Bruxism is a parafunctional habit of multifactorial origin, which causes functional disorders with severe clinical implications. This function may be related to emotional factors, anxiety, and to behavioral characteristics of the individual. The objective of this work was to evaluate the prevalence of bruxism during waking and sleep bruxism describing aspects related to anxiety. Determining the etiological factor is important for diagnosis and treatment, to improve the quality of life of patients with the habit. The present study reviewed the literature on the relationship between bruxism and anxiety, addressing the main ways of treating this dysfunction. The keywords “bruxism”, “anxiety”, “etiology” and “sleep bruxism” were used in the PubMed and VHL databases. The references that dealt with the subjects related to the proposed theme were chosen, published during the last 20 years. He observes that the approach and treatment of the patient with bruxism and anxiety must be multidisciplinary, and that the direct relationship between the two diseases is not easy to be determined, as there is no scientific evidence of sleep bruxism and bruxism in wake. Thus, the evidence elucidates that there is a need for well-designed studies. In addition, the forms of treatment available are numerous, and that to be effective, therapies must be multidisciplinary, depending on the determination of the etiological factors of the two pathologies, and on the assessment of the risks and benefits of each therapy for the patient to be treated.
Objetivo: O presente estudo teve como objetivo discorrer sobre a importância do cirurgião dentista em unidades de terapia intensiva para a manutenção da saúde bucal em pacientes sistemicamente comprometidos. Método: Foi realizada uma revisão de literatura com abordagem qualitativa. Foram selecionados artigos científicos indexados nas seguintes bases de dados online: Google Scholar e Pubmed. Os critérios de inclusão foram: artigos com disponibilidade na íntegra, escritos nos idiomas português e inglês, que apresentavam coerência com a temática e com data de publicação entre 2012 e 2020. Resultados: Pacientes internados em unidades de terapia intensiva apresentam comprometimento geral da saúde e, muitas vezes, devido às condições desfavoráveis da cavidade oral, podem desenvolver infecções pulmonares e ou generalizadas. A presença do Cirurgião-Dentista nas equipes interdisciplinares das UTIs colabora para a prevenção de infecções hospitalares, com diminuição do tempo de internação e do uso de medicamentos pelo paciente crítico, contribuindo de forma efetiva para o seu bem estar e dignidade. Conclusão: Os estudos relatam que, embora a presença do cirurgião dentista ainda não esteja consolidada em UTIs e a legislação brasileira apresente ainda lacunas para a inserção deste profissional em UTI, sua importância junto à equipe multiprofissional é indiscutível considerando a simplicidade e a efetividade das medidas que compõem os cuidados em saúde bucal.
Objective: To describe the clinical and histological aspects, as well as to discuss the diagnosis, treatment and preventive measures of actinic cheilitis (AC). Methodology: A literature review was carried out through the collection of articles indexed in the PubMed, Scielo and Regional Portal of the Virtual Health Library databases in the period 2002 to 2020, in addition to books on Oral Pathology and Stomatology. Results: It is important that, in dental practice, the professional is properly trained, especially the dental surgeon, as it is up to him the role of prevention, diagnosis, treatment and preservation of this clinical condition, with the necessary knowledge for this type of disease , because apparently simple lesions can potentially respond to progression to cancer. Conclusion: To prevent AC, the use of wide-brimmed hats and lip balm with sunscreen is recommended. The ideal treatment should be chosen according to the individual situation of each patient, and for acute AC prevention and conservative treatment is the best option, for chronic AC, total removal of the lesion is necessary.
Institutionalized elderly people usually have a different oral condition than the elderly population in general due to the association of several systemic diseases, in addition to poor oral health care. Chronic age-related illnesses, such as dyslipidemia, hypertension, diabetes and depression, usually require the use of multiple drugs, a condition known as polypharmacy. This refers to the use of several medications daily. The present research aimed to verify the oral manifestations in gingiva, gingival ridge, as well as, in the other areas covered by epithelium resulting from polypharmacy in the elderly of a public shelter in Teresina - PI. In this study carried out between October / 2017 to April / 2018, 62 elderly people who met the stipulated inclusion criteria were evaluated, and the participants were institutionalized in a public shelter in Teresina - PI, who had the physical condition to open the oral cavity for the intraoral physical examination. , regardless of sex, education level, social class, who had chronic diseases and who used five or more drugs from different groups on a daily basis, thus characterizing polypharmacy. At the end of the analysis, there were nine elderly people who fit the research standards; they were subclassified according to the degree of the referred pathology and were made aware (patient and caregiver) about the magnitude of the problem and how to ponder and / or remove it. Polypharmacy was present in the entire sample studied and the main manifestations found were: gingival hyperplasia, gingivitis, ulcerations / erythematous areas, lingual coating, dry mouth and candidiasis.
There are many beliefs, taboos and myths about dental care in pregnancy. OBJECTIVE: to evaluate the collaborators' knowledge about oral changes and the need for dental treatment during pregnancy. METHODOLOGY: This was a cross-sectional study. Active female collaborators who worked at the educational institution in 2017 were included in the study. Collaborators who were absent from college at the time were excluded from the study. The data were collected through an interview through an individual questionnaire composed of objective questions that addressed the knowledge of female collaborators, performed by a single evaluator, then a descriptive analysis of the data was performed, presenting them with absolute values and percentages. RESULTS: Ninety-six female collaborators participated in the survey (response rate 88.9%). It was found that only 25% correctly answered all the questions. 58.3% answered that pregnancy caused problems in the teeth. The most cited problem was dental sensitivity. Among those who answered that some procedure could be performed, the most reported procedure was tooth cleaning (91.7%). CONCLUSION: It is possible for pregnant women to undergo dental treatments. Difficulties are still encountered in the dental care of pregnant women.
Introduction: Due to the culturally determined standards of beauty and aesthetics, the smile should be harmonious and pleasant. The presence of anterior teeth with disharmony in shape and size, agenesis or even diastema become the complaints most reported by patients. Thus, with the advances in adhesive systems, composite resins are being increasingly used in dentistry, aiming to solve esthetic problems in anterior teeth. Objective: To report the clinical protocol for closing diastemas. Case Report: A female patient sought care to resolve the space between the central incisors. It was decided to use the direct adhesive restorative system, so prior prophylaxis and the choice of the color of the composite resin was performed. Then, application of phosphoric acid and adhesive, according to the manufacturer's recommendations. Subsequently, the composite resin was applied using the incremental technique with the aid of the polyester matrix, finishing and polishing. Conclusion: Restoration with composite resin allows to restore aesthetics and achieve smile harmony, being considered a viable clinical procedure for closing diastema.
As medidas de biossegurança se intensificaram após o início da pandemia do COVID-19, que é uma doença que pode desenvolver um quadro clínico que varia de infecções assintomáticas a quadros respiratórios graves. Deste modo, cirurgiões-dentistas, assim como outros profissionais da saúde, tiveram que se adequar a critérios mais rigorosos de paramentação. O objetivo desse estudo é apresentar as principais recomendações no que tange a biossegurança nos procedimentos cirúrgicos odontológicos frente a pandemia. Este trabalho é uma revisão sistematizada da literatura, realizada através de artigos publicados na língua inglesa, espanhola e portuguesa, entre 2010 e 2020, publicados na base de dados PUBMED, BVS, RESEARCH GATE, SCIELO, tendo por descritores: odontologia, cirurgia oral, biossegurança, covid-19. Constatou-se que a especialidade de Cirurgia e Traumatologia Bucomaxilofacial é a mais exposta aos riscos de infeções por bioaerossóis, e devido a isto, é necessário o uso de máscaras cirúrgicas. PFF2/N-95, protetores faciais, óculos de proteção e capote descartável, assim como a adoção de protocolos rígidos de higienização, desinfecção, esterilização, e organização do ambiente cirúrgico, ao passo que a Teleodontologia se mostrou como um instrumento auxiliar viável neste período a fim de reduzir os riscos à exposição pelo SARS-CoV-2. O profissional que atua nos atendimentos cirúrgicos de urgência e emergência devem seguir as medidas de biossegurança emitidas pelos órgãos de vigilância em saúde a fim de que a saúde do trabalhador seja assegurada, igualmente a do paciente.
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