Influence of systemic diseases on the diagnosis and treatment of dental diseases and prevention of related risks / 中华口腔医学杂志

Patients with dental problems may suffer from various systemic diseases at the same time. The concomitant systemic diseases can have impacts and risks on the diagnosis, treatment planning and therapeutic practice in dentistry. The author briefly expounds the influences of systemic diseases on dental diagnosis and treatment and the prevention of risks from seven aspects: cardio-cerebral vascular system, blood system, respiratory system, endocrine system, digestive system, genitourinary system, nervous system and mental system, in order to provide references for the dental clinicians.

Review of a three-year study on the dental care of onco-hematological pediatric patients

The aim of this study was to provide an updated review of dental procedures undertaken at the dental unit of the Onco-hematology service of the Instituto da Criança at the Hospital das Clínicas, Faculdade de Medicina, Universidade de São Paulo (ICr/HC-FMUSP). We retrospectively reviewed 565 of 1902 medical and dental records of patients diagnosed with onco-hematological diseases who were seen in a 3-year study (January 2015 to December 2017). We assessed data regarding population characteristics, onco-hematological diagnosis and dental procedures performed. Of the selected medical records, preventive dentistry was the most common procedure undertaken in this population, followed by oral maxillofacial surgeries, restorative dentistry and oral mucositis treatment. The most prevalent malignant diagnosis was acute lymphocytic leukemia, and the most prevalent nonmalignant diagnosis was sickle-cell anemia. Preventive dental procedures represent most of the dental procedures undertaken in hospitalized onco-hematological pediatric patients.

Análisis de las lesiones odontoestomatológicas en adolescentes drogadependentiens que concurren al servicio de atención odontológica de la direccion de Especialidades Médicas Benito Soria / Analysis of injuries odontostomatological teenage drug addicts who attend the service dental care for the direction of Medical Specialties Benito Soria

Objetivo. El propósito de esta investigación fue analizar lesiones odontoestomatológicas (EOE) en adolescentes que consumen drogas psicoactivas incorporados al Programa de Atención Integral del Adolescente de la Municipalidad de la ciudad de Córdoba, asistidos en la Dirección de Especialidades Médicas Doctor Benito Soria de la mencionada localidad. Materiales y Métodos. Se desarrolló un estudio observacional de corte transversal, descriptivo y correlacional, sobre una muestra final de 500 adolescentes, ambos sexos (64,3% mujeres; 35,7% varones), de 12 a 19 años de edad, que concurrieron por primera vez al Servicio Odontológico del referido centro de salud, entre 1º de enero al 31 de diciembre de 2005. Como criterio de exclusión no se incorporaron adolescentes con dentición mixta y/o portadores de aparatos o tratamientos ortodóncicos. En su mayoría (86,0%) los adolescentes incorporados en la muestra procedían de Córdoba capital. El nivel máximo de instrucción alcanzado o en curso correspondió a instrucción secundaria (77,0%). Resultados. La EOE de mayor prevalencia fue la caries dental. El índice CPO-D promedio fue de 6,84 ± 4,36, constituyendo las lesiones de caries el 82,2% del indicador. El 59,0% de los adolescentes realizaban el cepillado dental por lo menos una vez al día, en especial antes del desayuno, en tanto que el 28,2% lo hacían en forma discontinua. La hipo calcificación estuvo presente en el 26,4% de los jóvenes, en tanto que la abrasión afectó al 15,8% de la muestra. Las alteraciones periodontales correspondieron casi en su totalidad a gingivitis leve. Las lesiones en los tejidos blandos correspondieron a aftas (2,2%), mucosas mordisqueadas (2,0%), mucoceles (1,4%) y a queilitis (1,2%).

ABSTRACT: Target. The purpose is analyzed odontostomatological lesions in adolescents incorporated in the Program of Integral Health Care of the Adolescent of the Municipality of the city of Cordoba, treated in the Office of Medical Specialties Doctor Benito Soria of the mentioned city. Materials and Methods. An observational study of cross descriptive and correlational cut was carried out on a final sample of 500 adolescents, both sexes (64,3% women; 35,7% men), from 12 to 19 years old, who assisted for the first time to the Odontological Service of the referred Health Center between the months of 1st January and 31th December of 2005. As exclusion criterion adolescents with mixed dentition and/or carrying braces or dental treatment were not incorporated. Most of the adolescents (86,0%) incorporated in the sample from of Cordoba capital. The highest reached level of instruction or in course corresponded to secondary instruction (77,0%). Results. The OSD of highest prevalence was the dental decay. The average CPO-D index was of 6,84 ± 4,36, the decay injuries constituted the 82,2% of the indicator. The 59,0% of the adolescents made the dental brushing at least once a day, mainly before the breakfast, whereas the 28,2% did it in a discontinuous way. The hipocalcification was present in the 26,4% of the youngsters, whereas the abrasion affected the 15,8% of the sample. The periodontal illness corresponded almost as a whole to slight gingivitis. The injuries in the soft tissues were aphtha (2,2%), nibbled mucous (2,0%), mucoceles (1,4%) and to queilitis (1,2%).

Avaliação individualizada do risco circunstancial de cárie em pacientes atendidos na Clínica de Odontologia em Saúde Coletiva II da Universidade Federal do Pará / Individualized assessment of circumstantial caries risk of patients seen at Collective II's Health Dentistry Clinic of the Federal University of Pará

Introdução - Avaliar o risco circunstancial de cárie dos pacientes assistidos ao longo de onze meses na Clínica de Odontologia em Saúde Coletiva II da Faculdade de Odontologia da UFPA (FO/UFPA), através de informações advindas da realização da anamnese e exame clínico, assim como variáveis referentes à idade, gênero e freqüência diária de escovação, já que a determinação do risco é essencial para o correto planejamento e sucesso da terapia estabelecida. Materiaise Métodos - Os dados foram coletados, a partir de fichas clínicas de atendimentos fetuados no período de fevereiro a dezembro de 2007. A amostra foi formada por 61 pacientes de ambos os sexos, com faixa etária variando entre 7 e 51 anos de idade. A determinação do risco de cárie foi realizada pelo aluno e professor como parte do processo ensino/aprendizagem que acontece durante os semestres letivos na FO/UFPA. Resultados - O perfil do paciente assistido recaiu na faixa etária de 18 a 23 anos de idade, gênero feminino, com freqüência de escovação diária de três vezes ao dia e risco de cárie considerado médio (55,74%). Conclusões - Apesar dos pacientes submetidos ao estudo apresentarem médio risco de cárie, os mesmos possuíam um estado de saúde bucal preocupante, que demonstrou a necessidade de intervenções a nível curativo, interceptativo e preventivo. A determinação do risco individual de cárie favorece a elaboração de um plano de tratamento correto e eficaz, permitindo que haja uma margem de segurança maior na qualidade dos tratamentos, reduzindo as chances de recidivas da doença cárie, proporcionando assim, melhora da saúde bucal do paciente.

Introduction - In this way, aims to present the assessment of the risk of caries of patients assisted up to 11 months at Collective II's Health Dentistry Clinic, School of Dentistry, Federal University of Pará, adding information stemming from history and clinical examination performed as well as variables related to age, gender and frequency of daily brushing, as the determination of risk is essential to the proper the planning and success of the therapy established. Materials and Methods - Data were collected from the records of spontaneous demand of caries in the period from February to December 2007. The sample was made up by 61 patients of both sexes, with age ranging between 7 and 51 years, and 57.38% female. The determination of the risk of dental caries was performed by the student and teacher as part of the process teaching / learning what happens during the semester in FO / UFPA. Results - The profile of the patient assisted falls on the age of 18 to 23 years old, female, with a frequency of daily brushing three times a day and considered medium risk of caries (55.74%). Conclusions - Patients undergoing study had a state of oral health concern, which demonstrated necessity for interventions of curative, preventive and intercepted treatment.