Management of odonto-stomatological emergencies during the COVID-19 alarm state in dental clinics in the Autonomous Community of Madrid (CAM), Spain:an observational study

Odontology practice has been severely compromised by the pandemic caused by COVID-19 and Spain is one of the countries with higher incidence. Our aim with this study is to find out the number of cases and type of odonto-stomatological emergencies (OSE) treated in four dental clinics of the Madrid capital area and region (CAM) in the period covered between March 17th and 4th of May. We search the cases in the demographic/epidemiological databases of the CAM regional government and the Illustrious Official College of Dentists and Stomatologists of the First Region (Madrid). We found that the most prevalent pathology was acute apical periodontitis whereas odontogenic abscess showed the lowest frequency. Prosthetic-orthodontic OSE represented 14% of cases. In this period of time, the most prevalent pathology acute apical periodontitis, odontogenic abscess reported the lowest frequency and prosthetic-orthodontic treatments were the third in number of cases. Most of OSE were resolved, without referring the patient to a hospital emergency department

On the connectivity of skeletons of pseudomanifolds with boundary

In this note we show that 1-skeletons and 2-skeletons of n-pseudomanifolds with full boundary are (n+ 1)-connected graphs and n-connected 2-complexes, respectively. This generalizes previous results due to Barnette and Woon.Ministerio de Educación y Cienci

A Multiphysical model to study moisture dynamics in transformers

Moisture is one of the key variables that must be considered when determining the load profiles that can be safely applied to a transformer. The presence of high amount of water accelerates the aging rate of the transformers solid insulation, shortening the life expectancy of the equipment. Moreover, the dynamic processes of moisture migration between paper and oil must be considered in order to avoid a potential cause of failure, such as the formation of bubbles in the paper-oil interface, or the moisture saturation and the subsequent formation of liquid water in oil. These processes are linked to the changes in temperature; however, within the transformer, both processes have very different time constants, which complicates the analysis. In this paper, a mathematical model is presented, which allows us to study the moisture dynamics in a transformer. The model considers a multi-physical approach incorporating a thermal module and a moisture dynamic module that makes it possible to analyze the behavior of the moisture for a certain load profile. Some application cases are included in this paper to illustrate the model operation.This work was supported by the Spanish Ministry of Economy and Competitiveness under Grant DPI2015-71219-C2-2-R. Paper no. TPWRD-01091-2018

Neuropathic pain associated with mucocele in the maxillary sinus

Mucocele in the paranasal sinuses consists of a clinically unpainful, pseudocystic lesion that may be confused with cysts with mucosal accumulation due to an obstruction of a seromucinous gland or with other lesions displaying expansive masses in the maxillary sinuses. Histologically, mucocele consists of an accumulation of seromucosal secretion lined by epithelium. It is an infrequent pathology, whose treatment has evolved favourably to a considerable extent over the past decades. Here we report a case of mucocele located in a paranasal sinus associated with a syndrome of odontalgic neuritic pain. After the collection of complementary radiological evidence, antrostomic surgical treatment was implemented on the lateral-external wall of the maxillary sinus with a view to fully removing the cystic capsule, after which a histopathological study of the sample was performed. The lesion and the neuropathic pain disappeared following removal of the cystic mass, and after 21 months of follow-up the patient has remained free of relapse. Conclusions: lateral antrostomy for the removal of mucocele in the maxillary sinus can alleviate the neuropathic pain possibly associated with the pathology

Effect of gingival application of melatonin on alkaline and acid phosphatase, osteopontin and osteocalcin in patients with diabetes and periodontal disease

Objectives: To assess the effect of topical application of melatonin to the gingiva on salivary fluid concentrations of acid phosphatase, alkaline phosphatase, osteopontin, and osteocalcin. Study Design: Cross-sectional study of 30 patients with diabetes and periodontal disease and 30 healthy subjects. Diabetic patients were treated with topical application of melatonin (1% orabase cream formula) once daily for 20 days and controls with a placebo formulation. Results: Before treatment with melatonin, diabetic patients showed significantly higher mean salivary levels of alkaline and acid phosphatase, osteopontin and osteocalcin than healthy subjects (P < 0.01). After treatment with melatonin, there was a statistically significant decrease of the gingival index (15.84± 10.3 vs 5.6 ± 5.1) and pocket depth (28.3 ± 19.5 vs 11.9 ± 9.0) (P < 0.001). Also, use of melatonin was associated with a significant reduction of the four biomarkers. Changes of salivary acid phosphatase and osteopontin correlated significantly with changes in the gingival index, whereas changes of alkaline phosphatase and osteopontin correlated significantly with changes in the pocket depth. Conclusions: Treatment with topical melatonin was associated with an improvement in the gingival index and pocket depth, a reduction in salivary concentrations of acid phosphatase, alkaline phosphatase, osteopontin and osteocalcin

A review of moisture diffusion coefficients in transformer solid insulation - Part 2: experimental validation of the coefficients

The objective of this article is to experimentally verify the diffusion coefficients proposed by the various researchers. To validate these coefficients, drying experiments were carried out on impregnated and nonimpregnated paper and on pressboard samples. Taking into account the characteristics of the tested samples, two different experiments were performed: For nonimpregnated insulation, thermo-gravimetric experiments were performed determining the weight of a sample while being dried. . For impregnated paper, drying experiments were carried out in hot oil in which samples were periodically extracted and analyzed by the Karl Fischer method. The drying experiments were simulated using a diffusion model, solved by finite element analysis. The simulations were carried out using the diffusion coefficients proposed by the various researchers. Finally, the experimental results were compared with the simulated ones, and the accuracy and the range of application of the various coefficients were determined.This work was financed by the Spanish Ministry of Science and Technology under the project DPI2009-07093Publicad

Effect of topical application of melatonin on serum levels of C-reactive protein (CRP), interleukin-6 (IL-6) and tumor necrosis factor-alpha (TNF-α) in patients with type 1 or type 2 diabetes and periodontal disease

Background: The present clinical trial study was designed to assess the effect of topical application of melatonin on serum levels of tumor necrosis factor-alpha (TNF-α), interleukin-6 (IL-6) and C-reactive protein (CRP) in patients with diabetes and periodontal disease in comparison with healthy controls. Material and Methods: Serum levels of TNF-α and IL-6 were measured by enzyme-linked immunosorbent assay and CRP by nephelometry by using the proper commercial kits in 30 patients with diabetes and periodontal disease, and also in a control group of 30 healthy subjects. Periodontograms were performed using the Florida Probe®. Patients with diabetes were treated with a topical application of melatonin (1% orabase cream formula) once daily for 20 days. Healthy subjects were treated with a placebo orabase cream. Results: Patients with diabetes and periodontal disease had significantly higher mean levels of serum TNF-α, IL-6 and CRP than healthy subjects ( P < 0.001). Following topical melatonin application, there was a statistically signi - ficant decrease in the gingival index and pocket depth ( P < 0.001) as well as a significant decrease in IL-6 and CRP serum levels ( P < 0.001). Local melatonin application in patients with diabetes and periodontal disease resulted in a significant decrease in CRP and IL-6 serum levels as well as an improvement in the gingival index and pocket depth. Patients with periodontal disease had significantly higher serum CRP, IL-6 and TNF-α values by comparison with healthy subjects. Conclusions: We conclude that melatonin can modulate the inflammatory action of these molecules in periodontal patient

Assessing the use of natural esters for transformer field drying

In recent years, great attention has been paid to ester fluids as an alternative to mineral oil. Since the present use of these liquids is becoming a common practice in distribution transformers, even some experiences have been published reporting their application to power transformers. One of the main differences between ester fluid and mineral oil is the much greater capability of absorbing water by esters. In this paper, the possibility of using this kind of liquid in transformer field drying is assessed. Hot oil (HO) drying with mineral oil is one of the most widely used methods to dry transformers in the field, since it is a relatively simple and well-known process and it is less aggressive for the insulation than other drying methods. Moreover, drying the oil, while it is preferably hot, is the only method available to dry transformers online. However, the water extraction rate of the process is very poor because of the highly hydrophobic character of mineral oil and, in consequence, large drying times are needed to achieve a significant reduction in the water content of the insulation. A first theoretical analysis seems to indicate that the use of a less hydrophobic liquid would significantly reduce the drying times involved in the process. This paper aims to quantify the improvement of the HO drying process that is achieved by using ester fluids instead of mineral oil. Both drying agents were compared by means of theoretical simulations as well as laboratory tests.This work has been supported by the Spanish Government by means of the projects DPI2009-07093 and DPI2012-35819

State anxiety and depression as factors modulating and influencing postoperative pain in dental implant surgery. A prospective clinical survey

Objetives: To determine whether preoperative state anxiety and depression modulate or influence objective and subjective postoperative pain following dental implant insertion. Study Design: Prospective, clinical study with 7-day follow-up of a sample of 105 subjects who preoperatively completed the state anxiety questionnaire (STAI-E) and Beck Depression Inventory (BDI) and postoperatively, at 2 and 7 days, recorded objective pain with the Semmes-Weinstein mechanical esthesiometer (SW test) and subjective pain with the Visual Analog Scale (VAS). Results: 85.6% and 81.5% of patients, respectively, recorded no signs of state anxiety or depression. The correlation between anxiety and depression for both maxillary bones was the lower ( P =0.02). The correlation between subjective and objective pain at 2 and 7 days, and the anatomic regions intervened, was statistically significant in the mandible at day 7 ( P <0.01), and highly significant ( P <0.001) for the other variables. The correlation between state anxiety and objective pain at day 7 was nearly statistically significant ( P =0.07). Conclusions: The correlation between state anxiety and depression, and objective and subjective pain at day 7 was not statistically significant. A strong correlation was found between objective and subjective pain in the immediate postoperative period

Indications and contraindications of dental implants in medically compromised patients: update

The aim of this study was to review the current scientific literature in order to analyse the indications and contrain - dications of dental implants in medically compromised patients. A reference research was carried out on PubMed using the key words "implant" AND (oral OR dental) AND (systemic disease OR medically compromised), in articles published between 1993 and 2013. The inclusion criteria were the following: clinical studies in which, at least, 10 patients were treated, consensus articles, reviewed articles and meta-analysis performed in humans treated with dental implants, and which included the disease diagnosis. A total of 64 articles were found, from which 16 met the inclusion criteria. Cardiac systemic diseases, diabetic endocrine pathologies or controlled metabolic disorders do not seem to be a total or partial contraindication to the placement of dental implants. Tobacco addiction, and head and neck radiotherapy are correlated to a higher loss of dental implants. Patients suffering from osteoporosis undergoing biphosphonates therapy show an increased risk of developing bone necrosis after an oral surgery, especially if the drugs are administered intravenously or they are associated to certain concomitant medication