Restoration of a malformed primary incisor using digital technology in a pediatric patient with congenital Zika virus syndrome: A case report.

Zika virus congenital syndrome (ZVCS) is a congenital viral infection resulting from the transmission of the Zika virus (ZV) to the fetus during pregnancy. This report describes a clinical case involving a 20-month-old female child with ZVCS, who presented with systemic changes related to the syndrome, such as microcephaly, arthrogryposis, ocular and auditory changes, and oral changes such as delayed dental eruption, ogival (high-arched) palate, short lip frenum, and altered morphology of a superior primary incisor. For esthetic and functional rehabilitation of the oral health of this child, an indirect composite resin restoration was performed using intraoral digital scanning technology. This case presents an accurate, rapid, and comfortable restorative treatment option that might result in excellent outcomes in children with ZVCS or similar syndromes with neurological impairment.

Radiographic evaluation of dental anomalies in patients with congenital Zika virus syndrome.

Numerous studies have reported abnormalities in the development of oral structures in congenital infections that also involve microcephaly. In this context, it is necessary to identify possible dental anomalies of shape and/or number in patients with Zika virus syndrome using radiography. The study population consisted of 35 children born with congenital ZIKV who underwent intraoral radiographic examinations for 24 consecutive months. A modified periapical technique was performed in an occlusal position for the maxilla and mandible. Categorical data were expressed as absolute and percentage frequencies and compared using Pearson's Chi-square test, with a 95% confidence interval. Of the entire sample, eight children (22.8%) had dental anomalies of shape and/or number, and four children (11.4%) presented with both anomalies, with agenesis of the upper and lower deciduous/permanent incisors and dental form modifications, such as microdontia and anomalous cusps. When we considered age and sex, there was no statistically significant difference between patients who presented with agenesis and those who presented with modifications. Children with congenital Zika virus syndrome were more likely to have dental modifications in the number and shape of their teeth, and it is essential to implement medium- to long-term monitoring to diagnose other possible alterations throughout the development of the mixed and permanent dentition, favoring their treatment.

Radiographic evaluation of dental anomalies in patients with congenital Zika virus syndrome

Abstract: Numerous studies have reported abnormalities in the development of oral structures in congenital infections that also involve microcephaly. In this context, it is necessary to identify possible dental anomalies of shape and/or number in patients with Zika virus syndrome using radiography. The study population consisted of 35 children born with congenital ZIKV who underwent intraoral radiographic examinations for 24 consecutive months. A modified periapical technique was performed in an occlusal position for the maxilla and mandible. Categorical data were expressed as absolute and percentage frequencies and compared using Pearson's Chi-square test, with a 95% confidence interval. Of the entire sample, eight children (22.8%) had dental anomalies of shape and/or number, and four children (11.4%) presented with both anomalies, with agenesis of the upper and lower deciduous/permanent incisors and dental form modifications, such as microdontia and anomalous cusps. When we considered age and sex, there was no statistically significant difference between patients who presented with agenesis and those who presented with modifications. Children with congenital Zika virus syndrome were more likely to have dental modifications in the number and shape of their teeth, and it is essential to implement medium- to long-term monitoring to diagnose other possible alterations throughout the development of the mixed and permanent dentition, favoring their treatment.

Espaço de promoção da saúde na graduação em Odontologia: (re)significando saberes e práticas na produção do cuidado / Health promotion space in undergraduate Dentistry courses: (re)signifying knowledge and practices in the care production

A promoção da saúde demanda que a prática da atenção à saúde transcenda os conceitos normativos da Medicina em suas expressões clínicas e/ou de saúde pública, precisando ser construída e reconstruída em reconhecimento da realidade das experiências de vida dos pacientes. Desse modo, o objetivo desse artigo é relatar a experiência de desenvolvimento de atividades de promoção de saúde e prevenção de doenças em um espaço compartilhado da Clínica Escola de Odontologia do Centro Universitário Christus, no período de 2015 a 2017. Os grupos de trabalhos foram formados por docentes, discentes e pacientes que eram atendidos na clínica. As ações realizadas foram pactuadas com os usuários no primeiro acesso à clínica, ao iniciar o atendimento do paciente, no âmbito da proposta de construção partilhada do plano de cuidado. Dentre as temáticas trabalhadas destacam-se diabetes e hipertensão, nutrição, saúde da mulher, saúde mental, disfunção temporomandibular, medicalização da vida e automedicação, sexualidade e infecções sexualmente transmissíveis, lesões orais, dores posturais, cuidados e prevenção de acidente vascular encefálico, meio ambiente, sustentabilidade, cárie e doença periodontal. O Espaço de Promoção da Saúde como estratégia metodológica desenvolvida na graduação em Odontologia tem propiciado uma formação acadêmica diferenciada, na qual os discentes e docentes sistematizam o planejamento, trabalham em equipe e promovem ações criativas, problematizadoras, participativas e interprofissionais, experienciando a vivência intersubjetiva com coletivos (AU).

Health promotion requires that the health care practice transcends the normative concepts of Medicine in its clinical and/or public health expressions, and needs to be constructed and reconstructed in recognition of the reality of patients' life experiences. Thus, the objective of this article is to report the experience of developing activities of health promotion and disease prevention in a shared space of the School of Clinical Dentistry of Christus University Center, from 2015 to 2017. The work groups were formed by teachers, students and patients who were assisted at the clinic. The actions carried out were agreed with the users in the first access to the clinic, when starting the patient care, within the framework of the proposal of shared construction of the care plan. Among the individuals studied are diabetes and hypertension, nutrition, women's health, mental health, temporomandibular disorder, medicalization of life and self-medication, sexuality and sexually transmitted infections, oral lesions, postural pain, care and prevention of stroke, environment, sustainability, caries and periodontal disease. The Health Promotion Space as a methodological strategy developed in the undergraduate degree in Dentistry has provided a differentiated academic training in which students and teachers systematize planning, work as a team and promote creative, problematizing, participatory and interprofessional actions, experiencing intersubjective experience with collectives (AU).