RevistaSPM 2024 01 - Flipbook - Page 63
SOCIEDADE
PORTUGUESA de
MATERIAIS
dŽĚĂƐ ĂƐ ƉƌŽƉƌŝĞĚĂĚĞƐ ĚŽƐ ŵĂƚĞƌŝĂŝƐ ƵƟůŝnjĂͲ
ĚŽƐŶŽŵŽĚĞůŽŶƵŵĠƌŝĐŽĞƐƚĆŽƉƌĞƐĞŶƚĞƐŶĂ
dĂďĞůĂϮ͘
Ϯ͘ϲ^dhKKEsZ'E/D>,
hŵ ĞƐƚƵĚŽ ĚĞ ĐŽŶǀĞƌŐġŶĐŝĂ ĚĞ ŵĂůŚĂ ĨŽŝ
ƌĞĂůŝnjĂĚŽŶĂƌĞŐŝĆŽĚĞĐŝĐĂƚƌŝnjĂĕĆŽ;ƚĞĐŝĚŽĚĞ
ŐƌĂŶƵůĂĕĆŽнƐĐĂīŽůĚͿ͕ƉŽŝƐĠŽĨŽĐŽƉƌŝŶĐŝƉĂů
ĚĞƐƚĞ ĞƐƚƵĚŽ͘ dƌġƐ ƚĂŵĂŶŚŽƐ ĚĞ ŵĂůŚĂ ĚŝĨĞͲ
ƌĞŶƚĞƐĨŽƌĂŵƵƐĂĚŽƐŶĞƐƚĞĞƐƚƵĚŽĚĞĐŽŶǀĞƌͲ
ŐġŶĐŝĂ͘ŵĂůŚĂĠĂŵĂŝƐĮŶĂ͕ĐŽŵƵŵƚŽƚĂů
ĚĞ ϳ͘ϭϴϬ͘ϴϭϬ ĞůĞŵĞŶƚŽƐ͕ Ă ŵĂůŚĂ ƚĞŵ
ϰ͘ϴϰϯ͘ϱϴϭ ĞůĞŵĞŶƚŽƐ͕ Ğ Ă ŵĂůŚĂ ͕ Ă ŵĂŝƐ
ŐƌŽƐƐĞŝƌĂ͕ ĐŽŵ ϰ͘ϯϳϭ͘ϱϬϴ ĞůĞŵĞŶƚŽƐ͘ hŵ
ŵſĚƵůŽĚĞĞůĂƐƟĐŝĚĂĚĞĚĞϭϲŬWĂĨŽŝĞƐĐŽůŚŝͲ
ĚŽ ƉĂƌĂ Ž ƐĐĂīŽůĚ ĐŽŵ Ƶŵ ĐŽĞĮĐŝĞŶƚĞ ĚĞ
WŽŝƐƐŽŶĚĞϬ͕ϯ͘ƐƐĞƐǀĂůŽƌĞƐĨŽƌĂŵďĂƐĞĂĚŽƐ
Ğŵ ĞŶƐĂŝŽƐ ĂŶƚĞƌŝŽƌĞƐ ĚŽ ŵĂƚĞƌŝĂů ĚĞ ŚŝĚƌŽͲ
ŐĞů͘hŵĚĞƐůŽĐĂŵĞŶƚŽĚĞϭŵŵĨŽŝĂƉůŝĐĂĚŽĂŽ
ƚŽƉŽ ;njŽŶĂ ƉŽƐƚĞƌŝŽƌͿ ĚŽ ƐĐĂīŽůĚ͕ Ğ Ă ďĂƐĞ
;njŽŶĂĂŶƚĞƌŝŽƌͿĚŽƐĐĂīŽůĚĨŽŝĮdžĂĚĂ͘ƐƚĞŶͲ
ƐƁĞƐ ĚĞ ǀŽŶ DŝƐĞƐ Ğ ĂƐ ĚĞĨŽƌŵĂĕƁĞƐ ĚŽ
ƐĐĂīŽůĚ Ğ ĚŽ ƚĞĐŝĚŽ ĚĞ ŐƌĂŶƵůĂĕĆŽ ĨŽƌĂŵ
ĐŽŵƉĂƌĂĚĂƐĞŶƚƌĞĂƐƚƌġƐŵĂůŚĂƐ͘ŵĂůŚĂ
ƌĞƐƵůƚŽƵĞŵƚĞŶƐƁĞƐĞĚĞĨŽƌŵĕƁĞƐĐŽŵƉĂƌĄͲ
ǀĞŝƐăŵĂůŚĂŵĂŝƐĮŶĂ;ŵĂůŚĂͿ͕ĐŽŵƵŵĞƌƌŽ
ƌĞůĂƟǀŽĚĞϭйĞŵƌĞůĂĕĆŽăƐƚĞŶƐƁĞƐĚĞǀŽŶ
DŝƐĞƐĞƵŵĞƌƌŽƌĞůĂƟǀŽĚĞϮйƉĂƌĂĂĚĞĨŽƌͲ
ŵĂĕĆŽ͘WŽƌƚĂŶƚŽ͕ĂŵĂůŚĂĨŽŝĞƐĐŽůŚŝĚĂƉĂƌĂ
ŽƌĞƐƚĂŶƚĞĚŽĞƐƚƵĚŽ͘
ϯZ^h>dK^
ϯ͘ϭdE^O^sKED/^^EK/^WK^/d/sK
&/yK
ĚŝƐƚƌŝďƵŝĕĆŽ ĚĞ ƚĞŶƐƁĞƐ ĚĞ ǀŽŶ DŝƐĞƐ Ğ ŽƐ
ǀĂůŽƌĞƐŵĄdžŝŵŽƐƉĂƌĂĂůŝŐĂĚĞƟƚąŶŝŽdŝͲϲůͲ
ϰs Ğ ƉĂƌĂ Ž ƉŽůşŵĞƌŽ W> ƐĆŽ ŵŽƐƚƌĂĚŽƐ ŶĂ
&ŝŐƵƌĂϱ͘ŵĂŵďŽƐŽƐĐĂƐŽƐ͕ĂƚĞŶƐĆŽŵĄdžŝŵĂ
d>Ϯ
WƌŽƉƌŝĞĚĂĚĞƐŝƐŽƚƌſƉŝĐĂƐĚŽƐŵĂƚĞƌŝĂŝƐĂƚƌŝďƵşĚŽƐ
ĂŽƐƚĞĐŝĚŽƐſƐƐĞŽƐŵĂŶĚŝďƵůĂƌĞƐ͕ǀŽůƵŵĞĚĞ
ĨƌĂƚƵƌĂ͕ŝŵƉůĂŶƚĞĞƐĐĂīŽůĚƐ͘
DĂƚĞƌŝĂů
Cor cal
Trabecular
Titânio
PLA
Tecido de Granulação
Hidrogel
Cerâmico
DſĚƵůŽůĄƐƟĐŽ͕
;DWĂͿ
ϭϱϬϬϬ
ϯϬϬ
ϭϭϬϬϬϬ
ϯϱϬϬ
Ϭ͘Ϯ
ϮϱͼϭϬͲϹ
ϭϱϬ
ŽĞĮĐŝĞŶƚĞ
ĚĞWŽŝƐƐŽŶ͕;ͲͿ
Ϭ͘ϯϬ
Ϭ͘ϯϬ
Ϭ͘ϯϰ
Ϭ͘ϯϲ
Ϭ͘ϭϲϳ
Ϭ͘ϰϱ
Ϭ͘ϯ
ĠŝŶĨĞƌŝŽƌăƚĞŶƐĆŽĚĞĐĞĚġŶĐŝĂĐŽƌƌĞƐƉŽŶĚĞŶͲ
ƚĞ͕ Ž ƋƵĞ ƐŝŐŶŝĮĐĂ ƋƵĞ ĂŵďŽƐ ŽƐ ŵĂƚĞƌŝĂŝƐ
ƚƌĂďĂůŚĂŵŶĂƌĞŐŝĆŽĞůĄƐƟĐĂ͘KĚŝƐƉŽƐŝƟǀŽĚĞ
ĮdžĂĕĆŽĨĞŝƚŽĚĞƟƚąŶŝŽĂƉƌĞƐĞŶƚĂƵŵŵĞůŚŽƌ
ĚĞƐĞŵƉĞŶŚŽŵĞĐąŶŝĐŽ͕ƵŵĂǀĞnjƋƵĞŽǀĂůŽƌ
ŵĄdžŝŵŽĚĞƚĞŶƐĆŽĚĞǀŽŶDŝƐĞƐĨŽŝĞŵƚŽƌŶŽ
ĚŽƐ ϭϭй ĚĂ ƚĞŶƐĆŽ ĚĞ ĐĞĚġŶĐŝĂ ĚŽ ƟƚąŶŝŽ͕
ĞŶƋƵĂŶƚŽŶŽĚŝƐƉŽƐŝƟǀŽĚĞĮdžĂĕĆŽĚĞW>͕Ă
ƚĞŶƐĆŽŵĄdžŝŵĂĚĞǀŽŶDŝƐĞƐĮĐŽƵĞŵƚŽƌŶŽ
ĚĞ ϯϱй ĚĂ ƚĞŶƐĆŽ ĚĞ ĐĞĚġŶĐŝĂ ĚŽ W>͘ KƐ
ǀĂůŽƌĞƐĚĞƚĞŶƐĆŽĚĞǀŽŶDŝƐĞƐŶŽĚŝƐƉŽƐŝƟǀŽ
ĚĞĮdžĂĕĆŽĨŽƌĂŵƐĞŵĞůŚĂŶƚĞƐƚĂŶƚŽƉĂƌĂƵŵ
ƐĐĂīŽůĚĚĞŚŝĚƌŽŐĞůƋƵĂŶƚŽƉĂƌĂƵŵƐĐĂīŽůĚ
ŵƵůƟŵĂƚĞƌŝĂů͘
ϯ͘Ϯ/E&>hE/Z/'/&/yKE
Z'/K/dZ/K
EĂ ƌĞŐŝĆŽ ĚĞ ĐŝĐĂƚƌŝnjĂĕĆŽ͕ Ğ ƵƟůŝnjĂŶĚŽ Ƶŵ
ƐĐĂīŽůĚ ĨŽƌŵĂĚŽ ĞdžĐůƵƐŝǀĂŵĞŶƚĞ ƉŽƌ ŚŝĚƌŽͲ
ŐĞů͕ Ž ĚŝƐƉŽƐŝƟǀŽ ĚĞ ĮdžĂĕĆŽ ĚĞ W> ŝŶĚƵnjŝƵ
ĚĞĨŽƌŵĂĕƁĞƐ ƉƌŝŶĐŝƉĂŝƐ ĂďƐŽůƵƚĂƐ ƉƌŝŶĐŝƉĂůͲ
ŵĞŶƚĞ ĞŶƚƌĞ ŽƐ Ϭ͕ϮͲϬ͕ϱй͕ ĐŽŵ Ă ŵĞĚŝĂŶĂ Ă
ĞƐƚĂƌ ŶŽƐ Ϭ͘ϯϭй͘ K ĚŝƐƉŽƐŝƟǀŽ ĚĞ ĮdžĂĕĆŽ ĚĞ
ƟƚąŶŝŽ ŝŶĚƵnjŝƵ ĚĞĨŽƌŵĂĕƁĞƐ ƉƌŝŶĐŝƉĂŝƐ
ĂďƐŽůƵƚĂƐĞŶƚƌĞŽƐϬ͕ϬϮͲϬ͕ϬϳйĐŽŵŽƐĞƵǀĂůŽƌ
ŵĞĚŝĂŶŽĂĞƐƚĂƌŶŽƐϬ͘Ϭϰй͘
ϯ͘ϯ/E&>hE/KDdZ/>KSCAFFOLD
EZ'/K/dZ/K
EĂ &ŝŐƵƌĂ ϲ͕ Ġ ŵŽƐƚƌĂĚĂ Ă ĚŝƐƚƌŝďƵŝĕĆŽ ĚĂƐ
ĚĞĨŽƌŵĂĕƁĞƐ ĚĞ ƚƌĂĕĆŽ Ğ ĐŽŵƉƌĞƐƐĆŽ ŶĂ
ƌĞŐŝĆŽ ĚĞ ĐŝĐĂƚƌŝnjĂĕĆŽ ƉĂƌĂ ŽƐ ĚŽŝƐ ƟƉŽƐ ĚĞ
ĚŝƐƉŽƐŝƟǀŽƐĚĞĮdžĂĕĆŽĐŽŵĂƐĚƵĂƐĐŽŶĮŐƵƌĂͲ
ĕƁĞƐĚĞƐĐĂīŽůĚ͕ŚŝĚƌŽŐĞůĞĚĞŵƵůƟŵĂƚĞƌŝĂů͘K
ĚŝƐƉŽƐŝƟǀŽĚĞĮdžĂĕĆŽĚĞW>ĂƉƌĞƐĞŶƚĂƵŵĂ
ŵĞůŚŽƌĚŝƐƚƌŝďƵŝĕĆŽĚĂƐĚĞĨŽƌŵĂĕƁĞƐĂŽůŽŶŐŽ
ĚĂ ƌĞŐŝĆŽ ĚĞ ĐŝĐĂƚƌŝnjĂĕĆŽ͕ ĞŶƋƵĂŶƚŽ ŶŽ
ĚŝƐƉŽƐŝƟǀŽĚĞĮdžĂĕĆŽĚĞƟƚąŶŝŽ͕ĂƐĚĞĨŽƌŵĂͲ
ĕƁĞƐ ĞƐƚĆŽ ƉƌŝŶĐŝƉĂůŵĞŶƚĞ ĐŽŶĐĞŶƚƌĂĚĂƐ ŶĂ
njŽŶĂƉŽƐƚĞƌŝŽƌ͕ĐŽŵĂnjŽŶĂĐĞŶƚƌĂůĚĂƌĞŐŝĆŽĚĞ
ĐŝĐĂƚƌŝnjĂĕĆŽ ĂƉƌĞƐĞŶƚĂŶĚŽ Ƶŵ ǀĂůŽƌ ƋƵĂƐĞ
ŶƵůŽ͘KĚŝƐƉŽƐŝƟǀŽĚĞĮdžĂĕĆŽĚĞW>ŵŽƐƚƌĂ
ƋƵĞ ŶĂ ƌĞŐŝĆŽ ƉŽƐƚĞƌŝŽƌ͕ ĂƐ ĚĞĨŽƌŵĂĐƁĞƐ ĚĞ
ĐŽŵƉƌĞƐƐĆŽĞƚƌĂĕĆŽƐĆŽŵĂŝŽƌĞƐŶĂƐƌĞŐŝƁĞƐ
ŝŶĨĞƌŝŽƌĞƐƵƉĞƌŝŽƌ͕ƌĞƐƉĞĐƟǀĂŵĞŶƚĞ͕ĚĞǀŝĚŽĂ
ƵŵĂĐŽŵďŝŶĂĕĆŽĚĞŵŽǀŝŵĞŶƚŽƐĚĞŇĞdžĆŽĞ
ƚŽƌĕĆŽ͘ ,Ą ƵŵĂ ŝŶǀĞƌƐĆŽ ŶĂ ƉŽƐŝĕĆŽ ĚĂƐ
ĚĞĨŽƌŵĂĕƁĞƐĚĞĐŽŵƉƌĞƐƐĆŽĞƚƌĂĕĆŽĚĞŶƚƌŽ
ĚĂƌĞŐŝĆŽĚĞĐŝĐĂƚƌŝnjĂĕĆŽŶŽĐĞŶƚƌŽĞŶĂƌĞŐŝĆŽ
ĂŶƚĞƌŝŽƌ͕ĐŽŵĂƐĚĞĨŽƌŵĂĕƁĞƐĚĞĐŽŵƉƌĞƐƐĆŽ
ůŽĐĂůŝnjĂĚĂƐ ŶĂ ƌĞŐŝĆŽ ƐƵƉĞƌŝŽƌ Ğ ĂƐ ĚĞĨŽƌŵĂͲ
ĕƁĞƐĚĞƚƌĂĕĆŽůŽĐĂůŝnjĂĚĂƐŶĂƌĞŐŝĆŽŝŶĨĞƌŝŽƌ͘
ZĞůĂƟǀĂŵĞŶƚĞ ĂŽƐ ƌĞƐƵůƚĂĚŽƐ ĚŽ ƐĐĂīŽůĚ
ŵƵůƟŵĂƚĞƌŝĂů͕ƵƐĂŶĚŽŽĚŝƐƉŽƐŝƟǀŽĚĞĮdžĂĕĆŽ
ĚĞƟƚąŶŝŽ͕ŽƐǀĂůŽƌĞƐŵĞĚŝĂŶŽƐƉĂƌĂĂƐnjŽŶĂƐ
ƉŽƐƚĞƌŝŽƌ͕ ĐĞŶƚƌĂů Ğ ĂŶƚĞƌŝŽƌ ĚĂ ƌĞŐŝĆŽ ĚĞ
ĐŝĐĂƚƌŝnjĂĕĆŽ ƐĆŽ ĞŶƚƌĞ Ϭ͕ϬϬϵй͕ Ϭ͕Ϭϴϱй Ğ
Ϭ͕ϬϬϰй͕ƌĞƐƉĞĐƟǀĂŵĞŶƚĞ͘KƵƐŽĚŽĚŝƐƉŽƐŝƟͲ
ǀŽ ĚĞ ĮdžĂĕĆŽ ĚĞ W> ƚƌĂnj ǀĂůŽƌĞƐ ŵĞĚŝĂŶŽƐ
ƉĂƌĂ ĂƐ njŽŶĂƐ ƌĞŐŝƁĞƐ ƉŽƐƚĞƌŝŽƌ͕ ĐĞŶƚƌĂů Ğ
INVESTIGAÇÃO
INVESTIGAÇÃO
ĞŵƉƌĞŐĂŶĚŽŵĠƚŽĚŽƐĞƐƚĂďĞůĞĐŝĚŽƐĞŵĞƐƚƵͲ
ĚŽƐĂŶƚĞƌŝŽƌĞƐ;
