3 research outputs found
Anestésicos locales en odontoestomatología
El motivo del presente trabajo es hacer una revisión bibliográfica
sobre los anestésicos locales (AL) que son las drogas de más uso
en Odontoestomatología y que, merced a su perfeccionamiento,
en los últimos años han significado un enorme avance, tanto en
los tratamientos odontológicos, para mejorar de forma determinante
la operatoria dental, como el confort del paciente en estos
procederes. Además al haber añadido a estos anestésicos locales
un vasoconstrictor se ha conseguido que se puedan usar dosis
menores de anestésico y a la vez que con menos dosis se puede
actuar más tiempo y en buenas condiciones para el paciente y el
dentista. Se realiza al mismo tiempo un estudio de las posibles
interacciones medicamentosas, contraindicaciones, etc. de los
distintos componentes de la solución anestésica, así como las
posibles reacciones de alergia o de hipersensibilidad a la que
puedan dar lugar y que se han de tener muy en cuenta a la hora
de su utilización en la cavidad oral.The purpose of the present paper is to carry out a review of the literature on local anesthetics (LAs), which are the most commonly
used drugs in dentistry. Thanks to their improvement over
the last few years, they have constituted an enormous advance
in both odontological treatment - improving the dental operation
in a determinant manner, and the comfort of the patient during
these procedures. Furthermore, the addition of a blood vessel
constrictor to these local anesthetics has meant that a lower dose
of anesthetic can be used, which at the same time acts for longer,
providing better conditions for both the patient and dentist.
In addition, a study is made of the possible drug interactions,
contraindications etc. of the different components in the anesthetic
solution, and likewise the possible allergic hypersensitive
reactions which can take place and which must be taken closely
into consideration when used in the oral cavity
The development of proliferative verrucous leukoplakia in oral lichen planus: a preliminary study
Background: Was to describe 14 cases of a proliferative verrucous leukoplakia as a clinical evolution of oral
lichen planus.
Material and Methods: The clinical and histopathological characteristics of 14 cases of OLP that progress towards
a plaque-like and verrucous form were indicated, with monitoring over a period of six to 24.3 years.
Results: The female/male ratio was 11/3, (78.6 and 21.4%). The mean age when the first biopsy was undertaken
was 56.4 years old. None of the patients smoked during the study. As bilateral reticular was clinically diagnostic
criterion, the second most frequent clinical form was the plaque form (n=10; 71.4%), followed by the atrophic (n=6;
42.8%), and erosive forms (n=4; 28.5%). Clinically it spread towards attached gingival mucosa and the hard palate.
In the histopathologic study, there were a predominance of hyperkeratosis and verrucous epithelial hyperplasia.
Three of the cases progressed to a squamous cell carcinoma, and one patient developed two verrucous carcinoma.
Conclusions: Further research is needed to demonstrate if proliferative multifocal oral lichen planus and proliferative multifocal oral leukoplakia are the same disorder but have different behaviour of malignancy for reasons
of origin