Interrelação entre ortodontia, periodontia e prótese na reabilitação de dente com violação das distâncias biológicas / Interrelationship between orthodontics, periodontics and implant tooth in rehabilitation with biological distances violation

Na Odontologia a interação interdisciplinar é a chave para melhorar os resultados estéticos e funcionais. Quando alterações dentais e periodontais afetam a harmonia do sorriso, existe a necessidade de agregar procedimentos multidisciplinares para alcançar a estética desejada. Este trabalho apresentou como objetivo relatar um caso clínico de restabelecimento da harmonia do sorriso de uma paciente que apresentava anteriormente uma coroa cerâmica com retentor intra-radicular metálico fundido e constante inflamação na gengiva marginal no elemento dental 21. O tratamento foi feito por meio da associação da extrusão ortodôntica, cirurgia periodontal de recuperação de espaço biológico e reabilitação protética por meio de coroa metal-free, bem como os resultados obtidos com essa modalidade de tratamento. Conclui-se então que foi possível observar sucesso no tratamento executado pela equipe multidisciplinar, devolvendo a estética e a função do elemento dentário. Dessa forma, ressalta-se a importância da interdisciplinaridade na odontologia que, neste caso, vai desde a avaliação estética do caso à necessidade de manter a saúde periodontal para a instalação da reabilitação definitiva. É de relevância conhecer e respeitar as distâncias biológicas do periodonto, bem como o correto diagnóstico e plano de tratamento quando da sua violação.

In dentistry interdisciplinary interaction is the key to improve the aesthetic and functional results. When dental and periodontal changes affect smile harmony, it is necessary to add multidisciplinary procedures to achieve the desired aesthetic. This work had the objective to report a clinical case of smile harmony restoration of a patient that previously had a ceramic crown with metal intraradicular cast retainer and constant gingival margin inflammation in dental element 21. The treatment was performed through association of orthodontic extrusion, periodontal surgery for biological space recovery and prosthetic rehabilitation by means of metal-free crown, as well as the results obtained with this treatment modality. It was concluded that it was possible to observe that treatment performed by the multidisciplinary team was successful, returning aesthetics and function to the tooth. So it emphasizes the importance of interdisciplinarity in dentistry that in this case, was from the aesthetic evaluation of the case until the need to maintain periodontal health for the installation of permanent rehabilitation. It is important to know and respect the biological periodontium distances as well as the correct diagnosis and treatment plan when its violated.

Publicação dos trabalhos de Iniciação Científica da UFCG, Campus de Patos, PB / Publication of the studies from scientific initiation programs at UFCG ­ Campus de Patos, PB

Os programas de Iniciação Científica (IC) representam grande parte das pesquisas realizadas por estudantes de graduação. O objetivo desse estudo foi identificar a porcentagem de publicação destas pesquisas, realizadas nos cursos do Campus de Patos, PB, aferir o tempo entre a apresentação da pesquisa no congresso de IC da instituição e sua publicação, identificar o curso e a área de origem da pesquisa. A partir da relação de alunos de IC nos anos de 2009 a 2014, foram consultados os dados das pesquisas nos Anais do Congresso de Iniciação Científica da Científica da Universidade Federal de Campina Grande, publicados no periódico Saúde & Ciência Online. Dois pesquisa-dores realizaram buscas nas bases de dados Medline, LILACS e BBO, cruzando os dados dos resumos. O índice de publicação foi baixo, com 10,4% das pesquisas publicadas, sendo 10 (30%) em periódicos Qualis A2. O tempo médio de publicação foi de 24 meses e o curso que obteve mais publicações no período estudado foi o de Medicina Veterinária. No curso de Odontologia, destacaram-se as áreas de Saúde Coletiva e Dentística. Apesar da relevância e das contribuições advindas das atividades de IC, ainda são poucos os levantamentos realizados sobre estas pesquisas e suas publicações (AU).

The Undergraduate Research Programs (URP) represent a large part of research conducted by undergraduate graduate students. The aim of this study was to identify the percentage of publication of this research, conducted in the Patos Campus courses, PB, measuring the time between the presentation of research on IC congress of the institution and its publication, identify the course and the area of research. From the URP students' records in the years 2009-2014, we consulted data from the Proceedings of the URP Congress at Federal University of Campina Grande (UFCG), published in the journal Saúde & Ciência Online. Two researchers conducted searches of Medline, LILACS and BBO, crossing the data from abstracts. The publication rate was low, with 10.4% of published research, 10 (30%) in Qualis A2 journals. The mean time for publication was 24 months and the Veterinary Medicine course got more publications in the studied period. For Dentistry, the highlights were the in areas of Public Health and Operative Dentistry. Despite the relevance and contributions from the URP activities, there are few surveys on these studies and publications (AU).

Cement-retained prostheses increase risk of peri-implantitis when compared to screw-retained prostheses

Peri-implantitis is a dental plaque-associated inflammatory process characterized by bone crest resorption and the formation of peri-implant pockets. Plaque accumulation around implants is influenced by the quality of adaptation between the implant and its prosthetic components, which, in turn, may be dependent on the type of prosthetic system used. The aim of this study was to investigate whether cement-retained implant prostheses are greater risk factors for peri-implantitis than screw-retained prostheses, due to cementation line, which is located in the subgingival portion, serving as a local secondary etiological factor. 107 implants of 25 patients (with 32 cement-retained and 75 screw-retained prostheses) in function for a minimum of 6 months were evaluated based on peri-implant probing depth, bleeding on probing and radiographic bone loss. Overall, peri-implantitis was diagnosed around 63 implants (58.88%) of which 81.2% with cement-retained prostheses and 49.3% with screw-retained prostheses. Chi-Square analysis revealed a significant ass ociation between the use of cement-retained prostheses and the presence of peri- implantitis (p=0.004). Moreover, radiographic bone loss was greater around implants with cement-retained prostheses than in those with screw-retained configurations (2.39 and 1.84mm respectively, p= 0.001, Student t test). These results suggest that cement-retained prostheses increase both radiographically detectable bone loss around implants and the risk of peri-implantitis.