RESUMO
OBJECTIVE/AIMS: The aim of this study was to measure continuously the intraoral pH and temperature of healthy individuals to investigate their diurnal variations. MATERIALS AND METHODS: Seventeen participants (mean age, 31±9 years) wore a custom-made intraoral appliance fitted with a pH probe and thermocouple for two sets of 24 h, while carrying out normal daily activities including sleep. The continuous changes in intraoral pH and temperature were captured using a sensor placed on the palatal aspect of the upper central incisors. The collected data were categorised into different status (awake and sleep) and periods (morning, afternoon, evening and night). Both quantitative and qualitative analyses were conducted. RESULTS: The intraoral pH change was found to show a distinctive daily rhythm, showing a 12-h interval between maximum (7.73) and minimum (6.6) pH values. The maximum and minimum values were found to repeat after 24 h. The mean pH over 48 h (two sets of 24 h) was found to be 7.27 (±0.74). There was significant difference found in pH when subjects were awake and asleep and different periods during the day (P<0.001). The mean intraoral temperature was 33.99 °C (±4.9), with less distinctive daily rhythm compared with pH. There was a significant difference found in temperature depending on the time of the day, except between morning and afternoon (P=0.78). CONCLUSION: Our results showed that there is a distinctive daily, circadian-like pattern in intraoral pH variation over a 24-h period, which has been considered as one of the risk factors in sleep-related dental diseases.
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The interaction of blood and fabrics is currently a 'hot topic', since the understanding and interpretation of these stains is still in its infancy. A recent simplified perpendicular impact experimental programme considering bloodstains generated on fabrics laid the foundations for understanding more complex scenarios. Blood rarely impacts apparel fabrics perpendicular; therefore a systematic study was conducted to characterise the appearance of drip stains on inclined fabrics. The final drip stain appearance for 45° and 15° impact angles on torso apparel fabrics (100% cotton plain woven, 100% polyester plain woven, a blend of polyester and cotton plain woven and 100% cotton single jersey knit) that had been laundered for six, 26 and 52 cycles prior to testing was investigated. The relationship between drop parameters (height and volume), angle and the stain characteristics (parent stain area, axis 1 and 2 and number of satellite stains) for each fabric was examined using analysis of variance. The appearance of the drip stains on these fabrics was distorted, in comparison to drip stains on hard-smooth surface. Examining the parent stain allowed for classification of stains occurring at an angle, however the same could not be said for the satellite stains produced. All of the dried stains visible on the surface of the fabric were larger than just after the impacting event, indicating within fabric spreading of blood due to capillary force (wicking). The cotton-containing fabrics spread the blood within the fabrics in all directions along the stain's circumference, while spreading within the polyester plain woven fabric occurred in only the weft (width of the fabric) and warp (length) directions. Laundering affected the formation of bloodstain on the blend plain woven fabric at both impact angles, although not all characteristics were significantly affected for the three impact conditions considered. The bloodstain characteristics varied due to the fibre content and fabric structure for both impact angles investigated. It is therefore necessary to consider the age of the fabric (which is fabric specific), the fibre type (including blends) and the fabric structure, before interpreting bloodstain patterns. An understanding of this simplified inclined drip stain interaction has been investigated to generate a basis for more complex interactions, such as spatter bloodstains.
Assuntos
Manchas de Sangue , Vestuário , Lavanderia , Animais , Medicina Legal , Modelos Animais , Fenômenos FísicosRESUMO
This study investigated the structural, biomechanical and fractographic features of rib fractures in a piglet model, to test the hypothesis that fist impact, apart from thoracic squeezing, may result in lateral costal fractures as observed in abused infants. A mechanical fist with an accelerometer was constructed and fixed to a custom jig. Twenty stillborn piglets in the supine position were impacted on the thoracic cage. The resultant force versus time curves from the accelerometer data showed a number of steps indicative of rib fracture. The correlation between impact force and number of fractures was statistically significant (Pearson׳s r=0.528). Of the fractures visualized, 15 completely pierced the parietal pleura of the thoracic wall, and 5 had butterfly fracture patterning. Scanning electron microscopy showed complete bone fractures, at the zone of impact, were normal to the axis of the ribs. Incomplete vertical fractures, with bifurcation, occurred on the periphery of the contact zone. This work suggests the mechanism of rib failure during a fist impact is typical of the transverse fracture pattern in the anterolateral region associated with cases of non-accidental rib injury. The impact events investigated have a velocity of ~2-3m/s, approximately 2×10(4) times faster than previous quasi-static axial and bending tests. While squeezing the infantile may induce buckle fractures in the anterior as well as posterior region of the highly flexible bones, a fist punch impact event may result in anterolateral transverse fractures. Hence, these findings suggest that the presence of anterolateral rib fractures may result from impact rather than manual compression.
Assuntos
Caixa Torácica/lesões , Fraturas das Costelas , Animais , Fenômenos Biomecânicos , Humanos , Lactente , Microscopia Eletrônica de Varredura , Costelas/patologia , SuínosRESUMO
INTRODUCTION: Cervical vertebral maturation (CVM) methods have been criticized because of their subjective nature. The aims of this study were (1) to analyze the morphometric changes in the outline of the second to fourth cervical vertebrae with growth and (2) to test the validity of the CVM method for determining the mandibular growth peak. METHODS: Lateral cephalograms of 25 participants from ages 10 to 16 years were acquired from the Burlington Growth Study, and the CVM stage was qualitatively determined. Mandibular and cervical vertebral semilandmarks were then digitized, and point distribution models were used to describe the morphometric templates of the vertebrae in relation to chronologic age and the timing of peak mandibular growth. Mixed model analysis was used to determine the relationship between mandibular length, sex, CVM stage, and chronologic age. RESULTS: Morphometric changes of the second to fourth cervical vertebrae during growth were consistent with the CVM descriptions. However, mandibular length changes were not significantly associated with CVM stages after adjusting for chronologic age. Morphometric templates of vertebral shapes before and during the mandibular growth peak were similar, with changes detectable only after the growth peak had passed. Morphometric vertebral shape changes varied between the sexes. CONCLUSIONS: Morphometric changes of the cervical vertebrae and the CVM method could not accurately identify the mandibular growth peak.
Assuntos
Determinação da Idade pelo Esqueleto/métodos , Vértebras Cervicais/crescimento & desenvolvimento , Mandíbula/crescimento & desenvolvimento , Adolescente , Determinação da Idade pelo Esqueleto/estatística & dados numéricos , Pontos de Referência Anatômicos/anatomia & histologia , Pontos de Referência Anatômicos/crescimento & desenvolvimento , Vértebra Cervical Áxis/anatomia & histologia , Vértebra Cervical Áxis/crescimento & desenvolvimento , Cefalometria/métodos , Vértebras Cervicais/anatomia & histologia , Criança , Feminino , Humanos , Masculino , Mandíbula/anatomia & histologia , Côndilo Mandibular/anatomia & histologia , Côndilo Mandibular/crescimento & desenvolvimento , Reprodutibilidade dos Testes , Fatores SexuaisRESUMO
Bloodstain pattern analysis is the investigation of blood deposited at crime scenes and the interpretation of that pattern. The surface that the blood gets deposited onto could distort the appearance of the bloodstain. The interaction of blood and apparel fabrics is in its infancy, but the interaction of liquids and apparel fabrics has been well documented and investigated in the field of textile science (e.g. the processes of wetting and wicking of fluids on fibres, yarns and fabrics). A systematic study on the final appearance of drip stains on torso apparel fabrics (100% cotton plain woven, 100% polyester plain woven, blend of polyester and cotton plain woven and 100% cotton single jersey knit) that had been laundered for six, 26 and 52 cycles prior to testing was investigated in the paper. The relationship between drop velocity (1.66±0.50m/s, 4.07±0.03m/s, 5.34±0.18m/s) and the stain characteristics (parent stain area, axes 1 and 2 and number of satellite stains) for each fabric was examined using analysis of variance. The experimental design and effect of storing blood were investigated on a reference sample, which indicated that the day (up to five days) at which the drops were generated did not affect the bloodstain. The effect of prior-laundering (six, 26 and 52 laundering cycles), fibre content (cotton vs. polyester vs. blend) and fabric structure (plain woven vs. single jersey knit) on the final appearance of the bloodstain were investigated. Distortion in the bloodstains produced on non-laundered fabrics indicated the importance of laundering fabrics to remove finishing treatments before conducting bloodstain experiments. For laundered fabrics, both the cotton fabrics and the blend had a circular to oval stain appearance, while the polyester fabric had a circular appearance with evidence of spread along the warp and weft yarns, which resulted in square-like stains at the lowest drop velocity. A significant (p<0.001) increase in the stain size on laundered blend fabric was identified. Bloodstain characteristics varied due to fibre content (p<0.001) and fabric structure (p<0.001). Blood on polyester fabric, after impact, primarily moved due to capillary force and wicking of the blood along the fibres/yarns, while for the cotton fabrics wicking was accompanied by movement of blood into the fibres/yarns. This study highlights the importance for forensic analysts of apparel evidence to consider the age, the fibre type and the fabric structure before interpreting bloodstain patterns.
Assuntos
Manchas de Sangue , Vestuário , Medicina Legal/métodos , Lavanderia , Animais , Processamento de Imagem Assistida por Computador , SuínosRESUMO
The transition from terrestrial ancestry to a fully pelagic life profoundly altered the body systems of cetaceans, with extreme morphological changes in the skull and feeding apparatus. The Oligocene Epoch was a crucial time in the evolution of cetaceans when the ancestors of modern whales and dolphins (Neoceti) underwent major diversification, but details of dental structure and evolution are poorly known for the archaeocete-neocete transition. We report the morphology of teeth and ultrastructure of enamel in archaeocetes, and fossil platanistoids and delphinoids, ranging from late Oligocene (Waitaki Valley, New Zealand) to Pliocene (Caldera, Chile). Teeth were embedded in epoxy resin, sectioned in cross and longitudinal planes, polished, etched, and coated with gold palladium for scanning electron microscopy (SEM) observation. SEM images showed that in archaeocetes, squalodontids and Prosqualodon (taxa with heterodont and nonpolydont/limited polydont teeth), the inner enamel was organized in Hunter-Schreger bands (HSB) with an outer layer of radial enamel. This is a common pattern in most large-bodied mammals and it is regarded as a biomechanical adaptation related to food processing and crack resistance. Fossil Otekaikea sp. and delphinoids, which were polydont and homodont, showed a simpler structure, with inner radial and outer prismless enamel. Radial enamel is regarded as more wear-resistant and has been retained in several mammalian taxa in which opposing tooth surfaces slide over each other. These observations suggest that the transition from a heterodont and nonpolydont/limited polydont dentition in archaeocetes and early odontocetes, to homodont and polydont teeth in crownward odontocetes, was also linked to a marked simplification in the enamel Schmelzmuster. These patterns probably reflect functional shifts in food processing from shear-and-mastication in archaeocetes and early odontocetes, to pierce-and-grasp occlusion in crownward odontocetes, with the implication of less demanding feeding biomechanics as seen in most extant odontocetes.
Assuntos
Cetáceos/anatomia & histologia , Esmalte Dentário/ultraestrutura , Fósseis , Dente/ultraestrutura , Animais , Evolução Biológica , Chile , Microscopia Eletrônica de Varredura , Nova ZelândiaRESUMO
Dental enamel - a naturally occurring biocomposite of mineral and protein - has evolved from a simple prismless to an advanced prismatic structure over millions of years. Exploring the mechanical function of its structural features with differing characteristics is of great importance for evolutionary developmental studies as well as for material scientists seeking to model the mechanical performance of biological materials. In this study, mechanical properties of prismless tuatara Sphenodon punctatus enamel were characterized. Using micro-cantilever bending samples the fracture strength and elastic modulus were found to be 640 ± 87 MPa and 42 ± 6 GPa, respectively in the orientation parallel to the crystallite long axis, which decreased in the orthogonal direction. The intrinsic fracture toughness of tuatara enamel ranged from 0.21 MPa m(1/2) and 0.32 MPa m(1/2). These values correspond to the lower limit of the range of values observed in prismatic enamel at the hierarchical level 1.
Assuntos
Esmalte Dentário/química , Animais , Evolução Biológica , Módulo de Elasticidade , Dureza , Arcada Osseodentária/patologia , Lagartos , Teste de Materiais , Microscopia Eletrônica de Varredura , Pressão , Estresse MecânicoRESUMO
BACKGROUND: The need for continued refinement of animal models in orthopaedic studies persists despite decades of research. OBJECTIVE: This study investigates the merits of deer bone in comparison to the more commonly used pig and sheep bone as an animal model for the human femur. METHOD: A morphological and biomechanical comparison of deer, pig and sheep rear femurs to those of the human femur is presented. Morphological parameters measured include bone length, cortical and medullary diaphyseal diameters, cortical thickness, cortical cross-sectional area and bone density along the diaphysis. Biomechanical tests included whole-bone four-point flexure tests to determine the bending stiffness (N/mm), Young's modulus of bending (GPa), and ultimate strength in bending (MPa). In addition torsional stiffness (Nm/degree) as well as mid-diaphyseal cortical compressive elastic modulus (GPa) and strength (MPa) is investigated. RESULTS: On average, deer bone was found to be the least dissimilar from human femur. However, no single bone type consistently resembled the human femur. CONCLUSION: Deer femora should be considered a suitable animal model for the human femur.
Assuntos
Cervos/anatomia & histologia , Fêmur/anatomia & histologia , Modelos Animais , Animais , Fenômenos Biomecânicos , Densidade Óssea , Cervos/fisiologia , Módulo de Elasticidade , Fêmur/fisiologia , Humanos , Masculino , Ovinos , Estresse Mecânico , Suínos , Resistência à TraçãoRESUMO
The masticatory apparatus is a highly adaptive musculoskeletal complex comprising several relatively independent structural components, which assist in functions including feeding and breathing. We hypothesized that the tongue is elemental in the maintenance of normal ontogeny of the mandible and in its post-natal growth and development, and tested this using a morphometric approach. We assessed tongue and mandibular measurements in 174 (97 male) human cadavers. Landmark lingual and mandibular data were gathered individuals aged between 20 gestational weeks and 3 yr postnatal. In this analysis, geometric morphometrics assisted in visualizing the morphometrical growth changes in the mandible and tongue. A linear correlation in conjunction with principal component analysis further visualized the growth relationship between these structures. We found that the growth of the tongue and mandible were intrinsically linked in size and shape between 20 gestational weeks and 24 months postnatal. However, the mandible continued to change in shape and size into the 3rd yr of life, whereas the tongue only increased in size over this same period of time. These findings provide valuable insights into the allometric growth relationship between these structures, potentially assisting the clinician in predicting the behaviour of these structures in the assessment of malocclusions.
Assuntos
Mandíbula/crescimento & desenvolvimento , Língua/crescimento & desenvolvimento , Determinação da Idade pelo Esqueleto , Algoritmos , Pontos de Referência Anatômicos/anatomia & histologia , Pontos de Referência Anatômicos/embriologia , Pontos de Referência Anatômicos/crescimento & desenvolvimento , Cadáver , Cefalometria/métodos , Pré-Escolar , Feminino , Feto , Idade Gestacional , Humanos , Lactente , Recém-Nascido , Masculino , Mandíbula/anatomia & histologia , Mandíbula/embriologia , Côndilo Mandibular/anatomia & histologia , Côndilo Mandibular/embriologia , Côndilo Mandibular/crescimento & desenvolvimento , Análise de Componente Principal , Língua/anatomia & histologia , Língua/embriologiaRESUMO
OBJECTIVES: Forensic biomechanics is increasingly being used to explain how observed injuries occur. We studied infant rib fractures from a biomechanical and morphological perspective using a porcine model. METHODS: We used 24, 6th ribs of one day old domestic pigs Sus scrofa, divided into three groups, desiccated (representing post-mortem trauma), fresh ribs with intact periosteum (representing peri-mortem trauma) and those stored at -20°C. Two experiments were designed to study their biomechanical behaviour fracture morphology: ribs were axially compressed and subjected to four-point bending in an Instron 3339 fitted with custom jigs. Morphoscopic analysis of resultant fractures consisted of standard optical methods, micro-CT (µCT) and Scanning Electron Microscopy (SEM). RESULTS: During axial compression fresh ribs did not fracture because of energy absorption capabilities of their soft and fluidic components. In flexure tests, dry ribs showed typical elastic-brittle behaviour with long linear load-extension curves, followed by short non-linear elastic (hyperelastic) behaviour and brittle fracture. Fresh ribs showed initial linear-elastic behaviour, followed by strain softening and visco-plastic responses. During the course of loading, dry bone showed minimal observable damage prior to the onset of unstable fracture. Frozen then thawed bone showed similar patterns to fresh bone. Morphologically, fresh ribs showed extensive periosteal damage to the tensile surface with areas of collagen fibre pull-out along the tensile surface. While all dry ribs fractured precipitously, with associated fibre pull-out, the latter feature was absent in thawed ribs. CONCLUSIONS: Our study highlights the fact that under controlled loading, fresh piglet ribs (representing perimortem trauma) did not fracture through bone, but was associated with periosteal tearing. These results suggest firstly, that complete lateral rib fracture in infants may in fact not result from pure compression as has been previously assumed; and secondly, that freezing of bone during storage may affect its fracture behaviour.
Assuntos
Força Compressiva , Ciências Forenses , Teste de Materiais , Fraturas das Costelas , Suínos , Animais , Fenômenos Biomecânicos , Fraturas das Costelas/fisiopatologia , Costelas/lesões , Costelas/fisiologia , Suporte de CargaRESUMO
OBJECTIVE: The aim of this study was to validate the use of lithium as a marker to indicate the retention of simple liquids in the oral cavity and use this to determine how much liquid is retained in the oral cavity following 30 s of rinsing. MATERIALS AND METHODS: This is a validation study in which saliva was spiked with known concentrations of lithium. Twenty healthy participants then rinsed their mouths with either water or a 1 % w/v carboxymethylcellulose (CMC) solution for 30 s before expectorating into a collection cup. Total volume and concentration of lithium in the expectorant were then measured, and the percentage of liquid retained was calculated. RESULTS: The mean amount of liquid retained was 10.4 ± 4.7 % following rinsing with water and 15.3 ± 4.1 % following rinsing with 1 % w/v CMC solution. This difference was significant (p < 0.01). CONCLUSIONS: Lithium was useful as a marker for the retention of liquids in the oral cavity, and a value for the amount of water and 1 % w/v CMC solution remaining in the oral cavity following a 30-s rinse was established. CLINICAL RELEVANCE: The present study quantifies the retention of simple fluids in the oral cavity, validating a technique that may be applied to more complex fluids such as mouth rinses. Further, the application of this method to specific population groups such as those with severe xerostomia may assist in developing effective saliva substitutes.
Assuntos
Compostos de Lítio/administração & dosagem , Boca , Humanos , ÁguaRESUMO
INTRODUCTION: Atrophy of the alveolar bone is an irreversible multifactorial phenomenon, the rate of which varies between individuals and between the jaws. This atrophy of the alveolar ridges presents severe limitations for the oral rehabilitation of the edentulous patients and poses a clinical challenge to the prosthodontists and implant surgeons. The present research aimed to investigate whether the median-palate of elderly edentulous subjects is anatomically suitable for implant placement. MATERIALS AND METHODS: A total of 32 samples were harvested from the maxillae of 16 human cadavers. One dentate male subject was included for contrast. Bone quality and quantity were analysed at two regions: the median-palate and the edentulous maxillary alveolar ridge. Samples were scanned through micro-CT, and the region of analysis (ROA) identified and dissected. Bone volume to tissue volume ratio (%BV/TV), trabecular thickness (Tb.Th), trabecular number (Tb.N), trabecular separation (Tb.Sp) and trabecular bone pattern factor (Tb.Pf) were evaluated for the two regions using Skyscan CTAn(®). RESULTS: The results of bone volume fraction obtained from CTAn(®) of the median-palatal region show higher values than the respective premolar sites in 12 of 15 (80%) edentulous samples. However, this difference was statistically non-significant (P = 0.06). Similarly, the trabecular number for 10 of 15 samples (66.6%) from the median-palate shows greater values than the respective premolar site (P = 0.07). Trabecular thickness of 10 of 15 (66.6%) premolar samples is larger than in the median-palatal region. However, these differences were also statistically non-significant (P = 0.25). Statistically significant difference (P = 0.04) was found between the Tb.Sp values of the two regions. CONCLUSION: The results indicate that the anterior median-palate is structurally better than their respective maxillary premolar region in elderly edentulous persons, and an implant can be placed to anchor an overdenture. The best site for a wide-body implant was established to be 6-8 mm posterior to the incisive foramen in elderly edentulous patients.
Assuntos
Perda do Osso Alveolar/diagnóstico por imagem , Prótese Dentária Fixada por Implante , Revestimento de Dentadura , Arcada Edêntula/reabilitação , Maxila/cirurgia , Palato Duro/diagnóstico por imagem , Idoso , Idoso de 80 Anos ou mais , Cadáver , Feminino , Humanos , Masculino , Microtomografia por Raio-XRESUMO
Dolphins show increased tooth number and simplified tooth shape compared to most mammals, together with a simpler ultrastructural organization and less demanding biomechanical function. However, it is unknown if these factors are also reflected in the chemical composition of their teeth. Here, the bulk chemical composition and elemental distribution in enamel and dentine of extant dolphins were characterized and interpreted using X-ray and spectroscopy techniques. Teeth of 10 species of Delphinida were analyzed by WDX, EDX and Raman spectroscopy. For most of the species sampled, the mineral content was higher in enamel than in dentine, increasing from inner towards outer enamel. The transition from dentine to enamel was marked by an increase in concentration of the major components Ca and P, but also in Na and Cl. Mg decreased from dentine to enamel. Concentrations of Sr and F were often low and below detection limits, but F peaked at the outer enamel region for some species. Raman spectroscopy analyzes showed characteristics similar to carbonated hydroxyapatite, with the strongest peak for the phosphate PO4(3-) stretching mode at 960-961cm(-1). Dentine samples revealed a higher diversity of peaks representative of organic components and proteins than enamel. The similar distribution pattern and small variation in average concentration of major and minor elements in dentine and enamel of dolphins suggest that they are subject to strong physiological control. A clear trend of the elemental variations for all dolphin species sampled suggests that the general pattern of tooth chemistry is conserved among the Mammalia.
Assuntos
Esmalte Dentário/química , Esmalte Dentário/ultraestrutura , Dentina/química , Dentina/ultraestrutura , Golfinhos/metabolismo , Animais , Cetáceos/metabolismo , Durapatita/química , Durapatita/metabolismo , Análise Espectral Raman/métodos , Dente/química , Dente/metabolismo , Dente/ultraestrutura , Raios XRESUMO
BACKGROUND: Current literature has shown the mechanism of how indirect fractures occur but has not determined what factors increase the risks of such fractures. The objective of this study is thus to determine the effect of clothing and soft tissue thickness on the risk of indirect fracture formation. METHODS: Twenty-five fresh red deer femora embedded in ballistic gelatine were shot with varying distances off their medial cortex with a 5.56 × 45 mm North Atlantic Treaty Organization (NATO) bullet while being filmed with a slow-motion video. We compared the effect of two different gelatine depths and the effect of denim cloth laid onto the impact surface of the moulds. RESULTS: Bullet passage in thinner moulds failed to cause fracture because the bullet exited the mould before a large expanding temporary cavity was produced. Clothing dramatically altered the size and depth of the expanding cavity, as well as increased lateral pressures, resulting in more severe fractures with greater bullet distances from the bone that can cause fracture. CONCLUSIONS: Clothing increases the risk of indirect fracture and results in larger, more superficial temporary cavities, with greater lateral pressures than are seen in unclothed specimens, resulting in more comminuted fractures. Greater tissue depth affords the 5.56 × 45 mm NATO a chance to yaw and thus develop an enlarging temporary cavity that is sufficient to cause fracture.
Assuntos
Vestuário/efeitos adversos , Fraturas do Fêmur/fisiopatologia , Ferimentos por Arma de Fogo/fisiopatologia , Animais , Cervos , Modelos Animais de Doenças , Transferência de Energia/fisiologia , Feminino , Fraturas do Fêmur/etiologia , Fraturas do Fêmur/patologia , Balística Forense/métodos , Gelatina , Medição de Risco/métodos , Lesões dos Tecidos Moles/etiologia , Lesões dos Tecidos Moles/patologia , Lesões dos Tecidos Moles/fisiopatologia , Ferimentos por Arma de Fogo/patologiaRESUMO
PURPOSE: The median palate has been proposed as an alternative site for implant placement supporting maxillary overdentures. The aim of our research was to compare the histologic bone microarchitecture of the median palatal and the maxillary premolar alveolar ridge in edentulous elderly human cadavers. MATERIALS AND METHODS: The bone quality and quantity were analyzed at two regions of analysis (ROA) in 16 maxilla of human cadavers: the median palate (ROA I) and edentulous maxillary alveolar premolar ridge (ROA II). Histomorphometry of the scanned images was performed using image analysis software (National Institutes of Health ImageJ). The bone volume/tissue volume ratio, trabecular thickness, trabecular separation, and trabecular number were evaluated for the two regions. RESULTS: The bone volume fraction of the median-palatal region (ROA I) was greater than at the respective premolar sites (ROA II) in 10 of 15 samples (66.6%), with mean values ranging from 19.3-61.3%. However, the results were not statistically significant (P = .151). Similarly, the trabecular number of ROA II showed greater values than that for ROA II (mean TbN for ROA I, 1.03 mm(-1) and for ROA II, 0.96 mm(-1)). However, these differences were not statistically significant (P = .454). CONCLUSIONS: These results have indicated that the anterior median palate is structurally similar to the corresponding maxillary premolar region in elderly edentulous persons. Therefore, it can be used as an implant site to anchor a maxillary overdenture in patients with atrophic maxillary ridges.
Assuntos
Processo Alveolar/patologia , Dente Pré-Molar/patologia , Arco Dental/patologia , Arcada Edêntula/patologia , Maxila/patologia , Palato Duro/patologia , Idoso , Idoso de 80 Anos ou mais , Atrofia , Densidade Óssea/fisiologia , Medula Óssea/patologia , Cadáver , Corantes , Feminino , Humanos , Processamento de Imagem Assistida por Computador/métodos , Masculino , Tamanho do Órgão , Cloreto de TolônioRESUMO
The purpose of the present study was to investigate lecithin-rice bran oil rheological properties with the view to consider these as potential saliva substitutes in patients with severe xerostomia and salivary hypofunction. Pseudo-ternary phase diagrams of rice bran oil, lecithin and water mixtures were constructed and characterised using polarising light microscopy. Viscoelastic properties, which we hypothesise are important determinants in product performance, were analysed using both flow and oscillatory rheology. Rheological properties were influenced by composition, frequency and shear stress. Frequency-dependent viscoelasticity was observed in some formulations where viscosity dominated (tanδ>1) at frequencies under 5 Hz and elasticity dominated (tanδ<1) at higher frequencies. Threshold frequencies were determined for each formulation, where a peak in loss tangent was observed, coinciding with a reduction in the storage modulus and increase in loss modulus. The frequency-dependent behaviour of emulsions are of interest because these combinations exhibit viscous behaviour at low frequencies, which may improve lubrication of the oral cavity at rest, whereas increased elasticity at higher frequencies may improve retention during higher-shear tasks such as swallowing and speaking.
Assuntos
Lecitinas/química , Saliva Artificial/química , Saliva/química , Substâncias Viscoelásticas/química , Xerostomia , Emulsões , Humanos , Lecitinas/administração & dosagem , Saliva Artificial/administração & dosagem , Substâncias Viscoelásticas/administração & dosagem , Xerostomia/tratamento farmacológicoRESUMO
BACKGROUND: Remote ballistic femoral fractures are rare fractures reported in the literature but still debated as to their existence and, indeed, their treatment. This study aimed to prove their existence, understand how they occur and determine which ammunition provides the greatest threat. In addition, fracture patterns, soft tissue disruption and contamination were assessed to aid in treatment planning. METHOD: We filmed 42 deer femora embedded in ballistic gelatine and shot with four different military (5.56 × 45 mm, 7.62 × 39 mm) and civilian (9 × 19 mm, .44 in.) bullets, at varying distances off the bone (0-10 cm). RESULTS: Two remote ballistic fractures occurred, both with .44 in. hollow-point bullets shot 3 cm off the bone. These fractures occurred when the leading edge of the expanding temporary cavity impacted the femur's supracondylar region, producing a wedge-shaped fracture with an undisplaced limb, deceivingly giving the appearance of a spiral fracture. No communication was seen between the fracture and permanent cavity, despite the temporary cavity encasing the fracture and stripping periosteum from its base. CONCLUSION: These fractures occur with civilian ammunition, but cannot prove their existence with military rounds. They result from the expanding temporary cavity affecting the weakest part of the bone, creating a potentially contaminated wedge-shaped fracture, important for surgeons considering operative intervention.
Assuntos
Fraturas do Fêmur/etiologia , Ferimentos por Arma de Fogo/etiologia , Animais , Cervos , Modelos Animais de Doenças , Feminino , Fraturas do Fêmur/diagnóstico por imagem , Fraturas do Fêmur/cirurgia , Balística Forense/métodos , Fixação de Fratura/métodos , Gelatina , Radiografia , Inclusão do Tecido/métodos , Ferimentos por Arma de Fogo/diagnóstico por imagem , Ferimentos por Arma de Fogo/cirurgiaRESUMO
Despite numerous studies on high impact fractures of ribs, little is known about compressive rib injuries. We studied rib fractures from a biomechanical and morphological perspective using 15, 5th ribs of domestic pigs Sus scrofa, divided into two groups, desiccated (representing post-mortem trauma) and fresh ribs with intact periosteum (representing peri-mortem trauma). Ribs were axially compressed and subjected to four-point bending in an Instron 3339 fitted with custom jigs. Morphoscopic analysis of resultant fractures consisted of standard optical methods, micro-CT (µCT) and scanning electron microscopy (SEM). During axial compression, fresh ribs had slightly higher strength because of energy absorption capabilities of their soft and fluidic components. In flexure tests, dry ribs showed typical elastic-brittle behaviour with long linear load-extension curves, followed by relatively short non-linear elastic (hyperelastic) behaviour and brittle fracture. Fresh ribs showed initial linear-elastic behaviour, followed by strain softening, visco-plastic responses. During the course of loading, dry bone showed minimal observable damage prior to the onset of unstable fracture. In contrast, fresh bone showed buckling-like damage features on the compressive surface and cracking parallel to the axis of the bone. Morphologically, all dry ribs fractured precipitously, whereas all but one of the fresh ribs showed incomplete fracture. The mode of fracture, however, was remarkably similar for both groups, with butterfly fractures predominating (7/15, 46.6% dry and wet). Our study highlights the fact that under controlled loading, despite seemingly similar butterfly fracture morphology, fresh ribs (representing perimortem trauma) show a non-catastrophic response. While extensive strain softening observed for the fresh bone does show some additional micro-cracking damage, it appears that the periosteum may play a key role in imparting the observed pseudo-ductility to the ribs. The presence of fibrous pull-out and grooving of the outer tensile surface associated with periosteal stretching suggests that the periosteum under tension is able to sustain very high strain and bridge the mouth of the extending butterfly crack, thereby contributing to the observed strain-softening behaviour.
Assuntos
Fraturas por Compressão/fisiopatologia , Fraturas das Costelas/fisiopatologia , Animais , Modelos Animais de Doenças , Ciências Forenses , Fraturas por Compressão/patologia , Masculino , Microscopia Eletrônica de Varredura , Fraturas das Costelas/patologia , Costelas/patologia , Suínos , Tomografia Computadorizada por Raios XRESUMO
(1) Mammalian teeth play a major role in food acquisition and processing. While most mammals are heterodont and masticate their food, dolphins are homodont with simplified tooth morphology and negligible mastication. Understanding mechanical properties of dental tissues in dolphins is fundamental to elucidate the functional morphology and biomechanics of their feeding apparatus. This paper aims to study the hardness and elastic modulus of enamel and dentine in dolphins. (2) Teeth of 10 extant species (Inioidea and Delphinoidea) were longitudinally sectioned, polished and mounted in a UMIS nanoindenter. Indentations were performed from dentine to outer enamel. Hardness and elastic modulus were calculated using the Oliver-Pharr method. (3) Mean values of hardness and elastic modulus were similar on buccal and lingual surfaces. While dentine hardness was statistically similar among species, enamel hardness varied from 3.86GPa (±0.4) in Steno bredanensis (rough-toothed dolphin) to 2.36GPa (±0.38) in Pontoporia blainvillei (franciscana). For most species, there was a gradational increase in hardness values from inner to outer enamel. Enamel and dentine elastic modulus values clearly differed among species. In enamel, it ranged from 69.32GPa (±4.08) in the rough-toothed dolphin to 13.51GPa (±2.80) in Stenella coeruleoalba (striped dolphin). For most species, elastic modulus values were highest at inner and outer enamel. (4) Differences in mechanical properties between species, and within the enamel of each species, suggest functional implications and influence of ultrastructural arrangement and chemical composition.
Assuntos
Esmalte Dentário , Dentina , Golfinhos/anatomia & histologia , Animais , Fenômenos Biomecânicos , Módulo de Elasticidade , Dureza , Estatísticas não ParamétricasRESUMO
PURPOSE: The purpose of this study was to evaluate the influence of buccal and lingual wall convergence angles on the ability of the preparation to resist rotational displacement. MATERIALS AND METHODS: An intact premolar digitized by micro-CT yielded a 3D reproduction of a human tooth. Simulated crown preparations with known buccolingual axial wall convergence angles (4°, 8°, 12°, 16°, 20°, 24°, 28° 32°), sloped-shoulder marginal area, and occlusal reduction were created and restored with a ceramic crown. The tooth restoration was loaded with a 200 N force at 45° to the incline of the buccal cusp. The responses of the restored tooth with luting agents were analyzed using the 3D finite element method. RESULTS: This study demonstrated that a convergence angle of the preparation above 12° produced a decrease of the resistance of the crown to rotational effects. The study also showed that the use of luting agents that provide bonding between the restoration and dentine improved the rotational resistance of the crown on preparations with large convergence angles. CONCLUSIONS: Use of buccolingual convergence angles greater than 12° reduced the resistance form of the preparation. Luting agents capable of delivering strong bonding between the crown and the preparation improved the resistance in highly tapered preparations.