Vital teeth treated with fixed dental prosthesis undergo a pulpal inflammatory process during their preparation. This inflammatory response can be transient or perpetuate itself and become pulpal damage. As a result, postoperative sensitivity may appear in some patients during treatment and this could be related to certain risk factors. The objective of this work is to describe the risk factors related to postoperative thermal, chemical or mechanical sensitivity in treatments with fixed dental prosthesis. Method: Different databases were used to search for studies that included the following keywords: dental sensitivity, dental hypersensitivity, pulp response, crown, fixed prosthesis, postoperative, postcementation, tooth preparation. All the studies found were analyzed according to the level of evidence, the quality of the report and the ethical implications. Results: A total of 43 articles were selected. There were 10 clinical studies, 7 literature reviews and 26 in vitro studies. The level of evidence, the quality of the report and the ethical considerations were rated as acceptable. Conclusions: The existing evidence describes some risk factors related to the postoperative sensitivity in three stages of the process of making a fixed dental prosthesis. However, it is not conclusive regarding its mechanism of origin or prevention, which is why we suggest conducting further randomized clinical studies.
Objective:The aim was to evaluate prevalence in perception cervical disorders in students of undergraduate dentistry, medicine and nursing from the University of the Andes. Through the use of a survey of the index of disability cervical, widely used for this purpose. Methods: A study whose design was a cross-sectional descriptive. The number of study subjects was n = 232 students, between students of 1 st , 3 rd , and 5 th of dentistry, medicine and nursing, who agreed to participate voluntarily in this study. Subsequently applied the rate of the cervical disability (neck disability index) survey to all the students that make up the study group. This survey consists of 10 questions and each one of them has 5 possible answers, then to each response is assigned a score of 0-5 points, being the maximum of 50 score. Results: It was determined in the first instance the prevalence of cervical dysfunction for each career altogether, getting that 91% of surveyed students of dentistry, 63% of the students of medicine and 70% of nursing students showed some degree of disability. Conclusions: Students of dentistry, medicine and nursing have a high prevalence of perception of some degree of cervical disability, being higher in upper courses the career of all the groups studied the greater prevalence and severity observed in students of dentistry. The women surveyed reported higher prevalence and severity in their perception of cervical dysfunction.
Objetivo: Describir el desarrollo e implementación para el establecimiento, cumplimiento y acreditación como centro de atención abierta, para la atención odontológica de un centro docente asistencial. Metodología: Para alcanzar mayores niveles de calidad sanitaria y lograr satisfacción de pacientes, profesionales, estudiantes, personal auxiliar y administrativo, definimos 8 niveles de acción: orientar trabajo a resultados; realizar actividades centradas en el paciente; desarrollar el liderazgo y coherencia en los objetivos; gestionar por medio de procesos; involucrar a toda la comunidad; incorporar a la gestión el aprendizaje, la innovación y la mejora constante; potenciar alianzas internas y externas y garantizar la responsabilidad social. Resultados: El comité de calidad rediseñó protocolos, realizó mejoras computacionales y administrativas, realizó diálogos con la comunidad, incrementando de 80% a 100% el cumplimiento de los estándares obligatorios (n= 11) y de 70 % a 96 % los globales. Conclusiones: Alcanzar las competencias de planificación, gestión sanitaria y elevar los niveles de calidad en la atención de pacientes de un centro de salud que incluye una Facultad de Odontología, es un desafío continuo en el tiempo que involucra toda la comunidad, requiere especialistas del área, incrementa los costos de operación y conduce a su acreditación como centro de atención abierta.
PALABRAS CLAVECalidad en atención del paciente; Educación odontológica; Acreditación en calidad; Centro de atención abierta.
scite is a Brooklyn-based organization that helps researchers better discover and understand research articles through Smart Citations–citations that display the context of the citation and describe whether the article provides supporting or contrasting evidence. scite is used by students and researchers from around the world and is funded in part by the National Science Foundation and the National Institute on Drug Abuse of the National Institutes of Health.