Effectiveness and satisfaction evaluation of patients submitted to TMJ arthrocenthesis: a case series

The aim of this study was to evaluate the effectiveness and level of satisfaction of patients who underwent TMJ arthrocentesis under local anesthesia by considering the following parameters: joint pain, mouth opening, mastication, and satisfaction. Fourteen patients (13 women and one man; mean age, 37.6 years with TMJ arthralgia were selected. The patients underwent arthrocentesis under local anesthesia, and pain intensity was measured before, during, and 1 year after treatment using a visual analog pain scale (VAS 0–100 mm). A Likert scale was used to assess patients’ opinion regarding the improvement of mouth opening and mastication. After treatment, patients were questioned on levels of satisfaction provided by arthrocentesis in regard to their quality of life. At the end of 1 year, patients showed a marked improvement in their pain clinical picture (p < 0.0001). Mouth opening and mastication, evaluated separately and then correlated (R2 = 0.925, p < 0.0001), also showed a marked improvement. When questioned, all patients reported being satisfied with the treatment outcome.

Tumor odontogênico adenomatoide: relato de caso / Adenomatoide Odontogenic Tumor: Case Report

O Tumor Odontogênico Adenomatoide (TOA) é uma rara lesão benigna, que acomete, mais comumente, pacientes do sexo feminino (2:1) e jovens. A maxila é o local de maior ocorrência, com predileção pela região anterior com envolvimento do canino permanente. Clinicamente apresenta-se com um crescimento lento, progressivo e indolor, de consistência firme, que geralmente não atinge grandes proporções. Essa lesão é comumente descoberta em exames radiográficos de rotina. O TOA apresenta três variantes clínicopatológicas: folicular, extrafolicular e a forma periférica. As características radiográficas do TOA podem variar de acordo com o tipo da lesão. O presente artigo objetiva fazer o relato de um tumor odontogênico adenomatoide, presente na região anterior da maxila de uma paciente, apresentando suas características clínicas, radiográficas e histopatológicas assim como a terapêutica empregada... (AU)

The Adenomatoid Odontogenic Tumor (AOT) is a rare benign lesion, that is common in young females patients (2:1). This injury is more frequent in anterior jaw, generally involves the permanent canine. Clinically, this tumor presents slow, painless and progressive growth, firm consistency, that in general doesn't grows to large proportions. This lesion is detected in routine radiographic exams. AOT presents three clinic-pathologic nuances: follicular, extra follicular and peripheral. This paper presents an adenomatoid odontogenic tumor of a female patient aged 30 years old in the region of the right maxilla presenting their clinical, radiographic, histopathologic and therapy used. This article aims to report an adenomatoid odontogenic tumor present in the anterior maxilla of a female patient, presenting their clinical, radiological and histopathological features as well as the therapy employed... (AU)

Verificação do conhecimento da população Pernambucana acerca do câncer de boca e dos fatores de risco - Brasil / Knowledge of the population of the state of Pernambuco - Brazil about oral cancer and risk factors

Objetivo: Verificar o conhecimento da população pernambucana acerca do câncer de boca bem como identificar indivíduos expostos aos fatores de risco já comprovados na literatura. Metodologia: Estudo de corte transversal realizado com população de 54 municípios pernambucanos, no período de janeiro de 2005 a dezembro de 2009. A população foi visitada em suas casas, escolas, associações, conselhos, empresas públicas e privadas, ambulatórios, e, após concordar em participar deste estudo, mediante assinatura do Termo de Consentimento Livre e Esclarecido (TCLE), foi aplicado questionário. Em seguida, houve um compartilhamento de informações acerca da doença, dos fatores de risco, prevenção e autoexame. Em paralelo, foram realizados cursos de atualização/ capacitação para prevenção e diagnóstico diferencial e precoce do câncer bucal com as equipes de saúde bucal desses municípios pernambucanos. Os dados obtidos foram submetidos à análise descritiva e estatística por meio teste do qui-quadrado (Programa BioEstat 3.0). Resultados: Constituíram a amostra 43.200 (100%) pessoas que, responderam ao questionário e compartilharam das atividades educativas/ preventivas, sendo 25.488(59%) do sexo feminino e 17.712 (41%) masculino. A média das idades observada foi 42,3, sendo a mínima=07 e a máxima= 103 anos. 25.920 (60%) das pessoas já tinham ouvido falar sobre a doença, porém não souberam associar corretamente os fatores de risco, embora 24.192 (56%) estivessem expostos a estes. O sexo masculino está exposto de forma mais significativa aos fatores de risco do que as mulheres, o que foi evidenciado através do teste de qui-quadrado (alfa= 0,05; p menor que 0,01). Foi observado nesta pesquisa que, a despeito da perda dentária, a reabilitação protética não é usual. Conclusões: Parte da população conhece os fatores de risco para o câncer de boca, embora muitos desconheçam mesmo estando expostos a estes. O tabagismo, etilismo e a exposição ao sol foram identificados como os fatores de risco preponderantes nessa amostra.

Objective: To verify the knowledge of the population of the State of Pernambuco about oral cancer and identify individuals exposed to risk factors recognized in the literature. Method: A cross-sectional study was conducted with the population of 54 cities of the State of Pernambuco between January 2005 and December 2009. People were visited at their homes, schools, associations, councils, public and private companies and outpatient health services. After agreeing to participate in the study and signing an informed consent form, a questionnaire was applied to the subjects. Information was collected to assess their knowledge about the disease, risk factors, prevention and self-exam. In parallel, refreshing/capacitation courses for the prevention and differential and early diagnosis of oral cancer were offered to the oral health teams of the cities involved in the study. Data were subjected to descriptive and statistical analyses using the chi-square test (BioEstat 3.0 software). Results: A sample of 43,200 (100%) people filled out the questionnaire and took part in educative/preventive activities, being 25,488(59%) females and 17,712 (41%) males. The mean age was 42.3 years (range: 7 to 103 years). As much as 25,920 (60%) people had already heard about the disease, but they were not able to associate the risk factors correctly, although 24,192 (56%) were exposed to them. Male individuals were found to be more significantly exposed to the risk factors that females, as shown by the chi-square test (alpha= 0.05; p less than 0.01). It was observed in the present study that, despite tooth loss, prosthetic rehabilitation is not usual. Conclusion: Part of population recognizes the risk factors associated with oral cancer, although many people are not aware of them even being exposed to them. Smoking, alcoholism and direct sunlight exposure were identified as predominant risk factors in this sample.