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1.
Rev. cuba. estomatol ; 57(2): e2111, abr.-jun. 2020. tab
Artículo en Español | LILACS, CUMED | ID: biblio-1126505

RESUMEN

RESUMEN Introducción: Es muy importante reconocer los factores que pueden estar relacionados con maloclusión en una determinada población, para realizar medidas preventivas basadas en su realidad. Objetivo: determinar factores relacionados con maloclusiones en niños ecuatorianos de 3 a 9 años de edad. Métodos: Estudio epidemiológico transversal realizado a 400 niños de 3 a 9 años de edad, que estaban en tratamiento en las clínicas de Odontopediatría de la Facultad de Odontología de la Universidad Central del Ecuador. Los padres de los niños respondieron a preguntas realizadas por un único investigador experimentado sobre la salud, hábitos y nivel socioeconómico. Cada niño fue evaluado clínicamente extra e intraoralmente, siendo cada cara de las piezas dentales observadas en sentido vertical, transversal y sagital, además de la cara oclusal. Se verificó sí existían interferencias oclusales, mordida cruzada posterior o anterior y mordida abierta. Los datos se tabularon en Excel y se aplicó la prueba chi cuadrado (p< 0,05). Resultados: El 77 % de niños presentó maloclusión (p< 0,001). No se encontró una relación significativa de la presencia de maloclusión en los niños con sus familiares que presentaban maloclusión, bajo nivel socioeconómico y lactancia por menos de 1 año (p> 0,05). La mordida cruzada y las interferencias oclusales estuvieron asociadas (p< 0,001). No se encontró asociación entre la mordida abierta y la respiración bucal (p= 0,944). Conclusiones: Existe una cantidad significativa de maloclusión. La herencia familiar, tipo y tiempo de lactancia y nivel socioeconómico no tienen una relación significativa con la maloclusión. La mordida cruzada y las interferencias oclusales están asociadas. La respiración bucal puede no causar mordida abierta en los niños de 3 a 9 años.


ABSTRACT Introduction: Recognizing the factors potentially related to malocclusion in a given population is crucial to implement preventive actions based on that information. Objective: Determine the factors related to malocclusion in 3-9-year-old Ecuadorian children. Methods: A cross-sectional epidemiological study was conducted of 400 children aged 3-9 years attending pediatric dental clinics at the Central University of Ecuador School of Dentistry. The children's parents answered a number of questions about health, habits and socioeconomic level at the request of a single experienced researcher. Each child underwent extra- and intraoral clinical examination in which the sides of each tooth were observed on a vertical, transversal and sagittal plane, as well as the occlusal side. Verification was made of the presence of occlusal interference, posterior or anterior crossbite and open bite. The data obtained were tabulated onto Excel spreadsheets and the chi-square test was applied (p< 0.05). Results: Of the total children studied 77% had malocclusion (p< 0.001). The presence of malocclusion in children was not found to have a significant relationship to relatives with malocclusion, low socioeconomic level or breastfeeding for less than 1 year (p> 0.05). An association was found between crossbite and occlusal interference (p< 0.001). No association was observed between open bite and mouth breathing (p= 0.944). Conclusions: Malocclusion is significantly prevalent. Family inheritance, breastfeeding type and duration, and socioeconomic level do not have a significant relationship to malocclusion. Crossbite and occlusal interference are associated. Mouth breathing may not be the reason for open bite in 3-9-year-old children.


Asunto(s)
Humanos , Preescolar , Niño , Maloclusión/prevención & control , Estudios Epidemiológicos , Estudios Transversales
2.
Artículo en Inglés | LILACS-Express | LILACS, BBO - Odontología | ID: biblio-1101298

RESUMEN

Abstract Objective: To determine the prevalence and factors associated with malocclusion in the primary dentition of preschool children in a city of Brazilian Northeast. Material and Methods: A cross-sectional study was conducted with 566 five-years-old preschool children who were enrolled in public and private preschools in the city of Teresina, Piauí, Brazil. Data were collected using a sociodemographic questionnaire administrated to parents/caregivers and clinical oral examination of the children was performed. Foster and Hamilton Index for primary teeth was used for the diagnosis of malocclusions. Descriptive analysis was carried out and Poisson regression was used to assesses the association with independent variables. Results: The prevalence of malocclusion was 51.2%. The most frequent types were Class II canines (17% and 16.8%), increased overjet (15.2%) and reduced overbite (14%). Anterior crossbite was present in 3.5% of the preschool children evaluated. There was an association between malocclusion and low family income (PR = 1.22; 95% CI = 1.01-1.47). Conclusion: The prevalence of malocclusion in the primary dentition was high and associated with a low family income.


Asunto(s)
Humanos , Masculino , Femenino , Preescolar , Ortodoncia , Factores Socioeconómicos , Diente Primario , Preescolar , Maloclusión/prevención & control , Brasil , Estudios Transversales , Estudios Transversales/métodos , Encuestas y Cuestionarios , Análisis de Regresión
3.
Am J Orthod Dentofacial Orthop ; 156(2): 178-185, 2019 Aug.
Artículo en Inglés | MEDLINE | ID: mdl-31375227

RESUMEN

INTRODUCTION: This study aimed to identify significant factors affecting the spontaneous angular changes of impacted mandibular third molars as a result of second molar protraction. Temporary skeletal anchorage devices in the missing mandibular first molar (ML-6) or missing deciduous mandibular second molar (ML-E) with missing succedaneous premolar spaces provided traction. METHODS: Forty-one mandibular third molars of 34 patients (10 male and 24 female; mean age 18.3 ± 3.7 years) that erupted after second molar protraction were included in this study. They were classified into upright (U) and tilted (T) groups. Linear and angular measurements were performed at the time of treatment initiation (T1) and of ML-6 or ML-E space closure (T2). Regression analyses were used to identify significant factors related to third molar uprighting. RESULTS: Nolla stage (odds ratio [OR] 4.1), sex (OR 0.003 for male), third molar angulation at T1 (OR 1.1), missing tooth space (OR 0.006), rate of third molar eruption (OR 23.3), and rate of second molar protraction (OR 0.2) significantly affected third molar uprighting. Age, third molar angulation at T1, rate of third molar eruption, and rate of second molar protraction were significant factors for predicting third molar angulation at T2. CONCLUSIONS: Available space for third molar eruption before and after second molar protraction is not associated with uprighting of erupting third molars. Older patients whose third molars are in greater Nolla stage, are in a more upright position at T1, and have a greater eruption rate have a greater chance for third molar uprighting. Alternatively, an increase in second molar protraction rate results in mesial tipping of the third molars.


Asunto(s)
Maloclusión/prevención & control , Maloclusión/fisiopatología , Mandíbula/fisiopatología , Tercer Molar/fisiopatología , Diente Impactado/fisiopatología , Adolescente , Adulto , Puntos Anatómicos de Referencia , Diente Premolar , Femenino , Humanos , Masculino , Maloclusión/diagnóstico por imagen , Mandíbula/anatomía & histología , Mandíbula/diagnóstico por imagen , Diente Molar/anatomía & histología , Diente Molar/diagnóstico por imagen , Diente Molar/fisiopatología , Tercer Molar/anatomía & histología , Tercer Molar/diagnóstico por imagen , Aparatos Ortodóncicos , Cierre del Espacio Ortodóncico , Ortodoncia Correctiva , Erupción Dental , Diente Primario , Diente Impactado/complicaciones , Diente Impactado/diagnóstico por imagen , Adulto Joven
4.
Cir Cir ; 87(5): 587-594, 2019.
Artículo en Inglés | MEDLINE | ID: mdl-31448782

RESUMEN

Background: Over the years, the treatment to be chosen for the resolution of condylar fractures has been discussed with great concern. Treatment depends on the type and location of the fracture, as well as other associated factors such as facial injuries and concurrent diseases. Aim of the study: The aim of the study was to make a review of the different criteria to establish a diagnosis and treatment to resolve mandibular condyle fractures, according to the evolution of the years and what this entails. Discussion: Management of condylar fractures remains controversial among surgeons. However, as time goes by and as comparative and analytical studies are carried out within the issue, parameters and criteria are established to facilitate the decisions taken regarding the management and treatment of condylar fractures. Conclusion: Condylar fractures must be managed according to the clinical and case presentation.


Asunto(s)
Fijación Interna de Fracturas/métodos , Cóndilo Mandibular/lesiones , Fracturas Mandibulares/cirugía , Adolescente , Adulto , Factores de Edad , Niño , Toma de Decisiones Clínicas , Humanos , Maloclusión/prevención & control , Cóndilo Mandibular/cirugía , Fracturas Mandibulares/complicaciones , Fracturas Mandibulares/diagnóstico , Complicaciones Posoperatorias/prevención & control , Recuperación de la Función , Estudios Retrospectivos
5.
Pediatr. catalan ; 79(2): 48-53, abr.-jun. 2019. ilus
Artículo en Catalán | IBECS | ID: ibc-190632

RESUMEN

FONAMENT: La primera infància és una etapa crucial per al desenvolupament dels infants. La salut oral és una part integral de la seva salut general. En aquest sentit, l'odontopediatria té un paper fonamental i, al seu torn, el pediatre pot facilitar les primeres orientacions sobre salut bucal. OBJECTIU: En aquest treball es revisen aspectes clau per a la salut bucodental infantil. MÈTODE: Revisió bibliogràfica exhaustiva I experiència clínica d'experts. RESULTATS: Els temes revisats són el desenvolupament de la càries, la hipomineralització incisivomolar (HIM) I de les segones molars temporals (HSMT), el desenvolupament de les maloclusions I la influència dels hàbits, les alteracions que afecten els teixits tous I els traumatismes dentals, així com l'establiment de pautes preventives amb la dieta, els segellats de fosses I fissures I l'aplicació de fluor. CONCLUSION: Tots aquests aspectes senten les bases per a una adequada salut oral de l'infant que influirà de manera positiva en el seu desenvolupament


FUNDAMENTO La primera infancia es una etapa crucial para el desarrollo de los niños. La salud oral es una parte integral de su salud general. En este sentido, la odontopediatría tiene un papel fundamental y, a su vez, el pediatra puede facilitar las primeras orientaciones sobre salud bucal. OBJETIVO: En este trabajo se revisan aspectos clave para la salud buco-dental infantil. MÉTODO: Revisión bibliográfica exhaustiva y experiencia clínica de expertos. RESULTADOS: Los temas revisados son el desarrollo de la caries, la hipomineralización incisivo-molar (HIM) y de segundos molares temporales (HSMT), el desarrollo de maloclusiones y la influencia de los hábitos, las alteraciones que afectan a los tejidos blandos, y los traumatismos dentales, así como el establecimiento de pautas preventivas con la dieta, los sellados de fosas y fisuras y la aplicación de flúor. CONCLUSIONES: Todos estos aspectos sientan las bases para una adecuada salud oral del niño que influirá positivamente en su desarrollo


BACKGROUND: Early childhood is a crucial stage for the development of children. Oral health is an integral part of the child's general health. In this regard, pediatric dentistry plays a fundamental role; the pediatrician can provide the first guidelines on oral health. OBJECTIVE: This paper reviews key aspects for orodental health in childhood. METHOD: Comprehensive bibliography review and summary of clinical experts' experience. RESULTS: The reviewed topics are the development of dental caries, molarincisor hypomineralization (MIH) and second primary molar hypomineralization (SPMH), the development of malocclusions and the influence of oral habits, alterations of soft tissues, dental traumatisms, as well as the establishment of preventive guidelines about diet, pit and fissure sealants and the use of fluoride. CONCLUSIONS: All these factors lay the foundations for an adequate oral health of children that will positively influence their development


Asunto(s)
Humanos , Preescolar , Niño , Odontología Pediátrica , Caries Dental/prevención & control , Desmineralización Dental/prevención & control , Maloclusión/prevención & control , Hábitos , Dieta , Selladores de Fosas y Fisuras , Higiene Bucal , Flúor/administración & dosificación
7.
Clin Exp Dent Res ; 5(1): 59-66, 2019 02.
Artículo en Inglés | MEDLINE | ID: mdl-30847234

RESUMEN

Dental and stomatologic problems in childhood need to be diagnosed and managed with multidisciplinary protocols focusing around the children an appropriate prevention, diagnosis, and care program. Therefore, it is paramount to avail of screening tools that provide an indication of in-depth multidisciplinary diagnostic flow. The aim of this study is to detect and evaluate malocclusion problems and predisposing factors in an Italian preschooler population. Design-calibrated operators detected data through examination of 1,405 children (706 males and 699 females) aged between 2 and 7 years, in one hospital in Rome and in kindergartens of several Italian cities. Data were collected following Risk of Malocclusion Assessment index criteria. Pearson's chi-square test (with continuity correction) and Fisher's exact test were the statistical tests conducted (P < 0.05). Grade 2 (49.6%) and 4 (21.7%), followed by grade 1 (17.1%), grade 3 (9.3%), and finally grade 5 (2.3%) are the most represented degrees. 53.6% of the cases have a high risk, whereas 32.2% has a low risk and 14.9% has a moderate risk. The risk-degree correlation is statistically significant (P < 0.005). Flawed habits and oral breathing are present in more than a quarter of children. Findings of the study highlighted that early multidisciplinary approach, as well as orthodontic visits and screening in childhood, is necessary to promote normal growth and development of the face and the elimination of potential interferences that may harm these processes.


Asunto(s)
Maloclusión/epidemiología , Tamizaje Masivo , Niño , Preescolar , Femenino , Hábitos , Humanos , Indice de Necesidad de Tratamiento Ortodóncico , Italia/epidemiología , Masculino , Maloclusión/diagnóstico , Maloclusión/prevención & control , Prevalencia , Factores de Riesgo
8.
Compend Contin Educ Dent ; 40(3): 149-154; quiz 155, 2019 Mar.
Artículo en Inglés | MEDLINE | ID: mdl-30829496

RESUMEN

Interceptive orthodontics is intended to optimize dentofacial growth and development. This treatment concept attempts to prevent or minimize dental development abnormalities while enabling craniofacial growth modification. Utilizing preventative holistic concepts, it also focuses on habit intervention. Interceptive orthodontics in children entails monitoring for a variety of conditions, including excessive space, severe crowding, open or deep bites, anterior and/or posterior crossbites, severe overjet, and abnormal eruption patterns. This article will review the etiologies of these clinical presentations, categorizing them into three groupings: abnormalities in development, craniofacial growth alterations, and oral habits. The prevention of orthodontic issues also will be discussed.


Asunto(s)
Hábitos , Maloclusión/prevención & control , Ortodoncia Interceptiva , Niño , Humanos , Maloclusión/etiología , Maloclusión/terapia , Erupción Dental
9.
BMJ Case Rep ; 20182018 Sep 18.
Artículo en Inglés | MEDLINE | ID: mdl-30232069

RESUMEN

22q11.2 deletion syndrome (22q11.2DS) is one of the most common microdeletion syndromes, with an incidence of approximately 1/2000-1/4000 live births; it is thought to be mainly attributable to a de novo deletion. The clinical phenotype of this syndrome is highly variable. Certain craniofacial and oral features are common to most patients with 22q11.2DS, including a high prevalence of dental caries; abnormalities of tooth shape, eruption and number; and enamel defects such as hypomineralisation and hypoplasia. This report focuses on the dental features and management of an 8-year-old boy with 22q11.2DS. Dental treatments were carried out under general anaesthesia. In summary, facial dysmorphism and common dental manifestations are typically noticeable in patients with this syndrome. Therefore, dentists need to be aware of the dental features of this condition in order to refer them to the adequate specialists. Cooperation among and experience with different specialties are mandatory to improve quality of life for patients with 22q11.2DS.


Asunto(s)
Caries Dental/diagnóstico , Síndrome de DiGeorge/complicaciones , Maloclusión/diagnóstico , Anestesia General/métodos , Niño , Caries Dental/diagnóstico por imagen , Caries Dental/cirugía , Síndrome de DiGeorge/diagnóstico , Síndrome de DiGeorge/genética , Humanos , Comunicación Interdisciplinaria , Masculino , Maloclusión/prevención & control , Radiografía Panorámica , Arabia Saudita/epidemiología , Erupción Dental , Resultado del Tratamiento
10.
Br Dent J ; 225(4): 293-298, 2018 08 24.
Artículo en Inglés | MEDLINE | ID: mdl-30141512

RESUMEN

This paper describes different types of space maintainers and the clinical situations where they may be useful, for example, when primary teeth have been lost prematurely. It serves as a clinical guide for practitioners on the best types of space maintainers to use and on the clinical uses of space maintainers in preventing undesirable tooth movements and resulting loss of arch length.


Asunto(s)
Dentición Mixta , Maloclusión/prevención & control , Mantenimiento del Espacio en Ortodoncia/instrumentación , Diente Primario , Niño , Humanos , Mantenimiento del Espacio en Ortodoncia/métodos
11.
Eur Arch Paediatr Dent ; 19(5): 287-295, 2018 Oct.
Artículo en Inglés | MEDLINE | ID: mdl-30054865

RESUMEN

AIM: This was to investigate the occurrence of malocclusion traits among children who were users of orthodontic or conventional pacifier by means of a systematic review. METHODS: Search for articles involved five electronic databases: Latin American and Caribbean Health Sciences (LILACS), PsycINFO, PubMed (including MedLine), Scopus and Web of Science. Grey literature was partially assessed. Observational studies with children aged 6-60 months who had used orthodontic or conventional pacifier were included. The risk of bias among included studies was assessed through the Joanna Briggs Institute Tool. RESULTS: From the 607 initially-identified papers only three were included after the selection process. All presented moderate risk of bias. Although an anterior open bite and accentuated overjet were identified among conventional users of pacifier in one study no differences were identified in the other two selected studies. Posterior crossbite frequency was not different in any of the included studies. There was also no difference regarding frequency and duration of use, except in the study that showed higher occurrence of open bite malocclusion in conventional pacifier users. CONCLUSIONS: The currently available evidence is insufficient to support the concept that the usage of orthodontic pacifiers is able to prevent malocclusion traits when compared to the usage of conventional pacifiers.


Asunto(s)
Maloclusión/prevención & control , Chupetes , Preescolar , Diseño de Equipo , Humanos , Lactante , Diente Primario
12.
Int J Oral Sci ; 10(1): 7, 2018 03 13.
Artículo en Inglés | MEDLINE | ID: mdl-29540669

RESUMEN

Malocclusion is a worldwide dental problem that influences the affected individuals to varying degrees. Many factors contribute to the anomaly in dentition, including hereditary and environmental aspects. Dental caries, pulpal and periapical lesions, dental trauma, abnormality of development, and oral habits are most common dental diseases in children that strongly relate to malocclusion. Management of oral health in the early childhood stage is carried out in clinic work of pediatric dentistry to minimize the unwanted effect of these diseases on dentition. This article highlights these diseases and their impacts on malocclusion in sequence. Prevention, treatment, and management of these conditions are also illustrated in order to achieve successful oral health for children and adolescents, even for their adult stage.


Asunto(s)
Maloclusión/etiología , Enfermedades Estomatognáticas/complicaciones , Niño , Humanos , Maloclusión/epidemiología , Maloclusión/prevención & control , Prevalencia , Enfermedades Estomatognáticas/epidemiología , Enfermedades Estomatognáticas/prevención & control
13.
J Dent Res ; 97(3): 251-258, 2018 03.
Artículo en Inglés | MEDLINE | ID: mdl-29108500

RESUMEN

Breastfeeding is a powerful health-promoting behavior. A 2016 Lancet global collaboration to review the health implications of breastfeeding was among the first to consider oral health outcomes. While a role was suggested for breastfeeding in preventing malocclusion, caries was the only included disease condition unfavorably associated with breastfeeding. The present critical review examines the evidence connecting breastfeeding practices to these outcomes and discusses the methodological challenges inherent in reaching causal conclusions. Published systematic reviews show some evidence of a protective effect of breastfeeding against primary dentition malocclusion but no supportive evidence for mixed dentition and permanent dentition malocclusions. Regarding caries, well-conducted studies report a benefit with breastfeeding up to 12 mo but a positive association between caries and breastfeeding of longer duration, at times that vary between 12 and 24 mo, as well as nocturnal feeding. Future studies would be methodologically stronger if focused on specific malocclusion traits that are plausibly associated with sucking movements rather than using general malocclusion indices. Studies should use detailed and consistent terminology for breastfeeding definition, including frequency, intensity, and timing. Analytical studies should be carried out to distinguish between confounders (e.g., prematurity) and mediators (e.g., use of pacifier). Regarding a link to caries, standard terminology for exposures (e.g., nocturnal feeding) is recommended. Statistical analyses must account for known confounding factors (e.g., socioeconomic conditions) but avoid inappropriate adjustment for variables on a causal path between exposure and outcome or for variables not associated with breastfeeding (e.g., tooth brushing), as can be guided using tools such as direct acyclic graphs. For dental practice, the potential caries risk of long-duration breastfeeding should be part of individual patient counseling that incorporates patient values and circumstances. Given the unquestioned overall health benefits of breastfeeding, the dental community should support World Health Organization guidelines that encourage and promote breastfeeding.


Asunto(s)
Lactancia Materna , Caries Dental/prevención & control , Maloclusión/prevención & control , Salud Bucal , Lactancia Materna/efectos adversos , Femenino , Humanos , Lactante , Recién Nacido , Masculino , Factores de Tiempo
15.
Rev. Ateneo Argent. Odontol ; 57(2): 33-38, nov. 2017. ilus
Artículo en Español | LILACS | ID: biblio-973121

RESUMEN

El objetivo de este trabajo consiste en describir las distintas lesiones cervicales no cariosas, la abrasión, la erosión y la abfracción. Se desarrollarán en detalle su etiología, localización y características clínicas. Se mencionarán los diferentes procedimientos a realizar para su prevención y los materiales a utilizar para su restauración.


This article describes the different types of non-cariouscervical lesions, for example abrasion, erosionand abfraction. We will discuss their etiology, location and clinical features in detail. We will describe the procedures to prevent them, aswell as the materials used for their restoration.


Asunto(s)
Humanos , Cuello del Diente/lesiones , Erosión de los Dientes/etiología , Erosión de los Dientes/prevención & control , Erosión de los Dientes/terapia , Abrasión de los Dientes/etiología , Abrasión de los Dientes/prevención & control , Abrasión de los Dientes/terapia , Desgaste de los Dientes , Alargamiento de Corona/métodos , Atrición Dental/etiología , Atrición Dental/prevención & control , Atrición Dental/terapia , Fluoruros Tópicos/administración & dosificación , Remineralización Dental/métodos , Odontología Preventiva , Oclusión Dental , Maloclusión/prevención & control
16.
Odonto (Säo Bernardo do Campo) ; 25(49): 9-16, jan.-jun. 2017. graf, ilus
Artículo en Portugués | LILACS, BBO - Odontología | ID: biblio-996275

RESUMEN

O hipotireoidismo congênito é um distúrbio endócrino caracterizado pela diminuição dos níveis séricos dos hormônio da glândula tireóide. Este afeta o metabolismo do cálcio, e, portanto, a formação dos ossos e dentes. É comum nestes pacientes anomalias de formação dentária, atraso na erupção dentária, hipodesenvolvimento do côndilo mandibular e macroglossia. Somados, estes fatores podem ainda levar a uma má-oclusão e ao desenvolvimento inadequado das funções orais. Diante do exposto, Avaliou-se através deste estudo as condições clínicas orais e promoveu-se o atendimento odontológico dos pacientes com esta disfunção endócrina vinculados ao serviço de triagem neonatal do Hospital Universitário da Universidade Federal de Sergipe. Trata-se de um projeto de extensão em que foram atendidos 205 pacientes com idade entre 01 mês e 14 anos, no período de fevereiro à novembro de 2016, os quais passaram por uma avaliação clínica e receberam orientações preventivas. A partir do exame clínico, observou-se que 20% dos pacientes apresentavam alguma necessidade de tratamento odontológico, sendo esses, agendados e encaminhados para a realização do procedimento clínico odontológico. Com os dados obtidos foi possível concluir que é essencial dar aos responsáveis e pacientes as informações necessárias para a prevenção de doenças bucais, estando elas correlacionadas ou não com o Hipotireoidismo Congênito. Além disto, a realização de tratamento clínico, preventivo e curativo nesses pacientes, agregou a Odontologia ao plano multiprofissional já existente representado pelo programa de triagem neonatal do HU ­ UFS.(AU)


Congenital hypothyroidism is an endocrine disorder characterized by a decrease in the serum levels of thyroid gland hormones. This affects the metabolism of calcium, and therefore the formation of bones and teeth. It is common on those patients dental formation anomalies, delayed dental eruption, hypo development of the mandibular condyle and macroglossia. In addition, these factors may also lead to malocclusion and inadequate development of oral functions.In view of the above, this study was chosen as oral clinical conditions and it was promoted in the dental care of patients with this endocrine dysfunction linked to the neonatal screening service of the University Hospital of the Federal University of Sergipe. It is an extension project in which 205 patients aged between 1 month and 14 years were attended, in the period of February to November of 2016, who underwent a clinical evaluation and received preventive guidance. From the clinical examination, it was observed that 20% of the patients had a need for dental treatment, and they were scheduled and sent to perform a dental procedure. With the obtained data, it was possible to conclude that it is essential to give the responsible ones and patients the necessary information for the prevention of oral diseases, being they correlated or not with Congenital Hypothyroidism. In addition, performing clinical, preventive and curative treatment in these patients, added the Dentistry to the existing multiprofessional plan represented by the neonatal screening program of the HU ­ UFS.(AU)


Asunto(s)
Humanos , Masculino , Femenino , Lactante , Preescolar , Niño , Adolescente , Enfermedades Periodontales/epidemiología , Hipotiroidismo Congénito/epidemiología , Caries Dental/epidemiología , Maloclusión/epidemiología , Higiene Bucal , Enfermedades Periodontales/etiología , Enfermedades Periodontales/prevención & control , Brasil/epidemiología , Educación en Salud Dental , Hipotiroidismo Congénito/complicaciones , Hipotiroidismo Congénito/prevención & control , Caries Dental/etiología , Caries Dental/prevención & control , Maloclusión/etiología , Maloclusión/prevención & control
17.
Artículo en Inglés | MEDLINE | ID: mdl-28327525

RESUMEN

The aim of the present study was to obtain the prevalence of malocclusions in preschool children in Shanghai, China. A cross-sectional survey was conducted among 2335 children aged 3-5 years from kindergartens. Several occlusal parameters were clinically assessed, including second deciduous molar terminal plane, canine relationship, degree of overjet and overbite, anterior and posterior crossbite, and the presence or absence of physiologic spaces and crowding. All parents of subjects were asked to fill in the oral health knowledge questionnaires. The prevalence of malocclusion in primary dentition in Shanghai was 83.9%, and no significant differences were found in genders. Data showed that the prevalence of deep overbite (63.7%) was the highest in children with malocclusion, followed by deep overjet (33.9%), midline deviation (26.6%), anterior crossbite (8.0%) and anterior crowding (6.5%). The results revealed a high prevalence of malocclusion in primary dentition in children aged 3-5 years old of Shanghai, especially in vertical anomalies. The need for preventive orthodontic therapy is extremely desired and oral health education about malocclusion should be strengthened.


Asunto(s)
Maloclusión/epidemiología , Factores de Edad , Preescolar , China/epidemiología , Estudios Transversales , Femenino , Humanos , Masculino , Maloclusión/prevención & control , Maloclusión/psicología , Prevalencia , Diente Primario , Salud Urbana
18.
J Contemp Dent Pract ; 18(3): 188-193, 2017 Mar 01.
Artículo en Inglés | MEDLINE | ID: mdl-28258262

RESUMEN

INTRODUCTION: The early loss of deciduous molars is a frequently encountered problem in dentistry. Various space maintainer designs were developed to prevent the loss of the space. The aim of this study was to evaluate long-term clinical performance and survival rates of fiber-reinforced composite resin (FRCR) as a space maintainer clinically. MATERIALS AND METHODS: This study was designed on 44 children who had early missed deciduous molars. Space maintainers were prepared on plaster models of patients and fixed directly to the adjacent teeth. Survival rate and whether it causes any damage to adjacent teeth were examined clinically and radio-graphically for 24 months or until failure. Kaplan-Meier survival analysis was used for the statistical analyses. RESULTS: Overall, 16.2% of space maintainers were dislodged and accepted to be failed at the end of 12 months. At the 24-month control, 52.2% success was stated with the FRCR space maintainer and because of permanent tooth eruption, 31.8% of space maintainer were taken out. The mean duration of space maintainers was measured to be 14.8 ± 3.48 months. There was no statistical significance between survival time and gender, tooth number, localization, and measured space (p > 0.05). CONCLUSION: After all 24 months follow-up, as well as esthetic properties of FRCR space maintainer, their applicability in a single seance and strength against the forces are determined as the advantages of the technique. CLINICAL SIGNIFICANCE: The FRCR space maintainers can be thought of as alternatives to metal space maintainers.


Asunto(s)
Resinas Compuestas/uso terapéutico , Mantenimiento del Espacio en Ortodoncia/métodos , Niño , Resinas Compuestas/efectos adversos , Fracaso de la Restauración Dental , Femenino , Humanos , Masculino , Maloclusión/prevención & control , Diente Molar , Mantenimiento del Espacio en Ortodoncia/efectos adversos , Factores de Tiempo
19.
Mediciego ; 23(1)mar.2017.
Artículo en Español | CUMED | ID: cum-68147

RESUMEN

Introducción: entre las afecciones bucales, la maloclusión ocupa el tercer lugar por su prevalencia e incidencia en la población y es un factor de riesgo de enfermedades periodontales, caries y trastornos temporomandibulares; las alteraciones estéticas, funcionales y psicológicas que provoca la convierten en un problema de salud pública, en el que se reflejan aspectos sociales importantes, como la equidad, la promoción y prevención de salud, la calidad de la atención y cuestiones éticas relativas a éstos. Objetivo: fundamentar el valor social de la labor preventiva de los factores de riesgo de maloclusiones en la dentición temporal.Método: se revisó la bibliografía nacional e internacional de los últimos cinco años, disponible en bases de datos de Internet, en español e inglés; se seleccionaron los trabajos más actualizados y, a partir de ellos, se elaboró una síntesis estructurada del tema. Desarrollo: la dentición temporal es muy vulnerable a las caries, sobre todo a las interproximales en molares temporales; por otra parte, la pérdida prematura de los dientes temporales provoca la disminución del espacio reservado para los sucesores permanentes, debido a la migración de los dientes adyacentes, lo que ocasiona acortamiento de la longitud de la arcada y maloclusión. Conclusiones: los factores de riesgo socioculturales influyen en el desarrollo de maloclusiones desde edades tempranas, por lo se debe tener en cuenta la estrecha relación entre los aspectos sociológicos, científicos y tecnológicos de la labor preventiva, de cara a identificar los factores de riesgo de la entidad desde la etapa de la dentición temporal(AU)


Introduction: among oral affections, malocclusion occupies the third place due to its prevalence and incidence in the population and it is a risk factor for periodontal diseases, caries and temporomandibular disorders; the aesthetic, functional and psychological alterations that malocclusion causes make it a public health problem, which reflects important social aspects, such as equity, health promotion and prevention, quality of care and ethical issues related to them. Objective: to base the social value of preventive work on the risk factors for malocclusion in the temporal dentition. Method: the national and international bibliography of the last five years, available in databases of Internet, in Spanish and English was reviewed; the most updated works were selected and, based on them, a structured synthesis of the topic was developed. Development: temporary dentition is very vulnerable to cavities, especially to interproximal ones in temporal molars; on the other hand, the premature loss of the temporal teeth causes a decrease in the space reserved for the permanent successors, due to the migration of the adjacent teeth, which causes a shortening of the arch length and malocclusion.Conclusions: sociocultural risk factors influence the development of malocclusions from an early age, for which is important to take into account the close relationship between the sociological, scientific and technological aspects of preventive work, in order to identify the risk factors of the entity from the stage of the temporary dentition(AU)


Asunto(s)
Humanos , Masculino , Femenino , Factores de Riesgo , Diente Primario/lesiones , Maloclusión/prevención & control , Maloclusión/etiología , Literatura de Revisión como Asunto
20.
Braz Oral Res ; 30(1): e119, 2016 Nov 28.
Artículo en Inglés | MEDLINE | ID: mdl-27901201

RESUMEN

Results: 506 of the 802 guardians/children referred to the PPM joined. As for the children, the most frequently assessed habits were: bottle (56.1%), bottle and pacifier (18.4%), finger (11.9%), bottle and finger (7.1%), pacifier (5.7%), pacifier and finger (0.6%), and bottle/pacifier/finger (0.2%). After parent participation in the meetings, 335 (66.2%) children abandoned their habits. There was a statistical difference between type of oral habit and time to abandonment (p = 0.0001). However, those with only one habit abandoned it more easily (72.6%) than those with two or more associated habits (48.1%) (p = 0.042). Presence or absence of breastfeeding and parents' level of education had no significant effect on habit abandonment. Conclusion: PPM was an important tool for spreading knowledge to guardians, greatly contributing to the abandonment of deleterious oral habits. Bottle sucking warrants special attention - mentioned by 81.8% of parents - either alone or associated with other habits. Thus, educational actions to implement the children's approach to oral health are fundamental to making behavioral changes and promoting education of healthy habits, thereby keeping malocclusions from developing.


Asunto(s)
Atención Dental para Niños/métodos , Educación en Salud Dental/métodos , Maloclusión/prevención & control , Preescolar , Escolaridad , Femenino , Hábitos , Humanos , Lactante , Tutores Legales , Masculino , Maloclusión/etiología , Chupetes/efectos adversos , Padres , Evaluación de Programas y Proyectos de Salud , Reproducibilidad de los Resultados , Estudios Retrospectivos , Conducta en la Lactancia , Factores de Tiempo
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