Oral and cutaneous immune-related adverse events in cancer patients: Prevalence and overall survival.

OBJECTIVES: To assess the prevalence of cutaneous and oral immune-related adverse events (irAEs) in cancer patients, risk factors for its development, and overall survival (OS). MATERIALS AND METHODS: This retrospective observational study which included 748 medical records of cancer patients who received immune checkpoint inhibitors (ICIs). Demographic and clinicopathological characteristics were collected and analyzed. RESULTS: Most patients were male (59.4%), with stage IV cancer (65%) and received pembrolizumab (46.7%). Four hundred fourteen (55.34%) patients developed cutaneous lesions, 84 (11.2%) developed oral mucosal lesions, and 70 (9.3%) developed xerostomia. The median time for irAEs development was 11 weeks for cutaneous and oral mucosal lesions, and 21.5 weeks for xerostomia. Patients who received PD-1 + CTLA-4 had a higher risk for developing cutaneous irAEs (p = 0.001), while those who underwent ICI and concurrent chemotherapy had a higher risk (p = 0.008) for developing oral mucosal lesions. Patients who presented oral and cutaneous irAEs had better OS than those who did not present (p = 0.0001). CONCLUSION: Cutaneous effects affected more than half of the patients, while oral effects and xerostomia were found in around 11% and 9% of patients, respectively. Concurrent chemotherapy and PD-1 + CTLA-4 were more associated with oral and cutaneous irAEs, respectively. Patients who developed such irAEs had better overall survival.

Virtual Versus Conventional Planning in Orthognathic Surgery: A Systematic Review and Meta-analysis.

Objectives: The purpose of this study was to compare the accuracy of hard tissues movements planned to result of the maxillary and mandibular positions between conventional surgical planning (CSP) and virtual surgical planning (VSP) in patients undergoing orthognathic surgery. Methods: A systematic electronic search was carried out in six databases and gray literature with no restriction of publication date and language. Clinical observational studies that compared accuracy of maxillary position between CSP and VSP were included. Linear measurements of the mandible in the transverse plane and linear measurements of the maxilla in the vertical, horizontal and transverse planes were considered for analysis, comparing planned to postoperative outcomes of CSP and VSP. Cochrane tool was used to assess bias risk. A meta-analysis was performed to summarize similar results by using the Review Manager 5.3 software. Significance level was set at 5%. Results: Six studies (2 RCT and 4 retrospective cohorts) were included according to inclusion and eligibility criteria, involving 255 patients. The inter-rater reliability of selection and eligibility was excellent (k = 0.8315 and k = 0.9329, respectively). Two studies presented that VSP seemed to have better results than CSP regarding linear measurements of the mandible in the transverse plane. Results from CSP and VSP were similar in accuracy for hard tissue in vertical plane of maxillary position (I2 = 0%; p = 0.17), although VSP was more accurate in horizontal plane (I2 = 0%; p = 0.02). Conclusion: VSP presented better accuracy for transverse movements in mandible of asymmetric patients. VSP showed to be more accurate for movements in the horizontal plane, and qualitative analysis seemed to be more effective for transverse movements.

Gingival cyst of the adult.

The gingival cyst of the adult (GCA) is a rare odontogenic cyst, consisting of 0.3% of all odontogenic cysts. This case report, based on CARE guidelines for case reports, aims to present a case of a 52-year-old female patient with a symptomatic translucent nodule in the upper left anterior gingiva, measuring approximately 6mm. Excisional biopsy was performed, and the histological examination revealed multiple cystic cavities lined by the squamous epithelium of varying thickness with focal areas of nodular thickenings. The presence of clusters of cells with clear cytoplasm within epithelial thickenings was observed. PAS staining was negative in clear cells. The diagnosis of the GCA was established. Despite its rarity, GCA should be considered in the differential diagnosis of gingival lesions. Conservative surgical treatment proved to be effective, with no signs of recurrence.

Manejo das disfunções temporomandibulares. Parte I: tratamento conservador / Management of temporomandibular joint disorders. Part I: conservative treatment

Objetivo: Apresentar as modalidades de tratamentos conservadoras e minimamente invasivas mais usadas disponíveis no arsenal terapêutico das desordens temporomandibulares (DTM). Revisão da literatura: Os objetivos do tratamento invariavelmente incluem redução da dor, diminuição das atividades parafuncionais e restauração da função. Dentre as alternativas conservadoras e minimamente invasivas, podemos citar os dispositivos interoclusais, exercícios terapêuticos, eletrofototermoterapia, agulhamento seco e infiltração de anestésicos locais em pontos gatilho, injeção de sangue autógeno para controle da luxação mandibular, terapia cognitivo comportamental, toxina botulínica, viscossuplementação, controle farmacológico da dor aguda e crônica. As DTMs afetam uma proporção significativa da população. Somente após o fracasso das opções não invasivas é que devem ser iniciados tratamentos mais invasivos e irreversíveis. No entanto, algumas condições, como a anquilose e neoplasias, por exemplo, são essencialmente tratadas cirurgicamente e tentativas de tratamentos conservadores podem trazer piora na qualidade de vida ou risco de morte. Considerações finais: Uma abordagem de equipe multidisciplinar para o manejo é essencial no cuidado fundamental de todos os pacientes com DTM, para que o tratamento possa ser especificamente adaptado às necessidades individuais do paciente.

Aim: To present the most widely used conservative and minimally invasive treatment modalities available in the therapeutic arsenal for temporomandibular disorders (TMD). Literature review: Treatment goals invariably include pain reduction, reduction of parafunctional activities and restoration of function. Among the conservative and minimally invasive alternatives, we can mention interocclusal devices, therapeutic exercises, electrophototherapy, dry needling and infiltration of local anesthetics in trigger points, autogenous blood injection to control mandibular dislocation, cognitive behavioral therapy, botulinum toxin, viscosupplementation, pharmacological control of acute and chronic pain. TMD affects a considerable proportion of the population. Only after non-invasive options have failed should more invasive and irreversible treatments be initiated. However, some conditions, such as ankylosis and neoplasms, for example, are treated surgically and attempts at conservative treatments can lead to worsening quality of life or risk of death. Conclusions: A multidisciplinary team approach to management is essential in the fundamental care of all TMD patients, so that treatment can be specifically tailored to the patient's individual needs.

Manejo das disfunções temporomandibulares. Parte II: tratamento cirúrgico / Management of temporomandibular joint disorders. Part II: surgical treatment

Objetivo: Apresentar as modalidades de tratamentos cirúrgicas mais usadas disponíveis no arsenal terapêutico das desordens temporomandibulares (DTMs). Revisão da literatura: As DTMs são muito frequentes e são responsáveis ​​por dor e desconforto em um número importante de pacientes. A avaliação e o diagnóstico são as chaves para determinar um plano de manejo adequado dessas doenças. Embora o tratamento conservador seja bem-sucedido na maioria dos pacientes, os tratamentos cirúrgicos podem ser a única opção para aqueles que não respondem ao tratamento conservador ou para casos com indicação cirúrgica inicial como, por exemplo, algumas neoplasias articulares. Dentre as alternativas cirúrgicas, podemos citar a artrocentese, artroscopia, reposicionamento do disco articular por cirurgia aberta, discectomia e tratamentos cirúrgicos para hipermobilidade e anquilose da articulação temporomandibular. Considerações finais: A seleção adequada dos casos é requisito obrigatório para uma intervenção cirúrgica bem-sucedida, a fim de alcançar o resultado desejado do tratamento, como alívio dos sintomas e melhora da função.

Aim: To present the most commonly used surgical treatment modalities available in the therapeutic arsenal for temporomandibular disorders (TMD). Literature review: TMD is very common and is responsible for pain and dysfunction in a significant number of patients. Assessment and diagnosis are key to determining a management plan for these diseases. Although conservative treatment is successful in most patients, surgical treatments may be the only option for those who do not respond to conservative treatment or for some cases with an initial surgical indication, such as some joint neoplasms. Surgical alternatives include arthrocentesis, arthroscopy, repositioning of the articular disc by open surgery, discectomy and surgical treatments for temporomandibular joint hypermobility and ankylosis. Conclusions: Proper case selection is the mandatory requirement for successful surgical intervention in order to achieve the desired treatment outcome, such as symptom relief and improved function.

Clinical outcomes of the discopexy using suture anchors for repositioning disc displacement in temporomandibular joints: Systematic review and meta-analysis.

The present study evaluated the literature regarding the clinical outcomes after discopexy using suture bone anchors for repositioning disc displacement. A systematic review was conducted according to the PRISMA statement and applied for the PROSPERO platform. The database searches were performed in the PubMed, Scopus, Web of Science, EMBASE, The Cochrane Library, and LILACS for full articles published from no restrictions of the initial period time to April 2022. Selection criteria included clinical studies in humans comparing maximal inter-incisal opening (MIO), pain by visual analogue scale (VAS), and protrusive and lateral excursions before and after discopexy. The screening process was performed by two independent reviewers, and if they did not agree with each other, a third reviewer was consulted before proceeding. The meta-analysis was carried out by Comprehensive Meta-Analysis software. Eleven studies met the inclusion criteria. A total of 327 patients were diagnosed with disc displacement, and 142 patients were refractory to conservative and minimally surgical therapies. Preauricular and endaural approaches were performed to place suture bone anchors on the posterior area of the condyle. A significant difference was found in MIO, which ranged from 15.5 mm pre-opeatively to 41.6 mm post-operatively (p = 0.001). Pain scores using the VAS ranged from 7.42 to 0.28 indicating improvement post-operatively (p = 0.001). Mandibular excursions were underestimated. The available results have shown that discopexy using suture anchors seemed to decrease pain and improve mouth opening. Clinical studies are required in a larger sample and lower variability of follow-up time to predict actual benefits.

Gingival cyst of the adult

ABSTRACT The gingival cyst of the adult (GCA) is a rare odontogenic cyst, consisting of 0.3% of all odontogenic cysts. This case report, based on CARE guidelines for case reports, aims to present a case of a 52-year-old female patient with a symptomatic translucent nodule in the upper left anterior gingiva, measuring approximately 6mm. Excisional biopsy was performed, and the histological examination revealed multiple cystic cavities lined by the squamous epithelium of varying thickness with focal areas of nodular thickenings. The presence of clusters of cells with clear cytoplasm within epithelial thickenings was observed. PAS staining was negative in clear cells. The diagnosis of the GCA was established. Despite its rarity, GCA should be considered in the differential diagnosis of gingival lesions. Conservative surgical treatment proved to be effective, with no signs of recurrence.

Laser therapy and light sources for labial lentigines in patients with Peutz-Jeghers syndrome.

Labial lentigines associated with Peutz-Jeghers syndrome are challenging and represent a cosmetic problem. Laser and intense-pulsed light sources (IPLS) can be used to treat these macules. However, there are few guidelines regarding the different types of protocols found in the literature. Thus, the purpose of this study was to review the pertinent literature on lasers and IPLS as therapy for labial lentigines in patients with Peutz-Jeghers syndrome. A detailed literature search was conducted in seven databases (Cochrane Library, Embase, Lilacs, PubMed, SciELO, Scopus and Web of Science) to November 2020. Data were extracted and analyzed from selected studies including study design, sample size, participants' skin color, age, and gender, parameters of the laser or IPLS used, interval and total sessions of laser application, results obtained, follow-up time and side effects. Thirteen out of 124 published studies met our eligibility criteria, covering 81 patients. Ten types of lasers and IPLS were used, and most of the sample (n = 57) was treated with Q-switch Alexandrite Laser (QSAL). The total number of sessions ranged from 1 to 12 and the interval between sessions ranged from 2 to 16 weeks. All studies have shown satisfactory results, with no further complications. The follow-up ranged from 2 to 97 months. Laser therapy and IPLS are effective in the treatment of lentigines associated with PJS. Although QSAL was used in 70.3% of the sample, different types of lasers showed comparable satisfactory results.

Perspectives on the teaching of Occupational Dentistry according to university curricula in Southeast Brazil.

Introduction: Occupational Dentistry is a specialty recently acknowledged by the Federal Council of Dentistry that seeks to prevent work-related oral health issues. It aims to improve workers' quality of life and promote a more efficient productive development. Objectives: This study aimed to investigate whether the subject of Occupational Dentistry was included in the curriculum of undergraduate Dentistry courses in Southeast Brazil. Methods: The curriculum of universities registered on the Brazilian Ministry of Health's website (e-MEC) were analyzed regarding type of university administration (private or public), inclusion of Occupational Dentistry in the curriculum of Dentistry courses, whether the subject was compulsory or not, and subject workload. Universities that did not make the course curriculum available on their website were excluded from the analysis. Results: Of 176 universities registered on e-MEC, 144 were included in the study. Most universities (86.9%) were private, whereas only 13.1% were public. Occupational Dentistry was available in 10 universities. The subject was compulsory in 4 and optional in another 4 universities, with a total mean workload of 37.5 hours. Two universities did not disclose this information. Conclusions: Our analysis allowed the investigation of the overall inclusion of Occupational Dentistry in the curriculum of Dentistry courses in Southeast Brazil. Only a small percentage of universities (6.9%), mostly private, included the subject in the course curriculum, usually on a compulsory basis.

Introdução: A Odontologia do Trabalho é uma especialidade recentemente reconhecida pelo Conselho Federal de Odontologia e ocupa-se em combater agravos à saúde bucal do trabalhador decorrentes de seu ambiente de trabalho. Ela busca melhorar a qualidade de vida do profissional e propiciar o desenvolvimento produtivo mais eficiente. Objetivos: Este trabalho se propõe a apresentar um panorama da disciplina de Odontologia do Trabalho nas instituições de ensino superior que possuem o curso de graduação em Odontologia na região Sudeste do Brasil. Métodos: Foi realizada uma análise das grades curriculares de todas as instituições cadastradas no portal eletrônico do Ministério da Educação (e-MEC), analisando quantas eram privadas e públicas, quais tinham a disciplina, se era obrigatória ou optativa e a carga horária. Foram excluídas da análise as instituições que não disponibilizaram a grade curricular em seus sítios eletrônicos. Resultados: Foram encontradas 176 instituições, sendo que, destas, 144 foram incluídas no estudo. Entre as incluídas, 86,9% foram particulares e 13,1% foram públicas. A disciplina foi encontrada em 10 instituições, sendo que é ofertada como obrigatória em quatro e como optativa em outras quatro, totalizando uma carga horária média de 37,5 horas, desconsiderando duas universidades que não forneceram essas informações adicionais. Conclusões: A partir desta análise, foi possível traçar um cenário da inserção da Odontologia do Trabalho, demonstrando que a oferta da disciplina se encontra bastante reduzida (6,9%), sendo mais prevalente em universidades privadas e de forma obrigatória.

Hepatite B: um alerta aos cirurgiões-dentistas / Hepatitis B: a warning to dentists

Objetivo: Apesar da disponibilidade e orientações acerca da vacinação contra o vírus da hepatite B (VHB), observa-se que a cobertura vacinal e o conhecimento entre os profissionais de Odontologia não são satisfatórios, especialmente nos países em desenvolvimento. Como um alerta aos estudantes e profissionais de Odontologia, o objetivo deste estudo é revisar a literatura acerca da infecção pelo VHB na prática odontológica. Materiais e métodos: Trata-se de uma revisão narrativa. Os artigos incluídos foram pesquisados nas bases de dados Pubmed, Scielo e Lilacs, utilizando os descritores "Hepatitis B virus" e "Dentist", no período de 2000 a 2020. Revisão de literatura: Os conhecimentos acerca do VHB devem ser incentivados durante a graduação, uma vez que os cirurgiões-dentistas desempenham papel importante na prevenção desta doença. A hepatite B é mais prevalente entre os cirurgiões-dentistas do que na população geral. Nesses profissionais, a transmissão acontece principal-mente durante o uso e descarte de instrumentos cortan-tes contaminados com sangue ou saliva infectada. Além disso, como as secreções nasofaríngeas carregam o vírus, embora remota, ainda existe a possibilidade de infecção por aerossol. Discussão: Dentre as formas de prevenção, podemos citar a realização do esquema vacinal completo, as orientações para manejo odontológico de pacientes com hepatite, a adoção às normas de biossegurança e os métodos corretos para limpeza e desinfecção e esterilização dos materiais. Conclusão: Os cirurgiões-dentistas possuem um risco maior de exposição à infecção pelo HBV do que o restante da população. Portanto, esses profissionais devem dispor de atenção especial às estratégias de prevenção contra a hepatite

Aim: Despite the availability and guidance regarding the hepatitis B virus (HBV) vaccination, it is observed that the vaccine coverage and knowledge among dental professionals are not satisfactory, especially in developing countries. As a warning to dental students and professionals, the aim of this study is to review the literature on HBV infection in dental practice. Materials and methods: This is a narrative review. The articles included were searched in the Pubmed, Scielo and Lilacs databases, using the des-criptors "Hepatitis B virus" and "Dentist", from 2000 to 2020. Literature review: Knowledge about HBV should be encouraged during graduation, since dentists play an im-portant role in preventing this disease. Hepatitis B is more prevalent among dentists than in the general population. In these professionals, the transmission occurs mainly due to a percutaneous injury involving the use and disposal of cutting instruments contaminated with the infected patient's blood or saliva. In addition, as nasopharyngeal secretions carry the virus, although remote, there is still the possibility of aerosol infection. Discussion: Among the forms of prevention, we can mention the accomplishment of the complete vaccination schedule, the guidelines for the dental management of patients with hepatitis, the adoption of biosafety standards and the correct methods for cleaning, disinfecting and sterilizing the materials. Conclusion: Dentists have higher risk of exposure to HBV infection than the rest of the population. Therefore, these professionals must pay special attention to strategies for preventing hepatitis.

Ensino da odontologia legal nos cursos de graduação em odontologia: um estudo transversal da região sudeste brasileira / Forensic Odontology teaching in Dentistry undergraduate courses: a cross-sectional study in the southeast of Brazil

Introdução: Para atender aos aspectos éticos e legais da prática odontológica, faz-se necessário o ensino de conteúdos da área de Odontologia Legal (OL) nos cursos de graduação em Odontologia. As instituições de ensino superior (IES) têm papel fundamental, na condição de fornecedoras das ferramentas e conhecimentos necessários para a atuação responsável do futuro profissional. Objetivo: Verificar se os cursos de Odontologia de faculdades reconhecidas pelo Ministério da Educação na região sudeste brasileira apresentam a disciplina de OL em sua grade curricular e avaliar características curriculares da disciplina. Material e Método: Estudo transversal de base documental, na qual foram analisadas as matrizes curriculares dos cursos de Odontologia das IES localizadas na região sudeste brasileira e que disponibilizavam acesso às grades curriculares via ferramentas on-line. Resultados: Das 176 faculdades, 144 foram incluídas, sendo 125 (86,8%) IES privadas e 19 (13,2%) públicas. A disciplina está presente nas matrizes curriculares de 79,1% das IES. Sobre as características curriculares, majoritariamente a disciplina é ofertada como obrigatória (99%). Em relação à metodologia de ensino empregada, a disciplina é predominantemente teórica (95%). Poucas instituições (5%) ofertam disciplinas teórico-práticas, sendo que IES públicas ofertam mais que IES privadas (p=0,0158). A carga horária média da disciplina é de 50,05h, abaixo da carga horária mínima de 60h recomendada pela Associação Brasileira de Ética e Odontologia Legal. Conclusão: Os resultados deste estudo possibilitaram estabelecer um panorama da inserção da OL nos planos curriculares das IES da região sudeste do Brasil, demonstrando que quando ofertada a disciplina é predominantemente obrigatória e teórica.

Odontologia para pacientes com necessidades especiais: como é a oferta dessa disciplina nas faculdades de Odontologia do sudeste brasileiro? / Dentistry for patients with special needs: how is this discipline offered in dental schools in southeastern Brazil?

Objetivo: Realizar um estudo transversal para investigar a oferta da disciplina de odontologia para PNE nas Instituições de Ensino Superior (IES) da região sudeste do Brasil. Métodos:Foi realizada uma consulta das IES reconhecidas pelo Ministério da Educação no portal e-MEC e uma investigação da grade curricular, em busca das variáveis: inserção da disciplina na grade curricular, a categoria administrativa da unidade, a sua obrigatoriedade, a metodologia de ensino utilizada (se a matéria é de cunho teórico ou prático) e a carga horária. A busca foi feita por meio eletrônico (site da instituição) e contato via e-mail com a coordenação dos cursos. Em seguida, foi feita a organização e análise dos dados através do Software GraphPad Prism 8.1.2. Resultados: Foram encontradas 176 faculdades na região, sendo que 32 foram excluídas da amostra por não preencherem os critérios de inclusão. Das que restaram, 62,5% ofertam a disciplina na grade curricular e 71,1% o fazem em caráter obrigatório, com maior percentual nas IES do setor privado (p = 0,0002). Quanto à metodologia usada, 51,1% das instituições apresentam atividades de caráter prático/teórico-prático ou ensino a distância com conteúdo prático. A carga horária das disciplinas apresentou grande discrepância, variando de 30 horas a 240 horas. Conclusão:Mais da metade das escolas de Odontologia do sudeste brasileiro oferecem algum contato do aluno com o que se refere ao atendimento do PNE na graduação. Dentre os estados da região, o Espírito Santo apresentou um maior percentual em relação à oferta de metodologias práticas inseridas. A oferta dessa disciplina em caráter obrigatório é maior em instituições privadas.

Aim: To investigate the offer of the dentistry discipline for PSHCN in Higher Education Institutions (HEIs) in the southeastern region of Brazil. Methods: A consultation of the HEIs recognized by the Ministry of Education on the e-MEC website and an investigation of the curricular grid was carried out in search of the following variables: insertion of the discipline, the administrative category of the unit, its mandatory nature, the teaching methodology used (if the subject is of a theoretical or practical nature), and the workload. The search was made through the institution's website or, when it was not possible, by contacting the coordination's email. The data was then organized and analyzed using the GraphPad Prism 8.1.2 software and described using descriptive statistics. Results: 176 colleges were found in the region, 32 of which were excluded from our sample because they did not meet our inclusion criteria. Of the remaining institutions, 62.5% offer the discipline, of which 71.1% are mandatory, with a higher percentage in private sector HEIs. As for the methodology used, 51.1% of the institutions present practical/theoretical-practical activities or distance learning with practical content. The workload of the subjects presented a great discrepancy, ranging from 30 hours to 240 hours. Conclusion: More than half of the dental schools in southeastern Brazil offer some kind of contact with students regarding their attendance to the PNE in undergraduate education. Among the states in the region, Espírito Santo has the highest percentages of the offer of inserted practical methodologies. The offer of this discipline as a mandatory course is greater in private institutions.

Inserção da Odontologia Hospitalar na grade curricular dos cursos de Odontologia do sudeste brasileiro / Insertion of Hospital Dentistry in the curricular grade of the southeast brazilian Dentistry courses

Objetivo: Avaliar a inserção da Odontologia Hospitalar nos Projetos Políticos Pedagógicos dos cursos de Odontologia das Instituições de Ensino Superior da Região Sudeste do Brasil. Materiais e Métodos: Realizou-se um estudo transversal e quantitativo, na qual as grades curriculares dos cursos foram analisadas, buscando-se as informações referentes às variáveis: inserção da disciplina, categoria administrativa da instituição, natureza do componente curricular, metodologia de ensino, período de oferta e carga horária. Os dados foram tabulados utilizando o programa GraphPad Prism 8.1.2, sendo analisados por meio de esta-tísticas descritivas. Resultados: Dentre as 176 universidades encontradas, 144 foram avaliadas e incluídas no estudo. Verificou-se que 46 instituições (31,9%) apresentavam a disciplina de Odontologia Hospitalar, sendo que destas, 38 (82,6%) possuem caráter obrigatório. Em relação à meto-dologia de ensino empregada, 21 (45,6%) possuem natureza apenas prática, 10 (21,7%) teórico-prática, 9 (19,5%) apenas teórica e 6 (13,6%) não especificaram a metodologia. A análise da carga horária reservada para a disciplina apresentou uma média de 73,83 horas, sendo a máxima de 176 horas e a mínima de 30 horas. Conclusão: A Odontologia Hospitalar como componente curricular nos cursos de Odontologia exibe-se ainda de maneira bastante discreta. Como o Projeto Político Pedagógico está em constante elaboração e deve acompanhar as transformações e exigências profissionais, estes dados alertam para necessidade de estruturação de diretrizes para consolidação desta área de conhecimento na formação do cirurgião-dentista.

Objective: Evaluate the insertion of Hospital Dentistry in the Pedagogical Political Projects of the Dentistry courses of Higher Education Institution in the Southeast of Brazil. Materials and Methods: A cross-sectional and quantitative study was carried out, in which the curri-cula of the courses were analyzed, seeking information regarding the variables: insertion of the discipline, admi-nistrative category of institution, nature of the curricular component, teaching methodology, period of study and workload. Data were tabulated using GraphPad Prism 8.1.2 software and analyzed using descriptive statistics. Results: 176 universities found, 144 were evaluated and included in the study. It was found that 46 institutions (31.9%) had the discipline of Hospital Dentistry, and 38 (82.6%) are compulsory. Regarding the teaching metho-dology employed, 21 (45.6%) are only practical, 10 (21.7%) theoretical-practical, 9 (19.5%) only theoretical and 6 (13.6%) did not specify the methodology. The analysis of the workload reserved for the course presented an ave-rage of 73.83 hours, with a maximum of 176 hours and a minimum of 30 hours. Conclusion: Hospital Dentistry is a very discrete curricular component in Dentistry courses. As the Pedagogical Political Projects is in constant ela-boration and must follow the changes and professional demands, these data alert to the need for structuring guidelines for consolidation of this area of knowledge in the formation of the dentist.

Prótese bucomaxilofacial na Educação Superior em Odontologia: perspectivas curriculares / Maxillofacial Prosthesis in Higher Education in Dentistry: Curricular Perspectives

Introdução: A falta de contato dos estudantes com Prótese Bucomaxilofacial (PBMF) durante a graduação pode ser um fator agravante para o desinteresse na área. O objetivo do presente estudo é apresentar um panorama da disciplina de PBMF nos projetos pedagógicos dos cursos de Odontologia na Região Sudeste do Brasil. Metodologia: Estudo exploratório, quantitativo e transveral. Foram analisadas as grades curriculares disponibilizadas nos sítios web oficial das instituições de ensino superior (IES) cadastradas no portal e-MEC do Ministério da Educação. Buscou-se informações referentes às variáveis: categoria administrativa da IES, inserção e oferta da disciplina, natureza do componente curricular, método de ensino, carga horária média e formação curricular do coordenador da disciplina. Os dados foram analisados e tabulados por meio do software GraphPad Prism 8.1.2. Resultados: Os resultados desta pesquisa refletem a análise da grade curricular de 144 IES. Apenas 8 IES (5,55%) ofertam a disciplina de PBMF. Dentre estas, a maioria (62,5%) em universidades públicas, de forma obrigatória (66,6%), com conteúdo teórico, prática-laboratorial e prática-clínica (44,4%) e carga horária média de 54,56h. Conclusões: A implementação do componente curricular se encontra bastante reduzida e mais prevalente em universidades públicas. Assim, sugere-se a atualização dos curriculos do curso de Odontologia do sudeste brasileiro... (AU)

Introduction: The lack of contact of students with Maxillofacial Prosthesis (PBMF) during graduation can be an aggravating factor for the lack of interest in the area. The objective of the present study is to present an overview of PBMF discipline in the pedagogical projects of Dentistry courses in the Southeast Region of Brazil. Methods: Exploratory, quantitative and crosssectional study. The curricula available on the official websites of higher education institutions (HEIs) registered in the e-MEC portal of the Ministry of Education were analyzed. Information on the variables was sought: administrative category of the HEI, insertion and provision of the discipline, nature of the curricular component, teaching method, average workload and curricular training of the subject coordinator. Data were analyzed and tabulated using GraphPad Prism 8.1.2 software. Results: The results of this research reflect the analysis of the 144 HEI curriculum. Only 8 HEIs (5.55%) offer the discipline of MFP. Most (62.5%) in public universities, compulsorily (66.6%), with theoretical content, laboratory practice and clinical practice (44.4%) and average workload of 54.56h. Conclusions: The implementation of the curricular component is quite reduced and more prevalent in public universities. Thus, it is suggested to update the curricula of the Dentistry course in southeastern Brazil... (AU)

Oferta da disciplina de Estomatologia nos cursos de Odontologia do sudeste brasileiro / Offer of Stomatology discipline in the Dentistry courses of the Brazilian Southeast

Objetivo: oferecer um panorama sobre a presença da disciplina de Estomatologia nos projetos pedagógicos dos cursos de graduação em Odontologia da Região Sudeste do Brasil no ano de 2019. Métodos: estudo exploratório, quantitativo e transversal, no qual as grades curriculares dos cursos foram analisadas, totalizando uma amostra de 144 cursos, incluindo instituições públicas e privadas. As variáveis avaliadas foram oferta da disciplina, categoria administrativa e localização da instituição de ensino superior (IES), natureza do componente curricular, forma em que o conteúdo é ministrado e carga horária. Resultados: apenas 88 (61,11%) instituições ofertavam a disciplina em sua grade curricular, sendo que 82 (93,1%) ofertavam o conteúdo de forma obrigatória, e a maioria de forma teórico-prática. A carga horária variou de 33 a 285 horas, com média de 111,9 horas. Conclusão: o presente estudo evidenciou a dissonância com a qual a disciplina de Estomatologia é ministrada, bem como a deficiência de sua oferta por parte de muitas instituições averiguadas.(AU)

Objective: to provide an overview of the presence of the stomatology discipline in the pedagogical projects of undergraduate dentistry courses in the Southeast region of Brazil in 2019. Methods: exploratory, quantitative and cross-sectional study. The curriculums of the courses were analyzed, totaling a sample of 144 courses, from public and private ones. The variables evaluated were the offer of the subject, administrative category and location of the Higher Education Institution (HEI), nature of the curriculum component, form in which the content is taught and workload. Results: 88 (61.11%) institutions offered the discipline in their curriculum, 82 (93.1%) offer the content in a compulsory way, and most in a theoretical-practical way. The workload ranged from 33 to 285 hours, with an average of 111.95 hours. Conclusion: the present study showed the dissonance in which the discipline of stomatology is taught, as well as the deficiency of its offer by many investigated institutions.(AU)

Medical emergencies teaching in dentistry undergraduate courses in Southeastern Brazil

Aim: The aim of this study is to offer an overview of the MedicalEmergencies (ME) discipline offer in Dentistry graduations insoutheastern Brazil and to observe the curricular characteristicsof the discipline when present. Methods: This cross-sectionaldocumentary study analyzed the available curricular frameworksin the official websites of Higher Education Institutions (HEI)in southeastern Brazil registered on the Ministry of Education'se-MEC website. The data were analyzed and tabulated using theGraphPad Prism 8.1.2 software, being described by absolute andrelative frequencies. Fisher's exact test was used to compare theproportions between public and private institutions. Results:Of the 176 courses in the Southeast, 144 were included in thestudy for providing access to the curriculum, 19 (13.19%) werepublic and 125 (86.81%) were private. Only 27 (18.75%) of the HEIpresent the discipline of ME, with a greater tendency of supply inprivate HEIs (20.80%) when compared to public HEIs (5.26%),but this difference was not statistically significant (p> 0.05).As a positive aspect, the discipline is predominantly mandatory(88.88%), and the with regard to the teaching methodology ispredominantly theoretical (68.18%). The average workload is50.14 hours (SD=19.54). Conclusions: In only 18.75% of thedental institutions in Southeast Brazil, ME discipline were offered.When offered, the discipline is predominantly theoretical andmandatory. This study raises an important discussion regardingthe need to include specific and mandatory subjects on ME inthe dentistry curricula in Brazil and reflects the need to updateand standardize the national curricular guidelines for dentistry