[Prevalence of recurrent aphthous stomatitis in a family medical office, Manzanillo, Cuban. A cross-sectional study]. / Prevalencia de estomatitis aftosa recurrente en un consultorio médico de familia, Manzanillo, Cuba. Un estudio transversal.

Introduction: Recurrent Aphthous Stomatitis, also known as aphthous ulcers or simply aphthous, is considered the most common of oral mucosal lesions. Objective: To describe the prevalence of recurrent aphthous stomatitis. Methods: Descriptive, cross-sectional and prospective study. 847 patients who attended the Family Medical Office No. 28, San Francisco comunity, Manzanillo, from July 1, 2021 to June 30, 2022, Cuba, were evaluated. A calibrated and trained assistant investigator evaluated the following variables: Clinical classification of recurrent aphthous stomatitis (minor aphthosis, major aphthosis, or aphthosis herpetiformis), lesion pain intensity, lesion location, and risk factors (viral infection), bacterial infection, immunological alterations, psychosomatic alterations, oral trauma, gastrointestinal alterations, endocrine factors, allergic conditions, heredity, blood and nutritional deficiencies, smoking), age group, sex, race, and duration of the lesion. Results: Aphthous stomatitis occurred in 30.46%, with greater frequency in the age group 30 - 39 years (24.42%). Minor aphthosis was the most frequent with 91.09%. The duration of the lesion of 10 to 12 days predominated with 37.60%, the most frequent location corresponded to the edge and tip of the tongue with 32.94% and the most representative pain intensity was mild with a total of 63.18%. The highest frequency among the risk factors corresponded to psychosomatic alterations with 100%. Conclusions: Recurrent Aphthous Stomatitis had a prevalence greater than 30% with a predominance of the female sex and young adults. Minor Aphtosis and a stay time of more than 10 days were the most frequent. The most common location is the tongue and bottom of the vestibular sulcus with the possible existence of a relationship between the mobile parts of the mouth. Stress, the main risk factor, exacerbated by Covid-19.

Eficacia del láser en el tratamiento de la estomatitis aftosa recurrente / Laser effectiveness for recurrent aphthous stomatitis treatment

RESUMEN La estomatitis aftosa recurrente es una enfermedad inflamatoria crónica. Se caracteriza por lesiones aftosas en la mucosa bucal. Para su tratamiento, se han introducido variadas terapéuticas como la terapia láser; un método sencillo, indoloro, no invasivo y cada vez más aceptado por los pacientes. Se presenta una paciente de 37 años de edad, atendida en la consulta estomatológica del Hospital Clínico-Quirúrgico Docente "Celia Sánchez Manduley", de Manzanillo, Granma; con aftas bucales de pequeño tamaño, de forma redondeada y bien delimitadas en la mucosa interna del labio inferior y en el surco vestibular a nivel de incisivos inferiores. Se comprueba la eficacia del láser en el tratamiento de la estomatitis aftosa recurrente; para brindar al paciente un estado general satisfactorio, contribuir a su mejoría definitiva en un período de 5 días en aftas menores y mejorar la calidad de vida de los pacientes durante su curación.

ABSTRACT Recurrent aphthous stomatitis is a chronic inflammatory disease characterized by aphthous lesions in the buccal mucosa. Various therapeutic methods like laser therapy have been recently introduced. This is a simple, painless, non-invasive method very much accepted by patients. We present a 37-year-old woman with small mouth sores, rounded and well-defined on the internal mucosa of the lower lip and in vestibular groove at the level of lower incisors, attended at the Stomatological Clinic of "Celia Sánchez Manduley" Clinical Surgical Teaching Hospital of Manzanillo, Granma. The effectiveness of laser in the recurrent aphthous stomatitis treatment was verified, to obtain a satisfactory general patient´s state and a 5 days effective improvement in minor aphthae, considering patients´ life quality during healing period.

Gel de propóleos en el tratamiento de la estomatitis subprotesis con candidiasis asociada / Propoleum Gel for subprothesis stomatitis with associated candidiasis

Con el propósito de evaluar la eficacia del gel de propóleos en el tratamiento de la estomatitis subprótesis con candidiasis asociada, se realizó un estudio experimental tipo ensayo clínico controlado, en el período comprendido desde julio del 2004 hasta junio del 2005, donde se trató con gel de propóleos al 20 por ciento a los pacientes afectados. Se asignaron dos grupos de forma aleatoria, el grupo estudio (A) con 60 pacientes sometidos al gel de propóleos y un grupo control (b) con igual número de pacientes tratados con nistatina en suspensión. La información se recogió en planilla de recolección de datos confeccionados al efecto. Se evaluaron las variables: edad, sexo, grado clínico de la enfermedad, higiene de la prótesis y tiempo de curación de la lesión. Se realizaron pruebas de validación del estudio tales como: prueba de hipótesis para comparación de proporciones con un nivel de significación de 0,05 utilizando el estadígrafo Z y la prueba de homogeneidad en dependencia utilizando el estadigrafico X2 con el mismo nivel de significación donde la eficacia arrojó resultados significativos con la aplicación del gel de propóleos, con 100 por ciento a diferencia del tratamiento con la nistatina, con 90 por ciento; demostrando la verdad de la hipótesis planteada(AU)

To evaluate the effectiveness of propoleum gel for subprosthesis stomatitis with associated candidiasis, it was carried out a controlled clinical trial, attending a long period of time, from July 2004 until June 2005. Within this period the 20 per cent of the affected patients were trented with propoleum gel. There were assigned two groups at random, the experimental group A with 60 patients submitted to propoleum gel and a control group B with the same number of patients treated with nystatine suspension. The information was evidence in collection files of the data gathered with effectiveness. There were different variables like age, sex, clinical stage of the disease, the prosthesis hygiene and the time of healing the lesion. There were also applied some tests to value the research, such as: The hypothesis to compare the proportions with a significant level of 0,05 using the Z; and the test of homogeneity and independence test, using the X2 with the same level of significance in which the effectiveness showed meaningful results with the application of propoleum gel having 100 percent what makes the difference of nystatine treatment which has 90 per cent showing the veracity of the stated hypothesis(EU)

Los hábitos alimentarios y su incidencia en la caries dental / Alimentary habits and their incidence in dental caries

En la escuela primaria Comandante M Fajardo Rivero se realizó un estudio analítico con intervención comunitaria en niños de 8–9 años; a través de técnicas afectivo participativas se dio orientación de prevención y promoción de salud acerca de los hábitos adecuados de dieta, la caries dental y para la salud en general, mediante contacto previo con los padres y el niño, en el período comprendido desde junio del 2004 hasta junio del 2005 con el objetivo de lograr modificaciones de comportamiento en los hábitos alimentarios de estos niños. El universo estuvo conformado por 84 pacientes de 8 y 9 años de edad que fueron asignados en 2 grupos: el grupo de 8 años de edad y el grupo de 9 años de edad. Los datos se recogieron en planillas de recolección de la información confeccionadas al efecto y los resultados se exponen en tablas de doble entrada tomando los números absolutos y el porcentaje como medida de resumen. Se realizaron pruebas de validación del estudio tales como: prueba de comparación de proporciones con un nivel de α=0,05. Se comprobó la eficacia de juegos como técnica de promoción de salud y se evaluaron los patrones de preferencia–selección en relación con los productos naturales e industrializados. Los resultados arrojaron que se logró disminuir el índice de caries dental y mantuvo o prolongó el período de pacientes sanos o saneados(AU)

In Comandante Manuel Fajardo Rivero Junior High School it was performed an analitic study with communitary intervention in children about 8-9 years old; through some affective-participative techniques it was given the orientation of prevention and promotion of health about the proper alimentary habits of diet, dental caries and for good health in general, through a previous contact with parents and children in the period from june 2004 to june 2005, with the objective to obtain modifications of behaviour in alimentary habits of these children. The universe was made up by 84 patients of 8-9 year old that were assigned in two groups; 8 year old group and 9 year old group. The data were gathered in compilation files of information and the results are showed in double-entrance tables taking the absolute numbers and percentages as a summary measure. There were made some validation tests of study like the proportion comparisons with 0.05 level of assimilation. It was confirmed the efficiency of several games like the technique of health promotion and there were evaluated the guidelines of preference-selection in relation with the natural and industrialized products. The results showed that the index of dental caries disminushed and the period of healthy patients endured(EU)