113 research outputs found
Sistema de actividades lúdicas encaminadas a la incorporación de los abuelos al círculo del adulto mayor en el Consultorio no.38 del Consejo Popular del Reparto Hermanos Cruz del municipio Pinar del Río
Ante la necesidad de continuar perfeccionando las clases del Adulto Mayor como principal protagonista en nuestro país. Esta tesis presenta una propuesta de un sistema de actividades lúdicas para mejorar la incorporación del Adulto Mayor en el Consejo Popular Hermanos Cruz del municipio Pinar del Río, atendiendo la importancia que tienen éstas, ya que constituye un soporte motivacional y de reactivación de la memoria, imaginación, aspectos emocionales, relaciones afectivas y relaciones interpersonales. Fueron utilizados métodos teóricos, empíricos, estadísticos y de intervención comunitaria. El presente trabajo aborda un tema de vital importancia y siempre actual, ya que se relaciona con la incorporación del Adulto Mayor a las actividades físicas, concernientes con la calidad de vida de la población adulta del Consultorio N0. 38 del Consejo Popular Hermanos Cruz, específicamente para aquellos que están en la 3era edad, los cuales se consideran por ellos mismos y por muchas personas de la comunidad como personas acabadas. Es una propuesta dirigida desde la comunidad a lograr mayor incorporación al círcul
Alternative treatments for oral bisphosphonate-related osteonecrosis of the jaws: a pilot study comparing fibrin rich in growth factors and teriparatide
Objectives: The aim of this study is to describe and compare the evolution of recurrent bisphosphonate-related
osteonecrosis of the jaws (BRONJ) in patients treated with plasma rich in growth factors or teriparatide.
Material and Methods: Two different types of treatments were applied in patients diagnosed of recurrent BRONJ
in a referral hospital for 1.100.000 inhabitants. In the group A, plasma rich in growth factors was applied dur
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ing the surgery. In the group B, the treatment consisted in the subcutaneous administration of teriparatide. All
the cases of BRONJ should meet the following conditions: recurrent BRONJ, impossibility of surgery in stage 3
Ruggiero classification and absence of diagnosed neoplastic disease. Clinical and radiographic evolution of the
patients from both groups was observed.
Results: Nine patients were included, 5 in group A and 4 in group B. All the patients were women on oral bis-
phosphonate therapy for primary osteoporosis (5 patients) or osteoporosis-related to the use of corticosteroids
(4 patients). Alendronate was the most common oral bisphosphonate associated with BRONJ in our study (four
patients in group A and two in group B). The mean age was 72,8 years in the group A and 73,5 years in the group
B. All the patients from group A showed a complete resolution of their BRONJ. Only one patient in the group B
showed the same evolution.
Conclusions: In our series, the plasma rich in growth factors showed better results than the teriparatide in the
treatment of recurrent BRONJ
Botryoid odontogenic cyst : clinical and pathological analysis in relation to recurrence
Objetives. Botryoid odontogenic cyst (BOC) is considered as an unusual multilocular variant of lateral periodontal cyst (LPC). Review of the literature indicates that this lesion has higher risk of recurrence than LPC, but objetive reasons are still unknown. The aim of this study is identify main clinical and pathological variables associated with the risk of recurrence. Study design. A complete literature review about cases of BOC was made, from its first description up to the year 2006. A total of 67 cases of BOC were identified from year 1973 (first case) to the last publication in 2005. Results. 85.2% of the BOCs were located in the jaw, affecting to women (54.8% of the cases) in the fifth decade of the life. This lesion shows a well- circumscribed unilocular (60%) or multilocular (40%) radiolucency. Recurrence rate of cases with follw-up data was 32,4%. Conclusions. Size and multilocular patterns could be the main factors associated to recurrence in BOC
Pathological mandibular fracture after simple molar extraction in a patient with osteogenesis imperfecta treated with alendronate
Osteogenesis imperfecta (OI), is a heterogeneous group of inherited disorders of connective tissue characterized by bone fragility. Patients with this disease frequently suffer fractures, over 80% of the extremities due to the more intensive mechanical load. Fractures of the facial bones occur very infrequently. Several studies have proved that bisphosphonate therapy may be effective in reducing fracture risk in OI patients. We report here an unusual case of pathological mandibular fracture following simple molar extraction in an adult patient with OI type I and oral alendronic acid treatment. Extraction was atraumatical and without bone removal . Fracture was treated by internal fixation by plate osteosynthesis and additional mandibulomaxillary fixation (MMF). Bone healing after fracture treatment was completely normal and no clinical signs of osteoneocrosis were observed. To the best of our knowledge, this is an unusual complication even in this type of patients. Particular care is necessary is these patients during oral surgery, even when they have been treated and controlled
Oroantral communications : a retrospective analysis
Objetive. To analyze characteristics, clinical evolution and surgical techniques of oroantral communication (OAC). Study Design. We included all patients operated at the University Central Hospital (Oviedo, Spain) between 1996 and 2007. The variables assessed were age, sex, medical history, OAC size, sinus disease, surgical technique, duration of hospitalization and post-surgical evolution. Results. We analyzed 12 patients (7 men and 5 women) with an average age of 47.5 years. The most frequent cause of oroantral communication was the extraction of the first upper molar. The average size of fistula was 0.9 cm. Buccal flap repair was used in 7 patients, palatal rotation-advancement flap in 4 patients and buccal fat pad in only one patient. Suture dehiscence was observed in one patient treated with a palatal flap, but no additional surgery was required. Three OAC recurred; all of them following a buccal flap procedure. All recurrences spontaneously closed between one and four months following the procedure. Conclusion. OACs are rare complications and treatment should be individualized to avoid further complication
Unilateral absence of submandibular gland secondary to stones. Aplasia versus early atrophy
Major salivary gland absence is a rare disorder. The cause of congenital absence of the salivary glands has not been determined, but it may be associated with ectodermal defects of the first and second branchial arches. Isolated absence of a unilateral submandibular gland is an unusual entity with less than ten cases reported in the literature. The etiopathogenesis of isolated absence of a major salivary gland without other developmental anomalies is still unclear. The formation of a sialolith within the remaining Wharton?s duct, associated with isolated aplasia (versus atrophy) of a unilateral submandibular gland has been recently reported. We describe in this work two cases of sialolithiasis within the ipsilateral remaining Wharton´s duct in patients with isolated absence of a unilateral submandibular gland. In the cases reported, absence of the submandibular gland may have been the result of the complete acinar atrophy secondary to an early obstruction of Wharton´s duct
The use of pedicled buccal fat pad combined with sequestrectomy in bisphosphonate-related osteonecrosis of the maxilla
The use of pedicled buccal fat pad flap (BFP) has proved of value for the closure of oroantral and oronasal communications and is a well-established tool in oral and maxillofacial surgery. Otherwise, the perceived limitations of surgical therapy for bisphosphonate-related osteonecrosis of the jaws (BRONJ) have been widely discussed, and recommendations have largely been made to offer aggressive surgery only to stage 3 patients refractary to conservative management. Oroantral communication may be a common complication after sequestrectomy and bone debridement in upper maxillary BRONJ. We report a case series of stage 3 recalcitrant maxillary BRONJ surgically treated with extensive sequestrectomy and first reconstruction using pedicled BFP. All the cases presented an uneventful postoperative healing was uneventful without dehiscence, infection, necrosis or oroantral communication. We postulate that managing initially the site with BFP and primary closure may ensure a sufficient blood supply and adequate protection for an effective bone-healing response to occur. This technique may represent a mechanic protection and an abundant source of adipose-derived adult stem cells after debridement in upper maxillary BRONJ. We evaluate in this work results, advantages and indications of this technique. © Medicina Oral S. L
Diseño y desarrollo de una exposición interactiva de fotografía con Olga S. Ortiz.
Este TFG recoge el diseño de una exposición interactiva y el desarrollo de los puntos de interactividad con un presupuesto de 5000€. Esta exhibirá las fotografías de bodegón contemporáneo realizadas por la fotógrafa Olga S. Ortiz. El desarrollo final se celebrará durante el año 2023 tal como se ha hablado con Eva Barcelona del Servicio Mujer e Igualdad del ayuntamiento de Zaragoza.<br /
Oral bisphosphonates-associated osteonecrosis in rheumatoid arthritis
Adverse effects associated with the use of bisphosphonates are infrequent and consist of pyrexia, renal function impairment, and hypocalcemia. Bisphosphonates-associated osteonecrosis of the jaws is an uncommon but potentially serious complication of intravenous bisphosphonate therapy in cancer patients. The degree of risk for osteonecrosis in patients taking oral bisphosphonates, such as alendronate, is uncertain and warrants careful monitoring. Oral bisphosphonates-associated osteonecrosis can occur in patients with rheumatoid arthritis. We report a case of mandibular osteonecrosis in a patient who received alendronate for 3.8 years. The pathology improved after bisphosphonate therapy discontinuation and sequestrectomy. To our knowledge there are only three cases published in the literature relating bisphosphonates-associated osteonecrosis of the jaws in patients with rheumatoid arthritis. All the cases published, including our case, have reported association between methotrexate, prednisone and alendronate sodium (Fosamax®) therapy. Corticosteroid therapy and dental surgery could increase the risk of developing bisphosphonates-associated osteonecrosis of the jaws in these patients
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