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

Mandibular metastasis of adenocarcinoma from prostate cancer: case report according to epidemiology and current therapeutical trends of the advanced prostate cancer

Prostate cancer represents the most frequent non-cutaneous neoplasia in males. This type of neoplasia can develop peculiar patterns of evolution, presenting, in many cases, precocious relapses and metastasis. Bone metastasis in the mouth is extremely rare, and represents 1% of all malignant mouth neoplasias. The aim of the present study is to report a clinical case of bone metastasis in the mandibular region associated with a tumoral prostate adenocarcinoma, as well as to discuss connected aspects about diagnosis, prognosis and integrated treatment of this condition

Management of a multiple dentoalveolar trauma in permanent dentition with avulsion of a canine: A 4-year follow-up

Traumatic dental injuries are relatively frequent accidents that typically involve teeth in the maxillary anterior segment. The emergency treatment and the clinical decisions must be efficiently made at the time of injury, and there is a need for long-term follow-up because of the high incidence of complications. The aim of this article was to present the emergency and rehabilitation treatments of a multiple dentoalveolar trauma in the permanent dentition involving different extensions of enamel-dentin crown fracture, pulp exposure, and the avulsion of a canine. The treatment outcomes are reported up to the 4-year follow-up, and the clinical approaches and their rationale are discussed

Treatments for adults with prominent lower front teeth

BackgroundProminent lower front teeth may be associated with a large or prognathic lower jaw (mandible) or a small or retrusive upper jaw (maxilla). Edward Angle, who may be considered the father of modern orthodontics, classified the malocclusion in this situation as Class III. the individual is described as having a negative or reverse overjet as the lower front teeth are more prominent than the upper front teeth.ObjectivesThe purpose of this systematic review was to evaluate different treatments of Angle Class III malocclusion in adults.Search methodsThe following databases were searched: Cochrane Oral Health Group Trials Register (to 22 March 2012); CENTRAL (The Cochrane Library 2012, Issue 1); MEDLINE via OVID (1950 to 22 March 2012); EMBASE via OVID (1980 to 22 March 2012); LILACs (1982 to 22 March 2012); BBO (1986 to 22 March 2012); and SciELO (1997 to 22 March 2012).Selection criteriaAll randomized or quasi-randomized controlled trials of treatments for adults with an Angle Class III malocclusion were included.Data collection and analysisThree review authors independently assessed the eligibility of the identified reports. Two review authors independently extracted data and assessed the risk of bias in the included studies. the mean differences with 95% confidence intervals were calculated for continuous data.Main resultsTwo randomized controlled trials were included in this review. There are different types of surgery for this type of malocclusion but only trials of mandible reduction surgery were identified. One trial compared intraoral vertical ramus osteotomy (IVRO) with sagittal split ramus osteotomy (SSRO) and the other trial compared vertical ramus osteotomy (VRO) with and without osteosynthesis. Neither trial found any difference between the two treatments. the trials did not provide adequate data for assessing effectiveness of the techniques described.Authors' conclusionsThere is insufficient evidence from the two included trials, to conclude that one procedure is better or worse than another. the included trials compared different interventions and were at high risk of bias and therefore no implications for practice can be given. Further high quality randomized controlled trials with long term follow-up are required.Brazilian Cochrane Center, BrazilBritish Orthodontic Society (BOS), UKBOSBritish Society of Paediatric Dentistry (BSPD), UKBSPDUniversidade Federal de São Paulo, Dept Neurol, Neurosono Sleep Ctr, BR-08210090 São Paulo, BrazilUniv São Paulo, Fac Odontol Bauru, Dept Surg, São Paulo, BrazilSanta Casa de Campo Mourao, Dept Med, Campo Mourao, BrazilUniversidade Federal de São Paulo, Dept Neurol, Neurosono Sleep Ctr, BR-08210090 São Paulo, BrazilWeb of Scienc

Knowledge of dental students of avulsed permanent teeth

A manutenção de um dente permanente avulsionado depende de um manejo e um tratamento adequado pelo cirurgião-dentista. O objetivo deste estudo foi verificar o conhecimento sobre avulsão dentária de alunos do primeiro e do último ano da graduação de uma Faculdade de Odontologia. Aplicou-se um questionário com 10 perguntas de múltipla escolha entre 65 alunos do primeiro ano e 60 alunos do último ano da Faculdade de Odontologia da Pontifícia Universidade Católica do Rio Grande do Sul (PUCRS), Brasil, entre 2006 e 2007. As questões estavam graduadas de 0 a 3. Os resultados revelaram um baixo grau de conhecimento sobre avulsão dentária entre os estudantes do primeiro e do último ano. O conhecimento dos alunos do último ano foi considerado abaixo do requerido para futuros cirurgiões-dentistas. Necessita-se de uma maior abordagem sobre o tema avulsão, manejo e tratamento, para que se aumente o grau de conhecimento desses alunos sobre o assunto. Devido ao fato de a avulsão dentária apresentar um prevalência grande entre os traumatismos dentoalveolares, é de suma importância que os cirurgiões-dentistas estejam preparados para tratar desse tipo de lesão, evitando-se danos nas estruturas vizinhas, problemas estéticos, funcionais, psicossociais e implicações terapêuticas ao paciente.The survival of an avulsed permanent tooth depends on the management and the appropriate treatment of the injury by the dental surgeon. The aim of this study was to assess the knowledge of first-year and last-year dental undergraduates on guidelines for management and treatment of tooth avulsion. A 10-item multiple-choice questionnaire was distributed among 65 first-year and 60 last-year dental undergraduates at the School of Dentistry, Pontifícia Universidade Católica do Rio Grande do Sul (PUCRS), Brazil, between 2006 and 2007. Answers were graded 0 to 3. The results revealed a low level of knowledge among first-year and last-year students on the management and treatment of permanent avulsed teeth. Knowledge of last-year undergraduates of tooth avulsion was lower than what is required for a future dental surgeon. In conclusion, there is a need to improve the knowledge of dental students in the guidelines for the management of tooth avulsion. Because tooth avulsion is the most prevalent lesion in dentoalveolar traumas, it is of the utmost importance that dental surgeons be prepared to treat it properly, avoiding damage to neighboring teeth and structures, and esthetic, functional, psychosocial and therapeutic implications for the patient

Knowledge of dental students of avulsed permanent teeth

A manutenção de um dente permanente avulsionado depende de um manejo e um tratamento adequado pelo cirurgião-dentista. O objetivo deste estudo foi verificar o conhecimento sobre avulsão dentária de alunos do primeiro e do último ano da graduação de uma Faculdade de Odontologia. Aplicou-se um questionário com 10 perguntas de múltipla escolha entre 65 alunos do primeiro ano e 60 alunos do último ano da Faculdade de Odontologia da Pontifícia Universidade Católica do Rio Grande do Sul (PUCRS), Brasil, entre 2006 e 2007. As questões estavam graduadas de 0 a 3. Os resultados revelaram um baixo grau de conhecimento sobre avulsão dentária entre os estudantes do primeiro e do último ano. O conhecimento dos alunos do último ano foi considerado abaixo do requerido para futuros cirurgiões-dentistas. Necessita-se de uma maior abordagem sobre o tema avulsão, manejo e tratamento, para que se aumente o grau de conhecimento desses alunos sobre o assunto. Devido ao fato de a avulsão dentária apresentar um prevalência grande entre os traumatismos dentoalveolares, é de suma importância que os cirurgiões-dentistas estejam preparados para tratar desse tipo de lesão, evitando-se danos nas estruturas vizinhas, problemas estéticos, funcionais, psicossociais e implicações terapêuticas ao paciente.The survival of an avulsed permanent tooth depends on the management and the appropriate treatment of the injury by the dental surgeon. The aim of this study was to assess the knowledge of first-year and last-year dental undergraduates on guidelines for management and treatment of tooth avulsion. A 10-item multiple-choice questionnaire was distributed among 65 first-year and 60 last-year dental undergraduates at the School of Dentistry, Pontifícia Universidade Católica do Rio Grande do Sul (PUCRS), Brazil, between 2006 and 2007. Answers were graded 0 to 3. The results revealed a low level of knowledge among first-year and last-year students on the management and treatment of permanent avulsed teeth. Knowledge of last-year undergraduates of tooth avulsion was lower than what is required for a future dental surgeon. In conclusion, there is a need to improve the knowledge of dental students in the guidelines for the management of tooth avulsion. Because tooth avulsion is the most prevalent lesion in dentoalveolar traumas, it is of the utmost importance that dental surgeons be prepared to treat it properly, avoiding damage to neighboring teeth and structures, and esthetic, functional, psychosocial and therapeutic implications for the patient

Mandibular metastasis of adenocarcinoma from prostate cancer: case report according to epidemiology and current therapeutical trends of the advanced prostate cancer

Prostate cancer represents the most frequent non-cutaneous neoplasia in males. This type of neoplasia can develop peculiar patterns of evolution, presenting, in many cases, precocious relapses and metastasis. Bone metastasis in the mouth is extremely rare, and represents 1% of all malignant mouth neoplasias. The aim of the present study is to report a clinical case of bone metastasis in the mandibular region associated with a tumoral prostate adenocarcinoma, as well as to discuss connected aspects about diagnosis, prognosis and integrated treatment of this condition