Case Report
Volume 5 Issue 9
The Application of Botulinum Toxin in Times of COVID-19:
Highlighting the Upper Third of the Face
Luciana Nunes de Luna, Erika Regina Stocco Di Francesco, Rabbith Ive Carolina Shitsuka Risemberg, CaIeb
Shitsuka and Irineu Gregnanin Pedron
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Botulinum toxin type A has gained fame for its aesthetic results. However, it is a drug that was initially used by Ophthalmology, indicated
in cases of blepharospasm and strabismus, with therapeutic purpose. The toxin has been indicated in various dental indications, such
as gummy smile; bruxism and clenching; masseteric hypertrophy; trismus; temporomandibular dysfunctions; coadjuvant to surgical
procedures such as arthrocentesis or during the osseointegration period, reducing masticatory forces; orofacial pain; facial palsy;
sialorrhea; and oromandibular and orofacial dystonia. The protocol for facial aesthetics is basically the same as for orofacial pain.
Care is required to ensure that the results are not asymmetrical or artificial. During the COVID-19 pandemic, the upper third of the
face was highlighted by the use of protective masks. This evidencing also caused the need for aesthetic care, despite the various
management methods during the pandemic, such as social isolation and lockdown imposed by security and public health measures.
The purpose of this article is to present the case of a patient who, during the COVID-19 pandemic, required for aesthetic reasons, the
application of botulinum toxin in the upper third of the face. The aesthetic results were presented and discussed. The botulinum toxin
applications, in this pandemic phase, became a relief for patients, increasing satisfaction, self-esteem and quality of life.
Keywords:Botulinum Toxins Type A; Aesthetics; Dentistry
Review Article
Volume 5 Issue 9
Do you know how Osseointegrated Implants are Manufactured?
Marli Rodrigues Martins, Mario Cappellette Junior, Marcia Ribeiro de Alcantara-Nascimento, Endrigo Sperto
Rodrigues dos Santos, João Marcelo Ferreira de Medeiros and Irineu Gregnanin Pedron
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The osseointegrated implants market is very wide, represented by various commercial brands and models. The choice of
commercial brands should preferably be based on scientific research. The scientific and technological evolution allowed, along
the years, the manufacturing of better products. The manufacture of the implant involves several stages and processes that must
be known by the dental surgeon. This knowledge also allows the professional to choose better products. The traceability of these
products increases the safety of use and subsequently the offer of quality to the final consumer (patient). We, dental surgeons with
exclusively clinical activities, know little about the manufacturing process of osseointegrated implants. In this perspective, the
purpose of this article is to present the step-by-step process of fabrication of osseointegrated implants.
Keywords:Osseointegrated Implants; Scientific Research; Better Products
Research Article
Volume 5 Issue 9
Relevance of Manual Reduction and it’s Applicability in Surgical Management
of Mandibular Fractures: An Institutional Study
Karan Padha, Tejinder Kaur and Jasmine Kaur
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The purpose of this study was to prospectively compare the technique of manual reduction to intermaxillary fixation (IMF) in
surgical management of mandibular fractures and to understand its relevance and applicability in the present day and age. The
present study was undertaken in 20 patients with mandibular fractures reporting to the department of Oral and Maxillofacial Surgery,
Sri Guru Ram Das Institute of Dental Sciences and Research, Sri Amritsar. Patients with unilateral or bilateral mandibular fractures
(not involving condyle) requiring open reduction and internal fixation were included in the study. In group A, the average time taken
for open reduction and internal fixation was 59.1 ± 16.36 minutes as compared to 83.1 ± 13.54 minutes for IMF group. The mean
postoperative radiographic score at 2nd day, 7th day, 6th week and 3rd month in group A (Manual reduction) was 2.6 as compared
to 2.5 in IMF group. There was 3 instances of blood after glove perforation in IMF group as compared to none in manual reduction
group. Manual reduction during open reduction and internal fixation can be definitely recommended in cases of isolated unilateral
or bilateral mandibular fractures provided a skilled and experienced assistant is present during the surgical procedure, providing an
excellent and safer alternative to the more invasive IMF.
Keywords:Mandibular Fracture; Manual Reduction; Inter-Maxillary Fixation; Open Reduction and Internal Fixation
Case Report
Volume 5 Issue 9
Use of Mechanized Instrumentation for Endodontic Treatment in Deciduous Teeth
Raquel M Viana Hissa, Fernanda Hecksher, Bruno César Ladeira Vidigal and Mario Sergio Fonseca
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Introduction: Mechanized instrumentation in primary teeth has been studied for the increasing technology and innovation employed
in rotary and reciprocating instruments used in the biomechanical preparation of root canals with the aim of increasing the success
rates of endodontic treatment in deciduous teeth.
Objective: The present study aims to describe a clinical case using the Mtwo rotary instrumentation system in primary teeth.
Conclusion: The Mtwo system used in this study proved to be efficient in formatting the root canal and obturation with iodoform
paste was able to fill the entire root canal of the instrumented tooth, reducing the symptoms reported by the patient.
Keywords:Mandibular Fracture; Manual Reduction; Inter-Maxillary Fixation; Open Reduction and Internal Fixation
Research Article
Volume 4 Issue 11
Clinical Performance and Antibacterial Effect of Two Luting Cements Used
with CAD-CAM Zirconia Space Maintainer
Ibrahim Barakat, Mohamed Galal Aboelsoud and Salem Abdelhakim
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Background: Premature loss of primary molars plays a significant role in the malfunction of the masticatory apparatus and
considerable malocclusion. Space maintainers referred to appliances that preserve the space for adequate eruption of permanent
teeth. In modern civilization, the era of esthetics has the main interest of people; therefore, the introduction of new materials and
techniques is required.
Methods: In the present study, clinical and antimicrobial evaluation of two luting types of cement [(glass ionomer cement (group A)
and resin cement (group B)] under custom made zirconia space maintainers.
Results: Twenty-four space maintainers (96%) remain in position and function after three months of evaluation for group A and
92% for group B. Also, there was no significant difference in the antibacterial properties between the two groups.
Conclusion: Both luting types of cement provided a sufficient success rate during the clinical evaluation period.
Keywords:Space Maintainers; Zirconia; GIC; Resin Cement; Streptococcus mutans
