In special care dentistry, general anesthesia (GA) is considered as an alternative option to facilitate treatment for uncooperative patients with special needs (PSN) who require invasive dental interventions. Objective: to evaluate the profile of dental treatment procedures performed and the characteristics of PSN who underwent dental treatment under GA, provided by private and public healthcare providers. Methods: A retrospective, observational study involving a sample of 100 PSN treated in hospital and specialist secondary care settings. Demographic data and clinical information were collected. The analysis of data was performed using descriptive analysis and frequency statistical tests. Results: out of 100 participants, 63% of the PSN who received care in the private sector and the remaining 37% of PSN registered with public-funded care providers, aged 6 to 80 years old, were treated under GA. Autistic spectrum disorder was the most common medical diagnosis recorded (33%). More than half (52%) of the PSN treated by private care providers sought specialist care in an outpatient setting prior to GA vs. 5% of the PSN treated by public-funded providers. The utilization of sedation prior to GA was more common in the private sector. A vast majority (86%) of all subjects underwent multiple dental extractions (86%) and restorations (62%). Conclusions: comprehensive dental care under GA, which composes an integral part of special care dentistry, can be safely provided in a hospital setting, in both private and public sectors. While early intervention using sedation and behavioral management partially mitigates the need for dental care under GA, the vast majority of PSN may require dental treatment under GA in future to facilitate complex dental care.

Oral angiolipomas are exceedingly rare and little is known about their morphological and etiological features. Here, we report two cases of oral angiolipoma and discuss their clinicopathological and immunohistochemical features, focusing on endothelial markers. Both lesions presented mature adipocytes interspersed by small blood vessels containing fibrin thrombi. Immunohistochemical analysis showed numerous mast cells and expression of CD34, vascular endothelial growth factor, intercellular adhesion molecule-1, interferon-γ and interleukin 6 in most endothelial and stromal cells. Mast cell-endothelial cell interaction may be responsible for the reactive or neoplastic origin of the vascular proliferation of these entities. (J Oral Sci 55, 85-88, 2013)

Objetivo: a finalidade desse trabalho é, através de uma revisão de literatura recente, apresentar características clínicas da doença pelo Coronavírus (COVID-19), as vias de transmissão conhecidas, abordar como o Cirurgião-Dentista (CD) pode identificar casos suspeitos e, principalmente, apresentar medidas preventivas para controlar e minimizar a infecção no serviço odontológico. Material e Métodos: foi realizada uma pesquisa de busca bibliográfica na base de dados MEDLINE (National Library of Medicine, USA - NLM), com as palavras-chave COVID-19 and dental practice, de 12 a 16 de março de 2020, e três artigos publicados no ano corrente foram disponibilizados. Foram critérios de inclusão artigos em suas versões completas e gratuitas, na língua inglesa. Resultados: a COVID-19 apresenta como principais sintomas clínicos febre, tosse, espirros e catarro, em casos considerados leves. As principais vias de transmissão são a direta e por contato. A fim de identificar casos suspeitos o CD deve medir a temperatura corporal do paciente e aplicar um breve questionário. O profissional deve realizar com frequência a lavagem das mãos antes e após o atendimento e usar equipamentos de proteção individual. São recomendados com bochechos com Peróxido de Hidrogênio 1% e Lodopovidona a 0,2% ao tratamento, Clorexidina 0,12% não é eficaz. Conclusão: em momentos de surtos de doenças, surgem novos desafios aos quais os profissionais devem responder com cuidado ainda maior com a biossegurança, ética, zelo e treinamento atualizado e periódico

Caregivers of persons with special needs (PSN) experience a variety of burdens and elevated levels of stress and anxiety throughout their lives, leading to a physical, psychological, emotional, social, and financial overload. This analytical study with a cross-sectional design and a quantitative approach aimed to appraise quality of life (QoL), reflecting the daily workload of informal family caregivers of PSN. Methods: Four structured, validated questionnaires were utilised: sociodemographic, WHOQOL-bref, Zarit Burden Interview, and Functional Independence Measure Scale in 60 anonymous volunteered respondents. Results: The informal caregivers were middle-aged mothers (81.7%), married (55%), stay-at-home spouses (60%) with high school degrees (51.6%), providing a care for their relatives with special needs for more than 20 years (41.8%). Most of the PSN were diagnosed with autistic spectrum disorder (ASD, 61.8%), had a wide spectrum of intellectual deficits, and required constant support for their basic needs. They were mainly adolescent males without physical limitations (83.4%) on disorder-specific medications (90%). The study revealed that those caregivers had a median perception of QoL considering four essential domains, with a highest score recorded for the physical domain (64.3 +/− 16.1 SD). A moderate burden level prevailed, revealing neither a correlation between the workload expressed by caregivers and the patient’s functional capacity, nor in the performance of daily self-care tasks (Spearman correlation test p > 0.05), apart from the environmental domain (mild correlation = 0.335, p < 0.05). Conclusions: The reported average level of overload associated with QoL of informal caregivers exists, affecting a vast proportion of the respondents. The absence of a direct association between workload and the functional capacity/daily self-care tasks can be related to the significant personal dedication of family caregivers, regardless of their socioeconomic status.