Este artigo relata a experiência de uma Faculdade de Odontologia durante o processo de construção e implementação de um novo projeto pedagógico (PP). O PP foi reformulado desde a caracterização do curso com as discussões sobre perfil de egresso, passando pela estrutura de funcionamento, objetivos, matriz curricular, estágios e concepção metodológica. Durante 12 meses foram utilizadas diversas ferramentas para sensibilização do corpo docente, incluindo a realização de semanas pedagógicas, oficinas, encontros pedagógicos e discussões nas assembleias docentes. O novo currículo foi implementado em 2012 evidenciando a interdisciplinaridade, a formatação de ambulatórios integrados e um estágio curricular obrigatório que compreende mais de 40% da matriz curricular entre atividades intra e extramuros. Dificuldades foram encontradas durante a implementação e a comunidade acadêmica buscou ferramentas para minimizá-las, fazendo com que o projeto continue dinâmico e amadureça a cada ano.
The aim of this prospective, randomized, clinical study was to analyze the influence of occlusal adjustment on the prevalence of postoperative pain after endodontic treatment. Seventy-eight patients, diagnosed with symptomatic irreversible pulpitis with indication for endodontic treatment, were selected to participate in the study. The participants were randomized and divided into two groups: in the occlusal adjustment group (OAG), endodontic treatment was performed with subsequent occlusal adjustment. In the control group (CG), endodontic treatment was performed without occlusal adjustment. Treatments were performed by the same operator. Pain occurrence and intensity were recorded on two scales: the verbal rating scale (VRS) and numerical rating scale (NRS). Pain assessment was carried out by a second examiner, blinded to the experiment, 6, 24 and 72 h after endodontic treatment. Data were analyzed using Mann-Whitney, chi-squared, and Fisher’s exact tests. In the occlusal adjustment group, 71.1% reported postoperative pain and 67.5% reported pain in the control group. At the 6-hour assessment, 21 individuals reported pain in the occlusal adjustment group and 24 in the control group (p=0.672). At the 24-hour assessment, 18 and 19 individuals reported pain (p=0.991) and at the 72-hour assessment, 8 and 4 reported pain (p=0.219), respectively. Occlusal adjustment did not influence the prevalence of postoperative pain of endodontically treated teeth with symptomatic irreversible pulpitis.
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