Bisphosphonates are drugs used for treatment of many medical diseases; their prescription has increased over the years due to the various indications for use. They come in two distinct groups: containing nitrogen (alendronate, ibandronate, pamidronate, risedronate and zolendronate) and without nitrogen in their composition (etidronate and tiludronate). Despite being used in the treatment of several diseases, they can lead to the development of osteonecrosis in the patient's maxilla and/or mandible, when submitted to dental procedures, such as extractions, surgeries or traumas for non-adapted prostheses. It is recommended that patients who use bisphosphonates visit the dentist at least once a year, for better control and monitoring of oral health.
Bisphosphonates are widely used, whether in osteoporosis or malignant bone disorders. Therefore, it is necessary that there is sufficient knowledge about the adverse effects of this drug, especially in relation to Osteonecrosis of the Jaws Developed by Bisphosphonates, which is a pathology generated in the gnathic bones. So, the following question was asked in the research problem: What is the current situation regarding the use of bisphosphonates and the onset of osteonecrosis of the jaw? Searches were carried out on digital library websites in search of articles and research in books by renowned authors. Inclusion and exclusion criteria for articles found were defined. The verification of each article was carried out so that it could have perspective and follow-up on the subject discussed. The following databases were used: PUBMED, BIREME and LILACS, and SCIELO between the years 2007 to 2019. It was concluded then that Bisphosphonates play a very important role as a cause of osteonecrosis of the jaws, where the prognosis will be worse if the patient is treated with intravenous rather than oral types.
The objective of this study was to evaluate the knowledge about sports dentistry and the ability to care for athlete patients of the professors of the Dentistry Course of the Universidade Luterana do Brasil - Torres RS. A questionnaire with 11 closed questions was elaborated, in which the professors answered without making use of bibliographical material or any means of external consultation. The results showed that the knowledge about Sports Dentistry among the professors of the Universidade Luterana do Brasil - Torres Campus is quite varied, regarding the very existence of the area, the differentiation regarding the necessary care for the patient/athlete and sports doping.
Keywords: Cirurgião dentist; Atleta; Odontologia Desportiva.
Every year new formulas and substances are created to circumvent doping protection system created by WADA, companies that benefit itself working in the dark side of sport acting together with technical, nations sports committee’s, etc. With this constant situation, where renewal formulas aimed at improving the performance of athletes, it´s important that health professionals, including the dentists who treat athletes, have knowledge of doping and are up to date in this context. The objective of this study was to create an aid protocol related to doping that help dentists that work in service with amateur and professional athletes. We know the need that a dentist who cares professionals athletes must have about the medicines that causes doping and what to do when he needs to prescribe any from WADA´s list with no harm.
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