Revista Eletrônica Acervo Odontológico

Lower protocol with angled distal abutments

2025-05-19T19:20:19+00:00

Objective: This study aimed to present a surgical treatment method based on the All on Four technique performed in the implantology specialization course at the Universidade Federal Fluminense. Case details: Alveolar atrophy in edentulous maxillae makes complete rehabilitation of the arches difficult, especially in rehabilitation with osseointegrated dental implants, which require sufficient bone quantity or prior surgery for bone gain, increasing morbidity and complications for the patient. Therefore, techniques have emerged to avoid these areas of greater bone loss and to avoid noble structures, which are often limiting for implant installation. One of the suggested and well-accepted techniques to avoid these anatomical structures is the “All on Four” concept, where four long implants are installed, two anterior ones are installed axially and the posterior ones are placed in an angled position for better anteroposterior distribution, as well as the variation of this technique presented in detail in this article. Final considerations: Considering the importance of total rehabilitation with implants, using techniques aimed at installing implants in atrophic jaws, it is up to experienced professionals to use this technique or variants of the technique, cautiously and with scientific basis, so that rehabilitation brings the advantages reported in this article.

Trends in orbital floor fracture management

2024-11-26T10:32:22+00:00

Objective: To identify the techniques and materials used in the treatment of orbital floor fractures. Methods: This is an integrative review, with articles published between 2012 and 2024, without language restrictions and with full text available. The guiding question based on the PICOS strategy was: what are the advances in access and implants for orbital floor fractures? Data collection concluded in May 2024, whose database was PubMed/MedLine using MeSH descriptors and their synonyms: “Orbital Floor Fractures” and “Therapeutics”, related to orbital floor fractures and their treatments, with the Boolean operator AND. Results: Of the 39 eligible articles, they demonstrated that the transconjunctival access was the most used for reconstruction of fractures and among the materials, autogenous grafts predominated, with emphasis on the iliac crest bone graft. Final considerations: Transconjunctival access and autogenous grafts, mainly from the iliac crest, are the techniques and materials most used in the treatment of orbital floor fractures. Supportive equipment, such as endoscopes and guided navigation, demonstrate increasing potential in the treatment of this type of facial fractures.

Dentist's role in a hospital environment

2024-10-30T23:10:47+00:00

Objective: To report the experience of dentistry students in the public hospital context. Experience Report: This report covers the experiences of sixth-semester students from a Higher Education Institution's Dentistry program, conducted at a public hospital in the municipality of Caxias, Maranhão, during the month of March 2024, in the morning and afternoon periods. All activities were supervised by a faculty member of the hospital team, with training in Hospital Dentistry. The Problematization Methodology through the Maguerez Arch was adopted for the analysis. The experience provided an insight into the limitations faced in the public health context. The scarcity of resources, the lack of adequate surgical instruments, and the poor quality of personal protective equipment (PPE) demonstrated the need for adaptation to ensure the provision of healthcare to patients. During the visit to the ICU, the precarious infrastructure conditions and lack of biosafety highlighted failures in infection control. Furthermore, the use of materials provided by the students themselves underscored the lack of resources to perform simple procedures, such as patients' oral hygiene. Final Considerations: The experience in hospital dentistry allowed for reflection on the challenges and opportunities in the field of public health.

Endoperiodontal lesions: case report

2024-02-23T03:06:05+00:00

Objective: To report the case of a patient with a primarily endodontic endoperiodontal lesion with secondary periodontal involvement in the lower left second premolar, scientifically reviewing the diagnosis and its interrelationships. Case details: Female patient, 42 years, without any systemic changes, reporting pain when chewing in element 35. Clinical examination, probing, pulp sensitivity tests, palpation and percussion tests in the left lower hemi-arch and radiographic examinations were performed. Upon radiographic evaluation, an extensive lesion associated with the periapex of element 35 was noted, extending from the distal cortical bone to the lingual bone. A primarily endodontic endoperiodontal lesion with secondary periodontal involvement was diagnosed. The treatment addressed was endodontic associated with periodontal, carried out simultaneously, evaluated through radiographic examinations over a period of 3 months. Final considerations: Simultaneous endodontic and periodontal treatment in primarily endodontic endo-periodontal lesions with secondary periodontal involvement can optimize treatment success, leading to a better prognosis in a short period of time.

Use of surgical guides in implant odontology

2024-02-21T19:47:40+00:00

Objective: To describe the benefits of surgical guides for three-dimensional positioning of implants in the oral cavity and compare 3D guides with conventional ones. Literature review: In particular, 3D guides are created based on clinical examinations, three-dimensional images and software capable of optimizing treatment with dental implants. Furthermore, conventional guides produced from the diagnostic model are still routinely used by implant dentists, also resulting in adequate rehabilitation. This digital flow provided greater agility and predictability in the work process, also facilitating clear and objective communication between the dental surgeon and the professionals working in the laboratory, enabling the manufacturing of the prosthetic part after careful evaluation by the Dental Surgeon. Carrying out this digital work, however, depends primarily on rigorous clinical examination. Anamnesis carried out effectively is a valuable method for understanding the patient's health status. Final considerations: During this review, it was observed that the use of surgical guides in implant dentistry has become a promising tool during the insertion and angulation of the dental implant.

Non-carious cervical lesions in patients with cleft lip and palate: approach in operative dentistry

2023-05-29T18:15:18+00:00

Objective: Review on the etiology, diagnosis, clinical features, prevention and treatment options, in Operative Dentistry, of non-carious cervical lesions (NCCL), in addition to establishing the possible relationship between the etiological factors and the occurrence of these lesions in patients with cleft lip and palate. Bibliographic review: NCCL are part of post-development dental abnormalities and are characterized by the loss of tooth structure in the cervical region, predisposing the patient to functional and aesthetic problems and symptoms of dentin hypersensitivity. These lesions are classified as erosion, abrasion and abfraction and have been shown to be frequent in patients with clefts, who are more susceptible to oral and dental alterations and malocclusion. Considering that the severity and prevalence of NCCL tend to increase with age, early diagnosis and determination of the etiology are important for prevention and the correct indication of the treatment to be performed. Final considerations: NCCL have a complex and multifactorial diagnosis. The diagnosis, prevention and treatment of these lesions in patients with cleft lip and palate must be carried out in the same way as indicated for patients without cleft lip and palate. A multidisciplinary team may be necessary for the diagnosis and elimination of causal factors, prior to restorative treatment.

The relationship between bisphosphonates and osteonecrosis

2023-04-29T22:59:23+00:00

Objective: To describe the relationship between bisphosphonates and osteonecrosis in Dentistry. Literature review: Osteonecrosis induced by the continuous use of bisphosphonates is a pathological disease whose main characteristic is the appearance of an area with exposed bone in the oral cavity. American Association of Oral and Maxillofacial Surgeons advises health professionals involved in the treatment of mandibular osteonecrosis in the initial stages (I) that the therapy should consist of the use of antiseptic mouthwashes and antibiotics to control the infection. In advanced stages (II and III) more invasive treatment is recommended. Early-stage diagnosis of mandibular osteonecrosis with an appropriate treatment plan for the case in question may be more beneficial for the patient compared to a diagnosis of the disease in advanced stages. However, each circumstance needs to be treated individually. Final considerations: Early diagnosis of osteonecrosis along with an appropriate treatment plan will be beneficial to the patient, as treatment persists more conservatively.

Manifestations of leukemia in pediatric dentistry patients

2023-01-30T18:31:27+00:00

Objective: To study and review the preventive/therapeutic management of children undergoing leukemia treatment to obtain a better quality of life and a positive result to eliminate the disease. Literature review: Leukemias are characterized as a malignant disease, and their first manifestations occur in the oral cavity and are divided into acute and chronic, which ramify into lymphoid or myeloid. Its treatment is performed through surgery, chemotherapy and/or radiotherapy. The most common oral alterations caused by the treatment are: mucositis, xerostomia, candidiasis and aphthous lesions. Final considerations: The performance of the dentist in partnership with the oncology team is very important for the outcome of the treatment and a better quality of life for the patient. For the dental professional, it is essential to know how to analyze the exams, both blood and imaging exams, in addition to intra and extra oral exams, for a precise positioning in the face of disease.

Endodontic and periodontal applications of ozone therapy

2023-01-30T19:15:59+00:00

Objective: To carry out a narrative review of the literature on the applications of ozone in Dentistry, emphasizing its uses in Endodontics and Periodontics. Bibliographic review: Ozone is a gas that has anti-inflammatory and antimicrobial activity. Ozone is available for application as ozonated water, ozonated oil, or the gas itself. In endodontics, ozone performs disinfection of the root canal system and dentinal tubules, promoting higher success rates of endodontic treatment. In the periodontium, ozone promotes antimicrobial, disinfectant, curative action, and modulation of the inflammatory process, allowing better tissue repair. Final considerations: Ozone therapy is an effective complementary therapy in Dentistry, promoting good success rates in endodontic and periodontal treatments, with greater effectiveness of dental treatment and subsequent promotion of quality of life.

Keywords: Ozone, Complementary Therapies, Root Canal Treatment; Periodontal Pocket.

Accidents and complications in minor oral surgery

2023-01-27T10:14:46+00:00

Objective: Expand knowledge about anatomy in dentistry, focusing on accidents and complications present in minor oral surgery. Bibliographic review: The dental surgeon must have a broad knowledge of the entire facial anatomy, as this area presents many minutiae, therefore continuing education in all areas of health and constant training is necessary so that accidents and complications can be avoided. In minor oral surgery. The literature presents the maxillary sinus, greater palatine artery, nasopalatine artery, inferior alveolar nerve, buccal nerve and mental nerve as the main structures affected. Final considerations: As prevention, correct planning stands out as an excellent weapon for such accidents and complications, in addition to adequate knowledge of all anatomical structures, imaging tests such as panoramic radiographs and computed tomography, when requested correctly, are indispensable in planning surgical.

Post-bleaching dentin sensitivity

2022-12-02T02:59:27+00:00

Objective: To describe and analyze the factors that generate post-treatment sensitivity in tooth whitening, also contextualizing alternatives to reduce and control this post-treatment whitening effect. Bibliographic review: This is a relevant and current subject, of interest and applicability in the care routine of oral health services; contributing to the training of dentists and the complementary training of dental students, offering solid and current technical knowledge. The research is presented in the form of a narrative literature review, built by digital access to scientific databases. During the research, it was observed that the bleaching treatment can be performed at home, under professional guidance, or as an assistance technique performed in a dental office, and both modalities are effective; however, this treatment can bring adverse effects, the most prevalent being sensitivity. To prevent this effect, there are techniques to be used. Final considerations: It is undeniable that there is a great demand for bleaching procedures that meet the current aesthetic standard. It is noteworthy that interventions that are based on a correct anamnesis, clinical examination and diagnosis, prior to the beginning of the procedure, are safer, more effective and potentially minimize tooth sensitivity as an unwanted effect of the tooth whitening procedure.

The importance of food for oral health in children from zero to twelve years

2022-12-02T03:02:44+00:00

Objective: To verify the impact of the dietary pattern on the incidence of dental caries in children. Bibliographic review: Breastfeeding is an important behavior for children's health that prevents chronic diseases and future childhood diseases, among them, dental caries, which is a chronic, multifactorial disease, common in childhood, with high incidence worldwide. and the socioeconomic level greatly interferes in the incidence of this disease. Once caries is established, it causes pain and anguish, affecting the quality of life of affected individuals. Final considerations: Due to this, it is necessary to relate breastfeeding and its consequences for the oral health of the lactated, discuss the cariogenicity of breast milk, present the main eating disorders and their relationship with children's oral health and recognize eating disorders and their consequences for children's oral health. The study examines the effect of breastfeeding and dietary patterns on the incidence of tooth decay in infants and children.

Use and efficacy of botulinum toxin in the treatment of bruxism

2022-11-02T11:53:58+00:00

Objective: To carry out an analysis and review of the main articles available on the use of Botulinum Toxin in the treatment of Bruxism, discussing its main characteristics, its confrontation and highlighting the role of dentistry in the application of said toxin. Bibliographic review: Bruxism is a parafunctional habit, where the clenching, friction or friction of the teeth occurs due to the occurrence of occlusal contact in a static or dynamic way, associated with moments not related to chewing or swallowing. It has a multifactorial etiology, requiring early diagnosis, minimizing deleterious clinical actions and associated symptoms. The confrontation takes place in a multidisciplinary way, highlighting the role of dentistry, which has made available the application of Botulinum Toxin formed from spores of the microorganism called Clostridium Botulinum, with therapeutic use studied since the 70's. Final considerations: Although the effectiveness of the toxin is still controversial, there has been an improvement in the condition of patients treated with Botulinum Toxin. It is observed that protocols must always be followed for therapeutic indication, evaluating the risk and benefit of its application.

Interincisive diastema closure: comparison between restorative treatment and orthodontic

2022-09-23T14:25:25+00:00

Objective: To compare the two main forms of treatment of anterior diastema: orthodontic and restorative. Methods: This is an integrative literature review based on SciELO, PubMed and Lilacs databases, with the following inclusion criteria: articles published in full in Portuguese, English and Spanish between 2010 and 2022. Results: Based on the articles found, the discussed forms of treatment are effective, but it is necessary to obtain a correct diagnosis so that the best option is instituted for each patient, always aiming at adequate functionality and pleasant aesthetics. Final considerations: Diastemas can cause aesthetic damage to the patient, so it is up to the dentist to correctly diagnose the etiology and identify the best course of action to be followed in the clinical case, taking into account the patient's expectations and their financial condition. In some cases, treatment can be multidisciplinary, combining orthodontics and restorative dentistry.

Sealing of cervical root drilling without endodontic retreatment

2022-07-06T15:01:54+00:00

Objective: Expose the concept, diagnosis and treatment of root perforations. Bibliographic review: Perforations are endo-periodontal communications caused by pathological processes or through iatrogenic events during dental procedures. Generally, root perforations are associated with inflammatory processes in the surrounding periodontal tissues, which implies the need for a periodontal evaluation, as the tissue health conditions will define the best treatment alternative, which can be surgical or not, or even the combination of both. With the aid of complementary tests to determine its location and size, which will establish precise treatment directions, as well as the time between the accident and its repair, they will favor the diagnosis and treatment success. Final considerations: This review aimed to establish and discuss contemporary therapeutic directions for the treatment of root canal communications. Thus, the essential aspects of repairing these injuries include their diagnosis, prognosis, and a discussion of suggested materials for sealing a root canal perforation.

Treatment of endodontic failure with instrument and sealing material in the apical tissues

2022-07-06T14:58:01+00:00

Objective: Review the literature on the endodontic failure with postoperative apical disease and the presence of fractured instrument and filling material in contact with the apical region, which respond positively to root canal retreatment, without the need for surgical intervention. Bibliographic review: The reviewed literature demonstrated that endodontic failure is observed when there is development, persistence or worsening of signs and/or symptoms of endodontic infection after initial root canal treatment. The treatment modalities for postoperative periapical pathologies are based on orthograde retreatment and periradicular surgery. The presence of a fractured instrument in contact with the periradicular tissues, as well as the extravasation of the filling material, are operative accidents that can happen during the instrumentation and filling of root canals, respectively, which compromise the success when associated with an infection. Final considerations: Thus, when detected in the diagnosis of postoperative disease, they are usually treated surgically, aiming at removing the material present in the apical area.

Differencial diagnosis and treatment of endo-periodontal lesion

2022-07-06T14:56:53+00:00

Objective: review and discuss the differential diagnosis and treatment of endo-periodontal lesions. Bibliographic review: Endodontic-periodontal lesions affect both the pulp and the periodontium at the same time. As they show similar embryological, anatomical and microbiota similarities, their diagnosis ends up becoming an inspiration for dental surgeons. The dental pulp and periodontal ligament are closely related, having embryonic, anatomical and functional interrelationships. There is greater communication between these two tissues, thus, the occurrence of disease in one of the tissues can be spread to the other, as these connections serve as a way for microorganisms and their by-products to move between the pulp and the periodontium. The endoperio lesion is a condition characterized by the association of periodontal and pulp disease in the same dental element. For the evaluation of the lesion and correct diagnosis and establishment of the best treatment plan, it is necessary to know the methods of classification of endo-perio lesions aiming at a better prognosis. Final considerations: Through this knowledge, the dental surgeon will arrive at the correct diagnosis and treatment, resulting in possible chances of success in the treatment of endodontic-periodontal lesions. Pertaining to the multiplicity of these infections, an interdisciplinary approach between endodontists, periodontists and microbiologists is recommended.

Acervo Odontológico: Ciência para todos

2023-01-02T11:35:59+00:00

As Revistas da Acervo+ vem publicando uma série de editoriais com o intuito de estimular a leitura científica e propiciar o acesso ao conhecimento. Nesse sentido, apresentamos um índice de artigos categorizados por área do conhecimento que foram publicados nas revistas que integram a Acervo+ Index base.

Tenham todos uma boa leitura!

Acervo+, inovando na disseminação da ciência.

Eixo Odontologia

de AQUINO TS, et al. Laserterapia de baixa potência no tratamento de parestesia oral–uma revisão sistematizada. Revista Eletrônica Acervo Odontológico, 2020; 1: e3753-e3753. [Acessar]
de SÁ OLIVEIRA G, et al. Associação entre a odontologia estética e autoestima. Revista Eletrônica Acervo Odontológico, 2020; 1: e3892. [Acessar]
de OLIVEIRA ROCHA A, et al. A utilização da laserterapia para o controle da hipersensibilidade dentinária: uma revisão sistematizada da literatura. Revista Eletrônica Acervo Odontológico, 2020; 2: e3907. [Acessar]
CANALI LGM, et al. Comprometimento de papila parotídea em lesão de hiperplasia fibrosa inflamatória: relato de caso. Revista Eletrônica Acervo Odontológico, 2020; 1: e4179. [Acessar]
OLIVEIRA MMS, et al. Aspectos psicossociais relacionados ao paciente desdentado: Uma revisão da literatura. Revista Eletrônica Acervo Odontológico, 2020; 1: e2477. [Acessar]
da CONCEIÇÃO MONTEIRO R, CASTRO ALS. Educação continuada em saúde bucal para professores da educação infantil: contexto atual e importância para a odontologia preventiva. Revista Eletrônica Acervo Odontológico, 2021; 3: e6082. [Acessar]
TRINDADE GD, et al. Efeitos de extrato em gel de chenopodium ambrosioides l.(mastruz) no tratamento de lesões ósseas de ratas osteoporóticas. Revista Eletrônica Acervo Odontológico, 2021; 3: e6260. [Acessar]
MONTEIRO GG, et al. Resinas bulkfill: propriedades e aplicabilidades. Revista Eletrônica Acervo Odontológico, 2021; 3: e6128. [Acessar]
da SILVA LIMA A, et al. O papel do 10-MDP no processo da adesão. Revista Eletrônica Acervo Odontológico, 2021; 3: e5759. [Acessar]
de SOUZA CM, et al. Manifestações clínicas bucais da paracoccidioidomicose: um relato de caso. Revista Eletrônica Acervo Odontológico, 2021; 3: e5893. [Acessar]
CARVALHO TA, et al. Manchas extrínsecas negras em dentes decíduos e permanentes: revisão da literatura. Revista Eletrônica Acervo Odontológico, 2020; 2: e5915. [Acessar]
BATISTA SG, et al. Levantamento de seio maxilar bilateral por duas técnicas diferentes com concomitante instalação de implantes: relato de caso. Revista Eletrônica Acervo Odontológico, 2020; 2: e5878. [Acessar]
da SILVA SOUSA Z, et al. Selamento de dentina cariada: uma alternativa minimamente invasiva. Revista Eletrônica Acervo Odontológico, 2020; 2: e5743. [Acessar]
PEREIRA RL, et al. Remoção de retentor intrarradicular com auxílio de microscopia: relato de caso. Revista Eletrônica Acervo Odontológico, 2020; 2: e5170. [Acessar]
SARMENTO MGS, et al. Desafios da educação em saúde bucal na adolescência. Revista Eletrônica Acervo Odontológico, 2020; 2: e4249. [Acessar]
de MELO TRNB, SOUZA GR. Avaliação da distância intercaninos e sua correlação com as más oclusões. Revista Eletrônica Acervo Odontológico, 2020; 1: e3937. [Acessar]
de ANDRADE BATISTA LCS, et al. A sífilis e suas manifestações bucais: relato de caso clínico. Revista Eletrônica Acervo Odontológico, 2020; 1: e3446. [Acessar]
FONSECA RCA, da SILVA FB. Vedamento de comunicação buco-sinusal com prótese obturadora palatina: relato de caso. Revista Eletrônica Acervo Odontológico, 2020; 1: e3117. [Acessar]
de MELO TRNB, et al. Tração reversa da maxila: relato de caso clínico. Revista Eletrônica Acervo Odontológico, 2020; 1: e3252. [Acessar]

Continued education on oral health for early childhood education teachers: current context and importance of preventive odontology

2022-07-06T14:55:56+00:00

This article discuss the importance of continuing education in oral health for teachers of Early Childhood Education through an integrative literature review, carried out by searching for articles in the bibliographic databases BIREME, PubMed and SciELO, using the descriptors “Continuing education in oral health”; “Oral health education in childhood” and “Oral health education for teachers”, published in the last ten years, in Portuguese, Spanish or English. The revised literature demonstrated that teachers, if trained, can become multiplying agents in the promotion of oral health. However, there is a predominance of educators who do not recognize the relevance of their participation in this area due to: absence of the theme during graduation; lack of training and support materials; scarcity of educational programs focused on oral health in schools. Therefore, it is necessary to unite dentistry and education in the school environment to improve children's oral health.

Effects of chenopodium ambrosioides l. (mastruz) gel extract in the treatment of bone lesions in osteoporotic rats

2022-07-06T14:54:55+00:00

The objective was to produce Chenopodium ambrosioides gel extract and analyze the effects of topical use on bone repair in osteoporotic rats, performing phytochemical screening to identify tannins and saponins, microscopically verifying the inflammatory process during bone repair and post-injury neoformation. Fresh leaves were used to produce the mastruz extract. After crushing, the liquid was incorporated into the carbopol to obtain gelatiniform consistency. To analyze the effects of the gel extract, 12 Wistar rats with induced osteoporosis were used, divided into two groups. In group 1, the bone defect was filled by a blood clot; and in group 2, with gel of the mast extract. By phytochemical screening, tannins and saponins were identified in the gel extract of the mast. At 30 days, in group 1, there was a mild inflammatory infiltrate filled with thin and intercommunicating bone spicules formed by primary bone tissue. In group 2, the formation of thick bony trabecular tissue was identified, consisting of primary and secondary bone tissue, with bone defect covered by periosteum and absence of inflammatory signs. A gelatinous mast gel extract was produced with the presence of tannins and saponins, identified by phytochemical screening, showing a favorable bone repair in surgical defects performed on the tibias of osteoporotic rats.

Bulkfill resins: properties and applicability

2022-07-06T14:51:27+00:00

Composite resins (RCs) are materials widely used in dentistry as a restorative method. Despite this, its thickness capacity has limiting factors that interfere in an improvement in results. Thus, bulkfill RCs (RCB) arise with the possibility of unique increments in restorative processes. The objective of this work is to review the literature about what is known up to the current context about this restorative material, showing the clinical applicability of RCB, in addition to its properties as an effective implement in restorative dentistry. The following health descriptors were used: composite resins, polymerization, operative dentistry, clinical evaluation and chemistry applied in the PubMed and Science Direct databases, in English and interconnected by the Boolean operator “AND”. Of the 143 studies found, 133 were excluded for presenting one or more exclusion criteria, and 10 studies were included in this review. The RCBs through their chemical properties allow greater speed in clinical treatments, reducing technical complexities in professionais procedures, in addition to the ability to increase more advantageous than conventional RCs. However, further studies with longer evaluation periods are needed before a definitive recommendation for changes to clinical protocols.

The role of 10-MDP in the adhesion process

2022-07-06T14:33:33+00:00

This article aims to analyze the role of functional monomers in the adhesion process. The introduction of these in the adhesive systems allowed to intensify the adhesive forces through chemical bonds and, thus, increase the quality of restorative dentistry. 10-Methacryloyloxydecyl dihydrogen phosphate (10-MDP) is a monomer that has the ability to promote better adhesion when compared to other functional monomers. Thus, the objective of this article is to present, through a literature review, the role of monomer 10-MDP in the adhesion process in dental restorations. A bibliographic survey was carried out in the Medline, BVS and Lilacs databases using the following search terms: Dental Restoration Failure; Dental Cements; Dentistry; Stickers. The literature emphasizes that 10-MDP is a monomer that stands out for having a bond both with hydroxyapatite in dental tissues and with resin composites and cements, thus promoting a stable and lasting bond strength. In addition, it also acts as a bonding agent between resin composites and metal oxides, improving the bond strength to zirconia, for example, through a chemical interaction between its surface and the applied resin cement. Thus, 10-MDP is considered the gold standard for dentin adhesion.

Oral clinical manifestations of paracoccidioidomycosis: a case report

2022-07-06T14:31:29+00:00

Paracoccidioidomycosis is a fungal disease resulting from the dimorphic fungus Paracoccidioides brasiliensis that has a predilection for hot and humid places, which is why there is a high incidence of the disease in Brazil. The primary site of the disease involves the pulmonary region, but with the advance of research and studies focused on the disease, the region of the oral mucosa has been greatly affected by the fungus. The article aims to demonstrate the oral clinical manifestations of paracoccidioidomycosis in a female patient who was diagnosed at 79 years old, treated with oral antifungal by the dental team and referred to a medical clinic for treatment of the disease. The patient had an ulcerated lesion with a moriform background with hemorrhagic stitches on the right alveolar ridge. The incisional biopsy was performed and the microscopic result revealed birefringent structures suggestive of Paracoccidioidomycosis. The patient was treated by the dental team at the Unifenas-Alfenas dental clinic and subsequently referred to the Infectious Diseases Department at Hospital Alzira Vellano, in Alfenas-MG, for the evaluation and treatment of systemic symptoms. Based on the results of the physical, clinical and histological exams and on the characteristics that predispose to susceptibility to the disease, such as being a smoker for more than 30 years, hypertensive and working in the countryside, led to the final diagnosis of the injury.

Black extrinsic spots on decided and permanent teeth: literature review

2021-01-04T14:38:51+00:00

Extrinsic black pigmented spots (EBPS) are characterized as pigmented spots, black in color, that occur in different locations of the arch, compromising the patient's dental aesthetics. In this article, the causes, diagnosis and treatment of EBPS were investigated, aiming to contribute to a greater understanding of the subject. Currently, with the evolution of dental aesthetics, demand has increased and improved access to the dental surgeon to treat situations such as EBPS. The occurrence of EBPS is related in the literature to the presence of some microorganisms, such as Actinomyces sp. and Prevotella Melaninogenicas, in the composition of oral biofilm, as well as diets rich in substances used by these microorganisms for the production of pigment, such as Calcium and Iron, mainly. The diagnosis of EBPS is performed clinically, with the laboratory diagnosis being considered the gold standard for microbial culture, enabling identification and sensitivity testing. Associated with the occurrence of spots is a protective factor against cavities promoted by this specific biofilm. Among the treatments available, abrasive techniques are the most used, but they do not solve the recurrence problems, common to the affected patients, being the current challenge to be overcome by new methodologies that may be developed.

Bilateral maxillary sinus lift by two different techniques with concomitant installation the implants: case report

2022-07-06T14:28:10+00:00

This article aims to demonstrate, through a clinical case report, the bilateral maxillary sinus lifting approach by two different techniques, a traumatic one through the side window and an atraumatic one through the bone crest, associated with the installation of osseointegrated implants. A 75-year-old female patient sought care at the clinic of the Extension Course in Implantology at an university of Rio de Janeiro with pain in upper molars. After anamnesis, clinical examination and analysis of computed tomography, extensive furcation lesion was observed in elements 16 and 26, with extraction and rehabilitation with oseeointegrated implants being indicated. Also, due to the low subantral bone height, the lifting of the bilateral maxillary sinus was included in the treatment plan. On the right side, the Summers technique was performed and on the left side the side window technique associated with the use of particulate synthetic biomaterial and resorbable collagen membrane. The panoramic radiograph of post-surgical control demonstrated the success of both techniques with an adequate anatomical relationship of the graft and both implants to the recipient bed. Thus, maxillary sinus elevation surgery with the concomitant installation of implants proved to be a safe procedure of good predictability and low rate of complications.

Cariated dentine sealing: a minimally invasive alternative

2022-07-06T14:27:16+00:00

This study aimed to conduct a literature review about the use of dental caries sealing as a minimally invasive alternative. For this purpose, a bibliographic search was performed in the PubMed and Science Direct databases, using the descriptors "Fissure Sealants" and "Dental caries" combined by the Boolean operator AND. A total of 214 articles were found, which after a critical reading of titles and abstracts, 12 of these were selected, all in English and published in the last 10 years. The results obtained through the literature showed the efficacy of the sealing materials in superficial lesions of caries in dentin, taking into account factors such as the location of the lesion with a maximum opening of 3 mm and with a medium depth cavity. The application of this technique has been effective, however, it is necessary to carry out further studies in order to better elucidate its practice and clinical activity.

ANAIS DA 1ª JORNADA ACADÊMICA DA REABILIGA

2020-12-21T16:21:40+00:00

DOI: https://doi.org/10.25248/anais.e6009.2020

Indexação Crossref: clique aqui

Os resumos apresentados na 1ª Jornada Acadêmica da Reabiliga abrangeram todas as especialidades da odontologia, de forma que uniu acadêmicos de várias instituições e interesses diferentes. O objetivo do evento é fortalecer o desenvolvimento científico e acadêmico de alunos de instituições de ensino em odontologia da região Norte, através do incentivo na publicação de casos registrados nas atividades de disciplinas de clínica, ou, oriundos de trabalhos de conclusão de curso. Foram submetidos 29 resumos simples, como critérios de avaliação foram preconizados: o escopo da publicação, a relevância do tema, o conteúdo abordado, a clareza e coerência na escrita, além de aspectos técnicos de formatação aos padrões da revista. A rotina de trabalho se deu nas seguintes etapas: submissão, avaliação da comissão científica da Reabiliga, avaliação da Revista, checagem de documentos pela Revista, etapa de correções dos autores e publicação. Nenhum trabalho precisou da aprovação do CEP por se tratar de resumos de estudos de caso com um paciente e revisão bibliográfica.

Organizadores do Evento

Presidência/Diretoria
- Prof/Ms. Daniel da Silva Lima
- Prof/Dr. Franklin Barbosa da Silva

Comissão Científica
• Coordenador científico:
Prof/Dr. Franklin Barbosa da Silva

• Integrantes da comissão científica:
Arlen Antônio da Silva Lima
Diana Costa Vidal
Maria Eduarda Leite
Maria Vitória Gouvêa José Braga
Yano Victor Mendes Freire de Souza

• Integrantes da banca avaliadora:
Prof/Ms. Daniel da Silva Lima
Prof/Dr. Franklin Barbosa da Silva
Prof. Nara Deise de Souza Melo

Removal of intrarradicular pin with microscopy assistance: case report

2022-07-06T14:25:43+00:00

The objective of this study is to report a clinical case of removal of a prefabricated metallic threadable pin with the aid of magnification by microscope and use of ultrasound. A 47-year-old female patient came to the dental clinic complaining of dissatisfaction with her smile. During the anamnesis, it was observed that the restorations on teeth 44, 45, 46 and 47 were unsatisfactory. In the radiographic exams, it was possible to observe periapical lesion in teeth 44 and 47, the presence of unsatisfactory endodontic treatments in 44, 45, 46 and 47, and the presence of metallic intraradicular retainers in all the mentioned teeth. From the exams, it was planned to remove the prefabricated pin from tooth 45. The removal process started with absolute isolation and removal of the restorative material, then, with the aid of an optical microscope for field magnification, the technique of an integrated and simultaneous ultrasound system was performed, using two ultrasound tips in opposite vibrations on the retainer. After sequences of application of the technique, the cement film fractured and the pin was removed. Thus, the association of the magnification provided by the microscope and the vibration of the ultrasound were effective, as they offered better visual acuity and safety in the procedure.

Defiances of oral health education in adolescence

2022-07-06T14:20:54+00:00

To describe the challenges of oral health education in adolescence. The adolescence phase is considered to be very critical for oral health, as it is marked by conflicts, behaviors and changes resulting from the transition period from childhood to adulthood. A bibliographic survey was carried out, selecting indexed journals available in the online databases LILACS and SCIELO using the descriptors "Dentistry"; “Adolescent”, “Education”, “Oral Health”, which comprised the period from 2015 to 2020. Of the 17 articles, there was a lack of care directed at adolescents, despite the various advances already achieved, and the need for more efficient actions that improve access to knowledge and reinforce the adolescent's self-esteem, indicating the importance that the Dental Surgeon has to provide comprehensive care at this stage. The Dental Surgeon must be aware of the hormonal changes that this phase requires, be sensitive to the socioeconomic factors involved that affect the oral health of the individual, promoting effective care.

The use of laserterapy for the control of dental hypersensitivity: a systematic literature review

2022-07-06T14:19:01+00:00

One of the main complications associated with the clinical presence of pathological dental wear is dentin hypersensitivity (HD), which requires a correct diagnosis to perform the appropriate treatment. The present study, through a systematic review of the literature, aimed to evaluate the current scientific data in relation to the effectiveness of laser therapy as an alternative method for controlling HD. A complete search was carried out for studies dating from the last five years in the PubMed, Scielo and Lilacs databases, using the descriptors dentin, sensitivity and laser, inserted in the platform in a cross way adopting the Boolean expression and. Of the 470 articles identified and selected for analysis, 464 were excluded for presenting one or more exclusion criteria. Therefore, six articles were qualified for inclusion in this review. The results found in the selected articles suggest a positive effect of low (700nm, 3 J / cm2) and high power (800nm, 8 J / cm2) lasers in reducing pain and controlling HD. However, more randomized and controlled clinical studies are needed to standardize protocols for their correct clinical indication.

Association between aesthetic dentistry and self-esteem

2022-07-06T14:17:32+00:00

This article aimed to analyze the association between the work of cosmetic dentistry and patients' self-esteem. For this, a bibliometric study of scientific publications on the subject was carried out. The initial search for bibliographic references was carried out in the Virtual Health Library (BVS), in an integrated manner, from May to August 2019. The study included the final selection of 20 references from 212 published from the year 2007. Of these 212 references, 192 were excluded because they did not meet the inclusion criteria proposed in the research protocol. According to the references, the factors found that directly impact individuals self-esteem were edentulism, imperfect amelogenesis, fluorosis, fractured anterior teeth, diastema, gengival smile and inadequate jaw position. Dentofacial deformity influences not only self-confidence, but also relation ships and quality of life, resulting in psychosocial impacts. All the references used in this study corroborate that aesthetic dentistry, in addition to impacting the reestablishment of aesthetics and function, acts in the recovery of self-esteem. Thus, it is of utmost importance to prepare the professional so that he is able to meet this need.

Low power laserterapy in the treatment of oral paresthesia - a systematic review

2022-07-06T14:16:30+00:00

Third molar extraction is one of the most common procedures in the practice of oral surgery. Among the accidents and complications that may occur during the trans and postoperative period, nerve injuries that result in paresthesia stand out. The present study aimed to evaluate the current scientific data regarding the effectiveness of low-level laser therapy as an alternative method for oral paresthesia control through a systematic review. A complete literature search was performed over the last 5 years using Boolean operators and MeSH terms. Seven articles were identified and selected for analysis, but 5 were excluded because they had one or more exclusion criteria. Therefore, 2 articles were eligible for inclusion in this systematic review. The results found in the articles were positive for paresthesia control using the low power laser, with an average wavelength between 360 and 1060 nm and the dose between 4 and 140 J/cm². According to the findings, studies indicate a positive effect of low-level laser therapy in reducing postoperative pain and regenerating affected nerve tissues during oral surgery. In addition, further randomized controlled trials are needed to standardize protocols for their correct clinical indication.

Commitment of parotid paper in lesion of inflammatory fibrous hyperplasia: case report

2022-07-06T14:15:02+00:00

This article seeks to relate the removal of an inflammatory fibrous hyperplasia (HFI) lesion located in the jugal mucosa, over the parotid papilla region. For this, the individual C.A.C.C., male, 56 years old, sought care at the Stomatology Clinic of the Dentistry Course of the University of Marília - UNIMAR, having as main task the presence of a slight discomfort when performing speech and chewing movements. Then, continue the service with the clinical examination of the same and, later, the surgical procedure of excisional biopsy of the hyperplastic mass. Then, a lesion was submitted to anatomopathological examination, with permission to confirm the initial diagnosis. In conclusion, then, it is extremely important to promote appropriate therapy for the patient in face of their needs, since there is use of quality of life, in addition to discarding the presence of malignant lesions that can affect more severely or individually.

Evaluation of intercanin distance and its correlation with maloclusions

2022-07-06T14:07:54+00:00

The objective of this work is to evaluate a correlation between channels at a distance and as more occlusions. It treated an observational and prospective study, data that were collected from 110 orthodontic documents and study models, from patients between 12 and 35 years old. The variables studied were: age, sex, racial pattern, molar angle ratio, plus occlusions and intercanine distances. The data were recorded in specific forms and distributed in tables, where analytical statistics were applied through Student and ANOVA tests (p <0.05). The results were as follows: the average age was 17.7 years; a majority of the sample was female (58.7%) and feoderms (43.6%). The Class I relationship is more frequent (46.4% on the right; 49.1% on the left) and a more prevalent occlusion was tooth crowding (67.7%). The distance media were: 33.98 mm, for an upper arch and 26.11 mm for an interior. The intercanine distance in the upper arch of men was statistically greater than in women; as well as children under 12 to 20 years old, those over 21 to 35 years old. It was concluded that there was no significant correlation between intercanine distances and as more occlusions.

Syphilis and its oral manifestations: clinical case report

2022-07-06T14:05:40+00:00

This article sought to present the case of a 26-year-old male patient who came to the stomatology clinic for presenting multiple, painless, irregular, whitish lesions located in the oral cavity. He also had a visually enlarged and palpable lymph node in the submental region. With a clinical hypothesis of sexually trasmitted infection, complementary diagnostic tests were requested. The patient was positive for the screening test for Syphilis and the Mantoux test and was referred to the medical service for diagnostic confirmation and treatment. Subsequently, he underwent specific serological test that confirmed the diagnosis of Syphilis and ruled out other infections. The patient was treated with Penicillin G Benzatin and immediately after the first dose of the medication, he presented total regression of the lesions located in the mouth. Syphilis, even today, is a public health problem and a major challenge lies in the recognition of manifestations located in extragenital sites. Although the oral cavity is not the preferred site of involvement, it is a region of frequent involvement. Therefore, the detailed clinical examination associated with the request for serological tests cannot be neglected and the dentist must be able to recognize the suspected lesions of this infection.

Buco-sinusal communication fence with palatine shutter prosthesis: case report

2022-07-06T13:54:18+00:00

The objective of this study is to report a case of rehabilitation with the manufacture of a palatal obturator prosthesis, made after surgical removal of mucoepidermoid carcinoma located in the region of the palate that caused a bucco-sinusal communication. A 52-year-old male patient came at the prosthesis clinic of Nilton Lins University, reporting having undergone surgery to remove mucoepidermoid carcinoma, and who had difficulties in phonation, swallowing and chewing after the procedure. To solve the case, it was decided to make a palatal obturator prosthesis. It started by study molding with alginate, then the resulting model was taken to the paralelometer for planning the metal structure of the obturator. A cast partial denture with double bar connector, four twinned clasps for retention and an acrylic obturator portion on a posterior saddle was planned. After that, the niches were made followed by work molding. The model was sent to the laboratory and at the next consultation the prosthesis was successfully adapted in the mouth. With the installation, an improvement in the patient's oral functions was observed, reducing the consequences of the surgical sequel.

Reverse Maxillary Traction: case report

2022-07-06T13:50:33+00:00

The objective of this study was to evaluate the bone and dental effects of reverse maxillary traction, using Petit's face mask, associated with traditional orthodontic mechanics. Patient K.P.R, female, 12 years old, feoderma, sought orthodontic care, reporting as the main complaint “absence of lower teeth and very large chin”. After the clinical examination and the evaluation of the orthodontic documentation (extra and intraoral photographs; panoramic of the jaws; lateral teleradiography and cephalometric tracing), a case of skeletal Class III was diagnosed, with mandibular prognathism, whose hereditary history demonstrated the occurrence of other family members with the same change. In view of the above, orthopedic intervention was chosen, through the association of the Hyrax expander and Petit's face mask, and subsequently, the bonding of a fixed orthodontic appliance was continued, applying the Class III correction mechanics, through intermaxillary elastics. The treatment was completed after 20 months. The association between orthopedics and orthodontics, performed through reverse maxillary traction and fixed apparatus, resulted in benefits for the correction of Class III malocclusion, minimizing the bone and dental effects of this malocclusion, as well as promoting a considerable improvement in facial aesthetics of the patient.

Psychosocial aspects related to the deentified patient: A literature review

2022-07-06T12:59:23+00:00

Abstract: This article aimed to carry out an analysis of the possible psychological and social consequences caused by the loss of dental elements. For this, an electronic search for articles dated between 2009 and 2019 was carried out in the databases: PUBMED, Scielo and Google scholar. Among them, 15 articles were included for quantitative and qualitative analysis, according to the inclusion criteria adopted. The loss of teeth caused by oral diseases, lack of access to health care, lack of information, socioeconomic status, cultural factors, as well as the predominantly mutilating model, influence on psychosocial aspects that can, consequently, impact the quality of life of individuals, as these conditions interfere with the patient's diet, phonation and aesthetics causing him pain and psychological discomfort, and compromising his interaction in the social environment. In addition, edentulism interferes with self-image and interpersonal relationships, as well as the individual's psychological, causing feelings of social embarrassment, decreased self-confidence, sadness and low self-esteem.