Ibero-Panamerican Federation of Periodontology Delphi study on the trends of periodontology and periodontics by the year 2030. A Latin American consensus.

BACKGROUND AND OBJECTIVE: As elsewhere in the world, the prevalence of periodontitis in stages I-II is high in the Latin American population, this scenario emphasizes the need for identification of urgent needs for allocating adequate resources to provide diagnosis, prevention, and treatment of these diseases. The aim of this Delphi study was to predict the trends in periodontology/periodontics in the Latin American region by the year 2030. METHODS: A steering committee and an advisory group of experts in periodontology/periodontics were selected from 16 countries. An open questionnaire of 60 questions was validated and used following the Delphi methodology. RESULTS: Two hundred and twenty-five experts from Latin America answered the two rounds of the questionnaire. Moderate to strong consensus was reached on 45 questions (75%). The prediction was that the prevalence of gingivitis and periodontitis in stages I and II will be maintained, the importance of the link with systemic diseases will increase, and the impact of prevention and periodontal treatment will also increase, mainly in the private sector. There was a strong consensus that plastic and regenerative surgical procedures will increase, as well as the demand for training in the specialty of periodontology. CONCLUSIONS: The present study has provided relevant and useful information on predictions in periodontology/periodontics in Latin America, with important level of consensus among experts. It has been predicted that periodontitis will still be a highly prevalent disease, and its links with other medical conditions should demand more attention by health authorities to develop adequate prevention and management policies and strategies.

Powered Toothbrushes: An Opportunity for Biofilm and Gingival Inflammation Control.

The present review aimed at a broad investigation on the potential of powered as compared to manual toothbrushes in different aspects of clinical dentistry. Studies evaluating plaque and gingival inflammatory parameters were included, as well as those that investigated adverse effects. Emphasis was given separately to adults, youngsters, special-needs patients, and those under fixed orthodontic therapy. In general, comparisons favored powered toothbrushes. In summary, approximately 68% of the included studies, in terms of plaque/gingival inflammation in adults, presented better results for powered toothbrushes. In children and special-needs populations, approximately 40% of the included studies favored powered toothbrushes for plaque/gingival inflammation, and none favored manual ones. In orthodontic individuals, 50% of the studies also demonstrated a better effect of powered toothbrushes on plaque and gingival inflammation. All included studies that assessed adverse events did not demonstrate a difference in these effects when comparing manual vs. powered toothbrushes. It is concluded that the use of powered toothbrushes is an opportunity to enhance patterns of plaque control and associated gingival inflammation.

Los dolores de Don Porfirio / Don Porfirio´s woes

Incluso sin la historia médica de Don Porfi rio, sólo por escuchar unainteresante crónica del historiador Juan Manuel Villalpando, hoy en el centenario de su muerte, y ante la encontrada opinión de quienes sin saber mucho de historia lo juzgan como un tirano dictador y otros más enterados y ante el legado histórico y cultural lo llaman héroe liberal. Éste es un relato alineado y paralelo a lo que probablemente pasó en la boca y dientes de Don Porfirio cuando su encía desguarnecida ostentaba dolor en algunos dientes. Con las obras consultadas y las fuentesencontradas no sabemos bien qué fue lo más doloroso; tal vez el dolor de la derrota, o el dolor insoportable por una muela rota

Though a detailed medical history of Porfirio Díaz has yet to be un-covered, much can be learned from an interesting chronicle published by historian Juan Manuel Villalpando in what is the centenary of the death of this former Mexican president, one regarded as a tyrant dicta-tor by those with only a limited knowledge of history, while the more informed proclaim him to be a liberal hero, based on his historical and cultural legacy. This complementary and parallel account provides a picture of what is likely to have been going on in the mouth and teeth of the president as he endured the exposed gum and the toothache that affected several of Don Porfi rio’s teeth. Based on the works consulted and sources found, we cannot be certain which was the greater of Don Pofi rio’s woes: the pain of defeat or the unbearable agony of a broken tooth.

Aforismos, axiomas y postulados para empezar el siglo XXI / Aphorisms, axioms and postulates to begin the 21st century

Es presentada de manera elocuente una reseña histórica de la odontología que incita a la reflexión

Códigos y criterios para la dinámica grupal / Codes and criteria for the group dynamics

En este trabajo se presentan los conceptos fundamentales en la dinámica grupal. El profesor es un comunicador que debe guiar al grupo para alcanzar sus metas. Muchas veces el profesor u organizadores desconocen o confuenden las características principales de cada técnica grupal. El estar familiarizado con las dinámicas grupales permitirá conducir de manera más eficiente al grupo para alcanzar sus metas

Nueva clasificación de las enfermedades periodontales / New classification of periodontal diseases

Este artículo resume la nueva clasificación de enfermedades periodontales propuestas recientemente por la Academia Americana de Periodontología. El sistema de clasificación es necesario para que en un marco de referencia científico se permita ordenar las entidades por sus propias características etiológicas y patogénicas que deriven a un plan tratamiento moderno basado en las actuales evidencias de enfermedad periodontal

Odontología genómica: la medicina oral del siglo XXI / Genomic dentistry: the oral medicine of 21st century

Los avances tecnológicos y la culminación del Proyecto Genoma Humano y con él la secuencia de 3.200 millones de los nucleótidos o de las letras (A-T/G-C) que la componen, y los aproximadamente 1.400 genes que pueden ser las causas de enfermedades consideradas hasta este momento como genéticas, han cambiado la cara de las investigaciones biológicas y han colocado a la genómica en la vanguardia de la ciencia biomédica. En la periodontología, así como en la medicina, estamos muy interesados en la genética y en los diferentes acomodos o polimorfismos de los nucleótidos (SNIPs), tanto en los humanos como en los patógenos, así como la interacción genética entre ellos