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CUIDADOS ODONTOLÓGICOS ESPECIALES |
| VOL. 7 - Nº 2 | 2000 |
|
CUIDADOS ODONTOLÓGICOS ESPECIALES |
| VOL. 7 - Nº 2 | 2000 |
UNIVERSITY DENTAL CLINIC. UNIVERSITY OF MURCIA
Abstract: The concept of neutropenia includes all of those pathologies in which there are less than 1500 neutrophill leukocyte cells/mm3 of peripheral blood. This could be due to a decrease in their production or an increase in their destruction. When this occurs, gingival and periodontal pathologies are common.
We present a clinical case of a 6 year old patient with constitutional neutropenia, who had an important loss of periodontal insertion tissue. After two yeras of periodic treatment, which included instruction in oral hygiene, tartar removal and the aplication of a clorhexidine varnish, we archieved a decrease in the rate of periodontal destruction, although not completely.
DENTAL SCHOOL. UNIVERSITY OF SANTIAGO DE COMPOSTELA (SANTIAGO DE COMPOSTELA, SPAIN)
Abstract: It has been suggested that certain infectious agents play a role in the etiopathogenic and/or severity of most of the complications derived from intraoral radiotherapy. A group of 30 patients with head and neck tumours receiving radiotherapy was studied, analysing the influence of this therapeutic means on the state of oral health, salivary flow and bacterial flora.
The oral health status (DMF index, bleeding on probing and depth of periodontal pockets, dental movement and accumulations of bacterial plaque) was significantly lower in oncological patients (pre-radiotherapy) than in the healthy controls (p<0,0001). Tooth brushing frequency was significantly lower in tumour patients was 1.1+-0,05 ml/min. this figure being similar to the control group and greatly superior to that obtained finishing the radiotherapy (p<0,0001) and three months later in post-radiotherapy patients than in the control group (p<0.05). In consequence, to reduce the risk of post-radiotherapy oral infectious complications, a strategy based in the application of rigourous standardised methods of oral hygiene, and probably the prophylactic administration of fluorides and unspecific microbicides is suggested.
Key words: Oral health status; Salival flow; Radiotherapy; Oral microorganism.
SEVILLE (SPAIN)
Abstract: The number of patients in dental clinics who present somo kind of haemorrhagic disease is increasingly more frequent. In general, two are the pathologies with a greater repercurssion in our daily tasks; in first place, due to their frequency, are those patients under antiaggregant or anticoagulant treatment; in second place are those patients with blood clotting illnesses, among affected by hereditary coagulopathies. The present paper deals with the general patterns of odontological measures taken with this group of patients.
Palabras clave: Haemorrhagic diseases, Haemophilias; Oral anticoagulants; Dental treatment.
INSTITUTE OF DENTAL RESEARCH, PRAGUE, CZECH REPUBLIC
Abstract: The project of "Monitoring of oral health and treatment need in mentally handicapped people in the Czech Republic" is supported by the Ministry of Health (the Czech Republic). To obtain the data on actual dental care in mentally disabled people, the 201 institutions caring for them were contacted. The authorities were asked (questionairee) to describe home (institutional) and profesional dental care. Among them 58,7% institutions answered. These institutions llok after 8.805 persons (1853 children from 3 to 18 years and 6.952 adults over 18 years of age). Based on is data oral hygiene is provided but with difficultes. In fact toothbrushing is provided to swabs are used on other people. Electric toothbrushes are not avilable to these patients. Regular dental checks-ups are given to 66% of mentally handicapped people in general dental practice. Other patients attend the dentist in the case of acute pain, only. The treatment with premedication or general anesthesia is reserved for chirugical treatment, exceptionally for the treatment of multiple dental caries in children. No odontological preventive measures are provided to these professional, for mentally handicapped people in the Czech Republic.
Key Words: Oral health care for handicapped people with mental illnesses; Prevention of oral health diseases; Treatment accessibility; Treatment needs.
