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REV CLÍN MED FAM 2008; 2 (4): 184-185184 RESUMEN La caries del biberón es una enfermedad de evolución rápida y agresiva que afecta a la dentición temporal de niños de muy corta edad en los que la alimentación con biberón se ha prolongado más allá del tiempo recomendable. El estancamiento de la leche o de otros líquidos azucarados en la boca del niño, unido a la falta de higiene oral, produce este tipo de lesiones, que dan lugar a una odontodestrucción severa. En el presente artículo presentamos el caso de un niño de tres años de edad que padece la citada patología y hacemos un análisis de sus causas y consecuencias. Palabras clave. Caries dental. Dentición primaria. ABSTRACT Nursing bottle cariesNursing bottle caries is a quick and aggressively developing disease that affects primary dentition of very young children fed with a nursing bottle for longer than recommended. These lesions are caused by the milk or other sugared liquids held for a time inside the child's mouth and defi cient oral hygiene and can result in severe caries. In this article we present this condition in a three-year-old child and we analyze its etiology and consequences.

Diabetes as a risk factor for Perodontitis.Periodontitis is an infection which causes symptoms such as bleeding gums, loose or separating teeth and receding or tender gums. It can also advance the progression of some diseases amongst them diabetes mellitus. We report a case of a man who came to the doctor's consultancy due to bleeding, swollen gums. He had had insulin dependent diabetes for the last 35 years. The patient was diagnosed with generalised, moderate periodontitis, although some teeth were at an advanced stage with over 50% loss of the alveolar crest. Treatment included: instruction in oral hygiene, scaling and root planing of all teeth, periodontal surgery and periodic periodontal check ups. Early detection of periodontitis is very important and the family doctor can play a very important role in referring these patients to the dentist for diagnosis and control.

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