Proliferative Periostitis in a Pediatric Patient.

Proliferative periostitis is a rare condition that can affect children and adolescents. It is characterized by the successive deposition of layers of bone caused by low-virulence infection or chronic inflammatory stimulation. The purpose of this paper is to report a case of proliferative periostitis in a pediatric patient, emphasizing the clinical and radiographic aspects as well as the therapeutic management.

Local administration of Tiludronic Acid downregulates important mediators involved in periodontal tissue destruction in experimental periodontitis in rats.

OBJECTIVE: The purpose of this study was to evaluate whether local administration of TIL could influence the expression of the inflammatory mediators IL-1ß, TNF-α, MMP-8 and COX-2 in rats with experimental periodontitis (EP). METHODS: Twenty-four adult male rats (Rattus norvegicus, albinus, Wistar) were assigned to groups C, EP, EP-TIL (CControl group, EP-Periodontitis groups). On EP groups, a ligature was placed around maxillary 2nd molars on day 1. On group EP-TIL, 20 µL of TIL solution (1 mg/kg body weight) was injected into the subperiosteal palatal area adjacent to the maxillary 2nd molar every other day until euthanasia (day 11). Alveolar bone loss was morphometrically analyzed. mRNA expressions of IL-1ß, TNF-α, MMP-8 and COX-2 were assessed by qPCR. IL-1ß, TNF-α, MMP-8 and COX-2 were immunohistochemically analyzed. Data were analyzed statistically. RESULTS: Group EP-TIL presented reduced alveolar bone loss when compared with group EP (p < 0.05). Group EP-TIL presented decreased mRNA expressions of IL-1ß, TNF-α, MMP-8 and COX-2 and reduced immunolabeling of IL-1ß, TNF-α and MMP-8 when compared with group EP (p < 0.05). No differences regarding the immunolabeling of COX-2 were found when group EP-TIL was compared with the other groups (p > 0.05). CONCLUSION: Within the limits of this study, it can be concluded that local administration of TIL downregulates important mediators involved in periodontal tissue destruction in ligature-induced periodontitis in rats.

Quando a saúde bucal bate à porta: protocolo para a atenção domiciliar em odontologia / When oral health knocks on the door: protocol for oral home care / Cuando la salud bucal llama a la puerta: protocolo para la atención domiciliaria en Odontología

Objetivo: Apresentar uma proposta de protocolo de atenção domiciliar em saúde bucal na Atenção Primária para pacientes restritos ao lar. Síntese dos dados: A construção do instrumento se deu através de visitas domiciliares realizadas durante o módulo Estágio em Atenção Primária dos estudantes do Curso de Odontologia, no município de Sobral-CE, no período de agosto a dezembro de 2014. As visitas tiveram como foco a educação e promoção de saúde, a motivação para o autocuidado e a estratificação de risco para a intervenção da Equipe de Saúde Bucal (ESB). O protocolo contempla aspectos de saúde geral, com dados pessoais, de adscrição à Estratégia Saúde da Família e informações referentes à saúde bucal, ações de educação em saúde para o paciente e/ou cuidador, e indicação da necessidade de intervenção em domicílio e/ou na unidade de saúde pela ESB e de encaminhamento para o serviço de atenção secundária. Conclusão: O instrumento elaborado apresenta uma boa capacidade de utilização no processo de trabalho em saúde bucal proporcionada pela integração ensino-serviço. A experiência possibilita qualificar a atenção domiciliar à saúde bucal e contribuir para melhoria da saúde do paciente.

Objective: To present an oral health home care protocol proposal for Primary Health Care of patients confined to the home. Data synthesis: The instrument was developed by carrying out home visits during an internship module in primary care undertaken by Dentistry students from the municipality of Sobral, Ceará, in the period from August to December 2014. The visits focused on health promotion and education, motivation for self-care and risk stratification for the intervention of the Oral Health Team (Equipe de Saúde Bucal ­ ESB). The protocol comprises general health aspects, personal information, subscription to the Family Health Strategy, information on oral health, education activities targeted at the patient and/or caregiver, and indication of the need for intervention at home and/or health center by the ESB and for referral to secondary health care services. Conclusion: The instrument developed presents a good capacity for utilization in the oral health work process due to the teaching-service integration. The experience allows to qualify the oral health home care and contributes to the improvement of the patient's health.

Objetivo: Presentar una propuesta de protocolo de atención domiciliaria en salud bucal en la Atención Primaria para pacientes restrictos al hogar. Síntesis de los datos: La construcción del instrumento se dio a través de visitas domiciliarias realizadas durante el modulo de Prácticas de la Atención Primaria de los estudiantes del Curso de Odontología en el municipio de Sobral-CE en el período entre agosto y diciembre de 2014. Las visitas tuvieron el foco para la educación y promoción de la salud, la motivación para el autocuidado y la estratificación del riesgo para la intervención del Equipo de Salud Bucal (ESB). El protocolo incluye los aspectos de salud general con datos personales, de adscripción a la Estrategia Salud de la Familia e informaciones referentes a la salud bucal, acciones de educación en salud para el paciente y/o el cuidador e indicación de la necesidad de intervención en el domicilio e/o en la unidad de salud por la ESB y de la orientación para buscar el servicio de atención secundaria. Conclusión: El instrumento elaborado presenta buena capacidad de utilización del proceso de trabajo en salud bucal proporcionada por la integración enseñanza-servicio. La experiencia posibilita cualificar la atención domiciliaria a la salud bucal y contribuir para la mejoría de la salud del paciente.