Evaluation of the SEVERITY of FACIAL and GENERAL TRAUMA in child and adolescent victims of traffic accidents.

•Evaluation of the FISS and TRISS SpO2 to obtain greater rigor in a standardized epidemiological profile of injury severity.•More accurate determination of trauma severity in child and adolescent victims of traffic accidents for improved urgency and emergency care.•Relation between the scales allows for better decisions on patient hospitalization, adequate treatment and the prevention of irreversible injuries.

A Rare Case of Desmoplastic Fibroma. Spontaneous Mandibular Regeneration with 3 Years Follow up - Case Report.

Desmoplastic fibroma is a benign, rare, but locally aggressive lesion. The intraosseous type rarely presents in the jaws. Desmoplastic fibroma represents the intraosseous counterpart of the soft tissue fibromatoses or desmoid tumor, affects predominantly young people with an affinity for the mandible. The aim of this article is to describe a rare case of spontaneous bone regeneration after resection of intraosseous type of Desmoplastic fibroma. We report a case of intraosseous Desmoplastic fibroma involving right body and ramus of the mandible of a 17 years old, male patient, that underwent surgical procedure by Risdon access to remove all lesion with 1 cm free margins and reconstructed with 2.4 mm plate. After 3 years follow up, spontaneous bone regeneration was found with no signs of recurrence of the lesion. In conclusion, cases of spontaneous bone regeneration after mandibular resection is rare and there are few studies and case report in the literature.

Maxillary Osteomyelitis by Actinomyces in a Child / Osteomielitis Maxilar por Actinomyces en un Niño

ABSTRACT: Actinomycosis is a bacterial infection caused by Actinomyces species, which usually affect the soft tissues of the cervicofacial region of adult males. Clinically, it's characterized by a slow-growing indurated mass, especially in the submandibular area. However, in a few cases, the jaws bones can be affected developing osteomyelitis characteristics. The aim of this paper is to report a rare clinical case of Actinomycotic Osteomyelitis affecting the maxilla of a child, involving the maxillary sinus, orbital and zygomatic areas that was treated by the association of antibiotic therapy and surgical debridement. The patient's 2 years follow-up was uneventful and no signs of the lesion recurrence.

RESUMEN: La actinomicosis es una infección bacteriana causada por la especie Actinomyces, que generalmente afecta los tejidos blandos de la región cervicofacial de los hombres adultos. Clínicamente, se caracteriza por una masa endurecida de crecimiento lento, especialmente en la zona submandibular. Sin embargo, en algunos casos, los huesos de las mandíbulas pueden ser afectados desarrollando características de osteomielitis. El objetivo de este trabajo es reportar un caso clínico poco frecuente de osteomielitis actinomicótica que afecta el maxilar de un niño, envolviendo el área del seno maxilar, y zonas orbitales y cigomáticas que fueron tratadas con la asociación de terapia con antibióticos y desbridamiento quirúrgico. El seguimiento del paciente por 2 años ocurrió sin incidentes y sin signos de recidiva de las lesiones.

Central mucoepidermoid carcinoma: An up-to-date analysis of 147 cases and review of prognostic factors.

OBJECTIVE: To integrate the available data published on central mucoepidermoid carcinoma (CMC) into a comprehensive analysis of its clinical aspects, histology, treatment, and prognostic factors. METHODS: An electronic search was undertaken in July 2017. Eligibility criteria for publications included having clinical, histological, treatment, and time of follow-up data to confirm the diagnosis. RESULTS: In addition, gender, histological grade, conservative treatment, and lymph node metastasis were significant independent prognostic factors. CONCLUSION: Male patients with histological grade III CMC of the jaw bone, who used conservative treatment as the main treatment, and presented with lymph node metastasis, were more likely to have a worse prognosis.

Severe oral manifestation of dengue viral infection: a rare clinical description.

Dengue infection is one of the most common mosquito-borne viral diseases of humans worldwide, representing a significant public health problem in over 100 tropical countries where its primary vector Aedes aegypti occurs. Although the disease is frequently limited to an abrupt febrile illness, it may also cause significant morbidity and if not adequately treated, mortality. Therefore, it requires a correct and early diagnosis. Oral manifestations of dengue infection are commonly reported as gingival bleeding, but detailed description of oral alterations in the context of dengue infection is lacking in the literature. Thus, in the current manuscript the authors aimed to report a case of dengue viral infection in an 18-year-old male patient who was primarily diagnosed due to extensive oral involvement characterized by the presence of gingival and lip reddish swelling, highlighting the importance of an adequate oral evaluation of patients with symptoms suggestive of dengue, especially in known endemic regions.

Oral manifestations of vitamin B12 deficiency: a case report.

Megaloblastic anemias are a subgroup of macrocytic anemias, in which distinctive morphologic abnormalities occur in red cell precursors in bone marrow, namely megaloblastic erythropoiesis. Of the many causes of megaloblastic anemia, the most common are disorders resulting from cobalamin or folate deficiency. The clinical symptoms are weakness, fatigue, shortness of breath and neurologic abnormalities. The presence of oral signs and symptoms, including glossitis, angular cheilitis, recurrent oral ulcer, oral candidiasis, diffuse erythematous mucositis and pale oral mucosa offer the dentist an opportunity to participate in the diagnosis of this condition. Early diagnosis is important to prevent neurologic signs, which could be irreversible. The aim of this paper is to describe the oral changes in a patient with megaloblastic anemia caused by a dietary deficiency of cobalamin.

Expansão da maxila cirurgicamente assistida (SARME) sob anestesia local: revisão de literatura / Surgically attended rapid maxillary expansion (SARME): a review of literature

A expansão da maxila cirurgicamente assistida é uma técnica cirúrgica empregada para o tratamento das deficiências transversais verdadeiras em pacientes com maturidade esquelética, havendo uma associação entre o procedimento cirúrgico e o ortodôntico. Esse tratamento promove um aumento do perímetro do arco maxilar, o que melhora a acomodação da língua e corrige os corredores negros. Essa técnica pode ser realizada sob anestesia local, permitindo a correção com baixo índice de complicações, o que a torna uma boa alternativa de tratamento. Este artigo tem como objetivo realizar uma revisão da literatura sobre os diversos aspectos pertinentes a essa modalidade terapêutica.

Neurofibromatose: uma desordem hereditária: relato de caso de ocorrência em mãe e filha / Neurofibromatosis: a hereditary disorder: a case of neurofibromatosis occurring in mother and daughter

A neurofibromatose é uma desordem genética caracterizada pelo aparecimento de neoplasias benignas que acompanham o trajeto do nervo envolvido, alterações cutâneas e, em alguns casos mais raros, lesões gastrintestinais e alterações no sistema nervoso central, com conseqüente retardo mental. Não existe cura para essa desordem, mas existe uma grande quantidade de tratamentos alternativos, como a remoção cirúrgica dos neurofibromas, ou a remoção das manchas café-com-leite com laser. O objetivo deste trabalho é realizar uma revisão de literatura e apresentar um caso de Neurofibromatose com ocorrência em mãe e filha.

Síndrome do carcinoma nevóide basocelular: revisão de literatura / Nevoid basal cell carcinoma syndrome: a review of literature

A síndrome do Carcinoma Nevóide Basocelular (SCNBC) é uma doença hereditária autossômica dominante que tem como principais manifestações clínicas: múltiplos ceratocistos odontogênicos, carcinomas basocelulares e dismorfogênese esqueléticas. Embora exista mais de 100 anomalias associadas à síndrome, o ceratocisto odontogênico é um dos principais achados. O diagnóstico precoce, a conduta terapêutica correta e o acompanhamento periódico desse tipo de pacientes são de grande importância para a diminuição da morbidade dos mesmos. O objetivo deste trabalho é realizar uma breve revisão de literatura abordando as principais manifestações da síndrome e a conduta terapêutica