Pub Date : 2021-03-01DOI: 10.25121/newmed.2021.25.1.14
P. Sobiech, Anna Turska-Szybka, D. Gozdowski, D. Olczak-Kowalczyk
Introduction. The high incidence and level of Early Childhood Caries (ECC) in children aged 3 in Poland indicate a high risk of developing this disease in younger children. There are no data describing the scale of the problem in Poland. Aim. Determining the prevalence and level of severe early childhood caries (S-ECC), the needs of conservative treatment in children in the second and third year of life from the Warsaw agglomeration. Material and methods. A cross-sectional study of children aged 12-36 months was carried out after obtaining the consent of the Bioethics Committee of the Medical University of Warsaw. The presence of non-cavitated (d1) and cavitated caries (d2), fillings (f), and missing teeth (t) and surfaces (s) caused by caries (m), periodontal abscesses and fistulas was assessed. The frequency of ECC and its intensity (d1d2mft and d1d2mfs), conservative treatment index (f/f + d) were determined. In the statistical analysis, the chi-square test was used to compare the fractions. Results. 496 children were examined, including 262 (52.8%) boys. S-ECC was recorded in 44.8% of the respondents, d1d2mft and d1d2mfs reached the values of 2.62 ± 3.88 and 4.46 ± 8.42. The incidence and level of S-ECC increased with age. The greatest increase was seen in the subgroup > 18 to 24 months. The main components of d1d2mft were the teeth with caries (d). Abscesses and fistulas were diagnosed in 15 (3%) patients. The treatment indexes increased from 0 in the youngest to 0.08 in the oldest age group. Conclusions. Caries of primary teeth in the early childhood period is characterized by a rapid transformation of non-cavitated lesions into cavitated ones and subsequent eruption of teeth. With medical negligence, complications result in tooth loss. The greatest increase in the frequency and level of caries is observed in the second half of the second year of life, therefore, early home and professional prevention is essential.
{"title":"Dental caries in primary teeth during early childhood in the Warsaw agglomeration","authors":"P. Sobiech, Anna Turska-Szybka, D. Gozdowski, D. Olczak-Kowalczyk","doi":"10.25121/newmed.2021.25.1.14","DOIUrl":"https://doi.org/10.25121/newmed.2021.25.1.14","url":null,"abstract":"Introduction. The high incidence and level of Early Childhood Caries (ECC) in children aged 3 in Poland indicate a high risk of developing this disease in younger children. There are no data describing the scale of the problem in Poland. Aim. Determining the prevalence and level of severe early childhood caries (S-ECC), the needs of conservative treatment in children in the second and third year of life from the Warsaw agglomeration. Material and methods. A cross-sectional study of children aged 12-36 months was carried out after obtaining the consent of the Bioethics Committee of the Medical University of Warsaw. The presence of non-cavitated (d1) and cavitated caries (d2), fillings (f), and missing teeth (t) and surfaces (s) caused by caries (m), periodontal abscesses and fistulas was assessed. The frequency of ECC and its intensity (d1d2mft and d1d2mfs), conservative treatment index (f/f + d) were determined. In the statistical analysis, the chi-square test was used to compare the fractions. Results. 496 children were examined, including 262 (52.8%) boys. S-ECC was recorded in 44.8% of the respondents, d1d2mft and d1d2mfs reached the values of 2.62 ± 3.88 and 4.46 ± 8.42. The incidence and level of S-ECC increased with age. The greatest increase was seen in the subgroup > 18 to 24 months. The main components of d1d2mft were the teeth with caries (d). Abscesses and fistulas were diagnosed in 15 (3%) patients. The treatment indexes increased from 0 in the youngest to 0.08 in the oldest age group. Conclusions. Caries of primary teeth in the early childhood period is characterized by a rapid transformation of non-cavitated lesions into cavitated ones and subsequent eruption of teeth. With medical negligence, complications result in tooth loss. The greatest increase in the frequency and level of caries is observed in the second half of the second year of life, therefore, early home and professional prevention is essential.","PeriodicalId":55698,"journal":{"name":"New Medicine","volume":"1 1","pages":""},"PeriodicalIF":0.0,"publicationDate":"2021-03-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"41973124","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}
Pub Date : 2021-03-01DOI: 10.25121/newmed.2021.25.1.3
A. Wasilewska, L. Zawadzka-Głos
Introduction. Hematoma of the nasal septum is accumulation of the blood or pus in a space between septum and its overlying mucoperichondrium or mucoperiosteum layer. If left untreated, may lead to nose and facial deformity, and delayed facial growth and even to intracranial complications. Aim of the study is to present and compare different techniques of treatment. We present our guidelines how to treat the condition. Material and methods. Cases of 20 patients with septal hematoma or abscess hospitalized at the Pediatric Laryngology Clinic between January 1, 2015 and January 1, 2021 were analyzed. Results. Patients were between 8 months and 18 years of age. Nine present septal abscesses and eleven hematomas. All cases of abscess coexisted with destruction of the septal cartilage as well as one case of recurrent septal hematoma. The most common pathogen was S.aureus, in one case MRSA and that patient neded re-drainage of the abscess. All patients had an abscess/hematoma drained under general anesthesia. Some had septum reconstructed with homologous donor cartilage implants, autologous reconstruction with the auricle cartilage, or complex homologous donor cartilage implant reconstruction. Conclusion. Treatment is surgical drainage of the hematoma/abscess and inserting suction of teflon strip and anterior nasal package. Crucial is quite early reconstruction of the septum when already damaged by the abscess.
{"title":"Abscess and hematoma of the septum – old diagnosis, contemporary treatment options","authors":"A. Wasilewska, L. Zawadzka-Głos","doi":"10.25121/newmed.2021.25.1.3","DOIUrl":"https://doi.org/10.25121/newmed.2021.25.1.3","url":null,"abstract":"Introduction. Hematoma of the nasal septum is accumulation of the blood or pus in a space between septum and its overlying mucoperichondrium or mucoperiosteum layer. If left untreated, may lead to nose and facial deformity, and delayed facial growth and even to intracranial complications. Aim of the study is to present and compare different techniques of treatment. We present our guidelines how to treat the condition. Material and methods. Cases of 20 patients with septal hematoma or abscess hospitalized at the Pediatric Laryngology Clinic between January 1, 2015 and January 1, 2021 were analyzed. Results. Patients were between 8 months and 18 years of age. Nine present septal abscesses and eleven hematomas. All cases of abscess coexisted with destruction of the septal cartilage as well as one case of recurrent septal hematoma. The most common pathogen was S.aureus, in one case MRSA and that patient neded re-drainage of the abscess. All patients had an abscess/hematoma drained under general anesthesia. Some had septum reconstructed with homologous donor cartilage implants, autologous reconstruction with the auricle cartilage, or complex homologous donor cartilage implant reconstruction. Conclusion. Treatment is surgical drainage of the hematoma/abscess and inserting suction of teflon strip and anterior nasal package. Crucial is quite early reconstruction of the septum when already damaged by the abscess.","PeriodicalId":55698,"journal":{"name":"New Medicine","volume":" ","pages":""},"PeriodicalIF":0.0,"publicationDate":"2021-03-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"43031249","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}
Pub Date : 2021-03-01DOI: 10.25121/newmed.2021.25.1.22
P. Sobiech, Anna Turska-Szybka, D. Gozdowski, D. Olczak-Kowalczyk
Introduction. The high incidence and level of early childhood caries (ECC) in children aged 3 years in Poland indicate a high risk of developing this disease in younger children. Caries most often develops on the occlusal surfaces of molars. The distribution of caries in primary dentition changes with age. In younger children, the maxillary incisors are most often affected by caries, while in the older ones – molars. There are no current data describing caries distribution in younger children in Poland. Aim. Assessment of caries distribution, taking into account the surface in primary dentition in children in the second and third year of life from the Warsaw agglomeration. Material and methods. This was a cross-sectional study conducted among children aged 12-36 months to assess dental condition for the presence of non-cavitated (d1) and cavitated caries (d2), fillings (f), and missing (m) teeth (t) and surfaces (s) caused by caries. The frequency of ECC and its intensity (d1d2mft and d1d2mfs) were determined. In the statistical analysis, the chi-square test was used to compare the fractions (percentages). Results. A total of 496 children were examined, including 262 (52.8%) boys. S-ECC was recorded in 44.8% of the respondents, d1d2mft and d1d2mfs reached the values of 2.62 ± 3.88 and 4.46 ± 8.42, respectively. Central maxillary incisors (34.2%) and the first molars of both arches (21.0%, including 23.5% for the maxilla and 18.6% for the mandible) were most commonly affected by carious lesions. Carious lesions were most often found on the labial surfaces of the maxillary incisors (19.1%) and occlusal first molars (19.4%). Conclusions. Primary teeth caries in the early childhood period is characterized by a rapid transformation of non-cavitated lesions into cavitated ones and subsequent eruption of teeth. Carious lesions most are most often found on the labial surfaces of the central incisors of the maxilla and occlusal surfaces of the first molars.
{"title":"Caries distribution pattern in primary dentition in children in early childhood from the Warsaw agglomeration","authors":"P. Sobiech, Anna Turska-Szybka, D. Gozdowski, D. Olczak-Kowalczyk","doi":"10.25121/newmed.2021.25.1.22","DOIUrl":"https://doi.org/10.25121/newmed.2021.25.1.22","url":null,"abstract":"Introduction. The high incidence and level of early childhood caries (ECC) in children aged 3 years in Poland indicate a high risk of developing this disease in younger children. Caries most often develops on the occlusal surfaces of molars. The distribution of caries in primary dentition changes with age. In younger children, the maxillary incisors are most often affected by caries, while in the older ones – molars. There are no current data describing caries distribution in younger children in Poland. Aim. Assessment of caries distribution, taking into account the surface in primary dentition in children in the second and third year of life from the Warsaw agglomeration. Material and methods. This was a cross-sectional study conducted among children aged 12-36 months to assess dental condition for the presence of non-cavitated (d1) and cavitated caries (d2), fillings (f), and missing (m) teeth (t) and surfaces (s) caused by caries. The frequency of ECC and its intensity (d1d2mft and d1d2mfs) were determined. In the statistical analysis, the chi-square test was used to compare the fractions (percentages). Results. A total of 496 children were examined, including 262 (52.8%) boys. S-ECC was recorded in 44.8% of the respondents, d1d2mft and d1d2mfs reached the values of 2.62 ± 3.88 and 4.46 ± 8.42, respectively. Central maxillary incisors (34.2%) and the first molars of both arches (21.0%, including 23.5% for the maxilla and 18.6% for the mandible) were most commonly affected by carious lesions. Carious lesions were most often found on the labial surfaces of the maxillary incisors (19.1%) and occlusal first molars (19.4%). Conclusions. Primary teeth caries in the early childhood period is characterized by a rapid transformation of non-cavitated lesions into cavitated ones and subsequent eruption of teeth. Carious lesions most are most often found on the labial surfaces of the central incisors of the maxilla and occlusal surfaces of the first molars.","PeriodicalId":55698,"journal":{"name":"New Medicine","volume":" ","pages":""},"PeriodicalIF":0.0,"publicationDate":"2021-03-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"43503862","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}
Pub Date : 2021-03-01DOI: 10.25121/newmed.2021.25.1.8
Małgorzata Badełek-Izdebska, L. Zawadzka-Głos
Mediastinal emphysema is a pathological condition in which air is present in the mediastinum. Mediastinal emphysema may occur spontaneously or as a result of disease or trauma, including iatrogenic injury. Air into the mediastinum may pass from the lungs, trachea, bronchi, esophagus, peritoneal cavity, or come from outside the patient's body. It can also pass from the mediastinum into the neck or abdominal cavity. The mediastinum communicates with the submandibular space, the retropharyngeal space, and the vascular sheaths in the neck. Predisposing factors for mediastinal emphysema include the Valsalva test, physical exertion, increased respiratory effort, coughing, asthma, respiratory infections, vomiting, and drug use. A patient with mediastinal emphysema may present with no symptoms or may present with symptoms of respiratory distress. The most common symptoms observed are retrosternal pain radiating to the shoulder or back and increasing with changes in body position, dyspnea, cough, neck pain or discomfort, dysphagia, tachycardia, and subcutaneous emphysema. The diagnosis is made on the basis of clinical features including the underlying cause and radiological findings. A case of a patient with mediastinal emphysema due to trauma to the posterior pharyngeal wall is presented.
{"title":"Mediastinal emphysema as a complication of posterior pharyngeal wall injury – a case report","authors":"Małgorzata Badełek-Izdebska, L. Zawadzka-Głos","doi":"10.25121/newmed.2021.25.1.8","DOIUrl":"https://doi.org/10.25121/newmed.2021.25.1.8","url":null,"abstract":"Mediastinal emphysema is a pathological condition in which air is present in the mediastinum. Mediastinal emphysema may occur spontaneously or as a result of disease or trauma, including iatrogenic injury. Air into the mediastinum may pass from the lungs, trachea, bronchi, esophagus, peritoneal cavity, or come from outside the patient's body. It can also pass from the mediastinum into the neck or abdominal cavity. The mediastinum communicates with the submandibular space, the retropharyngeal space, and the vascular sheaths in the neck. Predisposing factors for mediastinal emphysema include the Valsalva test, physical exertion, increased respiratory effort, coughing, asthma, respiratory infections, vomiting, and drug use. A patient with mediastinal emphysema may present with no symptoms or may present with symptoms of respiratory distress. The most common symptoms observed are retrosternal pain radiating to the shoulder or back and increasing with changes in body position, dyspnea, cough, neck pain or discomfort, dysphagia, tachycardia, and subcutaneous emphysema. The diagnosis is made on the basis of clinical features including the underlying cause and radiological findings. A case of a patient with mediastinal emphysema due to trauma to the posterior pharyngeal wall is presented.","PeriodicalId":55698,"journal":{"name":"New Medicine","volume":" ","pages":""},"PeriodicalIF":0.0,"publicationDate":"2021-03-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"42844555","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}
Pub Date : 2020-12-01DOI: 10.25121/newmed.2020.24.4.119
Piotr Pasternak, M. Frąckiewicz, L. Zawadzka-Głos
Introduction. The use of gentamicin in the neonatal period is categorized as a risk factor for hearing loss. Gentamicin belongs to a group of aminoglycoside antibiotics that mainly act on Gram-negative bacteria. Due to its high efficacy, low drug resistance, and low production and treatment costs, aminoglycosides are widely used, especially in developing countries. This drug damages both the cochlear and vestibular parts of the inner ear. Hearing damage after gentamicin administration is irreversible. Aim. The purpose of this study was to retrospectively evaluate gentamicin ototoxicity in children based on comprehensive hearing tests. Material and methods. Between January 2019 and June 2020, 33 children were hospitalized in the Department of Pediatric Otolaryngology at UCK WUM who were treated with gentamicin in the perinatal period. All children underwent comprehensive audiological diagnostics: acoustic otoemission, tympanometry and auditory brainstem evoked response (BERA).
{"title":"Gentamicin and its ototoxicity","authors":"Piotr Pasternak, M. Frąckiewicz, L. Zawadzka-Głos","doi":"10.25121/newmed.2020.24.4.119","DOIUrl":"https://doi.org/10.25121/newmed.2020.24.4.119","url":null,"abstract":"Introduction. The use of gentamicin in the neonatal period is categorized as a risk factor for hearing loss. Gentamicin belongs to a group of aminoglycoside antibiotics that mainly act on Gram-negative bacteria. Due to its high efficacy, low drug resistance, and low production and treatment costs, aminoglycosides are widely used, especially in developing countries. This drug damages both the cochlear and vestibular parts of the inner ear. Hearing damage after gentamicin administration is irreversible. Aim. The purpose of this study was to retrospectively evaluate gentamicin ototoxicity in children based on comprehensive hearing tests. Material and methods. Between January 2019 and June 2020, 33 children were hospitalized in the Department of Pediatric Otolaryngology at UCK WUM who were treated with gentamicin in the perinatal period. All children underwent comprehensive audiological diagnostics: acoustic otoemission, tympanometry and auditory brainstem evoked response (BERA).","PeriodicalId":55698,"journal":{"name":"New Medicine","volume":" ","pages":""},"PeriodicalIF":0.0,"publicationDate":"2020-12-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"44983872","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}
Pub Date : 2020-12-01DOI: 10.25121/newmed.2020.24.4.130
M. Michalik
Despite the use of state-of-the-art methods of pharmacological and surgical treatment, patients with chronic sinusitis suffer from recurrent infections which do not respond to treatment. The presence of bacteria in the sinuses structures is confirmed by microbiological tests. The subject of the application is a set of three cannulas dedicated to collecting microbiological samples, a biological material of high-diagnostic value originating from paranasal sinuses. Traditionally the collection of samples is associated with a risk of contamination resulting from presence of randomly collected microorganisms. Sometimes antibiotic therapy is based on the random microorganisms, driving attention away from the proper causative factor of the disease. The application of the invention allows for a non-invasive and quick collection of highly diagnostic samples for proper microbiological testing. The dedicated tip makes it possible to precisely reach natural sinus ostium or sinus ostium created during surgery without contacting other tissues. The samples obtained through the application of the invention reflect the microbiological condition of the sinuses. An incorrectly collected smear from the sinus mucosa surface may misdirect the therapy. The use of advanced model will effectively reduce such errors. In addition, it will contribute to the precise collection of material for testing, without artifacts or contamination by microorganisms present in other structures outside the sinuses. Therefore in the next step application of targeted antibiotic therapy based on antibiogram profile eliminates bacteria that penet
{"title":"The innovative laryngological cannula facilitates the precise collection of highly diagnostic material from the nose and sinuses in order to improve the diagnostic and therapeutic process","authors":"M. Michalik","doi":"10.25121/newmed.2020.24.4.130","DOIUrl":"https://doi.org/10.25121/newmed.2020.24.4.130","url":null,"abstract":"Despite the use of state-of-the-art methods of pharmacological and surgical treatment, patients with chronic sinusitis suffer from recurrent infections which do not respond to treatment. The presence of bacteria in the sinuses structures is confirmed by microbiological tests. The subject of the application is a set of three cannulas dedicated to collecting microbiological samples, a biological material of high-diagnostic value originating from paranasal sinuses. Traditionally the collection of samples is associated with a risk of contamination resulting from presence of randomly collected microorganisms. Sometimes antibiotic therapy is based on the random microorganisms, driving attention away from the proper causative factor of the disease. The application of the invention allows for a non-invasive and quick collection of highly diagnostic samples for proper microbiological testing. The dedicated tip makes it possible to precisely reach natural sinus ostium or sinus ostium created during surgery without contacting other tissues. The samples obtained through the application of the invention reflect the microbiological condition of the sinuses. An incorrectly collected smear from the sinus mucosa surface may misdirect the therapy. The use of advanced model will effectively reduce such errors. In addition, it will contribute to the precise collection of material for testing, without artifacts or contamination by microorganisms present in other structures outside the sinuses. Therefore in the next step application of targeted antibiotic therapy based on antibiogram profile eliminates bacteria that penet","PeriodicalId":55698,"journal":{"name":"New Medicine","volume":"1 1","pages":""},"PeriodicalIF":0.0,"publicationDate":"2020-12-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"41421599","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}
Pub Date : 2020-12-01DOI: 10.25121/newmed.2020.24.4.143
Małgorzata Staszczyk, W. Krzyściak, I. Gregorczyk-Maga, D. Kościelniak, Iwona Kołodziej, Małgorzata Jamka-Kasprzyk, Magdalena Kępisty, Magdalena Kukurba-Setkowicz, A. Jurczak
Introduction. Scientific evidence indicates the anti-caries benefits of using the 1000-1500 ppm fluoride toothpastes compared to ≤ 600 ppm in permanent dentition, while there is a small number of studies regarding effectiveness of fluoride toothpastes in children with primary dentition. Aim. The purpose of this study was to present the results of a systematic review of the literature on the effectiveness of early childhood caries (ECC) prophylaxis using low and standard toothpastes, in the age group of 1-6 years. Material and methods. The methodology was in line with the guidelines from PRISMA. Article search was performed independently by two reviewers, in six electronic databases. Narrative analysis of the mean caries increment was performed to assess the effect of fluoride toothpaste on dmft and dmfs indices. Results. Nine studies out of 136 originally identified articles were included in the systematic review. The results of the analysis comparing effect of 1000-1500 versus ≤ 600 ppm fluoride toothpastes for tooth (dmft) and surface level (dmfs) confirmed the evidence of association between level of fluoride content and ECC increment. Conclusions. This systematic review, despite some limitations, indicate a greater efficacy of toothpastes containing 1000-1500 ppm F compared to those with low fluorine content in the prevention of ECC.
{"title":"The effectiveness of using the toothpastes with a different fluoride content on the early childhood caries (ECC) reduction – systematic review","authors":"Małgorzata Staszczyk, W. Krzyściak, I. Gregorczyk-Maga, D. Kościelniak, Iwona Kołodziej, Małgorzata Jamka-Kasprzyk, Magdalena Kępisty, Magdalena Kukurba-Setkowicz, A. Jurczak","doi":"10.25121/newmed.2020.24.4.143","DOIUrl":"https://doi.org/10.25121/newmed.2020.24.4.143","url":null,"abstract":"Introduction. Scientific evidence indicates the anti-caries benefits of using the 1000-1500 ppm fluoride toothpastes compared to ≤ 600 ppm in permanent dentition, while there is a small number of studies regarding effectiveness of fluoride toothpastes in children with primary dentition. Aim. The purpose of this study was to present the results of a systematic review of the literature on the effectiveness of early childhood caries (ECC) prophylaxis using low and standard toothpastes, in the age group of 1-6 years. Material and methods. The methodology was in line with the guidelines from PRISMA. Article search was performed independently by two reviewers, in six electronic databases. Narrative analysis of the mean caries increment was performed to assess the effect of fluoride toothpaste on dmft and dmfs indices. Results. Nine studies out of 136 originally identified articles were included in the systematic review. The results of the analysis comparing effect of 1000-1500 versus ≤ 600 ppm fluoride toothpastes for tooth (dmft) and surface level (dmfs) confirmed the evidence of association between level of fluoride content and ECC increment. Conclusions. This systematic review, despite some limitations, indicate a greater efficacy of toothpastes containing 1000-1500 ppm F compared to those with low fluorine content in the prevention of ECC.","PeriodicalId":55698,"journal":{"name":"New Medicine","volume":" ","pages":""},"PeriodicalIF":0.0,"publicationDate":"2020-12-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"49624936","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}
Pub Date : 2020-12-01DOI: 10.25121/newmed.2020.24.4.135
Magdalena Sobecka-Frankiewicz, I. Nawrot, L. Grabowska-Derlatka, Agnieszka Mielczarek
The most common cause of secondary hyperparathyroidism is a chronic kidney disease. The imbalance between calcium, phosphorus and vitamin D3 in the course of secondary hyperparathyroidism may affect an oral health. The changes are presented in jaw bones as a loss of bone density, focuses of demineralization or even large tumors deforming facial region – brown tumors, ossifying fibromas and aneurismal bone cysts. There is also a higher frequency of dental caries, periodontal disease and fungal infections. Secondary hyperparathyroidism in the young age may cause teeth development disorders and dental abnormalities. Dental treatment in patient with secondary hyperparathyroidism can be a challenge for a dentist, so the strict cooperation with an attending physician is needed, as well as to introduce dental prophylactic procedures as soon as possible. In addition, due to the occurrence of characteristic changes in the oral cavity, the dentist may play an important role in the primary detection of secondary hyperparathyroidism.
{"title":"Oral changes in secondary to chronic kidney disease hyperparathyroidism","authors":"Magdalena Sobecka-Frankiewicz, I. Nawrot, L. Grabowska-Derlatka, Agnieszka Mielczarek","doi":"10.25121/newmed.2020.24.4.135","DOIUrl":"https://doi.org/10.25121/newmed.2020.24.4.135","url":null,"abstract":"The most common cause of secondary hyperparathyroidism is a chronic kidney disease. The imbalance between calcium, phosphorus and vitamin D3 in the course of secondary hyperparathyroidism may affect an oral health. The changes are presented in jaw bones as a loss of bone density, focuses of demineralization or even large tumors deforming facial region – brown tumors, ossifying fibromas and aneurismal bone cysts. There is also a higher frequency of dental caries, periodontal disease and fungal infections. Secondary hyperparathyroidism in the young age may cause teeth development disorders and dental abnormalities. Dental treatment in patient with secondary hyperparathyroidism can be a challenge for a dentist, so the strict cooperation with an attending physician is needed, as well as to introduce dental prophylactic procedures as soon as possible. In addition, due to the occurrence of characteristic changes in the oral cavity, the dentist may play an important role in the primary detection of secondary hyperparathyroidism.","PeriodicalId":55698,"journal":{"name":"New Medicine","volume":" ","pages":""},"PeriodicalIF":0.0,"publicationDate":"2020-12-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"46484776","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}
Pub Date : 2020-12-01DOI: 10.25121/newmed.2020.24.4.124
M. Wolniewicz, A. Piotrowska, Macej Pilch, L. Zawadzka-Głos
The shorten lingual frenulum is the most common congenital defect of the tongue, in which the frenulum is incorrectly tied to the bottom of the oral cavity. This type of anatomy significantly reduces normal tongue movement and leads to several abnormalities, like problems with breast feeding, speech impediments, malocclusion, functional disorders, dyspnea, dysarthria, social problems. We can distinguish several methods of the treatment of this abnormality, both conservative (like exercise of the muscles of the tongue or appropriate speech therapy) and surgical, most commonly frenulotomy. Technically, the procedure of the frenulotomy is quite easy to perform, but requires proper acquaintance with the anatomy of this region determining the potential extent of the procedure and thorough investigation of our patient in order to avoid possible serious, sometimes even life-threatening, complications. In our article we present a case of a 16-year-old patient treated chronically due to malocclusion in a private dental center that was qualified for the procedure of frenulotomy after a speech therapy consultation. The procedure was performed under local anesthesia and unfortunately complicated by massive bleeding from the mouth.
{"title":"Acute complication after frenulotomy – case report","authors":"M. Wolniewicz, A. Piotrowska, Macej Pilch, L. Zawadzka-Głos","doi":"10.25121/newmed.2020.24.4.124","DOIUrl":"https://doi.org/10.25121/newmed.2020.24.4.124","url":null,"abstract":"The shorten lingual frenulum is the most common congenital defect of the tongue, in which the frenulum is incorrectly tied to the bottom of the oral cavity. This type of anatomy significantly reduces normal tongue movement and leads to several abnormalities, like problems with breast feeding, speech impediments, malocclusion, functional disorders, dyspnea, dysarthria, social problems. We can distinguish several methods of the treatment of this abnormality, both conservative (like exercise of the muscles of the tongue or appropriate speech therapy) and surgical, most commonly frenulotomy. Technically, the procedure of the frenulotomy is quite easy to perform, but requires proper acquaintance with the anatomy of this region determining the potential extent of the procedure and thorough investigation of our patient in order to avoid possible serious, sometimes even life-threatening, complications. In our article we present a case of a 16-year-old patient treated chronically due to malocclusion in a private dental center that was qualified for the procedure of frenulotomy after a speech therapy consultation. The procedure was performed under local anesthesia and unfortunately complicated by massive bleeding from the mouth.","PeriodicalId":55698,"journal":{"name":"New Medicine","volume":" ","pages":""},"PeriodicalIF":0.0,"publicationDate":"2020-12-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"43202604","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}
Pub Date : 2020-09-01DOI: 10.25121/newmed.2020.24.3.104
Anna Turska-Szybka, Paula Piekoszewska-Ziętek, D. Gozdowski, D. Olczak-Kowalczyk
Introduction. Oral lesions in newborns and infants represent a wide range of diseases often creating apprehension and anxiety among parents. Aim. We aimed to assess the type, prevalence and associated factors of oral lesions in newborns and infants. Material and methods. Participants were recruited during a two-year cross-sectional study among children who had their first teething assessed. The mothers answered medical history questions and the children underwent a clinical examination by paediatric dentists after training, calibration, and pilot study. Results. Two hundred and forty-eight children aged up to 12 months took part in the study. The mean number of teeth (SD) was 1.96 (2.55). 1.25% of children had natal teeth. Dental caries was observed in 3.2% children; traumatic dental injuries caused by falling in 7%; enamel hypoplasia in 1.9%, and mucosal lesions in 19.8% (Bohn’s nodules, mucocele, candidiasis). Conclusions. Oral lesions in infants may involve teething, teeth and oral mucosa. One child out of five children has mucosal lesions, most often Bohn’s nodules or candidiasis. There is a significant correlation between the prevalence of natal/neonatal teeth and of Bohn’s nodules.
{"title":"A survey of the oral lesions in newborns and infants: A two-year cross-sectional study","authors":"Anna Turska-Szybka, Paula Piekoszewska-Ziętek, D. Gozdowski, D. Olczak-Kowalczyk","doi":"10.25121/newmed.2020.24.3.104","DOIUrl":"https://doi.org/10.25121/newmed.2020.24.3.104","url":null,"abstract":"Introduction. Oral lesions in newborns and infants represent a wide range of diseases often creating apprehension and anxiety among parents. Aim. We aimed to assess the type, prevalence and associated factors of oral lesions in newborns and infants. Material and methods. Participants were recruited during a two-year cross-sectional study among children who had their first teething assessed. The mothers answered medical history questions and the children underwent a clinical examination by paediatric dentists after training, calibration, and pilot study. Results. Two hundred and forty-eight children aged up to 12 months took part in the study. The mean number of teeth (SD) was 1.96 (2.55). 1.25% of children had natal teeth. Dental caries was observed in 3.2% children; traumatic dental injuries caused by falling in 7%; enamel hypoplasia in 1.9%, and mucosal lesions in 19.8% (Bohn’s nodules, mucocele, candidiasis). Conclusions. Oral lesions in infants may involve teething, teeth and oral mucosa. One child out of five children has mucosal lesions, most often Bohn’s nodules or candidiasis. There is a significant correlation between the prevalence of natal/neonatal teeth and of Bohn’s nodules.","PeriodicalId":55698,"journal":{"name":"New Medicine","volume":" ","pages":""},"PeriodicalIF":0.0,"publicationDate":"2020-09-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"47882372","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}
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