Avances en odontoestomatologia

Publisher: SPARC (Organization)

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Other titles Avances en odontoestomatologia (Online)
ISSN 0213-1285
OCLC 62599486
Material type Document, Periodical, Internet resource
Document type Internet Resource, Computer File, Journal / Magazine / Newspaper

Publications in this journal

  • Avances en odontoestomatologia 08/2015; 31(4):267-271. DOI:10.4321/S0213-12852015000400004

  • Avances en odontoestomatologia 08/2015; 31(4):247-259. DOI:10.4321/S0213-12852015000400002
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    ABSTRACT: Clinical research has shown that better cognitive function is associated with good oral health. In the same way, institutionalized elderly patients that suffer cognitive impairment present poor oral health with a high number of missing teeth, cavities, plaque formation and periodontal disease. It’s important to do the diagnosis of patients presenting cognitive impairment as earlier as possible in other to improve the prognosis of the disease and to raise a preventive dental treatment that can improve their health and quality of life. Therefore, all health personnel, including dentists have to be decisive in this process by assessing the changes in behaviour and the lost of memory of their patients. The aim of this article it’s to perform a review about geriatric diseases that most often cause cognitive impairment. Also having a look to the changes that occur in these patients and in their oral health due to alterations in the development of the disease. To conclude compiling guidelines on how and when should the dental treatment be performed depending on the stage of cognitive impairment.
    Avances en odontoestomatologia 07/2015; 31(3):117-127.
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    ABSTRACT: All developed countries are facing ageing populations. Spain is the European country with the highest life expectancy; worldwide it is second only to Japan. This ageing is forecasted to continue, equally affecting people over 65 and those over 80, thus leading to what is known as the ageing of the ageing. Chronic pathologies such as hypertension, diabetes, dyslipidemia and obesity are steadily growing. Chronic diseases use up an estimated 80% of all Primay Care services. Medicine consumption should also be considered. 88,9% of those over 65 are taking some sort of drug; the percentage reaches 93,4% for those over 75 and 94% for people suffering from chronic diseases.
    Avances en odontoestomatologia 07/2015; 31(3):107-116.
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    ABSTRACT: Oral Candidiasis or Candidosis is the infectious disease caused by the growth of colonies of Candida and penetration in the oral tissues when physical barriers and host defenses are altered. It is the most common fungal infection of oral involvement. It is a common infection of the oral cavity in elderly adults. Although the true incidence is unknown, it is known that there is an increased prevalence in certain situations in the elderly: tissue-borne prosthesis, xerostomia or disorders frequently associated. The most characteristic clinical types are pseudomembranous and erythematous (palatal and lingual) form. They may have acute or chronic evolution as the persistence of predisposing factors. They are also frequent mouth commonly associated processes: denture stomatitis, angular cheilitis, rhomboid glossitis and hairy tongue. Most oral candidiasis have a clinical diagnosis, but must be confirmed by demonstrating penetration of candida on the oral mucosa, being the preferred technique smears. Before starting treatment, we must be sure that it is an oral candidiasis, clinical type and predisposing factors associated with infection. Always start eliminating these predisposing factors in the elderly, the polypharmacy, xerostomia, chronic diseases and the use of tissue-borne prostheses are common situations which must be controlled. We will initiate oral hygiene measures and then if necessary, use antifungal drugs, always starting with topical forms.
    Avances en odontoestomatologia 07/2015; 31(3):135-148.
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    ABSTRACT: Actually, in our sociodemographic environment, and according to the economic conditions, more and more elderly patients use removable prostheses, and being removable partial dentures and complete dentures, treatments studied and described long ago, the knowledge of techniques and steps for developing this type of prosthesis remain basic yet today. In addition, it is also the basis for the removable restorations on implants, which help many elderly with retention and stability requirements in their removable dentures. The article summarize the current situation of partial, complete and implant dentures, classical confection techniques and the latest developments in materials, design and fabrication by CAD-CAM, and describes the importance of the patient and caregivers knowledge for a correct hygiene and maintenance to ensure long-term success.
    Avances en odontoestomatologia 07/2015; 31(3):191-201.
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    ABSTRACT: Today, oral implantology constitute a therapeutic modality in the prosthodontic treatment of totally edentulous patients. Use of osseointegrated implants to restore edentulous mandible and maxilla has increased in the treatment of geriatric patients. Clinical dentistry have demonstrated the successfull application of oral implantology techniques in older patients. Overdentures are an excellent treatment modality of implant prosthesis with a good functional and aesthetic response in these patients. Medical assessment and treatment planning is needed for optimize the benefits of oral rehabilitation with implant overdentures over quality of life in geriatric patients. Several implants can be retentive components, by attachments, of overdentures. Clinical outcomes of many studies demonstrate that prosthodontic rehabilitation in the maxilla or mandible of edentulous patients with overdentures supported by several implants is a successful implant treatment.
    Avances en odontoestomatologia 07/2015; 31(3):161-172.
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    ABSTRACT: In geriatric patients is common the presence of systemic diseases, leading to a use of various drugs for the treatment thereof. One of the most common are the bisphosphonates. In general, bisphosphonates are well tolerated drugs if properly managed, although in recent years have also been described different adverse effects associated with its consumption, with the maxillary osteonecrosis one of the most important. Since then are numerous reported cases in which it is stated that minor surgical procedures such as extractions could be one of the triggers. In the case of intravenous bisphosphonates, since the risk is much higher, it is suggested to avoid possible oral surgical treatments like extractions while on treatment with oral bisphosphonates may not contraindicate such treatments that so categorically. In this situation the need to establish a definitive protocols aimed at the prevention and treatment of this possible complication that could happen is obvious.
    Avances en odontoestomatologia 07/2015; 31(3):173-179.
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    ABSTRACT: Endodontics in geriatric patients is an increasingly common procedure in the dental clinic. Medical and dental characteristics of these patients makes us properly plan our procedures to anticipate possible difficulties as narrow ducts, calcifications etc. Our procedures should provide for the possible difficulties that may arise cause by narrow ducts, calcified pulp chambers, etc. During the instrumentation of these teeth, we submit a high stress of torsion to our instruments, motivated by the wide surface of contact between the instrument and the walls. For these reason, it will be absolutely necessary to make a rotary preinstrumentation, then, for the final instrumentation, we must consider the alternating rotation as a good option. The canal preparation should leave one sufficient dentin remnant, maintenance of the apical foramen and the proper taper to facilitate the administration of irrigants along the length of the ducts and the forces of condensation for obturation. As irrigants we use, in general, sodium hypochlorite 5% throughout the entire instrumental phase; and a combination of hypochlorite with a chelator for irrigation preobturation, in this phase we will activate with any ultrasonic device or with apical negative pressure. We will make the obturation with thermoplastic systems that provide us a completely three-dimensional sealing of the root canal system.
    Avances en odontoestomatologia 07/2015; 31(3):149-159.
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    ABSTRACT: During last decades, implant dentistry has been an increased technique in geriatric dentistry. Aging is not a contraindication for oral implantology. From a comprehensive point of view, are necessary a medical assessment of the aged patient, an oral diagnosis, a correct treatment planning, with a strict protocol of surgical and prosthetic procedures. Many patients for dental implant surgery are elderly, and their overall medical condition may be complex. Consultation with the patient´s physician is important to ensure that surgical risks are minimized. After the surgical step, a good reaction of hard and soft tissues is necessary for long-term success of dental implants. Fixed and removable prostheses supported by dental implants were been indicated in edentulous older patients, according several functional loading protocols. Maintenance by the patient and periodical follow-up by the dentist are very important. Implant-supported prostheses improve oral quality of life and psychosocial well-being of edentulous aged patients.
    Avances en odontoestomatologia 07/2015; 31(3):217-229.
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    ABSTRACT: Geriatric patient have an increased cardiovascular risk, and ischemic heart disease is the most common cause of death in the ederly. Age results in changes in the homeostasis as increased coagulability, decreased fibrinolysis and increased platelet aggregability. These factors together with endothelial dysfunction and increased blood stasis, involve an increased thrombotic risk and the possibility of having a cardiovascular event. The use of oral anticoagulants and antiplatelet drugs has amply demonstrated its effectiveness in both primary and secundary prevention of thrombotic events. Surgical procedures, such as dental extraction, in patiens with antithrombotic therapy may entail to an increased risk of bledding during the procedure and in the postoperative period. On the other hand, the removal of these drugs in order to reduce bledeing may increase the risk of developing a thromboembolic event with fatal consequences for the patient´shealth. The purpose of this paper is to review antithrombotic drugs currently used and protocols for patients on anticoagulation/antiplatelet therapy who need a dental extraction.
    Avances en odontoestomatologia 07/2015; 31(3):203-214.
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    ABSTRACT: Objective: The aim of this study is to compare the mercury levels tested in two groups of children from different locations from Peru: a mining countryside and a metropolitan area. Methods: The rural area was Mollehuaca (Arequipa), where children are exposed to mercury by artisanal mining. Fifty-two hair samples from children from the rural area were obtained. The urban area was District of Olives (Lima), where there is not mercury exposure by mining. Forty hair samples from children from the urban area were obtained. Mercury level was determined by induction coupled plasma mass spectrometer (ICP-MS) standard technique. Results: In the rural area, an average of level of mercury 7.47 ppb±26.9 was obtained; in urban areas the mercury level reached an average of 2.47 ppb±1.28. Not significant differences in the level of mercury according to age or gender were found. Conclusion: It is concluded that the group exposed to rural and informal gold mining presented an average of mercury levels in hair higher than those of the urban group, but this difference was not significant (p=0.188, α=0.05).
    Avances en odontoestomatologia 07/2015; 31(2):85-90.
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    ABSTRACT: Attitudes intervene decisively in the onset and development of oral diseases. This paper analyzes the attitudes toward the oral health and its relationship with socioeconomic status (SES) in adults from the city of Corrientes, Argentina. Methodology: A cross-sectional study was carried out. Information on sociodemographic and oral health attitudes was collected through a household survey using the technique of direct observation by the “face to face” interviewer. The sample size was determined by establishing a confidence level of 95% for the generalization of results (381 individuals). Simple random sampling design was used for the selection of households to be surveyed, which was supplemented with a non-probability sampling procedure for selecting individuals to be interviewed, based on data provided by the 2010 census. We used a SPSS 21.0 program for the analysis of data. Differences according to the socioeconomic level were analyzed with the Kruskal-Wallis test, using U Mann-Whitney tests to assess differences between pairs. Results: It was found that individuals from lower socioeconomic level have less favorable attitudes of oral health, particularly in regard to the attitude to dental pain and frequent reason to dentist consultation. Conclusion: The results of this work can be considered as an important resource to design intervention strategies that address the social and cultural determinants of health-disease process.
    Avances en odontoestomatologia 07/2015; 31(2):67-76.