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1.
Rev. Asoc. Odontol. Argent ; 112(2): 1120833, mayo-ago.2024. ilus
Article in Spanish | LILACS-Express | LILACS | ID: biblio-1566803

ABSTRACT

Objetivo: La gingivitis espongiótica es una patología benigna poco común y una entidad clínica patológica poco frecuente que los odontólogos pueden observar durante la atención odontológica. Es importante conocer la misma para poder diagnosticarla adecuadamente, describir sus características clínicas y elaborar un plan para su tratamiento. El objetivo de este artículo es presentar un caso clínico de esta patología poco conocida, describir sus características y su manejo clínico. Caso clínico: Un niño de 7 años que ingresó derivado por su odontólogo a la cátedra de Estomatología de la Facultad de Odontología de la Universidad Nacional de Córdoba, Argentina, presentaba en la encía libre e insertada del maxilar superior una lesión con ausencia de sintomatología y evolución crónica, benigna y con cambios estéticos notorios. Se deriva a la cátedra de Periodoncia para realizar un tratamiento interdisciplinario. Tuvo una respuesta favorable al tratamiento de la lesión, y se realizó un seguimiento periódico de la misma evitando la técnica quirúrgica convencional para su tratamiento.(AU)


Aim: Spongiotic gingivitis is a rare benign pathology and a rare clinical pathological entity that dentists can observe during dental care. It is important to know it to be able to properly diagnose it, describe its clinical characteristics and develop a plan for its treatment. The aim of this article is to present a clinical case of this little-known pathology and describe its characteristics as well as its clinical management. Clinical case: A 7-yeard-old child who was referred by his dentist to the Department of Stomatology of the Faculty of Dentistry of the National University of Córdoba, Argentina, presented a lesion in the free and inserted gingiva of the upper jaw, with absence of symptoms and chronic, benign evolution with notable aesthetic changes. He is referred to the Periodontics department to perform interdisciplinary treatment. He had a favorable response to the treatment of the lesion, and a periodic follow-up was carried out, avoiding the conventional surgical technique for its treatment.(AU)

2.
Oral Maxillofac Surg ; 28(3): 1423-1429, 2024 Sep.
Article in English | MEDLINE | ID: mdl-38822949

ABSTRACT

We report a case of difficult-to-control mycosis fungoides (MF), where the role of the dental surgeon was crucial for the control and prognosis of the disease. A 62-year-old female patient diagnosed with MF had a previous record of red patches and small raised bumps on the face, along with a cancerous growth in the cervical and vulvar region. The patient was initially treated with methotrexate and local radiotherapy without resolution. Chemotherapy with cyclophosphamide, doxorubicin, vincristine, and prednisone was then started (CHOP protocol). The dental team of a reference hospital was consulted to evaluate swelling in the anterior region of the palate, which had been developing for two months, reporting discomfort when eating. The role of the dentistry team was fundamental in the differential diagnosis of oral lesions with dental infections, second neoplasia, or even a new site of disease manifestation, in addition to controlling mucosal changes resulting from chemotherapy. After ruling out dental infection, the dentistry team performed a lesion biopsy to confirm the diagnosis. The histopathological and immunohistochemical analysis showed atypical lymphoid infiltration of T cells (CD3+/CD4+/CD7-/CD8-), coexpression of CD25, and presence of CD30 cells, corresponding to the finding for MF. Identifying CD30 + allowed for a new chemotherapy protocol with brentuximab vedotin (BV) combined with gemcitabine. This protocol effectively controlled MF, which previous protocols had failed to do. The diagnosis by the dental team was essential for therapeutic change and improvement of the patient's clinical condition without the need for invasive medical procedures.


Subject(s)
Antineoplastic Combined Chemotherapy Protocols , Mycosis Fungoides , Humans , Female , Middle Aged , Mycosis Fungoides/pathology , Mycosis Fungoides/drug therapy , Mycosis Fungoides/therapy , Antineoplastic Combined Chemotherapy Protocols/therapeutic use , Skin Neoplasms/pathology , Skin Neoplasms/drug therapy , Doxorubicin/therapeutic use , Brentuximab Vedotin/therapeutic use , Vincristine/therapeutic use , Prednisone/therapeutic use , Cyclophosphamide/therapeutic use , Patient Care Team , Diagnosis, Differential , Palatal Neoplasms/pathology , Palatal Neoplasms/drug therapy
3.
BMJ Case Rep ; 17(6)2024 Jun 25.
Article in English | MEDLINE | ID: mdl-38925675

ABSTRACT

Soft tissue deficiency in a tooth extraction site in the aesthetic area is a common and challenging clinical situation. This case report demonstrates the successful treatment of extensive gingival recession and buccal bone dehiscence associated with a hopeless tooth. Initially, a connective tissue graft was used to cover the root and thicken the soft tissue. After 2 months, the tooth was extracted, an implant was immediately placed, and a temporary restoration was installed. After 3 months, the soft tissue exhibited a natural and harmonious architecture. A custom zirconia abutment and crown were then fabricated and placed. At the 4-year follow-up, the peri-implant tissue displayed satisfactory aesthetics, with a well-structured buccal bone plate and healthy peri-implant indicators. This two-stage approach, addressing gingival recession first and proceeding with immediate implant placement after soft tissue healing, proved to be a safe and effective method with stable long-term results.


Subject(s)
Esthetics, Dental , Gingival Recession , Humans , Gingival Recession/surgery , Gingival Recession/etiology , Female , Follow-Up Studies , Crowns , Immediate Dental Implant Loading/methods , Tooth Extraction , Male , Dental Implants, Single-Tooth , Adult , Connective Tissue/transplantation , Treatment Outcome , Middle Aged
4.
Head Neck Pathol ; 18(1): 46, 2024 Jun 17.
Article in English | MEDLINE | ID: mdl-38884770

ABSTRACT

Phleboliths are reported as calcifications that occur in vascular malformations, associated with changes in blood flow dynamics, thrombus formation and subsequent calcifications. Radiological examination, such as cone beam computed tomography (CBCT) could help in demonstrating the presence of a calcifiied mass. A 45-year-old male was referred to our service with an asymptomatic nodular purplish lesion located on the ventrolateral tongue. Within the lesion, a stony mass was also evident on palpation. A digital dental radiograph demonstrated two circumscribed radiopaque structures. Phleboliths associated with vascular malformation was the main diagnostic hypothesis. The patient underwent a sclerotherapy protocol allowing surgical accessibility to the area. Phlebolyts were surgically removed using electrocoagulation. Histopathological examination revealed phleboliths in the context of a vascular malformation with intense fibrosis.


Subject(s)
Calcinosis , Humans , Male , Middle Aged , Calcinosis/pathology , Vascular Malformations/pathology , Tongue Diseases/pathology
6.
BMJ Case Rep ; 17(5)2024 May 15.
Article in English | MEDLINE | ID: mdl-38749520

ABSTRACT

This case report focuses on the replacement of ceramic laminate veneers with suboptimal marginal fit and design, employing a digital workflow and CAD-CAM technology. The patient, a woman in her 30s, expressed concerns about the appearance and hygiene challenges of her existing veneers. A comprehensive assessment, including clinical examination, facial photographs and intraoral scanning, was conducted. Utilising CAD software, facial photographs and 3D models merged to create a digital wax-up, crucial in designing suitable veneers and addressing issues like overcontouring and a poor emergence profile. Following the removal of old veneers, a mock-up was performed and approved. Preparations ensured space for restorations with well-defined margins. The final restorations, milled with Leucite-reinforced vitreous ceramic, were cemented. At the 1 year follow-up, improved aesthetics, gingival health and functional restorations were observed. This report highlights the efficacy of digital workflows in achieving consistent and aesthetically pleasing outcomes in ceramic laminate veneer replacement.


Subject(s)
Ceramics , Computer-Aided Design , Dental Veneers , Workflow , Humans , Female , Adult , Esthetics, Dental , Dental Prosthesis Design/methods , Dental Porcelain
7.
J Oral Pathol Med ; 53(6): 358-365, 2024 Jul.
Article in English | MEDLINE | ID: mdl-38745372

ABSTRACT

BACKGROUND: To assess the influence of diagnosis and referral provided by specialists in oral diagnosis on disease-free survival and overall survival of patients with oral cancer. METHODS: A cohort of 282 patients with oral cancer treated at a regional cancer hospital from 1998 to 2016 was analyzed retrospectively. The referral register of the patients was analyzed and assigned to two groups: (1) those referred by oral diagnosis specialists (n = 129), or (2) those referred by nonspecialized professionals (n = 153). The cancer treatment evolution was assessed from the patients' records, and the outcome was registered concerning cancer recurrence and death. Sociodemographic and clinicopathological variables were explored as predictors of disease-free survival and overall survival. RESULTS: Group 1 exhibited lower T stages and a reduced incidence of regional and distant metastases. Surgery was performed in 75.2% of cases in Group 1, while in Group 2, the rate was 60.8%. Advanced T stages and regional metastases reduced the feasibility of surgery. Higher TNM stages and tumor recurrence were associated with decreased disease-free survival, while surgical intervention was a protective factor. Higher TNM stage had a negative impact on the overall survival. CONCLUSION: Specialized oral diagnosis did not directly impact disease-free survival and overall survival and did not influence the indication of surgery in oral cancer; however, it was associated with the diagnosis of early tumors and better prognosis.


Subject(s)
Mouth Neoplasms , Referral and Consultation , Humans , Mouth Neoplasms/pathology , Mouth Neoplasms/mortality , Mouth Neoplasms/therapy , Retrospective Studies , Male , Female , Middle Aged , Aged , Survival Rate , Neoplasm Staging , Neoplasm Recurrence, Local , Disease-Free Survival , Adult , Cohort Studies , Aged, 80 and over , Diagnosis, Oral
8.
BMJ Open ; 14(4): e079698, 2024 Apr 29.
Article in English | MEDLINE | ID: mdl-38684274

ABSTRACT

INTRODUCTION: Cleft lip and/or palate (CL+/-P) is a congenital malformation affecting the lip and palate, requiring long-term treatment due to potential associated complications. For this reason, it is important for the patient to be continuously monitored and followed for health promotion and prevention, as well as improving the quality of life. The aim of this scoping review protocol is to identify and map the available evidence regarding the application of digital resources and technologies in the monitoring and follow-up of patients with CL+/-P. METHODS AND ANALYSIS: This scoping review protocol follows the guidelines recommended by the Joanna Briggs Institute Manual, employing the PCC acronym (Patient/Concept/Context). Searches will be conducted, in May 2024, of PubMed, Web of Science, Scopus, Latin American and Caribbean Health Sciences Literature, ScienceDirect, as well as grey literature indexed in ProQuest Open Access Dissertations & Theses and Google Scholar. The review will consider all types of published studies, including grey literature, in English, Portuguese and Spanish languages, and will consider studies regardless of publication date. Exclusions will apply to studies that do not address the use of digital resources and technologies in CL+/-P monitoring and follow-up. ETHICS AND DISSEMINATION: As this is a scoping review, no ethics committee approval is required. After completion, the plan is to publish results in scientific journals on craniofacial malformations. STUDY REGISTRATION: Open Science Framework, DOI:10.17605/OSF.IO/Y6AG8.


Subject(s)
Cleft Lip , Cleft Palate , Humans , Research Design , Quality of Life , Telemedicine/methods , Review Literature as Topic
9.
Spec Care Dentist ; 2024 Apr 29.
Article in English | MEDLINE | ID: mdl-38685572

ABSTRACT

BACKGROUND: Nevoid basal cell carcinoma syndrome (NBCCS) is an autosomal dominant multisystemic disorder characterized by the presence of multiple odontogenic keratocysts (OKC), which are a hallmark feature of the syndrome. The treatment of these OKC poses challenges due to their high recurrence rates and the myriad of management options available. CASE REPORT: We describe here a case of NBCCS diagnosed in an 11-year-old girl who presented with multiple OKC in the jaws. Chest and cranial radiographs showed no abnormalities in the ribs and the cerebral falx, respectively. Cephalometric analysis indicated mandibular retrusion, a skeletal class II relationship, and a convex profile. The treatment approach involved a personalized strategy tailored for each cyst, comprising marsupialization followed by enucleation. This approach aimed to minimize surgical trauma and to reduce the risk of recurrence. The patient underwent regular follow-up appointments, demonstrating successful outcomes with no signs of recurrence or de novo OKC observed over a 32-month period. CONCLUSION: Clinicians should consider lesion characteristics and patient cooperation when determining treatment strategies for the optimization of outcomes for children and adolescents with NBCCS and multiple OKC.

10.
Oral Dis ; 30(7): 4174-4184, 2024 10.
Article in English | MEDLINE | ID: mdl-38380784

ABSTRACT

OBJECTIVE: This study aimed to explore perceived barriers to early diagnosis and management of oral cancer, as well as potential pathways for improvement in Latin America and the Caribbean (LAC). METHODS: This cross-sectional study used a self-administered online questionnaire created via the Research Electronic Data Capture platform. The survey was distributed to health professionals trained in Oral Medicine, Oral Pathology, Oral and Maxillofacial Surgery, and Dentists with clinical and academic expertise in oral potentially malignant disorder (OPMD) and oral cancer. Data obtained were systematically organized and analyzed descriptively using Microsoft Excel. RESULTS: Twenty-three professionals from 21 LAC countries participated. Major barriers included the limited implementation of OPMD and oral cancer control plans (17.4%), low compulsory reporting for OPMD (8.7%) and oral cancer (34.8%), unclear referral pathways for OPMD (34.8%) and oral cancer (43.5%), and a shortage of trained professionals (8.7%). Participants endorsed the utility of online education (100%) and telemedicine (91.3%). CONCLUSION: The survey highlights major perceived barriers to early diagnosis and management of OPMD and oral cancer in LAC, as well as potential avenues for improvement.


Subject(s)
Early Detection of Cancer , Mouth Neoplasms , Humans , Mouth Neoplasms/diagnosis , Mouth Neoplasms/therapy , Latin America , Cross-Sectional Studies , Caribbean Region , Surveys and Questionnaires , Telemedicine , Female , Health Services Accessibility , Male , Referral and Consultation , Adult , Attitude of Health Personnel
11.
J Dent Educ ; 88(2): 149-156, 2024 Feb.
Article in English | MEDLINE | ID: mdl-37904575

ABSTRACT

PURPOSE: Distance learning appears to be an attractive approach to continuing education courses, but one barrier is maintaining learner engagement throughout the course. The primary aim of this research was to evaluate the operational efficacy of a private Facebook™ group (FG) in serving as a support mechanism for distance learning courses, and its impact on three fundamental dimensions: the attrition rates of participants who did not complete the course (commonly referred to as dropout rates), the rates of course completion and approval, and the overall performance of the participants. METHODS: The participants of this quasi-experimental study comprised 159 dental students and 565 dentists enrolled in an e-learning course on oral mucosal lesion diagnosis. Prior to the initiation of the course, all participants were provided with the option to join a private FG. Within this group, moderators shared motivational messages and provided reminders concerning deadlines. Moreover, participants had the opportunity to engage in interactive discussions pertaining to topics related to the course. The course itself followed a self-guided format, employing the flipped-classroom methodology, spanning a total of 50 instructional hours. In order to assess the effectiveness of the course, participants were presented with photographs illustrating 30 oral lesions and were asked to propose diagnostic hypotheses both before and after the educational intervention (pre-tests and post-tests). RESULTS: Dentists who participated in the FG exhibited a significantly lower rate of discontinuation. As for dental students, their involvement in the group was positively associated with better performance, as determined by the percentage of accurate diagnostic hypotheses (a minimum of 70% correct responses was required for their approval in the course). CONCLUSIONS: Facebook™ demonstrates promise as a supplementary pedagogical tool in distance education courses. The interactive nature of the platform has the potential to alleviate the inherent challenges of remote learning.


Subject(s)
Education, Distance , Humans , Education, Distance/methods , Curriculum , Educational Measurement/methods , Learning , Social Networking
12.
Clin Rheumatol ; 43(1): 95-102, 2024 Jan.
Article in English | MEDLINE | ID: mdl-37507614

ABSTRACT

OBJECTIVE: To investigate the association among rheumatoid arthritis (RA), saliva production, and periodontal status. METHODS: An observational study was carried out on 103 subjects with RA and 103 without RA matched by sex and age. Rheumatologic evaluation included serological and clinical variables. A full mouth periodontal examination was performed according to the American Academy of Periodontology (1999). Resting and stimulated whole salivary flows were determined after spiting during 5 min. RESULTS: RA was associated with a higher prevalence of severe periodontitis (12% vs. 4%), with a marked reduction in resting and stimulated saliva production, and with a higher prevalence of resting (19% vs. 0%) and also stimulated hyposalivation (54% vs. 10%), compared with the control group. The differences in mean resting and stimulated salivary flows between RA and control groups persisted after the exclusion of people with hyposalivation. Saliva production was not associated with the presence or the severity of periodontal disease, or with the rheumatic clinical characteristics of the patients. CONCLUSIONS: More than 50% of people with RA have some degree of reduction in their salivary flows, an affection not associated with the periodontal status or rheumatic activity, which are the expression of the two related inflammatory diseases. The influence of autonomic dysfunction on hyposalivation can be considered. While periodontitis would be a disease-associated comorbidity of RA, poor saliva production should be included among the extra-articular manifestations. Key Points • Rheumatoid arthritis patients are more prone to suffer from periodontitis and/or hyposalivation. • Periodontal disease is more prevalent in people with rheumatoid arthritis and also an association was found between the severities of both pathologies. • More than 50% of people with RA would have some degree of reduction in their salivary flows, an affection not associated with the periodontal status or rheumatic activity. • Reduced saliva production in rheumatoid arthritis patients should be included among the extra-articular manifestations.


Subject(s)
Arthritis, Rheumatoid , Periodontal Diseases , Periodontitis , Xerostomia , Humans , Periodontal Diseases/complications , Periodontal Diseases/epidemiology , Periodontal Diseases/metabolism , Periodontitis/complications , Periodontitis/epidemiology , Xerostomia/epidemiology , Saliva/metabolism
13.
Braz. oral res. (Online) ; 38: e025, 2024. tab, graf
Article in English | LILACS-Express | LILACS, BBO - Dentistry | ID: biblio-1557355

ABSTRACT

Abstract Treatment of oral vascular anomalies (OVA) has focused on minimally invasive techniques rather than radical surgery. We investigated the efficacy and safety of diode laser using the photocoagulation technique in the management of OVA. Forty-seven subjects with OVA were treated with forced dehydration with induced photocoagulation (FDIP) using diode laser (808 nm/4.5 W). This series consisted mostly of male (63.8%) and non-white (63.8%) patients with a mean age of 57.4 years. Varices (91.5%), venous malformations (6.4%), and hemangiomas (2.1%) with a mean size of 7.1 (±4.9) mm were the conditions treated. OVA presented as a nodular lesion (63.8%) involving mainly the lower lip (46.8%). Pulsed laser mode was used as standard and the number of applications varied from one to four sessions, with the majority requiring only one (83%) FDIP session. Kaplan-Meier analysis revealed that complete clinical healing can occur on the 15th day (n=9/29.5%), followed by the 20th (n=6/45.5%), and 30th (n=7/70.5%) days. Postoperative edema was observed in 31 (66%) patients, and recurrence of the lesion occurred in two (4.2%). Based on the data on complete clinical healing, minimal patient discomfort, and satisfactory esthetic results, we can confirm that FDIP by diode laser is a promising candidate for the safe and efficacious treatment of OVA.

14.
Braz. j. oral sci ; 23: e242937, 2024. ilus
Article in English | LILACS, BBO - Dentistry | ID: biblio-1537092

ABSTRACT

Aim: This present study aims to compare the data from the Brazilian Unified Health System on the number of clinical consultations of Oral Medicine from the first 6 months (March-August 2020) of the COVID-19 pandemic in Brazil with the last 6 months (September-February 2020/2021) to update the data, verify the measures' effectiveness to return clinical activities in the following months. Methods: perform a literature review of recent articles that report the impact of the COVID-19 pandemic on Oral Medicine. Results: There was an increase in the number of Oral Medicine clinical consultations in the second half of the pandemic throughout Brazil (+64.2%), representing over 9,235 appointments in this period. Conclusion: measures for the return of health assistance and the practice of Telemedicine proved to be effective after the second period of the pandemic. Even so, strengthening security measures against the coronavirus is essential to ward off a new wave since the Omicron variant emerged in the country and, consequently, possible new lockdowns that might affect healthcare in Brazil


Subject(s)
Security Measures , Unified Health System , Dental Care , Oral Medicine , COVID-19
15.
Pesqui. bras. odontopediatria clín. integr ; 24: e210154, 2024. tab, graf
Article in English | LILACS, BBO - Dentistry | ID: biblio-1550591

ABSTRACT

ABSTRACT Objective: To evaluate questions concerning oral medicineand pharmacology-related specialties of asynchronous dental teleconsulting sessions of the Telehealth Brazil Networks Program. Material and Methods: Data were collected from secondary databases of asynchronous dental teleconsulting sessions of the telehealth centers of Minas Gerais from July 2015 to July 2017. The variables for dental underlying fields and the types of questions were evaluated. Descriptive analysis was performed with the SPSS v.22.0 program. Results: 3,920 teleconsulting sessions were referred to the telehealth centers of Minas Gerais during the study period. Regarding oral medicine-related questions (n=745), most (n=469; 62.95%) addressed diagnosis, whereas the underlying field questions mostly regarded fungal, viral, and bacterial infections (17.3%), biopsies (16.4%), developmental defects and dental abnormalities (9.9%), and soft tissue tumors (9.4%). Pharmacology-related questions (n=738) mostly addressed general approaches (n=672; 91.06%), and the most common questions were about underlying fields' prescriptions (44.7%), anesthetics (17.6%), adverse effects of medications and anesthetics (10.2%), and selection of anesthetics for patients with systemic conditions (9.8%). Conclusion: Most teleconsulting sessions regarded conditions or procedures common in primary health care and essential for diagnosis and treatment planning at all care levels, which suggests a need for more academic learning processes for healthcare professionals, especially in dentistry primary fields.


Subject(s)
Primary Health Care , Telemedicine/instrumentation , Oral Medicine , Education, Distance , Pharmacology , Brazil/epidemiology , Cross-Sectional Studies/methods , Remote Consultation
16.
Article in Spanish | LILACS-Express | LILACS | ID: biblio-1569847

ABSTRACT

Introducción: Los estomatólogos también tuvieron como principal misión luchar contra la COVID-19. Aunque en muchos países los servicios estomatológicos se detuvieron por la propagación de la enfermedad, existió atención de emergencia, preparada y basada en los protocolos de bioseguridad. Objetivo: Identificar las urgencias atendidas en la Clínica Universitaria de Especialidades Estomatológicas "Manuel Cedeño" de Bayamo en el primer cuatrimestre de 2021, durante la pandemia de COVID-19. Métodos: Se realizó un estudio observacional, descriptivo y de corte transversal entre los meses de enero y abril de 2021. El universo de estudio se constituyó por 2103 pacientes, incluidos todos en la investigación. Se estudiaron las variables grupos de edad, sexo, reparto según área de salud y urgencias estomatológicas. Resultados: Predominaron el grupo de 40-59 años con 36,52 % y el sexo femenino con 57,68 %. El 14,31 % y el 11,03 % de los pacientes atendidos en consulta de urgencias pertenecían a los repartos Ciro Redondo y Rosa La Bayamesa, respectivamente. Conclusiones: Las principales urgencias estomatológicas atendidas durante la pandemia fueron la caries dental, los abscesos alveolar agudo y crónico, y la hiperestesia dentinal.


Introduction: Stomatologists also had as their main mission to fight against COVID-19. Although in many countries stomatological services were stopped due to the spread of the disease, there was emergency care, prepared and based on biosafety protocols. Objective: To identify the emergencies treated at the Teaching Clinic for Stomatology Specialties "Manuel Cedeño" of Bayamo in the first four-month period of 2021 during the COVID-19 pandemic. Methods: An observational, descriptive and cross-sectional study was carried out between January and April 2021. The universe consisted of 2103 patients, all of whom were included in the study. The variables considered were age group, sex, distribution according to health area and stomatological emergencies. Results: The 40-59 years age group predominated with 36.52 % and the female sex with 57.68 %. 14.31 % and 11.03 % of the patients seen in emergency consultation belonged to the Ciro Redondo and Rosa La Bayamesa districts, respectively. Conclusions: The main stomatological emergencies attended during the pandemic were dental caries, acute and chronic alveolar abscess, and dentinal hyperesthesia.

17.
Arq. odontol ; 60: 93-101, 2024. ilus, tab
Article in English | LILACS, BBO - Dentistry | ID: biblio-1571230

ABSTRACT

Aim: The aim of this study was to draw a stomatological profile of elderly patients treated at the Stomatology Service of a referral hospital in the city of Belo Horizonte, Minas Gerais ­ Brazil.Methods: Information was collected on the diagnostic hypotheses and definitive diagnoses of the elderly (aged 60 to 98 years) treated at the service, from September 2014 to December 2017. Results: Medical records of 1388 patients were evaluated, and 281 different diagnostic hypotheses were found. For males, there was a higher prevalence in both diagnostic and definitive diagnoses for benign and malignant epithelial neoplasms; In females, there was a higher prevalence, also in the hypotheses and diagnostic definitions, of inflammatory fibrous hyperplasia, related to the use of removable prostheses. Conclusion: Thus, this study evidenced the importance of knowledge about the main alterations that affect the oral cavity of elderly patients, which allows better attention to this population, besides being a pioneering stomatological study in hospital units.


Subject(s)
Pathology, Oral , Public Health , Health of the Elderly , Oral Medicine , Geriatric Dentistry
18.
BMJ Open ; 13(9): e075084, 2023 09 19.
Article in English | MEDLINE | ID: mdl-37730405

ABSTRACT

INTRODUCTION: The objective is to investigate the effect of antimicrobial photodynamic therapy (aPDT) mediated by erythrosine and a blue light-emitting diode (LED) in the reduction of bacteria in dental biofilm. METHODS AND ANALYSIS: This clinical trial will be conducted with 30 patients who have biofilm, but without the presence of periodontal pockets, and who are being treated at the Dental Clinic of Universidade Metropolitana de Santos. A split-mouth model will be used (n=30), with group 1 control (conventional treatment) and group 2 (conventional treatment and aPDT). The bicarbonate jet will be used to remove dental biofilm in both groups. The treatment will be carried out in one session. aPDT will be performed before cleaning/prophylaxis, only in group 2. Participants will rinse with the photosensitiser erythrosine (diluted to 1 mM) for 1 min of pre-irradiation time, so that the drug can stain all the bacterial biofilm. Then, the D-2000 LED (DMC) will be applied, emitting at a wavelength of ʎ=470 nm, radiant power of 1000 mW, irradiance of 0.532 W/cm2 and radiant exposure of 63.8 J/cm2. Irradiation will be performed until the biofilm of the cervical region is illuminated for 2 min/point (4 cm2). The microbiological examination will be performed from samples of supragingival biofilm collected from the gingival sulcus. Collection will be performed in each experimental site before irradiation, immediately after the irradiation procedure and after the prophylaxis. Colony-forming units will be counted and the data will be submitted for statistical analysis for comparison of pretreatment and post-treatment results and between groups (conventional X aPDT). ETHICS AND DISSEMINATION: This study has been approved by the Ethics Committee of Universidade Metropolitana de Santos under process number 66984123.0.0000.5509. Results will be published in peer-reviewed journals and will be presented at conferences. TRIAL REGISTRATION NUMBER: NCT05805761.


Subject(s)
Anti-Infective Agents , Photochemotherapy , Humans , Erythrosine , Bacteria , Biofilms , Randomized Controlled Trials as Topic
19.
Gac. méd. espirit ; 25(2): [9], ago. 2023.
Article in Spanish | LILACS | ID: biblio-1514155

ABSTRACT

Fundamento: Las publicaciones científicas son importantes en el ámbito médico pues permiten la divulgación de las investigaciones científicas. Objetivo: Describir el comportamiento de las publicaciones científicas de los profesionales pertenecientes a la Clínica Universitaria de Especialidades Estomatológicas "Manuel Cedeño". Metodología: Se realizó un estudio descriptivo y retrospectivo, de tipo bibliométrico en la Clínica de Especialidades Estomatológicas "Manuel Cedeño", desde noviembre de 2016 hasta junio de 2021. Los indicadores bibliométricos estudiados fueron: cantidad de artículos publicados por año, revista de publicación, tipología de los artículos y temática investigada. Resultados: Se encontraron 29 artículos publicados, de ellos el 86.20 % fueron reportes originales. El año 2019 fue el de más publicaciones científicas. En la revista Multimed se publicó la mayor cantidad y la temática más abordada fue Ortodoncia con el 31.03 %. Conclusiones: Los informes originales predominaron, se publicaron trabajos en revistas cubanas y se abordaron varios temas; aun así, consideramos que la cantidad de artículos debe ser mayor y más diversa según tipología.


Background: Scientific publications are important in the medical field because they permit the divulgation of scientific research. Objective: To describe the behavior of scientific publications of the professionals belonging to the "Manuel Cedeño" University Clinic of Dental Specialties. Methodology: A descriptive and retrospective bibliometric study was conducted at the "Manuel Cedeño" University Clinic of Dental Specialties, from November 2016 to June 2021. The bibliometric indicators studied were: number of articles published by year, publication journal, article typology and subject researched. Results: A number of 29 published articles were found, out of which 86.20% were original reports. 2019 was the year with the highest number of scientific publications. The greatest number was published in the Multimed journal, and the subject most covered was Orthodontics, with 31.03%. Conclusions: The original reports predominated, articles were published in Cuban journals and various topics were covered; even so, we consider that the number of articles must be greater and more diverse according to typology.


Subject(s)
Bibliometrics , Oral Medicine , Bibliometrics , Scientific Publication Indicators , Scientific and Technical Publications , Periodical
20.
BMJ Open ; 13(7): e074620, 2023 07 19.
Article in English | MEDLINE | ID: mdl-37474183

ABSTRACT

OBJECTIVE: The objective of this review protocol is to map the available evidence regarding all the oral health surveys of Traditional Peoples and Communities (TPCs) in Brazil. METHODS AND ANALYSIS: The review question of the protocol is: 'What evidence is available on the oral health surveys of Traditional Peoples and Communities in Brazil?'. Observational studies that report oral health surveys of TPC in Brazil will be included. The protocol considered the Problem, Concept and Context strategy to guide data collection, as established by the Joanna Briggs Institute. The search strategy will consider Medical Subject Headings terms, synonyms and relevant free terms about epidemiological surveys in oral health and TPC in Brazil, with no limits to data, language, subject or search type, in the databases Medical Literature Analysis and Retrieval System Online (MEDLINE/PubMed), Literatura Latino-americana e do Caribe em Ciências da Saúde (LILACS), Scopus, Web of Science and Embase. Bibliographic searches will be updated until June 2023. The selection will be carried out by two independent, blinded reviewers, following the eligibility criteria, based on the title and abstract identified in the initial search. Potentially eligible studies will be fully read to confirm eligibility and collect relevant information. The categorisation of the studies will consider the author and year of publication, the traditional group studied, the study design, geographic location, age group, sample size, data collection method and the main oral health problem evaluated and its outcome. The data obtained and extracted will be presented in table format and text and presented using the visualisation of similarities method. ETHICS AND DISSEMINATION: The present study does not need ethical approval. The protocol title was registered in the Open Science Framework (DOI 10.17605/OSF.IO/BQ5J3). A final article will be prepared presenting the results of the scoping review, and will be submitted for publication in a peer-reviewed journal. The findings of this review will be presented at national conferences and scientific meetings.


Subject(s)
Academies and Institutes , Oral Health , Humans , Brazil/epidemiology , Health Surveys , Research Design , Review Literature as Topic
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