Avaliação de hábitos de higiene bucal e satisfação em usuários de prótese parcial removível / Assessment of mouth hygiene habits and the satisfaction of removable partial denture

A prótese parcial removível a grampo (PPRG) possibilita reabilitar áreas parcialmente edêntulas, restaurando a função mastigatória, estética e fonética. Apesar dos avanços da Odontologia observados nas últimas décadas, estudos indicam que a higiene bucal dos pacientes usuários de PPRG ainda é precária. Desse modo, o objetivo desse estudo foi verificar os hábitos de higienização das próteses e cavidade bucal, bem como o nível de satisfação dos pacientes usuários de PPRG atendidos na Universidade Federal do Ceará (UFC). Trata-se de um estudo descritivo, quantitativo onde foi aplicado um questionário a 31 pacientes usuários de PPRG. Os dados foram analisados através do teste qui-quadrado e expressos na forma de frequência absoluta e percentual considerando uma confiança de 95%. Da amostra, a maioria (77,4%) era do gênero feminino, com idade entre 40 a 60 anos, (64,5%) possuíam ensino médio completo e haviam recebido orientações de higiene após a instalação da prótese (96,8%). O método de higienização mais utilizado foi a escovação mecânica com dentifrício. Quanto à frequência de higienização, 71% responderam realizá-la 3 ou mais vezes ao dia. A cárie foi apontada como o principal fator etiológico das perdas dentárias, apresentando uma diferença significativa em relação ao grau de satisfação dos pacientes com a prótese. Verificou-se que a maior parte dos indivíduos está muito satisfeita com o tratamento, embora ainda apresentem falhas na execução dos métodos de higiene bucal e da prótese.

Removable partial denture with clasps (RPDC) restores partially toothless areas, coupled to the chewing, aesthetic and phonetic functions. In spite of progress in dentistry during the last decades, several studies indicate that mouth hygiene of RPDC patients is rather low. Current analysis verifies the hygiene of dentures and mouth cavity and the satisfaction level of patients with RPDC attended by the dentistry school of the Universidade Federal do Ceará, Brazil. Methods: The descriptive and quantitative study comprised a questionnaire to 31 RPDC users. Data were analyzed by χ2 test and expressed in absolute frequency at 95% confidence level. Most subjects (77.4%) were female, aged between 40 and 60 years (64.5%), with complete college. They had received hygiene directions after the installation of the denture (96.8%). The hygiene method most employed was mechanical brushing with dentifrice, three or more times a day, for 71.0% of the interviewed. Caries was the main etiological factor in teeth loss with a significant difference related to the satisfaction degree of patients with the prosthesis. Most subjects were highly satisfied with the treatment even though there were flaws in the execution of mouth and denture hygiene.

Aplicação da técnica da muralha de silicona em paciente pediátrico û relato de caso / Application of the silicon guide technique in pediatric patient û case report

Para a reconstrução de dentes anteriores que sofreram fraturas ou restaurações envolvendo o ângulo incisal, a Dentística dispõe de um tratamento que oferece a cópia ideal da estrutura palatina, a técnica de restauração usando a muralha de silicona. Esta técnica permite recuperar a estética de forma rápida, conservadora e oferece uma grande vantagem para a Odontopediatria como a redução do tempo de cadeira do paciente infantil. O objetivo do presente trabalho foi relatar um caso em que foi aplicada a técnica da muralha de silicona em paciente pediátrico. Paciente CIG, gênero masculino, 8 anos de idade, apresentando fratura oblíqua das coroas dos dentes 11 e 21. Após procedimentos emergenciais, o paciente teve suas arcadas moldadas e posterior moldagem de gesso, reconstrução em cera, confecção da muralha e restauração dos dentes fraturados. O caso foi solucionado apenas com recursos de Dentística, técnica da muralha, utilização de ceroplastia e resinas compostas fotopolimerizáveis, alcançando-se um bom resultado estético. Portanto, conclui-se que a confecção da técnica da muralha de silicona para restauração direta em dentes anteriores traz vantagens no tempo gasto para realização do procedimento clínico, além de resultado satisfatório e estético.

For the reconstruction of fractured anterior teeth or restorations involving the incisal angle, the silicone guide technique offers an ideal copy of the palatal structure. This technique allows a fast and conservative aesthetics restoration, as well as reduces chair time, an important advantage at odontopediatric procedures. The aim of this study was to report a case in which the silicone guide technique was applied at the treatment of a pediatric patient. CIG, male patient 8 years old, presenting oblique fracture on crowns of teeth #11 #21. After emergency procedures, dental impressions from the patient were taken and a cast model was made, followed by the wax-up. Then silicone wall was manufactured and teeth were restored. The case was solved using just dentistry resources such as the guide technique, wax-up, and light cured composite resins and has achieved satisfactory results. Therefore, it was concluded that the silicone guide technique applied to direct restoration in anterior teeth has the advantage of reduced chair time obtaining satisfactory aesthetic results.

Application of BMP-2 for bone graft in Dentistry

Introduction:The global increase life expectancy and the resulting tooth loss has required searching for new rehabilitation alternatives in Dentistry. Biomaterials can be defined as any material that acts replacing a lost bone defect and its function. In Dentistry, many studies have aimed to improve bone regeneration through the use of BMPs for bone replacement. Objective: To review the literature on the use and clinical viability of human morphogenetic protein for the jaws reconstruction. Material and methods: The following databases were searched: Pubmed, Bireme, Lilacs, and Scielo and 30 articles published between 1965 and 2013 were found using the following descriptors: "dental implants", "maxillary sinus", and "biocompatible materials". Results: Several studies demonstrate the biological advantages of rhBMP-2 on bone regeneration of the jaws. In recent years, morphogenetic protein has presented a large clinical use. Conclusion: Despite being a high-cost biomaterial, rhBMP-2 is a viable and very effective alternative for reconstruction of defects of the face.

Profile of temporomandibular disorder patients submitted to dental and physiotherapeutic treatment at a private clinic

Introduction: Temporomandibular disorder (TMD) is the term used in Dentistry to define the structural and disorder changes affect the physiology of the masticatory system composed of TMJ and related to musculoskeletal structures. Objective: To conduct a descriptive, transversal and documentary study aiming to determine the profile of 14 TMD patients undergoing simultaneous dental and physiotherapeutic treatment at a private practice of the city of Fortaleza-Ce. Material and methods: The following instruments for the collection of the data were employed: files registering the evaluation and evolution, findings of the radiographic examinations and forms. Data were statistically analyzed through SPSS software, version 10.0. Results: Most of the sample was composed by females aged 32 years (+/-10.60) in average, mainly complaining about chronic headache, masticatory myalgia , TMJ pain, cervicalgy, otalgia, among others. The complete sample presented, at least, one pathology associated to and/or concomitant to TMD. The radiographic findings showed TMJ alterations and tooth losses. Analgesics were the most used drugs. Conclusion: TMD is a complex syndrome, with many etiologies and symptoms, aggravating and perpetuating factors, requiring multiple and even more specialized therapeutic management attempting treatment success.