Dermabrasion depigmentation for the treatment of gingival dyschromia caused by racial melanosis. A case report comparing two techniques

AIM: The aim of this paper is to describe a clinical case in which the patient's gingival melanin pigmentation was treated using diamond burs and scalpels. CASE REPORT: The present study describes a periodontal plastic surgery procedure to correct or improve the amount of gingival melanin pigmentation apparent on mandibular and maxillary arch of the patient. CONCLUSION: After the surgical procedure successfully performed, and considering the high degree of satisfaction of the patient, the author concluded that the studied technique is easy to perform and stands out because of the excellent results achieved.

Study of the relation between platelet count and periodontal condition in patients with immune thrombocytopenic purpura

Immune thrombocytopenic purpura (ITP) is a disease associated to the decrease of platelet count in peripheral blood, with repercussion on the oral cavity, due to the potential risk of spontaneous bleeding or provoking it. The aim of this work was evaluate the relation between the platelet count of chronic IPT patients and their periodontal condition. Thereunto, 31 patients were evaluated; 15 with this pathology (group 1) and 16 Dentistry students with no hematologic disease (group 2). Both groups were examined in their periodontal condition through gingival condition index (G), periodontal attachment loss (P) and gingival recession (R), as well as blood tests were performed to verify the platelet count, further a questionnaire on the socioeconomic aspects, access to dentistry services and mouth health self-perception. It was observed that 68.8% of IPT patients' mouth sextants presented some degree of gingivitis, despite some 16.8% manifested loss of periodontal insertion. Gingival retraction occurred in only 2 patients of the group 1, and the average measure for this event in this group was 0.22mm. The questionnaires applied allowed characterizing the sample of the group 1 as low income and low education in relation to the group 2, but with need of dental treatment. We concluded, therefore, there was no direct relation between the platelet count of IPT individuals when the intraoral test was performed, and their periodontal conditions received the indexes "G", "P" e "R".

Analysis of the relation of intrauterine digital sucking with the permanence of the habit in the post birth child

AIM: This research aims to investigate the development of this habit's appearance, which may be observed even at the intrauterine stage and which also persists for a long time. MATERIAL AND METHODS: 25 gestations that presented children practicing intrauterine digital sucking habits were followed-up. The initial analysis was accomplished through routine ultrasound examination, using pregnant women between the 4th and 8th gestation months who visited João de Barros Barreto University Hospital. Detecting this habit, every quarter an afterbirth accessory was carried out,over a 1 year period, in order to observe the habit's persistence. This phase was developed in the Dental Office of the Brasil Sorridente Program. Statistical analysis were carried out regarding the obtained outcomes using the described statistics and inferential methods, and the Chi-square test with 5% significance level was applied. RESULTS: This research observed that 72% of babies were male gender and 28% female gender, 68% of babies persisted with the digital sucking habit 1 month afterbirth, 72% until the second month, 56% until the fifth month and 48% until one year old. Assessing the habit's post natal persistence according to gender, the binominal test was applied which was significant (p=0.0186). It was concluded that the number of male babies with digital sucking habit was above the female gender (p=0.0455), the habit's persistence was reduced by 50% when compared with the first month, however, the p=0.2474 indicates that the reduction was not significant. CONCLUSION: Our outcomes cannot be generalized; however they can be used as a base for future research in this area.

Esthetic crown lengthening: a case report

The periodontal plastic surgeries have been valued and sought by people who claim they want to correct "gummy smile", which happens when one has expose more gum than teeth when smiling. There are many causes for the gummy smile, this scientific article covers four cases of altered passive eruption of the teeth with excess keratinized gingiva. The harmonic smile disturbed aesthetic is a discomfort that troubles many people, especially women. Based what has been discussed so far, this paper has as main objective report clinical cases of esthetic periodontal surgeries osteoplasty made by undergraduate students of the dentistry program. Such techniques promote a more adequate dental exposure and create anharmonical smile on the patient. The cirurgical procedures were indicated based on the analysis of the smiles. After the procedures were made, we conclude the techniques used were suitable based on the satisfaction of the patient and that they were easy to execute in order to obtain an aesthetic smile.

Treatment of excessive gingival display using lip repositioning technique: a case report

The gummy smile is becoming one of the most frequent complaints reported by patients unhappy with your smile. According to the etiology, will be proposed various treatments. The purpose of this case report is to describe the lip repositioning technique, softening the gummy smile of the patient. It concludes that the lip repositioning technique is suitable for the correction of the gummy smile.

Cirurgia periodontal estética em dentes anteriores / Esthetic periodontal surgery in anterior teeth

As cirurgias pl sticas periodontais vˆm sendo muito valorizadas e cada vez mais procuradas por pessoas que alegam querer corrigir o “sorriso gengival”, que ocorre quando ao sorrir, mostram mais gengiva do que os dentes. Existem diversas causas para o sorriso gengival, e este artigo aborda um caso de erup‡Æo passiva alterada dos dentes com excesso de gengiva ceratinizada. Um comprometimento do sorriso harm“nico ‚ um desconforto est‚tico que incomoda principalmente as mulheres. Diante dos fatos, este trabalho tem como objetivo relatar um caso cl¡nico de cirurgia est‚tica com osteoplastia. Essas t‚cnicas promovem uma exposi‡Æo dent ria mais adequada proporcionando um sorriso mais harm“nico ao paciente. O presente caso ‚ de uma paciente do sexo feminino, 23 anos, que queixava-se da insatisfa‡Æo que o sorriso gengival a proporcionava. Atrav‚s da an lise do sorriso foi indicado o procedimento cir£rgico. Ap¢s o procedimento cir£rgico, p“de-se concluir atrav‚s do grau de satisfa‡Æo da paciente que as t‚cnicas empregadas foram adequadas para se obter um sorriso est‚tico.

Periodontal plastic surgery have been highly valued and increasingly sought by people who want to fix the “gummy smile”. There are several causes for gummy smile, and this article will discuss a case of altered passive eruption of teeth with excessive keratinized gingiva. An aesthetically compromised smile bothers mostly female patients. Given the facts, this paper aims to report a case of clinical cosmetic surgery with osteoplasty. These techniques promote a more adequate dental exhibition providing a more harmonious smile to the patient. This case was a 23 years old female patient, displeased with her gummy smile. After the analysis of the smile, surgical treatment was indicated. After surgery it was concluded that, according to the patient’s satisfaction, the utilized techniques were adequate to obtain an aesthetically harmonious smile.

Conhecimento de estratégias pedagógicas no processo ensino – aprendizagem dos alunos do curso de Odontologia / Knowledge on strategies in the teaching learning process of Dentistry students

Este estudo teve como objetivo realizar um levantamento acerca da opinião de alunos regularmente matriculados nos cursos de graduação em Odontologia de duas Instituições de Ensino Superior, pública e particular respectivamente, em relação à prática didático-pedagógica docente adotada atualmente. Foram aplicados questionários acerca das atuais estratégias de ensino aprendizagem para os discentes selecionados, avaliando os seguintes pontos: requisitos que deve possuir um bom professor, atitudes do professor que podem prejudicar a sua relação com o aluno, tempo ideal de uma aula expositiva, responsabilidade no processo de aprendizagem, recursos didáticos e procedimentos em aulas práticas. Os dados foram obtidos por meio de entrevista semiestruturada com 62 alunos de instituição privada e 82 alunos de instituição pública, que foram realizadas no período de dezembro de 2010 a janeiro de 2011. Para análise estatística dos dados registrados, utilizou-se o teste estatístico de Qui-Quadrado de homogeneidade, com nível de significância de 5%. Dentre as conclusões verificadas, pode-se destacar que a estratégia de ensino mais eficiente de acordo com os dois grupos de alunos ainda é a aula expositiva dialogada; alunos da Instituição pública afirmaram que ter segurança, clareza e objetividade são os requisitos mais importantes que o professor deve ter, enquanto os alunos da Instituição particular afirmaram que o requisito principal é ter conhecimento e titulação (mestrado e doutorado). As piores atitudes de um professor escolhidas por ambas as instituições foram falta de pontualidade e assiduidade; houve divergências sobre o tempo ideal para aula expositiva.

This study aimed to conduct a survey about the opinion of dentistry students of a public and a private institution, regarding the teaching strategies currently applied. The selected students answered a questionnaire about the teaching-learning evaluating the following aspects: requirements of a good teacher, attitudes that may harm the student-teacher relationship; ideal duration of a lecture; responsibility learning process, teaching resources, and procedures in practical classes. Data were collected through semi-structured interviews conducted between December 2010 and January 2011, with 62 students from private institutions and 82 students from public institutions. For statistical analysis it was used the statistical the ChiSquare test of homogeneity with a significance level of 5%. Among the findings it was verified that a lecture open to dialogue is still the most effective teaching strategy according to both groups of students; students from public institution said that having clarity and objectivity are the most important requirement that teacher should have; as those from private institution said the main requirement is to have knowledge and degrees (Masters and Doctoral). The worst attitudes pointed out by both groups were: lack of punctuality and attendance. There were disagreements regarding the ideal time to lecture

Reimplante dentário na dentição decídua: uma alternativa de sucesso – relato de caso / Tooth replantation in primary dentition: a successful choice - case report

A literatura ‚ muito controversa ao descrever os reimplantes de dentes decíduos.  um procedimento desencorajado pela maioria por poder causar danos ao sucessor permanente. O presente trabalho apresenta e discute relatos de sucesso de reimplantes na dentição decídua, bem como aborda sua técnica, suas indicações, contraindicações e possíveis sequelas. Frentes diversas condutas em relação … avulso de um dente decíduo, observa-se que são necessários mais estudos para que se possa obter êxito em um número maior de casos

Literature is very controversial while describing the replantation of primary teeth. This procedure is commonly discouraged due to the possibility of causing damage to its permanent successor. This article presents and discusses reports of successful replantation in primary dentition, and also discusses the technique, its indications and contraindications as well as possible sequels. Considering the different approaches after a deciduous tooth avulsion, it was observed that further researches are required to ensure successful procedures

Análise dos traumas de face que acometem mulheresvítimas de violência doméstica / Analysis of facial trauma affecting women victims of domestic violence

O presente trabalho visa tratar as informaçõessobre os mais diversos tipos de violências, acometidoscontra a mulher, tendo como locus depesquisa a DEAM, Delegacia Especializada deAtendimento à Mulher, nos anos de 2009/2010,no município de Belém, Estado do Pará. Verificouse210 laudos periciais. Observou-se que as agressõesacontecem por meio da violência física direta,com socos e pontapés em 50% dos casos, tendocomo região mais acometida a região nasal com35 ocorrências, contabilizando 12% dos casos.Pode ser visto que a faixa etária dos 23 a 36 anosrepresenta 72% das situações de violências. Amaior quantidade de ocorrências registradas estáentre as mulheres casadas. Defende-se, a partirdeste estudo, que as ações contra as violênciasdevam ser assumidas por todas as políticas sociaise por todos na sociedade, visto que os serviços estataisprecisam passar por ações de investimentos,seja de infraestrutura, seja de formação continuadapara os seus profissionais.

This paper aims to deal with the informationabout the various types of violence, againstwomen committed, with the locus of theDEAM, Specialized Police for Assistance toWomen in the years 2009/2010, the city ofBelem, state of Para, was chosen to performa descriptive study of the forensic reports.There were 210 expert reports analyzed. Itwas seen that the attacks occur through directphysical violence, with punches and kicksin 50% of cases, and in the nasal regionwith 35 occurrences, accounting for 12% ofcases. It can be seen that the age group of23-36 years represents 72% of cases of violence.The biggest victims are among marriedwomen. It is argued, from this study that theactions against violence should be taken byall social policies and for all in society, sincethe state services must go through stockinvestments, or infrastructure is continuingeducation for professionals.

Efetividade clínica de um enxaguatório bucal fitoterápico com tintura padronizada de Calendula officinalis na manutenção da saúde periodontal / Clinical efficacy of a phytotherapic mouthrinse with standardized tincture of Calendula officinalis in the maintenance of periodontal health

Introdução: Várias pesquisas demonstram a eficácia dos fitoterápicos contra diversos microrganismos orais e, consequentemente, seus benefícios na saúde bucal de indivíduos. Objetivo: Dessa forma, foi desenvolvida uma pesquisa clínica a fim de verificar o desempenho de um enxaguatório bucal fitoterápico, contendo tintura padronizada de Calendula officinalis, na melhora da saúde periodontal de indivíduos, e compará-lo ao desempenho de um colutório com clorexidina a 0,12%. Metodologia: A pesquisa foi realizada com 40 participantes (12 homens e 28 mulheres, com média de idade de 29,62 anos) com periodontite crônica. Os parâmetros clínicos utilizados foram: nível clínico de inserção, sangramento marginal, Índice de Placa de O´Leary e Índice Gengival. Os indivíduos receberam instruções de higiene oral e, posteriormente, foram distribuídos em dois grupos para a realização de bochechos: um com solução com clorexidina (grupo C) e o outro com a solução contendo o fitoterápico (grupo F). Os participantes de ambos os grupos realizaram bochechos três vezes por semana durante duas semanas, mas antes passaram por procedimentos de raspagem e alisamento coronorradicular. Resultado: Os resultados foram submetidos a dois testes, Wilcoxon e Mann-Whitney, com o nível de significância alfa = 5%, e mostraram que o desempenho de ambos os enxaguatórios foi semelhante na maioria dos parâmetros analisados; a diferença foi significativa apenas quanto ao Índice Gengival, no qual a clorexidina demonstrou desempenho superior ao do fitoterápico (p = 0,02). Conclusão: Portanto, o enxaguatório fitoterápico pode ser sugerido, também, como uma solução inovadora que atua promovendo benefícios adicionais à melhoria da saúde periodontal. Porém, sugerem-se mais estudos acerca do assunto.

Introduction: Several studies demonstrate the efficacy of herbal medicines against various oral microorganisms and, consequently, their benefits in oral health of people. Objective: Thus, it was developed a clinical research to verify the performance of a phytotherapic mouthrinse containing standardized tincture of Calendula officinalis, in improving the periodontal health of individuals and compare it to the performance of a mouthwash with chlorhexidine 0.12%. Methodology: The survey was conducted with 40 participants (12 men and 28 women, mean age 29.62 years) suffering from chronic periodontitis. The clinical parameters used were: clinical attachment level, marginal bleeding, Plaque Index of O´Leary and Gingival Index. Patients received oral hygiene instructions, therefore, were distributed into two groups for the realization of mouthwash, with a chlorhexidine solution (group C) and the other with a solution containing the phytotherapic (group F). Both subjects rinsed three times per week for two weeks, but before, they received the procedures of scaling and root planning. Result: The results were submitted to a two tests, Wilcoxon and Mann-Whitney, with the significance level alfa = 5%, and it showed that the performance of both rinses were similar in most parameters (p > 0.05), the difference was significant only on the Gingival Index, which outperformed the chlorhexidine to the calendula (p = 0.02). Conclusion: Therefore, the phytotherapic mouthwash may be suggested also as an innovative solution that works by promoting additional benefits to improve periodontal health. However, it is suggested further studies on the subject.

Análise das percepções de alunos de graduação sobre Odontologia do Trabalho / Analysis of Dental students’ perceptions about Dentistry at Work

A especialidade “Odontologia do Trabalho” objetiva compatibilizar a atividade laboral e a preservação da saúde bucal do trabalhador. Este estudo tem por objetivo avaliar a percepção e conhecimento de alunos graduandos do curso de Odontologia de universidades públicas e particulares sobre a criação desta especialidade. A pesquisa de característica quali-quantitativa, foi realizada através da aplicação de questionários contendo questões objetivas sobre o tema. Os resultados revelam que 5,7% dos formandos concordam que a criação da especialidade é válida e 44,73% dos entrevistados entendem que a especialidade veio defender, em primeiro lugar, os interesses da classe odontológica. Baseado nos dados obtidos, conclui-se que a Odontologia do Trabalho ainda não foi suficientemente absorvida ou conhecida por formandos de Odontologia.

Dentistry at Work is defined as a specialty that links labor activity and worker’s oral health preventing. Thisstudy aim to analyse a the perception and knowledge of dental students from Brazilians public and private universitiesonto the creation of that specialty. The research was accomplished through the quali-quantitative assessment by questionnaires with closed style questions onto the subject. The outcomes reveals that 5,7% of students is are in agreement with the validation of the specialty and 44,73% students belive that such specialty advocates,dentistry class’ interests first. Based in the reached data it was concluded that Labor Dentistry Specialty was not enough understood or known by dental students.

Avaliação sobre a participação de cirurgiões-dentistas em equipes de assistência ao paciente / Assessment of the participation of dental surgeons in patient care teams

A presença de equipes de assistência ao paciente se faz necessária em ambientehospitalar, principalmente no que concerne aos pacientes mais debilitados, presentes em unidades de tratamento intensivo. Porém, esta equipe não é contemplada pela participação de todos os profissionais da saúde, visto que o cirurgião-dentista, por exemplo, acha-se fora deste panorama; o que é contraditório, pois a saúde bucal pode ser determinante na melhora ou piora do quadro de saúde de um paciente em UTI’s. O escopo deste trabalho é demonstrar, por meio de entrevistas realizadas com profissionais de enfermagem em 12 hospitais da cidade de Belém, Estado do Pará, região Norte do Brasil, a sua atuação em equipes multi/interdisciplinares atuantes em unidades de tratamento intensivo e se apresença de cirurgiões-dentistas é necessária nestas equipes. O levantamento realizado nesta pesquisa mostrou que 98% dos entrevistados participam de equipes interdisciplinares e 86% acham necessária a presença de cirurgiões-dentistas nas mesmas. Aliar, portanto, o conhecimento de um profissional de odontologia ao de uma equipe biomédica é, sim, de grande valia ao paciente.

The presence of patient assistance team becomes necessary in a hospitalenvironment, especially for more debilitated patients hospitalized in Intensive Care Units (ICUs). However, not all health professionals act in ICUs. Dental surgeons, for example, are not found in this environment – which is contradictory, considering that oral health may be determinant to establish the patient’s health status in the ICU. The purpose of this study is to demonstrate, through interviews carried out with nursing professionals from 12hospitals in Belem (northern Brazil), the participation of these professionals inmulti/interdisciplinary teams in Intensive Care Units and verify whether the presence of dental surgeons is needed. The assessment revealed that 98% of the interviewers are part of interdisciplinary teams, and 86% of them consider necessary the presence of dental surgeons. It was therefore concluded that to combine the knowledge of a dentistry professional to a biomedical staff is very important for the patient.

Análise de percepções e ações de cuidados bucais realizados por equipes de enfermagem em unidades de tratamento intensivo / Perceptions and actions of oral care performed by nursing teams in intensive care units

OBJETIVOS: Buscando estabelecer um perfil da percepção e realização dos cuidados em saúde bucal prestados a pacientes internados em unidades de tratamento intensivo por equipes de enfermagem, realizou-se um estudo com entrevistas orientadas por um questionário. MÉTODOS: A população de estudo foi constituída de profissionais de enfermagem divididos em três categorias de formação: enfermeiros, técnicos de enfermagem e auxiliares de enfermagem que atuam em instituições hospitalares públicas e particulares prestando serviços em unidades de tratamento intensivo na cidade de Belém - PA. RESULTADOS: A pesquisa desenvolvida neste trabalho retornou com resultados, os quais sugerem que os cuidados de higiene bucal realizados nos pacientes hospitalizados em unidades de terapia intensiva são escassos e inadequados, sendo necessárias modificações nos cuidados dispensados atualmente, especialmente no ambiente nosocômial da equipe de atenção ao paciente. CONCLUSÃO: A presença de cirurgião dentista, a difusão dos conhecimentos de odontologia preventiva e o uso de recursos específicos de higiene bucal são medidas sugeridas como tentativas de solucionar as dificuldades apresentadas na manutenção da saúde bucal e no tratamento das doenças bucais, que afetam a saúde geral dos pacientes hospitalizados. A atuação interdisciplinar no atendimento a estes indivíduos é defendida visando à obtenção de uma melhor qualidade de vida prevenindo ou minimizando patologias orais presentes.

OBJECTIVES: A study was carried out, by means of a questionnaire for guided interviews seeking to establish a profile of perceptions and oral care given by ICU nursing team to patients in intensive care units. METHODS: The target population consisted of nursing practitioners divided in three education categories: nurses, nursing technicians and auxiliary nurses working at public and private hospital institutions providing for intensive care unit patients in Belem-PA. Dentistry experience has developed in this field reporting scientific findings and practical applications on prevention and reestablishment of the oral health in question. RESULTS: This survey disclosed results suggesting that oral hygiene care given to intensive care units patients is insufficient and inadequate requiring changes be made in the care now provided in the nosocomial environment by the nursing team. CONCLUSION: Presence of a dentist, knowledge of preventive dentistry, dissemination and use of oral hygiene specific resources are means suggested in an attempt to resolve difficulties found in oral health maintenance and treatment of oral diseases that affect the general health of hospitalized individuals. Interdisciplinary action for these individuals is advocated to achieve a better quality of life by preventing or minimizing oral pathologies.