Prevalencia y manejo de estomatitis subprotésica en pacientes portadores de prótesis removibles, Universidad Andrés Bello sede Concepción. 2012-2015
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2015
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es
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Universidad Andrés Bello
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Antecedentes: La estomatitis subprotésica es una de las lesiones orales prevalentes en sujetos portadores de prótesis removible, es frecuentemente asociada con procesos infecciosos por levaduras del género Candida (LGC) y su detección muchas veces es tardía. En Chile existen pocos estudios sobre la prevalencia y manejo de estomatitis subprotésica en pacientes portadores de prótesis removible. Justificación: Conocer la prevalencia y el manejo terapéutico de la estomatitis subprotésica en pacientes consultantes en el área odontológica por prótesis removibles, se fundamenta en la necesidad de un diagnóstico epidemiológico y valoración de tratamiento con fines de prevención y restablecimiento de la salud oral del paciente.
Objetivo: Determinar la prevalencia y manejo de estomatitis subprotésica en pacientes portadores de prótesis removibles atendidos en la clínica odontológica de la Universidad Andrés Bello sede Concepción, durante el período 2012-2015.
Material y Métodos: Estudio cuantitativo cuyo diseño es de tipo descriptivo, transversal y analítico, en pacientes portadores de prótesis removibles con estomatitis subprotésica atendidos en la Clínica Odontológica de la Universidad Andrés Bello sede Concepción durante el periodo 2012-2015. Se realizó una revisión de 75 fichas clínicas de los pacientes portadores de prótesis que presentaron diagnóstico de estomatitis subprotésica, y se evaluó el manejo de la patología. Los análisis estadísticos fueron analizados con el software estadístico SPSS 22. Se evaluó normalidad en la distribución de las variables y de acuerdo a la presencia o no de esta se realizó test t de Student para evaluar diferencias de promedio, y análisis Chi cuadrado para evaluar asociación estadística entre dos variables no paramétricas. Resultados: La prevalencia de estomatitis subprotésica correspondió a un 35%, donde el promedio de edad afectado fue de 63,1 años. El género femenino fue el más afectado, y el tipo más frecuente de estomatitis correspondió al tipo I con un 66,7%, Mientras que el tratamiento más aplicado fue el tratamiento con acondicionador de tejido. Conclusiones: No existió una alta prevalencia de estomatitis subprotésica en la muestra estudiada, además el género y edad no son factores predisponentes para la patología, por lo que ambas hipótesis fueron rechazadas. No existió asociación estadísticamente significativa entre edad, género, enfermedades sistémicas, hábitos nocivos, tipo y material de prótesis con el tipo de estomatitis subprotésica.
Background: The denture stomatitis is one of the prevalent oral lesions in subjects with removable prothesis is often associated with infectious processes by Candida yeasts (LGC) and its detection is often delayed. In Chile there are few studies on the prevalence and management of denture stomatitis in patients with removable prothesis. Justification: Know the prevalence and therapeutic management of denture stomatitis in patients attending the dental area for removable prothesis, it is based on the need for epidemiological diagnosis and assessment of treatment for prevention and rehabilitation of the patient's oral health. Purpose: Determine the prevalence and management of denture stomatitis in denture wearer patients, treated in the dental clinic at the University Andres Bello headquarters Concepción, during the period 2012-2015. Material and Methods: Quantitative study whose design is descriptive, cross and analytic, in patients who presented dentures stomatitis treated at the dental clinic of the University Andres Bello Concepción headquarters during 2012-2015. A review of 75 clinical files of denture wearers, who presented diagnosis of denture stomatitis, and management of the pathology was evaluated. Statistical analyzes were analyzed using SPSS statistical software 22. Normality in the distribution of the variables was evaluated, and according to the presence or not of this was performed Student t test evaluate differences in average, and Chi square analysis to evaluate statistical association between two non-parametric variables. Outcomes: The prevalence of denture stomatitis corresponded to 35%, where the average age was 63.1 years affected. Female gender was the most affected and the most common type of stomatitis corresponded to type I with 66.7%, while the treatment was more applied was treatment with tissue conditioner. Conclusions: No existed a high prevalence of denture stomatitis in the sample studied, besides gender and age are not predisposing factors for the disease, so that both hypotheses were rejected. There was no statistically significant association between age, gender, systemic diseases, harmful habits, type and material of the type of prosthesis denture stomatitis.
Background: The denture stomatitis is one of the prevalent oral lesions in subjects with removable prothesis is often associated with infectious processes by Candida yeasts (LGC) and its detection is often delayed. In Chile there are few studies on the prevalence and management of denture stomatitis in patients with removable prothesis. Justification: Know the prevalence and therapeutic management of denture stomatitis in patients attending the dental area for removable prothesis, it is based on the need for epidemiological diagnosis and assessment of treatment for prevention and rehabilitation of the patient's oral health. Purpose: Determine the prevalence and management of denture stomatitis in denture wearer patients, treated in the dental clinic at the University Andres Bello headquarters Concepción, during the period 2012-2015. Material and Methods: Quantitative study whose design is descriptive, cross and analytic, in patients who presented dentures stomatitis treated at the dental clinic of the University Andres Bello Concepción headquarters during 2012-2015. A review of 75 clinical files of denture wearers, who presented diagnosis of denture stomatitis, and management of the pathology was evaluated. Statistical analyzes were analyzed using SPSS statistical software 22. Normality in the distribution of the variables was evaluated, and according to the presence or not of this was performed Student t test evaluate differences in average, and Chi square analysis to evaluate statistical association between two non-parametric variables. Outcomes: The prevalence of denture stomatitis corresponded to 35%, where the average age was 63.1 years affected. Female gender was the most affected and the most common type of stomatitis corresponded to type I with 66.7%, while the treatment was more applied was treatment with tissue conditioner. Conclusions: No existed a high prevalence of denture stomatitis in the sample studied, besides gender and age are not predisposing factors for the disease, so that both hypotheses were rejected. There was no statistically significant association between age, gender, systemic diseases, harmful habits, type and material of the type of prosthesis denture stomatitis.
Notas
Tesis (Cirujano Dentista, Grado de Magíster en Ciencias Odontológicas)
Palabras clave
Estomatitis subprotética, Candida