Short and ultra-short (<6-mm) locking-taper implants supporting single crowns in posterior areas (part II): A 5-year retrospective study on periodontally healthy patients and patients with a history of periodontitis.

BACKGROUND: Short and ultra-short implants implants supporting single crowns seem to demonstrate high percentages of survival and stable marginal bone levels at a mid-term follow-up. Nevertheless, insurgence of peri-implant complications still represents a critical issue, especially for patients with history of periodontitis. PURPOSE: The aim of this retrospective study was to evaluate implant survival, marginal bone loss and peri-implant complications in 333 short and ultra-short implants, placed in periodontally healthy patients and patients with a history of periodontitis. MATERIALS AND METHODS: Implants were placed in the maxillary and mandibular posterior regions of 142 patients with (PP) and without (NPP) a history of periodontitis. Clinical and radiographic examinations were performed at 5-year recall appointments. RESULTS: Implants respectively placed in PP and NPP were: 35.68% and 42.50% in 8.0 mm-length group, 33.33% and 36.67% in 6.0 mm-length group, and 30.99% and 20.83% in 5.0 mm-length group. Implant-based survival after 5 years of follow-up was 95.77% for PP and 96.67% for NPP (p = 0.77). Regarding crestal bone level variations, average crestal bone loss was statistically different (p = 0.04) among PP (0.74 mm) and NPP (0.61 mm). Implants presenting signs of mucositis were 6.86% in PP and 7.76% in NPP (p = 0.76). Setting the threshold for excessive bone loss at 1 mm after 60 months, peri-implantitis prevalence was 7.84% in PP and 2.59% in NPP (p = 0.08). Overall implant success was 92.16% and 97.41%, respectively, for PP and NPP. CONCLUSIONS: Under strict maintenance program, five-year outcomes suggest that short and ultra-short locking-taper implants can be successfully restored with single crowns in the posterior jaws both in PP and NPP.

Percepción de pacientes con VIH/Sida sobre consulta odontológica en IPS de Santa Marta - Colombia / Perception of patients with HIV / AIDS on dental consultation in Santa Marta - Colombia

Introducción: La atención odontológica oportuna e inclusiva tiene un papel importante en las personas con VIH/SIDA, por cuanto permite prevenir y dar tratamiento a las múltiples lesiones orales que acompañan a esta patología, mejorando la calidad de vida de esta población. Objetivo: Determinar la percepción y experiencia de pacientes con VIH/SIDA sobre la consulta odontológica en una Institución Prestadora de Salud (IPS) de Santa Marta, Colombia. Materiales y métodos: Se realizó un estudio descriptivo cuantitativo donde participaron 64 pacientes con VIH/SIDA de una IPS de la ciudad de Santa Marta, quienes se les aplicó un instrumento de recolección de datos. Resultados: El 65,6% expresó nunca percibir rechazo por parte del odontólogo, el 25% refiere haber experimentado algún rechazo por lo menos una vez y un 9,4% siempre se siente rechazado. Conclusiones: Existe la necesidad de abordar esta enfermedad no sólo desde el aspecto clínico, sino también desde lo social, para educar tanto al profesional de la salud como a la comunidad, sobre avances científicos, el estudio de esta patología y los riesgos reales de contraerla, para desmitificar esta afección y erradicar la discriminación hacia los pacientes.

Introduction: Timely and comprehensive dental care is important for HIV/AIDS patients as it facilitates prevention and treatment of the multiple oral lesions that accompany this pathology, and consequently, improves their quality of life. Objective: To determine the perception and experience of the dental care service provided by a Health Provider Institution (HPI) to HIV/AIDS patients from the city of Santa Marta (Colombia). Materials and methods: A descriptive quantitative study was carried out with 64 HIV/AIDS patients treated in the HPI, to whom a data collection instrument was applied. Results: 65.6% of the HIV/AIDS patients did not perceive any rejection from the dentist, whereas 25% and 9.4% of these patients reported being discriminated at least once and always, respectively. Conclusions: There is a need to approach this disease not only from a clinical standpoint but also from a social perspective in order to educate both health professionals and communities about: scientific advances; how to study this pathology; and the risks of contracting HIV/AIDS. It is also necessary to demystify some misconceptions and eradicate discrimination against these patients.

Successful Management of Peri-Implantitis around Short and Ultrashort Single-Crown Implants: A Case Series with a 3-Year Follow-Up.

INTRODUCTION AND AIM: In case of peri-implantitis, resective surgery is contraindicated for short and ultrashort implants, limiting the treatment options to regenerative surgery or to implant removal. This retrospective case series presents the clinical and radiographic outcomes of a surgical regenerative procedure to treat peri-implantitis around short and ultrashort implants. MATERIALS AND METHODS: The study is a retrospective evaluation of patients suffering from peri-implantitis and those who underwent access flap surgery, concomitant chemical and mechanical decontamination of implant surface, and bone grafting using a self-hardening mixture of bone substitutes and biphasic calcium sulfate. No membranes were applied to cover the grafting material, and primary tension-free closure was achieved. The retrospective protocol was reviewed and approved by the Ethics Committee for Clinical Sperimentation (CESC) of Verona and Rovigo, Italy (based in the University of Verona) (Prog. 1863CESC. Date of approval: 2018-07-04). RESULTS: 15 patients (17 implants) have been diagnosed with peri-implantitis after a mean follow-up of 24 months after loading. Implant length was between 5 and 8 mm. 8 patients (10 implants) had a history of periodontitis. At baseline, the mean PD (probing pocket dept) at the deepest site was 8.12 mm, with an average mBI (modified bleeding index) of 2.35 and a mean BD (bone defect depth) of 3.04 mm. At the 3-year follow-up, the CSR was 100%, the mean mBI was 0.88 (average reduction: -1.47), the mean PD was 3.35 mm (mean PD reduction: 4.77 mm), and the mean bone defect was reduced by 1.74 mm, with a mean bone fill of 55%. CONCLUSIONS: The results of the present case series suggest that if accurate surface decontamination is achieved, high survival rate and good clinical and radiographic results can be obtained after 3 years. However, only the histological examination could confirm the growth of new bone in direct contact with the implant surface or if the grafted material only fills the space left by the peri-implant defect.

Estilo de vida y salud: Comunidad Hare Krishna de Santa Marta - Colombia / Style of life and health: Community Hare Krishna of Santa Marta - Colombia

Los Hare Krishna son una agrupación de personas voluntariamente reunidas con la intención de llevar una vida pura y despertar el amor por la espiritualidad como su propósito principal de vida. El objetivo de esta investigación es describir e interpretar el estilo de vida de la comunidad Hare Krishna y su visión hacia la salud. La investigación de corte etnográfico se realizó en el segundo trimestre del 2016, a través de la observación y entrevistas con los miembros de la comunidad, se realizó una intervención directa compartiendo con la comunidad sus actividades diarias, su alimentación y sus creencias espirituales. Para los miembros de la comunidad encontrar la conciencia de Krishna era su destino, llega krishna a sus vidas para llenar su ser plenamente. Cambiar su estilo de vida, fue para ellos un acto de entrega a la vida espiritual, una renuncia al mundo material y a todo lo que pudiera representarles daño para sus vidas. Los miembros de la comunidad Hare Krishna consideran que su estilo de vida refleja superioridad o un nivel más elevado dentro de la sociedad. Creen que los principios que los rigen son los que Dios al crear la vida quería que todos sus hijos siguieran.

Hare Krishna are a group of people voluntarily gathered with the intention of leading a pure life and awakening the love for spirituality as their main purpose of life. The aim of this research is to describe and interpret the lifestyle of the Hare Krishna community and their vision for health. The ethnographic research was conducted in the second quarter of 2016, through observation and interviews with community members, a direct intervention was carried out, sharing with the community their daily activities, their food and their spiritual beliefs. For members of the community to find Krishna consciousness was their destiny, Krishna comes into their lives to fill their being fully. Changing their way of life was for them an act of surrender to the spiritual life, a renunciation of the material world and everything that could represent harm to their lives. Members of the Hare Krishna community feel that their lifestyle reflects superiority or a higher level within society. They believe that the principles that govern them are those that God in creating life wanted all his children to follow.

Ansiedad, miedo y comportamiento en odontopediatria utilizando Brix 3000 y método rotatorio para remoción de caries / Anxiety, fear and behavior in odontopediatria using Brix3000 and rotary method for removal of caries

Dentro de la consulta pediátrica en odontología, el miedo, la ansiedad dental y el comportamiento surgen como condicionantes del éxito o fracaso del tratamiento. El presente artículo describe los niveles de ansiedad y miedo que presentaron los pacientes pediátricos sometidos a remoción de caries dental, utilizando el método Brix 3000 y método convencional; de igual forma se presenta el tipo de comportamiento y su modificación, al inicio de la consulta y durante la aplicación del Brix 3000. Para la realización de dicha investigación fue necesario realizar un estudio descriptivo observacional de corte transversal, en donde se seleccionaron los niños entre las edades de cuatro a 11 años que asisten a las Clínicas Puras del Niño del segundo periodo semestral del año 2016 de la Universidad del Magdalena, se incluyeron 32 niños pertenecientes a clínicas de Odontopediatría. Lo anterior, permitió vislumbrar el nivel de miedo y ansiedad en los pacientes pediátricos dando un resultado en el cual primó la ansiedad sobre el miedo, y así mismo estos niveles aumentaron con la edad y la experiencia previa a una consulta odontológica, con una prevalencia del 63,3% de sexo femenino sobre el sexo masculino. La modificación del comportamiento fue satisfactoria; solo un 6,25% de la población a e estudiar presento comportamiento negativo.

Within the pediatric consultation in dentistry, fear, dental anxiety and behavior arise as determinants of success or failure of treatment. This article describes the levels of anxiety and fear presented by pediatric patients undergoing dental caries removal using the Brix 3000 method and conventional method; in the same way the type of behavior and its modification are presented at the beginning of the consultation and during the application of the Brix 3000. For the accomplishment of this investigation it was necessary to perform a cross-sectional observational descriptive study, in which children were selected between The ages of four to 11 attending the Pure Child Clinics of the second semester of 2016 at the University of Magdalena, 32 children belonging to pediatric dentistry clinics were included. This allowed us to glimpse the level of fear and anxiety in pediatric patients, resulting in anxiety over fear, and these levels increased with age and experience prior to a dental consultation, with a prevalence of 63.3% of females over males. The behavior modification was satisfactory; only 6.25% of the population to e study present negative behavior.

Grado de implementación del proceso de seguridad en el paciente en IPS odontológicas públicas y privadas en Santa Marta / Implementation Degree of the Patient Safety Process in Public and Private Dental IPS in Santa Marta / Grado de implementação do processo de segurança no paciente em IPS odontológicas públicas e privadas em Santa Marta

Resumen El propósito de esta investigación es determinar el grado de implementación del proceso de seguridad en el paciente en IPS odontológicas de Santa Marta. Es un estudio descriptivo, cuya muestra está conformada por doce instituciones, siete públicas y cinco privadas. Se aplicó una encuesta analizada con el programa estadístico SPSS 20.0. Todas las entidades privadas cuentan con un programa de seguridad del paciente, mientras que solo tres de las siete entidades públicas pueden validarlo. El 58 % de las instituciones muestran un programa de capacitaciones. La política de seguridad se pudo validar en un 58 % de las IPS, mientras que para los criterios de validación de procesos, procedimientos y formatos solo ocho de las doce entidades lo evidencian y dos de estas instituciones solo reportaron registros. Se evidencia que la causa más frecuente de eventos adversos en las IPS públicas es atribuible a fallas administrativas y de adherencia, mientras en las IPS privadas prevalecen las causas atribuibles a los procedimientos.

Abstract The purpose of this research is to determine the implementation degree of the patient safety process in Santa Marta dental IPS. This is a descriptive study, whose sample is made up of twelve institutions, seven public and five private. A survey was carried out using the statistical program SPSS 20.0. All private entities have a patient safety program, while only three out of the seven public entities could prove to have it. 58% of the institutions show a training program. The security policy could be validated in 58% of the IPS, whereas for the validation criteria of processes, procedures, and formats only eight of the twelve entities met them, and two of these institutions only reported records. It could be seen that the most frequent cause of adverse events in public IPS institutions is attributable to administrative failures and adherence, whereas in private IPS institutions there is a prevalence of causes attributable to the procedures.

Resumo O propósito desta pesquisa é determinar o grau de implementação do processo de segurança no paciente em IPS odontológicas de Santa Marta. Trata-se de um estudo descritivo, cuja amostra está conformada por doze instituições, sete públicas e cinco privadas. Aplicou-se inquérito analisado com o programa estatístico SPSS 20.0. Todas as entidades privadas contam com um programa de segurança do paciente, enquanto apenas três das sete entidades públicas podem validá-lo. 58 % das instituições mostram um programa de capacitações. A política de segurança pôde validar 58 % das IPS, enquanto para os critérios de validação de processos, procedimentos e formulários apenas oito das doze entidades evidenciam-no e duas destas instituições apenas reportaram registros. Evidencia-se que a causa mais frequente de eventos adversos nas IPS públicas é atribuível a falhas administrativas e de aderência, enquanto nas IPS privadas prevalecem as causas atribuíveis a procedimentos.

Extracurricular factors influence perceived stress in a large cohort of Colombian dental students.

The aim of this study was to investigate the association of extracurricular factors including socioeconomic status and career choice with perceived stress in dental school in a large cohort of Colombian dental students. Participants in the study were 5,700 students enrolled in seventeen Colombian dental schools. The study employed a Spanish adaptation of the Dental Environment Stressors (DES30-Sp) questionnaire and recorded an array of demographic, socioeconomic, career choice, and dental studies-related information. Data analyses relied on descriptive, bivariate, and multivariate methods based on multi-level mixed-effects linear regression and post hoc estimation of predictive margins. "Fear of failing a course or year" emerged as the highest ranked item. Male students consistently reported less perceived stress than females, and stress scores were higher among seniors. Independent of gender, age, and study year, having dentistry as one's first career choice, relying on financial support, and belonging to higher socioeconomic strata were associated with lower stress levels. Academic environment interventions aimed to improve students' educational well-being will need to account for the individual heterogeneity among them. These data from a robust cohort of predoctoral dental students underscore the importance of considering students' educational experiences in a broader social and economic context.