Browsing by Author "Carpio Cedillo, Cristina Paola"
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Item Asociación de riesgo entre periodontitis y preeclampsia. Una revisión sistemática retrospectiva(Universidad de Cuenca, 2021-10-19) Cáceres Alvear, Andrés Santiago; Garcés García, Damián Alejandro; Carpio Cedillo, Cristina PaolaObjective. The present systematic review aims to evaluate the available literature on the risk association between periodontitis and preeclampsia. Methodology. A search was carried out for scientific articles that studied the association between periodontitis and preeclampsia, the MEDLINE (PubMed) and Scopus platforms were used as search engines, case-control studies were selected that reported results such as the OR (Odds ratio), clear definitions and appropriate diagnostic criteria for periodontitis and preeclampsia. The review was performed according to the PRISMA (Preferred Reporting Items for Systematic Reviews and Meta analysis) guidelines. In addition, the STROBE (Strengthening the Reporting of Observational Studies in Epidemiology) statement was used to contro l the quality of the included studies. Results. Applying the inclusion and exclusion criteria, 15 case-control studies were obtained and included in the review. Of the 15 included studies, 13 (86.67%) showed a positive association between periodontitis and the development of preeclampsia. Age, parity, and smoking were the most controlled variables in each study. Conclusion. Periodontitis was a risk factor for preeclampsia, emphasizing the importance of periodontal care in prenatal programs.Item Asociación de riesgo entre periodontitis y preeclampsia. Una revisión sistemática retrospectiva.(2021) Caceres Alvear, Andres Santiago; Garces Garcia, Damian Alejandro; Carpio Cedillo, Cristina PaolaObjective. The present systematic review aims to evaluate the available literature on the risk association between periodontitis and preeclampsia. Methodology. A search was carried out for scientific articles that studied the association between periodontitis and preeclampsia, the MEDLINE (PubMed) and Scopus platforms were used as search engines, case-control studies were selected that reported results such as the OR (Odds ratio), clear definitions and appropriate diagnostic criteria for periodontitis and preeclampsia. The review was performed according to the PRISMA(PreferredReporting Items for Systematic Reviews and Meta analysis)guidelines. In addition, the STROBE (Strengthening the Reporting of Observational Studies in Epidemiology) statement was used to control the quality of the included studies. Results. Applying the inclusion and exclusion criteria, 15 case-control studies were obtained and included in the review. Of the 15 included studies, 13 (86.67%) showed a positive association between periodontitis and the development of preeclampsia. Age, parity, and smoking were the most controlled variables in each study. Conclusion. Periodontitis was a risk factor for preeclampsia, emphasizing the importance of periodontal care inprenatal programs.Systematic review registration: PROSPEROCRD42020205855Item Injertos, sustitutos óseos, mediadores bioactivos para regeneración ósea: una revisión actualizada(Universidad de Cuenca, 2024-09-13) Avila Narváez, Jessica Tamara; Mora Cajilima, Sebastian Mateo; Carpio Cedillo, Cristina PaolaObjectives: Provide the clinician with an updated description of the various bone grafts, substitute materials and bioactive mediators available used for bone regeneration techniques. Materials and Methods: a bibliographic review was carried out, databases of reference systems Medline (Pubmed), Scielo, ELSEVIER and Google Academic were consulted, under a filter of articles in English, with dates of publications made less than 5 years ago and supplemented with manual searches of relevant recent articles representing original research or review articles. Results: Regarding horizontal and vertical bone gain through guided bone regeneration with grafts and substitute materials, the gain/reduction of bone defects and the presence of adverse effects, the material that generated the greatest bone gain was the autologous graft, however; This material had a greater number of adverse effects and complications at the graft site. This study demonstrated the absence of complications associated with platelet-rich materials alone or in combination; Growth factors, cell therapy and 3D printed scaffolds require further investigation. Conclusions: The variability of the results indicates that the search for the ideal material still continues. However, there are other factors (the skill of the surgeon, flap management, systemic and behavioral factors inherent to the host, etc.) at play to achieve the goal of regenerating sufficient bone tissue to allow the placement of a dental implant, therefore Future research should be focused on optimizing and adjusting the techniques taking into account the different micro and macro environments that each clinical case represents.Item Injertos, sustitutos y mediadores biológicos para regeneración periodontal en defectos intraóseos: una revisión actualizada(Universidad de Cuenca, 2024-09-10) Pineda Paredes, Johnny Renato; Cordero Beltran, Mauricio Ismael; Carpio Cedillo, Cristina PaolaObjective. The objective of this narrative review is to synthesize the available evidence to provide the clinician with an updated review of biomaterials, bone grafts or substitutes, biological mediators, and other therapies used for periodontal regeneration of intrabony defects. Methodology. A search was carried out in the PubMed (Medline), PubMed, Elsevier and Google Scholar databases to extract the corresponding data. This review has analyzed and updated studies on periodontal regeneration materials. Results. The results of the present review indicate that periodontal regeneration in human intrabony defects can be achieved to a variable degree using a variety of methods and materials. Periodontal regeneration has been observed after the use of a variety of bone grafts and substitutes, guided tissue regeneration, enamel matrix derivatives that have been used and studied for some time, as well as materials that are currently emerging, such as biological mediators. Conclusion. Regenerating the insertion and support apparatus of the teeth is necessary since it allows changing or improving the prognosis after the destruction caused by periodontitis. Currently there is no biomaterial, biological mediator, graft or bone substitute that can be considered the gold standard because the use of these is only one of the factors to obtain periodontal regeneration of intrabony defects, other determinants such as the condition Systemic variables, behavioral variables, the oral environment, flap design-management techniques, and the experience and training of the surgeon also have a direct effect on the result.Item Resistencia a la tracción del material de sutura para cirugía oral y periodontal: una revisión narrativa(Universidad de Cuenca, 2022-09-29) Brito Quito, Evelyn Estefania; Japón Zhigüi, Jonathan Andrés; Carpio Cedillo, Cristina PaolaObjetive: To provide a narrative review of the current literature on tensile strength of different sutures materials employed in oral and periodontal surgery. Materials and methods: MESH terms have been used to search relevant literature electronically in the PubMed, Science Direct, Semantic Scholar, Scopus, Scielo, SpringerLink and Google Scholar databases. This review has analyzed studies on monofilament, multifilament, absorbable, and non absorbable suture's materials. Conclusions: The best tensile strength properties may be found in polypropylene, polyglycolic acid, polydioxanone suture's material due to their properties. This data should be considered so that the operator chooses the suture material taking into account their tensile strength behavior for periodontal or oral surgeries where sutures need to be retained for longer periods . However, further studies are needed to understand tensile strength in different procedures and the variability of clinical situations.Item Resistencia a la tracción del material de sutura para cirugía oral y periodontal: una revisión narrativa(2022) Brito Quito, Evelyn EstefaniaObjetive: To provide a narrative review of the current literature on tensile strength of different sutures materials employed in oral and periodontal surgery. Materials and methods: MESH terms have been used to search relevant literature electronically in the PubMed, Science Direct, Semantic Scholar, Scopus, Scielo, SpringerLink and Google Scholar databases. This review has analyzed studies on monofilament, multifilament, absorbable, and non absorbable suture's materials. Conclusions: The best tensile strength properties may be found in polypropylene, polyglycolic acid, polydioxanone suture's material due to their properties. This data should be considered so that the operator chooses the suture material taking into account their tensile strength behavior for periodontal or oral surgeries where sutures need to be retained for longer periods . However, further studies are needed to understand tensile strength in different procedures and the variability of clinical situationsItem Tratamiento quirúrgico de la fisura de Stillman: reporte de un caso(2022) Rosales Saltos, Maria BelenStillman's cleft (Sc) is a mucogingival defect of traumatic etiology, which if left untreated could progress to a true gingival recession with esthetic consequences, hypersensitivity, carious and non-carious lesions. The aim of this article was to describe a case report of Stillman's cleft that evolved into true gingival recessions treated surgically. A search was made for relevant articles on the subject, surgical technique used and results obtained, using inclusion and exclusion criteria. A 42-year-old woman comes for private consultation with Dr. C.C to treat V-shaped lesions that due to their clinical characteristics were compatiblewith Stillman's cleft, which evolved into true Cairo class II gingival recessions. The surgical procedure was performed using a modified coronally advanced tunnel technique with subepithelial connective tissue graft and approximation of the lateral edgesof the recessions. The healing of both the surgical site and the graft sites progressed without complications within normal soft tissue healing patterns. A 6-month follow-up was carried out during which 100% coverage of the root surfaces was observed, an increase of adherent gingiva was evidenced in the treated areas. The modified coronally advanced tunnel technique with subepithelial connective tissue grafting and approximation of the lateral edges of recessions provides good esthetic and functional results for treating Stillman's clefts that evolved into true gingival recessions.Keywords:Gingival recession; Tunneling; PeriodonticsItem Tratamiento quirúrgico de la fisura de Stillman: reporte de un caso(Universidad de Cuenca, 2022-10-06) Rosales Saltos, María Belén; Tenezaca Quito, Paola Estefanía; Carpio Cedillo, Cristina PaolaStillman's cleft (Sc) is a mucogingival defect of traumatic etiology, which if left untreated could progress to a true gingival recession with esthetic consequences, hypersensitivity, carious and non-carious lesions. The aim of this article was to describe a case report of Stillman's cleft that evolved into true gingival recessions treated surgically. A search was made for relevant articles on the subject, surgical technique used and results obtained, using inclusion and exclusion criteria. A 42-year-old woman comes for private consultation with Dr. C.C to treat V-shaped lesions that due to their clinical characteristics were compatible with Stillman's cleft, which evolved into true Cairo class II gingival recessions. The surgical procedure was performed using a modified coronally advanced tunnel technique with subepithelial connective tissue graft and approximation of the lateral edges of the recessions. The healing of both the surgical site and the graft sites progressed without complications within normal soft tissue healing patterns. A 6-month follow-up was carried out during which 100% coverage of the root surfaces was observed, an increase of adherent gingiva was evidenced in the treated areas. The modified coronally advanced tunnel technique with subepithelial connective tissue grafting and approximation of the lateral edges of recessions provides good esthetic and functional results for treating Stillman's clefts that evolved into true gingival recessions.
