Alergias alimentarias en pacientes con glositis migratoria benigna / Food allergies in patients with benign migratory glossitis

Introducción: la glositis migratoria benigna, también conocida como lengua geográfica, es una variante normal, que presenta zonas superficiales circulares. Según la literatura revisada, dentro de sus causas figuran los procesos alérgicos, en los que están las alergias alimentarias. Se decidió realizar esta investigación para determinar la prevalencia de las alergias alimentarias frecuentes en estos pacientes mediante pruebas cutáneas. Materiales y métodos: se realizó un estudio descriptivo, longitudinal y prospectivo. La muestra estuvo compuesta por 27 pacientes en el período de enero hasta agosto de 2018 en portadores de glositis migratoria benigna, a los cuales se les realizaron pruebas alérgicas de tipo cutáneas para la determinación de alergias alimentarias. Resultados: el 59,3 % fue mujer y el antecedente alérgico más frecuente fue la rinitis alérgica. El antecedente de alergia alimentaria más frecuente fue los lácteos. Respecto a los resultados de las pruebas para la leche y los mariscos, estas dieron positivas en la mayoría de los pacientes, seguidos por el pescado, los huevos y los frutos secos. La prevalencia de positividad para por lo menos una prueba fue de 85,2%. Discusión: actualmente no existe suficiente literatura que hable sobre las posibles etiologías de la glositis migratoria benigna. Dentro de los antecedentes alérgicos, la rinitis alérgica fue la más frecuente, seguida de la alergia alimentaria. Hasta ahora existen pocas investigaciones que estudien esta prevalencia de alergias alimentarias en los pacientes de forma específica. Conclusión: la lengua geográfica no tiene factor epidemiológico predominante. El antecedente alérgico puede ser un factor predisponente, la alergia alimentaria puede ser desencadenante de la presentación de la lengua geográfica.

Introduction: The benign migratory glossitis, also known as geographic tongue, is a normal variant, which presents circular or irregular depapillated superficial areas. According to the literature reviewed, its causes include allergic processes, among these are food allergies. It was decided to carry out this investigation to determine the prevalence of frequent food allergies in these patients using skin tests. Materials and methods: A descriptive, longitudinal, prospective study was carried out. The sample consisted of 27 patients in the period January-August 2018, carriers of geographic tongue who underwent skin-type allergic tests to determine food allergies. Results: 59.3% were women without statistically significant predominance, the most frequent allergic history was allergic rhinitis. The most frequent history of food allergy was to dairy. Regarding the results of the tests for milk and shellfish, they were positive in 55.6%, followed by fish 14.8%, eggs and nuts with 11.1% respectively. The prevalence of positivity for at least one test was 85.2% with a statistically significant predominance over the negative result. Discussion: There is currently not enough literature that discusses the possible etiologies of benign migratory glossitis. Within the allergic history, allergic rhinitis was the most frequent, followed by food allergy. Until now there are few investigations that study this prevalence of food allergies in patients in a specific way. Conclusion: Geographic tongue does not have a predominant epidemiological factor, an allergic history can be a predisposing factor, food allergy can be a trigger for presentation of geographic language.

Melkersson-rosenthal: reporte de caso clínico de una neurodermatosis infrecuente / Melkersson-rosenthal syndrome: case report of an uncommon neurodermatosis

Resumen: El síndrome de Melkersson-Rosenthal (SMR) es una entidad clínica rara, de patogénesis desconocida. Se manifiesta característicamente por edema orofacial recidivante, lengua fisurada y parálisis recurrente del nervio facial. Representando así undesafío diagnóstico y terapéutico, además de generar importante compromiso social al individuo acometido. El presente artículo tiene como objetivo describir el caso de un paciente de 15años de edad que presentó: edema labial, lengua fisurada y queilitis granulomatosa al examen histopatológico, llevándose a consideración la hipótesis del síndrome citado, con resultados satisfactorios al tratamiento establecido.

Abstract: Melkersson-Rosenthal syndrome (MRS) is a rare clinical entity with an unknown pathogenesis. It clinically manifests in orofacial edema, plicated tongue and recurrent paralysis of the facial nerve. It represents a diagnostic and therapeutic challenge, and has an important psycosocial impact on the affected individual. This study describes the case of a 15-year-old patient who presented with labial edema, plicated tongue and granulomatous cheilitis on histopathological examination, for which a diagnosis of MRS was proposed. The patient showed a good response to treatment.

Prevalencia de lesiones bucales en tejido blando encontradas en la Clínica de Estomatología de la Facultad de Odontología de la Universidad de los Andes: periodo 2015-2018 / Prevalence of oral lesions in soft tissue found in the Clinic of Stomatology of the Faculty of Dentistry of the University of los Andes: 2015-2018 period

Introducción: La epidemiología sobre alteraciones en tejidos blandos bucales es limitada cuando se compara con caries, enfermedades periodontales y maloclusiones, por lo que su estudio representa un paso adelante en la odontología más allá de los dientes. Objetivo: Describir la prevalencia de las lesiones bucales en tejido blando encontradas en la Clínica de Estomatología de la Facultad de Odontología de la ULA, del 2015 al 2018, con la finalidad de proporcionar una fuente de datos actualizada, que oriente a una mejor prevención y oportuno diagnóstico. Material y métodos: Se realizó una investigación descriptiva, documental, retrospectiva y multivariable. Resultados: De 1,000 fichas clínicas estudiadas, las patologías más frecuentes fueron: lengua saburral (50.6%), queilitis (33.4%), traumatismo de la mucosa de los carrillos (27.6%), várices linguales (18.3%), anquiloglosia (13.7%) y agrandamiento de rugas palatinas (11.7%). La zona con mayor alteración fue la lengua (92.1%), mientras que el paladar fue la menos afectada (29%). De los hábitos predisponentes a la formación de lesiones, el mordisqueo de mucosa fue el más común (16.5%). En cuanto a los factores locales asociados, una higiene oral regular/ deficiente resultó el principal (53.8%). Conclusión: La educación del paciente sigue siendo considerada la clave para disminuir la aparición de patologías y su evolución a entidades más graves (AU)

Introduction: Epidemiological studies on soft tissue alterations in the mouth are limited when compared with caries, periodontal diseases and malocclusions, so their study represents a step forward in dentistry beyond the teeth. Objective: To describe the prevalence of soft tissue oral lesions found in the Stomatology Clinic of the ULA School of Dentistry, from 2015 to 2018, in order to provide an up-to-date data source, to guide better prevention and timely diagnosis. Material and methods: A descriptive and documentary, retrospective and multivariable research was carried out. The statistical package IBM SPSS Statistics v 23 was applied for the analysis. Results: 1,000 clinical records studied, the most frequent pathologies were: saburral tongue (50.6%), cheilitis (33.4%), traumatism of the cheek mucosa (27.6%), lingual varices (18.3%), ankyloglossia (13.7%) and enlargement of palatal rugas (11.7%). The tongue was the most affected (92.1%), while the palate was the least affected (29%). Of the predisposing habits to the formation of lesions, mucosal nipping was the most common (16.5%). Regarding the associated local factors, a regular / deficient oral hygiene was the main one (53.8%). Conclusion: Patient education is still considered the key to diminish not only the appearance of pathologies but their evolution to more serious entities (AU)

Síndrome de Melkersson-Rosenthal / Melkersson-Rosenthal syndrome

A síndrome de Melkersson-Rosenthal é uma doença rara que pode se apresentar como uma tríade clássica de edema orofacial, paralisia facial e língua fissurada ou, mais frequentemente, com características oligo/monossintomáticas. Relatamos um caso que aportou a um alergista para o diagnóstico de um angioedema, e que na avaliação se configurou como a síndrome completa. Diagnósticos diferenciais com angioedema alérgico, hereditário, idiopático e com outras patologias devem ser considerados. Apesar de o diagnóstico ser clínico, a biópsia cutânea foi relevante. Objetivamos alertar o especialista que se depara com angioedema crônico recorrente sobre essa patologia.

Melkersson-Rosenthal syndrome is a rare disease that may present as the classic triad of orofacial edema, facial paralysis, and fissured tongue or, more often, with oligosymptomatic/ monosymptomatic features. We report a case referred to an allergist for the diagnosis of angioedema that was identified as a complete syndrome during evaluation. Differential diagnoses with allergic, hereditary, and idiopathic angioedema and with other diseases should be considered. Although the diagnosis is clinical, skin biopsy is relevant. Our goal is to alert specialists who deal with chronic recurrent angioedema to the possibility of this syndrome.

Frecuencia de lesiones orales y variantes de lo normal en pacientes del Departamento de Estomatología de la Universidad Autónoma de Ciudad Juárez / Frequency of oral lesions and variants of the normal in patients from the Department of Stomatology, Autonomous University of Ciudad Juarez

Introducción: La exploración intraoral detallada es la clave en el diagnóstico temprano de lesiones potencialmente agresivas; de estamanera, se le ofrece al paciente un tratamiento adecuado y oportuno,reduciendo al máximo posibles complicaciones que pongan en peligrosu integridad y deterioren su calidad de vida. Objetivo: Determinar la frecuencia de lesiones y condiciones de la mucosa bucal en pacientes mayores de 18 años de la clínica de diagnóstico del Departamento de Estomatología de la Universidad Autónoma de Ciudad Juárez, Chihuahua...

Introduction: A detailed intraoral examination is key in the early diagnosis of potentially aggressive lesions; in this way, the patient isoff ered an adequate and timely treatment, reducing to the maximumpossible complications that could endanger his integrity and deterioratehis quality of life. Aim: To determine the frequency of lesions and conditions of the buccal mucosa in patients older than 18 years of the diagnostic clinic of the Department of Stomatology at the Autonomous University of Ciudad Juarez, Chihuahua...

Tongue lesions and anomalies in a sample of Yemeni dental patients: a cross-sectional study

Background: Tongue examination helps considerably in diagnosing the underlying health state of the patient, especially in the cases of chronic diseases. The aim of this study is to determine the prevalence and association of tongue lesions with risk factors among Yemeni dental patients. Materials and methods: An oral medicine specialist examined all 713 patients attending the dental polyclinics at the University of Sciences and Technology (Sana’a, Yemen). The examination sheet was designed to include information related to patient characteristics, medical history, dental history, habits, and tongue lesions. Results: The prevalence of tongue lesions among the examined participants was 76.5 percent. The prevalence rate was 83.4 percent for males and 69.2 percent for females. Fissured tongue was the most common condition. Logistic regression analysis indicated that older age (p<0.001), gender (p=0.007), khat chewing (p<0.001), and smoking (p=0.001) were associated with fissured tongue; gender (p<0.001), khat chewing (p<0.001), and smoking (p<0.001) were associated with hairy tongue; and older age (p<0.001), khat chewing (p=0.001), and smoking (p=.021) were associated with coated tongue. Conclusion: The prevalence of tongue lesions among this sample of Yemeni population was 76.5 percent; fissured tongue and hairy tongue were the most prevalent lesions. Khat chewing, smoking, and older age were the associated risk factors for many of studied lesions and anomalies.

Lesiones de la mucosa bucal en una población infantil de Montevideo, Uruguay / Oral mucosal lesions in a child population of Montevideo, Uruguay

Justificación: Existen escasos estudios que documenten la frecuencia de lesiones de la mucosa bucal en niños y adolescentes, y todos revelan resultados dispares.Materiales y método: Se realizó un estudio observacional, descriptivo, transversal, en niños de 3 a 12 años de edad que participan del Programa de Salud Bucal de la Facultad de Odontología de la Universidad Católica del Uruguay. Se tomaron en cuenta lesiones en la totalidad de la cavidad bucal, describiendo y registrando cada uno de los hallazgos. Se seleccionaron las 7 lesiones más frecuentes enla bibliografía consultada. Se realizó un análisis estadístico según edad, género y tipo de dentición.Resultados: Se estudiaron 191 sujetos; 103 presentaron alguna lesión. La lesión identificada con mayor frecuencia fue Morsicatio buccarum es decir, mordisqueo de mucosa yugal (trauma inflingido). La siguiente lesión más frecuente fue Lengua geográfica.Conclusiones: Las niñas tuvieron mayor probabilidad de presentar algún tipo de lesión que los niños. El rango de edades de 6-9 años tuvo mayor riesgo de presentar alguna lesión que el grupo de 9-12 años. Los sujetos con dentición mixta tuvieron más riesgo de presentarMorsicatio buccarum que el grupo de dentición permanente. Asimismo, los individuos de 6-9 años tuvieron mayores posibilidades de presentar Morsicatio buccarum que el grupo de 9-12 años. No se encontró un estudio epidemiológicamente comparable que describa las mismas lesiones que éste; esto lleva a concluir que es necesario realizar otros estudios con la misma metodología y ampliando los criterios diagnósticos.

Justification: There are few studies that document the frequency of oral mucosal lesions in children and adolescents, and all of them reveal different results.Materials and method: This was an observational, descriptive, transversal survey, in children between the ages of 3 and 12, that participate in the “Programa de Salud Bucal de la Facultad de Odontología de la Universidad Católica del Uruguay”/ Oral Health Program of the Dentistry School of Uruguayan Catholic University. Lesions in the whole oral cavity were taken into account, describing and registering each one of the findings. The 7 lesions more frequent in the bibliography consulted were selected. A descriptive statisticalanalysis was made using the variables age, gender and dentition stages.Results: 191 children were examined; lesions were found in 103 children. Morsicatio buccarum, meaning the bitening of the cheek mucosa (self inflicted trauma), was the most common lesion. The second most frequent lesion was Geographic tongue. Conclusions: Girls had higher probability of presenting a lesion than boys. The age range between 6-9 had more risk of developing a lesion than the group ranging in age from 9-12. The children with mixed dentition had more risk of having Morsicatio buccarumthan the children with permanent dentition; and the children ranging in age from 6-9 had more probabilities of presenting Morsicatio buccarum than the children ranging 9-12. We could not find any other survey epidemiologically comparable that described the samelesions than ours. This leads to the conclussion that it is necessary to perform further studies with the same methodology and a wider range of diagnosis criteria.

Geographic tongue and psoriasis: clinical, histopathological, immunohistochemical and genetic correlation - a literature review

Abstract: Geographic tongue is a chronic, inflammatory, and immune-mediated oral lesion of unknown etiology. It is characterized by serpiginous white areas around the atrophic mucosa, which alternation between activity, remission and reactivation at various locations gave the names benign migratory glossitis and wandering rash of the tongue. Psoriasis is a chronic inflammatory disease with frequent cutaneous involvement and an immunogenetic basis of great importance in clinical practice. The association between geographic tongue and psoriasis has been demonstrated in various studies, based on observation of its fundamental lesions, microscopic similarity between the two conditions and the presence of a common genetic marker, human leukocyte antigen (HLA) HLA-C*06. The difficulty however in accepting the diagnosis of geographic tongue as oral psoriasis is the fact that not all patients with geographic tongue present psoriasis. Some authors believe that the prevalence of geographic tongue would be much greater if psoriatic patients underwent thorough oral examination. This study aimed to develop a literature review performed between 1980 and 2014, in which consultation of theses, dissertations and selected scientific articles were conducted through search in Scielo and Bireme databases, from Medline and Lilacs sources, relating the common characteristics between geographic tongue and psoriasis. We observed that the frequency of oral lesions is relatively common, but to establish a correct diagnosis of oral psoriasis, immunohistochemical and genetic histopathological analyzes are necessary, thus highlighting the importance of oral examination in psoriatic patients and cutaneous examination in patients with geographic tongue.

Queilitis granulomatosa como parte del síndrome de Melkersson Rosenthal / Granulomatous cheilitis as a part of Melkersson Rosenthal syndrome

La queilitis granulomatosa es una entidad infrecuente caracterizada por tumefacción labial recurrente. Es considerada la forma incompleta más frecuente del síndrome de Melkersson Rosenthal, compuesto por la tríada de edema orofacial recurrente, lenguafisurada y parálisis facial. En su histología es característica la presencia de granulomas no caseificantes. Presentamos el caso de una paciente con queilitis granulomatosa y revisamosla bibliografía. Se destaca además esta entidad por su difícil manejo y variables respuestas a los tratamientos instaurados...

Prevalence of bifid tongue and Ankyloglossia in South Indian population with an emphasis on its embryogenesis / Prevalencia de lengua bífida y anquiloglosia en el Sur de la población India con énfasis en su embriogénesis

Disturbance in the organogenesis of tongue might lead to some malformations like tongue tie, bifid tongue and hairy tongue. Severe degrees of these anomalies may cause speech impairment or periodontal defects. The present study was done on patients of the southern coastal belt of India during the past two years, on gross tongue anomalies. The results of the present study reveal that occurrence of tongue tie is 0.2 percent and bifid tongue is 0.3 percent in the southern coastal population. Since great majority of these oral anomalies have genetic basis the purpose of the present report is to highlight that these anomalies can exist without any familial background and also to suggest that environmental factor may play a role in the etiogenesis of these anomalies.

La alteración en la organogénesis de la lengua puede dar lugar a algunas malformaciones como anquiloglosia, lengua bífida y lengua vellosa. Grados severos de estas anomalías puede provocar un trastorno del habla o defectos periodontales. El presente estudio se realizó, durante los últimos dos años, en pacientes de la franja costera del Sur de la India con anomalías graves en la lengua. Los resultados del estudio revelaron que, en la población costera del sur, la incidencia de anquiloglosia era de 0,2 porciento y de lengua bífida de 0,3 por ciento. Dado que la gran mayoría de estas anomalías orales tienen base genética, el propósito del presente informe fue poner de relieve que estas anomalías pueden existir sin ningún tipo de antecedentes familiares y también sugerir que los factores ambientales podrían jugar un papel en el etiogenesis de estas anomalías.

Estudo da prevalência de alterações de língua / Prevalence study of the tongue alterations

Introdução - A língua desempenha importantes funções na mastigação, deglutição, gustação e fala. Alterações nesse órgão, como sinal de desordens no organismo, são muito valorizadas clinicamente, uma vez que várias doenças sistêmicas podem estar associadas. O objetivo deste estudo é realizar um perfil epidemiológico,retrospectivo, de seis alterações linguais presentes em pacientes assistidos no projeto de extensão de Estomatologia intitulado: “Diagnóstico, tratamento e epidemiologia das doenças da cavidade bucal (Lebu)”, na Clínica Odontológica da Universidade Estadual de Maringá (UEM), entre o período de 1995 a 2010 e averiguar a relação destas alterações linguais com portadores de prótese e/ou hábitos nocivos. Material e métodos – Realizou-se uma pesquisa retrospectiva na Clínica de Estomatologia doDepartamento de Odontologia da UEM, entre o período de 1995 a 2010, utilizando-se de 2176 prontuários de pacientes assistidos e biopsiados no projeto de extensão Lebu. Resultados - Dos prontuários analisados, 132 pacientes (6,06%) apresentavam algum tipo de alteração lingual. Do número total de pacientes com alterações de língua 72% apresentavam uma associação de lesões sobrepostas. Um total de 38,6% dos pacientes fazia uso de prótese, havendo correlação estatisticamente significante entreo uso de prótese e glossodinia. O uso do tabaco e/ou álcool foi visto em 35,60% dos pacientes, sendo sua relação estatisticamente significante com o desenvolvimento da língua saburrosa e língua pilosa negra. Conclusões – Dentre as alterações de língua estudadas a de maior prevalência foi a língua geográfica. A faixa etária de predileçãofoi a quarta década de vida. A prevalência da língua saburrosa e língua pilosa negra apresentou relação com os pacientes usuários de álcool e tabaco.

Introduction - The tongue plays an important role in chewing, swallowing, taste and speech. Alterations in this organ as a sign of disorders in the body, are highly valued clinically, since many systemic diseases may be associated. The aim of this study is an epidemiological, retrospective six tongue alterations present in patients from the Extension Project of Stomatology titled “Diagnosis, treatment and epidemiology of diseases of the oral cavity (LEBU)” in the Dental Clinic, State University of Maringá, between the period from 1995 to 2010 and the investigate the relationship of these tongue alterations with prostheses and/or harmful habits.Material and methods – A retrospective study at the Clinic of Stomatology, Department of this University was held between the period 1995 to 2010, using the 2176 records of patients assisted and biopsied in the extension project LEBU. Results – 132 patients (6.06%) had some type of the tongue alterations. The total number of patients with tongue alterations (N = 132), 72% had a combination of overlapping lesions. Total of 38.6% of patients used a prosthesis, there was a statistically significant correlation between the use of prosthesis and glossodynia. In relation to tobacco addiction and / or alcohol abuse, 35.60% of patients had some type of addiction, and tobacco useand / or alcohol use was statistically significant for coated tongue and black hairy tongue. Conclusions - Among the tongue alterations studied the most prevalent was the geographic tongue. The age of predilection was the fourth decade of life. The prevalence of coated tongue and black hairy tongue patients were related to the usersof alcohol and tabacco.

Síndrome de Melkersson-Rosenthal: um desafio diagnóstico para o cirurgião-dentista / Melkersson-Rosenthal Syndrome: a diagnosis challenge to the dentist

A síndrome de Melkersson-Rosenthal (SMR) é uma desordem neuromucocutânea rara, de etiologia não conhecida. Ocorre em 0,08 por cento da população. A paralisia facial alternante, queilite grannulomatosa e língua fissurada constituem a clássica tríade de sinal. Paciente de 39 anos do sexo feminino apresentou-se com um quadro de edema em lábio superior e episódios de cefaléia há cerca de 15 anos, com piora lenta e progressiva. Ao exame físico apresentava um edema pronunciado e ressecamento do lábio superior. A língua encontrava-se espessada e com fissuras em toda extensão. O diagnóstico de SMR foi então realizado. O conhecimento das características da SMR é fundamental para o fechamento do quadro. Só desta forma os frequentes erros de dianóstico que são comuns devido ao caráter crônico e insidioso da mesma podem ser evitados.

Síndrome de Melkerson-Rosenthal: relato de um caso clínico / Melkerson-Rosenthal syndrome: a case report

A Síndrome de Melkersson-Rosenthal (SMR) é caracterizada por uma tríade composta de edema orofacial recorrente, língua fissurada e paralisia facial. No entanto, esta clássica tríade nem sempre é observada, existindo as formas oligossintomáticas e monossintomáticas. Neste trabalho é apresentado um caso clínico de um paciente de 18 anos de idade, com edema labial, língua fissurada e geográfica e eritema gengival, cujas características clínicas e exames de laboratório permitiram o diagnóstico de Síndrome de Melkersson-Rosenthal.

The Melkersson-Rosenthal Syndrome (MRS) is characterized by a triad composed of recurrent orofacial swelling, fissured tongue and facial paralysis. However, this classic triad is not always observed, existing the forms oligossymptomatic and monossymptomatic. In this study is presented a clinical case of a 18 year-old patient, that presented lip swelling, fissured tongue and gingival erythema. Of agreement, with the clinical characteristics and laboratorial analysis the diagnosis was Melkersson-Rosenthal Syndrome.

Principales hallazgos clinicos en la lengua en una poblacion de Cali / Main findings in the tongue among a Cali population: pilot study

La lengua puede ser un órgano de gran utilidad para el diagnostico temprano de afecciones sistémicas. En este artículo se presentan los principales cuadros patológicos encontrados en la evaluación clínica de la lengua de 400 pacientes provenientes de la consulta de primera vez en el servicio odontológico de la Clínica Santa Rosa de COMFANDI y la consulta particular de los Odontólogos que realizaron la investigación. Los pacientes para ser incluidos en el estudio debían ser mayores de 5 años de edad y firmar su consentimiento informado. Como criterio de exclusión se consideraron pacientes con afecciones psíquicas y afecciones sistémicas agudas. Con referencia a la localización de los cambios identificados, el dorso de la lengua fue la región donde se visualizaron en un 70 % de los pacientes evaluados. Los tipos de lengua mas frecuentemente identificados fueron: lengua saburral en 30% de los pacientes, lengua fisurada en el 11,25 %, lengua geográfica en el 7.8%, glosodinia en el 6.75% y macroglosia secundaria en el 5.8%. Adicionalmente, en la lengua de un mismo individuo, en menor proporción, se encontraron diversas combinaciones de afecciones; la más frecuente, la lengua sabural y fisurada en el 3.5% de los examinados. En general, las tres más frecuentes afecciones de la lengua fueron lesiones de carácter benigno y asintomático como son la lengua saburral, la lengua fisurada y la lengua geográfica. Un porcentaje importante tuvo la glosodinia, que amerita determinar sus causas para poder ofrecer un tratamiento. La macroglosia secundaria fue otra patología encontrada y esta se evitaría con el reemplazo oportuno de los dientes perdidos. A dos de los pacientes con ulceras linguales, se les diagnostico carcinoma escamocelular. En el examen clínico de un paciente que asista a la consulta Odontológica la valoración de la lengua reviste gran utilidad diagnostica y debe ser realizada por todos los profesionales de la Odontología.

The Tongue is an important body organ that can be used to perform early diagnosis of systemic or local medical and oral diseases. In this study the tongue of 400 people coming from COMFANDI – EPS at Santa Rosa Dental Service, and some private dental offices were evaluated in Cali- Colombia. Results are presented as more common tongue pathologic findings. Tongue pathologic diseases were in order of frequency: Saburral tongue (30%), Fissure tongue (11.25%), Geographic tongue (7.8%), Glossy tongue (6.75%), Secondary macro-glosia were the more frequent single diagnosis. However, tongue disease combinations like saburral and fissure tongue (3.5%) were present but less frequent. More common tongue diagnostics were benign and asymptomatic diseases. Other diagnosis such as Secondary macroglosia may be related to molar extractions and could be solved by dental replacement. Regarding life threatening diseases on the tongue, two patients had lingual ulcers that later confirmed to be escamous carcinoma. Thus, tongue careful evaluation during dental first examination is an important procedure to help diagnose and treat benign and malign tongue diseases.

Síndrome de Melkersson-Rosenthal. Reporte de un caso / Melkersson-Rosenthal syndrome. A case report

Se reporta un caso de síndrome de Melkersson-Rosenthal que muestra edema orofacial, lengua fisurada y ausencia de parálisis facial, con hallazgos histológicos de reacción granulomatosa de tipo sarcoidal no caseificante. Revisamos el cuadro clínico, la etiología, los diagnósticos diferenciales y las opciones terapéuticas.

Cárie e Alterações Linguais em Crianças de Pitimbu - Paraíba - Brasil / Decay and Lingual Alterations in Children of Pitimbu - Paraíba - Brazil

Objetivo: Verificar a relação entre a prevalência de cárie dentária e alterações linguais em crianças de 6 a 13 anos na cidade de Pitimbu (PB). Material e Métodos: Cento e três (N=103) crianças foram aleatoriamente selecionadas para participar do estudo. Os exames clínicos foram realizados por 3 examinadores calibrados, sob luz natural com auxílio de espátula de madeira, espelho bucal e sonda clínica número 5. A prevalência de cárie foi detectada através do CPO-D e do percentual de dentes afetados, entre eles cariados, perdidos e obturados, em relação ao número de dentes permanentes presentes. Resultados: O CPO-D médio foi de: 1.4; 2.1; 2.4 e 3.6 para as faixas etárias 6-7, 8-9, 10-11 e 12-13, respectivamente. As alterações de língua foram observadas em aproximadamente 50 por cento das crianças. Observou-se língua saburrosa (29,1 por cento), língua fissurada (9,7 por cento), língua geográfica (2,9 por cento) e associações destas alterações (6,8 por cento). Houve uma associação a 5 por cento de significância entre a presença de alterações linguais e o CPO-D (MannWhitney U; Z = -2,01). Dentre as alterações linguais, a língua fissurada foi a única relacionada com o CPO-D e percentual de dentes afetados (MannWhitney U; Z = -2,81). Conclusão: Conclui-se que houve relação entre a prevalência de cárie e a presença de alterações linguais nas crianças examinadas