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1.
Pediatr Dent ; 42(4): 300-307, 2020 Jul 15.
Artigo em Inglês | MEDLINE | ID: mdl-32847670

RESUMO

Purpose: To evaluate the cumulative incidence and progression of erosive tooth wear (ETW) and identify risk factors over 18 months in a cohort of 11- to 14-year-old schoolchildren in Mexico. Methods: The study was conducted in public schools located in northern Mexico City. Permanent teeth of 424 schoolchildren were examined using the basic erosive wear examination. The possible risk factors were included in the logistic models: the consumption of acidic food and beverages; habits related to the consumption of beverages; medication; gastroesophageal reflux; frequent vomiting; and characteristics of the saliva. Results: The prevalence of ETW was 62.5 percent (265 out of 424). The cumulative incidence was 35.2 percent (56 out of 159) and the progression was 72.8 percent (193 out of 265). The consumption of acidic beverages increased the relative risk (RR) of both the cumulative incidence (RR equals 1.09; 95 percent confidence interval [95% CI] 1.02 to 1.18; P=0.005) and the progression (RR equals 1.16; 95% CI 1.01 to 1.34; P=0.003). Conclusions: This population has a high risk of the development and progression of ETW, found in approximately one-third and approximately two-thirds of the schoolchildren, respectively. The most important risk factor was the consumption of acidic beverages.


Assuntos
Erosão Dentária , Desgaste dos Dentes , Adolescente , Criança , Humanos , Incidência , México , Prevalência , Fatores de Risco
2.
Artigo em Inglês | MEDLINE | ID: mdl-31195612

RESUMO

Aim: The objective of this study was to estimate the Out-Of-Pocket Expenditures (OOPEs) incurred by households on dental care, as well as to analyze the sociodemographic, economic, and oral health factors associated with such expenditures. Method: A cross-sectional study was conducted among 763 schoolchildren in Mexico. A questionnaire was distributed to parents to determine the variables related to OOPEs on dental care. The amounts were updated in 2017 in Mexican pesos and later converted to 2017 international dollars (purchasing power parities-PPP US $). Multivariate models were created: a linear regression model (which modeled the amount of OOPEs), and a logistic regression model (which modeled the likelihood of incurring OOPEs). Results: The OOPEs on dental care for the 763 schoolchildren were PPP US $53,578, averaging a PPP of US $70.2 ± 123.7 per child. Disbursements for treatment were the principal item within the OOPEs. The factors associated with OOPEs were the child's age, number of dental visits, previous dental pain, main reason for dental visit, educational level of mother, type of health insurance, household car ownership, and socioeconomic position. Conclusions: The average cost of dental care was PPP US $70.2 ± 123.7. Our study shows that households with higher school-aged children exhibiting the highest report of dental morbidity-as well as those without insurance-face the highest OOPEs. An array of variables were associated with higher expenditures. In general, higher-income households spent more on dental care. However, the present study did not estimate unmet needs across the socioeconomic gradient, and thus, future research is needed to fully ascertain disease burden.


Assuntos
Assistência Odontológica/economia , Países em Desenvolvimento/estatística & dados numéricos , Gastos em Saúde/estatística & dados numéricos , Adolescente , Criança , Estudos Transversais , Feminino , Humanos , Seguro Saúde , Masculino , México , Fatores Socioeconômicos , Inquéritos e Questionários
3.
Clin Interv Aging ; 14: 219-224, 2019.
Artigo em Inglês | MEDLINE | ID: mdl-30787597

RESUMO

Purpose: The aim of this study was to determine whether there are differences in the distribution of various indicators of oral health among elderly people with and without multimorbidity (ie, two or more chronic diseases). Subjects and methods: A cross-sectional, comparative study was conducted using a sample of Mexican elderly individuals aged ≥60 years. The average age of the cohort was 79.06±9.78 years, and 69.1% were women. The variables indicating oral health were as follows: functional dentition, edentulism, hyposalivation, xerostomia, root caries and periodontitis. The multimorbidity variable was operationally categorized as follows: 0= subjects with no chronic disease or one chronic disease and 1= subjects with two or more chronic diseases. Questionnaires were used to collect information on various variables regarding general health. Likewise, the participants underwent a clinical oral examination. The analysis was performed using Stata 11.0. Results: The overall prevalence of multimorbidity was 27.3%. The prevalences of various oral health indicators were as follows: without functional dentition 89.9%; hyposalivation 59.7%; edentulism 38.9% and self-reported xerostomia 25.2%. Dental caries were observed in 95.3% of the subjects, and the prevalence of severe periodontitis was 80%. We found a significant difference only in edentulism; its prevalence was higher among subjects with multimorbidity (55.3% vs 32.7%, P=0.015) than among those without multimorbidity. Conclusion: The presence of edentulism in this sample of Mexican older adults was higher in subjects with multimorbidity. Multimorbidity and oral diseases constitute a true challenge in elderly people, because they affect quality of life and are associated with high health care costs.


Assuntos
Inquéritos de Saúde Bucal/estatística & dados numéricos , Indicadores Básicos de Saúde , Multimorbidade , Saúde Bucal/estatística & dados numéricos , Idoso , Idoso de 80 Anos ou mais , Estudos Transversais , Cárie Dentária/epidemiologia , Feminino , Humanos , Masculino , México/epidemiologia , Pessoa de Meia-Idade , Boca Edêntula/epidemiologia , Prevalência , Qualidade de Vida , Autorrelato , Inquéritos e Questionários
4.
Clin Oral Investig ; 23(2): 715-723, 2019 Feb.
Artigo em Inglês | MEDLINE | ID: mdl-29756172

RESUMO

OBJECTIVE: To assess the association between erosive tooth wear (ETW) and consumption of different kinds of beverages in a group of schoolchildren 11-14 years old in Mexico City. METHODS: Cross-sectional study in a sample of students (n = 512) in Mexico City. The Basic Erosive Wear Examination (BEWE) was used to quantify ETW. Beverage consumption (BC) was determined using a frequency questionnaire; beverages included pure water, natural fruit juices, milk, hot beverages, and soft drinks. Ordinal logistic regression model was used to evaluate the association between the presence of ETW and BC. RESULTS: In total, 45.7% of the schoolchildren showed an initial loss of surface texture (BEWE = 1) and 18.2% a distinct defect involving loss of dental tissue (BEWE ≥ 2) in at least one tooth. For each glass (350 ml) of milk/week, the odds of not having erosive wear (BEWE = 0) versus having an initial loss of surface texture (BEWE = 1) or of having an initial loss of surface texture versus the presence of a defect involving the loss of dental tissue (BEWE ≥ 2) decreased 4% (OR = 0.96, 95% CI 0.93-0.99, p = 0.008); for each portion of sweet carbonated beverage consumed (350 ml), the odds increased 3% (OR = 1.03, 95% CI 1.001-1.07, p = 0.046). CONCLUSION: The intake of milk and milk-based products could be a dietary means of helping prevent ETW, especially if their consumption could replace sweet carbonated drink consumption. CLINICAL RELEVANCE: Knowing the impact of beverage consumption on ETW helps to provide suitable recommendations for the prevention and control of ETW in order to promote tooth longevity.


Assuntos
Bebidas , Erosão Dentária/induzido quimicamente , Adolescente , Criança , Estudos Transversais , Feminino , Humanos , Masculino , México , Fatores de Risco , Inquéritos e Questionários
5.
J Clin Exp Dent ; 10(5): e469-e476, 2018 May.
Artigo em Inglês | MEDLINE | ID: mdl-29849972

RESUMO

Background: A 2-group randomized field trial was conducted to evaluate the impact of a fluorosis educational preventive program in mother´s knowledge and practices, and on the urine fluoride concentration of their preschool children. Material and Methods: A group of 139 mother-child pairs participated in the study. Randomly, children were assigned to an intervention group, their mothers were participants of an educational program, or a control group (CG); including 69 and 70 child-mother pairs, respectively, the follow-up period was six months. Mother´s knowledge and practices were evaluated and children´s first urine sample was used to measure fluoride concentration at the beginning of the study and at the end of the follow-up period. Results: The mean age of the children was 4.18 (sd 0.62) years-old at baseline. Mothers in the IG improved their knowledge and practices associated with fluorosis risk factors. Adequate knowledge about the amount of toothpaste to use for brushing improved in the IG (p=0.006). In 82.1% of the children in the IG showed decrease in urine fluoride concentration was observed (p< 0.001), no significant differences were shown in the CG. Conclusions: Mothers participating in an education program improved their knowledge and practices, reducing the risk of dental fluorosis in their children who showed a decreased on their urine F concentration. Key words:Knowledge, practices, urinary fluoride, water fluoride, preschool children, mothers.

6.
An. bras. dermatol ; 92(6): 774-778, Nov.-Dec. 2017. tab
Artigo em Inglês | LILACS | ID: biblio-887115

RESUMO

Abstract: Background: Actinic prurigo (AP) is an idiopathic photodermatosis. Although its initial manifestations can appear in 6 to 8-year-old children, cases are diagnosed later, between the second and fourth decades of life, when the injuries are exacerbated. Objective: To identify risk factors associated with clinical manifestations of AP such as skin and mucosal lesions. Methods: Thirty patients with AP and 60 controls were included in the study, the dependent variable was the presence of skin or labial mucosal lesions, the independent variables were age, sex, solar exposure, living with pets or farm animals, exposure to wood smoke, smoking habit, years smoking, and hours spent per day and per week in contact with people who smoke. Results: Of the 30 diagnosed AP patients, 66.7% were female. Patients age ranged from 7 to 71 years and the mean age was 35.77 ± 14.55 years. We found significant differences with the age and cohabitation with farm animals. Those who lived with farm animals presented 14.31 times higher probability of developing AP (95% CI 3-78.06). Study limitations: This is a case-control study; therefore, a causal relationship cannot be proven, and these results cannot be generalized to every population. Conclusions: The identification of factors related to the development of AP increases our knowledge of its physiopathology. Moreover, identifying antigens that possibly trigger the allergic reaction will have preventive and therapeutic applications in populations at risk of AP.


Assuntos
Humanos , Animais , Masculino , Feminino , Criança , Adolescente , Adulto , Pessoa de Meia-Idade , Idoso , Adulto Jovem , Transtornos de Fotossensibilidade/etiologia , Dermatopatias Genéticas/etiologia , Exposição Ambiental/efeitos adversos , Transtornos de Fotossensibilidade/fisiopatologia , Dermatopatias Genéticas/fisiopatologia , Luz Solar/efeitos adversos , Fatores de Tempo , Estudos de Casos e Controles , Modelos Logísticos , Fatores de Risco , Fatores Etários , Estatísticas não Paramétricas , Hipersensibilidade/etiologia , Hipersensibilidade/fisiopatologia , Animais Domésticos
7.
An Bras Dermatol ; 92(6): 774-778, 2017.
Artigo em Inglês | MEDLINE | ID: mdl-29364431

RESUMO

BACKGROUND: Actinic prurigo (AP) is an idiopathic photodermatosis. Although its initial manifestations can appear in 6 to 8-year-old children, cases are diagnosed later, between the second and fourth decades of life, when the injuries are exacerbated. OBJECTIVE: To identify risk factors associated with clinical manifestations of AP such as skin and mucosal lesions. METHODS: Thirty patients with AP and 60 controls were included in the study, the dependent variable was the presence of skin or labial mucosal lesions, the independent variables were age, sex, solar exposure, living with pets or farm animals, exposure to wood smoke, smoking habit, years smoking, and hours spent per day and per week in contact with people who smoke. RESULTS: Of the 30 diagnosed AP patients, 66.7% were female. Patients age ranged from 7 to 71 years and the mean age was 35.77 ± 14.55 years. We found significant differences with the age and cohabitation with farm animals. Those who lived with farm animals presented 14.31 times higher probability of developing AP (95% CI 3-78.06). STUDY LIMITATIONS: This is a case-control study; therefore, a causal relationship cannot be proven, and these results cannot be generalized to every population. CONCLUSIONS: The identification of factors related to the development of AP increases our knowledge of its physiopathology. Moreover, identifying antigens that possibly trigger the allergic reaction will have preventive and therapeutic applications in populations at risk of AP.


Assuntos
Exposição Ambiental/efeitos adversos , Transtornos de Fotossensibilidade/etiologia , Dermatopatias Genéticas/etiologia , Adolescente , Adulto , Fatores Etários , Idoso , Animais , Animais Domésticos , Estudos de Casos e Controles , Criança , Feminino , Humanos , Hipersensibilidade/etiologia , Hipersensibilidade/fisiopatologia , Modelos Logísticos , Masculino , Pessoa de Meia-Idade , Transtornos de Fotossensibilidade/fisiopatologia , Fatores de Risco , Dermatopatias Genéticas/fisiopatologia , Estatísticas não Paramétricas , Luz Solar/efeitos adversos , Fatores de Tempo , Adulto Jovem
8.
Odontología (Ecuad.) ; 19(1): 75-88, 2017.
Artigo em Espanhol | LILACS | ID: biblio-996613

RESUMO

Objetivo: Traducir, adaptar y validar el ECOHIS, para evaluar la calidad de vida relacionada con la salud bucal de pre-escolares ecuatorianos. Materiales y métodos: 50 padres y/o cuidadores de niños de 3 a 5 años de edad participaron en dos pruebas piloto para obtener la traducción y adaptación transcultural del ECOHIS. La validación del mismo se obtuvo mediante entrevista "face to face" realizada en 212 padres y/o cuidadores con sus niños de 3 a 5 años de edad, que fueron examinados clínicamente para diagnosticar caries dental, maloclusiones y traumatismos dentales. La consistencia interna se evaluó con Alfa de Cronbach, la estabilidad del instrumento fue determinada mediante el Coeficiente de Correlación Intraclase (CCI), la validez de constructo y discriminante se evaluaron al relacionar las variables clínicas con las puntua-ciones obtenidas en el Ec-ECOHIS. Resultados: Se obtuvo unaConsistencia Interna de 0744; la estabilidad fue confir-mada por Coeficiente de Correlación Intraclase (CCI= 0,919); Validez de Constructo se demostró con las asociaciones estadísticamente significativas entre la puntuación total del Ec-ECOHIS, y de sus secciones EIN y EIF con el ceod y sus componentes, la validez discriminante fue ratificada al encontrar diferencias significativas entre los grupos con presencia o ausencia de caries dentales, maloclusión y trauma dental (p = 0,009; p = 0,028; p = 0,001 respectivamente). Conclusión: El Ec-ECOHIS, es un instrumento válido y fiable para evaluar la calidad de vida relacionada con la salud bucal de los preescolares ecuatorianos.


Objective: To translate, to adapt and to validate ECOHIS, in order to evaluate the quality of life related to the oral health of Ecuadorian preschoolers. Equipment and methods: Fifty three-to-five-year-old-child parents and/or caregivers parti-cipated in two experimental tests for getting the translation and cross-cultural adaptation of ECOHIS. Its validation was obtained through face-to-face interviews applied on 212 parents and/or caregivers with their respective children, who were clinically examined in order to detect dental cavities, malocclusions, or any other trauma. The internal consistency of the questionnaire was evaluated using Cronbach's alfa, the stability of the instrument was determined with the intra-class correlation coefficient (CCI). The validity of the construct and discriminant was evaluated after correlating the clinical variables with the scores obtained from the Ec-ECOHIS. Results: The internal consistency obtained was 0744. Its stability was confirmed by the intra-class correlation coefficient (CCI=0,919). The validity of the construct was proved by with the statistically significant relations between the total score from Ec-ECOHIS, and sections EIN and EIF, with the CEOD and its components. The validity of the discriminant was confirmed after finding important differences between the groups that presented and that did not present dental cavities, malocclusions, or other trauma (p = 0,009; p = 0,028; p = 0,001, respec-tively) Conclusion: Ec-ECOHIS is a valid and reliable instrument for evaluating the quality of life related to oral health of Ecuadorian preschoolers.


Objetivo: Traduzir, adaptar e validar o ECOHIS para avaliar a qualidade de vida relacionada à saúde bucal dos pré-escola-res equatorianos. Materiais e Métodos: 50 pais e / ou cuidadores infantil com idade entre 3 a 5 anos de idade participaram de dois testes-piloto para a tradução e adaptação cultural do ECOHIS. A validação foi obtida pela entrevista "face a face" feito com 212 pais e / ou cuidadores infantis de 3 a 5 anos de idade que foram examinados clinicamente para diagnosticar a cárie dentária, maloclusões e trauma dental. A consistência interna foi avaliada com Cronbach alfa, a estabilidade do instrumento foi determinada pelo coeficiente de correlação intra-classe (ICC), a validade de constructo e discriminante foi avaliada pela relação entre as variáveis clínicas com as pontuações no Ec-ECOHIS. Resultados: Foi obtida uma Cron-bach alfa de 0,744. A estabilidade foi confirmada pelo coeficiente de correlação intra-classe (ICC = 0,919); a validade de construto foi demostrada pelas associações estatisticamente significativas entre a pontuação total do Ec-ECOHIS, e as suas secções EIN e EIF com ceod e seus componentes, a validade discriminante foi confirmada por haver diferenças significa-tivas entre os grupos com a presença ou ausência de cárie dentária, maloclusãos e trauma dentário (p = 0,009; p = 0,028; p = 0,001, respectivamente). Conclusão: Ec-ECOHIS, é um instrumento válido e confiável para avaliar a qualidade de vida relacionada à saúde bucal dos pré-escolares equatorianos.


Assuntos
Qualidade de Vida , Pré-Escolar , Saúde Bucal , Assistência Odontológica , Poder Familiar , Traumatismos Dentários , Serviços de Saúde Escolar , Entrevista , Cárie Dentária , Má Oclusão , Doenças da Boca
9.
Int Dent J ; 66(2): 105-12, 2016 Apr.
Artigo em Inglês | MEDLINE | ID: mdl-26800859

RESUMO

OBJECTIVE: To estimate the prevalence of self-reported gingival and periodontal conditions and their association with smoking, oral hygiene, indigenous origin, diabetes and location (urban or rural) in indigenous and non-indigenous adults in Chiapas, Mexico. METHODS: A cross-sectional study of 1,749 persons, ≥20 years of age, living in four rural and four urban marginal localities in Comitán (Chiapas, México). The variables investigated were: age; sex; indigenous origin; oral hygiene; halitosis; chewing ability; gingival conditions; periodontitis; smoking; alcoholism; diabetes; and location. Bivariate analysis and a logistic regression model were used to identify the association of periodontitis with the independent variables. RESULTS: In total, 762 (43.6%) indigenous and 987 (56.4%) non-indigenous persons were interviewed. Their mean age was 41 ± 14 years, 66.7% were women and 43.8% lived in rural locations. Gingival problems were reported by 68.5% and periodontitis by 8.7%. In total, 17.9% had used dental services during the previous year, 28.7% wore a removable partial or a complete dental prosthesis, 63.7% had lost at least one tooth, the prevalence of diabetes was 9.2% and the prevalence of smoking was 12.2%. The logistic regression model showed that age, diabetes and the interaction between rural location and indigenous origin were associated with the presence of periodontitis. CONCLUSIONS: Indigenous people living in rural areas are more likely to have periodontitis. It is necessary to promote oral health practices in indigenous and marginalised populations with a focus on community-oriented primary care.


Assuntos
Doenças da Gengiva/epidemiologia , Periodontite/epidemiologia , Autorrelato , Adulto , Fatores Etários , Alcoolismo/epidemiologia , Estudos Transversais , Assistência Odontológica/estatística & dados numéricos , Prótese Total/estatística & dados numéricos , Prótese Parcial Removível/estatística & dados numéricos , Diabetes Mellitus/epidemiologia , Grupos Étnicos/estatística & dados numéricos , Feminino , Halitose/epidemiologia , Humanos , Masculino , Mastigação/fisiologia , México/epidemiologia , Pessoa de Meia-Idade , Higiene Bucal/estatística & dados numéricos , Grupos Populacionais/estatística & dados numéricos , Prevalência , Saúde da População Rural/estatística & dados numéricos , Fumar/epidemiologia , Perda de Dente/epidemiologia , Saúde da População Urbana/estatística & dados numéricos , Adulto Jovem
10.
J Am Dent Assoc ; 147(2): 92-7, 2016 Feb.
Artigo em Inglês | MEDLINE | ID: mdl-26562733

RESUMO

BACKGROUND: Erosive tooth wear is the irreversible loss of dental hard tissue as a result of chemical processes. When the surface of a tooth is attacked by acids, the resulting loss of structural integrity leaves a softened layer on the tooth's surface, which renders it vulnerable to abrasive forces. The authors' objective was to estimate the prevalence of erosive tooth wear and to identify associated factors in a sample of 14- to 19-year-old adolescents in Mexico. METHODS: The authors performed a cross-sectional study on a convenience sample (N = 417) of adolescents in a school in Mexico City, Mexico. The authors used a questionnaire and an oral examination performed according to the Lussi index. RESULTS: The prevalence of erosive tooth wear was 31.7% (10.8% with exposed dentin). The final logistic regression model included age (P < .01; odds ratio [OR], 1.64; 95% confidence interval [CI], 1.26-2.13), high intake of sweet carbonated drinks (P = .03; OR, 1.81; 95% CI, 1.06-3.07), and xerostomia (P = .04; OR, 2.31; 95% CI, 1.05-5.09). CONCLUSIONS: Erosive tooth wear, mainly on the mandibular first molars, was associated with age, high intake of sweet carbonated drinks, and xerostomia. PRACTICAL IMPLICATIONS: Knowledge regarding erosive tooth wear in adolescents with relatively few years of exposure to causal factors will increase the focus on effective preventive measures, the identification of people at high risk, and early treatment.


Assuntos
Desgaste dos Dentes/epidemiologia , Adolescente , Fatores Etários , Bebidas Gaseificadas/efeitos adversos , Estudos Transversais , Feminino , Humanos , Masculino , México/epidemiologia , Prevalência , Fatores de Risco , Inquéritos e Questionários , Desgaste dos Dentes/diagnóstico , Desgaste dos Dentes/etiologia , Xerostomia/complicações , Adulto Jovem
11.
Rev. odontol. mex ; 19(4): 263-272, oct.-dic. 2015. tab, graf
Artigo em Espanhol | LILACS-Express | LILACS | ID: biblio-961541

RESUMO

Se presenta un caso clínico donde se evaluó si la agregación del derivado de la matriz del esmalte (DME) al procedimiento del colgajo de avance coronal con injerto de tejido conectivo subepitelial (CDC + ITCS) mejoraría la cantidad de cobertura radicular en recesiones gingivales clase I y II de Miller comparados con el mismo procedimiento solo, en un paciente con recesiones gingivales múltiples a seis meses. Se incluyeron 12 recesiones gingivales, seis tratadas con (CAC + ITCSE + DME) y seis con (CAC + ITCSE) en diferentes cuadrantes. Al inicio y a los seis meses se midieron los parámetros clínicos tales como profundidad de la recesión gingival (PR), profundidad al sondeo (PS), nivel de inserción clínica (NIC), y ancho de tejido queratinizado en dirección apico-coronal (TQ). Un valor p < 0.05 se consideró significativo. Los resultados mostraron que a los seis meses ambos procedimientos, CAC + ITCSE + DME y CAC + ITCSE produjeron una significativa cobertura radicular en promedio 2.83 ± 1.16 mm (p = 0.001) y 2.50 ± 0.83 mm (p = .002), respectivamente. Todas las recesiones gingivales tratadas con el DME tuvieron el 100% de cobertura radicular y sólo el 65.3% de cobertura para los sitios tratados con CAC + ITCSE. Al comparar ambos procedimientos a los seis meses, se observaron mejores resultados con CAC + ITCSE + DME en cuanto al nivel de inserción clínica (p = .02) y la cobertura radicular (p = .06); sin embargo, ni la diferencia del nivel de inserción clínico ni la ganancia en la cobertura radicular mostraron ser significativos. Por otro lado, no se observaron diferencias significativas en la PS y TQ. Conclusión: El presente caso clínico no mostró beneficio adicional cuando se agregó el DME al procedimiento de CAC + ITCSE para la cobertura de recesiones gingivales múltiples clase I y II de Miller.


The present article described a clinical case where it was assessed whether aggregation of enamel matrix derivative (EMD) to the procedure of coronary-advanced flap with sub-epithelial connective tissue graft (CAF + SCTG) would improve the amount of root coverage in Miller's class I and II gingival recessions when compared to the same isolated procedure in a patient suffering multiple gingival recessions, in a 6 month time-span. Twelve gingival recessions were included in the study: six treated with (CAF + SCTG + EMD) and six treated with (CAF + SCTG) in different quadrants. At beginning of procedure as well as six months later, the following clinical parameters were measured: gingival recession depth (RD), depth to probing (PD), clinical insertion level (CIL) and width of keratinized tissue (KT) in apex-coronary direction. A p < 0.05 was considered statistically significant. Results established that after a six month procedure CAF + SCTG + EMD and CAF + SCTG produced significant root coverage, respective averages were 2.83 ± 1.16 mm (p = 0.001) and 2.50 ± 0.83 mm (p = .002). All gingival recessions treated with EMD experienced 100% root coverage, sites treated with CAF + SCTG + EMD exhibited coverage of only 65.3%. When comparing results at six months, better results were observed with CAF + SCTG + EMD with respect to clinical insertion level (p = .02) and root coverage (p = .06). Nevertheless, neither the difference of clinical level insertion nor the gain in root coverage resulted significant. Additionally, no significant differences were observed between PD and KT. Conclusion: The present clinical case did not show additional benefits when EMD were aggregated to the CAF + SCTG in the coverage of multiple Miller's class I and class II gingival recessions.

12.
J Health Commun ; 20(8): 930-7, 2015 Aug.
Artigo em Inglês | MEDLINE | ID: mdl-25942422

RESUMO

To develop and assess the Spanish Oral Health Literacy Scale (SOHLS) in a Mexican adult population, a repeated survey was undertaken in 227 adults. Participants were interviewed and asked to complete the SOHLS on the basis of the Health Literacy Test developed by the Educational Testing Service. The SOHLS covered literacy skills: location, integration, generation, calculation and return. Cronbach's α was obtained for internal consistency and intraclass correlation coefficient for test-retest reliability. Construct validity was obtained comparing the test score with self perceived oral health and the Oral Health Impact Profile-14 (OHIP-14). Mean age was 47.2 years (SD = 14.3 years). Average time for test completion was 24.6 ± 11 minutes; mean score was 24.2 ± 3.8 and Cronbach's α was .748; the intraclass correlation coefficient was 0.766. Spearman's correlation was 0.426 between the test and self perceived oral health. Pearson's correlation was -0.336 between the total test score and the OHIP-14. The instrument has good values of reliability; construct validity is significant but could be improved.


Assuntos
Letramento em Saúde , Idioma , Saúde Bucal , Inquéritos e Questionários , Adulto , Feminino , Humanos , Masculino , Pessoa de Meia-Idade , Reprodutibilidade dos Testes
13.
J Investig Clin Dent ; 4(1): 34-8, 2013 Feb.
Artigo em Inglês | MEDLINE | ID: mdl-23382061

RESUMO

AIM: Owing to the greater use of translated and adapted instruments for measuring oral health on children's quality of life, there is a need to ensure that such scales (and then items) function in the same way, irrespective of age, sex, socioeconomic status, language, or ethnicity, so they can be used validly and reliably in cross-cultural research. The aim of the present study was to identify whether the Spanish version of the Child Perceptions Questionnaire 11-14 presents differential item functioning. METHODS: Child Perceptions Questionnaire 11-14 data from New Zealand (n = 322) and Mexican (n = 335) school-based surveys were compared. Ordinal logistic regression was undertaken in order to identify uniform or non-uniform differential item functioning. RESULTS: Eleven items showed moderate-to-large uniform differential item functioning in the Spanish version of the Child Perceptions Questionnaire 11-14. Non-uniform differential item functioning was not detected. The psychometric properties of the questionnaire, when removing items showing differential item functioning, showed that the free differential item functioning version was good to excellent. CONCLUSIONS: The Child Perceptions Questionnaire 11-14 Spanish version showed moderate-to-large uniform differential item functioning; however, further research is needed to identify the causes of differential item functioning.


Assuntos
Atitude Frente a Saúde , Saúde Bucal , Qualidade de Vida , Inquéritos e Questionários/normas , Atividades Cotidianas , Adolescente , Comportamento do Adolescente , Criança , Comportamento Infantil , Comparação Transcultural , Emoções , Humanos , Idioma , México , Doenças da Boca/psicologia , Nova Zelândia , Psicometria/estatística & dados numéricos , Reprodutibilidade dos Testes , Comportamento Social , Espanha , Doenças Dentárias/psicologia , Tradução
14.
Pract. odontol ; 12(8): 59-60, 62, 64-5, ago. 1991.
Artigo em Espanhol | LILACS | ID: lil-106540

RESUMO

La prevención de la caries dental no sólo se limita al uso del fluoruro y/o selladores de fosetas y fisuras, que combinados con una adecuada educación para la salud e higiene bucal disminuyen la frecuencia de caries dental. La utilización parcial de ciertos sustitutos del azúcar en la dieta ha mostrado tener efectos cariostáticos. Se presenta una revisión de la literatura sobre sustitutos del azúcar, con el propósito de identificar los diferentes tipos de edulcorantes desarrollados y describir sus características, haciendo énfasis en los alcoholes del azúcar como el xilitol y sorbitol, que han mostrado poseer un efecto cariostático. Se describe su posible mecanismo de acción y se informan acerca de diferentes estudios realizados al respecto


Assuntos
Cariostáticos , Cárie Dentária/prevenção & controle , Edulcorantes , L-Iditol 2-Desidrogenase/uso terapêutico , Sorbitol , Álcoois Açúcares
15.
In. México. Instituto de Seguridad y Servicios Sociales de los Trabajadores del Estado. VIImo. Curso Internacional Sobre Análisis de Decisiones y Computación en Medicina. México D.F, Instituto de Seguridad y Servicios Sociales de los Trabajadores del Estado, 15 ago. 1990. p.165-8.
Monografia em Espanhol | LILACS | ID: lil-134803

RESUMO

El análisis de decisiones es una aproximación analítica en la que se desarrolla un modelo cuando la incertidumbre, respecto a un tratamiento (decisión), está presente. Es un método para llegar a la toma de decisiones de una forma lógica y explícita. Estas situaciones de incertidumbre se presentan cuando se debe realizar una selección de entre varias estrategias de manejo de pacientes. Cuando las decisiones médicas respecto al manejo (tratamiento, no tratamiento) no pueden ser dilucidadas, ya que no se cuenta con un diagnóstico establecido debido a diversas causas (no hay tiempo, no se dispone de elementos para hacer el diagnóstico). El proceso comienza con la formulación del problema clínico, así como con una buena elección enfocada entre un número limitado de etiologías clínicas. Estas estrategias son entonces involucradas explícitamente en un modelo que describe los eventos clínicos que pueden resultar de cada opción.


Assuntos
Teoria da Decisão , México
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