Incidence of oral complications and application of a preventive protocol in children with acute leukemia.

This prospective, controlled study was designed to assess the effectiveness of a preventive oral protocol in children receiving antineoplastic treatment for acute lymphoblastic leukemia (ALL). During a 13-month period, 96 children from one to 16 years of age with a diagnosis of ALL were evaluated. When the study was initiated, 60 patients already undergoing chemotherapy received palliative treatment for complications (Group I). Thirty-six children (Group II) with newly diagnosed ALL received a daily preventive protocol consisting of: (1) elimination of bacterial plaque; (2) application of a mouthwash with a non-alcoholic solution of chlorhexidine 0.12% and (3) topical application of iodopovidone, followed by "swish and swallow" with nystatin 500,000 units. Children in both groups were examined every 7 to 14 days by our pediatric dentistry team. We found a significant improvement in oral hygiene (p = 0.001) and a significant decrease in the incidence of mucositis grade 2 (p = 0.0013) and oral candidiasis (p = 0.009) in the Group II children. These findings show that the systematic application of a preventive protocol significantly reduces the incidence of oral complications. The results of this study identify a need to include a pediatric dentist in a multidisciplinary team which provides oral care for cancer patients.

Barnices y adhesivos en el sellado de restauraciones con amalgama de plata / [Varnishes and adhesives in the seal of silver amalgam restorations]

The object of this paper is to evaluate the marginal filtration occurring between restoration/teeth in cavities filled with silver alloy when using different cavity varnish and adhesives. In 50 teeth removed as a result of decay, cavities were prepaired on vestibular faces and were divided into 5 equal groups: Group A: with no caviti varnish; Group B: two coats of a linkin agent (Scotch Bond 3M); Group C: an amalgam liner base (Voco); Group D; two coats of copal varnish: Group E: an amalgam bond base (Carl San Remo, Germany). All groups were filled with a silver alloy. The teeth were inmersed in a fuchsin solution at different temperatures (17.37 degrees C and 50 degrees C) for 20 minutes. Longitudinal cuts were made for visualization under a stereoscopic magnifying glass. Each group was observed by five odontologists and was classified according to four categories: Grade I: no filtration: Grade II: less than 1/3 wall filtration; Grade III: more than 1/3 wall filtration; Grade IV: filtration in walls and floor. Teeth with pulp filtration were discarded. Total and percentage values were determined for each analysed group. The results revealed that: Group A: 100

of samples corresponds to Grade IV. Group B: 40

of sample falls within Grade II while the rest corresponds to the highest grade. Group C: 30

belongs to Grade II, 60

to Grade III and the remaining 10

falls within Grade I, while the remaining 20

correspond to Grades III and IV, respectively. Group E: 50

for Grade I and the rest in Grade II.(ABSTRACT TRUNCATED AT 250 WORDS)

[Varnishes and adhesives in the seal of silver amalgam restorations]. / Barnices y adhesivos en el sellado de restauraciones con amalgama de plata.

The object of this paper is to evaluate the marginal filtration occurring between restoration/teeth in cavities filled with silver alloy when using different cavity varnish and adhesives. In 50 teeth removed as a result of decay, cavities were prepaired on vestibular faces and were divided into 5 equal groups: Group A: with no caviti varnish; Group B: two coats of a linkin agent (Scotch Bond 3M); Group C: an amalgam liner base (Voco); Group D; two coats of copal varnish: Group E: an amalgam bond base (Carl San Remo, Germany). All groups were filled with a silver alloy. The teeth were inmersed in a fuchsin solution at different temperatures (17.37 degrees C and 50 degrees C) for 20 minutes. Longitudinal cuts were made for visualization under a stereoscopic magnifying glass. Each group was observed by five odontologists and was classified according to four categories: Grade I: no filtration: Grade II: less than 1/3 wall filtration; Grade III: more than 1/3 wall filtration; Grade IV: filtration in walls and floor. Teeth with pulp filtration were discarded. Total and percentage values were determined for each analysed group. The results revealed that: Group A: 100% of samples corresponds to Grade IV. Group B: 40% of sample falls within Grade II while the rest corresponds to the highest grade. Group C: 30% belongs to Grade II, 60% to Grade III and the remaining 10% to Grade IV; Group D: 30% falls within Grade I, while the remaining 20% and 50% correspond to Grades III and IV, respectively. Group E: 50% for Grade I and the rest in Grade II.(ABSTRACT TRUNCATED AT 250 WORDS)

Barnices y adhesivos en el sellado de restauraciones con amalgama de plata. / [Varnishes and adhesives in the seal of silver amalgam restorations]

The object of this paper is to evaluate the marginal filtration occurring between restoration/teeth in cavities filled with silver alloy when using different cavity varnish and adhesives. In 50 teeth removed as a result of decay, cavities were prepaired on vestibular faces and were divided into 5 equal groups: Group A: with no caviti varnish; Group B: two coats of a linkin agent (Scotch Bond 3M); Group C: an amalgam liner base (Voco); Group D; two coats of copal varnish: Group E: an amalgam bond base (Carl San Remo, Germany). All groups were filled with a silver alloy. The teeth were inmersed in a fuchsin solution at different temperatures (17.37 degrees C and 50 degrees C) for 20 minutes. Longitudinal cuts were made for visualization under a stereoscopic magnifying glass. Each group was observed by five odontologists and was classified according to four categories: Grade I: no filtration: Grade II: less than 1/3 wall filtration; Grade III: more than 1/3 wall filtration; Grade IV: filtration in walls and floor. Teeth with pulp filtration were discarded. Total and percentage values were determined for each analysed group. The results revealed that: Group A: 100

of samples corresponds to Grade IV. Group B: 40

of sample falls within Grade II while the rest corresponds to the highest grade. Group C: 30

belongs to Grade II, 60

to Grade III and the remaining 10

to Grade IV; Group D: 30

falls within Grade I, while the remaining 20

and 50

correspond to Grades III and IV, respectively. Group E: 50

for Grade I and the rest in Grade II.(ABSTRACT TRUNCATED AT 250 WORDS)