WorldWideScience

Sample records for del trauma dental

  1. Dental Trauma Guide

    DEFF Research Database (Denmark)

    Andreasen, Jens Ove; Lauridsen, Eva; Gerds, Thomas Alexander

    2012-01-01

    Diagnosis and treatment for traumatic dental injuries are very complex owing to the multiple trauma entities represented by six luxation types and nine fracture types affecting both the primary and the permanent dentition. When it is further considered that fracture and luxation injuries are often...... combined, the result is that more than 100 trauma scenarios exist, when the two dentitions are combined. Each of these trauma scenarios has a specific treatment demand and prospect for healing. With such a complexity in diagnosis and treatment, it is obvious that even experienced practitioners may have...... problems in selecting proper treatment for some of these trauma types. To remedy this situation, an Internet-based knowledge base consisting of 4000 dental trauma cases with long-term follow up is now available to the public and the professions on the Internet using the address http://www.DentalTrauma...

  2. Dental Trauma Guide

    DEFF Research Database (Denmark)

    Andreasen, Jens Ove; Lauridsen, Eva Fejerskov; Christensen, Søren Steno Ahrensburg

    2012-01-01

    Diagnose and treatment of traumatic dental injuries is very complex due to the multiple trauma entities represented by 6 lunation types and 9 fracture types affecting both the primary and the permanent dentition. When it is further considered that fracture and lunation injuries are often combined......, the result is, that more than 100 trauma scenario exist when the two dentitions are combined. Each of these trauma scenarios have a specific treatment demand and prospect for healing. With such a complexity in diagnose and treatment it is obvious that even experienced practitioners may have problems may have...... problems in selecting proper treatment for some of these trauma types. To remedy this situation, an internet based knowledge base consisting of 4000 dental trauma cases with long term follow up is now available to the public and professionals, on the internet using the address www...

  3. Dental Trauma. A Case Report

    Directory of Open Access Journals (Sweden)

    Alain Soto Ugalde

    2015-06-01

    Full Text Available Dental traumas in children are common; therefore the dentist should be trained to solve them. This paper presents the diagnosis, treatment and outcome of a child with a 12 mm overjet, mouth breathing habit and bilabial incompetence who suffered a severe trauma to tooth number 11, causing its mobility. A splint was applied to the affected tooth and subsequently, a root canal filling was performed, all with a satisfactory outcome. Although these traumas are common, the presentation of this case is important due to its use in the teaching context.

  4. Dental traumas during the military service.

    Science.gov (United States)

    Immonen, Matti; Anttonen, Vuokko; Patinen, Pertti; Kainulainen, Marco-Juhan; Päkkilä, Jari; Tjäderhane, Leo; Oikarinen, Kyösti

    2014-06-01

    Dental traumas are most frequent during the first three decades of life and more frequent among males than females. Approximately 80% (n = 28 000) of the male age cohort performs military service annually in Finland. As little is known of dental, head, and neck traumas during the military service, our aim was to study the etiology, number and occurrence of traumas of the Finnish conscripts during one calendar year. Our hypothesis was that above-mentioned traumas comprise a remarkable proportion of military accidents. The data comprised of all the Finnish conscripts' trauma cases in the year 2009 (mean age 20.1 years, SD 1.1). The frequency, mechanism, and time of the incidences were analyzed. Of the total 1432 trauma cases, 303 (23%) involved head, neck, or dentition. The occurrence rate of dental traumas was 6.5 cases/1000 persons/year. Dental traumas comprised 14.3% of all traumas. The most common mechanism for dental traumas was a blow-type force. First 4 months of the service and winter time were periods of increased risk of dental traumas. Two-thirds of the dental traumas, one-third of the body traumas and a quarter of the head and neck traumas occurred during military field exercises. Most dental traumas required a visit to a military dental clinic and also needed follow-up care. Head, neck, and dental injuries are common during the military service in Finland. Prevention of dental traumas and need for first aid dental skills of the personnel should be emphasized. © 2013 John Wiley & Sons A/S. Published by John Wiley & Sons Ltd.

  5. Development of an interactive dental trauma guide

    DEFF Research Database (Denmark)

    Andreasen, Jens Ove; Lauridsen, Eva Fejerskov; Christensen, Søren Steno Ahrensburg

    2009-01-01

    resulting in 54 trauma scenarios of which many have specific requirements for treatment The situation is further complicated by the fact that the two dentitions have very different treatment demands. As a result it's impossible even for experienced practitioners to provide evidence-based treatment...... be available on the internet at: "www.DentalTraumaGuide.org". We hope that the Dental Trauma Guide can help improve the knowledge about dental traumatology worldwide and hereby improve the quality of treatment....

  6. Development of an interactive dental trauma guide

    DEFF Research Database (Denmark)

    Andreasen, Jens Ove; Lauridsen, Eva; Christensen, Søren Steno Ahrensburg

    2009-01-01

    resulting in 54 trauma scenarios of which many have specific requirements for treatment The situation is further complicated by the fact that the two dentitions have very different treatment demands. As a result it's impossible even for experienced practitioners to provide evidence-based treatment...... be available on the internet at: "www.DentalTraumaGuide.org". We hope that the Dental Trauma Guide can help improve the knowledge about dental traumatology worldwide and hereby improve the quality of treatment....

  7. The Dental Trauma Internet Calculator

    DEFF Research Database (Denmark)

    Gerds, Thomas Alexander; Lauridsen, Eva Fejerskov; Christensen, Søren Steno Ahrensburg

    2012-01-01

    Background/Aim Prediction tools are increasingly used to inform patients about the future dental health outcome. Advanced statistical methods are required to arrive at unbiased predictions based on follow-up studies. Material and Methods The Internet risk calculator at the Dental Trauma Guide pro...... were based on the tooth’s root development stage and other risk factors at the time of the injury. Conclusions This article explains the data base, the functionality and the statistical approach of the Internet risk calculator....... injuries: concussion, sub-luxation, extrusion, lateral luxation, intrusion, avulsion, crown fractures without luxation, root fractures and avulsion. The prognoses for pulp necrosis, pulp canal obliteration, infection related root resorption, ankylosis, surface resorption, marginal bone loss and tooth loss...

  8. History of the Dental Trauma Guide.

    Science.gov (United States)

    Andreasen, Jens Ove; Ahrensburg, Søren Steno

    2012-10-01

    The history of the Dental Trauma Guide dates back to 1965, where guidelines were developed for trauma records and treatment of various trauma entities at the Department of Oral and Maxillofacial Surgery at the University Hospital in Copenhagen. In 1972, a unique possibility came up at the Serum Institute in Copenhagen to test various dental trauma procedures in monkeys, which served as kidney donors in the polio vaccine production. Over the years, 40 000 dental trauma patients were treated at the Trauma Centre according to established guidelines, and 4000 of these have been enrolled in long-term follow-up of various trauma entities. This has resulted in 79 clinical studies, and 64 studies in monkeys have examined the effect of various treatment procedures and the aetiology of most healing complications.

  9. History of the Dental Trauma Guide

    DEFF Research Database (Denmark)

    Andreasen, Jens Ove; Christensen, Søren Steno Ahrensburg

    2012-01-01

    The history of the Dental Trauma Guide dates back to 1965, where guidelines were developed for trauma records and treatment of various trauma entities at the Department of Oral and Maxillofacial Surgery at the University Hospital in Copenhagen. In 1972, a unique possibility came up at the Serum...... Institute in Copenhagen to test various dental trauma procedures in monkeys, which served as kidney donors in the polio vaccine production. Over the years, 40 000 dental trauma patients were treated at the Trauma Centre according to established guidelines, and 4000 of these have been enrolled in long......-term follow-up of various trauma entities. This has resulted in 79 clinical studies, and 64 studies in monkeys have examined the effect of various treatment procedures and the aetiology of most healing complications....

  10. Dental and General Trauma in Team Handball.

    Science.gov (United States)

    Petrović, Mateja; Kühl, Sebastian; Šlaj, Martina; Connert, Thomas; Filippi, Andreas

    Handball has developed into a much faster and high-impact sport over the past few years because of rule changes. Fast sports with close body contact are especially prone to orofacial trauma. Handball belongs to a category of sports with medium risk for dental trauma. Even so, there is only little literature on this subject. The aim of this study was to examine the prevalence and the type of injuries, especially the occurrence of orofacial trauma, habits of wearing mouthguards, as well as degree of familiarity with the tooth rescue box. For this purpose, 77.1% (n=542/703) of all top athletes and coaches from the two highest Swiss leagues (National League A and National League B), namely 507 professional players and 35 coaches, were personally interviewed using a standardized questionnaire. 19.7% (n=100/507) of the players experienced dental trauma in their handball careers, with 40.8% (n=51/125) crown fractures being the most frequent by far. In spite of the relatively high risk of lip or dental trauma, only 5.7% (n=29/507) of the players wear mouthguards. The results of this study show that dental trauma is common among Swiss handball players. In spite of the high risk of dental trauma, the mouthguard as prevention is not adequately known, and correct procedure following dental trauma is rarely known at all.

  11. What do dental students know about trauma?

    Science.gov (United States)

    AlZoubi, Fahad; Mannocci, Francesco; Newton, Tim; Manoharan, Andiappan; Djemal, Serpil

    2015-12-01

    To assess the baseline knowledge, knowledge acquisition and retention of dental undergraduate students in dental trauma, and the impact of a lecture on their level of confidence in managing traumatic dental injuries. A total of 145 dental undergraduate students from King's College London were invited to attend a lecture on dental trauma. The participants were asked to complete a questionnaire on dental trauma before (T0), immediately after (T1) and 6 months (T2) following a 1-h lecture. Seventy of the 145 students participated in the study. The level of knowledge at T0, T1 and T2 was 64.9%, 83.2% and 69.5%, respectively. The increase in score was statistically significant between T0 and T1, and between T0 and T2. A significant decrease in score was also found between T1 and T2. Sex, level of education and whether or not the participants received previous teaching in dental trauma were not significant in predicting a change in score. The level of confidence increased significantly from 2.14 at T0 to 3.13 at T2. Participants who received teaching in dental trauma previous to the lecture were significantly more confident at T0. Lectures are effective at improving the knowledge and retention of knowledge of dental undergraduate students in dental trauma. However, retention of the knowledge is time limited suggesting that education should be repeated after a certain period of time to ensure that a high level of knowledge is maintained. © 2015 John Wiley & Sons A/S. Published by John Wiley & Sons Ltd.

  12. Prevalencia de traumatismos dentoalveolares en pacientes infantiles del complejo asistencial Dr. Sótero del Río Prevalence of dental trauma of infants attended at Dr. Sótero del Río Hospital

    Directory of Open Access Journals (Sweden)

    PF Castro Brezzo

    2012-12-01

    Full Text Available En el presente estudio descriptivo de incidencia, 604 niños menores de 15 años fueron examinados y atendidos en la Clínica de Odontopediatría del Complejo Asistencial Dr. Sotero del Río, con diagnóstico de Traumatismo Dentoalveolar (TDA, desde Enero a Diciembre del 2010. El propósito de este estudio fue caracterizar los TDA de acuerdo a la clasificación de Andreasen y Andreasen, determinar su frecuencia y distribución estacional, tipo y número de dientes afectados, distribución de género y edad, lugar de ocurrencia y causa. Para ambas denticiones, en conjunto, más de dos dientes comprometidos presentaron una frecuencia de 58.77%. Los análisis se dividieron por dentición y hubo 636 dientes definitivos y 414 temporales. En dentición definitiva se observó una mayor frecuencia en Mayo (15.36%, Abril (13.02% y Noviembre (13.02%. Las fracturas coronarias no complicadas son las más frecuentes (40.88% y los dientes más afectados fueron los incisivos centrales maxilares (77.66%. Los niños sufren más TDA que las niñas (64.97%. La mayor frecuencia de TDA para ambos géneros es a los 8 años. La principal causa fue caídas en el colegio (46.87%. En dentición temporal se observó mayor cantidad de casos en primavera-verano (53.74%. Siendo más frecuente en los meses Noviembre y Febrero (30.84%. Subluxación fue el diagnostico más frecuentes con un 39.61%. Los dientes más afectados fueron los incisivos centrales maxilares en un 82.13%. El género masculino fue el más afectado (62.56%. La edad en que se observó mayor frecuencia de TDA fueron los 2 años. La principal causa fue caídas en la casa (29.07%.In this incidence descriptive study 604 infants less than fifteen years of age were examined and attended at the Pedodontic Clinic from Dr. Sótero del Río hospital with a diagnostic of dental trauma between January and December 2010. The purpose of this research protocol was to characterize dental trauma according to the Andreasen

  13. Development of an interactive dental trauma guide.

    Science.gov (United States)

    Andreasen, Jens Ove; Lauridsen, Eva; Christensen, Søren Steno Ahrensburg

    2009-01-01

    Diagnosis and treatment of traumatic dental injuries is a complex task and the diagnostic process of reaching a correct diagnosis and treatment can sometimes be very difficult. Traumatic dental injures often occur as combination injuries between one of the 6 luxations and the 9 fracture types resulting in 54 trauma scenarios of which many have specific requirements for treatment The situation is further complicated by the fact that the two dentitions have very different treatment demands. As a result it's impossible even for experienced practitioners to provide evidence-based treatment on the basis of personal experience alone. Based on 60 clinical studies of 4000 cases with long-term follow-up treatment and prognosis has been determined for almost all fractures and luxation and their combinations. Information on treatment and prognosis relating to these 4000 cases will now in the future be available on the internet at: "www.DentalTraumaGuide.org". We hope that the Dental Trauma Guide can help improve the knowledge about dental traumatology worldwide and hereby improve the quality of treatment.

  14. Dental Trauma Guide: a source of evidence-based treatment guidelines for dental trauma.

    Science.gov (United States)

    Andreasen, Jens Ove; Lauridsen, Eva; Gerds, Thomas Alexander; Ahrensburg, Søren Steno

    2012-10-01

    Diagnosis and treatment for traumatic dental injuries are very complex owing to the multiple trauma entities represented by six luxation types and nine fracture types affecting both the primary and the permanent dentition. When it is further considered that fracture and luxation injuries are often combined, the result is that more than 100 trauma scenarios exist, when the two dentitions are combined. Each of these trauma scenarios has a specific treatment demand and prospect for healing. With such a complexity in diagnosis and treatment, it is obvious that even experienced practitioners may have problems in selecting proper treatment for some of these trauma types. To remedy this situation, an Internet-based knowledge base consisting of 4000 dental trauma cases with long-term follow up is now available to the public and the professions on the Internet using the address http://www.DentalTraumaGuide.org. It is the aspiration that the use of this Guide may lead the practitioner to offer an evidence-based diagnosis and treatment.

  15. Effects of dental trauma on the pulp.

    Science.gov (United States)

    Love, R M

    1997-05-01

    Infection of the root canal system following dental trauma induces pulp and periapical disease and prevents healing of previously healthy pulp. A clinical goal in treating trauma is the maintenance of pulp vitality, and clinicians should be aware of factors that influence pulp healing. The learning objective of this article is to review the factors and techniques that influence pulp vitality and examine the influence pulp has on the healing of adjacent tissues. The potential routes for bacterial infection of the root canal system are discussed, with the clinical crown as the primary portal of entry. Uncomplicated and complicated crown fractures, as well as the crown-root and root fractures, are reviewed. Complications in pulp healing include canal obliteration, disturbed root development, apexogenesis, apexification, and the various forms of resorption.

  16. Taekwondo Coaches Knowledge about Prevention and Management Of Dental Trauma

    OpenAIRE

    Vidović, Dina; Goršeta, Kristina; Bursač, Danijel; Glavina, Domagoj; Škrinjarić, Tomislav

    2014-01-01

    The aim of this study was to assess level of knowledge about prevention and dental trauma management among taekwondo coaches in Croatia. The questionnaire submitted to the taekwondo coaches contained 16 items about dental trauma prevention and management. The questionnaires were filled in by 131 taekwondo coaches; 28 females and 103 males. Descriptive statistics was used to describe and analyze the obtained data. The coaches were familiar with dental injuries in high percentage: 41 (31.3%) ha...

  17. Is there an association between the presence of dental fluorosis and dental trauma amongst school children?

    Science.gov (United States)

    Oliveira, Lorenna Fonseca Braga de; Souza, João Gabriel Silva; Mendes, Rafael Inácio Pompeu; Oliveira, Rodrigo Caldeira Nunes; Oliveira, Carolina de Castro; Lima, Carolina Veloso; Martins, Andréa Maria Eleutério de Barros Lima

    2016-03-01

    Our objective was to evaluate whether there is an association with the different levels of dental fluorosis and the presence of dental trauma amongst school children. A transversal study was conducted amongst school children from the age of 12. Dental examinations were conducted by 24 well trained and fully qualified dental surgeons. Data was collected from 36 randomly selected public schools amongst 89 schools in a municipality. The criteria used to diagnose dental fluorosis was based on the Dean's fluorosis Index and for diagnosing dental trauma we looked for clinical signs of crown fractures and dental avulsions. Multiple descriptive analysis, which was bivariate, was carried out. Amongst the 2,755 school children that took part in the study 1,089 (39.6%) were diagnosed with dental fluorosis and 106 (3.8%) had one tooth or more with dental trauma. We noted a high prevalence of dental fluorosis, independent of the level of severity, amongst individuals with one tooth or more who had dental trauma. This association was even more evident where there were severely high levels of fluorosis. We also noted that the presence of fluorosis was greater amongst those that actively paid more attention to discoloration on their teeth and who received treatment from a dental professional at their schools. Nevertheless dental fluorosis was associated with the presence of dental trauma, independent of its severity.

  18. Taekwondo coaches knowledge about prevention and management of dental trauma.

    Science.gov (United States)

    Vidović, Dina; Gorseta, Kristina; Bursac, Danijel; Glavina, Domagoj; Skrinjarić, Tomislav

    2014-06-01

    The aim of this study was to assess level of knowledge about prevention and dental trauma management among taekwondo coaches in Croatia. The questionnaire submitted to the taekwondo coaches contained 16 items about dental trauma prevention and management. The questionnaires were filled in by 131 taekwondo coaches; 28 females and 103 males. Descriptive statistics was used to describe and analyze the obtained data. The coaches were familiar with dental injuries in high percentage: 41 (31.3%) have observed dental injury and 36 (27.5%) have experienced a dental injury themselves. Eight of them had tooth avulsion, fourteen crown fracture, and eight had tooth luxation. About half of all interviewed coaches 68 (52.7%) were aware of the possibility of replanting avulsed teeth. Twenty six (19.8%) were familiar with the tooth rescue kit. Only 99 out of 131 coaches (75.6%) have used a mouthguard. The obtained results show low knowledge about possibilities for prevention of dental trauma. Insufficient use of mouthguards in this contact sport requires more attention of dentists and coaches education about dental trauma prevention.

  19. Smartphones and dental trauma: the current availability of apps for managing traumatic dental injuries.

    Science.gov (United States)

    Djemal, Serpil; Singh, Parmjit

    2016-02-01

    There is a general consensus regarding the lack of awareness regarding the emergency management of traumatic dental injuries amongst laypersons and dental professionals. This article aims to provide an overview of the apps available for traumatic dental injuries using smartphones. These apps may serve as a gateway for raising awareness of traumatic dental injuries. Three smartphone devices were used to access their respective app stores (Nokia Lumia 635 with Windows Phone OS 8.1; iPhone 5 with iOS 8.1; Samsung Galaxy Ace II with Android OS v2.3.6 Gingerbread). Nine phrases were searched: broken tooth/teeth; chipped tooth/teeth; dental emergency; dental injury; dental trauma; fractured tooth/teeth; knocked-out tooth/teeth; tooth/teeth injury; and tooth/teeth trauma. Seven apps for the Android and one app for the Apple operating system were relevant. The only Apple iOS app retrieved (Dental Trauma) was also found for the Android OS (Dental Trauma First Aid) and had the endorsement of the International Association of Dental Traumatology. AcciDent was the only app dedicated to traumatic dental injuries targeted solely towards dental professionals. Five other apps (Chipped Tooth Solution, Dental Crown Repair, Fixing Cracked Tooth, Repairing the Front Tooth and Solution to Broken Tooth) appeared to come from the same source (KBES). No traumatic dental injury apps were found for the Windows Phone OS. There are apps available for both patients and dentists that range in quality and on the whole lack real-life photographs. Future apps should continue to provide good quality, evidence-based and validated material. © 2015 John Wiley & Sons A/S. Published by John Wiley & Sons Ltd.

  20. Oral health: treatment of dental trauma and pain.

    Science.gov (United States)

    Martonffy, Andrea Ildiko

    2015-01-01

    Dental trauma is common among adults and children. As children become mobile, they frequently experience trauma to their primary teeth because of falls. Injuries to permanent teeth are common results of falls, motor vehicle accidents, sports injuries, and violence. Trauma can affect the tooth enamel, dentin, pulp, root, periodontal ligament, gum, or alveolar bone. Avulsions are characterized by complete displacement of the tooth from the socket. Avulsed primary teeth should not be replanted because replantation is associated with a risk of damage to the developing permanent tooth. Avulsed permanent teeth are considered a dental emergency and should be replanted by the first individual capable of doing so. If immediate replantation is not possible, the tooth should be stored in cold animal or human milk; it also can be stored in the mouth, adjacent to the buccal mucosa, if the patient is capable of doing so. Water should be avoided as a storage medium because it impedes healing of the periodontal ligament, but storage in water is superior to dry storage. Intruded teeth (ie, pushed into the jaw) may need immediate extraction, depending on their orientation. All patients with dental trauma should follow up promptly with a dentist. Patients presenting with chronic dental pain without an obvious treatable etiology will benefit from ongoing support from their family physicians. Written permission from the American Academy of Family Physicians is required for reproduction of this material in whole or in part in any form or medium.

  1. Dental trauma in association with maxillofacial fractures: an epidemiological study

    NARCIS (Netherlands)

    Ruslin, M.; Wolff, J.; Boffano, P.; Brand, H.S.; Forouzanfar, T.

    2015-01-01

    Aim The aim of this study was to retrospectively investigate the incidence and associated factors of dental trauma in patients with maxillofacial fractures at the VU Medical Center in Amsterdam. Material and methods Data from 707 patients who were treated surgically for maxillofacial fractures were

  2. Management of trauma to supporting dental structures.

    Science.gov (United States)

    Elias, Husam; Baur, Dale A

    2009-10-01

    Teeth, periodontium, and supporting alveolar bone are frequently involved in trauma and account for approximately 15% of all emergency room visits. The cause of the dentoalveolar trauma varies in different demographics but generally results from falls, playground accidents, domestic violence, bicycle accidents, motor vehicle accidents, assaults, altercations, and sports injuries. Dentoalveolar injuries should be considered an emergency situation because successful management of the injury requires proper diagnosis and treatment within a limited time to achieve better outcomes.

  3. Non-accidental collision followed by dental trauma: associated factors.

    Science.gov (United States)

    Ramos-Jorge, Maria Letícia; Tataounoff, Juliana; Corrêa-Faria, Patrícia; Alcântara, Carlos Eduardo Pinto; Ramos-Jorge, Joana; Marques, Leandro Silva

    2011-12-01

    The aim of the present cross-sectional survey was to assess factors associated with non-accidental collision followed by dental trauma among adolescents in the city of Diamantina, Brazil. A total of 387 students from 12 to 15 years of age (mean = 14 SD = 0.9) were randomly selected. The study was carried out in two stages. Firstly, data were collected through dental examinations of permanent incisors. Secondly, a thorough interview was held with 85 adolescents who exhibited dental trauma in the dental examinations. The interview consisted of a detailed description of the incident and physical environment in which it occurred. Descriptive analysis and the chi-square test (P 3 mm (P = 0.007) and inadequate lip coverage (P = 0.013). Analysis of the event revealed that 22.3% of the cases of dental trauma occurred because of non-accidental collision. Non-accidental collision followed by injury occurred mainly at school (P concrete, tiled or ceramic floor (P = 0.001). No statistically significant associations were found between non-accidental collision and gender, age or mother's schooling. It was concluded that the non-accidental collisions happened especially at school and in indoor environments with a concrete, tiled or ceramic floor.

  4. Hemorragia incoercible por trauma maxilofacial: experiencia del Hospital del Trabajador

    OpenAIRE

    Andrades C,Patricio; Román F,José Luis; Bartel A,Ricardo; Borel B,Claudio; Hernández N,Rodrigo; Rojas S,René; Lankin B,Jorge; Villalobos A,Rodrigo

    2012-01-01

    Introducción: El objetivo del presente trabajo es mostrar nuestra experiencia en el manejo de la hemorragia incoercible por trauma facial durante los últimos 10 años, para determinar su incidencia y delinear los principios básicos del tratamiento. Material y Método: Estudio retrospectivo de todos los pacientes con hemorragia incoercible por trauma maxilofacial entre 1999 y 2009. Criterios de inclusión fueron hemorragia oro-nasal secundaria a traumatismo maxilofacial, sin otras lesiones asocia...

  5. A retrospective study of traumatic dental injuries in a Brazilian dental trauma clinic.

    Science.gov (United States)

    Caldas, A F; Burgos, M E

    2001-12-01

    The purpose of this retrospective study was to analyse data from the records of patients seen in the dental trauma emergency clinic in a general hospital in the city of Recife, Brazil, during the years 1997-1999, according to sex, age, cause, number of injured teeth, type of tooth and type of trauma. The records of all patients seen by dentists were collected. Altogether, 250 patients from 1 to 59 years of age presenting 403 dental injuries were examined and/or treated. The causes of dento-alveolar trauma were classified in five categories: home injuries, street injuries, school injuries, sports activities, violence. The type of trauma was classified by dentists working at the dental trauma clinic on the basis of Andreasen's classification. The gender difference in the number of cases of trauma was statistically significant (males 63.2% vs females 36.8) (PTrauma caused by violence was found to be statistically significant in the 6-15 years age group (P<0.0005).

  6. Prevalencia de traumatismos dentoalveolares en pacientes infantiles del complejo asistencial Dr. Sótero del Río Prevalence of dental trauma of infants attended at Dr. Sótero del Río Hospital

    OpenAIRE

    PF Castro Brezzo; Dreyer Arroyo,E

    2012-01-01

    En el presente estudio descriptivo de incidencia, 604 niños menores de 15 años fueron examinados y atendidos en la Clínica de Odontopediatría del Complejo Asistencial Dr. Sotero del Río, con diagnóstico de Traumatismo Dentoalveolar (TDA), desde Enero a Diciembre del 2010. El propósito de este estudio fue caracterizar los TDA de acuerdo a la clasificación de Andreasen y Andreasen, determinar su frecuencia y distribución estacional, tipo y número de dientes afectados, distribución de género y e...

  7. Prevalencia de traumatismos dentoalveolares en pacientes infantiles del complejo asistencial Dr. Sótero del Río Prevalence of dental trauma of infants attended at Dr. Sótero del Río Hospital

    OpenAIRE

    PF Castro Brezzo; E Dreyer Arroyo

    2012-01-01

    En el presente estudio descriptivo de incidencia, 604 niños menores de 15 años fueron examinados y atendidos en la Clínica de Odontopediatría del Complejo Asistencial Dr. Sotero del Río, con diagnóstico de Traumatismo Dentoalveolar (TDA), desde Enero a Diciembre del 2010. El propósito de este estudio fue caracterizar los TDA de acuerdo a la clasificación de Andreasen y Andreasen, determinar su frecuencia y distribución estacional, tipo y número de dientes afectados, distribución de género y e...

  8. Dental trauma related to general anesthesia: should the anesthesiologist perform a preanesthetic dental evaluation?

    Science.gov (United States)

    Idrees, Saeed Riad; Fujimura, Kazuma; Bessho, Kazuhisa

    2014-06-01

    Perioperative dental damage is one of the most common anesthesia-related adverse events and is responsible for the greatest number of malpractice claims against anesthesiologists; therefore, several dental considerations are warranted. A thorough evaluation may necessitate a dentist's help, requires that anesthesiologists receive more formal training regarding oral and dental anatomy, and enables performing the treatments necessary to minimize the risks of dental injuries. Nevertheless, this preanesthetic assessment is frequently overlooked by surgeons and anesthesiologists. The present study aimed to investigate, for both dentists and anesthesiologists, how often and under what circumstances dental trauma occurs during general anesthesia as well as isolate possible anatomical, dental, and anesthesiological risk factors, based on which suggestions for preventive measures could be made. Anesthesiologists must perform a thorough preoperative oral evaluation to help identify the dentition at risk; the evaluation should include the patient's dental history, oral/dental examination, and a specific discussion with the patient about any existing dentures or crowns. The dental examination should especially include an assessment of the patient's upper incisors--the teeth most likely to be injured during the perioperative period--for pre-existing damage. Preoperative notes should record any damages or missing teeth. In addition, anesthesiologists must take adequate intraprocedure precautions to prevent/minimize iatrogenic dental injury.

  9. Dental trauma associated with high impact sport

    Directory of Open Access Journals (Sweden)

    Marcelo Coelho Goiato

    2015-01-01

    Full Text Available The objective of this study was to report a case of tooth fracture during the sport practice and the treatment performed for the patient. A 17-year-old male patient was subjected to an endontic treatment followed by the reattachment of the fractured teeth. Teeth were endodontically treated by conventional method. After, the acid etching with 37% phosphoric acid gel was performed and a bonding agent was applied on the dental surface. The fragments were reattachment and bonded with minimum amount of composite resin since the teeth/fragment interface was small. The occlusal contacts were adjusted in the finish line of restorations with a diamond bur and the polishing was performed with aluminum oxide discs. Positive esthetical and periodontal outcomes with no complications in the endodontic treatment were observed on radiographic examinations after twelve months of follow up. The endodontic treatment associated with the reattachment of the fractured teeth by a bonding procedure was a conservative treatment for the patient. The use of mouthguards is important to prevent such dramatic events.

  10. Prevalence, etiology, and types of dental trauma in children and adolescents: systematic review and meta-analysis

    OpenAIRE

    Azami-Aghdash, Saber; Ebadifard Azar, Farbod; Pournaghi Azar, Fatemeh; Rezapour, Aziz; Moradi-Joo, Mohammad; Ahmad MOOSAVI; Ghertasi Oskouei, Sina

    2015-01-01

    Background: Dental traumas are common among children and adolescents in many societies posing health and social problems. The aim of this study was to conduct a systematic review and meta-analysis on prevalence, etiology, types, and other epidemiologic aspects of dental trauma in children and adolescents (0-18 years old). Methods: In this systematic meta-analytical review, data were collected searching for key words including traumatic dental injuries, dental trauma, dental injury, dental tra...

  11. Knowledge of Primary School Teachers about the Management of Dental Trauma in Kermanshah, 2012

    Directory of Open Access Journals (Sweden)

    Roohollah Sharifi

    2014-04-01

    Full Text Available Timing and the performance are important factors in the management of dental trauma. The present study was conducted to determine knowledge and effect of demographic factors of primary school teachers in Kermanshah on the management of dental trauma. In this descriptive cross-sectional study, 145 randomly selected primary school teachers were investigated. A self-administered questionnaire was used to collect the data. Data were analyzed by SPSS 17 software. Findings of this study indicated that knowledge of the primary school teachers about the management of dental trauma was insufficient and no significant relationship was observed between gender, experience, academic rank, the number of exposures to dental trauma and the teachers’ knowledge regarding the management of the avulsed or fractures teeth (P>0.05. We recommend in-service training courses and updating the teachers’ information for the management of dental trauma.

  12. HISTORIA DEL TRAUMA CRANEOENCEFÁLICO

    Directory of Open Access Journals (Sweden)

    Germán Peña Quiñones

    2010-12-01

    Full Text Available

    Resumen

    Casi en todos los continentes se ha encontrado evidencia de trepanaciones practicadas desde el período neolítico y otras más recientes. En papiros del Antiguo Egipto y también en la Biblia, hay observaciones sobre el procedimiento y sobre traumas craneanos. Este artículo pasa por las diferentes edades de la historia, y la participación de cirujanos trepanadores o que hacían intervenciones en la cabeza, hasta llegar a la época contemporánea de Vargas Reyes y posteriores neurocirujanos en Colombia, o los aportes de Harvey Cushing, neurocirujano y endocrinólogo de Boston en los años 30.

    Palabras clave: trepanaciones, trauma craneoencefálico

    Abstract

    Craniotomies have been done by humankind since the new stone age, as shown by evidence found in almost all fi ve continents. Notes on the procedure and on traumatic brain injury are recorded in old Egypt papyrus and also in the Holy Bible. A review of the subject is made, passing through different historic ages.

    How did surgeons perform craniotomies and brain surgery since the beginning of history to the new times, is described. Roles played by Vargas-Reyes and other well known physicians in Colombia, or by famous neurosurgeon-endocrinologist Harvey Cushing, practicing in Boston by 1930, are described as well.

    Key words: craniotomies, traumatic brain injury

  13. Contradictions in the treatment of traumatic dental injuries and ways to proceed in dental trauma research

    DEFF Research Database (Denmark)

    Andreasen, Jens Ove; Lauridsen, Eva Fejerskov; Andreasen, Francis

    2010-01-01

    Almost all treatment procedures used for dental traumas are still today not evidence-based, a fact, which makes it difficult to analyse the long-term outcome of healing and its relationship to treatment. Crown fractures with extensive dentin exposure represent a dominant injury in the permanent...... and application of splints in certain cases add extra damage to the pulp and periodontal ligament. In case of root fractures with dislocation, fast and optimal repositioning and rigid long-term splinting (i.e. 3 months) have been considered the principle of treatment. However, a recent clinical study has shown...... derived from experimental studies in animals. However, their importance could not be verified in large clinical studies. Ideally, randomized clinical studies are needed in the future for selected trauma types. The influences of repositioning, splinting and the role of infection and antibiotics should...

  14. Dental trauma incidence and mouthguard use in elite athletes in Turkey.

    Science.gov (United States)

    Keçeci, Ayşe Diljin; Eroglu, Erdal; Baydar, Metin Lütfi

    2005-04-01

    Contact sports may lead to dental trauma, which often can be reduced with appropriate preventive measures. While numerous studies exist on this topic for several countries throughout the world, there is a lack of comprehensive descriptive studies in Turkey. The purpose of this study was to investigate the incidence and type of dental injuries associated with three different sports among Turkish elite athletes, who do not contact (volleyball), contact directly (taekwondo) or indirectly (handball) with competition rivals. Additionally, awareness and use of mouthguards were also compared. Thus, during the 2003 and 2004 Turkish National Championships in three sports, 50 taekwondo, 62 handball and 50 volleyball male athletes were interviewed by questionnaire. Results showed that taekwondo and handball athletes experienced significantly more dental trauma than volleyball athletes (P taekwondo (24%), 16 of the handball (26%) and four of the volleyball athletes (8%) experienced at least one type of dental injury. Awareness of mouthguards as a preventive measure against dental trauma was significantly higher among taekwondo and handball athletes (P < 0.05), although a very small percentage in either of these sports actually wore a mouthguard (10 and 0%, respectively). Trauma incidence between direct contact with rival competitors and indirect contact with rival competitors was not significantly different. The incidence of dental trauma in contact sports shows that the awareness and use of mouthguards must be intensified. Mouthguard use should be made compulsory, especially in those sports with high risk for dental trauma.

  15. Contradictions in the treatment of traumatic dental injuries and ways to proceed in dental trauma research

    DEFF Research Database (Denmark)

    Andreasen, Jens Ove; Lauridsen, Eva; Andreasen, Frances Meriam

    2010-01-01

    Almost all treatment procedures used for dental traumas are still today not evidence-based, a fact, which makes it difficult to analyse the long-term outcome of healing and its relationship to treatment. Crown fractures with extensive dentin exposure represent a dominant injury in the permanent...... dentition. Accepted treatment philosophy is dentin coverage (dental liner and/or dentin bonded restoration) to prevent bacteria penetration into the pulp. Today there is, apart from deep proximal fractures, no evidence that this treatment is necessary to protect the pulp. In case of luxation injuries...... that short-term splinting with a semi-rigid splint appears to optimize fracture healing. In tooth avulsion with subsequent replantation, cleansing of the root surface for contamination and systemic antibiotics has been considered essential for pulp and periodontal healing. These treatment concepts have been...

  16. Oral trauma and dental emergency management recommendations of first-aid textbooks and manuals.

    Science.gov (United States)

    Zadik, Yehuda

    2007-10-01

    The recommendations of oral trauma and dental emergencies management of nine first-aid textbooks and manuals from the last two decades were evaluated. Only one book includes all the relevant topics: dental anatomy, management of tooth luxations and avulsion, tooth fracture, mandible dislocation, jaw fracture, intraoral bleeding and dental pain. Two books recommend self-replantation of an avulsed tooth, but four books detail the storage media and evaluate the importance of a quick referral to a dental surgery. In three first-aid books, the only mention of oral trauma is the hazard of choking from tooth fragments, and in one other book, only mandible dislocation is mentioned as oral trauma. The insufficient information of oral trauma management in these first-aid texts partly explains the previous reports of poor and inadequate knowledge in that topic among medics, teachers and the general public.

  17. Prevalence, etiology, and types of dental trauma in children and adolescents: systematic review and meta-analysis.

    Science.gov (United States)

    Azami-Aghdash, Saber; Ebadifard Azar, Farbod; Pournaghi Azar, Fatemeh; Rezapour, Aziz; Moradi-Joo, Mohammad; Moosavi, Ahmad; Ghertasi Oskouei, Sina

    2015-01-01

    Dental traumas are common among children and adolescents in many societies posing health and social problems. The aim of this study was to conduct a systematic review and meta-analysis on prevalence, etiology, types, and other epidemiologic aspects of dental trauma in children and adolescents (0-18 years old). In this systematic meta-analytical review, data were collected searching for key words including traumatic dental injuries, dental trauma, dental injury, dental trauma, tooth injuries, tooth trauma, traumatized teeth, dentoalveolar trauma, oral trauma, epidemiology, etiology, prevalence, incidence, occurrence, child*, and adolescence in the following databases: Scopus, CINAHL, Science Direct, PubMed and Google scholar. From the total of 3197 articles, 44 completely relevant papers were included in the study. The prevalence of dental trauma was variable based on geographical area and was estimated 17.5% in the population, with higher prevalence in boys. Falling was the major cause for dental trauma, and the most frequent location was home. The most frequent type of trauma was enamel fracture. A relatively high prevalence was detected for dental trauma, which calls for effective planning and intervention to prevent the occurrence in children and adolescents. These may include special care for children, eliminating fall-prone areas, installing safety measures at homes, using protective appliances in sports, education, and raising the knowledge and availability of services to address enamel fracture. Region-specific criteria should be taken into account in programs and interventions.

  18. Prevalence, etiology, and types of dental trauma in children and adolescents: systematic review and meta-analysis

    Science.gov (United States)

    Azami-Aghdash, Saber; Ebadifard Azar, Farbod; Pournaghi Azar, Fatemeh; Rezapour, Aziz; Moradi-Joo, Mohammad; Moosavi, Ahmad; Ghertasi Oskouei, Sina

    2015-01-01

    Background: Dental traumas are common among children and adolescents in many societies posing health and social problems. The aim of this study was to conduct a systematic review and meta-analysis on prevalence, etiology, types, and other epidemiologic aspects of dental trauma in children and adolescents (0-18 years old). Methods: In this systematic meta-analytical review, data were collected searching for key words including traumatic dental injuries, dental trauma, dental injury, dental trauma, tooth injuries, tooth trauma, traumatized teeth, dentoalveolar trauma, oral trauma, epidemiology, etiology, prevalence, incidence, occurrence, child*, and adolescence in the following databases: Scopus, CINAHL, Science Direct, PubMed and Google scholar. Results: From the total of 3197 articles, 44 completely relevant papers were included in the study. The prevalence of dental trauma was variable based on geographical area and was estimated 17.5% in the population, with higher prevalence in boys. Falling was the major cause for dental trauma, and the most frequent location was home. The most frequent type of trauma was enamel fracture. Conclusion: A relatively high prevalence was detected for dental trauma, which calls for effective planning and intervention to prevent the occurrence in children and adolescents. These may include special care for children, eliminating fall-prone areas, installing safety measures at homes, using protective appliances in sports, education, and raising the knowledge and availability of services to address enamel fracture. Region-specific criteria should be taken into account in programs and interventions. PMID:26793672

  19. Contradictions in the treatment of traumatic dental injuries and ways to proceed in dental trauma research.

    Science.gov (United States)

    Andreasen, Jens Ove; Lauridsen, Eva; Andreasen, Frances Meriam

    2010-02-01

    Almost all treatment procedures used for dental traumas are still today not evidence-based, a fact, which makes it difficult to analyse the long-term outcome of healing and its relationship to treatment. Crown fractures with extensive dentin exposure represent a dominant injury in the permanent dentition. Accepted treatment philosophy is dentin coverage (dental liner and/or dentin bonded restoration) to prevent bacteria penetration into the pulp. Today there is, apart from deep proximal fractures, no evidence that this treatment is necessary to protect the pulp. In case of luxation injuries, the accepted treatment principles appear to be anatomically correct repositioning, stabilization with a splint and sometimes antibiotic coverage. In clinical studies, these principles could not be proven to optimize either periodontal or pulpal healing, the explanation possibly being that both reposition and application of splints in certain cases add extra damage to the pulp and periodontal ligament. In case of root fractures with dislocation, fast and optimal repositioning and rigid long-term splinting (i.e. 3 months) have been considered the principle of treatment. However, a recent clinical study has shown that short-term splinting with a semi-rigid splint appears to optimize fracture healing. In tooth avulsion with subsequent replantation, cleansing of the root surface for contamination and systemic antibiotics has been considered essential for pulp and periodontal healing. These treatment concepts have been derived from experimental studies in animals. However, their importance could not be verified in large clinical studies. Ideally, randomized clinical studies are needed in the future for selected trauma types. The influences of repositioning, splinting and the role of infection and antibiotics should be further investigated. However, for ethical reasons, it will be difficult to perform randomized studies on trauma victims and we will be forced in the future to rely on

  20. Caries dental en escolares del Distrito Federal

    Directory of Open Access Journals (Sweden)

    IRIGOYEN-CAMACHO MARÍA ESTHER

    1997-01-01

    Full Text Available Objetivo. Presentar las estimaciones de la prevalencia y la severidad de caries dental, así como las necesidades de tratamiento de la población escolar del Distrito Federal examinada en la encuesta de caries dental que se llevó a cabo en 1988 con la finalidad de obtener datos basales sobre caries en los escolares al inicio del Programa Nacional de Fluoruración de la Sal en México. Material y métodos. La población de estudio fue seleccionada empleando un marco muestral basado en el listado de las escuelas primarias y los jardines de niños registrados por la Secretaría de Educación Pública en 1988. En el examen de la cavidad bucal de los escolares se utilizaron los criterios diagnósticos señalados por la Organización Mundial de la Salud. Resultados. Un total de 4 475 escolares de 5 a 12 años de edad participaron en el estudio. La prevalencia de caries dental en la población alcanzó 90.5%. El índice de necesidades de tratamiento fue elevado (79.6%. El promedio de los índices de caries en los escolares de 12 años de edad fue CPOD= 4.42 (desviación estándar -DE- 3.2 y CPOS= 6.53 (DE 4.8. Conclusiones. Los resultados de la encuesta subrayan la pertinencia de un programa preventivo de amplia cobertura, como el de fluoruración de la sal. Además, muestran que se requiere elaborar estrategias para mejorar el acceso de la población escolar a los servicios odontológicos del sistema de salud en México.

  1. Pulp and periodontal tissue repair - regeneration or tissue metaplasia after dental trauma. A review.

    Science.gov (United States)

    Andreasen, Jens O

    2012-02-01

    Healing subsequent to dental trauma is known to be very complex, a result explained by the variability of the types of dental trauma (six luxations, nine fracture types, and their combinations). On top of that, at least 16 different cellular systems get involved in more severe trauma types each of them with a different potential for healing with repair, i.e. (re-establishment of tissue continuity without functional restitution) and regeneration (where the injured or lost tissue is replaced with new tissue with identical tissue anatomy and function) and finally metaplasia (where a new type of tissue replaces the injured). In this study, a review is given of the impact of trauma to various dental tissues such as alveolar bone, periodontal ligament, cementum, Hertvigs epithelial root sheath, and the pulp.

  2. Pulp and periodontal tissue repair - regeneration or tissue metaplasia after dental trauma. A review

    DEFF Research Database (Denmark)

    Andreasen, Jens O

    2012-01-01

    Healing subsequent to dental trauma is known to be very complex, a result explained by the variability of the types of dental trauma (six luxations, nine fracture types, and their combinations). On top of that, at least 16 different cellular systems get involved in more severe trauma types each o...... of tissue replaces the injured). In this study, a review is given of the impact of trauma to various dental tissues such as alveolar bone, periodontal ligament, cementum, Hertvigs epithelial root sheath, and the pulp....... of them with a different potential for healing with repair, i.e. (re-establishment of tissue continuity without functional restitution) and regeneration (where the injured or lost tissue is replaced with new tissue with identical tissue anatomy and function) and finally metaplasia (where a new type...

  3. Fisiopatología del trauma craneoencefálico

    OpenAIRE

    Francisco Guzmán

    2008-01-01

    Introducción: El trauma craneoencefálico (TCE) es un problema de salud mundial que produce incapacidades motoras, del comportamiento o en la esfera cognitiva.Objetivo: Hacer una revisión de la fisiopatología del TCE partiendo de unas bases epidemiológicas, anatómicas y fisiológicas.Discusión y conclusiones: La revisión de la fisiopatología del evento traumático servirá para tener el contexto dentro del cual se intentará describir y conceptualizar de manera general los procesos fisiopatológico...

  4. Fisiopatología del trauma craneoencefálico

    OpenAIRE

    Francisco Guzmán

    2008-01-01

    Introducción: El trauma craneoencefálico (TCE) es un problema de salud mundial que produce incapacidades motoras, del comportamiento o en la esfera cognitiva.Objetivo: Hacer una revisión de la fisiopatología del TCE partiendo de unas bases epidemiológicas, anatómicas y fisiológicas.Discusión y conclusiones: La revisión de la fisiopatología del evento traumático servirá para tener el contexto dentro del cual se intentará describir y conceptualizar de manera general los procesos fisiopatológico...

  5. Knowledge, attitude, and perception of mothers towards emergency management of dental trauma in Salem district, Tamil Nadu: A questionnaire study

    Directory of Open Access Journals (Sweden)

    Kruthika Murali

    2014-01-01

    Full Text Available Background: Dental trauma is one of the main oral health problems in childhood, and can cause pain and distress. It is important to provide emergency care to combat the aftermaths of trauma. Aim: The aim of the study is to assess the knowledge and attitude of mothers regarding dental trauma and its management. Materials and Methods: A questionnaire consisting of 33 closed-ended questions were used to interview 150 mothers who participated in the study. The questions assessed the knowledge and attitude of mothers towards their child′s dental visit, dental trauma, and its management. Statistical analysis was performed using Statistical Package for Social Sciences (SPSS version 17.0. Results: Mother′s previous experience of dental trauma when associated with the preservation of avulsed tooth of the child, those mothers who had the experience of dental trauma reported that they would discard the tooth which was found to be statistically significant (P < 0.05 when compared to the mothers with no experience of trauma. The education status of the study population when associated with the knowledge variables of avulsion, it was found that most of the variables had statistically significant association with P < 0.05. Conclusion: This study reveals that there is a lack of awareness among the mothers regarding the emergency management of dental trauma. This warrants the need of an effective communication between dental professionals and mothers for better handling of dental emergencies.

  6. Guidelines for dental radiography immediately after a dento-alveolar trauma, a systematic literature review.

    Science.gov (United States)

    Kullman, Leif; Al Sane, Mona

    2012-06-01

    The objective with this study was to search for and to analyze the presence of scientific papers, guidelines, and recommendations in dental literature regarding which radiographs should be prescribed after a dento-alveolar trauma. We know from earlier that guidelines and recommendations are available in general in dental traumatology. The International Association of Dental Traumatology (IADT) has earlier developed guidelines for the management of dental trauma cases in general. There are also recommendations about useful intraoral radiographic methods when caries and periodontal disease are studied. An additional objective was to provide some guidelines for general practitioners about the most accurate radiographic examination immediately after a dento-alveolar trauma using intraoral radiographs or a common extraoral imaging method. Because radiographs are an important diagnostic tool for establishing a correct differential diagnosis after a trauma, radiographic guidelines and recommendations are of importance to be able to start the correct treatment. PubMed Central, Cochrane and World Wide Web were searched and the identified existing guidelines for different intraoral radiographic methods in dentistry were analyzed and found to be very few. Those that were identified were in general not so detailed and specific. In conclusion, we found an explicit need for more detailed guidelines regarding which intraoral and other dental radiographs should be prescribed initially in dental traumatology.

  7. Brazilian primary school teachers' knowledge about immediate management of dental trauma

    Directory of Open Access Journals (Sweden)

    Matheus Melo Pithon

    2014-10-01

    Full Text Available OBJECTIVE: To assess the level of knowledge of primary school teachers in the public school network of Northeastern Brazil with respect to management of dental trauma and its relationship with prognosis. METHODS: A questionnaire was applied to 195 school teachers of public schools in Northeastern Brazil. The questionnaire comprised 12 objective questions about dental trauma and methods for its prevention and management. Data were submitted to chi-square test and Poisson regression test (P > 0.05. RESULTS: Out of the 141 teachers who responded the questionnaires, the majority were women (70.2% and most of them had experienced previous dental accidents involving a child (53.2%. The majority (84.4% had incomplete college education and few were given some training on how to deal with emergency situations during their undergraduate course (13.5% or after it (38.3%. Their level of knowledge about dental trauma and emergency protocols showed that unsatisfactory knowledge level was associated with the male sex: 46% higher for men in comparison to women (P = 0.025. CONCLUSIONS: Approximately half of teachers evaluated had unsatisfactory knowledge about dental trauma and emergency protocols, with female teachers showing more knowledge than men.

  8. Increased overjet is a risk factor for dental trauma in preschool children.

    Science.gov (United States)

    Antunes, Lívia Azeredo Alves; Gomes, Isa Fin; Almeida, Mariane Hemerly; Silva, Erlange Andrade Borges; Calasans-Maia, Jose De Albuquerque; Antunes, Leonardo Santos

    2015-01-01

    Traumatic dental injury and malocclusion constitute a public health problem due to their high prevalence. Preventing or detecting such conditions, in any population, is of paramount importance. Assessing the association of anterior occlusal characteristics and dental trauma in preschool children. A cross-sectional study was carried out with 2-6-year-old randomly selected by a sample calculation, resulting in 606 subjects A questionnaire to collect information about the sample (age, gender, and race) was sent to the children's parents. Two trained and calibrated examiners (Kappa 0.80) evaluated dental trauma according to criteria established by the World Health Organization. The following anterior occlusal characteristics were evaluated: Normal occlusion, anterior open bite, anterior crossbite, increased overjet (categorized as ≥3 mm), and increased overbite (categorized as ≥3 mm). The variables associations were assessed (odds ratio, Chi-square test, and logistic regression, P overjet was the type of malocclusion related to a higher rate of tooth fracture (P overjet was the most common malocclusion related to dental trauma. Preventive strategies are needed to reduce the rate of anterior malocclusion and, consequently, dental trauma in preschool children.

  9. The role of dental implants in the management of dento-alveolar trauma. Part 2.

    Science.gov (United States)

    Gamble, Eugene; Shahdad, Shakeel

    2015-01-01

    Patients who suffer dento-alveolar trauma present a unique challenge for the dentist. There are numerous options to consider when attempting to restore the dentition. This article reviews the role of dental implants and how thorough planning and execution of such treatment could result in an optimal outcome. Clinical Relevance: Knowledge of the role of dental implants and factors imperative for a successful treatment outcome will assist the clinician in achieving optimal restorative results.

  10. Knowledge, attitude, and perception of mothers towards emergency management of dental trauma in Salem district, Tamil Nadu: A questionnaire study

    OpenAIRE

    Kruthika Murali; Ramesh Krishnan; Suresh Kumar, V.; Shankar Shanmugam; Prakash Rajasundharam

    2014-01-01

    Background: Dental trauma is one of the main oral health problems in childhood, and can cause pain and distress. It is important to provide emergency care to combat the aftermaths of trauma. Aim: The aim of the study is to assess the knowledge and attitude of mothers regarding dental trauma and its management. Materials and Methods: A questionnaire consisting of 33 closed-ended questions were used to interview 150 mothers who participated in the study. The questions assessed the knowledge and...

  11. Historia de la cirugía del trauma History of trauma surgery

    Directory of Open Access Journals (Sweden)

    Martha Esther Larrea Fabra

    2007-12-01

    Full Text Available Se ofrece una panorámica del desarrollo de la cirugía del trauma en las diferentes épocas de la historia de la humanidad, así como de su relación con la historia de la medicina. Se señalan las acciones médico-quirúrgicas realizadas en Cuba a lo largo de los siglos, que reflejan el avance de esta ciencia en la isla en correspondencia con el progreso científico mundial.An overview of the development of trauma surgery in the different periods of the history of mankind, as well as of its relation to the history of Medicine, is given. The medicosurgical actions carried out in Cuba throughout centuries that show the advance of this science in the island in correspondence with the world scientific progress are stressed.

  12. Conocimientos y prácticas en trauma dento-alveolar de Padres y docentes de escolares del municipio de Cali–Colombia

    Directory of Open Access Journals (Sweden)

    Herney Alonso Rengifo Reina

    2016-01-01

    Full Text Available Introducción: el éxito del tratamiento en trauma dentoalveolar está dado por el manejo inicial en las primeras horas posterior a haberse producido el trauma dental; la secuencia del tratamiento que se dé en esos momentos da lineamientos acerca del cómo se da el tratamiento definitivo. Tener adecuadas conocimientos y prácticas en el manejo del trauma tiene relevancia en la comunidad. Objetivo: determinar los conocimientos acerca del trauma dento-alveolar por parte de los de docentes y padres de familia de los niños de las escuelas ubicadas en zona urbana del municipio de Cali – Valle del Cauca. Materiales y Métodos: se realizó un estudio descriptivo observacional de corte transversal, realizando una encuesta a docentes y padres de familia de niños de básica primaria. Se abordaron variables de conocimientos, prácticas y antecedentes frente al evento de trauma dento-alveorlar de hijos o de estudiantes según el caso (padres o docentes. Resultados: se obtuvo un total de 465 encuestas 77.6 % (361 se realizaron a docentes de básica primaria y 22.3 % (104 dirigidos a Padres de familias. 46.4% (216 indicaron tener alguna experiencia con trauma. 57.6% (60 de los docentes indicó saber qué es un trauma dental. De los 361 padres, el 83.4 % considera que debe haber atención para el trauma. La mayoría (48% de los docentes consideró que se debe acudir al odontólogo al presentarse un trauma dento-alveolar. Conclusión: Gran parte de la población ha tenido experiencia de trauma No hay un conocimiento claro de cómo deben manejarse el trauma dento-alveolar, siendo pertinente campañas de conocimiento y manejo del trauma-dento-alveolar.

  13. A rubber-covered ceramic weapon reduces the incidence of dental trauma in recruits during combat basic training.

    Science.gov (United States)

    Becker, Talia; Ashkenazi, Malka

    2011-10-01

    The effect of a rubber-covered ceramic weapon was assessed on the incidence of dental trauma during basic training, since soldiers are more at risk of impact from a personal weapon. Dental files of soldiers (n = 4,542), who completed 8 months of training during 2008, were analyzed for incidence and type of dental trauma from a personal weapon. A rubber-covered ceramic weapon (n = 2,972) or a conventional one (n = 1,570, control) was used. Dental trauma was 0.4% per 8 months (0.6% per year) from the ceramic weapon and 1.5% per 8 months (2.3% per year) from the conventional one (pcontrol group). The ceramic weapon significantly reduced dental trauma by diminishing the impact while in direct contact with the teeth or by absorbing and/or distributing the impact force. In conclusion, when possible a rubber-covered ceramic weapon should be preferred for basic combat training.

  14. Variabilidad del microdesgaste dental bucal en primates catarrhini

    OpenAIRE

    Galbany, Jordi; Romero, Alejandro; Pérez-Pérez, Alejandro

    2009-01-01

    El análisis del patrón de microestriación dental ha demostrado ser un buen indicador de la dieta y del comportamiento relacionado con la alimentación de los humanos modernos, los primates actuales, homínidos y primates fósiles, incluso entre poblaciones de la misma especie. La composición de la dieta, así como el entorno ecológico o la presencia de polvo u otras partículas abrasivas en los alimentos están relacionados con la formación del microdesgaste dental en el esmalte de las superficies ...

  15. THE PECULIARITIES OF TREATMENT OF UNCOMPLICATED AND COMPLICATED DENTAL INJURIES CAUSED BY TRAUMA.

    Science.gov (United States)

    Mamaladze, M; Nizharadze, N; Vadachkoria, O

    2017-01-01

    Trauma related injuries of permanent teeth occur frequently and are the most pressing issue the dentists are facing today. In different age groups the same type of trauma affects the teeth with different frequencies. For instance, accident related dental trauma in children and adults affected permanent teeth in 30% and deciduous teeth in 20%, respectively. It should also be noted that front teeth are more susceptible to traumatic injuries compared to the incisors. Upper front teeth were injured in 72% of cases, while lower central, upper lateral incisors, canines and premolars only in 6-8%. The severity of dental injury depends on the type and extent of the trauma. Dental injury can be result of either direct or indirect trauma. A strong, «fast as lightning» impact most often affects the dental crown. A weak and dull impact (thump) extends toward the root apical direction resulting in avulsion of the tooth and root fracture. Dental injury caused by trauma has been always considered as an emergency condition. It requires prompt complex treatment methods from maintaining pulp vitality to tooth extraction option. Treatment plan always depends on the type and severity of the injury and on current clinical condition of tooth. In all cases, the combined treatment includes: care of visible wound, fixation of teeth, performance of surgical manipulations, determining of the need of endodontic treatment, restorations and orthodontic consultation. The recorded clinical cases include descriptions of dental injuries of various types, as well as performed diagnostic and treatment procedures. In both cases root was fractured by impact. In Clinical Case 1 the tooth 2.1 vertical partial displacement of the tooth (extrusion) with root fracture in the apical third was observed; Clinical Case 2 - 1.1 dental root fracture in its middle third and vertical extrusion. Treatment strategy is dictated by pulp condition (Assessment of pulp vitality and status). In both cases, the

  16. Consideraciones del trauma ocular infantil Considerations on the ocular trauma in children

    Directory of Open Access Journals (Sweden)

    Alejandro Arias Díaz

    2012-01-01

    Full Text Available Se realizó una descripción de los aspectos clínicos y el manejo terapéutico del trauma ocular en edades pediátricas. Se identifican las particularidades a abordar en estos pacientes con presencia de cataratas traumáticas y/o heridas penetrantes corneales, por las diferencias en el manejo de las mismas en estas edades y en la adultez. Se hace énfasis en el hifema traumático.The clinical aspects and the treatment management of the ocular trauma at pediatric ages were described. Those particularities to be taken into account when approaching these patients who suffer traumatic cataracts and/or penetrating corneal injuries were indentified, on the account of the differences in the management of this disease between children and adults. Emphasis was made on the description of traumatic hyphema.

  17. Occurrence and timing of complications following traumatic dental injuries: A retrospective study in a dental trauma department

    Science.gov (United States)

    Lin, Shaul; Pilosof, Nir; Karawani, Munir; Wigler, Ronald; Kaufman, Arieh Y.; Teich, Sorin T.

    2016-01-01

    Background This study explores the pattern of complications occurrence resulting from traumatic dental injuries, the relation of this pattern to the number of years from the time of the injury to its first diagnosis, and other contributing characteristics such as root development and trauma characteristic. Material and Methods Patients’ data treated following dental trauma from 2002 to 2014 were classified and grouped according to age, gender, tooth type, injury type, diagnosis and the time that elapsed between the traumatic event and the diagnosis of complications (TIC). The distribution function of the quantitative parameters was determined with the Kolmogorov-Smirnov test. Fisher exact test was used to test differences between categorical parameters. Results The review identified 166 patients (114 male and 52 female), with a total of 287 traumatized teeth, and a mean of 1.8 injured teeth per incident. Maxillary teeth were involved significantly more often in traumatic dental injuries. The follow-up period range (TIC) had a mean of 2.99 years. The most frequent complication was pulp necrosis (34.2%). The most frequent complication related to avulsion was ankylotic root resorption (50%) diagnosed after a median TIC of 1.18 years. Open apices at the occurrence of trauma were observed in 52 teeth. Of these, 54.9% experienced pulp necrosis and 9.8% inflammatory root resorption with a median TIC of 1.63 years. Teeth that experienced multiple traumatic events showed significantly more late pulp necrosis compared to teeth that experienced a single traumatic injury (61.9% vs. 25.3%, respectively, p<0.0001). Conclusions Follow-up periods should be based on the type of traumatic dental injury and the severity of the potential complications for the tooth. Current recommendations for follow-up after traumatic dental injury should be revised to reflect the need for more frequent and overall prolonged follow-up. Key words:Dental trauma, avulsion, open apex, pulp necrosis

  18. Fisiopatología del trauma craneoencefálico

    Directory of Open Access Journals (Sweden)

    Francisco Guzmán

    2008-09-01

    Full Text Available Introducción: El trauma craneoencefálico (TCE es un problema de salud mundial que produce incapacidades motoras, del comportamiento o en la esfera cognitiva.Objetivo: Hacer una revisión de la fisiopatología del TCE partiendo de unas bases epidemiológicas, anatómicas y fisiológicas.Discusión y conclusiones: La revisión de la fisiopatología del evento traumático servirá para tener el contexto dentro del cual se intentará describir y conceptualizar de manera general los procesos fisiopatológicos más importantes relacionados con el TCE. No es motivo de este artículo profundizar en los conceptos aquí expuestos porque generaría capítulos extensos de discusión temática, sino por el contrario, dar una mirada panorámica del TCE para poder comprender las principales características y la definición como enfermedad del conjunto de manifestaciones clínicas y estructurales.

  19. Pulpal healing following acute dental trauma: clinical and radiographic review.

    Science.gov (United States)

    Andreasen, F M

    2001-05-01

    Successful treatment of tooth luxations, crown fractures, and root fractures is often compromised by the emergency nature of the injury. Precise radiographic and clinical evaluation is required to facilitate healing and treatment selection. While traditional treatment protocols indicate that dental injuries implying pulpal ischemia require immediate endodontic therapy to avoid healing complications, the clinical investigations discussed herein suggest that a variety of etiologies for pulp survival/pulp necrosis exist. This article discusses the long-term prognosis of pulp necrosis following traumatic dental injuries, and clinical and radiographic criteria for its diagnosis.

  20. Retrospective study of dental trauma in children with autism spectrum disorders: a paired study.

    Science.gov (United States)

    Andrade, Natália Silva; Dutra, Thaís Torres Barros; Fernandes, Regina Fátima; Moita Neto, José Machado; Mendes, Regina Ferraz; Prado Júnior, Raimundo Rosendo

    2016-09-01

    The objective was to evaluate the history of traumatic dental injury (TDI) among children with and without autism spectrum disorders (ASD) at the Centro Integrado de Educação Especial (CIES), in Teresina, Brazil. The dental records of 228 children, 114 with ASD (SG = study group) and 114 without ASD (CG = control group), paired by age, gender and socioeconomic characteristics between January 2007 and September 2014 were reviewed. Data were analyzed using chi-square test and multivariate logistic regression (alpha = 5.0%). Dental trauma in SG was lower than in the CG (24.6% and 41.2%, respectively, p = 0.007). The risk of trauma was lower among males in SG (OR: 0.35; 95%CI: 0.18 to 0.67). The likelihood of TDI in SG was 3.17 higher in females than that of males (p = 0.040). The prevalence of TDI was lower in ASD individuals compared to controls. Dental trauma was higher among ASD girls than ASD boys.

  1. MAXILLARY INCISOR TRAUMA IN PATIENTS WITH CLASS II DIVISION 1 DENTAL MALOCCLUSION: ASSOCIATED FACTORS

    Directory of Open Access Journals (Sweden)

    Elif Yaman DOSDOĞRU

    2017-01-01

    Full Text Available Purpose: The aim of this study was to assess the association between the presence of maxillary incisor trauma (MIT with age, gender, dentition type, the degree of overjet (OJ, lip form, respiratory type and dental arch form in patients with Class II division 1 dental malocclusion. Subjects and Methods: 256 patients (mean age: 15.80 ± 2.2 were included in this study. The patients’ gender, dentition type, superior lip form, dental arch form and respiratory type were recorded. Participants were divided into four groups according to the severity of OJ: 3.5 mm trauma and non-trauma groups. Logistic regression analysis was used to assess the factors for trauma and their risk indicators. Results: 3.5 mm< OJ II≤ 6 mm with incompetent lip had the highest odds of experiencing MIT among the OJ groups with an odds ratio (OR of 3.143 and 95% confidence interval (CI 1.125-2.779. The odds were 3.572 times higher in the group with short lip form than found in the group with normal lip form (OR 3.572, 95% CI 1.130-2.340. Conclusion: The age, gender, respiratory type and dental arch form were not significantly associated the risk of MIT. OJ between 3.5 mm and 6 mm (with incompetent lip and short lips increased the risk of having maxillary incisor trauma in patients with Class II division 1 malocclusion.

  2. Trauma vascular, visión del cirujano vascular

    Directory of Open Access Journals (Sweden)

    Dr. D. Cristián Salas

    2011-09-01

    Full Text Available El 3% de todas las lesiones en trauma tiene un componente vascular. Con los conflictos armados del siglo pasado se lograron grandes avances en este campo. A partir de la Guerra de Vietnam gracias a las mejoras en el manejo prehospitalario, traslado de pacientes, y avances en técnica quirúrgica se lograron tasas de sobrevida y de amputaciones que se han mantenido estables hasta la fecha. El diagnóstico de lesiones vasculares en extremidades se realiza con el examen físico, sin embargo las lesiones de vasos torácicos y abdominales requieren de imágenes de apoyo, siempre que el paciente se encuentre estabilizado, generalmente tomografía axial computada. La mayoría de las lesiones vasculares son por trauma penetrante, comprometiendo principalmente las extremidades. Con el desarrollo de los procedimientos invasivos vasculares en los últimos años se ha observado un aumento de lesiones vasculares iatrogénicas. Hoy en día muchos pacientes con trauma vascular son manejados por vía endovascular.

  3. Diagnosis of acute dental trauma: the importance of standardized documentation: a review.

    Science.gov (United States)

    Andreasen, Frances M; Kahler, Bill

    2015-10-01

    In 1985 Andreasen and Andreasen published a paper on the diagnosis of luxation injuries and outlined the importance of standardized clinical, radiographic, and photographic techniques. Now 30 years later, these recommendations remain current in the International Association of Dental Traumatology (IADT) guidelines for the management of dental trauma and describe circumstances surrounding the time of injury, the extent of trauma (e.g., type of luxation injury), healing potential (e.g., stage of root development) as well as information concerning subsequent treatment. The purpose of this review was to include findings for other types of trauma and to discuss more recent studies that augment and/or improve on the original findings from 30 years ago. The present review discusses the use of a standardized clinical registration (pulpal sensibility testing, laser Doppler flowmetry, mobility testing), radiographic survey, and photographic registration of the traumatized patient. Moreover, the value of digital radiographs and recent developments in computer tomography with respect to possible enhancement of the trauma diagnosis are discussed.

  4. Dental trauma prevention during endotracheal intubation--review of literature.

    Science.gov (United States)

    Mańka-Malara, Katarzyna; Gawlak, Dominika; Hovhannisyan, Anahit; Klikowska, Marta; Kostrzewa-Janicka, Jolanta

    2015-01-01

    Endotracheal intubation is a procedure performed during general anaesthesia with the use of an endotracheal tube in order to maintain a patent airway. This routinely used procedure is connected with a risk of complications within the region of the masticatory system. Trauma of teeth, their surrounding structures and the soft tissue of the oral cavity is observed in app. 1.38 per 1000 procedures. The main causes of this damage are the surgical skills and experience of the surgeon, the anatomical conditions present and the mode of conducting the procedure. In order to reduce the risk of postoperative complications, patients with a high risk of sustaining an injury during endotracheal intubation should be equipped with elastic mouthguards, which reduces the possibility of damage. The scoring in a scale of endotracheal intubation difficulty should be used for qualification for the use of such mouthguards.

  5. Pulse granuloma as a complication following dental trauma in children.

    Science.gov (United States)

    Padmanabhan, Makkada Yuvaraj; Aparna, Radhakrishnan; Karthikeyani, Shanmugasundaram; Dinakar, Jayakumar; Manickaraj, Menaka

    2013-01-01

    Contamination and subsequent retention of foreign bodies within wound surfaces may negatively influence healing following maxillofacial injuries. Larger foreign bodies that produce embedded or impalement injuries of soft tissues are easily detected. However, smaller contaminants, such as sand, gravel, food particles, wood splinters, and glass fibers, may not be easily identified in the initial examination, and their remnants may remain within the injury site even after debridement. Tissue reactions depend on the host response, type of foreign body, and nature of the wound surface. The purposes of this report are to: (1) detail the diagnosis and management of a peripheral pulse granuloma following retention of food particles within gingival sulci during a dental injury; and (2) provide a brief review of the diagnosis of foreign body-induced granulomas following maxillofacial injuries in children.

  6. The Relationship Between Dental Trauma, Anxiety and Aggression Behavior in 7 to14 Year old Children in Kosovo

    Directory of Open Access Journals (Sweden)

    Fehim Haliti

    2017-01-01

    Full Text Available Background and aim. Dental fear has a negative impact on the treatment outcomes. The aim of this study was to evaluate dental anxiety among children with different measurement scales, with the aim of getting more precise and thorough estimations, as well as correlation between anxiety scale and aggression scale in children with/or without dental trauma. Material and methods. The study population include 254 children’s experience with dental trauma (59.1% male, and 251 children without dental trauma (46.6% male, between 7 and 14 years old, and their respective parents were evaluated during 2015-2016. Psychometric measures used for this purpose included several questionnaires. The result was tested with the X2 test, Student’s t-test, one-way ANOVA, and Pearson’s correlation coefficient. The Cronbach alpha was used to check the reliability and validity of the measures. The predetermined significance levels were set at 0.05. Results. All used test has satisfactory reliability and validity of the scale. The mean anxiety score was significantly higher in children with dental trauma. The children with dental trauma had a higher mean aggression scale (OAS. The girls had significantly higher mean anxiety score than boys in all used questionnaires. The mean aggression score was significantly higher for boys than girls in both compared groups (p<0.001. The Odds of the aggressive behavior in children with dental trauma decrease for 0.95 when the value of the mean DVSS-SV scale is increased by one units, and increase for 1.04 when the means anxiety score increased by one units. Conclusion. The mean anxiety score was significantly higher in children with dental trauma, as well as the girls and children who are more afraid of medical interventions (CMFQ. Also the children with dental trauma, and boys had a higher mean aggression scale (OAS. Significant correlation was found between dental anxiety level and aggressive behavior of children’s. The odds of

  7. Knowledge, Awareness and Attitude towards Emergency Management of Dental Trauma among the Parents of Kolkata-An Institutional Study

    Science.gov (United States)

    Jain, Parul; Angrish, Paras; Saha, Subrata; Patra, Tamal Kanti; Saha, Nilanjana; Mitra, Malay

    2016-01-01

    Introduction Traumatic dental injuries are one of the commonly encountered dental emergencies. Missing anterior tooth in children due to any injury can be a source of considerable physical and psychological discomfort for the child. The prognosis of some dental injuries depends to a great extent on parents’ knowledge of correct and prompt emergency measures. Aim The purpose of this cross-sectional study was to assess the knowledge, attitude and awareness level of parents regarding the emergency management of dental trauma and to find out the relation of the responses to social variables. Materials and Methods A total of 2000 parents were surveyed over a period of three months using a pretested close ended questionnaire prepared in English, Hindi as well as in the regional language which was divided into three parts: Part 1 contained questions on personal information, Part 2 on an imaginary case of trauma to assess their knowledge regarding trauma management and Part 3 related to their attitude towards dental trauma management education. The data was statistically analysed using descriptive and chi-square statistics. Results The overall knowledge of parents regarding emergency management of trauma was not satisfactory. Although most of the people were in favour of taking professional consultation for emergency management of trauma but most of them were unaware of the steps that need to be taken on their part so as to minimize complications and improve prognosis. Conclusion Educational campaigns are the need of the day to increase the knowledge of parents regarding emergency management of dental trauma. PMID:27630963

  8. Anti-dentine Salivary SIgA in young adults with a history of dental trauma in deciduous teeth

    Directory of Open Access Journals (Sweden)

    Gabriela Fleury SEIXAS

    2015-01-01

    Full Text Available Anti-dentin autoantibodies are associated with inflammatory root resorption in permanent teeth and are modulated by dental trauma and orthodontic force. However, it is not known whether deciduous tooth trauma can stimulate the development of a humoral immune response against dentin. The aim of this study was to evaluate the levels of salivary SIgA reactivity against human dentin extract in young adults with a history of trauma in the primary dentition. A sample of 78 patients, aged 18 to 25, who had completed an early childhood (0 to 5 years old caries prevention program years earlier at the Universidade Estadual de LondrinaPediatric Clinic, underwent radiographic examination and salivary sampling. Anti-dentin SIgA levels were analyzed by immunoenzymatic assay and Western blotting. Although dental trauma to deciduous teeth had occurred in 34 (43.6% of the patients, no differences in SIgA levels were detected between individuals who had experienced trauma and those who had not (p > 0.05. Multivariate regression analysis showed no association between dental trauma and SIgA levels (p > 0.05. Patients with a history of deciduous trauma presented low levels of anti-dentin antibodies, associated with orthodontic root resorption (p

  9. Prevalence and risk factors of upper extremity cumulative trauma disorder in dental hygienists.

    Science.gov (United States)

    Shenkar, O; Mann, J; Shevach, A; Ever-Hadani, P; Weiss, P L

    1998-01-01

    Cumulative trauma disorder (CTD) refers to a number of conditions arising from overuse of joints or soft tissues. The common risk factors that contribute to the development of these disorders are related to personal and occupational variables. Job analysis of the tasks performed by the dental hygienist have shown that this occupation is particularly at risk. The objectives of this study were to determine the prevalence of CTD symptoms amongst dental hygienists in Israel and to identify which are the factors that are related to CTD. A questionnaire including items concerning demographic data, employment history, professional occupational information, use of instrumentation, and CTD symptomatology was mailed to all 530 registered dental hygienists. Two hundred forty-six hygienists (46%) returned the questionnaire; 63% of the respondents were classified as CTD 'sufferers', Age, year of graduation, hours worked per week, and frequency of changing instruments were found to be significantly related to CTD symptoms. Hygienists at high risk included those aged 50 years or more (Odds ratio, OR = 6), those who graduated before 1986 (OR = 3), those who work more than 34 h per week (OR = 2.5) and those who change two or fewer instruments per patient (OR = 2). The major recommendation resulting from this study is to make dental hygienists aware that they work in a high-risk profession. It is hoped that increased awareness of the risk will spur the hygienist to make appropriate work practice, administrative, and engineering modifications and to seek treatment at the first indication of CTD symptoms.

  10. Dental trauma: restorative procedures using composite resin and mouthguards for prevention.

    Science.gov (United States)

    Santos Filho, Paulo César de Freitas; Quagliatto, Paulo Sérgio; Simamoto, Paulo Cézar; Soares, Carlos José

    2007-09-01

    The aim of this article is to describe a step-by-step protocol for emergency care of a patient with a dentoalveolar injury in the anterior region of the mouth as well as the fabrication of a mouthguard to prevent future trauma. Dental trauma is one of the most serious oral health problems in active children and adolescents. Care of traumatized patients requires immediate initial emergency treatment followed by integrated procedures to restore damaged oral structures along with a subsequent trauma prevention strategy. Dentoalveolar injuries in the anterior region of the mouth are often characterized by tooth avulsion and coronal fracture. They are managed using procedures such as dental splinting, endodontic therapy with its unique characteristics, and restorative techniques to re-establish function and esthetics as well as protective mouthguards. A 16-year-old male presented with avulsion of his maxillary central incisors as a result of a direct, unintentional impact with an opponent during a basketball game. The teeth had been stored in physiological serum immediately following the injury and the patient received immediate care. On clinical examination, the right central incisor was fractured at the incisal third of the crown but no bone fractures were found. The teeth were reimplanted and splinted. The fractured right central incisor was restored following endodontic treatment and a mouthguard was fabricated for the patient. The dentist must be knowledgeable about the most efficient and suitable treatment for each traumatic scenario in order to provide appropriate care for dental injuries. Coordinated multi-disciplinary action is fundamental in the successful treatment of these injuries. The dental mouthguard is an effective device for protecting the teeth and supportive structures during physical activities and must be part of the protective equipment used by athletes. It is the responsibility of the dental professional to make parents, trainers, and athletic

  11. Influencia del tiempo posblanqueamiento sobre la adhesion de una resina compuesta al esmalte dental

    National Research Council Canada - National Science Library

    Baldion Elorza, Paula Alejandra

    2013-01-01

    Introduccion: a pesar de las ventajas esteticas del blanqueamiento dental, se ha demostrado que puede producir alteraciones en la adhesion de las resinas compuestas al esmalte dental, proceso dependiente...

  12. Comportamiento mecánico del esmalte dental

    OpenAIRE

    2012-01-01

    Este trabajo presenta un análisis de las propiedades mecánicas del esmalte dental con el fin de caracterizar su comportamiento y comparar los resultados obtenidos con los reportados por estudios previos de investigaciones realizadas en los Estados Unidos. Se realizaron pruebas para pacientes Colombianos en busca de identificar las propiedades mecánicas del esmalte y su respuesta a diferentes estímulos mecánicos. Mediante ensayos estandarizados de microdureza se pudo establecer el comportamien...

  13. Comportamiento mecánico del esmalte dental

    OpenAIRE

    Rivera Velásquez, Camilo Alberto

    2012-01-01

    Este trabajo presenta un análisis de las propiedades mecánicas del esmalte dental con el fin de caracterizar su comportamiento y comparar los resultados obtenidos con los reportados por estudios previos de investigaciones realizadas en los Estados Unidos. Se realizaron pruebas para pacientes Colombianos en busca de identificar las propiedades mecánicas del esmalte y su respuesta a diferentes estímulos mecánicos. Mediante ensayos estandarizados de microdureza se pudo establecer el comportamien...

  14. Clinical and radiographic sequelae to primary teeth affected by dental trauma: a 9-year retrospective study.

    Science.gov (United States)

    Costa, Vanessa Polina Pereira; Goettems, Marilia Leão; Baldissera, Elaine Zanchin; Bertoldi, Andréa Dâmaso; Torriani, Dione Dias

    2016-08-18

    This retrospective study aimed at determining the predicted risks of clinical and radiographic complications in primary teeth following traumatic dental injuries, according to injury type, severity and child's age. Data were collected from records of children treated at a Dental Trauma Center in Brazil for nine years. Records of 576 children were included; clinical sequelae were assessed in 774 teeth, and radiographic sequelae, in 566 teeth. A total of 408 teeth (52.7%) had clinical sequelae and 185 teeth (32.7%), radiographic sequelae. The type of injury with the highest number of clinical sequelae was the crown-root fracture (86.4%). Clinical sequelae increased with injury severity (p teeth with enamel fracture, and 26.0% (95%CI 14-40) for teeth with enamel dentin fracture as well as enamel dentin pulp fracture. Risk of periapical radiolucency was higher for teeth with enameldentinpulp fracture (61.1% 95%CI 35-82) and those with subluxation (15.8% 95%CI 10-22). Risk of premature loss was 27.3% (95%CI 13-45) for teeth with extrusive luxation, and 10.2% (95%CI 5-17) for those with intrusive luxation. The assessment of predicted risks of sequelae showed that teeth with hard tissue trauma tended to present color change, periapical radiolucency and premature loss, whereas teeth with supporting tissue trauma showed color change, abnormal position, premature loss and periapical radiolucency as the most common sequelae. Knowledge about the predicted risks of complications may help clinicians establish appropriate treatment plans.

  15. Type of treatment, prognosis, and estimation of time spent to manage dental trauma in late presentation cases at a dental teaching hospital: a longitudinal and retrospective study.

    Science.gov (United States)

    Al-Jundi, Suhad H

    2004-02-01

    Traumatic dental injuries are emergencies that must be treated promptly and properly in order to reduce the suffering, costs, and time for patients, parents, and health care providers. The aim of this study was to investigate the treatment, long-term prognosis, and number of visits needed to manage cases resulting from complications of late presentation of traumatic dental injuries. The sample consisted of 195 children, all presented with complications of dental trauma at the Pediatric Dentistry Clinics in the Dental Teaching Hospital of Jordan University of Science and Technology in Irbid city, Jordan. Retrospective data relied on trauma forms as well the clinical notes and radiographs in the patients' records. Prospective data was collected by examining patients at recall appointments. The treatment of traumatized teeth in this sample ranged from no active treatment to extraction and prosthetic replacement. It was estimated that the number of visits needed to carry out the planned treatment for these patients ranged between 3 and 17.2 visits according to the type of treatment. Apexification procedure was the most time consuming. Thirty-two per cent of teeth with apexification ended up with root fracture mainly subsequent to another minor trauma episode (in 85%), the rest were reported to be spontaneous fractures. Almost half of the teeth with luxation injuries became necrotic after 3 years. Teeth with avulsion actually kept on deteriorating even at the 36-month follow-up appointment. The long-term prognosis of teeth with middle root fracture was favorable in (80%) of the teeth in the sample, despite the fact that they were splinted late. Luxation injuries led to more necrotic teeth (50%) than uncomplicated crown fractures. Multiple dental trauma episodes (MDTE) were reported in about 30% of the patients in the sample and were responsible for some of the complications noticed in this report. As all cases followed up in this report are late presentation of dental

  16. Aesthetic treatment on anterior teeth crown fracture caused by dental trauma

    Directory of Open Access Journals (Sweden)

    Nanik Zubaidah

    2012-12-01

    Full Text Available Background: Complicated crown fracture is a tooth fracture that involve enamel, dentine and pulp. The incidence of complicated crown fracture ranges from 2% to 13% of all dental injuries and the most commonly involved teeth are the maxillary central incisors. Various treatment modalities are available depending on the clinical, physiological and radiographic examination of the involved teeth. Purpose: The aim of this case report is to present the management of crown fractures with pulpal exposure caused by traumatic injury, through endorestoration approach to reconstruct the shape and function of the teeth. Case: A 17 years old male with complicated crown fractures of anterior teeth #11 #21 and #22. The patient wish for aesthetic dental treatment in both of its form and function. Case management: Crown fractures of anterior teeth with exposed pulp caused by traumatic injury were reconstructed by endorestoration approach. The endodontic treatment with post and core insertion in the root canal which will increase its retention and porcelain fused to metal crown which will aesthetically recover its original form and function. After restoration the patient feel very glad and confident with the result. Conclusion: Endorestoration treatment on anterior teeth with complicated crown fractures and exposed pulp is able to recover the normal form, function and dental aesthetic in accordance with stomatognatic system and self confidence.Latar belakang: Fraktur mahkota kompleks (complicated adalah fraktur pada mahkota gigi yang melibatkan enamel, dentin dan pulpa. Kejadian dari fraktur mahkota kompleks bervariasi antara 2-13% dari semua trauma gigi dan sebagian besar gigi yang terkena adalah gigi insisif pertama rahang atas. Berbagai macam cara perawatan yang dilakukan tergantung pada hasil pemeriksaan klinis, psikologis dan radiografis dari gigi yang terkena. Tujuan: Laporan kasus ini menjelaskan penatalaksanaan fraktur mahkota gigi dengan pulpa terbuka

  17. La influencia del apego y del trauma infantil en la psicopatología del adulto

    OpenAIRE

    Marrodán Muro, Isabel

    2015-01-01

    En el presente trabajo se hace una revisión bibliográfica de la influencia de dos factores personales de la infancia, apego y trauma infantil, en la psicopatología de la edad adulta. En la primera parte se analiza cómo afecta el apego a la hora de sufrir trastornos mentales en un futuro, y se demuestra que un apego inseguro es un factor de riesgo a la hora de sufrir psicopatologías. La segunda parte trata de cómo influye el trauma infantil (abuso sexual, maltrato físico o psicológico o violen...

  18. Laser therapy in the management of dental and oro-facial trauma

    Science.gov (United States)

    Darbar, Arun A.

    2007-02-01

    This is a clinical presentation demonstrating the efficacy of laser therapy in the treatment of patients presenting with trauma to both the hard and soft tissue in the orofacial region. The use of laser therapy aids the management of these cases where the patients often present with anxiety and a low pain threshold. The outcomes in these cases indicate good patient acceptance of the treatment, enhanced repair and tissue response suggesting that this form of treatment can be indicated for these patients. A combination of hard and soft lasers are used for the comprehensive dental management and treatment of these cases. The lasers used are a 810nm diode and an Er.CrYSGG.

  19. The clinical meaning of external cervical resorption in maxillary canine: transoperative dental trauma

    Directory of Open Access Journals (Sweden)

    Alberto Consolaro

    2014-12-01

    Full Text Available External Cervical Resorption in maxillary canines with pulp vitality is frequently associated with dental trauma resulting from surgical procedures carried out to prepare the teeth for further orthodontic traction. Preparation procedures might surgically manipulate the cementoenamel junction or cause luxation of teeth due to applying excessive force or movement tests beyond the tolerance limits of periodontal ligament and cervical tissue structures. Dentin exposure at the cementoenamel junction triggers External Cervical Resorption as a result of inflammation followed by antigen recognition of dentin proteins. External Cervical Resorption is painless, does not induce pulpitis and develops slowly. The lesion is generally associated with and covered by gingival soft tissues which disguise normal clinical aspects, thereby leading to late diagnosis when the process is near pulp threshold. Endodontic treatment is recommended only if surgical procedures are rendered necessary in the pulp space; otherwise, External Cervical Resorption should be treated by conservative means: protecting the dental pulp and restoring function and esthetics of teeth whose pulp will remain in normal conditions. Unfortunately, there is a lack of well-grounded research evincing how often External Cervical Resorption associated with canines subjected to orthodontic traction occurs.

  20. Caries dental en escolares del Distrito Federal Dental caries in school children in Mexico City

    Directory of Open Access Journals (Sweden)

    MARÍA ESTHER IRIGOYEN-CAMACHO

    1997-03-01

    Full Text Available Objetivo. Presentar las estimaciones de la prevalencia y la severidad de caries dental, así como las necesidades de tratamiento de la población escolar del Distrito Federal examinada en la encuesta de caries dental que se llevó a cabo en 1988 con la finalidad de obtener datos basales sobre caries en los escolares al inicio del Programa Nacional de Fluoruración de la Sal en México. Material y métodos. La población de estudio fue seleccionada empleando un marco muestral basado en el listado de las escuelas primarias y los jardines de niños registrados por la Secretaría de Educación Pública en 1988. En el examen de la cavidad bucal de los escolares se utilizaron los criterios diagnósticos señalados por la Organización Mundial de la Salud. Resultados. Un total de 4 475 escolares de 5 a 12 años de edad participaron en el estudio. La prevalencia de caries dental en la población alcanzó 90.5%. El índice de necesidades de tratamiento fue elevado (79.6%. El promedio de los índices de caries en los escolares de 12 años de edad fue CPOD= 4.42 (desviación estándar –DE– 3.2 y CPOS= 6.53 (DE 4.8. Conclusiones. Los resultados de la encuesta subrayan la pertinencia de un programa preventivo de amplia cobertura, como el de fluoruración de la sal. Además, muestran que se requiere elaborar estrategias para mejorar el acceso de la población escolar a los servicios odontológicos del sistema de salud en México.Objective. To estimate the prevalence and severity of dental caries and the dental treatment necessities of school children in Mexico City. The studied population was surveyed for dental caries in 1988 to obtain data necessary for the National Program of Salt Fluoridation in Mexico. Material and methods. The population was selected with a sample frame based on a list of Kindergardens and primary schools registered at the Ministry of Public Education in 1988. The oral cavity examination was based on diagnostic criteria marked by the

  1. Prevención del trauma perineal intraparto mediante el masaje perineal

    OpenAIRE

    2014-01-01

    El trauma perineal es una de las complicaciones más frecuentes en el periodo expulsivo del parto. El masaje perineal se plantea como una intervención para prevenir y evitar dicho trauma. Objetivo: realizar una revisión bibliográfica en los últimos doce años, para dar a conocer los beneficios de la aplicación del masaje perineal durante el embarazo. Método: búsqueda bibliográfica en las bases de datos Pubmed, Cochrane, Cinahl y Cuiden plus, utilizando como palabras clave: masaje...

  2. Dental Emergencies

    OpenAIRE

    Domb, Ivor

    1982-01-01

    Emergency dental problems can result from trauma, dental pathology, or from dental treatment itself. While the physician can treat many instances of dental trauma, the patient should see a dentist as soon as possible so that teeth can be saved. Emergency treatment of dental pathology usually involves relief of pain and/or swelling. Bleeding is the most frequent post-treatment emergency. The physician should be able to make the patient comfortable until definitive dental treatment can be avail...

  3. Mononeuropatía postraumática en la Unidad de Trauma del Hospital Universitario del Valle, Cali.

    Directory of Open Access Journals (Sweden)

    Melissa Ortiz

    2009-11-01

    Full Text Available Introducción: La mononeuropatía es la más común de las neuropatías dolorosas; los síndromes de atrapamiento y el trauma son las causas más frecuentes. Materiales y métodos: Se realizó un estudio retrospectivo con 164 casos de mononeuropatía postraumática distribuidos en 134 pacientes que ingresaron a la Unidad de Trauma del Hospital Universitario del Valle, Cali, entre agosto, 1999 y julio, 2000. Resultados: Se encontró a la mononeuropatía postraumática como una entidad de predominancia masculina (88.1% con una mayor incidencia en los grupos de adolescentes y adultos jóvenes (15-29 años. El tiempo promedio de diagnóstico fue 3.6 días, con 57.9% de las lesiones diagnosticadas el mismo día de ingreso a la unidad de trauma. Conclusiones: En el HUV existe buena habilidad y conocimiento del personal médico de urgencias para diagnosticar las mononeuropatías después de un trauma. Sin embargo, sirve poco diagnosticarlas oportunamente si el tratamiento adecuado no se brinda en forma rápida y adecuada.

  4. Eficacia del Cepillado con Cloruro de Sodio Versus Pasta Dental en la Disminución del Streptococcus Mutans

    OpenAIRE

    Cayo, César; Universidad Alas Peruanas; Pacora, Raúl; Escurra, Cristian; Ramos, Javier; Arévalo, Rosa; Depaz, Daniela; Galindo, Anita; León, Tania; Robles, Gleiky

    2013-01-01

    Objetivo. Determinar el mejor agente anticaries midiendo la eficacia de la aplicación del cepillado con cloruro de sodio diluido en agua al 5%, pasta dental convencional y agua sola en la disminución del Streptococcus mutans presente en la placa dental. Materiales y Métodos. El presente trabajo es experimental de tipo comparativo, tomando como muestra a los 30 alumnos del 2do ciclo (2012 – 1) de la Escuela Académico Profesional de Estomatología de la Universidad Alas Peruanas (filial – Huacho...

  5. Consideraciones clínicas del tratamiento de ortodoncia en dientes con trauma dentoalveolar.

    OpenAIRE

    Torres Restrepo, Adriana María; Preciado Sánchez, José Camilo

    2014-01-01

    Los traumas dentoalveolares son un problema de salud pública muy común. La influencia que tienen va mas allá del accidente y su impacto en las piezas dentarias, debido a que a futuro se convierten en un factor decisivo si se requiere un tratamiento de ortodoncia, ya que dichos traumas predisponen los dientes a sufrir complicaciones tales como reabsorción radicular, necrosis pulpar, obliteraciones, cambios de color y reabsorciones internas. El adecuado tratamiento de los dientes que presentan ...

  6. Il trauma: storia di un concetto e del suo significato

    Directory of Open Access Journals (Sweden)

    Louis Crocq

    2012-09-01

    Full Text Available History teaches us that human beings have always suffered from violent irruptions in their psyche and that this irruption has lasting effects, as perturbation of dreams. During the last two centuries, the concepts of traumatic neurosis and war neurosis were pointed out; then, in the last decades, these concepts’ definition has been challenged for reasons of psychoanalytic resonance, and the American DSM proposed to replace them with the new concept of posttraumatic stress state. However, it has been pointed out that not all the clinical cases observed from then on after a trauma have evolved in a traumatic neurosis. In the light of these remarks, and going against the tide, the francophone school introduced the use of the generic denomination post-traumatic syndrome . It has the merit of stating explicitly the psychological nature of the trauma and it can cover all the stages of traumatic pathology: the immediate, the post-immediate, and the chronic. Moreover, among the cases of the latter kind, it allows to understand well also the cases structured as traumatic neurosis, which fit well into the limiting criteria of PTSD, as well as all the other cases which are atypical or not clearly classifiable.

  7. Trauma.

    Science.gov (United States)

    Cobb, A B

    1991-03-01

    The need for planning and development of statewide trauma prevention and trauma service systems is or should be a high priority--if one sets priorities on criteria that address important factors such as cost to benefits in reduction of life years lost and reduction of disability and costs of long-term rehab services, etc. Prevention of injury and first class trauma care will lessen our heavy human burdens (loss of life and disability) and reduce our long-term outlays for rehabilitation, etc. Obviously our first line of intervention should be prevention--all educational, regulatory and automatic protectors (seat belts, gun restrictions, air bags) that will lower injury rates. A state trauma system must be planned for the larger universe than individual institutions or communities. We must educate our public that the only practical way to provide services for major trauma is through regionalized systems that they somehow must help support. The recent emphasis on making the health services industry a "competitive market" has discouraged public interest and support for regionalized health systems. Our best chances for funding such systems are probably through user fees, sin taxes and surcharges on fines, etc. We need the elements or principles of a plan and present it to the public and to their representatives in the courthouses, city halls and state capital of our state. We need to generate public discussion and understanding on the problem, the potential for saving lives and preventing disability. To do any less would mean our failure to meet our duties as health professionals and public health officials.

  8. Comer para existir: trauma, oralidad y contornos del Yo

    OpenAIRE

    Klautau,Perla; Winograd,Monah; Sollero-de-Campos,Flavia

    2013-01-01

    Nuestro objetivo es investigar formas de organización del yo derivadas de la experiencias de situaciones traumáticas. El punto de partida fue el tratamiento de una joven que, después de haber sufrido un  traumatismo cráneo-encefálico (TCE), desarrollo una compulsión por la ingestión de dulces y hablar. Este puede ser un recurso utilizado frente a experiencias traumáticas en que se rompe la capa protectora y, consecuentemente, los límites del yo. Para aplacar la angustia provocada por la sensa...

  9. Occurrence of dental avulsion and associated injuries in patients with facial trauma over a 9-year period.

    Science.gov (United States)

    Marchiori, Erica Cristina; Santos, Saulo Ellery; Asprino, Luciana; de Moraes, Márcio; Moreira, Roger William Fernandes

    2013-06-01

    This retrospective study aimed to assess the occurrence of dental avulsions in patients with facial trauma over a 9-year period. Data was collected from records of patients attended to at the Division of Oral and Maxillofacial Surgery at Piracicaba Dental School-State University of Campinas, Piracicaba (SP), Brazil. Two hundred three patients with 387 avulsed teeth were evaluated, the central incisors being the most common teeth involved (42 % of permanent and 61 % of primary teeth). Thirty-four percent of the cases occurred on weekends, mainly on Saturdays (20 %) and the distribution in relation to the time of year was similar with slight peaks in January. The most prevalent associated dentoalveolar injury was lateral luxation (26 %) and 19 % of the patients presented with an associated facial fracture. The most common sign presented was laceration (23 %), and the main symptoms found were pain (58 %). Associated general trauma was present in 139 patients (68 %), and the most prevalent was the upper limb (41 %). Special emphasis should be given not only to diagnosis and treatment of dental avulsion but for prevention, too. An understanding of the etiology, severity, and distribution of associated traumatic injuries can help for future studies and for an effective prevention of these injuries.

  10. Dento-alveolar and maxillofacial injuries: a 5-year multi-center study. Part 1: general vs facial and dental trauma.

    Science.gov (United States)

    Lin, Shaul; Levin, Liran; Goldman, Sharon; Peleg, Kobi

    2008-02-01

    Maxillofacial injuries are a significant cause of morbidity and demand meticulously planned treatment. The aim of this present multi-center study was to evaluate the occurrence of dento-alveolar and maxillofacial injuries over a 5-year period. A retrospective cohort study of data from the Israel Trauma Registry was conducted for the years 2000-2004. The registry includes all trauma patients admitted and hospitalized due to an injury. Of the 111,010 hospitalized trauma patients, 5886 (5.3%) were diagnosed with maxillofacial or dental injuries. The main causes of injuries for hospitalized trauma patients were falls (48.1%) and motor vehicle accidents (25.2%), while the major causes of facial and dental injuries were vehicle accidents (39.6%, 56.8%, respectively) and falls (32.1%, 26.7%, respectively). High-risk age groups for dental and facial trauma were 10-18 years and 19-28 years, respectively, while for other trauma, ages for the greatest risk ranged from 0 to 9 years and over 59 years. Males were injured two to three times more frequently than females. A better understanding of the etiology of maxillofacial and dental injuries and identifying the high-risk groups should lead to appropriate prevention programs and treatment methods.

  11. Perfil del trauma maxilofacial en accidentes de bicicleta

    OpenAIRE

    Guadalupe Asunción Ramírez Roa; María Guadalupe Suárez-Moreno; Florentino Puerto-Álvarez; Heber Félix Quiroga-Vía; Jesús Arenas-Osuna; Bertha Vivanco-Cedeño

    2005-01-01

    Objetivo: conocer el perfil traumatológico maxilofacial, concomitante y manejo, de las personas que sufrieron accidentes de bicicleta. Se identificaron variables como edad, sexo, mecanismo, lugar, mes, patrones de lesiones, sintomatología, lapso de atención, turno, especialidad y tratamientos. Diseño: exploratorio, descriptivo, analítico, retrospectivo. Material y métodos: se censaron todos los pacientes con lesiones maxilofaciales por accidentes de bicicleta, de las notas médicas del Servici...

  12. Avaliação retrospectiva da condição pulpar após trauma dental

    OpenAIRE

    2011-01-01

    A pesquisa teve como objetivo avaliar a condição de vitalidade pulpar in vivo após o trauma dental comparando os testes de sensibilidade com o de vitalidade pulpar. Foram avaliados 71 dentes traumatizados, e 79 dentes colaterais de um grupo de quarenta pacientes atendidos no Programa de Atendimento à pacientes com Traumatismo Dento-Alveolar - Referência Ambulatorial da Faculdade de Odontologia da Universidade Federal de Uberlândia no período entre 2005 e 2010. A condição de ...

  13. Dental implant treatment following trauma: An investigation into the failure to complete Accident Compensation Corporation funded care.

    Science.gov (United States)

    Kennedy, R; Murray, C; Leichter, J

    2016-03-01

    Among other restorative strategies, the Accident Compensation Corporation (ACC) provides benefits for dental implant treatment to replace teeth lost as a result of trauma. While ACC has funded over 15,000 dental implants since 2002, the outcomes of this treatment and patient perceptions of this treatment have not been investigated. The aim of this study was to investigate the perceptions of the dental implant treatment outcomes and reasons for failure to complete restorative treatment in patients who had undergone trauma-related implant surgery funded by ACC between February 2006 and September 2009, but had not completed the prosthetic component of the treatment. A randomly selected sample of 399 patients, who had undergone dental implant surgery but not completed the crown restoration, was identified from the ACC database. These individuals were contacted by mail for expressions of interest and 181 clients were interviewed by telephone. Responses to open-ended questions were entered into an Excel spreadsheet and analysed using a general inductive technique. A common emergent theme was the high level of satisfaction expressed by participants with the implant process, however just under half of those responding felt they had been pushed into having implants and were given the impression that this was the only treatment ACC paid for. The cost of the prosthetic phase of the treatment and surgical complications were identified as the primary reasons why participants failed to complete the restorative phase of treatment, after completing the surgical phase. The results highlighted the need to better inform patients of their treatment options and to allow time for them to process this information before progressing with care. A patient decision tool may help to give greater ownership of the treatment options. Newly implemented protocols to assist dentists to better assess treatment needs may also assist in achieving improvements in perceived treatment outcomes for

  14. Trauma craneoencefálico severo en la UCIP del Hospital de la Misericordia, 2010-2013

    OpenAIRE

    Páez Gaitán, Hernán Felipe

    2016-01-01

    El Trauma Craneoencefálico (TCE) infantil constituye un motivo frecuente de consulta en Urgencias y supone la primera causa de muerte en niños, llegando a ser hasta del 50% en trauma severo. En Colombia se conocen cifras de TCE por algunos estudios descriptivos, pero no existen reportes en Bogotá ni específicamente en TCE severo. Objetivo: Caracterizar el trauma craneoencefálico severo pediátrico en la Unidad de Cuidado intensivo del Hospital de la Misericordia entre los años 2010 y 2013. Ma...

  15. Trauma craneoencefálico severo en la UCIP del Hospital de la Misericordia, 2010-2013

    OpenAIRE

    Páez Gaitán, Hernán Felipe

    2016-01-01

    El Trauma Craneoencefálico (TCE) infantil constituye un motivo frecuente de consulta en Urgencias y supone la primera causa de muerte en niños, llegando a ser hasta del 50% en trauma severo. En Colombia se conocen cifras de TCE por algunos estudios descriptivos, pero no existen reportes en Bogotá ni específicamente en TCE severo. Objetivo: Caracterizar el trauma craneoencefálico severo pediátrico en la Unidad de Cuidado intensivo del Hospital de la Misericordia entre los años 2010 y 2013. Ma...

  16. Infant dental care (image)

    Science.gov (United States)

    ... sugar water. As the child grows, establishing proper dental hygiene will promote healthy teeth and gums which are essential to overall good health. Poor dental development, dental disease, and dental trauma can result ...

  17. Influencia del sexo y del tratamiento dental en la aparición de ansiedad en el paciente odontopediátrico: Valoración del comportamiento Sex and dental treatment influence on child's dental anxiety: Behaviour valuation

    Directory of Open Access Journals (Sweden)

    F Sánchez Aguilera

    2004-08-01

    Full Text Available La actitud de un niño ante el tratamiento dental suele, con demasiada frecuencia, dificultar dicho tratamiento ya que disminuye su cooperación y provoca la aparición de un comportamiento negativo. Los objetivos del estudio han sido: 1 comparar la ansiedad ante la odontología que aparece en un grupo de niñas en relación a uno de niños; 2 establecer la relación existente entre el comportamiento y la ansiedad que presenta un niño en su tratamiento dental; y, 3 contrastar la ansiedad que se presenta antes y después de un tratamiento bucodental completo en una población infantil. Han sido analizados 81 niños con edades comprendidas entre los 8 y 12 años de edad que no habían ido antes a una consulta dental. Para la evaluación de su ansiedad se les realizó el test STAIC (Ansiedad/Estado y Ansiedad/Rasgo antes de comenzar su tratamiento bucodental y en la 3ª y última visita; se utilizó también la Escala para la Valoración del Perfil del Comportamiento para tasar el mismo, completada durante la 2ª visita de su tratamiento. Los resultados muestran que no existen diferencias significativas de ansiedad entre niños y niñas antes de comenzar el tratamiento. La ansiedad/estado está fuertemente correlacionada con el comportamiento que presenta un niño durante su tratamiento dental. Los valores de ansiedad antes del tratamiento son superiores a la ansiedad mostrada tras la realización del mismo, lo que nos indica una experiencia dental no traumática es el principal modo de descender la ansiedad en el niño.Often, the posture of a child before the dental treatment become difficult this treatment because de crease his cooperation and appear a negative behavior. The objectives of the study were: 1 to compare the dental anxiety that appears in a group of girls in relation to one of boys; 2 to establish the relationship between a child behavior and his anxiety; and, 3 to determine the anxiety before and after a total dental treatment in a

  18. Prevalence of anterior dental trauma and its associated factors among children aged 3-5 years in Jaipur City, India – A cross sectional study

    Science.gov (United States)

    Chalissery, Vemina P.; Marwah, Nikhil; Jafer, Mohammed; Chalisserry, Elna P.; Bhatt, Tanmay; Anil, Sukumaran

    2016-01-01

    Objective: To study the prevalence of anterior dental trauma and its associated factors among 800 preschool children aged 3 to 5 years in Jaipur City, Rajasthan, India. Materials and Methods: A cross-sectional survey was conducted among children aged 3-5 years, who were enrolled in various private and public schools in Jaipur. Parents were asked to fill a form addressing socio-demographic data and clinical examinations were performed by a single dentist. Traumatic dental injuries (TDI) were assessed and recorded based on Andreasen's classification. Associated factors such as sex, socioeconomic status (SES), and the type of injury were also analyzed. The data were analyzed statistically using Statistical Package for the Social Sciences software (version 20). Results: An overall 10.2% prevalence of TDI was observed among the study population. TDI were reported to be more among male children (11.87%) compared to female children (8.14%). Enamel fractures (69%) were the most prevalent type of anterior dental trauma. Upper central incisors were the most frequently affected. The SES of the parents had little influence on the prevalence of TDI. Conclusions: The prevalence rate of dental trauma among children aged 3-5 years was 10.2%. Associated factors, such as SES, were observed to be not significantly correlated to dental trauma among the studied preschoolers. PMID:27195225

  19. Prevalence of anterior dental trauma and its associated factors among children aged 3-5 years in Jaipur City, India – A cross sectional study

    OpenAIRE

    2016-01-01

    Objective: To study the prevalence of anterior dental trauma and its associated factors among 800 preschool children aged 3 to 5 years in Jaipur City, Rajasthan, India. Materials and Methods: A cross-sectional survey was conducted among children aged 3-5 years, who were enrolled in various private and public schools in Jaipur. Parents were asked to fill a form addressing socio-demographic data and clinical examinations were performed by a single dentist. Traumatic dental injuries (TDI) were a...

  20. Management of dental trauma to a developing permanent tooth during endotracheal intubation

    Directory of Open Access Journals (Sweden)

    B Sowmya

    2011-01-01

    Full Text Available Anesthesiologists consistently work in the mouth of patients but are not exposed to comprehensive education of teeth, the surrounding structures, and intraoral prosthesis. One of the most common adverse events related to anesthesia is perioperative dental damage. To minimize these dental injuries, a preoperative assessment of patient′s dentition and intra-oral tissues should be undertaken.

  1. Efficacy of a trauma-focused treatment approach for dental phobia: a randomized clinical trial

    NARCIS (Netherlands)

    Doering, S.; Ohlmeier, M.C.; de Jongh, A.; Hofmann, A.; Bisping, V.

    2013-01-01

    It has been hypothesized that treatment specifically focused on resolving memories of negative dental events might be efficacious for the alleviation of anxiety in patients with dental phobia. Thirty-one medication-free patients who met the Diagnostic and Statistical Manual of Mental Disorders (DSM-

  2. Importancia del estudio audiológico en los pacientes con trauma craneal Importance of the auditive study in patients with cranial trauma

    Directory of Open Access Journals (Sweden)

    Eulalia Alfonso Muñoz

    2005-03-01

    Full Text Available Se realizó un estudio de 50 pacientes con antecedentes de trauma craneal, atendidos en Consulta de Audiología del Hospital Militar “Dr. Carlos J. Finlay” en el período de enero de 2002 a diciembre de 2003. Los pacientes presentaban secuelas cocleo-vestibulares, y entre ellos predominó el sexo masculino (62,0 %, la edad de 16 a 30 años (52,0 % y las fracturas en la base del cráneo (según la naturaleza del trauma. A todos se les realizó un estudio audiológico detallado para determinar las lesiones que afectaron considerablemente su calidad de vidaA study of 50 patients with cranial trauma history that received attention at the Audiology Department of “Dr. Carlos J. Finlay” Military Hospital from January 2002 to December 2003, was conducted. The patients presented cochlear-vestibular sequelae. It was observed a predominance of males (62.0 %, of age 16-30 (52.0 % and of fractures in the base of cranium (according to the nature of the trauma. All of them underwent a detailed auditive test to determine the lesions considerably affecting their quality of life

  3. Efectos del blanqueamiento dental sobre el tejido pulpar

    OpenAIRE

    Cedillo Orellana, Sara Ivanna

    2016-01-01

    El blanqueamiento dental es un proceso dinámico que busca la eliminación de manchas de la estructura dental mediante el empleo de productos químicos, principalmente el peróxido de hidrógeno, el cual fue utilizado por primera vez en 1884 y hasta la fecha continúa siendo el principal componente activo de muchos productos usados para terapias de blanqueamiento dental, y es utilizado en su forma pura o como producto final de la degradación de otras sustancias empleadas para blanqueamiento, como...

  4. Asociación del acceso a la atención dental y el edentulismo.

    OpenAIRE

    2014-01-01

    El acceso a la atención se basa en la capacidad del individuo para obtener atención dental cuando sea necesario, o ante algunas barreras que podrían impedir la atención. Objetivo: Determinar la relaciónentre el acceso a la atención dental y el edentulismo.Material y métodos: La investigación fue transversal, observacional y descriptiva. La muestra fue de 148 personas adultas entre 18 a 65 añosde edad del distrito de Cajabamba, provincia de Cajabamba, departamento de Cajamarca. El acceso a la ...

  5. A 9-year retrospective study of dental trauma in Piracicaba and neighboring regions in the State of São Paulo, Brazil.

    Science.gov (United States)

    Santos, Saulo Ellery; Marchiori, Erica Cristina; Soares, Adriana Jesus; Asprino, Luciana; de Souza Filho, Francisco José; de Moraes, Márcio; Moreira, Roger William Fernandes

    2010-08-01

    The purpose of this study was to evaluate the occurrence of dentoalveolar trauma during a 9-year period in the Oral and Maxillofacial Surgery Division at Piracicaba Dental School, State University of Campinas in patients from the Piracicaba municipality and neighborhood regions in São Paulo, Brazil. This retrospective epidemiologic study from January 1999 to December 2007 evaluated all patients who presented at the Oral and Maxillofacial Surgery Division at Piracicaba Dental School with sustained oral and maxillofacial traumatic injuries associated with dentoalveolar trauma. Information regarding age, gender, etiology, use of protective devices such seatbelts, crash helmets, and presence of facial fractures and general trauma, oral condition, stage of dentition, date of trauma, drug abuse, type, teeth affected, and classification of the trauma were gathered from the medical files. Descriptive analysis was conducted. In total, 2,785 patients were analyzed and 542 (19.46%) were included in this study. The male to female ratio was 2.81:1. Most patients presented with oral hygiene as regular (51.85%). Friday, Saturday, and Sunday were the most prevalent days. Smoking was the most common harmful habit analyzed (16.05%) followed by alcohol use (15.87%). Bicycle accidents (26.94%) were the most common cause, followed by falls (22.69%). With regard to protective devices, 31.51% of drivers were wearing seatbelts during the accidents and helmets were used by 84.38% of motorcycle drivers at the moment of injury. One hundred thirty-five facial fractures were associated with dental and dentoalveolar traumas, and the mandible was the facial bone most associated with dentoalveolar trauma. Upper and lower limbs were most frequently associated with general trauma, accounting for 140 (38.78%) and 111 (30.75%), respectively. This study shows that dentoalveolar trauma rates and patterns in the Piracicaba municipality and neighborhood regions in São Paulo are similar to other

  6. Algoritmo para el manejo hospitalario del trauma craneoencefálico leve

    OpenAIRE

    Varela Hernández, Ariel

    2008-01-01

    Esta investigación representa una innovación tecnológica de carácter organizacional, donde se aplicó un algoritmo para el cribaje de los lesionados con trauma craneoencefálico leve en el servicio de urgencias hospitalario, con el objetivo de optimizar el empleo de la tomografía computarizada de cráneo y mejorar los resultados del tratamiento. El estudio se realizó en tres etapas: en la primera se practicó la caracterización de estos enfermos, donde se demostró que existían degradaciones de co...

  7. Will mineral trioxide aggregate replace calcium hydroxide in treating pulpal and periodontal healing complications subsequent to dental trauma?

    DEFF Research Database (Denmark)

    Bakland, Leif K; Andreasen, Jens O

    2012-01-01

    Mineral trioxide aggregate (MTA) has over the last two decades begun to take the place of calcium hydroxide (CH) in the treatment of a variety of pulpal and periodontal healing complications following dental trauma. These conditions include teeth with: (i) exposed pulps, (ii) immature roots...... and pulp necrosis, (iii) root fractures and pulp necrosis located in the coronal part of the pulps, and (iv) external infection-related (inflammatory) root resorption. The main reasons for replacing CH with MTA in these situations have generally been the delayed effect when using CH to induce hard tissues......, the quality of such induced hard tissues, and finally the dentin weakening effect of CH, which in some instances lead to cervical root fractures in immature teeth. MTA appears, from a relatively few clinical studies, to overcome these shortcomings of CH. The lack of long-term clinical studies, however, may...

  8. Escalas para evaluar la mortalidad de pacientes con trauma y síndrome de insuficiencia respiratoria progresiva del adulto

    OpenAIRE

    HERNÁNDEZ-GUTIÉRREZ PATRICIA; GRIFÉ-COROMINA ALEJANDRO; GARZA-ESTRADA VÍCTOR A. DE LA

    1997-01-01

    Objetivo. Comparar las distintas escalas y calificaciones que se usan para evaluar la mortalidad de los pacientes con trauma y síndrome de insuficiencia respiratoria progresiva del adulto. Material y métodos. Se revisaron los expedientes de 80 pacientes, 70 varones y 10 mujeres, atendidos en el Hospital Guillermo Barroso C., de la Cruz Roja Mexicana de la Ciudad de México, que sufrieron trauma y desarrollaron síndrome de insuficiencia respiratoria progresiva del adulto, en el periodo que va d...

  9. Escalas para evaluar la mortalidad de pacientes con trauma y síndrome de insuficiencia respiratoria progresiva del adulto

    OpenAIRE

    HERNÁNDEZ-GUTIÉRREZ PATRICIA; GRIFÉ-COROMINA ALEJANDRO; GARZA-ESTRADA VÍCTOR A. DE LA

    1997-01-01

    Objetivo. Comparar las distintas escalas y calificaciones que se usan para evaluar la mortalidad de los pacientes con trauma y síndrome de insuficiencia respiratoria progresiva del adulto. Material y métodos. Se revisaron los expedientes de 80 pacientes, 70 varones y 10 mujeres, atendidos en el Hospital Guillermo Barroso C., de la Cruz Roja Mexicana de la Ciudad de México, que sufrieron trauma y desarrollaron síndrome de insuficiencia respiratoria progresiva del adulto, en el periodo que va d...

  10. Will mineral trioxide aggregate replace calcium hydroxide in treating pulpal and periodontal healing complications subsequent to dental trauma? A review.

    Science.gov (United States)

    Bakland, Leif K; Andreasen, Jens O

    2012-02-01

    Mineral trioxide aggregate (MTA) has over the last two decades begun to take the place of calcium hydroxide (CH) in the treatment of a variety of pulpal and periodontal healing complications following dental trauma. These conditions include teeth with: (i) exposed pulps, (ii) immature roots and pulp necrosis, (iii) root fractures and pulp necrosis located in the coronal part of the pulps, and (iv) external infection-related (inflammatory) root resorption. The main reasons for replacing CH with MTA in these situations have generally been the delayed effect when using CH to induce hard tissues, the quality of such induced hard tissues, and finally the dentin weakening effect of CH, which in some instances lead to cervical root fractures in immature teeth. MTA appears, from a relatively few clinical studies, to overcome these shortcomings of CH. The lack of long-term clinical studies, however, may warrant a certain reservation in an unrestricted replacement of CH with MTA. A definite need for randomized clinical studies comparing CH and MTA in trauma healing situations is urgently needed.

  11. Dental Procedures.

    Science.gov (United States)

    Ramponi, Denise R

    2016-01-01

    Dental problems are a common complaint in emergency departments in the United States. There are a wide variety of dental issues addressed in emergency department visits such as dental caries, loose teeth, dental trauma, gingival infections, and dry socket syndrome. Review of the most common dental blocks and dental procedures will allow the practitioner the opportunity to make the patient more comfortable and reduce the amount of analgesia the patient will need upon discharge. Familiarity with the dental equipment, tooth, and mouth anatomy will help prepare the practitioner for to perform these dental procedures.

  12. Dental fragment embedded in the lower lip after facial trauma: Brief review literature and report of a case

    Directory of Open Access Journals (Sweden)

    Dorina Lauritano

    2012-01-01

    Full Text Available Upper incisors are the most frequently involved teeth in traumatic dental injuries. Soft tissues (lips and/or oral mucosa adjacent to incisal edge can receive direct and/or indirect traumas. Laceration of the lower lip is a not rare eventuality and teeth fragments could be embedded in labial soft tissue. The reattachment of these fragments, if possible, is the elective treatment choice, thanks to the modern adhesive and restorative techniques. The authors present a case of a white Caucasian 10-year-old child, who attended the dental clinic for the treatment of both upper central incisors′ crown fractures. The fragment of the left incisor was retrieved embedded in the lower lip. It was successfully surgically removed and reattached using a composite adhesive technique. A careful clinical and radiographic examination with the surgical removal of tooth fragments could prevent undesirable foreign body reaction, infection and scarring. The authors also reviewed the most relevant literature concerning tooth fragment reattachment after removal from oral soft tissues.

  13. Experiencia en dos hospitales de tercer nivel de atención del suroccidente de Colombia en la aplicación del Registro Internacional de Trauma de la Sociedad Panamericana de Trauma

    Directory of Open Access Journals (Sweden)

    Carlos A. Ordóñez

    Full Text Available OBJETIVO: Describir la experiencia en la implementación de un Sistema de Registro de Trauma (SRT en dos hospitales en Cali, Colombia. MÉTODOS: El SRT incluye información prehospitalaria, hospitalaria y estatus de egreso del paciente. Cada hospital tiene una estrategia para la captura electrónica de datos. Se presenta un análisis descriptivo exploratorio durante un piloto de tres meses. RESULTADOS: Se han registrado 3293 pacientes, 1626(49.4% del Hospital Público y 1613(50.6% en el Privado. 67.2% fueron hombres; edad promedio 30,5±20 años, 30,5% menores de 18 años. Mortalidad global 3,52 %. Causa más frecuente de consulta fueron las caídas (33,7%; 11.6% fueron heridas por arma de fuego, la mortalidad en este grupo fue del 44.7%. CONCLUSIÓN: Se determinaron las necesidades para la implementación del SRT y los mecanismos para darle continuidad. El registro se convierte en una fuente de información para el desarrollo de la investigación. Se identificaron las causas de consulta, morbilidad y muerte por trauma que permitirá una mejor planeación de los servicios de urgencias y del sistema regional de trauma con el fin de optimizar y de reducir los costos de atención. A partir de este sistema de información de trauma se podrán plantear los ajustes indispensables para rediseñar el sistema de trauma y emergencias del suroccidente colombiano.

  14. Bone replacement following dental trauma prior to implant surgery - present status

    NARCIS (Netherlands)

    Hallman, Mats; Mordenfeld, Arne; Strandkvist, Tomas

    2009-01-01

    Dento-alveolar trauma often leads to a need for reconstruction of the alveolar crest before an implant can be placed. Although autogenous bone grafts is considered the 'gold standard', this may be associated with patient morbidity and graft resorption. Consequently, the use of bone substitutes has i

  15. Bone replacement following dental trauma prior to implant surgery - present status

    NARCIS (Netherlands)

    Hallman, Mats; Mordenfeld, Arne; Strandkvist, Tomas

    2009-01-01

    Dento-alveolar trauma often leads to a need for reconstruction of the alveolar crest before an implant can be placed. Although autogenous bone grafts is considered the 'gold standard', this may be associated with patient morbidity and graft resorption. Consequently, the use of bone substitutes has i

  16. Manejo integral estético del sector anterior en el paciente con fluorosis dental

    OpenAIRE

    Giandoménico Villota, Camilo Andrés

    2014-01-01

    Actualmente, la odontología estética ha alcanzado gran importancia en la población general, lo cual se evidencia en la alta demanda de pacientes que buscan una sonrisa armónica, bella, blanca y llamativa. Uno de los principales problemas que más aqueja a la población colombiana y de relevancia en salud pública es la fluorosis dental, que se describe como una “patología endémica asociada al exceso de ingesta del ion flúor, cuya manifestación dental acarrea un problema estético que se caracteri...

  17. Manejo integral estético del sector anterior en el paciente con fluorosis dental

    OpenAIRE

    Giandoménico Villota, Camilo Andrés

    2014-01-01

    Actualmente, la odontología estética ha alcanzado gran importancia en la población general, lo cual se evidencia en la alta demanda de pacientes que buscan una sonrisa armónica, bella, blanca y llamativa. Uno de los principales problemas que más aqueja a la población colombiana y de relevancia en salud pública es la fluorosis dental, que se describe como una “patología endémica asociada al exceso de ingesta del ion flúor, cuya manifestación dental acarrea un problema estético que se caracteri...

  18. UNA APLICACIÓN DE TOPIC MODELING PARA EL ESTUDIO DEL TRAUMA: EL CASO DE CHEVRON-TEXACO EN ECUADOR

    Directory of Open Access Journals (Sweden)

    Eliana Sanandrés

    2015-01-01

    Full Text Available Las perspectivas tradicionales en el estudio del trauma sugieren la existencia de eventos inherentemente traumáticos que desencadenan dicha emoción negativa en las comunidades afectadas. No obstante, desde la década de 1990 los sociólogos culturales han venido desa - rrollando una nueva perspectiva conocida como la teoría del trauma cultural. Esta sugiere que no existen eventos traumáticos y que el trauma, en cambio, es el resultado de un proceso de construcción sociocultural que depende de las representaciones simbólicas que los actores construyen sobre aquellos eventos que perciben como ame - nazas a la identidad colectiva. Ahora bien, la aplicación de técnicas de análisis que permitan identificar tales representaciones implica el reto metodológico de trabajar cualitativamente con un gran número de datos . En tal sentido, en este artículo se presenta una aplicación de Topic Modeling al estudio del proceso de trauma derivado del caso de Chevron-Texaco en Ecuador para mostrar que esta técnica facilita dicha labor.

  19. Knowledge of dental trauma in a group of Chilean primary school teachers

    Directory of Open Access Journals (Sweden)

    Claudia Letelier

    2016-02-01

    Full Text Available Aim: To determine the knowledge and management of dentoalveolar trauma in primary school teachers in rural and urban schools in the district of Paillaco, Chile, in 2014. Methods: An observational study was conducted in 167 teachers in the city of Paillaco. A survey developed from the questionnaires proposed by McIntyre et al. and Yassen et al. was used. The survey, previously approved by 2 experts, was applied in person in the school facilities, after the application of a pilot test. Demographic characteristics of the participants and the frequency of correct responses by geographical location of the educational establishment (rural/urban were analyzed. For the inferential analysis, the chi-square and t-tests (p<.05 were used. Results: 130 valid questionnaires (41.21±0.95 years, 68.4% women were obtained. Participating teachers achieved an 83.3% of correct diagnosis of dentoalveolar trauma and a 55.5% of correct answers regarding its management. There were with no statistically significant differences in relation to geographical location. Conclusion: Primary school teachers in the district of Paillaco have a high level of knowledge of dentoalveolar trauma, but not of its management.

  20. Desplazamiento de un implante dental dentro del seno maxilar durante la segunda fase quirúrgica

    OpenAIRE

    I Gallego Medina; MªA Sánchez Garces; L Berini Aytes; C. Gay Escoda

    2002-01-01

    La rehabilitación bucal de los pacientes con edentulismo parcial o total con implantes dentales tiene amplias indicaciones que en ocasiones se ven limitadas por factores anatómicos y biológicos. Una de las localizaciones en la que frecuentemente puede existir una altura insuficiente de hueso alveolar, ya sea debido a la reabsorción ósea, a la excesiva neumatización del seno maxilar o a ambas causas, es la zona posterior del maxilar superior, lo que además suele ir acompañado de una baja calid...

  1. Aplicabilidad del modelo electroquímico al inicio de la caries dental: estudio in vitro

    Directory of Open Access Journals (Sweden)

    M. Vera Choloux

    Full Text Available Introducción: Se ha establecido que existen fuerzas eléctricas que tienen la capacidad de dañar la estructura dental generando su descalcificación. El objetivo es demostrar que el modelo electroquímico permite explicar el proceso de disolución del esmalte dental, a través de la aplicación de un potencial constante, a fin de registrar corriente eléctrica, liberación de ion Ca2+ y evaluar daño superficial del esmalte dental. Material y métodos: Estudio in vitro en 32 terceros molares sin caries, divididos aleatoriamente en dos grupos sumergidos en solución tampón láctico-lactato. Grupo 1, sometido a potencial de +1,5 V y grupo 2, se dejó evolucionar espontáneamente en el tiempo. Se cuantificó la concentración de Calcio (Ca2+ liberado (mg, a través de un espectrofotómetro de absorción atómica para establecer la concentración media por grupo. Se compararon las medianas mediante el test estadístico Wilcoxon Mann-Whitney usando el programa Stata v.11.2. Además, se realizó evaluación del daño superficial del esmalte dental por técnica de microscopía óptica y electrónica. Resultados: Se registraron corrientes no nulas en todos los dientes sometidos a potencial +1,5 V. La liberación de Ca2+ entre grupos arrojó mayor liberación mediana de Ca2+ en el grupo electrólisis (12,3 [RIC= 4,5-18,2] vs. 6,5 [RIC= 3,7-15,4] y al observar bajo lupa estereoscópica y microscopio electrónico de barrido, se visualiza una mayor destrucción en el grupo 1. Discusión: Los resultados permiten verificar la hipótesis en cuanto a haber encontrado evidencia empírica respecto al comportamiento electroquímico del proceso de degradación del esmalte dental.

  2. Dental trauma involving root fracture and periodontal ligament injury: a 10-year retrospective study

    Directory of Open Access Journals (Sweden)

    Sônia Regina Panzarini

    2008-09-01

    Full Text Available The purpose of this retrospective study was to analyze the cases of traumatic dental injuries involving root fracture and/or periodontal ligament injury (except avulsion treated at the Discipline of Integrated Clinic, School of Dentistry of Araçatuba, São Paulo State University (UNESP, Brazil, from January 1992 to December 2002. Clinical and radiographic records from 161 patients with 287 traumatized teeth that had sustained root fracture and/or injuries to the periodontal ligament were examined. The results of this survey revealed that subluxation (25.09% was the most common type of periodontal ligament injury, followed by extrusive luxation (19.86%. There was a predominance of young male patients and most of them did not present systemic alterations. Among the etiologic factors, the most frequent causes were falls and bicycle accidents. Injuries on extraoral soft tissues were mostly laceration and abrasion, while gingival and lip mucosa lacerations prevailed on intraoral soft tissues injuries. Radiographically, the most common finding was an increase of the periodontal ligament space. The most commonly performed treatment was root canal therapy. Within the limits of this study, it can be concluded that traumatic dental injuries occur more frequently in young male individuals, due to falls and bicycle accidents. Subluxation was the most common type of periodontal ligament injury. Root canal therapy was the type of treatment most commonly planned and performed.

  3. Bone replacement following dental trauma prior to implant surgery--status.

    Science.gov (United States)

    Hallman, Mats; Mordenfeld, Arne; Strandkvist, Tomas

    2009-02-01

    Dento-alveolar trauma often leads to a need for reconstruction of the alveolar crest before an implant can be placed. Although autogenous bone grafts is considered the 'gold standard', this may be associated with patient morbidity and graft resorption. Consequently, the use of bone substitutes has increased. Today, a substantial number of biomaterials are available on the market, but only a few are well documented. The user should be aware that these biomaterials have different properties: resorbable or non-resorbable, time of resorption and resorption mechanism. The purpose of this review is to describe the function of various bone substitutes and indications for their use in reconstructive implant surgery and to give an overview of the current situation.

  4. Evaluation of the flexural properties of a new temporary splint material for use in dental trauma splints

    Directory of Open Access Journals (Sweden)

    Takahiro Shirako

    2017-09-01

    Full Text Available The present study evaluated the flexural properties of a new temporary splint material, G-Fix, for use in dental trauma splints in comparison with other resin materials. Four types of resin materials were considered in the present study: MI Flow II, light-cured composite resin (MI; G-Fix, light-cured resin for splinting teeth (GF; Super-Bond C&B, adhesive resin cement (SB; and Unifast III, self-cured methyl-methacrylate resin (UF. The flexural properties of these four materials were tested according to ISO 4049. The flexural strength significantly increased in the order of UF (64.9 MPa

  5. Influence of clinical and socioeconomic indicators on dental trauma in preschool children

    Directory of Open Access Journals (Sweden)

    Patrícia CORRÊA-FARIA

    2015-01-01

    Full Text Available The aim of the present study was to determine the prevalence of traumatic dental injury (TDI in the primary dentition and investigate associations with clinical and socioeconomic indicators. A population-based, cross-sectional study was carried out with a randomly selected sample of 301 children aged one to five years. Data were collected through clinical oral examinations and interviews with parents/guardians during immunization campaigns. Statistical analysis involved Pearson’s Chi-squared test and Poisson regression with robust variance. The prevalence of TDI was 33.9%. TDI was more prevalent in children with overjet > 3 mm (p < 0.001 and those with inadequate lip coverage (p < 0.001. A statistically significant association was also found between TDI and household income (p = 0.024. According to the adjusted Poisson regression model, greater prevalence rates of TDI were found for children from families with a monthly income ≥ twice the Brazilian minimum monthly wage (PR: 1.52; 95%CI: 1.10-2.12, those with accentuated overjet (PR: 1.53; 95%CI: 1.05-2.22 and those with inadequate lip coverage (PR: 2.00; 95%CI: 1.41-2.84. The prevalence of TDI was high in the present study and was associated with a higher family income, accentuated overjet and inadequate lip coverage.

  6. [Decoronation: treatment protocol for ankylotic root resorption as a consequence of dental trauma].

    Science.gov (United States)

    Lin, S; Fuss, Z; Wigler, R; Karawani, M; Ashkenazi, M

    2013-10-01

    Severe dental traumatic injuries, such as the complete displacement of a tooth from its socket (Avulsion) or the displacement of a tooth within its socket (Intrusive Luxation), may result in extensive injury to the root surface. As a result, the root surface injury heals without cementum and there is fusion between the alveolar bone and the exposed dentin or anorganic exposed cementum, without any attachment apparatus between them. This phenomenon is known as "dento-alveolar ankylosis" and is accompanied by ankylotic resorption of the root. In a process that results subsequent to the ankylosis, the root surface resorbs, and this is part of the remodeling of the alveolar bone (ankylotic resorption). When the traumatic injury occurs at a young age, lateral and apical growth of the alveolar bone continues without continued physiological eruption of the tooth. As a result, the position of the ankylotic tooth does not change, and with time thetooth appears infra-occluded resulting in severe esthetic and functional consequences. Extraction of the ankylotic tooth is difficult and sometimes even impossible due to the rigid fusion between the bone and the tooth. In addition, attempted extraction of the ankylotic tooth may lead to fracture of the buccal plate and resorption of the alveolar bone. Retention of the ankylotic tooth may lead to damage in bone deposition in the verticaldimension, leading to difficulties in future prosthodonticrehabilitation, research-based information has been incorporated

  7. Cross-sectional Study of Dental Trauma and Associated Factors Among 9- to 14-year-old Schoolchildren in Isfahan, Iran.

    Science.gov (United States)

    Eslamipour, Faezeh; Iranmanesh, Pedram; Borzabadi-Farahani, Ali

    To assess the prevalence of dental trauma (DT) and its associated factors in 9- to 14-year-olds. A cross-sectional survey was carried out through clinical examination of the permanent incisors and canines of 907 schoolchildren (9 to 14 years old, average age = 11 ± 0.5 [SD] years, 55% female and 45% male) enrolled in 20 public schools in Isfahan, Iran. The demographic data, history and cause of trauma were recorded during patient interviews and with a structured questionnaire filled in by their parents. The overjet, lip coverage, and visible signs of DT (permanent incisors only, similar to the classification used by the US National Health and Nutrition Examination Survey 1988-1994, NHANES III) were recorded. DT in permanent canines were also recorded. Approximately 36% (n = 325) recalled the occurrence of dental trauma, but only 23.8% (n = 216) of children had visible signs of dental trauma to the permanent incisors (girls [18.8%], boys [29.9%], OR = 0.54; 95% CI 0.40- 0.74; p = 0.000). The maxillary central incisors were commonly injured (69.5%). The most frequent types of injuries were the enamel fracture (59.0%), craze lines (16.3%), and enamel and dentin fracture (13.4%). Tooth avulsion was seen in 0.7%. No significant association was found between dental trauma and increased overjet of > 3 mm (p = 0.328), but a tendency was identified for overjet > 5 mm (OR = 1.51; 95% CI 0.89-2.58; p = 0.060). The relationship between DT and lip coverage was statistically significant (OR = 1.63; 95% CI 1.18-2.25; p = 0.003). Violence (30%) and fall (22.7%) were the main causes of DT. The prevalence of DT in permanent incisors was high (23.8%) and significantly lower in girls. The association between DT and lip coverage was significant. There was no association between DT and increased overjet of > 3 mm.

  8. Patrón de las alteraciones dentales asociadas a la impactación del canino maxilar por palatino

    OpenAIRE

    Olivera Aguilar, Esther

    2015-01-01

    La tesis doctoral se ha realizado para poder encontrar un método de diagnóstico precoz de la impactación del canino maxilar por palatino, mediante la detección temprana de otras alteraciones dentales asociadas y así poder aplicar tratamientos tempranos, que mejoren el pronóstico de la impactación del canino maxilar por palatino. La impactación del canino maxilar por palatino, supone la alteración del trayecto eruptivo del mismo, que lo conduce a la zona palatina. Los pacientes con esta altera...

  9. Prevalencia de enfermedades dentales en gatos (felis catus) de los distritos del cono norte de Lima.

    OpenAIRE

    Grandez, Ricardo; Facultad e Medicina Veterinaria y Zootecnia - Universidad Peruana Cayetano Heredia. Lima.; Guerrero, Heidi; Facultad e Medicina Veterinaria y Zootecnia - Universidad Peruana Cayetano Heredia. Lima

    2014-01-01

    Objetivo: Determinar la prevalencia de las patologías dentales de los gatos (Felis catus) del Cono Norte de Lima atendidos en la Clínica Veterinaria de la Universidad Peruana Cayetano Heredia. Material y métodos: Se evaluaron 200 felinos de 1 a 16 años de edad, sin distinción de raza y sexo. Las variables evaluadas fueron: edad (≥1 a <5, ≥5 a <9, ≥9 años), tipo de alimentación (balanceada, mixta sin hueso y mixta con hueso) y localización de la patología dental. Resultados: Se determinó...

  10. Prevalencia de enfermedades dentales en gatos (felis catus) de los distritos del cono norte de Lima.

    OpenAIRE

    Grandez, Ricardo; Facultad e Medicina Veterinaria y Zootecnia - Universidad Peruana Cayetano Heredia. Lima.; Guerrero, Heidi; Facultad e Medicina Veterinaria y Zootecnia - Universidad Peruana Cayetano Heredia. Lima

    2014-01-01

    Objetivo: Determinar la prevalencia de las patologías dentales de los gatos (Felis catus) del Cono Norte de Lima atendidos en la Clínica Veterinaria de la Universidad Peruana Cayetano Heredia. Material y métodos: Se evaluaron 200 felinos de 1 a 16 años de edad, sin distinción de raza y sexo. Las variables evaluadas fueron: edad (≥1 a <5, ≥5 a <9, ≥9 años), tipo de alimentación (balanceada, mixta sin hueso y mixta con hueso) y localización de la patología dental. Resultados: Se determinó...

  11. Importancia del tratamiento ortodóncico en la efectividad de los implantes dentales

    Directory of Open Access Journals (Sweden)

    Isabel Cristina Díaz Acosta

    Full Text Available Los implantes osteointegrados permite recuperar de forma fija y cómoda todas las funciones del diente perdido. El objetivo de esta presentación es demostrar los beneficios de realizar tratamientos ortodóncico previos a la colocación de implantes dentales en pacientes edentes. Un paciente de 21 años acudió a consulta de implantología en la Clínica Estomatológica Provincial Docente “Dr. Ismael Clark y Mascaró” de Camagüey, por ausencia de incisivos central y lateral superior derecho (11 y 12. Se valoró por el equipo multidisciplinario, el cual planteó cerrar el espacio de la brecha edente con aparatología ortodóncica fija y después realizar cirugía de avanzada y la colocación de un implante Leader Nano. La rehabilitación protésica se realizó a los ocho meses. Se demostró la eficacia de la realización de tratamiento ortodóncico previo a la colocación de implantes dentales así como el restablecimiento del estado estético y psicológico del paciente.

  12. Toracotomías posteriores a pleurotomía mínima en el manejo del trauma penetrante torácico

    OpenAIRE

    CANCINO Q,MAURICIO; PARRA C,ALEJANDRA; KAWAS G,DANIELA; CRUZAT S,ALEJANDRA; ORTIZ B,MARÍA JOSÉ; RODRIGUEZ N,ALEJANDRO

    2007-01-01

    El trauma en Chile es la primera causa de muerte en pacientes menores de 45 años, siendo el trauma penetrante torácico especialmente importante debido a su alta frecuencia en nuestro medio. Este es un estudio observacional censal descriptivo, en el cual se revisaron los libros de protocolo operatorio del Hospital Carlos Van Burén de Valparaíso, desde Diciembre de 1997 hasta enero del 2006, obteniendo el total de pacientes ingresados por trauma penetrante torácico a los que se les realizó pleu...

  13. Toracotomías posteriores a pleurotomía mínima en el manejo del trauma penetrante torácico

    OpenAIRE

    CANCINO Q,MAURICIO; PARRA C,ALEJANDRA; KAWAS G,DANIELA; CRUZAT S,ALEJANDRA; ORTIZ B,MARÍA JOSÉ; RODRIGUEZ N,ALEJANDRO

    2007-01-01

    El trauma en Chile es la primera causa de muerte en pacientes menores de 45 años, siendo el trauma penetrante torácico especialmente importante debido a su alta frecuencia en nuestro medio. Este es un estudio observacional censal descriptivo, en el cual se revisaron los libros de protocolo operatorio del Hospital Carlos Van Burén de Valparaíso, desde Diciembre de 1997 hasta enero del 2006, obteniendo el total de pacientes ingresados por trauma penetrante torácico a los que se les realizó pleu...

  14. Morbimortalidad del traumatismo de recto extraperitoneal Morbimortalidade do traumatismo do reto extraperitoneal Morbidity and mortality of extraperitoneal rectal trauma

    Directory of Open Access Journals (Sweden)

    Guillermo Barillaro

    2008-03-01

    Full Text Available INTRODUCCION: Los traumatismos del recto extraperitoneal representan el 3% al 5% de todos los traumatismos y heridas abdominales y se destacan por la elevada morbimortalidad que presentan si no son diagnosticados y tratados precoz y adecuadamente. En la actualidad existe falta de consenso con respecto al óptimo manejo quirúrgico en el medio civil. OBJETIVO: Relatar la experiencia en el tratamiento evaluando aquellos factores que influyeron en la morbimortalidad. METODOS: Estudo retrospectivo descriptivo onde se revisaron los prontuarios de todos los pacientes operados por traumatismo recto extraperitoneal, entre enero de 1998 y diciembre de 2007. Las variables índice de trauma abdominal, intervalo entre trauma y cirugía y tipo de cirugía inicial fueron relacionadas con las complicaciones infecciosas y mortalidad. RESULTADOS: Se evaluaron 13 pacientes, 5 por herida de arma de fuego, 5 por autoempalamiento y 3 por trauma cerrado. El índice de trauma abdominal promedio en infectados y fallecidos fue superior a 25. El 61% de los pacientes(8 fueron operados antes de las 8 horas. La tasa de infección fue del 61,5% y el 90% de los pacientes infectados requirieron nuevas cirugías. La mortalidad de la serie fue de 38,5% (5 pacientes. En los pacientes intervenidos después de las 8 horas se registró un 80% de infección perirrectal y un 80% de mortalidad independientemente del tipo de cirugía realizada. CONCLUSIONES: El retraso en el tratamiento mayor 8hs y el índice de trauma abdominal mayor 25 fueron los principales factores asociados a infección perirrectal y mortalidad en esta serie. La ausencia de drenaje presacro y de lavado rectal distal se asoció a mayor incidencia de infección perirrectal.BACKGROUND: Extraperitoneal rectal injuries represent 3 to 5% of all traumatisms and abdominal injuries, and they are highlighted by their high morbidity/mortality presented if not early and appropriately diagnosed and treated. Nowadays there is

  15. Evolución histórica del cepillo dental

    Directory of Open Access Journals (Sweden)

    Isidro de Jesús Nápoles González

    Full Text Available La higiene bucal proviene de épocas remotas. En la era primitiva el hombre empleaba sus uñas o fragmentos de madera, en la prehispánica los indígenas utilizaban la raíz de una planta o se frotaban los dientes con los dedos. Pero el cepillo de dientes tal y como hoy se conoce comenzó a utilizarse en el siglo XVII. En su diseño se han combinado diferentes tipos, tamaños y grosores de cerdas, dispuestas en distintas angulaciones para facilitar el cepillado dental. Conocer la evolución histórica del cepillo dental constituye el propósito de esta revisión. Se realizó una búsqueda exhaustiva retrospectiva automatizada en internet, utilizando el buscador Google. Para reunir la información necesaria se emplearon las herramientas para la comunicación asincrónica de gestores personales como Endnote, que facilitan el ordenamiento de las citas. Se consultaron artículos originales en revistas, informaciones en sitios web y blogs. No hubo restricciones en la selección de los materiales, ni por fecha, autores o estilos. Se revisaron textos que en sus páginas presentan referencias concernientes al tema de investigación. Consideramos que no es necesario utilizar cepillos de alta tecnología para la lograr la higiene dental. Aplicar una técnica adecuada y saber emplear el cepillo dental facilitará este proceso, para evitar enfermedades frecuentes causadas por la placa dentobacteriana (caries dentales y enfermedad periodontal, y así lograr por más tiempo la conservación dientes funcionales en la cavidad bucal.

  16. Asociacion del nivel de riesgo familiar total y caries dental en escolares de La Boquilla, Cartagena

    Directory of Open Access Journals (Sweden)

    Shyrley Díaz Cárdenas

    2013-07-01

    Full Text Available Objetivo: Asociar caries dental con el nivel de riesgo familiar total en escolares de la Boquilla, Cartagena. Metodología: Estudio de corte transversal, en 202 escolares. Se evaluó clínicamente la prevalencia, experiencia y severidad de las lesiones de caries dental (índice COP, ICDAS II en escolares y a través de un cuestionario aplicado a las familias de los niños se evaluaron los factores socio demográficos y familiares (estructura, rol y autoridad de los padres, antecedentes médicos familiares, el nivel de riesgo familiar total (RFT 5-33 y la funcionalidad familiar (Apgar Familiar. Se realizó estadística descriptiva y estimación de razones de disparidad (OR. Resultados: La prevalencia de caries dental fue del 95% (IC 95%; 92-98. El 55% (IC 95%; 48 - 61,9 de las familias se encuentran en el nivel de riesgo familiar de amenaza. Para el nivel de riesgo familiar total no se encontró asociado con la presencia de caries dental pero al asociar los factores de riesgo de manera individual se encontró asociación entre ingresos < de 1 Salario Mínimo Legal Vigente (SMMLV (OR: 3,83; IC 95%: 1,04-14; p = 0,04, presencia de antecedentes médicos familiares (OR: 5,14; IC 95% 1,06-24,8; p = 0,04, rol no ejercido por el padre (OR: 0,25; IC 95%: 0,06-0,94; p = 0,04 y la presencia de caries dental en niños. Conclusiones: Las familias con ausencia de figuras paternas, escasos recursos económicos y con presencia de antecedentes médicos familiares comprometen la salud bucal de los niños.

  17. Epidemiología del trauma pediátrico en Medellín, Colombia 1992-1996.

    Directory of Open Access Journals (Sweden)

    Mario Alberto Correa

    2009-10-01

    Full Text Available Mediante un estudio descriptivo se caracterizó la morbilidad y mortalidad por causa del trauma pediátrico y la calidad de la atención en salud. Se clasificaron en prevenibles o no las muertes de niños menores de 12 años de Medellín según el índice de severidad del trauma (injury severety score, ISS, durante el período 1992-1996 y se elaboró una propuesta de fortalecimiento del sistema de atención con el fin de disminuir la incidencia de muertes prevenibles por esta causa. Se analizó la totalidad de los registros de consulta de los servicios de urgencias de la ciudad y los protocolos de necropsias de los menores de 12 años a los cuales se aplicó el ISS para clasificar las muertes como prevenibles, potencialmente prevenibles y no prevenibles y se revisaron todas las historias clínicas de las muertes potencialmente prevenibles y prevenibles para identificar los factores de riesgo intervenibles. La primera causa de ingreso a los servicios de urgencias según la Novena Clasificación Internacional de Enfermedades (CIE-9ª y 183 causas durante los cinco años fue laceración y herida de vasos sanguíneos. La mayor proporción de consultas urgentes según la severidad, se clasificó en 63% como leve. Las tasas de mortalidad general, por sexo y causa mostraron una tendencia descendente. Los accidentes de tránsito fueron la causa más importante de mortalidad en el período: tasa de 9.86 x 10-5 (IC 95% 8.64 -11.22. La principal causa de mortalidad según la CIE 9ª revisión y 183 causas fue el trauma de cráneo con o sin fractura. Las muertes prevenibles representaron 1.4% (7, las potencialmente prevenibles 2% (10 y las no prevenibles 96.7% (492 según el ISS. Los errores diagnósticos y la falta de seguimiento de los quemados, fueron los factores de riesgo prevenibles que incidieron en la mortalidad. Se propone para Medellín mejorar la atención del trauma pediátrico mediante el desarrollo de la atención prehospitalaria y un sistema

  18. Análisis de una muestra dental procedente del Alto Río Saija

    Directory of Open Access Journals (Sweden)

    Angel María Medina

    2009-07-01

    referencias se remiten a la descripción de patologías en la cerámica Tumaco-LaTolita, que por su realismo nos ha brindado prolijas descripciones sobre algunos síndromes existentes en la época(Correa', 1985; Sotomayor, 1992; Patiño, 1995; información personal, quien ha realizado excavaciones en la zona desde los ochenta. El presente reporte constituye la primera descripción del sistema dental de grupos de esta reglón.

  19. Comportamiento clínico epidemiológico del trauma ocular grave según clasificación estandarizada, Cienfuegos, 2009 -2011

    Directory of Open Access Journals (Sweden)

    Joselito Cruz Martínez

    2012-11-01

    Full Text Available Fundamento: Son múltiples los tipos de urgencias atendidas en los servicios de oftalmología, pero entre ellas los traumatismos oculares constituyen una de las causas más frecuentes.Objetivo: Describir el comportamiento clínico epidemiológico de los pacientes con trauma ocular según clasificación estandarizada. Métodos: Se estudió una serie de casos de 86 pacientes con trauma ocular, ingresados desde enero del 2009 a diciembre del 2011, en el Hospital General Universitario Dr. Gustavo Aldereguía Lima, de Cienfuegos. Fueron analizadas las variables: sexo, edad, actividad realizada en el momento del trauma ocular, tipo de trauma, topografía de la lesión, tipo de lesión, agudeza visual al ingreso, reflejos pupilares, complicaciones (aparecidas en el período desde el trauma hasta egreso y la puntuación según cálculo de la escala de trauma ocular. Resultados: La mayoría de los traumas ocurrieron durante actividades laborales (62,79 %, sobre todo labores agrícolas. La agudeza visual inicial fue mejor para el trauma cerrado, predominando la de grado III. El hifema y la catarata traumática fueron las complicaciones más frecuentes del trauma cerrado (69,57 % y del abierto (41,18 %, respectivamente. La contusión predominó en el trauma cerrado (95,45 % y la herida penetrante en el trauma abierto (78,13 %. El pronóstico visual tuvo un comportamiento similar para ambos tipos de trauma, con predominio de la categoría 3 según escala de trauma ocular. Conclusiones: Vincular la exploración de las variables oftalmológicas incluidas en la clasificación estandarizada con variables de comportamiento clínico epidemiológico, permitió una adecuada clasificación de los traumas.

  20. Desplazamiento de un implante dental dentro del seno maxilar durante la segunda fase quirúrgica

    Directory of Open Access Journals (Sweden)

    I Gallego Medina

    2002-07-01

    Full Text Available La rehabilitación bucal de los pacientes con edentulismo parcial o total con implantes dentales tiene amplias indicaciones que en ocasiones se ven limitadas por factores anatómicos y biológicos. Una de las localizaciones en la que frecuentemente puede existir una altura insuficiente de hueso alveolar, ya sea debido a la reabsorción ósea, a la excesiva neumatización del seno maxilar o a ambas causas, es la zona posterior del maxilar superior, lo que además suele ir acompañado de una baja calidad ósea. Todo esto hace que tanto la técnica quirúrgica convencional u otros procedimientos alternativos, como la elevación del seno maxilar, injertos en onlay, el uso de osteotomos y la osteotomia de Le Fort I, sean procedimientos quirúrgicos necesarios en muchas ocasiones para poder solucionar un caso de rehabilitación bucal con implantes. Por otra parte estas técnicas pueden alterar la anatomía y la fisiología del seno maxilar favoreciendo la aparición de complicaciones intra y postquirúrgicas. Una de las posibles complicaciones, aunque rara, es el desplazamiento del implante dentario hacia el seno maxilar durante la segunda fase quirúrgica, como es el caso que describimos en este artículo.The oral rehabilitation of the patients with partial or total edentulism with the use of dental implants has wide applications. In occasions, these applications are limited by anatomical and biological factors. Concretely, the posterior area of the maxilla can have a scarce height of residual ridge, besides a poor bony quality and further pneumatization of the maxillary sinus. All this makes that so much the conventional surgical technique as other alternatíve procedures as sinus lift, onlay graft, the technique with osteotoms and the osteotomy of Le Fort l, be surgical procedures that can change the anatomy and physiology of the maxillary sinus favoring the appearance of complications. One of the possible but rare complications is the displacement

  1. Efecto de los fluoruros en la composición química del esmalte dental posblanqueamiento

    OpenAIRE

    Baldión Elorza, Paula Alejandra; Universidad Nacional de Colombia, Bogotá, Colombia; Arcos Hurtado, Leidy Catalina; Universidad Nacional de Colombia, Bogotá, Colombia; Mora Portilla, Mario Alexander; Universidad Nacional de Colombia, Bogotá, Colombia

    2011-01-01

    Antecedentes: se ha reportado que el blanqueamiento dental produce cambios en la composición química del esmalte, lo que, en consecuencia, trae alteraciones en la micromorfología, dureza superficial y adhesión inmediata al esmalte dental. Objetivos: identificar cambios en la composición química del esmalte luego de aplicar peróxido de hidrogeno al 38% y determinar el efecto de la aplicación de fluoruros en la concentración de iones. Métodos: se evaluaron 36 premolares sanos por microscopia el...

  2. Epidemiología del trauma maxilofacial por accidente ciclístico Epidemiology of the maxillofacial trauma caused by bicycle accident

    Directory of Open Access Journals (Sweden)

    Angel Pérez Rodríguez

    2004-12-01

    Full Text Available Se realizó un estudio descriptivo y transversal sobre aspectos epidemiológicos del trauma maxilofacial por accidentes ciclísticos en 194 pacientes con diagnóstico clínico, radiográfico o ambos, de lesiones en esta región, que fueron recibidos y atendidos en el Servicio de Urgencia de Cirugía Maxilofacial del Hospital Clinicoquirúrgico "Saturnino Lora" de Santiago de Cuba, durante el período comprendido desde el 1 de octubre de 1998 hasta el 31 de diciembre de 1999. Entre los resultados más sobresalientes figuraron el predominio de los adultos jóvenes de 20 a 39 años de edad, sobre todo de los varones, la caída como modalidad de accidente, la colisión como la causante del mayor número de lesionados graves y defunciones. La imprudencia e ingestión de alcohol en conductores laboralmente activos resultaron ser las causas y víctimas que prevalecieron en este tipo de accidente, particularmente en el horario de 4 p.m. a 12 a.m. y en la calle, esta última la vía donde más accidentes y lesionados se produjeron. Las contusiones y laceraciones dentro de los tejidos blandos y las fracturas zigomáticas, nasales y palatoalveolares dentro del tejido duro, resultaron los patrones de lesiones predominantes.A descriptive cross-sectional study on epidemiological aspects of the maxillofacial trauma caused by bicycle accidents was conducted among 194 patients with clinical or radiographic diagnosis, or both, of injuries in this region. They received attention at the Emergency Service of Maxillofacial Surgery of "Saturnino Lora" Clinical and Surgical Hospital, in Santiago de Cuba, from October 1st, 1998 to December 31st, 1999. Some of the most significant results were: the predominance of young adults aged 20-39, mainly males, among the victims, the fall as an accident modality, the collision as the cause of the highest number of severe injures and deaths, and imprudence and alcohol ingestion in working drivers. These were some of the prevailing

  3. Escalas para evaluar la mortalidad de pacientes con trauma y síndrome de insuficiencia respiratoria progresiva del adulto Scales to evaluate mortality of patients with trauma and adult respiratory distress syndrome

    OpenAIRE

    PATRICIA HERNÁNDEZ-GUTIÉRREZ; ALEJANDRO GRIFÉ-COROMINA; VÍCTOR A. DE LA GARZA-ESTRADA

    1997-01-01

    Objetivo. Comparar las distintas escalas y calificaciones que se usan para evaluar la mortalidad de los pacientes con trauma y síndrome de insuficiencia respiratoria progresiva del adulto. Material y métodos. Se revisaron los expedientes de 80 pacientes, 70 varones y 10 mujeres, atendidos en el Hospital Guillermo Barroso C., de la Cruz Roja Mexicana de la Ciudad de México, que sufrieron trauma y desarrollaron síndrome de insuficiencia respiratoria progresiva del adulto, en el periodo que va d...

  4. Escalas para evaluar la mortalidad de pacientes con trauma y síndrome de insuficiencia respiratoria progresiva del adulto Scales to evaluate mortality of patients with trauma and adult respiratory distress syndrome

    OpenAIRE

    PATRICIA HERNÁNDEZ-GUTIÉRREZ; ALEJANDRO GRIFÉ-COROMINA; VÍCTOR A. DE LA GARZA-ESTRADA

    1997-01-01

    Objetivo. Comparar las distintas escalas y calificaciones que se usan para evaluar la mortalidad de los pacientes con trauma y síndrome de insuficiencia respiratoria progresiva del adulto. Material y métodos. Se revisaron los expedientes de 80 pacientes, 70 varones y 10 mujeres, atendidos en el Hospital Guillermo Barroso C., de la Cruz Roja Mexicana de la Ciudad de México, que sufrieron trauma y desarrollaron síndrome de insuficiencia respiratoria progresiva del adulto, en el periodo que va d...

  5. Respuesta del ligamento periodontal a la avulsión dental. Reporte de caso / Periodontal Ligament Response to Dental Avulsion. Case Report

    OpenAIRE

    Solórzano Santos, Raúl; Universidad de Cartagena. Cartagena, Colombia; Díaz-Caballero, Antonio José; Universidad de Cartagena. Cartagena, Colombia; Covo Morales, Eduardo; Universidad de Cartagena, Cartagena, Colombia

    2017-01-01

    RESUMEN. Antecedentes: La avulsión es un tipo de lesión traumática poco frecuente en la dentición permanente. La reabsorción radicular externa es un evento común posterior al reimplante de un diente avulsionado. Objetivo: Reportar un caso de trauma de dos dientes reimplantados, en el que se obtuvieron resultados satisfactorios con 26 semanas de seguimiento. Reporte del caso: Manejo clínico de paciente de sexo masculino de 8 años de edad que se presenta a la clínica del Postgrado de Endodoncia...

  6. Cardiac lesions in patients with lethal central nervous system trauma Daño cardíaco en pacientes con trauma mortal del sistema nervioso central

    Directory of Open Access Journals (Sweden)

    María E. Cardona

    1991-03-01

    Full Text Available

    Fifteen men with lethal central nervous system trauma were studied to look for the presence of cardiac lesions. They were between 16 and 60 years of age with an average of 32. There were five gunshot wounds and nine central nervous system contusions; four of these occurred in traffic accidents. The remaining patient was wounded with a machete. AII patients were adequately treated since the beginning of their hospital stay and 14 were surgically managed. Average survival after trauma was 6.6 days. In every case there were ECG alterations, the most frequent being sinusal tachycardia. Creatine phosphokinase levels were high in all and the MB fraction was above normal levels in three patients in whom heart damage was confirmed at autopsy. In 40% of cases heart lesions were found and the most common was subendocardial hemorrhage. In an era of increasing need of organs for transplantation potential donors have to be thoroughly studied to determine if heart lesions have occurred and to decide if they are suitable as transplant organs.

    Analizamos los casos de 15 hombres con trauma mortal del sistema nervioso central. Sus edades fluctuaron entre 16 y 60 años con un promedio de 32. Las lesiones más frecuentes fueron por proyectil de arma de fuego (5 casos y por contusión (9 casos, cuatro de ellos en accidente de tránsito. El paciente restante fue lesionado con arma corto contundente. En todos los pacientes el manejo fue adecuado desde el principio de la hospitalización ya 14 se les hizo tratamiento quirúrgico. El promedio de sobrevida después del trauma fue 6.6 días. Sin excepción el estudio electrocardiográfico mostró alteraciones; la taquicardia sinusal fue la más frecuente. La CPK estuvo elevada en todos los pacientes; en 3 de ellos, con da

  7. Eficacia de la angiotomografía multidetectores en el diagnóstico del trauma arterial de las extremidades

    Directory of Open Access Journals (Sweden)

    Martín Ochoa Escudero

    2008-11-01

    Full Text Available

    OBJETIVO: determinar la eficacia de la angiotomografia multidetectores en el diagnóstico del trauma arterial de las extremidades en los pacientes que ingresen al Hospital Universitario San Vicente de Paúl, de Medellín, Colombia, con sospecha de lesión arterial sin indicación de cirugía inmediata, comparada con los hallazgos quirúrgicos, la arteriografía y el seguimiento clínico; además, evaluar la variabilidad interobservador entre un radiólogo general y otro experto en trauma.

    MATERIALES Y MÉTODOS: durante 44 meses, entre agosto de 2004 y abril del 2008, se les hizo angiotomografía multidetectores a 99 extremidades con sospecha de lesión vascular traumática en 96 pacientes. Los estudios fueron interpretados por el radiólogo de turno y sus hallazgos se compararon con los de la cirugía, la arteriografía o el seguimiento (clínico o telefónico. Se evaluó además la variabilidad interobservador comparando la lectura de la angiotomografía hecha por el radiólogo de turno con la lectura retrospectiva de un radiólogo experto en trauma.

    RESULTADOS: la angiotomografía multidetectores, como método diagnóstico en el trauma vascular de las extremidades, demostró sensibilidad de 98% (IC 95%: 93-100, especificidad de 88% (IC 95%: 77-99, valor predictivo positivo de 91% (IC 95%: 82

  8. Microdureza del esmalte dental en incisivos centrales permanentes de dos genotipos bovinos

    Directory of Open Access Journals (Sweden)

    Jorge Cabrera A

    2011-04-01

    Full Text Available Objetivo. Evaluar la microdureza del esmalte dental de novillos criollos de origen patagónico y cruza índica criados en ambientes diferentes. Materiales y métodos. Se utilizaron dientes incisivos centrales derechos de novillos adultos: ocho Criollos Patagónicos (GCP y siete Cruzas Índicas (GCI. Para cada diente se definió una transecta central recorriendo el diente desde el borde externo del esmalte hacia la dentina y se midió la dureza en tres profundidades equidistantes: a 30 μ del borde exterior (P1, a 30 μ previos a la conexión amelodentinaria (P3 y P2 equidistante entre P1 y P3. Las mediciones de microdureza se realizaron con un microdurómetro Shimadzu modelo HMV-2 y se expresaron en unidades Vickers. Para el análisis se utilizó un modelo de regresión aleatoria. Se empleó el criterio de información de Akaike para la elección de la estructura de las matrices asociadas a los efectos aleatorios. Para el análisis estadístico se empleó el procedimiento PROC MIXED de SAS, y un nivel de significación del 5%. Resultados. No se detectó falta de paralelismo entre los grupos (p>0.05, con lo cual se ajustaron rectas de igual pendiente en cada grupo. La dureza media del esmalte disminuyó al aumentar la profundidad de la medición para ambos genotipos. Se observó heterogeneidad en la variabilidad de los grupos. Conclusiones. El GCP presentó mayor dureza pero fue el de mayor variabilidad. Se confirma la disminución de la dureza media con el aumento de la profundidad en el esmalte independientemente del genotipo y el ambiente.

  9. Escalas para evaluar la mortalidad de pacientes con trauma y síndrome de insuficiencia respiratoria progresiva del adulto

    Directory of Open Access Journals (Sweden)

    HERNÁNDEZ-GUTIÉRREZ PATRICIA

    1997-01-01

    Full Text Available Objetivo. Comparar las distintas escalas y calificaciones que se usan para evaluar la mortalidad de los pacientes con trauma y síndrome de insuficiencia respiratoria progresiva del adulto. Material y métodos. Se revisaron los expedientes de 80 pacientes, 70 varones y 10 mujeres, atendidos en el Hospital Guillermo Barroso C., de la Cruz Roja Mexicana de la Ciudad de México, que sufrieron trauma y desarrollaron síndrome de insuficiencia respiratoria progresiva del adulto, en el periodo que va del 1 de enero de 1990 al 31 de diciembre de 1993. Se tomaron en cuenta los siguientes parámetros: sexo; edad; mecanismo productor de la lesión; enfermedades asociadas (choque, politransfusiones, fractura de huesos largos, contusión pulmonar y sepsis; criterios diagnósticos del síndrome; fallas sistémicas; falla orgánica múltiple; índice de severidad de las lesiones; sistema de calificación para la evaluación de la salud crónica y la fisiología aguda, versión II; lapso del diagnóstico; duración de la intubación, y tiempo de estancia en la unidad de cuidados intensivos. Resultados. Fallecieron 26 pacientes (32.5%, dos mujeres y 24 varones. Los mecanismos productores de lesión fueron: atropellamiento (31.3%, accidente automovilístico (27.5%, herida por proyectil de arma de fuego (15%, herida por instrumento punzocortante (13.7%, policontusión (7.5% y caídas (5%. En todos los parámetros y escalas se encontró una relación altamente significativa con la mortalidad, excepto en la contusión pulmonar y en la falla gastrointestinal, en las que dicha relación fue dudosa; la duración de la intubación y el tiempo de estancia en la unidad de cuidados intensivos fueron parámetros en los que no se encontró ninguna relación con la mortalidad. Conclusiones. Los pacientes con trauma y que desarrollaron síndrome de insuficiencia respiratoria progresiva del adulto tuvieron una elevada posibilidad de fallecer si, además, presentaron datos cl

  10. The role for 'reminders' in dental traumatology: 4. The use of a computer database for recording dento-alveolar trauma in comparison to unstructured and structured paper-based methods.

    Science.gov (United States)

    Day, Peter F; Duggal, Monty S; Kiefte, Barbera; Balmer, Richard C; Roberts, Graham J

    2006-10-01

    The aims of this study were to investigate the effectiveness of a computer database (CD) developed for this study, a plain paper unstructured history (USH) and structured histories (SH) for the recording of important prognostic factors for simulated dento-alveolar trauma. Twelve vocational trainees, seven postgraduates in paediatric dentistry and 24 general dental practioners were randomly assigned to using USH, SH or CD. Each dentist visited a series of simulated trauma cases (with models, photos, radiographs and actors) and was asked to record important prognostic factors for each injury and make a diagnosis. There were a total of 243 dentist contacts with the trauma stations. The average percentage of important prognostic factors recorded per station was: USH 53%, SH 75.3% and CD 58.6%. SH was significantly better than the other two methods (P trauma cases used in this study. At present, the introduction of our CD for recording of trauma is not justified without significant modification.

  11. Manejo responsable del mercurio de la amalgama dental: una revisión sobre sus repercusiones en la salud

    Directory of Open Access Journals (Sweden)

    Christhian Méndez-Visag

    Full Text Available La presente revisión trata sobre las repercusiones del empleo de la amalgama dental en el trabajo odontológico. El documento se enfoca por un lado en la situación del feto quien es el más vulnerable a la exposición del mercurio de la amalgama dental materna, por la forma crónica y la magnitud a la que puede ser expuesto; por otro lado, se aborda la toma de conciencia de las repercusiones medioambientales que conlleva la continuidad en el empleo de este material restaurador cuando no se cumplen con las mejores prácticas de manejo (MPM impulsadas por la OMS y la Asociación Dental Americana sobre el manejo del mercurio, que es un químico persistente, bioacumulable y toxico. Pese a que la amalgama dental, se encuentra en pleno declive en cuanto a su empleo en el sector público y privado, es necesario que se pongan en práctica las medidas difundidas por la OMS respecto a las MPM por parte del profesional odontólogo y por las instituciones académicas que podrían seguir enseñando su empleo, es necesario fomentar desde el pregrado los valores éticos de responsabilidad con la salud y el medioambiente considerando que el pobre manejo del mercurio contribuye a la carga global de mercurio ambiental. Finalmente, las conclusiones aportan modificaciones importantes tanto en el campo clínico, el principio de precaución, y el aspecto logístico de la profesión en el proceso de reducir, hasta llegar a la eliminación completa, el uso del mercurio.

  12. Manejo responsable del mercurio de la amalgama dental: una revisión sobre sus repercusiones en la salud

    Directory of Open Access Journals (Sweden)

    Christhian Méndez-Visag

    Full Text Available La presente revisión trata sobre las repercusiones del empleo de la amalgama dental en el trabajo odontológico. El documento se enfoca por un lado en la situación del feto quien es el más vulnerable a la exposición del mercurio de la amalgama dental materna, por la forma crónica y la magnitud a la que puede ser expuesto; por otro lado, se aborda la toma de conciencia de las repercusiones medioambientales que conlleva la continuidad en el empleo de este material restaurador cuando no se cumplen con las mejores prácticas de manejo (MPM impulsadas por la OMS y la Asociación Dental Americana sobre el manejo del mercurio, que es un químico persistente, bioacumulable y toxico. Pese a que la amalgama dental, se encuentra en pleno declive en cuanto a su empleo en el sector público y privado, es necesario que se pongan en práctica las medidas difundidas por la OMS respecto a las MPM por parte del profesional odontólogo y por las instituciones académicas que podrían seguir enseñando su empleo, es necesario fomentar desde el pregrado los valores éticos de responsabilidad con la salud y el medioambiente considerando que el pobre manejo del mercurio contribuye a la carga global de mercurio ambiental. Finalmente, las conclusiones aportan modificaciones importantes tanto en el campo clínico, el principio de precaución, y el aspecto logístico de la profesión en el proceso de reducir, hasta llegar a la eliminación completa, el uso del mercurio.

  13. El Palacio de La Moneda: del trauma de los Hawker Hunter a la terapia de los signos

    Directory of Open Access Journals (Sweden)

    Pedro Santander Molina

    2006-01-01

    Full Text Available El siguiente artículo realiza un análisis de orden semiótico a las intervenciones que durante el gobierno de Ricardo Lagos (2000-2006 se realizaron sobre el Palacio Presidencial de La Moneda. Se postula a modo de hipótesis semiótica que dichas intervenciones son operaciones semio-discursivas de investidura de sentido que responden terapéuticamente a las intervenciones traumáticas que la dictadura militar (1973-1990 realizó sobre el edificio. En ese sentido, subyace a este trabajo la convicción de que las operaciones semióticas del gobierno democrático tienen un sentido sanador (terapéutico en relación con el trauma que la dictadura del general Agusto Pinochet instaló en Chile.

  14. Transmisión transgeneracional del trauma psicosocial en comunidades indígenas de Argentina: percepción del daño en el pasado y presente y acciones autoreparatorias

    OpenAIRE

    Iosa,Emilio; Iosa,Tomás; Lucchese,Marcela; Soledad Burrone,María; Alvarado, Rubén; Valencia,Eliecer; Fernández,Ruth

    2013-01-01

    El presente artículo indagó desde la perspectiva de los sujetos, con respecto a la transmisión transgeneracional del trauma psicosocial sufrido por comunidades Wichí del Norte Argentino. Se propuso identificar las experiencias percibidas como traumáticas por las comunidades Wichí, tanto pasadas como presentes, describiendo los relatos respecto a la vivencia del trauma y a las formas de socialización generadas en dicha comunidad. Esto tuvo presente las situaciones o acciones llevadas adelante ...

  15. Lesiones vasculares abdominales: El desafío del cirujano de trauma

    Directory of Open Access Journals (Sweden)

    Juan A Asensio

    2001-06-01

    Full Text Available Introducción: Las lesiones vasculares abdominales presentan los mayores índices de mortalidad y morbilidad de entre todas las lesiones que puede sufrir un enfermo traumático. Método: Revisión de la clínica, diagnóstico, vías de abordaje y tratamiento de los pacientes con lesiones vasculares intraabdominales, basada en la experiencia en el manejo de 302 enfermos. Resultados: Las heridas penetrantes abdominales constituyen entre el 90%-95% de las lesiones que afectan a los vasos abdominales. La lesión abdominal multiorgánica es frecuente. Los hallazgos clínicos compatibles con hemoperitoneo o peritonitis y la ausencia de pulsos femorales son tributarios de laparotomía. En los pacientes que presentan paro cardio-respiratorio, se debe realizar toracotomía de urgencia para masaje cardiaco abierto y pinzamiento aórtico. La mortalidad global es del 54%, la exsanguinación representa el 85% de la misma. El síndrome compartimental en el abdomen y en las extremidades, así como el círculo vicioso de la acidosis, la hipotermia y la coagulopatía son las principales complicaciones. Conclusiones: Las lesiones vasculares abdominales presentan una alta mortalidad y morbilidad. El conocimiento anatómico del retroperitoneo y de las vías de abordaje de los vasos así como una exploración clínica adecuada ayudaran a disminuir las complicaciones y la mortalidad de estos pacientes.Aim: Abdominal vascular injuries have a very high mortality and morbidity rates among trauma patients. Methods: This is a clinical review of the diagnosis, surgical procedures, and treatment of patients with abdominal vascular injuries, based on the clinical experience from 302 patients presenting this type of injury. Results: Penetrating injuries account for 90% to 95% of all abdominal vascular injuries. Mutiple organ injuries are frequent. The clinical sings of a hemoperitoneum and or peritonitis and the absence of femoral pulses are indications for laparatomy. In the

  16. RELACIÓN ENTRE LA VÍA DE ADMINISTRACIÓN DEL SULFATO FERROSO Y LA EXPERIENCIA DE CARIES DENTAL EN NIÑOS DE 1 A 3 AÑOS. PUESTO DE SALUD SAN JOSÉ – CAYMA. AREQUIPA, 2014

    OpenAIRE

    ABARCA BENAVENTE, VICTORIA

    2016-01-01

    SULFATO FERROSO FARMACOCINÉTICA DEL HIERRO SUPLEMENTACIÓN PREVENTIVA CON HIERRO ADMINISTRACIÓN DE SULFATO FERROSO VÍA ORAL ADMINISTRACIÓN DE SULFATO FERROSO VÍA PLACENTARIA EFECTOS ADVERSOS DEL SULFATO FERROSO EFECTOS DEL SULFATO FERROSO SOBRE LAS PIEZAS DENTALES CARIES DENTAL COMPONENTES DE LA CARIES DENTAL FACTORES PREDISPONENTES DE LA CARIES DENTAL EVALUACIÓN DE RIESGO DE CARIES DENTAL ÍNDICE DE CARIES DENTAL ALTERACIONES DE LA ESTRUCTURA DEL DIENTE

  17. Comportamiento clínico epidemiológico del trauma ocular grave según clasificación estandarizada, Cienfuegos, 2009 -2011

    OpenAIRE

    2012-01-01

    Fundamento: Son múltiples los tipos de urgencias atendidas en los servicios de oftalmología, pero entre ellas los traumatismos oculares constituyen una de las causas más frecuentes.Objetivo: Describir el comportamiento clínico epidemiológico de los pacientes con trauma ocular según clasificación estandarizada. Métodos: Se estudió una serie de casos de 86 pacientes con trauma ocular, ingresados desde enero del 2009 a diciembre del 2011, en el Hospital General Universitario Dr. Gustavo Alderegu...

  18. Prevalencia de caries dental en preescolares con denticion decidua area Metropolitana del Valle de Aburra.(Articulo de Intestigacion Cientifica y Technologica)(Perspectiva general de la enfermedad/trastorno)

    National Research Council Canada - National Science Library

    Mejia, Catalina; Arenas, Andrea; Arango, Clara Maria; Mejia, Erika; Cossio, Marisela; Saldarriaga, Alexandra; Murillas, Lina

    2009-01-01

    .... El proposito del estudio fue describir la situacion de caries dental en ninos con denticion decidua completa, pertenecientes a un estrato socioeconomico 2 y 3 del area metropolitana del Valle de Aburra...

  19. Complicaciones del trauma craneoencefálico severo en la unidad de cuidados intensivos pediátricos Complications of severe cranioencephalic trauma in the pediatric intensive care unit

    OpenAIRE

    Andrés Andrés Matos; Carlos Alberto Vázquez Torres; Leonor Verdecia Sánchez; Melba Zaldívar Santiesteban; Karel Romero Vallejo; Javier Ramos Peña

    2011-01-01

    Introducción: el trauma craneoencefálico severo es responsable de serias complicaciones médicas que exacerban la lesión cerebral secundaria, y frecuentemente son la causa de muerte. Ojetivo: conocer las particularidades de las complicaciones médicas en pacientes con trauma craneoencefálico severo en la unidad de cuidados intensivos del hospital pediátrico "Octavio de la Concepción y de la Pedraja" durante los años comprendidos entre 2007-2009. Métodos: estudio descriptivo en pacientes con tra...

  20. Evaluación pronóstica del politraumatismo según la escala de trauma revisada

    Directory of Open Access Journals (Sweden)

    Aracelis Dorado Lambert

    2000-09-01

    Full Text Available Se aplicó la escala de trauma revisada a todos los pacientes que ingresaron en la Unidad de Cuidados Intensivos del Hospital Infantil Sur Docente de Santiago de Cuba, en el período comprendido de enero a diciembre de 1998. Los pacientes que en la evaluación por esta escala tenían menos de 4 puntos mostraron una mortalidad del 75 %, el 100 % de los sobrevivientes presentaron secuelas y el 50 % alguna complicación durante su evolución. Del grupo de niños con puntuación superior a los 6 puntos ninguno falleció y solo el 7,4 % presentó secuelas. Los niños con puntuación entre 5 y 6 puntos ocuparon una posición intermedia entre los 2 grupos anteriores. Basado en estos resultados se consideró de mucha utilidad la aplicación de esta Escala, y se recomienda extender su uso a otras unidades.The Revised Trauma Score was used for all patients that were admitted to the Intensive Care Unit of the Southern Teaching Pediatric Hospital in Santiago de Cuba from January to December 1998. Those patients who scored less than 4 points in the evaluation showed a mortalaity rate of 75%; 100% of survivors had sequelae and 50% showed some complications during their recovery. In the group of children with scores over 6 points, died, and only 7.4% had sequelae. Children who scored 5-6 held an intermediate position between the two previous groups. On the basis of these results, the use of this scale was considered to be very useful, so it is recommended to extend its application to the rest of the units.

  1. Organización en el tratamiento del traumatismo panfacial y de las fracturas complejas del tercio medio Organization of treatment in panfacial trauma and complex midfacial fractures

    Directory of Open Access Journals (Sweden)

    J. Muñoz i Vidal

    2009-03-01

    Full Text Available El manejo del traumatismo panfacial y del tercio medio facial requiere, no sólo del conocimiento de los principios y técnicas básicas de osteosíntesis, sino de un protocolo de actuación reglado antes del acto quirúrgico y adaptado a cada paciente. En este artículo ilustramos la reducción y osteosíntesis de las fracturas, la secuencia quirúrgica y el manejo postoperatorio del traumatismo panfacial y de las fracturas complejas de tercio medio facial en nuestro hospital. Analizamos un total de 102 pacientes tratados durante los años 2005 y 2006; de ellos, 14 pacientes mostraban fracturas complejas de tercio medio facial, 4 asociadas a otras fracturas de mandíbula o tercio superior facial producidas por fuerzas de alta energía. El grado de éxito lo determinamos por la ausencia de limitación de la motilidad ocular, vía aérea permeable, la correcta mordida-oclusión con mínima secuela estética y la no alteración final de las dimensiones craneofaciales. La prioridad absoluta será enfocar estos pacientes de manera multidisciplinar. La complejidad de estos casos da poco margen a la improvisación por lo que realizar una correcta anamnesis, exploración y planificación prequirúrgica es absolutamente necesario. Todo esto nos permitirá lograr una reconstrucción anatómica ósea tridimensional, la estabilidad de los focos de fractura y la preservación de los órganos en ellos contenidos o implicados, de acuerdo con las medidas antropométricas previas del paciente, con una mínima consecuencia estética y en un único tiempo quirúrgico.Managing of Panfacial and midface trauma requires not only basic knowledge of osteosintesis principles; an order of treatment should be developed by surgeon before surgery and it must be made for each patient. In this article we report the methodology of reduction, fixation and treatment planning of panfacial and midface trauma in our hospital. We analyse 102 facial trauma treated by our department

  2. Complicaciones del trauma craneoencefálico severo en la unidad de cuidados intensivos pediátricos

    Directory of Open Access Journals (Sweden)

    Andrés Andrés Matos

    2011-09-01

    Full Text Available Introducción: el trauma craneoencefálico severo es responsable de serias complicaciones médicas que exacerban la lesión cerebral secundaria, y frecuentemente son la causa de muerte. Ojetivo: conocer las particularidades de las complicaciones médicas en pacientes con trauma craneoencefálico severo en la unidad de cuidados intensivos del hospital pediátrico "Octavio de la Concepción y de la Pedraja" durante los años comprendidos entre 2007-2009. Métodos: estudio descriptivo en pacientes con trauma craneoencefálico, durante el período comprendido entre los años 2007-2009, para analizar las complicaciones que influyeron en su evolución clínica. Resultados: la edad más representada fue la comprendida entre los 11-15 años (56,90 %; los pacientes incluidos en el grupo de 1-5 años resultaron más vulnerables a las complicaciones médicas. Las fracturas inestables (62,96 %, la rotura de vísceras macizas (51,85 % y la insuficiencia respiratoria (44,44 % fueron las manifestaciones clínicas más evidentes al momento del ingreso. En la Unidad de Cuidados Intensivos las complicaciones médicas frecuentes resultaron ser los trastornos hidroelectrolíticos (94,28 % y la desnutrición (77,14 %. La hiperglicemia y el distrés respiratorio se relacionaron de manera significativa con la mortalidad. El 92,59 % de los fallecidos sumaron 3 puntos en la escala de Glasgow. La ventilación mecánica fue independiente de las complicaciones médicas. Conclusiones: los traumas de cráneo severos son la base para el desarrollo de varias y graves complicaciones que plantean muchos problemas en la práctica médica.

  3. Drenaje linfático manual intracavitario en la reducción del trauma perineal y la sintomatología del edema gestacional: a propósito de un caso

    OpenAIRE

    Cueva Reguera, Mónica de la; Martínez Pascual, Beatriz; Rodríguez Sanz, David

    2015-01-01

    El trauma perineal es una de las complicaciones más frecuentes en el período expulsivo del parto, bien por desgarro perineal (espontáneo) o bien por episiotomía (iatrogénico). El edema vulvar gestacional es uno de los factores que influyen en la aparición de trauma perineal durante el parto, así como en la aparición de dolor y malestar durante la gestación, complicando la recuperación postparto. Perineal trauma is one of the most common complications of delivery, due to spontaneous perinea...

  4. Una aplicación de topic modeling para el estudio del trauma: el caso de chevron-texaco en Ecuador

    Directory of Open Access Journals (Sweden)

    Eliana Sanandrés

    2015-09-01

    Full Text Available Las perspectivas tradicionales en el estudio del trauma sugieren la existencia de eventos inherentemente traumáticos que desencadenan dicha emoción negativa en las comunidades afectadas. No obstante, desde la década de 1990 los sociólogos culturales han venido desarrollando una nueva perspectiva conocida como la teoría del trauma cultural. Esta sugiere que no existen eventos traumáticos y que el trauma, en cambio, es el resultado de un proceso de construcción sociocultural que depende de las representaciones simbólicas que los actores construyen sobre aquellos eventos que perciben como amenazas a la identidad colectiva. Ahora bien, la aplicación de técnicas de análisis que permitan identificar tales representaciones implica el reto metodológico de trabajar cualitativamente con un gran número de datos. En tal sentido, en este artículo se presenta una aplicación de Topic Modeling al estudio del proceso de trauma derivado del caso de Chevron-Texaco en Ecuador para mostrar que esta técnica facilita dicha labor.

  5. Estudio comparativo del efecto del cepillado con una crema dental con propóleos rojos y de un gel con clorofila

    Directory of Open Access Journals (Sweden)

    Estela Gispert Abreu

    1998-12-01

    Full Text Available Se analiza comparativamente el efecto de un gel dental de clorofila y de una crema dental con propóleos rojos sobre varios parámetros relacionados con la caries dental, en escolares que se cepillaron durante 21 días con dichos productos. Se obtuvieron resultados favorables principalmente en la disminución del grado de infección por Streptococcus mutans y la elevación de la capacidad individual de remineralización; salvo en este último no hubo diferencias estadísticamente significativas.Authors made a comparative analysis about effect of chlorophyl dental gel and toothpaste containing red propolis, on some parameters related to dental caries in a group of students that brushed their teeth during 21 days using such products. Favourable results were obtained, mainly in decrease of infection level from Streptococcus mutans, and in increase of individual capacity of remineralization; except for this latter, there weren´t statistically significant differences.

  6. Evaluación del conocimiento en educadores sobre higiene buco-dental en niños preescolares

    Directory of Open Access Journals (Sweden)

    María Teresa Almaraz

    Full Text Available La primera infancia es una etapa decisiva en el desarrollo del ser humano y cuidar su salud una estrategia de impacto. Los centros preescolares permiten la aplicación de medidas educativas-preventivas. Objetivos: -evaluar el conocimiento de los educadores sobre higiene buco-dental, -comparar los datos de dosificación del dentífrico con un estudio similar de Porto Alegre (Brasil. Se trabajó con 72 educadores de 8 Centros de Atención a la Infancia y la Familia (CAIF- Instituto Nacional del Niño y Adolescente (INAU del Uruguay; los datos fueron recogidos a través de una encuenta. Resultados: a 59% utilizan el dentífrico fluorado a partir de los 2 años b 88% dosifica el dentífrico según patrón preestablecido

  7. Valoración de un gel de clorhexidina en el control del dolor postextracción dental

    OpenAIRE

    López López, José; Roselló Llabrés, Xavier; Jané Salas, Enric

    1998-01-01

    Presentamos un estudio doble ciego practicado en 248 extracciones (premolares y molares) para valorar la utilidad de un gel de clorhexidrina en el control del dolor postextracción dental, en la necesidad de medicación analgésica adicional y en la presencia o no de alveolitis. El grupo que utiliza el gel como coadyuvante en la extracción presenta un menor dolor con una p

  8. Análisis y optimización del comportamiento mecánico de implantes dentales mediante simulación numérica

    OpenAIRE

    Garitaonaindia Antsoategi, Ugutz

    2016-01-01

    325 p. El contenido del capítulo 5 "Estructuras sobre implantes dentales" está sujeto a confidencialidad El objetivo de la presente tesis doctoral es profundizar en el conocimiento del comportamiento biomecánico de los implantes dentales, las estructuras sobre implantes dentales y los microimplantes utilizados tanto como elementos de sujeción en ortodoncia como elementos de fijación en cirugía oral y maxilofacial. Para ello se han realizado simulaciones numéricas mediante diversos modelos ...

  9. A RETROSPECTIVE STUDY OF DENTO-ALVEOLAR TRAUMA IN PASTO PUPILS, COLOMBIA

    OpenAIRE

    Eraso Martínez, Nancy Rocío; Castillo Quijano, Doris Josefina; Montenegro Guerrero, Manuela Elisabeth; Mafla Chamorro, Ana Cristina

    2014-01-01

    Objetivo: determinar la prevalencia de trauma dentoalveolar en escolares de la Institución Educativa Municipal (INEM) Pasto, Colombia,  entre el 2007 y el 2008. Metodología: se diseñó un estudio descriptivo transversal donde se evaluaron 325 escolares de 10 a 12  años de edad. Se utilizaron variables como sexo, lugar donde se estableció, causa, estructura anatómica dental y factores etiológicos.  Resultados: la prevalencia del trauma dentoalveolar fue del 7,4%, existió una mayor incidencia en...

  10. Resultados del tratamiento con implantes dentales osteointegrados en la fase quirúrgica

    Directory of Open Access Journals (Sweden)

    Oviedo Pérez Pérez

    Full Text Available Objetivo: evaluar los resultados del tratamiento con implantes dentales osteointegrados en la fase quirúrgica. Métodos: se realizó un estudio longitudinal y prospectivo en 802 pacientes en quienes se colocaron 2 165 implantes, en la Clínica Estomatológica Provincial Docente de Santiago de Cuba y la Facultad de Estomatología de La Habana en el decenio 20002009. Se evaluaron las variables: técnica quirúrgica, longitud y diámetro de los implantes, complicaciones intraoperatorias y complicaciones postoperatorias, los resultados del tratamiento se evaluaron en supervivencia y fracaso. Resultados: se logró la supervivencia de los implantes en 705 pacientes para el 87,9 % y se produjo el fracaso en 97 pacientes para el 12,1 %. Se colocaron 2 165 implantes, se logró efectividad de 2 055 para el 94,9 % y fracasaron 110 que representan el 5,08 %. No existen diferencias significativas de los resultados de acuerdo a la técnica quirúrgica empleada. Los implantes que más fracasaron fueron los de 10 mm, para el 34,9 % y 8 mm con el 13,1 %. La efectividad se incrementa a medida que aumenta el diámetro. En las complicaciones intraoperatorias el fracaso fue mayor en relación con la perforación de la tabla ósea con el 92,9 %, inestabilidad con el 86 % y la dehiscencia ósea con el 57,4 %. En el postoperatorio fue notable que en el 100 % de los casos con dolor existió fracaso de los implantes. Conclusiones: en la etapa quirúrgica existe una fuerte asociación de los resultados con la longitud, diámetro de los implantes y la presencia de complicaciones intraoperatorias y postoperatorias.

  11. Neuropsicología del trauma craneoencefálico en Cali, Colombia

    OpenAIRE

    Quijano, María Cristina; Cuervo, María Teresa; Aponte, Mónica; Arango, Juan Carlos

    2012-01-01

    Objetivo: realizar un análisis comparativo entre un grupo control y pacientes con trauma craneoencefálico, TCE, para determinar si existen diferencias neuropsicológicas a los seis meses de evolución y así orientar programas de intervención acordes con las necesidades de esta población. Materiales y métodos: se evaluó un total de setenta y nueve pacientes con antecedente de TCE con mínimo de seis meses de evolución y setenta y nueve sujetos en grupo control, el cual presentó una escolaridad pr...

  12. Del conflicto armado en Colombia hacia una reconciliación posible : trauma y subjetividad

    OpenAIRE

    Martínez Ordóñez , Gladys

    2015-01-01

    El presente proyecto de intervención psicosocial partió de las necesidades encontradas en los profesionales que atienden a la población víctima del conflicto armado colombiano en la ciudad de Cali, concretamente en los centros destinados para tal fin que le competen a ESE Ladera. Del ejercicio de esta práctica de intervención psicosocial, y tal cual está contemplado en Colombia, Ley 1448 de junio 10 de 2011. Por la cual se dictan medidas de atención, asistencia y reparación integral a las ...

  13. Relação entre a gravidade do trauma e padrões de analgesia utilizados em acidentados de transporte Relación entre la gravedad del trauma y los estándares de analgesia utilizados en accidentados de tránsito Relationship between trauma severity and analgesia standarts used in traffic accident victims

    Directory of Open Access Journals (Sweden)

    Ana Maria Calil

    2009-06-01

    Full Text Available Trata-se de um estudo inédito realizado no país, que identificou relações entre o padrão analgésico e a gravidade do trauma. Para tal, analisou-se uma população de 200 acidentados de transporte admitidos para tratamento na unidade de emergência de um hospital referência para o atendimento ao trauma no Município de São Paulo. A gravidade das lesões e do trauma foi caracterizada por índices de gravidade anatômicos. A partir da análise da terapia analgésica encontrada, construíram-se padrões de analgesia, tendo como base a escala analgésica da Organização Mundial de Saúde. Os resultados permitiram identificar associação estatística entre a gravidade do trauma e padrões distintos de analgesia. Espera-se que a divulgação desses achados possa servir de base para a criação de protocolos de analgesia em trauma e melhoria da qualidade da assistência, além de servir de estímulo para o desenvolvimento de estudos em uma área com tantas lacunas de conhecimento em nosso meio.Se trata de un estudio inédito, realizado en el país, que identificó relaciones entre el estándar analgésico y la gravedad del trauma. Para esto, se analizó una población de 200 accidentados en el tránsito, admitidos para tratamiento en una Unidad de emergencia de un hospital de referencia para la atención de traumas, en el Municipio de San Pablo. La gravedad de las lesiones y del trauma fue caracterizada por índices de gravedad anatómicos. Del análisis de la terapia analgésica encontrada se construyeron estándares de analgesia, teniendo como base la escala analgésica de la Organización Mundial de Salud. Los resultados permitieron identificar una asociación estadística entre la gravedad del trauma y los distintos estándares de analgesia. Se espera que la divulgación de lo encontrado pueda servir de base para crear protocolos de analgesia en traumas, mejorar la calidad de la asistencia y servir de estímulo para el desarrollo de

  14. Evolución de los pacientes con trauma craneoencefálico en el Hospital Universitario del Valle: Seguimiento a 12 meses

    Directory of Open Access Journals (Sweden)

    Francisco Guzmán

    2008-09-01

    Full Text Available Introducción: La principal causa de muerte en Colombia son las muertes violentas y de éstas entre 49% y 70% corresponden a trauma craneoencefálico. Existen publicaciones en Colombia que indican la epidemiología de esta catástrofe nacional, pero no realizan un seguimiento para conocer el estado neurológico-funcional posterior de estos pacientes.Objetivos: Conocer el estado funcional al año en pacientes con trauma craneoencefálico.Métodos: Se realizó seguimiento a una cohorte de personas que ingresaron al Hospital Universitario del Valle, Cali, Colombia, con trauma craneoencefálico entre julio de 2003 y junio de 2004. Además de recoger información sociodemográfica y clínica, se aplicó la escala Glasgow Outcome Score (GOS al egreso, al mes y al año de sufrido el trauma.Resultados: Se incluyeron 2,049 pacientes de los cuales 83% eran hombres. Por escala de Glasgow 53% con trauma leve, 31% moderado y 16% severo. La mortalidad hospitalaria fue de 13% (10% en urgencias y según la severidad, 0.3%, 1.4% y 8%, respectivamente. Al año del trauma la mortalidad fue 14% y el 85% se encontraba entre un GOS de 4 a 5.Conclusiones: La incidencia de las variables evaluadas en los pacientes con traumatismo craneoencefálico en el presente estudio, son muy semejantes a las series descritas en la literatura mundial. En cuanto al seguimiento a 12 meses el grado de funcionalidad y mortalidad son también semejantes a la de países con alta tecnología y desarrollo.

  15. Impacto de la craniectomía descompresiva precoz en los resultados del tratamiento del trauma craneoencefálico grave

    Directory of Open Access Journals (Sweden)

    Henry Lopez Jimenez

    2016-01-01

    Full Text Available Fundamento: el trauma craneoencefálico (TCE constituye la primera causa de muerte y morbilidad en personas jóvenes. Actualmente es difícil conocer el real rendimiento de las craniectomías descompresivas y, el momento oportuno no está definido con claridad, especialmente en pacientes que han sufrido traumatismo craneoencefálico.Objetivo: evaluar el impacto de la craniectomía descompresiva precoz en el control de la presión intracraneal (PIC, la calidad de vida, y la mortalidad en los pacientes con trauma craneoencefálico grave, atendidos en el Hospital General Docente “Dr. Ernesto Guevara de la Serna”, en la provincia de Las Tunas, en el período comprendido entre enero de 2008 y diciembre de 2013.Métodos: se realizó un estudio analítico, longitudinal y prospectivo, en el referido hospital y período de tiempo. La investigación tuvo dos momentos, el primero del 2008 al 2011 con 202 pacientes y el segundo del 2012 al 2013 con 38 pacientes. El grupo I, de estudio, constituido por 120 casos, al que se les ofreció una Craniectomía Descompresiva como tratamiento inicial. El grupo II, control, estuvo formado por 120 pacientes que recibieron tratamiento convencional inicialmente.Resultados: en el grupo de estudio predominaron cifras de presión intracraneal por debajo de 20 mmHg (72,5%, fallecidos (17,5%, las secuelas moderadas (40,83% y la buena recuperación funcional (18,3%. En el grupo de control predominaron valores de presión intracraneal por encima de 20 mmHg, los fallecidos (35% y las secuelas graves (41,6%. El tratamiento quirúrgico precoz no tuvo un impacto significativo en la mortalidad de los pacientes.Conclusiones: la craniectomía descompresiva precoz fue eficaz para el control de la presión intracraneal (PIC, se mejoró la calidad de vida de los pacientes, y la técnica quirúrgica realizada de forma precoz no influyó en la mortalidad de los pacientes.

  16. Dental trauma. Combination injuries 2. The risk of pulp necrosis in permanent teeth with subluxation injuries and concomitant crown fractures

    DEFF Research Database (Denmark)

    Lauridsen, Eva Fejerskov; Hermann, Nuno Vibe; Gerds, Thomas Alexander

    2012-01-01

    age, crown fracture type, mobility and response to an electric pulp test (EPT) at the initial examination. Results:  Teeth with immature root development: The risk of PN was increased in teeth with a concomitant enamel fracture (log-rank test: P = 0.002), enamel–dentin fracture (log-rank test: P ...The reported risk of pulp necrosis (PN) is generally low in teeth with subluxation injuries. A concomitant crown fracture may increase the risk of PN in such teeth. Aim:  To analyse the influence of a concomitant trauma-related infraction, enamel-, enamel–dentin- or enamel–dentin–pulp fracture...... on the risk of PN in permanent teeth with subluxation injury. Material and Methods:  The study included 404 permanent incisors with subluxation injury from 289 patients (188 male, 101 female). Of these teeth, 137 had also suffered a concomitant crown fracture. All the teeth were examined and treated according...

  17. Evaluation of the shielding of dental X-rays units; Evaluacion del blindaje de unidades de rayos X dentales

    Energy Technology Data Exchange (ETDEWEB)

    Medrano, E.; Vega C, H. R.; Letechipia de L, C.; Hernandez D, V. M.; Salas L, M. A., E-mail: edumeco@yahoo.com.mx [Universidad Autonoma de Zacatecas, Apdo. Postal 336, 98000 Zacatecas (Mexico)

    2014-08-15

    The capacity of the walls of the dental radio-diagnostic rooms has been determined, to diminish the dose levels during the use of the X-rays equipment s. The study was carried out in the Dentistry Academic Unit of the campus Siglo X XI of the Universidad Autonoma de Zacatecas. The X-rays equipment s are a learning tool for the dentistry students and they are also used for offering health services to the population; for this reason is important to verify that the dose levels outside of the room walls are safe. During the evaluation process were used conservative approaches without prejudice of the thickness necessary in benefit of the radiological protection. Of the evaluation was found that all the walls satisfy their function thoroughly like barriers against the X-rays. (Author)

  18. Caracterización del cemento dental del perro mediante microscopía electrónica de barrido Characterization of dog dental cementum by scanning electron microscopy

    Directory of Open Access Journals (Sweden)

    P.G. Toriggia

    2011-12-01

    Full Text Available El objetivo del trabajo fue caracterizar el cemento dental en el perro utilizando para ello el microscopio electrónico de barrido (MEB. La cara vestibular de 38 raíces dentales fue observada y fotografiada con el MEB, en sus tercios coronario y apical. Se realizó una clasificación morfológica de la superficie y se midió en cada microfotografía el diámetro de 20 fibras de Sharpey, estableciéndose el porcentaje que ocupaban en 600 µm². En el tercio coronario se encontró un cemento de tipo acelular, con fibras de Sharpey densamente agrupadas, proyectándose perpendicularmente a la superficie, ocupando casi su totalidad. El diámetro de las fibras fue de 5.31 ± 0.98 µm. En el tercio apical, se encontró un cemento celular con una densidad de fibras de Sharpey menor al 55%, siendo el resto fibras intrínsecas y lagunas celulares. El diámetro de las fibras fue de 5.47 ± 1.31 µm. Los diámetros de las fibras de Sharpey del tercio apical fueron significativamente mayores (p=0.0000 que aquellos del tercio coronario. Concluimos que la superficie del cemento del perro no es uniforme en toda su extensión, presentando variaciones entre los tercios coronario y apical, así como también dentro del mismo tercio del diente.The aim of this study was to characterize the dental cementum in the dog using the scanning electron microscope (SEM. The buccal surface of 38 dental roots was observed and photographed with the SEM in their coronal and apical thirds. A morphological classification of the surface was performed and also, the diameter of 20 Sharpey fibers was measured in each picture establishing the percentage occupied by them in 600 µm². In the coronal third, acellular cementum was found with the Sharpey fibers closely packed, projecting perpendicular to the surface, occupying almost the whole of it. The diameter of the fibers was of 5.31 ± 0.98 µm. In the apical third, cellular cementum was found, with a density of Sharpey fibers less

  19. Lesiones vasculares abdominales: El desafío del cirujano de trauma

    Directory of Open Access Journals (Sweden)

    Juan A Asensio

    2001-06-01

    Full Text Available Introducción: Las lesiones vasculares abdominales presentan los mayores índices de mortalidad y morbilidad de entre todas las lesiones que puede sufrir un enfermo traumático. Método: Revisión de la clínica, diagnóstico, vías de abordaje y tratamiento de los pacientes con lesiones vasculares intraabdominales, basada en la experiencia en el manejo de 302 enfermos. Resultados: Las heridas penetrantes abdominales constituyen entre el 90%-95% de las lesiones que afectan a los vasos abdominales. La lesión abdominal multiorgánica es frecuente. Los hallazgos clínicos compatibles con hemoperitoneo o peritonitis y la ausencia de pulsos femorales son tributarios de laparotomía. En los pacientes que presentan paro cardio-respiratorio, se debe realizar toracotomía de urgencia para masaje cardiaco abierto y pinzamiento aórtico. La mortalidad global es del 54%, la exsanguinación representa el 85% de la misma. El síndrome compartimental en el abdomen y en las extremidades, así como el círculo vicioso de la acidosis, la hipotermia y la coagulopatía son las principales complicaciones. Conclusiones: Las lesiones vasculares abdominales presentan una alta mortalidad y morbilidad. El conocimiento anatómico del retroperitoneo y de las vías de abordaje de los vasos así como una exploración clínica adecuada ayudaran a disminuir las complicaciones y la mortalidad de estos pacientes.

  20. Los traumas de la Primera Guerra Mundial, reflexión a propósito del centenario del inicio del conflicto

    OpenAIRE

    Agüero García, Javier

    2014-01-01

    El presente artículo trata de mostrar los efectos derivados de la Gran Guerra iniciada en 1914.   Se abordan en primer lugar, los temas de la guerra moderna en el siglo XX; luego en un segundo momento, se señalan las consecuencias económicas entorno al descalabro del sistema del comercio mundial; para pasar de inmediato en un tercer lugar, al reconocimiento de los efectos sociales tanto en los soldados como de la población civil; acto seguido, en un cuarto momento, se tratan las secuelas polí...

  1. A simple technique to reduce epistaxis and nasopharyngeal trauma during nasotracheal intubation in a child with factor IX deficiency having dental restoration.

    Science.gov (United States)

    Delgado, Anita V; Sanders, John C

    2004-10-01

    Epistaxis and airway trauma are often associated with nasotracheal intubation. We describe a patient with Factor IX deficiency who required nasotracheal intubation. An inexpensive, nonproprietary, rapid technique was used to reduce the trauma of intubation.

  2. Caries dental aguda del primer molar permanente en niños de 12 años

    Directory of Open Access Journals (Sweden)

    Daniel Enrique Reyes Romagosa

    Full Text Available Introducción: el primer molar permanente es considerado la llave de la oclusión dentaria, la presencia de caries en éste es elevada, lo que dificulta el logro de las metas trazadas por organizaciones de salud a nivel mundial en este grupo de edad. Objetivo: determinar el comportamiento de la caries dental aguda en primer molar permanente en una población de 12 años de edad atendida en la Clínica Estomatológica Santa Cruz de la Parroquia Goaigoaza. Métodos: se realizó un estudio descriptivo transversal en la Clínica Estomatológica Santa Cruz. Parroquia Goaigoaza, municipio Puerto Cabello, estado Carabobo, en el período comprendido entre abril del 2009 a abril 2010. Se seleccionaron 97 pacientes de 12 años de edad los que constituyeron el universo y la muestra. Acudieron a la consulta por dolor debido a la presencia de caries dental aguda. Se registraron las variables: edad, sexo, grado clínico de la caries dental, estímulos externos que provocaron dolor, la cara dental y la arcada dentaria más afectadas. La información fue recogida mediante interrogatorio y examen clínico. Resultados: el sexo masculino representó el 63,9 %. La caries dental de 3er grado estuvo presente en un 68 %. Los estímulos externos que provocaron dolor fueron: el frío presente en 75,2 % y los alimentos dulces en 69,1 % en ambos sexos. El primer molar inferior derecho resultó más afectado (46,4 % que el izquierdo (36,1 %, así como la arcada dentaria inferior (25,8 % y la cara oclusal (64,9 %. Conclusiones: predominaron el sexo masculino y la caries dental aguda de 3er grado. El frío y los alimentos dulces fueron los estímulos externos más frecuentes. Los más afectados resultaron el primer molar inferior derecho, la cara oclusal y la arcada dentaria inferior.

  3. Advanced Implant-Prosthetic Rehabilitation: How to Obtain a Correct Restoration of Both Functions and Aesthetics in Patients with Complex Combined Dental and Maxillofacial Trauma: A Case Report and Topical Review of the Literature

    Science.gov (United States)

    Fortunato, L.

    2017-01-01

    Aim. This study aims to explain the main steps that characterize the implant-prosthetic rehabilitation in complex combined dental and maxillofacial trauma. Material and Methods. A 20-year-old patient reported an extensive facial trauma which also involved the alveolar process of the maxillary bone. The patient reported a maxillofacial fracture and the loss of teeth 1.3, 1.2, 1.1, and 2.1. A “Le Fort” type 2 fracture was also reported, with the malar bone involvement. After reduction and containment of bone fractures, through appropriate mounting plates, appropriate functional and aesthetic rehabilitation of the patient were replaced thanks to a temporary removable prosthesis. After 6 months, the patient performed numerous clinical investigations, aimed at a proper planning of implant-prosthetic rehabilitation of the upper dental arch. Conclusion. With the planning of the case, as well as respecting the surrounding biological structures, the surgery of implants can be carried out with the most appropriate procedure. Lastly, new dental implants with highly bioactive surfaces have been developed, providing an excellent and rapid bone integration. PMID:28392948

  4. Maduración ósea en pacientes con maloclusión clase II división 1 de Angle a partir del desarrollo dental

    National Research Council Canada - National Science Library

    Clotilde de la Caridad Mora Pérez; Rasiel Cruz Caballero; Saray Martínez Santos; Gretel Rivas Pérez

    2012-01-01

    .... Objetivo: determinar la maduración ósea a partir del desarrollo dental en pacientes con maloclusión clase II división 1 de Angle. Métodos: estudio descriptivo, observacional, de corte transversal realizado en 50...

  5. Perfil epidemiológico de caries dental en ocho delegaciones políticas del Distrito Federal, México Epidemiological profile of dental caries in eight political delegations of the Federal District

    OpenAIRE

    2010-01-01

    En diferentes estudios se reconoce la distribución desigual de los perfiles epidemiológicos de caries dental en diferentes grupos sociales. En ellos se reconoce el papel determinante de los aspectos socioeconómicos, dentro de ellos la ocupación, instrucción ingresos entre otros. Objetivo: Identificar la prevalencia de caries dental en la población escolar de seis a doce años de ocho escuelas primarias ubicadas en diferentes Delegaciones Políticas del Distrito Federal y la relación que existe ...

  6. Estudio comparativo del tratamiento ortésico en las fracturas toraco-lumbosacras según la gravedad del trauma Estudo comparativo do tratamento ortótico nas fraturas toraco-lombosacro segundo a gravidade do trauma Comparative study on orthotic treatment of thoraco-lumbo-sacral fractures according to severity of trauma

    Directory of Open Access Journals (Sweden)

    Patricio Manzone

    2011-01-01

    Full Text Available OBJETIVO: Determinar si la gravedad del trauma en lesiones toracolumbosacras mayores estables permite decidir la selección del tipo de ortesis en un tratamiento ortopédico. MÉTODOS: Estudio Retrospectivo de casos 12/1990 - 12/2006 (16 años. Criterios de Selección: 1 Seguimiento mínimo: 2 años. 2 Estudios radiológicos convencionales completos. 3 Ausencia de Litigio. 4 Tratamiento ortésico con TLSO a medida para los traumas de alta energía cinética y con ortesis prefabricadas para los de baja energía. 5 Tratamiento efectuado o supervisado por el autor Sénior. Evaluación por observadores independientes de Parámetros Geométricos (ángulo de Cobb sagital, cifosis vertebral, grado de colapso vertebral pretratamiento y seguimiento en Rx simple, y Parámetros Funcionales (Dolor según SRS, Índice de Oswestry, Retorno a la Actividad Previa. Subdivisión de los diferentes tipos de fracturas (según AO y Denis en Alta (Grupo A y Baja Energía [Grupo B] de acuerdo con la energía cinética del trauma. Comparación de Parámetros Geométricos con Grupo Control. Análisis Estadístico: chi cuadrado y t-test de Student. RESULTADOS: 41 pacientes (44 fracturas] tratados (23 mujeres/18 varones, con 25 fracturas Grupo "A", y 19 Grupo "B". Edad promedio: 46 años (12 - 83. Seguimiento promedio: 4,5 años (2.2 - 15.5. Localización predominante: T11 - L2. Tipos Predominantes: tipo A (AO o por compresión y por estallido. No hubo diferencias significativas en las mediciones efectuadas en cada grupo pretratamiento y al seguimiento. La única diferencia significativa entre grupos fue en la cifosis vertebral inicial tanto en general como según la clasificación AO entre los tipos A de alta y baja energía. La comparación al seguimiento de los parámetros geométricos entre grupo control y grupos A y B así como entre grupo control y cada tipo (AO/Denis subdivididos en alta o baja energía, arrojó siempre diferencias significativas. Los par

  7. Complicaciones del trauma craneoencefálico severo en la unidad de cuidados intensivos pediátricos Complications of severe cranioencephalic trauma in the pediatric intensive care unit

    Directory of Open Access Journals (Sweden)

    Andrés Andrés Matos

    2011-09-01

    Full Text Available Introducción: el trauma craneoencefálico severo es responsable de serias complicaciones médicas que exacerban la lesión cerebral secundaria, y frecuentemente son la causa de muerte. Ojetivo: conocer las particularidades de las complicaciones médicas en pacientes con trauma craneoencefálico severo en la unidad de cuidados intensivos del hospital pediátrico "Octavio de la Concepción y de la Pedraja" durante los años comprendidos entre 2007-2009. Métodos: estudio descriptivo en pacientes con trauma craneoencefálico, durante el período comprendido entre los años 2007-2009, para analizar las complicaciones que influyeron en su evolución clínica. Resultados: la edad más representada fue la comprendida entre los 11-15 años (56,90 %; los pacientes incluidos en el grupo de 1-5 años resultaron más vulnerables a las complicaciones médicas. Las fracturas inestables (62,96 %, la rotura de vísceras macizas (51,85 % y la insuficiencia respiratoria (44,44 % fueron las manifestaciones clínicas más evidentes al momento del ingreso. En la Unidad de Cuidados Intensivos las complicaciones médicas frecuentes resultaron ser los trastornos hidroelectrolíticos (94,28 % y la desnutrición (77,14 %. La hiperglicemia y el distrés respiratorio se relacionaron de manera significativa con la mortalidad. El 92,59 % de los fallecidos sumaron 3 puntos en la escala de Glasgow. La ventilación mecánica fue independiente de las complicaciones médicas. Conclusiones: los traumas de cráneo severos son la base para el desarrollo de varias y graves complicaciones que plantean muchos problemas en la práctica médica.Introduction: the severe cranioencephalic trauma re responsible of serious medical exacerbating the secondary cerebral lesion and frequently are the cause of death. Objective: to know the particularities of the medical complications in patients presenting with severe cranioencephalic trauma seen in the "Octavio de la Concepción y de la Pedraja

  8. Asociacion del nivel de riesgo familiar total y caries dental en escolares de la boquilla, cartagena

    OpenAIRE

    Shyrley Díaz Cárdenas; Ketty Ramos Martínez; Katherine Margarita Arrieta Vergara

    2014-01-01

    Objetivo: Asociar caries dental con el nivel de riesgo familiar total en escolares de la Boquilla, Cartagena.Metodología: Estudio de corte transversal, en 202 escolares. Se evaluó clínicamente la prevalencia, experiencia y severidad de las lesiones de caries dental (índice COP, ICDAS II) en escolares y a través de un cuestionario aplicado a las familias de los niños se evaluaron los factores  socio demográficos y familiares (estructura, rol y autoridad de los padres, antecedentes médicos fami...

  9. Fatores de risco para trauma vascular durante a quimioterapia antineoplásica: contribuições do emprego do risco relativo Factores de riesgo para el trauma vascular durante la quimioterapia antineoplásica: contribuciones del empleo del riesgo relativo Risk factors for vascular trauma during antineoplastic chemotherapy: contributions of the use of relative risk

    Directory of Open Access Journals (Sweden)

    Cíntia Capucho Rodrigues

    2012-01-01

    Full Text Available OBJETIVO: identificar a relação entre os fatores de risco para trauma vascular e o surgimento de eventos adversos de infiltração ou flebite por quimioterapia antineoplásica. MÉTODOS: Estudo de abordagem quantitativa observacional com 30 mulheres com câncer de mama. RESULTADOS: O tipo de material do cateter apresentou associação que sugere risco (RR=2,76; IC=1,199; 6,369; o fator velocidade de infusão apresentou RR=2,22; entretanto, IC= 0,7672; 6,436; os fatores trajetória, número de punção e mobilidade da veia apresentaram RROBJETIVO: identificar la relación entre los factores de riesgo para el trauma vascular y el surgimiento de eventos adversos de infiltración o flebitis por quimioterapia antineoplásica. MÉTODOS: Estudio de abordaje cuantitativo observacional realizado con 30 mujeres con cáncer de mama. RESULTADOS: El tipo de material del catéter presentó asociación que sugiere riesgo (RR=2,76; IC=1,199; 6,369; el factor velocidad de infusión presentó RR=2,22; mientras que, IC= 0,7672; 6,436; los factores trayectoria, número de punción y movilidad de la vena presentaron RROBJECTIVE: To identify the relationship between risk factors for vascular trauma and the emergence of adverse events of infiltration or phlebitis for antineoplastic chemotherapy. METHODS: A study with a quantitative, observational method with 30 women with breast cancer. RESULTS: The type of catheter material presented an association that suggested risk (RR = 2.76, CI = 1.199, 6.369; the infusion rate factor presented RR = 2.22, however, CI = 0.7672, 6.436; the trajectory factors, number of punctures and vein mobility presented RR <1, but these cannot be considered as protective factors. Insertion site and the visibility of the vein presented a risk close to 1. CONCLUSION: The use of a metal catheter for venipuncture was considered in this study as a factor for Risk for Vascular Trauma. An analysis of the association for the RR showed these results

  10. Trauma cardiaco cerrado

    OpenAIRE

    Camilo Alvarado; Fernando Vargas; Fernando Guzmán; Alejandro Zárate; Correa, José L.; Alejandro Ramírez; Diana M. Quintero; Erika M. Ramírez

    2016-01-01

    El trauma cardiaco constituye una de las primeras causas de mortalidad en la población general. Requiere alto índice de sospecha en trauma cerrado severo, mecanismo de desaceleración y en presencia de signos indirectos como: equimosis, huella del volante o del cinturón en el tórax anterior. Las lesiones incluyen: conmoción cardiaca, ruptura cardiaca, lesión cardiaca indirecta como la trombosis coronaria aguda, lesión aórtica, lesión del pericardio y herniación cardiaca. Entre las manifestacio...

  11. Epidemiología del trauma por quemaduras en la población atendida en un hospital infantil. manizales 2004-2005

    OpenAIRE

    Cardona B., Federico; Echeverri L., Andrés; Juan F Forero; García R., Carlos A.; Gómez L., Claudia M.; Gómez O, Claudia P.; Mahecha G., Daniel D.; Martínez M., Édgar E.; Quintero C., Gladys E.; Castaño C., José Jaime; González, Sandra P.

    2012-01-01

    Antecedentes. Las lesiones por quemaduras se han convertidoen un problema de salud pública, especialmente enpaíses en desarrollo.Objetivo. Identificar la epidemiología del trauma por quemadurasen la población que consultó al servicio de urgenciasdel Hospital Infantil “Rafael Henao Toro” de la ciudadde Manizales en el período comprendido entre el año 2004y 2005.Material y métodos. Se realizó un estudio descriptivoretrospectivo con base en la revisión de 439 historias clínicas,evaluando las var...

  12. Alteración de la organización laminar y de la dendroarquitectura de la corteza cerebral del humano post-trauma craneoencefálico

    OpenAIRE

    Martha Isabel Escobar; Francisco Guzmán; Efraín Buriticá; David Riascos; Liliana Villamil; Hernán Pimienta

    2008-01-01

    Introducción: El trauma craneoencefálico (TCE)es un fenómeno heterogéneo desde el punto de vista molecular, celular y en la respuesta clínica. Se considera que esta diversidad se debe a la intensidad de la injuria primaria, eventos secundarios asociados (hipoxia, isquemia, edema, inflamación), al estado metabólico del paciente, su base genética, edad, género, etc. Para determinar la integridad anatomo-funcional de las células nerviosas es importante verificar el estado de la cito, dendroarqui...

  13. Pertinencia del uso de implantes dentales cortos en pacientes con atrofia ósea severa: revisión de la literatura

    OpenAIRE

    R. Azañón Hernández; I. Martínez Lara; J. Ferrer Gallego; R. Marzo Alzota

    2013-01-01

    El propósito de este artículo es determinar la pertinencia del uso de implantes cortos, definiéndolos como "aquellos cuya longitud es ≤8 mm" a través de la bibliografía existente. Hemos centrado la búsqueda en la comparación del uso de implantes de esta longitud, frente a otros tratamientos alternativos (injertos óseos, elevación de seno, transposición del nervio dentario, etc.) en pacientes con atrofia maxilar severa. Se dan respuesta a las siguientes cuestiones: ¿El uso de implantes dentale...

  14. Evaluación de los efectos clínicos del blanqueamiento dental aplicando dos técnicas diferentes

    OpenAIRE

    Lahoud Salem, Victor; Dpto. Acad. de Estomatología Rehabilitadora. Facultad Odontología. UNMSM. Lima, Perú.; Mendoza Zapata, Janet; Dpto. Acad. de Estomatología Pediátrica. Facultad Odontología. UNMSM. Lima, Perú.; Uriarte Mora, Carlos; Dpto. Académico de Estomatología Biosocial. Facultad Odontología. UNMSM. Lima, Perú.; Munive Degregori, Arnaldo; CD. Práctica privada. Facultad Odontología. UNMSM. Lima, Perú.

    2014-01-01

    El objetivo del estudio fue evaluar los efectos clínicos del blanqueamiento dental aplicando dos técnicas diferentes. Técnica aplicada en consultorio. Técnica aplicada en Hogar. Fueron seleccionados 10 pacientes divididos en 2 grupos de 5 pacientes para cada técnica. Los criterios de evaluación fueron: duración de color, sensibilidad post operatoria, estado de salud gingival. Los resultados de la evaluación clínica a los 08 meses presentan 100% de estabilidad del color en los casos tratados c...

  15. Pertinencia del uso de implantes dentales cortos en pacientes con atrofia ósea severa: revisión de la literatura

    OpenAIRE

    R. Azañón Hernández; I. Martínez Lara; J. Ferrer Gallego; R. Marzo Alzota

    2013-01-01

    El propósito de este artículo es determinar la pertinencia del uso de implantes cortos, definiéndolos como "aquellos cuya longitud es ≤8 mm" a través de la bibliografía existente. Hemos centrado la búsqueda en la comparación del uso de implantes de esta longitud, frente a otros tratamientos alternativos (injertos óseos, elevación de seno, transposición del nervio dentario, etc.) en pacientes con atrofia maxilar severa. Se dan respuesta a las siguientes cuestiones: ¿El uso de implantes dentale...

  16. Conocimientos sobre implantes dentales en estomatólogos de los municipios de Centro Habana, Habana del Este y Habana Vieja Knowledge level on dental implants in stomatologists from Centro Habana, Habana del Este and Habana Vieja municipalities

    Directory of Open Access Journals (Sweden)

    Eneida García López

    2010-06-01

    Full Text Available Se realizó una investigación descriptiva transversal, con el objetivo de evaluar el nivel de conocimiento sobre implantes dentales de los estomatólogos generales básico e integrales de los municipios, Habana del Este, Centro Habana y Habana Vieja. El Ministerio de Salud Pública tiene especial interés en la implementación y generalización de las técnicas de implantología dental a nivel de los municipios por lo que esta temática se convierte en tema de necesario dominio para los estomatólogos, pues necesitan orientar, tratar y remitir a sus pacientes. Para medir los conocimientos fue aplicada una encuesta que constaba de diez preguntas, y se utilizó los criterios de conocen y desconocen, para evaluar las respuestas según su calidad. El nivel de conocimientos se clasificó en adecuado cuando la encuesta tuvo un 70 % o más de respuestas con el criterio de conocen. El nivel de conocimientos fue no adecuado para los grupos de estudios y para los municipios.A cross-sectional and descriptive research was carried out to assess the knowledge level on dental implants of Basic and Integral General Stomatologists from Habana del Este, Centro Habana and Habana Vieja municipalities and due to its spreading in the different media and the interest of our Public Health Ministry in application of this technique at municipality level it becomes necessary domain of stomatologists because of they need to guide, to treat and to refer the patients. To knowledge measurement we applied a survey including ten questions using to know and not to know criteria to assess the answers according to its quality. The knowledge level was classified as suitable when there was a 70 % or more of answers with the criterion of to know, but this knowledge level was not suitable for study groups and for the municipalities.

  17. Resultados del tratamiento quirúrgico en un traumatismo pancreaticoduodenal Results of the surgical treatment in a pancreaticoduodenal trauma

    Directory of Open Access Journals (Sweden)

    Agustín Alberto Jiménez Carrazana

    2011-12-01

    Full Text Available Introducción: la ruptura del páncreas y el duodeno es un evento poco común, cuyas cifras oscilan entre el 2 y el 4 % de los traumatismos abdominales. La mayoría ocurre en heridas abdominales penetrantes y en traumatismos compresivos en accidentes de tránsito. Métodos: se presenta una serie de 19 pacientes operados por traumatismo pancreaticoduodenal, en 5 hospitales clinicoquirúrgicos de Ciudad de La Habana, desde 2008 a 2010. Se realizó un estudio retrospectivo, mediante el uso de encuestas diseñadas a tal efecto, aplicadas a los cirujanos actuantes en el período estudiado. Resultados: el 63 % de los pacientes fueron por traumatismos cerrados, con predominio de accidentes de tránsito, la mayoría clasificados como grado I (15 pacientes, y 2 pacientes como grado II. Ambos grupos acumularon el 90 % de las lesiones. El procedimiento quirúrgico más frecuentemente empleado fue la pancreatectomía distal con esplenectomía. Se complicaron 8 pacientes (42 %, y la más frecuente fue la fístula pancreática externa en 4 pacientes, seguida por la peritonitis en 2; fallecieron 3 (15 %, distribuidos de la manera siguiente: de 13 pacientes clasificados como grado I, falleció 1 (7 %, y 2 pacientes clasificados como grado III (100 %. Conclusiones: para obtener resultados favorables en este tipo de paciente es necesaria una clasificación acertada según la localización y severidad de las lesiones, así como una adecuada selección del procedimiento quirúrgico.Introduction: rupture of pancreas and duodenum is a uncommon event, whose figures fluctuate between the 2 and the 4 % of the abdominal traumata. Most occur in penetrating abdominal wounds and in compressive traumata in road accidents. Methods: a total of 19 patients were operated on due to a pancreaticoduodenal trauma in five clinical surgical hospitals of Ciudad de La Habana from 2008 to 2010. A retrospective study was conducted using the surveys designed to that end, applied to acting

  18. BUSQUEDA Y CARACTERIZACION DE BACTERIOFAGOS ESPECIFICOS PARA AGGREGATIBACTER ACTINOMYCETEMCOMITANS Y FUSOBACTERIUM NUCLEATUM: DETERMINACION DEL EFECTO BACTERIOLITICO SOBRE ESTAS BACTERIAS EMBEBIDAS EN UNA BIOPELICULA DENTAL

    OpenAIRE

    CASTILLO RUIZ, MARIO HERNAN

    2012-01-01

    Las enfermedades periodontales asociadas a la placa dental son un importante problema de salud pública, tanto en nuestro país como en todo el mundo. Se estima que en Chile la prevalencia de esta enfermedad en la población adulta es mayor al 90%. Los tratamientos actuales son largos y en algunos casos muy costosos lo que impide que todas las personas tengan acceso a ellos. La etiología de las enfermedades periodontales es atribuida tanto a factores del hospedero como a la placa dental, que cor...

  19. Escalas para evaluar la mortalidad de pacientes con trauma y síndrome de insuficiencia respiratoria progresiva del adulto Scales to evaluate mortality of patients with trauma and adult respiratory distress syndrome

    Directory of Open Access Journals (Sweden)

    PATRICIA HERNÁNDEZ-GUTIÉRREZ

    1997-05-01

    Full Text Available Objetivo. Comparar las distintas escalas y calificaciones que se usan para evaluar la mortalidad de los pacientes con trauma y síndrome de insuficiencia respiratoria progresiva del adulto. Material y métodos. Se revisaron los expedientes de 80 pacientes, 70 varones y 10 mujeres, atendidos en el Hospital Guillermo Barroso C., de la Cruz Roja Mexicana de la Ciudad de México, que sufrieron trauma y desarrollaron síndrome de insuficiencia respiratoria progresiva del adulto, en el periodo que va del 1 de enero de 1990 al 31 de diciembre de 1993. Se tomaron en cuenta los siguientes parámetros: sexo; edad; mecanismo productor de la lesión; enfermedades asociadas (choque, politransfusiones, fractura de huesos largos, contusión pulmonar y sepsis; criterios diagnósticos del síndrome; fallas sistémicas; falla orgánica múltiple; índice de severidad de las lesiones; sistema de calificación para la evaluación de la salud crónica y la fisiología aguda, versión II; lapso del diagnóstico; duración de la intubación, y tiempo de estancia en la unidad de cuidados intensivos. Resultados. Fallecieron 26 pacientes (32.5%, dos mujeres y 24 varones. Los mecanismos productores de lesión fueron: atropellamiento (31.3%, accidente automovilístico (27.5%, herida por proyectil de arma de fuego (15%, herida por instrumento punzocortante (13.7%, policontusión (7.5% y caídas (5%. En todos los parámetros y escalas se encontró una relación altamente significativa con la mortalidad, excepto en la contusión pulmonar y en la falla gastrointestinal, en las que dicha relación fue dudosa; la duración de la intubación y el tiempo de estancia en la unidad de cuidados intensivos fueron parámetros en los que no se encontró ninguna relación con la mortalidad. Conclusiones. Los pacientes con trauma y que desarrollaron síndrome de insuficiencia respiratoria progresiva del adulto tuvieron una elevada posibilidad de fallecer si, además, presentaron datos cl

  20. Concordancia entre guia incisiva con patrones dentales, esqueleticos funcionales y del biotipo facial

    National Research Council Canada - National Science Library

    Herrera-Guardiola, Santiago; Puerta Salazar, German Eduardo; Martinez Cajas, Carlos Humberto

    2016-01-01

    ...: el objetivo de esta investigacion fue evaluar la concordancia entre la inclinacion de la eminencia articular, eje facial, eje del incisivo superior y eje de la cara palatina funcional de los incisivos superiores. Metodos...

  1. Determinación de la edad ósea a través del desarrollo dental en pacientes de Ortodoncia Assessment of bone age by dental developmental seen in Orthodontia patients

    Directory of Open Access Journals (Sweden)

    Gladia Toledo Mayarí

    2009-09-01

    Full Text Available La tendencia actual en Ortodoncia consiste en reducir el número de radiaciones con fines diagnósticos a las estrictamente necesarias, por lo que se han desarrollado índices de maduración ósea a través del desarrollo dental, dentro de los que se encuentra el método de Demirjian y colaboradores, sustituyéndose la radiografía de la mano que constituye una radiografía adicional para los pacientes, además de que la misma no se realiza en los servicios de Estomatología. Con el objetivo de determinar la edad ósea a través del desarrollo dental, se realizó un estudio descriptivo y transversal, para lo cual fueron realizadas una radiografía de la mano izquierda y una radiografía panóramica o periapicales de la hemiarcada mandibular izquierda, a 150 pacientes de Ortodoncia y se determinó la edad ósea, a través de los métodos Tanner-Whitehouse 2 (TW2 y Demirjian y colaboradores. Se encontraron correlaciones altas muy significativas entre las edades óseas calculadas en ambos sexos (hembras r= 0,828 y varones r= 0,957. Concluyéndose que la edad ósea calculada a través del desarrollo dental, en nuestra muestra, puede ser aplicada para predecir la edad ósea a través del método TW2, siendo posible sustituir la radiografía de la mano izquierda.Present trend in Orthodontics is to reduce the number of strictly needed diagnostic radiations that is why bone maturation indexes have been created by dental developmental including the Demirjian et al method, substituting the hand radiography which is an additional strategy for patients due to it is not performed in Stomatology Services. To determine the bone age by dental developmental, a cross-sectional and transversal study was carried out and also a left hand radiography and a panoramic and a periapical one of left mandibular hemicardia in 150 orthodontic patients determining the bone age by Tanner-Whitehouse 2 method (TW2 and Demirjian et al. There were very significant high

  2. Prevalencia de fluorosis y experiencia de caries dental en un grupo de escolares en el area urbana del Municipio de Yondo (Antioquia, Colombia), 2010.(Articulo de Investigacion Cientifica y Tecnologica)

    National Research Council Canada - National Science Library

    Martinez-Florez, Lina M; Bernal-Alvarez, Tomas; Agudelo-Suarez, Andres A; Marulanda-Montoya, Elizabeth; Norena-Salazar, Maura A

    2011-01-01

    .... El objetivo fue determinar la prevalencia de fluorosis dental en escolares de 12 anos, y la historia de caries en escolares de 5 y 12 anos en la Institucion Educativa Luis Eduardo Diaz del area...

  3. Alteraciones de memoria declarativa según la severidad del trauma cráneo encefálico en militares del Ejército Nacional

    OpenAIRE

    Barrera Arias, Luvy Patricia

    2011-01-01

    Los trastornos de memoria como función cognoscitiva son una de las más notorias consecuencias que se pueden encontrar después de sufrir un trauma craneoencefálico, lo cual puede acarrear serias complicaciones de integración a la vida cotidiana tanto para la persona que lo padece, como para sus familiares; por ello, esta investigación tuvo como objetivo describir, las alteraciones de memoria declarativa según la severidad posterior a un trauma craneoencefálico en personal militar, Para e...

  4. Desplazamiento de un implante dental dentro del seno maxilar durante la seguna fase quirúrgica

    OpenAIRE

    Gallego Medina, I.; Sánchez Garcés, Ma. Ángeles; Berini Aytés, Leonardo; Gay Escoda,Cosme

    2002-01-01

    La rehabilitación bucal de los pacientes con edentulismo parcial o total con implantes denta­les tiene amplias indicaciones que en ocasiones se ven limitadas por factores anatómicos y biológicos. Una de las localizaciones en la que frecuentemente puede existir una altura insu­ficiente de hueso alveolar, ya sea debido a la reabsorción ósea, a la excesiva neumatización del seno maxilar o a ambas causas, es la zona posterior del maxilar superior, lo que además suele ir acompañado de una baja cal...

  5. Prevalencia del tipo facial y su relación con las formas de arco dental en una población de Bogotá, Colombia

    OpenAIRE

    Solarte-Estrella, Jairo; Sáchica-Burbano, Carlos; Romero-Romero, Néstor H.; Roa-Caviedes, Sandra; Supelano-Polanía, Pedro; Delgado, Linda P.; Báez-Quintero, Liliana

    2014-01-01

    Introducción: esta investigación, titulada “Prevalencia del tipo facial y su relación con las formas de arco dental en una población de Bogotá, Colombia”, se realizó en la Especialización de Ortopedia Funcional y Ortodoncia de la Universidad Cooperativa de Colombia, grupo de investigación odontopostgrados UCC, durante el 2011. El objetivo fue establecer la prevalencia del tipo facial y su posible relación con la forma de arco en una población de Bogotá. Materiales y métodos: estudio descripti...

  6. Fluorosis dental en niños de 13 a 15 años del colegio Felipe Santiago Salaverry de Picsi. Chiclayo, Perú, 2009

    OpenAIRE

    Córdova Sotomayor, Daniel

    2009-01-01

    Objetivo: Determinar la prevalencia y severidad de fluorosis dental según edad y sexo, en niños de 13 a 15 años del colegio Felipe Santiago Salaverry. Material y método: El estudio fue descriptivo y prospectivo en 133 niños, determinándose la presencia de fluorosis y su severidad, registrando edad y sexo. Resultados: La prevalencia de fluorosis fue del 61,65%, siendo los más afectados los de 13 y 14 años con el 37,80% y 42,68% respectivamente y los de sexo masculino con un 59,7...

  7. Prevalencia del estado periodontal de pacientes portadores de prótesis parcial removible tratados en una clínica dental privada

    OpenAIRE

    Marco Gonzáles, Gian; Facultad de Estomatología Roberto Beltrán. Universidad Peruana Cayetano Heredia. Lima.; Chávez-Reategui, Beatriz; Facultad de Estomatología Roberto Beltrán. Universidad Peruana Cayetano Heredia. Lima.; Manrique-Chávez, Jorge; Facultad de Estomatología Roberto Beltrán. Universidad Peruana Cayetano Heredia. Lima.; Hidalgo-López, Ivonne; Facultad de Estomatología Roberto Beltrán. Universidad Peruana Cayetano Heredia. Lima.

    2014-01-01

    Objetivo: Identificar la prevalencia del estado periodontal de los pacientes portadores de prótesis parcial removible que acudieron a la Clínica Dental Docente de la UPCH. Materiales y métodos: Diseño retrospectivo con universo conformado por pacientes portadores de prótesis parcial removible recepcionados por alumnos de pregrado. Resultados: Se incluyeron a 130 historias clínicas encontrando mayor prevalencia del género femenino (66.92%), con una edad media de 43.57 años. En el análisis univ...

  8. Resultados del tratamiento quirúrgico de la catarata traumática Results of the surgical treatment of the trauma cataract

    Directory of Open Access Journals (Sweden)

    Yamirka Rodríguez Alonso

    2011-12-01

    Full Text Available Objetivo: Describir los resultados del tratamiento quirúrgico de pacientes con catarata traumática, que acudieron a la consulta de urgencias oftalmológicas del Hospital General “Dr. Juan Bruno Zayas Alfonso” de Santiago de Cuba en el año 2008. Métodos: Se realizó un estudio observacional, descriptivo y transversal, donde se analizaron variables como: edad, sexo, tipo de trauma, alteraciones oculares asociadas, agudeza visual mejor corregida preoperatoria y posoperatoria, conducta quirúrgica y complicaciones. La información obtenida se procesó mediante el paquete estadístico SPSS-11,6. Se utilizó las frecuencias absolutas y relativas como medida de resumen. Resultados: Hubo un predominio de los pacientes entre 25 y 34 años (50 %, el sexo masculino (80,8 % y los traumas a globo cerrado (76,9 % con subluxación del cristalino en un 30,8 %. El 69,2 % de los pacientes antes de la intervención quirúrgica presentaban una agudeza visual mejor corregida entre 0,01 a 0,09 y el 84,6 % obtuvo una posoperatoria entre 0,4 y 1,0. A 100 % de los pacientes se les realizó extracción extracapsular del cristalino por la técnica de Blumenthal. El 69,2 % no requirieron vitrectomía anterior y se les colocó un lente en cámara posterior al 53,8 % de los casos. La opacidad de cápsula posterior se presentó en el 34,6 % de los operados. Conclusión: El tratamiento quirúrgico de la catarata traumática, si es planificado y se realiza oportunamente, conlleva al buen pronóstico visual de los pacientes. Esto reduce el número de complicaciones y secuelas invalidantes, y logra la reincorporación del paciente a la sociedad.Objective: To describe the results of surgical treatment of traumatic cataract patients who were seen at the ocular emergency service of “Dr. Juan Bruno Zayas Alfonso” general hospital in Santiago de Cuba, in 2008. Methods: An observational, descriptive, cross-sectional study was conducted to analyze variables such as age, sex

  9. Epidemiología del trauma severo con implicación maxilofacial Epidemiology of the severe trauma with maxillofacial implication

    Directory of Open Access Journals (Sweden)

    José Manuel Díaz Fernández

    2006-09-01

    Full Text Available Se realizó un estudio prospectivo y trasversal en 546 pacientes víctimas de politraumas severos que fueron atendidos en el Departamento de Emergencia del Hospital Provincial Docente “Saturnino Lora” de Santiago de Cuba durante el año 2002. De estos pacientes, 114 presentaron lesiones maxilofaciales, de los cuales 19 fallecieron, tanto en la escena del accidente, en tránsito hacia el hospital, como en la propia institución; 95 pacientes con lesiones maxilofaciales sobrevivieron. Se corroboró que la severidad de estas lesiones no guarda relación con la severidad integral de las lesiones sostenidas según los resultados del AIS e ISS, respectivamente. La causa de este tipo de lesiones es multifactorial, con predominio de los accidentes automovilísticos y de motores. Las fracturas de mandíbula, cigomáticas y nasoetmoidales resultaron los patrones de lesiones esqueléticas de mayor incidencia. Los procedimientos ortopédicos y quirúrgicos predominaron según ese orden. Se constataron 245 lesiones asociadas y 29 omitidas en estos pacientes durante el examen inicial. Nuestros hallazgos enfatizan la necesidad de la participación activa y precoz de los cirujanos maxilofaciales con experiencia en la atención de estos pacientes, en estrecha asociación de trabajo con cirujanos generales, neurocirujanos y ortopédicos, para la atención integral y óptima de estos lesionados.A prospective and cross-sectional study was conducted in 546 patients victims of severe polytraumas that were seen at the Emergency Department of “Saturnino Lora” Provincial Teaching Hospital, in Santiago de Cuba in 2002. Of these patients, 114 presented maxillofacial injuries, and 19 of them died in the accident scene, on the way to hospital and in the own insitution. 95 patients with maxillofacial injuries survived. It was confirmed that the severity of these injuries has nothing to do with the comprehensive severity of the sustained injuries, according to the

  10. Optimización del sellado biológico de implantes dentales mediante la estimulación de la adhesión y activación de fibroblastos sobre superficies de titanio mecanizadas

    OpenAIRE

    Delgado Garoña, Luis María

    2011-01-01

    Accéssit del premi al millor projecte de fi de carrera del CETIB (Col·legi d’Enginyers Tècnics Industrials de Barcelona) Los implantes dentales endoóseos son un tratamiento ampliamente utilizado para el reemplazo de piezas dentales perdidas. Generalmente, los implantes dentales son de titanio comercialmente puro y presentan una elevada tasa de éxito, restaurando el diente y su función, pero algunos casos pueden sufrir complicaciones. Estos pueden ser debidos a la acumulación de la placa de...

  11. Optimización del sellado biológico de implantes dentales mediante la estimulación de la adhesión y activación de fibroblastos sobre superficies de titanio mecanizadas

    OpenAIRE

    Delgado Garoña, Luis María

    2011-01-01

    Accéssit del premi al millor projecte de fi de carrera del CETIB (Col·legi d’Enginyers Tècnics Industrials de Barcelona) Los implantes dentales endoóseos son un tratamiento ampliamente utilizado para el reemplazo de piezas dentales perdidas. Generalmente, los implantes dentales son de titanio comercialmente puro y presentan una elevada tasa de éxito, restaurando el diente y su función, pero algunos casos pueden sufrir complicaciones. Estos pueden ser debidos a la acumulación de la placa de...

  12. La elevación del seno maxilar en el tratamiento con implantes dentales: un estudio a 4 años

    Directory of Open Access Journals (Sweden)

    A. Jiménez Guerra

    2015-12-01

    Full Text Available Introducción: El objetivo del presente estudio era mostrar los resultados de la elevación del seno maxilar con biomateriales en el tratamiento con implantes del maxilar posterior. Métodos: 70 pacientes edéntulos parciales fueron tratados con 181 implantes Galimplant® con superficie arenada y grabada con ácidos para la rehabilitación del maxilar posterior mediante la técnica de elevación de seno y relleno con betafosfato tricálcico (Osteoblast®. Los implantes fueron cargados después de un periodo de cicatrización de 6-8 meses. Resultados: Los hallazgos clínicos indican una supervivencia y éxito de los implantes del 98,4%. Tres implantes se perdieron durante el periodo de cicatrización. El 85,1% de los implantes fueron insertados simultáneamente a la elevación del seno maxilar. Después de un periodo medio de carga funcional de 57,4 meses, no ha habido complicaciones tardías. El 22,4% de los implantes fueron restaurados con coronas unitarias y el 77,6% con puentes fijos. Conclusiones: Este estudio indica que la rehabilitación del maxilar posterior con implantes mediante la técnica de elevación del seno maxilar constituye un tratamiento dental exitoso.

  13. Análisis del comportamiento mecánico de una aleación Ni-Cr-Mo para pilares dentales/Analysis of Mechanical Behavior of Ni-Cr-Mo alloy for Dental Abutments

    Directory of Open Access Journals (Sweden)

    Luis Alberto Laguado Villamizar

    2012-12-01

    Full Text Available El presente estudio caracteriza una aleación aplicable al diseño de pilares para implantes dentales. Se propone un material biocompatible y de alta resistencia mecánica como alternativa a las aleaciones de Titanio, disminuyendo los costos de materia prima y procesamiento. Se realizan pruebas mecánicas de tracción y de compresión a la aleación de Ni-Cr-Mo, posteriormente se realiza modelado 3D y simulación de sus propiedades mecánicas por medio de análisis de elementos finitos. Como resultado se obtiene que el material disminuye su resistencia mecánica después del proceso de fundición empleado. El modelo de simulación es válido para análisis de resistencia en pilares dentales.This study presents the characterization of a dental implant alloy for abutments. It proposes a biocompatible material and high mechanical resistance as an alternative to Titanium alloys, lowering costs of raw materials and processing. Mechanical testing of the Ni-Cr-Mo alloy and subsequently perform simulations of its mechanical properties by means of finite element analysis. As a result is obtained that the material reduces its mechanical strength after the casting for electric induction molding process. The simulation model is valid to make analysis of resistance to this type of dental devices.

  14. 颌面部撞击伤致牙髓间接损伤的实验研究%An experimental study on indirect trauma of dental pulp caused by maxillofacial impact injury

    Institute of Scientific and Technical Information of China (English)

    任常群; 周剑虹; 田磊; 刘桂才

    2011-01-01

    目的 探讨颌面部撞击伤导致的牙髓间接损伤的特点.方法 18只实验犬随机分为6组,以质量0.26 kg 的铁质帽状圆柱体撞击致伤犬右下颌骨体部,但不直接伤及牙齿;分别于伤后6、24 h,3、7 d,2、4周处死动物,分别观察右下颌第四前磨牙、第二前磨牙及左下颌第二前磨牙牙髓的组织病理学和超微结构变化.结果 右下颌第四前磨牙牙髓损伤较重,但最终没有发生不可逆性坏死改变;右下颌第二前磨牙牙髓损伤相对较轻;左下颌第二前磨牙牙髓仅有轻微的一过性损伤.结论 犬下颌骨撞击伤导致的牙髓间接损伤损伤范围较广,损伤程度随着距离的增加而迅速递减,损伤一般是可逆的.%Objective To analysis the characteristics of indirect dental pulp injury caused by impact injury of mandible. Methods Eighteen dogs were divided equally into six groups with random allocation. The right mandible of each dog was impacted by a cylindroid irony cap weighted 0.26kg, but teeth were not injured directly. Then, the animals were killed at 6h、24h, 3d、7d, 2 and 4weeks later, respectively, and the histopathologic and ultrastructural changes of dental pulp of the fourth premolar of right mandible, the second premolar of right mandible and the second premolar of left mandible were investigated. Results Dental pulp of the fourth premolar of right mandible was injured rather severely. hut irreversible necrosis did not occur in the end. Dental pulp of the second premolar of right mandible was injured less severely. Dental pulp of the second premolar of left mandible was injured mildly and temporarily. Conclusion In the indirect injury of dental pulp caused by maxillofacial impact injury, the injured area is relatively extensive. The effect of the trauma decreases progressively and sharply as the distance to the impact site increases. The injuries are generally reversibly.

  15. Efecto del extracto etanólico de Melissa officinalis (toronjil) en la modificación de la conducta del niño ansioso en la consulta dental

    OpenAIRE

    Pardo-Aldave, Karina; Magister en Estomatología, Facultad de Odontología. Universidad San Martin de Porres. Lima,; Díaz-Pizán, María Elena; Docente del Departamento Académico de Estomatología del Niño y del Adolescente. Facultad de Estomatología. Universidad Peruana Cayetano Heredia. Lima,; Villegas-Vilchez, León Faustino; Magister en Ciencias con Mención en Bioquímica. Facultad de Farmacia y Bioquímica. Universidad Peruana Cayetano Heredia. Lima,; Bernabé-Ortiz, Eduardo; Docente del Departamento Académico de Odontología Social. Facultad de Estomatología. Universidad Peruana Cayetano Heredia. Lima,

    2014-01-01

    Objetivo: Evaluar el efecto del extracto etanólico de Melissa officinalis (toronjil), a dosis de 3 y 6 mg/kg, contra placebo en el comportamiento de niños ansiosos de 6 y 7 años de edad, durante el examen clínico dental. Materiales y Métodos: Ensayo clínico randomizado a doble ciego en el cual participaron 90 niños (51 niñas y 39 niños) provenientes del Centro Materno Infantil de Zapallal (Lima, Perú). Los participantes no tenían experiencia odontológica previa y presentaban ansiedad dental, ...

  16. Aspectos epidemiológicos del trauma acústico en personal expuesto a ruido intenso Epidemiological aspects of acoustic trauma found in the staff exposed to intensive noise

    Directory of Open Access Journals (Sweden)

    Yazmila Rodríguez Fernández

    2012-06-01

    Full Text Available Introducción: el trauma acústico, ligado a las enfermedades profesionales, comenzó a estudiarse con profundidad a raíz de la segunda guerra mundial, y por los alarmantes resultados se implantaron una serie de medidas de prevención para evitar esta agresión. No obstante, estas no fueron eficaces debido a la falta de educación y de concientización del personal al cual iban dirigidas. Objetivos: determinar las manifestaciones auditivas en pacientes expuestos a ruidos intensos, teniendo en cuenta la edad, el sexo y el tiempo de exposición, y tomando como base los resultados audiométricos. Métodos: se realizó una encuesta epidemiológica a un grupo de 50 casos expuestos a ruidos intensos, en el período comprendido de enero de 2007 a enero de 2008. La muestra estuvo compuesta por pacientes entre los 20 y 55 años, en los cuales la manifestación auditiva más frecuente fue la hipoacusia. Resultados: en los resultados audiométricos se observó que la gran mayoría de los casos presentó una hipoacusia de tipo neurosensorial, con predominio del sexo masculino. Conclusiones: el sexo masculino fue el más afectado y la edad de 41 a 55 años, además, la intensidad de la hipoacusia fue mayor en correspondencia con el tiempo de exposición más prolongado.Introduction: acoustic trauma is linked to professional diseases and began to be studied in depth after the Second World War. Due to the alarming results obtained, a number of preventive measures to avoid this aggression were implemented; however, they were not effective because of the lack of education and awareness of the staff to which they were directed. Objectives: to find out the auditory manifestations in patients exposed to intensive noise, taking age, sex, time of exposure and the audiometric results into consideration. Methods: an epidemiological survey was carried out in a group of 50 cases exposed to intensive noises from January 2007 to January, 2008. The sample was made up of 20

  17. 厦门市口腔专业医师对牙外伤认知能力的调查分析%The investigation and analysis of oral medical professional on the dental trauma cognitive ability in Xiamen

    Institute of Scientific and Technical Information of China (English)

    吴平洋

    2016-01-01

    目的:了解厦门市口腔专科医师及口腔全科医师对牙外伤的认知程度。方法通过问卷网制作关于牙外伤知识的问卷调查表,分享到厦门口腔医师微信群,对群内的厦门地区执业的口腔专业医师进行调查问卷。结果问卷网后台回收了197份调查表,所有的受访者均受过口腔专业专科及以上的教育,口腔全科医师100份,口腔专科医师97份,56.0%的全科医师选择根折为最难诊治的牙外伤;22.0%的全科医师和19.6%的专科医师认为夹板固定的时间为10~14d,受访的50.8%的医师选择培训做为更新知识的途径,而32%选择互联网。结论厦门的口腔专科医师及全科医师对牙外伤的认知程度无差别,但都属于低认知程度;受过国家规范化培训与否对牙外伤的认知程度无差别;高年资的医师对新材料的认知优于低年资医师;培训班的方式是提高医师牙外伤认知水平的较好途径。%Objective To understand the cognition of dental trauma of the xiamen oral specialist and oral general practitioners. Methods A questionnaire survey about the knowledge of dental trauma was made through questionnaire net,and shared to xiamen oral physician WeChat group,within the group on the mouth of the practice in xiamen professional doctor to investigate questionnaire. Results 197 questionnaires were collected in the background of the questionnaire,and all of the re-spondents had received oral professional college or above education,which included 100 oral general practitioner and 97 oral specialist. 56. 0% of the general practitioners chose root fracture as the most difficult diagnosis and treatment of dental trauma, 22. 2% of the general practitioners and 19. 6% of the specialists considered that the time for the splint was 10 to 14days;50. 8% of respondents chose training as a way to update knowledge,while 32% chose the Internet. Conclusion There is no difference in the degree of cognition between

  18. Asociación del sobrepeso y caries dental en niños de 3 a 6 años

    Directory of Open Access Journals (Sweden)

    Carmen de la Luz-Ayala-Escandón

    2013-01-01

    Full Text Available Antecedentes: En los últimos años de nuestro país, los cambios en los patrones de alimentación han incrementado los casos de obesidad y sobrepeso en los niños. Objetivo: determinar si la prevalencia de caries dental se asocia al sobrepeso y obesidad en preescolares de la Zona Metropolitana Zacatecas-Guadalupe. Materiales y Métodos: Se realizó estudio observacional de cohorte retrospectivo, en dos grupos de estudio: niños con peso normal (n=108 y niños con sobrepeso u obesidad (n=54. Para determinar el sobrepeso o peso normal, se utilizó un estadiómetro y una báscula digital, los datos se analizaron de acuerdo a los puntos de corte de IMC para cada edad según género con tablas de percentiles del Center for Diseases Control (CDC. Para el registro de la enfermedad caries dental se realizó examen clínico de las superfi\tdentales bajo luz artifi espejo dental plano, sonda de la OMS y barreras de protección, utilizando los criterios del Sistema Internacional de Evaluación y Detección de Caries Dental (ICDAS II. Los datos recopilados se procesaron en el paquete estadístico SPSS 17 para la obtención de tablas y fi\tPara determinar la asociación entre las variables de estudio se utilizó las pruebas X2 y riesgo relativo (RR. Resultados: En los niños con peso normal la prevalencia de caries fue de 77.8% mientras que en los niños con sobrepeso fue de 69.1%. Conclusiones: Este estudio no encontró evidencia de asociación entre caries dental y sobrepeso.

  19. Asociación del Estreptococos mutans y lactobacilos con la caries dental en niños Association of Streptococcus mutans and lactobacilli with dental caries in children

    Directory of Open Access Journals (Sweden)

    José Alberto Pérez Quiñones

    2007-12-01

    Full Text Available La caries dental es una enfermedad ampliamente extendida en el mundo, por lo que ha sido y sigue siendo la enfermedad más frecuente del hombre moderno. Dada la alta incidencia que presenta esta enfermedad bucal, así como la gran necesidad de prevenirla, decidimos realizar esta investigación, con el objetivo de evaluar la relación de los microorganismos cariogénicos y algunas variables demográficas con la caries dental en niños. Se realizó un estudio analítico del tipo de casos y controles en el municipio de Matanzas, provincia de Matanzas, en el período comprendido por el curso académico 2004-2005. El universo estuvo constituido por 11 311 niños entre 6 y 12 años de edad, determinándose una muestra aleatoria de 900 niños (300 casos y 600 controles. Se obtuvo que el mayor porcentaje (62 % de niños de piel blanca estaba afectados por caries, el 91,3 % y el 40 % de los niños pertenecientes al grupo de casos, tenían un alto grado de infección por Estreptococo mutans y lactobacilos, respectivamente, lo que demuestra una asociación positiva entre la caries dental y estas variables.Dental caries is a disease widely spread in the world, therefore, it has been and it is still the most frequent disease of modern man. Due to the high incidence of this oral disease, and to the great need to prevent it, it was decided to conduct this investigation in order to evaluate the connection of the cariogenic microorganisms and some demographic variables with dental caries in children. A case-control analytical study was undertaken in the municipality of Matanzas, province of Matanzas, during the academic course 2004-2005. The study group was composed of 11 311 children aged 6-12. A randomized sample of 900 children (300 cases and 600 controls was selected. The highest percentage of white children (62 % were affected by caries, 91.3 % and 40 % of the children from the case group had an elevated degree of infection caused by Streptococcus mutans y

  20. Trauma renal Renal trauma

    Directory of Open Access Journals (Sweden)

    Gerson Alves Pereira Júnior

    1999-02-01

    Full Text Available Apresentamos uma revisão sobre trauma renal, com ênfase na avaliação radiológica, particularmente com o uso da tomografia computadorizada, que tem se tornado o exame de eleição, ao invés da urografia excretora e arteriografia. O sucesso no tratamento conservador dos pacientes com trauma renal depende de um acurado estadiamento da extensão da lesão, classificado de acordo com a Organ Injury Scaling do Colégio Americano de Cirurgiões. O tratamento conservador não-operatório é seguro e consiste de observação contínua, repouso no leito, hidratação endovenosa adequada e antibioti- coterapia profilática, evitando-se uma exploração cirúrgica desnecessária e possível perda renal. As indicações para exploração cirúrgica imediata são abdome agudo, rápida queda do hematócrito ou lesões associadas determinadas na avaliação radiológica. Quando indicada, a exploração renal após controle vascular prévio é segura, permitindo cuidadosa inspeção do rim e sua reconstrução com sucesso, reduzindo a probabilidade de nefrectomia.We present a revision of the renal trauma with emphasis in the radiographic evaluation, particularly CT scan that it has largely replaced the excretory urogram and arteriogram in the diagnostic worh-up and management of the patient with renal trauma. The successful management of renal injuries depends upon the accurate assessment of their extent in agreement with Organ Injury Scaling classification. The conservative therapy managed by careful continuous observation, bed rest, appropriate fluid ressuscitation and prophylactic antibiotic coverage after radiographic staging for severely injured kidneys can yield favorable results and save patients from unnecessary exploration and possible renal loss. The indications for immediate exploratory laparotomy were acute abdomen, rapidly dropping hematocrit or associated injuries as determinated from radiologic evaluation. When indicated, renal exploration

  1. EPIDEMIOLOGÍA DEL TRAUMA POR QUEMADURAS EN LA POBLACIÓN ATENDIDA EN UN HOSPITAL INFANTIL. MANIZALES 2004-2005 Epidemiological description of burns trauma in a childrend hospital. Manizales (Colombia 2004-2005

    Directory of Open Access Journals (Sweden)

    Federico Cardona B

    2007-06-01

    Full Text Available Antecedentes. Las lesiones por quemaduras se han convertido en un problema de salud pública, especialmente en países en desarrollo. Objetivo. Identificar la epidemiología del trauma por quemaduras en la población que consultó al servicio de urgencias del Hospital Infantil “Rafael Henao Toro” de la ciudad de Manizales en el período comprendido entre el año 2004 y 2005. Material y métodos. Se realizó un estudio descriptivo retrospectivo con base en la revisión de 439 historias clínicas, evaluando las variables de edad, género, seguridad social, procedencia, área geográfica, causa, profundidad, gravedad, extensión en porcentaje, área corporal comprometida, estancia hospitalaria y compañía. Resultados. Se encontró que la mayoría de las quemaduras ocurrieron en pacientes de un año de edad (21,6%, predominó el género masculino (59%. La mayoría no tenía seguridad social (52,2%. El 44,9 por ciento de los pacientes residía en la ciudad de Manizales. La principal etiología fueron los alimentos en 194 pacientes (44,2% predominando el grado I de quemadura en un 78,1 por ciento, con gravedad moderada en 314 pacientes (71,5%. La media de estancia hospitalaria fue 11,99 días. Conclusiones. Se determinó una mayor frecuencia de quemaduras en niños, menores de cinco años, causadas por alimentos, en miembro superior y de gravedad moderada.Background. Burns have become an increasing problem of public health, in developping countries.. Objetive. To identify the epidemiology of burns trauma in the population that consults to the emergency room in children hospital “Rafael Henao Toro” of Manizales the city between 2004 and 2005 years. Materials and methods. A retrospective descriptive study was made based in the revision of 439 clinical histories, evaluating the of age, sex, social security, origin, geographic area, cause, depth, seriousness, percentage, and corporal area concerned. Results. Burns happened in patients of one year

  2. Análisis del Grabado Dental Utilizando el Microscopio Metalográfico y el Software AnalySIS Analysis of Dental Etching Using the Metallographic Microscope and AnalySIS Software

    OpenAIRE

    Consuelo Flores-Yáñez; Javier Martínez-Juárez; Mario Palma-Guzmán; Jorge Yáñez-Santos

    2009-01-01

    Se muestra que el microscopio metalográfico y el software AnalySIS representan técnicas adecuadas para el análisis del grabado dental ácido. Se grabó la superficie vestibular de 25 dientes humanos permanentes, de reciente extracción y libres de caries, se observaron al microscopio (100X) y se procesaron con el software AnalySIS. Se determinó el diámetro de poros seleccionados aleatoriamente y se evaluaron diferentes concentraciones de ácido fosfórico variando el tiempo de exposición. Los resu...

  3. Percepción de ingesta de flúor a través del cepillado dental en niños colombianos Perception of fluoride ingestion by dental brushing in Colombian children

    Directory of Open Access Journals (Sweden)

    Farith González Martínez

    2010-09-01

    Full Text Available Objetivo: describir la percepción de los padres sobre la ingesta de flúor a través del cepillado dental en los niños residentes en la ciudad de Cartagena de Indias, Colombia. Métodos: el universo del estudio lo constituyeron todos los padres residentes en la ciudad de Cartagena de Indias, con hijos en edades entre uno y cinco años. La muestra estuvo integrada por 420 individuos. Se utilizó un cuestionario estructurado, diligenciado por los participantes, con el cual se midieron tópicos relacionados con el uso de las cremas dentales a través del cepillado. Además se tuvieron en cuenta la edad, el género y el estrato socioeconómico. Los datos fueron analizados a través de pruebas de frecuencia; se asumieron intervalos de confianza al 95 %. Para encontrar significación estadística se utilizó la prueba de X². Resultados: el 88,0 % de los padres encuestados refiere usar el cepillado con crema dental. La edad promedio de cepillado es de 2,3 años (DE= 1,6. El 46 % se cepilla dos veces al día; el tipo de crema dental más usada es la de adultos. La mayoría de los encuestados afirma que los niños han ingerido la pasta durante el cepillado. Con respecto al análisis bivariado, se encontraron diferencias entre el cepillado con crema dental y la edad (p= 0,0001, y con el estrato (p= 0,04. Además, el tipo de crema dental con la edad, (p= 0,0001 y la cantidad de pasta utilizada con la edad (p= 0,0001 y el estrato (p= 0,01. Conclusión: se perciben hábitos poco favorables, asociados al cepillado con pasta dental, los cuales pueden ser responsables de la ingestión de cantidades de flúor consideradas nocivas para la salud.Objective: To describe the parents perception on the fluoride ingestion with the use of dental brushing in the children residents in the city of Cartagena de Indias. Methods: Study universe included al parents residents in the city above mentioned whose children were aged 1-5. Sample included 420 subjects. A structural

  4. Maduración ósea en pacientes con maloclusión clase II división 1 de Angle a partir del desarrollo dental

    OpenAIRE

    Clotilde de la Caridad Mora Pérez; Rasiel Cruz Caballero; Saray Martínez Santos; Gretel Rivas Pérez

    2012-01-01

    Fundamento: la edad cronológica no siempre permite valorar el desarrollo y la maduración somática del paciente, por lo cual se recurre al estudio de la maduración ósea, método más seguro y fiable para evaluar la edad biológica de los individuos. Objetivo: determinar la maduración ósea a partir del desarrollo dental en pacientes con maloclusión clase II división 1 de Angle. Métodos: estudio descriptivo, observacional, de corte transversal realizado en 50 niños del Área II, de Cienfuegos. Se re...

  5. Maxillofacial injuries and dental trauma in patients aged 19-80 years, Recife, Brazil Lesiones maxilofaciales y traumatismo dental en pacientes de 19 a 80 años, Recife, Brasil

    OpenAIRE

    2010-01-01

    Aim: A retrospective study was undertaken to assess causes of maxillofacial trauma in Recife, Pernambuco, Brazil. Method: A review of 186 patients with maxillofacial injuries aged 19 and 83 years old seen and treated at the Hospital da Restauração between January and December 2006 was conducted and were analyzed according to age, sex, etiology, site of fracture, dentoalveolar trauma and alcohol abuse. Analysis was made in Epi Info using the Chi-square and Fisher´s Exact Tests. Results: It was...

  6. First-Aid Algorithms in Dental Avulsion

    Science.gov (United States)

    Baginska, Joanna; Wilczynska-Borawska, Magdalena

    2012-01-01

    Almost one fourth of traumatic dental injuries occur at schools or in their surroundings. Prevalence of tooth avulsion varies from 0.5% to 16% of all cases of dental trauma. Children with dental avulsion may seek help from school nurses so they should be able to provide first-aid treatment. However, many studies showed that the general level of…

  7. First-Aid Algorithms in Dental Avulsion

    Science.gov (United States)

    Baginska, Joanna; Wilczynska-Borawska, Magdalena

    2012-01-01

    Almost one fourth of traumatic dental injuries occur at schools or in their surroundings. Prevalence of tooth avulsion varies from 0.5% to 16% of all cases of dental trauma. Children with dental avulsion may seek help from school nurses so they should be able to provide first-aid treatment. However, many studies showed that the general level of…

  8. Técnica de liberación emocional, EFT en el nivel de perturbación del trauma psicológico en las adolescentes de un albergue

    OpenAIRE

    Aguilar Castillo, Susy del Pilar

    2016-01-01

    El presente estudio tiene como objetivo conocer la eficacia de las Técnicas de Liberación Emocional en la desensibilización del trauma psicológico en las adolescentes de un albergue. La presente investigación es de tipo experimental con la participación de 12 adolescentes. Para medir la variable dependiente, es decir trauma psicológico, se utilizó la escala de impacto de eventos para pre y post prueba. Y para la variable independiente, se aplicó la técnica de liberación emocional (EFT). Com...

  9. Impacto de la craniectomía descompresiva precoz en los resultados del tratamiento del trauma craneoencefálico grave

    OpenAIRE

    Henry Lopez Jimenez

    2016-01-01

    Fundamento: el trauma craneoencefálico (TCE) constituye la primera causa de muerte y morbilidad en personas jóvenes. Actualmente es difícil conocer el real rendimiento de las craniectomías descompresivas y, el momento oportuno no está definido con claridad, especialmente en pacientes que han sufrido traumatismo craneoencefálico.Objetivo: evaluar el impacto de la craniectomía descompresiva precoz en el control de la presión intracraneal (PIC), la calidad de vida, y la mortalidad en los pacient...

  10. The Experiences and Consequences of a Multiple Trauma Event from the Perspective of the Patient Experiencia del paciente politraumatizado y sus consecuencias Experiência do paciente politraumatizado e suas consequências

    Directory of Open Access Journals (Sweden)

    Luciana Paiva

    2010-12-01

    Full Text Available This was an ethnographic investigation with the aim of comprehending the meanings of the trauma experience among multiple trauma patients. The following techniques were used for data collection: direct observation, semi-structured interview and field diary. Biographical narratives were obtained from eleven trauma victims, and ten relatives as secondary informants. The data analysis considered the set of data of each participant and all data of all subjects, searching for differences and similarities. The meanings attributed to the trauma experience are associated with interrelated feelings of fear, insecurity, anger, vulnerability and suffering and to the meanings of quality of life that converge to valorize health and work appreciation and support by social networks. This analysis shows that the concepts and experiences of the trauma are conditioning factors of the health-disease process and they are essential in planning public health actions to meet the needs of individuals.Se trata de una investigación etnográfica realizada con el objetivo de comprender los significados de la experiencia del trauma en pacientes politraumatizados. Fueron utilizadas las siguientes técnicas de recolección de datos: observación directa, entrevista semi-estructurada y diario de campo. Obtuvimos narraciones biográficas de 11 personas víctimas de traumas y 10 familiares, como informantes secundarios. El análisis de los datos consideró el conjunto de los datos de cada participante y el todo de los datos de todos los sujetos, buscando diferencias y similitudes. Los sentidos atribuidos a la experiencia del trauma se asocian a sentimientos interrelacionados de miedo, inseguridad, rabia, vulnerabilidad y sufrimiento y a los significados de calidad de vida que convergen para la valorización de la salud, trabajo y apoyo por las redes sociales. Este análisis muestra que las concepciones y vivencias del trauma son factores condicionantes del proceso salud

  11. Evaluation of the teaching from investigation on the knowledge of emergency management of dental trauma among dentists and doctors%从国内外口腔医师对牙外伤的认知情况看牙外伤教育的必要性

    Institute of Scientific and Technical Information of China (English)

    龚怡; 赵燕翔

    2010-01-01

    Objective To evaluate the teaching of dental trauma and the importance of continuing education from analysis the knowledge both Beijing and abroad dentists regarding emergency management of trauma dental injury. Methods 258 dentists who came from different hospitals were investigated in Beijing, and some data of abroad dentists and current status of continue education were reviewed. Results It showed that all dentists and medical staff need to receive continue education of dental trauma, because some of them had no necessary knowledge regarding this issue. Conclusions It is necessary to promote teaching of dental traumatology in undergraduate education level and enhance the continuing education of dental trauma among graduated dentists.%目的 通过调查口腔医师对牙外伤的认知情况,评价牙外伤在本科口腔医学专业教学中的效果和继续教育的必要性.方法 对北京市15所医院258名口腔医师进行问卷调查,并通过文献回顾比较多个国家医学及口腔医学专业医师对牙外伤的认知情况和继续教育现状.结果 口腔医师对牙外伤的认知水平和临床诊治能力不容乐观,普遍缺乏相关的继续教育.结论 在本科口腔医学专业教学中应当优化牙外伤教育的课程设置,进一步加强口腔医师及临床医师牙外伤方面的继续教育.

  12. Ear trauma.

    Science.gov (United States)

    Eagles, Kylee; Fralich, Laura; Stevenson, J Herbert

    2013-04-01

    Understanding basic ear anatomy and function allows an examiner to quickly and accurately identify at-risk structures in patients with head and ear trauma. External ear trauma (ie, hematoma or laceration) should be promptly treated with appropriate injury-specific techniques. Tympanic membrane injuries have multiple mechanisms and can often be conservatively treated. Temporal bone fractures are a common cause of ear trauma and can be life threatening. Facial nerve injuries and hearing loss can occur in ear trauma.

  13. ANÁLISIS DESCRIPTIVO DE LA RESPUESTA DEL COMPLEJO PULPO-DENTINAL DE ÓRGANOS DENTALES DE UNA POBLACIÓN PREHISPÁNICA CAZADORA-RECOLECTORA

    Directory of Open Access Journals (Sweden)

    María Clemencia Vargas Vargas

    2011-12-01

    Full Text Available Normal 0 21 false false false ES-CO X-NONE X-NONE /* Style Definitions */ table.MsoNormalTable {mso-style-name:"Tabla normal"; mso-tstyle-rowband-size:0; mso-tstyle-colband-size:0; mso-style-noshow:yes; mso-style-priority:99; mso-style-qformat:yes; mso-style-parent:""; mso-padding-alt:0cm 5.4pt 0cm 5.4pt; mso-para-margin-top:0cm; mso-para-margin-right:0cm; mso-para-margin-bottom:10.0pt; mso-para-margin-left:0cm; line-height:115%; mso-pagination:widow-orphan; font-size:11.0pt; font-family:"Calibri","sans-serif"; mso-ascii-font-family:Calibri; mso-ascii-theme-font:minor-latin; mso-hansi-font-family:Calibri; mso-hansi-theme-font:minor-latin;} Antecedentes: El diente es de gran importancia cuando se trata de caracterizar individuos, poblaciones vivas o desaparecidas. Este componente es el que más resiste a la descomposición, debido a que al terminar su calcificación, el diente se conforma definitivamente y por tal razón no sufre ningún cambio. A excepción del desgaste mecánico o atrición y la acumulación de dentina secundaria. Objetivo: Deducir los posibles factores etiológicos que ocasionaron grandes desgastes dentales y condujeron a una rápida respuesta del complejo pulpo dentinal, en los individuos pertenecientes a una población prehispánica de cazadores-recolectores, del precerámico temprano y tardío cuya dieta era basada en alimentos fibrogénicos y abrasivos. Materiales y Métodos: Estudio descriptivo transversal donde se tomaron 15 piezas dentales, pertenecientes a dos poblaciones cazadoras-recolectoras: Precerámico temprano (Chequa y Precerámico tardío (Aguazuque.  A estos dos grupos se tomaron las muestras para realizar un análisis clínico, radiográfico y microscópico. Resultados: Disminución evidente en el tamaño de la corona clínica dental, se observaron diferentes grados de desgaste dental con exposición dentinaria delimitado por esmalte en su circunferencia. La dentina expuesta por el desgaste dental presenta

  14. Systemic trauma.

    Science.gov (United States)

    Goldsmith, Rachel E; Martin, Christina Gamache; Smith, Carly Parnitzke

    2014-01-01

    Substantial theoretical, empirical, and clinical work examines trauma as it relates to individual victims and perpetrators. As trauma professionals, it is necessary to acknowledge facets of institutions, cultures, and communities that contribute to trauma and subsequent outcomes. Systemic trauma-contextual features of environments and institutions that give rise to trauma, maintain it, and impact posttraumatic responses-provides a framework for considering the full range of traumatic phenomena. The current issue of the Journal of Trauma & Dissociation is composed of articles that incorporate systemic approaches to trauma. This perspective extends conceptualizations of trauma to consider the influence of environments such as schools and universities, churches and other religious institutions, the military, workplace settings, hospitals, jails, and prisons; agencies and systems such as police, foster care, immigration, federal assistance, disaster management, and the media; conflicts involving war, torture, terrorism, and refugees; dynamics of racism, sexism, discrimination, bullying, and homophobia; and issues pertaining to conceptualizations, measurement, methodology, teaching, and intervention. Although it may be challenging to expand psychological and psychiatric paradigms of trauma, a systemic trauma perspective is necessary on both scientific and ethical grounds. Furthermore, a systemic trauma perspective reflects current approaches in the fields of global health, nursing, social work, and human rights. Empirical investigations and intervention science informed by this paradigm have the potential to advance scientific inquiry, lower the incidence of a broader range of traumatic experiences, and help to alleviate personal and societal suffering.

  15. Dental traumatology: an orphan in pediatric dentistry?

    Science.gov (United States)

    Andreasen, Jens Ove; Lauridsen, Eva; Daugaard-Jensen, Jette

    2009-01-01

    Traumatic dental injuries are very frequent during childhood and adolescence. In fact, 2 out of 3 children have suffered a traumatic dental injury before adulthood. This fact links dental traumatology to pediatric dentistry. Unfortunately, this is not reflected by active participation by pediatric dentists in acute treatment, follow-up, and research. To examine the status of pediatric dentistry in relation to dental trauma, a publication analysis was undertaken in 1980, 1990, 2000, and 2007 about trauma articles published in 4 pediatric journals: journal of Dentistry for Children, Pediatric Dentistry, The journal of Pedodontics, and the International journal of Pediatric Dentistry. This study shows an average publication rate of trauma articles of approximately 3 percent of all articles published and with no improvement in later decennia. If only clinical studies are considered (leaving out case reports), the publication rate is less than 1 percent--completely out of proportion to the size of the problem dental trauma impose in children.

  16. Estudio del dolor e inflamación en 41 pacientes tras la colocación de 131 implantes dentales

    OpenAIRE

    2005-01-01

    Objetivos: Estudiar el dolor y la inflamación durante la primera semana del postoperatorio tras la colocación de implantes dentales. Material y métodos: En 41 pacientes (17 hombres y 24 mujeres) se colocaron 131 implantes con anestesia local. El dolor fue valorado mediante una escala analógica-visual y verbal, y la inflamación con una escala verbal. Resultados: En la mayoría de los pacientes que tuvieron dolor, éste fue leve, y el pico mayor fue a las 6 horas de la int...

  17. Valoraci??n somatom??trica, nutricional y del estado de salud buco-dental en ni??os afectos de diabetes mellitus insulinodependiente

    OpenAIRE

    Pe??alver S??nchez, Mar??a Angustias

    1992-01-01

    La confluencia de dos problemas como son la salud buco-dental y la diabetes infantil, fueron los argumentos que sustentaron este proyecto, y en el cual en t??rminos concretos definimos los siguientes objetivos. 1) conocer el estado nutricional de los diab??ticos atendidos en el departamento de pediatr??a del hospital universitario de granada (n=60) 2) conocer su estado de crecimiento. 3) valorar el control metab??lico de la enfermedad 4) tras la creaci??n de un grupo control integrado por 74 ...

  18. Estudio del dolor e inflamación en 41 pacientes tras la colocación de 131 implantes dentales

    OpenAIRE

    González Santana, Héctor; Peñarrocha Diago, Miguel; Guarinos Carbó, Juan; Balaguer Martínez, José

    2005-01-01

    Objetivos: Estudiar el dolor y la inflamación durante la primera semana del postoperatorio tras la colocación de implantes dentales. Material y métodos: En 41 pacientes (17 hombres y 24 mujeres) se colocaron 131 implantes con anestesia local. El dolor fue valorado mediante una escala analógica-visual y verbal, y la inflamación con una escala verbal. Resultados: En la mayoría de los pacientes que tuvieron dolor, éste fue leve, y el pico mayor fue a las 6 horas de la int...

  19. Study and structural and chemical characterization of human dental smalt by electron microscopy; Estudio y caracterizacion estructural y quimico del esmalte dental humano por microscopia electronica

    Energy Technology Data Exchange (ETDEWEB)

    Belio R, I.A.; Reyes G, J. [Instituto de Fisica, UNAM, A.P. 20-364, 01000 Mexico D.F. (Mexico)

    1998-07-01

    The study of human dental smalt has been subject to investigation for this methods with electron microscopy, electron diffraction, X-ray diffraction and image simulation programs have been used with the purpose to determine its chemical and structural characteristics of the organic and inorganic materials. This work has been held mainly for the characterization of hydroxyapatite (Ca){sub 10} (PO{sub 4}){sub 6} (OH{sub 4}){sub 2}, inorganic material which conforms the dental smalt in 97%, so observing its structural unity which is composed by the prisms and these by crystals and atoms. It was subsequently initiated the study of the organic material, with is precursor of itself. (Author)

  20. Dental Fluorosis

    Science.gov (United States)

    ... have been broadly termed dental fluorosis. What is dental fluorosis? Dental fluorosis is a condition that causes ... less than 2 milligrams per liter. What causes dental fluorosis? Dental fluorosis is caused by taking in ...

  1. Dental Amalgam

    Science.gov (United States)

    ... Products and Medical Procedures Dental Devices Dental Amalgam Dental Amalgam Share Tweet Linkedin Pin it More sharing options Linkedin Pin it Email Print Dental amalgam is a dental filling material which is ...

  2. Cerebrolysin bei Schädel-Hirn-Trauma - Eine neurotrope und neurogene Substanz in der Initialbehandlung akuter Schädel-Hirn-Verletzungen

    OpenAIRE

    König P; Waanders R; Witzmann A; Lanner G; Haffner Z; Haninec P; Gmeinbauer R; Zimmermann-Meinzingen S

    2006-01-01

    Schädel-Hirn-Verletzungen (SHV, SHT) und daraus resultierende akute wie chronische Traumafolgen werden von der WHO als eine der größten Gesundheitsschädigungen weltweit angesehen. Alle Therapeutika, die dazu beitragen, die Folgen eines SHT zu reduzieren, sind daher von besonderem theoretischem wie praktischem Interesse. Cerebrolysin ist ein standardisiert aus Schweinehirn gewonnenes Peptidgemisch, dessen Eiweißkörper aufgrund ihres niedrigen Molekulargewichtes die Bluthirnschranke zu passie...

  3. Efecto de las células madre mesenquimales del tejido adiposo en la reparación del hueso alveolar después de la extracción dental

    OpenAIRE

    Moreno Quispe, Luz Arelis

    2015-01-01

    En España la media de dientes ausentes en la población de 35-44 años es de 1.40 y en la población de 65-74 años con al menos 21 dientes funcionales asciende a 44.3%, siendo un problema generalizado, inclusive en muchos países de Latinoamérica como Perú, donde cerca de medio millón de dientes se extraen anualmente (Llodra, 2012) La resorción ósea alveolar tiene varias causas: la extracción dental, trauma, periodontitis moderada a severa y fuerza continúa en el tratamiento ortodóntico. Todo ...

  4. Risco para trauma vascular: proposta do diagnóstico e validação por peritos Riesgo para trauma vascular: propuesta del diagnóstico y validación por peritos Risk for vascular trauma: diagnosis proposal and validation by experts

    Directory of Open Access Journals (Sweden)

    Cristina Arreguy-Sena

    2009-02-01

    Full Text Available Pesquisa de validação conceitual e de conteúdo que objetivou compor o título, os mecanismos de vulnerabilidade e os fatores de risco para o diagnóstico de enfermagem "Risco para Trauma Vascular", segundo a taxonomia da NANDA, bem como validar os elementos desse diagnóstico, a partir da opinião de 60 peritos. Foram identificados 51 fatores relacionados a cinco eixos: medicação e forma/periodicidade de infusão; cateter intravascular e permanência num mesmo sítio; fixação do cateter intravascular; indivíduo, seus hábitos, padrão comunicacional, estilo de vida e capacidade sensório-motora; e decisões profissionais, política institucional e procedimento. Destes, foram validados 28 fatores de vulnerabilidade (escore > 0,80. Os resultados evidenciaram "Risco para Trauma Vascular" ser um novo diagnóstico de enfermagem; sugere-se a validação clínica do mesmo.Investigación de validación conceptual y de contenido con objeto de componer el título, los mecanismos de vulnerabilidad y los factores de riesgo para el diagnóstico de enfermería "Riesgo para Trauma Vascular", según la propuesta de la taxonomía de la NANDA, y también validar los elementos de ese diagnóstico, a partir de la opinión de 60 peritos. Fueron identificados 51 factores relacionados a cinco ejes: medicación y forma/periodicidad de infusión; cateter intravascular y permanencia en un mismo sitio; fixación del cateter intravascular; individuo, sus hábitos, patrón comunicacional, estilo de vida y capacidad sensorio-motora; y decisiones profesionales, política institucional y procedimiento. De estos, fueron validados 28 factores de vulnerabilidad (score > 0,80. Los resultados evidenciaron que "Riesgo para Trauma Vascular" es un nuevo diagnóstico de enfermería; su validación clínica es sugerida.This concept and content validation study aimed to compose the title, vulnerability mechanisms and risk factors for the nursing diagnosis "Risk for Vascular

  5. Maduración ósea en pacientes con maloclusión clase II división 1 de Angle a partir del desarrollo dental

    Directory of Open Access Journals (Sweden)

    Clotilde de la Caridad Mora Pérez

    2012-09-01

    Full Text Available Fundamento: la edad cronológica no siempre permite valorar el desarrollo y la maduración somática del paciente, por lo cual se recurre al estudio de la maduración ósea, método más seguro y fiable para evaluar la edad biológica de los individuos. Objetivo: determinar la maduración ósea a partir del desarrollo dental en pacientes con maloclusión clase II división 1 de Angle. Métodos: estudio descriptivo, observacional, de corte transversal realizado en 50 niños del Área II, de Cienfuegos. Se realizó el estudio de  la edad ósea de pacientes clase II división 1 tributarios de tratamientos ortodóncicos, a partir del método de evaluación de la maduración ósea en estadios de calcificación de los siete dientes inferiores izquierdos, utilizando la escala de maduración de Demirjians. Resultados: se constató de forma general que la edad ósea se elevó respecto a la edad decimal, dental y cronológica en ambos sexos, fundamentalmente en el masculino. Se comprobó que existe una fuerte  correlación entre la edad decimal y la cronológica; la correlación entre la edad ósea y la edad decimal y la cronológica es menor. Conclusiones: el método de Demirjians pudo emplearse en ambos sexos para determinar la edad ósea en los pacientes tributarios de tratamiento de ortodoncia; los valores se elevaron principalmente en el sexo masculino.

  6. 三氧化矿物凝聚体治疗年轻恒牙外伤的临床疗效%Clinical Application of Mineral Trioxide Aggregate in Young Permanent Dental Trauma

    Institute of Scientific and Technical Information of China (English)

    郝艳红; 娄颖昕; 杨美茹; 崔军

    2011-01-01

    Objective To investigate the effect of mineral trioxide aggregate (MTA) in the treatment of dental trauma. Methods Thirty dental traumatology cases ( 30 teeth) were selected. Four teeth were carried out pulp capping with MTA, four teeth with pulpotomy, twenty-two teeth were carried out apical repairation with MTA. The clinical follow-up at 1, 3, 6 months were evaluated according to clinical symptoms and X-ray examinations. Results In each case, MTA allowed bone healing and elimination of clilnical symptoms. Conclusion MTA is effective in the treatment of pulp capping, pulpotomy, apical repairation for the young permanent teeth.%目的 探讨三氧化矿物凝聚体(mineral trioxide aggregate,MTA)用于年轻恒牙牙外伤的治疗效果.方法 收集年轻恒牙牙外伤患者30例,患牙30颗,手术显微镜下, 4颗行MTA盖髓术, 4颗行MTA活髓切断术, 22颗行MTA根尖屏障修复术.随访观察1、 3、 6个月.结果 30颗患牙均得以保存,部分患牙根尖部牙骨质形成.结论 MTA用于年轻恒牙牙外伤的盖髓术、活髓切断术、根尖屏障修复术具有良好的治疗效果.

  7. OPTIMIZACIÓN DEL MANEJO DE MATERIALES EN UNA EMPRESA FABRICANTE DE CREMAS DENTALES MEDIANTE MÉTODOS EVOLUTIVOS

    Directory of Open Access Journals (Sweden)

    Ninoska Maneiro Malavé

    2005-06-01

    Full Text Available

    Se presenta un algoritmo evolutivo utilizado para ubicar seis materiales distintos en seis tanques que alimentan dos líneas de producción en una empresa fabricante de cremas dentales. Trabajos previos han demostrado que los algoritmos evolutivos son una herramienta eficiente para la búsqueda y selección de buenas soluciones, en un tiempo de computación aceptable. El algoritmo desarrolado proporciona la mejor localización de los materiales en los tanques,   minimizando

    costos de manejo de materiales y tiempo en la preparación de las líneas para producir cada lote. Así mismo, se pudo comprobar convergencia y  robustez del algoritmo ante varios conjuntos de parámetros.

     

  8. Fluorosis dental en niños de 12 y 15 años del municipio de Andes

    National Research Council Canada - National Science Library

    Blanca Susana Ramírez-Puerta; Héctor Manuel Molina-Ochoa; Jessica Lorena Morales-Flórez

    2016-01-01

    Abstract Introduction: dental fluorosis is a problem of oral health that occurs in varying degrees of severity depending on exposure to fluoride during tooth formation, the WHO recommends monitoring this problem in the population...

  9. An evaluation of the effect ov lanolin in healing nipple injuries La evaluación del efecto de la lanolina en la cicatrización de los traumas del pezön Avaliação do efeito da lanolina na cicatrização dos traumas mamilares

    Directory of Open Access Journals (Sweden)

    Kelly Pereira Coca

    2008-03-01

    Full Text Available OBJECTIVE: To evaluate the effect of anhydrous lanolin-based ointment in the process of healing nipple injuries. METHODS: This is a descriptive experimental study was performed in two Maternity Hospitals in Sao Paulo. The random sample consisted of 50 puerperium women with nipple injuries, hospitalized in the period of June 2002 to July 2003. Participants were randomly assigned into control and experimental groups, by the means of a draw. Statistical analysis was performed using Qui-square, Student's t test, and ANOVA (á at 5%. RESULTS: The size of the injury in the control group reduced in 0.41 ± 0.11 cm (right breast and 0.29 ± 0.06 cm (left breast compared to the experimental group, from the first to the second evaluation (p OBJETIVO: Evaluar el efecto de la pomada a base de lanolina anhídrica en la cicatrización de lesiones del pezón. MÉTODOS: Estudio experimental descriptivo realizado en dos Maternidades de la ciudad de Sao Paulo. La muestra aleatoria estuvo conformada por 50 puérperas con trauma del pezón internadas en el período de junio del 2002 a julio del 2003. La muestra fue compuesta por medio de sorteo aleatorio y distribuida entre los grupos control y experimental. Se utilizó el Chi Cuadrado, t de Student y ANOVA (á del 5%. RESULTADOS: Se observó una diferencia en la reducción del tamaño de la lesión del pezón de 0.41 que ± 0,11 cm (mama derecha y 0,29 ± 0.06 cm (mama izquierda en las puérperas del grupo experimental en relación al grupo control, de la primera a la segunda evaluación (p OBJETIVO: Avaliar o efeito da pomada a base de lanolina anídrica na cicatrização de lesões mamilares apresentadas por puérperas internadas em duas maternidades do Município de São Paulo. MÉTODOS: Estudo experimental descritivo realizado em duas maternidades do Município de São Paulo. A amostra aleatória foi constituída de 50 puérperas com trauma mamilar internadas no período de junho de 2002 a julho de 2003. A

  10. Alteración de la organización laminar y de la dendroarquitectura de la corteza cerebral del humano post-trauma craneoencefálico.

    Directory of Open Access Journals (Sweden)

    Martha Isabel Escobar

    2009-11-01

    Full Text Available Introducción: El trauma craneoencefálico (TCEes un fenómeno heterogéneo desde el punto de vista molecular, celular y en la respuesta clínica. Se considera que esta diversidad se debe a la intensidad de la injuria primaria, eventos secundarios asociados (hipoxia, isquemia, edema, inflamación, al estado metabólico del paciente, su base genética, edad, género, etc. Para determinar la integridad anatomo-funcional de las células nerviosas es importante verificar el estado de la cito, dendroarquitectura y preservación laminar como un requisito para garantizar conectividad. Objetivo: Valorar la respuesta de las neuronas al trauma con dos marcadores neuronales selectivos sensibles a la lesión NeuN y MAP2. Materiales y métodos: Se utilizaron muestras (4 de lóbulo temporal y 2 de lóbulo frontal de 6 pacientes que habían sufrido TCE. Las muestras se fijaron en PLP, cortadas en vibrátomo a 50 µm, incubadas con los anticuerpos NeuN y MAP2 y procesadas con el sistema avidina-biotina. Como control se utilizó tejido humano post-mortem. Resultados: La inmunorreactividad (IR para NeuN fue anormal en todas las muestras, con sectores que mostraron IR ligeramente alterada, otros con perdida parcial de las capas supragranulares, sobre todo la lámina III y otros con pérdida drástica de todas las láminas. La IR para MAP2 se alteró en todas las muestras con diferentes grados de compromiso. Los procesos dendríticos fueron difíciles de seguir, especialmente los procedentes de la lámina V, los cuales se observaron tortuosos, fragmentados y con orientación aberrante. Conclusiones: Con el propósito de conocer el estado de las neuronas después de un evento lesivo se recomienda el uso de los marcadores NeuN y MAP2 complementarios a los métodos clásicos. El presente trabajo muestra la diversidad de respuestas histopatológicas en sectores adyacentes de una misma muestra con ambos marcadores, como un indicador de los diferentes estados de

  11. Alteración de la organización laminar y de la dendroarquitectura de la corteza cerebral del humano post-trauma craneoencefálico

    Directory of Open Access Journals (Sweden)

    Martha Isabel Escobar

    2008-09-01

    Full Text Available Introducción: El trauma craneoencefálico (TCEes un fenómeno heterogéneo desde el punto de vista molecular, celular y en la respuesta clínica. Se considera que esta diversidad se debe a la intensidad de la injuria primaria, eventos secundarios asociados (hipoxia, isquemia, edema, inflamación, al estado metabólico del paciente, su base genética, edad, género, etc. Para determinar la integridad anatomo-funcional de las células nerviosas es importante verificar el estado de la cito, dendroarquitectura y preservación laminar como un requisito para garantizar conectividad.Objetivo: Valorar la respuesta de las neuronas al trauma con dos marcadores neuronales selectivos sensibles a la lesión NeuN y MAP2.Materiales y métodos: Se utilizaron muestras (4 de lóbulo temporal y 2 de lóbulo frontal de 6 pacientes que habían sufrido TCE. Las muestras se fijaron en PLP, cortadas en vibrátomo a 50 µm, incubadas con los anticuerpos NeuN y MAP2 y procesadas con el sistema avidina-biotina. Como control se utilizó tejido humano post-mortem.Resultados: La inmunorreactividad (IR para NeuN fue anormal en todas las muestras, con sectores que mostraron IR ligeramente alterada, otros con perdida parcial de las capas supragranulares, sobre todo la lámina III y otros con pérdida drástica de todas las láminas. La IR para MAP2 se alteró en todas las muestras con diferentes grados de compromiso. Los procesos dendríticos fueron difíciles de seguir, especialmente los procedentes de la lámina V, los cuales se observaron tortuosos, fragmentados y con orientación aberrante.Conclusiones: Con el propósito de conocer el estado de las neuronas después de un evento lesivo se recomienda el uso de los marcadores NeuN y MAP2 complementarios a los métodos clásicos. El presente trabajo muestra la diversidad de respuestas histopatológicas en sectores adyacentes de una misma muestra con ambos marcadores, como un indicador de los diferentes estados de

  12. USO DEL LASER DENTAL

    OpenAIRE

    Sueldo, Efraín; Director del lnstituto de Investigación Estomatológica. Coordinador del Post -Grado en Periodoncia UNMSM.

    2014-01-01

    Un anuncio comercial reciente describe un “revolucionario…” que rompe esquemas en Cirugía Periodontal y regenera nueva inserción" a través de la aplicación de "un procedimiento ENAP con láser patentado. (1) A pesar de la aprobación de la FDA para debridamiento sulcular, el uso en el anuncio y varios artículos de revistas recientes (2-8) deben ser evaluados a la luz de la evidencia disponible. Atecent commercial advertisement describes a" revolutionay" ... "Breakthrough in periodotal surger...

  13. Traumatic dental injuries: etiology, prevalence and possible outcomes.

    Science.gov (United States)

    Zaleckiene, Vaida; Peciuliene, Vytaute; Brukiene, Vilma; Drukteinis, Saulius

    2014-01-01

    . The aim was to overview the etiology, prevalence and possible outcomes of dental trauma. An electronic search of Medline (PubMed), Cochrane, SSCI (Social Citation Index), SCI (Science Citation Index) databases from 1995 to the present, using the following search words: tooth injuries, tooth trauma, traumatized teeth, dental trauma, dentoalveolar trauma, oral trauma, epidemiology, etiology, prevalence, prevention, pulp necrosis, inflammatory resorption, ankylosis, cervical resorption, was performed. During last decade traumatic dental injuries were recognized as public dental health problem worldwide. Prevalence of traumatic dental injuries varies between countries. According to the existing data they are more prevalent in permanent than in primary dentition. All treatment procedures in case of dental trauma are directed to minimize undesired consequences despite that treatment of traumatic dental injuries in the young patient is often complicated and can continue during the rest of his/her life. The changing lifestyle and requirements of modern society lead to an emergence of new patterns of dental trauma. A regular update of knowledge in dental traumatology is required.

  14. Trauma Fact Sheet

    Science.gov (United States)

    ... Home > Science Education > Physical Trauma Fact Sheet Physical Trauma Fact Sheet Tagline (Optional) Middle/Main Content Area ... of physical trauma. Credit: iStock. What is physical trauma? Physical trauma is a serious injury to the ...

  15. Cerebrolysin bei Schädel-Hirn-Trauma - Eine neurotrope und neurogene Substanz in der Initialbehandlung akuter Schädel-Hirn-Verletzungen

    Directory of Open Access Journals (Sweden)

    König P

    2006-01-01

    Full Text Available Schädel-Hirn-Verletzungen (SHV, SHT und daraus resultierende akute wie chronische Traumafolgen werden von der WHO als eine der größten Gesundheitsschädigungen weltweit angesehen. Alle Therapeutika, die dazu beitragen, die Folgen eines SHT zu reduzieren, sind daher von besonderem theoretischem wie praktischem Interesse. Cerebrolysin ist ein standardisiert aus Schweinehirn gewonnenes Peptidgemisch, dessen Eiweißkörper aufgrund ihres niedrigen Molekulargewichtes die Bluthirnschranke zu passieren vermögen. Die neurotrophen, neuroprotektiven und neurogenetischen Eigenschaften von Cerebrolysin wurden in verschiedenen präklinischen Studien dokumentiert. Auch für dementielle Hirnerkrankungen und die Schlaganfallbehandlung mit Cerebrolysin liegen klinische Studien vor. Wir führten eine placebokontrollierte Doppelblindstudie mit Cerebrolysin als Add-on-Therapie in der Behandlung akuter SHV in 5 Zentren durch. In die Studie wurden 44 Patienten aufgenommen, 22 in die Verum- und 22 in die Placebogruppe. Beurteilungskriterien waren die GCS (Glasgow-Coma-Scale, die CGI (Clinical-Global-Impression und der SKT (Syndrom-Kurztest, Nebenwirkungen wurden mit der DOTES/TWIS erfaßt. Die Vitalparameter und Laborwerte wurden kontrolliert. Cerebrolysin bzw. Placebo wurde durch 21 Tage einmal täglich i.v. infundiert. Die statistische Analyse der Unterschiede zwischen Therapiebeginn und den wöchentlichen Kontrollen zeigte signifikante Unterschiede zwischen Cerebrolysin und Placebo: Cerebrolysin verbesserte die Hirnleistungsfähigkeit signifikant rascher und deutlicher. Die Verträglichkeit von Cerebrolysin war, wie bekannt, ausgezeichnet. Zusätzlich ergaben sich in zwei spezifischen Behandlungsaspekten relevante Resultate für die Cerebrolysingruppe in der Behandlung des SHT: Einerseits in der praktischen Anwendbarkeit einer Substanz, die sich stabilisierend auf Metabolismus und intrazelluläre Strukturen von Neuronen, somit antiapoptotisch, auswirkt und

  16. [Chest trauma].

    Science.gov (United States)

    Freixinet Gilart, Jorge; Ramírez Gil, María Elena; Gallardo Valera, Gregorio; Moreno Casado, Paula

    2011-01-01

    Chest trauma is a frequent problem arising from lesions caused by domestic and occupational activities and especially road traffic accidents. These injuries can be analyzed from distinct points of view, ranging from consideration of the most severe injuries, especially in the context of multiple trauma, to the specific characteristics of blunt and open trauma. In the present article, these injuries are discussed according to the involvement of the various thoracic structures. Rib fractures are the most frequent chest injuries and their diagnosis and treatment is straightforward, although these injuries can be severe if more than three ribs are affected and when there is major associated morbidity. Lung contusion is the most common visceral lesion. These injuries are usually found in severe chest trauma and are often associated with other thoracic and intrathoracic lesions. Treatment is based on general support measures. Pleural complications, such as hemothorax and pneumothorax, are also frequent. Their diagnosis is also straightforward and treatment is based on pleural drainage. This article also analyzes other complex situations, notably airway trauma, which is usually very severe in blunt chest trauma and less severe and even suitable for conservative treatment in iatrogenic injury due to tracheal intubation. Rupture of the diaphragm usually causes a diaphragmatic hernia. Treatment is always surgical. Myocardial contusions should be suspected in anterior chest trauma and in sternal fractures. Treatment is conservative. Other chest injuries, such as those of the great thoracic and esophageal vessels, are less frequent but are especially severe.

  17. Maxillofacial injuries and dental trauma in patients aged 19-80 years, Recife, Brazil Lesiones maxilofaciales y traumatismo dental en pacientes de 19 a 80 años, Recife, Brasil

    Directory of Open Access Journals (Sweden)

    A. Leite Cavalcanti

    2010-03-01

    Full Text Available Aim: A retrospective study was undertaken to assess causes of maxillofacial trauma in Recife, Pernambuco, Brazil. Method: A review of 186 patients with maxillofacial injuries aged 19 and 83 years old seen and treated at the Hospital da Restauração between January and December 2006 was conducted and were analyzed according to age, sex, etiology, site of fracture, dentoalveolar trauma and alcohol abuse. Analysis was made in Epi Info using the Chi-square and Fisher´s Exact Tests. Results: It was found that maxillofacial injuries were most frequent in males (89.2% and in the 19-28 year age group (46.8%. Traffic accidents/motorcycle (23.7% and physical violence (20.4% were the most common etiological factor. Facial fractures were detected in 90.9% and a statistically significant difference between sex and facial fracture was found (p = 0.000. The most common facial fracture was maxilla (29.1%, followed by the mandible (27.5%. A positive association between the presence of facial fracture and alcohol consumption was observed (p = 0.002. Dentoalveolar trauma was present in 7.5% of patients. Conclusion: The incidence of facial fractures in Brazilian population is similar than previously reported elsewhere. There were most common in male patients, mainly due to traffic accidents/motorcycle and physical violence.Objetivo: Se llevó a cabo un estudio retrospectivo para evaluar las causas de traumatismo maxilofacial en Recife, Pernambuco, Brasil. Método: Se hizo una revisión de 186 pacientes con lesiones maxilofaciales de 19 a 83 años atendidos y tratados en el Hospital da Restauração entre Enero y Diciembre 2006, analizándoles según edad, sexo, etiología, localización de la fractura, traumatismo dentoalveolar y abuso de alcohol. Se llevó a cabo el análisis en Epi Info, utilizando el Chi cuadrado y la prueba exacta de Fisher. Resultados: Resultó que las lesiones maxilofaciales fueron más frecuentes en los hombres (89,2% y en el grupo de edad

  18. Evaluation of care of dentoalveolar trauma

    OpenAIRE

    2010-01-01

    OBJECTIVES: The aim of this study was to evaluate cases of dental trauma treated at the specialized center of Pontifical Catholic University of Paraná, Curitiba, Brazil, during a period of 2 years. MATERIAL AND METHODS: A total of 647 patients were evaluated and treated between 2003 and 2005. Data obtained from each patient were tabulated and analyzed as to gender, age, etiology, time elapsed after the injury, diagnosis (type of trauma), and affected teeth. RESULTS: The results revealed that ...

  19. Handedness differences in dental traumatic injuries of boxers

    OpenAIRE

    DAĞISTAN, Saadettin

    2014-01-01

    Aim: Previous studies reported the relation of left-handedness with dental and head traumas in normal population. In the present study, we aimed to investigate the relationship between dental traumas, such as non-vitality and fracture, and left-handedness. Materials and methods: Twenty three Turkish international professional boxers were included in the study. Existence of teeth that had trauma and loss of vitality in these boxers were investigated. Results: The mean number of non-vital ...

  20. Prevalencia y factores asociados al cumplimiento de la fase de mantenimiento periodontal en pacientes del Post-Grado de Periodoncia de la Clínica Dental Cayetano Heredia

    OpenAIRE

    Alarcón Palacios, Marco; Docente del Departamento Académico de Clínica Estomatológica. Facultad de Estomatología. Universidad Peruana Cayetano Heredia. Lima,; Alvarado Laos, Miguel Angel; Cirujano-Dentista. Facultad de Estomatología. Universidad Peruana Cayetano Heredia. Lima,; Franchesty Montestruque, Guadalupe; Cirujano-Dentista. Facultad de Estomatología. Universidad Peruana Cayetano Heredia. Lima,; Huerta Dextre, Roberto; Cirujano-Dentista. Facultad de Estomatología. Universidad Peruana Cayetano Heredia. Lima,; Málaga Figueroa, Lilian; Docente del Departamento Académico de Clínica Estomatológica. Facultad de Estomatología. Universidad Peruana Cayetano Heredia. Lima,; Reyes Carrasco, Nathaly; Cirujano-Dentista. Facultad de Estomatología. Universidad Peruana Cayetano Heredia. Lima,; Silva Silva, Eduardo; Cirujano-Dentista. Facultad de Estomatología. Universidad Peruana Cayetano Heredia. Lima,; Terán Tejada, Elena; Cirujano-Dentista. Facultad de Estomatología. Universidad Peruana Cayetano Heredia. Lima,

    2014-01-01

    Introducción: El mantenimiento regular es esencial para el éxito a largo plazo de la terapia periodontal. Pocos estudios han evaluado el nivel de cumplimiento a la fase de mantenimiento periodontal considerando características clínicas y complejidad del tratamiento recibido. Lapresente investigación busca evaluar la prevalencia y factores asociados al cumplimiento del mantenimiento periodontal en pacientes del Servicio de Periodoncia de la Clínica Dental Cayetano Heredia. Materiales y Métodos...

  1. Prevalencia y factores asociados al cumplimiento de la fase de mantenimiento periodontal en pacientes del Post-Grado de Periodoncia de la Clínica Dental Cayetano Heredia

    OpenAIRE

    Alarcón Palacios, Marco; Docente del Departamento Académico de Clínica Estomatológica. Facultad de Estomatología. Universidad Peruana Cayetano Heredia. Lima,; Alvarado Laos, Miguel Angel; Cirujano-Dentista. Facultad de Estomatología. Universidad Peruana Cayetano Heredia. Lima,; Franchesty Montestruque, Guadalupe; Cirujano-Dentista. Facultad de Estomatología. Universidad Peruana Cayetano Heredia. Lima,; Huerta Dextre, Roberto; Cirujano-Dentista. Facultad de Estomatología. Universidad Peruana Cayetano Heredia. Lima,; Málaga Figueroa, Lilian; Docente del Departamento Académico de Clínica Estomatológica. Facultad de Estomatología. Universidad Peruana Cayetano Heredia. Lima,; Reyes Carrasco, Nathaly; Cirujano-Dentista. Facultad de Estomatología. Universidad Peruana Cayetano Heredia. Lima,; Silva Silva, Eduardo; Cirujano-Dentista. Facultad de Estomatología. Universidad Peruana Cayetano Heredia. Lima,; Terán Tejada, Elena; Cirujano-Dentista. Facultad de Estomatología. Universidad Peruana Cayetano Heredia. Lima,

    2014-01-01

    Introducción: El mantenimiento regular es esencial para el éxito a largo plazo de la terapia periodontal. Pocos estudios han evaluado el nivel de cumplimiento a la fase de mantenimiento periodontal considerando características clínicas y complejidad del tratamiento recibido. Lapresente investigación busca evaluar la prevalencia y factores asociados al cumplimiento del mantenimiento periodontal en pacientes del Servicio de Periodoncia de la Clínica Dental Cayetano Heredia. Materiales y Métodos...

  2. Trauma Africa

    Directory of Open Access Journals (Sweden)

    Victor Y. Kong

    2013-11-01

    Full Text Available “Major Trauma. Dr. Kong, please come to the Trauma Unit immediately. Dr. Kong, please come to the Trauma Unit immediately.” Even though I have been working at Edendale Hospital as a trauma registrar for over a year, whenever I hear this announcement over the hospital intercom system, my heart beats just a little faster than normal. When I first arrived at Edendale my colleagues told me that the adrenaline rush I would experience after being called out to attend a new emergency would decrease over time, and indeed they were right. However, it is also true to say that on some occasions more than others, it is still felt more strongly than ever.

  3. TRAUMA SURGERY

    African Journals Online (AJOL)

    utilisation of multiple resources, including blood products, anaesthetic ... surgical management of AVC injuries in the trauma centre at ... Sciences Human Research Ethics Committee. ..... Karinos N, Hayes PM, Nicol AJ, Kahn D. Avoiding futile.

  4. Características definidoras de trauma vascular periférico em urgência e emergência: ocorrência e tipos Definición de las características del trauma vascular periférico en urgencia y emergencia: la aparición y los tipos Defining characteristics of peripheral vascular trauma in urgent and emergency: occurrence and types

    Directory of Open Access Journals (Sweden)

    Paula Krempser

    2013-03-01

    Full Text Available Pesquisa tipo convergente assistencial. Objetivou-se calcular a ocorrência e documentar as evidências clínicas de trauma vascular em punções periféricas de adultos e idosos em um serviço de urgência e emergência de Minas Gerais, Brasil. Foram considerados como critérios de inclusão: o primeiro demítrio puncionado e a realização de avaliações clínicas em intervalos inferiores a 24 horas. As evidências de trauma foram registradas por fotografias. Amostra de seleção completa. Dos 200 sítios avaliados, houve 110 casos de trauma vascular com 288 manifestações de: dor, alteração da coloração da pele, diminuição da capacidade funcional local, edema, enduração, solução de continuidade, pustulação e hipo ou hipertermia local. As fotografias documentaram cada tipo de manifestação passível de registro visual. Tal investigação possibilitou reafirmar características definidoras para o diagnóstico de enfermagem "Trauma vascular periférico" em um serviço de Urgência/Emergência.Investigación de tipo convergente asistencial. El objetivo fue calcular la aparición y documentar la evidencia clínica del trauma vascular periférico en las punciones de adultos y ancianos en el departamento de urgencia y emergencia de Minas Gerais, Brasil. Se consideraron los siguientes criterios de inclusión: el primer lado perforado y la evaluación clínica a intervalos de menos de 24 horas. Las evidencias de trauma fueron registrados en fotografías. Muestra con selección completa. De los 200 sitios estudiados, había 110 casos de trauma vascular con 288 de los acontecimientos de: dolor, decoloración de la piel, disminución de la capacidad funcional local, edema, endurecimiento, cortes, postulación e hipo o hipertermia local. Las fotografías documentan todo tipo de eventos capaces de registro visual. Esta investigación nos ha permitido reafirmar las características definitorias de los diagnósticos de enfermería de

  5. Diet and environment 1.2 million years ago revealed through analysis of dental calculus from Europe's oldest hominin at Sima del Elefante, Spain

    Science.gov (United States)

    Hardy, Karen; Radini, Anita; Buckley, Stephen; Blasco, Ruth; Copeland, Les; Burjachs, Francesc; Girbal, Josep; Yll, Riker; Carbonell, Eudald; Bermúdez de Castro, Jose María

    2017-02-01

    Sima del Elefante, Atapuerca, Spain contains one of the earliest hominin fragments yet known in Europe, dating to 1.2 Ma. Dental calculus from a hominin molar was removed, degraded and analysed to recover entrapped remains. Evidence for plant use at this time is very limited and this study has revealed the earliest direct evidence for foods consumed in the genus Homo. This comprises starchy carbohydrates from two plants, including a species of grass from the Triticeae or Bromideae tribe, meat and plant fibres. All food was eaten raw, and there is no evidence for processing of the starch granules which are intact and undamaged. Additional biographical detail includes fragments of non-edible wood found adjacent to an interproximal groove suggesting oral hygiene activities, while plant fibres may be linked to raw material processing. Environmental evidence comprises spores, insect fragments and conifer pollen grains which are consistent with a forested environment.

  6. A gravidade do trauma em vítimas de traumatismo crânio-encefálico avaliada pelo manual AIS/90 e mapas CAIS/85 La gravedad del trauma en víctimas de traumatismo cráneo-encefálico por medio del manual AIS/90 y mapas CAIS/85 Injury severity measures by AIS/90 manual and CAIS/85 chart in head injured patients

    Directory of Open Access Journals (Sweden)

    Regina Marcia Cardoso de Sousa

    1998-01-01

    Full Text Available Estudo comparativo do uso do manual da ABBREVIATED INJURY SCALE (AIS e dos mapas da CONDENSED ABBREVIATED INJURY SCALE (CAIS, como bases para cálculo do INJURY SEVERITY SCORE (ISS em vítimas de trauma crânio-encefálico. Os resultados evidenciaram que o valor do ISS foi coincidente na maioria (59,51% das vítimas passíveis de codificação pelos dois instrumentos. Quanto à indicação da faixa de gravidade do trauma (grave, moderado e leve não existiram diferenças estatisticamente significantes entre os dois instrumentos. Quanto a capacidade de cobertura da CAIS/85 para a identificação da gravidade das lesões constatou-se que a CAIS/85 permitiu a pontuação de 61,38% das lesões pontuadas com a AIS/90.Estudio comparativo del uso del Manual de la ABBREVIATED INJURY SCALE (AIS y de los mapas de la CONDENSED ABBREVIATED INJURY SCALE (CAIS, como base para el cálculo del INJURY SEVERITY SCORE (ISS en víctimas de trauma cráneo-encefálico. Los resultados mostraron que el valor del ISS coincidía en la mayoría (58,51% de las víctimas posibles de codificación por los dos instrumentos. En cuanto a la indicación de la faja de gravedad del trauma (grave, moderado y leve no existian diferencias estadísticamente significantes entre los dos instrumentos. En cuanto a la capacidad de cobertura de la CAIS/85 para la identificación de la gravedad de las lesiones, se constató que la CAIS/85 permitió la puntuación de 61,38% de las lesiones puntiadas con la AIS/90.This study was developed in order to compare the use of the ABBREVIATED INJURY SCALE (AIS and the CONDENSED ABBREVIATED INJURY SCALE (CAIS as basis to calculate INJURY SEVERITY SCORE (ISS in head injured patients. The results showed that the ISS value was equivalent in the majority of the patients (58,51% codified by both scales. Also no statistic differences between the scales were perceived when we compared the severity levels as severe, moderate and minor. 61,38% of the lesions

  7. Dentoalveolar trauma in the pediatric population.

    Science.gov (United States)

    Casey, Ryan P; Bensadigh, Brian M; Lake, Michael T; Thaller, Seth R

    2010-07-01

    Dental alveolar trauma in pediatric patients is a challenge to health care professionals. It can lead to early tooth loss that can compromise oral function, aesthetics, and self-esteem and alter the long-term plan of care for the pediatric patient. The authors reviewed the literature pertaining to pediatric dental and alveolar traumas. The current etiology, incidence, classifications of injury, and methods to diagnose and treat these patients were reviewed and outlined. Management of dental trauma is complex and requires a comprehensive and accurate diagnostic and treatment plan. It is also important to consider the biologic, functional, aesthetic, and economic aspects, as well as the patient's desire. Physicians who provide primary care for children have a unique position to provide diagnostic, triage, educational, and preventive dental care for patients. Several articles have been published regarding primary pediatricians' participation in the preventive dental health care of their patients. One publication, a survey of physicians in Alabama focusing on physicians' overall awareness of dental issues, concluded that most physicians believe they have a role in the oral health of their patients. Most were not aware of many of the American Academy of Pediatric Dentistry's recommendations.

  8. Pertinencia del uso de implantes dentales cortos en pacientes con atrofia ósea severa: revisión de la literatura

    Directory of Open Access Journals (Sweden)

    R. Azañón Hernández

    2013-12-01

    Full Text Available El propósito de este artículo es determinar la pertinencia del uso de implantes cortos, definiéndolos como "aquellos cuya longitud es ≤8 mm" a través de la bibliografía existente. Hemos centrado la búsqueda en la comparación del uso de implantes de esta longitud, frente a otros tratamientos alternativos (injertos óseos, elevación de seno, transposición del nervio dentario, etc. en pacientes con atrofia maxilar severa. Se dan respuesta a las siguientes cuestiones: ¿El uso de implantes dentales cortos es un tratamiento de resultados previsibles? ¿Los porcentajes de éxito a medio y largo plazo son equiparables a los de implantes con una longitud media estándar? ¿Pueden sustituir en determinadas situaciones clínicas a técnicas quirúrgicas avanzadas (injertos óseos, elevación de seno, distalización del nervio dentario disminuyendo con ello la morbilidad, los tiempos en la rehabilitación y los costes para el paciente? ¿Se requiere de un protocolo clínico y prostético específico para garantizar el éxito en la rehabilitación? ¿En qué casos de atrofia maxilar se contraindica esta técnica a favor de otras como son los implantes cigomáticos o los injertos óseos? A través de una búsqueda cuasi-sistemática en metabuscadores, agencias de evidencias (revisiones sistemáticas y bases de datos bibliográficos, exponemos la evolución de la evidencia al respecto, los últimos datos publicados y las conclusiones obtenidas.

  9. Caracterización epidemiológica del trauma craneoencefálico fatal en la ciudad de Cartagena, durante los años 2007 al 2011

    OpenAIRE

    Tuñón-Pitalua, Martha Cecilia; Ortiz-Pinto, Maira Alejandra

    2016-01-01

    Introducción. El trauma craneoencefálico fatal, es de común ocurrencia en nuestro medio, sin que tengamos estadísticas confiables sobre su frecuencia real. Metodología. Se realizó un estudio descriptivo retrospectivo, con base en los registros del Instituto Nacional de Medicina Legal y Ciencias Forenses de la unidad básica de Cartagena. Resultados. Las tasas de mortalidad oscilaron de 7 -14/ 100.000 hab/año, durante el período analizado, presentándose con mayor frecuencia en el sexo masculino...

  10. La elevación del seno maxilar con Betafosfato Tricálcico en el tratamiento con implantes dentales

    OpenAIRE

    Jiménez Guerra, Álvaro

    2010-01-01

    Texto completo descargado de Teseo I. INTRODUCCIÓN 1.1. EL TRATAMIENTO CON IMPLANTES DENTALES. La implantología oral ha significado en los últimos 25 años un impacto muy importante en la profesión dental al representar una técnica terapéutica predecible y de éxito en el tratamiento de los pacientes con edentulismo total y parcial. La investigación experimental y clínica en el campo de la implantología con el desarrollo de nuevas técnicas diagnósticas, quirúrgicas, prostodóncicas y de mant...

  11. Técnica de aclaramiento para dientes tratados endodónticamente con antecedentes de trauma dentoalveolar - reporte de caso

    OpenAIRE

    Mariño Poveda, Adriana Carolina

    2014-01-01

    La pigmentación, de un diente anterior no vital es una preocupación estética común para muchos pacientes. Los dientes no vitales con decoloración están comprometidos, debido a un trauma previo, caries y endodoncia. Las opciones de tratamiento rehabilitador son invasivas y debilitan la estructura dental remanente, cuestionando la viabilidad a largo plazo del diente. Este documento analiza un enfoque más conservador para el tratamiento de los dientes con decoloración. El caso ...

  12. Técnica de aclaramiento para dientes tratados endodónticamente con antecedentes de trauma dentoalveolar - reporte de caso

    OpenAIRE

    Mariño Poveda, Adriana Carolina

    2014-01-01

    La pigmentación, de un diente anterior no vital es una preocupación estética común para muchos pacientes. Los dientes no vitales con decoloración están comprometidos, debido a un trauma previo, caries y endodoncia. Las opciones de tratamiento rehabilitador son invasivas y debilitan la estructura dental remanente, cuestionando la viabilidad a largo plazo del diente. Este documento analiza un enfoque más conservador para el tratamiento de los dientes con decoloración. El caso ...

  13. FACTORES DE RIESGO DE FLUOROSIS DENTAL EN ESCOLARES DE LA I.E.P. N°40088 REYNO DE BÉLGICA DEL DISTRITO DE UCHUMAYO. AREQUIPA, 2013

    OpenAIRE

    GUEVARA MAMANI, LOURDES ISABEL

    2014-01-01

    FLUOROSIS DEFINICIÓN PATOGENIA CARACTERÍSTICAS CLÍNICAS DE LA FLUOROSIS DENTAL ÍNDICE DE FLUOROSIS REGISTRO DE LA FLUOROSIS DENTAL ÍNDICE COMUNITARIO DE FLUOROSIS DENTAL FLÚOR EN LA SAL DENTÍFRICOS FLUORADOS FLÚOR DE APLICACIÓN PROFESIONAL ENJUAGUES FLUORADOS BEBIDAS PREPARADAS CON AGUA FLUORADA PREVENCIÓN DE LA FLUOROSIS DENTAL

  14. UTILIZACIÓN DEL ACRÍLICO DENTAL (metil metacrilato) COMO BARRA ESTABILIZADORA-CONECTORA PARA REDUCCIONES CERRADAS EN FRACTURAS DE TIBIA/PERONÉ O RADIO/CÚBITO EN CANINOS

    OpenAIRE

    Cavero A., Francisco; Fernández A., Víctor; Clínica de Animales Menores, Facultad de Medicina Veterinaria, Universidad Nacional Mayor de San Marcos, Lima-Perú.

    2012-01-01

    El metil metacrilato (mmc) es una resina acrílica utilizada en moldes para fabricar prótesis dentales y puede cumplir la función de barra estabilizadora-conectora en la reducción de fracturas, permitiendo la colocación de clavos en planos múltiples. El presente trabajo tuvo como objetivo comprobar que el acrílico dental sirve como barra conectora en la fijación externa esquelética, y demostrar que es posible fijar las fracturas con un método poco traumático, alejado del foco fracturario, para...

  15. UTILIZACIÓN DEL ACRÍLICO DENTAL (metil metacrilato) COMO BARRA ESTABILIZADORA-CONECTORA PARA REDUCCIONES CERRADAS EN FRACTURAS DE TIBIA/PERONÉ O RADIO/CÚBITO EN CANINOS

    OpenAIRE

    Cavero A., Francisco; Fernández A., Víctor; Clínica de Animales Menores, Facultad de Medicina Veterinaria, Universidad Nacional Mayor de San Marcos, Lima Perú.

    2012-01-01

    El metil metacrilato (mmc) es una resina acrílica utilizada en moldes para fabricar prótesis dentales y puede cumplir la función de barra estabilizadora-conectora en la reducción de fracturas, permitiendo la colocación de clavos en planos múltiples. El presente trabajo tuvo como objetivo comprobar que el acrílico dental sirve como barra conectora en la fijación externa esquelética, y demostrar que es posible fijar las fracturas con un método poco traumático, alejado del foco fracturario, para...

  16. Clinical audit of children with permanent tooth injuries treated at a dental hospital in Ireland.

    LENUS (Irish Health Repository)

    Stewart, C

    2011-02-01

    To audit key demographic and clinical factors relating to treatment of trauma to the permanent dentition at the Paediatric Dental Department, Cork University Dental School and Hospital, Ireland and to compare clinical management with guideline recommendations.

  17. Traumatic dental injuries and their association with malocclusion in the primary dentition of Irish children.

    LENUS (Irish Health Repository)

    Norton, Eimear

    2012-02-01

    This study sought to establish the prevalence of traumatic dental injuries in the primary dentition of Irish children and to investigate the relationship between dental trauma and non-nutritive sucking habits.

  18. FACTORES ASOCIADOS A LA FLUOROSIS DENTAL EN ESCOLARES DEL COLEGIO NACIONAL JOSE DOMINGO ZUZUNAGA OBANDO, UCHUMAYO-AREQUIPA 2015

    OpenAIRE

    BÉJAR DE CALDERÓN, ZAIDA MOYA

    2016-01-01

    FLÚOR DINÁMICA DEL FLÚOR ADMINISTRACIÓN DEL FLÚOR FLÚOR TÓPICO FLÚOR SISTÉMICO INTOXICACIÓN AGUDA TOXICIDAD CRÓNICA: FLUOROSIS PATOGÉNESIS ASPECTOS CLÍNICOS DIAGNÓSTICO DIFERENCIAL ASPECTOS EPIDEMIOLÓGICOS FACTORES DETERMINANTES FACTORES DE RIESGO FACTORES DE PROTECCIÓN ÍNDICES DE FLUOROSIS

  19. Odontogenic maxillary sinusitis obscured by midfacial trauma.

    Science.gov (United States)

    Simuntis, Regimantas; Kubilius, Ričardas; Ryškienė, Silvija; Vaitkus, Saulius

    2015-01-01

    We present a case of odontogenic maxillary sinusitis whose sinonasal symptomatology was thought to be the consequence of a previous midfacial trauma. The patient was admitted to the Clinic of Oral and Maxillofacial Surgery after more than 10 years of exacerbations of sinonasal symptoms, which began to plague soon after a facial contusion. We decided to perform CT of paranasal sinuses, and despite the absence dental symptomatology, the dental origin of sinusitis was discovered. The majority of sinonasal symptoms resolved after appropriate dental treatment, and there was no need for nasal or sinus surgery.

  20. Dentoalveolar trauma and minor trauma as precipitating factors for medication-related osteonecrosis of the jaw (ONJ)

    DEFF Research Database (Denmark)

    Yazdi, Pouya Masroori; Schiodt, Morten

    2015-01-01

    OBJECTIVE: Medication-related osteonecrosis of the jaw (ONJ) is often preceded by dentoalveolar trauma. The aim of this study was to examine the frequency of dentoalveolar trauma precipitated ONJ and compare trauma-precipitated ONJ with spontaneously developing ONJ. STUDY DESIGN......: This was a retrospective study. All patients were examined according to a standard ONJ chart. RESULTS: Among 149 consecutive ONJ patients from the Copenhagen Cohort, 95 (64%) had a dentoalveolar trauma before referral (trauma group): dental extractions (n = 80); denture-related sore mouth (n = 12); and others (n = 3......). The remaining 54 patients had spontaneous ONJ (spontaneous group). The mean time from oral trauma to referral for ONJ was 8 months. CONCLUSION: This study documented that dentoalveolar trauma precipitated ONJ in the majority of cases. However, even minor trauma, such as intubation and impression tray lesions...

  1. Morfología dental y distancias biológicas entre tres grupos funerarios prehispánicos asociados a la tradición cultural Sonso del Valle del Cauca, Colombia (siglos X al XII d.c.

    Directory of Open Access Journals (Sweden)

    Rodríguez Flores, Carlos D.

    2005-01-01

    Full Text Available Estudios arqueológicos sobre poblaciones prehispánicas del sur occidente colombiano sugieren que existe una continuidad cultural expresada en los patrones de cultura material. La biología de la población que perteneció a la tradición cultural Sonso aún no se conoce. Por esta razón, no se han formulado aún hipótesis sobre la condición biológica y genética de este grupo humano prehispánico y sus orígenes asociados a patrones de poblamiento y adaptación en esta región de Colombia. Se describe la variación morfológica y el patrón dental intragrupal de la población prehispánica excavada en el Municipio de Yumbo, Departamento del Valle del Cauca en Colombia y portadora de la tradición cultural Sonso ubicada en el durante los siglos XI y XII d.C. Mediante la observación de la prevalencia de 51 rasgos en la morfología coronal de dientes temporales y permanentes se determinan las relaciones biológicas entre los miembros de los grupos funerarios y se infieren relaciones genéticas e históricas entre los integrantes de esta población. Se encontró que el patrón morfológico de algunos rasgos cambia a entre los siglos X y XII d.C. Esto es explicado como resultado de posible contacto con otros grupos provenientes del sur.

  2. Children and Facial Trauma

    Science.gov (United States)

    ... an ENT Doctor Near You Children and Facial Trauma Children and Facial Trauma Patient Health Information News ... staff at newsroom@entnet.org . What is facial trauma? The term facial trauma means any injury to ...

  3. The prevalence, causes, and relativity of dental anxiety in adult patients to irregular dental visits.

    Science.gov (United States)

    Gaffar, Balgis O; Alagl, Adel S; Al-Ansari, Asim A

    2014-06-01

    To assess the frequency and causes of dental anxiety and their relation to irregular dental visits among adult dental patients. The Dental Anxiety Question (DAQ) included within a self-administered questionnaire was distributed to 1025 patients attending the Interns' Dental Clinics in the Department of Preventive Dental Sciences, College of Dentistry, University of Dammam, Dammam, Kingdom of Saudi Arabia from March 2012 to February 2013. A cross-sectional study design was used. The questionnaire consisted of 22 closed-ended questions divided into 4 sections; 1) demographics, 2) regularity of dental visits, and related causes, 3) DAQ, cancellation of dental appointments, history of previous trauma, dental anxiety provoking factors within dental environment and procedures, and 4) patients' status in dental clinics, preferences of dentists, and perceptions regarding dental anxiety. The prevalence of dental anxiety among the study sample was 27%. Anesthetic injection was the main factor of dental fear (88.2%), while dental surgical procedures (35.7%) and extractions (23%) were the most terrifying dental procedures. Lack of time (79.5%), cost (71.5%), far-situated dental services (62.2%), and fear (57.1%) were causes listed for irregular dental visits; while 31.3% had no specific reason. Irregular dental visits were not related to dental anxiety. Dental anxiety continues to be an obstacle despite the vast improvement in dentistry; and this raises an alert regarding personal and communication factors in the patient-dentist relationship. Factors such as equal distribution of dental services, time, and cost should also be addressed.

  4. Ballistic trauma

    Directory of Open Access Journals (Sweden)

    Parvathi Devi Munishwar

    2016-01-01

    Full Text Available Gunshot injuries are rather serious but uncommon type of trauma in India. Radiologists can contribute substantially in the evaluation and treatment of patients with gunshot wounds. Foreign bodies that enter a patient as a result of trauma are contaminated and produce a range of symptoms. Oral and maxillofacial gunshot injuries are usually fatal due to close proximity with vital structures. Here, we report a case in which radiographic evidence of foreign bodies in the right orofacial region exposed a history of a gunshot injury. The patient did not have any major complaints except for reduced mouth opening. These foreign bodies were clinically silent for approximately 12 years.

  5. Facial and Dental Injuries Facial and Dental Injuries in Karate.

    Science.gov (United States)

    Vidovic-Stesevic, Vesna; Verna, Carlalberta; Krastl, Gabriel; Kuhl, Sebastian; Filippi, Andreas

    2015-01-01

    Karate is a martial art that carries a high trauma risk. Trauma-related Swiss and European karate data are currently unavailable. This survey seeks to increase knowledge of the incidence of traumatic facial and dental injuries, their emergency management, awareness of tooth rescue boxes, the use of mouthguards and their modifications. Interviews were conducted with 420 karate fighters from 43 European countries using a standardized questionnaire. All the participants were semi-professionals. The data were evaluated with respect to gender, kumite level (where a karate practitioner trains against an adversary), and country. Of the 420 fighters interviewed, 213 had experienced facial trauma and 44 had already had dental trauma. A total of 192 athletes had hurt their opponent by inflicting a facial or dental injury, and 290 knew about the possibility of tooth replantation following an avulsion. Only 50 interviewees knew about tooth rescue boxes. Nearly all the individuals interviewed wore a mouthguard (n = 412), and 178 of them had made their own modifications to the guard. The results of the present survey suggest that more information and education in wearing protective gear are required to reduce the incidence of dental injuries in karate.

  6. El Programa Dental de Atención Infantil (PADI de Navarra y del País Vasco: logros y nuevas metas The Infant Oral Care Program (PADI of Navarra and the Basque Country: achievements and new goals

    Directory of Open Access Journals (Sweden)

    J.M. Freire

    2003-12-01

    Full Text Available Este trabajo analiza brevemente los resultados del Programa de Atención Dental Infantil (PADI del País Vasco (1990 y Navarra (1991 dirigido a niños de 6 a 15 años. A los 12 años, la ausencia de caries pasó en el País Vasco del 31 % en 1988 al 57 % en 1998, siendo del 58 % en Navarra (1997; el número de caries se redujo en Navarra en un 64 %, y un 54% en el País Vasco, y el índice de restauración fue del 81 % en Navarra y del 73 % en el País Vasco (era 17 % en 1988. Se destaca la importancia de una buena evaluación de estos programas y las oportunidades que abre el análisis comparado entre las comunidades autónomas españolas, para analizar la contribución de factores que son distintos, y valorar el impacto de los programas en las desigualdades sociales en salud. Los resultados del PADI superan los objetivos iniciales de los Planes de Salud de Navarra (1991 y del País Vasco (1990 y avalan la adopción de estos programas por parte de comunidades autónomas españolas. El desarrollo de estos programas plantea nuevos objetivos en la política de salud dental de Navarra y del País Vasco y, sobre todo, obliga a reflexionar sobre la necesidad de que España incluya la salud pública dental en su política de salud y de que el Sistema Nacional de Salud en su conjunto incluya los servicios dentales dentro de sus prestaciones.This paper briefly analyses the results of the Infant Dental Care Program (PADI of the Basque Country (1990 and Navarra (1991, aimed at children aged from 6 and 15 years. At the age 12, the lack of caries rose from 31% in 1988 to 57% in 1998 in the Basque Country, while it was 58% in Navarra (1997; the number of caries fell in Navarra by some 64% and by some 54% in the Basque Country, and the index of restoration was 81% in Navarra and 73% in the Basque Country (it was 17% in 1988. Emphasis is placed on the importance of a good evaluation of these programs and the opportunities that are opened up by the comparative

  7. Dental traumatology: an orphan in pediatric dentistry?

    DEFF Research Database (Denmark)

    Andreasen, Jens Ove; Lauridsen, Eva; Daugaard-Jensen, Jette

    2009-01-01

    Traumatic dental injuries are very frequent during childhood and adolescence. In fact, 2 out of 3 children have suffered a traumatic dental injury before adulthood. This fact links dental traumatology to pediatric dentistry. Unfortunately, this is not reflected by active participation by pediatric...... dentists in acute treatment, follow-up, and research. To examine the status of pediatric dentistry in relation to dental trauma, a publication analysis was undertaken in 1980, 1990, 2000, and 2007 about trauma articles published in 4 pediatric journals: journal of Dentistry for Children, Pediatric...... Dentistry, The journal of Pedodontics, and the International journal of Pediatric Dentistry. This study shows an average publication rate of trauma articles of approximately 3 percent of all articles published and with no improvement in later decennia. If only clinical studies are considered (leaving out...

  8. Dental traumatology: an orphan in pediatric dentistry?

    DEFF Research Database (Denmark)

    Andreasen, Jens Ove; Lauridsen, Eva; Daugaard-Jensen, Jette

    2009-01-01

    Traumatic dental injuries are very frequent during childhood and adolescence. In fact, 2 out of 3 children have suffered a traumatic dental injury before adulthood. This fact links dental traumatology to pediatric dentistry. Unfortunately, this is not reflected by active participation by pediatric...... dentists in acute treatment, follow-up, and research. To examine the status of pediatric dentistry in relation to dental trauma, a publication analysis was undertaken in 1980, 1990, 2000, and 2007 about trauma articles published in 4 pediatric journals: journal of Dentistry for Children, Pediatric...... Dentistry, The journal of Pedodontics, and the International journal of Pediatric Dentistry. This study shows an average publication rate of trauma articles of approximately 3 percent of all articles published and with no improvement in later decennia. If only clinical studies are considered (leaving out...

  9. Análisis químico del esmalte dental humano tratado con una sustancia remineralizante experimental

    OpenAIRE

    González García, Jennifer

    2015-01-01

    El objetivo de este trabajó fue analizar químicamente el efecto de la aplicación de una sustancia remineralizante experimental (SRM) sobre el esmalte dental humano. Se tomaron 40 molares humanos repartidos aleatoriamente en 4 grupos, cada uno de 10 especímenes. Grupo 1: grupo sin tratamiento, Grupo 2: grupo tratado con peróxido de hidrógeno al 35%, Grupo 3. Grupo tratado con la sustancia remineralizante experimental, Grupo 4: grupo tratado con peróxido de hidrógeno al 35% y después con la sus...

  10. Claves para el reconocimiento taxonómico dentario en taxa del Superorden Squalomorphi de Chile (Chondrichthyes: Elasmobranchii Taxonomic dental keys for the Chilean taxa of the Superorder Squalomorphi (Chondricthyes: Elasmobranchii

    Directory of Open Access Journals (Sweden)

    Sylvia Sáez

    2010-01-01

    Full Text Available Se presenta una serie de claves para el reconocimiento dentario de diferentes taxa del Superorden Squalomorphi de Chile. Se seleccionaron características dentarias externas que permitan obtener una observación más expedita que conduzcan a un estudio más acabado, de la diagnosis de los diferentes taxa constituyentes de este grupo de peces, haciéndolas extensibles para estudios de piezas dentales fósiles.A series of taxonomic dental keys is presented for the Chilean taxa of the Superorder Squalomorphi. External dental characteristics were selected for easier observation, leading to more thorough studies. This allows diagnoses of the different taxa comprising this group of fishes and, moreover, can be extended to studies of fossil teeth.

  11. El trauma social del CRAC del 29

    OpenAIRE

    Cabrero Muñoz, María

    2016-01-01

    Estudio de como sucedió la crisis de 1929, las causas y consecuencias que tuvieron lugar, la solución a la crisis mediante el NEW DEAL, así como un análisis de la extensión geográfica tanto en Estados Unidos como en Europa; Para finalizar se realiza una comparación entre la crisis de 1929 y la crisis actual Grado en Relaciones laborales y recursos humanos

  12. Trauma Theory

    DEFF Research Database (Denmark)

    Pedersen, Bodil Maria

    There are two main trends in psychological approaches to human suffering related to what we term trauma. Although they have their respective limitations both approaches may help us explore and alleviate human suffering. One trend, primarily using concepts like traumatic events and traumatisation...

  13. Trauma Ultrasound.

    Science.gov (United States)

    Wongwaisayawan, Sirote; Suwannanon, Ruedeekorn; Prachanukool, Thidathit; Sricharoen, Pungkava; Saksobhavivat, Nitima; Kaewlai, Rathachai

    2015-10-01

    Ultrasound plays a pivotal role in the evaluation of acute trauma patients through the use of multi-site scanning encompassing abdominal, cardiothoracic, vascular and skeletal scans. In a high-speed polytrauma setting, because exsanguinations are the primary cause of trauma morbidity and mortality, ultrasound is used for quick and accurate detection of hemorrhages in the pericardial, pleural, and peritoneal cavities during the primary Advanced Trauma Life Support (ATLS) survey. Volume status can be assessed non-invasively with ultrasound of the inferior vena cava (IVC), which is a useful tool in the initial phase and follow-up evaluations. Pneumothorax can also be quickly detected with ultrasound. During the secondary survey and in patients sustaining low-speed or localized trauma, ultrasound can be used to help detect abdominal organ injuries. This is particularly helpful in patients in whom hemoperitoneum is not identified on an initial scan because findings of organ injuries will expedite the next test, often computed tomography (CT). Moreover, ultrasound can assist in detection of fractures easily obscured on radiography, such as rib and sternal fractures.

  14. Mudanças nos papéis sociais: uma conseqüência do trauma crânio-encefálico para o cuidador familiar Cambios en los roles sociales: una consecuencia del trauma cráneo-encefálico para el cuidador familiar Changes in social roles: a consequence of traumatic brain injury for the family caregiver

    Directory of Open Access Journals (Sweden)

    Edilene Curvelo Hora Serna

    2006-04-01

    Full Text Available O objetivo do estudo foi conhecer as mudanças nos papéis sociais do cuidador após o trauma crânio-encefálico (TCE, relacionando-as com o grau de importância desses papéis e com a condição da vítima seis meses ou mais após o TCE. Desenvolvido no Ambulatório de Trauma de Crânio do Hospital das Clínicas da Universidade de São Paulo com 50 cuidadores e 50 vítimas de TCE, por meio de entrevista e análise de prontuário. Foi utilizado na entrevista, com o cuidador, um checklist para identificar as mudanças e importância dos papéis sociais por eles desempenhados. Concluiu-se que os pap��is que mais sofreram interrupção em razão do trauma foram: amigo, amador/passatempo, membro da família e trabalhador, o papel de ser um cuidador foi o que apresentou mais modificação. Não houve associação entre mudança de papéis e as variáveis: condição da vítima após TCE e importância dos papéis sociais para o cuidador.El objetivo del estudio fue conocer los cambios en los roles sociales del cuidador después del trauma cráneo-encefálico (TCE, relacionándolos con el grado de importancia de esos roles y con la condición de la víctima seis meses o más después del TCE. La investigación fue desarrollada en el Ambulatorio de Trauma de Cráneo del Hospital das Clínicas de la Universidad de São Paulo con 50 cuidadores y 50 víctimas de TCE, por medio de entrevistas y análisis de prontuarios. Fue utilizado en la entrevista con el cuidador un checklist para identificar los cambios y la importancia de los roles sociales por ellos desempeñados. Se concluye que los roles que más sufrieron interrupción en razón del trauma fueron: amigo, amador/pasatiempo, miembro de familia y trabajador. El rol de cuidador fue el que más presento modificación. No hubo asociación entre el cambio de los roles y las variables de: condición de la víctima después del TCE y importancia de los roles sociales para el cuidador.The purpose was to

  15. ANALISIS DESCRIPTIVO DE LA RESPUESTA DEL COMPLEJO PULPO-DENTINAL DE ORGANOS DENTALES DE UNA POBLACION PREHISPANICA CAZADORA-RECOLECTORA

    National Research Council Canada - National Science Library

    María Clemencia Vargas Vargas; Diana Lucía Meléndez Medina; Leidy Janeth Romero López

    2012-01-01

    .... Este componente es el que más resiste a la descomposición, debido a que al terminar su calcificación, el diente se conforma definitivamente y por tal razón no sufre ningún cambio. A excepción del desgaste mecánico o atrición...

  16. Trauma ocular y politrauma Ocular trauma and multitrauma

    Directory of Open Access Journals (Sweden)

    Dunia Cruz Izquierdo

    2012-01-01

    Full Text Available Se realizó una revisión sobre el trauma ocular y su manejo en pacientes politraumatizados. Entre las causas más frecuentes de trauma ocular se encuentran los accidentes domésticos, laborales, juegos, actividades recreativas y deportivas. Involucran en un alto por ciento a niños y jóvenes, y predomina el sexo masculino en casi todos los trabajos revisados. No solo en Cuba sino en el mundo, el trauma ocular es fuente importante de ceguera unilateral o bilateral. Se presenta un breve compendio de los términos y definiciones actuales que son utilizados para el manejo del trauma ocular, su clasificación y la ventaja que ofrece aplicar el Puntaje del Trauma Ocular, OTS (Ocular Trauma Score, para el pronóstico de la agudeza visual final de acuerdo a los hallazgos clínicos encontrados en la evaluación inicial. Se hace referencia a los pacientes con politrauma y los aspectos a tener en cuenta por el oftalmólogo para tomar conducta cuando estos presentan heridas penetrantes o perforantes y tienen compromiso vital. En estos casos se hace necesaria la colaboración urgente de múltiples especialistas para primero mantener al paciente con vida y luego disminuir las complicaciones que repercuten en su pronóstico visual.A review was made on the ocular trauma and its management in multitrauma patients. The most common causes comprise domestic and occupational accidents, games, recreational and sport activities. It involves more frequently a high percentage of young people, with male prevalence in almost all the reviewed papers. Ocular trauma is an important source of unilateral or bilateral blindness not only in Cuba but worldwide as well. A brief summary of the current terms and definitions used to manage ocular trauma, their classification and the advantage of the Ocular Trauma Score (OTS to know the possible final visual acuity, according to the clinical findings at the emergency room, were presented. Reference was also made to the multitrauma

  17. Evolución de los pacientes con trauma craneoencefálico en el Hospital Universitario del Valle: Seguimiento a 12 meses

    OpenAIRE

    Francisco Guzmán; María Claudia Moreno; Antonio Montoya

    2008-01-01

    Introducción: La principal causa de muerte en Colombia son las muertes violentas y de éstas entre 49% y 70% corresponden a trauma craneoencefálico. Existen publicaciones en Colombia que indican la epidemiología de esta catástrofe nacional, pero no realizan un seguimiento para conocer el estado neurológico-funcional posterior de estos pacientes.Objetivos: Conocer el estado funcional al año en pacientes con trauma craneoencefálico.Métodos: Se realizó seguimiento a una cohorte de personas que in...

  18. Depressão: uma possível consequência adversa do trauma crânio-encefálico para o cuidador familiar Depresión: una posible consecuencia adversa del trauma cráneo-encefálico para el cuidador familiar Depression: a possible adverse consequence of the traumatic brain injury for the family caregiver

    Directory of Open Access Journals (Sweden)

    Edilene Curvelo Hora Serna

    2005-06-01

    Full Text Available Estudo descritivo com abordagem quantitativa, desenvolvido no ambulatório do Trauma de Crânio com 50 cuidadores e 50 vítimas de Trauma Crânio-Encefálico, com o objetivo de verificar entre os cuidadores familiares a presença de sintomas depressivos e sua associação com o tempo decorrido do evento traumático e a condição da vítima seis meses ou mais após o trauma. O Inventário de Depressão de Beck foi aplicado aos cuidadores e a Escala de Resultados de Glasgow na avaliação da condição das vítimas, aplicados o teste Qui-quadrado de homogeneidade e o coeficiente de correlação de Pearson. Dos cuidadores avaliados 34% apresentaram resultados sugestivos de depressão, não houve associação entre a categorização pelo Inventário de Beck e classificação na Escala de Resultados de Glasgow e tempo do trauma, ou seja, a presença de sintomas depressivos no cuidador não parece estar relacionada com o estado da vítima e o tempo decorrido após o evento traumático.Un estudió descriptivo con abordaje cuantitativo fue desarrollado en el ambulatorio de Trauma de Cráneo con 50 cuidadores y 50 víctimas de Trauma Cráneo-Encefálico, con el objetivo de verificar entre los cuidadores familiares la presencia de síntomas depresivos y su asociación con el tiempo transcurrido del evento traumático y la condición de la víctima seis meses o más después del trauma. Fueron aplicados el Inventarió de Depresión de Beck a los cuidadores y la Escala de Resultados de Glasgow en la evaluación de la condición de las víctimas, aplicando los exámenes Qui-cuadrado de homogeneidad y el coeficiente de correlación de Pearson. De los cuidadores evaluados 34% presentaron resultados sugestivos de depresión, no hubo asociación entre la categorización por el Inventarío de Beck, la clasificación en la Escala de Resultados de Glasgow y el tiempo de trauma, o sea, la presencia de síntomas depresivos en el cuidador no parece estar relacionada

  19. Sequelae of Trauma to Primary Dentition

    Directory of Open Access Journals (Sweden)

    Cíntia ZEMBRUSKI-JABER

    2006-08-01

    Full Text Available Objective: The aim of this study was to determine the presence of clinical and radiographic signs of injury to the maxillary primary incisors and the children carers' knowledge about dental trauma ocurrence in a 45 children group from three to eight years old. Method: Before the clinical examination, the carers were asked about their children's dental trauma events. After that, took course the maxillary incisors clinical and radiographical examination, excluding the ones with caries, fillings, or pulpar treatments. Results: Discoloration (50.0% was the most common present sign of trauma followed by avulsion (17.6% and the pulp canal obliteration (56.3% was the major result of the radiographical signal. Boys had more trauma recorded than girls and the maxillary central incisors were the most vulnerable to injury. Besides, the amount of trauma recorded by clinical and radiographic examination was bigger than that reported in the questionnaire by mothers or children carers. Conclusion: The results related in this study reinforce the need of immediate attention to trauma on deciduous dentition and long term observation of the developing permanent successor.

  20. Complicaciones en el trauma raquimedular

    OpenAIRE

    M. López(Universidad Complutense, Madrid, Spain)

    2013-01-01

    El trauma raquimedular es un enfermedad que afecta principalmente a adultos jóvenes y suele resultar en muerte o discapacidad con sus complicaciones implícitas. Las personas con trauma raquimedular presentan complicaciones multisistemicas según el tipo y nivel de lesión, además, su aparición depende del manejo médico y terapéutico temprano. Entre las complicaciones más comunes se encuentran las respiratorias, cardiovasculares (hipotensión ortostatica, disrreflexia autonómica y trombosis venos...

  1. Cerebrovascular trauma

    Energy Technology Data Exchange (ETDEWEB)

    Krings, Timo [Hopital de Bicetre, Service de Neuroradiologie Diagnostique et Therapeutique, Paris (France); University Hospital Aachen, Department of Neuroradiology, Aachen (Germany); University Hospital, University of Technology, Aachen (DE), Departments of Neuroradiology and Neurosurgery, Aachen (Germany); Univ. of Technology, Aachen (Germany) Dept. of Neurosurgery; Geibprasert, Sasikhan [Hopital de Bicetre, Service de Neuroradiologie Diagnostique et Therapeutique, Paris (France); Ramathibodi Hospital Bangkok, Department of Radiology, Bangkok (Thailand); Lasjaunias, Pierre L. [Hopital de Bicetre, Service de Neuroradiologie Diagnostique et Therapeutique, Paris (France)

    2008-08-15

    Vascular injury of the head and neck region is a rare and often life-threatening complication of head or neck trauma and is due to two major pathomechanisms: penetrating or blunt trauma. Both the arterial and the venous site of the CNS vasculature can be involved, the latter one being often overlooked. Concerning arterial lesions, depending on how many layers of the arterial vessel are affected and on the spatial relationship to adjacent structures, dissections, false aneurysms or arteriovenous fistulae may develop. On the venous side, dural tears, compressive effects on pial veins and a deranged clotting system may lead to delayed venous thrombosis. In this review we describe clinical and imaging findings, as well as diagnostic and treatment strategies in these lesions. (orig.)

  2. PREVALENCIA DE DISCROMIA DENTAL EN LA POBLACIÓN DISTRITAL DE CCORCA CUSCO- 2013

    OpenAIRE

    BECERRA QUIÑONES, YULY VIOLETA

    2014-01-01

    DISCROMÍA DISCROMÍA DENTAL ALTERACIONES DEL COLOR DEL DIENTE TINCIONES INTRÍNSECAS PATOLOGÍAS DENTALES MATERIAL OBTURACIÓN, ENDODONCIA Y OTROS TINCIONES EXTRÍNSECAS TINCIONES METÁLICAS TINCIONES BACTERIANAS

  3. Dental root periapical resorption caused by orthodontic treatment

    Directory of Open Access Journals (Sweden)

    Pinandi Sri Pudyani

    2006-03-01

    Full Text Available Dental root resorption especially in maxillary incisive region almost always happens simultaneously with orthodontic treatment, and it gained researchers attention, in particular after the use of periapical radiography. However, the fundamental etiology of dental root resorption is still dubious. Multifactoral causes are mentioned, among others are hormonal, nutritition, trauma, dental root form and dental root structure anomalies, genetic, while from treatment side are duration, types, strength scale and dental movement types. Based on these findings, orthodontic treatment was proven to cause dental root resorption in maxillary incisive teeth.

  4. Dentoalveolar trauma.

    Science.gov (United States)

    Olynik, Christopher R; Gray, Austin; Sinada, Ghassan G

    2013-10-01

    Dentoalveolar injuries are an important and common component of craniomaxillofacial trauma. The dentition serves as a vertical buttress of the face and fractures to this area may result in malalignment of facial subunits. Furthermore, the dentition is succedaneous with 3 phases-primary dentition, mixed dentition, and permanent dentition-mandating different treatment protocols. This article is written for nondental providers to diagnose and treat dentoalveolar injuries.

  5. Determinación de la edad de muerte a través del análisis de la altura total de la corona dental en muestras del Holoceno temprano del sudeste de la región pampeana

    Directory of Open Access Journals (Sweden)

    Barrientos, Gustavo

    2001-01-01

    Full Text Available La exploración de nuevas vías metodológicas y técnicas que permitan inferir con mayor precisión la estructura etárea de muestras arqueológicas y que, al mismo tiempo, incorporen parámetros de marcada especificidad poblacional (i.e. desgaste dental, constituye actualmente un problema relevante en bioarqueología. El objetivo de este trabajo es presentar la metodología utilizada para la determinación de la edad de muerte basada en el análisis de la variación intramuestral en la altura total de la corona dental (ATC. Para ello se analizó una muestra de 18 individuos del sitio Arroyo Seco 2 (Pcia. de Buenos Aires; ca. 8000 a 6000 años AP. La ATC, definida como la sumatoria de las alturas linguales y bucales de la corona de cada pieza dental, se midió en la totalidad de los dientes permanentes presentes (400 piezas dentales. Con los datos correspondientes al M1, M1 y M2 de los individuos subadultos, se generaron nueve curvas suavizadas por ponderación exponencial negativa con intersección en x= 0 a los 55, 60 y 65 años para al M1 y M1 y 61, 66 y 71 años para M2. Las edades de los individuos adultos se calcularon mediante el uso de cada uno de los modelos de curvas generados, promediándose los resultados obtenidos para cada diente y obteniéndose la media ponderada de las mismas. Finalmente, se compararon las distribuciones de edades resultantes con las derivadas del análisis de la sínfisis púbica y de la superficie auricular del ilion. Se concluye que el conjunto de los resultados obtenidos permite considerar a la media ponderada como la mejor estimación de la edad de muerte de los individuos que integran la muestra, debido a que ésta presentó la mejor correlación (R= 0,84 con las edades derivadas del uso de otros indicadores.

  6. Mouthguard use and dental injury in sport: a questionnaire study of national school children in the west of Ireland.

    LENUS (Irish Health Repository)

    O'Malley, Margaret

    2012-10-15

    The risk of children getting dental injuries during sport can be minimised by using a mouthguard. Within Ireland, information on mouthguard use and policy is limited. The extent of dental trauma experienced by children during sport is also unclear.

  7. Trauma cardiaco cerrado

    Directory of Open Access Journals (Sweden)

    Camilo Alvarado

    2016-01-01

    Full Text Available El trauma cardiaco constituye una de las primeras causas de mortalidad en la población general. Requiere alto índice de sospecha en trauma cerrado severo, mecanismo de desaceleración y en presencia de signos indirectos como: equimosis, huella del volante o del cinturón en el tórax anterior. Las lesiones incluyen: conmoción cardiaca, ruptura cardiaca, lesión cardiaca indirecta como la trombosis coronaria aguda, lesión aórtica, lesión del pericardio y herniación cardiaca. Entre las manifestaciones clínicas están: la angina refractaria a nitratos, el dolor pleurítico, la hipotensión arterial, la taquicardia, la ingurgitación yugular que aumenta con la inspiración, el galope por tercer ruido, el frote pericárdico, los soplos de reciente aparición, los estertores crepitantes por edema pulmonar. El electrocardiograma es el primer eslabón en el algoritmo diagnóstico con hallazgos como: la taquicardia sinusal, los complejos ventriculares prematuros, la fibrilación auricular, el bloqueo de rama derecha y los bloqueos auriculoventriculares. La radiografía de tórax ayuda a descartar lesiones adicionales óseas y pulmonares. La troponina I tiene un valor predictivo negativo del 93% para el trauma cardiaco, otras enzimas como la creatina quinasa total y la creatina quinasa fracción MB son menos específicas. El ecocardiograma está indicado en caso de hipotensión persistente, electrocardiograma con alteraciones o falla cardiaca aguda. El tratamiento incluye la estabilización inicial y un manejo específico de las lesiones. Entre las complicaciones se incluyen: el taponamiento cardiaco, la contusión miocárdica, el síndrome coronario agudo, las arritmias cardíacas y la lesión aórtica. El pronóstico se determina en mayor medida por los signos vitales al ingreso y la presencia de paro cardiaco durante el abordaje inicial.

  8. Clinical--imaging aspects of young permanent teeth traumas and the ethiopatogenic mechanisms involved.

    Science.gov (United States)

    Nemţoi, A; Dănila, I; Lăduncă, Oana; Petcu, Ana; Bamboi, Ana; Haba, Danisia

    2013-01-01

    Dental trauma occurring to children and teenagers all over the world represents a serious issue in Public Health. This present study wants to investigate the etiology and the environment in which the dental trauma occurs and also wants to establish a connection between dental trauma and social-economic status. The study was made to collect information about dental trauma on human subjects involving 372 children and teenagers, both female and male, between 8 and 20 years of age. The data obtained from the clinical and radiological exams for each patient have been registered in a special conceived register, which represented a stage of the study. The frequency of dental trauma varied from 62.1% for males to 37.9% for women. Most of them have suffered from dental trauma between the age of 14 and 16 (30.1%), and a few between 18 and 20 years (2.2%). Dental trauma has occurred most frequently in school, during sports lessons, followed by those in public places like the street (23.1%), from which 17.1% have been associated with bicycle accidents, 3.5% with scooter accidents and 2.5% with car accidents. Children and teenagers who live in areas with a low social economic level have been the fewest to seek medical attention due to difficult access to medical services. Overall, this study wanted to present the importance of knowing the frequency of dental trauma in children and teenagers and to point out the need of promoting medical education to parents regarding the means they can use to reduce the risk factors associated with dental trauma.

  9. Dental Trauma: An inside to Avulsion Teeth

    OpenAIRE

    Mendes PhD, Beatriz

    2015-01-01

    Several studies shows that a wide range from 3-16% of dentoalveolar traumatic injuries result in avulsion. The ideal treatment for avulsion would be the reimplantation of the tooth. Thus, it is recommended to replant the tooth as quickly as possible. However, immediate repositioning of teeth is not always possible, so the choice of a suitable storage medium for maintenance of Periodontal Ligament cell viability is of extreme importance for the success of replantation. At the present article a...

  10. Prevalencia y caracterización del trauma dentoalveolar en niños y adolescentes atendidos por el servicio de salud oral en la Fundación HOMI Hospital de la Misericordia en el período febrero 2010- enero 2013

    OpenAIRE

    2013-01-01

    Prevalencia y caracterización del trauma dentoalveolar en niños y adolescentes atendidos por el servicio de salud oral en la Fundación HOMI Hospital de la Misericordia en el período febrero 2010- enero 2013

  11. Efecto del galio sobre la susceptibilidad a la corrosión de una aleación Ni-Cr de uso dental

    Directory of Open Access Journals (Sweden)

    Riesgo, O.

    1996-10-01

    Full Text Available Due to the high price of gold and its alloys, alternative alloys of non noble metals have been developed for use in fixed dental prosthesis. These are Ni-Cr and Co-Cr alloys. Usually fixed prosthesis are joined and then covered with a ceramic layer and for this purpose good castability and adherence with ceramics are required. The castability of Ni-Cr alloys is good and so is their adherence to the ceramic layer. However, a new Ni-Cr alloy with addition of gallium has been produced. In the present work the corrosion properties of a Ni-Cr-Ga alloy in oral environments are analyzed. The results show that the addition of gallium to a Ni-Cr alloy does not produce a modification on the corrosion properties of Ni-Cr alloys.

    Las aleaciones Ni-Cr se emplean ampliamente en odontología debido a su buena resistencia a la corrosión en medios orales, a su adecuada adherencia a la cerámica y a su aceptable biocompatibilidad (aunque este último tópico es un tema seriamente cuestionado en los últimos años. Sin embargo, han aparecido recientemente en el mercado una serie de aleaciones Ni-Cr con un contenido de galio del orden del 7 %, debido a que esta adición mejoraría las propiedades de la aleación frente a la cocción con cerámica. No obstante, no se han llevado a cabo trabajos de laboratorio que demuestren que este material aleado con galio siga presentando buenas propiedades frente a la corrosión como la de los materiales sin adiciones de galio. El objetivo del presente trabajo fue comparar la susceptibilidad a la corrosión de una aleación Ni-Cr con la de una aleación Ni-Cr-Ga, en soluciones de iones agresivos presentes en la saliva natural. Los resultados mostraron que la presencia de galio no modifica sustancialmente la resistencia a la corrosión de las aleaciones Ni-Cr.

  12. Fatores de risco para dependência após trauma crânio-encefálico Factores de riesgo para la dependencia despues del trauma crâneo-encefálico Risk factors for dependency after traumatic brain injury

    Directory of Open Access Journals (Sweden)

    Regina Márcia Cardoso de Sousa

    2005-12-01

    Full Text Available OBJETIVO: identificar entre as características das vítimas de trauma crânio-encefálico contuso (idade, sexo, escolaridade, antecedentes, tempo de internação, complicações pós-traumáticas e indicadores da gravidade do trauma e lesão craniana fatores de risco para prognóstico desfavorável. MÉTODOS: análise de 63 vítimas, com idade entre 12 e 65 anos, em seguimento ambulatorial em centro para atendimento de trauma, entre 6 meses e 3 anos após evento traumático. Utilizando-se a regressão logística múltipla foi construído um modelo para condição funcional. RESULTADOS: indivíduos que alcançaram pontuação 5 no máximo Abbreviated Injury Scale da região cabeça tiveram 4,89 vezes mais chance de dependência quando comparados com os que apresentaram escore menor. Vítimas internadas durante 12 dias ou mais mostraram 5,76 vezes mais chance para se tornarem dependentes em relação às demais. CONCLUSÃO: os fatores de risco para dependência foram o máximo Abbreviated Injury Scale da região cabeça e o tempo de internação.OBJETIVO: identificar entre las características de las víctimas con trauma encéfalo craneano (edad, sexo, escolaridad, antecedentes, tiempo de internamiento, complicaciones post traumáticas e indicadores de gravedad del trauma y lesión craneana factores de riesgo para pronóstico desfavorable. METODOS: análisis de 63 víctimas, con edades entre 12 y 65 años, con seguimiento ambulatorio en un centro de atención de trauma, entre 6 meses a 3 años posteriores al evento traumático. Se utilizó la regresión logística múltiple y fue construido un modelo para condición funcional. RESULTADOS: los individuos que alcanzaron puntuación de 5 como máximo en la Abbreviated Injury Scale de la región de la cabeza tuvieron 4,89 veces más oportunidad de dependencia que los que presentaron menor escore. Las víctimas internadas durante 12 días o más mostraron 5,76 veces más oportunidad de tornarse

  13. Emergency treatment of dentoalveolar trauma: essential tips for treating active patients.

    Science.gov (United States)

    Honsik, Kenneth A

    2004-09-01

    Dentoalveolar trauma in sports is common. One third of dental injuries in the United States occur in sports-related activities, so team physicians should be able to recognize and properly treat dental injuries on the field. Tooth fracture, luxation, avulsion, and socket injury are the main types of dentoalveolar trauma. In many cases, other maxillofacial trauma can be associated with dental injuries, so physicians who examine these patients should be aware of additional associated injuries. Tooth injury is often preventable with the appropriate use of properly fitted mouth guards. Physicians should be familiar with different types and be able to suggest the correct mouth guard for a given activity.

  14. Implantes dentales en pacientes adultos postrauma dentoalveolar. Estudio descriptivo

    Directory of Open Access Journals (Sweden)

    Edgardo González

    2016-04-01

    Conclusiones: En este estudio se presenta un protocolo establecido y se establece la necesidad de un diagnóstico detallado para planificar la rehabilitación mediante implantes dentales posterior a un trauma con un equipo multidisciplinario.

  15. La música como medio alternativo en la modificación de la conducta del niño durante el tratamiento dental Cruz CM, Díaz-Pizán ME. La música como método alternativo en la modificación

    OpenAIRE

    Cruz Chu, Carlos Miguel; Facultad de Estomatología, Universidad Peruana Cayetano Heredia. Lima,; Díaz-Pizán, María E.; Facultad de Estomatología, Universidad Peruana Cayetano Heredia. Lima,

    2014-01-01

    El manejo de la ansiedad en un niño es un aspecto crítico del procedimiento dental. Por estarazón, muchas técnicas que envuelven métodos no farmacológicos han sido usadas para manejarla conducta del niño en el consultorio dental. El propósito del presente estudio fue evaluar elempleo de la música como una herramienta en la modificación de la conducta del niño, a fin deobtener un mayor grado de colaboración y satisfacción durante el tratamiento dental. Lamuestra estuvo constituida por 50 niños...

  16. Trauma Theory

    DEFF Research Database (Denmark)

    Pedersen, Bodil Maria

    There are two main trends in psychological approaches to human suffering related to what we term trauma. Although they have their respective limitations both approaches may help us explore and alleviate human suffering. One trend, primarily using concepts like traumatic events and traumatisation...... and situated meanings and practices related to suffering and resilience connected to ‘traumatic’ events. This presentation is based on a large qualitative research project. Inspired by this study it will explore the possibilities of developing the theoretical understanding of personal meanings of violent and...

  17. La "Visión de los vencidos" y "La brevissima relación": trauma y denuncia en la construcción del sujeto indígena en México

    OpenAIRE

    Leetoy, Salvador

    2007-01-01

    Este ensayo tiene por objetivo el análisis de una de las formas de construcción ideológica que subjetiva al indígena a la luz de dos textos: “La brevíssima relación de la destrucción de las Indias”, de Fray Bartolomé de Las Casas, y la compilación de las crónicas indígenas de la “Visión de los vencidos”, de Miguel León-Portilla. Estas obras relatan el grave sufrimiento y trauma histórico que dejó la Conquista en los pueblos ab(origen)es de este continente. Dichas narraciones del desastre se c...

  18. La Visión de los vencidos y la Brevissima relación: Trauma y denuncia en la construcción del sujeto indígena en México

    OpenAIRE

    Salvador Leetoy

    2007-01-01

    Este ensayo tiene por objetivo el análisis de una de las formas de construcción ideológica que subjetiva al indígena a la luz de dos textos: La brevíssima relación de la destruyción de las Indias, de Fray Bartolomé de Las Casas, y la compilación de las crónicas indígenas de la Visión de los vencidos, de Miguel León-Portilla. Estas obras relatan el grave sufrimiento y trauma histórico que dejó la Conquista en los pueblos ab(origen)es de este continente. Dichas narraciones del desastre se conv...

  19. Variabilidad morfométrica dental en muestras arqueológicas tardías del sudeste de la región pampeana y noreste de Patagonia

    Directory of Open Access Journals (Sweden)

    Bernal, Valeria

    2003-01-01

    Full Text Available Recientemente, se ha postulado la ocurrencia de un proceso de expansión demográfico y geográfico de las poblaciones del norte de Patagonia durante el Holoceno tardío, con posterioridad a la denominada Anomalía Climática Medieval (ca. 800 - 1350 AD. En el marco del proyecto "La Dinámica Evolutiva de Poblaciones y Metapoblaciones Humanas en las Regiones Pampeana y Patagónica (33°- 52° Lat. Sur durante el Holoceno Tardío" (Subsidio de Inicio de Carrera Fundación Antorchas Nº 14116-111 se están desarrollando estudios orientados a analizar la variación morfológica craneal y postcraneal de las poblaciones humanas de ambas regiones, con el fin de discutir la dinámica poblacional durante el Holoceno tardío. En este contexto, el objetivo del presente trabajo es analizar la variabilidad morfométrica dental de muestras diacrónicas procedentes del SE de la Región Pampeana y NE de Patagonia (v.g. valles de los ríos Chubut y Negro, litoral atlántico sudbonaerense. Las variables consideradas incluyen diámetros mesiodistales y bucolinguales sobre la corona dental y el margen cervical, medidos sobre piezas dentales permanentes. Los resultados obtenidos mediante el empleo de test estadísticos uni y multivariados, serán discutidos con relación al resto de la evidencia morfológica actualmente disponible para ambas regiones.

  20. Impacto do traumatismo dentário na qualidade de vida de crianças e adolescentes: revisão crítica e instrumentos de medida The impact of dental trauma on quality of life of children and adolescents: a critical review and measurement instruments

    Directory of Open Access Journals (Sweden)

    Lívia Azeredo Alves Antunes

    2012-12-01

    Full Text Available O traumatismo dentário constitui-se em um problema de saúde pública com elevada prevalência, tanto em crianças como em adolescentes brasileiros. Aliado a isso, essa injúria pode ocasionar perdas dentais irreparáveis, o que torna importante avaliar o impacto dessa condição por meio de instrumentos de qualidade de vida relacionada à saúde bucal (QVRSB. Baseado nisso, a presente revisão de literatura, teve o propósito de expor índices existentes que possam avaliar a Qualidade de Vida (QV em crianças e adolescentes brasileiros com traumatismo dentário, bem como apresentar o estado da arte dos trabalhos dessa condição na QVRSB dos mesmos e, em seguida, discutir a problematização sobre a produção encontrada a respeito do tema. Para tanto, priorizaram-se os artigos publicados de 1980 a junho/2011, pesquisados em bases de dados (Pubmed, BVS, Google Scholar ou manualmente nas referências das publicações selecionadas. A partir deste trabalho, pôde ser constatado que não há instrumento específico para traumatismo dentário, sendo necessário utilizar índices voltados para avaliação da QVRSB em crianças e adolescentes presentes na literatura. Através deles, questões ainda não elucidadas sobre o impacto de traumatismos dentários na QVRSB poderão ser respondidas.Dental trauma constitutes a public health problem with a marked prevalence among Brazilian children and adolescents. Furthermore, it can lead to irreparable dental loss, which makes it important to evaluate this condition using instruments of oral health related to quality of life (OHRQoL. Based on this, a review of the literature sought to expose indices that may assess the evaluation of quality of life among Brazilians with dental trauma, as well as discuss the state of the art of publications about this condition on their OHRQoL followed by a discussion of the output encountered on the subject. With this in mind the articles published from 1980 to June/2011

  1. Health assessment fluoride levels above the parametric value in water for human consumption in relation to the prevalence of caries and dental fluorosis in school children 12 years of age Valoración sanitaria de la superación del valor paramétrico de fluoruro en agua de consumo humano en relación con la prevalencia de caries y fluorosis dental en escolares de doce años de edad

    Directory of Open Access Journals (Sweden)

    Gladis Gómez Santos

    2008-12-01

    Full Text Available Real Decreto 140/2003 of February 7, provides the opportunity to request approval of a temporary exception to the parametric value for the parameter B of Annex I, including fluoride. The work presented aims at testing the effect of water with fluoride levels above the parametric value on the prevalence of caries and dental fluorosis, total and by grade, in the permanent dentition of schoolchildren in 12 years in order to establish the basis for the valuation of non-compliance and health decisions to applications for permits for temporary emergency situations and new parametric value. Sixty students were explored in a municipality of Tenerife where the concentration of fluoride in the water for human consumption has remained at 2,7 ± 0,5 mg / L, ie around the value ± 0,5 considered adequate to prevent dental caries and minimize the occurrence of dental fluorosis. The methodology used is standardized by the WHO. The examination included the recording of caries and dental fluorosis measured by the index Thylstrup and Fejerskov (TF. There was a prevalence of dental caries of 38,33%, with a CAOD 0,87 and 81,67% of dental fluorosis: 35% for TF1-2, a 31,67% for TF3-4 and 15 % for grades TF5-9.Passing the values established requires the establishment of measures for health protection by restricting the use and consumption of water for children up to 8 years old.El R. D. 140/2003, de 7 de febrero, contempla la posibilidad de solicitud de autorización de excepción temporal al valor paramétrico establecido para parámetros de la parte B del anexo I, entre los que se encuentra el fluoruro. El trabajo que se presenta tiene como objeto la comprobación del efecto del consumo de agua con niveles de fluoruro superiores al valor paramétrico sobre la prevalencia de caries y fluorosis dental, total y por grados, en la dentición permanente de escolares de doce años con el fin de establecer las bases para la valoración sanitaria del incumplimiento y la toma

  2. Elaboração e aplicação de um instrumento de avaliação no pós-operatório imediato com base no protocolo do Advanced Trauma Life Suport Elaboración y aplicación de un instrumento de evaluación en el post operatorio inmediato con base en el protocolo del Advanced Trauma Life Suport Elaboration and application of an evaluation instrument in the immediate postoperative period, based on the Advanced Trauma Life Support protocol

    Directory of Open Access Journals (Sweden)

    Marisa Dias Von Atzingen

    2008-01-01

    Full Text Available OBJETIVO: Elaborar e aplicar um instrumento de avaliação do paciente no pós-operatório imediato (POI de anestesia geral baseado no protocolo do Advanced Trauma Life Suport. MÉTODOS: Foi criado um instrumento baseado no ABCDE do Trauma e aplicado na Sala de Recuperação Pós-Anestésica em todos os pacientes adultos submetidos a cirurgias sob efeito de anestesia geral no período de setembro a novembro de 2007. RESULTADOS: Observou-se que 93,5% dos pacientes tinham vias aéreas pérvias, porém 92,2% necessitaram de oxigênio suplementar. Houve alteração na ausculta pulmonar de 15,6% dos pacientes, hipotensão em 16,9% e hipotermia em 23,4%. Observou-se também uma diferença estatisticamente significativa sugerindo que as mulheres apresentam melhores condições de recuperação que os homens. CONCLUSÃO: O exame físico na seqüência proposta pelo ABCDE do Trauma permitiu identificar as principais alterações fisiológicas no POI contribuindo para a assistência de enfermagem.OBJETIVO: Elaborar y aplicar un instrumento de evaluación del paciente en el post operatorio inmediato (POI de anestesia general basado en el protocolo do Advanced Trauma Life Suport. MÉTODOS: Fue creado un instrumento fundamentado en el ABCDE del Trauma y aplicado en la Sala de Recuperación Post-Anestésica a todos los pacientes adultos sometidos a cirugías que se encontraban bajo efecto de la anestesia general en el período de setiembre a noviembre del 2007. RESULTADOS: Se observó que el 93,5% de los pacientes tenían vías aéreas permeables, sin embargo el 92,2% necesitó de oxígeno suplementario. Hubo alteración en la auscultación pulmonar del 15,6% de los pacientes, hipotensión en el 16,9% e hipotermia en el 23,4%. Se observó también una diferencia estadísticamente significativa, sugiriendo que las mujeres presentan mejores condiciones de recuperación que los hombres. CONCLUSIÓN: El examen físico en la secuencia propuesta por el ABCDE del

  3. Radiographic signs and diagnosis of dental disease.

    Science.gov (United States)

    Bellows, J

    1993-08-01

    Dental radiographs are critical for the complete assessment and treatment of dental diseases. Dental radiography is commonly used to evaluate congenital dental defects, periodontal disease, orthodontic manipulations, oral tumors, endodontic treatments, oral trauma, and any situation where an abnormality is suspected. Although standard radiographic equipment and film can be used to produce dental radiographs, dental X-ray equipment and film provide superior quality images and greater convenience of animal patient positioning. An understanding of normal dental radiographic anatomy is important when interpreting dental radiographs. Stage III periodontitis is the earliest stage of periodontal disease at which radiographic abnormalities become apparent. Bone loss associated with periodontal disease can be classified as either horizontal or vertical. Periapical radiolucencies can represent granulomas, cysts, or abscesses, whereas periapical radiodensities may represent sclerotic bone or condensing osteitis. Lytic lesions of the bone of the jaw often represent oral neoplasms. Neoplasms also can displace or disrupt teeth in the dental arch. Resorptive lesions can be external or internal and appear as radiolucent areas involving the external surface of the root or the pulp cavity, respectively. Feline dental resorptive lesions, also known as odontoclastic resorptions, are a specific form of dental resorptive lesions unique to cats.

  4. Update on the management of dentoalveolar trauma.

    Science.gov (United States)

    MacLeod, Stephen P R; Rudd, Travis C

    2012-08-01

    Dentoalveolar injuries are the most common type of facial injury and are often associated with concomitant facial fractures. These injuries may initially be seen by surgeons who do not have formal dental training. This article reviews the assessment and management of dentoalveolar fractures. Semi-flexible splinting of traumatized teeth for shorter periods of time than previously suggested is associated with better long-term outcomes. The use of dental implants to replace teeth lost to trauma is a predictable restorative option. Surgeons need to be aware that dentoalveolar injuries may be a marker for other injuries. Prompt relocation and splinting of displaced teeth is associated with better outcomes.

  5. Alteraciones tafonómicas in vitro del microdesgaste dental, modelización de los patrones de microestriación del esmalte y caracterización de la variabilidad de la microtextura vestibular en Primates y Homininos fósiles

    OpenAIRE

    Aliaga Martínez, Eugenio Andrés

    2015-01-01

    [spa] El estudio del desgaste microscópico sobre las superficies del esmalte dental es una importante fuente de información para interpretar la dieta y hábitos alimentarios de diferentes grupos de humanos y Primates no-humanos, tanto extintos como actuales. Para ello se han normalizando metodologías de análisis semi-automáticos. Se ha asociado la abrasividad de las partículas presentes en los alimentos (intrínsecas o extrínsecas) a determinados patrones de microdesgaste sobre las superficies...

  6. Accuracy of a Computer Assisted Program for ’Classic’ Presentations of Dental Pain

    Science.gov (United States)

    1989-04-11

    diagnosis of trauma and non-trauma related dental pain. Abscess/infection/cellulitis Acute apical abscess Acute apical periodontitis Acute... prognosis Displace/mobility of tooth, guarded prognosis Endo/perio combined problem Enamel fracture Food impaction Fractured crown, small pulp...spasms Necrotizing ulcerative gingivitis Neurologic injury Osseous sequestrum Occlusal trauma Periodontal abscess Periocoronitis/erupting tooth

  7. About Dental Amalgam Fillings

    Science.gov (United States)

    ... and Medical Procedures Dental Devices Dental Amalgam About Dental Amalgam Fillings Share Tweet Linkedin Pin it More ... should I have my fillings removed? What is dental amalgam? Dental amalgam is a dental filling material ...

  8. Dental Implant Surgery

    Science.gov (United States)

    ... here to find out more. Dental Implant Surgery Dental Implant Surgery Dental implant surgery is, of course, surgery, ... here to find out more. Dental Implant Surgery Dental Implant Surgery Dental implant surgery is, of course, surgery, ...

  9. Dental Sealants

    Science.gov (United States)

    ... Dates Electronic Submission of Applications Grants 101 (How to Write a Grant) Questions and Answers Grant Writing Tips ... offers strategies for providing oral care. NIDCR > Data & Statistics > Find Data by Topic > Dental Sealants Dental Sealants ...

  10. Dental Assistants

    Science.gov (United States)

    ... Z INDEX | OOH SITE MAP | EN ESPAÑOL Healthcare > Dental Assistants PRINTER-FRIENDLY EN ESPAÑOL Summary What They ... of workers and occupations. What They Do -> What Dental Assistants Do About this section Assistants prepare and ...

  11. Dental sealants

    Science.gov (United States)

    ... this page: //medlineplus.gov/ency/patientinstructions/000779.htm Dental sealants To use the sharing features on this ... case a sealant needs to be replaced. How Dental Sealants are Applied Your dentist applies sealants on ...

  12. Dental cavities

    Science.gov (United States)

    ... this page: //medlineplus.gov/ency/article/001055.htm Dental cavities To use the sharing features on this page, please enable JavaScript. Dental cavities are holes (or structural damage) in the ...

  13. La elevación del seno maxilar en el tratamiento con implantes dentales: un estudio a 4 años

    National Research Council Canada - National Science Library

    A. Jiménez Guerra; L. Monsalve Guil; I. Ortiz García; A. España López; J.J. Segura Egea; E. Velasco Ortega

    2015-01-01

    Introducción: El objetivo del presente estudio era mostrar los resultados de la elevación del seno maxilar con biomateriales en el tratamiento con implantes del maxilar posterior. Métodos: 70 pacientes...

  14. DENTAL MATERIALS.

    Science.gov (United States)

    The study deals with the determination of characteristic physical and mechanical properties of restorative dental materials, and effect of...manipulative variables on these properties. From the study an entirely new dental gold inlay casting technic was developed, based on the principle of...controlled water added hygroscopic technic. The method has had successful dental applications and is a recognized method of dental inlay casting procedure

  15. Traumas dentoalveolares relacionados con maloclusiones en menores de 15 años Dentoalveolar traumata related to malocclusions in children aged under 15

    Directory of Open Access Journals (Sweden)

    Agustín Rodríguez Soto

    2011-09-01

    Full Text Available Se realizó un estudio descriptivo de corte transversal, sobre los traumatismos dentoalveolares en un grupo de pacientes de edades comprendidas entre 0 a 15 años de edad, en el periodo de los meses de enero a diciembre del año 2009, en el Policlínico Universitario "Antonio Pulido Humarán", del municipio La Lisa, de La Habana, Cuba. El estudio fue realizado con el propósito de caracterizar los traumatismos dentoalveolares relacionados con maloclusión dentaria. La información se obtuvo por el método de observación mediante el examen clínico, a través del interrogatorio y examen radiográfico, durante un año. La muestra estuvo constituida por 125 pacientes a los que se les diagnosticó al menos, uno de los tipos de traumatismos dentoalveolares. Se seleccionó un individuo control que no tuviera fractura por cada caso del estudio, para determinar la relación del traumatismo con la maloclusión. Se observó que la mayor presencia de traumatismos dentales estuvo en los pacientes afectados por maloclusión, para un 76,8 %. La estimación del riesgo para los traumas con maloclusión fue de 6,78 veces mayor, con resultado muy significativo del X², hubo diferencias significativas entre los grupos de edades, pero no en el sexo.A cross-sectional and descriptive study was conducted on dentoalveolar traumata in a group of patients aged from 0 to 15 during January to December, 2009 in the "Antonio Pulido Humarán" University polyclinic to characterize the dentoalveolar traumata due to dental malocclusion. Information was obtained by observation method, by clinical examination through a questioning and radiographic examination over a year. Sample included 125 patients diagnosed at least with one of the dentoalveolar traumata, selecting a control group with presence of fracture and the same age that the case. The greatest presence of dental traumata was those affected by malocclusion for 76.67 % and the more frequent trauma was the coronary

  16. Dentoalveolar trauma in Glasgow: an audit of mechanism and injury.

    Science.gov (United States)

    Wright, Graeme; Bell, Aileen; McGlashan, Gregor; Vincent, Carolyn; Welbury, Richard R

    2007-08-01

    Traumatic dental injuries in children often require multiple follow-up visits to the dentist and may have long-term consequences for the developing dentition. The aim of this audit was to examine age, gender, location, time of year, mechanism of injury and type of injury sustained in relation to dentoalveolar trauma in children attending the paediatric dental trauma clinic at Glasgow Dental Hospital from 2002 to 2004, and to compare our findings with data in the published literature. Males suffered 60% of all dental trauma, 79% of sporting injuries and 85% of assaults. The injuries in males were more severe, representing 65% of enamel dentine and pulp fractures, 100% of crown root fractures and 66% of crown root and pulp fractures. A peak for trauma was seen in the 8-11-year-old group (43%). The majority of injuries in the under four age group resulted from falls (87%). Taken as a whole, falls accounted for 49%, sports related injuries 18%, bicycle and scooter 13%, assault 7%, and road traffic accidents 1.5% of all injuries. They also accounted for a far higher percentage of intrusive luxations (67%). The largest proportion of injuries occurred during the summer months (33%). Sixty-four percent of children suffered trauma to more than one tooth. Fifty-eight percent of injuries involved the dental hard tissues and pulp and the majority of these (82%) were crown fractures. Most subjects (82%) suffered trauma to their periodontal tissues, (26% concussion or subluxation, 26% lateral luxation and 23% avulsion). Injuries to the supporting bone were uncommon. Sixty-six percent of all injuries occurred outdoors. Our findings were similar to a number of published studies, but in contrast to several others. More consistency is required in the collection and reporting of trauma data to be able to draw meaningful conclusions by comparison.

  17. Review article: Maxillofacial emergencies: dentoalveolar and temporomandibular joint trauma.

    Science.gov (United States)

    DeAngelis, Adrian F; Barrowman, Roland A; Harrod, Richard; Nastri, Alf L

    2014-10-01

    Dentoalveolar trauma and dislocations of the temporomandibular joint are common reasons for patients to present to EDs in Australia. The majority of medical practitioners receive very little formal training in the management of these injuries and might not have ready access to dental services out of hours for advice. This article focuses on the emergency assessment, triage and non-specialist management of dentoalveolar trauma and injuries to the temporomandibular joint.

  18. Trauma during pregnancy.

    Science.gov (United States)

    Tweddale, Carla J

    2006-01-01

    Trauma is the leading nonobstetrical cause of maternal death. The effect of trauma on the pregnant woman and unborn fetus can be devastating. The major causes of maternal injury are blunt trauma, penetrating trauma, burns, falls, and assaults. There are specific changes associated with pregnancy that are important for the clinician to consider when providing care to these patients. Initial management of traumatic injuries during pregnancy is essential for maternal and fetal well-being. This review outlines common causes of maternal trauma, the initial assessment of the pregnant trauma patient, and ongoing care for the pregnant trauma patient and unborn fetus.

  19. The role for 'reminders' in dental traumatology: 3. The minimum data set that should be recorded for each type of dento-alveolar trauma - a review of existing evidence.

    Science.gov (United States)

    Day, Peter F; Duggal, Monty S

    2006-10-01

    The aim of this study was to establish the prognostic factors recorded at the time of diagnosis or initial treatment that affect pulp and periodontal healing and tooth survival. A search strategy and quality assessment method was established to review the literature. The significant factors identified are listed for each type of dento-alveolar injury. These factors identified are the gold standard against which quality assessments of dento-alveolar trauma records can be compared and all new computer or paper-based methods for recording any type of dento-alveolar trauma should aim to record this minimum information.

  20. Management of acute dento-alveolar trauma--from the viewpoint of an oral surgeon.

    Science.gov (United States)

    Petersen, J K

    2000-08-01

    Oral and maxillofacial surgeons often deal with acute dento-alveolar trauma in hospital or practice surroundings. They are often called upon by dental colleagues to give their advice or help in a given situation of the acute trauma patient with dental or oral injuries. In this article, the practical viewpoints and clinical experiences of an oral surgeon are offered based upon many years of work in hospital emergency rooms around the world.

  1. Prevalensi Trauma Gigi Permanen Anterior pada Anak Sekolah Menengah Pertama di Kecamatan Medan Maimun dan Medan Selayang

    OpenAIRE

    Siregar, Joule

    2015-01-01

    Trauma gigi permanen anterior atau yang dikenal dengan Traumatic Dental Injury (TDI) adalah kerusakan yang mengenai jaringan keras dan atau periodontal gigi permanen anterior karena sebab mekanis. Trauma gigi telah menjadi masalah yang cukup serius di bidang kesehatan. Prevalensi trauma gigi permanen pada anak-anak di Indonesia meskipun belum ada catatan resmi diduga cukup tinggi.Penelitian ini dilakukan untuk mengetahuibesar prevalensi trauma gigi permanen anterior berdasarkan jenis kelamin,...

  2. La Visión de los vencidos y la Brevissima relación: Trauma y denuncia en la construcción del sujeto indígena en México

    Directory of Open Access Journals (Sweden)

    Salvador Leetoy

    2007-01-01

    Full Text Available Este ensayo tiene por objetivo el análisis de una de las formas de construcción ideológica que subjetiva al indígena a la luz de dos textos: La brevíssima relación de la destruyción de las Indias, de Fray Bartolomé de Las Casas, y la compilación de las crónicas indígenas de la Visión de los vencidos, de Miguel León-Portilla. Estas obras relatan el grave sufrimiento y trauma histórico que dejó la Conquista en los pueblos ab(origenes de este continente. Dichas narraciones del desastre se convierten en discursos de reclamo y denuncia política que de alguna u otra manera marcarían el tenor de la defensa indígena en los siglos subsecuentes, y por ende, de una de las formas en que sería construida su imagen.This paper aims to analyse one of the forms of ideological construction that makes Indian people a subject, as it is seen in two texts: La brevíssima relación de la destruyción de las Indias, by Fray Bartolomé de Las Casas, and the compilation of native chronicles Visión de los vencidos, by Miguel León-Portilla. These works tell us the great suffering and historical trauma that the Conquest left on native people in this continent. These stories of the disaster become political protest discourses, which somehow inform the native defence in the centuries afterwards, and so, one of the forms in which their image was built.

  3. EFECTO IN VITRO DE LA UNCARIA TOMENTOSA, DEL MTA Y DEL HIDROXIDO DE CALCIO EN LA VIABILIDAD CELULAR, MORFOLOGIA NUCLEAR Y INTEGRIDAD DEL ADN EN PULPA DENTAL DE PIEZAS DENTARIAS EXTRAIDAS, CLINICA ODONTOLOGICA PARTICULAR. AREQUIPA, 2011

    OpenAIRE

    LÓPEZ HUAMÁN, GIOVANNI

    2013-01-01

    UNCARIA TOMENTOSA ANTECEDENTES HISTÓRICOS CLASIFICACIÓN BOTÁNICA COMPOSICIÓN QUÍMICA PROPIEDADES FARMACOLÓGICAS TOXICIDAD Y CONTRAINDICACIONES EFECTOS MTA HIDRÓXIDO DE CALCIO COMPLEJO DENTINO PULPAR RECUBRIMIENTO PULPAR DIRECTO VIABILIDAD CELULAR MORFOLOGÍA NUCLEAR ESTRUCTURA DEL ADN

  4. EFECTO IN VITRO DE LA UNCARIA TOMENTOSA, DEL MTA Y DEL HIDROXIDO DE CALCIO EN LA VIABILIDAD CELULAR, MORFOLOGIA NUCLEAR Y INTEGRIDAD DEL ADN EN PULPA DENTAL DE PIEZAS DENTARIAS EXTRAIDAS, CLINICA ODONTOLOGICA PARTICULAR. AREQUIPA, 2011

    OpenAIRE

    LÓPEZ HUAMÁN, GIOVANNI

    2013-01-01

    UNCARIA TOMENTOSA ANTECEDENTES HISTÓRICOS CLASIFICACIÓN BOTÁNICA COMPOSICIÓN QUÍMICA PROPIEDADES FARMACOLÓGICAS TOXICIDAD Y CONTRAINDICACIONES EFECTOS MTA HIDRÓXIDO DE CALCIO COMPLEJO DENTINO PULPAR RECUBRIMIENTO PULPAR DIRECTO VIABILIDAD CELULAR MORFOLOGÍA NUCLEAR ESTRUCTURA DEL ADN

  5. Influencia de los aparatos dentales ortodónticos en la producción y percepción del habla: estudio de cinco casos The influence of orthodontic dental apparatus in production and perception of speech: study of five cases

    Directory of Open Access Journals (Sweden)

    Hernán Martínez

    2006-12-01

    Full Text Available OBJETIVO: observar la capacidad de cinco individuos venezolanos que usan aparatos dentales ortodónticos para articular el habla y verificar la influencia de los aparatos en la percepción del habla por parte de sus interlocutores. MÉTODOS: se utilizó un corpus conformado por dos grabaciones de la lectura de un Test de Pares Mínimos realizadas por cinco hablantes antes y después de iniciar el tratamiento con los aparatos. Dichas grabaciones fueron luego expuestas a veinte oyentes adultos con la finalidad de que identificaran lo oído; sirviéndose de un test ad hoc, basado en el de los Pares Mínimos arriba indicado. Cada uno de los oyentes marcó la opción que creyó haber percibido. RESULTADOS: el análisis de los datos arrojados por los dos conjuntos de tests permitió determinar los sonidos, los rasgos distintivos y los puntos articulatorios afectados por el uso de aparatos en los hablantes. Se demuestra que los sonidos mayormente afectados por los aparatos dentales son /t/, /m/, /p/, /f/, /b/, /m/, /k/ y /tò/; los rasgos y oposiciones distintivas afectadas son [grave]: /b - d/, /f - s/, /m -my/, /m - n/ y /p - t/; [sonoro]: /g - k/, /p - b/ y /t - d/ e [interrupto]:/tò - s/ ; por su parte, los lugares de articulación afectados son bilabial, alveolar, palatal, dental e interdental. CONCLUSIONES: la presencia de los aparatos dentales ortodónticos en la cavidad bucal causa serios problemas en la articulación de los sonidos lingüísticos afectando de esa manera la percepción del habla por parte de los interlocutores. Los problemas de articulación con el paso del tiempo van decreciendo.PURPOSE: to observe the capacity to articulate speech in five Venezuelan individuals who use orthodontic dental apparatus and to verify the influence of the apparatus on the perception of speech from their interlocutors. METHODS: the corpus of study consists of two recordings of the lecture of a Minimal Pairs Test done by five speakers before and

  6. Optimització d'un procés termoquímic per la millora de l'osteointegració dels implants dentals i la seva aplicació en la producció industrial

    OpenAIRE

    Moreno Capdevila, Manuel

    2009-01-01

    L’èxit clínic dels implants dentals, fabricats en titani comercialment pur (Ti c.p.), està intimament lligat a l’assoliment de l’osteointegració; és a dir, a l’obtenció de la connexió directa estructural i funcional entre l’os i la superfície del implant. La millora de l’osteointegració a curt i a llarg termini depèn de múltiples factors com són les propietats químiques, físiques, energètiques i topogràfiques de la superfície de l’implant . Aquest projecte es basa en la implant...

  7. EFECTO DEL LASER DE BAJA POTENCIA EN LA CANTIDAD DE MOVIMIENTO DENTAL Y EN LA PERCEPCION DEL DOLOR EN MECANICAS DE DISTALIZACION DE CANINOS EN PACIENTES BAJO TRATAMIENTO ORTODONCICO. CONSULTA PRIVADA. ILO - MOQUEGUA. 2014

    OpenAIRE

    OBANDO ROMERO, JOSÉ ALONZO

    2015-01-01

    MOVIMIENTO DENTAL ORTODÓNCICO CÉLULAS INVOLUCRADAS EN EL MOVIMIENTO DENTAL AGENTES EXTERNOS EN EL MOVIMIENTO DENTARIO ORTODÓNCICO EL LASER (LIGHT AMPLIFICATION BY STIMULATED EMISSION OF RADIATION) FENÓMENOS PRODUCIDOS POR EL LASER CLASIFICACIÓN DE LOS LÁSERES LÁSERES UTILIZADOS EN ODONTOLOGÍA LASER UTILIZADO EN TERAPIAS ORTODÓNCICAS

  8. Abdominal closed trauma in children. Trauma abdominal cerrado en el niño.

    Directory of Open Access Journals (Sweden)

    Rogelio Rodríguez Castillo

    Full Text Available Blunt abdominal trauma constitutes 90% approximately of the abdominal injuries in children. Due to the augmented size of the child trunk in relation to their extremities, the abdominal lesions are extremely frequents. The abdominal trauma is present in 20-30% of the patients with serious trauma. It's the second cause of death for accidents after the cranial traumatism in the pediatric patient. We presented the Good Clinical Practices Guideline for Blunt Abdominal Trauma, approved by consensus in the 2nd National Good Clinical Practices Workshop in Pediatric Surgery (Manzanillo, Cuba, September 31 - October 3, 2002.

    El trauma abdominal cerrado constituye aproximadamente el 90 % de los traumatismos abdominales en niños. Debido al tamaño aumentado del tronco del niño en relación con sus extremidades las lesiones abdominales son extremadamente frecuentes. El trauma abdominal está presente en el 20-30 % de los pacientes con trauma grave. Es la segunda causa de muerte por accidentes, después del traumatismo craneal, en el paciente pediátrico. Se presenta la Guía de Buenas Prácticas Clínicas para trauma abdominal cerrado, aprobada por consenso en el 2º Taller Nacional de Buenas Prácticas Clínicas en Cirugía Pediátrica (Manzanillo, 31 de septiembre al 3 de octubre del 2002.

  9. Impacto del aumento de escuelas de odontología en la productividad científica odontológica chilena Impact of the increase of dental schools on the chilean dental scientific productivity

    Directory of Open Access Journals (Sweden)

    S Uribe

    2012-04-01

    Full Text Available Objetivo: Describir la productividad científica chilena en el período 2000-2011 y analizar el efecto del aumento de instituciones de educación superior que imparten la carrera de odontología. Material y Métodos: Se realizaron búsquedas en la base de datos ISI para el período 2000-2011 y se registraron las publicaciones de autores con dirección de correspondencia en Chile, revista, año, afiliación e impacto. Las instituciones educativas se agruparon en aquellas pertenecientes al Consejo de Rectores (CRUCh (tradicionales y las no-CRUCh (privadas. Se consultaron además las bases de datos de agencias gubernamentales de financiamiento. Resultados: Durante el período estudiado se publicaron 173 trabajos en revistas indexadas ISI. Las instituciones con mayor cantidad de publicaciones son las tradicionales (U. de Chile [57.8%], U. de Concepción [9.8%] y U. de Valparaíso [8.1%]. Las universidades tradicionales representan el 89.6% de la productividad científica odontológica nacional y comprenden las publicaciones de mayor impacto (10.5 citas promedio de impacto por artículo para universidad CRUCh y 1.6 para universidad no-CRUCh. Las universidades CRUCh que se han abierto en este período han comenzado a presentar productividad científica. Las universidades no-CRUCh (privadas representan el 6.9% de la productividad científica nacional en odontología para el período 2000-2011. En un año promedio, se publican 14 artículos del área odontológica de autores chilenos en revistas ISI, con una cantidad relativa de ocho publicaciones de la U. de Chile, una publicación de la U. de Concepción, U. de Valparaíso y UFRO respectivamente y tres publicaciones divididas entre 11 universidades con productividad científica activa. Conclusión: El aumento del número de matriculados e instituciones ha tenido escaso impacto en la productividad científica odontológica en el período estudiado. Futuras investigaciones deberán determinar las causas

  10. Traumas dentoalveolares relacionados con maloclusiones en menores de 15 años

    Directory of Open Access Journals (Sweden)

    Agustín Rodríguez Soto

    2011-09-01

    Full Text Available Se realizó un estudio descriptivo de corte transversal, sobre los traumatismos dentoalveolares en un grupo de pacientes de edades comprendidas entre 0 a 15 años de edad, en el periodo de los meses de enero a diciembre del año 2009, en el Policlínico Universitario "Antonio Pulido Humarán", del municipio La Lisa, de La Habana, Cuba. El estudio fue realizado con el propósito de caracterizar los traumatismos dentoalveolares relacionados con maloclusión dentaria. La información se obtuvo por el método de observación mediante el examen clínico, a través del interrogatorio y examen radiográfico, durante un año. La muestra estuvo constituida por 125 pacientes a los que se les diagnosticó al menos, uno de los tipos de traumatismos dentoalveolares. Se seleccionó un individuo control que no tuviera fractura por cada caso del estudio, para determinar la relación del traumatismo con la maloclusión. Se observó que la mayor presencia de traumatismos dentales estuvo en los pacientes afectados por maloclusión, para un 76,8 %. La estimación del riesgo para los traumas con maloclusión fue de 6,78 veces mayor, con resultado muy significativo del X², hubo diferencias significativas entre los grupos de edades, pero no en el sexo.

  11. Determinantes de la utilización de los servicios de salud bucal en estudiantes universitarios del municipio de Pasto, 2011 / Determinants of dental health service use among university students in the Pasto municipality, 2011

    Directory of Open Access Journals (Sweden)

    Anderson Rocha-Buelvas

    2013-09-01

    Full Text Available Objetivo: identificar los factores determinantes de la utilización de los servicios de salud bucal en hombres y mujeres universitarios del municipio de Pasto, Departamento de Nariño (Colombia. Metodología: en una muestra de 338 estudiantes de una universidad, se aplicó una encuesta confidencial, elaborada con base en estudios previos utilizando un modelo comportamental de uso de servicios de salud. Resultados: la prevalencia de utilización de los servicios de salud bucal fue del 57%. Se encontró con respecto a factores de predisposición, que más de la mitad de la población encuestada eran adultos jóvenes entre 20-24 años; que asistían más a la consulta los estudiantes de semestres académicos superiores y menos los de mayor edad; que la mitad pertenecían a un estrato socioeconómico medio y que una décima parte poseían un bajo apoyo social. Se encontró sobre factores de capacidad que las tres cuartas partes que respondieron tener un buen estado de salud, eran los que más utilizaban los servicios de salud bucal; que los que respondieron estar satisfechos con la apariencia de sus dientes, eran los que menos utilizaban los servicios de salud bucal; que una tercera parte había tenido un mal estado de salud bucodental y que casi la mitad tuvo problemas dentales. Sobre los factores de necesidad se encontró que cuando un estudiante tiene afectada su calidad de vida por minusvalía asiste más a la consulta odontológica en el último año. Conclusión: existen leves diferencias por sexo en la utilización de los servicios de salud bucal y que si bien en esta población el resultado fue mayor que en otros estudios, no necesariamente este resultado garantiza que tengan una mejor salud bucal. Objective: to identify the determinant factors of dental health service use among university students in the municipality of Pasto (located in the Nariño Department, Colombia. Methodology: a confidential survey was used on a sample of 338

  12. Epidemiologia do trauma raquimedular em emergências públicas no município do Rio de Janeiro Epidemiología de trauma espinal en emergencias públicas del municipio de Rio de Janeiro Spinal cord injury epidemiology in public emergency rooms in the municipality of Rio de Janeiro

    Directory of Open Access Journals (Sweden)

    Talami Sayole Costa Santos

    2012-12-01

    Full Text Available O objetivo do presente estudo foi avaliar as taxas de mortalidade por trauma raquimedular (TRM e estimar padrões diferenciados de características das internações hospitalares por TRM em hospitais públicos municipais e estaduais no município do Rio de Janeiro. Foram analisados dados do SIH-SUS sobre valor médio das internações, média de permanência, proporção de internações e taxa de mortalidade de hospitais municipais e estaduais, no período de 1996 a 2011. Em relação ao valor gasto nas internações, média de permanência e número de internação, a rede estadual apresentou um maior comparativo em relação à rede municipal. Já em relação à mortalidade dos pacientes, os hospitais estaduais tiveram uma menor taxa de mortalidade. As evidências apontadas proporcionarão reflexões sobre a distribuição dos casos, taxa de mortalidade e o tipo de atendimento demandado, contribuindo para a organização da rede assistencial de emergências do município do Rio de Janeiro.El objetivo del presente estudio fue evaluar las tasas de mortalidad por trauma espinal (TRE y estimar las características de los diferentes patrones de ingresos hospitalarios por TRE en hospitales públicos, municipales y estaduales, en la ciudad de Rio de Janeiro. Se analizaron los datos del SIH-SUS sobre el valor promedio de hospitalizaciones, la duración de la estancia media, la proporción de los ingresos hospitalarios y la mortalidad en los hospitales municipales y estaduales en el período de 1996 a 2011. En relación a la cantidad gastada en los ingresos hospitalarios, duración de la estancia y la hospitalización, la red estadual presentó un mayor comparativo en relación con la red municipal. En cuanto a la mortalidad de los pacientes, los hospitales del estado tuvieron una tasa de mortalidad más baja. Las evidencias apuntadas van a proporcionar reflexiones sobre la distribución de los casos, la tasa de mortalidad y el tipo de atenci

  13. Paleopatología dental "sonso" entre los siglos XI y XVI d.C. : El caso de la población prehispánica de Guacanda en el departamento del Valle del Cauca, Colombia

    OpenAIRE

    Rodríguez, Carlos D.; Delgado Burbano, Miguel Eduardo

    2001-01-01

    La paleopatología dental es un área de investigación de la antropología dental que interpreta las condiciones patológicas como consecuencias de procesos sociales. Esa identificación de condiciones patológicas nos refiere estados y procesos de salud y enfermedad en la población, los cuales, nos permiten medir la adaptación y recrear una historia poblacional particular en el espacio y el tiempo. Este es el primer estudio de paleopatología dental realizado en poblaciones prehispánicas de tradici...

  14. Suspension Trauma / Orthostatic Intolerance

    Science.gov (United States)

    ... of Science and Technology Assessment Printer Friendly Version Suspension Trauma/Orthostatic Intolerance Safety and Health Information Bulletin ... information about the hazards of orthostatic intolerance and suspension trauma when using fall arrest systems. This bulletin: ...

  15. About Military Sexual Trauma

    Medline Plus

    Full Text Available ... total__ Find out why Close About Military Sexual Trauma Veterans Health Administration Loading... Unsubscribe from Veterans Health ... 10 VA HSR&D Investigator Insights: Military Sexual Trauma - Duration: 3:27. Veterans Health Administration 898 views ...

  16. Difficult nasoendotracheal intubation in a patient with severe maxillofacial trauma

    Directory of Open Access Journals (Sweden)

    Ali Hossein Mesgarzadeh

    2012-01-01

    Full Text Available Dental occlusion is key point for proper maxillofacial reconstruction. In this way nasal airway management is extremely important for both oral and maxillofacial surgeons and anesthesiologists. We report a challenging case with severe maxillofacial trauma and nasal obstruction that it managed with a novel anesthetic - surgical procedure.

  17. Trauma resuscitation time.

    NARCIS (Netherlands)

    Olden, G.D.J. van; Vugt, A.B. van; Biert, J.; Goris, R.J.A.

    2003-01-01

    Documenting the timing and organisation of trauma resuscitation can be utilised to assess performance standards, and to ensure a high quality of trauma resuscitation procedures. Since there is no European literature available on trauma resuscitation time (TRT) in the emergency room, the aim of this

  18. Trauma Facts for Educators

    Science.gov (United States)

    National Child Traumatic Stress Network, 2008

    2008-01-01

    This paper offers facts which can help educators deal with children undergoing trauma. These include: (1) One out of every 4 children attending school has been exposed to a traumatic event that can affect learning and/or behavior; (2) Trauma can impact school performance; (3) Trauma can impair learning; (4) Traumatized children may experience…

  19. Trauma resuscitation time.

    NARCIS (Netherlands)

    Olden, G.D.J. van; Vugt, A.B. van; Biert, J.; Goris, R.J.A.

    2003-01-01

    Documenting the timing and organisation of trauma resuscitation can be utilised to assess performance standards, and to ensure a high quality of trauma resuscitation procedures. Since there is no European literature available on trauma resuscitation time (TRT) in the emergency room, the aim of this

  20. Analisi Multicriteriale applicata alla vulnerabilità socio-spaziale delle vittime della violenza del traffico a Belo Horizonte, Brasile: un'investigazione per mezzo del trauma maxillo-facciale

    Directory of Open Access Journals (Sweden)

    Carlos José De Paula Silva

    2013-05-01

    Full Text Available Gli incidenti stradali, come problemi di salute pubblica, sono una delle principali cause di morte in Brasile. Il lavoro analizza la distribuzione spaziale di casi di incidente (con lesioni maxillo-facciali associandoli con le caratteristiche di vulnerabilità del luogo di residenza delle vittime. Gli indirizzi delle vittime sono stati sottoposti a georeferenziazione e geo-codificazione. Sono state identificate le condizioni socio-spaziali delle vittime ed utilizzate per l'analisi “multicriteria” attraverso la combinazione di variabili e la composizione di distribuzione spaziale del grado di vulnerabilità socio-spaziale. Le tendenze spaziali dei casi sono state analizzate con mappe del Kernel e funzione K di Ripley. I casi sono distribuiti nello spazio in forma aggregata, con maggiori densità in aree con grandi disparità socio-economiche. Si presenta come referenza metodologica per l'analisi delle correlazioni tra le variabili, la verifica del grado della spazializzazione dei fenomeni, e la composizione dell'indice spaziale per sostenere i progetti urbani che devono contemplare le condizioni di accessibilità, la violenza e le necessità socio-spaziali. 

  1. Dental Hygienist.

    Science.gov (United States)

    Ohio State Univ., Columbus. Center on Education and Training for Employment.

    This document, which is designed for use in developing a tech prep competency profile for the occupation of dental hygienist, lists technical competencies and competency builders for 13 units pertinent to the health technologies cluster in general and 9 units specific to the occupation of dental hygienist. The following skill areas are covered in…

  2. Valoración sanitaria de la superación del valor paramétrico de fluoruro en agua de consumo humano en relación con la prevalencia de caries y fluorosis dental en escolares de doce años de edad

    Directory of Open Access Journals (Sweden)

    Macrina María Martín Delgado

    2008-12-01

    Full Text Available El R. D. 140/2003, de 7 de febrero, contempla la posibilidad de solicitud de autorización de excepción temporal al valor paramétrico establecido para parámetros de la parte B del anexo I, entre los que se encuentra el fluoruro. El trabajo que se presenta tiene como objeto la comprobación del efecto del consumo de agua con niveles de fluoruro superiores al valor paramétrico sobre la prevalencia de caries y fluorosis dental, total y por grados, en la dentición permanente de escolares de doce años con el fin de establecer las bases para la valoración sanitaria del incumplimiento y la toma de decisiones ante solicitudes de autorización de situación de excepción temporal y nuevo valor paramétrico. Se exploraron 60 escolares de un municipio de la isla de Tenerife en el que la concentración de fluoruro en el agua de consumo humano se ha mantenido en 2,7 ±0,5 mg/L, es decir, ±0,5 alrededor del valor considerado como adecuado para prevenir la caries dental y minimizar la aparición de fluorosis dental. La metodología utilizada es la estandarizada por la Organización Mundial de la Salud (OMS. El examen incluyó el registro de las caries y de la fluorosis dental medida con el índice de Thylstrup y Fejerskov (TF.Se detectó una prevalencia de caries dental del 38,33%, con un CAOD de 0,87 y un 81,67% de fluorosis dental: un 35% para TF1-2, un 31,67% para TF3-4 y un 15% para los grados TF5-9.La superación del valor paramétrico requiere el establecimiento de medidas de protección de la salud mediante la restricción del uso y consumo del agua para niños de hasta ocho años de edad.

  3. Multidisciplinary approach for the rehabilitation of dentoalveolar trauma.

    Science.gov (United States)

    Ustün, Yakup; Esen, Emin; Toroğlu, M Serdar; Akova, Tolga

    2004-10-01

    Satisfactory dental rehabilitation of dentoalveolar trauma requires intense effort and time. Usually multidisciplinary treatment planning and teamwork are necessary to deal with multitask problems associated with these cases. Dental implants have been successfully used for replacement of missing teeth, but in trauma cases insufficient alveolar bone hinders implantation. In this report we present the multidisciplinary approach for the treatment of a trauma case. Maxillary segmental alveolar osteotomy in conjunction with interpositional and onlay bone grafting was performed to prepare the site for placement of osseointegrated implants. Titanium microplate and screws were used to provide orthodontic anchorage for intrusion of the extruded mandibular incisors. The patient was rehabilitated by implant supported fixed partial denture 6 months after implant placement.

  4. Dental management of special needs patients who have epilepsy.

    Science.gov (United States)

    Robbins, Miriam R

    2009-04-01

    Patients who have developmental disabilities and epilepsy can be safely treated in a general dental practice. A thorough medical history should be taken and updated at every visit. A good oral examination to uncover any dental problems and possible side effects from antiepileptic drugs is necessary. Stability of the seizure disorder must be taken into account when planning dental treatment. Specific considerations for epileptic patients include the treatment of oral soft tissue side effects of medications and damage to the hard and soft tissue of the orofacial region secondary to seizure trauma. Most patients who have epilepsy can and should receive functionally and esthetically adequate dental care.

  5. Factors predicting a child's dental fear.

    Science.gov (United States)

    Majstorović, M; Skrinjarić, I; Glavina, D; Szirovicza, L

    2001-12-01

    The aim of the present study was to determine and assess the variables most involved in the etiology of a child's dental fear. The study was performed on a sample of 89 children aged from 5.5 to 12.5 years and their mothers. The sample comprised 37 children with experience of dental trauma (19 boys and 18 girls) and 52 children without experience of dental trauma (28 boys and 24 girls). Corah Dental Anxiety Scale (DAS) was applied to evaluate the level of the child's (CDAS) and mother's (MDAS) dental anxiety. Broome's Child Medical Fear Questionnaire (CMFQ) was used to assess the child's fear of medical treatment. Hollingshead Two Factor Index of Social Position (ISP) was calculated to assess socio-economic status of the family. Cluster analysis differentiated one group of dentally anxious children with the highest level of maternal anxiety (MDAS = 14.44) and the lowest socio-economic status (ISP = 41.94). Another group of extremely anxious children (CDAS = 14.31) showed the highest fear of medical treatment (CMFQ = 22.08) and rather low socio-economic status. One group represented children with the lowest CDAS (5.63), lowest MDAS (8.46), and lowest CMFQ (13.54). Linear regression analysis showed high correlation between previous traumatic medical experiences and a child's dental anxiety using the linear model CDAS' = b0 + b1 x CMFQ. The analysis revealed that a child's dental fear mostly depends on early negative medical experience, while material dental anxiety and socio-economic circumstances seem to be of less importance.

  6. Citation classics in trauma.

    Science.gov (United States)

    Ollerton, Joanne Emma; Sugrue, Michael

    2005-02-01

    The evolution of trauma may be analyzed by review of articles most frequently cited by scientific articles worldwide. This study identified the "trauma classics" by reviewing the most-cited articles ever published in The Journal of Trauma. The Science Citation Index of the Institute for Scientific Information was searched for the 50 most-cited articles in The Journal of Trauma. Of the 12,672 articles published since 1961, 80 were cited over 100 times and 17 over 200 times. The most-cited article was by Baker, a hallmark publication on injury scoring published in 1974. Feeding postinjury, bacterial translocation, and multiple organ failure were common themes. Overall, 32% involved gastrointestinal topics and 18% involved injury scoring, with institutions in the United States publishing 80% of the articles. This study identified the trauma classics from the last 42 years of The Journal of Trauma. Citation analysis has recognized limitations but gives a fascinating insight into the evolution of trauma care.

  7. Ultrasonography in trauma

    DEFF Research Database (Denmark)

    Weile, Jesper; Nielsen, Klaus; Primdahl, Stine C

    2017-01-01

    BACKGROUND: The Focused Assessment with Sonography in Trauma (FAST) protocol is considered beneficial in emergent evaluation of trauma patients with blunt or penetrating injury and has become integrated into the Advanced Trauma Life Support (ATLS) protocol. No guidelines exist as to the use...... of ultrasonography in trauma in Denmark. We aimed to determine the current use of ultrasonography for assessing trauma patients in Denmark. METHODS: We conducted a nation-wide cross-sectional investigation of ultrasonography usage in trauma care. The first phase consisted of an Internet-based investigation....... Twenty-one (95.5%) of the guidelines included and recommended FAST as part of trauma assessment. The recommended person to perform the examination was the radiologist in n = 11 (50.0%), the surgeon in n = 6 (27.3%), the anesthesiologist in n = 1 (4.5%), and unspecified in n = 3 (13.6%) facilities. FAST...

  8. Initial evaluation of the "Trauma surgery course"

    Directory of Open Access Journals (Sweden)

    Tugnoli Gregorio

    2006-03-01

    Full Text Available Abstract Background The consequence of the low rate of penetrating injuries in Europe and the increase in non-operative management of blunt trauma is a decrease in surgeons' confidence in managing traumatic injuries has led to the need for new didactic tools. The aim of this retrospective study was to present the Corso di Chirurgia del Politrauma (Trauma Surgery Course, developed as a model for teaching operative trauma techniques, and assess its efficacy. Method the two-day course consisted of theoretical lectures and practical experience on large-sized swine. Data of the first 126 participants were collected and analyzed. Results All of the 126 general surgeons who had participated in the course judged it to be an efficient model to improve knowledge about the surgical treatment of trauma. Conclusion A two-day course, focusing on trauma surgery, with lectures and life-like operation situations, represents a model for simulated training and can be useful to improve surgeons' confidence in managing trauma patients. Cooperation between organizers of similar initiatives would be beneficial and could lead to standardizing and improving such courses.

  9. Traumatismos penetrantes de cuello Neck penetrating traumas

    OpenAIRE

    Luis Sarra; Jorge Carbajo; Alejandro Da Silva; Julio Bitar; Marina Mariotti

    2007-01-01

    Presentamos los resultados de un protocolo de exploración selectiva para traumatismos penetrantes de cuello en un hospital público municipal. Tratamos 46 pacientes desde julio de 1990 hasta julio de 2005 con el protocolo siguiente: atención inicial según normas de apoyo vital en el trauma (‘Advanced Trauma Life Support Protocol’ [ATLS]); clasificación topográfica (de Roon); clasificación según modalidad del traumatismo; clasificación en niveles de gravedad (de 1 a 4); exploración ...

  10. La elevación del seno maxilar en el tratamiento con implantes dentales: un estudio a 4 años

    OpenAIRE

    A. Jiménez Guerra; L. Monsalve Guil; I. Ortiz García; A. España López; J.J. Segura Egea; E. Velasco Ortega

    2015-01-01

    Introducción: El objetivo del presente estudio era mostrar los resultados de la elevación del seno maxilar con biomateriales en el tratamiento con implantes del maxilar posterior. Métodos: 70 pacientes edéntulos parciales fueron tratados con 181 implantes Galimplant® con superficie arenada y grabada con ácidos para la rehabilitación del maxilar posterior mediante la técnica de elevación de seno y relleno con betafosfato tricálcico (Osteoblast®). Los implantes fueron cargados después de un per...

  11. Valoración sanitaria de la superación del valor paramétrico de fluoruro en agua de consumo humano en relación con la prevalencia de caries y fluorosis dental en escolares de doce años de edad

    OpenAIRE

    Macrina María Martín Delgado; Gladis Gómez Santos; Concepción Fernández González; María Luisa Pita Toledo

    2008-01-01

    El R. D. 140/2003, de 7 de febrero, contempla la posibilidad de solicitud de autorización de excepción temporal al valor paramétrico establecido para parámetros de la parte B del anexo I, entre los que se encuentra el fluoruro. El trabajo que se presenta tiene como objeto la comprobación del efecto del consumo de agua con niveles de fluoruro superiores al valor paramétrico sobre la prevalencia de caries y fluorosis dental, total y por grados, en la dentición permanente de escolares de doce añ...

  12. Dental OCT

    Science.gov (United States)

    Wilder-Smith, Petra; Otis, Linda; Zhang, Jun; Chen, Zhongping

    This chapter describes the applications of OCT for imaging in vivo dental and oral tissue. The oral cavity is a diverse environment that includes oral mucosa, gingival tissues, teeth and their supporting structures. Because OCT can image both hard and soft tissues of the oral cavity at high resolution, it offers the unique capacity to identity dental disease before destructive changes have progressed. OCT images depict clinically important anatomical features such as the location of soft tissue attachments, morphological changes in gingival tissue, tooth decay, enamel thickness and decay, as well as the structural integrity of dental restorations. OCT imaging allows for earlier intervention than is possible with current diagnostic modalities.

  13. Relación entre calidad de vida relacionada con la salud oral, pérdida dental y prótesis removible en adultos mayores de 50 años derechohabientes del IMSS

    Directory of Open Access Journals (Sweden)

    C.l. Bellamy Ortiz

    2014-08-01

    Full Text Available Objetivo: Identificar la relación que hay entre la calidad de vida relacionada con la salud oral (CVRSO en pacientes con pérdida dental y uso de prótesis removible. Material y métodos: Estudio transversal en 533 adultos mayores de 50 años de la Unidad Médica Familiar 20 -IMSS-. Se aplicó un cuestionario que incluyó el OHIP-14 (escala que mide la CVRSO y medición clínica de la pérdida dental y las prótesis removibles. Resultados: La prevalencia de edentulismo total fue de 9,9% y de uso de prótesis 35%, de éstas 66% tenían mala calidad. La media del OHIP-14 fue de 9,83. Se clasificó a los sujetos en siete grupos siguiendo dos criterios: pérdida dental (menos de 20 dientes y uso de prótesis removible. En la evaluación, el grupo con peor CVRSO fue el grupo que no usaba prótesis removible pero sí requería al tener menos de 20 dientes. Discusión: El uso de prótesis removible, cuando las personas tienen menos de 20 dientes, mejora la CVRSO aun siendo éstas de mala calidad. Si se tienen 20 dientes o más puede ser una opción no usar prótesis removible para tener una buena calidad de vida relacionada con la salud oral, pero si se tiene menos de 20 dientes sí es necesario.

  14. Influência do trauma cirúrgico no comportamento dos níveis séricos de albumina após cirurgia da coluna vertebral Influencia del trauma quirúrgico sobre el comportamiento de los niveles de albúmina sérica después de cirugía de columna vertebral Influence of surgical trauma on the behavior of serum albumin after spine surgery

    Directory of Open Access Journals (Sweden)

    Rafael Paiva Luciano

    2010-12-01

    después del procedimiento. Se aplicó la prueba de t para muestras apareadas para evaluar el cambio (pre versus post en los parámetros albúmina, la hemoglobina y el hematocrito. La presencia de asociación entre el grado de variación en los niveles de albúmina ( 1g/dL y las variables de interés: la presencia de complicaciones, la necesidad de transfusión, el procedimiento realizado, la edad y el sexo del paciente y el diagnóstico fueron evaluados por el test del χ2 de Pearson o el cociente de probabilidad χ2, cuando necesario. RESULTADOS: la reducción media de esta proteína fue de 0,58 g/dL, que varía de 0 a 1,8 g/dL. De los pacientes, 78,2% tuvieron valores de albúmina en el postoperatorio por debajo del rango normal. Sólo dos pacientes presentaron complicaciones durante los 30 días de seguimiento. El grupo con la corrección de las deformidades presentó el 100% de pacientes con mayor o > 1g/dL. CONCLUSIÓN: hubo una influencia del trauma quirúrgico en la reducción de la albúmina sérica, en promedio, de 0,58 g/dL en las cirugías de la columna vertebral. No se puede asociar esta caída a las complicaciones en el postoperatorio después de 30 días de seguimiento de esos pacientes.OBJECTIVE: to evaluate the variation of serum albumin concentration in surgery of the spine and its relation to clinical effects in the postoperative. METHODS: prospective observational study on the values of serum albumin of 55 patients undergoing spine surgery.Blood samples were collected one day before and 24 hours after the procedure. The paired t test was performed to evaluate the change parameters albumin, hemoglobin and hematocrit. The presence of association between the degree of variation in levels of albumin (1 g/dL and the variables of interest: complications, transfusions, procedures performed, patients' age and sex and diagnosis were assessed by χ2 test or the χ2 likelihood ratio when appropriate. RESULTS: the average reduction of this protein was of 0.58 g

  15. Art and trauma.

    Science.gov (United States)

    Laub, D; Podell, D

    1995-10-01

    The authors of this paper attempt to show that 'the art of trauma', because of its indirect, unaestheticised and dialogic nature, may be the only possible medium for effective representations of trauma. The real witnessing presence created in the art of trauma can act as an antidote to the annihilation of the internal 'other' that occurs in the traumatic experience and to the resulting absence, which both constitutes the core of trauma and precludes its representation. Important elements of the art of trauma are illustrated using the work of Paul Celan, Anselm Kiefer, Claude Lanzmann, Art Spiegelman, and Anne-Marie Levine and texts by Aharon Appelfeld. Examining more closely what Holocaust survivors say in their testimonies, the authors contend that survival itself should be considered as a type of art of trauma when it is made possible by a creative comprehension of reality analogous to that which characterises more conventional forms of the art of trauma. The authors proceed to explore both the possible limits to the extent that trauma may be represented and the continuous struggle involved in attempting to 'know' trauma. They also discuss how art dealing with trauma may circumscribe a double locus: one of witnessing as well as one of emptiness or execution.

  16. Urogenital trauma: imaging upper GU trauma

    Energy Technology Data Exchange (ETDEWEB)

    Goldman, Stanford M. E-mail: Stanford.M.Goldman@uth.tmc.edu; Sandler, Carl M

    2004-04-01

    Objectives: This article will define the current controversies and concepts in the classification, clinical presentation, imaging approaches and management of upper urinary tract trauma. Materials and methods, results: This review will include the experience of the authors in the field of renal trauma over a 32-year period. Current thinking accepts the view that significant renal trauma is generally present when there is gross hematuria, signs of shock, or other clinical signs of severe injury. In most patients, suspected renal injury will be evaluated as a part of the overall assessment of the patient for suspected intraperitoneal injury. The authors will stress some exceptions to the rule. Conclusions: Most trauma experts now advocate conservative management, unless the patient is unstable or a renal vascular thrombosis or avulsion is suspected. Similarly, penetrating trauma to the kidney in and of itself no longer requires mandatory surgery. In the United States, computed tomography (CT), especially spiral CT, is considered the best diagnostic study, if available. Intravenous pyelography (IVP) is adequate if this is the only imaging modality available and if no concomitant injuries to the abdominal structure are suspected. Ultrasound, although strongly advocated in some countries, can lead to some significant false negatives. The diagnosis and management of unusual problems such as the traumatic AV fistula, the patient with an absent kidney or injury to the congenitally abnormal kidney, the serendipitous renal tumor in a patient with trauma, or serious bleeding after an apparent minor injury (i.e., spontaneous hemorrhage) are also reviewed in this article.

  17. Community socioeconomic status and children's dental health.

    Science.gov (United States)

    Gillcrist, J A; Brumley, D E; Blackford, J U

    2001-02-01

    Although a substantial decline in dental caries has occurred among U.S. children, not everyone has benefited equally. The first-ever surgeon general's report on oral health in America indicates that the burden of oral diseases is found in poor Americans. This study investigates the relationship between community socioeconomic status, or SES, and dental health of children. An oral health survey of 17,256 children, representing 93 percent of children residing in 62 Tennessee communities, was conducted in public elementary schools during the 1996-1997 school year. Portable dental equipment was used for examinations, and data from each examination were entered directly into a laptop computer. The authors performed analyses of covariance to examine the relationship between community SES (low/medium/high) and dental health, controlling for community fluoridation. Community SES was significantly related to caries experience in the primary teeth, the proportion of untreated caries in the primary and permanent teeth, dental treatment needs, dental sealants and incisor trauma. Overall, dental health was significantly worse for low-SES communities than for medium- and high-SES communities. The authors conclude that all specific dental indexes used to measure children's dental health in this study, with the exceptions of caries experience in the permanent teeth and sealant presence, were inversely related to the communities' SES. The percentage of children with dental sealants was directly related to the community's SES. Further improvements in oral health will necessitate that community-based preventive programs and access to quality dental care be made available to children who are identified as being at highest risk of experiencing oral disease.

  18. Ansiedad dental: evaluación y tratamiento

    Directory of Open Access Journals (Sweden)

    M. Ríos Erazo

    2014-02-01

    Full Text Available La ansiedad dental es un fenómeno que influye notablemente en el estado de salud oral, entorpeciendo tanto el manejo del paciente durante la atención dental como la posterior adherencia a tratamiento. Con tasas de prevalencia que van del 4% al 23%, la ansiedad dental es un factor importante a considerar si se quiere mejorar la calidad de vida oral del paciente. El presente artículo propone abordar la definición de ansiedad dental, para luego identificar las causas que explican como se origina este fenómeno, además de revisar cuales son los instrumentos más utilizados para medir ansiedad dental dentro del contexto odontológico. Finalmente se revisan las intervenciones que han mostrado mayor efectividad en la reducción de este problema.

  19. Bone manipulation procedures in dental implants.

    Science.gov (United States)

    Mittal, Yuvika; Jindal, Govind; Garg, Sandeep

    2016-01-01

    The use of dental implants for the rehabilitation of missing teeth has broadened the treatment options for patients and clinicians equally. As a result of advances in research in implant design, materials, and techniques, the use of dental implants has increased dramatically in the past two decades and is expected to expand further in the future. Success of dental implants depends largely on the quality and quantity of the available bone in the recipient site. This however may be compromised or unavailable due to tumor, trauma, periodontal disease, etc., which in turn necessitates the need for additional bone manipulation. This review outlines the various bone manipulation techniques that are used to achieve a predictable long-term success of dental implants.

  20. Skeletal scintigraphy following incidental trauma. [/sup 99m/Tc-pyrophosphate

    Energy Technology Data Exchange (ETDEWEB)

    Kim, H.R.; Thrall, J.H.; Keyes, J.W. Jr.

    1979-02-01

    The significance of antecedent trauma in skeletal scintigraphy was assessed in 503 patients, of whom 241 (46%) had prior fracture or tooth extraction. In patients with sufficiently accurate histories for site-by-site analysis, 33 of 131 fracture sites and 16 of 83 dental-procedure sites were positive scintigraphically. In general, the frequency of scan positivity diminished as the interval between trauma and scanning increased, but a significant number of patients showed prolonged uptake at fracture sites. Several patterns of uptake suggested trauma rather than metastatic disease. Knowledge of a history of trauma is often critical in bone scan interpretation.

  1. Bone Maturation in Patients with Angle’s Class II Division 1 Malocclusion Caused by Dental Development Maduración ósea en pacientes con maloclusión clase II división 1 de Angle a partir del desarrollo dental

    Directory of Open Access Journals (Sweden)

    Clotilde de la Caridad Mora Pérez

    2012-09-01

    Full Text Available Background: chronological age does not always allow assessing the somatic development and maturation of patients. Therefore, we resort to bone maturation study, a safer and more reliable method to assess the biological age of individuals. Objective: To determine bone maturation from dental development in patients with Angle’s class II division 1 malocclusion. Methods: A descriptive, observational and cross-sectional study was conducted at Area II in Cienfuegos. It included 50 children. The study of bone age of patients with class II division 1 with orthodontic treatment was performed through assessment methods of bone maturation in calcification stages of the seven left mandibular teeth, using the Demirjians maturation scale. Results: We found that, generally, bone age increased in relation to decimal, dental and chronological ages in both sexes, mainly in males. It was found that there is a strong correlation between chronological and decimal ages; the correlation between bone age, chronological age and decimal age is lower. Conclusions: The Demirjians method could be used in both sexes to determine bone age in patients under orthodontic treatment; values increased mainly in males.Fundamento: la edad cronológica no siempre permite valorar el desarrollo y la maduración somática del paciente, por lo cual se recurre al estudio de la maduración ósea, método más seguro y fiable para evaluar la edad biológica de los individuos. Objetivo: determinar la maduración ósea a partir del desarrollo dental en pacientes con maloclusión clase II división 1 de Angle. Métodos: estudio descriptivo, observacional, de corte transversal realizado en 50 niños del Área II, de Cienfuegos. Se realizó el estudio de  la edad ósea de pacientes clase II división 1 tributarios de tratamientos ortodóncicos, a partir del m

  2. Sensibilidad dentaria Dental sensibility

    OpenAIRE

    P. Tortolini

    2003-01-01

    La sensibilidad dentaria l es un problema común que se presenta entre el 9 y el 30% de la población adulta. La teoría hidrodinámica es aceptada como uno de los mecanismos de inducción de la respuesta pulpar dolorosa, debido a que los estímulos provocan el movimiento del fluido y para ello es necesario que la dentina este expuesta y que los túbulos dentinarios estén abiertos y permeables a la pulpa. Es fundamental realizar el diagnostico diferencial con otras causas de dolor dental e identific...

  3. Dental Caries (Tooth Decay)

    Science.gov (United States)

    ... Find Data by Topic > Dental Caries (Tooth Decay) Dental Caries (Tooth Decay) Main Content Dental caries (tooth decay) remains the most prevalent chronic ... important source of information on oral health and dental care in the United States since the early ...

  4. Management of duodenal trauma

    Institute of Scientific and Technical Information of China (English)

    CHEN Guo-qing; YANG Hua

    2011-01-01

    Duodenal trauma is uncommon but nowadays seen more and more frequently due to the increased automobile accidents and violent events. The management of duodenal trauma can be complicated, especially when massive injury to the pancreatic-duodenal-biliary complex occurs simultaneously. Even the patients receive surgeries in time, multiple postoperative complications and high mortality are common. To know and manage duodenal trauma better, we searched the recent related literature in PubMed by the keywords of duodenal trauma, therapy, diagnosis and abdomen. It shows that because the diagnosis and management are complicated and the mortality is high,duodenal trauma should be treated in time and tactfully.And application of new technology can help improve the management. In this review, we discussed the incidence,diagnosis, management, and complications as well as mortality of duodenal trauma.

  5. Trauma e temporalidade

    Directory of Open Access Journals (Sweden)

    Ana Maria Rudge

    Full Text Available O trauma tem sido abordado na literatura psicanalítica especialmente como um trauma infantil de natureza sexual. A neurose traumática é tomada como modelo para a circunscrição de uma acepção de trauma que não se confunde com o trauma estrutural eficaz na constituição do psiquismo, e cuja sintomatologia não pode ser diretamente remetida à experiência infantil de natureza sexual.

  6. About Military Sexual Trauma

    Medline Plus

    Full Text Available ... out why Close About Military Sexual Trauma Veterans Health Administration Loading... Unsubscribe from Veterans Health Administration? Cancel Unsubscribe Working... Subscribe Subscribed Unsubscribe 15K ...

  7. About Military Sexual Trauma

    Medline Plus

    Full Text Available ... out why Close About Military Sexual Trauma Veterans Health Administration Loading... Unsubscribe from Veterans Health Administration? Cancel Unsubscribe Working... Subscribe Subscribed Unsubscribe 12, ...

  8. About Military Sexual Trauma

    Medline Plus

    Full Text Available ... why Close About Military Sexual Trauma Veterans Health Administration Loading... Unsubscribe from Veterans Health Administration? Cancel Unsubscribe Working... Subscribe Subscribed Unsubscribe 15K Loading... ...

  9. [Scrotal trauma: management strategy].

    Science.gov (United States)

    Culty, T; Ravery, V

    2006-04-01

    Scrotal traumas are rare. Most are blunt traumas caused by a direct blow on the scrotum. The testicle is projected against the pubic arch. Early surgical investigation has considerably improved the prognosis of testicular trauma, and reduced orchidectomy rate. ULtrasonography has also improved the management of scrotal trauma. But there is a controversy about accuracy of ultrasonography in predicting presence or absence of testicular disruption. ULtrasonography should not challenge the dogma regarding systematic surgical investigation of hematocele and enlarged scrotum. Long term outcomes (testicular atrophy, infertility) may be more frequent as previously thought and should be detected.

  10. Saving Lives on the Battlefield (Part II) - One Year Later: A Joint Theater Trauma System and Joint Trauma System Review of Prehospital Trauma Care in Combined Joint Operations Area-Afghanistan (CJOA-A)

    Science.gov (United States)

    2015-01-01

    medical and dental treatment facili- ties. Likewise, though not excluding medical care in the prehospital battlefield environment, none of the...authorized to carry IV/IM ketorolac in trauma but not TCCC Guideline analgesia . Saving Lives on the Battlefield (Part II) 41 35. Add IV saline lock and IV... dental technician became a PA and deployed straight out of IPAP and is the sole provider in an isolated FOB. He admits his inadequacies for combat

  11. Common Dental Injury Management in Athletes

    Science.gov (United States)

    Young, Eliot J.; Macias, C. Roger; Stephens, Lindsay

    2015-01-01

    Context: Orofacial and dental trauma continues to be a commonly encountered issue for the sports medicine team. All sports have some risk for dental injury, but “contact sports” presumably incur more risk. Immediate evaluation and proper management of the most common injuries to dentition can result in saving or restoration of tooth structure. Despite the growing body of evidence, mouth guard use and dental protection have not paralleled the increase in sports participation. Evidence Acquisition: A PubMed search from 1960 through April 2012 was conducted, as well as a review of peer-reviewed online publications. Results: Common dental injuries in sports include tooth (crown) fractures; tooth intrusion, extrusion, and avulsion; and temporomandibular joint dislocation. Mouth guards help prevent most injuries and do not significantly affect ventilation or speech if fitted properly. Conclusion: A working knowledge of the presentation as well as management of commonly encountered dental trauma in sports is essential to the immediate care of an athlete and returning to play. Mouth guard use should be encouraged for athletes of all ages in those sports that incur significant risk. PMID:26131303

  12. Trauma social y memoria colectiva

    Directory of Open Access Journals (Sweden)

    Margarita Iglesias Saldaña

    2009-04-01

    Full Text Available El trauma social y la memoria colectiva, o memorias colectivas están de la mano en la América latina post-dictatorial. Desde fines de los años ochenta, se fueron destituyendo las dictaduras latinoamericanas, la mayoría sobre bases de consensos entre las fuerzas dictatoriales y los negociadores políticos de corrientes democráticas. La fuerza de los movimientos sociales sirvió de puente para las negociaciones, pero no logró estar del todo en las transacciones hacia los procesos de transición. Si así hubiera sido, la justicia y la verdad hubieran tenido un lugar privilegiado en los procesos denominados de "transición a las democracias" en distintos países del cono sur latinoamericano. La memoria colectiva ligada al trauma social tendrá varios componentes que abarcan también la memoria individual, incluyendo los espacios de la experiencia, propia y ajena. Este artículo pretende bucear en las interacciones entre ambos ámbitos de la memoria y sus conexiones con el tiempo presente.__________ABSTRACT:Social trauma and collective memory or collective memories are linked to the post-dictatorial Latin America. Since the late eighties, Latin American dictatorships were progressively dismissing, the majority on the basis of consensus between the dictatorial forces and the political mediators of the democratic part. The strength of social movements formed the bridge to negotiations, but could not entirely participate in the transactions to the transition process. If it would have been so, justice and truth would have had a special place in the process called "transition to democracy" in several Latin American Southern Cone countries. The collective memory linked to social trauma will have several components that also include individual memory, including personal and collective spaces of experience. This article aims to analyze the interactions between the two areas of memory and its connections to the present time.

  13. Operation Brain Trauma Therapy

    Science.gov (United States)

    2016-12-01

    injury tube was placed over the exposed dura and affixed to the skull with adhesive and dental acrylic. The scalp was then sutured closed, and the...placed over the exposed dura and affixed to the skull with cyanoacrylic adhe- sive and dental acrylic. The scalp was then sutured closed, and the...right frontal cranial window (diameter = 4 mm) was created using a dental drill to expose the right frontal pole (+4.5 mm AP, +2 mm ML to bregma). The

  14. First dental visit of a child

    Directory of Open Access Journals (Sweden)

    Meera R

    2008-10-01

    Full Text Available Objectives: The aim of the study was to assess the common chief complaints of the Indian children and the average age group at which they report for in their first dental visit. Materials and Methods: A retrospective study was carried out using the case records of 716 children who reported to the postgraduate section of Department of Pediatric dentistry, Meenakshi Ammal Dental College, Chennai, in 2007. The age groups of the children were divided into three categories 0-3 years, 3-6 years and 6-12 years. The various chief complaints were categorised as follows, Orientation to prevention, Routine visit, Deposits / Discoloration, Habits, Unerupted / Missing or Extra Tooth, Pain, Dental caries, Malocclusion, Trauma, others. The average age group and most common complaint at the first dental visit was assessed. A prospective study was done in January 2008, were 215 children were screened. The assessment was made as explained above. Results: Retrospective study Maximum number of children who reported for their first dental visit was between 6-12 years (59.08%. Most common chief complaint for the visit was pain (42.04%. Second common complaint being dental caries (28.49%. Prospective study Maximum number of children who reported for their first dental visit was between 6-12 years (69.77%. Most common chief complaint was dental caries (34.88%. Second common complaint being pain (27.91%. Conclusion: Children report for the first dental visit most commonly only after 6 years and for complaints like pain and dental caries. Orientation to prevention is not considered and preventive dentistry is yet to reach the common population in India.

  15. Sensibilidad dentaria Dental sensibility

    Directory of Open Access Journals (Sweden)

    P Tortolini

    2003-10-01

    Full Text Available La sensibilidad dentaria l es un problema común que se presenta entre el 9 y el 30% de la población adulta. La teoría hidrodinámica es aceptada como uno de los mecanismos de inducción de la respuesta pulpar dolorosa, debido a que los estímulos provocan el movimiento del fluido y para ello es necesario que la dentina este expuesta y que los túbulos dentinarios estén abiertos y permeables a la pulpa. Es fundamental realizar el diagnostico diferencial con otras causas de dolor dental e identificar los factores etiológicos y predisponentes.Dental sensitivity is a common problem and it affect 9 and 30% the adult poblation. The hidrodynamyc theory is cited as the menchanism of induction of a painful pulpal response and implies that stimuli tranmission across dentine increase the rate of fluid flow through dentinal tubules and for this to accur the dentinal tubules must be opened andpermeable to the pulp. An appropiate tretametn needs a diferential diagnosis eith other causes of dental pain and the identification of predisponing etiologic factors.

  16. Ultrasound in trauma.

    Science.gov (United States)

    Rippey, James C R; Royse, Alistair G

    2009-09-01

    Point-of-care ultrasound is well suited for use in the emergency setting for assessment of the trauma patient. Currently, portable ultrasound machines with high-resolution imaging capability allow trauma patients to be imaged in the pre-hospital setting, emergency departments and operating theatres. In major trauma, ultrasound is used to diagnose life-threatening conditions and to prioritise and guide appropriate interventions. Assessment of the basic haemodynamic state is a very important part of ultrasound use in trauma, but is discussed in more detail elsewhere. Focussed assessment with sonography for Trauma (FAST) rapidly assesses for haemoperitoneum and haemopericardium, and the Extended FAST examination (EFAST) explores for haemothorax, pneumothorax and intravascular filling status. In regional trauma, ultrasound can be used to detect fractures, many vascular injuries, musculoskeletal injuries, testicular injuries and can assess foetal viability in pregnant trauma patients. Ultrasound can also be used at the bedside to guide procedures in trauma, including nerve blocks and vascular access. Importantly, these examinations are being performed by the treating physician in real time, allowing for immediate changes to management of the patient. Controversy remains in determining the best training to ensure competence in this user-dependent imaging modality.

  17. Advances in forefoot trauma.

    Science.gov (United States)

    Clements, J Randolph; Schopf, Robert

    2013-07-01

    Forefoot traumas, particularly involving the metatarsals, are commonly occurring injuries. There have been several advances in management of these injuries. These advances include updates in operative technique, internal fixation options, plating constructs, and external fixation. In addition, the advances of soft tissue management have improved outcomes. This article outlines these injuries and provides an update on techniques, principles, and understanding of managing forefoot trauma.

  18. Treating childhood trauma.

    Science.gov (United States)

    Terr, Lenore C

    2013-01-01

    This review begins with the question "What is childhood trauma?" Diagnosis is discussed next, and then the article focuses on treatment, using 3 basic principles-abreaction, context, and correction. Treatment modalities and complications are discussed, with case vignettes presented throughout to illustrate. Suggestions are provided for the psychiatrist to manage countertransference as trauma therapy proceeds.

  19. Virtual Trauma Team

    NARCIS (Netherlands)

    Jones, Valerie M.; Bults, Richard G.A.

    2001-01-01

    The clinical motivation for Virtual Trauma Team is to improve quality of care in trauma care in the vital first "golden hour" where correct intervention can greatly improve likely health outcome. The motivation for Virtual Homecare Team is to improve quality of life and independence for patients by

  20. La violencia y el trauma emocional

    OpenAIRE

    Arline Prigoff

    2012-01-01

    Este artículo es un análisis de la violencia y sus huellas en las heridas emocionales. Integra elementos del trabajo social clínico y propuestas alternativas de intervención. Tal es el caso de los círculos de apoyo mutuo para trabajar el duelo. Las sugerencias metodológicas expuestas, constituyen una guía para la acción alrededor del trauma como experiencia significativa en la historia personal de quienes han vivido situaciones de horror.

  1. LA VIOLENCIA Y EL TRAUMA EMOCIONAL

    Directory of Open Access Journals (Sweden)

    Arline Prigoff

    2012-08-01

    Full Text Available Este artículo es un análisis de la violencia y sus huellas en las heridas emocionales. Integra elementos del trabajo social clínico y propuestas alternativas de intervención. Tal es el caso de los círculos de apoyo mutuo para trabajar el duelo. Las sugerencias metodológicas expuestas, constituyen una guía para la acción alrededor del trauma como experiencia significativa en la historia personal de quienes han vivido situaciones de horror.

  2. Dental caries

    DEFF Research Database (Denmark)

    Pitts, Nigel B; Zero, Domenick T; Marsh, Phil D

    2017-01-01

    , exposed root surfaces. The balance between pathological and protective factors influences the initiation and progression of caries. This interplay between factors underpins the classification of individuals and groups into caries risk categories, allowing an increasingly tailored approach to care. Dental......Dental caries is a biofilm-mediated, sugar-driven, multifactorial, dynamic disease that results in the phasic demineralization and remineralization of dental hard tissues. Caries can occur throughout life, both in primary and permanent dentitions, and can damage the tooth crown and, in later life...... caries is an unevenly distributed, preventable disease with considerable economic and quality-of-life burdens. The daily use of fluoride toothpaste is seen as the main reason for the overall decline of caries worldwide over recent decades. This Primer aims to provide a global overview of caries...

  3. Dental Calculus Arrest of Dental Caries

    Science.gov (United States)

    Keyes, Paul H.; Rams, Thomas E.

    2016-01-01

    Background An inverse relationship between dental calculus mineralization and dental caries demineralization on teeth has been noted in some studies. Dental calculus may even form superficial layers over existing dental caries and arrest their progression, but this phenomenon has been only rarely documented and infrequently considered in the field of Cariology. To further assess the occurrence of dental calculus arrest of dental caries, this study evaluated a large number of extracted human teeth for the presence and location of dental caries, dental calculus, and dental plaque biofilms. Materials and methods A total of 1,200 teeth were preserved in 10% buffered formal saline, and viewed while moist by a single experienced examiner using a research stereomicroscope at 15-25× magnification. Representative teeth were sectioned and photographed, and their dental plaque biofilms subjected to gram-stain examination with light microscopy at 100× magnification. Results Dental calculus was observed on 1,140 (95%) of the extracted human teeth, and no dental carious lesions were found underlying dental calculus-covered surfaces on 1,139 of these teeth. However, dental calculus arrest of dental caries was found on one (0.54%) of 187 evaluated teeth that presented with unrestored proximal enamel caries. On the distal surface of a maxillary premolar tooth, dental calculus mineralization filled the outer surface cavitation of an incipient dental caries lesion. The dental calculus-covered carious lesion extended only slightly into enamel, and exhibited a brown pigmentation characteristic of inactive or arrested dental caries. In contrast, the tooth's mesial surface, without a superficial layer of dental calculus, had a large carious lesion going through enamel and deep into dentin. Conclusions These observations further document the potential protective effects of dental calculus mineralization against dental caries. PMID:27446993

  4. Trauma-induced coagulopathy.

    Science.gov (United States)

    Katrancha, Elizabeth D; Gonzalez, Luis S

    2014-08-01

    Coagulopathy is the inability of blood to coagulate normally; in trauma patients, it is a multifactorial and complex process. Seriously injured trauma patients experience coagulopathies during the acute injury phase. Risk factors for trauma-induced coagulopathy include hypothermia, metabolic acidosis, hypoperfusion, hemodilution, and fluid replacement. In addition to the coagulopathy induced by trauma, many patients may also be taking medications that interfere with hemostasis. Therefore, medication-induced coagulopathy also is a concern. Traditional laboratory-based methods of assessing coagulation are being supported or even replaced by point-of-care tests. The evidence-based management of trauma-induced coagulopathy should address hypothermia, fluid resuscitation, blood components administration, and, if needed, medications to reverse identified coagulation disorders.

  5. Haemostatic resuscitation in trauma

    DEFF Research Database (Denmark)

    Stensballe, Jakob; Ostrowski, Sisse Rye; Johansson, Par I.

    2016-01-01

    PURPOSE OF REVIEW: To discuss the recent developments in and evolvement of next generation haemostatic resuscitation in bleeding trauma. RECENT FINDINGS: Mortality from major trauma is a worldwide problem, and massive haemorrhage remains a major cause of potentially preventable deaths. Development...... of coagulopathy further increases trauma mortality emphasizing that coagulopathy is a key target in the phase of bleeding. The pathophysiology of coagulopathy in trauma reflects at least three distinct mechanisms that may be present isolated or coexist: acute traumatic coagulopathy, coagulopathy associated...... with the lethal triad, and consumptive coagulopathy. The concepts of 'damage control surgery' and 'damage control resuscitation' have been developed to ensure early control of bleeding and coagulopathy to improve outcome in bleeding trauma. Haemostatic resuscitation aims at controlling coagulopathy and consists...

  6. Evaluación de la capacidad de un nuevo colutorio de inhibir la formación del cálculo dental supragingival

    OpenAIRE

    Fons Badal, Carla

    2014-01-01

    Introducción: El cálculo dental supone un problema para la salud oral ya que incrementa la acumulación de placa y toxinas bacterianas e impide su adecuada eliminación debido a la rugosidad de su superficie favoreciendo de esta manera a la evolución de la enfermedad periodontal. Objetivos: Este trabajo pretende estudiar la magnitud de cálculo formado tras el empleo de un colutorio antisarro a base de pirofosfatos para analizar así su eficacia y los efectos adversos sobre diversos aspectos ...

  7. Exploración del riesgo para fluorosis dental en niños de las clínicas odontológicas universidad de cartagena

    OpenAIRE

    Arrieta Vergara, Katherine Margarita; Gonzalez Martinez, Farith Damian; Luna Ricardo, Luzmayda

    2012-01-01

    Objetivo Describir la prevalencia de fluorosis dental y su relación con factores asociados en niños que acuden a las clínicas de Odontopediatría Universidad de Cartagena. Métodos Estudio de corte transversal, realizado en la Universidad de Cartagena durante el 2009. Se seleccionó una muestra probabilística aleatoria simple con remplazo. Se examinaron 230 niños utilizando el índice de Thylstrup y Fejerskov y se aplicó una encuesta a las madres de los participantes, que indagaba sobre los facto...

  8. Propuesta de un plan estratégico para optimizar la competitividad del Depósito Dental Noemí Caicedo

    OpenAIRE

    Vargas Caicedo, Hilda Elisa

    2014-01-01

    El Depósito Dental Noemí Caicedo es una empresa familiar que se dedica a la comercialización al por mayor y menor de equipos, materiales e instrumentos odontológicos, dentro y fuera de la ciudad de Guayaquil. Debido al crecimiento que ha tenido la empresa a lo largo de quince años, es necesaria una mejora en su competitividad y desarrollo de marketing, para aprovechar de la mejor manera demanda existente. El objetivo de esta tesis es elaborar un plan estratégico que cubra todos los aspe...

  9. Trauma: the seductive hypothesis.

    Science.gov (United States)

    Reisner, Steven

    2003-01-01

    In much of contemporary culture, "trauma" signifies not so much terrible experience as a particular context for understanding and responding to a terrible experience. In therapy, in the media, and in international interventions, the traumatized are seen not simply as people who suffer and so are deserving of concern and aid; they are seen also as people who suffer for us, who are given special dispensation. They are treated with awe if they tell a certain kind of trauma story, and are ignored or vilified if they tell another. Trauma has become not simply a story of pain and its treatment, but a host of sub-stories involving the commodification of altruism, the justification of violence and revenge, the entry point into "true experience," and the place where voyeurism and witnessing intersect. Trauma is today the stuff not only of suffering but of fantasy. Historically, trauma theory and treatment have shown a tension, exemplified in the writings of Freud and Janet, between those who view trauma as formative and those who view it as exceptional. The latter view, that trauma confers exceptional status deserving of special privilege, has gained ground in recent years and has helped to shape the way charitable dollars are distributed, how the traumatized are presented in the media, how governments justify and carry out international responses to trauma, and how therapists attend to their traumatized patients. This response to trauma reflects an underlying, unarticulated belief system derived from narcissism; indeed, trauma has increasingly become the venue, in society and in treatment, where narcissism is permitted to prevail.

  10. El humo del tabaco y su asociación con la caries dental en una muestra de niños y niñas de 10 a 15 años atendidos en la unidad de odontología del Departamento 9 de la Comunidad Valenciana

    Directory of Open Access Journals (Sweden)

    Smara Carbajosa García

    2011-01-01

    Full Text Available Fundamentos, Recientemente se ha destacado el papel dela exposición al humo del tabaco ambiental en la etiología de la caries dental. El objetivo del trabajo es valorar la asociaciónentre la inhalación del humo del tabaco ambiental y la experiencia de caries en niños de entre 10 y 15 años. Métodos, Estudio descriptivo transversal, realizado en la Unidad de Odontología de Atención Primaria del Departamento 9 de Salud de la Comunidad Valenciana. Se seleccionó una muestra aleatoria de 380 niños. Se realizó una exploración clínica a cada uno y se les entregó un cuestionario de opinión y contacto con el humo del tabaco para cumplimentar de formaautoadministrada. Se determinó, índice CAOD, índice cod, índice de placa y gingival, frecuencia de contacto con el humodel tabaco en el domicilio y fuera del domicilio, opinión sobre los efectos del tabaco, consumo de tabaco actual o futuro. Resultados, Los niños que convivían con personas fumadoras en el domicilio presentaban una media de dientes afectados por caries de 1,90 ± 2,34 frente a los que no convivían en los queera de 1,03± 1,46 (p< 0,001. Los índice cod y CAO D medios fueron respectivamente de 0,27 ±0,78 y 1,62± 2,21 para los queconvivían con personas fumadoras frente a 0,10±0,47 y 0,92 ±1,40 para los que no (p=0,039 y p<0,001. Conclusiones, En las condiciones de nuestro estudio la convivencia de niños de entre 10 y 15 años en ambientes con humo de tabaco se encuentra asociada con mayor prevalencia decaries, tanto en la dentición temporal como en la permanente.

  11. Influencia de la microestructura de los implantes dentales sobre la organización del citoesqueleto de osteoblastos humanos normales. Estudio “in vitro”

    OpenAIRE

    Vilches Pérez, José Ignacio

    2008-01-01

    En la actualidad se acepta que gran parte de las funciones dinámicas de las células están reguladas por señales externas procedentes del medio extracelular. El medio extracelular da lugar, por tanto, a un constructo en el cual las células se mueven, crecen, se organizan y diferencian para formar tejidos. La interacción célula-material es uno de los puntos más importantes en ingeniería tisular. Es así, como en los implantes biomédicos, fuerzas mecánicas procedentes del medio extracelular se ex...

  12. Influencia de la microestructura de los implantes dentales sobre la organización del citoesqueleto de osteoblastos humanos normales. Estudio “in vitro”

    OpenAIRE

    Vilches Pérez, José Ignacio

    2008-01-01

    En la actualidad se acepta que gran parte de las funciones dinámicas de las células están reguladas por señales externas procedentes del medio extracelular. El medio extracelular da lugar, por tanto, a un constructo en el cual las células se mueven, crecen, se organizan y diferencian para formar tejidos. La interacción célula-material es uno de los puntos más importantes en ingeniería tisular. Es así, como en los implantes biomédicos, fuerzas mecánicas procedentes del medio extracelular se ex...

  13. Valoración clínica del estado dental y periodental en un grupo de pacientes oncológicos, previo inicio de la quimioterapia.

    OpenAIRE

    López Galindo, Mónica Paula

    2006-01-01

    RESUMEN Introducción La terapia antineoplásica incluye tratamientos de cirugía oncológica, radioterapia y quimioterapia, que dependiendo de la naturaleza y extensión del tumor pueden emplearse solas o mediante combinaciones entre ellas (1). La quimioterapia antineoplásica actual consiste en el uso de fármacos (citostáticos) capaces de afectar las células cancerosas, evitando su proliferación y/o aniquilándolas, aprovechando la mayor velocidad del ciclo celular en este tipo de células...

  14. Closed lung trauma.

    Science.gov (United States)

    Feden, Jeffrey P

    2013-04-01

    Pulmonary injuries from blunt thoracic trauma are seen regularly with high-energy mechanisms but described less frequently in association with sports. Pneumothorax, hemothorax, pneumomediastinum, and pulmonary contusion are uncommon with athletic participation and often follow a benign clinical course. Life-threatening complications may arise, and athletes with chest trauma deserve close attention. Appropriate diagnosis is suggested by history and physical examination; conventional chest radiography is preferred as the initial imaging study but has limitations. Use of CT for trauma has improved diagnostic sensitivity for occult injury, although this may not alter management or outcomes. Return to play is guided by resolution of symptoms and radiographic findings.

  15. Trauma Induced Coagulopathy

    DEFF Research Database (Denmark)

    Genét, Gustav Folmer; Johansson, Per; Meyer, Martin Abild Stengaard

    2013-01-01

    It remains debated whether traumatic brain injury (TBI) induces a different coagulopathy compared to non-TBI. This study investigated traditional coagulation tests, biomarkers of coagulopathy and endothelial damage in trauma patients with and without TBI. Blood from 80 adult trauma patients were...... sampled (median of 68 min (IQR 48-88) post-injury) upon admission to our trauma centre. Plasma/serum were retrospectively analysed for biomarkers reflecting sympathoadrenal activation (adrenaline, noradrenaline), coagulation activation/inhibition and fibrinolysis (protein C, activated protein C, tissue...

  16. Dental Training Films.

    Science.gov (United States)

    Veterans Administration Medical Center, Washington, DC.

    This dental training films catalog is organized into two sections. Section I is a category listing of the films by number and title, indexed according to generalized headings; categories are as follow: anatomy, articulator systems, complete dentures, dental assisting, dental laboratory technology, dental materials, dental office emergencies,…

  17. Influencia del arenado y el consiguiente tratamiento térmico en el mecanismo de degradación de cerámicos dentales basados en circona

    OpenAIRE

    Puchol Pascual, Xavier

    2010-01-01

    Resumen El óxido de circonio (ZrO2) o circona es un material cerámico cuyas propiedades mecánicas y biocompatibilidad lo hacen idóneo para usos biomédicos. Particularmente, la circona tetragonal estabilizada con itria, Y2O3-ZrO2, se ha utilizado para la fabricación de cabezas de fémur en prótesis de cadera y de prótesis dentales. Desde hace algunos años se sabe que a “bajas” temperaturas (aunque superiores a temperatura ambiente) y en ambientes húmedos la circona sufre un ca...

  18. Trauma no idoso Trauma in the elderly

    Directory of Open Access Journals (Sweden)

    JOSÉ ANTONIO GOMES DE SOUZA

    2002-03-01

    Full Text Available O crescimento populacional de idosos, associado a uma forma de vida mais saudável e mais ativa, deixa este grupo de pessoas mais exposto ao risco de acidentes. Em alguns países, o trauma do idoso responde por uma elevada taxa de mortalidade, a qual se apresenta de forma desproporcionalmente maior do que a observada entre a população de adultos jovens. Tal fato acarreta um grande consumo de recursos financeiros destinados à assistência da saúde e um elevado custo social. As características fisiológicas próprias do idoso, assim como a presença freqüente de doenças associadas, faz com que estes pacientes se comportem diferentemente e de forma mais complexa do que os demais grupos etários. Estas particularidades fazem com que o atendimento ao idoso vítima de trauma se faça de forma diferenciada. A presente revisão aborda aspectos da epidemiologia, da prevenção, da fisiologia, do atendimento e da reabilitação do idoso vítima de trauma.The populational growth of the elderly, associated to a healthier and more active life, make this group of people more exposed to accidents. In some countries, trauma in the elderly is responsible for a high mortality rate, desproportionately higher than in the adults. This fact consumes a great portion of health care resources and implies in a high social cost. The distinct physiologic characteristics of the elderly and the frequent presence of associated diseases make that these patients behave diferently and in a more complex way than patients of other ages. These particularities make that health care to the elderly victims of trauma have to be different. The present revision is about aspects of epidemiology, prevention, physiology, health care and reabilitation of the elderly victims of trauma.

  19. Sialadenitis caused by iatrogenic trauma: a case report

    Energy Technology Data Exchange (ETDEWEB)

    Kim, Hyun Woo; Huh, Kyung Hoe; Yi, Won Jin; Heo, Min Suk; Lee, Sam Sun; Choi, Soon Chul [Seoul National University College of Medicine, Seoul (Korea, Republic of)

    2004-06-15

    A case of sialadenitis is presented in a patient with painful swelling of the right mouth floor. The condition was caused by trauma on the right mouth floor during dental treatment, which had happened 15 days before admission. On aspiration, mucous secretion was found and ultrasonography showed obstruction of duct. Histopathological studies and surgical investigation established a definite diagnosis of obstructive sialadenitis caused by ductal laceration. As surgical treatment sialodochoplasty was selected. The case and relevant considerations are discussed.

  20. Anaesthesia for trauma patients

    African Journals Online (AJOL)

    ... hypothermia. E. Figure 1: Advance Trauma Life Support® management priorities ... should determine their own algorithm, based on available skills and resources. ... the fastest onset (30 seconds) and shortest duration of action. Therefore ...

  1. Tailbone trauma - aftercare

    Science.gov (United States)

    ... page: //medlineplus.gov/ency/patientinstructions/000573.htm Tailbone trauma - aftercare To use the sharing features on this ... fractured one of these bones. More about Your Injury Most tailbone injuries lead to bruising and pain. ...

  2. Paediatric trauma care

    African Journals Online (AJOL)

    In this review, paediatric trauma care will be considered primarily for ... to technology increases, injury becomes a major source of childhood ..... reached include the nursing profession, workers in industry, ... New York: Freeman, 1984. 21.

  3. Military Sexual Trauma

    Science.gov (United States)

    ... VHA Forms & Publications Quality & Safety Quality of Care Ethics VA/DOD Clinical Practice Guidelines Hospital ... Trauma Overview Programs & Services Articles & Fact Sheets Other Resources Help with VA Services ...

  4. Platelet aggregation following trauma

    DEFF Research Database (Denmark)

    Windeløv, Nis A; Sørensen, Anne M; Perner, Anders

    2014-01-01

    We aimed to elucidate platelet function in trauma patients, as it is pivotal for hemostasis yet remains scarcely investigated in this population. We conducted a prospective observational study of platelet aggregation capacity in 213 adult trauma patients on admission to an emergency department (ED......). Inclusion criteria were trauma team activation and arterial cannula insertion on arrival. Blood samples were analyzed by multiple electrode aggregometry initiated by thrombin receptor agonist peptide 6 (TRAP) or collagen using a Multiplate device. Blood was sampled median 65 min after injury; median injury...... severity score (ISS) was 17; 14 (7%) patients received 10 or more units of red blood cells in the ED (massive transfusion); 24 (11%) patients died within 28 days of trauma: 17 due to cerebral injuries, four due to exsanguination, and three from other causes. No significant association was found between...

  5. Acute coagulopathy of trauma

    DEFF Research Database (Denmark)

    Johansson, P I; Ostrowski, S R

    2010-01-01

    Acute coagulopathy of trauma predicts a poor clinical outcome. Tissue trauma activates the sympathoadrenal system resulting in high circulating levels of catecholamines that influence hemostasis dose-dependently through immediate effects on the two major compartments of hemostasis, i.......e., the circulating blood and the vascular endothelium. There appears to be a dose-dependency with regards to injury severity and the hemostatic response to trauma evaluated in whole blood by viscoelastic assays like thrombelastography (TEG), changing from normal to hypercoagulable, to hypocoagulable and finally......, is an evolutionary developed response that counterbalances the injury and catecholamine induced endothelial activation and damage. Given this, the rise in circulating catecholamines in trauma patients may favor a switch from hyper- to hypocoagulability in the blood to keep the progressively more procoagulant...

  6. Dental extraction for patients presenting at oral surgery student clinic.

    Science.gov (United States)

    Baqain, Zaid H; Khraisat, Ameen; Sawair, Faleh; Ghanam, Sana; Shaini, Firas J; Rajab, Lamis D

    2007-03-01

    The aim of this study was to examine the reasons for dental extraction and to determine the pattern of tooth loss in patients seeking care at the oral surgery teaching clinics in the Faculty of Dentistry of the University of Jordan, Amman, Jordan, over a 3-year period. Data pertaining to the dental extractions of 2435 patients were analyzed. The results showed that 63.8% of the teeth included in this study were extracted because of dental caries, 22.9% because of periodontal disease, and 11.0% for prosthetic reasons. Pericoronitis, orthodontic treatment, trauma, and eruption problems accounted for 2.4% of the reported extractions. The upper premolars were the teeth most commonly extracted, and the lower first and second molars were the teeth most commonly extracted because of dental caries. The logistic regression test revealed that extraction because of dental caries occurred mostly in the group aged 21 to 30 years (P Periodontal disease was not likely the cause of extraction in patients younger than 40 years. Mandibular incisors were the teeth least likely extracted because of dental caries (P periodontal disease (P orthodontic reasons mostly involved the premolars (P periodontal disease (P < .05 and P < .001, respectively) and were more likely to lose teeth for prosthetic reasons and trauma. The information gained from this study is useful to shift oral health planning toward emphasizing the importance of maintaining natural dentition and preventing dental disease.

  7. Evaluation of care of dentoalveolar trauma

    Directory of Open Access Journals (Sweden)

    Luiz Fernando Fariniuk

    2010-08-01

    Full Text Available OBJECTIVES: The aim of this study was to evaluate cases of dental trauma treated at the specialized center of Pontifical Catholic University of Paraná, Curitiba, Brazil, during a period of 2 years. MATERIAL AND METHODS: A total of 647 patients were evaluated and treated between 2003 and 2005. Data obtained from each patient were tabulated and analyzed as to gender, age, etiology, time elapsed after the injury, diagnosis (type of trauma, and affected teeth. RESULTS: The results revealed that male individuals aged 7 to 13 years presented the highest prevalence of injury, and falling was the main causal factor. In most cases, the time elapsed between the accident and the first care ranged from 4 to 24 h. A total of 1,747 teeth were affected, with higher incidence of concussion/subluxation and coronal fracture, followed by lateral luxation and avulsion. The permanent maxillary central incisors were the most commonly affected teeth. CONCLUSION: The frequency and causes of dentoalveolar trauma should be investigated for identification of risk groups, treatment demands and costs in order to allow for the establishment of effective preventive measures that can reduce the treatment duration and costs for both patients and oral health services.

  8. Evaluation of care of dentoalveolar trauma.

    Science.gov (United States)

    Fariniuk, Luiz Fernando; Souza, Maria Helena de; Westphalen, Vânia Portela Dietzel; Carneiro, Everdan; Silva Neto, Ulisses X; Roskamp, Liliane; Cavali, Ana Egide

    2010-01-01

    The aim of this study was to evaluate cases of dental trauma treated at the specialized center of Pontifical Catholic University of Paraná, Curitiba, Brazil, during a period of 2 years. A total of 647 patients were evaluated and treated between 2003 and 2005. Data obtained from each patient were tabulated and analyzed as to gender, age, etiology, time elapsed after the injury, diagnosis (type of trauma), and affected teeth. The results revealed that male individuals aged 7 to 13 years presented the highest prevalence of injury, and falling was the main causal factor. In most cases, the time elapsed between the accident and the first care ranged from 4 to 24 h. A total of 1,747 teeth were affected, with higher incidence of concussion/subluxation and coronal fracture, followed by lateral luxation and avulsion. The permanent maxillary central incisors were the most commonly affected teeth. The frequency and causes of dentoalveolar trauma should be investigated for identification of risk groups, treatment demands and costs in order to allow for the establishment of effective preventive measures that can reduce the treatment duration and costs for both patients and oral health services.

  9. Los microbios en el agua de las unidades dentales

    Directory of Open Access Journals (Sweden)

    Chris H. Milleri

    1996-12-01

    Full Text Available Los microbios están presentes en el agua de las unidades dentales y existen en la biocapa que cubre las paredes de las tuberías de agua. El mejoramiento de la calidad microbiana del agua en las unidades dentales según estén disponibles los medios es una parte natural del mantenimiento de la calidad para la atención al paciente y al equipo de trabajo.

  10. Regeneración de tejido periodontal in vitro con células madre pluripotenciales de la pulpa dental (DPPSC) del tercer molar

    OpenAIRE

    Hategan, Iulia Emilia

    2016-01-01

    El periodonto está formado por varios tejidos: la encía, el ligamento periodontal, el cemento radicular y el hueso alveolar. El periodonto tiene dos funciones fundamentales: protección e inserción. La función de protección la realizan la encía y el epitelio de unión, mientras que la función de inserción se desempeña a través del ligamento periodontal, el cemento radicular y el hueso alveolar.- El ligamento periodontal es un tejido celular altamente vascularizado que rodea la raíz del dien...

  11. Regeneración de tejido periodontal in vitro con células madre pluripotenciales de la pulpa dental (DPPSC) del tercer molar

    OpenAIRE

    Hategan, Iulia Emilia

    2016-01-01

    El periodonto está formado por varios tejidos: la encía, el ligamento periodontal, el cemento radicular y el hueso alveolar. El periodonto tiene dos funciones fundamentales: protección e inserción. La función de protección la realizan la encía y el epitelio de unión, mientras que la función de inserción se desempeña a través del ligamento periodontal, el cemento radicular y el hueso alveolar.- El ligamento periodontal es un tejido celular altamente vascularizado que rodea la raíz del dien...

  12. Analysis of dentoalveolar trauma incidents treated in the emergency services department at a healthcare teaching institution in Medellin (Colombia) 2007-2012

    OpenAIRE

    2014-01-01

    Introduction: dental trauma is considered a dental emergency and it occurs frequently, especially among young people. The aim of this research was to analyze dentoalveolar trauma incidents treated in the emergency services department of a university clinic in the city of Medellin (Colombia), between 2007 and 2012. Methods: this was a retrospective, descriptive study in which 7.555 clinical histories were revised, the final sample comprising the 549 cases that met inclusion and exclusion crite...

  13. Childhood trauma in bipolar disorder

    OpenAIRE

    Watson, Stuart; Gallagher, Peter; Dougall, Dominic; Porter, Richard; Moncrieff, Joanna; Ferrier, I Nicol; Young, Allan H.

    2014-01-01

    Objective: There has been little investigation of early trauma in bipolar disorder despite evidence that stress impacts on the course of this illness. We aimed to compare the rates of childhood trauma in adults with bipolar disorder to a healthy control group, and to investigate the impact of childhood trauma on the clinical course of bipolar disorder. Methods: Retrospective assessment of childhood trauma was conducted using the Childhood Trauma Questionnaire (CTQ) in 60 outpatients with bipo...

  14. Childhood trauma in bipolar disorder.

    OpenAIRE

    Watson, S; Gallagher, P.; Dougall, D.; Porter, R.; Moncrieff, J; Ferrier, I N; Young, A.H.

    2014-01-01

    Objective:There has been little investigation of early trauma in bipolar disorder despite evidence that stress impacts on the course of this illness. We aimed to compare the rates of childhood trauma in adults with bipolar disorder to a healthy control group, and to investigate the impact of childhood trauma on the clinical course of bipolar disorder.Methods:Retrospective assessment of childhood trauma was conducted using the Childhood Trauma Questionnaire (CTQ) in 60 outpatients with bipolar...

  15. Linear abdominal trauma.

    Science.gov (United States)

    Danto, L A; Wolfman, E F

    1976-03-01

    Three cases of blunt abdominal trauma are presented to exemplify the mechanism of trauma and the problems of diagnosis associated with any linear blow to the abdomen. The mechanisms of visceral injury are reviewed, and special attention is directed to the abdominal wall injury that can be present in these patients. This injury has special implications in directing the operative approach and repair. An unusual aortic occlusion is described which is peculiar to this type of injury.

  16. Depressão: uma possível consequência adversa do trauma crânio-encefálico para o cuidador familiar Depresión: una posible consecuencia adversa del trauma cráneo-encefálico para el cuidador familiar Depression: a possible adverse consequence of the traumatic brain injury for the family caregiver

    OpenAIRE

    Edilene Curvelo Hora Serna; Regina Márcia Cardoso de Sousa

    2005-01-01

    Estudo descritivo com abordagem quantitativa, desenvolvido no ambulatório do Trauma de Crânio com 50 cuidadores e 50 vítimas de Trauma Crânio-Encefálico, com o objetivo de verificar entre os cuidadores familiares a presença de sintomas depressivos e sua associação com o tempo decorrido do evento traumático e a condição da vítima seis meses ou mais após o trauma. O Inventário de Depressão de Beck foi aplicado aos cuidadores e a Escala de Resultados de Glasgow na avaliação da condição das vítim...

  17. Clinical study of guided bone regeneration technique in dental implant restoration of oral and maxillofacial trauma tooth loss and bone defects%引导骨组织再生技术种植修复口腔颌面部创伤后牙缺失伴骨缺损的临床研究

    Institute of Scientific and Technical Information of China (English)

    李康; 陈淑萍; 谢春; 周姮

    2016-01-01

    Objective: To investigate the clinical effect of guided bone regeneration technique in dental im-plant restoration of oral and maxillofacial trauma tooth loss and bone defects. Methods: 63 patients with maxillary anterior teeth were selected from March 2014 to April 2015 and were randomly divided into treatment group(33 cases) and control group(30 cases). Ccontrol group used maxillary anterior teeth of the second phase of the planting method, but not for the recovery of bone mass, treatment group with GBR technique for dental implant in the anterior maxilla and dental implant fixation after implantation of artificial bone. On the day after operation, 6 months and 12 months after implantation, the red aes-thetic parameters of soft tissue and the level of bone around the implant were compared between the two groups. Results: Compared with the baseline level, the two groups of patients with dental implants for 6 months, 12 months of red aesthetic index values were significantly increased (P0.05). Implant weightbearing 12 months later, baseline and compared in addition to alveolar shape and lip side gingival margin level two index-es had no significant difference, other red aesthetic parameters in the two groups were improved signifi-cantly(P0.05). Conclusion:GBR can effectively deal with traumatic occlusal damage with bone tissue in patients with impaired chewing ability and the language, is conducive to the appearance of the restoration, and has damage to the remaining teeth small, in oral and maxillofacial trauma and loss of posterior teeth with bone defect in the treatment effect and prospect are better.%目的:探讨引导骨组织再生技术种植修复口腔颌面部创伤后牙缺失伴骨缺损的临床效果。方法:选取2014年3月~2015年4月在本院诊治的口腔颌面部上颌前牙缺失患者63例,随机分为治疗组(33例)和对照组(30例)。对照组运用上前牙二期种植方法,但是没有进行骨量恢复,治疗组

  18. Efecto del tipo de resina y del tipo de matriz en la rugosidad superficial de prótesis dentales fijas provisionales confeccionadas con la técnica individualizada

    OpenAIRE

    Ayuso Montero, Raúl

    2007-01-01

    La rugosidad superficial es una de las características más importantes a tener en cuenta en las restauraciones provisionales de prótesis fija, ya que influye en la acumulación de placa bacteriana y en la estética. Se han estudiado diferentes protocolos de pulido para conseguir rugosidades menores, pero se desconoce el efecto del uso de diferentes matrices sobre la rugosidad de las resinas. Los objetivos del estudio fueron evaluar y comparar la rugosidad de dos resinas de metacrilato y una de ...

  19. Quality of trauma care and trauma registries.

    Science.gov (United States)

    Pino Sánchez, F I; Ballesteros Sanz, M A; Cordero Lorenzana, L; Guerrero López, F

    2015-03-01

    Traumatic disease is a major public health concern. Monitoring the quality of services provided is essential for the maintenance and improvement thereof. Assessing and monitoring the quality of care in trauma patient through quality indicators would allow identifying opportunities for improvement whose implementation would improve outcomes in hospital mortality, functional outcomes and quality of life of survivors. Many quality indicators have been used in this condition, although very few ones have a solid level of scientific evidence to recommend their routine use. The information contained in the trauma registries, spread around the world in recent decades, is essential to know the current health care reality, identify opportunities for improvement and contribute to the clinical and epidemiological research. Copyright © 2014 Elsevier España, S.L.U. and SEMICYUC. All rights reserved.

  20. Frequency of root resorption following trauma to permanent teeth.

    Science.gov (United States)

    Soares, Adriana J; Souza, Gustavo A; Pereira, Andrea C; Vargas-Neto, Julio; Zaia, Alexandre A; Silva, Emmanuel J N L

    2015-06-01

    This retrospective study evaluated the frequency of development of root resorption in dental trauma cases involving supporting tissue. For 249 traumatized teeth of 125 patients aged between 7 and 51 years, we collected data on the gender and age of the patient, the teeth involved, the type of trauma, and the period between dental injury and initial examination. Radiographic parameters examined in relation to root resorption included the presence of inflammatory external root resorption, internal root resorption, replacement resorption, and canal calcification. Data were analyzed by chi-squared test, Fisher's exact test, and mult iple logistic regression (P resorption (P = 0.0199), as well as the type of injury (P = 0.0406). Furthermore, external resorption was most frequently associated with intrusive luxation (92.8%), followed by avulsion (89.0%), lateral luxation (80.2%), and extrusive luxation (77.4%). Among the types of dental injury, replacement resorption was observed more frequently in cases of avulsion (87.2%). The only factor that was significantly associated with this type of resorption was the type of injury (P resorption is observed more frequently and its risk of development is higher in cases of severe trauma, especially avulsion and intrusive luxation.

  1. Airway management in trauma

    Directory of Open Access Journals (Sweden)

    Rao B

    2004-01-01

    Full Text Available Airway Management for the victims of major trauma is the first priority in the care of the trauma victim and is a core skill in emergency medicine and critical care. Endotracheal intubation remains the gold standard for trauma airway management. Airway management in trauma patients is not just the capability to insert an oral/nasal airway or endotracheal tube beyond the vocal cords. The five components integral to modern, sophisticated airway management in trauma patients include equipment, pharmacologic adjuncts, manual techniques, physical circumstances, and patient profile. A trauma patient may require airway management in a variety of physical circumstances. Whereas, the commonly used airway management algorithms may not suffice in all these situations, the construction of a truly complete decision tree is also virtually impossible. There is consensus that it is not the intervention per se but rather the conditions, skills, and performance that might be the possible variables that affect outcome. Paramedics have only limited experience and on-the-job skills for invasive airway management. Difficult airway management is best left for the experienced physicians to handle.

  2. Airway management in trauma.

    Science.gov (United States)

    Langeron, O; Birenbaum, A; Amour, J

    2009-05-01

    Maintenance of a patent and prevention of aspiration are essential for the management of the trauma patient, that requires experienced physicians in airway control techniques. Difficulties of the airway control in the trauma setting are increased by the vital failures, the risk of aspiration, the potential cervical spine injury, the combative patient, and the obvious risk of difficult tracheal intubation related to specific injury related to the trauma. Endotracheal intubation remains the gold standard in trauma patient airway management and should be performed via the oral route with a rapid sequence induction and a manual in-line stabilization maneuver, to decrease the risks previously mentioned. Different techniques to control the airway in trauma patients are presented: improvement of the laryngoscopic vision, lighted stylet tracheal intubation, retrograde technique for orotracheal intubation, the laryngeal mask and the intubating laryngeal mask airways, the combitube and cricothyroidotomy. Management of the airway in trauma patients requires regular training in these techniques and the knowledge of complementary techniques allowing tracheal intubation or oxygenation to overcome difficult intubation and to prevent major complications as hypoxemia and aspiration.

  3. Knowledge of managing avulsed tooth among general dental practitioners in Malaysia.

    Science.gov (United States)

    Abdullah, Dalia; Soo, Suet Yeo; Kanagasingam, Shalini

    2016-12-01

    Dental and maxillofacial injuries are one of the areas of concern highlighted in the Malaysian National Oral Health Plan 2011-2020. General dental practitioners (GDPs) have the responsibility of diagnosing and assessing dental trauma and determining the prognosis and outcomes of trauma along with its management. The purpose of this study was to evaluate the knowledge base and preferred methods of general dental practitioners regarding the management of avulsed tooth. A random convenient sampling methodology was employed for sample selection. A pre-tested 11-item questionnaire was validated on the dental officers. The survey was distributed to 182 GDPs attending the annual Malaysian Dental Association conference in January 2010. The data obtained was statistically analyzed using descriptive analysis and logistic regression was employed to predict the probability of achieving high scores. A total of 182 general dental practitioners participated in the study, with the majority being female (n=153, 75%). The place of practice significantly affected the knowledge score. In the group that scored more than 80 points (n=84, 46%), 76% of them worked with government hospitals. Age, work duration and number of traumatised teeth previously treated had no significant effect. The odds ratio for place of practice indicates that respondents who work in government hospitals are 3.6 times more likely to score more than 80 points compared to those who worked in private clinics (OR=3.615, P=0.001). The knowledge level on the management of avulsed tooth among general dental practitioners in Malaysia needs to be improved. Strategies in improvement of the Malaysian dental educational system, continuous dental educational activities and utilisation of guidelines on trauma management should be recommended to increase the knowledge level of avulsed tooth management to ensure good treatment outcomes. Trauma prevention and further education regarding the management of avulsed tooth is an

  4. Diabetes: Dental Tips

    Science.gov (United States)

    ... Diabetes and Oral Health > Diabetes: Dental Tips Diabetes: Dental Tips Main Content Diabetes can cause serious problems ... FOIA Web Policies Privacy Policy National Institute of Dental and Craniofacial Research National Institutes of Health Bethesda, ...

  5. Dental Exam for Children

    Science.gov (United States)

    ... they're most treatable. When to have a dental exam Various factors might determine how frequently your ... wisdom teeth (third molars) at the appropriate age. Dental X-ray A dental X-ray (radiograph) allows ...

  6. Dental Care in Pregnancy

    Science.gov (United States)

    Share with Women Dental Care in Pregnancy Why is dental care in pregnancy important? During pregnancy, you are more likely to have problems ... There are 2 major reasons women can have dental problems during pregnancy: Pregnancy gingivitis— During pregnancy, changes ...

  7. American Dental Education Association

    Science.gov (United States)

    ... Interest Groups ADEA Governance Documents and Publications ADEA Dental Faculty Code of Conduct ADEA Bylaws ADEAGies Foundation ... Benefits for Faculty ADEA Member Benefits for Allied Dental Programs ADEA Member Benefits for Dental Schools ADEA ...

  8. Dental Issues & Down Syndrome

    Science.gov (United States)

    ... Associated Conditions » Dental Issues & Down Syndrome Dental Issues & Down Syndrome Dental care is important for everybody, but people ... is Different About the Teeth of People With Down Syndrome? Delayed Eruption The teeth of people with Down ...

  9. Dental Implants.

    Science.gov (United States)

    Griggs, Jason A

    2017-10-01

    Systematic reviews of literature over the period between 2008 and 2017 are discussed regarding clinical evidence for the factors affecting survival and failure of dental implants. The factors addressed include publication bias, tooth location, insertion torque, collar design, implant-abutment connection design, implant length, implant width, bone augmentation, platform switching, surface roughness, implant coatings, and the use of ceramic materials in the implant body and abutment. Copyright © 2017 Elsevier Inc. All rights reserved.

  10. Inserción de implantes dentales en la apófisis pterigoides: Una alternativa en el tratamiento rehabilitador del maxilar posterior atrófico

    Directory of Open Access Journals (Sweden)

    L. Mateos

    2002-04-01

    Full Text Available Existe una alta tasa de fracasos en el tratamiento con implantes del maxilar superior reabsorbido, así como aquéllos insertados en zonas de hueso tipo IV (hueso cortical delgado que rodea a hueso trabecular de baja densidad. Sin embargo, existe una mayor predictibilidad en la colocación de implantes en la apófisis pterigoides, justificando sus indicaciones en aquellos casos donde existe un pronóstico incierto si se insertan las fijaciones en un maxilar de las características antes mencionadas. El uso de implantes en la apófisis pterigoides tienen una tasa de éxito similar a la de los implantes usados en otras áreas del maxilar superior, proporcionando una importante ayuda a la estabilización de la prótesis sobre implantes, lo que otorga una ventaja biomecánica a este tipo de rehabilitaciones. El objetivo de este trabajo es realizar una revisión sobre el procedimiento y la anatomía de la zona, analizando los conceptos de anatomía aplicada del maxilar posterior a la terapéutica con implantes y desarrollando un protocolo quirúrgico para la inserción de fijaciones intraóseas en la apófisis pterigoides, estableciendo las consideraciones protésicas para la carga de los implantes situados en esta región. El protocolo quirúrgico incluye el anclaje cortical del implante en la lámina pterigoidea. Para alcanzar este objetivo, el implante deberá insertarse con una cierta angulación respecto al plano oclusal, relacionándose en su colocación con los huesos maxilar superior, palatino, y la apófisis pterigoides del hueso esfenoides. Por su parte, el protocolo protésico también presenta variaciones, como la toma de impresiones del implante en vez del pilar transepitelial, entre otros. Estos cambios favorecen las condiciones biomecánicas y funcionales de los implantes, haciendo posible el éxito a largo plazo de los mismos.There is a high failure rate in implants placed in the posterior atrophic maxilla. That also occurs with those

  11. Traumatic dental injuries in a university hospital: a four-year retrospective study.

    Science.gov (United States)

    Mahmoodi, Benjamin; Rahimi-Nedjat, Roman; Weusmann, Jens; Azaripour, Adriano; Walter, Christian; Willershausen, Brita

    2015-11-04

    Traumatic dental injuries present complex injuries of the dentoalveolar system. Aim of this study was to investigate the frequency and patterns of traumatic dental injuries in a University dental emergency service over four years. A retrospective investigation on all dental trauma patients presenting at the dental emergency service of the University Medical Center Mainz, Germany between 01/2010 and 12/2013 was conducted. Demographic data, the cause and type of trauma and the initial therapy were analyzed. Out of 16,301 patients, 1,305 patients (8 %; average age 14.7 years ±15.7; 60.1 % male, 39.9 % female) came due to trauma. 63.9 % of the traumas occurred on weekends. The most frequent reason for injuries was falls (54.6 %). No correlation could be found between the cause and the kind of trauma. In 48.6 % of the cases only one tooth was involved, in 33.5 % two. The permanent dentition was traumatized in 56.6 % of cases, the deciduous teeth in 41.1 %. The most frequently affected tooth was the central upper incisor (61.0 %). Hard-tissue injuries were significantly more frequent in the permanent dentition, while periodontal injuries were seen significantly more often in the deciduous dentition. Eight percent of all patients seeking help at the dental emergency service presented with trauma, meaning that dental traumatology is one of the major topics in emergencies. To improve the quality of care, further public education, expert knowledge among dental professionals and a well-structured emergency service are necessary.

  12. Dental Holography

    Science.gov (United States)

    Dirtoft, Ingegerd

    1983-12-01

    Ten years have passed since the first articles appeared in this new field. The qualities of the laser light together with the need of contactless 3-D measurements for different dental purposes seemed to be extremely promising, but still just a few scientists have used the method and mostly for laboratory studies. For some reason there has been a preponderance for orthodontic measurements. This seems to be a bit peculiar from holographic view compared with measurements for engineering purposes, which usually are made on metals. So naturally holography can become a clinical tool for measurements in the field of fixed bridges, removable partial dentures and implants. One of the problems is that the need for holography in dental research must be fulfilled in collaboration with physicists. Only a two-way communication during an entire experiment can balance both technical and odontological demands and thus give practical and clinical important results. The need for an easy way of handling the evaluation to get all required information is another problem and of course the holographic equipment must be converted to a box easy to handle for everyone. At last the position of dental holography today is going to be carefully examined together with an attempt to look into the hopefully exciting and not to utopic future for this research field.

  13. Dental caries.

    Science.gov (United States)

    Pitts, Nigel B; Zero, Domenick T; Marsh, Phil D; Ekstrand, Kim; Weintraub, Jane A; Ramos-Gomez, Francisco; Tagami, Junji; Twetman, Svante; Tsakos, Georgios; Ismail, Amid

    2017-05-25

    Dental caries is a biofilm-mediated, sugar-driven, multifactorial, dynamic disease that results in the phasic demineralization and remineralization of dental hard tissues. Caries can occur throughout life, both in primary and permanent dentitions, and can damage the tooth crown and, in later life, exposed root surfaces. The balance between pathological and protective factors influences the initiation and progression of caries. This interplay between factors underpins the classification of individuals and groups into caries risk categories, allowing an increasingly tailored approach to care. Dental caries is an unevenly distributed, preventable disease with considerable economic and quality-of-life burdens. The daily use of fluoride toothpaste is seen as the main reason for the overall decline of caries worldwide over recent decades. This Primer aims to provide a global overview of caries, acknowledging the historical era dominated by restoration of tooth decay by surgical means, but focuses on current, progressive and more holistic long-term, patient-centred, tooth-preserving preventive care.

  14. Danish dental education:

    DEFF Research Database (Denmark)

    Moore, Rod

    1985-01-01

    The effects of Danish cultural traditions on dental education in Denmark are described, as well as the system's current structure and developing issues. Some Danish ideas for future exports of dental education programs and dental personnel are also discussed.......The effects of Danish cultural traditions on dental education in Denmark are described, as well as the system's current structure and developing issues. Some Danish ideas for future exports of dental education programs and dental personnel are also discussed....

  15. Danish dental education:

    DEFF Research Database (Denmark)

    Moore, Rod

    1985-01-01

    The effects of Danish cultural traditions on dental education in Denmark are described, as well as the system's current structure and developing issues. Some Danish ideas for future exports of dental education programs and dental personnel are also discussed.......The effects of Danish cultural traditions on dental education in Denmark are described, as well as the system's current structure and developing issues. Some Danish ideas for future exports of dental education programs and dental personnel are also discussed....

  16. Self-perception regarding dental aesthetics, knowledge and attitude of traumatic dental injury and halitosis among people of Aurabani, Sunsari district of Eastern Nepal

    Directory of Open Access Journals (Sweden)

    S Dahal

    2015-09-01

    Full Text Available Background and Objectives: Increased concern over dental appearance has been observed during childhood and adolescence to early adulthood. The study was conducted with objectives to assess the self-perception of dental aesthetics, knowledge, attitude and management of dental trauma and halitosis.Materials and Methods: Self-administered questionnaire translated in Nepali language consisting of 32 questions was used. The completed questionnaires were analyzed using descriptive statistics.Results: Out of the total study population, 63% were satisfied with their overall tooth appearance and 71.7% with their tooth color. Twenty-nine percent had experienced dental trauma. More than half of the study population thought that immediate treatment was required after dental trauma. Fifty seven percent of the villagers had halitosis.Conclusion: The research clearly shows that the people of Aurabani VDC were satisfied with their tooth color and overall tooth appearance; however the knowledge regarding emergency management of dental trauma, the cause and management of halitosis was insufficient.JCMS Nepal. 2015;11(1:6-8

  17. The role for 'reminders' in dental traumatology: 1. Current practices in the UK and Ireland.

    Science.gov (United States)

    Day, Peter F; Duggal, Monty S

    2006-10-01

    The aim of this study was to investigate the current method for recording trauma in UK dental hospitals. A standard questionnaire was sent out to all 19 UK and Irish dental hospitals to investigate how trauma was recorded both at initial presentation and at review appointments. Where a standard form was used, a copy was requested. Each form was analysed to assess what information was being recorded and whether prompts were used. For the initial presentation of trauma, nine institutions had a standard trauma form, one used a standard form for avulsions only, seven had no form and two did not respond. For subsequent follow-up visits of trauma cases, six hospitals had a standard form, one used a standard from for avulsions only, 10 had no form and two did not respond. There was considerable variation in the questions that were asked at initial presentation of trauma cases and follow-up reviews in dento-alveolar trauma. Without consistent recording, there is little chance that multi-centred prospective clinical trials can take place in the field of dental trauma.

  18. Referral practice of military corpsmen regarding dento-alveolar trauma.

    Science.gov (United States)

    Zadik, Yehuda; Levin, Liran

    2008-06-01

    The aim of this study was to evaluate the Israeli military corpsmens' practice of referral to professional treatment regarding traumatic dental injuries. The study consisted of 250 corpsmen during their military service. Questionnaire and slide show were used to present clinical photos with short history descriptions of dento-alveolar traumatic injuries. Participants were asked to indicate the preferred referral destination for each case to state the urgency of referral to the destination and to note their regional emergency department with an oral and maxillofacial surgery consultant and the nearest 24-h emergency dental clinic. Corpsmen immediately evacuated the wounded with full-thickness lip laceration (59%), tooth avulsion (79%), alveolar fracture (88%) and mandibular fracture (100%). Most corpsmen referred crown fracture to a dental clinic and alveolar- or mandibular-bone fracture to the emergency department. Tooth avulsion cases were equally distributed between the emergency department and dental clinic and full-thickness lip laceration between the emergency department and general medical office. Familiarity with the nearest 24-h emergency dental clinic was found in 38% and with the regional emergency department with an oral and maxillofacial surgery consultant in 57%. The knowledge of this group of military corpsmen regarding referral practices was encouraging. However, further continuing education with regards to the regionally available emergency services is needed. Special emphasis should be given to provide primary caregivers with the relevant education to improve their knowledge and ability of dealing dental trauma.

  19. American Dental Hygienists' Association

    Science.gov (United States)

    ... Resources Student Resources National Exam Student Advisor Resources Dental Hygiene Programs Scholarships and Grants Research Center Transforming Dental Hygiene Education Advocacy Practice Issues Direct Access Scope ...

  20. Dental Fear among Medical and Dental Undergraduates

    Directory of Open Access Journals (Sweden)

    H. Hakim

    2014-01-01

    Full Text Available Objective. To assess the prevalence and level of dental fear among health related undergraduates and to identify factors causing such fear using Kleinknecht’s Dental Fear Survey (DFS questionnaire. Methods. Kleinknecht’s DFS questionnaire was used to assess dental fear and anxiety among the entire enrollment of the medical and dental undergraduates’ of the University of Malaya. Results. Overall response rate was 82.2%. Dental students reported higher prevalence of dental fear (96.0% versus 90.4%. However, most of the fear encountered among dental students was in the low fear category as compared to their medical counterpart (69.2 versus 51.2%. Significantly more medical students cancelled dental appointment due to fear compared to dental students (P=0.004. “Heart beats faster” and “muscle being tensed” were the top two physiological responses experienced by the respondents. “Drill” and “anesthetic needle” were the most fear provoking objects among respondents of both faculties. Conclusion. Dental fear and anxiety are a common problem encountered among medical and dental undergraduates who represent future health care professionals. Also, high level of dental fear and anxiety leads to the avoidance of the dental services.

  1. Reversal of dental fluorosis: A clinical study.

    Science.gov (United States)

    Mehta, Dhaval N; Shah, Jigna

    2013-01-01

    This study was conducted to evaluate the clinical reversal of dental fluorosis with various combinations of calcium, vitamin D3, and ascorbic acid, along with changes in levels of certain biochemical parameters concerned with dental fluorosis. The role of fluoride level of drinking water in the etiology of dental fluorosis and the prevalence of dental fluorosis in both dentitions and teeth were also assessed. A total number of 50 patients with clinical features of dental fluorosis without trauma and any adverse habits were selected. Of these, in 30 co-operative patients, estimation of water fluoride level and pretreatment and post-treatment serum and urine fluoride levels were done with ion selective electrode method. The selected 30 patients were divided into three groups, that is, group A, group B, and group C, and were given various combinations of medications like calcium with vitamin D3 supplements, ascorbic acid with vitamin D3 supplements, and chlorhexidine mouthwash (placebo) for three months, respectively. These 30 patients were assessed for any change in the clinical grading of dental fluorosis. No change in clinical grading of dental fluorosis was noted. Considerable reduction in serum and urine fluoride levels was noted in both group A and group B patients. Dental fluorosis was noted in permanent teeth more commonly than deciduous teeth, and permanent maxillary central incisors had the highest prevalence rate. This study comprises only 30 patients with three months of follow-up. So, this sample of patients and duration of follow-up period are conclusive to observe changes in biochemical parameters but not sufficient to observe changes in clinical grading.

  2. Systemic inflammation after trauma.

    Science.gov (United States)

    Lenz, Andreas; Franklin, Glen A; Cheadle, William G

    2007-12-01

    Trauma is still one of the main reasons for death among the population worldwide. Mortality occurring early after injury is due to "first hits", including severe organ injury, hypoxia, hypovolaemia or head trauma. Massive injury leads to activation of the immune system and the early inflammatory immune response after trauma has been defined as systemic inflammatory response syndrome (SIRS). "Second hits" such as infections, ischaemia/reperfusion or operations can further augment the pro-inflammatory immune response and have been correlated with the high morbidity and mortality in the latter times after trauma. SIRS can lead to tissue destruction in organs not originally affected by the initial trauma with subsequent development of multi-organ dysfunction (MOD). The initial pro-inflammatory response is followed by an anti-inflammatory response and can result in immune suppression with high risk of infection and sepsis. Trauma causes activation of nearly all components of the immune system. It activates the neuroendocrine system and local tissue destruction and accumulation of toxic byproducts of metabolic respiration leads to release of mediators. Extensive tissue injury may result in spillover of these mediators into the peripheral bloodstream to further maintain and augment the pro-inflammatory response. Hormones like ACTH, corticosteroids and catecholamines as well as cytokines, chemokines and alarmins play important roles in the initiation and persistence of the pro-inflammatory response after severe injury. The purpose of this review is therefore to describe the immunological events after trauma and to introduce important mediators and pathways of the inflammatory immune response.

  3. Factores clínicos determinantes del pronóstico dental individual en prostodoncia. Una revisión de la literatura

    OpenAIRE

    Escobar García, Andrea Yulieth Karolina

    2015-01-01

    En esta revisión de la literatura, los autores pretenden establecer los factores clínicos que determinan el pronóstico individual en prostodoncia, y proponer un sistema de clasificación del pronóstico basado en los datos de la evidencia clínica, con el objeto de crear una herramienta significativa y estandarizada para su uso entre los profesionales de la odontología. Se incluyeron 58 artículos encontrados mediante la búsqueda en bases de datos electrónicas: MedLine, PudMed, Wiley Online Libra...

  4. Factores clínicos determinantes del pronóstico dental individual en prostodoncia. Una revisión de la literatura

    OpenAIRE

    Escobar García, Andrea Yulieth Karolina

    2015-01-01

    En esta revisión de la literatura, los autores pretenden establecer los factores clínicos que determinan el pronóstico individual en prostodoncia, y proponer un sistema de clasificación del pronóstico basado en los datos de la evidencia clínica, con el objeto de crear una herramienta significativa y estandarizada para su uso entre los profesionales de la odontología. Se incluyeron 58 artículos encontrados mediante la búsqueda en bases de datos electrónicas: MedLine, PudMed, Wiley Online Libra...

  5. Dental students--dental advocates.

    Science.gov (United States)

    Bensch, Brittany

    2010-01-01

    Student advocacy and involvement in the political process is built into the structure of the American Student Dental Association (ASDA), especially in its Legislative Grassroots Network and an internal communication network among students to ensure political awareness. Students are concerned with such issues as a universally accepted, non-patient-based licensure process, mid-level providers, loan availability and tax deductibility, financial support for schools, and service early in one's professional career (giving forward rather than giving back). Through collaboration with the American Dental Education Association and with many state associations, students participate in lobbying, awareness campaigns, and behind the scenes as legislative aids. Although students share the same love for the profession that animates established practitioners, they are perceived by legislators as being different. Students are involved in the legislative process because it represents their future.

  6. Retromolar Intubation:An alternative non invasive technique for airway management in maxillofacial trauma

    Directory of Open Access Journals (Sweden)

    Uthkarsha Lokesh

    2013-10-01

    Full Text Available Airway management during surgery in patients with complex maxillofacial trauma has always been a challenge for anesthesiologists, as the surgeon and the anesthesiologist share the same limited space. The necessity of intraoperative restoration of dental occlusion by intermaxillary fixation (IMF makes the presence of oral endotracheal tube unfeasible.The purpose of our study is to evaluate the Retromolar intubation is non-invasive technique of securing airway in patients with panfacial trauma. It avoids the complications of submental intubation and tracheostomy.This review article emphasizes on the use of the retromolar intubation technique in certain cases of maxillofacial trauma

  7. Urban-rural differences in oral and maxillofacial trauma

    Directory of Open Access Journals (Sweden)

    Anne Margareth Batista

    2012-04-01

    Full Text Available The aim of this research was to assess oral and maxillofacial trauma in urban and rural populations of the same region. The data collected included age, gender, year and month of trauma occurrence, origin (rural and urban, cause of injury, and the type of oral and maxillofacial trauma. Records from 1121 patients with 790 instances of oral and maxillofacial trauma were evaluated. Statistical analysis was performed with the Statistical Package for Social Sciences (SPSS version 17.0 software and involved descriptive statistics and Pearson's chi-squared test. Male patients were more prone to maxillofacial trauma (n = 537; 68%, and the patients were mostly from urban areas (n = 534; 67.6%. The male-to-female ratio was found to be 2.12:1 (urban zone, 1.72:1; rural zone, 3.49:1. The average age was 25.7 years (SD = 14.1. A traffic accident was the most common cause of oral and maxillofacial trauma (27%. The jaw (18% was the most commonly fractured bone in the facial skeleton, followed by the zygoma (12.9%. Avulsion (8.5% was the most common dental trauma. A significant statistical relationship was found between place of origin and gender (p < 0.001. Accidents involving animals were more frequent in rural areas (P < 0.001. Zygomatic fractures (p < 0.001, contusion (p = 0.003, and abrasion (p = 0.051 were the most common injuries among individuals from rural areas. Nasal fracture (p = 0.011 was the most frequent type of trauma in individuals from urban areas. According to these data, it seems reasonable to assume that specific preventive public policy for urban and rural areas must respect the differences of each region.

  8. Trauma de tórax

    OpenAIRE

    Cortés Díaz, Fabio R.; Buitrago Mejía, Francisco

    2011-01-01

    Este artículo revisa la historia, epidemiología, estadística, diferentes etiologías, avances en el transporte, reanimación y tratamiento médico-quirúrgico aceptado para el trauma de tórax. Se describen las complicaciones más frecuentes y los procedimientos de urgencias que son usados en este tipo de lesiones. Aunque ha existido en las últimas décadas  progresos importantes en imágenes diagnósticas, la precisión del diagnóstico en el trauma de tórax complicado es difícil y la mayoría de estas ...

  9. Ansiedad y miedos dentales en escolares hondureños

    OpenAIRE

    Ivette Carolina Rivera Zelaya; Antonio Fernández Parra

    2005-01-01

    La ansiedad a la atención y tratamiento dental puede afectar de forma significativa a la salud oral de los niños así como a la calidad del tratamiento dental recibido. A pesar de su importancia se han realizado muy pocos estudios sobre la ansiedad y miedo dental infantil en Latinoamérica, concretamente en Honduras. En este estudio se evaluó la ansiedad dental de una muestra aleatoria de 170 escolares (6-11 años) de la región metropolitana de Tegucigalpa. La evaluación se realiz...

  10. Trauma in pregnancy

    Directory of Open Access Journals (Sweden)

    A Rudra

    2007-01-01

    Full Text Available Trauma is the most common non-obstetrical cause of death in pregnant women. Pregnancy must always be suspected in any female trauma patient of childbearing age until proved otherwise. Unique changes in anatomy and physiology that takes place during pregnancy alter the pathophysiology and location of maternal injuries in pregnancy, which may be significantly different from the non-pregnant state. Trauma from road traffic accidents, falls and domestic violence are the most common causes of abdominal blunt trauma. As pregnancy progresses, the change of accidental injury increases. Head and neck injuries, respiratory failure, and hypovolemic shock constitute the most frequent causes of trauma related maternal death in pregnancy. Even the pregnant woman with minor injuries should be carefully observed. Initial management is directed at resuscitation and stabilization of the mother that takes precedence over that of the fetus, unless vital signs cannot be maintained and perimortem cesarean section decided upon. Fetal monitoring should be maintained after satisfactory resuscitation and stabilization of the mother. Preventive measures include proper seat belt use and identifying and counseling victims of suspected domestic violence.

  11. Epidemiology of severe trauma.

    Science.gov (United States)

    Alberdi, F; García, I; Atutxa, L; Zabarte, M

    2014-12-01

    Major injury is the sixth leading cause of death worldwide. Among those under 35 years of age, it is the leading cause of death and disability. Traffic accidents alone are the main cause, fundamentally in low- and middle-income countries. Patients over 65 years of age are an increasingly affected group. For similar levels of injury, these patients have twice the mortality rate of young individuals, due to the existence of important comorbidities and associated treatments, and are more likely to die of medical complications late during hospital admission. No worldwide, standardized definitions exist for documenting, reporting and comparing data on severely injured trauma patients. The most common trauma scores are the Abbreviated Injury Scale (AIS), the Injury Severity Score (ISS) and the Trauma and Injury severity Score (TRISS). Documenting the burden of injury also requires evaluation of the impact of post-trauma impairments, disabilities and handicaps. Trauma epidemiology helps define health service and research priorities, contributes to identify disadvantaged groups, and also facilitates the elaboration of comparable measures for outcome predictions.

  12. Ultrasonography in ocular trauma.

    Science.gov (United States)

    Dastevska-Djosevska, Emilija

    2013-01-01

    Ultrasonography is a non-invasive, simple and effective diagnostic method which enables visualization and evaluation of intraocular injury degree in cloudy eye media. The basic aim of this investigation was to find out the frequency of various types of ocular injuries using ultrasonography and to make an analysis of their frequency in relation to gender and age. This retrospective study included 182 patients hospitalized at the Clinic of Ophthalmology in Skopje due to mechanical eye trauma. The patients underwent ultrasonography on the Alcon Ultrascan Imagining System apparatus and Sonomed EZ Scan AB 5500+. B scan technique was used primarily, while the A scan had a positive and correlative role. Ocular trauma was more present in males (85.2%) compared to females (14.8%). 49.5% of the patients had open, and 50.5% had closed globe injuries. The most represented age group in ocular injuries was the age ranged from 51 to 60 years. There was no significant difference between the type of mechanical injury and the age (Chi-Squares=5.52 p=0.47895025). Ultrasonography showed that the most frequent pathologic result, both in open and closed globe injuries, was vitreous hemorrhage. Ultrasonography has an irreplaceable role in the clinical evaluation and management of ocular trauma. It showed that the most frequent finding in ocular trauma was vitreous haemorrhage, and the male gender was more frequently exposed to ocular trauma.

  13. Estudo epidemiológico dos traumas raquimedulares por projétil de arma de fogo no hospital geral do estado da Bahia Estudio epidemiológico del trauma de la médula espinal por proyectil de arma de fuego en el hospital geral do estado da Bahia Epidemiological study of trauma of spinal cord trauma by a projectile of firearm in the hospital geral do estado da Bahia

    Directory of Open Access Journals (Sweden)

    Maurício Guimarães Pimentel

    2012-12-01

    Full Text Available OBJETIVO: Realizar um levantamento de dados epidemiológicos em prontuários, avaliando a evolução neurológica dos pacientes vítimas de lesões por arma de fogo na coluna vertebral durante a internação hospitalar, que foram operados entre 1991 e 2010. MÉTODOS: Os dados foram tabulados por meio de estatística descritiva, buscando significância estatística entre a melhora neurológica e o procedimento cirúrgico individualizado para cada caso. Dos 290 pacientes operados, 115 deram entrada no HGE com quadro clínico de paralisia sensitiva e motora, correspondendo a 39,66% do total, sendo os pacientes Frankel A os mais prevalentes da nossa casuística. RESULTADOS: Esses pacientes evoluíram com menor possibilidade de reversão dos déficits neurológicos, com 94,78% não apresentando melhora na alta hospitalar. Os portadores de lesão medular incompleta apresentaram evolução neurológica em 94,59 % dos operados. CONCLUSÃO: Não foi encontrada significância estatística para a melhora neurológica com relação aos procedimentos cirúrgicos realizados nos pacientes vítimas de lesões por arma de fogo na coluna vertebral.OBJETIVO: Realizar un estudio de datos epidemiológicos en las historias clínicas, evaluando la evolución neurológica de los pacientes que han sufrido lesiones de proyectil de un arma de fuego en la columna vertebral durante la hospitalización, que fueron sometidos a cirugía entre 1991 y 2010. MÉTODOS: Se tabularon los datos a través de estadística descriptiva, en busca de significación estadística entre la mejoría neurológica y el procedimiento quir��rgico para cada caso individual. De los 290 pacientes operados, 115 ingresaron en el HGE con cuadro clínico de parálisis sensorial y motor, que representan el 39,66% del total, siendo los pacientes Frankel A los más prevalentes de nuestra serie. RESULTADOS: Estos pacientes evolucionaron con menos posibilidad de reversión del déficit neurológico, y el

  14. Aplicación del shot peening en implantes dentales de titanio para la mejora de la osteointegración

    Directory of Open Access Journals (Sweden)

    Aparicio, C.

    1998-05-01

    Full Text Available In order to optimize the implant-bone fixation, different shot peening treatments with different shot particles (TiO2, Al2O3 y SiC. La rugosidad, SiC have been made. The influence that each type of shot particle has in the bone colonization on the different treatment surfaces has been determined by means of osteoblast-like cells culture. Commercially pure titanium discs have been shot peened. Their qualitative and quantitative surface roughness have been characterized; as well as their surface contamination caused by the shot particles. Particle size has also been determined, before and after the treatment, in order to evaluate their breaking averages. Finally, a TiO2 shot particles manufacture process by sintering has been developed. The manufacture has been necessary since this type of shot particles are not available in the market with the adequate size.

    Con el propósito de optimizar la fijación entre el implante y el hueso, se han realizado tratamientos de shot peening con distintos tipos de partículas de proyección: TiO2, Al2O3 y SiC. La rugosidad superficial obtenida será colonizada por hueso neoformado que producirá un anclaje implante-hueso. Para valorar la influencia que cada tipo de material abrasivo tiene en la colonización del hueso sobre las superficies tratadas, se han realizado ensayos in vitro de cultivos osteoblásticos. El shot peening se ha llevado a cabo en discos de titanio comercialmente puro, sobre los que se ha caracterizado cuantitativa y cualitativamente la rugosidad después del tratamiento; así como la contaminación de la superficie por las partículas. También se ha determinado el tamaño de las partículas, antes y después del tratamiento, para valorar sus porcentajes de rotura. Finalmente, se ha propuesto un proceso de fabricación de partículas de TiO2 por sinterización en el laboratorio

  15. Multiple dentoalveolar traumatic lesions: report of a case and proposition of dental polytrauma as a new term.

    Science.gov (United States)

    Martins, Wilson Denis; Westphalen, Fernando Henrique; Westphalen, Vania Portela Ditzel; Souza, Paulo Henrique Couto

    2004-11-15

    Traumatic injuries to permanent teeth are common, and dramatic episodes can occur during childhood. The aim of this paper is to present a report of severe trauma to the orofacial complex of an 8-year old girl that resulted in multiple injuries. The use of the term "dental polytrauma" (concomitant different dental traumatic injuries) is advocated in this case presentation.

  16. Dental erozyon

    NARCIS (Netherlands)

    Özen, B.; Yönel, N.; Çetiner, S.

    2015-01-01

    Dental erozyon, plak içermeyen diş yüzeyleri üzerinde içsel ve dışsal asitlerin veya şelatların etkileriyle oluşan kimyasal bir aşınmadır. İçsel ve/veya dışsal kaynaklar nedensel faktörler olarak tanımlanırken tükürük ve pelikıl gibi biyolojik faktörler, yeme ve içme alışkanlıkları ve ağız hijyeni

  17. Trauma care system in Iran

    Institute of Scientific and Technical Information of China (English)

    Moussa Zargar; Sarah Ganji; Mahmoud Khodabandeh; Shahab Abdollahi Far; Morteza Abdollahi; Mohammad Reza Zarei; Seyed Mohammad Reza Kalantar Motamedi; Mojgan Karbakhsh; Seyed Mohammad Ghodsi; Vafa Rahimi-Movaghar; Farzad Panahi; Soheil Saadat; Ali Khaji; Seyed Mahdi Davachi

    2011-01-01

    Objective: The high burden of injuries in Iran necessitates the establishment of a comprehensive trauma care system. The purpose of this paper is to describe the current status of trauma system regarding the components and function. Methods: The current status of trauma system in all components of a trauma system was described through expert panels and semi-structured interviews with trauma specialists and policy makers.Results: Currently, various organizations are involved in prevention, management and rehabilitation of injuries,but an integrative system approach to trauma is rather deficient. There has been ongoing progress in areas of public education through media, traffic regulation reinforcement,hospital care and prehospital services. Meanwhile, there are gaps regarding financing, legislations and education of high risk groups. The issues on education and training standards of the front line medical team and continuing education and evaluation are yet to be addressed. Trauma registry has been piloted in some provinces, but as it needs the well-developed infrastructure (regarding staff, maintenance,financial resources), it is not yet established in our system of trauma care.Conclusions: It seems that one of the problems with trauma care in Iran is lack of coordination among trauma system organizations. Although the clinical management of trauma patients has improved in our country in the recent decade, decreasing the burden of injuries necessitates an organized approach to prevention and management of trauma in the context of a trauma system.

  18. Mucormycosis in trauma patients.

    Science.gov (United States)

    Cocanour, C S; Miller-Crotchett, P; Reed, R L; Johnson, P C; Fischer, R P

    1992-01-01

    Cutaneous mucormycosis is a rare but often fatal infection in trauma patients. We retrospectively reviewed a 9-year experience with mucormycosis among injured patients. Eleven patients had biopsy- or culture-proven mucormycosis. Nine patients were victims of blunt trauma, two patients had burns measuring greater than 50% TBSA. No patient was at increased risk because of underlying disease or immunosuppression prior to injury. All 11 patients had open wounds on admission. Four patients died of mucormycosis. All nonsurvivors had phycomycotic gangrenous cellulitis of the head, the trunk, or both. In contrast, survivors had involvement of only the extremities. Because of underlying disease, contaminating wounds, antibiotic use, or immunocompromise secondary to shock and sepsis, trauma patients are at risk of developing mucormycosis. To successfully treat mucormycosis, diagnosis must be prompt and accompanied by aggressive debridement and parenteral administration of amphotericin B.

  19. Dental Care for Medicaid and CHIP Enrollees

    Science.gov (United States)

    ... Close Home > Medicaid > Benefits > Dental Care Dental Care Dental Care Dental Care for Medicaid and CHIP Enrollees Dental health ... services and opportunities and challenges to obtaining care. Dental Benefits for Children in Medicaid Medicaid covers dental ...

  20. Transfusion practices in trauma

    Directory of Open Access Journals (Sweden)

    V Trichur Ramakrishnan

    2014-01-01

    Full Text Available Resuscitation of a severely traumatised patient with the administration of crystalloids, or colloids along with blood products is a common transfusion practice in trauma patients. The determination of this review article is to update on current transfusion practices in trauma. A search of PubMed, Google Scholar, and bibliographies of published studies were conducted using a combination of key-words. Recent articles addressing the transfusion practises in trauma from 2000 to 2014 were identified and reviewed. Trauma induced consumption and dilution of clotting factors, acidosis and hypothermia in a severely injured patient commonly causes trauma-induced coagulopathy. Early infusion of blood products and early control of bleeding decreases trauma-induced coagulopathy. Hypothermia and dilutional coagulopathy are associated with infusion of large volumes of crystalloids. Hence, the predominant focus is on damage control resuscitation, which is a combination of permissive hypotension, haemorrhage control and haemostatic resuscitation. Massive transfusion protocols improve survival in severely injured patients. Early recognition that the patient will need massive blood transfusion will limit the use of crystalloids. Initially during resuscitation, fresh frozen plasma, packed red blood cells (PRBCs and platelets should be transfused in the ratio of 1:1:1 in severely injured patients. Fresh whole blood can be an alternative in patients who need a transfusion of 1:1:1 thawed plasma, PRBCs and platelets. Close monitoring of bleeding and point of care coagulation tests are employed, to allow goal-directed plasma, PRBCs and platelets transfusions, in order to decrease the risk of transfusion-related acute lung injury.

  1. Trauma-Focused CBT for Youth Who Experience Ongoing Traumas

    Science.gov (United States)

    Cohen, Judith A.; Mannarino, Anthony P.; Murray, Laura K.

    2011-01-01

    Many youth experience ongoing trauma exposure, such as domestic or community violence. Clinicians often ask whether evidence-based treatments containing exposure components to reduce learned fear responses to historical trauma are appropriate for these youth. Essentially the question is, if youth are desensitized to their trauma experiences, will…

  2. Trauma-Focused CBT for Youth Who Experience Ongoing Traumas

    Science.gov (United States)

    Cohen, Judith A.; Mannarino, Anthony P.; Murray, Laura K.

    2011-01-01

    Many youth experience ongoing trauma exposure, such as domestic or community violence. Clinicians often ask whether evidence-based treatments containing exposure components to reduce learned fear responses to historical trauma are appropriate for these youth. Essentially the question is, if youth are desensitized to their trauma experiences, will…

  3. Sonography of scrotal trauma

    Directory of Open Access Journals (Sweden)

    Meka Srinivasa Rao

    2012-01-01

    Full Text Available The purpose of this article is to depict the spectrum of scrotal injuries in blunt trauma. Scrotal injuries are not very common and are mostly due to blunt trauma from direct injury, sports injuries or motor vehicle accidents. To minimize complications and ensure testicular salvage, rapid and accurate diagnosis is necessary. High-resolution USG is the investigation of choice, as it is readily available, accurate and has been seen to improve outcomes. An understanding of and familiarity with the sonographic appearance of scrotal injuries on the part of the radiologist/sonographer is therefore of key importance.

  4. Onycholysis due to trauma

    Directory of Open Access Journals (Sweden)

    Patricia Chang

    2014-04-01

    Full Text Available Female patient, 35 years old who came to the private office due to discoloration of her left thumbnail and little pain since 1 month ago. Clinical examination shows nail disease on her left thumbnail with onycholysis and dyschromia, dermatoscopy showed white-yellowish discoloration (Fig. 1A, B. The rest of the clinical examination was normal. Patient use to using acrylic nails since 2 years ago and denied some trauma at the nail. The diagnosis of onycholysis due to trauma was done and recommended her not to use acrylic nail, maintain the nail short and avoid wetness.

  5. Eye trauma in boxing.

    Science.gov (United States)

    Corrales, Gustavo; Curreri, Anthony

    2009-10-01

    In boxing, along with a few other sports, trauma is inherent to the nature of the sport; therefore it is considered a high-risk sport for ocular injuries. The long-term morbidity of ocular injuries suffered by boxers is difficult to estimate due to the lack of structured long-term follow-up of these athletes. Complications of blunt ocular trauma may develop years after the athlete has retired from the ring and is no longer considered to be at risk for boxing-related injuries. This article describes the wide range of eye injuries a boxer can sustain, and their immediate and long-term clinical management.

  6. Labial talon cusp on maxillary central incisors: a rare developmental dental anomaly.

    Science.gov (United States)

    Glavina, Domagoj; Skrinjarić, Tomislav

    2005-06-01

    Labial talon cusp, or dens evaginatus is a very rare dental anomaly of unclear etiology and significance. It can occur as an isolated finding or be associated with other dental anomalies or some syndromes. The present report describes two Caucasian males with labial talon cusp on maxillary permanent left central incisors. In both cases accessory cusp caused plaque accumulation and marginal gingivitis. One case displayed affected tooth to be in cross bite position causing occlusal trauma. No other dental anomalies in either case, neither association with some syndromes were noted. This rare anomaly requires careful dental and physical examination of the affected patient since its finding can be of clinical and genetic significance.

  7. Child Indicators: Dental Health.

    Science.gov (United States)

    Lewit, Eugene M.; Kerrebrock, Nancy

    1998-01-01

    Reviews measures of dental health in children and the evidence on child dental health. Although children's dental health has improved over the past two decades, many poor children do not receive necessary dental health services, and reasons for this failure are summarized. (SLD)

  8. Weaker dental enamel explains dental decay.

    Science.gov (United States)

    Vieira, Alexandre R; Gibson, Carolyn W; Deeley, Kathleen; Xue, Hui; Li, Yong

    2015-01-01

    Dental caries continues to be the most prevalent bacteria-mediated non-contagious disease of humankind. Dental professionals assert the disease can be explained by poor oral hygiene and a diet rich in sugars but this does not account for caries free individuals exposed to the same risk factors. In order to test the hypothesis that amount of amelogenin during enamel development can influence caries susceptibility, we generated multiple strains of mice with varying levels of available amelogenin during dental development. Mechanical tests showed that dental enamel developed with less amelogenin is "weaker" while the dental enamel of animals over-expressing amelogenin appears to be more resistant to acid dissolution.

  9. Indicadores de avaliação do processamento de artigos odonto-médico-hospitalares: elaboração e validação Indicadores para la evaluación del reprocesamiento del productos medicos del hospital: construcción y validación Indicators for evaluation of processing dental-medical-hospital supplies: elaboration and validation

    Directory of Open Access Journals (Sweden)

    Kazuko Uchikawa Graziano

    2009-12-01

    Full Text Available Estudo de desenvolvimento metodológico de elaboração e validação de medidas de avaliação em saúde, com a finalidade de contribuir com sistemas de avaliação de práticas de controle e prevenção de infecção hospitalar, pela elaboração e validação de oito indicadores para avaliação do processamento de artigos odonto-médico-hospitalares. A partir de fundamentação teórico-científica e contemplando avaliações de estrutura, processo e resultado, tais indicadores permitem elaboração de índices de conformidade com relação às melhores práticas esperadas (padrão-ouro. A validação referiu-se à validade de conteúdo, pela técnica de consenso de especialistas para julgamento de representatividade e aplicabilidade. Todos os indicadores foram aprovados. Os julgamentos efetuados, incluindo comentários e sugestões, demonstraram a importância de se realizar validação de processos de avaliação, independentemente da existência de critérios padrão-ouro e/ou relevância na prática assistencial.Estudio de desenvolvimiento metodológico para la elaboración y validación de medidas de evaluación en salud, con la finalidad de contribuir con los sistemas de evaluación de prácticas para el control y prevención de las infecciones hospitalarias, por la elaboración y validación de ocho indicadores de evaluación del procesamiento de instrumentos odonto-médico-hospitalarios. A partir de la fundamentación teórico científico, tales indicadores contemplan evaluaciones de estructura, proceso y resultado así como permiten la elaboración de índices de conformidad con relación a las mejores prácticas esperadas (padrón-oro. La evaluación se refirió a la validez del contenido, por la técnica de consenso de especialistas para el juzgamiento de representatividad y aplicabilidad. Todos los indicadores fueron aprobados. Los juzgamientos efectuados, incluyendo comentarios y sugestiones, demostraron la importancia de

  10. Knowledge of Brazilian general dentists and endodontists about the emergency management of dento-alveolar trauma.

    Science.gov (United States)

    Hu, Li Wen; Prisco, Cleide Rosana Duarte; Bombana, Antonio Carlos

    2006-06-01

    The purpose of this study was to determine Brazilian dentists' knowledge of emergency management of dento-alveolar trauma. A two-part questionnaire containing questions on demographic data and knowledge were mailed to 230 general dental practitioners (GDPs) and 70 endodontists. Questionnaires were returned by 42.6% of the GDPs and 62.8% of the endodontists. The survey data were statistically analyzed using Mann-Whitney U-test for practitioners' knowledge and Pearson's correlation coefficient for association between knowledge scores and practitioner age or years since graduation. The mean knowledge score of endodontists was significantly greater than for GDPs (Ptrauma experience in their practices and those who had attended postgraduate courses on dental trauma had a significant higher mean knowledge score. In contrast, there was a poor correlation between the knowledge score and the ages of the respondents (r=0.086) or the years since graduation (r=0.108). In conclusion, this survey showed a poor knowledge of dental trauma management among the surveyed dentists and highlights the need to develop strategies to improve the knowledge base in this area of dentistry for the benefit of the dental trauma patient.

  11. Recidiva del color dentario por té, café y vino: In vitro Dental bleaching regression caused by chromogenic beverages: In vitro

    Directory of Open Access Journals (Sweden)

    M Arévalo Pineda

    2012-08-01

    Full Text Available Este estudio, in vitro, determinó si los dientes con clareamiento presentan mayor cambio de color en el tiempo que los no tratados, al someterse a tinción con bebidas cromógenas, café, té y vino. Se utilizaron 45 incisivos sanos de bovino conservados en suero a 37ºC. Cada espécimen se dividió en dos mitades, una sometida a clareamiento con peróxido de hidrógeno al 35% y otra control. Se midió color con Espectrofotómetro Vita EasyShade. Se dividieron los especímenes al azar en grupos de 15 y fueron sumergidos en café, té y vino, durante 10 minutos, 20 veces, registrando color después de cada inmersión. Los datos fueron analizados con ANOVA y Test de Tukey, con 95% de intervalo de confianza. Los resultados mostraron que, el clareamiento modifica significativamente (p=0.05 el color en los tres grupos (GC=85.8 a 95.1; GT=87.4 a 97.3 y GV=90.8 a 99.3, la recidiva de color se observa a lo largo de las 20 inmersiones, siendo significativa la diferencia de valores ΔE iniciales (GC=18.89; GT=22.97; GV=56.46 y finales (GC=5.56; GT=5.38; GV=12.49. El grupo tratado presenta mayor descenso de unidades ΔE a lo largo de las inmersiones, por lo que es el más teñido (GCcontrol=20.98-5.01; GTcontrol=17.11-3.66; GVcontrol=54.62-11.49. Las tres bebidas cromógenas causan recidiva de color en los dientes clareados, siendo el vino el que causa mayor tinción. Se concluyó que las piezas tratadas, sometidas a los tres tipos de cromógenos, tienen mayor cambio de color que las que no lo son, pero finalmente no se oscurecen más que las no tratadas.This in vitro study established if teeth treated with dental bleaching have a higher change of color over time than those that aren’t treated, when subjected to three chromogenic beverages (coffee, tea and red wine. 45 healthy bovine incisors were used, maintained in 0.9% sodium chloride, at 37ºC. Every specimen was divided into 2 half; one half was subjected to dental bleaching with 35% hydrogen

  12. Emergency Department Management of Trauma

    DEFF Research Database (Denmark)

    MacKenzie, Colin; Lippert, Freddy

    1999-01-01

    Initial assessment and management of severely injured patients may occur in a specialized area of an emergency department or in a specialized area of a trauma center. The time from injury until definitive management is of essence for survival of life-threatening trauma. The initial care delivered...... injured patients after these patients reach a hospital emergency department or a trauma center....

  13. Trauma and the endocrine system.

    Science.gov (United States)

    Mesquita, Joana; Varela, Ana; Medina, José Luís

    2010-12-01

    The endocrine system may be the target of different types of trauma with varied consequences. The present article discusses trauma of the hypothalamic-pituitary axes, adrenal glands, gonads, and pancreas. In addition to changes in circulating hormone levels due to direct injury to these structures, there may be an endocrine response in the context of the stress caused by the trauma.

  14. Emergency Department Management of Trauma

    DEFF Research Database (Denmark)

    MacKenzie, Colin; Lippert, Freddy

    1999-01-01

    Initial assessment and management of severely injured patients may occur in a specialized area of an emergency department or in a specialized area of a trauma center. The time from injury until definitive management is of essence for survival of life-threatening trauma. The initial care delivered...... injured patients after these patients reach a hospital emergency department or a trauma center....

  15. Gênero e trauma Gender and trauma

    Directory of Open Access Journals (Sweden)

    Gláucio Ary Dillon Soares

    2005-04-01

    Full Text Available As conseqüências sociais e psicológicas da violência urbana sobre os parentes e amigos de pessoas vitimadas por mortes violentas (homicídio, suicídio ou acidentes são analisadas à luz das diferenças de gênero. A literatura especializada nesta área propõe que mulheres e homens vivenciam experiências traumáticas de forma peculiar. Porém, os traumas típicos são diferentes em cada gênero, deixando em aberto a questão sobre quanto das diferenças entre as respostas se devem a gênero e quanto se devem ao tipo de trauma. Testamos a hipótese de que as mulheres são mais suscetíveis à desordem de estresse pós-trauma (DEPT numa situação traumática comum, usando dados qualitativos e quantitativos. Comparamos os sintomas do trauma e as percepções sobre o significado da perda de seus entes queridos. A amostra, de 425 mulheres (62% e 265 homens (38%, foi retirada de uma lista de parentes de pessoas que sofreram morte violenta na cidade do Rio de Janeiro. Incluímos trinta relatos de parentes e amigos próximos das vítimas diretas. Os resultados revelaram que 54% das mulheres e 41% dos homens tiveram o cotidiano alterado depois da morte de um parente/amigo. Há diferenças estatisticamente significativas nos problemas de saúde e na diversão. Essa área foi a mais afetada, atingindo metade dos entrevistados. Uma variável intimamente correlacionada com os sintomas da DEPT é o contato com o corpo: controlando a extensão do contato (fez o reconhecimento do corpo; viu, mas não reconheceu e nem viu nem reconheceu. Em cada uma dessas categorias, as mulheres foram mais afetadas do que os homens. O artigo conclui que as mulheres sentem mais as perdas do que os homens, mas que parte das diferenças não são internas aos gêneros, mas externas a eles, dependendo das interações e dos contatos pessoais.The social and psychological consequences endured by friends and relatives of people victimized by violent death (homicide, suicide or

  16. Importance of clinical examination in dentoalveolar trauma.

    Science.gov (United States)

    Marão, Heloisa Fonseca; Panzarini, Sônia Regina; Manrrique, Gustavo Rodrigues; Luvizuto, Eloá Rodrigues; Evangelista Melo, Moriel

    2012-09-01

    Dental injuries are often the result of direct trauma. The most affected teeth are the upper incisors, and the most frequent lesions are coronal fractures, contusions, and lip and alveolar mucosa lacerations. The objective of this study was to draw attention to the importance of the correct management of cases of crow fractures associated with soft tissue lacerations when the fragment is not located. This is a clinical case of crown fracture, the fragment of which remained lodged inside the lip. After fragment removal, the clinical case showed a satisfactory repair emphasizing the importance of a meticulous clinical examination to achieve a correct diagnosis and an appropriate treatment plan, which is essential for a favorable prognosis.

  17. Post trauma abdominal cocoon.

    Science.gov (United States)

    Kaur, Supreet; Doley, Rudra Prasad; Chabbhra, Mohinish; Kapoor, Rajeev; Wig, Jaidev

    2015-01-01

    Abdominal cocoon or sclerosing peritonitis refers to a rare cause of intestinal obstruction due to formation of a membrane encasing the bowel. We report a case of abdominal cocoon post blunt trauma abdomen. The patient presented with a history of subacute intestinal obstruction and a mobile abdomen lump. Abdominal cocoon was diagnosed on computed tomography. He underwent adhesiolysis with excision of membrane.

  18. Early Childhood Trauma

    Science.gov (United States)

    National Child Traumatic Stress Network, 2010

    2010-01-01

    Early childhood trauma generally refers to the traumatic experiences that occur to children aged 0-6. Because infants' and young children's reactions may be different from older children's, and because they may not be able to verbalize their reactions to threatening or dangerous events, many people assume that young age protects children from the…

  19. The Ocular Trauma Score

    Directory of Open Access Journals (Sweden)

    Robert Scott

    2016-01-01

    Full Text Available Relatively junior doctors or allied health workers, with little or no training in ophthalmology, are often tasked with the recognition and initial management of eye trauma. In these situations, the lack of clear instructions and guidance to support decision making has been a key challenge, which has been compounded by the inconsistent terminologies used to describe eye injuries.

  20. Penetrating abdominal trauma

    African Journals Online (AJOL)

    Enrique

    inal trauma (PAT) in our area, and to try to identify a pattern of organ-specific injury ... laparotomy due to persistent abdominal pain, after a period of observation of about .... in the ini- tial assessment who turned out to be free of visceral injuries.