scholarly journals Evaluación funcional de las restauraciones protésicas fijas. Reporte de serie de casos / Functional Evaluation of Fixed Prosthetic Restorations. Case Series Report

2017 ◽  
Vol 35 (75) ◽  
Author(s):  
Oscar Hernán Zuluaga López
Keyword(s):  
Medical Information ◽  
Case Series ◽  
Dental Students ◽  
Treatment Recommendation ◽  
Functional Evaluation ◽  
Periodontal Tissues ◽  
Fixed Prosthodontics ◽  
Single Crown ◽  
Case Series Report ◽  
Clinical Records

RESUMEN. Antecedentes: Innumerables complicaciones hacen que una prótesis parcial fija (PPF) o corona individual fracasen. Por tal razón, se requiere evaluarlas permanentemente, principalmente en los ámbitos donde se forman los profesionales en odontología. Objetivo: Evaluar biológica, mecánica y funcionalmente las PPF colocadas en un servicio odontológico de pregrado en Manizales, Colombia. Métodos: Este estudio descriptivo evaluó 44 prótesis fijas realizadas en 23 pacientes. Los antecedentes se tomaron de la historia clínica. Se valoraron criterios clínicos biológicos, mecánicos y funcionales a través de montajes en un articulador semiajustable. Se realizó una clasificación protésica como tratamientos exitosos, tratamientos con complicaciones reversibles y con complicaciones irreversibles. Resultados: 36 prótesis cumplieron parámetros de supervivencia protésica, entre los cuales complicaciones reversibles relacionadas con alteraciones de los tejidos periodontales y alteración de los contactos interoclusales se identificaron en 20 prótesis. 8 prótesis presentaban complicaciones irreversibles afectadas por severos problemas periodontales y desadaptaciones marginales. No se observaron alteraciones pulpares y ni fracturas dentales o protésicas. Conclusión: La mayoría de las PPF (81,8 %) mostraron parámetros de supervivencia protésica con algunas complicaciones reversibles. Entre los factores identificados que se deben enfatizar en la formación de los estudiantes de odontología al hacer prótesis están el compromiso del paciente con el tratamiento, la higiene oral y el mantenimiento clínico. Ellos son necesarios para garantizar la longevidad de las restauraciones, teniendo en cuenta que el riesgo de complicaciones se incrementa con el tiempo.ABSTRACT. Background: Innumerable complications may cause a fixed partial prosthesis (FPP) or single crown to fail. Therefore, it is important following up them, particularly in those spaces where dental professionals are trained. Purpose: To conduct a biological, mechanical, and functional evaluation of FPPs cemented at a predoctoral dental clinic in Manizales, Colombia. Methods: This descriptive study evaluated 44 FPPs made in 23 patients. Medical information was obtained from patients’ clinical records. Biological, mechanical, and functional criteria were evaluated through analysis of mounted models in semi-adjustable articulators. Decision criteria were: successful treatments, treatments with reversible complications, and treatments with irreversible complications. Results: 36 prostheses met prosthetic survival parameters of which 20 presented reversible complications consisting of alterations of periodontal tissues and interocclusal contacts. 8 prostheses showed irreversible complications, which were caused by severe periodontal problems and marginal discrepancies. Neither pulpal alterations nor dental or prosthetic fractures were observed. Conclusion: Most FPP (81.8 %) met prosthetic survival parameters with some reversible complications. Factors identified that should be emphasized while training dental students in fixed prosthodontics include: patient compliance with treatment recommendation, dental hygiene, and maintenance follow-ups. They are necessary to guarantee lasting results if considering that risk of complications increases with time. 

scholarly journals FRI0419 LOW DOSE OF GLUCOCORTICOIDS FOR PAIN CONTROL IN THE ESTROGEN-DEPENDENT PRIMARY POLYARTICULAR OSTEOARTHRITIS

2020 ◽  
Vol 79 (Suppl 1) ◽  
pp. 807.2-808
Author(s):  
G. Puerta ◽  
M. Bautista ◽  
M. Urbano ◽  
F. Bonilla ◽  
C. Cañas
Keyword(s):  
Bone Scintigraphy ◽  
Pain Control ◽  
Controlled Trial ◽  
Case Series ◽  
Tender Joint Count ◽  
Hand Osteoarthritis ◽  
Average Dose ◽  
Tender Joint ◽  
Double Blind ◽  
Clinical Records

Background:Low doses of glucocorticoids (GCs) can be useful in the management of osteoarthritis when it is related to hypoestrogenic states (estrogen-dependent primary polyarticular osteoarthritis [EDPOA]), that usually can appear after the menopause. Deflazacort is a GC that has similar anti-inflammatory effects than other steroids, but with fewer side effects.Objectives:To describe the average dose of GCs that best controlled articular pain, based on tender joint count in patients with EDPOA.Methods:The diagnosis of EDPOA was made in postmenopausal patients with polyarticular compromised (six or more joints affected), morning stiffness less than 30 minutes, erythrocyte sedimentation rate less than 45mm/hour and imaging studies with changes related to osteoarthritis (radiography, magnetic resonance imaging or bone scintigraphy). Patients with autoimmune diseases such as rheumatoid arthritis, lupus or Sjögren syndrome were excluded.The clinical records of patients diagnosed with EDPOA and treated between January 2015 and June 2019 at the Valle del Lili foundation Hospital were reviewed. The patients treated with deflazacort GC were included. Pain was assessed by the treating rheumatologist using the visual analog scale (VAS, possible score 0-10). Tender joints were those with VAS> 5. The count of compromised joints was compared with inflammatory findings on bone scintigraphy (Figure 1).Figure 1.Comparison between number of joints with inflammatory findings on bone scintigraphy and number of swollen joints in physical evaluationThe number of tender joints was recorded at the start of treatment, which was a dose of 6 mg/day of deflazacort for two months. Subsequently, the dose was reduced depending on the improvement of pain (items: intensity of pain and number of tender joints) until achieving a stabilization along the time with an improvement of 75% of the items evaluated. The number of painful joints was recorded again two months after the stabilization on pain control was achieved.Quantitative variables were described with medians and interquartile ranges because the absence of normal distribution of the sample size. To assess the presence of a significant decrease on the number of tender joints the Wilcoxon range test was used, a value of p<0.001 was considered statistically significant. The data were analyzed with Stata v.15.Results:Twenty-eight patients with EDPOA were included, with a median of age of 50 years (IQR 44-51), 56 years (IQR 52-66) and 61 years (IQR 54-69) at the time of menopause, onset of symptoms and the diagnosis of EDPOA respectively. A median of 18 tender joints (IQR 10-27) was obtained from the physical examination of the records reviewed. The dose of deflazacort that achieved stabilization on the improvement of the pain along the time was 21mg/week (IQR 12-21); after 8 weeks of treatment the number of tender joints was 2 (IQR 1-4), which implies a reduction of 14 (IQR 8-20; p<0.0001) on the tender joint count (Figure 2).Figure 2.Number of tender joints before and after eight weeks of treatment achieving with a stable pain control in patients with EDPOA treated with deflazacort with a media dose of 3mgr/day.Conclusion:In this case series a media dose of deflazacort of 21mg per week (3mg/day) was useful to significantly reduce the number of tender joints in patients with EDPOA.References:[1]Roman-Blas JA, Castañeda S, Largo R,et al. Osteoarthritis associated with estrogen deficiency. Arthritis Research & Therapy 2009;11:241.[2]Cvoro A, Yuan C, Paruthiyil S,et al. Crosstalk between glucocorticoid and estrogen receptors occurs at a subset of proinflammatory genes. The Journal of Immunology 2011;186:4354-4360.[3]Féline K, Marion K, Annelies B,et al. Results of a 6-week treatment with 10 mg prednisolone in patients with hand osteoarthritis (HOPE): a double-blind, randomised, placebo-controlled trial. Lancet 2019;394:1993-2001.Disclosure of Interests:None declared

Rhinoscleroma: a case series report and review of the literature

2013 ◽  
Vol 271 (7) ◽  
pp. 1851-1856 ◽  
Author(s):  
B. K. Mukara ◽  
P. Munyarugamba ◽  
S. Dazert ◽  
J. Löhler
Keyword(s):  
Case Series ◽  
Review Of The Literature ◽  
Case Series Report ◽  
Series Report

Different Representations of Vertical Root Fractures Detected by Cone-Beam Volumetric Tomography: A Case Series Report

2012 ◽  
Vol 38 (10) ◽  
pp. 1435-1442 ◽  
Author(s):  
Mohamed I. Fayad ◽  
Paul J. Ashkenaz ◽  
Bradford R. Johnson
Keyword(s):  
Case Series ◽  
Cone Beam ◽  
Case Series Report ◽  
Root Fractures ◽  
Series Report

scholarly journals Lotus Birth: A Case Series Report on Umbilical Nonseverance

2018 ◽  
Vol 58 (1) ◽  
pp. 88-94 ◽  
Author(s):  
Kimberly K. Monroe ◽  
Alexandra Rubin ◽  
Kerry P. Mychaliska ◽  
Maria Skoczylas ◽  
Heather L. Burrows
Keyword(s):  
Hepatitis B ◽  
Vitamin K ◽  
Chart Review ◽  
Clinical Course ◽  
Group B Streptococcus ◽  
Case Series ◽  
Hepatitis B Vaccine ◽  
Case Series Report ◽  
Group B ◽  
Series Report

Lotus birth is the practice of leaving the umbilical cord uncut until separation occurs naturally. Our case series report describes delivery characteristics, neonatal clinical course, cord and placenta management, maternal reasons for a lotus birth, and desire for future lotus births. Between April 2014 and January 2017, six lotus births occurred. Mothers (four of the six) were contacted by phone after giving birth. A chart review was completed on each patient to evaluate if erythromycin ointment, hepatitis B vaccine, and vitamin K (intramuscular or oral) were administered, treatment of the placenta, maternal group B streptococcus status, postnatal infant fevers, infant hemoglobin or hematocrit levels, jaundice requiring phototherapy, and infant readmissions. Three of the six families decided to cut the cord before hospital discharge. No infections were noted. All contacted mothers would elect for a lotus birth again (4/6). One hepatitis B vaccine was given; all others declined perinatal immunization.

scholarly journals Metformin use and young age lung cancer: A case series report

2016 ◽  
Vol 11 (4) ◽  
pp. 2899-2902 ◽  
Author(s):  
BO DENG ◽  
YI WANG ◽  
DONG XIE ◽  
SHAWN M. STODDARD ◽  
PING YANG
Keyword(s):  
Lung Cancer ◽  
Case Series ◽  
Young Age ◽  
Case Series Report ◽  
Series Report
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