SARS-CoV-2 is a new virus responsible for the outbreak of the respiratory disease COVID-19, which has spread to several countries around the world, causing considerable consternation and a fear of contagions in global healthcare settings. The objective of this study is to identify, among Madrid’s adult population, the impact of COVID-19 on self-perceived vulnerability, infectiousness, aversion to germs, and other behaviors in the current situation regarding dental practice. This cross-sectional observational study involves 1,008 persons randomly surveyed on the streets of Madrid, Spain between March 1 and March 8, 2020. Their perceived vulnerability to disease was measured using the perceived vulnerability to disease scale. An additional questionnaire evaluated basic sociodemographic aspects, medical history, personal hygiene behavior, willingness to go to certain places and the perception of the risk of contagion when going to a dental practice. There are significant differences by sex on the germ aversion subscale (p < 0.05) and in the risk of waiting in the waiting room (p < 0.01), tooth extraction ((p < 0.05), endodontics (p < 0.05) and fillings ((p < 0.05). Women consider the risk to be higher than men do. The risk group (over 60 and with systemic disease) has significant differences on the subscales of infectivity (p < 0.01) and germ aversion (p < 0.01). Our study shows high levels of vulnerability regarding contracting COVID-19 and avoiding dental care as perceived by the population over 60 years old and with a systemic disease.

Abstract SARS-CoV-2 is a new virus responsible for the outbreak of the respiratory disease COVID-19, which has spread to several countries around the world, causing considerable consternation and a fear of contagions in global healthcare settings. The objective of this study is to identify, among Madrid’s adult population, the impact of COVID-19 on self-perceived vulnerability, infectiousness, aversion to germs, and other behaviors in the current situation regarding dental practice. This cross-sectional observational study involves 1,008 persons randomly surveyed on the streets of Madrid, Spain between March 1 and March 8, 2020. Their perceived vulnerability to disease was measured using the perceived vulnerability to disease scale. An additional questionnaire evaluated basic sociodemographic aspects, medical history, personal hygiene behavior, willingness to go to certain places and the perception of the risk of contagion when going to a dental practice. There are significant differences by sex on the germ aversion subscale (p < 0.05) and in the risk of waiting in the waiting room (p < 0.01), tooth extraction ((p < 0.05), endodontics (p < 0.05) and fillings ((p < 0.05). Women consider the risk to be higher than men do. The risk group (over 60 and with systemic disease) has significant differences on the subscales of infectivity (p < 0.01) and germ aversion (p < 0.01). Our study shows high levels of vulnerability regarding contracting COVID-19 and avoiding dental care as perceived by the population over 60 years old and with a systemic disease.

Abstract Introduction: to know the causes of tooth extraction in child population, as much from deciduous as from definitive dentition, is necessary to be able to appreciate the impact of the preventive measures, as well as determine the intervention in matters of oral health to get a healthy population. Materials and methodologies: epidemiologic, observational, descriptive and transversal study is designed in the usual practice of odontology. Its population was people under the age of 18 who went to University Surgery, and those who got one or more teeth extracted. Results: 97 removals were made to 55 patients (4% of treated population), 58.8% were female patients. The average age was 8.69 (EV 2.15). The most frequent age range to have teeth extracted was from 6 to 10 years old (52.6%). Dental growing disorder was the most frequent cause of tooth extraction (39.2%), followed by caries (34%). In foreign population the most frequent cause was the caries (69.76%). Conclusions: it is necessary to introduce, from pediatric consulting rooms in odontology, preventive measures in the population from 6 to 10 years old, reinforcing dietetic and nutritional habits which ease a proper reabsorption of deciduous dentition, to decrease the number of extractions and to get a right oral health.

Resumen Introducción: conocer las causas de exodoncia en la población infantil, tanto en la dentición temporal como en la permanente, es necesario para poder valorar el impacto de las medidas preventivas, así como para definir las actuaciones en materia de salud bucodental. Material y métodos: estudio de campo epidemiológico, observacional, descriptivo, transversal en la práctica clínica habitual, siendo la población de estudio los menores de 18 años que acuden a la clínica universitaria y a los que se les exodoncia uno o varios dientes. Resultados: se realizaron 97 exodoncias a 55 pacientes (4% de la población atendida), un 58,8% eran niñas. La media de edad fue de 8,69 años (desviación estándar [DE] 2,15). El tramo etario en el que se realizaron más exodoncias fue el de seis a diez años (52,6%). La alteración de la erupción dentaria (39,2%) fue la causa más frecuente de exodoncia, seguido por la caries (34%). En la población inmigrante la causa más frecuente fue la caries (69,56%). Conclusiones: es necesario implementar, desde las consultas de Pediatría y gabinetes de Odontología, medidas preventivas en la población de seis a diez años potenciando hábitos dietéticos y nutritivos que faciliten una correcta reabsorción de la dentición temporal, para disminuir el número de exodoncias y conseguir una correcta salud oral.

Surgical orthopedic treatment of cleft palate continues to be a controversial theme due to the fact that it is not clear if it has lasting esthetic effects and to the controversy that exists with regard to its effects on dental occlusion. There are different treatment modalities. We present two cases treated with Latham´s philosophy.

El tratamiento ortopédico prequirúrgico de la fisura palatina es un tema controvertido debido a que no está claro si los efectos estéticos son o no duraderos y a que tampoco están claros los efectos que este tratamiento produce sobre la futura oclusión. Existen diferentes modalidades de tratamiento. Se presentan dos casos clínicos tratados con la filosofía de Latham.

The haemangiolymphangioma is a vascular anomaly with a mixture of blood and lymphatic vessels, whose aethiopathogenesis is discussed, althoughat present it is thought to have an dysembryoplastic origin. Its growth is painless, slow and progressive and its prognosis usually good. Its treatment may be diverse, but the most frequent and effective one is thesurgical approach. We present a report about a haemangiolymphangioma of several years of evolution,located on the gingival tissues, with its histopathologic diagnosis, withgood prognosis

Los hemangiolinfangiomas (hemolinfangiomas), son lesiones angiomatosas con mezcla de vasos sanguíneos y linfáticos, de etiopatogenia controvertida. Actualmente se piensa en un origen disembrioplásico, de crecimiento indoloro, lento y progresivo y pronóstico generalmente bueno. El tratamiento puede ser de distinto tipo, aunque lo más habitual y efectivo suele ser el tratamiento quirúrgico. Presentamos un hemangiolinfangioma de varios años de evolución, a nivel de encía, con diagnóstico histopatológico y buen pronóstico.

The relationship between thumb sucking and malocclusion is reviewed,as well as the treatment approaches for the elimination of the suction habit and its effects. Two clinical cases, one in primary dentition and another one in mixed dentition, with this habit are presented, explaining their different treatments, performed according to the occlusal, functional and psychological implications in each patient.

Se presenta una actualización del hábito de succión digital y su relación con las maloclusiones bucodentarias, así como los diferentes enfoques de tratamiento para la eliminación de la conducta de succión y sus secuelas. Presentamos dos casos clínicos razonando los diferentes tipos de tratamiento realizados según la afectación oclusal, funcional y psicológica que presenta cada paciente.