RESUMO
Background and Objective. Pain evaluation in children can be a difficult task, since it possesses sensory and affective components that are often hard to discriminate. Infrared thermography has previously been used as a diagnostic tool for pain detection in animals; therefore, the aim of this study was to assess the presence of temperature changes during dental extractions and to evaluate its correlation with heart rate changes as markers of pain and discomfort. Methods. Thermographic changes in the lacrimal caruncle and heart rate measurements were recorded in healthy children scheduled for dental extraction before and during the procedure and compared. Afterwards, correlation between temperature and heart rate was assessed. Results. We found significant differences in temperature and heart rate before the procedure and during the dental extraction (mean difference 4.07°C, p < 0.001, and 18.11 beats per minute, p < 0.001) and no evidence of correlation between both measurements. Conclusion. Thermographic changes in the lacrimal caruncle can be detected in patients who undergo dental extractions. These changes appear to be stable throughout time and to possess very little intersubject variation, thus making them a candidate for a surrogate marker of pain and discomfort. Future studies should be performed to confirm this claim.
Assuntos
Medição da Dor/métodos , Dor Pós-Operatória/diagnóstico , Dor Pós-Operatória/etiologia , Temperatura , Extração Dentária/efeitos adversos , Criança , Feminino , Frequência Cardíaca/fisiologia , Humanos , Masculino , Estatística como Assunto , TermografiaRESUMO
Calcium hydroxide (CH) loaded poly(DL-lactide-co-glycolide) acid (PLGA) microspheres (MS) might be used for apexification requiring a sustained release of Ca(2+). The aim of this study was to formulate and characterize CH-PLGA-MS. The CH-loaded MS were prepared by either oil-in-water (O/W) or water-in-oil/in-water (W/O/W) emulsion solvent evaporation technique. MS produced by the O/W technique exhibited a larger diameter (18.63 ± 7.23 µm) than the MS produced by the W/O/W technique (15.25 ± 7.37 µm) (Mann-Whitney U test P < 0.001). The CH encapsulation efficiency (E e) and Ca(2+) release were calculated from data obtained by absorption techniques. Ca(2+) release profile was evaluated for 30 days. To know the E e, the CH-loaded MS were dissolved in 1 M NaOH to release all its content and a Ca(2+) colorimetric marker was added to this solution. The reagent marked the Ca(2+) in blue color, which was then measured by a UV-Vis system (650 nm). The percentage of E e was calculated on the basis of the theoretical loading. The E e of the O/W-produced MS was higher (24 %) than the corresponding percentage of the W/O/W-produced MS (11 %). O/W- and W/O/W-produced MS released slower and lower Ca(2+) than a control CH paste with polyethylene glycol 400 (Kruskal-Wallis test). O/W-produced MS released higher Ca(2+) than W/O/W-produced MS (statistically significant differences; P < 0.05). In conclusion, the CH-PLGA-MS were successfully formulated; the technique of formulation influenced the size, encapsulation efficiency and release profile. The MS were better sustained release system than the CH paste.
Assuntos
Apexificação , Materiais Biocompatíveis/química , Hidróxido de Cálcio/química , Ácido Láctico/química , Ácido Poliglicólico/química , Preparações de Ação Retardada , Microscopia Eletrônica de Varredura , Microesferas , Tamanho da Partícula , Copolímero de Ácido Poliláctico e Ácido PoliglicólicoRESUMO
We have conducted a longitudinal study to quantify biofilms in oral clinical isolates of Candida species (spp.) from adults with local and systemic predisposing factors for candidiasis. A total of 69 yeast isolates from 63 Mexican patients were evaluated. These isolates (39 C. albicans, 15 C. tropicalis, 7 C. glabrata, 4 C. krusei, 1 C. lusitaniae, 1 C. kefyr, 1 C. guilliermondii and 1 C. pulcherrima) were obtained from two clinical sites: 62.3% (n=43) from the oral mucosa of totally and partially edentulous patients, and 37.7% (n=26) from the oral mucosa of diabetics. In addition, Candida ATCC strains were used as controls for each experiment. The kinetics of biofilm formation were measured by 2,3-bis(2-methoxy-4-nitro-5-sulfophenyl)-5-[(phenylamino)carbonyl]-2H-tetrazolium hydroxide [XTT] reduction; each isolate was tested at 6, 12 and 24h. Biofilm formation is dependent on the Candida spp. and its clinical origin. On average, the oral isolates of C. glabrata are strong biofilm producers, whereas C. albicans and C. tropicalis are moderate producers. The most common species in our population was C. albicans. While the kinetics of C. albicans biofilm formation varies between oral isolates, it generally maintains steady growth from 2 to 48h, when it reaches its maximum growth.
Assuntos
Biofilmes/crescimento & desenvolvimento , Candida/crescimento & desenvolvimento , Candida/isolamento & purificação , Adulto , Candida/patogenicidade , Humanos , Cinética , Estudos Longitudinais , México , Microscopia Confocal , Fatores de Risco , Sais de TetrazólioRESUMO
La displasia ectodérmica hipohidrótica es un síndrome genético, caracterizado principalmente por hipohidrosis, hipotricosis e hipodoncia. Esta enfermedad es asociada con hipodoncia y atrofia de los procesos alveolares. El aspecto facial y la ausencia dental múltiple puede ser causa de problemas de socialización por parte de los niños afectados. El propósito de este reporte es describir las características y el manejo odontológico y protésico de un paciente masculino de 5 años de edad diagnosticado con el síndrome.
Hypodriotic ectotermal dysplasia is a genetic syndrome characterized mainly by hypodriosis, hypotrichosis and hypodontia. This disesase is associated with hypodontia and atrophy of the alveolar process. The facial aspect and the multiple missing teeth can cause problems of socialization of the affected children. The aim of this report is to describe features and dental and prosthetic management of a 5-year-old boy, diagnosed with the syndrome.
Assuntos
Humanos , Masculino , Pré-Escolar , Anodontia , Prótese Parcial Removível , Displasia Ectodérmica/reabilitação , Hipo-Hidrose , Reabilitação BucalRESUMO
El presente es el reporte de un caso de un niño de 5 años 4 meses de edad que exhibía un patrón de caries dental de la infancia temprana severa no tratada oportunamente, debido a ignorancia y posible negligencia por parte de los padres. Se describe el proceso diagnóstico y el tratamiento brindado al paciente y el manejo preventivo que se instituyó a corto, mediano y largo plazo.
This case report is of a 5 years 4 months old male patient who exhibited a pattern of severe dental early caries childhood not treated in a timely manner, due to parent ignorance and possible negligence. The diagnostic process, treatment provided to the patient, and instituted preventive management in the short, medium and long term, are described.
Assuntos
Humanos , Masculino , Pré-Escolar , Cárie Dentária , ImperíciaRESUMO
Los métodos mecánicos de la preparación del conducto radicular utilizando instrumentos de Ni-Ti se puede utilizar en dientes temporales. El objetivo del informe del caso es presentar los hallazgos radiológicos de un molar primario tratado con pulpectomía y el uso de instrumentación rotatoria para la preparación biomecánica en molar temporal de una niña de 4 años de edad.
Mechanical methods of root canal preparation using Ni-Ti files can be used in primary teeth. The aim of this case report is to present radiographic findings of a primary molar treated by pulpectomy therapy, using rotary instrumentation for biomechanical preparation in a 4-yearold girl.
Assuntos
Humanos , Feminino , Pré-Escolar , Dente Molar , Instrumentos Odontológicos , Preparo de Canal Radicular/instrumentação , PulpectomiaRESUMO
This is a case report of a 9-year-old boy with complicated crown fractures of two traumatized teeth: left maxillary central and lateral incisors. The central incisor presented a small pulpal exposure of approximately 1 mm and the lateral incisor had an ulcerated and exposed pulp. Endodontic management included direct pulp capping, partial pulpotomy, and restorative management including reattachment of the teeth fragments using a modified Simonsen's technique. The reattached fragments were assessed clinically and radiographically at 12 months. The teeth remained vital, there were no color changes, and the restorations had an acceptable appearance.
Assuntos
Colagem Dentária/métodos , Restauração Dentária Permanente/métodos , Endodontia/métodos , Incisivo/lesões , Coroa do Dente/lesões , Fraturas dos Dentes/terapia , Criança , Resinas Compostas/uso terapêutico , Polimento Dentário , Capeamento da Polpa Dentária/métodos , Exposição da Polpa Dentária/etiologia , Exposição da Polpa Dentária/terapia , Seguimentos , Humanos , Masculino , Maxila , Pulpotomia/métodos , Tratamento do Canal Radicular/métodos , Resultado do TratamentoRESUMO
PURPOSE: To evaluate the effectiveness of a therapeutic laser in the control of postoperative pain, swelling, and trismus associated with the surgical removal of impacted third molars. PATIENTS AND METHODS: A double-blind, randomized, controlled clinical trial was conducted in 2 groups of 15 patients each undergoing surgical removal of impacted lower third molars under local anesthesia. The experimental group received 4 J/cm(2) of energy density intraorally and extraorally, with a laser with a diode wavelength of 810 nm and output power of 100 mW in a continuous wave. The control group received only standard management. The degree of postoperative pain, swelling, and trismus was registered for both groups. RESULTS: The experimental group exhibited a lower intensity of postoperative pain, swelling, and trismus than the control group, without significant statistical differences. Patients of both groups required rescue medication; however, the time lapse between the end of the surgery and the administration of the medication was shorter for the control group. CONCLUSION: The use of therapeutic laser in the postoperative management of patients having surgical removal of impacted third molars, using the protocol of this study, decreases postoperative pain, swelling, and trismus, without statistically significant differences.