medigraphic.com
ISSN 1561-3003 (Electronic)

2016, Number 3

<< Back Next >>

Rev Cubana Hig Epidemiol 2016; 54 (3)

Stomatognathic system alterations related to dental and medical practice

Benavides MJA, Hidalgo CPD, Arroyo ECG, Argotty PE

Language: Spanish
References: 29
Page: 37-52
PDF size: 269.64 Kb.


ABSTRACT

Introduction: Procedures and materials used in Dentistry and Medicine may cause potentially harmful and toxic effects on the stomatognathic system (SS).
Objective: To determine the relationship between the alterations of the SS with the use of materials and/or procedures in dental and medical practice.
Methods: A descriptive, observational and retrospective study was performed with patients from the Dental Clinic (DC) of the School of Dentistry at Universidad Cooperativa de Colombia-Pasto during 2005-2015, corresponding to 3 913 clinical records (CR); also patients treated at the Hospital Universitario Departamental de Nariño (HUDN) during 2003-2013, from a database of 3 443 CR with similar alterations. Thirty-six specialists of Dentistry and Medicine were surveyed. Patients with related predisposing diseases and incomplete CR were excluded. Alterations were divided in 5 groups: materials; manipulation; anesthesia; radiology; and chemicals.
Results: At the DC, 239 patients presented alterations (prevalence= 6.1 % CI95 % [5.4 %-6.9 %]), especially due to materials (denture stomatitis) and manipulation (contaminated endodontic treatment); 64 types of alterations were found (16 through DR and 48 from surveys). At the HUDN, 250 patients presented alterations (prevalence= 7.3 % CI95 % [6.4 %-8.2 %]), caused mainly by endoscopy traumas and surgical procedures, adverse effects to drugs, mouth abseso and wounds of the oral cavity; 53 types of alterations were found (34 in CR and 19 through surveys). Latex, amalgam and sodium hypochlorite are the most common materials related to alterations of the SS.
Conclusion: The obvious underreporting indicates the importance of training professionals, to provide better health services and improve dental and medical procedures.


REFERENCES

  1. Ministerio de la Protección Social de la República de Colombia. Lineamientos para la implementación de la política de seguridad del paciente. Bogotá D.C. Ministerio de la Protección Social de la República de Colombia; 2008. 47 p.

  2. Castillo B, Rezzónico MS, Irazuzta ML, Castillo G, Bregains L, Priotto E, et al. Educación técnico profesional. La enseñanza y el aprendizaje de las normas de higiene y bioseguridad en la formación del odontólogo. Congreso Iberoamericano de Educación Metas 2021. Buenos Aires, Argentina. 2010:1-15.

  3. Rodríguez J, Ruiz F, Peñaloza E, Eslava J, Gómez LC, Sánchez H, et al. Encuesta Nacional de Salud. Colombia; 2007.

  4. Alvarado V, Ramírez V, Sánchez N, Pineda E. Identificación de pacientes con iatrogenias realizadas en otras instituciones, que ingresaron al Servicio de Atención Prioritaria de la Facultad de Odontología de la Universidad de Antioquia en el periodo 2009-1. Rev Fac Odontol Univ Antioq. 2010;22(1):72-80.

  5. Restrepo DP, Ardila CM. Reacciones adversas ocasionadas por los biomateriales usados en prostodoncia. Av. Odontoestomatol. 2010;26(1):19-30.

  6. Pareja M, Pareja M. Enfermedad iatrogénica en odontología. Cultura. Rev. Asoc. Doc. USMP. 2007;25(21):437-66.

  7. Nápoles I, Díaz S, Puig E, Casanova Y. Prevalencia de la estomatitis subprótesis. AMC. 2009;13(1):1-7.

  8. Espasandin S, Martínez G, Reyes V, Díaz R. Estomatitis subprótesis en pacientes con prótesis de más de 2 años de uso. Rev. de Ciencias Médicas de La Habana. 2013;19(2):234-43.

  9. Sáez R, Carmona M, Jiménez Z, Alfaro X. Cambios bucales en el adulto mayor. Rev Cubana Estomatol. 2007;44(4):1-14.

  10. Perea-Pérez B, Labajo-González E, Santiago-Sáez A, Albarrán-Juan E, Villa-Vigil A. Analysis of 415 adverse events in dental practice in Spain from 2000 to 2010. Med Oral Patol Oral Cir Bucal. 2014;19(5):e500-5.

  11. Salcedo J, Vila D. Revisión sistemática de eventos adversos en el servicio de odontología. Revista Colombiana de Investigación en Odontología. 2014;5(14):116-27.

  12. Betancourt H, Aracena D, Bustos L. Estudio comparativo in vitro de la calidad de obturación del Sistema ProTaper Universal Manual, versus el Sistema de Condensación Lateral. Int. J. Odontostomat. 2011;5(1):49-53.

  13. Daubländer M, Müller R, Lipp MD. The incidence of complications associated with local anesthesia in dentistry. Anesth Prog. 1997;44(4):132-41.

  14. González M, Galindo A. Morbilidad relacionada con la anestesia odontológica. Rev ADM. 2000;LVII(1):33-5.

  15. Windsor J, Lockie J. Anaesthesia and dental trauma. Anaesthesia and intensive care medicine. 2011;12(8):351-53.

  16. Costa S, Gasparini D, Valsecia M. Farmacovigilancia. Reacciones adversas producidas por hipoclorito de sodio como irritante en endodoncia. Comunicaciones Científicas y Tecnológicas. Resumen M-091. Argentina: Universidad Nacional del Nordeste; 2004.

  17. Zhu W, Gyamfi J, Niu L, Schoeffel J, Liu S, Santarcangelo F, et al. Anatomy of sodium hypochlorite accidents involving facial ecchymosis-A review. Journal of Dentistry. 2013;935-48.

  18. Kalenderian E, Walji M, Tavares A, Ramoni R. An adverse event trigger tool in dentistry: A new methodology for measuring harm in the dental office. The Journal of the American Dental Association. 2013;144(7):808-14.

  19. Obadan E, Ramoni R, Kalenderian E. Lessons learned from dental patient safety case reports. The Journal of the American Dental Association. 2015;146(5):318-26.e2.

  20. Ahmed A, Thongprayoon C, Schenck L, Malinchoc M, Konvalinová A, Keegan M, et al. Adverse in-hospital events are associated with increased in-hospital mortality and length of stay in patients with or at risk of acute respiratory distress syndrome. Mayo Clinic Proceedings. 2015;90(3):321-28.

  21. Güitron M, Carrillo M. Reacciones adversas a medicamentos en la boca del adulto mayor. Revista ADM. 2010;67(4):163-70.

  22. Lockhart PB, Hong CH, Van Diermen DE. The influence of systemic diseases on the diagnosis of oral diseases: a problem based approach. Dent Clin North Am. 2011;55(1):15-28.

  23. Gupta A, Epstein J, Cabay R. Bleeding disorders of importance in dental care and related patient management. JCDA. 2007;73(1):77-83a.

  24. Cedeño J, Rivas N, Tuliano R. Dental treatment in patients with anti-platelet (anti-aggregating) therapy. Revista Odontológica Mexicana. 2013;17(4):251-55.

  25. Benito-Urdaneta M, Benito-Urdaneta M, Bernardoni-Socorro C, Arteaga-Vizcaíno M, Benito-Urdaneta M. Manejo odontológico del paciente con terapia antitrombótica. Acta Odont Venezolana. 2009;47(1):1-11.

  26. Quintero C. Lesiones orales en el manejo de la vía aérea. Rev Col Anest. 2008;36:121-32.

  27. Sánchez M, Fonseca G. Identificación de lesiones orales por intubación durante el procedimiento de autopsia medicolegal. Oral. 2010(11):35:638-41.

  28. Pourasghar F, Malekafzali H, Kazemi A, Ellenius J, Fors U. What they fill in today, may not be useful tomorrow: Lessons learned from studying Medical Records at the Women hospital in Tabriz, Iran. BMC Public Health. 2008;8:139-45.

  29. Tribunal de Ética Odontológica. Código de ética del Odontólogo colombiano. Ley 35 del 8 de marzo de 1989. Decreto No. 491 del 27 de febrero de 1990.




2020     |     www.medigraphic.com