While the Special Olympic athletes may not be representative of the entire population of individuals with intellectual disabilities in their specific country, the general consistency of the oral health status of these athletes from the 31 countries supports the certainty of the need for increased dental services for individuals with intellectual disability in the respective countries.

Aim: To obtain a consensus on the domains of cariology for undergraduates in dental schools in the Caribbean.Materials and Methods: Dental school deans from the Dominican Republic (DR) and Puerto Rico (PR) were invited to participate. Afterwards, 24 cariology faculty members from the dental schools in the DR received a 40-h workshop on the current un-

More than 51 million U.S. civilian noninstitutionalized residents have some form of long-lasting disability, including almost 1 million residents of Puerto Rico. The goal of this report is to review available data in an effort to stimulate recognition of the oral health needs of Puerto Rican residents with disabilities. The authors conducted a review using a series of U.S. Census Bureau reports to develop comparative relationships between Puerto Rican residents, the total U.S. population and the total U.S. Hispanic population. The review compared the proportion of these groups with disabilities, the proportion of the population who live below the poverty threshold, and oral health status. The review of available government and private agency data for the general population indicates that the percentage of Puerto Rican residents with disabilities is greater than the percentage of the total U.S. population and the total U.S. Hispanic population. In addition, compared to the total U.S. population, a greater percentage of total U.S. Hispanic children is living in poverty, has unmet dental needs, is uninsured for health services, and has not visited dentists for extended periods. Particularly limited information is available regarding the oral health needs and services for Puerto Rican residents with disabilities. It is essential for future government and private agency surveys and reports to emphasize the economic status of the Puerto Rican population, recognize the distribution of particular disabilities among the various racial/ethnic populations, and increase general attention to the oral health of the residents of Puerto Rico with specific concerns regarding individuals with disabilities.

La Histiocitosis de células de Langerhans (HCL), es una enfermedad rara, caracterizada por la proliferación clonal agresiva de células de Langerhans dendríticas de la médula ósea. La enfermedad crea lesiones osteolíticas en donde las manifestaciones orales usualmente están presentes. El objetivo de este reporte de caso es, presentar el seguimiento de cinco años de un caso diagnosticado en el 2014 y una revisión sistemática de literatura de las manifestaciones orales de HCL. Para la revisión sistemática, el argumento de búsqueda con palabras claves como HCL, histiocitosis X y manifestaciones orales, fueron conducidas en cinco bases de datos como PUBMED, LILACS, EBSCO, OVID y SCOPUS. Las manifestaciones orales más comunes son inflamación, enrojecimiento y pérdida de hueso en las áreas afectadas. Es importante mantener un seguimiento periódico en el consultorio dental de los casos de HCL en la población pediátrica. La HCL usualmente presenta manifestaciones orales que pueden ser un signo de diagnóstico temprano de esta condición, especialmente en la población pediátrica.