ENAM gene polymorphisms associated with dental anomalies in individuals with cleft lip and palate

Aim: This study aimed to investigate the occurrence of enamelin gene (ENAM) single nucleotide polymorphisms (SNP) and ENAM polymorphism association with dental anomalies (DA) in individuals with unilateral or bilateral cleft lip and palate (CLP). Methods: Saliva samples were collected from 147 individuals aged between 6 and 15 years-old, both genders, and divided into 4 groups: Group 1 (G1) - CLP and DA; Group 2 (G2) - CLP without DA; Group 3 (G3) - without CLP with DA; Group 4 (G4) - without CLP and DA. The genomic DNA was extracted from saliva samples and the following ENAM SNPs markers were genotyped: rs3796703, rs3796704, rs3796705, rs7671281, rs2609428, and rs35951442. Fisher exact and Pearson's Chi-square tests statistically analyzed the results (α=5%). Results: Individuals without CLP with DA (Group 3 - 19.2%) showed statistically higher prevalence of SNP rs2609428 heterozygotes (p=0.006) than individuals with CLP and DA (Group 1 - 0%). Individuals without CLP (10%) exhibited statistically higher prevalence of mutated heterozygotes/homozygous (p=0.028) than in individuals with CLP (1.3%). Conclusion: SNP rs2609428 marker of ENAM gene may be associated with dental anomalies in individuals without cleft lip and palate

Oral Cleft and Maternal History of Spontaneous Abortion: A Case-Control Study.

To investigate and compare the occurrence of previous spontaneous abortion among mothers of children with nonsyndromic oral clefts (NSOC) and mothers of children without NSOC; to understand if previous spontaneous abortion could be a risk factor for the occurrence of NSOC in subsequent pregnancies.Case-control study.Nonsyndromic oral clefts is an important public health problem. In the context of investigating risk factors for the occurrence of this malformation, previous spontaneous abortion have been considered in the etiology at NSOC.There were 1004 participants. In the case group 502 mothers of children with NSOC, and in the control group 502 mothers of children without NSOC or any other malformation or syndrome.A standardized questionnaire was utilized to interview the maternal history of spontaneous abortion.The data were evaluated using descriptive statistics, and comparisons were performed using the Chi-square test, adopting a significance level of 5%.The prevalence of maternal history of spontaneous abortion was 16.3% in the case group and 15.9% in the control group. Comparing the groups there was no statistical difference (p-value = 0.93). Analyzing the occurrence of previous spontaneous abortion, separating the case group according to the type of cleft in the child, no statistical differences were observed when comparing these groups between them.Maternal history of spontaneous abortion was not associated with NSOC, not representing an independent risk factor for NSOC in the Brazilian population.

Rare and Multiple Hypodontia in Van der Woude Syndrome: Case Report.

Van der Woude syndrome (VWS) is a rare syndrome of genetic etiology, commonly occasioned by mutations in the IRF6 gene and that causes disorders in craniofacial development. VWS is characterized by the presence of paramedian fistulas in the lower lip and cleft lip and / or cleft palate. Although some dental phenotypes have been reported in this syndrome, multiple and rare hypodontias were not described. Through this case report, we present a case of Van der Woude Syndrome (VWS) with rare and multiple hypodontia in which clinical data and radiographic exams were evaluated. The patient presented hypodontia of eight permanent teeth (lateral incisors, second premolars and second molars). So, when the dentist recognizes multiple and/or rare hypodontias, for an accurate diagnosis, detailed examination of the lower lip is indicated, as well as a survey of the family history and referral for genetic counseling, since the syndrome presents high penetrance. The patient is expected to be rehabilitated to have a good quality of life. Rehabilitation in these cases requires alveolar bone graft, orthodontics and prosthesis to replace missing teeth.

Genetic recurrence and molecular markers of dyslexia in the Brazilian population

ABSTRACT Purpose: to investigate genetic recurrence and molecular markers for dyslexia in two candidate genes in the Brazilian population. Methods: a cross-sectional, case-control, observational study, with five single nucleotide polymorphisms (SNPs) studied in DYX1C1 and KIAA0319 genes in 86 subjects with dyslexia and 66 controls, matched for gender and age. SNPs were genotyped using the polymerase chain reaction technique in real time, and distribution of genotypic and allelic frequencies between the groups was analyzed. Results: it was determined that 68% of the subjects with dyslexia present a family history of learning difficulties. The DYX1C1 gene did not demonstrate an association with dyslexia, which was found regarding the rs9461045 marker of the KIAA0319 gene. Conclusion: a family history of learning problems was present in more than two-thirds of the group with dyslexia, indicating that this is an important risk factor. An association with dyslexia in the rs9461045 marker was noted, making the study the first one to show an association of the KIAA0319 gene with dyslexia, in Latin America.

Family history in non-syndromic orofacial clefts: Is there a pattern?

OBJECTIVE: To survey the frequency and pattern of family history for non-syndromic orofacial clefts (NSOFC). Initial hypothesis: more complex forms have a higher frequency of positive family history. MATERIALS AND METHODS: A retrospective study was carried with 2,668 subjects with three different types of clefts (CL Group (cleft lip), CLP Group (cleft lip and palate), and CP group (cleft palate)); family history information was collected. The Chi-square (X2 ) and Z-test were used. RESULTS: A positive family history was found in 31% of the sample. The CLP Group had highest percentage and highest proportion of affected relatives, being these factors statistically significant when compared to the CP Group. Comparisons between the CLP Male and CL Male with CP Male were statistically significant. First-degree kinship was the most frequently found. CONCLUSIONS: The initial hypothesis was confirmed, subjects with CLP had the highest percentage of positive family history, the highest proportion of affected relatives and had more affected relatives in comparison with CP. It is more common to find affected relatives in the CLP Male and CL Male groups when compared with CP Male. CLP and CP groups present a pattern of occurrence of the type of cleft in the family.

Resultados de las técnicas blanqueadoras mixta e inmediata para el blanqueamiento de dientes tratados endodónticamente - reportes de casos / O resultado das técnicas clareadoras mista e imediata para o clareamento de dentes tratados endodonticamente - relatos de casos / Results of mixed and immediate bleaching techniques for bleaching endodontically treated teeth - case reports

Resumen Introducción: El oscurecimiento de un diente anterior interfiere negativamente en el aspecto de la sonrisa, y varias son las causas que pueden ser responsables por este oscurecimiento. Objetivo: Describir las técnicas de blanqueamiento mixto e inmediato a través del reporte de dos casos clínicos. Caso 1: Individuo de sexo masculino, con Síndrome de Treacher Collins, se quejó sobre alteración cromática del diente 33, verificada mediante examen clínico, radiográficamente presencia de tratamiento endodóntico satisfactorio. Por lo que fue planeado el blanqueamiento interno mediante técnica mixta. Caso 2: Individuo de sexo masculino, con Síndrome de Apert reportó cambio cromático en el diente 22, observado en el examen clínico, radiográficamente presentando tratamiento endodóntico insatisfactorio. Se realizó retratamiento endodóntico y a los 6 meses se realizó blanqueamiento interno mediante técnica inmediata. Conclusión: El blanqueamiento dental ejecutado con las técnicas mixtas e inmediatas, devuelve la armonía de la sonrisa, recuperando el color ideal y elevando la autoestima a los pacientes.

Resumo Introdução: O escurecimento de um dente anterior interfere negativamente na aparência do sorriso, e várias são as causas que podem ser responsáveis por esse escurecimento. Objetivo: Descrever as técnicas clareadoras mista e imediata através do relato de dois casos clínicos. Caso 1: Indivíduo do gênero masculino com Síndrome de Treacher Collins, queixou-se de alteração cromática no dente 33, constatado no exame clínico, radiograficamente apresentando tratamento endodôntico satisfatório. O clareamento interno foi planejado e realizado pela técnica mista. Caso 2: Indivíduo do gênero masculino, com Síndrome de Apert, relatou alteração cromática no dente 22, constatado ao exame clínico, apresentando tratamento endodôntico insatisfatório. Foi realizada a reintervenção endodôntica e após 6 meses, foi realizado clareamento interno pela técnica imediata. Conclusão: O uso das técnicas clareadoras mista e imediata, resulta na devolução da harmonia do sorriso, recuperando a coloração ideal e devolvendo a autoestima aos pacientes.

Abstract Introduction: The darkening of a single anterior tooth negatively affects the smile's appearance, and several factors may cause this darkening. Objective: To describe the mixed and immediate bleaching techniques by reporting two clinical cases. Case 1: A male individual with Treacher Collins Syndrome. He complained of chromatic alteration in tooth 33, which was verified on clinical examination. X-ray imaging showed satisfactory endodontic treatment. Internal bleaching was performed with the mixed technique. Case 2: A male individual with Apert Syndrome reported chromatic alteration in tooth 22, observed on clinical examination. X-ray imaging showed unsatisfactory endodontic treatment. Endodontic retreatment was performed. Six months later, internal whitening was performed immediately. Conclusion: The use of mixed and immediate whitening techniques restores the smile's harmony, the tooth's ideal color, and patients' self-esteem.

The 100 most-cited papers in oral medicine and pathology

Abstract This study aimed to analyze the 100 most-cited papers in the field of oral medicine and pathology over time, identifying the areas of more intense research. Papers in journals of oral medicine and pathology were identified using the Web of Science database. The specified research period was between 1900 and 2019. Descriptive statistics was used to analyze the data. Pearson's correlation analysis was used to explore the relationships among Web of Science citations, Dimensions citations, and Altmetric Attention Score. The number of citations of an article in the top 100 most-cited papers published in 1953 or later ranged from 541 to 3623. The papers were published in 47 different journals. The New England Journal of Medicine, American Cancer Society, and Nature Genetics published the most papers. Authors from 18 different countries published papers on head and neck cancer, craniofacial congenital anomalies, and osteonecrosis. Most of the papers were laboratory and descriptive studies. A correlation analysis showed a strong correlation only between Web of Science and Dimensions citations. In sum, although non-specific journals for pathology and oral medicine published the majority of the 100 most-cited papers, this biometric citation study show that head and neck cancer was the issue with the most citations. Together, these results make an important scientific contribution by providing a historical perspective on the research carried out.

The 100 most-cited papers in oral medicine and pathology.

This study aimed to analyze the 100 most-cited papers in the field of oral medicine and pathology over time, identifying the areas of more intense research. Papers in journals of oral medicine and pathology were identified using the Web of Science database. The specified research period was between 1900 and 2019. Descriptive statistics was used to analyze the data. Pearson's correlation analysis was used to explore the relationships among Web of Science citations, Dimensions citations, and Altmetric Attention Score. The number of citations of an article in the top 100 most-cited papers published in 1953 or later ranged from 541 to 3623. The papers were published in 47 different journals. The New England Journal of Medicine, American Cancer Society, and Nature Genetics published the most papers. Authors from 18 different countries published papers on head and neck cancer, craniofacial congenital anomalies, and osteonecrosis. Most of the papers were laboratory and descriptive studies. A correlation analysis showed a strong correlation only between Web of Science and Dimensions citations. In sum, although non-specific journals for pathology and oral medicine published the majority of the 100 most-cited papers, this biometric citation study show that head and neck cancer was the issue with the most citations. Together, these results make an important scientific contribution by providing a historical perspective on the research carried out.

Association between MSX1 rs12532 polymorphism with nonsyndromic unilateral complete cleft lip and palate and tooth agenesis.

OBJECTIVES: To investigate the association of MSX1 rs12532 polymorphism with the risk of nonsyndromic unilateral complete cleft lip and palate (NSCLP) and tooth agenesis. MATERIALS AND METHODS: The study is comprised of 384 individuals divided into 4 groups: group 1, patients with unilateral complete NSCLP and premolar agenesis (n = 57); group 2, patients with unilateral NSCLP without tooth agenesis (n = 117); group 3, patients with premolar agenesis without oral cleft (n = 53) and group 4 (n = 157), a control group with individuals without tooth agenesis and oral cleft. Genotyping of rs12532 was carried out with Taqman chemistry, and associations were investigated using logistic regression analyses. RESULTS: Overall rs12532 allele and genotype distributions revealed no significant differences between the groups of NSCLP or tooth agenesis. CONCLUSION: Although our results are consistent with a lack of association of MSX1 rs12532 and the risk of unilateral NSCLP and tooth agenesis, further studies with additional SNPs and a more diverse ethnic cohort are warranted.

Can parental consanguinity be a risk factor for the occurrence of nonsyndromic oral cleft?

BACKGROUND: The cleft lip with or without palate is the most common congenital craniofacial anomaly, presenting prevalence that varies between different ethnicities. It presents a complex and multifactorial etiology which involves genetic and environmental factors. Regarding family history, some studies have observed a significant association among parental consanguinity and orofacial clefts. AIMS: To investigate if there is an association between parental consanguinity and the occurrence of oral cleft in the offspring. STUDY DESIGN: Retrospective, cross-sectional, quantitative case-control study. SUBJECTS: Case group - parents of subjects with nonsyndromic oral cleft (n = 746). Oral cleft was classified in the following group: cleft lip only - CLO (complete or incomplete, unilateral or bilateral); complete cleft lip and palate - CLP (unilateral or bilateral); and, cleft palate only - CPO (complete or incomplete). Control group - parents of subjects without clefts or other anomalies (n = 502), totaling 1248 subjects. OUTCOME MEASURES: Fisher's exact test was used to compare the consanguinity rates observed between the two groups (p < 0.05 for statistically significant differences). RESULTS: A positive consanguinity rate of 2.68% was observed in the case group and 0.79% in the control group. This difference found between the groups was statistically significant (p = 0.02). The most frequent degree of kinship in cases of consanguineous marriages, in both groups, was between first cousins. The most frequent types of clefts in the offspring were also the cleft palate only and the cleft lip only. CONCLUSION: In the study population, parental consanguinity was associated with the occurrence of nonsyndromic oral cleft, and may be considered an isolated risk factor in this population.

Recuperação da coloração de dentes tratados endodonticamente através das técnicas clareadoras imediata e mista / Normal coloration recovery of endodontically treated teeth through immediate and mixed bleaching techniques

Introduction: chromatic alterations in devitalized teeth are not rare, being a common cause of aesthetic dissatisfaction on the part of the patient. In endodontically treated teeth that present chromatic alterations, the endodontist should select the whitening agent and the most prudent technique for the resolution of each case. Objective: to emphasize, through the report of two clinical cases, that internal bleaching techniques, whether immediate or mixed, can achieve success when indicated and performed correctly. Case reports: Case 1 - Female subject with incomplete labiopalatine fissure reported a complaint of chromatic alteration in the crown of the tooth 22, found on clinical examination presenting unsatisfactory endodontic treatment. Endodontic reintervention was successfully performed through 2 years of proservation and internal bleaching was performed through the immediate bleaching technique. Case 2 - Male subject with complete unilateral left cleft lip and palate and a history of endodontic treatment in the dental element 21 which presented yellowish staining, internal bleaching was performed by the mixed technique. In both cases, results were successful. Final considerations: bleaching in devitalized teeth using the immediate and mixed whitening techniques recovered the ideal coloration of the dental elements.Introdução: alterações cromáticas em dentes desvitalizados não são raras, sendo motivo comum de insatisfação estética por parte do paciente. Diante do dente tratado endodonticamente que apresenta alteração cromática, o endodontista deve eleger o agente clareador e a técnica mais prudente para resolução de cada caso. Objetivo: enfatizar, através do relato de dois casos clínicos, que as técnicas de clareamento interno, independente se imediata ou mista, podem alcançar o sucesso quando indicadas e realizadas corretamente. Re lato de casos: Caso 1 - indivíduo do gênero feminino com fissura labiopalatina incompleta relatou queixa de alteração cromática na coroa do dente 22, constatado ao exame clínico apresentando tratamento endodôntico insatisfatório. A reintervenção endodôntica foi realizada com sucesso comprovada por meio de proservação durante 2 anos e o clareamento interno foi realizado através da técnica clareadora imediata. Caso 2 - Indivíduo do gênero masculino com fissura labiopalatina completa unilateral esquerda e histórico de tratamento endodôntico no elemento dentário 21 que apresentava coloração amarelada realizou-se o clareamento interno pela técnica mista. Em ambos os casos, o sucesso foi alcançado. Considerações finais: o clareamento em dentes desvitalizados valendo-se da utilização das técnicas clareadoras imediata e mista recuperou a coloração ideal dos elementos dentários.

Human DNA extraction from whole saliva that was fresh or stored for 3, 6 or 12 months using five different protocols.

OBJECTIVE AND MATERIAL AND METHODS: This study aimed to compare the quantity and quality of human DNA extracted from saliva that was fresh or frozen for three, six and twelve months using five different DNA extraction protocols: protocol 1 - Oragene™ commercial kit, protocol 2 - QIAamp DNA mini kit, protocol 3 - DNA extraction using ammonium acetate, protocol 4 - Instagene™ Matrix and protocol 5 - Instagene™ Matrix diluted 1:1 using proteinase K and 1% SDS. Briefly, DNA was analyzed using spectrophotometry, electrophoresis and PCR. RESULTS: Results indicated that time spent in storage typically decreased the DNA quantity with the exception of protocol 1. The purity of DNA was generally not affected by storage times for the commercial based protocols, while the purity of the DNA samples extracted by the noncommercial protocols typically decreased when the saliva was stored longer. Only protocol 1 consistently extracted unfragmented DNA samples. In general, DNA samples extracted through protocols 1, 2, 3 and 4, regardless of storage time, were amplified by human specific primers whereas protocol 5 produced almost no samples that were able to be amplified by human specific primers. Depending on the protocol used, it was possible to extract DNA in high quantities and of good quality using whole saliva, and furthermore, for the purposes of DNA extraction, saliva can be reliably stored for relatively long time periods. CONCLUSIONS: In summary, a complicated picture emerges when taking into account the extracted DNA's quantity, purity and quality; depending on a given researchers needs, one protocol's particular strengths and costs might be the deciding factor for its employment.

Human DNA extraction from whole saliva that was fresh or stored for 3, 6 or 12 months using five different protocols

Abstract Saliva when compared to blood collection has the following advantages: it requires no specialized personnel for collection, allows for remote collection by the patient, is painless, well accepted by participants, has decreased risks of disease transmission, does not clot, can be frozen before DNA extraction and possibly has a longer storage time. Objective and Material and Methods This study aimed to compare the quantity and quality of human DNA extracted from saliva that was fresh or frozen for three, six and twelve months using five different DNA extraction protocols: protocol 1 – Oragene™ commercial kit, protocol 2 – QIAamp DNA mini kit, protocol 3 – DNA extraction using ammonium acetate, protocol 4 – Instagene™ Matrix and protocol 5 – Instagene™ Matrix diluted 1:1 using proteinase K and 1% SDS. Briefly, DNA was analyzed using spectrophotometry, electrophoresis and PCR. Results Results indicated that time spent in storage typically decreased the DNA quantity with the exception of protocol 1. The purity of DNA was generally not affected by storage times for the commercial based protocols, while the purity of the DNA samples extracted by the noncommercial protocols typically decreased when the saliva was stored longer. Only protocol 1 consistently extracted unfragmented DNA samples. In general, DNA samples extracted through protocols 1, 2, 3 and 4, regardless of storage time, were amplified by human specific primers whereas protocol 5 produced almost no samples that were able to be amplified by human specific primers. Depending on the protocol used, it was possible to extract DNA in high quantities and of good quality using whole saliva, and furthermore, for the purposes of DNA extraction, saliva can be reliably stored for relatively long time periods. Conclusions In summary, a complicated picture emerges when taking into account the extracted DNA’s quantity, purity and quality; depending on a given researchers needs, one protocol’s particular strengths and costs might be the deciding factor for its employment.

Tooth Abnormalities and Occlusal Disorders in Individuals With Frontonasal Dysplasia.

OBJECTIVE: Frontonasal dysplasia is a rare developmental defect of the midface, and little is known about the dental involvement in individuals with this condition. This study investigated tooth abnormalities and occlusal disorders in individuals with frontonasal dysplasia. DESIGN: Cross-sectional. SETTING: Hospital for Rehabilitation of Craniofacial Anomalies, University of São Paulo, Bauru, Brazil. INTERVENTIONS: Clinical oral examination, analysis of patient records, and panoramic radiographs. PARTICIPANTS: A total of 20 individuals with frontonasal dysplasia aged 7 to 17 years. MAIN OUTCOME MEASURES: Prevalence of the several tooth abnormalities and occlusal disorders analyzed. RESULTS: A total of 19 individuals presented at least one tooth abnormality, with highly variable findings. In radiographs, 20% of individuals (all presenting oral clefts) presented agenesis of lateral incisors and second premolars. No supernumerary teeth were observed; 65% of individuals exhibited occlusal alterations, especially anterior open bite in the two individuals with median cleft lip. CONCLUSIONS: Variable clinical and radiographic alterations were observed, probably due to the large variety of phenotypic characteristics. No specific dental alteration could be related with frontonasal dysplasia.

Risk of developing palatally displaced canines in patients with early detectable dental anomalies: a retrospective cohort study

ABSTRACT The early recognition of risk factors for the occurrence of palatally displaced canines (PDC) can increase the possibility of impaction prevention. Objective To estimate the risk of PDC occurrence in children with dental anomalies identified early during mixed dentition. Material and Methods The sample comprised 730 longitudinal orthodontic records from children (448 females and 282 males) with an initial mean age of 8.3 years (SD=1.36). The dental anomaly group (DA) included 263 records of patients with at least one dental anomaly identified in the initial or middle mixed dentition. The non-dental anomaly group (NDA) was composed of 467 records of patients with no dental anomalies. The occurrence of PDC in both groups was diagnosed using panoramic and periapical radiographs taken in the late mixed dentition or early permanent dentition. The prevalence of PDC in patients with and without early diagnosed dental anomalies was compared using the chi-square test (p<0.01), relative risk assessments (RR), and positive and negative predictive values (PPV and NPV). Results PDC frequency was 16.35% and 6.2% in DA and NDA groups, respectively. A statistically significant difference was observed between groups (p<0.01), with greater risk of PDC development in the DA group (RR=2.63). The PPV and NPV was 16% and 93%, respectively. Small maxillary lateral incisors, deciduous molar infraocclusion, and mandibular second premolar distoangulation were associated with PDC. Conclusion Children with dental anomalies diagnosed during early mixed dentition have an approximately two and a half fold increased risk of developing PDC during late mixed dentition compared with children without dental anomalies.

Actividad antimicrobiana y biocompatibilidad de los cementos endodónticos a base de hidróxido de calcio / Antimicrobial activity and biocompatibility of calcium hydroxide-based endodontic sealers

Uno de los objetivos de la endodoncia es la eliminación de los microorganismos de la endodoncia es la eliminación de los microorganismos y la prevención de la reinfección en el sistema de conductosradiculares. Una de las fases de la terapia endodóntica que permite laobtención de dichos objetivos es la obturación de los conductos radiculares;esto significa rellenarlos con un material inerte de la manera más hermética posible y un cemento que permita estimular el proceso de reparación apical y periapical. Los microorganismos pueden permanecer en el sistema de conductos radiculares inclusive después de los procesos de instrumentación e irrigación porque pueden presentar una anatomía compleja. En endodoncia, una de las propiedades deseadas en los cementos endodónticos es la acción antimicrobiana, para eliminar las bacterias resistentes. Los cementos a base de hidróxido de calcio son utilizados debido a su acción antimicrobiana y degradación deendotoxinas, entre otras propiedades. Estas premisas nos llevan a larealización de este trabajo, teniendo como objetivo evaluar la actividadantimicrobiana y la biocompatibilidad que presentan los cementos endodónticos a base de hidróxido de calcio a través de una revisión deliteratura. Después de la revisión podemos concluir que los cementosa base de hidróxido de calcio poseen biocompatibilidad y actividad antimicrobiana contra diversos tipos de microorganismos; sin embargo, pueden tener sus propiedades biológicas alteradas dependiendo de la etodología utilizada y del tiempo de aplicación.

One of the aims of endodontics is to eliminate microorganisms and prevent reinfection in the root-canal system. To achieve this, one of the procedures performed in endodontic therapy is the sealing of the root canals. This implies fi lling the root canal with as hermetic an inert material as possible and a sealer that encourages the process of apical and periapical repair. Microorganisms can remain in the root-canal system even after biomechanical preparation and irrigation, as they may have a complex anatomy. In endodontics, one of the desired properties of an endodontic sealer is antimicrobial activity to eliminate resistant bacteria. Calcium hydroxide-based sealers are used due to their antimicrobial activity and role in endotoxin degradation, among other properties. These were the premises that gave rise to this study, which aimed to evaluate the antimicrobial activity and biocompatibil-ity exhibited by a calcium hydroxide-based endodontic sealer based on a review of the literature. As a result of this review, we were able to conclude that while calcium hydroxide-based sealers do display biocompatibility and antimicrobial activity, their biological properties can vary depending on the method used and the time of application.

Risk of developing palatally displaced canines in patients with early detectable dental anomalies: a retrospective cohort study.

OBJECTIVE: To estimate the risk of PDC occurrence in children with dental anomalies identified early during mixed dentition. MATERIAL AND METHODS: The sample comprised 730 longitudinal orthodontic records from children (448 females and 282 males) with an initial mean age of 8.3 years (SD=1.36). The dental anomaly group (DA) included 263 records of patients with at least one dental anomaly identified in the initial or middle mixed dentition. The non-dental anomaly group (NDA) was composed of 467 records of patients with no dental anomalies. The occurrence of PDC in both groups was diagnosed using panoramic and periapical radiographs taken in the late mixed dentition or early permanent dentition. The prevalence of PDC in patients with and without early diagnosed dental anomalies was compared using the chi-square test (p<0.01), relative risk assessments (RR), and positive and negative predictive values (PPV and NPV). RESULTS: PDC frequency was 16.35% and 6.2% in DA and NDA groups, respectively. A statistically significant difference was observed between groups (p<0.01), with greater risk of PDC development in the DA group (RR=2.63). The PPV and NPV was 16% and 93%, respectively. Small maxillary lateral incisors, deciduous molar infraocclusion, and mandibular second premolar distoangulation were associated with PDC. CONCLUSION: Children with dental anomalies diagnosed during early mixed dentition have an approximately two and a half fold increased risk of developing PDC during late mixed dentition compared with children without dental anomalies.

Um novo conceito na instrumentação de canais radiculares ­ sistema HyFlex® cm™ / A new concept in root canal instrumentation ­ HyFlex® cm™ system

Para o sucesso do tratamento endodôntico é essencial a perfeita limpeza, conformação e desinfecção do canal radicular, obtendo-se uma forma cônica, respeitando a sua forma original, promovendo assim, condições necessárias para que o sistema de canais radiculares possa ser hermeticamente obturado. O preparo biomecânico sofreu grandes transformações nos últimos anos, sendo a instrumentação manual gradualmente substituída pelos sistemas mecanizados. Uma das principais inovações em Endodontia foi a introdução da liga de níquel-titânio (NiTi) para fabricação de instrumentos endodônticos, permitindo que os mesmos trabalhassem dentro dos canais radiculares. Apesar das apreciáveis propriedades mecânicas da liga de NiTi convencional, a separação dos instrumentos continua sendo uma preocupação. Entre os novos sistemas mecanizados de NiTi que visam amenizar esta problemática, vale destacar os que apresentam uma liga melhorada por processos térmicos. Dentre deles o sistema HyFlex® CM™ (ColténeEndo/Whaledent, Inc, Cuyahoga Falls, OH, EUA) torna-se uma excelente alternativa por sua alta resistência à fadiga cíclica e possibilidades de serem pré-curvados. Por tanto, o objetivo deste trabalho é apresentar o sistema HyFlex® CM™ através de um caso clínico (AU).

For the success of endodontic treatment, perfect cleaning, shaping and disinfection of the root canal are essential as well as getting a conical shape, similar to its original shape, enabling the conditions for hermetic sealing of the root canal system. The step that has undergone major changes in recent years was the biomechanical preparation with gradual mechanized systems to "substitute" the manual preparation. One of the main innovations in Endodontics was the introduction of nickel-titanium (NiTi) for manufacturing endodontic instruments. Despite the good mechanical properties of conventional NiTi alloy, fracture of the instruments remains a concern. Among the new mechanized systems of NiTi, treated by thermal processes which improved NiTi alloy, the HyFlex® CM™ system (ColténeEndo / Whaledent, Inc, Cuyahoga Falls, OH, USA) becomes an excellent alternative to endodontic therapy. Therefore, the objective of this study was to present a clinical case using mechanized instrumentation with HyFlex® CM™ system (AU).

Rehabilitative treatment of cleft lip and palate: experience of the Hospital for Rehabilitation of Craniofacial Anomalies/USP (HRAC/USP) - Part 5: institutional outcomes assessment and the role of the Laboratory of Physiology.

The Laboratory of Physiology provides support for the diagnosis of functional disorders associated with cleft lip and palate and also conducts studies to assess, objectively, the institutional outcomes, as recommended by the World Health Organization. The Laboratory is conceptually divided into three units, namely the Unit for Upper Airway Studies, Unit for Stomatognathic System Studies and the Unit for Sleep Studies, which aims at analyzing the impact of different surgical and dental procedures on the upper airways, stomatognathic system and the quality of sleep of individuals with cleft lip and palate. This paper describes the main goals of the Laboratory in the assessment of procedures which constitute the basis of the rehabilitation of cleft lip and palate, i.e., Plastic Surgery, Orthodontics and Maxillofacial Surgery and Speech Pathology.

Rehabilitative treatment of cleft lip and palate: experience of the Hospital for Rehabilitation of Craniofacial Anomalies/USP (HRAC/USP) - Part 4: oral rehabilitation.

Treatment of patients with cleft lip and palate is completed with fixed prostheses, removable, total, implants and aims to restore aesthetics, phonetics and function and should be guided by the basic principles of oral rehabilitation, such as physiology, stability, aesthetics, hygiene and the expectations of the patient. In order to obtain longevity of a prosthetic rehabilitation, the periodontal and dental tissue as well as the biomechanics of the prosthesis are to be respected. The purpose of this article is to describe the types of prosthetics treatment, which are performed at HRAC/USP for the rehabilitation of cleft area in adult patients.