ABSTRACT
The objective of this investigative study is to provide information on the type of public postgraduate training in oral surgery currently being taught in Spain. A descriptive study is made relating to the theoretical and practical syllabuses of the different Masters, through questionnaires answered by students who had previously completed the postgraduate course. Later, a possible relationship between age, sex and previous training in dentistry or stomatology was explored. The results show a poorer preparation in subjects related to the planning and carrying out of treatment of salivary gland pathologies, transposition of the inferior alveolar nerve, treatment of oral tumors, and the treatment planning for osteitis and osteomyelitis. There is a difference between the sexes in a number of answers, where females give higher scores. The stomatologist scores higher in treatment planning for complicated extractions and in the carrying out of dental transplants. It seems that the older the student, the less prepared they are to carry out a treatment plan which includes a biopsy, and the better prepared they are to treat dental emergencies, dentoalveolar trauma, osteitis and osteomyelitis. We can conclude principally that the students give a generally positive evaluation of the oral surgical training, both theoretical and practical, except in the more complex topic areas which appear to relate to the maxillofacial surgeons.
Subject(s)
Education, Dental, Graduate , Oral Medicine/education , Surgery, Oral/education , Adult , Age Factors , Consumer Behavior , Female , Humans , Male , Sex Factors , Surveys and QuestionnairesABSTRACT
El objetivo de este estudio de investigación es dar a conocer el tipo de enseñanza postgraduada pública en Cirugía Bucal que se está impartiendo actualmente en España, realizando un estudio descriptivo con relación a los contenidos teóricos y prácticos de los diferentes Máster, mediante encuestas contestadas por alumnos que han concluido el postgrado. Posteriormente se observa la posible relación existente con la edad, sexo y formación previa como odontólogo o estomatólogo. Los resultados muestran una peor preparación en los temas referentes a planificar y realizar el tratamiento de patología de glándulas salivales, de la transposición del nervio dentario inferior y de tumores bucales, y en la planificación de osteítis y osteomielitis. Existe un dimorfismo sexual en una serie de preguntas, en las que las mujeres dan una puntuación más alta. El estomatólogo puntúa más alto en la planificación del tratamiento de exodoncias complejas y para la realización de un transplante dentario. Parece que a mayor edad del alumno se encuentra menos preparado para realizar un plan de tratamiento que implique biopsiar y más preparado para tratar urgencias dentales, traumatismos dentoalveolares, osteitis y osteomielitis. Podemos concluir principalmente, que los alumnos dan una valoración general positiva en la formación quirúrgica bucal, tanto práctica como teórica, salvo en los temas más complejos, que parecen derivarse a los cirujanos maxilofaciales
The objective of this investigative study is to provide information on the type of public postgraduate training in oral surgery currently being taught in Spain. A descriptive study is made relating to the theoretical and practical syllabuses of the different Masters, through questionnaires answered by students who had previously completed the postgraduate course. Later, a possible relationship between age, sex and previous training in dentistry or stomatology was explored. The results show a poorer preparation in subjects related to the planning and carrying out of treatment of salivary gland pathologies, transposition of the inferior alveolar nerve, treatment of oral tumors, and the treatment planning for osteitis and osteomyelitis. There is a difference between the sexes in a number of answers, where females give higher scores. The stomatologist scores higher in treatment planning for complicated extractions and in the carrying out of dental transplants. It seems that the older the student, the less prepared they are to carry out a treatment plan which includes a biopsy, and the better prepared they are to treat dental emergencies, dentoalveolar trauma, osteitis and osteomyelitis. We can conclude principally that the students give a generally positive evaluation of the oral surgical training, both theoretical and practical, except in the more complex topic areas which appear to relate to the maxillofacial surgeons
Subject(s)
Male , Female , Adult , Humans , Education, Dental, Graduate , Oral Medicine/education , Surgery, Oral/education , Age Factors , Consumer Behavior , Surveys and Questionnaires , Sex FactorsABSTRACT
The treatment of totally or partially edentulous patients with osseointegrated implants is an increasing part of daily dental practice. The greater aesthetic and functional demands made by these patients have created a constant pressure to reduce the waiting time before implants are loaded. In some cases, however, a shortening of the waiting period may compromise the osseointegration of the fixtures. The present review aims to inform the clinician about the continuing controversy on this issue. Data from the reviewed studies allow comparisons to be made between the different success rates obtained after immediate implant loading, offering a more objective basis for our advice to patients on this type of treatment. According to our review, the type and quality of the bone and the surface of the implant are the factors that determine the selection of patients who can undergo the premature loading of implants.
Subject(s)
Dental Implantation/methods , Dental Implants , Humans , Time FactorsABSTRACT
El tratamiento del paciente desdentado total o parcial con implantes osteointegrados es cada vez más frecuente en nuestra práctica habitual. Una mayor demanda estética y funcional de estos pacientes, hace que cada día se intenten disminuir más los tiempos de espera para cargar dichos implantes, disminución que en algunos casos podría perjudicar el proceso de osteointegración de las fijaciones. Con este trabajo de revisión bibliográfica pretendemos demostrar al clínico la controversia que aún existe en este tema, pudiendo comparar en los distintos estudios revisados las diferentes tasas de éxito en implantes sometidos a carga inmediata, lo que nos puede dar una visión objetiva a la hora de ofrecer este tipo de tratamiento a nuestros pacientes. Según esta revisión el tipo de hueso y su calidad, así como la superficie del implante serán los parámetros que determinen en qué casos podría realizarse la carga prematura de los implantes (AU)
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Subject(s)
Humans , Dental Implants , Time Factors , Dental ImplantationABSTRACT
Se hicieron mediciones de la frecuencia cardiaca y la presión parcial de oxígeno en sangre a un grupo de 29 pacientes durante la cirugía bucal. El objetivo del estudio era comprobar si había diferencias estadísticas entre los datos obtenidos en cada momento quirúrgico. Aplicando el test de student para muestras apareadas se obtuvieron los siguientes resultados:1.-La frecuencia cardiaca se elevó de manera significativa tras la anestesia y se mantuvo durante el despegamiento. Volvió a descender durante la osteotomía, manteniéndose durante la sutura y en el alta. En estos momentos no había diferencias con el momento inicial.2.-La presión parcial de oxígeno en sangre permaneció casi constante en cada tiempo de la cirugía bucal, y no hubo variaciones que pudieran ser atribuibles a un momento específico de la misma (AU)
Measures of heart rate and oxygen partial pressure were made in a group of 29 patients during oral surgery. The aim of the study was to compare data coming from every surgical moment by statistical methods. By using student test for coupled samples the next results were found: 1. - Heart rate increased significantly after anesthesia and went on while separating of the flap. After that, it decreased during osteotomy and didn't show considerable changes during the closing of the wound and the discharging of the patient. At this point , there were not differences compared with the starting moment. 2. - Oxygen partial pressure in blood remained almost constant while the oral surgery and there were not variations that could be Iinked to an specific stage of the ongoing surgery (AU)
