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Objetivo: relatar um caso de aumento da hiperdensidade da cortical óssea línguo-basal pós-radioterapia emregião de cabeça e pescoço por meio de avaliação imaginológica. Relato de caso: paciente do sexo feminino,80 anos, procurou tratamento odontológico com a finalidade de reabilitação oral com implantes dentários.Na anamnese, relatou histórico de carcinoma espinocelular em regiões distintas da cavidade oral. No exameclínico, notou-se que a paciente era edêntula total e foi solicitado um exame de tomografia computadorizadade feixe cônico. Foi observado, na região anterior inferior, aumento da hiperdensidade da cortical óssea línguo-basal, com osso compacto mais espesso, achado incomum na literatura após radioterapia. Considerações finais: os efeitos da radioterapia em mandíbula estão relatados na literatura. No caso clínico em questão, detectou-se uma alteração pouco notada em pacientes submetidos à radioterapia, fazendo surgir novos questionamentos, sendo eles sobre o diagnóstico dessa modificação na estrutura óssea e suas repercussões.

The present study aims to evaluate the knowledge of dental students and dentists who work in Primary Health Care (PHC). These are professionals who work in the public basic health units regarding oral cancer prevention, diagnosis, and treatment.A cross-sectional and observational Brazilian study was conducted. A survey with 27 questions was carried out regarding the (i) demographic, academic, and professional data of the participants, (ii) attitudes, practices, and self-perception about their training, and (iii) knowledge about oral cancer. With the exception of one question regarding the clinical characteristics of oral cancer, all knowledge answers were graded as correct or incorrect. Grades were assigned to each participant according to their level of knowledge, and scores for each participant were calculated ranging from 1 to 10. Mann-Whitney and Kruskal-Wallis tests were used to examine the difference in the knowledge score of oral cancer according to explanatory variables. The level of significance adopted was 5%.The sample comprised 541 dental students and 82 PHC dentists. Most participants did not consider it appropriate or had not received training for palpation of lymph nodes or for identifying lymphadenopathies associated with oral cancer. Less than 20% of the participants had some kind of practice before and felt safe performing biopsy surgery. The average student score was 7.01 ± 2.15, and the average dentist score was 7.81 ± 1.467.Although the scores were satisfactory, most of the participants did not show adequate knowledge about biopsy and palpation of cervical lymph nodes.

O carcinoma espinocelular é a neoplasia mais frequente na cavidade oral. O tratamento com quimioterapia e radioterapia pode resultar em xerostomia e hipossalivação, sintomas que podem ser tratados com laserterapia de baixa intensidade. Este trabalho tem como objetivo relatar um caso de melhoria da xerostomia e da hipossalivação num paciente irradiado na região da cabeça e do pescoço tratado com laserterapia de baixa intensidade. Paciente do sexo masculino, 48 anos, queixou-se de boca seca. Tinha sido submetido a tratamento cirúrgico, quimioterapia e radioterapia devido a um carcinoma espinocelular da base da língua. Foi feito o planeamento de 10 sessões de laserterapia de baixa intensidade no modo infravermelho com aplicação de 1 J em pontos extra e intraorais e prescrição de saliva artificial. Foi observada melhoria no quadro por meio de escala visual analógica. São necessários novos estudos para avaliação do tratamento com laserterapia de baixa intensidade para esses sintomas, com o intuito de melhorar a qualidade de vida desses indivíduos.

Objetivos: Avaliar a utilização do midazolam, administrado no pré-operatório de exodontias de terceiros molares inclusos mandibulares, na redução da dor pós-operatória e nas alterações de pressão arterial e frequência cardíaca. Métodos: Estudo clínico, prospetivo e randomizado. Foi utilizada amostra de 14 pacientes, de ambos os géneros, com idade entre 15 e 27 anos, e indicação para exodontia de terceiro molar inferior incluso. Foram divididos em dois grupos: Grupo Midazolam (n=7), que recebeu midazolam (15 mg, via oral, 1 h antes da cirurgia) e Grupo Controle (n=7), que não recebeu a droga. Foi investigado a possível diminuição do limiar de dor através de uma Escala Visual Analógica, além das características de hipotensão e bradicardia causadas pelo midazolam, em diferentes períodos de tempo. Resultados: Houve diferença estatisticamente significativa (p=0,01) entre o limiar de dor entre os dois grupos, pelo teste não paramétrico de Mann-Whitney. Enquanto, as alterações de pressão arterial e frequência cardíaca não foram estatisticamente significativas (p>0,05), comparando os dois grupos. Conclusões: A administração do midazolam não foi efetiva na redução de dor pós-operatória de exodontia de terceiros molares inclusos mandibulares. Além disso, a pressão arterial e a frequência cardíaca não tiveram alterações significativas pela administração do medicamento.

Aim: The aim of this study is to offer an overview of the MedicalEmergencies (ME) discipline offer in Dentistry graduations insoutheastern Brazil and to observe the curricular characteristicsof the discipline when present. Methods: This cross-sectionaldocumentary study analyzed the available curricular frameworksin the official websites of Higher Education Institutions (HEI)in southeastern Brazil registered on the Ministry of Education’se-MEC website. The data were analyzed and tabulated using theGraphPad Prism 8.1.2 software, being described by absolute andrelative frequencies. Fisher’s exact test was used to compare theproportions between public and private institutions. Results:Of the 176 courses in the Southeast, 144 were included in thestudy for providing access to the curriculum, 19 (13.19%) werepublic and 125 (86.81%) were private. Only 27 (18.75%) of the HEIpresent the discipline of ME, with a greater tendency of supply inprivate HEIs (20.80%) when compared to public HEIs (5.26%),but this difference was not statistically significant (p> 0.05).As a positive aspect, the discipline is predominantly mandatory(88.88%), and the with regard to the teaching methodology ispredominantly theoretical (68.18%). The average workload is50.14 hours (SD=19.54). Conclusions: In only 18.75% of thedental institutions in Southeast Brazil, ME discipline were offered.When offered, the discipline is predominantly theoretical andmandatory. This study raises an important discussion regardingthe need to include specific and mandatory subjects on ME inthe dentistry curricula in Brazil and reflects the need to updateand standardize the national curricular guidelines for dentistry.

Introdução: O carcinoma adenoide cístico (CAC) é um tumor raro e apresenta alto potencial de metástase. Em situações na qual o tumor possui localização crítica, como no caso do palato, a remoção cirúrgica pode ser extremamente invasiva e mutilante, gerando sequelas que resultam em prejuízos funcionais e estéticos ao paciente. Objetivo: Relatar o caso clínico de confecção de prótese obturadora de palato implantossuportada para o tratamento de um paciente com comunicação buco-nasal decorrente da cirurgia de remoção de CAC. Relato de Caso: Paciente de 33 anos, sexo feminino, procurou atendimento odontológico 6 meses após a remoção cirúrgica de um CAC em região nasopalatal, para reabilitação de comunicação buco-nasal. Para correção desta comunicação, foi realizada a confecção de uma prótese obturadora imediata, implantossuportada, com o sistema Barra-Clip. Para isso, houve a instalação de implantes osseointegrados, convencional e zigomático, além de confecção de uma barra de metal para fixação da prótese. Com a prótese palatina confeccionada, realizou-se a captura de dois Clips com resina acrílica autopolimerizável. Após a confecção e instalação da prótese, a paciente foi acompanhada mensalmente durante seis meses. Conclusão: As próteses bucomaxilofaciais são eficazes na reabilitação das sequelas advindas do tratamento cirúrgico em pacientes oncológicos. A utilização de implantes osseointegrados e sistema Barra-Clip se mostram como boas alternativas para a confecção de pilares de sustentação desses dispositivos, conferindo estabilidade e retenção.

Objective: This study assessed the impact of oral rehabilitation with immediate-loading fixed prostheses on the quality of life of patients with mandibular edentulism. Materials and Methods: A longitudinal study was conducted on an outpatient basis. The sample included 14 patients over 18 years of age, treated in the Implantology Specialization programs of the Brazilian Dental Association (in Juiz de Fora, Brazil) and the School of Dentistry, Federal University of Juiz de Fora. Participants were interviewed about identification data, self-perceived general health and oral health, and socioeconomic data. The Oral Health Impact Profile (OHIP-14) was used. After the Kolmogorov-Smirnov normality test, the OHIP-14 central tendency values were compared using the Wilcoxon paired test with a 5% significance level. Results: The overall mean found for the quality of life questionnaire was 30.14 (before) and 48.93 (after). There was a significant reduction of impact in all areas in the post-surgical period, except for functional limitation. No impact was identified for the dimensions of physical pain and disability after installing implants. Conclusion: Prosthetic rehabilitation and self-perception have high impact on oral health, thus emphasizing the need for care, careful observation of all the factors that may have an influence on infirmities, and not only their signs and symptoms.

Paracocciodiomycosis (PCDM) is a chronic systemic fungal infection, mainly affecting residents and rural workers, being characterized by a long incubation period, which it can take months or years without clinical manifestations, making diagnosis late and difficult. Depending on the stage of the disease, it can cause sequelae and low quality of life, so its correct diagnosis is of great importance for the accurate treatment. Therefore, the aim of this report is to present two cases of diagnosis of patients with PCDM at different stages, who developed chronic manifestations, pain, clinical involvement of the oral cavity and in one case also presented lung injury with fibrosis, as well as to weight loss, dysphagia and cachexia. Both of patients were treated with antifungal therapy and it was observed total remission of the lesions and no recurrences were detected.

Proliferative verrucous leukoplakia (PVL) is an aggressive form of oral leukoplakia that has a high morbidity and is more common in a woman with no smoking habit. A 68-year-old Caucasian male patient presented with a history of use of a removable dental prosthesis and reported to be a heavy smoker for the last 53 years, with a recent interruption of alcohol and other drug abuse. Clinical examination revealed a widespread leukoplakia lesion with 4 major intra-oral sites at the upper superior alveolar ridge and palate. Two sites were characterized as a homogeneous plaque, and 2 presented an exophytic verrucous surface. The first biopsy revealed hyperkeratosis and papillomatosis. The patient was referred to laser surgery treatment. Histologic findings revealed hyperkeratosis and papillomatosis, but now 1 of the sites revealed mild dysplasia. The final diagnosis was PVL, and the patient is still in follow-up, with no signs of new lesions 3 months after surgical intervention.

Paracoccidioidomycosis is a systemic fungal infection that involves lungs and other organs. The objective is to report 2 cases at different stages of the disease and to emphasize the importance of the correct diagnosis. Middle-aged male patients sought assistance because they presented with pain in the palate. The first one also presented with weight loss, odynophagia, cough, cervical lymphadenomegaly, and reported pulmonary fibrosis. On intra-oral examination, both patients presented with a reddish lesion on hard palate with granulomatous surface and muriform aspect, and the first one also presented with lesions on the alveolar ridge and vestibule. Incisional biopsy was performed in both cases, and a chest radiograph was requested. In the first case lung involvement was observed. Histopathology showed intense granulomatous inflammatory infiltrate and numerous yeasts with positive staining for PAS and Grocott, confirming the diagnostic hypothesis of paracoccidioidomycosis. Itraconazole therapy was started, and total remission of the lesions was observed.

Burning mouth syndrome has been increasing in incidence over the years, especially among middle-aged women, characterized by not having the known etiology and specific treatment. In the present report, we present a case of burning mouth syndrome, with emphasis on the importance of diagnosis, treatment, and follow-up. A 64-year-old woman with hypertension complained of burning sensation in apex and ventral surface of the tongue for 1 year. In the clinical examination, it was observed that the affected site presented reddish coloration and other lesion was not detected. After this information and the exclusion of the differential diagnoses, we confirmed the diagnosis of burning mouth syndrome and prescribed vitamin complex, artificial saliva, and toothpaste for sensitivity, but the symptoms persisted. Then, laser therapy was instituted with total remission of symptoms.

O processo alveolar é uma estrutura dente dependente que sofre alterações dimensionais após a exodontia. Defeitos ósseos resultantes prejudicam a colocação de implantes e o sucesso em longo prazo. Diversas técnicas cirúrgicas e biomateriais tem sido apresentados como opções terapêuticas para preservação e recuperação dos rebordos edêntulos. Assim, o objetivo desta revisão narrativa é evidenciar o estado atual dos biomateriais disponíveis bem como as possíveis perspectivas futuras. A utilização de biomateriais para cirurgias de reconstrução e manutenção de rebordo alveolar com sucesso é evidente. A impressão em 3D de estruturas biocompatíveis, fatores de crescimento, as DDMs, parafusos e membranas reabsorvíveis podem ser as perspectivas futuras.

Isotretinoin (13-cis-retinoic acid) is a vitamin A derivative used to treat patients with severe nodular acne nonresponsive to conventional therapy. Although the benefit–risk ratio of the use of retinoids is generally excellent, vitamin A has profound and complex effects on bone growth and metabolism. The toxic effects of vitamin A in humans and animals include hypercalcemia, new cortical bone formation; premature closure of epiphyses; and demineralization, which can lead to fractures. This article presents the case of a 19-year-old patient under orthodontic treatment who developed mandibular hyperostosis while on isotretinoin treatment for acne.

Introduction: The occurrence of retained lower third molars (3M) is common. A careful analysis is necessary for proper clinical management and the radiographic examination is fundamental. The use of panoramic radiographs is extremely important for the analysis and classification of 3M position, allowing the diagnosis and the establishment of the treatment planning for the removal of these teeth. Objective: The aim of this study was to evaluate the changes in position and eruption state of lower 3M during a period of 3.6 years, as well as to identify factors that may be related with early diagnosis of dental retention of these teeth in adolescent patients. Material and methods: One hundred and one initial (T1) and final (T2) panoramic radiographs from patients treating at the university’s orthodontic clinics were analyzed. The distribution of 195 lower 3Ms was evaluated taking into account personal data, collected from clinical records. The data obtained in relation to the positioning of the teeth were based on the ratings of Winter and Pell & Gregory. Results: The results showed that vertical position was the most prevalent and the C level and class II positions were predominant. The changes occurring in 3M position during the study interval were not statistically significant. Conclusion: After the final evaluation (T2) it was concluded that unpredictable changes in lower 3Ms position and eruption may occur. The variables race (P = 0.03) and anterior border of the mandibular ramus (P = 0.007) seem to have influence on the level of eruption, also suggesting influence on this tooth retention within dental arches over the years.

Objective In this study of patients with chronic periodontitis (CP), the severity of the disease and the main periodontal pathogens identified in patients with chronic kidney disease (CKD) were compared with those detected in individuals without systemic disease. Design Nineteen patients with CP without evidence of systemic disease (control group), 25 patients with CP and CKD who were in the pre-dialysis stages (pre-dialysis group), and 22 patients with CP and CKD who were on renal replacement therapy (RRT group) were examined. The severity of CP was based on the investigation of probing depth (PD) and clinical attachment level (CAL). The definition and stage of CKD were based on the criteria proposed by the Kidney Disease Outcomes Quality Initiative of the National Kidney Foundation. Glomerular filtration rate (GFR) was estimated using the equation of Modification of Diet in Renal Disease and the identification of microorganisms in subgingival plaque was performed using polymerase chain reaction (PCR). Results Candida albicans, Porphyromonas gingivalis, Tannerella forsythia, and Treponema denticola were more common in patients who were on RRT and pre-dialysis than in control subjects. CP was more severe in patients with CKD. A strong association was observed between the frequency of C. albicans (P = 0.056), P.gingivalis (P = 0.008), T. denticola (P = 0.013) and CAL, when CKD patients were compared with the control group. Conclusion CP is more severe and is associated with increased frequency of C. albicans, P. gingivalis, T. forsythia, and T. denticola in patients with CKD.

Objetivo: Avaliar a eficácia da placa neuromiorrelaxante em reduzir a sintomatologia oftalmológica de pacientes com disfunção temporo-mandibular (DTM) e constatar a possível correlação entre DTM e sintomatologia ocular. Métodos: Foi realizada uma análise comparativa da evolução das sintomatologias da DTM e oculares em uma amostra de dezenove pacientes com DTM, sinais e sintomas oftalmológicos e ausência de patologia ocular. Esses pacientes foram submetidos a uma terapia reversível por meio do uso da placa neuromiorrelaxante. Resultados: Observou-se que após o uso da placa durante um período maior (60 dias), o número de pacientes que apresentaram melhora de 100% ou que apresentaram sintomatologia discreta, tanto para DTM quanto para ocular, foi estatisticamente significativo. Já em intervalos de tempo menores (7-15, 15-30, 30-60 dias), o efeito da placa não foi significativo estatisticamente para reduzir a sintomatologia da DTM e ocular. A sintomatologia oftalmológica mais freqüente (84,2%) encontrada nos pacientes com DTM da presente amostra foi dor ocular. Conclusão: Há correlação entre DTM e sintomatologia ocular, visto que pacientes portadores desta disfunção que fizeram uso da terapia reversível, obtiveram melhora do quadro clínico tanto da DTM quanto da sintomatologia ocular num intervalo de tempo maior (7-60 dias).

INTRODUÇÃO A concomitância de periodontite crônica (PC) em pacientes com doença renal crônica (DRC) tem sido associada a desfechos adversos. A deficiência de vitamina D (25(OH)D) parece desempenhar papel importante na PC e níveis inadequados de vitamina D têm sido descritos em pacientes com DRC. OBJETIVO: Examinar a relação entre níveis séricos de vitamina D e PC em pacientes com DRC pré-dialítica. MÉTODO: Estudo de caso-controle, definidos, respectivamente, como pacientes com DRC e PC e DRC sem PC. Os dados demográficos, de exame físico e laboratoriais foram obtidos no dia da consulta. A DRC foi definida e estagiada segundo a NKF QDOKI TM. Os níveis séricos de 25(OH) D foram dosados por quimioluminescência quando da avaliação da PC, a qual foi caracterizada segundo os critérios de Academia Americana de Periodontologia (1999). Os resultados de 25(OH)D foram estratificados em deficiência (< 14 ηg/mL), insuficiência (15-29 ηg/mL) e suficiência (> 30 ηg/mL). RESULTADOS: Um total de 29 pacientes foram estudados, 15 no grupo caso e 14 no grupo controle. Os pacientes casos apresentaram mediana de 25(OH) D inferior a dos pacientes controles (22,6 vs. 28,6 ηg/mL; p < 0,01). A frequência de pacientes casos com insuficiência/deficiência de vitamina D foi maior do que entre os pacientes controles (93,3% vs. 57,1%, p < 0,004). Por outro lado, o percentual de pacientes com suficiência de vitamina D foi maior entre os controles se comparados aos integrantes do grupo casos (42,9% vs. 6,7%, p < 0,004). CONCLUSÃO: Em pacientes com DRC, a deficiência de vitamina D se associa com PC. INTRODUCTION: Concomitance of chronic periodontitis (CP) in patients with chronic kidney disease (CKD) have been associated with adverse outcomes. Vitamin D (25(OH)D) deficiency my play a role in CP and inadequate vitamin D status is common among patients with CKD. OBJECTIVE: To examine the relationship between vitamin 25(OH)D and CP in patients with CKD not yet on dialysis. METHOD: A case-control study was conducted. Cases and controls were defined as patients with CKD with and without CP, respectively. The demographic, clinical and laboratory data were obtained when the patient was attended in the outpatient clinic. CKD was defined and staged according to the NKF QDOKI TM. Serum 25(OH) D levels were measured by chemiluminescence when assessing the CP, which was definined according to the American Academy of Periodontoly (1999). Serum 25(OH)D levels were stratified into deficient (< 14 ηg/mL), insufficient (15-29 ηg/mL) and sufficiency (> 30 ηg/ mL). RESULTS: A total of 15 cases were compared with 14 controls. Cases had lower median 25(OH)D levels than controls (22.6 versus 28.6 ηg/mL, p < 0.01) and were more likely to be categorized as vitamin D insufficiency/deficiency (93,3% versus 57,1%, p < 0,004). On the other hand, the percentage of controls with vitamin D sufficiency was higher then cases (42,9% versus 6,7%, p < 0,004). CONCLUSION: In patients with CKD not yet on dialysis, vitamin D deficiency is associated with CP. UFJF FAMED Departamento de Clínica Médica UFJF FAMED PPgS UFJF HU UFJF Instituto de Ciências Biológicas Departamento de Parasitologia, Microbiologia e Imunologia UFJF Faculdade de Odontologia Universidade de São Paulo UFJF Departamento de Clínica UFJF Núcleo Interdisciplinar de Estudos, Pesquisas e Tratamento em Nefrologia Universidade Federal de São Paulo (UNIFESP) Universidade Federal de São Paulo, EPM, São Paulo, Brazil SciELO

INTRODUÇÃO: estudos recentes apontam a doença periodontal (DP) como fator de risco para doença renal crônica (DRC). O objetivo do presente estudo foi avaliar o grau de conhecimento, atitude e prática de médicos e enfermeiros que atuam na nefrologia relativos à DP. MÉTODOS: um questionário foi aplicado a médicos e a enfermeiros participantes do XXV Congresso Brasileiro de Nefrologia (2010) e IX Congresso Mineiro de Nefrologia (2011), abrangendo os seguintes aspectos da DP: epidemiologia, apresentação clínica, fatores predisponentes, repercussão sistêmica, a inclusão do exame da cavidade bucal no exame clínico dos pacientes com DRC e a frequência de encaminhamento para o dentista. RESULTADOS: a maioria dos médicos e enfermeiros responderam corretamente às perguntas que abordaram os conhecimentos gerais sobre a DP. À pergunta referente à inclusão do exame da cavidade bucal no exame físico do paciente, 42,2% dos médicos e 38% dos enfermeiros responderam não fazê-la (p > 0,05). Contudo, a maioria dos pacientes vistos por nefrologistas (59,4%) e enfermeiros (61,8%) são encaminhados ao dentista em menos de 30% das consultas (p > 0,05). CONCLUSÃO: A amostra de nefrologistas e de profissionais de enfermagem participantes do estudo demonstrou conhecimento autorrelatado sobre DP considerado bom, embora com prática clínica limitada, expressada pelo baixo percentual de encaminhamento para tratamento especializado da doença. Os achados sinalizam para a necessidade da instituição de treinamento teórico-prático em saúde bucal nos cursos de graduação (medicina e enfermagem) e pós-graduação (residência médica e multiprofissional). INTRODUCTION: Recent studies have identified periodontal disease (PD) as a risk factor for chronic kidney disease (CKD). The aim of this study was to assess the general knowledge about, attitudes toward, and behaviors/practices concerning PD among physicians and nurses who work with CKD patients. METHODS: An 8-question questionnaire was distributed to participants of the XXV Brazilian Congress of Nephrology (2010) and the Minas Gerais Nephrology Congress (2011). The questions covered the following aspects of PD: epidemiology, clinical presentation, predisposing factors, systemic expression, inclusion of oral examination during routine physical examination, and the frequency of referral for dental treatment. RESULTS: Most physicians and nurses interviewed correctly answered the questions on general knowledge about PD. 42.2% of the physicians and 38% of the nurses did not routinely examine the oral cavity of their patients. Most patients seen by nephrologists (59.4%) and nurses (61.5%) were referred to dental care in less than 30% of the consultations. CONCLUSION: Nephrologists and nurses demonstrated good self-reported general knowledge about PD, albeit with limited clinical experience, as evidenced by the low rates of examination of the oral cavity and referral for specialist treatment. These findings suggest the need of theoretical and practical training in oral health at both, undergraduate (medicine and nursing) and postgraduate levels (medical and multiprofessional residency programs).

Recent studies have identified periodontal disease (PD) as a risk factor for chronic kidney disease (CKD). The aim of this study was to assess the general knowledge about, attitudes toward, and behaviors/practices concerning PD among physicians and nurses who work with CKD patients.An 8-question questionnaire was distributed to participants of the XXV Brazilian Congress of Nephrology (2010) and the Minas Gerais Nephrology Congress (2011). The questions covered the following aspects of PD: epidemiology, clinical presentation, predisposing factors, systemic expression, inclusion of oral examination during routine physical examination, and the frequency of referral for dental treatment.Most physicians and nurses interviewed correctly answered the questions on general knowledge about PD. 42.2% of the physicians and 38% of the nurses did not routinely examine the oral cavity of their patients. Most patients seen by nephrologists (59.4%) and nurses (61.5%) were referred to dental care in less than 30% of the consultations.Nephrologists and nurses demonstrated good self-reported general knowledge about PD, albeit with limited clinical experience, as evidenced by the low rates of examination of the oral cavity and referral for specialist treatment. These findings suggest the need of theoretical and practical training in oral health at both, undergraduate (medicine and nursing) and postgraduate levels (medical and multiprofessional residency programs).

Resumo As alterações vasculares ocorrem frequentemente em região de cabeça e pescoço, sendo o hemangioma a mais comum. Paciente do sexo feminino, 61 anos, queixou-se de dor intensa em palato duro. Notou-se lesão arroxeada, de 1,5 cm, sensível à palpação e com histórico de hemorragia. A paciente era edêntula total, e a prótese total superior comprimia o local da lesão. Foi realizada a vitropressão, confirmando a origem vascular. A hipótese diagnóstica foi de hemangioma. Na primeira sessão, aplicou-se o laser vermelho (660 nm) em quatro pontos ao redor da lesão, sendo 0,5 J em cada ponto afim de se obter analgesia e iniciar o processo de reparo, além do reembasamento da prótese total superior. Na segunda sessão, foi feita aplicação de 2 mL de oleato de monoetanolamina 5%. Após 14 dias, observou-se regressão total da lesão. Os cirurgiões-dentistas devem estar aptos a reconhecer, diagnosticar e tratar as lesões vasculares em cavidade oral.