Objective This systematic review aims to assess the efficacy chlorhexidine chip as an adjunctive therapy of scaling and root planning on periodontal disease treatment. Material and methods This study follow the Preferred Reporting Items for Systematic Reviews and Meta-Analyses guidelines (PRISMA) and was registered in the PROSPERO database (CRD42019148221). The search was performed in PubMed/MEDLINE, Scopus, and Cochrane databases until April 2020. The PICO question was: “Is the chlorhexidine chip (CHX) effective as an adjunctive therapy of scaling and root planning on periodontal disease treatment?”. Inclusion criteria involved: randomized controlled clinical trials, with a minimum of 15 patients included on the sample and each patient has two sites of probing depth of ≥5 mm; The minimum follow up was at least 1 months of follow-up and the outcomes present in the studies probing depth (PD), plaque index (PI) and clinical attachment level (CAL) after scaling and root planning (SRP). Results After searching the databases, 13 articles were selected for qualitative and 8 for quantitative analysis. Were included 427 patients, with a mean age of 45.6 years. The results shown that the association of chlorhexidine chips to scaling and root planning reduce periodontal pocket depths ( P < 0.00001; MD −0.77 [CI −1.0 to −0.55]; I 2 = 23%, P = 0.24), gain on the clinical attachment level ( P < 0.0001; MD −0.57 [CI −0.86 to −0.27]; I 2 = 33%, P = 0.18P < 0.0001) and reduction on plaque index (P = 0.04; MD −0.23 [CI −0.45 to −0.01]; I 2 = 91%, P < 0.00001). Conclusions Thus, we can conclude that chlorhexidine chip when used associated to scaling and root planning promoted a significant improvement the reduction of periodontal diseases.

Intrabony radiopaque lesions are common manifestations of neoplasia, sequel of carious lesions, traumatic event, malignant tumors, metastasis, neoplastic and non-neoplastic entities or developmental alterations. Idiopathic Osteosclerosis (IO) is a rare bone lesion, normally asymptomatic and not associated with inflammatory, traumatic or infectious stimulus which is usually found in the molar mandibular area. Although IO is a well-recognized radiological entity that is generally symptom-free, it is important to distinguish it from other radiopacities. Finding this type of lesion in the mandibular condyle is odd and it could be easily misdiagnosed and confused with other imaging findings. The present case report aims to describe a rare imaging finding of idiopathic osteosclerosis in temporomandibular condyle which was accidentally found in the CBCT of a patient with painful TMD symptoms by emphasizing the importance of multidisciplinary involvement between the general practitioner, the radiologist and the pain specialist to diagnose and provide an indicated treatment, whenever necessary.

Influência do exercício físico agudo e da atividade prazerosa de Resposta Meridiana Sensorial Autônoma (ASMR, sigla em inglês) na modulação da dor experimental em pacientes assintomáticos e com dor miofascial crônica da musculatura mastigatória. BAURU 2022 TATIANA PROSINI DA FONTE Influência do exercício físico agudo e da atividade prazerosa de Resposta Meridiana Sensorial Autônoma (ASMR, sigla em inglês) na modulação da dor experimental em pacientes assintomáticos e com dor miofascial crônica da musculatura mastigatória.