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1.
P R Health Sci J ; 39(2): 203-209, 2020 06.
Artigo em Inglês | MEDLINE | ID: mdl-32663919

RESUMO

OBJECTIVE: To identify the prevalence of and factors associated with the use of dental health services to receive professionally applied topical fluoride (DHSU-PATF) in the 12 months prior to the study among Mexican schoolchildren aged 6 to 12 years. METHODS: A cross-sectional study was performed in 1,404 schoolchildren selected randomly from 15 public schools in the city of Pachuca, Mexico. Questionnaires were distributed to determine the demographic, socioeconomic, and behavioral variables. The dependent variable was the DHSU-PATF in the year before the study, which was dichotomized as 0 (no DHSU-PATF) or 1 (yes, DHSU-PATF). We calculated odds ratios (OR) and 95% confidence intervals. The analysis was performed in Stata 11.0. RESULTS: The prevalence of DHSU-PATF was 5.1%, but lower among younger children (OR = 0.86) and greater among children with health insurance (private insurance, OR = 3.64; insurance provided by the government owned oil company, the Army, or the Navy, OR = 5.03). The level of knowledge about oral health among guardians/ parents was also a factor (medium, OR = 2.37; high, OR = 4.05). Additionally, among the children whose parents/guardians perceived them (the children) as having good or very good oral health, the OR was 3.33; among children whose parents brushed their teeth with greater relative frequency, the OR was 8.74. Finally, DHSU-PATF was greater among children with relatively higher socioeconomic status (2nd quartile, OR = 3.29; 3rd quartile, OR = 5.99; 4th quartile, OR = 4.64). CONCLUSION: The receipt of PATF was low in this sample of Mexican schoolchildren and is associated with socioeconomic and behavioral factors. This gives us a guideline to create or improve topical fluoride application strategies in the public and private Mexican health systems.

2.
J Matern Fetal Neonatal Med ; : 1-6, 2019 May 07.
Artigo em Inglês | MEDLINE | ID: mdl-31035800

RESUMO

INTRODUCTION: Preterm delivery is a multifactorial health problem that represents a serious public health problem around the world. In recent years, there has been an increase in scientific evidence suggesting associations between oral health status (mainly periodontal disease and tooth loss) and an increased risk of systemic diseases and various adverse pregnancy outcomes. This study explores the association between indicators of oral health and preterm delivery in a sample of Mexican pregnant women. MATERIALS AND METHODS: A case-control study was carried out with 111 pregnant (36 cases, 75 controls) who received prenatal care and delivered in an obstetric hospital in Pachuca, Mexico. Clinical files were reviewed to obtain the necessary information for the variables studied. The dependent variable was preterm delivery and the independent variables were gingivitis, periodontitis, DMFT index and its components, the number of decayed teeth with pulpal exposure or endodontic lesions, age of the mother, education, alcohol use, smoking status, number of gestations, and sex of the newborn. RESULTS: The average ages were similar between the cases and the controls (24.29 ± 5.42 versus 24.89 ± 5.67, p = .5781). Significant differences were observed with gingivitis (p < .01) and periodontitis (p < .001). In addition, when the severity of gingivitis or periodontitis increased, the percentage of cases of preterm delivery increased (p < .01). The average number of teeth lost was higher among the cases than among the controls (1.33 ± 1.89 versus 0.81 ± 1.82, p < .05). CONCLUSIONS: It was found that gingivitis, periodontitis, and tooth loss were associated with preterm delivery. It is necessary to carry out actions aimed at the preservation of oral health in pregnant patients to avoid adverse results. These findings indicate a likely association, but it needs to be confirmed by large and well-designed studies.

3.
Medicine (Baltimore) ; 98(11): e14875, 2019 Mar.
Artigo em Inglês | MEDLINE | ID: mdl-30882692

RESUMO

Dental caries-a highly prevalent public health problem in preschoolers and school children-is the main cause of premature dental loss during childhood, and this may be related to loss of space in the posterior sector. The objective of this study was to evaluate whether interproximal caries and premature tooth loss (D and/or E) are risk factors for loss of space in the posterior sector.A comparative cross-sectional study (split-mouth type) was performed in schoolchildren (6-8 years old). Seventeen gypsum models were evaluated. These children presented with unilateral loss of a dental organ or interproximal caries (teeth D and/or E) and without such affectations on the other side. Measurements were made with a digital Vernier caliper. The dependent variable was the difference (loss of space, mm) between the control and case sides. The independent variables were type of affectation (interproximal caries or tooth loss), sex, age, arcade, and number of interproximal surfaces affected.The mean age was 6.82 ±â€Š0.44 years and 64.7% were boys. The average space loss was 1.09 ±â€Š0.18 mm (control vs case; P < .0001). A greater loss of space was observed among those who lost a dental organ than those with interproximal caries (P = .0119). A correlation was observed between the variable loss of space and the number of interproximal surfaces affected (r = 0.5712, P = .0166).Interproximal caries and tooth loss were risk factors for loss of space in the posterior segment in this sample of Mexican schoolchildren.


Assuntos
Cárie Dentária/complicações , Criança , Estudos Transversais , Cárie Dentária/diagnóstico , Cárie Dentária/epidemiologia , Feminino , Humanos , Masculino , México , Prevalência , Fatores de Risco , Perda de Dente/classificação , Perda de Dente/complicações , Dente Decíduo/fisiopatologia
4.
Rev. ADM ; 75(3): 127-134, mayo-jun. 2018. tab
Artigo em Espanhol | LILACS | ID: biblio-908605

RESUMO

La terapia con células madre ha atraído la atención médica como una alternativa al trasplante de órganos considerando las características que presentan estas células in vivo. En los últimos años la odontología ha despertado gran interés en el potencial terapéutico de las células madre obtenidas del tejido pulpar dental. La principal característica de estas células es su gran capacidad de proliferación, multidiferenciación, autorrenovación y la habilidad de diferenciarse en varios tipos de células como los odontoblastos, osteoblastos, adipocitos, condrocitos y células neurales. Acerca de las células multipotenciales existe una alta probabilidad en la regeneración de tejidos dentales así como la sustitución de materiales, los cuales son utilizados actualmente en odontología por materiales biológicos. Estudios y experimentos científi cos in vivo han demostrado la utilidad y viabilidad de las células madre pulpares para el tratamiento de lesiones bucales así como el potencial terapéutico y la regeneración de nuevos tejidos. En la revisión se incluyen estudios in vivo sobre la aplicación odontológica de las células madre pulpares de los órganos dentarios temporales y permanentes. También se muestra el potencial de regeneración tisular, benefi cios y aplicaciones clínicas con la fi nalidad de proporcionar información puntual a los lectores acerca de la seguridad y los alcances de la terapia con estas células enfocadas en la regeneración, reparación o reemplazo de tejidos y órganos de la cavidad oral (AU)


Stem cell therapy had attracted the medical attention as an alternative to organ transplantation, considering the characteristics these cells have in vivo. In recent years, dentistry has aroused great level of interest in the potential therapeutic of stem cells derived from dental pulp tissue. The main characteristic of dental pulp stem cells is the high capacity of proliferation, multidifferentiation, self-renewal and the ability to differentiate into other cell types such as odontoblasts, osteoblasts, adipocytes, chondrocytes and neural cells. In regard to multipotential cells there is a high probability about dental tissue regeneration as well as the material substitution, which are currently used in dentistry by biological materials. Therefore scientific studies and experiments in vivo have proved the usefulness and feasibility of pulp stem cells for treatment of buccal lesions, as well as therapeutic potential and tissue regeneration. In this review are included in vivo studies about the dental applications of stem cells from primary and permanent teeth. The potential tissue regeneration, benefi ts and clinical applications are shown, aimed to provide punctual and complete information to readers about the safety and therapeutic scope with dental pulp stem cells, focused on regeneration, replacement of tissues and organs of the oral cavity (AU)


Assuntos
Humanos , Animais , Polpa Dentária , Dentição Permanente , Medicina Regenerativa , Células-Tronco , Dente Decíduo , Materiais Biocompatíveis , Odontoblastos , Engenharia Tecidual , Tecidos Suporte
5.
Rev. cuba. estomatol ; 54(3): 0-0, jul.-set. 2017. ilus
Artigo em Espanhol | LILACS | ID: biblio-901050

RESUMO

Introducción: la hipoacusia es la disminución de la agudeza auditiva o de la capacidad para captar el sonido; esta puede ser neurosensorial, conductiva o mixta. La hipoacusia neurosensorial resulta de alteraciones en el oído interno, nervio auditivo o en los núcleos auditivos del tronco cerebral. El manejo de estos pacientes requiere disposición, conocimientos y calidez para el correcto desarrollo de la atención estomatológica. Objetivo: reportar el manejo odontológico de un paciente con hipoacusia neurosensorial profunda bilateral. Presentación del caso: paciente femenino de 7 años y 10 meses de edad con diagnóstico de hipoacusia neurosensorial profunda bilateral, quien acude a consulta por presentar dolor. A la inspección física, paciente mesofacial, perfil convexo. Intraoralmente se observan tejidos blandos clínicamente sanos, alteraciones de número y posición, caries moderada e higiene deficiente. Durante la inspección clínica la paciente se mostró poco cooperadora (Frankl II). El plan de tratamiento consistió en prevención, operatoria, ortopedia y cirugía. Para el manejo del paciente se incluyó un lenguaje de señas básico con uso de careta y sin cubreboca, modelado con otros pacientes. Se modificó la técnica decir, mostrar y hacer por mostrar/oler, tocar y hacer. Conclusiones: el odontopediatra debe tener las competencias necesarias para la atención integral de pacientes con capacidades diferentes. El manejo de la conducta y el cuidado multidisciplinario del paciente en edades tempranas es fundamental para el éxito del tratamiento. En el caso clínico que se presenta se resalta la efectividad del manejo conductual modificado, lo cual incrementó la posibilidad de éxito de la rehabilitación dental del paciente, así como de su seguimiento(AU)


Introduction: hearing loss is reduced auditory acuity or a decrease in the ability to perceive sound. It may be sensorineural, conductive or mixed. Sensorineural hearing loss results from alterations in the inner ear, the auditory nerve or the auditory brainstem nuclei. Dental management of these patients requires willingness, knowledge and warmth on the part of the dental practitioner. Objective: report the dental management of a patient with bilateral profound sensorineural hearing loss. Case presentation: a female patient aged 7 years and 10 months diagnosed with bilateral profound sensorineural hearing loss attends consultation for dental pain. At physical inspection, it is observed that the patient is mesofacial with a convex profile. Intraoral examination found clinically healthy soft tissue, tooth alterations in number and position, moderate decay and poor hygiene. During clinical inspection, the patient was uncooperative (Frankl II). Treatment consisted in prevention, restoration, orthopedics and surgery. Management of the patient included use of basic sign language and a mask without the practitioner wearing a facemask, and modeling with other patients. The technique of say, show and do was replaced by show / smell, touch and do. Conclusions: pediatric dentists should have the skills required for the comprehensive care of patients with different capabilities. Behavior management and multidisciplinary care of very young patients is essential for a successful treatment. The clinical case herein presented highlights the effectiveness of modified behavior management, which increased the chances of success in the patient's dental rehabilitation and follow-up(AU)


Assuntos
Humanos , Feminino , Criança , Assistência Odontológica para Pessoas com Deficiências/métodos , Placa Dentária/terapia , Perda Auditiva Neurossensorial/diagnóstico , Assistência Integral à Saúde/métodos , Higiene Bucal/normas
6.
Rev. cuba. estomatol ; 54(3): 0-0, jul.-set. 2017. ilus
Artigo em Espanhol | CUMED | ID: cum-72137

RESUMO

Introducción: la hipoacusia es la disminución de la agudeza auditiva o de la capacidad para captar el sonido; esta puede ser neurosensorial, conductiva o mixta. La hipoacusia neurosensorial resulta de alteraciones en el oído interno, nervio auditivo o en los núcleos auditivos del tronco cerebral. El manejo de estos pacientes requiere disposición, conocimientos y calidez para el correcto desarrollo de la atención estomatológica. Objetivo: reportar el manejo odontológico de un paciente con hipoacusia neurosensorial profunda bilateral. Presentación del caso: paciente femenino de 7 años y 10 meses de edad con diagnóstico de hipoacusia neurosensorial profunda bilateral, quien acude a consulta por presentar dolor. A la inspección física, paciente mesofacial, perfil convexo. Intraoralmente se observan tejidos blandos clínicamente sanos, alteraciones de número y posición, caries moderada e higiene deficiente. Durante la inspección clínica la paciente se mostró poco cooperadora (Frankl II). El plan de tratamiento consistió en prevención, operatoria, ortopedia y cirugía. Para el manejo del paciente se incluyó un lenguaje de señas básico con uso de careta y sin cubreboca, modelado con otros pacientes. Se modificó la técnica decir, mostrar y hacer por mostrar/oler, tocar y hacer. Conclusiones: el odontopediatra debe tener las competencias necesarias para la atención integral de pacientes con capacidades diferentes. El manejo de la conducta y el cuidado multidisciplinario del paciente en edades tempranas es fundamental para el éxito del tratamiento. En el caso clínico que se presenta se resalta la efectividad del manejo conductual modificado, lo cual incrementó la posibilidad de éxito de la rehabilitación dental del paciente, así como de su seguimiento(AU)


Introduction: hearing loss is reduced auditory acuity or a decrease in the ability to perceive sound. It may be sensorineural, conductive or mixed. Sensorineural hearing loss results from alterations in the inner ear, the auditory nerve or the auditory brainstem nuclei. Dental management of these patients requires willingness, knowledge and warmth on the part of the dental practitioner. Objective: report the dental management of a patient with bilateral profound sensorineural hearing loss. Case presentation: a female patient aged 7 years and 10 months diagnosed with bilateral profound sensorineural hearing loss attends consultation for dental pain. At physical inspection, it is observed that the patient is mesofacial with a convex profile. Intraoral examination found clinically healthy soft tissue, tooth alterations in number and position, moderate decay and poor hygiene. During clinical inspection, the patient was uncooperative (Frankl II). Treatment consisted in prevention, restoration, orthopedics and surgery. Management of the patient included use of basic sign language and a mask without the practitioner wearing a facemask, and modeling with other patients. The technique of say, show and do was replaced by show / smell, touch and do. Conclusions: pediatric dentists should have the skills required for the comprehensive care of patients with different capabilities. Behavior management and multidisciplinary care of very young patients is essential for a successful treatment. The clinical case herein presented highlights the effectiveness of modified behavior management, which increased the chances of success in the patient's dental rehabilitation and follow-up(AU)


Assuntos
Humanos , Feminino , Criança , Assistência Odontológica para Pessoas com Deficiências/métodos , Placa Dentária/terapia , Perda Auditiva Neurossensorial/diagnóstico , Assistência Integral à Saúde/métodos , Higiene Bucal/normas
7.
Sci Rep ; 6: 36383, 2016 11 02.
Artigo em Inglês | MEDLINE | ID: mdl-27805027

RESUMO

Dental demineralization was determined in patients at three time points during fixed orthodontic treatment. A multiple cross-sectional study included 108 patients divided into three different groups: (1) beginning of orthodontic treatment; (2) one year into treatment; and (3) two years into treatment. Demineralization was estimated using a DIAGNOdent pen. We obtained data from multiple tooth-by-tooth demineralization readings combined with salivary pH and patients' oral hygienic and dietary behaviors. A t-test for independent samples and Spearman´s correlation were performed. No demineralizations differences were found between the initial stage and one year into treatment. Between one and two years small differences were observed, but demineralization increased between the initial stage and second treatment year, predominating in upper right central incisors (p = 0.056), upper left lateral incisors (p = 0.040), both upper canines (p = 0.055 and p = 0.040, respectively) and first left premolars (p = 0.034 and p = 0.053, respectively). We did not find associations between oral hygiene and dietary behaviours or salivary pH. In conclusion, demineralization occurred in first year of treatment and increased during second year, predominating in the upper arch and the left side mainly in upper right central incisors, upper left lateral incisors, both upper canines, and first left premolars.


Assuntos
Braquetes Ortodônticos/efeitos adversos , Desmineralização do Dente/diagnóstico , Adolescente , Estudos Transversais , Dieta , Feminino , Humanos , Concentração de Íons de Hidrogênio , Masculino , Higiene Bucal , Fatores de Risco , Saliva/química , Desmineralização do Dente/etiologia , Adulto Jovem
8.
Rev Invest Clin ; 66(2): 157-63, 2014.
Artigo em Espanhol | MEDLINE | ID: mdl-24960326

RESUMO

OBJECTIVE. To characterize utilization of oral hygiene devices and customs in schoolchildren. MATERIAL AND METHODS. We performed a cross-sectional study in 1,404 schoolchildren (6- 12 year olds) from 14 public schools in Pachuca, Hidalgo, México, using a questionnaire for sociodemographic variables and 1) Tooth brushing frequency (<1/d vs. at least 1/d), 2) Use of toothpaste (not always vs. always), 3) Flossing (never, does not know vs. at least 1/week), 4) Use of mouthwash (never, does not know vs. at least 1/week). Analyses were performed with nonparametric tests. RESULTS. Mean age was 8.97 ± 1.99 years; 50.1% were male. Prevalence of utilization of oral hygiene devices and associated customs were 85.5% tooth brushing, 90.9% toothpaste, 19.4% flossing, and 28.2% mouthwash. Only 11.8% of participants reported utilization in all 4 categories. We observed differences (p < 0.05) across sexes only in the use of toothpaste, as women used it more often. Differences across age were observed (p < 0.05) for tooth brushing (younger children brushed more often) and flossing (older children flossed more often). CONCLUSIONS. Tooth brushing was the oral hygiene practice more often performed in this sample, with other frequencies being relatively low. There were differences by age and sex across some variables.


Assuntos
Higiene Bucal/estatística & dados numéricos , Criança , Estudos Transversais , Dispositivos para o Cuidado Bucal Domiciliar/estatística & dados numéricos , Feminino , Humanos , Masculino , México , Antissépticos Bucais , Higiene Bucal/métodos , Fatores Sexuais , Inquéritos e Questionários , Escovação Dentária/estatística & dados numéricos
9.
Int. j. odontostomatol. (Print) ; 8(1): 167-173, Apr. 2014. ilus
Artigo em Espanhol | LILACS | ID: lil-711563

RESUMO

El maltrato infantil es una patología de la cual se tienen registros desde las civilizaciones antiguas como la griega y egipcia; pero es hasta 1924 que se firma la declaración de Ginebra: Derechos de la infancia, siendo el IX derecho: No al Maltrato. En México se tiene registro de maltrato infantil desde hace 20 años. Se ha tipificado el maltrato infantil en dos grandes rubros: activo y pasivo, la negligencia odontológica es clasificado como maltrato pasivo, por lo tanto el odontólogo (en especial el Odontopediatra) debe prestar atención al hacer la inspección clínica y elaboración de historia clínica del paciente, para encontrar indicios de maltrato infantil y llevar a cabo la atención de estos pacientes con adecuado manejo de su conducta, la cual puede ser variable dependiendo el tipo de maltrato que ha sufrido. Las consecuencias del maltrato en cavidad oral son múltiples y pueden manifestarse a corto, largo y mediano plazo. En este artículo se presenta un caso clínico de maltrato por abandono, negligencia odontológica y las consecuencias que éste tuvo en la salud oral y general de la paciente.


Child abuse is a disease for which there are records from ancient civilizations like the Greek and Egyptian, but until 1924 when the Geneva Declaration was signed: Children's rights: No to Abuse. In Mexico records of child abuse have been kept for the last 20 years. It has classified child abuse into two major categories: active and passive, dental malpractice liability is classified as child abuse therefore the dentist (especially the pediatric dentist) should pay attention to realize a clinical inspection and preparation of patient history, for signs of child abuse, and carry out the care of these patients with adequate management of their behavior, which can vary depending on the type of abuse the child has suffered. The consequences of abuse in oral cavity are multiple and can occur at short, medium and long term. This article presents a case of abuse by dental neglect and the consequences that this has on oral health, and therefore on the general health of the patient.


Assuntos
Humanos , Feminino , Criança , Doenças Estomatognáticas/etiologia , Doenças Estomatognáticas/terapia , Maus-Tratos Infantis , Saúde Bucal , Odontopediatria , Cárie Dentária , Gengivite
10.
Rev Invest Clin ; 65(3): 228-36, 2013.
Artigo em Espanhol | MEDLINE | ID: mdl-23877810

RESUMO

OBJECTIVE: To determine the experience, prevalence and severity of dental caries and its relationship with nutritional status in nursery infants 17 to 47 months of age. MATERIAL AND METHODS: A cross-sectional study in 152 infants 17 to 47 months of age attending one of five day care centers of the city of Pachuca, Hidalgo was performed. Clinical examinations were performed using the methods recommended by the World Health Organization for epidemiologic studies on dental caries. We calculated the caries index (dmft), the significant caries index (SiC) as well as the treatment needs index (TNI) and the care index (CI). Nutritional status was determined using the weight and height for age, in Federico Gomez's scale. In the statistical analysis nonparametric tests were used. RESULTS: Mean age was 2.52 ± 0.76 years; 51.3% were boys. With regard to nutritional status, 19.1% were classified as malnourished and 19.1% were overweight/obese. The dmft index was 1.53 ± 2.52. The SiC index was 4.14, the TNI 86.3% and the CI 13.7%. Caries prevalence was 48.0%. It was observed that 33.5% of children had 1 to 3 teeth with caries experience and 14.5% had 4 or more teeth affected. Statistically significant differences for tooth decay were identified (p < 0.05) by age, height and weight but not (p> 0.05) by sex and nutritional status. CONCLUSIONS: This study shows that nearly half of children examined had caries experience. High treatment needs for dental caries were observed. A correlation was found between dmft index and age, weight and height. No association was identified between experience, prevalence and severity of dental caries and nutritional status of infants. It appears necessary to improve oral health preventive measures in these infants.


Assuntos
Cárie Dentária/epidemiologia , Estado Nutricional , Estatura , Peso Corporal , Pré-Escolar , Comorbidade , Estudos Transversais , Índice CPO , Feminino , Humanos , Lactente , Masculino , Desnutrição/epidemiologia , México/epidemiologia , Obesidade/epidemiologia , Sobrepeso/epidemiologia , Prevalência
11.
Rev. ADM ; 68(5): 244-248, sept.-oct. 2011. graf
Artigo em Espanhol | LILACS | ID: lil-655858

RESUMO

A lo largo del tiempo se han utilizado diversos materiales de obturación para pulpotomías de dientes temporales, con características tales que aseguren el éxito del tratamiento, tal como elOxido de zinc y eugenol, IRM, Ionómero de vidrio y actualmenteelMTA,que ha mostrado excelentes propiedades en comparación con otros materiales.Por tantoel objetivo de esta investigación fue evaluar el comportamiento clínico y radiográficodel trióxido mineral agregado (MTA) encomparación con el material de restauración intermedia (IRM) utilizado en el tratamiento en pulpotomía de molares temporales,en pacientesque acuden a la clínica de especialidaden Odontopediatría de la Facultad de Odontología de la Universidad Autónoma del Estado de México,en el periodo de abril de 2010 a febrero de 2011.Materiales y métodos:Se seleccionaron 10 pacientes de entre 3 y 6 años de edad con caries en molares temporales; a cada uno se les realizaron pulpotomías empleando MTA e IRM formando dos grupos: 1. Grupo control con IRM en 11 molares y 2. Grupo con MTA en 12. Se realizaron evaluaciones clínicas y radiográficas a tres y seis meses.Resultados: De los 10 pacientes incluidos, uno fue excluido del estudio por no asistir a las citas control. La muestra definitiva incluye 6 niños y 3 niñas, con promedio de edad de 4.3años. Los dientes restaurados con mayor frecuencia fueron elprimer molar superior derecho e izquierdo temporal con 6 restauraciones cada uno. En la evaluación clínica no se observaron signos o síntomas de patología, alanálisis radiográficono se observo signos de patología a los tres y seis meses. Conclusiones: Ambos materiales demostraron ser una elección adecuada para la terapéutica de pulpotomías y mantener el órgano dentario con funcionalidad hasta el momento de suexfoliación. Se observó éxito en el tratamiento en el aspecto clínico y radiográfico.


Assuntos
Humanos , Masculino , Feminino , Pré-Escolar , Criança , Assistência Odontológica para Crianças/métodos , Materiais Restauradores do Canal Radicular/uso terapêutico , Pulpotomia/métodos , Dente Decíduo , Estudo de Avaliação , Faculdades de Odontologia , México
12.
Rev. ADM ; 68(2): 93-96, mar.-abr. 2011. ilus
Artigo em Espanhol | LILACS | ID: lil-655850

RESUMO

Los dientes supernumerarios son alteraciones del desarrollo que aparecen en cualquier región de los maxilares, aunque su presencia en la mandíbula es rara. Su etiología no es bien conocida;sin embargo se postula que son el resultado de la “duplicación” de la lámina dental. En estudio de árboles genealógicos se sugiere una posible influencia genética, particularmenteen los mesiodens. Los mesiodens pueden causar varias complicaciones como apiñamiento, retraso en la erupción o desplazamiento de losórganos dentarios. El diagnóstico se realiza de manera clínica y radiográfica.En el presente artículo, se describe el manejo clínico de un caso en un paciente masculino de 4 años 6 meses de edad con tres mesiodens, que acudió a la clínica de la Especialidad de odontopediatría en la Facultad de Odontología, de la Universidad Autónoma del Estado de México.A la exploración intraoral se observó un diente cónico erupcionado, y el análisis de radiografías mostró la presencia de un órgano dentario en la línea media de forma invertida. Debido al desplazamiento observado de los órganos dentarios permanentes, se decidió realizar la extracción del supernumerario cónico erupcionado demanera convencional, y se programó la cirugía del mesiodens invertido. Seis meses después en la radiografía de control previo a la cirugía, se observó la formación de un nuevo mesiodens enel sitio donde fue removido el diente cónico. Se realizó la intervención quirúrgica y se decidió mantener al paciente en observación durante lossiguientes meses.


Assuntos
Humanos , Masculino , Pré-Escolar , Dente Supranumerário/cirurgia , Dente Supranumerário/diagnóstico , Dente Supranumerário , México , Radiografia Panorâmica , Erupção Dentária , Extração Dentária
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