Tratamiento periodontal quirúrgico de lesiones de furca. Revisión narrativa / Surgical treatment of furcation involvement lesions

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

Prevalence of DSM-III-R and ICD-10 psychiatric disorders in a Spanish population of 18-year-olds.

The aim of this study was to estimate the current prevalence of DSM-III-R and ICD-10 psychiatric disorders in Spanish 18-year-old members of the general population. Subjects were assessed using the Schedules for Clinical Assessment in Neuropsychiatry (SCAN). Nearly 30% of the study subjects reported at least one current disorder according to ICD-10 criteria, and almost 21% reported at least one current disorder according to DSM-III-R criteria. Women had a significantly higher probability of suffering from any psychiatric disorder than men. The most common disorders were insomnia, dysthymia, major depression and simple phobia. Nearly 40% of the diagnosed subjects had one or more comorbid disorders. Comorbidity was found to be higher among female subjects. Consistent with previous risk factor research, it was found that women had higher rates of mood, anxiety and sleep disorders than men. Good communication between parents and their offspring was found to be a protecting factor for all disorders.

Biopsychopathologic risk profile of adolescents with eating disorder symptoms.

The aim of this study is to determine whether there is a psychological and somatic pattern for adolescents with eating symptomatology. The Eating Attitudes Test (Garner & Garfinkel, 1979) and other psychological instruments to evaluate self-esteem (SEI, Battle, 1981), personality (EPQ-J, Eysenck & Eysenck, 1984), school abilities (AAT, Thurstone & Thurstone, 1986), anxiety (STAIC, Spielberger, 1973) and symptoms of depression (CDI, Kovacs, 1983) were used in a sample of 515 adolescents between 13 and 14 years of age. Prevalence of risky eating attitudes was 12.4% for the girls and 8.3% for the boys. In general, a low level of self-esteem and a high level of anxiety were the most important predictors of eating symtomatology, but there were differences between genders. Girls with eating symptomatology exhibited a profile with more psychopathological traits. Heavy and corpulent subjects, boys or girls, form a group with a high risk of eating disorder. This suggests that the conjunction of psychological and somatic factors at the beginning of adolescence can be a useful marker for early intervention.