RESUMO
Improving the nitrogen and phosphorus removal rates and efficiently controlling membrane fouling are the keys to fully exploiting the applicability of anaerobic membrane bioreactor (AnMBR) process in high-concentration wastewater treatment. To that purpose, an integrated reactor composed of an anaerobic ceramic membrane bioreactor and N anaerobic fluidized bed (AnCMBR-AFB) was built and pollutant removal efficiency, nitrogen and phosphorus recovery characteristics, and membrane pollution features of this integrated reactor were investigated. The results revealed that the integrated reactor had good pollutant removal efficiency, with turbidity, chromaticity, and UV254 average values of the effluent being 0.470 NTU, 0.011 A, and 0.057 cm-1, respectively, and the average CODCr removal rate was 80%. The nitrogen and phosphorus recoveries were significantly higher than the nitrogen and phosphorus removal rates of conventional AnMBR at 23.20 ± 1.17% and 43.34 ± 1.54%, respectively. Microscopic analysis revealed the formation of magnesium ammonium phosphate (MAP) crystals on the carrier's surface, and friction between the carrier and the membrane surface could delay membrane fouling while allowing the contaminated membrane surface to retain significant roughness. Membrane fouling was mostly brought on by amides and saturated hydrocarbons, and inorganic metal ions also played a role to some extent.
Assuntos
Poluentes Ambientais , Águas Residuárias , Eliminação de Resíduos Líquidos/métodos , Nitrogênio , Fósforo , Anaerobiose , Reatores Biológicos , Membranas Artificiais , EsgotosRESUMO
The application of membrane technology in the field of water treatment was increasingly widespread, but membrane fouling still restricted its development, and the membrane needed to be chemically cleaned. This research focused on the high-efficiency pickling technology of ceramic membrane, and developed the cleaning technology of ceramic membrane in cooperation with surfactant. In the experiment, the municipal secondary effluent was used as the raw water, and the single-step, mixed and step-by-step cleaning effects of three strong acids, three weak acids and surfactants on ceramic membranes and polyvinylidene difluoride (PVDF) membranes were investigated. For ceramic membrane, the optimal cleaning combination was H2SO4 first and then DTAC, and the flux recovery rate could reach 96.94%; for PVDF membrane, the optimal cleaning combination was HNO3 first and then H2SO4, and the flux recovery rate could reach 93.72%. In addition, the surface of initial, polluted, and cleaned membranes were analyzed by scanning electron microscope and contact angle, and the fouling mechanism of the ceramic membrane was analyzed. The results showed that through physical cleaning and chemical cleaning, most of the pollutants on the membrane surface and pores were removed. The cleaning method can effectively control the membrane pollution.
Assuntos
Poluentes Ambientais , Purificação da Água , Cerâmica , Polímeros de Fluorcarboneto , Membranas Artificiais , Polivinil , Tensoativos , Tecnologia , Purificação da Água/métodosRESUMO
The aging effects of sodium hydroxide (NaOH) on ion-exchange membranes were systematically studied, including the membrane properties, desalination performance, and fouling behaviors. After aging in NaOH solution, there were minor changes in the cation-exchange membrane (CEM) properties; however, functional groups (i.e., quaternary amines) on the anion-exchange membranes (AEMs) were converted into benzylic alcohol, alkene, and tertiary amines, respectively, by nucleophilic substitution, Hofmann elimination, and ylide formation. These degradations rendered decreased ion-exchange capacity (IEC), increased electrical resistance, lost hydrophilicity, and weakened mechanical strength. Moreover, severe deteriorations of desalination performance were observed due to the little ion-exchange ability of the degraded AEMs. The desalination rates were restored after cultivating the aged AEMs in acid solution, mainly because the tertiary amines transformed from the hydroxide form (OH-form) to the ionic chlorine form (Cl-form). The restored desalination rates indicated that the main degradation products were tertiary amines. In addition, the antifouling performance decreased in the order of aged OH-form > aged Cl-form > original AEMs due to the reduction of foulant-membrane intermolecular interactions after aging in NaOH solution. The results contribute to establishing a more comprehensive understanding of the effects of alkaline cleaning on IEMs and provide new insights into cleaning-process optimization and membrane modification.
Assuntos
Polímeros , Águas Residuárias , Cátions , Troca Iônica , Membranas ArtificiaisRESUMO
Polymer (i.e., anionic polyacrylamide (APAM)) fouling of polyvinylidene fluoride (PVDF) ultrafiltration (UF) membranes and its relationships to intermolecular interactions were investigated using atomic force microscopy (AFM). Distinct relations were obtained between the AFM force spectroscopy measurements and calculated fouling resistance over the concentration polarization layer (CPL) and gel layer (GL). The measured maximum adhesion forces (Fad,max) were closely correlated with the CPL resistance (Rp), and the proposed molecular packing property (largely based on the shape of AFM force spectroscopy curve) of the APAM chains was related to the GL resistance (Rg). Calcium ions (Ca(2+)) and sodium ions (Na(+)) caused more severe fouling. In the presence of Ca(2+), the large Rp corresponded to high foulant-foulant Fad,max, resulting in high flux loss. In addition, the Rg with Ca(2+) was minor, but the flux recovery rate after chemical cleaning was the lowest, indicating that Ca(2+) created more challenges in GL cleaning. With Na(+), the fouling behavior was complicated and concentration-dependent. The GL structures with Na(+), which might correspond to the proposed molecular packing states among APAM chains, played essential roles in membrane fouling and GL cleaning.
Assuntos
Membranas Artificiais , Polímeros/química , Ultrafiltração/métodos , Eliminação de Resíduos Líquidos/métodos , Águas Residuárias/química , Íons , Microscopia de Força Atômica , Polivinil , Poluentes Químicos da Água/químicaRESUMO
In recent years, ceramic membranes have been increasingly used in membrane bioreactors (MBRs). However, membrane fouling was still the core issue restricting the large-scale engineering application of ceramic MBRs. As a novel and alternative technology, ultrasonic could be used to control membrane fouling. This research focused on the efficiency and mechanism of ultrasonic controlling membrane fouling in ceramic MBRs. The results showed that ultrasonic reduced the sludge concentration in MBR, and the average particle size of sludge was always in a high range. The sludge activity of the system was stable at 6-9 (mg O2·(g MLSS·h)-1), indicating that ultrasonic did not destroy the activity of microorganisms in the system. The extracellular polymer substance (EPS) of the ultrasonic group was slightly higher than that of the control group, while the soluble microbial product (SMP) content was relatively stable. The ceramic membrane of the ultrasonic group has a partial retention effect on the organic components. The application of ultrasonic slowed down the decrease of the hydrophilicity of the ceramic membrane. The main pollutants on the membrane surface exist in the form of aromatic and heteroaromatic rings, alkynes, and so forth. Ultrasonic removes the amide substances from the membrane surface. Membrane fouling resistance is mainly due to membrane pore blockage, accounting for 75.53%. PRACTITIONER POINTS: Enrich the research on the mechanism of ultrasonic technology in membrane fouling control. The MBR can still operate normally with ultrasonic applied. The time for the ceramic membrane to reach the fouling end point is 2.4 times that without ultrasonic. The main cause of membrane fouling was pore blocking, accounting for 75.53%.
Assuntos
Reatores Biológicos , Cerâmica , Membranas Artificiais , Cerâmica/química , Eliminação de Resíduos Líquidos/métodos , Esgotos/química , Incrustação Biológica/prevenção & controleRESUMO
The fouling propensity of oppositely charged colloids (OCC) and similarly charged colloids (SCC) on reverse osmosis (RO) and nanofiltration (NF) membranes are systematically investigated using a developed collision-attachment approach. The probability of successful colloidal attachment (i.e., attachment efficiency) is modelled by Boltzmann energy distribution, which captures the critical roles of colloid-colloid/membrane interaction and permeate drag. Our simulations highlight the important effects of ionic strength Is, colloidal size dp and initial flux J0 on combined fouling. In a moderate condition (e.g., Is =10 mM, dp=50 nm and J0= 100 L/m2h), OCC mixtures shows more severe fouling compared to the respective single foulant owing to electrostatic neutralization. In contrast, the flux loss of SCC species falls between those of the two single foulants but more closely resembles that of the single low-charged colloids due to its weak electrostatic repulsion. Increased ionic strength Is leads to less severe fouling for OCC but more severe fouling for SCC, as a result of the suppressed electrostatic attraction/repulsion. At a high Is (e.g., 3-5 M), all the single and mixed systems show the identical pseudo-stable flux Js. Small colloidal size leads to the drag-controlled condition, where severe fouling occurs for both single and mixed foulants. On the contrary, better flux stability appears at greater dp for both individual and mixed species, thanks to the increasingly dominated role of energy barrier and thus lowered attachment efficiency. Furthermore, higher J0 above limiting flux exerts greater permeate drag, leading to elevated attachment efficiency, and thus more flux losses for both OCC and SCC. Our modelling gains deep insights into the role of energy barrier, permeate drag, and attachment efficiency in governing combined fouling, which provides crucial guidelines for fouling reduction in practical engineering.
Assuntos
Membranas Artificiais , Purificação da Água , Filtração , Coloides , Concentração Osmolar , OsmoseRESUMO
Polymer (anionic polyacrylamide, APAM) flooding produced wastewater has a relatively high degree of mineralization and abundant ionic species. A comprehensive and systematic investigation of the influence of ion identity on APAM-induced membrane fouling is extremely necessary but has not been conducted to date. A comparative investigation was performed herein to reveal the underlying mechanisms of the influence of Na+ and Ca2+ (1000 mg/L) on APAM-induced membrane fouling in the adsorption and microfiltration (MF) processes. Na+ and Ca2+ exhibited contrasting influences on the filtration efficiency, cleaning efficiency, and fouling resistance. Compared to Na+, Ca2+ promoted reversible fouling and the formation of a loose cake layer; moreover, a higher removal rate and flux recovery were achieved. Additionally, simulations based on adsorption kinetic and membrane fouling models, and a series of microscopic analyses were performed to validate the contradictory influences. During the APAM-based MF process, the membrane fouling was effectively mitigated at the applied ionic strength because of the stronger hydration repulsive force generated by hydrated Ca2+ compared to that by Na+. This study provides vital guidance for membrane fouling control in the microfiltration of polymer flooding produced wastewater.
Assuntos
Membranas Artificiais , Polímeros , Cálcio , Íons , SódioRESUMO
PURPOSE: To esthetically and functionally restore a 40-mm canine mandibular discontinuity defect using a custom-made titanium bone-grafting tray packed with autologous iliac bone. MATERIALS AND METHODS: Individualized titanium bone-grafting trays were made using a reverse engineering, computer-aided design, and rapid prototyping technique. A 40-mm discontinuity defect in the right mandibular body was created in 10 hybrid dogs. The defect was restored immediately using the tray that was densely packed with autologous cancellous iliac particles and covered with trimmed iliac chips. Sequential radionuclide bone imaging was performed postoperatively at 2, 4, 8, 12, and 24 weeks. The ratio of activity between the grafted mandible and the contralateral native mandible on each transaxial slice was calculated. The mean activity ratio was analyzed at each time point to evaluate the bone metabolism and reconstitution of the grafts. The subjects were sacrificed at 4, 12, and 24 weeks after grafting. The specimens were evaluated by postmortem gross dissection, biomechanical testing, 3-dimensional microcomputed tomographic scanning, and histologic examination. RESULTS: All the subjects tolerated the grafting operation well. Over an observation period of 24 weeks, tray extrusion occurred in 3 of the 10 subjects. Bony continuities were reconstructed in 9 of the 10 subjects. Radionuclide bone imaging revealed that the tracer uptake increased in the grafted mandible, and the radionuclide ratio between the graft and the native mandible decreased with time. Gross evaluation, microcomputed tomographic examination, biomechanical testing, and histologic examination demonstrated corticalization of the grafts. CONCLUSIONS: The use of a customized technique using reverse engineering, computer-aided design, and rapid prototyping tray containing autologous cancellous bone is a potentially powerful grafting technique for the reconstruction of mandibular discontinuity defects.
Assuntos
Ligas , Transplante Ósseo/instrumentação , Doenças Mandibulares/cirurgia , Procedimentos de Cirurgia Plástica/métodos , Titânio , Animais , Fenômenos Biomecânicos , Densidade Óssea/fisiologia , Remodelação Óssea/fisiologia , Transplante Ósseo/diagnóstico por imagem , Transplante Ósseo/métodos , Desenho Assistido por Computador , Cães , Desenho de Equipamento , Sobrevivência de Enxerto , Processamento de Imagem Assistida por Computador/métodos , Imageamento Tridimensional/métodos , Mandíbula/diagnóstico por imagem , Doenças Mandibulares/diagnóstico por imagem , Osteonecrose/etiologia , Complicações Pós-Operatórias , Estresse Mecânico , Fatores de Tempo , Titânio/química , Tomografia Computadorizada de Emissão de Fóton Único/métodos , Tomografia Computadorizada Espiral/métodos , Transplante Autólogo , Microtomografia por Raio-X/métodosRESUMO
PURPOSE: To investigate the incidence and the local factors of impacted permanent teeth, except for the third molar, in Chinese patients through an x-ray study. MATERIALS AND METHODS: A total of 548 impacted permanent teeth from panoramic radiographs were studied and recorded according to the patients' gender and age, tooth position, and classification of impaction. The local factors contributing to impacted permanent tooth were also investigated. RESULTS: The incidence of impacted permanent teeth in the Chinese was 6.15%. The impacted tooth showed a predilection for women and was more common in the maxilla. The impaction of the canine had the greatest occurrence, 28.10% of all impacted teeth. Vertical impaction was most common (49.09%). The chief local factor for impacted teeth was the lack of interdental space (49.64%). CONCLUSIONS: All permanent teeth can occur with impaction in Chinese patients. Dentists should perform a thorough evaluation before planning suitable treatment.
Assuntos
Dente Impactado/diagnóstico por imagem , Dente Impactado/epidemiologia , Adolescente , Distribuição por Idade , Povo Asiático , Criança , China/epidemiologia , Dentição Permanente , Feminino , Humanos , Incidência , Cistos Maxilomandibulares/complicações , Masculino , Má Oclusão/complicações , Procedimentos Cirúrgicos Bucais/efeitos adversos , Prevalência , Radiografia Panorâmica , Fatores de Risco , Distribuição por Sexo , Razão de Masculinidade , Dente Impactado/etiologia , Dente Impactado/patologia , Adulto JovemRESUMO
PURPOSE: To improve the reconstructive surgical outcome of a discontinuous mandibular defect, we used reverse engineering (RE), computer-aided design (CAD), and rapid prototyping (RP) technique to fabricate customized mandibular trays to precisely restore the mandibular defects. Autogenous bone grafting was also used to restore the bony continuity for occlusion rehabilitation. PATIENTS AND METHODS: Six patients who had undergone block resection of the mandible underwent reconstruction using a custom titanium tray combining autogenous iliac grafts. The custom titanium tray was made using a RE/CAD/RP technique. A virtual 3-dimensional model was obtained by spiral computed tomography scanning. The opposite side of the mandible was mirrored to cover the defect area to restore excellent facial symmetry. A bone grafting tray was designed from the mirrored image and manufactured using RP processing and casting. The mandibular defects were restored using the trays in combination of autologous iliac grafting. An implant denture was made for 1 of the 6 patients at 24 weeks postoperatively for occlusion rehabilitation. RESULTS: The trays fabricated using this technique fit well in all 6 patients. The reconstructive procedures were easy and time saving. Satisfactory facial symmetry was restored. No severe complications occurred in the 5 patients without occlusion rehabilitation during a mean 50-month follow-up period. The reconstruction in the patient with occlusion lasted for only 1 year and failed eventually because of bone resorption and infection. CONCLUSIONS: Mandibular reconstruction was facilitated using the RE/CAD/RP technique. Satisfactory esthetic results were achieved. However, the rigidity of the cast tray could cause severe stress shielding to the grafts, which could lead to disuse atrophy. Therefore, some modification is needed for functional reconstruction.
Assuntos
Desenho Assistido por Computador , Mandíbula/cirurgia , Prótese Mandibular , Modelos Anatômicos , Procedimentos Cirúrgicos Bucais/métodos , Procedimentos de Cirurgia Plástica/métodos , Cirurgia Assistida por Computador/métodos , Adulto , Transplante Ósseo , Prótese Dentária Fixada por Implante/efeitos adversos , Análise do Estresse Dentário , Prótese Parcial Removível , Feminino , Humanos , Masculino , Mandíbula/diagnóstico por imagem , Doenças Mandibulares/reabilitação , Neoplasias Mandibulares/reabilitação , Implante de Prótese Mandibular/métodos , Procedimentos Cirúrgicos Bucais/instrumentação , Desenho de Prótese , Procedimentos de Cirurgia Plástica/instrumentação , Cirurgia Assistida por Computador/instrumentação , Titânio , Tomografia Computadorizada Espiral , Adulto JovemRESUMO
In this study, the long-term operational performance of an on-site NF facility at a full-scale oil-field wastewater desalination plant was monitored. The NF facility with poor permeability due to membrane fouling enables efficient multivalent salt removal (rejections of Mg2+, Ca2+, Fe3+, and Al3+ were approximately 100%). Moreover, a comparison of the cleaning efficiencies of two on-site cleaning modes indicated that PL-007 cleaning helped to improve the effectiveness of subsequent acid cleaning in the removal of inorganic foulants. Furthermore, a spiral-wound NF membrane module harvested from the plant was unfolded and autopsied. The results showed that both anionic polyacrylamide (APAM) and crude oil were identified as the predominant organic matter on the membrane surface and collectively accounted for a substantial fraction (86.3%) in terms of dry weight. Additionally, dissolved organics with a high molecular weight were prone to accumulation on the membrane surface. Multivalent elements, including Mg, Ca, Al, Fe, and Si, were the primary inorganic species in the fouling layer. Among the inorganic elements, Si occupied a high proportion and existed in the form of SiO2 in the fouling layer. According to the autopsy results, organic fouling combined with inorganics was responsible for the decline in the flux.
Assuntos
Filtração , Membranas Artificiais , Nanoestruturas , Águas Residuárias/química , Purificação da Água/métodos , Resinas Acrílicas , Petróleo/análise , Dióxido de Silício/análise , Cloreto de Sódio/isolamento & purificaçãoRESUMO
Membrane fouling, especially inorganic fouling due to salt crystal formation and deposition on the membrane surface, is still a major technical issue in membrane distillation (MD) applications. In this study, microbubble aeration (MBA) was included in a laboratory-scale vacuum membrane distillation (VMD) rig and its effect on a desalination process was examined. Without MBA, serious membrane scaling occurred during desalination of simulated high-salinity sea water (100â¯g.L-1 salt concentration), which resulted in a dramatic reduction of permeate flux to essentially zero after 120â¯min. Scanning electron microscopy showed that a layer of large cuboid salt crystals uniformly covered the membrane surface. However, membrane scaling was mitigated with the introduction of MBA, resulting in the improved VMD desalination performance, which was positively correlated with pump pressure in the microbubble (MB) generator. Results showed that the effective processing time of the VMD desalination processing cycle was respectively prolonged to 150, 180, and more than 300 and 360â¯min (cf. 120 min without MBA) when the pump pressure was respectively at 0.1, 0.2, 0.3 and 0.4â¯MPa, leading to the increase of cumulative water production. Further studies found that larger numbers of MBs of smaller size were produced at higher pump pressure, which are more beneficial for increasing water vapor production and alleviating salt precipitation. The difference in zeta potential between the MBs in distilled water (about -30â¯mV) and that in SW100 solution (about -2â¯mV) demonstrated that MBA not only effectively mitigated the negative effect of concentration polarization by enhancing the surface shear rate at the membrane surface, but also reduced salt precipitation probably due to the MBs attracting counterions to the gas-water interface. Finally, energy consumption analysis of the modified VMD desalination process revealed that MBA, while itself only adding about 3% to the total energy consumption at varied pump pressures, was able to improve the specific energy consumption, especially at higher pump pressures. Together, these results demonstrate that MBA is an effective way of improving the performance of VMD desalination of water.
Assuntos
Destilação , Purificação da Água , Membranas Artificiais , Microbolhas , Vácuo , ÁguaRESUMO
As important plastic blends in End-of-Life vehicles (ELV), pyrolysis profiles of ABS/PVC, ABS/PA6 and ABS/PC were investigated using thermogravimetric-Fourier transform infrared spectrometer (TG-FTIR). Also, CaCO3 was added as plastic filler to discuss its effects on the pyrolysis of these plastics. The results showed that the interaction between ABS and PVC made PVC pyrolysis earlier and HCl emission slightly accelerated. The mixing of ABS and PA6 made their decomposition temperature closer, and ketones in PA6 pyrolysis products were reduced. The presence of ABS made PC pyrolysis earlier, and phenyl compounds in PC pyrolysis products could be transferred into alcohol or H2O. The interaction between ABS and other polymers in pyrolysis could be attributed to the intermolecular radical transfer, and free radicals from the polymer firstly decomposed led to a fast initiation the decomposition of the other polymer. As plastic filler, CaCO3 promoted the thermal decomposition of PA6 and PC, and had no obvious effects on ABS and PVC pyrolysis process. Also, CaCO3 made the pyrolysis products from PA6 and PC further decomposed into small-molecule compounds like CO2. The kinetics analysis showed that isoconversional method like Starink method was more suitable for these polymer blends. Starink method showed the average activation energy of ABS50/PVC50, ABS50/PA50 and ABS50/PC50 was 186.63kJ/mol, 239.61kJ/mol and 248.95kJ/mol, respectively, and the interaction among them could be reflected by the activation energy variation.
Assuntos
Acrilonitrila/química , Automóveis , Butadienos/química , Plásticos/química , Estireno/química , Gerenciamento de Resíduos/métodos , Carbonato de Cálcio/química , Plásticos/análise , Espectroscopia de Infravermelho com Transformada de Fourier , TermogravimetriaRESUMO
OBJECTIVE: The objective of this study was to explore the probability of distraction osteogenesis (DO) in the irradiated dog mandible after 60-Gy irradiation. STUDY DESIGN: Fourteen Chinese dogs were randomly divided into 2 groups. Twelve dogs received a preoperative unilateral irradiation from (60)Co (group R) in the mandible with a total dose of 24.8 Gy in four 6.2-Gy fractions (biologically equivalent to 60 Gy/25 fractions). The other 2 dogs without irradiation served as the control (group C). Bilateral corticotomies were made 6 months after completion of irradiation. Bone distraction was activated at a rate of 0.5 mm twice daily for 10 days after a 1-week latency period, followed by a consolidation phase of 8 weeks. The inferior alveolar nerve (IAN) underwent electrophysiologic analysis. Dog mandibles were subsequently subjected to histologic and radiographic analysis. RESULTS: All the animals had successful distractions. After 8 weeks of consolidation, no difference was found between the percentage area of new bone in both groups. New bone was more mature and organized in group C than in group R. The action potential of IAN showed corresponding alternation during the irradiation and distraction process. CONCLUSIONS: Based on this study it seems that DO may be feasible in dog mandible under 60-Gy irradiation. Further research is indicated.
Assuntos
Remodelação Óssea/efeitos da radiação , Mandíbula/efeitos da radiação , Osteogênese por Distração/métodos , Lesões Experimentais por Radiação/fisiopatologia , Animais , Cães , Potenciais Evocados/fisiologia , Potenciais Evocados/efeitos da radiação , Feminino , Masculino , Mandíbula/cirurgia , Nervo Mandibular/fisiologia , Nervo Mandibular/efeitos da radiação , Regeneração Nervosa/fisiologia , Regeneração Nervosa/efeitos da radiação , Doses de Radiação , Distribuição AleatóriaRESUMO
The authors describe a patient with bilateral Tessier no. 6 and no. 7 clefts. The case consists of macrostomia combined with maxillary, zygomatico-orbito-temporal deformities, dental anomalies and mandibular retrusion. In addition, the cleft is located bilaterally in the maxillary arch with a double deciduous posterior dentition. This is rare. The clinical and radiological features are reported and the treatment plans are discussed.
Assuntos
Anormalidades Craniofaciais/complicações , Ossos Faciais/anormalidades , Macrostomia/complicações , Má Oclusão Classe II de Angle/complicações , Anormalidades Dentárias/complicações , Anormalidades Múltiplas , Pré-Escolar , Anormalidades Craniofaciais/classificação , Anormalidades Craniofaciais/diagnóstico por imagem , Anormalidades Craniofaciais/cirurgia , Ossos Faciais/diagnóstico por imagem , Ossos Faciais/cirurgia , Humanos , Macrostomia/diagnóstico por imagem , Macrostomia/cirurgia , Masculino , Má Oclusão Classe II de Angle/diagnóstico por imagem , Má Oclusão Classe II de Angle/cirurgia , Maxila/anormalidades , Maxila/diagnóstico por imagem , Maxila/cirurgia , Ortodontia Corretiva , Ortodontia Interceptora , Procedimentos Cirúrgicos Ortognáticos , Planejamento de Assistência ao Paciente , Radiografia , Anormalidades Dentárias/diagnóstico por imagem , Dente Decíduo , Dente SupranumerárioRESUMO
Our aim was to explore the character of distracted bone in irradiated canine mandibles and the electrophysiological changes in the irradiated inferior alveolar nerve (IAN). Twelve Chinese dogs were studied, 10 of which were given unilateral irradiation of (60)Co in the mandible with a total dose of 22.8Gy in four 5.7Gy fractions (biologically equivalent to 50Gy/25 fractions) (experimental group). The other two dogs were not irradiated and served as controls. All had a bilateral corticotomy 3 months after irradiation. After a 1-week latency period distraction of the mandible was activated at a rate of 0.5mm twice daily for 10 days, followed by a consolidation phase of 8 weeks. New bone was assessed by radiographic, histological, and single-photon electron computed tomographic (SPECT) analysis. The IAN was analysed electrophysiologically. One dog in the experimental group was excluded from the study with anaesthetic problems. After 8 weeks of consolidation there was no difference between the percentage area of new bone in the two groups. New bone was more mature and organised in the control group than in the experimental group. SPECT analysis showed that there was active osteogenic activity in dogs in the experimental group. The action potential of the IAN showed corresponding changes during the irradiation and distraction processes. We conclude that distraction osteogenesis is feasible in previously irradiated canine mandibles and IAN.
Assuntos
Regeneração Óssea , Mandíbula/efeitos da radiação , Mandíbula/cirurgia , Nervo Mandibular/efeitos da radiação , Osteogênese por Distração , Animais , Radioisótopos de Cobalto , Difosfonatos , Cães , Potenciais Evocados , Estudos de Viabilidade , Masculino , Mandíbula/diagnóstico por imagem , Mandíbula/inervação , Nervo Mandibular/fisiologia , Nervo Mandibular/cirurgia , Compostos Radiofarmacêuticos , Compostos de Tecnécio , Tomografia Computadorizada de Emissão de Fóton ÚnicoRESUMO
A 23-year-old man presented with an 8-year history of unilateral hemifacial microsomia. A three-dimensional model of the maxillofacial bones was generated after acquisition of helical computed tomographic data. A customised implant model was designed by projecting a mirror image of the healthy mandible on to the three-dimensional model. A resin model of the implant was then made using a rapid prototyping machine. A polymeric biomaterial was sculpted according to the model and implanted into the affected side of the mandible to restore his facial symmetry. The hemifacial microsomia was corrected and a symmetrical facial contour obtained. No complications developed during the 6-year follow-up.