RESUMO
A 43-year-old male presented with an asymptomatic swelling of the lower labial mucosa. Examination revealed that the tip of maxillary canine was causing trauma on the affected side. A diagnosis of extravasation type of mucocele was established clinically. Vaporization of the mucocele was done with a 940-nm diode laser in contact mode. The lesion healed uneventfully and there has been no recurrence for 3 months.
Assuntos
Terapia a Laser/métodos , Lasers Semicondutores/uso terapêutico , Doenças Labiais/cirurgia , Mucocele/cirurgia , Adulto , Seguimentos , Humanos , Terapia com Luz de Baixa Intensidade/métodos , MasculinoRESUMO
CONTEXT: People living in rural or remote Brazil, as in other sub-tropical or tropical nations, are vulnerable to infections that would not normally occur in urban areas or wealthier nations. Brazil is a geographically extensive nation, historically marked by vast socioeconomic inequalities. Approximately 16% of the population live in rural areas. ISSUE: This clinical case report demonstrates the vulnerability of rural residents who are underserved by Brazil's 'universal' public healthcare system, despite social and economic challenges that increase their risk for disease. Myiasis (especially oral myiasis) is a rare health condition in humans caused by fly larvae. Oral myiasis usually appears in periodontal pockets and open wounds, such as after dental extractions. It is associated with poverty, lack of access to health care, and very poor overall health status. While myiasis has a worldwide distribution, it is particularly associated with the tropical and sub-tropical regions of North and South America. LESSONS LEARNED: This article describes a rare case of myiasis in the upper lip of a rural male patient. The case report demonstrate that rural and remote residents can be socially excluded from the benefits of technology and biomedicine, making them vulnerable to rare infections.
Assuntos
Antiparasitários/uso terapêutico , Ivermectina/uso terapêutico , Doenças Labiais/tratamento farmacológico , Mucosa Bucal , Miíase/tratamento farmacológico , Serviços de Saúde Rural , Isolamento Social , Doença de Alzheimer/diagnóstico , Anestesia Local , Brasil , Serviço Hospitalar de Emergência , Acessibilidade aos Serviços de Saúde/normas , Humanos , Doenças Labiais/parasitologia , Doenças Labiais/cirurgia , Masculino , Desnutrição/terapia , Área Carente de Assistência Médica , Pessoa de Meia-Idade , Mucosa Bucal/parasitologia , Mucosa Bucal/cirurgia , Miíase/diagnóstico , Miíase/parasitologia , Miíase/cirurgia , Guias de Prática Clínica como Assunto , Serviços de Saúde Rural/normas , Condições Sociais , Resultado do Tratamento , Populações VulneráveisRESUMO
There are several types of lasers that will allow pediatric dentists to remove soft tissue (such as diode or Neodynium:Yttrium-Aluminum-Garnet (Nd:YAG) lasers) or remove both hard and soft tissue (such as the Erbium:YAG laser), in addition to photobiostimulation or therapeutic lasers that produce their healing benefits without producing heat. Lasers allow pediatric dentists to provide optimal care without many of the fear factors that result from conventional dental techniques. Lasers are extremely safe and effective when the user has a proper understanding of laser physics. Using lasers for caries removal, bone removal, and soft tissue treatment can reduce postoperative discomfort and infection and make it possible for dentists to provide safe, simple treatments.
Assuntos
Assistência Odontológica para Crianças , Terapia a Laser , Anestesia Dentária , Anestesia Local , Criança , Pré-Escolar , Aumento da Coroa Clínica/métodos , Preparo da Cavidade Dentária/métodos , Restauração Dentária Permanente/métodos , Traumatismos Faciais/radioterapia , Feminino , Engasgo/efeitos da radiação , Gengivectomia/métodos , Herpes Labial/cirurgia , Humanos , Lactente , Lasers Semicondutores/uso terapêutico , Lasers de Estado Sólido/uso terapêutico , Freio Lingual/cirurgia , Doenças Labiais/cirurgia , Terapia com Luz de Baixa Intensidade , Masculino , Pulpotomia , Estomatite Herpética/radioterapia , Avulsão Dentária/radioterapia , Dente Decíduo/lesões , Dente Impactado/cirurgia , Trismo/radioterapia , Malformações Vasculares/cirurgiaRESUMO
BACKGROUND. The Q-switched ruby laser emits energy with a 694-nm wavelength and has a pulse duration in the nanosecond range, which allows selective treatment of benign pigmented lesions. Labial and perioral pigmented macules associated with Peutz-Jeghers syndrome are often numerous and cosmetically disfiguring. RESULTS/CONCLUSION. We report successful treatment of these lentigines with the Q-switched ruby laser and consider it the treatment of choice for these lesions.