Patients with Vitamin D-resistant rickets have abnormal tooth morphology such as thin globular dentin and enlarged pulp horns that extend into the dentino-enamel junction. Invasion of the pulp by microorganisms and toxins is inevitable. The increased fibrotic content of the pulp, together with a reduced number of odontoblasts, decreases the response to pulp infection. The most important oral findings are characterized by spontaneous gingival and dental abscesses occuring without history of trauma or caries. Radiographic examinations revealed large pulp chambers, short roots, poorly defined lamina dura and hypoplastic alveolar ridge. These dental abscesses are common and therefore the extraction and pulpectomy are the treatment of choice. The purpose of this article is to report a case of Vitamin D-resistant rickets in a 5 year-old boy, describing the dental findings and the treatment to be performed in these cases.

Radiotherapy, alone or associated with surgery or chemotherapy, produces a significant increase in cure rates for many malignancies of the head and neck region. However, high doses of radiation in large areas, including the oral mucosa, may result in several undesired reactions that manifest during or after the completion of therapy. The multidisciplinary management is the best alternative to minimize or even prevent such reactions, and the dentist has a fundamental role in this context. This paper reviews the literature related to the main oral sequelae from head and neck radiotherapy and establishes clinical oral management protocol for these irradiated patients.

Autobiografia orientada para avaliar vida, carreira e planejar para a aposentadoria 1 1 A primeira autora agradece à FAPERJ pelo apoio recebido às pesquisas realizadas sobre avaliação dos programas de preparação para a aposentadoria entre [2014][2015][2016] ArtigoResumo O processo de envelhecimento populacional requer urgência na revisão das diretrizes e práticas organizacionais, como os Programas de Preparação para a Aposentadoria (PPA). Pesquisa recente sobre PPA no Brasil concluiu que é preciso priorizar a sustentabilidade, consistência metodológica e avaliações para confirmar a eficácia desses programas. O objetivo deste estudo foi apresentar e discutir a aplicabilidade da Autobiografia Orientada (GAB) como método inovador para o planejamento e decisão da aposentadoria. O texto discute a relevância do PPA, os métodos utilizados, princípios e a operacionalização da GAB, sugerindo um roteiro básico para conduzir a avaliação da vida, carreira e os recursos para aposentadoria. Conclui-se que a GAB é uma ferramenta adequada para o planejamento e tomada de decisão na aposentadoria. Palavras-chave: Aposentadoria, tomada de decisão, autobiografia, planejamento Abstract: Guided Autobiography to assess life, career and plan for retirement The aging population process requires urgency in reviewing organizational guidelines and practices, such as the Retirement Preparation Programs known as PPA. A recent research regarding PPA in Brazil concluded that priority should be given to sustainability, methodological consistency and evaluations to confirm the effectiveness of these programs. The purpose of this study was to present and discuss the applicability of the Guided Autobiography (GAB) as an innovative method to evaluate life, career and resources for retirement. The text discusses the relevance of the PPA, used methods, GAB principles and procedures, suggesting a basic guide for conducting life, career and retirement resource assessment. In conclusion, the GAB seems a suitable tool for planning and decision making in retirement. Keywords: Retirement; decision making; autobiography; planning Resumen: Autobiografía orientada para evaluar vida, carrera y planear la jubilación El proceso de envejecimiento poblacional requiere urgencia en la revisión de directrices y prácticas organizativas, como Programas de Preparación para la Jubilación (PPA). Un estudio reciente sobre los PPA en Brazil concluyó que es necesario priorizar la sostenibilidad, consistencia metodológica y evaluaciones que confirmen la eficacia de estos programas. El objetivo de este estudio fue presentar y discutir la aplicabilidad de la Autobiografía Orientada (GAB) como método innovador para evaluar la vida-carrera y resources para la jubilación. El texto discute la relevancia de PPA, métodos utilizados, principios e operacionalización de la GAB, sugiriendo un itinerario básico para evaluar vida, carrera y recursos para jubilación. Se concluye que la GAB es una herramienta adecuada para tomar decisión e planear la jubilación. Palabras clave: Jubilación; ...

Este estudo objetivou apresentar a construção e as evidências iniciais de validade da Escala de Motivos para Continuar Trabalhando na Aposentadoria (EMCTA). A pesquisa contou com a participação de 511 trabalhadores maduros (com 45 anos ou mais), que responderam a um questionário enviado por intranet de uma grande organização do setor de energia. A escala final compreendeu 44 itens e sete dimensões com bons índices de ajustes. Análises fatoriais confirmatórias demonstraram que as dimensões mais relevantes da EMCTA foram o relacionamento com a organização, os relacionamentos no trabalho e o desenvolvimento intelectual. É sugerido que nvestigações futuras visem testar a invariância desse instrumento em grupos distintos de trabalhadores maduros que estejam planejando se manter no mercado de trabalho, mesmo após a idade da concessão da aposentadoria.

No abstract

Clinical and biological markers analysis in peri-implant fluid and correlation with the keratinized mucosa around dental implants An adequate keratinized mucosa (KM) width is important to ensure minimal conditions necessary to establish protect periodontium homeostasis. When a bacterial infection occurs, periodontal and peri-implant tissues develop a local inflammatory immune response that results in production and release of several inflammatory mediators that may be found in gingival crevicular and in peri-implant fluids. However, there is a lack of literature concerning about the levels of these mediators in peri-implant sites considering KM width. The aim of this study was to evaluate the association between KM peri-implant quantity and quality and clinical parameters and immune response quality by analyzing the inflammatory mediators concentration (IL-1β, IL-4, IL-6, IL-8, MIP-1α, TNF-α and VEGF) present in human peri-implant fluid before (T1) and after (T2) subgingival scaling, by immunoassay. Clinical parameters evaluated plate index (PI), probing suppuration (S), probing depth (mesial-PDM, center-PDC and distal-PDD), bleeding index (mesial-BIM, center-BIC and distal-BID), relative attachment level (RAL), keratinized mucosa width (KMW) and thickness (KMT) on the buccal face. Sulcular fluid samples were collected and analyzed. The implants were divided in groups according KM width (G1≤2mm and G2>2mm) and KM thickness (GA1≤1mm and GB1>1mm, GA2≤1,5mm and GB2>1,5mm). Twenty patients (11 men and 9 women) aged 40 to 80 years (53,45±10,32) were evaluated, with 42 implants (G1=25 and G2=17). Clinical results showed a significant statistical difference only between T1 and T2 within G1 for PI (T1=56% and T2=16%) and BIM (T1=68% and T2=40%). Statistical difference was observed between G1 and G2 only for IL-1β in T2 (G1=9,77pg/ml±12,44 and G2=30,13pg/ml±32,29). Intra-groups, all cytokines increased significantly, but only in G2, showing reactivity difference between groups. As to KM thickness (GA1=6 and GB1=36), clinical results revealed intergroup differences for BIC in T2 (GA1=16,67% and GB1=61,11%) and intra-groups for PI in GB1 (T1=52,78% and T2=27,78%). There was a significant increase in GB1 for all cytokines except VEGF, as well as for IL-1β in GA1. When the sample was redistributed in GA2=24 and GB2=18, clinical results indicated statistical inter-group differences for PDC in T2 (GA2=2,58mm±1,06 and GB2=3,11mm±1,02) and intra-groups for PI (T1=62,5% and T2=20,83%) and PDC (T1=2,92mm±1,18 and T2=2,58mm±1,06) in GA2 and for BIM (T1=55,56% and T2=27,78%) in GB2. Intra-groups were observed significantly increase for all cytokines in GA2 except VEGF, as well as IL-8 in GB2. Concluded that clinical differences presented tended to show the KM importance principally after the initial preparation and, in addition, KM width greater than 2mm influenced the inflammatory mediators levels evaluated after subgingival scaling. Additionally, the absence of significant statistic difference between groups when comparing the kera...