Atención odontológica bajo sedación endovenosa (R2) en niños hospitalizados con enfermedades respiratorias crónicas / Dental care under intravenous sedation in children hospitalized with chronic respiratory diseases

RESUMEN: El Hospital Josefina Martínez está especializado en atención de niños con enfermedades respiratorias crónicas. En él hemos implementado un modelo de atención odontológica, bajo sedación endovenosa, monitorización cardiorespiratoria con participación de un equipo multidisciplinario. Objetivos: Describir la atención odontológica en pacientes hospitalizados con enfermedades respiratorias crónicas. Identificar las patologías bucales más prevalentes y los tratamientos realizados. Material y Método: El estudio se realizó incluyendo las atenciones odontológicas bajo sedación endovenosa, entre los años 2014-2016, considerando a 18 pacientes hospitalizados. Todos recibieron sedación y analgesia con Midazolam-Ketamina con monitorización continua no invasiva durante el procedimiento. Resultados: Se encontró una alta prevalencia de gingivitis, anomalías dentomaxilares y patologías de erupción. La lesión de caries tuvo baja prevalencia. Los tratamientos realizados fueron: profilaxis, destartarje, aplicación de barniz de clorhexidina y/o flúor, exodoncias, exposición quirúrgica de dientes y restauraciones. Conclusiones: Es importante mostrar nuestra experiencia, ya que hemos realizado tratamientos en forma oportuna, eficiente y de bajo costo, mejorando la salud bucal de los niños. Además fueron atendidos sin necesitar traslado a otro centro de salud, permitiendo resolver las urgencias y la atención odontológica integral de los pacientes.

ABSTRACT: The Josefina Martínez Hospital specializes in the care of children with chronic respiratory diseases. There, we implemented a model of dental care under intravenous sedation and cardiorespiratory monitoring, with the participation of a multidisciplinary team. Objective: Describe dental care in hospitalized patients with chronic respiratory diseases. Identify the most prevalent oral diseases and the treatments performed. Materials and Methodology: The study was conducted including dental care under intravenous sedation, between 2014 and 2016, considering 18 hospitalized patients. All received sedation and analgesia with Midazolam-Ketamine with continuous non-invasive monitoring during the procedure. Results: A high prevalence of gingivitis, dentomaxillary abnormalities and eruption disorders was found. Caries lesion had a low prevalence. The treatments performed were: prophylaxis, scaling, application of chlorhexidine and / or fluoride varnish, extractions, surgical exposure of teeth and restorations. Conclusion: It is important to show our experience, since we have made timely, efficient and low cost treatments, improving the oral health of children. In addition, they were attended without requiring the transfer to other health centers, which allowed to meet the emergencies and the comprehensive dental care of the patients.

Defectos bucodentales en personas con síndrome de Down: una prioridad en salud bucal / Oral-dental defects in people with Down's syndrome: a priority in oral health

RESUMEN El síndrome de Down con frecuencia se acompaña de defectos bucodentales que comprometen la función masticatoria y fonatoria del paciente. Las acciones de prevención y promoción de salud bucal, el diagnóstico precoz y seguimiento de estas enfermedades, contribuyen al logro del verdadero enfoque interdisciplinario que demandan estos pacientes, para lograr una plena inclusión social. Se realizó una búsqueda bibliográfica sobre el tema, con el objetivo de estructurar los referentes teóricos relacionados con los principales defectos bucodentales -congénitos y adquiridos- que afectan a la población con síndrome de Down, para lograr la prevención de estos defectos y el incremento de la calidad de vida de los pacientes. Los defectos bucodentales congénitos más frecuentes encontrados en la trisomía 21, fueron la microdoncia, la macroglosia y la erupción dental tardía. La enfermedad periodontal fue el defecto adquirido de mayor presentación, al que se asocian diversos factores de riesgo, muchos modificables. Las intervenciones tempranas en salud bucal pueden incrementar la calidad de vida de los niños y adultos que padecen este trastorno, ayudándolos a lograr un pleno desarrollo como seres humanos (AU).

ABSTRACT Down's syndrome is frequently accompanied by oral-dental defects compromising the masticatory and phonatory function of the patients. Oral health promotion and prevention actions, precocious diagnosis and follow-up of these diseases contribute to achieving the true interdisciplinary approach these patients demand to reach their full social inclusion. A bibliographic search on the theme was carried out, with the objective of structuring the theoretical referents related to the main oral-dental defects -congenital and acquired-, affecting the population with Down's syndrome to reach these defects prevention and increasing these patients' life quality. The congenital oral-dental defects more commonly found in trisomy 21 were microdontia, macroglossia, and delayed tooth eruption. Periodontal disease was more frequently found acquired defect, to which several risk factors are associated, many of them modifiable. Early interventions in oral health may improve the life quality of these children and adults, helping them to achieve a full development as human beings (AU).

Manejo e integración estomatológica del paciente pediátrico con trastorno de Asperger / Management and dental integration of the pediatric patient with Asperger disorder

Trastorno neurológico enmarcado dentro de los trastornos de espectro autista (TEA) cuyas manifestaciones se reflejan en los ámbitos de la comunicación, interacción e imaginación social. Se clasifica en el manual diagnóstico y estadístico de trastornos mentales (DSM IV), se caracteriza por un mayor o menor grado de deterioro en las habilidades de lenguaje y comunicación, así como patrones repetitivos o restrictivos de pensamiento y comportamiento. El síntoma más distintivo es el interés obsesivo en un solo objeto o tema y la exclusión de cualquier otro pero siempre conservando habilidades de lenguaje. El pronóstico es bueno, debido a la compensación cognitiva, el enfoque repetitivo y restrictivo a actividades humanas productivas o generadoras de deferencias particulares, aunque no hay tratamiento específico, sino más bien interdisciplinario e individualizado, éste consiste en manejar los síntomas conductuales y la comorbilidad de forma independiente ya sea farmacológica o intervencionista. Paciente masculino de cinco años de edad, con un peso de 26 kg, cuadro de inmunizaciones completas, previamente diagnosticado con trastorno de Asperger (2015); caries dental de diversos grados, manejo estomatológico para su rehabilitación. El objetivo de este reporte es dar a conocer los cuidados para el tratamiento dental en pacientes con este trastorno (AU)

Neurological disorder known as autism spectrum disorders (ASD) whose main manifestations are reflected in the areas of communication, interaction and social imagination. It was first classified in the Diagnostic and Statistical Manual of Mental Disorders (DSM lV), characterized by a greater or lesser degree of deterioration in language and communication skills, as well as repetitive patterns or restrictive of thought and behavior. The most distinctive symptom is obsessive interest in a single object or topic and the exclusion of any other, but always retaining language skills. The prognosis is good in most of the cases, due to the cognitive compensation, the repetitive and restrictive approach to productive or deferential human activities, although there is no specific treatment, but rather interdisciplinary and individualized, this consists of managing behavioral symptoms and comorbidity independently either pharmacologically or interventionally. Male patient with five years old and weight of 26 kg, complete immunization chart, previously diagnosed with Asperger's disorder (2015); with dental caries of various degrees implementing dental management. The objective of this report is to make aware of the care and behavior management for dental treatment in patients with this Disorder (AU)

Intervención comunitaria en salud bucal en la población de San Pablo de Pillao, Perú, 2018 / Community oral health intervention in the population of San Pablo de Pillao, Peru, 2018

RESUMEN Introducción. Las intervenciones comunitarias permiten promover la salud y prevenir enfermedades en el poblador. Objetivo. Describir los diagnósticos y tratamientos realizados por estudiantes de odontología en el Campamento Universitario Multidisciplinario de Investigación y Servicio. Métodos. Se diseñó un estudio epidemiológico, con el enfoque cuantitativo en el distrito de San Pablo de Pillao, provincia Huánuco, Perú. Participaron docentes y estudiantes de la Facultad de Medicina, Humana, Odontología, Nutrición y Psicología. De un total de 250 asistentes a las sesiones, 95 adultos fueron atendidos en la consulta odontológica. Se realizaron sesiones educativas referidas a "anemia y desnutrición", "enfermedades diarreicas", "infecciones respiratorias", "alcoholismo y violencia", "crecimiento y desarrollo", "lactancia materna" y "salud bucal", así como una campaña de diagnóstico y tratamiento de efecciones bucodentales. Se utilizó el programa Excel para el análisis de datos. Resultados. Se atendieron 95 pobladores adultos. El 6,3 por ciento correspondió a edéntulos totales y el 40 por ciento a edéntulos parciales. De los dentados, el 97,3 por ciento presentó caries dental con un promedio de índice CPOD (suma de los dientes cariados + dientes perdidos + dientes obturados, en la dentición pemanente) de 2,08 ± 1,56. Con respecto al estado periodontal, el 38,9 por ciento presentó inflamación gingival severa. En los adultos se realizó 35 restauraciones, 28 exodoncia y 8 ajustes de prótesis. En adultos y niños se realizaron fluorizaciones y cinco actividades educativas de promoción de la salud. Conclusiones. La presencia de caries y enfermedad gingival fue altamente prevalente; las principales actividades terapéuticas realizadas en el campamento fueron las restauraciones y exodoncia(AU)

ABSTRACT Introduction: Community interventions make it possible to promote health and prevent disease in the population. Objective: Describe the diagnoses and treatments made by dental students at the Multidisciplinary Research and Service University Camp. Methods: A qualitative epidemiological study was designed for the district of San Pablo de Pillao, Huánuco province, Peru. The participants were teachers and students from the School of Human Medicine, Dentistry, Nutrition and Psychology. Of the total 250 subjects attending the sessions, 95 adults were cared for at the dental service. The educational sessions conducted dealt with the topics of "anemia and malnutrition", "diarrheal diseases", "respiratory infections", "alcoholism and violence", "growth and development", "breastfeeding" and "oral health", as well as a campaign about diagnosis and treatment of oral disorders. Data analysis was performed on Microsoft Excel. Results: Of the total 95 adult residents cared for, 6.3 percent were totally edentulous and 40 percent were partially edentulous. Of the dentate subjects, 97.3 percent had dental caries with a mean DLRP index (sum total of decayed + lost + restored permanent teeth) of 2.08 ± 1.56. As to periodontal status, 38.9 percent had severe gingival inflammation. A total 35 restorations, 28 exodontias and 8 prosthesis adjustments were performed on adult patients. Adults and children alike received fluoridation and attended five educational health promotion sessions. Conclusions: Dental caries and gingival disease were highly prevalent. The main therapeutic actions performed in the camp were restorations and exodontia(AU)

Head and neck cancer therapy-related oral manifestation management in the COVID-19 pandemic: a critical review

Abstract With the onset of the new coronavirus disease (COVID-19) pandemic, the dental treatment of patients at risk of infection has become quite challenging. In view of this, patients with head and neck cancer may present with oral complications due to anticancer therapy, making dental assistance necessary. Thus, the objective of the study was to review the literature and critically discuss important concerns about the treatment of patients with head and neck cancer during the COVID-19 pandemic. Because dental professionals are in close contact with the main viral transmission routes, this study presents recommendations for management and protection during clinical dental care. The main characteristics and transmission routes of COVID-19 are also discussed. Dental professionals should control pain and the side effects of antineoplastic treatment and use preventive measures for infection control. During this pandemic, patients with head and neck cancer should not undergo elective procedures, even if they do not have symptoms or a history of COVID-19; therefore, in asymptomatic or painless cases, only preventive actions are recommended. In symptomatic or painful cases, precautions for safe interventional treatments must be implemented by following the hygiene measures recommended by health agencies and using personal protective equipment. During health crises, new protocols emerge for cancer treatment, and professionals must act with greater attention toward biosafety and updated knowledge. It is important to offer adequate individualized treatment based on the recommendations of preventative and interventional treatments so that patients can face this difficult period with optimized quality of life.

Sclerotherapy of benign oral vascular lesions with non-diluted ethanolamine oleate / Escleroterapia de lesiones vasculares orales benignas con oleato de etanolamina no diluido

Benign oral vascular lesions are anomalies characterized by the blood vessels proliferation or malformation and the treatment with the sclerosing agent ethanolamine oleate acts irrigating the vessel producing a sterile inflammatory response. The objective of this study was to report and discuss the results from treatment of benign oral vascular lesions with non-diluted ethanolamine oleate through the analysis of clinical records. The sample was composed by the selection of twenty-six patients (12 male and 14 female), with oral vascular malformations. All lesions were treated with intralesional injections of undiluted ethanolamine oleate. These patients attended in Oral Medicine outpatient clinic of the Federal University of Paraná between the years of 2011 to 2015. The average age was 60.65 years, with a higher prevalence for women. The majority of the individuals had one lesion and its location was mostly in the lower lip. The main complaint was about a physical discomfort. The lesions had the average size of 6.52 mm and received a median number of 2.32 applications. Only one patient reported feeling pain in the postoperative week. In most cases the resolution of the lesion was considered partial. Follow-up was obtained up to one month after the end of treatment. The sclerotherapy with undiluted ethanolamine oleate shows acceptable results in the treatment of small benign oral vascular lesions with a few minor side effects.

Las lesiones vasculares orales benignas son anomalías caracterizadas por la proliferación o malformación de los vasos sanguíneos y el tratamiento con el agente esclerosante etanolamina oleato actúa irrigando el vaso produciendo una respuesta inflamatoria estéril. El objetivo de este estudio fue informar y discutir los resultados del tratamiento de lesiones vasculares orales benignas con oleato de etanolamina no diluido a través del análisis de historias clínicas. La muestra estuvo compuesta por la selección de veintiséis pacientes (12 hombres y 14 mujeres), con malformaciones vasculares orales. Todas las lesiones fueron tratadas con inyecciones intralesionales de oleato de etanolamina sin diluir. Estos pacientes acudieron a la clínica ambulatoria de Medicina Oral de la Universidad Federal de Paraná entre los años 2011 a 2015. La edad promedio fue de 60,65 años, con una mayor prevalencia para las mujeres. La mayoría de los individuos tenían una lesión y su ubicación era principalmente en el labio inferior. La queja principal era sobre una molestia física. Las lesiones tenían un tamaño promedio de 6,52 mm y recibieron una mediana de 2,32 aplicaciones. Solo un paciente informó haber sentido dolor en la semana postoperatoria. En la mayoría de los casos, la resolución de la lesión se consideró parcial. El seguimiento se obtuvo hasta un mes después del final del tratamiento. La escleroterapia con oleato de etanolamina sin diluir muestra resultados aceptables en el tratamiento de pequeñas lesiones vasculares orales benignas con algunos efectos secundarios menores.

Necesidad de tratamiento estomatológico en niños de la Escuela Especial Jardín de La Alegría, 2016 / Need for stomatological treatment in children of the Special School Jardín de La Alegría, 2016

RESUMEN Introducción: La salud bucal del paciente discapacitado intelectual ha sido una gran preocupación a nivel mundial. Cuba no se escapa de ello, por lo que ha implementado programas que priorizan a este tipo de individuos. Objetivo: Determinar la necesidad de tratamiento estomatológico de los pacientes con discapacidad intelectual según la categoría diagnóstica de la Escuela Especial Jardín de la Alegría. Métodos: Estudio descriptivo transversal realizado en el período comprendido entre 2016-2017. El universo de estudio estuvo constituido por 105 niños que representa la matrícula total de la escuela. El examen clínico de los escolares se realizó en el sillón dental. Para la recolección de la información se confeccionó una planilla encuesta teniendo en cuenta las características del grupo objeto de estudio: edad, sexo, categoría diagnóstica, índice COP-D y ceo-d, índice de necesidad de tratamiento periodontal comunitario, y la higiene bucal mediante el índice de higiene bucal simplificado de Greene y Vermillon. Resultados: La categoría diagnóstica que prevaleció fue el discapacitado intelectual leve con 82,8 por ciento. El 68,6 por ciento de la población estudiada presentó higiene bucal regular. El 67,6 por ciento de los niños presentó enfermedad periodontal, el 59,0 por ciento maloclusión y el 54,2 por ciento caries dental. Según necesidad de tratamiento, el 67,0 por ciento requiere tratamiento periodontal, el 59,0 por ciento tratamiento ortodóncico y el 45,7 por ciento tratamiento conservador. Conclusiones: Existió una alta necesidad de tratamiento periodontal en los individuos con discapacidad intelectual leve(AU)

ABSTRACT Introduction: The oral health of the intellectually disabled patient has been a great concern worldwide. Cuba does not escape this concern by implementing programs that prioritize this type of individuals. Objective: To determine the need for stomatological treatment of patients with intellectual disability according to the diagnostic category of the Jardín de la Alegría Special School. Methods: a cross-sectional descriptive study conducted in the period 2016-2017. The clinical examination of the students was carried out in the dental chair. For the collection of the information a survey form was made taking into account the characteristics of the group under study: age, sex, diagnostic category, COP-D index and ceo-d, index of need for community periodontal treatment, and oral hygiene using the simplified oral hygiene index of Greene and Vermillon. The universe of study was constituted by 105 children that represents the total enrollment of the school. Results: the diagnostic category that prevailed was the mild intellectual disability with 82.8. 68.6 percent of the studied population presented regular oral hygiene. 67.6 percent of the children presented periodontal disease, 59.0 percent malocclusion and 54.2 percent dental caries. According to need of treatment, 67 percent need periodontal treatment, 59.0 percent orthodontic treatment and 45.7 percent need conservative treatment. Conclusions: there was a high need for periodontal treatment in individuals with mild intellectual disability(AU)

Sclerotherapy as an esthetic indication in oral vascular malformations: a case series

Abstract Background The use of monoethanolamine oleate 5% is effective for the treatment of vascular malformations with low blood flow. Objectives To report a case series of vascular malformations in the mouth and oral cavity treated with monoethanolamine oleate 5%. Methods A retrospective descriptive study was performed in electronic patient charts covering seven years. Patient demographics, diagnostic resources, lesion site, size, and number of applications of monoethanolamine oleate 5% were collected. Results A total of 21 vascular malformations were recorded, located mostly on the lower lip (52.3%) and resolved in a single application in 14 patients. The authors found 19 patients treated with sclerotherapy. Thirteen were women and six were men, with a mean age of 61 years. Study limitation Small sample size. Conclusions Sclerotherapy is an effective treatment for vascular malformations of the lips and oral cavity, with resolution after only one or two applications (n = 16).

Associação das condições normativas e subjetivas de saúde bucal com a insatisfação com os serviços odontológicos entre adultos brasileiros / The association between normative and subjective oral health conditions and dissatisfaction with dental services among adult Brazilians

Resumo Avaliou-se a prevalência da insatisfação com os serviços odontológicos e sua associação com condições normativas e subjetivas de saúde bucal entre adultos brasileiros. Trata-se de um estudo transversal que utilizou dados do inquérito nacional de saúde bucal (SB Brasil) realizado em 2010. Considerou-se uma amostra representativa da população adulta brasileira. Foram conduzidas análises descritivas, bivariadas e múltiplas (OR/IC 95%) com correção pelo efeito desenho. Dentre os 4.539 adultos incluídos, 614 (13,4%) relataram a insatisfação com os serviços odontológicos utilizados. A insatisfação foi maior entre aqueles que apresentavam algum dente cariado (1,61/1,06 ; 2,44), que estavam insatisfeitos com seus dentes e boca (2,36/1,39 ; 4,02) e que haviam relatado dor de dente nos últimos 6 meses (1,99/1,29 ; 3,07). Conclui-se que a prevalência da insatisfação com os serviços odontológicos entre adultos brasileiros foi baixa e esteve associada a condições normativas e subjetivas de saúde bucal.

Abstract The prevalence of dissatisfaction with dental services and its association with normative and subjective oral health conditions among adult Brazilians was evaluated. This cross-sectional study used data from the last Brazilian National Oral Health Survey (SBBrasil), conducted in 2010. It was considered a representative sample of the adult Brazilian population. Data were analyzed by descriptive, univariate and multiple statistics (OR / 95% CI), with correction by the design effect. Among the 4539 adults included in the study, 614 (13.4%) reported dissatisfaction with dental services. Dissatisfaction was higher among adults who had any decayed teeth (1.61 / 1.06; 2.44), adults who were dissatisfied with their teeth and mouth (2.36 / 1.39; 4.02) and adults who had reported toothache in the previous six months (1.99 / 1.29, 3.07). The conclusion drawn was that the prevalence of dissatisfaction with dental services among Brazilian adults was low and associated to normative and subjective oral health conditions.

Oral mucosal diseases in children - casuistics from the Department of Dermatology - University of São Paulo - Brazil

Abstract There are no studies about pediatric oral mucosal diseases performed by dermatologists in Brazil. This study presents the casuistics of oral mucosal diseases in children examined at the Oral Diseases Clinic at the Department of Dermatology - University of São Paulo - Brazil. Cases were retrospectively studied from the hospital records from 2003 to 2015. A hundredsix children have been examined. Commoner lesions examined included mucoceles and aphthae. Rare and difficult cases were also seen and have been published; this clinic is based in a tertiary hospital center that deals mostly with complex cases.

Aplicaciones del cultivo celular en odontología / Applications of cell culture in dentistry

Las ciencias básicas, la medicina oral y los nuevos avanzces en biotecnología y bioinformática constituyen un gran campo de investigación dentro de la odontología actual. En este sentido, dichos avances están proporcionandoun nuevo conjunto de estrategias terapéuticas para el manejo clínico de los pacientes con dolencias dentales y craneofaciales. Es importante destacar que las disciplinas relacionadas con las ciencias básicas, la medicina oral, la biotecnología y la bioinformática, han contribuido de manera trascendental al entendimiento de la fisiología y lasdiversas patologías que afectan las condiciones de normalidad del sistema bucal. La ingeniería tisular se considera como un enfoque prometedor para la odontología regenerativa, con el objetivofinal de reemplazar morfológica y funcionalmente los tejidos periodontales y/o los dientes perdidos a través dela síntesis in vitro de sustitutos análogos tisulares, considerando que el diente y las estructuras periodontales son importantes órganos del complejo craneofacial, los tratamientos utilizados para las enfermedades que los afectan no lo restauran completamente. La odontología clínica está incursionando en una nueva era en donde el enfoque terapéutico es el uso de terapia génica, terapia celular, ingeniería tisular y lamedicina regenerativa, ampliando el arsenal de posibilidades para nuestros pacientes. Una línea de investigaciónfundamental en ingeniería tisular y medicina regenerativa son las células madres. Como parte de los nuevos avances de la odontología a nivel mundial, científicos e investigadores del mundo aplican la bioingeniería para lograr reconstrucciones maxilofaciales,regeneraciones óseas y reconstrucciones de piezas dentales a partir de células madre como parte de tratamientos inovadores...

Chronic pain relief after the exposure of nitrous oxide during dental treatment: longitudinal retrospective study / Alívio da dor crônica após exposição ao óxido nitroso durante tratamento odontológico: estudo retrospectivo longitudinal

The objective was to investigate the effect of nitrous/oxygen in chronic pain. Seventy-seven chronic pain patients referred to dental treatment with conscious sedation with nitrous oxide/oxygen had their records included in this research. Data were collected regarding the location and intensity of pain by the visual analogue scale before and after the treatment. Statistical analysis was performed comparing pre- and post-treatment findings. It was observed a remarkable decrease in the prevalence of pain in this sample (only 18 patients still had chronic pain, p < 0.001) and in its intensity (p < 0.001). Patients that needed fewer sessions received higher proportions of nitrous oxide/oxygen. Nitrous oxide may be a tool to be used in the treatment of chronic pain, and future prospective studies are necessary to understand the underlying mechanisms and the effect of nitrous oxide/oxygen in patients according to the pain diagnosis and other characteristics.

O objetivo deste estudo foi investigar o efeito do óxido nitroso na dor crônica. Os prontuários de 77 pacientes com dor crônica submetidos a tratamento odontológico com sedação consciente (óxido nitroso/oxigênio) foram incluídos. Os dados sobre localização e intensidade de dor pela escala visual analógica foram considerados, e foi realizada comparação e análise estatística entre os momentos pré- e pós-tratamento. Foi observada redução marcante na prevalência de dor nesta amostra (apenas 18 doentes ainda tinham dor, p < 0,001) e na intensidade de dor (p < 0,001). Os doentes que precisaram de menor quantidade de sessões receberam maiores proporções de óxido nitroso/oxigênio. Em conclusão, pode-se considerar o oxido nitroso como uma ferramenta a ser investigada no tratamento da dor crônica em estudos futuros prospectivos, que poderão identificar os mecanismos associados de acordo com o diagnóstico de dor e outras características.

Evaluation of patients with Alzheimer's disease before and after dental treatment / Avaliação de pacientes com doença de Alzheimer antes e depois do tratamento dentário

Oral infections may play a role in Alzheimer's disease (AD). Objective To describe the orofacial pain, dental characteristics and associated factors in patients with Alzheimer's Disease that underwent dental treatment. Method 29 patients with mild AD diagnosed by a neurologist were included. They fulfilled the Mini Mental State Exam and Pfeffer's questionnaire. A dentist performed a complete evaluation: clinical questionnaire; research diagnostic criteria for temporomandibular disorders; McGill pain questionnaire; oral health impact profile; decayed, missing and filled teeth index; and complete periodontal investigation. The protocol was applied before and after the dental treatment. Periodontal treatments (scaling), extractions and topic nystatin were the most frequent. Results There was a reduction in pain frequency (p=0.014), mandibular functional limitations (p=0.011) and periodontal indexes (p<0.05), and an improvement in quality of life (p=0.009) and functional impairment due to cognitive compromise (p<0.001) after the dental treatment. Orofacial complaints and intensity of pain also diminished. Conclusion The dental treatment contributed to reduce co-morbidities associated with AD and should be routinely included in the assessment of these patients. .

Infecções orais podem ter um papel na doença de Alzheimer (DA). Objetivo Descrever as características orofaciais, dor, odontológicas e fatores associados em doentes com DA submetidos a tratamento dentário. Método 29 doentes diagnosticados com DA por neurologista foram avaliados através do Mini Exame do Estado Mental e questionário Pfeffer. O exame odontológico foi realizado antes e depois do tratamento dentário e incluiu: questionário clínico; critérios diagnósticos de pesquisa para disfunção temporomandibular; questionário de dor McGill; protocolo de impacto de saúde oral; dentes cariados, perdidos e obturados; e avaliação periodontal. Os procedimentos mais frequentes foram raspagem periodontal, exodontias e prescrição de nistatina tópica. Resultados Houve uma redução na frequência de dor (p=0,014), limitações mandibulares (p=0,011), índices periodontais (p<0.05), e melhora na qualidade de vida (p=0,009) e no comprometimento funcional e cognitivo (p<0,001) após o tratamento dentário. Queixas orofaciais e intensidade de dor também diminuíram. Conclusão O tratamento dentário contribuiu para reduzir comorbidades associadas à DA e deveria ser incluído na rotina de avaliação desses pacientes. .

Sonoporation-Invigorating Sound in Dentistry: A Review.

Ultrasound (US), traditionally a diagnostic modality, and is emerging as a non-invasive therapy using local drug delivery and gene therapy. US exposure gene rates bio eff ects that result in shear stress, tissue heating, and cavitation eff ects, which are used in therapeutic applications. Sonoporation employs these eff ects to enhance delivery of large molecules such as DNA into the cells which is applied to muscle, head and neck tumor, in a cell disruption process called transformation and increases the permeability to bioactive materials, which is usually used in molecular biology and gene therapy. Nevertheless, it has recently become popular as a technique to enhance drug release from drug delivery systems. Th is review presents the main fi ndings in the fi eld of sonoporation, namely drug delivery, gene delivery and DNA transfer and its applications in dentistry.

Alterações da normalidade e lesões bucais encontradas numa faculdade de odontologia do Sul do Brasil / Changes in normality and oral lesions found in a School of dentistry of southern Brazil

A Estomatologia tem um papel muito importante na Odontologia, pois o conhecimento das lesões bucais é imprescindível para um diagnóstico adequado, assim como para um correto tratamento. Nesse sentido, também é muito importante a documentação odontológica do diagnóstico, tratamento e acompanhamento das lesões bucais. Objetivo: neste trabalho pretendeu-se verificar os principais tipos de lesões/alterações da normalidade que acometem a cavidade bucal dos pacientes atendidos na Clínica de Estomatologia da Faculdade de Odontologia da UPF no período de agosto de 2012 a dezembro de 2013 através de documentação clínica em prontuários. Método: consistiu-se num estudo longitudinal observacional acerca de 82 lesões atendidas na Clínica de Estomatologia da Faculdade de Odontologia da UPF atendidas no período estipulado. Acerca das mesmas foram coletadas as características epidemiológicas e clínicas, as quais foram tabuladas em planilha própria e analisadas por estatística descritiva de frequência. Resultados e Discussão: constatou-se que mulheres na quinta e sexta décadas de vida foram mais acometidas por lesões/alterações de normalidade no período estudado. A lesão fundamental mais prevalente foi o nódulo e a localização mais frequente foi a mucosa jugal. O trauma foi apontado como fator etiológico mais prevalente. Das lesões pesquisadas, a mais prevalente foi a hiperplasia fibroepitelial. Conclusão: é de extrema importância a informatização e o uso da documentação odontológica das lesões/alterações de normalidade através dos dados clínicos para que se tenha uma compreensão do processo de diagnóstico/tratamento...

Stomatology has a very important role in dentistry, because knowledge of oral lesions is essential for a proper diagnosisas well as for proper treatment. In this sense, it is also very important the dental records for diagnosis, treatment and monitoring of oral lesions. Objective: this paper aims to verify the main types of lesions / normal changes that affect the oral cavity of patients treated atthe Clinic of Stomatology, Faculty of Dentistry, University of Passo Fundo ? UPF. Method: the study was carried out from August 2012 to December 2013 analyzing clinical documentation in medical records. It was a longitudinal observational study of 82 lesions treated at Clinic of Stomatology, Faculty of Dentistry, UPF met within the stipulated period. About the lesions were collected epidemiological and clinical characteristics, which were tabulated in the worksheetand analyzed using descriptive statistics of frequency. Results and discussion: it was found that women in the fifth and sixth decades of life were more affected by injuries / variations from normal duringthe study period. The most prevalent primary lesion was a nodule and the most frequent location was the buccal mucosa. The trauma was identified as the most prevalent etiologic factor. The studied lesions, the most prevalent was fibroepithelial hyperplasia. Conclusion: is of utmost importance to use informatics systems and dental records of injuries / variations from normal by clinical data in order to have anunderstanding of the diagnostic / treatment process...

Dental manifestations of patient with Vitamin D-resistant rickets

Patients with Vitamin D-resistant rickets have abnormal tooth morphology such as thin globular dentin and enlarged pulp horns that extend into the dentino-enamel junction. Invasion of the pulp by microorganisms and toxins is inevitable. The increased fibrotic content of the pulp, together with a reduced number of odontoblasts, decreases the response to pulp infection. The most important oral findings are characterized by spontaneous gingival and dental abscesses occuring without history of trauma or caries. Radiographic examinations revealed large pulp chambers, short roots, poorly defined lamina dura and hypoplastic alveolar ridge. These dental abscesses are common and therefore the extraction and pulpectomy are the treatment of choice. The purpose of this article is to report a case of Vitamin D-resistant rickets in a 5 year-old boy, describing the dental findings and the treatment to be performed in these cases.

Prevalence study of oral mucosal lesions, mucosal variants, and treatment required for patients reporting to a dental school in North India: in accordance with WHO guidelines

The aim of the study was to evaluate the prevalence of oral mucosal lesions [OML] in adult patients reporting to the dental outpatient department at the Institute of Dental Studies and Technologies, Modinagar, Uttar Pradesh, India. The purpose was to determine the priorities in oral health education, preventive measures, and identify the group in urgent need of treatment. The study was conducted over a period of 6 months in 2010, when 8866 subjects were offered structured interviews and standardized extraoral and intraoral examinations according to the World Health Organization [WHO] guidelines. Overall prevalence of OML was 1736 [16.8%], the most prevalent being smoker's palate [10.44%] followed by leukoplakia [2.83%], oral submucous fibrosis [1.97%], oral candidiasis [1.61%], recurrent aphthous stomatitis [1.53%], oral lichen planus [0.8%] and others [0.78%]. The highest prevalence of the tobacco habit in both forms was recorded in the group aged 40-44 years and those aged between 60 and 64 years who wore dentures. Lesions were most prevalent in those aged 40-44 years with a significant predominance of males at 3:1 [M = 12.6% and F = 4.3%]. Patients who consumed tobacco in any form or wore dentures had a significantly higher prevalence of OML [P < 0.001]. The highest number of lesions were on the palate [59.7%] followed by buccal mucosa [19.9%]. Various normal mucosal variants were recorded. Fordyce's granules [0.13%], fissured tongue [3.3%], leukoedema [1.47%], and lingual varices [2.73%] were also recorded. The tongue showed the highest number of variants [64.4%]. Patients were grouped according to the treatment needed under the WHO criteria. One hundred and ninety-seven patients were given oral hygiene instructions only, whereas 1422 patients were advised on change of habit and a follow-up and 674 patients needed definitive treatment. This study thus highlights diagnostic criteria, multifactorial risk factors to make standard measurements of OML a basis for planning and evaluating oral health programs for data collection

Síndrome de rubéola congénita y manifestaciones bucales: reporte de un caso / The congenital rubella syndrome: case report

El Síndrome de la Rubéola Congénita (SRC), se caracteriza por presentar secuelas tempranas y tardías que afectan el sistema ocular, cardíaco y auditivo de manera simultánea acompañada de diferentes manifestaciones bucales. El objetivo de este reporte es dar a conocer las características bucales asociadas al Síndrome, como puede afectar al paciente desde temprana edad y guiar al odontólogo a identificar dicha entidad. Se presenta el caso de escolar de género femenino que acude al servicio de ortodoncia interceptiva del Postgrado de Odontología Infantil de la U.C.V., con el diagnóstico de S.R.C. se realizó el consentimiento informado y se cumplieron los protocolos de profilaxis antibiótica. Al examen clínico intraoral y extraoral y al análisis cefalométrico se diagnosticó Maloclusión dentaria Clase I tipo 3, Maloclusión esquelética Clase III, oligodoncias, microdoncias, además de ciertas características no reportadas asociadas al SRC como la queilitis descamativa y lesiones fibrosas. El SRC posee diferentes manifestaciones bucales que incluyen alteraciones en el desarrollo dental, maloclusiones. El tratamiento odontológico adecuado para estos pacientes debe realizarse en conjunto con un equipo multidisciplinario tomando en cuenta el estado sistémico del paciente

The Congenital Rubella Syndrome (CRS) is characterized by early and late sequelae that affect the eye, heart and ear simultaneously accompanied by various oral manifestations. The purpose of this report is to present oral characteristics associated with Syndrome, how it can affect the patient from an early age and guide the dentist to identify the syndrome. We report the case of a female pacient who attended school at the time in which she was treated at the Graduate interceptive orthodontic Pediatric Dentistry UCV, with the diagnosis of CRS. Informed consent was performed and antibiotic prophylaxis protocols were fulfilled. When intraoral and extraoral clinical examination and cephalometric analysis were diagnosed dental malocclusion Class I Type 3, Class III skeletal, oligodontics , microdontics, plus some unreported characteristics associated with the SRC as desquamative cheilitis and fibrous lesions. SRC has various oral manifestations that include disturbances in dental development, malocclusion. Appropriate dental treatment for these patients should be performed in conjunction with a multidisciplinary team taking into account the patient's clinical state

Doenças ocupacionais com manifestações bucais / Ocupattional diseases in the mouth

Introdução: várias são as doenças ocupacionais que manifestam sinais na cavidade bucal. Podem ser de etiologia mecânica, física, química, biológica, ergonômica e psicossocial. De acordo com o tipo de causa lesional, podem ocorrer colorações, erosões ou traumas de diferentes intensidades. Objetivo: o objetivo deste estudo foi esclarecer as lesões relacionadas ao trabalho, bem como apresentar métodos preventivos. Metodologia: utilizou-se uma metodologia meta-analítica e os resultados mostraram diversos riscos ocupacionais com manifestações bucais. Considerações finais: Concluiu-se que a melhor forma de prevenção dessas injúrias é o uso dos equipamentos de proteção individual e a adequação do meio ambiente laboral. Muitas lesões necessitam tratamento, algumas requerem o controle dos danos e outras a remoção do agente irritante.

Introduction: Several are the occupational diseases that reveal signals in the mouth. They can be of etiology mechanics, physics, chemistry, biological or ergonomic and psychosocial. According with the type of lesion cause, it can occur different intensities of colorations, erosions or traumas. Objective: the aim of this study was to clarify the injuries related to work activities, as well as to present preventive methods. Methods: a meta-analytical methodology was used and the results hadshown a variety of occupational risks in the mouth. Final considerations: we concluded that the best form of prevention of these injuries is the use of individual equipment protection and the adequacy of the labor environment. Many injuries need treatment, some require the control of damages and others the removal of the irritating agent.