Mariana Klein and Maria Cristina Munerato*
Uremic stomatitis is a rare disease that affects the oral mucosa, caused by acute or chronic advanced kidney failure. Of poorly known etiopathogenesis, the condition has been associated with high levels of salivary ammonia. Four clinical manifestations have been described: ulcerative, non-ulcerous pseudo membranous, hyperkeratotic, and hemorrhagic uremic stomatitis. Since uremic stomatitis has been associated with sharp rise in urea levels in blood, it may be used as a clinical indicator of advanced kidney failure. Though rare, uremic stomatitis should be included in the differential diagnosis of various oral mucosa lesions in patients with a record of chronic kidney failure. This report described three uremic stomatitis cases in elderly patients with chronic kidney failure.
Waldemir Francisco Vieira-Junior, Jessica Dias Theobaldo, Mari Miura Sugii,Laura Nobre Ferraz, Luis Roberto Marcondes Martins, Flavio Henrique Baggio Aguiar*, and Debora Alves Nunes Leite Lima
Dentin hypersensitivity (DH) is a painful dental condition with a multifactorial etiology, usually associated with exposed dentinal surfaces. The development of non-carious cervical lesions (NCCL) is important factor for dentin exposure at the gingival margin. Several different therapies have been proposed to correct these lesions or condition. Objective: To review and describe a clinical management of the DH, demonstrating the association between the bioactive glass based-toothpaste use by patient and the restoration treatment for resolution of DH associated to NCCL. Case Report: The patient presented for treatment of NCCL and DH. It was prescribed a bioactive glass based-toothpaste (NovaMin™) and the NCCL were restored with composite resins and results were evaluated. DH was controlled and the patient is satisfied with case resolution. Conclusion: Resin restorations combined with toothpaste indication are conservative and safe approaches to treat DH associated to NCCL.
Zuhal Yetkin Ay*
Although toothbrush is the most effective and widespread tool for the oral hygiene constitution and maintenance, none of the tooth brushing methods is efficient in eliminating the interproximal dental plaque. The interproximal cleaning should be an inseparable part of the daily plaque removal routine. In this short review, the interdental cleaning devices (dental floss, interdental brushes, single tufted brushes, wooden or plastic tips/interdental stimulators, and oral irrigators) were summarized and reminded.
Jessica Dias Theobaldo, Michele de Oliveira Lima, Waldemir Francisco Vieira-Junior, Maria do Carmo Aguiar Jordao Mainardi, Laura Nobre Ferraz, Debora Alves Nunes Leite Lima, and Flavio Henrique Baggio Aguiar*
Dentin hypersensitivity (DH) is viewed by individuals as an important health problem and it is reported by the patient as a sharp pain caused by different external stimuli in dentin exposure.
Objective: To describe the best approaches for DH treatment, mainly in cases with no clinically significant loss of tooth structure.
Review: Several different approaches (in office and at home) have been proposed to control DH, including root coverage surgery, lasers application, and toothpaste and desensitizer application. The current review explores these treatments, especially in relation to their efficacy, limitation and safety.
Conclusion: The association of at home and in office treatment must be performed. At home treatment promotes maintenance and biodisponibility of desensitizing agents in oral environment.
Ugur Erdemir*, Gunce Saygi, Taner Yucel, and Esra Yildiz
Dentin hypersensitivity is becoming increasingly prevalent. It is mainly caused by an osmotic, tactile, chemical, thermal or evaporative stimulus which causes the movement of dental fluid within the tubules, either outwards or inwards. A sharp pain may be induced, and may hamper the daily activities of patients. The etiology of the sensitive teeth should be considered before treatment planning; following this, current options for treatment methods and related desensitizers should be tried. If desensitizers cannot relieve the pain, then restorative materials may be used to seal the dentine. Root canal therapy should be the last choice of treatment. It should be noted that sufferers may have an acidic diet or parafunctional habits which exacerbate the lesions. Therefore, patients should be encouraged to use oral hygiene products carefully, and preventive management should not be ignored. Various forms of desensitizers (toothpastes, gels, mouthwash, etc.) have certain advantages, and it is often best to use a combination of different desensitizers with treatment methods such as lasers and iontophoresis. In this mini-review, treatment options described in recent studies are discussed, and the latest products used in sensitivity prevention are compared in detail, in order to facilitate the management of these painful lesions.