Postoperative effects on lower third molars of using mouthwashes with super-oxidized solution versus 0.2% chlorhexidine gel: A randomized double-blind trial.

BACKGROUND: The main objective of the present study is to evaluate the effects and possible benefits with regard to the postoperative period of lower third molar extractions, comparing the intraalveolar application of a bioadhesive gel of 0.2% chlorhexidine (CHX) to the use of a mouthwash with a super-oxidized solution, (SOS) Dermacyn® Wound Care (Oculus Innovative Sciences lnc., California, USA). MATERIAL AND METHODS: A randomized double-blind study was carried out in 20 patients with a split-mouth design, with a total of 40 extractions of symmetrically impacted bilateral lower third molars. Patients were divided into two groups, a control group (C = 20) and an experimental group (D = 20). Any infectious complications, wound healing, plaque accumulation in the stitches, and presence of trismus and inflammation were evaluated using the distance between different facial points, at three, eight, and fifteen days after extraction. Pain, swelling, and amount of analgesics taken were evaluated using the VAS scale throughout the 15 days following extraction. Tolerance to treatment was evaluated using a verbal scale. Results were statistically compared using the Student's t- and chi-squared tests. RESULTS: No statistically significant differences were found between the two groups with regard to infectious complications, swelling, or wound healing. Use of analgesics and self-reported pain levels were slightly lower in the experimental group than in the control group during days 6 and 7 of the study (p < 0.05). The global treatment tolerance was satisfactory and similar in both groups. CONCLUSIONS: Both CHX and SOS are effective at improving the postoperative period after extraction of lower third molars.

Tratamiento ortodóncico de pacientes con esclerosis múltiple. A propósito de un caso / No disponible

La Esclerosis Múltiple es una enfermedad de causa desconocida que afecta fundamentalmente a adultos jóvenes, su diagnóstico sigue siendo clínico pero la aparición de nuevos tratamientos hace necesario el apoyo de pruebas complementarias con las que el ortodoncista tiene que estar familiarizado puesto que cada vez es más frecuente que estos pacientes soliciten tratamientos de ortodoncia (AU)

Multiple sclerosis is an unknown origin disease affecting mostly young people, diagnostic was based almost entirely on clinical findings but with the apparition of the news treatments makes necessary the support of complementary test, with which the orthodontic doctor has to be acquainted since every time it is more frequent than this patients request orthodontic treatments (AU)

El óxido nítrico como mediador de la respuesta inflamatoria. Su importancia en el movimiento dental / Nitric oxide as mediator of the inflammatory response. His importance in the dental movement

El movimiento dental ortodóncico induce per se cambios inflamatorios en los tejidos dentales. En este artículo analizamos el papel dual que puede desempeñar el óxido nítrico, pudiendo comportarse como cito protector y antiinflamatorio o bien como citotóxico y mediador del daño celular. Valoramos su función como mediador de la respuesta inflamatoria y su posible efecto protector, así como su papel de modulador de la respuesta inflamatoria tanto a nivel sistémico como local (AU)

The orthodontic tooth movement induces per se inflammatory changes in the dental tissues. In this article we analyze the dual role that can have the nitric oxide, being able to behave as citoprotective and anti.inflammatory or as citotoxic and mediator of the cellular damage. We value his function as mediator of the inflammatory response and his possible protective effect, as well as his role of modulator of the inflammatory response both at systemic and local level (AU)