Introduction: More than 40,000 children undergo cancer treatment each year. In the long term, children and adolescents are at risk of developing oral complications over time, especially in relation to teeth. Objective: To analyze the literature about dental management of patients with childhood cancer, including oral examination before treatment, preventive strategies, dental treatments and oral complications related to cancer therapy. Methodology: The PubMed database was used; review and research articles were identified where oral and dental complications in pediatric patients diagnosed with cancer were mentioned. The terms "cancer", "childhood", "dental", "complications" were used. Results: The oral examination before a treatment indicates that thanks to the help of an examination prior to starting any treatment, the severity of oral complications can be reduced. Preventive strategies indicate that the pediatric dentist should be involved with the patient from the diagnosis, developing oral care plans that are individualized for each patient. Dental treatments must be performed after evaluating the child's tolerance to avoid any complications. Oral complications related to cancer therapy such as mucositis, xerostomia, and infections must be anticipated during cancer treatment. Conclusion:As pediatric dentists we need to participate at the beginning of treatment at the time of cancer diagnosis, developing prevention plans and oral care related to the patient's needs. Support from the oncology team is needed to provide optimal treatments.
Introduction: Perforations are characterized by a communication between the root canal system and the external surface of the tooth. Objective: To analyze the literature on the perforations that can occur during root canal treatment and the different bio ceramic materials used to seal them such as gray MTA, ProRoot MTA, Biodentine and Endo Sequence. Methodology: Electronic bibliographic databases (PubMed, EBSCO, Cochrane) were used using the keywords perforations, bioceramics, MTA, ProRoot MTA, Biodentine, EndoSequence. Results: MTA was the first bioceramic cement, providing good sealing, biocompatibility, and antimicrobial activity. However, it has been demonstrated that new bio ceramic cements have a better sealing capacity. ProRoot MTA is an excellent choice for sealing mainly furcated holes, a disadvantage is the change of color in the pieces. Biodentine, a biocompatible calcium silicate-based bio ceramic cement used in endodontic treatments, provides better sealing capabilities than other bio ceramic cements. Endosequence is a new bio ceramic cement, it can be found as a pre-mixed putty making it easier for the operator to handle, in addition, its sealing capacity is better compared to other bio ceramic cements. Conclusion: According to the literature reviewed, Biodentine and EndoSequence are the best bio ceramic materials for sealing and repairing endodontic holes.
The importance of this research lies in the effectiveness of the different minimally invasive techniques for the management of carious lesions. Objective: To analyze the minimally invasive treatment for the removal of carious lesions. The techniques evaluated were: conventional method, ART, papacarie, laser and abrasive air. Methodology: A compilation of articles published in the last 5 years was carried out using the PubMed electronic database. Abstracts and full texts were identified that included information on the techniques for minimally invasive treatment of carious lesions: the conventional method, ART, papacarie, laser and abrasive air. Results: The conventional technique is the most commonly used at present, but it is the most aggressive because it removes both healthy and infected tissue. ART is one of the most economical and least painful measures for caries management. Papacarie is a minimally invasive chemical removal method and does not require local anesthesia. Laser for caries removal is expensive, but it is one of the least abrasive ways to manage it, and the abrasive air does not irritate pulp or adjacent tissues. Conclusions: Removal of dental caries with rotary instruments is frequently associated with thermal and pressure effects on the pulp, resulting in pain. Due to the shortcomings of the bur, alternatives such as chemo-mechanical caries removal with sharp instruments (ART), laser and abrasive air were developed, which have a disintegrating effect on the caries tissue, while leaving healthy dentin largely intact.
Introduction: Despite their frequent consumption, studies on oral cavity effects of sports supplements that have shown a positive effect on health or performance are scarce. Methodology: Current literature review in the dental, medical and public health fields was carried out using the following databases: Pubmed, MedLine and Biblioteca UANL. Whey protein, creatine, magnesium and beta alanine were used from which those framed in the dates 2017-2022 were selected. Results: Whey protein: When interacting with salivary proteins, they remove the lubricating saliva layer of the mouth and can directly influence the epithelial tissue; in acidic conditions they exhibit astringency which is perceived as increased oral friction or roughness. Creatine: Exhibits non-energy related properties, contributing as a possible direct and indirect antioxidant and eliciting anti-inflammatory effects. Magnesium: In the oral cavity, low dietary intake of magnesium or deficiency is associated with the prevalence of periodontitis. Beta Alanine: The only reported side effect is paresthesia, this can be attenuated by using lower divided doses (1.6 g) or by using a sustained release formulation. Conclusion:It is important to investigate in the initial questioning of patients in the dental office about the possible use of sports nutrition supplements, since some of them could have repercussions on systemic and oral health. Its use should be taken hand in hand with a specialist since the recommended doses could vary depending on age, gender, requirement and general condition.
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