Browsing by Author "Guillen Guerrero, Paul Fernando"

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Ectopic dental inclusion: A literature review
(2022) Guillen Guerrero, Paul Fernando
Objective: Analyze the publications on ectopic dental inclusion, as well as its risk factors, prevalence and respective treatments. Materials and methods: A literature review was carried out including articles from the year 2000 to 2021 in the databases: Medline/PubMed, SciELO and Google Scholar. Thirty-seven bibliographic references of interest were used for the study, of which 18 case report and case series articles were selected for the analysis of clinical, pathological, and radiographic information, as well as patient demographics, anatomical location of ectopic teeth, clinical symptomatology, and treatment modalities. Results: It was determined that the dental group with the highest incidence is the third molar with 68%, followed by canines with 12%, while the remaining 20% is comprised of: second molar, second premolar, supernumerary and unspecified tooth. The prevalence in relation to gender refers to 68% in women and the most common age range of its diagnosis is the third decade of life in 40%. Regarding associated lesions, 40% correspond to dentigerous cyst, 16% to granuloma, 28% without associated lesion, 4% radicular cyst and the remaining 12% do not mention lesion. The treatment for a patient with ectopic dental inclusion varies depending on its presentation characteristics, but it is usually resolved through a surgical approach and periodic radiographic clinical controls. Conclusion: Ectopic dental inclusion has a prevalence of appearance in the third decade of life, usually when patients present symptoms and before routine radiographic examination, the most satisfactory treatment is the intraoral approach, finally the prognosis in these patients is satisfactory.
Extracciones múltiples en el contexto del COVID 19: Reporte de caso clínico de un cuarto molar
(2022) Zhingre Suarez, Mauricio Ruben
The fourth molar, also called distomolar or retromolar due to its location distal or posterior to the third molars, is a variant of number and shape that occurs during odontogenesis. By means of the present clinical case, a 22-year-old female patient who attended the dental office of the University of Cuenca School of Dentistry was treated, with the need to have her third molars extracted in a single appointment due to the limitations of COVID-19 and in which the presence of a fourth molar was found in the radiographic exploration. Within the procedure, the osteotomy technique was used for the surgical extraction of the fourth molar in order to prevent displacement towards the maxillary sinus, in addition, the supplementation of antibiotics to analgesic therapy was considered to minimize possible postoperative complications. After the surgical procedure, consultative teleodonto-logy follow-ups were carried out by means of a telephone call in order to supervise the adequate intake of medications and verify the evolution of the patient
Manejo de la extracción dental en pacientes sometidos a terapia anticoagulante: una revisión de la literatura.
(2021) Guillen Guerrero, Paul Fernando
In recent years the teeth extraction in patients who consume anticoagulants has increased, and with it also the need for new studies that allow us to know how to address such cases. Oral anticoagulant therapy is used to prevent thromboembolic type diseases. Among anticoagulants we have Vitamin K Antagonists and direct oral anticoagulants. The objective of this study is to analyze the type of management that an anticoagulated patient needs, in addition to the limitations, indications, and hemostatic measures for dental extraction in these patients. A search was made in the digital databases of Pubmed, Science Direct, Cochrane and SciELO, obtaining a total of 2176 articles that after the implementation of inclusion and exclusion criteria resulted in 59 articles for this literature review. The management in these patients should be done with extreme caution taking into account their systemic state, the extraction will be done safely without suspension or modification of the drug, when the surgical intervention has been planned with an atraumatic technique of one to three pieces and the INR is ≤3.5. It is essential for the dentist to have updated knowledge of the treatment of anticoagulated patients and their bleeding complications.
Panorama epidemiológico de la fisura labiopalatina en Quito, Guayaquil y Cuenca. Ecuador, 2010-2018.
(2020) Cazar Almache, Marcelo Enrique; Campos Ramírez, Lidia Araceli; Pineda Alvarez, David Manuel; Guillen Guerrero, Paul Fernando
Objective: To determine the prevalence of the cleft lip and palate (CLAP) in the main cities of Ecuador: Quito, Guayaquil and Cuenca, in the period from 2010 to 2018. Methods: A descriptive, observational, cross-sectional and retrospective study was carried out by reviewing the database of studies conducted in hospital settings in the cities of Quito, Guayaquil and Cuenca of patients diagnosed with FLAP born in the period from 2010 to 2018. The information was collected using a form for the live birth with syndromic, non-syndromic and mother CLAP. Results: The frequency of CLAP was found to be 14.97 per 10,000 live births, consistent with that of the countries in the region. 1132 patients diagnosed with CLAP were treated in the national health system according to hospital records, in the period 2010 to 2018; Regarding the average age of children who required CLAP care, it was 3 years (SD: ± 3.2). Their sex ratio was 38.19% women vs. 61.68% men Conclusion: No studies have been found in Ecuador that have unified criteria on diagnosis and classification of CLAPs that help formulate public health policies that improve the quality of life of the cracked patient