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1.
Rev. Ciênc. Méd. Biol. (Impr.) ; 20(4): 637-642, fev 11, 2022. tab, fig
Article in Portuguese | LILACS | ID: biblio-1359524

ABSTRACT

Introdução: a Epidermólise Bolhosa hereditária (EB) é uma doença rara, caracterizada por formações de bolhas na pele e nas mucosas que sofrem mínimos traumas ou aparecem espontaneamente. As principais divisões de EB são Epidermólise Bolhosa Simples, Epidermólise Bolhosa Juncional, Epidermólise Bolhosa Distrófica e a Síndrome de Kindler. As manifestações bucais geralmente encontradas nos pacientes com EB são as bolhas no epitélio oral, microstomia, anquiloglossia, doença periondontal, hipoplasia do esmalte, cárie dentária, atrofia da maxila e prognatismo mandibular, variando para cada tipo da doença. Objetivo: relatar as manifestações bucais dos portadores de Epidermólise Bolhosa residentes no município de Barra da Estiva. Metodologia: trata-se de um estudo transversal, quantitativo e descritivo que foi desenvolvido no município de Barra da Estiva ­ BA com a população de portadores de Epidermólise Bolhosa, através da realização de anamnese e exame clínico. Estatística descritiva foi utilizada para tabular os dados coletados. Resultados: foram analisados 5 portadores de Epidermólise Bolhosa, a maioria do sexo masculino (60%), com média de idade de 5,6 anos. As manifestações bucais encontradas foram bolhas orais (100%), anquiloglossia (100%), língua despapilada (100%), hipoplasia de esmalte (80%), cárie (40%) e abertura de boca limitada em média de 28,6 mm. Conclusão: os portadores de Epidermólise Bolhosa apresentaram manifestações orais características da doença, tendo como consequências maiores dificuldades para realizar higienização bucal e tratamento odontológico, sendo necessário conhecimento prévio dos cirurgiões-dentistas para o atendimento desses pacientes.


Introduction: inherited Epidermolysis Bullosa (EB) is a rare disease, characterized by blistering of the skin and mucous membranes that suffer minimal trauma or appear spontaneously. The main divisions of EB are Simple Epidermolysis Bullosa, Junctional Epidermolysis Bullosa, Dystrophic Epidermolysis Bullosa and Kindler Syndrome. The oral manifestations usually found in patients with EB are blisters in the oral epithelium, microstomy, ankyloglossia, periodontal disease, enamel hypoplasia, dental caries, atrophy of the jaw and mandibular prognathism, varying for each type of disease. Objective: to report the oral manifestations of Epidermolysis Bullosa patients living in the municipality of Barra da Estiva. Methods: cross-sectional study, quantitative and descriptive that was developed in the municipality of Barra da Estiva-BA with the population of people with Epidermolysis Bullosa, through anamnesis and clinical examination. Descriptive statistics was used to tabulate the data collected. Results: 5 children with Epidermolysis Bullosa were analyzed, most male (60%), with an average age of 5,6 years. Oral manifestations found were oral blisters (100%), anquiloglossia (100%), loss of papillae of the tongue (100%), enamel hypoplasia (80%), tooth decay (40%) and mouth opening limited to the average of 28.6 mm. Conclusion: epidermolysis Bullosa children presented oral manifestations common to the disease, leading to difficulties in performing oral hygiene and dental treatment, requiring prior knowledge of dental surgeons for the care of these patients.


Subject(s)
Humans , Male , Female , Child, Preschool , Child , Oral Manifestations , Blister , Epidermolysis Bullosa , Dental Enamel Hypoplasia , Microstomia , Demography , Epidemiology, Descriptive , Evaluation Studies as Topic
2.
Braz. dent. sci ; 25(1): 1-7, 2022. ilus
Article in English | LILACS, BBO | ID: biblio-1361997

ABSTRACT

Oral mucosa could be the first site infected with severe acute respiratory syndrome coronavirus 2 (SARS-CoV-2) ­the causative agent of coronavirus disease 2019 (COVID-19). Indeed, different oral and paraoral lesions, conditions and symptoms have been reported in patients with COVID-19. Experts thought that such oral lesions could be secondary to the COVID-19-associated deterioration of systemic health or due to treatments of COVID-19. We present here a case of a 24-year-old male presented with painful multiple ulcers involving the labial and buccal mucosae bilaterally after a while of feeling very mild symptoms that laboratory-confirmed by reverse-transcription polymerase chain reaction to be COVID-19. Involvement of eyes was also reported. The above clinical presentation was consistent with minor erythema multiform. Many topical preparations were prescribed but with limited improvement. Hence, oral prednisolone was prescribed with a 40-mg loading dose that was tapered by 10 mg every 3 days. Complete healing of oral mucosa was observed on the 10 day. Strikingly, the patient got affected with the second episode of similar oral lesions 5 months later without any apparent triggering factors, suggestive a long term effects of COVID-19 in a subset of patients. The present case report provides dentists with useful information and increases their awareness regarding possible involvement of oral cavity with multiple ulcerative lesions associated with COVID-19 (AU)


A mucosa oral pode ser o primeiro local infectado com a síndrome respiratória aguda grave coronavírus 2 (SARS- CoV-2) ­ o agente causador da doença por coronavírus 2019 (COVID-19). De fato, diferentes lesões, condições e sintomas orais e paraorais foram relatados em pacientes com COVID-19. Os especialistas pensavam que essas lesões orais poderiam ser secundárias à deterioração da saúde sistêmica associada ao COVID-19 ou devido a tratamentos do COVID-19. Apresentamos aqui um caso de um homem de 24 anos que apresentou múltiplas úlceras dolorosas envolvendo bilateralmente as mucosas labial e bucal após um tempo sentindo sintomas muito leves que foram confirmados laboratorialmente pela reação em cadeia da polimerase de transcrição reversa como COVID-19. O envolvimento dos olhos também foi relatado. A apresentação clínica acima foi compatível com eritema multiforme menor. Muitas preparações tópicas foram prescritas, mas com melhora limitada. Assim, foi prescrito prednisolona oral com uma dose inicial de 40 mg que foi reduzida em 10 mg a cada 3 dias. A cicatrização completa da mucosa oral foi observada no 10º dia. Surpreendentemente, o paciente foi afetado com o segundo episódio de lesões orais semelhantes 5 meses depois, sem nenhum fator desencadeante aparente, sugerindo efeitos de longo prazo do COVID-19 em um subconjunto de pacientes. O presente relato de caso fornece aos dentistas informações úteis e aumenta sua conscientização sobre o possível envolvimento da cavidade oral com múltiplas lesões ulcerativas associadas ao COVID-19 (AU)


Subject(s)
Humans , Male , Adult , Oral Manifestations , Erythema Multiforme , COVID-19
3.
Rev. ADM ; 78(6): 356-360, nov.-dic. 2021. ilus, tab
Article in Spanish | LILACS | ID: biblio-1357553

ABSTRACT

El síndrome de Gardner es una enfermedad genética de herencia autosómica dominante, presenta múltiples manifestaciones craneofaciales caracterizadas por hipercrecimientos óseos conocidos como osteomas, riesgo de desarrollo de pólipos gastrointestinales con alto potencial de malignidad y de tumores o quistes en piel, así como alteraciones dentales, entre las que destacan la presencia de dientes supernumerarios, retenciones dentarias, permanencia de dientes deciduos y odontomas, estas últimas de gran importancia para el odontólogo. Se trata de una enfermedad que afecta a mujeres y hombres de forma indistinta, no obstante, su prevalencia es mayor en el sexo femenino. El objetivo del presente artículo es explicar las manifestaciones clínicas y radiográficas dentales y craneofaciales del síndrome de Gardner mediante la presentación de un caso clínico y revisión de la literatura (AU)


Gardner syndrome is a genetic disease of autosomal dominant inheritance, it presents multiple craniofacial manifestations characterized by bone overgrowths known as osteomas, risk of development of gastrointestinal polyps with high potencial of malignancy, and skin tumors or cysts, as well as dental alterations, among the characteristics of the presence of supernumerary teeth, dental retention, permanence of deciduous teeth and odontomas, the latter of great importance for the dentist. It is a disease that affects women and men indistinctly, however, its prevalence is higher in the female sex. The aim of this article is to explain the dental and craniofacial clinical and radiographic manifestations of Gardner syndrome by presenting a clinical case and a review of the literature (AU)


Subject(s)
Humans , Male , Adult , Tooth Abnormalities/genetics , Gardner Syndrome , Oral Manifestations , Patient Care Team , Radiography, Panoramic , Follow-Up Studies , Craniofacial Abnormalities/diagnostic imaging , Diagnosis, Differential , Age and Sex Distribution , Genetic Diseases, Inborn
4.
Rev. Odontol. Araçatuba (Impr.) ; 42(3): 50-55, set.-dez. 2021.
Article in Portuguese | LILACS, BBO | ID: biblio-1291673

ABSTRACT

A pandemia gerada pelo SARS-CoV-2 gerou uma série de estudos sobre essa nova doença. Este cenário proporcionou mudanças na odontologia, modificando a forma de atendimento e a rotina do consultório. O conhecimento sobre as implicações desse vírus no sistema estomatognático pode fornecer informações valiosas no conhecimento sobre o mecanismo dessa doença na cavidade oral. Dessa forma, foi realizada uma revisão de literatura, a fim de discutir os efeitos do COVID-19 na cavidade oral. No entanto, há poucas evidências na literatura sobre a correlação da COVID-19 e manifestações orais. Pode-se concluir que o vírus possui reflexo na cavidade oral, apresentando diferentes alterações, tais como: úlceras, periodontite, alterações do paladar, infecções oportunistas, dentre outras. Ainda se faz necessária a realização de mais estudos, para compreensão dos mecanismos fisiopatológicos da doença. Além disso, o trabalho ressalta a importância do cirurgião-dentista no ambiente hospitalar, para diagnóstico e conduta no tratamento dessas manifestações na cavidade oral(AU)


The SARS-CoV-2 pandemic has spawned several studies on this new disease. This scenario provided changes in Dentistry by modifying the form of care and the routine of the office. The knowledge about the implications of this virus in the stomatognathic system can provide valuable information in the knowledge about the mechanism of this disease in the oral cavity. Thus, a literature review was carried out to discuss the effects of COVID-19 on the oral cavity. However, there is little evidence in the literature about the correlation between COVID-19 and oral manifestations. It can be concluded that the virus is reflected in the oral cavity, such as ulcers, periodontitis, changes in taste, opportunistic infections, among others. Further studies are still needed to understand the pathophysiological mechanisms of the disease. Besides, the work highlights the importance of the Dental Surgeon in the hospital environment for diagnosis and management in the treatment of these manifestations in the oral cavity(AU)


Subject(s)
Oral Manifestations , Dental Care , COVID-19 , Periodontitis , Ulcer , Opportunistic Infections , Stomatognathic System , Dentists , Mouth
5.
Rev. ADM ; 78(3): 167-175, mayo-jun. 2021. ilus
Article in Spanish | LILACS | ID: biblio-1254949

ABSTRACT

La actual pandemia de COVID-19 provocada por el virus SARS-CoV-2 es un problema de salud que afecta a la población globalmente. Su desarrollo puede ser asintomático o exhibir manifestaciones clínicas moderadas o severas dependiendo en gran medida de la respuesta inmune de quien la padece. Esta enfermedad afecta principalmente a los pulmones a través del desarrollo del síndrome respiratorio agudo severo (SRAS), tanto como por la «tormenta de citocinas¼, una respuesta inflamatoria exacerbada que podría provocar una falla multisistémica y, en casos severos, la muerte. Se conoce que la enzima convertidora de angiotensina 2 (ECA-2), presente en diversos tejidos del cuerpo, actúa como receptor funcional del virus SARS-CoV-2 facilitando la entrada de éste a las células. Se ha demostrado la presencia de dicho receptor en varios tejidos orales, por lo que se puede considerar a la cavidad bucal como una vía latente de infección por dicho coronavirus, ya que su mecanismo de transmisión es a través de la inhalación de partículas virales, ya sea por vía nasal u oral. Así mismo, la presencia de carga vírica en la saliva y algunos de los síntomas de la COVID-19, por ejemplo la ageusia, pueden indicar la presencia de contagio viral en etapas tempranas. La presente revisión muestra evidencia que sugiere que diversos tejidos en la cavidad oral podrían ser considerados sitios potenciales de contagio por el SARS-CoV-2, teniendo un papel importante en el mecanismo de transmisión y en el desarrollo de coinfecciones (AU)


The COVID-19 pandemic caused by the SARS-CoV-2 virus is currently a global healthcare problem. The onset of this disease can exhibit several clinical manifestations ranging from mild to severe symptoms, depending on the individual's immune response. COVID-19 primarily affects the lungs by developing the Severe Acute Respiratory Syndrome (SARS) and the «cytokine storm¼, an exacerbated inflammatory reaction that can lead to multiorgan failure and consequently death. The angiotensin-converting enzyme 2 (ACE-2), present in several tissues in the human body, is known to act as the functional receptor of the SARS-CoV-2 germ facilitating its entrance into the cells. Such receptor is also present in diverse oral cavity tissues, indicating a latent route of infection due to its influence in the transmission mechanism by inhalation, either oral or nasal, of virus particles. Also, viral load in saliva and taste disorder symptoms like ageusia could indicate a viral infection in its early stages. This article presents evidence suggesting that several tissues in the oral cavity can be considered potential sites of SARS-CoV-2 infection, thus playing an essential role in the transmission mechanism and development of co-infections (AU)


Subject(s)
Humans , SARS-CoV-2 , COVID-19 , Mouth Mucosa/pathology , Oral Manifestations , Signs and Symptoms , Taste Disorders , Peptidyl-Dipeptidase A , Viral Load , Inflammation
6.
Rev. Ciênc. Plur ; 7(2): 239-252, maio 2021. ilus, tab
Article in Portuguese | LILACS, BBO | ID: biblio-1284554

ABSTRACT

Introdução:O consumo de drogas pode promover consequências para o organismo, sobretudo a cavidade bucal. Objetivo:Verificar quais são as substâncias psicoativas mais utilizadas e suasmanifestações na cavidade bucal. Metodologia:Trata-se de uma revisão integrativa, realizadana base de dados Medical Publications (PubMed) com os descritores "Transtornos Relacionados ao Uso de Substâncias (Substance-Related Disor-ders)" e "Odontologia (Dentistry)" com o operador booleano "And".Foram seleciona-dos artigos primeiramente por meio de leituras exploratórias dos seus títulos e resumos, seguida da leitura dos artigos na íntegra, levando em consideração os critérios de inclusão, que consistiam em textos completos, publicados nos idiomas Português e Inglês, do tipo estudo transversal indexados na base de dados referida, no período de 2015 a 2020 e que associassem o uso das substâncias psicoativas com as manifestaçõesna cavidade bucal, e os critérios de exclusão, que foram artigos de opinião, relatos de caso, revisões de literatura e os estudos que não abordassem sobre a temática da pesquisa. Resultados:A amostra foi composta por 5 artigos seleciona-dos, em que 4 deles realizaram a pesquisa com homens e mulheres e apenas 1 com homens, em ambos os trabalhos a idade dos participantes foram superiores a 18 anos e as substâncias psicoativas analisadasvariaram entre ópio, crack, cocaína, heroína, maconha, álcool e tabaco. Como consequência ao uso dessas substânciasa perda den-tária, presença de cárie dentária e doença periodontal foram as principais manifesta-çõesbucais. Conclusões:O consumo de substâncias psicoativas aumenta o limiar de dor, podendo mascarar a sintomatologia dolorosa das manifestações bucais e postergar a busca por tratamento odontológico, agravando, por vezes, a condição bucal do indivíduo. Sendo portanto, de extrema importância o conhecimento e atuação do cirurgião dentista frente ao usuário de drogas, desde a prevenção, diagnóstico etratamento do caso (AU).


Introduction:Drug use can have consequences for the body, especially the oral cavity.Objective:To investigate the most used psychoactive substances and their manifesta-tions in the oral cavity. Methodology:This is an integrative review, carried out in the Medical Publications database (PubMed) with the descriptors "Substance-Related Dis-orders (Substance-Related Disorders)" and "Dentistry (Dentistry)" with the Boolean operator "And". Articles were selected first through exploratory readings of their titles and abstracts, followed by reading the articles in full, taking into account the inclusion criteria, which consisted of full texts, published in Portuguese and English, of the cross-sectional type indexed in the referred database, in the period from 2015 to 2020 and that associated the use of psychoactive substances with the manifestations in the oral cavity, and the exclusion criteria, which were opinion articles, case reports, litera-ture reviews and studies that did not address the research theme.Results:The sample consisted of 5 selected articles, of which 4 of them researched with men and women and only 1 with men. In both studies, the participants' age was over 18 years, and the psychoactive substances analyzed varied between opium, crack, cocaine, heroin, ma-rijuana, alcohol, and tobacco. As a consequence of using these substances, tooth loss, dental caries, and periodontaldisease were the main oral manifestations.Conclusions:The consumption of psychoactive substances increases the pain threshold, masks the painful symptoms of oral manifestations and postpones the search for dental treat-ment, sometimes worsening the individual's oral condition. Therefore, the knowledge and performance of the dental surgeon concerning the drug user is essential, from pre-vention, diagnosis, and treatment of the case (AU).


Introducción:El consumo de drogas puede tener consecuencias en el organismo, es-pecialmente en la cavidad oral.Objetivo:Investigar las sustancias psicoactivas más utilizadas y sus manifestaciones en la cavidad oral.Metodología: Revisión integra-dora, realizada en la base de datos de publicaciones médicas (PubMed) con los des-criptores "Substance-Related Disorders (Trastornos relacionados con sustancias)" y "Dentistry (Odontología)" con el operador booleano "And". Los artículos fueron selec-cionados primero a través de la lectura exploratoria de sus títulos y resúmenes, se-guida de la lectura de los artículos en su totalidad, teniendo en cuenta los criterios de inclusión, que consistieron en textos completos, publicados en portugués e inglés, de tipo transversal indexados en la referida base de datos, en el período de 2015 a 2020 y que asociaran el uso de sustancias psicoactivas con las manifestaciones en la cavidad oral, y los criterios de exclusión, que fueron los artículos de opinión, los informes de casos, las revisiones bibliográficas y los estudios que no abordaron el tema de investi-gación. Resultados:Consistió en 5 artículos seleccionados, de los cuales 4 investigaron con hombres y mujeres y sólo 1 con hombres. En ambos estudios, la edad de los parti-cipantes era superior a 18 años y las sustancias psicoactivas analizadas variaban entre opio, crack, cocaína, heroína, marihuana, alcohol y tabaco. Como consecuencia del consumo de estas sustancias, la pérdida de dientes, la caries dental y la enfermedad periodontal fueron las principales manifestaciones orales.Conclusiones: El consumo de sustancias psicoactivas aumenta el umbral del dolor, enmascara los síntomas dolo-rosos de las manifestaciones orales y pospone la búsqueda de tratamiento odontoló-gico, empeorando en ocasiones la condición oral del individuo. Por lo tanto, el conoci-miento y la actuación del cirujano dentista en relación con el consumidor de drogas es esencial, desde la prevención, el diagnóstico y el tratamiento del caso (AU).


Subject(s)
Oral Manifestations , Periodontal Diseases , Oral Health/education , Substance-Related Disorders/pathology , Brazil/epidemiology , Epidemiology, Descriptive , Qualitative Research , Dentistry
7.
Rev. Cient. CRO-RJ (Online) ; 6(1): 34-38, abr. 2021.
Article in Portuguese | LILACS, BBO | ID: biblio-1354411

ABSTRACT

Introdução: A Síndrome de Lennox-Gastaut (SLG) é uma encefalopatia epiléptica grave na infância. Seu tratamento é complexo, principalmente devido à multiplicidade das crises epilépticas, o que favorece à ocorrência de lesões dentais Objetivo: O objetivo deste relato é apresentar o manejo clínico de um paciente com SLG, vítima de traumas recorrentes, discutir os achados dentais observados e o tratamento odontológico realizado. Relato do caso: Paciente L.H.D.L., do sexo masculino, com 15 anos de idade, apresentando grande acúmulo de biofilme dental, alto risco de cárie, fluorose leve e gengivite generalizada. Clinicamente foi possível observar fratura de esmalte dos dentes 12 e 14. Os dentes 21, 22, 32 e 42 estavam ausentes clinicamente, o que se confirmou radiograficamente. Além disso, notou-se giroversão de 180 graus do dente 11, com a face palatina voltada para a vestibular. O dente apresentou-se com leve alteração de cor, mas com resposta positiva aos testes de vitalidade. Resultados: Técnicas de manejo de comportamental, foram adotadas e orientações quanto à higiene bucal e dietéticas foram fornecidas tanto ao paciente quanto ao seu cuidador. Quatro sessões de profilaxia e aplicação tópica de flúor foram realizadas semanalmente. O tratamento endodôntico foi realizado no dente 12, seguido da restauração de resina composta do dente 12 e 14 e a restauração estética do dente 11 (girovertido). Por fim, foi realizada uma prótese adesiva para restaurar a estética da região de incisivo central superior. Apesar das dificuldades para tratar pacientes com SLG, no presente caso foi possível obter resultados funcionais e estéticos satisfatórios com um diagnóstico e tratamento cuidadoso, envolvendo uma equipe multiprofissional treinada no atendimento de pacientes com necessidades especiais. Conclusão: Pode-se concluir que o cirurgião dentista deve estar familiarizado com as possíveis manifestações bucais da SLG e realizar uma pesquisa criteriosa de sinais de traumatismo dental e, sempre que possível, solicitar um exame radiográfico para que traumatismos não identificados ao exame clínico não passem desapercebidos.


Introduction: Lennox-Gastaut Syndrome (LSG) is a severe childhood epileptic encephalopathy. Its treatment is complex, mainly due to the multiplicity of epileptic crises, which in turn favors the occurrence of dental injuries. Objective: The aim of this case report is to present the clinical management of a patient with LGS, victim of recurrent trauma, discuss the observed dental findings and the dental treatment. Case report: Patient L.H.D.L., male, 15 years old presenting high quantity of oral biofilm, mild fluorosis and generalized gingivitis. Clinically, it was possible to observe enamel fractures of teeth 12 and 14. Teeth 21, 22, 32 and 42 were clinically absent, which was confirmed radiographically. In addition, a 180-degree rotation of tooth 11 was noted, with the palate facing the buccal aspect. The tooth presented a slight change in color, but with a positive response to vitality tests. Results: Behavioral management techniques were adopted and guidelines on oral hygiene and diet were provided to both the patient and their caregiver. Four sessions of prophylaxis and topical application of fluoride were performed weekly. Endodontic treatment was performed on tooth 12, followed by aesthetic restoration of teeth 12 and 14 and esthetic restoration of tooth 11 (rotated). Finally, an adhesive prosthesis was performed to restore the esthetics of the upper central incisor region. Despite the difficulties of treating patients with LGS, in the present case it was possible to obtain satisfactory functional and aesthetic results with a careful diagnosis and treatment, involving a multidisciplinary team trained in the care of patients with special needs. Conclusion: It can be concluded that the dental surgeon must be aware with the possible oral manifestations of GLS and carry out a careful search for signs of dental trauma and, whenever possible, request a radiographic examination so that unidentified traumas on clinical examination do not pass unnoticed.


Subject(s)
Lennox Gastaut Syndrome , Oral Manifestations , Adolescent , Disabled Persons , Tooth Injuries
8.
Prensa méd. argent ; 107(2): 80-91, 20210000. tab
Article in English | LILACS, BINACIS | ID: biblio-1361359

ABSTRACT

La enfermedad del corona virus 2 del síndrome respiratorio agudo severo (virus SARS-CoV-2) apareció por primera vez en diciembre de 2019 en Wuhan, China, y desde entonces se ha extendido rápidamente por todo el mundo. Desde entonces, el brote de esta grave enfermedad viral se ha convertido en una amenaza global para la humanidad. El diagnóstico precoz y el aislamiento son las medidas más importantes necesarias para prevenir su propagación. La evidencia anecdótica reciente ha sugerido manifestaciones orales con o sin deterioro olfativo y gustativo en asociación con la enfermedad por coronavirus (COVID-19). La enzima convertidora de angiotensina-2 (ECA-2) se expresa en la mucosa oral en grandes cantidades y, por tanto, puede contribuir a las primeras manifestaciones de esta enfermedad viral mortal. Las manifestaciones bucales de la enfermedad por coronavirus pueden presentarse en forma de lesiones ulcerativas irregulares en relación con diferentes partes de la cavidad oral y, en particular, en relación con la mucosa adherida en la región del paladar duro, así como inflamación y posterior atrofia de las diversas papilas de la lengua. La disfunción olfativa y gustativa asociada también puede conducir a una pérdida parcial y / o incluso completa de la capacidad para oler y saborear en las primeras etapas del inicio de la enfermedad. La evidencia también ha sugerido la presencia de ácido nucleico del SARS-CoV-2 en la saliva humana, lo que la convierte en portadora de la enfermedad viral infecciosa y ayuda en su diagnóstico. Hemos buscado sistemáticamente la base de datos médica para el mismo y hemos revisado toda la literatura disponible hasta el 29 de junio de 2020


Severe acute respiratory syndrome corona virus 2 (SARS-CoV-2 virus) disease had first appeared in December 2019 in Wuhan, China and has been spreading quickly throughout the world since then. Since then, the outbreak of this severe viral disease has become a global threat to humanity. An early diagnosis and isolation are the most significant measures required to prevent its spread. Recent anecdotal evidence has suggested oral manifestations with or, without olfactory and gustatory impairment in association with corona virus disease (COVID-19). Angiotensin converting enzyme-2 (ACE-2) is expressed in oral mucosa in large amounts and can, thus, contribute in the early manifestations of this deadly viral disease. The oral manifestations of corona virus disease can occur in the form of irregular ulcerative lesions in relation to different parts of the oral cavity and particularly, in relation to the attached mucosa in the hard palate region as well as inflammation and subsequent, atrophy of the various tongue papilla. The associated olfactory and gustatory dysfunction can, also, lead to partial and/or, even a complete loss of the ability to smell and taste in the early stages of the disease onset. Evidence has, also, suggested the presence of SARS-CoV-2 nucleic acid in human saliva making it the carrier of the infectious viral disease as well as aiding in its diagnosis. We have systemically searched medical database for the same and have reviewed all the literature available up to 29th of June 2020.


Subject(s)
Humans , Oral Manifestations , Patient Isolation , Saliva/immunology , Early Diagnosis , SARS-CoV-2/immunology , COVID-19/diagnosis
9.
Rev. Cient. CRO-RJ (Online) ; 6(1): 50-55, abr. 2021.
Article in Portuguese | LILACS, BBO | ID: biblio-1354537

ABSTRACT

Introdução: A Síndrome de Singleton-Merten (SMS) é uma doença autossômica dominante hereditária rara caracterizada por alterações cardiovasculares, ósseas e dentais, pouco discutida na literatura em relação ao tratamento odontológico. Objetivo: O objetivo do presente estudo foi relatar o caso de uma paciente com SMS, descrevendo seus aspectos bucais e o plano de tratamento proposto, em conjunto com uma equipe multiprofissional. Relato do caso: Durante a anamnese constatou-se que o paciente apresentava alterações cutâneas decorrentes da síndrome. Os exames clínico, radiográfico e tomográfico revelaram maxila e mandíbula parcialmente edêntulas, ampla reabsorção do osso maxilar, além da maioria dos dentes permanentes incluídos e com raízes curtas. O plano de tratamento multidisciplinar incluiu a extração de dentes com formação radicular deficiente, tração ortodôntica dos caninos superiores incluídos e a confecção de próteses parciais superiores e inferiores removíveis, para reabilitação das funções mastigatória, fonética e estética. Conclusão: É importante ressaltar que durante o atendimento odontológico de pacientes com SMS, deve-se considerar o estado geral de saúde anterior, principalmente em relação às possíveis complicações cardiovasculares existentes, e a necessidade de reabilitação destes pacientes, por apresentarem perda dentária extensa.


Intoduction: Singleton-Merten Syndrome (SMS) is a rare in herited autosomaldominant disorder. Characterized by cardiovascular, bone and dental alterations, little discussed in the literature regarding dental treatment. Objective: The aim of this study was to report the case of a patient with SMS, describing her oral aspects and the proposed treatment plan, together with a multidisciplinary team. Case report: During the anamnesis it was found that the patient has alterations due to the syndrome. Clinical, radiographic and tomographic examinations revealed partially edentulous maxilla and mandible, wide resorption of maxillary bone, in addition to most of the permanent teeth included and with short roots. The multidisciplinary treatment plan included the extraction of teeth with deficient root formation, orthodontic traction of the included upper canines and the making of removable upper and lower partial dentures, for rehabilitation of masticatory, phonetic and aesthetic functions. Conclusion: It is important to emphasize that during dental care of patients with SMS, the previous general state of health should be considered, especially in relation to possible existing cardiovascular complications, and the need for rehabilitation of these patients, since they will present extensive tooth loss.


Subject(s)
Genetic Diseases, Inborn , Oral Manifestations , Pathologic Processes , Syndrome , Dental Care
10.
Rev. Asoc. Odontol. Argent ; 109(1): 34-40, ene.-abr. 2021. ilus, tab
Article in Spanish | LILACS | ID: biblio-1281050

ABSTRACT

Objetivo: Describir las características bucales prevalentes de pacientes argentinos con mucopolisacaridosis (MPS) atendidos en el Servicio de Odontología del Hospital Nacional "Prof. Alejandro Posadas". Materiales y métodos: Se consideraron las historias clínicas de 19 pacientes con diagnóstico de MPS. Se registraron la edad, el sexo, el lugar de residencia, el tipo de MPS y la presencia de retraso madurativo. La muestra estuvo constituida por 13 niños (6,7±3 años) y 6 adultos (26±9 años): 2 eran mujeres (1 con MPS tipo I; 1 con MPS tipo IV A) y 17 eran hombres (15 con MPS tipo 2; 1 con MPS tipo 1; 1 con MPS tipo III); 13 de los pacientes presentaban discapacidad intelectual. Se evaluaron: tipo de dentición, oclusión, macroglosia, hipoplasias del esmalte, tipo de respiración predominante, clase molar y tratamiento realizado. Resultados: Ambos casos con MPS I presentaban mordida abierta anterior y giroversión dental, y solo uno de estos, diastemas, microdoncia, hipoplasias del esmalte, macroglosia y respiración bucal. De los 15 pacientes con MPS II, 11 presentaban mordida abierta anterior (73%), 3 mordida cruzada posterior (20%), 5 giroversión dental (33%), 11 diastemas (73%), 3 retraso en la erupción (20%), 4 hiperplasia gingival (26%), 13 macroglosia (87%), 7 hipoplasias del esmalte (47%), 2 microdoncia (13%), 9 respiración bucal (60%). Se registraron 5 pacientes con clase molar I (33%), 3 con clase molar II (20%), 3 con clase molar III (20%) y en 3 casos no se pudo evaluar (20%). En el paciente con MPS tipo III se halló mordida abierta anterior, diastemas, retraso en la erupción, macroglosia, respiración bucal y clase molar II; y en el caso de MPS tipo IV A, mordida abierta anterior, diastemas, hiperplasia gingival, macroglosia y clase molar II. El 90% de los pacientes requirió tratamiento odontológico (AU)


Aim: To identify the most prevalent oral manifestations of 19 Argentine patients with mucopolysaccharidos (MPS) attending the Dentistry Service of the National Posadas Hospital. Materials and methods: The medical records of 19 patients diagnosed with MPS were considered. Age, sex, place of residence, type of MPS, and presence of maturational delay were recorded. The sample consisted of 13 children (6.7 ± 3 years) and 6 adults (26 ± 9 years): 2 were women (1 with MPS type I; 1 with MPS type IV A) and 17 were men (15 with MPS type 2; 1 with MPS type 1; 1 with MPS type III); 13 of the patients had intellectual disabilities. The following were evaluated: type of dentition, occlusion, macroglossia, enamel hypoplasia, predominant type of respiration, molar class and treatment performed Results: Both cases with MPS I presented anterior open bite and dental gyroversion, and only one of these, diastemas, microdontia, enamel hypoplasia, macroglossia and mouth respiration. Of the 15 patients with MPS II, 11 presented anterior open bite (73%), 3 posterior crossbite (20%), 5 dental gyroversion (33%), 11 diastemas (73%), 3 delayed eruption (20%), 4 gingival hyperplasia (26%), 13 macroglossia (87%), 7 enamel hypoplasia (47%), 2 microdontia (13%), 9 mouth breathing (60%). 5 patients with molar class I (33%), 3 with molar class II (20%), 3 with molar class III (20%) and in 3 cases it could not be evaluated (20%). In the patient with type III MPS, anterior open bite, diastemas, delayed eruption, macroglossia, mouth breathing and molar class II were found; and in the case of type IV A MPS, anterior open bite, diastemas, gingival hyperplasia, macroglossia and molar class II. 90% of the patients required dental treatment. Conclusion: The most observed oral manifestations were macroglossia (84.2%) and anterior open bite (73%) (AU)


Subject(s)
Humans , Male , Female , Child , Adolescent , Adult , Oral Manifestations , Mucopolysaccharidosis II/pathology , Mucopolysaccharidosis I/pathology , Mucopolysaccharidosis III/pathology , Argentina , Epidemiology, Descriptive , Cross-Sectional Studies , Statistical Analysis , Open Bite/epidemiology , Dental Service, Hospital/statistics & numerical data , Age and Sex Distribution , Macroglossia/epidemiology , Malocclusion/epidemiology
11.
Rev. Asoc. Odontol. Argent ; 109(1): 59-63, ene.-abr. 2021. ilus
Article in Spanish | LILACS | ID: biblio-1281778

ABSTRACT

Objetivo: Describir el diagnóstico y el tratamiento interdisciplinario de un caso clínico de histoplasmosis. Caso clínico: Un paciente masculino de 39 años, con antecedentes de consumo de drogas, alcohol, tabaquismo crónico y VIH+ sin adherencia al tratamiento, acudió al Servicio de Odontología por una interconsulta del Servicio de Clínica Médica para la evaluación de lesiones erosivas en paladar duro y blando, reborde alveolar anterior, dorso lingual y lesión tumoral en encía anterosuperior. El diagnóstico definitivo se obtuvo por medio del análisis de muestras de biopsia transbronquial, lavado broncoalveolar y biopsia de lesión en piel. El paciente recibió tratamiento sistémico con antimicóticos (anfotericina B e itraconazol según esquema) y tratamiento local con colutorio de clorhexidina al 0,12% y 100.000 UI de nistatina en suspensión. Al momento del alta, presentaba una considerable mejoría de su estado general y de las lesiones orales, con disminución de sintomatología dolorosa. Se indicó turno para control a los 7 días de forma ambulatoria, al cual el paciente no asistió. El abordaje interdisciplinario y el análisis de los diferentes aspectos socioeconómicos, culturales, ambientales y sistémicos del paciente facilitaron el diagnóstico temprano de la enfermedad (AU)


Aim: To describe the diagnosis and interdisciplinary treatment of a clinical case of histoplasmosis. Clinical case: 39-year-old male patient with a history of drug abuse, alcohol, and chronic smoking, HIV+ without treatment compliance, attends the dental department referred by the medical department for the diagnosis of erosive lesions in the hard and soft palate, anterior alveolar ridge, lingual dorsum and tumor lesion in the anterosuperior gingiva. The definitive diagnosis was obtained by the analysis of transbronchial biopsy, bronchoalveolar lavage and skin lesion biopsy. The patient received systemic treatment with antifungals (amphotericin b, itraconazole according to protocol), and local treatment with 0.12% chlorhexidine mouthwash and 100,000 IU nystatin suspension. At the time of medical discharge, the patient presented a considerable improvement in his general condition and of the oral lesions with a reduced pain. A 7 days recall was prescribed, however the patient failed to attend. The interdisciplinary approach to the patient and the analysis of the different socio-economic, cultural, environmental and systemic aspects of the patient facilitates the early diagnosis of the disease (AU)


Subject(s)
Humans , Male , Adult , Oral Manifestations , HIV , Dental Care for Chronically Ill , Histoplasmosis , Argentina , Biopsy , Amphotericin B , Nystatin , Immunosuppression/adverse effects , Itraconazole , Bronchoalveolar Lavage , Dental Service, Hospital , Early Diagnosis , Mouth Mucosa/injuries , Antifungal Agents
12.
Rev. bras. cancerol ; 67(2): e-081184, 2021.
Article in Portuguese | LILACS | ID: biblio-1223473

ABSTRACT

Introdução: O município de Pelotas-RS dispõe do Programa de Internação Domiciliar Interdisciplinar (PIDI) implantado no Hospital Escola da Universidade Federal de Pelotas com a presença de cirurgiões-dentistas em sua equipe. O PIDI atende a pacientes oncológicos em cuidados paliativos. Objetivo: Avaliar a prevalência de manifestações bucais em pacientes assistidos por esse programa, as características epidemiológicas da referida população e verificar a associação das manifestações com o tipo de câncer e tratamento antineoplásico recebido. Método: Estudo transversal retrospectivo, com dados secundários coletados dos prontuários odontológicos de pacientes atendidos no período de abril de 2018 a setembro de 2019. O teste qui-quadrado foi aplicado com um nível de 5% de significância (p≤0,05) atribuído aos resultados significativos. Resultados: As manifestações bucais foram encontradas 47 vezes nos 61 pacientes avaliados, sendo que alguns apresentaram mais de uma ocorrência. Pacientes que apresentavam câncer primário no sistema digestivo foram os mais acometidos por manifestações bucais. As mais prevalentes foram xerostomia (26,2%); candidíase (18%); mucosite (13,1%); disfagia e disgeusia, que apresentaram o mesmo percentual (9,8%); nenhum paciente desenvolveu cárie de radiação. A xerostomia mostrou significância estatística (p≤0,05) na associação com o tipo de câncer. Ao correlacionar as manifestações bucais com o tipo de tratamento recebido, estas não apresentaram significância estatística. Conclusão: Este estudo demonstrou alta prevalência de manifestações bucais na população estudada, reafirmando a importância do cirurgião-dentista na equipe multiprofissional de cuidados paliativos.


Introduction: The municipality of Pelotas-RS has the Interdisciplinary Home Internment Program (PIDI) implemented at the Teaching Hospital of the Federal University of Pelotas with the presence of dental surgeons on its team. PIDI assists oncology patients in palliative care. Objective:To evaluate the prevalence of oral manifestations in patients assisted by this program, the epidemiological characteristics of that population and to verify the relationship of the manifestations with the type of cancer and antineoplastic treatment received. Method: Retrospective cross-sectional study with secondary data collected from the dental records of patients seen from April 2018 to September 2019. The Chi-square test was applied, with a 5% significance level (p≤0.05) attributed to significant results. Results:Oral manifestations were found 47 times in the 61 patients evaluated, with some having more than one occurrence. Patients who had primary cancer in the digestive system were the most affected by oral manifestations. The most prevalent oral manifestations were xerostomia (26.2%), followed by candidiasis (18%), mucositis (13.1%), dysphagia and dysgeusia that presented the same percentage (9.8%), no patient developed radiation caries. Xerostomia showed statistical significance (p≤0.05) in relation to the type of cancer. When correlating oral manifestations with the type of treatment received, they were not statistically significant. Conclusion:This study demonstrated a high prevalence of oral manifestations in the population investigated, reaffirming the importance of the dental surgeon in the palliative care multidisciplinary team.


Introducción: El municipio de Pelotas-RS cuenta con el Programa Interdisciplinario de Internación Domiciliaria (PIDI) implementado en el Hospital Docente de la Universidad Federal de Pelotas con la presencia de cirujanos dentistas en su equipo. PIDI atiende a pacientes oncológicos en cuidados paliativos. Objetivo: Evaluar la prevalencia de manifestaciones bucales en pacientes atendidos por este programa, las características epidemiológicas de esa población y verificar la relación de las manifestaciones con el tipo de cáncer y tratamiento antineoplásico recibido. Método: Estudio transversal retrospectivo con datos secundarios recolectados de los registros dentales de los pacientes atendidos desde abril de 2018 a septiembre de 2019. Se aplicó la prueba de chi-cuadrado, con un nivel de significancia del 5% (p≤0,05) atribuido a resultados significativos. Resultados: Las manifestaciones orales se encontraron 47 veces en los 61 pacientes evaluados, algunos con más de una ocurrencia. Los pacientes que tenían cáncer primario en el sistema digestivo fueron los más afectados por las manifestaciones orales. Las más prevalentes fueron xerostomía (26,2%); candidiasis (18%); mucositis (13,1%); disfagia y disgeusia, que presentaron el mismo porcentaje (9,8%); ningún paciente desarrolló caries de radiación. La xerostomía mostró significancia estadística (p≤0,05) en relación con el tipo de cáncer. Al correlacionar las manifestaciones orales con el tipo de tratamiento recibido, no resultaron estadísticamente significativas. Conclusión: Este estudio demostró una alta prevalencia de manifestaciones bucales en la población estudiada, reafirmando la importancia del cirujano dentista en el equipo multidisciplinario de cuidados paliativos.


Subject(s)
Humans , Male , Female , Adult , Middle Aged , Aged , Aged, 80 and over , Oral Manifestations , Palliative Care , Home Care Services , Neoplasms , Dentists
13.
Rev. Cient. CRO-RJ (Online) ; 5(3): 61-65, Dec. 2020.
Article in English | LILACS, BBO | ID: biblio-1343279

ABSTRACT

Introduction: Alagille syndrome (AGS) is an autosomal dominant disease with variable expressiveness that can affect the liver, heart, kidneys, blood vessels, eyes, face and skeleton. Objective: To describe a case of a pediatric patient with Alagille syndrome. Case report: The family history was negative for even the mildest manifestations of AGS. Clinically, the patient had a triangular face, hypertelorism, short philtrum and flat midface. Intraoral examination revealed the absence of the permanent upper lateral incisors, enamel hypoplasia and agreenish color in some teeth, gingival hyperplasia, retention of two primary lower incisors, presence of a supernumerary tooth, and a pediculated nodule of soft tissue on the lingual aspect of the left permanent mandibular first molar. Results: The dental treatment required the extraction of the retained primary teeth and the supernumerary tooth, excisional biopsy and histopathological examination of the lesion were performed and also application of topical fluoride. Also dietary and oral hygiene instructions were given. Conclusion: Currently, the patient makes frequent follow-up visits to monitor the dental development.


Introdução: A síndrome de Alagille (AGS) é uma doença autossômica dominante com expressividade variável que podem afetar o fígado, coração, rins, vasos sanguíneos, olhos, rosto e esqueleto. Objetivo: Descrever um caso de um paciente pediátrico com síndrome de Alagille. Relato do caso: A história familiar era negativa até mesmo para as manifestações mais leves de AGS. Clinicamente, o paciente apresentava face triangular, hipertelorismo, filtro curto e face média plana. O exame intraoral revelou ausência dos incisivos laterais superiores permanentes, hipoplasia de esmalte e aspecto esverdeado em alguns dentes, hiperplasia gengival, retenção de dois incisivos inferiores decíduos, presença de um dente supranumerário, e um nódulo de tecido mole pediculado na face lingual do primeiro molar inferior permanente esquerdo. Resultados: O tratamento odontológico exigiu a extração dos dentes decíduos retidos e do dente supranumerário, biópsia excisional e exame histopatológico da lesão além da aplicação de fluoreto tópico. Também foi realizada instrução dietética e de higiene oral. Conclusão: Atualmente, o paciente faz visitas de acompanhamento frequentes para monitorar o desenvolvimento dentário.


Subject(s)
Oral Manifestations , Adolescent , Alagille Syndrome
14.
Rev. Ateneo Argent. Odontol ; 63(2): 65-72, nov. 2020.
Article in Spanish | LILACS | ID: biblio-1150756

ABSTRACT

Los términos lesión precancerosa, cancerizable o premaligna son sinónimos e involucran aquellas entidades con posibilidades estadísticamente demostrables de transformarse en cáncer. El porcentaje de transformación es variable de acuerdo con el tipo de lesión. La lesión precancerosa fue definida por la OMS (Organización Mundial de la Salud) como aquel tejido de morfología alterada con mayor predisposición a la cancerización (superior al 5%) que el tejido equivalente de apariencia normal, independientemente de sus características clínicas o histológicas. La cátedra de Anatomía Patológica considera como lesiones precancerosas o cancerizables a las siguientes entidades: la leucoplasia, los líquenes atípicos, las queilitis crónicas, eritroplasia y las ulceras traumáticas crónicas. Con frecuencia, factores relacionados con los estilos de vida son más importantes en la predisposición al cáncer, si bien en algunos casos los factores genéticos o ambientales pueden jugar algún papel en grado variable. No se conocen todos los factores de riesgo, y no siempre las asociaciones son de causaefecto. Las infecciones bacterianas, micóticas y virales se vinculan al surgimiento y desarrollo de los cánceres bucales por diferentes mecanismos, no del todo esclarecidos. En los últimos años han aumentado de manera significativa las manifestaciones orales y faríngeas secundarias a la práctica de sexo oral. El cambio de los hábitos sexuales en países occidentales ha dado lugar a la aparición de patologías otorrinolaringológicas, antes excepcionales, por lo que es importante su conocimiento por parte de los profesionales de la salud relacionados con la atención primaria para realizar un diagnóstico precoz, seguimiento precoz, seguimiento y oportuno tratamiento específico (AU)


The terms precancerous, cancerable or premalignant lesion are synonyms and involve those entities with statistically demonstrable possibilities of transforming into cancer. The transformation percentage is variable, according to the type of injury. The precancerous lesion was defined by the WHO as that tissue of altered morphology with a greater predisposition to cancerization (greater than 5%) than the equivalent tissue of normal appearance, regardless of its clinical or histological characteristics. The Chair of Pathological Anatomy considers the following entities as precancerous or cancerous lesions: leukoplakia, atypical lichens, chronic cheilitis, erythroplasia, and chronic traumatic ulcers. Lifestyle-related factors are often more important in cancer predisposition, although in some cases genetic or environmental factors may play a role to varying degrees. Not all risk factors are known, and the associations are not always cause and effect Bacterial, fungal, and viral infections are linked to the emergence and development of oral cancers by different mechanisms, not fully understood. In recent years, oral and pharyngeal manifestations secondary to oral sex have increased significantly. The change in sexual habits in western countries has given rise to the appearance of exceptional otorhinolaryngological pathologies previously, which is why it is important for them to be known by health professionals related to primary care in order to make an early diagnosis, early follow-up, follow-up and timely specific treatment (AU)


Subject(s)
Humans , Male , Female , Oral Manifestations , Precancerous Conditions , Sexually Transmitted Diseases , Syphilis , HIV Infections , Cheilitis , Papillomavirus Infections , Early Diagnosis , Erythroplasia , Leukoplakia
15.
J. oral res. (Impresa) ; 9(5): 383-391, oct. 31, 2020. graf, tab
Article in English | LILACS | ID: biblio-1179024

ABSTRACT

Objective: To describe the prevalence of oral manifestations of hypophosphatemic rickets in patients treated in a Peruvian referral pediatric hospital during the years 2012-2016. Material and methods: An observational, descriptive, retrospective, cross-sectional study was carried out. The sample consisted of patients diagnosed with hypophosphatemic rickets who attended the outpatient clinic of the Stomatology Service and the Genetics Service of the National Institute of Child Health (INSN), Lima, Peru, between the years 2012-2016. The research project was assessed and approved by the Research Ethics Committee of the Health Service. Medical records stored in a database of the health institution with the Code CIE E83.3, which corresponds to the diagnosis of Hypophosphatemic Rickets, were requested for the study. Results: Fifteen children received health care, of which only 10 were treated at the Stomatology Service. The distribution of the data was obtained from these 10 patients according to the proposed objective. A higher frequency of gingival lesions was found at the soft tissue level (41.18%); at the bone tissue level, only one case of dentigerous cyst was observed; and at the dental level, 90% of the patients had dental caries. Conclusion: The most frequent oral manifestations of hypophosphatemic rickets in pediatric patients treated at the National Institute of Child Health (2012-2016) were gingivitis and dental caries.


Objetivo:Describir la prevalencia de las manifestaciones bucales del raquitismo hipofosfatémico de pacientes atendidos en un hospital pediátrico de referencia peruano durante los años 2012-2016. Material y Métodos:Se realizó un estudio tipo observacional, descriptivo, retrospectivo, transversal. Para la selección de la muestra se consideró a los pacientes que acudieron a la consulta externa del Servicio de Odontoestomatología y el Servicio de Genética del Instituto Nacional de Salud del Niño, Lima, Perú; en el periodo comprendido entre los años 2012-2016 y que presentaron como diagnóstico Raquitismo Hipofosfatémico. El proyecto de investigación fue evaluado por un Comité de Ética en Investigación del servicio de salud. Se solicitaron las historias clínicas consignadas en una base de datos de la institución de salud con el Código CIE E83.3, que corresponde a este diagnóstico. Resultados: Fueron atendidos 15 niños, de los cuales solo 10 fueron tratados en el Servicio Odontoestomatología; siendo de estos 10 pacientes la distribución de los datos obtenidos según el objetivo propuesto. Se encontró mayor frecuencia de lesiones a nivel de tejido blando de gingivitis con 41.18%, a nivel de tejido óseo solo se presentó un caso de quiste dentígero; y a nivel de tejido dental el 90% de los pacientes presentó caries dental. Conclusión: Las manifestaciones bucales más frecuentes del raquitismo hipofosfatémico de pacientes pediátricos atendidos en el Instituto Nacional de Salud del Niño (2012-2016), fueron la gingivitis y caries dental.


Subject(s)
Humans , Male , Female , Tooth Diseases/etiology , Rickets, Hypophosphatemic/complications , Rickets, Hypophosphatemic/epidemiology , Oral Manifestations , Peru , Tooth Diseases/epidemiology , Dental Caries/etiology , Gingivitis/etiology
16.
Rev. cuba. invest. bioméd ; 39(3): e606, jul.-set. 2020. tab, graf
Article in English | LILACS, CUMED | ID: biblio-1138931

ABSTRACT

Introduction: More and more people search for health information on the internet and oral health is no exception. Objective: To analyze the changes in the relative volumes of internet searches regarding the most common oral diseases and / or injuries according to the World Health Organization. Methods: Google Trends was used to provide data on the volume of searches on Google for the most common terms of comparison based on diseases and / or oral injuries according to WHO. The period of time chosen was from 2004 to 2019. Five search terms were compared in relation to dental caries, periodontopathies, dental trauma, oral cancer, oral manifestations of HIV, noma, cleft lip and palate, tooth loss, toothache. Results: The search volume measured during the 2004-2019 period, indicated that the comparative terms of higher relative search volumes were: "tooth decay" was the most searched in Jamaica, "gingivitis" in Paraguay, "broken tooth" in the United States, "mouth cancer" in the United Kingdom, "HIV symptoms" in Zimbabwe, "cancrum oris" and "cleft palate" in Ghana, no teeth in the United States, "toothache" in Trinidad and Tobago. In the comparison of the five terms of higher relative search volumes in the study, "gingivitis" was the term with the highest relative search volumes. Conclusion: The results obtained confirm the interest in oral diseases and / or injuries through the internet, the search term with the highest frequency of search was "gingivitis", followed by "cleft palate", "tooth decay", "no teeth" and for broken tooth(AU)


Introducción: Cada vez más personas buscan información sobre salud en internet y la salud oral no es una excepción. Objetivo: Analizar los cambios en los volúmenes relativos de búsqueda en internet respecto a las enfermedades y/o lesiones orales más comunes según la Organización Mundial de la Salud. Métodos: Se utilizó Google Trends para proporcionar datos sobre el volumen de búsquedas en Google de los términos de comparación basados en enfermedades y/o lesiones orales más comunes según la Organización Mundial de la Salud. El periodo de tiempo elegido fue de 2004-2019. Se compararon cinco términos de búsqueda en relación a dental caries, periodontopathies, dental trauma, oral cancer, oral manifestations of HIV, noma, cleft lip and palate, tooth loss, toothache. Resultados: El volumen de búsqueda medido durante el periodo 2004-2019 señaló que los términos comparativos de mayores volúmenes relativos de búsqueda fueron: "tooth decay", el más buscado en Jamaica; "gingivitis", en Paraguay; "broken tooth" y "no teeth", en Estados Unidos; "mouth cancer", en Reino Unido; "HIV symptoms", en Zimbabue; "cancrum Oris" y "cleft palate", en Ghana; "toothache" en Trinidad y Tobago. En la comparación de los cinco términos de mayores volúmenes relativos de búsqueda en el estudio, "gingivitis" ocupó el primer puesto. Conclusión: Los resultados obtenidos confirman el interés por las enfermedades y/o lesiones orales a través del internet, el término de búsqueda con mayor frecuencia de búsqueda fue "gingivitis", seguido de "cleft palate", "tooth decay", "no teeth" y por "broken tooth"(AU)


Subject(s)
Humans , Oral Manifestations , Toothache , Oral Health , Tooth Loss , Internet
17.
Hematol., Transfus. Cell Ther. (Impr.) ; 42(2): 166-172, Apr.-June 2020. tab, ilus
Article in English | LILACS | ID: biblio-1134025

ABSTRACT

ABSTRACT Objective: To describe the oral health status of patients with multiple myeloma and compare to a control group. Materials and methods: The medical history of the studied subjects was obtained from the medical records and through interviews. Trained examiners evaluated the oral mucosa, teeth, periodontium and imaging aspects. The dental status was evaluated by the decayed, missing and filled teeth index. The presence of bone lesions was investigated with cone beam computer tomography images of the jaws. Results: The most common oral mucosa features were paleness (31%) and coated tongue (14.3%) in the multiple myeloma group (N = 42); and coated (21.4%) and fissured tongue (10.7%) in the control group (N = 28). The mean DMFT index of patients with multiple myeloma was high, but not significantly different from controls (14.57 versus 19.69, p = 0.975). Hypodense lesions suggestive of multiple myeloma were observed in the jaws of 73.8% of the patients. Hypodense lesions related to teeth were detected in 33.3% of the patients and in 53.6% of the controls (p = 0.832). Conclusions: The studied population of multiple myeloma patients presented many oral health issues that needed attention. Thus, oral care should be included in the routine treatment to improve the quality of the oral status in these patients.


Subject(s)
Humans , Male , Female , Middle Aged , Oral Manifestations , Dental Caries , Mouth , Multiple Myeloma
18.
Rev. ADM ; 77(3): 153-155, mayo-jun. 2020.
Article in Spanish | LILACS | ID: biblio-1128527

ABSTRACT

Se mantienen los estudios para describir los síntomas clínicos del COVID 19, ya se encuentran documentados a nivel general o sistémico la fiebre, dificultad para respirar, tos seca, fatiga, diarrea y algunos otros menos comunes que se llegan a presentar. La sintomatología se presenta en diferentes etapas que van desde asintomáticas hasta severa y crítica. Con un periodo de incubación de hasta 14 días y con un promedio de seis días que es el momento más común de presencia de los signos y síntomas. Algunas de las manifestaciones orales presentes son: pérdida de la sensación del sabor (ageusia), ausencia del olfato, resequedad de la boca (AU)


Studies are ongoing to describe the clinical symptoms of COVID-19, and fever, shortness of breath, dry cough, fatigue, diarrea, and some other less common ones that have been reported are already documented at a general or systemic level. Symptomatology occurs at different stages ranging from asymptomatic to severe and critical. With an incubation period of up to fourteen days and with an average of six days, which is the most common moment of presence of signs and symptoms. Some of the oral manifestations present are: Loss of taste sensation (ageusia), absence of olfaction, dry mouth (AU)


Subject(s)
Oral Manifestations , Coronavirus Infections/pathology , Coronavirus Infections/therapy , Antiviral Agents/therapeutic use , Signs and Symptoms , Chloroquine/therapeutic use , Public Health Dentistry
19.
Rev. ADM ; 77(3): 162-167, mayo-jun. 2020. ilus
Article in Spanish | LILACS | ID: biblio-1128895

ABSTRACT

Introducción: El síndrome de Gorlin-Goltz o síndrome de carcinoma de nevo basocelular es un desorden hereditario autosómico dominante que predispone principalmente a la proliferación de múltiples carcinomas basocelulares, queratoquistes odontogénicos y defectos del desarrollo, causados por la mutación del gen Patched localizado en el cromosoma 9. Presentación del caso: Se reporta un paciente con características de este síndrome, en la clínica de COMF de la UNAM. El diagnóstico fue basado en los estudios clínicos, imagenológicos y moleculares. Conclusiones: El conocimiento de esta enfermedad puede orientarnos a la sospecha diagnóstica de lesión quística o premaligna en forma oportuna, lo que permite prevenir complicaciones y brindar un tratamiento integral para así mejorar la calidad de vida de este tipo de pacientes (AU)


Introduction: Gorlin-Goltz syndrome or cell-based nevus carcinoma syndrome is an autosomal dominant inherited disorder that predisposes mainly to the proliferation of multiple basal cell carcinomas, maxillary keratocysts and developmental defects, caused by the mutation of the Patched gene located on chromosome 9. Case presentation: A patient with specific characteristics compatible with this syndrome was reported in the COMF Department of the UNAM. The diagnosis was based on clinical studies, radiology and genetic studies. Conclusions: Knowledge of this problem can guide us to the diagnostic suspicion in a timely manner, thus preventing complications, and to provide an improved integral treatment of the quality of life of this type of patients (AU)


Subject(s)
Humans , Male , Child , Carcinoma, Basal Cell , Basal Cell Nevus Syndrome , Odontogenic Cysts/surgery , Oral Manifestations , Biopsy , Histological Techniques , Pathology, Molecular , Patched-1 Receptor , Mexico
20.
Rev. cuba. estomatol ; 57(2): e1775, abr.-jun. 2020. tab
Article in Spanish | LILACS, CUMED | ID: biblio-1126498

ABSTRACT

RESUMEN Introducción: La enfermedad por reflujo gastroesofágico es un trastorno funcional, multifactorial, del tracto gastrointestinal superior. Las alteraciones bucales han sido consideradas como parte de sus manifestaciones extraesofágicas. Objetivo: Determinar las alteraciones bucales encontradas en pacientes con enfermedad por reflujo gastroesofágico. Métodos: Se realizó un estudio observacional descriptivo en 37 pacientes con diagnóstico de enfermedad por reflujo gastroesofágico. Las variables analizadas fueron: edad, sexo, presencia de alteración, signos y síntomas, y localización. Se confeccionó base de datos con registros, se calcularon las frecuencias absolutas y porcentajes. Resultados: El 48,6 por ciento de los pacientes presentó alguna alteración bucal, como sensación de ardor o urente (40,5 por ciento) y eritema (35,1 por ciento). Entre las regiones afectadas se encontraron paladar blando/úvula (72,2 por ciento) y lengua (61,1 por ciento). Conclusiones: Casi la mitad de los pacientes afectados por reflujo gastroesofágico presentó alguna manifestación bucal. Las más frecuentemente encontradas fueron: la sensación de ardor o urente, eritema, sensación de boca seca y ulceraciones. Las localizaciones más frecuentes fueron paladar blando/úvula y lengua(AU)


ABSTRACT Introduction: Gastroesophageal reflux disease is a functional multifactorial disorder of the upper gastrointestinal tract. Oral alterations are considered to be extraesophageal manifestations of this disease. Objective: Determine the oral alterations found in patients with gastroesophageal reflux disease. Methods: An observational descriptive study was conducted of 37 patients diagnosed with gastroesophageal reflux disease. The variables analyzed were age, sex, presence of alteration, signs and symptoms, and location. A database was developed with the information recorded, and absolute frequencies and percentages were estimated. Results: Of the patients studied, 48.6 percent had some sort of oral alteration, such as a burning sensation (40.5 percent) and erythema (35.1 percent). The regions affected included the soft palate / uvula (72.2 percent) and the tongue (61.1 percent). Conclusions: Almost half of the patients affected by gastroesophageal reflux had some sort of oral manifestation, the most common of which were a burning sensation, erythema, a dry mouth sensation and ulcerations. The most common locations were the soft palate / uvula and the tongue(AU)


Subject(s)
Humans , Oral Manifestations , Gastroesophageal Reflux/diagnosis , Epidemiology, Descriptive , Observational Studies as Topic
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