Potencial utilidad de dos presentaciones Triticum vulgare en mucositis oral por quimioterapia en pacientes pediátricos / Potencial utilidade de duas apresentações deTriticum vulgare na mucosite oral devido à quimioterapia em pacientes pediátricos / Potential utility of two presentations of Triticum vulgare in oral mucositis due to chemotherapy in paediatric patients

La mucositis postquimioterapia constituye una complicación severa del manejo antineoplásico, incrementando la estancia hospitalaria y el desarrollo de infecciones invasivas, pudiendo incluso limitar el uso de ciertos fármacos. El interés por medicamentos con menor capacidad de interacción y efectos secundarios ha ido aumentando con el tiempo. Por ello está siendo estudiado un extracto acuoso de trigo (Triticum vulgare) solo o en combinación con caléndula y áloe vera para el tratamiento de mucositis. El objetivo del presente trabajo es describir cuatro casos clínicos de mucositis oral inducida por quimioterapia en pacientes pediátricos tratados con geles de un extracto de trigo, solo o en combinación con áloe vera y caléndula, observándose que influyen positivamente en la evolución de lesiones tempranas. (AU)

A mucosite pós-quimioterapia constitui uma complicação grave do tratamento antineoplásico, aumentando o tempo de internamento e o desenvolvimento de infecções invasivas, podendo até limitar o uso de alguns medicamentos. O interesse por medicamentos com menor capacidade de interação e efeitos secundários tem aumentado ao longo do tempo. Portanto, está a ser estudado um extrato aquoso de trigo (Triticum vulgare), sozinho ou em combinação com calêndula e aloe vera para o tratamento da mucosite. O objetivo do presente trabalho é descrever quatro casos clínicos de mucosite oral induzida por quimioterapia em pacientes pediátricos tratados com géis de um extracto de trigo, isoladamente ou em combinação com aloe vera e calêndula, observando-se que influenciam positivamente na evolução das lesões iniciais. (AU)

Post-chemotherapy mucositis constitutes a severe complication of antineoplastic management, increasing hospitalisation time and the development of invasive infections, and may even limit the use of certain drugs. Interest in drugs with less interactivity and side effects has been increasing over time. Therefore, an aqueous extract of wheat (Triticum vulgare), alone or in combination with calendula and aloe vera, for the treatment of mucositis is being studied. The objective of the present work is to describe four clinical cases of chemotherapy-induced oral mucositis in paediatric patients treated with gels of a wheat extract, alone or in combination with aloe vera and calendula. It was observed that they positively influence the evolution of early lesions. (AU)

Painless osteoid osteoma in the maxilla of an elderly female patient.

Osteoid osteoma is an osteoblastic benign bone tumor more frequent in long bones of young male patients. It is the third most commonly diagnosed benign bone tumor and has distinctive symptomatology, nocturnal pain that relieves with nonsteroidal anti-inflammatory drugs. Nowadays, total resection is the preferred management. In the present paper, an unusual variant in the maxilla of a female elderly patient without previous symptomatology is exposed; it was surgically removed without signs of reappearance in 12 months of follow-up. Although it is not a common site of appearance, the manifestation of this tumor in the skull bones seems to be associated with a different pattern in contrast to the skeletal type as can be seen in the present case and others previously reported. The authors consider due to the clinical similarity between this and other tumors that it should be taken into consideration for future diagnosis dilemma.

Agrandamiento gingival farmacoinducido: Serie de casos / Drug-induced gingival enlargement: Series of cases

Resumen Introducción: El agrandamiento gingival (AG) es una condición benigna de la cavidad oral que se caracteriza por el crecimiento excesivo en masa y volumen de la gingiva. Esta lesión no es únicamente provocada por factores hereditarios ni de deficiente higiene oral, sino también por ingesta de medicamentos, entre los cuales se encuentran fármacos antihipertensivos, anticonvulsivantes e inmunosupresores. Objetivo: Sensibilizar respecto a la prevención o atención temprana en pacientes con patologías que ameritan el uso de antihipertensivos y anticonvulsivantes, conjuntamente con el odontólogo para tratar o evitar el agrandamiento gingival fármaco inducido (AGFI). Materiales y métodos: Se reporta una serie de casos clínicos de pacientes con agrandamiento gingival por distintos fármacos, entre los que se encuentran fenitoina, amlodipino y nifedipino; se aplicaron medidas de fase higiénica periodontal y gingivectomía para obtener mejores efectos. Resultados: Se obtuvieron resultados satisfactorios con una disminución considerable del AGFI. Conclusiones: Es importante el manejo integral en conjunto con el médico tratante para realizar seguimiento del fármaco que pueda encontrarse generando agrandamiento gingival. Emplear un abordaje inicial con estrategias de higiene periodontal, y en casos severos y como último recurso la intervención quirúrgica periodontal con gingivectomía y gingivoplastia.

Abstract Introduction: Gingival enlargement (GA) is a benign condition of the oral cavity that is characterized by the excessive growth of the gingiva in mass and volume. This lesion is not only caused by hereditary factors or poor oral hygiene, but also by the intake of medications, including antihypertensive, anticonvulsant and immunosuppressive drugs. Objective: To sensitize the prevention or early care in patients with pathologies that merit the use of antihypertensive and anticonvulsants in conjunction with the dentist, to treat or avoid the drug-induced gingival enlargement (DIGE). Materials and methods: A series of clinical cases of patients with gingival enlargement by various drugs are reported, including Phenytoin, Amlodipine and Nifedipine. Periodontal and gingivectomy hygienic phase measures were applied to obtain better effects. Results: Satisfactory results were obtained with a considerable decrease in DIGE. Conclusions: The integral management is important in conjunction with the treating physician to follow up the drug that can be generating gingival enlargement. It is necessary to employ an initial approach with strategies of periodontal hygiene, and in severe cases and, as last resort, the periodontal surgery with gingivectomy and gingivoplasty.