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1.
J Clin Exp Dent ; 14(8): e669-e677, 2022 Aug.
Artigo em Inglês | MEDLINE | ID: mdl-36046172

RESUMO

Background: This study aimed to compare two-dimensional radiographs and cone beam computed tomography (CBCT) images for mini-implant planning. Material and Methods: A search was performed in PubMed, Embase, Web of Science, Cochrane Library and Google Scholar electronic databases according to PIRD strategy, on September 11, 2021. In vivo studies that compared two-dimensional imaging with CBCT for mini-implant planning were selected. The methodological quality of each study was assessed using the QUADAS-2 tool. Results: The initial search identified 441 papers. Five studies were added following a manual research. Of the total 446 studies, 40 were selected after title evaluation, 29 remained after abstract evaluation, and 11 were left after full-text analysis. Final screening yielded a total of four studies that composed the narrative synthesis of this systematic review. When comparing the imaging systems for palatal mini-implants, lateral radiographs (LRs) showed approximately the same measurements of bone quantity as those of CBCT, hence bearing no influence on placement site selection. In determining image suitability for interradicular mini-implants, two-dimensional radiographs underestimated the available space. Conclusions: Lateral radiography is sufficient to quantify the available bone for planning mini-implants installed on the palate, in the median region of upper first premolars. CBCT enhances interradicular mini-implant planning by aiding in implantation site selection, and improving the installation success rate. Key words:Systematic Review, Cone beam computed tomography, Radiography, Orthodontic mini-implant, Dental planning.

2.
Eur J Dent Educ ; 26(1): 131-137, 2022 Feb.
Artigo em Inglês | MEDLINE | ID: mdl-33735486

RESUMO

INTRODUCTION: The use of teaching resources and digital objects has gradually been incorporated into dental schools. This study aimed to evaluate the digital anatomy table in teaching-learning process of the temporomandibular joint (TMJ) anatomy and the student's perception regarding this resource. MATERIALS AND METHODS: A cross-sectional study was conducted on 41 undergraduate dental students. Knowledge assessment tests were applied at different time intervals: before and after the TMJ theoretical class, after the practical class on prosected specimens and after the use of digital anatomy table. The medians of the scores obtained in the three groups (theoretical class, practical class and digital table) were descriptively analysed and submitted to Wilcoxon, Kruskal-Wallis and Student-Newman-Keuls statistical tests. The perception survey was conducted at the end of the study. RESULTS: When the teaching strategies were compared amongst each other, the medians of the scores with the digital anatomy table were significantly higher than after the theoretical and practical classes. At the end of the research, there were no differences amongst the three groups (theoretical class, practical class and digital table). Regarding the perception, the majority of the students reported that the digital anatomy table helped them to understand the content of the theoretical class. CONCLUSION: It was concluded that learning with the use of the digital anatomy table did not increase the knowledge of dental students with respect to the TMJ anatomy. The students' perceptions of the digital anatomy table were positive and that it could be used as an additional resource in the teaching-learning process.


Assuntos
Anatomia , Educação de Graduação em Medicina , Estudantes de Medicina , Anatomia/educação , Estudos Transversais , Currículo , Educação em Odontologia , Avaliação Educacional , Humanos , Aprendizagem , Ensino , Articulação Temporomandibular
3.
Rev Paul Pediatr ; 40: e2020380, 2021.
Artigo em Inglês, Português | MEDLINE | ID: mdl-34706033

RESUMO

OBJECTIVE: To review the literature about children's and parent's perceptions on surgical attire. DATA SOURCE: A systematic search was conducted in the databases EMBASE, Latin American and Caribbean Health Sciences (LILACS), PubMed, PsycINFO, Scopus and Web of Science. Grey literature was searched on Google Scholar, Open Grey and ProQuest Dissertations, and Theses Database. DATA SYNTHESIS: A total of 2,567 papers were identified. After a two-phase selection, 15 studies were included in narrative synthesis. Children favored wearing white coats in five of the nine included studies (55.5% [95%CI 48.3-62.7]; p=1.00). With respect to parents' preferences, results of vote counting showed that in 11 of 15 included studies, they favored physicians wearing white coats (73.3% [95%CI 67.9-78.6]; p=0.11). CONCLUSIONS: Children and parents have preferred physicians to wear a white coat with a very low certainty of evidence.


Assuntos
Médicos , Vestimenta Cirúrgica , Criança , Humanos , Pais
4.
J Dent Child (Chic) ; 88(1): 35-39, 2021 Jan 15.
Artigo em Inglês | MEDLINE | ID: mdl-33875050

RESUMO

Purpose: To evaluate children's perceptions of the dentist and dental office using drawings and its association with age, sex, and previous dental experience.
Methods: Participants included 144 four- to six-year-old children who were instructed to make a drawing of their perception of the dentist and dental office. Data collected included age, sex, and previous dental care experience. The data were analyzed descriptively and through multivariate logistic regression.
Results: Boys were 2.3 times more likely to have a negative perception of the dentist than girls (P =0.024). Children who had no previous dental experience were four times more likely to have a negative perception of dentists (P =0.002). Six-year-old children were three times more likely to have a negative perception of the dentist compared to four-year-old children (P =0.031).
Conclusion: Drawings can be a useful tool to evaluate children's perceptions of the dentist and dental office.


Assuntos
Comportamento Infantil , Consultórios Odontológicos , Criança , Pré-Escolar , Odontólogos , Feminino , Humanos , Masculino , Percepção
5.
Clin Oral Investig ; 25(1): 1-22, 2021 Jan.
Artigo em Inglês | MEDLINE | ID: mdl-33161499

RESUMO

OBJECTIVE: To assess the effectiveness of different anesthetic solutions for pain control immediately after the extraction of lower third molars. METHODS: Nine databases were used to identify randomized clinical trials, without restriction of language or year of publication. The "JBI Critical Appraisal Tools for Systematic Reviews" was used to assess the risk of bias in the studies. The network meta-analysis was performed to compare the effectiveness of different anesthetics to control the pain immediately after the surgery of lower third molars, using the standardized mean difference (SMD) as the effect estimate. The GRADE approach was used to assess the certainty of evidence. RESULTS: The search presented 13,739 initial results, from which 45 met the eligibility criteria and presented low to moderate risk of bias. Thirteen studies were included in the meta-analysis. The 2% lidocaine + clonidine presented the lowest pain scores (SMD = - 1.44; - 2.72 to - 0.16) compared to 4% articaine + adrenaline, followed by 0.5% bupivacaine + adrenaline (SMD = - 1.36; - 2.13 to - 0.59). The certainty of evidence varied between very low to moderate. CONCLUSION: 2% lidocaine + clonidine and 0.5% bupivacaine + adrenaline were the anesthetics with the highest probability for pain control immediately after the surgical procedure of removing impacted lower third molars. CLINICAL SIGNIFICANCE: The use of an adequate anesthetic with effective pain control can contribute to a more comfortable postoperative period.


Assuntos
Anestésicos Locais , Dente Serotino , Humanos , Dente Serotino/cirurgia , Metanálise em Rede , Dor , Dor Pós-Operatória/prevenção & controle , Ensaios Clínicos Controlados Aleatórios como Assunto
6.
J Dent Child (Chic) ; 87(2): 103-109, 2020 May 15.
Artigo em Inglês | MEDLINE | ID: mdl-32788004

RESUMO

Purpose: To evaluate the prevalence of signs and symptoms of temporomandibular disorders (TMD) in children and the impact on their oral health-related quality of life (OHRQoL).
Methods: Data were collected by means of a questionnaire to evaluate the presence of TMD symptoms in eight to 10-year-old children. For those who answered at least one of the four questions in a positive manner, a clinical exam was done to confirm the diagnosis. The Child Perceptions Questionnaire (CPQ8-10) was applied to evaluate the OHRQoL. Poisson regression was used to associate the total scores and individual domains of the CPQ8-10 with sociodemographic factors and clinical conditions.
Results: A total of 245 children participated in this cross-sectional study. One hundred and twenty-one (49.4 percent) were diagnosed with TMD; 57.9 percent were females and 42.1 percent were males. Children with a diagnosis of disc displacement with reduction had a negative impact on the domain of functional limitations (rate ratio=2.61, 95 percent confidence interval=1.19 to 5.75, P =0.017).
Conclusion: The prevalence of signs and symptoms of TMD was high in our sample, and signs and symptoms of TMD had a negative impact on children's OHRQoL in the domain of functional limitations.


Assuntos
Qualidade de Vida , Transtornos da Articulação Temporomandibular , Brasil , Criança , Estudos Transversais , Feminino , Humanos , Masculino , Saúde Bucal , Inquéritos e Questionários
7.
PLoS One ; 15(6): e0234122, 2020.
Artigo em Inglês | MEDLINE | ID: mdl-32559191

RESUMO

This study aimed to assess changes in epidemiological estimates and treatment needed when initial caries lesions are included in a population-based survey of preschool children. A cross-sectional survey was conducted in a Brazilian municipality, collecting data of preschool children in 16 health centers. Caries detection used the merged codes (epi-codes) for ICDAS/ICCMS. An option for treatment, according to ICCMS, was chosen during the examination. Caries experience (dmft/dmfs) and prevalence were estimated considering three thresholds (A- initial, moderate, and severe lesions, B- only moderate and severe lesions and C- severe lesions). Incremental need for non-operative care was also verified. The sample consisted of 663 children aged 2-4 years (response rate of 99.85%). Including initial lesions, a 2-fold increase in dmft was observed (A: 3.36, B: 1.02, p<0.001). With the inclusion, the caries prevalence increased to 75% compared to threshold B only (28%). The majority (76%) of children who required any intervention (56%) should be scheduled for non-operative care. We suggest that including initial caries lesions in an epidemiological survey may significantly impact assessment of population caries experience.


Assuntos
Cárie Dentária/patologia , Brasil/epidemiologia , Pré-Escolar , Estudos Transversais , Cárie Dentária/epidemiologia , Feminino , Humanos , Masculino , Prevalência , Índice de Gravidade de Doença
8.
Pediatr Dent ; 42(1): 22-27, 2020 Jan 15.
Artigo em Inglês | MEDLINE | ID: mdl-32075706

RESUMO

Purpose: To assess the prevalence of dental pain in preschool children through the Brazilian Dental Discomfort Questionnaire (DDQ-B) and its association with dental caries, its severity, and socioeconomic factors. Methods: The study included 485 three- to four-year-olds who attended the National Day of Children's Vaccination in São Paulo, Brazil. Parents answered the DDQ-B and questions of socioeconomic conditions. Calibrated dentists assessed dental caries using the decayed, missing, and filled primary teeth (dmft) index and its severity using the pulpal involvement, ulceration of mucosa due to root fragments, fistula, and abscess (PUFA) index. Poisson regression with robust variance was used with a level of significance of five percent. Results: The prevalence of dental pain was 11.8 percent. Dental pain was associated with a prevalence of dental caries (prevalence ratio [PR] equals 2.47; 95 percent confidence interval [95% CI] equals 1.33 to 4.58; P=0.004) and severe caries (PR equals 2.98; 95% CI equals 1.39 to 6.39; P=0.005). Socioeconomic factors were not associated with dental pain. Conclusions: The prevalence of dental pain in preschool children is relevant when assessed through the Brazilian Dental Discomfort Questionnaire. Dental pain is associated with dental caries prevalence and its severity. Socioeconomic factors were not associated with dental pain.


Assuntos
Cárie Dentária , Brasil , Pré-Escolar , Estudos Transversais , Índice CPO , Humanos , Prevalência , Fatores Socioeconômicos , Inquéritos e Questionários , Odontalgia
9.
Dentomaxillofac Radiol ; 49(7): 20190347, 2020 Oct 01.
Artigo em Inglês | MEDLINE | ID: mdl-31709810

RESUMO

OBJECTIVE: To investigate the validity of micro-CT for in vitro caries detection in comparison with histology as the reference standard. METHODS: A systematic search was conducted in the databases Latin American and Caribbean Health Sciences (LILACS), LIVIVO, PubMed, Scopus and Web of Science from their inception to 16 January 2019. Grey literature was searched on Open Grey, ProQuest Dissertations and Theses Database and Google Scholar. In vitro studies assessing the validity of micro-CT for caries detection were included when compared with histology as the reference standard were included. Two authors independently collected the information and sensitivity, specificity, positive and negative likelihood ratios, as well as diagnostic odds ratios were calculated. The risk of bias of the included studies was assessed using the QUADAS-2 tool. Certainty of evidence was assessed with GRADE. RESULTS: A total of 270 papers were identified, and after a 2-phase selection, 12 studies were included in qualitative and three in quantitative synthesis. For enamel caries diagnostic, sensitivity values ranged from 29.0 to 84.0% indicating high variability while specificity varied from 88.0 to 95.0% indicating good to excellent micro-CT capability do identify the true negative. For dentine caries diagnostic, sensitivity values ranged from 61.0 to 77.0% indicating fair-to-good probability of micro-CT to identify the true positives, while specificity varied from 88.0 to 94.0%. The majority of the included studies presented low risk of bias and moderate certainty of evidence. CONCLUSIONS: This study demonstrated the validity of micro-CT for in vitro caries detection in comparison with histology.


Assuntos
Cárie Dentária , Humanos , Sensibilidade e Especificidade , Microtomografia por Raio-X
10.
Dent Traumatol ; 36(2): 167-173, 2020 Apr.
Artigo em Inglês | MEDLINE | ID: mdl-31541558

RESUMO

BACKGROUND/AIMS: Very few studies have been performed to evaluate cranio-maxillofacial trauma diagnosed in hospitals in children and adolescents. The aim of this study was to perform an analysis of oral and cranio-maxillofacial trauma in the aforementioned population. MATERIALS AND METHODS: A hospital-based retrospective study, which reviewed 1438 patient records, was conducted at the "Teresina Emergency Hospital", Brazil. Data regarding demographics, day of the week on which trauma occurred, type of injury, etiology, anatomic trauma site, time of hospital admission, and associated comorbidities (or injuries) were collected. RESULTS: There were 1092 (75.9%) males and 346 (24.1%) females. The largest group was adolescents aged between 13 and 18 years (956, 66.5%). The majority lived in urban areas (69%). Trauma occurred most frequently during the week. The most prevalent etiology was road traffic accidents involving motorcycles (771, 53.6%) causing facial and skull fractures (598, 41%). The most prevalent soft tissue lesions were facial abrasions (49%), followed by injuries to the cheek (16.7%). Comorbidities associated with craniofacial trauma were present in 82%, with complications from traumatic brain injuries being the most prevalent (65.6%) Dental trauma was recorded in only 81 cases (5.6%). CONCLUSION: Male adolescents living in urban areas were most affected by craniofacial trauma. The most common cause was road traffic accidents involving motorcycles, resulting in facial and skull fractures. Complications from traumatic brain injuries were the most common associated injuries.


Assuntos
Traumatismos Maxilofaciais/epidemiologia , Fraturas Cranianas/epidemiologia , Acidentes de Trânsito , Adolescente , Brasil/epidemiologia , Criança , Feminino , Humanos , Masculino , Estudos Retrospectivos
11.
Front Pharmacol ; 10: 866, 2019.
Artigo em Inglês | MEDLINE | ID: mdl-31447671

RESUMO

The management of patients who undergo dental surgical procedures and receive oral anticoagulant therapy requires particular attention due to the risk of bleeding that may occur during the procedure. Bleeding rates in these trans- or post-operative patients tend to be unpredictable. The aim of this study was to conduct a systematic review in order to assess the risk of bleeding during and after performing oral surgery in patients administered oral anticoagulants compared with a group that discontinued anticoagulant therapy. For the purposes of this review, we searched the databases of the Cochrane Central Register of Controlled Trials (CENTRAL), MEDLINE (via Ovid), EMBASE (via Ovid), and the Virtual Health Library (VHL) from inception of the database to December 2018. The primary outcome was defined as the occurrence of local bleeding during and after oral surgical procedures. Four reviewers, independently and in pairs, screened titles and abstracts for full-text eligibility. Data regarding participant characteristics, interventions, and design and outcomes of the included studies were extracted. The data were pooled using random-effects meta-analyses and described as risk ratios (RRs) with a 95% confidence interval (95% CI). The confidence for the pooled estimates was ascertained through the Grading of Recommendations Assessment, Development, and Evaluation (GRADE) approach, and the protocol of this review was recorded in PROSPERO (CRD42017056986). A total of 58 eligible studies were identified, of which three randomized controlled trials were included in the meta-analysis, covering a total of 323 adult participants, among whom 167 were taking anticoagulants at the time they underwent dental surgery. Of these patients, 14.2% had reported bleeding. The risk of bleeding was found to be one to almost three times greater in patients taking warfarin compared with patients who discontinued the use of anticoagulant during the trans-operative period (RR = 1.67, 95% CI = 0.97 to 2.89) and in the post-operative period (RR = 1.44, 95% CI = 0.71 to 2.92), although the quality of evidence was very low. The results indicate that there is no evidence that the use of anticoagulants eliminates the risk of bleeding during surgical dental procedures.

13.
Clin Oral Investig ; 23(4): 1967-1976, 2019 Apr.
Artigo em Inglês | MEDLINE | ID: mdl-30238414

RESUMO

OBJECTIVE: This study aims to perform a systematic review and meta-analysis of clinical trials in order to evaluate the clinical and radiographic success rates of primary teeth pulpotomy performed with biodentine, when compared to MTA. METHODS: Search strategies were conducted in nine databases on August 5th, 2017, update on February 14th, 2018. Clinical articles were selected, which were in accordance with the inclusion and exclusion criteria and the research objective. They were analyzed by meta-analysis at three time points (6, 12, and 18 months). RESULTS: Out of the 233 publications initially identified, only 9 studies that fulfilled the inclusion criteria were included in the review. The 6-month overall clinical (RR = 0.99; 95% CI = 0.96-1.02, p = 0.92) and radiographic success rates (RR = 0.96; 95% CI = 0.92-1.00, p = 0.28) showed that biodentine vs. MTA did not differ statistically. The 12 and 18-month overall clinical success rates, respectively (RR = 1.01; 95% CI = 0.97-1.04, p = 0.77; RR = 0.98; 95% CI = 0.92-1.05, p = 0.74) and radiographic success rates, respectively (RR = 0.97; 95% CI = 0.92-1.02, p = 0.11; RR = 1.00; 95% CI = 0.91-1.10, p = 0.56) also showed that biodentine vs. MTA did not differ statistically. CONCLUSION: There is no superiority of one material over the other, MTA versus biodentine. CLINICAL RELEVANCE: This systematic review comparing the performance of biodentine in relation to the MTA when used in the pulpotomy technique in primary teeth. Although MTA is considered the gold standard material for pulpotomy procedures, it has some drawbacks (poor handling, staining potential, long setting time); thus, it is important to evaluate the clinical performance of other calcium silicate-based cements like biodentine that overcome this drawbacks.


Assuntos
Compostos de Cálcio/farmacologia , Pemetrexede/farmacologia , Pulpotomia , Silicatos/farmacologia , Dente Decíduo , Criança , Pré-Escolar , Combinação de Medicamentos , Humanos
14.
Rev. ABENO ; 19(1): 66-72, 2019. tab
Artigo em Português | LILACS, BBO - Odontologia | ID: biblio-1022616

RESUMO

O objetivo deste estudo foi avaliar diferentes estratégias para o aprimoramento de graduandos de Odontologia sobre normas de prescrição medicamentosa. Foram avaliados 72 estudantes, os quais foram divididos aleatoriamente em 3 grupos (n=24): Grupo 1 ­ em cada etapa de avaliação foi apresentado um vídeo explicativo sobre normas de prescrição com duração de 15 minutos; Grupo 2 ­ o mesmo vídeo foi disponibilizado em uma plataforma virtual (com acesso ilimitado); Grupo 3 ­ controle: os estudantes não tiveram atividades adicionais sobre o tema. Foram realizadas 4 avaliações e os voluntários receberam um caso clínico diferente em cada avaliação, realizando uma prescrição para a situação clínica proposta. Para cada prescrição realizada foi atribuída uma pontuação considerando diferentes itens: identificação do profissional e do paciente, concentração, dose e quantidade do medicamento, instruções, dentre outros. Os resultados obtidos foram submetidos à análise estatística, com nível de significância de 5%. Não foram observadas diferenças significativas na avaliação basal entre os grupos (p>0,05). Após o uso das diferentes estratégias foram observados melhores resultados para G1 quando comparados a G2 e G3 (p<0,05). Concluiuse que o uso do vídeo presencial foi o que proporcionou melhores resultados em relação às normas de prescrição de medicamentos (AU).


The aim of this study was to evaluate different teaching strategies to improve the knowledge of dental students about prescribing standards. We evaluated 72 students who were randomly separated into 3 groups (n = 24): Group 1 - at each evaluation stage, an explanatory video about prescription rules was presented; Group 2 - the same video was made available on a virtual platform (with unlimited access); Group 3 - control: the students did not have additional activities on the subject. During the study period 4 evaluations were performed, and all participants received a different clinical case to carry out a prescription for the proposed clinical situation. For each prescription performed, a score was given to different items: identification of professional and patient, concentration, dosage and quantity of the medicine, instructions, among others. The results were submitted to statistical analysis and the level of significance was set at 5%. No significant differences were observed at baseline between groups (p> 0.05). However, after using the strategies better results were observed for G1 when compared with G2 and G3 (p<0.05). It could be concluded that among the strategies used, the use of video was the one that provided an improvement in knowledge of dental students in relation to prescribing standards (AU).


Assuntos
Humanos , Prescrições de Medicamentos/normas , Recursos Audiovisuais , Estudantes de Odontologia , Educação em Odontologia , Brasil , Estatísticas não Paramétricas
15.
RGO (Porto Alegre) ; 66(4): 385-389, Oct.-Dec. 2018. graf
Artigo em Inglês | LILACS-Express | LILACS | ID: biblio-984918

RESUMO

ABSTRACT Buccal bifurcation cyst is an unusual inflammatory odontogenic cyst of unknown etiology which occurs at the buccal region of the permanent mandibular first molars in children and adolescents aged 6-15 years old. The aim of this manuscript is to present two clinical cases of buccal bifurcation cyst incidentally detected in adolescents referred for tomographic exams (CBCT) as part of the treatment planning for the management of impacted mandibular molars. The first case is very interesting due to the proximity of the lesion to the inferior alveolar canal. In the second case the inferior alveolar canal was not in close proximity to the lesion, but in contact with the mesiobuccal root of the second molar. The diagnosis of Buccal bifurcation cyst is of utmost importance in order to avoid complications during surgical procedures. In addition, the present case reports have highlighted the importance for dental practitioners to be aware of the possibility of a buccal bifurcation cyst being present as an incidental finding in CBCT images, especially in young patients.


RESUMO O cisto da bifurcação vestibular é uma lesão odontogênica inflamatória, incomum e de etiologia desconhecida que ocorre na região vestibular de primeiros molares permanentes inferiores em crianças e adolescentes na faixa etária de 6-15 anos. O objetivo deste trabalho é apresentar dois casos clínicos de cisto da bifurcação vestibular detectados incidentalmente em imagens de tomografia computadorizada de feixe cônico de adolescentes, indicadas como parte do tratamento e avaliação de terceiros molares inferiores impactados. O primeiro caso relatado é bastante interessante devido à presença de cisto de bifurcação bucal ter proximidade com o canal mandibular. No segundo caso o canal alveolar inferior não estava próximo da lesão, mas em contato com a raiz mésio-vestibular do segundo molar. O diagnóstico da bifurcação vestibular é de grande relevância para evitar possíveis complicações durante a realização de cirurgias. Os casos relatados destacam a importância para os cirurgiões-dentistas estarem cientes da possibilidade de um Cisto da bifurcação vestibular estar presente como um achado incidental em imagens de tomografia computadorizada de feixe cônico, especialmente em pacientes jovens.

16.
RGO (Porto Alegre) ; 66(3): 263-266, July-Sept. 2018. graf
Artigo em Inglês | LILACS-Express | LILACS | ID: biblio-984911

RESUMO

ABSTRACT Anatomical variations of mandibular canal have rarely been reported in the literature. The aim of this paper is to present three clinical cases of bifid mandibular canal diagnosed with cone-beam computed tomography (CBCT) as well as discuss its clinical implications. The first case is very interesting due to its anatomic variation verified in a panoramic radiograph during orthodontic planning, mimicking an odontogenic tumor. The second and the third cases were identified during tomographic evaluation for third molar exodontia. The diagnosis of bifid canals is extremely relevant in order to avoid complications during surgical procedures and implant placement as well as anesthesia failures which cause pain, paresthesia and bleeding. Furthermore, the shape of these anatomical variations can be confused with bone lesions.


RESUMO O objetivo deste trabalho é apresentar três casos clínicos de canais mandibulares bífidos, diagnosticados em imagens de tomografia computadorizada de feixe cônico (TCFC) e discutir as possíveis implicações clínicas destas variações. O primeiro caso relatado é bastante interessante devido à variação anatômica diagnosticada em uma radiografia panorâmica, indicada para o planejamento ortodôntico. A ocorrência do canal bífido mimetiza o aspecto de um tumor odontogênico. A presença de canal bífido no segundo e no terceiro caso clínico foi identificada durante a avaliação tomográfica para a exodontia de terceiros molares. O diagnóstico de canais bífidos é de grande relevância para evitar possíveis complicações durante a realização de cirurgias, instalação de implantes dentários e falhas de anestesias durante os procedimentos cirúrgicos que podem provocar dor, parestesia e sangramento. Além disso, estas variações anatômicas podem ser confundidas com lesões ósseas.

17.
Rev. ABENO ; 18(2): 174-181, maio 2018. ilus
Artigo em Português | LILACS, BBO - Odontologia | ID: biblio-908809

RESUMO

Os cirurgiões-dentistas devem estar preparados para eventuais situações de emergências médicas que podem ocorrer durante o atendimento odontológico. Entretanto, muitos profissionais não se sentem preparados para executar estes procedimentos e têm pouca experiência em treinamentos práticos. Desta forma, o objetivo deste artigo é relatar a experiência de uma atividade de simulação em diferentes cenários de emergências médicas na prática odontológica. Esta metodologia envolve o uso de um simulador de alta fidelidade e permite a discussão na sala de debriefing sobre os principais procedimentos e treinamento prático para o manejo de emergências médicas. A simulação de alta fidelidade realística para o ensino de emergências médicas na prática odontológica representa um cenário inovador e é eficaz para o processo de ensino e aprendizagem (AU).


Dentists should be prepared to manage eventual medical emergencies that occur in the dental practice. However, many dentists are not fully prepared to manage these situations and have insufficient experience training in medical emergencies. The aim of this paper is to report the experience of educational activities using a high-fidelity simulator in different scenarios in order to prepare dental professionals for medical emergencies in the dental clinic. This methodology allows discussion in the debriefing room regarding the main techniques and procedures to be performed in clinical practice in cases of emergencies and training of dentists to meet these situations. It can be concluded that high-fidelity simulation represents an innovative learning scenario and it is an effective educational method to prepare dental professionals for medical emergencies (AU).


Assuntos
Humanos , Recursos Audiovisuais , Simulação por Computador , Assistência Odontológica , Educação em Odontologia/métodos , Medicina de Emergência , Brasil , Aprendizagem Baseada em Problemas/métodos
18.
RGO (Porto Alegre) ; 65(4): 326-334, Oct.-Dec. 2017. tab
Artigo em Inglês | LILACS, BBO - Odontologia | ID: biblio-896039

RESUMO

ABSTRACT Objective: The aim of this study was to investigate the impact of erosive tooth wear on the Oral Health-Related Quality of life (OHRQoL) of preschool children. Methods: Dental examinations were conducted on 815 children aged 3-4 years during the Children's Vaccination National Day when their parents were also invited to answer the Brazilian Early Childhood Oral Health Impact Scale (B-ECOHIS). ETW prevalence and severity were measured using a modified version of the O'Brien index (1994). Data collected included socioeconomic factors and child's variables. OHRQoL was measured through B-ECOHIS domains and total score. Poisson regression was used to associate ETW to the outcome and this association was adjusted for dental caries and dental trauma. Results: The proportion of children who had at least 1 ETW tooth was 51.2%. Most erosive lesions were confined to enamel (42.7%). The multivariate adjusted model showed that child's age (children aged 4year-old) was associated to a negative impact on the symptom domain (RR=1.70; p=0.010), functional limitation domain (RR=1.85; p=0.005) and total B-ECOHIS score (RR= 1.63; p=0.006). Families with 2 or more children in the house have a negative impact on the self-image/social interaction domain (RR=5.41; p=0.043). ETW was not associated to total B-ECOHIS scores (RR= 0.79; p=0.163) and individual domains. Conclusion: Erosive tooth wear does not affect the OHRQoL in this sample of preschool children.


RESUMO Objetivo: O objetivo deste estudo foi investigar o impacto das lesões de desgaste dentário erosivo na qualidade de vida relacionada à saúde bucal (QVRSB) de pré-escolares. Métodos: Exames clínicos foram conduzidos em 815 crianças de 3 e 4 anos de idade durante a Campanha Nacional de Multivacinação Infantil. Os pais ou responsáveis foram convidados a responderam a versão brasileira do Early Childhood Oral Health Impact Scale (B-ECOHIS). A prevalência e a gravidade das lesões de desgastes dentários erosivos foram avaliadas de acordo com o índice de O'Brien (1994). Também foram coletados dados socioeconômicos e variáveis da criança. A QVRSB foi mensurada por meio dos domínios e escore total do B-ECOHIS. A análise de regressão de Poisson foi adotada para associar as lesões de desgaste dentário erosivo ao desfecho e ajustada para cárie dentária e lesões dentárias traumáticas. Resultados: A proporção de crianças que apresentavam pelo menos 1 dente apresentando desgaste dentário erosivo foi 51,2%. A maioria das lesões de desgaste dentário erosivo estava confinada ao esmalte (42,7%). A análise ajustada multivariada revelou que apenas que a idade (crianças de 4 anos) foi associada a um impacto negativo nos domínios de sintomas (RR=1,70; p=0,010), limitação funcional (RR=1,85; p=0,005) e escore total do B-ECOHIS (RR= 1,63; p=0,006). Famílias com 2 ou mais filhos tiveram um impacto negativo nos dominíos de autoestima e interação social (RR=5,41; p=0,043). As lesões de desgaste dentário erosivo não foram associadas ao escore total de B-ECOHIS (RR= 0,79; p=0,163) e domínios individuais. Conclusão: As lesões de desgaste dentário erosivo não afetaram a qualidade de vida de pré-escolares da amostra estudada.

19.
J Dent Child (Chic) ; 84(2): 97-99, 2017 May 15.
Artigo em Inglês | MEDLINE | ID: mdl-28814370

RESUMO

Graphite tattoo, a rare finding in children, is characterized by a localized blue-grey macule of variable sizes and shapes. Intraoral graphite implantation may cause this pigmentation through accidental injury with a graphite pencil. The purpose of this paper is to report an unusual case of graphite tattoo involving the anterior palate region in a seven-year-old girl. A diagnosis was made based on clinical and radiographic examinations and histopathology features. This report also highlights the importance of differential diagnosis and management of oral benign and malignant pigmented lesions in children.


Assuntos
Grafite , Palato/lesões , Transtornos da Pigmentação/diagnóstico , Tatuagem , Criança , Diagnóstico Diferencial , Feminino , Humanos
20.
Case Rep Dent ; 2016: 6305173, 2016.
Artigo em Inglês | MEDLINE | ID: mdl-27980867

RESUMO

The aim of this paper is to describe a case report of EMP in an HIV-positive patient. A 44-year-old, dark-skinned HIV-infected woman was referred to the Oral Diseases Treatment Center with a swelling at palate and left gingival fornix in the maxilla. Biopsy was taken and the oral lesion was diagnosed as EMP with well-differentiated plasma cells and restriction of the lambda light-chain. Skeletal survey was performed and no radiograph alterations were observed, thus supporting the diagnosis of EMP. Patient was referred to treatment and after two months of chemo and radiotherapy, an expanding lesion was observed in L5/S1 patient's vertebrae. Biopsy of the spinal lesion was consistent with lymphoma with plasmocitary differentiation, supporting the diagnosis of multiple myeloma (MM). Regarding the medical history, the final diagnostic was an oral extramedullary plasmacytoma with rapid progression into multiple myeloma. It is crucial to emphasize the relevance of HIV infection as a risk factor for both aggressive clinical behavior and unusual clinical presentation of extramedullary plasmacytoma cases.

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