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Prevalência de lesões imunologicamente mediadas da cavidade oral diagnosticadas em um serviço de anatomia patológica de referência
(Universidade do Estado do Amazonas, 2026-06-26) Alho, Lucas Mateus Oliveira; Lioney Nobre Cabral; http://lattes.cnpq.br/8956633114853772; http://lattes.cnpq.br/9467183973447141; Lioney Nobre Cabral; 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
Immunologically mediated oral lesions comprise a group of disorders of considerable clinical
relevance due to their chronic nature, potential impact on patients' quality of life, and the
need for accurate diagnosis. This study aimed to determine the prevalence of these lesions
diagnosed at the Oral Pathology and Anatomical Pathology Service of the State University
of Amazonas (SEPAT-UEA) between 2012 and 2024, as well as to describe their
epidemiological and clinical characteristics. This was an observational, retrospective, and
descriptive study based on the analysis of archived histopathological reports. Information
regarding diagnosis, sex, age, race/ethnicity, anatomical location, primary lesions, and
referring institution was collected. Data were tabulated using Microsoft Excel® and
statistically analyzed with Jamovi® software, applying absolute and relative frequencies,
descriptive measures, and Fisher's Exact Test to evaluate associations between categorical
variables. Oral lichen planus was the most frequent diagnosis (33.3%), followed by lichenoid
reactions (29.4%), mucous membrane pemphigoid (17.6%), pemphigus vulgaris (15.7%),
and bullous pemphigoid (3.9%). A predominance of female patients (80.4%) and middle-
aged and older adults was observed. No statistically significant associations were found
between diagnoses and sex (p=0.738) or race/ethnicity (p=0.299). Regarding anatomical
location, statistically significant associations were observed for the gingiva (p<0.001) and
lower lip (p=0.040). It was concluded that oral lichen planus and lichenoid reactions were
the most frequently diagnosed immunologically mediated lesions during the study period,
predominantly affecting female and middle-aged to older patients. Furthermore, anatomical
location proved to be relevant for diagnostic assessment, reinforcing the importance of
clinicopathological correlation in establishing definitive diagnoses for these disorders.
Reabilitação oral de paciente disfuncional cervicomastigatório: relato de caso
(Universidade do Estado do Amazonas, 2026-06-26) Silva, Letícia Helena Ferreira da; Cabral, Lioney Nobre; http://lattes.cnpq.br/8956633114853772; http://lattes.cnpq.br/2253958136166586; 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
Craniocervicomandibular dysfunction (DCCM) is a condition represented by a set of
musculoskeletal and neuromuscular alterations that involve sensitivity and/or pain on
palpation in the masticatory and cervical muscles, internal disorders of the TMJ, joint
noises and limitation of the range of physiological movements. Vestibulocochlear
alterations are closely related to cervical and masticatory muscle dysfunctions due to their
anatomical proximity and physiology. The objective of this study is to present a case of a
46-year-old female patient, complaining of intense pain in the face, otalgia, ear fullness,
somatosensory tinnitus, heachache, limitation of neck muscle movements and vertigo.
After anamnesis and clinical examination, the diagnosis was DCCM with the presence of
vestibulocochlear symptoms. The proposed treatment consisted of the infiltration of 2%
lidocaine into the cervico-masticatory muscles, associated with laser therapy, the use of a
myorelaxant intraoral device, physiotherapeutic exercises, and the use of a cervical collar.
Subsequently, after stabilization of the dysfunction condition, oral rehabilitation was
performed using a removable partial denture.
Avaliação das próteses dentárias e percepção de saúde dos pacientes atendidos nos estágios da Policlínica de Odontologia da UEA
(Universidade do Estado do Amazonas, 2026-06-25) Mello, Matheus Mesquita da Silva; Vasconcelos, Ligia Regina Mota de; http://lattes.cnpq.br/6598171201860723; http://lattes.cnpq.br/2351614747231051; Oliveira, Jonas Alves de; http://lattes.cnpq.br/1628689776649407; Vasconcelos, Ligia Regina Mota de; http://lattes.cnpq.br/6598171201860723; Mello, José Antônio Nunes de; http://lattes.cnpq.br/7875006629550914; Fiori Júnior, Marco; http://lattes.cnpq.br/7092015603176915
Humanized prosthetic rehabilitation should consider not only the patient's clinical needs but also
their perceptions, expectations, complaints, and socioeconomic conditions. Understanding these
aspects contributes to a more sensitive and humanized academic training of dentists, strengthening
communication and empathy during patient care. This study aimed to evaluate health perception,
dental prostheses fabricated at the Dental Polyclinic of the State University of Amazonas (UEA),
and expectations related to prosthetic treatment among patients undergoing rehabilitation with
complete, removable partial, and fixed prostheses. The study included 11 adult patients receiving
treatment in the clinical training program of the Dentistry course at UEA between the 2025/2 and
2026/1 academic semesters. Data collection was performed at three different stages: during the
initial anamnesis, at the time of prosthesis installation, and after a follow-up period of three to six
months. Assessments included clinical examination of prosthetic conditions and standardized semi-
structured interviews. The data were organized and analyzed using descriptive statistics. A total of
12 prostheses were fabricated and installed, including three immediate complete dentures, wo fixed
dental prostheses, consisting of single crowns, and seven removable partial dentures. The sample
consisted predominantly of women (72.7%), with a mean age of 59.1 ± 7.8 years. Regarding
education level, high school education predominated (46%), while the average income was 2.24
minimum wages. The most frequently reported systemic conditions were cardiovascular diseases
(50%), diabetes (30%), and anxiety (20%). Previous experience with prostheses varied widely,
ranging from first-time users to patients with 49 years of prosthesis use. The main expectations
related to treatment involved improvements in mastication (54.5%), esthetics (36.4%), and comfort
(27.3%). Self-perception of oral hygiene was considered good or excellent by most participants, a
finding consistent with the clinical evaluation, which identified satisfactory conditions in 95% of
cases at baseline and in 87.5% during follow-up. At the time of prosthesis installation, all participants
positively evaluated their prostheses. However, after three to six months of use, a reduction in
satisfaction was observed in 27.27% of the patients. Regarding the quality of care provided at the
UEA Dental Polyclinic, 70% of the participants rated it as excellent. Although they presented a
relatively high educational level, many still perceived prosthetic treatment as financially
burdensome. Nevertheless, they maintained a positive perception of their oral health and hygiene,
as well as a high level of satisfaction with the care received.
Tratamento endodontico regenerativo em pré molar inferior imaturo com necrose utilizando materiais biocerâmicos: relato de caso clínico
(Universidade do Estado do Amazonas, 2026-06-22) Azevedo, Matheus Monteiro Vasconcelos de; Chui, Fabíola Mendonça da Silva; http://lattes.cnpq.br/1947773249131833; http://lattes.cnpq.br/6551896723001162; Sarmendo, Naelka; http://lattes.cnpq.br/7666270959110412; Chui, Fabíola Mendonça da Silva; http://lattes.cnpq.br/1947773249131833; Silva, Cimara Barroso Braga da,; http://lattes.cnpq.br/6742624466097872; Pieri, Alexandra; http://lattes.cnpq.br/4726068569285053
This study reports a clinical case of regenerative endodontic treatment (RET) in an immature
permanent tooth with pulp necrosis and chronic apical abscess in a 12-year-old female
patient. The patient had a history of recurrent abscesses and previous unsuccessful
emergency treatments, including prior hospitalization. Clinical and radiographic examination
revealed pulp necrosis associated with an open apex in tooth 45. Initial management
included coronal reconstruction with composite resin to enable proper isolation and access.
During canal exploration, an impacted cotton pellet was identified in the apical region,
requiring referral for removal under clinical microscopy. After removal, the canal was
irrigated following the American Association of Endodontists protocol, using 2.5% sodium
hypochlorite and 17% EDTA. Intracanal medication with a bioceramic material (Bio-C Temp)
was placed due to its antimicrobial and regenerative properties. After 15 days, irrigation with
EDTA was performed to promote smear layer removal and release of dentin-derived growth
factors. Apical bleeding was induced to form a blood clot scaffold, followed by placement of
a fibrin matrix and a bioceramic barrier (Bio-C Repair) in the middle third. The tooth was
then coronally sealed with glass ionomer cement and composite resin. The patient remained
asymptomatic, with no postoperative complications. The case is under periodic clinical and
radiographic follow-up at 3, 6, 12, 18, and 24 months to assess apical closure, root
development, and absence of infection. This case highlights the effectiveness of RET
associated with bioceramic materials in managing immature teeth with necrotic pulp,
promoting favorable clinical outcomes and continued root development.
Manejo clínico de fratura coronária complicada com reintegração de fragmento dentário autógeno e tratamento endodôntico: relato de caso
(Universidade do Estado do Amazonas, 2026-06-22) Ribeiro, Michelly Khristyna Silva; Pieri, Alexandra; http://lattes.cnpq.br/4726068569285053; http://lattes.cnpq.br/0015827571820187; João, Mariana Mena Barreto Pivoto; http://lattes.cnpq.br/4304572491064683; Pieri, Alexandra; http://lattes.cnpq.br/4726068569285053; Silva, Cimara Barroso Braga da; http://lattes.cnpq.br/6742624466097872; Pontes, Danielson Guedes; http://lattes.cnpq.br/7447583633773047
Complicated crown fractures represent a clinical challenge due to pulpal involvement and the
need for functional and esthetic rehabilitation of the affected tooth. This study aimed to report
and discuss the management of a complicated crown fracture in a permanent tooth through
the association of autogenous tooth fragment reattachment and endodontic treatment. This
case report describes a 14-year-old female patient who experienced dental trauma during
sports practice, resulting in a complicated crown fracture of the left maxillary central incisor.
Following clinical and radiographic examination, a treatment plan based on tooth fragment
reattachment, followed by endodontic therapy and definitive restoration, was established. The
clinical protocol included fragment rehydration and reattachment using a conventional
adhesive protocol, chemomechanical preparation of the root canal system, placement of
calcium hydroxide as an intracanal medicament, root canal obturation using the lateral
condensation technique, and palatal reconstruction with composite resin. After a five-month
clinical and radiographic follow-up period, fragment integrity was maintained, with no
symptoms, periodontal alterations, or periapical findings suggestive of treatment failure. The
findings of this case report demonstrate that the association of autogenous tooth fragment
reattachment and endodontic treatment is a conservative and effective approach for the
management of complicated crown fractures, providing satisfactory esthetic and functional
outcomes.