Nociones periodontales prácticas para un tratamiento integral / Practical periodontal knowledge for a comprehensive dentistry

La investigación ha estimulado un cambio de los enfoques tradicionales de los tratamientos, haciendo hincapié en la amplia variación de la susceptibilidad individual a las enfermedades periodontales y pérdida de los dientes. Hace más de 40 años se estableció científicamente la relación causal entre la biopelícula y la gingivitis. En los últimos años ha surgido evidencia, desafiando los conceptos tradicionales en la cual se basan abordajes para el tratamiento de enfermedad periodontal. La comprensión genética está comenzando a explicar las diferencias del huésped a esta susceptibilidad y también la posibilidad de respuesta satisfactoria al tratamiento. Ahora se confirman los efectos del estrés psicológico y el tabaco. Hoy el sueño de regeneración periodontal con inserción del tejido conjuntivo es una realidad. También se proporciona a los clínicos medios más eficaces de detección, prevención y tratamiento de la periodontitis, algunos ya actualmente disponibles; un enfoque más acorde de ser los médicos de la cavidad bucal. Nos acercaremos a enfermedades bucales utilizando un modelo más biológico de la gestión de la salud-enfermedad. El objetivo de este estudio es actualizarnos, basados en la evidencia, principios de la terapia periodontal y su relación con la clínica Odontológica integral

Research is stimulating our traditional approaches to treatment needs by emphasizing the wide variation in individual susceptibility to periodontal diseases and tooth loss. Over 40 years ago, the causative relationship between dental plaque and gingivitis was scientifically established. In recent years, evidence has emerged challenging the traditional concepts of periodontal disease upon which approaches to treatment are based. Genetic understanding is beginning to explain host differences in this susceptibility and also the potential for satisfactory treatment response. The effects of psychological stress and tobacco smoking are now confirmed. Today the dream of periodontal regeneration with connective tissue attachment is a reality. It do provide clinicians with more effective means of detection, prevention, and treatment of periodontitis, some of them are currently available; an approach more befitting physicians of the oral cavity. We will approach oral diseases using a more biological model of health- disease management. The objective of this study is to update us, based on the existing evidence, principles of periodontal therapy and its relationship with the clinical comprehensive dentistry

Oral Cavity — A Window to Systemic Illness.

Oral cavity very often has been described as reflection of our body as most of the initial clinical symptoms occur in oral cavity. The current paper also focuses on the oral presentation of the systemic condition called Pyknodysostosis (MIM 265800) which is a rare, autosomal recessive skeletal dysplasia characterized by short stature, wide cranial sutures, and increased bone density and fragility was first described in 1962 by Maroteaux and Lamy under the heading of diastrophic dwarfism.

Cobalt-induced occupational asthma associated with systemic illness

We report a case of occupational asthma caused by cobalt associated with systemic symptoms. He was a non-atopic, ex-smoker and had worked in a glassware factory for 14 months. A skin prick test with CoSO4 up to 100 mg/ml showed a negative result. A bronchoprovocation test with CoSO4 demonstrated an isolated asthmatic response with systemic symptoms such as fever, arthralgia and myalgia. Although an initial methacholine bronchial challenge test showed a negative result, the following methacholine bronchial challenge test which was done 24 hours after the challenge testing demonstrated an increased airway hyperresponsiveness at 2.5 mg/ml which recovered 7 days later. An intradermal skin test with 10 mg/ml and 100 mg/ml CoSO4 solution demonstrated positive responses respectively(13 x 12/40 x 32, 20 x 15/40 x 37 (mm), histamine 16 x 14/64 x 50). A patch test including cobalt showed a negative result. Bronchoalveolar lavage fluid after the cobalt inhalation testing and other laboratory findings showed no evidence of hypersensitivity pneumonitis. These results suggested that cobalt could induce occupational asthma with systemic illness in an exposed worker.