Browsing by Autor "Francisco Salvador Palacios"

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Cátedra de Periodoncia. Departamento de Medicina Oral.
(2015) B Lorena Dávila; Lisbeth Sosa; Johelsy Infante; A Susana Arteaga; Francisco Salvador Palacios
Psoriasis is a chronic inflammatory mucocutaneous disease that affects 2% of the population. Cutaneous lesions appear as erythematous plaques localized or generalized papules covered with white scales hyperkeratotic, oral manifestations and irregular erythematous lesions with elevated white borders, ulcerations and desquamative gingivitis. It may be asymptomatic or cause pain, burning and sensation of roughness. Its etiology is unknown, although the interaction between the immune system and environmental factors may activate T cells skin, epidermal keratinocytes, with increased cytokine and tumor necrosis factor (TNF). The objective is to provide clinical evidence on the periodontal manifestations of patients with psoriasis, and reports a clinical case of a 62 year old male patient, who filed the anamnesis medical diagnosis of psoriasis, controlled systemically and presence of oral manifestations, was treated with mechanical therapy, periodontal and use of local antiseptics. At the end of 2 months of reassessment was a normal clinical characteristic of periodontal tissues. It was concluded that the oral lesions can present spontaneous remission or respond to systemic therapy, topical corticosteroids, mouthwash buccal or palliative therapy. Diagnosis and successful treatment that includes a proper control of dental plaque in patients with psoriasis allow control periodontal disease and reduce the appearance of severe injuries.
Enfermedad periodontal necrosante
(2020) Gredy Lugo; Xiomara Gimenéz; B Lorena Dávila; Ilusión Romero; Tabatha Rojas; Caroll Yibrín; A Susana Arteaga; Lisbeth Sosa; Johelsy Infante; Francisco Salvador Palacios
Acute periodontal diseases are rapid onset clinical conditions that involve the periodontium or associated structures and are characterized by pain or discomfort, tissue destruction and infection. In contrast to most other periodontal conditions, they can cause rapid destruction of periodontal tissues, thus emphasizing the importance of rapid diagnosis and treatment. Among these conditions, the following stand out necrotizing periodontal disease. According to the International Workshop for Classification of Periodontal Diseases and Conditions 2017 are two: Necrotizing gingivitis (NG) and Necrotizing periodontitis (NP). Necrotizing stomatitis (NE) is a more aggressive variation, which can be linked to the two entities mentioned. Necrotizing periodontal disease is an infection characterized by gingival necrosis, pain and gingival bleeding. It is considered to be an acute opportunistic gingival infection caused by dental biofilm. It appears more frequently in undernourished children and young with immunodeficiency. In its pathogenesis, there are factors related to the oral microbiota and factors associated with the host. Diagnosis is made by a clinical examination. The purpose of this study is to conduct a literature review of necrotizing periodontal disease. The clinical presentation, the course and the response to EPN therapy are specific among other periodontal diseases, so the existence of a particular clinical disease category is supported.
Evaluación de la eficacia de la técnica de cepillado de bass modificada a través de un metodo de enseñanza intraoral y otro extraoral
(2012) B Lorena Dávila; Lisbeth Sosa; Daniela Ramírez; A Susana Arteaga; Francisco Salvador Palacios
Teaching the mechanical control of supragingival plaque is very important because its purpose is to prevent periodontal disease and create a positive attitude in the patient, inform and motivate. It aims to assess the effectiveness of the Bass brushing technique modified by teaching methods intraoral and extraoral, for mechanical control of dental plaque. We selected 40 patients between 20 and 30 years old, male and female, divided into two groups: group A (20 patients) who received a demonstration of the technique of brushing with intraoral method and group B (20 patients) who received a demonstration of the technique of brushing with extraoral method. Variable was controlled reinforcement and motivation brushing technique, dividing the groups A and B into four subgroups, groups (A1 and B1) were motivation and reinforcement, and the other two groups (A2 and B2) did not. The percentage of supragingival plaque before brushing technique explain between patients in group A was 53.47% while in group B was 45.98%. After explaining the brushing technique in group A decreased to 32.42%, while in group B decreased to 34.76% (p> 0.005). We conclude that the explanation of the technique of brushing with intraoral teaching method proves to be simple, practical and effective for the control of dental plaque,being even more efficient when combined with the reinforcement and motivation of the patient between appointments.
Factores dentales y protésicos relacionados con la enfermedad periodontal
(2020) Tabatha Rojas; Gredy Lugo; B Lorena Dávila; Caroll Yibrín; Xiomara Gimenéz; Ilusión Romero; A Susana Arteaga; Francisco Salvador Palacios; Rodolfo Gutiérrez Palacios; Johelsy Infante
This work aims to conduct a review of dental and prosthetic factors related to periodontal diseases. According to scientific evidence, the location of restoration margins within the junction epithelium and the insertion of supracrestal connective tissue may be associated with gingival inflammation and a potential recession. On the other hand, the anatomical factors of the tooth, root anomalies and fractures can act as retentive factors of dental biofilm that increase the probability of gingival or periodontal diseases. In conclusion, although the etiology of periodontal disease is mainly bacterial, the factors that promote the accumulation of dental biofilm or allow the entry of bacteria into the periodontium should be considered in the classification and diagnosis of periodontal diseases. Several factors related to tooth / root anatomy and restorative considerations have been associated with gingival inflammation, insertion loss and bone loss. However, the evidence especially related to the biological mechanisms by which these factors affect the periodontium are inconclusive. This highlights the need for additional studies and adequate periodontal evaluation.