Tratamiento del escalón mesial funcional patológico en un niño de cinco años de edad

Early orthodontic therapy in primary teeth is indicated in cases where a pathological functional mesial step exists in order to prevent a real prognathism in adulthood. A male patient of five years old was presented with this malocclusion to which was applied a therapeutic with indirect flat tracks. In addition to functional therapy according to the philosophy of neuroclusal rehabilitation, which included psychotherapy, selective cut and control habits, as well as the indication of a fibrous diet, parents and child were trained for bilateral mastication during meals consciously. Finally, the results showed a favorable balance with the use of this therapy for the elimination of pathological functional mesial step and morphological and functional harmony was achieved at an early age of development.La terapia ortodóncica temprana en la dentición temporal está indicada en los casos donde exista un escalón mesial funcional patológico con el objetivo de prevenir un prognatismo verdadero en la edad adulta. Se presenta un paciente masculino de cinco años de edad con esta maloclusión al que se le aplicó una terapéutica con pistas planas indirectas. Además de la terapia funcional según la filosofía de la rehabilitación neuroclusal, que incluyó psicoterapia, tallados selectivos y control de los hábitos, así como la indicación de una dieta fibrosa, se entrenó a los padres y al niño para realizar la masticación bilateral durante las comidas de forma consciente. Finalmente los resultados evidenciaron un balance favorecedor con la utilización de esta terapéutica para la eliminación del escalón mesial funcional patológico y se logró una armonía morfológica y funcional desde edades tempranas del desarrollo

Protocol for the Treatment of Gingival Recession with Platelet-rich Fibrin Membrane

Introduction: It is necessary to apply action protocols as tools to homogenize regenerative periodontal plastic procedures and to establish the guidelines for the periodontist to approach gingival recession with this advanced therapeutic modality. Objective: To design a protocol for the treatment of gingival recession using platelet-rich fibrin membrane associated with coronal advancement flap. Methods: A research with a qualitative approach was carried out in the School of Stomatology of Villa Clara, from July 2020 to December 2021. For the design of the protocol, a preparation phase and an elaboration phase were used; within the latter, three moments were structured: systematic review of the literature, application of group techniques (focal and nominal group) and conclusion of the document. An evaluation by external specialists was carried out before finalizing the definitive structure of the protocol. Results: Five guides for the preparation of protocols, five medical and nursing care protocols and 10 stomatological protocols were consulted. The structure of the document consisted of: cover page, introduction, objectives, target professionals, target population, elaboration process, procedure, algorithm, implementation and revision date, implementation process, evaluation indicators, glossary and bibliographic references. Conclusions: An action protocol was designed that establishes the guidelines for carrying out the regenerative therapeutic procedure, from the selection of patients to the evolution of the therapy. The document was positively evaluated by external specialists

Factors associated with interest in scientific research in dental students of six Cuban universities

"Introduction: To determine the factors associated with interest in scientific research in dental students of six Cuban universities. Methods: This is a multicenter cross-sectional analytical study. Interest in scientific research was the dependent variable, and it was assessed through a questionnaire proved to be reliable (Cronbach’s α= 0.88). We obtained adjusted prevalence ratios (aPR), 95% confidence intervals (95% CI), and p values through generalized linear models. Results: A total of 587 students were part of the research, and 57.9% manifested interest in scientific research. However, when they were asked if they wanted to pursue a research career in the future, only 45.1% responded affirmatively. We found, through multivariate analysis, that there was more interest in scientific research among those who were student assistants (aPR: 2.42; 95% CI: 1.41–4.16; p = 0.001), those who had previous studies (aPR: 1.35; 95% CI: 1.02–1.79; p = 0.034), and those who had received awards in scientific events (aPR: 1.74; 95% CI: 1.26–2.41; p = 0.001). In contrast, there was less interest among those who were at the clinical stage of their career (aPR: 0.66; 95% CI: 0.49–0.89; p = 0.006), adjusted for seven variables. Conclusions: There exists interest in scientific research and we found some factors associated with this. This has to be taken into account in order for educational institutions to generate strategies.

Factors associated with interest in scientific research in dental students of six Cuban universities

"Introduction: To determine the factors associated with interest in scientific research in dental students of six Cuban universities. Methods: This is a multicenter cross-sectional analytical study. Interest in scientific research was the dependent variable, and it was assessed through a questionnaire proved to be reliable (Cronbach’s α= 0.88). We obtained adjusted prevalence ratios (aPR), 95% confidence intervals (95% CI), and p values through generalized linear models. Results: A total of 587 students were part of the research, and 57.9% manifested interest in scientific research. However, when they were asked if they wanted to pursue a research career in the future, only 45.1% responded affirmatively. We found, through multivariate analysis, that there was more interest in scientific research among those who were student assistants (aPR: 2.42; 95% CI: 1.41–4.16; p = 0.001), those who had previous studies (aPR: 1.35; 95% CI: 1.02–1.79; p = 0.034), and those who had received awards in scientific events (aPR: 1.74; 95% CI: 1.26–2.41; p = 0.001). In contrast, there was less interest among those who were at the clinical stage of their career (aPR: 0.66; 95% CI: 0.49–0.89; p = 0.006), adjusted for seven variables. Conclusions: There exists interest in scientific research and we found some factors associated with this. This has to be taken into account in order for educational institutions to generate strategies.

Maduración biológica, su relación con la edad dentaria en niños malnutridos fetales

realizó un estudio longitudinal cuya muestra de estudio estuvo conformada por niños con bajo peso debido a malnutrición fetal, en el Hospital Ginecoobstétrico Docente Provincial "Mariana Grajales" de la ciudad de Santa Clara, entre los años 90 y 93, con edades actuales entre 6 y 8 años, y un grupo control de igual cantidad de niños con crecimiento y desarrollo normal. A todos se les evaluó la edad dentaria con el objetivo de determinar la asociación con la madurez biológica. Los resultados reflejan la influencia de la malnutrición fetal en el desarrollo de la dentición, lo que determina que la edad diagnosticada por el desarrollo dentario es menor en los casos que presentan esta alteración al nacer, mientras que en los niños no afectados (grupo control) existe una tendencia al adelanto en el desarrollo dentario en relación con la edad cronológica.A longitudinal study was carried out in a sample of 100 fetal malnutrition-derived low birthweight children, aged 6-8 years at the time of study, who were born at "Mariana Grajales" provincial teaching gynecobstetric hospital located in Santa Clara City from 1990 to 1993, and a control group of 100 children with normal growth and development. Dental age was assessed in all the children to determine its relation with biological maturity. The results showed the effect of fetal malnutrition on the development of dentition, which indicated that age diagnosed by dental development is lower in children presenting with this disorder at birth whereas in non-affected children (control group) the tendency is that dental development moves ahead of the real chronological age

Efectos del tratamiento temprano en las variables funcionales con técnicas de la rehabilitación neuro-oclusal

Introduction: early treatment propitiates a response of development of the stomatognathic system. Objective: To evaluate changes in the functional variables five years after being applied early treatment with neuro-occlusal rehabilitation techniques. Method: research of development, longitudinal and descriptive between 2001 and 2010, at the Faculty of Stomatology at the University of Medical Sciences of Villa Clara. The universe was composed by 2,215 children of five years old belonging to children's institutions in the City of Santa Clara during 2001 and 2002. A stratified method by stage was used, the sample was 59 children with occlusal interferences during dentition treated with functional therapy in 2002 and evaluated a year later (first stage). The second stage took place between 2007 and 2010, the sample of 46 children was ten years old. The variables of study were analyzed in three developmental stages: initial, intermediate and final. Informed consent was established and statistical tests were performed. Results: Abnormal slides of centric relation to maximum intercuspation and occlusal interferences during lateral movements in 100% of cases were eliminated. A gradual resolution of the deleterious habits was observed. Masticatory function change its pattern to bilateral alternating together with the incorporation of a fibrous diet in most cases, significant results were observed from the initial phase of the study at 91.3%. Discussion: favorable changes in the functional variables confirm the importance of treating disorders of the stomatognathic system from early stage in life.Introducción: el tratamiento temprano propicia una respuesta de desarrollo del sistema estomatognático. Objetivo: evaluar los cambios en las variables funcionales cinco años después de ser aplicado un tratamiento temprano con técnicas de la rehabilitación neuro-oclusal. Método: investigación de desarrollo, longitudinal y descriptiva, entre los años  2001 y 2010, en la Facultad de Estomatología de la Universidad de Ciencias Médicas de Villa Clara. El universo lo integraron 2215 niños de cinco años de edad pertenecientes a instituciones infantiles de la Ciudad de Santa Clara durante los años 2001 y 2002. Se utilizó un método estratificado por etapas, la muestra fue de 59 niños con interferencias oclusales durante la dentición temporal tratados con terapias funcionales durante 2002 y evaluados un año después (primera etapa). La segunda etapa se desarrolló entre 2007 y 2010, la muestra resultó de 46 niños con diez años de edad. Las variables de estudio se analizaron en tres etapas evolutivas: inicial, intermedia y final. Se estableció el consentimiento informado y se realizaron pruebas estadísticas. Resultados: se eliminaron los deslizamientos anormales de relación céntrica a máxima intercuspidación y las interferencias oclusales durante los movimientos de lateralidad en el 100% de los casos. Se observó una resolución paulatina de los hábitos deletéreos. La función masticatoria cambio su patrón a bilateral alternante junto con la incorporación de una dieta fibrosa en la mayoría de los casos, se observaron resultados importantes desde la fase inicial del estudio en un 91.3%. Discusión: los cambios favorables en las variables funcionales corroboran la importancia de tratar las alteraciones del sistema estomatognático desde etapas tempranas de la vida

Care guide for patients with class II malocclusion with actively growing permanent dentition

Foundation: Class II malocclusion has the highest prevalence among dentoskeletal disorders.Objective: to propose a care guide for patients with class II malocclusion with actively growing permanent dentition.Methods: a mixed approach technological innovation research was carried out in the Clinical Sciences Department from the Stomatology Faculty of the Villa Clara Medical Sciences University, from 2020 to 2023. The studied universe was all the Orthodontic specialists in the Villa Clara province, Sancti Spíritus and Cienfuegos, from which an intentional non-probabilistic sampling was carried out by criteria and the sample was made up of 20 specialists and seven experts (higher category specialists) with criteria of inclusion.Results: The reviewed documentation provided valuable information to determine the current state of care for malocclusion under study. Specialists issued different criteria on the diagnosis and treatment of class II malocclusion. The experts established the invariable elements for their classification. Finally, a care guide was designed for patients with class II malocclusion with actively growing permanent dentition, rated by specialists as excellent.Conclusions: the proposed guide contains invariable diagnostic elements and treatment guidelines in order to achieve more comprehensive and efficient malocclusion care.</p