Presença de Candida sp na saliva de pacientes usuários de prótese total e próteses parciais removíveis atendidos em uma Faculdade de Odontologia de Goiás / Presence of Candida sp in the saliva of patients with complete dentures and partial removable dentures of a Goiás Dental School

Objetivos ­ À vista disso, conhecendo como a principal condição exógena para que ocorra a proliferação de Candida e introdução de Candidose em cavidade oral é a prótese dentária com tempo de uso de mais de 5 anos, propomos nesse estudo avaliar a quantificação de Candida na saliva pacientes usuários de prótese parcial e total removíveis, correlacionando com idade avançada e o fluxo salivar e fatores que possam agir influenciando sua quantificação. As espécies do gênero Candida são normalmente encontradas na microbiota de pacientes saudáveis, sendo a C. Albicans a mais comum. Já a patogenicidade da espécie só ocorre caso haja condições propicias para o seu desenvolvimento, como comprometimento do sistema imune, hiposalivação e uso incorreto de próteses. As próteses totais, em especial, estão associadas ao aumento de UFC e presença de candidose na cavidade oral. Métodos ­ Foram avaliados 121 indivíduos sendo 31 do grupo controle e 90 usuários de próteses dentárias. Foram realizada uma coleta de saliva de cada paciente no momento da primeira consulta odontológica e os pacientes foram classificados quanto ao fluxo salivar em reduzido, normal e aumentados. A análise microbiológica foi realizada com a mesma saliva utilizada na avaliação do fluxo salivar, sendo estas semeadas e a as colônias de Candida foram quantificadas e os pacientes serão categorizados em negativos, portadores e positivos. Resultados ­ Foi possível uma relação forte no que se refere a diminuição do fluxo salivar associado a idade avançada e em decorrência disto, com a quantidade de UFC de Candida na saliva dos pacientes estudados. Conclusão ­ Posto isso, fica comprovado que os pacientes que utilizam próteses removíveis são os com maior quantidade de UFC, seguidos pelos pacientes que utilizam próteses totais

Objectives ­ In view of this, knowing as the main exogenous condition for the occurrence of Candida proliferation and introduction of Candidosis in oral cavity is the dental prosthesis with time of use of more than 5 years, we propose in this study to carry out a evaluation the quantification of the presence of Candida in saliva in patients using partial and total removable prosthesis, correlating at the found with advanced age and the salivar flow and factors that may influence its quantification. Species of the genus Candida are usually found in the microbiota of healthy patients, with C. Albicans being the most universal. The pathogenicity of the species occurs only if there are propitious conditions to its development, such as impairment of the immune system, hyposalivation and incorrect use of prostheses. Total prostheses, in particular, are associated with increased CFU and the presence of candidosis in the oral cavity. Methods ­ A total of 121 individuals were evaluated, 31 from the control group and 90 users of dental prostheses. Saliva collection was performed from each patient at the time of the first dental appointment and the patients were classified as reduced, normal and increased salivary flow. Microbiological analysis was performed with the same saliva used for salivary flow evaluation. These were sown and Candida colonies were quantified and patients were categorized as negative, carrier and positive. Results ­ It was possible to have a strong relationship regarding the decrease in salivary flow associated with advanced age and, as a result, with the amount of Candida CFU in the saliva of the studied patients. Conclusion ­ Thus, it is proven that patients using removable prostheses are the ones with the highest amount of CFU, followed by patients using total prosthesis

Tumor marrom em maxila associado ao hiperparatireoidismo secundário: relato de caso clínico / Brown tumour of the jaws associated with secondary hiperparathyroidism: case report

O tumor marrom é uma lesão intraóssea benigna focal associada ao hiperparatireoidismo. Ocorre preferencialmente em ossos longos, costelas e pelve, porém, eventualmente pode acometer maxila e mandíbula. O prognóstico está associado à causa e ao tipo de hiperparatireoidismo, com isso é de grande importância o diagnóstico precoce para que seja estabelecido o quanto antes a terapêutica adequada. Apesar destas lesões serem raras nos ossos gnáticos e quando presentes estarem associadas principalmente ao hi per pa ratireoidismo primário e em mulheres com mais de 50 anos de idade, propusemos relatar um caso de tumor marrom secundário do hiperparatireoidismo em paciente do gênero masculino e de 36 anos de idade.

The brown tumor is a focal benign intraosseous lesion associated with hyperparathyroidism. Preferably occurs in long bones, ribs and pelvis, however, may eventually affect the jaws. The prognosis is associated with the cause and type of hyperparathyroidism, with that It is very important for an early diagnosis so it can soon be established an appropriate therapy. Although these are rare injuries on the gnathic bones and when present are mainly associated with primary hyperparathyroidism and in women over 50 years old, we proposed to report a case of secondary hyperparathyroidism brown tumor in a 36 years old male patient.

Self-medication in health students from two Brazilian universities

Introduction: Self medication is a component of self care and it is considered as primary public health resource in health care system. It can be defined as use of non-prescription medicines by people on their own initiative. Dentists, together with doctors and veterinarians, comprise the professional classes that may and must prescribe medications for their patients. On the other hand, the nursing professionals are the ones who more administer drugs to patients in the ambulatory and hospital. Objective: This study was aimed to find out the frequency of self medication in selected university students, to find out the difference in the proportions of self medication between dentistry and nursing students, as well to evaluate the students' knowledge of harmful effects of self medication and common problems of students that use the self medication. Material and methods: We were applied 209 questionnaires among dentistry students from the 3rd to 8th semesters at the Paulista University/Goiânia and 542 among nursing students from the 3rd to 8th semesters at the Estacio de Sa University of Goiás. Results and conclusion: In the present study was observed a high rate of self-medication among undergraduate students in the health area, particularly among the dentistry and nurse students. The result was alarming because the professional him/herself who should educate patients and dissuade them from this practice is a habitual user; it makes it more difficult to aspire to the future inhibition and reduction of this practice that is so harmful to health.

Surgical approach and the use of cryotherapy in a keratocystic odontogenic tumor after 12 months of decompression

Introduction: The Keratocystic Odontogenic Tumor (KOT) is a pathology classified as an odontogenic cyst and began to be considered an odontogenic tumor in 2005, because of the presence of intrinsic characteristics compatible with neoplasm, such as its high rate of recurrence and differentiated mechanism of growth. Although its etiology is still unknown, its origin is believed to be related to the remnants of the dental lamina. Clinically it presents aggressive behavior and high rates of recurrence. Various types of treatment have been related, ranging from more conservative methods to radical surgery. With the goal of diminishing the potential for recurrence of these lesions, some authors have recommended the use of adjunct therapies such as peripheral osteotomy with burs, treatment of the surgical site with Carnoy’s solution, electrocauterization, cryotherapy and resection. Objective:The aim of the present study is to report the case of a patient with a KOT of large proportions in the mandible. Case report: Treatment was taken to perform decompression of the lesion for 12 months, and after this treatment comprised curettage and cryotherapy. Conclusion: This procedure is considered useful and conservative, as it avoids traumatisms to the noble structures close to the lesion.

Tratamento endodôntico de incisivo inferior fusionado

Introdução: a fusão dentária é caracterizada pela união entre dois germes dentários durante o estágio de desenvolvimento,em consequência de aberração da camada germinativa do ectoderma e do mesoderma. Objetivo:o objetivo desse artigo foi descrever o tratamento endodôntico de incisivo inferior fusionado com dente extranumerário.Métodos: o paciente procurou atendimento com dor espontânea e severa no dente 41. O elemento dentário apresentou coroa atípica com aspecto de dente fusionado e, radiograficamente, observou-se a presença de raiz única e dois canais. Foi determinada a necessidade de tratamento endodôntico, realizado por instrumentos de níquel-titânio. A cada troca de instrumento foi efetuada a irrigação com solução de hipoclorito de sódio a 2,5%e, após o preparo do canal radicular, inundação com EDTA 17% por 5 minutos, com posterior irrigação final com a solução irrigante. A obturação foi realizada por meio da técnica de condensação lateral ativa da guta-percha, associada ao cimento obturador, complementada por termo condensação.Foi realizada a tomografia computadorizada para verificação da qualidade da obturação e a arquitetura da anatomia interna. A paciente retornou para controle clínico e radiográfico de um ano, com o dente evidenciando sinais de normalidade. Conclusão: o cirurgião-dentista deve desenvolver competência no diagnóstico e tratamento adequado das anomalias dentárias, promovendo condições de melhora à saúde bucal dos pacientes

Microorganisms prevalent in urinary tract infections and antimicrobial sensitivity profile: analysis of patients attended at the Military Police Hospital of the State of Goiás, Brazil, in the period from 1998 to 2008 / Microrganismos prevalentes em infecções do trato urinário e perfil de sensibilidade antimicrobiana: análise dos pacientes atendidos no Hospital do Policial Militar do Estado de Goiás, Brasil, no período de 1998 a 2008

Objective - To evaluate the frequency of the bacterial agents responsible for urinary tract infections and the antimicrobial sensitivity profile of the uropathogens involved in these infectious processes. Methods - A survey was conducted of the data with reference to uroculture exams of patients attended at the Military Police Hospital of the State of Goiás, Brazil, in the period from January, 1998 to December, 2008, in which it was verified that of the 10,162 urine samples, 1,506 (14.82%) were positives, while 8,656 (85.18%) presented no growth of microorganisms. Results - According to the results, it was verified that the female sex was the most affected (79.4%). The most frequent Gram negative bacteria were Escherichia coli (63.08%) and Enterobacter sp. (6.31%) and the Gram-positive bacteria were Staphylococcus saprophyticus (4.52%) and Staphylococcus aureus (3.19%). Conclusion - With regard to bacterial susceptibility to antimicrobial agents, it was noted that Escherichia coli and Enterobacter sp. presented a higher sensitivity index in decreasing order to Ciprofloxacin, Norfloxacin and Ceftriaxon.

Objetivo - Avaliar a frequência dos agentes bacterianos responsáveis por infecções do trato urinário e o perfil de sensibilidade antimicrobiana dos uropatógenos envolvidos nestes processos infecciosos. Métodos - Foi realizado levantamento dos dados referentes aos exames de uroculturas de pacientes atendidos no Hospital do Policial Militar do Estado de Goiás, Brasil, no período de janeiro/1998 a dezembro/2008, onde verificou-se que das 10.162 amostras de urina, 1.506 (14,82%) foram positivas, enquanto 8.656 (85,18%) não apresentaram crescimento de microrganismos. Resultados - De acordo com os resultados verificou-se que o sexo feminino foi o mais acometido (79,4%). As bactérias Gram-negativas mais frequentes foram Escherichia coli (63,08%) e Enterobacter sp. (6,31%) e as Gram-positivas foram Sthaphylococcus saprophyticus (4,52%) e Staphylococcus aureus (3,19%). Conclusão - Com relação à susceptibilidade bacteriana aos antimicrobianos notou-se que a Escherichia coli e Enterobacter sp. apresentaram maior índice de sensibilidade de forma decrescente à Ciprofloxacina, Norfloxacina e Ceftriaxona.

Automedicação entre acadêmicos de odontologia da Universidade Paulista Goiânia - Goiás / Self-medication in dentistry students at Paulista University, Goiânia - Goiás

Introduction: Self-medication is a procedure fundamentally characterized by the sick person, or person responsible for his/her care, taking the initiative to obtain or produce and use a product they believe will bring benefits in the treatment of diseases or relief of symptoms. Dentists, together with doctors and veterinarians, comprise the professional classes that may and must prescribe medications for their patients. Therefore, it is believed that these individuals, as a result of their duties, are professionals that know, understand and make an exhaustive study of medications. Objective and Methodology: Based on this, a research was conducted among the academic students of the dentistry course at Paulista University, Flamboyant campus, Goiânia, GO, Brazil, during which 209 questionnaires were applied among students from the 3rd to 8th periods. Results: The purpose of applying these questionnaires was to trace a profile with regard to the use of medications without medical prescription, and high incidence was found among academic students, both as regards the quantity of medica-tions and variety of substances used. Conclusions: The result was an alert that irrespective of the individual's knowledge, whether it involved a layperson or professional qualified for prescription, this habit repeated it. This is an alarming fact, because if the professional him/herself, who should educate patients and dissuade them from this practice, is a habitual user, it becomes more difficult to aspire to the future inhibition and reduction of this practice that is so harmful to health.

Epidemiology of maxillofacial injuries at a regional hospital in Goiania, Brazil, between 2008 and 2010

Introduction and objective: Facial lesions assume an outstanding role in the attendance of polytraumatized patients in hospital emergency services. The aim of this study was to conduct and epidemiologic study of patients attended at the Buccomaxillofacial Surgery and Traumatology Service of a regional hospital in Goiania/GO, Brazil, between 2008 and 2010. Material and methods: 521 files of patients, who had suffered maxillofacial traumatisms that resulted in a total of 615 fractures, were evaluated. The files were used to analyze gender, age, etiologic agents and distribution of fractured bones. Results: About 80% of patients were male, whereas 20% of the affected individuals were women. The most frequently etiologic factor found in the two groups was automobile accidents, followed by physical aggressions and falls. Concerning to fractured bones, the zygomatic complex, followed by fractures of the mandible, the nasal bones themselves, condyle and Le Fort type fractures were the most prevalent ones, in both groups. Conclusion: Knowledge of the incidence and etiology of maxillofacial fractures is of great importance to the professionals involved in the treatment of these patients. Within this context, Buccomaxillofacial Surgery and Traumatology is increasingly being affirmed as one of the most important specialties at the emergency centers of regional hospitals concerning to the treatment of patients who are victims of traumatisms.

Chronic graft versus host disease: a scleroderma-like case report

INTRODUCTION: Chronic graft versus host disease (cGVHD) is the most common consequence of allogeneic bone marrow transplantation, and it is associated with morbidity and mortality. Oral manifestations are diagnosed in approximately 80 percent of patients with chronic GVHD. OBJECTIVE: To present a case of chronic GVHD with scleroderma-like lesions in skin and oral cavity CASE REPORT: A 27-year-old female was admitted, in a Hematology Center, in 1997, with previous diagnosis of chronic myeloid leukemia since 1994. Over past four months after allogeneic BTM she developed cGVHD in eyes, mouth, liver, lungs and skin. The patient presented sclerotic skin changes, hyperkeratosis of hands and xerophthalmia. CONCLUSION: Clinical manifestations of chronic GVHD are similar to autoimmune collagen vascular disease and the two main types of cutaneous chronic GVHD are lichenoid and sclerodermatous.

Atypical appearance of epidermoid cyst in tongue's ventral surface

INTRODUCTION: Epidermoids cysts are benign and rare lesions in oral cavity. It presents as a nodular lesion of sessile base, soft to palpation. In the oral cavity, it most happens on the floor of the mouth's midline. Without treatment, these lesions can lead to dysphagia, dysphonia and dyspnea due to reach a large size. OBJECTIVE: To report a case of a 12-year-old boy presenting a lesion on the tongue's ventral surface causing difficult to swallow. CASE REPORT: The patient was referred to the School of Dentistry of Paulista University, complaining about an asymptomatic nodule on the tongue's ventral surface, lasting for 10 months. Clinical examination showed the extensive fibrous mass on the tongue's medium anterior ventral surface. CONCLUSION: With a clinical diagnosis of dermoid, epidermoid cyst, or lipoma, an excisional biopsy was performed. Histological examination was consistent to the diagnosis of epidermoid cyst. The patient was followed up and 2 years after surgery there was no sign of recurrence.

Etiology and treatment of anterior open bite / Etiologia e tratamento da mordida aberta anterior

The term anterior open bite, which means no contact between anterior teeth, stands out in current orthodontic by the complexity of the treatment, associated with high levels of instability and recurrence. The purpose of this study is to emphasize that early etiological diagnosis is essential to the successful outcome of the technical intervention. The bibliographical study shows that, once the malocclusion in deciduous and mixed dentition is diagnosed, it simplifies the aparatology that is used, decreases the treatment time and conditions are created for a possible self-correction. In the permanent dentition, the authors recommend the removal of the etiological factor and the control of the vertical growth. The diversity of causes requires a multidisciplinary therapeutic approach.

A expressão mordida aberta anterior, que designa ausência de contato entre os dentes anteriores, destaca-se na ortodontia atual pela complexidade do tratamento, associada a altos níveis de instabilidade e recidiva. O objetivo deste trabalho é enfatizar que o diagnóstico etiológico precoce é fundamental para o bom resultado da intervenção técnica. O estudo bibliográfico mostra que, diagnosticada a maloclusão na dentadura decídua e mista, simplifica-se a aparatologia utilizada, diminui-se o tempo de tratamento e criam-se condições para uma possível autocorreção. Na dentadura permanente, os autores recomendam a remoção do fator etiológico e o controle do crescimento vertical. A diversidade de causas requer abordagem terapêutica multidisciplinar.

Synchronous pleomorphic adenoma and periapical cyst: clinical case report / Adenoma pleomorfo e cisto periapical sincrônicos: relato de caso clínico

The pleomorphic adenoma or mixed benign tumor is the most common benign neoplasia of the salivary gland in human beings. It preferentially occurs in the superficial lobe of the parotid gland. In the oral cavity, associated with the minor salivary glands, it has a greater predilection for the palate region, with slight predisposition in women between the 3rd and 4th decades of life. The radicular cyst is an odontogenic inflammatory cyst resulting from pulp lesions caused by traumas or caries. In spite of being relatively common, there are no reports of association with salivary gland tumors. The aim of this work is to report a case of a 36-year-old woman patient, who presented with synchronous development of a pleomorphic adenoma and periapical cyst within the same region. The option taken was to perform enucleation of both lesions,followed by local curettage. The patient has been followed-up clinically and radiographically for around 18 months without signs of recurrence.

O adenoma pleomórfico ou tumor misto benigno é a neoplasia benigna mais comum primária de glândula salivar. Ocorre preferencialmente no lobo superficial da glândula parótida. Na cavidade oral, associado com as glândulas salivares menores, tem uma maior predileção para a região do palato, com ligeira predisposição em mulheres entre a 3 ª e 4 ª décadas de vida. O cisto radicular é um cisto odontogênico inflamatório decorrente de lesões causadas por traumas ou cárie. Apesar de ser relativamente comum, não há relatos de cistos periapicais associados com tumores de glândula salivar. O objetivo deste artigo é relatar um caso de uma paciente de 36 anos de idade com desenvolvimento sincrônico de adenoma pleomorfo e cisto periapical em uma mesma região. A opção tomada foi a de realizar a enucleação de ambas as lesões, seguido de curetagem local. A paciente está sendo acompanhada clínica e radiograficamente por cerca de 18 meses sem sinais de recidiva.

Calcifying cystic odontogenic tumor radiographically mimicking a lateral periodontal cyst: clinical case report / Tumor odontogênico cístico calcificante mimetizando radiograficamente o cisto periodontal lateral: relato de caso clínico

The calcifying cystic odontogenic tumor (CCOT) is a rare odontogenic lesion derived from the remaining odontogenic epithelium of the maxilla or mandible. Its occurrence in the maxilla and mandible is similar, however, the canine region is the most affected when compared with other regions. The aim of this paper is to relate the case of a patient who presented a CCOT in the left region of the maxilla, between the canine and the first premolar, characterized by an increase in volume that was painful on palpation. The lesion presented a well circumscribed radiolucent radiographic image, however, presented no root resorption and radiopacities suggestive of dystrophic calcification, common signs in this tumor. With the diagnostic hypothesis of a lateral periodontal cyst, enucleation of the lesion was performed. The patient has been followed-up for around 15 months without signs of recurrence.

O tumor odontogênico císto calcificante (TOCC) é uma lesão odontogênica rara derivada do epitélio odontogênico remanescente da maxila ou mandíbula. Possui ocorrência semelhante em maxila e mandíbula, porém a região de canino é a mais afetada quando comparada com outras regiões. O objetivo deste estudo é relatar um caso de um paciente que apresenta um TOCC em região esquerda de maxila, entre o canino e o primeiro pré-molar, caracterizado com aumento de volume doloroso à palpação. Radiograficamente a lesão apresentava imagemradiográfica radiolúcida bem circunscrita, no entanto não apresentava reabsorção radicular e radiopacidades sugestivas de calcificação distrófica, sinais comuns neste tumor. Com hipótese diagnóstica de cisto periodontal lateral, foi feita enucleação da lesão. O paciente está em acompanhamento há cerca de 15 meses sem sinais de recorrência.

Sialadenoma papilliferum: case report and review of literature / Sialoadenoma papilífero: relato de caso e revisão da literatura

Sialadenoma papilliferum is a rare tumor benign of the salivary glands, that usually occurs in males older than 50 years. It's frequently found in junction of hard and soft palate, but others sites intraoral mucosa as lips, and parotid gland also can to be affected. A 46 year-old male patient was referred to the University Paulista for dental evaluation and was found a lesion besides of the midline in posterior region in hardpalate. After biopsy had done the histopathology analyze and arrived the diagnosis of sialadenoma papilliferum. The patient was followed at 15 months and none evidence of recurrence was related.

O sialoadenoma papilífero é um tumor benigno raro de glândulas salivares que usualmente ocorre em homens com mais de 50 anos de idade. Normalmente localiza-se na junção do palato mole com o palato duro, entretanto outros locais como lábios, mucosa jugal e glândulas parótidas também podem ser afetados. Paciente de 46 anos de idade, gênero masculino foi encaminhado à Universidade Paulista para avaliação dentária e foi observada uma lesão localizada na linha média em região de palato duro posterior. Após a biópsia e análise histopatológica chegou-se ao diagnóstico de sialoadenoma papilífero. O paciente está em acompanhamento há cerca de 15 meses sem sinais de recorrência.

Cleidocranial dysplasia associated with the dentigerous cyst: review of the literature and report of the clinical case / Displasia cleidocraniana associada a cisto dentígero: revisão da literatura e relato de caso clínico

Cleidocranial dysplasia is a developmental anomaly of the skeleton and teeth. It can be inherited as an autosomal dominant characteristic with high penetrance and variable expressivity. It occurs with equal frequency in both genders and races. The clinical appearance of cleidocranial dysplasia is pathognomonic. The stature is mildly to moderately shortened, with neck appearing long and narrow and the shoulders markedly drooped. Maxillary hypoplasia gives the mandible a relatively prognathic appearance, although some patients may show variable mandibular prognathism due to increased length of the mandible in conjunction with short cranial base. The head and neck features are very variable. Herein, we are described one cleidocranial dysplasia case, in an 84 year female patient, with the dentigerous cyst, which she were not kwon the diagnosis of the her congenital syndrome.

A displasia cleidocraniana é uma alteração de desenvolvimento do esqueleto e dos dentes. É uma desordem autossômica dominante com alta penetrância e expressibilidade variada. Ocorre em igual frequência em ambos os gêneros e raças. Suas características clínicas são patognomônicas. Apresenta estatura baixa a moderada, com aparência do pescoço longo e os ombros caídos. Hipoplasia da maxila gera um aparente prognatismo. As características clinicas em cabeça e pescoço são muito variadas. Este relato descreve um caso de uma paciente de 84 anos com displasia cleidocraniana associada a cisto dentígero a qual não sabia ser portadora de tal síndrome congênita.

Efeitos tardios do transplante de medula óssea alogênico: estudo retrospectivo em 98 pacientes receptores / Late complication of allogeneic bone marrow transplantation: retrospective study of 98 receptor patients

Objetivo - A Doença do Enxerto contra o Hospedeiro crônica (DECHc) é uma das mais frequentes complicações tardias do transplante de medula óssea alogênico. A cavidade bucal é o local de maior acometimento desta patologia. Métodos - Este estudo visa investigar a incidência de DECHc, os locais de acometimento, assim como o tipo de lesão em cavidade bucal. Foram avaliados, retrospectivamente, através de prontuários médicos, 98 pacientes que foram submetidos a transplante de medula óssea alogênico no Hemocentro/Unicamp, em um período de um ano. Foram analisadas a presença ou ausência da DECH crônica, os sítios de maior acometimento das lesões e, quando em cavidade bucal, os locais e aspecto clínico mais importantes. Resultados e Conclusões - Dos 98 pacientes, 64 apresentavam DECHc. Destes, 51 apresentavam envolvimento bucal. Em boca, 27 foram em mucosa bucal e a forma clinica mais frequente foi a liquenóide. Nenhum fator encontrado pode contribuir com a severidade da DECHc em cavidade bucal assim como suas manifestações clínicas.

Objective - Chronic graft versus host disease (cGVHD) is the most common late complication of allogeneic bone marrow transplantation. Oral cavity is the most common site of involvement of cGVHD. Methods - This study sought to investigate the incidence of cGVHD, the site of involvement, as well as the kind of oral lesions that resulted. They had been evaluated through medical handbooks, 98 patients who had been submitted the blood marrow alogenic transplant in the Hemocentro/Unicamp, in a period of one year. The presence or absence of the chronic GVHD had been analyzed, the side of the body injuries and, when in oral cavity, the more important places and clinical aspect. Results and Conclusions - Of ninety eight patients, sixty four were cGVHD. Fifty one patients presented oral involvement. On the oral cavity, twenty seven were on buccal mucosa and the clinic features most prevalent was the lichenoid type. No factor that could contribute to the severity of cGVHD oral lesions was found.

Oral HPV infection in a bone marrow transplantation patient: a case report with atypical clinical presentation and unexpected outcome

HPV (Human Papilloma Virus) is one of the most prevalent infections worlwide. Oral HPV infection may be associated with different diseases of oral cavitie. Although oral HPV infection occurs frequently, it rarely causes lesions. An increased rate of oral HPV-induced lesions is observed in people with an impaired immune system. The most common conditions induced by oral HPV infection are focal epithelial hyperplasia, oral condylomas and oral papillomas. We reported a case of oral HPV lesion in a bone marrow transplantation patient with atypical clinical presentation and unexpected outcome.

Herpetic geometric glossitis: Acyclovir resistant case in a patient with acute myelogenous leukemia.

Herpes simplex virus (HSV) infections in an immunocompromised host may be atypical in location and morphology. Lesions are more extensive and aggressive, slow healing or nonhealing and extremely painful. Intraoral lesions are ulcerative and may involve any intraoral, oropharyngeal, or esophageal site. Herpetic geometric glossitis is a recently described form of lingual HSV infection in an immunocompromised patient. It was described as ulcer on the dorsum of the tongue sensitive for acyclovir therapy. A patient is presented with acute myelogenous leukemia that developed herpetic geometric glossitis which was acyclovir resistant.

Tumor odontogênico adenomatóide: relato de caso clínico / Adenomatoid odontogenic tumor: report of case

O tumor odontogênico adenomatóide é uma lesão benigna, não invasiva, de crescimento lento, porém progressivo. Apresenta predileção pela região anterior de maxila e por mulheres jovens. Geralmente apresenta - se assintomático e não excede 3 cm em seu maior diâmetro. Normalmente está associado com um canino incluso sendo que molares e incisivos laterais não erupcionados raramente são envolvidos. Propusemos relatar um caso de tumor odontogênico adenomatóide associado a um incisivo lateral em uma adolescente de 14 anos assim como revisar os aspectos clínicos, radiográficos, biológicos e tratamento do tumor odontogênico adenomatóide