Your browser doesn't support javascript.
loading
Mostrar: 20 | 50 | 100
Resultados 1 - 16 de 16
Filtrar
1.
Oper Dent ; 41(1): 103-10, 2016.
Artigo em Inglês | MEDLINE | ID: mdl-26332737

RESUMO

The purpose of this study was to evaluate the push-out strength of two different adhesive cements (total etch and self-adhesive) for glass fiber post (GFP) cementation using two different techniques (microbrush and elongation tip) of cement application. In addition, this study evaluated the effect of total-etch conditioning before the use of a self-adhesive cement. Sixty premolar specimens with a single root canal were selected, endodontically treated, and shaped for GFP cementation. The specimens were randomly placed into one of six groups according to the cement and technique used: RelyX ARC (ARC): ARC + microbrush, ARC + elongation tip; RelyX Unicem (RU): RU + microbrush, RU + elongation tip; or RelyX Unicem + 37% phosphoric acid (RUE): RUE + microbrush, RUE + elongation tip. Each specimen root was cut perpendicular to the vertical axis yielding six 1.0-mm-thick sections. Push-out strength test was performed, followed by statistical analysis using three-way analysis of variance and the Games-Howell test (p<0.05). Statistically significant differences between the groups were found (p< 0.05). The cervical third of the roots had the highest mean push-out strength values, while the apical third had the lowest mean values regardless of the technique used. The elongation technique produced higher mean push-out strength values compared to the microbrush technique. The self-etch adhesive cement had the highest mean push-out strength value in all thirds. The addition of a conditioning step before the self-etch adhesive cementation appears to be effective in enhancing push-out strength with GFPs.


Assuntos
Colagem Dentária , Técnica para Retentor Intrarradicular , Vidro , Cimentos de Resina
2.
Br Dent J ; 206(3): E5; discussion 152-3, 2009 Feb 14.
Artigo em Inglês | MEDLINE | ID: mdl-19148190

RESUMO

BACKGROUND: The aim of this study was to describe New England dental professionals' attitudes and behaviours regarding domestic violence (DV) and to identify barriers faced in intervening to help suspected victims. METHODS: A cross-sectional survey using a convenience sample of dentists (n = 169) and hygienists (n = 190) attending the 2004 Yankee Dental Conference in Boston, MA was conducted. Data were collected using a questionnaire assessing screening practices, actions taken, deterrents in identification and referral, prior DV education and perceived need for DV education. Descriptive, bivariate and multivariate analyses were performed. RESULTS: Dentists and hygienist were very similar in their attitudes and behaviours regarding DV. Dental professionals who had received prior DV education were more likely to screen for DV (p

Assuntos
Atitude do Pessoal de Saúde , Higienistas Dentários , Odontólogos , Violência Doméstica , Padrões de Prática Odontológica/estatística & dados numéricos , Adulto , Estudos Transversais , Educação em Odontologia/normas , Feminino , Humanos , Masculino , Notificação de Abuso , Programas de Rastreamento , Pessoa de Meia-Idade , New England , Papel Profissional , Encaminhamento e Consulta
3.
Community Dent Health ; 25(4): 211-5, 2008 Dec.
Artigo em Inglês | MEDLINE | ID: mdl-19149297

RESUMO

OBJECTIVES: To evaluate the retention and effectiveness of fissure sealants in permanent first molars in a public programme. METHODS: Sealant retention in permanent first molars was evaluated in 452 children aged 6-8 years in 20 primary schools under the care of the School Oral Health Programme, Kuwait-Forsyth. The sealants were placed using rubber dam or cotton roll isolation, after cleaning with pumice and rubber cup, and 15 seconds etching. Sealant retention was evaluated at one and two years and scored as complete, partial or complete loss of sealant. Caries was scored when sealant was partially or completely lost. RESULTS: A total of 2,744 sealants were applied, with 2,324 and 2,288 sealants examined at the end of the first and second year respectively. In two years, 75% of the sealants were completely retained, 2.9% partially lost, 7.3% completely lost, and 14.8% resealed or restored. A small proportion of teeth (0.9%) were carious. Multivariate analyses showed that occlusal surfaces were 2.8 times more likely to retain a sealant than the buccal and palatal pits (95% CI 2.7-3.9, p<0.0001), and maxillary teeth were 1.3 times more likely to retain their sealant than the mandibular teeth (95% CI 1.01-1.5, p=0.04). Maxillary teeth were less likely to be carious (OR=0.6, 95% CI 0.4-0.97), p=0.03) and occlusal surfaces were 2.8 times more likely to be carious (95% CI 1.9-4.3), p<0.0001). No differences in sealant retention (p=0.24) and caries (p=0.19) were seen between teeth isolated using rubberdam or cotton roll. CONCLUSIONS: Sealant retention was high, and sealants were effective in preventing caries.


Assuntos
Cárie Dentária/prevenção & controle , Selantes de Fossas e Fissuras , Serviços de Odontologia Escolar , Fatores Etários , Criança , Fissuras Dentárias/terapia , Falha de Restauração Dentária , Humanos , Kuweit , Dente Molar , Análise Multivariada , Avaliação de Programas e Projetos de Saúde , Diques de Borracha
4.
J Clin Dent ; 16(1): 23-5, 2005.
Artigo em Inglês | MEDLINE | ID: mdl-15974220

RESUMO

OBJECTIVE: To evaluate the effectiveness of battery-powered tooth brushing in removing plaque in Kuwaiti children. METHODOLOGY: The subjects were 30 boys, aged 9-11 years. Prior to the start of the study, the children had never used a battery-powered toothbrush. At baseline, plaque accumulation was assessed for manual tooth brushing and battery-powered tooth brushing (Oral-B Kids battery-powered). All subjects then used the battery-powered toothbrush for two weeks at home. Plaque accumulation was again assessed for both manual and battery-powered tooth brushing. Plaque accumulation was assessed using the Soparkar modification of the Quigley-Hein Plaque Index. Differences in pre- and post-tooth brushing plaque, and change from baseline, were the outcome measures evaluated. RESULTS: At baseline, there was no difference in plaque removal between battery-powered tooth brushing and manual tooth brushing, either in difference between pre- and post-tooth brushing plaque measures (p = 0.44) or in percentage change (p = 0.51). After two weeks of use, there was a statistically significant difference in plaque removal between battery-powered tooth brushing and manual tooth brushing, both in the difference between pre- and post-tooth brushing plaque measures (p = 0.01) and in percentage change (p = 0.006). Mean plaque removal by manual tooth brushing was 0.97 +/- 0.45, and mean plaque removal by battery-powered toothbrush was 1.23 +/- 0.56. Mean percentage change in plaque removal by manual tooth brushing was 33.5 +/- 16.05, and mean plaque removal by battery-powered tooth brushing was 43.0 +/- 18.82, which represented a 9.5% improvement for battery-powered tooth brushing compared to manual tooth brushing. CONCLUSION: After two weeks use of a battery-powered toothbrush, the plaque removal was enhanced compared to baseline and to manual tooth brushing. Battery-powered tooth brushing also enhanced manual tooth brushing ability.


Assuntos
Placa Dentária/terapia , Escovação Dentária/instrumentação , Criança , Estudos Cross-Over , Índice de Placa Dentária , Eletricidade , Humanos , Masculino , Método Simples-Cego
5.
Epidemiology ; 12(6): 741-3, 2001 Nov.
Artigo em Inglês | MEDLINE | ID: mdl-11679804

RESUMO

Recently, leukoplakia of the maxillary vestibule was described in patients with no traditional risk factors but who had used Viadent products. We designed a case-control study to evaluate the hypothesis that Viadent users were more likely to have lesions. One hundred and forty-eight cases and controls were identified through the Section of Oral and Maxillofacial Pathology. Cases and controls were administered a questionnaire about Viadent use and other known risks. Results of crude, stratified, and logistic regression analyses showed that use of Viadent products was a risk indicator for leukoplakia (adjusted OR = 9.7, 95% CI = 4.7-21.6), with a strong dose-response relation.


Assuntos
Alcaloides/efeitos adversos , Anti-Infecciosos/efeitos adversos , Leucoplasia/induzido quimicamente , Neoplasias Bucais/induzido quimicamente , Consumo de Bebidas Alcoólicas/efeitos adversos , Benzofenantridinas , Estudos de Casos e Controles , Prótese Dentária , Relação Dose-Resposta a Droga , Feminino , Humanos , Isoquinolinas , Leucoplasia/epidemiologia , Modelos Logísticos , Masculino , Pessoa de Meia-Idade , Neoplasias Bucais/epidemiologia , Razão de Chances , Ohio/epidemiologia , Fatores de Risco , Fumar/efeitos adversos
6.
J Dent Educ ; 65(9): 861-5, 2001 Sep.
Artigo em Inglês | MEDLINE | ID: mdl-11569601

RESUMO

The purpose of this study was to describe and assess the use of fissure sealant retention as a quality measure of the delivery system for pediatric dentistry. The Pediatric Dentistry Section at the Ohio State University College of Dentistry adopted Sealant retention as a measure of quality. Sealant retention in first and second molars was evaluated at each six-month recall appointment. Sealants were categorized as satisfactory or unsatisfactory. Two hundred five sealants were evaluated between March 1998 and March 1999. The mean age of the patients at the time of sealant evaluation was 14.0 +/- 2.9. Mean sealant retention period was 29.8 +/- 23.2 months, with a range of 0.9 to 148 months. Median sealant retention period was 23.2 months. Overall, 75.6 percent of the sealed teeth were classified as satisfactory. Use of this data in making improvements is discussed. Our results indicate that the use of sealant retention is a suitable measure for quality of care in pediatric dentistry.


Assuntos
Colagem Dentária , Avaliação de Resultados em Cuidados de Saúde , Selantes de Fossas e Fissuras/normas , Faculdades de Odontologia , Adolescente , Fatores Etários , Análise de Variância , Criança , Suscetibilidade à Cárie Dentária , Seguimentos , Humanos , Dente Molar , Variações Dependentes do Observador , Ohio , Odontopediatria/educação , Selantes de Fossas e Fissuras/uso terapêutico , Qualidade da Assistência à Saúde , Reprodutibilidade dos Testes , Estatística como Assunto , Resultado do Tratamento
7.
J Dent Educ ; 65(11): 1266-71, 2001 Nov.
Artigo em Inglês | MEDLINE | ID: mdl-11765873

RESUMO

In the summer of 1997, the College of Dentistry, The Ohio State University, changed its predoctoral clinics from the traditional model to the comprehensive care (CC) model. Although the CC model is considered the better model for delivery of care, from the patient perspective it has not been previously evaluated. The purpose of this study was to compare the two dental care delivery systems--the traditional model and the CC model--using patient satisfaction. The Dental Satisfaction Questionnaire (DSQ) developed by the Rand Corporation was used to assess patient satisfaction. The questionnaire consists of nineteen items, measuring overall satisfaction and subscales of access, pain management, and quality. The questionnaire was self-administered to active and recall patients in the summers of 1997 and 1998 to evaluate satisfaction with care in the traditional and CC models respectively. The completed DSQ was returned by 119 respondents in 1997 and 116 respondents in 1998. There were no significant differences in age. gender, and self-rated general and oral health of patients using the two delivery systems. No statistically significant differences were seen in the overall Dental Satisfaction Index and the sub-scales of access, pain management, and quality of care. Statistically significant differences were observed on only two of the nineteen individual items. We conclude that there was no difference in satisfaction levels of our patients between the two dental care delivery models.


Assuntos
Assistência Odontológica Integral , Atenção à Saúde/métodos , Assistência Odontológica/organização & administração , Educação em Odontologia/métodos , Satisfação do Paciente , Análise de Variância , Distribuição de Qui-Quadrado , Assistência Odontológica/psicologia , Clínicas Odontológicas , Feminino , Humanos , Modelos Lineares , Masculino , Pessoa de Meia-Idade , Modelos Organizacionais , Razão de Chances , Ohio , Faculdades de Odontologia , Inquéritos e Questionários
8.
Gen Dent ; 49(6): 608-14, 2001.
Artigo em Inglês | MEDLINE | ID: mdl-12024750

RESUMO

An association between the use of Viadent toothpaste and/or mouthwash and the development of leukoplakia oral mucosal lesions has been described recently. Discontinuing the Viadent products may result in resolution of the leukoplakia, although frequently this is not the case. In order to corroborate the earlier study and to provide further insight regarding the clinical features of this process, a case-control study was conducted. A significant association was seen between the use of Viadent products and the development of oral leukoplakia. Furthermore, leukoplakias affecting sites other than the buccal vestibule also were associated with the use of these products.


Assuntos
Alcaloides/efeitos adversos , Leucoplasia Oral/induzido quimicamente , Antissépticos Bucais/efeitos adversos , Cremes Dentais/efeitos adversos , Análise de Variância , Benzofenantridinas , Estudos de Casos e Controles , Feminino , Humanos , Isoquinolinas , Leucoplasia Oral/patologia , Modelos Logísticos , Masculino , Pessoa de Meia-Idade , Razão de Chances , Estudos Retrospectivos
9.
Am J Orthod Dentofacial Orthop ; 118(6): 636-40, 2000 Dec.
Artigo em Inglês | MEDLINE | ID: mdl-11113798

RESUMO

Cephalometric analysis of skeletodental features is accepted as an integral part of orthodontic diagnosis and treatment planning. This assumes that diagnostic cephalometric variables affect prognosis and thus help reduce malocclusion severity, which is the aim of orthodontic treatment. The aim of this study was to assess the predictive value of 41 commonly used cephalometric parameters with regard to pretreatment severity and treatment outcomes. Pretreatment severity was assessed by using the Peer Assessment Rating (PAR) occlusal index, an instrument that has been shown to be valid and reliable. Treatment outcomes consisted of (1) posttreatment malocclusion severity (post-PAR), (2) relative improvement (percent PAR reduction), and (3) treatment duration. Complete records, including cephalograms, of 223 treated Class II cases were analyzed by means of separate multiple linear regression models. Each of the outcome variables and the pretreatment severity served as the respective dependent variables, and the cephalometric parameters served as the independent or predictor variables. The cephalometric parameters explained 39.2% of the pretreatment severity variance, 17. 9% of posttreatment severity variance, 15.7% of relative treatment improvement variance, and 20.0% of treatment duration variance.


Assuntos
Cefalometria , Má Oclusão Classe II de Angle/terapia , Análise de Variância , Humanos , Modelos Lineares , Variações Dependentes do Observador , Avaliação de Resultados em Cuidados de Saúde/métodos , Revisão dos Cuidados de Saúde por Pares , Valor Preditivo dos Testes , Prognóstico , Estudos Retrospectivos
10.
J Public Health Dent ; 60(3): 172-81, 2000.
Artigo em Inglês | MEDLINE | ID: mdl-11109215

RESUMO

OBJECTIVES: This study examined factors associated with the use of specific dental services by persons with HIV disease. METHODS: The data were derived from 1,588 adults who participated in a series of up to six interviews as part of the AIDS Cost and Service Utilization Surveys. Use of dental services such as examinations, x-rays, cleaning, fillings, extractions, root canals, crown and bridge or dentures, and periodontal procedures were evaluated using logistic regression and generalized estimating equations were applied. RESULTS: Multivariate analyses showed that medical insurance, an education beyond high school, income higher than $1,300 per month, high ambulatory visits, and receipt of psychological counseling were generally associated with higher service use. Blacks, those with an inpatient admission, and CD4+ cell counts less than 500 cells/microL were significantly less likely to use most types of dental services. CONCLUSIONS: The study concludes that disparities exist in the use of several dental services similar to those seen in the general population.


Assuntos
Assistência Odontológica para Doentes Crônicos/estatística & dados numéricos , Infecções por HIV , Acessibilidade aos Serviços de Saúde , Síndrome da Imunodeficiência Adquirida/complicações , Adolescente , Adulto , Assistência Ambulatorial , População Negra , Contagem de Linfócito CD4 , Aconselhamento , Coroas/estatística & dados numéricos , Profilaxia Dentária/estatística & dados numéricos , Restauração Dentária Permanente/estatística & dados numéricos , Prótese Parcial/estatística & dados numéricos , Dentaduras/estatística & dados numéricos , Escolaridade , Feminino , Infecções por HIV/complicações , Hospitalização , Humanos , Renda , Seguro Saúde , Modelos Logísticos , Masculino , Pessoa de Meia-Idade , Análise Multivariada , Admissão do Paciente , Doenças Periodontais/terapia , Radiografia Dentária/estatística & dados numéricos , Tratamento do Canal Radicular/estatística & dados numéricos , Extração Dentária/estatística & dados numéricos
11.
Pediatr Dent ; 22(4): 269-77, 2000.
Artigo em Inglês | MEDLINE | ID: mdl-10969430

RESUMO

The decline in dental caries prevalence and incidence in developed countries over the last two decades is considered to be largely due to the widespread use of fluoride. Simultaneously, with the decline in caries, an increase in the prevalence of dental fluorosis has been noticed. The increase is in the mild and very mild forms of fluorosis, and is proportionally greater in non-fluoridated areas than in fluoridated areas. This is because of the increase in the mean fluoride intake from all sources since the 1940s. The increase in fluorosis prevalence prompted numerous studies on risk factors for fluorosis. As a result the literature over the last two decades has also reported numerous studies with differing and confusing results. This paper describes for the clinician the condition and summarizes the recent literature on the risk factors for fluorosis. Only well conducted studies evaluating risk factors or indicators and quantifying the risk for dental fluorosis from the 1980s through the 1990s time period were included in this review. Four major risk factors were consistently identified: use of fluoridated drinking water, fluoride supplements, fluoride toothpaste, and infant formulas before the age of six years.


Assuntos
Cariostáticos/efeitos adversos , Fluoretação/efeitos adversos , Fluoretos/efeitos adversos , Fluorose Dentária/epidemiologia , Fluorose Dentária/etiologia , Austrália/epidemiologia , Canadá/epidemiologia , Cariostáticos/administração & dosagem , Criança , Pré-Escolar , Suplementos Nutricionais/efeitos adversos , Fluoretos/administração & dosagem , Humanos , Lactente , Alimentos Infantis/efeitos adversos , Prevalência , Fatores de Risco , Suécia/epidemiologia , Cremes Dentais/efeitos adversos , Estados Unidos/epidemiologia
12.
Artigo em Inglês | MEDLINE | ID: mdl-10397663

RESUMO

OBJECTIVES: The purpose of this study was to examine factors associated with utilization of care for oral lesions in people with HIV disease. STUDY DESIGN: The data were derived from 1424 adults who participated in a series of up to 4 interviews as part of the AIDS Cost and Service Utilization Survey. Treatment for thrush, oral sores, and other conditions was evaluated through use of logistic regression, with generalized estimating equations being applied. RESULTS: In all, 9.1% of those in the study sample reported being treated. After adjusting for CD4 cell count and other variables, regression analyses indicated that blacks (odds ratio [OR], 0.54; 95% confidence interval [CI], 0.32-0.91) and Hispanics (OR, 0.59; 95% CI, 0.36-0.98) had significantly lower odds of reporting being treated. Respondents with more than a high school education (OR, 1.64; 95% CI, 1.08-2.51), clinical trial participants (OR, 1.92; 95% CI, 1.27-2.90), and those receiving counseling (OR, 2.22; 95% CI, 1.60-3.09) were more likely to report being treated. CONCLUSIONS: Utilization of care for oral lesions is very low. Educational and racial differences exist among those respondents who received care for HIV-associated oral lesions.


Assuntos
Assistência Odontológica para Doentes Crônicos/estatística & dados numéricos , Infecções por HIV , Adolescente , Adulto , Candidíase Bucal/etiologia , Candidíase Bucal/terapia , Escolaridade , Etnicidade , Feminino , Infecções por HIV/complicações , Infecções por HIV/etnologia , Humanos , Entrevistas como Assunto , Modelos Logísticos , Masculino , Pessoa de Meia-Idade , Doenças da Boca/etiologia , Doenças da Boca/terapia , Estados Unidos
13.
Community Dent Health ; 16(2): 107-13, 1999 Jun.
Artigo em Inglês | MEDLINE | ID: mdl-10641066

RESUMO

OBJECTIVES: Recent epidemiological studies in the economically developing countries show that the prevalence and severity of dental caries has increased with industrialization and exposure of these populations to western diets. The aim of this study was to quantify the caries experience, and identify determinants associated with caries, in a population which has a higher socio-economic status (SES), and is the most westernized in India. BASIC RESEARCH DESIGN: The study site was Goa, a former Portuguese colony, which became part of India in 1961. Data came from a cross-sectional survey of 1,189 seventh grade children in private schools, consisting of a clinical dental examination and a self-administered questionnaire to their parents. MAIN OUTCOME MEASURES: The study used the cavitated/non-cavitated criteria to score for caries, the TF index for fluorosis, and the Silness and Loe index for plaque. RESULTS: The mean age of the children was 12.2 years. The proportion of children caries-free in the permanent dentition was 22.2%. The mean DMFT and DMFS in the study group were 2.78 and 4.20, respectively. The decayed component accounted for over 87% of the DMFT, DMFS, dft, and dfs. Results of the crude, stratified, and multivariate regression analyses showed that poor oral hygiene, mother's highest level of education, use of fluoride toothpaste before the age of six years, and higher frequency of tooth brushing were risk indicators of caries prevalence and severity. CONCLUSION: The findings suggest that risk indicators of caries in this study population were similar to those in developed countries.


Assuntos
Cárie Dentária/epidemiologia , Criança , Estudos Transversais , Cárie Dentária/diagnóstico , Testes de Atividade de Cárie Dentária/estatística & dados numéricos , Países em Desenvolvimento/estatística & dados numéricos , Humanos , Índia/epidemiologia , Prevalência , Fatores de Risco , Índice de Gravidade de Doença , Fatores Socioeconômicos , Inquéritos e Questionários , Escovação Dentária/estatística & dados numéricos
14.
Spec Care Dentist ; 19(6): 248-53, 1999.
Artigo em Inglês | MEDLINE | ID: mdl-11833429

RESUMO

The General Oral Health Assessment Index (GOHAI) has been recommended for use as an outcome measure in the evaluation of dental treatment. This study was designed to assess the ability of the GOHAI in the evaluation of differences in those actively seeking dental care compared with those not seeking care. GOHAI was self-administered to two samples of elderly individuals, over 65 years of age, in the Columbus, OH, area. The first sample was ambulatory individuals living in a nursing home in Columbus, and the second sample consisted of patients accessing dental care at The Ohio State University (OSU) dental school clinics. Other variables used in this study were age, gender, self-rated oral and general health, and use of prostheses. Overall mean GOHAI score in the nursing home respondents was significantly higher (32.1 +/- 3.0) when compared with that of dental patients (mean, 30.4 +/- 3.9, p = 0.01). Mean GOHAI scores for all categories of variables used were consistently higher (better) in the nursing home respondents than for the dental patients. Results of this study show that self-assessed oral health measured by the GOHAI was higher for those individuals not seeking dental care than for those actively seeking dental care. The GOHAI is sensitive as an outcome measure in differentiating between individuals actively seeking care and those not seeking care.


Assuntos
Assistência Odontológica para Idosos , Aceitação pelo Paciente de Cuidados de Saúde , Fatores Etários , Idoso , Idoso de 80 Anos ou mais , Análise de Variância , Atitude Frente a Saúde , Distribuição de Qui-Quadrado , Intervalos de Confiança , Clínicas Odontológicas , Prótese Dentária , Feminino , Acessibilidade aos Serviços de Saúde , Nível de Saúde , Assistência Domiciliar , Humanos , Masculino , Avaliação das Necessidades , Razão de Chances , Ohio , Saúde Bucal , Satisfação do Paciente , Doenças Periodontais/psicologia , Autoavaliação (Psicologia) , Fatores Sexuais , Estatística como Assunto , Estatísticas não Paramétricas , Doenças Dentárias/psicologia
15.
Community Dent Oral Epidemiol ; 26(4): 241-8, 1998 Aug.
Artigo em Inglês | MEDLINE | ID: mdl-9758424

RESUMO

UNLABELLED: Swallowed fluoride toothpaste in the early years of life has been postulated to be a risk factor for fluorosis, but the epidemiological evidence is weakened by the fact that most of the relevant studies were done in developed countries where an individual is exposed to multiple sources of fluoride. OBJECTIVES: To quantify the risk of fluorosis from fluoride toothpaste in a population whose only potential source of fluoride was fluoride toothpaste. METHODS: Case-control analyses were conducted to test the hypothesis that fluoride toothpaste use before the age of 6 years increased an individual's risk of fluorosis. Data came from a cross-sectional clinical dental examination of schoolchildren and a self-administered questionnaire to their parents. The study was conducted in Goa, India. The study group consisted of 1189 seventh grade children with a mean age of 12.2 years. RESULTS: The prevalence of fluorosis was 12.9% using the TF index. Results of the crude, stratified, and logistic regression analyses showed that use of fluoride toothpaste before the age of 6 years was a risk indicator for fluorosis (OR 1.83, 95% CI 1.05-3.15). Among children with fluorosis, beginning brushing before the age of 2 years increased the severity of fluorosis significantly (P<0.001). Other factors associated with the use of fluoride toothpaste, such as eating or swallowing fluoride toothpaste and higher frequency of use, did not show a statistically significant increased risk for prevalence or severity of fluorosis. CONCLUSIONS: Fluoride toothpaste use before the age of 6 years is a risk indicator for fluorosis in this study population.


Assuntos
Cariostáticos/efeitos adversos , Produtos Pesqueiros/efeitos adversos , Fluoretos/efeitos adversos , Fluorose Dentária/etiologia , Cremes Dentais/efeitos adversos , Distribuição de Qui-Quadrado , Criança , Pré-Escolar , Deglutição , Feminino , Fluorose Dentária/epidemiologia , Humanos , Índia/epidemiologia , Masculino , Variações Dependentes do Observador , Razão de Chances , Prevalência , Análise de Regressão , Reprodutibilidade dos Testes , Fatores de Risco , Estatísticas não Paramétricas , Chá/efeitos adversos
16.
Community Dent Oral Epidemiol ; 26(5): 331-9, 1998 Oct.
Artigo em Inglês | MEDLINE | ID: mdl-9792125

RESUMO

UNLABELLED: Dental researchers have postulated that the risk factors for enamel and dentin caries may not be the same. A review of the literature ascertained that data to support this theory are lacking. OBJECTIVES: To evaluate the risk indicators of enamel and dentin caries of the permanent dentition in a study group who had limited access to fluorides and made limited use of dental services. METHODS: The study was conducted in Goa, India. Data came from a cross-sectional survey of 1189 seventh grade children, which consisted of a clinical dental examination and a self-administered questionnaire to their parents. The cavitated and non-cavitated criteria were used to score for caries, and the Silness-Loe index for plaque. RESULTS: The mean age of the children was 12.2 years. The percentage of children caries free in the permanent dentition was 22.2%, the mean+/-s for dmfs, enamel and dentin lesions were 4.20+/-5.10, 2.59+/-2.89 and 1.61+/-3.30 respectively, and the mean plaque score was 1.00+/-0.48. Results of regression analyses showed that the risk indicators of prevalence and severity of caries differed depending on lesion type. The only variable that was consistently a risk indicator of presence and severity of both dentin and enamel caries was poor oral hygiene. Mother's highest level of education and presence of fluorosis were also risk indicators of enamel and dentin caries. The presence of decayed primary teeth was a risk indicator of enamel caries; and fluorosis severity, use of fluoride toothpaste at the time of the survey, and toothbrushing frequency were risk indicators of dentin caries. The observed caries-oral hygiene association seen is explored further.


Assuntos
Cárie Dentária/epidemiologia , Esmalte Dentário/patologia , Dentina/patologia , Higiene Bucal/estatística & dados numéricos , Cariostáticos/uso terapêutico , Distribuição de Qui-Quadrado , Criança , Estudos Transversais , Índice CPO , Cárie Dentária/complicações , Índice de Placa Dentária , Dentição Permanente , Escolaridade , Feminino , Fluoretos/uso terapêutico , Fluorose Dentária/complicações , Humanos , Índia/epidemiologia , Masculino , Análise de Regressão , Reprodutibilidade dos Testes , Fatores de Risco , Fatores Socioeconômicos , Estatísticas não Paramétricas , Inquéritos e Questionários , Escovação Dentária/estatística & dados numéricos
SELEÇÃO DE REFERÊNCIAS
DETALHE DA PESQUISA