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Capeamento pulpar indireto com cimento biocerâmico em centro de especialidades odontolológicas de referência: relato de caso.
(Universidade do Estado do Amazonas, 2025-12-02) Mota, Mateus Ferreira da; Chui, Fabíola Mendonça da Silva; http://lattes.cnpq.br/1947773249131833; http://lattes.cnpq.br/8802000206624488; Chui, Fabíola Mendonça da Silva; http://lattes.cnpq.br/1947773249131833; João, Mariana Mena Barreto Pivoto; http://lattes.cnpq.br/4304572491064683; Pieri, Alexandra; http://lattes.cnpq.br/4726068569285053
Indirect pulp capping is a conservative procedure indicated for the treatment of deep carious
lesions in teeth with preserved vitality and a diagnosis of reversible pulpitis. The development
of bioactive materials, especially calcium silicate–based bioceramic cements, has expanded
therapeutic possibilities by providing better sealing ability, greater bioactivity, and stimulation
of reparative dentin formation. This study aimed to report the clinical effectiveness of indirect
pulp capping using Bio-C Repair bioceramic cement in a Dental Specialties Center (CEO)
through the detailed analysis of a clinical case. A 10-year-old female patient was referred to
the CEO for endodontic treatment of tooth 16. Clinical and radiographic examinations revealed
a deep carious lesion in tooth 26, with close proximity to the pulp but without exposure.
Sensitivity testing with Endo-Ice indicated reversible pulpitis, supporting the indication for
indirect pulp capping. The procedure included anesthesia, rubber dam isolation, selective
caries removal, application of Bio-C Repair on the remaining dentin, and coverage with glass
ionomer cement. The patient was later referred for definitive restoration in the pediatric dentistry
clinic. Clinical follow-up showed absence of symptoms, preservation of pulp vitality, and
favorable evolution consistent with findings reported in the literature. The discussion highlighted
that Bio-C Repair presents biological performance comparable or superior to traditional
materials such as calcium hydroxide, MTA, and Biodentine, mainly due to its calcium ion
release, stimulation of cellular differentiation, and induction of reparative dentin. The case
reinforces the applicability of bioceramic cements in public health services and their contribution
to modern conservative treatments. It is concluded that the use of Bio-C Repair in indirect pulp
capping demonstrated clinical effectiveness, predictability, and the ability to preserve pulp
vitality, proving to be a viable and safe alternative for deep carious lesions without pulp
exposure.
Osteíte condensante focal de grandes dimensões em paciente disfuncional cervicomastigatória com alteração vestibulococlear: relato de caso
(Universidade do Estado do Amazonas, 2025-12-05) Lopes, Niely dos Santos; Cabral, Lioney Nobre; http://lattes.cnpq.br/8956633114853772; http://lattes.cnpq.br/9032161880388557; Cabral, Lioney Nobre; http://lattes.cnpq.br/8956633114853772; Vasconcelos II, Antonio Jorge Araújo de; http://lattes.cnpq.br/5548562970182242; Barroso, Mara Lilian Sevalho; http://lattes.cnpq.br/3480508540885994
Condensing osteitis (CO) is a type of osteomyelitis characterized by areas of localized bone
sclerosis at the apices of teeth with chronic pulpitis or necrotic pulps. It presents
radiographically as a radiopaque lesion, where there is a localized bone reaction from a low-
grade inflammatory stimulus, usually located at the apex of a tooth or at the extraction site
where there has been long-standing pulp disease. Bruxism is a parafunction related to muscle
hyperactivity, with a multifactorial etiology, and can be classified as a non-spontaneous act,
leading to disordered jaw movements, generating clenching and/or grinding of the teeth, thus
overloading the stomatognathic system. This report describes a 35-year-old Caucasian female
patient complaining of severe headache. During the medical history, she mentioned being a
bruxist. Clinical examination revealed left-sided mandibular interference, returning to the
midline, and potential disc displacement with ipsilateral reduction. During protrusion, the disc
deviated to the left. Regarding vestibulocochlear symptoms, she presented tinnitus in the right
ear and ear fullness in both ears, as well as occasional vertigo. Physical examination revealed
a clicking sound during opening movements in the right temporomandibular joint (TMJ).
Sensitivity to palpation of muscle trigger points was observed, and marked tenderness was
observed on the right side. Radiographic examination revealed large radiopaque areas located
at the apices of teeth 36 and 46, where there were extensive amalgam restorations, which were
endodontically treated after chronic pulpitis was found in both. The patient is undergoing
treatment for cervicomastigatory dysfunction and related bruxism, which, in theory, was the
aggravating factor for the bilateral OC in the mandibular molars.
Alterações periodontais em adolescentes, adultos e idosos, com base nos inquéritos epidemiológicos: SB 2003, 2010 e 2023
(Universidade do Estado do Amazonas, 2025-12-05) Pena, Thayanne Christine do Nascimento; Pinto, Adriana Beatriz Silveira; http://lattes.cnpq.br/6500412100135501; http://lattes.cnpq.br/3943956501549746; Pinto, Adriana Beatriz Silveira; http://lattes.cnpq.br/6500412100135501; Monteiro, Ângela Xavier; Passos, Shirley Maria de Araújo; http://lattes.cnpq.br/3071736971449041
Periodontal diseases represent one of the main oral public health problems in Brazil,
significantly affecting different age groups. This study aimed to analyze periodontal changes in
Brazilian adolescents, adults and elderly based on data from the national epidemiological
surveys SB Brasil conducted in 2003, 2010 and 2023. The methodology consisted of a
documentary analysis of official data provided by the Ministry of Health, comparing periodontal
indices (CPI and CAL) in the age groups 15-19 years, 35-44 years and 65-74 years. The results
demonstrated a reduction in the prevalence of gingivitis in adolescents, but persistence of high
rates of periodontitis in adults and elderly. Important regional inequalities were also observed,
with the North and Northeast regions showing worse indicators. The analysis also revealed a
negative impact of periodontal conditions on the quality of life of the examined individuals. It is
concluded that, periodontal diseases continue to be a challenge for Brazilian public health,
requiring preventive and therapeutic strategies aimed at each age group, with emphasis on
reducing regional inequalities and strengthening the actions of the National Oral Health Policy.
Penfigoide bolhoso em mucosa oral: relato de caso
(Universidade do Estado do Amazonas, 2025-12-05) Costa, Yana Bitencourt da; Cabral, Lioney Nobre; http://lattes.cnpq.br/8956633114853772; http://lattes.cnpq.br/3481568316974726; Cabral, Lioney Nobre; http://lattes.cnpq.br/8956633114853772; Vasconcelos II, Antonio Jorge Araújo de; http://lattes.cnpq.br/5548562970182242; Barroso, Mara Lilian Sevalho; http://lattes.cnpq.br/3480508540885994
Bullous pemphigoid is an autoimmune disease characterized by the formation of
subepidermal blisters with a polymorphic profile. Diagnosis is based on the clinical picture,
complemented by histopathological examinations and direct and indirect
immunofluorescence. The aim of this study is to present a clinical case of the disease
diagnosed in a female patient who came to the UEA Dental Polyclinic complaining of pain,
bleeding and inflammation in the oral cavity. In the anamnesis, the patient also reported that
she had supragingival scraping to treat the lesions. On intraoral clinical examination,
erythematous centers with painful symptoms and desquamation of the marginal gingiva
were found. The Nikolsky test was performed with a positive result. After evaluating the tests
requested, an incisional biopsy was carried out on the left upper pre-molars for
histopathological analysis. After the histopathology report was released, Triamcinolone
Acetonide (topical corticosteroid) was prescribed and the patient was referred to a
rheumatologist to continue treatment. In view of the above, the clinical and histopathological
assessment, as well as the complementary exams, were essential for establishing the
diagnosis of Bullous Pemphigoid. This study also highlights the importance of the dental
surgeon in concluding the diagnosis and providing the best treatment for the patient's well-
being.
A fotobiomodulação como suporte terapêutico em paciente oncológico com mucosite oral: série de casos
(Universidade do Estado do Amazonas, 2025-12-04) Bueno, Tiago Ribeiro Brandão; Pieri, Alexandra; http://lattes.cnpq.br/4726068569285053; http://lattes.cnpq.br/2997796349385854; Ono, Lia Mizobe; http://lattes.cnpq.br/9062610687274439; Pieri, Alexandra; http://lattes.cnpq.br/4726068569285053; Soares, Keyly Sousa; http://lattes.cnpq.br/5297639878401788; Alecrim, Mary Elsa César; http://lattes.cnpq.br/7388724753885533
Oral mucositis is one of the most frequent and debilitating complications in patients undergoing chemoradiotherapy, characterized by intense pain, ulcerative lesions and significant functional impairment, especially regarding nutrition and overall quality of life. Photobiomodulation (PBM) has emerged as a relevant therapeutic approach for the prevention and management of this condition due to its ability to modulate inflammatory processes, stimulate tissue repair and promote progressive clinical improvement. This study aimed to analyze the effectiveness of photobiomodulation in the treatment of oral mucositis through a series of three clinical cases in which oncologic patients developed mucositis at different severity levels during antineoplastic therapy. The methodology consisted of an individual assessment of each patient, including clinical documentation, mucositis grading and application of PBM according to the protocol used by the service, followed by monitoring of lesion evolution and symptom response. The results demonstrated that all patients experienced significant improvement after beginning PBM, with measurable reduction in pain, decreased extent of ulcerations, stabilization of the clinical picture and regression of mucositis severity, even in cases where treatment was initiated at later stages. Photobiomodulation directly contributed to the maintenance of oral feeding, increased comfort during therapy and improved tolerance to chemotherapy and radiotherapy sessions, reducing the risk of treatment interruptions. Early initiation of PBM showed even more favorable outcomes, reinforcing its preventive potential. These findings align with current scientific literature, which recognizes PBM as a safe, non-invasive, low-cost and widely applicable therapeutic resource in the supportive care of cancer patients. This case series also highlights the essential role of dental surgeons within the multidisciplinary oncologic team, demonstrating that evidence-based interventions can positively influence clinical outcomes and enhance patients’ quality of life. Thus, photobiomodulation proves to be a highly effective tool for the management of oral mucositis, contributing to symptom relief, optimization of supportive care and continuity of oncologic treatment.