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Copyright of Revista Foco (Interdisciplinary Studies Journal) is the property of Revista Foco and its content may not be copied or emailed to multiple sites or posted to a listserv without the copyright holder's express written permission. However, users may print, download, or email articles for individual use. This abstract may be abridged. No warranty is given about the accuracy of the copy. Users should refer to the original published version of the material for the full abstract. (Copyright applies to all Abstracts.)

Copyright of Clinical Orthodontics is the property of Dental Press International and its content may not be copied or emailed to multiple sites or posted to a listserv without the copyright holder's express written permission. However, users may print, download, or email articles for individual use. This abstract may be abridged. No warranty is given about the accuracy of the copy. Users should refer to the original published version of the material for the full abstract. (Copyright applies to all Abstracts.)

Copyright of Revista Foco (Interdisciplinary Studies Journal) is the property of Revista Foco and its content may not be copied or emailed to multiple sites or posted to a listserv without the copyright holder's express written permission. However, users may print, download, or email articles for individual use. This abstract may be abridged. No warranty is given about the accuracy of the copy. Users should refer to the original published version of the material for the full abstract. (Copyright applies to all Abstracts.)

Copyright of Clinical Orthodontics is the property of Dental Press International and its content may not be copied or emailed to multiple sites or posted to a listserv without the copyright holder's express written permission. However, users may print, download, or email articles for individual use. This abstract may be abridged. No warranty is given about the accuracy of the copy. Users should refer to the original published version of the material for the full abstract. (Copyright applies to all Abstracts.)

This study aimed to report a treatment of multiple gingival recession in a 43-year-old female patient. After clinical and tomographic evaluation, Miller's class I and II (or Cairo RT1) gingival recessions were observed in several teeth of maxilla and mandible. Non-carious cervical lesions, poorly adapted crowns and unbalanced occlusion were also diagnosed, with the absence of canine guides. A thin gingival phenotype was also found. Orthodontic treatment was not performed, as a thin vestibular bone wall in the mandible was detected. Therefore, correction of the occlusion was performed by means of selective wear on cusps of the posterior teeth to relieve premature contacts. For root coverage, tunneling technique was used in the first, second and fourth sextants. In the fifth sextant, full covering occurred only after a second surgery. A third surgery was performed in the fourth quadrant, and the modified Bruno technique was chosen. The donor region was the palate in all the procedures. The two techniques employed reached up to 100% root coverage in all areas that received the surgery. The patient was satisfied with the final result. It was concluded that complete root coverage is possible when using tunneling technique in patients without interproximal bone loss. [ABSTRACT FROM AUTHOR]

Periodontal diseases are chronic diseases of oral cavity comprising of inflammatory conditions which effect the supporting structures of dentition. It is a multifactorial disease which is also known to be affected by genetic and environmental factors. However, some of the clinical parameters such as probing depth, attachment level, plaque index, bleeding on probing and radiographic assessment of alveolar bone are known to assess the severity of disease, although the disease activity is not measured. In the current scenario the salivary diagnostic markers for diagnosis of periodontal diseases have included the salivary enzymes, immunoglobulins, bacterial components or products, phenotypic markers such as epithelial markers. Also, saliva is a mirror of oral and systemic health and a valuable source to find out the physiological aspects of periodontal diseases. The present review thus highlights various salivary biomarkers which are quick, easy and reliable method for assessing and monitoring periodontal disease that improves and speeds treatment decisions and moves the field closer to individualized point-of-care diagnostics.

The early diagnosis of vertical root fractures (VRF) is a major challenge, as the clinical and radiographic characteristics are confused with pathologies seen in periodontal diseases or true endodontic lesions. Therefore, the objective of this work was to report a clinical case of endodontic and periodontal treatment in tooth 21, affected by dental trauma, in which it was not possible to identify the fracture early. The latest treatment techniques were used, such as: instrumentation with nickel-titanium manual files, irrigation protocol activated with endodontic instruments, intracanal medication based on calcium hydroxide and filling with bioceramic cement. In addition to complementary therapies including scaling and root planing, use of systemic medication, occlusal adjustment, and splinting. The patient's systemic condition and harmful habits (smoking) were unfavorable factors for the entire treatment. Therefore, in view of the persistence of signs and symptoms, the existence of a fracture was suspected, and surgical periodontal therapy was chosen, confirming the RVF in the middle third. The patient was referred for extraction of tooth 21 and installation of a bone graft followed by a dental implant. [ABSTRACT FROM AUTHOR]

Copyright of Journal of Clinical Dentistry & Research is the property of Dental Press International and its content may not be copied or emailed to multiple sites or posted to a listserv without the copyright holder's express written permission. However, users may print, download, or email articles for individual use. This abstract may be abridged. No warranty is given about the accuracy of the copy. Users should refer to the original published version of the material for the full abstract. (Copyright applies to all Abstracts.)

The quality of Cone Beam Computed Tomography (CBCT) images is directly influenced by scanning and visualization protocols. Evaluate the subjective quality of the Cone Beam Computed Tomography (CBCT) image of different devices and protocols for diagnosing periodontal structures and correlate the findings with the contrast-to-noise ratio (CNR). One dry dentate mandible was scanned by six CBCT devices: Accuitomo 3D 170, CS 9000, CS 9300, Eagle 3D, i-CAT Classic, and Orthophos XG 3D. All CBCT devices were adjusted to provide a spatial resolution closest to 0.2 mm, and a FOV height limited to less than 100 mm. Cross-sectional images were evaluated randomly. The buccal bone coverage, the periodontal ligament space and the amount of image noise were assessed. The statistics were calculated based on a logistic regression model with the significance level set at 5%. Protocols with large FOVs demonstrated significantly lower image quality. No statistical differences were found regarding buccal bone coverage between the CBCT devices. The CNR showed the highest value for the Accuitomo 60mm x 60mm HiFi 180°, followed by the Accuitomo 60mm x 60mm HiFi 360°, and lower values for the i-Cat Classic and Orthophos XG 3D devices. Most protocols studied presented good image quality in evaluating the buccal bone coverage and periodontal ligament space. However, the exam with the lowest FOV of the Accuitomo 60mm x 60mm HiFi 180° device showed superiority concerning the others. [ABSTRACT FROM AUTHOR]

Ozone is an unstable gas, composed of three oxygen molecules. In the dental field, ozone is treated as a novelty for many professionals, although it has been used since the early days of World War I, relating benefits in its therapeutic use. In view of the constant search for evidence, this study presents itself as an integrative review, with the objective of researching the use of ozone in dentistry, especially in surgical and periodontal procedures. This study used the database of "PubMED/Medline", "LILACS", "BVS" e "SCIELO", between the period of 2000 and 2023. In this context, research reported advantages in the use of ozone as a bactericidal agent and may act as a stimulator of bone tissue production. Ozone is presented in the form of ozonated water, ozonated oil, and ozonated gas. Because it has a physiological action, ozone can be used in surgical procedures, during irrigation, reducing the chances of postsurgical infections. In addition, it has advantages as an adjuvant in the treatment of periodontal diseases. [ABSTRACT FROM AUTHOR]

Copyright of Universidade Estadual Paulista. Revista de Odontologia is the property of Universidade Estadual Paulista. Revista de Odontologia and its content may not be copied or emailed to multiple sites or posted to a listserv without the copyright holder's express written permission. However, users may print, download, or email articles for individual use. This abstract may be abridged. No warranty is given about the accuracy of the copy. Users should refer to the original published version of the material for the full abstract. (Copyright applies to all Abstracts.)

Copyright of Dental Press Journal of Orthodontics is the property of Dental Press International and its content may not be copied or emailed to multiple sites or posted to a listserv without the copyright holder's express written permission. However, users may print, download, or email articles for individual use. This abstract may be abridged. No warranty is given about the accuracy of the copy. Users should refer to the original published version of the material for the full abstract. (Copyright applies to all Abstracts.)

Halitosis has a negative social impact and causes discomfort to individuals in such a way as to affect their quality of life and self-confidence. One of the main reasons for seeking dental care Its etiology may involve intra- and extra-oral regions. The non-oral etiology may be associated with gastrointestinal, pulmonary, psychiatric, kidney and liver diseases, diabetes, hormonal changes, local oncological therapy, and medication. In most cases, its etiology has an intra-oral origin, due to the microbial metabolism in the lingual dorsum and periodontal diseases. This literature review on halitosis covers information related to its etiopathogenesis, diagnosis, and treatment. Data were collected on the virtual databases PubMed, Scielo, and Google Acadêmico, using the keywords: halitosis, etiology, lingual coating, tongue, and periodontal diseases, and with no limitation as to the year of publication. Eighty-seven articles, written in Portuguese, English, and Spanish and published between 1939 and 2021, were used to gather relevant information for the review. Halitosis results from the degradation of protein substrates by microorganisms in the oral cavity. The product of this degradation is the formation of Volatile Sulfur Compounds, the group of chemical components responsible for halitosis. Periodontal diseases are strongly related to the occurrence of halitosis. The odor intensity is directly proportional to the severity of the disease, and patients with periodontal diseases have a higher amount of lingual soap compared to periodontally healthy individuals. The posterior third of the dorsum of the tongue can be considered the main source of halitosis due to its anatomy, which presents an irregular surface, fissures, and papillae capable of retaining substrates. Before seeking a professional to diagnose and treat halitosis, the patient may have sought a professional based on the perception of people around him or even by self-assessing his breath. The treatment for halitosis varies according to the need and the diagnosis related to the origin of bad breath; however, for all patients, specific clarifications and individualized oral hygiene guidance must be given according to each case. [ABSTRACT FROM AUTHOR]

There is an increasing demand for orthodontic treatment by adult patients in dental offices. Orthodontic treatment in adults has particular characteristics, because, in addition to not showing active growth, there are situations that demand interrelation with other areas of dentistry, such as, Periodontics, Dental Prosthesis, Restorative Dentistry and Implantology. The objective of this work was to describe a clinical case of an adult patient with periodontal involvement, establishing the main considerations to be taken in the orthodontic treatment of adult patients with periodontal involvement. The results obtained in the clinical case showed that it is possible to treat patients with periodontal involvement as long as some precautions are taken, such as strict hygiene control, in association with the specialty of periodontics, a reduced sequence of wires, in order to shorten treatment time, using low intensity forces, to minimize damage to periodontal tissues. The orthodontic treatment performed, gave the patient the desired smile functionality and aesthetics, prioritizing a strict hygiene control, the use of light forces, simplification in orthodontic movement, as well as the use of fixed and permanent restraints in areas of reduced periodontium. [ABSTRACT FROM AUTHOR]

Copyright of RSBO: Revista Sul-Brasileira de Odontologia is the property of UNIVILLE and its content may not be copied or emailed to multiple sites or posted to a listserv without the copyright holder's express written permission. However, users may print, download, or email articles for individual use. This abstract may be abridged. No warranty is given about the accuracy of the copy. Users should refer to the original published version of the material for the full abstract. (Copyright applies to all Abstracts.)

Copyright of RSBO: Revista Sul-Brasileira de Odontologia is the property of UNIVILLE and its content may not be copied or emailed to multiple sites or posted to a listserv without the copyright holder's express written permission. However, users may print, download, or email articles for individual use. This abstract may be abridged. No warranty is given about the accuracy of the copy. Users should refer to the original published version of the material for the full abstract. (Copyright applies to all Abstracts.)

Objetivo: avaliar a possível associação entre obesidade, doença periodontal e os mecanismos envolvidos no processo inflamatório. Materiais e Métodos: trata-se de uma revisão integrativa na qual realizaram-se buscas nas bases de dados Medline e SciELO (Scientific Electronic Library). Os Descritores em Ciências da Saúde (DeCS) obesidade, periodontite, terapia periodontal foram combinados por meio do conector booleano “and” nos idiomas português e inglês. Na busca foram encontrados 100 artigos, 72 na Medline e 28 na SciELO. A primeira seleção foi realizada através da leitura dos títulos e resumos dos artigos, excluindo os repetidos. Posteriormente, foi feita a leitura na íntegra. Destes, foram encontrados 7 na Medline e 4 na SciELO, além de outros estudos selecionados manualmente. Foram incluídos 18 artigos publicados no período de 2010 a 2020. Resultados: ao analisar a literatura os resultados foram contraditórios. Dos onze artigos selecionados, quatro mostraram associações significativas entre a obesidade e doença periodontal, principalmente, a periodontite crônica. Essa possível associação relaciona-se com o aumento de citocinas pró-inflamatórias, interleucina-6, fator de necrose tumoral e adipocitocinas como a visfatina, que são produzidas pelo tecido adiposo e estão presentes no fluido crevicular. Além disso, estudos mostraram um aumento na microbiota gengival de Tannerella forsítia, Porphyromonas gingivalis, Treponema Denticola, e Aggregatibacter actinomycetemcomitan em pessoas obesas. Esse fato, predispõe esses indivíduos a um maior risco para desenvolver doenças periodontais. Seis artigos não demonstraram relações significativas entre essas condições. Eles confirmaram a eficácia da terapia periodontal básica no controle da doença, mas não houve diferença na resposta inflamatória de pessoas obesas e não obesas. Conclusão: são necessários mais estudos, principalmente de caráter longitudinal, para confirmar essa associação. Ainda existem muitas lacunas na literatura, o que não permite afirmar com veracidade a associação entre sobrepeso e doença periodontal.

Copyright of Dental Press Journal of Orthodontics is the property of Dental Press International and its content may not be copied or emailed to multiple sites or posted to a listserv without the copyright holder's express written permission. However, users may print, download, or email articles for individual use. This abstract may be abridged. No warranty is given about the accuracy of the copy. Users should refer to the original published version of the material for the full abstract. (Copyright applies to all Abstracts.)

Introdução: Enfisema subcutâneo ocorre quando ar comprimido é introduzido em tecidos moles dos planos faciais através de uma barreira intrabucal descontinuada. Tem sido associado a alguns casos em consequência de tratamentos dentários, como extração de terceiros molares e tratamento endodôntico. O diagnóstico precoce e o manejo correto são fundamentais para a prevenção da progressão da lesão e futuras complicações, pois pode se espalhar pelos profundos planos faciais do pescoço, ocasionando enfisema retrofaríngeo e, ainda, pode causar pneumotórax e pneumomediastino. Objetivo: Avaliar a ocorrência de enfisema subcutâneo no estado do Rio Grande do Sul. Metodologia: Um questionário foi enviado por e-mail aos profissionais especialistas em Cirurgia e Traumatologia Bucomaxilofacial (CTBMF), Periodontia e Endodontia registrados no Conselho Regional de Odontologia (CRO-RS), contendo 8 perguntas: especialidade, conhecimento em relação ao enfisema subcutâneo e causa, número de cirurgias realizadas mensalmente, instrumento mais utilizado para procedimento cirúrgico, instrumento envolvido nos casos conhecidos, instrumento utilizado para secagem dos canais radiculares em endodontia, se já possuiu paciente com enfisema subcutâneo e se ouviu falar sobre enfisema durante a prática clínica. Resultados: Foram enviados 1954 questionários, obtendo 260 respostas dentro dos critérios da pesquisa (13,3%). A grande maioria da amostra (89,1%) relatou ter conhecimento sobre enfisema subcutâneo e suas complicações e 28 (10,7%) profissionais já tiveram casos relacionados a procedimentos odontológicos. Conclusões: O conhecimento por parte dos profissionais da área da odontologia sobre enfisema subcutâneo é importante, pois a partir desse estudo observamos que, apesar de raro, 10,7% dos entrevistados já tiveram casos de enfisema subcutâneo relacionados a procedimentos odontológicos.

Resumo Introdução A sonda periodontal é a melhor ferramenta para o diagnóstico clínico da doença periodontal, porém o desenho da sonda pode influenciar nos resultados. Objetivo Avaliar as características estruturais de sondas periodontais do tipo Williams disponíveis no mercado brasileiro e avaliar sua utilização clínica durante a sondagem periodontal. Material e método Os grupos de sondas foram divididos em: 1) Hu-Friedy® (n = 15); 2) Trinity® (n = 15); 3) Fava® (n = 15); 4) Millennium® (n = 15). Foram avaliados in vitro: peso (g), diâmetro da ponta ativa (mm), diâmetro do cabo (mm) e milimetragem das sondas (mm). Para o estudo in vivo, foram selecionados 10 participantes que apresentavam pelo menos quatro dentes com periodontite. As marcas de sondas foram codificadas em A, B, C e D para o cegamento do examinador. Resultado Verificou-se um diâmetro da ponta ativa sugestivo de forma tridimensional cônica para as marcas Trinity®, Hu-Friedy® e Millennium®, com conicidade crescente, enquanto a marca Fava® revelou forma tridimensional cilíndrico/paralelo. A sonda Fava® apresentou os maiores diâmetros nos terços inicial e médio, enquanto a Hu-Friedy® revelou menor diâmetro no terço inicial. Todas as sondas apresentaram milimetragem similar. No estudo clínico, verificou-se que a sonda Fava® resultou em menor média de profundidade de sondagem do que às demais. Conclusão As sondas periodontais apresentam diferenças estruturais que devem ser consideradas durante a seleção do instrumento, sendo que as sondas cônicas apresentam resultados mais confiáveis à prática clínica, pois o desenho da sonda interfere diretamente no diagnóstico clínico da doença periodontal.

Gingival smile is a term used to describe an aesthetic condition in which excessive gingival exposure at the jaw level occurs during smile. There are several factors related to its etiology, the most common is the altered passive eruption of anterior superior teeth. To correct this disharmony, a multidisciplinary approach is necessary, and the treatment plan depends on a correct diagnosis and assessment for a better prognosis. The present study aims to describe a clinical case where periodontal surgical techniques were used to correct this condition. Female patient, 25 years old, with aesthetic complaint of the amount of gum exposed when smiling and diagnosed with altered passive eruption. Clinical crown augmentation surgery was performed on the anterior superior teeth. After 1 and 2 years, periodontal clinical parameters (probing bleeding, probing depth, clinical attachment level, crown length, keratinized mucosa width and plaque index) were reassessed, through clinical examination, digital photographic monitoring and measurement tools. In two years, it was possible to note the stability of the results achieved, maintaining values similar to those of the immediate postoperative period. The case report confirmed the success of the clinical crown augmentation surgery and the periodontal parameters stability evaluated after 2 years. [ABSTRACT FROM AUTHOR]

Copyright of Universidade Estadual Paulista. Revista de Odontologia is the property of Universidade Estadual Paulista. Revista de Odontologia and its content may not be copied or emailed to multiple sites or posted to a listserv without the copyright holder's express written permission. However, users may print, download, or email articles for individual use. This abstract may be abridged. No warranty is given about the accuracy of the copy. Users should refer to the original published version of the material for the full abstract. (Copyright applies to all Abstracts.)

Copyright of Universidade Estadual Paulista. Revista de Odontologia is the property of Universidade Estadual Paulista. Revista de Odontologia and its content may not be copied or emailed to multiple sites or posted to a listserv without the copyright holder's express written permission. However, users may print, download, or email articles for individual use. This abstract may be abridged. No warranty is given about the accuracy of the copy. Users should refer to the original published version of the material for the full abstract. (Copyright applies to all Abstracts.)

Copyright of Universidade Estadual Paulista. Revista de Odontologia is the property of Universidade Estadual Paulista. Revista de Odontologia and its content may not be copied or emailed to multiple sites or posted to a listserv without the copyright holder's express written permission. However, users may print, download, or email articles for individual use. This abstract may be abridged. No warranty is given about the accuracy of the copy. Users should refer to the original published version of the material for the full abstract. (Copyright applies to all Abstracts.)

Copyright of Clinical Orthodontics is the property of Dental Press International and its content may not be copied or emailed to multiple sites or posted to a listserv without the copyright holder's express written permission. However, users may print, download, or email articles for individual use. This abstract may be abridged. No warranty is given about the accuracy of the copy. Users should refer to the original published version of the material for the full abstract. (Copyright applies to all Abstracts.)

Background: Microorganisms of dental biofilm coexist in relative harmony. Microenvironment changes can result in an excessive growth of pathogenic microorganisms associated with chronic inflammatory processes such as gingivitis and periodontitis. The microbiota of the gingival sulcus can vary substantially depending on physiological characteristics of children and adolescents. Purpose: To analyze the evidence on bacterial composition in 3-to-12-yearold children old and its association with the gingival and periodontal status. Methods: A systematic literature review was conducted using the PubMed, SciELO, LiLACS, ProQuest, EBSCO, Web of Science, Scopus, and ScienceDirect databases. Titles, abstracts, and full articles were read. Quality and validity of studies were determined through the Consort and Strobe checklists. The articles were classified regarding level of evidence and the grades of recommendation through the SIGN. Results: Microbial profiles of supra and subgingival biofilm in children are similar in more than 80 %, with predominance of Actinomyces spp. and Streptococcus spp., mainly S. sanguinis. Early colonization of supra and subgingival microbiota was related with the presence of gingivitis in older children. Evidence about general health condition, sociodemographic situation, bacterial interaction, microbial composition, and periodontal state was limited and inconclusive. Conclusion: There is not enough scientific evidence to confirm the relationship between bacterial composition and gingival and periodontal status in children aged 3-12 years. However, it is suggested that, as age increases, the presence of periodontal pathogens related to periodontal disease is likely. [ABSTRACT FROM AUTHOR]

Copyright of RSBO: Revista Sul-Brasileira de Odontologia is the property of UNIVILLE and its content may not be copied or emailed to multiple sites or posted to a listserv without the copyright holder's express written permission. However, users may print, download, or email articles for individual use. This abstract may be abridged. No warranty is given about the accuracy of the copy. Users should refer to the original published version of the material for the full abstract. (Copyright applies to all Abstracts.)

A saúde da mulher é um dos temas abordados pela medicina periodontal, a qual estuda a influência da doença periodontal na saúde sistêmica, e os efeitos que as comorbidades do paciente causam na progressão da doença periodontal. Durante a gestação, a condição periodontal vem sendo associada ao nascimento de bebês prematuros e/ou baixo peso, devido à presença de bactérias gram-negativa se seus produtos conseguirem atingir o líquido amniótico por via hematogênica, e a mesma ser exacerbada pelas alterações hormonais características desta fase. O objetivo deste presente estudo foi através de uma revisão de literatura, compreender a relação entre a doença periodontal e as complicações geradas durante o período gestacional, e assim, reafirmar a necessidade e importância da prevenção e acompanhamento odontológico no pré-natal.

Tendo em vista a intensa relação entre periodontia e prótese, a pesquisa aqui proposta tem como principal objetivo avaliar a condição periodontal dos pacientes usuários de prótese parcial fixada clínica odontológica da Universidade Federal de Campina Grande. A população do estudo foi composta por pacientes reabilitados com prótese parcial fixa unitária, a partir de 2012, na clínica odontológica da UFCG. Os dados coletados no exame clínico foram: índice de placa, índice gengival, profundidade de sondagem e exame radiográfico. As informações foram registradas no Excel e analisadas por estatística descritiva. Dos pacientes examinados, em quatro foi observado o insucesso da prótese; e treze pacientes foram submetidos ao exame clínico. Obteve-se um total de quinze próteses fixas unitárias, todas do tipo metalocerâmica; no índice periodontal simplificado61,5% dos pacientes apresentaram condição periodontal 2,que indica presença de cálculo sem existência de bolsa; na sondagem periodontal do elemento pilar os maiores valores encontrados foram para as faces proximais; nos achados radiográficos apenas um paciente apresentou reabsorção óssea. Concluiu-se que apesar de todos os pacientes apresentarem inflamação gengival, as próteses apresentavam-se satisfatórias.

A odontologia, através da periodontia, busca vencer o desafio de restituir a função, a fonética, o conforto e a saúde do sistema estomatognático do paciente. Com a introdução, e o sucesso, dos procedimentos de correção do sorriso gengival a ideia do sorriso perfeito passou a ser mais comentado nas clínicas odontológicas, agradando tanto pacientes como cirurgiões-dentistas. Com a evolução da tecnologia e dos materiais odontológicos, hoje, é possível fazer o ensaio do resultado final da cirurgia plástica periodontal, sendo assim, de muito mais fácil aceitação por parte dos pacientes. O sucesso desse tratamento que hoje é bem documentado graças à ação multidisciplinar entre periodontistas, ortodontistas, protesistas e cirurgiões bucomaxilofaciais, buscando um correto diagnóstico para a escolha adequada da modalidade de tratamento. O objetivo deste trabalho é avaliar as formas de correção do sorriso gengival dentro de sua necessidade multidisciplinar.

Resumo Introdução A determinação do fenótipo gengival possibilita compreender melhor as variações e diferenças clínicas intra e interindividuais dos tecidos periodontais saudáveis. Objetivo O objetivo deste estudo foi determinar os perfis do fenótipo gengival e compará-los em diferentes regiões da cavidade oral, levando em consideração parâmetros clínicos relacionados aos tecidos moles circunjacentes nos dentes anteriores superiores e inferiores. Material e método Noventa e um pacientes com saúde periodontal foram examinados e os parâmetros clínicos profundidade de sondagem (PS), largura de mucosa ceratinizada (MC), espessura gengival em ambos incisivos centrais superiores (EG) e fenótipo gengival (FG) foram coletados nos dentes anteriores superiores e inferiores. Os dados foram analisados estatisticamente pelos testes t-Student pareado e independente, Correlação de Pearson e Qui-quadrado, com um nível de significância de 5%. Resultado O fenótipo gengival espesso predominou nos dentes anteriores superiores (60,5%), enquanto o fenótipo fino foi mais prevalente nos dentes anteriores inferiores (84,6%). Diferenças estatisticamente significativas foram encontradas para os parâmetros largura de mucosa ceratinizada e espessura gengival em relação aos fenótipos gengivais superiores e inferiores (p

A instalação de implantes imediatos em alvéolos frescos reduz a reabsorção fisiológica do rebordo alveolar. Porém, podem ser observados defeitos peri-implantares, devido à diferença entre o diâmetro do dente e implante. Esses defeitos podem comprometer a manutenção do osso peri-implantar e, consequemente, a estética do tratamento reabilitador. Para a manutenção do volume ósseo, diversos biomateriais podem ser utilizados, dentre eles destaca-se o Beta-Tricálcio Fosfato (β-TCP). O β-TCP é uma biocerâmica reabsorvível que atua como um arcabouço para a formação óssea, sendo gradualmente substituído por tecido ósseo. Assim o objetivo desse artigo foi demonstrar a utilização do β-TCP para preenchimento de defeitos peri-implantares e de alvéolos frescos. Inicialmente, foi realizada a exodontia minimamente invasiva dos elementos dentários 13 a 23, em seguida, foram instalados 4 implantes nos alvéolos dos dentes 11, 13, 21 e 23. Ao final da instalação dos implantes, os defeitos peri-implantares e os alvéolos frescos residuais foram preenchidos com β-TCP. Após 8 meses, foi realizada a confecção da prótese definitiva. O presente caso teve um acompanhamento clínico e radiográfico de 18 meses, com a preservação do volume ósseo alveolar. Considerando que o preenchimento favoreceu o sucesso da reabilitação implantossuportada, garantindo a manutenção do volume ósseo, pode-se considerar o β-TCP uma opção adequada para o preenchimento de defeitos ósseos periimplantares.

Copyright of Dental Press Journal of Orthodontics is the property of Dental Press International and its content may not be copied or emailed to multiple sites or posted to a listserv without the copyright holder's express written permission. However, users may print, download, or email articles for individual use. This abstract may be abridged. No warranty is given about the accuracy of the copy. Users should refer to the original published version of the material for the full abstract. (Copyright applies to all Abstracts.)

Copyright of Scire Salutis is the property of CBPC - Companhia Brasileira de Producao Cientifica and its content may not be copied or emailed to multiple sites or posted to a listserv without the copyright holder's express written permission. However, users may print, download, or email articles for individual use. This abstract may be abridged. No warranty is given about the accuracy of the copy. Users should refer to the original published version of the material for the full abstract. (Copyright applies to all Abstracts.)

Copyright of Dental Press Journal of Orthodontics is the property of Dental Press International and its content may not be copied or emailed to multiple sites or posted to a listserv without the copyright holder's express written permission. However, users may print, download, or email articles for individual use. This abstract may be abridged. No warranty is given about the accuracy of the copy. Users should refer to the original published version of the material for the full abstract. (Copyright applies to all Abstracts.)

The excessive gingival exposure during the smile, called the gingival smile, represents one of the main requests for treatments in Dentistry, due to the aesthetic inconvenience generated to the patient. One of the found therapy options is periodontal surgery, represented by gingivectomy, with or without the need for bone remodeling to restore supracrestal insertion tissue. Thus, the objective of this work is to present a case report addressing the correction of the gingival smile, through minimally invasive surgery, with the use of the piezoelectric ultrasonic device. Patient, V.C.R., female, 33 years old, attended the Clinica Odontológica da Unipar (Sede / Umuarama), complaining about the harmony of her smile, claiming to show her gums in an exceeded way. After anamnesis, clinical examination, radiographic and photographic protocol the treatment of choice was gingivectomy through the internal bevel, applying the Flapless technique and being necessary osteotomy in 1 mm in the central and lateral incisors, using the piezoelectric ultrasound for this purpose. Therefore, it is concluded that the piezoelectric ultrasonic device is indicated for osteotomy in aesthetic crown increase surgery, being a less invasive procedure and providing greater postoperative comfort to the patient. [ABSTRACT FROM AUTHOR]

Among the available techniques for gingival recession treatment, the main surgical technique for gain of keratinized tissue is the free gingival graft. This procedure is also indicated for vestibule extension and frenulum removal. The technique consists of the epithelial and connective tissues removal from a donor site and its repositioning on to a recipient site, being an effective primary stability mandatory for the healing process. The aim of this study was to describe a case report of a 35-year-old male, who reported a postoperative complication in donor area, after a free gingival graft which occurred 07 days later. This situation occurred after patient reported having rinsed his mouth with hot water during shower. Due to that, a 1mm thick acetate tray was readymade for the donor site comfort and protection. Among the demands presented in this case, free gingival graft was the primary surgical choice to increase keratinized tissue. Despite the patient's morbidity, due to the two surgical sites, the use of the acetate tray showed great reduction in patient's discomfort and trauma. This approach proved to be successful since the patient described increase in self-esteem and oral hygiene facilitation which in combination contributed to satisfactory final results. [ABSTRACT FROM AUTHOR]

OBJECTIVE: The present study assessed the maxillary dental arch changes produced by surgically assisted rapid maxillary expansion (SARME). METHODS: Dental casts from 18 patients (mean age of 23.3 years) were obtained at treatment onset (T1), three months after SARME (T2) and 6 months after expansion (T3). The casts were scanned in a 3D scanner (D-250, 3Shape, Copenhagen, Denmark). Maxillary dental arch width, dental crown tipping and height were measured and assessed by ANOVA and Tukey's test. RESULTS: Increased transversal widths from T1 and T2 and the maintenance of these values from T2 and T3 were observed. Buccal teeth tipping also showed statistically significant differences, with an increase in all teeth from T1 to T2 and a decrease from T2 to T3. No statistically significant difference was found for dental crown height, except for left first and second molars, although clinically irrelevant. CONCLUSION: SARME proved to be an effective and stable procedure, with minimum periodontal hazards.

O objetivo do presente trabalho foi discutir, através de uma revisão de literatura, aspectos relacionados ao tratamento ortodôntico em pacientes com comprometimento periodontal. O movimento ortodôntico em pacientes periodontais contribui para a melhora estética e funcional, além de reduzir as lesões infraósseas e, em alguns casos, aumentar a inserção óssea em movimentos intrusivos, uma vez que a movimentação seja conduzida em um periodonto reduzido saudável, caso contrário o processo de reabsorção óssea é acelerado. Recomenda-se um aparelho preferencialmente colado em vez de bandas cimentadas e forças leves, além de excelente monitoramento da higiene bucal durante todo o período de tratamento. Deve-se ter cuidado com vestibularizações de incisivos centrais inferiores, pois aparentemente são mais suscetíveis a desenvolverem recessões gengivais, pelo fato de possuírem osso vestibular delgado e/ou menor espessura de gengiva. Indica-se quando possível, em pacientes adultos com comprometimento periodontal, o tratamento ortodôntico parcial, restrito às áreas onde a estética e/ou função necessitam ser melhoradas, devendo ser o tratamento o mais breve possível. Quanto à contenção ortodôntica, recomenda-se contenção permanente fixa, bi-maxilar em pacientes com periodonto reduzido. A contenção modificada (higiênica) parece estar associada a maiores índices de placa, cálculo e inflamação gengival que a contenção convencional.

RESUMO Agentes químicos têm sido usados para auxiliar na inibição da formação do biofilme e impedir desenvolvimento da doença periodontal (DP). O objetivo deste estudo foi avaliar radiograficamente a ação do extrato de própolis na progressão da DP induzida em ratos. Foram utilizados 48 ratos Wistar, divididos em 4 grupos (n=12): Controle, Pincel, Própolis e Clorexidina. Os grupos foram subdivididos para análise aos 7 e 21 dias. A progressão da DP foi avaliada radiograficamente pela distância entre a junção cemento-esmalte e a crista óssea alveolar na face mesial do 1º molar inferior. A perda óssea foi significativamente menor nos animais do grupo própolis em ambos os períodos (p ≤ 0,01). Concluiu-se por análise radiográfica que a aplicação tópica do extrato de própolis interfere reduzindo a progressão da doença periodontal induzida por ligadura em ratos, demonstrando a importância desse composto como substância auxiliar no tratamento periodontal.

Introduction: smile's aesthetics can be achieved by a set of factors that include the dental anatomy, gingival anatomy and facial features of the patient. A pleasant smile is based on the harmony of these factors (white-red aesthetics) and not only on dental rehabilitation. The gingival smile is one of the main complaints of patients who seek the dental office, considering that such a situation may influence their personal or professional life. Objective: the purpose of this study was to report the clinical case of a patient with gingival smile and disharmony between the gingival margin and the alignment of the clinical crowns of anterosuperior teeth. Case Report: a 58-yearold female patient with good general health sought a private dental office with the aim of improving the aesthetics of the smile. The clinical examination revealed gingival smile and the need to replace the presence of metal-ceramic crowns. Final considerations: The multidisciplinary approach involving the surgical technique (restorative flap with osteotomy) and restorative (creation of feldspar facets and pure porcelain crowns in the anterior superior region) provided the success of the rehabilitation treatment in question, giving the patient a harmonious smile with aesthetics tooth and gum. [ABSTRACT FROM AUTHOR]

Copyright of Dental Press Endodontics is the property of Dental Press International and its content may not be copied or emailed to multiple sites or posted to a listserv without the copyright holder's express written permission. However, users may print, download, or email articles for individual use. This abstract may be abridged. No warranty is given about the accuracy of the copy. Users should refer to the original published version of the material for the full abstract. (Copyright applies to all Abstracts.)