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1.
Evid Based Dent ; 21(3): 98-99, 2020 Sep.
Artigo em Inglês | MEDLINE | ID: mdl-32978540

RESUMO

Design Randomised controlled trial.Study population Sixty patients aged 10-18 years requiring fixed orthodontic treatment were randomly allocated to the study or control group. Anxiety levels and somatosensory amplification were evaluated. All patients received general verbal instructions on orthodontic treatment (dietary habits, oral hygiene maintenance and pain). Patients in the study group also received written information (a take-home leaflet) on orthodontic pain characteristics and management. Patients, clinicians and statistician were blinded to the patient allocation.Outcome measure The primary outcome was the pain intensity and the secondary outcome was analgesic consumption.Data analysis Multilevel regression analysis of variance (ANOVA) for repeated measures with split plot design.Results Pain perception and analgesic consumption were significantly higher in the control group only during the first two days after appliance placement (P <0.05).Conclusions Combining verbal and written information diminished pain perception and analgesic consumption in orthodontic patients in the first days after appliance placement.

2.
Int J Paediatr Dent ; 2020 Sep 17.
Artigo em Inglês | MEDLINE | ID: mdl-32941667

RESUMO

BACKGROUND: Early childhood caries (ECC) is the most common chronic disease in childhood. Measures to reduce the prevalence of ECC cannot be taken without recognizing that oral health is influenced by biopsychosocial factors on individual and community levels. AIM: to evaluate the impact of ECC on OHRQoL, and moderation effect of parents' resilience. DESIGN: Population-based, cross-sectional study with 497 children (4-6 years-old) at preschools in XXX, Brazil. Parents self-completed the Brazilian version of the Early Childhood Oral Health Impact Scale (B-ECOHIS), the Resilience Scale and questionnaires about socioeconomic and oral health behavior factors. Calibrated dentists conducted exams for ECC (ICDASepi) and pulp consequences (pufa). Data analysis used multivariate Poisson regression for complex sample (p<0.05). RESULTS: Model#1, adjusted for parents' resilience, and socioeconomic factors, revealed that preschoolers with pulp involvement had 2.36 (95%CI:1.60-3.49) and fistula/abscess had 3.57 (95%CI:2.23-5.72) more prevalence of negative impact on OHRQoL than preschoolers with ECC without pulp consequences. In Model#2, resilience was removed from the analysis and the strength of associations almost did not change (OHRQoL vs pulp involvement RP=2.33;95%CI:1.58-3.43; OHRQoL vs fistula/abscess RP=3.65;95%CI:2.22-5.99). CONCLUSION: ECC with pulp consequences had negative impact on OHRQoL of preschoolers and families and it is not moderated by parents' resilience.

3.
Artigo em Inglês | MEDLINE | ID: mdl-32935344

RESUMO

OBJECTIVE: This quali-quantitative study analysed the 100 most-cited papers in core dental public health (DPH) journals focusing on understanding international knowledge production. METHODS: The DPH journals were selected from titles and scopes at Web of Science Core Collection database up to March 2020. Further comparisons were performed at Scopus and Google Scholar databases. Some bibliometric parameters were extracted as follows: title, number of citations, citation density (number of citations per year), first author's country, year of publication, study design and subject. VOSviewer software was used to create graphical bibliometric maps. RESULTS: Papers were ranked by the total number of citations, which ranged from 104 to 1,019, and six papers were cited more than 400 times. Papers were published from 1974 to 2013, mainly in Community Dentistry and Oral Epidemiology. Most frequent study designs were cross-sectional (30%) and nonsystematic review (25%). Most papers were from Europe (54%) and North America (31%). First authors were predominantly from the United Kingdom (17%), United States of America (17%) and Canada (14%). VOSviewer map of co-authorship demonstrated the existence of clusters in the research collaboration. Although epidemiology was the most frequent subject (84%), health services research presented eight times higher citation density. CONCLUSIONS: Top 100 most-cited papers in core DPH journals were predominantly observational studies from Anglo-Saxon countries. Top 100 most-cited papers in core DPH journals tend to be cross-sectional studies carried out in the United States with highest citation in health services research. Locker D, Petersen PE and Sheiham A are a landmark for DPH field.

4.
Braz Oral Res ; 34 Suppl 2: e075, 2020.
Artigo em Inglês | MEDLINE | ID: mdl-32785488

RESUMO

Recently, there has been greater interest in adopting a more holistic approach to healthcare. However, this trend should not limit itself merely to the notion that a human being lies behind the mouth being treated. Rather, it should embrace the understanding that this human can actively participate in and contribute to the treatment process. Patient Report Outcome Measures (PROMs) and Patient Report Experience Measures (PREMs) provide means for measuring data from the patient's perspective, and enable health-related feelings and functions to be evaluated. Accordingly, this critical review aims to provide definitions, rationales and applications of patient-centered approaches in dental clinical research. Some patient-centered constructs are especially relevant to dental clinical trials, such as oral health-related quality of life, pain/discomfort, aesthetics and satisfaction concerning treatment and services. The selection and application of patient-reported measures can vary according to condition (generic, disease-specific or treatment-specific) and to the specific population evaluated (age and cognitive impairment). These measures can help weigh risks and benefits, as well as assess the cost effectiveness of treatments, thus influencing treatment recommendations and health policies. The incorporation of these measures into a professional's daily life not only represents an improvement in professional performance, but also addresses a humanitarian concern.

5.
Evid Based Dent ; 21(2): 54-55, 2020 Jun.
Artigo em Inglês | MEDLINE | ID: mdl-32591658

RESUMO

This paper is a narrative review of relevant literature.


Assuntos
Assistência Odontológica , Odontólogos , Criança , Humanos
6.
Gen Dent ; 68(4): 56-60, 2020.
Artigo em Inglês | MEDLINE | ID: mdl-32597779

RESUMO

Few reports have been published to date on the management of bone fenestration in the anterior maxilla using leukocyte-platelet-rich fibrin (L-PRF) with deproteinized bovine bone mineral allograft (DBBMA). This case report demonstrates the use of L-PRF associated with DBBMA to repair a bone fenestration after the placement of 2 implants in the anterior maxilla. Placement of 2 osseointegrated implants was planned to replace the missing maxillary central incisors of a patient with bone loss in the buccal region. Reverse treatment planning predicted the fenestration of the buccal cortical plate and exposure of the implants. The implants were placed, and fenestration of the buccal cortical bone around the body of the implants occurred as expected. A mixture of L-PRF and DBBMA, mediated by injectable platelet-rich fibrin (a combination sometimes referred to as sticky bone), was positioned to cover the defect. Cone beam computed tomography 6 months after the intervention showed complete coverage of the fenestration with newly formed bone tissue. The use of L-PRF associated with DBBMA efficiently covered the fenestration and promoted new bone formation.

7.
Community Dent Oral Epidemiol ; 48(4): 257-263, 2020 Aug.
Artigo em Inglês | MEDLINE | ID: mdl-32383273

RESUMO

OBJECTIVE: The aim of this systematic review and meta-analysis was to determine the impact of dental pain on oral health-related quality of life (OHRQoL) in children and adolescents. METHODS: Electronic and manual searches were performed with no restrictions of language or year of publication. The PECO strategy was used to identify observational studies involving participants up to 19 years of age with dental pain and to those without dental pain to determine the impact of this condition on OHRQoL. The methodological quality of the studies was appraised using the Fowkes and Fulton checklist. Meta-analysis was conducted by subgroups, based on OHRQoL questionnaires and effect measures. The quality of evidence was evaluated using the GRADE approach. RESULTS: Sixteen studies were included in the systematic review and fourteen in the meta-analysis. The methodological quality of four of these studies was considered poor. The pooled results of the subgroup analysis (SOHO-5, B-ECOHIS and Child-OIDP) showed that children with dental pain had a 3.64-fold greater chance of a negative impact on OHRQoL ([log] 95% CI: 2.80-4.72; I2 0%; P < .001). The second meta-analysis (Child-OIDP, SOHO-5 and CPQ8-10) demonstrated statistical significance (SMD 0.79; 95% CI: 0.43-1.16; I2 92%; P < .001), as did the pooled results considering the B-ECOHIS ([log] OR 7.75; 95% CI: 4.59-13.11; I2 84%; P < .001). The certainty of evidence in all meta-analyses was low. CONCLUSIONS: Although the quality of the evidence is low, dental pain has a negative impact on OHRQoL.

8.
Am J Orthod Dentofacial Orthop ; 157(4): 454-465.e1, 2020 Apr.
Artigo em Inglês | MEDLINE | ID: mdl-32241352

RESUMO

INTRODUCTION: The aim of this systematic review was to identify, evaluate, and provide a synthesis of the available literature on the effects of lip bumper (LB) therapy on the mandibular dental arch of children and adolescents. METHODS: MEDLINE, Scopus, Web of Science, Cochrane Library, and Lilacs were systematically searched without restrictions up to May 2019. Risk-of-bias assessment was performed using Cochrane's tool for randomized controlled trials (RCTs) and the Risk of Bias in Nonrandomized Studies of Interventions tool for non-RCTs. The Grading of Recommendations, Assessment, Development and Evaluation tool was used to assess the quality of the evidence. RESULTS: After examination of the full texts, 6 studies were included. One RCT presented unclear risk of bias, and 5 non-RCTs presented serious to moderate risk of bias. LB therapy resulted in a buccal inclination of the incisors, distalization of the permanent first molars, and distal inclination of the permanent first molars, which increased perimeter and arch length. An increase in the arch width with greater gain in the interpremolar and/or deciduous molar distance and less gain in intercanine and intermolar distances was also reported. LB therapy increased the risk of second molar impaction with inclination >30° and the risk of ectopic eruption when treatment time was >2 years. The level of the evidence was graded as very low for variable arch length and second molar eruption disturbances. All other outcomes were graded as having low level of evidence. CONCLUSIONS: Owing to the low level of certainty identified, the conclusions should be considered cautiously. Increase in arch perimeter and width was attributed to the proclination of the incisors, buccalization of the deciduous molar and premolar areas, and distal inclination of the molars. However, there was an increased chance of impaction and ectopic eruption of permanent second molar after treatment with LB.


Assuntos
Lábio , Aparelhos Ortodônticos , Adolescente , Cefalometria , Criança , Arco Dental , Humanos , Mandíbula , Dente Molar
9.
Artigo em Inglês | MEDLINE | ID: mdl-32107185

RESUMO

Gingival lesions rarely occur in newborns. However, when present, they commonly worry the parents and impair the infant's feeding, thus affecting growth. Such lesions are usually nonneoplastic in nature, although malignancies may develop; therefore, specimens must be submitted for histopathologic examination. A 2-month-old girl presented with a 10-mm nodule on the anterior lower alveolar ridge in association with natal tooth extraction and neonatal tooth eruption. The lesion was excised with high-power laser under local anesthesia, and a histopathologic diagnosis of a peripheral ossifying fibroma was made. In addition to peripheral ossifying fibromas being rare in newborns, the use of high-power lasers for surgical procedures in newborns have been proven to be safe, comfortable, and efficient.

10.
Life Sci ; 248: 117460, 2020 May 01.
Artigo em Inglês | MEDLINE | ID: mdl-32092331

RESUMO

AIM: This study determined the optimum gamma irradiation dosage to sterilize sodium hyaluronate (HY), single-walled carbon nanotubes (SWCNT), multi-walled carbon nanotubes (MWCNT) and CNT functionalized with HY (HY-SWCNT and HY-MWCNT), evaluated the structural integrity of the materials and assessed whether sterilized materials kept biological properties without affecting renal function. MAIN METHODS: Materials were submitted to dosages of 100 gγ to 30 Kgγ and plated onto agar mediums for colony forming units (CFUs) counting. Sterilized samples were inoculated with 107Bacillus clausii, submitted again to gamma irradiation, and plated in agar mediums for CFUs counting. Scanning electron microscope was used for structural evaluation of sterilized materials. Tooth sockets of rats were treated with sterilized materials for bone formation assessment and renal function of the animals was analyzed. KEY FINDINGS: The optimum gamma dosage for sterilization was 250 gγ for HY and 2.5 Kgγ for the other materials without meaningful structural changes. Sterilized materials significantly increased bone formation (p < 0.05) and they did not compromise renal function and structure. SIGNIFICANCE: Gamma irradiation efficiently sterilized HY, SWCNT, MWCNT, HY-SWCNT and HY-MWCNT without affecting structural aspects while maintaining their desirable biological properties.


Assuntos
Materiais Dentários/efeitos da radiação , Raios gama , Ácido Hialurônico/efeitos da radiação , Nanotubos de Carbono/efeitos da radiação , Osteogênese/efeitos dos fármacos , Alvéolo Dental/efeitos dos fármacos , Animais , Bacillus clausii/efeitos da radiação , Contagem de Colônia Microbiana , Materiais Dentários/química , Materiais Dentários/farmacologia , Humanos , Ácido Hialurônico/química , Ácido Hialurônico/farmacologia , Testes de Função Renal , Masculino , Dente Molar/cirurgia , Nanotubos de Carbono/química , Nanotubos de Carbono/ultraestrutura , Ratos , Ratos Wistar , Esterilização/métodos , Extração Dentária/métodos , Alvéolo Dental/microbiologia , Alvéolo Dental/fisiologia , Alvéolo Dental/cirurgia , Cicatrização/efeitos dos fármacos
11.
Arq. odontol ; 56: 1-8, jan.-dez. 2020. tab
Artigo em Inglês | LILACS, BBO - Odontologia | ID: biblio-1087998

RESUMO

Aim: This study assessed whether the presence of malocclusion had a negative impact on the oral health-related quality of life (OHRQoL) of eight to ten-year-old children of low socioeconomic status. Methods: A cross-sectional study was conducted with a total of 111 children, eight to ten years of age, randomly selected from public schools from Diamantina, MG, Brazil. The number of children was determined by a sample size calculation. Two calibrated examiners performed clinical oral examinations for the diagnosis of malocclusion, dental caries experience, and traumatic dental injuries following the Dental Aesthetic Index (DAI), the World Health Organization (WHO), and Andreasen's classification, respectively. The Brazilian version of the Child Perceptions Questionnaire (CPQ8-10) was applied to evaluate the OHRQoL. Descriptive and bivariate (p < 0.05) analyses were also performed. Results: Children had a mean age of 8.89 ± 0.82 years, of which 52.3% were female. The prevalence of malocclusion was 62.2%. Significant differences were found in emotional (p = 0.045) and social (p = 0.017) well-being subscale scores as well as in the total CPQ8-10 (p = 0.022) scores between children with and without malocclusion. Conclusion: The presence of malocclusion negatively impacted the OHRQoL of children aged eight to ten years of age of a low socioeconomic status.


Objetivo: Este estudo avaliou se a presença de maloclusão impactou negativamente a qualidade de vida relacionada à saúde bucal (QVRSB) de crianças de oito a dez anos de idade de baixo nível socioeconômico.Métodos: Um estudo transversal foi conduzido com um total de 111 crianças de oito a dez anos de idade selecionadas aleatoriamente em escolas públicas de Diamantina, Brasil. O número de crianças foi determinado por cálculo amostral. Dois examinadores calibrados realizaram exames clínicos bucais para o diagnóstico de maloclusão, experiência de cárie dentária e lesões dentárias traumáticas após o Índice de Estética Dental (DAI), Organização Mundial da Saúde (OMS) e classificação de Andreasen, respectivamente. A versão brasileira do Child Perceptions Questionnaire (CPQ8-10) foi aplicada para avaliar a QVRSB. Foram realizadas análises descritivas e bivariadas (p < 0,05). Resultados: As crianças tinham média de idade de 8,89 ± 0,82 anos, sendo 52,3% do sexo feminino. A prevalência de maloclusão foi de 62,2%. Foram encontradas diferenças significativas nos escores das subescalas de bem-estar emocional (p = 0,045) e social (p = 0,017), como também nos escores totais do CPQ8-10 (p = 0,022) entre crianças com e sem maloclusão. Conclusão: A presença de maloclusão impactou negativamente a QVRSB de crianças de oito a dez anos de idade de baixo nível socioeconômico.


Assuntos
Qualidade de Vida , Classe Social , Fatores Socioeconômicos , Criança , Odontopediatria , Impactos na Saúde , Má Oclusão , Estudos Transversais , Inquéritos e Questionários , Cárie Dentária
13.
Cien Saude Colet ; 24(7): 2609-2616, 2019 Jul 22.
Artigo em Português, Inglês | MEDLINE | ID: mdl-31340278

RESUMO

Physical abuse of children is defined as any non-accidental injury or omission of their caregivers that causes risk to the child's integrity. This study aimed to evaluate whether health professionals perceive and report physical abuse in children/adolescents. A total of 62 health professionals (dentists, physicians and nurses) from Diamantina/MG who attend to children and adolescents answered a questionnaire. The collected variables were related to the identification of abuse; denunciation to the authorities and difficulties in making the complaint. Frequency analysis, chi-square test and content analysis were performed. All professionals had identified and reported the occurrence of physical abuse in children/adolescents. Significant association was observed between the specialty of the professional and the recognition of abuse as well as denunciation to the authorities. The main difficulties presented to denounce the cases to the authorities were lack of knowledge in identifying the abuse and how to make the complaint. Most participants expressed that they would like to receive training in identifying and reporting abuse. Health professionals perceive child abuse, and physicians are the ones who most report the cases.


Assuntos
Maus-Tratos Infantis/estatística & dados numéricos , Odontólogos/estatística & dados numéricos , Enfermeiras e Enfermeiros/estatística & dados numéricos , Médicos/estatística & dados numéricos , Adolescente , Adulto , Atitude do Pessoal de Saúde , Brasil , Criança , Estudos Transversais , Humanos , Notificação de Abuso , Pessoa de Meia-Idade , Inquéritos e Questionários
14.
Int J Paediatr Dent ; 29(6): 692-711, 2019 Nov.
Artigo em Inglês | MEDLINE | ID: mdl-31325392

RESUMO

BACKGROUND: The most-cited papers help to better understand important characteristics of this specific science field. OBJECTIVE: To analyse the 100 most-cited papers in the field of Paediatric Dentistry. DESIGN: A search of the most-cited papers in Paediatric Dentistry journals was performed using journals included in the category of 'Dentistry, Oral Surgery & Medicine' in the Thompson Reuters Web of Science citation indexing database up to December 2018. Two researchers performed the data extraction, which included: number of citations, title, authors, country, year, journals, study design, and thematic area. RESULTS: The number of citations of each paper included in the top 100 most-cited ranged from 42 to 182 (mean: 64.51). Seven papers were cited more than 100 times. Most of the papers were published in the International Journal of Paediatric Dentistry (36%), between 2006 and 2015 (55%), with a cross-sectional design (39%). Twenty-six authors participated in two or more papers. The countries with the highest number of most-cited papers were the United States (25%), Australia (11%), and Brazil (9%). Cariology was the most studied thematic area. CONCLUSION: The evaluation of the top 100 most-cited papers in Paediatric Dentistry journals allowed for a better understanding of the world scenario regarding this research field.


Assuntos
Odontopediatria , Publicações Periódicas como Assunto , Austrália , Bibliometria , Brasil , Criança , Estudos Transversais , Humanos , Estados Unidos
15.
Ciênc. Saúde Colet ; 24(7): 2609-2616, jul. 2019. tab
Artigo em Português | LILACS-Express | LILACS | ID: biblio-1011823

RESUMO

Resumo O abuso físico de crianças é definido como qualquer ferida não acidental ou omissão dos seus responsáveis que cause risco à sua integridade. Este estudo objetivou avaliar se profissionais de saúde percebem e denunciam o abuso físico em crianças/adolescentes. Um total de 62 profissionais de saúde (odontólogos, médicos e enfermeiros) de Diamantina/MG, que realizam atendimento a crianças e adolescentes, responderam a um questionário. As variáveis coletadas foram relacionadas à identificação de abuso; denúncia às autoridades e dificuldades para a realização da denúncia. Realizou-se análise de frequência, teste do qui-quadrado e análise de conteúdo. Todos os profissionais relataram ter identificado e denunciado a ocorrência de abuso físico em crianças/adolescentes. Associação significativa foi observada entre a especialidade do profissional e o reconhecimento de abuso, bem como a realização de denúncia às autoridades. As principais dificuldades apresentadas para denunciar os casos às autoridades foram: falta de conhecimento na identificação do abuso e em como realizar a denúncia. A maioria dos participantes gostaria de receber treinamento para identificação e denúncia de abuso. Os profissionais de saúde percebem o abuso infantil, sendo os médicos aqueles que mais denunciam os casos.


Abstract Physical abuse of children is defined as any non-accidental injury or omission of their caregivers that causes risk to the child's integrity. This study aimed to evaluate whether health professionals perceive and report physical abuse in children/adolescents. A total of 62 health professionals (dentists, physicians and nurses) from Diamantina/MG who attend to children and adolescents answered a questionnaire. The collected variables were related to the identification of abuse; denunciation to the authorities and difficulties in making the complaint. Frequency analysis, chi-square test and content analysis were performed. All professionals had identified and reported the occurrence of physical abuse in children/adolescents. Significant association was observed between the specialty of the professional and the recognition of abuse as well as denunciation to the authorities. The main difficulties presented to denounce the cases to the authorities were lack of knowledge in identifying the abuse and how to make the complaint. Most participants expressed that they would like to receive training in identifying and reporting abuse. Health professionals perceive child abuse, and physicians are the ones who most report the cases.

16.
PLoS One ; 14(4): e0214990, 2019.
Artigo em Inglês | MEDLINE | ID: mdl-30958844

RESUMO

AIM: To assess the prevalence of self-reported dental pain and its association with sociodemographic, clinical and behavioral/psychosocial indicators among 8- to 10-year-old Brazilian schoolchildren. DESIGN: A cross-sectional study was carried out with 1,589 eight- to ten-year-old children randomly selected from public schools of Florianopolis, Brazil. Self-reports of dental pain were collected through a single question as follows: "In the last month, how many times have you had pain in your teeth?" Caries experience was determined by the DMFT/dmft index and its clinical consequences by the PUFA/pufa index. Dental trauma, dental fluorosis and molar-incisor hypomineralization were assessed through the Andreasen, Dean and European Academy of Pediatric Dentistry classifications, respectively. Clinical signs of dental erosion were also observed. Sociodemographic indicators were obtained through a questionnaire answered by the children's caregivers. Information about behavioral/psychosocial indicators was collected through questions from the Brazilian version of the Child Perception Questionnaire 8-10 years (CPQ8-10). Descriptive analysis, chi-square test, and hierarchically adjusted Poisson regression models were performed. RESULTS: 819 children (51.5%) reported episodes of dental pain in the last month prior to the study, whereas 55.6% (n = 509) were girls. The presence of dental pain was significantly associated with sex, trouble sleeping, difficulty eating, school absenteeism, difficulty with paying attention in class, difficulty doing homework, staying away from recreational activities, caries experience, PUFA/pufa index and ulceration (p<0.05). CONCLUSION: The prevalence of self-reported dental pain in 8- to 10- year-old Brazilian schoolchildren was high and was associated with sociodemographic, clinical and behavioral/psychosocial indicators.


Assuntos
Cárie Dentária/epidemiologia , Hipoplasia do Esmalte Dentário/epidemiologia , Fluorose Dentária/epidemiologia , Autorrelato , Inquéritos e Questionários , Odontalgia/epidemiologia , Brasil/epidemiologia , Criança , Estudos Transversais , Feminino , Humanos , Masculino , Prevalência
17.
Arq. odontol ; 55: 1-7, jan.-dez. 2019. tab
Artigo em Português | LILACS, BBO - Odontologia | ID: biblio-1052253

RESUMO

Objetivo:Este estudo investigou o momento da introdução da sacarose na alimentação de bebês e presença de cárie dentária. Métodos:Foi realizado um estudo transversal com uma amostra de 50 pais/responsáveis e suas crianças, sendo 25 do sexo feminino e 25 do masculino, com média de idade de 27 meses (idades mínima-máxima: 7-48 meses). A coleta de dados foi realizada por uma pesquisadora e por alunos matriculados na Disciplina "Odontologia para bebês" da Faculdade de Odontologia da Universidade Federal de Minas Gerais (FAO-UFMG). Os pais/responsáveis pelas crianças responderam a um questionário socioeconômico, demográfico e de verificação da época de inserção de determinados alimentos na dieta das crianças. A presença de cárie dentária foi coletada a partir dos prontuários dos pacientes, que foram submetidos a exame clínico, profilaxia e secagem dos dentes com ar comprimido, sendo considerada presença de lesão de mancha branca, lesão de cárie cavitada e presença de restauração. Foram realizadas análises descritivas e bivariadas (p < 0,05). Resultados:As crianças apresentaram média de idade de 27 meses, sendo 50% do sexo masculino. O aleitamento de 46% das crianças foi exclusivo. Constatou-se que 98% das crianças consumiram sacarose em algum tipo de alimento antes de 2 anos de idade, 88% antes de 1 ano e 34% antes dos 6 meses. A introdução da sacarose antes dos 6 meses de idade apresentou associação significativa com a presença de cárie dentária. Os alimentos que contêm sacarose mais frequentemente introduzidos na dieta das crianças antes de 1 ano de idade foram açúcar branco, biscoito doce, bolo, gelatina, leite fresco tipo petit suisse, iogurte, leite fermentado com lactobacilos vivos e pão. Conclusão: A introdução da sacarose na dieta das crianças foi precoce e apresentou associação significativa com a presença de cárie dentária. Portanto, verifica-se a necessidade de se fornecer informações sobre educação alimentar e oferecer atenção individualizada. (AU)


Aim:This study investigated the moment of introduction of sucrose in the feeding of babies and the presence of dental caries. Methods:A cross sectional study was conducted with a sample of 50 parents/guardians and their children, including 25 female and 25 male, with a age mean of 27 months (minimum-maximum ages: 7-48 months). Data collection was performed by a researcher and by students enrolled in the Discipline "Dentistry for babies" at the UFMG School of Dentistry. The parents/guardians of the children answered a questionnaire regarding their socioeconomic and demographic status and the age when certain foods were introduced into the children's diets. The presence of dental caries was collected through the analysis of data in the medical charts of the patients who underwent clinical examination, prophylaxis, and tooth drying with compressed air, considering the presence of white spot lesions, cavitated carious lesions, and the presence of restorations. Descriptive and bivariate analyses were also performed (p < 0.05). Results: Children had a mean age of 27 months, of which 50% were male. Breastfeeding of 46% of the children was exclusive. It was found that 98% of the children consumed sucrose in some type of food before 2 years of age, 88% before 1 year, and 34% before 6 months. The introduction of sucrose before 6 months showed a significant association with dental caries. The foods that contain sucrose most often introduced into the diet of children before 1 year of age were white sugar, sweet cookies, cake, gelatin, fresh milk of petit suisse type, yogurt, fermented milk with live lactobacilli, and bread. Conclusion: The introduction of sucrose into children's diets was early and was significantly associated with the presence of dental caries. Therefore, there is a need to provide information on food education and to provide individualized dental care. (AU)


Assuntos
Humanos , Masculino , Feminino , Lactente , Pré-Escolar , Sacarose , Criança , Estudos Transversais , Assistência Odontológica para Crianças , Cárie Dentária , Alimentos Infantis , Educação Alimentar e Nutricional , Inquéritos e Questionários
18.
Arq. odontol ; 55: 1-12, jan.-dez. 2019. tab
Artigo em Português | LILACS, BBO - Odontologia | ID: biblio-1052459

RESUMO

Objetivo:A escola mostra-se como um ambiente favorável para a divulgação e compartilhamento de informações sobre saúde. Este estudo objetivou relatar as ações extensionistas promovidas pelo Projeto "Promoção de Saúde Bucal" em duas escolas públicas de Belo Horizonte/MG. Métodos:Um total de 105 escolares com idade entre 8 e 15 anos participaram do estudo. A equipe do projeto foi constituída por alunos e professores da UFMG. Foram realizadas três intervenções com informações educativas sobre saúde bucal. Os escolares responderam a um questionário para avaliar seus hábitos diários e conhecimentos sobre saúde bucal, antes e após as intervenções. Foram realizadas análises descritivas, testes de McNemar e de Wilcoxon (p < 0,05). Resultados:As intervenções foram capazes de melhorar o conhecimento e atitudes dos escolares sobre saúde bucal. Em relação à primeira avaliação, houve uma redução significativa na quantidade relatada de creme dental colocada na escova dentes (p < 0,001). Além disso, os escolares passaram a utilizar o fio dental com maior frequência, houve redução na frequência da ingestão de doces e menor interesse em utilizar piercings e aparelhos ortodônticos falsos. Conclusão:As atividades extensionistas resultaram em maior conhecimento dos escolares sobre saúde bucal e ressaltam a necessidade de continuidade das ações para que bons hábitos de saúde sejam sedimentados. (AU)


Aim:Schools have proven to be favorable environments for the dissemination and sharing of health information. This study aimed to report the extension actions promoted by the Project "Oral Health Promotion" in two public schools in Belo Horizonte/MG. Methods:A total of 105 students, 8 to 15 years of age, participated in the study. The project team consisted of students and professors from UFMG. Three interventions were carried out using educational information on oral health. The students answered a questionnaire to evaluate their daily habits and knowledge about oral health before and after the interventions. Descriptive analyzes, as well as McNemar and Wilcoxon tests, were performed (p < 0.05). Results:Interventions were able to improve students' knowledge and attitudes about oral health. In relation to the first assessment, there was a significant reduction in the reported amount of toothpaste placed on the toothbrush (p < 0.001). In addition, the schoolchildren began to use dental floss more frequently, there was a reduction in the frequency of the intake of candies and less interest in using piercings and false orthodontic appliances. Conclusion:The extension activities resulted in greater knowledge of the students about oral health and highlighted the need for continuous actions so that good health habits are solidified. (AU)


Assuntos
Instituições Acadêmicas , Criança , Saúde Bucal , Educação em Saúde Bucal , Adolescente , Relações Comunidade-Instituição , Promoção da Saúde , Saúde Pública , Inquéritos e Questionários
19.
Braz Oral Res ; 32: e84, 2018.
Artigo em Inglês | MEDLINE | ID: mdl-30231173

RESUMO

This study evaluated the effects of hyaluronic acid (HA) on bone repair of human dental sockets. Thirty-two lower first premolars were extracted from 16 patients (2 per patient) for orthodontic reasons. Following the extractions, one socket was randomly filled with 1% HA gel, while the other was allowed to naturally fill with blood clot. After 30 and 90 days of surgery, patients underwent cone beam computed tomography. Five central orthoradial slices were captured from each socket. The gray intensity was measured in each image and results were reported as mean percentage of bone formation. The buccolingual alveolar ridge width was measured and dimensional changes were compared between the postoperative intervals. The pattern of alveolar trabecular bone was evaluated through the fractal dimension. Treated sockets showed a higher percentage of bone formation and fractal dimension values (58.17% and 1.098, respectively) compared with controls (48.97% and 1.074, respectively) in the 30-day postoperative period (p < 0.05). After 90 days, there was no significant difference between groups. Additionally, no significant difference was found between groups regarding the alveolar dimensions (p > 0.05). Use of 1% HA gel after tooth extraction accelerates bone repair in human dental sockets.


Assuntos
Regeneração Óssea/efeitos dos fármacos , Ácido Hialurônico/farmacologia , Extração Dentária/métodos , Alvéolo Dental/efeitos dos fármacos , Alvéolo Dental/fisiologia , Adolescente , Adulto , Dente Pré-Molar , Criança , Tomografia Computadorizada de Feixe Cônico , Feminino , Humanos , Masculino , Osteogênese/efeitos dos fármacos , Osteogênese/fisiologia , Período Pós-Operatório , Reprodutibilidade dos Testes , Estatísticas não Paramétricas , Fatores de Tempo , Alvéolo Dental/diagnóstico por imagem , Resultado do Tratamento , Adulto Jovem
20.
J Craniofac Surg ; 29(6): 1583-1587, 2018 Sep.
Artigo em Inglês | MEDLINE | ID: mdl-29570528

RESUMO

This study aimed to assess the anatomical and morphometric characteristics of the main zygomaticofacial (ZFF), zygomaticoorbital (ZOF), and zygomaticotemporal (ZTF) foramina in Brazilian dry skulls. 61, 69, and 42 skulls for ZFF, ZOF, and ZTF were evaluated by a single calibrated examiner for format, transverse and vertical diameters, and distances from the foramina to anatomical landmarks. Paired t test, Wilcoxon test, Pearson and Spearman correlations were used. Circular outline was the predominant format for ZFF and ZTF, while oval format was the most frequent for ZOF. Median distances from ZFF to frontozygomatic and zygomaticomaxillary sutures were higher on right and left sides of the skulls, respectively (P < 0.005). Mean ZOF transverse diameter was significantly higher on the right sides of the skulls and presented positive correlation between sides (P < 0.05). No differences were observed for mean vertical diameter and distance from the ZOF to the inferolateral angle of the orbit (P > 0.05). No significant difference was found for distance from the ZTF to zygomatic arch between sides (P > 0.05), although there was a positive correlation (P < 0.05). Significant differences were found when analyzing the anatomical and morphometric aspects of ZFF, ZOF, and ZTF.


Assuntos
Cefalometria/métodos , Zigoma , Anatomia Comparada/métodos , Brasil , Suturas Cranianas/anatomia & histologia , Face/anatomia & histologia , Humanos , Crânio/anatomia & histologia , Zigoma/anatomia & histologia , Zigoma/cirurgia
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