ABSTRACT
Introducción: Entre las plantas de la flora cubana con propiedades medicinales se encuentra la Petiveria alliacea Linn (anamú), planta natural de la América tropical que contiene numerosos principios activos y a la cual se le atribuyen múltiples propiedades. La gran mayoría de los reportes se refieren concretamente a su acción analgésica, proveniente de sus hojas y de sus raíces. Objetivo: Evaluar el efecto terapéutico de la tintura de anamú al 20 % en la remisión del dolor pulpar en la pulpitis aguda serosa transitoria, durante el periodo de septiembre de 2020 a septiembre de 2021. Método: Se realizó un estudio de tipo cuasi-experimental en pacientes con dolor de la consulta de urgencia estomatológica del Policlínico Comunitario "Hermanos Martínez Tamayo". El universo estuvo constituido por todos los pacientes que acudieron a consulta por dolor (N꓿42) y le fue diagnosticado pulpitis aguda serosa transitoria. Los mismos fueron incluidos en el estudio mediante el método no probabilístico intencionado según el orden de recepción en la consulta estomatológica. Se trabajó con las variables: edad, tiempo de refracción del dolor y efecto terapéutico. El procesamiento estadístico de los datos se realizó mediante estadística descriptiva y como medida de resumen se utilizó el porcentaje. Resultados: En el 64,3 % de los casos estudiados se pudo lograr la remisión del dolor en los primeros 5 minutos de aplicado el fitofármaco. Conclusiones: la tintura de la Petiveria alliacea Linn (anamú) al 20 % tiene un efecto favorable en la remisión del dolor provocado por la pulpitis aguda serosa transitoria.
Introduction: Among the Cuban flora plants with medicinal properties is Petiveria alliacea Linn (anamú), a natural plant from tropical Americas that contains numerous active ingredients and to which multiple properties are attributed. The vast majority of reports refer specifically to its analgesic action, coming from its leaves and roots. Objective: To evaluate the therapeutic effect of 20% anamú tincture on the remission of pulpal pain in reversible serous acute pulpitis, during the period from September 2020 to September 2021. Method: A quasi-experimental study was carried out in patients with pain from the stomatological emergency room of the Policlínico Comunitario "Hermanos Martínez Tamayo". The population was made up of all the patients who attended the consultation for pain (No. 42) and were diagnosed with reversible serous acute pulpitis. They were included in the study using the intentional non-probabilistic method according to the order of reception in the dental office. The variables taken into account were: age, pain refraction time and therapeutic effect. The statistical processing of the data was carried out using descriptive statistics and the percentage was used as a summary measure. Results: In 64.3% of the cases studied, pain remission could be achieved in the first 5 minutes of applying the phytopharmaceutical. Conclusions: The tincture of Petiveria alliacea Linn (anamu) at 20% has a favorable effect on the remission of pain caused by reversible serous acute pulpitis.
Introdução: Entre as plantas da flora cubana com propriedades medicinais está a Petiveria alliacea Linn (anamú), uma planta natural da América tropical que contém numerosos princípios ativos e à qual são atribuídas múltiplas propriedades. A grande maioria dos relatos refere-se especificamente à sua ação analgésica, proveniente de suas folhas e raízes. Objetivo: Avaliar o efeito terapêutico da tintura de anamú 20% na remissão da dor pulpar na pulpite serosa aguda transitória, durante o período de setembro de 2020 a setembro de 2021. Método: Foi realizado um estudo quase experimental em pacientes com dor de pronto-socorro estomatológico da Policlínico Comunitario "Hermanos Martínez Tamayo". O universo foi constituído por todos os doentes que compareceram à consulta de dor (N=42) e foram diagnosticados com pulpite serosa aguda transitória. Eles foram incluídos no estudo pelo método não probabilístico intencional de acordo com a ordem de recepção no consultório odontológico. Trabalhamos com as variáveis: idade, tempo de refração da dor e efeito terapêutico. O tratamento estatístico dos dados foi realizado por meio de estatística descritiva e o percentual foi utilizado como medida sumária. Resultados: Em 64,3% dos casos estudados, a remissão da dor foi alcançada nos primeiros 5 minutos de aplicação do fitofármaco. Conclusões: A tintura de Petiveria alliacea Linn (anamu) a 20% tem efeito favorável na remissão da dor causada pela pulpite serosa aguda transitória.
ABSTRACT
Introducción: la caries dental es el padecimiento infeccioso multifactorial más prevalente de la cavidad oral. Objetivo: caracterizar los pacientes afectados por caries dental y determinar comportamiento de algunos de sus factores de riesgo en las urgencias. Método: se realizó estudio transversal, en población mayor de 19 años, que acudieron al Policlínico con Servicios de Hospitalización Mario Muñoz del municipio Rafael Freyre, de abril a septiembre de 2012. El universo de estudio estuvo constituido por 247 pacientes que acudieron a consulta con urgencias estomatológicas y la muestra quedó constituida por 235 pacientes. Resultados: el grupo de edad más afectado por las urgencias por caries dental fue el de 35-59 años con 51,5% y el sexo femenino el más representativo con el 64,7%. El nivel de escolaridad que prevaleció fue preuniversitario terminado (43,0%). La enfermedad más prevalente fue la pulpitis reversible con 80,0%. Se determinó comportamiento de algunos factores de riesgo de urgencias por caries: experiencia anterior de caries, deficiente higiene bucal y dieta cariogénica fueron los más frecuentes en las féminas con 64,7%; 65,0% y 73,1%, respectivamente. Conclusiones: la mayoría de los pacientes con urgencias por caries dental se encontraron en el grupo de 35-59 años, sobre todo en sexo femenino. La pulpitis reversible fue la urgencia por caries dental más frecuente. Se observó amplia prevalencia de algunos factores de riesgo de la caries dental.
Introduction: dental caries is the most prevalent infectious multifactorial disease of the oral cavity. Objective: to characterize the patients affected by dental caries and to determine some of the risk factors present in emergency cases. Method: cross-sectional study was conducted in people over 19, who came to the polyclinic to hospital Mario Muñoz municipality Rafael Freyre, from April to September 2012. The study group consisted of 247 patients with Stomatology emergence and the sample was composed of 235 patients. Results: the most affected age group of patients by dental caries was the one from 35-59 years a (51.5%) and females were affected in a 64.7%, the prevailing educational level was high school graduates (43.0%). The most common disease was reversible pulpitis with an 80.0 %. Some of the risk factors include: former history of cavities, inadequate dental hygiene and improper diets. They were more frequent in females with 64.7%, 65.0% and 73.1% respectively. Conclusions: the mayority of the patients suffering from dental caries was between 35-59 years of age, mainly from female sex. The most frequent emergency cases were related to reversible pulpitis. High risk factors were noticed on dental caries.
ABSTRACT
The purpose of this study was to observe histopathologically the influence of advanced periodontitis on pulp tissue, and to conclude the correlation between the results with clinical madifestations. The samples were teeth with over 7mm pocket depth and over 50% radiographic bone loss. These were diagnosed to have very poor prognosis and thus planned to be extracted. Those with any of following conditions were excluded from the samples, loss of vitality, periapical pathology, restoration or prosthesis, dental caries, and attrition or abrasion. It was because these conditions could affect pulp without any correlation with periodontal disease. For the experiment, 17 teeth from 11 patients were selected. Average age of patient was 47. Each tooth was examined for following categoris; pocket depth, gingival recession, electric pulp test, mobility, percussion test, sensitivity test. The extracted teeth were fixed buffered neutral formalin solution. It was decalcified using 4% nitric acid. Sliced histological samples observed using light microscope, for pulp status, and severeity of inflammation. 4 samples were excluded due to histologic sample discrepency. Thus 13 samples were subject to observation. 4 showed normal conditions. Focal reversable pulpitis was shown in 5 samples. Chronic pulpitis was observed 1 samples. Pulpal abscess observed in 3 samples.