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Prevalence of denture stomatitis in users of removable denture assisted of dentistry of the federal University of Amazonas
OOOO Volume 114, Number 4 elder Caucasian men, with low social-economic situation diagnosed in advanced stages. Objective: Investigate whether socio-demographic factors (SDF) influence survival of OSCC patients Study design: Prognostic study of 480 records of OSCC patients surgically treated at National Cancer Institute from 1999 to 2003. Survival was analyzed by the Kaplan-Meyer (KM) method and Cox proportional hazard model was used to verify independence Results: KM revealed that marital status (MS) and Body Mass Index (BMI) are good prognosticators. Multivariate analysis revealed on MS (p⫽0.01) that those who were married had a higher survival probability than single (Relative Risk (RR): 0. 74, p⫽0.18), and divorced patients (RR: 0.61, p⫽0.07), however widows showed a lower probability (RR:1.35, p⫽0.28). In addition, in BMI (p⬍0.001) patients, those with a lower BMI were less prone to survival than ideal BMI (RR:2.89, p⬍ 0.001) and higher BMI groups (RR: 1.24, p⫽0.25). Conclusion: SDF should be considered when developing the treatment plan for OSCC patients.
PREVALENCE OF DENTURE STOMATITIS IN USERS OF REMOVABLE DENTURE ASSISTED OF DENTISTRY OF THE FEDERAL UNIVERSITY OF AMAZONAS Pereira JV1, Falcão LS1, Vieira JMR1, Parente RCP2, Rebelo MAB1 1 UFAM - FAO, 2UFAM - ICE Objective: Evaluate the prevalence of Denture Stomatitis (DS) in users of denture assisted at Federal University of Amazonas (UFAM). Study design: Application of a questionnaire about oral hygiene, the exam of the mucous and the prosthesis. Results: Sixty-four patients were included, 75% of the feminine sex, in the range of 30 to 50 years old (67,2%) and 56,9% of all carriers of upper denture presented DS, of these, 46,5% used their dentures for a period from 1 to 5 years and 90,9% use them during the night. Among the patients, non carriers of DS, 40% presented degree of good hygiene. While among the carriers of DS 18,2% and 45,4% presented good and poor hygiene degree, respectively, with no significant statistic association (p⬎0,05). Conclusion: The prevalence of DS in the patients assisted in UFAM was elevated, even so it didn’t present significant relation with the degree of hygiene of the dentures.
COULD SILDENAFIL USE MAKE ELDERLY MORE SUSCEPTIVE TO INFECTIOUS DISEASE? Piragine J1, Silva PVR1, Miniello TG1, Jaguar GC1, Osório CAT2, Alves FA1 1 HOSPITAL AC CAMARGO - STOMATOLOGY, 2HOSPITAL AC CAMARGO - PATHOLOGY Background: Syphilis seems to be resurging mainly in young. However, the sildenafil use by elderly can become them more susceptive to infectious diseases. Objective: To present a case of oral syphilis in an old patient. Case report: An 83-year-old man was referred due to burning mouth. His medical history revealed papular lesions on chest and penis glans diagnosed and treated as scabiosis 2 months ago. The intra-oral examination showed erosive and patches lesions on bilateral lip commissure, palate and border of the tongue. Initially, herpes infections were suspected. However, serological test and cytology were negative. Then, syphilis was hypothesized. Non-treponemic (VDRL) and treponemic tests (FTA-ABS)
ORAL ABSTRACT Abstracts e57 were reagents and secondary syphilis was confirmed. Treatment consisted of penicillin G benzathine 2.4 million IU/IM for 4 weeks. Both oral and skin lesions had complete remission. Conclusion: The present case illustrates that syphilis should be suspected in old patients with oral atypical lesions.
COMPARISON OF PANORAMIC RADIOGRAPHY AND BONE DENSITOMETRY IN THE SCREENING OF OSTEOPOROSIS IN DOWN SYNDROME Kitamura KT1, Kitamura DH2, Vilela MCN1, Arita ES3, Raitz R, Gallottini MHC1, Rezende NPM1 - 1FOUSP - DISCIPLINA DE PATOLOGIA BUCAL E CENTRO DE ATENDIMENTO À PACIENTES ESPECIAIS, 2FESO - MEDICINA, 3FOUSP - DISCIPLINA DE RADIOLOGIA Objective: Compare panoramic radiography (PR) with dualenergy X-ray absorptiometry (DEXA) to identify osteoporosis (OP) at Down syndrome (DS). Study design: We evaluated 22 patients with DS-CAPE/ FOUSP, aged from 25 years, whose parents agreed and signed the Informed Consent (CEP-FOUSP 79/2009). We collected data from medical history, performed PR, and DEXA of radius and ulna. We measured the width and evaluated the shape of the mandibular cortical at PR and compared with the result of DEXA. Results: We analyzed 13 males and 9 females, mean age was 32,7. The mean mandibular cortical width was 3.79 mm. 4 patients had mandibular cortical shape of C1, 10/C2 and 8/C3. The DEXA showed an average T-score of: 2.55 (13/osteopenia and 9/osteoporosis). Conclusion: The screening of OP in DS patients should be based on clinical evaluation and radiographic, since the changes of the bone structure of these patients difficult to compare with values previously established.
THE IMPORTANCE OF A CAREFUL RADIOGRAPHIC ANALYSIS IN THE DIAGNOSIS OF STAFNE’S BONE DEFECT: REPORT OF THREE CASES Moriel Tavares KM1, Diaz TCI1, Elblink D1, Bahia TPS2, Maciel RM2, Ramos MEB2, Israel MS2 - 1UERJ - FACULDADE DE ODONTOLOGIA, 2UERJ - DEPARTAMENTO DE DIAGNÓSTICO ORAL E CIRURGIA The Stafne’s bone defect shows a well-circumscribed radiolucent image with an esclerotic margin, asymptomatic, located below the mandibular canal, in the retromolar region. The aim of this study is to emphasize the importance of a careful radiographic analysis, associated to patient’s history and physical examination, for the correctly diagnosis of this lesion. Three cases of the Stafne’s bone defect were found in routine panoramic radiographies of white male patients, between 36 and 46 years old. The objective to report this case was to emphasized the importance of careful radiographic analysis for an accurate diagnosis of this lesion, and the exclusion of other possible lesions that could suggest wrong diagnosis and to avoid unnecessary invasive procedures.
PLASMOCYTOMA IN MANDIBLE Tomita GA1, Cesare G2, Piñera K2 - 1CIRURGIA E TRAUMATOLOGIA BUCOMAXILOFACIAL DO HOSPITAL REGIONAL SUL - CIRURGIÃO VISITANTE NO CENTER CORRETIVE JAW SURGERY,
PREVALENCE OF DENTURE STOMATITIS IN USERS OF REMOVABLE DENTURE ASSISTED OF DENTISTRY OF THE FEDERAL UNIVERSITY OF AMAZONAS Pereira JV1, Falcão LS1, Vieira JMR1, Parente RCP2, Rebelo MAB1 1 UFAM - FAO, 2UFAM - ICE Objective: Evaluate the prevalence of Denture Stomatitis (DS) in users of denture assisted at Federal University of Amazonas (UFAM). Study design: Application of a questionnaire about oral hygiene, the exam of the mucous and the prosthesis. Results: Sixty-four patients were included, 75% of the feminine sex, in the range of 30 to 50 years old (67,2%) and 56,9% of all carriers of upper denture presented DS, of these, 46,5% used their dentures for a period from 1 to 5 years and 90,9% use them during the night. Among the patients, non carriers of DS, 40% presented degree of good hygiene. While among the carriers of DS 18,2% and 45,4% presented good and poor hygiene degree, respectively, with no significant statistic association (p⬎0,05). Conclusion: The prevalence of DS in the patients assisted in UFAM was elevated, even so it didn’t present significant relation with the degree of hygiene of the dentures.
COULD SILDENAFIL USE MAKE ELDERLY MORE SUSCEPTIVE TO INFECTIOUS DISEASE? Piragine J1, Silva PVR1, Miniello TG1, Jaguar GC1, Osório CAT2, Alves FA1 1 HOSPITAL AC CAMARGO - STOMATOLOGY, 2HOSPITAL AC CAMARGO - PATHOLOGY Background: Syphilis seems to be resurging mainly in young. However, the sildenafil use by elderly can become them more susceptive to infectious diseases. Objective: To present a case of oral syphilis in an old patient. Case report: An 83-year-old man was referred due to burning mouth. His medical history revealed papular lesions on chest and penis glans diagnosed and treated as scabiosis 2 months ago. The intra-oral examination showed erosive and patches lesions on bilateral lip commissure, palate and border of the tongue. Initially, herpes infections were suspected. However, serological test and cytology were negative. Then, syphilis was hypothesized. Non-treponemic (VDRL) and treponemic tests (FTA-ABS)
ORAL ABSTRACT Abstracts e57 were reagents and secondary syphilis was confirmed. Treatment consisted of penicillin G benzathine 2.4 million IU/IM for 4 weeks. Both oral and skin lesions had complete remission. Conclusion: The present case illustrates that syphilis should be suspected in old patients with oral atypical lesions.
COMPARISON OF PANORAMIC RADIOGRAPHY AND BONE DENSITOMETRY IN THE SCREENING OF OSTEOPOROSIS IN DOWN SYNDROME Kitamura KT1, Kitamura DH2, Vilela MCN1, Arita ES3, Raitz R, Gallottini MHC1, Rezende NPM1 - 1FOUSP - DISCIPLINA DE PATOLOGIA BUCAL E CENTRO DE ATENDIMENTO À PACIENTES ESPECIAIS, 2FESO - MEDICINA, 3FOUSP - DISCIPLINA DE RADIOLOGIA Objective: Compare panoramic radiography (PR) with dualenergy X-ray absorptiometry (DEXA) to identify osteoporosis (OP) at Down syndrome (DS). Study design: We evaluated 22 patients with DS-CAPE/ FOUSP, aged from 25 years, whose parents agreed and signed the Informed Consent (CEP-FOUSP 79/2009). We collected data from medical history, performed PR, and DEXA of radius and ulna. We measured the width and evaluated the shape of the mandibular cortical at PR and compared with the result of DEXA. Results: We analyzed 13 males and 9 females, mean age was 32,7. The mean mandibular cortical width was 3.79 mm. 4 patients had mandibular cortical shape of C1, 10/C2 and 8/C3. The DEXA showed an average T-score of: 2.55 (13/osteopenia and 9/osteoporosis). Conclusion: The screening of OP in DS patients should be based on clinical evaluation and radiographic, since the changes of the bone structure of these patients difficult to compare with values previously established.
THE IMPORTANCE OF A CAREFUL RADIOGRAPHIC ANALYSIS IN THE DIAGNOSIS OF STAFNE’S BONE DEFECT: REPORT OF THREE CASES Moriel Tavares KM1, Diaz TCI1, Elblink D1, Bahia TPS2, Maciel RM2, Ramos MEB2, Israel MS2 - 1UERJ - FACULDADE DE ODONTOLOGIA, 2UERJ - DEPARTAMENTO DE DIAGNÓSTICO ORAL E CIRURGIA The Stafne’s bone defect shows a well-circumscribed radiolucent image with an esclerotic margin, asymptomatic, located below the mandibular canal, in the retromolar region. The aim of this study is to emphasize the importance of a careful radiographic analysis, associated to patient’s history and physical examination, for the correctly diagnosis of this lesion. Three cases of the Stafne’s bone defect were found in routine panoramic radiographies of white male patients, between 36 and 46 years old. The objective to report this case was to emphasized the importance of careful radiographic analysis for an accurate diagnosis of this lesion, and the exclusion of other possible lesions that could suggest wrong diagnosis and to avoid unnecessary invasive procedures.
PLASMOCYTOMA IN MANDIBLE Tomita GA1, Cesare G2, Piñera K2 - 1CIRURGIA E TRAUMATOLOGIA BUCOMAXILOFACIAL DO HOSPITAL REGIONAL SUL - CIRURGIÃO VISITANTE NO CENTER CORRETIVE JAW SURGERY,