La Artrocentesis de la articulación temporomandibular (ATM) es una alternativa de tratamiento eficaz; mínimamente invasiva para la abertura bucal limitada debido al desarreglo interno discal irreductible o al deterioro de las estructuras de la ATM que producen artralgia severa que no cede con tratamientos conservadores. Se presenta un caso clínico de una paciente con limitación de abertura y dolor orofacial intenso que se soluciono satisfactoriamente con lavaje articular con un nuevo dispositivo de una sola punción. Se mejora la abertura bucal con el consiguiente alivio del dolor y satisfacción del paciente en una sola sesión. Utilizando este dispositivo, no se requiere la inserción de dos agujas; lo que facilita, el procedimiento y lo hace menos invasivo.

A big multiloculare ketatocyst is studied in 65 year?old male patient. It was a radiographic finding. This investigation was carried out in Hospital Guillermo Almenara and Department of Pathology of Universidad de San Marcos. We describe its clinical sequence and some clinical considerations of this particular odontogenic cyst.

La Artrocentesis de la articulación temporomandibular (ATM) es una alternativa de tratamiento eficaz; mínimamente invasiva para la abertura bucal limitada debido al desarreglo interno discal irreductible o al deterioro de las estructuras de la ATM que producen artralgia severa que no cede con tratamientos conservadores. Se presenta un caso clínico de una paciente con limitación de abertura y dolor orofacial intenso que se soluciono satisfactoriamente con lavaje articular con un nuevo dispositivo de una sola punción. Se mejora la abertura bucal con el consiguiente alivio del dolor y satisfacción del paciente en una sola sesión. Utilizando este dispositivo, no se requiere la inserción de dos agujas; lo que facilita, el procedimiento y lo hace menos invasivo.

A big multiloculare ketatocyst is studied in 65 year?old male patient. It was a radiographic finding. This investigation was carried out in Hospital Guillermo Almenara and Department of Pathology of Universidad de San Marcos. We describe its clinical sequence and some clinical considerations of this particular odontogenic cyst.

A clinical investigation has been realized with the purpose of testing the sensibity and the specificity of Krogh Poulsen muscle exploration, on 80 individuals of both sexes bethwen 15 and 50 years of age were randomy selected that assisted to the dental service of Guillermo Almenara Hospital. Procedures to diagnoses temporomandibular disorders were appied, refered by the Krogt Poulsen muscle exploration and the Helkimo's index. The present study constituted the "gold standard" Validity formula based on the table of four boxes were applied. Parametric test of Z scores of were applied and cualitative variables were proved by the chi square test. The results indicated a sensitivity of 78% and a specifity of 100% on the Krogh Poulsen muscle exploration. This showed it is major utility in the Diagnoses of healty individuals. The most frecuent distintive signs were the minimization in the ope...

Introduction. This article summarizes the evidence-based recommendations of the clinical practice guide (CPG) for the treatment of patients with odontogenic infections (dentoalveolar abscess, facial cellulitis and cervicofacial abscess) in the Social Security of Health of Peru (EsSalud). Objective. To provide evidence-based clinical recommendations for the treatment of patients with odontogenic infections in EsSalud. Methods. A guideline development group (GEG) was formed that included dental surgeons, specialists, and methodologists. The GEG formulated four clinical questions to be answered in this CPG. We conducted systematic searches for systematic reviews and - when deemed relevant - primary studies in PubMed and CENTRAL during 2019. The evidence was selected to answer each of the clinical questions posed. The certainty of the evidence was assessed using the Grading of Recommendation...

A clinical investigation has been realized with the purpose of testing the sensibity and the specificity of Krogh Poulsen muscle exploration, on 80 individuals of both sexes bethwen 15 and 50 years of age were randomy selected that assisted to the dental service of Guillermo Almenara Hospital. Procedures to diagnoses temporomandibular disorders were appied, refered by the Krogt Poulsen muscle exploration and the Helkimo's index. The present study constituted the "gold standard" Validity formula based on the table of four boxes were applied. Parametric test of Z scores of were applied and cualitative variables were proved by the chi square test. The results indicated a sensitivity of 78% and a specifity of 100% on the Krogh Poulsen muscle exploration. This showed it is major utility in the Diagnoses of healty individuals. The most frecuent distintive signs were the minimization in the ope...

Objetivo: La presente investigación se desarrolló con el objetivo de establecer la eficacia del dispositivo intraoral NTI modificado en pacientes diagnosticados con bloqueo cerrado agudo sin reducción y con la apertura bucal limitada (DDwoR). Diagnóstico reportado en los Criterios Diagnósticos para los Trastornos Temporomandibulares (DC/TMD). Condición clínica de etiología compleja, multifactorial que ocasiona dolor orofacial, limita la función masticatoria y pueden atribuirse tanto a factores físicos como psicosociales. Por lo que, la disminución del dolor y la pronta resolución de las restricciones funcionales masticatorias son fundamentales parámetros para un tratamiento eficaz. Materiales y Métodos: Estudio pre experimental, explicativo, prospectivo y de corte longitudinal en la que se evaluaron 33 pacientes con limitación de la apertura bucal por desarreglo interno si...

Abstracts is the summary of the contain information on the scientifíc work. Rewiev cponcepts, abstracts types and key words.

Abstracts is the summary of the contain information on the scientifíc work. Rewiev cponcepts, abstracts types and key words.

Objective: To determine the relationship between effective time of surgery, with the factors of difficulty for the extraction of mandibular third molar. Materials and Methods: The study was descriptive. 30 extractions were evaluated by a maxillofacial surgeon. The parameters taken were: space, depth, spatial relationships, size of the follicle, and the integrity of bone and y mucosa, and form roots. We calculated the frequencies of the variables and covariates. It continues with a bivariate analysis using Pearson correlation coefficients, relating the time with all the variables. Results: The average time of third molar extraction was 9.63 min. It was found more frequently Class II, Level B, mesioangular position, size of follicle from 0 - 1 mm., completely covered by mucosa and partly by bone and the most common form of the roots were 2 / 3 combined and more than 2 / 3 apart. Conclusion...

Objective: To determine the relationship between effective time of surgery, with the factors of difficulty for the extraction of mandibular third molar. Materials and Methods: The study was descriptive. 30 extractions were evaluated by a maxillofacial surgeon. The parameters taken were: space, depth, spatial relationships, size of the follicle, and the integrity of bone and y mucosa, and form roots. We calculated the frequencies of the variables and covariates. It continues with a bivariate analysis using Pearson correlation coefficients, relating the time with all the variables. Results: The average time of third molar extraction was 9.63 min. It was found more frequently Class II, Level B, mesioangular position, size of follicle from 0 - 1 mm., completely covered by mucosa and partly by bone and the most common form of the roots were 2 / 3 combined and more than 2 / 3 apart. Conclusion...

We report a 35-year-old female patient with Glanzmann's thrombasthenia (GT) and severe anemia due to abnormal uterine bleeding secondary to uterine myomatosis. She required several admissions of red blood cells and platelet transfusions. An elective subtotal hysterectomy with salpingo-oophorectomy was proposed and recombinant factor VII was required. Surgical and postoperative outcomes were successful, without surgical complications, bleeding, or hemogram alterations. 4 years later, she required tooth extraction because of periodontal disease and pulp necrosis. In Peru, reports of GT patients requiring major and minor surgical procedures are lacking, given the low disease prevalence and the difficulties related to surgery. The report of these successful cases becomes relevant to continue improving GT management.

We report a 35-year-old female patient with Glanzmann's thrombasthenia (GT) and severe anemia due to abnormal uterine bleeding secondary to uterine myomatosis. She required several admissions of red blood cells and platelet transfusions. An elective subtotal hysterectomy with salpingo-oophorectomy was proposed and recombinant factor VII was required. Surgical and postoperative outcomes were successful, without surgical complications, bleeding, or hemogram alterations. 4 years later, she required tooth extraction because of periodontal disease and pulp necrosis. In Peru, reports of GT patients requiring major and minor surgical procedures are lacking, given the low disease prevalence and the difficulties related to surgery. The report of these successful cases becomes relevant to continue improving GT management.

Presentamos el caso de una paciente de 35 años con trombastenia de Glanzmann (GT) y anemia severa por sangrado uterino anormal secundario a miomatosis uterina. Requirió varias admisiones de transfusiones de glóbulos rojos y plaquetas. Se propuso histerectomía subtotal electiva con salpingooforectomía y se requirió factor VII recombinante. Los resultados quirúrgicos y postoperatorios fueron exitosos, sin complicaciones quirúrgicas, sangrado ni alteraciones del hemograma. 4 años después, requirió extracción dental por enfermedad periodontal y necrosis pulpar. En Perú son escasos los reportes de pacientes con GT que requieren procedimientos quirúrgicos mayores y menores, dada la baja prevalencia de la enfermedad y las dificultades relacionadas con la cirugía. El reporte de estos casos de éxito cobra relevancia para seguir mejorando la gestión de GT.