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1.
Int J Oral Maxillofac Surg ; 41(8): 970-3, 2012 Aug.
Artigo em Inglês | MEDLINE | ID: mdl-22266408

RESUMO

Carcinosarcoma is a rare malignant disease with aggressive behaviour rarely producing oral manifestations. This article reports a case of an intraoral carcinosarcoma affecting a 71-year-old black male; the diagnosis was made by histopathological and immunohistochemical analyses. Computed tomography scanning showed metastatic masses in the lungs. The patient was underwent a chemotherapy protocol regimen, but died as a consequence of the disease within 10 months of diagnosis. Distinctive characteristics of this presentation were the location of the lesion (floor of the mouth) and its clinical features resembling a benign lesion. A brief review of intraoral carcinosarcoma cases in the literature is also presented.


Assuntos
Carcinossarcoma/diagnóstico , Granuloma Piogênico/diagnóstico , Doenças da Boca/diagnóstico , Soalho Bucal/patologia , Neoplasias Bucais/diagnóstico , Idoso , Antineoplásicos/uso terapêutico , Carcinossarcoma/patologia , Carcinossarcoma/secundário , Diagnóstico Diferencial , Células Epiteliais/patologia , Evolução Fatal , Humanos , Queratina-3/análise , Neoplasias Pulmonares/secundário , Masculino , Mesoderma/patologia , Neoplasias Bucais/patologia , Tomografia Computadorizada por Raios X/métodos , Vimentina/análise
3.
Minerva Stomatol ; 57(7-8): 343-8, 2008.
Artigo em Inglês | MEDLINE | ID: mdl-18784633

RESUMO

AIM: This study evaluated the effect of acupuncture on salivary flow rates in patients with radiation-induced xerostomia. METHODS: Twelve patients with severe xerostomia were treated with acupuncture after radiation therapy. The baseline data were obtained preceding acupuncture treatment, and used as reference values. Acupuncture was performed in 12 sessions, 20 min each, twice a week, during a 6-week period. Clinical response was evaluated objectively by saliva collection measuring resting and stimulated whole salivary flow rates, and subjectively by a visual analogue scale patients' self-evaluation questionnaire. Statistical analyses were performed with a repeated-measures analysis of variance by using a mixed-effect modeling procedure. RESULTS: The results showed a statistically significant improvement for salivary flow rates on both objective and subjective evaluations (P<0.05). On objective evaluation there was an increase for resting salivary flow of 142.2% (mean=0.04 mL/min to 0.12 mL/min) and of 73.5% (mean=0.09 mL/min to 0.21 mL/min) for stimulated salivary flow. On subjective evaluation, visual analogue scale raised 36 points (mean=18.4 to 53.8) for sensation of more saliva production. CONCLUSION: According to the results of the present study, acupuncture showed a significant effect on saliva production, suggesting this therapy as a useful treatment for patients suffering from radiation-induced xerostomia.


Assuntos
Terapia por Acupuntura , Lesões por Radiação/complicações , Salivação , Xerostomia/etiologia , Xerostomia/terapia , Adulto , Idoso , Feminino , Humanos , Masculino , Pessoa de Meia-Idade , Xerostomia/fisiopatologia
4.
West Indian Med J ; 53(2): 113-7, 2004 Mar.
Artigo em Inglês | MEDLINE | ID: mdl-15199723

RESUMO

This study aimed to characterize the clinical profile of patients with oral lichen planus (OLP) and to evaluate the efficacy of topical, systemic and/or intralesional corticosteroids in the management of symptomatic cases. Fifty-two patients with OLP, 33 females and 19 males, aged from 17 to 75 years (mean 49.7 years) were studied. Information regarding the clinical forms, sites of involvement, patients' medical history and habits were recorded. Diagnosis of OLP was made using clinical criteria alone in 32 cases, while biopsy examination was required in the remaining 20. Symptomatic lesions were seen in 29 patients, who were treated with corticosteroid. Asymptomatic cases (23) were only clinically monitored. The forms of OLP found in this study were reticular (47%), atrophic (24%), erosive (21%) and plaque-like (8%). The buccal mucosa was the site predominantly affected. Systemic diseases were found in 17 patients (seven diabetic and ten with hypertension) but these data lacked statistical significance (p > 0.05) when compared with a control group of age and gender matched patients without any type of mucocutaneous disease. A habit of tobacco and/or alcohol use was reported by 11.5% of the patients, most of them with the reticular form of the disease. Topical corticosteroid therapy alone was effective in producing relief of symptoms in 18 of the 29 patients, although some relapses occurred after discontinuation. For lesions non-responsive to topical treatment, intralesional injection and/or short-term use of systemic corticosteroids were used.


Assuntos
Corticosteroides/uso terapêutico , Líquen Plano Bucal/tratamento farmacológico , Adolescente , Adulto , Idoso , Brasil/epidemiologia , Distribuição de Qui-Quadrado , Feminino , Humanos , Líquen Plano Bucal/diagnóstico , Líquen Plano Bucal/epidemiologia , Masculino , Pessoa de Meia-Idade , Fatores de Risco , Resultado do Tratamento
5.
West Indian med. j ; 53(2): 113-117, Mar. 2004.
Artigo em Inglês | LILACS | ID: lil-410525

RESUMO

This study aimed to characterize the clinical profile of patients with oral lichen planus (OLP) and to evaluate the efficacy of topical, systemic and/or intralesional corticosteroids in the management of symptomatic cases. Fifty-two patients with OLP, 33 females and 19 males, aged from 17 to 75 years (mean 49.7 years) were studied. Information regarding the clinical forms, sites of involvement, patients' medical history and habits were recorded. Diagnosis of OLP was made using clinical criteria alone in 32 cases, while biopsy examination was required in the remaining 20. Symptomatic lesions were seen in 29 patients, who were treated with corticosteroid. Asymptomatic cases (23) were only clinically monitored. The forms of OLP found in this study were reticular (47), atrophic (24), erosive (21) and plaque-like (8). The buccal mucosa was the site predominantly affected. Systemic diseases were found in 17 patients (seven diabetic and ten with hypertension) but these data lacked statistical significance (p > 0.05) when compared with a control group of age and gender matched patients without any type of mucocutaneous disease. A habit of tobacco and/or alcohol use was reported by 11.5 of the patients, most of them with the reticular form of the disease. Topical corticosteroid therapy alone was effective in producing relief of symptoms in 18 of the 29 patients, although some relapses occurred after discontinuation. For lesions non-responsive to topical treatment, intralesional injection and/or short-term use of systemic corticosteroids were used


Assuntos
Humanos , Masculino , Feminino , Adulto , Pessoa de Meia-Idade , Corticosteroides/uso terapêutico , Líquen Plano Bucal/tratamento farmacológico , Brasil/epidemiologia , Distribuição de Qui-Quadrado , Líquen Plano Bucal/diagnóstico , Líquen Plano Bucal/epidemiologia , Fatores de Risco , Resultado do Tratamento
6.
West Indian Med J ; 52(3): 203-7, 2003 Sep.
Artigo em Inglês | MEDLINE | ID: mdl-14649100

RESUMO

This study aimed to characterize the clinical profile of patients with oral lichen planus (OLP) and to evaluate the efficacy of topical, systemic and/or intralesional corticosteroids in the management of symptomatic cases. Fifty-two patients with OLP, 33 females and 19 males, aged from 17 to 75 years (mean 49.7 years) were studied. Information regarding the clinical forms, sites of involvement, patients' medical history and habits were recorded. Diagnosis of OLP was made using clinical criteria alone in 32 cases, while biopsy examination was required in the remaining 20. Symptomatic lesions were seen in 29 patients, who were treated with corticosteroid. Asymptomatic cases (23) were only clinically monitored. The forms of OLP found in this study were reticular (47%), atrophic (24%), erosive (21%) and plaque-like (8%). The buccal mucosa was the site predominantly affected. Systemic diseases were found in 17 patients (seven diabetic and ten with hypertension) but these data lacked statistical significance (p > 0.05) when compared with a control group of age and gender matched patients without any type of mucocutaneous disease. A habit of tobacco and/or alcohol use was reported by 11.5% of the patients, most of them with the reticular form of the disease. Topical corticosteroid therapy alone was effective in producing relief of symptoms in 18 of the 29 patients, although some relapses occurred after discontinuation. For lesions non-responsive to topical treatment, intralesional injection and/or short-term use of systemic corticosteroids were used.


Assuntos
Corticosteroides/uso terapêutico , Líquen Plano Bucal/tratamento farmacológico , Adolescente , Adulto , Idoso , Brasil/epidemiologia , Distribuição de Qui-Quadrado , Feminino , Humanos , Líquen Plano Bucal/diagnóstico , Líquen Plano Bucal/epidemiologia , Masculino , Pessoa de Meia-Idade , Fatores de Risco , Resultado do Tratamento
7.
West Indian med. j ; 52(3): 203-207, Sept. 2003.
Artigo em Inglês | LILACS | ID: lil-410721

RESUMO

This study aimed to characterize the clinical profile of patients with oral lichen planus (OLP) and to evaluate the efficacy of topical, systemic and/or intralesional corticosteroids in the management of symptomatic cases. Fifty-two patients with OLP, 33 females and 19 males, aged from 17 to 75 years (mean 49.7 years) were studied. Information regarding the clinical forms, sites of involvement, patients' medical history and habits were recorded. Diagnosis of OLP was made using clinical criteria alone in 32 cases, while biopsy examination was required in the remaining 20. Symptomatic lesions were seen in 29 patients, who were treated with corticosteroid. Asymptomatic cases (23) were only clinically monitored. The forms of OLP found in this study were reticular (47), atrophic (24), erosive (21) and plaque-like (8). The buccal mucosa was the site predominantly affected. Systemic diseases were found in 17 patients (seven diabetic and ten with hypertension) but these data lacked statistical significance (p > 0.05) when compared with a control group of age and gender matched patients without any type of mucocutaneous disease. A habit of tobacco and/or alcohol use was reported by 11.5 of the patients, most of them with the reticular form of the disease. Topical corticosteroid therapy alone was effective in producing relief of symptoms in 18 of the 29 patients, although some relapses occurred after discontinuation. For lesions non-responsive to topical treatment, intralesional injection and/or short-term use of systemic corticosteroids were used


Assuntos
Humanos , Masculino , Feminino , Adolescente , Adulto , Pessoa de Meia-Idade , Corticosteroides/uso terapêutico , Líquen Plano Bucal/tratamento farmacológico , Brasil/epidemiologia , Distribuição de Qui-Quadrado , Líquen Plano Bucal/diagnóstico , Líquen Plano Bucal/epidemiologia , Fatores de Risco , Resultado do Tratamento
8.
Gen Dent ; 49(3): 291-5; quiz 296-7, 2001.
Artigo em Inglês | MEDLINE | ID: mdl-12004729

RESUMO

Traumatic bone cysts usually are found in young individuals and most frequently have the radiographic appearance of well-circumscribed radiolucent lesions with a tendency to scallop between the roots of the teeth. Two well-documented cases of traumatic bone cysts are presented in which some differences related to their radiographic features were observed. The possible explanations for these differences are discussed and a brief review of the literature regarding the main characteristics of traumatic bone cyst lesions also is provided.


Assuntos
Cistos Maxilomandibulares/diagnóstico por imagem , Doenças Mandibulares/diagnóstico por imagem , Adolescente , Cistos Ósseos/diagnóstico por imagem , Curetagem , Diagnóstico Diferencial , Feminino , Seguimentos , Granuloma de Células Gigantes/diagnóstico por imagem , Humanos , Pessoa de Meia-Idade , Cistos Odontogênicos/diagnóstico por imagem , Osteosclerose/diagnóstico por imagem , Radiografia Panorâmica , Cicatrização
10.
Braz Dent J ; 9(1): 53-6, 1998.
Artigo em Inglês | MEDLINE | ID: mdl-9835805

RESUMO

An unusual case of a newborn with 12 erupted teeth is presented. Epidemiological, etiological, and therapeutical aspects of this developmental disturbance of dentition is reviewed in order to establish guidelines for the dentist and neonatologist to manage this problem with minimal damage to the future teeth and the patient.


Assuntos
Dentes Natais , Humanos , Recém-Nascido , Masculino , Mandíbula , Maxila
11.
Rev Inst Med Trop Sao Paulo ; 40(1): 15-8, 1998.
Artigo em Inglês | MEDLINE | ID: mdl-9713132

RESUMO

Three cases of the juvenile form of paracoccidioidomycosis are reported. Emphasis has been given to the oral manifestations, particularly the periodontal involvement. The main periodontal findings were: generalized and progressive alveolar bone destruction leading to gingival recession with exposure of the tooth roots, and spontaneous tooth losses. The gingival mucosa was predominantly smooth, erythematous and slightly swollen. These aspects, although rare, may be the earliest signs of the disease and sometimes its only manifestations.


Assuntos
Paracoccidioidomicose , Periodontite/parasitologia , Adolescente , Anfotericina B/uso terapêutico , Antifúngicos/uso terapêutico , Criança , Feminino , Humanos , Cetoconazol/uso terapêutico , Masculino , Paracoccidioidomicose/diagnóstico , Paracoccidioidomicose/tratamento farmacológico , Periodontite/diagnóstico , Periodontite/tratamento farmacológico , Sulfonamidas/uso terapêutico
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