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Traumatic dental injuries (TDI) involve damage to the dentoalveolar tissues and their supporting structures. 1 When analyzing the frequency, 15.2% of the worldwide population have had dental trauma, with an estimated incidence rate of approximately three out of one hundred people per year. 2 More than one billion living people have experienced TDI. 2 Dental trauma in the permanent dentition represents 5% of all dental care, and it is still a neglected condition. 3

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Periodontitis and arterial hypertension are two of the pathologies with the highest global prevalence; evidence reported so far has been favorable to an association between them. This cross-sectional study aimed to evaluate and compare the microbiological counts of hypertensive and normotensive patients with periodontitis. Sociodemographic, behavioral, systemic health data and periodontal clinical parameters were assessed. Counts of A. actinomycetemcomitans, P. intermedia, P. gingivalis and F. nucleatum were performed by real-time polymerase chain reaction using subgingival biofilm samples. Thirty-eight patients were included in this preliminary analysis, divided into two groups: Normotensive Group (NG) (n = 14) and Hypertensive Group (HG) (n = 24). Patients diagnosed with periodontitis composed both groups. Data analysis was performed with significance level of 5%. There was no significant difference between groups for clinical periodontitis diagnosis. In addition, hypertensive individuals had higher P. intermedia, P. gingivalis, and F. nucleatum counts when compared to normotensive individuals. The parameters probing pocket depth, bleeding on probing, and A. actinomycetemcomitans count did not presented statistical differences between groups. With these preliminary results, it can be concluded that the presence of arterial hypertension may be associated with a greater quantity of periodontopathogenic bacterial of some species in individuals with periodontitis.

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Objetivo: Revisar a literatura abrangendo a importância da inter-relação entre a doença periodontal e o diabetes melittus. Resultados: Os resultados demonstraram que a relação bidirecional entre o diabetes mellitus e a doença periodontal se mostra de alta prevalência na população. Fatores etiológicos e mecanismos fisiológicos comprovam a interferência de uma doença na progressão da outra. Os resultados demonstram ainda que a terapia periodontal não cirúrgica pode auxiliar no controle glicêmico com uma redução de 0,2 a 0,4% na HbA1c. Para o sucesso deste tratamento em pacientes diabéticos, é preciso aliar o controle da condição sistêmica, com o uso correto de medicamentos prescritos e estilo de vida saudável. Conclusão: Inúmeros estudos descritos relatam a importância do acompanhamento odontológico em pacientes diabéticos, tanto pela manutenção da saúde bucal, quanto na colaboração do controle glicêmico. Cabe destacar também a relevância da necessidade de uma abordagem multidisciplinar dos profissionais da saúde, para o controle dessas condições que atingem elevada parcela da população, assim como o esclarecimento dos pacientes do benefício do tratamento para ambas as condições.

Aim: This study aimed to evaluate the prevalence of concern with dental appearance (DA) and associated factors among the elderly of two southern Brazilian cities. Methods: A cross-sectional study was conducted in the cities of Cruz Alta and Veranópolis, Brazil. Oral health examination and a structured questionnaire were applied. Questions from the PCATool-SB Brasil tool and the Questionnaire about Teeth Appearance, both validated to Brazilian samples, were used. The collected independent variables were: sex, age, ethnicity, education level, marital status, retirement, health problem, use of medication, smoking exposure, alcohol exposure, access to the dentist, toothbrushing frequency, use of dental floss, edentulism, use of and need for dental prosthesis. Concern with DA was dichotomized into yes/no. Associations between dependent and independent variables were assessed by Chi-square or Mann-Whitney tests. Moreover, uni- and multivariate analyses were conducted by Poisson regression with robust variance. Level of significance was established as p<0.05. Results: The prevalence of concern with DA was 18.8% (n=107). The prevalence ratio (PR) of concern with DA decreased 5.8% for each year increase (PR:0.942; 95% confidence interval [95%CI]:0.911–0.973). Elderly without access to the dentist in the last 12 months presented 62.5% (p=0.006) higher PR of concern with DA when compared to those with access to dental care. Dentate elderly showed 219% higher PR for concern with DA (PR:2.197; 95%CI:1.364–3.539) in comparison to edentulous individuals. Conclusion: Prevalence of concern with DA was low and associated with demographics, access to dental care and edentulism.

Periodontal disease and diabetes mellitus present a bidirectional relationship in which one condition may influence the other. It is assumed that non-surgical periodontal therapy (scaling and root planning) could decrease the pro-inflammatory mediators, restoring periodontal health and the balance of glycemic control. Objective: To report the glycemic control of two type-2 diabetes patients with periodontal disease, who received non-surgical periodontal therapy and supportive periodontal therapy. Case report: Both patients were initially evaluated, and the delineated treatment plan included prophylaxis, manual scaling and root planning sessions and oral hygiene instructions. The patients were evaluated at baseline and after 30- and 60-days post-treatment, for the clinical parameters (visible plaque index, gingival bleeding index, probing pocket depth, clinical attachment level, bleeding on probing and dental mobility) and 90-days post treatment for the glycated hemoglobin and fasting plasma glucose. Results: The results showed a significant improvement in periodontal clinical parameters in both patients, as well as a decrease in their glycemic indices. Conclusion: Non-surgical periodontal therapy promoted improvement of periodontal parameters and also systemic health of individuals.