RESUMO
BACKGROUND: Odontology practice has been severely compromised by the pandemic caused by COVID-19 and Spain is one of the countries with higher incidence. Our aim with this study is to find out the number of cases and type of odonto-stomatological emergencies (OSE) treated in four dental clinics of the Madrid capital area and region (CAM) in the period covered between March 17th and 4th of May. MATERIAL AND METHODS: We search the cases in the demographic/epidemiological databases of the CAM regional government and the Illustrious Official College of Dentists and Stomatologists of the First Region (Madrid). RESULTS: We found that the most prevalent pathology was acute apical periodontitis whereas odontogenic abscess showed the lowest frequency. Prosthetic-orthodontic OSE represented 14% of cases. CONCLUSIONS: In this period of time, the most prevalent pathology acute apical periodontitis, odontogenic abscess reported the lowest frequency and prosthetic-orthodontic treatments were the third in number of cases. Most of OSE were resolved, without referring the patient to a hospital emergency department.
Assuntos
COVID-19 , Emergências , Clínicas Odontológicas , Humanos , SARS-CoV-2 , EspanhaRESUMO
OBJECTIVES: To analyse the relationship between different dimensions of dental appearance impact and self-esteem in adult patients undergoing orthodontic treatment, with special attention to the possible mediating role of anxiety. SETTING AND SAMPLE POPULATION: A quasi-experimental design was used with a matched control group (without orthodontic treatment). In each group (experimental and control), there were 85 patients. MATERIAL AND METHODS: The impact of dental appearance was measured using the Psychosocial Impact of Dental Aesthetics Questionnaire (PIDAQ). State anxiety was assessed with the State Anxiety Inventory (STAI-S) and self-esteem with Rosenberg's self-esteem scale. RESULTS: In both groups (experimental and control), self-esteem correlates negatively, ranging between 0.26 and 0.43, with all dimensions of dental appearance impact (except for the positive dental self-confidence dimension, where all correlations were positive). Anxiety correlates positively, ranges between 0.35 and 0.44, with social impact, psychological impact and aesthetic concern, although it maintains no significant correlations with dental self-confidence. Nevertheless, in patients undergoing orthodontic treatment, anxiety plays a mediating role between dental impact dimensions and self-esteem, whilst for the control group anxiety only plays a mediator role between psychological impact and self-esteem. CONCLUSION: Anxiety plays a fundamental role in the effect of perceived dental impact on self-esteem in adult patients undergoing orthodontic treatment. These results have important practical implications for the design of bio-psycho-social intervention programs that contemplate cognitive-affective variables as an essential part of orthodontic treatment in adults.
Assuntos
Ansiedade/psicologia , Estética Dentária , Ortodontia Corretiva/psicologia , Autoimagem , Adulto , Estudos de Casos e Controles , Estudos Transversais , Escolaridade , Emprego , Feminino , Humanos , Relações Interpessoais , Masculino , Má Oclusão Classe I de Angle/psicologia , Má Oclusão Classe I de Angle/terapia , Má Oclusão Classe II de Angle/psicologia , Má Oclusão Classe II de Angle/terapia , Má Oclusão Classe III de Angle/psicologia , Má Oclusão Classe III de Angle/terapia , Braquetes Ortodônticos , Adulto JovemRESUMO
Lesh-Nyhan Syndrome is a hereditary disorder that affects the way in which the body handles the production and breakdown of purines. One of its main characteristic is self-mutilation. We present a new appliance which allows healing to occur.
Assuntos
Mordeduras Humanas/prevenção & controle , Síndrome de Lesch-Nyhan/complicações , Lábio/lesões , Comportamento Autodestrutivo/prevenção & controle , Língua/lesões , Pré-Escolar , Seguimentos , Humanos , Masculino , Protetores Bucais , Placas Oclusais , Hemorragia Bucal/prevenção & controle , Úlceras Orais/prevenção & controle , ChupetasRESUMO
INTRODUCTION: Two processes of vastly different clinical characteristics-what we know today as "Aphthous Stomatitis" and "noma"-occupied the minds of dentists and doctors from the sixteenth to eighteenth centuries. The aim of this article was to look at their knowledge-concerning the differential diagnosis and treatment of these two processes. MATERIALS AND METHODS: Publications of the Spanish physicians and dentists from the sixteenth to eighteenth centuries are reviewed and analysed. RESULTS: The great difference as to how both evolved and about their-consequences led to serious efforts being made to establish a-differential diagnosis and their respective aetiology and treatment. CONCLUSION: While the first goal can be clearly said to have been achieved, practitioners only had the resources offered by authors of antiquity and the Middle Ages to explain the aetiology and apply therapeutic treatment, since microbial theories of disease were not developed until the end of the nineteenth century and antibiotic treatment had to wait until the twentieth century.
Assuntos
Noma/história , Estomatite Aftosa/história , Criança , Odontólogos , Diagnóstico Diferencial , História do Século XVI , História do Século XVII , História do Século XVIII , Humanos , Lactente , Noma/diagnóstico , Noma/terapia , Médicos , Espanha , Estomatite Aftosa/diagnóstico , Estomatite Aftosa/terapiaAssuntos
Candidíase Bucal/história , Europa (Continente) , História do Século XVIII , Humanos , Lactente , Recém-NascidoAssuntos
Queimaduras por Corrente Elétrica/complicações , Boca/lesões , Criança , Feminino , HumanosRESUMO
Lip sucking, in spite of being less frequent than other habits, can cause malocclusion, which in turn may favor the appearance of other new habits such as tongue thrust. The elimination of this habit can lead to the spontaneous correction of malocclusion. The case report of a three-year-old male with a lip sucking habit is presented. After eliminating the habit, the open bite that it had caused, corrected spontaneously.
Assuntos
Lábio , Má Oclusão/etiologia , Comportamento de Sucção , Pré-Escolar , Humanos , Masculino , Aparelhos OrtodônticosRESUMO
Two Class III cases are described which are treated first during childhood with orthopedics and later by a second stage with orthodontics using bonded braces. One case was treated solely with a chin cup and the other with a chin cup, disjunction and anterior traction. Profile and occlusion changes are analyzed and the orthopedic effect of the treatment is discussed.
Assuntos
Aparelhos de Tração Extrabucal , Má Oclusão Classe III de Angle/terapia , Ortodontia Interceptora/métodos , Criança , Feminino , Humanos , Ortodontia Corretiva/métodos , Ortodontia Interceptora/instrumentação , Planejamento de Assistência ao PacienteAssuntos
Odontopediatria/história , Odontologia , História do Século XVIII , História do Século XIX , Humanos , EspanhaRESUMO
In 1557 Francisco Martinez published the first Spanish treatise on odontology under the title "A brief conversation on matters of dentistry and the marvelous natural workmanship of the mouth". This is the first text in the Spanish medical literature ever to have contained recommendations concerning the care and attention to be given to the mouth of children. The present article analyzes the ideas on dental anatomy, extractions, as well as on preventive and preservative odontology for children, that are expounded in Martinez's text.