Publication Trends Studies Involving Disabled Persons with Dental Care Needs: A 20-Year Bibliometric Analysis

ABSTRACT Objective: To evaluate scientific production on disabled persons with dental care needs over a 20-year period. Material and Methods: The search was conducted in the PubMed database using the MeSH terms "Disabled Persons" AND "Dentistry". Three researchers selected articles based on readings of the title, abstract and full text. The articles were categorized according to periodical, country, study design, subject and classification of comorbidities and associated disorders. Three hundred ninety-seven articles published in 140 periodicals were included. Results: The periodicals Special Care in Dentistry (54), Dental Clinics of North America (14) and British Dental Journal (14) accounted for 21% of the publications. The studies were conducted in 50 countries, with the United States accounting for 33%. More than half (52%) of the studies had a cross-sectional design. The main subject addressed was oral diagnosis and most of the comorbidities were generalized disabilities. Conclusion: Although a large number of the periodicals have contributed to knowledge building on disabled persons with dental care needs, the number of articles is small compared to other fields of dentistry. Moreover, important gaps in knowledge persist and projects with better methodological designs are needed to offer a more substantial contribution to clinical practice.

Socioeconomic and intraoral polarization of untreated caries and tooth loss among male adolescents

Abstract The aim of this study was to investigate the intraoral distribution of untreated caries and tooth loss and estimate the impact of different socioeconomic factors on the occurrence of these outcomes. A cross-sectional study was conducted with 652 18-year-old male adolescents from the city of Sapucaia do Sul, Brazil, who conscripted for military service. The participants answered a questionnaire addressing sociodemographic variables. Two trained and calibrated examiners performed the clinical examinations for the diagnosis of dental caries using the criteria of the World Health Organization. Tooth group and adolescent were the units of analysis for the primary outcomes of the study. Poisson regression analysis with robust variance was performed, with the calculation of crude and adjusted prevalence ratios (PR) and 95% confidence intervals (CI). The prevalence of caries experience and untreated caries was 70.2% and 39.3%, respectively, and 9.4% of the adolescents had missing teeth. Sixty-seven percent of the untreated caries and 98.8% of missing teeth were in first molars. The probability of dental caries and tooth loss was significantly higher among adolescents with less schooling (PR = 2.56; 95%CI: 1.97-3.32 and PR = 3.28; 95%CI: 1.61-6.65, respectively) and those whose mothers had less schooling (PR = 1.31; 95%CI: 1.03-1.67 and PR = 2.30; 95%CI: 1.18-4.50, respectively). In conclusion, the occurrence of untreated dental caries and tooth loss was concentrated in the first molars of adolescents. Moreover, the prevalence of both conditions was higher among adolescents with low schooling and whose mothers had low schooling, reflecting the strong intraoral and socioeconomic polarization of these outcomes.

New Post-COVID-19 Biosafety Protocols in Pediatric Dentistry

Abstract The most recent Severe Acute Respiratory Syndrome - COVID-19 - caused by coronavirus infection (SARS-CoV-2) has high-virulence transmission and direct human contagiousness by proximity. Thus, the considerable occupational risk in pediatric dentistry is evident, given the nature and form of procedures performed in an outpatient setting. Thus, the aim of this paper was to identify and contextualize technical and scientific information available to date aimed at preventing and minimizing risks for patients, caregivers and professionals. The results indicate that protective measures are being developed considering procedures according to risks and benefits, and five points stand out: 1. Regulation of resumption of elective procedures, screening and scheduling patients; 2. Restructuring clinical environment and infection control; 3. Improvement of personal protective equipment and biosafety recommendations; 4. Maximization of the use of non-invasive techniques, use of high-powered dental suction, and absolute isolation of the operative field; and 5. Minimization of the use of air-water syringe, dental spittoon and high-speed handpiece. The measures to be taken require reflection for the restart of a "new clinical practice", especially aiming at behavioral and structural changes regarding operational biosafety.

Uso de chupeta em pré-escolares do sul do Brasil: prevalência e fatores associados / Pacifier use in preschoolers from southern Brazil: prevalence and associated factors

Objetivo: investigar a prevalência e os fatores associados ao uso de chupeta em pré-escolares. Sujeitos e método: estudo transversal foi realizado com 1.316 crianças de 0 até 5 anos de idade no município de Canoas, no Rio Grande do Sul. O instrumento de pesquisa foi um questionário semiestruturado respondido pelos responsáveis sobre características sociodemográficas (sexo, cor da pele, idade da criança e materna, escolaridade materna, estrutura e renda familiar) e comportamentais (uso da mamadeira e aleitamento materno). O desfecho foi presença/ausência de uso de chupeta. A análise estatística compreendeu regressão de Poisson com variância robusta bruta e ajustada. Resultados: a prevalência de uso de chupeta em algum momento da vida foi de 68,1%. A análise multivariável ajustada mostrou que crianças que usaram mamadeira tiveram três vezes maior prevalência do desfecho (RP: 3,21; IC95% 2,25-4,59; p<0,001) se comparadas àquelas que nunca usaram mamadeira. Além disso, a análise adicional encontrou que crianças mais novas ainda usam a chupeta quando comparadas às mais velhas. Conclusão: conclui-se que a prevalência do uso de chupeta é alta e está associada com hábitos de nutrição. Assim, entender a associação de aspectos biopsicossociais e sua rede de causalidade torna-se essencial para o estabelecimento de estratégias de promoção de saúde na primeira infância. (AU)

Objective: to investigate the prevalence and the factors associated with pacifier use by preschoolers. Subjects and method: cross-sectional study performed with 1316 children from zero to five years of age, in the city of Canoas, RS, Brazil. The research instrument was a semi- -structured questionnaire answered by the responsible persons on sociodemographic (sex, skin color, child and maternal age, maternal level of education, and family structure and income) and behavioral (bottle-feeding and breastfeeding) characteristics. The outcome was the presence/absence of pacifier use. The statistical analysis included Poisson regression with crude and adjusted robust variance. Results: the prevalence of pacifier use at some point in life was 68.1%. The adjusted multivariate analysis showed that bottle-fed children presented a threefold higher prevalence of the outcome (PR: 3.21, 95%CI 2.25-4.59, p<0.001) compared to those who had never used the bottle. Moreover, an additional analysis found that younger children still use the pacifier compared to older ones. Conclusion: it is concluded that the prevalence of pacifier use is high and it is associated with nutrition habits. Thus, understanding the association of biopsychosocial aspects and their causality network becomes essential for establishing health promotion strategies in early childhood. (AU)

Bibliometric Analysis of the Scientific Production of the Pesquisa Brasileira em Odontopediatria e Clinica Integrada: 2007-2017

Objective: To analyze the bibliometric profile of articles published in the Pesquisa Brasileira em Odontopediatria e Clinica Integrada (PBOCI). Material and Methods: In this documental study, two trained examiners independently assessed the abstracts of all articles published between 2007 and 2017. Articles were categorized according to the study design, dental specialty and institutional affiliation of the main author. The full article was read whenever the abstract did not allow its classification. Descriptive statistics were used to calculate the absolute and relative frequencies. Results: In total, 670 articles were identified, with predominance of publications in the areas of Pediatric Dentistry (33.3%), Community Health (18.7%) and Restorative Dentistry (12.2%). The most used designs were cross-sectional (58.3%), especially in the areas of Pediatric Dentistry and Community Health; and laboratory studies (25.7%), mainly in the areas of Restorative Dentistry and Endodontics. The Brazilian universities that most published in the Journal were the Federal University of Paraíba (9.7%), followed by the State University of São Paulo (6.4%) and University of São Paulo (6%), characterizing predominance of the Southeastern and Northeastern regions. The publications of authors with international affiliation represented 9.1%. The distribution among nations reveals studies from countries such as India (34.5%), Nigeria (14.8%), Bosnia (11.5%) and Iran (8.2%). Conclusion: PBOCI has provided Brazilian and foreign researchers the opportunity to disseminate studies in all areas of Dentistry, but studies in the fields of Pediatric Dentistry and Community Health are predominant. The most frequent designs were cross-sectional and laboratorial, and in relation to foreign participation, there is predominance of research from countries such as India, Nigeria and Bosnia.

Traumatismos alveolodentários e fatores associados em crianças assistidas em um curso de Odontologia no sul do Brasil / Traumatic dental injuries and associated factors in children assisted in a school of Dentistry in Southern Brazil

Aim: To estimate the prevalence of traumatic dental injuries (TDI) and investigate demographic and socioeconomic factors associated among children attending at School of Dentistry, Southern Brazil. Methods: A cross-sectional study was carried out with 374 children attending the Pediatric Clinic, from School of Dentistry at the Universidade Luterana do Brasil, Canoas, Southern Brazil. Information from parents/caregivers on socioeconomic factors were obtained with an structured questionnaire. Children were clinically examined and TDI was recorded following Andreasen criteria. Poisson regression with robust variance was employed to determine factors associated with TDI. Results: A total of 15.0% of children exhibited TDI (95% CI 11.5-19.0%). The most common dental injuries involved hard tissues (enamel fracture, enamel and dentine fracture). Adjusted analysis revealed that the probability of TDI was almost 90% higher in older children (10 to 12 years) compared to children who were 7 to 9 years old; (PR 1.89; 95% CI 1.05­3.43), two fold higher in children from older mothers (≥ 35 years) (PR 2.01; 95% CI 1.23­3.30), and 66% higher in children from mothers with lower education (≤8 years) (PR 1.66; 95% CI 1.02­2.70). Conclusion: Our findings showed a high prevalence of TDI. Moreover, sociodemographic factors, specially, maternal schooling and aging were associated with the outcome. Epidemiological studies of specific groups allowed in the organization of health services and elaboration of preventive and curative strategies.

Objetivo: estimar a prevalência de traumatismos alveolodentários (TAD) e investigar fatores sociodemográficos associados em crianças assistidas em um Curso de Odontologia no Sul do Brasil. Métodos: Um estudo transversal foi realizado com 374 crianças atendidas na Clínica Infantil do Curso de Odontologia da Universidade Luterana do Brasil, Canoas, Brasil. Informações sobre fatores sociodemográficos foram obtidas com pais ou cuidadores por meio de um questionário estruturado. As crianças foram clinicamente examinadas e TAD foram registrados, conforme critério de Andreasen. Regressão de Poisson com variância robusta foi empregada para determinar os fatores associados com o desfecho. Resultados: A prevalência de TAD foi de 15,0% (IC 95% 11,0-19,0%). As lesões mais comuns foram lesões aos tecidos duros (fratura de esmalte e de esmalte e dentina), especialmente na dentição permanente. A análise ajustada mostrou que a probabilidade de TAD foi quase 90% maior em crianças de maior idade (10 a 12 anos) em relação a crianças de 7 a 9 anos (RP 1,89; IC 95% 1,05­3,43), duas vezes maior em filhos de mães com maior idade (≥ 35 anos) (RP 2,01; IC 95% 1,23­3,30) e 66% maior em crianças de mães com menor escolaridade (≤8 anos) (RP 1,66; IC 95% 1,02­2,70). Conclusão: Observou-se uma alta prevalência de TAD. Além disso, fatores sociodemográficos, especialmente escolaridade e idade materna, estiveram associados ao desfecho. Estudos epidemiológicos de grupos específicos permitem a organização de serviços de saúde e a elaboração de estratégias preventivas e curativas.

Oral and maxillofacial injuries in preschool children: a study in a hospital in southern Brazil

Oral and maxillofacial (OMF) injuries in children may lead to developmental and functional disorders. In this cross-sectional study, we analyzed the pattern of OMF injuries in preschool children admitted to the emergency department of a hospital in southern Brazil. Subjects and method: We retrospectively reviewed the medical records of 1,533 patients admitted from January to December 2011 to identify children aged 0 to 5 years with a diagnosis of OMF trauma. Data were collected on demographic, seasonal and clinical variables. Results: The sample consisted of 288 preschool children (aged 0-5 years) with OMF injuries. Of these, 61.1% were male and 53.2% were <3 years of age. Most children (84.8%) received first medical care from an dentist. Isolated facial injuries were the most common type of injury (85.1%) in this age group. Soft tissue injuries were the most common injury outcome (77.9%), occurring mainly in the nose and lips. Random accidents were the most common cause of OMF trauma (87.7%), and injuries due to falls occurred in 85.9% of these cases. The most common dental trauma was tooth displacement (69.6%). Conclusion: In conclusion, our findings indicate a higher prevalence of OMF injuries in soft tissues, especially in boys in the first three years of life. Falls were the leading cause of injury. Information related to OMF injuries in children are essential for the control of accidents and development of public health policies.

Assessment of occlusal characteristics of the primary dentition: a cross-sectional study in Brazilian preschool children

Objective: The present study aimed to determine the occlusal characteristics and prevalence of malocclusion among Brazilianpreschool children. Subjects and method: A cross-sectional study was conducted with 1004 children aged 2-5 years enrolled in public preschools of the city of Canoas, RS, Brazil. A questionnaire was administered to guardians addressing demographic, socioeconomic, and behavioral characteristics of the children and their families. The clinical exam was performed by previously calibrated dentists and the characteristics of the primary dentition were verified according to set criteria. Data analysis was performed through the chi-square test. Results: Stability in the sagittal and transverse planes of the posterior region, and a variability of incisal relations in the primary dentition were verified. The findings show high prevalence of malocclusion (70.3%) and its association with age. Conclusion: Considering the high prevalence of malocclusion in primary dentition, implementing educational programs and prevention measures for preschool children is highlighted.

A Retrospective Study of Oral and Maxillofacial Injuries in an Emergency Hospital in Southern Brazil

Objective: To identify and analyze cases of OMF treated in an emergency hospital in southern Brazil. Material and Methods: The investigators conducted a retrospective, cross-sectional study. The sample was composed of 1,533 patient medical records. Demographic, seasonal, and clinical variables were collected. Additionally, the medical records also included data on etiological factors, injury site, and tissues involved. A descriptive analysis was conducted based on 1,179 (76.9%) records of OMF injuries. Results: Most patients were male children and adolescents. Accidents (59.7%), such as falls, and interpersonal violence (18.7%), such as physical aggression, were the main etiological factors. Most injuries involved soft tissue (66.4%), especially in the lip region; whereas fractures affected the nasal bones. Transfers and hospitalizations accounted for 8.1% of clinical outcomes and dentists participated in the treatment of 85% of cases. Conclusion: The results of this study suggest a higher prevalence of OMF injuries in men, affecting young people more frequently and showing falls as the main etiological factor. Dentists participated in the majority of the medical care. Future studies will focus on determining risk groups, developing preventive programs, and improving health care services, with the participation of dentists in the multidisciplinary team.

An unusual presentation of oral mucocele in a young pediatric patient / Uma apresentação incomum de mucocele oral em paciente pediátrico jovem

Mucocele is a common condition of the minor salivary glands that is generally found on the lower lip. Although etiology is uncertain, mucocele are usually caused by local trauma. Cases involving infants are rarely reported in the literature. The objective of this study is to report an unusual case of mucocele in the fi rst year of life that was treated with surgical removal and postoperative follow-up. This report illustrates the main features of clinical interest and discuss classifi cation, differential diagnosis and the treatment approaches described in the literature.

Mucocele é uma alteração comum de glândulas salivares menores que acomete principalmente o lábio inferior. Embora a etiologia seja incerta, normalmente é causada por um trauma local. Casos envolvendo bebês são raramente relatados na literatura. O objetivo deste estudo é descrever um caso não usual de mucocele no primeiro ano de vida. O tratamento foi a remoção cirúrgica da mucocele e acompanhamento pós-operatório. Com o presente relato pretende-se ilustrar os principais aspectos de interesse clínico, discutindo a classifi cação e o diagnóstico diferencial, além das modalidades terapêuticas descritas na literatura

Hypo-hyperdontia: a case report / Hipo-hiperdontia: relato de caso

The occurrence of hypodontia (absence of teeth) and hyperdontia (presence of supernumerary teeth) in the same patient is a rarely seen condition in dental practice. Early diagnosis and adequate treatment are very important when addressing this abnormality in the mixed dentition. The approach will depend on the severity of the case and the timing of diagnosis. This paper reports the case of an 11-year-old patient with absence of the permanent maxillary lateral incisors and the mandibular second premolars, with concomitant presence of a supernumerary tooth in the region of the right mandibular lateral incisor. Based on physical and radiographic examination findings, a diagnosis of hypo-hyperdontia was made. The diagnostic and therapeutic management of the case is discussed. The treatment adopted was surgical removal of the supernumerary teeth and esthetic restoration to transform the permanent mandibular canines into lateral incisors.

A ocorrência de hipodontia - ausência de dentes - e hiperdontia - presença de dentes a mais - em um mesmo paciente é uma condição pouco freqüente na clínica odontológica. O diagnóstico precoce e a realização de um tratamento adequado são muito importantes para a abordagem deste tipo de anomalia na dentição mista. A abordagem dependerá da complexidade de cada caso e do momento de diagnóstico da condição. Nesse artigo é relatado um caso de uma paciente com 11 anos de idade com a ausência dos incisivos laterais permanentes superiores e dos segundos pré-molares inferiores, concomitante com a presença de um dente supranumerário na região de incisivo lateral superior direito. Com base no exame físico e radiográfico chegou-se ao diagnóstico de hipo-hiperdontia. As condutas para o diagnóstico e tratamento do caso são abordadas e discutidas. O tratamento adotado foi a remoção do dente supranumerário e a transformação estética dos caninos permanentes superiores em incisivos laterais.

Eruption cyst associated with tooth rotation on deciduous dentition: A case report / Cisto de erupção associado com giroversão dentária na dentição decídua: relato de caso

The eruption cyst is a benign soft tissue anomaly that may occur during eruption of deciduous or permanent teeth. It is usually asymptomatic and its treatment involves clinical follow-up of dental eruption. However, it may become infected or cause discomfort and pain. In such cases, surgical treatment is recommended. The present report aimed to describe a clinical case of eruption cyst located on the deciduous mandibular incisors' area of a four-month-old female infant since her birth. After surgical treatment a change was observed in the position (rotation) of the tooth associated with the cystic lesion. Rotation of the mandibular incisor persisted during the deciduous dentition development.

O cisto de erupção é uma anomalia benigna de tecidos moles que pode ocorrer durante a erupção dos dentes permanentes ou decíduos. Ele é geralmente assintomático e seu tratamento envolve acompanhamento clínico da erupção dental. No entanto, ele pode se tornar infectado ou causar desconforto e dor. Em tais casos, é recomendado tratamento cirúrgico. O presente relato teve como objetivo descrever um caso clínico de cisto de erupção localizado na área dos incisivos inferiores decíduos presente em um bebê de quatro meses de idade desde seu nascimento. Após o tratamento cirúrgico foi observada uma mudança na posição (rotação) do dente associado com a lesão cística. A rotação do incisivo inferior persistiu durante o desenvolvimento da dentição decídua.

No Impact of Lower Intake of Micronutrients on Severe Early Childhood Caries: Findings from a Prospective Cohort Study

To investigate the association between micronutrients intake at 12 months of age and the occurrence of severe early childhood caries (S-ECC) at four years of age among children in southern Brazil.Material and Methods:The baseline sample was made up of 500 mother-child pairs followedsince the birth of the child in São Leopoldo, Brazil. After the first birthday, micronutrients intake (calcium, iron, sodium, zinc, vitamin A, vitamin C, vitamin B12 and folate) was recorded using the 24-hour recall method. At four years of age, a calibrated examiner evaluated the occurrence of S-ECC based on internationally accepted criteria. Poisson regression was used to investigate associations between exposures and the outcome.Results:The final sample comprised 314 children. The occurrence of S-ECC was higher among children who consumed less calcium (p=0.009), zinc (p=0.021) and vitamin C (p=0.036). However, after the multivariable adjustments, no micronutrient was associated with the occurrence of S-ECC.Conclusion:Alower intake of micronutrients at 12 months of age did not represent a risk factor for the occurrence of S-ECCat four years of age, suggesting that advice on feeding practices for dental caries prevention should focus mainly on dietary aspects (local effect) rather than nutritional aspects (systemic effect)...

Avaliação longitudinal das alterações transversais após expansão rápida cirurgicamente assistida da maxila / Longitudinal evaluation of the transverse changes after surgically assisted rapid expansion of the maxilla

Foram analisadas as alterações transversais após expansão rápida cirurgicamente assistida da maxila (ER-CAM) em uma amostra de 37 pacientes adultos com deficiência maxilar esquelética transversal, tratados com o aparelho expansor de Haas e a técnica cirúrgica proposta por Bell2 (1976). Foram comparadas as medidas lineares inter-caninos e inter-primeiros molares superiores nos modelos da documentação ortodôntica inicial, ao final da expansão rápida da maxila e um ano após esta. A ANOVA utilizando o delineamento de medidas repetidas, complementada pelo teste de comparações múltiplas de Tukey (a = 1%), evidenciou diferenças significativas nos três momentos para as duas medidas propostas. Os resultados obtidos no presente estudo permitem concluir que as medidas de dimensões transversais da maxila aumentam ao final da expansão, mais na região anterior que na posterior; diminuem após transcorrido um ano do final da expansão, mais na região anterior que na posterior; e a recidiva observada após o período de um ano não supera o ganho obtido com a expansão, tanto na região anterior quanto na posterior.

Transverse changes after surgically assisted expansion of the maxilla were assessed in a group of thirty-seven adult patients with transversal skeletal deficiency, which used Haas device and were submitted to Bell2 (1976) surgical procedure. Transversal measurements between upper canines and first molars were obtained before treatment, immediately after expansion and after one year. The ANOVA for repeated measures and Tukey’s multiple comparison Test (a = 1%) showed significant differences among the three moments for both measurements proposed. The results lead to the conclusion that the transverse dimensions increase more in the anterior region of the maxilla at the end of the expansion, decrease after one year more in the anterior region, and that the relapse does not exceeds the gain in both regions.

Bilateral severe root resorption associated with impacted maxillary canines: details on diagnosis and treatment plan: a case report / Reabsorção radicular severa associada a caninos maxilares impactados: detalhes sobre o diagnóstico e plano de tratamento: relato de caso

Caninos maxilares estão em segundo lugar entre os dentes mais frequentemente impactados nos arcos dentários. Reabsorções radiculares são achados comuns em dentes adjacentes ao canino maxilar impactado (CMI) e podem potencialmente causar a perda dentária. O tratamento geralmente é complicado quando o diagnóstico é dado em estágios avançados. A tomografia computadorizada (TC) tem provado ser superior na determinação da presença e grau de reabsorção radicular no dente adjacente ao CMI, auxiliando nos planos de tratamento e nas decisões clínicas. O presente artigo descreve o caso clínico de um paciente com impacção bilateral de caninos maxilares associada a reabsorção radicular severa do primeiro pré-molar superior direito e do incisivo lateral superior esquerdo, focando na importância do uso da TC para o diagnóstico e plano de tratamento.

Maxillary canines are the second most frequently impacted teeth in the dental arch. Root resorptions are often found in teeth adjacent to an impacted maxillary canine (IMC) and may potentially lead to tooth loss. The treatment is often complicated when diagnosis is established at a later stage. Computed tomography (CT) has been proven to be superior in determining the presence and degree of root resorption in teeth adjacent to IMC to support treatment plans and clinical decisions. This report describes the case of a patient with bilaterally impacted maxillary canines associated with severe root resorption of the right first premolar and the left lateral incisor and focuses on the importance of CT imaging for diagnosis and treatment plan.

Análise bibliométrica da produção científica da Revista da Faculdade de Odontologia da Universidade de Passo Fundo (RFO/UPF) / Bibliometric analysis of scientific production in the Revista da Faculdade de Odontologia da Universidade de Passo Fundo (RFO/UPF), Brazil

Objetivo: O objetivo do presente estudo transversal foi analisar o perfil das publicações da revista da Facul-dade de Odontologia da Universidade de Passo Fundo (RFO/UPF). Métodos: Foram feitas cópias dos resumos de cada artigo publicado no período de 1996 a 2010, totalizando 463 resumos. A categorização dos dados quanto ao delineamento metodológico, à especialida-de odontológica e à instituição de ensino superior de procedência dos autores foi feita por dois examinado-res independentes e os resultados, apresentados por meio da frequência de variáveis. Resultados: Os resul-tados mostraram que as especialidades odontológicas com maior número de publicações foram a dentística (14,7%) e a odontopediatria (10,8%). Os delineamen-tos mais utilizados foram estudos laboratoriais in vitro (30,5%), seguidos de estudos transversais (22,9%), re-latos de caso (19,4%) e revisões de literatura (19,2%). A instituição de ensino superior que mais publicou na revista foi a Unicamp (15,6%), seguida da UPF (12,1%) e PUCRS (11,9%). Conclusões: Conclui-se, que embo-ra a RFO/UPF tenha superado os problemas decorren-tes da endogenia, ainda são reduzidos os estudos com potencial de gerar evidências científicas e influenciar condutas clínicas.

Avaliação bibliométrica da produção científica da revista Stomatos / Bibliometric evaluation of the scientific production of the Stomatos Dental Journal

This cross-sectional study aimed to evaluate the abstracts of all articles published in the Stomatos Dental Journal between 1995 and 2009 and to obtain data on the methodological design of each article, the dental specialties focused on, and the authors’ institution of origin. A total of 206 abstracts were reviewed by two independent examiners. The results showed that the most frequent study designs were literature reviews (24.3%), cross-sectional studies (24.3%), laboratory in vitro studies (22.3%), and case reports (18.4%). The dental specialties with the highest number of articles were operative dentistry (16%), endodontics (15.5%), pediatric dentistry (10.7%), and oral and maxillofacial surgery and traumatology (10.2%). Most articles had Universidade Luterana do Brasil (ULBRA/Canoas) as the institution of origin (75.2%). Our findings revealed a pressing need to increase the number of studies with higher levels of evidence in all dental specialties and also to encourage the publication of articles from other institutions in order to qualify the journal.

Este estudo transversal teve como objetivo avaliar o perfil dos artigos publicados na revista Stomatos no período de 1995 a 2009 quanto ao tipo de delineamento metodológico, especialidade odontológica e instituição de ensino superior de procedência dos autores. Um total de 206 resumos foram revisados por dois examinadores independentes. Os resultados mostraram que os delineamentos mais utilizados foram a revisão de literatura (24,3%), o estudo transversal (24,3%), o estudo laboratorial in vitro (22,3%) e o relato de caso (18,4%). As especialidades odontológicas com maior número de publicações foram a dentística (16%), endodontia (15,5%), odontopediatria (10,7%) e cirurgia e traumatologia bucomaxilofacial (10,2%). A maioria dos artigos tinha o Curso de Odontologia da Universidade Luterana do Brasil (ULBRA/Canoas) como instituição de ensino oficial (75,2%). Os resultados revelaram uma necessidade premente de aumentar a publicação de estudos com maior nível de evidência, em todas as especialidades, e também de reduzir a endogenia, através da participação de autores de outras instituições, para permitir a qualificação da revista.

Implante imediato para substituição de elemento dentário com fratura radicular: relato de caso clínico / Immediate implant placement for the treatment of a root-fractured tooth: Case report

A utilização de implantes osseointegráveis para a reabilitação de pacientes total ou parcialmente desdentados tornou-se uma importante alternativa de tratamento. O protocolo clássico recomenda um período de vários meses após a extração para a instalação dos implantes. O aperfeiçoamento das técnicas cirúrgicas e da superfície dos implantes, contudo, mostraram que é possível a instalação, imediatamente, após a extração de elementos dentários. Além da redução do tempo de tratamento, esse protocolo de instalação imediata tem como vantagens: promover menor reabsorção óssea, facilitar a determinação da posição do implante e da cicatrização do alvéolo pós-exodontia, além da aceitação do paciente. Dessa forma, o objetivo deste trabalho é relatar o uso da técnica de instalação imediata de implante após a exodontia de incisivo inferior direito com diagnóstico de fratura radicular. Com esta técnica, faz-se possível obter resultados viáveis e previsíveis, além da maior satisfação do paciente, uma vez que a instalação dos implantes ocorre em fase única.

The use of osseointegrated implants has become an important alternative treatment approach in the rehabilitation of totally or partially edentulous patients. The classic protocol recommended to wait several months following extraction for the placement of implants. However, the refinement of surgical techniques and implant surfaces has allowed for the development of immediate post-extraction implant placement procedures. The immediate loading protocol contributes not only to decrease treatment time but also minimize the amount bone resorption. Additional advantages include easier determination of implant position, improved post-operative healing in extraction sockets, and increased patient acceptance. The objective of the present study was to describe the extraction and immediate loading of a mandibular right central incisor following a diagnosis of root fracture. Our report showed that the results obtained with immediate implant placement are feasible and predictable, and that the use of one-stage procedures results in increased patient satisfaction.

Dens in dente bilateral: relato de caso e considerações de tratamento / Bilateral dens in dente: Case report and treatment considerations

Dens in dente é uma anomalia de desenvolvimento dentário caracterizada pela presença de tecidos calcificados, como esmalte e dentina, no espaço da cavidade pulpar. A invaginação destes tecidos mineralizados, antes da sua calcificação, é a causa mais provável desta anomalia. O dens in dente pode acometer qualquer dente, mas ocorre com maior frequência nos incisivos laterais superiores permanentes. Sua ocorrência normalmente é bilateral, mas não necessariamente simétrica. O objetivo deste trabalho é abordar os principais aspectos clínicos desta anomalia num paciente do sexo masculino, onze anos, portador de dens in dente nos quatros incisivos permanentes superiores. A partir do diagnóstico, o tratamento proposto foi o selamento nas fossas palatinas e a instrução de higiene bucal para os dentes acometidos.

Dens in dente is an anomaly of dental development with involves the presence of enamel and dentin mineralized dental tissue in the pulp cavit. The invagination of these mineralized tissues before their mineralization is the most probable cause of this anomaly. Dens in dente may occur in any tooth but it happens more frequently in permanent upper lateral incisors. The aim of this paper is to report a case of an eleven years old male patient with dens in dente on the four permanent upper incisors and discuss the most important aspects of this anomaly. The treatment adopted involved the use of sealant on the palatine fossas and oral hygiene orientation.

Dente decíduo duplo: relato de um caso atípico / Double deciduos tooth: report of an unusual case

Dentes duplos são anomalias da formação dentária decorrentes da união de dois germes dentários ou da tentativa de divisão destes. A fusão é caracterizada pela união de dois dentes adjacentes, enquanto que na geminação ocorre a tentativa de divisão de um único dente. Essa anomalia pode ocorrer tanto na dentição decídua quanto na permanente. No entanto, verifica-se maior prevalência nos dentes decíduos e geralmente são unilaterais, envolvendo um ou dois dentes adjacen-tes na região de incisivos e caninos inferiores. Objetivo: O objetivo do presente estudo é descrever o tratamento de um caso atípico de dente duplo na região posterior da dentição decídua. Relato do caso: Este artigo relata um caso raro de dente duplo numa paciente de dois anos e dez meses de idade, decorrente da fusão de um canino com o primeiro molar decíduo superior. O dente duplo apresentava necrose pulpar em apenas um dos dentes envolvidos na fusão e foi tratado endodonticamente com o uso de uma pasta iodoformada. O sucesso clínico e radiográfico do caso foi constatado mediante o acompanhamento clínico da paciente. Considerações finais: O cirurgião-dentista deve estar atento ao corre-to diagnóstico e pronto atendimento das anomalias da odontogênese, estando apto para realizar a abordagem mais adequada a cada condição clínica observada.