ABSTRACT
OBJECTIVE: The purpose of the present study was to assess the knowledge regarding emergency management of tooth avulsion among elementary schoolteachers in the city of Jaboatão dos Guararapes, Pernambuco, Brazil. MATERIALS AND METHODS: A total of 338 teachers answered a questionnaire with items on emergency procedures following tooth avulsion. RESULTS: The majority of teachers (89.1%) had received no previous orientation regarding management of dental trauma and 81.4% had not witnessed an accident in which tooth avulsion had occurred. If an avulsed tooth had fallen to the ground, 84.3% of the teachers said they would pick it up, and 67.8% of them stated that they would clean it with water or some other liquid. A total of 33.1% said that they would take the student with the tooth in hand to a dental office. Of the respondents 88.5% would seek professional help immediately; 85.2% stated they would be unable to reimplant the avulsed tooth; and 39.3% would store the tooth in water. CONCLUSIONS: A lack of technical information was observed among teachers regarding management of tooth avulsion. Educational campaigns at schools are necessary to modify the behavior of the teachers with regard to management of tooth avulsion. Further studies should be carried out for the assessment of teachers who have participated in educational campaigns to make the treatment of dental trauma a matter of public interest.
Subject(s)
Emergency Treatment , Faculty , Health Knowledge, Attitudes, Practice , Tooth Avulsion/therapy , Accidents , Adolescent , Adult , Attitude to Health , Brazil , Child , Child, Preschool , Dental Care , Female , Health Education, Dental , Humans , Male , Organ Preservation Solutions/therapeutic use , Surveys and Questionnaires , Tooth Replantation , WaterABSTRACT
AIM: To report a clinical case of unicystic ameloblastoma previously misdiagnosed as radicular cyst. SUMMARY: A 49-year-old white male was referred to a private practitioner complaining of an asymptomatic bony hard swelling of the left posterior mandible. The patient's dental history indicated that his left mandibular first molar had been extracted approximately 10 years previously. At that time, preoperative radiographic examination demonstrated a radiolucent area of 1.5 cm diameter with well-defined margins involving the distal root of tooth 36. The lesion was diagnosed as cystic and surgery for its removal was advised, but not performed. At presentation, radiography demonstrated a well-defined 3 cm diameter radiolucency extending from the second premolar to the second molar. The lesion was enucleated and histopathological examination confirmed a diagnosis of unicystic ameloblastoma. KEY LEARNING POINTS: *Despite a clinical diagnosis of periapical disease of endodontic origin, a nonendodontic lesion may be present. *Unicystic ameloblastoma located on the periapical area of a tooth can lead to a pulp-periapical misdiagnosis, and should be considered in differential diagnosis. *All tissue specimens recovered in apical surgery should be submitted to histopathological analysis.
Subject(s)
Ameloblastoma/diagnosis , Mandibular Diseases/diagnosis , Mandibular Neoplasms/diagnosis , Radicular Cyst/diagnosis , Diagnosis, Differential , Follow-Up Studies , Humans , Male , Middle AgedABSTRACT
Tres casos de condroblastoma benigno do osso sao relatados. Uma revisao critica da literatura, com comentarios sobre nomenclatura, achados clinicos e radiologicos, patologia, diagnostico diferencial e tratamento, e apresentada. Nos tres casos descritos, ha 2 pontos poucos usuais e dignos de nota: a idade elevada de uma senhora de 40 anos e a localizacao pouco comum no calcaneo, em outro caso. Os casos sao analisados clinicamente e a anatomia patologica e revista. Todos os casos tratados com curetagem e enxerto osseo