“…11,12,27,28 Es poco frecuente, aunque en países del África, se observa en niños, estimándose una incidencia anual de 6.4 casos por 1000 niños. Varios estudios indican que los factores de riesgo que desencadenan esta enfermedad son de pobreza extrema, desnutrición, mala higiene bucal, sarampión y malas condiciones sanitarias entre los principales.…”
Las enfermedades periodontales necrotizantes según el Taller Internacional para la Clasificación de la Enfermedades y Condiciones Periodontales realizado en 1999, son dos; la Gingivitis Necrotizante (GN) y la Periodontitis Necrotizante (PN). Una variación más agresiva, que puede estar ligada a las dos entidades mencionadas es la Estomatitis Necrotizante (EN). En esta revisión trataremos sus definiciones, etiología, aspectos clínicos, diagnóstico y tratamiento, tratando de aclarar estos puntos con conceptos actualizados.
“…11,12,27,28 Es poco frecuente, aunque en países del África, se observa en niños, estimándose una incidencia anual de 6.4 casos por 1000 niños. Varios estudios indican que los factores de riesgo que desencadenan esta enfermedad son de pobreza extrema, desnutrición, mala higiene bucal, sarampión y malas condiciones sanitarias entre los principales.…”
Las enfermedades periodontales necrotizantes según el Taller Internacional para la Clasificación de la Enfermedades y Condiciones Periodontales realizado en 1999, son dos; la Gingivitis Necrotizante (GN) y la Periodontitis Necrotizante (PN). Una variación más agresiva, que puede estar ligada a las dos entidades mencionadas es la Estomatitis Necrotizante (EN). En esta revisión trataremos sus definiciones, etiología, aspectos clínicos, diagnóstico y tratamiento, tratando de aclarar estos puntos con conceptos actualizados.
“…It is clear from global epidemiology data that a less pronounced relationship appears to exist between dental plaque and severe periodontitis. Severe forms of human periodontitis frequently affect only a subset of population groups globally, even though plaque-induced gingivitis and slight to moderate forms of periodontitis are widespread within the same population groups (Albandar, 2002;Baelum & Scheutz, 2002;Gjermo et al, 2002;Sheiham & Netuveli, 2002). While gingivitis parallels the level of oral hygiene in a population, it is by itself a poor predictor of subsequent periodontitis disease activity (Lang et a., 1990).…”
“…In the case of periodontal disease, though the prevalence has been reported to be high 12,13 , it is mainly gingival inflammation. There is relatively little advanced periodontal disease 14 . This dental health situation presenting in a developing country like Ghana, demands the adoption of a plan that mounts the most appropriate response to the nation's oral health needs under the prevailing circumstances.…”
SUMMARYObjectives -To explore the degree of agreement on issues surrounding the proposals for dental health personnel requirements among key oral health personalities who are central to determining policy on oral health personnel requirements for Ghana and to make recommendations to assist in the future development of dental health personnel requirements. Design -A review of the literature, published documents and in-depth semi-structured interviews. Setting -Dental health service in Ghana Participants -Key oral health personalities who are central to determining policy on oral health personnel requirements for Ghana Results -There was a lack of consensus regarding key aspects of planning personnel requirements including the numbers and the kinds of professionals complementary to dentistry (PCDs) to develop, who should be responsible for their training, and which people to admit as trainees of PCDs. Conclusion -Greater discussion between the various agencies involved should take place to help ensure consensus on the overall policy objectives.
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