Ranula Formation After Lingual Frenectomy in a Newborn.

Ankyloglossia is a developmental anomaly characterized by a shortened lingual frenulum, which can range from cases with no clinical relevance to severe cases, where frenectomy may be indicated. In newborns, this indication has increased exponentially. The purpose of this report is to discuss obstruction of the sublingual caruncle, with a recurrent ranula, as a post-surgical complication of laser lingual frenectomy performed in a newborn. The treatment provided is also discussed (marsupialization and removal of the affected sublingual glands). Lingual frenectomy should be performed with great care, especially in newborns, because the sublingual caruncles can be affected and complications can occur.

Knowledge changes after applying evidence-based dentistry educational interventions to dental students: A systematic review.

PURPOSE: To critically evaluate the evidence on knowledge changes observed after the application of evidence-based dentistry (EBD) educational interventions to dental students. METHODS: We included studies that assessed EBD knowledge after applying educational interventions to undergraduates. Studies that evaluated post-graduate students or professionals, that exclusively described educational interventions, programs, or the application of curriculum revisions were excluded. Electronic databases (PubMed, Embase, Scopus, and Web of Science), unpublished gray literature, and manual searches were performed. Data concerning "perceived" and "actual knowledge" was extracted. The quality of the studies was appraised according to the Mixed Methods Appraisal Tool. RESULTS: The 21 selected studies enrolled students at different stages, and the intervention formats were diverse. The educational interventions could be categorized into three modalities, that is, regular, EBD-focused disciplines or courses, and other educational interventions including one or more of the EBD principles, methods, and/or practices. Despite the format, knowledge was generally improved after the implementation of educational interventions. Overall, perceived and actual levels of knowledge increased considering EBD general concepts, principles, and/or practices, and concerning the "acquire" and "appraise" skills. Among the selected studies, two were randomized controlled trials, while most were non-randomized or descriptive studies. CONCLUSIONS: EBD-related educational interventions seem to improve dental students' perceived and actual knowledge, according to literature with a high risk of bias. Therefore, more complete, methodologically rigorous, and longer-term studies are still recommended to confirm and expand the current knowledge.

Active teaching methodologies in health education / Metodologias ativas no ensino em saúde

ABSTRACT This study is a literature review on the contributions of active methodologies in Higher Education in the health area. From the reviewed literature (texts, articles and books), an academic essay was written, addressing ideas, reflections, literature citations and authors' personal impressions on the theme. After analyzing the literature, it was realized that active methodologies despite being involved in the teaching-learning process for several years, still require that teachers and students widely appropriate their benefits. The implementation of this change will help in coping with the factors that have negatively interfered in higher health education. It is a challenge that needs to be embraced by teachers and students. Conclusions: Active teaching methodologies can be included in all teaching models and methods and aim to promote learning and expand the possibilities for students to develop their competencies.

RESUMO Este estudo trata de uma revisão de literatura sobre as contribuições das metodologias ativas no Ensino Superior na área da saúde. A partir da literatura revisada (textos, artigos e livros), foi redigido um ensaio acadêmico, abordando ideias, reflexões, citações da literatura e impressões pessoais dos autores sobre o tema. Após análise da literatura, percebeu-se que as metodologias ativas apesar de estarem envolvidas no processo ensino-aprendizagem há vários anos, ainda demandam que professores e estudantes apropriem--se amplamente dos seus benefícios. A implementação desta mudança auxiliará no enfrentamento dos fatores que tem interferido negativamente na educação superior em saúde. É um desafio que precisa ser abraçado por professores e estudantes. As metodologias de ensino ativas podem ser incluídas em todos os modelos e métodos de ensino e visam favorecer o aprendizado e ampliar as possibilidades dos estudantes no desenvolvimento de suas competências.

Produção científica sobre fluorose em regiões endêmicas: estudo bibliométrico de Anais das Reuniões da Sociedade Brasileira de Pesquisa Odontológica / Scientific production on fluorosis in endemic regions: bibliometric study of Meeting Annals of the Brazilian Society of Dental Research

Objetivo: Identificar os resumos publicados nas Reuniões Anuais da Sociedade Brasileira de Pesquisa Odontológica sobre fluorose em regiões endêmicas e verificar a contribuição da Ciência Brasileira para o assunto. Métodos: Este estudo descritivo foi realizado com dados secundários do período entre 2005 e 2020; os estudos elegíveis foram identificados a partir dos descritores presentes no título e/ou resumo: flúor, fluorose, fluorose dental, fluorose dentária, fluoretação, intoxicação por flúor. Critérios de inclusão: estudos em regiões declaradas como de fluorose endêmica ou que citassem o teor de flúor acima de 0,8 mg F/L. Foram excluídos estudos que não declarassem estudar fluorose em regiões endêmicas ou não citassem o teor de flúor na água. Os dados foram coletados por dois examinadores de modo independente e a distribuição de frequências dos dados foi realizada (Microsoft Excel para Mac v.16.16.12). Resultados: Observou-se que de 41.953 resumos publicados durante esses 15 anos, 1190 (2,83%) foram elegíveis; 426 (1,01%) abordaram especificamente o tema fluorose e24 (0,06%) a fluorose em regiões endêmicas. Os assuntos abordados envolveram tratamento (n = 4; 14,81%); desenvolvimento de programas de promoção de saúde bucal (n = 2; 7,69%);avaliação da potabilidade da água (n = 2; 7,41%); implementação de sistemas de desfluoretação (n = 2; 7,41%); prevalência e severidade (n = 2; 7,41%); distribuição da fluorose na dentição (n = 1, 3,70%); impacto na qualidade de vida (n = 2; 7,41%); percepçãoestética(n = 5; 18,52%); uso e ingestão de flúor (n = 3; 11,11%); fluorose óssea (n = 2; 7,41%); análise da possibilidade de alteração no padrão cognitivo (n = 1; 3,70%), nas funções motoras e no equilíbrio (n=1; 3,70%).Conclusão: Diferentes aspectos relacionados à fluorose em região endêmica foram abordados. A Ciência Brasileira tem se dedicado ao tema ao longo dos anos. Entretanto, há um número restrito de estudos, em especial sobre a relação dose-reposta.

Aim: Identify the abstracts published at the Brazilian Society for Dental Research's Annual Meetings regarding Fluorosis in endemic regions, as well as verify the contribution of Brazilian science to the subject. Methods:This descriptive study was conducted using secondary data from the period between 2005 and 2020; the eligible studies were identified from the descriptors present in the title and/or abstract, as follows: fluoride, fluorosis, dental fluorosis, dental fluorosis, fluoridation, fluoride poisoning. Inclusion criteria: studies in regions with endemic fluorosis were included. Studies that did not address fluorosis in endemic regions were excluded. Data were collected by two independent examiners and the distribution frequency of the data was performed (Microsoft Excel for Mac v.16.16.12). Results: It was observed that of the 41,953 abstracts published during these 15 years, 1,190 (2.83%) were eligible; 426 (1.01%) specifically addressed the theme of fluorosis, and of these, 24 (0.06%) reported on fluorosis in endemic regions. The subjects addressed involved treatment (n = 4; 14.41%), the development of oral health promotion programs (n = 2; 7.41%), the evaluation of water potability (n = 2; 7.41%), the implementation of defluoridation systems (n = 2; 7.41%), prevalence and severity (n = 2; 7.41%), the distribution of fluorosis in dentition (n = 1, 3.70%), impacts on the quality of life (n = 2; 7.41%), esthetic perceptions (n = 4; 18.52%), fluoride use and ingestion (n = 3; 11.11%), bone fluorosis (n = 2; 7.41%), the analysis of alterations in the cognitive pattern (n = 1; 3.70%) and change in motor functions and balance (n=1; 3,70%).Conclusion: Different aspects related to fluorosis in an endemic region were addressed. Brazilian Science has been devoted to the theme over the years; however, there have been a limited number of studies published in the literature concerning the dose-response ratio.

Análise da rugosidade superficial por perfilometria digital 3D do esmalte bovino microabrasionado por três diferentes pontas / Surface roughness analysis using 3D digital profilometry of microabrasioned bovine enamel by three different tips

A evolução de técnicas conservadoras contribui para uma melhora estética e a microabrasão do esmalte vem sendo pesquisada e indicada como tratamento para remoção de manchas superficiais do esmalte dentário. O objetivo deste estudo in vitro foi comparar através da análise por perfilometria digital 3D, a rugosidade superficial (Sa) do esmalte bovino microabrasionado com ácido fosfórico a 37% e pedra pomes (A) associado a três tipos de pontas aplicadoras: taça de borracha (T), ponta cônica (C) e opal cups (O). Para a análise de superfície foram selecionados 9 espécimes, previamente planificados e divididos em 3 grupos (AT; AC; AO) contendo 3 amostras cada. No presente experimento, optou-se por fazer 6 aplicações de 10 segundos, utilizando método de aplicação mecânico, com rotação do micromotor de 12.000rpm, sendo a carga atuante sobre os espécimes de 30g. Observou-se que para as três pontas houve diferença estatística significante entre a rugosidade superficial inicial (SaI AT = 0,023µm; AO = 0,026µm e AC = 0,026µm) e rugosidade superficial final (SaF AT = 0,384µm; AO = 0,442µm; AC = 0,305µm; Wilcoxon, p<0,05). Os menores valores de rugosidade superficial foram promovidos pela ponta cônica, seguidos por taça de borracha e Opal Cups.

The evolution of conservative techniques contributes to improve aesthetics. Enamel microabrasion has been researched and performed as a treatment to remove stains on enamel surface. The aim of this in vitro study was to compare surface roughness (Sa) of microabrasioned enamel with 37% phosphoric acid and pumice (A) associated with three types of applicator tips: cup rubber (T), conical tip (C) and opal cups (O). For surface analysis 9 specimens were selected, they were previously flattened and divided into 3 groups (AT, AC, AO) with 3 samples each. In this experiment, 6 applications of 10 seconds were performed using mechanical rotation of 12.000 rpm under 30g acting load on the samples. Statistically significant difference between the initial surface roughness was observed for the three tips: (SaI AT = 0.023 µm; AO = 0.026 µm and AC = 0.026 µm) and final surface roughness (SaF AT = 0.384 µm; AO = 0.442 µm; AC = 0.305 µm; Wilcoxon, p <.05). The lower surface roughness values were promoted by tapered tip, followed by rubber and Opal Cups.

Atendimento de urgência na Clínica de Odontopediatria / Urgency care in Clinic of Pediatric Dentistry

Objetivou-se neste estudo apresentar os resultados do atendimento de urgência realizado em crianças (0-12 anos) no Projeto de Extensão "Pronto-Socorro Odontopediátrico", da Disciplina de Odontopediatria (UFES) durante o período de 06/2003 a 12/2010. Dados de 574 prontuários foram tabulados no Excel 2007, para avaliar a relação entre as variáveis (procedência, gênero, idade, diagnóstico e tratamentos realizados), tendo sido realizado teste Qui-quadrado e correlação de Pearson, significância de 5%. Apenas 28.5% das crianças atendidas residiam em Vitória/ES, e 53.3% eram do gênero masculino. Os motivos para procurarem atendimento foram: cárie (39.6%), traumatismo dentário (31.7%) e alterações patológicas (28.7%). Quanto à história de dor, 53,8% relataram dor, sendo 24.4% espontânea e 29,3% provocada. Foram realizados procedimentos cirúrgicos, endodônticos e restauradores. Após o atendimento, 51.6% dos pacientes foram encaminhados para tratamento eletivo em outras clínicas. Com base nos resultados obtidos, concluiu-se que a maioria das crianças atendidas era de cidades vizinhas a Vitória/ES; a cárie dentária foi o principal motivo procura pelo atendimento de urgência; o trauma dental foi maior em crianças de menor idade; a alteração patológica mais prevalente foi a retenção prolongada de dentes decíduos, e a maioria das crianças foram encaminhadas para a disciplina de odontopediatria para sanar as suas necessidades.

The aimed of this study is to present the results of the urgency care that is performed in children aged 0-12 years in Extension Project "Emergency Room pediatric dentistry", linked to the Discipline of Pediatric Dentistry at UFES period 06-2003 to 12-2010. The data from 574 medical records were tabulated in Excel 2007 and, to assess the relationship between variables (origin, gender, age, diagnosis and treatments), were analyzed for Chi-square test and Pearson correlation. Only 28,6% of the children lived in Vitória and 53,5% were male. The reasons for the demand for dental care were caries dental (39.6%), dental trauma (31.7%) and pathological changes (28.7%), being that, 53,5% reported pain, provoked 28,3% and spontaneous 25,2%. Surgical procedures were performed (184), endodontic (93) and restorative (91). After urgency treatment, 51.6% of patients were referred for elective treatment in other clinics at the University. Based on the results, can be concluded that: most of the children served were from neighboring towns to Vitória/ES, caries was the main reason why the demand for emergency care, dental trauma was higher in younger children; pathologic changes and most children were referred to the discipline of pediatric dentistry to meet the needs of children.