{"title":"Type A Botulinum Toxin as Complement to Gingivoplasty in the Treatment of Gummy Smile. Case Report","authors":"I. Pedron","doi":"10.11144/Javeriana.uo37-78.tabt","DOIUrl":"https://doi.org/10.11144/Javeriana.uo37-78.tabt","url":null,"abstract":"Background: The pursuit of esthetic excellence has become a major goal in the dental treatment. Gummy smile is one of the complaints of the patients, since such a situation can influence self-esteem and social relationships. The beauty of the smile is not only constituted by the shape, position and size of the teeth, but also based on the characteristics of the gingival tissue and conformation of the lips, which should be as harmonious as teeth. The development of new more conservative techniques may provide a better therapeutic option than surgical procedures, such as the application of botulinum toxin, in the treatment of gummy smile. Purpose: to present the case of a patient who presented dentogingival discrepancy caused by gingival overgrowth and gummy smile, treated by gingivoplasty and complemented by application of botulinum toxin. Description of the case: The gingivoplasty was performed followed by the application of botulinum toxin type A. Results: The gingivoplasty resulted of the improvement of gingival arches and the application of botulinum toxin promoted the dehiscence of upper lip, reducing the gingival exposure. Conclusions: The application of botulinum toxin, associated with gingivoplasty, is an important tool at the management of gummy smile, optimizing smile harmony and achieving improved self-esteem and quality of life.","PeriodicalId":93684,"journal":{"name":"Universitas odontologica : revista cientifica de la Facultad de Odontologica","volume":" ","pages":""},"PeriodicalIF":0.0,"publicationDate":"2018-10-09","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://sci-hub-pdf.com/10.11144/Javeriana.uo37-78.tabt","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"46535789","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
E. T. Tovío Martínez, Martha Carmona Lorduy, A. Díaz-Caballero, Jonathan Harris Ricardo, H. E. Lanfranchi Tizeira
{"title":"Expresiones clínicas de los trastornos potencialmente malignos en la cavidad oral. Revisión integrativa de la literatura","authors":"E. T. Tovío Martínez, Martha Carmona Lorduy, A. Díaz-Caballero, Jonathan Harris Ricardo, H. E. Lanfranchi Tizeira","doi":"10.11144/JAVERIANA.UO37-78.ECDP","DOIUrl":"https://doi.org/10.11144/JAVERIANA.UO37-78.ECDP","url":null,"abstract":"Antecedentes: Los desórdenes potencialmente malignos (DPM) son aquellas situaciones clínicas en la cavidad bucal que presentan un riesgo aumentado de malignización neoplásica, debido a la exposición a factores de riesgo o alteraciones genéticas. Es necesario realizar revisiones de la evidencia de este tipo de desórdenes para desarrollar o actualizar guías de práctica clínica idóneas. Objetivo: Identificar, a través de una revisión integrativa de la literatura, la evidencia reciente sobre DPM de la cavidad bucal y su transformación maligna, con el fin de proporcionar recomendaciones de manejo diagnóstico y terapéutico. Métodos: Se realizó una búsqueda de literatura en las bases de datos PubMed, Elsevier, SciELO y EMBASE, utilizando la combinación de seis descriptores. Resultados: La búsqueda inicial arrojó 1743 títulos y la muestra consistió en 67 artículos después de aplicar los criterios de inclusión y exclusión. Las DPM identificadas fueron liquen plano oral, palatitis nicotínica, hábito de fumar invertido, queilitis actínica, eritroplasia y leucoplasia oral y úlcera traumática crónica. Conclusión: Cada tipo de lesión tiene distinto potencial de malignización, entre los cuales la eritroplasia, el liquen plano oral variante erosivo y la queilitis actínica poseen el mayor riesgo.","PeriodicalId":93684,"journal":{"name":"Universitas odontologica : revista cientifica de la Facultad de Odontologica","volume":" ","pages":""},"PeriodicalIF":0.0,"publicationDate":"2018-10-05","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://sci-hub-pdf.com/10.11144/JAVERIANA.UO37-78.ECDP","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"48590693","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
{"title":"Aparición de exostosis 7 años después de aumento del reborde alveolar con técnica de bolsillo","authors":"Pablo Emilio Molano Valencia, Bibiana Inés Yepes Ramírez, Claudia Londoño Espinosa","doi":"10.11144/javeriana.uo37-78.aesa","DOIUrl":"https://doi.org/10.11144/javeriana.uo37-78.aesa","url":null,"abstract":"Antecedentes: Las técnicas de manejo de tejidos blandos para aumentar rebordes alveolares atrofiados incluyen el uso de injertos de tejido conectivo, con o sin collar de epitelio, y técnicas en rollo. Algunas veces generan complicaciones posoperatorias. Objetivo: Describir el caso de una paciente a la que se le realizó aumento de reborde alveolar y se produjo una exostosis. Caso clínico: A una paciente de 35 años se le realizó un aumento del reborde alveolar con la técnica de bolsillo en el área del diente incisivo central superior derecho. Se tomó un injerto de tejido conectivo sin collar epitelial del paladar que se trasplantó y cubrió con el colgajo. La paciente regresó siete años después y clínicamente presentaba una aparente exostosis en la zona vestibular del diente tratado que la afectaba estéticamente. Se realizó osteoplastia para mejorar el contorno y se tomó una biopsia del hueso cuya histopatología mostró un tejido compatible con hueso alveolar. Conclusiones: La exostosis es una complicación posoperatoria inusual en casos de reborde alveolar que puede ser tratado con éxito. Se requiere más investigación sobre dichos efectos.","PeriodicalId":93684,"journal":{"name":"Universitas odontologica : revista cientifica de la Facultad de Odontologica","volume":" ","pages":""},"PeriodicalIF":0.0,"publicationDate":"2018-10-05","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"44425478","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
A. Díaz-Caballero, Daniel Gustavo Del Rio Rocha, Jonathan Harris Ricardo
{"title":"Vestibuloplastia con la técnica de Edlan Mejchar: descripción de cuatro casos clínicos","authors":"A. Díaz-Caballero, Daniel Gustavo Del Rio Rocha, Jonathan Harris Ricardo","doi":"10.11144/JAVERIANA.UO37-78.VTEM","DOIUrl":"https://doi.org/10.11144/JAVERIANA.UO37-78.VTEM","url":null,"abstract":"Antecedentes: En ocasiones, las retracciones gingivales se asocian a altas fuerzas tensionales de los músculos y a vestíbulos poco profundos. Dichas retracciones generan problemas periodontales a los pacientes por la dificultad de limpiar estas zonas. La vestibuloplastia por medio de la técnica de Edlan Mejchar permite, en una sola intervención y un solo campo quirúrgico, controlar los factores etiológicos y una inserción trepadora de la encía al eliminar las fuerzas tensionales. Objetivo: Describir la efectividad de la técnica de Edlan Mejchar empleada para solucionar retracciones gingivales producidas por fuerzas tensionales en cuatro casos clínicos. Descripción de los casos: Se presentaron cuatro pacientes con retracciones gingivales en dientes incisivos inferiores con poca encía adherida debida a fuerzas tensionales del frenillo labial inferior. Como tratamiento se usó la técnica de Edlan Mejchar que incluyó una incisión supraperióstica y relajantes internas en el tejido conjuntivo. Resultados: El porcentaje de cobertura radicular logrado después del procedimiento fue de aproximadamente el 60 % y se eliminaron inserciones anómalas del frenillo. Conclusiones: La técnica de Edlan Mejchar de vestibuloplastia mostró resultados favorables en los casos descritos en los cuales el frenillo labial ejercía fuerzas tensionales sobre el periodonto de dientes anteriores inferiores.","PeriodicalId":93684,"journal":{"name":"Universitas odontologica : revista cientifica de la Facultad de Odontologica","volume":" ","pages":""},"PeriodicalIF":0.0,"publicationDate":"2018-10-05","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://sci-hub-pdf.com/10.11144/JAVERIANA.UO37-78.VTEM","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"44081625","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
{"title":"Familial Oral Microbial Imbalance and Dental Caries Occurrence in Their Children.","authors":"Walter A Bretz, John G Thomas, Robert J Weyant","doi":"","DOIUrl":"","url":null,"abstract":"<p><strong>Objective: </strong>Develop a familial liability index for oral microbial status that reflects an imbalance of oral domains based on the presence of risk indicators in saliva, inter-proximal plaque, tongue, and throat.</p><p><strong>Methods: </strong>Fifty-six mother-child pairs from Webster and Nicholas counties, West Virginia, USA, participated in this study. Saliva samples were assayed for <i>mutans streptococci</i> (MS), interproximal plaque samples for the BANA Test (BT) species, tongue swabs for BT, and throat swabs for any of the sentinel organisms (<i>Staphylococcus aureus</i>, <i>Streptococcus pyogenes</i>, and yeasts). The corresponding thresholds for a (+) risk indicator were, respectively, ≥10<sup>5</sup> CFU of MS salivary levels, one or more BT-(+) plaques (>10<sup>5</sup> CFU/mg of plaque of at least one of BT-(+) species), weak-(+) BT for a tongue swab (>10<sup>4</sup>-<10<sup>5</sup>), and >10<sup>4</sup> CFU/swab for any of the sentinel markers.</p><p><strong>Results: </strong>The mean age of mothers and children was 41.6 and 14.6 years. Ninety-one % of both mothers and children had at least one (+) risk indicator. Overall, 76% of mother child-pairs had at least one (+) concordant oral microbial risk indicator. Accordingly, the relative risk (RR) of children having concordant results with their mothers was increased 1.36 (BT-plaque), 1.37 (BT-tongue), 0.94 (sentinel organisms) and 1.13 (MS) times. Principal component analysis revealed distinct sets of oral microbial risk indicators in mothers and children that correlated with dental caries prevalence rates in children.</p><p><strong>Conclusions: </strong>Mother-child pairs shared similarities of oral microbial risk indicators that allow for the development of a liability index that can elucidate caries in the children.</p>","PeriodicalId":93684,"journal":{"name":"Universitas odontologica : revista cientifica de la Facultad de Odontologica","volume":"32 68","pages":"109-116"},"PeriodicalIF":0.0,"publicationDate":"2013-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC3939806/pdf/nihms528321.pdf","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"40287139","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}