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1.
Physiol Rep ; 9(3): e14741, 2021 02.
Artículo en Inglés | MEDLINE | ID: mdl-33527774

RESUMEN

Proposed pathway of the effect of lingonberry polyphenols on oral microbial (viral) load reduction and consequent beneficial local and systemic (respiratory tract) anti-inflammatory and antimicrobial/antiviral effects.


Asunto(s)
Vaccinium vitis-Idaea , Suplementos Dietéticos , Humanos , Higiene Bucal , Polifenoles/farmacología
2.
Oral Health Prev Dent ; 19(1): 107-113, 2021 Jan 07.
Artículo en Inglés | MEDLINE | ID: mdl-33600087

RESUMEN

PURPOSE: To identify the oral hygiene habits and denture hygiene status (e.g. sociodemographic characteristics, general health status) of complete denture wearers in Central Transylvania, Romania. MATERIALS AND METHODS: This descriptive cross-sectional study was based on an original self-administered questionnaire. It included 162 patients who experienced complete tooth loss in one or both jaws and wore polymethylmethacrylate acrylic (PMMA) complete dentures. The exclusion criteria were partial dentures, dentures fabricated from materials other than PMMA, and the patient being unable to provide all the required information. The questionnaire solicited information regarding sociodemographic status, general health and oral hygiene-related habits. The dentures were clinically evaluated in order to assess denture hygiene. RESULTS: Most respondents were completely edentulous (38.0% wore maxillary dentures, 10.6% mandibular dentures, while 51.6% had both), with an average age above 60, all wearing dentures. The clinical evaluation of the dentures revealed that 12.3% exhibited optimal hygiene status, 40.1% good, 32.7% unsatisfactory and 14.8% bad, with more women than men having well-cleaned dentures. Cleaning frequency was found to be 2-3 times per day for 54.3% of the patients, with 93.2% of the subjects using a toothbrush and 76.5% using toothpaste. Most of the participants felt at ease with the cleaning procedures. Only 30.9% of the respondents reported denture removal overnight. The results showed that the hygiene of the patients' dentures was not correlated with their answers regarding oral hygiene habits. CONCLUSIONS: Competent oral health and denture hygiene promotion should be established, especially regarding nocturnal denture removal, denture hygiene methods, instruments and cleaning frequency.


Asunto(s)
Dentadura Completa , Higiene Bucal , Estudios Transversales , Femenino , Hábitos , Humanos , Masculino , Rumanía
3.
West Afr J Med ; 38(2): 120-124, 2021 Feb.
Artículo en Inglés | MEDLINE | ID: mdl-33641145

RESUMEN

BACKGROUND: Many individuals, irrespective of their age, sex and social status suffer from halitosis. There is very little evidence, however, of the disease burden in Ghana. The aim of this study was to determine the prevalence and associated factors of self-perceived halitosis in La, a suburb in Accra. METHODS: This was a cross-sectional study conducted among adults in La. The main outcome variable was self-perceived halitosis. Other variables collected included the socio-demographic characteristics (age, sex, occupation category, education), previous visit to a dentist, and previous/current consumption of alcohol. Background characteristics for all respondents were described, and summaries for variables reported. Cross-tabulations were done to explore the factors related to self-perceived halitosis. RESULTS: A total of 324 participants were involved in the study. This consisted of 165 males (51%) and 159 females (49%). The mean age of the entire population was 41.2±14.9 years. The prevalence of self-perceived halitosis among the study population was 18%, while halitosis was found to be significantly distributed among persons with bleeding gums (p=0.007) and those who poorly rated their oral hygiene (p<0.001). CONCLUSION: Halitosis is a source of concern to a considerable number of inhabitants of La. Education in this regard is therefore essential in promoting awareness and better oral health practices.


Asunto(s)
Halitosis , Adulto , Estudios Transversales , Femenino , Ghana/epidemiología , Halitosis/epidemiología , Halitosis/etiología , Humanos , Masculino , Persona de Mediana Edad , Salud Bucal , Higiene Bucal
4.
Monogr Oral Sci ; 29: 91-97, 2021.
Artículo en Inglés | MEDLINE | ID: mdl-33427225

RESUMEN

Caries and inflammatory periodontal diseases have a high prevalence worldwide. Although improvements in oral health status in our patients have been shown, there is still an increased demand for preventive measurements - especially in view of the systemic influence of the chronic disease periodontitis. The main focus of such measurements lies on an optimal biofilm management which can be divided into professional biofilm management and home care measurements. Since home care mechanical measurements such as toothbrushing and interdental cleaning are often insufficient or not on a regular basis, they can be supported by antibacterial agents which are able to inhibit or kill any oral microorganisms that remain. Besides a proven effect on plaque bacteria and gingival inflammation, agents should have a high substantivity in the oral cavity that outlast the short rinsing period. This chapter aims to present the background and rationale of using antibacterial mouth rinses, their common agents, to show sensible indications, and to evaluate the scientific evidence of their additional effect over toothbrushing alone.


Asunto(s)
Gingivitis , Antisépticos Bucales , Biopelículas , Gingivitis/prevención & control , Humanos , Inflamación , Antisépticos Bucales/uso terapéutico , Higiene Bucal , Cepillado Dental
5.
Quintessence Int ; 52(2): 176-186, 2021.
Artículo en Inglés | MEDLINE | ID: mdl-33433083

RESUMEN

At present, the most important criterion for the size selection of interdental brushes is the PHD-value (passage hole diameter) according to the ISO standard for interdental brushes ISO 16409:2016. The PHD size range of commercially available products currently lies between 0.6 and 5.2 mm. With the exceptions of special situations, a range between 0.7 and 2.9 mm is sufficient for clinical routine. As most products have longer filaments nowadays, one brush can often be applied for two PHD intervals. Consequently, adequate patient counseling and the individual selection of the appropriate interdental brushes can generally be achieved with an assortment of 12 systematically arranged interdental brush sizes. An application example is the "Heidelberg set" described herein. It is crucial that the correct choice of size is based upon continuously rising PHD-values, and not upon parameters such as stem size, outer diameter of filaments, or similar, as these do not allow for a reliable conclusion regarding the interdental passage. The usage of ISO sizes is also not recommendable due to their insufficient size differentiation. (Quintessence Int 2021;52: 176-186; doi: 10.3290/j.qi.b872241; Revised from an article originally published (in German) in Parodontologie 2020;31(1)37-49)

.


Asunto(s)
Dispositivos para el Autocuidado Bucal , Placa Dental , Índice de Placa Dental , Humanos , Higiene Bucal , Cepillado Dental
6.
BMJ Case Rep ; 14(1)2021 Jan 18.
Artículo en Inglés | MEDLINE | ID: mdl-33462043

RESUMEN

Group A streptococcus (GAS) causes a wide variety of infections in the paediatric population, ranging from pharyngitis to rare but severe invasive diseases, such as bacterial arthritis and osteomyelitis. Dental neglect is a type of child neglect in which caregivers fail to provide adequate care and treatment for dental diseases. This results in poor oral hygiene and can lead to complications including sepsis. We report the case of a 4-year-old boy, suffering from child neglect, presenting with GAS pharyngitis and subsequent bacterial arthritis in the right ankle, osteomyelitis in the right talus and abscess in the right calcaneus. He was first treated with penicillin, which was changed to clindamycin because of a suspected drug-induced rash. He was discharged after 6 weeks of intravenous therapy when symptoms had resolved and inflammatory markers were within the normal range. The case highlights that dental neglect may present a risk for subsequent invasive infections.


Asunto(s)
Artritis Infecciosa/microbiología , Higiene Bucal , Osteomielitis/microbiología , Faringitis/microbiología , Infecciones Estreptocócicas/diagnóstico , Streptococcus pyogenes/aislamiento & purificación , Artritis Infecciosa/diagnóstico , Preescolar , Humanos , Masculino , Osteomielitis/diagnóstico , Faringitis/diagnóstico
7.
Oral Health Prev Dent ; 19(1): 1-6, 2021.
Artículo en Inglés | MEDLINE | ID: mdl-33491372

RESUMEN

PURPOSE: Purpose: To assess the association of various factors including education level and oral health with type 2 diabetics' awareness of periodontitis and periodontitis/diabetes relationship, and to evaluate the importance of integrated healthcare in this association. Materials and Methods: 288 type 2 diabetics were evaluated through a validated structured questionnaire about oral hygiene habits, access and attendance to dental treatment, the presence of periodontitis and previously received information of periodontitis and periodontitis/diabetes relationship. Descriptive data were explored and both simple and multiple logistic regressions were performed. Results: The average age of participants was 62.24 (±10.93) years, 81.6% were previously treated for periodontitis and approximately 70% have never received information on periodontitis and its relationship with diabetes. A higher chance of participants having previously received information regarding periodontitis was associated with more than 8 years of schooling, daily flossing habit, presence of periodontitis and prior treatment for periodontitis (p < 0.005). Regarding previously received information about periodontitis/diabetes relationship, statistically significant associations were observed for more than 12 years of schooling and diabetes diagnosed more than 8 years ago (p < 0.05). Conclusion: The vast majority of participants were previously treated for periodontitis without receiving proper oral health education, which means that access to costly dental treatment is provided while patient education is neglected. It was shown the influence of habits and living conditions on the previously received information about diseases, and therefore, particular attention to the population characteristics is important to make the information accessible to everyone.


Asunto(s)
Prestación Integrada de Atención de Salud , Diabetes Mellitus Tipo 2 , Periodontitis , Anciano , Diabetes Mellitus Tipo 2/complicaciones , Humanos , Persona de Mediana Edad , Salud Bucal , Higiene Bucal , Periodontitis/complicaciones , Periodontitis/epidemiología
8.
Rev. enferm. UFPE on line ; 15(1): [1-9], jan. 2021. ilus
Artículo en Portugués | BDENF - Enfermería | ID: biblio-1145846

RESUMEN

Objetivo: descrever a experiência de enfermeiros acerca de um treinamento em saúde realizado em um hospital de alta complexidade, na perspectiva da prática de higiene oral em pacientes críticos, utilizando, como ferramenta, o ciclo Plan, Do, Check, Act. Método: trata-se de estudo qualitativo, descritivo, tipo relato de experiência, cuja ação tornou possível capacitar os profissionais de Enfermagem visando à melhoria da qualidade da execução da higiene oral realizada, identificando os dificultadores da prática da higienização oral dos pacientes em ventilação mecânica. Resultados: realizou-se a capacitação dos profissionais de Enfermagem visando à melhoria da qualidade da execução da higiene oral realizada, ressaltando os aspectos inerentes à produção do conhecimento e identificando os dificultadores da prática da higienização oral dos pacientes em ventilação mecânica. Conclusão: observou-se a importância em se utilizar modernas metodologias administrativas para se alcançar novos padrões de qualidade, uma vez que, constantemente, são necessárias atualizações acerca das ações em serviços de saúde.(AU)


Objective: to describe the experience of nurses in a health training course in a high complexity hospital from the perspective of oral hygiene practice in critically ill patients by using the Plan, Do, Check, Act cycle as a tool. Method: it is a qualitative, descriptive, experience report type study, whose action made it possible to train Nursing professionals with the aim to improve the quality of oral hygiene practice performance and identify the difficulties in the practice of oral hygiene of patients under mechanical ventilation. Results: the training of Nursing professionals was carried out with a view to improving the quality of the oral hygiene performance, highlighting the aspects inherent to the production of knowledge and identifying the difficulties in the practice of oral hygiene of patients under mechanical ventilation. Conclusion: the importance of using modern administrative methodologies to achieve new quality standards was observed, since updates on health service actions are constantly needed.(AU)


Objetivo: describir la experiencia de los enfermeros sobre la formación en salud realizada en un hospital de alta complejidad, desde la perspectiva de la práctica de la higiene bucal en pacientes críticos, utilizando como herramienta el ciclo Planificar, Hacer, Controlar, Actuar. Método: se trata de un estudio cualitativo, descriptivo, tipo de relato de experiencia, cuya acción permitió formar profesionales de enfermería con el objetivo de mejorar la calidad de la higiene bucal realizada, identificando las dificultades en la práctica de la higiene bucal de los pacientes en ventilación mecánica. Resultados: se capacitó a profesionales de enfermería para mejorar la calidad de la higiene bucal realizada, enfatizando los aspectos inherentes a la producción de conocimiento e identificando las dificultades en la práctica de la higiene bucal de los pacientes en ventilación mecánica. Conclusión: se observó la importancia de utilizar metodologías administrativas modernas para lograr nuevos estándares de calidad, ya que constantemente se requieren actualizaciones sobre las acciones de los servicios de salud.(AU)


Asunto(s)
Humanos , Masculino , Femenino , Higiene Bucal , Respiración Artificial , Salud Bucal , Cuidados Críticos , Enfermería de Cuidados Críticos , Enfermería de Cuidados Críticos/educación , Capacitación en Servicio , Unidades de Cuidados Intensivos , Grupo de Enfermería , Epidemiología Descriptiva , Investigación Cualitativa
9.
Gen Dent ; 69(1): 70-76, 2021.
Artículo en Inglés | MEDLINE | ID: mdl-33350959

RESUMEN

This study compared the impact of conventional oral health education with that of combined conventional and digital education on the oral hygiene outcomes and habits of children and adolescents. A double-blind, parallel, randomized controlled prevention clinical trial with 2 arms involved 80 students aged 10 to 17 years old. Students were randomly allocated to the control group (n = 40), which received conventional oral health education, or the experimental group (n = 40), which received both conventional oral health education and digital educational content through WhatsApp Messenger. Before the randomization of the groups and after the conclusion of the educational interventions, 2 examiners (κ > 0.7) who were blinded as to the groups evaluated the students and recorded the Plaque Index (PI); Gingival Bleeding Index (GBI); number of decayed, missing, and filled permanent teeth (DMFT); and number of decayed, missing, and filled primary teeth (dmft). The toothbrushing and flossing habits of the students were evaluated through questionnaires. The Fisher exact test, chi-square test, Mann-Whitney U test, Wilcoxon test for paired samples, and sign test were applied to the data (α = 0.05). After 3 students in the control group were excluded because they received fixed orthodontic appliances, 37 students participated in the control group and 40 in the experimental group. Both groups presented a 30% reduction in PI (P < 0.001) after the interventions. The experimental group flossed significantly more frequently (P = 0.003) than the control group. The interventions had no statistically significant effect on GBI, and there were no significant differences in toothbrushing frequency after interventions or between groups. Both approaches to oral health education-conventional and digital-had a positive impact on the reduction of the PI, and the use of a smartphone app seemed to be an effective resource for providing oral health education to students. Trial registration: Registro Brasileiro de Ensaios Clinicos (ReBEC) No. U1111-1216-4770.


Asunto(s)
Caries Dental , Medios de Comunicación Sociales , Adolescente , Niño , Método Doble Ciego , Hábitos , Humanos , Higiene Bucal , Cepillado Dental
10.
Braz. dent. sci ; 24(1): 1-6, 2021. tab, ilus
Artículo en Inglés | LILACS, BBO - Odontología | ID: biblio-1145417

RESUMEN

Objectives: Poor oral health is an important determinant of general health in patients with mental illnesses. The present study was conducted to evaluate the dental and periodontal status of hospitalized female psychiatric patients in Jazan city, Saudi Arabia. Material and Methods: This study included 82 subjects: 37 psychiatric female patients, and 45 age- and gender- matched healthy controls. Dental caries experience (decayed, missing, and filled teeth index ( DMFT ) and periodontal health status were recorded. SPSS version 21 was used for data analysis, and p-value < 0.05 was considered statistically significant. Results: The mean ages were comparable among the two groups. Psychiatric patients showed poor oral hygiene practices, with only 56.6% reported regularly brushing their teeth as compared with 82.2% of controls (P < 0.05). Control subjects had significantly higher DMFT mean scores than psychiatric female patients. However, psychiatric patients had significantly higher mean scores of missing teeth (M component) and lower restored teeth (F component) as compared with controls. Moreover, the mean attachment loss scores were significantly higher in the psychiatric group (0.76±1.58) compared with controls (0.23; 0.44 p < 0.01). Conclusion: Psychiatric patients showed poor oral hygiene practices and a high prevalence of untreated dental caries and periodontal diseases. Effective oral health promotion strategies need to be implemented to improve the oral health and oral health practices of this group of people. (AU)


Objetivo: A má saúde bucal é um importante determinante da saúde geral em pacientes com doenças mentais. O presente estudo foi realizado para avaliar o estado dentário e periodontal de pacientes psiquiátricos do sexo feminino hospitalizados na cidade de Jazan, Arábia Saudita. Material e Métodos: Este estudo incluiu 82 indivíduos: 37 pacientes psiquiátricas do sexo feminino e 45 controles saudáveis pareados por idade e gênero. A experiência de cárie dentária (índice de dentes cariados, perdidos e obturados (CPOD) e o estado de saúde periodontal foram registrados. O progama SPSS versão 21 foi usado para a análise dos dados, e o valor de p <0,05 foi considerado estatisticamente significativo. Resultados: As médias das idades foram comparáveis entre os dois grupos. Pacientes psiquiátricos mostraram práticas de higiene bucal precárias, sendo que apenas 56,6% relataram escovar os dentes regularmente, em comparação com 82,2% dos controles (P <0,05). Os indivíduos controle tiveram pontuações médias de CPOD significativamente mais altas do que as pacientes psiquiátricas. Os pacientes tiveram escores médios significativamente maiores de dentes perdidos (componente P) e dentes restaurados menores (componente O) em comparação com os controles. Além disso, os escores médios de perda de inserção foram significativamente maiores no grupo psiquiátrico (0,76 ± 1,58) em comparação com os controles (0,23 ± 0,44;p <0,01). Conclusão: Pacientes psiquiátricos apresentaram práticas inadequadas de higiene bucal e uma alta prevalência de cárie dentária e doença periodontal não tratada. Estratégias eficazes de promoção da saúde bucal precisam ser implementadas para melhorar a saúde bucal e as práticas de saúde bucal desse grupo de pessoas (AU)


Asunto(s)
Humanos , Femenino , Higiene Bucal , Enfermedades Periodontales , Enfermos Mentales
11.
Cochrane Database Syst Rev ; 12: CD008367, 2020 12 24.
Artículo en Inglés | MEDLINE | ID: mdl-33368159

RESUMEN

BACKGROUND: Ventilator-associated pneumonia (VAP) is defined as pneumonia developing in people who have received mechanical ventilation for at least 48 hours. VAP is a potentially serious complication in these patients who are already critically ill. Oral hygiene care (OHC), using either a mouthrinse, gel, swab, toothbrush, or combination, together with suction of secretions, may reduce the risk of VAP in these patients. OBJECTIVES: To assess the effects of oral hygiene care (OHC) on incidence of ventilator-associated pneumonia in critically ill patients receiving mechanical ventilation in hospital intensive care units (ICUs). SEARCH METHODS: Cochrane Oral Health's Information Specialist searched the following databases: Cochrane Oral Health's Trials Register (to 25 February 2020), the Cochrane Central Register of Controlled Trials (CENTRAL) (the Cochrane Library, 2020, Issue 1), MEDLINE Ovid (1946 to 25 February 2020), Embase Ovid (1980 to 25 February 2020), LILACS BIREME Virtual Health Library (1982 to 25 February 2020) and CINAHL EBSCO (1937 to 25 February 2020). We also searched the VIP Database (January 2012 to 8 March 2020). The US National Institutes of Health Trials Registry (ClinicalTrials.gov) and the World Health Organization International Clinical Trials Registry Platform were searched for ongoing trials. No restrictions were placed on the language or date of publication when searching the electronic databases. SELECTION CRITERIA: We included randomised controlled trials (RCTs) evaluating the effects of OHC (mouthrinse, gel, swab, toothbrush or combination) in critically ill patients receiving mechanical ventilation for at least 48 hours. DATA COLLECTION AND ANALYSIS: At least two review authors independently assessed search results, extracted data and assessed risk of bias in included studies. We contacted study authors for additional information. We reported risk ratio (RR) for dichotomous outcomes and mean difference (MD) for continuous outcomes, using the random-effects model of meta-analysis when data from four or more trials were combined. MAIN RESULTS: We included 40 RCTs (5675 participants), which were conducted in various countries including China, USA, Brazil and Iran. We categorised these RCTs into five main comparisons: chlorhexidine (CHX) mouthrinse or gel versus placebo/usual care; CHX mouthrinse versus other oral care agents; toothbrushing (± antiseptics) versus no toothbrushing (± antiseptics); powered versus manual toothbrushing; and comparisons of other oral care agents used in OHC (other oral care agents versus placebo/usual care, or head-to-head comparisons between other oral care agents). We assessed the overall risk of bias as high in 31 trials and low in two, with the rest being unclear. Moderate-certainty evidence from 13 RCTs (1206 participants, 92% adults) shows that CHX mouthrinse or gel, as part of OHC, probably reduces the incidence of VAP compared to placebo or usual care from 26% to about 18% (RR 0.67, 95% confidence intervals (CI) 0.47 to 0.97; P = 0.03; I2 = 66%). This is equivalent to a number needed to treat for an additional beneficial outcome (NNTB) of 12 (95% CI 7 to 128), i.e. providing OHC including CHX for 12 ventilated patients in intensive care would prevent one patient developing VAP. There was no evidence of a difference between interventions for the outcomes of mortality (RR 1.03, 95% CI 0.80 to 1.33; P = 0.86, I2 = 0%; 9 RCTs, 944 participants; moderate-certainty evidence), duration of mechanical ventilation (MD -1.10 days, 95% CI -3.20 to 1.00 days; P = 0.30, I2 = 74%; 4 RCTs, 594 participants; very low-certainty evidence) or duration of intensive care unit (ICU) stay (MD -0.89 days, 95% CI -3.59 to 1.82 days; P = 0.52, I2 = 69%; 5 RCTs, 627 participants; low-certainty evidence). Most studies did not mention adverse effects. One study reported adverse effects, which were mild, with similar frequency in CHX and control groups and one study reported there were no adverse effects. Toothbrushing (± antiseptics) may reduce the incidence of VAP (RR 0.61, 95% CI 0.41 to 0.91; P = 0.01, I2 = 40%; 5 RCTs, 910 participants; low-certainty evidence) compared to OHC without toothbrushing (± antiseptics). There is also some evidence that toothbrushing may reduce the duration of ICU stay (MD -1.89 days, 95% CI -3.52 to -0.27 days; P = 0.02, I2 = 0%; 3 RCTs, 749 participants), but this is very low certainty. Low-certainty evidence did not show a reduction in mortality (RR 0.84, 95% CI 0.67 to 1.05; P = 0.12, I2 = 0%; 5 RCTs, 910 participants) or duration of mechanical ventilation (MD -0.43, 95% CI -1.17 to 0.30; P = 0.25, I2 = 46%; 4 RCTs, 810 participants). AUTHORS' CONCLUSIONS: Chlorhexidine mouthwash or gel, as part of OHC, probably reduces the incidence of developing ventilator-associated pneumonia (VAP) in critically ill patients from 26% to about 18%, when compared to placebo or usual care. We did not find a difference in mortality, duration of mechanical ventilation or duration of stay in the intensive care unit, although the evidence was low certainty. OHC including both antiseptics and toothbrushing may be more effective than OHC with antiseptics alone to reduce the incidence of VAP and the length of ICU stay, but, again, the evidence is low certainty. There is insufficient evidence to determine whether any of the interventions evaluated in the studies are associated with adverse effects.


Asunto(s)
Enfermedad Crítica , Higiene Bucal/métodos , Neumonía Asociada al Ventilador/prevención & control , Respiración Artificial/efectos adversos , Adulto , Niño , Clorhexidina/uso terapéutico , Humanos , Incidencia , Unidades de Cuidados Intensivos/estadística & datos numéricos , Tiempo de Internación , Antisépticos Bucales/uso terapéutico , Neumonía Asociada al Ventilador/epidemiología , Neumonía Asociada al Ventilador/mortalidad , Ensayos Clínicos Controlados Aleatorios como Asunto , Respiración Artificial/estadística & datos numéricos , Cepillado Dental/instrumentación , Cepillado Dental/métodos
12.
Health Qual Life Outcomes ; 18(1): 384, 2020 Dec 11.
Artículo en Inglés | MEDLINE | ID: mdl-33308244

RESUMEN

BACKGROUND: Dental and oral diseases can have negative impacts on children's quality of life. The aim of this study was to determine the predictors of oral health-related quality of life (OHRQoL) in the children aged 2-5 years old. MATERIALS AND METHODS: A total number of 288 children aged between 2 and 5 years were selected and stratified by gender from three community health centres located in the city of Jahrom, south of Fars Province, Iran. The data collection tool was a researcher-made questionnaire whose validity and reliability was confirmed. The questionnaire was completed by parents/caregivers of the children. A multiple linear regression analysis was performed with quality of life as the dependent variable and, based on covariance structural analysis, evaluated the goodness of fit of the resulting structural equations models. RESULTS: The results showed that predisposing factors with a coefficient of 0.0457 (p = 0.015) and reinforcing factors ones with a coefficient of 0.2748 (p < 0.001) were correlated with the oral health behaviours. Moreover, there was a relationship between such behaviours with a coefficient of 0.1612 (p < 0.001) and oral health status and the given status with a coefficient - 0.9714 was correlated with OHRQoL (p < 0.001). Based on the covariance structural analysis, the resulting model was found to exhibit a reasonable goodness of fit. CONCLUSION: The predictors of the children's OHRQoL included predisposing, strengthening, oral health behaviours and oral health status. Therefore, planning to enhance supportive family behaviours and to boost predisposing factors including knowledge, attitudes, perceived benefits, and self-efficacy in parents and their oral health behaviours is recommended.


Asunto(s)
Salud Bucal , Higiene Bucal/psicología , Calidad de Vida , Cuidadores , Niño , Preescolar , Femenino , Humanos , Irán , Masculino , Padres , Reproducibilidad de los Resultados , Encuestas y Cuestionarios
13.
Pediatr Dent ; 42(6): 424-430, 2020 Nov 15.
Artículo en Inglés | MEDLINE | ID: mdl-33369552

RESUMEN

Purpose: The purpose of this study was to evaluate the effect of different motivational methods on children's oral hygiene and periodontal health. Methods: A prospective, controlled, single-blinded, randomized clinical trial was conducted with 60 six- to 12-year-olds who were randomly assigned to toothbrushing with an hourglass timer, music video, or control group. All three groups were divided into two equal subgroups: those using a manual toothbrush and those using a powered toothbrush. The plaque index (PI) and gingival index (GI) were measured in each group. The data obtained were analyzed using three-factor variance analysis. Results: A statistically significant decrease was observed in PI and GI values in all groups (P<0.05). The highest decrease in PI values was observed in the group brushing with a music video and a powered toothbrush (51.8 percent), whereas the least decrease was observed in the control group using a powered toothbrush (26.1 percent). The differences were not statistically significant among the groups. Conclusions: A significant decrease in plaque index and gingival index values was obtained in all groups compared to baseline values. Although the additional motivational methods used during toothbrushing contributed to improved plaque removal and toothbrushing efficiency, no statistically significant differences were found among the groups.


Asunto(s)
Placa Dental , Gingivitis , Niño , Placa Dental/prevención & control , Índice de Placa Dental , Diseño de Equipo , Humanos , Higiene Bucal , Estudios Prospectivos , Método Simple Ciego , Cepillado Dental
14.
J Dent Hyg ; 94(6): 56-64, 2020.
Artículo en Inglés | MEDLINE | ID: mdl-33376123

RESUMEN

Purpose: Inadequate prenatal oral health education in dental hygiene (DH) curricula can negatively impact patient care by graduating clinicians lacking competence in the provision of care for this population. The purpose of this study was to assess the knowledge, opinions, and willingness of DH students to provide oral care services to pregnant patients before and after participating in a prenatal oral health educational program (pOHP).Methods: Senior DH students were invited to complete a baseline and post-program survey to evaluate their experiences in the pOHP at the University of North Carolina, Chapel Hill. All senior DH students attended a one-hour lecture on prenatal oral health guidelines and practices prior to their clinical rotation in the pOHP. Each survey consisted of items on knowledge, confidence, and attitudes related to screening, counseling, and willingness to provide oral care services to pregnant patients.Results: Over a period of three years, 93 DH students (n=93) completed both the baseline and post-program surveys for a 96.8% response rate. Participants reported gains in knowledge and confidence for screening and counseling pregnant patients. Post-program survey respondents agreed that dental providers should deliver oral health counselling to pregnant women (99%, n=93) and perform an oral health examination during prenatal care (99%, n=92). Nearly all of the respondents, (98%; n=90) reported they are likely to take care of pregnant women upon graduation and deliver preventive oral health messaging to this population (98%, n=91).Conclusion: Dental hygiene student participants in a prenatal oral health program (pHOP) demonstrated positive trends in increasing knowledge and confidence in screening and counseling pregnant patients in the dental setting. Inclusion of a clinical experience played an influential role in changes in knowledge regarding the safety of care during pregnancy, indicating a need for both didactic and clinical immersion opportunities to enhance cognitive and affective transformations.


Asunto(s)
Salud Bucal , Higiene Bucal , Actitud del Personal de Salud , Curriculum , Higienistas Dentales , Femenino , Educación en Salud Dental , Promoción de la Salud , Humanos , Embarazo
15.
J Dent Hyg ; 94(6): 65-71, 2020.
Artículo en Inglés | MEDLINE | ID: mdl-33376124

RESUMEN

Purpose: Objective Structured Clinical Examinations (OSCEs) have been established as a gold standard assessment for determining clinical competence. The Coalition for Dental Licensure Reform called for the acceptance of the Dental Licensure Objective Structured Clinical Examination (DLOSCE) to replace the live-patient examinations (LPE) for dental licensure, which are often viewed as biased, unreliable, and in some cases unethical. The purpose of this study was to assess dental hygiene program directors' awareness of and attitudes toward the DLOSCE, whether their curricula included OSCEs, and perceived barriers to implementing OSCEs.Methods: A nine-question electronic survey was developed, and pilot tested by five-dental hygiene program directors across three-dental hygiene institutions. The survey was emailed to the directors of all dental hygiene program directors in the United States (n=332). Descriptive statistics were used to analyze the data.Results: A response rate of 36% (n=121) was achieved. Nearly 30% of respondents were unaware of the developing DLOSCE, however, the majority (80%) were in favor of the acceptance of the examination. Nearly three-quarters of the respondents considered OSCEs as valid assessments of clinical competence, however, over half of the respondents reported not currently utilizing OSCEs in their curricula. Barriers reported were time (22%), perceived lack of best practices (21%), and lack of resources (18%). Respondents who currently employed OSCEs were more likely to agree they were both valid and reliable assessments (p=0.05).Conclusion: The majority of dental hygiene program directors were in favor of eliminating the single-encounter LPE in favor of an OSCE for licensure. However, more than half do not currently utilize OSCEs for clinical assessments. Further studies are needed to explore implementation of OSCEs in dental hygiene education, and how a potential dental hygiene licensure OSCE might impact the current curricula and licensure of dental hygienists in the United States.


Asunto(s)
Competencia Clínica , Higiene Bucal , Actitud , Higienistas Dentales , Evaluación Educacional , Humanos , Encuestas y Cuestionarios , Estados Unidos
16.
Artículo en Inglés | MEDLINE | ID: mdl-33371495

RESUMEN

OBJECTIVE: The need to make sense of coherence in placement support for student dental hygienists has been shown. On this basis, this study investigated the relationship between the sense of coherence of student dental hygienists and their view of the profession and attitude to work in order to clarify how they perceive their prospects for employment. METHODS: The subjects were graduation-year students at all of the dental hygienist training institutions in Japan, and anonymous, self-administered questionnaires were sent to the institutions by post in 2019. The results were analyzed by χ2 tests, as well as one-way analysis of variance and multiple comparisons using Tukey's test, with the level of significance set at 5%. RESULTS: Of 6270 questionnaires that were returned, 6264 were analyzed. The sense of coherence (SOC) component senses were manageability (F(26,221) = 5306.06, p < 0.01), meaningfulness (F(26,222) = 4373.48, p < 0.01), and comprehensibility (F(26,216) = 3986.12, p < 0.01), with meaningfulness scoring significantly higher than the other two (p < 0.01). Analysis with SOC scores divided into the low, medium, and high groups showed a relationship between the SOC of student dental hygienists and their view of the profession and attitude to work (p < 0.01), such that higher SOC scores were associated with a better view of the profession and a better attitude to work (F(26,225) = 282.18, p < 0.01). CONCLUSIONS: The results suggest that education that increases SOC in dental hygienist training programs may positively affect future prospects for student dental hygienists.


Asunto(s)
Higiene Bucal , Facultades de Odontología , Sentido de Coherencia , Estudiantes , Actitud del Personal de Salud , Estudios Transversales , Humanos , Japón , Encuestas y Cuestionarios
17.
Braz Oral Res ; 35: e014, 2020.
Artículo en Inglés | MEDLINE | ID: mdl-33331406

RESUMEN

The objective of this study was to evaluate the effect of different follow-up consultation intervals on caries incidence in children with low caries risk. The study was composed of 224 children aged between 3 and 5 years and with low risk of caries. The children were randomly allocated into two groups, according to two different follow-up consultation intervals: Group 1 (G1) - 12-month follow-up interval; Group 2 (G2) - 18-month follow-up interval. All oral clinical examinations were performed by a single examiner who was previously calibrated and blinded in relation to the study groups. An external dentist provided the advice on oral hygiene and diet and evaluated the children's socioeconomic conditions. The Chi-square and Mann-Whitney tests were used to evaluate the differences between groups. Poisson regression analyses were performed to assess the association of caries incidence with the other variables. At the end of the study there was a significant difference between the groups regarding initial active lesions (p = 0.012), and children in G2 were at a higher risk of developing initial active lesions than those in G1 (p = 0.047). Children who had a higher number of teeth with initial active lesions in the follow-up consultations were at a higher risk of developing cavitated dentin caries (p = 0.001). Both follow-up intervals are justifiable. Although significant results have been observed for initial active caries lesions within the 18-month follow-up interval, it should be noted that these lesions can be treated using just preventive measures. Besides, different return interval had no effect in cavitated dentin lesions.


Asunto(s)
Caries Dental , Niño , Preescolar , Caries Dental/epidemiología , Caries Dental/prevención & control , Estudios de Seguimiento , Humanos , Higiene Bucal , Análisis de Regresión
18.
Cochrane Database Syst Rev ; 12: CD003864, 2020 12 07.
Artículo en Inglés | MEDLINE | ID: mdl-33314046

RESUMEN

BACKGROUND: For people with physical, sensory and cognitive limitations due to stroke, the routine practice of oral health care (OHC) may become a challenge. Evidence-based supported oral care intervention is essential for this patient group. OBJECTIVES: To compare the effectiveness of OHC interventions with usual care or other treatment options for ensuring oral health in people after a stroke. SEARCH METHODS: We searched the Cochrane Stroke Group and Cochrane Oral Health Group trials registers, CENTRAL, MEDLINE, Embase, and six other databases in February 2019. We scanned reference lists from relevant papers and contacted authors and researchers in the field. We handsearched the reference lists of relevant articles and contacted other researchers. There were no language restrictions. SELECTION CRITERIA: We included randomised controlled trials (RCTs) that evaluated one or more interventions designed to improve the cleanliness and health of the mouth, tongue and teeth in people with a stroke who received assisted OHC led by healthcare staff. We included trials with a mixed population provided we could extract the stroke-specific data. The primary outcomes were dental plaque or denture plaque. Secondary outcomes included presence of oral disease, presence of related infection and oral opportunistic pathogens related to OHC and pneumonia, stroke survivor and providers' knowledge and attitudes to OHC, and patient satisfaction and quality of life. DATA COLLECTION AND ANALYSIS: Two review authors independently screened abstracts and full-text articles according to prespecified selection criteria, extracted data and assessed the methodological quality using the Cochrane 'Risk of bias' tool. We sought clarification from investigators when required. Where suitable statistical data were available, we combined the selected outcome data in pooled meta-analyses. We used GRADE to assess the quality of evidence for each outcome. MAIN RESULTS: Fifteen RCTs (22 randomised comparisons) involving 3631 participants with data for 1546 people with stroke met the selection criteria. OHC interventions compared with usual care Seven trials (2865 participants, with data for 903 participants with stroke, 1028 healthcare providers, 94 informal carers) investigated OHC interventions compared with usual care. Multi-component OHC interventions showed no evidence of a difference in the mean score (DMS) of dental plaque one month after the intervention was delivered (DMS -0.66, 95% CI -1.40 to 0.09; 2 trials, 83 participants; I2 = 83%; P = 0.08; very low-quality evidence). Stroke survivors had less plaque on their dentures when staff had access to the multi-component OHC intervention (DMS -1.31, 95% CI -1.96 to -0.66; 1 trial, 38 participants; P < 0.0001; low-quality evidence). There was no evidence of a difference in gingivitis (DMS -0.60, 95% CI -1.66 to 0.45; 2 trials, 83 participants; I2 = 93%; P = 0.26: very low-quality evidence) or denture-induced stomatitis (DMS -0.33, 95% CI -0.92 to 0.26; 1 trial, 38 participants; P = 0.69; low-quality evidence) among participants receiving the multi-component OHC protocol compared with usual care one month after the intervention. There was no difference in the incidence of pneumonia in participants receiving a multi-component OHC intervention (99 participants; 5 incidents of pneumonia) compared with those receiving usual care (105 participants; 1 incident of pneumonia) (OR 4.17, CI 95% 0.82 to 21.11; 1 trial, 204 participants; P = 0.08; low-quality evidence). OHC training for stroke survivors and healthcare providers significantly improved their OHC knowledge at one month after training (SMD 0.70, 95% CI 0.06 to 1.35; 3 trials, 728 participants; I2 = 94%; P = 0.03; very low-quality evidence). Pooled data one month after training also showed evidence of a difference between stroke survivor and providers' oral health attitudes (SMD 0.28, 95% CI 0.01 to 0.54; 3 trials, 728 participants; I2 = 65%; P = 0.06; very low-quality evidence). OHC interventions compared with placebo Three trials (394 participants, with data for 271 participants with stroke) compared an OHC intervention with placebo. There were no data for primary outcomes. There was no evidence of a difference in the incidence of pneumonia in participants receiving an OHC intervention compared with placebo (OR 0.39, CI 95% 0.14 to 1.09; 2 trials, 242 participants; I2 = 42%; P = 0.07; low-quality evidence). However, decontamination gel reduced the incidence of pneumonia among the intervention group compared with placebo gel group (OR 0.20, 95% CI 0.05 to 0.84; 1 trial, 203 participants; P = 0.028). There was no difference in the incidence of pneumonia in participants treated with povidone-iodine compared with a placebo (OR 0.81, 95% CI 0.18 to 3.51; 1 trial, 39 participants; P = 0.77). One OHC intervention compared with another OHC intervention Twelve trials (372 participants with stroke) compared one OHC intervention with another OHC intervention. There was no difference in dental plaque scores between those participants that received an enhanced multi-component OHC intervention compared with conventional OHC interventions at three months (MD -0.04, 95% CI -0.33 to 0.25; 1 trial, 61 participants; P = 0.78; low-quality evidence). There were no data for denture plaque. AUTHORS' CONCLUSIONS: We found low- to very low-quality evidence suggesting that OHC interventions can improve the cleanliness of patient's dentures and stroke survivor and providers' knowledge and attitudes. There is limited low-quality evidence that selective decontamination gel may be more beneficial than placebo at reducing the incidence of pneumonia. Improvements in the cleanliness of a patient's own teeth was limited. We judged the quality of the evidence included within meta-analyses to be low or very low quality, and this limits our confidence in the results. We still lack high-quality evidence of the optimal approach to providing OHC to people after stroke.


Asunto(s)
Cuidadores , Educación en Salud Dental , Higiene Bucal/métodos , Accidente Cerebrovascular/enfermería , Actitud Frente a la Salud , Placa Dental/diagnóstico , Gingivitis/epidemiología , Conocimientos, Actitudes y Práctica en Salud , Humanos , Casas de Salud , Neumonía/epidemiología , Ensayos Clínicos Controlados Aleatorios como Asunto , Estomatitis Subprotética/epidemiología
19.
Artículo en Inglés | MEDLINE | ID: mdl-33374694

RESUMEN

The scientific community has definitely demonstrated the importance of the use of mouthwash in daily oral hygiene. In our pilot study, we tested the effectiveness of a novel mouth rinse containing sea salt, xylitol, and lysozyme. Streptococcus mutans (S. mutans) growth, and plaque index in adolescent patients aged 14-17 years, were observed. The bacterial load was investigated by in vitro microbiological analysis; the plaque index was assessed through the O'Leary's Plaque Control Record (PCR). The study has shown that the use of a sea salt-based mouthwash in daily oral hygiene reduces the bacterial levels of S. mutans (p < 0.01) linked to the combined action of xylitol and lysozyme, together with the action of sea salt. Our preliminary data confirm and improve the main results reported in the scientific literature on the importance of the use of xylitol, lysozyme, and sea salt in oral health.


Asunto(s)
Antisépticos Bucales/uso terapéutico , Higiene Bucal , Cloruro de Sodio/uso terapéutico , Xilitol/uso terapéutico , Adolescente , Placa Dental/prevención & control , Humanos , Muramidasa/uso terapéutico , Proyectos Piloto , Streptococcus mutans
20.
Rev. cuba. estomatol ; 57(4): e3094, Oct.-Dec. 2020. tab, graf
Artículo en Inglés | LILACS, CUMED | ID: biblio-1144444

RESUMEN

ABSTRACT Introduction: The oral health of students from rural areas is a priority public health problem in Peru. Objective: To determine socioeconomic factors in relation to oral health in students from a rural Peruvian area. Methods: Descriptive cross-sectional observational study. The sample consisted of 604 students from a rural Peruvian area selected for convenience, meeting criteria of inclusion and exclusion, following ethical standards in scientific research. Socioeconomic factors were assessed using a structured questionnaire and the oral health using an epidemiological record with the indicators: DMFT index, Significant Caries Index (SiC), Simplified Oral Hygiene Index (OHI-S), Index of clinical consequences of untreated dental caries (PUFA). The evaluation was performed with natural light by calibrated observers. The data was analyzed in the program STATA 14 through frequency distribution tables and graphics. The relationship of each of the socioeconomic factors with the experience of dental caries was evaluated by the simple binary logistic regression tests. Results: The prevalence of dental caries was 85, 26 percent (DMFT = 6, 60 SiC=7, 23). The most frequent oral hygiene condition was regular, the prevalence of untreated tooth decay was 61.75 percent. Conclusions: The level of illiterate instruction, family responsibility and independent parental occupation showed a statistically significant association with their children's dental caries experience in a rural Peruvian area. (p < 0.001)(AU)


RESUMEN Introducción: La salud bucal de los estudiantes de zonas rurales es un problema prioritario de salud pública en el Perú. Objetivo: Determinar la relación entre factores socioeconómicos y salud bucal en estudiantes de una zona rural peruana. Métodos: Estudio observacional, descriptivo, de corte transversal. La muestra estuvo conformada por 604 estudiantes de una zona rural peruana, los que fueron seleccionados por conveniencia. Se evaluaron los factores socioeconómicos mediante un cuestionario estructurado y la salud bucal a través de una ficha epidemiológica con los indicadores: Índice CPOD, índice de significancia de caries dental (SIC), índice de higiene oral simplificado (IHO-S), índice de consecuencias clínicas de caries no tratadas (PUFA), la evaluación fue realizada con luz natural por observadores calibrados. Los datos se analizaron en el programa STATA v.14 mediante tablas de distribución de frecuencias y figuras. La relación de cada uno de los factores socioeconómicos con la experiencia de la caries dental se evaluó mediante pruebas de regresión logística binarias simples. Resultados: La prevalencia de caries dental fue de 85,26 por ciento (CPOD = 6,60, SIC = 7,23) y la prevalencia de caries dental no tratada fue 61,75 por ciento . La condición de higiene oral más frecuente fue regular. Conclusiones: El nivel de instrucción analfabeto, la responsabilidad familiar y la ocupación independiente de los padres mostraron asociación estadísticamente significativa con la experiencia de caries dental de sus hijos en un área rural peruana (p < 0,001)(AU)


Asunto(s)
Humanos , Masculino , Femenino , Niño , Higiene Bucal/métodos , Factores Socioeconómicos , Estudiantes , Salud Bucal , Caries Dental/epidemiología , Perú , Medio Rural , Epidemiología Descriptiva , Estudios Transversales , Estudios Observacionales como Asunto
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