Odontología-Tesis de Pregrado

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    Heterogeneidad de genotipos VPH en condiloma acuminado orofaríngeo: reporte de caso procedente de Ecuador
    (Universidad de Cuenca. Facultad de Odontología, 2025-10-21) Guerrero Osorio, Rodrigo Federico; Rodríguez Coyago, María de Lourdes
    Introduction: Condyloma acuminatum (CA) or venereal wart is a viral infection caused by Papillomavirus, acquired primarily through sexual contact; adolescents and young adults are the most vulnerable group to this condition. Its presentation in the oral cavity is atypical, as is its positivity for viral genotypes other than 6, 11, 16 and 18. Clinical case: We present an unusual case of oropharyngeal condyloma in a young adult woman with dyslipidemia and vitamin D deficiency, which showed co-infection with low (HPV-6 and 11) and high oncogenic risk genotypes (HPV-59 and 82). To date, these last two have not been documented in cases of oral or oropharyngeal cancer. The diagnosis of the reported lesion was based on clinical and pathological findings; its prognosis was reserved, given its location. Conclusion: Although the diagnosis of AC is fundamentally clinical, for the oral entity the histopathological findings are key when differentiating it from other oral HPV-mediated entities. Genotyping is not decisive in the diagnosis, having only an epidemiological impact when developing and applying vaccination schedules.
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    Manejo quirúrgico para corrección de paciente clase II dentoesqueletal: reporte de caso
    (Universidad de Cuenca. Facultad de Odontología, 2025-10-14) Macancela González, Mayra Alexandra; Guamán Roldán, Hugo Xavier
    Class II malocclusions represent the majority of cases treated in orthodontics. In some instances, they can be corrected with orthopedic and orthodontic treatments; however, in specific cases where the skeletal discrepancy is severe, a combined approach with orthognathic surgery is required. The objective is to improve function, occlusion, and harmonize the facial profile. Below is presented the clinical case of a 26-year-old female patient with a dentoskeletal Class II condition, who had previously initiated orthodontic treatment and was referred by the orthodontist to the Oral and Maxillofacial Surgery specialist for evaluation. It was concluded that she was a suitable candidate for dentoskeletal correction surgery. To achieve this, a series of steps were undertaken, starting with presurgical planning using study models and tomographic imaging, culminating in the performance of a minimally invasive orthognathic surgery involving mandibular advancement and mentoplasty. This approach resulted in an uncomplicated recovery, reduced hospital stay, and satisfactory functional and aesthetic outcomes for the patient.
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    Virus del papiloma humano y su implicancia en el ámbito odontológico. Una revisión de la literatura
    (Universidad de Cuenca. Facultad de Odontología, 2025-10-08) Yamasqui Encalada, Wendy Viviana; Pesántez Alvarado, Juan Martín
    Background: Human Papillomavirus is a non-enveloped virus, it is transmitted either by direct contact, placental cells, blood, autoinoculation, etc., being able to cause benign or malignant lesions in the genital and oropharyngeal area according to its variants. To prevent the development of these lesions, prophylactic vaccines were created, the efficacy of which in the oral region is debated. Objective: To describe the implications of the Human Papilloma Virus in the dental field in terms of transmission routes, associated pathologies, risk of malignant transformation and prevention. Methods: The literature review was performed using a search tree (Scopus, ScienceDirect, Google Scholar and ProQuest) using keywords (“Human papillomavirus”, “oral cavity”, “vaccine”, “risk”, “transmission”) and a Boolean connector (AND). The search was based on publications of the last five years in Spanish and English, open access (systematic reviews, metaanalysis, randomized controlled studies). A second selection was made by title and abstract, and finally, reading was performed to select relevant content. Results: The evidence highlights that the Human Papilloma Virus is directly responsible for the appearance of benign lesions, and also exerts an important influence on the appearance of malignant lesions in the oropharyngeal territory according to its variant, vaccination is considered an important method of prevention for cervical and oropharyngeal cancer. Conclusions: HPV is a virus with oncogenic capabilities whose presence is increasing in the world population, the preventive approach is key to the control of pathologies associated with this microorganism.
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    Efecto de la desinfección cavitaria en el rendimiento clínico de los adhesivos dentales. Revisión de la literatura
    (Universidad de Cuenca, 2025-09-30) González Chalán, José Luis; Rentería Guerrero, Vicenta Jannett
    Achieving a reliable bond between dental tissue and restorative material has long been a challenge, prompting significant advancements in adhesive dentistry. Considering that secondary caries and cavity contamination are factors that compromise adhesion, the use of disinfecting agents is essential to ensure optimal bonding. Therefore, the objective of this study was to analyze the existing scientific evidence on the effect of cavity disinfection on the performance of dental adhesive systems. A literature review was conducted using databases such as Scielo, Scopus, ScienceDirect, and PubMed, selecting 13 articles that met the inclusion criteria. A data extraction table was used to organize relevant information, followed by a qualitative analysis. The findings identified chlorhexidine as the most commonly used and studied disinfectant, which maintains or enhances bond strength, particularly when used with total-etch techniques. Other disinfectants such as EDTA and glutaraldehyde also showed positive outcomes. However, sodium hypochlorite reduced bond strength at higher concentrations, although this effect could be reversed with the application of sodium erythorbate. Additionally, emerging technologies such as laser irradiation and photodynamic therapy demonstrated variable results. It is concluded that the choice of disinfectant and the adhesive strategy significantly influence the clinical effectiveness of dental adhesives.
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    Ameloblastomas BRAF V600E mutantes: una revisión sistemática sobre su manejo clínico y terapéutico
    (Universidad de Cuenca, 2025-09-22) Arévalo Vintimilla, Paula Daniela; Rodríguez Coyago, María de Lourdes
    The evidence regarding the impact of the BRAFV600E variant on the prognosis of ameloblastoma is, at present, contradictory; Additionally, there are no clinical guidelines that compile the most significant data and direct the clinical procedure when diagnosing this tumor. Objective: To determine by systematic review the level of evidence available in terms of the diagnosis, prognosis, and treatment of BRAFV600E mutant ameloblastomas, delving into the possible benefit of molecular chemotherapy directed at the activating V600E genetic alteration in the BRAF protooncogene, without additional mutations, and in neoadjuvant scheme. Materials and methods: Based on the PRISMA guideline, a systematic bibliographic search was carried out in scientific databases of clinical studies published in the last 10 years on the prognostic diagnosis and treatment of BRAFV600E mutant ameloblastomas. Results: The diagnosis of a BRAFV600E ameloblastoma is guided by clinical-radiographic criteria, reinforced with pathological criteria, and confirmed with molecular biology aimed at determining the V600E variant, which, according to strong evidence, is related to greater disease-free survival. disease. Molecularly targeted chemotherapy, with an exclusive BRAF inhibitor, appears to offer a benefit over chemotherapy directed at two molecular targets of the MAPK pathway for recurrent or metastatic cases. Conclusion: The clinical and therapeutic management of BRAFV600E mutant ameloblastomas requires a multidisciplinary approach. Treatment with exclusive inhibitor in neoadjuvant therapy demonstrates survival advantages, and is reserved for recurrent or metastatic cases, although the evidence is deficient in quantity and quality.
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    Biomarcadores inflamatorios de periodontitis en fumadores de cigarrillos electrónicos. Una revisión exploratoria
    (Universidad de Cuenca, 2025-09-22) Jiménez Cuenca, Adriana Yamileth; Cordero Romero, Carlos Emilio; Carvajal Endara, Andrea Soledad
    Background: Periodontitis, a chronic inflammatory disease of multifactorial origin, may be modulated by the use of electronic cigarettes, reflecting its impact on the levels of inflammatory biomarkers. Objective: to select and analyze the current scientific evidence regarding variations in the levels of periodontitis biomarkers in e-cigarette smoking patients. Methods: we included studies that evaluated periodontitis biomarkers in crevicular fluid and saliva of e-cigarette smoking patients. Results: it was found that the use of electronic cigarettes alters the levels of certain biomarkers of inflammation compared to non-smoking patients, increasing the levels of TNF-α, IL-1β, IL-15, IL-18,IL-6, MMP-8 and CTX and reducing the levels of IL-10 and IL-1RA. Conclusion: the use of electronic cigarettes alters the levels of certain biomarkers of inflammation compared to non-smoking patients, supporting the hypothesis that their use represents an increased risk for periodontitis.
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    Anthropometry of the Upper Central Incisor: A Review of the Literature
    (Universidad de Cuenca, 2025-09-19) Molleturo Bermeo, Guisela Katalina; Viñan Romero, Tommy German; Abad Coronel, Cristian Gustavo
    The esthetic dimensions and proportions of the upper central incisors (UCI) are fundamental in dental and facial esthetics due to their prominence in the smile. This literature review aimed to establish the ideal width/length ratios of the UCIs. Nineteen relevant studies were identified after a search of 3 databases: PubMed, Scopus, and Springer. Results: Mean width/length ratios ranged from 80-85% in various populations. It has been corroborated that UCI dimensions present a significant difference between genders, with men showing larger dimensions in both width and height than women. The overall mean for males was 8.63 mm in width and 10.17 mm in length, while for females it was 8.32 mm and 9.36 mm, respectively. Conclusions: It is crucial to adapt dental treatments to individual patient characteristics to achieve functional and esthetic results. Factors such as gender, ethnicity and dental wear influence the dimensions and proportions, underlining the importance of individualizing dental treatments to optimize esthetic and functional results.
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    Manejo de la extracción dental en pacientes con tratamiento antiplaquetario: revisión de la literatura
    (Universidad de Cuenca, 2025-09-19) Pérez Velastegui, Christian Andrés; Cazar Almache, Marcelo Enrique
    Objective: To detail the correct dental treatment for patients receiving antiplatelet therapy during dental extractions, examining the scientific literature in order to define protocols and hemostatic actions that reduce the risks of bleeding and thromboembolic events. Methodology: A rigorous analysis of the literature on surgical treatment in patients receiving antiplatelet therapy was carried out, examining research published in recent years. The most frequently used protocols, clinical strategies for discontinuing or maintaining medication, and hemostatic techniques used were analyzed. Results: The findings highlight two fundamental strategies: discontinuation and persistence of antiplatelet therapy. The research indicates that discontinuing treatment may decrease the danger of bleeding, however, it considerably increases the danger of thromboembolic events, such as myocardial infarction or stroke. On the other hand, maintaining antiplatelet therapy, in combination with local hemostatic measures such as sutures, tranexamic acid, and collagen sponges, facilitates efficient management of postoperative bleeding, with no notable differences relative to patients who discontinue treatment. Conclusions: It is common to maintain antiplatelet therapy during minor dental interventions, such as extractions, provided the correct hemostatic measures are used. This method reduces thromboembolic hazards and facilitates effective bleeding control.
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    Efectividad de los selladores dentales en la prevención de caries en población pediátrica: una revisión narrativa
    (Universidad de Cuenca, 2025-09-19) Arias Astudillo, Mónica Catalina; Berliner Jiménez, Daniela Lisbeth; Terreros Peralta, Andrea Catalina
    Dental caries is one of the most prevalent conditions in childhood, affecting both deciduous and permanent teeth. The aim of this narrative review is to analyze the scientific evidence available on the efficacy of dental sealants in the prevention of dental caries in the pediatric population in children between 5 and 12 years of age. Materials and methods: A narrative review of the scientific literature published between 2020 and 2025 in databases such as PubMed, Scielo and ScienceDirect was carried out. Clinical trials and reviews with mínimum follow-up of 12 months were included. Conclusions: Personalized and continuous prevention of children's oral health should be prioritized, considering that all the types of sealants analyzed have been shown to be effective in preventing caries in the pediatric population. The choice of the appropriate sealant will depend on the specific clinical conditions, the patient's level of cooperation and the available resources dental caries affecting both primary and permanent teeth. In pediatric dentistry, pit and fissure sealants act as a physical barrier that blocks the acc.
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    Erupción pasiva alterada: reporte de caso
    (Universidad de Cuenca, 2025-09-19) Romero Paguay, Ana Paula; Pinos Ochoa, Xavier Andrés
    Altered passive eruption (APE) is a morphological anomaly that occurs during tooth eruption. This excess gingiva around the teeth causes aesthetic problems such as short clinical crowns. These aesthetic deficiencies can lead patients to seek treatment to address them. The management of APE is dictated by its classification, which is obtained based on clinical and radiographic studies. The aim of this article is to present a clinical case with the correct management of altered passive eruption, performing a diagnosis and treatment plan adapted to the patient's needs.
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    Efectividad del láser de baja intensidad y PRF en la evolución postoperatoria de terceros molares
    (Universidad de Cuenca, 2025-09-18) Carrillo Naranjo, Arianna Daniela; Chimbo Gutierrez, Jhulissa Mercedes; Pineda Álvarez, David Manuel
    Objective: To evaluate and compare the effectiveness of Platelet-Rich Fibrin (PRF) and Low-Level Laser Therapy (LLLT) in reducing postoperative pain, inflammation, trismus, and enhancing healing after lower third molar extraction, based on evidence published since 2010. Materials and Methods: A comprehensive literature review was conducted using PubMed, Google Scholar, and SciELO, including studies published between 2010 and 2024. After applying inclusion and exclusion criteria, 30 relevant articles were selected for detailed analysis. Results: Both LLLT and PRF were found to significantly reduce postoperative pain, edema, and trismus following third molar surgery. LLLT exerts its effects through photobiomodulation, while PRF promotes tissue repair via the sustained release of growth factors. Although the results are promising, methodological heterogeneity among studies limits direct comparisons. Moreover, current evidence regarding the combined use of LLLT and PRF remains insufficient to draw definitive conclusions. Conclusions: LLLT and PRF are effective strategies for enhancing postoperative recovery after third molar extraction. Their combined use may offer synergistic benefits; however, further research with standardized protocols is necessary to support their routine clinical application.
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    Eliminación selectiva de tejido cariado en odontología mínimamente invasiva: revisión de literatura
    (Universidad de Cuenca, 2025-09-19) Auquilla Bravo, Flavia Camila; Palacios Astudillo, Iván Andrés
    Objective: This study aims to evaluate current techniques in minimally invasive dentistry and compare their effectiveness and advantages with conventional methods. Methods: A search was conducted in PubMed, ScienceDirect, and Google Scholar databases, including studies that assess new carious tissue removal techniques within minimally invasive dentistry. After the search, 28 studies were selected. Results: The research shows that selective carious tissue removal is safe and has success rates comparable to conventional techniques. Conclusion: Minimally invasive techniques, such as selective carious tissue removal, are a safe strategy that allows for the conservation of most of the dental tissue, offering multiple advantages over conventional techniques. General Area of Study: Dentistry. Specific area of study: Operative dentistry. Type of study: narrative bibliographic review. Author Keywords: minimally invasive surgical procedures, restorative dentistry. Type of study: narrative bibliographic review.
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    Comparación de la eficacia de fibra de polietileno versus composite reforzado con fibra corta como sustitutos de dentina en dientes tratados endodónticamente. Revisión narrativa
    (Universidad de Cuenca, 2025-09-18) Llapa Yuquilima, Carla Cecilia; Iñiguez Matute, Wendy Dayanna; Alvarado Jiménez, Omar Ricardo
    In dentistry, fiber-reinforced materials present various applications, especially in the restoration of endodontically treated teeth. Among these, short fiber-reinforced composites (SFRC) and polyethylene fibers (PF) are used as substitutes for dentin structure to improve the physical properties of dentin. Objective: to evaluate the efficacy of polyethylene fiber versus short fiber-reinforced composites as dentin replacement materials in endodontically treated teeth (EET). Methodology: A narrative review was performed by searching for articles related to polyethylene fibers and short fiber-reinforced resin composites published between 2013 and 2024. The databases consulted were PubMed-MEDLINE, Google Scholar and Scopus. A total of 34 relevant studies were selected that aligned with the aim of the present article, including in vitro studies, systematic reviews, and narrative literature reviews. Conclusion: The studies reviewed indicate that glass fiber-reinforced resins offer greater fracture resistance, integrity, and clinical longevity than polyethylene fibers. This makes them an effective alternative as a dentin replacement material for endodontic teeth.
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    Recubrimiento de resina, una alternativa en las técnicas de sellado dentinario: una revisión de la literatura
    (Universidad de Cuenca, 2025-09-18) Villacis Manosalvas, Jhonatan Sebastian; Alvarado Jiménez, Omar Ricardo
    Objective: Resin coating is a dentin sealing technique, used in a wide branch of dentistry. This technique was invented in Japan in the early 1990s by doctors who were experts in adhesive systems, which have had great evolution over the years. However, having a wide spectrum of adhesive systems, in the resin coating technique the self-etch adhesive is recommended. After countless investigations, it was possible to discover the existence of a new zone that improves adhesion, called the acid-base resistant zone (ABR), which is created by the penetration of the monomer into the dentin and thanks to the chemical bond with the smear particles. dentin, it must be considered that this is only produced thanks to self-etching adhesive systems. This technique has also helped in different areas of dentistry and not only in dental surgery, such as endodontics, prosthodontics, and even a new thin film system has been developed, to be able to have a better result in indirect restorations and so that they do not interfere. because of its thickness.
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    Remineralización biomimética de esmalte y dentina. Una revisión de la literatura
    (Universidad de Cuenca, 2025-09-18) Paladinez Carrión, Yuliana Elizabeth; Sauca Chalán, Nancy Pilar; Palacios Astudillo, Iván Andrés
    Objective. To analyze the literature regarding enamel and dentin remineralization with biomimetic materials to understand their effectiveness and clinical applications. Methodology. Comprehensive research of scientific articles was conducted that included in vitro studies, systematic reviews, and meta-analyses published between 2019 and 2024. The databases consulted were Pubmed, Science Direct, and Springer Link and Google academic was used as a secondary search engine. Results. Despite all the promising studies, biomimetic strategies still face challenges in the field of dentistry. Conclusion. Biomimetic remineralization has evolved from an experimental concept to an emerging clinical reality, establishing P11-4 peptides, stabilized CPP-ACP dentifrices, and zinc-carbonate hydroxyapatite as viable therapeutic options for immediate implementation. The trend toward multifunctional materials combining remineralizing, antibacterial, and anti-adhesive properties represents a paradigmatic evolution that transcends traditional restorative approaches toward comprehensive tissue regeneration. Despite promising evidence, a critical gap persists between abundant laboratory research and limited clinical evidence requiring priority attention. Biomimetic remineralization possesses transformative potential to revolutionize preventive and therapeutic management of dental caries, transitioning toward a regenerative model that could significantly reduce the burden of oral disease at the population level. General Area of Study: Medicine. Specific area of study: Dentistry. Type of study: Systematic bibliographic review.
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    Prevalencia de fracturas mandibulares asociadas a la exodoncia de terceros molares inferiores: revisión narrativa
    (Universidad de Cuenca, 2025-09-18) Lazo Santacruz, Lissbeth Yesenea; Méndez Guevara, Christian David; Calderón Calle, Mario Esteban
    Dental extractions are routine procedures in dental practice; however, the extraction of lower third molars can lead to complications such as mandibular fractures. Various studies have shown that impacted lower third molars, classified as Class II and III, Types B and C according to Pell and Gregory, and with mesioangular orientation according to Winter's classification, represent the main risk factors. Objective: To review scientific literature from specialized databases on the association between the extraction of lower third molars and the incidence of mandibular fractures, using targeted academic resources. Methodology: A bibliographic review was conducted using databases such as PubMed, Scielo, and Google Scholar. The search strategy included keywords from the MeSH and DeCS thesauri, combined with Boolean operators (AND, OR, NOT) and refined using the PRISMA method. Inclusion criterio consisted of articles published within the last 10 years, with no language restrictions, human studies, systematic reviews, and meta-analyses. Studies with poor methodology, lacking peer review, as well as theses and books, were excluded. Results: Seven articles were selected, revealing that mandibular fractures are an uncommon complication. Age and the clinician’s level of expertise were noted as contributing risk factors. Conclusions: Mandibular fractures are rare but serious complications occurring in less than 1% of cases. The most frequent predisposing factors are mesioangular orientation according to Winter and Class II and III impactions based on the Pell & Gregory classification.
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    Reconstrucción maxilar con implantes subperiósticos personalizados. A propósito de un caso clínico
    (Universidad de Cuenca, 2025-09-18) Guartazaca Guartazaca, Belkis Gabriela; Taipe Bautista, Diego Fabricio; Guamán Roldán, Hugo Xavier
    Introduction: Surgical reconstruction and subsequent rehabilitation in patients with severe atrophies or significant bone defects in the maxilla represent a complex challenge in maxillofacial surgery. In the case of patients who have undergone maxillectomies, customized subperiosteal implants emerge as an effective alternative to conventional endosseous implants. Objective: This article aims to describe the rehabilitation of a patient with a history of partial maxillectomy using customized subperiosteal implants. Case report: A 77-year-old male patient, who had undergone a partial maxillectomy and reconstruction with a scapular free flap, was rehabilitated using customized subperiosteal implants. The implants were digitally designed using computer-aided design (CAD) software and manufactured from titanium. The surgical intervention was performed under general anesthesia, with a crestal incision and the use of a positioning guide to ensure precise placement of the implants. A provisional fixed polymethyl methacrylate (PMMA) prosthesis was placed immediately after surgery. Conclusion: Customized subperiosteal implants are an effective solution for severe maxillary defects, offering better outcomes and shorter treatment times thanks to technological advancements in their design.
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    Manejo de la parestesia del nervio dentario inferior postextracción de terceros molares mediante terapia láser: una revisión
    (Universidad de Cuenca, 2025-09-18) Calle Calle, Samantha Nicole; Ojeda Arechua, Edisson Gonzalo; Pineda Álvarez, David Manuel
    Introduction: Extraction of mandibular third molars is a common intervention that can cause complications such as damage to adjacent teeth, swelling, bleeding, infection and nerve injuries, with injury to the inferior alveolar nerve (IAN) being significant. Low-level laser therapy is presented as a promising option for the regeneration of damaged nerve tissue and the treatment of paresthesia. Methodology: A narrative review was performed with an exhaustive search in databases such as Science Direct, PubMed and Google Scholar using validated DeCS descriptors between 2019 and 2024. Inclusion criteria covered publications in Portuguese, English and Spanish languages, while studies on other surgical procedures were excluded. Results: 13 representative articles were identified. Low-level laser therapy (LLLT) has been shown to be effective in nerve tissue regeneration and pain relief, with significant improvements in healing and neurosensory recovery. Discussion: The literature agrees that LLLT is effective in treating post-surgical paresthesia, although standardization of protocols is needed. Some studies suggest combining LLLT with vitamin B12 as an additional benefit. Conclusions: LLLT has great potential for treating paresthesia after third molar extraction. However, the lack of standardization in protocols limits its clinical implementation, and more studies in this area are recommended. General field of study: Dentistry. Specific field of study: Oral Surgery. Type of article: Narrative literature review.
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    Validación de la distancia entre el cénit del margen gingival del canino superior y el cénit del margen gingival del canino inferior ipsilateral como método para determinar la dimensión vertical oclusal en estudiantes de la Facultad de Odontología de la Universidad de Cuenca durante el periodo septiembre 2024 - agosto 2025
    (Universidad de Cuenca, 2025-09-18) Portocarrero Miranda, Mariam Gabriela; Malla Bernal, Kelly Tatiana; Abad Coronel, Cristian Gustavo
    Background: The occlusal vertical dimension (OVD) is a fundamental parameter in the diagnosis and treatment planning for prosthetic restorations. The scientific literature presents several methods for determining this dimension; however, there is no consensus on a universally accepted procedure. Factors such as differences in biotypes and phenotypic characteristics of patients in certain populations may influence variations in the measurements obtained. Objective: Determine the validity of the distance between the zenith of the gingival margin of the upper canine and the zenith of the gingival margin of the ipsilateral lower canine as a method to establish the occlusal vertical dimension in individuals belonging to a particular population. Methods: A total of 210 students with healthy and complete dentition belonging to an Ecuadorian population were evaluated. The DVO was recorded by measuring the distance from the zenith of the gingival margin of the upper canine to the zenith of the gingival margin of the ipsilateral lower canine. Results: The total mean of the biometric measurements yielded a value of 16.8 mm, and the variations between the left and right sides of the same patient were, on average, less than 1 mm, slightly lower than reported, both measurements being clinically non-significant. The mean of the dimension evaluated was slightly higher for men (1.15 mm) in relation to women. Conclusion: The method used in this study could be recommended as a valid reference to determine and evaluate the DVO in patients with normal occlusion to diagnose and plan future comprehensive restorative treatments.
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    Afecciones orales en pacientes con cuidado paliativo, atendidos en FASEC. Enero - junio 2025. Cuenca, Ecuador
    (Universidad de Cuenca, 2025-09-18) Jimbo Pineda, Carolina Estefanía; Quizhpi Zatisaval, Geovanny Matías; Carvajal Endara, Andrea Soledad
    Background: patients receiving palliative care present various conditions in the oral cavity due to a weakened immune and physical state. A large proportion of them lose the ability to express their symptoms, making timely identification of these conditions essential. Objective: to determine the prevalence of oral conditions in palliative care patients treated at FASEC, from January to June 2025, in Cuenca, Ecuador. Methodology: a descriptive cross-sectional study was conducted to assess the prevalence of oral conditions in palliative care patients admitted to FASEC. Observers were trained and calibrated prior to data collection. Information was gathered through clinical oral examination and questionnaire. For statistical analysis, the Statistical Package for the Social Sciences (SPSS) was used, and data were presented using frequency and central tendency measures. Results: the prevalence of the following oral conditions was identified: hyposalivation (80%), xerostomia (93,33%), dysphagia (33,33%), codes 2, 3, and 4 of the Community Periodontal Index of Treatment Needs (100%), and dental caries (100%). Less frequent oral manifestations included mucositis (46,67%), edentulism (40%), and candidiasis (26,67%). Conclusions: the high prevalence of oral cavity conditions highlights the importance of incorporating continuous dental care within the comprehensive management of patients in palliative care. This approach should prioritize both prevention and timely treatments tailored to individual needs, with the goal of preserving oral health and improving the quality of life for this population.