Dental consensus on HSCT - Part II: dental Care during HSCT

ABSTRACT During the state of immune vulnerability in hematopoietic stem cell transplantation (HSCT), the patient has an increased risk of developing a vast number of complications, including severe problems in the oral cavity. These situations require professional oral care to act in the diagnosis and treatment of these conditions, as well as to develop prevention protocols to minimize patient's complications. Oral mucositis, opportunistic infections, bleeding, specific microbiota, taste, and salivary alterations are complications that can occur during HSCT and interfere with various aspects, such as pain control, oral intake, nutrition, bacteremia and sepsis, days of hospitalization and morbidity. Several guidelines have been published to address the role of professional oral care during the HSCT, we describe a consensus regarding these recommendations.

Dental consensus on HSCT - Part II: dental Care during HSCT.

During the state of immune vulnerability in hematopoietic stem cell transplantation (HSCT), the patient has an increased risk of developing a vast number of complications, including severe problems in the oral cavity. These situations require professional oral care to act in the diagnosis and treatment of these conditions, as well as to develop prevention protocols to minimize patient's complications. Oral mucositis, opportunistic infections, bleeding, specific microbiota, taste, and salivary alterations are complications that can occur during HSCT and interfere with various aspects, such as pain control, oral intake, nutrition, bacteremia and sepsis, days of hospitalization and morbidity. Several guidelines have been published to address the role of professional oral care during the HSCT, we describe a consensus regarding these recommendations.

Oral alterations and oral health-related quality of life assessment in patients undergoing chemotherapy at a tertiary care center.

AIMS: This study was designed to assess the oral alterations and oral health related quality of life (OHRQoL) in patients undergoing chemotherapy for malignancies other than oral cancer. METHODS AND RESULTS: Oral alterations were studied by careful clinical examination prior to and at the end of three cycles of chemotherapy in 100 patients. OHRQoL was assessed by oral health impact profile (OHIP)-14 questionnaire. Fifty-four patients developed oral complications among which oral mucositis and pigmentation were the most commonly observed. OHRQoL was hampered in all patients as indicated by higher postchemotherapy scores as compared to prechemotherapy scores (P < .0001). Postchemotherapy scores were higher for patients who developed visible oral changes as compared to those who did not (P = .001). There was a weak positive correlation between the number of oral alterations and postchemotherapy scores for OHRQoL. CONCLUSIONS: Our study emphasizes the role of oral physicians in the healthcare team delivering chemotherapeutic treatment as regular oral examination, and timely symptomatic treatment is important for the overall well-being of the patient.

Oral and Psychological Alterations in Haemophiliac Patients.

Haemophiliacs are hereditary coagulopathies whose basic anomaly consists of the quantitative or qualitative alteration of one or more plasma proteins in the coagulation system. The objective of this review is to analyse all risk factors, predispositions and alterations to the oral-maxillofacial district in patients with haemophilia. The broader assessment also includes the psychological aspects that could affect the treatment and maintenance of oral conditions. The study takes into consideration all the works in the literature in the last 10 years. Works that present oral, dental and psychological changes in haemophilia patients have been combined. A total of 16 studies were analysed carefully evaluating and explaining all the alterations and risk factors that this disease provides. The aim of the review is to report all the anomalies reported in the literature for these patients, and to direct and update the clinician in the treatment of haemophilia patients.

Manejo de dientes natales y neonatales: reporte de dos casos / Management of natal and neonatal teeth: report of two cases

Los dientes natales son órganos dentarios que se presentan al nacimiento, y los neonatales son aquellos que erupcionan durante el primer mes de vida. La etiología exacta es desconocida. El manejo de estos dientes depende de múltiples factores. La extracción está indicada cuando eldiente es un supernumerario o presenta movilidad excesiva debido al riesgo de broncoaspiración. Cuando tienen ligera movilidad, generalmente se estabilizan conforme van erupcionando. El objetivo de este reporte es la presentación de dos casos clínicos de dientes natales yneonatales que se manejaron con abordajes diferentes, el primero demanera conservadora y el segundo con la extracción del órgano dental.

Natal teeth are those present at birth. Those erupting during the fi rst month of life are neonatal teeth. The etiology is not known. Natal teeth management is dependent on multiple factors. If the natal tooth is su-pernumerary, the treatment of choice is extraction; likewise, when the teeth are excessively mobile, extraction is indicated due to the risk of aspiration. When natal teeth are only slightly mobile, they often stabilize soon after eruption. The aim of this report is to present two cases of natal and neonatal teeth that were managed with different approaches; the fi rst with a more conservative treatment and the second one with the extraction of the teeth.

Síndrome de rubéola congénita y manifestaciones bucales: reporte de un caso / The congenital rubella syndrome: case report

El Síndrome de la Rubéola Congénita (SRC), se caracteriza por presentar secuelas tempranas y tardías que afectan el sistema ocular, cardíaco y auditivo de manera simultánea acompañada de diferentes manifestaciones bucales. El objetivo de este reporte es dar a conocer las características bucales asociadas al Síndrome, como puede afectar al paciente desde temprana edad y guiar al odontólogo a identificar dicha entidad. Se presenta el caso de escolar de género femenino que acude al servicio de ortodoncia interceptiva del Postgrado de Odontología Infantil de la U.C.V., con el diagnóstico de S.R.C. se realizó el consentimiento informado y se cumplieron los protocolos de profilaxis antibiótica. Al examen clínico intraoral y extraoral y al análisis cefalométrico se diagnosticó Maloclusión dentaria Clase I tipo 3, Maloclusión esquelética Clase III, oligodoncias, microdoncias, además de ciertas características no reportadas asociadas al SRC como la queilitis descamativa y lesiones fibrosas. El SRC posee diferentes manifestaciones bucales que incluyen alteraciones en el desarrollo dental, maloclusiones. El tratamiento odontológico adecuado para estos pacientes debe realizarse en conjunto con un equipo multidisciplinario tomando en cuenta el estado sistémico del paciente

The Congenital Rubella Syndrome (CRS) is characterized by early and late sequelae that affect the eye, heart and ear simultaneously accompanied by various oral manifestations. The purpose of this report is to present oral characteristics associated with Syndrome, how it can affect the patient from an early age and guide the dentist to identify the syndrome. We report the case of a female pacient who attended school at the time in which she was treated at the Graduate interceptive orthodontic Pediatric Dentistry UCV, with the diagnosis of CRS. Informed consent was performed and antibiotic prophylaxis protocols were fulfilled. When intraoral and extraoral clinical examination and cephalometric analysis were diagnosed dental malocclusion Class I Type 3, Class III skeletal, oligodontics , microdontics, plus some unreported characteristics associated with the SRC as desquamative cheilitis and fibrous lesions. SRC has various oral manifestations that include disturbances in dental development, malocclusion. Appropriate dental treatment for these patients should be performed in conjunction with a multidisciplinary team taking into account the patient's clinical state