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Manejo de fratura bilateral de mandíbula através de fixação interna rígida pela técnica de Champy – relato de caso Champy技术刚性内固定双侧下颌骨骨折的治疗-病例报告
Pub Date : 1900-01-01 DOI: 10.24077/2019;1040-6973
L. H. Torres, Natália Barbosa de Siqueira, M. Santos, Caio Pimenteira Uchôa, E. Silva
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引用次数: 1
O Compasso Oclusal: compreendendo a função nos dentes posteriores 咬合罗盘:了解后牙的功能
Pub Date : 1900-01-01 DOI: 10.24077/2021;1349-111118
Giovani Forgerini, A. Soto, M. Badaró, Hilton Riquieri, Janós Makó, A. Philippi
The knowledge of dental anatomy associated with occlusion allows the fabrication of adequate sculptures, decreasing the necessity of expensive clinical adjustments.
与咬合相关的牙齿解剖学知识允许制造足够的雕塑,减少昂贵的临床调整的必要性。
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引用次数: 0
O impacto da autoimagem em crianças com estética odontológica comprometida – relato de casos 自我形象对牙齿美学受损儿童的影响-病例报告
Pub Date : 1900-01-01 DOI: 10.24077/2021;1246-104110
Jéssica Mendes Damasceno, Lorena Vieira Frota, Rafaella Alves Costa Pinto, Felipe Rezende de Albuquerque, Armando Rodrigues Lopes Pereira Neto, L. Hanna
During the development phase, the child is in the process of building human and social relationships. Smile aesthetics is an important point in the individual self-image and may interfere in his interaction with society and self-esteem. Thus, when smile harmony is impaired, the child’s self-image may be altered, promoting marks on her personality that may be perpetuated until adulthood. This case study analyzed the interference of dental rehabilitation in two children that had impaired aesthetics, qualitatively measuring through psychoanalysis, the impact that the aesthetics factor can have on self-image during the childhood. Psychological analysis and oral aesthetics rehabilitation were used as methodology, and rehabilitation varied according to the needs of each case. At the end of the treatment it was concluded that the aesthetics dental rehabilitation provided to these children development of psychic-emotional balance, enabling them a better social life.
在发育阶段,儿童处于建立人际关系和社会关系的过程中。微笑美学是个体自我形象的一个重要方面,它可能会干扰个体与社会和自尊的互动。因此,当微笑和谐受损时,孩子的自我形象可能会改变,在她的个性上留下印记,这些印记可能会一直延续到成年。本案例分析了两名审美障碍儿童的牙齿康复干预,通过心理分析定性地测量了审美因素对儿童时期自我形象的影响。采用心理分析和口腔美学康复为方法,根据不同病例的需要进行不同的康复治疗。在治疗结束时得出结论,美学牙科康复为这些儿童提供了心理情感平衡的发展,使他们能够更好地进行社会生活。
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引用次数: 0
Restabelecimento funcional e estético do sorriso através de restaurações cerâmicas – relato de caso 通过陶瓷修复恢复微笑的功能和美学-案例报告
Pub Date : 1900-01-01 DOI: 10.24077/2021;1349-135143
L. A. Santos, Jucimara Cardoso da Silva, André Martins de Carvalho, J. F. Pissaia
The demand of patients for an aesthetic and harmonious smile has been growing, which generates the need for knowledge of various techniques and materials to obtain satisfactory results. Thus, ceramic restorations are increasingly present in dentistry due to their excellent optical and mechanical properties. Thus, the objective of this work was to perform the functional and aesthetic restoration of the smile through ceramic restorations in the anterior teeth. Patient L.T., male, 47 years old, sought the dental clinic of the Universidade Paranaense, complaining about the aesthetics of his smile. On clinical examination, asymmetry was observed between the gingival zeniths of the elements, as well as short clinical crowns and extensive and unsatisfactory composite resin restorations. In the radiographic examination, it was observed the presence of satisfactory molten metal core in the element 21, and the need for endodontic treatment in the elements 12, 11 and 22, for placement of intraradicular retainer, being selected the Fiberglass Pin (FP). Given this case, the procedure of gingivectomy with osteotomy was also proposed. Total metal-free crowns were made of lithium disilicate for elements 13, 12 and 22 and zirconia for elements 11 and 21. The ceramic laminate on tooth 23 was also made of lithium disilicate. The final result obtained was approved by the patient and the professionals involved.
患者对美学和和谐微笑的需求不断增长,这就产生了对各种技术和材料知识的需求,以获得满意的结果。因此,陶瓷修复体由于其优异的光学和机械性能而越来越多地出现在牙科中。因此,这项工作的目的是通过前牙的陶瓷修复体来实现微笑的功能和美学修复。患者L.T.,男,47岁,来到帕拉纳塞大学牙科诊所,抱怨自己的笑容太美了。在临床检查中,观察到元素的龈顶不对称,临床冠短,复合树脂修复体广泛且不理想。在x线检查中,观察到21号元素存在满意的熔融金属芯,12、11和22号元素需要进行根管治疗,以放置根内固位器,选择玻璃纤维针(FP)。鉴于此病例,我们也提出了牙龈切除联合截骨术。全无金属冠由元素13、12和22的二硅酸锂和元素11和21的氧化锆制成。23号牙齿上的陶瓷层压板也是由二硅酸锂制成的。最终获得的结果得到了患者和相关专业人员的认可。
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引用次数: 0
Reanatomização de incisivos laterais conoides com guia palatina de silicone - relato de caso 用硅胶腭引导的锥形侧切牙再解剖-病例报告
Pub Date : 1900-01-01 DOI: 10.24077/2020;1142-7683
Lavínia Potter Miranda Alencar, Gabriela Queiroz de Melo Monteiro, Luís Felipe Espíndola-Castro
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引用次数: 0
Reabilitação oral com prótese parcial removível sobre raízes sepultadas em região anterior 在前区埋根处用可移动局部义齿进行口腔康复
Pub Date : 1900-01-01 DOI: 10.24077/2022;13510225887
Venâncio Corrêa Neto, Gabriel Garcia Bardales, Ligia Regina Mota Vasconcelos, J. N. D. Mello, Marco Fiori Junior, J. Oliveira
O tratamento de prótese parcial removível não convencional sobre as raízes, tratadas endodonticamente mantidas no rebordo alveolar, busca reduzir a reabsorção óssea e promover melhor transmissão de carga. Este trabalho tem por objetivo descrever um caso clí- nico de reabilitação oral com prótese parcial removível sobre raízes preservadas na região anterior da maxila. A paciente, do sexo feminino, 45 anos, procurou atendimento odontológico queixando-se de dente quebrado. Ao exame clínico intraoral, observou acúmulo de biofilme generalizado, presença de cálculo dentário e sangramento, ausência dos elementos 12, 14, 17, 25, 36, 46 e 47, restauração no 11 insatisfatória e destruição da coroa do 21. O plano de tratamento incluiu raspagem supragengival e subgengival em todos os sextantes. Tendo o fator socioeconômico como parâmetro, a melhor indicação no tratamento foi o sepultamento das raízes dos dentes 11 e 21 para uma reabilitação com prótese parcial removível sobre as raízes sepultadas na região anterior superior. O planejamento da PPR superior foi realizado e confirmado pelo delineamento no modelo de estudo. Foram realizados o sepultamento dos dentes 11 e 21, tratados endodonticamente, e na mesma consulta foi realizada a prova da armação metálica. Dois dias após o sepultamento, houve a instalação da prótese superior. Ainda foram necessários atendimentos de proservação um ano após a instalação da prótese, com necessidade de um protocolo de higienização bucal e a conscientização no interesse à saúde bucal. Conclui-se que prover suporte vertical e retardar a reabsorção da crista óssea foram importantes no planejamento do tratamento, tornando o prognóstico mais favorável.
在牙槽嵴进行根管治疗的非传统可移动局部义齿的治疗旨在减少骨吸收,促进更好的负荷传递。本研究的目的是描述一个临床病例的口腔康复与局部义齿可移动的根保存在上颌前区。患者为女性,45岁,因牙齿骨折寻求牙科治疗。在口腔内临床检查中,观察到广泛的生物膜积累,存在牙石和出血,缺失元素12、14、17、25、36、46和47,11处修复不满意,21处冠破坏。治疗计划包括对所有六分仪进行龈上和龈下刮除。以社会经济因素为参数,治疗的最佳适应症是将11号和21号牙齿的根埋在上颌前区,用可移动的局部义齿进行康复。进行了上PPR的设计,并通过研究模型的设计进行了确认。对第11颗和第21颗牙齿进行根管治疗,并在同一会诊中进行金属框架测试。埋葬两天后,上颌假体安装完毕。在安装假体一年后,仍然需要护理,需要口腔卫生协议和对口腔健康的意识。我们的结论是,提供垂直支撑和延迟骨嵴吸收是治疗计划的重要组成部分,使预后更有利。
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引用次数: 0
A força do contrato de prestação de serviços odontológicos 牙科服务合同的效力
Pub Date : 1900-01-01 DOI: 10.24077/2020;1142-ol6
R. Assad
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引用次数: 0
Ceratocisto odontogênico em maxila com deslocamento dentário para assoalho de órbita – relato de caso 上颌牙源性角化囊肿伴牙移位至眼眶底-病例报告
Pub Date : 1900-01-01 DOI: 10.24077/2021;1349-4649
Priscila Vital Fialho, Marcelo Bastos Barbosa, Mariana Mendes de Carvalho, Daiana Cristina Pereira Santana, Diego Maia de Oliveira Barbosa, Alexandre Martins Seixas
Odontogenic keratocyst (OK) is a controversial lesion classified by the WHO in 2005 as an odontogenic tumor and, more recently, in 2017, it was again classified as a developmental odontogenic cyst. It is characterized by local invasiveness and high recurrence rates. It presents, in most cases, asymptomatic and has a higher incidence in the mandible. The aim of this article is to report a clinical case of OK in the maxilla describing its characteristics and treatment. A 15-year-old male patient sought the Maxillofacial Surgery service at Hospital do Oeste, Barreiras/ BA, complaining of swelling in the maxillary region, with a diagnostic hypothesis of cyst based in routine panoramic radiography. For better diagnostic elucidation, a multi-slice computed tomography was performed, where a hypodense, multilocular image was observed in the right maxilla, which histopathologically confirmed to be a OK. Surgical treatment with curettage and patient follow-up was performed. OK is one of the most frequent odontogenic lesions in the jaws, that’s why it is very important to know the clinical, radiographic, and histopathological characteristics, in addition to professional experience for the diagnosis and treatment of this pathology.
牙源性角化囊肿(OK)是一种有争议的病变,2005年被世卫组织归类为牙源性肿瘤,最近,在2017年,它再次被归类为发育性牙源性囊肿。它的特点是局部侵袭性和高复发率。它呈现,在大多数情况下,无症状,并有较高的发病率在下颌骨。本文报告一例上颌骨OK的临床病例,描述其特点和治疗方法。一名15岁男性患者到Barreiras/ BA的Oeste医院颌面外科就诊,主诉上颌区域肿胀,常规全景x线摄影诊断为囊肿。为了更好的诊断,进行了多层计算机断层扫描,在右侧上颌骨观察到低密度,多室图像,组织病理学证实为OK。进行刮除手术治疗及患者随访。OK是颌骨中最常见的牙源性病变之一,这就是为什么了解其临床、放射学和组织病理学特征非常重要,此外还要有专业的诊断和治疗经验。
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引用次数: 0
Overdentures – parâmetros para um planejamento reabilitador em maxilas edentadas – relato de caso 覆盖义齿。无牙上颌康复计划的参数。病例报告
Pub Date : 1900-01-01 DOI: 10.24077/2019;1141-7075
R. Freitas, C. Malta, Cinthya Isabela Teixeira Paranaíba Marques, B. Silva
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引用次数: 0
Análise de falhas de implantes e enxertos ósseos com o uso de amoxicilina versus clindamicina em regime profilático – uma revisão integrativa 阿莫西林与克林霉素在预防方案中的种植体和骨移植失败分析-一项综合综述
Pub Date : 1900-01-01 DOI: 10.24077/2022;135102449252
Bruno Eduardo Sant’Anna Falce de Macedo, Patrícia Tolentino da Rosa de Souza, L. R. A. Alanis
An alternative for antibiotic prophylaxis in patients allergic to penicillin is the use of clindamycin. However, there is still no consensus in the literature on the indication of an ideal antibiotic, or whether there is any more effective alternative than clindamycin for patients allergic to penicillin when undergoing dental implant or bone graft surgery. This study aimed to compare the failure rate of implants and bone grafts in patients that took antibiotic prophylaxis with amoxicillin, and patients allergic to penicillin that took clindamycin to antibiotic prophylaxis. The study has a secondary objective that is the evaluation of antibiotic prophylaxis protocols with amoxicillin or clindamycin, comparing dosage with the failure rates of implants and bone grafts. A search for eligible articles for this review was performed in the Pubmed electronic database (MEDLINE). The inclusion criteria used were prospective studies, randomized or not; retrospective studies; studies performed with systemically healthy patients who underwent placement of dental implants or bone grafts and used amoxicillin or clindamycin as antibiotic prophylaxis. As results, there is still no consensus on the prescription for an ideal prophylactic regimen. Furthermore, patients not allergic to penicillin tend to have a lower percentage of failures (losses) of dental implants and bone grafts. It was concluded that patients allergic to penicillin who used clindamycin as antibiotic prophylaxis had a higher rate of implant and graft failure, as well as a higher frequency of post-surgical infections.
对于青霉素过敏的患者,另一种抗生素预防方法是使用克林霉素。然而,对于理想抗生素的适应症,以及是否有比克林霉素更有效的替代药物,在进行植牙或植骨手术时对青霉素过敏的患者,文献中仍未达成共识。本研究旨在比较使用阿莫西林预防抗生素的患者和使用克林霉素预防青霉素过敏的患者种植体和骨移植的失败率。该研究的第二个目的是评估阿莫西林或克林霉素的抗生素预防方案,比较剂量与种植体和骨移植的失败率。在Pubmed电子数据库(MEDLINE)中搜索符合条件的文章。纳入标准为前瞻性研究,随机与否;回顾性研究;对接受植牙或骨移植并使用阿莫西林或克林霉素作为抗生素预防的全身健康患者进行的研究。因此,对于理想的预防方案,目前仍没有达成共识。此外,对青霉素不过敏的患者牙种植体和骨移植失败(损失)的比例更低。结论:青霉素过敏患者使用克林霉素作为抗生素预防,种植体和移植物失败率较高,术后感染发生率较高。
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Full Dentistry in Science
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