Fluoride concentrations of milk, infant formulae, and soy-based products commercially available in Brazil.

OBJECTIVES: To assess the fluoride (F) content in commercially available milk formulae in Brazil and to estimate the F intake in children from this source in the first year of life. METHODS: Samples of cow's milk (n = 51), infant formulae (n = 15), powdered milk (n = 13), and soy-based products (n = 4) purchased in Araçatuba (Brazil) had their F content measured using an ion-specific electrode, after hexamethyldisiloxane-facilitated diffusion. Powdered milk and infant formulae were reconstituted with deionized water, while ready-to-drink products were analyzed without any dilution. Using average infant body masses and suggested volumes of formula consumption for infants 1-12 months of age, possible F ingestion per body mass was estimated. Data were analyzed by descriptive analysis. RESULTS: Mean F content ranged from 0.02 to 2.52 mg/L in all samples. None of the cow's milk provided F intake higher than 0.07 mg/kg. However, two infant formulae, one powdered milk, and one soy-milk led to a daily F intake above the suggested threshold for fluorosis when reconstituted with deionized water. Assuming reconstitution of products with tap water at 0.7 ppm F, two infant formulae, five powdered milk, and four soymilks led to daily F intake ranging from 0.108 to 0.851 mg/kg. CONCLUSIONS: The results suggest that the consumption of some brands of infant formulae, powdered milk, and soy-based milk in the first year of age could increase the risk of dental fluorosis, reinforcing the need for periodic surveillance of the F content of foods and beverages typically consumed by young children.

Fatores associados à amamentação em crianças com deficiência e fenotipicamente normais / Factors associated with breastfeeding in disabled and phenotipically normal children

OBJETIVOS: avaliar o tempo de aleitamento materno e identificar possíveis fatores interferentes em crianças com deficiência e fenotipicamente normais. MÉTODOS: 99 crianças com deficiência e fenotipicamente normais de 1 a 4 anos de idade, de ambos os gêneros, matriculadas e assistidas no Centro de Assistência Odontológica a Pessoa com Deficiência e na Associação de Pais e Amigos dos Excepcionais de Araçatuba, São Paulo, Brasil e na Bebê Clínica da Faculdade de Odontologia do Campus de Araçatuba, da Universidade Estadual Paulista "Júlio de Mesquita Filho". Utilizou-se um questionário desenvolvido especificamente para este estudo, que foi respondido pelas respectivas mães e/ou cuidadores. A variável dependente utilizada foi a amamentação exclusiva até os seis meses de idade. Os dados foram submetidos aos testes qui-quadrado ou exato de Fisher, bem como modelos de regressão linear, considerando nível de significância de 5%. RESULTADOS: a paralisia cerebral foi a deficiência de maior ocorrência no estudo. As crianças do gênero masculino no grupo dos fenotipicamente normais receberam aleitamento materno exclusivo por um período maior de tempo e o grau de escolaridade das mães e as complicações no parto também foram um fator influenciador para a duração desta prática. CONCLUSÕES: o tempo do aleitamento exclusivo não diferiu entre ambos os grupos estudados. A ocorrência da amamentação exclusiva de maior prevalência foi observada no grupo dos fenotipicamente normais do gênero masculino havendo significância entre os gêneros no grupo dos fenotipicamente normais. Mas não é somente a condição do paciente que limita a prática do aleitamento materno exclusivo e sim um conjunto de fatores associados, como gênero no grupo dos fenotipicamente normais, o grau de escolaridade da mãe para o grupo dos com deficiência e as complicações no parto em ambos os grupos. .

PURPOSES: to evaluate the time of breastfeeding and identify possible interfering factors in disables and phenotypically normal children. METHODS: ninety-nine (99) disabled and phenotypically normal children from 1 to 4 years of age, of both genders, enrolled in and cared for at the Dental Care Centre for Disabled Persons and at the Association of Parents and Friends of Handicapped Persons ("Associação de Pais e Amigos dos Excepcionais - APAE") of Araçatuba, São Paulo, Brazil and at the Baby Clinic of the Araçatuba Campus Dental School, of the "Universidade Estadual Paulista "Júlio de Mesquita Filho" were included in the study. A questionnaire, specifically developed for this study was used, and answered by the respective mothers and/or caregivers. The dependent variable used was exclusive breastfeeding up to six months of age. Data were submitted to the chi-square or Exact Fisher test, and linear regression models, considering the level of significance of 5%. RESULTS: cerebral palsy was the disability that occurred most frequently in the study. Children of the male gender in the phenotypically normal group received exclusive breastfeeding for a longer period of time. The mothers' educational level and complications at birth were also factors influencing the duration of this practice. CONCLUSIONS: the time of exclusive breastfeeding did not differ between the two groups studied. The highest prevalence of exclusive breastfeeding was observed in the group of phenotypically normal children of the male gender, with significant difference between the genders in the phenotypically normal group. However, it is not only the patient's condition that limits the practice of exclusive breastfeeding, but the set of associated factors, such as gender in the phenotypically normal group, mother's educational level in the group with disability and complications at birth in both groups. .

Enteral nutrition feeding alters antioxidant activity in unstimulated whole saliva composition of patients with neurological disorders.

Patients with neurological disorders have an increased risk of oral and systemic diseases due to compromised oral hygiene. If patients lose the ability to swallow and chew food as a result of their disorder, enteral nutrition is often utilized. However, this type of feeding may modify salivary antioxidant defenses, resulting in increased oxidative damage and the emergence of various diseases. The aim of this study was to evaluate the effects of enteral nutrition on biochemical parameters in the unstimulated whole saliva composition of patients with neurological disorders. For this, enzymatic (superoxide dismutase - SOD; glutathione peroxidase - GPx) and non-enzymatic (uric acid; ferric ion reducing antioxidant power - FRAP) antioxidant activity, as well as a marker for oxidative damage (thiobarbituric acid reactive substances - TBARS) were analyzed. Unstimulated whole saliva was collected from 12 patients with neurological disorders and tube-feeding (tube-fed group - TFG), 15 patients with neurological disorders and normal feeding via the mouth (non-tube-fed group - NTFG), and 12 volunteers without neurological disorders (control group - CG). The daily oral hygiene procedures of TFG and NTFG patients were similar and dental care was provided monthly by the same institution's dentist. All patients exhibited adequate oral health conditions. The salivary levels of FRAP, uric acid, SOD, GPx, TBARS, and total protein were compared between studied groups. FRAP was increased (p<0.05) in the NTFG (4,651 ± 192.5 mmol/mL) and the TFG (4,743 ± 116.7 mmol/mL) when compared with the CG (1,844 ± 343.8 mmol/mL). GPx values were lower (p<0.05) in the NTGF (8.24 ± 1.09 mmol/min/mg) and the TFG (8.37 ± 1.60 mmol/min/mg) than in the CG (15.30 ± 2.61 mmol/min/mg). Uric acid in the TFG (1.57 ± 0.23 mg/dL) was significantly lower than in the NTFG (2.34 ± 0.20mg/dL) and the CG (3.49 ± 0.21 mg/dL). Protein was significantly lower in the TFG (5.35 ± 0.27 g/dL) than in the NTFG (7.22 ± 0.57 g/dL) and the CG (7.86 ± 0.54 g/dL). There was no difference in the salivary flow rate and SOD between groups. Enteral nutrition in patients with neurological disorders was associated with lower oxidative damage, resulting in increased salivary antioxidant capacity. These results emphasize the importance of oral care for this population to prevent oral and systemic diseases.

Evaluation of the biocompatibility of silicone gel implants - histomorphometric study.

CONFLICT OF INTEREST: NONE DECLARED Breast implants are medical devices that are used to augment breast size or to reconstruct the breast following mastectomy or to correct a congenital abnormality. Breast implants consist of a silicone outer shell and a filler (most commonly silicone gel or saline). Approximately 5 to 10 million women worldwide have breast implants. Histomorphometric study to evaluate the biological tissue compatibility of silicone implants suitable for plastic surgery and the adverse effects and risks of this material. Thirty Wistar white rats received subcutaneous implants and the revestiment of silicone gel Silimed ®®, and randomized into six groups of five animals each, according to the type of implanted material and the time of sacrifice. Eight areas of 60.11mm2 corresponding to the obtained surgical pieces were analyzed, counting mesenchymal cells, eosinophils, and foreign body giant cells, observing an acceptable biocompatibility in all implants, for subsequent statistical analysis by Tukey test. Silicone gel showed inflammation slightly greater than for other groups, with tissue reactions varying from light to moderate, whose result was the formation of a fibrous capsule around the material, recognized by the organism as a foreign body. Despite frequent local complications and adverse outcomes, this research showed that the silicone and top layer presented an acceptable chronic inflammatory reaction, which did not significantly differ from the control group. In general, it is possible to affirm that silicone gel had acceptable levels of biocompatibility, confirmed the rare presence of foreign body giant cells, and when of the rupture, formed a fibrous capsule around the material, separating the material of the organism.

Efeito de diferentes gomas de mascar sobre o pH salivar de crianças / Effect of different chewing gum brands on the salivary pH of children

Objetivo: avaliar o efeito de diferentes gomas de mascar sobre o pH salivar de crianças em dentadura decídua.Métodos: foram selecionadas 40 crianças e divididas em quatro grupos: controle (sem goma de mascar), goma de mascar sem açúcar, goma demascar com fosfopeptídeo de caseína û fosfato de cálcio amorfo e goma de mascar com xilitol. Após a escovação dentária supervisionada para estabilização do pH bucal foi realizada a primeira coleta de saliva. Após isso, todas as crianças foram instruídas a beberem lentamente 100 mL de refrigerante à base de cola (Coca-Cola®), e após 10 min foi realizada nova coleta. Logo após, cada grupo fez uso de sua goma de mascar durante 5 min e a descartou, sendo coletada saliva novamente em intervalos de 5, 10 e 15 min após o início do uso da goma. Os métodos utilizados para leitura do pH salivar foram fitas colorimétricas e pH-metro digital. O tratamento estatístico dos dados foi feito por meio da Análise de Variância (Anova) e teste de Tukey com nível de significância de 95%. Resultados: o uso de gomas de mascar acelerou a elevação do pH salivar em níveis bastante alcalinos após o consumo de bebida ácida, principalmente nos primeiros minutos. Os níveis mais elevados foram encontrados nos grupos que utilizaram gomas contendo xilitol e fosfopeptídeo de caseína û fosfato de cálcio amorfo. Conclusão: o uso de gomas de mascar após a ingestão de bebida ácida elevou o pH salivar, sendo que os grupos que utilizaram gomas com fosfopeptídeo de caseína û fosfato de cálcio amorfo e xilitol em sua composição apresentaram os melhores resultados...

Objective: To evaluate the effect of different chewing gum brands on the salivary pH of children with primary dentition. Method: Forty children were selected and assigned to four groups: control (no chewing gum); sugarless chewing gum; chewing gum with casein phosphopeptide-amorphous calcium phosphate; and chewing gum with xylitol. The first saliva collection was made after supervised tooth brushing for stabilization of the oral pH. Next, all children were instructed to drink slowly 100 mL of a cola-based soft drink (Coca-Cola®) and a new saliva collection was made 10 min later. Then, each group chewed on the chewing gum for 5 min and discarded it after this time. Saliva was collected again at 5, 10 and 15 min intervals after start using the chewing gum. Measurement of salivary pH was made with colorimetric test papers and a digital pH-meter. Data were analyzed statistically by analysis of variance and Tukey?s test at a 5% significance level. Results: The use of chewing gums accelerated the increase of salivary pH to considerably alkaline levels after consumption of an acidic beverage, especially within the first minutes. The highest levels were obtained in the groups of children that used chewing gums containing xylitol and casein phosphopeptide-amorphous calcium phosphate. Conclusion: Children that used the chewing gums after ingestion of an acidic soft drink presented an increase in salivary pH, with the best results in the groups that used chewing gums containing casein phosphopeptide-amorphous calcium phosphate and xylitol...

Ameloblastic carcinoma of the maxilla: A case report.

This study aims to present the clinical features and treatment of a case of maxillary ameloblastic carcinoma. Ameloblastic carcinoma is a rare malignant odontogenic carcinoma that has metastatic potential. Due to its rare incidence, there are few studies focusing on its radiological characteristics. When ameloblastic carcinoma demonstrates an aggressive appearance, it may be diagnosed as a malignant tumor; however, in cases showing a non-aggressive appearance, it is difficult to distinguish ameloblastic carcinoma from ameloblastoma. We report a case of ameloblastic carcinoma of the maxilla in a 59-year-old male patient, including the clinical signs, radiological images and pathological features. A partial area was surgically excised under local anesthesia and the material was sent to the Laboratory of Oral Pathology. The histological sections revealed a fragmented odontogenic tumor of epithelial origin, consisting of solid parenchyma and also revealed basal cells resembling ameloblasts, occasionally arranged in palisades. Certain parts of the architecture resembled that of an ameloblastoma; however, the cytology of other areas confirmed the diagnosis of ameloblastic carcinoma of the maxilla. The patient was scheduled for definitive surgery, including a right maxillectomy and radiotherapy. The patient was followed up every 3 months. After 2 years follow-up, there were no clinical or radiological signs of recurrence.

Displasia cemento-óssea florida: relato de caso / Florid cemento-osseous dysplasia: case report

Objetivo: Os autores relatam um caso clínico de Displasia Cemento-Óssea Florida em mulher negra, 71 anos, desdentada, portadora de prótese total, com áreas hipercompressivas refletindo reação inflamatória no rebordo alveolar inferior. Descrição do caso: O tecido mole das áreas mucosas de rebordo se mostrava tumefacto difusamente, sugerindo fibromatoses localizadas. Radiograficamente, áreas radiopacas regulares e difusas eram observadas ao longo dos ossos maxilares. Biópsia em uma dessas áreas evidenciou, à microscopia óptica, quadro histopatológico compatível com displasia cementária, o que possibilitou o diagnóstico final de displasia cemento óssea florida, chamada também de cementoma gigantiforme, apesar de não representar uma verdadeira neoplasia. Conclusão: Os autores consideram, ainda, que não há relação com alterações sistêmicas de natureza hormonal ou metabólica e que na proposição do diagnóstico definitivo concorrem as características clínicas, radiográficas e histopatológicas.

Aim: The authors describe a clinical case of Florid Cemento-Osseous Dysplasia in black woman, 71 years old, edentous, bearer of total prosthesis, with areas hipercompressives reflecting inflammatory reaction in the inferior alveolar edge. Case description: The soft tissue of the mucous areas of edge was shown diffuse tumescent, suggesting located fibromatoses. Regular and diffuse radiopac radiographic areas were observed along the bones maxillaries. Biopsy in one of those areas evidenced, to the optical microscopy, histopathological images compatible with cementous dysplasia, what made possible the final diagnosis of Florid Cemento-Osseous Dysplasia, also called gigantiform cementoma, in spite of not representing a true neoplasm. Conclusion: The authors consider also that there is no relation with systemic hormonal or metabolic and the proposition that the definitive diagnosis is based in the clinical, radiographic and histopathologic features.

Functional activity of neutrophils and systemic inflammatory response of Down’s syndrome patients with periodontal disease

Periodontal disease (PD) is characterized as an inflammatory process that compromises the support and protection of the periodontium. Patients with Down’s syndrome (DS) are prone to develop PD. Neutrophils (NE) are the first line of defense against infection and their absence sets the stage for disease. Aim: To compare the activity and function of NE in the peripheral blood from DS patients with and without PD, assisted at the Center for Dental Assistance to Patients with Special Needs affiliated with the School of Dentistry of Araçatuba, Brazil. Methods: Purified NE were collected from peripheral blood of 22 DS patients. NE were used to detect the 5-lypoxigenase (5-LO) expression by RT-PCR. Plasma from peripheral blood was collected to measure tumor necrosis factor-a (TNF-a) and interleukin-8 (IL-8) by ELISA and nitrite (NO3) using a Griess assay. Results: Data analysis demonstrated that DS patients with PD present high levels of TNF-a and IL-8 when compared with DS patients without PD. However, there was no statistically significant difference in the levels of NO3 production between the groups. The levels of the inflammatory mediator 5-LO expression increased in DS patients with PD. Conclusions: According with these results, it was concluded that TNF-a and IL-8 are produced by DS patients with PD. Furthermore, DS patients with PD presented high levels of 5-LO expression, suggesting the presence of leukotriene B4 (LTB4) in PD, thus demonstrating that the changes in NE function due to the elevation of inflammatory mediators contribute to PD.

Salivary alpha amylase and cortisol levels in children with global developmental delay and their relation with the expectation of dental care and behavior during the intervention.

The purpose of this study was to analyze the alpha-amylase (sAA) and cortisol levels in children with Global developmental delay (GDD) before and after dental treatment and its association with the children's behavior during treatment. The morning salivary cortisol levels and activity of sAA of 33 children with GDD were evaluated before and after dental treatment and were compared to 19 healthy children. The behavior of children with GDD during dental care was assessed by the Frankl scale. Children with GDD showed lower levels of sAA activity than healthy children, but this result was not significant. The salivary cortisol levels were similar between GDD and healthy children. GDD children showed increased levels of sAA (but not cortisol) prior to the dental treatment as compared to the post-treatment phase. GDD children who showed less favorable behavior during dental care had higher levels of sAA and salivary cortisol than GDD children with more favorable behavior, but only the sAA results were significant. In conclusion, GDD children show hyperactivity of the SNS-axis in anticipation of dental treatment which indicates the need for strategies to reduce their anxiety levels before and during dental care.

Association between bruxism, alcoholand tobacco use among brazilian students / Relação entre bruxismo e consumo de álcool e tabaco em estudantes brasileiros

Diferentes fatores que afetam o sistema nervoso central são considerados de risco para o bruxismo. Universitários não são imunes ao bruxismo, consumo de álcool e uso de tabaco apesar de sua formação e responsabilidade social. Avaliou-se a associação entre bruxismo, consumo de álcool e tabaco entre graduandos de Odontologia. Foram voluntários 180 estudantes (17-29 anos) da Faculdade de Odontologia de Araçatuba/ UNESP, divididos entre aqueles com e sem bruxismo, com base em critérios clínicos validados realizados por quatro examinadores com luz natural e espátula de madeira. Bruxismo foi registrado nas seguintes categorias: sem facetas de desgaste; facetas no esmalte; facetas na dentina; facetas em metade da coroa e facetas em mais de 2/ 3 da coroa. Auto-questionário validado para o consumo de álcool e tabaco, com 29 perguntas foi respondido pelos dois grupos. Teste T e Exato de Fischer foram aplicados. Bruxismo foi mais frequente entre tabagistas, tanto em homens (68,4%) como mulheres (56,8%). Entre os indivíduos com bruxismo, 82,6% relataram que gostariam de parar de fumar e aqueles que anteriormente tentaram (76,4%) sentiram-se mais estressados ao parar. O consumo de álcool também foi mais frequente no grupo com bruxismo (66,5% no gênero feminino e 73,5% no masculino). 88,4% relataram consumir álcool “para lidar com o estresse de forma adequada”. Resultados sugerem associação positiva entre bruxismo, consumo de álcool e tabagismo

The etiology of bruxism is not well defined. Different factors affecting the central nervous system are considered as risk factors for bruxism. Dental students are not immune to the bruxism, alcohol consumption and tobacco use, despite their training, knowledge of its effects and social responsibility. The purpose of this study was to evaluate the association between bruxism, alcohol consumption and tobacco use among Brazilian dental students. Participants were chosen among 180, 17-29 year-old students at the UNESP’s Dentistry School – Araçatuba Campus. They were divided into those with and without bruxism on the basis at validated clinical criteria. The clinical examinations were carried out by four standardized examiners (Intraexaminer and Interexaminer Unweighted kappa= 0.82, Weighted kappa= 0.89, respectively), in the clinic, with daylight and a tongue depressor. Bruxism was registered with the following categories: no wear facets, wear facets in enamel, dentine wear facets, facets wear half of the crown and wear facets more than 2/3 of the tooth crown. A self report validated questionnaire for alcohol consumption and tobacco use with 29 questions was completed by both groups. Fischer exact test and T-test were used and Odds Ratio and Confidence Interval was estimated. Bruxism was more frequent among cigarette smokers both in men (68.4%) and in women (56.8%). Among all respondents in this group, 82.6% reported that they would like to quit smoking and those who have tried previously to quit (76.4%) found it made them more stressed. Drinker was more frequent in the group with bruxism also (66.5% of the female and 73.5% of the male). 88.4% reported drinking alcohol because it “allows dealing with stress in an adequate way”. Results suggest a positive association between bruxism and alcohol consumption and tobacco use

Síndrome da ardência bucal, correlações fisiopatológicas, medicamentosas: revisão de literatura

A síndrome da Ardência Bucal (SAB) é uma condição onde a ausência de sinais encontrado na maioria dos casos, dificulta seu diagnóstico. Os objetivos desse trabalho são classificar os mecanismos fisiopatológicos da SAB, estabelecendo uma opção de tratamento

The syndrome of burning Bucal (SAB) is a condition where the absence of signs found in most cases, its diagnosis difficult. In order to classify the pathophysiology of SAB, and the search for their treatment, are the main goals of this work

Parafunctionalactivities in brazilian children and adolescent / Prevalência de hábitos parafuncionais em crianças e adolescentes brasileiros

O crescimento craniofacial é o resultado da interação de mecanismos genéticos, hormonais e neurológicos, influenciados pela ação do meio ambiente e da função. As variações das funções normais de respiração, mastigação, deglutição, sucção e fonação, podem, devido à sua interdependência morfofuncional com o crescimento da face, resultar em má oclusões, as quais exercem papel determinante na conformação óssea e neuromuscular do sistema estomatognático. A prevenção e interceptação dos hábitos parafuncionais é de fundamental importância para o desenvolvimento físico e emocional da criança. O propósito deste trabalho foi determinar a prevalência de hábitos parafuncionais em alunos do ensino fundamental do Colégio Ipê de Assis (Assis, SP). No presente estudo foi aplicado questionário proposto pelo Núcleo de Diagnóstico e Tratamento das DTMs da Faculdade de Odontologia de Araçatuba, Unesp. O universo e a amostra foram compostos pelos 80 alunos do ensino fundamental do Colégio Ipê de Assis (Assis, SP). A execução do projeto foi autorizada pelo Comitê de Ética em Pesquisa da Faculdade de Odontologia de Araçatuba/Unesp.Todos os responsáveis pelos alunos receberam instrução arespeito da pesquisa quanto à preservação de identidade e prestação de esclarecimentos em caso de dúvida. Ademais, foi solicitado que assinassem otermo de consentimento esclarecido, a fim de viabilizar a participação dos alunos. Os alunos (10 a 14 anos0 foram classificados em dois grupos: Grupo I – gênero feminino e Grupo II - gênero masculino. Além disso, os Grupos I e II foram classificados segundo as séries em curso e os hábitos bucais apresentados. Entre os hábitos parafuncionais detectados, mascar chiclete foi o hábito mais prevalente para ambos os grupos (72,2% no Grupo I e 78,5% no Grupo II) e em todos os anos, seguido de apoiar a mão no queixo (69,5% para o Grupo I e 67% para o Grupo II). Morder a língua foi o hábito menos prevalente no Grupo II e dormir de bruços no Grupo I. A alta...

The etiology of TMD in children and adolescents is considered multifactorial and has been related to parafunctional habits.The objective of this research was to determine the prevalence of parafunctional habits in elementary school students of “Colégio Ipê de Assis” (Assis, SP - Brazil). In the present research was administered questionnaire (15 questions) proposed by the Center for Diagnosis and Treatment of TMD, School of Dentistry of Araçatuba, UNESP. The sample was composed of 80 elementary school students of the “Colégio Ipê de Assis” (Assis, SP - Brazil). The project was approved by the Ethics Committee in Research of the School of Dentistry of Araçatuba/ UNESP. All parents and responsible of the students received instruction about the research and preservation of identity and provide clarification if in doubt. Beyond that, they were requested to sign the informed consent in order to facilitate the participation of students. Females comprised 47,5% and males 52,5%, with age ranging from 10 to 14. The students were classified into two groups as follows: Group I-female, Group II- male. In addition, brazilian students from Groups I and II were classified according to type of oral habits presented. All students presented a parafunctional habit. Among the parafunctional habits chewing gum was the most common in both groups (72.2%, Group I and 78.5%, Group II) followed by resting chin on hand for both genders (69,5% for Group I and 67% for Group II). Tongue biting (5%) was less founded in Group II and stomach sleeping in Group I. The results obtained show the necessity of carring out preventive programs. Beside, resources of Health should increase preventive treatments

Análise retrospectiva de 61 casos de paracoccidioidomicose diagnosticados na Faculdade De Odontologia de Araçatuba / UNESP / Retrospective analysis of 69 cases of paracoccidioidomycosis diagnosed in the Dental School of Araçatuba / UNESP

A paracoccidioidomicose é uma micose sistêmica, que exige tratamento prolongado, cuja maior prevalência concentra-se na América Latina, com diversas áreas endêmicas no Brasil. Este estudo teve como objetivo caracterizar os clientes portadores de paracoccidioidomicose cutaneomucosa através da análise de 61 exames histopatológicos de pacientes adultos com diagnóstico de paracoccidioidomicose cutâneo mucosa atendidos na Faculdade de Odontologia de Araçatuba, no período de janeiro de 1989 a dezembro de 2004. Observou-se que a doença ocorreu em 56 (91,81%) homens e 5 (8,19%) mulheres, sendo a raça branca mais prevalente (78,68%), na faixa etária de 40 a 59 anos (62,9%) e a profissão vinculada à agricultura em 17 pacientes (27,86%). Todos os casos apresentavam manifestações estomatológicas, sendo múltiplos sítios e os mais prevalentes a mucosa jugal (31,42%) e rebordo alveolar (17,14%). O cirurgião dentista, enquanto elemento essencial nos serviços de saúde deve conhecer as manifestações clínicas da paracocidioidomicose para realizar o diagnóstico precoce e consequentemente melhorar a qualidade de vida dos pacientes

Paracoccidioidomycosis is a systemic mycosis which requires prolonged treatment. It is highest prevalence in Latin America, with different endemic areas in Brazil. In this study the aim was to characterize clients suffering from mucocutaneous paracoccidioidomycosis by analysis of histopathological examinations of 61 adult patients diagnosed with mucocutaneous paracoccidioidomycosis treated at the Dental School of Araçatuba, from January 1989 to December 2004. It was observed that the disease occurred in 91.81% (56) men and 8.19% (5) women, more prevalent (78.68%) in whites, aged 40 to 59 years (62.9%) and the profession linked to agriculture in 17 patients (27.86%). All patients had oral manifestations, in multiple sites, but it was most prevalent in the oral mucosa (31.42%) and alveolar ridge (17.14%). The dentist as an integral member of the health services, must know the clinical manifestations of paracoccidioidomycosis to achieve early diagnosis and thereby to improve the quality of life of patients

Sinais e sintomas na Síndrome de Costen associada a desordens temporomandibulares: relato de caso clínico / Signs and symptoms in Costen’s Syndrome in association with TMD: report of clinic case

Definida como um conjunto de sinais e sintomas auditivos em pacientes portadores de DTM, a Síndrome de Costen é caracterizada por sensação de plenitude auricular, hipoacusia, zumbido, otalgia e vertigem com nistagmo. Herpes, glossodinia, neuralgia glossofaringeal e trismo também podem estar associados. A Síndrome de Costen parece ter predileção pelo sexo feminino e na quarta década de vida. O acompanhamento multiprofissional desses pacientes é imperativo no seu reconhecimento e no estabelecimento de terapêutica eficaz. Relatou-se caso clínico de paciente com Síndrome de Costen cujo tratamento consistiu na orientação sobre a etiologia da desordem e sessões semanais de acupuntura. As características clínicas que levaram ao diagnóstico e plano de tratamento, bem como a eficácia da acupuntura como terapêutica de suporte também foram discutidas

Costen’s syndrome is defined as a set of auditory signs and symptoms in patients with TMD. It is characterized by ear fullness, hearing loss, tinnitus, ear pain and vertigo with nystagmus.It has predilection for females and fourth decade of life. The multidisciplinary monitoring of these patients is imperative in its recognition and the establishment of effective therapy. In this paper we report a case of Costen’s Syndrome patient whose treatment consisted of advice on the etiology of the disorder and weekly sessions of acupuncture. The clinical features that led to the diagnosis and treatment plan, and the effectiveness of acupuncture as supportive therapy were also discussed

Biocompatibility evaluation of 3 facial silicone elastomers.

The failure of facial prostheses is caused by limitations in the properties of existing materials, especially the biocompatibility. This study aimed to evaluate the biocompatibility of maxillofacial silicones in subcutaneous tissue of rats. Thirty Wistar rats received subcutaneous implants of 3 maxillofacial silicone elastomers (LIM 6050, MDX 4-4210, and industrial Silastic 732 RTV). A histomorphometric evaluation was conducted to analyze the biocompatibility of the implants. Eight areas of 60.11 mm(2) from the surgical pieces were analyzed. Mesenchymal cells, eosinophils, and foreign-body giant cells were counted. Data were submitted to analysis of variance and Tukey test. Initially, all implanted materials exhibited an acceptable tissue inflammatory response, with tissue reactions varying from light to moderate. Afterward, a fibrous capsule around the silicone was observed. The silicones used in the current study presented biocompatibility and can be used for implantation in both medical and dental areas. Their prosthetic indication is conditioned to their physical properties. Solid silicone is easier to adapt and does not suffer apparent modifications inside the tissues.

Art in the inclusion of children with special needs in dentistry.

The purpose of this study was to report the use of art and its segments as a source for inclusion of the children with special needs in dentistry. The application of the Art in social therapy activities and workshops was divided in modules: Session of Socialization, Complementary Workshops of Art and Activities, aiming at the cultural anamnesis and artistic preferences of the 313 participants, prior to their dental care treatment at CAOE (Center of Odontological Assistance to patients with special needs) FOA Unesp. According to preference of the participants that answered the questionnaires, the music and the painting are the artistic segments that proved to be most helpful in the activities of inclusion and adaptation. The authors concluded that the use of art in the adaptation and environmental inclusion of the patient, prior to dental procedures is favorable and efficient.

Avaliação da biocompatibilidade de implantes de silicone gel em subcutâneo de ratos - estudo histomorfométrico / Evaluation of the biocompatibility of silicone gel implants on rat subcutaneous tissue - histomorphometric study

Objetivo: Avaliar histomorfometricamente a compatibilidade biológica tecidual de implantes de silicone indicados para cirurgia plástica. Métodos: Trinta ratos albinos Wistar foram implantados subcutaneamente com silicone gel, da marca Silimed®, e de seu revestimento, sendo distribuídos aleatoriamente em seis grupos de cinco animais cada, de acordo com o tipo de material implantado e data dos sacrifícios. Oito áreas de 60,11 mm2 correspondentes às peças cirúrgicas obtidas foram analisadas, contando-se as células mesenquimais, inflamatórias mononucleares, eosinófilos e as células gigantes do tipo corpo estranho, para posterior análise estatística pelo teste de Tukey. Resultados: O silicone gel apresentou processo inflamatório ligeiramente maior em relação aos outros grupos, com reações tissulares de intensidade leve a moderada, cujo resultado foi uma cápsula fibrosa contornando o material que foi reconhecido pelo organismo como corpo estranho. Conclusão: Pode-se afirmar que o silicone gel apresentou níveis aceitáveis de biocompatibilidade, confirmada pela rara presença de células gigantes do tipo corpo estranho, e que, quando rompido, forma-se uma cápsula fibrosa ao redor do material, funcionando como barreira biológica e separando-o do organismo.

Fibroma Ossificante Periférico: Relato de Caso / Peripheral Ossifying Fibroma: Case Report

O Fibroma Ossificante Periférico é uma lesão proliferativa reacional, não neoplásica, de crescimento lento, que pode produzir recidiva após exérese. Sua etiologia é incerta, mas está associado a fatores irritantes locais, e é encontrado, na maioria das vezes, na região anterior de maxila. Clinicamente, caracteriza-se por um aumento volumétrico assintomático, que pode determinar, com o tempo, assimetria facial. O objetivo deste trabalho é descrever um caso de Fibroma Ossificante Periférico em paciente de 40 anos, sexo feminino, com lesão exofitica em maxila, atípico por suas grandes dimensões e com história de 3 recidivas, levando à assimetria facial. Foi submetida à cirurgia de remoção da lesão juntamente com os prováveis fatores irritantes, sendo o diagnóstico anatomopatológico de Fibroma Ossificante Periférico. Conclui-se que é de fundamental importância a remoção completa da lesão para minimizar a tendência à recidiva, incluindo o periósteo subjacente e o ligamento periodontal, além dos prováveis fatores causais.

The Peripheral ossifying fibroma is a reactive proliferative lesion, non neoplastic, slow growth, which can produce recurrence after removal. It´s etiology is uncertain, but is associated with local irritants, and is found mostly in the anterior maxilla. Clinically it is characterized by an asymptomatic increase in volume, which may, over time, facial asymmetry. The aim of this paper is to describe a case of peripheral ossifying fibroma in a patient 40, female, exophytic lesion in the jaw, unusual for its large dimensions and with a history of three recurrences, leading to facial asymmetry. She underwent surgery to remove the lesion along with the likely irritants, and the pathological diagnosis of peripheral ossifying fibroma. We conclude that it is fundamentally important for complete removal of the lesion to reduce the tendency to relapse, including the periosteum and the periodontal ligament, in addition to possible causes.

Perfil epidemiológico dos participantes do programa de diagnóstico e prevenção do câncer de boca em Mato Grosso / Epidemiologic profile of participants in the program for the diagnosis and prevention of oral cancer in Mato Grosso

Objetivo: Conhecer o perfil dos participantes do programa de diagnóstico e prevenção do câncer de boca em Mato Grosso, nos anos de 2008 e 2009. Materiais e Métodos: Foram analisadas as fichas individuais dos pacientes atendidos no programa de diagnóstico e prevenção do câncer de boca em Mato Grosso no período de 2008 a 2009. Resultados: Foram analisadas 1.293 fichas, com predomínio de pacientes do sexo feminino (60%) e com faixa etária de maior participação de 10-19 anos (20%). As doenças pré-existentes relatadas somaram 302 casos registrados. Foram encontradas 292 variações da normalidade. No período estudado, 25 participantes foram encaminhados para realização de citologia esfoliativa e 133 para biópsia, por apresentarem lesões bucais com suspeita de malignidade. Conclusão: As campanhas para orientação e prevenção do câncer bucal são importantes e devem ser estendidas a toda população do Estado de Mato Grosso, tanto pela UNIVAG - Centro Universitário, como por outras entidades e instituições de saúde.

Art in the inclusion of children with special needs in dentistry / A arte na inclusão da criança especial na odontologia

The purpose of this study was to report the use of art and its segments as a source for inclusion of the children with special needs in dentistry. The application of the Art in social therapy activities and workshops was divided in modules: Session of Socialization, Complementary Workshops of Art and Activities, aiming at the cultural anamnesis and artistic preferences of the 313 participants, prior to their dental care treatment at CAOE (Center of Odontological Assistance to patients with special needs) FOA Unesp. According to preference of the participants that answered the questionnaires, the music and the painting are the artistic segments that proved to be most helpful in the activities of inclusion and adaptation. The authors concluded that the use of art in the adaptation and environmental inclusion of the patient, prior to dental procedures is favorable and efficient.

A proposta deste estudo é relatar a utilização da arte e seus segmentos, como recurso para inclusão da criança portadora de necessidades especiais ao ambiente odontológico. Foi utilizado como método a aplicação da arte em atividades de socioterapia e oficinas, divididas em módulos: sessão de socialização, oficinas de arte e atividades complementares, visando à elaboração de uma anamnese cultural por meio de questionários e a obtenção das preferências artísticas dos 313 participantes, previamente às suas assistências odontológicas no CAOE (Centro de Assistência Odontológica a Portadores de Necessidades Especiais) FOA/Unesp. De acordo com os questionários respondidos, a música e a pintura, segundo a preferência dos participantes, são os segmentos artísticos que mais auxiliam nas atividades de inclusão e adaptação. Concluímos que a utilização da arte na adaptação e inclusão ambiental do paciente, previamente à assistência odontológica, é favorável e eficaz.