Hemangioma: descrição de um caso clínico e sua importância no diagnóstico diferencial / Hemangioma: description of a clinical case and the importance in the differential diagnosis

O hemangioma infantil é um tumor vascular benigno que ocorre devido a uma proliferação anormal dos vasos sanguíneos. O quadro clínico apresenta três fases bem definidas: proliferativa, involutiva e involuída. O diagnóstico é realizado basicamente por meio da anamnese e do exame físico, e quando necessário preconiza-se avaliação histopatológica. O presente trabalho, descreve um caso clínico de um hemangioma presente em um bebê de 3 meses de idade que foi, de principio, diagnosticado como mucocele ou fibroma. A cirurgia excisional foi realizada eo material encaminhado para análise histopatológica, confirmando o diagnóstico de hemangioma. Nessas situações, vale ressaltar a importância do diagnostico diferencial, manobra cirúrgica adequada e a avaliação das características clínicas da lesão para evitar possíveis complicações cirurgicas.

The infantile hemangioma is a benign vascular tumor which occurs due to an abnormal proliferation of blood vessels. The clinical features three well-defined phases: proliferative, involution,and involuted. The diagnosis is made primarily by clinical history and physical examination, but when necessary, help to close the histopathological diagnosis. This paper describes a clinical case of a gift hemangioma in a baby three months old who was, in principle, diagnosed as mucocele or fibroma. The excisional surgery was performed and material sent for histopathological confirmation hemangioma. It is worth emphasizing the importance of differential diagnosis, appropriate surgical maneuver, assessment of clinical characteristics of the lesion to prevent potential surgical complications possible.

Assessment of Glass Ionomer Cements (GIC) Restorations after Acidic Erosive Challenges: An in vitro Study

Objective: To analyze the marginal adaptation of two different Glass Ionomer Cements (GIC) after erosive challenges. Material and Methods: Sixty sound extracted primary canines were selected and class V cavities were made. Teeth were allocated into 6 groups according to restorative material: 1) high-viscosity GIC (Ketac™Molar Easymix) and 2) resin-modified GIC with nanoparticles (Ketac™N100), low pH beverage erosive challenge (Orange juice and Coca-Cola) or distilled water as control. Thereafter the sample was restored and subjecting to thermocycling. The sample was immersed for a 10-days period for the erosive simulation and then embedded in methylene blue solution during 4 hours. Finally teeth were sectioned for further analysis. Marginal adaptation test was performed by two trained examiners using the Salama et al. criteria. Descriptive and Kruskal-Wallis test (α=5%) were used to analyze the data. Results: The groups treated with Ketac™Molar EasyMix were similar in terms of marginal sealing ability when submitted to Orange juice and Coca-Cola but significantly worse than water. For samples restored with the Ketac™N100 the worst results were found in the Coca-Cola group. Conclusion: Erosive challenges with acidic drinks affected the marginal adaptation of the tested GIC.

Desenvolvimento e avaliação da eficiência da estabilização protetora na odontopediatria: um estudo piloto / Development and assessment of the effectiveness of protective stabilization in pediatric dentistry: a pilot study

Objetivo: desenvolver um modelo de estabilização protetora para crianças, com a finalidade de promover qualidade no atendimento e avaliar a sua eficiência na prática clínica. Materiais e método: uma amostra de conveniência composta por vinte cirurgiões dentistas, que atuam no atendimento de crianças com perfil de não colaboradoras. Foi aplicado um questionário com perguntas relacionadas ao conhecimento prévio e à percepção sobre os métodos de estabilização protetora. Com base nas informações coletadas considerando a opinião desses profissionais, foi desenvolvido um novo modelo de estabilização protetora, baseado em modelo já existente (Pedi-Wrap), porém modificado com um tecido mais macio com desenhos para maior conforto e aceitação das crianças e responsáveis. Para composição das peças, os materiais empregados foram compostos por tecidos de algodão e tela garça, velcro, elástico, botões, linhas e viés. O modelo desenvolvido na pesquisa foi utilizado em crianças não colaboradoras de 1 a 6 anos de idade, testados por cada um dos vinte cirurgiões dentistas, em seguida foi aplicado um novo questionário aos profissionais, para se saber a opinião desse novo modelo. Resultados: na opinião dos profissionais, a região de maior movimentação durante um atendimento odontológico é a cabeça das crianças (35%), o tipo de estabilização mais utilizado é a mãe segurando a criança (35%), sendo que 45% dos profissionais avaliados não estão satisfeitos com a estabilização protetora utilizadas no dia a dia. Em relação ao modelo desenvolvido, todos os dentistas acharam eficiente e visualmente agradável. Conclusões: a roupa de estabilização protetora desenvolvida apresentou características como a facilidade na manipulação, agradabilidade e contribuiu no atendimento às crianças.

Histogenesis and clinical analysis of 2 cases of congenital gingival granular cell tumour.

Dentistry for babies aims to contribute to the formation of a generation with fewer dental problems, higher quality of oral health and more aware of the importance of prevention. The congenital gingival granular cell tumour (CGCT) is a rare benign soft tissue tumour in the newborn that can lead to respiratory difficulties and feeding. The aim of this work was to report two cases of CGCT in babies and discuss the clinical and histological differential diagnosis and their treatment, as well as the importance of knowledge of this pathology for dentists. Clinical features and treatment approaches are presented and discussed. The surgical approach improved the child quality of life and restored the parent's confidence and emotional stability. Knowledge of this pathology helps in better diagnosis and treatment, which lead to a better quality of life of children and return confidence and emotional stability to parents.

Dental anomalies in children submitted to antineoplastic therapy.

Cancer is the third most frequent cause of death in children in Brazil. Early diagnosis and medical advances have significantly improved treatment outcomes, which has resulted in higher survival rates and the management of late side effects has become increasingly important in caring for these patients. Dental abnormalities are commonly observed as late effects of antineoplastic therapy in the oral cavity. The incidence and severity of the dental abnormalities depend on the child's age at diagnosis and the type of chemotherapeutic agent used, as well as the irradiation dose and area. The treatment duration and aggressivity should also be considered. Disturbances in dental development are characterized by changes in shape, number and root development. Enamel anomalies, such as discoloration, opacities and hypoplasia are also observed in these patients. When severe, these abnormalities can cause functional and esthetic sequelae that have an impact on the children's and adolescents' quality of life. General dentists and pediatric dentists should understand these dental abnormalities and how to identify them aiming for early diagnosis and appropriate treatment.

Dental anomalies in children submitted to antineoplastic therapy

Cancer is the third most frequent cause of death in children in Brazil. Early diagnosis and medical advances have significantly improved treatment outcomes, which has resulted in higher survival rates and the management of late side effects has become increasingly important in caring for these patients. Dental abnormalities are commonly observed as late effects of antineoplastic therapy in the oral cavity. The incidence and severity of the dental abnormalities depend on the child's age at diagnosis and the type of chemotherapeutic agent used, as well as the irradiation dose and area. The treatment duration and aggressivity should also be considered. Disturbances in dental development are characterized by changes in shape, number and root development. Enamel anomalies, such as discoloration, opacities and hypoplasia are also observed in these patients. When severe, these abnormalities can cause functional and esthetic sequelae that have an impact on the children's and adolescents' quality of life. General dentists and pediatric dentists should understand these dental abnormalities and how to identify them aiming for early diagnosis and appropriate treatment.

Mucocele em lábio inferior de adolescente: relato de caso / Mucocele of the lower lip in adolescent: case report

Mucocele ou fenômeno de retenção de líquido é uma lesão cística benigna, com saliva em seu interior, relacionada a trauma local e obstrução de glândulas salivares menores. Geralmente, ocorre no lábio inferior de crianças e adolescentes, e apresenta-se clinicamente como uma bolha, de cor igual à mucosa adjacente ou azulada, e seu tamanho varia de 1 mm à centímetros. É assintomática, e muitas vezes há o rompimento espontâneo. Porém, se houver várias recorrências é necessário o tratamento cirúrgico para remoção das glândulas salivares adjacentes. O objetivo deste trabalho é apresentar a remoção cirúrgica de uma lesão de mucocele em lábio inferior de um adolescente de 17 anos de idade

Mucocele or mucus retention phenomenon, is a benign cystic lesion with salivary inside, related to local trauma and obstruction of minor salivary glands. Usually occurs in the lower lip of children and adolescents. Clinically appears as a bubble with the same color of the adjacent mucosa, or blues, and its size ranges from 1 mm to several centimeters. It is asymptomatic and often there is spontaneous disruption. However, if there are multiples episodes of recurrence, surgical treatment is necessary to remove the minar salivary glands. The aim of this study is to present the surgical removal of mucocele of 17 years old adolescents lower lips

Erosive potential of different types of grape juices

The purpose of the present study was to evaluate the erosive potential of different types (concentrated and powdered) and commercial brands of industrialised grape juices. The pH of all five fruit drinks was measured at two time points: immediately after preparation and 24 hours later. Sixty specimens of bovine enamel were randomly allocated and immersed in different types of grape juice (n = 10) for 10 minutes four times a day for fifteen days. The enamel alteration was analysed using surface Knoop microhardness (KHN) and surface roughness (Ra) tests at baseline and on the 5th, 10th and 15th days of the experiment. Two way ANOVA, Tukey's post hoc and Pearson's correlation tests were used for statistical analysis (α = 5%). The grape juices presented pH values ranging from 2.9 to 3.5. All of the tested juices promoted significant enamel mineral loss (p < 0.05) on the first evaluation (5th day of immersion) and produced a significant increase in the mean roughness from the 10th day on when compared to the control group (p < 0.05). By the 15th day, all of the beverages had produced surface roughnesses that were significantly higher than that of the control group. The results suggest that all grape juices, regardless of their commercial presentation, present erosive potential.

Erosive potential of different types of grape juices.

The purpose of the present study was to evaluate the erosive potential of different types (concentrated and powdered) and commercial brands of industrialised grape juices. The pH of all five fruit drinks was measured at two time points: immediately after preparation and 24 hours later. Sixty specimens of bovine enamel were randomly allocated and immersed in different types of grape juice (n = 10) for 10 minutes four times a day for fifteen days. The enamel alteration was analysed using surface Knoop microhardness (KHN) and surface roughness (Ra) tests at baseline and on the 5(th), 10(th) and 15(th) days of the experiment. Two way ANOVA, Tukey's post hoc and Pearson's correlation tests were used for statistical analysis (α = 5%). The grape juices presented pH values ranging from 2.9 to 3.5. All of the tested juices promoted significant enamel mineral loss (p < 0.05) on the first evaluation (5(th) day of immersion) and produced a significant increase in the mean roughness from the 10(th) day on when compared to the control group (p < 0.05). By the 15(th) day, all of the beverages had produced surface roughnesses that were significantly higher than that of the control group. The results suggest that all grape juices, regardless of their commercial presentation, present erosive potential.

Reparo de restauração de amálgama em dente decíduo: relato de caso clínico / Repair of defective amolgam restorotion in primary tooth: a case report

A substituição de restaurações tem sido uma abordagem frequente entre os Cirurgiões Dentistas e, muitas vezes, são desnecessárias, levando à perda de estrutura dentária sadia e ao ciclo restaurador repetitivo. Este artigo relata um caso clínico de reparo de restauração de amálgama em dente decíduo, com 30 meses de acompanhamento clínico e radiográfico e avaliação da interface reparada em microscopia eletrônica de varredura (MEV), após esfoliação fisiológica do elemento dentário. A ausência de lesão de cárie secundária e integridade da restauração reparada observados neste caso sustentam o emprego do reparo de restaurações de amálgama que apresentem defeitos, a fim de preservar estrutura dentária sadia e aumentar a longevidade destas restaurações.

Restoration replacement has been a frequent approach among clinicians and many timesare unnecessary, leading to sound dental structure loss and cycle of rerestoration. This paper resports a clinical case of restorative repair of amalgam restoration after 30 months follow up. After physiologic exfoliation, tooth was longitudinally sectioned at restoration center and analyzed in scanning electron microscope (SEM). Clinical and radiographic examination demonstrated absence of secondary caries lesion and integrity of the repaired restoration. Repair of defectives restorations is an effective way to preserve and treat existing restorations, increasing their longevity.

Diagnóstico, prevenção e tratamento clínico da erosão dentária / Clinical diagnasis, preventian and treatment af dental erosian

Estudos epidemiológicos recentes evidenciam um aumento na prevalência de erosão dentária em vários países, principalmente entre crianças e adolescentes. O diagnóstico precoce das lesões erosivas viabiliza a instituição de medidas preventivas logo no início do processo de perda de estrutura dentária, evitando procedimentos reabilitadores extensos. Porém, o diagnóstico diferencial entre a abrasão, a atrição e a erosão dentárias ainda é um assunto controverso entre os clínicos e os pesquisadores, sendo necessário estabelecer critérios claros para distinção entre as características destes tipos de lesões. Uma vez diagnosticada a erosão dentária, terapias preventivas e restauradoras são necessárias e diversas pesquisas têm sido geradas com este propósito nos últimos anos. Portanto, o presente trabalho se propõe a apresentar uma revisão baseada nas evidências científicas encontradas na literatura sobre o diagnóstico e o tratamento da erosão dentária.

Recent epidemiological studies revealed an increase in the prevalence of dental ero- sion around the world, mainly among children and teenagers. Early diagnosis of erosive lesions enables the implementation of preventive measures at the beginning of process of dental structure loss, thus avoiding the need for extensive rehabilitation procedures. However, differential diagnosis of dental abrasion, attrition and erosion remains a con- troversial issue among clinicians and researchers. Therefore, there is a need to establish clear criteria to make it possible to distinguish between the different characteristics of each type of tooth wear lesion. Once dental erosion is diagnosed, preventive and res- torative procedures are needed and a variety of researches have been published on this subject. Thus, the present paper aims to review concepts of dental erosion diagnosis and treatment, based on the scientific evidence found in literature.

Tipo de aleitamento e presença de açúcar nas bebidas das mamadeiras dos bebês / Type of breastfeeding and presence of sugar in the content of baby bottles

This study aims at analyzing the feeding of babies, either by breastfeeding or using a baby bottle, time until weaning, as well as the presence of sugar in the content of baby bottles. Data from 305 babies, aged 0 to 36 months, were collected using questionnaires answered by their mothers. Information on age, gender, feeding habits and the presence of sugar containing substances in the baby bottles was collected. Most mothers used baby bottles (70.2%), and this rate increased with the babies? age. During the babies' first six months of life, 46.2% of mothers fed their babies exclusively on breast, whereas 38.5% of the babies were fed from baby bottles since birth, together with breastfeeding, and 15.3% of the babies at this age range were exclusively fed from baby bottles. Weaning occurred in 20.0%. 82.6% of the babies fed from baby bottles received sugar in their diet. Feeding from a baby bottle was found to be present since the first month of a baby's life, and its use was predominant until the age of 3 years. Sugar is present in the diet of the majority of the babies fed from bottles.

El estudio se propone analizar el tipo de leche utilizada, materno y/o artificial, sus periodos de uso y la presencia de azúcar en los biberones. Participaron 305 infantes de 0 a 36 meses, cuyos datos fueron obtenidos por medio de un cuestionario aplicado a las madres. Éste contenía informaciones sobre edad y sexo de los niños, tipo de alimentación que recibían y presencia o no de azúcar en los biberones. El tipo de alimentación más utilizada era artificial (70,2%), porcentaje que aumentó junto con la edad de los niños. La lactancia materna exclusiva durante los primeros seis meses de vida correspondía a 46,2% del grupo. Para 38,5% el biberón fue introducido conjuntamente con la lactancia materna desde el nacimiento y para 15,3% la lactancia artificial fue exclusiva (biberón). El desmame ocurrió en 20,0%. La dieta de 82,6% de los bebés presentaba azúcar en las bebidas del biberón. La leche artificial está presente desde el primer mes de vida y su uso predomina hasta los 3 años de edad.El azúcar está presente en la dieta de la mayoría de los bebés alimentados con biberón

O estudo propõe analisar o tipo de aleitamento utilizado, seja materno e/ou artificial, o seu tempo de uso, assim como a presença de açúcar na mamadeira dos bebês. Participaram 305 bebês de 0 a 36 meses, cujos dados foram obtidos através de um questionário junto às mães. Este continha informações sobre idade e gênero dos bebês, tipo de aleitamento e substâncias açucaradas introduzidas nas mamadeiras destes. O tipo de aleitamento mais utilizado foi o artificial (70,2%), sendo que aumentou com o decorrer da idade. Nos seis primeiros meses de vida, o aleitamento materno exclusivo foi realizado por 46,2% das mães, sendo que a mamadeira foi introduzida conjuntamente ao aleitamento materno desde o nascimento em 38,5% dos bebês e 15,3% destes receberam aleitamento artificial exclusivo (mamadeira). O desmame ocorreu em 20,0%. A dieta de 82,6% dos bebês continha açúcar nas bebidas da mamadeira. O aleitamento artificial está presente desde o primeiro mês de vida e seu uso é predominante até os três anos de idade. O açúcar está presente na dieta da maioria dos bebês amamentados com mamadeira.

Propuestas no-farmacológicas demanejo del comportamiento en niños / Non pharmacological approaches for the behavior management of children

Existen en la literatura técnicas diferentes a las farmacológicas que pueden ser utilizadas para acondicionar psicológicamente al niño durante el tratamiento odontológico. Estas técnicas, consideradas de manejo del comportamiento, tienen el objetivo de prevenir, disminuir o ayudar a enfrentar la ansiedad y miedo dental del paciente, sirviendo como importantes aliadas del cirujano-dentista que atiende niños. Este trabajo presenta una revisión de evidencias científicas sobre las propuestas de manejo del comportamiento que pueden ser utilizadas en el consultorio odontológico con bebés, niños de edad preescolar y escolar.

There are in the literature techniques different from the pharmacological ones, which can be used for conditioning psychologically the child during dental treatment. These techniques, considered as behavioral management, have the aim to prevent, reduce or help to confront the anxiety and fear of dental patient, serving as important allies for the dentist who takes care of children. This paper presents a review of scientific evidence on the approaches of behavior management that can be used in the dental clinic with babies, preschool and school children.

Manchas extrínsecas negras: diagnóstico e conduta clínica em odontopediatria / Black extrnsic stains: diagnosis and clinical procedure in pediatric dentistry

Manchas são descolorações dentais causadas por bactérias, comida, tabaco, drogas, excesso de flúor e defeito no desenvolvimento do esmalte. Este trabalho tem como objetivo fazer uma breve revisão da literatura de manchas extrínsecas negras e descrever uma situação clínica de um bebê cujo dentes apresentavam pontilhados de pigmentação negra. Para remoção, foi realizada profilaxia profissional e raspagem das manchas com curetas periodontais.

Stains are discolorations on the tooth surface caused by bacteria, foods, tabaco, drugs, fluorosis and imperfect tooth development. The aim of this study is to report case of black dental extrinsic stain in an infant and verify it prevalence, etiology and the clinic aspects. The stains were removed by dental polishing and dental scaling.

Anquiloglosia: ¿cuándo intervenir? Revisión y reporte de caso / Ankyloglossia: when intervene? A review and case report

La anquiloglosia es una anormalidad congénita relativamente común del frenillo lingual en la cual la membrana debajo de la lengua es muy corta o puede estar inserida muy próxima a la punta de la lengua, dificultando su protrusión y causando movimientos limitados de la lengua. Se presenta una revisión enfocada en el diagnóstico, consecuencias e indicación quirúrgica de esta condición así como el relato de caso clínico de anquiloglosia en hermanos gemelos con 04 años de edad.

Ankyloglossia is a congenital abnormality relatively common of lingual frenulum in which the membrane under the tongue is too short or may be attached too near the tip of the tongue, thereby preventing protrusion and causing limited movements of the tongue. It is presented a review focused on diagnosis, consequences and surgical indication of this condition as well as a clinical case of two twin brothers with 04 years of age.

Anquiloglosia y amamantamiento: revisión y reporte de caso / Ankyloglossia and breast feeding: a review and case report

La anquiloglosia es una anormalidad congénita relativamente común del frenillo lingual que impide la protrusión y causa movimientos limitados de la lengua. Esta alteración en bebés es responsable del 25 a 60 por ciento de dificultades durante el amamantamiento. Presentamos una revisión enfocada en el diagnóstico, técnica quirúrgica y el reporte de caso clínico de un bebé.

Ankyloglossia is a relatively common congenital abnormality of the lingual frenum, that prevents protrusion and causes limited movements of the tongue. This abnormality in infants is associated with a 25 percent to 60 percent incidence of difficulties with breastfeeding. A review is presentedfocused on the diagnosis and surgical management of this condition as well as an infant's clinical case.

Evaluation of residual dentin after conventional and chemomechanical caries removal using SEM.

The purpose of this in vitro study was to analyze the residual dentinal surfaces following caries removal using rotatory instruments and two chemomechanical methods (Papacárie and Carisolv), by scanning electron microscopy (SEM). Thirty primary incisors were divided into three groups, according to the caries removal method used, and their residual dentin was examined under SEM (15). After caries removal, 15 of these teeth were restored with Single Bond (3M) adhesive system and Z100 Filtek composite resin (3M). The tags of the replicas were observed under SEM. The chemomechanical caries removal methods (Papacárie and Carisolv) formed an amorphous layer, similar to the smear layer and few exposed dentinal tubules; the conventional caries removal method produced a smooth and regular dentinal surface, with typical smear layer and exposed dentinal tubules. All groups showed abundant tag formation. Scanning electron microscopy analysis revealed a difference between dentin treated with rotatory instruments and that treated with chemomechanical methods in spite of the occurrence of a similar tag formation in both groups.

Efeito do flúor e da caseína fosfopeptídea – fosfato de cálcio amorfo na inibição da erosão em dentes decíduos e permanentes / The effect of fluoride and casein phosphopeptide-amorphous calcium phosphate in erosion inhibition in primary and permanent teeth

Este trabalho in vitro teve como objetivo avaliar o efeito da caseína fosfopeptídea –fosfato de cálcio amorfo (CPP- ACP) e de alguns produtos de aplicação tópica de flúor na inibição da erosão dentária do esmalte de dentes decíduos e permanentes. Trinta molares decíduos e permanentes hígidos provenientes do Banco de Dentes Humanos da FOUSP foram seccionados no sentido mésio-distal e divididos aleatoriamente em 6 grupos experimentais: controle positivo, controle negativo, gel de flúor fosfato acidulado (FFA) à 1,23%, gel de fluoreto de sódio (NaF) à 2%, solução de tetrafluoreto de titânio (TiF4) a 4% e pasta tópica de CPP- ACP. Os espécimes foram polidos e isolados, deixando exposto apenas uma janela de 3 X 4mm. Posteriormente, os dentes foram tratados com os diferentes produtos, imersos em solução salina por 24 horas à 37 ºC e submetidos ao desafio erosivo (6 ml de ácido cítrico a 1%, pH 2,3 durante 10 minutos). O teste de microdureza foi realizado antes e após o desafio erosivo com carga estática de 50 gramas aplicada por 15 segundos. As concentrações dos íons cálcio, fósforo e flúor na solução desmineralizadora (μg/mm2) foram analisadas por meio de espectrometria de emissão atômica e potenciômetro, respectivamente. Os dados obtidos foram analisados utilizando os testes estatísticos de análise de variância complementado pelo teste de Tukey e o testes não-paramétricos de Kruskal-Wallis e Mann-Whitney (p < 0,05). Os valores da perda média de microdureza superficial obtidos após o...

This in vitro study aimed to assess the effect of casein phosphopeptide-amorphouscalcium phosphate (CPP-ACP) and some topically applied fluoride products on the inhibition of dental erosion of primary and permanent human enamel. Thirty healthy primary and permanent molars, donated by FOUSP’s Human Tooth Bank, were sectioned mesio-distally and were randomly divided into 6 experimental groups: positive control, negative control, 1.23% acidulated phosphate fluoride (APF) gel, 2% sodium fluoride (NaF) gel, 4% titanium tetrafluoride (TiF4) solution and a CPP-ACP toothpaste. The specimens were polished and isolated, leaving an exposure window of 3 X 4mm. Later, the teeth were treated with the different products and immersed insaline solution for 24 hours at 37ºC. The erosive challenge was performed using 6 ml of 1% citric acid (pH 2.3) during 10 minutes. Microhardness measurements were conducted before and after the erosive challenge, under a static load of 50 grams applied for 15 seconds. The concentration of calcium, phosphorus, and fluoride ions in the demineralizing solution (μg/mm2) was analyzed using atomic emission spectrometry and a potentiometer, respectively. The data obtained were analyzed using ANOVA and Tukey test, and Kruskal-Wallis and Mann-Whitney non-parametric tests (p < 0.05). Mean values of superficial microhardness loss were obtained after the erosive challenge and they were similar for primary and permanent teeth (p=0.972), but different for the types of treatment (0<0.001) for each dentition. In the primary teeth, the positive control presented a statistically greater mineral loss than...

Chemical versus conventional caries removal techniques in primary teeth: a microhardness study.

The aim of this in vitro study was to assess the remaining dentinal surface after carious tooth tissue removal with a low speed conventional bur and two chemomechanical methods, (Papacárie and Carisolv), using the microhardness test. It was concluded that the hardness of the remaining dentin after carious tissue removal was lower than that obtained on healthy dentin, without significance between the different means of carious tissue removal (p<0.05).

Escalas para a avaliação da ansiedade infantil frente ao tratamento odontológico / Scales for evaluation of child anxiety at the moment of dental treatment

O objetivo deste estudo foi pesquisar escalas, existentes na literatura odontológica que pudessem ser utilizadas como um instrumento para diagnóstico do comportamento infantil frente ao tratamento odontológico, o que seria de grande utilidade na escolha do método de abordagem em odontopediatria. Várias são as escalas utilizadas, sendo a Venham Picture Scale a escala para diagnóstico de ansiedade infantil frente ao tratamento odontológico mais utilizada, pois é de fácil e rápida aplicação além de apresentar um diagnóstico clínico preciso. A literatura consultada relata que as escalas de ansiedade são um importante instrumento para o diagnóstico de comportamento infantil.