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1.
Med. oral patol. oral cir. bucal (Internet) ; 24(5): e610-e614, sept. 2019. tab
Artigo em Inglês | IBECS | ID: ibc-185678

RESUMO

Background: To validate oral exfoliative cytology in the analysis of the microRNA expression profile in Oral Lichenoid Disease (OLD).Material and methods: The expression of 13 microRNAs identified and presented by our group in a previous study was analyzed in 26 cases, 16 diagnosed as OLD and 10 controls with no oral mucosal pathology. Cytological samples from the oral mucosa obtained using an Orcellex toothbrush were analyzed using RT-qPCR and TaqMan microRNA assays. Results: The aberrant expression was validated for 2 microRNAs (miR-146a-5p and miR-7-1-3p) of those previ-ously recognized in the biopsy study.Conclusions: This is the first time that oral exfoliative cytology is validated in a study of the alterations of the expression of microRNAs in OLD. The alteration of miR-146a and miR-7 compared to controls was validated. These microRNAs are associated with both inflammatory and carcinogenic phenomena that are involved in the etiopathogenesis of this potentially malignant oral disorder


No disponible


Assuntos
Humanos , MicroRNAs , Doenças da Boca , Perfilação da Expressão Gênica , Reação em Cadeia da Polimerase em Tempo Real
2.
Cient. dent. (Ed. impr.) ; 16(1): 17-25, ene.-abr. 2019. graf, tab
Artigo em Espanhol | IBECS | ID: ibc-183377

RESUMO

La enfermedad o disfunción hepática puede deberse a numerosas causas como infecciones adquiridas, patologías congénitas o el abuso de drogas. Cuando esta disfunción y el daño hepático se prolongan a lo largo del tiempo, puede desembocar en una cirrosis hepática, cuadro irreversible y de graves repercusiones para el enfermo. Las dos patologías hepáticas más frecuentes y principales causas de la cirrosis son la hepatitis o inflamación hepática, la cual se puede deber a numerosos factores siendo el más frecuente las infecciones por virus, y la enfermedad hepática alcohólica, provocada por el abuso de alcohol continuado durante un largo período de tiempo. El manejo odontológico de un paciente con alteraciones hepáticas supone un verdadero reto, ya que el hígado juega un papel vital en numerosas funciones metabólicas, como la secreción de bilis o la excreción de bilirrubina procedente del metabolismo de la hemoglobina. Un fallo en la función hepática puede suponer alteraciones en el metabolismo de aminoácidos, amoníaco, proteínas, hidratos de carbono y triglicéridos. Un paciente con patología hepática tendrá un metabolismo alterado de numerosos fármacos empleados habitualmente por el dentista, tendrá un mayor riesgo de hemorragia debido a anomalías en la síntesis de diferentes factores de coagulación, siendo además un paciente con mayor riesgo de infecciones. La gran repercusión de la enfermedad hepática, así como el notable desconocimiento de muchos profesionales odontólogos en su manejo, justifican este artículo donde se talla tanto las generalidades más importantes de esta entidad como sus principales manifestaciones orales y consideraciones en el manejo odontológico


Liver disease or dysfunction may be due to numerous causes such as acquired infections, congenital pathologies or drug abuse. When this dysfunction and liver damage are prolonged overtime, it can lead to hepatic cirrhosis, an irreversible condition and serious repercussions for the patient. The two most frequent liver diseases and major causes of cirrhosis are hepatitis or hepatic inflammation, which may be due to numerous factors being the most frequent virus infections, and alcoholic liver disease, caused by alcohol abuse continued during A long period of time. The dental management of a patient with liver disorders is a real challenge, since the liver plays a vital role in many metabolic functions, such as bile secretion or excretion of bilirubin from hemoglobin metabolism. A failure in liver function can lead to alterations in the metabolismof amino acids, ammonia, proteins, carbohydrates and triglycerides. A patient with liver disease will have an altered metabolism of numerous drugs commonly used by the dentist, will have a greater risk of hemorrhage due to abnormalities in the synthesis of different coagulation factors, being also a patient with a higher risk of infections. The great repercussion of liver disease, as well as the remarkable lack of knowledge of many dental professionals in its management, justify this article where it is detailed both the most important generalities of this entity as its main oral manifestations and considerations in dental management


Assuntos
Humanos , Hepatite Viral Humana/complicações , Hepatite Crônica/complicações , Hepatopatias Alcoólicas/complicações , Doenças da Boca/complicações , Doenças da Boca/terapia , Assistência Odontológica para Doentes Crônicos/métodos , Doenças Dentárias/complicações , Doenças Dentárias/terapia
4.
Med. oral patol. oral cir. bucal (Internet) ; 24(1): e37-e46, ene. 2019. graf, tab
Artigo em Inglês | IBECS | ID: ibc-180404

RESUMO

Background: To assess the effectiveness of a psychoeducational intervention program designed to facilitate the performance of a series of steps of oral examination in children, adolescents and adults with autism spectrum disorder (ASD), in the Bio-Bio region, Chile. Material and Methods: A prospective, quasi-experimental study with pre-intervention, post-intervention and maintenance tests was carried out. Behavior was measured using Frankl’s scale and the number of steps of a dental examination completed (1-10 steps) was also recorded. Only 104 of the 188 subjects with ASD that agreed to participate in the study met all the inclusion criteria. Results: 82 people with ASD completed the psychoeducational intervention. The mean number of steps achieved pre- and post-intervention was 4.1 and 9.4, resulting in a clinically and statistically significant difference. Regarding behavior, the median in the pre-test was 2 (negative behavior) and in the post-test it increased to 3 (positive behavior), this difference being relevant and statistically significant. A maintenance test one month later on 63 people with ASD found no variations in behavior and in the number of examination steps completed. Conclusions: The proposed intervention was effective as an increase of more than 5 in the number of steps of examination completed was achieved. Frankl's behavior rating also increased, from negative to positive, in a group of children, adolescents and adults with ASD


No disponible


Assuntos
Humanos , Masculino , Feminino , Pré-Escolar , Criança , Adolescente , Adulto Jovem , Transtorno do Espectro Autista/complicações , Assistência Odontológica/métodos , Diagnóstico Bucal/métodos , Estudos Retrospectivos , Avaliação de Eficácia-Efetividade de Intervenções , Doenças da Boca/diagnóstico , Técnicas Psicológicas , Chile/epidemiologia
5.
Cient. dent. (Ed. impr.) ; 15(3): 225-231, sept.-dic. 2018. ilus, tab
Artigo em Espanhol | IBECS | ID: ibc-182257

RESUMO

El objetivo del presente trabajo es realizar una revisión narrativa acerca del manejo y las manifestaciones orales de los pacientes que presentan trastornos alimenticios, centrándose en la anorexia y la bulimia nerviosa. Ambos trastornos frecuentemente se manifiestan por primera vez de forma oral: caries, erosión de las caras linguales y oclusales de los dientes, mucosas atróficas y traumatizadas, agrandamiento de las glándulas parótida y submandibular, etc. Es importante detectar a este tipo de pacientes y advertir al paciente y/o a los padres de las posibles complicaciones que pueden desencadenarse, y consecuentemente derivar al paciente para su correcto diagnóstico y tratamiento. Desde punto de vista odontológico, el profesional debe instruir al paciente en técnicas de higiene oral e introducirlo en un programa de prevención individualizado


The objective of this paper is to perform a narrative review about the management and oral manifestations of patients who present eating disorders, focusing on anorexia and bulimia nervosa. Both disorders are often manifested orally for the first time: teeth decay, erosion of the lingual and occlusal surfaces of the teeth, atrophic and traumatized oral mucosa, parotid and submandibular enlargement, etc. It is important to detect these types of patients and remark the patient and/or their parents of the possible complications that may occur, and consequently refer the patient for a correct diagnosis and treatment. The professional must instruct the patient in oral hygiene techniques and introduce him into an individualized prevention program


Assuntos
Humanos , Transtornos da Alimentação e da Ingestão de Alimentos/complicações , Doenças da Boca/epidemiologia , Doenças da Boca/etiologia , Saliva/metabolismo , Anorexia Nervosa/diagnóstico , Bulimia Nervosa/diagnóstico , Diagnóstico Diferencial , Diagnóstico Precoce
6.
Med. oral patol. oral cir. bucal (Internet) ; 23(6): e639-e645, nov. 2018. ilus, tab
Artigo em Inglês | IBECS | ID: ibc-176385

RESUMO

Background: The objective of this study was to evaluate the dental and oral manifestations in patients with celiac disease. Material and Methods: The sample consisted of 40 patients with the disease and 40 without the disease matched by age in southern Brazil. The CD group included patients previously diagnosed by positive anti-endomysial (IgA) examination and confirmed by small intestine biopsy. The presence of dental enamel defects and dental caries was evaluated by a calibrated researcher according to AINE's and WHO's criteria, respectively. The history of recurrent aphthous ulcers and dry mouth was obtained through reporting. For the evaluation of the salivary flow, the saliva samples were obtained through the non-stimulated and stimulated saliva collection method. Results: There was a significant association between CD and dental enamel defects (OR=2.38, P=0.045) and dry mouth (OR=9.15, P=0.002). No difference was found for the report of recurrent aphthous ulcers and caries experience between the two groups. Patients with CD had normal pattern of unstimulated and stimulated saliva flow rates (0.67 ± 0.38 ml / min and 1.14 ± 0.47 ml / min, respectively). A higher occurrence of dental enamel defects was observed in patients with classic CD (P=0.054). Of the 1,962 permanent teeth, 59 presented dental enamel defects, 71.8% of which were in patients with CD (P=0.001), predominantly in molars (P=0.009). Conclusions: CD increased the likelihood of dental enamel defects and dry mouth sensation. The oral examination can be an important auxiliary tool for the identification of cases of the disease


No disponible


Assuntos
Humanos , Masculino , Feminino , Adolescente , Doença Celíaca/complicações , Doenças da Boca/etiologia , Hipoplasia do Esmalte Dentário/etiologia , Fatores de Risco , Estudos de Casos e Controles
7.
Rev. clín. med. fam ; 11(3): 144-153, oct. 2018. tab
Artigo em Espanhol | IBECS | ID: ibc-176092

RESUMO

El embarazo es un estado dinámico de cambios fisiológicos que afectan a la salud de la embarazada, a su percepción e interacción con el entorno. Una mujer embarazada necesita a lo largo de este tiempo supervisión médica, prevención y ayuda física y emocional. El cuidado dental de las embarazadas requiere una atención especial, retrasándose ciertos procedimientos terapéuticos, de modo que coincidan con los períodos del embarazo dedicados a la maduración y no a la organogénesis. La aplicación de la odontología preventiva irá enfocada al cuidado pre y postnatal. En este artículo repasamos algunos cambios fisiológicos y patologías orales que se asocian con el embarazo, y cómo estas alteraciones pueden afectar a la salud oral de la paciente


Pregnancy is a dynamic state of physiological changes that affect the patient's health, perceptions and interactions with the environment. A pregnant woman requires various forms of support throughout this time, such as medical monitoring or intervention, preventive care, and physical and emotional assistance. The dental care of pregnant patients requires special attention, delaying certain therapeutic procedures so that they coincide with the periods of pregnancy devoted to maturation versus organogenesis. Applying the basics of preventive dentistry at the primary level will broaden the scope of pre- and postnatal care. This article reviews some of the physiological changes and oral pathologies which are associated with pregnancy, and how these alterations can affect the oral health of the patient


Assuntos
Humanos , Feminino , Gravidez , Complicações na Gravidez/tratamento farmacológico , Anormalidades Induzidas por Medicamentos/prevenção & controle , Assistência Odontológica/normas , Prescrições de Medicamentos/normas , Teratogênios/análise , Doenças da Boca/tratamento farmacológico , Radiografia Dentária , Higiene Bucal/métodos
8.
Med. oral patol. oral cir. bucal (Internet) ; 23(5): e511-e517, sept. 2018. tab
Artigo em Inglês | IBECS | ID: ibc-176367

RESUMO

Background: The aim of this study was to analyze the distribution of oral and maxillofacial lesions affecting children and adolescents patients from a single oral pathology laboratory from Rio de Janeiro, Brazil. Material and Methods: Oral and maxillofacial lesions biopsied in patients younger than 19-years were retrieved from the oral pathology files of the Department of Oral Diagnosis and Pathology, School of Dentistry, Federal University of Rio de Janeiro over a 75-year period (1942-2017). The clinical data and the diagnoses of each case were included in a Microsoft Excel® database, being classified into 13 categories according to the etiology. A descriptive analysis of the variables age, gender and final diagnosis was made. Results: From 19.095 lesions diagnosed in this period, 2408 (12.61%) were from patients aged 0 to19 years, with a higher incidence in females in the second decade. Salivary gland pathology was the most common group of lesions (24.30%), followed by reactive lesions (16.82%) and odontogenic cysts (14.66%). Mucocele was the most common lesion (21.72%), followed by dentigerous cyst (6.48%) and fibrous hyperplasia (6.44%). Malignant lesions were observed in 1.12% of all cases with Burkitt lymphoma as the most frequent. Conclusions: Our results were similar to previous studies and knowledge of these data may contribute to the understanding of oral lesions that most commonly affects children


No disponible


Assuntos
Humanos , Masculino , Feminino , Lactente , Pré-Escolar , Criança , Adolescente , Adulto Jovem , Doenças da Boca/epidemiologia , Doenças Dentárias/epidemiologia , Cisto Dentígero/epidemiologia , Hiperplasia Gengival/epidemiologia , Mucosa Bucal , Cistos não Odontogênicos/epidemiologia , Granuloma Periapical/epidemiologia , Prevalência , Brasil/epidemiologia , Cisto Radicular/epidemiologia , Estudos Retrospectivos
10.
Med. oral patol. oral cir. bucal (Internet) ; 23(4): e391-e400, jul. 2018. tab, graf
Artigo em Inglês | IBECS | ID: ibc-176316

RESUMO

Background: Sjögren's syndrome (SS) is an autoimmune disease related to two common symptoms: dry mouth and eyes. Although, xerostomia and hyposialia have been frequently reported in these patients, not many studies have evaluated other oral manifestations. The aim of this systematic review was to investigate prevalence rates of oral lesions (OL) in SS patients and to compare it to a control group (CG), when available. Material and Methods: An exhaustive search of the published literature of the Pubmed, Scopus, Web of Science and the Cochrane Library databases was conducted according to the Preferred Reporting Items for Systematic Reviews and Meta-Analyses Protocols (PRISMA-P) for relevant studies that met our eligibility criteria (up to September 1st 2017). Results: Seventeen cross-sectional studies and one cohort study were finally included. The results showed that SS patients presented more OL compared to non-SS patients. The most frequent types of OL registered in primary and secondary SS were angular cheilitis, atrophic glossitis, recurrent oral ulcerations and grooves or fissurations of the tongue, also when compared to a CG. Conclusions: OL are common and more frequent in SS patients when compared to a CG. This may be a consequence of low levels of saliva. More studies where these OL and all the possible cofounding factors are taken into account are needed


No disponible


Assuntos
Humanos , Doenças da Boca/etiologia , Síndrome de Sjogren/complicações , Prevalência
11.
Med. oral patol. oral cir. bucal (Internet) ; 23(4): e401-e405, jul. 2018. ilus, tab
Artigo em Inglês | IBECS | ID: ibc-176317

RESUMO

Background: Oral focal mucinosis (OFM) is a rare soft tissue lesion of unknown etiology that exhibits tumor-like growth. It is considered the oral counterpart of cutaneous focal mucinosis or cutaneous myxoid cyst. This is a retrospective study of oral OFM diagnosed over a period of 42 years at an oral pathology service. Material and Methods: Clinical, histopathological and immunohistochemical data were analyzed. Alcian blue staining and S-100 immunohistochemistry were performed. Results: Eleven cases were retrieved (4:1 female-to-male ratio). The mean age was 44 years. The gingiva was the most affected site. The main clinical presentation was sessile or pedunculated lesions of fibrous or hyperplasic appearance, most of them asymptomatic. Positive Alcian blue staining and absence of S-100 protein were observed in all specimens, which supported the histological diagnosis of OFM. Surgical excision was the treatment of choice. Conclusions: Although rare, this study supports the inclusion of OFM in the differential diagnosis of intraoral myxoid lesions


No disponible


Assuntos
Humanos , Masculino , Feminino , Adulto , Pessoa de Meia-Idade , Idoso , Doenças da Boca/patologia , Mucinoses/patologia , Diagnóstico Bucal , Estudos Retrospectivos
12.
Med. oral patol. oral cir. bucal (Internet) ; 23(3): e262-e268, mayo 2018. ilus, tab, graf
Artigo em Inglês | IBECS | ID: ibc-175875

RESUMO

Background: Oral lichen planus (OLP) is a chronic inflammatory disease mediated by T cells, which manifests as reticular (white) or erosive (red) lesions, that are eventually painful. Oral lichenoid lesion (OLL) are distinguished from OLP by the presence of precipitating factors. The aim of this study was to evaluate whether the presence of metallothionein, which is involved in anti-apoptotic pathways and the anti-oxidative response, could serve as a differential diagnostic for OLP and OLL. Material and Methods: We evaluated the expression of metallothionein in 40 cases of OLP and 20 cases of OLL using immunohistochemistry. Results and Conclusions: White OLP has higher concentrations of metallothionein than red OLP in basal and parabasal layers. Moreover, metallothionein was more frequently observed in the cytoplasm and nuclei of basal cells in OLP patients compared to the same regions of OLL cases. Metallothionein levels are related to OLP severity and may contribute to a differential diagnosis between OLP and OLL


No disponible


Assuntos
Humanos , Masculino , Feminino , Adulto , Pessoa de Meia-Idade , Amálgama Dentário/efeitos adversos , Líquen Plano Bucal/diagnóstico , Líquen Plano Bucal/metabolismo , Metalotioneína/biossíntese , Doenças da Boca/diagnóstico , Doenças da Boca/etiologia , Doenças da Boca/patologia , Diagnóstico Diferencial
13.
Cient. dent. (Ed. impr.) ; 15(1): 7-14, ene.-abr. 2018. tab
Artigo em Espanhol | IBECS | ID: ibc-172854

RESUMO

La arteritis de células gigantes es una vasculitis primaria caracterizada por un infiltrado granulomatoso que obstruye la pared vascular provocando procesos isquémicos. Tiene gran importancia en odontología por su clínica, ya que puede afectar a la cavidad oral cursando con dolor odontogénico, necrosis lingual, necrosis labial, claudicación mandibular, hipoestesia mentoniana, inflamación facial y trismus. El conocimiento básico de las manifestaciones clínicas de la enfermedad permitirá al odontólogo evitar complicaciones como la ceguera o el desarrollo de una crisis suprarrenal que acabe con la vida del paciente


Giant cell arteritis is a primary vasculitis characterized by a granulomatous infiltrate that obstructs the vascular wall causing ischemic processes. It is of great importance in dentistry because of its clinical manifestations, as it can affect the oral cavity producing odontogenic pain, tongue necrosis, lip necrosis, jaw claudication, hypoesthesia of the chin, facial swelling and trismus. Basic knowledge of the clinical manifestations of the disease will allow the dentist to avoid complications such as blindness or the development of an adrenal crisis that could kill the patient


Assuntos
Humanos , Arterite de Células Gigantes/complicações , Diagnóstico Bucal/métodos , Doenças da Boca/epidemiologia , Assistência Odontológica/métodos , Trismo/epidemiologia , Odontalgia/epidemiologia , Doenças Mandibulares/epidemiologia , Hipestesia/epidemiologia
14.
Cient. dent. (Ed. impr.) ; 15(1): 25-29, ene.-abr. 2018. tab, ilus
Artigo em Espanhol | IBECS | ID: ibc-172857

RESUMO

El objetivo del trabajo es describir el caso clínico de un hombre de 67 años con el Síndrome de Rendu-Osler-Weber (SROW). A la exploración, se pueden apreciar múltiples telangiectasias en la región facial, algunas puntiformes en los lóbulos de ambos pabellones auriculares y otras lineales en el área nasogeniana. A nivel intraoral, se observan telangiectasias de pequeño tamaño en labio, lengua, paladar, encía, y mucosa yugal. Así mismo, presenta lesiones vasculares clínicamente identificadas como hemangiomas intraorales. Según la literatura, la epistaxis es el signo clínico más frecuente en los pacientes con el SROW y el principal motivo de consulta. También es frecuente la presencia de telangiectasias que se pueden observar principalmente en labios (34%), lengua (33%), mucosa yugal (17%), paladar (10%) y encía (6%). Los odontólogos pueden ser los primeros en sospechar el cuadro por la presencia de lesiones orales y ayudar a un diagnóstico precoz por lo que pueden desempeñar un papel clave en el manejo de estos pacientes que incluirá un control y tratamiento multidisciplinar debido a las diferentes manifestaciones de esta entidad


The aim of this study is to describe the clinical case of a 67-yeart-old man with SROW. At the exploration, multiple telangiectasias can be seen in the facial region, some punctiform in the lobes of both atrial and other linear in the nasogenian area. At the oral level, small telangiectasias are seen on the lip, tongue, palate, gums, and buccal mucosa. it also presents vascular lesions clinically identified as intraoral hemangiomas. According to the literature, epistaxis is the most frequent clinical sign in patients with SROW and the main reason for consultation. It is also frequent the presence of telangiectasias that can be seen mainly on lips (34%), tongue (33%), yugal mucosa (17%), palate (10%) and gums (6%). Dentists may be the first to suspect the condition due to the presence of oral lesions and to help early diagnosis, so they can play a key role in the management of these patients, including multidisciplinary treatment and control due to the different manifestations of this condition. Entity


Assuntos
Humanos , Masculino , Idoso , Telangiectasia Hemorrágica Hereditária/complicações , Reabilitação Bucal/métodos , Doenças da Boca/terapia , Doenças da Boca/epidemiologia , Epistaxe/epidemiologia , Procedimentos Cirúrgicos Vasculares
15.
Cient. dent. (Ed. impr.) ; 15(1): 31-35, ene.-abr. 2018. tab
Artigo em Espanhol | IBECS | ID: ibc-172858

RESUMO

El objetivo de este trabajo es realizar una revisión bibliográfica sobre la enfermedad inflamatoria intestinal (EII) y sus manifestaciones clínicas orales. La EII es un término que abarca dos enfermedades idiopáticas del tracto gastrointestinal: la colitis ulcerosa y la enfermedad de Crohn. Cuando un paciente que tiene una de estas condiciones se presenta para el tratamiento en nuestra consulta dental, es necesario ser consciente de la condición del paciente, controlar los síntomas indicativos de enfermedad inicial o recaída, y haber realizado una correcta historia clínica que incluya los fármacos que interactúan con medicamentos gastrointestinales o que pueden agravar la situación del paciente. Además, las manifestaciones orales de la enfermedad gastrointestinal no son infrecuentes, por lo que el dentista también debe estar familiarizado con los patrones orales de la enfermedad


The objective was to perform a literature review of the inflammatory bowel disease (IBD) and it's clinical oral manifestations. It is a term that encompasses two idiopathic diseases of the gastrointestinal tract: ulcerative colitis and Crohn’s disease. When a patient who has one of these conditions comes for treatment at our dental office, it is necessary to be aware of the patient's condition, to control the symptoms indicative of initial illness or relapse, and to have a correct medical history including the drugs which interact with gastrointestinal drugs or which may aggravate the patient's condition. In addition, oral manifestations of gastrointestinal disease are not infrequent, so the dentist should also be familiar with the oral patterns of the disease


Assuntos
Humanos , Doenças Inflamatórias Intestinais/complicações , Doenças da Boca/epidemiologia , Doença de Crohn/complicações , Colite Ulcerativa/complicações , Doenças da Boca/terapia , Estomatite/epidemiologia , Erupções Liquenoides/epidemiologia
16.
Cient. dent. (Ed. impr.) ; 15(1): 37-44, ene.-abr. 2018. tab, ilus
Artigo em Espanhol | IBECS | ID: ibc-172859

RESUMO

La nanotecnología se define como la manipulación de objetos en escala nanométrica. Su utilización en el campo odontológico es innumerable. Los nanosistemas juegan un papel emergente e innovador en la prevención, diagnóstico y tratamiento de muchas enfermedades de la cavidad bucal. La nanotecnología en los últimos años está revolucionando nuestra forma de trabajar, gracias a la fabricación de dispositivos con nanosensores se nos permitirá hacer un diagnóstico eficaz y altamente específico en poco tiempo, y ofrecerá una terapia alternativa y eficiente especialmente en el tratamiento contra el cáncer oral, mejorando la vida de los seres humanos. Con esta revisión queremos aclarar y profundizar en el estudio sobre las aplicaciones de la nanotecnología en Odontología y Medicina Oral


Nanotechnology is defined as the manipulation of objects on the nanoscale. It’s potential applications in the field of dentistry are countless. The nano-systems play an outstanding and innovative role in the prevention, diagnosis and treatment of many diseases of the oral cavity. The main objective of this review is to clarify and deepen the study of the applications of nanotechnology in oral medicine. Nanotechnology in the recent years is revolutionizing the way we work, more than any other discovery of the past. Making nanosensors devices allows efficient and highly specific diagnosis in a short time, and will offer an alternative and effective therapy particularly in the treatment of oral cancer, improving the lives of human beings. The main objective of this review is to clarify and deepen the study of the applications of nanotechnology in oral medicine


Assuntos
Humanos , Nanotecnologia/métodos , Assistência Odontológica/tendências , Doenças da Boca/terapia , Neoplasias Bucais/cirurgia , Nanomedicina/tendências , Nanopartículas
17.
Cient. dent. (Ed. impr.) ; 15(1): 61-67, ene.-abr. 2018. tab, ilus
Artigo em Espanhol | IBECS | ID: ibc-172862

RESUMO

La enfermedad de Crohn es una inflamación crónica transmural de etiología desconocida que puede afectar a cualquier parte del tracto digestivo, desde la cavidad oral hasta la región anal, aunque su localización más frecuente es el íleon. El tratamiento odontológico de los pacientes requiere colaboración multidisciplinar, debido a que las manifestaciones orales de la enfermedad pueden aparecer incluso antes de que los signos intestinales. Especial mención merecen las terapias biológicas de última generación así como la corticoterapia empleada y sus repercusiones frente a cicatrización e infecciones del territorio bucal. El propósito del presente artículo es revisar las manifestaciones orales que presentan los pacientes diagnosticados de enfermedad de Crohn, así como establecer unos protocolos de actuación en la práctica odontológica, mediante el adecuado conocimiento de los diversos tratamientos que estos pacientes necesitan


Crohn's disease (C.D) is a chronic transmural inflammation of unknown etiology that can affect any part of the digestive tract, from the oral cavity to the anus, although its most frequent location is the ileum. The dental treatment of patients with C.D requires multidisciplinary collaboration, because oral manifestations of the disease may appear even before the intestinal signs. Special mention should be made of the biological therapies of last generation as well as the corticotherapy used and their repercussions against healing and infections of the oral territory. The purpose of our article is to review the oral manifestations presented by patients diagnosed with C.D, as well as to establish protocols of action in dental practice, through adequate knowledge of the various treatments that these patients need


Assuntos
Humanos , Doença de Crohn/complicações , Assistência Odontológica para Doentes Crônicos/métodos , Doenças da Boca/terapia , Equipe de Assistência ao Paciente
18.
Med. oral patol. oral cir. bucal (Internet) ; 23(2): e180-e187, mar. 2018. tab, ilus
Artigo em Inglês | IBECS | ID: ibc-171398

RESUMO

Background: Although sclerotherapy is a common treatment for benign oral vascular lesions, there is no well standardized protocol for this purpose. The aim of the present study was to describe the clinical characteristics of patients treated by sclerotherapy with ethanolamine oleate (EO), in order to contribute to a better understanding of this technique. Material and Methods: Medical records and images of 90 patients treated by the same sclerotherapy protocol were retrieved and analysed. Thus, 43 cases with complete information were selected and described. Results: The most affected age group was 41-70 years, with a female predominance and 86% of patients being Caucasian. Lips were the most affect site (70%) followed by the tongue (16%). Regarding clinical appearance, approximately 90% of lesions were classified as nodules, and 90% of patients reported no pain. Approximately 40% of lesions were 0.5-1.0 cm in size. In 58% of the patients, only one application of ethanolamine oleate was necessary. The application doses varied according to the lesion size and number of applications. Complete clinical regression occurred in 91% of cases, whereas 9% showed partial regression. Conclusions: Sclerotherapy with EO is an acceptable, effective and affordable treatment for benign oral vascular lesions (AU)


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Assuntos
Humanos , Masculino , Feminino , Criança , Adolescente , Adulto Jovem , Adulto , Pessoa de Meia-Idade , Idoso , Lesões do Sistema Vascular/diagnóstico , Lesões do Sistema Vascular/terapia , Escleroterapia/métodos , Etanolamina/uso terapêutico , Malformações Vasculares/terapia , Doenças da Boca/terapia , Estudos Retrospectivos , Hemangioma/complicações , Hemangioma/terapia , Malformações Vasculares/complicações , Varizes/complicações
19.
Med. oral patol. oral cir. bucal (Internet) ; 23(2): e198-e202, mar. 2018. ilus, tab
Artigo em Inglês | IBECS | ID: ibc-171400

RESUMO

Background: The literature hardly contains information on how patients suffering from oral lichen planus could be managed by dentists. Material and Methods: Based on the limited available literature and particularly on the long-term clinical and histopathological experience of one of the authors, suggestions on how dentists could manage patients with oral lichen planus have been put forward. Results: In most cases, the dentist should be able to establish a correct diagnosis. Occasionally, the dentist may call upon a specialist, usually an oral medicine specialist or an oral and maxillofacial surgeon for confirmation of the diagnosis, possibly a biopsy procedure, and management of the patient in case of severe symptoms. Proper patient information is of utmost importance in the management. Conclusions: General dentists can be expected to manage the majority of patients with oral lichen planus. Some patients may need to be referred for diagnostic purposes to a specialist; this is also the case for the rare patient with severe symptoms, possibly requiring systemic treatment (AU)


No disponible


Assuntos
Humanos , Masculino , Feminino , Líquen Plano/epidemiologia , Líquen Plano/etiologia , Efeitos Colaterais e Reações Adversas Relacionados a Medicamentos/complicações , Líquen Plano/induzido quimicamente , Líquen Plano/classificação , Líquen Plano/patologia , Doenças da Boca/diagnóstico , Doenças da Boca/terapia
20.
Rev. esp. salud pública ; 92: 0-0, 2018. tab, graf
Artigo em Espanhol | IBECS | ID: ibc-177600

RESUMO

Fundamentos: Dada la alta prevalencia de caries y enfermedad periodontal a nivel global, y su proceso acumulativo desde temprana edad, se requieren estrategias efectivas para incidir en hábitos saludables que se formen de manera sostenible, aprovechando espacios comunes como la escuela. El objetivo de este estudio fue evaluar a 72 meses una estrategia de prevención en salud oral en escolares. Métodos: Esta investigación cuasi-experimental, longitudinal consideró una muestra inicial de 350 escolares con condiciones culturales y socioeconómicas similares, que después de 72 meses se redujo a 220. La práctica de cepillado dentro de la escuela se realizó diariamente, con motivación de sus maestros y formación de líderes de salud oral. Durante todo el tiempo la intervención estuvo supervisada. Al inicio y a los 72 meses, se tomaron los índices epidemiológicos: de Placa de Silness y Loe, Gingival de Loe y Silness, cepillado de Simmons Smith y Gelbie (ICSG), y el índice MEDIMED que consideró dicotómicamente: dientes permanentes sanos, salud de la encía y buena actitud hacia la odontología. El análisis estadístico incluyó medidas de tendencia central. La diferencia de promedios de los índices se determinó con la prueba U de Mann Whitney. Resultados: Los promedios de los índices iniciales (II) y finales (IF) registraron así: gingival (II: 0,63-IF: 0,27) y placa bacteriana (II: 0,99-IF: 0,41) con una diferencia p<0,05. El índice (ICSG) indicó una remoción de placa dental del 82,18%. El índice MEDIMED: "dientes permanentes sanos " (II: 91% - IF: 59%); encía (II: 14% - IF: a 85%) y el componente "Mente " (II: 96 % - IF: 87%). Conclusiones: La estrategia preventiva evaluada disminuyó los índices de placa bacteriana y gingival en forma significativa. El índice MEDIMED indicó disminucion en dientes permanentes sanos y disminución de una actitud positiva hacia la odontología


Background: Given the high prevalence of caries and periodontal disease globally, and its cumulative process from an early age, effective strategies are required to influence healthy habits that are formed in a sustainable manner, taking advantage of common spaces such as school. The objective was to evaluate for 72 months an oral health prevention strategy in schoolchildren. Methods: This quasi-experimental study considered an initial sample of 350 students with similar cultural and socioeconomic conditions, which was later reduced to 220, after the 72 months. The tooth brushing practice was carried out at school daily; with teacher motivation and leader in oral health formation. Intervention was supervised all time long. to At the beginning and end of the 72 months, the following epidemiological indexes were taken: Silness-Loe plaque index, Loe-Silness Gingival index, brushing skill index by Simmons Smith & Gelbie (ISSG), and the MEDI-MED index that dichotomically considered: healthy permanent teeth, health of the gums and good attitude towards dental health. The statistical analysis included measures of central tendencies. The difference in averages of the indices was determined by the Mann-Whitney U test. Results: The average of the indices: initial (II) and final (IF) registered as follows: gingival (II: 0.63-IF: 0.27) and bacterial plaque (II: 0.99-IF: 0.41) with a difference p <0.05. The index (ISSG) indicated a dental plaque removal of 82.18%.MEDI-MED index "healthy permanent teeth " (II: 91% - IF: 59%); Gum (II: 14% - IF: at 85%) and the "Mind " component (II: 96% - IF: 87%). Conclusions: The preventive strategy evaluated significantly reduced the rates of bacterial and gingival plaque. The MEDI-MED index indicated decreased in healthy permanent teeth and a positive attitude towards dentistry


Assuntos
Humanos , Masculino , Feminino , Criança , Serviços de Odontologia Escolar/métodos , Doenças da Boca/epidemiologia , Higiene Bucal/educação , Profilaxia Dentária , Índice de Higiene Oral , Índice Periodontal , Índice de Placa Dentária , Índice CPO , Avaliação de Eficácia-Efetividade de Intervenções , Seguimentos
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