No abstract

Objective: To identify the oral manifestations and salivary pH before and after chemotherapy in pediatric patients. Material and Methods: The sample consisted of 46 children. It was included children from 2 to 12 years, diagnosed with Acute Lymphoblastic Leukemia (ALL) and they would be subjected to chemotherapy. The first evaluation was performed before chemotherapy and consisted of anamnesis, oral clinical examination and saliva collection to measure the pH. The second evaluation was performed among 10 to 15 days after the start of chemotherapy treatment and consisted of new saliva collection and clinical examination. Results: The results showed that the gender most affected by childhood cancer was male. The predominant age group were children aged 8-12 years. The most frequent oral manifestations were mucositis (35%), xerostomia (26%), toothache and dysphagia (22%). There was also a significant reduction in salivary pH after chemotherapy, p <0.0001, indicating that the average pre and post chemotherapy are different (Δ = 10.6) with statistical significance at the 5% level. Conclusion: Patients with ALL can present any lesion in the oral cavity during or after the start of chemotherapy and undergo changes in the amount of salivary pH. The dentist needs and know the oral manifestations and intervene in the oral health of patients with ALL, contributing and assisting in their treatment.

The Helica Thermal Coagulator is a safe device for the laparoscopic treatment of endometriosis.

A paralisia Cerebral (PC) pode ser considerada um grupo de desordens do desenvolvimento do movimento e da postura, e é atribuída a distúrbios não progressivos que ocorreram no cérebro durante o período fetal e no bebê, resultando em dificuldades nas habilidades funcionais. Estes déficits funcionais, via de regra, provocam repercussões na qualidade da saúde bucal e na qualidade de vida destes pacientes. O presente artigo realiza uma revisão de literatura sobre os aspectos sistêmicos e odontológicos de indivíduos portadores de paralisia cerebral, enfatizando aspectos conceituais, epidemiológicos e clínicos, com a finalidade de transmitir conhecimento aos profissionais da saúde e com isso tentar melhorar atenção à saúde geral nesse grupo populacional. Entretanto concluiu-se que não basta transmitir conhecimento faz-se necessário também a implementação de políticas públicas que contemplem a promoção, prevenção e melhoria dos serviços especializados para esses pacientes, conjuntamente com ações interprofissionais da saúde que contribuam para a integralidade da assistência e aprimoramento dos serviços.

AIM: This research aims to investigate the development of this habit’s appearance, which may be observed even at the intrauterine stage and which also persists for a long time. MATERIAL AND METHODS: 25 gestations that presented children practicing intrauterine digital sucking habits were followed-up. The initial analysis was accomplished through routine ultrasound examination, using pregnant women between the 4th and 8th gestation months who visited João de Barros Barreto University Hospital. Detecting this habit, every quarter an afterbirth accessory was carried out,over a 1 year period, in order to observe the habit’s persistence. This phase was developed in the Dental Office of the Brasil Sorridente Program. Statistical analysis were carried out regarding the obtained outcomes using the described statistics and inferential methods, and the Chi-square test with 5% significance level was applied. RESULTS: This research observed that 72% of babies were male gender and 28% female gender, 68% of babies persisted with the digital sucking habit 1 month afterbirth, 72% until the second month, 56% until the fifth month and 48% until one year old. Assessing the habit’s post natal persistence according to gender, the binominal test was applied which was significant (p=0.0186). It was concluded that the number of male babies with digital sucking habit was above the female gender (p=0.0455), the habit’s persistence was reduced by 50% when compared with the first month, however, the p=0.2474 indicates that the reduction was not significant. CONCLUSION: Our outcomes cannot be generalized; however they can be used as a base for future research in this area.