<!--[if gte mso 9]><xml> <o:OfficeDocumentSettings> <o:RelyOnVML /> <o:AllowPNG /> </o:OfficeDocumentSettings> </xml><![endif]--> <p class="MsoNormal" style="text-align: justify; mso-layout-grid-align: none; text-autospace: none;"><span style="font-size: 8.0pt; mso-ascii-font-family: Calibri; mso-hansi-font-family: Calibri; mso-bidi-font-family: Calibri;">A sialolitíase é uma alteração comum das glândulas salivares causada pela presença de cálculo no interior do ducto ou do próprio parênquima, sendo caracterizada por inchaço, dor e ausência de salivação da glândula afetada, a depender do tamanho do cálculo, que na maioria das vezes, não ultrapassam 1 cm de extensão. Dentre os métodos de diagnóstico estão a inspeção e a palpação, além da verificação da quantidade e qualidade da saliva secretada. O exame radiográfico é um método complementar bastante útil na confirmação da sialolitíase. A incidência da sialolitíase é maior nas glândulas submandibulares, embora também ocorra nas sublinguais, parótidas e mesmo nas salivares menores. O tratamento dos sialolitos é variável, alguns com eliminação espontânea, outros com bioestimulação e uso de antiinflamatórios ou até requerendo tratamento cirúrgico para a sua excisão. O presente trabalho tem por objetivo realizar uma breve revisão de literatura sobre a alteração patológica e relatar um caso clínico de sialolitíase da glândula sublingual. Sabe-se que o tratamento é variável de acordo com a dimensão e a localização do cálculo. Neste caso, optou-se por sua remoção cirúrgica, com posterior análise histopatológica e confirmação da patologia.</span></p> <p class="MsoNormal" style="text-align: justify; mso-layout-grid-align: none; text-autospace: none;"><span style="font-size: 10.0pt; mso-ascii-font-family: Calibri; mso-hansi-font-family: Calibri; mso-bidi-font-family: Calibri; mso-ansi-language: EN-US;" lang="EN-US">Sialolithiasis in sublingual gland: case report</span></p> <p class="MsoNormal" style="text-align: justify; mso-layout-grid-align: none; text-autospace: none;"><span style="font-size: 8.0pt; mso-ascii-font-family: Calibri; mso-hansi-font-family: Calibri; mso-bidi-font-family: Calibri; mso-ansi-language: EN-US;" lang="EN-US">The sialolithiasis is a common salivary glands caused by the presence of the stone within the duct or parenchyma itself, characterized by swelling, pain and lack of salivary gland affected, depending on the size of the calculation, which in most cases, not greater than 1 cm in length. Among the methods of diagnosis are the inspection and palpation, and checking the quantity and quality of saliva secreted. The radiographic examination is a useful complementary method for confirmation of sialolithiasis. The incidence of sialolithiasis is higher in submandibular glands, although it also occurs in the sublingual, parotid and salivary even in the minors. The treatment of sialolitos is variable, with some spontaneous elimination, with biostimulation and other anti-inflammatory drugs, or even requiring surgical treatment for their excision. This paper aims to conduct a brief review of literature on the pathological changes and report a case of sialolithiasis sublingual gland. We know that treatment varies according to size and location of the calculation. In this case, we opted for surgical removal and subsequent histological analysis and confirmation of pathology.</span></p> <p class="MsoNormal" style="text-align: justify; mso-layout-grid-align: none; text-autospace: none;"><strong><span style="font-size: 8.0pt; mso-ascii-font-family: Calibri; mso-hansi-font-family: Calibri; mso-bidi-font-family: Calibri; mso-ansi-language: EN-US;" lang="EN-US">Keywords</span></strong><span style="font-size: 8.0pt; mso-ascii-font-family: Calibri; mso-hansi-font-family: Calibri; mso-bidi-font-family: Calibri; mso-ansi-language: EN-US;" lang="EN-US">: Salivary Gland Calculi. 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ABSTRACT:This report aims to describe the clinical case of a 10-year-old male patient (R.C.B.C.), presenting nonsyndromic oligodontia with maternal family trait and absence of 22 permanent teeth. Clinically, the patient had prolonged retention of some primary teeth and presence of permanent maxillary left central incisor, permanent mandibular right central incisor and four first permanent molars. Radiographically, only permanent maxillary second molars and mandibular third molars were developing, whereas all other germs of permanent teeth were missing. Treatment consisted of maxillary expansion followed by moving permanent maxillary left central incisor bucco-mesially, and rehabilitation of spaces with removable denture, where the main goal was to restore function and esthetic harmony. The case has been monitored for the past six years. Nonsyndromic oligodontia is a rare condition that poses significant functional and psychosocial difficulties. Treatment usually requires a multidisciplinary approach among which pediatric dentistry and orthodontics play a major role. In view of its complexity, treatment should be initiated as early as possible to minimize future functional and aesthetic issues. Dental implants are considered as definitive treatment of cases of oligodontia, however, until the patient reached the ideal age, other treatments to ensure aesthetics and function must be performed.
Despite being associated with more accuracy, the indirect bonding procedure is not yet the gold standard, probably because of sensitivity of the numerous variables that must be controlled. The aim of this article was to present a modified, standardized, and low-cost indirect bonding technique that allows this procedure to be performed successfully. The technique covers an initial clinical stage, to obtain the models; a laboratory stage, which involves placement of brackets on the models following the facial axis of the clinical crown and the labial projection of the marginal ridges of the posterior teeth and construction of transfer tray using hot glue; and a second clinical stage, to properly transfer the brackets to patient’s teeth. Hot glue used to build the tray molds the teeth and perfectly adapts to the teeth, having enough stiffness to maintain their anatomy and the position of the brackets, but also presenting adequate flexibility to allow removal of the tray avoiding excessive stress over the brackets. In conclusion, the new simplified indirect bonding technique presented here provides a precise placement of brackets on the models, a cheaper way to transfer them to patient, and an easy removal of transfer tray, being a very simple and cost-effective method.
Objetivos: Avaliar a prevalência de traumatismo dentário em incisivos superiores de pacientes submetidos a tratamento na Clínica de Ortodontia da UFRJ (Universidade Federal do Rio de Janeiro) e correlacionar oito fatores predisponentes dentofaciais desses indivíduos ao tipo de trauma sofrido. Materiais e Métodos: 765 prontuários de pacientes da Clínica de Ortodontia da UFRJ foram analisados em busca de trauma nos incisivos superiores. 40 prontuários de pacientes traumatizados e com documentação inicial completa foram selecionados. Radiografias cefalométricas laterais foram extraídas dos exames volumétricos, modelos, fotografias e prontuários foram analisados. Resultados: A incompetência labial, o acentuado grau de overjet e a acentuada protrusão e projeção dos incisivos superiores, presentes nos pacientes Classe II esqueléticos, atuam como principais fatores predisponentes para a ocorrência de traumatismo dentário. Conclusões: O tratamento ortodôntico em duas fases, deve ser foco de futuros estudos visando avaliar sua atuação como uma medida preventiva na redução dos índices de trauma dental nesses pacientes.
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