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1.
Acta sci., Health sci ; 44: e53802, Jan. 14, 2022.
Article in English | LILACS | ID: biblio-1363583

ABSTRACT

Chronic kidney disease (CKD) has become a global public health challenge. The objective of this study was to analyze the relationship between self-perception of oral health and clinical condition among patients with CKD. This isa quanti-qualitative survey conducted in a CKD specialized service. The sample consisted of 60 patients who underwent oral examinations to have their severity of caries (DMFT) and need for dental prosthesis checked. Age, sex, time on dialysis, marital status, skin color, education and pre-existing diseases were also analyzed. Among the kidney patients who agreed to undergo the clinical examinations and showed communication skills, some were selected, and three focus groups were created, with the participation of a moderator and six to 10 kidney patients in each group. Their speeches were processed in the IRAMUTEQ software and analyzed through the similarity analysis and word cloud techniques. As for profile, the patients were aged 60.23 ± 10.87 years old; were male (73.33%); were on dialysis for 41.90 ± 56.57 months; were married (61.67%); were white (76.67%); had incomplete primary education (41.66%); had arterial hypertension (76.67%); had a DMFT index of 22.55 ± 8.39; 43.33% needed an upper complete denture; and 30.00% needed a lower complete denture. The similarity analysis revealed many doubts and uncertainties about current health services, which can be proven by the words 'no' and 'treatment'. The quanti-qualitative analysis showed a high rate of dental loss and the need for complete dentures and suggests inequities in oral health care for chronic kidney disease patients, especially in tertiary care. There was a positive representation regarding oral health, but the lexicographical analyses of the textual corpusconfirmed the self-perception of lack of dental care.


Subject(s)
Humans , Male , Female , Adult , Middle Aged , Aged , Oral Health , Renal Insufficiency, Chronic/diagnosis , Tertiary Healthcare/organization & administration , Public Health/methods , Tooth Loss/diagnosis , Dental Care/methods , Focus Groups/methods , Dental Prosthesis/methods , Dental Caries/prevention & control , Qualitative Research , Diagnosis, Oral/methods , Dialysis/methods , Health Services/supply & distribution
2.
Rev. ADM ; 78(2): 90-94, mar.-abr. 2021.
Article in Spanish | LILACS | ID: biblio-1247690

ABSTRACT

La biología molecular tiene mayor afinidad en las áreas de la salud, en odontología su principal aplicación ha sido en la identificación de microorganismos orales patógenos mediante el uso de secuencias genéticas específicas (ácido desoxirribonucleico [DNA], ácido ribonucleico [RNA] y proteínas). Las pruebas a nivel molecular se caracterizan por su rapidez, reproductibilidad, sensibilidad y especificidad de los microorganismos diana. El presente artículo de revisión bibliográfica servirá como herramienta para comprender los principios de las técnicas más destacadas como son: PCR estándar y RT-PCR en tiempo real, PCR con transcriptasa inversa, microarreglos y ensayo por inmunoabsorción ligado a enzimas (ELISA), además de sus ventajas y desventajas respecto a las pruebas convencionales (AU)


Molecular biology has a greater affinity in the areas of health. In dentistry, its main application has been the identification of pathogenic oral microorganisms, through the use of specific genetic sequences (deoxyribonucleic acid [DNA], ribonucleic acid [RNA] and proteins). Molecular tests are characterized by their rapidity, reproducibility, sensitivity and specificity of target microorganisms. This literature review article will serve as a tool to understand the principles of the most prominent techniques such as: Standard PCR, Real-time RT-PCR, Reverse transcriptase PCR, microarrays and Enzyme-linked immunosorbent assay (ELISA), in addition to their advantages and disadvantages with respect to conventional tests (AU)


Subject(s)
Humans , Sensitivity and Specificity , Diagnosis, Oral/methods , Molecular Biology , Mouth Diseases/diagnosis , Enzyme-Linked Immunosorbent Assay , Polymerase Chain Reaction , RNA-Directed DNA Polymerase , Reverse Transcriptase Polymerase Chain Reaction , Databases, Genetic
3.
Rev. Ciênc. Plur ; 5(1): 102-112, jun. 2019. ilus
Article in Portuguese | BBO, LILACS | ID: biblio-1007362

ABSTRACT

Introdução:A queilite granulomatosa (QG) é uma lesão oral rara, apresentando clinicamente inchaço de aspecto granulomatoso no lábio.Objetivo:O presente estudo, tem como objetivo apresentar um relato de caso de QG, tendo em vista, a dificuldade do diagnóstico e tratamento de condições inflamatórias com etiologias desconhecidas que acometem a cavidade oral.Relato de caso:Paciente do sexo feminino, apresentou aumento de volume no lábio superior exibindo sintomatologia dolorosa, porém, sem relatar associações com alterações sistêmicas. Durante o exame clínico notou-se que o lábio superior apresentava fissuras profundas, observando tambémedema que se estendia da comissura labial, atravessando a linha média. Levantou-se então, a hipótese diagnóstica de QG. Foi realizada uma biópsia incisional para confirmação do diagnóstico. A análise histopatológica evidenciou, presença de granulomas não caseosos e infiltrado inflamatório linfoplasmocitário perivascular. De acordo com os dados clínicos e análise histopatológica foi dado o diagnóstico inicial de QG. Após o diagnóstico inicial de QG, a paciente foi encaminhada para uma avaliação médica, a fim de avaliar possíveis alterações intestinais que pudessem caracterizar a síndrome de Melkersson-Rosenthal ou Cronh, como também possível reação de hipersensibilidade tardia. Conclusões:O cirurgião-dentista deve estar preparado para diagnosticar aumentos de volume significativos nos lábios, a fim de manejar corretamente o tratamento do paciente, estabelecendo desta forma, prognósticos favoráveis para essas condições (AU).


Introduction:Granulomatous cheilitis (HQ) is a rare oral lesion, presenting clinically granulomatous swelling on the lip. Objective: This study aims to present a case report of HG, considering the difficulty of diagnosis and treatment of inflammatory conditions with unknown etiologies that affect the oral cavity.Objective:This study aims to present a case report of HG, considering the difficulty of diagnosis and treatment of inflammatory conditions with unknown etiologies that affect the oral cavity.Case report:A female patient presented increased volume in the upper lip showing painful symptoms, but without reporting associations with systemic alterations. During the clinical examination it was observed that the upper lip presented deep fissures, also observing edema that extended from the labial commissure, crossing the middle line. The diagnostic hypothesis of GQ was then raised. An incisional biopsy was performed to confirm the diagnosis. Histopathological analysis revealed the presence of non-caseous granulomas and perivascular lymphoplasmacytic inflammatory infiltrate. According to the clinical data and histopathological analysis the initial diagnosis of GH was given. After initial diagnosis of HG, the patient was referred for medical evaluation to evaluate possible intestinal changes that could characterize Melkersson-Rosenthal syndrome or Cronh, as well as possible late hypersensitivity reactions.Conclusions:The dentist should be prepared to diagnose significant volume increases in the lips in order to correctly manage the patient's treatment, thus establishing favorable prognoses for these conditions (AU).


Subject(s)
Humans , Female , Adult , Biopsy/methods , Lip Neoplasms/diagnosis , Diagnosis, Oral/methods , Melkersson-Rosenthal Syndrome/diagnosis , Melkersson-Rosenthal Syndrome/pathology , Brazil
4.
Pesqui. bras. odontopediatria clín. integr ; 19(1): 4266, 01 Fevereiro 2019. tab, graf
Article in English | LILACS, BBO | ID: biblio-998047

ABSTRACT

Objective: To identify the exposure of lead through saliva and the presence of gingival pigmentation in the risk group. Material and Methods: The type of this research is analytic observational with cross-sectional study design. The sample consisted of 40 subjects, who were divided into two groups of 20 each: G1: Gasoline Fuel Station and G2: Officer in Dental Hospital. To determine the level of leads in saliva is measured by atomic absorption spectrophotometry and assessment of the severity of lead-gingival lead line in this study based on the area of the gingival surface based on the number of dental areas. The data were analyzed with the t-test and Chi-square test. The level of significance was set at 5%. Results: The average lead content in saliva group exposed was 6.66 µg / ml and control group 4.72 µg / ml (p≤0.05). There is a correlation between gingival lead line incidence with exposure to lead (OR = 3.33; p = 0.001). Conclusion: The identification of exposure to lead poisoning can be determined by examination in saliva and ginggiva state, it is proven that the risk of gingival lead (Ginggival Lead Line) in the worker group at the gas station station is 3.3 times more risk than the control group. Occupational safety factors are important for workers at high risk of exposure to the element of lead for additional education on the importance of using masks to prevent the severity of the occurrence of lead effects on overall health.


Subject(s)
Humans , Male , Female , Adult , Middle Aged , Saliva , Pigmentation , Diagnosis, Oral/methods , Filling Station/analysis , Indonesia , Lead/analysis , Spectrophotometry, Atomic/methods , Cross-Sectional Studies/methods , Risk Factors
5.
Rev. cuba. estomatol ; 55(4): 1-10, oct.-dic. 2018. ilus
Article in Portuguese | LILACS | ID: biblio-991081

ABSTRACT

Introdução: O fibroma de células gigantes é uma neoplasia fibrosa benigna, considerada rara, com fatores etiológicos incertos e características clinico-patológicas peculiares. Objetivo: Descrever a exérese do fibroma de células gigantes, em mucosa jugal direita, utilizando laser cirúrgico. Relato de caso: Paciente do sexo feminino, 33 anos, parda, atendida na clínica de Estomatologia da Universidade Estadual da Paraíba, motivada por uma lesão neoplásica, de crescimento lento em região de mucosa jugal direita. Clinicamente, observou-se massa tumoral única, assintomática, com aproximadamente dois centímetros, de base séssil, normocorada, de consistência firme e superfície lisa. Após exame clínico, foi realizada uma biópsia excisional com fins diagnósticos, utilizando o laser cirúrgico. O diagnóstico, após o resultado do exame histopatológico, revelou um fibroma de células gigantes. A abordagem da biópsia excisional, além de ter fins de diagnóstico bucal, foi responsável pelo tratamento da lesão, visto que proporcionou a remoção completa da patologia. Optou-se por cicatrização por segunda intenção, e para acelerar esse processo, foi realizada aplicação local com laser de baixa potência de espectro de luz vermelha. No acompanhamento de sete dias, observou-se cicatrização adequada, com mínima alteração tecidual. Após oito meses, notou-se regeneração tecidual adequada sem recidiva da lesão. Conclusão: A remoção de um fibroma de células gigantes, utilizando laser de diodo de alta potência, se mostrou como uma abordagem terapêutica viável para o tratamento dessa patologia(AU)


Subject(s)
Humans , Female , Adult , Giant Cells/pathology , Diagnosis, Oral/methods , Fibroma/diagnostic imaging , Laser Therapy/methods
6.
Rev. cuba. estomatol ; 55(4): 1-6, oct.-dic. 2018. ilus
Article in English | LILACS | ID: biblio-991083

ABSTRACT

Introduction: Herpetic gingivostomatitis is an infection caused by herpes simplex virus, which affects mainly children patients, being uncommon this manifestation in adults. It initially appears with prodromal signs and then local signs show up. The treatment for this disease is only supportive, because there is already a peak of viral replication when it was diagnosed. Objectives: To report a case of herpetic gingivostomatitis and to discuss its clinical characteristics and treatment. Case report: The patient looked for clinic care for presenting painful oral lesions with little time of evolution. With no medical history, the patient reported using antibiotics and antifungals. Oroscopy showed multiple coalescing ulcerative lesions affecting the gum tissue, tongue, lips and hard palate. It has been diagnosed clinically as herpetic gingivostomatitis and has been treated with supportive treatment (analgesics, topical anesthetic and chlorhexidine digluconate 0,12 percent). The patient returned after one week with improvement of the condition. Conclusion: The correct diagnosis, through the evident clinical manifestations, prevents the indiscriminate use of antibiotics, leading to better response of the patient(AU)


Introducción: La gingivoestomatitis herpética es una infección causada por el virus herpes simple, que afecta principalmente a los pacientes infantiles, la cual resulta inusual en adultos. Inicialmente surge con señales prodrómicas y solo después se presentan señales locales. El tratamiento para este cuadro es solo de soporte, pues cuando se diagnostica ya hay un pico de replicación viral. Objetivo: informar un caso de gingivoestomatitis herpética y discutir sus características clínicas y tratamiento. Presentación del caso: El paciente buscó atención clínica por presentar dolorosas lesiones bucales con poco tiempo de evolución. Sin historial médico, informó que estaba usando antibióticos y antifúngicos, sin remisión de la condición. En la oroscopia se observaron múltiples lesiones ulcerativas coalescentes que afectan el tejido de la gingiva, la lengua, los labios y el paladar duro. Se ha diagnosticado clínicamente como gingivoestomatitis herpética y se ha tratado con tratamiento de apoyo (analgésicos, anestésicos tópicos y digluconato de clorhexidina al 0,12 por ciento). El paciente regresó después de una semana con una mejoría de la condición. Conclusion es: El correcto diagnóstico, a través de las manifestaciones clínicas evidentes, previene el uso indiscriminado de antibióticos, lo que lleva a una mejor respuesta del paciente(AU)


Subject(s)
Humans , Male , Adult , Stomatitis, Herpetic/diagnosis , Diagnosis, Oral/methods , Analgesics/therapeutic use , Anesthetics, Local/therapeutic use
7.
Int. j. odontostomatol. (Print) ; 12(1): 129-133, Mar. 2018. tab, graf
Article in Spanish | LILACS | ID: biblio-893312

ABSTRACT

RESUMEN: La patología oral es el área de la odontología que se especializa en el diagnóstico y tratamiento de enfermedades orales. Se realizó un estudio transversal, en el cual fueron incluidos pacientes mayores de 18 años que acudieron a una clínica de atención primaria del departamento de estomatología de la universidad Autónoma de Ciudad Juárez, en México y a los cuales independientemente del motivo de consulta se les realizo historia clínica y exploración intraoral detallada. Fueron examinados 650 pacientes (424 mujeres y 226 hombres) con un rango de edad de 18 a 89 años (media=42.27). Las lesiones más frecuentes fueron la queratosis friccional (30,46 %) e hiperplasia fibrosa (6,92 %), la melanosis fisiológica (42,92 %) y los gránulos de Fordyce (36,46 %) fueron las condiciones más identificadas. En las lesiones de la mucosa oral que identificamos estuvo presente el factor traumático de manera crónica, es importante que el odontólogo este familiarizado con las lesiones más frecuentes, con su etiología, características clínicas y tratamiento de cada una de ellas.


ABSTRACT: Oral pathology it's the branch of medicine that focuses on the diagnosis and treatment of oral diseases. A cross-sectional study was carried out in which patients older than 18 years was included, that were attended in the primary care clinic at the stomatology department of the Autonomous University of Ciudad Juárez, in Mexico, and regardless of the reason for consultation the clinical history and intraoral examination was done We examined 650 patients (424 women and 226 men) with an age range of 18 to 89 years (mean=42.27). The most frequent oral lesion was the frictional keratosis (30.46 %), fibrous hyperplasia (6.92 %), physiological melanosis (42.92 %), and fordyce granules (36.46 %). In the oral mucosal lesions identified was present a chronic traumatic factor, it is important that the dental staff knows about the most frequent injuries, their etiology, clinical characteristics and treatment of each one.


Subject(s)
Humans , Male , Female , Adolescent , Adult , Middle Aged , Aged , Aged, 80 and over , Pathology, Oral/methods , Tooth Diseases/diagnosis , Dental Caries/therapy , Tooth Diseases/pathology , Mouth Neoplasms/diagnosis , Mouth Neoplasms/therapy , Cross-Sectional Studies , Diagnosis, Oral/methods , Mexico , Mouth Mucosa/injuries
8.
Pesqui. bras. odontopediatria clín. integr ; 18(1): 3975, 15/01/2018. tab
Article in English | LILACS, BBO | ID: biblio-967104

ABSTRACT

Objective: To assess the level of knowledge, attitudes and practices of doctors and dentists in Bamako on the relationship between chronic non-communicable diseases and periodontal diseases. Material and Methods: A cross-sectional study of 420 physicians and dental surgeons was conducted from March to August 2016. Data analysis involved descriptive statistics (frequency distribution). All statistical analyses were performed using the Epi Info 3.5.4 Software. Results: The male sex was the most represented with 58% for a sex ratio of 1.3. The most represented age group was 30-40 years old (48.8%) with an average age of 33 ± 8.2 years. General practitioners were the most represented in 93.6% of cases. Physicians with no knowledge of periodontal disease accounted for 60% of all cases, and all dental surgeons reported knowledge of chronic noncommunicable conditions in 100% of cases. Physicians and dental surgeons rated their knowledge levels of periodontal disease and chronic disease as inadequate in 98% and 90% of cases, respectively. Examination of the oral cavity by the doctors was "sometimes" carried out in 66% of the cases and the non-demand of the clinical signs of the gingival bleeding (64%) and dental migration (80.5%). They did not make recommendations on oral hygiene in 61.7% of cases. Conclusion: This study shows shortcomings among doctors and dentists in Bamako on the relationship between periodontal diseases and chronic non-communicable diseases. Capacity building and multidisciplinary collaboration are needed to support people's health.


Subject(s)
Humans , Male , Female , Adult , Periodontal Diseases/diagnosis , Physicians , Health Knowledge, Attitudes, Practice , Chronic Disease , Dentists , Cross-Sectional Studies/methods , Diagnosis, Oral/methods , Indonesia
9.
Medisan ; 21(6)jun. 2017. tab
Article in Spanish | LILACS | ID: biblio-894610

ABSTRACT

Se llevó a cabo un estudio epidemiológico, descriptivo y transversal de 1660 pacientes, quienes pertenecían al Consultorio Médico de la Familia No 1 del Policlínico Universitario Julián Grimau de Santiago de Cuba, desde marzo del 2015 hasta igual periodo del 2016, con vistas a determinar el estado de salud bucal de esta población. Se realizó el examen bucal con el depresor lingual y la ayuda de la luz natural o artificial. También se desarrolló la lluvia de ideas como técnica cualitativa. La higiene bucal deficiente y la dieta cariogénica fueron los factores de riesgo que más incidieron en el aumento de la morbilidad bucal, lo cual demostró la necesidad de tratamiento de estos pacientes


An epidemiologic, descriptive and cross-sectional study of 1660 patients who belonged to the Family Doctor´s Office No 1 of Julián Grimau University Polyclinic in Santiago de Cuba, was carried out from March, 2015 to the same period in 2016, aimed at determining the oral health state of this population. The oral exam with the lingual depressor and the help of natural or artificial light was carried out. The brainstorm as qualitative technique was also developed. The poor oral hygiene and the cariogenic diet were the risk factors that impacted the most in the increase of oral morbidity, which demonstrated the necessity of treatment for these patients


Subject(s)
Humans , Male , Child, Preschool , Child , Adolescent , Adult , Middle Aged , Aged , Aged, 80 and over , Health Status , Oral Health , Diagnosis, Oral/methods , Oral Hygiene , Primary Health Care , Epidemiology, Descriptive , Cross-Sectional Studies , Diet, Cariogenic , Healthy Lifestyle
10.
Braz. oral res. (Online) ; 30(1): e135, 2016. tab, graf
Article in English | LILACS | ID: biblio-952072

ABSTRACT

Abstract: The aim of this study was to assess the accuracy of clinical diagnosis for lip lesions based on sensitivity and specificity. The retrospective analysis focused on the detection of lesions caused by potentially malignant disorders (PMDs) and malignant lesions (n = 1195). All cases were classified as benign, PMD, and malignant lesions. Concordance between diagnoses based on clinical examination and those based on histopathological analysis was assessed, and accuracy for the identification of PMD and malignant lesions was calculated. Histopathological analysis revealed 44 lesion types; PMD and malignant lesions comprised 8.3% of all cases. Compared with histopathological analysis, clinical examination showed 97.4% accuracy for the identification of non-malignant and potentially malignant/malignant cases. Degrees of specific sensitivity ranged from 34% to 77% for different lesions, and were highest for autoimmune (77%) and reactive (72%) lesions. Positive and negative predictive values for the identification of PMD and malignant lesions were 81.9% and 98.9%, respectively. Clinical examination showed a high degree of accuracy for the detection of PMD and malignant lip lesions, indicating good reliability.


Subject(s)
Humans , Male , Female , Infant , Child, Preschool , Child , Adolescent , Adult , Aged , Aged, 80 and over , Young Adult , Lip Neoplasms/pathology , Lip/pathology , Biopsy , Brazil/epidemiology , Lip Neoplasms/epidemiology , Sex Factors , Reproducibility of Results , Retrospective Studies , Sensitivity and Specificity , Age Factors , Sex Distribution , Age Distribution , Diagnosis, Oral/methods , Lip Diseases/pathology , Lip Diseases/epidemiology , Middle Aged
11.
Rev. cuba. estomatol ; 52(4): 0-0, oct.-dic. 2015. tab
Article in Portuguese | LILACS | ID: lil-770983

ABSTRACT

Introdução: a quimioterapia é um tratamento anticâncer fundamentado na utilização de fármacos que induzem a morte das células neoplásicas. A literatura descreve que lesões bucais podem surgir em consequência do tratamento quimioterápico. Objetivo: identificar as manifestações bucais em pacientes submetidos à quimioterapia atendidos no serviço de referencia em oncologia da região sul do estado do Ceará-Brasil. Métodos: o presente estudo, do tipo transversal descritivo, avaliou 73 pacientes acometidos por algum tipo de neoplasia maligna e em tratamento quimioterápico no período de janeiro de 2013 a dezembro de 2014. Os dados clinico-patológicos como idade, gênero, diagnóstico da neoplasia maligna, tipos de tratamentos anticâncer, esquema medicamentoso quimioterápico, entre outros, foram obtidos a partir dos prontuários médicos. Foram ainda realizados exames intrabucais em todos os indivíduos desse estudo por um único examinador especialista em Estomatologia. Resultados: dos 73 pacientes 29 (39,7 porcento) eram do gênero masculino e 44 (60,3 porcento) do gênero feminino, com idade média de 57,7 anos, sendo 37 (50,7 porcento) dos pacientes fumantes. A mama foi o local mais prevalente de acometimento do câncer (35,6 porcento). Os fármacos mais utilizados na terapia quimioterápica foram a aredia em 23,3 porcento dos casos (n= 17) e o paclitaxel em 17,8 porcento (n= 13). Em relação às manifestações bucais, dos 73 pacientes do estudo, 44 (60,2 porcento) apresentaram algum tipo de desconforto bucal. A maioria dos pacientes, 77,3 porcento (n= 34), foram diagnosticados com xerostomia e em 22,7 porcento (n= 10) foram observados mucosite. Conclusão: as manifestações bucais encontradas em pacientes em tratamento quimioterápico foram a xerostomia e a mucosite, sendo a xerostomia a condição patológica bucal mais prevalente(AU)


Introducción: la quimioterapia es un tratamiento basado en el uso de fármacos anticancerígenos que inducen la muerte de las células cancerosas. La literatura describe lesiones bucales pueden surgir como resultado de la quimioterapia. Objetivo: identificar las manifestaciones bucales en pacientes sometidos a quimioterapia atendidos en el servicio de referencia en oncología en Estado del Ceará-Brasil. Métodos: se evaluaron 73 pacientes afectados por algún tipo de malignidad tratada con quimioterapia a partir de enero de 2013 hasta el mes de diciembre del 2014. Los datos clínicos y patológicos (edad, sexo, diagnóstico de malignidad, tipos de tratamientos con fármacos de quimioterapia contra el cáncer, entre otros), se obtuvieron de los registros médicos. También se realizaron exámenes bucales en todos los sujetos de este estudio por el experto en estomatología. Resultados: de los 73 pacientes 29 (39,7 por ciento) eran hombres y 44 (60,3 por ciento) mujeres, con una edad media de 57,7 años, y 37 (50,7 por ciento) eran fumadores. La mayor prevalencia del cáncer se observó en la mama (35,6 por ciento). Los fármacos más frecuentemente utilizados en el tratamiento de quimioterapia fueron aredia en 23,3 por ciento de los casos (n= 17) y paclitaxel en el 17,8 por ciento (n= 13). En relación con las enfermedades bucales, de los 73 pacientes estudiados, 44 (60,2 por ciento) tenían algún tipo de malestar bucal. La mayoría de los pacientes (77,3 por ciento; n= 34) fueron diagnosticados con xerostomía y 22,7 por ciento (n= 10) con mucositis. Conclusión: las lesiones bucales que se encontraron en los pacientes sometidos a quimioterapia fueron a xerostomía y mucositis. La xerostomía fue la condición patológica bucal más frecuente(AU)


Introduction: chemotherapy is a treatment based on the use of anticancer drugs that induce the death of cancer cells. The literature describes oral lesions may arise as a result of chemotherapy. Objective: to identify the oral manifestations in patients undergoing chemotherapy treated at the reference service in oncology southern state of Ceará - Brazil. Methods: we evaluated 73 patients affected by some type of malignancy and chemotherapy from January of 2013 to December of 2014. The clinical and pathological data such as age, gender, diagnosis of malignancy, types of treatments anticancer chemotherapeutic drug treatment, among others,were obtained from medical records. Were also carried out oral examinations in all subjects of this study by the same examiner specialist in stomatology. Results: of the 73 patients 29 (39.7 percent) were male and 44 (60.3 percent) females with a mean age of 57.7 years, and 37 (50.7 percent) of smokers. Regarding malignancy, the mama was the most prevalent location (35.6 %). The drugs most frequently used in chemotherapy treatment were aredia in 23.3 percent of cases (n= 17) and paclitaxel in 17.8 percent (n= 13). In the oral manifestations, of the 73 patients studied, 44 (60.2 percent) had some type of oral discomfort. Most patients, 77.3 percent (n= 34) were diagnosed with xerostomia and 22.7 percent (n= 10) were observed mucositis. Conclusion: oral lesions found in patients undergoing chemotherapy were xerostomia and mucositis. Xerostomia being the most prevalent oral pathological condition(AU)


Subject(s)
Humans , Male , Female , Middle Aged , Oral Manifestations , Stomatitis/drug therapy , Xerostomia/pathology , Mouth Neoplasms/drug therapy , Epidemiology, Descriptive , Cross-Sectional Studies , Diagnosis, Oral/methods
12.
Rev. cuba. estomatol ; 52(3): 276-283, jul.-set. 2015. ilus
Article in Spanish | LILACS | ID: lil-765764

ABSTRACT

Introducción: las consideraciones médicas, psicológicas y biológicas en la población de personas mayores es una responsabilidad social que todo profesional deberá atender con sumo cuidado, ya que este grupo etario es más susceptible a presentar diversas enfermedades, entre las que se encuentran las pulpares y las periapicales. Objetivo: determinar la prevalencia de enfermedades pulpares y periapicales en pacientes de 60 y más años de edad en pacientes geriátricos de la Facultad de Odontología de la Universidad Autónoma de Yucatán, México. Métodos: estudio descriptivo, prospectivo, transversal y observacional. El universo estuvo constituido por los pacientes que acudieron a la Clínica de Admisión de la Facultad de Odontología de la Universidad Autónoma de Yucatán, México durante el periodo comprendido de agosto a diciembre de 2012. La muestra fue de 74 paciente de 60 y más años de edad, con alguna afección pulpar o periapical, que aceptaron participar en el estudio. Se les realizó: entrevista por medio de un formulario de historia odontológica que permitió al paciente describir su experiencia de dolor de un modo organizado, breve y descriptivo; examen clínico y pruebas pulpares: térmicas, percusión y palpación; estudio radiográfico. Se utilizó estadística descriptiva y pruebas chi cuadrado. Resultados: se revisaron 108 órganos dentarios. El 41,67 pr ciento (n= 45) presentó patologías pulpares: 22,22 por ciento (n= 10) pulpitis reversible, 57,78 por ciento (n= 26) pulpitis irreversible y 20 por ciento (n= 9) necrosis pulpar. El 58,33 por ciento (n= 63) patologías periapicales: 42,85 por ciento (n= 27) periodontitis apical aguda, 15,87 por ciento (n= 10) periodontitis apical crónica, 1,58 por ciento (n= 1) quiste apical, 27 por ciento (n= 17) absceso apical agudo y 12,70 por ciento (n= 8) absceso apical crónico. Conclusión: no se obtuvo diferencias significativas entre el número de dientes que presentaron enfermedades pulpares y el número de dientes que presentaron enfermedades periapicales en este grupo etario(AU)


Introduction: medical, psychological and biological factors should be carefully considered by health professionals when dealing with elderly patients, for this age group is more prone to a number of conditions, among them pulpal and periapical disease. Objective: determine the prevalence of pulpal and periapical disease among patients aged 60 and over attending the School of Dentistry of the Autonomous University of Yucatán, Mexico. Methods: a descriptive cross-sectional observational prospective study was conducted. The study universe was composed of the patients attending the Outpatient Clinic at the School of Dentistry of the Autonomous University of Yucatán, Mexico, from August to December 2012. The sample was 74 patients aged 60 and over with some pulpal or periapical condition who accepted to participate in the study. An interview was conducted based on a dental history form allowing patients to describe their pain experience in a brief, descriptive, organized manner. Clinical examination was performed, as well as pulpal tests: thermal, percussion and palpation, and a radiographic study. Analysis was based on descriptive statistics and chi square tests. Results: 108 dental organs were examined. 41.67 percent (n= 45) presented the following pulpal pathologies: reversible pulpitis 22.22 percent (n= 10), irreversible pulpitis 57.78 percent (n= 26) and pulp necrosis 20 percent (n= 9). 58.33 percent (n= 63) presented the following periapical pathologies: acute apical periodontitis 42.85 percent (n= 27), chronic apical periodontitis 15.87 percent (n= 10), apical cyst 1.58 percent (n= 1), acute apical abscess 27 percent (n= 17) and chronic apical abscess 12.70 percent (n= 8). Conclusion: no significant differences were found between the number of teeth with pulpal disease and the number of teeth with periapical disease in this age group(AU)


Subject(s)
Humans , Male , Aged , Periapical Diseases/epidemiology , Data Interpretation, Statistical , Dental Pulp Cavity/pathology , Diagnosis, Oral/methods , Epidemiology, Descriptive , Cross-Sectional Studies , Prospective Studies , Interview , Observational Study , Mexico
13.
Perionews ; 9(3): 264-269, maio-jun. 2015.
Article in Portuguese | LILACS | ID: lil-764821

ABSTRACT

A redução da doença cárie ainda é um desafio. Partindo da premissa que a perda de mineral começa bem antes da cavitação da lesão, o diagnóstico precoce da atividade da doença torna-se cada vez mais importante. O propósito deste trabalho foi realizar uma revisão da literatura acerca da utilização do CarieScan Pro, comparando-o com outros métodos empregados para diagnóstico precoce da perda mineral, decorrente da cárie dentária. O CarieScan Pro é um dispositivo portátil que usa a espectroscopia de impedância elétrica (EIS) para determinar as propriedades elétricas do dente. O dispositivo quantifica os níveis de desmineralização da estrutura dentária, sendo capaz de detectar e monitorar perdas minerais precocemente. Ainda que sejam poucos os estudos realizados com o CarieScan Pro, concluiu-se que o dispositivo é um método promissor para o diagnóstico precoce de lesões cariosas, apresentando expressivos índices quando comparados aos outros métodos de diagnóstico, e que as informações fornecidas pelo sistema permite ao profissional eleger as medidas terapêuticas preventivas, a fim de impedir a progressão da perda mineral, evitando a ocorrência de lesões cariosas cavitadas.


Subject(s)
Dental Caries/diagnosis , Dental Caries , Diagnosis, Oral/methods , Early Diagnosis
14.
Perionews ; 9(2): 128-132, mar.-abr. 2015.
Article in Portuguese | LILACS | ID: lil-764868

ABSTRACT

Os estudos genéticos moleculares utilizam técnicas variadas para analisar os ácidos nucleicos (ADN e ARN). Assim, avanços no conhecimento da biologia molecular e do genoma humano forneceram evidências de que a maioria das doenças é influenciada por alterações em estruturas genéticas, o que possibilitou também o desenvolvimento de novas terapias e tratamentos. Os resultados desses estudos podem ser úteis no diagnóstico, prognóstico, determinação da terapia a ser utilizada, avaliação da susceptibilidade da doença e até mesmo em ações de prevenção. O objetivo deste estudo foi reunir as técnicas moleculares mais utilizadas em Odontologia para o diagnóstico microbiológico de grupos bacterianos envolvidos com o processo carioso.


Subject(s)
Dental Caries , Diagnosis, Oral , Diagnostic Techniques and Procedures , Diagnosis, Oral/methods , Molecular Biology
15.
Pesqui. bras. odontopediatria clín. integr ; 15(1): 13-21, 2015. graf, tab
Article in English | LILACS | ID: lil-796345

ABSTRACT

To assess the dental caries prevalence with ICDAS II in the mixed dentition, 40 children aged 7 to 11 years old, participating in a social program, whose parents and/or guardians signed a informed consent form.Material and Methods:Clinical examination was carried out after brushing. A single researcher performed the examination and the diagnosis consistency was obtained by Kappa coefficient in 12% of the sample. All dental surfaces were examined receiving a two-digit code. The first one refers to the presence of restoration/sealant and the second, the severity of carious lesions. The data was processed at SPSS software version 10.0 and analyzed using descriptive statistics (absolute distribution, percentage, mean and standard deviation). Results:The coefficient intra-examiner agreement was 0,83.Caries prevalence was considered high because 100% of the children had some surface with non-cavitated caries lesion. ICDAS II can be easily transformed to dmf-s or DMF-S without compromising its integrity. For dmf-s/DMF-S decayed surfaces were consideredICDAS codes 3 to 6, resulting in a dmf-s = 6,57 where 11 children (27,5%) presented no decayed deciduous teeth surface. DMF-S = 2,0 showed that 15 children (37,5%) had none decayed permanent surface, determining a underestimation of the caries disease when using dmf-d/dmf-s and DMF-S indexes.Conclusion:A careful viewing of initial caries lesions makes ICDAS II usefull in evaluating the health promotion actions impact, supporting the planning process, implementation and evaluation of program activities...


Subject(s)
Humans , Male , Female , Child , Dental Caries/diagnosis , Dentition, Mixed , Diagnosis, Oral/methods , Students , Oral Health/education , Brazil , Health Promotion/methods
16.
Perionews ; 8(5): 446-450, set.-out. 2014. tab
Article in Portuguese | LILACS | ID: lil-736734

ABSTRACT

A cárie dentária é uma doença multifatorial, e a combinação “diagnóstico + atendimento precoce” desta doença permite um melhor controle da evolução da mesma. A busca por estratégias preventivas aceitáveis, precisas e de baixo custo, para identificação de indivíduos de alto risco ao acometimento de lesões cariosas, tem sido alvo de inúmeras pesquisas. O cariograma é um método quantitativo que utiliza um programa computadorizado para calcular objetivamente, a partir dos dados inseridos no programa, as chances de se evitar a ocorrência de lesões cariosas. Esses dados podem ser impressos, salvos e utilizados como meio motivacional para discutir, a nivel individual e/ou familiar, o plano de tratamento, ofertado pelo próprio programa. O cariograma oferta uma série de recomendações para a ação preventiva, de acordo com o risco de desenvolvimento de lesões cariosas, de forma individual. A apresentação gráfica, em cores distintas, facilita o entendimento para os pacientes do seu processo saúde/doença cárie, e pode ser usada para motivar o paciente, tornando-o participativo e corresponsável pela sua saúde bucal. Os autores concluíram que o cariograma é uma ferramenta de grande valor, podendo ser utilizada para traçar um perfil de risco individual e/ou global de chances de se evitar a ocorrência de lesões cariosas, propondo a partir dos dados obtidos uma série de medidas preventivas que, se utilizadas corretamente, tentam evitar a ocorrência de cavitações cariosas; entretanto, necessita da capacitação de cirurgiões-dentistas em prol da promoção de saúde.


Subject(s)
Humans , Dental Caries/diagnosis , Diagnosis, Oral/methods , Oral Health
17.
Rev. cuba. estomatol ; 51(1): 43-54, ene.-mar. 2014.
Article in Portuguese | LILACS, CUMED | ID: lil-721270

ABSTRACT

Introdução: o estudo da frequência de doenças, incluindo as que acometem a região bucomaxilofacial, é de fundamental importância aos clínicos, epidemiologistas e aos gestores para conhecimento dos agravos mais comuns e necessidades de uma determinada região. Tais estudos epidemiológicos revelam a prevalência de inúmeras doenças e particularizam a distribuição destas conforme características da região ou local que estão sendo analisadas. Objetivo: o presente estudo objetivou determinar a frequência das lesões bucais diagnosticadas em clínica odontológica universitária, no município de Montes Claros MG, Brasil. Métodos: trata-se de um estudo descritivo, realizado nos pacientes assistidos pela clínica de Diagnóstico Bucal do Departamento de Odontologia das Faculdades Unidas do Norte de Minas entre fevereiro de 2010 a julho de 2012. Os pacientes foram caracterizados quanto: aspectos sociodemográficos; condições sistêmicas; exame ectoscópico; hábitos e vícios; caracterização das lesões bucais e dos procedimentos realizados e os diagnósticos histopatológicos. Os dados foram analisados descritivamente utilizando o programa estatístico SPSS versão 17.0. Resultados: participaram do estudo 125 pacientes. A maioria dos pacientes foi do sexo feminino (58,4 porcento), tinha entre 40 a 59 anos de idade (42,4 porcento), não possuía lesão extra-oral (88,2 porcento), o lábio foi o local mais prevalente da ocorrência de lesões (24,8 porcento) e foram diagnosticados com proliferativos não neoplásicos (36,6 porcento). Conclusão: as patologias bucais mais diagnosticadas/ frequentes foram os processos proliferativos não neoplásicos(AU)


Introducción: el estudio de la frecuencia de enfermedades, incluyendo las que afectan a la región máxilofacial, es de importancia fundamental para los médicos, epidemiólogos y gestores para el conocimiento de los problemas de salud más comunes y las necesidades de una región en particular. Tales estudios epidemiológicos revelan la prevalencia de muchas enfermedades y particularizan la distribución de estas características según la región o el lugar que se analiza. Objetivo: determinar la frecuencia de las lesiones orales diagnosticadas en la clínica dental universitaria en la ciudad de Montes Claros-MG, Brasil. Métodos: se realizó un estudio descriptivo en pacientes que asistieron a la clínica del Departamento de Diagnóstico Oral del Universidades Norte de las Unidas Mine (Funorte / SOEBRAS) entre febrero de 2010 y julio de 2012. Los pacientes se caracterizaron por: características sociodemográficas, las condiciones sistémicas; examen ectoscópico, hábitos y adicciones, la caracterización de las lesiones orales y los procedimientos realizados, así como los diagnósticos histopatológicos más frecuentes. Los datos fueron analizados con el programa SPSS versión descriptiva 17,0. Resultados: el estudio incluyó a 125 pacientes. La mayoría de los pacientes eran mujeres (58,4 por ciento), tenían entre 40 y 59 años de edad (42,4 por ciento), no presentaron lesiones extraorales (88,2 por ciento), el labio fue el lugar más frecuente de aparición de lesiones (24,8 por ciento) y fueron diagnosticados con la neoplásicas procesos proliferativos (36,6 por ciento). Conclusión: las patologías orales más diagnosticados y frecuentes fueron procesos proliferativos no neoplásicos(AU)


Introduction: the study of the frequency of diseases, including those affecting the maxillofacial region, is of fundamental importance to clinicians, epidemiologists and managers to formulate a profile of the most prevalent health problems and needs of a particular region. Such epidemiological studies reveal the prevalence of many diseases and particularize the distribution of these characteristics depending on the region or location being analyzed. Objective: the present study aimed to assess the frequency of oral lesions diagnosed in a dental clinic in the city of Montes Claros MG, Brazil. Methods: a descriptive study was conducted in patients assisted at Department of Oral Diagnosis at Universidades Norte de las Unidas Mine, Funorte / SOEBRAS, Brazil from February 2010 to July 2012. Patients were characterized by: socio-demographic characteristics; systemic conditions; physical examination; habits and addictions; characterization of oral lesions, procedures performed and the most frequent histopathologic diagnoses. Data were analyzed descriptively using SPSS version 17.0. Results: the study included 125 patients. Most patients were female (58.4 percent) aged 40 to 59 years (42.4 percent), 88.2 percent had no extra-oral lesions, the most prevalent occurrence of lesions was in lips (24.8 percent) and 36.6 percent were diagnosed with non-neoplastic proliferative. Conclusion: the more diagnosed and frequent oral pathologies were non-neoplastic proliferative processes(AU)


Subject(s)
Humans , Female , Adult , Middle Aged , Diagnosis, Oral/methods , Mouth/injuries , Epidemiology, Descriptive , Mouth/pathology
18.
In. Carreiro, Adriana da Fonte Porto; Batista, André Ulisses Dantas. Prótese parcial removível contemporânea. São Paulo, Santos, 2013. p.109-123, ilus. (BR).
Monography in Portuguese | LILACS, BBO | ID: lil-708391
19.
São Paulo; s.n; 2014. 206 p. ilus, tab. (BR).
Thesis in Portuguese | LILACS, BBO | ID: lil-763785

ABSTRACT

O câncer de mucosa oral é um problema de saúde pública, com maior incidência em homens acima de 50 anos. Uma das manifestações clínicas mais precoces do câncer da mucosa oral são as lesões leucoqueratósica. O aspecto clínico não homogêneo e o tamanho maior de 200mm2, em mucosa não queratinizada como a do assoalho da boca e ventre da língua, são aspectos que implicam na possibilidade de evolução da lesão. A dificuldade do diagnóstico das lesões precoces está na seleção do local a ser biopsiado principalmente frente a lesões extensas e heterogêneas. O objetivo desta pesquisa é avaliar se a utilização do exame clínico juntamente com os métodos auxiliares de diagnóstico das lesões leucoqueratósica da mucosa oral (VELscope®, Azul de toluidina e Solução de lugol) contribui para uma maior precisão do diagnóstico de displasias nestas lesões quando comparado ao histopatológico. E, identificar os padrões morfológicos destas lesões quando avaliadas por meio da microscopia confocal reflectante. Foram selecionados 30 pacientes, maiores de 18 anos, portadores de lesão clínica compatível com leucoplasia oral triados no ambulatório da disciplina de Estomatologia Clínica da Faculdade de Odontologia da Universidade de São Paulo e que precisavam ser submetidos à biópsia para o estabelecimento do diagnóstico final. Foram realizados os testes de Azul de Toluidina, Solução de Lugol, VELscope®, microscopia confocal reflectante e posteriormente, a biópsia incisional para obtenção do diagnóstico final. Os pacientes incluídos possuíam média de idade 60,66 anos, sendo 70% (21/30) do gênero feminino e 30% (9/30) do gênero masculino. O tabagismo foi relatado por 16,7% (5/30) dos pacientes, sendo 60% (3/5) homens. A associação do tabagismo e etilismo foi relatada em 10% (3/30) dos pacientes, o tabagismo isoladamente por 6,6% (2/30) e o de etilismo por 3,3%(1/30)...


Cancer of the oral mucosa is a public health problem, with higher incidence in men above 50 years. One of the earliest manifestations of cancer of the oral mucosa lesions are leukokeratosis. The inhomogeneous clinical aspect and the larger size of 200mm2 in non-keratinized mucosa as the floor of the mouth and constipation of the tongue, are aspects that imply the possibility of evolution of the lesion. The difficulty of diagnosis of early lesions is in the selection of the site to be biopsied primarily against large and heterogeneous lesions. The objective of this research is to evaluate the use of clinical examination along with diagnostic aids leucoqueratósica of oral lesions (VELscope ®, Toluidine blue and Lugol solution) methods contributes to greater accuracy of diagnosis of dysplasia in these lesions when compared the histopathological. And identify the morphological patterns of these lesions when evaluated by reflectance confocal microscopy. 30 patients older than 18 years, with clinical lesion compatible with oral leukoplakia screened in the outpatient discipline of Clinical Dentistry, Faculty of Dentistry, University of São Paulo and that needed to be biopsied to establish the final diagnosis were selected. Tests toluidine blue, Lugol's solution, VELscope ®, reflectance confocal microscopy (RCM) and subsequently, incisional biopsy to obtain the final diagnosis were performed. Patients enrolled had a mean age 60.66 years, 70% (21/30) were female and 30% (9/30) were male. Smoking was reported by 16.7% (5/30) of patients, 60% (3/5) homens.A association of smoking and alcohol use was reported in 10% (3/30) of patients, smoking alone by 6.6% (2/30) and of alcoholism by 3.3% (1/30)...


Subject(s)
Humans , Male , Adult , Middle Aged , Carcinoma, Squamous Cell/complications , Carcinoma, Squamous Cell/diagnosis , Diagnosis, Oral/methods , Epithelium , Leukoplakia, Oral/classification , Leukoplakia, Oral/complications , Leukoplakia, Oral/diagnosis , Odontodysplasia/complications , Odontodysplasia/diagnosis
20.
São Paulo; s.n; 2014. 87 p. ilus, tab. (BR).
Thesis in Portuguese | LILACS | ID: lil-758274

ABSTRACT

A associação entre sinais e sintomas de Disfunções Temporomandibulares (DTM) e achados em imagens de ressonância magnética (RM) tem sido controversa, dessa forma, este estudo avaliou a posição do disco, pelo método do relógio, e verificou a associação com a posição da cabeça da mandíbula, com a dor muscular à palpação, abertura passiva e ativa, presença de estalo e idade em pacientes portadores de DTM que foram submetidos ao exame de RM. O disco foi classificado em 0- posição normal (banda posterior em 11 e 12 horas); 1- início do deslocamento (posição entre 11 e 10 horas); 2- deslocamento médio (posição entre 10 e 9 horas); e 3- deslocamento avançado (posição entre 9 e 8 horas). A posição da cabeça da mandíbula foi classificada de acordo com o método de Pullinger em 1- posterior; 2- anterior; e 3- concêntrica. As classificações foram realizadas por três examinadores. A associação entre os dados clínicos e imaginológicos foi realizada utilizando o coeficiente de correlação intraclasse, coeficiente de correlação de Spearman, análise de variância, teste exato de Fisher ou teste de Kruskal-Wallis conforme a necessidade, com 5% de nível de significância. Sessenta casos foram incluídos no estudo, com predomínio de mulheres e média de 37 anos de idade. Houve concordância excelente entre os examinadores para posição do disco e da cabeça da mandíbula, porém não houve correlação entre essas duas variáveis. A presença de estalo, dor muscular à palpação e amplitude de abertura de boca também não apresentaram correlação estatisticamente significante com a posição do disco. Apenas a dor muscular à palpação foi associada a abertura de boca (p<0,05). Conclui-se que não há associação entre sinais e sintomas clínicos e posição do disco com a posição da cabeça de mandíbula em pacientes portadores de DTM...


The association between signs and symptoms of temporomandibular disorders (TMD) and findings on magnetic resonance imaging (MRI) has been controversial, thus, this study evaluated the disc position, by the clock method, and verified the association with the condyle position, muscle pain on palpation, passive and active opening, presence of temporomandibular joint (TMJ) sound and age in patients with TMD who underwent MRI. The disc position was classified as 0 - normal position (posterior band at 11 and 12 hours); 1 - mild displacement (position between 11 and 10 hours); 2 - Moderate displacement (position between 10:09 hours); and 3 - Severe displacement (position 9 to 8 hours). The condyle position was graded according to the Pullinger's method as 1 - posterior; 2 - anterior; and 3 - concentric. Three examiners performed the analyses. The association between clinical and imaging data was performed using the intraclass correlation coefficient ICC -, Spearman correlation coefficient, analysis of variance, Fisher's exact test or Kruskal-Wallis test as appropriate, with 5% significance level. Sixty cases were included in the study, with a predominance of women and average age of 37. There was excellent agreement between the examiners to disc and condyle position, but there was no significant correlation between these two variables. The presence of TMJ sound, muscle pain on palpation and range of mouth opening also showed no statistically significant correlation with the disc position. Only muscle pain on palpation was associated with mouth opening (p <0.05). It is concluded that there is no association between clinical signs and symptoms and disc position with condyle position in patients with TMD...


Subject(s)
Humans , Female , Adult , Pain/diagnosis , Magnetic Resonance Spectroscopy/methods , Mandible/physiology , Temporomandibular Joint Dysfunction Syndrome/diagnosis , Diagnosis, Oral/methods
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