Brazilian version of Positive Oral Health and Well-Being: cross-cultural adaptation and psychometric analysis.

Specific measures to evaluate positive oral health have been in a nascent stage in Dentistry, especially in developing countries. The present study aimed to translate, cross-culturally adapt and evaluate the psychometric properties of the Brazilian version of Positive Oral Health and Well-Being (B-POHW). After forward-backwards translation to Brazilian Portuguese language, the cross-cultural adaptation of B-POHW was pretested, followed by the main study to perform psychometric analysis. We tested the model fit by Confirmatory Factor Analysis with categorical factor indicators in bifactor and simple structure models on a sample of 209 participants (mean age: 39.36 ± 12.26. Questionnaires about sociodemographic status, self-reported oral health-related outcomes, and general well-being were administered and used as external validation measures. Moreover, dental caries experience was clinically diagnosed. For test-retest reliability, 53 participants completed the B-POHW a fortnight later. The following results were found: a) the bifactor model presented the best model fit; b) the B-POHW demonstrated satisfactory internal consistency (Cronbach's α and McDonald's ω > 0.8); c) the intraclass correlation coefficient suggested good reliability for the Global Factor of B-POHW in the test-retest (ICC = 0.84); d) evidence based on other variables and construct representation was in line with the positive oral health framework. The B-POHW is psychometrically sound to be used in a Brazilian context, and evidence of its internal structure confirmed its theoretical framework for measuring positive oral health. These findings advance in holistic approaches, enabling to assess positive oral health in Dental practice in Brazil.

Brazilian version of Positive Oral Health and Well-Being: cross-cultural adaptation and psychometric analysis

Abstract: Specific measures to evaluate positive oral health have been in a nascent stage in Dentistry, especially in developing countries. The present study aimed to translate, cross-culturally adapt and evaluate the psychometric properties of the Brazilian version of Positive Oral Health and Well-Being (B-POHW). After forward-backwards translation to Brazilian Portuguese language, the cross-cultural adaptation of B-POHW was pretested, followed by the main study to perform psychometric analysis. We tested the model fit by Confirmatory Factor Analysis with categorical factor indicators in bifactor and simple structure models on a sample of 209 participants (mean age: 39.36 ± 12.26. Questionnaires about sociodemographic status, self-reported oral health-related outcomes, and general well-being were administered and used as external validation measures. Moreover, dental caries experience was clinically diagnosed. For test-retest reliability, 53 participants completed the B-POHW a fortnight later. The following results were found: a) the bifactor model presented the best model fit; b) the B-POHW demonstrated satisfactory internal consistency (Cronbach's α and McDonald's ω > 0.8); c) the intraclass correlation coefficient suggested good reliability for the Global Factor of B-POHW in the test-retest (ICC = 0.84); d) evidence based on other variables and construct representation was in line with the positive oral health framework. The B-POHW is psychometrically sound to be used in a Brazilian context, and evidence of its internal structure confirmed its theoretical framework for measuring positive oral health. These findings advance in holistic approaches, enabling to assess positive oral health in Dental practice in Brazil.

Different applications forms of green tea (Camellia sinensis (L.) Kuntze) for the treatment of periodontitis: a systematic review and meta-analysis.

BACKGROUND: Scaling and root planning (SRP) is the gold standard for non-surgical periodontal treatment. Green tea as a supporting alternative in non-surgical periodontal treatment has been suggested as a therapeutic option in the treatment of periodontitis. OBJECTIVE: To analyse the comparative effectiveness of green tea (Camellia sinensis) in its different forms and applications for the treatment of periodontitis. METHODS: We included randomized clinical trials evaluating green tea as an adjuvant therapeutic agent to scaling and root planning (SRP) in the treatment of periodontitis. For the meta-analysis, we calculated standardized mean difference (SMD) and 95%CI comparing green tea and control (only SRP). We subgrouped by types of application forms of green tea. The certainty of the evidence was assessed through GRADE. RESULTS: Nine studies were included. The follow-up time of treatments varied from 21 days to 6 months. The subgroup meta-analysis showed that the green tea as sachet reduced probing bleeding (SMD = -0.71; 95%CI) and the gingival index (SMD = -0.78; 95%CI) compared to SRP with very low certainty of evidence. The sachet (SMD = -0.29; 95%CI) and dentifrice (SMD = -1.31; 95%CI) reduced plaque index with very low certainty compared to the control. All forms of application of green tea showed very low certainty of evidence (SMD = -0.27; 95% CI) in reducing the probing depth, as well as for the loss of clinical insertion (SMD = -0.42; 95% CI) with low certainty of evidence. CONCLUSION: There was not a difference in the effectiveness of green tea isolated or in combination with SRP to reduce probing depth. Green tea adjunct to periodontal therapy showed very low certainty of effectiveness for the treatment of periodontal disease.

Antimicrobial Potential of Momordica charantia L. against Multiresistant Standard Species and Clinical Isolates.

AIM: The aim of the present study was to evaluate the antibacterial and antifungal potential in vitro of Momordica charantia L. against the microorganisms of clinical interest (standard strains and multiresistant isolates) in order to aggregate scientific information in relation to its use as a therapeutic product. MATERIALS AND METHODS: M. charantia L. plant material was acquired in municipality of Malta, Paraiba, Brazil. The extract was obtained through maceration, filtration and then concentrated under reduced pressure in a rotary evaporator, resulting in a dough, and was then dried in an oven for 72 hours at 40°C. Antimicrobial action of ethanolic extract of seed M. charantia L. was evaluated based on the minimum inhibitory concentration (MIC), minimum bactericidal concentration (MBC) and minimum fungicidal concentration (MFC) against standard strains of bacteria, isolates multiresistant bacteria and Candida species, by microdilution in broth method. RESULTS: All organisms were sensitive to the extract, being considered strong antimicrobial activity (MIC and MBC/MFC < 0.125 mg/ml). CONCLUSION: The M. charantia L. showed strong antimicrobial potential, with bactericidal and fungicidal profile, there is the prospect to constitute a new therapeutic strategy for the control of infections, particularly in multiresistant strains. CLINICAL SIGNIFICANCE: The use of medicinal plants in treatment of infectious processes have an important function nowadays, due to the limitations of the use of synthetic antibiotics available, related specifically to the microbial resistance emergence.

Terapêutica com plantas medicinais: percepção de profissionais da Estratégia de Saúde da Família de um município do agreste pernambucano / Medicinal plants in therapy: perception of professionals of the Strategyof Health of the Family in the agreste region of Pernambuco

Objetivo: verificar a percepção de médicos, cirurgiões-dentistas e enfermeiros da Estratégia de Saúde da Família do Município de Caruaru, PE, Brasil, sobre a importância, utilização e indicações de plantas medicinais. Metodologia: trata-se de um estudo transversal e exploratório com 82 profissionais de saúde (médicos, cirurgiões-dentistas e enfermeiros), locados em 45 unidades básicas de Saúde do Município de Caruaru. Os profissionais foram entrevistados, utilizando-se um formulário estruturado e validado pelo método da face. Os dados foram analisados por técnicas estatísticas descritivas por meio de distribuições absolutas, percentuais de medidas e pelo teste do Qui-quadrado de Pearson ou Exato de Fisher. Resultados: a maioria dos participantes tinha acima de 41 anos de idade (37,8%), era do sexo feminino (86,6%), graduados há menos de 10 anos (37,8%), em instituição particular (54,9%). O Curso com maior frequência de participação foi Enfermagem (41,5%). Os profissionais de Odontologia foram os que menos prescrevem fitoterápicos na ESF em queatuam (19,4%) e os que menos sabem orientar os pacientes sobre a forma de utilização das ervas medicinais (41,9%), com diferença significativa (p<0,05). A prescrição de plantas medicinais nas unidades de saúde é feita por poucos profissionais (47,6%) sendo as mais citadas: hortelã (Mentha spicata) (51,3%) e camomila (Matricaria chamomilla) (46,1%) comas respectivas indicações de expectorante (54,3%) e ansiolítico (42,8%).Conclusão: de maneira geral, os profissionais da ESF do Município de Caruaru não utilizam com frequência os fitoterápicos na rede pública, porém, acreditam na importância da implantação de medicamentos alternativos na atenção básica, tendo em vista seu baixo custo, eficácia e fácil acesso da população.

Aim: to verify the perception of doctors, dentists and nurses of the Strategy of Health of the Family of the city of Caruaru, PE, Brasil, on the importance, use and indications of medicinal plants. Methodology: transversal study was done with 82 professionals of health had participated (doctors, dentists and nurses), leased in 45 basic units of Health of the city of Caruaru. The professionals had been interviewed, using a form structuralized and validated for the method of the face. The data had been analyzed by descriptive statistical techniques through absolute, percentile distributions of measures and for the test of the Qui-square of Pearson or Exato de Fisher. Results: the majority of the participants had above of 41 years of age (37.8%), was of the feminine sex (86.6%), and graduated has less than 10 years (37.8%), in particular institution (54.9%). The course with bigger frequency of participation was nursing (41.5%). The dentists had been the ones that less prescribe herbal medicines in the ESF where the ones act (19.4%) and that less they know to guide the patients on the form of use of the medicinal grass (41.9%) with significant difference (p<0,05). The lapsing of medicinal plants in the units of health is made by few professionals (47.6%) being the most cited the mint(Mentha spicata) (51,3%) and chamomile (Matricaria chamomilla) (46.1%) and its respective indications as expectorants (54.3%) and anxiolytic (42.8%).Conclusion: the professionals of the ESF of the Caruaru city frequently do not use the herbal medicines in the public net, however they believe the importance of the alternative medicine implantation in the basic attention, in view of its low cost, effectiveness and easy access of the population.

Efeitos bioestimulantes do laser de baixa potência no processo de reparo / Biostimulation effects of low-power laser in the repair process

Os lasers de baixa potência promovem efeitos biológicos benéficos, de caráter analgésico, antiinflamatório e cicatrizante, por meio de um fenômeno de bioestimulação. A radiação emitida pelo laser terapêutico afeta os processos metabólicos das células-alvo, produzindo efeitos bioestimulantes que resultam na ocorrência de eventos celulares e vasculares, os quais parecem interferir diretamente no processo de reparo. Este trabalho visa estudar o fenômeno da bioestimulação e destacar os principais efeitos bioestimulantes do laser de baixa potência na reparação tecidual.

The wound healing process has always been an excellent subject for researchers. The use of low-power laser on wounds during the postoperative phase has increased the speed of the healing process. It has been implied that low power radiation affects cellular metabolic processes and promotes beneficial biological effects (analgesic, anti-inflammatory, and healing). Laser biostimulation appears to influence the behavior of the repair process. This paper aims at reviewing the most interesting aspects of the use of low-power laser in the tissue-repair process.

Biostimulation effects of low-power laser in the repair process.

The wound healing process has always been an excellent subject for researchers. The use of low-power laser on wounds during the postoperative phase has increased the speed of the healing process. It has been implied that low power radiation affects cellular metabolic processes and promotes beneficial biological effects (analgesic, anti-inflammatory, and healing). Laser biostimulation appears to influence the behavior of the repair process. This paper aims at reviewing the most interesting aspects of the use of low-power laser in the tissue-repair process.