Elastic band causing exfoliation of the upper permanent central incisors

Objective. This study reports a case in which elastic band use culminated in the loss of the incisors. Case Report. An 11-year-old white girl was seen complaining of pain, with purulent discharge and severe tooth mobility. The bone destruction detected radiographically in the region, despite its single location and absence in posterior quadrants of the maxilla and/or mandible, was similar to that observed in Langerhans cell disease. To our surprise, an elastic band involving the midportion of the roots of the two upper central incisors was found during biopsy. The debris was removed and a metal wire was placed in permanent maxillary right and left incisors. The patient was followed up, but no improvement in tooth mobility was observed. Bone loss increased, and internal resorption and root exposure occurred, which culminated in the extraction of permanent maxillary right and left incisors. Conclusion. The present case highlights the fact that professionals sometimes are confronted by anamnestic reports never seen before.

Treatment of traumatic dental intrusion by surgical repositioning: clinical case report

The prevalence of dental trauma and its consequences are challenging. This article presents a clinical case of a 9-year-old female who was in a bicycling accident and had a dental intrusion of the left maxillary lateral incisor with extensive dislocation. In the emergency department, surgical repositioning of the intruded tooth and a splinting with steel wire and composite resin was performed and the soft-tissue lesions were sutured. Two weeks after the first visit, pulp necrosis was found and endodontic treatment of the intruded tooth was started with a calcium hydroxide dressing. Despite the traumatic nature of the dental injury, the result of treatment was favorable. After 3 years of follow-up, repair of the resorptions and no signs of ankylosis of the teeth involved were evident. Considering the patient's age and the extent of intrusion, it was concluded that surgical repositioning associated with adequate endodontic therapy was an effective alternative treatment for this case.

Estratégias de sustentabilidade na prática odontológica

Dentists have widely discussed environmental issues with a view to the implementation of sustainability strategies in dental practice. It is unacceptable the practice of dentistry today as merely the solution of dental problems. The Dentist has a social responsibility to incorporate into your daily work concrete actions to reduce the impact of its production process. The purpose of this study is to characterize the development and application of performanceoriented model of social responsibility in dental practice, built to preserve the environmental cause in dentistry in order to trace change scenario that allows the environmental management without compromising the quality of services offered.

Publicações da revista odontológica de Araçatuba e sua importância na área odontológica

The Araçatuba Dental Journal was created with the purpose of disseminating scientific papers produced in universities of São Paulo state and from other localizations in Brazil. The aim of this study was to analyze and quantify the papers published in the Araçatuba Dental Journal from 2001 to 2011. Twenty two online editions were studied. A higher number of scientific studies (44,54%) was found compared to literature reviews (27,73%) and case reports (27,73%). The Araçatuba Dental School (UNESP) was the instituition that most published papers in the journal (44,12%). It can be concluded that regardless the analyzation process, the mentioned journal provides to the readers the opportunity to update their knowledge in dentistry.

Sistemas de retenção O'ring e barra-clipe em overdenture mandibular

The dissatisfaction of the treatment with mandibular complete dentures in edentulous patients has been a constant problem in Dentistry. Often, the absence of stability and retention, resultants of a physiologic condition and alveolar ridge resorption, bring reduction of chewing force, speech problems and social life interference. In these cases, the rehabilitation over osseointegrated implants can be an effective and safe alternative of treatment. When it is not possible to put implants in appropriate number and disposition, it is necessary to make a simple and low costing prosthetic planning, which makes resurge the overdentures. Various implant supported attachment systems for overdentures have been developed in the dental market. Thus, intending to facilitate the professional choice, this study review the literature about attachment systems O’ring and bar- clip in its following aspect: retention level, stress distribution, hygiene complications and patient satisfaction.

Odontologia adesiva atual: uma revisão de literatura

Over the decades, there was an evolution in dentistry, specifically in filling technique, and Buonocore (1955) has been the introducer of Adhesive Era. Thus, this paper aims to review the literature about the current adhesive systems. Was performed a literature review about the 5th and 6th adhesive system generations. The titles and abstracts of published articles were analyzed in PubMed database over the past 5 years. However, there are still different views about the technique used, therefore, because the diversity of these materials, it is impossible to highlight one that presents the best efficiency in all situations, being the responsibility of the professional the knowledge of the techniques and clinical applicability of each material.

Visão contemporânea do uso de implantes de conexão interna tipo cone morse

The Morse Taper implant system, developed from its introduction in engineering, has become increasingly effective for use in dentistry. However, other systems, main external hexagon type, have been used more frequently today. Current studies have been reported the positive features of the Morse taper system and even emphasized as ideal within the systems used in implantology. Unfortunately, some professional duty by not knowing this system, or even prefer hexagon type system by decreased cost of components, have refused to use it. Thus, this study was aimed to perform a brief review of the Morse taper system, emphasizing its main points of interest in dentistry, in an attempt to familiarize the professionals to at least learn more about this system that has the prospect to become the leading system implants used in dentistry in the coming years. It is concluded that this system of dental implants is favorable showing predictability and success.

Odontologia baseada em evidências: otimizando a prática e a pesquisa

Clinical decisions in dentistry are often based on the knowledge obtained during graduation, clinical experience, information shared with colleagues and professor, textbooks, seminars, conferences and continuing education courses. However, it is necessary to know if this information is derived from scientifically validated researches since too much information may complicate this process. Initially in medicine and later in other health areas a method which enables a critical evaluation of scientific papers related to a specific issue and also, whenever it is possible, an evaluation of the results by meta-analysis,was developed by Cochrane in order to reduce the bias towards all information obtained. The aim of this work is to present some aspects of the Evidence Based Dentistry (EBD) and to show how this methodology can be used to better substantiate scientifically the clinical decision of the dentist and improve researches design with scientific validity. The paper discusses editorial trends focused on the EBD, shows the differences between a systematic and a conventional review, describes data about Cochrane and the advantages of scientific evidence synthesis and the implications of EBD for clinical practice and research as well as recommendation grades and evidence levels of general scientific studies.

Magnet-retained facial prosthesis combined with maxillary obturator

Prosthetic rehabilitation of the midfacial defects has always perplexed prosthodontists. These defects lead to functional and esthetic deficiencies. The purpose of this clinical case report was the presentation of the prosthetic rehabilitation of an extraoral-intraoral defect using two-piece prosthesis magnetically connected. This prosthesis has dramatically improved the patient’s speech, mastication, swallowing, and esthetic.

Composite resin susceptibility to red wine staining after water sorption

Color stability of restorative materials is essential for longevity of esthetic composite restoration over time. The aim of this investigation was assess the effect of prior water immersion on the color stability of a composite resin to red wine staining. Seventy disccshaped specimens (6mm x 1.5mm) were carried out and randomized in 7 groups (n = 10), according to distilled water immersion time at 0 (control), 24, 48, 72,120,192, and 240 h. Baseline color was measured according to the ciel*a*b* system using a reflection spectrophotometer(uvc2450, shimadzu).After that, the specimens were storage in red wine for 7 days. Color difference (∆e) after aging was calculated based on the color coordinates before(baseline) and after storage period.Data were subjected to onecway anova(alpha=0.05).The different times of immersion in.Water before to the red wine storage showed similar behavior on the color stability, without statistical difference compared to control group, immersed directly in the wine(p=0.7057).The previous water uptake of composite resin evaluated did not decrease the susceptibility to red wine staining.

Dental students familiarity with the implications of using local anesthetics and dental materials

Coordenação de Aperfeiçoamento de Pessoal de Nível Superior (CAPES)

O conceito de saúde geral e bucal na visão dos cuidadores de idosos

The aim of this study was to analyze the perception of elderly caregivers in relation to the meaning of general and oral health and about oral health status of the institutionalized aged. It was performed a qualitative study, using Discourse of Collective Subject method. It were interviewed 42 caregivers who worked in longterm care facilities of Araçatuba City, SP and Passo Fundo City, RS – Brazil, applying a structured questionnaire. The interviews were recorded and transcript to be performed the qualitative analysis. The answers were analyzed and them it was elaborated the discourses of collective subject (DCS). Oral health, according to caregivers, was hygiene habits and good diet, while the absence of oral health was sequelae of oral diseases. It's possible to note that older means of health were being substituted by new perceptions of quality of life and is very divergent between older professionals and those who graduated during last two decades. However, according to caregivers, this health perception as quality of life was not included in Dentistry, where the old mean "absence of symptoms" was prevalent. For part of them, the institutionalized elderly have no oral health and the only way to improve their condition was through clinical attendance.

Aplicação de princípios de ergonomia no atendimento odontológico

The dentist has been suggested as a professional vulnerable to labor risks mainly related to working posture. This study examined the application of ergonomics principles during the dental attendances made by university student of the last period of the Araçatuba Dental University. Twenty-four attendants were photographed and the images were digitally analyzed for the verification of 10 requirements that determine a healthy labor posture, defined by the project ISO Standard / TC 106/SC 6 N 411. It was observed that 50% of items from the check list obtained higher percentages of negative replies. The students had greater difficulties as to the correct position of the angle between the upper and lower leg when sitting, the ideal adjustment of the light focus reflector in the field of work and the patient positioning. It was concluded that the dental attendances were held without compliance with the ergonomic requirements. The greatest difficulties regarding the work posture were the sitting posture, the light beam and the patient positioning. Students need better guidance about ergonomic principles and requirements, which should occur at any time of life, but earliest they are installed, greater the benefits, assimilation and incorporation of adequate working postures will be. We need a reform that addresses all sectors of the dental system, so that learning and application of ergonomics in dentistry become effective, efficient and effective.

Publicidade em odontologia: avaliação dos aspectos éticos envolvidos

Objective: To verify whether the professionals who make use of advertising in Dentistry by means of billboards respect the ethical aspects determined by the Federal Council of Dentistry Resolution No 71, 2006. Methods: This was an observational study in which 178 billboards of dental clinics in the municipality of São Paulo were assessed. Results: Among the billboards analyzed, 91.4% belonged to private persons and 9.6% to corporate bodies. With regard to the ethical aspects related to the advertisement, only 44.9% of the billboards presented all the mandatory items in accordance with the Federal Council of Dentistry. The item found the least number of times in the advertisements was the registration number in the Regional Council of Dentistry (34.8%). Among the items allowed by the Federal Council of Dentistry, the telephone number (65.2%) was the most commonly found. Among the ethical infractions, 1.7% of the billboards advertised the terms of payment. Conclusion: Professionals are not following the ethical precepts established by the Code of Ethics in Dentistry, and awareness of these professionals needs to be aroused, so that information about their services is communicated and divulged in an ethical manner.

Educação em saúde bucal na visão de acadêmicos de odontologia

Aim: To analyze dental students' view concerning Oral Health Education. Materials and Methods: The present research, using both qualitative and quantitative approaches, addresses aspects related to dental students' understanding of Oral Health Education, the value that they attach to this practice in the school environment, as well as the importance of their participation in these and other activities during their studies in dentistry. Results: Although dental students recognize the importance of Oral Health Education in the school environment,as well as the importance of their own participation within these activities, their perception of "Oral Health Education" is reductionist and focused primarily on the disease. Conclusion: It is well-known that these findings are reflections and consequences of an established context within a university education. It is therefore necessary that these professional educators perform an in-depth rethinking of the dental practice, in an attempt to develop methodologies based on Health Education in their own teaching practices.