The influence of chemiotherapic agents and their accessories on oral manifestations of acute lymphoid leukemic children

Aim: To evaluate the influence of chemotherapy agents and their accessories on oral manifestations of children who have acute lymphoid leukemia. Material and Methods: After the stipulated period for the research, the total sample reached was of 68children. Nevertheless, only 46 children had continued for the second period. Children from 2 to 12 years of age who had been diagnosed with ALL ­ and would be submitted to treatment at Ophir Loyola Hospital, in Belém, State of Pará ­ had been included in the research. The first evaluation has been held before the chemotherapy treatment and had offered anamnesis and clinical exams. The second evaluation has been held in 10 to 15 days after the beginning of chemotherapy treatment and has offered a new clinical exam and annotations of the drugs which had been utilized during the chemotherapy. Results: From the drugs given at Ophir Loyola Hospital, it has been observed that 14 to 24mg (83%), vincristine 0,6mg to 1 g (80%), ARA-C 20mg to 1600mg (74%), cardioxane13mg to 340mg (65%), methotrexate 12mg to 2400mg (63%), cyclophosphamide 104mg to 1540mg (59%), asparaginase 50UI to 9600UI (57%) andmesna 75mg to 510mg (54%) have been used the most. No drug has presented statistic at 5% levelin Fisher exact test, when crossing with the presence of the main mouth manifestations: mucositis, xerostomia, toothache,and dysphagia. Conclusions: In the face of the results, it can be concluded that there has been no influence of the chemotherapy agents and their accessories in the oral manifestations of acute lymphoid leukemic children; nevertheless, these patients may present any kind of lesion on the mouth cavity during or after the beginning of chemotherapy. The dental surgeon needs to recognize the oral manifestations and intervene on the buccal health of the ALL patients, contributing and helping with his/her treatment.

Guided bone regeneration associated with L- PRF vertical bone gain: A case report

Every day have been increased the number of patients in the dental office looking for oral reabilitações, many of them being a challenge to the dentist surgeon. Currently, implants are installed on guided bone regeneration, the use of membranes, titanium threads and bone substitutes are key parts for correcting bone defects and to support the implant. Thereunto, the aim of this study was the description of a case addressing the methods and materials used for guided bone regeneration with the use of L-PRF for vertical bone gain. The patient showed the absence of the elements 22, 23 and 24, and a bony defect arc in this region. The installation of the implants, followed by guided bone regeneration support with a titanium mesh was indicated. The use of guided bone regeneration technique involving the mesh titanium implants, bone and lyophilized bovine L-PRF membrane showed a viable technique, the succeeding vertical bone gain until the implant platform.

Oral Manifestations and Salivary pH Changes in Children undergoing Antineoplastic Therapy

Objective: To identify the oral manifestations and salivary pH before and after chemotherapy in pediatric patients. Material and Methods: The sample consisted of 46 children. It was included children from 2 to 12 years, diagnosed with Acute Lymphoblastic Leukemia (ALL) and they would be subjected to chemotherapy. The first evaluation was performed before chemotherapy and consisted of anamnesis, oral clinical examination and saliva collection to measure the pH. The second evaluation was performed among 10 to 15 days after the start of chemotherapy treatment and consisted of new saliva collection and clinical examination. Results: The results showed that the gender most affected by childhood cancer was male. The predominant age group were children aged 8-12 years. The most frequent oral manifestations were mucositis (35%), xerostomia (26%), toothache and dysphagia (22%). There was also a significant reduction in salivary pH after chemotherapy, p <0.0001, indicating that the average pre and post chemotherapy are different (Δ = 10.6) with statistical significance at the 5% level. Conclusion: Patients with ALL can present any lesion in the oral cavity during or after the start of chemotherapy and undergo changes in the amount of salivary pH. The dentist needs and know the oral manifestations and intervene in the oral health of patients with ALL, contributing and assisting in their treatment.

Cirurgia periodontal estética em dentes anteriores / Esthetic periodontal surgery in anterior teeth

As cirurgias pl sticas periodontais vˆm sendo muito valorizadas e cada vez mais procuradas por pessoas que alegam querer corrigir o “sorriso gengival”, que ocorre quando ao sorrir, mostram mais gengiva do que os dentes. Existem diversas causas para o sorriso gengival, e este artigo aborda um caso de erup‡Æo passiva alterada dos dentes com excesso de gengiva ceratinizada. Um comprometimento do sorriso harm“nico ‚ um desconforto est‚tico que incomoda principalmente as mulheres. Diante dos fatos, este trabalho tem como objetivo relatar um caso cl¡nico de cirurgia est‚tica com osteoplastia. Essas t‚cnicas promovem uma exposi‡Æo dent ria mais adequada proporcionando um sorriso mais harm“nico ao paciente. O presente caso ‚ de uma paciente do sexo feminino, 23 anos, que queixava-se da insatisfa‡Æo que o sorriso gengival a proporcionava. Atrav‚s da an lise do sorriso foi indicado o procedimento cir£rgico. Ap¢s o procedimento cir£rgico, p“de-se concluir atrav‚s do grau de satisfa‡Æo da paciente que as t‚cnicas empregadas foram adequadas para se obter um sorriso est‚tico.

Periodontal plastic surgery have been highly valued and increasingly sought by people who want to fix the “gummy smile”. There are several causes for gummy smile, and this article will discuss a case of altered passive eruption of teeth with excessive keratinized gingiva. An aesthetically compromised smile bothers mostly female patients. Given the facts, this paper aims to report a case of clinical cosmetic surgery with osteoplasty. These techniques promote a more adequate dental exhibition providing a more harmonious smile to the patient. This case was a 23 years old female patient, displeased with her gummy smile. After the analysis of the smile, surgical treatment was indicated. After surgery it was concluded that, according to the patient’s satisfaction, the utilized techniques were adequate to obtain an aesthetically harmonious smile.

Conhecimento dos cirurgiões dentistas diante Urgência/Emergência Médica / Knowledge of Dental Surgeons in Emergency/Medical Emergency

Situações de urgências e emergências médicas podem acontecer a qualquer momento no consultório odontológico e com qualquer indivíduo. O objetivo deste estudo foi avaliar o nível de conhecimento dos cirurgiões-dentistas (CDs) do município de Belém do Pará, quanto às situações de urgência e emergência em consultório odontológico. O estudo foi do tipo exploratório descritivo, com delineamento transversal e abordagem quantitativa. Foi aplicado um questionário a 362 CDs, a fim de caracterizar o perfil profissional (sexo, tempo de formado, se clínico geral ou especialista), ocorrência de situação de urgência/emergência, qual a ocorrência mais comum na prática clínica, como esta era conduzida, como atuar frente emergências/ urgência em casos de síncope vasovagal, crise hipertensiva, medicação em caso de choque anafilático e episódio de convulsão. Amostra era composta por 102 homens, 147 mulheres e 121 respondentes não informaram o sexo. Houve um predomínio de respondentes com 1 a 5 anos de formados; 50.5% possuíam título de Especialista e 49.5% eram Clínicos Gerais. Dos 125 (33.8%) CDs que experienciaram situações de urgência/emergência, a hipoglicemia foi a mais comum (48,8%). É perceptível uma lacuna na formação dos CDs quanto ao diagnóstico diferencial e forma de abordagem quando da ocorrência de uma urgência/emergência médica em consultório odontológico... (AU)

Emergency situations and medical emergencies can happen at any time in the dental office and to any individual. The aim of this study was to evaluate the level of knowledge of dentists ( CDs ) in Belém do Pará , as for emergencies and emergency dental office . The study was exploratory and descriptive , cross-sectional design and quantitative approach . A questionnaire was applied to 362 CDs in order to characterize the professional profile ( sex, year of graduation , whether general practitioner or specialist ) , occurrence of urgency / emergency , which is the most common occurrence in clinical practice , as it was conducted as act against emergencies / urgent in cases of vasovagal syncope, hypertensive crisis medication in case of anaphylactic shock and convulsion . Sample consisted of 102 men , 147 women and 121 respondents did not report sex . There was a predominance of respondents with 1-5 years of graduates ; 50.5 % had a Specialist and 49.5 % were GPs . Of 125 (33.8 % ) who experienced situations CDs urgent / emergency , hypoglycaemia was the most common ( 48.8 % ). Noticeable is a gap in the training of CDs on the differential diagnosis and how to approach in the event of an emergency / medical emergency in the dental office... (AU)

Reimplante dentário na dentição decídua: uma alternativa de sucesso – relato de caso / Tooth replantation in primary dentition: a successful choice - case report

A literatura ‚ muito controversa ao descrever os reimplantes de dentes decíduos.  um procedimento desencorajado pela maioria por poder causar danos ao sucessor permanente. O presente trabalho apresenta e discute relatos de sucesso de reimplantes na dentição decídua, bem como aborda sua técnica, suas indicações, contraindicações e possíveis sequelas. Frentes diversas condutas em relação … avulso de um dente decíduo, observa-se que são necessários mais estudos para que se possa obter êxito em um número maior de casos

Literature is very controversial while describing the replantation of primary teeth. This procedure is commonly discouraged due to the possibility of causing damage to its permanent successor. This article presents and discusses reports of successful replantation in primary dentition, and also discusses the technique, its indications and contraindications as well as possible sequels. Considering the different approaches after a deciduous tooth avulsion, it was observed that further researches are required to ensure successful procedures