[The impact on costs and care of two approaches to reduce employees' dental plan expenses in a private company].

The present study evaluated the dental care plan offered to 4,000 employees of a private hospital and their respective families. The analysis covered three stages: (1) baseline (control), when dental care was provided by an outsourced company with a network of dentists paid for services, (2) a renegotiation of costs with the original dental care provider, and (3) provision of dental care by the hospital itself, through directly hired dentists on regular salaries. Monthly economic and clinical data were collected for this research.

Orthodontic extrusion anchored in osseointegrated implants: a case report.

Rapid orthodontic extrusion is indicated for cases involving biological space invasion of the periodontal ligament in which the surgical increase of the clinical crown can compromise esthetics or the support of the adjacent teeth. This article presents the case report of a tooth with radicular perforation 1.0 mm below the bone crest.

[Different forms of payment systems for dental services and their impact on care].

The Brazilian dental care sector is facing a paradoxical crisis characterized by a surplus of dentists and a large contingent of people lacking dental care, thus highlighting the need to improve management strategies. One necessary step is to analyze the various payment schemes for dental services. This paper reviews two important approaches, fee for service and capitation, and considers the impacts and consequences of payment strategies on the dental care system.

Effect of home bleaching and smoking on marginal gingival epithelium proliferation: a histologic study in women.

Background: Animal studies have suggested that home bleaching agents can cause morphological alterations and changes in the proliferative rate of oral epithelium.

Methods: A bleaching agent containing 10% carbamide peroxide with carbopol was used in 11 women (five smokers and six non-smokers) during a 5-week period. Two biopsies were performed, one of them 15 days before the beginning of the home bleaching treatment and the other immediately after the 5-week bleaching treatment.