iDental

Algoritmo Diagnóstico para la Detección temprana de la Apnea del Sueño en la Clínica ULACIT

Javier Ricardo, Amaya Vásquez Rodríguez — Sat, 23 Dec 2023 00:00:00 +0000

El síndrome de apnea obstructiva del sueño se caracteriza por el cese completo de la respiración durante diez segundos o más tiempo durante el sueño, debido a una obstrucción faríngea completa o parcial que conduce a un despertar frecuente durante el sueño y una somnolencia diurna excesiva. Es un trastorno común que afecta aproximadamente al 4% de la población y el 80-90% de adultos permanece sin diagnosticar. El objetivo de esta revisión de literatura es implementar un algoritmo fácil y eficiente para la detección temprana de AOS en la clínica dental. El método utilizado fue una búsqueda en la base de datos PubMed, de 2010 a 2022, incluyendo todo tipo de estudios en los idiomas de español, inglés y portugués. Se identificó una gran variedad de cuestionarios, de los cuales se descartaron los que tenían baja efectividad o ser muy complejos, de los cuales solo dos cuestionarios cumplieron con los requisitos de inclusión STOP-BANG para adultos y PSQ-6 para niños. Como propuesta para un protocolo de detección temprana del punto de vista de Odontología, se recomienda la combinación de signos clínicos (intraorales y extraorales) y radiográficos y uso de los cuestionarios STOP-BANG para adultos y PSQ-6 para niños. De esta manera, poder referir adecuadamente a los pacientes con altas probabilidades de padecer esta condición y que el especialista realice la polisomnografía para tener un diagnóstico definitivo.

Efectos secundarios de los dispositivos de avance mandibular en pacientes adultos con apnea obstructiva del sueño: Revisión sistemática de revisiones sistemáticas.

María de Jesús Castro Salazar, Valentina Fuenmayor Macrobio — Sat, 23 Dec 2023 00:00:00 +0000

Objective: Mandibular advancement devices are widely used for the treatment of obstructive sleep apnea; therefore, it is important to know all the possible side effects they may generate. The aim of this study is to perform a systematic review of systemic reviews investigating the main dental, skeletal, TMJ and wear-related side effects caused by mandibular advancement devices used to treat obstructive sleep apnea in adult patients.

Methods: A search was performed in Pubmed and Scopus databases, between 2012 and 2022, in Spanish and English. The PICOT research strategy was (P) adult patients diagnosed with OSA using (I) Mandibular Advancement Devices as a form of treatment for OSA, (C) no treatment or placebo, (O) dental, skeletal, TMJ and wearing adverse effects, (T) systematics reviews and metanalysis. The quality classification tool used was AMSTAR2.

Results: Six systematic reviews were included, four of which were of medium quality and two of low quality. Three corresponded to systematic reviews and meta-analyses, and three to systematic reviews. The total number of participants was 49,983. Among the main findings the most studied were the side effects at the dental level, being proinclination of lower incisors.

Conclusion: The most common side effects at the dental level were proinclination of the lower incisors, reduction of the vertical and horizontal overbite, and at the skeletal level, reduction of the ANB angle.

Reasons to attend the Faculty of Dentistry of the University of Costa Rica as a patient: cross-sectional study.

Natalia Gutierrez Marin, Andrea López Soto — Sat, 23 Dec 2023 00:00:00 +0000

Introduction and objective: The reasons for selecting dental services can be influenced by various aspects: cultural, socio-economic and socio-demographic. The objective of this study was to determine the reasons for choosing and recommending patients who attend the services provided by the Faculty of Dentistry of the University of Costa Rica, as well as their possible association with some sociodemographic variables.

Methods: A survey was conducted to all patients of the undergraduate and graduate clinics of the Faculty of Dentistry. The sociodemographic variables were (sex, age, educational level, region of origin, clinic where the patient is treated and frequency of visits to the dentist) and related to the selection of the service (reason for choice, dissemination channel to learn about the service, recommendation of the service). Descriptive statistics of the variables and the Chi-square test were performed for bivariate analysis.

Results: 826 patients responded to the survey, 66.7% female and 52.1% between 20 and 39 years old. 99% of participants recommend the service. Recommendation was the main reason for selection (35.2%) and how they learned about the services (66.0%). When comparing the reason for choice with the sociodemographic variables, differences were found only with age (p=0.016). Regarding the dissemination channels, there were differences associated with age (p=0.001), the type of student offering the service (p=0.014) and sex (p=0.017).

Conclusion: Recommendations from family and friends can influence the decision to choose a service, as well as being an efficient channel for disseminating it.

TikTok: Source of quality oral cancer information?

Sat, 23 Dec 2023 00:00:00 +0000

A video search was conducted on the social network TikTok using the hashtags "#canceroral", "#canceroral", "#cancerofmouth", "#cancerofmouth", "#cancerbuccal" and "#cancerbuccal". The search was conducted by re-downloading the app on an iPhone 6 with a cleared cache. The first 25 "most relevant" videos on each page were collected, because statistics indicate that most users do not watch those after the third page. Four categories were analyzed: video information, video creator information, format analysis, and content quality. In this article, it was shown that TikTok videos on oral cancer and their success in viralization on the platform will depend on their visual appeal to users, not so much on the quality of the information contained. The predominant type of video was that of a person talking, obtaining a greater number of comments and likes. However, the videos that only presented images were the ones that got the most shares from the population. In Spanish there is no study like the one presented above, which makes it unique in its field and allows for a large collection of information. The information on oral cancer in Spanish on TikTok is very limited. It was determined that most of the information is little or moderately useful, mainly talking about prevention and the manifestations of the pathology, but there is a lot of misinformation regarding the causes, such as prolonged exposure to the sun.

Utilización de las tecnologías de la información y comunicación por parte delos docentes de la Facultad de Odontología, Universidad de Costa Rica.

Sat, 23 Dec 2023 00:00:00 +0000

Introducción y objetivo. La incorporación y el uso de las Tics en la cotidianidad del ser humano ha ganado mucha relevancia, propiciando que los organismos internacionales se ocupen de la detección y necesidad de incorporarlas en el ámbito de la educación. El objetivo de este estudio fue determinar la aplicación de las TICS por parte de los docentes de los cursos teóricos de la carrera de Odontología en la UCR

Métodos: Se realizó una encuesta a todos los coordinadores de los cursos teóricos propios de la malla curricular de la licenciatura en Odontología. Las variables sociodemográficas fueron (sexo, edad, departamento al que pertenece y grado de virtualidad del curso) y relacionadas con la las TICs fueron uso de la Web y sus herramientas básicas; exploradores de búsqueda; manejo de aplicaciones; uso de videos como material de aula para el aprendizaje; empleo de pizarras digitales; realidad virtual y aumentada; libros digitales; Chat GPT; manejo y uso de plataformas de almacenamiento en la nube; uso de la plataforma de gestión METICS; manejo de redes sociales y el uso de plataformas para video conferencia. Se empleó una escala de Likert. Se realizó la estadística descriptiva de las variables y la prueba de Chi cuadrado para el análisis bivariado.

Resultados: hubo 94% de respuesta. Las herramientas que tuvieron un grado de utilización muy alto en los cursos fueron: la plataforma de gestión METICS (97,8 %), el navegador Chrome de Google (73,9 %), el correo electrónico institucional (60,9 %) y las redes sociales en especial WhatsApp (54,3%). Se encontró una diferencia estadísticamente significativa respecto al uso de los juegos didácticos y algunos aspectos referentes a METICS.

Conclusión: las TICs son poco utilizadas por los docentes de los cursos teóricos de la Facultad de Odontología de la Universidad de Costa Rica. El departamento de Odontología Social es el que más utiliza las TICs.

Solitary neurofibroma of the hard palate: case report and literature review

Luis Suárez Quesada, Yadira Boza — Thu, 11 Jan 2024 00:00:00 +0000

Introduction: Neurofibromas are benign tumors that arise from the peripheral nerve sheath. They are characterized by the proliferation of Schwann cells, perineural cells and endoneural fibroblasts. They can be solitary or associated with syndromes such as neurofibromatosis type I and type II. Its appearance in the oral cavity is rare, with the tongue being the most common location. Clinically, they present as papular, nodular and tumorous lesions with a sessile or pedunculated base that vary in size, fibrous consistency, and color similar to the surrounding tissues. Case report: 72-year-old woman with a history of meningioma, presented for consultation to change removable total prostheses, a papular lesion close to the line of vibration was observed at the junction of the hard and soft palate on the right side of the midline, coinciding with the posterior limit of the upper prosthesis, size 10 x 8 mm, color similar to the surrounding tissues, smooth surface, soft on palpation and unknown evolution time, asymptomatic patient. An excisional biopsy was performed and the histopathological study plus immunohistochemistry for S100 confirmed that it was a solitary neurofibroma. The patient’s progress was good, with no recurrence. Conclusions: the importance of considering neurofibroma as a possible diagnosis of papular and tumor lesions on the palate is highlighted. In addition, as in this case, a complete anamnesis, a correct surgical intervention and the anatomopathological study allowed a definitive diagnosis of the lesion.