O objetivo do presente trabalho foi investigar a inserção e a perspectiva profissional de egressos de Odontologia no mercado de trabalho. Trata-se de um estudo observacional, transversal e descritivo, realizado por meio de um questionário eletrônico aplicado aos 298 egressos de um curso de Odontologia do Tocantins, distribuídos em 14 turmas (2008 a 2015). A taxa de resposta foi de 61,41% (n=183). Após análise dos dados (Teste de Qui-quadrado/Exato de Fisher; nível de significância de 5%) verificou-se que 65,6% dos respondentes eram do sexo feminino, com idade média de 30 (±6,6) anos. O tempo médio de formado foi de 3,7 (±2,2) anos. Dentre os egressos, 37,8% trabalhavam em serviço público, sendo que 17,5% o faziam exclusivamente. A maioria deles trabalhava no estado do Tocantins (65,0%), sendo que 62,8% estava cursando ou cursou pós-graduação, sendo Ortodontia (17,5%), Endodontia (14,8%), Odontopediatria (7,6%); a área de Saúde Coletiva apareceu para 3,8% dos respondentes. A renda mensal da maioria (46,4%) foi de até 5 salários mínimos (R$ 3 640,00) e 49,8% dos respondentes mostraram-se satisfeitos com o rendimento mensal. A inserção imediata no mercado de trabalho foi relatada por 72,7% dos egressos, sendo que 6% não exerciam a profissão naquele momento e destes, 2,7% nunca exerceram. Dentre as disciplinas consideradas mais significativas na graduação apareceram Cirurgia Oral (26,8%), Endodontia (21,3%), Dentística (14,2%), Odontopediatria (11,5%), Prótese (9,3%) e Saúde Coletiva (4,9%).  Os resultados encontrados permitem concluir que a inserção dos egressos no mercado de trabalho foi rápida e a maioria se encontrava satisfeita com os rendimentos naquele momento.

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A terapia antineoplásica gera imunossupressão e alterações na cavidade bucal que muitas vezes pioram o quadro geral dos pacientes, podendo culminar na interrupção do tratamento quimioterápico, no entanto os cuidados bucais podem diminuir a morbidade e mortalidade dos pacientes oncológicos. Diante disso, esta revisão de literatura tem como objetivo apresentar uma sugestão de cuidados odontológicos para as manifestações bucais que podem ocorrer antes, durante e depois do tratamento antineoplásico em crianças com leucemias. A busca na literatura foi realizada por meio da base de dados Pubmed, Lilacs e Bibliografia Brasileira de Odontologia (BBO), além de capítulos de livros, dissertações. Diante disso, esta revisão mostrou as alterações bucais mais frequentes nas fases das leucemias e propôs algumas formas de tratamento odontológico para o suporte a estes indivíduos, os quais receberam terapia antineoplásica, com o objetivo de proporcionar aos profissionais da saúde opções terapêuticas que melhorem a qualidade de vida dos indivíduos com leucemias. Palavras-chave: Leucemia, Manifestações Orais, Assistência odontológica para crianças, Antineoplásicos.

BackgroundLangerhans cell histiocytosis (LCH) is a disease that often affects children, but can also occur in adults and smokers. Oral manifestations are unusual and are characterized by bone pain, tooth mobility, necrotic ulcers and local edema. The aim of this paper is to describe a clinical case of LCH in an oral cavity that mimicked oral squamous cell carcinoma.Case presentationA male, 63 years old, complaining about a “wound in the mouth” for 6 months, without any pain or spontaneous bleeding. His medical history was free of disease. The patient was a smoker for 33 years. Intraoral examination revealed a destructive ulcerative lesion around the upper left first and second molars that resembled an oral squamous cell carcinoma. Biopsy of the ulcerative lesion was performed and the microscopic features showed an inflammatory infiltrate rich in plasma cells. Based on this microscopical finding, the final diagnosis was periodontal disease associated with a proliferative non-neoplastic lesion. The patient was referred to a specialized dental surgeon and underwent periodontal therapy including surgical procedures. After that, according to follow-up with the patient, there were no signs of disease remission. The lesion increased in size, although the patient did not complain of any symptoms. A second biopsy was performed and the microscopic features again showed a rich inflammatory infiltrate with mononuclear cells and histiocytic cells, characterized by pale histiocytes with lobed nuclei, resembling a bean. A varying number of eosinophils also were observed, without any evidence of atypical cells present in this infiltrate. An immunohistochemical staining panel was done to determine the nature of this inflammatory infiltrate by using antibodies S-100, CD1a, CD-68 and CD45RO that were positive. These immunohistochemical findings were fundamental for the final diagnosis of LCH. The treatment included surgical extraction of all superior teeth, radiation and systemic corticoid therapies. After 8 years of treatment, the patient is free of disease.ConclusionAlthough LCH is an unusual lesion in an oral cavity, it can be present. Biopsy and a histological exam are essential to establish the diagnosis. Immunohistochemicals were fundamental to exclude malignant lesion and to confirm the diagnosis of LCH.

BackgroundThe oral condition in children undergoing oncohematological treatment can have a negative impact on the course of disease. Little is known about survival of tooth restorations in these patients. The aim of this study was to evaluate the longevity of restorations and sealants performed by Atraumatic Restoration Treatment (ART) in patients undergoing oncohematological treatment.MethodsART single surface restorations and sealants were performed in the experimental group (E), which comprised children (2–13 years old) undergoing oncohematological treatment, and in the control group (C), in which patients did not undergo such treatment. The same examiner evaluated the ART at 1, 3, 6 and 12 months after preparation, using the same criteria for restorations and sealants. ART was successful if the sealant or restoration did not need a repair in the follow-up assessment. Descriptive, bivariate and Cox’s proportional hazard analyses were performed at a significance level of 5 %.ResultsThe two groups, one including 24 children (E) and the other 14 children (C), received 101 and 52 ART procedures, respectively. The success rates were 95.0 % (E) and 100 % (C) at 1 month (P = 0.233); 81.2 % (E) and 92.3 % (C) at 3 months (P = 0.009); 72.2 % (E) and 80.8 % (C) at 6 months (P = 0.050) and 48.5 % (E) and 73.1 % (C) at 12 months (P = 0.001). The final Cox’s regression model for occurrence of ART failure needing repair did not show differences between groups (E: OR = 1.6, 95 % CI 0.8–2.9); primary teeth had a shorter survival than permanent teeth (OR = 2.1, 95 % CI 1.2–3.7).ConclusionsOncohematological treatment did not interfere with the longevity of ART restorations and sealants, which suggests the potential use of this technique in children undergoing chemotherapy.Trial registrationBrazilian Clinical Trials Registry (REBEC) RBR-2c3c52. Registered 5 June 2014. http://www.ensaiosclinicos.gov.br/rg/RBR-2c3c52/Electronic supplementary materialThe online version of this article (doi:10.1186/s12903-015-0110-y) contains supplementary material, which is available to authorized users.

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IntroductionHereditary gingival fibromatosis (HGF) is a rare disease characterized by gingival enlargement, normal color with benign and firm consistency. This growth may be exacerbated by use of drugs and plaque build-up. The treatment for this clinical condition is surgical excision of the enlarged gingival tissue or the extraction of all teeth.Case ReportA 20-year-old Brazilian female handicapped patient with a chief complaint of exaggerated gingival enlargement who had been prescribed Carbamazepine and Gardenal was referred to our center. According to the clinical presentation and family history, the final diagnosis of gingival enlargement was HGF. Full dental treatment was performed, including basic periodontal treatment, restorations, sealants, and gingivoplasty with internal bevel. Special care was taken to ensure that there was no change in patient’s anticonvulsant medication. The patient has been monitored for seven years without signs of recurrence of gingival hyperplasia due to constant professional and home control of plaque.

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