RESUMO
Pediatricians are primary health care professionals who supervise the growth and development and treat infants and children during the first years of life. Thus, they should possess knowledge regarding oral health care, to provide anticipatory guidance, as well as dental education to parents in order to make appropriate clinical decisions. For many years, several surveys have been performed worldwide to assess the pediatricians' knowledge, awareness, and experience regarding oral health care and prevention. This work aimed to scope the existing literature and summarize the most relevant evidence about knowledge, practices, and attitudes on oral health/care among pediatricians worldwide. PubMed, Cochrane Library, Google Scholar, and Dentistry & Oral Sciences Source were explored. Under a structured PCC question and eligibility criteria, for relevant clinical trials and observational studies, published during the last decade. Titles and abstracts were screened. Full-text articles were critically reviewed for bias risk and a data charting table was constructed. A total of 44 references were initially identified, and 37 titles remained for abstract screening after removing duplicates; then, 27 potential full-text articles were carefully reviewed. Finally, 25 relevant and most informative studies were included. The selected studies were conducted in India, Lebanon, Saudi Arabia, and Paraguay, Europe, Australia, Qatar, Iran, Turkey, United Arab Emirates, Nigeria, Brazil, Chile, Germany, Taiwan, Canada, and the USA. Through included surveys, researchers have reported different levels of knowledge, practice involvement, and attitude on children's oral health among pediatricians. In general, unsatisfactory knowledge of oral health was reported. The main impediments for a better professional involvement or practice include inappropriate education, poor auto-confidence, and lack of time. So, it has been suggested that some oral health training or clinical guidelines should be included in the current medical curricula.
Assuntos
Saúde Bucal , Pediatras , Atitude do Pessoal de Saúde , Criança , Promoção da Saúde , Humanos , Lactente , Inquéritos e QuestionáriosRESUMO
PURPOSE: This study aimed to determine the frequency of abnormalities in the newborn oral cavity and to evaluate the association with prenatal and perinatal factors. METHODS: This cross-sectional study evaluated 2,216 newborns. Oral findings were assessed in the first 24 hours of life using visual examination. Sex, weight, length, gestational age, and medical disorders at birth were recorded. Maternal demographic and medical information was also obtained. RESULTS: The most common oral findings were Bohn's nodules, Epstein's pearls, and dental lamina cysts. Other intraoral findings included odontogenic cysts, ankyloglossia, and natal teeth, among others. In logistic regression analyses, folic acid consumption during pregnancy was significantly associated with Bohn's nodules (odds ratio [OR], 1.79; 95% confidence interval [CI], 1.23-2.55; P=0.002), Epstein's pearls (OR, 1.63; 95% CI, 1.14-2.33; P=0.007), and dental lamina cysts (OR, 1.45; 95% CI, 1.02-2.05; P=0.038). Moreover, preterm births were negatively associated with prevalence of Bohn's nodules (OR, 0.63; 95% CI, 0.50-0.80; P≤0.0001). Comparison between newborns with and without oral inclusion cysts showed that maternal folic acid and iron intake were significantly different (P<0.05). CONCLUSION: Maternal folic acid and iron intake were associated with the prevalence of oral inclusion cysts.
RESUMO
OBJECTIVE: To compare dental caries and oral findings in patients affected by different types of Cerebral Palsy (CP). STUDY DESIGN: This cross-sectional study involved 120 children and adolescents with a diagnosis of CP. WHO diagnostic criteria were used to determine DMFT (caries diagnosis), the pocket depth and attachment level (periodontitis diagnosis). Additionally, the study evaluated dental erosion, traumatic dental injuries, treatment needs index (TNI), oral habits, malocclusions, gingival overgrowth, and dental fluorosis. RESULTS: The most frequent CP type was spastic (62.5%), followed by mixed (18.3%), ataxic (10%), and athetoid (9.1). Patients affected by mixed CP showed a higher prevalence in decayed, DMFT index and TNI compared with the other types of CP (p<0.05). The frequency of malocclusion in the clinical evaluation was 87.5% and in plaster models was 49.2%. CONCLUSIONS: Dental caries was an important issue in mixed and athetoid CP groups. Oral habits and malocclusions were the most significant oral health problems in individuals with CP.
Assuntos
Paralisia Cerebral/complicações , Cárie Dentária/complicações , Adolescente , Paralisia Cerebral/classificação , Criança , Estudos Transversais , Índice CPO , Feminino , Humanos , Masculino , Má Oclusão/complicações , Higiene BucalRESUMO
Amniotic Band Syndrome (ABS) is a group of congenital malformations that includes the majority of typical constriction rings and limb and digital amputations, together with major craniofacial, thoracic, and abdominal malformations. The syndrome is caused by early rupture of the amniotic sac. Some of the main oral manifestations include micrognathia, hyperdontia, and cleft lip with or without cleft palate, which is present in 14.6% of patients with this syndrome. The purpose of this report was to describe the clinical characteristics and the oral treatment provided to a 6-month-old male patient affected with ABS with cleft lip and palate.
RESUMO
La hipomelanosis de Ito (incontinencia pigmentante acromática o nevo sistmico acrómico) es una enfermedad dermatolgica o sindrome neurocutáneo de ocurrencia rara, que consiste en la presencia de manchas dérmicas hipopigmentadas en varias partes del cuerpo, además de múltiples manifestaciones extracutáneas, principalmente del sistema nerviosocentral (posible retraso mental de diferentes grados), musculo-esqueléticas y oculares. También ha sido asociada con diversas anomalías dentales, como son la hipodoncia y el talón cuspídeo palatino. El propósito del presente artículo es reportar el manejo estomatológico proporcionado a una niña de 2 años y 7 meses de edad con hipomelanosis de Ito, en la clínica del Posgrado en Estomatolog¡a Pediátrica, de la Universidad Autónoma de San Luis Potosi.
Hypomelanosis of Ito (incontinence pigmenting achromic or systemic achromic nevus) is a dermatological disease or neurocutaneous syndrome rare occurrence, with incidence of dermal hypopigmented spots in many parts of the body, and several extracutaneous manifestations, primarily central nervous system (possible mental retardation of variable degrees), optical and musculoskeletal. It has also been associated with various dental anomalies such as hypodontia and the palatal cusp heel. The purpose of this paper is to report dental management provided a girl of 2 years and 7 months old with Hypomelanosis of Ito, at the clinic of Pediatric Dentistry of the Autonomous University of San Luis Potosi.
Assuntos
Humanos , Feminino , Pré-Escolar , Anodontia , Melanose , Síndromes Neurocutâneas , Transtornos da PigmentaçãoRESUMO
Hypoglossia is referred to a small volume and/or size of the tongue. It is a rare congenital condition caused by failed embryogenesis of the lateral lingual swellings and tuberculum impar during the fourth to eighth weeks of gestation. The anomaly has often occurred in association with limb abnormalities and various syndromes, and it affects facial and mandibular growth. The present report describes a case of severe congenital hypoglossia in a female infant, her systemic and dentofacial features, and the initial management.
Assuntos
Língua/anormalidades , Anormalidades Craniofaciais/patologia , Transtornos de Deglutição/congênito , Feminino , Humanos , Recém-Nascido , Micrognatismo/patologia , Palato Mole/anormalidades , Insuficiência Velofaríngea/congênitoRESUMO
Williams-Beuren syndrome is a rare congenital disorder involving the cardiovascular system, mental retardation, distinctive facial features, and tooth anomalies. The aim of the present report is to show a 10-year-old girl with Williams-Beuren syndrome, her general and orofacial clinical characteristics and the dental management.
Assuntos
Anormalidades Craniofaciais/patologia , Anormalidades Dentárias/patologia , Síndrome de Williams/patologia , Criança , Hipoplasia do Esmalte Dentário/patologia , Feminino , Humanos , Hipertelorismo/patologia , Lábio/anormalidades , Má Oclusão/patologia , Nariz/anormalidades , Retrognatismo/patologiaRESUMO
La displasia ectodérmica hipohidrótica es un síndrome genético, caracterizado principalmente por hipohidrosis, hipotricosis e hipodoncia. Esta enfermedad es asociada con hipodoncia y atrofia de los procesos alveolares. El aspecto facial y la ausencia dental múltiple puede ser causa de problemas de socialización por parte de los niños afectados. El propósito de este reporte es describir las características y el manejo odontológico y protésico de un paciente masculino de 5 años de edad diagnosticado con el síndrome.
Hypodriotic ectotermal dysplasia is a genetic syndrome characterized mainly by hypodriosis, hypotrichosis and hypodontia. This disesase is associated with hypodontia and atrophy of the alveolar process. The facial aspect and the multiple missing teeth can cause problems of socialization of the affected children. The aim of this report is to describe features and dental and prosthetic management of a 5-year-old boy, diagnosed with the syndrome.
Assuntos
Humanos , Masculino , Pré-Escolar , Anodontia , Prótese Parcial Removível , Displasia Ectodérmica/reabilitação , Hipo-Hidrose , Reabilitação BucalRESUMO
La esclerodermia es una rara enfermedad que afecta los tejidos de origen mesenquimatoso y ectodérmico. Se caracteriza por la aparición de alteraciones inflamatorias y vasculares, además de esclerosis en la piel y órganos de los sistemas respiratorio, cardiovascular y gastrointestinal. El propósito del presente reporte es describir el caso de una niña de 4 años con esclerodermia localizada, sus manifestaciones clínicas, datos epidemiológicos y sugerencias de manejo odontológico de los pacientes pediátricos con esta rara enfermedad.
Scleroderma is a rare disorder that affects mesenchymal and ectodermal tissues. It is characterized of vascular and inflammatory alterations and sclerosis in the skin and organs of respiratory, cardiovascular and gastrointestinal systems. The purpose of this report is to describe the case of a 4 year old girl with localized scleroderma, its clinical manifestations, epidemiological data and recommendations of dental management for the pediatric patients with this rare disease.
Assuntos
Humanos , Feminino , Pré-Escolar , Esclerodermia Localizada , Administração dos Cuidados ao Paciente , Administração de CasoRESUMO
Dubowitz syndrome is a rare genetic condition characterized by microcephaly, dysmorphic facial features and delayed general growth. It is transmitted through autosomal recessive inheritance. The purpose of this report is to describe the oral, craniofacial and systemic characteristics of a 7-year 11-month-old boy with Dubowitz syndrome and the dental management provided. The pediatric dentist should possess the ability to recognize this rare alteration, to provide dental treatment and to refer for the necessary medical and multidisciplinary treatment.
Assuntos
Cárie Dentária/terapia , Restauração Dentária Permanente/métodos , Eczema/complicações , Transtornos do Crescimento/complicações , Deficiência Intelectual/complicações , Microcefalia/complicações , Obstrução das Vias Respiratórias/etiologia , Cefalometria , Criança , Cárie Dentária/etiologia , Ossos Faciais/anormalidades , Fácies , Humanos , Hipertelorismo/etiologia , Masculino , Má Oclusão/etiologia , Micrognatismo/etiologia , Mordida Aberta/etiologia , Selantes de Fossas e Fissuras/uso terapêutico , Retrognatismo/etiologia , SíndromeRESUMO
PURPOSE: The objective of this study was to investigate the prevalence of intraoral findings and other minor developmental malformations in newborns from San Luis Potosi, Mexico. METHODS: Study subjects were neonates born in San Luis Potosi Morones Prieto Hospital between September 1989 and February 1990. All subjects are examined at this hospital within 20 hours of birth. Premature babies or those requiring intensive care were excluded. Examinations are performed by a team consisting of a geneticist, an oral pathologist, 2 dentists, and an oral surgeon using mirrors, tongue blades, and a flashlight. RESULTS: The team examined 2,182 neonates and found a frequency of 99% for congenital oral cysts, 2% for natal teeth, 11% for ankyloglossia, 8% for commissural lip pits, and 54% for congenital vascular malformations. The male/female ratios for ankyloglossia and natal teeth were 1.5:1 and 1:2.3, respectively. CONCLUSIONS: Babies born at the same hospital demonstrated a high rate of oral cysts, natal teeth, ankyloglossia, and commissural lip pits.
Assuntos
Manchas Café com Leite/congênito , Cistos Maxilomandibulares , Freio Lingual/anormalidades , Lábio/anormalidades , Dentes Natais , Mancha Vinho do Porto , Manchas Café com Leite/epidemiologia , Feminino , Hemangioma Capilar/congênito , Hemangioma Capilar/epidemiologia , Humanos , Recém-Nascido , Masculino , México/epidemiologia , Nevo Pigmentado/congênito , Nevo Pigmentado/epidemiologia , Mancha Vinho do Porto/epidemiologia , PrevalênciaRESUMO
The objective of this study was to evaluate the prevalence and risk factors associated with candidiasis in chronic renal failure (CRF) and renal transplant (RT) patients. A cross-sectional study was made of 66 patients who were divided into 2 groups: group A (33 patients), RT patients, and group B (33 patients), who had been diagnosed with CRF. Data with respect to demographics, treatment type and duration, clinical laboratory results for blood leucocytes, oral hygiene, and diagnosis of oral candidiasis were collected. Risk factors associated with candidiasis were evaluated. Among the 66 patients, 21 showed microbiologic evidence of oral candidiasis; 12 of these were from the RT group and 9 were from the CRF patients. Children who were renally compromised (RT and CRF) presented a frequency of oral candidiasis of 31.82%, with no difference between study groups. C. albicans was the most frequently isolated species from RT and CRF patients. Duration of therapy and oral hygiene were the variables associated with the presence of oral candidiasis.
Assuntos
Candidíase Bucal/etiologia , Falência Renal Crônica/complicações , Transplante de Rim/efeitos adversos , Adolescente , Adulto , Candida albicans , Candidíase Bucal/microbiologia , Criança , Estudos Transversais , Feminino , Humanos , Hospedeiro Imunocomprometido , Imunossupressores/efeitos adversos , Masculino , Estatísticas não ParamétricasRESUMO
BACKGROUND: Healthy children attending day-care centers (DCC) may excrete cytomegalovirus (CMV) frequently. Mothers of children excreting CMV are at higher risk for acquiring this infection than mothers of children not excreting CMV. Despite the increased attendance to DCC by children there is a lack of information regarding CMV infection in Mexico. METHODS: Prospective determination of CMV excretion in saliva of children attending public and private DCC. Three saliva samples were collected during a 2-month follow-up period from participating children and the presence of CMV was determined by viral culture. Demographic features of children and DCC type were taken into account when comparing children with and without CMV excretion. RESULTS: One hundred fifty-two children participated in the study (84 from public and 68 from private DCC). Overall, 17 (11.2%) children excreted CMV during the study period. Excretion rates varied between DCC from 3.1 to 31.3%. Children from private DCC were as likely to excrete CMV as children from public DCC. There were no demographic or clinical features of children associated with viral excretion. CONCLUSIONS: CMV was excreted on an average of 11.2% children attending DCC. The type of DCC or other demographic features were not associated with the likelihood of CMV excretion. CMV seronegative mothers of children who attend DCC need to be aware of the possibility of CMV acquisition and transmission in DCC.
Assuntos
Creches , Infecções por Citomegalovirus/epidemiologia , Citomegalovirus/metabolismo , Eliminação de Partículas Virais , Criança , Pré-Escolar , Feminino , Humanos , Lactente , México/epidemiologia , Distribuição Aleatória , Saliva/virologiaRESUMO
The purpose of this report is to find the use of different alternatives for dental treatment, from general anesthesia to conventional techniques, in patients affected by cerebral palsy (CP) in a dental school setting. The sample was divided into two groups: (1) children, and (2) adolescents and young adults; 38 patients (20 female and 18 male) with diagnostic of CP were included. Risks and benefits of conscious sedation and general anesthesia were written into a consent form and these were discussed with parents or guardians of each affected patient. The mean age was 7.14+/-2.2 years for children's group and 18.5+/-3.06 years for adolescent and young adult group. Most children (77.3%) were classified as ASA II with a level of behavior I-II according to Frankl's scale and these patients were treated under general anesthesia (GA). For patients that were classified as of positive behavior with little necessity of dental procedures, independent of the medically compromised level, dental treatment was done with conventional techniques or with conscious sedation. Dental frequency procedures were as follows: composites, dental prophylaxis, and dental extractions in children; in adolescents and adults, important to point out is that in anterior teeth and molars endodontic treatment, and surgical procedures increased in frequency. The mixture sevoflurane-propofol worked well during pre-, peri-, and post-operative procedures. During the discharge process, most patients needed a recovery of 20-40 minutes after which they were awake and oriented, breathing comfortably with stable vital signs. It was concluded that GA with sevoflurane-propofol and conscious sedation are an excellent tool to provide dental treatment in CP patients in a dental school setting without most of the major postoperative complications, such as nausea and vomiting.
Assuntos
Anestesia Dentária , Anestesia Geral , Paralisia Cerebral , Sedação Consciente , Dentística Operatória , Adolescente , Comportamento do Adolescente , Adulto , Período de Recuperação da Anestesia , Anestésicos Inalatórios/administração & dosagem , Anestésicos Intravenosos/administração & dosagem , Paralisia Cerebral/psicologia , Criança , Comportamento Infantil , Pré-Escolar , Comportamento Cooperativo , Assistência Odontológica para a Pessoa com Deficiência , Feminino , Humanos , Masculino , Éteres Metílicos/administração & dosagem , Propofol/administração & dosagem , Medição de Risco , SevofluranoRESUMO
El tumor neuroectodérmico es una neoplasia maligna de células redondas originada en la cresta neural. La ocurrencia de este tumor en cabeza y cuello es rara. Comunicamos una pacientes mexicana de 5 meses de edad con un tumor neuroectodérmico primitivo en estadio IV, en la mandíbula
Assuntos
Humanos , Feminino , Recém-Nascido , Neoplasias Mandibulares , Tumores Neuroectodérmicos Primitivos/cirurgia , Tumores Neuroectodérmicos Primitivos/diagnóstico , Tumores Neuroectodérmicos Primitivos/epidemiologia , Biópsia , Tratamento Farmacológico , México , Metástase Neoplásica , Tomografia Computadorizada por Raios XRESUMO
The neuroectodermal tumor is a malignant neoplasm of round cells originated from the neural crest. The occurrence of this tumor in head and neck is rare. A 5 month old Mexican patient with a primitive neuroectodermic tumor stage IV, in the jaw is reported.
Assuntos
Neoplasias Mandibulares/patologia , Tumores Neuroectodérmicos Primitivos/patologia , Feminino , Humanos , Lactente , Neoplasias Mandibulares/diagnóstico por imagem , Invasividade Neoplásica , Metástase Neoplásica , Tumores Neuroectodérmicos Primitivos/diagnóstico por imagem , Tomografia Computadorizada por Raios XRESUMO
En el presente trabajo se hace una revisión de la literatura del síndrome de osteodistrofia hereditaria de Albright, así como el reporte de un caso detectado en la consulta de la Maestría de Estomatología Pediátrica de la Universidad Autónoma de San Luis Potosí
Assuntos
Humanos , Masculino , Criança , Displasia Fibrosa Poliostótica/complicações , Hormônio Paratireóideo/deficiência , Hormônio Paratireóideo/fisiologia , Anormalidades Dentárias/etiologia , Anormalidades Múltiplas/genética , Assistência Odontológica Integral/métodos , Equipe de Assistência ao PacienteRESUMO
Se presenta un trabajo de investigación clínica sobre la prevalencia de trauma facial perinatal detectado en el Departamento de Ginecología y Obstetricia del Hospital Central "Dr. Ignacio Morones Prieto" de San Luis Potosí, en un periodo comprendido del 1§ de febrero de 1993 al 31 de enero de 1994. Hubo un total de 4,466 nacimientos vivos, de los cuales 3,166 fueron partos normales, 529 se utilizaron forceps, 771 fueron por cesárea existiendo un total de 22 casos de traumatismo facial. Esto representó un total de 0.49 por ciento de todos los nacimientos. En los que se usaron forceps hubo 14 con trauma facial (2.6 por ciento), en los que se realizó cesárea se presentaron 3 (0.38 por ciento) y de los 3,166 nacimientos normales hubo (0.15 por ciento)
Assuntos
Humanos , Masculino , Feminino , Recém-Nascido , Lactente , Traumatismos Faciais/epidemiologia , Forceps Obstétrico/efeitos adversos , Hematoma/epidemiologia , Paralisia Facial/epidemiologia , Parto/efeitos adversosRESUMO
Se describen dos pacientes con el síndrome de Melkersson-Rosenthal (SMR), uno de ellos con parálisis facial reacurrente. Los principales hallazgos clínicos en ambos casos fueron edema labial importante y lengua escrotal. Se sometieron a tratamiento con quiloplastía de reducción y esteroides. Aparentemente la incidencia es rara en nuestro medio, pero es muy probable que algunos casos ocurran en forma imcompleta. Se hace una revisión de la literatura y se comentan las modalidades de diagnóstico y tratamiento
Assuntos
Adolescente , Adulto , Humanos , Masculino , Língua Fissurada/diagnóstico , Queilite/diagnóstico , Paralisia Facial/diagnóstico , Síndrome de Melkersson-Rosenthal/diagnóstico , Síndrome de Melkersson-Rosenthal/terapiaRESUMO
El propósito de este estudio, es determinar algunas variables antropométricas, sociodemográficas y factores de riesgo en 121 pacientes en fisura labial y/o palatina, atendidos en el servicio de cirugía maxilofacial del Hospital Central de San Luis de Potosí. Se observaron 94 pacientes con fisura labiopalatina; 14 con fisura labial y 13 con fisura palatina. Hubo una mayor preponderancia de varones en todas las fisuras excepto en la labial. En las fisuras labiopalatinas y labiales aisladas el lado izquierdo fue el más afectado (41.7 por ciento), seguida de la bilateral (36.1 por ciento). Los estudios nacionales de estos defectos son escasos, por lo que es indispnsable contar en cada institución con registros clínicos adecuados para planear en forma óptima los recursos técnicos y humanos idóneos, para el mejor tratamiento de estos pacientes