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Objetivos: O presente estudo teve como objetivo relatar a analise de um prontuario de paciente submetido ao tratamento de uma queimadura por hipoclorito de sodio em mucosa oral devido a extravasamento de hipoclorito de sodio durante o tratamento endodontico. Materiais e Metodos: Atraves da analise de prontuarios de pacientes atendidos na disciplina de Estagio Supervisionado do Complexo Odontologico da FSG Centro Universitario entre os anos de 2017 e 2018, selecionou-se um prontuario de um paciente que sofreu queimadura acidental devido ao extravasamento de hipoclorito de sodio. Resultados: O extravasamento de hipoclorito resultou numa lesao por queimadura na lingual do elemento 45. Como medidas, o paciente foi orientado a usar medicacao sistemica, medicamento Ad-Muc ® associado a bochechos com clorexidina a 0,12% e sessoes de laserterapia de baixa intensidade. Conclusao: O presente relato destaca os problemas associados ao extravasamento acidental de solucao irrigadora a base de hipoclorito de sodio. O adequado diagnostico, juntamente com a conduta adotada, associando medicacao sistemica, topica e realizacao de laserterapia, neste caso, se mostrou efetiva. Descritores: Endodontia; Hipoclorito de Sodio; Acidentes. Referencias Noites R, Carvalho MF, Vaz IP. Complicacoes que podem surgir durante o uso do hipoclorito de sodio no tratamento endodontico. Rev Port Estomatol Cir Maxilofac. 2009; 50(1):53-56. Salum G, Barros Filho S, Rangel LFGO, Rosa RH, dos Santos SSF, Leao MVP. Hipersensibilidade ao hipoclorito de sodio em intervencoes endodonticas. Rev Odontol Univ Sao Paulo. 2012;24(3):200-8. Borin G, Becker AN, Oliveira EPM. A historia do hipoclorito de sodio e a sua importância como substância auxiliar no preparo quimico mecânico de canais radiculares. Rev Endod Pesq Ensino On Line. 2007;3(5):1-5. Witton R, Brennan PA. Severe tissue damage and neurologic defict following extravasation of sodium hypochlorite solution during routine endodontic treatment. Br Dent J. 2005; 198(12):749-50. Bramante CM, Duque JA, Cavenago BC, Vivan RR, Bramante AS, Andrade FB, Duarte MAH. Use of a 660-nm laser to aid in the healing of necrotic alveolar mucosa caused by extruded sodium hypochlorite: a case report. J Endod. 2015;41(11):1899-902. Tenore G, Palaia G, Ciolfi C, Mohsen M, Battisti A, Romeu U. Subcutaneous emphysema during root canal therapy: endodontic accident by sodium hypoclorite. Ann Stomatol (Roma). 2017; 8(3):117-122. Hulsmann M, Hahn W. Complications during root canal irrigation – literature review and case reports. Int Endod J. 2000;33(3):186-93. Silva JPM, Boijink D. Acidente com hipoclorito de sodio durante tratamento endodontico: Analise de prontuario. Rev Odontol Aracatuba. 2019;40(1):25-8. Ribeiro MS, Silva DFT, Zezell DM, Nunez SC. Laser de baixa intensidade. A Odontologia e o laser. Sao Paulo: Quintessense; 2004. Azzi VJB, Di Pietro SN. Aplicacao da laserterapia no tratamento de queimaduras: uma revisao sistematica. Rev Bras Terap e Saude. 2012;3(1):15-26. Graca BP. O Hipoclorito de sodio em Endodontia [dissertacao]. Porto: Faculdade de Ciencias da Saude/Universidade Fernando Pessoa; 2014. Gursoy UK, Bostanci V, Kosger HH. Palatal mucosa necrosis because of accidental sodium hypochlorite injection instead of anaesthetic solution. Int Endod J. 2006;39(2):157-61. Freitas RPA, Barcelos APM, Nobrega BM, Macedo AB, Oliveira AR, Ramos AMO et al. Laserterapia e microcorrente na cicatrizacao de queimadura em ratos: terapias associadas ou isoladas?. Fisioter Pesqui. 2013;20(1):24-30. Prockt AP, Takahashi A, Pagnoncelli RM. Uso de terapia com laser de baixa intensidade na cirurgia bucomaxilofacial. Rev Port Estomatol Cir Maxilofac. 2008;49(4):247-55. Noba C, Mello-Moura ACV, Gimenez T, Tedesco TK, Moura-Netto C. Laser for bone healing after oral surgery: systematic review. Lasers med Sci. 2018;33(3):667-74. Rocha Junior AM, Oliveira RG, Farias RE, Andrade LCF, Aarestrup FM. Modulacao da proliferacao fibroblastica e da resposta inflamatoria pela terapia a laser de baixa intensidade no processo de reparo tecidual. An Bras Dermatol. 2006;81(2):150-56. Soares RG, Dagnese C, Irala LED, Salles AA, Limongi O. Injecao acidental de hipoclorito de sodio na regiao periapical durante tratamento endodontico: relato de caso. RSBO. 2006; 4(1):17-21. Doherty MAH, Thomas MBM, Dummer PMH. Sodium hypochlorite accident – a complication of poor access cavity design. Dent Update. 2009;36(1):7-12.

Purpose We hypothesized that fragmentation of the cystic capsule during surgery would influence the recurrence rate of odontogenic keratocysts (OKCs) regardless of the treatment modality chosen. Materials and Methods We reviewed, in a retrospective study, cases diagnosed as OKCs on histopathologic examination at the oral pathology department between 1991 and 2013. Fragmentation data were obtained from the records of the oral surgical department. Results Fragmentation of the capsules of OKCs during surgery did not affect recurrence, irrespective of the chosen treatment modality. The addition of techniques such as cryotherapy lowered the risk of recurrence of OKCs (P = .013) compared with after enucleation alone. Furthermore, patients with associated nevoid basal cell carcinoma syndrome had a greater recurrence rate than that of those with no associated syndrome (P = .033). Conclusions Fragmentation of the cystic capsule does not play an important role in the rate of OKC recurrence. The rate of recurrence can be modified by using additional strategies such as cryotherapy.

Background The aim of this research was to assess the expression of aldehyde dehydrogenase 1 (ALDH1) and epithelial-mesenchymal transition (EMT) markers in head and neck squamous cell carcinoma (HNSCC), and to correlate them with the clinical and histopathological parameters of a patient cohort with follow-up over an 8-year period. Material and Methods For this, seventeen HNSCC and non-neoplastic adjacent epithelium (AE) samples were subjected to laser microdissection and real-time PCR to evaluate the mRNA expression of ALDH1, E-cadherin (E-CAD), N-cadherin (N-CAD), and vimentin (VIM). Also, immunohistochemistry was performed for ALDH1, E-CAD, N-CAD, and VIM in the tumor center (TC), invasion front (IF), and AE of the seventeen samples. Mann-Whitney, Kruskal-Wallis and Chi-square tests were used to correlate the mRNA and immunohistochemical expression with different variables, considering p

Stafne bone defect consists of an asymptomatic, anatomic condition of uncertain origin and rare evolvement, often discovered at random in routine radiographic examinations. It is usually consisted on mandibular salivary gland inclusion as a developmental anomaly represented by a bone concavity usually containing submandibular gland tissue. A 39-year-old woman presented a hypodense lesion in the condyle of the left side of the jaw, discovered randomly. Because of the fact that the lesion mimics a cyst of odontogenic origin, excisional biopsy and later histopathologic analysis were performed. The histologic slices revealed the presence of ectopic serous salivary glands located in the head of the left condyle, characterizing a Stafne defect. Faced with this diagnosis, the conduct was the patient´s periodic follow-up.

Made available in DSpace on 2018-11-26T17:55:48Z (GMT). No. of bitstreams: 0 Previous issue date: 2016-04-01 Aims To detect the presence of Epstein-Barr virus (EBV) DNA in different sources of materials from a matched group of patients with oral lichen planus (OLP) and a group of people without OLP lesions, and to correlate the presence of virus with epidemiological variables of the groups studied. Methods Fresh tissue samples, saliva, exfoliated cells and plasma of 24 patients with OLP lesions (cases) and 17 patients without OLP lesions (controls) were collected. EBV was detected by nested PCR. Results Viral positivity was obtained in 62.5% of tissue samples; in 70.8% of exfoliated cell samples; in 33.3% of blood plasma samples and in 75% of saliva samples in the cases; and in 35.3% of tissue samples; 82.4% of exfoliated cell samples; in 47.1% of blood plasma samples and in 64.7% of saliva samples in the controls. There was a predominance of women in both groups. Variables not atrophic-erosive were most affected by EBV. Conclusions No relationship between EBV and OLP was found. However, all sources tested in this study were considered suitable for the detection of viruses. Aracatuba Sch Dent, Oral Oncol Ctr, Aracatuba, SP, Brazil Aracatuba Sch Dent, Dept Pathol & Clin Propaedeut, Aracatuba, SP, Brazil Aracatuba Sch Vet Med, Anim Hlth & Prod, Aracatuba, SP, Brazil

Molluscum contagiosum is a viral infectious disease that mainly affects children and young adults. The lesions occur predominantly in the skin and genitalia; involvement of the oral soft tissues is uncommon. Oral lesions occur most frequently on the lips, tongue, and buccal mucosa. A 20-year-old woman presented with pink, smooth, sessile, and painless papules on the upper lip with an evolution time of 2 weeks. The conduct was excisional biopsy of the lesion and histopathologic examination. The histologic slices revealed a well-defined epithelial proliferation, with areas of central depression, filled with keratinocytes altered by the virus. The final diagnosis was molluscum contagiosum. The patient consulted her gynecologist, who found lesions on the genitals.

Combined nevi are composed of 2 or more distinct populations of nevus cells. In the oral cavity it is usually blue nevi combined with common intramucosal nevi. In the blue nevus component, the dendritic cells can reach very deep into the mucosa, even reaching the periosteum. An 8-year-old female patient underwent an examination in March 2018 with a dark brown lesion located on the right upper maxillary gingiva without pain. However, the mother reported an increase in size during the last months. An excisional biopsy was performed and the material sent for anatomopathologic examination. The histologic slice featured a combination of 2 distinct forms of nevus. At the top, near the epithelium is mostly intradermal nevus. At the bottom, there is a blue nevus composed of elongated, dendritic, and heavily pigmented melanocytes accompanied by melanophages. Morphologic findings were consistent with combined nevi (blue and intramucosal).