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      Comportamiento de la gingivitis ulceronecrotizante aguda: Departamento de estomatología de Conuco Viejo Translated title: Behavior of acute ultranecrotizing gingivitis at the stomatologic: Department of Conuco Viejo

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      Revista Médica Electrónica
      Universidad de Ciencias Médicas de Matanzas
      GINGIVITIS ULCEROSA NECROTIZANTE, GINGIVITIS ULCEROSA NECROTIZANTE, GINGIVITIS ULCEROSA NECROTIZANTE, FACTORES DE RIESGO, ENCUESTAS DE SALUD BUCAL, ESTUDIOS OBSERVACIONALES, EPIDEMIOLOGÍA DESCRIPTIVA, ESTUDIOS PROSPECTIVOS, ESTUDIOS TRANSVERSALES, HUMANOS, ADOLESCENCIA, ADULTO, MEDIANA EDAD, GINGIVITIS, NECROTIZING ULCERATIVE, GINGIVITIS, NECROTIZING ULCERATIVE, GINGIVITIS, NECROTIZING ULCERATIVE, RISK FACTORS, DENTAL HEALTH SURVEYS, OBSERVATIONAL STUDIES, EPIDEMIOLOGY, DESCRIPTIVE, PROSPECTIVE STUDIES, CROSS-SECTIONAL STUDIES, CROSS-SECTIONAL STUDIES, HUMANS, ADULT, MIDDLE AGED

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          Abstract

          Se realizó un estudio observacional descriptivo prospectivo de corte transversal, con el objetivo de determinar el comportamiento de la gingivitis ulceronecrotizante aguda, en 37 pacientes entre 15 y 50 años de edad, quienes acudieron al servicio de estomatología de Conuco Viejo, municipio García, en el período comprendido de enero a diciembre de 2009. Se caracterizaron a los pacientes estudiados según variables sociodemográficas, y se identificó los factores de riesgo presentes, así como el nivel de conocimientos sobre salud bucodental. Se les realizó un examen clínico minucioso y se le aplicó una encuesta de conocimiento de salud bucal. Se encontró que los adolescentes de 15-20 años y adultos jóvenes de 21-26 años fueron los más afectados, con un 32,44 % y 29,73 %, respectivamente. El sexo femenino, con un 62,16 %, el nivel educacional secundaria básica con 40,55 % fueron los de mayor porcentaje. Dentro de lo factores de riesgo, los mayores por cientos correspondieron a la gingivitis crónica en los locales, con un 75,67 %, mientras que el estrés en los generales, con 59,45 %. Al aplicarse la encuesta de conocimientos un 54,05 % de los pacientes estudiados fue evaluado de mal.

          Translated abstract

          We carried out a transversal prospective descriptive observational study with the objective of determining the behavior of acute ultranecrotizing gingivitis, in 37 15 to 50 years-old patients, who visited the Stomatologic Service of Conuco Viejo, municipality of García, in the period from January to December 2009. The studied patients were characterized according to sociodemographic variables and the present risk facts were identified, and also the level of knowledge on buccal dental health. A thorough clinic examination was made and the patients applied an inquiry of knowledge on buccal health. We found that 15-20 years-old adolescents and 21-25 years-old young adults were the most affected patients, with 32,44 % and 29,73 % respectively. The female genre, with 62,16 %, and the high school scholarship with 40,55 % showed the highest percentages. Among the local risk facts, the highest percents corresponded to chronic gingivitis, with 75,67 %, while stress represented the highest percent among general risk facts, with 59,45 %. As the result of the enquiry, the knowledge of 54,05 % of the studied patients were evaluated as unsatisfactory.

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          Compêndio de Periodoncia

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            Periodontología clínica de Glickman

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              Necrotising ulcerative gingivitis/periodontitis as indicators of HIV-infection.

              Necrotising ulcerative gingivitis/periodontitis (NUG/NUP) are well-documented oral manifestations of HIV infection/AIDS. However, no information is available regarding the predictive value of NUG in the diagnosis of HIV-infection in South Africa. The purpose of this study was to determine a possible correlation between NUG/NUP and HIV infection in the as yet undiagnosed patients. Eighty-six systemically asymptomatic patients were diagnosed with NUG/NUP. All patients were treated with 400 mg of metronidazole and 500 mg paracetamol, three times a day for five days. Mechanical debridement under local anesthesia was performed five days after the initial consultation. The possible involvement of HIV-infection was explained and patients were advised to have a blood test taken. Fifty-six patients consented and received pre- and post-test counselling. Of the fifty-six patients, thirty-nine were found to be HIV positive with CD+ T cell counts ranging between 9 and 1,205 cells/mm3. There was a statistically significant correlation between CD4+ T cells below 500 cells/mm3 (p = 0.000) as well as with CD4+ T cells below 200 cells/mm3 (p = 0.001) and NUP/NUG. From these results it is concluded that in the GaRankuwa and surrounding areas, NUG/NUP in otherwise systemically healthy individuals is strongly correlated with HIV infection, with a predictive value of 69.6 per cent (p = 0.01). It is recommended that patients presenting with these conditions be encouraged to undergo testing to establish their HIV status for appropriate referrals and management.
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                Author and article information

                Journal
                rme
                Revista Médica Electrónica
                Rev.Med.Electrón.
                Universidad de Ciencias Médicas de Matanzas (Matanzas, , Cuba )
                1684-1824
                June 2010
                : 32
                : 3
                Affiliations
                [01] Ciénaga de Zapata, Matanzas orgnamePoliclínico Universitario Celia Sánchez Manduley polciezap.mtz@ 123456infomed.sld.cu
                [02] orgnameUnidad Municipal de Higiene y Epidemiología
                Article
                S1684-18242010000300004 S1684-1824(10)03200304
                caae3e98-2ca7-41b6-a3c5-d34bdb3bbc55

                This work is licensed under a Creative Commons Attribution-NonCommercial 4.0 International License.

                History
                : 15 March 2010
                : 26 April 2010
                Page count
                Figures: 0, Tables: 0, Equations: 0, References: 19, Pages: 0
                Product

                SciELO Cuba

                Categories
                ARTÍCULO ORIGINALES

                GINGIVITIS, NECROTIZING ULCERATIVE,GINGIVITIS ULCEROSA NECROTIZANTE,MEDIANA EDAD,MIDDLE AGED,ADULT,HUMANS,CROSS-SECTIONAL STUDIES,PROSPECTIVE STUDIES,EPIDEMIOLOGY, DESCRIPTIVE,OBSERVATIONAL STUDIES,DENTAL HEALTH SURVEYS,RISK FACTORS,ADULTO,ADOLESCENCIA,HUMANOS,ESTUDIOS TRANSVERSALES,ESTUDIOS PROSPECTIVOS,EPIDEMIOLOGÍA DESCRIPTIVA,ESTUDIOS OBSERVACIONALES,ENCUESTAS DE SALUD BUCAL,FACTORES DE RIESGO

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