Abstract Background Infective endocarditis (IE) is a serious disease with a high mortality rate. Antibiotic prophylaxis for bacterial endocarditis before invasive procedures has been recommended in patients with predisposing cardiac conditions since 1960, but contemporary guidelines worldwide have proposed changes. Objective To evaluate the knowledge and pattern of prescription by cardiologists and dentists regarding antibiotic prophylaxis for bacterial endocarditis before risky oral procedures. Methods This is an observational and cross-sectional study. Data were obtained from an online questionnaire, sent to cardiologists and dentists linked to specialty societies, in the first semester of 2021. Data analysis was performed using descriptive statistics, and comparisons between variables were done in an exploratory approach. The significance level adopted was 5%. Results From 613 responders, 82.5% of cardiologists and 79.5% of dentists reported prescribing antibiotic prophylaxis for patients at high and moderate risk for IE. Of dental procedures capable of generating bacteremia, all were correctly identified by more than 50.0% of the sample. As for the habits of daily living, flossing and toothbrushing had almost 50.0% of correct answers, chewing had only 17.3%, and 40.9% reported that none of the actions presented a risk of bacteremia. When comparing variables, the correct prescription of amoxicillin (2 g, 30–60 minutes before the procedure) was more prevalent among cardiologists and in responders with less than 20 years of graduation (p<0.01). Conclusion In the present study, the prescription of antibiotic prophylaxis for IE were frequent for high- and moderate-risk patients, before oral/dental procedures. Partial knowledge was found about endocarditis, which highlights the need for continuous medical/dental education. (IE rate 1960 changes crosssectional cross sectional study questionnaire societies 2021 statistics approach 5 5% 61 825 82 82.5 795 79 79.5 bacteremia 500 50 0 50.0 sample living answers 173 17 3 17.3% 409 40 9 40.9 2 ( g 3060 30 60 30–6 procedure p<0.01. p001 p p<0.01 . 01 (p<0.01) moderaterisk oraldental medicaldental medical education 196 202 6 8 82. 7 79. 50. 1 17.3 4 40. 306 30– p00 p<0.0 (p<0.01 19 17. p0 p<0. (p<0.0 p<0 (p<0. p< (p<0 (p< (p

ABSTRACT Background: Infection with the human T-lymphotropic virus type 1 (HTLV-1) affects an estimated 10-15 million people worldwide. However, knowledge of the impact of HTLV-1 infection on work ability is lacking. This study aimed to measure the frequency and identify factors associated with poor work ability in patients living with HTLV-1. Methods: This cross-sectional study included 207 individuals infected with HTLV-1 who attended the University Hospital in Salvador, Bahia, Brazil. HTLV-1 antibodies were detected in the participants’ blood by enzyme-linked immunosorbent assay (ELISA) and confirmed by western blotting. Participants answered a questionnaire on sociodemographic data, personal habits, clinical data, health-related quality of life, and work ability, evaluated using the work ability index questionnaire. A Poisson regression model with a robust variance estimate was used to identify the factors associated with the prevalence of poor work ability. Results: Patients mean age was 55.2, ranging from 19 to 84 years, 73.0% were females, 100% had monthly family income less than US$ 394, and 33.8% presented HTLV-1 associated myelopathy/tropical spastic paraparesis (HAM/TSP). No individual was classified as having excellent work ability. Poor work ability prevalence was strongly associated (prevalence ratio; 95% confidence interval [CI]) with sedentarism (1.30; 1.03-1.65), neurological symptoms (1.25; 1.02-1.52), and low physical (0.95; 0.94-0.96) and mental (0.98; 0.97-0.99) component summaries of health-related quality of life. Conclusions: Poor work ability among people living with HTLV-1 is associated with sedentarism, neurologic symptoms, and low health-related quality of life.

Resumno Objetivos: Apresentar uma série de casos retrospetiva, de indivíduos com diagnóstico de epidermólise bolhosa atendidos em um hospital universitário. Métodos: Foram avaliados dados socioeconómicos, frequência de comorbidades sistémicas e condição de saúde bucal em pacientes com diagnóstico de epidermólise bolhosa sob acompanhamento médico e odontológico, no período de 2014 a 2019, em um hospital universitário da rede pública em Salvador, Bahia, Brasil. Resultados: A amostra foi composta por 33 indivíduos com idades variando entre 0 e 41 anos. A análise socioeconómica demonstrou que a renda familiar de até um salário mínimo foi a mais frequente (72,6%). Quanto ao subtipo, o distrófico recessivo teve o maior número de casos (75,7%). Foi encontrada alta prevalência de comorbidades sistémicas e alterações estomatológicas como a anemia, infeções, estenoses esofágicas, insuficiência cardíaca congestiva, carcinoma espinocelular, cicatrizes, microstomia, anquiloglossia, úlceras intrabucais e cárie dentária. O CPOD médio da amostra foi de 11,2, sendo o componente cariado o que mais contribuiu com o índice. Conclusões: As desordens estomatológicas são frequentes nos indivíduos com epidermólise bolhosa, resultando em modificações importantes na cavidade bucal, sintomatologia dolorosa, gengivite e um índice de CPOD elevado. Torna-se necessário a presença do médico dentista na equipa multiprofissional de modo a atuar precocemente na prevenção, diagnóstico e tratamento das patologias bucais.

Abstract Objectives: To present a retrospective descriptive study of a case series of individuals diagnosed with epidermolysis bullosa treated at a university hospital. Methods: Socioeconomic data, frequency of systemic comorbidities, and oral health condition were evaluated in patients diagnosed with epidermolysis bullosa undergoing medical and dental care from 2014 to 2019 at a public university hospital in Salvador, Bahia, Brazil. Results: The sample consisted of 33 individuals with ages ranging from 0 to 41 years. The socioeconomic analysis showed that family income of up to one minimum wage was the most frequent (72.6%). As for the subtype, the recessive dystrophic epidermolysis bullosa corresponded to the highest number of cases (75.7%). A high prevalence of systemic comorbidities and stomatological changes was found, such as anemia, infections, esophageal strictures, congestive heart failure, squamous cell carcinoma, scars, microstomia, ankyloglossia, intraoral ulcers, and dental caries. The average DMFT index of the sample was 11.2, with the decayed component contributing most to the index. Conclusions: Stomatological disorders are prevalent in individuals with epidermolysis bullosa, resulting in important changes in the oral cavity, painful symptoms, gingivitis, and a high DMFT index. The dentist should be included in the multidisciplinary team to act early in the prevention, diagnosis, and treatment of oral pathologies.

RESUMO Objetivo: Avaliar a qualidade de vida relacionada à saúde bucal (QVRSB) em indivíduos com asma grave, comparando-a com a observada em indivíduos com asma leve a moderada e sem asma. Métodos: Trata-se de um estudo transversal com 125 indivíduos: 40 com asma grave, 35 com asma leve a moderada e 50 sem asma. Foram avaliados o índice de dentes cariados, perdidos e obturados (CPO-D), o Periodontal Screening and Recording (PSR, Registro Periodontal Simplificado) e o fluxo salivar estimulado. Foram aplicados três questionários estruturados: o 14-item Oral Health Impact Profile (OHIP-14), o Medical Outcomes Study 36-Item Short-Form Health Survey, version 2 (SF-36v2) e o Índice de Capacidade para o Trabalho (ICT). Resultados: Periodontite e fluxo salivar reduzido foram mais comuns no grupo com asma grave do que nos grupos com asma leve a moderada e sem asma. Além disso, a pontuação obtida no ICT e em todos os domínios do SF-36v2 foi menor no grupo com asma grave do que nos grupos com asma leve a moderada e sem asma. A pontuação nos domínios do OHIP-14 também foi menor nos indivíduos com asma grave do que naqueles sem asma. Embora não tenha havido diferença significativa entre os grupos quanto à média do índice CPO-D, a maior média de dentes perdidos foi observada no grupo com asma grave. Correlações fortes entre os Resumos dos Componentes do SF-36v2 e pior QVRSB foram observadas apenas no grupo com asma grave. Conclusões: A asma grave parece estar relacionada com pior saúde bucal, pior QVRSB, menor ICT e menor pontuação nos domínios do SF-36v2.

ABSTRACT Objective: To evaluate oral health-related quality of life (OHRQoL) among individuals with severe asthma, comparing it with that observed among individuals with mild-to-moderate asthma and individuals without asthma. Methods: We conducted a cross-sectional study of 125 individuals: 40 with severe asthma; 35 with mild-to-moderate asthma; and 50 without asthma. We calculated the decayed, missing, and filled teeth (DMFT) index, as well as the Periodontal Screening and Recording index, and determined the stimulated salivary flow rate. We applied three structured questionnaires: the 14-item Oral Health Impact Profile (OHIP-14); the Medical Outcomes Study 36-Item Short-Form Health Survey, version 2 (SF-36v2); and the Work Ability Index (WAI). Results: Periodontitis and reduced salivary flow were both more common in the severe asthma group than in the mild-to-moderate asthma and no-asthma groups. In addition, the WAI scores were lower in the severe asthma group than in the mild-to-moderate asthma and no-asthma groups, as were the scores for all SF-36v2 domains. The individuals with severe asthma also scored lower for the OHIP-14 domains than did those without asthma. Although the mean DMFT index did not differ significantly among the groups, the mean number of missing teeth was highest in the severe asthma group. Strong correlations between the SF-36v2 Component Summaries and poorer OHRQoL were only observed in the severe asthma group. Conclusions: Severe asthma appears to be associated with poorer oral health, poorer OHRQoL, a lower WAI, and lower scores for SF-36v2 domains.

ABSTRACT Erythema multiforme (EM), Stevens-Johnson Syndrome and Toxic Epidermal Necrolysis (TEN) have been reported as possible adverse effects of some classes of first-line antiretroviral drugs (ART) for HIV treatment. Herein we report an unusual presentation of TEN lesions associated with ART in an HIV-infected patient. The patient presented disseminated cutaneous eruption and oral lesions from the lips to the oropharynx region, causing odynophagia and dysphagia. In the tongue, circular, atypical erythematous lesions appeared, increasing in diameter over seven days and coalescing since then to complete remission. TEN treatment included efavirenz interruption, use of methylprednisolone, prophylactic antibiotic, and daily laser therapy with low-intensity red light. The circular oral lesions have not been described yet. Reporting our findings and clinical management may help diagnosing other similar cases and guide the clinical conduct. Analgesia and acceleration of oral ulcer repair with red laser therapy are recommended.

Resumo Este estudo teve como objetivo avaliar a acurácia de radiografias panorâmicas digitais obtidas por sistema digital baseado em dispositivo acoplador de carga (DAC) e por sistema de placa de fósforo (PF) com duas diferentes extensões de arquivo (JPEG e BMP, sendo o primeiro do tipo compactador irreversível). Medidas lineares de defeitos ósseos foram realizadas em mandíbulas secas com paquímetro digital. As medidas correspondentes nas radiografias panorâmicas digitais foram realizadas no software ImageJ(r). As medidas foram realizadas duas vezes por um examinador. A concordância intraexaminador foi considerada muito forte (coeficiente de correlação de Pearson de 0,97). Não houve diferença significante entre as medidas lineares das mandíbulas secas, consideradas padrão-ouro, em relação às medidas obtidas das radiografias digitais (p=0,47). Os erros absolutos e relativos dessas medidas para o DAC foram de 1,04 mm (9,97%) para as imagens JPEG e de 1,03 mm (9,99%) para aquelas com extensão BMP. Para o sistema digital com PF esses valores foram de 1,48 mm (14,94%) e 1,43 mm (14,43%), respectivamente. Apesar de não ter havido diferença estatística entre as imagens com extensão JPEG e BMP, para ambos os sistemas digitais (p=1,00 para DAC e p=0,98 para a PF), os erros das medidas realizadas nas radiografias obtidas pelo sistema de PF foram significativamente maiores que os erros do DAC (p<0,05). O tamanho dos arquivos salvos em JPEG também foram significativamente menores (p=0,005) em comparação com os arquivos salvos em BMP. Pode-se concluir que as radiografias digitais tanto com extensão JPEG quanto BMP são acuradas, independente do sistema digital utilizado e as imagens salvas em JPEG são mais indicadas em telerradiologia.

Abstract This study aimed to evaluate the accuracy of panoramic radiographs obtained by digital system based on charge coupled device (CCD) and a phosphor storage plate (PSP) system with two different file formats, JPEG irreversible type and BMP. Linear measurements of artificial bony defects were made in dry mandibles with a digital caliper. Measures of digital panoramic radiographs were taken in ImageJ(r) software. Each measurement was performed twice by an experienced examiner. The intra-rater agreement was considered very strong (Pearson's correlation coefficient of 0.97). There was no significant difference between the linear measurements of dry mandibles, considered the gold standard, in relation to measurements obtained from digital radiographs (p=0.47). The error of these measures for the CCD was 1.04 mm (9.97%) for JPEG images and 1.03 mm (9.99%) for those with BMP format. For the PSP images, these values were 1.48 mm (14.94%) and 1.43 mm (14.43%), respectively. Although there was no statistical difference between the images with JPEG and BMP format, for both digital systems (p=1.00 for CCD and p=0.98 for PSP system), errors made on radiographs obtained by PSP system were significantly higher than those of CCD (p<0.05). The size of the files saved in JPEG was also significantly lower (p=0.005) compared with the files saved in BMP. It may be concluded that the digital radiographs, both saved in JPEG and BMP formats, are accurate, regardless the used digital system, and JPEG images are more suitable for teleradiology.

The radiographic features of an intraosseous lesion are usually associated with the biological behavior of the tumor. In view of the fact that the growth and behavior of keratocystic odontogenic tumors (KCOT) is mainly associated with the proliferation of the cystic epithelium, the objective of the present study was to evaluate the relationship between cell proliferation markers and radiographic features of this tumor. Thirty-seven radiographs of KCOT obtained from 30 patients were scanned and evaluated on a monitor. Sections were submitted to immunohistochemistry for Ki-67, p63, and p53 proteins on an EnVision system. Thirty-one KCOTs were observed in the posterior of the mandible, and the unilocular aspect was predominant (n= 26). Nineteen KCOTs distorted the mandibular canal and 11 displaced teeth. Satellite cysts were associated with a multilocular aspect (P= 0.016). p53 was in KCOTS with diffuse margins (p=0.049), p63 with NBCCS (p=0.049) KOT and higher KI-67 positive cells was observed in KCOTs presenting distortion of the mandibular canal (p=0.042). The distribution of Ki-67, p63, and p53 positive cells was similar between KCOTs with uni- and multilocular aspects. The results of the present study suggest that cell proliferation in KCOT contributes to the radiographic features of this tumor.

Las características radiográficas de una lesión intraósea se asocian generalmente con el comportamiento biológico del tumor. Debido a esto, el crecimiento y comportamiento de los tumores odontogénicos queratoquísticos se asocian principalmente con la proliferación del epitelio quístico. El objetivo del estudio fue evaluar la relación entre los marcadores de proliferación celular y las características radiológicas de este tumor. Se escanearon y evaluaron 37 radiografías de tumores odontogénicos queratoquísticos obtenidos de 30 pacientes y las secciones de sus biopsias fueron sometidas a evaluación inmunohistoquímica para las proteíneas Ki-67, p63 y p53 en un sistema Envision. Se observaron 31 tumores odontogénicos queratoquísticos en el área posterior de la mandíbula, con predominio del aspecto unilocular (n= 26). Diecinueve tumores odontogénicos queratoquísticos distorsionaron el canal mandibular y se observaron 11 dientes desplazados. Los quistes satélites se asociaron con el aspecto multilocular (P= 0,016). La distribución de células positivas para Ki-67, p63 y p53 fue similar entre tumores odontogénicos queratoquísticos con aspectos uniformes y multiloculares, y no estaban relacionadod con la distorsión del canal mandibular (P>0,05) o con el desplazamiento del diente (P>0,05). Los resultados del presente estudio sugieren que la proliferación celular en tumores odontogénicos queratoquísticos contribuye a las características radiográficas de este tumor.

O objetivo deste trabalho foi comparar o plano de tratamento delineado a partir do diagnóstico obtido através de duas análises cefalométricas distintas, com a decisão clínica tomada para o tratamento cirúrgico de pacientes portadores de maloclusão classe III esquelética. Para isto foram avaliados 82 pacientes classe III esquelética, divididos em três grupos de acordo com o procedimento cirúrgico realizado para a correção da deformidade dentofacial. Suas radiografias cefalométricas pré-operatórias foram submetidas à análise cefalométrica de McNamara e de Steiner. A associação das variáveis foi avaliada pelo teste de correlação de Kappa (α=5%). A concordância entre a indicação do tratamento cirúrgico baseado na decisão clínica e o tratamento cirúrgico proposto a partir da avaliação das análises de McNamara e de Steiner não foi significante (p=0,6094 e p=0,5442,respectivamente). As análises de McNamara e de Steiner apresentaram concordância razoável entre si para o diagnóstico, porém não apresentam concordância com a decisão clínica para o tratamento de pacientes CIII esquelética, sendo as duas análises igualmente imprecisas na indicação do tratamento cirúrgico dos pacientes da amostra.

The aim of the present study was to compare the treatment plan outlined from the diagnosis obtained by two different cephalometric analyses with the clinical decision made for surgical treatment of patients with skeletal Class III malocclusion. For this purpose, 82 skeletal Class III patients were evaluated, divided into three groups according to the surgical procedure performed for dentofacial deformity correction. Their preoperative cephalometric radiographs were submitted to McNamara and Steiner cephalometric analyses. The association of variables was evaluated by Kappa correlation (α=5%). The agreement between indication of surgical procedures performed based on clinical decision and surgical treatment indicated based on the evaluation of McNamara and Steiner cephalometric analyses were not significant (p=0.609 and p=0.544, respectively). McNamara and Steiner analyses showed reasonable agreement with each other as to the diagnosis, but did not agree with the clinical decision to treat skeletal CIII patients. Both tests were equally inaccurate in the indication of the surgical treatment.

O cistadenoma de glândula salivar é uma neoplasia benigna incomum, que exibe projeções papilíferas intraluminais. Os autores descrevem um caso de cistadenoma localizado na mucosa jugal, discutindo os aspectos histomorfológicos e o diagnóstico diferencial desse tumor.

Cystadenoma of salivary glands is an uncommon benign neoplasm that presents intraluminal papillary projections. The authors describe one case of cystadenoma located in the buccal mucosa and highlight its histomorphological features and differential diagnosis.

OBJETIVO: Avaliar os efeitos da radioterapia e a acurácia da mensuração do nível de cinza do tecido ósseo em imagens radiográficas. MATERIAIS E MÉTODOS: Quatro ratos Wistar foram submetidos a radioterapia externa (dose única de 3.000 cGy) em uma área de 2 cm × 2 cm na perna direita. Os animais foram sacrificados seis semanas após a radioterapia, e tanto as pernas irradiadas quanto as contralaterais (não-irradiadas) foram avaliadas na sua espessura, radiografadas de forma padronizada e processadas histologicamente (hematoxilina-eosina e picrossírius). As radiografias foram digitalizadas e a média dos níveis de cinza foi mensurada no programa Image Tool®. RESULTADOS: A espessura do fêmur foi maior na perna contralateral do que na irradiada (p < 0,05). Radiograficamente, observou-se maior quantidade de tecido ósseo na perna contralateral em relação à perna irradiada, porém sem diferença estatística significante (p > 0,05). Histologicamente, foi possível observar, na perna irradiada, diminuição do número de osteócitos e dos canais de Havers, porém sem diferença estatística significante (p > 0,05). Por outro lado, foi observado aumento significante de adipócitos, com conseqüente diminuição de tecido medular na perna irradiada (p < 0,05) e maior atividade osteoblástica na perna contralateral (p < 0,05). CONCLUSÃO: A radioterapia, na dose aplicada, determinou diminuição da atividade de remodelação óssea, que pôde ser detectada radiograficamente na maioria dos espécimes avaliados.

OBJECTIVE: To investigate the effects of radiotherapy on bone tissues and the accuracy of gray level measurements on radiographic images. MATERIALS AND METHODS: Four Wistar rats were submitted to external radiotherapy (single 3000 cGy dose) on an area of 2 cm × 2 cm of their right legs. The animals were sacrificed six weeks after radiotherapy, and both irradiated and contralateral (non-irradiated) legs were removed, dissected, evaluated for thickness, x-rayed in a standardized form and histologically processed (stained with hematoxylin-eosin and picrosirius red). The radiographs were digitalized and the gray level average was measured with the ImageTool® software. RESULTS: The femur thickness of non-irradiated legs was greater than that of the irradiated legs (p < 0.05). Radiographically, the findings indicated a higher bone density in the non-irradiated legs, although with no statistically significant difference (p > 0.05). Histological analysis of the irradiated legs demonstrated a decrease in the number of osteocytes and Haversian canals, although with no statistically significance (p > 0.05). On the other hand, a significant increase in adipocytes was observed, resulting in a reduction of medullary tissue in the irradiated legs (p < 0.05), besides a higher osteoblastic activity in the non-irradiated legs (p < 0.05). CONCLUSION: Radiotherapy within the above mentioned parameters determined a decrease in activity of bone remodeling, which could be radiographically detected in the majority of the evaluated specimens.

O ameloblastoma é uma neoplasia odontogênica benigna comumente encontrada nos ossos maxilares. Histologicamente, mostra diversos padrões, incluindo a ameloblastoma plexiforme e folicular. Quando estes padrões histológicos coexistem com um ameloblastoma que exibe abundante desmoplasia, são então denominados de lesão ‘híbrida" de ameloblastoma desmoplásico e convencional. No presente trabalho, nos propomos a relatar um caso de lesão híbrida de ameloblastoma desmoplásico e convencional destacando os aspectos imuno-histoquímicos relativos a expressão das proteínas da matriz extracelular (tenascina, fibronectina e colágeno I).

Ameloblastoma is a benign epithelial odontogenic tumor and is the most commonly encountered odontogenic tumor in the jaws. Histologically, ameloblastomas occur in different patterns, including plexiform pattern and follicular pattern. "Hybrid " lesion of ameloblastoma is a tumor variant in which histologically, areas of follicular or plexiform ameloblastoma coexist with characteristic areas of ameloblastoma exhibiting pronounced stromal desmoplasia (desmoplastic ameloblastoma). The purpose of this article is to present a case of "hybrid" lesion of desmoplastic ameloblastoma (AD) and conventional, and investigate extracellular matrix proteins such as tenascin, fibronectin, and type I collagen.

Nesta pesquisa, o objetivo foi avaliar os deslocamentos de disco (DDs) da articulação temporomandibular (ATM) de pacientes indicados para ressonância magnética (RM), no que concerne ao tipo e à prevalência do DD, distribuição por sexo, faixa etária e lado, a estalidos articulares (EAs), dor, amplitude do movimento de abertura da boca e condição da dentição. A amostra constou de 113 pacientes, na faixa etária de 12 a 78 anos (média de 36,4 ± 13,5 anos), 92 do gênero feminino e 21 do gênero masculino, examinados no período de julho de 2001 a dezembro de 2002. Os exames foram procedidos em equipamento modelo Signa Horizon (GE), magnitude do campo magnético de 1,5 T, com bobina bilateral de superfície de 6,5 x 6,5 cm. Vinte e três (20,4%) pacientes apresentaram condição de normalidade, enquanto 90 (79,7%) apresentaram-se acometidos por DDs, sendo que DD anterior (61,1%) foi o mais prevalente. Indivíduos do gênero feminino e do gênero masculino foram igualmente afetados pela condição (diferença estatística não significante). Não observamos associação estatisticamente significante entre DD e elevação da faixa etária. A ocorrência bilateral de DD (70%), em relação à ocorrência unilateral, foi mais prevalente. Observamos associação estatisticamente significante entre DD anterior com redução e EA. Não observamos associação estatisticamente significante entre DD e dor, seja articular, facial, otalgia ou cefaléia. Observamos associação estatisticamente significante entre DD anterior sem redução e limitação de abertura de boca. Não observamos associação estatisticamente significante entre DD e perda de dentes.

The aim of the present research was to evaluate disk displacements (DDs) of the temporomandibular joint (TMJ) among patients referred for magnetic resonance imaging (MRI) scans, and analyze the type and prevalence of DD, gender, age, side distribution, reciprocal clicking, presence of pain, range of mouth opening movement, and dental condition. The sample comprised 113 patients, 12-78 years old (the age average was 36.4 ± 13.5 years), 92 females and 21 males, who underwent MRI between July 2001 and December 2002. A Signa Horizon system (GE) MRI scanner was used at a magnetic field magnitude of 1.5 T with a bilateral radiofrequency surface coil (6.5 x 6.5 cm). Twenty-three (20.4%) patients were found to be normal, whereas 90 (79.7%) presented with DD. Anterior DD (61.1%) was the most common type of articular disk displacement. Males and females were equally affected (no statistically significant difference). We did not find a statistically significant association between DD and increased age. Bilateral DD (70%) was the most common DD occurrence. We found a statistically significant association between reciprocal clicking and anterior DD with reduction. We did not find a statistically significant association between DD and pain, be it articular or facial pain, otalgia or cephalgia. We found a statistically significant association between anterior DD without reduction and mouth opening limitation. With regard to oral condition, we did not find a statistically significant association between DD and loss of teeth.

O deslocamento de disco da articulação temporomandibular tem sido definido como uma relação anormal do disco articular com o côndilo mandibular, fossa e eminência articulares. Os deslocamentos de disco podem estar presentes sem interferir com a função articular a curto prazo. A ressonância magnética tem sido o exame de imagem de primeira escolha para o diagnóstico das anormalidades de tecido mole da articulação temporomandibular, uma vez que apresenta alta acurácia na determinação da posição do disco articular. O objetivo deste trabalho é apresentar uma revisão de literatura, demonstrando os aspectos normais e os diferentes tipos de deslocamentos de disco desta articulação e o seu diagnóstico por imagem, destacando o papel do exame por ressonância magnética.

Disc displacement of the temporomandibular joint has been defined as an abnormal relationship between the articular disc and the mandibular condyle, fossa and articular eminence. Disc displacements may occur without immediate interference in the function of the joint. Magnetic resonance imaging shows high diagnostic accuracy in the determination of articular disc position and has been indicated as the diagnostic method of choice for soft tissue abnormalities of the temporomandibular joint. The aim of this study is to review the literature including the normal features and different types of disc displacement of the temporomandibular joint as well as the imaging findings, emphasizing the role of magnetic resonance imaging.