Surgical approach and the use of cryotherapy in a keratocystic odontogenic tumor after 12 months of decompression

Introduction: The Keratocystic Odontogenic Tumor (KOT) is a pathology classified as an odontogenic cyst and began to be considered an odontogenic tumor in 2005, because of the presence of intrinsic characteristics compatible with neoplasm, such as its high rate of recurrence and differentiated mechanism of growth. Although its etiology is still unknown, its origin is believed to be related to the remnants of the dental lamina. Clinically it presents aggressive behavior and high rates of recurrence. Various types of treatment have been related, ranging from more conservative methods to radical surgery. With the goal of diminishing the potential for recurrence of these lesions, some authors have recommended the use of adjunct therapies such as peripheral osteotomy with burs, treatment of the surgical site with Carnoy’s solution, electrocauterization, cryotherapy and resection. Objective:The aim of the present study is to report the case of a patient with a KOT of large proportions in the mandible. Case report: Treatment was taken to perform decompression of the lesion for 12 months, and after this treatment comprised curettage and cryotherapy. Conclusion: This procedure is considered useful and conservative, as it avoids traumatisms to the noble structures close to the lesion.

Automedicação entre acadêmicos de odontologia da Universidade Paulista Goiânia - Goiás / Self-medication in dentistry students at Paulista University, Goiânia - Goiás

Introduction: Self-medication is a procedure fundamentally characterized by the sick person, or person responsible for his/her care, taking the initiative to obtain or produce and use a product they believe will bring benefits in the treatment of diseases or relief of symptoms. Dentists, together with doctors and veterinarians, comprise the professional classes that may and must prescribe medications for their patients. Therefore, it is believed that these individuals, as a result of their duties, are professionals that know, understand and make an exhaustive study of medications. Objective and Methodology: Based on this, a research was conducted among the academic students of the dentistry course at Paulista University, Flamboyant campus, Goiânia, GO, Brazil, during which 209 questionnaires were applied among students from the 3rd to 8th periods. Results: The purpose of applying these questionnaires was to trace a profile with regard to the use of medications without medical prescription, and high incidence was found among academic students, both as regards the quantity of medica-tions and variety of substances used. Conclusions: The result was an alert that irrespective of the individual's knowledge, whether it involved a layperson or professional qualified for prescription, this habit repeated it. This is an alarming fact, because if the professional him/herself, who should educate patients and dissuade them from this practice, is a habitual user, it becomes more difficult to aspire to the future inhibition and reduction of this practice that is so harmful to health.