Assuntos
Exostose/diagnóstico , Mandíbula/anormalidades , Palato Duro/anormalidades , Idoso , Humanos , MasculinoRESUMO
BACKGROUND: Asthma, which is characterized by mouth breathing and by the use of drugs for its treatment, affects between 1 and 30% of children and adolescents. There are only few studies reporting its impact on the oral cavity. OBJECTIVE: To find out the most common asthma-associated repercussions in 6 to 12-year-old children. METHODS: Cross-sectional, comparative, analytical study carried out in 2 primary schools from Coclique, Veracruz, Mexico, in 6 to 12-year-old children. The International Study of Asthma and Allergies in Childhood (ISAAC) questionnaire for parents was used. RESULTS: In a population of 409 children, a prevalence of asthma of 6.84% (n = 28) was found, which was higher in males (15, 54%); boys aged 6, 7 and 11 years and girls aged 8, 9 and 10 years were most affected. Risk factors for oral manifestations were acidic pH (OR = 170), caries (OR = 4.29), anterior open bite (OR = 66.78), gingivitis (OR = 9.75), atypical swallowing (OR = 15.70) and high-arched palate (OR = 45.60). CONCLUSION: Children with chronic conditions such as asthma require an oral and dental preventive program as part of their interdisciplinary care.
Antecedentes: El asma, caracterizada por respiración bucal y el uso de fármacos para su tratamiento, afecta entre 1 y 30 % de los niños y adolescentes. Son pocos los estudios que reportan las repercusiones en la cavidad bucal. Objetivos: Conocer las repercusiones en la salud bucodental más asociadas con el asma en niños de 6 a 12 años de edad. Métodos: Estudio transversal, analítico y comparativo en 2 escuelas primarias de Cosoleacaque, Veracruz, México, en niños de 6 a 12 años. Se utilizó el cuestionario "Estudio internacional de alergia y asma en niños" (ISAAC) para padres. Resultados: En una población de 409 niños se encontró una prevalencia de asma de 6.84 % (n = 28), mayor en los hombres (54-15 %); los varones de 6, 7 y 11 años fueron los más afectados y las niñas de 8, 9 y 10 años. Las manifestaciones orales con factor de riesgo fueron pH ácido (OR = 170), caries (OR = 4.29), mordida abierta anterior (OR = 66.78), gingivitis (OR = 9.75), deglución atípica (OR =15.70) y paladar ojival (OR = 45.60). Conclusión: Los niños con enfermedades crónicas como el asma requieren un plan de prevención bucodental como por parte de su atención interdisciplinar.
Assuntos
Asma/epidemiologia , Doenças da Boca/epidemiologia , Criança , Comorbidade , Estudos Transversais , Transtornos de Deglutição/epidemiologia , Cárie Dentária/epidemiologia , Feminino , Gengivite/epidemiologia , Humanos , Concentração de Íons de Hidrogênio , Masculino , Mordida Aberta/epidemiologia , Palato Duro/anormalidades , Prevalência , Fatores de RiscoRESUMO
Se presenta el caso de un paciente de sexo femenino de 10 meses de edad referida a la Clínica Dental de la Universidad Cayetano Heredia por presentar una tumoración en el paladar, con un tiempo de enfermedad de 2 meses. Fue examinada por un odontólogo particular el cual le prescribió antibióticos y la derivo a la clínica dental Cayetano Heredia. La evaluó el departamento de cirugía bucomaxilofacial y ellos la derivaron a Odontopediatria. AI examen clínico intraoral se observe una tumoración amarillenta en forma de "frejol" en la línea media del paladar dura rodeado de un rodete de mucosa de coloración normal. El diagnostico presuntivo fue lipoma. Se hizo una interconsulta con Medicina y Patología Oral, llegándose al diagnóstico definitivo de: "objeto extraño", procediéndose procedió al retiro seguido de la limpieza de la zona. Se dieron indicaciones de cuidados a los padres...
This paper reports the case of an 8 months baby girl who was derived to UPCH Dental Clinic. She presented a tumor on the palate for 2 months. First, she was evaluated by a general dentist who prescribed her antibiotics and derived her to UP CH Dental Clinic. She was evaluated by the department of Bucomaxillofacial Surgery who derived the patient to Pediatric Dentistry. By the clinical examination it was noticed a yellow tumor which has bean form in the middle of the hard palate rounded by normal oral mucosa. The initial diagnosis was lipoma. An interconsultation was done with Medicine and Oral Pathology. The definitive diagnosis was foreign body which was taken out. The zone behind it was cleaned and her parents were instructed about how to do it...
Assuntos
Humanos , Feminino , Lactente , Corpos Estranhos , Palato Duro/anormalidades , Palato Duro/cirurgiaRESUMO
Objetivo Identificar possíveis alterações fonoaudiológicas de crianças com Incontinência Pigmentar (IP), buscando caracterizar o papel da Fonoaudiologia na avaliação e manejo dessa condição genética. Métodos A amostra foi composta por sete crianças do gênero feminino com diagnóstico de IP. Todas foram submetidas aos procedimentos de avaliação nas áreas de motricidade orofacial, deglutição, fala e voz. Resultados Os pacientes que compuseram a amostra tinham média de idade de 6,4 anos. Dentre as principais características clínicas estruturais verificadas, destacaram-se a presença de diastemas não fisiológicos e anormalidades de palato duro, encontradas em 85,7% da amostra, além da agenesia dentária em 71,4% dos casos. Quanto aos achados funcionais, 71,4 % apresentaram alteração de mobilidade da língua e 57,1 %, mastigação inadequada. Em relação às alterações de fala, os principais achados foram alterações fonéticas e/ou fonológicas, verificadas em 85,7% da amostra, sendo mais comum a alteração fonética caracterizada pela distorção na fricativa alveolar [s], presente em 57,1% dos casos. Nenhuma das crianças apresentou alteração de voz e deglutição, de acordo com o protocolo utilizado. Além disso, não se evidenciou anormalidade de audição, de acordo com a queixa familiar ou por meio da observação durante a avaliação. Conclusão Nesta amostra, as alterações fonoaudiológicas mais frequentes entre os pacientes com IP relacionaram-se, principalmente, com as estruturas do sistema estomatognático e com a fala. .
Purpose To identify possible speech-language disorders in children with Incontinentia Pigmenti (IP), seeking to characterize the role of speech therapy in the evaluation and management of this genetic condition. Methods The sample was composed of seven female children diagnosed with IP. Results The patients in the sample had a mean age of 6.4 years. Among the main structural features verified in the patients, highlighted the presence of no physiological diastema and hard palate abnormalities, found both in 85.7 % of the sample, in addition to tooth agenesis in 71.4% of cases. As for functional findings, 71.4 % of the sample had abnormal tongue mobility and 57.1%, inappropriate chewing. As for changes in speech, the main findings consisted of phonetic/phonological alterations, verified in 85.7 % of the sample, being the most common phonetic alteration characterized by distortion of alveolar fricative [s], present in 57.1 % of cases. None of the children had abnormal voice and swallowing according to the used protocol. Furthermore, no detectable hearing abnormality was observed according to claim of the family or by observation during the evaluation. Conclusion In this sample the most frequent speech-language alterations verified among the patients with IP were mainly related to the stomatognathic system structures and speech. .
Assuntos
Humanos , Criança , Anodontia , Diastema , Incontinência Pigmentar , Palato Duro/anormalidades , Transtorno Fonológico , Anormalidades do Sistema Estomatognático , Transtornos da Articulação , Estudo ObservacionalRESUMO
PURPOSE: The influence of mechanical stimulation on the formation of torus mandibularis (TM) is still poorly understood. We sought to understand the etiology of TMs by investigating the role of parafunctional activity and mandibular morphology on the formation of TMs. MATERIALS AND METHODS: We designed a case-control study for patients attending the dental clinic of the present study (University of São Paulo School of Dentistry, São Paulo, SP, Brazil). Patients presenting with TMs were defined as cases, and those without TMs were defined as controls. Finite element analysis (FEA) was used in 3-dimensional mandibular models to examine the stress distribution in the mandibles with and without TMs. In addition, the associations of mandibular arch shape, mandibular cortical index, and parafunctional activity with the presence of T were assessed using odds ratio analysis. RESULTS: A total of 10 patients with TMs and 37 without TMs were selected (22 men and 25 women, mean age 54.3 ± 8.4 years). FEA showed a stress concentration in the region in which TMs form during simulation of parafunctional activity. The radiographic assessment showed that those with TMs were more likely to have a square-shaped mandible with sharp angles (P = .001) and a normal mandibular cortex (P = .03). The subjects without TMs had a round-shaped mandible with obtuse angles and an eroded mandibular cortex. CONCLUSIONS: Parafunctional activity could be causing the formation of TMs by concentrating mechanical stress in the region in which TMs usually form. Thus, mandibular geometries that favor stress concentration, such as square-shaped mandibles, will be associated with a greater prevalence of TMs.
Assuntos
Exostose/fisiopatologia , Mandíbula/anormalidades , Mandíbula/patologia , Palato Duro/anormalidades , Estresse Mecânico , Estudos de Casos e Controles , Exostose/diagnóstico por imagem , Exostose/patologia , Feminino , Análise de Elementos Finitos , Humanos , Masculino , Mandíbula/diagnóstico por imagem , Mandíbula/fisiopatologia , Palato Duro/diagnóstico por imagem , Palato Duro/patologia , Palato Duro/fisiopatologia , Radiografia PanorâmicaRESUMO
INTRODUÇÃO: A fístula palatina é a complicação mais frequente após palatoplastias e sua presença traz diversas implicações. Sua apresentação é diversificada e seu reparo pode ser difícil, o que se traduz na existência de uma diversidade de técnicas cirúrgicas descritas. OBJETIVO: Relatar a correção cirúrgica de fístula palatina anterior com retalho miomucoso labial superior, além de fazer uma breve revisão da literatura. RELATO DE CASO: Paciente submetido à correção de fissura palatina completa, apresentando, no pós-operatório mediato, fístula anterior de palato duro e processo alveolar, submetido à correção da fístula palatina oronasal com retalho miomucoso de lábio superior. O paciente evoluiu satisfatoriamente, sem complicações e sem recidiva da lesão após um ano de seguimento. CONCLUSÃO: A técnica em questão mostrou-se simples e eficiente, prestando-se à correção da fístula palatal anterior.
INTRODUCTION: Palatal fistula is the most common complication after palatoplasty, and its presence entails various implications. Its presentation is diverse and repair can be difficult, which is reflected in the existence of a numerous surgical techniques described for its treatment. OBJECTIVE: To report the surgical correction of palatal fistula with a myomucosal upper lip flap, along with a brief review of the literature. CASE REPORT: The patient underwent repair of complete cleft palate. At the immediate postoperative time, an anterior fistula of the hard palate and alveolar process was present and was subjected to a correction with an oronasal myomucosal upper lip flap. The patient progressed satisfactorily, without complications or lesion recurrence after 1 year of follow-up. CONCLUSION: The technique presented is a simple and efficient method for correction of an anterior palatal fistula.
Assuntos
Humanos , Masculino , Adulto , História do Século XXI , Anormalidades Congênitas , Relatos de Casos , Literatura de Revisão como Assunto , Fissura Palatina , Procedimentos Cirúrgicos Bucais , Estudo de Avaliação , Retalho Miocutâneo , Anormalidades Congênitas/cirurgia , Fissura Palatina/cirurgia , Fissura Palatina/patologia , Procedimentos Cirúrgicos Bucais/métodos , Palato Duro , Palato Duro/anormalidades , Palato Duro/cirurgia , Retalho Miocutâneo/cirurgiaRESUMO
O torus palatino é uma alteração de desenvolvimento, resultante de um crescimento ósseo (exostose) e está localizado na linha média do palato duro. A patogênese ainda não está definida, podendo estar associado à origem genética, a fatores ambientais e/ou as características raciais, apresentando maior prevalência no sexo feminino. Clinicamente, o toro palatino é assintomático e de pequenas dimensões, mas pode aumentar lentamente de tamanho ao longo da vida, causando queixas ao paciente. A remoção cirúrgica está indicada quando há intervenção nas funções de fonação, mastigação, deglutição, trauma recorrente e para correção de deformidades ósseas que impeçam a adaptação de próteses. Este trabalho visa relatar o uso de uma placa de silicone confeccionada a partir da cirurgia de modelo pré-operatória para tratamento cirúrgico de um torus palatino com finalidade protética... (AU)
The palatal torus is a development change, a result of bone growth (exostosis) and is located in the midline of the hard palate. The pathogenesis is not yet defined, may be associated with genetic, environmental factors and / or racial characteristics, with higher prevalence in females. Clinically, palatal torus is small and asymptomatic, but can slowly increase in size throughout life causing patient complaints. Surgical removal is indicated when there is intervention in the function of speech, chewing, swallowing, and repeated trauma to correct bone deformities that prevent denture fitting. This article describes the use of a silicon plate made from the surgery preoperative model for surgical treatment of torus palatal prosthetic purposes... (AU)
Assuntos
Humanos , Feminino , Pessoa de Meia-Idade , Anormalidades Congênitas , Exostose/cirurgia , Palato Duro , Palato Duro/anormalidades , MastigaçãoRESUMO
INTRODUCTION: Palatal torus, or torus palatinus, is a benign bone alteration that may cause some discomfort during phonation or swallowing. When its growth or persistent exposition produces unpleasant symptoms, it must be surgically removed. CASE PRESENTATION: We treated an 82-year-old female patient who consulted for a painful ulcerous lesion she had had for a year and which produced halitosis and discomfort when swallowing. During the oral cavity physical exam we observed a hard protuberance on the midline. It showed a perforation and ulceration of the lateral posterior palatal mucosa on the left side. We considered the following diagnosis: palatal torus, osteoma, pyogenic granuloma, or a soft-tissue neoplasia. We decided to surgically remove it and to perform a histopathological examination. Clinical evolution was satisfactory with complete resolution one month after surgery. The histopathological examination showed hyperostosis along with chronic inflammation of the soft tissues and a simple hyperplasia of the mucosa, which in turn indicated a palatal torus. DISCUSSION: We report an unusual case of spontaneous exposition of a palatal torus which took up almost all of the hard palate area. Its resection is described and we inform the histopathological findings. In the literature review, we did not find a previous report of a spontaneous exposition of a palatal torus.
Assuntos
Exostose/complicações , Mandíbula/anormalidades , Úlceras Orais/etiologia , Palato Duro/anormalidades , Idoso de 80 Anos ou mais , Transtornos de Deglutição/etiologia , Transtornos de Deglutição/cirurgia , Diagnóstico Diferencial , Exostose/diagnóstico , Exostose/patologia , Exostose/cirurgia , Feminino , Granuloma Piogênico/diagnóstico , Halitose/etiologia , Halitose/cirurgia , Humanos , Mandíbula/patologia , Mandíbula/cirurgia , Neoplasias Bucais/diagnóstico , Úlceras Orais/cirurgia , Osteoma/diagnóstico , Palato Duro/patologia , Palato Duro/cirurgiaRESUMO
Introducción. El torus , o rodete, palatino es una alteración ósea benigna que puede generar molestias en la fonación y en la deglución. Cuando su crecimiento o exposición persistente producen síntomas molestos, debe ser resecado quirúrgicamente. Presentación del caso. Se trata de una paciente de 82 años de edad, que consultó por una lesión ulcerativa de un año de evolución, que producía dolor, halitosis y molestia a la deglución. En el examen físico de la cavidad oral, se observó una prominencia de consistencia dura en la línea media, con perforación y ulceración de la mucosa palatina en su porción lateral posterior izquierda. Se consideraron los diagnósticos de torus palatino, osteoma, granuloma piógeno y neoplasia de tejidos blandos. Se decidió resecarla quirúrgicamente y hacer el estudio histopatológico. La evolución clínica fue satisfactoria, con resolución completa un mes después de la cirugía. En el estudio de histopatología se observó hiperostosis ósea con inflamación crónica de los tejidos blandos e hiperplasia simple de la mucosa, que corresponden a un torus palatino. Discusión. Se reporta un inusual caso de exposición espontánea de un torus palatino que ocupaba casi toda la bóveda palatina, se describe su resección quirúrgica y se informan los hallazgos de histopatología. En la revisión bibliográfica realizada, no se encontró un reporte previo de exposición espontánea de torus palatino.
Introduction: Palatal torus, or torus palatinus, is a benign bone alteration that may cause some discomfort during phonation or swallowing. When its growth or persistent exposition produces unpleasant symptoms, it must be surgically removed. Case presentation: We treated an 82-year-old female patient who consulted for a painful ulcerous lesion she had had for a year and which produced halitosis and discomfort when swallowing. During the oral cavity physical exam we observed a hard protuberance on the midline. It showed a perforation and ulceration of the lateral posterior palatal mucosa on the left side. We considered the following diagnosis: palatal torus, osteoma, pyogenic granuloma, or a soft-tissue neoplasia. We decided to surgically remove it and to perform a histopathological examination. Clinical evolution was satisfactory with complete resolution one month after surgery. The histopathological examination showed hyperostosis along with chronic inflammation of the soft tissues and a simple hyperplasia of the mucosa, which in turn indicated a palatal torus. Discussion: We report an unusual case of spontaneous exposition of a palatal torus which took up almost all of the hard palate area. Its resection is described and we inform the histopathological findings. In the literature review, we did not find a previous report of a spontaneous exposition of a palatal torus.