Kinetics of neutrophil extracellular traps and cytokines in oral mucositis and Candida infection.

OBJECTIVE: This study investigated the concentrations of neutrophil extracellular traps (NET) and salivary cytokines (IL-1ß, IL-6, IL-8/CXCL8, TNF, and TGF-ß1) in patients undergoing chemotherapy and their associations with oral mucositis (OM) and Candida infection. MATERIALS AND METHODS: This prospective longitudinal study performed at a Brazilian service included 60 adults diagnosed with hematolymphoid diseases. Saliva samples were collected on days D0, D3, D10, and D15. Cytokines were analyzed by ELISA and NET formation by identification of the myeloperoxidase-DNA complex. Oral Candida spp. was cultured. RESULTS: OM occurred in 43.3% of patients and oral candidiasis in 20%. However, 66% of individuals had positive cultures for C. albicans. Higher concentrations of IL-6, IL-8/CXCL8, and TNF and lower concentrations of TGF-ß1 were observed in patients with OM. C. albicans infection contributed to the increase in IL-8/CXCL8, TGF-ß1, and TNF. Individuals with OM or with oral candidiasis had significant reductions in NET formation. In contrast, individuals with C. albicans and with concomitant C. albicans and OM exhibited higher NET formation. CONCLUSION: The kinetics of cytokine levels and NET formation in chemotherapy-induced OM appears to be altered by Candida infection, even in the absence of clinical signs of oral candidiasis.

Clinical, immunological, and microbiological analysis of the association between periodontitis and COVID-19: a case-control study.

PURPOSE: Periodontitis and coronavirus disease (COVID-19) share risk factors and activate similar immunopathological pathways, intensifying systemic inflammation. This study investigated the clinical, immunological and microbiological parameters in individuals with COVID-19 and controls, exploring whether periodontitis-driven inflammation contributes to worsening COVID-19 endpoints. METHODS: Case (positive RT-PCR for SARS-CoV-2) and control (negative RT-PCR) individuals underwent clinical and periodontal assessments. Salivary levels of TNF-α, IL-6, IL-1ß, IL-10, OPG, RANKL, neutrophil extracellular traps, and subgingival biofilm were analyzed at two timepoints. Data on COVID-19-related outcomes and comorbidity information were evaluated from medical records. RESULTS: Ninety-nine cases of COVID-19 and 182 controls were included for analysis. Periodontitis was associated with more hospitalization (p = 0.009), more days in the intensive care unit (ICU) (p = 0.042), admission to the semi-ICU (p = 0.047), and greater need for oxygen therapy (p = 0.042). After adjustment for confounders, periodontitis resulted in a 1.13-fold increase in the chance of hospitalization. Salivary IL-6 levels (p = 0.010) were increased in individuals with COVID-19 and periodontitis. Periodontitis was associated with increased RANKL and IL-1ß after COVID-19. No significant changes were observed in the bacterial loads of the periodontopathogens Porphyromona gingivalis, Aggregatibacter actinomycetemcomitans, Tanerella forsythia, and Treponema denticola. CONCLUSIONS: Periodontitis was associated with worse COVID-19 outcomes, suggesting the relevance of periodontal care to reduce the burden of overall inflammation. Understanding the crosstalk between SARS-CoV-2 infection and chronic conditions such as periodontitis that can influence disease outcome is important to potentially prevent complications of COVID-19.

Diagnosis and rehabilitation of an infant with palatal mucormycosis: A clinical report and systematic literature review.

STATEMENT OF PROBLEM: Oral mucormycosis is uncommon in pediatric patients with hematolymphoid diseases. Prosthetic rehabilitation is challenging, and protocols are scarce in the literature. PURPOSE: The purpose of this clinical report and systematic literature review of case reports and case series was to describe the clinicopathologic aspects of oral mucormycosis and the interim prosthetic rehabilitation of an affected infant. MATERIAL AND METHODS: The clinical lesions were ulcerative and necrotic with underlying bone exposure that affected the hard palate. The affected area underwent surgical debridement, and histopathologic analysis was performed. A literature search in PubMed/MEDLINE, Embase, Scopus, and Web of Science up to October 2023 was performed. RESULTS: The histopathological features were consistent with mucormycosis. Topical and systemic antifungals were prescribed. Tooth eruption was insufficient, and an acetate plate without clasp retention, but still with adequate retention, was fabricated. Articulatory, masticatory, and swallowing functions were restored, preventing the passage of food and fluids into the oroantral cavities. Twenty-five articles describing 26 patients with oral mucormycosis related to hematolymphoid disorders affecting the pediatric population were identified. None of the authors of these articles provided information about oral rehabilitation. CONCLUSIONS: Early diagnosis and treatment are essential to increasing the chances of survival for infants affected by oral mucormycosis. Custom-made rehabilitation should be provided to restore oral function and improve the patient's general health.

Leukemia/lymphoma oral infiltration and its impact on disease outcomes: A Brazilian study.

OBJECTIVE: Oral malignant infiltrations (OMI) are relevant for the diagnosis and prognosis of leukemia/lymphoma. This study analysed the oral health status and OMI of individuals with leukemia/lymphoma. MATERIALS AND METHODS: A retrospective analysis (2010-2021) of data from individuals seen at a specialized hospital-based dental service in Brazil. RESULTS: A total of 781 cases of leukemia/lymphoma were surveyed. Acute lymphoblastic leukemia (30.1%), acute myeloid leukemia (AML; 26.0%), and non-Hodgkin lymphoma (22.2%) were the most common diagnoses. The first (21.3%) and second (19.3%) decades of life were the most affected. Overall, dental caries (36.7%) and periodontal changes (34.6%) were the most frequent oral conditions. OMI occurred in 25 (3.2%) individuals. Lesions mainly involved the gingiva (80%) and patients diagnosed with AML (64%). Death (p < 0.001) and worse periodontal condition (p = 0.036) were more frequent among adults with OMI than among those without OMI. Death (p = 0.002) was more frequent among paediatric individuals with OMI than among those without OMI. When controlling for underlying disease, no association was observed between OMI and these outcomes. CONCLUSION: Oral status of individuals with leukemia, particularly those with acute leukemia or lymphoma, should be closely monitored since one or multiple conditions may occur, including OMI, which may influence disease outcomes.

Leukaemic infiltration in the oral and maxillofacial region: An update.

BACKGROUND: The purpose of this study was to integrate the available data published on leukaemic infiltration in the oral and maxillofacial region into a comprehensive analysis of its clinical manifestations, imaginological characteristics, management and survival. MATERIALS AND METHODS: An electronic search with no publication date restriction was undertaken in October 2020 in the following databases: PubMed, Web of Science, Scopus and Embase. Overall survival was calculated by survival analysis with the Kaplan-Meier test. A critical appraisal of included articles was performed using the Joanna Briggs Institute tool. RESULTS: A total of 63 studies including 68 patients were selected for data extraction. The most common haematologic diagnosis was acute myeloid leukaemia (47%). The most affected individuals were 40 to 49 years old (20.9%). The male-to-female ratio was 1.2:1. The gingiva was the most affected site (37%). Swelling/mass/oedema (33.7%) and enlargement/hyperplasia/hypertrophy (25.5%) were the main clinical findings. Osteolytic lesions with bone destruction were the main imaginological characteristics among the reported cases. Follow-up was available for 36 patients. Overall, within the 21-month follow-up, the survival probability dropped to 14.3%. CONCLUSION: A considerable number of studies reported oral manifestations mainly in individuals with the acute form of leukaemia. Children and adults were affected, but the fifth decade of life was the most common. Dentists should be vigilant since these manifestations may be important for a diagnosis and for the monitoring of the treatment response and recurrence of haematological neoplasia.

Treatment of oral manifestations of toxic epidermal necrolysis with low-level laser therapy in a pediatric patient.

Drug-induced reactions are complications associated with high mortality and significant morbidity. Stevens-Johnson Syndrome (SJS) and toxic epidermal necrolysis (TEN) are examples of these conditions, which are characterized by skin and mucous lesions. Here, we report a case of a 9-year-old girl who presented with blisters associated with an extensive vesicular rash and multiple ulcerations on the lips and oral cavity. A drug-induced hypersensitivity reaction to antibiotics was suspected, and a diagnosis of TEN was made. The patient was managed with withdrawal of the suspected causative agent, and the oral lesions were treated with low-level laser therapy (LLLT) and oral hygiene. This case highlights that TEN requires interdisciplinary intervention with dental assistance and follow-up to improve symptoms, nutrition, systemic condition, and quality of life.

Safety protocols for dental care during the COVID-19 pandemic: the experience of a Brazilian hospital service.

The coronavirus disease (COVID-19) has been prioritized in relation to other illnesses considered critical, such as cancer, cardiovascular diseases/stroke, diabetes, and autoimmune diseases. The management of patients with these diseases involves dental care to reduce systemic complications caused by odontogenic infections, and/or to treat oral manifestations of systemic comorbidities. In this regard, the dental care of these individuals must be guaranteed during the pandemic. Although a high risk of exposure to and catching of COVID-19 is expected to befall dental professionals, biosafety guidelines reduce the likelihood of infection. Thus, the current scenario poses challenges, and offers decision-making approaches and tools that facilitate the management of individuals with oral manifestations of chronic and/or critical diseases, using hospital-based services. This article presents an overview for hospital service providers who are at the forefront of COVID-19 care, including a secure protocol, and clinical guidelines based on the experience of the Hospital das Clínicas in Belo Horizonte, a public referral service, supported by the Brazilian National Health System.

Bleeding assessment in oral surgery: A cohort study comparing individuals on anticoagulant therapy and a non-anticoagulated group.

Some prospective studies have been designed specifically to investigate perioperative bleeding in dental surgery. The quantitative assessment of intraoperative blood loss can be useful for indicating the real risk of bleeding complications, especially in medically compromised individuals. The aim of this study was to evaluate the pattern of bleeding in individuals under vitamin K antagonist (VKA) therapy and non-anticoagulated individuals submitted to dental extractions. Perioperative bleeding was evaluated by using a total collected bleeding corrected by absorbance reading (dental bleeding score). 138 procedures were performed. When the perioperative dental bleeding score was correlated with the number of extracted teeth, the quantity of bleeding was found to be directly proportional to the procedure. Extractions of two or more teeth presented higher scores than single extractions (p = 0.003). In a comparative analysis between the VKA and non-anticoagulated groups, no significant difference in the scores was found. The previous history of complications in dental procedures (p = 0.001) and the use of additional hemostatic measures were higher in the VKA group (p = 0.017). VKA therapy did not impact significantly the volume of blood lost during dental extractions. Perioperative bleeding assessment might be a useful parameter for evaluating patients under antithrombotic treatment.

Intraoral granulocytic sarcoma as a manifestation of myelofibrosis: A case report and review of the literature.

Granulocytic sarcoma (GS) is an extramedullary tumor associated with myelodysplastic syndromes or myeloproliferative diseases. Intraoral manifestations are considered uncommon, with a reasonable number of cases, and are mostly related to leukemia. The association of oral GS and myelofibrosis is very rare and only three cases have been published. In this paper, we report the fourth case of oral lesion in a patient with a diagnosis of myelofibrosis. The aim of this study was to present a review of the literature, discussing the current and previous cases of oral GS associated with myelofibrosis or other hematological disorders and the importance of accurate diagnosis through clinical, microscopic, and immunohistochemical features.

Dental care before cardiac valve surgery: Is it important to prevent infective endocarditis?

BACKGROUND: Infective endocarditis (IE) is a serious disease that affects the surface of the endocardium. The spread of microorganisms from the oral cavity has been associated with the occurrence of IE. OBJECTIVE: To analyze whether dental treatment before cardiac valve surgery (CVS) influenced the occurrence of IE. METHODS: We performed a retrospective analysis of the medical and dental histories of patients undergoing CVS from 2004 to 2014. The sample consisted of 481 patients who underwent CVS divided into two groups: patients submitted to dental treatment prior to CVS (n = 110) and patients undergoing CVS without dental treatment (n = 371). RESULTS: Of the total sample, 38 patients (8%) were diagnosed with IE. No significant difference was detected (p = 0.496) in comparing the occurrence of IE in the group with dental preparation (6.4%) and without dental preparation (8.4%). The logistic regression model confirmed that dental treatment did not change the IE risk (p = 0.504) and indicated that age (p < 0.003) and gender (p = 0.013) were significant risk factors for IE. There was a high demand for dental procedures in the group receiving dental preparation, with no significant differences between the patients with or without IE. Hemoculture indicated qualitative differences in comparing patients with and without dental treatment, especially in the frequency of Staphylococcus and Streptococcus. CONCLUSIONS: The results did not allow for the determination of the impact of dental treatment before CVS on IE outcomes. However, it was not possible to exclude the potential beneficial effects of dental treatment in the prevention of IE.

Safety protocols for dental care during the COVID-19 pandemic: the experience of a Brazilian hospital service

Abstract The coronavirus disease (COVID-19) has been prioritized in relation to other illnesses considered critical, such as cancer, cardiovascular diseases/stroke, diabetes, and autoimmune diseases. The management of patients with these diseases involves dental care to reduce systemic complications caused by odontogenic infections, and/or to treat oral manifestations of systemic comorbidities. In this regard, the dental care of these individuals must be guaranteed during the pandemic. Although a high risk of exposure to and catching of COVID-19 is expected to befall dental professionals, biosafety guidelines reduce the likelihood of infection. Thus, the current scenario poses challenges, and offers decision-making approaches and tools that facilitate the management of individuals with oral manifestations of chronic and/or critical diseases, using hospital-based services. This article presents an overview for hospital service providers who are at the forefront of COVID-19 care, including a secure protocol, and clinical guidelines based on the experience of the Hospital das Clínicas in Belo Horizonte, a public referral service, supported by the Brazilian National Health System.

Direito, justiça e judicialização em saúde bucal / Right, justice and judicialization in oral health

O direito à saúde é um direito social respaldado em nossa Constituição, imprescindível ao bem-estar e à dignidade do ser humano. O objetivo deste trabalho é analisar as solicitações de tratamentos odontológicos no Sistema Único de Saúde do Estado de Minas Gerais levadas ao Poder Judiciário, para conhecer suas características e as argumentações jurídicas, de princípios e biológicas, utilizadas pelos desembargadores na elaboração dos votos. Foram pesquisados no site do Tribunal de Justiça de Minas Gerais os acórdãos proferidos no período de 2006 a 2016, resultando 27 acórdãos adequados ao estudo. Os resultados denotam que as ações foram postuladas individualmente, com 93% de êxito em favor dos usuários, sendo que foram apresentados laudos ou requisições em 88% das ações. As principais queixas que originaram as solicitações por tratamento odontológico foram agrupadas em cinco grupos. O tratamento odontológico mais solicitado foi cirurgia para colocação de implantes (sete acórdãos), seguido por aparelho ortodôntico (cinco acórdãos). A fundamentação jurídica foi embasada na Constituição, sendo que o artigo 196 foi o mais citado, constando em 25 dos 27 acórdãos. Na fundamentação baseada na argumentação de princípio, o direito à saúde foi o mais utilizado (20 acórdãos), fortalecendo esse direito social, seguido do princípio da dignidade da pessoa humana (12 acórdãos), do princípio da reserva do possível (10 acórdãos) e do direito à vida (oito acórdãos). A Justiça tem sido procurada como alternativa de acesso aos serviços de saúde, devendo os reflexos desse fato serem analisados além do indivíduo beneficiado, pois envolvem toda a sociedade.

The right to health is a social right provided by the Constitution, essential to the well-being and dignity of the human being. The aim of this study is to analyze the requests for dental treatments in the Brazilian National Health System of Minas Gerais state, in order to know their characteristics, the legal, principle and biological argumentation used by the judges in their decisions. A survey was made covering the judgments listed on websites of Minas Gerais Court of Justice in the period from 2006 to 2016, resulting in 27 judgments. The results denote that the actions were postulated individually, with 93% of success in favor of users, and reports or requisitions were submitted in 88% of the actions. The main complaints that originated the requests for dental treatment were grouped into five groups. The most requested dental treatments were surgery for the placement of implants, followed by orthodontic appliance. The legal basis was based on the Constitution for theoretical justification, and the article 196 was the most cited, in 25 of the 27 judgments. In the reasoning based on the principle argumentation, the right to health was the most used, strengthening this social right, followed by the principle of the dignity of the human person, the principle of reserve of possible and the right to life. Justice has been sought as an alternative to access health services, but the consequences of this fact must be analyzed beyond the individual benefited because it involves the whole society.

The removable acrylic partial denture in primary care: the experience and satisfaction of dental surgeons / A prótese parcial removível acrílica na atenção primária: experiência e satisfação dos cirurgiões dentistas

Introduction: The guidelines of the National Politics of Oral Health have led to the inclusion of elemental prostheses in the list of Primary Care procedures. Objective: This paper aimed to evaluate the performance and satisfaction of dental surgeons with the implementation of Acrylic Partial Dentures. Metodology: The sample was composed by 159 dental surgeons (sample calculation), in Belo Horizonte, MG, Brazil, selected via raffle (simple random sampling). A structured questionnaire was built with 72 questions on the daily practice of the performance of dental surgeons, using the SurveyMonkey platform. Result: The results showed that for most of dental surgeons, the inclusion on the list of primary care procedures was a positive initiative and they have enjoyed the experience of using Acrylic Partial Dentures. Dental surgeons who had graduated in private institutions reported to have had more failures than those who had graduated in public institutions. The better prepared dental surgeons reported less difficulties and failures, and the more satisfied professionals with the performance of Acrylic Partial Dentures related had also experienced fewer failures. Considering the indication, the majority of participants did it according to the protocol of the institution (only for anterior teeth) but many revealed the use of dentures also for premolars. Conclusion: Acrylic partial dentures have been a reality in the Brazilian social context even before their inclusion in the list of Primary Care procedures. Such inclusion indicates their relevance; however, it is necessary to have their confection systematized by a protocol in public services.

Introdução: As diretrizes da Política Nacional de Saúde Bucal orientaram para a inclusão de próteses elementares no rol de procedimentos da Atenção Primária em saúde bucal. Objetivo: Avaliou-se a experiência e satisfação dos cirurgiões-dentistas com relação à execução de Prótese Parcial Removível Acrílica no serviço público. Metodologia: A amostra foi composta de 159 cirurgiões-dentistas (cálculo amostral) da rede de atenção primária de Belo Horizonte, selecionados através de sorteio (amostra aleatória simples). Para a coleta de informações, construiu-se um questionário estruturado, com 72 questões inerentes à prática diária de sua execução. Para aplicação do questionário e facilitar a análise estatística dos resultados, utilizou-se a plataforma SurveyMonkey. Resultado: Para a maioria dos profissionais, a inclusão da prótese parcial removível acrílica como procedimento da Atenção Primária foi uma iniciativa positiva e a maioria teve boa experiência com as diversas fases de sua confecção. Os dentistas graduados em instituições privadas relataram ter mais insucessos do que os das instituições públicas. Verificou-se que quanto mais preparado se sentiu o dentista, menos dificuldade na confecção e menos relato de insucesso. Quanto mais satisfeito com a realização, maior ausência de insucesso. Com relação à indicação, a maioria o fez segundo o protocolo da instituição (somente para dentes anteriores) mas muitos revelaram a confecção incluindo também os pré-molares. Conclusão: A prótese parcial acrílica tem sido realidade no contexto social brasileiro mesmo antes da inclusão na Atenção Primária, o que dimensiona a sua relevância. No entanto, faz-se necessário ter sua confecção sistematizada por um protocolo próprio nos serviços públicos.

Identifying missing people: the contribution of forensic dentistry and DNA / Identificação de desaparecidos: a contribuição da perícia em odontologia forense e do exame de DNA

Introduction: Human identification is considered one of the major steps concerning missing people. The Forensic Anthropology Sector of Legal Medical Institutes identifies corpses. Forensic dentistry and DNA tests stand out among the existing standard tests. Objective: This article aimed to evaluate human identification effectiveness through forensic dental examination performed in the forensic anthropology sector in a Forensic Medical Institute, comparing them with DNA analyses. Methodology: This is a cross-sectional study using secondary data available in the department´s database, from 2008 to 2014, concerning identification procedures using forensic dentistry and DNA techniques. Result: The analysis of the examinations eligible to this study (241) showed that DNA analysis was the method used for identification in 79.3% of the cases and forensic dental examinations were used in 20.7% of the cases. As for the type of biological material used during these examinations, unidentified corpses corresponded to 131 cases (53.9%), skeleton structures corresponded to 109 cases (44.9%) and there were 3 cases of body segments (1.2%). When analyzing the time spent to complete the tests, dental examinations were faster than DNA tests. The time spent for forensic dental examination does not depend on the type of dental documentation evaluated. Conclusion: The analysis of the results in this study showed that human identification through forensic dentistry is effective, rapid and less costly, contributing to greater agility in solving issues related to locating missing people.

Introdução: A identificação humana é uma das principais etapas referentes às questões relacionadas à pessoa desaparecida. Objetivo: O presente estudo visou avaliar a efetividade da identificação humana pelas perícias odontolegais realizadas no Serviço de Antropologia Forense de Belo Horizonte-Minas Gerais, comparando-as com as realizadas por DNA. Metodologia: Estudo transversal, utilizando dados secundários registrados no arquivo do Setor de Antropologia Forense, considerando o período de 2008 a 2014, referente às perícias de identificação odontolegais e DNA. Resultado: Analisando-se apenas as perícias de interesse deste estudo (241), a análise de DNA foi o método utilizado para identificação em 79,3% dos casos e exame odontolegal, 20,7%. Quanto ao tipo de material biológico encaminhado para análise, os cadáveres desconhecidos totalizaram 131 (53,9%), as ossadas 109 (44,9%) e segmentos corporais 3 (1,2%). A análise do tempo efetivamente despendido para a conclusão dos exames mostrou que os realizados pela Odontologia foram mais rápidos que os de DNA. No exame odontolegal, o tempo gasto independe do tipo de documentação odontológica avaliada. Conclusão: A análise dos resultados do presente estudo mostrou que a identificação humana pela técnica odontolegal é eficaz, mais ágil e menos onerosa, contribuindo para uma maior celeridade na resolução de questões envolvidas na localização de pessoas desaparecidas.

Ato médico: histórico e reflexão / Medical act: history and reflection

Descrever o histórico da proposição da lei do ato médico e realizar uma reflexão crítica acerca das motivações de seu surgimento e das conseqüências de sua aprovação. Foi realizada uma revisão dos projetos de lei que deram origem ao Projeto de Lei 25/2002 e dos artigos e comentários divulgados a respeito da legislação proposta. Os argumentos contra a aprovação do Projeto de Lei e os seus efeitos, revelaram que a maior preocupação de todos os profissionais da área de saúde é a centralização das ações nas mãos dos médicos, com redução da autonomia das demais profissões de saúde expressando preocupação com as perdas no trabalho em equipe e prejuízo para o modelo de atenção proposto pelo SUS.

Complicações sistêmicas no consultório odontológico: parte I / Systemic complications in the dentist's office: part I

Este artigo tem como objetivo relacionar as principais complicações sistêmicas que podem ocorrer no consultório odontológico, visando sua prevenção, diagnóstico e tratamento. Nesta primeira parte serão estudadas as complicações associadas aos sistemas cardiovascular e endócrino.

The purpose of this article is to describe the main medical emergencies that can occur in a dentist office, considering the key elements of prevention, diagnosis, and treatment. The first part reports oncomplications associated with cardiovascular and endocrine systems.

A representação social da saúde bucal em pré-adolescentes moradores de área de risco social / The social representation of oral halth in adolescents

O objetivo deste estudo foi conhecer as representações sociais sobre a saúde bucal de um grupo de pré-adolescentes, moradores de uma região de alto risco social, em Belo Horizonte e assistidos por uma instituição beneficente. Foram realizadas entrevistas semi-estruturadas com dez pré-adolescentes, com faixa etária variando entre dez e doze anos, para uma análise qualitativa dos dados. Nas entrevistas, foram selecionados cinco grandes temas: o significado da casa; a representação da saúde; a representação da saúde; a representação da saúde bucal; a cárie dentária e os serviços odontológicos ofertados. Constatou-se que os entrevistados apresentaram uma boa noção sobre a sua realidade social e o conhecimento da dificuldade do acesso a serviços de saúde bucal...

Biossegurança do exercício da odontologia / Biossecurity in odontogy

A Portaria CVS-11 de 04-07-95 e a Resoluçäo SSI86 de 19-07-95 vieram normatizar os procedimentos de bioproteçäo necessários ao controle das doenças transmissíveis em consultórios odontológicos. Tais medidas demandam tempo, acarretam um curso adicional ao cirurgiäo-dentista e a necessidade de pessoal auxiliar, fatores estes que dificultam a aplicaçäo prática das disposiçöes impostas, frente a uma Odontologia predominantemente de grupo e serviços públicos despreparados para o cumprimento de um protocolo deste porte

Campo de atuaçäo do odontolegista / Professional field for the specialist in forensic dentistry

A atuaçäo do cirurgiäo-dentista como perito é uma das atribuiçöes a ele conferidas pela Lei 5.081, que regulamenta o exercício da Odontologia. O odontolegista poderá atuar em foro cível, criminal e trabalhista, realizando perícias como as de identificaçäo, lesöes corporais, responsabilidade profissional e acidentes de trabalho; também poderá realizar as chamadas perícias em sede administrativa, ou de convênios, quando atuará como avaliador ou auditor. Em todas as hipóteses, é de extrema importância a existência da documentaçäo odontológica feita pelos cirurgiöes-dentistas clínicos, já que esta constitui elemento fundamental para o trabalho dos odontolegistas