Background. Burnout syndrome (BS) is composed of three interrelated dimensions (emotional exhaustion, depersonalization, and personal fulfillment), and it has been documented that it affects health professionals from an early age. Aims. Determine the prevalence of BS and associated factors in the integral clinic of the Dentistry Pilot School. Material and Methods. Two instruments were applied: (1) Maslach Burnout Inventory, which measures the degree of professional burnout through 22 items that describe the professional’s attitudes and feelings toward work, as well as symptoms associated with this phenomenon; (2) the second questionnaire determines the possible symptoms of BS and consists of 14 questions that describe tiredness, sleep problems, digestive problems, respiratory problems and headaches, temporomandibular joint (TMJ), neck pain, back pain, and upper and lower extremity pain. The instruments were answered anonymously by a total of 300 students who participated in the study. Results. The emotional exhaustion of the participants was 48.3% at a higher level, the depersonalization was 46.7% at a higher level, and the low perception of personal fulfillment was 73%. In addition, it was shown that BS is significantly related to marital status ( ), with single people reporting being more exhausted, with the 6-month level ( ) and with the following symptoms: non-neck pain, head, TMJ, back, waist, upper and lower body pain. Conclusion. It was found that the BS had a prevalence of high levels of exhaustion and depersonalization correlated with the marital status and level of preparation (academic degree) of the person, finding a prevalence of symptoms such as pain in the neck, head, TMJ, and back.

Background: Digital fabrication techniques such as CAD/CAM milling and 3D printing are widely used for provisional dental restorations. However, differences in mechanical performance remain controversial. Objective: To compare the hardness and flexural strength of CAD/CAM-milled resins versus 3D-printed resins used in restorative dentistry. Methods: A systematic review and meta-analysis were conducted following PRISMA 2020 guidelines and registered in PROSPERO (CRD420251045547). Electronic searches were performed in PubMed, Scopus, Web of Science, Embase, and LILACS. In vitro studies comparing CAD/CAM-milled and 3D-printed resins in terms of hardness and/or flexural strength were included. A random-effects inverse-variance model was applied using standardized mean difference (SMD) with 95% confidence intervals (CI). Risk of bias was assessed using the RoB-Iv tool. Results: Four studies (n = 124 specimens) were included in the hardness meta-analysis. CAD/CAM-milled resins showed significantly higher hardness (SMD = 2.92; 95% CI: 0.34–5.49; p = 0.026), although heterogeneity was high (I² = 94.9%). Funnel plot asymmetry suggested possible small-study effects. For flexural strength, three studies (n = 40 specimens) were analyzed, demonstrating a significant effect favoring milled resins (SMD = 1.28; 95% CI: 0.42–2.14; p = 0.0036) with low-to-moderate heterogeneity (I² = 27.8%). Sensitivity analyses confirmed robustness for both outcomes. Overall methodological quality was acceptable, with no high risk of bias identified in strength studies. Conclusions: CAD/CAM-milled resins tend to demonstrate higher hardness and flexural strength compared with 3D-printed resins. However, the substantial heterogeneity observed, particularly for hardness, and the potential influence of methodological variability, warrant cautious interpretation of these findings.

Introducción: Las técnicas de gingivoplastía y osteoplastia es un procedimiento quirúrgico, que se incluye en una cirugía periodontal con la finalidad de eliminar encía y parte del hueso para crear una corona clínica visible y solucionar la invasión del espacio biológico, el presente caso clínico es de una paciente de 24 años de edad que presenta coronas clínicas cortas debido al aumento de encía por lo que se procede a planificar una gingivoplastía y osteoplastia. Objetivo: Determinar el espacio dento gingival mediante la gingivoplastía y osteoplastia para lograr una armonía estética y funcional en paciente de 23 años atendida en la Facultad Piloto de Odontología. Resultado: Se obtuvieron resultados estéticos favorables a las 2 semanas post operatorio, logrando satisfacer las expectativas del paciente, utilizando la técnica de Widman modificado, sin requerir abordajes quirúrgicos adicionales. Conclusiones: La armonía de la estética gingival está determinada por la configuración interna ósea, respetando los periodos de cicatrización de los tejidos blandos y duros. En el presente caso clínico la paciente presentaba un nivel de inserción de 4mm lo que indicaba que existía la invasión del espacio biológico, se aplicó la técnica de gingivoplastía porque está enfocada en el remodelado final de la encía para lograr una sonrisa más armoniosa y la técnica de Widman modificado, ya que es un abordaje quirúrgico mínimamente invasivo, se realizó la osteoplastia con la fresa redonda carburo tungsteno, y se procedió a realizar la sutura suspensoria por poseer la ventaja de lograr un adecuado contacto de los tejidos blandos y favorece a la cicatrización. El resultado del caso clínico fue favorable ya que se obtuvo una buena cicatrización de la paciente a los 15 días del postoperatorio mostraba una cicatrización del 75% del área, no se presentaron problemas postoperatorios.

Background: Palatal graft harvesting can cause pain, bleeding, and delayed healing, with postoperative recovery varying across patients and over time. Topical hyaluronic acid (HA) may reduce donor-site morbidity and promote tissue repair. Identifying the postoperative time points and clinical domains in which HA may provide benefit could support more informed, patient-centered postoperative management. Objective: To evaluate the time-specific effects of topical HA on palatal wound healing and postoperative morbidity after autogenous gingival graft harvesting and to examine their clinical implications for postoperative care. Methods: Randomized clinical trials comparing topical HA with placebo, no application, or standard care were reviewed. Separate random-effects meta-analyses were performed at each postoperative time point using risk ratios (RRs) for dichotomous outcomes and mean differences (MDs) for continuous outcomes. Between-study variance was estimated using REML. Leave-one-out, Hartung–Knapp, and formulation-based sensitivity analyses were performed. Risk of bias was assessed using RoB 2, and certainty of evidence using GRADE. Results: Eight randomized trials were included. HA increased complete epithelialization at day 14 (RR = 2.11; 95% CI, 1.13–3.94) and day 21 (RR = 1.62; 95% CI, 1.29–2.03). WHI favored HA at day 7 (MD = 0.58; 95% CI, 0.42–0.75). Pain reductions at days 3 and 7 and bleeding reductions at days 1 and 3 were not statistically significant. Analgesic consumption was lower at day 3 (MD = −0.80; 95% CI, −1.34 to −0.26), while color match favored HA at days 14 and 21. Hartung–Knapp analyses increased uncertainty for WHI, pain, and color match. No result was rated at high overall risk of bias; certainty ranged from low to very low. Conclusions: Topical HA appears to provide its most consistent benefit in accelerating palatal epithelialization and selected healing outcomes rather than uniformly reducing all dimensions of postoperative morbidity. These time- and outcome-specific effects may inform patient-centered and risk-adapted postoperative strategies, particularly when early wound closure is a clinical priority. However, the current aggregate evidence does not permit identification of individual treatment responders. Future adequately powered randomized trials incorporating standardized HA formulations, patient-level characteristics, potential effect modifiers, and harmonized outcome assessment are needed to support precision treatment selection.