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Pesquisa : C07.793.929 [Categoria DeCS]
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[PMID]:28449766
[Au] Autor:Brignardello-Petersen R
[Ti] Título:Active caries, consequences of untreated caries, and tooth pain relate to only a small decrease in older adults' quality of life.
[So] Source:J Am Dent Assoc;148(5):e62, 2017 05.
[Is] ISSN:1943-4723
[Cp] País de publicação:England
[La] Idioma:eng
[Mh] Termos MeSH primário: Cárie Dentária
Qualidade de Vida
[Mh] Termos MeSH secundário: Adulto
Seres Humanos
Odontalgia
[Pt] Tipo de publicação:REVIEW; COMMENT
[Em] Mês de entrada:1803
[Cu] Atualização por classe:180305
[Lr] Data última revisão:
180305
[Sb] Subgrupo de revista:D; IM
[Da] Data de entrada para processamento:170429
[St] Status:MEDLINE


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[PMID]:29342147
[Au] Autor:Gracy D; Fabian A; Basch CH; Scigliano M; MacLean SA; MacKenzie RK; Redlener IE
[Ad] Endereço:Children's Health Fund, New York, NY, United States of America.
[Ti] Título:Missed opportunities: Do states require screening of children for health conditions that interfere with learning?
[So] Source:PLoS One;13(1):e0190254, 2018.
[Is] ISSN:1932-6203
[Cp] País de publicação:United States
[La] Idioma:eng
[Ab] Resumo:METHODS: Investigators reviewed websites of state departments of health and education, and legislation for all 50 states and DC. For states with mandated screenings and a required form, investigators applied structured analysis to assess HBL inclusion. RESULTS: No state mandated that schools require screening for all 7 HBLs. Less than half (49%) required comprehensive school health examinations and only 12 states plus DC required a specific form. Of these, 12 of the forms required documentation of vision screening, 11 of hearing screening, and 12 of dental screening. Ten forms asked about asthma and 9 required documentation of lead testing. Seven asked about general well-being, emotional problems, or mental health. None addressed hunger. When including states without comprehensive school health examination requirements, the most commonly required HBL screenings were for vision (80% of states; includes DC), hearing (75% of states; includes DC) and dental (24% of state; includes DC). CONCLUSION: The lack of state mandated requirements for regular student health screening represents a missed opportunity to identify children with HBLs. Without state mandates, accompanying comprehensive forms, and protocols, children continue to be at risk of untreated health conditions that can undermine their success in school.
[Mh] Termos MeSH primário: Transtornos de Aprendizagem/diagnóstico
Programas de Rastreamento/legislação & jurisprudência
[Mh] Termos MeSH secundário: Asma/complicações
Asma/diagnóstico
Criança
Feminino
Transtornos da Audição/complicações
Transtornos da Audição/diagnóstico
Seres Humanos
Transtornos de Aprendizagem/etiologia
Masculino
Transtornos Mentais/complicações
Transtornos Mentais/diagnóstico
Odontalgia/complicações
Odontalgia/diagnóstico
Transtornos da Visão/complicações
Transtornos da Visão/diagnóstico
[Pt] Tipo de publicação:JOURNAL ARTICLE
[Em] Mês de entrada:1802
[Cu] Atualização por classe:180215
[Lr] Data última revisão:
180215
[Sb] Subgrupo de revista:IM
[Da] Data de entrada para processamento:180118
[St] Status:MEDLINE
[do] DOI:10.1371/journal.pone.0190254


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[PMID]:29188694
[Au] Autor:Leader R; Hackett J; Al-Naher A
[Ti] Título:Supra-Therapeutic Oral Paracetamol Overdose in Adults: An Update for the Dental Team.
[So] Source:Dent Update;44(5):409-10, 413-4, 2017 May.
[Is] ISSN:0305-5000
[Cp] País de publicação:England
[La] Idioma:eng
[Ab] Resumo:Paracetamol (acetaminophen) is a commonly used analgesic; its 'over the counter' availability, low cost and popularity amongst patients often make it the first choice for dental pain. It is in this that its potential toxicity, made more complicated by the ever extending range of paracetamol-containing products, make the understanding of this medication key to the safe management of patients presenting to surgery with dental pain. Clinical relevance: The purpose of this article is to supply dental practitioners with the knowledge to manage patients who present having taken an oral supra-therapeutic paracetamol overdose. Consideration is given to those patients who can be treated safely in primary care and to those who require transfer to Accident and Emergency (A&E).
[Mh] Termos MeSH primário: Acetaminofen/envenenamento
Analgésicos não Entorpecentes/envenenamento
Overdose de Drogas/etiologia
Odontalgia/tratamento farmacológico
[Mh] Termos MeSH secundário: Acetaminofen/administração & dosagem
Acetaminofen/metabolismo
Administração Tópica
Adulto
Algoritmos
Analgésicos não Entorpecentes/administração & dosagem
Analgésicos não Entorpecentes/metabolismo
Overdose de Drogas/diagnóstico
Overdose de Drogas/terapia
Seres Humanos
[Pt] Tipo de publicação:JOURNAL ARTICLE
[Nm] Nome de substância:
0 (Analgesics, Non-Narcotic); 362O9ITL9D (Acetaminophen)
[Em] Mês de entrada:1801
[Cu] Atualização por classe:180130
[Lr] Data última revisão:
180130
[Sb] Subgrupo de revista:D
[Da] Data de entrada para processamento:171201
[St] Status:MEDLINE


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[PMID]:29284075
[Au] Autor:Dorri M; Martinez-Zapata MJ; Walsh T; Marinho VC; Sheiham Deceased A; Zaror C
[Ad] Endereço:Department of Restorative Dentistry, Bristol Oral and Dental School, Lower Maudlin Street, Bristol, UK, BS1 2LY.
[Ti] Título:Atraumatic restorative treatment versus conventional restorative treatment for managing dental caries.
[So] Source:Cochrane Database Syst Rev;12:CD008072, 2017 12 28.
[Is] ISSN:1469-493X
[Cp] País de publicação:England
[La] Idioma:eng
[Ab] Resumo:BACKGROUND: Dental caries is a sugar-dependent disease that damages tooth structure and, due to loss of mineral components, may eventually lead to cavitation. Dental caries is the most prevalent disease worldwide and is considered the most important burden of oral health. Conventional treatment methods (drill and fill) involve the use of rotary burs under local anaesthesia. The need for an electricity supply, expensive handpieces and highly trained dental health personnel may limit access to dental treatment, especially in underdeveloped regions.To overcome the limitations of conventional restorative treatment, the Atraumatic Restorative Treatment (ART) was developed, mainly for treating caries in children living in under-served areas of the world where resources and facilities such as electricity and trained manpower are limited. ART is a minimally invasive approach which involves removal of decayed tissue using hand instruments alone, usually without use of anaesthesia and electrically driven equipment, and restoration of the dental cavity with an adhesive material (glass ionomer cement (GIC), composite resins, resin-modified glass-ionomer cement (RM-GICs) and compomers). OBJECTIVES: To assess the effects of Atraumatic Restorative Treatment (ART) compared with conventional treatment for managing dental caries lesions in the primary and permanent teeth of children and adults. SEARCH METHODS: Cochrane Oral Health's Information Specialist searched the following databases: Cochrane Oral Health's Trials Register (to 22 February 2017), the Cochrane Central Register of Controlled Trials (CENTRAL) (the Cochrane Library, 2017, Issue 1), MEDLINE Ovid (1946 to 22 February 2017), Embase Ovid (1980 to 22 February 2017), LILACS BIREME Virtual Health Library (Latin American and Caribbean Health Science Information database; 1982 to 22 February 2017) and BBO BIREME Virtual Health Library (Bibliografia Brasileira de Odontologia; 1986 to 22 February 2017). The US National Institutes of Health Trials Registry (ClinicalTrials.gov) and the World Health Organization International Clinical Trials Registry Platform were searched for ongoing trials. No restrictions were placed on the language or date of publication when searching the electronic databases. SELECTION CRITERIA: We included randomised controlled trials (RCTs) with at least six months' follow-up that compared the effects of ART with a conventional restorative approach using the same or different restorative dental materials to treat caries lesions. DATA COLLECTION AND ANALYSIS: Two review authors independently screened search results, extracted data from included studies and assessed the risk of bias in those studies. We used standard methodological procedures expected by Cochrane to evaluate risk of bias and synthesise data. Where pooling was appropriate we conducted meta-analyses using the random-effects model. We assessed the quality of the evidence using GRADE criteria. MAIN RESULTS: We included a total of 15 eligible studies randomising 3760 participants in this review. The age of participants across the studies ranged from 3 to 101 years, with a mean of 25.42 years. 48% of participants were male. All included studies were published between 2002 and 2016. Two of the 15 studies declared that the financial support was from companies that manufacture restorative material. Five studies were individually randomised parallel-group studies; six were cluster-randomised parallel-group studies; and four were randomised studies that used a split-mouth design. Eleven studies evaluated the effects of ART on primary teeth only, and four on permanent teeth. The follow-up period of the included studies ranged from 6 months to 36 months. We judged all studies to be at high risk of bias.For the main comparison of ART compared to conventional treatment using the same material: all but two studies used high-viscosity glass ionomer (H-GIC) as the restorative material; one study used a composite material; and one study used resin-modified glass ionomer cement (RM-GIC)).Compared to conventional treatment using H-GIC, ART may increase the risk of restoration failure in the primary dentition, over a follow-up period from 12 to 24 months (OR 1.60, 95% CI 1.13 to 2.27, five studies; 643 participants analysed; low-quality evidence). Our confidence in this effect estimate is limited due to serious concerns over risk of performance and attrition bias. For this comparison, ART may reduce pain during procedure compared with conventional treatment (MD -0.65, 95% CI -1.38 to 0.07; 40 participants analysed; low-quality evidence)Comparisons of ART to conventional treatment using composite or RM-GIC were downgraded to very low quality due to indirectness, imprecision and high risk of performance and attrition bias. Given the very low quality of the evidence from single studies, we are uncertain about the restoration failure of ART compared with conventional treatment using composite over a 24-month follow-up period (OR 1.11, 95% CI 0.54 to 2.29; one study; 57 participants) and ART using RM-GIC in the permanent teeth of older adults with root caries lesions over a six-month follow-up period (OR 2.71, 95% CI 0.94 to 7.81; one study; 64 participants).No studies reported on adverse events or costs. AUTHORS' CONCLUSIONS: Low-quality evidence suggests that ART using H-GIC may have a higher risk of restoration failure than conventional treatment for caries lesions in primary teeth. The effects of ART using composite and RM-GIC are uncertain due to the very low quality of the evidence and we cannot rely on the findings. Most studies evaluated the effects of ART on the primary dentition.Well-designed RCTs are required that report on restoration failure at clinically meaningful time points, as well as participant-reported outcomes such as pain and discomfort. Due to the potential confounding effects from the use of different dental materials, a robust body of evidence on the effects of ART compared with conventional treatment using the same restoration material is necessary. We identified four ongoing trials that could provide further insights into this area.
[Mh] Termos MeSH primário: Tratamento Dentário Restaurador sem Trauma
Cárie Dentária/terapia
[Mh] Termos MeSH secundário: Adulto
Criança
Falha de Restauração Dentária/estatística & dados numéricos
Dentição Permanente
Feminino
Cimentos de Ionômeros de Vidro/uso terapêutico
Seres Humanos
Masculino
Ensaios Clínicos Controlados Aleatórios como Assunto
Dente Decíduo
Odontalgia/epidemiologia
[Pt] Tipo de publicação:JOURNAL ARTICLE; META-ANALYSIS; RESEARCH SUPPORT, NON-U.S. GOV'T; REVIEW
[Nm] Nome de substância:
0 (Glass Ionomer Cements)
[Em] Mês de entrada:1801
[Cu] Atualização por classe:180123
[Lr] Data última revisão:
180123
[Sb] Subgrupo de revista:IM
[Da] Data de entrada para processamento:171229
[St] Status:MEDLINE
[do] DOI:10.1002/14651858.CD008072.pub2


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[PMID]:29049315
[Au] Autor:Lotto M; Ayala Aguirre PE; Rios D; Andrade Moreira Machado MA; Pereira Cruvinel AF; Cruvinel T
[Ad] Endereço:Department of Pediatric Dentistry, Orthodontics and Public Health, Bauru School of Dentistry, University of São Paulo, Bauru, São Paulo, Brazil.
[Ti] Título:Analysis of the interests of Google users on toothache information.
[So] Source:PLoS One;12(10):e0186059, 2017.
[Is] ISSN:1932-6203
[Cp] País de publicação:United States
[La] Idioma:eng
[Ab] Resumo:BACKGROUND: The knowledge on health interests of a given population of Internet users might contribute to the increase of evidence on community's dental needs, and consequently, to the improvement of public health planning. The frequency of searches for specific issues on Google can be analyzed by the application of Google Trends. AIM: In this study, we aimed to characterize the interests on toothache information of Google users from the United States, United Kingdom, Australia and Brazil. METHODS: The monthly variation of relative search volume (RSV) and the lists of main toothache-related queries were determined from January 2004 through April 2016 using Google Trends. Autoregressive Integrated Moving Average (ARIMA) forecasting models were developed to determine predictive RSV values for toothache for additional 12 months. Autocorrelation plots and general additive model (GAM) were applied to determine trends and seasonality in RSV curves. Through linear regression models, we assessed the association between the variation of annual means of RSV values and national statistics for toothache in the U.S. and U.K. Subsequently, the distribution of main queries according to the identification of endodontic pain, type of searching information, and the interest in self-management of toothache was evaluated for the four countries. RESULTS: The autocorrelation plots showed patterns of non-stationary time series. The monthly variation influenced the data of the U.S. and U.K., with the higher RSV values found respectively in January/July and December. Also, the interest on toothache in the U.K. increases in the second semester and in the fourth quarter, especially in December. Additionally, an annual variation affected significantly all time series, with the increment of RSV means over the years, varying from 265% in the U.S. to 745% in Brazil. In parallel, the increments in RSV values were also observed in all predictive curves. The annual variation of observed and fitted RSV values was directly associated with the increase of toothache visits in the U.S. and urgent dental treatments in the U.K. Moreover, the queries typed on Google were markedly linked to searches on endodontic pain information, especially in Brazil, where the residents usually searched for relief and/or self-management of pain. CONCLUSIONS: Therefore, these findings indicate an increasing interest of Google users on toothache-related topics, regardless of country and season. The Internet activity can be used by policy makers as a complementary source of data for the development and implementation of strategies to control and prevent toothache complications.
[Mh] Termos MeSH primário: Internet
Ferramenta de Busca
Odontalgia
[Mh] Termos MeSH secundário: Estudos Transversais
Seres Humanos
[Pt] Tipo de publicação:JOURNAL ARTICLE
[Em] Mês de entrada:1711
[Cu] Atualização por classe:171107
[Lr] Data última revisão:
171107
[Sb] Subgrupo de revista:IM
[Da] Data de entrada para processamento:171020
[St] Status:MEDLINE
[do] DOI:10.1371/journal.pone.0186059


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[PMID]:29049202
[Au] Autor:Liu M; Liu W; Qiao C; Han B
[Ad] Endereço:aDepartment of Oral and Maxillofacial Surgery bJilin Provincial Key Laboratory of Tooth Development and Bone Remodeling cDepartment of Oral Pathology, School and Hospital of Stomatology, Jilin University, Changchun, China.
[Ti] Título:Mandibular Gorham-Stout disease: A case report and literature review.
[So] Source:Medicine (Baltimore);96(42):e8184, 2017 Oct.
[Is] ISSN:1536-5964
[Cp] País de publicação:United States
[La] Idioma:eng
[Ab] Resumo:RATIONALE: Gorham-Stout disease (GSD) is characterized by aggressive bone resorption, proliferation of vascular or lymphatic vessels, and soft-tissue swelling. Bones that initially appear normal start to resorb, partially or completely. However, the etiology of GSD is unknown. PATIENT CONCERNS: A 29-year-old man with a chief complaint of toothache and mobility in the lower right mandible for the previous 1 year. DIAGNOSES: Gorham-Stout disease (GSD). INTERVENTIONS: The RANK-ligand inhibitor denosumab was suggested to use to inhibit the development of osteoclasts and slow mandibular resorption. In addition, we proposed resection of the remaining mandible and reconstruction via vascularized bone graft, after resorption of the mandible had become stationary. OUTCOMES: Regular follow-ups were advised to this patient to monitor the stability of bone resorption prior to any surgical intervention. LESSONS: We strongly recommend that every attempt should be made for early diagnosis and prompt effective medical and surgical management. The failure to do so results in further complications and poor prognosis.
[Mh] Termos MeSH primário: Doenças Mandibulares/complicações
Osteólise Essencial/complicações
Odontalgia/etiologia
[Mh] Termos MeSH secundário: Adulto
Seres Humanos
Masculino
Mandíbula/fisiopatologia
Doenças Mandibulares/fisiopatologia
Osteólise Essencial/fisiopatologia
[Pt] Tipo de publicação:CASE REPORTS; JOURNAL ARTICLE; REVIEW
[Em] Mês de entrada:1710
[Cu] Atualização por classe:171122
[Lr] Data última revisão:
171122
[Sb] Subgrupo de revista:AIM; IM
[Da] Data de entrada para processamento:171020
[St] Status:MEDLINE
[do] DOI:10.1097/MD.0000000000008184


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[PMID]:28253488
[Au] Autor:Agarwal K; Kant A; Singh K; Kulshrestha R
[Ad] Endereço:Department of Orthodontics and Dentofacial Orthopedics, Chandra Dental College and Hospital, Barabanki, Uttar Pradesh, India.
[Ti] Título:Changes in the Condyle-Fossa Relationship in Patients with TMD after Occlusal Deprogramming.
[So] Source:J Clin Orthod;51(1):29-36, 2017 Jan.
[Is] ISSN:0022-3875
[Cp] País de publicação:United States
[La] Idioma:eng
[Mh] Termos MeSH primário: Côndilo Mandibular/cirurgia
Técnicas de Movimentação Dentária/instrumentação
[Mh] Termos MeSH secundário: Adolescente
Artralgia/etiologia
Feminino
Seres Humanos
Côndilo Mandibular/diagnóstico por imagem
Odontalgia/etiologia
[Pt] Tipo de publicação:CASE REPORTS; JOURNAL ARTICLE
[Em] Mês de entrada:1706
[Cu] Atualização por classe:170609
[Lr] Data última revisão:
170609
[Sb] Subgrupo de revista:D
[Da] Data de entrada para processamento:170303
[St] Status:MEDLINE


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[PMID]:28130215
[Au] Autor:Yeung CA
[Ad] Endereço:Kirklands Hospital, Bothwell G71 8BB, UK.
[Ti] Título:Multimillion pound price tag of toothache.
[So] Source:BMJ;356:j493, 2017 Jan 27.
[Is] ISSN:1756-1833
[Cp] País de publicação:England
[La] Idioma:eng
[Mh] Termos MeSH primário: Serviço Hospitalar de Emergência/utilização
Odontalgia/economia
Odontalgia/terapia
[Mh] Termos MeSH secundário: Custos e Análise de Custo
Serviço Hospitalar de Emergência/economia
Medicina Geral/economia
Seres Humanos
Odontalgia/epidemiologia
Reino Unido/epidemiologia
[Pt] Tipo de publicação:LETTER
[Em] Mês de entrada:1704
[Cu] Atualização por classe:170817
[Lr] Data última revisão:
170817
[Sb] Subgrupo de revista:AIM; IM
[Da] Data de entrada para processamento:170129
[St] Status:MEDLINE
[do] DOI:10.1136/bmj.j493


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[PMID]:28128662
[Au] Autor:Lee KC; Bassiur JP
[Ad] Endereço:Center for Oral, Facial and Head Pain, College of Dental Medicine, Columbia University, New York, New York.
[Ti] Título:Salivary Alpha Amylase, Dental Anxiety, and Extraction Pain: A Pilot Study.
[So] Source:Anesth Prog;64(1):22-28, 2017.
[Is] ISSN:0003-3006
[Cp] País de publicação:United States
[La] Idioma:eng
[Ab] Resumo:The primary intention of this study was to determine whether salivary alpha-amylase (sAA) factors or the Dental Anxiety Scale (DAS) was a better predictor of dental extraction pain. This study followed a cross-sectional design and included a convenience sample (n = 23) recruited from an outpatient oral surgery clinic. While waiting for their scheduled appointments, consenting patients completed both basic demographic/medical history questionnaires and Corah's DAS as well as submitted sublingual saliva samples. After their extractions, patients marked visual analog scales (VAS) to indicate the intensity of their intraoperative discomfort. Results of this study confirm that there is a relationship between a patient's dental anxiety and intraoperative extraction pain (r[21] = .47, P = .02). This study did not find that preoperative sAA factors (concentration and output rate) were related to either VAS extraction pain or DAS score. A strong positive relationship was observed between the concentration of sAA and the rate of sAA output (r[21] = .81, P < .001). Based on the results of our study, we conclude that dental anxiety has a moderate but significant correlation with intraoperative dental pain. Factors of sAA do not appear to be predictive of this experience. Therefore, simply assessing an anxious patient may be the best indication of that patient's extraction pain.
[Mh] Termos MeSH primário: Ansiedade ao Tratamento Odontológico/psicologia
Complicações Intraoperatórias/psicologia
Saliva/enzimologia
Extração Dentária/psicologia
Odontalgia/psicologia
alfa-Amilases/análise
[Mh] Termos MeSH secundário: Adulto
Assistência Ambulatorial
Estudos Transversais
Ansiedade ao Tratamento Odontológico/diagnóstico
Clínicas Odontológicas
Feminino
Seres Humanos
Complicações Intraoperatórias/diagnóstico
Complicações Intraoperatórias/enzimologia
Período Intraoperatório
Masculino
Meia-Idade
Medição da Dor
Percepção da Dor
Projetos Piloto
Valor Preditivo dos Testes
Fatores de Risco
Extração Dentária/efeitos adversos
Odontalgia/diagnóstico
Odontalgia/enzimologia
Resultado do Tratamento
Adulto Jovem
[Pt] Tipo de publicação:JOURNAL ARTICLE
[Nm] Nome de substância:
EC 3.2.1.1 (alpha-Amylases)
[Em] Mês de entrada:1706
[Cu] Atualização por classe:170902
[Lr] Data última revisão:
170902
[Sb] Subgrupo de revista:D
[Da] Data de entrada para processamento:170128
[St] Status:MEDLINE
[do] DOI:10.2344/anpr-63-03-02


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[PMID]:28119440
[Au] Autor:Hassona Y; Almuhaisen G; Almansour A; Scully C
[Ad] Endereço:University of Jordan, School of Dentistry, Department of Oral and Maxillofacial Surgery, Oral Medicine, and Pathology, Amman, Jordan.
[Ti] Título:Lymphoma presenting as a toothache: a wolf in sheep's clothing.
[So] Source:BMJ Case Rep;2017, 2017 Jan 24.
[Is] ISSN:1757-790X
[Cp] País de publicação:England
[La] Idioma:eng
[Ab] Resumo:Although rare in the oral cavity, oral non-Hodgkin lymphoma frequently mimics odontogenic and other oral pathologies. The purpose of this report is to discuss the diagnostic difficulty in a case of a 75-year-old man with diffuse large B-cell lymphoma presenting initially as a toothache.
[Mh] Termos MeSH primário: Linfoma Difuso de Grandes Células B/complicações
Neoplasias Mandibulares/complicações
Neoplasias Bucais/complicações
Odontalgia/etiologia
[Mh] Termos MeSH secundário: Idoso
Seres Humanos
Linfoma Difuso de Grandes Células B/diagnóstico por imagem
Linfoma Difuso de Grandes Células B/patologia
Masculino
Neoplasias Mandibulares/diagnóstico por imagem
Neoplasias Mandibulares/patologia
Neoplasias Bucais/diagnóstico por imagem
Neoplasias Bucais/patologia
Radiografia Panorâmica
Tomografia Computadorizada por Raios X
[Pt] Tipo de publicação:CASE REPORTS; JOURNAL ARTICLE
[Em] Mês de entrada:1703
[Cu] Atualização por classe:170309
[Lr] Data última revisão:
170309
[Sb] Subgrupo de revista:IM
[Da] Data de entrada para processamento:170126
[St] Status:MEDLINE



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