Knowing Dental Students’ Discourses on Situational Planning in Integrated Clinic: A Qualitative Study

Objective: Dentistry from the Universidade Federal de Alfenas who were enrolled in the seventh period and who took the Integrated Clinic I Discipline (ICID) in the emergency remote learning model (ERLM). Material and Methods: This is a qualitative and descriptive study. The information was collected through questionnaires applied by the Professors during the ICID. Subsequently, the professor evaluated the treatment developed in virtual form by each student regarding its logical sequence and the most appropriate treatment for each case. The results of the answers were transcribed and submitted to lexicographical textual, Descending Hierarchical Classification, and Similitude analysis in the Interface de R pour les Analyses Multidimensionnelles de Textes et de Questionnaires(IRAMUTEQ) program. Results: The students described the online situational treatment planning in five essential steps: adequacy of the oral environment, restorative need, prosthetic need, rehabilitation by prosthesis on the implant, and corrective orthodontic treatment. Conclusion: It was observed that the students who enrolled in ICID presented well-integrated planning during ERLM, despite the COVID-19 pandemic hindering these students\u27 contact between theoretical teaching and the integrated practices in dentistry offered by the educational institution

Susceptibility Polymorphism in the Promoter Region of IL-4 and IL-13 in Individuals with Periodontitis: A Systematic Review

Objective: To understand the susceptibility to single nucleotide polymorphisms in the promoter region of Interleukin-4 (IL-4) and Interleukin-13 (IL-13) in patients with and without periodontal disease. Thus, a systematic review of available studies on the subject was performed. Material and Methods: A protocol was conducted for registration in the International Prospective Register of Systematic Reviews (PROSPERO) under CRD42021246646. For this search, studies were selected from the Scopus, Web of Science, Virtual Health Library, Embase, Cochrane Library, and PubMed databases. The selection criteria consisted of case-control and cohort studies published in English that had data on IL-4 and IL-13 genetic polymorphisms in patients with and without periodontal disease in the same study. The obtained studies were managed by EndNote Program™ X7 version and the Rayyan Platform. Regarding the risk of bias, we used the Newcastle-Ottawa Scale, which classified the studies using high-quality methodology. Results: After the selection process, three studies presented the eligibility criteria. No relation between IL-13 and susceptibility to periodontal disease was found. IL-4 gene (IL-4 -590C/T; IL-4-34C/T; rs2243248) was associated with susceptibility to the development of periodontitis. Conclusion: An association between IL-4 and the susceptibility of periodontitis was verified. Further case-control studies are needed to create more concrete conclusions on the subject

Knowing Dental Students’ Discourses on Situational Planning in Integrated Clinic: A Qualitative Study

Objective: Dentistry from the Universidade Federal de Alfenas who were enrolled in the seventh period and who took the Integrated Clinic I Discipline (ICID) in the emergency remote learning model (ERLM). Material and Methods: This is a qualitative and descriptive study. The information was collected through questionnaires applied by the Professors during the ICID. Subsequently, the professor evaluated the treatment developed in virtual form by each student regarding its logical sequence and the most appropriate treatment for each case. The results of the answers were transcribed and submitted to lexicographical textual, Descending Hierarchical Classification, and Similitude analysis in the Interface de R pour les Analyses Multidimensionnelles de Textes et de Questionnaires(IRAMUTEQ) program. Results: The students described the online situational treatment planning in five essential steps: adequacy of the oral environment, restorative need, prosthetic need, rehabilitation by prosthesis on the implant, and corrective orthodontic treatment. Conclusion: It was observed that the students who enrolled in ICID presented well-integrated planning during ERLM, despite the COVID-19 pandemic hindering these students' contact between theoretical teaching and the integrated practices in dentistry offered by the educational institution

Susceptibility Polymorphism in the Promoter Region of IL-4 and IL-13 in Individuals with Periodontitis: A Systematic Review

Objective: To understand the susceptibility to single nucleotide polymorphisms in the promoter region of Interleukin-4 (IL-4) and Interleukin-13 (IL-13) in patients with and without periodontal disease. Thus, a systematic review of available studies on the subject was performed. Material and Methods: A protocol was conducted for registration in the International Prospective Register of Systematic Reviews (PROSPERO) under CRD42021246646. For this search, studies were selected from the Scopus, Web of Science, Virtual Health Library, Embase, Cochrane Library, and PubMed databases. The selection criteria consisted of case-control and cohort studies published in English that had data on IL-4 and IL-13 genetic polymorphisms in patients with and without periodontal disease in the same study. The obtained studies were managed by EndNote Program™ X7 version and the Rayyan Platform. Regarding the risk of bias, we used the Newcastle-Ottawa Scale, which classified the studies using high-quality methodology. Results: After the selection process, three studies presented the eligibility criteria. No relation between IL-13 and susceptibility to periodontal disease was found. IL-4 gene (IL-4 -590C/T; IL-4-34C/T; rs2243248) was associated with susceptibility to the development of periodontitis. Conclusion: An association between IL-4 and the susceptibility of periodontitis was verified. Further case-control studies are needed to create more concrete conclusions on the subject

Perfil clínico e histopatológico do cisto odontogênico calcificante: relato de caso

Calcifying odontogenic Cyst (COC) has been considering as benign pathological ill and rare occurrence in maxilla and mandible, there been showed odontogenic epithelial cystic lining demonstrating ghost cells with a propensity to calcify. In this article, we described the clinical and histopathological features from case reported who had undergone surgical approach and postoperative follow-up. A 11 year-old-girl had presented volumetric increased in left maxilla area near nasolabial fold. The radiography images had indicated radiolucent lesion, well-circumscribed and wide on cortical maxillary bone, which was undergone enucleation associated with marginal osteotomy on the bone cortical walls. The histopathological features showed cystic lining with odontogenic epithelium containing ghost cells and some areas with eosinophilic matrix material compatible dentinoid. Thus, it was evidenced a clinical features of COC which could be confused with other cystic or tumoral lesions, there being essential on diagnosis and treatment. After clinical and radiographic follow-up during 07 years, there was no recurrence of the COC.O cisto odontogênico calcificante (COC) foi primeiramente descrito em 1962, considerado como condição patológica benigna de ocorrência rara em maxila e mandíbula, caracterizado por revestimento cístico de células epiteliais odontogênicas contendo células fantasmas com propensão a regiões de calcificação.  Neste artigo, descreveu-se a configuração clínica e histopatológica do COC por meio de relato de caso submetido a tratamento cirúrgico e acompanhamento pós-operatório. Uma paciente de 11 anos apresentou um aumento de volume em região maxilar a esquerda próxima ao sulco nasolabial sem sintomatologia dolorosa. Os exames radiográficos indicaram lesão radiolúcida, bem circunscrita e expansiva em maxila, que foi submetida a enucleação associada a ostectomia marginal das paredes corticais ósseas. O quadro histopatológico foi caracterizado por revestimento cístico com epitélio odontogênico ameloblástico, ninhos espalhados de células fantasmas e regiões eosinofílicas de material compatível com dentinóide. O relato de caso apresentou perfil clínico de COC, que pode ser confundido com outras lesões císticas ou tumorais, sendo essencial diagnóstico por meio de análise histopatológica. A abordagem cirúrgica proporcionou diagnóstico e tratamento. Após acompanhamento clínico e radiográfico, não houve recorrência do COC

Possibilidades reabilitadores para pacientes com erosão dental: uma revisão de casos clínicos

Objetivo: revisar na literatura as possibilidades reabilitadoras para pacientes com erosão dental. Método: screeningda literatura que seguiu os princípios do check listSANRA. A pesquisa foi realizada nas bases de dados da BVS (LILACS e BBO), Scielo, Cochrane Library e via buscador de pesquisa PubMed. Foram incluídos estudos na língua inglesa, relatos de casos clínicos disponíveis na íntegra. Foram realizadas buscas por artigos publicados até fevereiro de 2022 e sem restrição cronológica. Resultados:entre44 artigos identificados, 10 foram selecionados. A maioria dos estudos (40%) foram publicados no Brasil, seguido dos Estados Unidos (20%) e Itália (20%). As possibilidades de reabilitação identificadas foram o uso de coroas de cerâmica, laminados cerâmicos e restauração direta com resina composta. Conclusão:foi possível verificar que a reabilitação dos elementos dentários com materiais diretos (resinas compostas) ou indiretos (cerâmica ou cerômeros) tem demonstrado resultados satisfatórios,conforme os casos clínicos investigados

Comparação de diferentes planejamentos em cirurgia ortognática para tratamento de assimetrias faciais: relato de casos

Introdução: a cirurgia ortognática envolve a correção de desarmonias funcionais e estéticas. A hiperplasia condilar (HC) resulta em crescimento mandibular acentuado, provocando assimetria facial. Para obter previsibilidade e sucesso nos resultados, é imprescindível planejar. Objetivo: descrever e comparar métodos de planejamento e resultados pós-operatórios por meio de relato de três pacientes com assimetria facial. Relato de caso: foram avaliados 03 casos (casos A, B e C) orto-cirúrgicos de pacientes adultos jovens, com média de idade de 22 anos, portadores de má oclusão esquelética de Classe III, com assimetria facial resultante de HC inativa. Esses foram submetidos a análise facial e a dois métodos de planejamento em cirurgia ortognática (convencional e virtual). O caso A foi planejado por meio de imagens bidimensionais (2D) e sequência cirúrgica iniciada pela maxila. O caso B foi planejado por imagens 2D associado ao recurso de simulação em protótipo. E o caso C, planejado exclusivamente em imagens tridimensionais (3D) e simulação virtual. Os casos B e C utilizaram sequência cirúrgica iniciada pela mandíbula. Foi utilizado o software Dolphin Imaging® em todos os planejamentos. Os planejamentos foram transferidos para os procedimentos cirúrgicos por auxílio dos guias em resina acrílica e estereolitografia. Os pacientes dos casos relatados foram avaliados periodicamente no pós-operatório e estavam satisfeitos com os resultados. Conclusão: os planejamentos demonstraram previsibilidade e viabilidade para assimetrias faciais, pois os resultados foram satisfatórios. Houve uma tendência de melhores resultados quando a prototipagem, imagens 3D e sequência operatória iniciada pela mandíbula foram utilizadas no planejamento

Alteration of Occlusal Plane in Orthognathic Surgery: Clinical Features to Help Treatment Planning on Class III Patients

Dentofacial deformities (DFD) presenting mainly as Class III malocclusions that require orthognathic surgery as a part of definitive treatment. Class III patients can have obvious signs such as increasing the chin projection and chin throat length, nasolabial folds, reverse overjet, and lack of upper lip support. However, Class III patients can present different facial patterns depending on the angulation of occlusal plane (OP), and only bite correction does not always lead to the improvement of the facial esthetic. We described two Class III patients with different clinical features and inclination of OP and had undergone different treatment planning based on 6 clinical features: (I) facial type; (II) upper incisor display at rest; (III) dental and gingival display on smile; (IV) soft tissue support; (V) chin projection; and (VI) lower lip projection. These patients were submitted to orthognathic surgery with different treatment plannings: a clockwise rotation and counterclockwise rotation of OP according to their facial features. The clinical features and OP inclination helped to define treatment planning by clockwise and counterclockwise rotations of the maxillomandibular complex, and two patients undergone to bimaxillary orthognathic surgery showed harmonic outcomes and stables after 2 years of follow-up