IntroduçãoA Odontologia moderna busca corresponder às expectativas e às demandas estéticas atuais, garantindo, entretanto, a manutenção da saúde e da função. Alguns indivíduos têm um sorriso esteticamente comprometido pela excessiva exposição gengival, caracterizando o quadro de sorriso gengival [1][2][3][4][5][6] . Outros elementos essenciais da harmonia e simetria de um sorriso estético, como o zênite e o contorno gengival, podem estar também comprometidos. Um desequilíbrio nesse conjunto pode levar às alterações parciais ou no todo, interferindo na estética do sorriso [7][8][9][10][11][12][13][14][15][16] . Este trabalho apresenta um relato de caso clí-nico ilustrativo da correção do sorriso gengival por meio da cirurgia plástica periodontal. Relato de casoPaciente do gênero masculino, 23 anos, procurou o serviço de Periodontia da Universidade Federal de Juiz de Fora em razão do descontentamento com seu sorriso, no qual ele percebia "uma grande quantidade de gengiva aparente e os dentes muito pequenos proporcionalmente". Fez-se o teste do sorriso máximo, solicitando-se que o paciente repetisse por várias vezes a vogal "i" (em português, em inglês "e") para percepção do sorriso máximo 17,18 (Figura 1).
Healthcare services must be guided by biosafety practices and microbial control. This control is highly influenced by humidity, which directly impacts the maintenance of sterility of the materials used in the appointments. High concentration of moisture, in the form of aerosol, splashes and spills, is caused during dental care. During the COVID-19 times the contamination by aerosol and droplets worries greatly. Considering that it could cause harm to the sterility of an autoclaved material, especially in dental environments, the objective was to evaluate the behavior of SMS sterilization packages (Spunbonded / Meltblown / Spunbonded) against microbial penetration in an aqueous vehicle. SMS of three brands were challenged, equally divided into two groups: virgin and processed (subjected to a single autoclaving cycle). Each specimen was aseptically deposited on Macconkey agar. Subsequently, 5 µL of Escherichia coli ATCC 25922 saline solution [108 CFU mL-1] was deposited in center of the SMS specimen and the dish incubated at 36°C / 48h. Reading was performed by the presence or absence of bacterial growth typical of the species under the SMS, observed on the back of Petri dish. The lowest penetration rate observed was 60% for one of the brands in the virgin condition, and 75% for two brands in the processed condition. Statistical analysis showed an association between bacterial penetration and the evaluated group, this association being valid only in the virgin condition. The different SMS behave similarly in terms of resistance to bacterial penetration after being processed. The data show that moisture can assist in bacterial transport through sterilized SMS. Therefore, SMS packages are not able to prevent bacterial penetration, and possibly other microorganisms, when in aqueous vehicles, offering a potential risk of breaking the aseptic chain. Thus, care must be taken in routines for handling and storage sterile packaging.
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