RESUMEN
Actinomycosis is a relatively rare infection caused by saprophytic bacteria of the oral cavity and gastrointestinal tract that can become pathogenic. The chronic hyperglycemia of diabetes mellitus induces events that promote structural changes in various tissues and are associated with problems in wound healing. This infection remains largely unknown to most clinicians because of its different presentations, and palatal involvement is extremely rare. This report describes the case of a 46-year-old woman who was diagnosed with actinomycosis involving the hard palate. The main clinical, histopathologic, and therapeutic characteristics and differential diagnosis of actinomycosis are reviewed. To date, 3 cases of actinomycosis involving the hard palate have been reported.
Asunto(s)
Actinomicosis/complicaciones , Actinomicosis/patología , Diabetes Mellitus Tipo 1/complicaciones , Úlceras Bucales/patología , Paladar Duro/patología , Actinomicosis/tratamiento farmacológico , Adulto , Amoxicilina/uso terapéutico , Antibacterianos/uso terapéutico , Diagnóstico Diferencial , Esculina/análisis , Femenino , Humanos , Sulfuro de Hidrógeno/análisis , Úlceras Bucales/etiología , Ureasa/análisisRESUMEN
As fissuras labiopalatinas são as anomalias craniofaciais mais comuns, com uma prevalência mundial de 1 paciente para cada 1000 nascimentos, e de 1 para cada 650 nascidos no Brasil. O presente artigo relata um caso de um paciente com fissura labial unilateral completa, operado pela técnica de Fisher aos 10 meses, detalhando o método cirúrgico. Diversas técnicas de queiloplastias são descritas na literatura, com variáveis resultados estéticos e funcionais. No referido caso a técnica mostrou uma excelente qualidade de cicatriz, permitindo o trabalho fonoaudiológico para melhorar a motricidade oral... (AU)
As cleft lip and palate are the most common craniofacial anomalies, with a worldwide prevalence of 1 patient per 1000 births and 1 per 650 born in Brazil. This article reports a case of a patient with complete unilateral cleft lip, operated by Fisher's technique at 10 months, detailing the surgical method. Several cheiloplasty techniques are described in the literature, with several aesthetic and functional results. In this case, the technique showed an excellent quality of healing, allowing speech therapy to improve oral motor skills... (AU)
Asunto(s)
Humanos , Masculino , Lactante , Hueso Paladar/anomalías , Logopedia , Labio Leporino/cirugía , Cara , Cicatriz , Enfermedades del Recién NacidoRESUMEN
Objetivo: avaliar o nível de conhecimento dos alunos de odontologia sobre as principais síndromes emergenciais que ocorrem em consultório odontológico. Métodos: realizada com alunos de odontologia de uma escola pública no estado da Paraíba, com uma abordagem quantitativa de caráter descritivo e transversal avaliando-se cento e onze alunos matriculados entre o 5º e o 10º período por meio de questionário com perguntas objetivas. Resultados: a média de acertos foi de 60,27%; os alunos do 9° período acertaram 54,5%, e os do 10° atingiram 66% (os menores e maiores índices respectivamente); 22,5% do total de alunos participaram de estágios hospitalares, obtendo média de acerto de 64,7%, enquanto os que não participaram acertaram 58,9%. Relativo ao conhecimento específico da manobra de ressuscitação cardiorrespiratória (RCR), o índice de acertos atingiu 24,3%. Conclusões: observou-se um nível de conhecimento relativamente menor dos alunos que não frequentaram estágios hospitalares, demostrando a relevância dessa atividade para os cirurgiões-dentistas, devendo, pois, a comunidade odontológica tomar conhecimento da preparação dos profissionais e da educação continuada a esse respeito, implementando disciplinas que acompanhem o aluno durante o curso, ensinando-o a lidar com emergências, eliminando a dependência do estágio hospitalar para adquirir o conhecimento, uma vez que tais síndromes podem ocorrer em qualquer especialidade odontológica.
Objective: To assess dental students' level of knowledge of the main emergency syndromes that occur in the dental office. Methods: Study conducted by dental students in a public school in the state of Paraíba using a descriptive and cross-sectional quantitative approach. one hundred and eleven students enrolled in periods 5 to 10 were evaluated by a questionnaire containing objective questions. Results: The mean score was 60.27%; the students in period 9 correctly answered 54.5% of the questions and the corresponding figure for those in period 10 was 66% (the lowest and highest hit rates, respectively); 22.5% of the students were on a hospital internship, and their average score was 64.7%, compared with the average score of 58.9% of those not on such an internship. Concerning the specific knowledge of cardiopulmonary resuscitation maneuvers, the hit rate was 24.3%. Conclusions: There was a relatively lower level of knowledgesistêmiamong the students not on a hospital internship, which indicates the importance of this activity for dental surgeons. The dental community should take note of the necessary professional training and continuing education in this regard by implementing disciplines to accompany the students throughout their course, teaching them how to deal with emergencies, and eliminating their dependence on the hospital internship for acquiring knowledge, since such syndromes can occur in any branch of dentistry.