Union between deciduous and permanent as intrusive luxation sequelae: A case report.

Traumatic dental injuries (TDI) are common in children due learning to walk and lack of balance that leads to falls. Luxation is the trauma that occurs most frequently in the deciduous, being that the intrusive and the avulsive are the ones that cause more damage to the permanent successors. The potential to cause disturbances to the developing permanent germ is high due to anatomical proximity and depends on age, direction of intrusion, severity and treatment. The consequences to the permanent range from hypocalcifications of enamel to retention of the permanent germ. In this case, the developmental disturbance of the tooth 21 presenting with acute dentoalveolar abscess was a result of a three-degree intrusive luxation of the deciduous predecessor. The tooth 61 was misdiagnosed initially as avulsion, but it was a total intrusion as uncovered after a radiographic examination that showed an image suggestive of the presence of the deciduous tooth. The deciduous was extracted along with his permanent successor through outpatient procedure under antibiotic coverage and local anesthesia. The macro and microscopic analysis of the piece evidenced the presence of elements 21 and 61 closely united, as well as alterations provoked in both. There was remission of the infectious process and after 7 days it was verified the correct healing of the surgical wound. The radical outcome of this case emphasizes the relevance of appropriate clinical support as soon as possible in all TDI.

Multidisciplinary management of a tooth with severe root dilaceration and enamel hypoplasia: a case report.

Dental trauma in primary teeth can cause irreversible changes in the development of permanent tooth germs, including enamel hypoplasia, crown dilaceration, and root dilaceration. This article discusses multidisciplinary treatment of enamel hypoplasia and root dilaceration in the maxillary left central incisor of an 11-year-old girl. A 10-year follow-up is reported to demonstrate the long-term clinical outcomes. At the initial presentation, the patient's mother reported that the child had an accident at the age of 2 years, resulting in intrusive luxation of the primary maxillary left central incisor. After the accident, the patient was monitored for eruption of the permanent successor tooth, and different approaches were proposed during each period of the patient's development on the basis of the clinical diagnosis of root dilaceration and enamel hypoplasia. The crown was restored with composite resin, and the root defect was restored with resin-modified glass ionomer cement. After 10 years, the clinical outcomes highlight that the multidisciplinary approach was successful in preserving the natural tooth with good periodontal health conditions.

Fiber-reinforced fixed dental prosthesis to replace missing anterior teeth: case reports.

The direct fiber-reinforced fixed dental prosthesis (FRFDP) is a minimally invasive approach to replacing missing anterior teeth, offering good survival rates and sound mechanical properties. This report describes the placement and 12-month follow-up results of FRFDPs used to replace missing anterior teeth in 2 patients. In the first case, the extraction of the maxillary right central incisor was related to trauma. In the second case, severe periodontal disease necessitated the extraction of the mandibular left central incisor. Based on the biological and financial considerations of the patients and the need to obtain clinical resolution in a short time, placement of an FRFDP was proposed in each case. Each patient was informed of the benefits and limitations of an FRFDP and accepted the treatment plan. In each case, an FRFDP was placed immediately after the surgical extraction of the incisor, using the extracted tooth as a pontic. The results observed at the 12-month follow-up examinations of the patients suggest that the FRFDP is a viable, esthetic, and functional option to replace missing anterior teeth.

Peripheral odontogenic fibroma in a child with Ellis-van Creveld syndrome: Case report.

INTRODUCTION: Ellis-van Creveld (EVC) syndrome is an autosomal recessive disorder predominantly characterized by a disproportionate dwarfism, ectodermal dysplasia, postaxial polydactyly, and congenital heart malformations and pulmonary hypoplasia. OBJECTIVE: In this article, we hereby present a case of a 6-year-old Brazilian boy with EVC syndrome who presented a rare oral lesion as well as a remarkable number of classical and uncommon oral and dental features. CASE REPORT: Clinical and radiographic examination revealed multiple enamel hypoplasia, teeth agenesis, conical teeth, lower canine rotation, bilateral posterior crossbite, taurodontism of deciduous and permanent molars and delayed tooth eruption, dental caries, and absent vestibular sulcus. Additionally, a whitish lobulated nodule located in the alveolar ridge in the anterior region of the mandible was noted. Anatomopathological examination was compatible with the diagnosis of peripheral odontogenic fibroma (POF). In a 10-month clinical follow-up, no signs of recurrence were observed. CONCLUSION: In view of the characteristic oral findings of EVC syndrome and the potential for recurrence of POF, the pediatric dentist plays an essential role in clinical follow-up, planning and preventive, and rehabilitative treatment.

Aprendizados e reflexões advindos de atividade extensionista de educação em saúde em centros de educação infantil / Learnings and reflections arising from extensionist activity of health education in child education centers / Aprendizajes y reflexiones provenientes de actividad extensionista de educación en salud en centros de educación infantil

Introdução:Atividade extensionistaconfigura-se como poderoso instrumento para a formação integral e contextualizada do estudante. Favorece agregação, aplicação e absorção de múltiplos conhecimentos na comunidade. O projeto Ações de Educação em Saúde e de Educação Continuada para Profissionais do Sistema Único de Saúdeda Universidade Estadual de Londrina, desenvolve atividades de educação em saúde vinculadas às demandas apresentadas pelos Centros de Educação Infantil que atua.Objetivos: Relatar o processo ensino-aprendizagem e os desafios experienciadosem uma açãoextensionista, esperando-se que essas vivências possam se somar às reflexões sobrea curricularização da extensão.Metodologia:Trata-se de um estudo descritivo do tipo relato de experiência extensionista, desenvolvido por estudantes do terceiro ao décimo período e professores de Odontologia. O estudo refere-se ao período de 2018 e 2019.Resultados:Foram realizadas ações de educação em saúde sobre adoção de hábitos saudáveis relativos à saúde geral das crianças, pais e cuidadores por meio da elaboração e distribuição de folders. Para os integrantes do projeto, esta demanda foi desafiadora em relação à definição de estratégias, planejamento, conciliação de horários e adoção de recursos que favorecessem a comunicação com a população. Esta experiência extensionista, remeteu à reflexão sobre a amplitude das potencialidades da curricularização da extensão, porquealia a relevância social e favorece a formação integral do estudante. Porém, o alcance dos objetivos das ações extensionistas e da curricularização da extensão, dependem do envolvimento e dedicação dos docentes e estudantes. Conclusões:Atividades extensionistas e a curricularização da extensão são relevantes para o ensino-aprendizagem e para cumprimento do compromisso social das universidades. São complexas e multifacetadas, para além dos projetos apresentados e da implementação de legislações e diretrizes educacionais (AU).

Introduction:Extension activity is a powerful instrument for the integral and contextualized formation of the student. It favors aggregation, application, and absorption of multiples knowledge in the community. The Health Education Actions and Continuing Education for Unified Health SystemProfessionals at the State University of Londrina develops health education activities linked to the demands presented by the Child Education Centers that it operates.Objectives:To report the teaching-learning process and the challenges experienced in an extension action, hoping that these experiences can add to the reflections about the curricularization of extension.Methodology:This is a descriptive study of the type of extension experience report developed by dentistry students from the third to the tenth period and by dentistry professors. The study refers to the period from 2018 to 2019.Results:Health education activities were carried outon adopting healthy habits related to children, parents, and caregivers' general health through the elaboration and distribution of folders. For the project members, this demand was challenging concerning the definition of strategies, planning, conciliation of schedules, and adoption of resources that would favor communication with the population. This extension experience led to a reflection on the breadth of the curricularization of extension potential because it combines social relevance and favors the integral training of students. However, the extent of the extension actions' objectives and the curricularization of extension depending on the teachers' and students' involvement and dedication.Conclusions:Extension activities and the curricularization of extension are relevant for teaching-learning and fulfilling universities' social commitment. They are complex and multifaceted, and the projects presented and the implementation of legislation and educational guidelines (AU).

Introducción: La actividad de extensión es un poderoso instrumento para la formación integral y contextualizada del alumno. Favorece la agregación, aplicación y absorción de múltiples conocimientos en la comunidad. Las Acciones de Educación en Salud y Educación Continuapara Profesionales del Sistema Único de Saludde la Universidad Estatal de Londrina desarrollan actividades de educación en salud vinculadas a las demandas presentadas por los Centros de Educación Infantil que opera. Objetivos: Relatar el proceso de enseñanza-aprendizaje y los desafíos vividos en una acción de extensión, esperando que estas experiencias puedan sumar a las reflexiones sobre la curricularización de la extensiónMetodología: Estudio descriptivo del tipo de informe de experiencia de extensión desarrollado por estudiantes de odontología del tercer al décimo período y por profesores de odontología,se refiere alperíodo comprendido entre 2018-2019.Resultados: Se realizaron actividades de educación sanitaria sobre la adopción de hábitos saludables relacionados con la salud general de los niños, padres y cuidadores a través de la elaboración y distribución de carpetas. Para los integrantes del proyecto, esta demanda supuso un reto en cuanto a la definición de estrategias, planificación, conciliación de horarios y adopción de recursos que favorecieran la comunicación con la población. Esta experiencia condujo a una reflexión sobre la amplitud de la curricularización del potencial de la extensión porque combina la relevancia social y favorece la formación integral de los estudiantes. Sin embargo, la amplitud de los objetivos de las acciones de extensión y la curricularización de la extensión dependiendo de la participación y dedicación de los profesores y estudiantes. Conclusiones: Las actividades de extensión y la curricularización de la extensión son relevantes para la enseñanza-aprendizaje y el cumplimiento del compromiso social de las universidades. Son complejas y multifacéticas, y los proyectos presentados y la aplicación de la legislación y las directrices educativas (AU).

Atividades extensionistas de educação em saúde bucal para pacientes da terceira idade: relato de experiência / Extension activities in oral health education for elderly patients: an experience report

Trata-se de um estudo de caráter descritivo, do tipo relato de experiência,que tem por objetivo descrever as atividades extensionistas desenvolvidas pelo projeto "Promoção da Saúde Bucal para Pacientes da Terceira Idade" da Universidade Estadual de Londrina em Pastoral da Pessoa Idosa e Instituições de Longa Permanência para Idosos em Londrina/PR e região. Essas ações foram desempenhadas por estudantes, docentes e servidores nos anos de 2017, 2018 e 2019 por meio de palestras e rodas de conversas sobre alimentação saudável, doenças causadas por próteses e doenças bucais. Além disso, foram realizadas escovação dentária supervisionada individual e coletiva, higienização de próteses, exame físico e autoexame. Em relação aos resultados, observou-se que as atividades possibilitaram identificar a realidade vivenciada dessa população, compartilhar saberes e experiências sobre saúde bucal com informações claras e acessíveis para a comunidade. Adicionalmente, essa oportunidade viabilizou aos estudantes estabelecerem vínculos sociais efetivos, a tomada de decisão, a liderança, proatividade e protagonismo. Favoreceu a formação contextualizada e integrada dos estudantes, com atitudes condizentes para realizar atendimentos e cuidados com a pessoa idosa e seus cuidadores em cenários diversificados. Dessa forma, atividades extensionistas revelaram-se poderosas estratégias para estudantes fortalecerem a formação profissional por meio do trabalho de educação em saúde com idosos e cuidadores (AU).

This is a descriptive study of the experience report type with the purpose of describing the extension actions developed by the project "Promotion of Oral Health for Elderly Patients" developed by the State University of Londrina at the Pastoral of the Elderly and Long-Stay Institutions for the Elderly in the city of Londrina/PR and region. These actions were developed by students, professors, and civil servants in 2017, 2018, and 2019 through lectures and talk sessions on healthy eating habits, diseases caused by prosthetics, and oral diseases. Additionally, supervised individual and collective toothbrushing, cleaning of prosthetics, physical examination and self-examination were developed. In relation to the results, it was observed that the activities allowed the students to identify the reality of that population, sharing knowledges and experiences on oral health with clear and accessible information for the community. Furthermore, this opportunity allowed the students to establish effective social bonds, improve their decision-making process, leadership, proactivity, and protagonism. It also favored the contextualized and integral training of the students, with befitting attitudes to provide care for the elderly and their caregivers in diversified scenarios. Therefore, the extension activities were powerful strategies for the students to strengthen the professional training through health education work with the elderly and their caregivers (AU).

Ações extensionistas de promoção da saúde bucal em comunidades atendidas pela Pastoral da Criança em Londrina/PR / Extension actions for the promotion of oral health in communities served by the Child's Pastoral in Londrina/PR

Trata-se de um estudo de caráter descritivo,do tipo relato de experiência,que tem por objetivo descrever as ações extensionistas desenvolvidas pelo projeto "Saúde Bucal em Escolares e a Comunidade" da Universidade Estadual de Londrina em Pastoral da Criança. Essas atividades foram desenvolvidas no ano de 2019, aos sábados, em dataspreviamente definidas pelas coordenadoras das próprias instituições. Num primeiro momento foram realizadas rodas de conversa com as mães, gestantes e cuidadores, com temáticas referentes ao rico valor do aleitamento materno, esclarecimentos sobre o uso de chupetas e alimentação saudável. Num momento posterior, sob a supervisão dos responsáveis, foi efetuada a higienização da cavidade bucal dos bebês. Para as crianças, foi executada a escovação supervisionada individual ou coletiva. Além disso, foram compartilhadas informações referentes àtécnica de escovação correta, frequência de escovação ao dia e quantidade ideal de dentifrício. Essas ações contaram com a participação de gestantes, mães, cuidadores, bebês e crianças, totalizando cerca de 1241 pessoas em 19 comunidades assistidas pela Pastoral da Criança,localizadas em Londrina/PR.Dessa forma, as ações extensionistas em Pastoral da Criança revelaram-se cenários oportunos para compartilhar saberes, intercambiar experiências, melhorar a qualidade de vida e bem-estar dos diversos e heterogêneos públicos-alvo. Representaram espaços reais e favoráveis para os estudantes desenvolverem competências e habilidades requisitadas para a formação contextualizada e integral (AU).

This is a descriptive study of the experience report type, aiming at describing the extension actions developed by Project "Oral Health in School Children and in the Community" developed by the State University of Londrina at the Child's Pastoral. The activities described herein were developed in 2019, on Saturdays, with dates previously defined by the coordinators of the institutions. In the first moment, talk sessions were held with mothers, pregnant women,and caregivers, with themes referred to the value of breastfeeding, clarifications on the use of pacifiers, and healthy eating. At a subsequent moment, the baby mouths were cleaned under supervision.For the children, individual or collective supervised brushing was performed. Additionally, information regarding the correct brushing technique, brushing frequency per day, and the ideal amount of toothpaste were provided. These actions had the participation of pregnant women, mothers, caregivers, babies, and children, totaling approximately 1241 people in 19 communities assisted by the Child's Pastoral in Londrina, Paraná. In this way, the extension actions taking place at Child's Pastoral were considered ideal scenarios to share knowledge, exchange experiences, improve the quality of life and well-being ofthe diverse and heterogeneous target audience. They represent real and favorable spaces for students to develop the competencies and skills required for contextualized and integral training (AU).