RESUMEN
PURPOSE: The aim of this study was to determine the factors associated with temporomandibular disorders (TMD) in the non-institutionalized and institutionalized elderly population of Feira de Santana, Bahia, Brazil. METHODS: A cross-sectional study was carried out in 307 subjects over 60 years old of both genders, where 80 are institutionalized and 227 are non-institutionalized. The evaluation of TMD signs and symptoms was performed using the Fonseca Anamnestic Index (IAF) as to sociodemographic, systemic and otological factors. The results were analyzed by correlating the study factors and the prevalence of TMD. A 95% confidence interval (CI) and a 5% significance level were established for all the tests used. RESULTS: The results showed that 50.5% of the subjects presented some degree of TMD. The prevalence of TMD was 49.8% among non-institutionalized elderly individuals and of 52.5% among institutionalized individuals. Variation in the prevalence of TMD, with statistical significance according to gender, age, income, tinnitus, dizziness, and depression was observed. CONCLUSION: The prevalence of TMD was significant among the elderly population. There was no statistically significant difference between the prevalence of TMD in institutionalized and non-institutionalized individuals. Identifying TMD in the elderly population may be difficult because the symptoms of these disorders are similar to symptoms commonly presented in some systemic disorders associated with aging.
Asunto(s)
Institucionalización/estadística & datos numéricos , Trastornos de la Articulación Temporomandibular/epidemiología , Factores de Edad , Anciano , Anciano de 80 o más Años , Brasil/epidemiología , Estudios Transversales , Depresión , Femenino , Humanos , Masculino , Persona de Mediana Edad , Prevalencia , Factores Sexuales , Trastornos de la Articulación Temporomandibular/diagnóstico , Acúfeno , VértigoRESUMEN
A busca pela saúde bucal passou a não se limitar apenas à remoção da dor ou restabelecimento da função, mas, também, à devolução da forma, proporção, cor e características perdidas do elemento dentário, almejando um sorriso harmônico e estético. Assim, este trabalho teve como objetivo relatar um caso clínico de um tratamento de reabilitação estética do sorriso com o uso de restaurações cerâmicas de diferentes espessuras: laminados cerâmicos e coroas totais unitárias. Abordando, desta forma, todas as etapas clínicas, desde o planejamento, escolha do material à cimentação das restaurações. A realização deste tratamento reabilitador com o uso de uma cerâmica à base de dissilicato de lítio possibilitou a recuperação funcional e estética do sorriso, além da satisfação e melhora da autoestima da paciente, sendo este sucesso atribuído, a um bom planejamento, escolha do material, conhecimento da técnica dos preparos dentais convencionais e minimamente invasivos, e dos procedimentos restauradores, levando-se em consideração as necessidades e expectativas do paciente(AU)
The search for oral health wasn't limited to the removal of pain or restoration of function, but also to the return of form, proportion, color and lost characteristics of the dental element, aiming for a harmonious and aesthetic smile. The aim of this study was to report a clinical case of a smile aesthetic rehabilitation treatment with the use of ceramic restorations of different thickness: dental veneers and crowns, covering all the clinical stages, from the planning, choice of the material until the cementation of the restorations. The accomplishment of this rehabilitation treatment with the use of a ceramic based on lithium disilicate enabled the functional and aesthetic recovery of the smile, besides the satisfaction and improvement of the self-esteem of the patient, being this success attributed, first, to a good planning, choice of the material, knowledge of the technique of conventional and minimally invasive dental preparations, and restorative procedures, taking into account the needs and expectations of the patient(AU)
Asunto(s)
Humanos , Femenino , Persona de Mediana Edad , Cerámica , Coronas con Frente Estético , Estética Dental , Salud BucalRESUMEN
ABSTRACT Purpose The aim of this study was to determine the factors associated with temporomandibular disorders (TMD) in the non-institutionalized and institutionalized elderly population of Feira de Santana, Bahia, Brazil. Methods A cross-sectional study was carried out in 307 subjects over 60 years old of both genders, where 80 are institutionalized and 227 are non-institutionalized. The evaluation of TMD signs and symptoms was performed using the Fonseca Anamnestic Index (IAF) as to sociodemographic, systemic and otological factors. The results were analyzed by correlating the study factors and the prevalence of TMD. A 95% confidence interval (CI) and a 5% significance level were established for all the tests used. Results The results showed that 50.5% of the subjects presented some degree of TMD. The prevalence of TMD was 49.8% among non-institutionalized elderly individuals and of 52.5% among institutionalized individuals. Variation in the prevalence of TMD, with statistical significance according to gender, age, income, tinnitus, dizziness, and depression was observed. Conclusion The prevalence of TMD was significant among the elderly population. There was no statistically significant difference between the prevalence of TMD in institutionalized and non-institutionalized individuals. Identifying TMD in the elderly population may be difficult because the symptoms of these disorders are similar to symptoms commonly presented in some systemic disorders associated with aging.
Asunto(s)
Humanos , Masculino , Femenino , Anciano , Anciano de 80 o más Años , Trastornos de la Articulación Temporomandibular/epidemiología , Institucionalización/estadística & datos numéricos , Acúfeno , Brasil/epidemiología , Trastornos de la Articulación Temporomandibular/diagnóstico , Factores Sexuales , Vértigo , Prevalencia , Estudios Transversales , Factores de Edad , Depresión , Persona de Mediana EdadRESUMEN
As próteses sobre implante surgiram como uma excelente alternativa de tratamento para as reabilitações orais. O trabalho aborda aspectos biomecânicos que atuam na transmissão de cargas ao sistema prótese/implante/osso considerando conceitos oclusais estabelecidos para dentição natural aplicados a implantodontia, densidade óssea e os materiais de revestimento da superfície oclusal, de acordo com revisão de literatura. Não está estabelecido um protocolo oclusal para as reabilitações sobre implante, necessitando de estudos que acrescentem aos já publicados pela comunidade científica.
Asunto(s)
Prótesis Dental , Prótesis e ImplantesRESUMEN
Tendo com princ[ipio a eletrólise. A infra-estrutura para prótese fixa unitária resultante da eletrodeposição pode ser fabricado com uma espessura de 0,2mm e um desajuste cervical menor que 20pm, resultando uma maior espessura de cerâmica quando comparada com a fundição de infra-estruturas convencionais. Dessa forma, pode ser obtida uma melhor estética, devido a uma aparência mais natural, através da forma da coroa e da melhor qualidade da cor obtida. Este trabalho apresenta uma revisão de literatura sobre infra-estrutura metálica por eletrodeposição em prótese parcial fixa, bem como um relato de caso clínico acompanhado de descrição laboratorial com ilustrações