Objectives: Analyse the effectiveness of different materials and techniques used in guided tissue regeneration (GTR) applied in periapical surgery, comparing the success rate obtained in 4-wall defects and in through-andthrough bone lesions as well as to establish prognostic factors. Material and Methods: A Cochrane, PubMed-MEDLINE and Scopus database search (October 2012 to March 2013) was conducted with the search terms “periapical surgery”, “surgical endodontic treatment”, “guided tissue regeneration”, “bone regeneration”, “bone grafts”, “barrier membranes” and “periapical lesions” individually and next, using the Boolean operator “AND”. The inclusion criteria were the use of GTR (bone graft and/or membrane barrier), clinical studies including at least 10 patients, 10 years aged articles published in English or French. The exclusion criteria were case reports and nonhuman studies. Results: 34 publications were selected from a total of 483. 9 of the 34 were excluded. Finally, the systematic
review included 25 articles: 2 metaanalysis, 8 reviews, 13 prospective studies and 2 retrospective studies. They were stratified according to their level of scientific evidence using the SORT criteria. The 4-wall periapical and through-and-through lesions improve more their prognosis by combining bone grafts and barrier membranes than using these materials exclusively, respect to the control groups. The results show lower failure rates in 4-wall lesions than in through-and-through lesions using GTR. Conclusions: The combined GTR technique (filling material and membranes) obtains a greater success rate both in 4-wall lesions and in through-and-through lesions, respect to the control groups. The use of regeneration materials seems to be more necessary in through-and-through lesions, > 5mm lesions, lower teeth and apicomarginal lesions obas they have the worst healing prognosis. In function of the articles scientific quality, a type B recommendation is given in favour to the use of GTR in association of periapical surgery in case of 4-wall and through-and-through lesions.
Manipulación de la adaptación neuronal anómala como estrategia para tratar dolor crónico, Scientific evidence on the usefulness of intraarticular hyaluronic acid injection in the management of temporomandibular dysfunction, Eficacia del tratamiento con oxicodona/naloxona en paciente con deformidad de las plataformas vertebrales y dolor crónico no oncológico, RF pulsada intradiscal (RFP)+Ozono en el Dolor Discogénico…
Bloqueo del nervio pudendo vía posterior: alternativa a la punción elogiada, Dolor Irruptivo Oncológico, Técnicas de bloqueos en dolor osteoarticular, Dolor neuropático post-toracotomía, Pain, as the first symptome in liver cancer, Opioids for the Treatment of Non-Cancer Pain…
Study of the effect of oral health on physical condition of professional soccer players of the Football Club Barcelona
Objectives: The objective of this study was to evaluate the oral health status of professional soccer players
of F.C. Barcelona and its relation to the incidence of sport lesions.
Methods: Thirty professional soccer players were consecutively evaluated in the seasons 2003/4, 2004/5
and 2005/6. A research protocol to assess their oral health was developed. DMFT, Quigley & Hein plaque
index (PI), Löe & Silness gingival index (GI), World Health Organization malocclusion index, Ramfjord teeth
probing pocket depth (PPD), TMJ examination and history of dental trauma were recorded. All physical
injuries sustained by players during the season were documented from F.C. Barcelona medical services.
Results: Mean DMFT score was 5.7 (SD 4.1), Quigley & Hein plaque index score was 2.3 (SD 1.1), Löe
& Silness gingival index was 1.1 (SD 0.8), and periodontal pocket depth was 1.9 mm (SD 0.3). Seven (23.3%) players had suffered uncomplicated
crown fractures. The mean incidence of physical injuries was 8 (SD 3.4) per player.
Conclusions? untreated caries, gingivitis or malocclusion, and suffer dental trauma as a result of sports activities.
Their physical condition could also be associated to oral health.