Objective: an integrative review of the treatment of oral candidiasis, root caries and xerostomia among the elderly population, focusing on Primary Health Care, was carried out. Method: scientific articles were collected from the MEDLINE/PUBMED database using the keywords "Geriatric dentistry" and "Oral health", crossed with corresponding descriptors, together with specific terms for the pathologies studied, and with "the clinical trial" filter activated. The abstracts of the articles were read by three researchers. Result: oral candidiasis: six randomized clinical trials and one quasi-experimental design study, on the treatment of prosthetic stomatitis by medication and/or the disinfection of dentures by different techniques, were identified; root caries: three randomized clinical trials were included, which tested the use of mouthwash with chlorhexidine solution and oral hygiene instruction associated or otherwise with other drugs; and xerostomia: two articles were analyzed using various medications, and the functional massage of the salivary glands and associated muscles. Conclusion: The results demonstrate a variety of treatment options for the studied clinical situations, although these should be adapted to the characteristics of the services and the population, as standard treatment in Primary Health Care has not been established. Strategies based on soft technologies, such as health education, seem to provide good results. The present study provides additional knowledge for health professionals in search of more resolutive and qualified dental care for the elderly in primary health care.
Plasmablastic lymphoma (PBL) represents a rare type of non-Hodgkin lymphoma associated with human immunodeficiency virus (HIV) infection. The impact of highly active antiretroviral therapy (HAART) in this tumor is poorly known due to its small incidence. This study reports a case of a 33-year-old HIV-positive woman who was referred to the Stomatology Department complaining about a painful gingival growth and cervical nodule both with 20 days of evolution. The lesions appeared 7 months after the patient stopped HAART. The final diagnosis was PBL. After resuming HAART for 45 days, the gingival lesion presented complete remission. The patient continued with HAART alongside chemotherapy. At 24 months follow-up, the patient was stable. The dental surgeon plays an essential role in orientation and retention in care of HIV patients once the adherence of HAART seems to play an important role in PBL development and response to treatment.
Este ensaio propõe-se a discorrer sobre o papel do Agente Comunitário de Saúde (ACS) à luz do novo texto da Política Nacional de Atenção Básica (PNAB). Partindo da atuação específica desse profissional, o artigo busca contribuir com reflexões acerca do modelo de atenção à saúde que poderá se consolidar a partir dessas transformações. O ACS é essencial na implementação do Sistema Único de Saúde (SUS) por fortalecer a integração entre os serviços de Atenção Básica à Saúde e a comunidade. É personagem protagonista na efetivação de uma prática que considere o conceito ampliado de saúde. Seu trabalho tem como principal objetivo contribuir para a qualidade de vida das pessoas e da comunidade, atuando desde a identificação dos fatores que interferem na saúde, promoção da saúde e prevenção de doenças, exercendo inclusive a função de estimular e organizar as reivindicações da comunidade. As mudanças no texto da PNAB devem ser acompanhadas com atenção, uma vez que o ACS enquanto profissional da equipe da Estratégia Saúde da Família, é um agente promotor de saúde que dialoga com as pessoas em seus territórios e que atua nas desigualdades em saúde.
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