ESA - Escola Superior de Ciências da Saúde
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Item Desenvolvimento de tecnologia educacional para o bem viver de mulheres com endometriose: estudo metodológico(Universidade do Estado do Amazonas, 202) Araújo, Cássia Camila de Oliveira; Ferreira, Darlisom Sousa; Teixeira, ElizabethDevelop educational technology for the well-being of women with endometriosis. Method: Methodological study carried out in three stages: literature review, construction of educational technology, content validation according to Pasquali's model. Health specialists participated in the validation, who signed the Free and Informed Consent Form and completed a questionnaire with a Likert scale. Descriptive statistics were used to calculate the Content Validity Index. Results: In the literature review stage, 20 articles and 9 generating themes were selected. From the theme-based construction, the first version of the technology emerged entitled “The Endometriosis Guide: care tips for living well”. In content validation, a Content Validation Index (CVI) of 0.83 (83%) was obtained. The suggestions made it possible to organize the final version of the technology. Conclusion: the educational technology was considered valid by the experts and could mediate educational activities with women with endometriosisItem Influência do cimento endodôntico à base de óleo-resina de copaíba (copaifera multijuga spp.) na resistência à união de pinus de fibra de vidro(Universidade do Estado do Amazonas, 2017-06-12) Costa, Jessika Brito da; Borges, Adriana Fonseca; Borges, Adriana Fonseca; Andrade, Kamila Menezes Guedes de; Dias, Sybilla TorresThe problem involving eugenol based cements and its negative influence on the adhesion of intraradicular retainers cemented with resin cements is a reality in the dental field. The aim of this research is to verify the influence of the endodontic sealer based on copaiba oil-resin in the bond strength (BS) of glass-fiber posts cemented with conventional and self-etch resin luting cements by micropush-out test. (C), Endofill (E) and AHPlus (H). To perform this research, n=12 bovine incisors treated with endodontic cements -Copaíba (C), Endofill (E) and AHPlus (H)- were used. After root canal obturation, the three groups formed were randomly divided into two subgroups (n = 2) where each subgroup received a glass-fiber post cemented with a different luting cements: conventional luting cement (CR) and self-etch resing luting cement (RA), resulting in 6 experimental subgroups. After 24 hours of storage, the 12 bovine roots were sectioned transversely into 6 slices of 1mm thick for each region evaluated: cervical third (CT), middle third (MT) and apical third (AT). Each sample of the 6 subgroups was then submitted to the mechanical extrusion test by shear. The data obtained from the micropush-out test were analyzed using the statistical ANOVA 2 factor test. A significance level of 5% was considered. Results: In the middle and apical thirds only in the conventional resin cement group and Endofill sealer (ERC), it was observed a statistically significant difference in relation to the thirds of the other groups; resin based cement and copaiba-based cement groups showed a slight difference of the cervical third in relation to the middle and apical thirds; For the groups ERC and ERA, it was observed a significant difference between the three thirds where the cervical third showed the highest value of bond strength. Through this work results It was possible to conclude that copaiba oil-resin-based endodontic cement does not influence on the resistance of fiberglass posts union when these are cemented with conventional resin or self-etch luting cementItem Periodontite agressiva - relato de caso clínico(Universidade do Estado do Amazonas, 2017-06-21) Silva, Daiana Aneris da; Ferreira, Giselle Desideri Tino Barbosa; Ferreira, Giselle Desideri Tino Barbosa; Macedo, Fabiano Rito; Chuí, Fabiola Mendonça da SilvaGeneralized aggressive periodontitis comprises a group of rapidly progressing, rare and often severe forms of periodontitis, often characterized by the early age of clinical manifestation. The objective of this report is to report the surgical treatment used in the treatment of the clinical case of aggressive periodontitis. This paper presents the clinical case of a 21-year-old female patient with severe generalized aggressive periodontitis, in whom intra-oral examination revealed a bleeding gingiva, gingival enlargement in the upper and lower arch, gingival displacement in all The dental elements, radiographic examination there is horizontal bone loss in the upper and lower arches, vertical loss between teeth 31 to 42, and between teeth 11 and 21, the depth of probing was between 4 and 10 millimeters. We can conclude that the Widman technique modified in intrasulcular incision was the correct therapy for the presented case, because there was reduction of excessive gingival tissueItem Validity of a Minimally Invasive Autopsy for Cause of Death Determination in Adults in Mozambique: An Observational Study(PLOS Medicine, 2017-08-17) Castillo, Paola; MartõÂnez, Miguel; Palhares, AntônioBackground There is an urgent need to identify tools able to provide reliable information on the cause of death in low-income regions, since current methods (verbal autopsy, clinical records, and complete autopsies) are either inaccurate, not feasible, or poorly accepted. We aimed to compare the performance of a standardized minimally invasive autopsy (MIA) approach with that of the gold standard, the complete diagnostic autopsy (CDA), in a series of adults who died at Maputo Central Hospital in Mozambique. Methods and Findings In this observational study, coupled MIAs and CDAs were performed in 112 deceased patients. The MIA analyses were done blindly, without knowledge of the clinical data or the results of the CDA. We compared the MIA diagnosis with the CDA diagnosis of cause of death. CDA diagnoses comprised infectious diseases (80; 71.4%), malignant tumors (16; 14.3%), and other diseases, including non-infectious cardiovascular, gastrointestinal, kidney, and lung diseases (16; 14.3%). A MIA diagnosis was obtained in 100/112 (89.2%) cases. The overall concordance between the MIA diagnosis and CDA diagnosis was 75.9% (85/112). The concordance was higher for infectious diseases and malignant tumors (63/80 [78.8%] and 13/16 [81.3%], respectively) than for other diseases (9/16; 56.2%). The specific microorganisms causing death were identified in the MIA in 62/74 (83.8%) of the infectious disease deaths with a recognized cause. The main limitation of the analysis is that both the MIA and the CDA include some degree of expert subjective interpretation. Conclusions A simple MIA procedure can identify the cause of death in many adult deaths in Mozambique. This tool could have a major role in improving the understanding and surveillance of causes of death in areas where infectious diseases are a common cause of mortality.Item Pathological Methods Applied to the Investigation of Causes of Death in Developing Countries: Minimally Invasive Autopsy Approach(PLOS one, 2017-08-17) Castillo, Paola; Ussene, Esperança; Palhares, AntônioBackground and Aims Complete diagnostic autopsies (CDA) remain the gold standard in the determination of cause of death (CoD). However, performing CDAs in developing countries is challenging due to limited facilities and human resources, and poor acceptability. We aimed to develop and test a simplified minimally invasive autopsy (MIA) procedure involving organ-directed sampling with microbiology and pathology analyses implementable by trained technicians in low- income settings. Methods A standardized scheme for the MIA has been developed and tested in a series of 30 autopsies performed at the Maputo Central Hospital, Mozambique. The procedure involves the collection of 20 mL of blood and cerebrospinal fluid (CSF) and puncture of liver, lungs, heart, spleen, kidneys, bone marrow and brain in all cases plus uterus in women of childbearing age, using biopsy needles. Results The sampling success ranged from 67% for the kidney to 100% for blood, CSF, lung, liver and brain. The amount of tissue obtained in the procedure varied from less than 10 mm2 for the lung, spleen and kidney, to over 35 mm2 for the liver and brain. A CoD was identified in the histological and/or the microbiological analysis in 83% of the MIAs. Conclusions A simplified MIA technique allows obtaining adequate material from body fluids and major organs leading to accurate diagnoses. This procedure could improve the determination of CoD in developing countries.Item Rosai-Dorfman primário do sistema nervoso central simulando meningioma de tórcula: relato de caso(2017-08-17) Costa, Luís Eduardo Rossato; Carvalho, Anderson Rafael Figueiredo de; Palhares, Antônio Eduardo MartinezRESUMO Relatamos o caso de uma mulher de 65 anos de idade, com queixa de cefaleia, portadora de uma lesão expansiva em região posterior da tenda do cerebelo, implantado na tórcula, sugestivo de meningioma pelos exames de imagens, foi submetida ao tratamento neurocirúrgico para ressecção. Ao exame anatomopatológico, foi sugerido diagnóstico de doença de Rosai-Dorfman, con%rmado pela imunohistoquímica. Trata-se de uma rara linfadenopatia proliferativa histiocítica, de comportamento benigno, com acometimento mais frequente da cadeia linfonodal cervical e outros sítios extranodais, sendo extremamente rara sua localização no sistema nervoso central, principalmente na fossa posterior, sem acometimento de outras estruturas anatômicas.Item Sessão Anátomo-clínica: método de ensino correlacionado patologia e clínica(Universidade do Estado do Amazonas, 2017-08-17) Palhares, Antônio Eduardo Martinez; Ribeiro, Pedro Paulo DiasA correlação da clínica com a morfologia vai aprimorar o aprendizado da patologia que é fundamental para uma prática clínica de sucesso. O uso de casos reais de autópsia como ferramenta de ensino gerará satisfação nos alunos ao exercitaItem Sessão Anátomo-clínica: método de ensino correlacionado patologia e clínica(Universidade do Estado do Amazonas, 2017-08-17) Palhares, Antônio Eduardo Martinez; Ribeiro, Pedro Paulo DiasA sessão anátomo-clínica consiste no estudo clínico correlacionado com os achados morfológicos obtidos de biópsias, peças cirúrgicas e autópsias. Tais sessões são reconhecidas mundialmente como a forma mais efetiva de educação médica, pois evidenciam as manifestações morfológicas das doenças. Tem como abjetivo implementar as sessões anátomo-clínicas na disciplina de patologia especial do curso de medicina da Universidade do Estado do Amazonas em que os alunos na disciplina de patologia especial participarão de quatro sessões anátomo-clínicas de casos de autópsias por semestre. Por fim, o uso de casos reais de autópsia como ferramenta de ensino gerará satisfação nos alunos ao exercitarem o raciocínio dedutivo e a resolução de problemas clínicos.Item Satisfação dos responsáveis das crianças atendidas na clínica de odontopediatria do curso de odontologia da universidade do Estado do Amazonas(Universidade do Estado do Amazonas, 2017-08-28) Valente Neta, Inês PalhetaThis work aims to evaluate the services received, the profile and perception of users regarding factors that determine satisfaction with the quality of care, conducted in the discipline Odontopediaatrics I and II of the School of Dentistry of the University of the State of Amazonas - UEA. Data collection was conducted through a questionnaire that addressed aspects of clinical care and organizational, applied on direct interview in the waiting room of the clinic. The predominant gender was female and users who attended to the have low to medium levels of education. The responsible for users they had a good relationship with the students and that they were very receptive since the patient arrival. The service of the technician of scraping, endodontic treatment, restoration and teeth cleaning provided by the students were rated as good to excellent, as well as the overall evaluation of the service assisted by teachers and students. In general, the Pediatric dentistry clinic, was rated as satisfactory by the participants, which attributes to the organization, cleanliness, comfort and light concepts received rated as good to superb in the majority of respondents. The notes given to the attendance at Pediatric dentistry clinic of UEA were 8, 9 and 10, all respondents said they would recommend the service of the Integrated Clinic of UEA. As a suggestion for improving the Pediatric dentistry clinic of UEA, was the shortening of the waiting time to start treatment, it was most discussed. However, users are entirely satisfied with the services rendered by the students, both with regard to infrastructure, such as the reception and bond created in the patient-professional relationship.Item Efeitos da polpa de cupuaçu na rugosidade de superfície e microdureza de materiais odontológicos(Universidade do Estado do Amazonas, 2017-08-28) Pires, Alessandra AndradeThe consumption of acid products may cause dental erosion and alteration on the mechanical properties of dental materials. The objective of this study was to compare the effect of cupuaçu extract, cola soda and artificial saliva on the surface roughness and microhardness of dental materials (composite resin, resin modified glass ionomer, sealer, acrylic resin and bis-acrylic resin). Ten samples of each material were manufactured for each immersion group. Each sample measured 6 mm diameter X 1.5 mm thickness. Microhardness and surface roughness were evaluates 24h after samples were manufactures, 7 and 30 days after samples were immersed on the solutions. The results demonstrated that the cola solution promoted reduction of he microhardness of all the materials, except the composite resin and bis-acrylic resin. The cupuaçu solution promoted reduction of the composite resin and acrylic resin microhardness. The cupuaçu solution did not increase the surface roughness of any of the evaluated materials. The cola soda increased the surface roughness of the sealer. There was no difference on the effect of the solutions on the surface roughness of the following materials: resin modified glass ionomer and bis-acrylic resin. It can be concluded that, most of the materials presented some change after the immersion on the solutions. The juice containing cupuaçu extract promoted less negative effects than the cola soda.Item Efeito de bebidas industrializadas na rugosidade superficial de resinas compostas(Universidade do Estado do Amazonas, 2017-08-28) Souza, Lorena Vera Moraes deThere is currently a growing use of resin composites for direct aesthetic restorations, and these dental materials in the oral environment are subject to a large number of adverse conditions. This study evaluated the behavior of restorative materials based on resinous composites, facing the challenges of the consumption of industrialized beverages. Two types of composite resin were selected: Filtek Bulk Fill - 3M / ESPE and Filtek Z350 XT - 3M / ESPE, where 80 specimens of 7 mm diameter and 3 mm thickness/height were made. Randomly divided into four subgroups: Gc (distilled water); G1 (Redbull); G2 (Gatorade); G3 (H2 OH). After 24 hours of the preparation of the specimens, they were finished and polished. Measurements of surface roughness were performed in 24 hours, 30, 60 and 90 days. The surface roughness standard was measured by the roughness meter (TR 200, TIME Group Inc). The data were submitted to non-parametric tests of Kruskall Wallis and Friedman (p <0.05), added to the Dun method. In the Red Bull and Gatorade solution there was a significant difference after 60 days compared to the baseline and 30 days. A solution of H2OH! presented different surface roughness values after the 90 day interval, and in the control solution of both composite resins a slight increase in the surface roughness was observed. According to the results, all the solutions led to an increase in the surface roughness of both materials tested, over time.Item GENGIVITE DESCAMATIVA RESULTANTE DE PÊNFIGO VULGAR: RELATO DE CASO(Universidade do Estado do Amazonas, 2017-08-28) Oliveira, Gieyse Nogueira dePemphigus vulgaris is an autoimmune disease characterized by the formation of vesiculobullous lesions on the skin and mucous membranes. Such alterations occur due to the development of an autoimmune response directed to the complex of desmosomes and epithelial tonofilaments (desmoglein 1 and 3). Pemphigus vulgaris mainly affects individuals in the age group of 50 years of age, and there is no predilection for gender. The aim of this study is to report a clinical case of the disease diagnosed in a young female patient, who attended the UEA Dental Polyclinica complaining of "intense pain in the mouth". In the anamnesis, the patient reported that for seven months she was undergoing treatment of the present lesions, with supra and subgingival scaling. In the intra-oral clinical examination we observed scaling and erosions in the marginal gingiva. In the physical examination we noticed presence of erosive cutaneous lesions in the region of the scalp and in the breast. The patient told us that she was waiting for the result of the biopsy performed on skin lesions. In view of this and the suspicion of the diagnosis, we chose to perform the Nikolsky test, which consists of the formation of a bubble in the mucosa or normal-looking skin when pressure is imposed on its surface, which was positive. The results of the skin biopsy showed to be compatible with pemphigus vulgaris. Therefore, it was initiated the treatment on dermatological follow-up, which consisted of systemic use of corticosteroid prednisolone associated with the immunosuppressive agent azathioprine. For oral lesions, it was prescribed the use of dexamethasone mouthwash three times a day after oral hygiene, and the use of topical gingilone. After three years of follow-up and treatment the patient presents without intra-oral lesions and remains under medical and dental monitoring. Keywords:Item Cirurgia de remoção de torus palatino: relato de caso clínico(Universidade do Estado do Amazonas, 2017-08-28) Vieira, Rafael BatistaTorus is an exostosis of benign, localized, slow-growing, unknown etiology that can occur in both the maxilla, palatal torus (TP), and mandible, mandibular torus (TM). The objective of this study is to report the clinical case of removal palatal torus, which was performed at the Dental Polyclinic of the University of the State of Amazonas (UEA). Case report: The patient, 55 years old, underwent a surgical procedure of removal of the palatal torus present in the midline of anteroposterior length of approximately 40 mm, covered by normal buccal mucosa, to perform the procedure, incised the mucosa with Dorrance incisions in double "Y" followed by detachment of the mucoperiostal flap and traction of this by means of suture threads Silk 4-0. Discussion: The TP, being asymptomatic, has no immediate indication for removal, except in certain situations. Surgical removal of the exostosis was necessary to ensure continuity in the prosthetic rehabilitation of the patient. Conclusions: Torus removal procedures are relatively simple, however, care must be taken to avoid or minimize trans and postoperative complications.Item Tratamento da mordida cruzada anterior com o arco progênico modificado um enfoque clínico(Universidade do Estado do Amazonas, 2017-09-13) Souza, Luiza Fernanda Moreno deThe anterior crossbite is the abnormal positioning between the incisors, in which one or more upper incisors are positioned lingually in relation to the inferior ones when in a centric or habitual relation. The aim of this article is to present a clinical case of anterior crossbite of dental and functional origin in the mixed dentition, demonstrating success with interceptive orthodontics in the crossbreeding of anterior crossbite through the modified progenic arch device with digital springs in the elements 11,12, 21 and 22. The extrabuccal clinical examination revealed that the patient had a dolichofacial pattern, compatible middle and lower thirds, good labial sealing, maxillary and mandibular balance, slightly convex and Skeletal Class I soft profile. The intra-oral examination revealed the Class I Angle relationship of the first permanent molars. From the clinical, radiographic and cephalometric examinations the treatment plan was determined where the active supervision of space was chosen with the extraction of the upper and lower deciduous canines (right and left), progeny arch installation, modified with digital springs requiring Monthly adjustments in the retention clamps and activation of the digital springs, improving the stability, consequently, a better comfort for the patient. After 2 months of treatment, the correction of the anterior crossbite was verified. The clinical case showed a great success related to the use of the modified progenic arch with digital springs because it also worked in directing the mandibular growth clockwise and in the stimulation of maxillary growth where the treatment had a durability of 7 months of adjustments and preservation and containment phase by About 3 months, in such a way resulted in a good facial, dental and total uncrossing of the anterior crossbite during the early phase within the interceptive orthodontics.Item Influência do cimento endodôntico à base de óleo-resina de copaíba (Copaifera multijuga spp.) na resistência à união de pinos de fibra de vidro(Universidade do Estado do Amazonas, 2017-09-13) Costa, Jéssika Brito daThe problem involving eugenol based cements and its negative influence on the adhesion of intraradicular retainers cemented with resin cements is a reality in the dental field. The aim of this research is to verify the influence of the endodontic sealer based on copaiba oil-resin in the bond strength (BS) of glass-fiber posts cemented with conventional and self-etch resin luting cements by micropush-out test. (C), Endofill (E) and AHPlus (H). To perform this research, n=12 bovine incisors treated with endodontic cements -Copaíba (C), Endofill (E) and AHPlus (H)- were used. After root canal obturation, the three groups formed were randomly divided into two subgroups (n = 2) where each subgroup received a glass-fiber post cemented with a different luting cements: conventional luting cement (CR) and self-etch resing luting cement (RA), resulting in 6 experimental subgroups. After 24 hours of storage, the 12 bovine roots were sectioned transversely into 6 slices of 1mm thick for each region evaluated: cervical third (CT), middle third (MT) and apical third (AT). Each sample of the 6 subgroups was then submitted to the mechanical extrusion test by shear. The data obtained from the micropush-out test were analyzed using the statistical ANOVA 2 factor test. A significance level of 5% was considered. Results: In the middle and apical thirds only in the conventional resin cement group and Endofill sealer (ERC), it was observed a statistically significant difference in relation to the thirds of the other groups; resin based cement and copaiba-based cement groups showed a slight difference of the cervical third in relation to the middle and apical thirds; For the groups ERC and ERA, it was observed a significant difference between the three thirds where the cervical third showed the highest value of bond strength. Through this work results It was possible to conclude that copaiba oil-resin-based endodontic cement does not influence on the resistance of fiberglass posts union when these are cemented with conventional resin or self-etch luting cement.Item Reabilitação oral através de prótese parcial removível: relato de caso(Universidade do Estado do Amazonas, 2017-09-14) Aguiar, Emerson da SilvaEdentulism is a strong indicator of health in adults and the elderly, and consists of partial or total absence of natural dental elements, with no physical and physiological qualities and consequences such as face matter, which causes damage to aesthetics; Phonation compromise; Unsatisfactory swallowing and chewing. The case report demonstrates success in oral rehabilitation through conventional upper and lower PPR. Patient F.C.R.L 57 years old, attended the Dental Polyclinic of the University of the State of Amazonas, wishing prosthetic rehabilitation treatment. It was divided into a higher class of upper class and lower class I in addition to various types of incisal splits. It was first chosen to diagnose waxing of the worn elements and instead the direct restorations in composite resin. Subsequently, the study molds were designed for the design and planning of the final removable partial denture. The design of the metal frame for execution is not a model for the best understanding of the laboratory, and the instructions have the specifications of this type of prosthesis. The success of the removable partial dentures was a good planning, following all the protocols described in the pertinent literature, as well as adequate selection of teeth, improving both aesthetics and masticatory function. As one of the treatment modalities for a rehabilitation of partially edentulous arches, we obtained the desired result, with low cost, reduced clinical time when compared to other treatment modalities.Item Comparação entre dois tipos de filtros tomográficos e sua respectiva imagem normal em tomografia computadorizada de feixe cônico da região mandibular de pacientes da PO-UEA(Universidade do Estado do Amazonas, 2017-09-14) Bezerra, Ricardo VeigaThe advances in tomography techniques of the head and neck region for clinical applications started in the early 70’s. It has become widely studied, attracting the interest of dentists, especially in the areas of Orthodontics, Oral Diagnosis, Oral and maxillofacial Surgery and Traumatology and Dental Implants, enabling the appearance of Cone Beam Computed Tomography (CBCT), being indicated especially for the dentomaxillofacial region. It has advantages and facilities when compared to Fan Bean CT. It is known that imaging exams are subject to loss of quality, allowing the emergence of tools inserted in the softwares, the tomographic filters. The influence of Angio Sharpen Medium 5x5 (ASM) and Smooth 3x3 (S) filters was evaluated, comparing them with each other and with the actual image obtained from the CBCT, selecting the best tomographic filter for eventual treatments of the mandibular region. Quantitative and qualitative data were collected. The research was performed with fifty CBCTs, twenty-five of the male gender and twenty-five of the female gender. Twenty evaluators participated in the research, with ten dental students and ten oral maxillofacial surgeons. The tomographic images of the mandibular canal region were analyzed following a hierarchy of pre-defined image quality. Based on the results, it was concluded that CBCT has more advantages than FBCT, among them the reduction of the patient's exposure to ionizing radiation, as well as the low dose of radiation used to obtain a quality image. The ASM filter stood out as the best filter to be used for visualization of the mandibular canal.Item Análises de tomografias da variação anatômica do nervo alveolar inferior(Universidade do Estado do Amazonas, 2017-09-14) Rodrigues, Byanca NascimentoThe mandibular canal originates in the mandibular foramen and ends in the mental foramen. This canal sometimes varies, as well as its interior nerve, i.e., the inferior alveolar nerve. This variation is relevant in clinical and surgical approaches, and it can be detected by computed tomography, which is widely used in many surgery specialties. This is usually a single channel, however, bifid ones have already been reported. The aim of the current study was to identify the frequency of the bifid condition. Fifty computed tomographies were analyzed from patients aged between 18 and 50 years old, 25 men and 25 women, with complete or partial denture, with three different areas from the right and left hemimandibles studied (totaling 300 images): The entrance of the mandibular canal (CM), the mandibular angle (ANG), and the entrance of the mental foramen (FM). The obtained values were organized in a Microsoft Excel 2010 spreadsheet and the p-value was calculated with the chi-square test through the SPSS 21 software. Bifid mandibular canals were found in 14.66% of the patients, and the occurrence of the bifid canal was not significantly related to any of the sexes. While comparing the FME and FMD, there was a significant p-value of 0.004. In CMD and CME there was a bifurcation in 16% of the patients, in ANGD = 12% and in ANGE = 4%, in FMD = 18% and in FME = 14%. It is paramount for a dental surgeon to take into account the existence of a bifid mandibular canal, for its detection can avoid possible complications during treatment.Item Levantamento epidemiológico em cárie dentária (ceo-d) em crianças de 3 a 4 anos nas creches municipais Manoel Octávio Rodrigues de Souza e Magdalena Arce Daou em Manaus - Am(Universidade do Estado do Amazonas, 2017-09-14) Sousa, Mayara CostaThe present study addresses the theme of epidemiological Survey on dental caries (ceo-d) in children aged 3 to 4 enrolled in municipal day care centers Manoel Octavio Rodrigues and Magdalena Arce Daou in Manaus-Am. The aim of this study was to determine the prevalence of dental caries and the need for treatment in children aged three to four enrolled in these day care centers,since they participated in a health education program titled growing without caries.Epidemiological surveys and clinical exams of the children's cavity were carried out in classrooms, which allowed the same, examining the presence of caries according to WHO criteria.The observations were transcribed into a standardized clinical file, according to the established codifications. It was obtained 63% of children free of caries. The caries index for the deciduous dentition (ceo-d) was 1.22, the highest prevalence of caries was in the male gender 44%.The highest percentage of need for treatment was the indication of restoration of a dental surface, followed by remineralization of the dental element. The SIC(Significant Caries Index) was 3.6 higher than the index of ceo-d found. With this survey one can know the oral health profile of these children,taking into account that they, as well as the teachers and parents, are receiving guidance on their oral health through the growing caries program.Item Fibroma ossificante central: relato de caso(Universidade do Estado do Amazonas, 2017-09-19) Costa, Pablo Jhony PalhanoThe central ossifying fibroma is a benign neoplasm of uncommon fibro-osseous origin that affects the bones of the face, diagnosed with a combination of clinical, radiological and histopathological examination. The lesion is asymptomatic, in most cases, until the growth produces visible swelling and moderate deformity. This paper reports the case of an ossifying fibroma in the mandible confirmed by incisional biopsy of a 26 year-old melanoderma patient, in which an increase of the lingual bone cortex was observed in the mandibular symphysis region, appearing normocorate mucosa and displacement of the teeth 31, 41, 42, 43 and 44. The proposed treatment was then enucleation and curettage of the same, under general anesthesia. The patient is in postoperative follow-up of 7 months without intercurrences and without signs of relapse.