Complication of Orthodontic Treatment: A Case Report on Severe Apical Root Resorption (ARR) in a Patient with Turner Syndrome.

External apical root resorption in permanent teeth is a multifactorial process influenced by a variety of local and systemic factors. This report describes a case of multiple and severe apical root resorptions in a patient with Turner syndrome. The condition was discovered in a young female with Turner syndrome after 30 months of orthodontic treatment with fixed appliance. The purpose of this report is to present reports by other authors on the potential causes of the increased risk of tooth resorption in patients with Turner syndrome and to share insights derived from its course, highlighting the implications and lessons learned. Patients with Turner syndrome are not ideal candidates for orthodontic treatment. Prior to commencing orthodontic treatment, it is essential to carefully consider the potential benefits of the therapy compared to the risk associated with exacerbating root resorption. In the case of Turner syndrome patients, where there is an elevated risk of such complications, a thorough analysis should be conducted to determine whether the expected benefits of the treatment outweigh the potential hazards to the patient's dental health.

Tratamiento de la boca seca: puesta al día / Protocol for the clinical management of dry mouth

La boca seca es una situación muy común en la clínica odontológica y las causas que producen esta alteración de la secreción de saliva pueden ser múltiples. Es especialmente frecuente en personas de edad avanzada y en pacientes que están tomando gran cantidad de fármacos. El tratamiento de esta situación deberá estar relacionado con la eliminación de la causa que la produce y cuando esto no es posible se basará en el estímulo de la secreción salival con determinados fármacos o en la sustitución de la misma con las llamadas salivas artificiales. En este artículo queremos sistematizar de forma sucesiva las actuaciones terapéuticas a seguir en este tipo de pacientes (AU)

Dry mouth is a very common condition in dental practice, and the causes underlying this alteration in salivary secretion are diverse. The problem is particularly common in polymedicated elderly people. Treatment should aim to eliminate the background cause; however, when this is not possible, management should focus on the stimulation of salivation or the provision of a saliva substitute. The present study provides a systematic account of the management protocol for patients with dry mouth (AU)

Protocol for the clinical management of dry mouth.

Dry mouth is a very common condition in dental practice, and the causes underlying this alteration in salivary secretion are diverse. The problem is particularly common in polymedicated elderly people. Treatment should aim to eliminate the background cause; however, when this is not possible, management should focus on the stimulation of salivation or the provision of a saliva substitute. The present study provides a systematic account of the management protocol for patients with dry mouth.

Manejo clínico-odontológico del paciente con cardiopatía isquémica: actualización / Dental management of the patient with ischemic heart disease: an update

La cardiopatía isquémica es la primera causa de mortalidad en los países desarrollados. Los protocolos tradicionales a seguir para realizar el tratamiento dental en estos pacientes con angina de pecho o infarto de miocardio se basaban en la clasificación de riesgo ASA (American Society of Anesthesiologists) y en la espera mínima de un período de 6 meses postinfarto para poder realizar un manejo más seguro. Los avances en las técnicas diagnósticas y en los tratamientos médicos y quirúrgicos en estos enfermos han permitido desarrollar patrones de valoración del riesgo más precisos y poder realizar los tratamientos odontológicos y de cirugía bucal en un período de tiempo menor desde que se sufrió el infarto con márgenes de seguridad aceptables (AU)

Oral manifestations and dental treatment in menopause.

Menopause is a physiological process typically occurring in the fifth decade of life in women, and involving permanent cessation of menstruation. Menopause is the consequence of hormonal changes that produce a series of general manifestations that have become increasingly important as a result of the increased female life expectancy in the industrialized world; indeed, such manifestations are observed throughout the last third of the female lifetime. However, oral symptoms are also found in addition to the more general manifestations of menopause (i.e., hot flush and psychological alterations). In this sense, an increased incidence is observed of dry mouth (xerostomia), disorders such as lichen planus, benign pemphigoid, Sjogren's syndrome and burning mouth syndrome, as well as a debated rise in the prevalence of periodontal disease. The dental treatment of such patients involves a series of particularities that should be taken into account, including the use of salivary secretion stimulators or saliva substitutes in cases of hyposialosis. Nevertheless, correct prevention, with good control of bacterial plaque, contributes to reduce the risk of many infections within the oral cavity.