Bifosfonatos en Odontopediatría: Revisión de la literatura, protocolo de manejo y reporte de un caso clínico / Bisfosfonatos em Odontopediatria: Revisão da literatura, protocolo de gestão e relato de caso clínico / Bisphosphonates in pediatric dentistry: literature review, management protocol and report of a clinical case

En la actualidad, los bifosfonatos son utilizados en la población pediátrica con diagnóstico de osteogénesis imperfecta, desórdenes neuromusculares, displasia ósea, displasia fibrosa, osteoporosis idiopática juvenil, enfermedad de Crohn y trastornos reumatológicos. La osteonecrosis de los maxilares secundaria al tratamiento con bifosfonatos, se ha convertido en una complicación cada vez más común debido al incremento de su uso en la población adulta. En cuanto a la atención pediátrica la información es escasa. Este estudio presenta el caso clínico de una paciente de sexo femenino con diagnóstico de osteogénesis imperfecta tipo III quien fue tratada con múltiples extracciones dentales bajo anestesia general, previa Bifosfonatos en Odontopediatría: Revisión de la literatura, protocolo de manejo y reporte de un caso clínico Ingrid Báez Madrigal,1..... Rubí López Fernández,2..... Jorge Pedro Téllez Rodríguez,2..... Revista de Odontopediatría Latinoamericana¹ Estomatóloga Pediatra Egresada del Instituto Nacional de Pediatría.2Cirujano Maxilofacial, adscrito al Servicio de Estomatología del Instituto Nacional de Pediatría.Casos ClínicosDOI: 10.47990/alop.v11i2.278administración de amoxicilina 50 mg/kg 1 hora antes; debido a erupción anómala de caninos y primeros premolares superiores, así como persistencia de caninos y molares primarios superiores. Se realizaron citas control postoperatorias, en donde mostró adecuado proceso de cicatrización sin datos de necrosis maxilar. El objetivo es informar al estomatólogo sobre cómo actúan los bifosfonatos, los diagnósticos en la población pediátrica tratados con dicho fármaco y dar a conocer el protocolo de manejo de estos pacientes. Se realizó una revisión integradora en las bases de datos PubMed y Cochrane Library, los artículos fueron seleccionados de acuerdo a los criterios establecidos

Atualmente, os bisfosfonatos são utilizados na população pediátrica diagnosticada com osteogênese imperfeita, distúrbios neuromusculares, displasia óssea, displasia fibrosa, osteoporose idiopática juvenil, doença de Crohn e distúrbios reumatológicos. A osteonecrose dos maxilares secundárias ao tratamento com bifosfonatos tornou-se uma complicação cada vez mais comum devido ao aumento do uso na população adulta. Quanto ao atendimento pediátrico, as informações são escassas. Este estudo apresenta o caso clínico de uma paciente do sexo feminino com diagnóstico de osteogênese imperfeita tipo III, tratada com múltiplas exodontias sob anestesia geral, após administração de amoxicilina 50 mg / kg 1 hora antes; devido à erupção anômala de caninos superiores e primeiros pré-molares, bem como persistência de caninos decíduos superiores e molares. Foram marcadas consultas de controle pós-operatório, onde apresentava processo de cicatrização adequado, sem dados de necrose maxilar. O objetivo é informar ao estomatologista como os bisfosfonatos atuam, os diagnósticos na população pediátrica tratada com esse medicamento e apresentar o protocolo de manejo desses pacientes. Realizou-se revisão integrativa nas bases de dados PubMed e Cochrane Library, os artigos foram selecionados de acordo com os critérios estabelecidos

Bisphosphonates are currently used in the pediatric population diagnosed with osteogenesis imperfecta, neuromuscular disorders, skeletal dysplasia, fibrous dysplasia, juvenile idiopathic osteoporosis, Crohn's disease, and rheumatologic disorders.Bisphosphonate-related osteonecrosis of the jaw has become an increasingly common complication due to its increased use in the adult population. Regarding pediatric care, information is scarce. This study presents the clinical case of a female patient diagnosed with type III osteogenesis imperfecta who was treated with multiple dental extractions under general anesthesia, after administration of amoxicillin 50 mg/kg 1 hour before; due to anomalous eruption of upper canines and first premolars, as well as persistence of upper primary canines and molars. Postoperative control appointments were made, where she showed an adequate healing process without evidence of maxillary necrosis. The aim is to inform the stomatologist about how bisphosphonates act, the diagnoses in the pediatric population treated with

Fusión congénita de la mandíbula con el maxilar y complejo cigomático, revisión de la literatura. Reporte de un caso / Congenital fusion of the mandible with the maxilar and the zygomatic complex, literatura review. A case report

La signatia es una rara malformación congénita en la que se encuentra una fusión ósea del maxilar con la mandíbula. Puede ser unilateral o completa y se caracteriza por la incapacidad de abrir la boca del recién nacido. Esta puede clasificarse de acuerdo con su presentación clínica. Las complicaciones de esta anomalía pueden ser muy graves: incompatibilidad con la vida, incapacidad de proteger la vía aérea, dificultades para la alimentación, así como alteraciones en el crecimiento. Se han referido casos con distintos abordajes, por lo que el protocolo terapéutico-quirúrgico estará dado según las particularidades de cada individuo. En el presente caso se hace referencia de un lactante femenino que se presentó con fusión del complejo cigomático-maxilar con la mandíbula unilateral, el abordaje y seguimiento

Syngnathia is a rare congenital malformation in which a fusion of the mandible with the maxilla is found, it can be unilateral or complete and is characterized by the inability to open the mouth of the newborn, this can be classified according to its clinical presentation. The complications of this anomaly can be inability to protect the airway, difficulties for feeding, as well as alterations in growth. There have referred cases with different approaches, thus the therapeutic-surgical protocol will be given according to the particularities of each individual. In the present case reference is made of female infant with unilateral maxillo-mandibular-zygomatic fusion, diagnosis and follow-up

Oral cysticercosis in the paediatric patient: report of six cases / Cisticercosis oral en el paciente pediátrico: informe de seis casos

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Mycobacterium tuberculosis as a cause of mandibular osteomyelitis in a young woman: a case report.

BACKGROUND: Tuberculosis is considered an emerging disease worldwide; in the last 10 years, its incidence has increased to more than 9.6 million cases of active tuberculosis. In 2014, it resulted in 1.5 million patient deaths. However, oral presentation with bone involvement occurs in less than 3% of all reported cases and rarely arouses clinical suspicion on initial presentation. CASE PRESENTATION: A 15-year-old Mexican girl who had a previous diagnosis of neurofibromatosis presented to our hospital with pain and swelling in the region of the left mandibular body since November 2011. A clinical examination revealed pain in the mandibular region, a mass of soft consistency that seemed to involve bone, and a fistula with discharge of intraoral purulent material. Additionally, tachycardia and hyperthermia were observed. The left submental and submandibular regions had a 12-cm-diameter swelling, which was well-delineated and nonerythematous. The final diagnosis was established by real-time polymerase chain reaction. CONCLUSIONS: The final diagnosis of rare cases of tuberculous osteomyelitis in the jaw can be established by deoxyribonucleic acid (DNA) identification of Mycobacterium tuberculosis in the lesion. Simple and fast complementary diagnosis by real-time polymerase chain reaction is a fundamental approach to establishing early and effective pharmacological and surgical treatment.

Síndrome de niño maltratado con repercusión estomatológica. Reporte de un caso / Battered child sindrome with stomatological repercussions. Case report

Introducción: El síndrome de niño maltratado se define como toda forma de violencia, perjuicio o abuso físico o mental, descuido o trato negligente, mientras el niño se encuentra bajo el cuidado de sus padres, de un tutor o de cualquier otra persona en función de su superioridad física y/o intelectual. En más del 50% de los casos las lesiones se presentan en cabeza, cara y cuello. Es por eso que el odontólogo y especialmente el odontopediatra deben estar preparados para reconocer alguna forma de maltrato o negligencia con base en una historia clínica adecuada y una exploración intencionada ante la sospecha de síndrome de niño maltratado. Objetivo: Conocer los indicadores intraorales y extraorales que le permitan al odontopediatra reconocer los signos y contribuir en el diagnóstico como parte de un equipo multidisciplinario encargado de la atención de estos pacientes. Caso clínico: Paciente masculino de dos años cinco meses quien acude al Servicio de Urgencias del Instituto Nacional de Pediatría por presentar edema periorbitario, múltiples fracturas en extremidades e indicadores orofaciales que permitieron diagnosticar síndrome de niño maltratado. Conclusión: Considerando la frecuencia con que las estructuras orofaciales se ven involucradas en el síndrome de niño maltratado, existe un compromiso médico, ético y legal para que todos los dentistas y específicamente los odontopediatras intervengan en la prevención, detección, diagnóstico y tratamiento de este problema médico social.

Introduction: Battered child syndrome is defined as all forms of violence, prejudice or physical and mental abuse, carelessness or neglect inflicted on the child while under the care of his parents, tutors or any other person exerting physical and/or intellectual superiority. In over 50% of all cases lesions are found in the head and neck area. For that reason, dentists, especially pediatric dentists, must be aware to recognize all sorts of battering or neglect based on a suitably-taken clinical history, and focused exploration when suspicion of battered child syndrome is established. Objective: To be knowledgeable with BCS intra- and extra-oral indicators which might allow the pediatric dentist to recognize signs and contribute in the diagnosis as part of a multi-disciplinary team in charge of providing care to this type of patients. Clinical case: A two year, five month old male patient was brought to the National Pediatrics Institute afflicted with peri-orbital edema, multiple limb fractures and oral-facial indicators which suggested battered child syndrome diagnosis. Conclusion: Taking into consideration the frequency with which oral and facial structures are involved in battered child syndrome cases there is a medical, ethical and legal commitment for all dentists and specifically pediatric dentists, to intervene in prevention, detection, diagnosis and treatment of this medical and social problem.

Osteogenic distraction and orthognathic surgery to correct sequelae of ankylosis of the temporomandibular joint: a case report.

A 17-year-old female patient presented with sequelae to ankylosis of the temporomandibular joint, which included vertical maxillary protrusion, anterior open bite, labial incompetence, micrognathia, undefined neck angle, facial asymmetry, Class II molar relationship, and Class III canine relationship. She presented with the following cephalometric and soft tissue data: SNA angle = 78 degrees, SNB angle = 70 degrees, incisor-nasion-point A = 11 degrees, incisor-nasion-point B = 33 degrees, Frankfort-mandibular plane angle = 43 degrees, occlusal plane = 25 degrees, subnasale-stomion = 20 mm, stomion superius-stomion inferius = 9 mm, stomion inferius-soft tissue menton = 30 mm, neck angle = 144 degrees, and chin projection = 10 mm. Orthognathic surgery and mandibular osteogenic distraction were employed, specifically Le Fort I osteotomy to decrease a vertical excess of 12 mm, augmentation genioplasty of 17 mm, and bilateral extraoral distractors of bidirectional vector for a 14-mm augmentation of the mandible. The result was satisfactory with minimal adverse complications.