Periodontitis and Neuropathic Diseases: A Literature Review.

Aim: This narrative review aimed at identifying the existing scientific literature investigating periodontitis and neuropathic diseases. Materials and Methods: A search of the literature published between 2000 and 2022 was carried out in the electronic databases of Scopus and PubMed. Studies in which the eligible articles were mainly published in English were included. Descriptive correlational studies, case-control studies, comparative studies, and cohort studies were also included. The following main keywords were used: "Neuropathic diseases," "Periodontitis," "Alzheimer's disease," and "Porphyromonas gingivalis." Results: This narrative review found that cognitively impaired persons with severe periodontitis had a higher prevalence and incidence of periodontal diseases than the rest of the population. A significant positive correlation of salivary interleukin (IL)-1beta and immediate recall scores involved in cognition was also evident. It indicates that the most investigated parameter was whether there is any common link between periodontal disease and neurodegeneration. No randomized controlled clinical studies were found in the current literature review. Conclusions: Based on the literature reviewed, there is currently no strong scientific evidence to support or discourage the cause-effect relationship of periodontal diseases and neurodegenerative diseases.

Effect of Bariatric Surgery on Gut Microbiota: A Scientometric Analysis.

Objective: To perform a bibliometric analysis of the scientific production related to intestinal microbiota and bariatric surgery between January 2016 and December 2022. Materials and Methods: A bibliographic search was performed in the Scopus database to identify published papers. Free and controlled terms (MeSH and Emtree) were used. The information collected was analyzed with SciVal. Results: A total of 518 published papers were included in the analysis. Carel Le Roux was the author with the highest scientific production; however, Edi Prifti had the highest impact. French National Institute of Health and Medical Research (Institut national de la santé et de la recherche médicale) was the institution with the highest number of published articles. Six of the 10 institutions with the highest production were in France, yet the United States had the highest volume of scientific production in this research topic. Most papers were published in first quartile journals. Articles with international collaboration had the highest impact. There is a sustained increase in the number of publications since 2019. Conclusions: The study found that the vast majority of research on gut microbiota changes following bariatric surgery are conducted in the United States and European countries. In addition, the sustained increase in production coupled with the articles being published in high-quality journals and having good citation impact are indictors of the current interest in this research field.

Resonance Frequency Analysis Mapping During Implant Healing Using a Nanostructured Hydroxyapatite Surface.

Aim: Stability measured by resonance frequency analysis (RFA) is an important factor to be considered in the success of dental implant treatments, which can be evaluated from the implant stability quotient (ISQ). The aim of the present case series was to map the RFA during healing of implants with nanostructured hydroxyapatite surface to describe the behavior of ISQ values related to individual factors. Materials and Methods: Twenty-three implants were placed in eight patients by conventional surgical protocol, and ISQ values were monitored from the day of implant placement until week 20. To obtain the ISQ values, an Osstell device was used and the placed implants were grouped in proportional amounts to describe the ISQ behavior considering the length (≤10 or >10 mm), the diameter (3.5 or 4.3 mm), the insertion torque (<40 N-cm or ≥40 N-cm), and the placement area (maxilla or mandible). Results: All the implants assessed decreased their values in the first 3 weeks after placement. Subsequently, the ISQ values increased by amounts similar to those obtained at the time of the placement and even more. Implants with length >10 mm, diameter 4.3 mm, and insertion torque ≥40 N-cm showed the highest ISQ values. Conclusions: A decrease in the ISQ values of dental implants with nanostructured hydroxyapatite surface was evidenced between weeks 2 and 3 considering length, diameter, insertion torque, and maxillary or mandibular placement site.

Osseointegration of Dental Implants in Patients with Congenital and Degenerative Bone Disorders: A Literature Review.

Aims and Objectives: The aim of this study was to describe the mechanism of dental implants osseointegration in patients with congenital and degenerative genetic bone disorders. Materials and Methods: A PubMed and Scopus documents search was carried out between November 2021 in the, using words such as "osseointegration," "degenerative disease," "congenital disease," and "dental implants." Results: The thirteen articles selected dealt with dental implants osseointegration in patients with congenital and degenerative bone disorders. The influence and repercussion of these diseases on the bone system, as well as the osseointegration process were described from healing to bone remodeling. In addition, certain articles described some considerations to improve the osseointegration process in patients suffering from these types of conditions. Conclusions: Within the limitations of this literature review we can conclude that osseointegration in patients with ectodermal dysplasia and osteoporosis could be achieved. However, the planning process for dental implant placement in these patients should be more meticulous and individualized considering the degree of tissue involvement as well as the patient's age and skeletal development compared to systemically healthy patients.

CBCT study of root apices distance to mandibular canal in peruvian population

The purpose of this study was to compare the average distances from the root apices of the first molars, second molars, and second premolars to the mandibular canal according to sex in the Peruvian population using cone-beam computed tomography (CBCT). Eighty CBCT scans of Peruvian patients aged from 15-80 years were examined. After locating the mandibular canal, measurements of the vertical distances from the mandibular canal to the apices of the second premolars, as well as the first molars and second molars, were made. For the statistical analysis, Student's t test was used for both paired and unpaired samples, with a significance level of p0.05) between the distances from the apices of the second premolars and the first and second molars to the mandibular canal. However, for the second premolars and second molars on the left side, the values were higher, with averages of 5.52mm and 3.75mm, respectively. The mesial roots of the second molars were closer to the mandibular canal. In addition, women showed shorter distances than men.

El propósito de este estudio fue comparar las distancias promedio desde los ápices radiculares de primeros molares, segundos molares y segundos premolares al canal mandibular según sexo en la población peruana mediante tomografía computarizada de haz cónico (TCHC). Se examinaron 80 tomografías CBCT de pacientes peruanos con edades comprendidas entre los 15 y 80 años. Luego de ubicar el canal mandibular, se realizaron mediciones de las distancias verticales desde el canal mandibular hasta el ápice de los segundos premolares mandibulares, así como de los primeros molares y segundos molares. Para el análisis estadístico se utilizó la prueba t de Student para muestras pareadas y no pareadas con un nivel de significación de p0.05) entre las distancias desde los ápices de los segundos premolares mandibulares y los primeros y segundos molares al canal mandibular. Sin embargo, para los segundos premolares y segundos molares en el lado izquierdo, los valores fueron más altos con un promedio de 5,52mm y 3,75mm, respectivamente. Las raíces mesiales de los segundos molares estaban más cerca del canal mandibular. Además, las mujeres mostraron distancias más cortas que los hombres.

Trends, collaboration, and visibility of global scientific production on birth complications in pregnant women with tuberculosis: A scientometric study.

Background: The increase in the number of pregnant women with tuberculosis is an important factor that should be analyzed at present. Thus, It is important to evaluate the bibliometric characteristics of the scientific production indexed in Scopus on complications of pregnancy and childbirth in pregnant women with tuberculosis. Methods: A cross-sectional bibliometric study was carried out analyzing the publications of journals indexed in Scopus between January 2016 and May 2022. A search strategy was developed using MESH terms and Boolean operators. The SciVal program (Elsevier) was used for bibliometric analysis of the information in the documents. Results: Of the 287 publications analyzed, 13 were in the International Journal of Tuberculosis and Lung Disease and BJOG: An International Journal of Obstetrics and Gynaecology presented 11.9 citations per publication. Gupta Amita, from the United States, presented the most published papers; however, Myer London, from South Africa, had the highest impact, with 17.8 citations per publication. Johns Hopkins University was the institution with the highest number of publications (34). 51.9% of the publications were in journals in the Q1 quartile while 41.8% were international collaborations. Conclusions: In each year analyzed, scientific production was similar, with the highest proportion of publications in journals located in the Q1 and Q2 quartile. The institutions with the highest production were from the United States and South Africa. Therefore, there is a need to promote collaborative production in countries with greater presence of this disease.

Applications and Perspectives of Artificial Intelligence, Machine Learning and "Dentronics" in Dentistry: A Literature Review.

Objective: The aim of this study was to describe artificial intelligence, machine learning, and "Dentronics" applications and perspectives in dentistry. Materials and Methods: A literature review was carried out to identify the applications of artificial intelligence in the field of dentistry. A specialized search for information was carried out in three databases such as Scopus, PubMed, and Web of Science. Manuscripts published from January 1988 to November 2021 were analyzed. Articles were included without any restriction by language or country. Results: Scopus, PubMed, and Web of Science were found to have 215, 1023, and 98 registered manuscripts, respectively. Duplicates (191 manuscripts) were eliminated. Finally, 4 letters, 12 editorials, 5 books, 1 erratum, 54 conference papers, 3 conference reviews, and 222 reviews were excluded. Conclusions: Artificial intelligence has revolutionized prediction, diagnosis, and therapeutic management in modern dentistry. Finally, artificial intelligence is a potential complement to managing future data in this area.

A Bibliometric Analysis of the International Dental Journal (2011-2020).

INTRODUCTION: Bibliometrics is an area that allows for the evaluation of scientific publications by means of different indicators. The aim of this research was to perform a bibliometric study of the scientific production of the International Dental Journal (IDJ) between 2011 and 2020. METHODS: All publications of the journal between 2011 and 2020 extracted from the Scopus database were included. The number of publications, most productive institutions, type of collaboration, most productive countries, most cited articles, and authors with the highest academic production were used as bibliographic indicators. It was exported to the SciVal tool for analysis. RESULTS: A total of 630 documents published in IDJ by 1947 authors were collected, with a total of 7212 citations (11.4 citations per document). The United States was the country with the highest number of documents (100). The University of Adelaide (Australia) was the institution with the highest scientific production (16 publications), whilst the institution with the highest impact was the Universidade de São Paulo (Brazil), with 12.2 citations per paper. Marc Luiz Tennant was the author with the highest number of published manuscripts (13). Finally, most of the publications had international collaboration (146 documents). CONCLUSIONS: IDJ is a high-quality journal and, in the dental field, it has a high impact worldwide, which allows for a greater number of citations of its articles and placing it in the forefront of future research.

Bibliometric analyses of applications of artificial intelligence on tuberculosis.

Background: Tuberculosis is one of the leading causes of death worldwide affecting mainly low- and middle-income countries. Therefore, the objective is to analyze the bibliometric characteristics of the application of artificial intelligence (AI) in tuberculosis in Scopus. Methods: A bibliometric study, the Scopus database was used using a search strategy composed of controlled and free terms regarding tuberculosis and AI. The search fields "TITLE," "ABSTRACT," and "AUTHKEY" were used to find the terms. The collected data were analyzed with Scival software. Bibliometric data were described through the figures and tables summarized by absolute values and percentages. Results: Thousand and forty-one documents were collected and analyzed. Yudong Zhang was the author with the highest scientific production; however, K. C. Santosh had the greatest impact. Anna University (India) was the institution with the highest number of published papers. Most papers were published in the first quartile. The United States led the scientific production. Articles with international collaboration had the highest impact. Conclusion: Articles related to tuberculosis and AI are mostly published in first quartile journals, which would reflect the need and interest worldwide. Although countries with a high incidence of new cases of tuberculosis are among the most productive, those with the highest reported drug resistance need greater support and collaboration.

Scientometric evaluation of trends and global characteristics of published research on occupational public health.

The objective of this scientometric study was to assess the global trends and characteristics of published occupational health research from 2016 to 2020. The SciVal tool (Elsevier) was used to perform the corresponding bibliometric analyses such as the Field-Weighted Citation Impact (FWCI), Source Normalized Impact per Paper (SNIP), CiteScore, and SCImago Journal Rank (SJR). Most of the manuscripts (46.5%) had national collaboration, with an average of 6.1 citations per paper. However, only 71 manuscripts (5.4%) presented single authorship (without collaboration). It was found that 486 manuscripts related to occupational health were published in Q2 journals (top 26-50%). Scientific publications on occupational health have increased remarkably worldwide, especially in Europe, and have mainly been published in Q1 and Q2 journals with a total of 292 and 289 scientific manuscripts in 2019 and 2020, respectively.

Global academic output on COVID-19 and Guillain-Barre Syndrome: A bibliometric analysis.

The purpose of this study was to bibliometrically analyze scientific publications on Guillain-Barré syndrome (GBS) related to COVID-19. A specialized search of the Scopus was used (December 2019 to February 2022). Collected publications were evaluated in Scival (Elsevier). The results were arranged in tables for presentation. We found 959 papers that were collected and the highest percentage of these belonged to the area of Neurology. Josef Finsterer was the author with the highest academic production, but Benedict Michael was the one with the highest impact worldwide. Although the Universidade Federal de São Paulo (Brazil) was the college with the highest scientific production, it was King's College London that reported the highest impact. Regarding the journals, the Journal of Neurology is the one with the highest worldwide production. In addition, an increase in first quartile publication and articles with national collaboration was reported. Scholarly output on COVID-19 and GBS have been increasing. Although national collaboration has the highest proportion of manuscripts, it is the international type that reported a greater impact, this would show a great interest on the part of researchers from all over the world regarding this topic.

The Abrasive and Remineralising Efficacy of Coturnix Eggshell.

AIM: The objective of this research was to determine the abrasive and remineralising efficacy of quail eggshell (Coturnix coturnix) incorporated into a new experimental toothpaste. METHODS: An experimental study was designed to compare the surface microhardness of the dental enamel of bovine lateral incisors exposed to different toothpastes. In relation to microroughness (abrasive efficiency), the unit of analysis was each specimen with 16 polymethylmethacrylate (PMMA) blocks. For the remineralisation variable, the unit of analysis was each bovine lateral incisor tooth. A sample size of 16 was determined for each group. RESULTS: The unpolished PMMA specimens presented the highest mean surface microroughness with a mean of 4.60 ± 1.47 µm, whilst the quail paste, universal polishing paste, control paste, and Diamond Excel Paste showed a mean of 1.16 ± 0.40 µm, 0.63 ± 024 µm, 0.45 ± 0.22 µm, and 0.43 ± 0.17 µm, respectively, presenting significant differences (P < .001). When comparing the surface microhardness of bovine lateral incisor dental enamel exposed to different toothpastes, the universal polishing paste presented the lowest microhardness, with 192.43 ± 56.21 kg/mm2, whilst the quail paste presented the greatest remineralising effect, with the highest average of 272 ± 21.18 kg/mm2, followed by the control paste with 244 ± 41.43 kg/mm2 and the Diamond Excel Paste with 228.72 ± 43.72 kg/mm2. These differences were statistically significant (P < .001). CONCLUSIONS: Significant differences were found in the surface abrasive efficiency (microroughness) of PMMA subjected to different toothpastes. The quail toothpaste presented statistically significant results compared to the control pastes, the Diamond Excel Paste, and the universal polishing paste.

A 10-Year Bibliometric Analysis of Global Research on Gut Microbiota and Parkinson's Disease: Characteristics, Impact, and Trends.

Objective: To perform a bibliometric analysis of scientific production related to gut microbiota and Parkinson's disease between 2011 and 2020. Methods: A descriptive, retrospective, cross-sectional, and bibliometric study was carried out. The Scopus database was used as a source to evaluate the worldwide scientific production on intestinal microbiota and its relationship with Parkinson's disease. Data were extracted from Scopus using a formula developed with thesaurus terms MeSH (Medline) and Emtree (Embase). Results: A total of 591 documents were found. The retrieved manuscripts received an average of 41.9 citations per document. Four of the 10 most productive authors were Italian. The University of Helsinki (Finland) was the institution with the highest scientific production (19 papers) and the highest impact (5921 citations). In terms of productivity and impact, Movement Disorders ranked first with 38 papers and 2782 citations, and those papers published in Q1 quartile journals exceeded the sum of the remaining quartiles. Papers with international collaboration were the most cited. Keyword analysis showed that the terms Parkinson Disease, Disease, and Intestine Flora were the most frequent. Conclusion: The number of papers on Parkinson's disease and gut microbiota has been increasing; however, high-quality journals maintain the same high publication rate. International collaboration from high-income countries played an important role in the impact generated by the publications.

Scholarly Output in Peruvian National Dentistry according to Gender Disparity: A 10-Year Bibliometric Study.

Objective: To evaluate Peruvian scientific publications in dentistry according to sex disparity (2011-2020). Methods: This was a retrospective bibliometric study. The unit of analysis was made up of Peruvian dentistry publications indexed in the Scopus database during the last 10 years. Records with metadata (410) corresponding to the period 2011-2020 were downloaded and standardized and refined by analyzing the metadata. The search strategy was developed based on the individual profiles of each Peruvian institution that has a dental school or college. It was evaluated according to the AF-ID of each institution in the Scopus database. In addition, the information provided by the Scopus SciVal tool was used. Finally, publications, impact, and collaboration indicators were used, such as total number per document, per author, average of citations, h-index, collaboration rate, number of institutions, the Source Normalized Impact per Paper indicator, the CiteScore, and the Scopus Field-Weighted Citation Impact. Results: The greatest increase was evident in 2018, with 2019 and 2020 being the maximum peak of scientific publication growth. However, sustained growth has not been evidenced in relation to the female sex. The analysis of coauthorship by the authors revealed four large clusters, of which the first three were represented by male researchers, such as Arriola-Guillen L., Mayta-Tovalino F., and Mendoza-Azpur G., and one by a female, Guerrero María E. Evaluating the national scientific publication in dentistry according to the CiteScore, it was found that most of the publications (145) from Peru were published in Q4 journals, although 90 manuscripts were published in Q1 journals. Conclusions: The Peruvian national dental publication in the last 10 years was mainly supported by male dentists, which invites us to reflect on the need to equalize opportunities so that female researchers can also reduce these gaps.

Consentimiento informado en radiología odontológica: un asunto pendiente / Informed consent in dental radiology: a pending matter

Introducción: En el ámbito odontológico es muy común el uso de radiografías intraorales, extraorales e incluso de tomografías computarizadas volumétricas. Las radiografías intraorales presentan una baja dosis de radiación en comparación con las tomografías computarizadas volumétricas que pueden emitir una mayor dosis de radiación con cierto grado de riesgo para los pacientes. A pesar de que se conoce sobre la importancia del uso del consentimiento informado y los riesgos durante estos procedimientos, muy poco se ha reportado sobre la utilización del consentimiento informado en radiología oral y maxilofacial. Objetivo: Analizar los beneficios y los retos de usar el consentimiento informado en radiología odontológica. Comentarios principales: Actualmente, no existe un consenso claro en la comunidad odontológica sobre si se debe obtener el consentimiento informado del paciente antes de que se someta a un examen de imagen con radiación ionizante. Su aplicación de manera repetitiva o prolongada podría afectar al paciente a largo plazo. Consideraciones globales: Existe un consenso universal en resaltar la importancia del consentimiento informado en todo el ámbito de la salud. Sin embargo, en la práctica, su realización puede conllevar ciertas dificultades, tales como la identificación del responsable de su realización, el tiempo que lleva ejecutarla y la preocupación por causar un miedo innecesario en el paciente. Si estas dificultades logran ser superadas, podremos ver los beneficios de tener un consenso claro para la utilización de un consentimiento informado en el área odontológica(AU)

Introduction: In the dental field, the use of intraoral, extraoral and even volumetric computed tomography is very common. Intraoral X-rays have a low dose of radiation compared to volumetric CT scans that can emit a higher dose of radiation with some degree of risk to patients. Although the importance of the use of informed consent and the risks during these procedures are known, very little has been reported about the use of informed consent in oral and maxillofacial radiology. Objective: Analyze the benefits and challenges of using informed consent in dental radiology. Main Comments: Currently, there is no clear consensus in the dental community on whether the patient's informed consent should be obtained before they undergo an imaging examination with ionizing radiation. Its application repetitively or prolongedly could affect the patient in the long term. Global considerations: There is a universal consensus to highlight the importance of informed consent in the entire field of health. However, in practice, its realization can lead to certain difficulties, such as the identification of the person responsible for its implementation, the time it takes to execute it and the concern to cause unnecessary fear in the patient. If these difficulties can be overcome, we can see the benefits of having a clear consensus for the use of informed consent in the dental area(AU)

Bibliometric Analysis of the Current Landscape of Global Scientific Production on the Development of Vaccines against Dental Caries.

Objective: To perform a bibliometric analysis of the scientific research on the development of vaccines against dental caries. Methods: An extraction of the scientific production published on the development of vaccines against dental caries between 2011 and 2020 was carried out from the Scopus database. Microsoft Excel was used for the elaboration of tables and SciVal for the bibliometric analysis of the data, which were divided into indicators of production, impact, and collaboration. Finally, VOSviewer was used for co-occurrence analysis of keywords and collaborative networks. Results: 106 studies were retrieved from the Scopus database, which were conducted on the development of dental caries vaccines within the years 2011-2020. Wuhan University, in China, was the university with the highest scientific production on the subject, with 4 publications. Regarding the most productive journals, the first place was occupied by the Journal of Dental Research with 7 publications. Regarding the most productive journals, the first place was occupied by the Journal of Dental Research with 7 publications. The highest percentage of the documents analyzed was in quartile 1 journals and in the national collaboration pattern. Conclusion: Most of the manuscripts regarding the development of vaccines against dental caries were published in China and in Q1 quartile journals. In addition, Yan Huimin, Yang Jingyi, Zhou Dihan, Yang Yi, Li Yuhong and Fan Mingwen were found to top the list of most productive authors. The Journal of Dental Research was also identified as the most productive and cited journal.

A Scientometric Analysis of Scholarly Output on COVID-19 and Dentistry.

INTRODUCTION: Scientometrics is a discipline that allows the analysis of the characteristics of publications in each field of knowledge using different indicators. The aim of this research was to analyse world scientific publication as to COVID-19 related to dentistry. METHODS: A specialised search strategy was used to obtain all the documents published in journals indexed in the Scopus database between December 2019 and February 2022. The study variables were exported and analysed in SciVal (Elsevier). RESULTS: In all, 2071 documents were retrieved; of those, Oral Diseases has the highest impact with an average of 12.3 citations per publication, and the British Medical Journal was identified as the journal with the highest scientific output (107). India (292) and the UK (287) were the countries with the most published papers. The Universidade de São Paulo in Brazil was the institution with the highest number of published papers (61) and with the highest impact. CONCLUSIONS: During the pandemic, scientific publications on dentistry and COVID-19 have been increasing considerably. International collaboration has the highest percentage of publications whilst India and the UK are the countries with the highest scientific production.

A 10-Year Scientometrics Analysis of Brain Tumors Treated with Gamma Knife Radiosurgery: Visualization, Characteristics, and Scientific Trends.

Objective: To evaluate the scientometrics characteristics of the scientific production on the treatment of brain tumors with gamma knife radiosurgery in Scopus. Methods: The Scopus database (Elsevier) was used to collect all relevant studies for this bibliometric analysis. Data was obtained as a .csv file; it was downloaded from Scopus and was exported by SciVal to Microsoft Excel for a presentation using tables for more detailed analysis. The citations and the number of papers for the most productive institutions, authors, countries, and journals publishing scientific papers were analyzed on the use of gamma knife radiosurgery for brain tumors. Results: 458 metadata were obtained from scientific publications, on which inclusion and exclusion criteria were applied, leaving 248 studies. The maximum peak of publications was 2018 with 31 publications, and the minimum peak was 2015 with 18. The most related subtopics were neurology, surgery, and oncology, and most of the retrieved papers had only institutional collaboration. As for more productive journals, Journal of Neurosurgery is first with 23 publications; within the countries with the most scientific publications, we have the United States, Japan, and China. With the United States being the country with the highest number of productions, University of Texas MD Anderson Cancer Center was the main university with the highest scientific production and Sheehan and Trifiletti and American authors dominate the list with the highest number of documents. Conclusion: Scientific production regarding gamma knife surgery and brain tumors has been increasing during the last 10 years, with a high incidence during 2018, and the highest number of published articles was in the first quartile. Likewise, the United States is the country with the most publications, authors, and universities on the subject. Greater efforts are still lacking from all countries in the world to reach the quantity and quality of production of the United States.

Concrescence in anterior teeth assessed by cone beam computed tomography. A case report.

Dental concrescence is an anomaly in which the cementum overlying the roots joins, causing the union of two different teeth. It is often reported in posterior dentition, affecting certain dental procedures such as root canal treatment, periodontal procedures, orthodontic movement and dental extraction. This case report describes the successful diagnosis and treatment of a 20-year-old male with a moderate skeletal class II who was referred for a radiographic evaluation after 1 year of failed orthodontic movement of teeth 1.1 and 1.2. The radiographic assessment with a Cone Beam Computed Tomography allowed discard other related pathologies and diagnose a dental concrescence. The patient underwent orthognathic surgery in which the class II was corrected, and the concrescence was treated with a prosthetic approach.

La concrescencia dental es una anomalía en la que el cemento que recubre las raíces se une, y provoca la unión de dos dientes diferentes. A menudo, se presenta en la dentición posterior y afecta ciertos procedimientos dentales, como el tratamiento del conducto radicular, los procedimientos periodontales, el movimiento de ortodoncia y la extracción dental. Este informe de caso describe el diagnóstico y tratamiento exitoso de un hombre de 20 años con una clase II esquelética moderada, que fue remitido para una evaluación radiográfica después de 1 año de movimiento ortodóncico fallido de los dientes 1.1 y 1.2. La valoración radiográfica con una tomografía computarizada de haz cónico permitió descartar otras patologías relacionadas y diagnosticar una concrescencia dentaria. El paciente fue sometido a una cirugía ortognática en la que se corrigió la clase II y se trató la concrescencia con abordaje protésico.

Outcome measurements following palatal soft tissue graft harvesting: A review.

BACKGROUND: Free gingival graft (FGG) and connective tissue graft (CTG) are two of the most commonly techniques performed in periodontal and peri-implant plastic surgery. Although several outcome measurements have been proposed for evaluation of palatal wound healing and patient morbidity, a comprehensive review about these variables is lacking. The objective of this review is to present comprehensive information about outcome measurements related to postoperative palatal wound healing and postoperative patient-reported morbidity after FGG or CTG procedures. MATERIAL AND METHODS: An electronic search of English language dental literature in the Medline database via PubMed access was conducted from May 1994 to May 2020 following the PRISMA guidelines. Electronic search strategy complemented by hand search of impacting related dental journals, and the reference list of all included studies were used to complete data collection considering only clinical trials. Finally, inclusion criteria were applied to identify articles after full-text evaluation. RESULTS: A total of 111 articles were identified. After the exclusion of 34 articles based on title and abstract evaluation, 77 articles were full text screened. Following, 46 articles were excluded since they evaluated other surgical areas. Finally, 31 studies were selected and included for final evaluation. Outcome measurements were classified in variables collected by indexes and systems assessed professionally and patient-centered measurements. Visually-assessed measurements include indexes, photographs, bleeding and use of laboratory-aided measurements. Patients-centered outcomes comprise pain, discomfort and quality-of life, among others. CONCLUSIONS: The most commonly used outcome measurements related to postoperative palatal wound healing are hydrogen peroxide test, tissue color match, visual inspection, and bleeding evaluation. Pain perception, analgesic consumption, discomfort sensation, burning sensation, and changes in feeling habits are the most commonly used outcome measurements related to postoperative patient-reported morbidity. Key words:Morbidity, patient comfort, periodontics, tissue harvesting, wound healing.