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1.
J Contemp Dent Pract ; 20(10): 1179-1183, 2019 Oct 01.
Artigo em Inglês | MEDLINE | ID: mdl-31883253

RESUMO

AIM: The purpose of this study was to find the correlation between dental caries and teeth loss in relation to gender, age, treatments with different therapies, time period being hospitalized, sugar consumption, smoking, and oral hygiene in mental disordered patients. OBJECTIVE: Evaluating therapeutic treatments in patients with mental illnesses, focusing on the effects on oral health. MATERIALS AND METHODS: This is a longitudinal cohort study conducted on patients who have been hospitalized from 5 years to 30 years. Patients were observed for 7 months (January 2019-July 2019) in the psychiatric hospital "Ali Mihali", in Vlora, Albania. In our study, 200 patients participated, of which 103 were females (51.5%) and 97 were males (48.5%). RESULTS: In the present study, we analyzed the oral health of patients within the age class of 30-70 years. We divided them into four age groups: 30-40, 41-50, 51-60, and 61-70 years. According to the ANOVA test, a strongest influence on caries manifestation and missing teeth was noticed during the time the patient was being hospitalized, with p values = 0.000 in both cases. The treatments done with different therapies also had a strong influence on the teeth loss with a p value = 0.001, while in carious teeth the p value was 0.004. This study showed that there is a strong statistically significant correlation between sugar consumption and smoking, in relation to caries manifestation and teeth loss, with p values = 0.000, respectively. CONCLUSION: These patients are a vulnerable group, if we consider their oral health. The present study proved that the most important reasons for their poor dental health are: bad oral hygiene, smoking, sugar consumption, adverse effects of medications, and the time period that these patients have been hospitalized. CLINICAL SIGNIFICANCE: By knowing the factors that have worsened the oral health of mental disordered patients, we can try to raise the awareness about caries reduction and to avoid teeth loss. How to cite this article: Canga M, Malagnino I, Malagnino G, et al. Evaluating Therapy Treatments in Patients with Mental Disorders in Relation to Oral Health. J Contemp Dent Pract 2019;20(10):1179-1183.


Assuntos
Cárie Dentária , Transtornos Mentais , Feminino , Humanos , Estudos Longitudinais , Masculino , Saúde Bucal , Higiene Bucal
2.
Medicine (Baltimore) ; 93(27): e195, 2014 Dec.
Artigo em Inglês | MEDLINE | ID: mdl-25501069

RESUMO

Rheumatoid arthritis (RA) is an immune-mediated polyarthritis; currently no pathogenic agent has been identified as a disease trigger. A patient with RA, presumably caused by periodontal infection, whose remission has been observed after periodontitis treatment in absence of specific RA therapy, is reported here for the first time, to our knowledge. A 61-year-old male patient presented migrant arthritis associated with antibodies against citrullinated protein antigens positivity. The clinical features allowed to make RA diagnosis according to the 2010 European League against Rheumatism/American College of Rheumatology RA classification criteria. X-ray of the second upper molar showed chronic apical periodontitis. After its treatment, arthritis remission has been observed in the absence of specific RA therapy. It has been suggested that periodontitis may have a trigger role in RA pathogenesis. This could be explained by the enzymatic action of Porphyromonas gingivalis, probably leading to break tolerance to collagen. The identification and subsequent treatment of periodontitis should therefore be considered pivotal in RA prophylaxis and management.


Assuntos
Artrite Reumatoide/etiologia , Periodontite/terapia , Artrite Reumatoide/terapia , Humanos , Masculino , Pessoa de Meia-Idade , Periodontite/complicações
4.
Dent Update ; 38(7): 477-8, 481-2, 484, 2011 Sep.
Artigo em Inglês | MEDLINE | ID: mdl-22046908

RESUMO

UNLABELLED: In these endodontic case reports we present a root canal preparation protocol using the Mtwo Ni-Ti rotary files according to the 'simultaneous technique' which is a'crown-down' approach, where every instrument in the sequence is used to the full working length. A hybrid Microseal/PacMac obturation (consisting of three stages: master cone compaction, backfill with pre-plasticized guttapercha and vertical compaction) is proposed in order to: maintain the obturation length control associated with the Microseal system; use preheated gutta-percha to backfill the canal rapidly with the PacMac condensor; and to reduce potential voids in the obturation material with the final vertical compaction. CLINICAL RELEVANCE: The'simultaneous technique'followed by apical preparation using Mtwo apical files allows obturation using the proposed hybrid Microseal/Pacmac method, aiming to overcome some of the shortcomings of the Microseal and Pacmac obturation methods, such as length control difficulty and sealer pooling.


Assuntos
Obturação do Canal Radicular/métodos , Preparo de Canal Radicular/instrumentação , Preparo de Canal Radicular/métodos , Instrumentos Odontológicos , Humanos , Obturação do Canal Radicular/instrumentação
5.
Int J Oral Maxillofac Implants ; 23(5): 858-66, 2008.
Artigo em Inglês | MEDLINE | ID: mdl-19014155

RESUMO

PURPOSE: The objective of the present study was to clinically and histologically evaluate the effectiveness of deproteinized bovine bone as the augmentation material in vertical ridge augmentation of the inserted implants. MATERIALS AND METHODS: This retrospective study was performed on 10 vertically augmented ridges in which 24 dental implants were inserted. Deproteinized bovine bone (Bio-Oss) was used as the only augmentation material and was covered with a titanium-reinforced expanded polytetrafluoroethylene (e-PTFE) membrane (Gore-Tex). For 3 augmented areas, bone samples were retrieved for histologic and histomorphometric examination. RESULTS: Clinical evaluations showed bone defects around the implants of 2 to 9 mm (average -5.1 mm; SD = 2.1). Bone height gain at 6 to 8 months after augmentation was 3 to 9 mm (average 5.3 mm; SD = 1.7). Differences between pre- and postaugmentation were statistically significant, for a mean value of > 4 mm (P < .005). The obtained bone biopsy specimens showed significant new bone formation and remodeling of the deproteinized bovine bone material. The radiographic data and the clinical stability showed that all implants were successfully osseointegrated. The radiographic and clinical follow-up indicated that the generated bone crest levels were stable. CONCLUSION: This clinical study suggests that vertical ridge augmentation with an e-PTFE membrane and deproteinized bovine bone is predictable and can lead to long-term success.


Assuntos
Aumento do Rebordo Alveolar/métodos , Regeneração Óssea , Substitutos Ósseos , Membranas Artificiais , Adulto , Idoso , Animais , Bovinos , Implantação Dentária Endo-Óssea , Feminino , Regeneração Tecidual Guiada Periodontal , Humanos , Arcada Parcialmente Edêntula/reabilitação , Estudos Longitudinais , Masculino , Pessoa de Meia-Idade , Minerais , Politetrafluoretileno , Titânio
6.
Am J Dent ; 18(5): 307-10, 2005 Oct.
Artigo em Inglês | MEDLINE | ID: mdl-16335037

RESUMO

PURPOSE: To evaluate the capacity of residual dentin in the coronal part of the root canal to increase the retention of serrated fiberglass posts (Extra-glass P-6%). METHODS: 40 freshly-extracted maxillary central incisors were randomly and evenly divided into four test groups (TGs) with no (TG0), one (TG1), two (TG2) and three (TG3) coronal walls, respectively. After shaping, the canals were filled with gutta-percha and prepared to receive fiberglass posts. Coronal wall dentin was etched with 38% phosphoric acid for 60 seconds, rinsed, and dried. Dentin bonding agent (Prime & Bond NT) was applied, and fiberglass posts were luted for 8 mm into the post space using a self-cure composite (ResiLute). All samples were then subjected to tensile forces in a universal testing machine. Data were analyzed with ANOVA and Student t-tests (P< 0.01). RESULTS: The samples with residual coronal dentin showed higher bond strength than the samples without residual crown walls (TG0=100.30N; TG1=201.83N; TG2=263.54N; TG3=278.86N). The differences between the groups were all statistically significant at P< 0.01, except for the difference in tensile strength between TG2 and TG3, which was not statistically significant. Residual crown walls significantly increased the tensile load required to displace the posts.


Assuntos
Retenção em Prótese Dentária/métodos , Dentina/química , Técnica para Retentor Intrarradicular , Coroa do Dente , Análise de Variância , Humanos , Resistência à Tração
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