Universidade Federal de Santa Catarina
Autores: Cardoso M* , Ximenes M, Triches TC, Bolan M
Pyogenic granuloma on the tongue: a case report on pediatric patient
Objective: The objective of this study is to describe the surgical removal of Pyogenic Granuloma on the tongue, and its recurrence. Patient , 4 years and 5 months old , male , sought to UFSC Dentistry Clinic reporting difficulty in speech and eating because of injury to the tongue. Clinically there was a presence of an exophytic lesion, located on the right side of the tongue, with lobulated surface, a sessile base with well-defined limits. The parents reported that the child had the habit of nibbling and suck his tongue. The child was submitted to surgical removal of the lesion, and guidance on removing the habit. After the removal of the lesion, the collected material was sent for pathology analysis, where it was confirmed the diagnosis of Pyogenic Granuloma. Due to habit persistence, the lesion recurred after a month and the patient underwent a new surgery with the same histopathological diagnosis. After 12 months follow-up no recurrence of the lesion was found. It was concluded that success of the treatment depends on the surgical removal of Pyogenicgranuloma associated with psychological support and cooperation of the patient to remove the habit.
ODTP-P34 HIPOPLASIA MOLAR-DECÍDUO ASSOCIADA A HIPOPLASIA MOLAR-INCISIVO: ESTUDO CLINICO EM CRIANÇAS
Universidade de São Paulo (USP) - Faculdade de Odontologia de Bauru
Autores: Barbério GS*, Zingra ACG, Calderan MF, Silva TC, Rios D, Oliveira TM, Santos PSS, Machado MAAM
Molar-incisor hypomineralization associated to deciduous molar-hipomineralization: clinic study in children
Objective: This study investigated the presence and relationship between molar-incisor hypomineralization (MIH) and deciduous molar hypomineralization (DMH). Material and Methods: One single trained and calibrated examiner examined 379 children with ages ranging from 6 to 10 years old. Full mouth inspection was conducted following the EAPD 2003 criteria for MIH and DMH diagnosis, including canines’ tips in the investigation. Statistical analysis was performed by the use of the Mann-Whitney Rank Sum Test, chi-square test and odds ratio. Results and Discussion: The prevalence was 24.2% for MIH and 12.4% for DMH. The most commonly permanent teeth affected by hypomineralized enamel had been, in descending order: 36, 46, 16 and 26; the least affected had been, also in descending order: 11, 21, 22 and 12. The 4 index deciduous teeth were statistically equally affected. All permanent first molars were affected in 18.4% of the 92 MIH cases, three first molars in 11.9%, two first molars in 28.2% and only one first molar in 15.2% of cases. No teeth had been extracted due to MIH or DMH. Children with DMH had an odds ratio of 4.18 for MIH in comparison to children without DMH. Conclusion: Children with DMH are four times more vulnerable to MIH.
ODTP-P35 IMPACTO DAS LESÕES DENTÁRIAS TRAUMÁTICAS E DAS MALOCLUSÕES NA QUALIDADE DE VIDA DE PRÉ-ESCOLARES
Faculdade de Odontologia, Universidade de São Paulo - Faculdade São Leopoldo Mandic,SP
Autores: Tello G*, Abanto J, Butini LO, Bonini G, Murakami C, Bonecker M.
Impact of traumatic dental injuries and malocclusions on quality of life of preschool children
Objective: Assess the impact of traumatic dental injuries (LDT) and malocclusions on quality of life related to oral health (OHRQoL) in preschool children in Diadema, Brazil. Methods: 1215 children 1-4 years of both genders were systematically selected during the National Day of Children's Vaccination in Diadema, SP in 2012. Parents or guardians answered the Brazilian version of the questionnaire ECOHIS (B-ECOHIS) to assess the impact of OHRQoL. Clinical assessments were performed by 19 dentists trained and calibrated by adopting the criteria Glendor (2008) for the diagnosis of LDT and to malocclusion was considered the presence of anterior open bite, anterior crossbite, increased overjet (> 3mm) and posterior crossbite. Poisson regression models adjusted for dental caries (CI 95%) were used to assess the association between LDT, malocclusion, socioeconomic factors considering each domains and the total score of the B-ECOHIS. Results: The multivariate adjusted model of Poisson regression showed an association between some domains of the B-ECOHIS and clinical conditions (p <.05). No association was observed with the presence of LDT and malocclusion in the total score. Only the severity of the LDT (Complicated LDT) showed a negative impact on OHRQoL (RR = 2.10; p = 0.048). Conclusion: The presence of LDT and Malocclusion no showed impact on OHRQoL, but the complicated LDT has a negative impact on OHRQoL in this population.
ODTP-P36 IMPACTO NA QUALIDADE DE VIDA E RECUPERAÇÃO DA ESTÉTICA APÓS TRAUMATISMO DENTÁRIO
Universidade Federal do Rio de Janeiro (UFRJ)
Autores: Oliveira LRP*, Soares TRC, Bezerra TM, Queiroz BM, Risso PA, Maia LC
Impact on the quality of life and esthetic recovery after dental traumatic injury
Objective: The aim of this study was to relate the clinical management in two cases of pediatric patients who suffered dental traumatic injuries and the influence of the dental procedureon the quality of life related to oral health of the patients and their families. After the trauma, the patients were referred to the Dental Traumatology SurveillanceCenter- UFRJ with esthetic complaint and difficulty in socializing due to coronal fracture in the upper central incisors. In the first case, a 12-year-old boy was already 6 month without treatment and it was performed pulpectomy and bonding of the fragment. In the second case, a 8-year-old searched treatment 2 days later the trauma and it was performed pulpotomy with MTA and bonding of the fragment. The assessment on the quality of life was done trough questionnaires (CPQ, P-CPQ and FIS) before and one week later the treatment. The indexes varied in the first case from 32 to 9 in the CPQ (11-14), 42 to 12 in the P-CPQ and 24 to 4 in the FIS, before and after the treatment, respectively. In the second case, from 38 to 20 in the CPQ(08-10), 94 to 28 in the P-CPQ and 39 to 10 in the FIS. We concluded that the esthetic recovery through fragment bonding is a rapid and practical solution, especially in children. Beyond that, dental trauma causes impact in the quality of life of the child and the family and the reduction of this impact is already observed one week after the treatment improving welfare of the children.
ODTP-P37 IMPLANTES E PRÓTESES EM CRIANÇA COM DISPLASIA ECTODÉRMICA
Universidade Federal de Santa Catarina - UFSC
Ximenes M*, Triches TC, Souza JGO, Pereira-Neto ARL, Cardoso AC, Bolan M
Implant and prosthesis in child with ectodermal dysplasia
Objective: The objective of this study is to report a case of oral rehabilitation in a child with Ectodermal Dysplasia. Patient VPS, female, 8 years , sought treatment at the Clinic of Pediatric Dentistry, UFSC, with the chief complaint of "multiple dental absences". On physical examination, there were observe changes in the development of hair, eyebrows and eyelashes, dry skin , lips were prominent, and the child had a senile appearance. The clinical and radiographic examination showed congenital absence of several primary and permanent teeth . The teeth in the oral cavity had microdontia with high mobility, incomplete root development, and wide pulp chamber. The upper labial frenulum was hypertrophic and showed up with low insertion. The child was with phonetic changes and difficulty of chewing. The oral rehabilitation was accomplished through the installation of an upper dentures and a mandibular implant-supported denture. It can be concluded that the installation of dental implants and dentures in children with Ectodermal dysplasia is a viable alternative for rehabilitative treatment because it is able to improve the masticatory and phonetic functions, rescues self - esteem and enables a better social contacts for the patient. It is worth mentioning the importance of performance monitoring and multidisciplinary professional in order to preserve and restore maximum functional balance and aesthetic before oral conditions imposed by the syndrome.
ODTP-P38 INCORPORAÇÃO DE GLUCONATO OU DIACETATO DE CLOREXIDINA A UM CIMENTO DE IONÔMERO DE VIDRO: POROSIDADE E RUGOSIDADE SUPERFICIAL
Universidade Estadual Paulista Julio de Mesquita Filho - UNESP - Faculdade de Odontologia de Araraquara
Autores: Marti LM*, Becci ACO, Giro EMA, Brighenti FL, ZuanonACC
Incorporation of gluconate or chlorhexidinediacetate to a Glass Ionomer Cement: porosity and surface roughness.
Abstract: Among the antibacterial chlorhexidine (CHX) is considered one of the most effective substances and safe. The objective was to evaluate the porosity and surface roughness of a GIC after addition of gluconate or diacetate CHX. Were prepared 10 specimens (n = 10) and randomly assigned into two groups: control C: CIV; G1: GIC and CHX gluconate 0.5%, G2: GIC and CHX gluconate 1.0%, G3: GIC and CHX gluconate 2.0 % D1: GIC and 0.5% CHX diacetate, D2: GIC and 1.0% CHX diacetate and D3: GIC and 2.0% CHX diacetate. The surface roughness was obtained by the arithmetic mean of three readings taken on each specimen and the surface porosity by analysis of photomicrographs in the Image J program Analyses of variance of two factors and Tukey's test, with significance level of 5%. We observed a significant effect only the square CHX diacetate at all concentrations (p <0.001) on the percentage of area occupied by the pores, increasing it. For the number of pores, a significant decrease was observed in the same CHX diacetate and 1% CHX gluconate 0.5%. There was no significant effect on any of the concentrations for the surface roughness (p> 0,05). It can be concluded that to associate the CHX to the GIC, the best option is to CHX gluconate 1% or 2% because no effect on surface roughness and presented number of pores and the area occupied by them similar GIC in its original form.
ODTP-P39 INFLUÊNCIA DAS FUNÇÕES EXECUTIVAS E ATENCIONAIS NO DESENVOLVIMENTO DE CÁRIE EM INDIVÍDUOS COM PARALISIA CEREBRAL
Universidade Federal dos Vales do Jequitinhonha e Mucuri
Autores: Fernandes IB*, Dourado MR, Oliveira-Ferreira F, Andrade PM, Moreira RN, Ramos-Jorge ML
Apoio financeiro: Fundação de Amparo à Pesquisa de Minas Gerais (Fapemig)
Influence of attentional and executive functions in the development of caries in individuals with cerebral palsy
Objective: The aim of the present study was to evaluate the existence of an association between attention/executive functions and the development of dental caries in individuals with cerebral palsy (CP). Seventy-six children with CP were selected from a physical rehabilitation center and a school serving children with disabilities. The control group was made up of 89 children without neurological impairment. Socioeconomic status, presence of teeth with cavities due to caries, degree of motor impairment and intellectual, executive and attentional functions were assessed. Mean age of participants was 8.9 years (SD=3.56). The CP group had a significantly lower performance (p<0.05, Mann-Whitney test) on the intelligence, attentional function and executive function tests in comparison to the control group. Controlling for the clinical diagnosis (CP or control group), motor impairment and intellectual function, the significant explanatory variables for the presence of teeth with cavities were performance on the Complex Rey figure test (OR=0.941) and the Digit Span subtest of the Wechsler Intelligence Scale for Children in backward order (OR=0.581). After controlling for intellectual function, clinical diagnosis and motor impairment, deficits in executive and attentional functions increased the odds of developing dental caries in children with cerebral palsy.
ODTP-P40 INFLUÊNCIA DE SISTEMAS DE POLIMENTO E DA DEGRADAÇÃO QUÍMICA NA COR DE MATERIAIS RESINOSOS
Faculdade de Odontologia de Piracicaba - Unicamp
Autores: Benetello* V, Inagaki LT, Naufel FS, de Paula AB, Cardoso M, Lima DANL, Puppin-Rontani RM
Influence of polishing systems and staining solution on the color stability of the composite resins
Objective: To evaluate the influence of different polishing systems and staining solution on composites color stability. Cylindrical samples (7mm diameter x 2mm thick) were prepared with Filtek Z350XT and Vitalescense composite resins. After 24h at 37°C, the samples were polished with Soflex or Jiffy polishing systems. They were divided into 8 groups (n=9) in accordance with composite, polishing system and staining solution (coffee/CF and artificial saliva/SA control). Initial color measurements were made using CIEL*a*b* system. Then, each sample was immersed in 4 mL of solution for 15 min, 3x/day for 14 days. After that, color was measured again and variations of color were calculated (ΔE). The normal distribution of data was verified and submitted to three way ANOVA (p<0.05). Both composites exhibited some staining after degradation in CF and SA. Statistically significant differences were observed in triple interaction (p=0.001). Irrespective of the polishing systems, the both composites showed higher staining in CF than SA. Z350, in both solutions, exhibited similar staining for SofLex and Jiffy. However, Vitlescence in SA showed higher staining with Jiffy; and in CF, exhibited higher staining with SofLex. The staining was influenced by the solution, composite and polishing system. The Vitlescence showed less staining with SA and SofLex.
ODPT-P41 INFLUÊNCIA DOS FATORES SOCIOECONÔMICOS E CLÍNICOS NA OCORRÊNCIA DE TRAUMATISMO DENTÁRIO EM CRIANÇAS PRÉ-ESCOLARES
Universidade Federal dos Vales do Jequitinhonha e Mucuri
Autores: Prado RNS*, Corrêa-Faria P, Ramos-Jorge ML, Paiva SM, Pordeus IA
Influence of socioeconomic and clinical factors in the occurrence of dental trauma in preschool children
Objective: To evaluate the prevalence of trauma in primary dentition and to investigate its association with sociodemographic and clinical factors. Methods: A population-based cross-sectional study was conducted with a random sample of 301 children aged between one and five years seen at Children's Vaccine Campaign. Data were collected through examination of primary incisors, evaluation of lip coverage and size of incisal overjet. Parents were interviewed about socioeconomic factors (maternal education, monthly family income, number of children) and identification of the child. Data were analyzed using the chi-square test and Poisson regression with robust variance. Results: The prevalence of dental trauma was 33.9%. The dental trauma was more frequent among children with overjet> 3 mm (p <0.001), inadequate lip coverage (p <0.001) and higher family income (p = 0.024). In the Poisson regression model adjusted for sex, maternal education and number of children, it was observed that children with severe overjet (PR: 1.53, 95% CI, 1:05 to 2:22), inadequate lip coverage (PR: 2.00, 95% CI , 1.41-2.84) and whose family had monthly income ≥ 2 minimum wages (PR: 1.52, 95% CI, 1:10 to 2:12) had a higher prevalence of TDI. Conclusions: The prevalence of dental trauma was high and increased with household income, size of incisal overjet and inadequate lip coverage.
ODTP-P42 INTRUSÃO TRAUMÁTICA DE DENTE PERMANENTE: CASO CLÍNICO COM ACOMPANHAMENTO DE 2 ANOS
Universidade Federal do Pará (UFPA)
Autores: Magno MB*, Amoras LS, Nogueira JSE, Pessoa OF
Traumatic intrusion of permanent teeth with 2 years follow-up: Relate of case
Abstract: Intrusive luxation is represented by a deeper axial displacement of the tooth toward the alveolar bone and is considered one of the most severe types of dental trauma. This injury is rare and represent up to 2% of all traumas affecting permanent dentitions. Strategies to approach this injury consist of: waiting for the tooth to return to its primary position, immediate surgical repositioning, or repositioning by traction orthodontic. And are directly related with the potential of late sequelae of intrusive tooth. Indication of the treatment type to be used will depend on the root development stage, patient age and severity of the intrusive luxation. This paper aimed to report a 2-year follow-up of one patient, 8-year-old with class II malocclusion, that suffered traumatic intrusion type I of teeth 11, who had incomplete rooting. The treatment of choice was watch and wait to the teeth repositioning, and after 1 year and 4 months complete spontaneous eruption of both teeth was detected. Radiographic examination showed typical root formation and almost completely pulp canal and crown obliteration, without apical lesion. In teeth with immature root development, no active treatment appears to result in fewer healing complications and conserve vital pulp.
ODTP-P43 ODONTODISPLASIA REGIONAL: RELATO DE CASO CLÍNICO
Faculdade de Odontologia de Piracicaba FOP - UNICAMP
Autores: Pacheco LF*, Leme MS, Puppin-Rontani RM, Gavião MBD, Pascon FM
Regional odontodysplasia: case report
Abstract:This case report describes a longitudinal evaluation and rehabilitation of a pediatric patient with regional odontodysplasia. Female patient presenting caries lesions, looked forpediatric dentistry department of college with complaining of changes in primary dentition development. Medical history and clinical examination showed that patient had lost vertical dimension and, in addition, a history of poorly treated lingual hemangioma. Radiographic examination detected presence of some primary and permanent dysplastic teeth which confirmed diagnosis of odontodysplasia regional. Were made restorations of decayed primary teeth and follow-up. Over time, we opted for the extraction of decayed and dysplastic primary teeth and ulectomy in first permanent molars region as they showed delayed eruption. During monitoring period, oral rehabilitation partially reinstated occlusion and vertical dimension of the patient. It can be concluded that the causes of regional odontodysplasia remain unknown and no known etiologic factor may be associated with the occurrence in this case, a multidisciplinary involvement is necessary for evaluation and resolution of consequences of odontodysplasia.
ODTP-P44 OTIMIZAÇÃO DA PROFILAXIA PROFISSIONAL EM BEBÊS ATRAVÉS DA UTILIZAÇÃO PRÉVIA DE SOLUÇÃO EVIDENCIADORA DO BIOFILME DENTÁRIO
Faculdade de Odontologia de Bauru - Universidade de São Paulo
Autores: Alencar CRB*, Gonçalves PSP, Oliveira GC, Ionta FQ, Tripodi Júnior CDV,Honório HM, Rios D
Professional prophylaxis optimization in infants by using previous dental plaque disclosure
Objective: Given the difficulty of controlling dental plaque at home in infants, the professional prophylaxis becomes an important method. Prophylaxis is usually performed with direct visualization of the dental plaque, however looking toward the baby’s negative behavior in attendance, the procedure is liable to failure. It was evaluated the effectiveness of dental plaquedisclosure to optimize prophylaxis in infants. Methodology: The sample was composed of smooth surfaces (SS) and occlusal surfaces (OS) of teeth of 25 infants. The randomized crossover clinical study, had GI-with disclosure prior to prophylaxis,and GII-withoutdisclosure (washout/1month). The plaque disclosure agent was 1% malachite greenand the dental plaque was assessed by Greene; Vermillion Index for SS and Mestrinho et al. for OS. The prophylaxis was performed by a single professional that was different from the evaluator(Kappa-87%). Results: Dental plaque removal was more efficient and faster for GI (Wilcoxon/p<0.05) and there was an inverse correlation between plaque index and the duration of prophylaxis (Spearman/p<0.05).The child behavior did not result in difference of plaque index (Mann-Whitney/p>0.05). There was a positive correlation between difficulty in performing the prophylaxis and plaque index in OS for both groups (Spearman/p<0.05). Conclusions: Dental plaquedisclosure prior to prophylaxis is an effective method, which reduceswork time and improves the quality of the procedure.
ODTP-P45 PAIS COMO PREDITORES DO IMPACTO DA SAÚDE BUCAL NA QUALIDADE DE VIDA DE CRIANÇAS COM ANEMIA FALCIFORME
Universidade Federal de Minas Gerais
Autores: Fernandes MLMF*, Corrêa-Faria P, Oliveira VSF, Paiva SM, Pordeus IA
Parents as predictors of the impact of oral health on quality of life in children suffering from sickle cell anemia
Objective: To analyze the correlation between the impact of oral conditions on quality of life in children suffering from sickle cell anemia through the children’s and parents’ statement and the impact on their families reported by their parents. Methodology: It is a cross sectional study including a hospital sample. The instruments used were: CPQ8-10, P-CPQ and FIS. We analyzed the results using the Mann Whitney test and Spearman correlation coefficient. Results: We interviewed 56 children and their parents. The Mann-Whitney test indicated that children felt more impact on the actual conditions of the mouth which were perceived by their parents (p = 0.0169), with significant differences in subscale regarding oral symptoms (p = 0.0003). There was evidence of a low median correlation between the results obtained in the group of parents and children in sub-scales: oral symptoms and functional limitations (rs = 0.362 and rs = 0.342, respectively). However there was a high correlation between the parents' report about this impact on quality of life concerning their children’s life and their family (rs = 0.641). Conclusions: The children showed greater feeling of oral health impacts on their quality of life than their parents reported. There is a high degree of coherence of parental perception related to the impact of oral health of their children in the same quality of life and the impact that this condition represents on the family of those children.
ODTP-P46 PAIS SE SENTEM CULPADOS PELOS PROBLEMAS DE SAÚDE BUCAL EM PRÉ-ESCOLARES?
Universidade Federal dos Vales do Jequitinhonha e Mucuri
Autores: Souza DS*,Vieira-Andrade RG,Júnia VLPC, Luna PA, Drumond CL,Marques LS, Ramos-Jorge ML
Parents feel guilty for oral health problems in preschool children?
Objective: The aim of this study was to assess the presence of parental guilt and its association with early childhood caries (ECC), traumatic dental injuries (TDI), anterior malocclusion traits (AMT) and oral mucosal lesions in preschool children.Metodology: A transversal study was carried out with a randomic representative sample of 382 children with age between 2 and 5 years old of Serro, MG, Brazil.Data collection involved oral examinations of children, carried out by calibrated examiners, and their parents answered a socioeconomic questionnaire and the Early Childhood Oral Health Impact Scale (ECOHIS). The question of ECOHIS related with guilt was used as the dependent variable. Data analysis involved descriptive statistics and Poisson regression (α=5%).Results: A total of 12.3% of parents felt guilty because of the child's oral condition.Parents of children with 3 years of age [PR: 3.33; CI=1.01-10.96; p=0.048], of male gender [PR: 1.83; CI=1.08-3.11; p=0.024], whose children had low severity [PR: 3.58; CI=1.69-7.55; p=0.001] or high severity of ECC [PR: 4.60; CI=2.14-9.90; p <0.001] had a higher prevalence of guilt. No association was found between parent´s guilt and TDI, AMT, oral mucosal lesions and socioeconomic factors.Conclusion: The parent´s guilt was associated with children with 3 years old, male gender and with low or high severity of ECC.
ODTP-P47 PERFIL DO ATENDIMENTO ODONTOLÓGICO NO SERVIÇO DE URGÊNCIA PARA CRIANÇAS E ADOLESCENTES DA FACULDADE DE ODONTOLOGIA DE ARARAQUARA (FOAR) - UNESP
Faculdade de Odontologia de Araraquara - UNESP
Autores: Albuquerque YE*, Zuanon AC, Pansani CA, Giro EMA, Abreu e Lima FCB, Hebling J, Santos Pinto LAM, Cordeiro RCL,Brighenti FL
Agência Financiadora: CNPq (Bolsa de Mestrado), PROAP – CAPES, PROEX – UNESP
Treatment Profile at Urgent Dental Care Service for Children and Teenagers from Faculdade de Odontologia de Araraquara (FOAr) – UNESP
Objective: The Urgency Dental Treatment for Children and Teenagersat FOAr offers dental treatment for patients with acute pain. The objective of this study was to evaluate the treatment profile of patients between 0-13 years treated at the Urgent Dental Care service offered by FOAr. All reports of emergency treatment provided by an integrated system were evaluated. The data analyzed were: numbers of patients, treatments and type of procedure performed. These data were tabulated and submitted to descriptive analysis. From 1997 to 2012, a total of 13,849 patientswere treated; 25,786 visits and 86,279 procedures were conducted. It was observed that the most common procedure done was those related to the disease´s diagnosis, followed by preventive procedures. The operative procedure performed most frequently was restorative, followed by endodontic treatment. The large number of preventive procedures performed together with operative procedures collaborated to caries risk reversal and to the maintenanceof patient's oral health. The fast referral of patients for elective treatment, together with the preventive procedures performed also contributed to a decrease in demand for urgent dental care over the years.
ODTP-P48 PROGRAMA VIVER SEM CÁRIE – RELATO DE 12 ANOS DE EXPERIÊNCIA
ICT – UNESP Campus de São José dos Campos
Autores: Ramos CJ*, Lemos LVFM, Moreno MG, França MO, Fava M, Myaki SI
Living Without Caries Program
Objective: The aim of this study was to present the results of 12 years of the project Dentistry for Babies from ICT / SJC - UNESP, Living Without Caries Program. The dental education of the mother occurs before the baby's first appointment. The treatment protocol is characterized by three stages: educational lecture for pregnant between the 6th and the 8th gestational month, the first dental appointment of the baby between the 4th and 6th month of life; dental appointment (return every 4 months) until the child reaches 48 months of age. The service is conducted by dentists and coordinated by professors of the program. The results (period between 2001 to 2012) showed that of 235 children who joined the program, 120 were followed until they are 12 months , 42 to 24 months, 18 to 36 months and 56 to 48 months. 57 children followed up to 36 months and 48 months completed the development of the primary dentition without caries establishment and 17 developed carious lesions. The failure factors were the lack or neglect hygiene habits at home; uncontrolled eating habits and not attendance to the program. We conclude that the consolidation program was obtained due to the non-development of caries in children who used rational sugars, instituted early oral hygiene habits and were assiduous to the dental appointments.
ODTP-P49 QUAL É O EFEITO PREVENTIVO DE DENTIFRÍCIOS EM LESÕES DE CÁRIE NÃO CAVITADAS? UMA REVISÃO SISTEMÁTICA
Faculdade de Odontologia da USP (FOUSP)
Autores: Guedes RS, Gimenez T*, Braga MM, Mendes FM.
What is the preventive effect of dentifrices on non-cavitated caries lesions?A systematic review
Background: Although dental caries have been declining, initials caries lesions may be underestimated and it is not known whether the use of dentifrices in different concentrations is effective in preventing the progression of these lesions. Aim: To determine the efficacy of fluoride dentifrices with different concentrations in the prevention of initial caries lesions in children and adolescents. Methods: Two independent reviewers searched PubMed until 06/2013 to identify papers published in English. The eligibility criteria were: (1) to be a randomised controlled trial or a cluster-randomised trial; (2) to compare standard fluoride toothpaste with placebo or fluoride toothpaste of a lower concentration with regard of caries prevention (3) in subjects until 16 years old (4) a follow up of at least 1 year (5) data about non-cavitated or initial caries lesions. Descriptive and qualitative analysis of the included studies were performed and also the evaluation of individual risk of bias. Results: Only one study was included from the 268 articles initially searched. This study showed results of initial or non-cavitated caries lesions threshold and compared low F and standard F dentifrices. However, it did not show allocation concealment and random sequence generation. Conclusion: There is still no evidence that toothpastes with different fluoride concentrations have the same efficacy in preventing progression of non-cavitated lesions.
ODTP-P50 REABILITAÇÃO DENTÁRIA PELA TÉCNICA DA RÉPLICA OCLUSAL EM ODONTOPEDIATRIA
Universidade Cruzeiro do Sul - UNICSUL
Autores: Campos PH*,Guaré RO, Diniz MB
Dental rehabilitation with occlusal replica technique in Pediatric Dentistry
Objective: The objective of this clinical case was to demonstrate the occlusal replica technique with acrylic resin in a first permanent molar, aiming to preserve the occlusal aesthetic and the original anatomic characteristics of the dental element.Clinical Case Description: Patient, female, 8 years old, presented clinically caries lesion on tooth 46, pigmentation andmicrocavitation, with the occlusal anatomic characteristics preserved.Radiographically, the caries lesion was extended into deep dentin. After regional anesthesia, under absolute isolation, the matrix was made using a translucid acrylic resin. The cavity preparation was performed with a dental round diamond drillon a high-speed rotating instrument, and then the carious tissue was removed with dental round drillon low-speed rotating instrument and dental excavators. Glass ionomer cement provided pulp complex protection, and then the adhesive technique was performed with incremental resin restoration. After being internally covered with glycerin, the matrix was repositioned on the last layer of the composite resin and then it was light-cured. After the procedure, the need of occlusal adjustment was checked.Conclusion:The occlusal replica technique optimized the clinical time, simplifying the sculpture, occlusal adjustment, finishing and polishing procedures and allowing a better aesthetic restoration.
ODTP-P51 REABILITAÇÃO ESTÉTICO-FUNCIONAL DE UMA CRIANÇA DE 5 ANOS COM CÁRIE PRECOCE DA INFÂNCIA: RELATO DE CASO CLÍNICO
Faculdade de Odontologia de Piracicaba - Universidade Estadual de Campinas
Autores: Barbosa-Martins LF*, Cardoso M, Inagaki, LT, Pascon FM, Gavião MBD, Puppin-Rontani, RM
A esthetic and functional rehabilitation of a child 5 years with early childhood caries: a case report
Abstract: Despite the decline in caries, economically disadvantaged families have difficult access to guidance on oral health, as well as preventive and restorative dental treatments. The objective of this study was to describe the clinical case of oral rehabilitation of a patient with early childhood caries. On clinical examination, there was extensive caries lesions with no clinical crown of upper deciduous teeth and caries in teeth 73, 74, 75, 83, 84 and 85. After clinical and radiographic examination was indicated for extraction of upper teeth and pulpectomy teeth 75, 84 and 85. The treatment plan was prepared following the criterion of urgency: adequacy of the oral cavity, removal of foci of infection with dental extractions, endodontic and restorative treatments. Were made of fluoride varnish applications in direct restorations and lower teeth with composite resin teeth 73, 75, 83 and 85. After completion of the pulpectomy, the teeth 74 and 84 receiving steel crowns. Orientation educational- preventive oral care was given to the child and the person responsible for the treatment. Following the procedures described above was made dentures. The patient received speech therapy speech to readjust to the new oral condition. It can be concluded that the treatment was successful, as with oral rehabilitation was the restoration of masticatory function and aesthetics, promoting better quality of life for the patient.
ODTP-P52 REIMPLANTE DE DENTES DECÍDUOS AVULSIONADOS: UMA REVISÃO SISTEMÁTICA
Universidade Federal dos Vales do Jequitinhonha e Mucuri
Autores: Prado RNS*, Martins-Júnior PA, Franco FAS, Barcelos RV, Marques LS, Ramos-Jorge ML
Replantation of avulsed primary teeth: a systematic review
Background: There is little evidence regarding the risks and benefits of replantation of avulsed primary teeth. Aim: To perform a systematic review of the literature about the replantation of avulsed primary teeth, analysing the risks and benefits to help guide dentists regarding the best clinical decision making in such cases. Methods: Medline/Pubmed, LILACS and SciELO databases were surveyed for articles on the replantation of avulsed primary teeth published in English, Portuguese or Spanish in dental journals dating from the inceptions of the databases until May, 2013. Results: Of the 882 studies identified in the search, seventeen fulfilled the inclusion criteria. All 17 studies were case reports involving a total of 31 replanted primary teeth. In 11 cases there were no negative consequences in either the primary teeth and the permanent successors. Among the other 20 cases, there were negative consequences to: only the replanted primary teeth in 10 cases, only the permanent successor in 3 cases; both replanted primary teeth and the permanent successors in 7 cases. Conclusion:There is a lack of high-quality studies that can help guide clinicians regarding the best approach in cases of primary tooth avulsion. However, if performed only in optimal conditions, reimplantation may be a feasible and effective treatment.
ODTP-P53 RELAÇÃO ENTRE POLISSACARÍDEOS INSOLÚVEIS, EXPOSIÇÃO AO AÇÚCAR, MICRORGANISMOS CARIOGÊNICOS E CÁRIE PRECOCE NA INFÂNCIA - UM ESTUDO LONGITUDINAL
Faculdade de Odontologia de Piracicaba - Unicamp
Autores: Souza TR*, Parizotto TM, Duque C, Rodrigues LKA., Nobre-dos-Santos M.
Relationship among insoluble polysaccharide, sugar exposure, cariogenic microorganisms and early childhood caries - A longitudinal study
Objective: We aimed to assess the relationship between early childhood caries(ECC) and extracellular insoluble polysaccharides (IP) in dental plaque, sugar exposure and cariogenic microorganisms. We also performed a screening of the ability of S. mutans strains to synthesize glucan in vitro. Methods: Clinically visible plaque on maxillary incisors was recorded, followed by caries diagnosis in sixty-five 3-4 year-old children at baseline and after one year. Plaque was collected for mutans streptococci (MS), total microorganism (TM) and lactobacilli (LB) enumerations in selective media, as well as for IP analysis which was later assessed by colorimetry. In vitro glucan synthesis was assessed by a zymographic assay and sugar/sucrose exposure by a diet chart respectively. Results: Positive correlations were found among caries prevalence and MS, TM, LB, solid sucrose and dental plaque. Children with IP concentrations in dental plaque higher than 2.36 μg/mg, with visible plaque on maxillary incisors, harboring LB and exposed to solid sugar more than twice/day showed higher risk of developing caries.(p<0.05). We found no correlation between IP concentrations in dental plaque and the ability of S. mutans strains to synthesize glucan. Conclusion: Extracellular IP, solid sugar/sucrose, visible dental plaque and cariogenic microorganisms predicted ECC. The ability of S. mutans strains to synthesize glucan in vitro did not reflect the IP level in dental plaque of children with ECC.
ODTP-P54 SAÚDE BUCAL DO PACIENTE INFANTIL COM FIBROSE CÍSTICA
Universidade Cruzeiro do Sul (UNICSUL)
Autores: Modesto KBS*, Duarte DA, Damaceno N, Almeida ER.
Oral Health of Children with Cystic Fibrosis Patient
Abstract: Cystic fibrosis is an autosomal recessive disease that brings complications for the respiratory and digestive systems, and can compromise the quality of life of patients and their families. This study aimed to investigate the impact of dental caries and periodontal changes on the quality of life of parents responsible for CF patients , 5-12 years of age ( mean = 8.8) and both genres (33.3 % boys) , in the Ambulatory Child ISCMSP , São Paulo - SP . A cross sectional study was planned analytical methodology followed the WHO (1997): indicesdmft and DMFT (tooth decay); IPCNT index (periodontal changes) and WHOQOL (quality of life). Data were analyzed by SPSS version 14.0 using the Spearman test and Mann - Whitney (CI = 95 %, p = .05). Observed mean dmft= 1.3 and mean DMFT = 0.37; IPCNT = 2, with the presence of dental calculus yellowish predominant in the inferior incisors, and WHOQOL average = 13.45. There was no statistically significant difference in the distribution of dental caries and periodontal changes on the quality of life of those responsible (p > 0.5). Conclusion: Despite not having been observed the impact of oral health on the quality of life of those responsible for CF patients, it is noteworthy that the average quality of life was found below the parameters recommended by the WHOQOL group, indicating the need for greater attention to this particular group.
ODTP-P55 SAÚDE BUCAL NA ESCOLA DE APLICAÇÃO DA UFPA: PROJETO ESCOLA SORRIDENTE
Universidade Federal do Pará (UFPA)
Alexandrino LD*, Castro MLSS
Oral health in the School of application of UFPA: Smiling School Project
Dental caries is a infectocontagious disease dependent on several factors for its origin and development which may even lead to teeth loss. Caries´s magnitude and severity in deciduous teeth remains a public health problem, requiring special attention and global view. Prevention and promotion have been the target of numerous discussions on population awareness and education importance as a fundamental instrument in health maintenance. Thus, our aim is to present the“Projeto Escola Sorridente "(Smiling School Project) and their activities and goals, as well as, the epidemiological profile of children assisted in th eproject. Through ludical educational and preventive activities focused on oral health, with collective actions, the Project proposal is to introduce oral health information and practices to children at 3-5 years, of the early childhood education School of application oft he Federal University of Pará so then can develop correct habits and grow more healthly and citizens hipsense. Activities focused on strategies for prevention and oral health promotion in early childhood education, conducted by the “Projeto Escola Sorridente” has a good chance of forming citizens increasingly aware, which will be important for them a intenance of a healthier life.
ODTP-P56 TERAPIA FOTODINÂMICA ANTIMICROBIANA MEDIADA POR CURCUMINA SOBRE BIOFILME MADURO FORMADO POR STREPTOCOCCUS MUTANS
Faculdade de Odontologia de Araraquara - UNESP
Autores: Paschoal MA*,Giusti JSM, Bagnato VS, Santos-Pinto L, Duarte S
Photodynamic antimicrobial therapy mediated by curcumin on Streptococcus mutans mature biofilms
Objective:To evaluate the photodynamic antimicrobial chemotherapy (PACT) mediated by curcumin and a blue LED on S. mutans mature biofilm comparing with a solution of chlorhexidine at 0.12% (CHX) and the effect of a novel single source of a non-coherent light that delivers high power intensity at a short exposure time over suspensions of S. mutans. Methodology: S. mutans biofilms were formed on saliva-coated hydroxyapatite discs in batch culture containing sucrose and changed daily for 5 days. The biofilms were submitted to PACT (2.5 mM of curcumin and 48J.cm2 of blue LED – 3 min 33 sec) and CHX (1 min). Biofilms were assessed by environmental scanning electron microscopy, confocal laser scanning microscopy and microbial viability (CFU/mg of biofilm dry weight). Planktonic suspensions of S. mutans were standardized and submitted to PACT treatment at low concentrations of curcumin (0.75 uM) exposed to a high power intensity of a white light for an extra short exposure time (12.2 sec). Results: Significant differences were found to PACT groups in comparison to controls and CHX to both studies (< 0.05). The morphology of biofilms demonstrated a high rate of dead cells to PACT group, even though without expressive results regarding biofilm topography. Conclusions: PACT mediated by curcumin presented antimicrobial effect against S. mutans biofilms and superior performance when comparison to chlorhexidine. The new source of light presented a lethal photoinactivation at an extra short exposure time.
ODTP-P57 TRATAMENTO DE MORDIDA CRUZADA ANTERIOR NA DENTIÇÃO DECÍDUA E IMPACTO NA QUALIDADE DE VIDA DA CRIANÇA E DA FAMÍLIA
Faculdade de Odontologia de Bauru/Universidade de São Paulo (USP)
Autores: Valente MT*,Oliveira TM, Silva TC, Silva SMB, Rios D, Barbério GA, Zingra ACG, Calderan MF, Lourenço Neto N,Machado MAAM
Anterior cross-bite treatment in the primary dentition and impact on the quality of life of the child and family
Abstract: The malocclusions may show up during the first teeth eruption. The anterior cross-bite directly affects the facial aesthetics and chewing. The anterior cross-bite in the primary dentition does not necessarily means a class III malocclusion. This alteration may be due to functional deviations occurred during the deciduous incisors eruption, if this is not corrected in this phase, it may have a negative impact on the stages of the dentition development: a functional deviation may become a bone deviation. This case presents a 5 years and 8-months old girl that went to the Pediatric Dentistry clinic of the FOB/USP with her mother complaining that the anterior cross-bite compromised the child’s socialization and chewing. The case was solved through the maxilla expansion using the Haas expansion device followed by facial mask to the anterior bite correction. The result was satisfactory, anterior cross-bite stabilization was reached allowing the permanent incisors to erupt non-crossed. The mother related positive changes on the child’s behavior and feeding after de malocclusion correction. The child became more sociable and better integrated to the family’s and school’s activities and started to eat better.
ODTP-P58 TRATAMENTO ORTODÔNTICO PREVENTIVO EM BEBÊS
Faculdade de Odontologia de Bauru / Universidade de São Paulo (USP)
Autores: Calderan MF*, Silva TC, Oliveira TM, Silva SMB, Rios D, Barbério GA, Zingra ACG, Valente MT, Volpato LER, Machado MAAM
Preventive orthodontic treatmentin child
Abstract: Anterior crossbite in the primary dentition does not necessarily mean that the child has a Class III malocclusion. This change may be due to functional deviations occurred during the early phase of the primary incisors eruption. If not corrected at this stage, it may have a negative impact on the later stages of the dentition development: going from functional deviation to skeletal deviation. Case Report : Two babies, an 1 year and 8 months old girl and a 2 years and 3 months old boy, went to theBaby Clinic at the FOB / USP. The main complaint of both parents was about theirchildren’saesthetics. Additionally the boy's parents were bothered by the fact that he did not pronounce some words correctly. Machado & Amaral, based on the Planas principles, developed a treatment protocol for these cases through occlusal adjustments. By using matrix celluloid crowns for primary teeth, reanatomizationswere made on the crowns of deciduous incisors, this intervention correctedthe anterior cross-bite. The result was quite satisfactory. Besides the aesthetic aspect, it was possible to restore function and reduce chances of future orthodontic interventions. Parents were also pleased with the results.The importance of clinical and radiographic follow-up in the later stages of dental development is highlighted.
ODTP-P59 USO DE DENTIFRÍCIO E PRÁTICAS DE ESCOVAÇÃO POR PRÉ-ESCOLARES
Universidade do Estado do Rio de Janeiro (UERJ)
Autores:Barja-Fidalgo F*,Santos APP, Luz PSR, SilvaTV, Rodrigues-Júnior JL, Oliveira BH.
The use of toothpaste and tooth brushing practices by preschoolers
Abstract:Several children’s toothpaste formulationsare available in Brazil. There is evidence that only those containing at least 1,000 ppm fluoride (F) have anti-caries effect. Objectives: to estimate the prevalence of toothpaste use, according to F concentration, in preschoolers attending a health care center in Rio de Janeiro, and to assess aspects related to the amount of toothpaste and toothbrushing supervision.Methods: among the 226 adults who wereapproached in the Pediatric clinic, 190 were interviewed by three dental students using a pre-tested questionnaire. Results: the mean age of the interviewees was 30.2 years (SD 8.5);the majority of them was the child’s mother (87.9%) and belonged to the medium economic level – “classe C” (83.7%). The children’s mean age was 3.9 years (SD 1.5). Tooth cleaning was performed by 178 (93.7%) children; 18 (9.5%) did not use toothpaste, 123 (64.7%) used a pea-size amount of toothpaste or less and 49 (25.8%) used an amount of toothpaste equivalent to the full head of the toothbrush. Most children (57.9%) brushed their teeth under parental supervision. The prevalence of the use of non F toothpaste and low F toothpaste was 11.6% and 2.6%, respectively. Conclusions: although the majority of the children clean their teeth using toothbrush and a small amount of standard F toothpaste under parental supervision, some tooth brushing practices that can negatively affect caries control and increase fluorosis risk have been identified.
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