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1.
J Clin Pediatr Dent ; 44(6): 429-435, 2020 Dec 01.
Artículo en Inglés | MEDLINE | ID: mdl-33378467

RESUMEN

OBJECTIVES: To compare the prevalence of parafunctional habits, erosive tooth wear and occurrence of tooth injuries among children being under the care of Social Welfare Centre and children treated in the Department of Children's Dentistry of the Medical University of Warsaw. STUDY DESIGN: The study contains environmental and medical interviews, record-based analysis and clinical examination. Parafunctional habits were rated on the base of dental interviews and clinical examinations. The occlusal surfaces were evaluated by visual examination using modified tooth wear index (TWI). Tooth injuries were reported from a medical interview labeled using Andreasen classification. The consent of the bioethics committee and guardians of children participated in the study was obtained. RESULTS: The study involved 782 patients, including 404 children from dysfunctional families (average age 11,4 ± 3,7) and 378 from ordinary families-control group (8,53 ± 3,92). In the study group we observed higher prevalence of erosive tooth wear (44,66% vs 18,02% p=0,000), dental trauma (9,4% vs 3,44% p=0,001) and a presence of parafunctional habits (67,8% vs 20,4 % p=0,000). CONCLUSION: The occurrence of parafunctional habits, erosive tooth wear and tooth injuries may be an indicator of domestic violence and a component of maltreated child syndrome.


Asunto(s)
Violencia Doméstica , Erosión de los Dientes , Traumatismos de los Dientes , Desgaste de los Dientes , Adolescente , Niño , Hábitos , Humanos , Prevalencia , Erosión de los Dientes/epidemiología , Erosión de los Dientes/etiología , Traumatismos de los Dientes/epidemiología , Desgaste de los Dientes/epidemiología , Desgaste de los Dientes/etiología
2.
Oral Health Prev Dent ; 18(1): 833-842, 2020 Sep 04.
Artículo en Inglés | MEDLINE | ID: mdl-32895668

RESUMEN

PURPOSE: To assess the prevalence and associated factors with early childhood caries (ECC) in a Polish population. MATERIALS AND METHODS: A cross-sectional study was carried out involving 656 three-year-old preschool children of both sexes. Data were collected through oral examination of the children and a questionnaire self-reported by their parents. The questionnaire contained information on sociodemographic aspects, feeding and oral hygiene practices, dental care utilisation and dental health knowledge. Associations between ECC and caries-related factors were analysed with use of bivariate and multivariate logistic regression and Mann-Whitney U test. RESULTS: ECC was diagnosed in 64.0% children from the rural area and 46.6% from the urban one, more often in boys (57.7%) compared to girls (49.5%) and S-ECC in 37.1%, 24.2%, 31.5% and 27.5%, respectively. The associations between caries experience and living in a rural area, male sex, education level and oral health-related knowledge of a parent, tooth brushing frequency, nocturnal bottle-feeding and feeding with sweet beverages at the age over 12 months, consumption of sweetened within the first 2 years of age and drinking of sweet beverages once a week at bivariate level were found. In the final model of the logistic multivariate regression analysis, seven variables were associated with ECC experience. They revealed the probability in decreasing order: living in a rural area (odds ratios (OR) = 1.90); feeding the child during the first 2 years with sweetened food (OR = 1.77); nocturnal drinking of sweet beverages by the >12-month-old child (OR = 1.73); education level of parent (OR = 1.53); gender - male (OR = 1.48); nocturnal bottle-feeding of the over-12-month child (OR = 1.44); and frequency of tooth brushing (OR = 1.41). CONCLUSION: The most prominent risk factors for ECC were living in a rural area, consumption of sweetened foods within the first 2 years of age and nocturnal drinking of sweet beverages by the over 12-month-old child.


Asunto(s)
Caries Dental , Alimentación Artificial , Niño , Preescolar , Estudios Transversales , Femenino , Humanos , Lactante , Masculino , Higiene Bucal , Polonia , Prevalencia , Factores de Riesgo
3.
Health Expect ; 2020 Sep 27.
Artículo en Inglés | MEDLINE | ID: mdl-32985115

RESUMEN

BACKGROUND: Comparative optimism, the belief that negative events are more likely to happen to others rather than to oneself, is well established in health risk research. It is unknown, however, whether comparative optimism also permeates people's health expectations and potentially behaviour during the COVID-19 pandemic. OBJECTIVES: Data were collected through an international survey (N = 6485) exploring people's thoughts and psychosocial behaviours relating to COVID-19. This paper reports UK data on comparative optimism. In particular, we examine the belief that negative events surrounding risk and recovery from COVID-19 are perceived as more likely to happen to others rather than to oneself. METHODS: Using online snowball sampling through social media, anonymous UK survey data were collected from N = 645 adults during weeks 5-8 of the UK COVID-19 lockdown. The sample was normally distributed in terms of age and reflected the UK ethnic and disability profile. FINDINGS: Respondents demonstrated comparative optimism where they believed that as compared to others of the same age and gender, they were unlikely to experience a range of controllable (eg accidentally infect/ be infected) and uncontrollable (eg need hospitalization/ intensive care treatment if infected) COVID-19-related risks in the short term (P < .001). They were comparatively pessimistic (ie thinking they were more at risk than others for developing COVID-19-related infection or symptoms) when thinking about the next year. DISCUSSION: This is one of the first ever studies to report compelling comparative biases in UK adults' thinking about COVID-19.

4.
Oral Health Prev Dent ; 18(1): 287-294, 2020 Apr 01.
Artículo en Inglés | MEDLINE | ID: mdl-32618452

RESUMEN

PURPOSE: To determine the effects of sociodemographic and pregnancy-related factors on oral health attitudes during pregnancy, as well as the main predictors of proper oral practices. MATERIALS AND METHODS: An electronic survey consisting of 47 (single or multiple-choice) questions was conducted in women up to 3 years after childbirth in 2017. Sociodemographic data, as well as information on the course of pregnancy and delivery, oral knowledge and basic behaviours during pregnancy were collected. The Chi-square test and Spearman's rank correlation coefficient were used for statistical analysis. Odds ratios were determined. A statistical significance level of 0.05 was used. RESULTS: A total of 2480 questionnaires completed by women aged between 13 and 45 years who were up to 3 years after delivery, were analysed. Correct answers to all questions regarding basic oral health and oral practices were obtained by 20.8% and 19.6% of respondents, respectively. Proper health behaviours were more strongly correlated with the level of knowledge (r = 0.155; odds ratio (OR) = 2.44; CI:1.93-3.07; p <0.001) and the use of dental care before pregnancy (r = 0.187; OR = 2.88; CI:2.29-3.63; p <0.001) rather than age (r = 0.144), good or very good financial status (r = 0.110), high level of education (r = 0.081), urban residence (r = 0.058) or occupational activity (r = 0.049). Attending dental visits depended on the conviction about their safety (r = 0.195; OR = 2.47; CI: 2.09-2.93; p <0.001) as well as gynaecologist's referral in the case of general conditions in pregnancy (r = 0.052) and the risk of premature birth (r = 0.053). No effects of other parameters associated with pregnancy or delivery were confirmed. CONCLUSION: Health attitudes during pregnancy are modified by sociodemographic factors. The main predictors of proper health behaviours include high level of knowledge on oral health and the use of dental care before conception. Furthermore, dental attendance among pregnant women depends on the awareness of the safety of dental visits and a gynaecologist referral in case of general condition and risk of premature birth.


Asunto(s)
Salud Bucal , Determinantes Sociales de la Salud , Adolescente , Adulto , Femenino , Conocimientos, Actitudes y Práctica en Salud , Humanos , Persona de Mediana Edad , Polonia , Embarazo , Autoinforme , Encuestas y Cuestionarios , Adulto Joven
5.
J Clin Pediatr Dent ; 44(3): 190-195, 2020.
Artículo en Inglés | MEDLINE | ID: mdl-32644893

RESUMEN

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.


Asunto(s)
Gingivitis , Enfermedades Dentales , Esclerosis Tuberosa , Adolescente , Adulto , Niño , Preescolar , Índice de Placa Dental , Humanos , Lactante , Higiene Bucal , Adulto Joven
6.
Acta Odontol Scand ; 78(4): 250-255, 2020 May.
Artículo en Inglés | MEDLINE | ID: mdl-32013665

RESUMEN

Objectives: Carbonic anhydrase (CA) VI is supposed to take part in pH or buffering capacity regulation, which can influence the caries risk of an individual. Its expression in the saliva can be modified by single nucleotide polymorphism (SNP). The aim was to investigate SNP in the CA VI gene in relation to active dental caries and physiochemical properties of saliva.Materials and methods: One hundred and thirty participants aged 11-16 years were involved. Clinical examinations were carried out using standardized WHO criteria, DMFT/DMFS and white spot lesions score was evaluated. Saliva samples were examined for salivary properties and CA VI concentration. DNA evaluated in the investigation was extracted from the buccal smear. Three SNP within CAVI gene (rs2274327; rs2274328; rs2274333) were selected and genotyping was performed.Results: In the active caries group, the mean CAVI concentration was significantly lower than in caries free group (p = .014). No association between increased or decreased risk of caries and analysed SNPs was found. There were some significant relations concerning SNPs and salivary buffer capacity and flow rate in rs2274327 and rs2274328.Conclusions: Polymorphism in the CAVI gene can affect salivary properties but there is no direct connection with dental caries.


Asunto(s)
Anhidrasas Carbónicas/genética , Caries Dental/enzimología , Caries Dental/genética , Exones/genética , Hemoglobina A Glucada/metabolismo , Saliva/metabolismo , Adolescente , Niño , Índice CPO , Humanos , Concentración de Iones de Hidrógeno , Polimorfismo de Nucleótido Simple/genética
7.
Clin Exp Dent Res ; 5(3): 284-293, 2019 06.
Artículo en Inglés | MEDLINE | ID: mdl-31249710

RESUMEN

Background: Many studies have indicated that the excessive use of computers (more than 3 hr/d) might be associated with an unhealthy life-style. Aim: The aim of this study was to evaluate the relationship between excessive computer use with the condition of the teeth and periodontium and the oral health behaviour of 18-year-olds. Design: Cross-sectional studies, using a questionnaire, were carried out on 1,611 18-year-olds from Poland. The questionnaire contained questions about socioeconomic status and information about health-related behaviour. The condition of their teeth and gingivae were clinically assessed. Results: Excessive (>3 h/d) computer use was reported by 492 (31%) of participants, who had an increased frequency of unfilled cavities (1.97 vs. 2.27, p = .047) and a higher risk of oral hygiene neglect (e.g., using dental floss 41% vs. 34%, p = .009). Excessive computer use was also seen to be associated with poor dietary habits. Individuals who declared excessive computer use also had a higher risk of gingival bleeding (35% vs. 29%, p = .009). Conclusion: In the group studied, excessive computer use by adolescents constituted a risk factor for neglect of oral hygiene, poor dietary choices, and failure to benefit from oral health care. Therefore, these aspects should be included in the risk assessment of oral disease and incorporated into educational programs that promote a healthy lifestyle.


Asunto(s)
Computadores/estadística & datos numéricos , Caries Dental/epidemiología , Dieta/estadística & datos numéricos , Conductas de Riesgo para la Salud , Higiene Bucal/estadística & datos numéricos , Adolescente , Bebidas Endulzadas Artificialmente , Estudios Transversales , Índice CPO , Atención Odontológica , Dispositivos para el Autocuidado Bucal , Femenino , Frutas , Bolsa Gingival/epidemiología , Humanos , Internet/estadística & datos numéricos , Masculino , Salud Bucal , Índice Periodontal , Polonia/epidemiología , Factores de Riesgo , Factores Sexuales , Bocadillos , Clase Social , Bebidas Azucaradas , Factores de Tiempo , Cepillado Dental/estadística & datos numéricos , Verduras , Juegos de Video/estadística & datos numéricos
8.
Oral Health Prev Dent ; 17(2): 139-146, 2019.
Artículo en Inglés | MEDLINE | ID: mdl-30968069

RESUMEN

PURPOSE: To assess caries prevalence and periodontal condition in adolescents in Poland and investigate the factors related to oral health. MATERIALS AND METHODS: A national survey was carried out among 615 15-year-olds of both sexes living in urban and rural areas. Subjects were selected via cluster sampling. The mean DMFT and its components, the tooth distribution pattern of caries and percentage of subjects with gingival bleeding and gingival pockets were analysed. The information regarding sociodemographic, oral hygiene and nutritional variables was collected via questionnaire to evaluate their relationships with caries and periodontal parameters. The t-test, bivariate and multivariate logistic analyses were conducted to evaluate the differences and dependent variables of caries prevalence and gingivitis. RESULTS: Caries prevalence was 94.0%, and DMFT was 5.75 ± 3.74. Higher DMFT, DT and MT values were found in rural areas. 50% of the subjects carried about 75% of the total caries burden. Severe caries (DMFT ≥7) was associated with toothbrushing less than twice a day, not using a fluoridated dentifrice, frequent consumption of snacks and absence of pit-and-fissure sealants. The prevalence of gingival bleeding was 37.4% and shallow pockets 2.8%, which were higher in males and rural areas. Gingival bleeding was associated with toothbrushing less than a twice a day, not using dental floss and consumption of fresh fruits and vegetables less than once a week. CONCLUSION: The prevalence of oral diseases in Poland is very high. Additional strategies must be implemented to promote oral health early on to improve oral hygiene practices and nutritional habits.


Asunto(s)
Índice CPO , Caries Dental/epidemiología , Bolsa Gingival/epidemiología , Índice Periodontal , Cepillado Dental/estadística & datos numéricos , Adolescente , Cariostáticos/uso terapéutico , Dieta , Femenino , Fluoruros/uso terapéutico , Frutas , Humanos , Masculino , Salud Bucal , Higiene Bucal/estadística & datos numéricos , Polonia/epidemiología , Prevalencia , Población Rural , Distribución por Sexo , Pastas de Dientes/uso terapéutico , Verduras
9.
Dent Med Probl ; 56(4): 365-371, 2019.
Artículo en Inglés | MEDLINE | ID: mdl-31895501

RESUMEN

BACKGROUND: Traumatic dental injuries (TDIs) can occur at any age. They may cause health, functional, esthetic, and psychological problems, negatively affecting quality of life. OBJECTIVES: The objective of this study was to assess the prevalence, causes, treatment, and risk factors of TDIs among Polish adolescents. MATERIAL AND METHODS: As part of a cross-sectional national monitoring survey concerning the oral health condition and its determinants in the Polish population, 992 15-year-olds of both sexes were examined. The subjects were the residents of the urban and rural areas of 10 from a total of 16 provinces of the country. Caries-affected teeth were assessed according to the World Health Organization (WHO) criteria, and caries prevalence and the decayed, missing or filled teeth (DMFT) index values were calculated. Traumatic dental injuries were assessed with the use of the WHO criteria, modified for retrospective evaluation. The details of clinically diagnosed TDI were supplemented by a questionnaire and an interview. RESULTS: Overall, TDIs occurred in 22.0% of the subjects, similarly often in urban and rural areas (23.0% and 20.9%, respectively; p = 0.439), and more frequently in males than in females (26.2% and 18.2%, respectively; p = 0.002). The most common damage was crown fracture (46.2%), followed by luxation (43.9%) and avulsion (9.9%). Among the traumatized teeth, 73.8% received crown fracture restorations, 29.6% root canal treatment, and 17.5% were splinted due to luxation or avulsion. The most common cause of TDIs were accidental falls - 96.3%, including playing sports (27.1%), the other referred to violence/fight (3.7%). Nearly 14% of the accidents took place at school. The likelihood of TDI experience in males was 1.59-fold higher than in females. Males revealed a 2.76-fold higher probability of TDI incidence during participation in sports activities. Other predictors of TDIs were a low level of education of the mother, a poor socioeconomic status and a high DMFT score. CONCLUSIONS: A relatively high prevalence of TDIs in Polish 15-year-olds calls for effective planning and intervention to prevent the occurrence of the injuries and their aftereffects.


Asunto(s)
Boca/lesiones , Adolescente , Estudios Transversales , Femenino , Humanos , Masculino , Polonia , Prevalencia , Calidad de Vida , Estudios Retrospectivos , Enfermedades Dentales
10.
Clin Oral Investig ; 23(3): 1331-1339, 2019 Mar.
Artículo en Inglés | MEDLINE | ID: mdl-30006686

RESUMEN

OBJECTIVE: To assess the significance of changes in the saliva in the etiology of gingivitis and tooth wear in children and adolescents with Prader-Willi syndrome (PWS). MATERIALS AND METHODS: The study included 80 (2.8-18 years old; 39 girls and 41 boys): 40 in PWS group (mean age 8.0 ± 4.24 years) and 40 in control group (mean age 7.9 ± 4.12 years). General condition, oral para-functional habits, tooth wear (modified TWI), oral hygiene and gingival status (Plaque Index (PLI) and Gingival Index (GI)), localization of gingivitis, and salivary characteristics were assessed. The chi-square test, the Mann-Whitney U test, Spearman's rank correlation, and odds ratio based on logistic regression in a statistical analysis were applied. RESULTS: Chances of gingivitis were increased by low PLI (odds ratio (OR) = 32.53), low resting salivary flow (OR = 3.96), increased viscosity of saliva (OR = 3.54), and mouth breathing (OR = 8.17). For gingivitis in anterior regions, low PLI (OR = 107.67), low resting (OR = 5.73) and stimulated (OR = 1.86) salivary flow, increased viscosity of saliva (OR = 5.87), mouth breathing (OR = 10.00), and low stimulated salivary flow (OR = 3.18) were observed. Tooth wear rates were increased by teeth grinding (OR = 16.20), mouth breathing (OR = 4.33), increased viscosity of saliva (OR = 11.67) and low resting (OR = 6.07), and stimulated (OR = 4.22) salivary flow. CONCLUSIONS: In PWS, reduced salivary secretion, increased viscosity, of saliva and mouth breathing increase the risk of plaque-induced gingivitis and tooth wear. CLINICAL RELEVANCE: The prevention and treatment of tooth wear and gingivitis in PWS patients is necessary not only to treat bruxism and mouth breathing but also to limit the influence of negative changes of saliva.


Asunto(s)
Gingivitis/complicaciones , Síndrome de Prader-Willi/patología , Saliva/química , Atrición Dental/patología , Adolescente , Bruxismo , Estudios de Casos y Controles , Niño , Preescolar , Placa Dental/patología , Femenino , Humanos , Masculino , Respiración por la Boca , Síndrome de Prader-Willi/complicaciones , Salivación
11.
Oral Dis ; 25(4): 1048-1056, 2019 May.
Artículo en Inglés | MEDLINE | ID: mdl-30091198

RESUMEN

BACKGROUND: To assess the relationship of chosen salivary proteins and peptides levels with the occurrence of caries in children. METHODS: PubMed, MEDLINE and EMBASE databases from 2000 to 2018 were researched for original observational studies published in English. The risk of bias and quality of the included papers were assessed regarding the guidelines by Fowkes and Fulton. RESULTS: Twenty-two studies were included in the review, from which the issue of glycoproteins (including immunoglobulins), AMPs and salivary enzymes was discussed. The research involved primary dentition (13 papers), as well as mixed (7) and permanent dentition (5). Caries assessment included visual inspection, dmft/s and DMFT/S indexed; quantity of Streptococcus mutans and Lactobacillus spp. bacteria; and caries risk assessment. DISCUSSION: The results of studies regarding the connection between salivary peptides and proteins and caries development in children are promising; however, further investigations should be undertaken. The majority of studies included are case-control and cross-sectional; however, it is necessary to conduct more cohort studies with adequate follow-up prior to considering this as markers for caries risk assessment.


Asunto(s)
Caries Dental/etiología , Saliva/química , Proteínas y Péptidos Salivales/sangre , Niño , Estudios Transversales , Caries Dental/metabolismo , Susceptibilidad a Caries Dentarias/fisiología , Humanos , Estudios Observacionales como Asunto , Proteínas y Péptidos Salivales/metabolismo , Streptococcus mutans
12.
Adv Clin Exp Med ; 28(1): 75-83, 2019 Jan.
Artículo en Inglés | MEDLINE | ID: mdl-30010256

RESUMEN

BACKGROUND: Bacterial reinfection of dental cavities remains an unsolved clinical problem. The search for methods enabling the limitation of the bacterial factor has become the fundamental goal of the dental materials research. Silver nanoparticles (AgNPs) are used as disinfection agents. An incomplete polymerization of the polymer resins combined with AgNPs, along with the increase of the release of the unbound monomers, have been found. OBJECTIVES: The aim of this study was to evaluate the vitality of the human dental pulp stem cells (DPSCs) in response to a disinfection agent containing silver and gold nanoparticles (NPs), different bonding systems, glass-ionomer cement (GIC), and their combinations with the disinfection agent. Also, the influence of these materials both on the secretory function of DPSCs and on their antibacterial properties was established. MATERIAL AND METHODS: Cytotoxicity (MTT assay) and genotoxicity (enzyme-linked immunosorbent assay - ELISA) assays were used in the study. Antibacterial features were assessed with the optical density (OD) measurement of the bacteria (Streptococcus mutans, Streptococcus salivarius and Lactobacillus acidophilus) kept in dental materials. RESULTS: The disinfection liquid proved to be biocompatible. However, it relevantly interfered with the total-etch bonding system in terms of vitality, which may have serious clinical implications. Its combination with the self-etching system was biocompatible, yet it impaired the antibacterial action of the system. An enhancement of antibacterial action of GIC with AgNPs was found. CONCLUSIONS: The disinfection liquid and GIC were biocompatible toward the DPSCs in terms of cytotoxicity and genotoxicity. Simultaneous usage of AgNPs with other dental materials did not affect the biocompatibility of the used materials. The disinfection liquid and GIC acted as antibacterial agents against all studied bacteria species. Used together with GIC and the total-etch bonding system, the disinfection liquid seemed to be efficient toward bacteria, yet it relevantly impaired the antibacterial action of self-etching systems.


Asunto(s)
Antibacterianos/química , Antibacterianos/farmacología , Desinfección , Cementos de Ionómero Vitreo , Nanopartículas del Metal/química , Nanopartículas/química , Irrigantes del Conducto Radicular/farmacología , Plata/farmacología , Esmalte Dental/efectos de los fármacos , Dentina/efectos de los fármacos , Oro , Humanos , Ensayo de Materiales , Streptococcus mutans/efectos de los fármacos
13.
Wiad Lek ; 71(5): 1046-1050, 2018.
Artículo en Polaco | MEDLINE | ID: mdl-30176638

RESUMEN

OBJECTIVE: Introduction: Experiencing emotions is complicated process often related to dental treatment. Based on research conducted in different countries, the occurrence of dental anxiety is estimated at around 20% and 5% of the general population of patients is characterized by high level of anxiety , including dental phobia. Research indicates that many dentists have problems with identification of the symptoms of dental phobia and implementing appropriate and effective treatment. The aim: The goal of the article is to analyze emotions associated with a dental visit and their symptomatology and patient management. RESULTS: Results: The occurrence of stress is determined by the current individual perception of the situation that evokes emotions and is not connected with the objective features of the situation. The dentist can assess the patient's emotional condition basing on the observation of physiological symptoms related to stimulation of the autonomic nervous system, behavior and reported psychosomatic symptoms. The source of valuable tips is also the analysis of the style of the coping with emotions. CONCLUSION: Conclusions: The dentists ability to recognize the patient's style of coping with emotions makes dental treatment more effective and benefits in increase of patient satisfaction and comfort.


Asunto(s)
Adaptación Psicológica , Ansiedad al Tratamiento Odontológico , Atención Odontológica/psicología , Emociones , Humanos
14.
Dent Med Probl ; 55(2): 161-165, 2018.
Artículo en Inglés | MEDLINE | ID: mdl-30152619

RESUMEN

BACKGROUND: Masticatory system and speech sound disorders concur, have the same causes and similar consequences - both increase the risk of dental and periodontal diseases. OBJECTIVES: The study was conducted to establish the correlation between functional disorders of the masticatory system and speech sound disorders. MATERIAL AND METHODS: Three hundred patients aged 7-10 years were examined to detect functional disorders of the masticatory system and speech sound disorders. Functional disorders were assessed in patients with and without speech sound disorders. RESULTS: According to the study results, functional disorders of the masticatory system concur more often with speech sound disorders than with correct articulation and lead to speech sound disorders. There is a strong correlation between: - any dysfunction and errors in the /p/, /b/, /m/, /s/, /z/, /t͡ s/, /d͡ z/, /ɕ/, /ʑ/, /t͡ ɕ/, and /d͡ ʑ/ sounds, - mouth breathing and errors in the /p/, /b/, /m/, /s/, /z/, /t͡ s/, /d͡ z/, /ɕ/, /ʑ/, /t͡ ɕ/, and /d͡ ʑ/ sounds, - persistent tongue thrust and errors in the /s/, /z/, /t͡ s/, /d͡ z/, /ʂ/, /ʐ/, /t͡ ʂ/, /d͡ ʐ/, /ɕ/, /ʑ/, /t͡ ɕ/, and /d͡ ʑ/ sounds, and - parafunctional sucking and errors in the /s/, /z/, /t͡ s/, /d͡ z/, /ʂ/, /ʐ/, /t͡ ʂ/, /d͡ ʐ/, /ɕ/, /ʑ/, /t͡ ɕ/, and /d͡ ʑ/ sounds. CONCLUSIONS: To implement effective and early prevention and treatment, it is crucial to know the correlation between the masticatory system and speech sound disorders, as it reduces treatment duration and minimizes relapses of not only communication disorders, but also of concurrent masticatory system disorders.


Asunto(s)
Succión del Dedo/efectos adversos , Respiración por la Boca/complicaciones , Trastorno Fonológico/etiología , Hábitos Linguales/efectos adversos , Estudios de Casos y Controles , Niño , Humanos
15.
Ginekol Pol ; 89(3): 120-124, 2018.
Artículo en Inglés | MEDLINE | ID: mdl-29664546

RESUMEN

OBJECTIVES: The aim of the study was to assess routine dental examination attendance of pregnant women and a possible impact of gynaecological referrals on the attendance rate. MATERIAL AND METHODS: An electronic survey was conducted that was inclusive of women up to 5 years following delivery. The questions related to socio-demographic data, the course of pregnancy and childbirth, and visits to dental office during pregnancy. For statistical analysis, the authors utilized the chi-square test, Spearman's rank correlation coefficient and odds ratios. A significance level of 0.05 has been assumed. RESULTS: A total of 3455 questionnaires were analyzed encompassing women aged 13.1-45.4 years. The respondents were on average 1.78 ± 1.44 years after childbirth. The population comprises of women in 59.1% from large cities, in 74.8% with higher education and in 41% with good socio-economic status. A total of 62.3% of women from the study population have visited a dentist for a routine dental examination. Gynaecologists have given a simple referral to a dentist to 17.6% of all women. 45.9% of them were further requested to provide back the feedback of their dental consultation. Dental appoint-ments were upheld by 87.3% of referred women and by 56.9% of those without a referral (OR = 5.20 (4.05-6.67); p < 0.001). Among those who were referred, dental appointments were upheld in 91.7% of cases when further asked to provide oral health feedback and in 83.5% of cases in absence of such further request (OR = 2.19 (1.3-3.66); p = 0.003). CONCLUSIONS: It was determined that referrals from a gynaecologist, and associated oral health feedback requests increase the frequency of abiding to dental appointments during pregnancy. As such, it is necessary to increase the involvement of gynaecologists in the promotion and maintenance of perinatal oral health.


Asunto(s)
Atención Odontológica , Ginecología , Promoción de la Salud , Salud Bucal , Rol del Médico , Adolescente , Adulto , Femenino , Humanos , Aceptación de la Atención de Salud , Embarazo , Derivación y Consulta , Adulto Joven
16.
Contemp Oncol (Pozn) ; 22(1): 37-41, 2018.
Artículo en Inglés | MEDLINE | ID: mdl-29692662

RESUMEN

Introduction: Chemotherapy, neoplasms, and their complications linked to malabsorption, malnutrition, and metabolic disorders may lead to improper tooth development and frequent severe caries in patients during/after antineoplastic treatment and to a more frequent improper tooth development in patients undergoing chemotherapy during odontogenesis. However, the causes of these abnormalities remain unknown; there are no studies on the impact of antineoplastic treatment and its complications on the chemical composition of mineralised teeth. Aim of the study: To compare the chemical composition of mineralised teeth extracted due to complicated caries in children after chemotherapy, and of teeth extracted due to orthodontic treatment in generally healthy children. Material and methods: The treatment group included five teeth extracted due to complicated caries in children after antineoplastic treatment. The control group included five teeth extracted due to orthodontic treatment in generally healthy children. The chemical composition of enamel, dentine, cementum, interior of the canal, and enamel abnormalities in teeth extracted from patients after chemotherapy and in generally healthy patients were assessed with energy-dispersive X-ray spectroscopy. Results were analysed statistically. Results: The magnesium (Mg) and zinc (Zn) mass contents in the enamel of patients after chemotherapy increased and so did the calcium (Ca) to phosphorus (P) ratio when compared to controls. Areas with abnormal enamel in patients after chemotherapy had lower concentrations of Ca and P, and higher concentrations of trace elements (Mg, Cl, and Na). The levels of the assessed elements in dentine, cementum, and inside the canal were similar in both groups of teeth.

17.
J Clin Pediatr Dent ; 42(3): 225-230, 2018.
Artículo en Inglés | MEDLINE | ID: mdl-29698138

RESUMEN

OBJECTIVE: To assess caries incidence, intensity, and treatment in children and adolescents under/after antineoplastic treatment. STUDY DESIGN: Patients with permanent and mixed dentition were divided into three groups of 60 patients each (5-18 years): CH - under chemotherapy; PCH - after chemotherapy; CG - generally healthy subjects. Caries incidence, intensity (DMFT/dmft, DMFS/dmfs), and mean numbers of teeth/surfaces with white spot lesions-WSL (D1+2/d1+2) were assessed following the ICDAS-II criteria. STATISTICAL ANALYSIS: Mann-Whitney U test, significance at p≤0.05). RESULTS: Caries incidence was significantly higher in PCH and CH (88.33% and 90%) than in CG (66.66%). Caries intensity was higher in both mixed and permanent dentition in patients under and after chemotherapy. The DMFS/DMFT correlation was the highest in PCH. Treatment indexes for primary and permanent teeth treatment were significantly lower in PCH and CH than CG. CONCLUSION: Antineoplastic chemotherapy is associated with caries development and its high incidence during/after treatment. As dental hygiene was poor in patients under and after antineoplastic treatment, dental checkups need to be more frequent and thorough.


Asunto(s)
Antineoplásicos/uso terapéutico , Caries Dental/epidemiología , Neoplasias/tratamiento farmacológico , Adolescente , Niño , Preescolar , Estudios de Seguimiento , Humanos , Incidencia
18.
Acta Paediatr ; 107(5): 886-892, 2018 05.
Artículo en Inglés | MEDLINE | ID: mdl-29297940

RESUMEN

AIM: This study assessed correlations between systemic disturbances of paediatric chronic liver diseases (CLD) and oral symptoms in subjects aged 2-18 years. METHODS: It was carried out during outpatient appointments at the Children's Memorial Health Institute, Warsaw, Poland, from 2010 to 2015 and comprised 52 CLD patients with a mean age of 12.3 ± 4.6. We also recruited 54 generally healthy controls with a mean age of 12.0 ± 3.7 from the Department of Paediatric Dentistry at the Medical University of Warsaw. The study used various measures, including the Child-Pugh score, which assesses CLD prognosis. We also assessed the causes of liver disease and the medication taken by the patients with CLD. RESULTS: A total of 24 patients received a Child-Pugh score of seven or more points, while 28 patients were awarded five or six points. More severe cases of gingivitis and a greater prevalence of oral lesions were evident in patients suffering from liver disease. Oral candidiasis, telangiectasia, bald tongue, cracked strawberry lip, yellowish-brown gum discoloration, petechiae and gingival bleeding all correlated with the severity of liver dysfunction, coagulopathy, protein, bilirubin and creatinine levels and portal hypertension. CONCLUSION: This study found that oral lesions and gingival bleeding may indicate the progression of liver failure.


Asunto(s)
Hepatopatías/complicaciones , Enfermedades de la Boca/etiología , Adolescente , Estudios de Casos y Controles , Niño , Preescolar , Progresión de la Enfermedad , Femenino , Humanos , Masculino , Índice Periodontal
19.
Dent Med Probl ; 55(4): 399-404, 2018.
Artículo en Inglés | MEDLINE | ID: mdl-30648364

RESUMEN

BACKGROUND: There is some increase in the risk of oral diseases in adolescence, as in this period of life, individuals become more independent regarding the consumption of sugary food and beverages, and they can be reluctant to apply oral hygiene procedures systematically. Therefore, adolescence is a period of life that needs special attention. OBJECTIVES: The objective of this study was to compare some oral health parameters and oral health-related behaviors of 15-year-olds within the past 7 years. MATERIAL AND METHODS: In 2008 and 2015, nationwide surveys on oral health condition involving 15-year-olds were carried out in Poland. Sampling and clinical examinations were performed according to the World Health Organization (WHO) criteria, which were extended with a questionnaire concerning pro-health behaviors. RESULTS: Caries prevalence and severity turned out to be a constant, as neither a significant reduction in the proportion of caries-affected adolescents (94.0% vs 94.0%) nor in the decayed, missing and filled teeth (DMFT) (5.96 vs 5.65), DT, FT, and significant caries (SiC) index values was found, except for a decline in MT (0.17 vs 0.07; p < 0.05). The periodontal condition revealed deterioration, since some increase in the percentage of adolescents with gingival bleeding (34.2% vs 37.4%), shallow pockets (0 vs 2.8%) and loss of attachment (0 vs 1.3%), and a decrease in the mean number of sound sextants (4.85 vs 4.21; p < 0.01) were noticed. Moreover, fewer adolescents declared brushing their teeth at least twice a day (77.8% vs 66.7%; p < 0.001). CONCLUSIONS: The high and constant prevalence of caries and deterioration of the periodontal condition indicate a significant burden on the oral health of adolescents. To improve this situation, the implementation of proper age-oriented oral health programs is needed.


Asunto(s)
Salud Bucal/estadística & datos numéricos , Adolescente , Estudios Transversales , Índice CPO , Caries Dental/epidemiología , Femenino , Conductas Relacionadas con la Salud , Humanos , Masculino , Enfermedades Periodontales/epidemiología , Polonia/epidemiología , Encuestas y Cuestionarios
20.
Acta Odontol Scand ; 76(4): 274-278, 2018 May.
Artículo en Inglés | MEDLINE | ID: mdl-29278007

RESUMEN

OBJECTIVES: To evaluate the knowledge of Polish parents concerning traumatic dental injuries (TDIs) and their management in children and to assess the influence of TDI experience on parents' knowledge. METHODS: A questionnaire study conducted from May 2014 to February 2015 involved 741 randomly selected individual parents of children aged 1-17 receiving treatment at the Department of Pediatric Dentistry at the Medical University of Warsaw. The questionnaire consisted of 28 questions concerning TDI management. RESULTS: The study included 600 questionnaires subjected to statistical analysis using a χ2 independence test and Spearman's rank correlation (p < .05). Results show that 68% of parents have never received information about TDI management. As many as 80.5% were unaware of the possibility of immediate replantation of an avulsed tooth; over 60% would not be capable of choosing a suitable transport medium for such a tooth. Over 12% of TDI-experienced parents were unaware of a suitable transport medium for an avulsed tooth. Three times as many inexperienced parents as parents with TDI experience would place an avulsed tooth in saline solution. The independence test presented a strong correlation between parents' education and their knowledge about TDI management. As many as 80% of parents assessed their knowledge about TDI as inadequate. CONCLUSIONS: It appears necessary to introduce programmes for parents to raise their level of awareness concerning this topic.


Asunto(s)
Conocimientos, Actitudes y Práctica en Salud , Padres/psicología , Avulsión de Diente/psicología , Avulsión de Diente/terapia , Traumatismos de los Dientes/psicología , Reimplante Dental/psicología , Adolescente , Niño , Femenino , Humanos , Masculino , Polonia , Encuestas y Cuestionarios , Traumatismos de los Dientes/terapia , Reimplante Dental/métodos
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