Oroal manifestations in patients with multiple sclerosis

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Title Oroal manifestations in patients with multiple sclerosis
Manifestaciones bucofaciales en pacientes con esclerosis múltiple
 
Creator María , Grajales González Hilda
Leticia , Munive Báez
 
Subject ;;;;
Esclerosis múltiple ;caries dental ;manifestaciones orales ;índice ceo;tratamiento inmunosupresor
 
Description Multiple sclerosis is a chronic autoimmune inflammatory disease of the central nervous system, characterized by the presence of acute focal inflammatory demyelination, axonal loss and gliosis. It affects predominantly in young adults between 20 and 40 years of age; it is infrequent in the pediatric age. A observational, retrospective and descriptive cohort research was conducted between May 1999 and January 2012 to assess demographic characteristics, and pathological manifestations in the oral cav- ity of children with this condition. Records of 17 patients, under 18 years of age, of either sex were included, who had been evaluated in the Department of Stomatology. Data recorded were age, sex, State of origin, oral and facial pathological features, focal cavity infections and ceod index. There were no patients with trigeminal neuralgia or facial paralysis; a 5.7% ceod index was identified. Most of the patients were under immunopressive treatment. A protocol for stomatological follow-up in patients with multiple sclerosis does not exist. The medical profession must be sensibilized to establish strategies for an integral follow-up in patients with this condition.
La esclerosis múltiple es una enfermedad crónica autoinmune inflamatoria del sistema nervioso central caracterizada por desmie- linización, inflamación focal, pérdida axonal y gliosis. Predomina en el adulto joven entre los 20 y 40 años de edad; es poco frecuente en la edad pediátrica. Se realizó un estudio de cohorte, observacional, retrospectivo, descriptivo de mayo de 1999 a enero de 2012 que evaluó las características demográficas, manifestaciones patoló- gicas en la cavidad bucal de niños con esclerosis múltiple. Los pacientes de ambos sexos eran menores de 18 años de edad, que fueron evaluados por el Servicio de Estomatología. Se revisaron 17 expedientes obteniendo datos demográficos, manifestaciones bucales y faciales patológicas, focos infecciosos en la cavidad bucal e índice ceod (dientes con caries, extraídas, obturadas) promedio de 5.7%. No hubo pacientes con neuralgia de trigémino ni con parálisis facial. La mayoría de los pacientes se encontraban bajo tratamiento inmunosupresor. No existe un protocolo de seguimien- to estomatológico en pacientes con esclerosis múltiple. Se debe sensibilizar a la población médica en este aspecto para establecer estrategias de seguimiento integral de estos pacientes.
 
Publisher Instituto Nacional de Pediatría
 
Date 2014-07-09
 
Type info:eu-repo/semantics/article
info:eu-repo/semantics/publishedVersion

 
Format application/pdf
 
Identifier http://ojs.actapediatrica.org.mx/index.php/APM/article/view/649
10.18233/APM34No5pp253-257
 
Source Acta Pediátrica de México; Vol. 34, Núm. 5 (2013); 253-257
2395-8235
0186-2391
 
Language spa
 
Relation http://ojs.actapediatrica.org.mx/index.php/APM/article/view/649/647
 
Rights Copyright (c) 2015 Acta Pediátrica de México
http://creativecommons.org/licenses/by/4.0
 

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