A. Utilidad de la ortopedia prequirúrgica en el moldeamiento de las crestas alveolares en niños de 0-12 meses de edad con fisura labiopalatina unilateral completa: revisión sistemática de la literatura.

Las fisuras labiopalatinas (FLP) son las malformaciones craneofaciales congénitas más comunes. La anemia de Diamond-Blackfan o anemia aneritroblástica es una hipoplasia congénita selectiva de la serie roja, asociada a alteraciones cardiacas, renales, malformaciones en manos, hipertelorismo y retraso en el crecimiento. La presentación de las FLP y pacientes con Anemia de Diamond-Blackfan es del 10.3%. Objetivo: Presentar un reporte de caso de un paciente de 12 años con anemia de Diamond-Blackfan y secuela de FLP de la Clínica Interdisciplinaria de LPH de la Pontificia Universidad Javeriana (Bogotá-Colombia) donde el abordaje interdisciplinario, el casomanejo del comportamiento y el apoyo psicológico brindado a la familia fueron fundamentales para lograr la adherencia, clarificar el diagnóstico y obtener los resultados terapéuticos esperados. Resultados: se logró la adherencia al tratamiento y el éxito de éste en apoyo con otras especialidades, permitiendo un seguimiento de 2 años. Conclusiones: El manejo multidisciplinario e interdisciplinario con especialidades odontológicas, médicas, y de la salud en general para el manejo de pacientes con FLP y síndromes asociados, resulta importante para el éxito en el tratamiento.

Background: Non-syndromic cleft lip and palate (NSCLP) is a congenital malformation that generates physical, functional and psychosocial complications. The latter are generally identified in quantitative studies. The affectation of the quality of life and the oral health approach of the experiences of people with NSCLP and their families have not been qualitatively documented. Purpose: To identify the perception of quality of life of children and adolescents with NSCLP undergoing comprehensive treatment at the Cleft Lip and Palate clinic of the Javeriana University from Bogotá, Colombia. Methods: It was a qualitative phenomenological study in which eight patients, five parents/guardians, and four professionals from the interdisciplinary care group participated. Semi-structured individual interviews were conducted with each participant and two focus groups, one with guardians/parents and another one with professionals, led by an expert. After transcription, findings were coded and classified according to the categories proposed using the Atlas TI software. Subsequently, a narrative reduction and the corresponding analysis were performed. Results: Participants shared their perspectives on the impact of living with NSCLP and how it impacted their quality of life. Social and psychological dimensions were the most affected. The narrations revealed feelings of sorrow, anguish, and shyness, as well as longings and desires for greater sociability. Conclusion: The reconstruction of the narratives showed how the experience of living with NSCLP generates challenges, situations, and thoughts that affect quality of life, especially from the social and psychological perspectives.

Objective To identify the characteristics of the oral microbiota and the relationship of the dental caries and periodontal status in patients aged 0 to 18 years with nonsyndromic cleft lip and palate (CLP).Material and methods A systematic review of the literature was carried out. Five databases were consulted, including publications in English, Spanish and Portuguese. The evaluations of the quality of the observational studies and the experimental studies were carried out with the Newcastle–Ottawa scale and CONSORT guidelines, respectively. The risk of bias of the studies was determined using Rev Manager 5.4, and 5 publications were meta-analyzed.Results In cariogenic microbiota, Lactobacillus spp. and Streptococcus mutans were identified at high levels, and the related periodontopathogenic microorganisms were Prevotella intermedia, Prevotella nigrescens, Porphyromonas gingivalis, Fusobacterium spp., Campylobacter spp., and Fusobacterium nigrescens. The microorganisms found in pre- and postoperative interventions were Staphylococcus aureus, Klebsiella pneumoniae, Klebsiella oxytoca, Streptococcus pyogenes, Moraxella catarrhalis, methicillin-resistant Staphylococcus aureus and Candida spp., with great heterogeneity in microbiological counts. The meta-analysis revealed that patients with CLP were 2.03 times more likely to have cavities than was the control group (p < 0.005).Conclusion In the microbiota, there was a great diversity of microorganisms that can vary according to the type of fissure and surgical interventions predisposing patients to a greater probability of dental caries.Clinical relevance To study the oral microbiota in CLP that facilitates the progression of dental caries and periodontal disease, take it into account in clinical decision-making and adopt preventive measures to reduce oral comorbidities.