Incidencia de lesiones cervicales asociadas a fracturas mandibulares aisladas causadas por agresión física

ResumenLos traumatismos suprclaviculares que se asocian a las fracturas de la mandíbula pueden ser generadores de lesiones cervicales, si estas no son diagnosticadas en la evaluación integral del paciente policontundido pueden pasar desapercibidas causando complicaciones neurológicas, musculares o la muerte.ObjetivoDeterminar la presentación e incidencia de las lesiones cervicales asociadas a las fracturas mandibulares.Material y métodosEstudio tipo cohorte, observacional, prospectivo-longitudinal, donde se incluyeron 25 pacientes con diagnóstico de fractura mandibular aislada durante el periodo de mayo de 2010 a febrero de 2011, que acudieron al servicio de cirugía maxilofacial del Hospital Central «Dr. Ignacio Morones Prieto» en San Luís Potosí.ResultadosDe los 25 pacientes, fueron 24 hombres y una mujer, con una edad media de 26,4 años. Los estudiantes fueron los más involucrados. El tipo de agresión física que destacó fue la violencia interpersonal por riña. El 44% de los pacientes identificó los efectos del uso de alcohol en sus agresores. Ninguno de los pacientes presentó alteraciones de sensibilidad y tuvieron una fuerza muscular normal. El tipo de lesión cervical predominante fue la anterolistesis. Radiográficamente, la dimensión de los tejidos blandos prevertebrales correspondió a las cifras promedio de los tejidos sanos, la inestabilidad cervical máxima fue de 3mm. El diámetro de la columna de aire, fue en promedio de C1:13,28mm, C3:11,52mm y C6:22,04mmConclusionesLas lesiones cervicales en pacientes con fractura mandibular causada por agresión física son comunes pero suelen cursar de manera subclínica por lo que es muy importante la inspección clínica y radiográfica.AbstractSupraclavicular trauma associated with fractures of the mandible may lead to cervical spine injuries if they are not diagnosed in the comprehensive evaluation of the multiple trauma patient, and may cause subclinical or unnoticed neurological and muscular complications, and even death.ObjectiveTo determine the presentation and incidence of cervical spine injuries associated with mandibular fractures.Material and methodsA prospective, longitudinal and observational study was performed on a 25 patient cohort diagnosed with isolated mandibular fracture during the period from May 2010 to February 2011, and who were seen in the “Dr. Ignacio Morones Prieto” hospital in San Luis Potosi (Mexico)ResultsThe majority of the 25 patients were students with a mean age of 26.4 years of whom 24 were male and 1 was female. The most frequent type of physical aggression was a violent interpersonal violence. The effects of alcohol on their assailants were identified by 44% of the patients. None of the patients showed any changes in sensitivity and had normal muscle strength. The type of cervical spine lesion was predominantly anterolisthesis. The prevertebral soft tissue was radiographically within normal limits and the, the dimension of the corresponded to the average figures for normal tissue, maximum cervical instability was 3mm. The mean diameters of the air column were, C1: 13.28mm, C3: 11.52mm, and C6: 22.04mm.ConclusionsCervical spine lesions in patients with mandibular fractures caused by physical assault are common and often have subclinical course, so a clinical and radiographic evaluation is very important

Dental approach for Apert syndrome in children : a systematic review

Apert Syndrome (AS), or type I acrocephalosyndactyly, is a rare, congenital craniosynostosis condition resulting from missense mutations in the gene encoding fibroblast growth factor receptor 2. It is characterized by three specific clinical features: brachycephalic skull; midface hypoplasia, and limb abnormalities (syndactyly of hands and feet). The disorder exhibits variable presentations in bones, brain, skin, internal organs, and in the oral/maxillofacial region. The aim of the present paper was to show the main results from a systematic review of AS. A search of the literature was performed from April to June 2016 in five electronic databases. Clinical interventional or observational studies, reviews, and case reports were included. The present systematic review was carried out strictly following PRISMA and Cochrane Collaboration criteria. A total of 129 potential references were identified. After reviewing titles and abstracts, 77 of these did not meet the desired criteria and were discarded. The full text of the remaining 52 manuscripts was critically screened. Finally, 35 relevant papers were identified for inclusion in the present systematic review and classified according to topic type. According to the information gathered, dentistry practitioners must be able to supply an early diagnosis through the recognition of AS clinical features and provide correct oral management. Additionally, they should be integrated in a multidisciplinary medical care team in order to improve the quality of life of the affected patients

Relación entre la Calidad de los Tratamientos de Ortodoncia Finalizados y la Satisfacción de los Pacientes Atendidos en la UASLP desde el año 2019 hasta 2022

Introduction: Orthodontics is an essential pillar in dentistry that affects both oral health and the psychosocial well-being of patients. Although the American Board of Orthodontics' Objective Grading System (ABO) is a key tool for measuring treatment quality, the relationship between this index and patient satisfaction is not clearly established. Objective: The study aims to understand the relationship between the quality of orthodontic treatment, assessed using the ABO index, and patient satisfaction at the Autonomous University of San Luis Potosí. Materials and Methods: A retrospective and analytical study was conducted in the postgraduate program of Orthodontics and Dentomaxillofacial Orthopedics at the Autonomous University of San Luis Potosí. 26 patients who met specific criteria were included, and both the ABO index and a modified satisfaction questionnaire were applied to them. Results: Of the 26 patients, 54% had an "acceptable" treatment according to the ABO index, while 80% reported a high level of satisfaction in the questionnaire. No significant correlation was found between treatment quality and patient satisfaction. Discussion:Despite the "acceptable" results in the ABO index, patient satisfaction did not correlate with these outcomes. This suggests that other factors, such as the doctor-patient relationship and communication, might play a more significant role in patient satisfaction than the technical quality of the treatment. Conclusions: No relationship was found between the quality of orthodontic treatment and patient satisfaction. The results suggest the need to implement educational strategies to improve treatment quality, without losing sight that patient satisfaction also depends on other factors beyond technical quality.Introducción: La ortodoncia es un pilar esencial en la odontología que afecta tanto la salud bucal como el bienestar psicosocial de los pacientes. Aunque el Índice Objetivo de Evaluación de la Junta Americana de Ortodoncia (ABO) es una herramienta clave para medir la calidad del tratamiento, la relación entre este índice y la satisfacción del paciente no está claramente establecida. Objetivo: El estudio busca entender la relación entre la calidad del tratamiento de ortodoncia, evaluada mediante el índice de la ABO, y la satisfacción del paciente en la Universidad Autónoma de San Luis Potosí. Materiales y Métodos: Se realizó un estudio retrospectivo y analítico en el posgrado de Ortodoncia y Ortopedia Dentomaxilofacial de la Universidad Autónoma de San Luis Potosí. Se incluyeron 26 pacientes que cumplieron con criterios específicos y se les aplicó tanto el índice de la ABO como un cuestionario de satisfacción modificado. Resultados: De los 26 pacientes, el 54% tuvo un tratamiento "aceptable" según el índice de la ABO, mientras que el 80% reportó un alto nivel de satisfacción en el cuestionario. No se encontró una correlación significativa entre la calidad del tratamiento y la satisfacción del paciente. Discusión: A pesar de los resultados "aceptables" en el índice de la ABO, la satisfacción del paciente no se correlacionó con estos resultados. Esto sugiere que otros factores, como la relación médico-paciente y la comunicación, podrían jugar un papel más significativo en la satisfacción del paciente que la calidad técnica del tratamiento. Conclusiones: No se encontró una relación entre la calidad del tratamiento ortodóncico y la satisfacción del paciente. Los resultados sugieren la necesidad de implementar estrategias educativas para mejorar la calidad del tratamiento, sin perder de vista que la satisfacción del paciente también depende de otros factores más allá de la calidad técnica

Severe Injury Caused by a Traumatic Toothbrush Impalement: A Case Report

The present report describes a unusual case about a buccodental trauma in a 5-year-old boy, who suffered a wound by toothbrush impalement into the oral mucosa, between the ascendant ramus and the cheek vestibule, also the diagnostic process and hospital treatment, since his admission to the urgency room, the injury surgical management, and the postoperative control. 

Clinical and Radiographic Characteristics as Predictive Factors of Swelling and Trismus after Mandibular Third Molar Surgery: A Longitudinal Approach

Introduction. Factors that contribute to swelling and trismus are complex, and they are originated by surgical trauma. The aim of the present study was to determine whether clinical and radiographic factors could predict the level of swelling and trismus after lower third molar surgery, through longitudinal approach. Methodology. A prospective longitudinal trial was carried out. Forty-five patients of both genders with clinical and radiographic diagnosis of asymptomatic mandibular impacted third molar and with no intake of analgesic or anti-inflammatory drugs 12 h prior to surgery were recruited and evaluated in a 72 h follow-up period. A mixed repeated measures model and backward and restricted maximal likelihood methods were used to analyze the data. Results. Male gender, body mass index (BMI), the relation to the lingual and buccal walls, and age were determinants for predicting postoperative swelling and for exerting a significant influence (P<0.05). Conclusions. This study suggests the association of male gender, the relation to lingual and buccal walls, BMI, and age with measurement of swelling

Management of the Amniotic Band Syndrome with Cleft Palate: Literature Review and Report of a Case

Amniotic Band Syndrome (ABS) is a group of congenital malformations that includes the majority of typical constriction rings and limb and digital amputations, together with major craniofacial, thoracic, and abdominal malformations. The syndrome is caused by early rupture of the amniotic sac. Some of the main oral manifestations include micrognathia, hyperdontia, and cleft lip with or without cleft palate, which is present in 14.6% of patients with this syndrome. The purpose of this report was to describe the clinical characteristics and the oral treatment provided to a 6-month-old male patient affected with ABS with cleft lip and palate

Fundamentals of Stereolithography, an Useful Tool for Diagnosis in Dentistry

Advancements in digital technology and imaging over the last 25 years have permitted the implementation of three-dimensional (3D) modeling protocols in Dentistry. The use of stereolithographic models has progressively replaced traditional milled models and x-rays in the management of craniofacial anomalies and in implant rehabilitation. Diverse advantages can be mentioned, including better visualization of complex anatomical structures and more precise and sophisticated pre-surgical planning, through a simulated insight of the procedures of interest. The aim of this review is to provide essential information about the different applications and limitations of stereolithography, addressed to those general dentists and dental students interested in gaining experience in the reconstructive surgery and implant placement fields

Dental Management of a Young Child Affected by Galactosialidosis and a Gigantic Abdominal Growth

Galactosialidosis (GS) is a rare form of lysosomal storage disease that involves a broad spectrum of skeletal and soft tissue abnormalities. We report here on a 4-year 7-month-old boy with mild mental retardation, exhibiting multiple caries cavities and associated infectious foci and macroglossia. A huge abdominal enlargement due to peritoneal ascites was evident. Behavioral management and patient positioning on the dental chair represented a true challenge. The patient was treated under general anesthesia. However, life-threatening postoperative complications occurred because of the impossibility of extubating the patient. A very careful preanesthetic assessment is crucial in children affected by general conditions associated with airway anomalies, such as GS