HIPOPLASIA DO ESMALTE COMO FATOR DE RISCO PARA O DESENVOLVIMENTO DA DOENÇA CÁRIE

Introdução: a hipoplasia do esmalte é uma formação incompleta ou defeituosa da matriz orgânica do esmalte dentário em desenvolvimento, provocando deficiências e irregularidades na superfície do tecido dentário, tendo como causa fatores sistêmicos, genéticos e etiológicos. Pacientes com higiene bucal comprometida, principalmente jovens, podem favorecer a maior ação do biofilme bacteriano e consequentemente aumentar as chances de desenvolver lesões cariosas. Objetivo: promoção de saúde bucal em paciente portador de hipoplasia do esmalte. Caso clínico: paciente de 21 anos, gênero masculino, com os dentes acometidos com hipoplasia, manchados desde o seu irrompimento, com presença de mancha marrom na cúspide disto- vestibular do dente 16, mancha esbranquiçada no terço incisal da face vestibular do dente 21 e cálculo supragengival no sextante cinco. Durante o tratamento foi realizado PSR (Avaliação Periodontal Simplificada), índice O’leary inicial, instrução de higiene bucal, raspagem supragengival do sextante 5, reavaliação periodontal, índice O’Leary final e correção das técnicas de higiene bucal. Ao final do tratamento obteve-se uma diminuição considerável do índice O’leary final. Conclusão: o profissional deve estar preparado para realizar um correto diagnóstico, para que se obtenha o prognóstico mais adequado e o tratamento mais favorável

Sleep bruxism and anxiety level in children

This study evaluated the association of level of anxiety in children with and without sleep bruxism (SB). The study was performed with 84 six- to eigth-years-old children, divided into two groups: with bruxism (BG) and without bruxism (CG). Following the criteria purposed by American Academy of Sleep Medicine (AASM) to determine SB, the presence of tooth wear has been verified through clinical examinations, and the parents have answered a questionnaire about their children’s behavior and habits. Additionally, the State-Trait Anxiety Inventory for Children (STAIC) was applied to parents of the selected patients. Data analysis revealed a statistical significant difference between the groups (Student’s t-test, p= 0.0136). Based on the results, anxiety assessment revealed that children with bruxism have reached higher levels in the STAIC scale than the non-bruxism group. Therefore, it indicates a direct relationship between the presence of anxiety disorder and the onset of bruxism in children

Emergence of Two Distinct SARS-CoV-2 Gamma Variants and the Rapid Spread of P.1-like-II SARS-CoV-2 during the Second Wave of COVID-19 in Santa Catarina, Southern Brazil

The western mesoregion of the state of Santa Catarina (SC), Southern Brazil, was heavily affected as a whole by the COVID-19 pandemic in early 2021. This study aimed to evaluate the dynamics of the SARS-CoV-2 virus spreading patterns in the SC state from March 2020 to April 2021 using genomic surveillance. During this period, there were 23 distinct variants, including Beta and Gamma, among which the Gamma and related lineages were predominant in the second pandemic wave within SC. A regionalization of P.1-like-II in the Western SC region was observed, concomitant to the increase in cases, mortality, and the case fatality rate (CFR) index. This is the first evidence of the regionalization of the SARS-CoV-2 transmission in SC and it highlights the importance of tracking the variants, dispersion, and impact of SARS-CoV-2 on the public health systems