No abstract

Um dos grandes desafios dos estudantes de odontologia ao terminar o curso de graduação é a entrada no mercado de trabalho. O objetivo desta revisão de literatura, narrativa, foi avaliar as possibilidades de acesso a informações sobre gestão, empreendedorismo e marketing para estudantes de odontologia. Foram avaliados artigos publicados entre os anos de 2000 a 2020, nas línguas inglesa e portuguesa nas bases de dados: Pumed, Lilacs, Scielo, Cochrane Biblioteca, Scopus, Web of Science, Embase e Bireme. Os resultados mostraram que em todo o mundo vemos uma disparidade nos estudantes de odontologia na questão administrativa onde poucos congratulam a parte de gestão, empreendedorismo e ferramentas de marketing. A profissão de dentista permite a atuação em diversas esferas: particular, pública, acadêmica, e em vários setores; infelizmente o curso de graduação não abrange essas possibilidades ficando o aluno sem saber exatamente o que fazer no término do curso.Poucos profissionais da odontologia estão realmente satisfeitos financeiramente e diante deste fato podemos observar que as dúvidas estudantis como o não planejamento empreendedor durante a faculdade possa ser um dos causadores.  É necessária adequação da grade curricular para que os temas de gestão, empreendedorismo, direcionamento profissional sejam parte da formação do aluno e possam efetivamente auxiliar e promover crescimento profissional.

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.

Concern about the risks of radiation and the quality of the radiographic image has led many researchers and public agencies to carry out studies on the subject, which have found the existence of a series of problems in the practice of dental radiology. Based on the above, the objective of this study was to evaluate the knowledge and attitudes of dental surgeons regarding biosafety and the use of devices and materials used throughout the radiographic process in dental offices. 200 Dentists were interviewed with offices in some cities in the Baixada Santista region in the State of São Paulo, Brazil, variables such as age, gender, time since graduation, professional specialty, were only identified at the time of the interview. During the visit, the researcher assessed, by means of a questionnaire, components related to the radiological practice in the offices and about the attitudes during the radiological practice and, consequently, about the radiological protection rules adopted, either for the patients or professionals involved. When the questionnaire was applied, a statistically significant difference was observed in relation to the concept of biosafety 98% of the interviewees answered yes, that they know what biosafety is. If there are notices in the office warning about the x-ray equipment, 89% responded that they do not. The viewing of radiographs taken previously by the patients was indicated by 97.5% of the interviewed dentists, and 95% use breast and thyroid protection with a lead apron. More than half of the dentists, 52%, discard the substances used in the revelation process in the office sink. The results observed in our study are not encouraging, either due to the ignorance of the current legislation, the use of the devices inappropriately and the processing carried out with real chances of contamination of the environment, we believe that an increase in teaching and control of biosafety in dental radiology is necessary.

Aims: In recent years there has been an increasing number of procedures for removing the buccal fat pad, also known as cheek reduction or face thinning surgery. Bichat buccal fat can be used as part of the therapeutic procedure in several cases of oroantral communication and in other oral surgery procedures. The objective of this case report was to demonstrate the procedure for removing the buccal fat pad for aesthetic purposes. Study Design:  Case report. Place and Duration of Study: Case carried out in 2021 in a private dental office in the city of Santos-SP- Brazil. Presentation of Case: After completing the anamnesis and oral clinical assessment, the patient underwent laboratory tests for preoperative evaluation and magnetic resonance imaging of the malar region. Buccal fat pad removal is a minor procedure, and the surgical technique is considered simple and safe if performed by trained and experienced professionals. The postoperative period requires rest in the first days and limited mouth opening is a common symptom, and the use of analgesics and anti-inflammatories adequately controls any painful symptoms. Results: The procedure can be performed by a dentist if the practitioner has a local anatomical knowledge, follows the indication for each case, and take all pre and postoperative care that is necessary to avoid complications. Conlusions: When we have the correct indication, preoperative exams that indicate that everything is correct in relation to the presence of buccal fat pad and their relationship with adjacent structures and the execution of the technique with postoperative control, there is no way that professionals and patients cannot be happy with the buccal fat pad removal results.

No abstract

Background: Endometriosis and periodontitis are chronic and inflammatory diseases. Studies, assumptions and opinions try to shed light on this possible relationship. The aim of this systematic review was to investigate the association between endometriosis and periodontal disease. Methods: The following databases: Medline, Scopus, Embase, Web of Science, Cochrane Library, and Goolge Scholar, the descriptors used were: Endometriosis and Periodontal Disease in English, during the period from 1995 to 2023. 10 abstracts were found that had submitted the entire article for inclusion analysis. The eligibility criteria were: clinical trials, observational studies, and specific studies of endometriosis with periodontal diagnosis. Case reports, laboratory studies, and studies without periodontal disease in participants were excluded. Abstracts were evaluated by two investigators. Results: After accepting the eligibility criteria, two studies were included in this review, a cross-sectional study and a case-control study. The included studies do not allow for comparison, have different periodontal diagnostic criteria, and focus more on the biological plausibility of the increase in circulating cytokines in the body than on the observed outcomes. Conclusion: Nowadays there is no association between endometriosis and periodontal diseases, the studies only indicate a biological plausibility, clinical studies with adequate methodological design are necessary to prove such an association.

OBJECTIVE: This study aimed to evaluate diabetic individuals with chronic periodontitis who underwent periodontal treatment using clinical parameters and blood tests for fasting glycemia and glycated hemoglobin. MATERIAL AND METHODS: A total of 146 patients with diabetes were initially evaluated. After adopting the inclusion and exclusion criteria, 63 patients were included in the diabetic group (DG). The control group (CG) consisted of individuals with a similar age group to the DG group, a diagnosis of chronic periodontitis, and without systemic involvement. Periodontal clinical parameters and blood tests for fasting glycemia and glycated hemoglobin were performed before periodontal treatment (T1) and 90 days after (T2) treatment. RESULTS: For plaque index and bleeding index, there was a significant difference between the times in both groups. Significant reduction in the percentage of pockets with PD ≥ 6mm after periodontal therapy in both groups. The blood test showed a significant difference in DG group, for fasting glycemia in T1 mean of 168.8 mg/dl and in T2 of 153.1 mg/dl and glycated hemoglobin in 7.6% in T1 and 7.3% in T2 (p ≤ 0,05). CONCLUSION: Non-surgical periodontal therapy improved blood parameters of fasting glucose and glycated hemoglobin in individuals with type 2 diabetes mellitus after treatment.