Maria Celina Barreiros Siquara da Rocha

Integração da pediatria médica e odontológica: uma visão ampliada de promoção de saúde

Nowadays, early care in Pediatric Dentistry is a world tendency. In Brazil however, when we compare the patient access to Pediatric Dentists to the access to Pediatricians, an unbalanced situation is still found, both in public and private health systems. It is noticed that parents usually take their children to the pediatricians in their first year of life, what does not happen in relation to pediatric dentists. As a result, there are generally the occurrence of retarded treatments and delayed actions with curative procedures. The present study evaluates the integration between the pediatric dentists and the pediatricians in Salvador city, through semi-structured interview, whose results express that that relationship is not satisfactory. The integration between pediatric dentists and pediatricians may help to redefine the classic standards in children dentistry attendance, making it necessary to think of a health promotion conduct that, besides avoiding caries, involves the supervision and orientation of their growth and facial development, stimulating a balanced masticatory system from the morphologic, aesthetic and functional point of view.

Infantile osteopetrosis associated with osteomyelitis

Osteopetrosis is a rare inherited disorder characterised by the inability to reabsorb and remodel bone due to an osteoclast dysfunction. An increase in bone mass and density results in severe skeletal malformation and bone marrow failure, which may be fatal. The aim of this study was to report a case of infantile osteopetrosis in a 6-year-old boy, who primarily complained of dental problems. The patient developed an osteomyelitis after a primary tooth extraction. We also reviewed the literature about this genetic bone disease, since the management of dental problems of these patients can be a challenge to the dentist. The diagnosis, clinical and radiographic features and treatment of the case were discussed in this work.

Impacted permanent incisors associated with compound odontoma

Odontomas are the most common odontogenic tumours of the maxillary bones, characterised by a slow growth and benign behaviour. They are usually small, asymptomatic and diagnosed after routine radiographic examination. The aim of this study was to report a case of a compound odontoma in the anterior maxilla of a 7-year-old girl, which was causing the impaction of the maxillary right central and lateral incisors, as well as the prolonged retention of the corresponding primary teeth. We also aimed to review the literature about these tumours, since they are not part of the dentists day-to-day clinical practice. The clinical and radiographic features, the diagnosis and treatment of the case were discussed in this work.