ABSTRACT: Extensive fractures in the fixed facial skeleton combined with traumatic brain injury can cause functional and esthetic impairments, possibly threatening the patient's life. Male patient, 50-year-old, victim of physical aggression, presented with persistent headache and dizziness, fractures in the naso-orbito-ethmoidal, zygomatic-maxillary and right pterygoid process regions, among other minor patterns of facial fracture, with mobility to maxillary traction of the third midface unilaterally. Clinical-imaging findings revealed a Hemi Le Fort III fracture and subdural and subarachnoid pneumocephalus with a mild Mount Fuji Sign. The proposed treatment was facial osteosynthesis and conservative intravenous drug treatment of the pneumocephalus. The patient had a good recovery, with no postoperative motor or functional deficits. The correct management of the patient with facial trauma associated with craniotrauma offers benefits, restoring stability of facial architecture and preventing or correcting neurosurgical complications.

RESUMEN: Las fracturas extensas en el esqueleto facial combinadas con una lesión cerebral traumática pueden causar deficiencias funcionales y estéticas, que posiblemente pongan en peligro la vida del paciente. Paciente de sexo masculino, 50 años, víctima de agresión física, que presentó cefalea persistente y mareos, fracturas en las regiones naso-orbito-etmoidal, cigomático-maxilar y pterigoides derecha, entre otros patrones menores de fractura facial, con movilidad a tracción maxilar del tercio medio facial unilateralmente. Los hallazgos de las imágenes clínicas revelaron una hemifractura de Le Fort III y neumocefalia subdural y subaracnoidea con un leve signo del Monte Fuji. El tratamiento propuesto fue la osteosíntesis facial y el tratamiento farmacológico intravenoso conservador de la neumocefalia. El paciente tuvo una buena recuperación, sin déficit motor ni funcionales postoperatorios. El manejo adecuado del paciente con trauma facial asociado a craneotrauma ofrece beneficios, devolviendo la estabilidad de la arquitectura facial y previniendo o complicaciones neuroquirúrgicas.

Abstract: Proteomic techniques have become popular in medicine and dentistry because of their widespread use in analyzing bodily fluids such as blood, saliva, urine, and gingival crevicular fluids as well as hard tissues such as enamel, dentine, and cementum. This review is a guide to proteomic techniques in general dentistry, summarizing techniques and their clinical application in understanding and diagnosing diseases and their use in identifying biomarkers of various diseases.

Current scientific knowledge provides clear evidence that alcohol-based mouthwashes can be beneficial in a daily oral health routine, including dental hygiene and plaque control. Several issues are worth discussing, in spite of the wealth of supporting evidence. Despite some undesirable effects to some people, like burning sensation, and some contraindications, like the use by infants, alcohol addicts and patients with mucosal injuries, there is no reason to avoid the use of alcohol-containing mouthwashes as long as they are used following proper guidance by dental professionals and the manufacturers' instructions. The alleged correlation between oral cancer and alcohol-based mouthrinses presents so little, weak, inconsistent and even contradictory evidence in the literature that any kind of risk warning to patients would be uncalled for. Antimicrobial mouthrinses are safe and effective in reducing plaque and gingivitis, and should be part of a comprehensive oral health care regimen that includes brushing, flossing and rinsing to prevent or minimize periodontal disease.