Lesão endoperio: apicectomia com abordagem palatina: Relato de caso clínico com 30 meses de acompanhamento

Traditionally, the apicoectomies are carried out with the vestibular approach for visibility and easiness of access. The aim of this study was to present a case report of a patient with extensive injury endo-periodontal opted for the surgical access through a palatal incision. The patient presented with abscess drainage via periodontal ligament. The periodontal probing coincident with the radiographic apex in mesial tooth on dental element 22. Radiographically it was noted that the periapical lesion extended from the distal of the tooth 11 to the mesial of tooth 23. The tooth 22 had undergone endodontic treatment and showed signs of shutter material extravasation. It was decide to carry out an approach by the Palatine of the tooth to prevent gingival. After the flap elevation, the injury was debrided and apicoectomy was performed. The patient reported no pain or discomfort after surgery. Furthermore, as follow-up of 30 months there was total remission of signs and symptoms presented initially and absence of gingival recession. Therefore, according to the results showed in this case report, it is suggested that the Palatine access is an alternative approach that can be successfully employed in cases of apicoectomies in order to avoid the occurrence of gingival recessions.

Associação de facetas diretas e fibra de reforço para restabelecimento estético do sorriso: relato de caso clínico

Esse artigo tem como objetivo demonstrar o restabelecimento estético do sorriso obtido por meio da associação de facetas diretas e fibra de reforço. As fibras de reforço são utilizadas como alternativa para substituição de elementos dentários perdidos e possuem indicações precisas, sendo empregadas em diversas especialidades da Odontologia, devido à sua capacidade de aumentar a resistência à tração dos compósitos, o que aumenta a resistência à compressão das fibras. Para o completo restabelecimento do sorriso, muitas vezes é necessário reanatomizar os dentes adjacentes, considerando as condições em que esses se apresentam. Sendo assim, o profissional deve ter conhecimento para aplicação correta da técnica e restabelecimento da estética ao paciente.

Importância da correta confecção do prontuário odontológico para identificação humana: relato de caso

The clinical records correspond to a set of documents where all information of the patient is stored. When properly confectioned and filed by the dentist, it may serve as a tool for success in dental expertise. The aim of this paper is to present the importance of proper confection of dental records in human identification by means the presentation of a case of identification, occurred in a São Paulo state city. The notes present in the dental records of the alleged victim were very poor, even with a contradiction. However, having endodontic treatment been performed, the comparative analysis between the radiographs of the skull of the victim (postmortem) and the endodontic treatment of tooth 22 (antemortem) permitted to observe total coincidence between the details of such treatment, and anatomical features present in other dental elements. These important parameters of comparison indicated that the body was of the suspect and, due to the number of coincidences, it could not belong to another individual. Nevertheless, the clinical documentation provided was deficient, and presented contradictory data. Because of its fundamental importance for human identification, it is essential that dental professionals take the necessary care to ensure its proper confection and custody, seeking to make the clinical records also an efficient instrument of consultation in identification cases.

Cirugía endodóntica con obturación simultánea del conducto radicular: caso atípico

The apical surgery with simultaneous root filling consists in the elimination of the local etiologic factors concomitant with the shaping and obturation of the root canal system. This technique is indicated when there is no possibility of obturating the root canal by conventional methods. Some adverse factors may difficult the clinical procedures, such as the radiographic interpretation. Periapical radiographs must not be used as the main diagnostic resource due to their inherent disadvantages, such as distortion and superimposition with other anatomical structures. The aim of this clinical case report is to show the limitations of radiographic examination in an apical surgery in which a root perforation was not visible in the radiographic image, as well as the gutta-percha was not related to its real clinical location.

Associação de microabrasão e fechamento de diastemas com resina composta: relato de caso clínico

Com o avanço das técnicas e materiais restauradores, o cirurgião-dentista tornou-se capaz de solucionar problemas estéticos de forma conservadora. Esse relato de caso descreve a associação das técnicas de microabrasão e fechamento de diastemas com resinas compostas diretas. A paciente do sexo feminino, 16 anos de idade, foi encaminhada pelo ortodontista à clínica de Dentística Restauradora para o fechamento de diastema. Após anamnese e exame clínico detalhado, constatou-se, também, a presença de manchas brancas de fluorose na face vestibular dos dentes anterossuperiores, sendo também proposto o procedimento de microabrasão. Por meio de modelos de estudo da paciente, foi realizado o enceramento diagnóstico, de forma a simular o fechamento dos diastemas. O modelo encerado foi moldado com silicona de condensação para servir como guia de orientação durante os procedimentos restauradores. O tratamento resultou na elevação da autoestima da paciente, pela obtenção de um sorriso mais harmonioso por meio da associação de técnicas estéticas conservadoras.

Cristo si è fermato a Eboli, de Carlo Levi e Francesco Rosi: memórias da cor de olhos tristes

As a hybrid genre, the narrative of Carlo Levi is an objective account and subjective elaboration that are equalized in a literary form. Written between 1943 and 1944, the book evokes with an atmosphere of memoir the period of 1935 and 1936, the writer’s exile. The film based on the narration fragmentizes the daily life of the problematic region and highlights the truth aimed by the discourses composed in times of crises, reinforced by action and expression without provincialism and also without a compensating aristocratic pose. It is possible to see some incapacity of the film by Rosi, natural to a certain degree, to translate the synthesis of literary treatment and socio-historical reflection. For this reason it is necessary to read the adaptation as an attitude about the literary matter and the result of historical experience. The memoir character relies on the artifice that makes good use of the book’s opening, the author’s short monologue, its narrative frame. The presence of paintings materializes the questions about the absurd contained in them

Acompanhamento psicológico de criança com problema de sono: um relato de caso

Difficulties with sleep are frequent in the pre-schooler children. The aim of this study was to present a case report of behavioural intervention by parental guidance to sleeping problems in a pre-schooler child. Participated in this study a four years old boy that had difficulties to sleep without the presence of his parents and his mother who was oriented through a parental program. The program of intervention was composed by five sessions in which the mother acquired education about the child’s sleep, received orientation about the establishment of time and routine to sleep and about the use of techniques (extinction and positive reinforcement) for the improvement of the sleep difficulties. The sleep and behaviour were evaluated in four periods (pre-treatment, post-treatment, one and six months follow up) according to the following instruments: 1) UNESP Scale of Habits and Hygiene of the Sleep – Children Version, 2) Scale of Sleep Disorders for Children and Teenagers, 3) Child Behavior Checklist (CBCL 1,5-5) and 4) sleep diary. The results showed that after intervention the child developed independent sleep, reduced the bed resistance and showed improvement in daily behaviors. To conclude: a behavioral intervention by parental guidance was effective to sleep problems of the child.

A construção do conhecimento em crianças do período sensório-motor: relato de uma experiência com educadoras de creche

Cet article présente un rapport d'expérience qui visait à la formation continuée des enseignants du « Centro de Vivência Infantil » de l'Universidade Estadual Paulista. À partir des notions de l’Épistémologie Génétique comme: l’action, le scheme de l’action, l’adaptation, l’accommodation et l’assimilation, nous cherchons un fondement épistémologique pour le travail d’enseignant avec les enfants entre 0 et 24 mois. Nous présentons, comme résultat pratique de l’application de la connaissance des définitions en Épistémologie Génétique, le travail de formation continuée avec les enseignantes du « Centro de Convivência Infantil » de l’UNESP et la prise de conscience résultant pour adopter la perspective épistémologique piagetienne dans leur travail quotidien avec les enfants du période sensori-moteur.

Do micro ao macro: aproximações entre oriente e ocidente em Der Jahreslauf

Coordenação de Aperfeiçoamento de Pessoal de Nível Superior (CAPES)

Two new feather mites of the genus Calcealges Gaud, 1952 (Acari: Trouessartiidae) from antbirds (Passeriformes: Thamnophilidae) in Brazil

Fundação de Amparo à Pesquisa do Estado de São Paulo (FAPESP)