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Estudo Retrospectivo de Lesões das Glândulas Salivares em uma População Brasileira num Período de 10 Anos 巴西人群唾液腺损伤10年的回顾性研究
Pub Date : 2021-02-17 DOI: 10.18363/RBO.V78.2021.E1970
Júlia Mello, Thays Teixeira de Souza, Bruno Teixeira Gonçalves Rodrigues, Carina Almeida Pires, Thiago Moreira Pêssoa, R. T. Ramos, Marília Heffer Cantisano, G. O. Silva-Júnior
Objective: This study aimed to analyze the clinical characteristics of salivary gland lesions diag-nosed in an Oral Medicine center in Brazil from 2010 to 2019. Material and Methods: The files describing all cases classified as salivary glands lesions at the Stomatology of the Polyclinic Pi-quet Carneiro of the State University of Rio de Janeiro from 2010 to 2019 (a 10-year period) were reviewed for the purposes of this study. Data were tabulated and analyzed descriptively and comparatively using Pearson's Chi-Square Test and Fisher's Exact Test using the Graph Pad Prism program (Version 6.07 by Windows, San Diego, California, USA), with a significance lev-el of 5% (p<0.05). Results: The analysis of 2,134 medical records - 166 (7.78%) presented with salivary glands lesions in which 117 were women (70.48%) and 49 men (29.52%); the mean age of patients was 39.30; the most common clinical lesion of the salivary glands observed was mu-cocele representing 59 cases (35.54%), followed by sialadenitis with 33 cases (19.88%). Conclu-sions: According to all data gathered in this work, we concluded that the salivary gland lesions show a low prevalence and affect more white female patients in the sixth decade of life.
目的:本研究旨在分析2010年至2019年在巴西口腔医学中心诊断的唾液腺病变的临床特征。材料和方法:为了本研究的目的,回顾了描述2010年至2019年(10年)里约热内卢州立大学Pi quet Carneiro综合诊所口腔科所有被归类为唾液腺病变的病例的文件。使用Pearson的卡方检验和Fisher的精确检验,使用Graph Pad Prism程序(Windows 6.07版,San Diego,California,USA),结果:2134份病历中166份(7.78%)为涎腺病变,其中女性117份(70.48%),男性49份(29.52%);患者平均年龄39.30岁;唾液腺最常见的临床病变为木-精索静脉曲张59例(35.54%),其次为唾液腺炎33例(19.88%)。
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引用次数: 0
Protetores Bucais e Avaliação Intra-Oral para Pacientes Candidatos à Eletroconvulsoterapia 电惊厥治疗候选患者的口腔保护剂和口腔内评估
Pub Date : 2021-02-10 DOI: 10.18363/RBO.V78.2021.E1952
Bruna Luiza Roim Varotto, Raniel Ramon Norte Neves, Cibele Nasri-Heir, R. D. C. D. Nápole, Reynaldoi Antequera, José Tadei Tesseroli de Siqueira
Objective: the aim of this article is to present a literature review on the mouthguards during electroconvulsive therapy (ECT) and describe a protocol of dental care that can be performed prior ECT. Methods: following the guidelines of the Preferred Reporting Items for Systematic Reviews and Meta-Analyses (PRISMA) the articles were selected according to the inclusion criteria described as follow: 1) articles published in English language; 2) Clinical follow-up studies, retrospective, prospective and randomized controlled clinical trials. Case reports were also considered as well as Letters to the Editor containing expert opinion. Results: seventy-seven articles were initially selected using the key words. After applying the inclusion criteria, 16 articles were selected based on the complete reading. A protocol is proposed based on the literature review and also based in the clinical expertise of the team of dentists working in the Psychiatric Institute of a Tertiary Hospital. Conclusion: trained dentists contribute to the safety of psychiatric patients’ who undergo to ECT procedure by performing an intra oral evaluation prior ECT where they can evaluate and decide the best mouthguard type for each patient and also identify and address emergencies that could represent a problem during the procedure. In some cases, the dental clinician evaluation is also requested after ECT and as well as, in follow ups during and after the psychiatric treatment
目的:本文的目的是介绍一篇关于电休克治疗(ECT)期间护齿器的文献综述,并描述一种可以在ECT之前进行的牙科护理方案。方法:按照系统评价和荟萃分析首选报告项目(PRISMA)的指导原则,根据以下纳入标准选择文章:1)以英语发表的文章;2) 临床随访研究、回顾性、前瞻性和随机对照临床试验。还审议了案例报告以及载有专家意见的致编辑的信。结果:使用关键词初步筛选出77篇文章。在应用纳入标准后,根据完整的阅读选择了16篇文章。根据文献综述和三级医院精神病研究所牙医团队的临床专业知识,提出了一项方案。结论:经过培训的牙医通过在ECT之前进行口腔内评估,有助于接受ECT手术的精神病患者的安全,他们可以评估和决定每个患者的最佳护齿器类型,并识别和解决可能在手术过程中出现问题的紧急情况。在某些情况下,还要求牙科临床医生在ECT之后以及在精神治疗期间和之后的随访中进行评估
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引用次数: 0
Eletromiografia de Superfície dos Músculos Masseter e Supra-Hióideos na Fase Oral da Deglutição em Adultos Saudáveis 健康成人口腔吞咽期咬肌和舌上肌表面肌电图
Pub Date : 2021-02-10 DOI: 10.18363/RBO.V78.2021.E1969
Andrea Cristina Rossi Di Gioia, S. D. Santos-Filho, E. M. Bianchini
Objective: to evaluate by means of electromyographic analysis of the masseter and suprahyoid muscles the oral phase of the swallowing of different volumes of saliva and liquid in healthy adult individuals. Material and Methods: the method consisted in analyzing samples of three swallowing trials: voluntary and single swallow of saliva (dry), voluntary and single swallow of 10 ml of water, and voluntary and single swallow of 20ml of water. Statistical analysis: Through Friedman’s ANOVA test we observed a significant variation in the medium potential of the right suprahyoid muscle (p=0.010) when compared to the left suprahyoid muscle (p=0.05). Other correlations were verified by using the Nemenyi test, the Wilcoxon test and the Spearman coefficient to support the different analyses of the results. Results: the analysis found a direct relation between the electrical activity of the masseter and suprahyoid muscles when swallowing 20 ml water as regards the highest potential values, irrespective of face side – left or right; i.e., when swallowing 20ml water, the higher the potential of one muscle group, the higher the expected value of its antagonist. Conclusion: the electromyographic behavior of the masseter and suprahyoid muscles during voluntary swallowing of saliva and two standardized liquid volumes showed that the electrical activity of the masseter muscles did not vary according to the type of swallowing.
目的:通过咬肌和舌骨上肌的肌电图分析,评估健康成人吞咽不同体积唾液和液体的口腔阶段。材料和方法:该方法包括分析三项吞咽试验的样本:唾液(干)自愿单咽、10ml水自愿单咽和20ml水自愿双咽。统计分析:通过Friedman方差分析检验,我们观察到与左舌骨上肌(p=0.05)相比,右舌骨上肌肉的中等电位有显著变化(p=0.010)。其他相关性通过使用Nemenyi检验、Wilcoxon检验和Spearman系数来验证,以支持对结果的不同分析。结果:分析发现,在吞咽20毫升水时,咬肌和舌骨上肌肉的电活动与最高电位值之间存在直接关系,而与面部左侧或右侧无关;即,当吞咽20ml水时,一个肌群的电位越高,其拮抗剂的预期值就越高。结论:咬肌和舌骨上肌在自愿吞咽唾液和两种标准液体量时的肌电图行为表明,咬肌的电活动不因吞咽类型而异。
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引用次数: 0
Abordagem da Violência Contra a Mulher nos Cursos de Graduação em Odontologia do Rio de Janeiro 里约热内卢牙科本科课程中针对妇女的暴力行为的方法
Pub Date : 2021-02-10 DOI: 10.18363/RBO.V78.2021.E1956
Paula Sousa Rachid, Clara Herrera Freire, Andréia Cristina de Souza, Katlin Darlen Maia, Inger Teixeira de Campos Tuñas
Objective: the aim of this paper was to verify knowledgement senior undergraduate dental students’ of Rio de Janeiro Universities on how to proceed when facing violence against women. Material and Methods: a cross-sectional study was conducted, using an on-line Google Form containing 17 objective questions. Last year undergraduate dental students from Rio de Janeiro metropolitan area and close campi answered the survey, coming to a total of 237 answers, with 95% confiability. This research was approved by the number 4.105.142 CEP-HUFF/UFRJ technical report. Results: only 26,6% of the students claimed to have received orientation on how to conduct a case of violence against women. Moreover, 67,1% don’t feel ready to guide victims of domestic violence, claiming to have none/phew/insufficient knowledge of the topic. Most of the students, 92,4%, said that they didn’t receive any information about the notification and grievances file and, 76,7% of those that did, said that they wouldn’t be able to fill it. Over 71% know a woman who has been a victim of domestic violence, who were mostly hit on head/neck/face. The undergraduate students reported that they would provide dental care, orientate the victim and report the domestic violence scenario to the responsible entities. Conclusion: thus, it was observed a knowledge deficit concerning violence against women protocols in undergraduate dentistry courses in Rio de Janeiro, since this topic isn’t approached or is taught using inefficient methods
目的:本论文旨在验证里约热内卢大学牙科专业高年级本科生对如何应对暴力侵害妇女行为的认识。材料和方法:使用包含17个客观问题的在线谷歌表格进行横断面研究。去年,来自里约热内卢大都会区和附近坎皮的牙科本科生回答了这项调查,共得到237个答案,95%的人可以确定。本研究获得编号为4.105.142的CEP-HUFF/UFRJ技术报告批准。结果:只有26.6%的学生声称接受了如何处理暴力侵害妇女案件的指导。此外,67.1%的人觉得自己还没有准备好引导家庭暴力受害者,声称自己对这个话题一无所知。大多数学生(92.4%)表示,他们没有收到任何关于通知和申诉文件的信息,其中76.7%的学生表示,他们无法填写。超过71%的学生认识一名遭受家庭暴力的女性,她们大多头部/颈部/面部被打。本科生报告说,他们将提供牙科护理,为受害者定位,并向责任实体报告家庭暴力情况。结论:因此,在里约热内卢的本科牙科课程中,观察到对暴力侵害妇女协议的知识不足,因为这个主题没有被处理或使用低效的方法教授
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引用次数: 0
Comparação da Eficácia Anestésica da Articaína 4% Associada a Epinefrina 1:100.000 e 1:200.000 na Técnica Infraorbitária 4%阿替卡因与1:10万肾上腺素和1:20万肾上腺素在眶下技术中的麻醉效果比较
Pub Date : 2021-02-08 DOI: 10.18363/RBO.V78.2021.E1894
Allice Correa Devens, Kessy Naira Detoni, Lara Bolsoni de Souza Angeli, Arlinda Lúcia Zocatelli Calenzani, Paula Sampaio de Mello Assis
Objective: To compare the anesthetic efficacy of 4% articaine associated with epinephrine concentrations of 1:100,000 and 1:200,000, using the infraorbital nerve block approach. Material and Methods: This is a double-blind cross-sectional study conducted with 40 volunteers. Pulpal anesthetic parameters such as latency, duration, and success rates were evaluated using a pulp tester device, which emits electrical discharges ranging from 0 to 80 ?A in 20 seconds. Soft tissue anesthesia (vestibular gum) was evaluated by pressing a wooden toothpick into the gingival region used in the approach. Finally, parameters related to pain after anesthesia were evaluated. Results: We found no statistically significant differences between anesthetic solutions for pulp and soft tissue regarding latency period. The anesthetic solution containing 1:100,000 epinephrine presented a significantly longer effect duration than 1:200,000 epinephrine regarding pulpal anesthesia of maxillary central incisors, first maxillary premolar, and second maxillary premolar. As for vestibular gum, we found no statistically significant differences between the solutions. Regarding pain at injection, the two anesthetic solutions showed no statistically significant differences. Conclusion: 4% articaine with 1:100,000 epinephrine presented significantly longer pulpal anesthesia duration in some dental elements when compared to 1:200,000 epinephrine
目的:比较4%阿替卡因伴肾上腺素浓度1:10万和1:20万下眶下神经阻滞入路的麻醉效果。材料和方法:这是一项双盲横断面研究,共有40名志愿者参与。牙髓麻醉参数如潜伏期、持续时间和成功率使用牙髓测试设备进行评估,该设备在20秒内发出0到80a的放电。软组织麻醉(前庭牙龈)通过将木制牙签压入入路中使用的牙龈区域来评估。最后,评估麻醉后疼痛的相关参数。结果:我们发现牙髓麻醉溶液和软组织麻醉溶液在潜伏期方面无统计学差异。1:10万肾上腺素麻醉溶液对上颌中切牙、上颌第一前磨牙、上颌第二前磨牙的牙髓麻醉效果明显优于1:20万肾上腺素麻醉溶液。对于前庭牙龈,我们发现两种解决方案之间没有统计学上的显著差异。在注射疼痛方面,两种麻醉溶液无统计学差异。结论:4%阿替卡因与1:10万肾上腺素比1:20万肾上腺素在某些牙体的牙髓麻醉时间明显延长
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引用次数: 0
Revisão dos Dados Experimentais in vivo e in vitro que Apoiam à Carcinogênese do Carcinoma de Células Escamosas Oral por Doença Periodontal e Possíveis Mecanismos Moleculares 回顾支持牙周病引起口腔鳞状细胞癌癌变的体内和体外实验数据及可能的分子机制
Pub Date : 2021-02-08 DOI: 10.18363/RBO.V78.2021.E1930
R. Silva, G. F. Araujo, V. D. Pascoal, Gabriela Alessandra da Cruz Galhardo Camargo, Bruno K. Robbs
Objective: to describe different in vivo and in vitro experimental models and summarize evidence that proposes molecular mechanisms or demonstrate a cause and effect correlation between periodontal disease (PD) and oral squamous cell carcinoma development. Material and Methods: a Literature search of various electronic databases (Medline, SCOPUS, Web of Science) using appropriate keywords (e.g., periodontal disease, periodontitis, squamous cell carcinoma, oral cancer, transformation, carcinogenesis, mouth neoplasms, and carcinoma) was performed. Then, a comprehensive literature review of the current understanding of this link was elaborated. Results: the experimental data suggest that PD induces initiation, promotion, and oral squamous cell carcinoma progression. Periodontal disease models here revised demonstrate a direct relation to carcinogenesis and propose several possible molecular mechanisms of action, such as via activation of Toll-like receptors (TLRs), activation of transcription 3 activator (STAT3) and Notch1 pathways and increased interleukin-6 (IL-6), TNF-?, TGF-?1, cyclin D1, metalloproteinase matrix-9 (MMP-9) and heparinase production as well as regulating the host immune response and induce epithelial-mesenchymal transition (EMT). Conclusion: the use of in vivo and in vitro studies is very significant for understanding the casual association of these biological processes. The current findings highlight the importance of further studies in this area to understand the cause and effect relationship of these pathologies and the development of new strategies for the prevention and treatment of this type of cancer
目的:描述不同的体内和体外实验模型,总结提出牙周病(PD)与口腔鳞状细胞癌发展之间的分子机制或因果关系的证据。材料和方法:使用适当的关键词(如牙周病、牙周炎、鳞状细胞癌、口腔癌、转化、癌变、口腔肿瘤、癌)对各种电子数据库(Medline、SCOPUS、Web of Science)进行文献检索。然后,对目前对这一环节的认识进行了全面的文献综述。结果:实验数据表明PD诱导口腔鳞状细胞癌的发生、促进和进展。本文修订的牙周病模型证明了与癌变的直接关系,并提出了几种可能的分子作用机制,如通过激活toll样受体(TLRs)、激活转录3激活因子(STAT3)和Notch1途径以及增加白细胞介素-6 (IL-6)、TNF-?TGF - ?1、细胞周期蛋白D1、金属蛋白酶基质-9 (MMP-9)和肝素酶的产生,以及调节宿主免疫反应和诱导上皮-间质转化(EMT)。结论:使用体内和体外研究对了解这些生物过程的偶然关联非常重要。目前的研究结果强调了在这一领域进一步研究的重要性,以了解这些病理的因果关系,并制定预防和治疗这类癌症的新策略
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引用次数: 0
Efeito antibacteriano da quitosana contra Streptoccocus mutans: uma alternativa para enxaguatório bucal no controle e prevenção da cárie dentária? 壳聚糖对变形链球菌的抗菌作用:在控制和预防龋齿方面替代漱口水?
Pub Date : 2021-02-08 DOI: 10.18363/RBO.V78.2021.E1897
Taís Chaves Magalhães, Lilian Lopes Barbosa, A. Lopes, Bruna Palmeira Costa, R. Santos, E. A. Münchow, H. L. Carlo, Fabíola Galbatti de Carvalho
Objective: This study aimed to review the literature on chitosan antibacterial activity against Streptococcus mutans, assessing this biopolymer’s potential for caries control and prevention. Materials and Methods: A search for studies in the “Pubmed” database was carried out, using the terms “Chitosan and Streptococcus mutans.” Eightyeight articles were found, and no filter was used in the search. Results: In general, chitosan inhibited the adhesion and biofilm of Streptococcus mutans, tested in different concentrations, exposure time, molecular weight, and pH. Therefore, chitosan has antibacterial activity against Streptococcus mutans. Conclusion: Although it can demonstrate the potential for use as a component of an oral product, more studies need to be conducted and analyzed to prove its ability to prevent and control dental caries
目的:综述壳聚糖对变形链球菌抗菌活性的研究进展,探讨壳聚糖在防治龋齿方面的应用前景。材料和方法:在“Pubmed”数据库中搜索研究,使用术语“壳聚糖和变形链球菌”。总共找到了8篇文章,而且没有使用任何过滤器。结果:在不同浓度、不同暴露时间、不同分子量、不同ph下,壳聚糖对变形链球菌的粘附和生物膜均有抑制作用,因此壳聚糖对变形链球菌具有抗菌活性。结论:虽然它可以作为一种口腔产品的组成部分,但需要进行更多的研究和分析,以证明其预防和控制龋齿的能力
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引用次数: 0
New Insights for the Brazilian Journal of Dentistry 《巴西牙科杂志》的新见解
Pub Date : 2021-01-11 DOI: 10.18363/RBO.V78.2021.E1955
G. Silva-Júnior
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引用次数: 0
Oral Mouthrinse to Prevent Ventilator-associated Pneumonia Caused by COVID-19 口服漱口水预防COVID-19引起的呼吸机相关性肺炎
Pub Date : 2020-12-23 DOI: 10.18363/rbo.v77.2020.e1948
Bruna Lavias Sayed Picciani, M. E. Condé, N. Póvoa, H. Póvoa
{"title":"Oral Mouthrinse to Prevent Ventilator-associated Pneumonia Caused by COVID-19","authors":"Bruna Lavias Sayed Picciani, M. E. Condé, N. Póvoa, H. Póvoa","doi":"10.18363/rbo.v77.2020.e1948","DOIUrl":"https://doi.org/10.18363/rbo.v77.2020.e1948","url":null,"abstract":"","PeriodicalId":53157,"journal":{"name":"Revista Brasileira de Odontologia","volume":"1 1","pages":""},"PeriodicalIF":0.0,"publicationDate":"2020-12-23","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"67898644","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}
引用次数: 0
Manejo de grande cisto radicular pela terapia endodôntica cirúrgica: relato de caso 手术根管治疗大根囊肿的病例报告
Pub Date : 2020-12-17 DOI: 10.18363/RBO.V77.2020.E1917
Carla Augusto, C. O. Lima, Fabiola Ormiga Barbosa Soares, Heloisa Gusman
Objective: To demonstrate a surgical treatment of a large infected root cyst associated with the upper lateral incisor through a case report. Case Report: Patient reported a major complaint of swelling in the palatal region that was present for 6 months. The patient was submitted to non-surgical endodontic treatment. After clinical and radiographic examinations, decompression marsupialization was performed to create a window on the buccal cortical wall and an acrylic resin drain was installed in the depth of the cystic cavity. Two months later, a procedure was planned with cystectomy and apicoectomy on tooth 12, enucleated cyst, bone graft and barrier with purified collagen sponge. After enucleation, a sample of the cystic capsule was examined histologically and the diagnosis of periapical cyst was confirmed. Conclusion: After 1-year, clinical cicatrization and radiographic resolution of the maxillary radiolucency were verified and the patient did not present painful symptoms, demonstrating the success of the treatment performed
目的:通过一个病例报告,展示手术治疗与上侧切牙相关的大感染根囊肿。病例报告:患者报告了腭区肿胀的主要主诉,已经存在了6个月。患者接受了非手术牙髓治疗。在临床和影像学检查后,进行减压有袋化术,在颊皮质壁上开一个窗口,并在囊腔深处安装丙烯酸树脂引流管。2个月后,行第12颗牙膀胱和根尖切除术,去核囊肿,植骨,用纯化胶原蛋白海绵进行屏障。去核后,对囊囊样本进行组织学检查,确诊为根尖周囊肿。结论:经过1年的临床愈合和上颌透光度的x线片消退证实,患者没有出现疼痛症状,表明治疗成功
{"title":"Manejo de grande cisto radicular pela terapia endodôntica cirúrgica: relato de caso","authors":"Carla Augusto, C. O. Lima, Fabiola Ormiga Barbosa Soares, Heloisa Gusman","doi":"10.18363/RBO.V77.2020.E1917","DOIUrl":"https://doi.org/10.18363/RBO.V77.2020.E1917","url":null,"abstract":"Objective: To demonstrate a surgical treatment of a large infected root cyst associated with the upper lateral incisor through a case report. Case Report: Patient reported a major complaint of swelling in the palatal region that was present for 6 months. The patient was submitted to non-surgical endodontic treatment. After clinical and radiographic examinations, decompression marsupialization was performed to create a window on the buccal cortical wall and an acrylic resin drain was installed in the depth of the cystic cavity. Two months later, a procedure was planned with cystectomy and apicoectomy on tooth 12, enucleated cyst, bone graft and barrier with purified collagen sponge. After enucleation, a sample of the cystic capsule was examined histologically and the diagnosis of periapical cyst was confirmed. Conclusion: After 1-year, clinical cicatrization and radiographic resolution of the maxillary radiolucency were verified and the patient did not present painful symptoms, demonstrating the success of the treatment performed","PeriodicalId":53157,"journal":{"name":"Revista Brasileira de Odontologia","volume":" ","pages":"1-4"},"PeriodicalIF":0.0,"publicationDate":"2020-12-17","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"44804115","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}
引用次数: 0
期刊
Revista Brasileira de Odontologia
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