Management of Bell's Palsy: A Report of 2 Cases

Bell's palsy is a neuropathy of the peripheral seventh cranial nerve, resulting from traumatic, compressive, infective, inflammatory or metabolic abnormalities or it can be idiopathic. HIV, Epstein-Barr virus and hepatitis B virus have been suspected as initiating organisms, but herpes simplex virus is the most frequently implicated. This report describes 2 cases of Bell's palsy in children that were managed with antiviral agents. Both patients experienced complete recovery within 28 days; after 1 year follow-up, no recurrence was observed and both patients have normal facial movement. Differential diagnosis is essential to guide the treatment plan in Bell's palsy. Special attention should be given to children with respect to prescription of medications that can cause important side effects

Prescrição Medicamentosa em Odontologia

A rotina do atendimento odontológico requer muitas vezes o uso de fármacos pelos cirurgiões-dentistas visando à prevenção ou controle da dor, do processo inflamatório, da ansiedade ou ainda para evitar ou combater processos infecciosos ou outras doenças que afetam a saúde da boca ou dos dentes. Para que isso aconteça, o profissional precisa estar apto a prescrever de maneira correta os medicamentos. Dessa forma, é necessário um conhecimento prévio em farmacologia e um diagnóstico preciso da doença a ser tratada. Nesse trabalho, os professores da disciplina de Terapêutica aplicada do Departamento de Estomatologia da Universidade Federal do Paraná apresentam os detalhes que envolvem a prescrição de fármacos de interesse do ponto de vista da Odontologia. A melhoria da qualidade das prescrições odontológicas contribui para a redução dos riscos de erros no ato da medicação e para promover o uso racional da farmacoterapia e uma segurança para o paciente

Terapêutica aplicada à Odontologia: Manejo farmacológico de lesões ulceradas bucais

A ocorrência de lesões ulceradas em boca é um acontecimento bastante comum no dia-a-dia da clínica odontológica. Para o manejo correto de cada caso é preciso que o cirurgião-dentista estabeleça um diagnóstico preciso para obter êxito na cura do paciente. Nesse trabalho, os professores da disciplina de Terapêutica aplicada à Odontologia propõem uma breve revisão sobre as principais doenças ou situações que propiciam ao surgimento de lesões de natureza ulcerada na boca, os detalhes que auxiliam no estabelecimento do diagnóstico e as diferentes opções de tratamento. Ao final, são propostos exercícios que auxiliarão os estudantes de Odontologia a fixar seus conhecimentos a respeito do tema

Impacted tooth associated with dentigerous cyst and compound odontoma – case report

The dentigerous cyst is a benign cyst associated with the development of odontogenic epithelium that covers the crown of impacted teeth. These are prevalent in the first three decades of life, reaching more often Caucasian males. Odontomas are hamartomas affecting the dental tissues, which can be divided into compound and complex odontoma. Odontoma affects children and young adults of both sexes, with a predilection for jaw bone. Case report: A 12-year-old boy attended the Pediatric Dentistry Clinic of Positivo University, complaining of pain in right parasymphysis region. The panoramic radiograph showed an impacted tooth (#43) located in base of the jaw below the apex of the teeth #31 to #42, with increased follicle. A radiopaque mass with small fragments of approximately 1 cm, located at the apex of the teeth #83 and #84 was seen. The patient underwent surgery under general anesthesia to remove the impacted tooth and radiopaque injury. Histopathological analysis of the dental follicle was compatible with dentigerous cyst and dental fragments were diagnosed as compound odontoma. The postoperative was uneventful, four months after the surgery the patient began orthodontic treatment for traction of tooth #44. Conclusion: Both lesions, dentigerous cyst and compound odontoma have favorable prognosis and low recurrence rate, but must be removed to maintain the integrity of the stomatognathic system. In this case was important the inter-relationship between dental specialties for the treatment of the patient

Clinical assessment, oral and cervical cytology profile of women with cervical squamous intraepithelial lesion / Avaliação clínica e citológica da cavidade oral e da cérvice de mulheres com lesões intraepiteliais escamosas cervicais

Introduction: HPV is a DNA virus capable of infecting the skin and mucous membranes inducing cell proliferation. An exfoliative cytology as a diagnostic tool for HPV is useful in the diagnosis of several lesions, such as premalignant or malignant oral mucosa. The combination of the use of specific brushes and the liquid based is a potential method for early detection of injuries both in the cervix and in the mouth. Objective: The aim of this study was to evaluate the frequency of clinical and cytological changes in the oral cavity of women with cervical squamous intraepithelial neoplasms (NIC). Material and methods: Sample was divided into case group (G-NIC) (women with squamous cervical intraepithelial lesions) and control group (CG) (women without changes suggestive of high-grade lesions). Women were evaluated for the presence of oral or cervical lesions. A liquid based exfoliative cytology was collected from both regions, were submitted to Papanicolaou staining and classified according to the Bethesda system. 98 women were evaluated, G-NIC=59 and CG=39. Results: The frequency of oral lesions was G-NIC=6.6% and CG=7.5%. They were inflammatory lesions, lichen planus and soft tissue benign tumor. G-NIC oral cytology analysis: 66% negative for intraepithelial lesion and malignancy, 2% atypical squamous cells of undetermined significance and 32% had processing errors. G-NIC cérvico-vaginal samples: 61% was high-grade intraepithelial lesions, 17% atypical squamous cells of undetermined significance and 22% low-grade intraepithelial lesions. CG showed 92% of oral and 82% of cervical samples was negative to intraepithelial injury and malignancy. Conclusion: There are no clinical and cytological changes in the mouth of women with intraepithelial lesions in the cervical-vaginal region.