Objectives Osteoradionecrosis (ORN) is one of the most severe complications resulting from radiotherapy (RT) in patients with head and neck cancer (HNC). It is characterized by persistent exposed and devitalized bone without proper healing for greater than 6 months after a high dose of radiation in the area. To describe the profile and dental management of ORN in HNC patients undergoing RT in an oncological clinical research center. Materials and Methods A retrospective descriptive study was performed to analyze dental records from HNC patients with ORN treated at an oncological clinical research center from 2013 to 2017. A total of 158 dental records for HNC patients were selected from a total of 583 records. Afterwards, this number was distributed to three examiners for manual assessments. Each examiner was responsible for selecting dental records that contained an ORN description, resulting in 20 dental records. Results Mean patient age was 60.3 years with males being the most affected sex (80.0%). The most affected area was the posterior region of the mandible (60.0%) followed by the anterior region of the mandible (20.0%) and the posterior region of the maxilla (10.0%). The factors most associated with ORN were dental conditions (70.0%) followed by isolated systemic factors (10.0%) and tumor resection (5.0%). There was total exposed bone closure in 50.0% of cases. The predominant treatment was curettage associated with chlorhexidine 0.12% irrigation (36.0%). Conclusion Poor dental conditions were related to ORN occurrence. ORN management through less invasive therapies was effective for the closure of exposed bone areas and avoidance of infection.

Pessoas com necessidades especiais (PNE) representam 10% da população mundial e suas particularidades, somadas à falta de conhecimentos teóricos e experiência clínica, fazem com que os cirurgiões-dentistas se sintam inaptos para atendê-los. Sendo assim, o objetivo desse estudo foi identificar a importância percebida pelos estudantes de Odontologia sobre a disciplina Odontologia para Pacientes com Necessidades Especiais (OPNE). Trata-se de um estudo exploratório, descritivo e qualitativo, que realizou a coleta de dados por meio de questionários aplicados a 29 estudantes ao final da disciplina optativa de OPNE da Faculdade de Odontologia de Bauru (FOB). Os estudantes reconhecem que a ausência de contato com PNE durante o curso acarretará insegurança profissional para realizar o atendimento odontológico desses pacientes, dificultando assim o acesso a saúde bucal desta população.  A disciplina de OPNE, neste estudo, possibilitou ao estudante de aprender, conviver e realizar atendimento odontológico adequado e humanizado ao PNE.

Objective: this study aims to show the practice of hospital dentistry in Brazil by reviewing scientific papers on this subject published in our country. Material and Methods: an integrative review of the literature, including Brazilian scientific papers addressing hospital dentistry in Brazil was carried out. Case reports, literature reviews and original research studies not performed with patients were excluded. Google scholar, Pubmed, Lilacs, Scopus and Scielo are the online databases used. Results: the following outcomes were obtained from the 28 studies retrieved in the search: 6 (21.4%) were performed with a control group; 17 (60.7%) were related to patients' oral health profile, 5 (17.9%) were questionnaire-based studies, 13 (46.4%) were performed with patients admitted to intensive care units (ICUs) 16 (57.1%) were performed in adults patients, in 21 (75%) studies the inpatients received some kind of oral examination with or without local intervention, and 4 (14.3%) studies involved collection of material for laboratory analysis. Conclusion: most part of the studies addressed patients admitted to ICUs. The participants of the studies, i.e., patients, companions or the health team, considered it necessary and relevant that dentists are present in a hospital environment and provide oral health care instructions to the inpatients and the nursing team. It is necessary to increase the number of studies in the area of hospital dentistry in Brazil.

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