OsteoMac: A new player on the bone biology scene.

The knowledge of bone biology has undergone major advances in recent decades. In bone, resorbing osteoclasts have classically been described as tissue-resident macrophages, however, it is currently known that a new subtype of macrophages, called OsteoMacs, are specialised bone-resident macrophages, which, depending on certain conditions, may play an important role not only in bone homeostasis, but also in promoting pro-anabolic functions or in creating an inflammatory environment. There is growing evidence that these osteal macrophages may influence the development of bone-loss diseases. It is essential to understand the biological bases underlying bone physiological processes to search for new therapeutic targets for bone-loss diseases, such as osteoporosis, rheumatoid arthritis, or even periodontal disease. This narrative review provides an update on the origin, characterisation, and possible roles of osteoMacs in bone biology. Finally, the potential clinical applications of this new cell in bone-loss disorders are discussed.

Evaluación de la ansiedad en los estudiantes de Odontología durante la pandemia de la COVID-19 / Assessment of anxiety in dental students during the Covid-19 pandemic

La pandemia por COVID-19 ha tenido un gran impacto en la actividad dental, y grandes repercusiones en la educa ción dental. El objetivo de este estudio fue analizar la presencia de ansiedad en los estudiantes de odontología durante el primer confinamiento por la COVID-19, y estudiar su relación con factores sociode mográficos, la sintomatología relacionada con la enfermedad, la realización de cua rentena y el miedo a contraer la enferme dad.Se realizó un estudio observacional y transversal con un cuestionario donde se registraron los datos marcados en los objetivos y se realizó la escala de ansie dad generalizada (GAD-7). El análisis estadístico se realizó mediante la prue ba Chi-cuadrado de Pearson, la prueba exacta de Fisher y un análisis de regre sión lineal multivariante.Los resultados mostraron unos niveles elevados de ansiedad, siendo los estudiantes ≥26 años, las mujeres y los que guardaron cuarentena los que presentaron mayor ansiedad. La realización de pruebas diagnósticas supuso una disminución del nivel de ansiedad.Los estudiantes de odontología se vieron directamente afectados durante el confinamiento, siendo necesario implementar medidas como la realización de estudios que valoren su evolución a lo largo de los siguientes cursos, desde el punto de vista de su salud mental y desarrollo curricular (AU)

Dental activity and education have been severely affected by the COVID-19 pandemic. The aim of the present study was to evaluate the anxiety levels in dental students during the first confinement due to COVID-19, and to analyze its relationship with sociodemographic factors, disease-related symptoms, the carrying out of quarantine and fear of contracting the disease. An observational and cross-sectional study was carried out through a questionnaire, which the previously mentioned data were recorded and anxiety was evaluated using the generalized anxiety scale (GAD-7). Statistical analysis was performed using Pearson’s Chi-square test, Fisher’s exact test, and multivariate linear regression analysis. The results showed high levels of anxiety, furthermore, the students ≥26 years old, women and those who were in quarantine had the highest anxiety. Diagnostic testing led to a decrease in the level of anxiety. Dentistry students were directly affected during the confinement, and it is necessary to implement measures such as studies to assess their evolution throughout the following courses, from the point of view of their mental health and curricular development (AU)

Use of Phentolamine Mesylate in Implant Surgery: Analysis of Adverse Effects and Haemodynamic Changes.

The clinical application of phentolamine mesylate (PM) as an anaesthetic reversal agent has been documented in the paediatric population and in conservative dentistry, but no studies have been conducted regarding dental implant surgery. A prospective randomised study was conducted on 60 patients eligible for mandibular implant treatment, randomly divided between a control group (CG) and an experimental group (EG), to whom PM was administered. Haemodynamic changes, adverse effects and patient satisfaction were assessed. No statistically significant differences in haemodynamic changes and postoperative pain were found between CG and EG (p < 0.05), except for systolic blood pressure (SBP), which increased slightly in EG, without posing a risk to patients. There were no differences in the occurrence of adverse effects between the two groups, except for greater difficulty in chewing and biting (p < 0.05) in CG and greater pain in the injection area (p = 0.043) in EG. Among EG patients, 83.3% reported that they would request PM again for future dental treatment. The use of PM offers an alternative to implant surgery, thereby increasing patients' quality of life without increasing the risks.

Knowledge about COVID-19 and pandemic impact on Madrid dental students (Spain).

BACKGROUND: COVID-19 has had a major impact on dental activity, with implications on dental education. The aim of this study was to assess the knowledge about it and the pandemic impact on Spanish dental students. MATERIAL AND METHODS: An observational and cross-sectional study with a 17-items questionnaire was conducted. It was divided into three sections, sociodemographic data, self-perception and knowledge about the COVID-19 protective measures and repercussions on dental students. This survey was carried out in May 2020, and the response rate was 46.16%. The statistical analysis was performed by the Pearson chi-square test and Fisher's exact test. RESULTS: A total of 235 students responded to the questionnaire, with an average age of 22.3 years. Attendance at COVID-19 training courses, knowledge about the Personal Protective Equipment (PPE) management and the incubation period had the worst results, compared to the knowledge about hand washing, wearing gloves and masks and symptomatology who got higher percentages. 31.1% of participants reported presenting symptomatology related to SARS-CoV-2, although only 8.2% were diagnosed and 46.6% suffered quarantine. 62.5% were afraid to catch the disease. CONCLUSIONS: The results of this study show that there are deficiencies in the knowledge of important aspects of COVID-19 in dental students, which implies a commitment of the university in its training, as well as the realization of diagnostic controls for the disease. Key words:Dental students, SARS-CoV-2, COVID-19, survey, knowledge.

Pénfigo vulgar mucoso: a propósito de un caso. Revisión de la literatura / Mucous pemphigus vulgaris: a case report

Introducción: El Pénfigo Vulgar (PV) es una enfermedad de origen autoinmune caracterizada por causar ampollas intraepidérmicas en piel y mucosas, como consecuencia de la agresión de autoanticuerpos hacia varios tipos de proteínas desmosómicas. El elemento eruptivo primordial es la ampolla, que puede presentarse de manera individual o en coalescencia con la consecuente formación de placas erosivo-costrosas. En el 90% de los casos las lesiones afectan a la mucosa oral, mientras que en el 50-70% de los mismos constituyen la primera manifestación de la enfermedad. Objetivo: Se presenta un caso clínico de PV y una revisión bibliográfica actualizada, con el objetivo de analizar sus factores etiológicos y sus opciones terapéuticas. Caso clínico: Se presenta el caso de un paciente varón, de 71 años, fumador, con condición prediabética y síndrome de Guillain Barré remitido al Servicio de Cirugía Bucal e Implantología del Hospital Virgen de la Paloma de Madrid con un cuadro clínico caracterizado por infección oral y pérdida de peso. Una vez confirmado el diagnóstico de PV mucoso mediante examen histopatológico, se estableció una terapia con corticoides sistémicos obteniendo una remisión casi completa de las lesiones. Tras varias semanas de tratamiento su dermatólogo decidió suspender los corticoides para llevar a cabo, sin éxito, una terapia sustitutiva con inmunosupresores. La recidiva de las lesiones, unida a los efectos adversos causados por la nueva terapia, obligó a reconsiderar la suministración de corticoides con una resolución positiva de la enfermedad. (AU)

Introduction: Pemphigus Vulgaris is an autoimmune disease characterized by causing intraepidermal blisters on the skin and mucosa, as a consequence of the aggression of autoantibodies towards various types of desmosomal proteins. The primary eruptive element is the blister, which can appear in coalescence with the consequent formation of erosive-crusted plaques. In 90% of cases lesions affect the oral mucosa, while in 50-70% they are the first manifestation of the disease. Objective: We aim to report a case of Pemphigus Vulgaris and an updated literature review to analyse its etiological factors and treatment options. Clinical case: We present the case of a 71-year-old male patient, smoker, with prediabetic condition and sindrome Guillain Barré referred to the Oral Surgery and Implantology Service of the Virgen de la Paloma Hospital in Madrid with a clinical picture characterized by oral infection. Once the diagnosis of mucosal PV was confirmed, a systemic corticosteroid therapy was established, obtaining almost complete remission of the lesions. After several weeks of treatment, his dermatologist decided to suspend the corticosteroids to carry out unsuccessful immunosuppressant replacement therapy. The recurrence of the lesions, together with the adverse effects caused by the new therapy, forced the reconsideration of the supply of corticosteroids with a positive resolution of the disease. (AU)

Management of Schneiderian membrane perforations during maxillary sinus floor augmentation with lateral approach in relation to subsequent implant survival rates: a systematic review and meta-analysis.

BACKGROUND: This systematic review aimed to propose a treatment protocol for repairing intraoperative perforation of the Schneiderian membrane during maxillary sinus floor augmentation (MSFA) procedures with lateral window technique. In turn, to assess subsequent implant survival rates placed below repaired membranes compared with intact membranes and therefore determine whether membrane perforation constitutes a risk factor for implant survival. MATERIAL AND METHODS: This review was conducted according to PRISMA guidelines. Two independent reviewers conducted an electronic search for articles published between 2008 and April 30, 2020, in four databases: (1) The National Library of Medicine (MEDLINE/PubMed) via Ovid; (2) Web of Science (WOS); (3) SCOPUS; and (4) Cochrane Central Register of Controlled Trials (CENTRAL); also, a complementary handsearch was carried out. The Newcastle-Ottawa Quality Assessment Scale was used to assess the quality of evidence in the studies reviewed. RESULTS: Seven articles fulfilled the inclusion criteria and were analyzed. A total of 1598 sinus lift surgeries were included, allowing the placement of 3604 implants. A total of 1115 implants were placed under previously perforated and repaired membranes, obtaining a survival rate of 97.68%, while 2495 implants were placed below sinus membranes that were not damaged during surgery, obtaining a survival rate of 98.88%. The rate of Schneiderian membrane perforation shown in the systematic review was 30.6%. In the articles reviewed, the most widely used technique for repairing perforated membranes was collagen membrane repair. CONCLUSIONS: Schneiderian membrane perforation during MFSA procedures with lateral approach is not a risk factor for dental implant survival (p=0.229; RR 0.977; 95% CI 0.941-1.015). The knowledge of the exact size of the membrane perforation is essential for deciding on the right treatment plan.

Úlcera eosinofílica lingual: a propósito de un caso clínico / Eosinophilic ulcer of the tongue: case report

Introducción: La úlcera eosinofílica es una lesión infrecuente y benigna de la mucosa oral, caracterizada por su rápida instauración y evolución crónica. Su localización, predominantemente lingual; su aspecto con fondo necrótico de bordes indurados, y largo período de cicatrización, hacen que sea imprescindible su diagnóstico diferencial con un cáncer oral de células escamosas. Se atribuye su causa a un agente traumático, siendo este ausente en la mitad de los casos. Histológicamente, presenta un denso infiltrado inflamatorio polimorfo, con eosinófilos de tamaño aumentado. Objetivo: Se presenta un caso clínico de úlcera eosinofílica y una revisión bibliográfica actualizada con el objetivo de analizar sus factores etiológicos y sus opciones terapéuticas. Caso clínico: Paciente, mujer de 75 años, con una úlcera en el borde lingual derecho, de 1 cm de diámetro y 4 meses de evolución acompañada de un dolor intenso. En un período de 3 meses, se biopsió dos veces por su recidiva. En ambas biopsias, el estudio anatomopatólogico confirma la presencia de una intensa displasia epitelial, con un denso infiltrado inflamatorio, sin evidencia de un proceso neoplásico. Posteriormente, se trató con la aplicación tópica en gel de acetónido de triamcinolona al 0,5%, con el que la lesión curó en tres meses. Conclusión: La úlcera eosinofílica posee una etiopatogenia indeterminada. El agente traumático, se establece como factor predisponente. La biopsia es la medida principal para el diagnóstico y tratamiento de la lesión. Aunque no queda demostrada la eficacia de la aplicación de corticoides tópicos, suponen una mejoría en la evolución y sintomatología de la lesión. (AU)

Introduction: The eosinophilic ulcer is a rare benign lesion of the oral mucosa. It is known for its rapid onset and chronic course. Due to its main location, the tongue, clinical features and its slowhealing process, a differential diagnosis with oral squamous cell carcinoma is necessary. It is suggested that it is caused by local trauma, yet it is missing in half of the cases. The histopathological findings include dense polymorphic inflammatory infiltrate, with large eosinophils. Objective: We aim to report a case of eosinophilic ulcer and an updated literature review to analyse its etiological factors and treatment options. Case report: We present a case of a 75-year-old woman, with a painful ulcer in the right border of the tongue, which appeared 4 months ago. It had a diameter of 1 cm. In a period of 3 months, it had been biopsied twice, due to its recurrence. Both histological findings confirm the presence of a dense polymorphic inflammatory infiltrate, epithelial dysplasia and no neoplastic evidence. Afterwards, the lesion was treated with topical application of triamcinolone acetonide 0.5% and it healed within 3 months. Conclusion: Eosinophilic ulcer has an undetermined etiopathogenesis. Trauma is considered as a contributing factor. Biopsy is the best approach for diagnosis and treatment. Although with no clear evidence, the application of topical corticosteroids improves lesion development and symptoms. (AU)

La calidad del sueño en el adulto mayor: estudio de una cohorte / The quality of sleep in the older adult: cohort study

Objetivo: El objetivo del presente estudio fue determinar qué factores y hábitos influyen de forma negativa en la calidad del sueño en el adulto mayor. Métodos: Se realizó un estudio observacional transversal sobre 30 pacientes mayores de 65 años. Todos ellos rellenaron un cuestionario acerca de la calidad de su sueño. Se analizaron las siguientes variables: roncopatía, apnea del sueño, hábito tabáquico, ingesta de alcohol, obesidad, bruxismo, hipertensión arterial, enfermedad cardiovascular y/o cerebrovascular, reflujo gastroesofágico (ERGE) y puntuación en el Cuestionario de somnolencia diurna de Epworth. Resultados: La mitad de los pacientes afirmó tener un sueño de mala calidad (grupo 1), mientras que la otra mitad afirmó descansar bien (grupo 2). En el grupo 1 había más pacientes con roncopatía, apnea del sueño, obesidad, bruxismo, ERGE y con afecciones cardíacas o cerbrovasculares. Este grupo además obtuvo una puntuación superior en el Cuestionario de Epworth. Se encontró un número mayor de pacientes fumadores e hipertensos en el grupo 2, además de ingerir una media de vasos de alcohol semanales superior. Conclusiones: El bruxismo y el sobrepeso son factores de riesgo asociados a un sueño de mala calidad en pacientes mayores de 65 años. Por otro lado, patologías como la Hipertensión Arterial, las enfermedades cardio y cerebrovasculares, el Reflujo Gastroesofágico y la Apnea del Sueño no parecen estar en asociación con un sueño deficiente, del mismo modo que los hábitos tabáquico y alcohólico y la roncopatía

Objective: The objective of this study was to determine which pathologies and habits negatively influence the quality of sleep of the elderly. Methods: A cross-sectional observational study was conducted on 30 patients older than 65 years. They all filled out a questionnaire about the quality of their sleep. The following variables were analyzed: snoring, sleep apnea, smoking, alcohol intake, obesity, bruxism, hypertension, cardiovascular and / or cerebrovascular disease, gastroesophageal reflux (GERD) and score in the Epworth Sleepines Scale. Results: Half of the patients claimed to have poor quality sleep (group 1), while the other half reported a good rest (group 2). In group 1, there were more patients with roncopathy, sleep apnea, obesity, bruxism, GERD, and heart or cerebrovascular disease. This group also scored higher on the Epworth Scale. A greater number of smoking and hypertensive patients was found in group 2, in addition to ingesting an average of higher weekly alcohol glasses. Conclusions: Bruxism and overweight are risk factors associated with poor quality of sleep in patients over 65 years old. On the other hand, pathologies such as arterial hypertension, cardio and cerebrovascular diseases, Gastroesophageal Reflux and Sleep Apnea do not seem to be associated with poor sleep, in the same way as smoking and alcoholic habits and snoring

Relation between diagnosis of atheromatous plaque from orthopantomographs and cardiovascular risk factors. A study of cases and control subjects

BACKGROUND: In recent years the use of orthopantomography has been proposed as a low-cost, reliable and noninvasive diagnostic medium for detecting atheromatous plaque. The purpose of this study was to correlate the presence of carotid calcifications (atheroma) in orthopantomographs with specific risk factors for cerebrovascular accidents (previous cerebrovascular accidents, arterial hypertension, and diabetes). Patient and METHODS: The methods used in this observational study of cases and control subjects followed STROBE (Strengthening the Reporting of Observational studies in Epidemiology) recommendations. The study analyzed a total of 1,602 panoramic radiographs taken for dental diagnostic purposes between January 2010 and February 2014. The main variables analyzed were the incidence of atheromatous plaque and other cardiovascular risk factors. Epidat 3.1 statistical software was used to determine minimum sample sizes and the results were analyzed using PASW (Predictive Analytics Software) Statistics 10.0.0. RESULTS: For all the variables analyzed, the correlation between radiographic detection of atheromatous plaque and the presence of cardiovascular disease risk factors was found to be statistically significant (RR>1.5). CONCLUSIONS: The presence of cardiovascular risk factors is related to the incidence of radiopaque lesions at the carotid artery bifurcation, indicating the presence of atheromatous plaque

Relation between diagnosis of atheromatous plaque from orthopantomographs and cardiovascular risk factors. A study of cases and control subjects.

BACKGROUND: In recent years the use of orthopantomography has been proposed as a low-cost, reliable and non-invasive diagnostic medium for detecting atheromatous plaque. The purpose of this study was to correlate the presence of carotid calcifications (atheroma) in orthopantomographs with specific risk factors for cerebrovascular accidents (previous cerebrovascular accidents, arterial hypertension, and diabetes). PATIENT AND METHODS: The methods used in this observational study of cases and control subjects followed STROBE (Strengthening the Reporting of Observational studies in Epidemiology) recommendations. The study analyzed a total of 1,602 panoramic radiographs taken for dental diagnostic purposes between January 2010 and February 2014. The main variables analyzed were the incidence of atheromatous plaque and other cardiovascular risk factors. Epidat 3.1 statistical software was used to determine minimum sample sizes and the results were analyzed using PASW (Predictive Analytics Software) Statistics 10.0.0. RESULTS: For all the variables analyzed, the correlation between radiographic detection of atheromatous plaque and the presence of cardiovascular disease risk factors was found to be statistically significant (RR>1.5). CONCLUSIONS: The presence of cardiovascular risk factors is related to the incidence of radiopaque lesions at the carotid artery bifurcation, indicating the presence of atheromatous plaque.

Asistencia del paciente a las citas de mantenimiento con implantes. Estudio de cohorte retrospective / Patient´s attendance to implant maintenance appointments. A retrospective cohort study

Introducción. El mantenimiento de los implantes dentales se realiza mediante una adecuada higiene oral del paciente para controlar, la placa bacteriana y mediante el establecimiento de las revisiones profesionales periódicas. Objetivo. Determinar si los pacientes portadores de implantes acuden a las revisiones periódicas recomendadas por el profesional tras la instalación de la prótesis. Material y método. Se llevó a cabo un estudio de cohorte retrospectivo de los pacientes de uno de los centros del Máster de Cirugía Bucal e Implantología del hospital Virgen de la Paloma, entre los años 2006 y 2013 donde se han recopilado las historias clínicas. Se realizó un estudio estadístico descriptivo inferencial para hallar el riesgo relativo, utilizando el programa Epidat 3.1. Resultados. En el estudio se evaluaron 414 historias clínicas, descartándose 25 por estar incompletas. De las 389 historias clínicas restantes, 212 eran mujeres y 177 hombres. Las hombres acudieron con mayor frecuencia al mantenimiento de los implantes, aunque ya en el primer año, la asistencia a las revisiones cae al 42%.Se obtuvo un riesgo relativo de 0,92 a los doce meses. Discusión. En la realización del presente estudio, cabe destacar la falta de trabajos al respecto. Además, se deben mencionar dos posibles sesgos: datos incompletos en las historias clínicas y que los implantes incluidos en este estudio fueron colocados por estudiantes de postgrado. Conclusión. La mayoría de los pacientes estudiados no acuden a las revisiones periódicas establecidas, por lo que se hace necesario establecer programas de mantenimiento y de educación al paciente (AU)

Introduction. Dental implant maintenance is carried with an adequate oral hygiene and regular checks up with the aim to control dental plaque. Objective. Analyze patient attendance to the recommended implants checks up. Materials and Methods. Aretrospective cohort study was carried out of all patients in one of the service centers of the Master of Oral Surgery and Implantology Virgen de la Palomahospital, between the years 2006- 2013. Descriptive inferential statistical analysis to find the relative risk was performed using the program Epidat 3.1. Results. The study evaluated 219 medical histories, 25 were rejected as incomplete. Of the remaining 389 medical records, 212 were women and 177 men. Men most often attend to the maintenance of implants, although in the first year, attendance at the reviews falls to 42%. A relative risk of 0.92 for the twelve months was obtained. Discussion. In the present study included the lack of work thereon. In addition, we should mention two possible biases: incomplete medical history and implants included in this study were placed by graduate students enrolled. Conclusion. Most of the patients do not come to set periodic review, so it is necessary to establish maintenance programs and patient education (AU)

Tratamiento quirúrgico de las fístulas bucosinusales postextracción. Presentación de un caso y revisión de la literatura / Surgical treatment of oroantral postextraction fistulas. Case report and literature review

Introducción: Las comunicaciones orosinusales son soluciones de continuidad que se establecen entre la cavidad oral y el seno maxilar, causadas principalmente por extracciones dentarias. La mayoría de estas comunicaciones cierran espontáneamente por su pequeño tamaño, pero otras fistulizan perpetuándose entonces la situación patológica hasta que reciba el debido tratamiento, pudiendo producir patología tanto a nivel local como general. Caso clínico: Se presenta el caso de un varón de 49 años, sin antecedentes médicos de interés, remitido al servicio de Cirugía Bucal del hospital Virgen de la Paloma, presentando una fístula bucosinusal de tres semanas de evolución junto con una sinusitis aguda del seno maxilar izquierdo. Tras valorar las diferentes opciones terapéuticas, se optó un cierre de la misma mediante un colgajo pediculado de bola adiposa de Bichat, cubriéndolo posteriormente con colgajo vestibular de avance recto, lo que se conoce como técnica de cierre en dos capas. Conclusiones: Existen múltiples técnicas descritas en la literatura para corregir esta entidad patológica, cada una con sus ventajas e inconvenientes. Será necesario conocer las características individuales de cada una de ellas para establecer el tratamiento más adecuado para cada situación (AU)

Introduction: Oroantral communications are open connections between oral cavity and the maxillary sinus, caused mainly by tooth extractions. The majority of these communications heal spontaneously due to their small size, while others create fistulae, continuing this pathological situation until proper treatment is provided, being able to cause pathology both locally and generally Case Report: A case report of a 49 years old male with no medical history of interest, referred to the Oral Surgery Service of the hospital Virgen de la Paloma with an oroantral fistula of 3 weeks long and history of acute sinusitis is presented. After assessing the different therapeutic options, Bichat´s buccal fat pad pedicle flap was chooses to close the communication covering it with a buccal advancement flap, as described in the double layered technique. Conclusions: There are many techniques described in the literature to correct this pathological entity, each with their owns advantages and disadvantages. Knowledge of the particular features of each technique will be necessary to establish the most adequate treatment (AU)

Evolución de un implante migrado al seno maxilar tras rehabilitación con carga inmediata / No disponible

No disponible

Tratamiento médico de un quiste mucoso en el suelo de la boca. Presentación de un caso clínico y revisión de la literatura / Medical treatment of a mucous cyst of the floor of the mouth. Presentation of a case report and literature review

Introducción: El quiste mucoso localizado en el suelo de la boca es una patología infrecuente, que se da más comúnmente en niños y adolescentes. Presenta predilección por el sexo femenino siendo su localización más frecuente el lado izquierdo del suelo de la boca. Objetivos: El presente trabajo describe el tratamiento médico de un quiste mucoso y las diferentes opciones terapéuticas que existen para hacer frente a este tipo de patología. Caso clínico: Presentamos el caso de una paciente de sexo femenino de 19 años derivada al Servicio de Cirugía Bucal del hospital Virgen de la Paloma de Madrid por su odontóloga tras diagnosticar la existencia de un quiste mucoso. Tras valorar las diferentes opciones terapéuticas, se optó por llevar a cabo el tratamiento médico con gluconato de níquel y mercurius heel. Conclusiones: Debido a las posibles complicaciones derivadas del tratamiento quirúrgico del quiste mucoso localizado en el suelo de la boca, el tratamiento médico puede ser una buena alternativa durante el periodo de control inicial (AU)

Introduction: Mucous cyst of the floor of the mouth is an uncommon pathology and it is more common in children and teenager. It is more prevalent in female with a higher frequency in the left side of the floor of the mouth. Aims: The present paper describes a medical treatment of a mucous cyst and the different therapeutic options that exist to treat this kind of pathology. Case report: We introduce a case report of a nineteen year old female patient referred to the Oral Surgery Service of hospital Virgen de la Paloma from Madrid by her dentist after recognizing the presence of a mucouscyst. After different therapeutic options were evaluated, we decided to perform medical treatment with nickel gluconate and mercurius heel. Conclusions: Due possible complications caused by surgical treatment of a mucous cyst located in the floor of the mouth, medical treatment can be a good option during observation period (AU)

Complicaciones implantológicas en pacientes en tratamiento con anticonceptivos orales. Resultados preliminares de un estudio de casos y controles / Implantology complications in patients taking oral contraceptives. Preliminary results of a case-control study

Introducción: Los anticonceptivos orales (ACO) forman parte del grupo de los anticonceptivos hormonales, estando su uso altamente extendido. Aunque tienen una elevada tasa de eficacia poseen efectos adversos a nivel sistémico y local. Objetivo: Determinar si las mujeres en tratamiento con anticonceptivos orales tienen mayor incidencia de complicaciones postoperatorias. Pacientes y método: Se llevó a cabo un estudio retrospectivo de casos y controles de todas las pacientes de uno de los centros del servicio del Máster de Cirugía Bucal e Implantología Hospital Virgen de la Paloma, entre los años 2006 y 2013. Se recopilaron historias clínicas de mujeres mayores de 18 años. Las variables recogidas fueron la toma o no de anticonceptivos orales y las complicaciones que se pudieran producir tras la cirugía. Se realizó un estudio estadís-tico descriptivo inferencial para hallar laodds ratio, utilizando el programa Epidat 3.1. Resultados: En el estudio se evaluaron 219 historias clínicas, descartándose 17 porestar incompletas. En el grupo de casos (n=10), cuatro pacientes padecieron complicaciones y del grupo control (n=192), 41. Se obtuvo una Odds Ratio de 2,45.Discusión:En la realización del presente estudio, cabe destacar la falta de artículos que relacionen el tratamiento con anticonceptivos orales y las complicacionesinmediatas postoperatorias. Además, sedeben mencionar dos posibles sesgos. Asaber, el pequeño tamaño muestral estudiado; y que al tratarse de medicamentos tan extendidos el profesional no pregunta por su toma al hacerla historia clínica. Conclusión:Las mujeres en tratamiento con anticonceptivosorales tienen un odds ratio de 2,45, lo que sugiere una mayor probabilidad de padecer complicaciones postoperatorias en el tratamiento implantológico; aunque el resultado es estadísticamente no significativo, por lo que debería ampliarse la muestra para poder verificar este resultado (AU)

Introduction: Oral contraceptives are part of the group of hormonal contraceptives, whose use is highly extended. Although they have a high rate of effectiveness, they have adverse systemic and local effects. Objective: To determinate whether women taking oral contraceptives have a higher incidence of postoperative complications. Patients and Methods: It was carried out a retrospective case-control study of all patients in one of the service centers of the Master of Oral Surgery and Implantology Virgen de la Paloma Hospital, between the years 2006-2013. Medical histories of women older than 18 were collected. The variables were whether taking oral contraceptives or not, and complications that may occur after surgery. Descriptive inferential statistical analysis to find the odds ratio was performed using the program Epid at 3.1.Results:The study evaluated 219 medical histories, 17 were rejected as incomplete. In the case group (n=10) 4 patients had complications and in the control group (n=192) 41. An odds ratio = 2,45 was obtained. Discussion: In the realization of the present study there is a lack of articles that relate taking oral contraceptives and immediate postoperative complications. In addition, we should mention two possible biases. Namely, the small sample size studied, and that since it is a so widespread drug, professional does not ask about it to make the medical history. Conclusion: Women taking oral contraceptives have an odds ratio of 2,45, suggesting a greater likelihood of developing post operative complications in implant treatment; although the result is not statistically significant, so the sample should be expanded to verify it (AU)