Assuntos
Periodontite/diagnóstico , Pulpite/diagnóstico , Doença Aguda , Adulto , Diagnóstico Diferencial , Feminino , Humanos , Masculino , Pessoa de Meia-Idade , Abscesso Periapical/diagnóstico , Abscesso Periapical/etiologia , Abscesso Periodontal/diagnóstico , Abscesso Periodontal/etiologia , Periodontite/complicações , Pulpite/complicações , Mobilidade Dentária , Raiz Dentária/lesões , Odontalgia/diagnósticoRESUMO
Infection of the oral mucous membrane is frequent in patients with removable prostheses, either totally of partially, and particularly when the prostheses is palatal. The principal etiological factor causing the infection is accepted to be "Candidas" aided by the presence of plaque bacteria (in patients with poor oral hygiene care), and a poor fit of the prostheses to the soft tissues. Treatment of the infection must proceed in the following order: a) use of effective medication against oral fungus such as Nystatin or Ketoconazole. b) Meticulous oral hygiene care in the mucous membrane as well as in the prostheses, but using the prostheses as little as possible during the treatment period. c) A total cure of the infection (denture stomatitis) before proceeding to the next phase of the treatment. d) Determination of the adjustment and occlusion of the prostheses in order to determine those areas of the prostheses which need to be refilled because of maladjustment of the prostheses to the soft tissues of the patient.
Assuntos
Candidíase Bucal , Estomatite sob Prótese/terapia , Estomatite/terapia , Clorexidina/uso terapêutico , Prótese Total/efeitos adversos , Humanos , Cetoconazol/uso terapêutico , Nistatina/uso terapêutico , Higiene Bucal , Estomatite sob Prótese/etiologiaRESUMO
This study was designed to evaluate the significance and interrelationship of clinical parameters and their association with histologic changes in advanced destructive periodontitis. 158 patients with PDI greater than 4 (Ramfjord) were selected, evaluating the size, contouring, bleeding, consistency, colour and gingival pain. Epithelial ulceration of soft periodontal pockets were also evaluated. The results showed a statistically significant association between purplish colour and gingival fibrosis and advanced stage of the disease. Gingival bleeding on probing was the most important clinical parameter in advanced phases of the disease, either alone or in association with other parameters such as the presence of epithelial ulcerations. The Periodontal Disease Index (Ramfjord) has proven effective in the evaluation of generalized patterns of disease.
Assuntos
Periodontite/patologia , Adulto , Idoso , Doença Crônica , Cálculos Dentários/patologia , Feminino , Hemorragia Gengival/patologia , Humanos , Masculino , Pessoa de Meia-Idade , Índice Periodontal , Mobilidade Dentária/patologiaRESUMO
Cyclosporine is a Metabolita produced by the Topocladium inflamatum fungus. This substance produces an immunosuppression of the selective type, which has been responsible for the increased use of this drug for immunological caused pathologies, especially in organ transplants to inhibit body rejection. One of its secondary characteristics or effects is gingival hyperplasia (in 30 por 100 of the cases noted) an effect which generally occurs on the level or in the area of the dental papilla. An anatomopathological study of these tissues shows an increase in collagens along with a large infiltration of plasmatic cells in different states of maturity. In this article, two cases of renal transplants using cyclosporine were monitored to evaluate its effect in any on the gingival tissues.
Assuntos
Ciclosporinas/efeitos adversos , Hiperplasia Gengival/induzido quimicamente , Transplante de Rim , Adulto , Humanos , MasculinoRESUMO
It is necessary to add to the antibiotic prophylaxis suggestions of the infectious endocarditis facing odontologic treatment that, in the patient to treat, clinic forms of JPL and RPP are rejected because of their proved relation with the Actinobacillus actinomycetemcomitans and because this last one is resistant to the recommended prophylaxis methods.