https://revistaschilenas.uchile.cl/handle/2250/6591 Wed, 06 May 2026 08:59:59 GMT 2026-05-06T08:59:59Z https://revistaschilenas.uchile.cl/handle/2250/255337 Español: English; Uso de CAD-CAM en la Atención Odontológica Pública: una Vía Eficiente y Sustentable.: Use of CAD-CAM in Public Dental Care: an Efficient and Sustainable Way. Universal health coverage emphasizes universal, timely, and effective access to health services. One of the main issues currently facing the public health system is the lengthy waiting times for specialized care and surgical interventions in more complex centers. This challenge extends to dental care, where the specialty of Prosthodontics has one of the highest patient backlogs. The adoption of CAD/CAM technology in Prosthodontics aims to address this problem by optimizing time and resources, reducing the number of treatment sessions, and gaining acceptance among patients. Additionally, it yields high-quality results and minimizes cross-contamination in the workflow with the laboratory. The digital workflow also reduces the carbon footprint of dental treatments by cutting down on patient transfers and single-use supplies, supporting the State's commitment to environmental impact mitigation. Although implementing this technology requires technical effort and financial investment, the benefits are significant and far-reaching, offering an efficient and sustainable approach to dental care within the health system.; La cobertura universal de salud considera acceso universal, oportuno, y efectivo a los servicios sanitarios. Actualmente, dentro de los principales problemas que tiene nuestro sistema de Salud Público son los tiempos de espera para atenciones de especialidad o intervenciones quirúrgicas en centros de mayor complejidad. Esto ocurre también en el área odontológica, siendo la especialidad de Rehabilitación Oral una de las que concentra mayor cantidad de pacientes esperando por atención. El uso de tecnología CAD/CAM en la especialidad de Rehabilitación oral es una gran apuesta para dar solución al problema mencionado, ya que permite optimizar tiempo, recursos, rebajar sesiones de tratamiento y presenta aceptación de parte de los pacientes. De la misma manera, cuenta con resultados de calidad y disminuye la contaminación cruzada en el flujo de trabajos al laboratorio. A esto sumamos que el flujo digital permite aminorar la huella de carbono de los tratamientos dentales al disminuir el número de traslados y la reducción de insumos de un solo uso permitiendo dar respuesta al compromiso de Estado en la mitigación del impacto en el medio ambiente. La implementación de esta tecnología requiere esfuerzo técnico y recursos monetarios pero los beneficios son múltiples y de gran impacto por lo que es una manera eficiente y sustentable de realizar atenciones odontológicas en el sistema sanitario. https://revistaschilenas.uchile.cl/handle/2250/255337 https://revistaschilenas.uchile.cl/handle/2250/255339 Tratamiento de mordidas cruzadas desde un enfoque no quirúrgico: revisión narrativa Background: Dentomaxillary anomalies (DMAs) are a highly prevalent issue in the global population, with crossbite being a progressive anomaly that, if not treated promptly, can lead to complications that are difficult to address at a later age. Its diagnosis is relatively straightforward, and early and timely treatment can yield effective results with good long-term prognosis. Some of the consequences of an untreated crossbite include temporomandibular joint disorders, functional problems, and facial growth issues. Objective: To describe current therapies for the treatment of both unilateral and bilateral posterior crossbite in children and young adults, from mixed dentition to early permanent dentition. Method: A narrative literature review was conducted. The following databases were used: Medline, the Electronic Library of Scientific Information, Cochrane Library, and Trip Database, using the keywords: "Malocclusion", "Crossbite", "Palatal expansion technique", "Palatal disjunction", "Rapid maxillary expansion", "Slow maxillary expansion", "Palatal expander", "Tooth borne appliance", "Bone borne appliance", and "Tooth-tissue borne appliance", along with the Boolean operators AND and OR. Results: A total of 21 articles were retrieved, of which 4 were systematic reviews, 4 were retrospective observational studies, 5 were non-randomized clinical trials, and 8 were randomized clinical trials. Conclusions: Transversal DMAs are extensively studied in the literature, covering diagnosis, therapy, and prognosis. However, the existing evidence is highly heterogeneous, with a large volume of studies showing methodological weaknesses, as well as high-quality evidence that can guide clinical recommendations. Therefore, it is important to exercise clinical judgment when analyzing and integrating evidence with clinical practice.; Antecedentes: Las anomalías dentomaxilares (ADM) son un problema de alta prevalencia en la población mundial, siendo la mordida cruzada una anomalía progrediente, la cual, si no es tratada oportunamente, puede causar secuelas difíciles de tratar a una edad más avanzada. Su diagnóstico es fácil de realizar y su tratamiento precoz y oportuno pueden tener resultados muy efectivos y con buen pronóstico en el tiempo. Dentro de las consecuencias que puede ocasionar una mordida cruzada, si no es corregida a tiempo, son trastornos en las articulaciones témporomandibulares, problemas funcionales y de crecimiento facial. Objetivo: Describir las terapias actuales para el tratamiento de la mordida cruzada posterior tanto unilateral como bilateral en niños y adultos jóvenes, desde dentición mixta hasta permanente temprana. Método: Se realizó una revisión narrativa de la literatura. Para esto se utilizaron las bases de datos  Medline, Biblioteca Electrónica de Información Científica,  Cochrane Library y Trip Database; con las siguientes palabras claves: “Malocclusion”, “Crossbite”, “Palatal expansion technique”, “Palatal disjunction”, “Rapid maxillary expansión”,  “Slow maxillary expansión”, “Palatal expander”, “Tooth borne appliance”, “Bone borne appliance” y “Tooth-tissue borne appliance” y los operadores booleanos AND y OR. Resultados:  Se obtuvo un total de 21 artículos, de los cuales 4 corresponden a revisiones sistemáticas, 4 a estudios observacionales de tipo retrospectivo, 5 a ensayos clínicos no aleatorizados, y 8 ensayos clínicos aleatorizados. Conclusiones: Las ADM en su dimensión transversal, se encuentran extensamente estudiadas en la literatura, tanto en el ámbito de su diagnóstico, terapia y pronóstico. Sin embargo, la evidencia existente es muy poco homogénea, existiendo por un lado, una gran cantidad de evidencia con deficiencias metodológicas y por otro lado evidencia  con buena calidad para realizar recomendaciones clínicas. Por lo que hay que tener criterio al momento de analizar y complementar la evidencia con la práctica clínica. https://revistaschilenas.uchile.cl/handle/2250/255339 https://revistaschilenas.uchile.cl/handle/2250/255338 TERIPARATIDE AS TREATMENT OF THE MEDICATION RELATED OSTEONECROSIS OF THE JAWS (MRONJ): A SCOPING REVIEW: TREATMENT OF MRONJ USING TERIPARATIDE; Teriparatide as treatment of the Medication Related Osteonecrosis of the Jaws (MRONJ): a Scoping Review: TREATMENT OF MRONJ USING TERIPARATIDE Abstract Introduction: Medication-related osteonecrosis of the jaw (MRONJ) is a serious complication affecting patients undergoing therapy with bisphosphonates and other antiresorptive agents. Teriparatide, a parathyroid hormone analog, has emerged as a possible therapeutic option to promote bone regeneration in these cases. This study aims to evaluate the efficacy of teriparatide in the treatment of MRONJ, based on a systematic review of the current literature. Material and methods: An exploratory systematic review was performed following Prisma ScR protocols using the following bibliographic databases Scopus, Pubmed, WOS, ScienceDirect to identify studies between the years 2013 and 2021 that have used teriparatide as a treatment to MRONJ. Results: From a total of 3100 articles, 8 were included in this review.  The following were considered as relevant criteria: initial MRONJ status, dose and time of drug administration and possible adverse effects developed with this therapy.  The studies reviewed reported a significant improvement in bone regeneration and a reduction in MRONJ symptoms in patients treated with teriparatide, highlighting the decrease in bone exposure and showing a favorable safety profile. Conclusions: The findings suggest that teriparatide may be a viable and effective therapeutic option for the treatment of drug-associated osteonecrosis of the jaws. However, the need for further research, particularly long-term clinical trials, to confirm these results and optimize treatment protocols is highlighted.; Introduction: Medication-related osteonecrosis of the jaw (MRONJ) is a serious complication affecting patients undergoing therapy with bisphosphonates and other antiresorptive agents. Teriparatide, a parathyroid hormone analog, has emerged as a possible therapeutic option to promote bone regeneration in these cases. This study aims to evaluate the efficacy of teriparatide in the treatment of MRONJ. Material and methods: An exploratory review was performed following Prisma ScR protocols using the following bibliographic databases Scopus, Pubmed, WOS, ScienceDirect to identify studies between the years 2020 and 2024 that have used teriparatide as a treatment to MRONJ. Results: From a total of 3100 articles, 8 were included in this review. The following were considered as relevant criteria: initial MRONJ status, dose and time of drug administration and possible adverse effects developed with this therapy. The studies reviewed reported a significant improvement in bone regeneration and a reduction in MRONJ symptoms in patients treated with teriparatide, highlighting the decrease in bone exposure and showing a favorable safety profile. Discussion: The findings suggest that teriparatide may be a viable and effective therapeutic option for the treatment of drug-associated osteonecrosis of the jaws. However, the need for further research, particularly long-term clinical trials, to confirm these results and optimize treatment protocols is highlighted. https://revistaschilenas.uchile.cl/handle/2250/255338 https://revistaschilenas.uchile.cl/handle/2250/255341 Cambio climático y salud: un llamado urgente a la integración de perspectivas ecológicas El cambio climático, impulsado por la acción humana, afecta gravemente la salud pública, incluyendo la salud bucal. Aumenta enfermedades transmisibles y no transmisibles, agrava la crisis hídrica y alimentaria, y genera desplazamientos poblacionales. Es urgente integrar una perspectiva ecológica en la investigación y práctica odontológica. https://revistaschilenas.uchile.cl/handle/2250/255341