A study of facial pattern in patients with fanconi anemia.

OBJECTIVE: This study is aimed to evaluate craniofacial features in patients with Fanconi anemia (FA) through cephalometric analysis and to classify the facial growth pattern to observe possible facial discrepancies. DESIGN: This is a cross-sectional study which employed a quantitative approach to compare linear and angular measurements of cephalometric analysis in lateral teleradiographic images of a clinical type sample of patients with FA. A retrospective cephalometric study was performed using cephalometric analyses of Ricketts and Steiner; growth patterns according to Ricketts' vertical growth pattern (VERT index) were also analyzed. PATIENTS: Fifty patients diagnosed with FA who were undergoing anti-aplasia treatment at the outpatient Hematology service at the Federal University of Paraná, Curitiba, Brazil were included in the study. INTERVENTIONS: The patients were evaluated in the School of Dentistry of the Pontifical Catholic University of Paraná (PUCPR), Curitiba, Brazil. Exclusion criteria included patients who had used or were using growth hormone medication, had undergone bone marrow transplant, or had been previously subjected to dental treatment. MAIN OUTCOME MEASURES: Cephalometric points were plotted in order to set up linear and angular cephalometric measurements. Angular and linear measurements from 17 factors proposed by Ricketts' cephalometric analysis were assessed. RESULTS: Dolicofacial appearance was observed in 52% of individuals; braquifacial in 28%, and mesofacial in 20%. Significant maxillary/mandibular discrepancy was observed. It was concluded that upon anteroposterior evaluation of facial bone structures, the FA sample presented smaller median measurements in most variables evaluated; it also presented mandibular micrognathism and mainly dolicofacial vertical growth pattern. These findings, together with other features such as skin pigmentation and microphthalmia, may lead to a possible recognition of a FA condition from a patient's facial features.

Management of two cases of desquamative gingivitis with clobetasol and Calendula officinalis gel.

BACKGROUND: The purpose of this paper is to describe two cases of desquamative gingivitis (DG) that were treated with a topic gel containing clobetasol propionate and Calendula officinalis L in an acetate tray over two years. METHODS: Two patients with a diagnosis of lichen planus presenting as DG who had undergone previous treatments for this condition with no significant results, were treated by a handling gel containing clobetasol, nystatin, Calendula officinalis L and pectin in custom trays. RESULTS: Both patients had remission of symptoms while using the trays and after they stopped the treatment, the symptomatic outbreaks were delayed and presented as less severe symptoms in the two years follow-up. The treatment is aimed primarily at reducing the length and severity of symptomatic outbreaks desquamative gingivitis. CONCLUSION: This handling gel using a tray may be an efficacious treatment of desquamative gingivitis.

Lesões por esforços repetitivos em cirurgiões-dentistas: um estudo de caso: cisto sinovial de punho / Repetitive strain injuries affecting surgeon-dentists: a case report: ganglion of the wrist

Estudo de caso de cisto sinovial unilocular no punho esquerdo de uma estudante do Curso de Graduação em Odontologia da Universidade Federal de Santa Catarina, com 22 anos de idade. Como fatores biomecânicos causais, observou-se a má postura com desvio ulnar e aplicação de força excessiva em seus hábitos profissionais. A estudante relatou sentir-se estressada e existência de outros casos na família. O tratamento realizado, inicialmente, foi o fisioterápico com conseqüente cirurgia. Apesar de não haver dor ou disfunção, a estudante optou pela cirurgia por uma questão estética, já que o prognóstico é bom, não havendo recidiva em 95 por cento dos casos