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Goldenhar Syndrome in a pediatric patient: a case report and review of literature
ABSTRACT Goldenhar Syndrome is a rare, generally sporadic condition, whose physical manifestations include asymmetric incomplete facial development, epibulbar dermoids, auricular malformations e auricular appendices, vertebral anomalies, central nervous system disturbances, ocular irregularities and visceral abnormalities. Its etiology is not fully understood, with its incidence ranging from 1:3500 to 1:5600 live births, and a gender ratio of 3:2 (male: female), presenting more frequently in children with congenital deafness. The purpose of this case report was to describe clinical presentation of Goldenhar syndrome in a f...
Source: RGO - Revista Gaucha de Odontologia - January 6, 2017 Category: Dentistry Source Type: research

Horizontal root fracture in the apical third: case report
This article presents a clinical case of horizontal root fracture, in an adult patient, male, in the apical third, due to the practice of sports, which, along with other factors, has led to pulp necrosis. Initially, the patient sought emergency care, and then he underwent treatment by endodontics, using calcium hydroxide between sessions. After a monitoring period, root canal obturation was performed and the tooth is clinically and radiographically stable 2 years after the trauma. In this case, monitoring is long-lasting, divided into 12-month periods for 10 years, with clinical and radiographic evaluation. Dental fracture...
Source: RGO - Revista Gaucha de Odontologia - January 6, 2017 Category: Dentistry Source Type: research

Paraendodontic surgery: case report
This report describes a case of an endodontic treatment complemented by paraendodontic surgery in periapical region of 21, 22 and 23 of a female patient who had been treated at the clinic of the Brazilian Dental Association Dentistry - in the city of Cascavel, State of Parana, Brazil. The case presents a 12-month follow-up for the resolution of painful symptoms, lesion reduction, and bone formation. Literature review was performed regarding paraendodontic surgery in order to assess the determining factors, failure causes and procedure indications/contraindications, as well.RESUMO A cirurgia paraendod ôntica tem sido cada ...
Source: RGO - Revista Gaucha de Odontologia - January 6, 2017 Category: Dentistry Source Type: research

Le Fort III osteotomy for severe dentofacial deformity correction associated with hypoplasia of the midface
ABSTRACT The combination of orthodontic therapy and orthognathic surgery is a well-established treatment modality for the correction of dentofacial deformities. When these deformities are more severe, involving hypoplastic midface, surgical techniques not used routinely in the treatment of facial changes are required, such as the Le Fort III osteotomy or variations of this technique. Few studies have reported the use of this technique or its modifications in non-syndromic patients. This paper demonstrates the orthodontic-surgical resolution of a patient with dentofacial deformity with severe malocclusion Class III, involvi...
Source: RGO - Revista Gaucha de Odontologia - January 6, 2017 Category: Dentistry Source Type: research

Treatment of chronic pain in dentistry using anticonvulsants
This study aimed to review the literature regarding the use of anticonvulsants in the treatment of chronic pain, the most used drugs, the efficacy of each one of them, the pros and cons of their use and the pathologies associated with chronic pain. Orofacial pains are considered complex and multifactorial and often do not respond well to treatment with common analgesics. The carbamazepine is used since the 60s, but their prolonged use can alter liver function. Phenytoin when consumed by more than three months cause gingival enlargement and clonazepam reduces patient symptomatology up to70%. Therefore, in order to improve t...
Source: RGO - Revista Gaucha de Odontologia - January 6, 2017 Category: Dentistry Source Type: research

Steps for biomodel acquisition through addtive manufacturing for health
The objective of this study was to describe the main steps in the biomodel manufacturing using an Objet 3D printer (CONNEX 350), whose raw material is a light-curing resin. The steps are adopted by researchers from three-dimensional technologies laboratory (LT3D), of the Center for Strategic Technologies in Health (NUTES), from the State University of Para íba (UEPB), Brazil. It begins with the acquisition of tomographic images that are processed through specific software and exported to the digital Stereo lithography (STL) format. The additive manufacturing technique is Stereo lithography, which consists in the construct...
Source: RGO - Revista Gaucha de Odontologia - January 6, 2017 Category: Dentistry Source Type: research

Behavior and perceptions of hand hygiene practices among dental students
Conclusion: This study identified some of the hand hygiene compliance failures among dental students. Educational strategies by means of an increase in motivation to perform hand hygiene properly, and by adjusting professor's practices in front of the students would be crucial to improve adherence. Additionally, the improvement on the infrastructure in this institution by means of new washbasins and more available consumables would benefit hand hygiene adherence.RESUMO Objetivo: Investigar o comportamento e a percep ção sobre a prática da higiene das mãos entre acadêmicos de um Curso de Odontologia. Métodos: Este e...
Source: RGO - Revista Gaucha de Odontologia - January 6, 2017 Category: Dentistry Source Type: research

Assessment of sodium fluoride 2% as a new method of disinfecting extracted human teeth
Conclusion: The results of the present study suggest that sodium fluoride 2% solution can be considered a new disinfection method based on its capacity to reduce the load of E. faecalis.RESUMO Objetivo: Investigar a a ção do fluoreto de sódio à 2% como um novo método de desinfecção/esterilização de dentes humanos extraídos, usando E. faecalis. Métodos: A taxa de sobrevivência do E. faecalis ATCC 29212 foram avaliadas, em termos de absorbância a partir do meio de cultura, usando espectofotômetro. A avaliação de esterilização ocorreu de acordo com os seguintes grupos: Grupo I (GI) - controle; GII - autocl...
Source: RGO - Revista Gaucha de Odontologia - January 6, 2017 Category: Dentistry Source Type: research

Evaluation of blood glucose in type II diabetic patients submitted to local anesthesia with different vasoconstrictors
Conclusion: Considering the vasoconstrictors and the volume of anesthetic solution used, the results suggest that the evaluated vasoconstrictors do not alter significantly blood glucose, pulse oximetry and heart rate in compensated type 2 diabetic patients.RESUMO Objetivo: Na cl ínica odontológica, o uso de soluções anestésicas locais contendo vasoconstritores em pacientes diabéticos ainda sucita algumas dúvidas. Desta forma, o objetivo deste ensaio clínico cruzado e randomizado foi avaliar de forma comparativa a glicemia, oximetria de pulso e frequência cardíaca de pacientes portadores de diabetes tipo II quand...
Source: RGO - Revista Gaucha de Odontologia - January 6, 2017 Category: Dentistry Source Type: research

Oral health evaluation of cardiac patients admitted to cardiovascular pre-surgery intervention
Conclusion: The oral health status of the patients was considered poor, a significant number of patients at the time of the oral examination, needed some type of invasive dental treatment and the oral environment adequacy indicated dental condition which may cause the formation of infectious sites which in turn can trigger complications both in the oral cavity and general health, as well.RESUMO Objetivo: Avaliar a condi ção de saúde bucal dos pacientes internados em pré- intervenção de cirurgia cardíaca, observando o índice de necessidade de tratamento invasivo. Métodos: Foram avaliados 75 voluntários hospitali...
Source: RGO - Revista Gaucha de Odontologia - January 6, 2017 Category: Dentistry Source Type: research

Evaluation of the use of services provided by emergency care units in a Brazilian municipality
Conclusion: The majority of consultations per formed in the Emergency Care Units should be resolved in basic healthcare facilities. The "false demand" is related to the reported difficulties the basic health units have in providing the necessary care and their ability to resolve the problem.RESUMO Objetivo: Caracterizar os usu ários e analisar os fatores determinantes da escolha pela utilização dos serviços de urgência/emergência. Métodos: A pesquisa foi desenvolvida nas duas unidades de pronto atendimento de Serra, Espírito Santo. Ao procurarem o serviço das Unidades de Pronto Atendimento, 1 a cada 4 usuários ...
Source: RGO - Revista Gaucha de Odontologia - January 6, 2017 Category: Dentistry Source Type: research

Oral health assessment from the perspective of the municipal manager
Conclusion: It is concluded that municipalities present different moments in the structu ring of the service and that managers should improve the access organization, the work process and service evaluation in order to consolidate the universality and comprehensiveness of health care.RESUMO Objetivo: Realizar um diagn óstico situacional relacionado à organização dos serviços de saúde bucal de 40 municípios do Estado de São Paulo, Brasil. Métodos: Trata-se de um estudo transversal, quanti-qualitativo, descritivo, realizado em 2014, por meio de análise documental e aplicação de um questionário semiest ruturado...
Source: RGO - Revista Gaucha de Odontologia - January 6, 2017 Category: Dentistry Source Type: research

Demand organization in public oral health services: analysis of a traditional model
Conclusion: Most of the attendance occurs by free deman d, and the reference and counter-referral system is incipient, damaging the service's resoluteness.RESUMO Objetivo: Discutir a experi ência municipal da organização a demanda de serviços odontológicos, com base nas diretrizes do Sistema Único de Saúde (SUS), as quais apontam para a estruturação de um modelo assistencial com base na universalidade e na integralidade da atenção e na equidade no acesso aos serviços. Mét odos: A pesquisa, realizada em Araçatuba (SP), teve como base a análise documental e entrevistas com informantes-chave do serviço odont...
Source: RGO - Revista Gaucha de Odontologia - January 6, 2017 Category: Dentistry Source Type: research

In vitro evaluation of gingival fibroblasts proliferation and smear layer formation in pre-conditioned root surfaces
Conclusion: The results of the present study reveal that all demineralizing agents evaluated presented lower cell proliferation levels when compared to the control group. In addition none of the chemical conditioners used removed the smear layer completely.RESUMO Objetivo: Avaliar in vitro a prolifera ção de fibroblastos em superfícies radiculares, previamente condicionadas quimicamente. Métodos: Para este estudo, 40 dentes unirradiculares humanos hígidos, extraídos por acometimento periodontal irreversível, foram seccionados em fragmentos radiculares e divididos em 04 grupos (20 espécim es/grupo) de acordo com a...
Source: RGO - Revista Gaucha de Odontologia - January 6, 2017 Category: Dentistry Source Type: research

Influence of the instrument used for cervical preflaring on the precision of 2 Eletronic Apex Locators
Conclusion: The preflaring procedure increased the number of accurate measurements for both EALs, with statistical difference for Joypex 5 when the preflaring was performed with LA-Axxess. However, after the cervical preflaring, the EALs showed similar accuracy, regardless of the used instrument.RESUMO Objetivo: Avaliar a influ ência do preparo cervical utilizando a broca LA-Axxess nº 1 (SybronEndo, Glendora, EUA) ou os instrumentos ProTaper S1 e SX (Dentsply Maillefer, Ballaigues, Suíça) na precisão dos Localizadores Apicais Eletrônicos (LAEs): Root ZX mini (J. Morita Corporation, Tóquio, Japão) e Joypex 5 (Denjo...
Source: RGO - Revista Gaucha de Odontologia - January 6, 2017 Category: Dentistry Source Type: research