Case for diagnosis. Palate perforation due to cocaine use

Abstract: We report a 42-year-old cocaine addicted female patient referred for evaluation of hard palate ulceration resulting in oro-sinus communication with difficulties in swallowing and phonation, an rhino-sinusitis. Acrylic and removable silicone prosthesis was prescribed to relieve severe functional disorders. It is essential that the patient permanently abandons cocaine use to perform surgical reconstruction.

Fístulas bucossinusais: considerações clínicas e cirúrgicas sobre o tratamento, com relato de dois casos clínicos / Oroantral Fistulae: Considerations Clinics and Surgical on Treatment and Report of Two Clinical Cases

O presente trabalho discute a origem, implicações e formas de tratamento para fístulas bucossinusais de origem odontogênica. Trata-se de lesão bastante freqüente, pois as extrações dentárias são procedimentos realizados em grande número na população brasileira. Foram relatados dois casos clínicos com diferentes abordagens cirúrgicas, mas que seguem um mesmo protocolo pré-operatório, que julgamos indispensável para o êxito cirúrgico.

The present work discusses the origin, implications and treatment forms for oroantral fistulae of odontogenic origin. It is quite frequent lesion, because the dental extractions are procedures accomplished in great number in the Brazilian population. They were told two clinical cases with different surgical approachs, but that follow a same preoperative protocol, that judged indispensable for the surgical success.

Estudo descritivo de alterações odontológicas verificadas em 400 jogadores de futebol / Descriptive study of odontological alterations verified in four hundred soccer players

O principal objetivo deste estudo foi verificar as alterações odontológicas mais freqüentes encontradas em jogadores de futebol. Num levantamento realizado pela Seção de Odontologia da Associação Portuguesa de Desportos-SP, 400 prontuários de futebolistas, correspondentes a um período de seis anos, foram avaliados. Todos eram do sexo masculino, sendo 353 amadores e 47 profissionais, com média de idade de 16,5 - 2,1 anos (variação de 9 a 20) e 24,7 - 3,6 anos ( variação de 21 a 34), respectivamente, pertencentes ao quadro de atletas do Departamento de Futebol. Os equipamentos utilizados durante os procedimentos foram: espelho clínico e explorador n§ 5 da marca Duflex em um consultório modelo MLX Plus da marca Funk. As radiografias oclusais foram realizadas com filmes da marca Kodak no equipamento de raios-X modelo Spectro II da marca Dabi Atlante. As seguintes alterações e os resultados encontrados nos futebolistas amadores foram: 199 casos (56 por cento) de tartarectomia, 283 de cáries (71 por cento), 61 de gengivites (17 por cento), 51 de endodontias (14 por cento), 51 de pulpites (14 por cento), 33 de abscessos (9 por cento), 21 de fístulas (6 por cento) e 10 aftas (3 por cento). Nos casos de ortodontia foram verificados: diastema em 12 atletas (3,5 por cento), apinhados em 35 (10 por cento), heterotópicos em 36 (10,2 por cento) e empactados em 4 (1 por cento). Foram realizadas 78 exodontias (22 por cento), 41 obturações (11,5 por cento) e 72 próteses (20 por cento). A profilaxia realizada atingiu 148 casos (42 por cento). Os jogadores profissionais apresentaram os seguintes resultados: 17 casos de tartarectomia (36 por cento), 32 cáries (68 por cento)...

The main purpose of this study was to verify the most frequent dental alterations found in soccer players. In a survey carried out by the dentistry department of this Association, the case histories of 400 soccer players were evaluated over a period of 6 years. The players _ 353 amateurs and 47 professionals _ aged 16.5 ± 2.1 (ranging from 9 to 20) and 24.7 ± 3.6 (ranging from 21 to 34), respectively, were all male members of the team of athletes in the soccer department. The tools used during the procedures were clinical mirror and explorer no. 5 (Duflex) in a model office (MLX Plus-Funk Trademark). The occlusion radiographs were obtained with Kodak films in the X-ray equipment (Spectro 11 model-Dabi Atlante Trademark). These were the alterations and results found in the amateur soccer players: 199 cases of tartarectomy (56 percent), 283 of caries (71 percent), 61 of gingivitis (17 percent), 51 of endodontics (14 percent), 33 of abscesses (9 percent), 21 of fistulas (6 percent) and 10 of aphthae (3 percent). In the orthodontic cases, the following alterations were found: diastema in 12 athletes (3.5 percent), crowded teeth in 35 (10 percent), heterotopic in 36 (10.2 percent), and impacted in 14 (1 percent). Seventy-eight extractions (22 percent), 41 fillings (11.5 percent) and 72 tooth replacements (20 percent) were carried out, while prophylactic measures covered 148 cases (42 percent). The professional soccer players presented the following results: 17 cases of tartarectomy (36 percent), 32 of caries (68 percent), 14 of gingivitis (30 percent), 11 of endodontics (23 percent), 6 of pulpitis (13 percent), absence of abscesses, 2 of fistulas and aphthae (4 percent), respectively. Six cases of orthodontics were verified, subdivided into 3 crowded and heterotopic teeth (6 percent), respectively. There were 78 extractions (51 percent), 6 fillings (13 percent), and 23 replacements of teeth (49 percent). Conclusion: results verified in this investigation have shown the importance of dentistry for both preventive and/or corrective measures. It is also important to stress that an inadequate teething process may cause gastrointestinal alterations and even musculoskeletal changes, thus making it difficult for athletes to participate in training and contests.