Los dientes caninos presentan una alta frecuencia de inclusión, ocupando el segundo lugar después de los terceros molares, su permanencia en la arcada dental es importante por las diversas funciones que cumple en la cavidad bucal, permitiendo desgarrar los alimentos al masticar, guían la oclusión dental, son los encargados de centralizar y desprogramar la oclusión durante los movimientos de lateralidad, dan soporte al labio superior, marcan el límite del sector anterior, destacándose en la sonrisa. La técnica de incisión vertical y túnel de acceso subperióstico (VISTA), permite la tracción de dientes impactados por vestibular, es poco traumática para los tejidos blandos, disminuye los problemas periodontales y evita la reabsorción radicular de los dientes adyacentes. El objetivo es reportar caso clínico en el que se especifica la secuencia del abordaje ortoquirúrgico aplicando la técnica VISTA en un paciente con el diente 13 incluido, mostrando buenos resultados, se describen la técnica quirúrgica y manejo ortodóntico.
Chemotherapy and radiotherapy are aggressive treatments for cancer management. Both therapies make the stomatogatic system vulnerable to adverse effects on the oral mucosa and hard tissues. This may result in severe oral complications that can affect the quality of life of the oncologic patient. Consequently, oral diagnosis and interdisciplinary management by the stomatologist are critical for cancer treatment, regardless of its location. Objective. To determine the oral health status of cancer patients before, during and after antineoplastic treatment at a cancer institute in the city of Barranquilla, Colombia. Materials and Methods. A descriptive, longitudinal and prospective study of 131 cancer patients, was conducted. The study consisted of initial stomatological assessment of the antineoplastic therapy; classification according to the antineoplastic therapy given by the oncologist; a second stomatological assessment during treatment; and a final stomatological assessment or evaluation forty days after the end of therapy. Descriptive statistics, chi-square and MacNemar test were used to compare and identify variances at the different stages. Results. Female patients accounted for 69%, and breast cancer had 24% prevalence among the included subjects. At the initial stomatological assessment, high frequency lesions were identified, such as generalized biofilm-associated gingivitis in 69% of the cases, followed by oral candidiasis in 61%. The specific prevalence of lesions was 10.65%. In the second stomatological assessment, a greater frequency of periodontal abscesses was observed in 31%, and oral mucositis type II in 18%. The third clinical assessment showed significant changes in oral health status; an increase in the frequency of gingivitis was found in 9.9% (p<0.001); unlike before and during, there was an increment in dental caries of 26.73% (p<0.00000) at this last stage, root remains increased by 39.53% (p<0.00000), and finally, xerostomia increased by 45%. Oral candidiasis was the only lesion that showed improvement. Conclusion. An increase in the number of lesions was observed during and after antineoplastic treatment. The oral cavity is susceptible to antineoplastic treatments; gingivitis, candidiasis, xerostomia, and mucositis were observed, among others conditions.
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.