Odontologia

URI permanente para esta coleçãohttps://repositorioacademico.universidadebrasil.edu.br/handle/123456789/24

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Data inicial: 2016Assunto: search.filters.subject.Saúde

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Agora exibindo 1 - 3 de 3
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    Apicectomia e curetagem apical: relato de caso.
    (Universidade Brasil, 2024) Santos, Amanda Ferreira Paulo dos; Ana Claudia Rodrigues da Silva
    Endodontic treatment failure can be identified through clinical and radiographic evaluations, with symptoms such as spontaneous pain, sensitivity to palpation, vertical percussion pain, swelling, and the presence of periapical lesions. When these signs are detected, endodontic retreatment is usually the first approach; however, if this option is not feasible, periapical surgery may be recommended. The literature describes several techniques for these cases, including periapical curettage, apicoectomy, surgery with retrograde obturation, and retro-instrumentation with retro-obturation. The aim of this study is to report the case of a 41-year-old female patient who sought dental care due to the emergence of an intraoral fistula. After clinical and radiographic examinations, she was diagnosed with chronic periapical abscess in tooth 12. In the first consultation, a coronal access was performed, and root canal instrumentation was carried out up to the apical third, followed by intracanal medication with Ultracal for 15 days. In the second consultation, the persistence of the fistula led to the re-opening of the canal, re-instrumentation, and substitution of the medication, which remained for 30 days. In the third consultation, the regression of the fistula was noted, and the canal was obturated with Sealapex cement. However, after 30 days, the patient returned with the reappearance of the fistula. Given this scenario, periapical surgery was indicated and scheduled, including apicoectomy of the apical third and curettage of the endodontic lesion. Following the procedure, the patient did not report pain upon apical palpation, sensitivity to vertical percussion, spontaneous pain, or recurrence of the fistula during the 7-month postoperative follow-up. conclusion: When conventional endodontic treatment methods are not applicable or complications occur during the procedure, periapical surgery proves to be an effective alternative to preserve the tooth, restoring health, aesthetics, and function to the patient.
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    Interação entre cefaleia e disfunção temporomandibular
    (Universidade Brasil, 2024) Migliorança, Mariana Scandelai; Arruda, Farid Jamil Silva de
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    Determinantes da adesão retenção e estabilidade em próteses totais convencionais
    (Universidade Brasil, 2024) Costa, César Cezario da; Arruda, Farid Jamil Silva de
    Conventional complete dentures are a widely adopted solution for the rehabilitation of edentulous patients, with the aim of restoring both oral functionality and aesthetics. However, the success of these prostheses is directly linked to their retention and stability, which are essential for the comfort and effectiveness of the treatment. Objectives: The present study aims to analyze and summarize the factors that influence adhesion, retention, and stability in conventional complete dentures, providing evidence-based guidelines that can assist dental professionals in improving clinical practices and, consequently, the quality of life of patients. Material and Methods: An integrative literature review was carried out, focusing on articles published in the last 20 years in databases such as PubMed and Scielo. The search included specific terms related to retention and stability in complete dentures, prioritizing systematic reviews, controlled clinical trials, and cohort studies. The studies were selected and analyzed based on their methodological quality, relevance of the results, and contribution to current knowledge on the subject. Results and Discussion: The analysis of the studies revealed that the retention and stability of complete dentures are influenced by a series of interrelated factors. Among the anatomical factors, the morphological characteristics of the oral cavity, such as the height and shape of the alveolar ridge, stand out, which directly influence the adhesion of the denture. Physiological factors, such as the quality and quantity of saliva and muscle tone, also play a crucial role in retention. Regarding materials, the choice of prosthesis components, including acrylic resin and other materials used, can significantly affect its performance. Conclusion: This study concludes that the retention and stability of conventional complete dentures are the result of a complex interaction between anatomical, physiological and material factors. A personalized approach, which considers the specificities of each patient, is essential to optimize rehabilitation results. The practical application of the evidence discussed can lead to significant improvements in treatments, increasing patient satisfaction and the effectiveness of the dentures.