Trends in Medicaid-funded adolescent comprehensive orthodontic treatment provided by orthodontists to children in Oklahoma between 2010 and 2016.

INTRODUCTION: The aim of this study was to evaluate the trends and rates of Medicaid-funded orthodontic treatment provided by orthodontists to children younger than 18 years in Oklahoma. METHODS: Enrollment and claims data were evaluated from the Oklahoma Medicaid program for a 7-year period, January 2010 through December 2016. Medicaid total enrollment data by age, sex, race or ethnicity, and county were included. Claims data were collected both for any dental services and comprehensive orthodontic treatment for adolescents. Descriptive statistics were used for the study variables. Proportions and odds ratios were calculated and compared using a chi-square test. RESULTS: Children aged between 15 and 18 years received orthodontic treatment more frequently than children aged between 6 and 14 years. Females received orthodontic treatment more frequently than males. Caucasians received orthodontic treatment more frequently than other races. Children who live in rural areas received orthodontic treatment more frequently than those living in urban areas. CONCLUSIONS: Comprehensive orthodontic patients are more likely to be Caucasian females between the ages of 15 and 18 years living in rural areas. The Hispanic community is growing significantly in the Medicaid population. Access to care is still a problem faced by many.

Mucocele en glándulas de Blandin-Nuhn o glándulas linguales anteriores: reporte de un caso / Mucocele in glands of Blandin-Nuhn or previous lingual glands: a case report

El mucocele es un quiste que consiste en una colección de mucina proveniente de la ruptura del conducto de una glándula salival, por lo general asociado a trauma local. Se describe un caso de un paciente masculino de 22 años de edad, natural y procedente de Caracas que acude a consulta por presentar lesión en la cara ventral de la lengua desde hace aproximadamente 3 meses que le imposibilita comer y hablar. Al examen clínico intrabucal, se presenta una lesión de 2x2 cm de extensión, del mismo color de la mucosa, dolorosa a la palpación, la cual imposibilita la movilidad de la lengua. El tratamiento consistió en la marsupialización de la lesión

The mucocele is a cyst that consists of a collection of mucin from the break of the conduct of a salivary gland, generally associated with local trauma. There is described a case of a 22-year-old male patient , natural from Caracas who comes for presenting injury in the ventral surface of the tongue from approximately 3 months that disables him to eat and to speak. To the clinical examination, appears an injury of 2x2 cm of extension, of the same color of mucous, painful to the palpation, which disables the mobility of the tongue. The treatment consisted of the marsupialization of the injury

Síndrome de frey: revisión de literatura / Frey syndrome: review of the literature

El síndrome de Frey descrito inicialmente en 1923, es también conocido como Síndrome de la sudoración gustativa o Síndrome del Nervio aurículotemporal (N.auriculotemporalis), ya que las lesiones cutáneas asociadas a éste aparecen en la zona inervada por esta rama del nervio maxilar inferior (N. Mandibulares). Se caracteriza por sudoración gustativa y eritema en la región cervico-facial como respuesta a estímulos gustativos y excepcionalmente táctiles, pudiendo surgir como una complicación tras cirugía de la glándula parótida (parotidectomía), traumatismos o infección supurativa de esta glándula, como consecuencia de un daño ocasionado en las fibras parasimpáticas del nervio aurículotempora (N.auriculotemporalis). Los síntomas de sudoración y enrojecimiento de la piel suelen desarrollarse lentamente y resultan muy molestos. El tratamiento consiste en la colocación de anticolinérgicos locales o sistémicos, interposición de diversos materiales como colgajos regionales, tal como el músculo esternocleidomastoideo o la fascia temporoparietal

Frey's syndrome described initially in 1923, is also known as gustatory sweating syndrome or Auriculotemporal nerve Syndrome, since the cutaneous injuries associated with this one appear in the area supplied by this branch of the mandibularis nerve. It is characterized by gustatory perspiration and erythema in the cervico-facial region as response to gustatory and exceptionally tactile stimulation, being able to arise as a complication after surgery of the parotid gland (parotidectomy), traumatism or supurative infection of this gland, as consequence of a damage caused in the parasympathetic fibers from the auriculotemporal nerve. The symptoms of perspiration and reddening of the skin use to develop slowly and turn out to be very troublesome. The treatment consists of the placement of local or systemic anticolinergics, interposition of diverse materials as regional muscle flaps, such as the esternocleidomastoid muscle or the fascia temporoparietal