Cáncer en pacientes jóvenes (Parte 2) Carcinomas de cavidad bucal en sujetos de bajo riesgo: presentación de 4 casos y revisión de la literatura / Oral cancers in low-risk subjects: presentation of 4 cases and literature review

El cáncer en cavidad bucal y de la región de cabeza y cuello se presenta con mayor frecuencia entre la quinta y sexta década de la vida generalmente atribuido al uso indiscriminado de substancias como el alcohol y el tabaco por un periodo de tiempo considerable. Sin embargo estudios recientes demuestran un incremento en la incidencia en pacientes jóvenes que nunca estuvieron expuestos a estos y a otros factores como riesgo ocupacional, predisposición genética, dieta. Se presenta 4 casos de carcinomas en cavidad bucal y revisión de la literatura.

Oral cavity cancer and head and neck region occurs most often between the fifth and sixth decade of life and is generally attributed to the indiscriminate use of substances such as alcohol and snuff for a period of time. However, recent studies show an increased incidence in younger patients who have never been exposed to these and other risk factors such as occupational factors, genetic predisposition, diet. Four cases of oral carcinoma are presented as well as a literature review.

Reclassification of odontogenic keratocyst as tumour. Impact on the odontogenic tumours prevalence.

AIM: The aim of this study was to establish the impact of the redefinition and reclassification of odontogenic keratocyst (OKC) as a tumour on the prevalence of odontogenic tumours (OT). METHODS: We revised 15 435 files of a teaching head and neck histopathology service in the time period from January 1981 to December 2008 and 478 cases of OT were selected. The 342 cases from 1981 to 2004 were classified according 1992 to the World Health Organization (WHO)-classification (excluding keratocystic OT) while the 136 cases from 2005 onwards were classified according to the 2005 WHO-classification (including keratocystic OT). Age and gender were obtained from medical records. The frequency distribution and prevalence of OT from each periods of time were compared. A chi-square test was performed (P < 0.05 95% confidence interval). RESULTS: The prevalence of OT increases 92% in the 2005-2008 period; from 2.6% (1981-2004 period) to 5% (2005-2008 period) (P 0.000).The most frequent OT in the 1981-2004 period was odontoma (45% of all OT) while in the 2005-2008 period was Keratocystic Odontogenicv Tumour (38.9%). CONCLUSIONS: The redefinition of OKC as a tumour produced an increase in the frequency and prevalence of OT.

[The prevalence of caries in marginal rural and peripheral urban areas]. / Prevalencia de caries en zonas rurales y peri-urbanas marginadas.

A descriptive study of caries prevalence in peripheral urban and rural underprivileged groups was undertaken in self-selected populations demanding basic dental therapy in seven states of Mexico. Dental therapy services were delivered as part of a mobile oral health care program in the Mexican countryside implemented by the Dental School of Universidad Nacional Autónoma de México, during 1990 and 1991. Partial examination of clinical histories of 2,596 patients (mean age 21.8 years) revealed a mean DMFT (the sum of decayed, missing and filled teeth) of 9.21. Only 6.3 per cent of patients had DMFT = 0 and 10.7 per cent were caries-free. The largest component of DMFT were decayed teeth and the smallest one filled teeth. In general, results suggested that caries prevalence was high within the study populations, highlighting the little restorative treatment previously undertaken. The convenience of implementing oral health care schemes to deal with caries morbidity is discussed from the perspective of both the traditional dental treatment approach and preventive public health policies, taking into account the background of complex treatment needs present in these population groups.

[Importance of hairy leukoplakia and AIDS to the dentist. (Review of the literature)]. / Importancia de la leucoplasia vellosa y el SIDA para el cirujano dentista. (Revisión de la literatura).

AIDS is currently one of the most important and concerning diseases for dentists, both general and specialized. This review of the literature makes emphasis on the main biological, epidemiological, diagnostic and prognostic aspects of oral hairy leucoplakia which every dental care professionist should know, as well as the importance of those conditions in the evolutionary course of this disease.

[Correlation of clinico-radiographic findings with histopathology in teeth diagnosed as necrotic]. / Correlación entre los datos clinico-rradiográficos con la histopatología en dientes diagnosticados como necróticos.

A correlation between clinical and X-ray findings with histopathology in teeth diagnosed as necrotic 30 permanent human teeth with a deep carious lesion associated with a periapical radiolucency were studied. Results were based on the histopathologic findings, correlated with clinical and radiographic data, analyzed underlight microscope. The clinically diagnosed necrotic teeth with a periapical radiolucency were 19 (63.33%), showed remnants of vital pulp tissue under histologic observation, mainly in the medium and apical root thirds, in multi-rooted teeth. Presence of infiltrated bacteria was also observed at dentinal tubules coronally. 11 teeth (36.66%) remnants did not show any evidence of vital pulp tissue, only total necrosis was observed. This group showed the presence of bacteria infiltrated at the dentinal tubules coronally and into the root canals.