Digital surveillance: The interest in mouthwash-related information.

BACKGROUND: The comprehension of the interests of Internet users regarding their health-related searches may reveal the community's demands about oral health. The study aimed to characterize the interests of Google users related to mouthwash in Australia, Brazil, Chile, Japan, Mexico, Russia, the United Kingdom, the United States, Saudi Arabia and South Africa applying the Google Trends. METHODS: This longitudinal retrospective study analysed the mouthwash-related interest of Google users from January 2004 to December 2020. The monthly variation of relative search volume (RSV) and the main queries related were determined using Google Trends. Autoregressive integrated moving average (ARIMA) forecasting models were built to establish the predictive RSV values for mouthwash for additional 12 months. Auto-correlation plots and a general additive model (GAM) were used to diagnose trends and seasonality in RSV curves. In addition, the influence of social isolation related to the outbreak of COVID-19 were analysed. RESULTS: The RSVs curves showed a considerable increase in searches related to mouthwash to AUS, BRA, JAP, MEX, GBR and USA (RSV > 25), while the growth was slight to CHI, KSA, RSA and RUS (RSV < 25) over the years, without influence of monthly seasonality. All countries showed a significant increase in mouthwash interest after the outbreak of COVID-19, except for KSA and RUS. The mouthwash-related searches were associated to specific brands or chemical compositions, treatments, whitening agents, homemade mouthwash and indications for the 'best mouthwash'. CONCLUSIONS: In general, there was an increasing interest of Google users in mouthwash-related topics between 2004 and 2020. In addition, in most countries, there was an expansion in searches during the social isolation of the COVID-19 pandemics.

Toothpaste-related interests of Google users from different countries.

The Internet is a growing source of knowledge and can provide information about oral health. This ecological study aimed to characterize the interests in toothpaste among Google users from different countries. Our hypothesis was that there would be an increase in Google users' interest in information about toothpaste. This retrospective longitudinal ecological study analyzed the toothpaste-related interest of Google users from 10 countries between January 2004 and December 2020. The monthly variation in relative search volume (RSV) and the main related queries were determined using Google Trends. Autoregressive integrated moving average (ARIMA) forecasting models were built to establish the predictive RSV values for toothpaste for an additional 12 months. Autocorrelation plots and the generalized additive model (GAM) were used to diagnose trends and seasonality in RSV curves. Additionally, the influence of social isolation related to the outbreak of COVID-19 was analyzed. Although not detected by autocorrelation function (ACF) and partial autocorrelation function (PACF) analyses, the heuristic analysis showed an increase in the interest in toothpaste-related information in all countries, with a stable trend observed in the 12-month forecasts, except for the increases in the United Kingdom and South Africa. Also, GAM analyses demonstrated a non-significant monthly or quarterly seasonal influence on data. In addition, social isolation during the COVID-19 pandemic did not influence the online information-seeking behavior of Google Search users linked to this topic. We confirmed the hypothesis that the interest of Google Search users in information about toothpaste increased in all of the 10 assessed countries.

Periodontal status of liver transplant candidates and healthy controls.

BACKGROUND: This study aimed to compare the periodontal status of liver transplant candidates (LTCs) with healthy controls. METHODS: Fifty liver transplant candidates (LTC group) and fifty patients without liver disease (control group) underwent a complete periodontal examination. The groups were matched according to sex, age, and smoking status. A structured questionnaire was applied to record demographic data, systemic health, and information related to liver disease. Full-mouth complete periodontal examination of six sites per tooth was performed: gingival recession (GR), probing depth (PD), attachment loss (AL), bleeding on probing (BOP), and visible plaque index (VPI). The groups were compared in regard to periodontal clinical variables. RESULTS: Patients with cirrhosis had greater prevalence of periodontitis than healthy controls (P < 0.001). In addition, they had greater mean percentage of sites with AL ≥3 mm (P = 0.008) and AL ≥5 mm (P = 0.023), greater mean AL (P = 0.003), greater mean gingival recession (P < 0.001), and more missing teeth than in the control group (P = 0.02). CONCLUSION: Liver transplant candidates presented greater prevalence, extent, and severity of periodontitis than matched control patients.

Toothpaste-related interests of Google users from different countries

Abstract The Internet is a growing source of knowledge and can provide information about oral health. This ecological study aimed to characterize the interests in toothpaste among Google users from different countries. Our hypothesis was that there would be an increase in Google users' interest in information about toothpaste. This retrospective longitudinal ecological study analyzed the toothpaste-related interest of Google users from 10 countries between January 2004 and December 2020. The monthly variation in relative search volume (RSV) and the main related queries were determined using Google Trends. Autoregressive integrated moving average (ARIMA) forecasting models were built to establish the predictive RSV values for toothpaste for an additional 12 months. Autocorrelation plots and the generalized additive model (GAM) were used to diagnose trends and seasonality in RSV curves. Additionally, the influence of social isolation related to the outbreak of COVID-19 was analyzed. Although not detected by autocorrelation function (ACF) and partial autocorrelation function (PACF) analyses, the heuristic analysis showed an increase in the interest in toothpaste-related information in all countries, with a stable trend observed in the 12-month forecasts, except for the increases in the United Kingdom and South Africa. Also, GAM analyses demonstrated a non-significant monthly or quarterly seasonal influence on data. In addition, social isolation during the COVID-19 pandemic did not influence the online information-seeking behavior of Google Search users linked to this topic. We confirmed the hypothesis that the interest of Google Search users in information about toothpaste increased in all of the 10 assessed countries.

Avaliação da saúde bucal de pacientes cirróticos em fila de transplante hepático / Assessment of oral health of cirrhotic patients in liver transplant waiting list / Evaluación de la salud bucal de pacientes cirróticos en la lista de espera de trasplante hepático

Objetivo: Avaliar a saúde bucal de pacientes com cirrose hepática em fila de transplante. Materiais e Método: Foram avaliados 103 pacientes cirróticos quanto às características sócio-demográficas e histórico médico da cirrose hepática (etiologia, tempo de inclusão na fila de transplante, valor do MELD - Model for End-Stage Liver Disease, complicações da cirrose e medicações em uso). A avaliação da saúde oral foi feita através do índice de higiene oral simplificado (IHO-S), do índice de cárie dental (CPOD) e da sialometria. Foram realizadas análises descritivas após a tabulação dos dados. Resultados: A população estudada apresentava idade média de 54 anos, o sexo masculino era o mais prevalente e apenas 44% concluíram o ensino fundamental. Hepatite C e cirrose alcoólica foram as etiologias que, com mais frequência, levaram os pacientes a indicação de transplante hepático. Varizes esofágicas, ascite e hipertensão portal foram as complicações mais frequentes. O CPOD médio da população estudada foi considerado alto (23,3). Conclusão: A saúde bucal de pacientes cirróticos em fila de transplante não é satisfatória. Estudos longitudinais são necessários para investigar a relação entre focos de infecção oral e a ocorrência de infecções no pós-transplante hepático.

Objectives: To assess the oral health of patients waiting for a liver transplantation. Material and Methods: A total of 103 cirrhotic patients were evaluated for socio-demographic characteristics and medical history of liver cirrhosis (etiology, time of inclusion in the transplant list, MELD - Model for End Liver Disease - value, complications of cirrhosis and routine medications in use). In addition, simplified oral hygiene index (IHO-S), dental caries index (DMFT) and sialometry were performed to verify oral health. After tabulation of the data, descriptive analyzes were performed. Results: The mean age was 54 years, the male gender was the most prevalent and the elementary school was completed by only 44% of the studied population. Hepatitis C and alcoholic cirrhosis were the etiologies that, more frequently, led the patients to indication for liver transplantation. Esophageal varices, ascites and portal hypertension were the complications of cirrhosis most observed. The mean DMFT of the studied population was considered high (23.3 ). Conclusions: The oral health of cirrhotic patients in the waiting list for transplantation is not satisfactory. Longitudinal studies are needed to investigate the relationship between foci of oral infections and the occurrence of infections post-transplant liver.

Objetivo: Evaluar la salud bucal de pacientes con cirrosis hepática en fila de trasplante. Material y Métodos: Fueron evaluados 103 pacientes cirróticos en cuanto a las características sociodemográficas e historial médico de cirrosis hepática (etiología, tiempo de inclusión en fila de trasplante, valor del MELD - Model for End-Stage Liver Disease, complicaciones de la cirrosis y medicaciones en uso). Así mismo fueron realizados los siguientes índices para evaluación de la salud bucal: índice de higiene oral simplificado (IHO-S), índice de caries dental (CPOD) y sialometría. Fueron realizados análisis descriptivos después de la tabulación de datos. Resultados: La población estudiada presentaba edad media de 54 años, el sexo masculino era el más prevalente y sólo el 44% concluyeran la educacion fundamental. La hepatitis C y la cirrosis alcohólica fueron las etiologias que con más frecuencia, llevaron a los pacientes a indicación de trasplante hepático. Las complicaciones de la cirrosis más observadas fueron várices esofágicas, ascitis e hipertensión portal. El CPOD medio de la población estudiada fue considerado alto, comparado con personas normoreactivas del mismo grupo etáreo (23,3 y 16,75 respectivamente ). Conclusiones: La salud bucal de pacientes cirroticos en fila de trasplante no es satisfactoria. Estudios longitudinales son necesarios para investigar la relación entre focos de infección bucal y la ocurrencia de infecciones en el post transplante hepático.

Condição bucal de hepatopatas pré- transplantados e transplantados hepáticos: revisão da literatura / Oral Health Status of liver transplant candidates and post–liver transplant patients: a literature review

O transplante de fígado é o tratamento preconizado para a doença hepática terminal. Infecções são complicações frequentes e estão associadas à alta morbidade e mortalidade de pacientes pré e pós-transplantados. Assim, a prevenção de processos infecciosos é fundamental para reduzir a progressão da cirrose e diminuir o risco de complicações após o transplante. Portanto, o objetivo desta revisão de literatura é verificar quais são as condições bucais de candidatos ao transplante de fígado e de pós-transplantados, bem como verificar se a doença hepática está associada com pior condição bucal. Os artigos incluídos demonstraram higiene bucal ruim, alta prevalência de doença periodontal e de doença cárie. Alguns estudos observaram maior perda óssea e maior perda de inserção clínica em pré e pós-transplantados do que em pacientes sadios. A literatura é controversa em relação à associação entre condição hepática e doença cárie. Não há evidência suficiente para suportar a hipótese de que a doença hepática seja um fator de risco para doenças bucais

Liver transplantation is the indicated treatment for endstage hepatic disease. Infections are frequent complications in patients waiting for liver transplant and post-transplant patients, and have been associated with high morbidity and mortality.Thus, prevention of infections is important in the reduction of the progression of hepatic disease and in the reduction of complications in the transplanted patient. The aim of the review is to describe the oral conditions of liver transplant candidates and transplanted patients, and to verify if hepatic disease is associated with poor oral conditions. The included articles demonstrated poor oral hygiene, high prevalence of periodontal disease and caries disease. Some of the studies observed greater bone loss and clinical attachment loss in liver transplant candidates and transplanted patients, when compared to healthy controls. The literature is controversial regarding association between liver disease and dental caries. We concluded that there is not enough evidence to support the hypothesis that liver disease increases the risk for oral diseases