Abordagem odontológica em pacientes com diabetes mellitus tipo 1 / Dental management in patients with diabetes mellitus type 1

Objetivos: Abordar, por meio de revisão de literatura, as manifestações bucais predominantes e as precauções que devem ser tomadas para o tratamentoodontológico de crianças com diabetesmellitus tipo 1. Fontes pesquisadas: Artigos advindos de base de dados (Bireme e PubMed) relacionados à diabetes mellitus tipo 1 e ao tratamentoodontológico. Síntese dos dados: Após arevisão da literatura, destaca-se a presença de várias manifestações bucais em crianças com diabetes mellitus tipo 1. Além disso, torna-se evidente que o tratamento destes pacientes deve ser interdisciplinar, já que o controle glicêmico, obtido por meio da reeducação alimentar e aplicações regulares de insulina, proporcionarão à criança diabética melhoria da qualidade de vida e melhores chances de sucesso ao tratamento odontológico, uma vez que em crianças com glicemia controlada ocorre redução de alterações bucais, como xerostomia, periodontite, gengivite, cárie dental e infecçõesoportunistas. Também se ressaltam os cuidados que devem ser tomados no atendimento odontológico destas crianças, para que recebam um tratamento odontológico seguro, efetivo e voltado para suas reais necessidades. Conclusão: Crianças diabéticas devem receber atenção odontológica criteriosa, visto que estão mais sujeitas a xerostomia, periodontite, gengivite, cárie dental e infecções oportunistas, principalmente quando a glicemia nãoestá bem controlada. A identificação destas alterações bucais pelo cirurgião-dentista pode indicar essa condição e um encaminhamento ao médico responsável deve ser realizado. Durante o atendimento desses pacientes no consultório odontológico, cuidados como antibioticoterapia profilática, horário das consultas, dieta, tratamento de complicações bucais e monitoramento do controle glicêmico devem ser tomados.

Objectives: To discuss, through a literature review, the predominant oral manifestations and emphasizedthe precautions to be taken by the dental treatment of children with type 1 diabetes mellitus. Researched sources: Papers from the database (Bireme and PubMed) related to type 1 diabetes and dental treatment. Data source: After review of the literature, there is the presence of several oral manifestations in children with type 1 diabetes mellitus. Furthermore, it becomes clear that their treatment must be interdisciplinary,since the glycemic control achieved through diet and regular applications of insulin will providebetter quality of life for diabetic children and improvechances of dental treatment success. In children with controlled glicemy, there is a decline of some oral manifestations such as dry mouth, periodontitis, gingivitis, dental caries and opportunistic infections. Also itis emphasized that care must be taken in the dental care of these children to receive dental treatment safe, effective and focused on their real needs. Conclusion: Diabetic children should receive dental care judiciously, since they are more susceptible to dry mouth, periodontitis, gingivitis, dental caries and opportunistic infections, especially when glicemy is not well controlled. The identification of these oral diseases by the dentist may suggest this condition and referral to a medical treatment should be performed. During treatment of these patients in the dental office, precautions as use of prophylactic antibiotics, appointment hour, diet, treatment of oral complications and monitoring of glycemic control should be taken.

SEM Study of apical morphological alterations in primary teeth with vital and necrotic pulps.

This study evaluated, by SEM, the morphology of human primary teeth roots. Twenty-four teeth were divided into 3 groups: pulp vitality (group I) and pulp necrosis without (group II) and with apical periodontitis (group III). Roots were analyzed by the presence of periodontal ligament (PDL) fibers and resorption areas. In groups I and II, presence of PDL fibers and absence of resorption were observed in all cases (100%), while all specimens (100%) of group III showed no PDL fibers and resorption areas. In conclusion, there are morphological differences in the apical region of primary teeth with different pulpal and periapical pathologies.

Efficacy of SmearClear and ethylenediaminetetraacetic acid for smear layer removal in primary teeth.

PURPOSE: The purpose of this study was to compare the efficacy of SmearClear and ethylenediaminetetraacetic acid (EDTA) for removal of the smear layer from the root canals of primary teeth after instrumentation. METHODS: Thirty extracted, single-rooted, primary incisors and canines were instrumented and randomly assigned to the 3 groups (N=10): group 1=14% EDTA; group 2=SmearClear; and group 3=no smear layer removal procedure (control). The specimens were submitted to standard processing for scanning electron microscopic analysis to evaluate cleaning according to a 3-point scoring system that indicated best to worst cleaning. Data were analyzed statistically by the Mann-Whitney U test at a 5% significance level. RESULTS: There was no statistically significant difference (P>.05) between groups 1 (EDTA) and 2 (SmearClear). CONCLUSION: SmearClear was able to remove the smear layer from the root canals of primary teeth as effectively as ethylenediaminetetraacetic acid, suggesting that both solutions may be indicated for such purpose.

Hepatite C na odontologia: riscos e cuidados / Hepatitis C in dentistry: risks and cares

A hepatite C é uma infecção que merece destaque especial na Odontologia. O vírus da hepatite C já foidetectado na saliva de indivíduos infectados, o que confere uma possível via de transmissão não parenteraldo mesmo. Desse modo, o cirurgião-dentista está suscetível, tendo em vista seu grande contato com fluidoscorporais, além de estar sujeito a injúrias pérfuro-cortantes durante o trabalho. O objetivo deste trabalhoé realizar uma revisão de literatura sobre a hepatite C, com o intuito de esclarecer os profissionais da áreaodontológica e discutir sobre os riscos e os cuidados que devem ter durante a prática clínica

Hepatitis C is an infection that deserves special prominence in Dentistry. The virus of hepatitis C was already detected in the saliva of infected individuals, and that confers a possible way of its nonparenteraltransmission. In this way, the surgeon-dentist is susceptible, in view of his great contact with corporal fluids, besides being subject to percutaneous injuries during the work. The objective of this work is to carrythrough a literature review about hepatitis C, with intention to clarify the surgeons-dentists, and to argue then on the risks and the cares that they must have during their practical clinic

Dental findings in Kabuki make-up syndrome: a case report.

This article documents the case history of a 9-year-old Brazilian child diagnosed with Kabuki make-up syndrome (KMS). The clinical features are described, with emphasis on the craniofacial and orodental manifestations. The patient had the distinctive KMS craniofacial features consisting of long palpebral fissure, hypertelorism, high-arched eyebrows with sparse hair in the lateral one-third, eyes with eversion of the lateral one-third of the lower eyelids, long and curved eyelashes, palpebral ptosis, large anteverted prominent ears in a lower position, broad, depressed nasal root with a flat nasal tip, and mild neuropsychomotor developmental deficits. The intraoral examination revealed an anterior open bite, overretention of primary teeth, and a high-arched palate. Two findings in this child have not been previously reported in patients with KMS: the presence of supernumerary teeth and taurodontic teeth in the maxillary arch. The clinical and radiographic detection of these unique dental features may be helpful in identifying children who may have milder forms of KMS.