Management of the dental patient with pulmonary tuberculosis.

Tuberculosis is a potentially fatal infectious disease. Although it typically manifests in populations subjected to crowding and living in poor conditions of hygiene, in the past decade the morbidity and mortality associated to pulmonary tuberculosis has increased throughout the world--particularly due to the appearance of strains resistant to a range of drugs, and to the vulnerability of human immunodeficiency virus (HIV)-positive individuals to tuberculosis infection. In this context, dental professionals should implement schemes and protocols designed to identify patients with lung tuberculosis, in order to both refer such patients to specialized medical care and to avoid infection of the dental personnel and other patients. A review is made of the etiology, pathogenesis, clinical manifestations, diagnosis and treatment of patients with pulmonary tuberculosis, with particular emphasis on the management measures indicated in the dental clinic.

[Lesions of the oral mucosa. Epidemiological study of 7,297 patients]. / Lesiones de la mucosa bucal. Estudio epidemiológico en 7,297 pacientes.

To our Knowledge, this is the first work in a number population (higher than 500 sample WHO) that is carried out in our country about lesions in the Oral Mucosa. The advantages in this Kind of studies are recognized particularly in the fields of academic, research and services. This work presents the first view of a permanent research project of Oral Mucosa Lesions at the admission clinic, School of Dentistry, Universidad del Bajío. The findings are from the evaluation of 7,297 patients, 15 years or older, that seek dental services between January 1982 and June 1989 (7.5 years). The lack of national data and the oldest population samples in other countries studies stopped wider evaluations, even though the study purpose was not affected, it was possible to offer qualitative data in the respect of prevalecence, variety and etiopathogenesis of those type of pathosis in the Oral Mucosa. The general prevalecence in the group was approximately 13%, identifying lesions more frequently in males, but higher variety in females. Report on 40 different entities, presented in general according to a descent order of prevalencece and reagrouped by sex and pathology. In half the lesions was possible to identify as the cause, acute and cronic traumatic agents; The infectious associations were also very frequent. Those last observations are of high relevance concerning the prevention of Oral Mucosa lesions.

[Functional, involutional and pathological oral changes with age. 6. Systemic disease]. / Cambios funcionales, involutivos y patológicos estomatológicos con la edad. VI. Enfermedades sistémicas.

The present study was realized to determine the frequency variety and concentration of old and new health disease in patients attending a school of Dentistry, classification to an age variable. This paper ends a series of articles about estomatological changes associated to an aging process. The main findings indicate that when patients grow older an increment in variety and number of pathological personal background. The results suggest a very well defined difference in the prevalence and concentration among subjects over and under 50 years. The risk factor was 1:1 in patients older than that. The importance of considering the Clinical history in patients as a determining factor in the global dental evaluation, for the decision. making in treatment planning.

[2. Occluso-articular aspects. Functional, involutional and pathologic dental changes with aging]. / II. Aspectos ocluso-articulares. Cambios functionales, involutivos y patológicos estomatológicos con la edad.

A description is made of occlusal, articular and craniomandibular alterations that become present in the advance adult and old age and in some way they induce to the implementation of preventive and curative aspects from early stages or specific in posterior ages.