A interferência da atividade física durante a pandemia na qualidade de vida de mulheres com condromalácia patelar / The interference of physical activity during the pandemic on the quality of life of women with patellar chondromalacia

Objetivo ­ Investigar os efeitos do distanciamento social na qualidade de vida de mulheres com condromalácia patelar antes e durante a pandemia de COVID-19. Em 2019, o mundo foi atingido pela descoberta do novo coronavírus, uma doença infecciosa e extremamente contagiosa. O isolamento social ocasionado pela pandemia pode ser responsável pelo aumento do sedentarismo, agravando o quadro clínico e a qualidade de vida de pacientes portadores da síndrome da dor patelofemoral. Métodos ­ Foi aplicado o questionário de qualidade de vida SF-36 em 10 mulheres portadoras da síndrome patelofemoral, residentes na região Oeste de São Paulo, com idades entre 20 e 40 anos, praticantes de atividades físicas. Resultados ­ A análise dos resultados obtidos mostra uma queda na pontuação de todas os domínios analisados no questionário no período durante a pandemia quando comparado ao período pré-pandemia. Conclusão ­ Conclui-se que com o isolamento social causado pela pandemia e a inatividade física, houve interferência negativa na qualidade de vida de mulheres portadoras de condromalácia patelar

Objective ­ To investigate through field research whether social distancing and decreased physical activity had an influence on the quality of life of women with patellar chondromalacia. In 2019, the world was hit by the discovery of the new corona virus, an infectious and extremely contagious disease. The social isolation caused by the pandemic may be responsible for the increase of sedentarism, worsening the clinical scenario and quality of life of patients with patellofemoral pain syndrome. Methods ­ The SF-36 quality of life questionnaire was applied to 10 women with patellofemoral syndrome, living in the West region of São Paulo, aged between 20 and 40, practicing physical activities. Results ­ The analysis of the results obtained shows a drop in the score of all the domains analyzed in the questionnaire during the period during the pandemic compared to the pre-pandemic period. Conclusion ­ It is concluded that with social isolation caused by the pandemic and physical inactivity, there was negative interference in the quality of life of women with patellar chondromalacia. Descriptors: Infections; Coronavi

Exodontia seriada e reabilitação bucal de paciente diabético e com Síndrome Coronariana Aguda / Serial tooth extraction and oral rehabilitation of the diabetic patient with acute coronary syndrome

A diabetes mellitus é uma condição que pode estar ou não associada ao caráter hereditário, em que há pouca ou nenhuma liberação de insulina ou o organismo não é capaz de utilizar adequadamente a insulina produzida. Para o tratamento odontológico desses pacientes, é necessário ter conhecimento do controle glicêmico por meio do valor de hemoglobina glicada; avaliar histórico de crises de hipoglicemia; realizar consultas curtas e no período da manhã. Dentre as comorbidades dessa patologia, podemos citar a doença cardiovascular, que pode ser encontrada de várias maneiras, dentre elas na forma de síndrome coronariana aguda. O tratamento desses indivíduos deve ser sempre realizado de forma multidisciplinar. Assim, o objetivo do presente trabalho é, por meio de um relato de caso clínico, discutir a abordagem cirúrgica odontológica de um paciente com ambas as patologias citadas acima, em uso terapêutico de anticoagulante, antiagregante e hipoglicemiante oral

Diabetes mellitus is a condition that may or may not be hereditary, in which either there is little or no insulin release, or the body is not capable of properly utilizing the insulin produced. For dental treatment of these patients, it is necessary to be aware of glycemic control through the glycated hemoglobin level; to assess the history of hypoglycemia crises; and to provide short appointments during the mornings. One of the comorbidities of this pathology is cardiovascular disease, which can be found in several forms, including acute coronary syndrome. These individuals should always be treated in a multidisciplinary way. Thus, the aim of the present work is to discuss, through a clinical case report, the dental surgical approach to a patient with both of the above pathologies, under use of anticoagulant, antiplatelet drug, and oral hypoglycemic agent

Dental treatment of a patient with Opitz G/BBB syndrome.

Opitz G/BBB syndrome is a genetic condition characterized by several abnormalities along the midline of the body, such as hypertelorism, craniofacial deformities, and dysphagia. This study reports the clinical features of Optiz syndrome and its importance in the knowledge of patients who are developmentally challenged as a whole, in order to establish adequate dental treatment for a certain clinical case. A 19-year-old patient visited the Paulista University for a dental treatment. The extraoral examination revealed ocular hypertelorism (wide-spaced eyes), oblique eyelids, epicanthus, low-set cart, and intellectual disability. During the intraoral examination, large caries lesions were observed surrounding the braces of the fixed orthodontic appliance and poor oral hygiene. Preventive and restorative treatments were carried out. It was concluded that the knowledge of patients with special needs as a whole is mandatory for an adequate dental treatment. This is a case report that highlights the importance of dentist and interdisciplinary care attendance for all patient systems, the examination and analyses should not be restricted to the oral cavity.

Trèlat's beads as oral manifestations in patients with HIV/TB / Manifestaciónes orales en pacientes con VIH/TB evidenciado a través de los Granos de Trélat

Tuberculosis (TB) is a contagious infectious disease caused by Mycobacterium tuberculosis (Koch's bacillus). Co-infection with human immunodeficiency virus (HIV) and TB has reached a significant importance as a public health problem and this association has been recognized as the most significant event that changed "the balance between man and Koch's bacillus" in the last century, and has a large contribution to the risk for disease spreading. Tuberculosis has two main standard categories of clinical manifestations: primary and secondary. Primary TB is responsible for the initial infection with lungs being the involved organ. Oral lesions are observed as a secondary TB clinical manifestation with most frequent sites being hard and soft palate, tongue, lips, gums, tonsils, and salivary glands. A case of classical TB lesions in the oral cavity is reported, and the importance of a correct diagnosis through careful history taking is emphasized. Treatment selection needs to be done assertively, with great determination and building a link between patient and treatment protocol, in order to promote patient's adherence (AU9

La tuberculosis (TB) es una enfermedad infecciosa contagiosa causada por Mycobacterium tuberculosis (bacilo de Koch). La coinfección del Virus de Inmunodeficiencia Humana (VIH) con TB son problemas de salud pública graves, además que esta asociación ha sido identificado como el evento más significativo que cambió "el equilibrio entre el hombre y el bacilo de Koch" en el último siglo y es crucial en el riesgo de propagación de la enfermedad. La tuberculosis se manifiesta en dos estándares: primaria y secundaria; el primario es responsable de la infección inicial y el órgano de elección es el pulmón. Las lesiones orales se observan a nivel secundario y los sitios más frecuentes son el paladar duro y blando, lengua, labios, encías, amígdalas y las glándulas salivales. Esta revisión presenta un caso con lesiones clásicas de tuberculosis en la cavidad bucal haciendo hincapié en la importancia de un correcto diagnóstico a través de la anamnesis. El tratamiento se debe hacer con la seguridad, la determinación y la formación de enlaces que facilitan la adherencia del paciente al tratamiento (AU)