Treatment of grade III furcation lesion by tunneling in a smoker patient: Clinical Case Report

The aim of this study is to describe a case report of lower molar treatment with grade III furcation by the tunneling technique in a heavy smoker patient. Case presentation: In the present study, a 40-year- -old man, a heavy smoker (> 20 cigarettes / day) presented a grade III furcation injury on dental element 46 after a clinical and radiographic examination. After non-surgical periodontal therapy, the patient was treated with the execution of the tunneling of the furcation of the tooth 46, which was effective in the control of the disease and in the maintenance of the dental element after 12 months of follow up. Final considerations: The tunneling technique was effective in the control of periodontal disease in a heavy smoking patient, with a good standard of hygiene and motivation, and good clinical results were maintained after 12 months of follow-up

Effect of avocado/soybean unsaponifiables on periodontal repair in rats with arthritis and induced periodontitis

Objective: This study aimed to evaluate the effect of avocado/soybean unsaponifiables (ASU) on periodontal repair in rats with induced periodontitis and arthritis. Methodology: Forty-five rats were submitted to periodontitis induction by insertion of ligatures into the upper second molars, maintained for 15 days. These animals were randomly allocated to 3 groups according to the presence of induced arthritis (ART) and the application of the ASU: Control (CTR) group-healthy animals, where saline solution was administered; ART-animals with induced arthritis, where saline solution was administered; ART/ASU-animals with induced arthritis, where ASU (0.6 mg/ kg) was administered. The drugs were administered daily by gavage and the animals were euthanized after 7, 15 and 30 days of the ligature removal. Bone resorption, inflammatory infiltrate composition and marker proteins expression of the differentiation and formation of osteoclasts (RANKL and TRAP) were assessed. Results: The ART/ASU group presented higher bone volume than the ART group at 7 and 30 days after the ligature removal. Furthermore, the ART group presented higher quantity of inflammatory cells and expression of TRAP and RANKL than the other groups. Conclusion: ASU administration improves the repair of periodontal tissues in an experimental periodontitis model in rats with induced arthritis

Effect of different low-level intensity laser therapy (LLLT) irradiation protocols on the osseointegration of implants placed in grafted areas

Objective: To evaluate the effect of different protocols of low-level intensity laser therapy (LLLT) irradiation on the osseointegration of implants placed in grafted areas. Methodology: 84 rats were randomly allocated into six groups: DBB: defect filled with deproteinized bovine bone; HA/TCP: defect filled with biphasic ceramic of hydroxyapatite/β-tricalcium phosphate ; DBB-LI: defect filled with DBB and treated with LLLT after implant placement; HA/TCP-LI: defect filled with HA/TCP and treated with LLLT after implant placement; DBB-LIB: defect filled with DBB and treated with LLLT after graft procedure and implant placement; and HA/TCP-LIB: defect filled HA/TCP and treated with LLLT after graft procedure and implant placement. The bone defects were made in the tibia and they were grafted. After 60 days, the implants were placed. The rats were subsequently subjected to euthanasia 15 and 45 days after implant placement. The pattern of osseointegration and bone repair in the grafted area was evaluated by biomechanical, microtomographic, and histometric analyses. Furthermore, the expression of bone biomarker proteins was assessed. Results: The LLLT groups presented higher removal torque, mineralized tissue volume, and a greater degree of osseointegration, especially when LLLT was performed only after implant placement, and these findings were associated with higher expression of BMP2 and alkaline phosphatase. Conclusion: LLLT performed on implants placed in grafted areas enhances the osseointegration process

In vitro evaluation of the influence of bone cortical thickness on the primary stability of conventional- and short-sized implants

The aim of this in vitro study was to evaluate the influence of the cortical thickness on the primary stability of short and conventional-sized implants with two types of prosthetic connection. Seventy-two implants were used. These implants were place

Reparo ósseo induzido por diferentes substitutos de enxerto ósseo em defeitos de tamanho crítico na calvária de ratos.

Introduction: The use of bone substitutes in grafting procedures as an alternative of the use of autogenous bone graft has been indicated, however, the direct comparison between these biomaterials has been little explored. Objective: To evaluate the effect of different osteoconductive bone substitutes on the bone repair in critical-sized defects (CSDs) in rat calvaria. Material and method: One CSD with an 8 mm diameter was made in each of the 40 rats used in this study. The animals were randomly allocated into 5 groups (n=8), according to the type of bone substitute used to fill the CSD: COA (Coagulum); AUT (autogenous bone); DBB (deproteinized bovine bone graft); HA/TCP (biphasic ceramic composed of hydroxyapatite and β-phosphate tricalcium); and TCP (β-phosphate tricalcium). A microtomographic analysis was performed to evaluate the remaining defect linear length (DLL) of the CSD and the volume of the mineralized tissues (MT) within the CSD at 3, 7, 15 and 30 days after the surgical procedure. In addition, a histometric analysis was performed to evaluate the composition of the repaired bone tissue (% Bone and % Biomaterial) at the 30-day period. Result: It was shown that the COA had the lowest DLL and MT within the CSD. In addition, the COA presented the highest % of bone in CSD. The DBB had a higher MT and a higher % of bone substitute particles in the CSD than the AUT and TCP groups. The DBB and AUT groups presented higher % of bone in the CSD than the TCP group. Conclusion: The use of the DBB promoted a better pattern of bone volume gain and formation compared to TCP and HA / TCP but was biologically inferior to the AUT.Introdução: A utilização de substitutos ósseos em procedimentos de enxertia como alternativa ao uso de enxerto ósseo autógeno tem sido indicada, entretanto, a comparação direta entre esses biomateriais tem sido pouco explorada. Objetivo: Avaliar o efeito de diferentes substitutos ósseos osteocondutores no reparo ósseo em defeitos de tamanho crítico (DAC) em calvária de ratos. Material e método: Um DSC com diâmetro de 8 mm foi feito em cada um dos 40 ratos usados ​​neste estudo. Os animais foram alocados aleatoriamente em 5 grupos (n = 8), de acordo com o tipo de substituto ósseo utilizado para o preenchimento do DSC: COA (Coágulo); AUT (osso autógeno); DBB (enxerto ósseo bovino desproteinizado); HA / TCP (cerâmica bifásica composta por hidroxiapatita e β-fosfato tricálcico); e TCP (β-fosfato tricálcico). Uma análise microtomográfica foi realizada para avaliar o comprimento linear do defeito remanescente (DLL) do DSC e o volume dos tecidos mineralizados (TM) dentro do DSC aos 3, 7, 15 e 30 dias após o procedimento cirúrgico. Além disso, foi realizada uma análise histométrica para avaliar a composição do tecido ósseo reparado (% Osso e% Biomaterial) no período de 30 dias. Resultado: Foi demonstrado que o COA apresentou o menor DLL e MT dentro do CSD. Além disso, o COA apresentou o maior% de osso na DAG. O DBB apresentou maior MT e maior% de partículas de substituto ósseo no CSD do que os grupos AUT e TCP. Os grupos DBB e AUT apresentaram maior% de osso no DSC do que o grupo TCP. Conclusão: O uso do DBB promoveu melhor padrão de ganho e formação de volume ósseo em relação ao TCP e HA / TCP, mas foi biologicamente inferior ao AUT

Hookah Smoking among Brazilian University Students: An Exploratory Survey on the Prevalence and Perceptions of Addiction and its Harmfulness

Background: This study aimed to determine the prevalence, beliefs, attitudes, and perceptions of hookah use in a population of undergraduate students at a large public university in Brazil. Methods: The sample consisted of 1348 undergraduate students aged over 18-year-old. They completed structured questionnaires on demographic information and close-ended questions on the past and current experiences of smoking hookah. The data underwent descriptive analysis and binary logistic regression.Findings: Finally, 1298 valid survey forms were obtained from printed and digital questionnaires. More than half (53.9%) of participants reported having tried hookah at least once, however, only 10.8% reported they had experienced it within the last 30 days. The majority of the studied population presented acceptable beliefs about the harmfulness and addictive capacity of hookah smoking. However, when comparing the perceptions of those who had smoked and those who had never smoked hookah, and also, the perceptions of users and non-users, significant differences were observed. Students who were users or had already tried hookah showed a tendency to underestimate the deleterious effects of this type of smoking.Conclusion: It could be concluded that hookah smoking was common among Brazilian university students. In addition, preoccupying misperceptions of hookah’s harmfulness and addictive capacity were found. The results showed that the epidemic of hookah smoking, especially among young people, has spread far beyond the Arab world and the Persians. Accordingly, preventive measures must be taken if this population is to be protected from addiction and other serious health problems

Efficacy of antibiotic prophylaxis on third molar extraction

Abstract Introduction Third molar extraction surgery is a common dental procedure, often challenging with increased post-operative complications. The need for antibiotic prophylaxis in these cases remains debated. Objective The aim of this study was to evaluate the effect of antibiotic prophylaxis on the postoperative clinical course of third molar extraction surgeries. Material and method Sixty-three patients were randomly allocated into two groups after extraction of the four third molars. ATB group (N = 33) the patients received 1g of amoxicillin one hour before the surgical procedure, CTR group (N = 30) the patients did not receive antibiotic prophylaxis. Clinical analyses were performed at 3, 7, 14, and 30 days after the surgical procedure. These analyses consisted of assessing oedema, variation in mouth opening, and soft tissue healing. Furthermore, patient-centered analyses were also carried out through the application of the visual analogue scale (VAS) to assess pain, inflammation, bleeding, difficulty opening the mouth, and chewing. Result No influence of antibiotic prophylaxis was observed on the evolution of clinical parameters of healing, oedema, and mouth opening. Patients did not notice differences regarding their comfort during the postoperative period. Conclusion The incidence of complications observed in the present study was low and was not related to infectious processes. The use of prophylactic antibiotic therapy has no beneficial effects on the postoperative clinical course in third molar extraction

Efeito do extrato insaponificável de abacate e soja na doença periodontal induzida, na osseointegração de implantes e no reparo de defeitos críticos de calvaria de ratos

The aim of this study was to evaluate in rats the effect of the avocado soybean unsaponifiables (ASU) on the bone repair in induced periodontitis, on the osseointegration of dental implants, and on the repair of the critical sized calvaria defects filled or no with biomaterials. For this purpose, the following hypothesis regarding the use of ASU were tested: 1)Improve the periodontal repair in induced periodontitis; 2)Improve the periodontal repair after the treatment of the induced periodontitis; 3) Accelerate osseointegration; 4) Improve the integration of osteoconductors bone grafts in the critical size calvaria defects. For the evaluation of the first hypothesis, eighty-four animals were randomly assigned into four equally-sized groups, receiving daily by gavage either sterile saline (CTR) or ASU (0.6 mg/kg), starting either 7 days prior to- (ASU/-7), or on the day- (ASU/0), or 7 days after (ASU/+7) periodontitis induction. Periodontitis was induced by placing silk ligatures into the gingival sulcus of the second maxillary molars for 7 days; thereafter the ligatures were removed. Seven animals from each group were euthanized at 7, 15 or 30 days after ligature removal. Bone resorption was evaluated by histomorphometry and micro CT. Immunohistochemistry was used to evaluate TRAP, RANKL, Alkaline phosphatase and qPCR to evaluate IL-1β, TNF-α, IL-6, RANKL, Alkaline phosphatase (AP). For the evaluation of the second hypothesis, periodontitis was induced in 84 rats via ligature placement around the second upper molar, which was removed after 7 days, and scaling was performed at this time. Subsequently, the rats were randomly allocated to four groups with 21 animals each: One in which saline solution (SS) was administered (SRP) and three in which ASU was administered (0.6 g/kg/day), beginning either 7 days before the induction of periodontitis (SRP/ASU-7), on the day of periodontitis induction (SRP/ASU0), or on the day of treatment...Esse estudo teve como objetivo avaliar, em ratos, a influência da utilização do extrato de óleo insaponificável de abacate e soja (ASU) no reparo da periodontite induzida por ligaduras, na osseointegração de implantes e na integração de biomateriais osteocondutores. Para isso foram avaliadas as hipóteses de que o ASU poderia: 1)Aumentar o reparo da periodontite induzida; 2)Favorecer o reparo associado ao tratamento da periodontite induzida; 3)Acelerar a osseointegração; 4)Influenciar na integração de enxertos osteocondutores. Para a avaliação da primeira hipótese foram utilizados 84 ratos que foram submetidos a indução da periodontite por meio de ligaduras e que foram randomicamente divididos em 4 grupos: CTR: Administração do soro fisiológico(SS) no mesmo dia da indução da periodontite; ASU/-7: Administração de ASU iniciada 7 dias antes da indução de periodontite(0.6 mg/kg); ASU/0: Administração de ASU iniciada no dia da indução da periodontite; ASU/+7: Administração do ASU iniciada no dia da remoção da ligadura. As ligaduras, que foram inseridas bilateralmente nos segundos molares superiores, foram removidas após 7 dias e os medicamentos foram administrados diariamente por gavagem até o sacrifício dos animais (7, 15 e 30 dias). Foram realizadas análise microtomográfica (%volume ósseo), histomorfométricas (% osso na região da furca, distancias da junção cemento-esmalte(JCE) ao topo da crista óssea(CO) e a porção apical do epitélio juncional (aJE), imunohistoquímica (TRAP, RANKL e Fosfatase Alcalina) e de qPCR (IL1β, IL6, TNFα, RANKL e Fosfatase Alcalina). Para avaliação da segunda hipótese foram utilizados 84 ratos que foram submetidos a indução da periodontite por meio de ligaduras e que foram randomicamente divididos em 4 grupos: SRP–Administração de SS no dia do tratamento; SRP/ASU-7: Administração do ASU iniciada 7 dias antes da indução da periodontite(0.6 mg/kg); SRP/ASU0..