Tratamento do hemangioma capilar : relato de caso

Este ensaio apresenta uma revisão bibliográfica sobre o hemangioma capilar bucal evidenciando a ênfase em nosso caso de tratamento para esse tumor benigno, ilustrando nosso caso em que foi utilizado um tratamento excisional cirúrgico.This essay presents a bibliograph rêview about capillary hemangioma bucal showing enphasis in our case of treatment Íor this benign tumor, illustrating our case in which a surgical excisional treatment was used

Pharmacological management of postoperative pain in dentistry : a review

Introdução: A dor ocorre por um processo inflamatório e apresenta diferentes intensidades em função de fatores como o tipo e a duração do procedimento odontológico. O controle da dor pós-operatória dá-se por meio do uso de medicamentos, escolhidos por causa dos seus sítios de ação, do tipo de efeito esperado, da duração do efeito e de características individuais do paciente. Outro método é a realizaçãode analgesia preventiva, utilizando medicamentos previamente aos procedimentos para prevenir ou diminuir a sensibilização nervosa no pós-operatório. Objetivos: Revisar e discutir as diferentes classes de medicamentos disponíveis e suas associações para controle da dor pós-operatória. Revisão da literatura: Os medicamentos analisados foram os corticosteroides e anti-inflamatórios não esteroides (Aines), os analgésicos opioides e não opioides, a associação desses medicamentos e aqueles utilizados para analgesia preemptiva. Resultados: Para dor leve e moderada, recomenda-se o uso de um Aine, associado ou não, a um analgésico não opioide. Para dor intensa, pode ser indicada a associação de um Aine a um analgésico opioide. Para analgesia preemptiva, sugere-se o uso de corticosteroide cerca de 1 hora antes do procedimento. Conclusão: A combinação de dois medicamentos parece alcançar melhores resultados em comparação ao uso de um individualmente, mesmo que seja uma associação ou um opioide. A analgesia preemptiva, pelo uso de corticosteroide em dose única previamente aos procedimentos, contribui para o controle efetivo da dor, bem como o uso de anestésico local a longo prazo.Introduction: Pain occurs through an inflammatory process with different intensities due to factors such as the type and duration of the dental procedure. The control of postoperative pain occurs through the use of drugs, chosen due to their sites of action, type of effect expected, effect duration, and the individual characteristics of the patient. Another method is to perform preemptive analgesia, using drugs before the procedures to prevent or decrease postoperative nerve sensitization. Objectives: To report and discuss the different classes of medication available and which associations are the most recommended for use in the dental office. Literature review: The drugs analyzed were the corticosteroids and non-steroidal anti-inflammatory drugs (NSAID), opioid and non-opioid analgesics, the association of these drugs, and those used for preemptive analgesia. Results: For mild and moderate pain, the use of an NSAID associated or not with a non-opioid analgesic is recommended, and, when facing severe pain, the association of an NSAID with an opioid analgesic may be recommended. For preemptive analgesia, it is recommended the use of a corticosteroid about 1 hour before the procedure. Conclusion: The combination of two drugs seems to achieve better results compared to the use of one individually, even if this is an association or an opioid. Preemptive analgesia, through the use of a corticosteroid in a single dose, previously to the procedures contributes in the effective control of pain, as well as the use of a long-term local anesthetic

Importância epidemiológica de acidentes com motocicletas e bicicletas no contexto atual do trauma bucomaxilofacial no sul do Brasil

Purpose: Epidemiological studies exhibit regional variation patterns as the result of local demographic and socioeconomic factors. This study assessed the epidemiology of maxillofacial fractures treated at a trauma center in Southern Brazil to identify the importance of motorcycle and bicycle crashes. Methods: The records of 2261 patients admitted between April 2003 and March 2013 were reviewed. Results: The male-to-female ratio was 5.6:1. The peak incidence occurred in the third decade of life. Bicycle and motorcycle crashes accounted for 20% of all reported etiologies. Mandibular and orbitozygomatic complex fractures were most prevalent. The most common treatments were open reduction with rigid internal fixation and conservative therapy. Overall, 1248 patients (55.9% of recorded admissions) had a length of stay of 7 days or less. Conclusion: Countrywide prevention projects and the use of alternative transportation should be encouraged.Objetivo: Pesquisas epidemiológicas têm padrões de variações como resultado de fatores demográficos e socioeconômicos locais. Para identificar a importância dos acidentes de motocicletas e bicicletas, foram avaliadas as características epidemiológicas de fraturas maxilofaciais em um hospital público referência de trauma no sul do Brasil. Metodologia: A avaliação foi realizada através da análise de 2261 prontuários de pacientes internados entre abril de 2003 e março de 2013. Resultados: A razão entre homens e mulheres foi de 5,6:1. O pico de incidência foi observado na terceira década de vida e os acidentes de bicicleta e motocicleta atingiram 20% dentre os agentes etiológicos informados. As fraturas de mandíbula e do complexo zigomático-orbitário foram as mais prevalentes. Os tratamentos mais realizados foram: a redução cruenta com fixação interna rígida e o método conservador, sendo que 1248 pacientes (55,9% dos períodos de internação registrados) passaram até sete dias no hospital. Conclusão: Concluiu-se que projetos de prevenção contra acidentes e uso de transportes alternativos em todo país são necessários

Comparative histomorphometric analysis between α-Tcp cement and β-Tcp/Ha granules in the bone repair of rat calvaria

This study compared the effect of two bioceramics on the process of bone repair: α-tricalcium phosphate (α-TCP) cement and β-tricalcium phosphate hydroxyapatite particles (β-TCP/HA). Calvarial defects were created in 50 rats, divided into two groups (α and β/HA). Software was used at 7, 21, 60, 90 and 120 days to assess bone formation. Mean new bone formation rates were as follows: α group, 1.6% at 7 days, 5.24% at 21 days, 24% at 60 days, 30.21% at 90 days and 50.59% at 120 days; β/HA group, 1.94% at 7 days, 2.53% at 21 days, 12.47% at 60 days, 26.84% at 90 days and 38.82% at 120 days; control group, 0.15% at 7 days, 10.12% at 21 days, 15.10% at 60 days, 18.94% at 90 days, 48.50% at 120 days. Both materials are osteoconductive and biocompatible. Perhaps the larger rate of new bone formation observed in the α-TCP group, it also occurs in the β-TCP/HA group within a longer time period

Comparative histomorphometric analysis between α-Tcp cement and β-Tcp/Ha granules in the bone repair of rat calvaria

This study compared the effect of two bioceramics on the process of bone repair: α-tricalcium phosphate (α-TCP) cement and β-tricalcium phosphate hydroxyapatite particles (β-TCP/HA). Calvarial defects were created in 50 rats, divided into two groups (α and β/HA). Software was used at 7, 21, 60, 90 and 120 days to assess bone formation. Mean new bone formation rates were as follows: α group, 1.6% at 7 days, 5.24% at 21 days, 24% at 60 days, 30.21% at 90 days and 50.59% at 120 days; β/HA group, 1.94% at 7 days, 2.53% at 21 days, 12.47% at 60 days, 26.84% at 90 days and 38.82% at 120 days; control group, 0.15% at 7 days, 10.12% at 21 days, 15.10% at 60 days, 18.94% at 90 days, 48.50% at 120 days. Both materials are osteoconductive and biocompatible. Perhaps the larger rate of new bone formation observed in the α-TCP group, it also occurs in the β-TCP/HA group within a longer time period