Nowadays, even the presence of a complex oral micro-flora, it is possible to cure Acute Linphoblastic Leucemic patients. Upon 200 different species have been isolated, the majority is transient, and just 20 are resident species. Our investigation analyzed 106 LLA patients treated in the Neoplasic Diseases Peruvian Institute (INEN) since January to December 2001, whit the aim to state the oral micro flora, emphasizing in the opportunistic species that may cause systemic pathologies. It consisted in a retrospective clinic histories review, the data included age, sex, laboratory tests such as Hemogrham and Mieloghram. The microbiologic analysis was performed at the beginning of the hospitalization before receiving chemotherapy. The samples were processed in the INEN microbiologic laboratories, using Blood Agar for the primary isolation of all microorganisms ; Azida Agar for Gram (+) coccus;...

The aim of this study was to determine the impact and relationship of Early Childhood Caries (ECC) and Quality of Life Related to Oral Health (QLROH) of children treated at the Service of the National Institute of Infant Health. Lima Perú. Methodology: It is a cross-sectional study; a representative sample of 95 children under 71 months and their mothers were selected randomly. The perception of mothers of QLROH were collected through the questionnaire ECOHIS (Early Childhood Oral Health Impact Scale). ECC data were collected through a clinical examination by two previously calibrated examiners (kappa˃0.81) using ICDASII criteria. The relationship between ECC and QLROH was performed using Spearman correlation. Results: The median and interquartile deviation simple of ECOHIS was 20 ± 5 with respect to the impact on the family 7 ± 1, impact on the child 13 ± 3.5. In the correlation an...

Sr Editor. La profesión odontológica es una actividad social que debe estar orientada a un fin noble, el servicio a los demás. La responsabilidad ética del profesional implica tener siempre presente el bien interno de su profesión 1. El rol del odontopediatra en la sociedad es mejorar la salud bucal de los niños y adolescentes a través de la promoción de salud bucal, la prevención hasta la rehabilitación bucal sistemática y minuciosa.

Nowadays, even the presence of a complex oral micro-flora, it is possible to cure Acute Linphoblastic Leucemic patients. Upon 200 different species have been isolated, the majority is transient, and just 20 are resident species. Our investigation analyzed 106 LLA patients treated in the Neoplasic Diseases Peruvian Institute (INEN) since January to December 2001, whit the aim to state the oral micro flora, emphasizing in the opportunistic species that may cause systemic pathologies. It consisted in a retrospective clinic histories review, the data included age, sex, laboratory tests such as Hemogrham and Mieloghram. The microbiologic analysis was performed at the beginning of the hospitalization before receiving chemotherapy. The samples were processed in the INEN microbiologic laboratories, using Blood Agar for the primary isolation of all microorganisms ; Azida Agar for Gram (+) coccus;...

El objetivo de este estudio fue determinar el impacto y relación de la caries de la infancia temprana (CIT) y calidad de vida relacionada a salud bucal (CVRSB) de los niños, atendidos en el servicio de atención del infante del Instituto Nacional de Salud del Niño, Lima-Perú. Metodología. Estudio transversal y observacional; una muestra representativa de 95 niños menores de 71 meses y sus madres fueron seleccionados aleatoriamente. La percepción de las madres de la CVRSB fue recogida a través del cuestionario ECOHIS (Early Childhood Oral Health Impact Scale). Los datos de CIT fueron recolectados a través de un examen clínico por dos examinadores previamente calibrados (kappa˃0.81) usando los criterios ICDASII. La relación entre CIT y CVRSB se realizó con la correlación de Spearman. Resultados. La mediana y desviación intercuartil de la muestra del ECOHIS fue de 20±5, con ...

Objectives: Estimate the root canals of primary first lower molars by means of Nano computed tomography (Nano-CT). Material and methods: The sample consisted of 10 inferior primary molar teeth. The teeth were scanned by Nano-CT and the resulting images were analyzed with the On-Demand 3D software, considering among the evaluation the anatomical characteristics of the root canals and surface area of the root canals throughout the root length. For the measurement of the larger and smaller diameter of the root canals the statistical tests were central trend measures, with a significance level of 5%.  Results: In the distal root, vestibular mesial and lingual mesial , the size of the root canal with the highest average of the cervical region (D0) was 1.30, 1.00, 1.08 mm, respectively. The diameter to the deepest length (D11) for the same canals was 0.29, 0.22, 0.18 mm. The measurement o...

Objectives: Estimate the root canals of primary first lower molars by means of Nano computed tomography (Nano-CT). Material and methods: The sample consisted of 10 inferior primary molar teeth. The teeth were scanned by Nano-CT and the resulting images were analyzed with the On-Demand 3D software, considering among the evaluation the anatomical characteristics of the root canals and surface area of the root canals throughout the root length. For the measurement of the larger and smaller diameter of the root canals the statistical tests were central trend measures, with a significance level of 5%.  Results: In the distal root, vestibular mesial and lingual mesial , the size of the root canal with the highest average of the cervical region (D0) was 1.30, 1.00, 1.08 mm, respectively. The diameter to the deepest length (D11) for the same canals was 0.29, 0.22, 0.18 mm. The measurement o...

Compara el flujo salival en una muestra compuesta por 100 adictos a cocaína y 100 como grupo control cuyas edades fluctuaban entre 20 y 40 años. Al ser comparados los valores del flujo salival se concluyó que el flujo salival de los adictos fue menor que el del grupo control. La cantidad de cocaína consumida al día no influía en la disminución del flujo salival. El mayor tiempo de consumo de cocaína determinó una mayor disminución del flujo salival. El consumo combinado de pasta básica de cocaína y clorhidrato de cocaína determinó una mayor disminución del flujo salival. El uso combinado de las vías oral, nasal y endovenosa determinó una mayor disminución del flujo salival.

Objetivo: Determinar los gastos de atención odontológica de niños con Caries de la Infancia Temprana (CIT) que ocasionan a sus familias y al Estado Peruano, representado por el Instituto Nacional de Salud del Nino (INSN) Lima-Perú. Material y Métodos: Estudio de tipo descriptivo, observacional y transversal. La muestra escogida aleatoriamente estuvo formada por 629 niños menores de 71 meses de edad atendidos en el Servicio de Atención del Infante del INSN, en el año 2009, dicha muestra fue estratificada según condición clínica (sanos o con CIT) y procedimiento realizado (tratamiento preventivo y tratamiento restaurador: con manejo de conducta, sedación, o anestesia general). Para determinar los gastos ocasionados a las familias se entrevistaron a 37Rev Estomatol Herediana. 2015 Ene-Mar;25(1).las madres de los niños, y los gastos del hospital fueron calculados según el repo...

 Being one of the restoration options the use of the acetate crown technique, this was chosen due to the aesthetic results it offers and its few clinical steps. Thus fulfilling our objective of maintaining the integrity of the pieces and keeping them in their space, through the use of resin crowns made under this technique. The methodology used was the clinical case report in a male patient aged 2 years 09 months with a diagnosis of dental caries, where resin crowns were performed using the acetate crown technique. For the clinical evaluation at 12 months, the evaluation criteria for direct and indirect restorations according to the World Dental Federation were used. They did not present fracture and caries recurrence. Crowns made with this technique were well accepted due to their imperceptible results, low cost and shorter clinical time. Therefore, the use of this technique would ...

The use of medicated pastes in the treatment of dental abscesses through the pulpectomy procedure helps to keep the primary teeth affected. The objective of this treatment was to evaluate the clinical and radiographic success of the modification of the intracanal obturation mechanism of the pulpectomy performed in a single appointment. The clinical case report in a 2-year-10-month-old male with a diagnosis of acute apical periodontitis is presented, where a pulpectomy was performed in a single appointment. In the clinical evaluation at 7 days, clinical silence and absence of dental abscess were observed. At one month and at 4 months there was also absence of dental abscess and symptoms. At 12 months, in a new clinical evaluation, clinical silence was maintained and radiographically an absence of radiolucent pathological interradicular or periapical image was observed and bone regeneratio...

El Objetivo es conocer e investigar el manejo odontológico y las posibles opciones de rehabilitación en los casos de Hipomineralización Incisivo Molar. Como metodología se usó el Reporte Clínico de un caso de Hipomineralización Incisivo Molar, en un paciente masculino de 8 años de edad con Diagnostico Sistémico de: Comunicación Interauricular, Retraso Psicomotor Global, Síndrome de Brown, Enfermedad por Reflujo Esofágico, TBC Latente; y Diagnostico Estomatológico de: Hipomineralización Incisivo Molar; atendido en el Instituto Nacional de Salud del Niño, en el servicio de Odontología de Pacientes Medicamente Comprometidos. El paciente presenta Hipomineralización en primeras molares y en incisivos centrales inferiores permanentes; debido a la complejidad de las lesiones a restaurar y la poca capacidad del paciente para mantener la apertura bucal por mucho tiempo se opta po...

El Objetivo es conocer e investigar el manejo odontológico y las posibles opciones de rehabilitación en los casos de Hipomineralización Incisivo Molar. Como metodología se usó el Reporte Clínico de un caso de Hipomineralización Incisivo Molar, en un paciente masculino de 8 años de edad con Diagnostico Sistémico de: Comunicación Interauricular, Retraso Psicomotor Global, Síndrome de Brown, Enfermedad por Reflujo Esofágico, TBC Latente; y Diagnostico Estomatológico de: Hipomineralización Incisivo Molar; atendido en el Instituto Nacional de Salud del Niño, en el servicio de Odontología de Pacientes Medicamente Comprometidos. El paciente presenta Hipomineralización en primeras molares y en incisivos centrales inferiores permanentes; debido a la complejidad de las lesiones a restaurar y la poca capacidad del paciente para mantener la apertura bucal por mucho tiempo se opta po...

 Being one of the restoration options the use of the acetate crown technique, this was chosen due to the aesthetic results it offers and its few clinical steps. Thus fulfilling our objective of maintaining the integrity of the pieces and keeping them in their space, through the use of resin crowns made under this technique. The methodology used was the clinical case report in a male patient aged 2 years 09 months with a diagnosis of dental caries, where resin crowns were performed using the acetate crown technique. For the clinical evaluation at 12 months, the evaluation criteria for direct and indirect restorations according to the World Dental Federation were used. They did not present fracture and caries recurrence. Crowns made with this technique were well accepted due to their imperceptible results, low cost and shorter clinical time. Therefore, the use of this technique would ...

The use of medicated pastes in the treatment of dental abscesses through the pulpectomy procedure helps to keep the primary teeth affected. The objective of this treatment was to evaluate the clinical and radiographic success of the modification of the intracanal obturation mechanism of the pulpectomy performed in a single appointment. The clinical case report in a 2-year-10-month-old male with a diagnosis of acute apical periodontitis is presented, where a pulpectomy was performed in a single appointment. In the clinical evaluation at 7 days, clinical silence and absence of dental abscess were observed. At one month and at 4 months there was also absence of dental abscess and symptoms. At 12 months, in a new clinical evaluation, clinical silence was maintained and radiographically an absence of radiolucent pathological interradicular or periapical image was observed and bone regeneratio...

The process of construction and validation of measurement instruments in the field of health is a complex issue that includes various stages, the existing information on this methodological process is scattered and unclear. The objective of this article is to synthesize and propose recommendations based on the scientific literature on an adequate methodological process for the construction and validation of measurement instruments in the field of health. An exhaustive review of the literature was carried out in databases such as Medline, Scielo, Science direct and Google Schoolar between 1994 and 2020, related to the construction and validation of measurement instruments. 62 articles were obtained, after reading and exclusion, 34 articles considered adequate to meet the stated objectives were selected. Based on the information found, the stages for an adequate construction and validation...

The process of construction and validation of measurement instruments in the field of health is a complex issue that includes various stages, the existing information on this methodological process is scattered and unclear. The objective of this article is to synthesize and propose recommendations based on the scientific literature on an adequate methodological process for the construction and validation of measurement instruments in the field of health. An exhaustive review of the literature was carried out in databases such as Medline, Scielo, Science direct and Google Schoolar between 1994 and 2020, related to the construction and validation of measurement instruments. 62 articles were obtained, after reading and exclusion, 34 articles considered adequate to meet the stated objectives were selected. Based on the information found, the stages for an adequate construction and validation...

One of the main advantages of using a continuous rotary system in pulpectomies is the reduction in instrumentation time. This case presents a 3-year and 11-month-old girl who, upon intraoral clinical examination, exhibited a deep and extensive carious lesion with pulpal involvement in tooth 85. Radiographically, an occlusal radiolucent image was observed, clearly indicating pulpal involvement, consistent with pulpal necrosis and chronic apical periodontitis. A pulpectomy was performed using the NiTi Race® Evo #25/06 rotary system at 500 rpm and with a torque of 2.1 Ncm. In the clinical examination, the surrounding gingival tissues were in good condition. Radiographically, there was no evidence of root resorption or signs of infection, and bone regeneration was observed at the furcation level. The rotary system proved to be effective in both shaping and filling the canals, reducing the t...

The pediatric dentist may encounter the fracture of an endodontic instrument during pulp treatment. In such cases, removal of the object is necessary, as it may lead to abscess formation, root resorption, and tooth mobility, which could ultimately affect the permanent tooth. The technique used to remove the instrument will depend on its location. This case presents a 4-year and 11-month-old girl who, upon clinical examination, reported pain on vertical percussion. The radiographic evaluation revealed the presence of a radiopaque image in the mesiobuccal root of tooth 54, consistent with the fracture of an endodontic instrument. This fragment, approximately 7 mm in length, extends from the cervical third to the apical region. The final diagnosis was symptomatic apical periodontitis in tooth 54, associated with a previous root canal treatment and a fractured instrument in the mesiobuccal c...

Riga-Fede disease is a rare, benign disorder characterized by a reactive ulceration of the oral mucosa, which arises from repetitive traumatic injuries. The constant trauma can cause an ulceration large enough or annoying enough to interfere with proper suction and feeding, which would cause a risk of nutritional deficiencies, dehydration and infections. We have as diagnostic aid, the intraoral radiography, which in infants is taken with the Mannkopf technique. With respect to the treatment of this lesion there is varied information in the literature and it has changed over the years, there are conservative treatments as radicals. We present the clinical case of 7-month-old male infant, who presents with an ulcer on the ventral side of the tongue, with defined edges, approximately 3.5 cm x 2.5 cm in diameter, colored reddish with whitish areas, painful on palpation, with fever and eating...