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1.
ABCS health sci ; 44(3): 203-208, 20 dez 2019. tab
Article in English, Portuguese | LILACS (Americas) | ID: biblio-1047754

ABSTRACT

Durante o climatério, período em que as gônadas femininas cessam sua função, a deficiência de estrógenos, especialmente do estradiol, provoca alterações importantes na cavidade bucal, interferindo em mecanismos inflamatórios, secreção salivar, metabolismo do colágeno, entre outros. Por meio de uma revisão de literatura, esse estudo teve como objetivo, ver a influência das alterações hormonais advindas do período de climatério nos tecidos bucais, proporcionando ao cirurgião dentista informações em relação às consequências e cuidados relacionados a esta fase da vida da mulher. Nesse período, as mulheres tornam-se mais suscetíveis a alterações tais como: osteopenia e osteoporose dos maxilares, hipossalivação, doenças periodontais, entre outros. O tratamento preventivo por meio de remoção de placa, adequação do meio bucal e orientação antes e durante o climatério são os melhores meios de minimizar os problemas bucais advindos dessa fase da vida da mulher.


During the climacteric period, when female gonads cease their function, estrogen deficiency, especially estradiol, causes important changes in the oral cavity, interfering in inflammatory mechanisms, salivary secretion, collagen metabolism, among others. Through a literature review, this study aimed to see the influence of the hormonal changes from the climacteric period in the oral tissues, providing the dentist surgeon with information regarding the consequences and care related to this phase of the woman's life. In this period, women become more susceptible to changes such as: osteopenia and osteoporosis of the jaws, hyposalivation, periodontal diseases, among others. Preventive treatment through removal of plaque, adequacy of the buccal environment and orientation before and during climacteric are the best means of minimizing oral problems arising from this phase of a woman's life.


Subject(s)
Humans , Female , Gonadal Steroid Hormones , Climacteric , Oral Health , Estradiol , Estrogens
2.
Rev. Cient. CRO-RJ (Online) ; 4(2): 42-45, May-Aug. 2019.
Article in English | LILACS (Americas), BBO | ID: biblio-1024856

ABSTRACT

Objective: The aim of this article was to describe a case of Robinow syndrome in a pediatric patient. Case Report: Clinically, the patient had frontal bossing, flat facial profile with macrocephaly, midfacial hypoplasia, hypertelorism, wide palpebral fissures, triangular mouth, short upturned nose, short philtrum, ankyloglossia, prolonged retention of primary teeth and abnormal aligment of teeth. The radiographic exams indicated the presence of three impacted permanent supernumerary teeth, agenesis of eight permanent teeth and dental root shortening of all permanent teeth. The treatment proposed was the extraction of all retained primary teeth and the supernumerary teeth, dietary and oral hygiene instructions and orthodontic treatment. Also, important aspects to avoid complications associated with Robinow syndrome were discussed. Conclusion: This case describes uncommon oral findings and some important aspects to avoid complications associated with the Robinow syndrome. Early professional advice, treatment, and periodical follow-ups can improve the quality of life of these patients.


Objetivo: O objetivo deste artigo foi descrever um caso de síndrome de Robinow em um paciente pediátrico. Relato de Caso: Clinicamente, o paciente apresentava bossas frontais, perfil facial plano com macrocefalia, hipoplasia da face média, hipertelorismo, fissuras palpebrais amplas, boca triangular, nariz curto, filtro curto, anquiloglossia, retenção prolongada de dentes decíduos e dentes desalinhados. Os exames radiográficos indicaram a presença de três elementos supranumerários permanentes impactados, agenesia de oito dentes permanentes e encurtamento radicular de todos os dentes permanentes. O tratamento proposto foi a extração de todos os dentes decíduos retidos e os elementos supranumerários, instruções de higiene bucal e dietética e tratamento ortodôntico. Além disso, aspectos importantes para evitar complicações associadas à síndrome de Robinow são discutidos. Conclusão: Este caso descreve achados orais incomuns e alguns aspectos importantes para evitar complicações associadas à síndrome de Robinow. Aconselhamento profissional precoce, tratamento e acompanhamento periódico podem melhorar a qualidade de vida desses pacientes.


Subject(s)
Pediatric Dentistry , Syndrome , Oral Health , Dental Care
3.
Rev. Cient. CRO-RJ (Online) ; 4(2): 60-66, May-Aug. 2019.
Article in English | LILACS (Americas), BBO | ID: biblio-1024938

ABSTRACT

Introduction: Robinow syndrome is a rare genetic disorder of skeletal development. It is characterized by short stature, facial dysmorphisms and orodental anomalies, underdeveloped genitalia, mesomelic brachymelia. Case Report: A 6 year old girl with Robinow Syndrome was referred in the Center for Formation of Human Resources Specialized in Dental Care to Special Needs Patients (Ribeirão Preto, São Paulo, Brazil) for evaluation. Medical history investigation and clinicalexamination were observed in short stature, facial dimorphism and hypoplastic genitalia. Orofacial findings showed retrognathism, a mid-line hemangioma approximately 1 cm wide with upturned borders, bifid tongue, ankyloglossia, general gingival hypertrophy, deep bite and mild tooth crowding. Cardiac abnormality and neuromotor developmental delay consisted of systemic manifestations present which demanded individualized dental care. The dental treatment consisted of preventive and restoratives procedures to adequate the oral health condition of the patient and orthodontic treatmentwas planned. The patient has been in follow-up for six years. Conclusion: Orofacial anomalies andother alterations found in the present case contributed to complement the orofacial findings described in the literature and to assist in diagnosis of the syndrome. In this case, amultiprofessional team and integral treatment were essential to rescue oral health and improvelife quality of the patient.


Introdução: A síndrome de Robinow é uma doença genética rara caracterizada por baixa estatura, dismorfismos faciais e anomalias orodentais, genitália subdesenvolvida e falhas no desenvolvimento esquelético. Relato de Caso: Uma paciente de 6 anos com Síndrome de Robinow foi encaminhada ao Centro de Formação de Recursos Humanos Especializado no Atendimento Odontológicode Pacientes com Necessidades Especiais (Ribeirão Preto, São Paulo, Brasil). Na investigação da história médica e ao exame clínico foram observados baixa estatura, dismorfismo facial e genitália hipoplásica. Os achados orofaciais mostraram retrognatismo, hemangioma de linha média de aproximadamente 1 cm de largura com bordas voltadas para cima, língua bífida, anquiloglossia, hipertrofia gengival geral, mordida profunda e apinhamento dentário leve. A anormalidade cardíaca e o atraso no desenvolvimento neuromotor demandaram cuidados individualizados. O tratamento odontológico consistiu em procedimentos preventivos e restauradores para adequar a condição de saúde bucal da paciente. Além disso, foi realizada avaliação ortodôntica e planejamento do tratamento. A paciente está em acompanhamento há seis anos. Conclusão: Anomalias orofaciais e outras alterações encontradas no presente caso contribuíram para complementar os achados orofaciais na literatura e auxiliar no diagnóstico da síndrome. Neste caso, um plano de tratamento integral e equipe multiprofissional foram essenciais para resgatar a saúde bucal e propiciar melhor qualidade de vida à paciente.


Subject(s)
Oral Health , Patient Care Team , Retrognathia , Child , Dental Care
4.
Mem. Inst. Invest. Cienc. Salud (Impr.) ; 17(2): 56-63, ago. 2019. tab, ilus
Article in Spanish | LILACS (Americas), BDNPAR | ID: biblio-1008419

ABSTRACT

Los adultos jóvenes constituyen gran parte de la población paraguaya y se considera que los conocimientos y prácticas sobre salud bucodental están muy relacionados al nivel de instrucción, el objetivo de este estudio fue evaluar el nivel de conocimientos y prácticas sobre salud bucodental de estudiantes de posgrado de la Carrera de Enfermería de la Facultad de Ciencias de la Salud de la Universidad Católica de Asunción (CE FCSUCA), en el 2018. Estudio observacional descriptivo de corte transversal con componente analítico en el que se incluyeron a todos los estudiantes de posgrado entre mayo y junio de 2018. La recolección de datos se realizó mediante un cuestionario sobre salud bucodental autoadministrado y de carácter anónimo. Los datos se asentaron en una planilla electrónica, y fueron analizados utilizando el Programa estadístico IBMSSPS 23.0. La muestra estuvo constituida por 166 estudiantes, en su mayoría del sexo femenino (75,3%), de entre 20 y 29 años (54,8%), cursando algún programa de especialización (57,8% y pertenecientes al área de la salud (94%). El 57,83% y el 55,42% de los estudiantes presentaron conocimientos y prácticas de salud bucodental de nivel regular, respectivamente. Se encontró asociación entre nivel de conocimiento y de práctica y entre el nivel de conocimiento y la edad. Se concluye que los niveles de conocimientos y prácticas sobre salud bucodental en los estudiantes de posgrado fueron deficientes por lo que se propone la implementación de estrategias educativas de concienciación en el área(AU)


Young adults constitute a large part of the Paraguayan population and considering that oral health knowledge and practices are closely related to the level of education, the objective of this study was to evaluate the level of knowledge and practices on oral health of postgraduate students of the Nursing Career of the Faculty of Health Sciences of the Catholic University of Asunción (CE FCSUCA), in 2018. The design was descriptive, cross-sectional with an analytical component in which all postgraduate students were included in May and June 2018. Data collection was carried out through a questionnaire on oral health self-administered and anonymous. The data were recorded in an electronic spreadsheet and analyzed using the IBMSSPS 23.0 Statistical Program. The sample consisted of 166 students, mostly female (75.3%), between 20 and 29 years old (54.8%), studying some specialization program (57.8%) and belonging to the area of Health (94%). 57.83% and 55.42% of the students presented knowledge and practices of oral health at the regular level, respectively. An association was found between the level of knowledge and practice and between the level of knowledge. It is concluded that the levels of knowledge and practices on oral health in the postgraduate students were insufficient, so the implementation of educational awareness strategies in the area is proposed(AU)


Subject(s)
Humans , Male , Female , Adult , Middle Aged , Health Knowledge, Attitudes, Practice , Oral Health/education , Paraguay , Periodontitis/etiology , Cross-Sectional Studies , Dental Caries/etiology , Education, Nursing, Graduate , Gingivitis/etiology
5.
Article in Portuguese | LILACS (Americas), BBO | ID: biblio-1009746

ABSTRACT

Introdução: A assistência odontológica se mostra muito eficaz durante o acompanhamento pré-natal, desmistificando situações e levando informações à gestante primordiais para o andamento da sua gestação de forma saudável. Para tal, é essencial o conhecimento técnico-científico dos profissionais envolvidos durante esse período. Métodos: Foi realizada uma pesquisa censitária com os médicos e enfermeiros das unidades básicas de saúde de um município da região carbonífera de Santa Catarina, por meio da aplicação de um roteiro de entrevista com questões abertas e fechadas de acordo com a disponibilidade dos profissionais, sendo que cada local foi visitado ao máximo duas vezes. As entrevistas foram gravadas e transcritas a fim de manter fidedignas as respostas avaliadas. Resultados: Demonstrou-se que, apesar dos trabalhos da atualidade, o atendimento odontológico curativo ainda é prevalente, onde as gestantes, apesar de informadas sobre a importância de uma consulta de rotina por 71,40% dos profissionais, ainda se mantem fieis aos mitos que podem ser prejudiciais ao período em que se encontram. Ademais, os profissionais envolvidos necessitam avaliar a importância de requalificar seus conhecimentos, para que possam melhor assisti-las, pois há relação significativa de 100% entre os mitos sobre o uso de anestésico sem vasoconstritores e profissionais de maior faixa etária. Conclusão: Verificou-se falta de conhecimento e uma prevalência de mitos envolvendo a gestante e a consulta odontológica, por parte dos médicos e enfermeiros.


Introduction: The dental assistance is shown to be very effective during prenatal care, demystifying situations and giving information to the pregnant woman that is essential for the progress of her pregnancy in a healthy way; for this, it is essential the technical-scientific knowledge of the professionals involved during this period. Objective: To evaluate the knowledge of doctors and nurses regarding prenatal dentistry. Methods: A census survey was conducted with physicians and nurses of the health center in a city in the carboniferous region, through the application of an interview script with open and closed questions according to the availability of professionals, and each place was visited the most twice. The interviews were recorded and transcribed in order to keep the evaluated responses reliable. Results: It was demonstrated that despite current work, curative dental care is still prevalent, where pregnant women, although informed about the importance of a routine consultation by 71.40% of professionals, still remain faithful to the myths that may be detrimental to the period in which they are. In addition, the professionals involved need to evaluate the importance of requalifying their knowledge, so that they can better assist them, as there is a significant relationship of 100% between the myths about the use of anesthetics without vasoconstrictors and professionals of greater age group. Conclusion: There was a lack of knowledge and a prevalence of myths involving the pregnant woman and the dental consultation by the doctors and nurses.


Subject(s)
Humans , Male , Female , Pregnancy , Adult , Prenatal Care , Oral Health , Pregnant Women , Knowledge
6.
Rev. Asoc. Odontol. Argent ; 107(2): 49-53, abr.-jun. 2019. tab
Article in Spanish | LILACS (Americas) | ID: biblio-1015734

ABSTRACT

Objetivo: Identificar la edad de la primera consulta odontológica, los motivos de esta y el estado de salud/enfermedad de la población que concurre a atenderse en la Sección de Odontopediatría del Servicio de Odontología del Hospital Nacional "Prof. Alejandro Posadas". Materiales y métodos: Este es un estudio descriptivo retrospectivo, en el que se revisaron las historias odontológicas de los pacientes que concurrieron espontáneamente a la Sección de Odontopediatría del Hospital "Prof. A. Posadas" durante los meses de junio, julio y agosto de 2018. Se registraron las variables edad, motivo de la primera consulta, sexo, ceod y CPOD. Resultados: La muestra estuvo constituida por 337 historias clínicas de pacientes de 0 a 12 años; el 44,8% (n=151) llegó a la consulta por primera vez, del cual el 47% (n=71) fueron mujeres. La edad promedio de la primera consulta fue de 6,5 años (DS ±3), con una moda de 9 años. El 1,32% (n=2) tenía menos de 1 año; el 3,97% (n=6), 1 año; el 43,04% (n=65), entre 2 y 6 años; mientras que el 51,66% (n=78) tenía entre 7 y 12 años. Los motivos de consulta de los pacientes que concurrían por primera vez fueron presencia de caries, 51% (n=77); malposición dentaria, 11% (n=17); control, 15% (n=22); traumatismo, 10% (n=16); dolor, 10% (n=15), y problemas en tejidos blandos, 3% (n=4). El CPOD fue de 1,16 (DS ±1,45), y el ceod, de 4 (DS ±3,25). Conclusión: De la muestra estudiada de la población concurrente a un servicio de odontopediatría de la provincia de Buenos Aires, solo el 1,32% consultó dentro del primer año de vida, que es la edad considerada ideal para asesorar a los padres oportunamente sobre medidas preventivas y disminuir la incidencia de caries en la población infantil (AU)


Aim: To identify the age and reasons of the first dental visit and child's oral health, among attendees to the Pediatric Dentistry Section of the 'Prof. A. Posadas' Hospital. Materials and methods: This is a descriptive retrospective study, on dental clinical records selected from patients who went spontaneously to the Pediatric Dentistry Section of the 'Prof. A. Posadas' Hospital during June, July and August of 2018. Variables studied were: age, reported reasons for dental visit, gender, ceod, and CPOD. Results: The sample consisted of 337 clinical records of patients from 0 to 12 years old. 44.8% (n=151) came to the clinic for the first time (women: 47%; n=71). The average age of the first consultation was 6.5 years (SD ±3), mode 9 years. Of the sample, 1.32% (n=2) had less than 1 year, 3.97% (n=6) were 1 year old, between 2 and 6 years old 43.04% (n=65), while 51.66% (n=78) had between 7 and 12 years. The reasons for the first consultation were caries (51%; n=77), abnormal dental position (11%; n=17), control (15%; n=22), trauma (10%; n=16), pain (10%; n=15), and soft tissues consultations (3%; n=4). DMFT, 1.16 (DS ±1.45), and dmft, 4 (SD ±3.25). Conclusion: Of the sample studied from the population attending a pediatric dentistry service in the province of Buenos Aires, only 1.32% consulted within the year of life as it is considered ideal to advice parents timely on preventive measures and reduce the incidence of caries in the child population (AU)


Subject(s)
Humans , Male , Female , Child , Dental Care for Children , Dental Caries/prevention & control , Dental Service, Hospital , Argentina , DMF Index , Oral Health , Statistical Analysis , Age and Sex Distribution , Malocclusion
7.
Rev. cient. odontol ; 7(1): 9-10, ene.-jun. 2019.
Article in Spanish | LILACS (Americas) | ID: biblio-1005490
8.
Rev. cient. odontol ; 7(1): 113-120, ene.-jun. 2019. tab
Article in Spanish | LILACS (Americas) | ID: biblio-1005970

ABSTRACT

El objetivo de este artículo es revisar información enfocada en mitos sobre la gestación y la salud oral. Las gestantes son consideradas un grupo prioritario de atención en salud, pero una de las barreras más importantes para que esta atención sea realizada son las creencias populares que trascienden de generación en generación. Entre estas, podemos encontrar algunos mitos como el que las mujeres embarazadas desarrollan un mayor número de lesiones cariosas, debido a que el ser en formación requiere mayor requerimiento de calcio. De igual forma, se acepta como un proceso normal durante la gestación que por cada hijo se pierde un diente. Así mismo, existe también la creencia que la atención odontológica causa daño al feto por el uso de anestésicos locales o medicamentos. Otro de los mitos más temidos es la toma de imágenes radiográficas durante la gestación y si el uso de amalgama en las restauraciones dentales es toxicas para el bebé. (AU)


The objective of this article was to review information focused on myths about pregnancy and oral health. Pregnant women are considered a priority group in health care, but one of the most important barriers to this care is the popular beliefs passed on from generation to generation such as the myth that pregnant women develop more carious lesions because of their condition and calcium requirements. In addition, it is often said that for every pregnancy a woman has a tooth is lost. There is also the belief that dental care causes harm to the fetus by the use of local anesthetics, medications, radiographic images and that the use of amalgam in dental restorations is toxic to the fetus. (AU)


Subject(s)
Humans , Female , Pregnancy , Oral Health
9.
Rev. ADM ; 76(3): 173-181, mayo-jun. 2019. ilus
Article in Spanish | LILACS (Americas) | ID: biblio-1022859

ABSTRACT

Siempre es importante el poder llevar a cabo algún tipo de reconocimiento a las personas involucradas en haber dejado aun el más mínimo tipo de legado en nuestra profesión. A título muy personal, la utilización de los fluoruros y, muy en especial su incorporación en la formulación de pastas dentales, ha sido el factor más importante y preponderante en la disminución del índice de riesgo de caries dental en las actuales generaciones. El presente artículo pretende hacer una narración histórica sobre los eventos más sobresalientes por los que pasó el trío de científicos en las Escuelas de Química y de Odontología de la Universidad de Indiana en sus respectivos campus de Bloomington e Indianápolis para lograr el desarrollo de la primera pasta dental con fluoruro. Más que un recuento histórico, la intención principal de este escrito es hacer una semblanza y un reconocimiento al trabajo del bioquímico Harry Day, quién trabajaba en su campo especializado sobre el valor nutricional de algunos elementos y que, junto con el trabajo del dentista Joseph C. Muhler y del especialista en Química inorgánica William Nebergall, logró producir un prototipo de pasta dental en el año de 1952 y que después de los excelentes resultados de los estudios clínicos liderados por Muhler tanto en niños como en adultos, llamaron la atención de Procter and Gamble para poder lanzar al mercado la primera pasta dental con Fluoristán, a la que se llamó Crest (AU)


It is always important to express some type of acknowledgement to people that were involved on leaving any form of legacy in our profession. As a personal view, the use of fluorides and specially the implementation of it in the formulation of toothpastes have been the key and preponderant factor in the decrease on the risk of dental caries in the current generations. This article pretends to be a historic narrative of the remarkable events in the group of the three scientists of the School of Chemistry and the School of Dentistry at both campuses of Bloomington and Indianapolis of Indiana University to fulfill the goal on the development of the first fluoridated toothpaste. More than a historical narrative, the main intention of this paper is to make a resemblance and an acknowledgement to the work of Biochemist Harry Day, who worked in his field of expertise on the nutrimental value of certain trace elements and that together with the work by dentist Joseph C. Muhler and the specialist in Inorganic Chemistry William Nebergall, could produced in year 1952 a prototype of a toothpaste that after several clinical studies in children and adults conducted by Muhler showed excellent results on caries prevention, and that took the attention of Procter and Gamble to be able to put on the market the first toothpaste with Fluoristan that was called Crest (AU)


Subject(s)
History, 19th Century , History, 20th Century , Toothpastes/analysis , Toothpastes/history , Fluorides , History of Dentistry , United States , Oral Health , Academies and Institutes/history
10.
Rev. Odontol. Araçatuba (Impr.) ; 40(2): 15-21, maio/ago. 2019.
Article in Portuguese | LILACS (Americas), BBO | ID: biblio-1006531

ABSTRACT

O objetivo deste estudo foi discutir, por meio de uma revisão de literatura, as indicações, contraindicações, vantagens, desvantagens das alternativas reabilitadoras mais comuns utilizando PPRs e o impacto desses tratamentos na qualidade de vida relacionada à saúde bucal dos pacientes. Foi realizada uma pesquisa ampla na literatura, com a utilização dos termos "Prótese Parcial Removível", "Qualidade de Vida", "Saúde bucal"; "Satisfação do Paciente", no período entre 1990 e 2018, no Medline, Google Scholar, internet e livros didáticos. Foi demonstrado que a reabilitação com PPRs associadas a implantes resultou em melhor qualidade de vida associada à saúde bucal dos usuários, seguida por PPRs retidas por encaixe e PPRs convencionais. Entretanto, o profissional deve considerar as condições sistêmicas, bucais e econômicas de cada paciente, tendo o conhecimento biomecânico bem como a ciência dos benefícios e das desvantagens de cada tipo de tratamento para estabelecer um correto diagnóstico do caso e, assim, indicar o melhor tipo de PPR. Dessa forma, é possível oferecer o melhor tratamento para cada paciente parcialmente edêntulo, devolvendo estética e função de maneira satisfatória de modo a resultar em maior nível de satisfação e qualidade de vida(AU)


The purpose of this study was to discuss, through a review of the literature, indications, contraindications, advantages, disadvantages of the most common rehabilitation alternatives using RPDs and the impact of these treatments on patients' oral health quality of life. A broad research was conducted in the literature, using the terms "Partial Removable Prosthesis", "Quality of Life", "Oral Health"; "Patient Satisfaction" in the period between 1990 and 2018, in Medline, Google Scholar, internet and textbooks. It was demonstrated that rehabilitation with RPDs associated with implants resulted in a better oral health quality of life of users, followed by RPDs with attachments and conventional RPDs. However, the professional should consider the systemic, oral and economic conditions of each patient, based on the biomechanical knowledge, as well as the science of the benefits and disadvantages of each type of treatment to establish a correct diagnosis of the case, and thus, indicate the best type of RPD. In this way, it is possible to offer the best treatment for each partially edentulous patient, returning aesthetics and function in a satisfactory manner in order to result in a higher level of satisfaction and quality of life(AU)


Subject(s)
Quality of Life , Denture, Partial, Removable , Dental Implants , Oral Health , Patient Satisfaction
11.
Mem. Inst. Invest. Cienc. Salud (Impr.) ; 17(1): 82-92, abr. 2019. ilus
Article in Spanish | LILACS (Americas), BDNPAR | ID: biblio-1008052

ABSTRACT

Las estrategias tradicionales para abordar la salud bucal en México han carecido de un enfoque integrado a la promoción de la salud y a los factores de riesgo en común con otras patologías, principalmente crónicas. De unir esfuerzos se aprovecharían mejor los limitados recursos sanitarios. Esta investigación tuvo como objetivo implementar un modelo operativo de promoción de la salud y prevención de las enfermedades bucales, usando un ciclo de mejora continua en el preescolar de la comunidad Peña-Flores, Cuautla, Morelos. Se realizó un estudio cuasi-experimental con 120 niños de ambos sexos. La implementación contempló: diagnóstico epidemiológico bucal y social, capacitación de actores clave, ejecución del programa de salud bucal, monitoreo, análisis y evaluación de resultados. Se levantaron datos mediante una guía de observación participante, de reuniones con madres de familia y maestras bajo la perspectiva participativa del triple diagnóstico de educación popular. Se determinó el índice de dientes cariados, a extraer y obturados. Se realizó la medición de la placa dento-bacteriana utilizando el índice de sedimento dental (DIS). Como resultado del control y sistematización del proceso de cepillado dental y del monitoreo de la placa dento-bacteriana, se identificó una disminución del DIS de 1,04 a 0,47. Con la implementación de un menú escolar, se mejoró la alimentación infantil. El modelo implementado constituye una posible solución a la problemática de salud bucal del preescolar de la comunidad Peña-Flores, situado en un contexto de desventaja social por factores como pobreza, migración y déficit de servicios públicos(AU)


Subject(s)
Humans , Male , Female , Child, Preschool , Oral Health , Health Promotion , Mouth Diseases/prevention & control , Toothbrushing , Food Consumption , Prevalence , Risk Factors , Dental Caries/prevention & control , Dental Caries/epidemiology , Dental Plaque/prevention & control , Dental Plaque/epidemiology , Mexico/epidemiology , Mouth Diseases/epidemiology
12.
Biosci. j. (Online) ; 35(2): 666-673, mar./apr. 2019. tab, ilus
Article in English | LILACS (Americas) | ID: biblio-1048620

ABSTRACT

To investigate the prevalence of oral diseases and to assess the simplified oral hygiene (OHI-S) index, the decayed-missing-filled teeth (DMFT) index and the community periodontal index (CPI)among inmates incarcerated in the Russian Federation. The sample consisted of 175 male and 130 female inmates serving sentences at corrective colonies in the region of Kirov, Russia. Information about level of education, time of incarceration and general health status were collected via personal interviews. Additionally, the inmates underwent extra- and intraoral exams in the search for clinically detectable lesions and oral diseases. A quantitative analysis of the oral health was established through the assessment of OHI-S, DMFT and CPI indices. These indices were statistically tested for their association with inmates' time of incarceration and level of education. Complete dentition, partial tooth loss and edentulism were observed in 10.5%, 81.9% and 7.5% of the sample. Dental caries (92.4%), periodontal diseases (55.7% periodontitis and 33.1% gingivitis), diseases of pulp and periapical tissue (87.9%) were the most prevalent findings. The most prevalent disease in the oral mucosa was the cheilitis (64.9%) followed by glossitis (21.9%) and palatal nicotinic leukokeratosis (28.8%). OHI-S and DMFT indices showed strong positive association with time of incarceration and level of education. Higher index scores were observed in inmates in prison for a longer time and with a lower level of education (p=0.001). These outcomes highlight the need for promoting oral health care policies to inmates incarcerated in prisons of the Russian Federation.


Investigar a prevalência de doenças bucais e os índices de higiene oral simplificado (IHO-S), dentes cariados-perdidos-restaurados (CPO-D) e índice periodontal comunitário (CPI) em detentos daFederação Russa. A amostra consistiu de 175 homens e 130 mulheres encarceradas em colônias corretivas na região de Kirov, na Federação Russa. Informações relacionadas ao nível educacional, tempo de encarceramento e condição de saúde geral foram coletadas por meio de entrevistas. Adicionalmente, exames extra e intrabucais foram realizados com a finalidade de detectar possíveis doenças e lesões em dentes e tecidos moles. Análise quantitativa da saúde bucal foi conduzida por meio da investigação dos índices IHO-S, CPO-D e CPI. Estes índices foram testados estatisticamente em face de sua associação com o nível educacional e tempo de encarceramento dos detentos. Dentição completa, parcial e edentulismo foram observadas em 10.5%, 81.9% e 7.5% da amostra. Cárie (92.4%), doença periodontal (55.7% periodontite e 33.1% gengivite) e doenças pulpares (87.9%) foram as mais prevalentes. Queilite (64.9%), glossite (21.9%) e estomatite nicotínica no palato (28.8%) foram as lesões mais prevalentes em mucosa. Forte Associação positiva foi verificada entre os índices IHO-S e CPO-D e o nível educacional e tempo de encarceramento dos detentos. Quanto menor o nível educacional e maior o tempo de encarceramento, maiores foram os referidos índices (p=0.001). Conclusão:Estes resultados apontam para a necessidade de promoção de políticas direcionadas ao cuidado bucal em detentos encarcerados na Federação Russa.


Subject(s)
Prisoners , Oral Health , Public Health , Diagnosis
13.
Rev. Cient. CRO-RJ (Online) ; 4(1): 41-47, Jan.-Apr. 2019.
Article in English | LILACS (Americas), BBO | ID: biblio-1024201

ABSTRACT

Aim: To assess the impact of severe malocclusion on adolescents' oral health- related quality of life (OHRQoL). Methods: This study consisted of a sample of 117 adolescents between 11 and 12 years, who answered the Brazilian version of the short form of the Child Perception Questionnaire (CPQ 11-14 ). This questionnaire has 16 items distributed equally across four domains: oral symptoms (OS), functional limitations (FL), emotional well-being (EW) and social well-being (SW). Higher scores indicate a greater negative impact on OHRQoL. Malocclusion was evaluated using the Dental Aesthetic Index. Adolescents were assigned to the following categories: no or slight malocclusion, defined malocclusion and severe malocclusion. Descriptive analysis, the Kruskal Wallis test, post hoc test, univariate and multivariate logistic regression were conducted. Results: Individuals with severe malocclusion presented significantly higher scores than those with no or slight malocclusion for the EW ( p =0.001), SW ( p =0.027) and for the overall CPQ 11-14 score ( p =0.015). Adolescents with severe malocclusion showed a 2.63 greater chance of presenting a high negative impact on OHRQoL than those with no or slight malocclusion regardless of the confounding variables (CI=1.07­6.45, p =0.035). Conclusion: Severe malocclusion negatively impacts adolescents' OHRQoL.


Objetivo: Avaliar o impacto da má oclusão severa na qualidade de vida relacionada à saúde bucal de adolescentes (OHRQoL). Métodos: Este estudo consistiu em uma amostra de 117 adolescentes entre 11 e 12 anos, que responderam à versão brasileira da forma abreviada do Child Perception Questionnaire (CPQ11- 14). Este questionário tem 16 itens distribuídos igualmente em quatro domínios: sintomas bucais (SO), limitações funcionais (LF), bem-estar emocional (BE) e bem- estar social (BS). Escores mais altos indicam um impacto negativo maior na OHRQoL. A má oclusão foi avaliada por meio do Índice Estético Dental. Os adolescentes foram alocados nas seguintes categorias: sem má oclusão/má oclusão leve, má oclusão definitiva e má oclusão severa. Análise descritiva, teste de Kruskal Wallis, teste de Dunn, regressão logística univariada e multivariada foram conduzidas. Resultados: Indivíduos com má oclusão severa apresentaram escores significativamente mais elevados do que aqueles sem má oclusão/má oclusão leve para o BE ( p =0,001), BS ( p =0,027) e para o escore total do CPQ11-14 ( p =0,015). Adolescentes com má oclusão severa apresentaram 2,63 vezes mais chance de apresentar um impacto negativo alto na OHRQoL do que aqueles sem má oclusão/má oclusão leve, independentemente das variáveis de confusão (IC=1,07-6,45, p =0,035). Conclusão: A má oclusão severa afeta negativamente a OHRQoL dos adolescentes.


Subject(s)
Orthodontics , Quality of Life , Oral Health , Surveys and Questionnaires , Adolescent , Malocclusion
14.
Rev. Cient. CRO-RJ (Online) ; 4(1): 48-54, Jan.-Apr. 2019.
Article in English | LILACS (Americas), BBO | ID: biblio-1024205

ABSTRACT

Introduction: Children presents high prevalence of traumatic dental injury (TDI). Objective: It is very important to detect the impact on oral health related to quality of life (OHRQoL) in this age group. Methods: Based on this, a cross sectional study was carried out using a convenience sample. Children from 8-10 years with TDI in permanent teeth were recruited over an 18 month period, from a public University. Data about OHRQoL using the Brazilian version of CPQ 8-10 (B-CPQ 8- 0 ) were collected. TDI were classified according to Andreasen criteria and grouped according to its severity. Variations in the scores and impact of TDI on OHRQoL according to age, gender and TDI severity were examined using nonparametric statistical tests (Kruskall-Wallis and Mann-Whitney test, p<0.05). Results: From a sample of 255 children, 41 healthy children that suffered TDI in permanent were included in the study. The mean B-CPQ 8-10 scores were 29.7 (SD 14.3). Emotional and social wellbeing domais had the highest negative score impact average 8.8 (SD 5.9) and 9.8 (SD 6.3), respectively. Gender or TDI severity did not present relation to impact on OHRQoL. In relation to age, 10-year-old children had more impact on their OHRQoL on the overall scale (p<0.05) and for the functional limitation subscale (p<0.05). Conclusion: TDI impacts negatively on OHRQoL of children aged from 8-10 years old.


Introdução: Crianças apresentam alta prevalência de traumatismo dentário (TD).Objetivo: Detectar o impacto do TD na qualidade de vida relacionada à saúde bucal (QVRSB) nessa faixa etária. Métodos: Um estudo transversal foi realizado com amostra de conveniência recrutando-se crianças de 8-10 anos com TD em dente permanente por um período de 18 meses em clínica pública. Dados sobre a QVRSB foram coletados através da versão brasileira do CPQ 8-10 (B-CPQ 8-10 ). O TD foi classificado de acordo com os critérios de Andreasen e agrupado de acordo com sua gravidade. As variações nos escores e o impacto do TD na QVRSB, de acordo com idade, gênero e gravidade do TD foram examinados por meio de testes estatísticos não paramétricos (teste de Kruskall-Wallis e Mann-Whitney, p <0,05). Resultados: De uma amostra de 255 crianças, 41 crianças saudáveis que sofreram TD em dentes permanentes foram incluídas no estudo. O escore médio do B-CPQ 8-10 foi 29,7 (DP 14,3). Os domínios bem-estar emocional e social apresentaram maior impacto negativo com média de 8,8 (DP 5,9) e 9,8 (DP 6,3), respectivamente. A diferença de gênero e a gravidade do TD não apresentaram relação de impacto na QVRSB. Em relação a idade, crianças de 10 anos tiveram maior impacto na escala global da QVRSB (p <0,05) e na subescala de limitação funcional (p <0,05). Conclusão: O TD impacta negativamente a QVRSB de crianças de 8 a 10 anos de idade.


Subject(s)
Tooth Injuries , Quality of Life , Child , Oral Health , Dentition, Permanent
15.
Rev. Cient. CRO-RJ (Online) ; 4(1): 55-60, Jan.-Apr. 2019.
Article in English | LILACS (Americas), BBO | ID: biblio-1024213

ABSTRACT

Objective: The aim of this study was to evaluate the oral health status and to analyze the self- erception of the impact of oral health statuson the interpersonal relationship of students from a local school in Rio de Janeiro, Brazil. Methods: A non-probabilistic sample was used, consisting of 260 children and adolescents aged 8 to 15 years. Oral health status was evaluated by clinical examination according to the World Health Organization criteria. The perception of the students of their oral health status was assessed by interview using a questionnaire developed from PeNSE (Brazilian National School Health survey) and CPQ 11-14 (Child Perception Questionnaire). Chi- quare and Fisher's exact test were used, with level of significance of 5% (p< 0.05). Results: A DMFT index equal to 0 was observed in 51.5% of the participants. The questionnaire revealed that most students were happy about their own smile (88.1%). However, 35.8% had already avoided smiling and 18.5% had refrained from some daily activities because of the appearance of their teeth. Conclusion: Although half of the students were free of dental caries and most were satisfied with their smile, a sizable number felt upset and embarrassed about their teeth, which may interfere in the relationship with their peers.


Objetivo: O objetivo desse trabalho foi avaliar a condição de saúde bucal e analisar a autopercepção do impacto da saúde bucal no relacionamento interpessoal de escolares de uma instituição da rede pública municipal do Rio de Janeiro, Brasil. Método: A amostra foi do tipo não probabilística, sendo composta por 260 crianças e adolescentes, de 8 a 15 anos. A condição bucal foi verificada através de exame clínico de acordo com os critérios da Organização Mundial da Saúde. A percepção dos escolares em relação a própria condição bucal foi avaliada através de entrevista, cujo instrumento foi desenvolvido a partir da Pesquisa Nacional de Saúde do Escolar, 2012 e do Child Perception Questionnaire ( CPQ). 11-14 Os testes qui-quadrado e Exato de Fisher foram utilizados com nível designificância de 5% (p<0,05). Resultados: 51,5% da amostra apresentou CPOD zero. A análise do questionário mostrou que a maioria está feliz com o próprio sorriso (88,1%). Porém, 35,8% relatou já ter evitado sorrir e 18,5% já deixou de realizar alguma atividade por causa dos dentes. Conclusão: Embora a metade dos escolares se apresente livre de cárie e a maioria goste dopróprio sorriso, uma parcela considerável demonstra sentimentos como chateação e vergonha, podendo interferir no relacionamento com seus pares.


Subject(s)
Oral Health , Self Concept , Chi-Square Distribution , Child , DMF Index , Adolescent , Interpersonal Relations
16.
Univ. salud ; 21(1): 27-37, ene.-abr. 2019. tab
Article in Spanish | LILACS (Americas), COLNAL | ID: biblio-986193

ABSTRACT

Resumen Introducción: La prevalencia modificada de caries en la primera infancia es de 61,92%, el desconocimiento en salud bucal por parte de cuidadores es una de las causas reportadas. Objetivo: Determinar conocimientos y prácticas de las agentes educativas y condiciones de salud bucal de niños de los hogares comunitarios y Centros de Desarrollo Infantil del Instituto Colombiano de Bienestar Familiar de Santa Rosa de Cabal 2016. Materiales y métodos: Estudio cuantitativo, descriptivo y transversal. Se aplicó encuestas de caracterización a 198 niños y 20 agentes educativas, de Conocimientos Actitudes y Prácticas e índices odontológicos. Se aplicó estadística univariada y Chi2. Resultados: El 90% de las agentes reconocen la caries como la enfermedad más frecuente, 50% realizan cepillado de los infantes sin utilizar seda dental. Se evidenció prevalencia modificada de caries en 63,6% y promedio de índice O'Leary 61,3%. Existe asociación entre el índice ceo-d (cariados, extraídos, obturados), área de residencia y estrato socioeconómico con valor p<0,05. Conclusiones: Las agentes evidencian vacíos conceptuales que requieren abordaje de educación por parte de odontólogos. El estado de salud bucal de la primera infancia indica un porcentaje por encima de la prevalencia modificada de caries a nivel nacional y el índice O'Leary riesgo de enfermedades bucodentales.


Abstract Introduction: The modified prevalence of caries in early childhood is 61.92%. Ignorance in oral health on the part of caregivers is one of the reported causes. Objective: To determine knowledge and practices of educational agents and oral health conditions of children in community households and child development centers of the Colombian Family Welfare Institute (ICBF) in Santa Rosa de Cabal in 2016. Materials and methods: A quantitative, descriptive and transversal study was made. Characterization surveys were applied to 198 children and 20 educational agents about knowledgeable attitudes and practices and dental indices. Univariate and Chi2 statistics were applied. Results: 90% of the agents recognize caries as the most frequent disease, 50% perform brushing of children without using dental floss. Modified caries prevalence was demonstrated in 63.6% and 61.3% average O'Leary index. There is an association between the CEO-D Index, area of residence and socioeconomic strata with p<0.05 value. Conclusions: Agents demonstrate conceptual gaps that require an education approach by dentists. The state of oral health of early childhood indicates a percentage above the modified prevalence of caries at the national level and the index O'Leary risk of oral diseases.


Subject(s)
Humans , Child , Oral Health , Caregivers , Dental Caries , Dental Plaque
17.
Saude e pesqui. (Impr.) ; 12(1): 85-95, jan.-abr. 2019. ilus, tab
Article in Portuguese | LILACS (Americas) | ID: biblio-995597

ABSTRACT

Objetivou-se avaliar a autopercepção de doentes renais crônicos sobre saúde bucal e analisar os fatores envolvidos no tratamento da insuficiência renal. Trata-se de uma pesquisa qualitativa, com o emprego da técnica de grupo focal. Foram realizados dois grupos focais com uma amostra de 12 doentes renais crônicos, com a participação de pesquisador/moderador, observador e seis participantes em cada grupo e um roteiro com questões norteadoras. Os discursos foram gravados e transcritos, os conteúdos textuais foram processados no software IRAMUTEQ e analisados pela técnica de classificação hierárquica descendente (CHD) e análise de conteúdo. Seis categorias emergiram da análise multivariada pela CHD: (1) Sofrimento; (2) Expectativa; (3) Acesso ao Tratamento; (4) Serviços de Saúde; (5) Valorização; (6) Funções da Boca. A análise qualitativa demonstrou que apesar do grande sofrimento relatado pelos doentes renais crônicos, há uma autopercepção positiva e que pode ser verificada nas categorias elencadas. A análise interpretativa do corpus textual sugere ausência de assistência odontológica e alguns fatores envolvidos neste processo de iniquidade


Self-perception by chronic kidney patients on mouth health is evaluated and the factors involved in the treatment of kidney insufficiency are analyzed. Qualitative research with focal group technique was applied to two groups with a sample of 12 chronic kidney patients, with the participation of researcher/moderator, observer and six participants of each group and a list of questions. Discourses were recorded and transcribed, textual contents were processed by IRAMUTEQ and analyzed by descendent hierarchized classification technique (CHD) and content analysis. Six categories emerged from the multivariate CHD analysis: (1) suffering; (2) expectations; (3) access to treatment; (4) health services; (5) valorization; (6) mouth functions. Qualitative analysis revealed that, in spite of great suffering by chronic kidney patients, a positive self-perception is perceived and may be verified in the listed categories. The interpretative analysis of the textual corpus suggests an absence of dentistry assistance and other factors involved in the iniquity process


Subject(s)
Humans , Qualitative Analysis , Oral Health , Renal Insufficiency, Chronic , Dental Care , Qualitative Research
18.
Pesqui. bras. odontopediatria clín. integr ; 19(1): 4649, 01 Fevereiro 2019.
Article in English | LILACS (Americas), BBO | ID: biblio-997887

ABSTRACT

In 1895, the first definition of behavior management was mentioned by McElroy with the following words: "although the operative dentistry may be perfect, the appointment is a failure if the child departs in tears" [1]. This approach, which argues that the success of dental treatment in pediatric patients depends on the attitude created in children rather than in the technical or clinical evaluation, was supported by the following words in American Academy of Pediatric Dentistry (AAPD)'s guideline about 100 years later: "Behavior guidance techniques, both nonpharmalogical and pharmalogical, are used to alleviate anxiety, nurture a positive dental attitude, and perform quality oral health care safely and efficiently for infants, children, adolescents, and persons with special health care needs" [2]. The terms of behavior management, which is the global term of choice, or behavior guidance which is now used by AAPD are widely used in dental literature.


Subject(s)
Oral Hygiene/methods , Child , Child Behavior/psychology , Oral Health/education , Dental Anxiety/psychology , Pediatric Dentistry
19.
Pesqui. bras. odontopediatria clín. integr ; 19(1): 4543, 01 Fevereiro 2019. tab
Article in English | LILACS (Americas), BBO | ID: biblio-997899

ABSTRACT

Objective: To compare self-perceived information and clinically diagnosed dental caries status among Indonesian children aged 12­15 years. Material and Methods: In this cross-sectional study, a questionnaire was used to obtain self-perceived information. Clinical examinations were conducted to determine the mean number of decayed, missing or filled teeth (DMFT) and the presence of severely decayed teeth with visible pulpal involvement, ulceration caused by dislocated tooth fragments, fistula, and abscess (PUFA). The study included 494 children aged 12­15 years recruited from six junior high schools in Jakarta, Indonesia. The clinical examination results and responses to the self-perceived assessment questionnaire were compared to determine the sensitivity and specificity. Results: The proportions of children with dental caries and clinical consequences of untreated dental caries in this study were 69.4% and 17.6%, respectively, with mean DMFT and PUFA index scores of 2.4 and 0.2, respectively. For the DMFT index, the self-perceived need for oral treatment had the highest sensitivity (86%), while the dental pain had the highest specificity (89%). For the PUFA index, the self perceived oral health condition had the highest sensitivity (92%), while the self-perceived dental pain had the highest specificity (82%). However, none of the self-perceived variables had both high sensitivity and specificity. Conclusion: Self-perceived information obtained from the questionnaire can not properly evaluate the clinical status of dental caries.


Subject(s)
Humans , Male , Female , Child , Adolescent , Self Concept , Clinical Diagnosis/diagnosis , DMF Index , Oral Health , Dental Caries/diagnosis , Indonesia , Cross-Sectional Studies/methods , Surveys and Questionnaires
20.
Pesqui. bras. odontopediatria clín. integr ; 19(1): 4423, 01 Fevereiro 2019. tab
Article in English | LILACS (Americas), BBO | ID: biblio-997917

ABSTRACT

Objective:To evaluate the oral health conditions of hospitalized children, as well as describe the knowledge and practices of oral health care adopted by their parents/guardians. Material and Methods:The sample was composed of 46 children who had been hospitalized for at least five days, who had erupted teeth in the oral cavity and were accompanied by their parents/guardians. Information was collected in relation to: theoral health status of children (DMFT/DEF), the socioeconomic profile and access to information on health and oral hygiene of the parents/guardians anddata regarding the hospitalization of the children. The data were analyzed using the Fisher, Pearson's and Mann Whitney's Chi-squared tests, with a confidence level of 95%.Results:47.8% of the hospitalized children had experienced caries, and the most relevant component for the determination of the experience of caries was the presence of decayed teeth (0.50 to 1.94). A total of 97.8% of parents/guardians said they had not received information on oral health and hygiene, 100.0% had not received guidance on the sugar contained in medicines or the salivary decrease caused by the medications. 34.8% of the children did not perform oral hygiene during hospitalization. According to medical records, 58.7% took liquid medication orally. Conclusion:The hospitalized children had precarious oral health conditions, with the occurrence of carious lesions of the teeth. The presence of risk factors for dental caries in hospitalized children was observed (poor oral hygiene, low schooling and income of parents/guardians, limited knowledge of parents/guardians regarding health care and oral hygiene, consumption of medicines with cariogenic potential) (AU).


Subject(s)
Humans , Male , Female , Child , Primary Health Care , Socioeconomic Factors , Tooth Eruption , Brazil , Child , Child, Hospitalized , Oral Health , Cross-Sectional Studies/methods , Dental Caries/diagnosis , Oral Hygiene/education , Chi-Square Distribution , Epidemiology, Descriptive , Surveys and Questionnaires , Risk Factors , Statistics, Nonparametric
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