The Epidemiological investigation of the diseases affecting the maxillofacial structures is of fundamental importance to the dental clinic. However, few studies on this subject have been published in the literature, despite its relevance to the viability of health programs. In this context, the objective of this work was to assess the frequency and the main types of diseases that are commonly biopsied and sent to the Pathology Department, School of Dentistry from EBMSP. By conducting a retrospective study covering the data collected during the years 2001 to 2010, 1.095 biopsies were evaluated. Considering the histopathological diagnosis of each case, it was also evaluated the frequency of pathological lesions, the overall distribution of the samples by sex and age, lesion location, and clinical and histopathological diagnosis. The most frequent diagnoses were fibroepithelial hyperplasia (16.62%), nonspecific chronic inflammation (6.30%) and radicular cyst / residual (4.87%). The importance of searching for the correct diagnosis of the pathology presented by the patient is so relevant as the choice of methods and techniques to be used in their elimination or control. It is clear that a better and more accurate diagnosis contributes to a well developed treatment.
ResumoO levantamento epidemiológico da casuística das patologias que acometem o complexo bucomaxilofacial é de fundamental importância para a clínica odontológica. Todavia, poucos estudos relacionados a este tema têm sido publicados na literatura, a despeito de sua relevância para a viabilização de programas de saúde. Neste contexto, o objetivo deste trabalho foi avaliar a frequência e os principais tipos de patologias que são comumente biopsiados e enviados ao Serviço de Patologia Bucomaxilofacial do Curso de Odontologia da Escola Bahiana de Medicina e Saúde Pública. Através da realização de um estudo retrospectivo abrangendo os dados coletados durante os anos de 2001 a 2010, foram avaliadas 1095 fichas de biópsias. Considerando o diagnóstico histopatológico de cada caso, avaliou-se a freqüência das lesões patológicas, a distribuição geral das amostras quanto ao sexo e idade, a localização das lesões, e o diagnóstico clínico e histopatológico. As patologias mais freqüentes foram a hiperplasia fibroepitelial (16,62%); inflamação crônica inespecífica (6,30%) e cisto radicular/residual (4,87%). A importância de se buscar o correto diagnóstico da patologia apresentada pelo paciente é tão importante quanto a escolha dos métodos e técnicas a serem utilizadas no seu tratamento, ou controle. É evidente que quanto melhor e mais preciso for o diagnóstico, mais eficiente será o tratamento desenvolvido.Palavras-chave: Biópsia; Epidemiologia; Patologia Bucal. EVALUATION OF PATHOLOGY EXTENSION ACTIVITY OF EBMSP -A TEN YEARS FOLLOW-UP (2001-2009) AbstractThe Epidemiological investigation of the diseases affecting the maxillofacial structures is of fundamental importance to the dental clinic. However, few studies on this subject have been published in the literature, despite its relevance to the viability of health programs. In this context, the objective of this work was to assess the frequency and the main types of diseases that are commonly biopsied and sent to the Pathology Department, School of Dentistry from EBMSP. By conducting a retrospective study covering the data collected during the years 2001 to 2010, 1.095 biopsies were evaluated. Considering the histopathological diagnosis of each case, it was also evaluated the frequency of pathological lesions, the overall distribution of the samples by sex and age, lesion location, and clinical and histopathological diagnosis. The most frequent diagnoses were fibroepithelial hyperplasia (16.62%), nonspecific chronic inflammation (6.30%) and radicular cyst / residual (4.87%). The importance of searching for the correct diagnosis of the pathology presented by the patient is so relevant as the choice of methods and techniques to be used in their elimination or control. It is clear that a better and more accurate diagnosis contributes to a well developed treatment.
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