Campanha de prevenção do câncer bucal em Araraquara: uma iniciativa de extensão consolidada em 11 anos de experiência

The authors present the Annual Oral Cancer Campaign of Araraquara promoted by the Oral Medicine Service of the Araraquara Dental School – UNESP. This campaign is an extension activity which, since its beginning, in 1993, has been expanding.The campaign provides background for teaching and research as well as benefits to the regional community. In 1999 this activity was conducted, for the first time, in a public fair visited daily for thousands people. This opportunity, which started in 1999, promoted the expansion of benefits and contributed to legitimate the campaign as an authentic extramural extension activity.Os autores apresentam a Campanha de Prevenção do Câncer Bucal de Araraquara, promovida anualmente pelos docentes do Serviço de Medicina Bucal da Faculdade de Odontologia de Araraquara. Trata-se de uma atividade de extensão universitária implantada em 1993 que vem se ampliando ao longo de 11 anos, proporcionando subsídios para o ensino e para a pesquisa, além de beneficiar a comunidade por meio de orientação e de atendimentos clínicos. Em 1999, essa campanha foi realizada pela primeira vez numa feira visitada diariamente por milhares de pessoas, o que possibilitou o aumento dos benefícios e a legitimou como autêntica atividade de extensão universitária extra-muros

Campanha de prevenção do câncer bucal em Araraquara: uma iniciativa de extensão consolidada em 11 anos de experiência

The authors present the Annual Oral Cancer Campaign of Araraquara promoted by the Oral Medicine Service of the Araraquara Dental School – UNESP. This campaign is an extension activity which, since its beginning, in 1993, has been expanding.The campaign provides background for teaching and research as well as benefits to the regional community. In 1999 this activity was conducted, for the first time, in a public fair visited daily for thousands people. This opportunity, which started in 1999, promoted the expansion of benefits and contributed to legitimate the campaign as an authentic extramural extension activity.Os autores apresentam a Campanha de Prevenção do Câncer Bucal de Araraquara, promovida anualmente pelos docentes do Serviço de Medicina Bucal da Faculdade de Odontologia de Araraquara. Trata-se de uma atividade de extensão universitária implantada em 1993 que vem se ampliando ao longo de 11 anos, proporcionando subsídios para o ensino e para a pesquisa, além de beneficiar a comunidade por meio de orientação e de atendimentos clínicos. Em 1999, essa campanha foi realizada pela primeira vez numa feira visitada diariamente por milhares de pessoas, o que possibilitou o aumento dos benefícios e a legitimou como autêntica atividade de extensão universitária extra-muros

Transformación de leucoplasia verrugosa proliferativa en carcinoma oral: diez años de seguimiento

Los autores presentan un caso de leucoplasia verrugosa proliferativa (LVP) en varón de 78 años de edad. Fue inicialmente presentado como un caso de leucoplasia en lengua pero un estudio microscópico en 1991 reveló la presencia de displasia epitelial leve. Tras 5 años de seguimiento, la lesión sufrió cambios de tamaño y localización y tuvo comportamiento recidivante. En 1996, un área eritematosa granular e indurada que apareció en lengua resultó ser un carcinoma de células escamosas microinvasivo cuando se estudió microscópicamente. Tras una revisión del comportamiento clinicopatológico de esta entidad, los autores concluyeron que se trataba de una leucoplasia verrugosa proliferativa, cuyo diagnóstico es difícil y retrospectivo, como indicaban otros autores. Los autores enfatizan la importancia del examen periódico detallado clínico e histológico de este tipo de lesiones con el fin de detectar signos de malignidad precozmente.The authors present a case of proliferative verrucous leukoplakia (PVL) in a 78-year-old man. It was initially presented as leukoplakia on the tongue but a microscopic investigation in 1991 revealed it to be a mild epithelial dysplasia. After 5 years of follow-up, the lesion presented changes in size and location, and a recidivant behavior. In 1996, a red granular and indurated area that appeared on the tongue was found to be a microinvasive squamous cell carcinoma when microscopically investigated. After a review of the clinicopathologic behavior of this entity, the authors concluded that it was a typical PVL, whose diagnosis is difficult and retrospective, as indicated by others. The authors emphasize the importance of periodic detailed clinical and histological examination of this type of lesions in order to detect early signs of malignancy

Chronic ulcerative stomatitis : a systematic review of the clinical and microscopic features

the purpose of this study was to perform a systematic review regarding clinical and histopathological characteristics, immunopathological findings, and treatment for chronic ulcerative stomatitis (CUS).  articles in English, published from January 1962 up to November 2017, assessing clinical and immunological features, treatment, and follow-up of patientes with CUS, were retrieved from three databases (PubMed, Cochrane Library and SCOPUS). A manual literature search was also conducted. A total of 12 studies met inclusion criteria, therefore, were analyzed in this review. CUS shares similiar clinical and microscopic features to those found in oral lichen planus (OLP) and oral lichenoid lesions (OLL). Hence, direct immunofluorescence (DIF) is indispensable to define a final diagnosis. Due to the poor sample availability in the current literature, it is not possible to accurately confirm the prevalence and features of CUS. in order to better evaluate this condition?s findings, further studies with a greater amount of similar immune-mediated diseases should be performed

Protocols for management of oral complications of chemotherapy and/or radiotherapy for oral cancer : systematic review and meta-analysis current

Considering the high possibility of dentist consult a patient with oral complications of chemotherapy and/or radiotherapy for oral cancer because of the advances in this area, this study aims to systematically review the literature to identify and suggest effective and safe protocols for the managements of oral complications in oncology patients. TThe systematic review was designed by PICO and PRISMA including eligibility and exclusion criteria; the source of information and search strategy in PubMed according MeSH: ?Mouth Neoplasms and Radiotherapy? and ?Mouth Neoplasms and Drug Therapy? the period from 2010 to 2015; selection and data collection of study was carried form blind and independently by two researchers; risk of bias and methodological quality: ensured by the PEDro scale; synthesis of data: of oral complications were evaluated by adapted version of associative direction classification proposed by Costigan and collaborators; and data analysis was performed by the meta-analysis of BioEstat program (5.0) in the included studies. 2,700 articles found, 2,371 were selected after removal of duplicate and elected 40 full-text articles. Of these, only 06 articles were included in the systematic review with exclusion of others, per obtain punctuation ? 7 with high methodological quality for synthesis of the managements of oral complications. Since 05 articles were associated with low risk of bias composing the protocols suggestive for managements and the meta-analysis in odds ratio (0.916) to cure and relative risk (1.049) for the development of oral mucositis and pain. The protocols suggestive for managements of oral mucositis and pain with MuGard - mucoadhesive hydrogel; PerioAid Tratamiento® antiseptic mouthrinse with chlorhexidine and cetylpyridinium chloride; Episil® plus benzydamine - bioadhesive oromucosal gel; 0,03% of Triclosan mouthwash Colgate Plax; and Diode Laser Therapy of low-level are safe for oncology patients applied according to adopted clinical parameters

Comparison of denture microwave disinfection and conventional antifungal therapy in the treatment of denture stomatitis: a randomized clinical study

Objective. the aim of this study was to compare the effectiveness of denture microwave disinfection and antifungal therapy on treatment of denture stomatitis.Study Design. Sixty denture wearers with denture stomatitis (3 groups; n = 20 each), were treated with nystatin or denture microwave disinfection (1 or 3 times/wk) for 14 days. Mycologic samples from palates and dentures were quantified and identified with the use of Chromagar, and clinical photographs of palates were taken. Microbiologic and clinical data were analyzed with the use of a series of statistical tests (alpha = .05).Results. Both treatments similarly reduced clinical signs of denture stomatitis and growth on palates and dentures at days 14 and 30 (P > .05). At sequential appointments, the predominant species (P < .01) isolated was C. albicans (range 98%-53%), followed by C. glabrata (range 22%-12%) and C. tropicalis (range 25%-7%).Conclusions. Microwave disinfection, at once per week for 2 treatments, was as effective as topical antifungal therapy for treating denture stomatitis. (Oral Surg Oral Med Oral Pathol Oral Radiol 2012;114:469-479)Fundação de Amparo à Pesquisa do Estado de São Paulo (FAPESP)CESMAC Univ Ctr, Sch Dent, Maceio, BrazilUniv Estadual Ponta Grossa, Dept Dent, Ponta Grossa, BrazilUniversidade Federal de São Paulo, Div Infect Dis, São Paulo, BrazilUNESP Univ Estadual Paulista, Araraquara Dent Sch, Araraquara, BrazilUniversidade Federal de São Paulo, Div Infect Dis, São Paulo, BrazilFAPESP: 2005/03211-6FAPESP: 2005/04695-7Web of Scienc

Seguimiento multidisciplinario en el control del penfigoide de membranas mucosas

The term Mucous Membrane Pemphigoid includes a group of chronic and autoimmune vesiculobullous diseases involving mainly the mucosa. The aim of present paper is to describe two clinical cases of Mucous Membrane Pemphigoid with gingival involvement to arrive to a proper diagnosis of the lesion and also to discuss the therapeutic behavior. Different complementary examinations were conducted including Nikolsky test, incisional biopsy, the LE cells study and of antinuclear antibodies, as well as the evaluation of dermatologists and ophthalmologists. It was necessary the replacement of toothpastes, the nutritional and psychological guiding, the hygiene care and the use of topic corticoids. There were periods of remission and exacerbation of clinical picture during follow-up being necessary the therapeutics fitting and the oral hygiene care reinforcement. It is important the multidisciplinary interaction in the care of these cases for treatment and follow-up control, as well as to reinforce all orientations and cares related to oral hygiene and the caution in the use of corticoids