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Chaiben CL, Macedo NF, Batista TBD, Penteado CAS, Ventura TMO, Dionizio A, Souza PHC, Buzalaf MAR, Azevedo-Alanis LR. Salivary protein candidates for biomarkers of oral disorders in people with a crack cocaine use disorder. J Appl Oral Sci 2023; 31:e20220480. [PMID: 37194792 DOI: 10.1590/1678-7757-2022-0480] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 12/16/2022] [Accepted: 04/06/2023] [Indexed: 05/18/2023] Open
Abstract
The use of cocaine and its main derivative, crack, can cause some systemic effects that may lead to the development of some oral disorders. To assess the oral health of people with a crack cocaine use disorder and identify salivary protein candidates for biomarkers of oral disorders. A total of 40 volunteers hospitalized for rehabilitation for crack cocaine addiction were enrolled; nine were randomly selected for proteomic analysis. Intraoral examination, report of DMFT, gingival and plaque index, xerostomia, and non-stimulated saliva collection were performed. A list of proteins identified was generated from the UniProt database and manually revised. The mean age (n=40) was 32 (±8.88; 18-51) years; the mean DMFT index was 16±7.70; the mean plaque and gingival index were 2.07±0.65 and 2.12±0.64, respectively; and 20 (50%) volunteers reported xerostomia. We identified 305 salivary proteins (n=9), of which 23 were classified as candidate for biomarkers associated with 14 oral disorders. The highest number of candidates for biomarkers was associated with carcinoma of head and neck (n=7) and nasopharyngeal carcinoma (n=7), followed by periodontitis (n=6). People with a crack cocaine use disorder had an increased risk of dental caries and gingival inflammation; less than half had oral mucosal alterations, and half experienced xerostomia. As possible biomarkers for 14 oral disorders, 23 salivary proteins were identified. Oral cancer and periodontal disease were the most often associated disorders with biomarkers.
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Affiliation(s)
- Cassiano Lima Chaiben
- Pontifícia Universidade Católica do Paraná, Escola de Ciências da Vida, Programa de Pós-graduação em Odontologia, Curitiba, PR, Brasil
| | - Nayara Flores Macedo
- Pontifícia Universidade Católica do Paraná, Escola de Ciências da Vida, Programa de Pós-graduação em Odontologia, Curitiba, PR, Brasil
| | - Thiago Beltrami Dias Batista
- Pontifícia Universidade Católica do Paraná, Escola de Ciências da Vida, Programa de Pós-graduação em Odontologia, Curitiba, PR, Brasil
| | - Carlos Antonio Schaffer Penteado
- Pontifícia Universidade Católica do Paraná, Escola de Ciências da Vida, Programa de Pós-graduação em Odontologia, Curitiba, PR, Brasil
| | - Talita M O Ventura
- Universidade de São Paulo, Faculdade de Odontologia de Bauru, Departamento de Ciências Básicas, Bauru, SP, Brasil
| | - Aline Dionizio
- Universidade de São Paulo, Faculdade de Odontologia de Bauru, Departamento de Ciências Básicas, Bauru, SP, Brasil
| | - Paulo Henrique Couto Souza
- Pontifícia Universidade Católica do Paraná, Escola de Ciências da Vida, Programa de Pós-graduação em Odontologia, Curitiba, PR, Brasil
| | | | - Luciana Reis Azevedo-Alanis
- Pontifícia Universidade Católica do Paraná, Escola de Ciências da Vida, Programa de Pós-graduação em Odontologia, Curitiba, PR, Brasil
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Sakamoto MY, Oliveira M, Macedo NF, Schwartz-Filho HO. Periodontal Surgery for Correction of Gingival Smile: a Case Report Analysis of Periodontal Parameters after 2 Years. J Health Scie 2021. [DOI: 10.17921/2447-8938.2021v23n1p79-83] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Abstract] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/24/2022] Open
Abstract
AbstractGingival smile is a term used to describe an aesthetic condition in which excessive gingival exposure at the jaw level occurs during smile. There are several factors related to its etiology, the most common is the altered passive eruption of anterior superior teeth. To correct this disharmony, a multidisciplinary approach is necessary, and the treatment plan depends on a correct diagnosis and assessment for a better prognosis. The present study aims to describe a clinical case where periodontal surgical techniques were used to correct this condition. Female patient, 25 years old, with aesthetic complaint of the amount of gum exposed when smiling and diagnosed with altered passive eruption. Clinical crown augmentation surgery was performed on the anterior superior teeth. After 1 and 2 years, periodontal clinical parameters (probing bleeding, probing depth, clinical attachment level, crown length, keratinized mucosa width and plaque index) were reassessed, through clinical examination, digital photographic monitoring and measurement tools. In two years, it was possible to note the stability of the results achieved, maintaining values similar to those of the immediate postoperative period. The case report confirmed the success of the clinical crown augmentation surgery and the periodontal parameters stability evaluated after 2 years. Keywords: Periodontics Surgery. Gingivectomy. Aesthetics. ResumoSorriso gengival é o termo utilizado para descrever uma condição estética em que ocorre uma exposição gengival excessiva ao nível da maxila, durante o sorriso. Há diversos fatores relacionados a sua etiologia, sendo a mais comum a erupção passiva alterada dos dentes ântero-superiores. Para correção dessa desarmonia é necessária uma abordagem multidisciplinar, sendo o plano de tratamento dependente de um correto diagnóstico e avaliação para um melhor prognóstico. O presente estudo tem objetivo de descrever um caso clínico onde técnicas cirúrgicas periodontais foram utilizadas para correção dessa condição. Paciente gênero feminino, 25 anos de idade, com queixa estética da quantidade de gengiva exposta ao sorrir e com diagnóstico de erupção passiva alterada. Foi submetida a cirurgia de aumento de coroa clínica nos dentes antero-superiores. Após 1 e 2 anos foram reavaliados os parâmetros clínicos periodontais (sangramento a sondagem, profundidade de sondagem, perda de inserção, comprimento da coroa, largura da mucosa queratinizada e índice de placa), através de exame clinico, acompanhamento digital fotográfico e ferramentas de medição de imagem. Em dois anos, foi possível constatar a estabilidade dos resultados alcançados, mantendo valores semelhantes aos do pós-operatório imediato. O relato de caso confirmou o sucesso da cirurgia de aumento de coroa clínica e a estabilidade dos parâmetros periodontais avaliados após 2 anos. Palavras-chave: Periodontia. Cirurgia. Gengivectomia. Estética.
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Baggio GL, Macedo NF, Merlin JC, Anghebem MI, Santos JCV, Ignácio SA, Rubira-Bullen IRF, Azevedo Alanis LR, Couto Souza PH. Inflammatory cytologic alterations in the oral epithelium associated with HIV pre-exposure prophylaxis: a preliminary study. Oral Surg Oral Med Oral Pathol Oral Radiol 2021; 131:534-539. [PMID: 33558169 DOI: 10.1016/j.oooo.2021.01.010] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 10/23/2020] [Revised: 12/21/2020] [Accepted: 01/08/2021] [Indexed: 10/22/2022]
Abstract
OBJECTIVE The objective of this study was to assess inflammatory cytologic alterations in the oral epithelium of patients on human immunodeficiency virus pre-exposure prophylaxis (PrEP). MATERIAL AND METHODS Epithelial cells from the buccal mucosa of 30 patients were collected by exfoliative cytology and were evaluated according to inflammatory cellular alterations: karyomegaly, bi- or multinucleation, karyopyknosis, karyorrhexis, perinuclear halo formation, metachromasia, cytoplasmic vacuolization, indistinct cytoplasmic border, keratinization, and atrophy. Epithelial cells were collected initially before PrEP onset (T1) and then after 30 days of PrEP use (T2). Two experienced cytopathologists independently analyzed the slides. RESULTS The nonparametric Wilcoxon test showed that there was a statistically significant increase in the number of cells with karyomegaly at T2 compared to T1 (P = .033). The other cellular alterations did not present with statistically significant differences between the 2 moments of evaluation (P > .05). CONCLUSION The increased number of oral epithelial cells with karyomegaly after 30 days of using PrEP suggests the presence of inflammatory alterations at this site.
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Affiliation(s)
- Gabriela Leite Baggio
- Graduate Program in Dentistry, Stomatology, School of Life Sciences, Pontifícia Universidade Católica do Paraná, Curitiba, Brazil
| | - Nayara Flores Macedo
- Graduate Program in Dentistry, Stomatology, School of Life Sciences, Pontifícia Universidade Católica do Paraná, Curitiba, Brazil
| | - Julio Cezar Merlin
- Assistant Professor, Department of Pharmacy, School of Life Sciences and School of Medicine, Pontifícia Universidade Católica do Paraná
| | - Mauren Isfer Anghebem
- Assistant Professor, Department of Pharmacy, School of Life Sciences and School of Medicine, Pontifícia Universidade Católica do Paraná; Assistant Professor, Department of Clinical Analysis, Universidade Federal do Paraná, Curitiba, Brazil
| | - Juliane Cardoso Villela Santos
- Public Health Nurse, Coordinator of the Centro de Orientação e Aconselhamento, Secretaria Municipal de Saúde de Curitiba, Brazil, Graduate Program in Dentistry (Public Health Area), School of Life Sciences, Potifícia Universidade Católica do Paran´
| | - Sérgio Aparecido Ignácio
- Full Professor, Graduate Program in Dentistry, School of Life Sciences, Pontifícia Universidade Católica do Paraná
| | - Izabel Regina Fischer Rubira-Bullen
- Full Professor, Department of Surgery, Stomatology, Pathology and Radiology, School of Dentistry Bauru, University of São Paulo, São Paulo, Brazil
| | - Luciana Reis Azevedo Alanis
- Full Professor, Graduate Program in Dentistry, School of Life Sciences, Pontifícia Universidade Católica do Paraná
| | - Paulo Henrique Couto Souza
- Full Professor, Graduate Program in Dentistry, School of Life Sciences, Pontifícia Universidade Católica do Paraná.
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Keppke EM, Baroudi R, Cevallos EF, Macedo NF. A rare congenital deformity of the external male genitalia. Plast Reconstr Surg 1970. [DOI: 10.1097/00006534-197012000-00029] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/25/2022]
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