ResumoIntrodução: A remoção dos terceiros molares pode causar transtornos e prejuízos à qualidade de vida. Objetivo: Avaliar a qualidade de vida de pacientes submetidos à exodontia de terceiros molares, discutindo os eventos mais comumente observados. Descritores: Cirurgia bucal; terceiro molar; qualidade de vida. AbstractIntroduction: The removal of third molars can cause disorders and damage in quality of life. Objective: This study aimed to evaluate the quality of life in patients underwent surgery, discussing the most commonly events observed. Material and method: Sixty patients of a private surgery clinic from João Pessoa/PB were underwent extraction of third molars by the same surgeon and and under the same conditions. Data were collected in two steps: the first one was accomplished at the day of the procedure, which were noted down both patient and surgery informations. The second step were realized seven days after the procedure, the patients answered a form about life quality at the postoperative period. Result: 71,4% patients underwent to osteotomy and odontosection maintained their normal activities and 28,6% did not. While in patients not submitted to the techniques, 40,9% maintained their normal activities and 59,1% did not. According to Pell & Gregory classification, 71,4% of patients Class 3 maintained normally their social activities, while 60% of patients Position C didn´t. Patients who remained socially isolated and were underwent to techniques, 71,4% reported as the main reason the pain, and 100% of patients Class 3 and 80% of patients Position C have chosen the same answer. Conclusion: The results suggest that the techniques used in the transoperative does not influence the quality of life during the postoperative and the position has more influence than the class, in respect to the development of normal social activities.

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Background: Arnold Chiari malformation (ACM) is characterized by an anatomical defect at the base of the skull where the cerebellum and the spinal cord herniate through the foramen magnum into the cervical spinal canal. Among the subtypes of the condition, ACM type I (ACM-I) is particularly outstanding because of the severity of symptoms. This study aimed to analyze the orofacial clinical manifestations of patients with ACM-I, and discuss their demographic distribution and clinical features in light of the literature. Material and Methods: A case series with patients with ACM-I treated between 2012 and 2015 was described. The sample consisted of patients who were referred by the Department of Neurosurgery to the Oral and Maxillofacial Surgery Service of Hospital da Restauração in Brazil for the assessment of facial symptomatology. A questionnaire was applied to evaluate the presence of painful orofacial findings. Data are reported using descriptive statistical methods. Results: Mean patient age was 39.3 years and the sample consisted mostly of male patients. A high prevalence of headache (50%) and pain in the neck (66.7%) and masticatory muscles (50%) was found. Only one patient reported difficulty in performing mandibular movements and two reported jaw clicking sounds. Mean mouth opening was 40.83 mm. Conclusions: ACM-I patients may exhibit orofacial symptoms which may mimic temporomandibular joint disorders. This study brings interesting information that could help clinicians and oral and maxillofacial surgeons to understand this uncommon condition and also help with the diagnosis of patients with similar physical characteristics by referring them to a neurosurgeon.

Na odontologia algumas das principais complicações estão ligadas às injúrias nervosas sendo na maioria dos casos ligadas ao nervo alveolar inferior e oriundas de traumas, procedimentos cirúrgicos ou manipulações endodônticas. As avaliações da percepção sensorial das áreas inervadas pelo nervo alveolar inferior só podem ser realizadas através de testes subjetivos, relativamente objetivos e puramente objetivos como exemplo os questionários, o toque leve estático e o teste elétrico pulpar, respectivamente. Nos últimos anos tem-se desenvolvido técnicas e métodos de Teste Quantitativo da Sensibilidade (TSQ) para o melhor entendimento acerca da sensibilidade e dor orofacial. Testes alternativos que apresentam escalas de acompanhamento já são utilizados pela medicina para mensurar a evolução de pacientes com distúrbios neurossensoriais: O teste de Monofilamentos de Semmes-Weinstein e Discriminação de dois pontos estáticos. Então, levando-se em consideração a necessidade do aprimoramento do diagnóstico de possíveis alterações sensoriais na face, essa pesquisa tem o objetivo de avaliar os níveis se sensibilidade facial ao toque de dois pontos estáticos de pacientes submetidos á anestesia do nervo alveolar inferior.

O cisto odontogenico calcificante (COC) trata-se de uma lesão rara representando apenas 0,3% das biópsias da cavidade oral e 2% de todos os cistos e tumores odontogênicos. Com rara recidiva, o tratamento proposto é a enucleação com curetagem e acompanhamento do caso, porém a abordagem cirúrgica pode acarretar em severas sequelas estéticas e funcionais ao paciente. Esse trabalho tem como objetivo apresentar o relato de caso de um COC de grandes proporções na região anterior de mandíbula de um paciente de 67 anos de idade, que foi removido cirurgicamente por acesso um acesso intraoral. Conclui-se que, apesar de ser um tumor relativamente raro e poder atingir grandes dimensões, seu tratamento cirúrgico quando bem planejado e executado, pode não apenas evitar sequelas graves, mas restabelecer a harmonia facial.