Avaliação comparativa entre terapia endodôntica convencional e técnica não instrumental: um relato de caso / Comparative evaluation between conventional endodontic therapy and a non-instrumental technique: a case report

Objetivo: A necrose da polpa dentária é uma complicação causada principalmente por cáries e lesões traumáticas. Não há consenso sobre a melhor técnica e materiais para o tratamento endodôntico na dentição decídua. O objetivo foi apresentar um relato de caso clínico em que foram realizadas diferentes abordagens endodônticas em dentes homólogos traumatizados e necróticos. Métodos: Um menino de um ano e oito meses sofreu traumatismo dento-alveolar após queda e procurou o projeto de extensão de traumatismos na dentição decídua da Faculdade de Odontologia da UFMG em outubro de 2018 para avaliação clínica e radiográfica. O incisivo central superior esquerdo apresentou fratura de esmalte e dentina sem exposição pulpar, enquanto o incisivo central superior direito apresentou luxação intrusiva leve. Ambos apresentaram o desenvolvimento de lesões periapicais. Resultados: Os dentes foram tratados respectivamente com a técnica não instrumental com pasta CTZ e com terapia endodôntica convencional com pasta Guedes-Pinto. Os acompanhamentos clínico e radiográfico após os tratamentos revelaram dentes assintomáticos e evidência de cicatrização periapical. Conclusão: O uso da pasta CTZ apresentou resultados satisfatórios e semelhantes à terapia tradicional em curto prazo no relato de caso apresentado.

Aim: Dental pulp necrosis is a complication caused mainly by dental caries and lesions. No consensus has been reached on the best technique and materials for endodontic treatment in the primary dentition. The objective was to present a clinical case report in which different endodontic approaches were performed in traumatized and necrotic homologous teeth. Methods: A one-year-and-eight-month-old boy suffered dentoalveolar trauma after a fall and sought out the Deciduous Trauma Dental Center of the Federal University of Minas Gerais in October 2018 for clinical and radiographic evaluation. The left maxillary central incisor presented enamel and dentin fracture without pulp exposure, while the right maxillary central incisor presented a small intrusive dislocation. Both presented the development of periapical lesions. Results: The teeth were treated respectively, using the non-instrumental technique with CTZ paste and the conventional endodontic therapy with Guedes-Pinto paste. Clinical and radiographic follow-ups after treatments revealed asymptomatic teeth and evidence of periapical healing. Conclusion: The use of CTZ paste in this case report presented satisfactory and similar results to traditional therapy in the short term.

Determinant factors for immediate care seeking after traumatic dental injury among Brazilian children

Abstract The present study aimed to evaluate the frequency of immediate care seeking after traumatic dental injury (TDI) in primary dentition and its association with the children's characteristics, socioeconomic status, and TDI characteristics. This was a cross-sectional study with dental records of children aged 9 months to 6 years who attended a reference center in TDI in primary dentition between 2007 and 2018. Immediate care seeking after TDI, child's characteristics, sociodemographic conditions and TDI characteristics were collected. Descriptive statistics and Poisson regression analysis with robust variance were performed (p < 0.05; 95%CI). Among the 493 dental records, 61.1% (n = 301) were of males and 50.5% (n = 249) were from children aged 2 years or less. More than one third of the sample (36.9%; n = 182) sought immediate care after TDI. Among the types of TDI, the prevalence of soft tissue injuries was 59.0% (n = 291), while 51.7% (n = 255) were hard tissue injuries and 54.0% (n = 266) were supporting tissue injuries. Immediate care seeking after TDI was higher in children who needed suture (PR: 1.39; 95%CI: 1.01-1.92. p = 0.039), had luxation (lateral, intrusion, or extrusion) (PR: 2.36; 95%CI: 1.36-4.08. p = 0.002) or avulsion (PR: 2.18; 95%CI: 1.28-3.70. p = 0.004). The need for suture, luxation (lateral, intrusion and extrusion), and avulsion were determinant factors for the immediate care seeking after TDI, regardless of the child's characteristics and socioeconomic status.

Association between cigarette use and adolescents' behavior

ABSTRACT OBJECTIVE To determine the prevalence of cigarette use among adolescents and to identify associated health risk behaviors. METHODS This is a cross-sectional study with a representative sample, composed of 1059 adolescents between 13 and 19 years old, enrolled in primary and secondary public schools of Olinda, Pernambuco, in 2014. Information was obtained through self-administered questionnaires (validated version of YRBS 2007). Cigarette experimentation was defined as smoking at least once in life. Adolescents who smoked at least one day within 30 days prior to the survey were considered current smokers. Most students were female and 16 years old or older. RESULTS Almost 30% used it in life and about 10% smoked within the 30 days before the survey. Suicidal ideation (PR = 1.51, 95%CI 1.25-1.82), alcohol use (PR = 1.41, 95%CI 1.03-1.92), marijuana (PR = 1.64, 95%CI 1.37-1.96), excessive alcohol consumption (PR = 1.57, 95%CI 1.15-2.16) and sexual experience (PR = 1.78, 95%CI 1.43-2.21) have increased the risk of using cigarettes. Feelings of sadness (PR = 1.70, 95%CI 1.22-2.36), alcohol use (PR=2.40, 95%CI 1.12-5.12), excessive alcohol consumption (PR = 2.5, 95% CI 1.24-5.38), marijuana (PR = 2.31, 95%CI.57-3.39) and cocaine (PR = 1.99, 95%CI.32-3.01) increased the risk of cigarette use within the 30 days before the survey. CONCLUSIONS Cigarette use among adolescents from Olinda was high, being considered higher than the national prevalence. Possible factors associated with cigarette use were drug use (alcohol, marijuana, and cocaine) and behaviors related to sexual experience, feelings of sadness and suicidal ideation.

Avaliação do conhecimento dos mototaxistas frente à ocorrência de avulsão dentária e fraturas coronárias / Atitudes Imediatas dos Mototaxistas de Juazeiro do Norte-CE Frente à Avulsão Dentária e Fratura Coronária / Assessment of the knowledge of motorcycle taxi drivers about immediate attitudes to dental trauma

Objetivo: Avaliar o conhecimento dos mototaxistas de Juazeiro do Norte-CE sobre os procedimentos imediatos frente à ocorrência de avulsão e fratura coronária, além de verificar o consumo de substâncias lícitas e ilícitas, bem como o uso de capacetes do tipo fechado durante as atividades laborais.Métodos: Um estudo transversal foi realizado com uma amostra de conveniência de mototaxistas regularmente registrados no sindicato de mototaxistas em Juazeiro do Norte, Ceará, Brasil. Informações sobre condutas emergenciais e possíveis experiências e atitudes tomadas frente à ocorrência de avulsão dentária e fratura coronária, uso de substâncias lícitas e ilícitas, bem como o uso de capacetes para proteção fechados foram coletadas através de questionário. A análise dos dados envolveu estatística descritiva da frequência absoluta e relativa das variáveis do estudo.Resultados: Do total de mototaxistas entrevistados, 56,3% afirmaram ter entendimento sobre o conceito de traumatismo dentário, 52,1% não procurariam o cirurgião-dentista nos casos de ausência de fratura coronária, 58,3% pegariam em qualquer parte do dente avulsionado, 25,0% transportariam o dente até o consultório odontológico com auxílio de um lenço e 33,3% afirmaram que poderiam procurar o dentista na mesma semana da ocorrência do trauma. A ingestão de drogas lícitas e ilícitas antes do trabalho foi relatada, respectivamente, por 8,3% e 6,3% dos entrevistados e o uso de capacete de proteção foi realizado por 41,7% dos mototaxistas.Conclusão: Foi detectada um baixo conhecimento dos mototaxistas de Juazeiro do Norte-CE sobre as condutas imediatas adequadas frente à avulsão dentária e fratura coronária. O relato de consumo de substâncias lícitas e ilícitas foi baixo. O uso de capacetes de proteção fechados durante o trabalho apresentou uma porcentagem considerável.

Aim: To evaluate the knowledge of motorcycle taxi drivers from Juazeiro do Norte, Ceará, Brazil about immediate attitudes regarding dental avulsion and coronary fracture, as well as to verify the consumption of licit and illicit substances and the use of protective helmets.Methods: A cross-sectional study was carried out with a convenience sample of motorcycle taxi drivers registered at the Union of Motorcycle taxi drivers of Juazeiro do Norte. Information on emergency behaviors and possible experiences and attitudes regarding the occurrence of trauma, the use of licit and illicit substances, and the use of closed protective helmets were collected using a questionnaire. Data analysis involved descriptive statistics of the absolute and relative frequency of all variables of the present study.Results: Of the total number of motorcycle taxi drivers interviewed, 56.3% stated that they had previous knowledge about the concept of dental trauma, 52.1% would not seek out a dentist in cases of the absence of a crown fracture, 58.3% would take the avulsed tooth anywhere, 25% would carry the tooth to the dental office wrapped in a piece of cloth, and 33.3% answered that they would go to the dentist in the same week of the trauma. Intake of licit and illicit substances before work was reported, respectively, by 8.3% and 6.3% of the interviewees, and the use of protective helmets was observed in 41.7% of motorcycle taxi drivers.Conclusion: This study showed a low knowledge of motorcycle taxi drivers from Juazeiro do Norte about appropriate immediate attitudes concerning the occurrence of dental avulsion and coronary fracture. The use of closed helmets during work was found in a considerable percentage of the drivers. The report of consumption of licit and illicit substances was low.