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1.
Braz Oral Res ; 33: e119, 2020.
Artigo em Inglês | MEDLINE | ID: mdl-31939499

RESUMO

The aim of this study was to assess the occurrence of erosive tooth wear (ETW) among 15-19-year-old South Brazilian adolescents, regarding prevalence, extent, severity, intraoral distribution, and sociodemographic risk indicators. A population-based cross-sectional survey was conducted in Santa Maria, southern Brazil, and included a representative sample of 15-19-year-old adolescents. Data collection included the application of a questionnaire and a clinical examination. A questionnaire was sent to the parents/legal guardians of the selected students, containing questions on demographic information, socioeconomic characteristics, and living conditions. After tooth cleaning and drying, all erupted permanent teeth were clinically assessed by two calibrated examiners, and classified according to the Basic Erosive Wear Examination (BEWE). The association between explanatory variables and the outcomes (ETW prevalence and extent) was assessed using Poisson regression models (both unadjusted and adjusted). A total of 1,197 adolescents were included in the study (participation rate of 72.3%). The overall prevalence of ETW was 57%. Severe ETW affected 16% of the sample. Overall, this adolescent population presented 13.3 affected surfaces, and 8.34 affected teeth. In the risk assessment analysis, gender, skin color, socioeconomic status, and family income were significantly associated with ETW. Boys, white adolescents, and those with higher socioeconomic status were more affected by ETW. This population-based cross-sectional study revealed that the prevalence of ETW was high, and that it was associated with sociodemographic variables in this South Brazilian population of adolescents.


Assuntos
Erosão Dentária/epidemiologia , Adolescente , Distribuição por Idade , Brasil/epidemiologia , Estudos Transversais , Feminino , Humanos , Masculino , Prevalência , Análise de Regressão , Fatores de Risco , Índice de Gravidade de Doença , Distribuição por Sexo , Fatores Sexuais , Fatores Socioeconômicos , Inquéritos e Questionários
2.
Braz Oral Res ; 33: e056, 2019 Jul 01.
Artigo em Inglês | MEDLINE | ID: mdl-31271568

RESUMO

The aim of this study was to assess the association between weight status and ΔDMFS among 12-year-old schoolchildren from South Brazil. A total of 801 12-year-old schoolchildren were followed-up for 2.5 ± 0.3 years. Data collection included questionnaire, recording of anthropometric measures (height and weight), and caries examination. The outcome was the difference between DMFS (number of decayed, missing or filled surfaces) at follow-up and baseline (ΔDMFS). Weight status, based on body mass index-for-age Z-scores, was considered the main predictor variable. Negative binomial regression models were used to model the association, and rate ratios and their 95% confidence intervals were estimated. A multivariable fractional polynomial model was used to further explore the relationship between obesity and dental caries. DMFS increased by 0.86 (95%CI = 0.65-1.07), 0.91 (95%CI = 0.59-1.23), and 0.42 (95%CI = 0.03-0.80) for normal weight, overweight, and obese schoolchildren, respectively. Obese adolescents had significantly lower ΔDMFS than normal weight ones (p < 0.05). No significant association between categories of weight status and ΔDMFS was found (overweight, IRR=0.92, 95%CI = 0.69-1.21, p = 0.54; obese IRR = 0.75, 95%CI = 0.51-1.12, p = 0.16). However, the multivariable fractional polynomial model showed an inverted U shaped relationship with a decreasing ΔDMFS with increasing BMI (p < 0.05). This population-based longitudinal study showed an inverse association between obesity and ΔDMFS over a 2.5-year period among South Brazilian adolescents.


Assuntos
Cárie Dentária/epidemiologia , Cárie Dentária/etiologia , Obesidade/complicações , Obesidade/epidemiologia , Índice de Massa Corporal , Brasil/epidemiologia , Criança , Índice CPO , Métodos Epidemiológicos , Feminino , Humanos , Masculino , Sobrepeso/complicações , Sobrepeso/epidemiologia , Fatores Socioeconômicos
3.
Caries Res ; 53(6): 585-598, 2019.
Artigo em Inglês | MEDLINE | ID: mdl-31280258

RESUMO

This systematic review and meta-analysis were undertaken to assess the responsiveness of validated oral health-related quality of life (OHRQoL) questionnaires to dental caries interventions in children, adolescents, and young adults. Studies eligible were randomized clinical trials (RCTs), controlled clinical trials (CCTs), and prospective case series (PCS), which had OHRQoL questionnaires answered before and after caries intervention(s). The main outcome was improvement in OHRQoL mean scores following caries intervention. Twenty-six studies were selected for the quality assessment and 14 were selected for the meta-analysis. Most of the studies were PCS with a single group pretest and posttest study design (n = 19). Five studies were CCT and only 2 were RCT. The numbers of participants were 3,522 in the control group (baseline = 2,002; final = 1,520) and 5,917 in the test group (baseline = 3,102; final = 2,815). The age of the subjects ranged from 3 to 19 years. All studies showed significant improvement in OHRQoL following caries intervention. Most of nonrandomized studies (n = 15) had low or moderate risk of bias. The meta-analysis showed the effect of caries interventions (standardized weighted mean differences = -1.24; 95% CI: -1.68 to -0.81; p < 0.001). However, high heterogeneity between the studies was found. The Grading of Recommendations Assessment, Development and Evaluation approach classified the quality of evidence as very low and its strength weak. In conclusion, there is evidence that the OHRQoL of children and adolescents improved following caries intervention procedures, but the quality of the evidence was very low. In spite of that, caries interventions are highly recommended as abstaining from treatment is likely to result in a deterioration of OHRQoL.

4.
Braz. oral res. (Online) ; 33: e056, 2019. tab, graf
Artigo em Inglês | LILACS-Express | ID: biblio-1011655

RESUMO

Abstract The aim of this study was to assess the association between weight status and ΔDMFS among 12-year-old schoolchildren from South Brazil. A total of 801 12-year-old schoolchildren were followed-up for 2.5 ± 0.3 years. Data collection included questionnaire, recording of anthropometric measures (height and weight), and caries examination. The outcome was the difference between DMFS (number of decayed, missing or filled surfaces) at follow-up and baseline (ΔDMFS). Weight status, based on body mass index-for-age Z-scores, was considered the main predictor variable. Negative binomial regression models were used to model the association, and rate ratios and their 95% confidence intervals were estimated. A multivariable fractional polynomial model was used to further explore the relationship between obesity and dental caries. DMFS increased by 0.86 (95%CI = 0.65-1.07), 0.91 (95%CI = 0.59-1.23), and 0.42 (95%CI = 0.03-0.80) for normal weight, overweight, and obese schoolchildren, respectively. Obese adolescents had significantly lower ΔDMFS than normal weight ones (p < 0.05). No significant association between categories of weight status and ΔDMFS was found (overweight, IRR=0.92, 95%CI = 0.69-1.21, p = 0.54; obese IRR = 0.75, 95%CI = 0.51-1.12, p = 0.16). However, the multivariable fractional polynomial model showed an inverted U shaped relationship with a decreasing ΔDMFS with increasing BMI (p < 0.05). This population-based longitudinal study showed an inverse association between obesity and ΔDMFS over a 2.5-year period among South Brazilian adolescents.

5.
Caries Res ; 52(6): 463-467, 2018.
Artigo em Inglês | MEDLINE | ID: mdl-29669345

RESUMO

This cross-sectional study assessed the relationship between fixed orthodontic treatment duration and caries activity. Two hundred and sixty 10- to 30-year-olds were divided into 4 groups (n = 65): no fixed orthodontic appliances (G0), orthodontic treatment for 1 year (G1), 2 years (G2), or 3 years (G3). Orthodontic treatment duration was significantly associated with active caries: prevalence was 1.5% for G0, 27.7% for G1, and 72.3% for G2 and G3; the median number of lesions was 0 for G0 and G1 and 2 for G2 and G3. No differences were observed between G2 and G3. The longer the duration of orthodontic treatment, the higher the prevalence/extent of active caries lesions.


Assuntos
Cárie Dentária/etiologia , Aparelhos Ortodônticos Fixos/efeitos adversos , Ortodontia Corretiva/efeitos adversos , Adolescente , Adulto , Criança , Estudos Transversais , Cárie Dentária/epidemiologia , Feminino , Humanos , Masculino , Prevalência , Fatores de Tempo , Adulto Jovem
6.
Int Dent J ; 68(3): 144-151, 2018 Jun.
Artigo em Inglês | MEDLINE | ID: mdl-29313946

RESUMO

AIM: This study aimed to compare the prevalence and extent of dental caries according to the standard World Health Organization (WHO), modified WHO and International Caries Detection and Assessment System (ICDAS) criteria among 12-year-old Brazilian schoolchildren and to assess the impact of these detection criteria on the assessment of sociodemographic risk indicators for dental caries. METHODS: This cross-sectional survey used a multistage probability sampling strategy to select a representative sample of 12-year-old schoolchildren. After tooth cleaning and drying, a single examiner recorded the presence of non-cavitated and cavitated caries lesions. A questionnaire gathered demographic and socio-economic information. Three proposed thresholds for caries detection were used: standard WHO criteria (only cavitated lesions); modified WHO criteria (active non-cavitated lesions and cavitated lesions); and ICDAS (all non-cavitated and cavitated lesions). Prevalence ratios (PR), rate ratios (RR) and 95% confidence intervals (95% CI) were estimated using survey Poisson regression analysis. RESULTS: In total, 1,528 of 1,837 eligible schoolchildren participated. Caries prevalence (standard WHO, 55.23%; modified WHO, 63.33%; ICDAS, 79.82%) and decayed, missing and filled teeth (DMFT) index (standard WHO, 1.39; modified WHO, 1.95; ICDAS, 3.78) increased as the detection criteria became more sensitive. Compared with the standard WHO criteria, ICDAS had a greater impact on caries estimates, mainly in schoolchildren of higher socio-economic background. All socio-economic variables were significantly associated with dental caries, irrespective of the detection criteria. CONCLUSION: The inclusion of non-cavitated lesions impacted estimates of prevalence and extent of dental caries, mainly when ICDAS was used. No impact was observed on the association between caries and socio-economic variables.


Assuntos
Cárie Dentária/diagnóstico , Cárie Dentária/epidemiologia , Inquéritos de Saúde Bucal/métodos , Brasil/epidemiologia , Criança , Estudos Transversais , Índice CPO , Humanos , Prevalência , Medição de Risco , Fatores de Risco , Fatores Socioeconômicos , Organização Mundial da Saúde
7.
Clin Oral Investig ; 22(6): 2291-2297, 2018 Jul.
Artigo em Inglês | MEDLINE | ID: mdl-29318386

RESUMO

OBJECTIVES: The objective of the study is to assess the effect of dental treatment on the oral health-related quality of life (OHRQoL) of adolescents from a city in South Brazil. MATERIALS AND METHODS: This longitudinal study included 129 adolescents aged 10 to 15 years who received dental caries treatment in a university clinic in Santa Maria, Brazil. The OHRQoL was measured using the Brazilian version of the Child Perceptions Questionnaire for children aged 11 to 14 years (CPQ11-14). The questionnaire was administered through face-to-face interviews before treatment and 1 month after its completion. Paired t tests and effect sizes were used to evaluate changes in CPQ11-14 scores after completion of treatment. RESULTS: In total, 43.4% of the study participants received solely restorations, 15.5% received endodontic treatment, and 44.2% underwent tooth extractions. The mean CPQ11-14 score before treatment was 15.9 ± 10.3, which decreased to 6.3 ± 6.5 after treatment (P < 0.001). The same pattern was observed in the four domains of CPQ11-14 (oral symptoms, functional limitation, emotional well-being, and social well-being). The effect sizes varied from 0.4 to 1.1, with oral symptoms and emotional well-being domains showing the greatest changes. CONCLUSIONS: Dental treatment resulted in a significant improvement in the OHRQoL of the evaluated adolescents. CLINICAL RELEVANCE: Providing dental treatment has beneficial effects on the quality of life of adolescents, especially for oral symptoms and emotional well-being.


Assuntos
Assistência Odontológica para Crianças , Saúde Bucal , Qualidade de Vida , Adolescente , Brasil , Criança , Feminino , Humanos , Estudos Longitudinais , Masculino , Inquéritos e Questionários
8.
Clin Oral Investig ; 22(1): 469-474, 2018 Jan.
Artigo em Inglês | MEDLINE | ID: mdl-28560502

RESUMO

INTRODUCTION: Infiltration of carious lesion has been claimed as a promising approach for the management of non-cavitated proximal lesions (NCPL). Clinical studies have suggested that this approach may reduce NCPL progression in individuals whose caries risk was not change over the studied period. OBJECTIVE: This study aimed to assess the additional benefit of infiltration of NCPL over a 3-year period in a group of individuals who received treatment and control of carious activity. MATERIALS AND METHODS: Twenty-two caries-active subjects that possessed at least a pair of NCPL in posterior teeth were selected for this study totalizing 36 pairs of lesion. In a split-mouth design, lesions were randomly allocated to test (infiltration) or placebo treatments. At follow-up, lesions were radiographically analyzed, progression was determined by radiographic pair-wise comparison and differences in number of progressing lesions between test, and placebo-treated surfaces were compared. RESULTS: Seventeen subjects (27 pairs of lesions) were followed up. Only four subjects were caries-active at the follow-up. In the test group, 2/27 (7.4%) lesions and in the placebo group 5/27 (18.5%) lesions had progressed. No statistical difference was observed between the studied groups (p = 0.453). CONCLUSION: Subjects under treatment focusing on controlling caries activity presented low progression rates in both infiltrated and non-infiltrated NCPL. As only very few lesions progressed in both groups, no significant additional effect could be found. Further studies with larger sample sizes are necessary. CLINICAL RELEVANCE: Infiltration of NCPL may have limited additional effect if other treatments focused on controlling caries activity are successful.


Assuntos
Cárie Dentária/terapia , Restauração Dentária Permanente/métodos , Resinas Sintéticas/uso terapêutico , Desmineralização do Dente/terapia , Ataque Ácido Dentário , Adolescente , Adulto , Progressão da Doença , Método Duplo-Cego , Feminino , Seguimentos , Humanos , Masculino , Índice Periodontal , Resultado do Tratamento
9.
Monogr Oral Sci ; 26: 76-82, 2017.
Artigo em Inglês | MEDLINE | ID: mdl-29050024

RESUMO

As the thick biofilm in the presence of fermentable carbohydrates is the main etiological factor of dental caries, the frequent and systematic removal of this colony by means of an effective biofilm control should result in the prevention of caries lesions or in the arrest of the local carious process. However, the role of biofilm control in the management of dental caries has been questioned. This chapter will discuss the biofilm control and oral hygiene practices on root surfaces. Laboratory and clinical studies describing the effect of biofilm control and oral hygiene practices on the arrestment of root carious lesions are described. Epidemiological surveys evaluating the association between oral hygiene and root caries are discussed. Finally, some aspects on chemical biofilm control are also presented.


Assuntos
Cárie Dentária , Higiene Bucal , Biofilmes , Humanos
10.
Am J Orthod Dentofacial Orthop ; 152(4): 477-482, 2017 Oct.
Artigo em Inglês | MEDLINE | ID: mdl-28962731

RESUMO

INTRODUCTION: In this study, we aimed to assess the effect of the duration of fixed orthodontic treatment on gingival enlargement (GE) in adolescents and young adults. METHODS: The sample consisted of 260 subjects (ages, 10-30 years) divided into 4 groups: patients with no fixed orthodontic appliances (G0) and patients undergoing orthodontic treatment for 1 year (G1), 2 years (G2), or 3 years (G3). Participants completed a structured questionnaire on sociodemographic characteristics and oral hygiene habits. Clinical examinations were conducted by a calibrated examiner and included the plaque index, the gingival index, and the Seymour index. Poisson regression models were used to assess the association between group and GE. RESULTS: We observed increasing means of plaque, gingivitis, and GE in G0, G1, and G2. No significant differences were observed between G2 and G3. Adjusted Poisson regression analysis showed that patients undergoing orthodontic treatment had a 20 to 28-fold increased risk for GE than did those without orthodontic appliances (G1, rate ratio [RR] = 20.2, 95% CI = 9.0-45.3; G2, RR = 27.0, 95% CI = 12.1-60.3; G3 = 28.1; 95% CI = 12.6-62.5). CONCLUSIONS: The duration of orthodontic treatment significantly influenced the occurrence of GE. Oral hygiene instructions and motivational activities should target adolescents and young adults undergoing orthodontic treatment.


Assuntos
Doenças da Gengiva/etiologia , Aparelhos Ortodônticos/efeitos adversos , Adolescente , Criança , Estudos Transversais , Feminino , Humanos , Masculino , Índice Periodontal , Fatores de Tempo , Adulto Jovem
11.
Braz Oral Res ; 31: e44, 2017 Jun 05.
Artigo em Inglês | MEDLINE | ID: mdl-28591240

RESUMO

This randomized clinical trial aimed to assess the efficacy of sealing occlusal carious lesions in permanent teeth. The sample consisted of 54 occlusal carious lesions in permanent molars and premolars of 49 patients aged 8-43 years (median: 19 years). The inclusion criteria comprised the presence of a cavity with no access allowing biofilm control. The maximum depth of the lesion was the middle third of the dentin thickness, as assessed by bitewing radiography. The teeth were randomly assigned to sealant treatment (n = 28) or restorative treatment (n = 26). Clinical and radiographic examinations were performed after 1 year and after 3-4 years. The outcomes depended on the clinical performance of the sealant/restoration and the control of caries progression observed radiographically. Survival analysis was performed to assess success rates. Over the 3-4 years of monitoring, 2 sealants were totally lost, 1 needed repair, and 1 showed caries progression, totaling 4 failures in the sealant group. In the restoration group, 1 failure was observed (in need of repair). The success rates were 76% and 94% in the sealant and the restoration groups, respectively (p > 0.05). The sealing of occlusal carious lesions in permanent teeth succeeded in controlling caries over a 3-4-year period. However, sealed carious lesions require patient compliance in attending regular follow-ups to control the occurrence of clinical failures of the sealants.


Assuntos
Cárie Dentária/terapia , Adesivos Dentinários/uso terapêutico , Dentina/efeitos dos fármacos , Selantes de Fossas e Fissuras/uso terapêutico , Adolescente , Adulto , Criança , Cárie Dentária/diagnóstico por imagem , Esmalte Dentário/diagnóstico por imagem , Esmalte Dentário/efeitos dos fármacos , Falha de Restauração Dentária , Restauração Dentária Permanente/métodos , Dentina/diagnóstico por imagem , Feminino , Seguimentos , Humanos , Masculino , Radiografia Interproximal , Estatísticas não Paramétricas , Fatores de Tempo , Resultado do Tratamento , Adulto Jovem
12.
Braz. oral res. (Online) ; 31: e44, 2017. tab, graf
Artigo em Inglês | LILACS | ID: biblio-839538

RESUMO

Abstract This randomized clinical trial aimed to assess the efficacy of sealing occlusal carious lesions in permanent teeth. The sample consisted of 54 occlusal carious lesions in permanent molars and premolars of 49 patients aged 8–43 years (median: 19 years). The inclusion criteria comprised the presence of a cavity with no access allowing biofilm control. The maximum depth of the lesion was the middle third of the dentin thickness, as assessed by bitewing radiography. The teeth were randomly assigned to sealant treatment (n = 28) or restorative treatment (n = 26). Clinical and radiographic examinations were performed after 1 year and after 3–4 years. The outcomes depended on the clinical performance of the sealant/restoration and the control of caries progression observed radiographically. Survival analysis was performed to assess success rates. Over the 3-4 years of monitoring, 2 sealants were totally lost, 1 needed repair, and 1 showed caries progression, totaling 4 failures in the sealant group. In the restoration group, 1 failure was observed (in need of repair). The success rates were 76% and 94% in the sealant and the restoration groups, respectively (p > 0.05). The sealing of occlusal carious lesions in permanent teeth succeeded in controlling caries over a 3–4-year period. However, sealed carious lesions require patient compliance in attending regular follow-ups to control the occurrence of clinical failures of the sealants.


Assuntos
Humanos , Masculino , Feminino , Criança , Adolescente , Adulto , Adulto Jovem , Cárie Dentária/terapia , Adesivos Dentinários/uso terapêutico , Dentina/efeitos dos fármacos , Selantes de Fossas e Fissuras/uso terapêutico , Cárie Dentária/diagnóstico por imagem , Esmalte Dentário/diagnóstico por imagem , Esmalte Dentário/efeitos dos fármacos , Falha de Restauração Dentária , Restauração Dentária Permanente/métodos , Dentina/diagnóstico por imagem , Seguimentos , Radiografia Interproximal , Estatísticas não Paramétricas , Fatores de Tempo , Resultado do Tratamento
13.
Pesqui. bras. odontopediatria clín. integr ; 16(1): 331-338, jan.-dez. 2016. tab
Artigo em Inglês | LILACS, BBO - Odontologia | ID: biblio-912872

RESUMO

Objective: To investigate the perception and knowledge of dentists regarding use of the Atraumatic Restorative Treatment (ART) in public health services of cities in the central region of Rio Grande do Sul (RS), Brazil. Material and Methods: A crosssectional study was conducted using a self-administered questionnaire with 60 dentists who work with public dentistry services. To evaluate possible associations between the use of ART and the independent variables we used the chi-square test and logistic regression models (α = 0.05). Results: Forty-four questionnaires were completed, resulting in a response rate of 73%. Of the respondents, 70.4% supported the use of ART and 81.8% reported having some training in the technique. However, 72.7% consider ART to be a temporary or urgent treatment. Professionals who do not advocate the use of ART were 76% less likely to use the technique when compared to their colleagues who defend the use of the technique (OR = 0.24, 95% CI = 0.06 to 0.98). Conclusion: While most dentists have knowledge and positive attitude towards ART, greater dissemination is required for this technique can be used effectively on the public service.


Assuntos
Humanos , Masculino , Feminino , Adulto , Brasil , Tratamento Dentário Restaurador sem Trauma , Odontólogos , Conhecimentos, Atitudes e Prática em Saúde , Atenção Primária à Saúde , Distribuição de Qui-Quadrado , Estudos Transversais/métodos , Percepção , Análise de Regressão , Inquéritos e Questionários
14.
J Public Health Dent ; 76(2): 85-90, 2016 03.
Artigo em Inglês | MEDLINE | ID: mdl-26223886

RESUMO

OBJECTIVE: The aim of this study was to assess the impact of malocclusion on children's oral health-related quality of life (COHRQoL) and self-reported happiness. METHODS: A cross-sectional study was conducted in a representative sample of 12-year-old schoolchildren from Santa Maria, South Brazil. Four calibrated examiners carried out clinical exams to evaluate malocclusion [Dental Aesthetic Index (DAI)], dental caries (DMFT), and dental trauma (O'Brien classification, used in the Children's dental health survey in the UK, 1994). Participants answered the Brazilian versions of the Child Perceptions Questionnaire (CPQ11-14 ) and the Subjective Happiness Scale (SHS). Parents completed a structured questionnaire regarding socioeconomic status. Data analysis was conducted using multilevel Poisson regression models. RESULTS: A total of 1,134 adolescents (boys: 45.8 percent; girls: 54.1 percent) were enrolled in the study. The DAI overall score ranged from 13 to 63 (mean: 25.19, standard error: 0.19); 57.6 percent of the subjects had minor or no malocclusion and 24.4 percent had definite malocclusion. Severe malocclusion and handicapping malocclusion were found in 10.4 percent and 7.4 percent of the subjects, respectively. After adjustment, the severity of malocclusion was associated with high mean values of the CPQ11-14 overall score, and the emotional well-being and social well-being domains were the most affected. Lower levels of happiness were also associated with the severity of malocclusion: those with definite malocclusion presented lower scores on the SHS scale (Rate Ratio 0.97; 95 percent CI 0.94-0.99). CONCLUSION: Malocclusion had a negative impact on COHRQoL and happiness, mainly on the emotional and social domains.


Assuntos
Felicidade , Má Oclusão/psicologia , Saúde Bucal , Qualidade de Vida , Brasil , Criança , Estudos Transversais , Estética Dentária , Feminino , Humanos , Masculino , Inquéritos e Questionários
15.
Int Dent J ; 65(6): 322-30, 2015 Dec.
Artigo em Inglês | MEDLINE | ID: mdl-26462995

RESUMO

OBJECTIVE: To assess the epidemiology and risk indicators for dental erosion among 12-year-old schoolchildren in South Brazil. METHODS: A population-based cross-sectional survey was conducted in Porto Alegre, Brazil, using a representative sample of 12-year-old schoolchildren (n = 1,528). Dental erosion was recorded according to the Basic Erosive Wear Examination (BEWE) index. Parents answered questions on socio-economic status, brushing frequency and general health. Schoolchildren answered questions on dietary habits. Anthropometric data were collected. Statistical analysis included logistic and Poisson regression models. RESULTS: The prevalence of dental erosion was 15% [95% confidence interval (95% CI): 13.6-16.5], being mainly mild erosion. Boys [odds ratio (OR) = 1.57, 95% CI: 1.17-2.10], private school attendees (OR = 1.45, 95% CI: 1.01-2.06) and schoolchildren reporting the daily consumption of soft drinks (OR = 5.04, 95% CI: 1.17-21.71) were more likely to have at least one tooth with dental erosion. Gender [boys, rate ratio (RR) = 1.66, 95% CI: 1.28-2.17], type of school (private, RR = 1.89, 95% CI: 1.53-2.35), the consumption of soft drinks (sometimes: RR = 5.27, 95% CI: 1.46-19.05; daily: RR = 6.82, 95% CI: 1.39-33.50) and the daily consumption of lemon (RR = 1.49, 95% CI: 1.11-2.00) were significantly associated with the number of affected surfaces. CONCLUSIONS: The present study found a moderate prevalence of dental erosion among young schoolchildren, with mild erosion being the most prevalent condition. Socio demographic variables and dietary habits were associated with dental erosion in this population.


Assuntos
Erosão Dentária/epidemiologia , Asma/epidemiologia , Índice de Massa Corporal , Brasil/epidemiologia , Bebidas Gaseificadas/estatística & dados numéricos , Criança , Citrus , Estudos Transversais , Comportamento Alimentar , Feminino , Frutas , Refluxo Gastroesofágico/epidemiologia , Nível de Saúde , Humanos , Masculino , Vigilância da População , Prevalência , Fatores de Risco , Fatores Sexuais , Classe Social , Escovação Dentária/estatística & dados numéricos
16.
Caries Res ; 49(3): 216-25, 2015.
Artigo em Inglês | MEDLINE | ID: mdl-25764962

RESUMO

The aim of this study was to assess the prevalence, extent, severity, intraoral distribution and risk indicators for erosive tooth wear (ETW) among 12-year-old schoolchildren from Montevideo, Uruguay. A population-based, cross-sectional survey was conducted using a representative sample of 1,136 12-year-old schoolchildren attending public and private schools. Parents answered questions on socioeconomic status and general health. Schoolchildren answered questions on dietary and oral hygiene habits. Two calibrated examiners recorded ETW on permanent teeth according to the Basic Erosive Wear Examination (BEWE) score system. Logistic regression models were performed to assess the association between the predictor variables and the prevalence of ETW (overall and severe ETW). Odds ratios (OR) and the respective 95% confidence intervals (CI) were estimated. The prevalence of ETW was 52.9%, being mild erosion (BEWE = 1) in the vast majority of cases (48.5%). Severe erosion (BEWE ≥2) was detected in 4.4% of schoolchildren. The overall prevalence of ETW differed significantly between categories of gender and socioeconomic status, but only between gender in the severe ETW analysis. The overall extent of ETW was significantly different between categories of gender, socioeconomic status, and swish before swallow. The extent of severe ETW differed between categories of swish before swallow and brushing frequency. In the logistic regression analysis, no association was found between the studied variables and the overall prevalence of ETW. Males were more likely to have severe ETW than females (OR = 3.22, 95% CI = 1.50-6.89). ETW may be considered a public health problem among 12-year-old-Uruguayan schoolchildren.


Assuntos
Erosão Dentária/epidemiologia , Bebidas Gaseificadas/estatística & dados numéricos , Criança , Estudos Transversais , Comportamento de Ingestão de Líquido , Escolaridade , Comportamento Alimentar , Feminino , Nível de Saúde , Humanos , Masculino , Mães/educação , Higiene Bucal/estatística & dados numéricos , Vigilância da População , Prevalência , Fatores Sexuais , Classe Social , Desgaste dos Dentes/epidemiologia , Escovação Dentária/estatística & dados numéricos , Uruguai/epidemiologia , Iogurte/estatística & dados numéricos
17.
J Evid Based Dent Pract ; 13(3): 117-9, 2013 Sep.
Artigo em Inglês | MEDLINE | ID: mdl-24011011

RESUMO

ARTICLE TITLE AND BIBLIOGRAPHIC INFORMATION: Prognostic factors for clinical outcomes according to time after direct pulp capping. Cho SY, Seo DG, Lee SJ, Lee J, Lee SJ, Jung IY. J Endod 2013 Mar;39(3):327-31. REVIEWERS: Marisa Maltz, DDS, MSc, Odontology Doctor,Luana Severo Alves, DDS, MSc, PhD PURPOSE/QUESTION: Permanent teeth with cariously exposed pulps were treated with direct pulp capping and monitored over time in order to assess the treatment outcome and the potential factors contributing to the pulpal survival SOURCE OF FUNDING: The study was supported by the Basic Science Research Program through the National Research Foundation of Korea (NRF) funded by the Ministry of Education, Science and Technology (2010-0005090 and 2011-0028067) TYPE OF STUDY/DESIGN: Retrospective cohort study LEVEL OF EVIDENCE: Level 2: Limited-quality patient-oriented evidence (cohort study) STRENGTH OF RECOMMENDATION GRADE: Not applicable.


Assuntos
Capeamento da Polpa Dentária/métodos , Feminino , Humanos , Masculino
18.
J Evid Based Dent Pract ; 13(3): 120-2, 2013 Sep.
Artigo em Inglês | MEDLINE | ID: mdl-24011012

RESUMO

ARTICLE TITLE AND BIBLIOGRAPHIC INFORMATION: Incomplete caries removal: a systematic review and meta-analysis. Schwendicke F, Dörfer CE, Paris S. J Dent Res 2013;92(4):306-14. REVIEWERS: Marisa Maltz, DDS, MSc, Luana Severo Alves, DDS, MSc, PhD PURPOSE/QUESTION: The authors conducted a meta-analysis of randomized controlled trials comparing incomplete and complete caries removal on the management of caries lesions in primary and permanent teeth SOURCE OF FUNDING: The study was funded by the authors and their institutions TYPE OF STUDY/DESIGN: Systematic review with meta-analysis LEVEL OF EVIDENCE: Level 1: Patient-oriented evidence STRENGTH OF RECOMMENDATION GRADE: Grade A: Consistent, patient-oriented evidence.


Assuntos
Cárie Dentária/terapia , Preparo da Cavidade Dentária/métodos , Restauração Dentária Permanente/métodos , Humanos
19.
Clín. int. j. braz. dent ; 9(2): 186-191, abr.-jun. 2013. ilus
Artigo em Português | LILACS, BBO - Odontologia | ID: lil-764862

RESUMO

O aumento na ocorrência de fluorose dentária, observado nos últimos anos, tende a promover maior procura pela resolução estética dos manchamentos, o que é geralmente feito com a aplicação de técnicas de erosão-abrasão. Pode-se supor que a abrasão fisiológica e a erosão ácida que ocorrem ao longo da vida atuem no sentido de atenuar a severidade das manchas de fluorose. O presente artigo apresenta um caso de atenuação de manchamentos por fluorose dentária nos dentes anteriores de um paciente de 36 anos que aos 15 havia recebido tratamento erosivo-abrasivo apenas em seus incisivos 11 e 21. Isso permitiu que, após duas décadas, fosse possível comparar os dentes tratados com aqueles que sofreram apenas desgaste fisiológico e a constatação de que, embora as manchas ainda permaneçam, o aspecto de ambos é estético e socialmente aceitável.


The increased prevalence of dental fluorosis observed in recent years tends to promote an increased demand for esthetic resolution of tooth staining, which is usually made by erosion-abrasion techniques. It can be assumed that the physiological abrasion and acid erosion that occur throughout life act to mitigate the severity of fluorosis. This article presents a case of mitigation of fluorosis stains in the anterior teeth of a 36-year-old patient who had received, at 15 years, erosive/abrasive treatment only on his incisors 11 and 21. After two decades, it was possible to compare the treated teeth with those who suffered only physiological wear. It was possible to find that in spite the stains were still present, their clinical aspect is esthetic and socially acceptable.


Assuntos
Humanos , Masculino , Adolescente , Adulto , Dentifrícios , Microabrasão do Esmalte , Estética Dentária , Fluorose Dentária
20.
Dent Traumatol ; 29(1): 52-8, 2013 Feb.
Artigo em Inglês | MEDLINE | ID: mdl-22453035

RESUMO

An increasing prevalence of traumatic dental injury (TDI) has been reported in the last few decades. The aim of this study was to assess the prevalence and severity of TDI and its association with socio-demographics and physical characteristics in the anterior permanent teeth of 12-year-old Brazilian schoolchildren. A cross-sectional study was carried out in a population-based sample of 1528 subjects attending 33 public and nine private schools (response rate of 83.17%). A single calibrated examiner performed the clinical examinations at the schools and recorded the TDI index (Children's Dental Health Survey criteria), overjet and lip coverage. Height and weight were measured to calculate the body mass index (BMI). Parents/legal guardians answered a questionnaire containing socio-demographic questions. The relationships among TDI, socio-demographic variables and physical characteristics were assessed by survey Poisson regression models. The prevalence of TDI was 34.79% (mild trauma = 24.37%; severe trauma = 10.43%). Male schoolchildren (RR = 1.41, 95% CI = 1.23-1.61, P = 0.002) and schoolchildren from low socioeconomic status (RR = 1.32, 95% CI = 1.07-1.64, P = 0.021) were more likely to present at least one tooth with TDI, whereas students attending 7th grade (advanced students) were less likely to experience TDI (RR = 0.59, 95% CI = 0.43-0.82, P = 0.012). Regarding the severity analysis, students of mid-high (RR = 1.46, 95% CI = 1.09-1.94, P = 0.022), mid-low (RR = 1.68, 95% CI = 1.01-2.77, P = 0.045) and low (RR = 1.78, 95% CI = 1.11-2.85, P = 0.027) socioeconomic status were more likely to have mild trauma when compared with schoolchildren of high socioeconomic status. No significant association between severe trauma and socioeconomic status was observed. In conclusion, this study showed a high prevalence of TDI in 12-year-old Brazilian schoolchildren. Socio-demographic data and school achievement were associated with TDI.


Assuntos
Traumatismos Dentários/epidemiologia , Índice de Massa Corporal , Brasil/epidemiologia , Criança , Estudos Transversais , Esmalte Dentário/lesões , Polpa Dentária/lesões , Dentina/lesões , Escolaridade , Feminino , Humanos , Masculino , Pais/educação , Vigilância da População , Prevalência , Classe Social , Fraturas dos Dentes/epidemiologia , Perda de Dente/epidemiologia
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