Therapeutic effects of andiroba (Carapa guianensis Aubl) oil, compared to low power laser, on oral mucositis in children underwent chemotherapy: A clinical study.

ETHNO-PHARMACOLOGICAL RELEVANCE: The Carapa guianensis Aubl, popularly known as andiroba, is a large tree of the Meliaceae family, commonly found in the Amazon region. The oil extracted from its seeds is recognized in traditional medicine and has high anti-inflammatory and analgesic potential, which are the basic prerequisites for a therapeutic agent that can be used in the treatment of oral mucositis (OM). Moreover, the aforementioned oil has antimicrobial, antiallergic, and parasiticidal actions and is effective in the management of cutaneous and muscular dysfunctions. AIM OF THE STUDY: To evaluate the therapeutic effects of andiroba gel (Carapa guianensis Aubl) on the symptomatology and evolution of OM in children with leukemia who underwent chemotherapy and to compare it to the effects of low power laser. MATERIALS AND METHODS: This randomized, double-blind clinical trial involved 60 patients of both genders with leukemia, with age ranging from six to twelve years. The patients were divided into two study groups: the andiroba group (n = 30) and the laser group (n = 30). The level of pain experienced by the patients was assessed using the Wong-Baker visual analog scale and the degree of severity of OM was assessed using a table, recommended by the World Health Organization, that depicts the degrees of severity of OM. The data obtained were analyzed using the Mann-Whitney test, with statistical significance indicated by a P value less than or equal to 0.05. RESULTS: A statistically significant reduction in the degree of OM was observed on the fourth, fifth, and sixth days and in the pain scores on the second, third, and fourth days in the andiroba group after the manifestation of OM, compared to the laser group. CONCLUSIONS: The use of andiroba oil effectively reduced the severity of OM and relieved pain, which resulted in a decrease in the severity of signs and symptoms in the patients in the andiroba group, compared to the laser group.

Cone-Beam Computed Tomography Findings in the Early Diagnosis of Calcified Atheromas.

PURPOSE: Computed tomograms of the mandibles of 285 patients with indications for dental implants were evaluated at a private clinic. MATERIALS AND METHODS: This study involved the evaluation of 285 cone-beam computed tomograms of patients 50 to 75 years of age who were referred to the clinic for the evaluation for implant placement images with visible C3 and C5 vertebrae that were obtained using the same I-Cat tomographic device (Imaging Sciences-Kavo, Hatfield, PA). Atheromas in the carotid space were visualized using paraxial images. RESULTS: Data were analyzed using Student t and χ2 tests, with a significance level of a P value less than or equal to .05. Atheromas in the carotid space were observed in 17.89% of patients; a significant difference in the incidence of atheromas was observed between men (24.27%) and women (14.29%; P = .034). However, no significant correlation was found between the frequency of occurrence of atheromas and the affected side of the carotid bifurcation (right or left) in women (P = .431) or men (P = .558). CONCLUSION: Based on these results, cone-beam computed tomography could be a useful tool for the diagnosis of atheroma.

Exodontia de terceiro molar ectópico no seio maxilar – relato de caso / Extraction of an ectopic third molar in the maxillary sinus – case report

Os dentes ectópicos não possuem etiologia definida e podem estar associados, ou não, a cistos dentígeros. Sua erupção ectópica ocorre de forma rara, em diferentes regiões da cavidade oral, tais como septo nasal, côndilo mandibular, processo coronoide, palato. Ocasionalmente, um dente pode erupcionar no seio maxilar e se apresentar com sintomas nasossinusais locais atribuídos à sinusite crônica. Diante do exposto, cabe ao cirurgião dentista ter conhecimento sobre a anatomia e técnicas cirúrgicas, a fim de realizar o planejamento cirúrgico seguro e efetivo, através do auxílio de exames radiográficos e de imagens evitando complicações e transtorno ao paciente. Este estudo tem como objetivo reportar um caso clínico raro, no qual foi realizada exodontia de um terceiro molar ectópico posicionado horizontalmente no interior do seio maxilar.

Ectopic teeth have no defined etiology, and may or may not be associated with dentigerous cysts. Its ectopic eruption occurs in rare form in different regions of the oral cavity, such as the nasal septum, mandibular condyle, coronoid process, palate. Occasionally, a tooth can erupt in the maxillary sinus and present local sinonasal symptoms attributed to chronic sinusitis. Given the above, it is up to the dentist to have knowledge about the anatomy and surgical techniques, in order to carry out a safe and effective surgical planning through the aid of radiographic images and avoiding complications and inconvenience to the patient. This study aimed to report a rare clinical case, in which was performed the extraction of an ectopic third molar horizontally positioned inside the maxillary sinus

Instalação de implante em alvéolo fresco – relato de caso / Installing fresh socket implant - case report

A Implantodontia vem evoluindo rapidamente buscando novas técnicas com a finalidade de tornar o implante uma opção mais segura e previsível dentro da Odontologia. Dentre as técnicas, está a instalação imediata de implantes em alvéolos de dentes recém-extraídos. Diversos estudos mostraram que a implantação imediata pode prover um índice de sucesso para osseointegração similar àquele obtido com implantes colocados em sítios com osso maduro, de 92,7% a 98%, apresentando como principais vantagens a estética, pela manutenção da crista óssea alveolar, manutenção dos tecidos gengivais, pela diminuição da reabsorção óssea do alvéolo dentário, menor custo e tempo de tratamento e a eliminação do segundo estágio cirúrgico. Esse artigo relata um caso que foi realizado a exodontia atraumática do elemento 22 com instalação imediata de um implante de corpo único Active Pilar® (Serson Implantes de 3,4 X 13 mm de comprimento), seguido da confecção de provisório imediato

Implantology is evolving rapidly, trying new techniques with the aim of making the implant more secure and predictable in Dentistry. Immediate installation of implants in the alveoli of freshly extracted teeth is one of these techniques. Several studies have shown that immediate placement can result on a successfull rate of osseointegration, similar to that obtained with implants placed insites with mature bone (92.7% to 98%). Its main advantages are aesthetics, maintenance of alveolar bone crest, maintenance of gingival tissues and decreased bone resorption of tooth socket, lower cost and shorter period of treatment, and the elimination of the second stage of treatment. This article reports a case in which it was held an atraumatic tooth extraction of element 22 with immediate installation of a single active implant body (Pilar®-Serson implantsof 3,4X 13 mm in length), followed by the manufacture immediate provisional

A Importância da avaliação do coagulograma em pacientes submetidos a procedimentos de extração dentária / The importance of the evaluation of coagulogram in patients submitted to procedures for denatl extraction

Objetivo: descrever a importância da avaliação do coagulograma em pacientes submetidos aprocedimentos de extração dentária. Método: foi realizada uma revisão de literatura em artigosnacionais e internacionais, monografias e revistas sobre o assunto. Considerações finais:pacientes com alterações na hemostasia podem ser submetidos a procedimentos odontológicosdesde que o cirurgião-dentista realize, adequadamente, uma boa anamnese associada àinterpretação correta do coagulograma

Objective: to describe the importance of evaluate the coagulogram in patients submitted todental extraction procedures. Method: it was performed a literature review in articles fromnational and international journals and monographs about the subject. Final Thoughts: patientswith hemostasis disturbs can be submitted to dental procedures if the surgeon-dentist perform anadequate clinical history associated with a correct interpretation of the coagulogram