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1.
Rev. ADM ; 77(1): 37-40, ene.-feb. 2020. ilus
Article in Spanish | LILACS (Americas) | ID: biblio-1088035

ABSTRACT

Paciente femenina de ocho años y cuatro meses, con patrón esquelético de clase II severa y overjet de 10 mm, fue tratada con Bite-Block Céntrico como método de control vertical. Después de cinco meses de terapia con aparatología fija de primera fase se logró control vertical y reducción de las desviaciones de la clase esquelética. Posteriormente se continuó con tratamiento activo durante 18 meses, se dio de alta de la primera fase cuando los objetivos del tratamiento como alineación, nivelación, overbite y overjet fueron adecuados. Los registros postratamiento demostraron una buena estabilidad articular, oclusión funcional y una mejora en la estética facial. El montaje en céntrica postratamiento demuestra estabilidad condilar con el uso de Bite-Block Céntrico como método de control vertical (AU)


Female patient of eight years and four months, with skeletal pattern of severe class II and 10 mm overjet, was treated with Bite-Block Centric as a vertical control method. After five months of therapy with fixed appliances of the first phase, vertical control and reduction of the deviations of the skeletal class were achieved. Subsequently continued with active treatment for 18 months, was discharged from the first phase when the treatment objectives such as alignment, leveling, overbite and overjet appropriate. Post-treatment records showed good joint stability, functional occlusion and an improvement in facial aesthetics. The posttreatment centric assembly demonstrates condylar stability with the use of Centric Bite-Block as a vertical control method (AU)


Subject(s)
Humans , Female , Child , Vertical Dimension , Centric Relation , Orthodontic Appliances, Fixed , Patient Care Planning , Cephalometry , Dental Occlusion, Centric , Malocclusion, Angle Class II/therapy
2.
Rev. ADM ; 77(1): 41-45, ene.-feb. 2020. ilus
Article in Spanish | LILACS (Americas) | ID: biblio-1088066

ABSTRACT

Introducción: La maloclusión clase III es considerada como severa y en la mayoría de los pacientes la etiología suele estar combinada entre componentes esqueléticos y dentoalveolares. Las posibilidades terapéuticas dependerán de la edad biológica del paciente y del tipo de maloclusión. Conforme va aumentando la edad del paciente va menguando la capacidad de crecimiento y se va asentando la relación de clase III esquelética. Las maloclusiones de clase III esqueléticas se pueden corregir mediante extracciones dentales y cirugía ortognática. Caso clínico: Paciente masculino de 13 años de edad con protrusión mandibular, discrepancia óseo dentaria negativa, convexidad facial disminuida y clase III dental y esqueletal. Resultados: Se resolvió la discrepancia óseo dentaria negativa del paciente, se logró la clase I Molar y canina con una sobremordida adecuada (AU)


Introduction: Class III malocclusion is considered severe and in most patients the etiology is usually combined between skeletal and dentoalveolar components. The therapeutic possibilities depend on the biological age of the patient and the type of malocclusion. As it increases the age of the patient wanes growth capacity and Will settled the relationship skeletal class III. The skeletal class III malocclusion can be corrected by tooth extractions and orthognathic surgery. Case report: Male patient 13 years old with mandibular protrusion, negative tooth bone discrepancy, decreased facial convexity and dental and skeletal class III. Results: Dental patient refusal bone discrepancy was resolved, I molar and canine class and adequate overbite was achieved (AU)


Subject(s)
Humans , Male , Adolescent , Palatal Expansion Technique , Extraoral Traction Appliances , Orthodontic Appliances, Fixed , Malocclusion, Angle Class III/therapy , Patient Care Planning , Tooth Extraction , Orthodontic Space Closure
3.
Article in Chinese | WPRIM (Western Pacific) | ID: wprim-781338

ABSTRACT

Dental implants have become the main choice for patients to fill in their missing teeth. A precise placement is the basis for a functional and aesthetic restoration. A digital surgical guide is a carrier that transfers the preoperative plan of dental implants to the actual surgery. This paper provides some references that can help clinicians improve the accuracy of implant surgery by stating the development, classification, advantages and disadvantages, and factors that affect the accuracy of digital guides.


Subject(s)
Computer-Aided Design , Dental Implantation, Endosseous , Dental Implants , Esthetics, Dental , Humans , Imaging, Three-Dimensional , Patient Care Planning , Surgery, Computer-Assisted
4.
Article in Chinese | WPRIM (Western Pacific) | ID: wprim-781335

ABSTRACT

Identifying the ideal implantation site is important for the long-term stability and effectiveness of follow-up restorations. Implant surgical guide and navigation are used to determine the implantation site in clinic and improve the precision of implantation. However, due to difficulties in digital methods, such as multiple procedures, high cost, and actual accuracy of more than 1 mm, many physicians still prefer to operate with free hand. In preoperative, intraoperative, and postoperative procedures, time-saving and practical methods for implant site evaluation are lacking. In many cases, oral physicians found that the position deviates only by cone beam CT, which was costly to modify the position. In this article, we presented a precise implantation insertion technology that is guided by a measurable technique throughout the implantation application for all implant systems. This method was guided by a dynamic control measuring ruler, which functions together with the measuring and intraoperative locating rulers. The 3D space of the operative area was measured by a measuring ruler prior to operation, and the implant plan and quantitative guidance design were conducted according to the measured and cone beam CT data. The whole implantation process was guided by the dynamic control measuring ruler, and measuring verification results were also considered. This method can realize the quantification of the entire preoperative space analysis, intraoperative precise implantation guidance, and postoperative site measurement and evaluation. This practical technique also helps to adjust the position, improve the implantation accuracy and is suitable in generalizing dental implantation.


Subject(s)
Computer-Aided Design , Cone-Beam Computed Tomography , Dental Implantation, Endosseous , Dental Implants , Imaging, Three-Dimensional , Patient Care Planning , Surgery, Computer-Assisted
5.
Rev. Ateneo Argent. Odontol ; 61(2): 13-25, nov. 2019. ilus
Article in Spanish | LILACS (Americas) | ID: biblio-1095251

ABSTRACT

Los desórdenes respiratorios del sueño (DRS) y, principalmente, roncopatías y apneas obstructivas afectan aproximadamente al 7% de los pacientes ortodóncicos. Los DRS no solo son importantes por la cantidad de pacientes afectados, sino por la gravedad de los posibles efectos secundarios a nivel de la salud general del paciente. La obstrucción de las vías aéreas superiores (VAS) provoca alteraciones del crecimiento y deformaciones craneofaciales importantes, por lo que el tratamiento temprano y la prevención de la respiración oral es muy importante.El papel del ortodoncista es muy importante en el diagnóstico y en el tratamiento de los DRS, pero también en su prevención, realizando tratamientos que aumenten la dimensión y la permeabilidad de las VAS. El protocolo de exploración interdisciplinar en niños y adolescentes y la cefalometría de vías aéreas son importantes en el diagnóstico y deben ser tenidos en cuenta en el plan de tratamiento. Pero las pruebas más significativas, el CBCT de vías aéreas y la polisomnografía no son pruebas rutinarias por la dificultad logística y el precio de estas pruebas. En este artículo también se recomiendan los tratamientos de ortodoncia más indicados en estos casos y que tienden al aumento de la dimensión de las VAS (AU)


Sleep breathing disorders (SBD) and in the first place, roncopathy and obstructive apnea, affect approximately 7% of orthodontic patients. The SBD are not only important for the number of affected patients, but also for the severity of the possible side effects at the level of general health of a patient. The upper air ways (UAW) obstruction provokes important alterations in growth and craniofacial deformations, and this is why the early treatment and prevention of mouth breathing are very important. The role of an orthodontist in diagnosis and treatment of SBD is very important, but it is also in its prevention, carrying out the treatments which increase the dimension and permeability of UAW. The protocol of interdisciplinary examination.In children and adolescents and the air ways cephalometry analysis have an important role in diagnosis and they should be taken into account in treatment planning. But the most important tests, the air ways CBCT and polysomnography, are not routine tests due to the complicated logistics and their cost. In this article, the orthodontic treatments most indicated in these cases are recommended, because they tend to increase the UAW dimension (AU)


Subject(s)
Humans , Male , Female , Child, Preschool , Child , Orthodontics, Preventive , Sleep Apnea Syndromes/prevention & control , Sleep Apnea Syndromes/therapy , Sleep Apnea Syndromes/diagnostic imaging , Snoring/therapy , Sleep Disorders, Intrinsic , Dentition, Mixed , Patient Care Planning , Polysomnography , Airway Obstruction/prevention & control , Extraoral Traction Appliances , Spiral Cone-Beam Computed Tomography , Malocclusion, Angle Class II/therapy
7.
Rev. Ateneo Argent. Odontol ; 61(2): 52-59, nov. 2019. ilus
Article in Spanish | LILACS (Americas) | ID: biblio-1095411

ABSTRACT

Esta presentación se centra en la aplicación de la cefalometría en la práctica clínica de la ortodoncia. Su objetivo es relacionar el protocolo utilizado en el Ateneo Argentino de Odontología (AAO) con los cefalogramas laterales diseñados por los Dres. Arne Björk, Joseph Jarabak, James McNamara y Robert Ricketts y proponer las visiones complementarias en la búsqueda de un diagnóstico y un plan de tratamiento de mayor precisión. Para cumplir con este objetivo, el presente trabajo será dividido en dos partes, a saber: "Parte I: Protocolo del AAO" y "Parte II Consideraciones sobre la aplicación de diferentes protocolos cefalométricos laterales en relación al del AAO" (AU)


This paper focuses on the application of cephalometry in the clinical practice of Orthodontics. Its objective is to link the protocol used in the Ateneo Argentino de Odontología (AAO) with the lateral cephalograms designed by Drs. Arne Bjork, Joseph Jarabak, James McNamara and Robert Ricketts and propose complementary visions in the search for a more accurate diagnosis and treatment plan. In order to fulfil this objective, this work will be divided into two parts, namely: Part I: AAO Protocol and Part II Considerations on the application of different lateral cephalometric protocols in relation to that of the AAO (AU)


Subject(s)
Humans , Patient Care Planning , Clinical Protocols , Cephalometry/methods , Argentina , Societies, Dental/standards , Malocclusion/diagnosis
8.
Nursing (Säo Paulo) ; 22(257): 3204-3208, out.2019.
Article in Portuguese | LILACS (Americas), BDENF | ID: biblio-1026072

ABSTRACT

A pesquisa tem como objetivo identificar as vantagens e as desvantagens relacionadas à realização do processo de enfermagem (PE) pelos enfermeiros que atuam nas unidades de internação em um hospital público de ensino. Trata-se de um estudo descritivo com análise quantitativa dos dados. A coleta de dados foi realizada no período de outubro de 2016 a março de 2017 por meio de entrevista individual com enfermeiros que aceitaram fazer parte do estudo, totalizando 29 sujeitos. Foram apontados como eventos vantajosos decorrentes da realização do PE: cuidado humanizado, individualizado e holístico; direcionamento da prática e tomada de decisão; cuidado qualificado; maior qualidade dos registros de enfermagem; valorização profissional; melhoria na condição de saúde dos clientes; autonomia profissional; maior interação da equipe de enfermagem; satisfação do usuário e maior controle de custos. Os aspectos negativos decorrentes da realização do PE foram: necessidade de acompanhamento sequencial do paciente, necessidade de maior número de enfermeiros assistenciais e maior disponibilidade de tempo para avaliar, planejar, prescrever, executar e registrar as respostas do paciente no prontuário, no entanto, tais itens consistem em "dificuldades" para a realização do PE e não como "desvantagens" da realização do mesmo. Foi possível verificar que a realização do PE traz inúmeras vantagens para o paciente, profissional e instituição de saúde e nenhuma desvantagem aos envolvidos nesse processo.(AU)


The research aims to identify the advantages and disadvantages related to the performance of the nursing process (PE) by nurses working in inpatient units in a public teaching hospital. This is a descriptive study with quantitative data analysis. Data collection was performed from October 2016 to March 2017 through individual interviews with nurses who agreed to be part of the study, totaling 29 subjects. Advantageous events resulting from the performance of the PE were: humanized, individualized and holistic care; practice direction and decision making; qualified care; higher quality of nursing records; professional appreciation; improvement in clients' health condition; professional autonomy; greater interaction of the nursing staff; user satisfaction and greater cost control. The negative aspects resulting from the performance of PE were: need for sequential patient follow-up, need for more nurses and more time available to evaluate, plan, prescribe, execute and record patient responses in the medical record; These items consist of "difficulties" for performing PE and not as "disadvantages" of performing PE. It was possible to verify that the performance of PE brings numerous advantages for the patient, professional and health institution and no disadvantage to those involved in this process.(AU)


La investigación tiene como objetivo identificar las ventajas y desventajas relacionadas con el desempeño del proceso de enfermería (EP) por parte de las enfermeras que trabajan en unidades de hospitalización en un hospital público de enseñanza. Este es un estudio descriptivo con análisis de datos cuantitativos. La recopilación de datos se realizó entre octubre de 2016 y marzo de 2017 a través de entrevistas individuales con enfermeras que aceptaron ser parte del estudio, totalizando 29 sujetos. Los eventos ventajosos resultantes del desempeño de la EP fueron: atención humanizada, individualizada y holística; dirección práctica y toma de decisiones; cuidado calificado; mayor calidad de los registros de enfermería; apreciación profesional; mejora en el estado de salud de los clientes; autonomía profesional; mayor interacción del personal de enfermería; satisfacción del usuario y mayor control de costos. Los aspectos negativos resultantes del desempeño de la EP fueron: necesidad de seguimiento secuencial del paciente, necesidad de más enfermeras y más tiempo disponible para evaluar, planificar, prescribir, ejecutar y registrar las respuestas de los pacientes en la historia clínica; Estos elementos consisten en "dificultades" para realizar PE y no como "desventajas" de realizar PE. Fue posible verificar que el desempeño de la EP trae numerosas ventajas para el paciente, el profesional y la institución de salud y no una desventaja para los involucrados en este proceso.(AU)


Subject(s)
Humans , Patient Care Planning , Nursing Care/methods , Nursing Process , Humanization of Assistance
9.
Nursing (Säo Paulo) ; 22(257): 3220-3225, out.2019.
Article in Portuguese | LILACS (Americas), BDENF | ID: biblio-1026095

ABSTRACT

Objetivo: identificar a percepção dos enfermeiros de unidades de internação clínica sobre a importância da Sistematização da Assistência de Enfermagem para o planejamento da assistência. Método: Estudo descritivo, qualitativo, realizado após aprovação do comitê de ética em pesquisa, em um hospital universitário de Porto Alegre. Resultados: foram entrevistados 18 enfermeiros. A análise temática dos dados revelou as seguintes áreas: Sistematização da Assistência de Enfermagem: Conhecimento e Aplicação na prática profissional: dificuldades encontradas. Conclusão: apesar das comprovações científicas de sua eficiência, a implementação da SAE necessita superar as limitações impostas pela falta de compreensão do papel do enfermeiro em sua prática assistencial. O aprimoramento científico torna-se imperativo no desenvolvimento de atitudes e habilidades direcionadas a um cuidado ético e responsável.(AU)


Objective: identify the perception of the nurses of clinical hospitalization units about the importance of Nursing Care Systematization for care planning. Method: Descriptive, qualitative study, carried out after approval of the research ethics committee, at a university hospital in Porto Alegre. Results: 18 nurses were interviewed. The thematic analysis of the data revealed the following areas: Systematization of Nursing Assistance: Knowledge and Application in professional practice: difficulties encountered. Conclusion: despite the scientific evidence of its efficiency, the SAE implementation needs to overcome the limitations imposed by the lack of understanding of the role of nurses in their care practice. The scientific improvement becomes imperative in the development of attitudes and abilities directed towards an ethical and responsible care.(AU)


Objetivo: identificar la percepción de las enfermeras de las unidades de hospitalización clínica sobre la importancia de la sistematización de la atención de enfermería para la planificación de la atención. Método: Estudio descriptivo, cualitativo, realizado después de la aprobación del comité de ética de la investigación, en un hospital universitario de Porto Alegre. Resultados: se entrevistó a 18 enfermeras. El análisis temático de los datos reveló las siguientes áreas: Sistematización de la asistencia de enfermería: conocimiento y aplicación en la práctica profesional: dificultades encontradas. Conclusión: a pesar de la evidencia científica de su eficiencia, la implementación de SAE debe superar las limitaciones impuestas por la falta de comprensión del papel de las enfermeras en su práctica de atención. La mejora científica se vuelve imperativa en el desarrollo de actitudes y habilidades dirigidas hacia un cuidado ético y responsable.(AU)


Subject(s)
Humans , Patient Care Planning , Professional Practice , Nursing Care/methods , Nursing Process , Inpatient Care Units
10.
Med. infant ; 26(2): 130-139, Junio 2019. tab, ilus
Article in Spanish | LILACS (Americas) | ID: biblio-1015635

ABSTRACT

Introducción: Los grandes avances en el diagnóstico y tratamiento de los pacientes con cardiopatías congénitas en las últimas décadas han permitido que mas del 90% lleguen a la adolescencia y edad adulta. Sin embargo, muchos de ellos requirieran seguimiento e intervenciones de por vida, por lo que necesitaran ser transferidos desde el hospital pediátrico al de adultos. Material y Métodos: Se incluyeron los pacientes mayores de 15 años que consultaron en el área ambulatoria del servicio de cardiología del Hospital Garrahan durante el periodo agosto 2017 - agosto 2018. Las variables analizadas fueron: procedencia, cardiopatía de base y variedad pronostica ,procedimientos intervencionistas factores asociados como síndrome genéticos y otras comorbilidades, cobertura social, nivel educativo, terapéutica medicamentosa, clase funcional, embarazos, prevalencia de cardiopatías en la descendencia y transición-transferencia al hospital de adultos. Resultados: Registramos 704 consultas de 309 pacientes con una edad media de 19,17 años (DS +- 4,62; (rango 15- 49,4 años). Fueron 112 mujeres y 197 varones. El 51,1 % provenían de Buenos Aires,40 % de las provincias del interior y 8,1% CABA. El 92% de los pacientes tenía cardiopatías de moderada y severa complejidad, y el 93,5% eran operadas. El 13,2 % eran síndromes genéticos. El 48.5% tenían comorbilidades, siendo los trastornos electrofisiológicos los más frecuentes en el 72,66% de los casos. El 63% tenía cobertura social pero solo el 2,6% prepagos con cobertura en centros alta complejidad. El 23.6% recibía terapia combinada con 2 o más drogas. El 48,78% ya presentaban antecedente de algún tipo de reintervención, 98,5% de estas se vincularon a las cardiopatías moderadas a complejas. Registramos 15 embarazos con 14 recién nacidos vivos, 1 con cardiopatía congénita. El proceso de transición ­ transferencia en el 55% (170 p) se había iniciado, siendo efectiva (8p), frustra (9p), compartida (49 p), y en proceso (103 p). Hubo un solo fallecimiento durante el periodo de estudio, vinculado a cardiopatía compleja, múltiples reintervenciones y endocarditis. Conclusiones: El 92% de los pacientes en nuestro estudio, tienen cardiopatías operadas de moderada y severa complejidad. Los trastornos electrofisiológicos y la necesidad de reintervenciones durante el seguimiento alejado han sido las complicaciones más frecuentes de esta población. El proceso de transición y transferencia desde el hospital pediátrico al de adultos es deficitario, principalmente por falta de cobertura y experiencia sobre todo para la atención continua de las cardiopatías moderadas y complejas (AU)


Introduction: In recent decades, important advances in the diagnosis and treatment of patients with congenital heart defects have allowed more than 90% of them to reach adolescence and adulthood. However, many patients required lifelong follow-up and interventions, and therefore the need to be transitioned from pediatric to adult care. Material and Methods: Patients older than 15 years who consulted at the outpatient clinic of the department of cardiology at Garrahan Hospital from August 2017 to August 2018 were included. The variables analyzed were place of origin, underlying heart disease, and diagnosis, interventions, associated factors, such as genetic syndromes and other comorbidities, insurance coverage, educational level, pharmacological treatment, functional class, pregnancies, prevalence of heart disease in offspring, and transition-transfer to adult hospital. Results: We recorded 704 consultations from 309 patients with an average age of 19.17 years (SD +- 4.62; range 15-49.4 years); 112 patients were female and 197 male. Overall, 51.1% came from the province of Buenos Aires, 40% from the other provinces, and 8.1% from the city of Buenos Aires. Of the patients, 92% had moderate and severe heart disease, and 93.5% had undergone surgery. Genetic syndromes were identified in 13.2%. Overall, 48.5% had comorbidities, of which electrophysiological disorders were the most common in 72.66% of cases. 63% had social insurance coverage but only 2.6% had a prepaid insurance with coverage in tertiary-level centers. Overall, 23.6% received combination therapy with 2 or more drugs. 48.78% had undergone some type of previous reintervention, 98.5% of whom had moderate-to-severe heart disease. We recorded 15 pregnancies with 14 live neonates, one of whom had congenital heart defects. The transition - transfer had been initiated in 55% (170 p) and was effective (8p), frustrated (9p), shared (49 p), or in progress (103 p). There was only one death during the study period, related to severe heart disease, multiple reinterventions, and endocarditis. Conclusions: 92% of patients in our study have moderate or severe operated heart disease. Electrophysiological disorders and the need for reintervention during the long-term follow-up were the most common complications of this population. The process of transition and transfer from pediatric to adult care is deficient, mainly due to lack of insurance coverage and experience especially for the ongoing care of moderate-to-severe heart disease


Subject(s)
Humans , Adolescent , Outpatient Clinics, Hospital/statistics & numerical data , Patient Care Planning , Patient Transfer/organization & administration , Continuity of Patient Care/organization & administration , Transition to Adult Care/organization & administration , Heart Defects, Congenital/therapy , Retrospective Studies , Observational Study
11.
Rev. Fac. Odontol. (B.Aires) ; 34(77): 7-12, 2019. ilus
Article in Spanish | LILACS (Americas) | ID: biblio-1103384

ABSTRACT

En todos los tratamientos ortodónticos, el primer objetivo a cumplir es alinear y nivelar las piezas dentales. Para tal fin, deberíamos generar espacio dentro del arco dentario. Existen tres procedimientos diferentes para lograr este objetivo, según el grado de apiñamiento dental o Índice de nance, que son los siguientes: a) stripping o desgaste interproximal, b) exodoncia de piezas dentales y c) distalamiento. La distalización de los molares es una de las técnicas más antiguas de la terapéutica ortodóntica y se han empleado distintos recursos terapéuticos para tal fin, como pendulum, jig de jans, first class, entre otros; cada uno con sus ventajas y desventajas. La introducción de los mini-implantes dentro de nuestra especialidad ha revolucionado en forma drástica los conceptos de anclaje, brindándonos movimientos dentarios sin generar efectos colaterales indeseables. El objetivo de este caso clínico, es mostrar la utilización de un Orthorama modificado y mini-implantes como distaladores de los molares superiores (AU)


Subject(s)
Humans , Female , Child , Tooth Movement Techniques , Dental Implants , Orthodontic Anchorage Procedures , Malocclusion, Angle Class II/therapy , Patient Care Planning , Argentina , Schools, Dental , Tooth Extraction , Molar/physiology
12.
Rev. Fundac. Juan Jose Carraro ; 23(43): 6-10, 2019. ilus
Article in Spanish | LILACS (Americas) | ID: biblio-1049188

ABSTRACT

El abordaje terapéutico de las recesiones gingivales requiere un plan de tratamiento que involucre terapia básica, la cual tendrá como objetivo la resolución de la/las etiologías de la/las mismas y una terapia de cirugía plástica periodontal adecuada al caso específico. Los procedimientos quirúrgicos con injertos de tejido conjuntivo tomados principalmente del paladar son el gold standard en el tratamiento de las recesiones gingivales. El objetivo de este trabajo es exponer paso a paso el tratamiento de una recesión gingival post-terapia de ortodoncia y su evaluación a largo plazo (AU)


The therapeutic approach to gingival recession requires a treatment plan involving basic therapy, which will focus on its etiologies, and the most suitable periodontal plastic surgery therapy in each specific case. Surgical procedures with connective-tissue grafts, taken mainly from the palate, are the gold standard in gingival recession treatment. The aim of this paper is to present the step-bystep post-orthodontic therapy treatment of a case of gingival recession and its long-term evaluation (AU)


Subject(s)
Humans , Female , Adult , Orthodontics, Corrective/adverse effects , Surgery, Plastic , Gingival Recession/surgery , Patient Care Planning , Surgical Flaps , Uruguay , Follow-Up Studies , Connective Tissue/transplantation
13.
Rev. Fundac. Juan Jose Carraro ; 23(43): 26-30, 2019. ilus
Article in Spanish | LILACS (Americas) | ID: biblio-1050354

ABSTRACT

El presente trabajo tiene como objetivo el remplazo de piezas dentarias con indicación de extracción por implantes dentales de titanio, con la finalidad de devolver función y estética en forma inmediata respetando los tejidos periodontales y adaptando al máximo la clínica a las necesidades y requerimientos del paciente (AU)


Subject(s)
Humans , Male , Middle Aged , Minimally Invasive Surgical Procedures , Dental Implants, Single-Tooth , Immediate Dental Implant Loading , Patient Care Planning , Tooth Extraction , Wound Healing , Biotypology , Treatment Outcome , Gingivectomy
14.
Saúde Soc ; 27(4): 1218-1229, Out.-Dez. 2018. tab
Article in Portuguese | LILACS (Americas) | ID: biblio-979222

ABSTRACT

Resumo Este artigo examina o papel da família e a interação com profissionais na elaboração do plano de tratamento e na produção do cuidado com crianças em condições crônicas complexas de saúde numa unidade pediátrica de hospital de média e alta complexidade, referência no estado do Rio de Janeiro. Através de abordagem qualitativa, empregou-se a observação participante e entrevistas com mães de pacientes e gestores, analisadas por meio da abordagem da psicossociologia francesa. Os resultados apontam limites na inclusão dos familiares nas decisões e rumos do tratamento. Entre os profissionais, constatamos posicionamentos variados, sendo dominante o uso da comunicação de tipo informativo, empregada de forma irregular, que se intensificava quando havia decisões difíceis a serem tomadas. Em algumas situações também observou-se a capacidade de acolhimento ao familiar. Pouco do contexto psicossocial foi considerado. As mães tornavam-se responsáveis por tarefas técnicas da rotina de enfermagem, às quais acrescentavam o zelo e o carinho inerentes à maternagem. O reconhecimento do entrelaçamento das funções técnicas e de maternagem favorece a vitalidade e autonomia da mãe, mas também é fonte de angústia e de alta exigência psíquica. Por vezes, as mães são vistas como instrumento no cuidado, reduzindo-se seu espaço singular como sujeito.


Abstract This article examines the family's role and the interaction with professionals when developing treatment plan and providing care for children with complex chronic health conditions in a pediatric unit of medium and high complexity, reference hospital in Rio de Janeiro state. Through a qualitative research, participant observation and interviews with patient's mothers and managers analyzed based on the French psychosociology were performed. The results point out limits in the inclusion of family members in decisions and directions of treatment. Among the professionals, we found different attitudes, in which communication with families by using irregular informational communication intensified when faced with difficult decisions to be made was predominant. In some situations, hospitality to the family member was observed. Little of the psychosocial context was considered. Mothers became responsible for technical tasks of the nursing routine, to which they added the zeal and affection inherent in mothering. Recognizing the combination between technical and mother's functions favors the mother's vitality and autonomy, but also causes anguish and considerable psychological pressure. Then, they were an instrument in care, reducing their singular space as subject.


Subject(s)
Humans , Male , Female , Child , Patient Care Planning , Pediatrics , Professional-Family Relations , Child Care , Chronic Disease , Decision Making , Family Relations , Mother-Child Relations
15.
Int. j. morphol ; 36(1): 14-21, Mar. 2018. tab
Article in English | LILACS (Americas) | ID: biblio-893179

ABSTRACT

SUMMARY: Recent technical and technological advancements in orthognathic surgery concepts, intricate in the diagnosis and treatment planning for corrections of dento-facial deformities, have achieved stable oro-dental functional occlusion and facial esthetic harmony. Undeniably, this can be attributed to the integration of modern, innovative and advanced facial analysis and computer-aided imaging exams into well-orchestrated and executed orthodontic and surgical methods. Three-Dimensional (3-D) virtual planning is a fine example. Today, the acquisition of 3-D images of a patient's craniofacial complex via cone-beam computed tomography (CBCT), supported by software tools allowing the construction of 3-D dynamic and interactive visual models, eliminates the uncertainty experienced with two-dimensional images. Thereby allowing for a more accurate or predictable treatment plan and efficient surgery, especially for patients with complex dento-facial deformities. This review article aims to describe the current benefits as well as shortcomings of 3-D virtual planning via discussing examples and illustrations from orthognathic procedures, attained from the reported English and Spanish literature during the last 10 years. It is designed to deliver updated and practical guidelines for dental practitioners and specialists (particularly, oral and maxillofacial), as well as researchers involved in 3-D virtual approaches as an alternative to conventional/traditional surgical planning; thereby validating its superiority or benefits in terms of outcome prediction for soft and hard tissues, operational timeand cost-effectiveness; for its integration in day-to-day practise.


RESUMEN: Los recientes avances técnicos y tecnológicos en los conceptos de la cirugía ortognática, involucrados en la planificación del diagnóstico y tratamiento para la corrección de deformidades dento-faciales han sido notablemente considerables en lograr una oclusión oro-dental funcional y una estética facial armónica. Innegablemente, esto se puede atribuir a la integración de análisis faciales avanzados, modernos e innovadores y exámenes de imágenes asistidos por computadora a métodos ortodonticos y quirúrgicos bien orquestados y ejecutados. La planificación virtual tri-dimensional (3-D) es un buen ejemplo. Hoy, la adquisición de imágenes 3-D del complejo cranio-facial de pacientes vía tomografía computarizada cone beam (TCCB), apoyada por herramientas computacionales, permite la construcción de modelos visuales 3-D dinámicos e interactivos, eliminando la incertidumbre experimentada con las imágenes bi-dimensionales. Permitiendo, de este modo, un plan de tratamiento más preciso o predecible y una cirugía más eficaz, especialmente para pacientes con deformaciones dento-faciales complejas. Este artículo de revisión tiene como objetivo el describir los actuales beneficios, así como las limitaciones de la planificación virtual a través de la discusión de ejemplos de procedimientos ortognáticos, obtenidos de la literatura reportada en inglés y español durante los últimos 10 años. Fue diseñado para entregar una actualización resumida y una guía práctica para los practicantes y especialistas interesados (particularmente, oro y maxilofaciales), explícitamente, así como a los investigadores involucrados en aproximaciones 3-D como una alternativa a la planificación quirúrgica convencional/tradicional; validando así su superioridad o beneficios en términos de predicción de resultados para tejidos blandos y duros, efectividad en tiempo operacional y costos; para su integración en la práctica cotidiana.


Subject(s)
Humans , Patient Care Planning , Imaging, Three-Dimensional/methods , Cone-Beam Computed Tomography/methods , Orthognathic Surgical Procedures/methods , User-Computer Interface , Cephalometry , Orthognathic Surgical Procedures/instrumentation
16.
Rev. ADM ; 75(1): 45-49, ene.-feb. 2018. ilus
Article in Spanish | LILACS (Americas) | ID: biblio-906322

ABSTRACT

En endodoncia la tomografía cone-beam (CBCT) permite el diagnóstico y planifi cación de tratamientos. Se presenta un caso en que se detectó una desviación del conducto radicular y perforación al instalar un poste, las cuales no fueron identifi cadas en la radiografía convencional. La tomografía cone-beam facilitó el diagnóstico y la defi nición del plan de tratamiento, el cual se realizó bajo microscopio y con ultrasonido para remover los materiales de obturación previos (gutapercha y poste). Las perforaciones iatrogénicas son causa de mal pronóstico en los tratamientos endodóncicos. El cone-beam es una herramienta que permite observar tridimensionalmente los conductos radiculares, lo que facilita el diagnóstico y tratamiento a seguir (AU)


Cone-beam (CBCT) tomography is more often used in endodontics, to improve diagnosis and treatment planifi cation. In the present study we were able to detect a deviation of the root canal and perforation during the colocation of a poste, which wasn't possible with conventional radiograph. The endodontic treatment was guided with cone-beam and was executed under microscope; help out with ultrasonic tips to remove the previous obturation materials (gutta-percha and post) to also detect the original tract and to clean and desinfect the original root canal. Iatrogenic perforations cause poor prognosis of the endodontic treatments. CBCT is a tool that allows observing three-dimensional the root canals; which facilitates the diagnosis and treatment planning (AU)


Subject(s)
Humans , Male , Adult , Cone-Beam Computed Tomography , Iatrogenic Disease , Root Canal Therapy , Tooth Root , Ultrasonic Therapy , Diagnostic Imaging , Mexico , Microscopy , Patient Care Planning , Prognosis , Root Canal Filling Materials
17.
Cogitare enferm ; 23(4): e57539, 2018. tab, graf
Article in Portuguese | LILACS (Americas), BDENF | ID: biblio-984290

ABSTRACT

RESUMO: Objetivo: elaborar e validar instrumento para assistência de enfermagem, baseado em literatura específica para pacientes internados em Unidade de Terapia Intensiva, de um hospital universitário do estado de São Paulo. Método: estudo metodológico, com coleta de dados de agosto a dezembro de 2015, em três fases: caracterização da população e levantamento dos diagnósticos de enfermagem, elaboração, e validação do instrumento para o registro do Processo de Enfermagem. Para a validação de conteúdo, utilizou-se a técnica Delphi, com um grupo de especialistas na área, composto por 11 jurados. Resultados: durante a coleta de dados, 152 pacientes estiveram internados, 61,18% do sexo masculino, com idade média de 54,9 anos. O conteúdo do instrumento foi validado com índice de validação > 0,81. Conclusão: a construção de instrumentos para o processo de Enfermagem é útil para facilitar a implementação da assistência, evidenciar a assistência, incrementar a comunicação e segurança dos cuidados em saúde.


RESUMEN: Objetivo: elaborar y validar instrumento para asistencia de enfermería, con base en la literatura específica para pacientes ingresados en Unidad de Terapia Intensiva de un hospital universitario del estado de São Paulo. Método: estudio metodológico, con recogida de datos de agosto a diciembre de 2015, en tres etapas: caracterización de la población y recogida de los diagnósticos de enfermería, elaboración, y validación del instrumento para el registro del Proceso de Enfermería. Para la validación de contenido, se utilizó la técnica Delphi, con un grupo de especialistas en el área, compuesto por 11 jurados. Resultados: durante la obtención de datos, 152 pacientes estuvieron ingresados, 61,18% del sexo masculino, con edad media de 54,9 años. Se evaluó el contenido del instrumento por medio de índice de validación > 0,81. Conclusión: la construcción de instrumentos para el proceso de Enfermería es útil para facilitar la implementación de la asistencia, evidenciarla, así como para incrementar la comunicación y seguridad de los cuidados en salud.


ABSTRACT: Objective: to develop and validate an instrument for nursing care, based on specific literature for patients hospitalized in the Intensive Care Unit of a university hospital in the state of São Paulo. Method: methodological study, with data collection from August to December 2015, in three phases: characterization of the population and survey of the nursing diagnoses, development, and validation of the instrument for the registration of the Nursing Process. The Delphi technique was used for the content validation, with a group of experts in the area, composed of 11 judges. Results: during the data collection, 152 patients were hospitalized, 61.18% male, with a mean age of 54.9 years. The content of the instrument was validated with a validation index >0.81. Conclusion: the construction of instruments for the Nursing Process is useful to facilitate the implementation of care, to evidence the care and to increase communication and the safety of the healthcare.


Subject(s)
Humans , Patient Care Planning , Nursing , Validation Study , Intensive Care Units , Nursing Process
18.
Article in Spanish | LILACS (Americas) | ID: biblio-1016593

ABSTRACT

El estudio de diversas situaciones clínicas revela síntomas y signos que deben ser estudiados desde el punto de vista diagnóstico; el análisis dentario debe considerarse solamente como un aspecto morfológico. Lo importante es que la forma pone de manifiesto la acción de grupos musculares que determinan dicha posición y deben ser reeducados para lograr el equilibrio morfofuncional (AU)


Subject(s)
Humans , Male , Female , Child , Malocclusion/therapy , Patient Care Planning , Posture/physiology , Myofunctional Therapy
19.
Article in Spanish | LILACS (Americas) | ID: biblio-1016460

ABSTRACT

Secuencia de tratamiento con ortopedia maxilar en una niña con síndrome de Down que presenta una mesiorrelación, debido a un maxilar superior chico y retruído y el maxilar inferior grande, con mordida invertida anterior y bilateral, alteraciones funcionales y tipo de crecimiento rotacional anterior, microdoncia y agenesias múltiples (AU)


Treatment with maxillary orthopedics in a girl with Down´s syndrome who presents a mesial relation due to a small and retruded superior maxillary and a big inferior maxillary, with inverted palatal and bilateral bite, functional alterations and palatal rotational growth, microdontia and multiple agenesis (AU)


Subject(s)
Humans , Female , Child , Down Syndrome/therapy , Extraoral Traction Appliances , Malocclusion, Angle Class III/therapy , Patient Care Planning , Argentina , Prognosis , Cephalometry/methods , Palatal Expansion Technique , Anodontia
20.
J. bras. nefrol ; 39(4): 441-446, Oct.-Dec. 2017. tab
Article in English | LILACS (Americas) | ID: biblio-893800

ABSTRACT

Abstract Most patients with stage 5 CKD start RRT of unplanned manner. Unplanned dialysis, also known as urgent start, may be defined as hemodialysis (HD) started without permanent vascular access, i.e., using a central venous catheter (CVC), or as peritoneal dialysis (PD) started within seven days after implantation of the catheter, without family training. Although few studies have evaluated the PD as an immediate treatment option for patients starting urgent RRT, theirs results suggest that it is a feasible and safe alternative, with infectious complications and survival similar to patients treated with unplanned HD. Given the importance of the social role of urgent start of dialysis and the lack of studies on the subject, this narrative review aims to analyze and synthesize knowledge in published articles, preferably, from last five years in order to unify information and facilitate future studies.


Resumo A maioria dos pacientes com DRC estádio 5 inicia terapia renal substitutiva (TRS) de modo não planejado. A diálise não planejada, também conhecida como de início urgente, pode ser definida como hemodiálise (HD) iniciada sem acesso vascular definitivo funcionante (utilizando cateter venoso central) ou como diálise peritoneal (DP) iniciada dentro de 7 dias após o implante do cateter. Embora poucos estudos tenham avaliado DP como opção de tratamento imediato em pacientes que iniciam a TRS de modo urgente, seus resultados sugerem que é alternativa viável e segura, apresentando complicações infecciosas e sobrevida semelhantes às dos pacientes tratados por HD não planejada. Tendo em vista a relevância do papel social do início não planejado da TRS e a escassez de estudos sobre o tema, a presente revisão narrativa propõe analisar e sintetizar conhecimentos fragmentados em artigos publicados, no período de 5 anos com o intuito de unificar informações e facilitar estudos futuros.


Subject(s)
Humans , Peritoneal Dialysis , Kidney Failure, Chronic/therapy , Patient Care Planning
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