Resumo Introdução: O objetivo deste estudo foi identificar barreiras ao início de insulina e fatores sociodemográficos e laborais associados. Material e Métodos: Estudo transversal desenvolvido a partir de um questionário aplicado a 146 médicos do ACeS Almada-Seixal, entre outubro e dezembro de 2019, avaliando a concordância com 30 barreiras, utilizando uma escala de Likert de 5 pontos. Utilizou-se uma regressão logística para medir a associação entre a concordância com cada item e os fatores associados ao médico. Resultados: A taxa de resposta foi de 74%. Numa amostra de 146 médicos, a idade média foi de 44 anos, 75% eram mulheres e 64% trabalhavam numa USF modelo B. As barreiras que geraram maior concordância estão relacionadas com características dos utentes e com a perceção do impacto positivo da insulina no prognóstico da diabetes. As de maior discordância foram a possibilidade de prejudicar a relação médico-doente, dúvidas sobre a quem compete e quando deve ser iniciada a insulina. Os médicos mais velhos discordam com barreiras relacionadas com características dos utentes e com a falta de formação. Com o aumento da categoria profissional, os médicos tendem a discordar com fatores relacionados com a falta de formação e experiência e com a relação médico-doente. Os médicos das UCSP concordam que não têm uma equipa multidisciplinar adequada ao acompanhamento de diabéticos. Discussão: Identificaram-se barreiras já descritas na literatura, sobretudo para médicos mais novos, em formação e das UCSP. Conclusão: Os resultados podem ser usados localmente, melhorando a formação de médicos mais novos e incentivando a criação de equipas multidisciplinares dedicadas à diabetes nas UCSP.

Abstract Introduction: Our study aimed at identifying barriers to the initiation of insulin therapy and its associated sociodemographic and labor factors. Material and Methods: This cross-sectional study was carried out through a survey applied to 146 general practitioners working in Almada and Seixal primary health care centers, between October and December 2019, assessing their agreement on 30 barriers using a 5-point Likert scale. We used logistic regression to measure the association between each item’s agreement and physician’s factors. Results: The response rate was 74%. Physicians’ average age was 44 years, 75% were women and 64% worked in model B family health units. Most physicians agreed with the barriers related to patients’ characteristics and physicians perceived positive impact of insulin on the prognosis of patients. They disagreed with the ones associated with the possibility of harming the doctor-patient relationship and having doubts about who is responsible and when to start insulin. Older doctors disagreed with barriers related to patients’ characteristics and lack of training. As the professional category increases, physicians tend to disagree with factors related to the lack of training, experience, and the doctor-patient relationship. Physicians from non-reformed health units agree that they do not have a multidisciplinary team appropriate for diabetes care. Discussion: We identified barriers already described in the literature, especially for younger doctors, in residency and from non-reformed health units. Conclusion: These results may be used locally to improve the training of younger doctors and to create multidisciplinary teams dedicated to diabetes in non-reformed health units.

Resumo: Este artigo aborda a manifestação do queer e da aids na exposição Queermuseu: Cartografias da diferença na arte brasileira. Com curadoria de Gaudêncio Fidelis, a mostra, inaugurada e censurada no ano de 2017, é contextualizada a partir de seu encerramento prematuro e também das críticas que recebeu por sua abordagem frágil da diferença. A partir das considerações de autores como David Getsy (2016), Douglas Crimp (2004), Guacira Louro (2001) e Larissa Pelúcio (2014), a relação entre o queer e a enfermidade foi investigada nos textos do catálogo da Mostra, utilizando como método a análise de conteúdo. Tal estudo permitiu perceber que a abordagem do tema na exposição foi superficial, sem apresentar um debate teórico satisfatório ou mesmo um conceito sólido sobre o queer, sendo um dos principais indícios dessa fragilidade a ignorância sobre a sua relação com a crise da aids.

Abstract: This article covers the manifestation of queer and AIDS in the exhibition Queermuseu: Cartographies of difference in Brazilian art. Curated by Gaudêncio Fidelis, the exhibition opened and censored in 2017. It is contextualized from its premature closure and from the criticisms it received for its fragile approach to difference. Based on the considerations of authors such as David Getsy (2016), Douglas Crimp (2004), Guacira Louro (2001), and Larissa Pelúcio (2014), the relationship between queer and disease was investigated in the texts of the exhibition catalog, using as a method the content analysis. This study allowed us to realize that the approach to the theme in the exhibition was superficial, without presenting a satisfactory theoretical debate or even a solid concept about queer, being one of the main signs of this fragility, the ignorance about its relationship with the AIDS crisis.

Resumen: Este artículo trata la manifestación queer y el SIDA en la exposición Queermuseu: Cartografías de la diferencia en el arte brasileño, bajo la curación de Gaudêncio Fidelis la exposición inaugurada y censurada en 2017 se contextualiza desde su prematura clausura y también desde las críticas que recibió por su frágil aproximación a la diferencia. A partir de las consideraciones de autores como David Getsy (2016), Douglas Crimp (2004), Guacira Louro (2001) y Larissa Pelúcio (2014) se investigó la relación entre el queer y la enfermedad en los textos del catálogo de la muestra, utilizando como método el análisis de contenido. Dicho estudio nos permitió darnos cuenta de que el abordaje del tema en la exposición fue superficial, sin presentar un debate teórico satisfactorio o incluso un concepto sólido sobre lo queer, siendo uno de los principales indicios de esta fragilidad el desconocimiento sobre su relación con la crisis del SIDA.

This work aims to investigate the energy-related characteristics of apple bagasse, orange bagasse and cashew-apple bagasse to identify their potential as bioenergy feedstocks. For this, a detailed characterization was performed, including proximate analysis, ultimate analysis, atomic molar ratio, heating values, chemical composition, bulk density, bioenergy density, fuel-value-index (FVI), fossil fuel equivalence and potential CO2 retention. Proximate composition revealed moisture, volatile matter, fixed carbon and ash contents in the range of 7.8-9.3%, 67.1-74.2%, 16.2-22.0% and 1.6-5.7%, respectively. Typical values for carbon (44.8-49.9 wt.%), hydrogen (5.5-6.6 wt.%) and oxygen (40.1-44.2 wt.%), with low sulfur (< 0.1 wt.%) and nitrogen (< 2.7 wt.%) contents were found. In regard to bulk density (237.7-554 kg m−3) and bioenergy density (3.93-10.1 GJ m−3), juice processing residues have substantial values when compared with well-known lignocellulosic residues. Recoverable energy potential from the juice processing residues varied from 15.24 to 17.03 MJ kg−1. From FVI analysis, apple bagasse is expected to be more suitable for thermochemical processing. Orange bagasse, on the other hand, has the highest equivalent in fossil fuel volume. Consequently, its use as solid fuel may lead to a decrease in CO2 emissions from reference fuels.

Abstract The Cognitive Telephone Screening Instrument (COGTEL) has shown to be a brief, reliable, and valid instrument to assess cognitive functioning in adults in face-to-face procedures as well as over the phone. So far, no psychometric evaluation exists on its use in adolescents. The present study set out to evaluate the psychometric properties of the face-to-face application of the COGTEL in adolescents in the school context and to analyse the association with school grades. We assessed cognitive performance using COGTEL in face-to-face assessments of 170 adolescents, with retests after 6 months for test-retest reliability. Predictive validity was assessed using school grades. Test-retest reliability for the COGTEL was good (ICC = .77; p < .001). The partial correlation controlling for age between COGTEL and school grades was medium and positive (r = .40; p < .001). School grades alone explained 42% and 36% of the variance in the COGTEL total score in elementary and secondary students, respectively. The present study suggests that COGTEL is a reliable and valid instrument to assess cognitive functioning in adolescents, with the advantage of feasibility in multiple contexts.

Resumo O Instrumento de Rastreio Cognitivo por Telefone (COGTEL) tem demostrado ser um instrumento fiável, válido e breve para avaliar o funcionamento cognitivo em adultos, quer por telefone, quer de forma presencial. Até à data, não foram estudadas as suas características psicométricas para uso em adolescentes. O presente estudo teve por objetivo avaliar as propriedades psicométricas do COGTEL em adolescentes no contexto escolar, através da aplicação presencial, e analisar a associação dos scores com as notas escolares. O desempenho cognitivo foi avaliado em 170 adolescentes, usando o COGTEL em entrevistas presenciais, com um reteste após 6 meses para avaliar a fiabilidade teste-reteste. A validade preditiva foi avaliada com base nas notas escolares. A fiabilidade teste-reteste para o COGTEL foi boa (ICC = 0.77; p < .001). As correlações parciais, controlando pelo efeito da idade, entre o score total do COGTEL e as notas escolares foram moderadas e positivas (r = .40; p < .001). As notas escolares, individualmente, explicaram 42% e 36% da variância total no score total do COGTEL, em alunos do ensino básico e secundário, respetivamente. O presente estudo sugere que o COGTEL é um instrumento fiável e válido para avaliar o funcionamento cognitivo em adolescentes, com a vantagem de ser aplicável em múltiplos contextos.

Abstract A kinetic model was developed to represent the radical-scavenging capacity (RSC) for the oxidation of oils. The model was developed using second-order rate constants (k2) to represent the RSC. The RSC of the oils can be compared by the k2 values indicating their scavenging capacity. Furthermore, the k2 values can be used to determine the decay kinetic of oils prone to attack by free radicals and to determine the amount of antiradicals that should be added as protective agent to these oils. As a case study, the antiradical capacity of four oils produced from tropical and subtropical fruits (avocado, nance, palm and peach palm) were studied using the DPPH• assay.

Agroindustrial residues, such as leaves of fruit plants, can be sources of bioactive molecules, thus adding value to co-products that are rarely explored in agroindustry. In this context, this study aimed to look into the phytochemical profiles in detail and to explore the antitumor potential of S. tuberosa and S. mombin leaves. We observed that, S. tuberosa leaf extract was cytotoxic in both tumor and healthy cells. S. mombin extracts selectively inhibited cell proliferation in the tumor cell line for prostate cancer (PC3) and did not significantly affect healthy cells. The metabolic profiles of the extracts were evaluated by gas chromatography coupled with mass spectrometry and twenty-three metabolites were identified. The correlation of metabolic profiles with cytotoxic tests indicated possible chemical markers that may be responsible for the inhibition of cell proliferation. This study revealed that the unexplored co-products in agroindustry may have great therapeutic potential, and therefore should be screened for biologically active compounds.

Systemic fungal infections are a growing problem in contemporary medicine and few drugs are licensed for therapy of invasive fungal infections. Differences between fungi and humans, like the presence of a cell wall in fungal cells, can be explored for designing new drugs. (1,3)-β-D-glucan synthase, an enzyme that catalyzes the synthesis of (1,3)-β-D-glucan, a structural and essential component of the fungal cell wall, is absent in mammals and this makes it an excellent target for the development of new antifungal agents. Papulacandins are a family of natural antifungal agents targeting (1,3)-β-D-glucan synthase. In this study we describe the synthesis and biological evaluation of two new Papulacandin analogs as potential (1,3)-β-D-glucan synthase inhibitors.

Abstract This retrospective study evaluated the influence of known risk factors on nonsurgical periodontal treatment (NSPT) response using a pocket depth fine-tuning multilevel linear model (MLM). Overall, 37 patients (24 males and 13 females) with moderate-to-severe chronic periodontitis underwent NSPT. Follow-up visits at 3, 6, and 12 months included measurements of several clinical periodontal parameters. Data were sourced from a previously reported database. In a total of 1416 initially affected sites (baseline PD ≥ 4 mm) on 536 teeth, probing depth (PD) and clinical attachment loss (CAL) reductions after NSPT were evaluated against known risk factors at 3 hierarchical levels (patient, tooth, and site). For each post-treatment follow-up, the variance component models fitted to evaluate the 3-level variance of PD and CAL decrease revealed that all levels contributed significantly to the overall variance (p < 0.001). Patients who underwent NSPT and were continually monitored had curative results. All 3 hierarchical levels included risk factors influencing the degree of PD and CAL reduction. Specifically, the type of tooth, surfaces involved, and tooth mobility site-level risk factors had the strongest impact on these reductions and were highly relevant for the success of NSPT.

Abstract The recovery of agroindustry byproducts can bring opportunities for the development of new products. The objective of this study was to characterize chemical compounds contents in the byproducts generated during winemaking from different grape varieties cultivated in Vale do São Francisco, Brazil. The grapes and their byproducts (skins and seeds) from four wineries (w1, w2, w3 and w4) were evaluated. The varieties studied were: Viognier, Chenin Blanc, Moscato Canelli, Italia, Arinto+Fernão Pires, Tempranillo, Grenache, Mourvèdre, Verdejo and Sauvignon Blanc, used in the processing of white/sparkling wines, and also Tempranillo, Cabernet Sauvignon, Syrah and Alicante Bouschet, used in the processing of red wines. High ascorbic acid contents were found in the skin and seed byproducts, the latter also presenting high protein and pectin contents. The skin byproduct obtained in the process of elaborating white/sparkling wines from ‘Tempranillo’ grapes presented relatively higher ascorbic acid, pectin and protein contents. In the elaboration of red wines by w1, the ‘Syrah’ skin byproduct showed high ascorbic acid, soluble solids, sugars and protein contents. The seed byproduct from the ‘Syrah’ grapes used to elaborate red wines by w1 showed a more favorable composition for reuse, as did those of red wines of ‘Tempranillo’ grapes from w3.

RESUMO Objetivou-se com o presente trabalho avaliar os teores de compostos bioativos e a atividade antioxidante dos frutos de cultivares comerciais de mangueira, aceroleira, goiabeira, atemoieira e pinheira produzidas no Submédio do Vale do São Francisco, com vistas à agregação de valor por meio de suas propriedades funcionais. Frutos colhidos em áreas comerciais da região foram avaliados quanto aos teores de ácido ascórbico, antocianinas totais, flavonoides amarelos, carotenoides totais, polifenóis extraíveis totais e atividade antioxidante total, pelos métodos ABTS e ORAC. Os dados foram submetidos à análise estatística descritiva. Todas as frutas avaliadas apresentaram teores de compostos bioativos e atividade antioxidante, com destaque para as acerolas, em particular as cultivares Sertaneja e Okinawa, podendo ser consideradas como excelente fonte de antioxidantes naturais e ter o seu consumo incentivado, como parte de uma dieta saudável. A correlação positiva e significativa encontrada entre a atividade antioxidante e os teores de ácido ascórbico, antocianinas, flavonoides amarelos, carotenoides e polifenóis extraíveis totais, nos dois métodos empregados, indica que nos frutos avaliados, essa atividade foi influenciada pelo conjunto de compostos bioativos determinados.

ABSTRACT The aim of this study was to evaluate the levels of bioactive compounds and antioxidant activity in fruit of commercial cultivars of mango, acerola, guava, atemoya and custard apple produced in the lower-middle São Francisco Valley, with a view to adding value to the product because of their functional properties. Fruits harvested in commercial areas of the region were evaluated for levels of ascorbic acid, total anthocyanins, yellow flavonoids, total carotenoids and total extractable polyphenols, and for total antioxidant activity, using the ABTS and ORAC methods. The data were submitted to descriptive statistical analysis. All the fruits under evaluation presented levels of bioactive compounds and antioxidant activity, especially the acerola, and in particular the Sertaneja and Okinawa cultivars, which may be considered excellent sources of natural antioxidants, with their consumption encouraged as part of a healthy diet. The significant positive correlation found between antioxidant activity and the levels of ascorbic acid, anthocyanins, yellow flavonoids, carotenoids and total extractable polyphenols with the two methods employed, shows that for the fruits under evaluation, this activity was influenced by the determined set of bioactive compounds.

A series of new glycosylated 2-aryl-5-amidinobenzimidazoles derived from four different carbohydrates (D-glucose, D-galactose, N-acetyl-D-glucosamine and lactose) were synthesized by the condensation of the appropriate 4-formyl-3-methoxyphenyl glycoside with 4-amidino- or 4-N-isopropylamidino-ortho-phenylenediamine hydrochloride. All the compounds were properly characterized by high resolution mass spectrometry, uni- and bidimensional 1H and 13C nuclear magnetic resonance and then were evaluated for their antibacterial and antifungal potential. Considering the antifungal potential of them, two derivatives were active against Candida parapsilosis at 96.4 µmol L-1 and another was active against this same strain at 83.5 µmol L-1. In addition, one benzamidine showed activity against Candida glabrata at 97 µmol L-1. Considering the antibacterial potential of these compounds, six of them showed better activity against three different stains: three of them with IC50 of 96.4, 97 and 83.5 μmol L-1 against Gram-positive Micrococcus luteus, the other two with IC50 96.5 and 96.4 μmol L-1 against Gram-positive Enterococcus faecalis and one against Gram-negative Escherichia coli at 90.5 µmol L-1. These findings suggest this structural pattern can be employed for design of more potent agents for discovery of new antimicrobial drug candidates.

Abstract The potential use of byproducts from fruit processing has been evaluated in order to propose new uses as well as reducing costs and environmental impact. Most of the studies are focused on byproducts from primary transformation. However, byproducts from secondary transformation can reserve similar reuse opportunities. The aim of this study was to characterize chemical composition and antioxidant capacity that remained on byproducts from fruit processing at the pulp refinement stage. The byproducts from pulp refining were evaluated in cashew, cocoa, cupuassu, genipap, papaya, passion fruit seed, plum, soursop (pulp and seeds), strawberry, tamarind (pulp and seeds), umbu and yellow mombin fruits. Water activity, acidity, pH, soluble solids, sugars, starch, pectins, ascorbic acid, carotenoids and polyphenols, and the antioxidant activity were analyzed. The byproducts from the refinement of soursop related to the fibrous pulp showed the highest soluble solids and pectic compounds content, while the seeds byproducts constituted a source of starch. The byproducts from the refining of pulp from yellow mombin and papaya were sources of carotenoids. The highest starch and polyphenols contents, as well as antioxidant activities peak on the refining of byproducts of tamarind. The byproducts studied maintained chemical compounds and bioactive components that hold potential reuse.

RESUMO Para o ótimo controle postural, o centro de massa (COM) do corpo é uma variável que se projeta verticalmente entre os pés, dentro de uma base de suporte. Este estudo teve por objetivo avaliar a confiabilidade inter e intra-avaliadores da projeção do COM na base de sustentação, mensurada com auxílio do Software de Avaliação Postural (SAPO). Cinquenta e sete voluntárias foram avaliadas e todas foram submetidas ao registro fotográfico nas vistas anterior, lateral direita e esquerda, no mesmo instante temporal. As imagens foram entregues a dois examinadores, os quais utilizaram o SAPO. Para a análise estatística, foi utilizado o coeficiente de correlação intraclasse (ICC) e, para estimar a mínima mudança detectável (MMD), foi utilizado o erro padrão (EP). Os resultados demonstraram excelentes níveis de confiabilidade interexaminador e intraexaminador para assimetrias nos planos frontal, sagital e para a projeção do centro de gravidade no plano frontal e lateral (ICC>0,90; 95%IC>0,95; MDD entre 2,16 - 4,87). Os resultados do estudo demonstraram que a análise do COM obtida por meio do SAPO apresentou boa confiabilidade nas análises inter e intra-avaliadores.

ABSTRACT For optimal postural control, the center of mass (COM) of the body is a variable that is projected vertically between the legs, over a support base. This study had as aim assessing the inter- and intra-rater reliability of the projection of the COM over the support base, measured with the aid of the Postural Evaluation Software (SAPO). Fifty-seven volunteers were evaluated and all were subjected to photographic records taken from the anterior, left and right lateral views, at the same time. The pictures were handed over to two raters, who then used SAPO to analyze them. For the statistical analysis, the intra-class correlation coefficient (ICC) was used, and to estimate the minimum detectable change (MDC), the standard error (SE) was used. The results showed excellent levels of inter and intra-rater reliability for asymmetries in the frontal and sagittal planes, and for the projection of the center of gravity in the frontal and lateral planes (ICC>0.90; 95%CI>0.95; MDC between 2.16 - 4.87). The results of the study showed that the analysis of the COM obtained with SAPO had good inter- and intra-rater reliability.

RESUMEN Para el óptimo control postural, el centro de masa (COM) del cuerpo es una variable que se proyecta verticalmente entre los pies, dentro de una base de soporte. Este estudio tuvo por objetivo evaluar la confiabilidad inter e intraevaluadores de la proyección del COM en la base de sostenimiento, medida con apoyo del Software de Evaluación Postural (SAPO). Se evaluaron cincuenta y siete voluntarias y todas han sido sometidas al registro fotográfico en las vistas anterior, lateral derecha e izquierda, en el mismo instante temporal. Las imágenes han sido entregadas a dos examinadores, que utilizaron SAPO. Para el análisis estadístico, se utilizó el coeficiente de correlación intraclase (ICC) y, para estimar el mínimo cambio detectable (MMD), se utilizó el error estándar (EP). Los resultados demostraron excelentes niveles de confiabilidad interexaminador e intraexaminador para asimetrías en los planos frontal y sagital y para la proyección del centro de gravedad en el plano frontal y lateral (ICC>0.90, 95% IC>0.95, MDD entre 2.16 - 4.87). Los resultados del estudio demostraron que el análisis del COM obtenido a través de SAPO presentó buena confiabilidad en los análisis inter e intraevaluadores.

A patologia dos músculos abdutores da anca é comum, manifestando-se através da dor da face externa da anca e com testes clínicos positivos, podendo inclusivamente condicionar instabilidade articular em doentes previamente submetidos a artroplastia total da anca. A utilização da ressonância magnética (RMN) para o estudo desta patologia veio revelar alterações até aí desconhecidas. As imagens obtidas com a RMN permitiram a descrição de uma classificação das roturas do médio glúteo pelo grupo de Milwaukee. Descrevemos o caso de uma paciente com antecedentes de luxação congénita da anca, submetida a múltiplas cirurgias para a sua correcção, tendo sido a última delas uma artroplastia total da anca. Posteriormente desenvolveu uma insuficiência marcada dos abdutores da anca, razão pela qual foi intervencionada, procedendo-se à transferência do grande glúteo segundo uma variante da técnica de Whiteside. A avulsão do médio glúteo é a forma mais grave de lesão deste músculo. A via de abordagem externa para a colocação da prótese da anca está associada a uma maior taxa de insuficiência do médio glúteo. Contudo, a reparação directa tardia das lesões deste músculo está associada a resultados pouco satisfatórios. Assim, estão descritas várias técnicas que permitem a reconstrução da função dos abdutores da anca. A técnica descrita por Whiteside é uma delas. Esta é também uma das que apresenta melhores resultados, sendo a preferida pelos autores para a resolução dos casos de avulsão crónica dos abdutores da anca.

Hip abductors pathology is fairly common, having as symptoms pain in the trochanteric region and positive clinical tests. It may even be associated with hip instability in patients previously submitted to a total hip replacement. The use of magnetic resonance (MRI) to study this pathology revealed a series of unknown changes and the images obtained with the MRI allowed the description of a classification for the ruptures of gluteus medius, published by the Milwaukee group. We describe the case of a patient with history of congenital hip dislocation, submitted to multiple surgeries to correct this pathology and finally had to do a total hip replacement. After this last procedure she developed serious hip abductors deficiency, reason why she had to be operated. We preceded to the transfer of the gluteus magnus, accordingly to a variation of the Whiteside technique. Gluteus medius avulsion is the most serious lesion of this muscle. The direct external approach in a total hip arthroplasty is associated to a bigger percentage of cases of gluteus medius insufficiency. However, late direct repair of this muscle lesion is associated to low satisfactory results. So, a various number of techniques are describes, which allow for the reconstruction of the hip abductors. The technique published by Whiteside is one of them. It is also one of which presents better results, being the authors method of choice to deal with cases in which chronic hip abductors avulsion is present.

Abstract Introduction After mastoidectomy, patients usually complain of bone depressions in the retroauricular region in the surgical site, especially in procedures that require extensive cortical resections. This causes inconveniences such as difficulty wearing glasses, cleaning, and aesthetics complaints. Objective This study aims to describe a vascularized flap surgical technique that uses the mastoid cortical bone adhered to the periosteum, which is pedicled on the anterior portion and repositioned at the end of the surgery. This ensures the coverage of the mastoid cavity generated by surgery and prevents ear retraction into the cavity. This preliminary report describes the technique and intraoperative and immediate postoperative complications. Methods After retroauricular incision, periosteal exposure is performed. A U-shaped incision is required for the procedure and delimits a periosteum area appropriate to the size of the mastoidectomy. The cortical bone is opened using a 2.5 mm drill around the perimeter of the “U,” at a 3 mmdepth. A chisel is introduced through the surface cells of the mastoid, and a hammer evolves into the anterior direction. The flap is lifted, leaving the periosteum adhered to it and forming a cap. The flap is anteriorly fixed to not hinder the surgery, and repositioned at the end. The periosteum is then sutured to the adjacent periosteum. Results The first 14 cases had no intraoperative complications and were firm and stable when digital pressure was applied during the intraoperative and immediate postoperative periods. Conclusion The osteoplastic flap pedicle is a safe and simple procedure, with good results in the immediate postoperative period.