Adverse Effects of Natural Products in the Oral Mucosa and Face: A Scoping Review.

Objective: This scoping review aimed to map the adverse reactions in the oral mucosa and face caused by the use of natural products. Methodology: This review was performed according to the Joanna Briggs Institute Manual for Evidence Synthesis and the Preferred Reporting Items for Systematic Reviews and Meta-Analyses extension for Scoping Reviews (PRISMA-ScR) guidelines, with a protocol registered in the Open Science Framework (DOI 10.17605/OSF.IO/R57D8). The search was carried out systematically using PubMed, Scopus, Web of Science, Embase, LILACS, and LIVIVO databases, as well as gray literature through Google Scholar and OpenGrey. Reports of clinical cases on the adverse effects of natural products on the oral mucosa or perioral region of the face resulted from inappropriate use or self-medication were included. Data from the included studies were described in a narrative form. Results: Seven hundred and six studies were identified, and after removing duplicates and applying the eligibility criteria, 28 studies were included. The year of publication ranged from 1976 to 2022. The studies were conducted in 19 countries. Fifty patients were mentioned in the included studies and 34 were female (68%). The natural products most related to adverse reactions were propolis (n = 17), with manifestations such as perioral eczema, edema, erosions, erythema, allergic contact dermatitis, and garlic (n = 9), with manifestations such as chemical burn, burning sensation, vesicles and blisters, crusts, and ulcerations. Conclusion: Propolis and garlic were the natural products with the most reported adverse effects on the oral mucosa and perioral region.

Integração dos componentes curriculares Escultura Dental e Prótese Parcial Removível no desenvolvimento de material didático auxiliar para a pré-clínica / Integración de los componentes curriculares Escultura Dental y Prótesis Parcial Removible en el desarrollo de material didáctico auxiliar para el preclínico / Integration of Dental Sculptureand Removable Partial Denture courses in developing instructional material for pre-clinical use

O objetivo deste relato de experiência foi integrar os componentes curriculares Escultura Dental e Prótese Parcial Removível por meio da confecção de macromodelos com nichos em dentes anteriores e posteriores a serem usados como material didático auxiliar.A metodologia teve abordagem descritiva. Foram confeccionados macromodelos em cera dos seguintes elementos dentários: caninos superiores e inferiores, pré-molar superior e molares superiores e inferiores. Em seguida, nichos foram preparados nos elementos,reproduzindo as características da etapa de Preparo de Boca Tipo II ou Protético. Macromodelos com as características individuais de nichos oclusais simples e duplo (interdental) em dentes posteriores foram obtidos, bem como com nichos em cíngulos, tanto confecionados por desgaste como por acréscimo. Diante do conhecimento da anatomia dental e a habilidade manual desenvolvidos na Escultura Dental, os macromodelos confeccionados permitiram uma melhor visualização das características morfológicas dos nichos,sendo considerado um recurso complementar no processo ensino-aprendizagem em Prótese Parcial Removível (AU).

El objetivo de este relato de experiencia fue integrar los componentes curriculares Escultura Dental y Prótesis Parcial Removible mediante la creación de macromodelos con nichos en dientes anteriores y posteriores para ser utilizados como material didáctico auxiliar. La metodología tuvo un enfoque descriptivo. Se realizaron macromodelos en cera de los siguientes dientes: caninos superiores e inferiores, premolares superiores y molares superiores e inferiores. A continuación, se prepararon nichos en los elementos, reproduciendo las características de la etapa de Preparación de la Boca Tipo II o Prótesis. Se obtuvieron macromodelos con las características individuales de nichos oclusales simples y dobles (interdentales) en dientes posteriores, así comonichos en cingulados, ambos creados por desgaste y adición. Dado el conocimiento de la anatomía dental y la habilidad manual desarrollada en la Escultura Dental, los macromodelos realizados permitieron una mejor visualización de las características morfológicas de los nichos, considerándose un recurso complementario en el proceso de enseñanza-aprendizaje en Prótesis Parcial Removible (AU).

The objective of this experience report was to integrate the curricular components of Dental Sculpture and Removable Partial Dentures through the creation of macromodels with rest seat in anterior and posterior teeth to be used as auxiliary teaching material. The methodology had a descriptive approach. Wax macromodels were made of the following teeth: upper and lower canines, upper premolar and upper and lower molars. Next, rest seats were prepared in the elements, reproducing the characteristics of the Type II or Prosthetic Mouth Preparation stage. Macromodels with the individual characteristics of single and double (interdental) occlusal rest seats in posterior teeth were obtained, as well as rest seats in cingulum, both created by wear and with composites. Given the knowledge of dental anatomy and the manual skill developed in Dental Sculpture, the macromodels made enabled better visualization of the morphological characteristics of the rest seats, being considered a complementary resource in the teaching-learning process in Removable Partial Prosthesis (AU).

Combinando estratégias de aprendizagem para o desenvolvimento de habilidades e competências na Prótese Parcial Removível pré-clínica: um relato de experiência / Combining learning strategies for developing abilities and competencies in a preclinical Removable Partial Denture course: an experience report

O uso da metodologia ativa no ensino da Odontologia é recomendado nas Diretrizes Curriculares Nacionais, com a finalidade de desenvolver habilidades e competências, assim como de estimular a capacidade reflexiva dos egressos. Em Prótese Parcial Removível (PPR), alguns estudos apontam os benefícios do método centrado no aluno, utilizando diferentes estratégias, como Problem-Based Learning (PBL), Case-Based Learning (CBL) e Team-Based Learning (TBL) com resultados positivos no processo ensino-aprendizagem. Este artigo tem como objetivo relatar a experiência do uso de metodologias ativas como o CBL, a Sala de Aula Invertida e a estratégia do Brainstorming na disciplina de Prótese Parcial Removível da Universidade Federal da Paraíba, estimulando o desenvolvimento do pensamento crítico do aluno no planejamento de arcos parcialmente desdentados desde a fase pré-clínica. Como produto dessa mudança na estratégia pedagógica, desenvolveram-se materiais instrucionais como um checklist de perguntas e um fluxograma que foram implementados como ferramentas facilitadoras no processo ensino-aprendizagem durante as práticas de laboratório. A adaptação de estratégias de ensino com participação ativa dos estudantes pode ser útil na verificação das dificuldades durante o planejamento, as quais podem ser solucionadas previamente aos atendimentos de pacientes nas clínicas. Os materiais instrucionais desenvolvidos na disciplina podem auxiliar os professores de Odontologia a refletir sobre diferentes formas de metodologias no ensino da PPR e inserir o aluno no processo de construção do seu conhecimento (AU).

Active methodologies in dental education have been highly recommended by the National Curricular Guidelines in developing students' abilities and competency, and directly impact on the reflective capacity of new professionals. Some studies on Removable Partial Dentures (RPD) have pointed out benefits of the student- centered method by using different strategies such as Problem-Based Learning (PBL), Case- Based Learning (CBL) and Team-Based Learning (TBL), with positive results in the teaching and learning processes. This article aims to report the experience of using active methodologies such as CBL, Inverted Classroom and Brainstorming techniques as a strategy in the RPD Preclinical Course of the Federal University of Paraíba, focusing on the development of students' critical thinking for planning partial edentulous arches. As a result of this change, instructional materials such as a checklist of questions and a flowchart were developed and have started to be implemented as important tools during the laboratory classes. Adapting teaching strategies with the active participation of students can be a valuable tool to verify difficulties during prosthesis planning. As a result, it can improve self-confidence in determining the mechanical components prior to clinical care. The instructional materials developed can help professors to reflect on different forms of methodologies in RPD teaching and insert students in their own knowledge construction (AU).

Case report of oral mucosa garlic burn during COVID-19 pandemic outbreak and role of teledentistry to manage oral health in an older adult woman.

BACKGROUND: The COVID-19 global pandemic and the uncertainty of an effective treatment protocol have resulted in fear and anxiety, which have increased the search for natural products to prevent the disease and to manage the symptoms. AIMS: To discuss the negative effects of garlic used as a preventive measure against the novel coronavirus. METHODS AND RESULTS: This study reports a case of oral mucosa burn on the dorsal surface of the tongue in a 72-year-old woman. The patient was using raw garlic daily during the pandemic to improve her immunological system. She scheduled a dental appointment and was assessed by teledentistry due to the pandemic, in which a detailed anamnesis was carried out. The burned area and ulceration were identified by video call and photographs. The patient was instructed to cease the habit immediately and change to a soft and non-acid/spicy/hot diet, which resulted in a great recovery 2 days later. She was monitored for 2 weeks until her tongue was completely healed. CONCLUSION: This case highlights the consequences of inappropriate use of natural product and how self-treatment could negatively influence oral health. Additionally, it shows the importance of teledentistry for oral diagnosis and treatment during a pandemic.