ABSTRACT
RESUMEN: El término "Transtornos Temporomandibulares" (TTM) incluye numerosos problemas clínicos asociados con las articulaciones temporomandibulares, músculos de la masticación y otras estructuras asociadas. El bruxismo, un hábito oral parafuncional, consiste en rechinar o apretar de manera rítmica e involuntaria los dientes, lo que puede conducir a trauma oclusal y problemas articulares. El objetivo del estudio fue determinar la frecuencia y prevalencia de signos y síntomas de TTM y bruxismo en niños escolares de 6 a 12 años, en una población de San Luis Potosí, México. Se empleó un diseño transversal descriptivo en una muestra de 314 participantes, estudiantes de una escuela primaria de la ciudad de San Luis Potosí, México. Los participantes fueron seleccionados aleatoriamente en forma estratificada y polietápica. La muestra total consistió en 153 femeninos y 161 masculinos. Los signos y síntomas de TTM más frecuentes fueron la alteración de la función de la ATM (35 %), seguido por los ruidos y chasquido articulares (29,2 %). En los sujetos con diagnóstico de bruxismo, la alteración más frecuente fueron molestias asociadas en la ATM (19,4 %), dolor de cabeza (17,8 %) y atrición dental (16,5 %).
ABSTRACT: The term "Temporomandibular disorders" (TTM) includes numerous clinical problems associated with joint temporomandibular, muscles of mastication and other associated structures. Bruxism, oral parafunctional habit, consists of grinding or clenching of involuntary, rhythmic manner, which can lead to trauma, occlusal and problems joint. The objective of the study was to determine the frequency and prevalence of signs and symptoms of DTM and bruxism in school children aged 6 to 12, in a population of San Luis Potosí, México. A crosssectional descriptive design was used in a sample of 314 participants, students of a primary school in the city of San Luis Potosi, Mexico. The participants were randomly selected in tiered form and conglomerated. The total sample consisted of 153 female and male 161. The signs and symptoms of TMD frequent were alteration of the function of the ATM (35 %), followed by noise and snap joint (29.2 %). In subjects with a diagnosis of bruxism, the most frequent alteration was associated with TMJ discomfort (19.4 %), headache (17.8 %) and dental attrition (16.5 %).
Subject(s)
Humans , Male , Female , Child , Bruxism/epidemiology , Temporomandibular Joint Disorders/epidemiology , Signs and Symptoms , Temporomandibular Joint , Prevalence , Cross-Sectional Studies , Ethics Committees , Joint Dislocations , Mexico/epidemiologyABSTRACT
BACKGROUND: Esophageal Atresia (EA) is defined as the congenital interruption of the continuity of the esophagus. Pediatric patients also have other congenital conditions, such as Tracheo-Esophageal Fistula (TEF). CASE REPORT: A 7-year-old male with TEF referred by a Pediatric Cardiologist, with the principal complaint of "severe and generalized tooth wearing". Considering that the patient was systemically stable, it was decided to perform the oral procedures under local anesthesia and rubber-dam isolation with an antimicrobial prophylaxis regimen. The treatment consisted of the extraction of all maxillary primary incisors and canines and both first molars; in the mandibular arch, only the lower second right molar was extracted, and a distal shoe was placed. Pulpotomies were performed and preformed metallic crowns were placed on the remaining second primary molars, on both lower first molars, and on lower canines and lateral incisors. Finally, a fixed prosthesis was positioned in the upper arch, and cemented through orthodontic bands adapted to both crowned second molars. The patient has been maintained under close medical and dental control. The child showed satisfactory oral conditions, and the vomiting episodes had decreased significantly. CONCLUSIONS: Dentists can learn and then participate in the integral health management of infants and young children affected with EA/TEF, particularly those with dental erosion.
Subject(s)
Dental Care , Esophageal Atresia/complications , Gastroesophageal Reflux/complications , Tracheoesophageal Fistula/complications , Child , Humans , MaleABSTRACT
OBJECTIVE: The purpose of the present study was to evaluate the clinical and radiographic effectiveness of zinc oxide-eugenol (ZOE) as the only pulp capping agent in pulpotomies carried out on decayed primary molars after a follow-up period of 24 months. STUDY DESIGN: In total, 60 pulpotomies were performed on 38 patients aged 3 to 11 years. Pulpotomy treatment consisted of the removal of the coronal pup tissue, subsequent hemostasis, irrigation with saline solution, drying and pressure with sterile cotton pellets, and placement of a thick regular ZOE base with a minimal amount of eugenol directly over the vital radicular pulp. Additionally, a histopathologic study was carried out on some of the molars treated. RESULTS: After a 24-month follow-up, we considered 51 procedures to be successful and 9 failures using clinical and radiographic criteria; most of the failures occurred between the 12th and 18th month. CONCLUSIONS: Results suggest that the proposed pulpotomy treatment with ZOE as the only capping agent may be considered as an alternative technique in the pulp treatment of primary molars.
Subject(s)
Molar/pathology , Pulp Capping and Pulpectomy Agents/therapeutic use , Pulpotomy/methods , Tooth, Deciduous/pathology , Zinc Oxide-Eugenol Cement/therapeutic use , Child , Child, Preschool , Dental Caries/therapy , Dental Pulp/pathology , Dental Pulp Exposure/therapy , Dentin, Secondary/pathology , Female , Follow-Up Studies , Hemostatic Techniques , Humans , Longitudinal Studies , Male , Prospective Studies , Sodium Chloride/therapeutic use , Therapeutic Irrigation/methods , Treatment OutcomeABSTRACT
Williams-Beuren syndrome is a rare congenital disorder involving the cardiovascular system, mental retardation, distinctive facial features, and tooth anomalies. The aim of the present report is to show a 10-year-old girl with Williams-Beuren syndrome, her general and orofacial clinical characteristics and the dental management.
Subject(s)
Craniofacial Abnormalities/pathology , Tooth Abnormalities/pathology , Williams Syndrome/pathology , Child , Dental Enamel Hypoplasia/pathology , Female , Humans , Hypertelorism/pathology , Lip/abnormalities , Malocclusion/pathology , Nose/abnormalities , Retrognathia/pathologyABSTRACT
La esclerodermia es una rara enfermedad que afecta los tejidos de origen mesenquimatoso y ectodérmico. Se caracteriza por la aparición de alteraciones inflamatorias y vasculares, además de esclerosis en la piel y órganos de los sistemas respiratorio, cardiovascular y gastrointestinal. El propósito del presente reporte es describir el caso de una niña de 4 años con esclerodermia localizada, sus manifestaciones clínicas, datos epidemiológicos y sugerencias de manejo odontológico de los pacientes pediátricos con esta rara enfermedad.
Scleroderma is a rare disorder that affects mesenchymal and ectodermal tissues. It is characterized of vascular and inflammatory alterations and sclerosis in the skin and organs of respiratory, cardiovascular and gastrointestinal systems. The purpose of this report is to describe the case of a 4 year old girl with localized scleroderma, its clinical manifestations, epidemiological data and recommendations of dental management for the pediatric patients with this rare disease.
Subject(s)
Humans , Female , Child, Preschool , Scleroderma, Localized , Patient Care Management , Case ManagementABSTRACT
Dubowitz syndrome is a rare genetic condition characterized by microcephaly, dysmorphic facial features and delayed general growth. It is transmitted through autosomal recessive inheritance. The purpose of this report is to describe the oral, craniofacial and systemic characteristics of a 7-year 11-month-old boy with Dubowitz syndrome and the dental management provided. The pediatric dentist should possess the ability to recognize this rare alteration, to provide dental treatment and to refer for the necessary medical and multidisciplinary treatment.
Subject(s)
Dental Caries/therapy , Dental Restoration, Permanent/methods , Eczema/complications , Growth Disorders/complications , Intellectual Disability/complications , Microcephaly/complications , Airway Obstruction/etiology , Cephalometry , Child , Dental Caries/etiology , Facial Bones/abnormalities , Facies , Humans , Hypertelorism/etiology , Male , Malocclusion/etiology , Micrognathism/etiology , Open Bite/etiology , Pit and Fissure Sealants/therapeutic use , Retrognathia/etiology , SyndromeABSTRACT
El presente es el reporte de un caso de un niño de 5 años 4 meses de edad que exhibía un patrón de caries dental de la infancia temprana severa no tratada oportunamente, debido a ignorancia y posible negligencia por parte de los padres. Se describe el proceso diagnóstico y el tratamiento brindado al paciente y el manejo preventivo que se instituyó a corto, mediano y largo plazo.
This case report is of a 5 years 4 months old male patient who exhibited a pattern of severe dental early caries childhood not treated in a timely manner, due to parent ignorance and possible negligence. The diagnostic process, treatment provided to the patient, and instituted preventive management in the short, medium and long term, are described.
