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1.
Rev. cient. odontol ; 7(2): 52-63, jul.-dic. 2019.
Article in Spanish | LILACS (Americas) | ID: biblio-1046650

ABSTRACT

Terminado el tratamiento de ortodoncia, el objetivo principal es mantener la estabilidad oclusal a largo plazo evitando la recidiva, y esto es posible utilizando una contención fija posortodoncia. El propósito de esta investigación fue evaluar los diferentes métodos que existen para el control de placa bacteriana en los pacientes con contención fija posortodoncia y como podrían afectar el estado de salud periodontal. Existen muchos estudios a corto y largo plazo sobre este tema, pero no hay uno que realmente indique que existen efectos negativos. Sin embargo, se conoce que estos pacientes tienen tendencia a acumular una mayor cantidad de placa bacteriana, lo que conlleva a que haya un mayor riesgo de formación de cálculo, inflamación gingival, recesión gingival, caries lingual e interproximal, y enfermedad periodontal. Por eso, la mayoría de estudios resaltan como factor determinante la buena higiene oral para garantizar la salud periodontal y acudir a las citas control con el ortodoncista para evaluar el estado físico de la aparatología, a fin de evitar posibles fracturas o fallas en el sistema de adhesión de la contención fija y darle un tratamiento inmediato si esto ya hubiera ocurrido. La literatura no indica una técnica oral específica para los pacientes con contención fija posortodoncia, pero sí señala que se puede lograr una buena salud periodontal si el paciente mantiene una higiene oral adecuada y cómo el ortodoncista juega un rol importante motivando al paciente para lograrla.(AU)


The main objective following orthodontic treatment is to maintain long-term occlusal stability to avoid recurrence, and this is possible using post orthodontic fixed containment. The purpose of this study was to evaluate the different methods used for the control of bacterial plaque in patients with post orthodontic fixed containment and how these methods affect periodontal health status. There are many short- and long-term studies in this regard, but none have described negative effects. However, it is known that these patients tend to accumulate a greater amount of bacterial plaque, leading to a greater risk of calculus formation, gingival inflammation, gingival recession, lingual and interproximal caries, and periodontal disease. The refore, most studies have described good oral hygiene as the determinant factor for ensuring adequate periodontal health. They also report the need for patients to attend control appointments with their orthodontist to evaluate the state of the aprotology, avoiding possible fractures or failures in the adhesion system of the fixed retainer and receiving immediate treatment when this occurs. While the literature does not indicate a specific oral hygiene technique for patients with post orthodontic fixed containment, it does indicate that good periodontal health can be achieved if adequate oral hygiene is maintained and the important role orthodontists play in motivating the patients to achieve this. (AU)


Subject(s)
Humans , Male , Female , Oral Hygiene , Orthodontics , Toothbrushing , Dental Plaque/prevention & control
2.
Rev. Soc. Cardiol. Estado de Säo Paulo ; 29(4 (Supl)): 441-445, out.-dez. 2019. tab, ilus
Article in Portuguese | LILACS (Americas) | ID: biblio-1047354

ABSTRACT

A Fibrose Pulmonar Idiopática (FPI) é uma doença crônica do interstício pulmonar que se manifesta por fibrose progressiva com alta prevalência de insuficiência respiratória. Como toda doença crônica e progressiva, a FPI necessita de acompanhamento por uma equipe multiprofissional de Cuidados Paliativos (CP) a fim de proporcionar um cuidado integral, considerando todas as queixas e necessidades do paciente. Em uma enfermaria de CP de um hospital terciário, um paciente do sexo masculino, 77 anos, foi admitido por FPI avançada para controle de sintomas e cuidados de fim de vida. Durante a oroscopia realizada pela equipe, recebeu diagnóstico de candidíase oral, onde foi solicitada avaliação do cirurgião-dentista. Na avaliação odontológica, queixou-se de língua ressecada e perda do paladar. Paciente acamado, dispneico em repouso, em uso contínuo de máscara de venturi e lábios ressecados, com presença de placas brancas ressecadas (resíduos alimentares) em palato duro e mole, mucosa jugal e gengival, língua ressecada com saburra e hipossalivação. Foi realizada a higiene oral, prescrição de substituto salivar e hidratante labial. O procedimento foi longo e intermitente devido à dificuldade do paciente de se manter sem o suporte de oxigênio. Após o procedimento, o paciente relatou melhora de 90% dos sintomas bucais. Conclusão: O caso apresentou as alterações bucais e os cuidados odontológicos em um paciente com FPI e também evidenciou a importância da avaliação especializada realizada pelo cirurgião-dentista inserido em uma equipe multiprofissional em CP, que, além do diagnóstico diferencial, proporcionou alívio dos sintomas bucais e conforto ao paciente em sua fase final de vida


Idiopathic Pulmonary Fibrosis (IPF) is a chronic interstitial lung disease manifested by progressive fibrosis with a high prevalence of respiratory failure. As all chronic and progressive diseases, IPF needs follow-up by a multidisciplinary Palliative Care (PC) team in order to provide comprehensive care considering all patient's complaints and needs. In a PC inpatient unit of a tertiary hospital, a 77-year-old male patient was admitted because of advanced IPF for symptom control and end-of-life care. During the oroscopy done by the team, he was diagnosed with oral candidiasis, where evaluation by the dentist was requested. In the dental evaluation, he complained of dry tongue and taste loss. Bedridden patient, dyspnea at rest, in continuous use of venturi mask and dry lips, dry white plaques (food residues) in hard and soft palate, jugal and gingival mucosa, dry tongue with oral coating and hyposalivation. Oral hygiene was performed, salivary substitute and lip moisturizer were prescribed. The procedure was long and intermittent due to the difficulty of the patient with staying without oxygen support. After the procedure, the patient reported 90% improvement in oral symptoms. Conclusion: The case showed the oral disorders and dental care in a patient with IPF and highlighted the importance of specialized evaluation performed by the dentist inserted in a multidisciplinary PC team which, besides the differential diagnosis, provided symptom relief of the mouth and comfort to the patient in his end of life


Subject(s)
Oral Manifestations , Palliative Care , Idiopathic Pulmonary Fibrosis , Oral Hygiene , Patient Care Team , Respiratory Insufficiency , Candidiasis, Oral , Chronic Disease , Dentists , Diagnosis, Differential , Diagnosis, Oral , Lung Diseases
3.
Rev. ADM ; 76(3): 141-145, mayo-jun. 2019. tab
Article in Spanish | LILACS (Americas) | ID: biblio-1021580

ABSTRACT

Introducción: La caries es una enfermedad multifactorial que se ha asociado con hábitos de higiene bucal deficientes. La Federación Dental Internacional establece el cepillado con una pasta fluorada dos veces por día como el patrón básico de higiene dental personal. Objetivo: Describir la frecuencia de caries y hábitos de higiene oral en un grupo de adultos mayores. Material y métodos: Se realizó un estudio de tipo observacional, prolectivo, transversal, descriptivo, en 74 adultos mayores del Estado de México con una media de edad de 63.4 (± 5.9); 73% (54) del sexo femenino y 27% (20) del masculino. Se valoraron la higiene dental con el índice IHOS y la experiencia de caries con el CPOD, y se aplicó un cuestionario sobre hábitos de higiene oral, que incluía las preguntas de frecuencia de cepillado y uso de hilo dental. Resultados: La experiencia de caries dental medida a través del índice CPOD para el total de la población fue de 20.0 (± 4.5); la categoría más alta del índice fue cariado con una media de 9.3 (± 6.0), al análisis por sexo se observó que el 70% (38) de las mujeres y el 65% (13) de los hombres presentan más de seis dientes con lesión cariosa ­no se encontró una diferencias estadísticamente significativa­. A la pregunta de cuántas veces se cepilla los dientes, el 32% (24) no lo hacía o lo realizaba sólo una vez al día; de éstos, 17 presentaban ≥ 6 lesiones cariosas. El 94% (66) usa para el cepillado de dientes pastas comerciales con flúor; cuatro usan alternativas como jabón de baño, detergente, pasta naturista, bicarbonato; dos adultos mayores usan sólo agua. La valoración de la higiene dental en el 70% (52) de los adultos mayores se califica como deficiente; 20 adultos mayores ­de ellos, 16 son mujeres­ reportan el uso de hilo dental. Conclusión: Los hábitos de higiene oral en los adultos mayores aún se encuentran lejos del patrón establecido por la Federación Dental Internacional, lo que contribuye al incremento de enfermedades bucodentales, entre éstas, las enfermedades periodontales y la caries radicular que, junto con las enfermedades sistémicas, coadyuvan al deterioro de la calidad de vida de los ancianos (AU)


Introduction: Caries is a multifactorial disease that has been associated with deficient oral hygiene habits. The FDI Word Dental Federation establishes brushing with a fluoridated paste twice a day as the basic standard of personal oral hygiene. Objective: Describe the frequency of tooth decay and oral hygiene habits in a group of elderly. Material and methods: An observational, prolective, cross-sectional, descriptive study was conducted in 74 elderly of the State of Mexico with an average age of 63.4 (± 5.9); 73% (54) female and 27% (20) male. The oral hygiene with the IHOS index, the cavity experience with the DMFT was assessed, and a questionnaire on oral hygiene habits was applied, which included the questions of frequency of brushing and flossing. Results: The tooth decay experience measured through the CPOD index for the total population was 20.0 (± 4.5); the highest category of the index was decayed with an average of 9.3 (± 6.0), to the analysis by sex it was observed that, 70% (38) of the women and 65% (13) of the men present more than six teeth with a carious lesión ­no statistically significant differences were found­. To the question of how many times you brush your teeth, 32% (24) did not do it or did it only once a day, of these, 17 had ≥ 6 carious lesions. 94% (66) uses for tooth brushing, commercial pastes with fluoride; four ethereal, naturist paste like soap or detergent, bicarbonate; two senior adult uses only water. The evaluation of oral hygiene in 70% (52) of the elderly is classified as deficient; 20 senior adults ­of whom 16 are women­ report the use of dental floss. Conclusion: Oral hygiene habits in senior adults are still far from the pattern established by the FDI which contributes to the increase of oral diseases, including periodontal diseases and root decay which, together with systemic diseases contribute to deterioration of the quality of life of the elderly (AU)


Subject(s)
Humans , Male , Female , Middle Aged , Aged , Aged, 80 and over , Oral Hygiene/methods , DMF Index , Dental Caries/epidemiology , Toothbrushing , Aged/psychology , Epidemiology, Descriptive , Cross-Sectional Studies , Statistical Analysis , Surveys and Questionnaires , Age and Sex Distribution , Observational Study , Mexico
4.
Rev. ADM ; 76(1): 26-29, ene.-feb. 2019. tab
Article in Spanish | LILACS (Americas) | ID: biblio-995745

ABSTRACT

Promover la adecuada comprensión de la prevención primaria en salud oral dirigida hacia los adolescentes debería ser una parte crucial de la odontopediatría. Estos pacientes constituyen un grupo de riesgo, ya que por la etapa en que se encuentran demandan atención odontológica especializada. Empero, las medidas preventivas para mantener la salud oral dirigidas hacia este colectivo no han sido impulsadas de manera prioritaria. Por lo que los profesionales de la salud oral que se encargan de la atención de adolescentes deben garantizar que este grupo de la población tenga un óptimo nivel de atención. En este artículo se determinan las pautas sobre cómo mantener el cuidado de la salud oral en adolescentes (AU)


Promoting an adequate comprehension of primary prevention in oral health regarding adolescents is an essential task in pediatric dentistry. These patients constitute a risk group, and they need of specialized dental care. However, prevention measures directed to maintain the oral health at this group, have not been promoted as a priority. Therefore, oral health professionals, who are responsible for adolescent care, should be interested in the importance of ensuring that this group has optimal management. This article establishes guidelines involving oral health in adolescents (AU)


Subject(s)
Humans , Male , Female , Adolescent , Oral Health , Guidelines as Topic , Pediatric Dentistry , Adolescent Health , Oral Hygiene , Health Education, Dental , Preventive Dentistry , Dental Anxiety , Dental Caries , Gingival Diseases , Informed Consent , Mouth Diseases
5.
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
6.
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
7.
Pesqui. bras. odontopediatria clín. integr ; 19(1): 4304, 01 Fevereiro 2019. ilus, tab, graf
Article in English | LILACS (Americas), BBO | ID: biblio-997986

ABSTRACT

Objective: To find out the effectiveness of specially made brushes with special grips for use by groups of ischemic stroke sufferers for oral hygiene. Material and Methods: A sample of 30 stroke patients were taken at the Makassar Stroke Center, Indonesia, with criteria for extreme hemisphere ischemic stroke patients and willing to participate in the study and fill out informed consent. Brush making with a special grip design (modified brush) with Clay mixed material. The oral hygiene assessment procedure of the sample using a modified toothbrush was done in 3 stages before the brush, after brush and on the seventh day. Oral and oral hygiene was measured using the index of Oral Hygiene Index Simplified (OHI-S). The oral hygiene assessment procedure was done in 3 stages before the brush, after brush and on the seventh day. To find out the difference in effectiveness before and after the intervention was analyzed using the paired t test. The level of significance was set at 5%. Results: The highest percentage of stroke patients were female (53.3%), aged 40-60 years (66.7%) with an education level below junior high school (56.7%). There is a difference in the average OHIS score before and after using a special grip toothbrush (p<0.01). Conclusion: A special grip toothbrush that is used for Stroke sufferers can help to clean his teeth and mouth.


Subject(s)
Humans , Male , Female , Adult , Middle Aged , Oral Hygiene , Toothbrushing/methods , Efficacy/methods , Stroke/pathology , Indonesia , Oral Hygiene Index , Data Interpretation, Statistical , Home Nursing/history
8.
Pesqui. bras. odontopediatria clín. integr ; 19(1): 4523, 01 Fevereiro 2019. tab, graf
Article in English | LILACS (Americas), BBO | ID: biblio-998214

ABSTRACT

Objective: To compare the prostaglandin E2 (PGE2) levels of gingival crevicular fluid in generalized chronic periodontitis between healthy and type 2 diabetic patients. Material and Methods: 56 diabetic and non-diabetic participants with generalized chronic periodontitis were selected randomly. They were divided into two groups (G1: generalized chronic periodontitis patients with normal blood sugar; and G2: generalized chronic periodontitis patients with diabetes). Gingival crevicular fluid samples were obtained from both groups. The average of 2 samples per day were centrifuged in a laboratory at 2500 rpm and temperature of 4°C for 5 minutes and placed in a refrigerator at -20°C. The level of PGE2 was measured using ELISA and Abcam kit. Data were analyzed by Kolmogorov-Smirnov, Mann-Whitney U Test, Pearson and independent T tests. The significant amount was considered 0.05 in this test (α<0.05). Results: The mean level of PGE2 was significantly different in the two groups and the mean level of PGE2 in the control group was lower than the case group. There was no statistically significant relationship between PGE2 with pocket depth, fasting blood sugar (FBS) and HBA1C (p>0.05). Conclusion: PGE2 level of diabetic patient group with chronic generalized periodontitis was significantly more than non-diabetic group with generalized chronic periodontitis.


Subject(s)
Humans , Oral Hygiene , Periodontal Diseases , Case-Control Studies , Diabetes Mellitus , Chronic Periodontitis/diagnosis , Statistics, Nonparametric , Iran
9.
Pesqui. bras. odontopediatria clín. integr ; 19(1): 4533, 01 Fevereiro 2019. tab
Article in English | LILACS (Americas), BBO | ID: biblio-998260

ABSTRACT

Objective: To determine the extent of bleeding on probing, probing pocket depth and the level of oral hygiene and caries prevalence among pregnant women. Material and Methods: Random samples of pregnant women attending eight public health centers were examined. Their periodontal and caries statuses were examined using the Community Periodontal Index, Simplified Oral Hygiene Index and DMF-T. The good criteria of OHI-S ranged from 0 to 1.2, the fair from 1.3 to 3.0 and the poor from 3.1 to 6.0. Descriptive statistics were used to calculate the absolute and relative frequencies. Results: 84.7% had caries and the DMF-T index score was 4.34 (fair). 73% suffered gingival bleeding, 34% with 4-5 mm pocket depth, 2% with 6 mm or deeper pocket depth, while the majority had good oral hygiene. The prevalence of 4-5 mm probing pocket depth increased between the first and second trimesters (12.1% to 48.5%), before undergoing a slight decrease in the third trimester (39.4%). Gingival bleeding was found to be most prevalent in the third trimester. Pocket depth of 4-5 mm was found to be highest in the second trimester. Pocket depth of 6 mm or more was restricted to the third trimester. Oral hygiene scores increased in tandem with gestational age. Conclusion: The majority had caries, which strongly suggests that the awareness of the pregnant women regarding their oral hygiene remains limited.


Subject(s)
Humans , Female , Pregnancy , Oral Hygiene/methods , Periodontal Diseases/diagnosis , Dental Caries/prevention & control , Pregnant Women , Cross-Sectional Studies/methods , Data Interpretation, Statistical
10.
Pesqui. bras. odontopediatria clín. integr ; 19(1): 4620, 01 Fevereiro 2019. tab
Article in English | LILACS (Americas), BBO | ID: biblio-998275

ABSTRACT

Objective: To analyse issue of teeth brushing according to age, gender and length in Slovak patients with multiple sclerosis disease (MS). Material and Methods: In this descriptive study, the questionnaires were collected in neurologists from December 2016 until September 2017. The study sample consisted of 103 MS patients (44.7% of men) in a mean age of 38.4 ± 9.95 years. The study sample of MS patients was divided into two sub-groups. The first sub-group consisted of MS patients who were restricted in teeth brushing (n=56) and the second group of MS patients, which had no restrictions in teeth brushing (n=47). Descriptive statistics were used to calculate the absolute and relative frequencies, mean and standard deviation. A two-sample ttest was used to compare of the proportion between sub-groups with restrictions and sub-group no restrictions in teeth brushing. The statistically significant level was determined at p<0.05. Results: The significant higher mean age (40.4 ± 10.8 years) was found in MS patients who had restrictions in teeth brushing (p=0.043). Females described often no restrictions in teeth brushing than males (59.6% vs. 40.4%; p<0.05). Length in MS disease (≤3 years) has significant impact on patients in who were not found restrictions in teeth brushing (31.9%; p=0.037). Conclusion: We recommend individual doctor approach to MS patients in older age and using of electric toothbrushes in MS patients who have hand functioning restrictions.


Subject(s)
Humans , Male , Female , Adult , Middle Aged , Oral Hygiene/methods , Toothbrushing/methods , Multiple Sclerosis , Nervous System Diseases/diagnosis , Epidemiology, Descriptive , Surveys and Questionnaires , Slovakia , Statistics, Nonparametric
11.
Rev. odontol. Univ. Cid. São Paulo (Online) ; 31(2): 134-144, abr/jun 2019. il.
Article in Portuguese | LILACS (Americas), BBO | ID: biblio-1021710

ABSTRACT

Introdução: As infecções orais, na Unidade de Terapia Intensiva (UTI), deveriam ser preocupações constantes dos profissionais da área da Saúde ali inseridos, devido as consequências que podem causar na saúde geral dos pacientes debilitados sistemicamente. A criação de um protocolo padrão de higiene oral e de suma importância para impedir ou tratar tais infecções, o que possibilita ao paciente conforto e qualidade de vida, devendo ser realizada por profissionais qualificados. Métodos: Foi realizado um estudo transversal e descritivo, cuja analise foi descritiva e se desenvolveu na Unidade de Terapia Intensiva de um hospital de alta complexidade no Sul do Brasil, no período de fevereiro de 2016 a fevereiro de 2017. A amostra total foi composta por 35 pacientes, com idade mínima de 18 anos, que estavam internados na UTI do referido hospital, portadores de prontuários e Termo de Consentimento Livre e Esclarecido. Resultados: Dentre os microrganismos achados nos exames laboratoriais dos pacientes, apresentaram-se em maior quantidade Klebsiella pneumoniae, Staphylococcus coagulase negativo e Escherichia coli. Apenas dois pacientes adquiriram o Acinetobacter baumannii. A maioria dos pacientes obtiveram bactérias gram-negativas presentes em sua microbiota oral. Conclusões: As bactérias patogênicas presentes no meio oral devem ser tratadas e erradicadas. Isso pode ser alcançado por meio de um protocolo padrão de higiene oral. A participação da Odontologia na equipe multidisciplinar no ambiente hospitalar e de fundamental importância para a indicação da terapêutica adequada.


Introduction: Oral infections in the Intensive Care Unit (ICU) should be a constant concern of the health professionals inserted there, due to the consequences that can cause in the general health of systemically debilitated patients. The creation of a standard protocol of oral hygiene is of paramount importance to prevent or treat such infections, allowing the patient comfort and quality of life and should be performed by qualified professionals. Methods: A cross-sectional and descriptive study was carried out, which was descriptive and developed in the Intensive Care Unit of a highly complex hospital in the South of Brazil, from February 2016 to February 2017. The total sample was composed by 35 patients with a minimum age of 18 years who were hospitalized in the ICU of the referred hospital, patients with medical records and a Consent Form, free and clear. Results: Among the microorganisms found in the laboratory exams of the patients, Klebsiella pneumoniae, Staphylococcus coagulase negative and Escherichia coli were present.Only two patients acquired Acinetobacter baumannii. Most of the patients obtained gram negative bacteria present in their oral microbiota. Conclusions: The pathogenic bacteria that are present in the oral environment must be treated and eradicated. This can be achieved through a standard oral hygiene protocol. The participation of Dentistry in the multidisciplinary team in the hospital environment is of fundamental importance for the indication of the appropriate therapy


Subject(s)
Humans , Male , Female , Adult , Oral Hygiene , Critical Care , Microbiology
12.
Odontoestomatol ; 21(33): 46-53, ene.-jun. 2019.
Article in Spanish | LILACS (Americas), InstitutionalDB | ID: biblio-1008914

ABSTRACT

Los cepillos interproximales son una herramienta de higiene interdental que tiene variadas indicaciones y múltiples beneficios. Pacientes con enfermedad periodontal, con papilas que no llenan el espacio interdentario, portadores de aparatología ortodóncica, prótesis fija o de implantes entre otros casos, pueden beneficiarse con su utilización. El presente artículo tiene como objetivo dar una orientación de su uso clínico basado en la evidencia científica disponible. Los resultados apoyan su utilización en combinación con el hilo dental para la prevención y tratamiento de las enfermedades bucales más prevalentes, con un efecto marcado sobre el control del biofilm y la inflamación gingival.


Interproximal brushes are an interdental hygiene tool with diverse indications that have multiple benefits. Among other uses, they are indicated in patients with periodontal disease, with papillae that do not fill the interdental space, patients with orthodontic appliances, fixed prosthesis or implant.supported prosthesis. The aim of this article is to provide guidance on their clinical use based on the available evidence. The results support their use in combination with dental floss for preventing and treating the most prevalent oral diseases, with a significant effect on biofilm control and gingival inflammation.


Subject(s)
Oral Hygiene , Toothbrushing , Dental Devices, Home Care , Periodontal Diseases
13.
Rev. inf. cient ; 98(5): 566-576, 2019. tabs
Article in Spanish | LILACS (Americas) | ID: biblio-1025003

ABSTRACT

Introducción: En el departamento de Periodoncia de la Clínica Estomatológica Provincial Docente Mártires del Moncada de Santiago de Cuba, no se ha caracterizado el nivel de autoestima e higiene bucal de los adultos mayores. Objetivo: Caracterizar los niveles de autoestima e higiene bucal en los adultos mayores, durante el periodo julio a diciembre del 2017. Método: Se realizó un estudio descriptivo-transversal en los 32 adultos mayores que acudieron al departamento de Periodoncia de la Clínica Estomatológica Provincial Docente de Santiago de Cuba, que cumplieron con los criterios de inclusión: mayores de 60 y más años, de ambos géneros, que dieron su consentimiento para participar en la investigación. Se estudiaron las variables: edad, sexo, escolaridad, nivel de autoestima e higiene bucal. Resultados: Predominó el grupo de 65-69 años (37,5 por ciento), el sexo femenino (62,5 por ciento), el nivel escolar pre-universitario (37,5 por ciento), el nivel de autoestima medio (56,2 por ciento) y la higiene bucal deficiente (53,1 por ciento). Conclusiones: El nivel de autoestima medio es uno de los elementos psicológicos estrechamente vinculado con la higiene bucal deficiente en los adultos mayores estudiados, por lo que se requiere especial atención en la valoración integral de estos pacientes, dada su posible influencia con el estado de salud bucal(AU)


Introduction: In the Periodontics department of the Mártires del Moncada Teaching Provincial Stomatology Clinic in Santiago de Cuba, the level of self-esteem and oral hygiene of the elderly has not been characterized. Objective: To characterize the levels of self-esteem and oral hygiene in the elderly, during the period July to December 2017. Method: A descriptive-cross-sectional study was carried out in the 32 older adults who attended the Periodontics Department of the Teaching Provincial Stomatological Clinic from Santiago de Cuba, which met the inclusion criteria: over 60 and older, of both genders, who gave their consent to participate in the research. The variables were studied: age, sex, education, level of self-esteem and oral hygiene. Results: The 65-69 year old group (37.5per cent), the female sex (62.5per cent), the pre-university school level (37.5per cent), the average self-esteem level (56.2per cent) and poor oral hygiene (53.1per cent). Conclusions: The level of average self-esteem is one of the psychological elements closely linked to poor oral hygiene in the older adults studied, so special attention is required in the comprehensive assessment of these patients, given its possible influence with the state of health oral(AU)


Introdução: No departamento de Periodontia da Clínica Provincial de Estomatologia Mártires del Moncada, em Santiago de Cuba, o nível de auto-estima e higiene bucal dos idosos não foi caracterizado. Objetivo: Caracterizar os níveis de autoestima e higiene bucal em idosos, no período de julho a dezembro de 2017. Método: Foi realizado um estudo descritivo-transversal dos 32 idosos atendidos no Departamento de Periodontia da Clínica de Estomatologia Provincial de Ensino de Santiago de Cuba, que atendiam aos critérios de inclusão: maiores de 60 anos, de ambos os sexos, que consentiram em participar da pesquisa. As variáveis estudadas foram: idade, sexo, escolaridade, nível de autoestima e higiene bucal. Resultados: Grupo de 65 a 69 anos (37,5por cento), sexo feminino (62,5por cento), nível de ensino pré-universitário (37,5por cento), nível médio de auto-estima (56,2por cento) e falta de higiene bucal (53,1por cento). Conclusões: O nível médio de autoestima é um dos elementos psicológicos intimamente ligados à falta de higiene bucal nos idosos estudados, sendo necessária atenção especial na avaliação abrangente desses pacientes, dada a sua possível influência no estado de saúde bucal(AU)


Subject(s)
Aged , Oral Hygiene , Self Concept , Aged , Dental Care for Aged , Epidemiology, Descriptive , Cross-Sectional Studies
14.
Braz. dent. sci ; 22(3): 344-348, 2019. tab
Article in English | LILACS (Americas), BBO | ID: biblio-1008884

ABSTRACT

Objective: Evaluate and compare the antimicrobial efficacy of four different commercially available children's toothpastes on bacteria growth inhibition from oral microbiota of young children. Material and Method: The toothpastes tested contained: 1100 ppm sodium fluoride, xylitol and 750 ppm sodium fluoride, xylitol and 500 ppm sodium fluoride, and xylitol and triclosan. Twenty 18 to 36 month-old children were selected. Nonstimulated saliva samples were collected and inoculated on brain heart infusion (BHI) agar. Toothpaste dilutions were applied into the agar wells and incubated at 37 ºC for 24 hours in microaerophilic conditions. Saline and 0.12% chlorhexidine were used as controls. Antimicrobial activity was determined in duplicate by agar-well diffusion technique. Bacterial growth inhibition zones were recorded in mm. Statistical analysis was performed using ANOVA and Tukey's test (p < 0.05). Results: All toothpastes showed antimicrobial activity when compared to negative control (p < 0.05). Toothpaste containing triclosan presented the highest antimicrobial activity followed, in this order, by xylitol and 750 ppm sodium fluoride, chlorhexidine, 1100 ppm sodium fluoride, xylitol and 500 ppm sodium fluoride and saline. Conclusion: Toothpaste containing triclosan and xylitol presented excellent antimicrobial activity, and may be considered a good option for young children. (AU)


Objetivo: Avaliar e comparar a atividade antimicrobiana de 4 dentifrícios infantis, comercialmente disponíveis, com relação à inibição do crescimento da microbiota oral em crianças. Material e Métodos: Os dentifrícios testados continham: 1100 ppm de fluoreto de sódio - xilitol e 750 ppm de fluoreto de sódio - xilitol e 500 ppm de fluoreto de sódio - xilitol e triclosan. Vinte crianças de 18 a 36 meses participaram dessa pesquisa. Amostras de saliva não estimulada foram coletadas e inoculadas em ágar de infusão cérebro-coração (ICC). Dentifrícios diluídos foram aplicados sobre os poços contendo ICC e incubados a 37 ºC por 24 horas em condições microaerofílicas. Solução salina e clorexidina a 0,12% foram usadas como controles. A atividade antimicrobiana foi determinada em duplicata pela técnica de difusão nos poços de ágar. Os halos de inibição do crescimento bacteriano foram registrados em mm. A análise estatística foi realizada usando ANOVA e teste de Tukey (p < 0,05). Resultados: Todos os dentifrícios mostraram atividade antimicrobiana, quando comparados com os controles negativos. O dentifrício contendo triclosan mostrou a maior atividade antimicrobiana, seguido, nessa ordem por dentifrício contendo xilitol e 750 ppm de fluoreto de sódio, clorexidina, dentifrício contendo 1100 ppm de fluoreto de sódio, dentifrício contendo xilitol e 500 ppm de fluoreto de sódio e pela solução salina. Conclusão: O dentifrício contendo triclosan e xylitol apresentou excelente atividade antimicrobiana podendo ser considerado uma vantajosa opção para crianças, contribuindo para o controle das cáries dentárias e reduzindo a ingestão de fluoretos.(AU)


Subject(s)
Humans , Infant , Child, Preschool , Oral Hygiene , Pediatric Dentistry , Dentifrices
15.
Rev. bras. ciênc. saúde ; 23(1): 5-14, 2019. ilus, tab
Article in Portuguese | LILACS (Americas) | ID: biblio-1007641

ABSTRACT

Objetivo: Identificar as condições de saúde bucal, o acesso aos serviços odontológicos e analisar o cuidado em saúde bucal ofertado aos pacientes oncológicos pediátricos assistidos no Hospital Napoleão Laureano, em João Pessoa/PB. Materiais e Métodos: Procedeu-se um estudo transversal, cuja coleta de dados se deu mediante exame clínico, uso de questionário e realização de entrevista. Realizou-se análise descritiva dos dados, em valores absolutos e percentuais, e por meio da análise de conteúdo. Resultados: Dos 61 pacientes que compuseram a amostra, 52,5% eram do sexo masculino e a idade média foi de 9,7 anos. O ceod e CPOD médios foram, respectivamente, 2,8 ±3,3 e 1,7±1,5, verificando-se que 21,3% dos pacientes (n=13) nunca tinham ido ao dentista e o principal motivo de consulta dos demais foram revisões (26,2%, n=16). Para 41% dos pacientes (n=26), o último acesso à consulta odontológica ocorreu em consultório particular e 47,5% dos pacientes (n=29) já haviam recebido orientações sobre escovação dental. Na abordagem qualitativa, houve relatos de dificuldade no acesso físico aos serviços de saúde. Conclusão: Os pacientes oncopediátricos paraibanos apresentaram condição de saúde bucal satisfatória, buscaram a atenção odontológica para revisões, foram orientados quanto à escovação dental, estando eles satisfeitos com o atendimento odontológico ofertado. (AU)


Objective: To identify oral health conditions, access to dental services and analyze the oral health care offered to pediatric oncology patients assisted at the Hospital Napoleão Laureano, João Pessoa / PB. Material and Methods: A cross-sectional study was carried out, whose data collection was through clinical examination, questionnaire use and interviewing. A descriptive analysis of the data was performed, in absolute and percentage values, and through content analysis. Results: Of the 61 patients that composed the sample, 52.5% were male, with a mean age of 9.7 years, and mean of dmft and DMFT verified were 2.8 (± 3.3) and 1.7 (± 1.5), respectively. 21.3% of the patients (n = 13) had never been to the dentist and the main reason for consulting the others were revisions (26.2%, n = 16). 41% of the patients (n = 26) reported that the last dental office to which they had access was private and 47.5% of the patients (n = 29) had already received dental brushing guidelines. In the qualitative approach, there were reports of difficulties in physical access to health services. Conclusion: The pediatric oncology patients studied presented a satisfactory oral health condition, seeking dental care for reviews, were instructed on toothbrushing, being satisfied with the dental care offered. (AU)


Subject(s)
Humans , Male , Female , Infant , Child, Preschool , Child , Adolescent , Dental Care , Oral Hygiene
16.
Article in Korean | WPRIM (Western Pacific) | ID: wprim-740595

ABSTRACT

OBJECTIVES: The aims of this study were to determine the association between the management of oral health and experiences of oral health education and to investigate the influential factors of the Patient Hygiene Performance (PHP) index in an area's university students. In addition, we explored the factors that influence the PHP index and how to effectively promote oral health. METHODS: All collected data were analyzed using the χ2 test, the t-test, and multiple regression using SPSS version 23.0 for Microsoft Windows. The statistical significance level was set at 5%. RESULTS: The total age of 380 participants ranged from 18 to 39 years (mean 22.22±2.43). No significant differences were found in oral health status and experiences of oral health education. CONCLUSIONS: Active national-based policies to develop regular and systematic national oral health education programs are needed.


Subject(s)
Education , Health Behavior , Health Education, Dental , Humans , Hygiene , Oral Health , Oral Hygiene
17.
Article in Korean | WPRIM (Western Pacific) | ID: wprim-740593

ABSTRACT

OBJECTIVES: The purpose of this study was to evaluate the effectiveness of team-based learning (TBL) method in clinical dental hygiene subjects to improve the competence of learners. METHODS: Clinical dental hygiene and practiceII was implemented and evaluated by utilizing a team-based learning module. Communication skills, self-directed learning ability, and learning attitude were measured over the course of the module RESULTS: Communication competence improved from 147.17 points before education to 152.74 points after education (P=0.001). Moreover, self-directed learning competence improved from 135.91 points before education to 143.97 points after education (P<0.001). CONCLUSIONS: Team-based learning (TBL) method was found effective in clinical dental education course for clinical skill-building and improving the dental hygiene process competence of dental hygiene students.


Subject(s)
Education , Education, Dental , Humans , Learning , Mental Competency , Methods , Oral Hygiene
18.
Rev. bras. ciênc. saúde ; 23(2): 215-222, 2019. tab.
Article in Portuguese | LILACS (Americas) | ID: biblio-1015137

ABSTRACT

Objetivo: Avaliar a eficácia de uma atividade de educação em saúde bucal realizada na Escola de Ensino Fundamental Nemésio Bezerra no Município de Quixadá ­ Ceará sobre o conhecimento e o comportamento de higiene bucal de escolares. Material e Métodos: Foi realizado um estudo descritivo e prospectivo com abordagem quantitativa. A amostra na primeira etapa foi de 86 escolares de 12 a 16 anos e de 79 na segunda etapa do estudo. Na primeira etapa do estudo, foi aplicado um questionário estruturado antes da atividade educativa e na segunda etapa, o questionário foi aplicado um mês depois, com a finalidade de avaliar se ocorreu mudanças nos hábitos e conhecimentos sobre a saúde bucal dos alunos. Os dados coletados por meio dos questionários foram submetidos à análise estatística descritiva. Resultados: Antes da atividade educativa, somente 78% (n=67) dos alunos tinham ouvido falar em saúde bucal, enquanto um mês depois, 96% (n=76) dos estudantes responderam já terem ouvido falar. Antes da atividade educativa, somente 17% (n=15) dos estudantes responderam que a hora mais importante de escovar os dentes era antes de dormir. Depois de um mês, aumentou 43% (n=34). Conclusão: Após a atividade proposta, verificou-se um aumento expressivo na quantidade de alunos que melhoram seu conhecimento e seus hábitos de saúde bucal. O estudo mostra o quão importante se configuram as atividades de promoção de saúde bucal que podem ser capazes de proporcionar mudanças consideráveis no perfil de saúde e na qualidade de vida das populações.(AU)


Objective: To evaluate the efficiency of an oral health education activity carried out at Nemésio Bezerra Elementary School in the city of Quixadá - Ceará on oral hygiene knowledge and behavior of school children. Material and Methods: We carried out a descriptive and prospective study with a quantitative approach. The sample in the first stage was 86 students aged 12 to 16 years and 79 in the second stage of the study. In the first stage of the study, a structured questionnaire was applied before the educational activity and in the second stage the questionnaire was applied one month later with the purpose of evaluating if there were changes in the habits and knowledge about the oral health of the students. The data collected through the questionnaires were submitted to descriptive statistical analysis. Results: Before the educational activity, only 78% (n = 67) of the students had heard about oral health, while a month later, 96% (n = 76) of the students answered they had heard. Before the educational activity, only 17% (n = 15) of the students answered that the most important time to brush their teeth was before bed. After one month, it increased 43% (n = 34). Conclusion: After the proposed activity, there was an expressive increase in the number of students who improved their knowledge and their oral health habits. The study shows how important are the activities of oral health promotion that may be able to provide considerable changes in the health profile and quality of life of populations.(AU)


Subject(s)
Child , Adolescent , Oral Hygiene , School Dentistry/education
19.
Belo Horizonte; s.n; 2019. 76 p. tab, graf, ilus.
Thesis in Portuguese | LILACS (Americas), BDENF | ID: biblio-998394

ABSTRACT

Este estudo teve como objetivo avaliar a efetividade do programa educativo no conhecimento de profissionais de enfermagem sobre a higiene bucal em pacientes críticos intubados. Trata-se de um estudo quase-experimental conduzido em um hospital de grande porte de Belo Horizonte ­ MG no período de março a julho de 2018. Participaram 79 profissionais de enfermagem, em três etapas: pré-teste, programa educativo e pós-teste. Foram elaborados instrumentos de caracterização da amostra e de avaliação do conhecimento da equipe de enfermagem sobre a higiene bucal do paciente crítico intubado. Este último contendo 20 questões com opções de resposta verdadeiras, falsas ou não sei, o qual foi submetido a validação de conteúdo por um comitê de especialistas. Análise descritiva e testes de Wilcoxon, Mann-Whitney, Kruskal Wallis e correlação de Spearman foram realizados. A amostra foi composta predominantemente por enfermeiros (54,4%), do sexo feminino (86,1%), bem distribuídos entre os turnos diurno e noturno (49,4% e 50,6%). O tempo de formado dos profissionais variou de 7 a 240 meses, com mediana de 96 meses (p25=60;p75=120), o tempo de atuação no Centro de Terapia Intensiva (CTI) variou de 1 a 156 meses, com mediana 29 meses (p25=9;p75=72). A maioria dos profissionais (78,5%) recebeu alguma instrução de higiene bucal durante a formação, entretanto, na instituição, 41,8% nunca recebeu treinamento sobre a temática. No que diz respeito a avaliação do conhecimento dos profissionais no pré-teste, a mediana de acertos foi de 15 questões (p25=13;p75=16) e, no pós-teste, a mediana foi de 19 questões (p25=17;p75=20). Houve diferença estatisticamente significativa entre os dois momentos, com o aumento do conhecimento dos profissionais da equipe de enfermagem após o programa educativo (p<0,001). Também houve diferença estatisticamente significativa entre o conhecimento no pré-teste e a ciência do profissional quanto ao protocolo de higiene bucal na instituição (p<0,05), sendo que profissionais que sabiam da existência do protocolo na instituição apresentaram um escore maior de conhecimento no pré-teste. Houve uma correlação negativa e de fraca magnitude entre o conhecimento no pós-teste e o tempo de formado dos profissionais (r= -0,258; p<0,05). Conclui-se que o programa educativo pautado em metodologias ativas, visando uma aprendizagem significativa, teve efeito positivo no conhecimento dos profissionais de enfermagem sobre higiene bucal em pacientes críticos intubados, sendo este efeito menor em profissionais com maior tempo de formação. Reforça-se assim, a importância da educação permanente com programas educativos efetivos visando favorecer o conhecimento da equipe de enfermagem para a melhoria da qualidade da assistência à saúde.(AU)


This study aimed to evaluate the effectiveness of the educational program on the knowledge of nursing professionals on oral hygiene in critically ill intubated patients. This case study is a semi-experimental study performed in a large hospital in Belo Horizonte (MG), Brazil, from March to July 2018. 79 nursing professionals were considered in three study stages: pre-test, educational program and post-test. Sample characterization instruments and means to evaluate the knowledge of the nursing team regarding the oral hygiene in critically ill intubated patients were developed. The nursing team knowledge evaluation was performed by a questionnaire with 20 true or false sentences concerning the subject in study; this questionnaire was submitted to a committee composed by specialist and was content validated. Descriptive analysis and Wilcoxon, Mann-Whitney, Kruskal Wallis and Spearman correlation tests were also performed. The sample consisted predominantly of nurses (54.4%), female (86.1%),well distributed between the day and night shifts (49.4% and 50.6%).The training time of the professionals ranged from 7 to 240 months, with a median of 96 months (p25 = 60;p75 = 120), the time spent in the Intensive Care Center (ICU) ranged from 1 to 156 months, with median 29 months (p25 = 9; p75 = 72). Most of the professionals (78.5%) have received some oral hygiene instruction during the training. At the institution, 41.8% have never received training on the subject. Regarding the evaluation of professionals' knowledge, in the pre-test the median was 15 points (p25=13; p75=16) and, in the post-test, the median was 19 points (p25=17; p75=20). There was a significant statistical difference on both moments, with the increase in the knowledge concerning the professionals of the nursing team after the educational program (p <0.001).There was also a significant statistical difference between the pre-test and the professional's knowledge regarding the oral hygiene protocol in the institution(P <0.05), that is, professionals who knew about the existence of the protocol in the institution achieved a higher knowledge score (r = -0.258, p <0.05). A negative correlation was found between the post-test and the training time of the professionals. It was concluded that the educational program based on active methodologies, aimed at a meaningful learning, had a positive effect on nursing professionals' knowledge concerning the oral hygiene in critically ill intubated patients, and this effect is lower in professionals who had a longer training periods. It reinforces the importance of permanent education with effective educational programs which aims to improve the knowledge of the nursing team in order to enhance the quality of health care.(AU)


Subject(s)
Humans , Oral Hygiene/education , Health Knowledge, Attitudes, Practice , Education, Nursing, Continuing , Surveys and Questionnaires , Academic Dissertation , Intubation , Nursing Care/methods
20.
Braz. dent. sci ; 22(2): 267-274, 2019. tab
Article in English | LILACS (Americas), BBO | ID: biblio-997100

ABSTRACT

Objetivo: Premature acquisition of cariogenic microorganisms seems to be related to higher prevalence and activity of caries lesions. The aim of the study was to evaluate the prevalence of Streptococcus mutans and Streptococcus sobrinus in infants enrolled in a dental preventive program and in their mothers, as well as to assess the influence of bacterial prevalence, diet and oral hygiene in dental caries prevalence. Material and methods: After clinical examinations (n = 50), saliva and oral biofilms were collected and stored prior to real-time PCR at 6, 12, 18 and 24 months of age. Results: No correlation was observed between the presence of cariogenic pathogens and diet or hygiene habits at all ages; however, association increased with number of erupted teeth. Salivary levels of bacteria were lower in children than in their mothers at all ages, and children with carious lesions had high ingestion of sugared food. Conclusion: As the levels of cariogenic pathogens were low in the patients that were enrolled in a preventive program, we can conclude that control of oral biofilm as eruption of infants' teeth occurs and sugar ingestion should be considered of great importance in preventive dentistry, because the association between them was highly positive. (AU)


Objetivo: A aquisição precoce de microorganismos cariogênicos está correlacionada a alta prevalência e atividade de lesões de cárie. O objetivo deste estudo foi avaliar a prevalência de Streptococcus mutans e Streptococcus sobrinus em bebês e pares de mães, matriculados no programa educativo e preventivo da Bebê Clínica da Faculdade de Odontologia de Araçatuba (UNESP), como também foi avaliada influência da prevalência bacteriana, dieta e higiene oral na prevalência de cárie dentária. Material e métodos: Após exame clínico (n=50), foram coletados saliva e biofilme e submetidos a real-time PCR aos 6, 12, 18 e 24 meses de idade. Resultados: Não foi observada correlação entre a presence de patógenos cariogênicos e hábitos de dieta e higiene em todas as idades avaliadas. Níveis salivares foram mais baixos nas crianças do que em suas mães em todas as idades, e as crianças portadoras de lesões cariosas tinham maior ingestão de alimentos açúcarados. Conclusão: Uma vez que os níveis de patógenos cariogênicos foram baixos nos pacientes que frequentam um programa preventivo, podemos concluir que o controle de biofilme durante a erupção dentária e da ingestão de açúcares pode ser considerada medida de grande relevância em prevenção odontológica, uma vez que a associação foi altamente positiva. (AU)


Subject(s)
Oral Hygiene , Saliva , Streptococcus mutans , Dental Caries
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