology of Tehran Azad University to determine the role and use of laser pointer in the technical error made by students. Materials and Methods: This clinical trials study was carried out at the Department of Radiology, Dental School of Azad Tehran University. A total of eighty students were divided into two groups of forty. In the first group the periapical technique was taught without laser guided indicator, while in the second group laser guided indicator was applied in training the students. All students took X-rays from the phantoms. Laser guided indicator is made of one low power red laser diodes.Totally 560 X-rays were taken and the technical errors and the quality of X-rays were evaluated. Data were analyzed statistically using Mann-Whitney and Chi Square tests (&alpha=0.05. Results: The X-rays taken by students showed significant differences in cone cutting (P<0.001, and overlapping (P<0.001 between the two study groups. In the subjective review of X-ray quality, the difference was also significant (P=0.03. Conclusion: The use of laser guided indicator as a training aid seems to be practical for easier learning of central ray adjustment and reduction of technical errors in taking X-rays by dental students.

  4. Nilai Radiometrik Direct Digital Intraoral Radiography (DDIDR Kualitas Tulang Rahang Mandibula

    Directory of Open Access Journals (Sweden)

    Hanna H. Bachtiar Iskandar

    2015-09-01

    Full Text Available Complete diagnosis in dentistry needs more detail and accurate quantitative as well as qualitative jawbone trabeculation evaluation. This requires modern diagnostic radiography that in Indonesia are still very limited. One form of the periodontitis that demands more attention and detailed information due to the great efforts to overcome, is Rapidly Progressive Periodontitis, and thus this disease has chosen as a model in this study. The objective of this study to get more detail and accurate radiometric of Direct Digital Intraoral value from grading Conventional value. This method expected to be a model of studies on jawbone quality in dentistry. The healting RPP patients as a subjects of this study. The methods trabeculation density from mandibular DDIR and conventional periapical radiographs of 116 healthy subjects and 41 RPP patients were evaluated and correlated to obtain transformation formula in the form of regression function. This study was performed Clinic of Dental Radiology and Periodontology, Faculty of Dentistry, University of Indonesia function were then used as a method to obtain quantitative data from conventional radiographs available. The results were indicated a significant independent variables were included in the regression function (p<0.05. Therefore even no DDIR equipment available, this transformation enable dentists all over Indonesia with only conventional radiographs available, to obtain more detail quantitative trabeculation density data. The conclusion is apart from getting a methode to transform conventional radiographic data into radiometric data equal to data obtained from DDR that more detail and accurate, this study also provides the normal radiographic trabeculation density value of peron 20 – 40 years as data base for further studies.

  5. Effect of display monitor devices on intra-oral radiographic caries diagnosis.

    Science.gov (United States)

    Araki, Kazuyuki; Fujikura, Mamiko; Sano, Tsukasa

    2015-11-01

    Recent developments in digital computer technology have enabled radiological diagnosis to be performed using a monitor screen. In medical radiography, the importance of monitors has been shown in many diseases. Digital imaging and communication in medicine (DICOM)-compatible monitors are widely used. However, the effect of monitors on the diagnosis of oral disease has not yet been clarified and remains controversial. The aims of this study are to compare the caries diagnostic ability between DICOM monitors and other monitors and to examine if monitor capability affects the diagnosis. One hundred proximal surfaces of 50 extracted human upper premolar teeth were used as specimens. Intra-oral radiographs of all specimens were taken digitally. Three types of monitors were compared in terms of caries diagnostic ability: a DICOM standard-compatible monitor, a standardized personal computer (PC) monitor, and a tablet PC. Six oral radiologists diagnosed each radiograph independently. Areas under the receiver operating characteristic (ROC) curve were generated and compared. Area under the ROC curve (AUC) of the DICOM monitor, PC monitor, and tablet PC was 0.68147, 0.67002, and 0.60189, respectively. There was no significant difference between the DICOM monitor and the PC monitor, but the tablet PC showed significantly lower accuracy. There were no significant differences among the monitors for dentin caries (p > 0.05). DICOM-compatible monitors and PC monitors have similar capabilities, but tablet PCs showed lower diagnostic accuracy, especially for superficial caries. Appropriate monitors are needed for radiographic diagnosis on monitor screens.

  6. Analysis on the Accuracy of Intraoral Scanners: The Effects of Mandibular Anterior Interdental Space

    Directory of Open Access Journals (Sweden)

    Ji-hye Chun

    2017-07-01

    Full Text Available In this study, we evaluated the effects of mandibular anterior interdental space on the accuracy of intraoral scanners. Four models of mandibular arch with varying distances of anterior interdental space were analyzed; incisors were evenly spaced out between the two canines by 0 mm, 1 mm, 3 mm, and 5 mm. The full arch of each model was scanned 10 times with iTero® and Trios®. The images were superimposed with those from the reference scanner (Sensable S3 and compared using Geomagic Verify. Statistical analysis was conducted using a t-test, paired t-test, and one-way analysis of variance (ANOVA. Differences in the accuracy of images were statistically significant according to both iTero® and Trios®; a greater deviation was noted with increasing anterior interdental space (p < 0.05. Upon dividing the lower arch into five sections, larger deviation was observed with iTero® in the molar area, except in the model with 1 mm space. With Trios®, the largest deviation was observed in the right molar area in all models. The maximum deviations of intermolar width were 0.66 mm and 0.76 mm in iTero® and Trios®, respectively. This comparison suggests that Trios® demonstrates a higher accuracy than iTero® in all models and in all sections of the arch. However, the mean deviations indicate that both iTero® and Trios® are clinically acceptable.

  7. Effective professional intraoral tooth brushing instruction using the modified plaque score: a randomized clinical trial.

    Science.gov (United States)

    Park, Se-Ho; Cho, Sung-Hee; Han, Ji-Young

    2018-02-01

    The purpose of this study was to evaluate the efficacy of the modified plaque score (MPS) for assessing the oral hygiene status of periodontitis patients. A total of 116 patients were included in this study. After evaluation of the Löe and Silness gingival index (GI), Silness and Löe plaque index (PlI), O'Leary plaque control record (PCR), and MPS, patients were randomly assigned to either a conventional tooth brushing instruction (C-TBI) group (n=56) or a professional intraoral tooth brushing instruction (P-TBI) group (n=60). The MPS and clinical parameters were re-evaluated after scaling and a series of root planing. The convergent validity of MPS with the PlI and PCR was assessed. The measurement time for MPS and PCR was compared according to the proficiency of the examiner. After root planing, the GI, PlI, PCR, and MPS improved from their respective baseline values in both groups. Three different plaque indices including the MPS, showed significant differences between the C-TBI group and the P-TBI group after root planing. The MPS showed significant concurrence with the PCR and PlI. The mean time for PCR measurement was 2.76±0.71 times longer than that for MPS measurement after 2 weeks of training. MPS seems to be a practical plaque scoring system compared with the PlI and PCR. These findings suggest that repetitive plaque control combined with an easily applicable plaque index (MPS) may facilitate more effective oral hygiene education and improved periodontal health.

  8. The effect of rare-earth filtration on organ doses in intraoral radiography

    Energy Technology Data Exchange (ETDEWEB)

    Asako, Satoshi; Satoh, Kenji; Furumoto, Keiichi (Nippon Dental Univ., Tokyo (Japan))

    1994-08-01

    Filters of rare-earth elements such as lanthanum (La, Z=57), samarium (Sm, Z=62), gadolinium (Gd, Z=64) and erbium (Er, Z=68) are frequently used in radiography for the purpose of reducing the patient dose by eliminating low-energy and high-energy X-rays which are not involved in imaging. It is useful to evaluate the dose reduction achieved by these rare-earth filters in terms of organ dose, and the effective dose equivalent, which is used for evaluating carcinogenic risks and hereditary effects of X-ray irradiation, for the purpose of optimizing the radiographic technique and radiation protection. Therefore, we calculated the organ dose and effective dose equivalent during intraoral radiography of the maxillary incisor region by simulation using samarium or erbium, typical rare-earth elements, in filtration. We evaluated the effects of these metals in dose reduction. When samarium or erbium, 0.1 mm thick, was used in added filtration at tube voltage of 60, 70, 80 and 90 kV, the time required for radiography almost doubled, respectively. The organ dose at each tube voltage was the largest in the parathyroid and thyroid glands, followed by bone surfaces and the optic lenses, skin, red bone marrow and salivary glands, larynx, and brain, in that order. The organ dose at sites other than the larynx and brain decreased as the quality of the incident X-ray beam was hardened. When samarium or erbium was added at each voltage, the effective dose equivalent was reduced by about 20% to 45%. Erbium was more effective than samarium in reducing the effective dose equivalent, and either of the two elements decreased its effectiveness with an increase in tube voltage. (author) 43 refs.

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

    Energy Technology Data Exchange (ETDEWEB)

    Song, Ju Seop; Koh, Kwang Joon [Dept. of Oral and Maxillofacial Radiology and Institute of Oral Bio Science, School of Dentistry, Chonbuk National University, Chonju (Korea, Republic of)

    2000-12-15

    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.

  10. Intraoral laser welding: ultrastructural and mechanical analysis to compare laboratory laser and dental laser.

    Science.gov (United States)

    Fornaini, Carlo; Passaretti, Francesca; Villa, Elena; Rocca, Jean-Paul; Merigo, Elisabetta; Vescovi, Paolo; Meleti, Marco; Manfredi, Maddalena; Nammour, Samir

    2011-07-01

    The Nd:YAG laser has been used since 1970 in dental laboratories to weld metals on dental prostheses. Recently in several clinical cases, we have suggested that the Nd:YAG laser device commonly utilized in the dental office could be used to repair broken fixed, removable and orthodontic prostheses and to weld metals directly in the mouth. The aim of this work was to evaluate, using scanning electron microscopy (SEM), energy dispersive X-ray spectroscopy (EDS) and dynamic mechanical analysis (DMA), the quality of the weld and its mechanical strength, comparing a device normally used in dental laboratory and a device normally used in the dental office for oral surgery, the same as that described for intraoral welding. Metal plates of a Co-Cr-Mo dental alloy and steel orthodontic wires were subjected to four welding procedures: welding without filler metal using the laboratory laser, welding with filler metal using the laboratory laser, welding without filler metal using the office laser, and welding with filler metal using the office laser. The welded materials were then analysed by SEM, EDS and DMA. SEM analysis did not show significant differences between the samples although the plates welded using the office laser without filler metal showed a greater number of fissures than the other samples. EDS microanalysis of the welding zone showed a homogeneous composition of the metals. Mechanical tests showed similar elastic behaviours of the samples, with minimal differences between the samples welded with the two devices. No wire broke even under the maximum force applied by the analyser. This study seems to demonstrate that the welds produced using the office Nd:YAG laser device and the laboratory Nd:YAG laser device, as analysed by SEM, EDS and DMA, showed minimal and nonsignificant differences, although these findings need to be confirmed using a greater number of samples.

  11. A wireless magnetoresistive sensing system for an intraoral tongue-computer interface.

    Science.gov (United States)

    Park, Hangue; Kiani, Mehdi; Lee, Hyung-Min; Kim, Jeonghee; Block, Jacob; Gosselin, Benoit; Ghovanloo, Maysam

    2012-12-01

    Tongue drive system (TDS) is a tongue-operated, minimally invasive, unobtrusive, and wireless assistive technology (AT) that infers users' intentions by detecting their voluntary tongue motion and translating them into user-defined commands. Here we present the new intraoral version of the TDS (iTDS), which has been implemented in the form of a dental retainer. The iTDS system-on-a-chip (SoC) features a configurable analog front-end (AFE) that reads the magnetic field variations inside the mouth from four 3-axial magnetoresistive sensors located at four corners of the iTDS printed circuit board (PCB). A dual-band transmitter (Tx) on the same chip operates at 27 and 432 MHz in the Industrial/Scientific/Medical (ISM) band to allow users to switch in the presence of external interference. The Tx streams the digitized samples to a custom-designed TDS universal interface, built from commercial off-the-shelf (COTS) components, which delivers the iTDS data to other devices such as smartphones, personal computers (PC), and powered wheelchairs (PWC). Another key block on the iTDS SoC is the power management integrated circuit (PMIC), which provides individually regulated and duty-cycled 1.8 V supplies for sensors, AFE, Tx, and digital control blocks. The PMIC also charges a 50 mAh Li-ion battery with constant current up to 4.2 V, and recovers data and clock to update its configuration register through a 13.56 MHz inductive link. The iTDS SoC has been implemented in a 0.5-μm standard CMOS process and consumes 3.7 mW on average.

  12. 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.

  13. A Wireless Magnetoresistive Sensing System for an Intraoral Tongue-Computer Interface

    Science.gov (United States)

    Park, Hangue; Kiani, Mehdi; Lee, Hyung-Min; Kim, Jeonghee; Block, Jacob; Gosselin, Benoit; Ghovanloo, Maysam

    2015-01-01

    Tongue drive system (TDS) is a tongue-operated, minimally invasive, unobtrusive, and wireless assistive technology (AT) that infers users’ intentions by detecting their voluntary tongue motion and translating them into user-defined commands. Here we present the new intraoral version of the TDS (iTDS), which has been implemented in the form of a dental retainer. The iTDS system-on-a-chip (SoC) features a configurable analog front-end (AFE) that reads the magnetic field variations inside the mouth from four 3-axial magnetoresistive sensors located at four corners of the iTDS printed circuit board (PCB). A dual-band transmitter (Tx) on the same chip operates at 27 and 432 MHz in the Industrial/Scientific/Medical (ISM) band to allow users to switch in the presence of external interference. The Tx streams the digitized samples to a custom-designed TDS universal interface, built from commercial off-the-shelf (COTS) components, which delivers the iTDS data to other devices such as smartphones, personal computers (PC), and powered wheelchairs (PWC). Another key block on the iTDS SoC is the power management integrated circuit (PMIC), which provides individually regulated and duty-cycled 1.8 V supplies for sensors, AFE, Tx, and digital control blocks. The PMIC also charges a 50 mAh Li-ion battery with constant current up to 4.2 V, and recovers data and clock to update its configuration register through a 13.56 MHz inductive link. The iTDS SoC has been implemented in a 0.5-μm standard CMOS process and consumes 3.7 mW on average. PMID:23853258

  14. 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

    OpenAIRE

    José Lino Zumaquero-Ríos; Martín Pérez-Santos; Abel Villa-Mancera; Jorge Sarracent-Pérez

    2017-01-01

    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 ...

  15. Correlación automatizada de parámetros geométricos mediante contornos de bloqueo en engranajes cilíndricos con contacto exterior//Automatic correlation of geometric parameters by means of blocking contours in spur and helical external gear

    Directory of Open Access Journals (Sweden)

    Robert Hernández-Ortega

    2012-12-01

    Full Text Available Este trabajo tuvo como objetivo obtener un procedimiento, que al implementarse en un software para el diseño de transmisiones por engranajes cilíndricos con contacto exterior, correlacione automáticamente los parámetros geométricos mediante los contornos de bloqueo y así facilitar el trabajo del diseñador deengranajes. Para ello, se transformaron las expresiones matemáticas que definen las limitaciones geométricas para que puedan ser utilizadas en un programa que construya el contorno de bloqueo sin la intervención del diseñador. Se estableció además la secuencia en que estas deben ser calculadas. El procedimiento obtenido se implementó en un programa de computación obteniéndose una velocidad deejecución de 1 segundo aproximadamente. De esta forma se logró la correlación automática de los parámetros geométricos y un contorno de bloqueo que muestra el conjunto de valores de los coeficientes de corrección de las ruedas que pueden ser utilizados, construidos sin interacción con el diseñador.Palabras claves: contorno de bloqueo, engranajes, parámetros geométricos._______________________________________________________________________________AbstractThe aim of this work was to obtain a procedure, that when being implemented in the design software of spur and helical external gears, correlate the geometric parameters automatically by means of the blocking contours making easier the designer's work. The mathematical expressions that define the geometriclimitations were transformed so that they can be used in a program that it builds the blocking contour without the designer's intervention. Besides that it was settled down the sequence they should be calculated. The procedure was implemented in a calculation program obtaining an execution speed about 1 second. This way it was achieved the automatic correlation of the geometric parameters and a blockingcontour construction without the designer's intervention that it shows the

  16. 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

  17. 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 (pimpressions. 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.

  18. 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.

  19. Influence of conventional and digital intraoral impressions on the fit of CAD/CAM-fabricated all-ceramic crowns.

    Science.gov (United States)

    Berrendero, S; Salido, M P; Valverde, A; Ferreiroa, A; Pradíes, G

    2016-12-01

    To compare the fit of all-ceramic crowns fabricated from conventional silicone impressions with the fit of all-ceramic crowns fabricated from intraoral digital impressions. Thirty patients with 30 posterior teeth with a prosthetic demand were selected. Zirconia-based ceramic crowns were made using an intraoral digital impression system (Ultrafast Optical Sectioning technology) (digital group, D) and 2-step silicone impression technique (conventional group, C). To replicate the interface between the crown and the preparation, each crown was cemented on its corresponding clinical preparation using ultra-flow silicone. Each crown was embedded in resin to stabilize the registered interface. Specimens were sectioned in buccolingual orientation, and internal misfit was measured at different areas using stereomicroscopy (×40). Data was analysed using Student's t test and Mann-Whitney test (α = 0.05). No statistically significant differences were found (P > 0.05) between two groups. The mean internal misfit and mean marginal misfit were 170.9 μm (SD = 119.4)/106.6 μm (SD = 69.6) for group D and 185.4 μm (SD = 112.1)/119.9 μm (SD = 59.9) for group C. Ceramic crowns fabricated using an intraoral scanner are comparable to elastomer conventional impressions in terms of their marginal and internal fits. The mean marginal fit in both groups was within the limits of clinical acceptability. Impressions based on Ultrafast Optical Sectioning technology can be used for manufacturing ceramic crowns in a normal workflow, with the same results as silicone conventional impressions.

  20. Immediate loading of the edentulous maxilla with a definitive restoration supported by an intraorally welded titanium bar and tilted implants.

    Science.gov (United States)

    Degidi, Marco; Nardi, Diego; Piattelli, Adriano

    2010-01-01

    The aim of this prospective study was to evaluate the concept of intraoral welding as a suitable technique for the fabrication of a restoration for the edentulous atrophic maxilla on the day of placement of axial and tilted implants. Thirty patients received three axial and four tilted implants in the edentulous maxilla. Immediately after implant placement, definitive abutments were connected to the implants and then a titanium bar was welded to them using an intraoral welding unit. This framework was used as a support for the definitive restoration, which was attached on the day of implant placement. Mean marginal bone loss and radiographically detectable alteration of the welded framework were assessed using periapical radiographs immediately after surgery and at 6, 12, 24, and 36 months after placement. Sixteen men and 14 women with an average age of 58.1 years (SD 13.6) were consecutively treated with 210 immediately loaded implants. No fractures or radiographically detectable alterations of the welded frameworks were evident. A 100% prosthetic success rate was seen at 36 months. Three (1.4%) implants had serious biologic complications, resulting in success rates of 97.8% for axial implants and 99.2% for tilted implants. The accumulated mean marginal bone loss was 0.92 mm (SD 0.75; n = 90) for axial implants and 1.03 mm (SD 0.69; n = 120) for tilted implants. The average pocket probing depths were 1.87 mm (SD 0.98; n = 90) for the axial implants and 1.95 mm (SD 0.81; n = 120) for the tilted implants. It is possible on the day of implant placement surgery to successfully rehabilitate the edentulous atrophic maxilla with a fixed, definitive restoration supported by an intraorally welded titanium framework attached to axial and tilted implants.

  1. 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.

  2. 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.

  3. Use of PID and Iterative Learning Controls on Improving Intra-Oral Hydraulic Loading System of Dental Implants

    Science.gov (United States)

    Huang, Yi-Cheng; Chan, Manuel; Hsin, Yi-Ping; Ko, Ching-Chang

    This study presents the control design and tests of an intra-oral hydraulic system for quantitatively loading of a dental implant. The computer-controlled system was developed and employed for better pressure error compensation by PID (proportional-integral-derivative) control and point-to-point iterative learning algorithm. In vitro experiments showed that implant loading is precisely controlled (error 3%) for 0.5Hz loading without air inclusion, and reasonably performed (errorimplant loading. Quantitative information derived from this biomechanical model will add to improved designs of dental implants.

  4. Evaluation of the accuracy and precision of four intraoral scanners with 70% reduced inlay and four-unit bridge models of international standard.

    Science.gov (United States)

    Uhm, Soo-Hyuk; Kim, Jae-Hong; Jiang, Heng Bo; Woo, Chang-Woo; Chang, Minho; Kim, Kyoung-Nam; Bae, Ji-Myung; Oh, Seunghan

    2017-01-31

    The aims of this study were to evaluate the feasibility of 70% reduced inlay and 4-unit bridge models of International Standard (ISO 12836) assessing the accuracy of laboratory scanners to measure the accuracy of intraoral scanner. Four intraoral scanners (CS3500, Trios, Omnicam, and Bluecam) and one laboratory scanner (Ceramill MAP400) were used in this study. The height, depth, length, and angle of the models were measured from thirty scanned stereolithography (STL) images. There were no statistically significant mean deviations in distance accuracy and precision values of scanned images, except the angulation values of the inlay and 4-unit bridge models. The relative errors of inlay model and 4-unit bridge models quantifying the accuracy and precision of obtained mean deviations were less than 0.023 and 0.021, respectively. Thus, inlay and 4-unit bridge models suggested by this study is expected to be feasible tools for testing intraoral scanners.

  5. 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.

  6. Accuracy of digital implant impressions with intraoral scanners. A systematic review.

    Science.gov (United States)

    Rutkūnas, Vygandas; Gečiauskaitė, Agnė; Jegelevičius, Darius; Vaitiekūnas, Mantas

    The use of intraoral scanners (IOS) for making digital implant impressions is increasing. However, there is a lack of evidence on the accuracy of IOS compared with conventional techniques. Therefore, the aim of this systematic review was to collect evidence on the accuracy of digital implant impression techniques, as well as to identify the main factors influencing the accuracy outcomes. Two reviewers searched electronic databases in November, 2016. Controlled vocabulary, free-text terms, and defined inclusion and exclusion criteria were used. Publications in English language evaluating the accuracy outcomes of digital implant impressions were identified. Pooled data were analysed qualitatively and pertinent data extracted. In total, 16 studies fulfilled the inclusion criteria: one in vivo and 15 in vitro studies. The clinical study concluded that angular and distance errors were too large to be acceptable clinically. Less accurate findings were reported by several in vitro studies as well. However, all in vitro studies investigating the accuracy of newer generation IOS indicated equal or even better results compared with the conventional techniques. Data related to the influence of distance and angulation between implants, depth of placement, type of scanner, scanning strategy, characteristics of scanbody and reference scanner, operator experience, etc were analysed and summarised. Linear deviations (means) of IOS used in in vitro studies ranged from 6 to 337 µm. Recent studies indicated small angle deviations (0.07-0.3°) with digital impressions. Some studies reported that digital implant impression accuracy was influenced by implant angulation, distance between the implants, implant placement depth and operator experience. According to the results of this systematic review and based on mainly in vitro studies, digital implant impressions offer a valid alternative to conventional impressions for single- and multi-unit implant-supported restorations. Further in

  7. 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.)

  8. [Signal loss in magnetic resonance imaging caused by intraoral anchored dental magnetic materials].

    Science.gov (United States)

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

    2006-08-01

    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. 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). 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. 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.

  9. Spatial relation between a rigid (digital) intraoral X-ray receptor and longitudinal axes of maxillary teeth.

    Science.gov (United States)

    Roeder, Felix; von Rechenberg, Isabell; d'Hoedt, Bernd; Schulze, Ralf

    2011-10-01

    The purpose of this study was to quantify the existing (inevitable) angle which in intraoral radiology appears between tooth length axis and receptor caused by the anatomical situation. Especially in the upper jaw, due to its arched anatomy, a true "paralleling technique" is not achievable. The angulation necessarily causes distortion and a foreshortening of the image; hence, the foreshortened image leads to misinterpretations in diagnostics. We investigated the effects of the realistic angulation on these image deteriorating factors. Two hundred ninety-four plaster models of the upper jaw were collected, and the angles between a dummy receptor and the axes of the central incisor or the first molar were measured. For evaluation, a rigid dummy of an intraoral charge-coupled device (CCD) receptor (30 mm × 40 mm) was used. The mean angulation evaluated for central incisors was 36.7° (range 19-56°) and for first molars 42.5° (range 26-56°). This leads to a foreshortening of the tooth ranging from 5.4% to 44.1% in the image, when magnification is neglected. Large angles of up to 56°, in both incisor and molar region, result in a relevant underestimation of true tooth length up to 44%. It is important to note that this error cannot be simply corrected by means of local magnification correction. Techniques should be developed that allow for automated assessment of the effective angle to provide information for distortion correction.

  10. Efficacy of lead foil for reducing doses in the head and neck: a simulation study using digital intraoral systems.

    Science.gov (United States)

    Nejaim, Y; Silva, A I V; Brasil, D M; Vasconcelos, K F; Haiter Neto, F; Boscolo, F N

    2015-01-01

    To assess the efficacy of lead foils in reducing the radiation dose received by different anatomical sites of the head and neck during periapical intraoral examinations performed with digital systems. Images were acquired through four different manners: phosphor plate (PSP; VistaScan(®) system; Dürr Dental GmbH, Bissingen, Germany) alone, PSP plus lead foil, complementary metal oxide semiconductor (CMOS; DIGORA(®) Toto, Soredex(®), Tuusula, Finland) alone and CMOS plus lead foil. Radiation dose was measured after a full-mouth periapical series (14 radiographs) using the long-cone paralleling technique. Lithium fluoride (LiF 100) thermoluminescent dosemeters were placed in an anthropomorphic phantom at points corresponding to the tongue, thyroid, crystalline lenses, parotid glands and maxillary sinuses. Dosemeter readings demonstrated the efficacy of the addition of lead foil in the intraoral digital X-ray systems provided in reducing organ doses in the selected structures, approximately 32% in the PSP system and 59% in the CMOS system. The use of lead foils associated with digital X-ray sensors is an effective alternative for the protection of different anatomical sites of the head and neck during full-mouth periapical series acquisition.

  11. 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)

  12. 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.

  13. 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.

  14. Comparison of antibacterial-coated and non-coated suture material in intraoral surgery by isolation of adherent bacteria

    Directory of Open Access Journals (Sweden)

    Klaus Pelz

    2015-09-01

    Full Text Available Objectives. In general surgery the incidence of postoperative wound infections is reported to be lower using triclosan-coated sutures. In intraoral surgery, sutures are faced with different bacterial species and the question arises whether the antibacterial-coated suture material has the same positive effects. Materials and Methods. Triclosan-coated and uncoated suture materials were applied in 17 patients undergoing wisdom tooth extraction. Postoperatively, sutures were removed and adherent bacteria were isolated, colony-forming units (cfu were counted, and species identified. Results. Oral bacteria were found in high numbers (cfu>10[sup]7[/sup] on both Vicryl and the triclosan-coated Vicryl Plus. The total number of bacteria isolated from Vicryl Plus was 37% higher than for Vicryl, mainly due to increased numbers of anaerobes. The number of bacterial strains identified was higher for Vicryl ( n=203 than for Vicryl Plus (n=198, but the number of pathogens was higher on Vicryl Plus (n=100 than on Vicryl (n=97. Fewer Gram-positive strains were found on Vicryl Plus (n=95 than on Vicryl (n=107 and, conversely, more Gram-negative strains on Vicryl Plus (103vs.96. Conclusions. In terms of the total number of oral bacteria, and especially oral pathogens, that adhered to suture material, no reduction was demonstrated for Vicryl Plus. The use of triclosan-coated suture material offers no advantage in intraoral surgery.

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

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    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)

  16. Stability of simultaneously placed dental implants with autologous bone grafts harvested from the iliac crest or intraoral jaw bone.

    Science.gov (United States)

    Kang, Young-Hoon; Kim, Hyun-Min; Byun, June-Ho; Kim, Uk-Kyu; Sung, Iel-Yong; Cho, Yeong-Cheol; Park, Bong-Wook

    2015-12-30

    Jaw bone and iliac bone are the most frequently used autologous bone sources for dental implant placement in patients with atrophic alveolar ridges. However, the comparative long-term stability of these two autologous bone grafts have not yet been investigated. The aim of this study was to compare the stability of simultaneously placed dental implants with autologous bone grafts harvested from either the iliac crest or the intraoral jaw bone for severely atrophic alveolar ridges. In total, 36 patients (21 men and 15 women) were selected and a retrospective medical record review was performed. We compared the residual increased bone height of the grafted bone, peri-implantitis incidence, radiological density in newly generated bones (HU values), and implant stability using resonance frequency analysis (ISQ values) between the two autologous bone graft groups. Both autologous bone graft groups (iliac bone and jaw bone) showed favorable clinical results, with similar long-term implant stability and overall implant survival rates. However, the grafted iliac bone exhibited more prompt vertical loss than the jaw bone, in particular, the largest vertical bone reduction was observed within 6 months after the bone graft. In contrast, the jaw bone graft group exhibited a slower vertical bone resorption rate and a lower incidence of peri-implantitis during long-term follow-up than the iliac bone graft group. These findings demonstrate that simultaneous dental implantation with the autologous intraoral jaw bone graft method may be reliable for the reconstruction of edentulous atrophic alveolar ridges.

  17. The Efficiency of Operating Microscope Compared with Unaided Visual Examination, Conventional and Digital Intraoral Radiography for Proximal Caries Detection

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    Ilkay Peker

    2009-01-01

    Full Text Available Objective. The purpose of this study was to evaluate the efficiency of operating microscope compared with unaided visual examination, conventional and digital intraoral radiography for proximal caries detection. Materials and Methods. The study was based on 48 extracted human posterior permanent teeth. The teeth were examined with unaided visual examination, operating microscope, conventional bitewing and digital intraoral radiographs. Then, true caries depth was determined by histological examination. The extent of the carious lesions was assessed by three examiners independently. One way variance of analysis (ANOVA and Scheffe test were performed for comparison of observers, and the diagnostic accuracies of all systems were assessed from the area under the ROC curve (Az. Results. Statistically significant difference was found between observers (P<.01. There was a statistically significant difference between operating microscope-film radiography, operating microscope-RVG, unaided visual examination-film radiography, and unaided visual examination-RVG according to pairwise comparison (P<.05. Conclusion. The efficiency of operating microscope was found statistically equal with unaided visual examination and lower than radiographic systems for proximal caries detection.

  18. 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.

  19. Intraoral administration of a T-cell epitope peptide induces immunological tolerance in Cry j 2-sensitized mice.

    Science.gov (United States)

    Yoshitomi, Tomomi; Nakagami, Yasuhiro; Hirahara, Kazuki; Taniguchi, Yoshifumi; Sakaguchi, Masahiro; Yamashita, Makoto

    2007-08-01

    Sublingual immunotherapy using allergen-derived peptides is feasible as a novel specific immunotherapy, but its efficacy has not yet been demonstrated in either humans or animals. In addition, it remains obscure whether the oral immune system is involved in the mechanism of sublingual immunotherapy. Here, we show that the intraoral administration of the T-cell epitope peptide P2-246-259 derived from Cry j 2, a major Japanese cedar (Cryptomeria japonica) pollen allergen, to Cry j 2-sensitized mice induces immunological tolerance, and that ex vivo lymph node cell proliferation to P2-246-259 and Cry j 2 was inhibited. In addition, intraoral administration was shown to be superior to intragastric administration in terms of tolerance induction, suggesting that the oral immune system contributes to the induction of immunological tolerance. Therefore, the significant efficacy of sublingual immunotherapy using a peptide on allergen-specific T-cells was demonstrated in animals, and this may be potentiated by the oral mucosal immune system. Copyright (c) 2007 European Peptide Society and John Wiley & Sons, Ltd.

  20. 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.

  1. The long-term effect of a zinc acetate and chlorhexidine diacetate containing mouth rinse on intra-oral halitosis-A randomized clinical trial.

    Science.gov (United States)

    Erovic Ademovski, Seida; Mårtensson, Carina; Persson, Gösta Rutger; Renvert, Stefan

    2017-10-01

    To evaluate the long-term effects of a zinc acetate and chlorhexidine diacetate mouth rinse (Zn/CHX) on intra-oral halitosis. Forty-six adults with intra-oral halitosis were randomized into a 6-month, double-blind, placebo-controlled clinical study. The presence of intra-oral halitosis was evaluated at baseline, 3 and 6 months after treatment by assessment of organoleptic score (OLS) and by total volatile sulphur compounds (T-VSC), hydrogen sulphide (H 2 S) and methyl mercaptan (MM) concentrations in exhaled air. A Zn/CHX mouth rinse provided significantly better control of intra-oral halitosis than a placebo mouth rinse. At 3 and 6 months, individuals rinsing with the Zn/CHX rinse presented with reductions of the OLS, T-VSC (p oral halitosis (i.e. H 2 S oral halitosis, assessed both objectively and subjectively. With regular rinsing, the effect was sustained for 6 months. © 2017 John Wiley & Sons A/S. Published by John Wiley & Sons Ltd.

  2. 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)

  3. Abordaje intraoral en el síndrome de Eagle: Presentación de un caso clínico Intraoral approach in Eagle syndrome: A case report

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    Javier Mareque Bueno

    2011-12-01

    Full Text Available El síndrome de Eagle es una patología infrecuente secundaria a la elongación de la apófisis estiloides y/o calcificación del ligamento estilo-hioideo. La mayoría de pacientes afectados no presentan sintomatología, aunque la presión ejercida por esta estructura morfológicamente alterada contra estructuras vecinas puede desencadenar una gran variedad de síntomas, incluyendo dolor cervicofacial, sensación de cuerpo extraño en la orofaringe, aumento en la secreción salival, cefalea y dificultad para la deglución, el habla o los movimientos de la lengua. Presentamos el caso de una paciente de 50 años de edad con el síndrome de Eagle. La tomografía computerizada en haz de cono confirmó la sospecha clínica. Como tratamiento se realizó la resección parcial de ambas apófisis estiloides mediante un abordaje intraoral. La presentación clínica, el diagnóstico diferencial y el tratamiento se describen en este artículo.Eagle syndrome is a rare condition resulting from either the elongation of the temporal styloid process or calcification of the stylohyoid ligament. Most patients are asymptomatic, but when this structure presses against other parts of the head and neck it can originate a wide range of symptoms, including cervico-facial pain, foreign body sensation in oropharynx, increased saliva secretion, headache and difficulty with swallowing, speaking and neck or tongue movements. The case of a 50-year-old woman with Eagle syndrome is reported. Cone-beam computed tomography (CBCT confirmed the clinical suspicion. The intraoral approach was used for the partial resection of both styloid processes. The clinical presentation, diagnosis, management and differential diagnosis are described.

  4. Treatment of intra-oral injection phobia: a randomized delayed intervention controlled trial among Norwegian 10- to 16-year-olds.

    Science.gov (United States)

    Berge, Karin G; Agdal, Maren Lillehaug; Vika, Margrethe; Skeie, Marit Slåttelid

    2017-05-01

    To evaluate the effect of five sessions of cognitive behavioural therapy (CBT) for 10- to 16-year-olds with intra-oral injection phobia. This was a randomized delayed intervention controlled trial in 67 patients, fulfilling the DSM-5 criteria for specific phobia. All patients received the same CBT performed by dentists specially trained in CBT. The patients were randomly assigned to either an immediate treatment group (ITG) (34 patients) or a waitlist-control group (WCG) (33 patients). The WCG was put on a waitlist for 5 weeks. After treatment, all patients were combined for post-treatment analyses. Assessments including the psychometric self-report scales Intra-oral injection fear scale (IOIF-s), Children's Fear Survey Schedule-Dental Subscale (CFSS-DS), Injection Phobia Scale for children (IS-c) and Mutilation Questionnaire for children (MQ-c) and a behavioural avoidance test (BAT) followed by a questionnaire on cognitions during the BAT, occurred pre-, post-treatment/waitlist and at a 1-year follow-up. CBT had a significant effect compared to no treatment (WCG). After treatment, the scores on the psychometric self-report scales were significantly reduced and higher levels in the BAT were achieved. The results were maintained at 1-year follow-up. Of the 67 patients, 70.1% received intra-oral injections during CBT treatment, whereas 69.4% of those completing the CBT, in need for further dental treatment, managed to receive the necessary intra-oral injections at their regular dentist. The 10- to 16-year-olds diagnosed with intra-oral injection phobia benefitted positively on CBT performed by specially trained dentists.

  5. 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)

  6. 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.

  7. Detection of root perforations using conventional and digital intraoral radiography, multidetector computed tomography and cone beam computed tomography

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    Abbas Shokri

    2015-02-01

    Full Text Available Objectives This study aimed to compare the accuracy of conventional intraoral (CI radiography, photostimulable phosphor (PSP radiography, cone beam computed tomography (CBCT and multidetector computed tomography (MDCT for detection of strip and root perforations in endodontically treated teeth. Materials and Methods Mesial and distal roots of 72 recently extracted molar were endodontically prepared. Perforations were created in 0.2, 0.3, or 0.4 mm diameter around the furcation of 48 roots (strip perforation and at the external surface of 48 roots (root perforation; 48 roots were not perforated (control group. After root obturation, intraoral radiography, CBCT and MDCT were taken. Discontinuity in the root structure was interpreted as perforation. Two observers examined the images. Data were analyzed using Stata software and Chi-square test. Results The sensitivity and specificity of CI, PSP, CBCT and MDCT in detection of strip perforations were 81.25% and 93.75%, 85.42% and 91.67%, 97.92% and 85.42%, and 72.92% and 87.50%, respectively. For diagnosis of root perforation, the sensitivity and specificity were 87.50% and 93.75%, 89.58% and 91.67%, 97.92% and 85.42%, and 81.25% and 87.50%, respectively. For detection of strip perforation, the difference between CBCT and all other methods including CI, PSP and MDCT was significant (p < 0.05. For detection of root perforation, only the difference between CBCT and MDCT was significant, and for all the other methods no statistically significant difference was observed. Conclusions If it is not possible to diagnose the root perforations by periapical radiographs, CBCT is the best radiographic technique while MDCT is not recommended.

  8. 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.

  9. Anestesia peridural lombar ou bloqueio do plexo lombar combinados à anestesia geral: eficácia e efeitos hemodinâmicos na artroplastia total do quadril Anestesia epidural lumbar o bloqueo del plexo lumbar combinados con la anestesia general: eficacia y efectos hemodinámicos en la artroplastia total de la cadera Epidural lumbar block or lumbar plexus block combined with general anesthesia: efficacy and hemodynamic effects on total hip arthroplasty

    Directory of Open Access Journals (Sweden)

    Leonardo Teixeira Domingues Duarte

    2009-12-01

    avanzada y de las enfermedades asociadas a los pacientes. El objetivo del estudio, fue evaluar si el bloqueo del plexo lumbar combinado con la anestesia general, equivale a la anestesia epidural lumbar en cuanto a la eficacia del bloqueo nociceptivo, efectos hemodinámicos secundarios, dificultad en su ejecución e influencia en el sangramiento operatorio en pacientes sometidos a la ATC. MÉTODO: Pacientes estado físico ASA I a III que fueron ubicados aleatoriamente en los grupos Epidural y Lumbar. En el grupo Epidural, se realizó la anestesia epidural lumbar continua con la ropivacaína a 0,5% 10 a 15 mL. En el grupo Lumbar, fue realizado el bloqueo del plexo lumbar por la vía posterior con ropivacaína a 0,5% 0,4 mL.kg-1. Todos los pacientes fueron sometidos a la anestesia general. Se estudiaron: la dificultad en la ejecución de los bloqueos, su eficacia y los efectos hemodinámicos secundarios. RESULTADOS: Cuarenta y un pacientes fueron incluidos en el estudio. El tiempo para la ejecución del bloqueo epidural fue menor, pero el número de intentos en colocar la aguja fue similar en los dos grupos. El bloqueo epidural fue más eficaz. En el grupo Lumbar, se registró un aumento de la presión arterial diastólica y media (PAM y en el doble producto. Después de la incisión, el consumo anestésico durante la operación fue mayor. Posteriormente al bloqueo, la PAM fue menor en los 50, 60 y 70 minutos después de la realización del bloqueo epidural. El sangramiento fue parecido en los dos grupos. CONCLUSIONES: La técnica epidural promovió un bloqueo nociceptivo más eficaz sin asociarse a la inestabilidad hemodinámica, cuando se le combinó con la anestesia general. El bloqueo del plexo lumbar fue una técnica útil en combinación con la anestesia general cuando la anestesia epidural estuvo contraindicada.BACKGROUND AND OBJECTIVES: Anesthesia for total hip arthroplasty (THA is a challenge due to the advanced age and associated diseases of patients. The objective

  10. 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

  11. Bloqueo neurolítico del tercer ganglio simpático dorsal en pacientes con síndrome de Raynaud: Una serie de casos Neurolytic blocking third dorsal simpathetic ganglion in patients with Raynaud´s syndrome: A number of cases

    OpenAIRE

    J. A. Flores Cantisani; M. G. Hinojosa Reyes; G. C. Palacios Saucedo; M. L. Prieto Duarte; O. Becerra Alcántara

    2013-01-01

    Introducción: El fenómeno de Raynaud es un trastorno vascular, frecuente en la población general, que consiste en la aparición paroxística de espasmo vascular distal, en pequeñas arterias y arteriolas cutáneas de las extremidades, con escasa repercusión sistémica. Existen bases anatómicas y fisiológicas para producir un bloqueo simpático selectivo utilizando agentes neurolíticos en los ganglios torácicos T2 y T3, considerados estaciones sinápticas que se distribuyen en el miembro superior. Ob...

  12. O Bloqueio do plexo hipogástrico superior é eficaz no tratamento de dor pélvica crônica? ¿El bloqueo del plexo hipogástrico superior es eficaz en el tratamiento del dolor pélvico crónico? Is superior hypogastric plexus block effective for treatment of chronic pelvic pain?

    Directory of Open Access Journals (Sweden)

    André P Schmidt

    2005-12-01

    Full Text Available JUSTIFICATIVA E OBJETIVOS: O bloqueio do plexo hipogástrico tem sido apresentado como uma alternativa segura e eficaz no tratamento de pacientes portadores de dor pélvica crônica. Os estudos publicados e disponíveis no MedLine, abordando este tema, foram incluídos e analisados nesta revisão. CONTEÚDO: Alguns estudos documentaram a eficácia do bloqueio do plexo hipogástrico superior em reduzir a intensidade da dor e o consumo de opióides, principalmente em pacientes com câncer. No entanto, os estudos apresentam falhas em seus métodos ou desenhos. CONCLUSÕES: Novos estudos prospectivos melhor conduzidos ainda são necessários para ratificar a efetividade do bloqueio do plexo hipogástrico no alívio de condições dolorosas pélvicas. Esses estudos devem possuir critérios de inclusão mais rigorosos, seguimento mais prolongado, avaliação de outros sintomas e da qualidade de vida antes e após o procedimento. O bloqueio do plexo hipogástrico superior deve ser recomendado como uma alternativa e não como terapêutica principal.JUSTIFICATIVA Y OBJETIVOS: El bloqueo del plexo hipogástrico ha sido presentado como una alternativa segura y eficaz en el tratamiento de pacientes portadores de dolor pélvico crónico. Los estudios publicados y disponibles en el MedLine, abordando este tema, fueron incluidos y analizados en esta revisión. CONTENIDO: Algunos estudios documentaron la eficacia del bloqueo del plexo hipogástrico superior en reducir la intensidad del dolor y el consumo de opioides, principalmente en pacientes con cáncer. Sin embargo, los estudios presentan fallas en sus métodos o dibujos. CONCLUSIONES: Aún son necesarios nuevos estudios prospectivos y mejor conducidos, para poder ratificar la efectividad del bloqueo del plexo hipogástrico en el alivio de condiciones dolorosas pélvicas. Esos estudios deben poseer criterios de inclusión más rigurosos, seguimiento más prolongado, evaluación de otros síntomas y de la

  13. 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...

  14. 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

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    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.

  15. 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

  16. Repeat analysis of intraoral digital imaging performed by undergraduate students using a complementary metal oxide semiconductor sensor: An institutional case study

    Science.gov (United States)

    Rahman, Nur Liyana Abdul; Asri, Amiza Aqiela Ahmad; Othman, Noor Ilyani; Wan Mokhtar, Ilham

    2017-01-01

    Purpose This study was performed to quantify the repeat rate of imaging acquisitions based on different clinical examinations, and to assess the prevalence of error types in intraoral bitewing and periapical imaging using a digital complementary metal-oxide-semiconductor (CMOS) intraoral sensor. Materials and Methods A total of 8,030 intraoral images were retrospectively collected from 3 groups of undergraduate clinical dental students. The type of examination, stage of the procedure, and reasons for repetition were analysed and recorded. The repeat rate was calculated as the total number of repeated images divided by the total number of examinations. The weighted Cohen's kappa for inter- and intra-observer agreement was used after calibration and prior to image analysis. Results The overall repeat rate on intraoral periapical images was 34.4%. A total of 1,978 repeated periapical images were from endodontic assessment, which included working length estimation (WLE), trial gutta-percha (tGP), obturation, and removal of gutta-percha (rGP). In the endodontic imaging, the highest repeat rate was from WLE (51.9%) followed by tGP (48.5%), obturation (42.2%), and rGP (35.6%). In bitewing images, the repeat rate was 15.1% and poor angulation was identified as the most common cause of error. A substantial level of intra- and interobserver agreement was achieved. Conclusion The repeat rates in this study were relatively high, especially for certain clinical procedures, warranting training in optimization techniques and radiation protection. Repeat analysis should be performed from time to time to enhance quality assurance and hence deliver high-quality health services to patients. PMID:29279822

  17. Accuracy and precision of polyurethane dental arch models fabricated using a three-dimensional subtractive rapid prototyping method with an intraoral scanning technique

    OpenAIRE

    Kim, Jae-Hong; Kim, Ki-Baek; Kim, Woong-Chul; Kim, Ji-Hwan; Kim, Hae-Young

    2014-01-01

    Objective 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. Methods 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 techn...

  18. Absorbed organ and effective doses from digital intra-oral and panoramic radiography applying the ICRP 103 recommendations for effective dose estimations.

    Science.gov (United States)

    Granlund, Christina; Thilander-Klang, Anne; Ylhan, Betȕl; Lofthag-Hansen, Sara; Ekestubbe, Annika

    2016-10-01

    During dental radiography, the salivary and thyroid glands are at radiation risk. In 2007, the International Commission on Radiological Protection (ICRP) updated the methodology for determining the effective dose, and the salivary glands were assigned tissue-specific weighting factors for the first time. The aims of this study were to determine the absorbed dose to the organs and to calculate, applying the ICRP publication 103 tissue-weighting factors, the effective doses delivered during digital intraoral and panoramic radiography. Thermoluminescent dosemeter measurements were performed on an anthropomorphic head and neck phantom. The organ-absorbed doses were measured at 30 locations, representing different radiosensitive organs in the head and neck, and the effective dose was calculated according to the ICRP recommendations. The salivary glands and the oral mucosa received the highest absorbed doses from both intraoral and panoramic radiography. The effective dose from a full-mouth intraoral examination was 15 μSv and for panoramic radiography, the effective dose was in the range of 19-75 μSv, depending on the panoramic equipment used. The effective dose from a full-mouth intraoral examination is lower and that from panoramic radiography is higher than previously reported. Clinicians should be aware of the higher effective dose delivered during panoramic radiography and the risk-benefit profile of this technique must be assessed for the individual patient. The effective dose of radiation from panoramic radiography is higher than previously reported and there is large variability in the delivered radiation dosage among the different types of equipment used.

  19. Dental measurements and Bolton index reliability and accuracy obtained from 2D digital, 3D segmented CBCT, and 3d intraoral laser scanner

    Science.gov (United States)

    San José, Verónica; Bellot-Arcís, Carlos; Tarazona, Beatriz; Zamora, Natalia; O Lagravère, Manuel

    2017-01-01

    Background To compare the reliability and accuracy of direct and indirect dental measurements derived from two types of 3D virtual models: generated by intraoral laser scanning (ILS) and segmented cone beam computed tomography (CBCT), comparing these with a 2D digital model. Material and Methods One hundred patients were selected. All patients’ records included initial plaster models, an intraoral scan and a CBCT. Patients´ dental arches were scanned with the iTero® intraoral scanner while the CBCTs were segmented to create three-dimensional models. To obtain 2D digital models, plaster models were scanned using a conventional 2D scanner. When digital models had been obtained using these three methods, direct dental measurements were measured and indirect measurements were calculated. Differences between methods were assessed by means of paired t-tests and regression models. Intra and inter-observer error were analyzed using Dahlberg´s d and coefficients of variation. Results Intraobserver and interobserver error for the ILS model was less than 0.44 mm while for segmented CBCT models, the error was less than 0.97 mm. ILS models provided statistically and clinically acceptable accuracy for all dental measurements, while CBCT models showed a tendency to underestimate measurements in the lower arch, although within the limits of clinical acceptability. Conclusions ILS and CBCT segmented models are both reliable and accurate for dental measurements. Integration of ILS with CBCT scans would get dental and skeletal information altogether. Key words:CBCT, intraoral laser scanner, 2D digital models, 3D models, dental measurements, reliability. PMID:29410764

  20. 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.

  1. Systematic review and meta-analysis of randomized controlled trials evaluating intraoral orthopedic appliances for temporomandibular disorders.

    Science.gov (United States)

    Fricton, James; Look, John O; Wright, Edward; Alencar, Francisco G P; Chen, Hong; Lang, Maureen; Ouyang, Wei; Velly, Ana Miriam

    2010-01-01

    To conduct a systematic review with meta-analysis of randomized controlled trials (RCTs) that have assessed the efficacy of intraoral orthopedic appliances to reduce pain in patients with temporomandibular disorders affecting muscle and joint (TMJD) compared to subjects receiving placebo control, no treatment, or other treatments. A search strategy of MEDLINE, the Cochrane Library, the Cochrane CENTRAL Register, and manual search identified all English language publications of RCTs for intraoral appliance treatment of TMJD pain during the years of January 1966 to March 2006. Two additional studies from 2006 were added during the review process. Selection criteria included RCTs assessing the efficacy of hard and soft stabilization appliances, anterior positioning appliances, anterior bite appliances, and other appliance types for TMJD pain. Pain relief outcome measures were used in the meta-analyses, and the QUORUM criteria for data abstraction were used. A quality analysis of the methods of each RCT was conducted using the CONSORT criteria. The review findings were expressed both as a qualitative review and, where possible, as a mathematical synthesis using meta-analysis of results. A total of 47 publications citing 44 RCTs with 2,218 subjects were included. Ten RCTs were included in two meta-analyses. In the first meta-analysis of seven studies with 385 patients, a hard stabilization appliance was found to improve TMJD pain compared to non-occluding appliance. The overall odds ratio (OR) of 2.46 was statistically significant (P = .001), with a 95% confidence interval of 1.56 to 3.67. In the second meta-analysis of three studies including 216 patients, a hard stabilization appliance was found to improve TMJD pain compared to no-treatment controls. The overall OR of 2.15 was positive but not statistically significant, with a 95% confidence interval of 0.80 to 5.75. The quality (0 to 1) of the studies was moderate, with a mean of 55% of quality criteria being met

  2. Evaluation of effective dose equivalent on student's practice on intra-oral dental radiography

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    Wada, Shin-ichi; Hayama, Kazuhide; Toyama, Michio; Takase, Hiroshi (Nippon Dental Univ., Tokyo (Japan))

    1991-12-01

    We tried to discuss the problems on radiological protection of students in the practice of technique of intra-oral radiography with use of classmates. This radiographic practice has been performed after the technical training use of 'DXTTR' as a preclinical training. The practice was performed as training to take peri-apical, bite-wing, occlusal and eccentric projections. The mean film numbers which were used to complete those technique were 56 films. In these practice, dosimetries were performed on six locations of the body surface of every student who was taken radiograms using thermoluminescent dosimeters (TLD). The measured locations were orbit, bilateral submandible, neck, chest and abdomen. The effective dose equivalent was estimated using weighting factors of International Comission on Radiological Protection (ICRP) pub. 26 and the values of tissue dose equivalent obtained by TLD measurements. The results showed that the mean value of dose equivalent of each part was 5.40 mSv at orbit, 5.06 mSv at submandible, 0.75 mSv at neck, 0.04 mSv at chest and 0.02 mSv at abdomen. The maximum value of effective equivalent dose was 17.03 mSv which was lower than the dose equivalent limit for workers (50 mSv/year) recommended by ICRP pub. 26. The mean value of effective dose equivalent was 2.36 mSv. ICRP recommended the radiation protection for students aged 18 years or over that the procedures for restricting exposure should be broadly similar to those for occupational exposure. So the results indicate that those training was considered to be controlled in some reasonable level. The mean value of risk was estimated to be 3.94 x 10{sup -5}. Because intra-oral radiographic training with use of classmates is performed under extreme non-uniform irradiation, the evaluation of effective dose equivalent was considered to be important to control this special educational exposure and useful for optimization of the educational programs of radiographic technical training

  3. 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.

  4. 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)

  5. Comparison of clinical values between cone beam computed tomography and conventional intraoral radiography in periodontal and infrabony defect assessment.

    Science.gov (United States)

    Suphanantachat, Supreda; Tantikul, Keenna; Tamsailom, Suphot; Kosalagood, Pasupen; Nisapakultorn, Kanokwan; Tavedhikul, Kanoknadda

    2017-08-01

    The use of CBCT for periodontal diagnosis and treatment plan is limited. The aim of this study is to compare the assessment of periodontal conditions and infrabony defects between conventional intraoral radiography (IOR) and CBCT. The study included 25 subjects who had periodontitis and at least two infrabony defects. All subjects received clinical periodontal examination, IOR and CBCT. Three periodontists assigned periodontal diagnosis and prognosis of each tooth. For teeth with infrabony defects, the number of defect walls and treatment was determined. IOR and CBCT assessment was compared. There were 666 teeth and 123 infrabony defects. The overall concordance between IOR and CBCT for periodontal diagnosis, prognosis, infrabony defect type and infrabony defect treatment were 79.3%, 69.5%, 44.7% and 64.2%, respectively. IOR underestimated diagnosis, prognosis and the number of infrabony defect walls at 16.4%, 24% and 37.4%, respectively. IOR and CBCT had poor concordance for periodontal regeneration (43.3%). Tooth extraction was more prevalent when assessed by CBCT (35.0% vs 22.7%). CBCT had excellent interexaminer agreement (Fleiss' kappa 0.87-0.94) and higher percentage of complete agreement among examiners than IOR for all assessments. IOR underestimated the severity and prognosis of periodontal disease. CBCT was superior to IOR for evaluation of infrabony defect morphology and treatment. CBCT provides excellent agreement among examiners on periodontal and infrabony defect assessment.

  6. 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.

  7. Diagnostic Accuracy of Image Enhancement in Intra-Oral Direct Digital Radiography in the Assessment of Interproximal Caries

    Directory of Open Access Journals (Sweden)

    Farzad Esmaeili

    2016-07-01

    Full Text Available Background The first commercial system for digital radiography was introduced in 1987, and it has evolved a great deal since then. Currently, it is possible to enhance images in digital radiography. Objectives The aim of this study is to evaluate the diagnostic accuracy of image enhancement in direct digital radiography as it relates to interproximal carries assessment. Materials and Methods Following extraction, 50 human teeth were kept in acidic gel (methyl cellulose + acetate buffer PH = 4.8 for 42 days at 37°C to cause caries before mounting. Direct digital radiography was then taken. Two filters were used: sharpen and emboss. Three radiologists evaluated the images with two weeks interval. The histologic assessments were gold standard. Additionally, SPSS 20 was used to draw an ROC curve and calculate AUC. Cohen’s kappa and interclass correlation coefficient (ICC were used to measure intra- and inter-observer reliability. Results For the emboss filter, sensitivity was 95%, specificity was 100%, and accuracy was 96%. For the sharpen filter, sensitivity was 88%, specificity was 100%, and accuracy was 90%. Also, the AUC for the emboss filter was 0.97, and it was 0.94 for the sharpen filter. Cohen’s simple kappa was in the range of excellent. Conclusions Using these filters in intra-oral direct digital radiography (especially the emboss filter can help some clinicians to increase diagnostic accuracy in the assessment of inter proximal caries of posterior teeth.

  8. In Vitro Comparison of D and F Speed Intraoral Radiographic Films in the Detection of Proximal Caries

    Directory of Open Access Journals (Sweden)

    Aliehsadat Javadzadeh

    2013-01-01

    Full Text Available Introduction: The use of fast films is one of the major factors contributing to dose reduction. However, the diagnostic ability of fast film must be determined before current use of the films. The purpose of this study was to compare the efficiency of D and F speed films in the diagnosis of proximal caries.Materials & Methods: Eighty proximal surfaces in 40 extracted unrestored premolars were undergone radiography in standardized conditions using D- and F-speed flowdental intraoral films. True caries diagnosis was based on histological assessment of the surfaces after sectioning the teeth. Two observers read the radiographs using a four-point scale to record their diagnosis. Observer responses were evaluated using ROC analysis and areas under the ROC Curves (Az was microscopical assessed by pairwise comparison of ROC Curve.Results: D and F speed films had a mean Az of 0.934 and 0.920 respectively. The difference was not statistically significant (P=0.548 Difference between observers was also not statistically significant.Conclusion: The efficiency of the new F-Speed films was not statistically different from that D Speed films in caries detection. This film shows the ability of reducing patient’s dose while maintaining diagnostic quality.

  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. Validity, reliability, and reproducibility of the iOC intraoral scanner: a comparison of tooth widths and Bolton ratios.

    Science.gov (United States)

    Naidu, Devan; Freer, Terrence J

    2013-08-01

    The objectives of this study were to determine the validity, reliability, and reproducibility of the iOC intraoral scanner (Cadent, Carlstadt, NJ) and its associated OrthoCAD software (Cadent) in measuring tooth widths and deriving Bolton ratios. Thirty subjects had impressions taken of their teeth and rendered as stone casts. In addition, their mouths were scanned with the iOC and the scans were converted into digital models. Tooth widths were measured with a digital caliper from the physical models and with the OrthoCAD software from the virtual models. Bolton ratios were derived using the data from each method. Validity was assessed with a paired t test, reliability with the Pearson correlation coefficient, and reproducibility with the intraclass correlation coefficient. Although there were statistically significant differences between mean tooth widths (P = 0.0083) and Bolton ratios (P = 0.0354 and P orthodontic aid. Copyright © 2013 American Association of Orthodontists. Published by Mosby, Inc. All rights reserved.

  11. 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.

  12. 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 stability in patients with skeletal Class III malocclusion. Copyright © 2018. Published by Elsevier Inc.

  13. 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.

  14. [Intra-oral digital photography with the non professional camera--simplicity and effectiveness at a low price].

    Science.gov (United States)

    Sackstein, M

    2006-10-01

    Over the last five years digital photography has become ubiquitous. For the family photo album, a 4 or 5 megapixel camera costing about 2000 NIS will produce satisfactory results for most people. However, for intra-oral photography the common wisdom holds that only professional photographic equipment is up to the task. Such equipment typically costs around 12,000 NIS and includes the camera body, an attachable macro lens and a ringflash. The following article challenges this conception. Although professional equipment does produce the most exemplary results, a highly effective database of clinical pictures can be compiled even with a "non-professional" digital camera. Since the year 2002, my clinical work has been routinely documented with digital cameras of the Nikon CoolPix series. The advantages are that these digicams are economical both in price and in size and allow easy transport and operation when compared to their expensive and bulky professional counterparts. The details of how to use a non-professional digicam to produce and maintain an effective clinical picture database, for documentation, monitoring, demonstration and professional fulfillment, are described below.

  15. Raquianestesia total após bloqueio do plexo lombar por via posterior: relato de caso Raquianestesia total después del bloqueo del plexo lumbar por vía posterior: relato de caso Total spinal block after posterior lumbar plexus blockade: case report

    Directory of Open Access Journals (Sweden)

    Leonardo Teixeira Domingues Duarte

    2006-10-01

    anestesiologista conhecimento minucioso da anatomia, treinamento na técnica e vigilância constante.JUSTIFICATIVA Y OBJETIVOS: El bloqueo del plexo lumbar puede ser bastante útil en procedimientos quirúrgicos de la cadera, del muslo y de la rodilla, pero exige práctica del anestesiólogo teniendo en cuenta sus potenciales complicaciones. El presente relato tiene como objetivos presentar un caso de raquianestesia total después del bloqueo del plexo lumbar por la vía posterior y discutir el probable mecanismo fisiopatológico. RELATO DEL CASO: Paciente del sexo masculino, 34 años, 97 kg, estado físico ASA I, programado para artroplastia total de la cadera. Fue realizada anestesia general seguida de bloqueo del plexo lumbar derecho por la vía posterior con auxilio de estimulador de nervio periférico. La aguja fue introducida hasta una profundidad de 8 cm, perpendicular a la piel, y a una distancia de 4 cm de la línea media sobre una línea perpendicular al proceso espinoso de L4. Después de la identificación de respuesta motora en el cuadriceps, la intensidad de la corriente de estimulación se redujo hasta 0,35 mA, siendo entonces administrada ropivacaína a 0,5% (39 mL. Durante la inyección, fueron verificadas contracciones intermitentes del cuadriceps. Después del bloqueo, el paciente evolucionó con apnea, hipotensión arterial y midriasis bilateral. Al final de la cirugía, presentaba bloqueo motor en los dos miembros inferiores que solo mejoró nueve horas después de la realización del bloqueo. En el postoperatorio, el paciente se quejó de dolor intenso, recibiendo alta hospitalaria 12 días después de la cirugía sin anormalidades motora o sensitiva. CONCLUSIONES: La identificación del compartimento del psoas, donde está el plexo lumbar, exige la utilización de intensidad de corriente entre 0,5 e 1 mA. La incidencia de respuesta motora con bajas corrientes puede indicar posicionamiento de la aguja dentro del recubrimiento que envuelve la raíz nerviosa y

  16. 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

  17. 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

  18. The importance of team work of cytologist and surgeon in preoperative diagnosis of intraoral minor salivary gland tumours.

    Science.gov (United States)

    Ostović, Karmen Trutin; Luksić, Ivica; Virag, Miso; Macan, Darko; Müllers, Danko; Manojlović, Spomenka

    2012-11-01

    Tumours arising from oral minor salivary glands may exhibit an overlap of clinical and morphological features that may produce diagnostic and therapeutic dilemmas. The aim of this study is to asses the value of fine needle aspiration cytology (FNAC) in differentiation of benign and malignant tumours and to render a specific diagnosis. We evaluated the team work of surgeon and cytologist to improve diagnostic accuracy. Two steps are important for accuracy: sampling aspirate that should be done together by surgeon and cytologist and cytological microscopic analysis of the smears that should be performed by an experienced cytologist. The study included 132 patients with intraoral minor salivary gland tumours between 2002 and 2011. Adequate material was obtained from 121 (91.7%) patients. FNAC was usually performed by cytologist in a team with maxillofacial surgeon at cytology department that is more convenient for preparing the samples and especially for ROSE procedure (rapid-on site evaluation) of smears. In such a way the cytologist checked the adequacy of samples and decided whether some ancillary techniques should be used and therefore repeat FNAC. A total of 82 patients underwent surgery, 40 with malignant and 42 with benign tumours. Preoperative cytological diagnoses were compared with histopathological ones using histopathology as a gold standard. The most common benign tumour was pleomorphic adenoma and among malignant tumours adenoid cystic carcinoma. The most commonly affected site was the palate. The team work of surgeon and cytologist achieved specificity of 95.1%, sensitivity of 97.6% and diagnostic accuracy of 96.3%. We can conclude that although subclassification of some tumour types of salivary glands remains poor, FNAC is invaluable in patient triage and therefore should be considered in the first line investigations of these lesions by the cytologist and surgeon.

  19. An Arch-Shaped Intraoral Tongue Drive System with Built-in Tongue-Computer Interfacing SoC

    Directory of Open Access Journals (Sweden)

    Hangue Park

    2014-11-01

    Full Text Available We present a new arch-shaped intraoral Tongue Drive System (iTDS designed to occupy the buccal shelf in the user’s mouth. The new arch-shaped iTDS, which will be referred to as the iTDS-2, incorporates a system-on-a-chip (SoC that amplifies and digitizes the raw magnetic sensor data and sends it wirelessly to an external TDS universal interface (TDS-UI via an inductive coil or a planar inverted-F antenna. A built-in transmitter (Tx employs a dual-band radio that operates at either 27 MHz or 432 MHz band, according to the wireless link quality. A built-in super-regenerative receiver (SR-Rx monitors the wireless link quality and switches the band if the link quality is below a predetermined threshold. An accompanying ultra-low power FPGA generates data packets for the Tx and handles digital control functions. The custom-designed TDS-UI receives raw magnetic sensor data from the iTDS-2, recognizes the intended user commands by the sensor signal processing (SSP algorithm running in a smartphone, and delivers the classified commands to the target devices, such as a personal computer or a powered wheelchair. We evaluated the iTDS-2 prototype using center-out and maze navigation tasks on two human subjects, which proved its functionality. The subjects’ performance with the iTDS-2 was improved by 22% over its predecessor, reported in our earlier publication.

  20. Applying psychological theory to evidence-based clinical practice: identifying factors predictive of taking intra-oral radiographs.

    Science.gov (United States)

    Bonetti, Debbie; Pitts, Nigel B; Eccles, Martin; Grimshaw, Jeremy; Johnston, Marie; Steen, Nick; Glidewell, Liz; Thomas, Ruth; Maclennan, Graeme; Clarkson, Jan E; Walker, Anne

    2006-10-01

    This study applies psychological theory to the implementation of evidence-based clinical practice. The first objective was to see if variables from psychological frameworks (developed to understand, predict and influence behaviour) could predict an evidence-based clinical behaviour. The second objective was to develop a scientific rationale to design or choose an implementation intervention. Variables from the Theory of Planned Behaviour, Social Cognitive Theory, Self-Regulation Model, Operant Conditioning, Implementation Intentions and the Precaution Adoption Process were measured, with data collection by postal survey. The primary outcome was the number of intra-oral radiographs taken per course of treatment collected from a central fee claims database. Participants were 214 Scottish General Dental Practitioners. At the theory level, the Theory of Planned Behaviour explained 13% variance in the number of radiographs taken, Social Cognitive Theory explained 7%, Operant Conditioning explained 8%, Implementation Intentions explained 11%. Self-Regulation and Stage Theory did not predict significant variance in radiographs taken. Perceived behavioural control, action planning and risk perception explained 16% of the variance in number of radiographs taken. Knowledge did not predict the number of radiographs taken. The results suggest an intervention targeting predictive psychological variables could increase the implementation of this evidence-based practice, while influencing knowledge is unlikely to do so. Measures which predicted number of radiographs taken also predicted intention to take radiographs, and intention accounted for significant variance in behaviour (adjusted R(2)=5%: F(1,166)=10.28, ptheory-based approach enabled the creation of a methodology that can be replicated for identifying factors predictive of clinical behaviour and for the design and choice of interventions to modify practice as new evidence emerges.

  1. Influence of thickness increase of intraoral autopolymerizing hard denture base liners on the temperature rise during the polymerization process.

    Science.gov (United States)

    Dimiou, Anna Maria; Michalakis, Konstantinos; Pissiotis, Argirios

    2014-06-01

    Increasing the thickness of intraoral autopolymerizing hard denture base liners may result in a temperature rise and a burning sensation for patients. The purpose of the study was to determine whether increasing the thickness of hard autopolymerizing reline resin increases the temperature of the basal seat area of a denture during the polymerization process. Four polyethyl methacrylate and 1 polymethyl methacrylate autopolymerizing reline resin products of 3 different thicknesses were tested. A cobalt-chromium edentulous maxillary cast was used to obtain 150 stone casts, 50 for each thickness of 1, 2, and 3 mm (n=10). Polystyrene record bases were filled with the autopolymerizing reline resin mixture and placed on the cobalt-chromium cast, which was mounted on a reline index, to serve as denture substitutes. Two thermal probes were used to monitor the temperature rise, which was recorded at 30-second intervals until no further increase was noted. Collected data were subjected to a 2-way ANOVA and the Tukey honestly significant difference test (α=.05). The mean temperature increase for the chairside denture reline procedure ranged from 39.45°C for the 1-mm thickness to 46.10°C for the 3-mm thickness. The 2-way ANOVA found significant differences (Pbase liner produced a significantly higher (P<.001) exothermic reaction than the other materials included in this study. One of the polyethyl methacrylate resins presented a higher exothermic reaction than the polymethyl methacrylate product at a 3-mm thickness, but the difference was not statistically significant. The polymethyl methacrylate resin presented the highest mean time to reach the maximum temperature for all 3 thicknesses. Copyright © 2014 Editorial Council for the Journal of Prosthetic Dentistry. Published by Elsevier Inc. All rights reserved.

  2. Evaluation of a mucoadhesive fenretinide patch for local intraoral delivery: a strategy to reintroduce fenretinide for oral cancer chemoprevention

    Science.gov (United States)

    Holpuch, Andrew S.; Phelps, Maynard P.; Desai, Kashappa-Goud H.; Chen, Wei; Koutras, George M.; Han, Byungdo B.; Warner, Blake M.; Pei, Ping; Seghi, Garrett A.; Tong, Meng; Border, Michael B.; Fields, Henry W.; Stoner, Gary D.; Larsen, Peter E.; Liu, Zhongfa; Schwendeman, Steven P.; Mallery, Susan R.

    2012-01-01

    Systemic delivery of fenretinide in oral cancer chemoprevention trials has been largely unsuccessful due to dose-limiting toxicities and subtherapeutic intraoral drug levels. Local drug delivery, however, provides site-specific therapeutically relevant levels while minimizing systemic exposure. These studies evaluated the pharmacokinetic and growth-modulatory parameters of fenretinide mucoadhesive patch application on rabbit buccal mucosa. Fenretinide and blank-control patches were placed on right/left buccal mucosa, respectively, in eight rabbits (30 min, q.d., 10 days). No clinical or histological deleterious effects occurred. LC-MS/MS analyses of post-treatment samples revealed a delivery gradient with highest fenretinide levels achieved at the patch-mucosal interface (no metabolites), pharmacologically active levels in fenretinide-treated oral mucosa (mean: 5.65 μM; trace amounts of 4-oxo-4-HPR) and undetectable sera levels. Epithelial markers for cell proliferation (Ki-67), terminal differentiation (transglutaminase 1—TGase1) and glucuronidation (UDP-glucuronosyltransferase1A1—UGT1A1) exhibited fenretinide concentration-specific relationships (elevated TGase1 and UGT1A1 levels 5μM) relative to blank-treated epithelium. All fenretinide-treated tissues showed significantly increased intraepithelial apoptosis (TUNEL) positivity, implying activation of intersecting apoptotic and differentiation pathways. Human oral mucosal correlative studies showed substantial interdonor variations in levels of the enzyme (cytochrome P450 3A4—CYP3A4) responsible for conversion of fenretinide to its highly active metabolite, 4-oxo-4-HPR. Complementary in vitro assays in human oral keratinocytes revealed fenretinide and 4-oxo-4-HPR’s preferential suppression of DNA synthesis in dysplastic as opposed to normal oral keratinocytes. Collectively, these data showed that mucoadhesive patch-mediated fenretinide delivery is a viable strategy to reintroduce a compound known to

  3. 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.

  4. Anatomically Based Outcome Predictors of Treatment for Obstructive Sleep Apnea with Intraoral Splint Devices: A Systematic Review of Cephalometric Studies

    Science.gov (United States)

    Guarda-Nardini, Luca; Manfredini, Daniele; Mion, Marta; Heir, Gary; Marchese-Ragona, Rosario

    2015-01-01

    Aims: The aim of this review is to summarize data from the literature on the predictive value of anatomy-based parameters, as identified by cephalometry, for the efficacy of mandibular advancement devices (MAD) for the treatment of obstructive sleep apnea (OSA). Methods: Articles were initially selected based on their titles or abstracts. Full articles were then retrieved and further scrutinized according to predetermined criteria. Reference lists of selected articles were searched for any missed publications. The selected articles were methodologically evaluated. Results: Of an initial 311 references, 13 were selected that assessed correlations between polysomnographic and cephalometric variables. The majority of studies demonstrated a correlation between treatment effectiveness and features as determined by cephalometric analysis, such as the mandibular plane angle, hyoid bone distance to mandible, antero-posterior diameter of the maxilla, tongue area, cranial base, and soft palate. Conclusions: The mandibular plane angle and the distance between hyoid bone and mandibular plane was found to have a predictive value for MAD effectiveness in OSA patients. However, the relative weak and somewhat inconsistent cephalometric data suggest that decisions based solely on these factors cannot be recommended, especially because an integrated analysis of other risk factors (e.g., age, sex, BMI) should also be taken into account. Citation: Guarda-Nardini L, Manfredini D, Mion M, Heir G, Marchese-Ragona R. Anatomically based outcome predictors of treatment for obstructive sleep apnea with intraoral splint devices: a systematic review of cephalometric studies. J Clin Sleep Med 2015;11(11):1327–1334. PMID:25979102

  5. 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.

  6. 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.

  7. 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.

  8. Effect of using an intra-oral camera as a reinforcement tool for plaque control in a supervised toothbrushing program: An interventional study

    Directory of Open Access Journals (Sweden)

    Priyanka Machale

    2016-01-01

    Full Text Available Introduction: Supervised toothbrushing program at schools have indicated limited improvement in oral hygiene among children. Aim: The aim of this study is to evaluate whether the use of an intra-oral camera as a reinforcement tool in a supervised tooth brushing program at school can improve plaque control. Materials and Methods: A double-blind, parallel, two arm interventional study was conducted among 120 school children from 2 schools, aged 12-year in Pune. The study group received an intervention of supervised toothbrushing and reinforcement sessions for 30 days using intra-oral camera. The control group received only supervised toothbrushing. Evaluation for plaque control was performed at the end of 30 days, 3 months, 6 months, and 12 months. Analysis of co-variance was used to find the intergroup difference at different time intervals. Analysis of variance was used to find the intragroup differences of the plaque scores. Post hoc Bonferroni test was used to find the pairwise changes in plaque scores between different time intervals. Results: In the study group, the mean plaque score was reduced to a significant extent from baseline to 30 days and 3 months (P < 0.05 and then the plaque score remained stable until the end of 12 months. While in the control group, the plaque score increased compared to baseline. There was a statistically significant difference between the mean plaque scores of study and control group at each time interval (P < 0.05. Conclusion: Intra-oral camera can be effectively used as a reinforcement tool in supervised toothbrushing program at school for achieving higher plaque reduction.

  9. Diagnostic accuracy of small volume cone beam computed tomography and intraoral periapical radiography for the detection of simulated external inflammatory root resorption.

    Science.gov (United States)

    Durack, C; Patel, S; Davies, J; Wilson, R; Mannocci, F

    2011-02-01

    To compare in an ex vivo model the ability of digital intraoral radiography and cone beam computed tomography (CBCT) to detect simulated external inflammatory root resorption lesions, and to investigate the effect of altering the degree of rotation of the CBCT scanners X-ray source and imaging detector on the ability to detect the same lesions. Small and large simulated external inflammatory resorption (EIR) lesions were created on the roots of 10 mandibular incisor teeth from three human mandibles. Small volume CBCT scans with 180° and 360° of X-ray source rotation and periapical radiographs, using a digital photostimulable phosphor plate system, were taken prior to and after the creation of the EIR lesions. The teeth were relocated in their original sockets during imaging. Receiver operator characteristic (ROC) analysis and kappa tests of the reproducibility of the imaging techniques were carried out and sensitivity, specificity, positive and negative predictive values (PPV and NPV) were also determined for each technique. The overall area under the ROC curve (Az value) for intraoral radiography was 0.665, compared to Az values of 0.984 and 0.990 for 180° and 360° CBCT, respectively (Pradiography (Pperiapical radiography. The intra- and inter-examiner agreement was significantly better for CBCT than it was for intraoral radiography (Pperiapical radiographs (Pperiapical radiography. Small volume CBCT operating with 360° of rotation of the X-ray source and detector is no better at detecting small, artificially created EIR cavities than the same device operating with 180° of rotation. © 2010 International Endodontic Journal.

  10. Shear Bond Strength of Intraoral Laser Welding and its Effect on Intrapulpal Temperature Rise in Primary Teeth: An in Vitro Study.

    Science.gov (United States)

    Aglarci, Cahide; Yildiz, Esma; Isman, Eren; Kazak, Mine

    2016-03-01

    This study compared the shear bond strength (SBS) of conventional welding (CW) and intraoral laser welding (LW) on fixed space maintainers (SMs), and investigated the intrapulpal temperature change (ITC) during LW. Lasers have been used for intraoral welding. The SBS test used 26 molar bands divided into two groups, CW and LW. Stainless steel wires were welded to the middle of the buccal and lingual aspects of all the bands, using an Nd:YAG laser for the LW group and silver solder and flux soldering media for the CW group. The samples, fixed to acrylic resin blocks, were subjected to shear testing. In the ITC test, 25 exfoliated primary second molar teeth were used to adapt molar bands. J-type thermocouple wire was positioned in the pulp chamber. ITCs were determined during Nd:YAG laser welding of stainless steel wires to the bands. Mann-Whitney U test was used to determine differences in SBS between the groups. ITCs were analyzed by paired t test. The SBS between groups showed significant differences (LW: 489.47 ± 135.70; CW: 49.71 ± 17.76; p < 0.001). The mean ITC during LW was 3.64 ± 0.79 (min: 2.4; max: 5.10). None of the samples' ITCs exceeded the critical threshold value (5.5 °C). LW obtained a higher-strength joint than CW. ITCs during LW do not present a thermal risk to primary teeth. The intraoral use of LW for SMs in primary teeth is recommended in terms of strength and ITCs.

  11. 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.

  12. 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

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    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

  13. [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.

  14. Effects of Intraoral Ageing on Ultimate Tensile Strength and Surface Topography of Superelastic NiTi Wires from Two Different Manufacturers: A Comparative in vivo Study

    OpenAIRE

    A Pravin Devaprasad; T R Chandrasekaran

    2012-01-01

    Aim : The purpose of this study was to evaluate and compare the ultimate tensile strength/fracture resistance of superelastic NiTi wires from two manufacturers 3M Unitek and American orthodontics in as received condition, after 3 months and 6 months of intraoral use. The wires would also be evaluated for surface characteristics under a scanning electron microscope. Materials and methods: Superelastic NiTi wires of 0.016" from 3M Unitek were categorized as group I and from American orthodon...

  15. Bloqueio dos nervos ilioinguinal e iliohipogástrico guiado por ultra-sonografia associado à anestesia geral: relato de caso Bloqueo de los nervios íleoinguinal e íleohipogástrico guiado por ultrasonografía asociado a anestesia general: relato de caso Ultrasound-guided ileoinguinal and ileohypogastric nerve block associated with general anesthesia: case report

    Directory of Open Access Journals (Sweden)

    Diogo Brüggemann da Conceição

    2008-02-01

    Full Text Available JUSTIFICATIVA E OBJETIVOS: Procedimentos cirúrgicos realizados em regime ambulatorial estão se tornando mais freqüentes. O bloqueio dos nervos ilioinguinal e iliohipogástrico tem sido usado para analgesia pós-operatória de pacientes submetidos à herniorrafia inguinal em regime ambulatorial. A ultra-sonografia auxilia as técnicas de anestesia regional possibilitando mais precisão no depósito do anestésico local ao redor dos nervos. O objetivo deste relato foi apresentar um caso de bloqueio dos nervos ilioinguinal e iliohipogástrico guiado por ultra-sonografia em paciente agendado para herniorrafia inguinal em regime ambulatorial. RELATO DO CASO: Paciente do sexo masculino, 36 anos, 74 kg, estado físico ASA I, agendado para realização de herniorrafia inguinal. Foi realizado o bloqueio dos nervos ilioipogástrico e ilioinguinal guiado por ultra-sonografia com ropivacaína a 0,5% e, em seguida, realizada anestesia venosa total. O paciente recebeu alta hospitalar quatro horas após o procedimento com escore de dor avaliado pela Escala Analógica Verbal de 3. CONCLUSÕES: O bloqueio dos nervos iliohipogástrico e ilioinguinal guiado por ultra-sonografia em pacientes submetidos à herniorrafia inguinal em regime ambulatorial pode ser utilizado no auxílio do controle da dor pós-operatória.JUSTIFICATIVA Y OBJETIVOS: Procedimientos quirúrgicos realizados en régimen ambulatorial se están convirtiendo cada vez más frecuentes. El bloqueo de los nervios íleoinguinal e íleohipogástrico ha sido usado para la analgesia postoperatoria de pacientes sometidos a la herniorrafia inguinal en régimen ambulatorial. La ultrasonografía auxilia las técnicas de anestesia regional posibilitando una mayor precisión en el depósito del anestésico local el rededor de los nervios. El objetivo de este relato fue presentar un caso de bloqueo de los nervios íleoinguinal e íleohipogástrico guiado por ultrasonografía en paciente a realizar

  16. Comparison between intraoral indirect and conventional film-based imaging for the detection of dental root fractures: an ex vivo study.

    Science.gov (United States)

    Shintaku, Werner H; Venturin, Jaqueline S; Noujeim, Marcel; Dove, Stephen B

    2013-12-01

    Digital intraoral radiographic systems have been rapidly replacing conventional dental X-ray films for diagnosis of dental diseases. Current scientific literature supports the use of these digital systems for the detection of dental caries, periodontal bone loss, and periapical pathologies. However, relatively few studies have been published addressing the detection of dental root fractures. The purpose of this study was to compare the intraoral F-speed film (Insight) with two photostimulable phosphor (PSP) indirect digital systems (ScanX and Digora Optime) for the detection of simulated dental root fractures. Ten raters evaluated images acquired from 10 dry human cadaver mandibles under optimal viewing conditions. These data were analyzed by a 5-point receiver operating characteristic curve analysis for statistical differences. Sensitivity and specificity of these systems were also assessed. Since statistically significant difference between the systems was not observed, the results of this study agreeably support indirect digital PSP plates as an alternative to the evaluated conventional film for the detection of dental root fractures. © 2013 John Wiley & Sons A/S.

  17. A preliminary report on patient acceptance of a novel intra-oral lubricating device for the management of radiotherapy-related xerostomia.

    Science.gov (United States)

    Kam, Andrew Y L; McMillan, Anne S; Pow, Edmond H N; Leung, Katherine C M; Luk, Henry W K

    2005-09-01

    Management of radiotherapy-related xerostomia is difficult. Saliva substitutes are helpful but the effects are short-lived. The purpose of the study was to develop a prototype intra-oral lubricating device for the management of radiotherapy-related xerostomia and to evaluate patient acceptance. An intra-oral lubricating device was fabricated that incorporated a reservoir in the palatal vault and permitted slow release of saliva substitute by the patient. Preliminary clinical testing was done in five patients with radiotherapy-related xerostomia. A measure incorporating seven questions was used to explore patient acceptance. The device was simple to fabricate using materials available in a technical laboratory. All patients were able to wear the device for at least 4 h per day throughout the test period. The device was considered easy to use and clean. Some impairment of speech and chewing was noted although this appeared to be related to the bulkiness of the reservoir. General oral comfort was improved due to the lubricating effect. The bulk of the reservoir was reduced as a consequence of patient feedback. The design addressed key problems associated with previous lubricating systems. Patient reports on oral functioning with the device in situ provided pivotal information on the device's utility.

  18. An in vivo study to correlate the relationship of the extraoral and intraoral anatomical landmarks with the occlusal plane in dentulous subjects.

    Science.gov (United States)

    Jain, Ruchi; Shigli, Kamal

    2015-01-01

    The occlusal plane position is considered to be the primary link between esthetic and function. To evaluate the relationship between extraoral and intraoral soft tissue landmarks with the occlusal plane in dentulous subjects on both sides and to check for any variations. An in vivo study and 100 subjects with all healthy permanent teeth in normal arch and alignment were selected from Modern Dental College and Research Centre, Indore. Three custom made instruments (occlusal plane analyzer, buccinator groove relator, and level analyzer) were indigenously designed to check parallelism of the interpupillary line, ala-tragus line, buccinator groove with the occlusal plane. Relation of retromolar pad with the occlusal plane was checked with the metallic scale. Chi-square test. In 20.0% subjects, the occlusal plane was parallel to the interpupillary line. The posterior reference point for ala-tragus line was middle point on right side in 56% and left side in 58% subjects. Intraorally, right side 59% and left side 62% subjects had the occlusal plane at the same level as that of buccinator groove. Right side 48% and left side 45% subjects showed occlusal plane at the middle one-third of retromolar pad. The occlusal plane is not generally parallel to interpupillary line. The occlusal plane is parallel to the ala-tragus line with middle point of tragus as posterior reference point on right and left sides. Both sides, the buccinator groove and the middle one-third retromolar pad are coinciding with occlusal plane level.

  19. 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

  20. A study to determine the added value of 740 screening panoramic radiographs compared to intraoral radiography in the management of adult (>18 years) dentate patients in a primary care setting.

    Science.gov (United States)

    Rushton, Michael N; Rushton, Vivian E

    2012-08-01

    To measure the added value of panoramic radiography in new dentate patients attending for routine treatment. Thirty-seven general dental practitioners using panoramic radiographs routinely were recruited. Twenty dentate patients were identified prospectively by each participating dentist if they were new to the practice, attending for an examination and requesting any treatment deemed necessary. A panoramic radiograph was taken with appropriate intraoral radiographs in line with national guidelines. Each dentist completed a radiological report for the panoramic radiograph only and these 20 reports were forwarded to the researchers along with the 20 panoramic radiographs, their accompanying bitewing and periapical radiographs and twenty completed clinical assessment sheets. 740 panoramic, 1418 bitewing and 325 periapical radiographs were assessed by the researchers. Only 32 panoramic films provided any additional diagnostic value when compared to intraoral films when guidelines had been observed resulting from the poor technical and processing quality of the accompanying intraoral films. Assessment of the number of caries and periapical lesions and the degree of periodontal bone loss from the intraoral films provided a greater diagnostic yield at the ppanoramic radiographs in routine screening as there was no net diagnostic benefit to the patient. Copyright © 2012 Elsevier Ltd. All rights reserved.

  1. 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

  2. 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

  3. Evaluation of the RB-RB/LB-LB mnemonic rule for recording optimally projected intraoral images of dental implants: an in vitro study.

    Science.gov (United States)

    Schropp, L; Stavropoulos, A; Spin-Neto, R; Wenzel, A

    2012-05-01

    The aim of this study was to evaluate a simple mnemonic rule (the RB-RB/LB-LB rule) for recording intra-oral radiographs with optimal projection for the control of dental implants. 30 third-year dental students received a short lesson in the RB-RB/LB-LB mnemonic rule. The rule is as follows: if right blur then raise beam (RB-RB), i.e. if implant threads are blurred at the right side of the implant, the X-ray beam direction must be raised towards the ceiling to obtain sharp threads on both implant sides; if left blur then lower beam (LB-LB), i.e. if implant threads are blurred at the left side of the implant, the X-ray beam direction must be lowered towards the floor to obtain sharp threads on both implant sides. Intra-oral radiographs of four screw-type implants placed with different inclination in a Frasaco upper or lower jaw dental model (Frasaco GmbH, Tettnang, Germany) were recorded. The students were unaware of the inclination of the implants and were instructed to re-expose each implant, implementing the mnemonic rule, until an image of the implant with acceptable quality (subjectively judged by the instructor) was obtained. Subsequently, each radiograph was blindly assessed with respect to sharpness of the implant threads and assigned to one of four quality categories: (1) perfect, (2) not perfect, but clinically acceptable, (3) not acceptable and (4) hopeless. For all implants, from one non-perfect exposure to the following, a higher score was obtained in 64% of the cases, 28% received the same score and 8% obtained a lower score. Only a small variation was observed among exposures of implants with different inclination. On average, two exposures per implant (range: one to eight exposures) were needed to obtain a clinically acceptable image. The RB-RB/LB-LB mnemonic rule for recording intra-oral radiographs of dental implants with a correct projection was easy to implement by inexperienced examiners.

  4. 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

  5. The reliability and validity of measurements of human dental casts made by an intra-oral 3D scanner, with conventional hand-held digital callipers as the comparison measure.

    Science.gov (United States)

    Rajshekar, Mithun; Julian, Roberta; Williams, Anne-Marie; Tennant, Marc; Forrest, Alex; Walsh, Laurence J; Wilson, Gary; Blizzard, Leigh

    2017-09-01

    Intra-oral 3D scanning of dentitions has the potential to provide a fast, accurate and non-invasive method of recording dental information. The aim of this study was to assess the reliability of measurements of human dental casts made using a portable intra-oral 3D scanner appropriate for field use. Two examiners each measured 84 tooth and 26 arch features of 50 sets of upper and lower human dental casts using digital hand-held callipers, and secondly using the measuring tool provided with the Zfx IntraScan intraoral 3D scanner applied to the virtual dental casts. The measurements were repeated at least one week later. Reliability and validity were quantified concurrently by calculation of intra-class correlation coefficients (ICC) and standard errors of measurement (SEM). The measurements of the 110 landmark features of human dental casts made using the intra-oral 3D scanner were virtually indistinguishable from measurements of the same features made using conventional hand-held callipers. The difference of means as a percentage of the average of the measurements by each method ranged between 0.030% and 1.134%. The intermethod SEMs ranged between 0.037% and 0.535%, and the inter-method ICCs ranged between 0.904 and 0.999, for both the upper and the lower arches. The inter-rater SEMs were one-half and the intra-method/rater SEMs were one-third of the inter-method values. This study demonstrates that the Zfx IntraScan intra-oral 3D scanner with its virtual on-screen measuring tool is a reliable and valid method for measuring the key features of dental casts. Copyright © 2017 Elsevier B.V. All rights reserved.

  6. Severe gummy smile with class II malocclusion treated with LeFort I osteotomy combined with horseshoe osteotomy and intraoral vertical ramus osteotomy.

    Science.gov (United States)

    Shimo, Tsuyoshi; Nishiyama, Akiyoshi; Jinno, Tokiari; Sasaki, Akira

    2013-01-01

    In this article, we report the successful surgical treatment of a patient, 34 years of age, who had a severe gummy smile and a class II malocclusion. The patient had an 11-mm gingival exposure during full smile and a convex profile. A LeFort I osteotomy combined with a horseshoe osteotomy was used for the superior repositioning of the maxilla;then, an intraoral vertical ramus osteotomy (IVRO) and genioplasty were performed for mandibular advancement. The maxilla was acceptably impacted 8mm at the first incisor and 5mm at the first molar. Both the occlusion and facial appearance were significantly improved by this surgical-orthodontic treatment. Our results suggest that the combination of a horseshoe osteotomy with a LeFort I osteotomy is a useful technique for reliable superior repositioning of the maxilla.

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

    Directory of Open Access Journals (Sweden)

    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.

  8. Estudo comparativo entre ultrassom e neuroestimulação no bloqueio do plexo braquial pela via axilar Estudio comparativo entre ultrasonido y neuroestimulación en el bloqueo del plexo braquial por la vía axilar A comparative study between ultrasound and neurostimulation guided axillary brachial plexus block

    Directory of Open Access Journals (Sweden)

    Diogo Brüggemann da Conceição

    2009-10-01

    Full Text Available JUSTIFICATIVA E OBJETIVOS: O uso do ultrassom em Anestesia Regional vem crescendo. Existem poucos estudos comparando o uso do ultrassom com a neuroestimulação. O objetivo deste estudo foi comparar a execução do bloqueio do plexo braquial pela via axilar guiado por neuroestimulação com dupla injeção e guiado por ultrassonografia em procedimentos cirúrgicos na mão. Para isto, foram comparados o tempo de realização, a taxa de sucesso e complicações. MÉTODO: Após a aprovação do Comitê de Ética em Pesquisa do Hospital Governador Celso Ramos foram selecionados 40 pacientes escalados para operações eletivas na mão com bloqueio de plexo braquial via axilar. Os pacientes foram distribuídos aleatoriamente eletronicamente em dois grupos de 20 pacientes: Grupo Neuroestimulação (NE e Grupo Ultrassonografia (US. Foram comparados tempo de realização, taxa de sucesso e taxa de complicações. RESULTADOS: As taxas de bloqueio completo, falha parcial e falha total não apresentaram diferença estatística significativa entre os grupos US e NE. O tempo médio para realização do procedimento no grupo US (354 segundos não apresentou diferença estatística significativa quando comparado ao grupo NE (381 segundos. Pacientes do grupo NE apresentaram maior taxa de punção vascular (40% quando comparados ao grupo US (10%, p JUSTIFICATIVA Y OBJETIVOS: El uso del ultrasonido en Anestesia Regional ha venido creciendo. Existen pocos estudios comparando el uso del ultrasonido con la neuroestimulación. El objetivo de este estudio, fue comparar la ejecución del bloqueo del plexo braquial por la vía axilar, guiado por neuroestimulación con doble inyección y guiado por ultrasonido en procedimientos quirúrgicos en la mano. Para eso, se compararon el tiempo de realización, la tasa de éxito y las complicaciones. MÉTODO: Después de la aprobación por parte del Comité de Ética en Investigación del Hospital Governador Celso Ramos, se

  9. 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.

  10. 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.

  11. Bloqueio isquiático-femoral guiado por ultra-som para revisão de coto de amputação: relato de caso Bloqueo isquiático-femoral guiado por ultrasonido para revisión de muñón de amputación: relato de caso Ultrasound-guided sciatic-femoral block for revision of the amputation stump: case report

    Directory of Open Access Journals (Sweden)

    Pablo Escovedo Helayel

    2008-10-01

    Full Text Available JUSTIFICATIVA E OBJETIVOS: O emprego da ultra-sonografia na anestesia regional vem se tornando cada vez mais difundido pelo seu papel facilitador e pela sua eficácia. A visualização direta por meio da ultra-sonografia permite que se identifiquem os nervos periféricos, independentemente da capacidade de se obter estimulação sensitiva ou motora. RELATO DO CASO: Paciente submetido à revisão de coto de amputação no nível do joelho sob bloqueio isquiático-femoral guiado por ultra-som com 40 mL de ropivacaína a 0,5%, promovendo bloqueio sensitivo completo e anestesia cirúrgica de excelente qualidade. CONCLUSÕES: A assistência ultra-sonográfica é capaz de ampliar o espectro de utilização dos bloqueios periféricos nas intervenções cirúrgicas sobre membros amputados em situações em que a neuroestimulação não pode ser utilizada.JUSTIFICATIVA Y OBJETIVOS: El uso del ultrasonido en la anestesia regional se ha venido convirtiendo cada vez más en algo muy difundido por su rol de facilitador y por su eficacia. La visualización directa a través del ultrasonido permite que se identifiquen los nervios periféricos, independientemente de la capacidad de poder obtenerse una estimulación sensitiva o motora. RELATO DEL CASO: Paciente sometido a revisión de muñón de amputación al nivel de la rodilla bajo bloqueo isquiático-femoral guiado por ultrasonido con 40 mL de ropivacaína a 0,5%, promoviendo bloqueo sensitivo completo y anestesia quirúrgica de excelente calidad. CONCLUSIONES: La asistencia ultra sonográfica es capaz de ampliar el espectro de utilización de los bloqueos periféricos en las intervenciones quirúrgicas sobre miembros amputados en situaciones en que la neuro estimulación no puede ser utilizada.BACKGROUND AND OBJECTIVES: The use of ultrasound in regional blocks has become increasingly used because its role as a facilitator and its efficacy. Direct ultrasound visualization allows the identification of

  12. Intraoral external oblique ridge compared with transbuccal lateral cortical plate fixation for the treatment of fractures of the mandibular angle: prospective randomised trial.

    Science.gov (United States)

    Laverick, S; Siddappa, P; Wong, H; Patel, P; Jones, D C

    2012-06-01

    Since the initial description by Michelet et al. and research by Champy et al. the placement of a single, four-hole, monocortical, osteosynthesis plate has been considered an acceptable method of fixation for a fracture of the mandibular angle. We investigated the null hypothesis that there is no difference in the incidence of postoperative removal of an infected plate between miniplates placed on the mandibular external oblique ridge and those placed on the buccal surface of the mandible through a transbuccal approach to treat a fracture of the angle of the mandible. Patients were randomised to having their angle fractures treated with a ridge plate placed intraorally or transbucally. Other variables were investigated including the effect of smoking, drinking alcohol, oral hygiene, and the method of holding the reduction on removal of the plate, occlusal outcome, and degree of preoperative anatomical displacement and postoperative reduction. We also studied the operating time required for the two techniques, the effect of the presence and consequent removal of a wisdom tooth in the line of the fracture, and the effect of delay in taking the patient to theatre for subsequent removal of the plate for infection. Of the 261 angle fractures 34 (13%) plates were removed because of infection, and 6 of these (18%) required a further period of fixation, such as intermaxillary fixation, to treat non-union. The transbuccal plate had a significantly lower postoperative infection rate (6/124, 5%) than the ridge plate (28/137, 20%) (p=0.001). Smoking adversely affected the healing of angle fractures (p=0.000). Displacement of fractures is related to the infection rate (p=0.003), and there are no significant relations between delay in going to theatre or the presence and potential removal of a wisdom tooth in the line of the fracture and infection rate. There was a highly significant difference between the rate of removal of plates placed intraorally on the external oblique

  13. Efeitos do bloqueio pudendo, peridural e subaracnóideo sobre a coagulação sangüínea de gestantes Efectos del bloqueo pudendo, peridural y subaracnoideo sobre la coagulación sanguínea de embarazadas Effects of pudendal nerve, epidural and subarachnoid block on coagulation of pregnant women

    Directory of Open Access Journals (Sweden)

    Alberto Vasconcelos

    2008-04-01

    óidea ou bloqueio pudendo.JUSTIFICATIVA Y OBJETIVOS: La ha sido atribuida a la anestesia regional la disminución significativa de las complicaciones trombo embolicas en el postoperatorio, probablemente por su acción atenuante sobre la respuesta neuroendocrina-metabólica. Las embarazadas, que presentan aumento importante de la coagulabilidad sanguínea, pueden teóricamente, beneficiarse con ese efecto en ocasión del parto. El objetivo de este estudio fue verificar el efecto de la anestesia regional sobre la coagulación sanguínea en embarazadas. MÉTODO: Se estudiaron 30 pacientes en el 3° trimestre de embarazo, siendo diez sometidas a la anestesia peridural para cesárea, con 150 mg de bupivacaína a 0,5% sin epinefrina y 2 mg de morfina (grupo PD; diez a la anestesia subaracnoidea para cesárea con 15 mg de bupivacaína hiperbárica a 0,5% y 0,2 mg de morfina (grupo SA; y diez a Bloqueo de pudendo para parto vaginal, con dosis de hasta 100 mg de bupivacaína a 0,5% sin epinefrina (grupo BP. La coagulación sanguínea se evaluó a través del coagulograma (tiempo de protrombina, tiempo de trombina, tiempo de tromboplastina parcial activada y del tromboelastograma (tiempo r, tiempo k, tiempo r+k, ángulo alfa y amplitud máxima en los siguientes momentos: antes y después de la anestesia, después del nacimiento del feto y 24 horas después de la anestesia en los grupos PD y SA. En el grupo BP la evaluación fue realizada antes de la anestesia, después del nacimiento del feto y 24 horas después de la anestesia. RESULTADOS: Los resultados mostraron que ninguna de las técnicas anestésicas utilizadas tuvo influencia en la coagulación sanguínea de las embarazadas. También quedó demostrado que durante el trabajo de parto se inicia un proceso de activación de la coagulación, que es responsable por las alteraciones encontradas en los tres grupos estudiados. CONCLUSIONES: En las condiciones del presente estudio el Bloqueo simpático y el anestésico local no

  14. INTRAORAL RÖNTGEN TEKNİKLERİ VE ORTOPANTOMOGRAFİ (OPTG) İLE ÇEKİLEN FİLMLERDE ALVEOL KEMİĞİ GÖRÜNTÜLERİNİN KARŞILAŞTIRILMASI(*)-INTRAORAL RADIOGRAPHY TECHNIQUES AND COMPARISONS OF THE IMAGES OF ALVEOLAR BONE IN THE RADIOGRAPHIES TAKEN BY ORTHOPANTOMOGRAPH

    OpenAIRE

    ÖZBAYRAK, Semih

    2013-01-01

    INTRAORAL RADIOGRAPHY TECHNIQUES AND COMPARISONS OF THE IMAGES OF ALVEOLAR BONE IN THE RADIOGRAPHIES  TAKEN BY ORTHOPANTOMOGRAPH (OPTG)Anahtar Sözcükler: Alveol kemiği, açıortay-paralel teknik, ısırma grafikleri, ortopantomograflBu deneysel çalışmada alveol kemiğinin periodontal amaçlı çekilen röntgen filmlerindeki görüntüleri incelenmiştir. Horizontal ve vertikal kemik rezorpsiyonlarının görüntüleri açıortay-,paralel-teknik,ısırma radyografileri ve ortopantomografi yöntemlerinde karşılaştırm...

  15. Accuracy of cone beam dental CT, intraoral digital and conventional film radiography for the detection of periapical lesions. An ex vivo study in pig jaws.

    Science.gov (United States)

    Stavropoulos, Andreas; Wenzel, Ann

    2007-03-01

    To compare the accuracy of cone beam CT scanning (NewTom 3G) with intraoral periapical radiography (Dixi2, Planmeca CCD sensor and Insight film) for the detection of periapical bone defects. Ten frozen pig mandibles were used. All soft tissues were removed and the jaws were sagittally sectioned to obtain three blocks from each side of the jaw containing the premolars and the molars with surrounding jaw bone. All teeth with intact roots were then "extracted". First, 15 blocks were used to define defect size and exposure parameters; then, the remaining 45 blocks were divided into three equal groups. In one group, cylindrical defects of 1 x 1 mm were prepared beyond the apices of the extraction sockets, in another group defects of 2 x 2 mm were similarly prepared, while no defects were prepared in the last group. The teeth were replaced into their sockets and digital and conventional radiographs of all blocks were taken under reproducible conditions. In addition, all blocks were CT scanned with the same volumetric data and then reconstructed to provide sagittal and coronal 2-D sections. Masked evaluation of the images (defect present vs no defect) was performed by four calibrated examiners. Statistical analysis was performed with ANOVA and the significance level was set to P periapical (digital vs conventional) radiographs. NewTom 3G may be useful in cases of immediate implants intended to replace teeth with suspicion for possible existing endodontic pathology, or in candidate implant sites neighboring such teeth.

  16. 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.

  17. A modified device for intraoral radiography to assess the distal osseous defects of mandibular second molar after impacted third molar surgery

    Energy Technology Data Exchange (ETDEWEB)

    Ana, Faria Inocencio; Mercedes, Gallas Torreira [Faculty of Medicine and Dentistry, Santiago de Compostela University, Santiago (Spain)

    2011-09-15

    This article is to describe a modified device for intraoral radiography which was developed to obtain reproducible radiographic images for assessment of distal osseous defects of the mandibular second molar (2 Mm) after impacted third molar (3 Mm) surgery. A commercial available alignment system for posterior region was modified by adding a reference gauge pin (millimetric) and threading a hollow acrylic cylinder at the ring of the radiographic positioner to attach the X-ray collimator. The design included customized resin acrylic stent for the occlusal surface of the 2Mm in maximum intercuspal position, individualizing the biteblock positioner. Periapical radiographs were taken before and after surgical extraction of 3 Mm, employing the radiographic technique of parallelism described by Kugelberg (1986) with this modified film holder and inserting the gauge pin on the deepest bone probing depth point. This technique permitted to obtain standardized periapical radiographs with a moderate to high resolution, repeatability, and accuracy. There was no difference between the measurements on the pre- and post-operative radiographs. This technique allowed better maintenance of the same geometric position compared with conventional one. The insertion of the gauge pin provided the same reference point and localized the deepest osseous defect on the two-dimensional radiographs. This technique allowed better reproducibility in posterior radiographic records (distal surface of 2 Mm) and more accurate measurements of radiographic bone level by the use of a millimetric pin.

  18. A modified device for intraoral radiography to assess the distal osseous defects of mandibular second molar after impacted third molar surgery

    International Nuclear Information System (INIS)

    Ana, Faria Inocencio; Mercedes, Gallas Torreira

    2011-01-01

    This article is to describe a modified device for intraoral radiography which was developed to obtain reproducible radiographic images for assessment of distal osseous defects of the mandibular second molar (2 Mm) after impacted third molar (3 Mm) surgery. A commercial available alignment system for posterior region was modified by adding a reference gauge pin (millimetric) and threading a hollow acrylic cylinder at the ring of the radiographic positioner to attach the X-ray collimator. The design included customized resin acrylic stent for the occlusal surface of the 2Mm in maximum intercuspal position, individualizing the biteblock positioner. Periapical radiographs were taken before and after surgical extraction of 3 Mm, employing the radiographic technique of parallelism described by Kugelberg (1986) with this modified film holder and inserting the gauge pin on the deepest bone probing depth point. This technique permitted to obtain standardized periapical radiographs with a moderate to high resolution, repeatability, and accuracy. There was no difference between the measurements on the pre- and post-operative radiographs. This technique allowed better maintenance of the same geometric position compared with conventional one. The insertion of the gauge pin provided the same reference point and localized the deepest osseous defect on the two-dimensional radiographs. This technique allowed better reproducibility in posterior radiographic records (distal surface of 2 Mm) and more accurate measurements of radiographic bone level by the use of a millimetric pin.

  19. Diagnostic Accuracy of CBCT with Different Voxel Sizes and Intraoral Digital Radiography for Detection of Periapical Bone Lesions: An Ex-Vivo Study.

    Science.gov (United States)

    Sakhdari, Shirin; Talaeipour, Ahmad Reza; Talaeipour, Maziar; Pazhutan, Maryam; Tehrani, Sanaz Heidarkhan; Kharazifard, Mohammad Javad

    2016-03-01

    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. 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. 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 (Pradiography for detection of artificially created PA bone lesions. Voxel size (field of view) must be taken into account to minimize patient radiation dose.

  20. Evaluation of effectiveness of intraoral delivery tip on single step impressions using monophase and two-phase impression materials: An in vivo study

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    S Gowri

    2015-01-01

    Full Text Available Background and Rationale: The precise fit of prosthesis depends on the impression materials and the technique used. Addition silicone impression materials being the user-friendly material are used in monophase and two-phase techniques. Considering the paucity of data on the effectiveness of intraoral delivery tip (IODT on void, tear and bubble formation using monophase impression technique in stock tray and two-phase impression technique in custom tray the present study was initiated. Materials and Methods: A total of 50 patients requiring single complete veneer crowns were enrolled. Monophase and two-phase impressions with and without IODT were made. Evaluation of the impression were made for tears, voids, and bubbles and alpha, beta, delta scores were given. Results: A significant reduction in the total number of voids was observed with two-phase technique either with or without IODT. No significant differences were observed in the proportion of overall evaluation into alpha, beta and delta between monophase and two-phase with and without IODT. No significant association was seen in the overall evaluation between the two groups (monophase and two-phase as compared using Chi-square test for independency and a trend in association between overall evaluation as tested using Chi-square for linear trend analysis. Conclusion: Two-phase impression technique with the use of IODT produced decreased number of voids.

  1. A comparison of the precision of three-dimensional images acquired by 2 digital intraoral scanners: effects of tooth irregularity and scanning direction.

    Science.gov (United States)

    Anh, Ji-Won; Park, Ji-Man; Chun, Youn-Sic; Kim, Miae; Kim, Minji

    2016-01-01

    The purpose of this study was to compare the precision of three-dimensional (3D) images acquired using iTero® (Align Technology Inc., San Jose, CA, USA) and Trios® (3Shape Dental Systems, Copenhagen, Denmark) digital intraoral scanners, and to evaluate the effects of the severity of tooth irregularities and scanning sequence on precision. Dental arch models were fabricated with differing degrees of tooth irregularity and divided into 2 groups based on scanning sequence. To assess their precision, images were superimposed and an optimized superimposition algorithm was employed to measure any 3D deviation. The t-test, paired t-test, and one-way ANOVA were performed (p scanners when the starting points of scanning were different. The iTero® scanner (mean deviation, 29.84 ± 12.08 µm) proved to be less precise than the Trios® scanner (22.17 ± 4.47 µm). The precision of 3D images differed according to the degree of tooth irregularity, scanning sequence, and scanner type. However, from a clinical standpoint, both scanners were highly accurate regardless of the degree of tooth irregularity.

  2. 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.

  3. Application of in vitro transmucosal permeability, dose number, and maximum absorbable dose for biopharmaceutics assessment during early drug development for intraoral delivery.

    Science.gov (United States)

    Yang, Zhen; Sotthivirat, Sutthilug; Wu, Yunhui; Lalloo, Anita; Nissley, Becky; Manser, Kimberly; Li, Hankun

    2016-04-30

    Intraoral (IO) administration is a unique route that takes advantage of transmucosal absorption in the oral cavity to deliver a drug substance locally or systemically. IO delivery can also enhance or enable oral administration, providing a better therapeutic benefit/safety risk profile for patient compliance. However, there are relatively few systematic biopharmaceutics assessments for IO delivery to date. Therefore, the goals of this study were to i) identify the most relevant in vitro permeability models as alternatives to porcine oral tissues (gold standard) for predicting human IO absorption and ii) establish guidelines for biopharmaceutics assessment during early drug development for IO delivery. Porcine kidney LLC-PK1 cells provided the strongest correlation of transmucosal permeability with porcine oral tissues followed by human Caco-2 cells. Furthermore, cultured human buccal tissues predicted high/low permeability classification and correlated well with porcine oral tissues, which are used for predicting clinical IO absorption. In the meantime, we introduced maximum absorbable dose and dose number in the oral cavity for IO delivery assessment as well as a decision tree to provide guidance for biopharmaceutics assessment during early drug development for IO delivery. Copyright © 2016 Elsevier B.V. All rights reserved.

  4. 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

  5. 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

    Directory of Open Access Journals (Sweden)

    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

  6. Bloqueio peridural sacral: avaliação da duração da analgesia com o uso associado de lidocaína, fentanil e clonidina Bloqueo peridural sacral: evaluación de la duración de la analgesia con el uso asociado de lidocaína, fentanil y clonidina Epidural caudal block: evaluation of length of analgesia with the association of lidocaine, fentanyl and clonidine

    Directory of Open Access Journals (Sweden)

    Carlos Alberto de Souza Martins

    2004-08-01

    Full Text Available JUSTIFICATIVA E OBJETIVOS: A associação de diferentes substâncias aos anestésicos locais é feita com o objetivo de melhorar a qualidade do bloqueio e prolongar a duração da analgesia. O objetivo deste trabalho foi comparar a eficácia da associação de clonidina, clonidina e fentanil e do fentanil à lidocaína, no tempo de analgesia pós-operatória. MÉTODO: O estudo envolveu 64 pacientes com idade igual ou superior a 23 anos, estado físico I ou II (ASA, escalados para cirurgia proctológica orificial, submetidos à anestesia peridural sacral. Os pacientes foram distribuídos em 4 grupos de 16: grupo I (lidocaína isolada, grupo II (lidocaína e fentanil, grupo III (lidocaína, fentanil e clonidina e grupo IV (lidocaína e clonidina. Foram comparadas as características dos bloqueios sensitivo e motor. RESULTADOS: Não houve diferença entre a latência, bem como no nível máximo de bloqueio entre os grupos. A ausência de bloqueio motor foi o resultado mais freqüente, encontrado em cerca de 64% dos pacientes. O intervalo de analgesia foi diferente entre os grupos, sendo mais significativo no grupo III. CONCLUSÕES: O uso da clonidina, associada ou não ao fentanil, prolongou o tempo de analgesia pós-operatória na anestesia peridural sacral com lidocaína.JUSTIFICATIVA Y OBJETIVOS: La asociación de diferentes substancias a los anestésicos locales es hecha con el objetivo de mejorar la cualidad del bloqueo y prolongar la duración de la analgesia. El objetivo de este trabajo fue comparar la eficacia de la asociación de clonidina, clonidina y fentanil y de fentanil a la lidocaína, en el tiempo de analgesia pós-operatoria. MÉTODO: El estudio envolvió 64 pacientes con edad igual o superior a 23 años, estado físico I ó II (ASA, escalados para cirugía proctológica orificial, sometidos a anestesia peridural sacral. Los pacientes fueron distribuidos en 4 grupos de 16: grupo I (lidocaína aislada, grupo II (lidocaína y

  7. 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

  8. Intraoral Vertical Ramus Osteotomy Results in Good Long-Term Mandibular Stability in Patients With Mandibular Prognathism and Anterior Open Bite.

    Science.gov (United States)

    Choi, Sung-Hwan; Cha, Jung-Yul; Park, Hyung-Sik; Hwang, Chung-Ju

    2016-04-01

    Few studies have evaluated the outcomes of intraoral vertical ramus osteotomy (IVRO) for the correction of skeletal Class III malocclusion with an anterior open bite and the potential for postoperative relapse. Therefore, this study evaluated the stability of outcomes of IVRO for mandibular prognathism with and without an anterior open bite. This retrospective cohort study included consecutive patients with skeletal Class III malocclusion with (AOB group) and without (NAOB group) an anterior open bite who underwent IVRO at Yonsei Dental Hospital (Seoul, Korea). Lateral cephalograms were analyzed for predictor (open bite, yes or no) and outcome (horizontal and vertical relapse in the mandible) variables before and 7 days, 1 year, and 2 years after surgery. Other variables included the patients' demographic characteristics. Data were analyzed using independent t tests, repeated measures analysis of variance, Pearson correlation coefficients, and multiple linear regression analysis. The 2 groups (n = 15 each) were matched for baseline demographic characteristics. During the 2-year postoperative period, anterior and superior mandibular movements were observed in the NAOB group, whereas posterior and superior movements were observed in the AOB group. However, there were no meaningful intergroup differences in horizontal and vertical relapses of the mandible at all time points, although the amount of postoperative inferior relapse increased with a decrease in the amount of initial overbite. IVRO for the correction of skeletal Class III malocclusion resulted in good postoperative stability over time, regardless of the presence of a preoperative open bite, although the amount of postoperative inferior relapse showed a weak negative correlation with the initial overbite. Thus, IVRO can be a clinically acceptable treatment for skeletal Class III malocclusion with an anterior open bite. Copyright © 2016 American Association of Oral and Maxillofacial Surgeons. Published by

  9. 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

  10. SU-E-T-474: Improvements to Intra-Oral Shield Design for Electron Beam Treatments: Use of Multi-Layered Metal Foils

    Energy Technology Data Exchange (ETDEWEB)

    Butson, M

    2015-06-15

    Purpose: Intraoral electron shields used in radiotherapy are designed to minimize radiation exposure to non-treatment tissue. Sites where shields are used include but are not limited to, the treatment of lips, cheeks and ears whilst shielding the underlying oral cavity, tongue, gingival or temporal region. However their use produces an enhancement in dose on the beam side caused by an increase in electron backscatter radiation. This work designs a new shield incorporating copper, aluminium and wax in a step down filter arrangement to minimise backscatter whilst minimizing overall shield thickness. Methods: For electron beams ranging from 6 MeV to 10 MeV, shields of varying designs and thicknesses were assessed to determine the thinnest shield design that could be produced whilst minimising backscattered radiation to a clinically acceptable level. This was performed with conventional lead and wax shields as well as varying quantities of aluminium and copper foils. Results: From tested shield designs, a new shield design of 4 mm lead, 0.6 mm copper, 1.0 mm aluminium and 1.5 mm wax (3.1 mm added filtration, 7.1 mm total thickness) provided a clinically acceptable (no greater than 110% dose) backscatter and transmission reduction and matched a standard 4.5 mm lead and 10 mm wax (total thickness 14.5 mm) electron shield. Dose enhancement values of no more than 10 % were measured utilising this shield design with a 50 % reduction in shield thickness. Conclusion: The thinner layered shield reduced backscattered radiation dose to less than 10% enhancement for beam energies on 10 MeV and less and will allow easier patient set up. The thinner shields are tolerated better by patients when mucosal reactions occur as they place less physical pressure on these sites during treatment due to their smaller size and thickness.

  11. 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.

  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. Impact of root fillings and posts on the diagnostic ability of three intra-oral digital radiographic systems in detecting vertical root fractures.

    Science.gov (United States)

    Nascimento, H A R; Neves, F S; de-Azevedo-Vaz, S L; Duque, T M; Ambrosano, G M B; Freitas, D Q

    2015-09-01

    To evaluate (i) the accuracy of three intra-oral digital systems in detecting vertical root fractures (VRFs); and (ii) the influence of different intracanal conditions (without filling, filled with Gutta-percha and metal or fibreglass post). Forty single-rooted human teeth were decoronated and the root canals prepared. VRFs were induced using a universal testing machine on 20 teeth. Radiographic images were obtained using the paralleling technique with three different horizontal angulations on conventional E/F film, two storage phosphor plates (Digora Optime and VistaScan) and one sensor system (SnapShot). All teeth were radiographed with all intracanal conditions tested. All images were evaluated by five examiners. After 30 days, 25% of the images were reviewed. Areas under ROC curves, sensitivity, specificity, accuracy, positive predictive and negative predictive values were compared by anova. The weighted kappa values for intra- and interobserver reproducibility were 0.48-0.74 and 0.57-0.66, respectively. The sensitivity revealed a significant difference between imaging modalities, with higher values for SnapShot (0.53) and VistaScan (0.46), followed by the film (0.41) and Digora (0.38). The area under the ROC curve for SnapShot (0.82) was greater than for the other systems in the teeth with a fibreglass post (VistaScan: 0.70; Digora: 0.64; film: 0.60). All systems gave a similar performance for detecting VRFs; all gave a good performance in the absence of intracanal materials, but performed less well in the presence of a metal post or Gutta-percha. In teeth with a fibreglass post, digital systems with higher resolution should be used. © 2014 International Endodontic Journal. Published by John Wiley & Sons Ltd.

  14. 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.

  15. 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

  16. Efeito da administração do atracúrio sobre a recuperação do bloqueio neuromuscular induzido pelo pancurônio Efecto de la administración del atracúrio sobre la recuperación del bloqueo neuromuscular inducido por el pancuronio Effect of atracurium on pancuronium-induced neuromuscular block recovery

    Directory of Open Access Journals (Sweden)

    Luís Fernando Rodrigues Maria

    2004-06-01

    diminuição de 20% no tempo de recuperação total.JUSTIFICATIVA Y OBJETIVOS: Frecuentemente en cirugías abdominales, en la fase de cerramiento de la pared, hay necesidad de dosis adicionales de bloqueador neuromuscular. El objetivo de este estudio fue analizar, en la vigencia de recuperación parcial del bloqueo neuromuscular inducido por el pancuronio, el efecto de la administración de dosis complementares de atracúrio sobre la recuperación espontanea del bloqueo neuromuscular. MÉTODO: Fueron estudiados 30 pacientes, divididos en dos grupos, 14 pacientes formaron el grupo pancuronio y 16 pacientes, el grupo atracúrio. La función neuromuscular fue monitorizada de forma continua por acelerometria del músculo aductor del pulgar, utilizando la secuencia de cuatro estímulos (SQE, a través de la estimulación supramáxima del nervio ulnar. La inducción de la anestesia fue hecha con propofol, fentanil, pancuronio 0,08 mg.kg-1 y la manutención con N2O 60% en oxígeno e isoflurano en la concentración expirada de 0,5%. Cuando la primera contracción de la secuencia de cuatro estímulos (T1 recuperó 25%, el grupo pancuronio recibió pancuronio 0,025 mg.kg-1 y el grupo atracúrio, 0,20 mg.kg-1 de atracúrio. Después de la dosis complementar fueron anotados los tiempos para recuperación espontanea de T1 igual a 10%, 25%, 75%, del índice de recuperación (IR25-75% y de la relación T4/T1 igual a 0,8. RESULTADOS: Los tiempos de recuperación espontanea después de la dosis complementar de pancuronio o atracúrio no divergieron cuando evaluados por la recuperación de T1 en 10% (45,00 ± 15,50 vs 49,69 ± 9,41, 25% (61,64 ± 18,58 vs 64,25 ± 12,51 y 75% (94,00 ± 28,52 vs 84,69 ± 16,50. El IR25-75% (32,36 ± 13,76 vs 20,44 ± 9,24 y el tiempo de recuperación de la relación T4/T1 = 0,8 (176,86 ± 29,57 vs 141,50 ± 29,57 fueron mayores en el grupo en que la complementación fue realizada con pancuronio. CONCLUSIONES: En las condiciones de este estudio, la

  17. Quality of life of patients with obstructive sleep apnea syndrome treated with an intraoral mandibular repositioner Qualidade de vida em pacientes com síndrome de apnéia obstrutiva do sono tratados com reposicionador mandibular intra-oral

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    Marco Antonio Cardoso Machado

    2004-06-01

    Full Text Available BACKGROUND: Obstructive sleep apnea syndrome (OSAS is a very important and prevalent disease, which is associated with a poor quality of life in many patients. Treatments for OSAS include surgery, Continuos Positive Air way Pressure, and an intraoral mandibular repositioner (IOMR, but the tendency of sleep centers is to emphasize the apnea index, neglecting quality of life as treatment outcome. OBJECTIVE: To verify to what extent treatment with an IOMR improves the OSAS patient's quality of life. METHOD: Eleven male patients aged 34 to 63 years (mean=49 with mild to moderate OSAS were evaluated using the Calgary SAQLI questionnaire applied before and four weeks after treatment with an IOMR. The mandibular repositioners were manufactured individually for each patient with acrylic polymer and equipped with a retentive device to maintain the mandible in a forward position during sleep. RESULTS: Excellent improvement in the quality of life was observed in five patients (45.5% and excellent improvement in symptoms in 10 (90.9%. CONCLUSION: The systematic use of the IOMR indicates a clear improvement in the global quality of life as well as in the symptoms of patients with OSAS.CONTEXTO:A síndrome da apnéia obstrutiva do sono (SAOS é importante e prevalente doença associada à má qualidade de vida em muitos pacientes. Os tratamentos disponíveis incluem cirurgias, CPAP e o aparelho reposicionador mandibular intra-oral (ARMIO. Muitos centros de distúrbios de sono valorizam apenas a redução do número de apnéias no tratamento da SAOS, dando pouca atenção à qualidade de vida como desfecho do tratamento. OBJETIVO: Graduar melhora da qualidade de vida dos pacientes com SAOS usando ARMIO. MÉTODO: O questionário Calgary SAQLI foi aplicado, antes e após, 4 semanas de tratamento com ARMIO, a 11 pacientes masculinos, entre 34 e 63 anos de idade (média de 49 anos, com SAOS leve a moderada. ARMIOs foram manufaturados com polímero acrílico e

  18. 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

  19. 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

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    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

  20. Bloqueo Interfascial Pecto-Intercostal continuo para fractura esternal

    OpenAIRE

    Agrelo Lousame, Ana; Fernández Gacio, Mercedes

    2015-01-01

    Presentamos el caso de un paciente con fractura esternal secundaria a mieloma múltiple con cuadro de infección respiratoria alta concomitante. El dolor en la zona de fractura que el paciente presentaba limitaba su capacidad para toser y respirar profundamente. El método ideal para el manejo del dolor en esta situación es aquel, que de una forma simple, nos permita una completa analgesia, respiración profunda y tos eficaz así como la colaboración del paciente con los ejercicios de fisioterapia...

  1. 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.)

  2. Alterações de funções orais na presença de aparelhos ortodônticos fixos com recursos intraorais Changes in oral functions in presence of fixed orthodontic appliances with features intraoral

    Directory of Open Access Journals (Sweden)

    Paloma Rocha Navarro

    2013-01-01

    Full Text Available OBJETIVO: investigar as possíveis alterações de fala, mastigação e deglutição em usuários de aparelhos ortodônticos com recursos intraorais fixos no palato. MÉTODO: foram avaliados 28 pacientes de ambos os sexos, na faixa etária de 10 a 24 anos, em tratamento no Centro de Reabilitação Estética Orofacial em Campinas. Tais pacientes foram avaliados por fonoaudiólogas antes da colocação do aparelho e após trinta dias de uso de aparelho ortodôntico com recurso fixo. Todos os sujeitos foram avaliados previamente por ortodontistas e apresentaram indicação de colocação do recurso intraoral. O exame fonoaudiológico foi composto pela avaliação da mastigação, deglutição e fala, segundo protocolo especifico de motricidade orofacial, e de teste de fala na área de fonética. Os testes estatísticos aplicados foram: Teste de ANOVA, teste T-Student Pareado, Teste de Igualdade de duas proporções e Intervalo de Confiança para a média. Foram considerados significantes associações com p-valor PURPOSE: to investigate possible changes in speech, chewing and swallowing in users orthodontic appliances with features (intraoral fixed on the palate. METHOD: a total of 28 patients of both sexes, in the 10-24 age-group, were evaluated. These patients were being treated at the CEREO - Centro de Reabilitação Estética Orofacial (Aesthetic and Orofacial Rehabilitation Center in Campinas, São Paulo. They were evaluated by speech therapists before they had their orthodontic appliances installed and also 30 days after they were using these appliances with feature. All subjects were previously evaluated by orthodontists from the CEREO and were candidates to the installation of intraoral features. The speech therapist's test was composed of two parts: the first was the evaluation of chewing, swallowing and speech, according to the MBGR protocol and the second was a phonological evaluation of language. The statistical tests applied were: Two

  3. 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

  4. 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

  5. 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

  6. The Intraoral Ultrasonography in Dentistry

    African Journals Online (AJOL)

    2016-06-03

    Jun 3, 2016 ... by ultrahigh-frequency sound waves, which have an acoustic frequency above the threshold of human hearing. Compared to ... begun to use advanced imaging techniques, such as. Review Article. Introduction ... high-frequency pulses of sound waves (2.5–10 MHz) are used.[3]. Ultrasonography is used to ...

  7. Estudo comparativo da eficácia analgésica pós-operatória de 20 mL de ropivacaína a 0,5, 0,75 ou 1% no bloqueio de plexo braquial pela via posterior Estudio comparativo de la eficacia analgésica postoperatoria de 20 mL de ropivacaina a 0,5, 0,75 ó 1% en el bloqueo de plexo braquial por la vía posterior Comparative study for the postoperative analgesic efficacy of 20 mL at 0.5, 0.75, and 1% ropivacaine in posterior brachial plexus block

    Directory of Open Access Journals (Sweden)

    Marcos Guilherme Cunha Cruvinel

    2008-10-01

    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 concentração de anestésico local no bloqueio de plexo braquial pela via posterior propicia analgesia pós-operatória mais prolongada para essas operações. MÉTODO: Noventa pacientes submetidos ao bloqueio do plexo braquial pela via posterior foram divididos aleatoriamente em três grupos de 30. Grupo 1: 20 mL de ropivacaína a 0,5%; Grupo 2: 20 mL de ropivacaína a 0,75%; Grupo 3: 20 mL de ropivacaína a 1%. 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 48 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. 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. Utilizando-se 20mL de ropivacaína, as três diferentes concentrações estudadas promovem analgesia similar.JUSTIFICATIVA Y OBJETIVOS: Las intervenciones quirúrgicas por vía artroscópica en el hombro se relacionan con el dolor postoperatorio de gran intensidad. Entre las técnicas de analgesia, el bloqueo del plexo braquial es la que ofrece los mejores resultados. El objetivo de este estudio fue determinar cuál concentración de anestésico local en el bloqueo de plexo braquial por la vía posterior, propicia analgesia postoperatoria más prolongada para esas operaciones. MÉTODO: Noventa pacientes sometidos al bloqueo del plexo braquial por la v

  8. 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

  9. Uso do bloqueio combinado raqui-peridural durante cirurgia de cólon em paciente de alto risco: relato de caso Uso del bloqueo combinado raquiepidural durante cirugía de colon en paciente de alto riesgo: relato de caso Combined spinal epidural anesthesia during colon surgery in a high-risk patient: case report

    Directory of Open Access Journals (Sweden)

    Luiz Eduardo Imbelloni

    2009-12-01

    Full Text Available JUSTIFICATIVA E OBJETIVOS: O bloqueio combinado raqui-peridural (BCRP oferece vantagens sobre a anestesia peridural ou subaracnóidea com injeção única. O objetivo deste relato foi apresentar um caso onde a anestesia subaracnóidea segmentar pode ser técnica efetiva para intervenção cirúrgica gastrintestinal com respiração espontânea. RELATO DO CASO: Paciente estado físico ASA III, diabetes mellitus tipo II, com hipertensão arterial sistêmica e doença pulmonar obstrutiva crônica, foi escalada para ressecção de tumor de cólon direito. O BCRP foi realizado no interespaço T5 - T6 e foram injetados 8 mg de bupivacaína a 0,5% isobárica acrescida de 50 µg de morfina no espaço subaracnóideo. O cateter peridural (20G foi introduzido quatro centímetros em direção cefálica. Foi obtida sedação com doses fracionadas de 1 mg de midazolam (total de 6 mg. Bupivacaína a 0,5% foi administrada em bolus de 25 mg através do cateter duas horas após a anestesia subaracnóidea. Não houve necessidade de vasopressor nem atropina. CONCLUSÕES: Este caso proporciona evidências de que a raquianestesia segmentar pode ser uma técnica anestésica para operação gastrintestinal com respiração espontânea.JUSTIFICATIVA Y OBJETIVOS: El bloqueo combinado raquiepidural (BCRE, tiene ventajas sobre la anestesia epidural o subaracnoidea con inyección única. El objetivo de este relato, fue presentar un caso donde la anestesia subaracnoidea segmentaria, puede ser una técnica efectiva para la intervención quirúrgica gastrointestinal con respiración espontánea. RELATO DEL CASO: Paciente estado físico ASA III, diabetes mellitus tipo II, con hipertensión arterial sistémica y enfermedad pulmonar obstructiva crónica, que fue indicada para la resección del tumor de colon derecho. El BCRE se realizó en el interespacio T5 - T6, y se inyectaron 8 mg de bupivacaína a 0,5% isobárica con 50 µg más de morfina en el espacio subaracnoideo. El cat

  10. Influência dos Hipnóticos no bloqueio neuromuscular produzido pelo cisatracúrio: emprego da aceleromiografia Influencia de los hipnóticos en el bloqueo neuromuscular producido por el cisatracurio: uso de la aceleromiografía Influence of hypnotics on cisatracurium-induced neuromuscular block: use of acceleromyograhpy

    Directory of Open Access Journals (Sweden)

    Angélica de Fátima de Assunção Braga

    2013-06-01

    Full Text Available JUSTIFICATIVA E OBJETIVOS: Os efeitos farmacodinâmicos dos bloqueadores neuromusculares (BNM podem ser influenciados por diferentes drogas, entre elas os hipnóticos. O objetivo deste estudo foi avaliar a influência do propofol e do etomidato sobre o bloqueio neuromuscular produzido pelo cisatracúrio. MÉTODO: Foram incluídos 60 pacientes, ASA I e II, submetidos a cirurgias eletivas sob anestesia geral, distribuídos aleatoriamente em dois grupos de acordo com o hipnótico empregado: GI (propofol e GII (etomidato. As pacientes receberam midazolam (0,1 mg.kg-1 por via muscular como medicação pré-anestésica, a indução foi com propofol (2,5 mg.kg-1 ou etomidato (0,3 mg.kg-1 precedido de fentanil (250 µg e seguido de cisatracúrio (0,1 mg.kg-1. Os pacientes foram ventilados com oxigênio a 100% até a obtenção de redução de 95% ou mais na amplitude da resposta do adutor do polegar, quando foi feita a laringoscopia e a intubação traqueal. A função neuromuscular foi monitorizada com aceleromiografia. Avaliaram-se o início de ação do cisatracúrio, as condições de intubação traqueal e as repercussões hemodinâmicas. RESULTADOS: Os tempos médios e os desvios padrão para o início de ação do cisatracúrio foram: GI (86,6 ± 14,3" e GII (116,9 ± 11,6", com diferença significativa (p JUSTIFICATIVA Y OBJETIVOS: Los efectos farmacodinámicos de los bloqueantes neuromusculares (BNM pueden estar influenciados por diferentes fármacos, entre ellos los hipnóticos. El objetivo de este estudio, fue evaluar la influencia del propofol y del etomidato sobre el bloqueo neuromuscular producido por el cisatracurio. MÉTODO: Se incluyeron en el estudio 60 pacientes, con ASA I y II, sometidos a cirugías electivas bajo anestesia general, distribuidos aleatoriamente en dos grupos de acuerdo con el hipnótico usado: GI (propofol y GII (etomidato. Las pacientes recibieron midazolam (0,1 mg.kg-1 por vía muscular como medicación preanest

  11. La influencia de la superficie articular y la membrana sinovial en la evolución de pacientes afectos por bloqueo crónico de la articulación temporomandibular tratados mediante artroscopia Influence of the joint surface and the synovial membrane on the evolution of patients affected by chronic temporomandibular joint block who were treated with arthroscopic surgery

    Directory of Open Access Journals (Sweden)

    R. González-García

    2010-03-01

    Full Text Available Introducción: Se ha referido la artroscopia de la articulación temporomandibular (ATM como una técnica efectiva en el tratamiento del bloqueo crónico (BC articular. El propósito del presente estudio es evaluar si el estado de la superficie articular y la membrana sinovial directamente visualizados por artroscopia pueden determinar el resultado posoperatorio de pacientes afectos por BC de la ATM. Pacientes y método: Doscientos cincuenta y siete de 500 pacientes (344 articulaciones cumplieron los criterios de inclusión para BC de la ATM. Para el presente estudio se seleccionaron 172 pacientes con afectación unilateral. Se eligieron los parámetros "sinovitis" y "condromalacia" para la evaluación de la membrana sinovial y la superficie articular, respectivamente. Se establecieron dos grupos de pacientes: a pacientes con afectación leve: sinovitis grados I/II más condromalacia I/II, y b pacientes con afectación grave: sinovitis grados III/IV más condromalacia grados III/IV. Se eligieron el dolor y la máxima apertura oral (MAO interincisal como variables dependientes. Todos los pacientes se revisaron de modo posoperatorio al mes, 3, 6, 12 y 24 meses. Se utilizó la prueba de la "t" de Student para muestras pareadas para comparar los valores medios de dolor (escala visual analógica, EVA y función (MAO, de modo preoperatorio y posoperatorio. Se utilizó la "t" de Student para muestras independientes para la comparación de los diferentes grupos establecidos. Se consideró estadísticamente significativo un valor de p Introduction: Arthroscopy of the temporomandibular joint (TMJ has been considered an effective technique to treat close lock (CL. The purpose of this study is to evaluate if the status of the joint surface and the synovial membrane directly seen via arthroscopy can determine the post operative results of patients with chronic block of the TMJ. Patients and methods: Two hundred and fifty-seven out of the 500 patients (344

  12. Estudo comparativo de midazolam com cetamina S(+ versus midazolam com bloqueio paracervical uterino para aspiração manual intra-uterina Estudio comparativo de midazolam con cetamina S(+ versus midazolam con bloqueo paracervical uterino para aspiración manual intrauterina Comparative study of midazolam with ketamine S(+ versus midazolam with uterine paracervical block for manual intrauterine aspiration

    Directory of Open Access Journals (Sweden)

    Vonaldo Torres de Almeida

    2006-10-01

    Full Text Available JUSTIFICATIVA E OBJETIVOS: Avaliar a efetividade, a analgesia pós-operatória e o grau de satisfação e recomendação das pacientes submetidas à aspiração manual intra-uterina por meio da comparação de duas técnicas anestésicas. MÉTODO: Foram estudadas, prospectivamente, 80 pacientes distribuídas aleatoriamente em dois grupos. Todas receberam midazolam, por via venosa. Em seguida, o Grupo MC recebeu cetamina S(+ por via venosa e o Grupo MP, bloqueio paracervical uterino. Na sala de cirurgia a eficácia da técnica foi avaliada por três observadores (o pesquisador, o obstetra e o residente de obstetrícia e, após uma hora, foi avaliada por um observador que desconhecia a técnica realizada, a analgesia pós-operatória, os graus de satisfação de recomendação da paciente mediante escala verbal. RESULTADOS: As técnicas mostraram-se eficientes em 95% das pacientes do Grupo MC e 76,7% das pacientes do Grupo MP (p = 0,04. Entre as pacientes do Grupo MC, 67% não apresentaram dor após uma hora, enquanto no grupo MP a porcentagem de pacientes sem dor foi de 33,3% (p JUSTIFICATIVA Y OBJETIVOS: Evaluar la efectividad, la analgesia postoperatoria y el grado de satisfacción y recomendación de las pacientes sometidas a la aspiración manual intrauterina a través de la comparación de las técnicas anestésicas. MÉTODO: Formando parte de un estudio de prospección, se estudiaron 80 pacientes distribuidas aleatoriamente en 2 grupos. Todas recibieron midazolam por vía venosa. En seguida, el Grupo MC, recibió cetamina S(+ por vía venosa y el Grupo MP bloqueo paracervical uterino. En la sala de cirugía la eficacia de la técnica fue evaluada por tres observadores (el investigador, el obstetra y el residente de obstetricia y después de una hora, fue evaluada por un observador que desconocía la técnica realizada, la analgesia postoperatoria y los grados de satisfacción de recomendación de la paciente mediante escala verbal

  13. Non-Radiological Method for Fabrication of a Screw-Channel Drilling Guide in Cement-Retained Implant Restorations Using Intraoral Digital Scanning and Imaging Superimposition: A Clinical Report.

    Science.gov (United States)

    Mai, Hang-Nga; Kim, Kyung-Rok; Lee, Du-Hyeong

    2017-01-01

    The difficulty of retrieving the abutment screw is a major disadvantage of cement-retained implant restorations. Conventional methods for locating the screw-access hole are based largely on radiography or manual labor, which limits accuracy and clinical feasibility. This clinical report describes a non-radiological method for fabricating an accurate drilling guide for location of the screw channel using intraoral optical scanning, 3D superimposition, and computer-aided design and computer-aided manufacturing (CAD/CAM) technologies. The present technique not only improves the guide fabrication process and the accuracy of screw-channel drilling, but also has wide indications for implant restorations. © 2016 by the American College of Prosthodontists.

  14. 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

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    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

  15. Estudo comparativo entre bupivacaína (S75-R25 e ropivacaína em bloqueio peridural para analgesia de parto Estudio comparativo entre la bupivacaína (S75-R25 y la ropivacaína en bloqueo epidural para analgesia de parto A comparative study between bupivacaine (S75-R25 and ropivacaine in spinal anesthesia for labor analgesia

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    Celso Schmalfuss Nogueira

    2010-10-01

    las repercusiones maternas y fetales con el uso de la bupivacaína (S75-R25 y de la ropivacaína cuando se usan para la analgesia de parto por bloqueo epidural. MÉTODOS: Realizamos un ensayo clínico prospectivo, encubierto y randomizado, con 49 pacientes gestantes a término, que presentaban bajo riesgo, con indicación de parto vaginal, y una edad entre los 15 y los 35 años, ASA I o II distribuidas en dos grupos: GI - bupivacaína (S75-R25 0,25%; GII - ropivacaína a 0,20%. RESULTADOS: Quedó evidenciada la diferencia estadísticamente significativa entre los dos grupos, 30 minutos después de la administración de la epidural, siendo que las puntuaciones de dolor fueron más elevadas en el grupo que utilizó la ropivacaína. No se encontraron diferencias estadísticas significativas en cuanto a la latencia de la analgesia, nivel sensorial del bloqueo, volumen del anestésico local, dosis de rescate, duración del parto y de la analgesia, frecuencia de parto instrumental, alteraciones hemodinámicas, puntuaciones de Apgar o pH del cordón umbilical e incidencia de eventos adversos. CONCLUSIONES: El uso de la bupivacaína (S75-R25 y la ropivacaína para la analgesia de parto, proporcionó buenas condiciones para la realización de la anestesia epidural con pequeñas incidencias de eventos adversosBACKGROUND AND OBJECTIVES: Spinal anesthesia is used for relief of pain during labor and it is associated with low indices of complications. Studies with levorotatory enantiomers of local anesthetics demonstrate higher safety due to the lower cardiotoxicity. The objective of this study was to evaluate the latency and duration of analgesia and maternal and fetal repercussions with bupivacaine (S75-R25 and ropivacaine in spinal anesthesia for labor analgesia. METHODS: A prospective, double-blind, randomized clinical assay was undertaken with 49 labouring parturients with low risk, with indication of vaginal delivery, ages 15 to 35 years, ASA I or II, divided into two groups

  16. Bloqueio combinado para analgesia de parto: a adição de sufentanil ao anestésico local influencia o apgar dos recém-nascidos? Bloqueo combinado para analgesia de parto: ¿la adición de sufentanil al anestésico local influye en el apgar de los reciÿn nacidos? Combined spinal-epidural for labor analgesia: does the addition of sufentanil to the local anesthetic influence apgar scores of the newborns?

    Directory of Open Access Journals (Sweden)

    Domingos Dias Cicarelli

    2007-06-01

    Full Text Available JUSTIFICATIVA E OBJETIVOS: O bloqueio combinado (BC é uma técnica muito utilizada em anestesia obstétrica. Porém não há na literatura padronização com relação à técnica, doses e anestésicos utilizados, além da controvérsia sobre a possibilidade da adição do opióide ao anestésico local causar bradicardia fetal e alteração de sua vitalidade. O objetivo deste estudo foi identificar as técnicas e anestésicos utilizados no Serviço de Anestesiologia do Hospital Universitário da Universidade de São Paulo (USP e avaliar se a utilização de sufentanil associado ao anestésico local no BC altera o Apgar dos recém-nascidos. MÉTODO: Foram analisadas as fichas de anestesia em que foram realizados BC para analgesia de parto durante 12 meses no Hospital Universitário da USP. Foram registrados o uso e dose de sufentanil, a via de parto utilizada e os escores de Apgar do 1°, 5° e 10° minutos dos recém-nascidos. RESULTADOS: Dos 635 BC avaliados, 307 utilizaram sufentanil e anestésico local (Grupo SUF e 328, só anestésico local (Grupo AL. Cento e vinte e sete (20% foram realizados através da técnica de agulha por dentro de agulha e os outros 508 (80% foram realizados pela técnica de duas punções. Não foi verificada diferença entre o Apgar dos grupos estudados no 1°, 5° e 10° minutos. CONCLUSÕES: O sufentanil utilizado no bloqueio combinado não alterou o Apgar dos recém-nascidos.JUSTIFICATIVA Y OBJETIVOS: El bloqueo combinado (BC es una técnica muy utilizada en anestesia obstétrica. Sin embargo no existe en la literatura una estandarización con relación a la técnica, dosis y anestésicos utilizados, además de la controversia sobre la posibilidad de la adición del opioide al anestésico local causar una bradicardia fetal y la alteración de su vitalidad. El objetivo de este estudio fue identificar las técnicas y anestésicos utilizados en el Servicio de Anestesiología del Hospital Universitario de la

  17. 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

  18. Study on reducing radiation dose in dental radiography for children, 2. Problems of the ready-made cervical shield's thyroid gland radiation protection for the pedodontic intraoral radiography

    Energy Technology Data Exchange (ETDEWEB)

    Shikone, Mitsuru; Tsuchida, Atsushi; Tateno, Hidemi; Uchimura, Noboru; Higaki, Morio; Kanno, Masanori; Higashi, Tomomitsu

    1987-03-01

    Although it is well understood that diagnostic dental radiographic examination is an indispensible procedure of the dental examination, it always carries the danger of radiation harm especially to the pedodontic patients who are more radiosensitive than the adult group. At the time of exposure, in specific, certain undeveloped tissues such as the thyroid (reverting postmitotic cells), the optic lens, and the reproductive cells (gonads) must be shielded from any unnecessary radiation. In this study, using the pedodontic intraoral radiographic examination method, four various cervical shields of four separate manufacturers were investigated. With the aid of the Thermo Luminescent Dosimeter (TLD), the specific exposure doses to the thyroid gland region were analyzed. At the same time, individual cervical shield's adaptation to the neck was examined. The results were as follows: (1) Even with the use of the cervical shield, maximum dose of 98.64 +- 11.13 mR (lower molar periapical radiography method), and minimum of 34.27 +- 6.69 mR (lower anterior periapical radiography method) were obtained at the thyroid gland region. (2) It was discovered that poor adaptation of the cervical shield to the neck and also poor adaptation of the long cones (position indicating devices, PID) occured upon patient opening his/her mouth.

  19. Assembly and clinical use of the XCP-ORA: a three-function dental X-ray film positioning device for taking anterior and posterior periapical and bitewing intraoral radiographs.

    Science.gov (United States)

    Mamoun, John S

    2011-01-01

    This article describes the assembly and clinical use of a newer type ofXCP dental X-ray film positioning device, called the XCP-ORA. The previous version of the XCP consists of three separate devices for taking anterior, posterior, and bitewing radiographs. The XCP-ORA dental X-ray film holder combines all three of these dental X-ray functions into one device, in contrast to theprevious generation ofXCP holders. The large paralleling ring of the device contains three color-coded square-shaped holes that attach to a metal rod. This single metal rod with two right angle bends contains two sets of corresponding color-coded prongs that attach the anterior, posterior and bitewing X-ray film holders. One set of prongs consists of two red prongs that correspond to the insertion points of the bitewing X-ray film holder. The other set of prongs consists of one prong that is yellow colored, and another prong that is blue colored. Both of these prongs fit into the insertion holes of either the yellow (posterior) or the blue (anterior) film holders. The multi-function XCP-ORA device reduces the total number of XCP parts that are needed to take intraoral dental radiographs. Fewer parts make the device less confusing to assemble and reduce the number of steps that are needed to prepare the XCP-ORA parts for autoclaving.

  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. O exercício físico atenua o déficit autonômico cardíaco induzido pelo bloqueio da síntese do óxido nítrico El ejercicio físico atenúa el déficit autonómico cardiaco inducido por el bloqueo de la síntesis de óxido nítrico Physical exercise attenuates the cardiac autonomic deficit induced by nitric oxide synthesis blockade

    Directory of Open Access Journals (Sweden)

    Bruno Rafael Orsini Rossi

    2009-01-01

    Full Text Available FUNDAMENTO: O bloqueio da síntese do óxido nítrico (NO é caracterizado pelo aumento da atividade simpática cardíaca, e o treinamento físico promove a redução da atividade simpática. OBJETIVO: Investigamos o efeito do bloqueio da síntese do NO sobre o controle autonômico cardiovascular em ratos submetidos ao exercício aeróbio durante dez semanas. MÉTODOS: Ratos wistar foram divididos em quatro grupos: controle tratados com ração e água ad libitum durante dez semanas (RC; controle tratados com N G-nitro-L-arginine methyl ester (L-NAME na última semana (RCL; treinados durante dez semanas em esteira motorizada (RT; treinados por dez semanas e tratados com L-NAME na última semana (RTL. O controle autonômico cardiovascular foi investigado em todos os grupos com a utilização de duplo bloqueio com metilatropina e propranolol, e análise da variabilidade. RESULTADOS: Os grupos RCL e RTL apresentaram hipertensão. O grupo RCL apresentou taquicardia e predomínio do tônus simpático na determinação da FC após o bloqueio autonômico farmacológico. O grupo RT apresentou bradicardia e menor freqüência cardíaca (FC intrínseca em relação aos demais. A avaliação da variabilidade da FC mostrou menores valores absolutos e normalizados na banda de baixa freqüência (BF no grupo RCL. Por sua vez, o grupo RTL apresentou elevação na banda de BF em valores absolutos. A análise da variabilidade da PAS mostrou que os grupos RCL e RTL apresentaram maiores valores na banda de BF. CONCLUSÃO: O exercício físico prévio impediu o déficit no controle autonômico cardíaco induzido pelo tratamento com L-NAME, no entanto não impediu o aumento na variabilidade da PAS.FUNDAMENTO: El bloqueo de la síntesis de óxido nítrico (NO se caracteriza por el incremento de la actividad simpática cardiaca, y el entrenamiento físico promueve la reducción de la actividad simpática. OBJETIVO: Investigamos el efecto del bloqueo de la s

  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. 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

  4. Reliability of single panoramic radiograph with vertical and horizontal parallax; and intraoral periapical radiograph with Clark′s rule compared to computed tomography/surgical exposure in localization of impacted permanent maxillary canine

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    Vijay Kumar Bokkasam

    2015-01-01

    Full Text Available Aim: The aim of the study was to evaluate an accurate, inexpensive and low-radiation conventional radiograph suitable for localization of impacted maxillary permanent canine. Materials and Methods: The study comprised 38 subjects in the age group of 13-50 years of both the genders with 50 impacted canines. Panoramic radiographs (OPGs (on which Chaushu et al. criteria was applied and intraoral periapical radiographs (IOPARs (on which Clark′s rule was applied of the subjects were made and the accuracy of the above two radiographic techniques were compared with computed tomography (CT axial sections or with surgical exposure, which was considered as the standard guide for localization of impacted maxillary permanent canine. The data obtained was tabulated and subjected to statistical analysis using the statistical package for SAS software. Results: Localization of impacted maxillary permanent canine tooth done with SLOB (Same Lingual Opposite Buccal/Clark′s rule technique could predict the bucco-palatal canine impactions in 98% of cases. OPG using differential magnification index could predict location only in 68% of bucco-palatal canine impactions and in 72% based on vertical position. Conclusion: In 68% of cases the bucco-lingual position of the canine in OPG (by magnification index coincided with the location as per CT/surgical exposure. In 98% of cases localization with SLOB technique coincided with CT/surgical exposure. 72% of cases showed coincidence with vertical position of the canine on OPG with CT/surgical exposure. IOPARs taken with SLOB technique are more accurate than OPGs for localization of impacted permanent maxillary canine teeth.

  5. Efeitos da analgesia peridural e do bloqueio contínuo do plexo lombar sobre a reabilitação funcional após artroplastia total do quadril Efectos de la analgesia epidural y del bloqueo continuo del plexo lumbar sobre la rehabilitación funcional después de la artroplastia total de cadera Effects of epidural analgesia and continuous lumbar plexus block on functional rehabilitation after total hip arthroplasty

    Directory of Open Access Journals (Sweden)

    Leonardo Teixeira Domingues Duarte

    2009-10-01

    ésica eficaz y que permita la movilidad precoz, la participación en las actividades de rehabilitación, y una rápida recuperación funcional. El objetivo de este estudio, fue comparar los efectos de las técnicas de analgesia controlada por el paciente (ACP, por las vías epidural y perineural del plexo lumbar sobre la rehabilitación funcional en pacientes sometidos a la ATC. MÉTODO: Pacientes en estado físico ASA I a III, que fueron ubicados aleatoriamente en los grupos Epidural y Lumbar. Para la ATC, se realizó la anestesia epidural lumbar continua con ropivacaína a 0,5% (Epidural o bloqueo continuo del plexo lumbar con ropivacaína a 0,5% (Lumbar. En la sala de recuperación, se inició ACP con infusión de ropivacaína a 0,2% (Lumbar o ropivacaína a 0,2% + fentanil 3 µg.mL-1 (Epidural. La eficacia de la analgesia en las primeras 48 horas después de la ATC (niveles de dolor, consumo de morfina de rescate y de bolos de la bomba de ACP, se comparó entre los grupos. Los diferentes parámetros de la rehabilitación postoperatoria también se estudiaron. RESULTADOS: Cuarenta y un pacientes se sometieron al análisis estadístico. Los niveles de dolor en reposo fueron similares en los dos grupos. A pesar de un control más efectivo del dolor dinámico en el grupo Epidural y de un uso más potente de la morfina, que se aplicó más a menudo y precozmente en el grupo Lumbar, no hubo diferencia entre los grupos en ninguno de los parámetros estudiados de rehabilitación. Las técnicas de analgesia no influyeron en las fallas en el proceso de rehabilitación. CONCLUSIONES: El más alto nivel de efectividad de la analgesia epidural, no se tradujo en una mejoría en el proceso de rehabilitación, ni tampoco redujo el tiempo necesario para alcanzar los resultados estudiados.BAKGROUND AND OBJECTIVES: Pain after total hip arthroplasty (THA is severe and it is aggravated by movements, which requires an effective analgesic technique that allows early mobilization, participation

  6. An intraoral self-contained artificial larynx.

    Science.gov (United States)

    Lowry, L D; Katz, P A; Brenman, H S; Schwartz, H L

    1982-01-01

    It has been estimated that approximately one third to one half of persons undergoing total laryngectomy do not obtain a satisfactory voice. These patients remain aphonic or use artificial larynges to facilitate their communication. A multidisciplinary group at Thomas Jefferson University has developed a miniaturized artificial larynx that fits on a dental prosthesis or dental plate which has over a 100-dB sound pressure level output at the source and is powered by two hearing aid batteries with a life expectancy of over 100 hours of continuous use. Clinical trials have shown that persons using other artificial devices quickly adapt to this new artificial larynx, and the first person who began using the device, an Italian, commented that he could now use both hands; and felt that this was a great help because of his ethnic background.

  7. Dispositivo intraoral; disfunción temporomandibular

    OpenAIRE

    Astudillo, Lisandro; Bianchi, María Soledad; Perdomo Sturniolo, Ivana Lorena; Bavaro, Silvia; Tauil, Ricardo; Lancon, Carlos Alberto; Papasodaro, Jimena; Meroni, Juliana

    2017-01-01

    La disfunción temporomandibular o el desorden temporomandibular es un término colectivo utilizado para englobar un número de alteraciones clínicas que involucran a la musculatura masticatoria, las articulaciones temporomandibulares y las estructuras asociadas (sistema dentario y postura). Este desorden temporomandibular produce una alteración de la forma o función de la articulación de la mandíbula con respecto al cráneo, y de la función neuromuscular asociada directa o indirectamente con esa...

  8. Conservation of intraoral pressure changes during swallowing

    Directory of Open Access Journals (Sweden)

    Chris Bolter

    2012-12-01

    Conclusion: We tested the hypothesis that a liquid with a low viscosity (water requires less lingual propulsive deformation than a higher viscosity liquid such as saliva. Although saliva is a more complex fluid than water and varies between individuals, participants produced personally distinct and consistent signature pressure patterns and retained these for both liquids.

  9. Intraoral malignant melanoma | Babburi | Nigerian Medical Journal

    African Journals Online (AJOL)

    Primary oral mucosal melanoma is a rare aggressive neoplasm and accounts for only 0.2‑8% of all reported melanomas. It is a malignant neoplasm of melanocytes that may arise from a benign melanocytic lesion or de novo from melanocytes within normal skin or mucosa. It is considered to be the most deadly and ...

  10. 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.

  11. Utterance Detection by Intraoral Acceleration Sensor

    Science.gov (United States)

    Saiki, Tsunemasa; Takizawa, Yukako; Hashizume, Tsutomu; Higuchi, Kohei; Fujita, Takayuki; Maenaka, Kazusuke

    In order to establish monitoring systems for home health in elderly people including the prevention of mental illness, we investigated the acceleration of teeth in utterance on the assumption that an acceleration sensor can be implanted into an artificial denture in the near future. In the experiment, an acceleration sensor was fixed in front of the central incisors on the lower jaw by using a denture adhesive, and female and male subjects spoke five Japanese vowels. We then measured the teeth accelerations in three (front-to-back, right-to-left and top-to-bottom) axes and conducted frequency analyses. The result showed that high power spectral densities of the teeth accelerations were observed at a low frequency range of 2-10Hz (both the female and the male) and at a high frequency range of 200-300Hz (the female) or 100-150 Hz (the male). The low and high frequency components indicate movements of the lower jaw and voice sounds by bone conduction, respectively. Especially in the top-to-bottom axis of the central incisor, the frequency component appeared to be significant. Therefore, we found that utterance can be efficiently detected using the acceleration in this axis. We also found that three conditions of normal speech, lip synchronizing and humming can be recognized by using frequency analysis of the acceleration in the top-to-bottom axis of the central incisor.

  12. Medicine and ionizing rays: a help sheet in analysing risks in intra-oral dental radiology and applicable texts; Medecine et rayonnements ionisants: fiche d'aide a l'analyse des risques en radiologie dentaire endobuccale et textes applicables

    Energy Technology Data Exchange (ETDEWEB)

    Gauron, C. [Institut National de Recherche et de Securite, INRS, Dept. Etudes et Assistance Medicales, 75 - Paris (France)

    2009-07-01

    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)

  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. Utilización de memorias cache con bloqueo en sistemas de tiempo real.

    OpenAIRE

    Martí Campoy, Antonio

    2015-01-01

    Los procesadores actuales ofrecen una relación precio prestaciones muy interesante, además de otras cualidades como la garantía de funcionamiento o la gran disponibilidad de herramientas de desarrollo. Este conjunto de virtudes los hace muy atractivos para el desarrollo de cualquier sistema informático, incluidos los sistemas de tiempo real (STR). Sin embargo, los sistemas de tiempo real necesitan verificar no sólo la corrección de los cálculos y operaciones que realizan, sino que también ...

  15. Volumes anestésicos efetivos no bloqueio do nervo isquiático: comparação entre as abordagens parassacral e infraglútea-arabiceptal com bupivacaína a 0,5% com adrenalina e ropivacaína a 0,5% Volúmenes anestésicos efectivos en el bloqueo del nervio isquiático: comparación entre los abordajes parasacral e infraglúteo-parabicipital con bupivacaína a 0,5% con adrenalina y ropivacaína a 0,5% Effective anesthetic volumes in sciatic nerve block: comparison between the parasacral and infragluteal-parabiceps approaches with 0.5% bupivacaine with adrenaline and 0.5% ropivacaine

    Directory of Open Access Journals (Sweden)

    Pablo Escovedo Helayel

    2009-10-01

    Full Text Available JUSTIFICATIVA E OBJETIVOS: O volume e a massa das soluções de anestésico local (AL influenciam a taxa de sucesso dos bloqueios periféricos. Desta forma, o objetivo principal do estudo foi determinar os volumes de anestésico local para o bloqueio do nervo isquiático (BNI nas abordagens parassacral e infraglútea-parabiceptal. MÉTODO: Cento e um pacientes foram alocados aleatoriamente em 4 grupos e submetidos ao BNI nas abordagens infraglútea-parabiceptal ou parassacral, utilizando ropivacaína a 0,5% ou bupivacaína a 0,5% com adrenalina 5 µg.mL-1. Sucesso foi definido como bloqueio sensitivo e motor completo do nervo isquiático 30 minutos após a injeção do AL. Os volumes foram calculados pelo método up-and-down. RESULTADOS: Na abordagem parassacral o volume efetivo médio da ropivacaína foi 17,6 mL (IC 95%: 14,9 - 20,8 e da bupivacaína 16,4 mL (IC 95%: 12,3 - 21,9. Na abordagem infraglútea-parabiceptal o volume efetivo médio da ropivacaína foi 21,8 mL (IC 95%: 18,7 - 25,5 e bupivacaína 20,4 mL (IC 95%: 18,6 - 22,5. Volumes foram significativamente menores (p JUSTIFICATIVA Y OBJETIVOS: El volumen y la masa de las soluciones de anestésico local (AL, influyen en la tasa de éxito de los bloqueos periféricos. Así, el objetivo principal del estudio fue determinar los volúmenes de anestésico local para el bloqueo del nervio isquiático (BNI en los abordajes parasacral e infraglúteoparabicipital. MÉTODO: Ciento y un pacientes se ubicaron aleatoriamente en 4 grupos y fueron sometidos al BNI para los abordajes infraglúteoparabicipital o parasacral, utilizando ropivacaína a 0,5% o bupivacaína a 0,5% con adrenalina 5 µg.mL-1. El éxito se definió como bloqueo sensitivo y motor completo del nervio isquiático 30 minutos después de la inyección del AL. Los volúmenes se calcularon a través del método up-and-down. RESULTADOS: En el abordaje parasacral, el volumen efectivo promedio de la ropivacaína fue de 17,6 mL (IC 95

  16. 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

  17. Analgesia controlada pelo paciente reduz consumo de bupivacaína no bloqueio femoral no tratamento da dor pós-operatória após reconstrução do ligamento cruzado anterior do joelho Analgesia controlada por el paciente reduce consumo de bupivacaína en bloqueo femoral para manejo de dolor postoperatorio en reconstrucción de ligamento cruzado anterior de rodilla Patient controlled analgesia reduces the consumption of bupivacaine in femoral nerve block for the treatment of postoperative pain after reconstruction of anterior cruciate ligament of the knee

    Directory of Open Access Journals (Sweden)

    Victor A. Contreras-Domínguez

    2007-08-01

    Full Text Available JUSTIFICATIVA E OBJETIVOS: O bloqueio femoral contínuo (BFC é utilizado na analgesia pós-operatória das substituições articulares de quadril e joelho com bom resultado. O objetivo deste estudo foi avaliar a utilidade do BFC, comparando três esquemas de administração de bupivacaína após reconstrução do ligamento cruzado anterior (LCA do joelho por artroscopia. MÉTODO: Estudo prospectivo controlado de 90 pacientes estado físico ASA I e II. Os pacientes foram divididos em três grupos: Grupo 1 (n = 30: 10 mL.h-1 em infusão contínua (IC de bupivacaína 0,125% + clonidina 1µg.mL-1 (B + C; Grupo 2 (n = 30: 5 mL.h-1 em IC + 2,5 mL de B + C em PCA a cada 30 min; Grupo 3 (n = 30: 5 mL.h-1 de B + C em PCA cada 30 min. A anestesia foi por via subaracnóidea. A dor pós-operatório foi registrada às 2, 4, 6, 24 e 48 horas após a operação avaliada pela Escala Analógica Visual (VAS. Anotou-se também consumo de bupivacaína e morfina. RESULTADOS: Não foram registradas diferenças nas variáveis demográficas entre ambos os grupos. O VAS pós-operatório entre 2 e 48 horas não mostrou diferenças. O consumo de morfina entre 4 e 48 horas foi similar nos três grupos (p = 0,07. No grupo em que só foi utilizado o modo PCA, o consumo de bupivacaína foi significativamente menor (p JUSTIFICATIVA Y OBJETIVOS: El bloqueo femoral continuo (BFC se utiliza en la analgesia postoperatoria de los reemplazos articulares de cadera y rodilla con buen resultado. El objetivo es evaluar la utilidad del BFC, comparando 3 esquemas de administración de bupivacaína en reconstrucción de ligamento cruzado anterior (LCA de rodilla asistida por artroscopía. MÉTODO: Estudio prospectivo controlado de 90 pacientes estado físico ASA I y II estables. Los pacientes fueron divididos en tres grupos. El Grupo 1 (n = 30: 10 mL.h-1 en infusión continua (IC de bupivacaína 0,125% + clonidina 1µg.mL-1 (B + C; Grupo 2 (n = 30: 5 mL.h-1 en IC + 2,5 mL de B + C en PCA

  18. Atitudes de anestesiologistas e médicos em especialização em anestesiologia dos CET/SBA em relação aos bloqueios nervosos dos membros superior e inferior Actitudes de anestesiólogos y médicos en especialización en anestesiología de los CET/SBA con relación a los bloqueos nerviosos de los miembros superior e inferior The attitude of anesthesiologists and anesthesiology residents of the CET/SBA regarding upper and lower limb nerve blocks

    Directory of Open Access Journals (Sweden)

    Pablo Escovedo Helayel

    2009-06-01

    Full Text Available JUSTIFICATIVA E OBJETIVOS: O emprego da anestesia regional, em especial dos bloqueios nervosos periféricos (BNP tem aumentado na prática anestesiológica devido à menor necessidade de instrumentação de vias aéreas, menor custo e excelente analgesia pós-operatória. Entretanto, sua utilização sofre restrições causadas pela falta de treinamento, maior tempo de realização, temor de complicações neurológicas e toxicidade sistêmica. O objetivo desse estudo foi medir as atitudes de anestesiologistas e médicos em especialização nos Centros de Ensino e Treinamento (CET/SBA em relação aos BNP. MÉTODO: Foi construído um questionário com 25 itens sendo disponibilizado eletronicamente e por correio aos responsáveis de 80 CET, seus instrutores e médicos em especialização. RESULTADOS: Quarenta e dois CET (52,5% devolveram 188 questionários, sendo 62 (32% médicos em especialização (ME e 126 (68% anestesiologistas. O coeficiente de confiabilidade de Cronbach do questionário foi 0,79. A análise fatorial revelou seis fatores, que explicaram 53% da variância dos escores: fator 1 - atitudes positivas, responsável por 18,34 % da variância; fator 2 - treinamento/aplicação, responsável por 11,73 % da variância; fator 3 - aspectos negativos, responsável por 7,11 % da variância; fator 4 - fatores limitantes, responsável por 6,39 % da variância; fator 5 - anestesia regional como diferencial de competência, responsável por 5,79% da variância; e fator 6 - respeito pelo paciente, responsável por 5,4 % da variância. CONCLUSÕES: O questionário mostrou-se uma ferramenta fidedigna para medida de atitudes com relação à anestesia regional. Os anestesiologistas demonstraram maior interesse nos aspectos relacionados aos pacientes enquanto os ME tiveram como foco principal a aquisição de habilidades técnicas.JUSTIFICATIVA Y OBJETIVOS: El uso de la anestesia regional, en especial de los bloqueos nerviosos periféricos (BNP ha

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

    Directory of Open Access Journals (Sweden)

    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

  20. Decreased radiation doses to tongue with “stick-out” tongue position over neutral tongue position in head and neck cancer patients who refused or could not tolerate an intraoral device (bite-block, tongue blade, or mouthpiece) due to trismus, gag reflex, or discomfort during intensity-modulated radiation therapy

    Science.gov (United States)

    Kil, Whoon Jong; Kulasekere, Christina; Derrwaldt, Ronald; Bugno, Jacob; Hatch, Craig

    2016-01-01

    Purpose To assess changes in oral cavity (OC) shapes and radiation doses to tongue with different tongue positions during intensity-modulated radiation therapy (IMRT) in patients with head and neck squamous cell carcinoma (HNSCC) but who refused or did not tolerate an intraoral device (IOD), such as bite block, tongue blade, or mouthpiece. Results Tongue volume outside of OC was 7.1 ± 3.8 cm3 (5.4 ± 2.6% of entire OC and 7.8 ± 3.1% of oral tongue) in IMRT-S. Dmean of OC was 34.9 ± 8.0 Gy and 31.4 ± 8.7 Gy with IMRT-N and IMRT-S, respectively (p tongue was 38.1 ± 7.9 Gy and 32.8 ± 8.8 Gy in IMRT-N and IMRT-S, respectively (p tongue were significantly lower in IMRT-S (85.3 ± 15.0%, 50.6 ± 16.2%, 24.3 ± 16.0%, respectively) than IMRT-N (94.4 ± 10.6%, 64.7 ± 16.2%, 34.0 ± 18.6%, respectively) (all p tongue during the course of IMRT-S was –0.1 ± 0.2 cm, 0.01 ± 0.1 cm, and –0.1 ± 0.2 cm (vertical, longitudinal, and lateral, respectively). Materials and Methods 13 patients with HNSCC underwent CT-simulations both with a neutral tongue position and a stick-out tongue for IMRT planning (IMRT-N and IMRT-S, respectively). Planning objectives were to deliver 70 Gy, 63 Gy, and 56 Gy in 35 fractions to 95% of PTVs. Radiation Therapy Oncology Group (RTOG) recommended dose constraints were applied. Data are presented as mean ± standard deviation and compared using the student t-test. Conclusions IMRT-S for patients with HNSCC who refused or could not tolerate an IOD has significant decreased radiation dose to the tongue than IMRT-N, which may potentially reduce RT related toxicity in tongue in selected patients. PMID:27447973

  1. Evaluación de la eficacia de tres técnicas analgésicas, analgesia epidural, bloqueo femoral continuo y doble bloqueo femoral y ciático continuos en la artroplastia total de rodilla.

    OpenAIRE

    Sánchez Contreras, María Dolores

    2015-01-01

    La artroplastia total de rodilla es una intervención quirúrgica que se realiza en pacientes afectos de gonartrosis avanzada que cursa con dolor e impotencia funcional significativa. La mayoría de pacientes tienen más 65 años y presentan frecuentemente patología asociada. El dolor postoperatorio que aparece como consecuencia de la agresión quirúrgica es de intensidad moderada-severa, se inicia en las 3-6 primeras horas, prolongándose hasta las 24h y es a partir de este momento cuando comienz...

  2. Bloqueo del sistema renina-angiotensina-aldosterona en pacientes con enfermedad renal diabética avanzada

    Directory of Open Access Journals (Sweden)

    Sheila Bermejo

    2018-03-01

    Conclusiones: El tratamiento con BSRAA es más frecuente en pacientes con FGe≥30 mL/min/1,73m2. No observamos diferencias en la evolución de la función renal entre los tres grupos. La mayor mortalidad observada en pacientes que no recibieron BSRAA se relacionó con la edad avanzada y peor función renal.

  3. Diagnóstico ecográfico de Schwannoma del nervio mediano al realizar bloqueo regional

    OpenAIRE

    Olías López, Beatriz; Fajardo Pérez, Mario

    2015-01-01

    El Schwannoma, neurinoma o neurilemoma, es el tumor nervioso periférico más frecuente, y tiene su origen en las células de Schwann. Representa un 5% de las neoplasias benignas de los tejidos blandos. Es un tumor benigno de la vaina neural. Suele ser un tumor solitario y, aunque puede ser también múltiple, generalmente son menores de 5 centímetros al diagnóstico, raramente malignizan y tienen una edad de presentación entre los 20 y 40 años, sin predominio por sexo. Son clínicamente móvil...

  4. Ensayos en Ambiente Hospitalario de Técnicas de Monitorización de Bloqueo Neuromuscular: Resultados Preliminares

    Directory of Open Access Journals (Sweden)

    Yadel Forneiro Martín Viaña

    2014-07-01

    Introduction: In order to evaluate the magnitude of neuromuscular blocking during anesthesia, the anesthesiologists consider the muscular response to peripheral nerves stimulation. Objective: Study aims to calculate muscle relaxation indicators, through neuromuscular blocking and its algorithms using a Cuban made monitoring device during the medical procedure. Materials and methods: Thumb kinetic response and muscles relaxation indicators were registered and calculated automatically; for this purpose, median and nerves trials using Troin-of – Four (TOF were conducted in shorter surgeries, which allowed to monitor patients’ neuromuscular, intraoperative function. Scientific consel and the Committee of Ethics of the Clinical Surgical Hospital “HermanosAmeijeiras” approved the protocol, based on a research project conducted by the ICID – Medical Digital technology and the Hospital. Results: the monitoring was stable during all medical procedures as indicated on graph data obtained during five sample cases indicating muscle relaxation indicators. Conclusion: muscle relaxation indicators registered during trials showed significant relevance relation to patient’s clinical history, giving support to evidence of the monitoring implemented techniques based on specialists’ criteria.

  5. Characterization of fibroblast phenotypes in intra-oral wound healing

    NARCIS (Netherlands)

    Beurden, H.E. van

    2006-01-01

    Wound contraction and subsequent scar tissue formation is thought to be a main cause of the maxillary and dento-alveolar growth inhibition observed after cleft palate surgery. A reduction in wound contraction and scar tissue formation might prevent these iatrogenic effects. To achieve this,

  6. Intraoral galvanic corrosion: literature review and case report.

    Science.gov (United States)

    Meyer, R D; Meyer, J; Taloumis, L J

    1993-02-01

    This article reviewed the dental history of a patient with symptomatic electro-chemical reactions after the occlusal relationship of an existing complete gold crown and silver amalgam restoration was changed. A literature review of oral galvanism is presented with diagnostic techniques and treatment options.

  7. In vivo intraoral reflectance confocal microscopy of an amalgam tattoo

    OpenAIRE

    Yélamos, Oriol; Cordova, Miguel; Peterson, Gary; Pulitzer, Melissa P.; Singh, Bhuvanesh; Rajadhyaksha, Milind; DeFazio, Jennifer L.

    2017-01-01

    The majority of oral pigmentations are benign lesions such as nevi, melanotic macules, melanoacanthomas or amalgam tattoos. Conversely, mucosal melanomas are rare but often lethal; therefore, excluding oral melanomas in this setting is crucial. Reflectance confocal microscopy is a non-invasive, in vivo imaging system with cellular resolution that has been used to distinguish benign from malignant pigmented lesions in the skin, and more recently in the mucosa. However, lesions located posterio...

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

    African Journals Online (AJOL)

    2015-04-21

    Apr 21, 2015 ... complementary metal oxide semiconductors [CMOS]) and (2) photostimulable phosphor (PSP) technology.[3,4] In. CCD and CMOS systems, a cable usually connects the sensor to the computer, and the image is displayed almost immediately on the computer monitor after the exposure of the sensor.[4].

  9. A radiographic study of mental foramen in intraoral radiographs

    International Nuclear Information System (INIS)

    Sohn, Jeong Ick; Choi, Karp Shik

    1995-01-01

    The purpose of this study was to evaluate the position and shape of mental foramen in periapical radiographs. For this study, periapical radiographs of premolar areas were obtained from the 200 adults. Accordingly, the positional and shape changes of mental foramen were evaluated. The authors obtained radiographs according to changes in radiation beam direction in periapical radiographs of premolar areas, and then evaluated the positional and shape changes of mental foramen. The following results were obtained: 1. Shapes of mental foramen were observed elliptical (34.3%), round or oval (28.0%), unidentified (25.5%) and diffuse (12.2%) type in descending order of frequency. 2, Horizontal positions of mental foramen were most frequently observed at the 2nd premolar area (55.3%), the area between the 1st premolar and 2nd premolar (39.6%), the area between the 2nd premolar and 1st molar (3.4%), the 1st premolar area (1.0%), the area between the canine and 1st premolar (0.7%) in descending order of frequency. 3. Vertical positions of mental foramen were most frequently observed at the inferior to apex (67.1%), and at apex (24.8%), overlap with apex (6.4%), superior to apex (1.7%) in descending order of frequency. 4. Shapes of mental foramen were more obviously observed at the upward 10 degree positioned periapical radiographs. And according to the changes of horizontal and vertical position, they were observed similar to normally positioned periapical radiographs.

  10. Intra-Oral traumatic implantation: A case report | Bankole | West ...

    African Journals Online (AJOL)

    A case of traumatic implantation of a broken piece of a ball point pen in the pterygomandibular region in a 13-year-old male patient is presented. Removal of the pen shaft was done by blunt dissection and careful manipulation under local anaesthesia. The possible complications of similar cases are enumerated. Key words: ...

  11. Characterization of fibroblast phenotypes in intra-oral wound healing.

    NARCIS (Netherlands)

    Beurden, H.E. van

    2006-01-01

    Wound contraction and subsequent scar tissue formation is thought to be a main cause of the maxillary and dento-alveolar growth inhibition observed after cleft palate surgery. A reduction in wound contraction and scar tissue formation might prevent these iatrogenic effects. To achieve this,

  12. Short-Term Evaluation of Intraoral Soft Splints

    Science.gov (United States)

    1994-06-01

    higher than for subjects with myofascial pain syndrome (Schiffman et al. 1988). A study with the PAMP II pressure algometer on extra-oral masticatory...between the normal and myofascial pain syndrome subjects. Chung et al. (1992) corroborated the high inter-rater and intra-rater correlations for the...its over extension into the vestibules or frenum attachments. Care was taken not to overly shorten the posterior lingual flange area and the flanges

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

    African Journals Online (AJOL)

    2015-04-21

    Apr 21, 2015 ... and 336 were of pediatric patients. While movement of the phosphor plate in the ... Department of Dentomaxillofacial Radiology, Faculty of Dentistry, Baskent University, Ankara, Turkey. Access this article online ... PSP system was operated by two experienced radiology technicians and a rotation of ...

  14. A radiographic study of mental foramen in intraoral radiographs

    Energy Technology Data Exchange (ETDEWEB)

    Sohn, Jeong Ick; Choi, Karp Shik [Dept. of Oral and Maxillofacial Radiology, College of Dentistry, Kyungpook National University, Daegu (Korea, Republic of)

    1995-08-15

    The purpose of this study was to evaluate the position and shape of mental foramen in periapical radiographs. For this study, periapical radiographs of premolar areas were obtained from the 200 adults. Accordingly, the positional and shape changes of mental foramen were evaluated. The authors obtained radiographs according to changes in radiation beam direction in periapical radiographs of premolar areas, and then evaluated the positional and shape changes of mental foramen. The following results were obtained: 1. Shapes of mental foramen were observed elliptical (34.3%), round or oval (28.0%), unidentified (25.5%) and diffuse (12.2%) type in descending order of frequency. 2, Horizontal positions of mental foramen were most frequently observed at the 2nd premolar area (55.3%), the area between the 1st premolar and 2nd premolar (39.6%), the area between the 2nd premolar and 1st molar (3.4%), the 1st premolar area (1.0%), the area between the canine and 1st premolar (0.7%) in descending order of frequency. 3. Vertical positions of mental foramen were most frequently observed at the inferior to apex (67.1%), and at apex (24.8%), overlap with apex (6.4%), superior to apex (1.7%) in descending order of frequency. 4. Shapes of mental foramen were more obviously observed at the upward 10 degree positioned periapical radiographs. And according to the changes of horizontal and vertical position, they were observed similar to normally positioned periapical radiographs.

  15. Chameleon of head and neck diseases: Intraoral actinomycosis

    Directory of Open Access Journals (Sweden)

    Srisha Basappa

    2015-01-01

    Full Text Available Actinomycosis is a chronic infectious granulomatous disease caused by saprophytic Actinomyces species. The case discussed in this report is of an adult female patient with a large actinomycotic lesion in the region of the mandibular left second premolar, first and second molars. Provisional diagnosis was made as extragingival pyogenic granuloma. Definitive diagnosis was based on histopathological examination. Since actinomycotic infection has opportunistic characteristics, early diagnosis and proper management of the disease is mandatory to prevent further complications.

  16. Reliability of shade selection using an intraoral spectrophotometer.

    Science.gov (United States)

    Witkowski, Siegbert; Yajima, Nao-Daniel; Wolkewitz, Martin; Strub, Jorge R

    2012-06-01

    In this study, we evaluate the accuracy and reproducibility of human tooth shade selection using a digital spectrophotometer. Variability among examiners and illumination conditions were tested for possible influence on measurement reproducibility. Fifteen intact anterior teeth of 15 subjects were evaluated for their shade using a digital spectrophotometer (Crystaleye, Olympus, Tokyo, Japan) by two examiners under the same light conditions representing a dental laboratory situation. Each examiner performed the measurement ten times on the labial surface of each tooth containing three evaluation sides (cervical, body, incisal). Commission International on Illumination color space values for L* (lightness), a* (red/green), and b* (yellow/blue) were obtained from each evaluated side. Examiner 2 repeated the measurements of the same subjects under different light conditions (i.e., a dental unit with a chairside lamp). To describe measurement precision, the mean color difference from the mean metric was used. The computed confidence interval (CI) value 5.228 (4.6598-5.8615) reflected (represented) the validity of the measurements. Least square mean analysis of the values obtained by examiners 1 and 2 or under different illumination conditions revealed no statistically significant differences (CI = 95%). Within the limits of the present study, the accuracy and reproducibility of dental shade selection using the tested spectrophotometer with respect to examiner and illumination conditions reflected the reliability of this device. This study suggests that the tested spectrophotometer can be recommended for the clinical application of shade selection.

  17. Intraoral fiber-optic-based diagnostic for periodontal disease

    Science.gov (United States)

    Colston, Bill W., Jr.; Gutierrez, Dora M.; Everett, Matthew J.; Brown, Steve B.; Langry, Kevin C.; Cox, Weldon R.; Johnson, Paul W.; Roe, Jeffrey N.

    2000-05-01

    The purpose of this initial study was to begin development of a new, objective diagnostic instrument that will allow simultaneous quantitation of multiple proteases within a