Guided neural regeneration with autologous fat grafting and oxygen hyperbaric therapy.

The loss of continuity of the nerve structure interrupts the transmission of nerve impulses and leads to the disorganization of functional activities. Many methods, as the use of neurogenic factors, aid in the process of neural regeneration by accelerating or improving peripheral nerves neoformation. The adipose tissue is abundant in the human body, and it has presented promising results in the regeneration of peripheral nerves. We carried out a randomized controlled study in 9 months, using 45 male Wistar rats, 80 days old, and the sciatic nerve was chosen for analysis. The control animals were divided into three groups - Initial group (IG), Final group (FG), and denervated group (DG) - with seven animals each. The experimental groups, with twelve animals each, were polyethylene tube filled with fat (EGF) and polyethylene tube without filling (EGwf). All groups, except IG, were submitted to 10 sessions of hyperbaric oxygen treatment of 1h 45 min in alternating days. Functional evaluation by walking-track was assessed using the Catwalk XT® software and tissues were harvested and stained with 1% toluidine blue for histological analysis. Quantitative data were first analyzed with the Kolmogorov Smirnov normality test. Comparison between the four groups was analyzed by ANOVA followed by Tukey Test. We concluded that hyperbaric oxygen therapy had positive results on morphometric and functional parameters. However, no significant differences were found regarding the use of autologous fat graft.

Inside-out and standard vein grafts associated with platelet-rich plasma (PRP) in sciatic nerve repair. A histomorphometric study.

PURPOSE:: To evaluated the tubulization technique with standard and inside-out vein, filled or not with platelet-rich plasma (PRP), in sciatic nerve repair. METHODS:: Seventy male Wistar rats were randomly divided into five groups: IOVNF (Inside-Out Vein with No Filling); IOVPRP (Inside-Out Vein filled with PRP); SVNF (Standard Vein with No Filling); SVPRP (Standard Vein filled with PRP); Sham (Control). The left external jugular vein was used as graft in a 10 mm nervous gap. RESULTS:: In the morphological analysis of all groups, myelinated nerve fibers with evident myelin sheath, neoformation of the epineurium and perineurium, organization of intraneural fascicles and blood vessels were observed. In the morphometry of the distal stump fibers, SVPRP group had the highest means regarding fiber diameter (3.63±0.42 µm), axon diameter (2.37±0.31 µm) and myelin sheath area (11.70±0.84 µm2). IOVPRP group had the highest means regarding axon area (4.39±1.16 µm2) and myelin sheath thickness (0.80±0.19 µm). As for values of the fiber area, IOVNF group shows highest means (15.54±0.67 µm2), but are still lower than the values of the Sham group. CONCLUSION:: The graft filled with platelet-rich plasma, with use standard (SVPRP) or inside-out vein (IOVPRP), promoted the improvement in axonal regeneration on sciatic nerve injury.

Inside-out and standard vein grafts associated with platelet-rich plasma (PRP) in sciatic nerve repair. A histomorphometric study

Abstract Purpose: To evaluated the tubulization technique with standard and inside-out vein, filled or not with platelet-rich plasma (PRP), in sciatic nerve repair. Methods: Seventy male Wistar rats were randomly divided into five groups: IOVNF (Inside-Out Vein with No Filling); IOVPRP (Inside-Out Vein filled with PRP); SVNF (Standard Vein with No Filling); SVPRP (Standard Vein filled with PRP); Sham (Control). The left external jugular vein was used as graft in a 10 mm nervous gap. Results: In the morphological analysis of all groups, myelinated nerve fibers with evident myelin sheath, neoformation of the epineurium and perineurium, organization of intraneural fascicles and blood vessels were observed. In the morphometry of the distal stump fibers, SVPRP group had the highest means regarding fiber diameter (3.63±0.42 μm), axon diameter (2.37±0.31 μm) and myelin sheath area (11.70±0.84 μm2). IOVPRP group had the highest means regarding axon area (4.39±1.16 μm2) and myelin sheath thickness (0.80±0.19 μm). As for values of the fiber area, IOVNF group shows highest means (15.54±0.67 μm2), but are still lower than the values of the Sham group. Conclusion: The graft filled with platelet-rich plasma, with use standard (SVPRP) or inside-out vein (IOVPRP), promoted the improvement in axonal regeneration on sciatic nerve injury.

Comparative study between standard and inside-out vein graft techniques on sciatic nerve repair of rats. Muscular and functional analysis.

PURPOSE:: To compare the functional result of standart vein grafts and inside-out vein graft technique on sciatic nerve repair. METHODS:: We used 24 male Wistar rats divided into 4 groups: control group (CG), standard vein graft group (SVG), Inside-out vein graft group (IOVG) and denervated Group (DG). SVG, IOVG and DG underwent total section of the sciatic nerve, SVG and IOVG however underwent nerve repair surgery using a graft with normal jugular vein and inside-out jugular vein, respectively. Histological analysis of the soleus and Extensor Digitorum Longus (EDL), and Sciatic Functional Index were used to compare the results after 6 weeks. RESULTS:: Both grafts acted favorably in muscle recovery and improved functionality; They were similar in all parameters, however, in more points SVG achieved similar to the CG, in the other hand IOVG more times was similar to DG. Fact that makes the graft with normal vein the most viable option between the two options. CONCLUSION:: Both types of grafts acted beneficially wherein the graft normal vein has proved to be the best option.

Efficacy of Laser Photobiomodulation on Morphological and Functional Repair of the Facial Nerve.

OBJECTIVE: Evaluate the efficacy of low-level laser therapy (LLLT) on qualitative, quantitative, and functional aspects in the facial nerve regeneration process. MATERIALS AND METHODS: Forty-two male Wistar rats were used, randomly divided into a control group (CG; n = 10), in which the facial nerve without lesion was collected, and four experimental groups: (1) suture experimental group (SEG) and (2) fibrin experimental group (FEG), consisting of 16 animals in which the buccal branch of the facial nerve was sectioned on both sides of the face; an end-to-end epineural suture was performed on the right side, and a fibrin sealant was used on the left side for coaptation of the stumps; and (3) laser suture experimental group (LSEG) and (4) laser fibrin experimental group (LFEG), consisting of 16 animals that underwent the same surgical procedures as SEG and FEG with the addition of laser application at three different points along the surgical site (pulsed laser of 830 nm wavelength, optical output power of 30 mW, power density of 0.2586 W/cm2, energy density of 6.2 J/cm2, beam area of 0.116 cm2, exposure time of 24 sec per point, total energy per session of 2.16 J, and cumulative dose of 34.56 J). The animals were submitted to functional analysis (subjective observation of whisker movement) and the data obtained were compared using Fisher's exact test. Euthanasia was performed at 5 and 10 weeks postoperative. The total number and density of regenerated axons were analyzed using the unpaired t-test (p < 0.05). RESULTS: Laser therapy resulted in a significant increase in the number and density of regenerated axons. The LSEG and LFEG presented better scores in functional analysis in comparison with the SEG and FEG. CONCLUSIONS: LLLT enhanced axonal regeneration and accelerated functional recovery of the whiskers, and both repair techniques allowed the growth of axons.

Comparative study between standard and inside-out vein graft techniques on sciatic nerve repair of rats. Muscular and functional analysis

Abstract Purpose: To compare the functional result of standart vein grafts and inside-out vein graft technique on sciatic nerve repair. Methods: We used 24 male Wistar rats divided into 4 groups: control group (CG), standard vein graft group (SVG), Inside-out vein graft group (IOVG) and denervated Group (DG). SVG, IOVG and DG underwent total section of the sciatic nerve, SVG and IOVG however underwent nerve repair surgery using a graft with normal jugular vein and inside-out jugular vein, respectively. Histological analysis of the soleus and Extensor Digitorum Longus (EDL), and Sciatic Functional Index were used to compare the results after 6 weeks. Results: Both grafts acted favorably in muscle recovery and improved functionality; They were similar in all parameters, however, in more points SVG achieved similar to the CG, in the other hand IOVG more times was similar to DG. Fact that makes the graft with normal vein the most viable option between the two options. Conclusion: Both types of grafts acted beneficially wherein the graft normal vein has proved to be the best option

The new heterologous fibrin sealant in combination with low-level laser therapy (LLLT) in the repair of the buccal branch of the facial nerve.

This study aimed to evaluate the effects of low-level laser therapy (LLLT) in the repair of the buccal branch of the facial nerve with two surgical techniques: end-to-end epineural suture and coaptation with heterologous fibrin sealant. Forty-two male Wistar rats were randomly divided into five groups: control group (CG) in which the buccal branch of the facial nerve was collected without injury; (2) experimental group with suture (EGS) and experimental group with fibrin (EGF): The buccal branch of the facial nerve was transected on both sides of the face. End-to-end suture was performed on the right side and fibrin sealant on the left side; (3) Experimental group with suture and laser (EGSL) and experimental group with fibrin and laser (EGFL). All animals underwent the same surgical procedures in the EGS and EGF groups, in combination with the application of LLLT (wavelength of 830 nm, 30 mW optical power output of potency, and energy density of 6 J/cm(2)). The animals of the five groups were euthanized at 5 weeks post-surgery and 10 weeks post-surgery. Axonal sprouting was observed in the distal stump of the facial nerve in all experimental groups. The observed morphology was similar to the fibers of the control group, with a predominance of myelinated fibers. In the final period of the experiment, the EGSL presented the closest results to the CG, in all variables measured, except in the axon area. Both surgical techniques analyzed were effective in the treatment of peripheral nerve injuries, where the use of fibrin sealant allowed the manipulation of the nerve stumps without trauma. LLLT exhibited satisfactory results on facial nerve regeneration, being therefore a useful technique to stimulate axonal regeneration process.

Ipsilateral supplementary lateral incisors: a case report

Supernumerary teeth are one of the dental anomalies which occur due to the developmental disturbances in teeth. They can be seen in various shape and form. They can occur in both the deciduous and permanent dentition and can impose aesthetic and occlusion problems. Morphologically the supernumerary teeth exhibit various forms ranging from conical to tuberculate and supplemental types. Supplemental teeth as the name suggests are similar in shape to that of the normal prototype. In this particular case, we are reporting a case of ipsilateral supplemental permanent lateral incisors and the treatment approach which would subsequently facilitate the patient to undergo orthodontic treatment.

Multidisciplinary approach in the teaching of dental sculpture and anatomy / Enfoque multidisciplinario para la enseñanza de escultura y anatomía dental

The purpose of the Dental Sculpture and Anatomy discipline is to introduce undergraduate students to the study of the anatomic and morphological characteristics of permanent and primary human dentition, through classes, books and cognitive and psychomotor activities. This discipline supports the teaching of specific knowledge necessary for a more extensive education, involving interdisciplinarity as a means of knowledge exchange among several areas of dentistry, to achieve comprehensive professional education. Students must recognize the dental morphology from samples of preserved teeth, and reproduce the morphology through three-dimensional models made of stone or wax blocks. In this article, the authors describe the process for producing teeth collars and macro dental models made of stone, their importance and benefits of utilization. The purpose of the study was to encourage the teaching of Dental Sculpture and Anatomy toundergraduate students of the Bauru School of Dentistry, University of São Paulo, through activities that would associate theory, practice and the development of manual skills.

El propósito de la disciplina sobre escultura y anatomía de dientes es introducir a los estudiantes de pregrado para el estudio de las características anatómicas y morfológicas de la dentición humana permanente y primaria, a través de clases, libros y actividades cognitivas y psicomotoras. Esta disciplina se fundamenta en la enseñanza de conocimientos específicos necesarios para una educación más amplia, que implica la interdisciplinariedad como medio de intercambio de conocimientos entre diferentes áreas en odontología, y de esa forma, lograr una enseñanza profesional integral. Los estudiantes deben identificar la morfología dental a partir de dientes conservados, además de reproducir la morfología a través de modelos tridimensionales elaborados con bloques de yeso tipo piedra o cera. En este estudio, los autores describen el proceso para la producción de collares de dientes y macro modelos dentales hechos de yeso tipo piedra, su importancia y los beneficios de su utilización. El propósito del estudio fue incentivar la enseñanza de la escultura y anatomía dental a los estudiantes de pregrado de la Facultad de Odontología de Bauru, Universidad de São Paulo, a través de actividades que asocian la teoría, práctica y desarrollo de habilidades manuales.

Visible epiglottis in children.

Visible epiglottis is a rare anatomical variant which is usually asymptomatic without the need of any medical or surgical intervention. It is most commonly seen in children but there are some reports of its prevalence in adults too. Cases of visible epiglottis seem to be unfamiliar among dental professionals. In this report, we have attempted to present this anatomical variant of epiglottis in the feld of dentistry by describing a case of an 8-year-old girl who presented to the department of pediatric dentistry for normal dental check-up unaware of the existence of the visible epiglottis. How to cite this article: Ahmed FJ, Shinohara AL, da Silva SMB, Andreo JC, de Castro Rodrigues A. Visible Epiglottis in Children. Int J Clin Pediatr Dent 2014;7(3):223-224.

Ozone Therapy in Dentistry: A Systematic Review / Ozonoterapia en Odontología: Una Revisión Sistemática

The purpose of this systematic review was to verify the literature available regarding the effectiveness and the biological effects of ozone therapy in periodontics, orthodontics and dental implants. Studies were searched in September 2012. Analyzed sources included the databases PubMed, Lilacs and SciELO, through a combination of key words, dental implants, periodontics, orthodontics, therapeutics. Studies between 2002 and 2012 were included. In vitro and in vivo studies English and Spanish language publications, excluding posters, letters to the editors and conferences. In Vitro and in Vivo studies showed the inactivation of the major periodontal pathogens by ozone. There were divergent results and lack of evidence for the activity of ozone on adhesion of orthodontic brackets, in implantology and orthodontics. Ozone could be considered as a promissory alternative therapy in dentistry. However, well-designed studies are needed to assess the application of ozone in order to evaluate its clinical effectiveness in the field of dentistry.

El objetivo de esta revisión sistemática fue verificar la literatura disponible relacionada a la efectividad y efectos biológicos de la ozonoterapia en periodoncia, ortodoncia e implantes dentales. Se realizó una revisión sistemática en septiembre del 2012 en las bases de datos PubMed, LILACS and SciELO por medio de la combinación de las palabras clave dental implants, periodontics, orthodontics, therapeutics. Se evaluaron los artículos publicados entre los años 2002 y 2012. Fueron incluidos estudios In vitro e in vivo y publicaciones en Inglés y Español, excluyendo pósters, carta al editor y conferencias. Estudios in vitro e in vivo mostraron inactivación de los principales patógenos periodontais con el uso del ozono. Hubo resultados contradictorios y falta de evidencia sobre la acción del ozono en la adhesión de los brackets ortodónticos, así como también en la osteointegración de los implantes dentales. El ozono puede ser considerado como una terapia alternativa promisoria en la Odontología. Sin embargo, es necesaria la realización de estudios bien diseñados para, de ese modo, evaluar la aplicación del ozono y su efectividad clínica en el campo de la Odontología.

Anatomical, clinical and radiographic characteristics of styloid syndrome (Eagle syndrome): a case report / Características anatómicas, clínicas y radiográficas del síndrome Estiloide (síndrome de Eagle): un caso clínico

Styloid syndrome is characterized by an elongated styloid process or calcification of the stylomandibular and stylohyoid ligament. This study describes a case of a 65-year-old woman who presented to the Stomatology Clinic, University of Marilia with temporomandibular joint pain, ear ringing and a reduced ability to open the mouth. Panoramic and posteroanterior digital radiographs showed bilateral elongation of the styloid processes, especially of the right side, whose length extended beyond the mandible angle. The diagnosis was confirmed with the association of clinical data and image examinations. The treatment options for styloid Syndrome include clinical follow-up, surgical removal of the styloid process or fracture of the elongated process. The case was managed by providing prosthetic rehabilitation and clinical follow-up, observing the level of discomfort and the benefit that could be achieved by the therapy, and avoiding surgical intervention.

El síndrome estilode (Síndrome de Eagle) se caracteriza por un proceso estiloides alargado o calcificación de los ligamentos estilohioideo y estilomandibular. Este estudio describe el caso de una mujer de 65 años de edad que concurrió a la Clínica Estomatológica de la Universidad de Marilia con dolor de la articulación temporomandibular, zumbido en los oídos y una disminución de la capacidad de abrir la boca. Las radiografías digitales panorámica y posteroanterior mostraron alargamiento bilateral de los procesos estiloides, especialmente del lado derecho, cuya longitud se extendió más allá del ángulo de la mandíbula. El diagnóstico se confirmó con la asociación de los datos clínicos y los exámenes de imagen. Las opciones de tratamiento para el síndrome estiloide incluyen el seguimiento clínico, la extirpación quirúrgica del proceso estiloides o la fractura del proceso alargado. El caso fue tratado con rehabilitación protésica y seguimiento clínico, observando el nivel de molestia y el beneficio que se podría lograr mediante la terapia, evitando la intervención quirúrgica.

Bovine bone matrix action associated with morphogenetic protein in bone defects in rats submitted to alcoholism / Acción de la matriz ósea bovina asociada a la proteína morfogenéticaen defectos óseos en ratones sometidos a alcoholismo

Extended excessive alcohol use causes changes in bone tissue, thus affecting osteogenesis. The objective of this study was to evaluate if demineralized bone matrix (Gen-ox®) associated with bone morphogenetic protein (Gen-pro®) changes bone neoformation in rats submitted to experimental alcoholism. Forty male rats (Rattus norvegicus) were separated into 2 groups of 20 animals each: Group E1, which received ethyl alcohol at 25 percent and had the surgical cavity filled in only with blood clot; and Group E2, which received ethyl alcohol at 25 percent and had the surgical cavity filled in with demineralized bovine cortical bone associated with bone morphogenetic protein. The animals were submitted to a three-week period of gradual adaptation to alcohol, and then continued receiving alcohol at 25 percent for 90 days, when the surgical cavity was made. After the surgery, the animals continued consuming alcohol until reaching the sacrifice periods of 10, 20, 40, and 60 days, when the tibias were removed for histological processing. Results showed that surgical cavity repair and bone marrow reorganization occurred faster in Group E1 than in Group E2. At the end of the experiment, it was observed that animals in Group E2 had thick bony trabeculae surrounding the implanted material particles and a small area of connective tissue in the surface region. In conclusion, the implanted material did not accelerate bone neoformation, rather it served as a structure for osteogenesis.

El abuso prolongado del alcohol produce alteraciones en el tejido óseo, interfiriendo en el proceso de la osteogénesis. El estudio tiene como objetivo evaluar si la matriz ósea bovina desmineralizada (Gen-ox®) asociada a la proteína morfogenética ósea (Gen-pro®) altera la neoformación ósea en ratones sometidos a alcoholismo experimental. Fueron utilizados 40 ratones machos (Rattus norvegicus), separados en dos grupos de 20 animales cada uno: Grupo E1, que recibió alcohol etílico a 25 por ciento con cavidad quirúrgica rellenada solamente por coágulo sanguíneo, y Grupo E2, que recibió sólo alcohol etílico a 25 por ciento con cavidad quirúrgica rellenada con hueso bovino desmineralizado cortical asociado a proteína morfogenética ósea. Después de 3 semanas de adaptación gradual al alcohol, los animales continuaron recibiéndolo en concentración de 25 por ciento por 90 días, cuando fue realizada la cavidad quirúrgica. Luego de la cirugía, los animales continuaron la ingestión alcohólica hasta los períodos de sacrificio de 10, 20, 40 y 60 días, cuando las tibias fueron removidas para su procesamiento histológico. Los resultados mostraron que en el Grupo E1 hubo reparación de la cavidad quirúrgica y reorganización de la médula ósea en un menor lapso temporal que en el Grupo E2. En el período final del experimento, se observó en los animales del Grupo E2 la presencia de trabéculas óseas espesas alrededor de las partículas de material implantado y pequeña área de tejido conjuntivo en la región superficial. Se puede concluir en que el material implantado no aceleró el proceso de neoformación ósea, sirviendo como estructura de base para generar osteogénesis.

Protocolo de avaliação do frênulo da língua em bebês / Tongue frenulum evaluation protocol in babies

OBJETIVO: apresentar uma proposta de protocolo de avaliação do frênulo da língua em bebês com escores. MÉTODO: inicialmente foi realizada uma revisão da literatura relacionada, consultando as bases de dados Web of Science, Pubmed, Embase, All Evidence-Based Medicine Reviews e Scielo, bem como livros textos das áreas de anatomia, odontopediatria e fonoaudiologia. Todos os aspectos julgados relevantes nos trabalhos encontrados foram incluídos na versão inicial, que foi submetida à avaliação de três fonoaudiólogas especialistas em motricidade orofacial, sendo obtida a versão consenso, que foi aplicada em 10 bebês nascidos a termo buscando verificar a exequibilidade do instrumento. RESULTADOS: com base na literatura consultada e no estudo piloto, foi elaborado o protocolo de avaliação do frênulo da língua em bebês. A primeira parte é composta por história clínica contendo questões gerais de identificação e questões específicas sobre antecedentes familiais e amamentação. A segunda parte é composta pelo exame clínico, constituído de avaliação anatomofuncional e avaliação das funções orofaciais. CONCLUSÕES: o protocolo de avaliação do frênulo da língua em bebês foi desenvolvido a partir de uma proposta teórica e depende de sua aplicabilidade para se configurar como um teste validado. Espera-se que o mesmo possa auxiliar os profissionais da saúde a avaliar e diagnosticar as variações anatômicas do frênulo e sua possível interferência na amamentação, norteando condutas eficazes e promovendo uma prática baseada em evidências. A segunda fase deste trabalho deve compreender a pesquisa experimental e a análise estatística dos dados.

PURPOSE: to present a protocol proposal to evaluate the lingual frenum in babies with scores. METHOD: initially was performed a review of the literature, referring to the databases Web of Science, Pubmed, Embase, All Evidence-Based Medicine Reviews and Scielo as well as textbooks in the areas of Anatomy, Pediatric Dentistry and Language and Hearing Sciences. All aspects considered relevant were included in the work found in the initial release, which was assessed on three Speech Language Pathologists specialist in Orofacial Myology, obtaining the consensus version, which was applied in 10 term infants to verify the applicability of the instrument. RESULTS: based on literature and the pilot study, the protocol was designed to evaluate the lingual frenum in infants. The first part consists of the clinical history containing general questions of identification and specific questions about family history and breastfeeding. The second part is composed by clinical examination, that consists of anatomofunctional evaluation and evaluation of orofacial functions. CONCLUSIONS: the evaluation protocol of the frenum of the tongue in infants has been developed from a theoretical proposal and depends on its applicability to be configured as validated test. It is hoped that it may help health professionals to assess and diagnose the anatomical variations of the frenum and its possible interference with breast feeding, guiding and promoting effective conduct an evidence-based practice.The second phase of this work will be the experimental research and statistical analysis.

Anesthetic technique for inferior alveolar nerve block: a new approach.

BACKGROUND: Effective pain control in Dentistry may be achieved by local anesthetic techniques. The success of the anesthetic technique in mandibular structures depends on the proximity of the needle tip to the mandibular foramen at the moment of anesthetic injection into the pterygomandibular region. Two techniques are available to reach the inferior alveolar nerve where it enters the mandibular canal, namely indirect and direct; these techniques differ in the number of movements required. Data demonstrate that the indirect technique is considered ineffective in 15% of cases and the direct technique in 13-29% of cases. OBJECTIVE: The aim of this study was to describe an alternative technique for inferior alveolar nerve block using several anatomical points for reference, simplifying the procedure and enabling greater success and a more rapid learning curve. MATERIAL AND METHODS: A total of 193 mandibles (146 with permanent dentition and 47 with primary dentition) from dry skulls were used to establish a relationship between the teeth and the mandibular foramen. By using two wires, the first passing through the mesiobuccal groove and middle point of the mesial slope of the distolingual cusp of the primary second molar or permanent first molar (right side), and the second following the occlusal plane (left side), a line can be achieved whose projection coincides with the left mandibular foramen. RESULTS: The obtained data showed correlation in 82.88% of cases using the permanent first molar, and in 93.62% of cases using the primary second molar. CONCLUSION: This method is potentially effective for inferior alveolar nerve block, especially in Pediatric Dentistry.

Anesthetic technique for inferior alveolar nerve block: a new approach

BACKGROUND: Effective pain control in Dentistry may be achieved by local anesthetic techniques. The success of the anesthetic technique in mandibular structures depends on the proximity of the needle tip to the mandibular foramen at the moment of anesthetic injection into the pterygomandibular region. Two techniques are available to reach the inferior alveolar nerve where it enters the mandibular canal, namely indirect and direct; these techniques differ in the number of movements required. Data demonstrate that the indirect technique is considered ineffective in 15 percent of cases and the direct technique in 13-29 percent of cases. OBJECTIVE: The aim of this study was to describe an alternative technique for inferior alveolar nerve block using several anatomical points for reference, simplifying the procedure and enabling greater success and a more rapid learning curve. MATERIAL AND METHODS: A total of 193 mandibles (146 with permanent dentition and 47 with primary dentition) from dry skulls were used to establish a relationship between the teeth and the mandibular foramen. By using two wires, the first passing through the mesiobuccal groove and middle point of the mesial slope of the distolingual cusp of the primary second molar or permanent first molar (right side), and the second following the oclusal plane (left side), a line can be achieved whose projection coincides with the left mandibular foramen. RESULTS: The obtained data showed correlation in 82.88 percent of cases using the permanent first molar, and in 93.62 percent of cases using the primary second molar. CONCLUSION: This method is potentially effective for inferior alveolar nerve block, especially in Pediatric Dentistry.

Deslocamento axial de fluido em capilar de vidro, após a reação intracoronária de diversos agentes clareadores / Axial displacement of fluid in glass capillary after intracoronary reaction of several bleaching agents

Introdução e objetivo: Buscou-se quantificar, indiretamente, a liberaçãode oxigênio após a reação química intracoronária, por deslocamentoaxial de fluido em capilares de vidro, adaptados em coroas dentárias.Material e métodos: Coroas bovinas foram acessadas, e foi executadoo tampão cervical e posicionado um capilar de vidro na face externavestibular, contendo um veículo oleoso. Na sequência, foram preparadasquatro associações de clareadores e colocadas em seu interior: G1? perborato de sódio e peróxido de hidrogênio a 3%; G2 ? perborato de sódio e água; G3 ? associação de percarbonato de sódio e peróxidode hidrogênio a 3%; G4 ? associação de percarbonato de sódio eágua destilada. Após serem mantidas por 24 horas, quantificou-se odeslocamento axial do fluido, interpretado como liberação de oxigêniopela reação química. Resultados: Os resultados mostraram umatendência das associações com o peróxido de hidrogênio em promovermaior liberação de oxigênio. Entretanto não houve diferença entre operborato de sódio e o percarbonato de sódio (p > 0,05). Conclusão:Os grupos experimentais não demonstraram diferenças entre si duranteas 24 horas de reação química.

Objective: To indirectly quantify the release of oxygen after intracoronarychemical reaction, by axial displacement of fluid in glass capillariesarranged in dental crowns. Material and methods: Bovine crownswere accessed, the cervical plug was executed and a glass capillarywas placed in the vestibular external face, containing an oily vehicle.Following that, four associations of bleaching were prepared and placedin its interior: G1 ? sodium perborate and hydrogen peroxide 3%; G2? sodium perborate and water, G3 ? sodium percarbonate and hydrogenperoxide 3%; G4 ? sodium percarbonate and distilled water. After beingkept for 24 hours, the axial displacement of the fluid was quantifiedand interpreted as the release of oxygen by the chemical reaction.Results: The results showed a trend of the associations with hydrogenperoxide to promote the release of more oxygen. However, there wasno difference between sodium perborate and sodium percarbonate(p > 0.05). Conclusion: The experimental groups showed no differencesbetween them during the 24 hours of chemical reaction.

Morphological study of myoneural interaction between the levator labii superioris muscle and its motor nerve in rats / Estudio morfológico de la interacción mioneural entre el músculo elevador del labio superior y su nervio motor en ratas

The progress of science in search of new techniques of the nerve regeneration and the functional repair in reinnervated muscle has been the target of many researchers around the world. Consequently, nerves and muscles in different body segments asked for more enlightenment of their morphology, their interrelation with other anatomic structures and their peculiarities. One of the most significant areas that need deeper studies is the region of the head and neck, since they are often affected by important pathologies. In order to offer the researcher's community a morphological myoneural interaction model, this study elected the levator labii superioris muscle and its motor nerve, the buccal branch of the facial nerve (VII pair) not only for its special characteristics, but also its value on the facial expression. The rat was chosen for this investigation for being easy to obtain, to keep, to manipulate and to compare this experiment with many others studies previously published. The techniques used were Mesoscopic (dissection), histoenzymologic and morphometric ones.In the results the muscle proved to have a predominance of fast twich fibers (FG and FOG) and superficial location, with a proximal bone and a distal cutaneous insertion. Its motor nerve, the buccal branch of the facial nerve (VII pair), breaks through the muscle belly into its deep face, and comprised a heterogeneous group of myelinic nerve fibers disposed in a regular form in all fascicle. Near the motor point, the nerve showed to be composed of two fascicles with different sizes. Due to the small nerve dimensions, the nerve fibers have a smaller diameter if compared to the motor nerve of pectineus muscle of the cat. Further studies with neural tracers have already had a start in order to provide more information about the distribution and the architecture of these fibers.

El progreso de la ciencia en busca de nuevas técnicas para la regeneración neural y la recuperación funcional de los músculos reinervados, ha atraído el interés de muchos investigadores en todo el mundo. En consecuencia, los músculos y los nervios merecen más aclaraciones sobre su morfología, relaciones anatómicas y particularidades. Entre las áreas que merecen estudios más profundos y detallados, está la región de cabeza y cuello, que es a menudo afectada por enfermedades graves. Con el propósito de ofrecer a la comunidad científica un modelo morfológico de interacción mioneural, se eligió el músculo elevador del labio superior y su nervio motor, la rama bucal del nervio facial (VII par craneal), por sus especiales características y su importancia en la expresión facial. En esta investigación se optó por la rata, por las facilidades de obtención, de manejo y para comparar los datos obtenidos con estudios previos. Se utilizaron técnicas mesoscópicas de disección, histoenzimológicas y morfométricas. Los resultados mostraron un músculo con predominio de fibras de contracción rápida (FG y FOG), ubicación superficial, inserción proximal ósea e inserción distal en la piel. Su nervio motor, la rama bucal del nervio facial, ingresa en el vientre muscular en la cara profunda, y está compuesto por un grupo heterogéneo de fibras nerviosas mielínicas dispuestas de forma regular por todo el fascículo nervioso cerca del punto motor. El nervio es formado por dos fascículos de diferentes tamaños. Debido a las pequeñas dimensiones en la rata, el diámetro de las fibras nerviosas presenta valores reducidos, en comparación con el nervio motor del músculo pectíneo en el gato, por ejemplo. Los datos aportados podrán ser usados como referencia en estudios de regeneración en nervios y músculos. Otros estudios con marcadores neuronales se iniciaron para aclarar la distribución y la estructura de las fibras mencionadas.

Anatomy of the facial nerve and its implication in the surgical procedures / Anatomía del nervio facial y sus implicancias en los procedimientos quirúrgicos

Facial palsy, parotid diseases and others are a relatively common clinical condition with a variety of causes. Irrespective of its etiology, facial palsy always represents a very serious problem for the patient. Parotid gland diseases also are very common occurrence. In this particular case, the knowledge of surgical anatomy of the facial nerve and its correlations with the parotid gland is very important for an adequate preservation in the cases of surgery of benign and malignant diseases of the parotid gland. Although the surgical anatomy of the facial nerve has been well documented, the concept of surgical treatment for parotid tumors, facial palsy (neurorraphy techniques) and submandibular surgical approach are rarely challenged now.

La parálisis facial, enfermedades de la parótida y otras patologías son una condición clínica relativamente común con una variedad de causas. Independientemente de su etiología, la parálisis facial siempre representa un problema muy serio para el paciente. Las enfermedades de la glándula parótida son también de una ocurrencia común. En este caso particular, el conocimiento de la anatomía quirúrgica del nervio facial y su correlación con la glándula parótida es de mucha importancia para una adecuada preservación de la misma, en casos de cirugía como tratamiento de enfermedades benignas o malignas. Aunque la anatomía quirúrgica del nervio facial es bien documentada, el concepto de tratamiento quirúrgico para los tumores parotídeos, parálisis facial (técnicas de neurorrafia) y acercamiento quirúrgico submandibular son raramente impugnados hoy en día.

Efeitos de 03 dietas alcoólicas na reparação óssea em tíbia de ratos / Effects of three alcoholic diets on the bone repair in the tibia of rats

Os efeitos do uso abusivo e prolongado do álcool sobre vários tecidos, incluindo o ósseo, têm sido amplamente estudados. A quantidade de defeitos ósseos criados cirurgicamente e pelos vários tipos de acidentes tem aumentado e existe uma preocupação muito grande quanto ao reparo desses defeitos, associados ao alcoolismo. O objetivo desta pesquisa foi de observar histologicamente os efeitos de 03 dietas alcoólicas na reparação óssea e se o aumento da concentração do álcool também interfere neste fenômeno. Foram utilizados 64 ratos machos (Rattus norvegicus), divididos em 4 grupos de 16 animais cada, assim distribuídos: Grupo controle (C) – animais que não receberam álcool; Grupos Experimentais I, II e III (EI, EII e EIII, respectivamente) - animais que foram submetidos à alcoolização de 6%, 15% e 25% respectivamente, por um período de 90 dias. Após este período a tíbia esquerda de todos os animais foi submetida a uma cirurgia onde se realizou uma cavidade no sentido longitudinal. Quatro animais de cada grupo foram sacrificados em períodos de 10, 20, 40 e 60 dias contados a partir do dia da cirurgia experimental. As tíbias foram retiradas, processadas histologicamente e submetidas às colorações de HE e tricrômico de Masson. Os resultados mostraram que a neoformação óssea foi decrescente de acordo com o aumento da concentração alcoólica e pode-se concluir que as 03 dietas alcoólicas (6%, 15% e 25%) influenciam a neoformação óssea em todas as suas fases, retardando o processo de reparação óssea.

The effects of long-term alcohol abuse on several tissues, including bone, have been extensively studied. Considering the increase in occurrence of bone defects caused by trauma or even created for surgical purposes, the putative influence of alcoholism on bone healing has been a matter of growing concern. The aim of the present study was to assess histologically the effects of three schemes of alcohol intake at different concentrations on bone repair. 64 male rats (Rattus norvegicus) were assigned to four experimental groups (n=16), which received alcohol diluted with drinking water to the final concentrations of 6% (Group EI), 15% (Group EII) or 25% (Group EIII). The control group (Group C) received drinking water. After 90 days, the animals were subjected to a surgical procedure in which a cavity (3 mm in width) was created on the left tibia. Four animals of each group were sacrificed on 10th, 20th, 40th or 60th days after the surgical procedure. The samples were processed for histological analysis, paraffin embedded and stained with hematoxylin and eosin; and Masson tricromic. The qualitative histological analysis showed that the amount of bone neoformation was inversely proportional to the alcohol concentration. It may be concluded that the schemes of alcohol consumption at the concentrations used in the present study (6%, 15% e 25%) led to a decrease in osseous neoformation in all analyzed periods, resulting in delay on the healing process.