The mesiodens corresponds to a number anomaly of dental development, which is formed between the upper central incisors. It is diagnosed by radiographic examination and the precise therapeutic option is extraction. The aim of this study is to review the different surgical techniques used in the extraction of intraosseous mesiodens by means of a review of the literature. Methodology: The collection of information was carried out through the search and selection of articles related to surgical techniques for the extraction of intraosseous mesiodens in the electronic databases PubMed, Google Scholar and Journal of Dental Research. The selection criteria taken into account were: age not older than 5 years, key words, human studies, impacted or retained mesiodens. From a total of 113 articles, 17 were chosen that are in accordance with the criteria of this research. Results and Conclusions: The free hand surgical approach has good results, but the use of surgical guides improves patient satisfaction, reduces operative time and difficulty of surgery and facilitates more precise osteotomies and incisions, without unnecessary tissue damage resulting in a more satisfactory postoperative improvement.
Cleft lip-alveolar-palatal fissures (FLAP) are one of the most frequent congenital malformations nationwide. Its etiology is complex and both genetic and environmental factors are directly associated with a higher number of births with this anomaly. The aim of this work is to determine the prevalence of FLAP in pediatric patients of the Vicente Corral Moscoso Hospital in the city of Cuenca in the period 2016-2020. For this purpose, the collection of medical records of patients with FLAP under 17 years of age between the period of 2016 to 2020 was carried out. The data obtained from the 582 records, were subjected to statistical analysis using the computer program IBM SPSS Statistics version 20; gender, age range, type and location of the fissure were analyzed. The results showed that 69.6% of the study sample belonged to the male gender and 30.4% to the female gender. The highest prevalence in age corresponds to the year with a percentage of 24.7%. According to its location, the most common type of cleft corresponds to the mixed cleft with 43.13%; and finally, according to the type, cleft of the hard palate and soft palate with unilateral cleft lip was the one with the most reported cases with a percentage corresponding to 24.2%.
En la actualidad la administración de medicamentos antirresortivos para el tratamiento de diferentes padecimientos relacionados con el tejido óseo, ha ido en aumento. Sin embargo, también pueden desencadenar complicaciones que nosotros como profesionales de la salud debemos conocer. Hoy en día existe mucha información acerca del tema por esto, es importante que tengamos información más relevante y concreta de fácil comprensión para un odontólogo de práctica general para detectar esta afectación tempranamente, valorando los riesgos y beneficios que conllevan dichos tratamientos, el objetivo de la presente revisión es realizar una síntesis comprensible de los aspectos más importantes sobre osteonecrosis mandibular relacionada con fármacos antirresortivos y los cuidados a tenerse en cuenta. Se realizó una búsqueda minuciosa en diferentes bases de datos: Pubmed, EBSCO, Science Direct, Scopus, Scielo. Siendo incluídos 27 artículos a partir del 2019, 1 arículo base, 1 guía clínica y 1 libro para la presente revisión. La osteonecrosis es una complicación que puede aparecer posterior a la administración de medicamentos antirresortivos como los bifosnatos y denosumad utilizados en el tratamiento de enfermedades óseas, los administrados vía intravenosa han sido reportados mayormente con el desarrollo de ésta complicación, entre los factores de riesgo local desencadenantes predominan las exodoncias. El abordaje multidiciplinario es fundamental para el reconocimiento temprano de los pacientes predisponentes, brindando una atención oportuna y preventiva para disminuir así la gravedad de ésta complicación.
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