Tratamento do deslocamento de disco com redução em pacientes diagnosticados pelo RDC/TMD: uma revisão sistemática da literatura

Temporomandibular Disorders (TMD) corresponds to problems related to the temporomandibular joint (TMJ) and to disorders associated to structures of the masticatory apparatus, such as the muscles and teeth.The aim of this study was analyze, through a systematic review of literature of randomized clinical trials, the types of treatments for the displacement of the articular disc of the TMJ with reduction diagnosed by the criteria of the RDC / TMD index.The aim of this review was to analyze the different types of treatment for disc displacement with reduction and effectiveness in the treatment of TMD. The following terminology was searched in PubMed/MEDLINE database: “TMJ disc displacement with reduction AND treatment”, “TMJ disc displacement with reduction AND management”, “Disc displacement with reduction AND treatment”, “Disc displacement with reduction AND management”, “TMJ Disc dislocation with reduction AND treatment”, “TMJ Disc dislocation with reduction AND management”, “TMJ clicking AND treatment”, “TMJ clicking AND management”. From a total of 44 articles selected for full reading, only 4 articles were in conform to all the inclusion criteria. In all studies, the highest prevalence in seeking treatment for TMD were women. 46.15% of the articles did not use or do not fully informed the RRC as a diagnostic criterion, being responsible for most of the exclusion of articles. It was not possible to make a comparison regarding the effectiveness of treatments for TMD, since the methodology, the type of treatment, techniques and the achievement of the results were different. All studies were able to demonstrate, through the Visual Analogue Scale (VAS), the efficiency of each treatment with the recession of the painful symptoms. Most functions assessed in the studies showed significant improvement after the treatment. Only one article assessed the presence of joint clicking and its improvement after treatment. Thus, there should be a standardization of diagnostic methods for a better comparison between the results and further studies should be conducted to assess the joint clicks.Disfunções Temporomandibulares (DTM) correspondem a problemas relacionados à articulação temporomandibular (ATM) e a distúrbios associados às estruturas do aparelho mastigatório, como os músculos e os dentes. O objetivo deste estudo foi analisar, através de uma revisão sistemática da literatura de trabalhos clínicos randomizados, os tipos de tratamentos para o deslocamento de disco articular da ATM com redução, diagnosticados pelos critérios do índice RDC/TMD. Foi utilizada a base de dados PubMed/MEDLINE com os termos: “TMJ disc displacement with reduction AND treatment”, “TMJ disc displacement with reduction AND management”, “Disc displacement with reduction AND treatment”, “Disc displacement with reduction AND management”, “TMJ Disc dislocation with reduction AND treatment”, “TMJ Disc dislocation with reduction AND management”, “TMJ clicking AND treatment”, “TMJ clicking AND management”. De um total de 44 artigos selecionados para a leitura completa, apenas 4 artigos se encaixaram nos critérios de inclusão. Em todos os estudos, a maior prevalência na procura de tratamento para a DTM foi de mulheres. 46,15% dos artigos não utilizavam ou não informavam completamente o RDC como critério de diagnóstico, sendo responsável pela maior parte da exclusão dos artigos. Não foi possível realizar uma comparação quanto a efetividade dos tratamentos utilizados para as DTM, pois a metodologia, o tipo de tratamento, as técnicas e a obtenção dos resultados foram diferentes. Todos os estudos foram capazes de demonstrar, por meio da escala VAS, a eficiência de cada tratamento com a remissão dos sintomas dolorosos. A maioria das funções avaliadas nos estudos apresentou melhoras significativas ao final do tratamento. Apenas um artigo avaliou a presença do estalido articular e sua melhora após o tratamento. Conclui-se que deve haver uma padronização dos métodos de diagnósticos para uma melhor comparação entre os resultados e mais estudos devem ser realizados para avaliar o estalido articular

The recurrence of odontogenic keratocysts in pediatric patients is associated with clinical findings of Gorlin-Goltz Syndrome

Odontogenic keratocyst (OKC) is an odontogenic developmental cyst that presents distinct clinical behavior. This lesion has been described as dental cysts with keratinization since the 1930s, however the term "OKC" was established in 1956. This study aims to determine the frequency and features of OKC in children aged 0 to 14 years in an oral pathology service in Brazil. A retrospective study was performed to review cases of OKC in children diagnosed between 1986 and 2017. Clinical data were evaluated from medical records (gender, race, age, anatomical location, treatment, radiographic findings and follow-up). Ninety-seven cases of OKC were diagnosed in a 31-year-period in all age groups and 10 were found in children (10.3%). Age ranged from 2 to 14 years (mean age=10.5±3.5), with 8 males and 2 females. The most frequent location was the anterior region of the mandible (n=4). Patients were predominantly asymptomatic. Moreover, in two children, clinical findings of Gorlin-Goltz Syndrome were observed. The most commonly used treatment was enucleation followed by curettage. In all cases of Gorlin-Goltz Syndrome were observed recurrences and occurrence of new keratocysts. Although uncommon in pediatric patients, OKC should be considered a differential diagnosis in cases of osteolytic lesions in gnathic bones. Thus, the periodic assessment of children by dentists and pediatricians is essential to get a correct diagnosis and early treatment to avoid greater mutilation of these patients

Dermoid and epidermoid cysts of the oral cavity : a 48-year retrospective study with focus on clinical and morphological features and review of main topics

Dermoid and epidermoid cysts are slow-growing, benign developmental cysts that arise from ectodermal tissue and can occur anywhere in the body. Less than 7% of these cysts involve the head and neck region, with only 1.6% of cases presenting in the oral cavity. To evaluate the clinical and histopathological features of dermoid (DCs) and epidermoid (ECs) cysts stored in the archives of a referred Oral Pathology Service over a 48-year-period, and to review current concepts about these cysts. All DCs and ECs were reviewed, and clinical data were obtained from the patient records. Fourteen cases of DCs and thirteen cases of ECs were re-evaluated microscopically by 2 oral pathologists. Among 15.387 cases, 14 (0.09%) had a histopathological diagnosis of DCs and 13 (0.08%) of ECs. For DCs, ten (71.4%) patients were women, with the mean age of 37.2 years. All DCs were lined by a stratified squamous epithelium (100%), with gut and respiratory epithelium observed in 1 (7.1%) and 2 (14.3%) cases, respectively. Chronic inflammatory cells, melanin, multinucleated giant cell reaction, and Pacini bodies were also observed. For ECs, eight (61.5%) cases were in women, and the mean age was 38.2 years. All ECs were lined by a stratified squamous epithelium (100%). Chronic inflammatory cells, melanin pigmentation, and adipose tissue were observed in the fibrous capsule. Our results suggest that stratified squamous epithelium is the predominant epithelial lining of these cystic lesions. Also, we may find some unusual findings in DCs, such as Pacini bodies

A retrospective 11-year study on lip lesions attended at an oral diagnostic service

The objective of this study was to describe the upper and lower lip lesion occurrence in an oral diagnostic service. Retrospective descriptive sectional study was performed. Clinical records were obtained from the archives of an Oral Diagnostic Service referral center between 2006 and 2016. Data such as gender, age, anatomical location, and diagnosis were collected and categorized. The collected data were submitted to a descriptive analysis and Pearson's chi-square test (p ? 0.05). A total of 587 patient records of lip lesions were analyzed. Most lesions were diagnosed in female (52.1%) and adults (56.9%) patients in the lower lip (76.2%). Among all lip lesions, the reactive/inflammatory lesions (n = 238; 40.5%) and oral potentially malignant disorders (n = 164; 28%) were the most frequent group lesions. Mucocele (n = 147; 25%), actinic cheilitis (n = 136; 23.1%) and vascular lesions (n = 51; 8.7%) were the most frequent lesion in the sample. Actinic cheilitis was significant in relation to gender (p < 0.001), all three most frequent lesions were significant in concerning to age group and anatomical site. Mucocele was the most common lower lip lesion in all age groups, followed by actinic cheilitis and vascular lesions, which mainly affected adults and the elderly

Angina bullosa haemorrhagica:a 14-year multi-institutional retrospective study from Brazil and literature review

Angina bullosa haemorrhagica (ABH) is characterized by the recurrent appearance of blood blisters on the oral mucosa, mainly in adults' soft palate. In general, the blisters rupture spontaneously, lacking the necessity for biopsy. We report the clinical features of 23 ABH cases, emphasizing the clinical behavior and the management of these conditions. A retrospective descriptive cross-sectional study was performed. A total of 12,727 clinical records of oral and maxillofacial lesions from four dental services in Brazil were analyzed. Clinical data were collected from the clinical records and evaluated. The series comprised 12 males (52.2%) and 11 females (47.8%), with a mean age of 56.8?±?14.6?years (ranging: 24-82?years) and a 1.1:1 male-to-female ratio. Most of the lesions affected the soft palate (n = 15, 65.2%). Clinically, the lesions presented mainly as an asymptomatic (n = 17, 73.9%) blood-filled blister that ruptured after a few minutes or hours, leaving an erosion. The masticatory trauma was the most frequent triggering event. No patient had coagulation disorders. A biopsy was performed in only four cases (17.4%). Treatment was symptomatic with a favorable outcome. ABH is still poorly documented in the literature, and its etiology remains uncertain. ABH mainly affects the soft palate of elderly adults and has a favorable evolution in a few days. The therapeutic approach is often focused only on the relief of symptoms. However, it can share some clinical features with more serious diseases. Therefore, clinicians must recognize these lesions to avoid misdiagnosis

Manejo clínico de grande queimado em Unidade de Terapia Intensiva: uma revisão sistemática com metanálise

Atualmente trabalha-se com a estimativa de que ocorrem no mundo todo 265mil mortes por ano em decorrência de acidentes envolvendo eletricidade, calor e produtos químicos, resultando em queimaduras que podem ser graves. No que se refere ao Brasil, ocorrem em média 1 milhão de acidentes por queimadura todos os anos, sendo que deste total apenas 100mil buscam atendimento hospitalar e 2.500 vítimas vem a óbito. O grande queimado caracteriza a vítima que segundo a Regra dos nove ou de Wallace, possui mais de 55 anos e apresenta 10% de sua superfície corporal queimada ou então pessoas de 10 a 55 anos que apresentam 20% ou mais da superficie corporal lesionada. Um cenário desafiador no qual o profissional de enfermagem possui papel fundamental para o tratamento, sendo responsável por intervir e se manter atento a todas as possíveis complicações decorrentes das queimaduras. O tema do manejo de grande queimado em UTI será explorado a partir de uma revisão sistemática com meta análise com o emprego das palavras chave “unidade de terapia intensiva”, “grande queimado” e “assistência de enfermagem” nos bancos de dados PubMed, BVS, Lilacs, Medline e Scielo objetivando acessar artigos publicados entre 2015 e 2022. É de fundamental importância o atendimento primário a vítima de grande queimadura, ao contribuir para uma melhor evolução do quadro do paciente e sua sobrevida. O quadro precisa ser tratado como se fosse um trauma, sendo importante avaliar os agravos para as vias aéreas, sistema circulatório, promover uma avaliação neurológica e extensão da queimadura, levando em consideração que a abordagem ideal depende do agente causador e tempo de exposição

NEOTROPICAL ALIEN MAMMALS: a data set of occurrence and abundance of alien mammals in the Neotropics

Biological invasion is one of the main threats to native biodiversity. For a species to become invasive, it must be voluntarily or involuntarily introduced by humans into a nonnative habitat. Mammals were among first taxa to be introduced worldwide for game, meat, and labor, yet the number of species introduced in the Neotropics remains unknown. In this data set, we make available occurrence and abundance data on mammal species that (1) transposed a geographical barrier and (2) were voluntarily or involuntarily introduced by humans into the Neotropics. Our data set is composed of 73,738 historical and current georeferenced records on alien mammal species of which around 96% correspond to occurrence data on 77 species belonging to eight orders and 26 families. Data cover 26 continental countries in the Neotropics, ranging from Mexico and its frontier regions (southern Florida and coastal-central Florida in the southeast United States) to Argentina, Paraguay, Chile, and Uruguay, and the 13 countries of Caribbean islands. Our data set also includes neotropical species (e.g., Callithrix sp., Myocastor coypus, Nasua nasua) considered alien in particular areas of Neotropics. The most numerous species in terms of records are from Bos sp. (n = 37,782), Sus scrofa (n = 6,730), and Canis familiaris (n = 10,084); 17 species were represented by only one record (e.g., Syncerus caffer, Cervus timorensis, Cervus unicolor, Canis latrans). Primates have the highest number of species in the data set (n = 20 species), partly because of uncertainties regarding taxonomic identification of the genera Callithrix, which includes the species Callithrix aurita, Callithrix flaviceps, Callithrix geoffroyi, Callithrix jacchus, Callithrix kuhlii, Callithrix penicillata, and their hybrids. This unique data set will be a valuable source of information on invasion risk assessments, biodiversity redistribution and conservation-related research. There are no copyright restrictions. Please cite this data paper when using the data in publications. We also request that researchers and teachers inform us on how they are using the data