Amiloidose é uma doença de causa desconhecida caracterizada por deposição extracelular de material fibrilar amiloide, ou seja, de proteínas insolúveis que podem se acumular localmente em diferentes locais do corpo e poderá ocorrer acúmulo intenso e progressivo que causaria disfunção da área envolvida, como por exemplo, insuficiência cardíaca, insuficiência renal e macroglossia. O diagnóstico definitivo se faz por biopsia do tecido afetado. O objetivo deste relato de caso e revisão da literatura é descrever um caso de amiloidose primaria em glândula salivar. Paciente do gênero masculino, 74 anos, procurou atendimento médico queixando-se de inchaço na região do pescoço e abaixo da língua. Assintomático desde o ano de 2015. Negou ser etilista e tabagista e ter qualquer doença prévia. Exames laboratoriais sanguíneos e ressonância do abdomen e tórax normais. Foi realizada tomografia computadorizada e massa densa foi observada em glândula salivar. Exames complementares laboratoriais confirmaram o diagnóstico. A amiloidose pode ser adquirida ou hereditária se manifestando de forma localizada ou sistêmica, na qual normalmente acomete o coração, rim, trato gastrointestinal e língua. Essa condição nas regiões da cabeça e pescoço são mais raras, sendo que os locais mais acometidos nesses sítios são cavidade bucal, laringe e faringe. O paciente optou por não realizar qualquer procedimento cirúrgico e realiza acompanhamento anual.
The individual smoker can present several alterations in the periodontal tissues, such as the reduction of blood flow, the alteration of the inflammatory and immunological responses, the damage in the tissue healing, the modification in the composition of the bacterial plaque, the increase in the depth of the pocket and greater loss of tissue. periodontal attachment. The aim of the present observational cohort study was to assess the peri-implant condition of dental implants in function for 5 years. Methodology: The convenience sample included in the present study consisted of 70 smokers, who had implants placed between 2014 and 2015, and who, after contact attended to undergo clinical periodontal examinations and periapical radiographs. Results: the presence of biofilm was observed in 54.7% of the implants and the mean probing depth was 3.87mm, while in individuals without the presence of plaque it was 3.44mm. For the probing bleeding index, 42 individuals did not experience bleeding and with a mean PS of 3.18mm, the 22 individuals with bleeding on probing had PS of 4.23mm. When considering the location of the implant, 22 were located in the mandible and 42 in the maxilla, with no statistical difference regarding location. Of the individuals evaluated, 27 did not perform annual maintenance in the last 5 years and 37 performed annual maintenance, the observed probing depth averages were 4.89mm and 3.64mm respectively. Conclusion: This observational study reported that bleeding on probing and lack of annual maintenance can promote an increase in probing depth in implants installed in smokers.
Solar radiation is responsible for most cancers of the lower lip, if the diagnosis is late, the prognosis is unfavorable, the treatments are mutilating, palliative and expensive. This prevention campaign unprecedented in the country with a public-private partnership, aimed at informing and evaluating beach workers on the beaches of Santos, SP, Brazil, in relation to sun exposure and lip injuries. In three training workshops were held with the evaluators and instructions on the approach and calibration regarding questions and answers. A total of 119 beach workers who received information about care, symptoms and forms of sun prevention were evaluated, an explanatory folder was developed by the team and was distributed along with samples of sunscreen. Oral examination was performed evaluating lips and perioral mucosa through inspection and palpation maneuvers and within the needs of oral treatment they were referred for treatment. The results showed that only 7.56% use lip balm and 29.4% use body protector. In the lip evaluation, alterations were observed in 35 of the beach workers (29.41%) of the observed population, in 4 women (10%) and 31 men (39.24%). The data obtained may serve as a guide for preventive campaigns for this population at risk for the development of labial and perioral lesions. More attention is needed to this vulnerable population on the effects of sun exposure, protective care is not performed properly by most beach workers.
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