Effect of Frenotomy on Maternal Breastfeeding Symptoms and the Relationship Between Maternal Symptoms and Problematic Infant Feeding

The relationship between maternal symptoms and problematic infant feeding in the context of tongue-tie is unknown. In a sample of infants with tongue-tie undergoing frenotomy and their mothers, the aims of this study were to: (1) describe changes in maternal symptoms pre- and post-frenotomy, and (2) evaluate the relationships between maternal symptoms and symptoms of problematic feeding pre- and post-frenotomy. Mother-infant dyads were recruited from 1 pediatric dental office between July and November 2020. The sample included 102 mother-infant dyads; 84 completed the follow-up survey. Maternal symptoms of painful and difficult latch, creased/cracked nipples, bleeding, or abraded nipples, chewing of the nipple, and feelings of depression were significantly less common after tongue-tie revision. Poor latch onto the breast was associated with feeding difficulties at both time points. Frenotomy resulted in a decrease of symptoms in breastfeeding mothers. Maternal symptoms and feeding problems persisting post-frenotomy warrant further evaluation.

Dental implants: major considerations in the COVID-19 pandemic

Introduction: The COVID-19 pandemic is a global health crisis and the dissemination of COVID-19 has presented significant challenges for dentistry. The risk of nosocomial transmission meant that routine dental care was temporarily suspended in several countries. In this sense, several measures have been proposed by national and international guidelines to minimize the risk of infection. Thus, dental care during the pandemic is challenging due to the high risk of infection. Objective: The present study performed a concise systematic review of dental implants in the context of the COVID-19 pandemic, to highlight the main challenges and guideline-based safety strategies. Methods: This was followed by a systematic literature review model, according to the PRISMA rules. The research was carried out from July 2021 to October 2021 and developed based on Google Scholar, Scopus, PubMed, Scielo, and Cochrane Library. The quality of the studies was based on the GRADE instrument. The risk of bias was analyzed according to the Cochrane instrument. Results and Conclusion: After the selectivity of articles and literary findings, 127 studies were analyzed, with only 15 medium and high-quality studies selected, according to GRADE rules, and with risks of bias that do not compromise scientific development, based on the Cochrane instrument. To help protect patients from acquiring COVID-19 from a dental office nosocomial infection, many state or local governments have classified dental treatments as non-essential. Dentists were instructed to perform only procedures designated as emergencies. In this sense, dentistry is making great strides in improving oral health through the prevention of dental diseases, especially during the COVID-19 pandemic. The detected relationship between the stage of dental damage and the severity and prognosis of viral disease was considered significant.

Dentistry and psychology in the care and treatment of odontophobic patients: the concise systematic review

This study aimed to demonstrate the use of psychological methods in the routine care of a dental office. The research was carried out through a literature review in the PubMed, Scielo, Cochrane Library, Web of Science and Scopus, and Google Scholar databases, from 2002 to 2021. Throughout the work, the causes and symptoms of anxiety of these patients during the care process and the view of the dentist was also described in terms of crises of fear and often refusal of treatment by these patients. At the end of the study of the works described above, the great importance of the interdisciplinary work of Psychology and Dentistry as a method of optimizing the care of odontophobic patients was concluded.

Intervention Proposal for Infant Prognathism: A Case Report in a Non-Syndromic Pediatric Patient

Treating Class III malocclusions has been presently considered one of the most challenging and complex interventions of orthodontic daily practice. In this study, we report a case of a 17-month-old female patient, initially diagnosed with Angle Class III malocclusion, mandibular protrusion, and without genetic syndromes. Upon initial admission at the dental office, patient’s parents reported an inadequate bite pattern while the patient tried to eat solid food. Upon dental examination, a negative overjet of 8 millimeters was noticed and a two-phased treatment plan was established: 1. Performance of functional exercises; 2. Implementation of protractor device associated with masticatory guidance exercises. Radiographic examination and cephalometric analyses were performed throughout the case follow-up. Overall, the digital compression protocol carried out reverted the primary mandibular protrusion of -8 millimeters to +1 millimeters overbite, during the 6 months of treatment. In addition, the use of premaxillary protractor appliance increased the overbite to + 2 millimeters. The patient responded satisfactory to the treatment plan performed, and after 2 years, a proper primary occlusion, oral functionality, and facial aesthetics were improved.

Allergic Reaction of the Body to Drugs Used in Dental Practice

The article examines allergic reactions of the body to drugs used in dental practice. The authors note that adverse or allergic reactions of medicines to the human body are possible with any medications that are prescribed or administered in a dental office. Although most of the pharmacological agents used today have a favorable profile and they are relatively safe, a modern specialist should be aware of potential adverse reactions that may occur and one should be ready to cope with any complications. Adverse or allergic reactions are possible when working with drugs such as local anesthetics, sedatives, analgesics and antibiotics, for this reason, it is necessary to study the possible reactions of the patient's body to them when administering such drugs to reduce the negative impact on the body. In general, the pharmacological arsenal of a practicing dentist is relatively safe today. However, a prudent clinician should be aware of potential adverse reactions that may occur as a result of taking medications, and be confident in the treatment of such complications.

A METHODOLOGICAL FRAMEWORK FOR RESEARCH OF ERGONOMIC RISK FACTORS IN DENTISTRY

This paper proposes a methodological framework for the research of ergonomic risk factors in dentistry, since this is a profession with very specific and complex ergonomic challenges. When analyzing ergonomic risk factors in dental practice, three separate entities should be taken into account: the dentist, as the central figure in the office; the dental office equipment, which includes all the instruments and devices, dental chair and dentist stool; and the dental office, including the workplace layout and the working conditions. Bearing in mind that it is impossible to eliminate the risk, systematic analysis of ergonomic risk factors enabled us to propose solutions for its reduction. Risk reduction improves dentists’ work ability and working conditions in the dental office and contributes to a more humane, i.e., more functional design of dental equipment.

Restorative Management and Treatment of Pseudo-Class III Malocclusion

Introduction. One of the challenges that clinicians encounter in the dental office is treating occlusal discrepancies. Malocclusion has been classified into three main classes that were further classified by researchers into more detailed subclasses later on. Pseudo-class III malocclusion has been called apparent or positional class III malocclusion, and its treatment usually consists of different modalities depending on how early the case is treated. When early orthodontic intervention was not possible, the restorative treatment becomes an excellent alternative especially when the teeth require restorative rehabilitation. Treatment. In this case report, the patient was suffering from dental wear, multiple failed old restorations, and edge-to-edge occlusal relationship which could be classified as pseudo-class III malocclusion. The patient’s esthetic complaint was addressed with full-coverage lithium disilicate and monolithic zirconia restorations that were successful in reestablishing the patient’s occlusal relationship and were able to eliminate the biological manifestations of dental caries. Conclusion. We were able to provide an alternative to orthodontic treatment where esthetic and functional needs of the patient were met after careful diagnosis and proper management. This clinical approach will give chance to treat patients suffering from minor occlusal discrepancies that require restorative intervention without the need to go through orthodontic therapy.

Conduta Clínica Frente a Comunicação Oro-Antral: Uma Revisão de Literatura / Clinical Conduct Facing Oroantral Communication: A Literature Review

Resumo: Inúmeras complicações podem ocorrer durante procedimentos cirúrgicos odontológicos, sendo a comunicação oro-antral uma das mais abordadas na literatura. Esta condição é resultante, principalmente, em exodontias de elementos dentários superiores posteriores, visto sua proximidade com o seio maxilar. O seu diagnóstico é feito basicamente por meio da manobra de Valsalva e análise do fragmento, contudo exames complementares podem evidenciar essa condição. A literatura considera, também, que a conduta de tratamento pode ser bastante diversificada. Objetivo: Apresentar por meio de uma revisão narrativa da literatura, as possibilidades técnicas de condutas clínicas para casos de comunicação oro-antral. Metodologia: A pesquisa bibliográfica foi online, com inclusão de artigos em português, inglês e espanhol, publicados nos últimos 10 anos, exceto àqueles fundamentais a respeito do tema, com tempo maior de publicação. Foram excluídos, também, cartas ao editor e editoriais. Foi, então, confeccionada uma análise descritiva dos artigos e os dados foram organizados de forma a subsidiar os profissionais da odontologia a intervir de forma segura diante desta complicação. Considerações finais: A comunicação oro-antral é uma realidade que pode ocorrer no consultório odontológico. Suas consequências são bastante variadas, cabendo ao Cirurgião-Dentista, além de evitar e diagnosticar, saber intervir quando necessário de forma eficaz. Haja vista que suas complicações podem limitar a qualidade de vida do paciente. Palavras-chave: Seio maxilar; Cirurgia bucal; Procedimentos Cirúrgicos Bucais. Abstract: Numerous complications can occur during dental surgical procedures, and oroantral communication is one of the most discussed in literature. That condition results mainly from extractions of posterior superior dental elements, given its proximity to the maxillary sinus. Its diagnosis is basically made through the Valsalva maneuver and analysis of fragment, however complementary exams can demonstrate that condition. The literature also considers the treatment approach can be quite diversified. Objective: Topresent, through a narrative review of literature, technical possibilities of clinical approaches for cases of oroantral communication. Methodology: The bibliographic research was online, including articles in Portuguese, English and Spanish, published in the last 10 years, except for those fundamental on the topic, with longer publication time. Letters to editor and editorials were also excluded. A descriptive analysis of articles was then carried out and the data were organized in order to support dentistry professionals to intervene safely in face of that complication. Final Considerations: Oroantral communication is a reality that can occur in the dental office. Its consequences are quite varied, and it is up to the dental surgeon, in addition to avoiding and diagnosing, to know how to intervene effectively when necessary, given that its complications may limit the patient's quality of life. Keywords: Maxillary sinus; Oral surgery; Oral Surgical Procedures.