Pub Date : 2022-01-01DOI: 10.1590/1981-863720220005520210104
Anna Luísa de Castro Mafra Rodrigues, D. Paiva
ABSTRACT Introduction: Many clinical failures involving the fiberglass post result from the detachment between the retainer, the root canal and the cement. Thus, the connections that cause a probability of these failures are essential for dentistry. Objective: To compare the efficiency of intracanal disinfection between alcohol and chlorhexidine in the context of minimizing fractures. Methods: The present systematic review registered in PROSPERO under the protocol CRD42021233516 based on a Medical Subject Headings strategy: “((Endodontics OR Root Canal Filling Materials OR Dental Materials) AND Chlorhexidine AND Ethanol AND Dental Bonding)” in the search engines PubMed, Scopus, Web of Science, Cochrane Library, Embase and Lilacs. Studies in Portuguese, English or Spanish were included, without restrictions regarding their methodology and year of publication. Articles that did not report an intracanal hygiene protocol before the procedure, without full publication and orthodontic research were excluded. Results: Six studies were selected according to the inclusion and exclusion criteria. In all, chlorhexidine was used for intracanal cleaning, comparing it with the other groups, and in 4 it was compared with alcohol and other groups. Discussion: The articles used different media and storage times and most used bovine teeth. There was no significant difference between any other characteristics regarding the increase in adhesiveness of the set. Conclusion: There is no difference between the use of alcohol or chlorhexidine as a disinfection method. However, a previous protocol must be established for longer treatment longevity.
摘要简介:许多涉及玻璃纤维桩的临床失败是由于固位器、根管和骨水泥之间的脱离。因此，导致这些故障的连接对牙科至关重要。目的:比较酒精和氯己定在减少骨折情况下的消毒效果。方法:本系统综述在PROSPERO上注册，编号为CRD42021233516，基于医学主题标题策略:“((牙髓学或根管填充材料或牙科材料)和氯己定、乙醇和牙科结合)”，检索引擎为PubMed、Scopus、Web of Science、Cochrane Library、Embase和Lilacs。包括葡萄牙语、英语或西班牙语的研究，不受其方法和出版年份的限制。未报道手术前管内卫生方案的文章，没有完整的出版物和正畸研究被排除在外。结果:根据纳入和排除标准共选择6项研究。其中，氯己定用于肛管内清洗，与其他组进行比较，4例与酒精和其他组进行比较。讨论:文章使用不同的介质和储存时间，大多数使用牛牙。在粘连性的增加方面，任何其他特征之间没有显著差异。结论:酒精消毒与氯己定消毒无明显差异。然而，为了延长治疗寿命，必须建立先前的方案。
{"title":"Comparison between the use of alcohol and chlorhexidine in the intracanal disinfection protocol before the installation of fiberglass pin related to the increase in adhesiveness: a systematic literature review","authors":"Anna Luísa de Castro Mafra Rodrigues, D. Paiva","doi":"10.1590/1981-863720220005520210104","DOIUrl":"https://doi.org/10.1590/1981-863720220005520210104","url":null,"abstract":"ABSTRACT Introduction: Many clinical failures involving the fiberglass post result from the detachment between the retainer, the root canal and the cement. Thus, the connections that cause a probability of these failures are essential for dentistry. Objective: To compare the efficiency of intracanal disinfection between alcohol and chlorhexidine in the context of minimizing fractures. Methods: The present systematic review registered in PROSPERO under the protocol CRD42021233516 based on a Medical Subject Headings strategy: “((Endodontics OR Root Canal Filling Materials OR Dental Materials) AND Chlorhexidine AND Ethanol AND Dental Bonding)” in the search engines PubMed, Scopus, Web of Science, Cochrane Library, Embase and Lilacs. Studies in Portuguese, English or Spanish were included, without restrictions regarding their methodology and year of publication. Articles that did not report an intracanal hygiene protocol before the procedure, without full publication and orthodontic research were excluded. Results: Six studies were selected according to the inclusion and exclusion criteria. In all, chlorhexidine was used for intracanal cleaning, comparing it with the other groups, and in 4 it was compared with alcohol and other groups. Discussion: The articles used different media and storage times and most used bovine teeth. There was no significant difference between any other characteristics regarding the increase in adhesiveness of the set. Conclusion: There is no difference between the use of alcohol or chlorhexidine as a disinfection method. However, a previous protocol must be established for longer treatment longevity.","PeriodicalId":30069,"journal":{"name":"RGO Revista Gaucha de Odontologia","volume":"7 1","pages":""},"PeriodicalIF":0.0,"publicationDate":"2022-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"87923914","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Pub Date : 2022-01-01DOI: 10.1590/1981-86372022001020200140
Rodrigo Temudo, Patrícia Neves, I. Ventura, L. Lopes
ABSTRACT Molar incisor hypomineralization is an increasingly common condition in our population. This condition can have great impact on the esthetics, function, and well-being of the child. This paper reports a case of a young patient diagnosed with this condition affecting all the first permanent molars and lower incisors, particularly teeth 31 and 41. The molars were treated with direct resin restorations with cusp coating and the incisors aesthetic was restored with different techniques such as bleaching with sodium hypochlorite, micro-abrasion and resin restorations. This treatment plan aimed to restore the proper teeth function, treat the already existing hypersensitivity and algic complains and to improve the aesthetic of the anterior sector. The presented case shows a conservative approach to deal with the molar incisor hypomineralization condition with satisfactory results after 1-year follow-up.
{"title":"A conservative approach to rehabilitate a molar-incisor hypomineralization case","authors":"Rodrigo Temudo, Patrícia Neves, I. Ventura, L. Lopes","doi":"10.1590/1981-86372022001020200140","DOIUrl":"https://doi.org/10.1590/1981-86372022001020200140","url":null,"abstract":"ABSTRACT Molar incisor hypomineralization is an increasingly common condition in our population. This condition can have great impact on the esthetics, function, and well-being of the child. This paper reports a case of a young patient diagnosed with this condition affecting all the first permanent molars and lower incisors, particularly teeth 31 and 41. The molars were treated with direct resin restorations with cusp coating and the incisors aesthetic was restored with different techniques such as bleaching with sodium hypochlorite, micro-abrasion and resin restorations. This treatment plan aimed to restore the proper teeth function, treat the already existing hypersensitivity and algic complains and to improve the aesthetic of the anterior sector. The presented case shows a conservative approach to deal with the molar incisor hypomineralization condition with satisfactory results after 1-year follow-up.","PeriodicalId":30069,"journal":{"name":"RGO Revista Gaucha de Odontologia","volume":"71 1","pages":""},"PeriodicalIF":0.0,"publicationDate":"2022-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"81280994","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Pub Date : 2022-01-01DOI: 10.1590/1981-86372022005020220037
L. Sanglard, L. Oliveira, R. B. B. BRITO JÚNIOR, Marcela Cristina Manfré de Calasans, Lorenna Fernandes Das Chagas Carvalho Simões, Y. Issa, Rosangela Dantas Frateschi
ABSTRACT This study is a literature review on the contributions of active methodologies in Higher Education in the health area. From the reviewed literature (texts, articles and books), an academic essay was written, addressing ideas, reflections, literature citations and authors’ personal impressions on the theme. After analyzing the literature, it was realized that active methodologies despite being involved in the teaching-learning process for several years, still require that teachers and students widely appropriate their benefits. The implementation of this change will help in coping with the factors that have negatively interfered in higher health education. It is a challenge that needs to be embraced by teachers and students. Conclusions: Active teaching methodologies can be included in all teaching models and methods and aim to promote learning and expand the possibilities for students to develop their competencies.
{"title":"Active teaching methodologies in health education","authors":"L. Sanglard, L. Oliveira, R. B. B. BRITO JÚNIOR, Marcela Cristina Manfré de Calasans, Lorenna Fernandes Das Chagas Carvalho Simões, Y. Issa, Rosangela Dantas Frateschi","doi":"10.1590/1981-86372022005020220037","DOIUrl":"https://doi.org/10.1590/1981-86372022005020220037","url":null,"abstract":"ABSTRACT This study is a literature review on the contributions of active methodologies in Higher Education in the health area. From the reviewed literature (texts, articles and books), an academic essay was written, addressing ideas, reflections, literature citations and authors’ personal impressions on the theme. After analyzing the literature, it was realized that active methodologies despite being involved in the teaching-learning process for several years, still require that teachers and students widely appropriate their benefits. The implementation of this change will help in coping with the factors that have negatively interfered in higher health education. It is a challenge that needs to be embraced by teachers and students. Conclusions: Active teaching methodologies can be included in all teaching models and methods and aim to promote learning and expand the possibilities for students to develop their competencies.","PeriodicalId":30069,"journal":{"name":"RGO Revista Gaucha de Odontologia","volume":"132 1","pages":""},"PeriodicalIF":0.0,"publicationDate":"2022-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"83520064","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Pub Date : 2022-01-01DOI: 10.1590/1981-86372022004120200170
Francine Queiroz Pereira, Giovanna Brito de Sousa Bione Barbosa, J. M. Melo, Felipe Rodrigues de Almeida, Renata Cimões, B. Vajgel
ABSTRACT The single-stranded ribonucleic acid coronavirus is the seventh known member of the Coronaviridae family to infect humans. The droplets and aerosols that are suspended in the air with the virus can be transmitted by contact with the oral, nasal and eye mucosa, which can cause severe acute respiratory syndrome. Due to the outbreak of the new coronavirus disease, the constant use of personal protective equipment by health professionals has become necessary, as the virus has a rapid and widespread spread. But, unexpectedly, the coronavirus outbreak brought another concern, the emergence of facial injuries due to the continuous and inappropriate use of these individual protectors, harming the health of these professionals. An alternative to alleviate and prevent such injuries would be the use of prophylactic creams and dressings in places where there is pressure caused by these equipment, as well as relieving the loads generated by them, at intervals that do not exceed 4 hours. Therefore, this literature review aimed to report the potential for the emergence of facial injuries caused by the continuous and inappropriate use of PPE, highlighting the most affected areas, the risks to the health of the professional, prevention and treatment, through the electronic consultation based on of data, PUBMED, SCOPUS and Bireme/BVS.
{"title":"Facial skin injuries caused by individual protectors in the combat to covid-19","authors":"Francine Queiroz Pereira, Giovanna Brito de Sousa Bione Barbosa, J. M. Melo, Felipe Rodrigues de Almeida, Renata Cimões, B. Vajgel","doi":"10.1590/1981-86372022004120200170","DOIUrl":"https://doi.org/10.1590/1981-86372022004120200170","url":null,"abstract":"ABSTRACT The single-stranded ribonucleic acid coronavirus is the seventh known member of the Coronaviridae family to infect humans. The droplets and aerosols that are suspended in the air with the virus can be transmitted by contact with the oral, nasal and eye mucosa, which can cause severe acute respiratory syndrome. Due to the outbreak of the new coronavirus disease, the constant use of personal protective equipment by health professionals has become necessary, as the virus has a rapid and widespread spread. But, unexpectedly, the coronavirus outbreak brought another concern, the emergence of facial injuries due to the continuous and inappropriate use of these individual protectors, harming the health of these professionals. An alternative to alleviate and prevent such injuries would be the use of prophylactic creams and dressings in places where there is pressure caused by these equipment, as well as relieving the loads generated by them, at intervals that do not exceed 4 hours. Therefore, this literature review aimed to report the potential for the emergence of facial injuries caused by the continuous and inappropriate use of PPE, highlighting the most affected areas, the risks to the health of the professional, prevention and treatment, through the electronic consultation based on of data, PUBMED, SCOPUS and Bireme/BVS.","PeriodicalId":30069,"journal":{"name":"RGO Revista Gaucha de Odontologia","volume":"27 1","pages":""},"PeriodicalIF":0.0,"publicationDate":"2022-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"88897371","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Pub Date : 2022-01-01DOI: 10.1590/1981-863720200003520200063
Taysnara Ismaeley de Andrade, Kaiane Tavares Pontes, Francisco Rikilly de Araújo, Joelma Silva de Andrade, José Eudes Protázio de Oliveira
ABSTRACT Dental trauma is a common complication in general anesthesia, especially when using nasotracheal intubation during the classic laryngoscopy. Risk factors range from difficult intubation through difficult airways to occlusal changes in the patient, with incisors being widely affected by dental elements. Tooth avulsion is the most frequent type of trauma, followed by lateral dislocation and root fracture. Male patient, 39 years old, presented at the Emergency and Trauma Hospital in Caruaru/PE, a motorcycle accident victim with a bilateral jaw fracture. Given the need to fix fractures, the patient underwent a surgical procedure under general anesthesia. During laryngoscopy, heavy bleeding was observed in the oral cavity. After inspection, root fracture of lateral incisor and avulsion of right central incisor were noted. The avulsionated tooth was not found. An orthopedic image intensifier was used to locate the dental element in the thoracic region. However, it was not possible to determine its location. Therefore, an upper gastrointestinal (UGI) endoscopy was requested, and the dental element was in the digestive tract at the esophagus level. The tooth was removed, and the surgical procedure for osteosynthesis of bilateral mandible fracture was carried on. Dentoalveolar traumas induced by general anesthesia are frequent and require preventive measures since they can directly affect the patient’s physical, economic, and medical conditions, along with anesthesiologists and maxillofacial surgeon’s risk of receiving a civil lawsuit.
{"title":"Dentoalveolar trauma induced by intubation in urgent maxillofacial surgery: case report","authors":"Taysnara Ismaeley de Andrade, Kaiane Tavares Pontes, Francisco Rikilly de Araújo, Joelma Silva de Andrade, José Eudes Protázio de Oliveira","doi":"10.1590/1981-863720200003520200063","DOIUrl":"https://doi.org/10.1590/1981-863720200003520200063","url":null,"abstract":"ABSTRACT Dental trauma is a common complication in general anesthesia, especially when using nasotracheal intubation during the classic laryngoscopy. Risk factors range from difficult intubation through difficult airways to occlusal changes in the patient, with incisors being widely affected by dental elements. Tooth avulsion is the most frequent type of trauma, followed by lateral dislocation and root fracture. Male patient, 39 years old, presented at the Emergency and Trauma Hospital in Caruaru/PE, a motorcycle accident victim with a bilateral jaw fracture. Given the need to fix fractures, the patient underwent a surgical procedure under general anesthesia. During laryngoscopy, heavy bleeding was observed in the oral cavity. After inspection, root fracture of lateral incisor and avulsion of right central incisor were noted. The avulsionated tooth was not found. An orthopedic image intensifier was used to locate the dental element in the thoracic region. However, it was not possible to determine its location. Therefore, an upper gastrointestinal (UGI) endoscopy was requested, and the dental element was in the digestive tract at the esophagus level. The tooth was removed, and the surgical procedure for osteosynthesis of bilateral mandible fracture was carried on. Dentoalveolar traumas induced by general anesthesia are frequent and require preventive measures since they can directly affect the patient’s physical, economic, and medical conditions, along with anesthesiologists and maxillofacial surgeon’s risk of receiving a civil lawsuit.","PeriodicalId":30069,"journal":{"name":"RGO Revista Gaucha de Odontologia","volume":"96 1","pages":""},"PeriodicalIF":0.0,"publicationDate":"2022-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"89421964","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Pub Date : 2022-01-01DOI: 10.1590/1981-86372022000620200030
Alexssandro Fermiano Pimenta, Claudia Batitucci dos SANTOS DAROZ
ABSTRACT Objective: To perform an integrative literature review, presenting techniques to seal incipient caries, their advantages, indications and failures, and comparing their clinical success. Methods: The guiding question for this literature review was: What technique, sealant or resin infiltration, provides longer clinical longevity in sealing incipient caries lesions in permanent teeth? 1707 scientific articles published from 2005 to 2019 were searched in the PubMed, LILACS and SciELO databases, using the following keywords: “caries sealing”, “resinous infiltrant,” and “caries progression”. After their titles and abstracts were read, 10 papers were selected according to the inclusion criteria: papers written in the English language, randomized clinical control trials lasting at least one year, and techniques using infiltration sealing or resin sealant as the treatment method of active carious lesions in occlusal and proximal surfaces of permanent teeth with involvement up to the outer layer of dentin. The Mann-Whitney statistical test was used to compare the techniques (alpha=0.05). Results: Six studies used a split mouth design, and 4 studies had a parallel design, for a total sample of 1316 teeth. The studies achieved a high rate of clinical success in controlling carious lesion progression, with an average rate of 80% for the sealant, and 88% for the infiltrant, and with no statistical difference between the techniques (p-value=0.358). Conclusions: No difference in the clinical efficacy was observed between the resinous sealing and infiltrative resin techniques of incipient lesions in permanent teeth in one to seven years of follow-up.
{"title":"Clinical success of infiltrant and resin sealant on incipient caries of permanent teeth: an integrative review of literature","authors":"Alexssandro Fermiano Pimenta, Claudia Batitucci dos SANTOS DAROZ","doi":"10.1590/1981-86372022000620200030","DOIUrl":"https://doi.org/10.1590/1981-86372022000620200030","url":null,"abstract":"ABSTRACT Objective: To perform an integrative literature review, presenting techniques to seal incipient caries, their advantages, indications and failures, and comparing their clinical success. Methods: The guiding question for this literature review was: What technique, sealant or resin infiltration, provides longer clinical longevity in sealing incipient caries lesions in permanent teeth? 1707 scientific articles published from 2005 to 2019 were searched in the PubMed, LILACS and SciELO databases, using the following keywords: “caries sealing”, “resinous infiltrant,” and “caries progression”. After their titles and abstracts were read, 10 papers were selected according to the inclusion criteria: papers written in the English language, randomized clinical control trials lasting at least one year, and techniques using infiltration sealing or resin sealant as the treatment method of active carious lesions in occlusal and proximal surfaces of permanent teeth with involvement up to the outer layer of dentin. The Mann-Whitney statistical test was used to compare the techniques (alpha=0.05). Results: Six studies used a split mouth design, and 4 studies had a parallel design, for a total sample of 1316 teeth. The studies achieved a high rate of clinical success in controlling carious lesion progression, with an average rate of 80% for the sealant, and 88% for the infiltrant, and with no statistical difference between the techniques (p-value=0.358). Conclusions: No difference in the clinical efficacy was observed between the resinous sealing and infiltrative resin techniques of incipient lesions in permanent teeth in one to seven years of follow-up.","PeriodicalId":30069,"journal":{"name":"RGO Revista Gaucha de Odontologia","volume":"57 1","pages":""},"PeriodicalIF":0.0,"publicationDate":"2022-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"88286009","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Pub Date : 2022-01-01DOI: 10.1590/1981-86372022003620180095
E. Nogueira, I. Catunda, S. Carneiro, Patrícia Élida Fernandes Rodrigues Carvalho, B. Vasconcelos
ABSTRACT Despite being a benign tumor of the maxillofacial region, some cases of ameloblastoma can be categorized as malignant ameloblastoma (or metastasizing) when metastases occur. The aim of this study is to report a rare case of lung metastasis from mandibular ameloblastoma, in order to review its risk and analyze the main anatomic sites that can occur with this disease. The case of a 48-year-old woman is described. She presented a metastatic pulmonary ameloblastoma 7 years after the removal of a mandibular ameloblastoma. During routine exams, a tumor in the left lung was observed. It was asymptomatic, near to the mediastinum, measured 7x5.5 cm. Transthoracic needle biopsy revealed ameloblastoma with the same histological characteristics of the primary tumor. After radiotherapy, the patient presented regression of the tumor. The patient has been under follow-up for 5 years and there is no presence of tumor. Ameloblastoma is an aggressive tumor not only in the region of origin, but also in distant regions, mainly in cases of recurrence. Metastases can cause high rates of morbidity, a fact that requires early treatment.
{"title":"Pulmonary metastasis of malignant ameloblastoma: case report and review","authors":"E. Nogueira, I. Catunda, S. Carneiro, Patrícia Élida Fernandes Rodrigues Carvalho, B. Vasconcelos","doi":"10.1590/1981-86372022003620180095","DOIUrl":"https://doi.org/10.1590/1981-86372022003620180095","url":null,"abstract":"ABSTRACT Despite being a benign tumor of the maxillofacial region, some cases of ameloblastoma can be categorized as malignant ameloblastoma (or metastasizing) when metastases occur. The aim of this study is to report a rare case of lung metastasis from mandibular ameloblastoma, in order to review its risk and analyze the main anatomic sites that can occur with this disease. The case of a 48-year-old woman is described. She presented a metastatic pulmonary ameloblastoma 7 years after the removal of a mandibular ameloblastoma. During routine exams, a tumor in the left lung was observed. It was asymptomatic, near to the mediastinum, measured 7x5.5 cm. Transthoracic needle biopsy revealed ameloblastoma with the same histological characteristics of the primary tumor. After radiotherapy, the patient presented regression of the tumor. The patient has been under follow-up for 5 years and there is no presence of tumor. Ameloblastoma is an aggressive tumor not only in the region of origin, but also in distant regions, mainly in cases of recurrence. Metastases can cause high rates of morbidity, a fact that requires early treatment.","PeriodicalId":30069,"journal":{"name":"RGO Revista Gaucha de Odontologia","volume":"8 1","pages":""},"PeriodicalIF":0.0,"publicationDate":"2022-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"85285775","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Pub Date : 2022-01-01DOI: 10.1590/1981-86372022002320200207
Juçara Brito Meirelles, N. R. Carlos, F. Amaral, F. França, C. Turssi, R. Basting
ABSTRACT Objective: The aim of this study was to compare methods for in vitro diagnosis of pigmented pits and fissures on the occlusal surface. Methods: Forty-one human molars and premolars extracted with pigmentation in pits and fissures were used. The teeth were evaluated with artificial illumination for classification according to ICDAS, followed by fluorescent laser evaluation. For the radiographic evaluation, the teeth were positioned to obtain interproximal images, adopting the criterion of Rodrigues et al. 2008 for diagnosis of lesions. For histological evaluation, the teeth were sectioned in the mesiodistal direction in the occlusal sulcus region and evaluated in a 20-fold stereoscopic magnifying glass, using the criterion of Ekstrand et al. (1997) for evaluation. The methods were compared with the histological evaluation, obtaining values of accuracy, sensitivity and specificity regarding the response variables “presence / absence” of enamel caries. Results: When comparing visual inspection with histological analysis, 65.85% accuracy, 40% sensitivity and 90.48% specificity were observed with false positive and negative probability of 20% and 38.71%. When comparing the fluorescent laser with the histological analysis, the accuracy was 58.54%, sensitivity 70% and specificity 47.62%. Comparing the radiographic analysis with the histological analysis, it was obtained 53.66% accuracy, sensitivity of 42.11% and specificity of 73.68%. Conclusion: The ROC curve and the Yuden index showed that visual inspection presented the best combination of sensitivity and specificity than fluorescent laser and radiographic analysis for diagnosis, which represented the best method for detecting inactive carious lesions in enamel.
摘要目的:比较体外诊断牙合表面色素凹陷和裂缝的方法。方法:选取41颗牙槽沟色素沉着的人磨牙和前磨牙。根据ICDAS进行人工照明评分，再进行荧光激光评分。影像学评价采用Rodrigues et al. 2008诊断病变的标准，定位牙齿获得近端间图像。为了进行组织学评估，在咬合沟区中远端方向对牙齿进行切片，并在20倍立体放大镜下进行评估，评估标准为Ekstrand et al.(1997)。将这些方法与组织学评价进行比较，获得牙釉质龋存在/不存在的反应变量的准确性、敏感性和特异性。结果:肉眼检查与组织学分析相比较，准确率为65.85%，灵敏度为40%，特异性为90.48%，假阳性和阴性概率分别为20%和38.71%。荧光激光与组织学分析相比较，准确率为58.54%，灵敏度为70%，特异性为47.62%。x线分析与组织学分析比较，准确率为53.66%，灵敏度为42.11%，特异性为73.68%。结论:ROC曲线和Yuden指数显示，肉眼检查诊断牙釉质无活动性龋齿病变的灵敏度和特异性较荧光激光和x线片分析更好，是牙釉质无活动性龋齿病变的最佳诊断方法。
{"title":"Diagnostic methods for stained pits and fissures caries lesions on the occlusal surface","authors":"Juçara Brito Meirelles, N. R. Carlos, F. Amaral, F. França, C. Turssi, R. Basting","doi":"10.1590/1981-86372022002320200207","DOIUrl":"https://doi.org/10.1590/1981-86372022002320200207","url":null,"abstract":"ABSTRACT Objective: The aim of this study was to compare methods for in vitro diagnosis of pigmented pits and fissures on the occlusal surface. Methods: Forty-one human molars and premolars extracted with pigmentation in pits and fissures were used. The teeth were evaluated with artificial illumination for classification according to ICDAS, followed by fluorescent laser evaluation. For the radiographic evaluation, the teeth were positioned to obtain interproximal images, adopting the criterion of Rodrigues et al. 2008 for diagnosis of lesions. For histological evaluation, the teeth were sectioned in the mesiodistal direction in the occlusal sulcus region and evaluated in a 20-fold stereoscopic magnifying glass, using the criterion of Ekstrand et al. (1997) for evaluation. The methods were compared with the histological evaluation, obtaining values of accuracy, sensitivity and specificity regarding the response variables “presence / absence” of enamel caries. Results: When comparing visual inspection with histological analysis, 65.85% accuracy, 40% sensitivity and 90.48% specificity were observed with false positive and negative probability of 20% and 38.71%. When comparing the fluorescent laser with the histological analysis, the accuracy was 58.54%, sensitivity 70% and specificity 47.62%. Comparing the radiographic analysis with the histological analysis, it was obtained 53.66% accuracy, sensitivity of 42.11% and specificity of 73.68%. Conclusion: The ROC curve and the Yuden index showed that visual inspection presented the best combination of sensitivity and specificity than fluorescent laser and radiographic analysis for diagnosis, which represented the best method for detecting inactive carious lesions in enamel.","PeriodicalId":30069,"journal":{"name":"RGO Revista Gaucha de Odontologia","volume":"74 1","pages":""},"PeriodicalIF":0.0,"publicationDate":"2022-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"80585985","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Pub Date : 2022-01-01DOI: 10.1590/1981-86372022000420200049
C. Chandler, M. Silva-Júnior
ABSTRACT Tetralogy of Fallot is the most prevalent cyanotic congenital heart disease and it has a high mortality rate. The aim of this article was to provide a clinical case, describing the dental treatment of an infant patient with tetralogy of Fallot done at a hospital. The patient was a 7-year-old male, lived in a rural area with no previous diagnosis of this cardiopathy when he was attended to by a multidisciplinary team at University Hospital Ana Bezerra, at Santa Cruz, Northern Rio Grande, Brazil. After his medical appointment, the patient received a visit from the dental resident in Mother-Infant Health in his hospital room. During the dental exam, multiple carious lesions were found and there was an urgent need to reduce the risk of dental infection before the patient underwent heart surgery. The treatment started with a preventive approach, including oral hygiene instruction and behavior management. The treatment was completed using the atraumatic restorative technique, and a root tip was extracted. Antibiotic prophylaxis was administered before the extraction to minimize the risk of infectious endocarditis. After the dental treatment, the multidisciplinary team referred the patient for surgery to address the tetralogy of Fallot. The integration between the multidisciplinary residency and the medical team was important to reduce the risks of infectious endocarditis during the dental treatment, aiming to provide integral care to this patient.
{"title":"Dental care of hospitalized pediatric patient with tetralogy of Fallot: a case report","authors":"C. Chandler, M. Silva-Júnior","doi":"10.1590/1981-86372022000420200049","DOIUrl":"https://doi.org/10.1590/1981-86372022000420200049","url":null,"abstract":"ABSTRACT Tetralogy of Fallot is the most prevalent cyanotic congenital heart disease and it has a high mortality rate. The aim of this article was to provide a clinical case, describing the dental treatment of an infant patient with tetralogy of Fallot done at a hospital. The patient was a 7-year-old male, lived in a rural area with no previous diagnosis of this cardiopathy when he was attended to by a multidisciplinary team at University Hospital Ana Bezerra, at Santa Cruz, Northern Rio Grande, Brazil. After his medical appointment, the patient received a visit from the dental resident in Mother-Infant Health in his hospital room. During the dental exam, multiple carious lesions were found and there was an urgent need to reduce the risk of dental infection before the patient underwent heart surgery. The treatment started with a preventive approach, including oral hygiene instruction and behavior management. The treatment was completed using the atraumatic restorative technique, and a root tip was extracted. Antibiotic prophylaxis was administered before the extraction to minimize the risk of infectious endocarditis. After the dental treatment, the multidisciplinary team referred the patient for surgery to address the tetralogy of Fallot. The integration between the multidisciplinary residency and the medical team was important to reduce the risks of infectious endocarditis during the dental treatment, aiming to provide integral care to this patient.","PeriodicalId":30069,"journal":{"name":"RGO Revista Gaucha de Odontologia","volume":"24 1","pages":""},"PeriodicalIF":0.0,"publicationDate":"2022-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"90443979","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Pub Date : 2022-01-01DOI: 10.1590/1981-863720200005620210063
V. L. Paschoini, Sarany Vargas Grillo, A. Nahás-Scocate, M. F. N. Feres
ABSTRACT Objective: Amongst other factors, the effectiveness of orthodontic treatment in children and adolescents depends on the identification of most appropriate intervention timing, which has been traditionally based on the identification of maturational stages. There is a wide variety of radiographic methods to identify these phases, either through skeletal parameters, or dental calcification. Considering that the reliability of any given assessment tool is required to enable its safe clinical use, and aiming an appropriate implementation of these parameters in future researches, this study was performed to assess the reproducibility of radiographic growth evaluation methods. Methods: Lateral teleradiographs, hand-wrist, and panoramic radiographs of sixty-eight orthodontic patients randomly selected from files of the Orthodontics Graduation Course (Guarulhos University, Guarulhos, SP, Brazil) were evaluated by two examiners to access both intra- and inter-examiner reproducibility of the assessment methods conceived by Baccetti et al.; Fishman; Greulich and Pyle; Nolla and Demirjian et al. Results: All methods analyzed showed satisfactory intra- and inter-examiner reliability. Among those that evaluated skeletal maturity, a relatively better performance was observed for Baccetti’s method. Fishman’s and Greulich’s parameters presented similar rates, as did Nolla’s and Demirjian’s. Conclusion: The assessment tools analyzed presented adequate reproducibility and might potentially be used as assessment tools to evaluate children and adolescent’s craniofacial growth. Further researches could evaluate the accuracy of radiographic dental calcification parameters for the identification of craniofacial growth stages.
{"title":"Reproducibility of skeletal and dental maturation parameters","authors":"V. L. Paschoini, Sarany Vargas Grillo, A. Nahás-Scocate, M. F. N. Feres","doi":"10.1590/1981-863720200005620210063","DOIUrl":"https://doi.org/10.1590/1981-863720200005620210063","url":null,"abstract":"ABSTRACT Objective: Amongst other factors, the effectiveness of orthodontic treatment in children and adolescents depends on the identification of most appropriate intervention timing, which has been traditionally based on the identification of maturational stages. There is a wide variety of radiographic methods to identify these phases, either through skeletal parameters, or dental calcification. Considering that the reliability of any given assessment tool is required to enable its safe clinical use, and aiming an appropriate implementation of these parameters in future researches, this study was performed to assess the reproducibility of radiographic growth evaluation methods. Methods: Lateral teleradiographs, hand-wrist, and panoramic radiographs of sixty-eight orthodontic patients randomly selected from files of the Orthodontics Graduation Course (Guarulhos University, Guarulhos, SP, Brazil) were evaluated by two examiners to access both intra- and inter-examiner reproducibility of the assessment methods conceived by Baccetti et al.; Fishman; Greulich and Pyle; Nolla and Demirjian et al. Results: All methods analyzed showed satisfactory intra- and inter-examiner reliability. Among those that evaluated skeletal maturity, a relatively better performance was observed for Baccetti’s method. Fishman’s and Greulich’s parameters presented similar rates, as did Nolla’s and Demirjian’s. Conclusion: The assessment tools analyzed presented adequate reproducibility and might potentially be used as assessment tools to evaluate children and adolescent’s craniofacial growth. Further researches could evaluate the accuracy of radiographic dental calcification parameters for the identification of craniofacial growth stages.","PeriodicalId":30069,"journal":{"name":"RGO Revista Gaucha de Odontologia","volume":"53 1","pages":""},"PeriodicalIF":0.0,"publicationDate":"2022-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"91347534","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
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