Complex stresses are created or applied as part of medical and dental treatments, which are linked to the achievement of treatment goals and favorable prognosis. Photoelasticity is an optical technique that can help observe and understand biomechanics, which is essential for planning, evaluation and treatment in health professions. The objective of this project was to review the existing information on the use of photoelasticity in medicine and dentistry and determine their purpose, the areas or treatments for which it was used, models used as well as to identify areas of opportunity for the application of the technique and the generation of new models. A literature review was carried out to identify publications in dentistry and medicine in which photoelasticity was used as an experimental method. The databases used were: Sciencedirect, PubMed, Scopus, Ovid, Springer, EBSCO, Wiley, Lilacs, Medigraphic Artemisa and SciELO. Duplicate and incomplete articles were eliminated, obtaining 84 articles published between 2000 and 2019 for analysis. In dentistry, ten subdisciplines were found in which photoelasticity was used; those related to implants for fixed prostheses were the most abundant. In medicine, orthopedic research predominates; and its application is not limited to hard tissues. No reports were found on the use of photoelastic models as a teaching aid in either medicine or dentistry. Photoelasticity has been widely used in the context of research where it has limitations due to the characteristics of the results provided by the technique, there is no evidence of use in the health area to exploit its application in learning biomechanics; on the other hand there is little development in models that faithfully represent the anatomy and characteristics of the different tissues of the human body, which opens the opportunity to take up the qualitative results offered by the technique to transpolate it to an application and clinical learning.
During paediatric dental treatment, cooperation by children is essential, and temperament can determine their behaviour style. This study aimed to associate temperamental traits and age with behaviour during paediatric dental treatment. This was an observational and cross-sectional study of patients aged 3–10 years. To determine the temperamental traits, an Emotionality Activity and Sociability Temperament Survey (EAS) was performed with the children’s parents. The type of behaviour was determined with Frankl’s criteria. The total scores for temperamental traits, means, and standard deviations were obtained. The chi-squared test, one-way ANOVA and Student’s t-test were applied. A total of 140 patients, who were 5 ± 2.1 years old, participated in the study. Age was determinant for negative behaviour, with a greater frequency in children ≤5 years old (p < 0.05), and a significant negative correlation between age and behaviour (rho = −0.245, p = 0.001). Patients with higher emotionality and activity presented negative and definitely negative behaviours more frequently (p < 0.01). The values for sociability and shyness were similar for positive or negative behaviours. In conclusion, the temperamental traits of emotionality and activity were more frequent in children with disruptive behaviours; therefore, conducting a survey on temperamental traits can be useful for planning behavioural approaches in paediatric dentistry.
Objetivo: Mejorar la comprensión de los cambios generados por los procedimientos restaurativos a través de modelos fotoelásticos. La reconstrucción dental debe fundamentarse en principios de oclusión para no provocar puntos prematuros de contacto durante los procedimientso de preparación y restauración que pueden provocar transtornos como el trauma oclusal, disfuncion de la ATM, o fracturas. En este documento se presenta un metodo didactico para visualizar de forma objetiva las cargas oclusales y su distribución. Materiales y métodos: Se realizaron modelos fotoelasticos de dientes y segmentos maxilares, para visualizar los efectos de las preparaciones dentales y restauraciones, asi como el desgaste de puntos prematuros de contacto. Resultados: Por fotoelasticidad se analizó la dirección, intensidad y distribución de esfuerzos en la corona y soporte óseo. Conclusiones: La tecnica permite visualizar cómo se afectan las estructuras desde la preparación cavitaria, los diferentes esfuerzos con fresas de diamante o carburo, además de observar cómo un punto prematuro de contacto no solo afecta al órgano que lo contiene sino a estructuras aledañas.
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