Publicación:

Alteraciones del sistema estomatognático relacionadas con la práctica odontológica y médica

Resumen

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.