A successful approach to conrol burning mouth syndrome using matricaria recutita and cognitive therapy.

The burning mouth syndrome (BMS) has no specific clinical and laboratory signs. Its etiology is yet to be elucidated, but it is considered to be affected by multifactorial, psychological, and local and systemic factors. This condition is considered of great morbidity, and the main complaint of patients maybe associated with xerostomia, thirst, and altered taste. The present study aims to report two cases of BMS and to evaluate the outcome of cognitive therapy (CT) plus phytotherapy in the control of BMS. The patients were female, Caucasian, and aged between 58 and 69 years. The most BMS-affected anatomical parts were the lips and the tongue. In the clinical approach, oral and systemic evaluation, and disease management with CT plus chamomile tea were done. The patients were reassured, and their response to therapy one year after was found to be excellent despite few exacerbations in periods of great emotional stress. Thus, we conclude that psychological treatment is vital in the management of BMS, as CT, along with Matricaria recutita phytotherapy, displayed excellent results in the control of BMS. Key words:Anxiety, chamomile tea, xerostomia, psychosomatic.

Novas alternativas terapêuticas para prevenção do câncer labial com produtos à base de extratos naturais com potencial fotoprotetor: uma revisão de literatura

Objetivo: o presente trabalho realiza uma revisão da literaturaa respeito do potencial fotoprotetor de extratos naturaiscontra os efeitos deletérios da radiação solar, dandoênfase à carcinogênese oral e ressaltando os principaistipos de plantas fotoprotetoras nos cenários mundiale nacional. Revisão de literatura: atualmente os extratosde plantas vêm ganhando destaque em pesquisas científicaspor serem considerados uma fonte de fotoproteçãonatural. Vários estudos avaliaram a ação fotoprotetorade produtos naturais contra a radiação ultravioleta, comobjetivo de buscar novas opções de plantas medicinais,para evitar o desenvolvimento de doenças relacionadasà radiação ultravioleta. Alguns extratos representam umafonte segura e eficaz, com condições de contribuir positivamentena prevenção do câncer labial. Entretanto,este campo de estudo é amplo, e muitos biomas regionaiscom potencial ainda não foram amplamente estudados.Dessa forma, mais pesquisas experimentais e clínicassão necessárias para consolidar a ação de produtosnaturais na proteção contra o câncer labial e o câncer depele. Considerações finais: além dos benefícios fotoprotetoresencontrados em extratos de plantas, a utilizaçãode princípios ativos derivados de produtos naturais podegerar um relevante impacto social, uma vez que estimulaa economia da região, promovendo, assim, uma diferenciaçãono crescimento regional.

Actinic cheilitis: proposition and reproducibility of a clinical criterion.

OBJECTIVES/AIMS: The actinic cheilitis (AC) is a precancerous lip lesion seen as a consequence of chronic sun exposure. Clinically, the border between the lip's skin and the semimucosa could be blurred; in the more aggressive cases, leucoplakia and ulcers also represent its clinical feature. It seems that no clinical criterion is universally accepted for this disease yet. Therefore, this study was carried out to make a proposition of a clinical score to actinic cheilitis (Grade I starting from dryness of vermilion to endured ulcers representing Grade IV) and to assess its reproducibility. MATERIALS AND METHODS: Fifty subjects were assessed, most of whom were male, Caucasian farmers, with an average age of 46.12 (18-74) years. The obtained data were analysed by means of descriptive statistics and by Kappa test to assess the inter-examiners and the clinical Golden-Pattern concordance (95% CI). RESULTS: During calibration, 15 patients were examined three times a week by each examiner (4) until Kappa test observed k=0.8 or more. In the main experiment, the inter-examiner concordance was classified between good (k=0.779; P<0.05) and very good (k=0.925; P<0.05) from the 35 examined subjects. With the Golden-Pattern, it was considered very good (k=0.812; P<0.05 to k=0.925; P<0.05). DISCUSSION: Four examiners with different experiences could strongly suggest that after adequate calibration, it could be well applied by examiners with as much experience as a dental student. CONCLUSIONS: The authors concluded that the proposed classification was easily applied and had a very good reproducibility.