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1.
Jpn Dent Sci Rev ; 58: 13-30, 2022 Nov.
Artigo em Inglês | MEDLINE | ID: mdl-35024074

RESUMO

This systematic review provides an update on the development and efficacy of direct restorative dental materials for root caries interventions from in vitro and clinical studies. PubMed, Embase, and Web of Science were searched using specific MeSH keywords. Full articles from September 1990 to October 2021 were collected. Additional articles were identified by reference retrieval and manual searching. Studies not related to restorative materials for root caries treatment, case reports, non-original articles, and/or articles not written in English were excluded. Bias risk assessment was performed for the clinical studies. Forty-two articles (eleven clinical studies and thirty-one in vitro studies) were included for analysis. Most in vitro studies indicated an excellent cariostatic effect of glass ionomer cement. Resin-modified glass ionomer restorations also presented reduced recurrent caries activity but had a lower efficacy than glass ionomer cement restorations. For composite resin restorations, the main material development strategies are to strengthen the tooth structure and integrate antimicrobial activity. The clinical studies offered limited data, so the most appropriate material for surface root caries treatment is still inconclusive. However, atraumatic restorative treatment (ART) is an alternative treatment for patients with limiting conditions. Further clinical studies are required to confirm the efficacy of bioactive materials.

2.
J Dent Sci ; 17(1): 70-77, 2022 Jan.
Artigo em Inglês | MEDLINE | ID: mdl-35028022

RESUMO

Background/purpose: Few studies have comprehensively assessed long-term patient-reported outcomes for overdentures supported by two immediate implants. The purpose of the study was to evaluate patient-reported outcomes of immediately loaded two-implant-supported overdentures retained by ball attachments over a 5-year evaluation period. Material and methods: Nineteen participants with edentulous mandibles were provided with immediately loaded two-unsplinted-implant-supported overdentures retained by ball attachments. The participants completed the Japanese version of the Oral Health Impact Profile (OHIP)-EDENT-19 and the Patient's Denture Assessment (PDA). Additionally, patient satisfaction was measured by a 100-mm visual analog scale (VAS). Measurements were performed at baseline, and at 1 and 5 years following implant surgery. Results: Seventeen participants and 14 participants were evaluated at the 1-year and 5-year assessment, respectively. Considering the OHIP-EDENT-19, there was a significant decrease in the total (p = 0.046), "functional limitation" (p = 0.021), and "physical disability" (p = 0.034) scores at 1 year and the total (p = 0.045) and "physical disability" (p = 0.024) scores at 5 years following surgery, compared to the baseline scores. Considering the PDA, there was a significant increase in the "function" (p = 0.038) and "lower denture" (p = 0.003) scores at 1 year and the "function" (p = 0.032), "lower denture" (p = 0.008), and "esthetic and speech" (p = 0.043) scores at 5 years following surgery, compared to the baseline scores. Patient satisfaction at 1 year following surgery was significantly greater than that at baseline (p = 0.005). Conclusion: Immediately loaded two-unsplinted-implant-supported overdentures retained by ball attachments improved the oral health-related quality of life and self-assessment of dentures by the patients up to 5 years following implant surgery.

3.
J Dent Sci ; 17(1): 560-567, 2022 Jan.
Artigo em Inglês | MEDLINE | ID: mdl-35028084

RESUMO

Background/purpose: No studies have comprehensively assessed short-term patient-reported outcomes after the provision of overdentures supported by two immediate implants. The purpose of this study was to evaluate short-term patient-reported outcomes for mandibular overdentures retained by ball attachments on two immediately loaded implants. Materials and methods: Nineteen participants with mandibular edentulism were provided with overdentures retained by ball attachments on two immediately loaded, unsplinted implants. The participants' self-assessment of their dentures and oral health-related quality of life were evaluated with the 22-item Patient's Denture Assessment (PDA), and the 19-item Japanese version of the Oral Health Impact Profile (OHIP-EDENT), respectively. Patient satisfaction was measured on a 100 mm visual analogue scale. Assessments were conducted at baseline, and at 1 and 6 months after implant surgery. Results: There were significant increases in the PDA "Lower denture" (P = 0.009) at 1 month, as well as "Function" (P = 0.002) and "Lower denture" (P = 0.009) scores at 6 months. Patient satisfaction was also significantly increased at 1 month (P = 0.007) and 6 months (P ≤ 0.000). Significant decreases were observed in the OHIP-EDENT "Physical pain" (P = 0.046) score at 1 month, as well as the summary score (P = 0.033), "Functional limitation" (P = 0.020) and "Psychological discomfort" (P = 0.019) scores at 6 months. Conclusion: The use of two immediately loaded implants for lower mandibular complete overdentures is associated with improvements in patient's self-assessment of dentures, satisfaction, and oral health-related quality of life, up to 6 months after implant surgery.

4.
Dent Mater ; 2021 Dec 24.
Artigo em Inglês | MEDLINE | ID: mdl-34961644

RESUMO

OBJECTIVES: Impacts of high-speed sintering on the optical and mechanical properties, microstructure, crystallography, and low-temperature degradation of commercial yttria-partially stabilized zirconia (Y-PSZ) were investigated. METHODS: Five commercial Y-PSZ products (KATANA HT, KATANA STML, KATANA UTML, Zpex 4, and Zpex Smile) were investigated. Specimens were sintered following speed-sintering (~90 min) and conventional-sintering protocols (~7 h), and a group of KATANA STML was super-speed-sintered (18 min). Dimensions of the zirconia specimens after sintering were 14.5 mm (diameter) and 1.2 mm (thickness). Translucency was assessed using a colorimeter. Biaxial flexural strength was measured using a universal testing machine, followed by Weibull analysis. Scanning electron microscopy was used for microstructure assessments. X-ray diffraction was used to analyze the crystallography before and after hydrothermal aging. Low-temperature degradation (LTD) tests were performed at 134 °C under 2-3 bar water vapor in an autoclave. RESULTS: The translucency and flexural strength were not affected significantly by the sintering programs (p > 0.05). The conventionally sintered KATANA STML and speed-sintered Zpex 4 presented the highest and lowest Weibull modulus, respectively. The conventionally-sintered Y-PSZ had a larger average grain size and smaller fraction of fine grains than those of the speed-sintered specimens. The fractographic analysis of the speed- and conventionally sintered Y-PSZ yielded comparable results. The speed-sintered Y-PSZ exhibited a lower c-ZrO2 content than that of conventionally-sintered Y-PSZ, except for KATANA HT and KATANA STML. LTD tests indicated that some of the speed and conventionally-sintered Y-PSZ exhibited similar monoclinic volume fractions. SIGNIFICANCE: Speed-sintering programs are acceptable for Y-PSZ zirconia.

5.
J Dent ; 117: 103920, 2021 Dec 11.
Artigo em Inglês | MEDLINE | ID: mdl-34906619

RESUMO

Objective Patient satisfaction with single-implant overdentures (1-IODs) is unclear. This randomized crossover trial aimed to compare the general satisfaction, oral health-related quality of life, and patients' self-assessment between mandibular 1-IODs and experimental removable complete dentures (eRCDs). Methods New mandibular RCDs were fabricated for 22 patients with edentulous mandibles. After adapting to the RCDs, one implant was inserted in the mandibular midline. The participants were then randomly classified into groups 1 and 2. Group 1 received IODs for the first 2 months, while group 2 used eRCDs with a non-loaded implant in the midline. After 2 months, the treatment was switched. Four validated, patient-reported dental outcome measures were assessed: general satisfaction, Japanese version of the Oral Health Impact Profile for edentulous subjects (OHIP EDENT-J), General Oral Health Assessment Index (GOHAI), and Patient's Denture Assessment (PDA). The assessments were performed at the end of the IOD- and eRCD- use periods. Results General satisfaction was significantly higher during the IOD period (p = 0.002). Significant differences were observed in all domains of the OHIP, except orofacial pain (p = 0.084). Further, the total score (p<0.001) and the scores of the physical (p<0.001) and psychosocial functioning (p = 0.001) domains of the GOHAI differed significantly. The total PDA score (p = 0.001) and the scores of the function (p = 0.004), lower denture (p = 0.002), esthetics and speech (p = 0.026), and importance (p = 0.009) domains were significantly higher during the IOD period than during the eRCD period. Conclusion General satisfaction, oral health-related quality of life, and patient self-assessment scores were significantly higher for 1-IODs than for eRCDs. Clinical significance Within the limitations of this study, we found that mandibular single-implant overdentures may be an efficient alternative to mandibular experimental removable complete dentures due to higher general satisfaction, oral health-related quality of life, and patient self-assessment scores of dentures.

6.
BMC Oral Health ; 21(1): 665, 2021 Dec 27.
Artigo em Inglês | MEDLINE | ID: mdl-34961506

RESUMO

BACKGROUND: Previous research indicates that patients with mild cognitive impairment (MCI) are more likely to have poor oral health and impairments in oral functions, which may be due to few remaining teeth and impaired tongue and lip motor function. However, the oral health of those patients following comprehensive cognitive assessment by a dementia specialist has not been sufficiently investigated. Therefore, this study aimed to clarify the oral function of patients with MCI and the association between oral health and lower cognitive function. METHODS: This cross-sectional study included 96 participants (men: 35; women: 61; mean age: 73.3 ± 8.5 years) who visited a dementia clinic between December 2017 and January 2020. Participants' cognitive function was assessed by a dementia specialist using neuropsychological and hematological tests and neuroimaging immediately after enrollment. The participants were divided into the healthy and MCI groups according to comprehensive cognitive assessment. Participants' age, sex, body mass index, primary disease, education level, drinking habits, smoking habits, living environment, employment status, and exercise habits were evaluated. Moreover, oral outcomes, including the number of existing teeth, number of functional teeth (natural and prosthetic teeth which were occluded with antagonists), denture use, oral dryness, tongue and lip motor function, tongue pressure, occlusal force, masticatory ability, and swallowing ability were recorded. The Mann-Whitney U test, χ2, and Fisher's exact tests were used for between-group comparisons. Furthermore, logistic regression analysis using MCI diagnosis as the target variable was performed. RESULTS: A comprehensive evaluation of the cognitive function of the study participants by the dementia specialist revealed that 48 participants (mean age: 69.8 ± 8.8 years) were healthy and 48 (mean age: 76.9 ± 6.7 years) had MCI. MCI participants were significantly older (p < 0.001) and had significantly fewer existing teeth (p = 0.031) and lower maximum occlusal force (p = 0.019) than healthy participants. Age (odds ratio: 1.126, p = 0.002) and maximum occlusal force (odds ratio: 0.978, p = 0.048) were significantly associated with lower cognitive function. CONCLUSIONS: Patients with MCI had poorer oral health than healthy individuals. Decreased maximum occlusal force was independently associated with lower cognitive function, even when adjusted for age and sex.

7.
Artigo em Inglês | MEDLINE | ID: mdl-34769895

RESUMO

Stroke and poor oral health are common in older people, and the brain injuries associated with stroke are often accompanied by a decline in oral function. In this study, we investigated the characteristics of stroke patients who could not recover oral ingestion until discharge and the association between improved oral health, swallowing function, and nutritional intake methods in acute care. The subjects were 216 consecutive stroke patients who were admitted to Tokyo Medical and Dental University hospital and received oral health management. Nutritional intake, dysphagia, and oral health were evaluated using the Functional Oral Intake Scale (FOIS), Dysphagia Severity Scale (DSS), and Oral Health Assessment Tool (OHAT), respectively. Patients in the tube feeding group (FOIS level 1-2, N = 68) tended to have a worse general condition, fewer functional teeth, and a worse DSS level than those in the oral nutrition group (FOIS level 3-7, N = 148). Multiple analysis with improvement in FOIS score as the dependent variable showed that number of functional teeth (odds ratio [OR]: 1.08, p = 0.04) and improved DSS (OR: 7.44, p < 0.001) and OHAT values (OR: 1.23, p = 0.048) were associated with improvement in nutritional intake methods in acute care. Therefore, recovery of swallowing function and oral health might be important for stroke patients to recover oral ingestion in acute care.


Assuntos
Transtornos de Deglutição , Acidente Vascular Cerebral , Idoso , Deglutição , Transtornos de Deglutição/epidemiologia , Transtornos de Deglutição/etiologia , Ingestão de Alimentos , Humanos , Saúde Bucal
8.
Artigo em Inglês | MEDLINE | ID: mdl-34770239

RESUMO

This study aimed to evaluate the role of the general condition and oral health status in determining the primary nutritional route and suitable food form for oral ingestion among malnourished inpatients. This cross-sectional study included 255 inpatients referred to a nutrition support team (NST), which included dental professionals, at an acute care hospital. We assessed the participants' basic information, and Dysphagia Severity Scale (DSS) and Oral Health Assessment Tool (OHAT) scores. The nutritional intake mode was evaluated based on the Functional Oral Intake Scale scores at the initial NST consultation (FOIS-I), and then revised by the NST based on the participants' general condition and oral health (FOIS-R). There was a divergence between FOIS-I and FOIS-R, with FOIS-R being significantly higher than FOIS-I (p < 0.001). Logistic regression analysis of FOIS-R identified that consciousness level (odds ratio (OR): 0.448; 95% confidence interval (CI): 0.214-0.935) and DSS (OR: 3.521; 95% CI: 2.574-4.815) significantly affected the oral nutrition intake. Among participants who could ingest orally (FOIS-R ≥ 3; n = 126), FOIS score had significant negative and positive associations with the OHAT and DSS scores, respectively. These findings suggest that appropriate assessment of oral health status, including swallowing function, might contribute to high-quality nutrition management.


Assuntos
Transtornos de Deglutição , Desnutrição , Estudos Transversais , Deglutição , Transtornos de Deglutição/epidemiologia , Ingestão de Alimentos , Humanos , Desnutrição/epidemiologia
9.
Materials (Basel) ; 14(21)2021 Nov 04.
Artigo em Inglês | MEDLINE | ID: mdl-34772173

RESUMO

We aimed to evaluate the properties of a novel tissue conditioner containing a surface pre-reacted glass-ionomer (S-PRG) nanofiller. Tissue conditioners containing 0 (control), 2.5, 5, 10, 20, or 30 wt% S-PRG nanofiller or 10 or 20 wt% S-PRG microfiller were prepared. The S-PRG nanofillers and microfillers were observed using scanning electron microscopy. The ion release, acid buffering capacity, detail reproduction, consistency, Shore A0 hardness, surface roughness, and Candida albicans adhesion of the tissue conditioners were examined. The results indicated that the nanofiller particles were smaller and more homogeneous in size than the microfiller particles. In addition, Al, B, F, and Sr ions eluted from S-PRG were generally found to decrease after 1 day. Acid neutralization was confirmed in a concentration-dependent manner. The mechanical properties of tissue conditioners containing S-PRG nanofiller were clinically acceptable according to ISO standard 10139-1:2018, although the surface roughness increased with increasing filler content. Conditioners with 5-30 wt% nanofiller had a sublethal effect on C. albicans and reduced fungal adhesion in vitro. In summary, tissue conditioner containing at least 5 wt% S-PRG nanofiller can reduce C. albicans adhesion and has potential as an alternative soft lining material.

10.
Gerodontology ; 2021 Nov 15.
Artigo em Inglês | MEDLINE | ID: mdl-34779036
11.
Gerodontology ; 2021 Oct 20.
Artigo em Inglês | MEDLINE | ID: mdl-34672024

RESUMO

OBJECTIVES: The present study aimed to evaluate the effectiveness of a newly designed jaw-retraction exercise for strengthening the geniohyoid muscle and thus improving the anterior movement of the hyoid bone during swallowing. BACKGROUND: Although previous studies suggest a relationship between anterior hyoid excursion and upper esophageal sphincter (UES) opening, there are currently no reports of physical exercises without the use of special equipment that can effectively improve this movement of the hyoid bone during swallowing. MATERIALS AND METHODS: This before-after study included patients presenting to the authors' hospital with mild dysphagia (Level 5 on the Dysphagia Outcome and Severity Scale). The participants were instructed to perform a jaw-retraction exercise designed to strengthen the geniohyoid muscle. Each participant was instructed to perform two sets of the exercise daily for four weeks, with each set consisting of five repetitions. Before and after the four-week training period, videofluoroscopic swallowing studies were performed and later analysed. RESULTS: Twenty-five patients with a median age of 77 were included. The median peak anterior hyoid position before and after exercise were 129.82 and 132.74 (%C2-C4 length), respectively, and this increase was found to be significant (P = .007). The median extent of UES opening before and after exercise were 8.6 and 9.3 (mm), respectively, and this increase was also found to be significant (P = .040). CONCLUSION: Our findings demonstrate that the jaw-retraction exercise can effectively improve the anterior movement of the hyoid bone. This exercise may be effective in individuals with oral frailty when signs of swallowing disorders are observed.

12.
Gerodontology ; 2021 Oct 24.
Artigo em Inglês | MEDLINE | ID: mdl-34689371

RESUMO

OBJECTIVE: To clarify the effect of oral health guidance on tongue-lip motor function in the outpatients visiting the Showa University Dental Hospital (Tokyo, Japan). BACKGROUND: The management of the oral function of older people visiting a dental hospital is important. Previous studies have revealed that tongue-lip motor function is easy to improve. However, the impact of oral health guidance on tongue-lip motor function in the outpatients of dental hospital requires further elucidation. MATERIALS AND METHODS: The participants (n = 35) included patients who were diagnosed with low tongue-lip motor function on evaluation by oral diadochokinesis (ODK) at the outpatient clinic. They underwent a second examination approximately 6-12 months later. Their demographic characteristics were recorded. Oral health guidance was provided through an educational leaflet on oral hypofunction when the participants visited the clinic. It included content on tongue twisters, voice training and a range of movement and muscle training of the tongue and lip. RESULTS: Following oral health guidance on tongue-lip motor function, the ODK values changed from 5.6 at the first examination to 6.0 at the second for /pa/, from 5.6 to 5.8 for /ta/ and from 5.2 to 5.4 for /ka/. This improvement was not significantly associated with age, sex, measurement period or number of visits. CONCLUSION: The findings of this longitudinal study suggested that oral health guidance using an oral hypofunction educational leaflet may be effective in improving the tongue-lip motor function of outpatients who had low tongue-lip motor function, regardless of the measurement period or the number of visits to the dental hospital.

13.
J Mech Behav Biomed Mater ; 124: 104838, 2021 12.
Artigo em Inglês | MEDLINE | ID: mdl-34555621

RESUMO

To develop antimicrobial restorative materials for root caries, we assessed a 4-META/MMA-TBB resin (Bondfill SB Plus, Sun Medical) containing benzalkonium chloride (BAC) or cetylpyridinium chloride (CPC) at 1.25, 2.5, and 5.0 wt%. The same resin without antibacterial agent was used as control. The degree of conversion was measured by attenuated total reflectance-Fourier transform infrared spectroscopy. The 3-point flexural strength test was conducted according to ISO 4049. The antimicrobial effect against three oral bacteria (Streptococcus mutans, S. sobrinus, and Actinomyces naeslundii) was assessed using agar diffusion tests. The shear bond strength to root dentin was assessed after 24 h of storage in water with or without 10,000 thermal cycles. The shear bond strength data were statistically compared using a linear mixed-effects model (α = 0.05). The specimen with 5.0 wt% BAC showed a significantly higher degree of conversion than the control, but it also had significantly lower flexural strength and lower shear bond strength after thermal cycling than the other specimens. When BAC or CPC was added at ≥ 2.5 wt%, the resins inhibited the growth of the three investigated microbes. In conclusion, both BAC and CPC showed significant antimicrobial effects when added at 5.0 wt% to the 4-META/MMA-TBB resin. Up to 2.5 wt%, neither antimicrobial agent affected the degree of conversion, flexural strength, or shear bond strength of the resin.


Assuntos
Colagem Dentária , Cárie Radicular , Actinomyces , Antibacterianos , Compostos de Benzalcônio/farmacologia , Compostos de Boro , Cetilpiridínio/farmacologia , Humanos , Teste de Materiais , Metacrilatos , Metilmetacrilatos , Cimentos de Resina , Resistência à Tração
14.
Support Care Cancer ; 2021 Sep 16.
Artigo em Inglês | MEDLINE | ID: mdl-34529140

RESUMO

PURPOSE: Patients with terminal cancer undergoing multidisciplinary palliative care often have oral health problems, but these details are still unclear. This cross-sectional study aimed to elucidate the oral health of patients with terminal-stage cancer who are inpatient recipients of acute-phase palliative care, and to unveil the factors affecting their oral health. METHODS: Participants were 121 patients with terminal-stage cancer (68 males, 53 females, mean age: 73.6 ± 11.1 years) and oral health complaints. They received palliative care at Tokyo Medical and Dental University Medical Hospital between April 2017 and August 2019. Their demographic and medical details were extracted, retrospectively, from their medical records, and their oral health status, such as the number of natural teeth, removable denture usage, Oral Health Assessment Tool (OHAT), and Dysphagia Severity Scale, were evaluated. All outcomes were assessed by a dentist from the palliative care team. RESULTS: The problems with soft tissue, saliva, and oral cleanliness were observed. The absence of posterior occlusal support was common, and the use of removable dentures was often inadequate. In contrast, swallowing function was relatively well-conserved and 46.3% of the participants were capable of nutrition intake solely by mouth. Multiple regression analysis revealed a significant association between total OHAT score and age, consciousness level, prognostic level, and method of nutritional intake. CONCLUSION: The results revealed that the oral health of terminal cancer patients under palliative care declined despite receiving routine oral care from nurses, and suggest the importance of including dental professionals in multidisciplinary palliative care.

15.
J Oral Rehabil ; 48(12): 1373-1379, 2021 Dec.
Artigo em Inglês | MEDLINE | ID: mdl-34480807

RESUMO

BACKGROUND: As oral function requires maintenance throughout life, it needs to be understood across age groups; however, few studies have investigated this in young individuals. OBJECTIVES: To clarify age and sex differences in maximum occlusal force, maximum tongue pressure and tongue-lip motor function; and the relationship among these oral functions in junior high school students and young adults. METHODS: This cross-sectional study investigated oral functions in students aged 12-13 years, 14-15 years old and 16-17 years old (S1, S2 and S3), and young adults aged 20-40 years (YA). We analysed age group differences in each sex and sex differences in each age group. Multiple linear regression analysis was performed for each sex using the maximum occlusal force as the dependent variable to investigate the associations among different oral functions. RESULTS: In 522 children and 100 young adults, there were significant increases in oral functions with age in males and a significant decrease in maximum tongue pressure between S2 and S3 in females. Maximum occlusal force and tongue pressure were higher in males than in females in S3 and YA; tongue-lip motor function was higher in females than in males in S1. In multiple linear regression analysis, tongue-lip motor function and age group were significant factors in both sexes and in males, respectively. CONCLUSION: Maximum occlusal force, maximum tongue pressure and tongue-lip motor function increased with increasing age groups in males. Our findings provide a basis for assessing oral function across age groups.


Assuntos
Caracteres Sexuais , Língua , Adolescente , Adulto , Criança , Estudos Transversais , Feminino , Humanos , Masculino , Pressão , Instituições Acadêmicas , Adulto Jovem
16.
Gerontology ; : 1-10, 2021 Jul 09.
Artigo em Inglês | MEDLINE | ID: mdl-34247160

RESUMO

INTRODUCTION: Oral frailty describes a trivial decline in the oral function and is considered to be related to frailty. Thus, effective management of oral frailty could prevent or ameliorate physical frailty and the need for care. However, there is a lack of consensus regarding specific interventions for oral frailty. In this cluster-randomized controlled trial, we investigated the effects of a newly developed oral frailty measures program mentored by dentists and dental hygienists for elderly people in a clinical setting. METHODS: Of 3,296 participants included in a field survey, 219 who regularly visited dental clinics and met at least 3 of the following 6 criteria for oral frailty were considered eligible: <20 natural teeth, decreased chewing ability, decreased articulatory oral-motor skills, decreased tongue pressure, and substantial subjective difficulties in eating and swallowing. After applying the inclusion and exclusion criteria, we studied 51 patients in the intervention group (14 men and 37 women; mean age, 78.6 years) and 32 patients in the control group (7 men and 25 women; mean age, 78.0 years). We implemented a 12-week oral frailty measures program only for the intervention group. The program included preparatory oral exercises, mouth-opening training, tongue pressure training, prosodic training, and masticatory training. Primary outcome measures were the chewing ability score, articulatory oral motor skill for /ta/, tongue pressure, subjective difficulty in eating tough foods, and subjective difficulty in swallowing. We compared baseline characteristics using the Mann-Whitney U and χ2 tests for continuous and categorical variables, respectively. A repeated-measures two-way ANOVA was used to determine the efficacy of independent intervention variables, following the Wilcoxon signed-rank test. The groups (intervention/control) and time (baseline/week 12) were the independent variables. Oral frailty measures were the dependent variables. RESULTS: Baseline characteristics and assessment results were similar between groups. We observed significant improvements in the intervention group in terms of articulatory oral motor skill for /ta/ and tongue pressure (p < 0.001). No improvements were observed in the control group. DISCUSSION/CONCLUSION: Our results suggest that our oral frailty measures program effectively alleviates oral frailty. Future studies are needed to clarify the impact on preventing physical frailty and improving the nutritional status.

17.
Dent Mater J ; 40(6): 1320-1328, 2021 Dec 01.
Artigo em Inglês | MEDLINE | ID: mdl-34193728

RESUMO

There is limited research on the influence of different sintering temperatures on the properties of highly translucent zirconia ceramics. This study demonstrated the influence of different sintering temperatures on the translucency, crystallographic structure, biaxial flexural strength, microstructure, and low-temperature degradation (LTD) of three highly translucent zirconia grades, i.e., 3 mol% yttria-stabilized tetragonal zirconia polycrystals (3Y-TZP), 4 mol% yttria-partially-stabilized zirconia (4Y-PSZ), and 5 mol% yttria-PSZ (5Y-PSZ). The specimens were characterized using colorimetry, X-ray diffraction, scanning electron microscopy, Weibull analysis, and LTD tests (134°C; 20 h). The increase in the sintering temperature did not affect the translucency of 3Y-TZP, whereas it increased the translucencies of 4Y-PSZ and 5Y-PSZ. All the zirconia grades exhibited grain enlargement and unchanged biaxial flexural strengths with the increase in the sintering temperature. The degradation of 3Y-TZP and 4Y-PSZ at a sintering temperature of 1,600°C was faster than that at other sintering temperatures.

18.
J Prosthodont Res ; 65(4): 554-558, 2021 Oct 15.
Artigo em Inglês | MEDLINE | ID: mdl-34193745

RESUMO

Purpose Implant-assisted removable partial dentures (IARPDs) with short implants improve the oral functions of removable partial dentures (RPDs). This study aimed to compare the patient-reported outcomes of RPDs and IARPDs with short implants retained by magnetic attachments.Methods We recruited 30 participants with mandibular Kennedy Class I or II and distal extension defects of three or more teeth. RPDs, IARPDs with a healing cap, and IARPDs with a magnetic attachment were evaluated across stages using patient-reported outcomes. All participants completed questionnaires (oral health-related quality of life [OHRQoL], patient general satisfaction, and patient's denture assessment [PDA]) at each stage. The OHRQoL was evaluated using the Oral Health Impact Profile-J 54 (OHIP-J 54) score. The general patient satisfaction was evaluated using a 100 mm visual analog scale. The Wilcoxon signed-rank test and Bonferroni correction were used to evaluate differences between the groups (α=0.05).Results The OHRQoL of IARPDs was significantly higher than that of RPDs. IARPDs with a magnetic attachment had significantly better patient general satisfaction and PDA than IARPDs with a healing cap.Conclusions The OHRQoL, patient general satisfaction, and PDA were improved by IARPD with a short implant using a magnetic attachment.


Assuntos
Prótese Parcial Removível , Prótese Dentária Fixada por Implante , Humanos , Fenômenos Magnéticos , Medidas de Resultados Relatados pelo Paciente , Estudos Prospectivos , Qualidade de Vida
19.
Dent Mater J ; 40(6): 1365-1372, 2021 Dec 01.
Artigo em Inglês | MEDLINE | ID: mdl-34234047

RESUMO

The antimicrobial effects of denture adhesives containing novel surface pre-reacted glass-ionomer (S-PRG) fillers were assessed. We prepared denture adhesives containing S-PRG (particle sizes: 1 and 3 µm; quantities: 5, 7.5, and 10 wt%). We evaluated acid buffering capacity, ion release, and antimicrobial effects of denture adhesives with and without S-PRG. Significantly higher pH changes were observed in 1 µm S-PRG adhesives than in 3 µm S-PRG adhesives. Adhesives containing 7.5 and 10 wt% S-PRG exhibited significantly higher ion release than adhesives with 5 wt% S-PRG. The 1µm-10wt% S-PRG denture adhesive exhibited significantly lower colony-forming units on the denture adhesive contact surface than in the control group; additionally, it exhibited excellent acid buffering capacity, ion release properties, and antimicrobial effect against C. albicans, C. glabrata, S. mutans, and A. naeslundii. Longer contact periods resulted in significantly lower adhesion of Candida albicans to the denture base resin treated with denture adhesive.

20.
Gerodontology ; 2021 Jul 07.
Artigo em Inglês | MEDLINE | ID: mdl-34235787

RESUMO

OBJECTIVES: This cross-sectional study aimed to examine the oral health of malnourished acute-care hospital inpatients, who were the subjects of a nutritional support team (NST). We also aimed to elucidate the systemic and nutritional factors associated with the oral health of those patients. BACKGROUND: Interventions by NST are essential for inpatient nutrition management and require the active participation of dental professionals. However, information is limited regarding the state of oral health among acute-stage malnourished inpatients. MATERIALS AND METHODS: We enrolled 255 hospitalised patients (101 women, mean age: 69.7 ± 14.4 years) who were referred to an NST for nutrition management between April 2016 and July 2019. The main outcome was the Oral Health Assessment Tool (OHAT) scores. Moreover, we assessed participants' demographic characteristics, nutritional status, number of natural and functional teeth, posterior occlusal support, denture use, Dysphagia Severity Scale, whether oral health management was needed, and the methods of nutrition intake. RESULTS: Several participants presented with a deteriorated oral health. Consequently, oral health management was often regarded necessary in these patients. Approximately half were fed by parenteral or tube feeding. Multiple regression analysis revealed the OHAT score has a positive association with age (P = .008), and a negative association with body mass index (P = .009) and the method of nutrition intake (P = .028). CONCLUSION: Malnourished inpatients at an acute care hospital who were subject to an NST had a deteriorated oral health status. Additionally, poor oral health was associated with poor nutritional status and nutrition intake methods.

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