Objective: to analyze the oral health profile of inpatients victims of oral and maxillofacial trauma at the Institute Dr. José Frota Hospital, Ceará, Brazil. Methodology: a study carried out in 2020 started with an examination of the oral cavity at the bedside, application of the DMFT and The Bedside Oral Exam indexes, together with the survey of dental needs and application of the Oral Health Impact Profile Scale (OHIP-14), relating the findings, applying average, standard deviation and calculating Cronbach's alpha coefficient and Spearman's correlation for the OHIP-14 finding. Results: We evaluated 78 patients, mostly male (88%), with a mean age of 32.72 ± 11.63 years old, with hypertension being the most prevalent comorbidity. Besides, 60% of the sample had a fracture in the lower third of the face. The average number of decayed teeth per patient was 5.69. About 62.82% had poor oral health, seen from generalized biofilm and swollen gums. Low-Level Laser therapy was indicated for 94.8% of the sample, periodontal treatment in 58.9%, restorative therapy in 69.2%, and surgical in 42.3%. Regarding the OHIP-14 questionnaire, facial trauma negatively impacted the participants' quality of life, especially in dimensions related to pain. Conclusion: there was a significant prevalence of oral diseases, such as gingivitis and dental caries, which justifies the need for dental intervention before the maxillofacial surgical approach.

The spread of odontogenic infections associated with comorbidities, such as diabetes mellitus, can result in a potentially lethal complication, with rapid necrosis of the superficial fascia, necrotizing fasciitis. In this case report, a female patient, 52 years old, fasting blood glucose of 303 mg/dL with necrotizing fasciitis associated with type 2 diabetes mellitus in the left cervical-thoracic region. She was treated with antibiotics, cervicotomy, abscess drainage, and underwent 10 photobiomodulation sessions with 2 weekly applications of the red wavelength laser to correct tissue loss in the left cervical region. With the development of tissue healing, the formation of granulation tissue increased, absence of necrotic areas, contraction of the edges, and total wound repair. This case emphasizes the effectiveness of photobiomodulation to optimize healing and modulate the inflammatory pattern in the treatment of necrotizing fasciitis sequelae.

This study aims to assess oral health before and after dental care to adult patients restricted to bed with trauma sequelae, admitted to the Instituto Doutor José Frota (IJF) hospital, located in the city of Fortaleza, in the state of Ceará. This is a longitudinal study with adult patients with motor and cognitive disabilities, diagnosis of traumatic brain injury, spinal cord trauma, and exogenous intoxication. We evaluated 39 patients, using the World Health Organization (WHO) dental caries index and Bedside oral exam (BOE) before and after dental care. After two dental consultations, there was a reduction of 46% of decayed teeth, poor oral health decreased by 11% and 29.6% of the BOE index, and good oral health increased by 57%. Although dental care in bed is challenging, it has proved effective, improving the health of the oral mucosa, perioral and dental surfaces and, consequently, reducing the likelihood of changes in oral health.