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UNUSUAL METHOD TO RELIEF DENTAL PAIN
ABSTRACTS
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competence for articulation, feeding, airway intubation access, oral/dental hygiene, aesthetics, and facial expression. These cases reports are related to oral assistance to 2 patients with orofacial burns. The first patient had 47% of the body burned after a gas explosion in the kitchen and the second 60% after a plane crash. The cause of both was an explosion. The aim of this case report is to present a protocol for orofacial care in burns. Until now there is no agreement regarding orofacial contracture, and treatment continues to be predominantly guided by clinical experience. There is an urgent need for studies to inform dentistry approach in these cases.
SQUAMOUS CELL CARCINOMA PRESENTED AS EXOPHYTIC GROWTH IN GINGIVA. MARCOS ALEXANDRE NUNES DA SILVA, CARLA JANICE DOS SANTOS MENDONCA ¸ e PEREIRA SEMEDO, MIRIAM BEATRIZ JORDAO MOREIRA SARRUF, ANA FLAVIA SCHUELER DE e ASSUMPC ¸ AO LEITE, ADRIANA TEREZINHA NEVES NOVELLINO ALVES, SIMONE DE QUEIROZ CHAVES LOURENCO ¸ and, JOSIANE COSTA RODRIGUES DE SA A 49-year-old woman was referred to the clinic complaining of "gum pain." Anamnesis revealed chronic smoking for 32 years, diabetes mellitus, and renal lithiasis. Extraoral examination was irrelevant. Intraoral examination revealed ulcerated exophytic growth in the edentulous region corresponding to the inferior incisors, covered by pseudomembrane, firm to palpation, with irregular borders and contours, approximately 1.5 cm in diameter, and with about 2 months of evolution. The onset occurred after extraction of the lower incisors. Diagnostic hypotheses were squamous cell carcinoma and granulomatous infection. Incisional biopsy was performed. Histopathologic analysis confirmed the diagnosis of moderately differentiated squamous cell carcinoma. The patient was referred for cancer treatment. Oral squamous cell carcinoma in gingiva associated with dental mobility can be erroneously diagnosed as periodontal disease.
SOLITARY ENDOSTEAL OSTEOMA OF THE MANDIBLE - A CASE REPORT. JULIA ^ MONTEIRO FABRICIO SKRIVAN, VANIA DO CARMO RODRIGUES, RODRIGO FIGUEIREDO DE BRITO RESENDE, ROGER SILVA LIMA, ADRIANA TEREZINHA NEVES NOVELLINO ALVES, ANA FLAVIA e LEITE and, SIMONE DE SCHUELER DE ASSUMP¸C AO QUEIROZ CHAVES LOURENCO ¸ Osteomas are benign bone tumors commonly restricted to craniofacial skeleton. They occur in 2 distinct forms: periosteal, arising from bone surfaces and endostea, arising from medullary bone. This clinical case presents a white 61-year-old female patient with chewing pain complaint, prosthetic maladjustment, and vestibular bone expansion of the mandible anterior region 5 years earlier. The patient sought a dental implant clinic for oral rehabilitation, and a radiographic examination revealed a single lesion. The patient was referred to a stomatology clinic, and a cone beam computed tomography was requested, which revealed a well-circumscribed hypodense image with a well-defined hypodense halo, suggesting complex odontoma. The patient was submitted for excisional biopsy, and the histopathologic diagnosis was endosteal osteoma. Endosteal osteomas are characterized by slow growth and make differential diagnosis radiographically
OOOO January 2020 with sclerotic lesions, such as condensing osteitis, cementoblastoma, and complex odontoma. Histopathologic analysis is important for diagnostic confirmation and adequate management.
THERAPY FOR ODONTOGENIC LESIONS WITH 5-FLUOROURACIL TOPICAL: A CASE REPORT. RAPHAELLA DE OLIVEIRA PINTO CALDAS, JADE DIONISIO DA SILVA BARRETO, CESAR WERNECK NOCE DOS SANTOS, ANA LUCIA CARPI MICELI, NATHALIA DE ALMEIDA FREIRE, ALINE e ^ A ABRAHAO CORRE and, BEATRIZ DA ROCHA MIRANDA VENTURI Five-fluorouracil (5-FU) is an antimetabolite drug used in the treatment of various cancers, including basal cell carcinomas (BCC). Some authors believe that odontogenic keratocyst (OKC) would respond to 5-FU treatment because of their similarities to BCCs in molecular etiopathogenesis. A case of an OKC treated with 5-FU is presented in this study. A 47-year-old man sought service to extract #17. The panoramic radiograph revealed a unilocular radiolucent lesion in the body and ascending mandibular ramus. The extraction of #17 and incisional biopsy were performed, and the histopathologic diagnosis established was odontogenic keratocyst. Therefore, it was decided to perform a marsupialization and intralesional 5-FU. As a result, exuberant bone neoformation was observed, mainly in the basilar region of the mandible. Follow-up examination 4 months later showed no evidence of recurrence, and the patient will be followed up so we can decide if another surgical procedure is necessary.
UNUSUAL METHOD TO RELIEF DENTAL PAIN. CARINA DOMANESCHI, MARIA ^ S APARECIDA APARECIDA BORSATTI, INE BUSCARIOLO, ISABEL DE FREITAS PEIXOTO and, SIBELE SARTI PENHA Toothache is the great complaint for dental care. Generally, the patient postpones around 7 days, awaiting remission of pain, using medications and/or alternative resources. Difficulties of public access to treatment, financial issues, fear, and dental anxiety are frequently cited. There are reports of the use of alternative products found in the domestic environment to solve them, such as alcohol, toothpaste, and some foods like garlic and cloves among others. A 41-year-old woman, V.S.F., presented to attendance with toothache for 5 days, and as pain increased, in addition to analgesics, she applied 90 g (1 tube) of toothpaste over the region. It had a white plaque in the posterior region of the right oral mucosa and mucobuccal fold in the region 43 to 47. Attention was given to toothache 44 and orientation of palliative care in relation of oral mucosa lesion caused by chemical burn until remission of the process.
CLEIDOCRANIAL DYSPLASIA DIAGNOSIS: CASE REPORT. GEORGE VELOSO SILVA, INAMARI SOUZA DE ALMEIDA, THAIS APARECIDA DE FRANCA ¸ ROCHA, VIKTOR WGO PINTO DE CARVALHO, ADNA BARROS ISMERIM and, ANA CARLA TEIXEIRA VIANA Cleidocranial dysplasia is a rare syndrome that has as main clinical findings changes in bones of the neurocranium and viscerocranium, clavicular, and teeth, although it can affect other bones. Its etiology originates from a defect of the gene CBFA1
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competence for articulation, feeding, airway intubation access, oral/dental hygiene, aesthetics, and facial expression. These cases reports are related to oral assistance to 2 patients with orofacial burns. The first patient had 47% of the body burned after a gas explosion in the kitchen and the second 60% after a plane crash. The cause of both was an explosion. The aim of this case report is to present a protocol for orofacial care in burns. Until now there is no agreement regarding orofacial contracture, and treatment continues to be predominantly guided by clinical experience. There is an urgent need for studies to inform dentistry approach in these cases.
SQUAMOUS CELL CARCINOMA PRESENTED AS EXOPHYTIC GROWTH IN GINGIVA. MARCOS ALEXANDRE NUNES DA SILVA, CARLA JANICE DOS SANTOS MENDONCA ¸ e PEREIRA SEMEDO, MIRIAM BEATRIZ JORDAO MOREIRA SARRUF, ANA FLAVIA SCHUELER DE e ASSUMPC ¸ AO LEITE, ADRIANA TEREZINHA NEVES NOVELLINO ALVES, SIMONE DE QUEIROZ CHAVES LOURENCO ¸ and, JOSIANE COSTA RODRIGUES DE SA A 49-year-old woman was referred to the clinic complaining of "gum pain." Anamnesis revealed chronic smoking for 32 years, diabetes mellitus, and renal lithiasis. Extraoral examination was irrelevant. Intraoral examination revealed ulcerated exophytic growth in the edentulous region corresponding to the inferior incisors, covered by pseudomembrane, firm to palpation, with irregular borders and contours, approximately 1.5 cm in diameter, and with about 2 months of evolution. The onset occurred after extraction of the lower incisors. Diagnostic hypotheses were squamous cell carcinoma and granulomatous infection. Incisional biopsy was performed. Histopathologic analysis confirmed the diagnosis of moderately differentiated squamous cell carcinoma. The patient was referred for cancer treatment. Oral squamous cell carcinoma in gingiva associated with dental mobility can be erroneously diagnosed as periodontal disease.
SOLITARY ENDOSTEAL OSTEOMA OF THE MANDIBLE - A CASE REPORT. JULIA ^ MONTEIRO FABRICIO SKRIVAN, VANIA DO CARMO RODRIGUES, RODRIGO FIGUEIREDO DE BRITO RESENDE, ROGER SILVA LIMA, ADRIANA TEREZINHA NEVES NOVELLINO ALVES, ANA FLAVIA e LEITE and, SIMONE DE SCHUELER DE ASSUMP¸C AO QUEIROZ CHAVES LOURENCO ¸ Osteomas are benign bone tumors commonly restricted to craniofacial skeleton. They occur in 2 distinct forms: periosteal, arising from bone surfaces and endostea, arising from medullary bone. This clinical case presents a white 61-year-old female patient with chewing pain complaint, prosthetic maladjustment, and vestibular bone expansion of the mandible anterior region 5 years earlier. The patient sought a dental implant clinic for oral rehabilitation, and a radiographic examination revealed a single lesion. The patient was referred to a stomatology clinic, and a cone beam computed tomography was requested, which revealed a well-circumscribed hypodense image with a well-defined hypodense halo, suggesting complex odontoma. The patient was submitted for excisional biopsy, and the histopathologic diagnosis was endosteal osteoma. Endosteal osteomas are characterized by slow growth and make differential diagnosis radiographically
OOOO January 2020 with sclerotic lesions, such as condensing osteitis, cementoblastoma, and complex odontoma. Histopathologic analysis is important for diagnostic confirmation and adequate management.
THERAPY FOR ODONTOGENIC LESIONS WITH 5-FLUOROURACIL TOPICAL: A CASE REPORT. RAPHAELLA DE OLIVEIRA PINTO CALDAS, JADE DIONISIO DA SILVA BARRETO, CESAR WERNECK NOCE DOS SANTOS, ANA LUCIA CARPI MICELI, NATHALIA DE ALMEIDA FREIRE, ALINE e ^ A ABRAHAO CORRE and, BEATRIZ DA ROCHA MIRANDA VENTURI Five-fluorouracil (5-FU) is an antimetabolite drug used in the treatment of various cancers, including basal cell carcinomas (BCC). Some authors believe that odontogenic keratocyst (OKC) would respond to 5-FU treatment because of their similarities to BCCs in molecular etiopathogenesis. A case of an OKC treated with 5-FU is presented in this study. A 47-year-old man sought service to extract #17. The panoramic radiograph revealed a unilocular radiolucent lesion in the body and ascending mandibular ramus. The extraction of #17 and incisional biopsy were performed, and the histopathologic diagnosis established was odontogenic keratocyst. Therefore, it was decided to perform a marsupialization and intralesional 5-FU. As a result, exuberant bone neoformation was observed, mainly in the basilar region of the mandible. Follow-up examination 4 months later showed no evidence of recurrence, and the patient will be followed up so we can decide if another surgical procedure is necessary.
UNUSUAL METHOD TO RELIEF DENTAL PAIN. CARINA DOMANESCHI, MARIA ^ S APARECIDA APARECIDA BORSATTI, INE BUSCARIOLO, ISABEL DE FREITAS PEIXOTO and, SIBELE SARTI PENHA Toothache is the great complaint for dental care. Generally, the patient postpones around 7 days, awaiting remission of pain, using medications and/or alternative resources. Difficulties of public access to treatment, financial issues, fear, and dental anxiety are frequently cited. There are reports of the use of alternative products found in the domestic environment to solve them, such as alcohol, toothpaste, and some foods like garlic and cloves among others. A 41-year-old woman, V.S.F., presented to attendance with toothache for 5 days, and as pain increased, in addition to analgesics, she applied 90 g (1 tube) of toothpaste over the region. It had a white plaque in the posterior region of the right oral mucosa and mucobuccal fold in the region 43 to 47. Attention was given to toothache 44 and orientation of palliative care in relation of oral mucosa lesion caused by chemical burn until remission of the process.
CLEIDOCRANIAL DYSPLASIA DIAGNOSIS: CASE REPORT. GEORGE VELOSO SILVA, INAMARI SOUZA DE ALMEIDA, THAIS APARECIDA DE FRANCA ¸ ROCHA, VIKTOR WGO PINTO DE CARVALHO, ADNA BARROS ISMERIM and, ANA CARLA TEIXEIRA VIANA Cleidocranial dysplasia is a rare syndrome that has as main clinical findings changes in bones of the neurocranium and viscerocranium, clavicular, and teeth, although it can affect other bones. Its etiology originates from a defect of the gene CBFA1