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Intervention programs based on self-compassion have demonstrated their efficacy both in reducing psychological distress and increasing well-being. The goal of this study was to test the efficacy of an online intervention to increase mindfulness and self-compassion levels in a non-clinical sample in a highly stressful context: the ten weeks of lockdown imposed in the early stages of the COVID-19 pandemic. The intervention sessions consisted of thirty-minute guided meditations followed by thirty minutes of inquiry. Sixty-one participants completed two thirds of the sessions or more, and 65 individuals participated in a waiting-list (WL) control group. Self-compassion, anxiety, depression and stress levels were assessed. The analysis of pre-post results suggests that the interventions increased self-compassion levels and decreased anxiety, depression and stress levels, whereas the WL group did not show any significant changes. The emotional changes in the intervention group were associated with the increase in self-compassion. However, at follow-up, the scores of emotional distress variables returned to the initial pre-intervention scores. These data can be interpreted in line with previous results that have shown the efficacy of self-compassion-based intervention programs. Given that this efficacy was not maintained at follow-up, data are discussed according to the pervasive role of a highly stressful context and-as described in other studies-the need for regular practice to maintain the benefits obtained.
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Adoptive cell transfer (ACT) therapies have gained renewed interest in the field of immunotherapy following the advent of chimeric antigen receptor (CAR) technology. This immunological breakthrough requires immune cell engineering with an artificial surface protein receptor for antigen-specific recognition coupled to an intracellular protein domain for cell activating functions. CAR-based ACT has successfully solved some hematological malignancies, and it is expected that other tumors may soon benefit from this approach. However, the potential of CAR technology is such that other immune-mediated disorders are beginning to profit from it. This review will focus on CAR-based ACT therapeutic areas other than oncology such as infection, allergy, autoimmunity, transplantation, and fibrotic repair. Herein, we discuss the results and limitations of preclinical and clinical studies in that regard.
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Neoplasias Hematológicas , Neoplasias , Receptores de Antígenos Quiméricos , Humanos , Linfócitos T , Imunoterapia Adotiva/métodos , Neoplasias Hematológicas/terapiaRESUMO
RESUMEN Fundamento Para el manejo quirúrgico del paciente con deformidad facial resulta vital el uso del examen clínico y radiográfico de cada caso, pues en dependencia de los hallazgos se decide entre las diversas alternativas terapéuticas disponibles en este campo. Objetivo describir el comportamiento imagenológico de las deformidades faciales en pacientes adultos. Métodos se realizó un estudio descriptivo de corte transversal, en 46 pacientes mayores de 18 años, con diagnóstico de deformidad facial, los cuales acudieron al Servicio de Cirugía Maxilofacial, del Hospital Calixto García, en el período comprendido desde noviembre de 2017 a noviembre de 2019. Se analizaron las variables: tipo de tejido, magnitud, y plano en el que se evidenciaron las alteraciones. Se utilizó la prueba exacta de Fisher, con un nivel de confianza al 95 %, para determinar las relaciones analíticas entre las variables; así como los índices tau b de Kendall y el Rho de Spearman. Resultados el 45,7 % de las deformidades se presentó en ambos planos; el 50 % de ellas con magnitudes entre 11-30 mm; y en el 41,3 % de los pacientes afectaron al tejido blando. Las correlaciones entre la distribución de pacientes y los conjuntos de variables plano/tipo de tejido y plano/magnitud resultaron negativas débiles; mientras que tipo de tejido/magnitud presentó una correlación positiva moderada muy significativa, con valores de significación entre 0,001 a 0,003. Conclusión predominaron las deformidades de tejido blando, en ambos planos y con magnitudes entre 11-30 mm. Las variables imagenológicas estudiadas mostraron un comportamiento interdependiente.
ABSTRACT Background For the surgical management of the patient with facial deformity, the use of the clinical and radiographic examination of each case is vital, since depending on the findings, a decision is made between the various therapeutic alternatives available in this field. Objective to describe the imaging behavior of facial deformities in adult patients. Methods a descriptive cross-sectional study was carried out in 46 patients older than 18 years old, with a diagnosis of facial deformity, who attended the Maxillofacial Surgery Service, Calixto García Hospital, from November 2017 to November 2019. The analyzed variables were: type of tissue, magnitude, and plane in which the alterations were evidenced. Fisher's exact test was used, with a confidence level of 95 %, to determine the analytical relationships between the variables; as well as Kendall's tau b and Spearman's Rho rates. Results The 45.7 % of the deformities presented in both planes; 50 % of them with magnitudes between 11-30 mm; and in 41.3 % of the patients they affected the soft tissue. The correlations between the distribution of patients and the sets of variables plane/tissue type and plane/magnitude were weakly negative; while tissue type/magnitude presented a very significant moderate positive correlation, with significance values between 0.001 and 0.003. Conclusion soft tissue deformities predominated, in both planes and with magnitudes between 11-30 mm. The imaging variables studied showed an interdependent behavior.
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The modulation of the host's metabolism to protect tissue from damage induces tolerance to infections increasing survival. Here, we examined the role of the thyroid hormones, key metabolic regulators, in the outcome of malaria. Hypothyroidism confers protection to experimental cerebral malaria by a disease tolerance mechanism. Hypothyroid mice display increased survival after infection with Plasmodium berghei ANKA, diminishing intracranial pressure and brain damage, without altering pathogen burden, blood-brain barrier disruption, or immune cell infiltration. This protection is reversed by treatment with a Sirtuin 1 inhibitor, while treatment of euthyroid mice with a Sirtuin 1 activator induces tolerance and reduces intracranial pressure and lethality. This indicates that thyroid hormones and Sirtuin 1 are previously unknown targets for cerebral malaria treatment, a major killer of children in endemic malaria areas.
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Hipotireoidismo , Malária Cerebral , Sirtuína 1 , Animais , Encéfalo/metabolismo , Modelos Animais de Doenças , Hipotireoidismo/metabolismo , Malária Cerebral/tratamento farmacológico , Malária Cerebral/metabolismo , Camundongos , Camundongos Endogâmicos C57BL , Plasmodium berghei , Sirtuína 1/antagonistas & inibidores , Sirtuína 1/metabolismoRESUMO
RESUMEN Introducción: El rinofima es una enfermedad de la cual se han descrito 4 clasificaciones clínicas asociadas a la gravedad de la afectación dérmica. Aun así, existen casos en quienes no son clasificables por ninguna de las alternativas. Objetivo: Mostrar un paciente no clasificable, según las clasificaciones preexistentes del rinofima. Caso clínico: Se presenta un paciente masculino de 68 años de edad, de piel blanca, con diagnóstico de rinofima, que en el examen físico se observa engrosamiento nasal, nodular, asimétrico, con piel normocoloreada, presencia de telangiectasias en toda su superficie y compromiso de más de una subunidad anatómica nasal. Conclusiones: El caso presentado no se puede enmarcar en ninguno de los ítems de las clasificaciones existentes, lo cual muestra la necesidad del diseño de una nueva clasificación del rinofima más exhaustiva e inclusiva para pacientes con este diagnóstico.
ABSTRACT Introduction: Rhinophyma is a disease of which four clinical classifications associated with the severity of dermal involvement have been described. Even so, there are cases in which they are not classifiable by any of the alternatives. Objective: To show an unclassifiable patient, according to the preexisting classifications of rhinophyma. Clinical case: A 68-year-old male patient is presented, with white skin, with a diagnosis of rhinophyma, who in the physical examination shows nasal, nodular, asymmetric thickening, with normal-colored skin, presence of telangiectasias on all its surface and compromise of more than one nasal anatomical subunit. Conclusions: The case presented cannot be framed in any of the items of the existing classifications, which shows the need to design a new, more exhaustive and inclusive rhinophyma classification for patients with this diagnosis.
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RESUMEN Fundamento :existen ocasiones en las que ante un mismo problema se actúa diferente y una forma de paliar este efecto es incorporar instrumentos que faciliten la toma de decisiones. Objetivo : evaluaren la década del 2010 al 2020 los protocolos existentes en el manejo del paciente con bruxismo en Cuba y el mundo. Métodos: se realizó un estudio observacional transversal para la protocolización del bruxismo desde la perspectiva clínica en Cuba y el mundo desde febrero de 2019 a febrero de 2020. El universo documental y de investigadores lo conformaron: cinco protocolos (cuatro extranjeros y un protocolo de carácter nacional) y un grupo evaluadorintegrado por cuatro profesionales de Estomatología. Se confeccionó una base de datos con la puntuación otorgada a el instrumento evaluativo con la escala cubana conformado por 15 ítems, según cinco categorías que establecían una evaluación del uno al cinco de los ítems, según opinión de cada integrante del grupo evaluador. Resultados: ninguno de los protocolos en existencia evaluados logró la puntuación máxima (300 puntos), tampoco la puntuación mínima (60 puntos). Los protocolos cuatro y cinco alcanzaron los mayores valores con 178 y 184 puntos respectivamente e igual IDT P de 0,53. Conclusiones : los protocolos para la atención de pacientes con bruxismo no alcanzaron la máxima puntuación posible, pero constituyen aciertos científicos e incorporan de una manera u otra, principios o funciones para desarrollar aspectos válidos en las buenas prácticas estomatológicas.
ABSTRACT Background: there are times in which facing the same problem, the performance is different and a way of reducing this effect is to incorporate instruments that facilitate decision-making. Objective: to evaluatein the last decade (from 2010 to 2020) the existing protocol in the management of the patient with bruxism in Cuba and the world. Methods: a cross sectional observational study was carried out for the protocolization of bruxism from a clinical perspective in Cuba and the world from February 2019 to February 2020.The universe of documents and researchers made it up: five protocols (four foreignersprotocols and a national one) and an evaluation group made up of four dental professionals. A database was drawn up with the grade given to the assessment instrument with the Cuban scale formed by 15 items, divided into five categories that established an evaluation from one to five of the items, according to the opinion of each member of the assessment group. Results: noneof the existing assessed protocol got neither the maximum grade (300 points)nor the minimum one (60 points). The fourth and fifth protocols reached the highest grades with 178 and 184 points respectively as well as the same IDT P of 0,53. Conclusions: these protocols the assistance of patients with bruxism did not reach the maximum possible grade, but they constitute scientific good decisions and incorporate, from one way or another, principles or functions to develop valid aspects in the good practice of dentistry.
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Previous data support that mental health is affected during pandemic and lockdown situations. Yet, little is known about the positive factors that protect mental health during a lockdown. This study analyzed mental health status-particularly emotional problems-and the role of several sociodemographic and clinical variables; it also explored whether there is a positive relationship between self-compassion and better mental health status. A cross-sectional study was carried out in Spain with the participation of 917 fluent Spanish-speaking residents in a survey conducted approximately midway through the COVID-19 lockdown. The survey tested for anxiety, depression, and stress using the Depression Anxiety Stress Scale-21 (DASS-21), the Self-Compassion Scale (SCS) to measure self-compassion values, and the Perceived Vulnerability to Disease Questionnaire (PVDQ) to assess the degree of risk perceived by participants. Around 30% of the individuals surveyed (recruited by snowball sampling) showed clinically significant levels of anxiety, depression, and stress. The variables most frequently associated with anxiety, depression, and stress were low levels of self-compassion, age, gender, previous physical symptoms, a previous mental disorder, being a student, and perceived vulnerability to disease. We discuss the hypothetical protective role against anxiety, depression, and stress of certain skills such as self-compassion and the possibility that increasing self-compassion may be used to promote better mental health in similar situations.
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COVID-19/psicologia , Empatia , Saúde Mental , Estresse Psicológico/epidemiologia , Adulto , Ansiedade/epidemiologia , Controle de Doenças Transmissíveis , Estudos Transversais , Depressão/epidemiologia , Feminino , Humanos , Masculino , Espanha/epidemiologia , Inquéritos e QuestionáriosRESUMO
Introducción: La odontología conservadora ha afrontado un problema conocido como discromía, la cual ocurre cuando el diente sufre un cambio de color. No es grave en cuanto a la repercusión para la salud, pero es una condición desagradable que afecta la estética del paciente y su estado psíquico. Algunos estudios evidencian un aumento en cuanto a la discromía dental, como motivo de consulta de los pacientes, quienes en ocasiones solicitan la avulsión dentaria. Objetivo: Describir las características clínicas y epidemiológicas de pacientes con discromía. Método: Se realizó una investigación observacional, descriptiva transversal, en pacientes que acudieron a consulta en la clínica estomatológica docente del Hospital Militar Central Dr. Carlos J. Finlay, en el período comprendido entre febrero de 2016 a octubre de 2019, con un universo de 349 pacientes. Resultados: Los pacientes menos afectados fueron los menores de 19 años con un 4,3 por ciento, el sexo masculino representó un 65,9 por ciento. Predominaron las tinciones por bacterias cromógenas tanto para el sexo masculino como el femenino, con un 27,3 por ciento y 15,9 por ciento respectivamente, el grupo de edad de 35-59 años fue el más afectado con un 44,1 por ciento; las tinciones por descomposición aparecieron en el 48,4 por ciento de los pacientes. Conclusiones: Los pacientes más afectados por discromía dental fueron del sexo masculino, del rango de edad entre 35-59 años y causas extrínsecas(AU)
Introduction: Conservative dentistry has faced a problem known as dyschromia, which occurs when the tooth undergoes a color change. It is not serious in terms of consequences for health, but it is an unpleasant condition that affects the aesthetics of the patient and her psychic state. Some studies show an increase in terms of dental dyschromia, as a reason for consulting patients, who sometimes request dental avulsion. Objective: To describe the clinical and epidemiological characteristics of patients with dyschromia. Method: An observational, descriptive cross-sectional investigation was carried out in patients who came to the clinic at the teaching dental clinic of the Central Military Hospital Dr. Carlos J. Finlay, in the period from February 2016 to October 2019, with a universe of 349 patients. Results: The least affected patients were under 19 years old with 4.3 percent, the male sex represented 65.9 percent. Staining by chromogenic bacteria predominated for both the male and female sex, with 27.3 percent and 15.9 percent respectively, the age group of 35-59 years was the most affected with 44.1 percent; decomposition stains appeared in 48.4 percent of patients. Conclusions: The patients most affected by dental dyschromia were male, with an age range between 35-59 years and extrinsic causes(AU)
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Humanos , Clareamento Dental/métodos , Epidemiologia Descritiva , Estudos Transversais , Odontologia , Estudo ObservacionalRESUMO
OBJECTIVE: To compare peri-implant soft- and hard-tissue integration at implants installed juxta- or sub-crestally. Furthermore, differences in the hard and soft peri-implant tissue dimensions at sites prepared with drills or sonic instruments were to be evaluated. MATERIAL AND METHODS: Three months after tooth extraction in six dogs, recipient sites were prepared in both sides of the mandible using conventional drills or a sonic device (Sonosurgery(®)). Two implants with a 1.7-mm high-polished neck were installed, one with the rough/smooth surface interface placed at the level of the buccal bony crest (control) and the second placed 1.3 mm deeper (test). After 8 weeks of non-submerged healing, biopsies were harvested and ground sections prepared for histological evaluation. RESULTS: The buccal distances between the abutment/fixture junction (AF) and the most coronal level of osseointegration (B) were 1.6 ± 0.6 and 2.4 ± 0.4 mm; between AF and the top of the bony crest (C), they were 1.4 ± 0.4 and 2.2 ± 0.2 mm at the test and control sites, respectively. The top of the peri-implant mucosa (PM) was located more coronally at the test (1.2 ± 0.6 mm) compared to the control sites (0.6 ± 0.5 mm). However, when the original position of the bony crest was taken into account, a higher bone loss and a more apical position of the peri-implant mucosa resulted at the test sites. CONCLUSIONS: The placement of implants into a sub-crestal location resulted in a higher vertical buccal bone resorption and a more apical position of the peri-implant mucosa in relation to the level of the bony crest at implant installation. Moreover, peri-implant hard-tissue dimensions were similar at sites prepared with either drills or Sonosurgery(®).
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Perda do Osso Alveolar/patologia , Reabsorção Óssea/patologia , Implantação Dentária Endóssea/métodos , Implantes Dentários , Mandíbula/cirurgia , Animais , Biópsia , Dente Suporte , Implantação Dentária Endóssea/instrumentação , Cães , Osseointegração , Extração DentáriaRESUMO
En la actualidad las plantas naturales se han convertido en una importante fuente de elaboración de medicamentos, lo que nos ha motivado a realizar una revisión bibliográfica sobre la Bixa orellana L. Este es un producto natural fácilmente asequible en nuestro medio por encontrarse ampliamente distribuido en nuestro territorio, y apoyándonos en sus ya conocidas propiedades de tinción en alimentos, surge la idea de su posible uso estomatológico como sustancia reveladora de placa dentobacteriana. Es objetivo del trabajo ampliar conocimientos sobre las propiedades y uso de Bixa orellana L en los seres humanos. Se revisaron artículos originales y de revisión localizados mediante Pub-Med, Google, revistas internacionales y nacionales reconocidas. Se ha demostrado que la Bixa no provoca alteraciones patológicas en el ser humano y tiene importantes propiedades: antifúngicas, antipiréticas, antibacterianas, antiinflamatorias y antigonorreicas, entre otras, y se utiliza en la tinción de alimentos como: mantequilla, quesos y aceites. Con esta propuesta pretendemos incrementar las actividades de promoción y prevención de la caries dental y las periodontopatías, elevar el nivel de educación para la salud dental en nuestra población, disminuir los tratamientos curativos, prolongando así la salud de los dientes remanentes(AU)
At the present time natural plants become a significant drug manufacture source, thus, we made a bibliographic review on Bixa orellana L. This is a natural product easily accessible since it is fully distributed in our country, and due to its known dyeing properties in foods, arise the idea of its potential Stomatology use as a revealing substance of dentobacterial plaque. To expand our knowledges on the properties and use of Bixa orellana L in human being. We reviewed the original papers retrieved by Pub-Med, Google, and recognized international and national journals. It has been demonstrated that Bixa does not provokes pathologic alterations in human being and also has significant antifungal, antipyretic, antibacterial, anti-inflammatory, and anti-gonorrhea properties among others, and it is used in food dyeing: butter, cheeses, and oils. With this proposal, we try to increase the promotion and prevention activities of dental caries and the periodontal diseases, to raise the educational level for dental hygiene in our population, to decrease the curative treatments, thus extending the remnant teeth health(AU)
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Humanos , Publicações Periódicas como Assunto , Bixa orellana/uso terapêutico , Placa Dentária/tratamento farmacológico , Preparações FarmacêuticasRESUMO
Actualmente la promoción y prevención de salud ocupan un lugar cimero en el mundo de la Estomatología, por lo que se impone evaluar y renovar nuestros programas de forma tal que sea cada vez más preventiva y educacional, con el objetivo de mejorar la calidad de vida de nuestros pacientes. La población geriátrica ha mostrado una crecimiento intenso a escala nacional e internacional, cuyo estimado de la población mayor de 60 años ascenderá para el 2010 un 17 por ciento o más. Esto hace reflexionar que cada día más personas sobrepasan las barreras cronológicas que el hombre ha situado como etapa de vejez, lo que ha convertido al envejecimiento poblacional en un reto para las sociedades modernas, ya que aunque se considera como uno de los logros más importantes de la humanidad, al mismo tiempo se transforma en un problema, si no se es capaz de brindar soluciones adecuadas a las consecuencias que del mismo se derivan. Esta revisión bibliográfica pretende actualizar conocimientos sobre la necesidad de aplicar un programa de promoción y prevención que beneficie a los pacientes con 60 años o más, rehabilitados o no protésicamente(AU)
At the present time health promotion and prevention has a significant place in Stomatology world, this is necessary to assess and to renovate our programs in such a way that each time it be more preventive and educational, to improve life quality of our patients. Geriatric population has showed a intense growing at national land international scale, whose estimate of the people older than 60 years will increase for 2010 year in a 17 percent or more. We must to think about that every day more persons exceed the chronologic barriers placed by men as a stage of old age, converting thus population aging in a challenge for present societies, since although we consider it as one of more important achievement of the mankind, and at the same time it is transformed in a problem, if we not be able to give proper solutions to consequences derived from it. These bibliographic reviews try to update the knowledges on need of to apply a promotion and prevention program that being of benefit for patients older than 60 years or more, rehabilitated or not from the point of view prosthestic(AU)
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Humanos , Masculino , Feminino , Idoso , Idoso de 80 Anos ou mais , Promoção da Saúde/métodos , Prevenção de Doenças , Serviços de Saúde para Idosos , Literatura de Revisão como AssuntoRESUMO
Se realiza una revisión bibliográfica debido a la importancia de la sobredentadura como alternativa de la rehabilitación protésica al alcance de estomatólogos generales y especialistas, para contribuir a disminuir el nivel de desdentamiento total de nuestra población. La sobredentadura es una prótesis removible, parcial o total, similar a la convencional, con la excepción de que las bases protéticas cubren una o más raíces retenidas. Mantener a los dientes como parte del reborde residual, contribuye a disminuir la velocidad de resorción de este, a la vez que se mantienen los impulsos propioceptivos, lo que permite conservar la discriminación direccional, la sensibilidad táctil a la carga y la diferenciación del grosor y consistencia de los alimentos, casi de la misma forma que en pacientes con dientes naturales, por lo que se habitúan más fácilmente a estas prótesis. Al conservar el hueso alveolar se produce menos trauma a los tejidos remanentes, aumentándose el soporte, la retención y la estabilidad protética. La sobredentadura constituye una solución rápida y conservadora para múltiples defectos congénitos y adquiridos y se utilizan además, en muchos casos como prótesis transitorias. Sin embargo, la caries y la enfermedad periodontal son los principales problemas que se presentan con este tipo de prótesis. La conservación de los pilares depende en gran parte de la motivación y destreza del paciente para mantener un alto grado de higiene bucal(AU)
Our literature review stems from the importance given to overdenture as a real choice of dental rehabilitation at the reach of general dentists and specialists to help to reduce the rate of toothless people in our population. An overdenture is a removable denture- either partial or complete- similar to conventional denture except that the bases cover one or more tooth roots retained to support it. Keeping teeth as part of the residual alveolar ridge contributes to reduce the speed of alveolar reabsorption and to maintain propioceptive pulses, which allows to preserve directional discrimination, tactile sensitivity to the load and differentiation of food thickness and consistency almost in the same way as in patients having natural dentition. Thus patients get accustomed to overdenture more easily. To preserve alveolar bone means to decrease the occurrence of trauma affecting the remaining tissue, and to increase support, retention and stability of denture. Therefore, overdenture is a rapid and preserving solution for multiple congenital and acquired defects and additionally, they are used as temporary dentures. However, caries and periodontal diseases are the main problems found in this type of dentures. The preservation of the pillars greatly depends on motivation and dexterity of the patient to maintain good oral hygiene(AU)
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Humanos , Masculino , Feminino , Adulto , Pessoa de Meia-Idade , Higiene Bucal/métodos , Boca Edêntula/terapia , Revestimento de Dentadura/efeitos adversos , Reabilitação Bucal/métodos , Literatura de Revisão como AssuntoRESUMO
Se realiza un estudio sobre la importancia del articulador semiajustable en la rehabilitación protésica. Se define la oclusión dentaria como la relación que se establece entre las arcadas dentarias cuando estas toman contacto entre sí permaneciendo el arco inferior inmóvil con respecto al superior. Debido a que es fundamental en la rehabilitación protésica tratar de respetar la integridad funcional del paciente, nos proponemos como objetivo reestablecer los contactos en los deslizamientos durante los movimientos mandibulares una vez rehabilitado el paciente a su pauta masticatoria. El universo estuvo constituido por 8 pacientes, entre 18 y 34 años que presentaban restauraciones en primeros y segundos premolares en mal estado. Se rehabilitaron con restauraciones extra coronales utilizando el articulador semiajustable. Una vez concluida la rehabilitación solamente se realizaron ajustes oclusales al 25 por ciento de los casos, mientras que el 75 por ciento no requirió ajuste oclusal alguno. Esto demuestra la exactitud de la técnica empleada y la efectividad del articulador semiajustable para dicha rehabilitación(AU)
A study on the importance of the semiadjustable articulator in the prosthetic rehabilitation was conducted. Dental oclussion was defined as the relation established between the tooth arches when they get in contact and the lower arch remains inmobile in relation to the upper. Due to the fact that in the prosthetic rehabilitation it is fundamental to try to respect the functional integrity of the patient, we propose ourselves as an objective to reestbalish the contact in the slidings during the mandibular movements once the patient is rehabilitated to his masticatory pattern. The universe consisted of 8 patients aged 18-34 that presented restorations of the first and second premolars in bad state. They were rehabilitated with extracoronal restorations by using the semiadjustable articulator. On concluding the rehabilitation, oclussal adjustments were made in only 25 percent of the cases, whereas no oclussal adjustment was necessary in 75 percent. This proves the accuracy of the technique used and the effectiveness of the semiadjustaable articulator for such a rehabilitation(AU)
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Humanos , Masculino , Feminino , Adulto , Articuladores Dentários/efeitos adversos , Oclusão Dentária , Encaixe de Precisão de Dentadura/efeitos adversos , Reabilitação Bucal/métodosRESUMO
Debido a la importancia de establecer medidas preventivas de higiene bucal que beneficien a los pacientes de la tercera edad, nos propusimos como objetivo en nuestro trabajo determinar la influencia de la higiene bucal controlada en pacientes geriátricos portadores de sobredentaduras. Nuestro universo estuvo constituido por 20 pacientes de ambos sexos mayores de 60 años, portadores de prótesis parcial removible desde hace 1 año, que acudieron a nuestro servicio para recibir tratamientos rehabilitadores debidamente avalados por historias clínicas que constan en el archivo de la Facultad de Estomatología de ISCM de La Habana. Dichos pacientes estaban en plenas facultades mentales y físicas en correspondencia con su edad
Due to the importance of taking oral hygiene preventive measures to benefit the elderly, we proposed ourselves as an objective to determine the influence of controlled oral hygiene in geriatric patients wearing overdentures. Our universe was composed of 20 patients aged 60 of both sexes, who had been wearing removable partial denture for a year and received rehabilitating treatment in our service, endorsed by their medical histories, which are in the archive of the Dental Faculty of the Higher Institute of Medical Sciences of Havana City. These patients were in full mental and physical capacity according to their age(AU)
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Humanos , Masculino , Feminino , Idoso , Higiene Bucal/métodos , Prótese Parcial Removível/efeitos adversos , Geriatria , Doenças da Boca/prevenção & controleRESUMO
La oclusión dentaria siempre ha sido un tema de atención por parte de todas las ramas de la Estomatología. Es necesario, al rehabilitar a un paciente, conocer su función masticatoria y tratar de reproducir los contactos dentarios una vez instalada la aparatología protésica. Se realizó un estudio sobre oclusión, que relacionara este aspecto con la rehabilitación por protésis parcial fija utilizando puentes fijos rígidos de ceramometal. Se seleccionó un grupo de 20 pacientes a los cuales se les realizó un estudio oclusal previo. Mediante registros intraorales fueron montados los modelos en el articulador semiajustable con el empleo de las técnicas clínicas de transporte por medio del arco facial. Se enceraron los modelos por la técnica de goteo codificada, se verificaron los contactos en la prueba de la subestructura metálica y posteriormente en la prueba de la cerámica y en la instalación. En el 80 % de los casos se obtuvieron los mismos puntos de contacto existentes en un inicio y al otro 20 % se les realizaron ajustes oclusales someros, debido a factores propios de este trabajo rehabilitador. Se comprobaron los beneficios del articulador semiajustable y el traslado por el arco facial en el montaje de los modelos, para poder lograr un correcto reestablecimiento de la morfología oclusal, de forma tal que se mantuviera la pauta masticatoria del paciente o se acercara lo más posible a su patrón oclusal.
Dental occlusion has always been the focus of attention for all branches of Stomatology. On rehabilitating a patient, it is necessary to know his masticatory function and to try to reproduce the dental contacts once the prosthetic appliances have been installed. A study on occlusion was conducted that relates this aspect to the rehabilitation by fixed partial denture using fixed rigid bridges of ceramic and metal. A group of 20 patients was selected to undergo a previous occlusal study. The models were mounted in the semiadjustable articulator by intraoral registries, using the clinical techniques of transportation by means of the facial arch. The models were waxed by the codified dripping technique, the contacts were verified in the metallic substrcuture test and later in the ceramic test and during the installation. In 80 % of the cases the same points of contact existing at the beginning were obtained. Mild occlusal adjustments were made in the other 20 %, due to characteristic factors of this rehabilitating work. The benefits of the semiadjustable articulator and the transfer by the facial arch in the mounting of the models to attain a correct reestablishment of the occlusal morphology were proved in order to maintain the masticatory pattern of the patient or to get as close as possible to his occlusal template.