Cárie pré-eruptiva: relato de caso

Reabsorções internas pré-eruptivas são lesões ocorridas em dentes ainda não erupcionados e observadas acidentalmente ou por apreciação de radiografias. As lesões são parecidas com as da cárie dentária e chamadas de cáries pré-eruptivas. Esta radiolucência em dentes inclusos possui resultados parecidos com os da cárie, mas como não estão expostas à flora microbiana oral são lesões idiopáticas, de desenvolvimento ou de provável reabsorção. Na literatura odontológica, o tema do estudo é limitado, mas são encontrados relatos de casos de pacientes com reabsorção coronária pré-eruptiva, que apresentaram difícil diagnóstico, necessitando de exames radiográficos como radiologia e tomografia. Os casos de reabsorção coronária pré-eruptiva embora ocorram em segundo e terceiro molares, são encontradas mais frequentemente nos pré-molares. Considerando a preocupação clínica, uma vez que essas lesões têm uma progressão silenciosa e, muitas vezes, não são detectadas por exames clínicos de rotina, torna-se necessárioo conhecimento da doença, para que o diagnóstico seja o mais precoce possível. Este trabalho objetiva relatar um caso de reabsorção coronária pré-eruptiva traçando suas semelhanças com dados da literatura

Reducing the environmental impact of surgery on a global scale: systematic review and co-prioritization with healthcare workers in 132 countries

Background Healthcare cannot achieve net-zero carbon without addressing operating theatres. The aim of this study was to prioritize feasible interventions to reduce the environmental impact of operating theatres. Methods This study adopted a four-phase Delphi consensus co-prioritization methodology. In phase 1, a systematic review of published interventions and global consultation of perioperative healthcare professionals were used to longlist interventions. In phase 2, iterative thematic analysis consolidated comparable interventions into a shortlist. In phase 3, the shortlist was co-prioritized based on patient and clinician views on acceptability, feasibility, and safety. In phase 4, ranked lists of interventions were presented by their relevance to high-income countries and low–middle-income countries. Results In phase 1, 43 interventions were identified, which had low uptake in practice according to 3042 professionals globally. In phase 2, a shortlist of 15 intervention domains was generated. In phase 3, interventions were deemed acceptable for more than 90 per cent of patients except for reducing general anaesthesia (84 per cent) and re-sterilization of ‘single-use’ consumables (86 per cent). In phase 4, the top three shortlisted interventions for high-income countries were: introducing recycling; reducing use of anaesthetic gases; and appropriate clinical waste processing. In phase 4, the top three shortlisted interventions for low–middle-income countries were: introducing reusable surgical devices; reducing use of consumables; and reducing the use of general anaesthesia. Conclusion This is a step toward environmentally sustainable operating environments with actionable interventions applicable to both high– and low–middle–income countries