<?xml version="1.0" encoding="ISO-8859-1"?><article xmlns:mml="http://www.w3.org/1998/Math/MathML" xmlns:xlink="http://www.w3.org/1999/xlink" xmlns:xsi="http://www.w3.org/2001/XMLSchema-instance">
<front>
<journal-meta>
<journal-id>0138-6557</journal-id>
<journal-title><![CDATA[Revista Cubana de Medicina Militar]]></journal-title>
<abbrev-journal-title><![CDATA[Rev Cub Med Mil]]></abbrev-journal-title>
<issn>0138-6557</issn>
<publisher>
<publisher-name><![CDATA[Centro Nacional de Información de Ciencias MédicasEditorial Ciencias Médicas]]></publisher-name>
</publisher>
</journal-meta>
<article-meta>
<article-id>S0138-65572020000400008</article-id>
<title-group>
<article-title xml:lang="es"><![CDATA[Caracterización clínico epidemiológica de pacientes con discromía dental]]></article-title>
<article-title xml:lang="en"><![CDATA[Clinical epidemiological characterization of patients with dental dyschromia]]></article-title>
</title-group>
<contrib-group>
<contrib contrib-type="author">
<name>
<surname><![CDATA[Gumila Jardínes]]></surname>
<given-names><![CDATA[Maylen]]></given-names>
</name>
<xref ref-type="aff" rid="Aff"/>
</contrib>
<contrib contrib-type="author">
<name>
<surname><![CDATA[Gutiérrez Hernández]]></surname>
<given-names><![CDATA[María Elena]]></given-names>
</name>
<xref ref-type="aff" rid="Aff"/>
</contrib>
</contrib-group>
<aff id="Af1">
<institution><![CDATA[,Hospital Militar Central &#8220;Dr. Carlos J. Finlay&#8221;  ]]></institution>
<addr-line><![CDATA[La Habana ]]></addr-line>
<country>Cuba</country>
</aff>
<pub-date pub-type="pub">
<day>00</day>
<month>12</month>
<year>2020</year>
</pub-date>
<pub-date pub-type="epub">
<day>00</day>
<month>12</month>
<year>2020</year>
</pub-date>
<volume>49</volume>
<numero>4</numero>
<copyright-statement/>
<copyright-year/>
<self-uri xlink:href="http://scielo.sld.cu/scielo.php?script=sci_arttext&amp;pid=S0138-65572020000400008&amp;lng=en&amp;nrm=iso"></self-uri><self-uri xlink:href="http://scielo.sld.cu/scielo.php?script=sci_abstract&amp;pid=S0138-65572020000400008&amp;lng=en&amp;nrm=iso"></self-uri><self-uri xlink:href="http://scielo.sld.cu/scielo.php?script=sci_pdf&amp;pid=S0138-65572020000400008&amp;lng=en&amp;nrm=iso"></self-uri><abstract abstract-type="short" xml:lang="es"><p><![CDATA[RESUMEN  Introducción:  La odontología conservadora ha afrontado un problema conocido como discromía, la cual ocurre cuando el diente sufre un cambio de color. No es grave en cuanto a la repercusión para la salud, pero es una condición desagradable que afecta la estética del paciente y su estado psíquico. Algunos estudios evidencian un aumento en cuanto a la discromía dental, como motivo de consulta de los pacientes, quienes en ocasiones solicitan la avulsión dentaria.  Objetivo:  Describir las características clínicas y epidemiológicas de pacientes con discromía.  Método:  Se realizó una investigación observacional, descriptiva transversal, en pacientes que acudieron a consulta en la clínica estomatológica docente del Hospital Militar Central &#8220;Dr. Carlos J. Finlay&#8221;, en el período comprendido entre febrero de 2016 a octubre de 2019, con un universo de 349 pacientes.  Resultados:  Los pacientes menos afectados fueron los menores de 19 años con un 4,3 %, el sexo masculino representó un 65,9 %. Predominaron las tinciones por bacterias cromógenas tanto para el sexo masculino como el femenino, con un 27,3 % y 15,9 % respectivamente, el grupo de edad de 35-59 años fue el más afectado con un 44,1 %; las tinciones por descomposición aparecieron en el 48,4 % de los pacientes.  Conclusiones:  Los pacientes más afectados por discromía dental fueron del sexo masculino, del rango de edad entre 35-59 años y causas extrínsecas.]]></p></abstract>
<abstract abstract-type="short" xml:lang="en"><p><![CDATA[ABSTRACT  Introduction:  Conservative dentistry has faced a problem known as dyschromia, which occurs when the tooth undergoes a color change. It is not serious in terms of consequences for health, but it is an unpleasant condition that affects the aesthetics of the patient and her psychic state. Some studies show an increase in terms of dental dyschromia, as a reason for consulting patients, who sometimes request dental avulsion.  Objective:  To describe the clinical and epidemiological characteristics of patients with dyschromia.  Method:  An observational, descriptive cross-sectional investigation was carried out in patients who came to the clinic at the teaching dental clinic of the Central Military Hospital &#8220;Dr. Carlos J. Finlay&#8221;, in the period from February 2016 to October 2019, with a universe of 349 patients.  Results:  The least affected patients were under 19 years old with 4.3%, the male sex represented 65.9%. Staining by chromogenic bacteria predominated for both the male and female sex, with 27.3% and 15.9% respectively, the age group of 35-59 years was the most affected with 44.1%; decomposition stains appeared in 48.4% of patients.  Conclusions: The patients most affected by dental dyschromia were male, with an age range between 35-59 years and extrinsic causes.]]></p></abstract>
<kwd-group>
<kwd lng="es"><![CDATA[discromía dental]]></kwd>
<kwd lng="es"><![CDATA[discromía extrínseca]]></kwd>
<kwd lng="es"><![CDATA[discromía intrínseca]]></kwd>
<kwd lng="es"><![CDATA[color del diente]]></kwd>
<kwd lng="en"><![CDATA[dental dyschromia]]></kwd>
<kwd lng="en"><![CDATA[extrinsic dyschromia]]></kwd>
<kwd lng="en"><![CDATA[intrinsic dyschromia]]></kwd>
<kwd lng="en"><![CDATA[tooth color]]></kwd>
</kwd-group>
</article-meta>
</front><back>
<ref-list>
<ref id="B1">
<label>1</label><nlm-citation citation-type="book">
<person-group person-group-type="author">
<name>
<surname><![CDATA[Álvarez Valls]]></surname>
<given-names><![CDATA[L]]></given-names>
</name>
</person-group>
<source><![CDATA[Endodoncia]]></source>
<year>1977</year>
<publisher-loc><![CDATA[Editorial La Habana ]]></publisher-loc>
<publisher-name><![CDATA[Editorial Pueblo y Educación]]></publisher-name>
</nlm-citation>
</ref>
<ref id="B2">
<label>2</label><nlm-citation citation-type="journal">
<person-group person-group-type="author">
<name>
<surname><![CDATA[Furuse]]></surname>
<given-names><![CDATA[Y]]></given-names>
</name>
<name>
<surname><![CDATA[Fernández da Cunha]]></surname>
<given-names><![CDATA[L]]></given-names>
</name>
<name>
<surname><![CDATA[Pontons]]></surname>
<given-names><![CDATA[JC]]></given-names>
</name>
<name>
<surname><![CDATA[Benetti]]></surname>
<given-names><![CDATA[R]]></given-names>
</name>
<name>
<surname><![CDATA[Mondelli]]></surname>
<given-names><![CDATA[J]]></given-names>
</name>
</person-group>
<article-title xml:lang=""><![CDATA[Remodelación cosmética de la sonrisa]]></article-title>
<source><![CDATA[Acta Odontol Ven]]></source>
<year>2009</year>
<volume>47</volume>
<numero>4</numero>
<issue>4</issue>
<page-range>274-86</page-range></nlm-citation>
</ref>
<ref id="B3">
<label>3</label><nlm-citation citation-type="book">
<person-group person-group-type="author">
<name>
<surname><![CDATA[Seguí Ulloa]]></surname>
<given-names><![CDATA[A]]></given-names>
</name>
<name>
<surname><![CDATA[Domínguez Santana]]></surname>
<given-names><![CDATA[L]]></given-names>
</name>
<name>
<surname><![CDATA[Hevia Medina]]></surname>
<given-names><![CDATA[MC]]></given-names>
</name>
</person-group>
<article-title xml:lang=""><![CDATA[Discromía y recromía]]></article-title>
<person-group person-group-type="editor">
<name>
<surname><![CDATA[González Naya]]></surname>
<given-names><![CDATA[G]]></given-names>
</name>
<name>
<surname><![CDATA[Montero del Castillo]]></surname>
<given-names><![CDATA[ME]]></given-names>
</name>
</person-group>
<source><![CDATA[Estomatología General Integral]]></source>
<year>2013</year>
<page-range>269-79</page-range><publisher-loc><![CDATA[La Habana ]]></publisher-loc>
<publisher-name><![CDATA[Editorial Ciencias Médicas]]></publisher-name>
</nlm-citation>
</ref>
<ref id="B4">
<label>4</label><nlm-citation citation-type="book">
<person-group person-group-type="author">
<name>
<surname><![CDATA[Companioni Landín]]></surname>
<given-names><![CDATA[F]]></given-names>
</name>
<name>
<surname><![CDATA[Bachá Rigal]]></surname>
<given-names><![CDATA[Y]]></given-names>
</name>
</person-group>
<source><![CDATA[Anatomía aplicada a la estomatología]]></source>
<year>2012</year>
<publisher-loc><![CDATA[La Habana ]]></publisher-loc>
<publisher-name><![CDATA[Editorial Ciencias Médicas]]></publisher-name>
</nlm-citation>
</ref>
<ref id="B5">
<label>5</label><nlm-citation citation-type="journal">
<person-group person-group-type="author">
<name>
<surname><![CDATA[Bestard Echevarría]]></surname>
<given-names><![CDATA[DM]]></given-names>
</name>
</person-group>
<article-title xml:lang=""><![CDATA[Alternativa terapéutica en la discromía de un diente con distrofia pulpar por fuerzas ortodóncicas: presentación de caso]]></article-title>
<source><![CDATA[Rev Arch Med Camagüey]]></source>
<year>2015</year>
<volume>19</volume>
<numero>1</numero>
<issue>1</issue>
<page-range>55-60</page-range></nlm-citation>
</ref>
<ref id="B6">
<label>6</label><nlm-citation citation-type="book">
<person-group person-group-type="author">
<name>
<surname><![CDATA[Barrancos Mooney]]></surname>
<given-names><![CDATA[J]]></given-names>
</name>
<name>
<surname><![CDATA[Barrancos]]></surname>
<given-names><![CDATA[PJ]]></given-names>
</name>
</person-group>
<source><![CDATA[Operatoria Dental Integración clínica]]></source>
<year>2006</year>
<edition>4</edition>
<publisher-loc><![CDATA[Buenos Aires ]]></publisher-loc>
<publisher-name><![CDATA[Editorial Médica Panamericana]]></publisher-name>
</nlm-citation>
</ref>
<ref id="B7">
<label>7</label><nlm-citation citation-type="book">
<person-group person-group-type="author">
<name>
<surname><![CDATA[Saurina Canals]]></surname>
<given-names><![CDATA[A]]></given-names>
</name>
<name>
<surname><![CDATA[Gironella Masgrau]]></surname>
<given-names><![CDATA[N]]></given-names>
</name>
</person-group>
<source><![CDATA[Blanqueamiento dental y estética buco-facial]]></source>
<year>2011</year>
<publisher-loc><![CDATA[Barcelona ]]></publisher-loc>
<publisher-name><![CDATA[Universidad autónoma de Barcelona]]></publisher-name>
</nlm-citation>
</ref>
<ref id="B8">
<label>8</label><nlm-citation citation-type="book">
<collab>Mapfre</collab>
<source><![CDATA[El color de los dientes ¿de qué depende?]]></source>
<year></year>
<publisher-loc><![CDATA[Alicante ]]></publisher-loc>
<publisher-name><![CDATA[Salud canales Mapfre]]></publisher-name>
</nlm-citation>
</ref>
<ref id="B9">
<label>9</label><nlm-citation citation-type="book">
<person-group person-group-type="author">
<name>
<surname><![CDATA[García Ramírez]]></surname>
<given-names><![CDATA[GO]]></given-names>
</name>
<name>
<surname><![CDATA[Gómez Zamora]]></surname>
<given-names><![CDATA[B]]></given-names>
</name>
<name>
<surname><![CDATA[Paz Hernández]]></surname>
<given-names><![CDATA[JA]]></given-names>
</name>
<name>
<surname><![CDATA[Sánchez Jiménez]]></surname>
<given-names><![CDATA[JC]]></given-names>
</name>
</person-group>
<source><![CDATA[Recromía dental en dientes no vitales]]></source>
<year>2012</year>
<publisher-loc><![CDATA[Ciudad México ]]></publisher-loc>
<publisher-name><![CDATA[Clínica Periférica Xochimilco Endodoncia]]></publisher-name>
</nlm-citation>
</ref>
<ref id="B10">
<label>10</label><nlm-citation citation-type="journal">
<person-group person-group-type="author">
<name>
<surname><![CDATA[Menéndez Vázquez]]></surname>
<given-names><![CDATA[L]]></given-names>
</name>
</person-group>
<article-title xml:lang=""><![CDATA[La consejería de salud bucal y su utilidad para la especialidad de Prótesis Estomatológica]]></article-title>
<source><![CDATA[Rev Cubana Estomatol]]></source>
<year>2003</year>
<volume>40</volume>
<numero>2</numero>
<issue>2</issue>
<page-range>23-9</page-range></nlm-citation>
</ref>
<ref id="B11">
<label>11</label><nlm-citation citation-type="journal">
<person-group person-group-type="author">
<name>
<surname><![CDATA[Fenoll-Palomares]]></surname>
<given-names><![CDATA[C]]></given-names>
</name>
<name>
<surname><![CDATA[Munoz-Montagud]]></surname>
<given-names><![CDATA[JV]]></given-names>
</name>
<name>
<surname><![CDATA[Sanchiz]]></surname>
<given-names><![CDATA[V]]></given-names>
</name>
<name>
<surname><![CDATA[Herreros]]></surname>
<given-names><![CDATA[B]]></given-names>
</name>
<name>
<surname><![CDATA[Hernández]]></surname>
<given-names><![CDATA[V]]></given-names>
</name>
<name>
<surname><![CDATA[Mín-guez]]></surname>
<given-names><![CDATA[M]]></given-names>
</name>
</person-group>
<article-title xml:lang=""><![CDATA[Unstimulated salivary flow rate, pH and buffer capacity of saliva in heal-thy volunteers]]></article-title>
<source><![CDATA[Rev Esp Enferm Dig]]></source>
<year>2004</year>
<volume>96</volume>
<numero>11</numero>
<issue>11</issue>
<page-range>773-83</page-range></nlm-citation>
</ref>
<ref id="B12">
<label>12</label><nlm-citation citation-type="journal">
<person-group person-group-type="author">
<name>
<surname><![CDATA[De Oliveira]]></surname>
<given-names><![CDATA[DC]]></given-names>
</name>
<name>
<surname><![CDATA[Soares]]></surname>
<given-names><![CDATA[DG]]></given-names>
</name>
<name>
<surname><![CDATA[Basso]]></surname>
<given-names><![CDATA[FG]]></given-names>
</name>
<name>
<surname><![CDATA[Hebling]]></surname>
<given-names><![CDATA[J]]></given-names>
</name>
<name>
<surname><![CDATA[de Souza]]></surname>
<given-names><![CDATA[CA]]></given-names>
</name>
</person-group>
<article-title xml:lang=""><![CDATA[Bleaching effectiveness, hydrogen diffusion and cytotoxicity of a chemically activated bleaching gel]]></article-title>
<source><![CDATA[Clin Oral Investig]]></source>
<year>2013</year>
<volume>22</volume>
<numero>2</numero>
<issue>2</issue>
<page-range>789-7 93</page-range></nlm-citation>
</ref>
<ref id="B13">
<label>13</label><nlm-citation citation-type="journal">
<person-group person-group-type="author">
<name>
<surname><![CDATA[Khan]]></surname>
<given-names><![CDATA[GJ]]></given-names>
</name>
<name>
<surname><![CDATA[Muhammad]]></surname>
<given-names><![CDATA[J]]></given-names>
</name>
<name>
<surname><![CDATA[Muhammad]]></surname>
<given-names><![CDATA[I]]></given-names>
</name>
</person-group>
<article-title xml:lang=""><![CDATA[Effect of smoking on salivary flow rate]]></article-title>
<source><![CDATA[Go-mal J Med Sci]]></source>
<year>2010</year>
<volume>8</volume>
<numero>2</numero>
<issue>2</issue>
<page-range>221-4</page-range></nlm-citation>
</ref>
<ref id="B14">
<label>14</label><nlm-citation citation-type="journal">
<person-group person-group-type="author">
<name>
<surname><![CDATA[Field]]></surname>
<given-names><![CDATA[M]]></given-names>
</name>
<name>
<surname><![CDATA[Duka]]></surname>
<given-names><![CDATA[T]]></given-names>
</name>
</person-group>
<article-title xml:lang=""><![CDATA[Cue reactivity in smokers: the effects of perceived cigarette availability and gender]]></article-title>
<source><![CDATA[Pharmacol Biochem Behav]]></source>
<year>2004</year>
<volume>78</volume>
<numero>3</numero>
<issue>3</issue>
<page-range>647-52</page-range></nlm-citation>
</ref>
<ref id="B15">
<label>15</label><nlm-citation citation-type="journal">
<person-group person-group-type="author">
<name>
<surname><![CDATA[Rad]]></surname>
<given-names><![CDATA[M]]></given-names>
</name>
<name>
<surname><![CDATA[Kakoie]]></surname>
<given-names><![CDATA[S]]></given-names>
</name>
<name>
<surname><![CDATA[Brojeni]]></surname>
<given-names><![CDATA[FN]]></given-names>
</name>
<name>
<surname><![CDATA[Pourdam-ghan]]></surname>
<given-names><![CDATA[N]]></given-names>
</name>
</person-group>
<article-title xml:lang=""><![CDATA[Effect of Long-term Smoking on Whole mouth Salivary Flow Rate and Oral Health]]></article-title>
<source><![CDATA[J Dent Res Dent Clin Dent Prospect]]></source>
<year>2010</year>
<volume>4</volume>
<numero>4</numero>
<issue>4</issue>
<page-range>110-4</page-range></nlm-citation>
</ref>
<ref id="B16">
<label>16</label><nlm-citation citation-type="journal">
<person-group person-group-type="author">
<name>
<surname><![CDATA[Nagler]]></surname>
<given-names><![CDATA[R]]></given-names>
</name>
<name>
<surname><![CDATA[Dayan]]></surname>
<given-names><![CDATA[D]]></given-names>
</name>
</person-group>
<article-title xml:lang=""><![CDATA[The dual role of saliva in oral carcinogenesis]]></article-title>
<source><![CDATA[Oncology]]></source>
<year>2006</year>
<volume>71</volume>
<numero>1-2</numero>
<issue>1-2</issue>
<page-range>10-7</page-range></nlm-citation>
</ref>
<ref id="B17">
<label>17</label><nlm-citation citation-type="book">
<person-group person-group-type="author">
<name>
<surname><![CDATA[Vieira]]></surname>
<given-names><![CDATA[D]]></given-names>
</name>
</person-group>
<source><![CDATA[Clasificación y etiología de las discromías dentales]]></source>
<year>2013</year>
<publisher-loc><![CDATA[Madrid ]]></publisher-loc>
<publisher-name><![CDATA[Clínicas Propdental]]></publisher-name>
</nlm-citation>
</ref>
<ref id="B18">
<label>18</label><nlm-citation citation-type="book">
<person-group person-group-type="author">
<name>
<surname><![CDATA[Poveda Sáenz]]></surname>
<given-names><![CDATA[JI]]></given-names>
</name>
</person-group>
<source><![CDATA[Comportamiento de las bases cavitarias en las técnicas de blanqueamiento interno]]></source>
<year>2012</year>
<publisher-loc><![CDATA[Madrid ]]></publisher-loc>
<publisher-name><![CDATA[Universidad Complutense de Madrid]]></publisher-name>
</nlm-citation>
</ref>
<ref id="B19">
<label>19</label><nlm-citation citation-type="journal">
<person-group person-group-type="author">
<name>
<surname><![CDATA[Lamas Lara]]></surname>
<given-names><![CDATA[C]]></given-names>
</name>
<name>
<surname><![CDATA[Angulo de la Vega]]></surname>
<given-names><![CDATA[G]]></given-names>
</name>
</person-group>
<article-title xml:lang=""><![CDATA[Alternativa de restauración estética en caso de discromia]]></article-title>
<source><![CDATA[Rev Odontol Sanmarquina]]></source>
<year>2010</year>
<volume>13</volume>
<numero>2</numero>
<issue>2</issue>
<page-range>38-41</page-range></nlm-citation>
</ref>
<ref id="B20">
<label>20</label><nlm-citation citation-type="journal">
<person-group person-group-type="author">
<name>
<surname><![CDATA[Díaz del Mazo]]></surname>
<given-names><![CDATA[L]]></given-names>
</name>
<name>
<surname><![CDATA[Ortiz Andrial]]></surname>
<given-names><![CDATA[A]]></given-names>
</name>
<name>
<surname><![CDATA[Ferrer González]]></surname>
<given-names><![CDATA[S]]></given-names>
</name>
<name>
<surname><![CDATA[Vicente Botta]]></surname>
<given-names><![CDATA[B]]></given-names>
</name>
<name>
<surname><![CDATA[Perdomo Estrada]]></surname>
<given-names><![CDATA[C]]></given-names>
</name>
</person-group>
<article-title xml:lang=""><![CDATA[Efectividad del Oleozón(r) en el tratamiento de pacientes con discromía dental]]></article-title>
<source><![CDATA[MEDISAN]]></source>
<year>2018</year>
<volume>22</volume>
<numero>1</numero>
<issue>1</issue>
<page-range>1-10</page-range></nlm-citation>
</ref>
<ref id="B21">
<label>21</label><nlm-citation citation-type="journal">
<person-group person-group-type="author">
<name>
<surname><![CDATA[Juárez]]></surname>
<given-names><![CDATA[N]]></given-names>
</name>
</person-group>
<article-title xml:lang=""><![CDATA[Blanqueamiento dental intrínseco utilizando técnica termo catalítica]]></article-title>
<source><![CDATA[Rev Odont Mexicana]]></source>
<year>2014</year>
<volume>18</volume>
<numero>3</numero>
<issue>3</issue>
<page-range>186-90</page-range></nlm-citation>
</ref>
<ref id="B22">
<label>22</label><nlm-citation citation-type="journal">
<person-group person-group-type="author">
<name>
<surname><![CDATA[Moradas Estrada]]></surname>
<given-names><![CDATA[M]]></given-names>
</name>
<name>
<surname><![CDATA[Álvarez López]]></surname>
<given-names><![CDATA[B]]></given-names>
</name>
</person-group>
<article-title xml:lang=""><![CDATA[Manchas dentales extrínsecas y sus posibles relaciones con los materiales blanqueantes]]></article-title>
<source><![CDATA[Avances en odontoestomatología]]></source>
<year>2018</year>
<volume>34</volume>
<numero>2</numero>
<issue>2</issue>
<page-range>59-71</page-range></nlm-citation>
</ref>
<ref id="B23">
<label>23</label><nlm-citation citation-type="journal">
<person-group person-group-type="author">
<name>
<surname><![CDATA[Beritán Castillo]]></surname>
<given-names><![CDATA[PM]]></given-names>
</name>
<name>
<surname><![CDATA[Valdivié Provance]]></surname>
<given-names><![CDATA[J]]></given-names>
</name>
</person-group>
<article-title xml:lang=""><![CDATA[Discromía por cirugía transepto esfenoidal de un adenoma hipofisario. A propósito de un caso]]></article-title>
<source><![CDATA[Rev Cubana Estomatología]]></source>
<year>2003</year>
<volume>40</volume>
<numero>2</numero>
<issue>2</issue>
</nlm-citation>
</ref>
<ref id="B24">
<label>24</label><nlm-citation citation-type="book">
<person-group person-group-type="author">
<name>
<surname><![CDATA[Gallegos Esquivel]]></surname>
<given-names><![CDATA[PJ]]></given-names>
</name>
</person-group>
<source><![CDATA[Odontología]]></source>
<year>2016</year>
<publisher-loc><![CDATA[Quito ]]></publisher-loc>
<publisher-name><![CDATA[Universidad San Francisco de Quito]]></publisher-name>
</nlm-citation>
</ref>
</ref-list>
</back>
</article>
