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This study presented an epidemiological data of 177 medical records of patients affected by oral and pharyngeal cancers with prosthesis indication. The gender, age, sun exposure, disease diagnosis, cancer anatomic site, radiation treatment and type of prosthesis, death from oral and pharyngeal cancers were collected. Data were analyzed by summary measures and logistic regression analysis. The mean age of the patients was 62.7 years, and 46.8% died between 52 and 62 years old. Most of the patients were male (74%), and 42% died among them. Squamous cell carcinoma was the most prevalent cancer (75.1%) and 42.1% of these patients died. The age, gender, diagnosis and the interaction of these factors exhibited strong association with the patients' death (P

Head and neck tumors are a major health concern worldwide, due to their high incidence and mortality rates, particularly in developing countries. In Brazil, this type of cancer is commonly diagnosed and studies suggested that it may be the leading cause of mortality in the country. The increase in life expectancy worldwide, as well as environmental and behavioral factors, are related to carcinogenesis. Therefore, an understanding of basic epidemiology and statistical methods is critical, in order to promote early diagnosis and cancer prevention. Cancer patients with an indication for prosthesis were selected from the medical records of the Oral Oncology Center, School of Dentistry, Sao Paulo State University (UNESP), Aracatuba, between 1991 and 2010. The following variables were recorded: gender, age, type and location of the lesion, radiation dose and dental prosthesis. The majority of the patients were male (74.15%) and >60 years of age (53.37%). Tumors were most commonly located in the floor of the mouth (11.1%) and squamous cell carcinoma was the most prevalent type (72.8%). This study provides the profiles of patients who attended the Oral Oncology Center and the results may aid in the creation of cancer prevention programs.

Purpose: The aim of this study was to evaluate the color stability of a facial silicone with different pigmentations submitted to disinfection and accelerated aging. Materials and Methods: Sixty replicas were fabricated with the silicone Silastic MDX 4-4210 and divided into three groups: no pigmentation, pigmentation with makeup powder, and pigmentation with ceramic powder. Half the replicas of each group were submitted to disinfection with Efferdent and the other with neutral soap for 60 days (n = 10). After this period, all replicas were inserted in a chamber for accelerated aging of nonmetallic specimens. The color measurements were carried out initially, after disinfection, and after accelerated aging (252, 504, 1008 hours). Color stability was evaluated through spectrophotometry. The values were submitted to ANOVA and the means to Tukey's test (p < 0.01). Results: The specimens disinfected with neutral soap exhibited higher ΔE values regardless of the type of pigmentation. The colorless replicas and the specimens pigmented with ceramic exhibited a statistically significant difference between the methods of disinfection in all periods. The specimens pigmented with makeup powder did not demonstrate a statistically significant difference. Conclusions: The ceramic pigment presented greater color stability regardless of disinfection and period. On the other hand, the makeup pigment exhibited the highest values of chromatic alteration.

Color stability of resin and silicone is an important factor for longevity of facial prostheses. The aim of this study was to evaluate the color stability of resins and silicone for facial prostheses. Three brands of acrylic resin and 1 of facial silicone were evaluated considering pigment incorporation for the colorless materials. Ten samples of each material were fabricated and submitted to measurements of chromatic alteration initially and after 252, 504, and 1008 hours of weathering through visual analysis and spectrophotometry. Data were evaluated by analysis of variance and Tukey test (P < 0.05). Results showed a statistically significant difference in color alteration among materials independent of aging. According to visual analysis, the color difference between pigmented and colorless Silastic MDX4-4210 and between pigmented and colorless Classico acrylic resin was statistically significant for the 3 weathering periods. Aging for 1008 hours represented a significant influence on color alteration of all resins. All materials presented chromatic alteration after accelerated artificial aging.

Purpose: The purpose of this study was to evaluate the color stability of two silicones for use in facial prostheses, under the influence of chemical disinfection and storage time. Materials and Methods: Twenty-eight specimens were obtained half made from Silastic MDX 4-4210 silicone and the other half from Silastic 732 RTV silicone. The specimens were divided into four groups: Silastic 732 RTV and MDX 4-4210 with disinfection three times a week with Efferdent and Sliastic 732 RTV and MDX 4-4210 disinfected with neutral soap. Color stability was analyzed by spectrophotometry, immediately and 2 months after making the specimens. After obtaining the results, ANOVA and Tukey test with 1% reliability were used for statistical analysis. Results: Statistical differences between mean color values were observed. Disinfection with Efferdent did not statistically influence the mean color values. Conclusion: The factors of storage time and disinfection statistically influenced color stability; disinfection acts as a bleaching agent in silicone materials.

Temporomandibular disorders is a collective term used to describe a number of related disorders involving the temporomandibular joints, masticatory muscles and occlusion with common symptoms such as pain, restricted movement, muscle tenderness and intermittent joint sounds. The multifactorial TMD etiology is related to emotional tension, occlusal interferences, tooth loss, postural deviation, masticatory muscular dysfunction, internal and external changes in TMJ structure and the various associations of these factors. The aim of this study was to evaluate the prevalence of the relationship between signs of psychological distress and temporomandibular disorder in university students. A total 150 volunteers participated in this study. They attended different courses in the field of human science at one public university and four private universities. TMD was assessed by the Research Diagnostic Criteria (RDC) questionnaire. Anxiety was measured by means of a self-evaluative questionnaire, Spielberger's Trait-State anxiety inventory, to evaluate students'state and trait anxiety. The results of the two questionnaires were compared to determine the relationship between anxiety levels and severity degrees of chronic TMD pain by means of the chi-square test. The significance level was set at 5%. The statistical analysis showed that the TMD degree has a positive association with state-anxiety (p = 0.008; p0.05) and negative with trait-anxiety (p = 0.619; p0.05). Moreover a high TMD rate was observed among the students (40%). This study concluded that there is a positive association between TMD and anxiety.

Complete and partial loss of maxillary bone may jeopardize oral physiology and generate complications as oral-sinus-nasal communication. Palatal obturator prostheses are a treatment alternative for rehabilitation of these patients. The aim of this study was to assess stress distribution, through photoelasticity, on palatal obturator prostheses associated with different attachment systems (o'ring, bar clip, and o'ring/bar clip) of implants and submitted to relining. Two photoelastic models were fabricated according to an experimental maxillary model with oral-sinus-nasal communication. One model did not present implants, whereas the other included 2 implants with 13.0 mm in length in the left ridge. Four colorless maxillary obturator prostheses were fabricated and relined with soft silicone. One of these prostheses presented no attachment system, whereas the remaining prostheses included attachment systems adapted to the implants. The assembly (model/attachment system/prosthesis) was positioned in a circular polariscope during loading with 100 N at 10 mm/s. The results were based on observation during the experiment and photographic records of stress on the photoelastic model. The bar clip system exhibited the highest stress concentration followed by o'ring/bar clip and o'ring systems. The attachment systems presented different stress distribution with greater concentration surrounding the implants and homogenous stress distribution on the photoelastic model without implants. The highest concentration of fringes occurred, in ascending order, with o'ring, o'ring/bar clip, and bar clip systems.

The aim of this study was to evaluate the color stability of a facial silicone with different pigmentations submitted to disinfection and accelerated aging.Sixty replicas were fabricated with the silicone Silastic MDX 4-4210 and divided into three groups: no pigmentation, pigmentation with makeup powder, and pigmentation with ceramic powder. Half the replicas of each group were submitted to disinfection with Efferdent and the other with neutral soap for 60 days (n = 10). After this period, all replicas were inserted in a chamber for accelerated aging of nonmetallic specimens. The color measurements were carried out initially, after disinfection, and after accelerated aging (252, 504, 1008 hours). Color stability was evaluated through spectrophotometry. The values were submitted to ANOVA and the means to Tukey's test (p0.01).The specimens disinfected with neutral soap exhibited higher ΔE values regardless of the type of pigmentation. The colorless replicas and the specimens pigmented with ceramic exhibited a statistically significant difference between the methods of disinfection in all periods. The specimens pigmented with makeup powder did not demonstrate a statistically significant difference.The ceramic pigment presented greater color stability regardless of disinfection and period. On the other hand, the makeup pigment exhibited the highest values of chromatic alteration.

O objetivo deste trabalho foi avaliar a microdureza superficial de quatro tipos de resinas acrílicas (Onda Cryl, Vipi Wave, Vipi Cril e QC-20 com polimerização convencional e com polimerização por energia de microondas) para base de dentaduras, em função do período de armazenagem, em água, de seis meses. Foram confeccionadas vinte e cinco amostras, as quais foram fixadas em discos acrílicos incolores, devidamente identificados, que foram então polidas em uma politriz e foram submetidas ao teste de microdureza superficial Knoop em um microdurômetro digital (modelo HMV-2T) e posteriormente armazenados em água destilada a 35 + 2°C por seis meses, após o qual um segundo teste de microdureza superficial das amostras foi realizado. Os resultados obtidos foram submetidos à análise de variância e ao teste de Tukey ao nível de significância de 5%. Observou-se que o fator tempo de armazenagem promoveu um decréscimo dos valores médios de microdureza superficial Knoop para todos os grupos estudados, sendo que apenas para os grupos Vipi Cril e QC-20 polimerizado por energia de microondas esta diminuição dos valores foi estatisticamente significativa

O objetivo desta pesquisa foi avaliar a influência da desinfecção química e da armazenagem por 3 meses sobre a deformação inicial, deformação permanente e a porosidade de três materiais reembasadores resilientes. Os corpos-de-prova foram divididos em 2 grupos para cada material: sem e com desinfecção química. Foram analisados em relógio indicador, para a verificação da deformação inicial e permanente e visualmente para a porosidade. Essas leituras foram realizadas 3 meses após a polimerização dos corpos-de-prova. Concluiu-se que todos os materiais reembasadores resilientes sofreram deformação inicial e permanente, após o período analisado, independentemente da desinfecção química. O material que apresentou a menor deformação inicial e permanente foi o Dentuflex. Após 3 meses, apenas o material Dentuflex não apresentou porosidade.

The objectives of this study were, through a literature review, to point the differences between orbital implants and their advantages and disadvantages, to evaluate prosthesis motility after orbital implants are inserted, and to point the implant wrapping current risks. Sixty-seven articles were reviewed. Enucleation implants can be autoplastics or alloplastics and porous (including natural and synthetic hydroxyapatite [HA]) or nonporous (silicone). Hydroxyapatite is the most related in the literature, but it has disadvantages, too, that is, all orbital implants must be wrapped. Exposure of the porous orbital implant can be repaired using different materials, which include homologous tissue, as well as autogenous graft, xenograft, and synthetic material mesh. The most used materials are HA and porous polyethylene orbital implant. The HA implant is expensive and possibly subject corals to damage, different from porous polyethylene orbital implants. Porous implants show the best prosthesis motility and a minimum rate of implants extrusion. Implant wraps can facilitate smoother entry of the implant into the orbit and allow reattachment of extraocular muscles. They also serve as a barrier between the overlying soft tissue and the rough surface of the implant, protecting implants from exposure or erosion.

This study evaluated the relationship between anxiety levels and severity degrees of chronic orofacial pain of temporomandibular disorder in brazilian university students.150 volunteers (117 men and 33 women), with age ranging from 17 to 30 years, were subjects to this study. Spielberger's trait-state anxiety inventory was used to evaluate trait and state anxiety of the students, while examination for chronic orofacial pain was performed in accordance with the Research Diagnostic Criteria for Temporomandibular Disorders (RDC/TMD). Association between anxiety levels and severity degrees of chronic orofacial pain was tested using the Chi-square test. The significance level was set at p.05.The results showed that 32.7% (n=49) of the subjects exhibited TMD, and the intensity of chronic orofacial pain was classified as degree 1 in 85.7% (n=42) and as degree 2 in 14.3% (n=7) of them. Based on the results of the Spielberger's trait-state anxiety inventory, the majority of the students had moderate anxiety (48.6% and 48.1%, respectively). The correlation between trait-anxiety levels and chronic orofacial pain degrees was significant and positive (p.05). However, no significant correlation was found to state-anxiety levels and chronic orofacial pain degrees (p.05).It was concluded that chronic orofacial pain of TMD could be present in university students and anxiety may be related.

The aim of this study was to evaluate the dimensional stability and detail reproduction of two silicones used for facial prosthesis, under the influence of chemical disinfection and storage time. Twenty-eight test specimens were obtained, half made of Silastic MDX 4-4210 silicone, and the other half of Silastic 732 RTV silicone. The test specimens were divided into 4 groups: Silastic 732 RTV and Silastic MDX 4-4210, with disinfection 3 times a week with Efferdent and without disinfection. Dimensional change was analyzed using an electronic comparison microscope and detail reproduction was observed under a stereo microscope, immediately and 2 months after the test specimens were made. Once the results were obtained, an analisis of variance (ANOVA) was applied, followed by the Tukey's Test with 1% confidence. The storage time factor had a statistical influence on dimensional stability: Silastic MDX 4-4210 had less contraction than Silastic 732 RTV. Chemical disinfection did not significantly alter the dimensional stability of the materials used. Regarding detail reproduction, no alteration of values was observed in any of the materials analyzed, regardless of storage period or disinfection.

Fundamento' Los materiales para rebasados resilentes de protesis, presentan ciertas caracteristicas clinica mente importantes que pueden alterarse con el tiempo de uso, entre ellas la dureza, y rugosidad. El objetivo de este estudio fue evaiuar la influencia del almacenamiento sobre la dureza Shore A y rugosidad de cuatro materiales resilentes para rebasado. Materiales y metodo: Fueron utilizados 4 materiales resilentes: Dentuflex, Coe-Soft, Dentusoft y Dinabase, 3 temporales y un permanente; para cada material fueron confeccionadas 7 muestras. Se evaluo la dureza y rugosidad inicialmente, a los 30 y 90 dias de almacenamiento en agua destilada a 3S±2°C. Los resultados fueron sometidos al analisis de varianza (ANOVAl y las medias comparadas por el Test de TUkey (p

The use of photoelastic analysis contributes to the rehabilitation of patients with oral-sinus-nasal seque- lae, which in turn affect important functions such as chewing, swallowing, and speech. The prosthetic rehabilitation with implant-retained dentures is a suitable treatment option. The purpose of this study was to verify, by using a photoelastic analysis, the stress distribution in implant-retained palatal obturator dentures (relined or not) associated with different attachment systems (O-ring, bar-clip, and bar-clip associated with distally placed O-rings). Two photoelastic models were obtained from an experimental maxillary cast presenting an oral-nasal communication. One model had two 13-mm length implants placed on the left region. A total of eight colorless maxillary obturators were fabricated and subsequently four of them were relined with soft silicone soft, and three had attachment systems associated. The assembly (model/attachment system/prosthesis) was positioned in a circular polariscope and a 100-N load was applied at 10 mm∕s. The results showed that the denture relining influenced the distribution and amount of stress on the models. The O-ring group displayed the lowest stress levels, followed by bar-clip system associated with distally placed O-rings and bar-clip groups. © 2012 Society of Photo-Optical Instrumentation Engineers