The impact of oral rehabilitation with implants in nutrition and quality of life: A questionnaire-based survey on self-perception.

BACKGROUND: The association between tooth loss and masticatory problems may influence on food choices and consequently impact nutrition and quality of life. This study aimed to evaluate impact of oral rehabilitation with implants in nutrition and quality of life. MATERIAL AND METHODS: A prospective study was performed. The Questionnaire for Healthy Habits (QHH) and the Oral Health Impact Profile-14 (OHIP-14) tools were used to assess nutrition and oral health status, respectively. Oral implants were placed and the adjacent the bone was radiographically assessed. The mean outcomes of the QHH between pre- and post-rehabilitation periods were assessed with the Wilcoxon Signed Rank test. The OHIP-14 was assessed using Fisher's exact test. RESULTS: The implant surfaces showed a significant bone loss after six and 24 months of rehabilitation (p<0.001). There was no significant change in the masticatory pattern of patients (p>0.05). Nevertheless, the patients perceived a significant reduction in discomfort (p<0.02) when eating, after 24 months of the rehabilitation. CONCLUSIONS: These findings confirm the hypothesis that oral rehabilitation with implants may not trigger direct improvement in nutrition. However, it plays an especial role improving quality of life. Key words:Dentistry, nutrition, oral implants, quality of life.

Características mecânicas e ópticas de resinas bulk-fill: revisão de literatura / Mechanical and optics characteristics of bulk-fill resins: literature review

Objetivo: realizar uma análise descritiva das característicasmecânicas e ópticas das resinas bulk-fill com baseem dados da literatura. Revisão da literatura: para arealização do estudo, foram utilizados artigos extraídosdas bases de dados PubMed, SciELO e Lilacs. As palavras-chave utilizadas para busca foram: resina bulk-fill,resina composta, polimerização, grau de conversão,caracterização, dureza, rugosidade, resistência à flexão,translucidez, propriedades ópticas. Os compostosbulk-fill são basicamente formados por matriz orgânicae partículas de alumínio, silício e bário, medindo de0,1 µm a 1 µm. Tratam-se de resinas translúcidas quepodem ser polimerizadas adequadamente em camadasespessas, possuem propriedades mecânicas aceitáveis,porém inferiores às resinas nano e micro-híbridas, e têmbaixo grau de contração volumétrica e menor tensão decontração do que as resinas compostas convencionais.Considerações finais: as resinas bulk-fill são indicadaspara restauração de cavidades com fator de contraçãocavitário desfavorável. A cobertura dessas resinas com2 mm de resina composta convencional em área oclusalé recomendável. (AU)

Objective: the objective of this work was, based on literature data, to describe mechanical and optical characteristics of bulk-fill resins. Literature review: articles were selected at PubMed, SciELO and Lilacs. Search was performed using the keywords: bulk-fill resin, composite resin, polymerization, degree of conversion, characterization, hardness, roughness, flexural strength, translucency, optical properties. Bulk-fill composites are basically formed by organic matrix and particles of aluminium, silicon and barium, measuring from 0.1 µm to 1 µm. They are translucent resins that can be polymerized in thick layers, with acceptable mechanical properties, but with inferior performance than nano and microhybrid resins. The material presents volumetric lower shrinkage and residual stresses than conventional composite resins. Final considerations: bulk-fill resins are indicated for the restoration of cavities with an unfavorable contraction factor. A 2 mm-thick layer of conventional composite resin at the occlusal area over the bulk-fill resins is recommended. (AU)