Perfil sociodemográfico e odontológico de usuários de próteses totais do programa de extensão universitária Resgatando Sorrisos / Sociodemographic and dental profile of users of total protheses in the university extention program "Resgatando Sorrisos"

Objetivo: Realizar uma análise transversal do perfil sociodemográfico e clínico de pacientes edêntulos bimaxilares e dos hábitos de uso das suas próteses totais (PT) antigas. Posteriomente, os participantes foram reabilitados com próteses totais, em um período de 3 anos (2017- 2019)), em três municípios do estado de Pernambuco - Brasil, por meio de um programa de extensão universitária. Métodos: 58 participantes foram avaliados por meio de um questionário composto de 73 questões. Os dados coletados permitiram uma avaliação quantitativa, e o nível de significância considerado foi de 0,05. Resultados: Destaca-se um perfil de pacientes idosos com uma média de tempo de desdentado total de 24,3±15,3 anos (maxila) e 22,14±14,22 (mandíbula), havendo uma maior prevalência de usuários com próteses bimaxilares (74%). Destaca-se em 57,1% da amostra, a predo-minância da escovação com creme dental e, em 42,9%, a utilização de sabão/detergente, solução de hipoclorito de sódio (NaClO) e/ou bicarbonato de sódio (NaHCO3) como coadjuvantes na higienização. Além disso, 66,6% da amostra apresentou necessidade de intervenção clínica para reparos na PT. Com relação aos hábitos deletérios, os idosos apre-sentaram menos o hábito de dormir com a prótese quando comparados a adultos (p≤0,001). Conclusão: O perfil dos participantes apresentou prevalência do gênero feminino e idade média de 63 anos, além de uma média de 20 anos desdentados (maxila e mandíbula), um tempo elevado de uso das próteses (>10 anos) e o hábito de uso contínuo. Mais da metade dos participantes utilizava métodos de higienização inadequados.

Objective: To conduct a cross-sectional analysis of the sociodemographic and clin-ical profile of edentulous bimaxillary patients and their habits of using old complete den-tures (CD).Subsequently, the participants were rehabilitated with complete dentures, in three years (2017-2019), in three municipalities located in the state of Pernambuco, - Bra-zil, through a university extension program. Methods: We evaluated a total of 58 partici-pants through a questionnaire with 73 questions. Data collected were used for quantitative assessment, and the level of significance was set at 0.05. Results: Most of the participants were elderly patients with an average total edentulous time of 24.3 ± 15.3 years, and 22.14 ± 14.22 years at the maxilla and mandible, respectively. In addition, there was a high prev-alence of users who had bimaxillary prostheses (74%). In 57.1% of the sample, there was a predominance of brushing with toothpaste, 42.9% used soap/detergent, sodium hypochlo-rite solution, and (or) sodium bicarbonate as adjuvants in cleaning. Moreover, 66.6% of the patients needed a clinical intervention for CD repairs. About the harmful habits, the elderly showed a less frequent habit of sleeping with their prostheses compared to the adults (p ≤ 0.001). Conclusion: Most of the participants were female with an average age of 63 years. They presented an average of 20 years of edentulousness (maxilla and mandible) and the extended use of the dentures (> 10 years), in addition to the habit of continuous use. More than half of the participants used inadequate cleaning methods.

Dental health in adults and subadults from the 16th-century plague cemetery of Alghero (Sardinia, Italy).

OBJECTIVE: The aim of this study is to examine a set of dental health indicators, including caries, periodontal disease, abscesses, ante-mortem tooth loss, calculus, and tooth wear of a 16th-century population from the city of Alghero, Sardinia (Italy), in order to evaluate the state of dental health and the diet. DESIGN: The cemetery is referable to the plague outbreak that ravaged the city in 1582-1583. A total of 160 individuals (81 adults and 79 subadults) were suitable for dental examination. RESULTS: The oral conditions of the urban population of Alghero are characterised by high frequency of carious lesions, periodontal disease, ante mortem tooth loss, and calculus, but a low prevalence of abscesses and moderate tooth wear are recorded. In general, no statistically significant sexual differences are observed, suggesting a uniform scenario for diet access and oral health. The subadult subsample shows moderate rates of caries and is affected by calculus. The results suggest that the diet was rich in soft and refined food, with a prevalence of carbohydrates and cariogenic aliments; the effects of the diet are associated with a lack of oral hygiene. CONCLUSIONS: The patterns of dental health observed in the Alghero population fit with the data observed in other Modern Age samples, reflecting increased prevalence of dentoalveolar diseases resulting from a less abrasive diet and an increase in carbohydrate consumption, as documented during the transition from the Middle Ages to the Modern period.

Oral Health: The First Step to Well-Being.

Scientific research in the medical field shows this constantly: health starts from the mouth. Having good oral health nowadays is not only aimed at tooth health, but as amply demonstrated in the literature, it is a starting point for the general health and well-being of our body. Retracing the latest scientific findings that demonstrate an interpolation between oral health, oral diseases, and systemic complications, literature support was brought to this manuscript. Oral health, as demonstrated, has potentially multi-organ systemic implications, and as the results of the recent literature demonstrate, these implications range from an insulin resistance, due to a periodontal disease, up to far more complex multi-organ systemic complications involving the cardiovascular system or even neurodegenerative pathology. Therefore, being able to improve oral health could have great systemic implications for the organism, for the prevention of pathologies, and therefore for society and for the quality of life in individuals.

Early medieval diet in childhood and adulthood and its reflection in the dental health of a Central European population (Mikulcice, 9th-10th centuries, Czech Republic).

OBJECTIVES: The aim of this study is to provide a detailed view of dental health in relationship to the diet of the Great Moravian population, with emphasis on childhood diet. DESIGN: We studied skeletal samples of the early medieval population of the Mikulcice agglomeration (Czech Republic) originating from the cemetery of the church VI (91 adults). Stable isotope analysis of carbon and nitrogen (intra-individual sampling - tooth and bone) was performed on this material, and dental characteristics (carious lesions, intensity of caries (I-CE), dental wear, linear enamel hypoplasia) evaluated. RESULTS: Isotopic signals obtained from tooth and bone samples of the same individuals differ significantly. Tooth samples show higher δ13C and lower δ15N than bone samples. δ15N in tooth and bone samples is related to socio-economic status. We discovered a relationship between isotopic signals from tooth or bone and intensity of caries and dental wear. CONCLUSION: We provide the first direct information about the diet of the juvenile part of the Great Moravian population from Mikulcice. The diet of children differed from the diet of adults. Children consumed more millet and less animal protein than adults. The social stratification of this population was obvious in dietary composition from childhood. Elites consumed more animal proteins than non-elite individuals. Tooth decay was related to relative consumption of plant and animal proteins. Greater dental wear is related to a diet based on C3 plants. There was no significant connection between diet composition and the formation of enamel hypoplasia.

Oral health and diet of a young Late Pleistocene woman from Quintana Roo, Mexico.

OBJECTIVES: To increase understanding of the subsistence practices of the first Americans through analysis of the near-complete dentition of a young woman dating to the terminal Pleistocene of the Yucatan Peninsula, Mexico. MATERIALS AND METHODS: The skeleton is that of "Naia" a 15 to 17-year-old female from the submerged natural trap of Hoyo Negro found in association with remains of numerous extinct species of megafauna. Superbly preserved remains included the skull with 28 teeth, which are analyzed for evidence of caries, periodontal disease, wear patterns, and malocclusion. RESULTS: Naia exhibits a high frequency of dental caries, along with aggressive periodontal disease that threatened all her teeth, particularly her incisors. Dental attrition was extremely light for a hunter-gatherer, reaching to four on the Molnar scale on only one tooth. Lack of wear is associated with severe mandibular retrognathia, and low masticatory forces. DISCUSSION: Naia's dental condition is compared with that of other northern Paleoamericans, mostly females, dating before 11,000 cal BP. These exhibit a high degree of variability in both caries and tooth wear. All, however, exhibit rapid anterior wear owing to technological use of the front teeth. Naia exhibits the highest rate of caries, similar to that of the earliest South Americans, and one of the lowest rates of attrition. This demonstrates that she had a nonabrasive diet that was at least seasonally rich in carbohydrates. This does not mean her diet was low in meat, however, because similarly light dental attrition is seen in the Arch Lake female, a Paleoamerican from a big-game hunting society.

Assessing subsistence and its relationship to cultural complexity in the late prehistoric upper Midwest: A new perspective provided by dental health.

OBJECTIVE: Previous researchers have assumed that the Late Prehistoric Oneota were less reliant on maize agriculture than their Middle Mississippian neighbors to the south. This assumption is based on the idea that intensive maize agriculture is related to sociopolitical complexity, and that the climate of the Great Lakes region was less conducive to full-scale agriculture than that of the American Bottom. Here, we assess the diet of the Oneota using dental pathology to test the hypothesis that the Oneota in Eastern Wisconsin were highly reliant on maize agriculture. MATERIALS AND METHODS: To test our hypothesis, skeletal remains representing 187 individuals and 1,102 teeth were examined from nine Oneota sites from the Middle Fox and Koshkonong Localities, as well as the Late Woodland/Middle Mississippian site of Aztalan. Dental caries, antemortem tooth loss (AMTL), and dental abscesses were assessed for each individual in the sample. Dental pathologies in the Oneota groups were compared to each other based on Locality and to the Aztalan population using chi-squared tests. RESULTS: Dental caries rates for the Oneota, based on the tooth count approach, were observed at 16.8% for the Middle Fox Locality, and 49% for the Koshkonong Locality. Comparatively, the Late Woodland/Middle Mississippian population from Aztalan had a tooth count rate of 19.5%. AMTL rates were similar across samples. Dental abscessing was universally low. DISCUSSION: The relatively high rate of dental caries among the Oneota is comparable to Middle Mississippian populations from throughout the Midwest, suggesting similar reliance on maize between the groups.

Role of Saliva and Salivary Diagnostics in the Advancement of Oral Health.

The objective of this article was to provide an account of some of the developments related to saliva over the first 100 years of the Journal of Dental Research and to outline some of the many biomarkers identified in saliva in the last few years. The first section covers findings in salivary physiology, biochemistry, calcium phosphate chemistry related to saliva, microbiology, and the role of saliva in maintaining oral health. The second section highlights salivary diagnostics, salivaomics, and saliva exosomics in the context of the emerging theme of personalized and precision medicine.

" Para maior glória do nosso Brasil ": educação e cuidados para a saúde bucal infantil, 1912-1940 / " For the higher glory of our Brazil: " infant oral health education and care, 1912-1940

Resumo O artigo problematiza as ações e campanhas educativas voltadas à infância na área odontológica, abordando aspectos centrais, como a implantação de gabinetes dentários nas escolas públicas e a criação de concursos de "bons dentes" para a propagação de preceitos da higiene moderna. Os dentistas foram agentes decisivos na difusão da "ciência odontológica moderna", presentes nas escolas e em diversas instituições, atuando em atividades educativas e também no âmbito de ações e lutas por políticas públicas que reconhecessem as questões de saúde bucal. O artigo se baseia em extensa pesquisa, incluindo documentação variada e, a partir de diálogos com a nova história cultural, busca questionar as formas de prescrever a saúde bucal nas primeiras décadas do século XX.

Abstract Educational actions and campaigns in the area of dentistry geared towards children are addressed, focusing on the introduction of dental cabinets, or offices, at public schools and the creation of "good teeth" competitions to spread modern precepts of hygiene. Dentists were key agents in the spread of "modern dental science" at schools and different institutions, taking part in educational activities and also in actions and struggles for public policies that recognized the issues of oral health. The article is based on extensive research of a variety of documental sources and, through dialogues with the new cultural history, questions the ways oral health was prescribed in the early decades of the twentieth century.

Dental markers of poverty: Biocultural deliberations on oral health of the poor in mid-nineteenth-century Ireland.

OBJECTIVES: Despite subsisting on a low-cariogenic diet comprising virtually nothing more than potatoes and dairy products, poor oral health affected the quality of life for the poor of nineteenth-century Ireland. This study investigates potential biocultural reasons that may explain why this was the case. MATERIAL AND METHODS: A total of 6,860 teeth and 9,889 alveoli from 363 permanent dentitions from the skeletal remains of impoverished adult Irish males and females who died between 1847 and 1851 in the Kilkenny Union Workhouse were examined for evidence of dental caries, periodontal disease and ante-mortem tooth loss. Caries rates were quantified and assessed by crude prevalence, frequencies, corrected caries rates and a t-health index, and evaluated by sex and age groups. RESULTS: A higher rate of caries was present among 18-25-year-old males than females, while the opposite relationship was evident for older age groups. The prevalence rates of periodontal disease and ante-mortem tooth loss increased with age. When assessed by corrected caries rates, tooth decay is observed at a lower rate compared to contemporaneous lower to upper-class population samples from London. DISCUSSION: Despite being low cariogenic foods, the potato starch and milk lactose of a nineteenth-century Irish laborer's diet would have lowered oral pH-values thereby increasing the risk of bacterial fermentation in dental plaque resulting in caries. Nutritional features alone cannot explain the high rates of dental caries observed in the Kilkenny workhouse population sample, however, and lifestyle factors, particularly habitual clay-pipe smoking, is considered a significant cause of poor oral health.

Oral health status in historic population: Macroscopic and metagenomic evidence.

Recent developments in High-Throughput DNA sequencing (HTS) technologies and ancient DNA (aDNA) research have opened access to the characterization of the microbial communities within past populations. Most studies have, however, relied on the analysis of dental calculus as one particular material type particularly prone to the molecular preservation of ancient microbial biofilms and potential of entire teeth for microbial characterization, both of healthy communities and pathogens in ancient individuals, remains overlooked. In this study, we used shotgun sequencing to characterize the bacterial composition from historical subjects showing macroscopic evidence of oral pathologies. We first carried out a macroscopic analysis aimed at identifying carious or periodontal diseases in subjects belonging to a French rural population of the 18th century AD. We next examined radiographically six subjects showing specific, characteristic dental pathologies and applied HTS shotgun sequencing to characterize the microbial communities present in and on the dental material. The presence of Streptococcus mutans and also Rothia dentocariosa, Actinomyces viscosus, Porphyromonas gingivalis, Tannerella forsythia, Pseudoramibacter alactolyticus, Olsenella uli and Parvimonas micra was confirmed through the presence of typical signatures of post-mortem DNA damage at an average depth-of-coverage ranging from 0.5 to 7X, with a minimum of 35% (from 35 to 93%) of the positions in the genome covered at least once. Each sampled tooth showed a specific bacterial signature associated with carious or periodontal pathologies. This work demonstrates that from a healthy independent tooth, without visible macroscopic pathology, we can identify a signature of specific pathogens and deduce the oral health status of an individual.

["For the higher glory of our Brazil:" infant oral health education and care, 1912-1940]. / "Para maior glória do nosso Brasil": educação e cuidados para a saúde bucal infantil, 1912-1940.

Educational actions and campaigns in the area of dentistry geared towards children are addressed, focusing on the introduction of dental cabinets, or offices, at public schools and the creation of "good teeth" competitions to spread modern precepts of hygiene. Dentists were key agents in the spread of "modern dental science" at schools and different institutions, taking part in educational activities and also in actions and struggles for public policies that recognized the issues of oral health. The article is based on extensive research of a variety of documental sources and, through dialogues with the new cultural history, questions the ways oral health was prescribed in the early decades of the twentieth century.

O artigo problematiza as ações e campanhas educativas voltadas à infância na área odontológica, abordando aspectos centrais, como a implantação de gabinetes dentários nas escolas públicas e a criação de concursos de "bons dentes" para a propagação de preceitos da higiene moderna. Os dentistas foram agentes decisivos na difusão da "ciência odontológica moderna", presentes nas escolas e em diversas instituições, atuando em atividades educativas e também no âmbito de ações e lutas por políticas públicas que reconhecessem as questões de saúde bucal. O artigo se baseia em extensa pesquisa, incluindo documentação variada e, a partir de diálogos com a nova história cultural, busca questionar as formas de prescrever a saúde bucal nas primeiras décadas do século XX.

Transition to agriculture in South-Eastern Arabia: Insights from oral conditions.

OBJECTIVES: In Southeast (SE) Arabia, agriculture is supposed to expand around 3000 BC, but its tempo and its actual role in populations' subsistence is still debated by archaeologists. Here, we compare dental health conditions of 11 skeletal samples from coastal and inland sites, dated from the Late Neolithic (ca. 4500-3100 BC) to the Early Bronze Age (EBA), conventionally divided into Hafit (ca. 3100-2700 BC) and Umm an-Nar period (ca. 2700-2000 BC). The goal is to assess long-term trends in subsistence patterns and regional variability during the local transition to agriculture. METHODS: Seven indicators of oral health and childhood stress were analyzed, including dental wear, calculus, caries, alveolar resorption, periapical lesions, ante-mortem tooth loss (AMTL), and linear enamel hypoplasia (LEH). RESULTS: Neolithic coastal populations are globally characterized by high dental wear, high calculus frequency, high LEH frequency, and frequent periodontal disease, whereas they exhibit low abscesses and AMTL frequencies and a total absence of carious lesions. Samples from the Hafit period present high dental wear, low rates of calculus and LEH, frequent periodontal disease, combined with low abscess and AMTL frequencies and absence of caries. By contrast, samples from the Umm an-Nar period exhibit much lower dental wear, calculus and LEH rates, whereas caries, periapical lesions and AMTL frequencies increase significantly. Marked differences were observed between coastal and inland Umm an-Nar groups, the latter presenting significantly higher frequencies of caries, periapical lesions, alveolar resorption and AMTL. DISCUSSION/CONCLUSION: Oral conditions from the Neolithic coastal populations denote a diet mainly composed of unprocessed and abrasive food, with high protein and low carbohydrate intakes, and frequent stress episodes. Although Hafit populations display some changes in oral pathologies, which indicate modifications in their lifestyle and a diversification of the diet, no markers of high carbohydrate intakes were observed in our samples. The impact of agriculture on oral health appears clearly only from the Umm an-Nar period, and is more intense inland than on the coast, where marine resources are still a main component of the diet.

Dental investigation of mummies from the Capuchin Catacombs of Palermo (circa 18th-19th century CE).

Within the framework of the Sicily Mummy Project, the orofacial complex of a significant sample of individuals (n=111) from the Capuchin Catacombs of Palermo, Italy, was inspected. The heads and dentitions of the mummies were documented and the recorded findings described: the state of preservation of skeletal and soft tissues; dental pathologies such as carious lesions and alveolar bone loss; enamel hypoplasia; and ante- and post-mortem tooth loss. Despite limitations in data collection, the oral health of these mummies was assessed and the frequencies of pathologies were compared to those of similar populations. From their position within the corridors of the Catacombs, sex and social status of the mummies were also inferred, allowing the dental pathologies to be specified in the social and historical context. Most interestingly, the rate of oral health problems did not differ between the groups of the members of the Capuchin Order and the laymen of the city of Palermo, despite their different lifestyles.

Historia de los servicios estomatológicos en el municipio de Colón / History to the service of dentistry in Colon municipality

La Estomatología en el municipio de Colón ha pasado por diversos momentos, hoy toma dimensiones cualitativamente superiores, que contribuyen a elevar la salud bucal y la calidad de vida de la población. Se considera pionera en la atención estomatológica. El objetivo es revelar la historia de los servicios de Odontología, en el municipio (AU).

Dentistry, in the municipality of Colon has gone through different moments. Nowadays it is taking qualitatively higher dimensions contributing to improve the population´s oral health and life quality. It is considered a pioneer in dental care. The aim is telling the history of Odontology services in the municipality (AU).

Historia de los servicios estomatológicos en el municipio de Colón / History to the service of dentistry in Colon municipality

La Estomatología en el municipio de Colón ha pasado por diversos momentos, hoy toma dimensiones cualitativamente superiores, que contribuyen a elevar la salud bucal y la calidad de vida de la población. Se considera pionera en la atención estomatológica. El objetivo es revelar la historia de los servicios de Odontología, en el municipio (AU).

Dentistry, in the municipality of Colon has gone through different moments. Nowadays it is taking qualitatively higher dimensions contributing to improve the population´s oral health and life quality. It is considered a pioneer in dental care. The aim is telling the history of Odontology services in the municipality (AU).

Oral Health of New Zealand Service Personnel in WW1.

BACKGROUND AND OBJECTIVES: During the First World War, 10% of New Zealand's population served in the armed forces, and around one in five of those were killed. In commemoration of 100 years since WW1, this study uses retrospective data to report on the oral health of NZ service personnel. METHODS: 325 Pakeha, 165 Maori and 150 Samoan male recruits who served in the NZ Expeditionary Force between 1914 and 1918 were randomly selected and their personnel files accessed through Archives New Zealand. RESULTS: The oral health of recruits was described as 'good' for 44%, 'pass' for 38%, 'pass with false teeth' for 5% and 'poor' for 13%. Dental health was documented at enlistment for a decreasing proportion of soldiers as the war progressed, dropping from 96% during 1914-15, to 54% in 1916 and 22% in 1917-18 (p < 0.001). Significantly more soldiers who enlisted in 1917-18 had poor dental health (44%) than those who enlisted during 1916 (20%) and 1914-15 (8%) (p < 0.001). By ethnicity, Maori had the best dental health, followed by Samoan and Pakeha recruits (p < 0.001). On average, dental health was poorer among the lower ranks and among recruits of low socio-economic status; and soldiers from major cities had better oral health than those from rural areas; however, these differences were not statistically significant in this sample. CONCLUSIONS: Enlistment criteria appear to have been loosened as the war progressed, perhaps to accept more soldiers into service. Poor oral health was reported for approximately 1 in 7 accepted recruits. Maori appear to have had better oral health.