Introduction: The COVID19 pandemic brought a new panorama for the realization of dental treatment for the general population due to the risk of cross infection in the dental office -  aerosol formation and insertion of new personal protective equipment. Emergency and emergency dental criteria were defined to limit the flow of patients in the office in order to improve biosafety conditions among patients. Objective: to describe the dental procedures pertinent to outpatient special care or during hospitalization in the VOCID19 pandemic -  changes in care and implement biosecurity criteria. Basic procedures: The dental care of the special patient suffers changes -  mainly referring to the difficulty of access to the offices -  interruption of the conditioning process and difficulty to perform outpatient sedation and sedation with nitrous oxide. Dental care during hospitalization is essential in this patient due to prolonged time of tracheal oro intubation -  traumatic oral lesions -  preparation of specific oral care protocols -  removal of mouth infectious and installation of mouth protectors. Conclusion: Change of care -  inclusion of individual protection equipment and new knowledge about the COVID19 allows us to safely assist the patient with special needs both in the dental office and in hospital environment -  providing quality of life -  oral comfort and reducing oral infections during and after the pandemic. KEYWORDSDental care; Hospitals - Special; Needs assessment; Dental service - Hospital; Intensive care units; Pandemics.

A população LGBTQIA+ ainda hoje sofre com o preconceito e estigma, o que pode dificultar o acesso aos serviços de saúde, aumentando a presença de morbidades neste grupo. O objetivo deste estudo foi realizar uma revisão de literatura com dois enfoques: o acesso aos serviços de saúde e odontológicos por pacientes LGBTQIA+ e quais as medidas educacionais que estão sendo implementadas com alunos dos cursos de Odontologia para diminuir o estigma sobre essa população e universalizar o acesso ao tratamento odontológico. Foi realizada uma revisão de literatura de estudos publicados entre 1995 e 2020 nas bases de dados PubMed, SciELO e Google Scholar. Foram selecionados 19 artigos, relatando principalmente aspectos das experiências de acesso à saúde bucal por pacientes LGBTQIA+; a experiência dos alunos de graduação em Odontologia com essa população; a inserção de atividades focadas na desmistificação desta população em cursos de graduação e o suporte fornecido pelas instituições de ensino aos alunos que se identificam como LGBTQIA+. Apenas dois estudos foram conduzidos no Brasil. Existem evidências provenientes principalmente de estudos internacionais para afirmar que a população LGBTQIA+ possui menor acesso aos serviços de saúde e há uma falta de preparo formal dos alunos de graduação para o atendimento destas pessoas.

NTC01746355.

Periodontal disease (PD) is an infectious-inflammatory oral disease that is highly prevalent among adolescence and adulthood and can lead to chronic orofacial pain and be associated with anxiety, stress and depression. This study aimed to identify anxiety-like behaviors in the ligature-induced murine preclinical model of PD in different phases of the disease (i.e., acute vs. chronic). Also, we investigated orofacial mechanical allodynia thresholds and superficial cortical plasticity along the orofacial motor cortex in both disease phases. To this aim, 25 male Wistar rats were randomly allocated in acute (14 days) or chronic (28 days) ligature-induced-PD groups and further divided into active-PD or sham-PD. Anxiety-like behavior was evaluated using the elevated plus maze, mechanical allodynia assessed using the von Frey filaments test and superficial motor cortex mapping was performed with electrical transdural stimulation. We observed increased anxiety-like behavior in active-PD animals in the acute phase, characterized by decreased number of entries into the open arm extremities [t(1,7) = 2.42, p = 0.04], and reduced time spent in the open arms [t(1,7) = 3.56, p = 0.01] and in the open arm extremities [t(1,7) = 2.75, p = 0.03]. There was also a reduction in the mechanical allodynia threshold in all active-PD animals [Acute: t(1,7) = 8.81, p < 0.001; Chronic: t(1,6) = 60.0, p < 0.001], that was positively correlated with anxiety-like behaviors in the acute group. No differences were observed in motor cortex mapping. Thus, our findings show the presence of anxiety-like behaviors in the acute phase of PD making this a suitable model to study the impact of anxiety in treatment response and treatment efficacy.

Aim: In this paper, we report two cases of patients diagnosed with pica, an uncommon eating disorder, and the dentistry implications of this psychiatric disorder. Background: Pica is a psychiatric disorder characterized by persistent ingestion of nonnutritive and/or nonfood substances. Dental implications caused by this condition depend on the substance ingested and the patterns of chewing; however, it is rare in the literature descriptions of dental complications of pica disorder. Cases Report: (1) Patient, female, with pica and borderline personality disorder was referred to treatment at the dental service of a psychiatric institute. The patient presented tooth fractures and mucosal lesions. The treatment included dentin tooth sensitivity control, control of traumatic lesions in mucosa, and composite restorations. (2) Patient, female, with pica and bulimia nervosa, referred pain in the temporomandibular joint. The case discusses the value of anamnésis and a proper clinical examination. Conclusions: Through the case reports we concluded that the dentists should be aware of the oral manifestations of this disease. Clinical Significance: The performance of the dental team is of great value to the diagnosis of pica and fundamental during their treatment and rehabilitation.