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      Gingivoestomatitis herpética primaria: Conducta odontológica

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          Abstract

          Se funda como premisa que el cuidado periodontal es, en esencia, labor del odontólogo general y que éste no puede pasar por alto la responsabilidad de proveer atención a todo paciente. La incidencia excesivamente elevada de los problemas periodontales entre las población, dificulta que un número reducido de especialistas los pueda enfrentar. En la cavidad bucal se producen variedades de enfermedades de etiología infecciosa viral, específicamente en las infecciones herpesvirus la presentación frecuente, la gingivoestomatitis herpética, sea primaria o recidivante, llamadas comúnmente GEH, la cual constituye una urgencia en Odontología, actualmente, aparece con mayor frecuencia en lactantes y niños menores de 6 años pero también puede verse en adolescentes y adultos. Se plantea que el 70% de los casos de GEH aparecen en pacientes con menos de 3 años y con igual frecuencia en ambos sexos. Es importante que el odontólogo, las identifique, así como las consecuencias que ocasiona si no se previenen o tratan a tiempo, así como las complicaciones. El propósito de esta revisión bibliográfica es describir las diferentes presentaciones clínicas, su etiología, diagnósticos diferenciales y diferentes métodos de tratamiento, además de la interconsulta con diferentes áreas, para valorar sus complicaciones y cuidados postoperatorios. Para ello se realizó basado en los lineamientos de la investigación descriptiva documental, una revisión de la literatura nacional e internacional.

          Translated abstract

          It is primordial for the general practitioner dentists the periodontal care of their patients. Among the population the periodontal diseases are very common and only a reduced number of specialists can treat them. Among the variety of pathologic entities that affect the oral mucosa, they exist them of etiologic infectious viral, specifically in the infections herpesvirus Of very frequent presentation, herpetic gingivostomatitis, primary or recurrent, called commonly  HGS, it is considered one of the emergencies in dentistry, nowadays, it appears with major frequency in nursing and 6-year-old minor children,  but also it can it turns in teenagers and adults. It appears that 70 % of HGS cases appears in patients with less than 3 years and with equal frequency in both sexes. Is important that the general dentist, identify this pathologies  and the consequences that might bring along if prevention is not done time. The purpose of this research is to describe the different clinical describe the etiologic, differential diagnoses, clinical features and treatment of this disease and also to recommend the multidisciplinary attention to these patient. For this paper was made a study based on the lineaments of the descriptive documental research, mainly with scientific bibliographic references literature national and international presentations.

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          Most cited references60

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          Immunopathogenesis of oral lichen planus and recurrent aphthous stomatitis.

          Oral mucosal bullous/desquamative/ulcerative diseases involve immunopathological mechanisms that account for loss of adhesion between contiguous keratinocytes or to structures within the basal lamina. Some are antibody mediated, in which specific adhesion molecules of the desmosome, hemidesmosome, and basement membrane become antigenic targets. Oral lichen planus and recurrent apthous ulcers, although manifesting disparate clinical appearances and natural history, share immunopathological features that involve T cell-mediated immunity. Although the antigens, haptens, or autoantigens are not usually apparent, current research poses the hypothesis that both of these common oral mucosal diseases are a delayed-type hypersensitivity or cell-mediated response to an antigenic stimulus residing within the epithelium. This article reviews the research evidence for this hypothesis.
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            Periodontología clínica e implantología odontológica

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              Periodontología clínica

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                Author and article information

                Contributors
                Role: ND
                Role: ND
                Journal
                aov
                Acta Odontológica Venezolana
                Acta odontol. venez
                Facultad de Odontología -UCV (Caracas )
                0001-6365
                June 2008
                : 46
                : 2
                : 219-226
                Affiliations
                [1 ] Miembro de la Sociedad Venezolana de Periodoncia
                Article
                S0001-63652008000200022
                9a21102b-130d-41c2-986c-91389c83025c

                http://creativecommons.org/licenses/by/4.0/

                History
                Product

                SciELO Venezuela

                Self URI (journal page): http://www.scielo.org.ve/scielo.php?script=sci_serial&pid=0001-6365&lng=en
                Categories
                DENTISTRY, ORAL SURGERY & MEDICINE

                Dentistry
                primary herpetic gingivoestomatitis,herpetic gingivoestomatitis,HGS,gingivoestomatitis herpética primaria,gingivoestomatitis herpética,GEH

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