RESUMEN
To study the cytology profile of cervical smears and the respective prevalence and incidence of certain cervico-vaginal infections detectable by routine Pap smear cytology in Lebanese women from 2002 to 2006. Pap smear cytology results were compiled from the archives of the Institut National de Pathologie for the period extending from 2002 until 2006. This study covered 118,230 cervical specimens obtained from Lebanese women attending clinics and hospitals in all the five districts of Lebanon; prevalence and incidence rates for infections detectable by routine Pap smear examination were determined. A rise in prevalence of these infections by 2.1 percent (2,555) from 2002 to 2006 was revealed. A doubling of Pap smears showing HPV-associated changes was detected (1.4 percent in 2002 to 2.9 percent in 2006), and a simultaneous almost 7-fold increase of Atypical Squamous Cells of Undetermined Significance (ASCUS) cytology was detected during this period; the rise in ASCUS cytology was age-dependent. Moreover, a 60 percent increase in prevalence of bacterial vaginosis (2.3 percent in 2002 to 3.7 percent in 2006) and a more than 3-fold decline in Trichomonas vaginalis infection (1 percent in 2002 to 0.3 percent in 2006) were also noted in this population during this period. An increase in the prevalence and incidence of cervico-vaginal infections detectable by Pap smear cytology in Lebanese women was revealed from 2002 to 2006. Such changes could point to recent modifications of sexual and health behaviours in the Lebanese community.
Asunto(s)
Conductas Relacionadas con la Salud , Prueba de Papanicolaou , Conducta Sexual , Enfermedades de Transmisión Sexual/diagnóstico , Enfermedades de Transmisión Sexual/epidemiología , Frotis Vaginal , Adolescente , Adulto , Anciano , Anciano de 80 o más Años , Estudios Transversales , Femenino , Humanos , Líbano/epidemiología , Persona de Mediana Edad , Enfermedades de Transmisión Sexual/patologíaRESUMEN
A multitude of theoretical, etiologic and therapeutic approaches to temporomandibular joint (TMJ) dysfunction have been developed. In spite of all the efforts for combined therapy that have proliferated over the last years, the therapeutic options proposed for these patients are extraordinarily diversified and vary with the different schools. The different opinions are rarely in agreement. Everyone appears to be satisfied with such an extremely divergent approach to treatment where some patients undergo surgery of the TMJ while relaxation is proposed for others! In view of these very diverging opinions, we raise the question as to whether the results obtained with a truly psychosomatic approach using well-coordinated team work between stomatologists and psychotherapists might have a theoretical basis.
Asunto(s)
Trastornos Psicofisiológicos/terapia , Síndrome de la Disfunción de Articulación Temporomandibular/terapia , Terapia Combinada , Humanos , Medicina Oral , Planificación de Atención al Paciente , Grupo de Atención al Paciente , Psicoterapia , Terapia por Relajación , Síndrome de la Disfunción de Articulación Temporomandibular/etiología , Síndrome de la Disfunción de Articulación Temporomandibular/psicología , Síndrome de la Disfunción de Articulación Temporomandibular/cirugíaRESUMEN
The entire cephalometric parameters and specially the alveolar inclinations have to be taken into account, while treating skeletal sagittal discrepancies. In fact, they are either compensatory and should be kept as, or aggravating the basal bone discrepancies, manifesting a neuro-muscular imbalance and complicating remarkably the prognosis. In order to maintain the morphological results, the anatomical corrections have to take into account the neuro-muscular balance concerning position, function and tonicity. That is the concept which provides satisfactory surgical, orthopedic and natural results. We think that the goals of these treatments should not be limited to esthetic or standardized criteria. They have to be achieved in respect to this functional concept and absolutely adapted to each patient.
Asunto(s)
Maloclusión/terapia , Ortodoncia Correctiva , Cefalometría , Arco Dental/patología , Huesos Faciales/patología , Músculos Faciales/fisiopatología , Humanos , Maloclusión/clasificación , Maloclusión/patología , Maloclusión/fisiopatología , Mandíbula/patología , Maxilar/patología , Desarrollo Maxilofacial , Unión Neuromuscular/fisiopatología , Ortodoncia Correctiva/métodos , PronósticoRESUMEN
Glossodynias are a build up of painful lingual syndromes with neither a detectable visible lesion, nor of a known organic origin. An obvious discordance between the subjective feelings and the weakness, even absence of an objective lesion support able to explain them, can be observed. Being often considered by physicians to be of a psychological origin, they are always the object of never-ending research for a detectable lesion which would explain their complications. Following consultations with 114 patients in the department of Stomatology, and in collaboration with our neuropsychiatrist colleagues in the same hospital, we took stock of this frequent application which bothers the buccal specialist, who does not know to consider it or how to treat it.
Asunto(s)
Glosalgia , Diagnóstico Diferencial , Glosalgia/fisiopatología , Glosalgia/psicología , Glosalgia/terapia , HumanosRESUMEN
Orthodontic treatments are frequently given up: a recent study of the C.N.A.M.* has shown a rate of 51%. In spite of lightest and least constraining therapeutic methods, the authors estimate that 27% of the patients stop their treatment before the end. --Looking for the reasons why, they have found a "central nucleus" of about 27% which builds up a constancy of abandoned treatment undeniably in relation with an ethical phenomenon, plainly concerning the individual or the family. --That is to show the advantage of our adapted therapeutic possibilities to answer the patients' requests, and to clearly explain their benefits and their possible difficulties. In other words we have to admit the necessity of a more medical than mechanical approach in orthodontics.
Asunto(s)
Ortodoncia Correctiva/estadística & datos numéricos , Pacientes Desistentes del Tratamiento , Adolescente , Factores de Edad , Actitud , Niño , Relaciones Dentista-Paciente , Femenino , Francia , Humanos , Masculino , Maloclusión/diagnóstico , ProbabilidadRESUMEN
Dental pains provoked by an altitude beyond 5.000 ft can occur with any kind of tooth, healthy or restored. It is considered as a consequence of a brutal pressure change. The incidence has not been decreasing in spite of flight conditions improvement. These kind of dental pain cause a problem for those who fly: civilian and military pilots as well as airlines passengers. The conditions in which this might happened are variable. There may be a definite correlation between the character of the symptoms of aerodontalgia and the underlying pulpal pathology. The proposed etiology concerning pathological teeth is an oedema and hyperthermia of the pulp which can lead to necrosis. In an indirect type dental pain is secondary to stimulation of the superior alveolar nerves by a maxillary barosinusitis, or anatomic malformation. The most frequent is a pain during ascent (decompression), and the most concerned teeth are upper molars. The preventive treatment is very important. Both complete clinical and radiological examinations must be achieved. Regular dental examination are-essential for the crew. Aerodontalgia can be largely prevented by high quality root and dental cares. The case of a 26 years old man who use to suffer for a long time of dental pain during flights is in accordance with the dominant clinical symptoms of this affection.
Asunto(s)
Medicina Aeroespacial , Presión Atmosférica , Odontalgia/etiología , Adulto , Atención Odontológica/normas , Humanos , Masculino , Enfermedades Dentales/prevención & control , Odontalgia/prevención & controlRESUMEN
Concerning three specimens of Bourneville tuberous sclerosis, after a brief recall of general statements about this disease, the authors describe in two out of the three cases published, lesions of buccal mucosis typical of this disease. Besicle hyperplasic lesions, quite common with these patients who are epileptic most of the time, thise lesions mostly consist of fibrous, non inflamatory nodule more frequents on gums, especially one the fore-part. The histologic aspects without being pathognomonic are still quite specific.
Asunto(s)
Enfermedades de la Boca/diagnóstico , Mucosa Bucal/patología , Esclerosis Tuberosa/diagnóstico , Adulto , Mejilla , Femenino , Encía/patología , Humanos , Hipertrofia/patología , Masculino , Enfermedades de la Boca/patología , Esclerosis Tuberosa/patologíaRESUMEN
Through a study of 68 patients, presenting 84 supernumerary teeth all together and, after a thorough survey of the literature, we can now state accurately about the frequency, location, surgery, X-Ray and heredity involved. After recalling and discussing the various pathological theories already set up, a theory has been put forward, more specifically intent on the explanation of frequent supernumerary teeth in the upper front teeth area. Nevertheless, the theories of extra growth and the overgrowth of the external layer remain worth while to explain some other locations.
Asunto(s)
Diente Supernumerario/patología , Adolescente , Adulto , Anciano , Niño , Preescolar , Femenino , Humanos , Masculino , Persona de Mediana Edad , Radiografía , Diente Supernumerario/diagnóstico por imagen , Diente Supernumerario/epidemiología , Diente Supernumerario/etiología , Diente Supernumerario/cirugíaRESUMEN
Supernumerary molars are a rather uncommon anomaly. It is more frequent in the upper than in the lower maxillary. Its pathology is often subdued and as a general rule it is detected by X-Ray. In our opinion, its setting shows two processes: --either an extra growth; it is then a normal tooth similar in shape to the wisdom tooth; --or an evagination of the external epithelial sheath giving way to a cone-shaped laterally set tooth.