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1.
J Dairy Sci ; 97(7): 4174-83, 2014 Jul.
Artigo em Inglês | MEDLINE | ID: mdl-24792801

RESUMO

Research was conducted to evaluate the effects of management system (MS), marine lipid supplementation (LS), and their interaction on the relative mRNA abundance of 11 genes involved in lipid synthesis in mammary, liver, and subcutaneous adipose tissues in lactating dairy cows. These genes included those involved in FA uptake (LPL), de novo FA synthesis (ACACA, FASN), FA desaturation (SCD1, FADS1, FADS2), and transcriptional regulation of lipogenesis (SREBF1, SCAP, INSIG1, THRSP, and PPARG). Forty-eight peripartal Holstein cows were blocked by parity and predicted calving date and assigned to either a pasture (n=23) or confinement (n=25) system. Within each system, cows were allocated randomly (7-9 cows per treatment) to a control (no oil supplement) or 1 of 2 isolipidic (200 g/d) supplements, fish oil (FO) or microalgae (MA), for 125 ± 5 d starting 30 d precalving. The experiment was conducted as a split-plot design, with MS being the whole plot treatment and LS as the subplot treatment. At 100 ± 2 DIM, 4 cows from each treatment combination (24 cows in total) were euthanized and tissue samples were collected for gene expression analysis. No interactions between MS and LS were observed regarding any of the variables measured in this study. Milk production (34.0 vs. 40.1 kg/d), milk fat (1.10 vs. 1.41 kg/d), protein (0.95 vs. 1.22 kg/d), and lactose (1.56 vs. 1.86 kg/d) were lower for pasture compared with confinement. The effect of LS on milk production and milk composition (yields and contents) was significant only for milk fat content that was reduced with MA compared with FO (3.00 vs. 3.40%) and the control (3.56%). The mammary mRNA abundance of PPARG (-32%) and FASN (-29%) was lower in grazing compared with confined cows, which was accompanied by reduced (-43%) secretion of de novo synthesized fatty acids in milk. Grazing was associated with reduced expression of ACACA (-48%), FASN (-48%), and THRSP (-53%) in subcutaneous adipose tissues, which was consistent with the lower body condition score (i.e., lower net adipose tissue deposition) in grazing compared with confined cows. Feeding either FO or MA downregulated hepatic expression of FASN, SCD1, FADS2, and THRSP. The reduced secretion of de novo synthesized fatty acids in milk of grazing cows compared with confined cows might be related in part to the downregulation of genes involved in lipid synthesis, and that LS have tissue-specific effects on expression of genes involved in lipid metabolism, with liver being the most responsive tissue.


Assuntos
Bovinos/fisiologia , Indústria de Laticínios/métodos , Óleos de Peixe/metabolismo , Regulação da Expressão Gênica , Lipogênese , Microalgas/química , Tecido Adiposo/metabolismo , Ração Animal/análise , Fenômenos Fisiológicos da Nutrição Animal , Animais , Bovinos/genética , Dieta/veterinária , Suplementos Nutricionais/análise , Feminino , Óleos de Peixe/administração & dosagem , Lactação , Fígado/metabolismo , Glândulas Mamárias Animais/metabolismo , Especificidade de Órgãos , Distribuição Aleatória , Reação em Cadeia da Polimerase em Tempo Real/veterinária
2.
J Dairy Sci ; 96(10): 6660-70, 2013 Oct.
Artigo em Inglês | MEDLINE | ID: mdl-23958023

RESUMO

The objective of this study was to examine the interaction between lipid supplement (LS) and management system (MS) on fatty acid (FA) composition of milk that could affect its healthfulness as a human food. Forty-eight prepartal Holstein cows were blocked by parity and predicted calving date and deployed across pasture (PAS; n=23) or confinement (CONF; n=25) systems. Cows within each system were assigned randomly to a control (no marine oil supplement) or to 1 of 2 isolipidic (200 g/d) marine oil supplements: fish oil (FO) or microalgae (MA) for 125 ± 5 d starting 30 d precalving. The experiment was conducted as a split-plot design, with MS being the whole-plot treatment and LS as the subplot treatment. Cows were housed in a tie-stall barn from -30 until 28 ± 10 d in milk (DIM) and were fed total mixed rations with similar formulations. The PAS group was then adapted to pasture and rotationally grazed on a perennial sward until the end of the experiment (95 ± 5 DIM). Milk samples were collected at 60 and 90 DIM for major components and FA analyses. Milk yield (kg/d) was lower in PAS (34.0) compared with CONF (40.1) cows. Milk fat percentage was reduced with MA compared with FO (3.00 vs. 3.40) and the control (3.56) cows. However, milk fat yield (kg/d) was not affected by lipid supplements. Compared with CONF, PAS cows produced milk fat with a lower content of 12:0 (-38%), 14:0 (-28%), and 16:0 (-17%), and more cis-9 18:1 (+32%), 18:3 n-3 (+30%), conjugated linoleic acid (CLA; +70%) and trans 18:1 (+34%). Both supplements, regardless of MS, reduced similarly the milk fat content of 16:0 (-12%) and increased CLA (+28%) and n-3 long-chain polyunsaturated FA (n-3 LC-PUFA; +150%). Milk fat content of trans 18:1 (trans-6 to trans-16) was increased with FO or MA, although the effect was greater with MA (+81%) than with FO (+42%). The interaction between MS and LS was significant only for trans-11 18:1 (vaccenic acid, VA) and cis-9,trans-11 CLA (rumenic acid). In contrast to CONF, feeding FO or MA to PAS cows did not increase milk fat content of VA and rumenic acid. We concluded that compared with CONF, milk from PAS cows had a more healthful FA composition. Feeding either FO or MA improved n-3 long-chain polyunsaturated FA and reduced levels of 16:0 in milk fat, regardless of MS, but concurrently increased the trans 18:1 isomers other than VA, at the expense of VA, particularly in grazing cows.


Assuntos
Dieta/veterinária , Suplementos Nutricionais , Óleos de Peixe/administração & dosagem , Lactação , Ácidos Linoleicos Conjugados/análise , Microalgas , Leite/química , Ácidos Oleicos/análise , Animais , Bovinos , Feminino , Humanos , Lipídeos/administração & dosagem , Paridade , Gravidez
3.
J Dairy Sci ; 95(6): 2797-809, 2012 Jun.
Artigo em Inglês | MEDLINE | ID: mdl-22612917

RESUMO

This study evaluated the effects of feeding fresh forage either as pasture plus a concentrate (PAS) or as a silage-based total mixed ration (TMR), combined with either a ruminally inert lipid supplement high in saturated fatty acids (-) or a ruminally protected microalgae containing 22 g of docosahexaenoic acid (DHA)/100 g of fatty acids (+) on the fatty acid (FA) composition and oxidation of milk and butter. For the 8 mid-lactation Holstein cows in this study, milk yield was not significantly affected by treatment, averaging 32.3 ± 1.28 kg/d. Milk fat content was higher for PAS⁻, averaging 5.05 compared with 4.10 ± 0.17% for the mean of other treatments, and was significantly depressed with microalgae supplementation (3.97 vs. 4.69 ± 0.17%). The saturated fatty acid level in the milk of cows fed TMR⁻ was significantly higher than that of the other treatments (66.9 vs. 61.2 g/100 g of FA). The level of monounsaturated FA was lowered by feeding TMR⁻ (27.4 vs. 32.0 g/100 g of FA), whereas levels of polyunsaturated FA were elevated by feeding PAS+ compared with the mean of the other treatments (6.54 vs. 5.07 g/100 g of FA). Feeding the rumen-protected microalgae increased the DHA content of milk more than 4-fold (0.06 to 0.26 g/100g of FA) with the PAS treatment. The conjugated linoleic acid content of milk was highest for PAS+ compared with the other treatments (4.18 vs. 3.41 g/100g of FA). In general, the fatty acid composition of butter followed that of milk. Overall, feeding the TMR supplemented with the rumen-protected microalgae increased the levels of volatile products of oxidation in milk and butter. No effect of forage type or microalgae supplementation was observed on the oxidative stability or antioxidant capacity of milk, although the oxidative stability of butter exposed to UV was reduced with microalgae supplementation, particularly with TMR, as assessed by using the ferric reducing ability of plasma assay.


Assuntos
Ração Animal , Manteiga/análise , Ácidos Graxos/análise , Microalgas/metabolismo , Leite/química , Animais , Bovinos , Dieta/veterinária , Suplementos Nutricionais , Ácidos Docosa-Hexaenoicos/farmacologia , Ingestão de Alimentos , Feminino , Lactação , Oxirredução , Silagem
4.
Artigo em Inglês | MEDLINE | ID: mdl-9768429

RESUMO

The purpose of this study was to examine the identification error of certain submentovertex landmarks and to compare three different methods of determining horizontal condylar angulation in submentovertex radiographs. To determine landmark identification error, a random sampling of 12 submentovertex radiographs from preorthodontic patients between the ages of 10 and 17 years was used to determine both intraexaminer and interexaminer reliability. The error associated with the identification of each of 11 landmarks varied between specific landmarks, between the same landmarks bilaterally, and between the vertical and horizontal components of the same landmark. In general, intraexaminer data showed less landmark identification error in both vertical and horizontal directions than did interexaminer data. The foramen spinosum landmarks demonstrated the lowest identification error in both horizontal and vertical direction (intraexaminer), whereas greater identification error was associated with the condylar lateral poles and posterior condylar points (both intraexaminer and interexaminer). A comparison of three different methods of condylar angulation determination was undertaken through the use of two tracings of each of 101 submentovertex radiographs. A computer-derived method representing the principal axis of minimum moment of inertia of the condyle was shown to be more reliable (p < 0.05) with respect to describing condylar angulation than both a method that used a best-fit line through the anterior condylar border and an interpolar axis method.


Assuntos
Cefalometria/métodos , Cefalometria/normas , Erros de Diagnóstico , Côndilo Mandibular/anatomia & histologia , Adolescente , Análise de Variância , Criança , Humanos , Côndilo Mandibular/diagnóstico por imagem , Variações Dependentes do Observador , Intensificação de Imagem Radiográfica , Interpretação de Imagem Radiográfica Assistida por Computador , Reprodutibilidade dos Testes , Estudos de Amostragem , Base do Crânio/anatomia & histologia , Base do Crânio/diagnóstico por imagem , Articulação Temporomandibular/diagnóstico por imagem
5.
Angle Orthod ; 64(6): 447-54, 1994.
Artigo em Inglês | MEDLINE | ID: mdl-7864466

RESUMO

This study was designed to quantify the intraexaminer and interexaminer reliability of 52 commonly used posterior anterior cephalometric landmarks. The horizontal and vertical identification errors were determined for a sample of 33 skulls and 25 patients. The results show that there is a considerable range in the magnitude of error with different horizontal and vertical values. Interexaminer landmark identification error was significantly larger than intraexaminer error for many landmarks. The identification error was different for the skull sample compared to the patient sample for a number of landmarks. The relevance of knowing the identification error for each landmark being considered in a particular application was discussed.


Assuntos
Cefalometria/métodos , Ossos Faciais/diagnóstico por imagem , Crânio/diagnóstico por imagem , Adulto , Cefalometria/estatística & dados numéricos , Queixo/diagnóstico por imagem , Craniotomia/métodos , Craniotomia/estatística & dados numéricos , Dente Canino/diagnóstico por imagem , Humanos , Incisivo/diagnóstico por imagem , Mandíbula/diagnóstico por imagem , Côndilo Mandibular/diagnóstico por imagem , Processo Mastoide/diagnóstico por imagem , Maxila/diagnóstico por imagem , Dente Molar/diagnóstico por imagem , Osso Nasal/diagnóstico por imagem , Cavidade Nasal/diagnóstico por imagem , Septo Nasal/diagnóstico por imagem , Variações Dependentes do Observador , Órbita/diagnóstico por imagem , Intensificação de Imagem Radiográfica , Reprodutibilidade dos Testes , Sela Túrcica/diagnóstico por imagem , Zigoma/diagnóstico por imagem
6.
Angle Orthod ; 70(1): 70-80, 2000 Feb.
Artigo em Inglês | MEDLINE | ID: mdl-10730678

RESUMO

The objective of this study was to determine differences in spatial relationships and osseous morphology between temporomandibular joints with normal and anterior disc positions. Magnetic resonance imaging was employed to determine disc position in 335 temporomandibular joints in 175 subjects (106 female and 69 male) between the ages of 7.27 years and 20.0 years (mean age: 13.08 years). Twelve tomographic variables were measured from preorthodontic tomograms of the same individuals. Tomographic data were cross-referenced with MRI data for those with normal and full anterior disc displacement. Independent sample t-tests revealed significant differences for all measures of joint space, condylar position, and morphology of the articular eminence (P < .05) between joints with normal disc position and with full anterior disc displacement. This study indicated that measures of joint space and eminence morphology might provide diagnostic information for the assessment of joint status in the adolescent population.


Assuntos
Luxações Articulares/patologia , Disco da Articulação Temporomandibular/anatomia & histologia , Articulação Temporomandibular/anatomia & histologia , Adolescente , Adulto , Criança , Oclusão Dentária Central , Feminino , Humanos , Processamento de Imagem Assistida por Computador , Registro da Relação Maxilomandibular , Luxações Articulares/diagnóstico , Imageamento por Ressonância Magnética , Masculino , Côndilo Mandibular/anatomia & histologia , Côndilo Mandibular/patologia , Estudos Retrospectivos , Fatores Sexuais , Estatística como Assunto , Osso Temporal/anatomia & histologia , Osso Temporal/patologia , Articulação Temporomandibular/patologia , Disco da Articulação Temporomandibular/patologia , Tomografia por Raios X , Suporte de Carga
7.
Angle Orthod ; 66(1): 51-60, 1996.
Artigo em Inglês | MEDLINE | ID: mdl-8678346

RESUMO

This study examined the effect of head rotation about the vertical and transverse axes on posterior anterior cephalometric landmarks. Radiographs were taken on 25 skulls, first in a normal position, then in four positions each rotated 5 degrees from normal. The identification errors of 52 bilateral and midline landmarks were determined in the horizontal and vertical dimensions. The landmark identification errors for each of the five orientations were compared and those landmarks affected by 5 degrees rotation were identified. Landmarks with significantly larger identification error in a rotated position were: nasal cavity, mandible/occiput, foramen rotundum and orbitale. Best fit vertical and horizontal reference lines were determined, and the effect of head rotation on the choice of best fit reference lines was assessed. Rotation about the transverse axis did not affect the relationship of landmarks to the best vertical or horizontal lines. Rotation about the vertical axis did not affect the relationship of landmarks to the best horizontal line but did affect their relationship to the best vertical line.


Assuntos
Cefalometria , Cabeça/anatomia & histologia , Adulto , Cabeça/diagnóstico por imagem , Humanos , Mandíbula/diagnóstico por imagem , Cavidade Nasal/diagnóstico por imagem , Osso Occipital/diagnóstico por imagem , Órbita/diagnóstico por imagem , Postura , Intensificação de Imagem Radiográfica , Reprodutibilidade dos Testes , Rotação , Osso Esfenoide/diagnóstico por imagem , Dimensão Vertical
8.
Angle Orthod ; 71(6): 442-51, 2001 Dec.
Artigo em Inglês | MEDLINE | ID: mdl-11771782

RESUMO

The purposes of this study were to examine the effect of potentially common patient positioning errors in panoramic radiography on imaged mesiodistal tooth angulations and to compare these results with the imaged mesiodistal tooth angulations present at an idealized head position. A human skull served as the matrix into which a constructed typodont testing device was fixed according to anteroposterior and vertical cephalometric normals. The skull was then repeatedly imaged and repositioned five times at each of the following five head positions: ideal head position, 5 degrees right, 5 degrees left, 5 degrees up, and 5 degrees down. The images were scanned and digitized with custom software to determine the image mesiodistal tooth angulations. Results revealed that the majority of image angles from the five head positions were statistically significantly different than image angles from the idealized head position. Maxillary teeth were more sensitive to 5 degrees up/down head rotation, with 5 degrees up causing mesial projection and 5 degrees down causing distal projection of maxillary roots. Mandibular anterior teeth were more sensitive to 5 degrees right/left head rotation, with the projected mesiodistal angular difference between 5 degrees right and 5 degrees left rotation ranging from 4.0 degrees to 22.3 degrees. Maxillary teeth were relatively unaffected by 5 degrees right/left head rotation, and mandibular teeth were relatively unaffected by 5 degrees up/down head rotation. It was concluded that the clinical assessment of mesiodistal tooth angulation with panoramic radiography should be approached with extreme caution with an understanding of the inherent image distortions that can be further complicated by the potential for aberrant head positioning.


Assuntos
Erros de Diagnóstico , Movimentos da Cabeça , Má Oclusão/diagnóstico , Postura , Radiografia Panorâmica , Cefalometria , Humanos , Imagens de Fantasmas , Intensificação de Imagem Radiográfica , Radiografia Panorâmica/instrumentação , Radiografia Panorâmica/estatística & dados numéricos
9.
Cranio ; 17(2): 101-8, 1999 Apr.
Artigo em Inglês | MEDLINE | ID: mdl-10425937

RESUMO

The purpose of this research was to examine the relationship between horizontal condylar angulation and position and joint status in an adolescent population. Submentovertex (SMV) radiographs and MRI (magnetic resonance images) of 95 subjects (56 females and 39 males) between the ages of 10-17 years (mean age 13.3 years) were used for this study. Horizontal condylar angulation as well as A-P and transverse condyle position were determined in relation to a cranial base reference (a line formed between the two foramina spinosa) from SMV images. Joint status variables consisted of disk length and disk displacement measurements taken from medial, central and lateral sagittal MRI slices of each joint. Additional joint status variables were derived through a principal component analysis which was used to calculate a single disk length, disk displacement, and internal derangement variable for each joint. The results were: 1. No significant correlations (p = .05) were found between any of the joint status variables and horizontal condylar angulation; 2. Statistically significant correlations (r = .14 to .22, p = .05) were observed between certain joint status variables (anterior disk displacement in medial and central joint slices, disk displacement variable, and TMJ internal derangement variable) and transverse condyle position; and, 3. Statistically significant correlations (r = -.22 to .25; p = .05) were observed between condylar angulation and both A-P and transverse condyle position.


Assuntos
Luxações Articulares/patologia , Côndilo Mandibular/patologia , Disco da Articulação Temporomandibular/patologia , Transtornos da Articulação Temporomandibular/patologia , Adolescente , Cefalometria , Criança , Feminino , Humanos , Modelos Lineares , Imageamento por Ressonância Magnética , Masculino , Côndilo Mandibular/diagnóstico por imagem , Radiografia Dentária , Estudos Retrospectivos , Disco da Articulação Temporomandibular/diagnóstico por imagem , Transtornos da Articulação Temporomandibular/diagnóstico
10.
Geriatrics ; 32(9): 130, 135, 138 passim, 1977 Sep.
Artigo em Inglês | MEDLINE | ID: mdl-885346
11.
J Biol Chem ; 276(1): 639-48, 2001 Jan 05.
Artigo em Inglês | MEDLINE | ID: mdl-11027690

RESUMO

Despite its large size (200-2400 kilobase pairs), the mitochondrial genome of angiosperms does not encode the minimal set of tRNAs required to support mitochondrial protein synthesis. Here we report the identification of cytosolic-like tRNAs in wheat mitochondria using a method involving quantitative hybridization to distinguish among three tRNA classes: (i) those encoded by mitochondrial DNA (mtDNA) and localized in mitochondria, (ii) those encoded by nuclear DNA and located in the cytosol, and (iii) those encoded by nuclear DNA and found in both the cytosol and mitochondria. The latter class comprises tRNA species that are considered to be imported into mitochondria to compensate for the deficiency of mtDNA-encoded tRNAs. In a comprehensive survey of the wheat mitochondrial tRNA population, we identified 14 such imported tRNAs, the structural characterization of which is presented here. These imported tRNAs complement 16 mtDNA-encoded tRNAs, for a total of at least 30 distinct tRNA species in wheat mitochondria. Considering differences in the set of mtDNA-encoded and imported tRNAs in the mitochondria of various land plants, the import system must be able to adapt relatively rapidly over evolutionary time with regard to the particular cytosolic-like tRNAs that are brought into mitochondria.


Assuntos
Núcleo Celular/genética , Mitocôndrias/genética , Mitocôndrias/metabolismo , Conformação de Ácido Nucleico , RNA de Transferência/química , RNA de Transferência/metabolismo , Triticum , Sequência de Bases , Transporte Biológico , Códon/genética , Citoplasma/genética , DNA Mitocondrial/genética , Eletroforese em Gel Bidimensional , Evolução Molecular , Dados de Sequência Molecular , Hibridização de Ácido Nucleico , RNA/química , RNA/genética , RNA/metabolismo , Sondas RNA , RNA Mitocondrial , RNA de Plantas/química , RNA de Plantas/genética , RNA de Plantas/metabolismo , RNA de Transferência/genética , RNA de Transferência de Ácido Aspártico/genética , Reação em Cadeia da Polimerase Via Transcriptase Reversa , Análise de Sequência de RNA , Triticum/citologia , Triticum/genética , Triticum/metabolismo
12.
J Oral Maxillofac Surg ; 54(11): 1287-91, 1996 Nov.
Artigo em Inglês | MEDLINE | ID: mdl-8941178

RESUMO

PURPOSE: This article compares the long-term outcomes of rigid internal fixation with wire fixation. PATIENTS AND METHODS: In this retrospective study, nine cases of vertical midface augmentation in which rigid fixation was used were compared with 11 cases with wire fixation. One surgeon completed all cases for the rigid fixation group, and another surgeon completed the cases in the wire fixation group. RESULTS: Follow-up was 16 +/- 11 months for the rigid fixation group and 20 +/- 12 months for the wire fixation group. Inferior movement at the anterior portion of the maxilla was 7.0 +/- 2.9 mm with rigid fixation and 4.5 +/- 3.6 mm with wire fixation (P < .05). Postsurgical superior movement (relapse) was 0.4 +/- 0.4 mm with rigid fixation and 2.4 +/- 2.4 mm with wire fixation (P < .01). Inferior movement at the posterior maxilla was 3.1 +/- 0.2 mm with rigid fixation and 2.8 +/- 2.3 mm with wire fixation. Postsurgical superior movement (relapse) was 0.8 +/- 0.4 mm with rigid fixation and 0.5 +/- 2.3 mm with wire fixation, which was not significantly different. CONCLUSION: This comparison showed downgrafting of the maxilla using autogenous bone harvested from the iliac crest and rigid internal fixation to be a predictable and stable procedure.


Assuntos
Transplante Ósseo , Anormalidades Craniofaciais/cirurgia , Técnicas de Fixação da Arcada Osseodentária , Maxila/anormalidades , Osteotomia de Le Fort/métodos , Adolescente , Adulto , Fixadores Externos , Feminino , Humanos , Fixadores Internos , Masculino , Maxila/cirurgia , Pessoa de Meia-Idade , Estudos Retrospectivos , Síndrome
13.
J Oral Maxillofac Surg ; 56(3): 288-93; discussion 294-6, 1998 Mar.
Artigo em Inglês | MEDLINE | ID: mdl-9496838

RESUMO

PURPOSE: This study evaluated whether orthodontists' treatment of patients was influenced by their perception of the justification for the cost of orthognathic surgery. MATERIALS AND METHODS: A survey of 334 Canadian orthodontists was used to determine what factors influenced views of cost justification. RESULTS: Approximately 80%, 49%, and 9% of orthodontists perceived cost of surgery to be justified for severely, moderately, and mildly compromised patients, respectively. Whether the compromise was functional or aesthetic did not particularly affect their views. Least experienced orthodontists were more likely than more experienced orthodontists to perceive cost of surgery as justified for patients with moderate functional compromise (P < .01). Most experienced orthodontists were more likely than less experienced orthodontists to perceive cost of surgery as unjustified for patients with moderate aesthetic compromise (P < .01). Orthodontists who did not believe cost of surgery to be justified for patients with mild or moderate compromise tended to recommend orthognathic surgery less frequently than camouflage orthodontics for borderline surgery patients (P < .05). CONCLUSIONS: The findings suggest that costs may be contained by orthodontists rationing surgery on the basis of severity of facial skeletal malrelationship and perception of justification of cost. Less experienced orthodontists are less likely to contain costs for patients with moderate functional and aesthetic compromise. Most experienced orthodontists are less likely to contain costs for patients with severe functional compromise. Patient satisfaction may be affected by rationing, which affects the treatment approach and thus the outcome.


Assuntos
Atitude do Pessoal de Saúde , Má Oclusão/economia , Ortodontia/economia , Padrões de Prática Odontológica/estatística & dados numéricos , Cirurgia Bucal/economia , Adulto , Idoso , Análise de Variância , Canadá , Distribuição de Qui-Quadrado , Controle de Custos , Estética Dentária/estatística & dados numéricos , Alocação de Recursos para a Atenção à Saúde , Humanos , Má Oclusão/psicologia , Pessoa de Meia-Idade , Padrões de Prática Odontológica/economia , Cirurgia Bucal/psicologia , Inquéritos e Questionários
14.
Artigo em Inglês | MEDLINE | ID: mdl-9046627

RESUMO

Treatment recommendations in borderline orthognathic surgery cases were examined for influence of orthodontists' traits and orthodontist's perceptions of patients', surgeons', and psychologists' traits. A mail questionnaire consisted of 23 case vignettes describing borderline surgical candidates with certain physical, psychological, attitudinal, and support system traits, as well as demographic and attitudinal items. The response rate from 512 licensed Canadian orthodontists was 65%. Seventy-four percent of orthodontists preferred camouflage for themselves. Recommendation of camouflage predominated in 12 of 23 vignettes and surgery in only four, although the cost of surgery was considered justified. Psychological referral was recommended highly for certain patients: those hoping to improve negative life events through positive facial change, those having low self-esteem, and those wanting to opl out of surgery in the middle of orthodontic treatment. Certain patient traits appeared to influence orthodontists' treatment recommendations. The availability, expertise, and receptiveness to case discussion of oral surgeons and psychologists did not influence orthodontists' treatment recommendations.


Assuntos
Atitude do Pessoal de Saúde , Odontólogos/psicologia , Ortodontia , Seleção de Pacientes , Cirurgia Bucal/psicologia , Adulto , Idoso , Coleta de Dados , Tomada de Decisões , Necessidades e Demandas de Serviços de Saúde/estatística & dados numéricos , Humanos , Má Oclusão/terapia , Pessoa de Meia-Idade , Ortodontia Corretiva/psicologia , Ortodontia Corretiva/estatística & dados numéricos , Procedimentos Cirúrgicos Ortognáticos , Planejamento de Assistência ao Paciente , Padrões de Prática Odontológica/estatística & dados numéricos , Cirurgia Bucal/estatística & dados numéricos , Inquéritos e Questionários
15.
Am J Orthod Dentofacial Orthop ; 118(6): 662-74, 2000 Dec.
Artigo em Inglês | MEDLINE | ID: mdl-11113802

RESUMO

Frictional resistance at the bracket-archwire interface has been demonstrated to impede tooth movement when sliding mechanics are used. Thus, the coefficients of friction of titanium and stainless steel brackets used in conjunction with stainless and ion-implanted beta-titanium archwires were investigated using a single contact interface between the brackets and archwires. The wear patterns between the brackets and the.016- in flat archwire surfaces were also examined using scanning electron microscopy and energy dispersive x-ray analysis. Stainless steel brackets tested with. 016-in flat stainless steel wire surfaces recorded the lowest coefficient of static friction mean (0.289), whereas titanium brackets paired with.016-in flat ion-implanted beta-titanium wire surfaces produced the highest mean (0.767). Stainless steel brackets had significantly (P <.05) lower coefficients of friction than titanium brackets for all wires except.020-in round stainless steel wires. Ion-implanted beta-titanium wires generally had significantly larger coefficients of friction than stainless steel wires. The increased friction of the titanium and ion-implanted beta-titanium alloys is also reflected in the severity of their wear patterns. An inverse relationship between friction and archwire surface dimension was generally found for ion-implanted beta-titanium wires. Round stainless steel wires demonstrated lower coefficients of kinetic friction than the flat stainless steel wire surfaces.


Assuntos
Desenho de Aparelho Ortodôntico , Braquetes Ortodônticos , Fios Ortodônticos , Análise de Variância , Distribuição de Qui-Quadrado , Análise do Estresse Dentário , Microanálise por Sonda Eletrônica , Fricção , Teste de Materiais , Microscopia Eletrônica de Varredura , Aço Inoxidável , Propriedades de Superfície , Titânio
16.
Am J Orthod Dentofacial Orthop ; 112(3): 263-70, 1997 Sep.
Artigo em Inglês | MEDLINE | ID: mdl-9294354

RESUMO

This study compared the ability of three orthodontic debonding techniques for the removal of brackets from ceramic veneers without creating veneer damage. Three experimental groups included metal brackets debonded by either Howe pliers, lift off debonding instrument (LODI, 3M Unitek), or electrothermal debonder (ETD, "A" Company), as well as a group of electrothermally debonded ceramic brackets. It also evaluated and compared the intrapulpal temperature changes produced by electrothermal debonding metal and ceramic brackets. A sample of 95 extracted maxillary first premolars were prepared and restored with Mirage ceramic veneers (Chameleon Dental Products, Inc.). Veneer buccal surfaces were treated with 2.5% hydrofluoric acid, before silane application and bracket bonding with a no-mix resin. Specimens were thermocycled before debonding. All debonded specimens were examined under x20 magnification for veneer damage. A thermocouple was positioned at the pulp chamber buccal wall to record temperature increases (due to ETD activation) through a digital thermometer. Results suggest that ETD provides predictable debonding to ceramic brackets with no veneer damage and minimal risk to the pulp. Removal of metal brackets through electrothermal debonding produced ceramic damage in 13% of cases, and elevated temperatures beyond the threshold of irreversible pulpal damage (5.5 degrees C) in 46% of cases. Howe plier and LODI bracket removal are associated with ceramic damage incidence of 21% and 35%, respectively.


Assuntos
Cerâmica , Descolagem Dentária/métodos , Polpa Dentária/fisiologia , Facetas Dentárias , Análise de Variância , Temperatura Corporal , Cimentos Dentários , Descolagem Dentária/instrumentação , Descolagem Dentária/estatística & dados numéricos , Polpa Dentária/lesões , Facetas Dentárias/estatística & dados numéricos , Humanos , Braquetes Ortodônticos/estatística & dados numéricos , Temperatura , Termômetros , Fatores de Tempo
17.
Am J Orthod Dentofacial Orthop ; 119(3): 216-25, 2001 Mar.
Artigo em Inglês | MEDLINE | ID: mdl-11244415

RESUMO

The objectives of this study were to determine the relationship between the initial position of a palatally impacted maxillary canine (as seen on a panoramic radiograph) and the duration of orthodontic treatment and to determine whether a difference in treatment duration existed between patients with bilateral palatally impacted canines and patients with unilateral impaction. A total of 47 adolescent subjects were chosen (9 subjects with unilateral impactions and 18 subjects with bilateral impactions). All subjects had full fixed orthodontic appliances placed. The treatment duration of this group was compared with that of a control group with similar characteristics but without the impacted canine. The results showed that the average duration of treatment was 22.4 months for the control group, 25.8 months for the unilateral-impacted group, and 32.3 months for the bilateral-impacted canine group. The length of treatment for the impacted canine sample was related to the age of the patient at the start of treatment; younger patients required a longer treatment. The younger the patient, the more severely impacted the canine. The bilateral-impacted canine group had at least 1 canine that was more severely impacted than the impacted canine in the unilateral-impacted group. If the canine was impacted less than 14 mm from the occlusal plane, treatment duration averaged 23.8 months; if the canine was impacted more than 14 mm from the occlusal plane, treatment duration averaged 31.1 months.


Assuntos
Dente Canino , Técnicas de Movimentação Dentária , Dente Impactado/terapia , Adolescente , Fatores Etários , Análise de Variância , Estudos de Casos e Controles , Cefalometria , Dente Canino/diagnóstico por imagem , Humanos , Modelos Lineares , Má Oclusão/diagnóstico por imagem , Má Oclusão/terapia , Maxila/diagnóstico por imagem , Variações Dependentes do Observador , Aparelhos Ortodônticos , Palato/diagnóstico por imagem , Radiografia Panorâmica , Reprodutibilidade dos Testes , Estudos Retrospectivos , Fatores de Tempo , Técnicas de Movimentação Dentária/instrumentação , Técnicas de Movimentação Dentária/métodos , Dente Impactado/diagnóstico por imagem
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