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1.
Arch. méd. Camaguey ; 25(6): e8335, 2021. tab
Article in Spanish | LILACS-Express | LILACS | ID: biblio-1355656

ABSTRACT

RESUMEN Fundamento: las lesiones cervicales no cariosas son aquellas que se producen por la pérdida de tejido dental debido a causas diferentes de la bacteriana. Las mismas han ganado la atención de investigadores debido a la alta prevalencia con la que se han presentado. Objetivo: describir el comportamiento de las lesiones cervicales no cariosas en pacientes de la clínica estomatológica del municipio Jimaguayú en la provincia Camagüey. Métodos: se realizó un estudio descriptivo observacional analítico y transversal. Se tuvo como población de estudio a 54 pacientes de 20 años y más que presentaron lesiones cervicales no cariosas, se tomaron en consideración variables tales como: sexo, tipo de lesión, factores de riesgo y grupos dentarios afectados. Resultados: las personas mayores de 60 años fueron las más afectadas por este tipo de lesiones. Los hombres prevalecieron con relación a las mujeres, las que a su vez fueron más afectadas por las abfracciones. El factor de riesgo más asociado al origen de estas enfermedades fue la técnica de cepillado incorrecta y se tuvo en cuenta que en un mismo paciente pudieron incidir más de un factor de riesgo. Los premolares fueron los dientes más afectados y en menor medida los incisivos. Conclusiones: se deben considerar a las lesiones cervicales no cariosas como un problema de salud de origen multifactorial y con una clara repercusión sobre la integridad de los tejidos dentarios.


ABSTRACT Background: non-carious cervical lesions are those that are produced by the loss of dental tissue due to causes other than bacterial. They have gained the attention of researchers due to the high prevalence with which they have been presented. Objective: to describe the behavior of non-carious cervical lesions in patients from the dental clinic of the Jimaguayú municipality of Camagüey. Methods: descriptive, observational, analytical and cross-sectional study was carried out with 54 patients of 20 years old and older who presented non-carious cervical lesions as the study population, taking into consideration variables such as sex, type of lesion, risk factors and affected dental groups. Results: people over 60 years of age were the most affected by this type of injury. Men prevailed in relation to women, who in turn were more affected by abfractions. The risk factor most associated with the origin of these pathologies was the incorrect brushing technique and it was taken into account that more than one risk factor could have an impact on the same patient. The premolars were the teeth most affected and to a lesser extent the incisors. Conclusions: non-carious cervical lesions should be considered as a health problem of multifactorial origin and with a clear repercussion on the integrity of the dental tissues.

2.
Arch. méd. Camaguey ; 25(4): e7961, 2021.
Article in Spanish | LILACS-Express | LILACS | ID: biblio-1339129

ABSTRACT

RESUMEN Fundamento: el uso de protectores bucales durante la práctica deportiva es fundamental como medida preventiva de las lesiones por traumatismos dentomaxilofaciales en la adolescencia. Objetivo: explicar la importancia del uso de los protectores bucales al tener en cuenta sus características, tipos y funciones. Métodos: se realizó una revisión de la literatura procedente de bases de datos como CUMED, LILACS, MEDLINE, SCOPUS y PUBMED, sitios web, libros y revistas en Internet, de artículos publicados durante los últimos 20 años, sobre los tipos de protectores bucales y su importancia para la prevención de las lesiones por traumatismos dentomaxilofaciales. Se encontraron un total de 60 trabajos, de los cuales se seleccionaron 30, se tuvo en cuenta su actualidad, relevancia y pertinencia sobre el tema. Resultados: el protector bucal es un elemento básico en la prevención de las lesiones dentomaxilofaciales en la adolescencia. En la actualidad existen tres tipos: prefabricados, adaptables e individualizados. Su propósito es distribuir la fuerza de los impactos recibidos en una situación de contacto, disminuyendo la posibilidad de sobrecargas puntuales. Conclusiones: los protectores bucales individualizados son los más efectivos para la prevención de las lesiones traumáticas dentomaxilofaciales y su función más importante es estabilizar la mandíbula y minimizar el riesgo de la contusión y las lesiones cerebrales. Los estomatólogos recomiendan su uso obligatorio en la práctica de cualquier deporte, sea aficionado o profesional.


ABSTRACT Background: the use of mouth guards during sports practice is essential as a preventive measure for dent-maxillofacial trauma injuries in adolescence. Objective: to explain the importance of the use of mouth guards taking into account their characteristics, types and functions. Methods: a revision of the literature was carried out from databases such as CUMED, LILACS, MEDLINE, SCOPUS and PUBMED, websites, books and magazines on the Internet, of articles published during the last 20 years, on the types of mouth guards and their importance for the prevention of dent-maxillofacial trauma injuries. Sixty works were found, of which 30 were selected taking into account their actuality and relevance to the topic. Results: the mouth guard is a basic element in the prevention of dent-maxillofacial lesions in adolescence. Currently, there are three types: prefabricated, adaptable and individualized. Its purpose is to distribute the force of the impacts received in a contact situation, reducing the possibility of specific overloads. Conclusions: individualized mouth guards are the most effective for traumatic dent-maxillofacial injuries prevention and their most important function is to stabilize the jaw and minimize the risk of contusion and brain injury. Dentists recommend its mandatory use in the practice of any sport, being it amateur or professional.

3.
Univ. salud ; 23(1): 71-75, ene.-abr. 2021. graf
Article in Spanish | LILACS, COLNAL | ID: biblio-1157011

ABSTRACT

Resumen Introducción: El trauma dentoalveolar es un tipo de afección muy común en niños, que en la mayoría de los casos involucra dientes, la porción alveolar del maxilar, la mandíbula y los tejidos blandos adyacentes. Pueden variar en cuanto a la extensión y gravedad llegando a afectar la funcionalidad e integridad de las estructuras orales, por lo que un diagnóstico correcto y tratamiento oportuno es necesario para evitar la generación de posibles secuelas en la dentición permanente. Objetivo: Reportar un caso de trauma dentoalveolar en un niño y su abordaje odontológico interdisciplinar. Presentación del caso: Paciente masculino de 7 años de edad, sin antecedentes relevantes, asiste a consulta con su madre por presentar persistencia de un diente temporal en sector anterosuperior, asociado a trauma dentoalveolar ocurrido a los 18 meses de vida aproximadamente. Se realiza exodoncia del diente temporal y tratamiento ortopédico para orientar la erupción del diente permanente, manifestando evolución favorable. Conclusiones: El abordaje interdisciplinario para los casos de trauma dento-alveolar constituye una buena alternativa para una adecuada rehabilitación y disminuye posibles secuelas.


Abstract Introduction: Dentoalveolar trauma is a common type of condition in children, which mostly affects the teeth, alveolar segment of the maxilla, mandibula and adjacent soft tissues. It can vary in terms of extension and severity, affecting the functionality and integrity of the oral structures. Therefore, a correct diagnosis and a timely treatment are necessary to avoid future sequelae in the permanent dentition. Objective: To report a case of dentoalveolar trauma in a child and its interdisciplinary dental approach. Case presentation: A 7-year-old male child with no relevant history attends a consultation with his mother due to the persistence of a temporary tooth in the anterosuperior sector. It is associated with dentoalveolar trauma that occurred when he was 18 months old. Exodontia and orthopedic treatment were performed on the temporary tooth to guide the eruption of the permanent tooth, showing a favorable evolution afterwards. Conclusions: An interdisciplinary approach for cases of dentoalveolar trauma constitutes an appropriate alternative for successful rehabilitation and reduces possible sequelae.


Subject(s)
Dental Care , Tooth, Deciduous , Pediatric Dentistry , Tooth Injuries
4.
Article in English | LILACS, BBO | ID: biblio-1351211

ABSTRACT

ABSTRACT Objective: To examine the types of traumatic dental injuries of the primary teeth (TDI-p) and the long-term sequelae on permanent dentition (LSP) comparing with a control group (CG). In addition, a questionnaire that measures parents' knowledge and awareness was used. Material and Methods: The trauma group (TG) consisted of permanent teeth following TDI-p exposed teeth, while the CG consisted of permanent teeth following unexposed teeth with TDI-p of the same patients. In total, 141 teeth were evaluated in 27 patients. Data concerning such as teeth, when TDI-p occurred, types of treatments and types of LSP were collected. Chi-square test was used for intergroup comparison for gender, type of trauma, LSP, age of trauma and parameters in the parental information questionnaire. Significance level was p<0.05. Results: A statistically significant difference was found in the analysis between TG and CG (p<0.001). The prevalence of LSP due to TDI-p was 29.6% and the prevalence of sequelae in CG was 7.4%. The most common LSP was enamel hypoplasia (14.8%). Parents were aware of the importance of TDI-p, and they had insufficient knowledge about its management. Conclusion: TDI-p can be considered a high-risk factor in the development of LSP. Also, the lack of knowledge in parents should be supported by software-based application systems to be developed.


Subject(s)
Humans , Male , Female , Infant , Child, Preschool , Child , Adolescent , Tooth, Deciduous/injuries , Tooth Avulsion/diagnostic imaging , Dental Records , Tooth Injuries/diagnosis , Dentition, Permanent , Parents , Turkey/epidemiology , Radiography, Dental/instrumentation , Chi-Square Distribution , Surveys and Questionnaires , Risk Factors , Statistics, Nonparametric , Photography, Dental/instrumentation
5.
Article in English | LILACS, BBO | ID: biblio-1287483

ABSTRACT

Abstract Objective: To evaluate the knowledge of patients treated in a public University concerning dental avulsion and its emergency first-aid management. Material and Methods: Three hundred patients were invited to answer a questionnaire about demographic characteristics, attitude and knowledge of first-aid management of dental avulsion. Chi-square test was used to assess the association between knowledge about dental replantation and education level. Results: Female gender (66.7%) aged from 31 to 40 years (31.3%) with high school education (50.3%) predominated among all the participants. It was not found a difference between education level and management of avulsed permanent teeth (p=0.076), and 66% of the respondents were not able to do the replantation. In relation to the management of avulsed tooth, 42.7% of the respondents would brush the tooth and if the replantation was not possible, most of them would choose inappropriate media for storage. The association between the storage medium and educational level showed to be statistically significant (p=0.043). Conclusion: It was possible to notice the lack of knowledge about this subject, and it could result in the worst prognosis. In avulsion cases, the subsequent root resorptions may lead to the loss of the child's tooth. It is important to implement educational campaigns to spread knowledge and improve success rates of permanent avulsed teeth


Subject(s)
Humans , Male , Female , Adult , Tooth Avulsion/etiology , Tooth Replantation , Health Knowledge, Attitudes, Practice , Community Dentistry , Tooth Injuries/etiology , Dentition, Permanent , Toothbrushing , Brazil/epidemiology , Chi-Square Distribution , Demography , Cross-Sectional Studies , Surveys and Questionnaires , Data Interpretation, Statistical , First Aid
6.
RGO (Porto Alegre) ; 69: e2021010, 2021. tab
Article in English | LILACS-Express | LILACS, BBO | ID: biblio-1250649

ABSTRACT

ABSTRACT Objective The aim of this study was to determine the frequency of pulp canal obliteration (PCO) after traumatic dental injury (TDI) of primary anterior teeth and to investigate its relation with the related variables. Methods This retrospective study has been done with dental records of patients selected from the Paediatric Dental Trauma Clinic between 2006 and 2016. Those who had PCO in the primary anterior teeth and were aged 0-108 months at the time of trauma were considered eligible. Data related to patients and TDI, such as sex, the child's age at the time of trauma, aetiology, affected teeth, the child's age at the time of the eruption of the permanent successor as well as the presence of crown discoloration were extracted from the dental records. Results Among the 483 children with traumatised teeth, 14.9% had PCO and the most of them exhibited crown discoloration. The average age of the children at the time of the trauma was 38 months and the most common aetiology of the TDI was falls. The average time for the beginning of the PCO process was 13.5 months. There was no statistically significant association between the child's age at the time of trauma and the types of TDI, PCO and the presence of crown discoloration. Conclusions The frequency of PCO was relatively low though the presence of crown discoloration was considerable. There was no association between the child's age at the time of trauma and the studied variable.


RESUMO Objetivo O objetivo desse estudo foi determinar a frequência de obliteração do canal pulpar (OCP) após traumatismo dos dentes decíduos anteriores e investigar sua associação com variáveis relacionadas. Métodos Este estudo retrospectivo foi realizado com base nos prontuários odontológicos de pacientes selecionados da Clínica de Trauma Dentário Pediátrico entre 2006 e 2016. Aqueles que tinham OCP nos dentes decíduos anteriores e tinham entre 0-108 meses no momento do traumatismo foram considerados elegíveis. Dados dos pacientes e dos traumatismos, tais como, sexo, idade da criança no momento do traumatismo, etiologia, dente afetado, idade da criança na época no momento da erupção do sucessor permanente, bem como presença de alteração de cor da coroa foram extraídos dos prontuários. Resultados Dentre as 483 crianças com dentes com traumatismos, 14.9% tinham OCP e a maioria delas apresentava alteração de cor da coroa. A média de idade da criança no momento do traumatismo foi de 38 meses e a etiologia mais comumente associada ao TD foram as quedas. O tempo médio decorrido para o início do processo de OCP foi de 13,5 meses. Não houve associação estatisticamente significativa entre a idade da criança no momento do traumatismo e os tipos de TD, OCP e presença de alteração de cor da coroa. Conclusão A frequência de OCP foi relativamente baixa, embora a presença de alteração da coroa tenha sido considerável. Não foi encontrada associação entre a idade da criança no momento do trauma e as variáveis estudadas.

7.
Article in English | LILACS, BBO | ID: biblio-1351210

ABSTRACT

ABSTRACT Objective: To assess the occurrence of dental trauma in a group of children with Autistic Spectrum Disorder (ASD) in comparison to children without the disorder. Material and Methods: This is a cross-sectional study conducted at the Department of Children and Adolescents Health in the Department of Health of Juiz de Fora, Brazil. The study included individuals with and without ASD, between three and 16 years old, and their parents/caregivers. Children/adolescents were assessed for dental trauma by clinical examination. All exams were performed by a trained and calibrated examiner (MCT), and intra-examiner reliability was previously established (Kappa=0.93). The Socio-demographic status was reported by parents/caregivers. Data analysis included descriptive statistics and generation of frequency distributions. Fisher's exact test was used to evaluate the association between groups of children/adolescents with and without ASD about the presence of dental trauma. The significance level was set at p < 0.05. Results: Sixty children of both sexes participated in the study, thirty with a diagnosis of ASD and thirty without. The age ranging from 3 to 13 years, with an average of 7.5 ± 3.2 years. Children with ASD had a higher frequency of dental trauma than children without ASD (p=0.02), and the most frequent type of trauma was enamel fracture (57.10%), followed by enamel/dentin fracture without pulp exposure (42.90%). Conclusion: Children with ASD, when compared to children who did not have ASD, had a higher occurrence of dental trauma.


Subject(s)
Humans , Male , Female , Child, Preschool , Child , Adolescent , Oral Hygiene , Child , Oral Health/education , Tooth Injuries/diagnostic imaging , Autism Spectrum Disorder , Parents , Brazil/epidemiology , Cross-Sectional Studies/methods , Surveys and Questionnaires , Data Interpretation, Statistical , Caregivers
8.
Article in English | LILACS, BBO | ID: biblio-1155011

ABSTRACT

ABSTRACT Objective: To estimate the prevalence and associated factors of dental trauma in 6-year-old school children in the city of Palhoça, Brazil. Material and Methods: Cross-sectional study nested in a cohort study. It involved a representative sample of school children born in 2009, residing in the municipality and regularly enrolled in public and private schools (n = 1,102). Clinical data were obtained through oral exams. To evaluate the incisal overjet, the distance in millimeters was measured horizontally from the labial surface of the lower central incisor to the labial surface of the upper incisor. Bivariate analyses were performed using the Chi-square test, with a p-value <0.05 considered statistically significant. Multivariate analyses using Poisson Regression were performed to identify independent associations between the prevalence and the independent variables studied. Results: Prevalence of dental trauma was 4.2% (95% CI 3.0-5.4). Dental trauma was statistically associated with studying in a private school (PR = 1.03; 95% CI 1.01-1.06) (p=0.016) and with inadequate lip coverage (PR = 1.08; 95% CI 1.01-1.14) (p=0.016). Conclusion: The prevalence of 4.2% of dental trauma in six-year-old children, associated with inadequate and greater lip coverage in children from private schools should be taken into account, since most teeth at this stage are newly erupted.


Subject(s)
Humans , Male , Female , Child , Child , Epidemiology , Prevalence , Tooth Injuries/diagnosis , Tooth Injuries/epidemiology , Dentition, Mixed , Brazil/epidemiology , Chi-Square Distribution , Cross-Sectional Studies/methods , Multivariate Analysis , Cohort Studies
9.
Cad. Saúde Pública (Online) ; 37(12): e00015920, 2021. tab, graf
Article in English | LILACS | ID: biblio-1350420

ABSTRACT

Abstract: This study aimed to investigate the prevalence of dental trauma in Brazilian children and adolescents. A systematic review was conducted considering eight databases: MEDLINE (via PubMed), LILACS, BBO, Scopus, Embase, Web of Science, Open Access Theses and Dissertations, and OpenThesis. Only prevalence studies that used a probabilistic sampling method were included, without restriction on year or language of publication. The JBI critical appraisal tools for prevalence studies were used to assess the individual risk of bias. The individual studies were combined in the meta-analysis using the random-effects model. The heterogeneity between the studies was analyzed by Cochran's Q and the I-square statistics. A meta-regression analysis was performed to evaluate the sources of heterogeneity. The GRADE approach assessed the certainty of evidence across included studies. The search resulted in 2,069 records, of which 36 were included in the study. The eligible studies were published from 2000 to 2021, with a total sample of 40,194 children and adolescents. Most studies (75%) had a low risk of bias. In permanent teeth, the prevalence of dental trauma was 21% (95%CI: 16.0; 26.0) and in deciduous teeth; 35% (95%CI: 26.0; 44.0). The prevalence of dental trauma among boys was higher than among girls for both dentitions. Based on a low certainty, the prevalence of traumatic dental injuries in Brazilian children and adolescents is higher than that found worldwide both in deciduous and permanent teeth. Also, the prevalence of dental trauma among boys is higher than among girls.


Resumo: O estudo buscou investigar a prevalência de trauma dentário em crianças e adolescentes brasileiros. Foi realizada uma revisão sistemática em oito bases de dados: MEDLINE (via PubMed), LILACS, BBO, Scopus, Embase, Web of Science, Open Access Theses and Dissertations e OpenThesis. Foram incluídos apenas estudos de prevalência que usavam métodos de amostragem probabilística, sem limitação de ano ou idioma de publicação. Para avaliar o risco individual de viés, foram utilizadas as ferramentas de avaliação crítica da JBI para estudos de prevalência. Os estudos individuais foram combinados na metanálise com o uso do modelo de efeitos aleatórios. A heterogeneidade entre os estudos foi analisada pelas estatísticas Q de Cochran e I-quadrado. A análise de metarregressão foi realizada para avaliar as fontes de heterogeneidade. A abordagem GRADE avaliou a certeza das evidências entre os estudos incluídos. A busca resultou em 2.069 registros, dos quais 36 foram incluídos no estudo. Os estudos elegíveis foram publicados entre 2000 e 2021, com uma amostra total de 40.194 crianças e adolescentes. A maioria dos estudos (75%) teve baixo risco de viés. Nos dentes permanentes, a prevalência de trauma dentário foi de 21% (IC95%: 16,0; 26,0) e nos dentes decíduos foi de 35% (IC95%: 26,0; 44,0). A prevalência de trauma dentário foi mais alta no sexo masculino que no feminino, para ambas as dentições. Com base na baixa certeza, a prevalência das lesões dentárias traumáticas em crianças e adolescentes brasileiros é mais alta que no resto do mundo, tanto nos dentes decíduos quanto nos permanentes. Além disso, a prevalência de trauma dentário é mais alta em meninos que em meninas.


Resumen: Este estudio tuvo como meta investigar la prevalencia de trauma dental en niños y adolescentes brasileños. Se realizó una revisión sistemática considerando ocho bases de datos: MEDLINE (via PubMed), LILACS, BBO, Scopus, Embase, Web of Science, Open Access Theses and Dissertations y OpenThesis. Solamente se incluyeron estudios de prevalencia que usaron un método de muestreo probabilístico, sin restricción sobre el año o lengua de publicación. Se usó las herramientas de evaluación crítica del JBI para estudios de prevalencia studies para evaluar el riesgo individual de sesgo. Los estudios individuales se combinaron en metaanálisis, usando un modelo de efectos aleatorios. La heterogeneidad entre los estudios se analizó mediante las estadísticas de Cochran Q e I-cuadrado. Se realizó un análisis de meta-regresión para evaluar las fuentes de heterogeneidad. El enfoque GRADE evaluó la certidumbre de evidencia a través de los estudios incluidos. La búsqueda resultó en 2.069 registros, de los cuales treinta y seis se incluyeron en el estudio. Los estudios elegibles se publicaron entre 2000 y 2021, con una muestra total de 40.194 niños y adolescentes. La mayoría de los estudios (75%) tenían un bajo riesgo de sesgo. En los dientes permanentes la prevalencia de trauma dental fue 21% (IC95%: 16,0; 26,0) y en los dientes deciduos la prevalencia de trauma dental fue 35% (IC95%: 26,0; 44,0). La prevalencia trauma dental entre niños fue más alta que entre niñas en ambas denticiones. Basado en una baja certidumbre, la prevalencia de lesiones traumáticas dentales en niños y adolescentes brasileños es más alta que la encontrada en el resto del mundo, tanto en dientes deciduos como en dientes permanentes. Asimismo, la prevalencia de trauma dental entre niños es más alta que entre niñas.


Subject(s)
Humans , Male , Female , Child , Adolescent , Bibliometrics , Dentition, Permanent , Brazil/epidemiology , Bias , Prevalence
10.
Article in English | LILACS, BBO | ID: biblio-1143400

ABSTRACT

ABSTRACT Objective: To assess the knowledge of undergraduate health care students, about avulsion of permanent teeth. Material and Methods: It is a cross-sectional study. The sample consisted of Brazilian undergraduate students of the nursing, medicine, and dentistry degree programs. A structured questionnaire developed by the researchers, containing 18 objective questions about avulsion of permanent teeth was used as the data collection. Data analysis included Pearson's Chi-square and Fisher's Exact. Results: A total of 82.7% dental students, 22.9% nursing students, and 23% medical students had previously received some information about dental trauma. Students in the second half of the dentistry program had a higher percentage of correct answers in all questions (p<0.05). Being in the first or second half of the nursing program had no relation to the percentage of correct answers by students for any questions (p>0.05). Students in the first half of the medical program had a higher percentage of correct answers for six of these questions (p<0.05). Dentistry students had the highest percentage of correct answers in all the questions (p<0.001). Conclusion: Although students from the dentistry degree program report having information on avulsion of permanent teeth, their practical experience was considered low. Upon comparing students from the dentistry, nursing, and medical degree programs regarding their learning about avulsion of permanent teeth, dentistry students had greater knowledge on the subject.


Subject(s)
Humans , Male , Female , Students, Health Occupations , Tooth Avulsion/diagnostic imaging , Brazil/epidemiology , Tooth Injuries/diagnosis , Dentition, Permanent , Chi-Square Distribution , Cross-Sectional Studies , Surveys and Questionnaires , Statistics, Nonparametric , Problem-Based Learning/methods
11.
Article in English | LILACS, BBO | ID: biblio-1143401

ABSTRACT

ABSTRACT Objective: To determine the awareness and sources of information on first aid management of avulsed permanent teeth in a group of South-western Nigerian mothers. Material and Methods: An 18-item interviewer-administered questionnaire was used to survey 385 mothers attending the antenatal and immunization clinics on their perception towards dental avulsion, its management, sources, and preferred mode of receiving information on first aid. The effect of all significant factors was inferred at p<0.05. Results: Mothers who had previous information on the first aid management of dental avulsion had significantly higher knowledge (p=0.000). Majority (80.8%) of the mothers did not know that an avulsed permanent tooth could be replanted, though mothers whose children had not experienced dental trauma had significantly higher knowledge (p=0.003). The knowledge of first aid management of avulsed permanent tooth was low, regardless of age, education and employment status of the respondents. Conclusion: There was low knowledge among mothers regarding the first aid measures in the management of avulsed permanent teeth. Their main preference for receiving information was through social media and television. There is a need to increase oral health educational campaigns targeted towards mothers.


Subject(s)
Humans , Female , Adult , Middle Aged , Tooth Fractures/diagnosis , Tooth Avulsion/diagnosis , Tooth Injuries/diagnosis , First Aid , Mothers , Nigeria/epidemiology , Chi-Square Distribution , Oral Health , Epidemiology, Descriptive , Cross-Sectional Studies/methods , Surveys and Questionnaires
12.
Dental press j. orthod. (Impr.) ; 26(1): e21bbo1, 2021. tab, graf
Article in English | LILACS, BBO | ID: biblio-1154064

ABSTRACT

ABSTRACT Introduction: Orthodontic treatment in patients with traumatized teeth is a condition that needs good planning in order to achieve satisfactory results. Objective: To discuss approaches to orthodontic treatment of malocclusions associated with trauma followed by avulsion of anterior teeth, reimplanted after a short period of time. Case report: The treatment started with the distalization of upper posterior teeth, with the aid of mini-implants and sliding jigs, followed by the inclusion of anterior teeth in the arch, followed by intrusion of these teeth. Results: With the treatment, improved mobility of the anterior teeth was achieved, with better insertion into bone tissue. The most important factor for satisfactory treatment and a good prognosis for avulsion is the time the tooth remains outside the socket. Orthodontic treatment in patients with traumatized teeth is not contraindicated; however, clinical and radiographic aspects must be considered. Conclusion: Among the feasible orthodontic treatment options, the conservative approach can be a very favorable treatment alternative.


RESUMO Introdução: O tratamento ortodôntico em pacientes com dentes traumatizados é uma condição que necessita de um bom planejamento, a fim de se conseguir resultados satisfatórios. Objetivo: Discutir as abordagens de tratamento ortodôntico de más oclusões associadas ao trauma seguido de avulsão de dentes anteriores, reimplantados após curto espaço de tempo. Relato do Caso: O tratamento realizado iniciou-se com a distalização dos dentes posteriores superiores, com auxílio de mini-implantes e sliding jigs, seguida da inclusão dos dentes anteriores na arcada e intrusão desses dentes. Resultados: Com a realização do tratamento, conseguiu-se melhoria na mobilidade dos dentes anteriores, com inserção mais favorável no tecido ósseo. O fator mais importante para o tratamento satisfatório e um bom prognóstico da avulsão é o tempo em que o dente permanece fora do alvéolo. O tratamento ortodôntico em pacientes com dentes traumatizados não é contraindicado; porém, aspectos clínicos e radiográficos devem ser considerados. Conclusão: Entre as opções de tratamento ortodôntico factíveis, a abordagem conservadora pode ser uma opção de tratamento bastante favorável.


Subject(s)
Humans , Adult , Tooth Avulsion , Conservative Treatment , Malocclusion , Tooth Avulsion/complications , Tooth Avulsion/therapy , Tooth Avulsion/diagnostic imaging , Tooth Movement Techniques , Follow-Up Studies , Incisor/diagnostic imaging
13.
Pesqui. bras. odontopediatria clín. integr ; 21: e210077, 2021. tab, graf
Article in English | LILACS, BBO | ID: biblio-1351216

ABSTRACT

ABSTRACT Objective: To evaluate and discuss the prevention and management of dental trauma in primary teeth during the COVID-19 pandemic. Material and Methods: Critic literature review, searching electronic databases and Google for articles and guidelines published in English that described prevention and management of dental trauma in primary dentition during the pandemic of COVID-19. Results: 5 publications regarding management and 1 leaflet about prevention for parents were identified. Urgent care is required when the child presents tooth fracture resulting in pain or causing soft tissue trauma and luxation affecting bite. Avulsed teeth should not be replanted and advice and self-help may be sufficient in some situations. Instructions about soft diet and hygiene must be provided. Remote consults are recommended for non-urgent situations and during follow-up to evaluate the presence of sequelae. Aerosol generating procedures should be avoided and, in cases of poor prognosis, extraction is recommended to prevent recurring visits to the dental office. Conclusion: During COVID-19 pandemic, remote consults should be recommended to evaluate traumatic dental injuries in primary dentition. Follow-up should not be neglected and may be performed through remote consultation.


Subject(s)
Tooth, Deciduous , Tooth Injuries/prevention & control , Emergencies , COVID-19/pathology , Brazil , Remote Consultation
14.
Arq. odontol ; 57: 87-105, jan.-dez. 2021. ilus
Article in Portuguese | LILACS, BBO | ID: biblio-1255427

ABSTRACT

Objetivo: Realizar uma overview relacionada ao assunto traumatismo em dentes decíduos e permanentes, bem como analisar a qualidade metodológica e o risco de viés dos trabalhos incluídos (PROSPERO CRD42018107840). Métodos: Este trabalho foi conduzido de acordo com o Preferred Reporting Items for Overviews(PRIO). A estratégia de busca foi aplicada nas bases de dados eletrônicas PubMed, WebScience, Embase, Cochrane e Scopus; que incluiu publicações até outubro de 2020, sem restrição de ano e idioma. Foram avaliados os critérios de elegibilidade: trabalhos com enfoque em lesões traumáticas dentárias; apresentar termo "revisão sistemática" (RS) e/ou "meta-análise" no título ou resumo, critérios de elegibilidade, técnicas sistematizadas para coleta e análise de dados, e instrumentos para avaliação da qualidade dos estudos incluídos; identificar as bases de dados utilizadas na pesquisa; abranger o assunto: traumatismo de dentes permanentes e/ou decíduos ou tecidos de suporte. Foi realizada a avaliação da qualidade das RSs utilizando o Assessment of Multiple Systematic Reviews (AMSTAR2) e averiguada a aderência do artigo ao Preferred Reporting Items for Systematic Reviews and Meta-Analyses (PRISMA). Os resultados foram analisados pelo Grading of Recommendations, Assessment, Development and Evaluation (GRADE) a fim de classificar a certeza da evidência científica e avaliado o risco de viés pelo ROBIS. Resultados: Foram identificados 2.561 trabalhos, sendo 2.469 excluídos, totalizando 92 artigos incluídos. Nota-se que a partir do ano de 2018 os trabalhos apresentaram melhor qualidade metodológica. E a maioria dos trabalhos apresentaram certeza da evidência científica alta pelo sistema GRADE modificado, e risco de viés baixo pela ferramenta ROBIS. Conclusão: As revisões sistemáticas e meta-análises incluídas apresentaram dificuldade no processo de estruturação metodológica atribuindo, em média, certeza da evidência científica alta para o GRADE, como também risco de viés baixo pelo ROBIS. Descritores: Traumatismos dentários. Revisão. Dentição permanente. Dente decíduo.


Aim: To carry out an overview related to the subject of trauma to primary and permanent teeth, as well as to analyze the methodological quality and risk of bias in the studied works (PROSPERO CRD42018107840). Methods: this work was carried out according to the Preferred Reporting Items for Overviews (PRIO). The search strategy was applied to the electronic databases PubMed, WebScience, Embase, Cochrane, and Scopus, which included publications until October 2020, with no year or language restrictions. The eligibility criteria were evaluated: studies focusing on traumatic dental injuries; presented the term "systematic review" (RS) and/or "meta-analysis" in the title or abstract, eligibility criteria, systematic techniques for collecting and analyzing data, and instruments to assess the quality of the included studies; identify the databases used in the research; and cover the subject: trauma to permanent and/or deciduous teeth or supporting tissues. An evaluation of the quality of the SRs was performed using Assessment of Multiple Systematic Reviews (AMSTAR2), and adherence of the article to the Preferred Reporting Items for Systematic Reviews and Meta-Analyses (PRISMA) criteria was verified. The results were analyzed by Grading of Recommendations, Assessment, Development and Evaluation (GRADE) in order to classify the certainty of scientific evidence, and the risk of bias was assessed by ROBIS. Results: A total of 2,561 papers were identified, of which 2.469 were excluded, totaling a sample of 92 articles. It is noted that from 2018 onwards, the works presented better methodological quality. Moreover, most of the studies showed a certainty of high scientific evidence, determined by using the modified GRADE system and a low risk of bias determined by using the ROBIS tool. Conclusion:The systematic reviews and meta-analyses included in this study presented difficulties in the methodological structuring process, attributing, on average, a certainty of high scientific evidence to GRADE, as well as a low risk of bias determined by ROBIS.


Subject(s)
Tooth, Deciduous , Meta-Analysis , Tooth Injuries , Dentition, Permanent , Systematic Review
15.
Article in English | LILACS-Express | SES-SP, LILACS, SES-SP | ID: biblio-1136750

ABSTRACT

ABSTRACT Objective: To evaluate the influence of dental trauma on oral health-related quality of life (OHRQoL) of children and their families. Methods: A total of 571 children aged five years were randomly selected at public schools. Trauma was clinically evaluated in accordance with the Andreasen classification. Caries experience in the anterior region and increased overjet were determined according to the World Health Organization criteria. The Early Childhood Oral Health Impact Scale (ECOHIS) was answered by the parents and used to evaluate OHRQoL. In addition, this questionnaire has aspects related to socioeconomic status. Simple logistic regression was performed, and the raw Odds Ratios with the respective 95% confidence intervals (95%CI) were estimated. The variables with p<0.20 were tested in multiple logistic regression models, and those with p≤0.05 remained in the model and the adjusted odds ratio with respective 95%CI was estimated. Results: Income showed a magnitude of association of 1.56 and 2.70 with the OHRQoL of children and families, respectively. The avulsion variable showed 9.65- and 8.25-times greater chance of influencing the OHRQoL of children and families, respectively. The experience of caries showed 3.80- and 2.42-times greater chance of influencing the OHRQoL of children and families, respectively. Conclusions: Dental trauma did not influence OHRQoL of children and their families negatively. However, avulsion and caries experience in low-income families was associated with a negative perception of OHRQoL.


RESUMO Objetivo: Avaliar a influência do traumatismo dentário na qualidade de vida relacionada à saúde bucal (QVRSB) de crianças e suas famílias. Métodos: 571 crianças de 5 anos de idade foram aleatoriamente selecionadas de escolas públicas. O trauma foi avaliado clinicamente de acordo com a classificação de Andreasen. A experiência de cárie na região anterior e a presença de overjet foram determinadas com base nos critérios da Organização Mundial da Saúde. A versão brasileira do questionário ECOHIS (Escala de Impacto na Saúde Oral na Primeira Infância) avaliou a QVRSB e foi respondida pelos pais; além disso, foram avaliados aspectos socioeconômicos. Realizou-se uma regressão logística simples, bem como as razões de chances brutas com os respectivos intervalos de confiança de 95%. As variáveis ​​com p <0,20 foram testadas nos modelos de regressão logística múltipla, e aquelas com p≤0,05 permaneceram no modelo. Resultados: A renda mostrou uma magnitude de associação de 1,56 e 2,70 com a QVRSB das crianças e famílias, respectivamente. A variável avulsão apresentou chance 9,65 e 8,25 vezes maior de influenciar a QVRSB de crianças e famílias, respectivamente. A experiência de cárie mostrou chance 3,80 e 2,42 vezes maior de influenciar a QVRSB de crianças e famílias, respectivamente. Conclusões: O trauma dental não influenciou negativamente a QVRSB das crianças e suas famílias. Entretanto, especificamente a avulsão, e a experiência de cárie nos dentes anteriores em famílias de baixa renda estiveram associadas a uma percepção negativa da QVRSB.

16.
Rev. Ciênc. Méd. Biol. (Impr.) ; 19(3): 394-399, dez 5, 2020. ilus, tab, fig
Article in Portuguese | LILACS | ID: biblio-1357898

ABSTRACT

Introdução: os traumatismos dentários precisam ser corretamente diagnosticados e tratados desde o primeiro atendimento, com a finalidade de minimizar as alterações tardias que poderão complicar o tratamento endodôntico. Objetivo: avaliar a prevalência dos traumatismos dentários na dentição permanente e apresentar as principais alterações subsequentes a estes. Metodologia: foi realizado um estudo observacional da prevalência de traumatismo dentário na dentição permanente e da ocorrência de possíveis complicações endodônticas pós-traumáticas, por meio do acompanhamento clínico e radiográfico dos pacientes atendidos na disciplina de Endodontia Clínica da Faculdade de Odontologia da Universidade Federal da Bahia, no período de 2012 a 2016. Resultados: os dados obtidos foram tabulados e a análise dos resultados incluiu distribuição de frequência e teste Qui-quadrado com nível de significância de 5%. A amostra compreendeu 178 dentes de 89 pacientes, sendo a sua maioria do gênero masculino (54%). A faixa etária mais prevalente foi dos 11 aos 20 anos de idade. A maxila foi a região mais afetada, sendo os dentes anteriores os mais acometidos (83%). A queda foi o fator etiológico predominante (61%) e a fratura coronária não complicada foi o tipo de trauma mais prevalente (23,2%), seguido da luxação lateral (19,7%) e da avulsão (17,7%). A necrose da polpa foi a complicação endodôntica mais frequente (42,7%), seguida da reabsorção radicular externa com 18,3%. Conclusão: pôde-se observar uma alta ocorrência das complicações pós-traumáticas, sendo necessário o tratamento e o acompanhamento criterioso desses pacientes com o intuito de evitar a perda dentária.


Introduction: dental trauma needs to be correctly diagnosed and treated from the first visit, in order to minimize late changes that may complicate endodontic treatment. Objective: To evaluate the prevalence of dental trauma in permanent dentition and to present the main subsequent changes. Metodology: an observational study of the prevalence of dental trauma in permanent dentition and the occurrence of possible post-traumatic endodontic complications was carried out through clinical and radiographic follow-up of patients treated at the Clinical Endodontics discipline of the Federal University School of Dentistry. Bahia, from 2012 to 2016. Results: the data obtained were tabulated and the analysis of the results included frequency distribution and Chi-square test with a significance level of 5%. The sample comprised 178 teeth from 89 patients, most of them male (54%). The most prevalent age group was from 11 to 20 years old. The maxilla was the most affected region, with the anterior teeth being the most affected (83%). Fall was the predominant etiological factor (61%) and uncomplicated coronary fracture was the most prevalent type of trauma (23.2%), followed by lateral dislocation (19.7%) and avulsion (17.7%). . Pulp necrosis was the most common endodontic complication (42.7%), followed by external root resorption with 18.3%. Conclusion: it was observed a high occurrence of post-traumatic complications, requiring the treatment and careful monitoring of these patients in order to prevent tooth loss.


Subject(s)
Humans , Female , Child , Adolescent , Adult , Middle Aged , Epidemiology , Tooth Injuries , Endodontics , Sports , Accidents, Traffic , Retrospective Studies , Aggression , Observational Study
17.
Article in English | LILACS | ID: biblio-1281468

ABSTRACT

Dentists are due to evaluate, in cases of traffic accidents, the sequelae left based on Personal Injury Caused by Motor Vehicle Terrestrial Insurance ­ DPVAT. This case report discusses the DPVAT table invalidity provided by law 6,194/74 and the lack of prediction of, total or partial, personal injuries related to phonetic, masticatory and aesthetic function due to dental losses and bone fractures. A 30-year-old victim of a traffic accident, suffered several bone injuries in face, skull and dental elements, claiming for total insurance payment. It was verified a scar in the right frontal region and in the left malar region. He lost centrals and laterals incisors and canine on the right in maxilla, important mandible deviation in step in canine region on the left, root rot of the first lower molars, septum deviation due to face fractures, but he does not mention pain. In the evaluation of the percentage, according to DPVAT table, it took into account the losses of anterior teeth and mandible fracture, which caused a functional, aesthetic and phonetic sequel. Severe dental losses and fracture sequelae justify a partial payment of insurance, but DPVAT table does not consider the loss of phonetic, aesthetic and masticatory functions that should be better discussed to be included in the table.


Subject(s)
Humans , Male , Female , Adult , Accidents, Traffic , Tooth Injuries , Forensic Dentistry
18.
Rev. Cient. CRO-RJ (Online) ; 5(1): 87-91, Jan.-Apr. 2020.
Article in English | LILACS, BBO | ID: biblio-1139982

ABSTRACT

The management of fractured permanent teeth due to dental trauma in young patients is a challenge that requires an efficient approach. Objective: Describe a conservative and multidisciplinary treatment of a case of dental trauma in a 13 years-old boy. Case report: At clinical examination was verified enamel and dentin fracture in the left upper central incisor and a fracture with pulp exposure in the right upper lateral incisor, with subgingival extension of its margin at lingual surface, and no swelling or tooth displacement was observed. At radiographic evaluation, no pulp or periradicular disturbances were verified. It was proposed the surgical lengthening of the clinical crown of the right upper lateral incisor for later performing endodontic treatment. It was decided to make direct composite resin restorations in both fractured teeth, instead of doing a prosthetic treatment in the affected lateral incisor, such as the placement of a full ceramic crown, in an attempt to perform a less invasive treatment, mainly due to the age of the patient. At a two years follow-up visit was observed the maintenance of the health of periapical tissues and the absence of clinical alterations. Conclusion: The restorations were kept in good conditions and aesthetics was considered satisfactory by professionals, patient and parents.


Introdução: O manejo de dentes permanentes fraturados por traumatismo dentário em pacientes jovens é desafiador e requer uma abordagem eficiente. Objetivo: Descrever o tratamento conservador e multidisciplinar em um caso de traumatismo dentário de um menino de 13 anos de idade. Relato do caso: Ao exame clínico foi verificada uma fratura de esmalte e dentina no incisivo central superior esquerdo e uma fratura complicada no incisivo lateral superior direito, com extensão subgengival da margem na face palatina, e não foram observados edema ou deslocamento dentário. Ao exame radiográfico, não foram verificadas alterações pulpares ou perirradiculares. Foi proposta realização de aumento da coroa clínica do incisivo lateral superior direito para posterior realização do tratamento endodôntico. Para os dois dentes traumatizados foi proposta a realização de restauração direta com resina composta, proporcionando um tratamento menos invasivo ao incisivo lateral superior direito, ao invés de submetê-lo a um tratamento protético, como a colocação de uma coroa total cerâmica, principalmente devido à pouca idade do paciente. Na visita de dois anos de acompanhamento, observou-se a manutenção da saúde dos tecidos periapicais e ausência de alterações clínicas. Conclusão: As restaurações se mantiveram em boas condições e a estética foi considerada satisfatória pelos profissionais, paciente e pais.


Subject(s)
Tooth Injuries , Dentition, Permanent , Tooth Diseases , Tooth Fractures , Stomatognathic Diseases , Adolescent , Conservative Treatment , Incisor
19.
Saude e pesqui. (Impr.) ; 13(2): 333-341, abr.-jun. 2020.
Article in Portuguese | LILACS-Express | LILACS | ID: biblio-1117805

ABSTRACT

O objetivo é avaliar a frequência dos traumatismos em dentes decíduos, as sequelas advindas das injúrias envolvendo os tecidos de sustentação, bem como a associação destas injúrias às sequelas clínicas e radiográficas. Trata-se de um estudo clínico longitudinal, no qual foram avaliados 342 dentes traumatizados, atendidas no serviço odontológico de uma instituição pública, as avaliações foram realizadas após o traumatismo e decorrido 24 meses. Os dados foram submetidos a uma análise descritiva e ao teste Qui-quadrado (p≤0,05). A maior frequência de traumas acorreu na idade 24-35 meses, o principal fator etiológico à queda da própria altura (77,8 %), gênero masculino (59,5%), arco dentário o superior (96,5%), dente 51 (43,1%); 70,6% possuíam mais de um dente afetado e 8,2% histórico de trauma; a injúria mais prevalente foi a luxação lateral (33,6%). Na proservação, houve associação entre tipo de injúria ao tecido de suporte com a presença de sequelas radiográficas (p=0,02) e perda precoce (p=0,01). Conclui-se que as principais sequelas observadas foram a descoloração coronária e reabsorção radicular inflamatória e houve associação significante entre as variáveis tipo de injúria ao tecido de sustentação com a presença de sequelas radiográficas e a perda precoce do dente decíduo traumatizado.


The objective is to evaluate the frequency of trauma in primary teeth, the sequelae resulting from injuries involving the supporting tissues, as well as the association of these injuries with clinical and radiographic sequelae. This was a longitudinal clinical study, in which 342 traumatized teeth, assisted at the dental service of a public institution, were evaluated after the trauma and after 24 months. The data were submitted to a descriptive analysis and the Chi-square test (p≤0.05). The highest frequency of trauma occurred at age 24-35 months, the main etiological factor being the decrease of height (77.8%), male gender (59.5%), dental arch (96.5%), tooth 51 (43.1%); 70.6% had more than one affected tooth and 8.2% had a history of trauma; the most prevalent injury was lateral luxation (33.6%). In the proservation, there was an association between type of injury to the supporting tissue with the presence of radiographic sequelae (p = 0.02) and early loss (p = 0.01). In conclusion, the main sequelae observed were tooth crown discoloration and inflammatory root resorption and there was a significant association between the type of support tissue injury and the presence of radiographic sequelae and the early loss of the traumatized deciduous tooth.

20.
Rev. cienc. med. Pinar Rio ; 24(2): 274-280, mar.-abr. 2020. graf
Article in Spanish | LILACS-Express | LILACS | ID: biblio-1098921

ABSTRACT

RESUMEN Introducción: los traumatismos dentales representan uno de los más serios problemas de salud bucal en niños y adolescentes. Son poco frecuentes en el primer año de vida y aumentan cuando el niño comienza a caminar y correr. Los pacientes con síndrome de Down presentan características psico-motoras y físicas que le confieren una mayor susceptibilidad para sufrir lesiones traumáticas en la cavidad bucal. Presentación del caso: paciente con síndrome de Down de 16 años de edad, masculino, que sufrió una fractura no complicada de corona, para lo cual recibió tratamiento estético y restaurador con técnica directa de restauración con composite por capas. Este proceder permitió conseguir un resultado estético con un acabado muy natural, recobrando el tamaño de la pieza dental sin que fuera necesario su tallado. Conclusiones: se consiguió realizar un tratamiento convencional exitoso a una fractura no complicada de corona en un paciente con síndrome de Down cuyo pronóstico es favorable, teniendo en cuenta que, en Estomatología como en cualquier otra rama de las ciencias médicas, es preciso valorar las particularidades de cada individuo y vincular otras especialidades como la Psicología y la Medicina en el tratamiento integral, para alcanzar una atención de calidad.


ABSTRACT Introduction: dental injuries represent one of the most serious oral health problems in children and adolescents. They are rare in the first year of life and increase when the child begins to walk and run. Patients with Down syndrome have psycho-motor and physical characteristics that make them more susceptible to traumatic injuries in the oral cavity. Case report: 16-year-old male patient with Down syndrome who suffered an uncomplicated crown fracture, he underwent to an esthetic and restorative treatment with a direct layered composite restoration technique. This procedure allowed the achievement of an aesthetic result with a very natural finish, recovering the size of the dental piece without the need to carve it. Conclusions: a successful conventional treatment of an uncomplicated crown fracture was achieved in a patient with Down syndrome having a favorable prognosis, taking into account that, in Dentistry specialty as in any other branch of medical sciences, it is necessary to assess the particularities of each individual and to link other specialties such as Psychology and Medicine in the comprehensive treatment of these patients, in order to reach quality care.

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