RESUMO
Las lesiones de furca que afectan a dientes multirradiculares pueden ser tratadas desde diferentes enfoques quirúrgicos tales como la plastia, tunelización y radectomía, así como también con raspado y alisado radicular y técnicas regenerativas, con la extracción como última opción, en función del grado de lesión que presenten. Objetivo: El objetivo ha sido revisar todos los aspectos anatómicos y clínicos a considerar para la toma de decisión diagnostica que nos permita un adecuado enfoque terapéutico. Conclusión: En la elección de la modalidad terapéutica se debe de tener en cuenta que no existe evidencia científica que avale que un procedimiento sea superior a otro
Furcation lesions affecting multirradicular teeth can be treated from different surgical approaches such as angioplasty, tunneling and radectomi and also scaling and root planing and regenerative techniques, with removal as a last resort, depending on the degree of injury submit. Objective: The objective was to review all anatomical and clinical aspects to consider for diagnostic decision making that allows us adequate therapeutic approach. Conclusion: The choice of treatment modality should keep in mind that there is scientific evidence to support that a procedure is superior to another
Assuntos
Humanos , Defeitos da Furca/cirurgia , Tratamento do Canal Radicular/métodos , Extração Dentária , Raiz Dentária/anatomia & histologiaRESUMO
Multifocal epithelial hyperplasia (MEH), also known as Heck's disease, manifests as a papulonodular lesion in the oral mucosa and has been associated with the human papillomavirus, a virus related to various precancerous diseases in the oral cavity. It has a predisposition for the female gender and for children. Although the majority of reported cases have been among American Indians and Eskimos, it has been described in multiple ethnic groups in various geographical locations. The objective of this review was to report on the clinical characteristics and epidemiology of MEH and its possible correlation with oral cancer. It is based on a search of articles in international journals published prior to April 2011, using the PubMed database and selecting articles related to the epidemiology and clinical characteristics of MEH. The review revealed a higher number of cases in individuals of American Indian origin and a predilection of the disease for the female gender and for patients between the 1st and 2nd decades of life. The most frequent lesion site was the lower lip. The disease has been associated with socio-economic and genetic factors, among others. No cases of malignant transformation have been reported.
RESUMO
The aim of this study was to investigate the possible association between interleukin (IL)-1A (+4845) and/or IL-1B (+3954) gene polymorphisms and the onset and progression of chronic periodontal disease (PD), an issue that remains controversial. The relationship between IL-1ß concentration in the gingival crevicular fluid (GCF) and disease activity was also evaluated. The study was performed on 25 individuals with no gingivitis or PD and on 25 subjects with active chronic PD. Two samples of GCF were obtained from each subject and IL-1ß was determined by enzyme-linked immunoabsorbent assay. Blood samples (10 ml) were drawn from each subject to detect polymorphisms in IL-1A (+4845) and IL-1B (+3954) by polymerase chain reaction. Mean GCF IL-1ß concentrations were higher in patients with active chronic PD compared to the control group. No significant association was found in either group between GCF IL-1ß concentration and the presence of polymorphisms in IL-1A (+4845), IL-1B (+3954) or both genotypes. No significant difference was found in either group with regard to the presence of polymorphisms in IL-1A (+4845), IL-1B (+3954) or both genotypes (p=0.556). The concentration of IL-1ß in GCF was almost 2-fold higher in patients with chronic PD than in the healthy individuals. The presence of polymorphisms in IL-1A (+4845) and/or IL-1B (+3954) genotypes is not associated with IL-1ß overproduction in GCF and is not a risk factor for chronic PD. IL-1ß is considered a suitable marker of the severity and progression of chronic PD. The presence of IL-1A (+4845) and/or IL-1B +3954 gene polymorphisms does not appear to be a risk factor for chronic PD. Therefore, the IL-1A (+4845) and/or IL-1B +3954 gene polymorphisms cannot be considered genetic markers of chronic PD. Moreover, these polymorphisms do not indicate an overproduction of IL-1ß in GCF.
Assuntos
Interleucina-1alfa/genética , Interleucina-1alfa/metabolismo , Interleucina-1beta/genética , Interleucina-1beta/metabolismo , Doenças Periodontais/genética , Doenças Periodontais/metabolismo , Polimorfismo Genético , Adulto , Doença Crônica , Feminino , Humanos , Masculino , Pessoa de Meia-Idade , Fatores de Risco , EspanhaRESUMO
Con el propósito de evaluar el impacto de un programa de comunicación en salud bucal para niños con retraso mental ligero, se realizó un estudio de intervención educativa, en la escuela especial "Nguyen Van Troi" del municipio de Camagüey desde septiembre del 2003 a septiembre del 2005.La muestra estuvo conformada por 29 niños de seis a 10 años, sus padres y educadores, a los que previamente se les realizó el diagnóstico de salud bucal y educativo, A partir del mismo se diseñó el programa educativo acorde a la edad psicológica de los niños y teniendo en cuenta los términos de comunicación en salud.La intervención se realizó durante seis meses, en más del 80 % de los niños mejoró la información higiénico sanitario bucal y disminuyeron los factores de riesgo. Los padres y educadores opinaron que las actividades educativas fueron beneficiosas, con un impacto positivo para todo.(AU)