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2.
J Contemp Dent Pract ; 21(5): 532-538, 2020 May 01.
Artigo em Inglês | MEDLINE | ID: mdl-32690835

RESUMO

AIM: The aim of this survey was to evaluate the ability of dental students and interns to deliver oral hygiene instructions. MATERIALS AND METHODS: This survey targeted patients aged 17-67 years who sought different dental treatments performed by final (sixth)-year dental students or dental interns. Both patients and therapists participated in filling out the questionnaire. The questionnaire included an exploration of the ability of therapists to prescribe dental hygiene aids commonly used in oral hygiene dentistry. RESULTS: In total, 150 patients and 150 therapists of both genders participated in this survey. The results showed that 47.3% of all therapists taught the patients the brushing technique; however, only 20% of the therapists reinforced oral hygiene instructions. Similarly, only 26% of therapists instructed their patients to renew their toothbrushes regularly, and 34% of the therapists instructed the patients on using dental floss. Only 32% of therapists prescribed a mouthwash to their patients, and 40.7% of the therapists used a disclosing agent. The difference was highly significant between students and interns in all the above activities, in favor of the dental students. CONCLUSION: The result shows a low level of therapist's performance, both students and interns, in delivering oral hygiene instructions to their patients. CLINICAL SIGNIFICANCE: Dental students and interns take a big responsibility in motivation and delivery of oral hygiene instructions in dental clinics to their patients. Evaluating the performance of students and interns in delivering oral health instructions in dental clinics will facilitate establish oral health programs to improve the performance of therapists in motivation and delivering the oral hygiene instructions and therefore increase the ability of patients to respond.


Assuntos
Higiene Bucal , Estudantes de Odontologia , Adolescente , Adulto , Idoso , Feminino , Humanos , Masculino , Pessoa de Meia-Idade , Motivação , Saúde Bucal , Escovação Dentária , Adulto Jovem
3.
J Clin Pediatr Dent ; 44(3): 190-195, 2020.
Artigo em Inglês | MEDLINE | ID: mdl-32644893

RESUMO

Objectives: Tuberous sclerosis complex (TSC) is a multisystem genetic disorder characterized by the development of benign tumors. The aim of the study was to assess the prevalence of oral lesions in patients with TSC and healthy individuals. Study design: The study included 120 patients aged 1.1 to 42.7 years: 60 patients with TSC and 60 controls. Clinical assessment of oral hygiene (Plaque Index-PLI), gingiva (Gingival Index-GI, Gingival Overgrowth Index-GOI), oral mucosa and dentition (caries, tooth wear, enamel defects) was performed. Statistical analysis was performed. Results: 40 patients with TSC received anticonvulsants. Neglected hygiene (PLI: 1.50±0.96 vs 0.92±0.72), gingival hyperplasia (50.0% vs.1.7%), gingivitis (80.7% vs. 53.4%), oral mucosal fibromas (10.0% vs. 0.0%), mucous membrane traumatic lesions (11.7% vs. 1.7%), enamel pits and hypoplasia of incisal borders (41.7% vs. 6.7%), tooth wear (35.0% vs. 11.7%) were more common in patients with TSC compared to controls; increased gingival hyperplasia was correlated with vigabatrin and levetiracetam treatment (r = 0.266 and 0.279, respectively), gingivitis was correlated with PLI (r= 0.635). Conclusions: Although gingival fibromas in TSC are independent of patient's age, young age, anticonvulsant therapy and local factors increase their severity. Enamel defects in TSC include pits, but also enamel loss on the incisal edges and tooth wear.


Assuntos
Gengivite , Doenças Dentárias , Esclerose Tuberosa , Adolescente , Adulto , Criança , Pré-Escolar , Índice de Placa Dentária , Humanos , Lactente , Higiene Bucal , Adulto Jovem
4.
Stomatologiia (Mosk) ; 99(4): 21-26, 2020.
Artigo em Russo | MEDLINE | ID: mdl-32692515

RESUMO

THE AIM: To identify the problematic issues of assessing the hygienic state of the oral cavity and the clinical development of possible algorithms for their solution using our modified, highly sensitive (up to 150 CFU/ml versus 5·106-5·108 CFU/ml), objective (2-3% error) method fluorescence spectroscopy. MATERIAL AND METHODS: In a clinical study on 20 patients of working age, it was shown that the authors modified fluorescence spectroscopy method allows each patient to individually perform a comprehensive digital express indication and objective analysis of the oral hygiene state based on express registration and analysis of the entire aggregate of aerobic-anaerobic microflora of various oral biotopes (biotope teeth, lips, gums, cheeks, palate, tongue and saliva) online. RESULTS: Integral indicators of the hygienic state of the oral cavity in individuals with satisfactory oral hygiene before and after brushing have been obtained, which describe the hygienic state of both the oral cavity as a whole and individual biotope in their relationship. CONCLUSION: The results made it possible to substantiate a more objective quantitative methodology for assessing the hygienic state of the oral cavity for the implementation of its individually substantiated clinical use with the identification of the biotope (biotopes) of the mouth, which is the main source of its pollution.


Assuntos
Boca , Higiene Bucal , Humanos , Saliva , Língua , Escovação Dentária
5.
Ned Tijdschr Tandheelkd ; 127(5): 318-322, 2020 May.
Artigo em Holandês | MEDLINE | ID: mdl-32609103

RESUMO

In this article, the results of a research project on the objective oral health of Parkinson's disease patients, related to the duration and the progression of the disease, are reported. Participants were 74 patients with Parkinson's disease and 74 control persons. All participants were orally examined. Dentate Parkinson's disease patients had statistically significantly more teeth with carious lesions, more tooth root remnants, and more biofilm and food particles when compared to dentate control persons. Within the group of dentate Parkinson's disease patients, the number of teeth with restorations as well as the number of mobile teeth were positively related to the duration of the disease. Additionally, in this group the number of teeth with carious lesions, the number of teeth with restorations, and the number of tooth root remnants were positively related to the progression of the disease. Parkinson's disease patients need daily oral hygiene care support, particularly in advanced stages of the disease.


Assuntos
Cárie Dentária , Doença de Parkinson , Dente , Humanos , Saúde Bucal , Higiene Bucal
6.
Oral Health Prev Dent ; 18(2): 343-354, 2020 Apr 01.
Artigo em Inglês | MEDLINE | ID: mdl-32618458

RESUMO

PURPOSE: Preventive dentistry aims to improve oral hygiene, including the use of interdental cleansing aids. Clear and simple classifications may positively impact patient communication and motivate oral health behaviour. To date, there is no comparative analysis of interdental brush classifications and sizes. MATERIALS AND METHODS: A total of 2320 interdental brush samples by 24 manufacturers was examined regarding their passage hole diameter (PHD) according to the ISO standard for interdental brushes (ISO16409:2016), and their current classifications were evaluated. Inter- and intrarater reliability of the ISO size classification were determined based on 20 raters and 10 interdental brushes. The insertion force for these interdental brushes was analysed in vitro. RESULTS: Excellent intra- and interrater reliability was achieved (intraclass correlation coefficient (ICC) ≥ 0.973) overall, although greater variance was observed for bigger brush sizes. Insertion forces varied depending on size and form of the brushes, amounting to 1.58 N (SD = 1.27 N) for cylindric and tapered brushes, and to 2.31 N (SD = 0.81 N) for waist-shaped brushes. The size range of commercially available products was 0.6-5.2 mm PHD, 90% presenting with a PHD ≤ 2.0 mm. Size intervals were unsystematic. The ISO size was indicated by 33% of all manufacturers, the exact PHD by 25%. CONCLUSIONS: The determination of the PHD is a reproducible instrument for most brushes currently on the market. In vitro, forces developed based on this classification are mostly moderate, thus unlikely to cause periodontal trauma. Given the discontinuous range and unclear labelling of available products, the development of a simplified classification system by usage of the PHD may benefit the practitioner and patient alike by contributing to improve oral hygiene behaviours.


Assuntos
Dispositivos para o Cuidado Bucal Domiciliar , Placa Dentária , Humanos , Higiene Bucal , Reprodutibilidade dos Testes , Escovação Dentária
7.
Oral Health Prev Dent ; 18(2): 387-393, 2020 Apr 01.
Artigo em Inglês | MEDLINE | ID: mdl-32618461

RESUMO

PURPOSE: To investigate if pregnancy represents a period of increased risk of non-cavitated dental caries related to changes in saliva and oral health behaviours. MATERIALS AND METHODS: A non-randomised longitudinal study was performed with 27 pregnant women and 25 non-pregnant women, who were evaluated twice with the same time gap (24 weeks on average). At the first visit sociodemographic and oral health-related behaviours were assessed through a structured questionnaire. At the second visit changes related to eating sweet snacks and oral hygiene habits were also assessed. In both visits the surface-related caries status was evaluated according to ICDAS II criteria. Calculation of D0 (Sound), D1-2 (visual changes) and D3-4 (precavitated caries lesions) Index was based on data collected from clinical examination. Saliva pH and saliva flow rate were also assessed. RESULTS: Throughout pregnancy, a statistically significant increase of eating sweet snacks between main meals was reported, with no effective adaptation of oral hygiene habits. In comparison to the non-pregnant group, pregnant women presented a lower saliva pH at both the first and second visit, p < 0.0005. During the follow-up period, a decrease in the frequency of caries-free surfaces was observed in the pregnant women (p = 0.004) and an increase in precavitated caries lesions (p = 0.011). CONCLUSION: The main results support the hypothesis that during pregnancy women are prone to enamel demineralisation, namely, to exhibiting additional lesions characterised by precavitated caries lesions.


Assuntos
Cárie Dentária , Esmalte Dentário , Feminino , Humanos , Estudos Longitudinais , Saúde Bucal , Higiene Bucal , Gravidez
8.
Shanghai Kou Qiang Yi Xue ; 29(2): 174-178, 2020 Apr.
Artigo em Chinês | MEDLINE | ID: mdl-32626881

RESUMO

PURPOSE: To investigate the prevelence of early childhood caries (ECC) and its related risk factors in children aged 3 to 5 years old in Shanghai. METHODS: According to the requirements of the Fourth National Epidemiological Survey of Oral Health, multistage, stratified, equal capacity and simple random sampling method was performed. A total of 1 296 children aged 3, 4 and 5 years old in 12 kindergartens in Shanghai were selected to calculate the prevalence and the mean dmft(decayed-missing-filled tooth). Their parents were surveyed with questionnaire on oral hygiene habit and consciousness of oral health and related factors. Statistical analysis were performed using SPSS 21.0 software package. RESULTS: The prevalence of ECC were 58.07% in children aged 3 to 5 years old in Shanghai, with dmft index of 2.99 in average. There were significant differences in the mean dmft and the prevalence between male and female and among different age groups(P<0.05). In multivariate logistic regression analysis, more frequent sweet drinks, eating sweets before sleep, less daily tooth brushing, starting tooth brushing after 2 years old and low level of parents' education and oral health knowledge were risk factors for dental caries. CONCLUSIONS: The prevalence of ECC in children aged 3 to 5 years old in Shanghai is severe. There is an urgent need for implementation of a systematic education on diet habit and oral health behavior, and the parental education on oral hygiene needs to be further improved.


Assuntos
Cárie Dentária , Criança , Pré-Escolar , China , Estudos Transversais , Índice CPO , Feminino , Humanos , Masculino , Higiene Bucal , Prevalência , Fatores de Risco , Escovação Dentária
9.
Cent Eur J Public Health ; 28(2): 103-107, 2020 Jun.
Artigo em Inglês | MEDLINE | ID: mdl-32592553

RESUMO

OBJECTIVE: The objective of the study, which consisted of a motivational lecture and hands-on training, was to evaluate the role of oral hygiene education for adolescents. METHODS: The study population included sixty-two high school students between fourteen and fifteen years of age (thirty males and thirty-two females). The response rate was 76.5%. The measurement of oral hygiene level was performed using the modified Green Vermilion Index (GVI). The values were recorded at baseline, one week, three months, and six months after education through motivational lecture and hands-on training was performed. Descriptive and nonparametric statistical methods were used in statistical analysis. Level of significance was 0.05. RESULTS: At the beginning of the study, the GVI of all examined subjects was 3.52 (SD = 0.70). One week after the motivational lecture and training, it decreased to 2.64 (SD = 0.69). Three months later, the level of plaque index had the lowest value (1.44; SD = 0.66). At the end of the study the level of plaque index increased to 2.52 (SD = 0.86). CONCLUSIONS: A significant oral hygiene improvement in adolescents as a result of education was presented. However, due to a decline in oral hygiene level six months after the education, there is a need for educational programmes continuity.


Assuntos
Placa Dentária/prevenção & controle , Motivação , Saúde Bucal/educação , Higiene Bucal/métodos , Adolescente , Índice de Placa Dentária , Feminino , Conhecimentos, Atitudes e Prática em Saúde , Humanos , Masculino , Higiene Bucal/educação , Higiene Bucal/psicologia , Estudantes
10.
Rocz Panstw Zakl Hig ; 71(2): 223-229, 2020.
Artigo em Inglês | MEDLINE | ID: mdl-32519827

RESUMO

Background: Severe acute respiratory syndrome coronavirus 2 (SARS-CoV-2 or COVID-19) continues to spread globally. It has become a major cause of concern for health care professionals all over the world. Objective: The aim of this study was to assess knowledge, awareness and hygiene practices regarding COVID-19 among private dental practitioners practicing in Tricity (Chandigarh, Panchkula and Mohali) in India during these critical times. Materials and Methods: A total of 245 private dentists participated in this cross-sectional survey and finally 215 constituted the final sample size. A self-administered, multiple choice type questionnaire (verified by a specialist) was administered to obtain information from the subjects. The questionnaire was divided into two parts and included 15 questions on knowledge and awareness regarding COVID-19. Statistical analysis was done using ANOVA and Student's t-test. Results: Percentage of subjects who answered correctly regarding main symptoms of COVID-19 and primary mode of transmission was 87% and 82.5% respectively. One-third of the subjects were not aware regarding Personal Protective Equipment (PPE) to be used while rendering dental treatment. 75% of subjects were of the opinion that supportive care is the current treatment regime for COVID-19. Less than one-third of subjects (30.2%) reported high scores. Education level (p=0.018) and health sector profile (p=0.024) of the subjects were significantly associated with mean knowledge scores. Conclusion: The findings of the present study showed that some notable deficiencies in knowledge existed among dental professionals regarding some vital aspects of COVID-19. Therefore, there is an urgent need for improving dentists'knowledge via health education and training programs. Further studies on the subject are also warranted once the situation normalizes.


Assuntos
Betacoronavirus , Infecções por Coronavirus/prevenção & controle , Odontólogos/psicologia , Desinfetantes/uso terapêutico , Desinfecção/normas , Saúde Bucal/normas , Higiene Bucal/normas , Pandemias/prevenção & controle , Pneumonia Viral/prevenção & controle , Adulto , Atitude do Pessoal de Saúde , Estudos Transversais , Feminino , Conhecimentos, Atitudes e Prática em Saúde , Humanos , Índia , Masculino , Guias de Prática Clínica como Assunto , Inquéritos e Questionários
11.
J Dent Hyg ; 94(3): 29-36, 2020 Jun.
Artigo em Inglês | MEDLINE | ID: mdl-32554413

RESUMO

Purpose: Preventive oral health behaviors are essential for children during early stages of development. The purpose of this study was to pilot an innovative, collaborative service-learning (ICSL) experience for dental hygiene (DH) and primary care nurse practitioner (NP) students to address pediatric oral health.Methods: A convenience sample of DH and NP students (n=12) participated in the development, planning and delivery of an ICSL activity focusing on pediatric oral health to 44 pre-school aged children. A learning management system was used for the communicating, planning and evaluating the ICSL activity. The interprofessional socialization of the participants was measured using the Interprofessional Socialization and Valuing Scale (ISVS-9A/9/B) survey prior to and following the ICSL experience. Descriptive statistics were used to analyze the data.Results: Twelve students agreed to participate in the ICSL experience (DH= 9 and NP=3) and completed the pre and post ISVS-9A/9B surveys. There was a positive change in interprofessional socialization scales (0.42) after the ICSL experience (p=0.066) for all participants. Marginal statistically significant differences were identified among the DH participants (p=0.058) in their pre and post interprofessional socialization scores.Conclusion: Within the limitations of this pilot study, the ICSL experience had a positive impact on NP and DH students' socialization to interprofessional collaboration. This low resource, service-learning educational project has potential for easy integration within dental hygiene and advanced practice nursing curricula.


Assuntos
Profissionais de Enfermagem , Higiene Bucal , Atitude do Pessoal de Saúde , Criança , Pré-Escolar , Humanos , Relações Interprofissionais , Saúde Bucal , Projetos Piloto
13.
Spec Care Dentist ; 40(4): 335-343, 2020 Jul.
Artigo em Inglês | MEDLINE | ID: mdl-32488889

RESUMO

AIM: To assess the effectiveness of different parenting interventions for improving oral hygiene of cerebral palsy (CP) children aged 4-12 years. METHODOLOGY AND RESULTS: A randomized controlled trial was done among 60 CP children and parents visiting a tertiary care center in New Delhi. The study population was randomly assigned to experimental or control group (30 in each group). Parents/caregivers in the experimental group (Group 1) received video-based dental health education (DHE) and the control group (Group 2) received conventional DHE. Each group also received two telephonic reinforcements at fourth and eighth week after the first intervention at baseline. The groups were assessed for sociodemographic, familial factors, medical history, oral hygiene practices, and oral hygiene status. At 3-month follow-up, the mean reduction in simplified oral hygiene index (OHI-S), plaque index (PI), and gingival index (GI) scores was 0.27, 0.17, and 0.09, respectively, in Group 1 (P-value < .05). The mean reductions seen in Group 2 were 0.03 in OHI-S, 0.14 in PI, and 0.04 in GI index (P-value < .05, except for GI score: P-value = .6). CONCLUSION: Video-based DHE is effective and brings about significant improvement in oral hygiene status and oral health among CP children.


Assuntos
Paralisia Cerebral , Higiene Bucal , Criança , Pré-Escolar , Índice de Placa Dentária , Humanos , Índice de Higiene Oral , Poder Familiar
14.
Br Dent J ; 228(12): 971-975, 2020 06.
Artigo em Inglês | MEDLINE | ID: mdl-32591714

RESUMO

On 30 January 2020, the World Health Organisation identified COVID-19, caused by the virus SARS-CoV-2, to be a global emergency. The risk factors already identified for developing complications from a COVID-19 infection are age, gender and comorbidities such as diabetes, hypertension, obesity and cardiovascular disease. These risk factors, however, do not account for the other 52% of deaths arising from COVID-19 in often seemingly healthy individuals. This paper investigates the potential link between SARS-CoV-2 and bacterial load, questioning whether bacteria may play a role in bacterial superinfections and complications such as pneumonia, acute respiratory distress syndrome and sepsis. The connection between COVID-19 complications and oral health and periodontal disease is also examined, as the comorbidities at highest risk of COVID-19 complications also cause imbalances in the oral microbiome and increase the risk of periodontal disease. We explore the connection between high bacterial load in the mouth and post-viral complications, and how improving oral health may reduce the risk of complications from COVID-19.


Assuntos
Betacoronavirus , Infecções por Coronavirus , Humanos , Higiene Bucal , Pandemias , Pneumonia Viral
15.
Shanghai Kou Qiang Yi Xue ; 29(1): 80-84, 2020 Feb.
Artigo em Chinês | MEDLINE | ID: mdl-32524127

RESUMO

PURPOSE: To investigate the prevalence of dental caries in young children aging 1 to 3 years in Chengdu city and the relationship with family oral hygiene habits. METHODS: One thousand children aging 1 to 3 years in 5 kindergartens in Chengdu city were selected as the study subjects, and examined for oral hygiene. They were divided into case group and control group according to the presence of dental caries. Questionnaires were sent out to two groups of children to find out their oral hygiene habits, and the results were compared and analyzed with SPSS 20.0 software package. RESULTS: Three hundred and thirty-one children suffered from dental caries, and the incidence of dental caries was 33.10%. There was no significant differences in sex, low birth weight, gestational age, medical history, parents' highest educational background and main caregivers between the case group and the control group (P>0.05); there were significant differences in age distribution, feeding methods and annual family income between two groups (P<0.05). In addition to the frequency of flossing and brushing, there were significant differences in other family oral hygiene behaviors between two groups (regular dental examination, frequency of sweets eaten by children, frequency of sweets eaten before sleep and frequency of sweets eaten by parents) (P<0.05). Multivariate analysis showed that age, annual family income, sleeping with bottles, regular examination of children's teeth, frequency of children eating sweets and frequency of children eating before sleep were all influencial factors of caries in young children (P<0.05). CONCLUSIONS: Prevalence of dental caries in young children in Chengdu city is high, and there is significant correlation between dental caries in young children and family oral health behavior, which is one of the influencing factors for dental caries in young children.


Assuntos
Cárie Dentária , Criança , Pré-Escolar , Comportamentos Relacionados com a Saúde , Humanos , Lactente , Saúde Bucal , Higiene Bucal , Prevalência , Escovação Dentária
16.
Swiss Dent J ; 130(6): 503-513, 2020 Jun 15.
Artigo em Alemão | MEDLINE | ID: mdl-32512986

RESUMO

Dental calculus has a secondary effect on the pathogenesis of periodontal diseases by harboring bacterial biofilm on its rough surfaces. Consequently, professional removal of both calculus and biofilm is a crucial part of the therapy and prevention of gingivitis and periodontitis. Today, crystal growth inhibitors such as zinc ions in the form of zinc chloride or zinc citrate, and pyrophosphates alone or in combination with copolymer are added to toothpastes to prevent the mineralization of the dental biofilm. In addition, triclosan is used as an antimicrobial agent in combination with copolymer as an additive in toothpastes to reduce the amount of plaque and thus the substrate for calculus formation. In clinical trials, chemical additives have demonstrated an inhibiting impact on calculus formation. However, it must be clarified that in addition to home-based oral hygiene, the formation of dental calculus depends on other factors such as access to professional dental care, diet, age, ethnicity, time since last professional tooth cleaning, systemic diseases or medications. However, since chemical additives in toothpastes do not reach the deeper sites of periodontal pockets, they are recommended for the inhibition of supragingival calculus formation, thus assisting the primary prevention of gingivitis as well as the secondary prevention of periodontal disease.


Assuntos
Placa Dentária , Gengivite , Cálculos Dentários , Humanos , Higiene Bucal , Cremes Dentais
17.
Minerva Stomatol ; 69(2): 72-78, 2020 Apr.
Artigo em Inglês | MEDLINE | ID: mdl-32489087

RESUMO

BACKGROUND: The aim of this study was to evaluate the effectiveness of a tailored treatment dental program in adolescents in combination with a professional oral hygiene. METHODS: Ninety-three adolescents (43 males and 50 females; mean age: 14±1.1 years) were included in this study and Plaque Index (PI) and simplified basic periodontal examination (BPE) were measured for each patient at T0 (screening) and at T1 (after 30 days). At T0 a professional dental hygiene treatment was performed and a tailored oral hygiene instruction protocol was adopted. All data were statistically analyzed using Student's t-test and the level of significance was set at P<0.05. RESULTS: A statistically significant decrease of PI was found from T0 (2.3±0.6) to T1 (0.9±0.3) (P<0.05). Moreover, also a significant decrease (P<0.05) of BPE was observed after 30 days. Girls exhibited a higher significant BPE index improvement (0.47±0.2) in comparison to boys (0.3±0.1) at the end of the follow-up (P<0.05). CONCLUSIONS: A tailored oral hygiene instruction protocol has resulted in a decreased plaque accumulation and gingival inflammation.


Assuntos
Profilaxia Dentária , Higiene Bucal , Adolescente , Criança , Assistência Odontológica , Índice de Placa Dentária , Feminino , Humanos , Masculino , Índice Periodontal
18.
Minerva Stomatol ; 69(2): 100-105, 2020 Apr.
Artigo em Inglês | MEDLINE | ID: mdl-32489089

RESUMO

BACKGROUND: The aim of this study was to correlate the self-report oral health, oral hygiene and dental assistance with clinic intercurrences with hospitalization in adults in End-Stage Kidney Disease patients. METHODS: Seventy-seven patients were interviewed during dialysis therapy concerning their self-report oral health, oral hygiene habits and available dental assistance. Clinical intercurrences were assessed in clinical records. Pearson correlations and linear regression tests were applied for statistical analysis. RESULTS: There was a strong negative correlation between the number of brushing times/day and patient hospitalization; there was a negative correlation between oral health and patient hospitalization, there was a positive correlation between the number of teeth in the mouth and oral diseases. CONCLUSIONS: The study shows an important correlation between oral health, oral hygiene habits, dental assistance and clinical intercurrences with hospitalization in dialysis patients. The results are weighty to establish protocols that can, directly improve, critical health outcomes of end-stage kidney disease patients under dialysis treatment.


Assuntos
Falência Renal Crônica , Saúde Bucal , Adulto , Estudos de Coortes , Humanos , Higiene Bucal , Escovação Dentária
19.
J Orofac Orthop ; 81(4): 258-266, 2020 Jul.
Artigo em Inglês | MEDLINE | ID: mdl-32377773

RESUMO

PURPOSE: Surface sealants are widely used as a prevention strategy and are indicated for young patients with insufficient oral hygiene who also need plaque removal by professional tooth cleaning. The aim of this study was to evaluate discoloration of surface sealants by plaque disclosing solutions and to test to what extent this discoloration can be reduced again by professional tooth cleaning. METHODS: In all, 96 extracted lesion-free human teeth were randomly assigned to treatment with either Pro Seal® (PS; Opal Orthodontics, South Jordan, UT, USA) or Opal®Seal™ (OS; Reliance Orthodontic Products, Itasca, IL, USA). Color evaluations after application of the plaque disclosing solution Mira-2-Ton® (Hager & Werken, Duisburg, Germany) were performed using a clinical spectrophotometer. Staining and polishing were repeated once. Color differences (∆E) above 3.77 were regarded as clinically relevant. RESULTS: All sealants showed high, clinically relevant ∆E values after the first staining. Polishing led to significantly decreased ∆E values on PS-treated teeth; however, the median ∆E value remained above the clinically relevant threshold. Polishing on OS-treated teeth only slightly reduced ∆E values. After professional tooth cleaning both PS and OS showed clinically relevant ∆E values. CONCLUSION: Surface sealants show clinically relevant discoloration after exposure to plaque disclosing solution under in vitro conditions. Such discolorations could not be removed by professional tooth cleaning. Thus, in clinical practice, plaque disclosing solutions might cause esthetic deficits in surface sealant-treated teeth. The impact of plaque disclosing solutions under clinical conditions (e.g., in the presence of saliva and by various aspects of a person's nutrition) should be investigated in clinical studies.


Assuntos
Higiene Bucal , Selantes de Fossas e Fissuras , Alemanha , Humanos
20.
J Dent Educ ; 84(7): 755-761, 2020 Jul.
Artigo em Inglês | MEDLINE | ID: mdl-32356325

RESUMO

PURPOSE: This pilot study aimed to develop and test a comprehensive assessment instrument, through an examination of measurement properties, to evaluate relationships between faculty technology adoption and age, level of education, teaching experience, technology anxiety, perceived technology integration barriers, and technology available in dental hygiene (DH) clinical environments. Focus was to acquire instrument validity with emphasis on test content, internal structure, and response processes. METHODS: The survey was developed based on expert review, pretesting, and survey piloting in 2018. Three content experts evaluated face and traditional content validity. Eleven DH faculty with diverse clinical experiences were recruited for pretesting to comment on item definitions and language. The instrument was pilot tested among DH faculty with full-time, part-time, and clinical appointments at institutions located in the Mid-West. Psychometric properties of the questionnaire were evaluated with frequency analysis and scale responses detailed. RESULTS: Evaluation by experts and faculty members refined definitions, language, and response options for the seventy-item response scale. Forty-three DH faculty completed the online pilot. The 4 sections subjected to factor analysis showed excellent factor loading. Internal consistency was satisfactory. Frequency analysis showed an array of perceived abilities and technological integration in the educational environment. CONCLUSION: Findings suggest that respondents found the survey easy to complete and understand. The survey appears to be a valid measure of technology adoption among DH faculty of differing experiences. The survey will now be disseminated to a larger group of DH faculty.


Assuntos
Higienistas Dentários , Higiene Bucal , Docentes de Odontologia , Humanos , Projetos Piloto , Inquéritos e Questionários
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