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1.
J Am Dent Assoc ; 152(4): 269-276.e2, 2021 Apr.
Artículo en Inglés | MEDLINE | ID: mdl-33775286

RESUMEN

BACKGROUND: Untreated caries (UC), although highly prevalent, is largely preventable. Information on the contribution of different teeth to UC prevalence and severity could be helpful in evaluating UC surveillance protocols and the relative benefits of caries prevention interventions. METHODS: The authors combined data from 3 cycles (2011-2016) of the National Health and Nutrition Examination Survey for participants aged 6 through 11 years, 12 through 19 years, 20 through 34 years, 35 through 49 years, 50 through 64 years, 65 through 74 years, and 75 years and older. For each age group the authors calculated the contribution of successive permanent tooth types (for example, first molars and second molars) to UC prevalence and severity. RESULTS: UC prevalence and the percentage of prevalence detected by means of screening molars were, respectively, 5% and 95% among participants aged 6 through 11 years; 16% and 92% among participants aged 12 through 19 years; 29% and 86% among participants aged 20 through 34 years; 26% and 70% among participants aged 35 through 49 years; 21% and 48% among participants aged 50 through 64 years; 16% and 36% among participants aged 65 through 74 years; and 17% and 25% among participants 75 years and older. Among adults aged 50 years and older, no teeth appeared to capture a disproportionate share of UC prevalence. Molars accounted for 87%, 79%, and 56% of severity among participants aged 6 through 11 years, 12 through 19 years, and 20 through 34 years, respectively. After age 34 years, molars accounted for less than 50% of severity. CONCLUSIONS: Molars are the tooth type most susceptible to UC well into adulthood. PRACTICAL IMPLICATIONS: Molars could be used as sentinel teeth for surveillance of UC and adults could benefit from caries prevention that targets molars.


Asunto(s)
Caries Dental , Selladores de Fosas y Fisuras , Adulto , Anciano , Niño , Caries Dental/epidemiología , Caries Dental/prevención & control , Susceptibilidad a Caries Dentarias , Dentición Permanente , Humanos , Persona de Mediana Edad , Encuestas Nutricionales , Vigilancia en Salud Pública , Adulto Joven
2.
Evid Based Dent ; 22(1): 44-45, 2021 01.
Artículo en Inglés | MEDLINE | ID: mdl-33772137

RESUMEN

Data sources PubMed, Scopus, Web of Science, MEDLINE and CINAHL.Study selection Randomised controlled trials, cross-sectional studies and cohort studies.Data extraction and synthesis Two reviewers independently extracted data using piloted forms and contacted authors if relevant data were missing. Assessment of quality was done using the Newcastle-Ottawa scale (NOS) for both cohort and cross-sectional studies. The score of NOS ranged from 1-9, where 6-7 is considered moderate quality while 8-9 is high quality.Results Seventeen studies were included in the review (13 cross-sectional and four cohort). Seven out of 13 cross-sectional studies scored ≤5 which indicates poor quality. The four case-control studies were of moderate quality. Overall, there is limited evidence that patients with multiple sclerosis (MS) have more dental caries or gingival disease. However, evidence suggests that patients with MS have more risk of periodontal disease and poor oral hygiene. The evidence also suggests a moderate association between MS and temporomandibular disorders (TMD).Conclusions With the exception of TMD, current evidence does not establish an association between MS and most oral health conditions. More high-quality evidence is needed to further explore and establish an association.


Asunto(s)
Caries Dental , Esclerosis Múltiple , Estudios Transversales , Caries Dental/epidemiología , Humanos , Esclerosis Múltiple/complicaciones , Salud Bucal , Higiene Bucal
3.
Evid Based Dent ; 22(1): 46-47, 2021 01.
Artículo en Inglés | MEDLINE | ID: mdl-33772138

RESUMEN

Data sources Databases searched included PsycINFO, PubMed, SciELO, Scopus and Web of Science.Study selection Cross-sectional, longitudinal and retrospective studies that compared caries, periodontal disease or tooth loss in people who use drugs as compared to those who do not. Studies that included psychiatric populations and alcohol or tobacco users were not included in the review. Qualitative studies, in vitro investigations, animal studies, reviews, case reports and series, letters to editor and conference abstracts were also excluded. The authors included only English studies published before 1 July 2019. Two independent reviewers screened the papers on title and abstract and then full text. In case of disagreements, these were discussed between the two reviewers and a third one was consulted if needed.Data extraction and synthesis Two reviewers extracted the data and contacted the primary authors for necessary clarifications, if needed. The unweighted kappa was applied to examine inter-examiner agreement. The Joanna Briggs Institute Critical Appraisal Checklist for observational studies was used to critically appraise the studies. The study selection results were presented through a flowchart. For the meta-analysis, the authors considered adjusted data. In some cases, crude estimates were used. Heterogeneity was estimated using the I2 statistic. The 'meta' package was used for the meta-analysis.Results Ten studies were included in the meta-analysis. Drug use was associated with higher risk of periodontal disease (OR 1.44; 95% CI 0.8-2.6) and higher DMFT index (OR 4.11; 95% CI 2.07-8.15).Conclusions The review showed high risk of periodontal disease and caries among people who use drugs. The authors concluded that this association may be explained by irregular tooth brushing and long history of drug use. It is important to develop programmes that aim to improve oral hygiene practices among people who use drugs.


Asunto(s)
Caries Dental , Enfermedades Periodontales , Preparaciones Farmacéuticas , Estudios Transversales , Caries Dental/epidemiología , Humanos , Salud Bucal , Enfermedades Periodontales/epidemiología , Estudios Retrospectivos
4.
Eur J Paediatr Dent ; 22(1): 41-46, 2021.
Artículo en Inglés | MEDLINE | ID: mdl-33719482

RESUMEN

AIM: This study investigates the influence of early childhood caries (ECC) on the occurence of developmental defects of enamel (DDE) on permanent teeth. METHODS: Study design: This prospective original study was conducted to monitor the relationship between ECC in primary dentition and DDE as their consequences on permanent successors. One hundred and forty children were recruited and included in the study group with diagnosed ECC (ECCG) (N=60) or the control group (CG) (N=80). Deciduous upper central incisors were assessed for existing dental caries according to the dmft index and the modified pufa score and permanent incisors were examined using the modified DDE index. RESULTS: Prevalence of DDE was 19.3% in the whole sample; in ECCG it was 24.2% and 12.6% in CG. The most common defect was diffuse opacity with a prevalence of 44.8% in ECCG and 72% in CG. Prevalence of hypoplasia was 13.8% in ECCG, in CG it was present as a combination defect with a prevalence of 4%. The extent of less than 1/3 of labial aspect was in 69% of defects in ECCG,in CG it was 52%. The location of defects in the incisal third was 48.3% in ECCG and 32% in controls. CONCLUSION: A statistically significant relationship between ECC and DDE was not observed. The results were compared with studies about the relationship between ECC and DDE.


Asunto(s)
Caries Dental , Hipoplasia del Esmalte Dental , Niño , Preescolar , República Checa/epidemiología , Caries Dental/epidemiología , Susceptibilidad a Caries Dentarias , Esmalte Dental , Hipoplasia del Esmalte Dental/epidemiología , Humanos , Estudios Longitudinales , Prevalencia , Estudios Prospectivos , Diente Primario
5.
Hua Xi Kou Qiang Yi Xue Za Zhi ; 39(1): 53-57, 2021 Feb 01.
Artículo en Inglés, Chino | MEDLINE | ID: mdl-33723937

RESUMEN

OBJECTIVES: To investigate caries status and its impact factors in preschool children in plateau and to provide reference for caries prevention in highlands. METHODS: Examination of caries was performed on 1 597 children aged 3-5 years old in 11 kindergartens in Changdu, Xizang, in accordance with the 4th National Oral Health Survey standards and methods. Their parents were surveyed with the questionnaire regarding oral hygiene habit and consciousness about oral health and related factors. All the data were collected and analyzed. RESULTS: The prevalence of caries among children aged 3-5 years old in Changdu was 52.85%, with dmft index of 2.44. The caries rate and dmft of children aged 3 years old were lower than those of children aged 4 and 5 years old (P<0.05). No significant difference was observed in the caries rate between males and females (P>0.05). Single-factor analysis showed that the frequency of brushing teeth more than twice a day, low frequency of eating sweets, high frequency of drinking butter tea, and regular oral examination can reduce the rate of caries (P<0.05). Multivariate logistic analysis showed that the frequency of eating sweets, drinking butter tea, and oral examination are related impact factors of caries. CONCLUSIONS: The prevalence of ca-ries in children aged 3-5 years old in Changdu increases with aging. Good oral hygiene and eating habits and regular oral examination can reduce the rate of caries.


Asunto(s)
Caries Dental , Preescolar , Estudios Transversales , Índice CPO , Caries Dental/epidemiología , Caries Dental/prevención & control , Susceptibilidad a Caries Dentarias , Femenino , Humanos , Masculino , Salud Bucal , Higiene Bucal , Prevalencia
6.
Georgian Med News ; (310): 48-54, 2021 Jan.
Artículo en Inglés | MEDLINE | ID: mdl-33658409

RESUMEN

Aim of the study -to determine the indices of local immunity in patients who had combined dental pathology (caries) and gastroesophageal reflux disease. In total were exanimated 33 patients with dental caries in age from 18 to 25 years, including 21 men and 12 women. The main group consisted of 17 patients who had a combined dental pathology (caries) and gastroesophageal reflux disease. The comparison group consisted of 16 people who had dental caries without other systemic diseases.  All patients, who were included in the study was carried out the following researches: a study of the dental status, an immunological study for all patients with the determination of a quantitative assessment of the main populations and subpopulations of lymphocytes, determination of their functional activity, determination of level of serum immunoglobulins, determination of the concentration of circulating immune complexes of various molecular sizes, phagocytic activity of neutrophils and cytokine status in serum and oral fluid, as well as assessment of the course of gastroesophageal reflux disease with questionnaires. The results of the values of the resistance of hard tissues to the effects of cariogenic factors had a high positive correlation with the intensity of dental caries lesions. That confirms the presence of a relationship between manifestations of systemic diseases together with the development of dental caries, especially against the background of a decrease in caries resistance. In the presence of gastroesophageal reflux disease in patients dental caries detected spontaneous activation of lymphocyte proliferation by 25.8%, an increasing of the phagocytic activity of neutrophils, detected significantly higher indicators of the phagocytic number and phagocytic index, increased content of medium and small molecular circulating immune complexes with pathogenic properties. Detected significantly higher content of pro-inflammatory cytokines - tumor necrosis factor-α, an increased concentration of IgG as a result of antigenic stimulation, and also a significantly lower concentration of secretory IgA. It has been established that in patients with gastroesophageal reflux disease combined with dental caries observing changes in the immune system, which bear the features of subclinical immune inflammation. The study revealed a higher intensity of the carious process in patients with gastroesophageal reflux disease, which is associated with permanent acid damage of the oral mucosa. Furthermore, it was found violation in terms of concentration with increasing local immunity oral liquid proinflammatory factors and a reduced concentration of secretory IgA namely with concomitant pathologies of the gastroesophageal reflux disease.


Asunto(s)
Caries Dental , Reflujo Gastroesofágico , Adolescente , Adulto , Citocinas , Caries Dental/complicaciones , Caries Dental/epidemiología , Susceptibilidad a Caries Dentarias , Femenino , Reflujo Gastroesofágico/complicaciones , Reflujo Gastroesofágico/epidemiología , Humanos , Masculino , Mucosa Bucal , Adulto Joven
7.
Braz Oral Res ; 35: e13, 2021.
Artículo en Inglés | MEDLINE | ID: mdl-33656097

RESUMEN

This study aimed to identify the prevalence of molar-incisor hypomineralization (MIH) in schoolchildren and its association with dental caries experience. This was a cross-sectional study with a sample of 471 children aged 8 to 10 years. Data were collected via a sociodemographic questionnaire. Intra-oral clinical examination was done to identify and diagnose MIH (EAPD Criteria) as well as dental caries (ICDAS Index). Statistical analyses were performed with Person's Chi-square, Fisher's exact, and Mann-Whitney tests, and Poisson regression models were built. Statistical significance was set at an alpha-level of 0.05. The prevalence of MIH in our participants was 9.8%, with lesions being mostly of the mild form (65.2%) and affecting the first permanent molars but not the incisors in 54.2% of the children. Dental caries was observed in 88.1% of subjects. We observed a significant association between dental caries and the following variables: presence of MIH (p < 0.01; PR = 1.13), dental visit (p < 0.02; PR=0.92), and parents or legal guardians' education level (p < 0.05; PR = 1.07). A MIH diagnosis was also significantly associated with family income (p < 0.05; PR = 4.09). Children with MIH had more caries lesions on molar surfaces (p < 0.01; PR = 4.05). The prevalence of MIH was found to be moderate, based on previous studies, and the presence of enamel defect was associated with dental caries. The teeth most affected by MIH lesions were the first permanent molars.


Asunto(s)
Caries Dental , Hipoplasia del Esmalte Dental , Brasil/epidemiología , Niño , Estudios Transversales , Caries Dental/epidemiología , Hipoplasia del Esmalte Dental/epidemiología , Humanos , Incisivo , Diente Molar , Prevalencia
8.
Pediatr Dent ; 43(1): 1E-12E, 2021 Jan 15.
Artículo en Inglés | MEDLINE | ID: mdl-33662253

RESUMEN

Purpose: To systematically evaluate the horizontal transmission of Streptococcus mutans in children and analyze its relationship with dental caries. Methods: Seven databases were searched for observational studies that have determined the transmission of S. mutans among children younger than seven years. Selection of included studies, data extraction, and quality assessment using Downs and Black's (1998) scoring system were performed. The inverse variance random-effect approach was used to pool the results, and statistical heterogeneity was evaluated using I-squared statistics. Results: Fifteen studies were included for qualitative synthesis, five of which were pooled for quantitative analysis. The risk ratio (RR) of sharing only one genotype in caries-free children versus children with caries was found to be 0.60 (95 percent confidence interval [95% CI] equals 0.45 to 0.80; P ≤ 0.001). The RR of sharing more than one genotype was 1.46 (95% CI equals 1.13 to 1.89; P=0.004) in children with caries versus caries-free children. These findings imply that children sharing only one genotype have a 40 percent lesser risk, and children sharing more than one genotype have a 46 percent higher risk of having dental caries. Conclusions: The systematic review provides evidence of the horizontal transmission of S. mutans and its association with dental caries.


Asunto(s)
Caries Dental , Streptococcus mutans , Niño , Caries Dental/epidemiología , Genotipo , Humanos , Streptococcus mutans/genética
9.
J Clin Pediatr Dent ; 45(1): 35-40, 2021 Jan 01.
Artículo en Inglés | MEDLINE | ID: mdl-33690827

RESUMEN

AIM: The aim of this study was to assess the association between dental caries, molar incisor hypomineralisation (MIH) and obesity in relationship with different vitamin D levels in children. STUDY DESIGN: This retrospective case-controlled study enrolled 455 children aged 6-18 years, who attended to both pediatric endocrinology and pediatric dentistry clinics at the Aydin Adnan Menderes University Hospital, Turkey. Vitamin D status was measured with serum (25(OH)D) concentrations. Body mass index (BMI) were used to determine adiposity. Caries status was assessed using the decayed-missing-filled teeth (dft) and (DMFT) index for primary and permanent dentitions using WHO standard methodology. MIH were diagnosed according to the EAPD criteria. RESULTS: DMFT did not show any significant difference between obese and normal weight children in both age groups. However, in 6-11 age group, obese children had lower dft and the difference was statistically significant (p<0.001). Median caries index values and MIH prevelance among the obese and normal weight children found similar with deficient, insufficient and sufficient levels of serum 25(OH) D in both age groups. CONCLUSION: Our analyses provide no evidence to suggest that obese children are at increased risk for dental caries. Serum 25(OH)D concentrations would not seem to have a significant effect on dental caries and MIH in children.


Asunto(s)
Caries Dental , Hipoplasia del Esmalte Dental , Adolescente , Niño , Estudios Transversales , Caries Dental/epidemiología , Hipoplasia del Esmalte Dental/epidemiología , Humanos , Obesidad/complicaciones , Obesidad/epidemiología , Prevalencia , Estudios Retrospectivos , Turquia/epidemiología , Vitamina D/análogos & derivados
10.
Braz Oral Res ; 35: e031, 2021.
Artículo en Inglés | MEDLINE | ID: mdl-33729276

RESUMEN

The aim of this study was to investigate the intraoral distribution of untreated caries and tooth loss and estimate the impact of different socioeconomic factors on the occurrence of these outcomes. A cross-sectional study was conducted with 652 18-year-old male adolescents from the city of Sapucaia do Sul, Brazil, who conscripted for military service. The participants answered a questionnaire addressing sociodemographic variables. Two trained and calibrated examiners performed the clinical examinations for the diagnosis of dental caries using the criteria of the World Health Organization. Tooth group and adolescent were the units of analysis for the primary outcomes of the study. Poisson regression analysis with robust variance was performed, with the calculation of crude and adjusted prevalence ratios (PR) and 95% confidence intervals (CI). The prevalence of caries experience and untreated caries was 70.2% and 39.3%, respectively, and 9.4% of the adolescents had missing teeth. Sixty-seven percent of the untreated caries and 98.8% of missing teeth were in first molars. The probability of dental caries and tooth loss was significantly higher among adolescents with less schooling (PR = 2.56; 95%CI: 1.97-3.32 and PR = 3.28; 95%CI: 1.61-6.65, respectively) and those whose mothers had less schooling (PR = 1.31; 95%CI: 1.03-1.67 and PR = 2.30; 95%CI: 1.18-4.50, respectively). In conclusion, the occurrence of untreated dental caries and tooth loss was concentrated in the first molars of adolescents. Moreover, the prevalence of both conditions was higher among adolescents with low schooling and whose mothers had low schooling, reflecting the strong intraoral and socioeconomic polarization of these outcomes.


Asunto(s)
Caries Dental , Pérdida de Diente , Adolescente , Brasil/epidemiología , Estudios Transversales , Caries Dental/epidemiología , Susceptibilidad a Caries Dentarias , Humanos , Masculino , Prevalencia , Factores Socioeconómicos , Pérdida de Diente/epidemiología
11.
Evid Based Dent ; 22(1): 16-17, 2021 01.
Artículo en Inglés | MEDLINE | ID: mdl-33772123

RESUMEN

Data sources Medline, EMBASE, PubMed and Scopus databases were used as the data sources for the systematic review. Articles published between 1 January 1990 to 31 October 2018 were included with no language restrictions. A manual search of the references lists of the selected studies and review articles was conducted.Study selection Two independent researchers identified observational studies that investigated at least one risk factor of root caries in the study population. Studies were only included if they demonstrated statistical analysis of data on root caries, had a sample size of >100 and were in vivo. A third researcher was consulted to achieve consensus if there was disagreement. Methodological quality was evaluated via the modified Newcastle-Ottawa Scale for cross-sectional studies.Data extraction and synthesis Data was extracted and pooled into descriptive summary tables with study characteristics and results. Data on the presence and extent of root caries was recorded in addition to information on the relationship between the studied factors and root caries found in the unadjusted and adjusted data. Due to heterogeneity of key aspects among the included studies, meta-analysis was not conducted. Data were grouped under six categories - sociodemographic, general health behaviour, general health condition, fluoride exposure, oral health behaviour and oral health condition - and qualitatively analysed.Results Following screening of 984 articles, 62 were included in methodological quality assessment. Twenty-five were classified as moderate quality, 37 as low quality and 18 excluded. Of the 44 included articles which were qualitatively analysed, a higher association of dental caries was found in tobacco users and those with low socioeconomic status, gingival recession, poor oral hygiene and in older age groups.Conclusions Based on the present evidence, there are a number of factors associated with root caries. More high-quality observational analytical studies are needed in this field in future studies.


Asunto(s)
Caries Dental , Caries Radicular , Anciano , Estudios Transversales , Caries Dental/epidemiología , Fluoruros , Humanos , Salud Bucal , Caries Radicular/epidemiología , Caries Radicular/etiología
12.
Evid Based Dent ; 22(1): 18-19, 2021 01.
Artículo en Inglés | MEDLINE | ID: mdl-33772124

RESUMEN

Design Three-armed randomised clinical trial.Study selection The study's aim was to examine the effectiveness of providing oral health promotion, prevention and a restorative programme at mother and child health clinics (MCHs) through a multidisciplinary team. This was studied by collecting data on the participants' caries rates. The study sample consisted of 368 Peruvian children, aged 0-3 years, who were from low socioeconomic areas of Peru and were studied over three different MCHs. The interventions used in this study are split into active intervention group (AG), passive intervention group (PG) and control group (CG). The AG group had multiple interventions, such as multiple training courses for nurses on dental health, oral health-related information cards (OHICs) and atraumatic restorative treatment (ART)-trained dentists. The PG implemented OHICs and ART-trained dentists, and the CG nurses received a 45-minute lecture on the importance of oral health and regular protocols followed.Data analysis/data extraction and synthesis Caries Assessment Spectrum and Treatment (CAST) scores were used to measure the participants' caries rates. The CAST scores were collected over a three-year period by two calibrated and trained dentists. The CAST scores ranged from 0 (no caries) to 8 (loss of tooth due to caries), although the authors only collected data from scores 3-8 as this was indicating disease presence.Results The results were gathered for each arm of the study and compared using analysis of variance. The results showed that it was statistically significant (P <0.001) that the AG group had a lower rate of carious dentine compared to the PG and CG groups. The percentage of carious dentine prevalence was 10%, 60.5% and 63.0%, respectively.Conclusion The conclusion of the paper is that using a multidisciplinary approach - with trained nurses, delivery of oral health inspection and advice - can reduce the rate of caries in 0-3-year-olds.


Asunto(s)
Tratamiento Restaurativo Atraumático Dental , Caries Dental , Niño , Preescolar , Caries Dental/epidemiología , Caries Dental/prevención & control , Países en Desarrollo , Promoción de la Salud , Humanos , Lactante , Recién Nacido , Perú
13.
Artículo en Inglés | MEDLINE | ID: mdl-33535581

RESUMEN

(1) Background: The objective is to systematically review the evidence on intervention programs aiming at reducing inequality in dental caries among children. (2) Methods: Two independent investigators searched MEDLINE, Cochrane library, and Ovid up to December 2020 to identify intervention studies assessing the impact on socioeconomic inequalities in dental caries among children. The interventions included any health promotion/preventive intervention aiming at reducing caries among children across different socioeconomic groups. Comparison groups included children with alternative or no intervention. Cochrane criteria were used to assess interventional studies for risk of bias. (3) Results: After removal of duplicate studies, 1235 articles were retained. Out of 43 relevant papers, 13 articles were identified and used in qualitative synthesis, and reported quantifiable outcomes. The included studies varied in measurements of interventions, sample size, age groups, and follow-up time. Five studies assessed oral health promotion or health-education, four assessed topical fluorides, and four assessed water fluoridation. Interventions targeting the whole population showed a consistent reduction of socioeconomic inequalities in dental caries among children. (4) Conclusion: The quality of included papers was moderate. High heterogeneity did not allow aggregation of the findings. The overall findings suggest that whole population interventions such as water fluoridation are more likely to reduce inequalities in children's caries than target population and individual interventions.


Asunto(s)
Caries Dental , Niño , Caries Dental/epidemiología , Caries Dental/prevención & control , Fluoruración , Fluoruros Tópicos , Promoción de la Salud , Humanos , Salud Bucal
14.
Int J Dent Hyg ; 19(2): 166-175, 2021 May.
Artículo en Inglés | MEDLINE | ID: mdl-33523601

RESUMEN

OBJECTIVES: To investigate the prevalence of dental caries and to identify risk factors for dental caries in an elderly population between 2008 and 2018. METHODS: This longitudinal study used data from a questionnaire survey and a clinical examination administered on two occasions 10 years apart to 273 individuals who were 65 and 75 years of age in 2008. The variables included were prevalence of dental caries as well as socioeconomic and socio-behavioural factors. RESULTS: The number of teeth decreased in both age groups by a mean of 2 over the 10-year study period, but the prevalence of dental caries remained stable. Approximately, a quarter of the participants had caries lesions. Toothbrushing once a day or less was the factor most strongly correlated with dental caries lesions (OR: 3.82, 95% CI: 1.68-8.66, p = 0.001), followed by need for homecare (OR: 3.50, 95% CI: 1.55-7.93, p = 0.003) and interproximal cleaning less than once a day (OR: 2.65, 95% CI: 1.36-5.19, p = 0.004). CONCLUSIONS: This longitudinal study revealed no increase in the prevalence of dental caries lesions, indicating that good oral health can be preserved among elderly people. The highest risk for dental caries lesions was among participants with inadequate oral hygiene routines (toothbrushing once a day or less and seldom using interproximal devices) and in need of help in daily living, emphasizing the importance of oral hygiene and collaboration between dental services and community-based health care.


Asunto(s)
Caries Dental , Anciano , Estudios Transversales , Caries Dental/epidemiología , Susceptibilidad a Caries Dentarias , Humanos , Estudios Longitudinales , Salud Bucal , Higiene Bucal , Prevalencia , Cepillado Dental
15.
Environ Health Prev Med ; 26(1): 21, 2021 Feb 12.
Artículo en Inglés | MEDLINE | ID: mdl-33579186

RESUMEN

BACKGROUND: Globally, dental caries may be a major public health issue which may be preventable. Many studies have been conducted on dental caries in Ethiopia which present inconsistent results. OBJECTIVE: This meta-analysis was expected to consolidate the findings conducted in various regions of the country and generate country representative information on the burden and its associated factors of dental caries in Ethiopia. METHODS: Our systematic review and meta-analysis was carried out to estimate the pooled prevalence of dental caries and its associated factors in the Federal Democratic Republic of Ethiopia. Medical specialty databases like ScienceDirect, HINARI, Embase, PubMed, Google Scholar, and Cochrane Library were consistently and exhaustively searched. To determine the aggregate prevalence, studies delineating the prevalence of dental caries and associated factors were included. Important data were extracted employing a standardized data extraction tool ready in Microsoft Excel and imported to the STATA version-13 statistical software package for analyses. To assess non-uniformity, the Cochrane Q test statistics and I2 test were performed respectively. A random effects model meta-analysis was accustomed to estimate the pooled burden of dental caries. RESULTS: The result of thirteen studies disclosed that the overall prevalence of dental caries in the Federal Democratic Republic of Ethiopia was found to be 40.98 (31.62, 50.34). Within the subgroup analysis, the uppermost prevalence was determined in Tigray region (46.59% (24.64, 68.54)) whereas the bottom prevalence was determined in Addis Ababa (34.20% (8.42, 59.97)). Dental caries prevalence was considerably high among study subjects who consumed sweet food (OR= 2.4 (95% CI (1.91, 3.01))). But the presence of dental plaque (OR = 5.14 (95% CI (0.67, 39.39))) and habit of tooth- cleaning (OR = 0.71 (95% CI (0.17, 2.96))) were not statistically significant with the outcome of interest. CONCLUSION: Our meta-analysis found that the prevalence of dental caries was comparatively high, and sweet food consumption was the most risk issue for dental caries in Ethiopia. The Ethiopian Federal Ministry of Health ought to offer a lot of attention to strengthen the oral health care system and also the implementation of community-level interference programs.


Asunto(s)
Caries Dental/epidemiología , Adolescente , Adulto , Anciano , Anciano de 80 o más Años , Niño , Caries Dental/etiología , Etiopía/epidemiología , Humanos , Persona de Mediana Edad , Prevalencia , Factores de Riesgo , Adulto Joven
16.
J Am Dent Assoc ; 152(3): 224-233.e11, 2021 03.
Artículo en Inglés | MEDLINE | ID: mdl-33632412

RESUMEN

BACKGROUND: Globally, children's caries prevalence exceeds 30% and has not markedly changed in 30 years. School-based caries prevention programs can be an effective method to reduce caries prevalence, obviate traditional barriers to care, and use aerosol-free interventions. The objective of this study was to explore the clinical effectiveness of a comprehensive school-based, aerosol-free, caries prevention program. METHODS: The authors conducted a 6-year prospective open cohort study in 33 US public elementary schools, providing care to 6,927 children in communities with and without water fluoridation. After dental examinations, dental hygienists provided twice-yearly prophylaxis, glass ionomer sealants, glass ionomer interim therapeutic restorations, fluoride varnish, toothbrushes, fluoride toothpaste, oral hygiene instruction, and referral to community dentists as needed. The authors used generalized estimating equations to estimate the change in the prevalence of untreated caries over time. RESULTS: The prevalence of untreated caries decreased by more than 50%: from 39% through 18% in phase 1, and from 28% through 10% in phase 2. The per-visit adjusted odds ratio of untreated caries was 0.79 (95% confidence interval, 0.73 to 0.85). CONCLUSIONS AND PRACTICAL IMPLICATIONS: This school-based comprehensive caries prevention program was associated with substantial reductions in children's untreated caries, supporting the concept of expanding traditional practices to include office- and community-based aerosol-free care.


Asunto(s)
Susceptibilidad a Caries Dentarias , Caries Dental , Niño , Estudios de Cohortes , Caries Dental/epidemiología , Caries Dental/prevención & control , Humanos , Prevalencia , Estudios Prospectivos , Instituciones Académicas
17.
Stomatologiia (Mosk) ; 100(1): 19-23, 2021.
Artículo en Ruso | MEDLINE | ID: mdl-33528951

RESUMEN

AIM: To compare dental and psychological status in athletes of Olympic teams and the population of Moscow. MATERIALS AND METHODS: In order to study the features of the dental rehabilitation of Olympic athletes, a comparative study of the dental and psychological status of 132 athletes was carried out when they were included in the Olympic teams and 104 residents of Moscow of the same age. Clinical x-ray examination was supplemented by «Hamburg testing¼ of the masticatory apparatus and psychological examination using common questionnaires and scales. RESULTS: The study revealed a difference in the status of dental status, the results of the "Hamburg Testing" and psychological examination between athletes of the Olympic reserve and the population of Moscow of the same age. Athletes showed a lower quality of previous treatment of caries and its complications, insufficient oral hygiene, more frequent detection of chronic periodontitis, diseases of the oral mucosa, secondary deformations of the dentition, pathological phenomena of the temporomandibular joint, masticatory apparatus dysfunction according to the results of the "Hamburg Testing". Athletes also established psychological status features: higher rates of reactive and personal anxiety, the presence of depressive manifestations, lower quality of sleep and quality of life. CONCLUSION: The revealed patterns can provoke muscle hyper-tone and muscular-articular dysfunction of the maxillofacial region, which must be taken into account during the dental rehabilitation of athletes of Olympic teams.


Asunto(s)
Caries Dental , Deportes , Atletas , Caries Dental/epidemiología , Humanos , Moscú/epidemiología , Calidad de Vida
18.
BMC Oral Health ; 21(1): 54, 2021 02 06.
Artículo en Inglés | MEDLINE | ID: mdl-33549091

RESUMEN

BACKGROUND: The sudden outbreak of coronavirus disease (COVID-19) epidemic influenced people's daily life. During lockdown of Wuhan city, the oral health and its associated issues of preschool children were investigated and guidance for dental clinics when the epidemic were controlled in the future were also provided. METHODS: A national online survey was conducted among preschool children and completed by their caregivers. The questionnaire related to children's oral health status and care behaviour, caregivers' attitudes. The information was statistically analyzed between Wuhan residents and others residents. RESULTS: 4495 valid questionnaires were collected. In oral health status, during Wuhan lockdown, 60.8%, 35.5% and 18.3% children had self-reported dental caries, toothache and halitosis respectively. In oral health attitudes, respondents who would increase attention to oral health was more than that would decrease. In oral hygiene behaviour, compared to non-Wuhan children, the children in Wuhan became more active in brushing their teeth. In utilization of dental services in the future, less Wuhan residents would choose to have dental visit directly, 28.5% Wuhan residents and 34.7% non-Wuhan residents agreed all of procedures could be done if proper protected. CONCLUSIONS: Oral health status and associated issues of preschool children in Wuhan were significantly different from that of others during lockdown of Wuhan city and in the future. Effective measures should be taken as early as possible to protect children's oral health.


Asunto(s)
Coronavirus , Caries Dental , Preescolar , China/epidemiología , Control de Enfermedades Transmisibles , Estudios Transversales , Prestación de Atención de Salud , Caries Dental/epidemiología , Humanos , Salud Bucal , Encuestas y Cuestionarios
19.
Rev Med Liege ; 76(2): 111-116, 2021 Feb.
Artículo en Francés | MEDLINE | ID: mdl-33543857

RESUMEN

Dental caries still affect 60 to 90 % of children attending school worldwide. We collected epidemiological data from 212 children under the age of 6 supervised by the Office of Birth and Childhood in the Province of Liège. We analyzed the relationships between the prevalence of dental caries in the studied population sample and the risk factors that are usually associated to dental carries. Among the 212 examined children, 66 % had neither decayed nor filled teeth, 10.4 % had one decayed or filled teeth, and 23.6 % had at least 2 decayed or filled teeth. The prevalence of carious disease increases with age, ranging from 33 % for 3-year children to 44 % for 4-year children and to 59 % for 5-year children. Moreover, the number of decayed or filled teeth is significantly higher for children who brush their teeth alone, without the help of parents, and for those who consume frequently sweet snacks and drinks. Finally, the socio-economic condition also influences dental health of very young children.


Asunto(s)
Caries Dental , Niño , Preescolar , Caries Dental/epidemiología , Humanos , Salud Bucal , Proyectos Piloto , Prevalencia , Factores de Riesgo
20.
Ned Tijdschr Tandheelkd ; 128(2): 87-88, 2021 Feb.
Artículo en Holandés | MEDLINE | ID: mdl-33605257

RESUMEN

A heart transplant procedure is performed on patients who have an end-stage heart disease (severe failure) for whom no other treatment is left. Patients need to take immunosuppressive drugs for the rest of their lives to prevent the rejection of a transplanted heart. A recent overview of scientific literature shows a higher risk of gingival hyperplasia, periodontal conditions, the presence of Candida species and oral malignancies compared to healthy individuals. The association between a heart transplant and dental caries is unclear. A frequent periodical dental check and professional dental cleaning is recommended for heart transplant patients.


Asunto(s)
Caries Dental , Placa Dental , Trasplante de Corazón , Enfermedades Periodontales , Caries Dental/epidemiología , Caries Dental/prevención & control , Trasplante de Corazón/efectos adversos , Humanos , Salud Bucal , Enfermedades Periodontales/epidemiología
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