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1.
Acta Odontol Latinoam ; 32(2): 97-102, 2019 Aug 01.
Artigo em Inglês | MEDLINE | ID: mdl-31664300

RESUMO

The aim of the present study was to validate and establish a cut off point and the predictive value of an adhesion test (AA-MSMG), as a microbiological method for evaluating cariogenic risk. The study is based on a variant (20% sucrose) of a selective medium descripted by Gold et al. (MSMG). This method differentiates mutans group streptococci (MGS) by exacerbating the production of insoluble extracellular polysaccharide which gives adhesion to surfaces such as glass, plastic and dental enamel. Caries assessment according to ICDAS was conducted in 154 patients (aged >21 years) who were attended at Preventive and Community Dentistry Department, School of Dentistry, University of Buenos Aires, Argentina, between August 2017 to August 2018. The study population was assigned to groups according to the presence/ absence of caries lesions: Group A: ICDAS lesion code = 0 (L=0) on all dental surfaces (n=23); and Group B: L>1 (n=131). After mouth-rinsing with distilled water, saliva samples were collected with fasting and hygiene protocol, and sent immediately to the Microbiological Diagnosis Laboratory, Microbiology Department, School of Dentistry, University of Buenos Aires. Samples were homogenized and serially diluted to the tenth. 100 pl of the dilutions were cultured in 25 cm2 sterile plastic flasks containing 9.9 ml of modified selective medium described by Gold (MSMG-selective and differential medium). Cultures were incubated in an anaerobic atmosphere at 36 ± 1°C for 48 hours. The supernatants were eluted and the samples washed with sterile distilled water. Colony forming unit counts were performed by calibrated researchers (Kappa >0.75) using a stereoscopic microscope at 50X. Mutans group streptococci (MGS) counts ranged from 1x104 to 1x105 CFU/ml in group A, and were higher than 1x106 CFU/ml in Group B. Statically analysis of results (ROC) showed that the AAMSMG has a satisfactory predictive value (91%) and established a cutoff point in 1.68x105 UFC / ml. This would indicate that individuals whose MGS saliva counts are higher than the cutoff value would be 5 times more likely to develop dental caries. Adherence assay could be a useful microbiological predictor of caries risk.


Assuntos
Cárie Dentária , Saliva/microbiologia , Streptococcus mutans/isolamento & purificação , Adulto , Argentina , Contagem de Colônia Microbiana , Cárie Dentária/microbiologia , Humanos , Antissépticos Bucais , Valor Preditivo dos Testes , Dente/microbiologia , Adulto Jovem
2.
Acta odontol. latinoam ; 32(2): 97-102, Aug. 2019. ilus, graf, tab
Artigo em Inglês | LILACS-Express | ID: biblio-1038165

RESUMO

The aim of the present study was to validate and establish a cut off point and the predictive value of an adhesion test (AA-MSMG), as a microbiological method for evaluating cariogenic risk. The study is based on a variant (20% sucrose) of a selective medium descripted by Gold et al. (MSMG). This method differentiates mutans group streptococci (MGS) by exacerbating the production of insoluble extracellular polysaccharide which gives adhesion to surfaces such as glass, plastic and dental enamel. Caries assessment according to ICDAS was conducted in 154 patients (aged >21 years) who were attended at Preventive and Community Dentistry Department, School of Dentistry, University of Buenos Aires, Argentina, between August 2017 to August 2018. The study population was assigned to groups according to the presence/ absence of caries lesions: Group A: ICDAS lesion code = 0 (L=0) on all dental surfaces (n=23); and Group B: L>1 (n=131). After mouth-rinsing with distilled water, saliva samples were collected with fasting and hygiene protocol, and sent immediately to the Microbiological Diagnosis Laboratory, Microbiology Department, School of Dentistry, University of Buenos Aires. Samples were homogenized and serially diluted to the tenth. 100 pl of the dilutions were cultured in 25 cm² sterile plastic flasks containing 9.9 ml of modified selective medium described by Gold (MSMG-selective and differential medium). Cultures were incubated in an anaerobic atmosphere at 36 ± 1°C for 48 hours. The supernatants were eluted and the samples washed with sterile distilled water. Colony forming unit counts were performed by calibrated researchers (Kappa >0.75) using a stereoscopic microscope at 50X. Mutans group streptococci (MGS) counts ranged from 1x10(4) to 1x10(5) CFU/ml in group A, and were higher than 1x10(6) CFU/ml in Group B. Statically analysis of results (ROC) showed that the AAMSMG has a satisfactory predictive value (91%) and established a cutoff point in 1.68x10(5) UFC / ml. This would indicate that individuals whose MGS saliva counts are higher than the cutoff value would be 5 times more likely to develop dental caries. Adherence assay could be a useful microbiological predictor of caries risk.


El objetivo del presente estudio fue validar, establecer el punto de corte y valor predictivo de una técnica microbiológica para evaluar el nivel de estreptococos del grupo mutans en saliva. La técnica consiste en un test de adherencia que emplea un medio selectivo modificado (20% sacarosa) descripto por Gold et al. (TA-MSMG). Este método permite diferenciar a los estreptococos del grupo mutans (SGM) exacerbando la producción del polisacárido extracelular insoluble que le confiere adhesión a superficies como vidrio, plástico y esmalte dental. De acuerdo con los criterios de ICDAS se sembraron 154 salivas de pacientes mayores de edad, que asistieron al Servicio de Odontología Preventiva y Comunitaria de la Facultad de Odontología de la Universidad de Buenos Aires entre los meses de agosto de los años 2017 y 2018. La población estudiada fue asignada a dos grupos según la presencia / ausencia de lesiones de caries: Grupo A: código de lesión ICDAS = 0 (L = 0) en todas las superficies dentales (n = 23); y Grupo B: L> 1 (n = 131). Después de realizar un enjuague bucal con agua destilada, las muestras de saliva se recogieron según protocolo (ayuno de 4 horas y suspensión de higiene dental de 12 hs). Las muestras se remitieron de inmediato al Laboratorio de Diagnóstico Microbiológico, Departamento de Microbiología de la Facultad de Odontología, Universidad de Buenos Aires. Para su procesamiento, las muestras fueron homogeneizadas y diluidas al décimo. Se cultivaron 100 pl de las diluciones en botellas de plástico estériles de 25 cm² que contenían 9,9 ml de medio de Gold modificado (MSMG-20% sacarosa). Los cultivos se incubaron en atmósfera anaeróbica a 36 ± 1°C durante 48 horas. El sobrenadante se eluyó y las muestras se lavaron con agua destilada estéril. Los recuentos de unidades formadoras de colonias SGMfueron realizados por investigadores calibrados (Kappa >0.75) utilizando un microscopio estereoscópico a 50X. Los recuentos de SGM presentaron una variación entre 1x10(4)y 1x10(5) UFC/ml en el grupo A, mientras que en el Grupo B fueron superiores a 1x10(6) UFC/ml. El análisis estadístico de los resultados determinó una curva ROC que establece para el TA-MSMG un valor predictivo del 91% y un punto de corte en 1.68x10(5) UFC SGM / ml. Esto indicaría que los individuos cuyos recuentos en saliva de SGM sean superiores al valor de corte, tendrían 5 veces más posibilidades de desarrollar caries (5:1). Este método podría ser un instrumento útil al momento de evaluar (indicador microbiológico) el riesgo cariogénico del paciente.

3.
Acta Odontol Latinoam ; 28(2): 185-91, 2015.
Artigo em Inglês | MEDLINE | ID: mdl-26355891

RESUMO

Modeer T. et al.(2011) claim that there is association between decreased salivary flow rate and caries in obese adolescents. The aim of this study was to determine the association among nutritional status, salivary flow rate and caries risk in preschoolers. The study comprised 60 children aged 3 to 6 years attending kindergartens in areas immediately adjacent to Buenos Aires City, Argentina. Body weight and height of the children were determined. Body mass index was calculated and the population was classified anthropometrically according to the WHO 2007 (WHO Anthro. Program). Caries risk was determined. Saliva was collected in sterile graduated widemouth containers, without stimulation and without food restrictions. Salivary flow rate (SFR) was determined. Statistical analysis was performed using Pearson's test. It was found that 56.7% (IC95%: 37.7-74.0) of anthropometrically adequate children (Ad) and 37.0% (IC95%: 20.1-57.5) of overweight and obese children (OW/Ob) had caries. The odds ratio for caries (OR=3.78; IC95%: 1.2-11.8, p=0.02) was almost 4 times higher in adequate children than in the others. SFR was 0.534 0.318 ml/min in Ad and 0.439 } 0.234 ml/min in OW/Ob. Pearson's test showed no correlation between SFR and nutritional status (r= 0.004592, p= 0.5977). Although the presence of caries was lower in overweight and obese children, no correlation was found between nutritional status and salivary flow rate.


Assuntos
Saliva , Argentina , Peso Corporal , Criança , Pré-Escolar , Cárie Dentária/epidemiologia , Humanos , Estado Nutricional , Obesidade/epidemiologia , Sobrepeso/epidemiologia
4.
Acta Odontol Latinoam ; 21(2): 169-73, 2008.
Artigo em Inglês | MEDLINE | ID: mdl-19177855

RESUMO

The aim of this study was to evaluate in vitro the duration of the antimicrobial effect of endodontic sealers by means of the Direct Contact Test. The sealers tested were: Endomethasone - Septodont, Endomethasone C-Septodont, Endion-Voco, Diaket-ESPE, Pulp Canal Sealer-SybronEndo, and AH26-Dentsply DeTrey. The endodontopathic microorganisms (MO) confronted were: Staphylococcus aureus (Sa), Candida albicans (Ca), Enterococcus faecalis (Ef), Prevotella intermedia (Pi), Porphyromonas gingivalis (Pg) and Fusobacterium nucleatum (Fn). Test specimens of each sealer were prepared and placed on the surface of agar plates that had been inoculated with each MO, and after predetermined periods, transfers were made from the contact area between the test specimen and the cultured agar and from the area that had not been in contact with the test specimens (control). The results were read as presence/absence of microbial growth and analyzed statistically using the Kruskal-Wallis test. It was concluded that the structural features and virulence of endodontopathic microorganisms determine their response to the sealers, independently of the time during which sealers act and the mechanism by which the antiseptic reaches the microorganism, which in this case was by direct contact.


Assuntos
Anti-Infecciosos/farmacologia , Doenças da Polpa Dentária/microbiologia , Materiais Restauradores do Canal Radicular/farmacologia , Bismuto/farmacologia , Candida albicans/efeitos dos fármacos , Contagem de Colônia Microbiana , Creosoto/farmacologia , Dexametasona/farmacologia , Combinação de Medicamentos , Enterococcus faecalis/efeitos dos fármacos , Resinas Epóxi/farmacologia , Formaldeído/farmacologia , Formocresóis/farmacologia , Fusobacterium nucleatum/efeitos dos fármacos , Cimentos de Ionômeros de Vidro/farmacologia , Humanos , Hidrocarbonetos Iodados/farmacologia , Hidrocortisona/farmacologia , Técnicas Microbiológicas , Polivinil/farmacologia , Porphyromonas gingivalis/efeitos dos fármacos , Prevotella intermedia/efeitos dos fármacos , Prata/farmacologia , Staphylococcus aureus/efeitos dos fármacos , Timol/análogos & derivados , Timol/farmacologia , Fatores de Tempo , Titânio/farmacologia , Virulência , Óxido de Zinco/farmacologia
5.
Acta Odontol Latinoam ; 18(2): 51-6, 2005.
Artigo em Inglês | MEDLINE | ID: mdl-16673792

RESUMO

UNLABELLED: The aim of this study was to evaluate the antimicrobial activity of points containing antiseptics used for temporary obturation in endodontics. Points containing calcium hydroxide (Roeko and Hygienic), and chlorhexidine (Roeko) were tested and gutta-percha points served as control (Meta Dental Corp.). The following microorganisms were studied: Streptococcus mutans (Sm), Enterococcus faecalis (Ef), Staphylococcus aureus (Sta), Candida albicans (Ca), Fusobacterium nucleatum (Fn) ATCC 25586, Porphyromonas gingivalis (Pg) ATCC 33277, and Prevotella intermedia (Pi) ATCC 25611. The experiments were organized in three stages: 1st stage: one point of each kind was placed on agar plates previously seeded with microorganisms. 2nd stage: Another group of points was immersed in broth for 24 hours and placed on the seeded agar. Samples were then incubated at 37 degrees in the conditions of oxygen and for the time required by each microorganism. The zones of bacterial inhibition around each point were measured. The pH values of the broths were recorded. 3rd stage: the immersion broths were inoculated with suspensions of microorganisms, incubated, seeded on plates by dissemination and incubated. CFU counts were performed. RESULTS: points containing chlorhexidine showed inhibition zones with every microorganism in the 1st stage and, in the 2nd stage, with most of the microorganisms studied, except for Fn and Pi. Calcium hydroxide containing points did not inhibit any of the microorganisms assessed. Broth pH values did not exhibit any changes. CFU counts of the broths in which chlorhexidine points had been immersed showed total inhibition for all the microorganisms. The differences between materials were statistically significant (p<0.05) (ANOVA). In the conditions of this study, chlorhexidine-containing points proved to be effective against most of the tested strains.


Assuntos
Anti-Infecciosos Locais/farmacologia , Hidróxido de Cálcio/farmacologia , Clorexidina/farmacologia , Guta-Percha , Materiais Restauradores do Canal Radicular , Candida albicans/efeitos dos fármacos , Contagem de Colônia Microbiana , Meios de Cultura , Enterococcus faecalis/efeitos dos fármacos , Fusobacterium nucleatum/efeitos dos fármacos , Humanos , Concentração de Íons de Hidrogênio , Teste de Materiais , Oxigênio , Porphyromonas gingivalis/efeitos dos fármacos , Prevotella intermedia/efeitos dos fármacos , Staphylococcus aureus/efeitos dos fármacos , Streptococcus mutans/efeitos dos fármacos , Temperatura Ambiente , Fatores de Tempo
6.
Acta odontol. latinoam ; 18(2): 51-6, 2005.
Artigo em Inglês | BINACIS | ID: bin-38162

RESUMO

The aim of this study was to evaluate the antimicrobial activity of points containing antiseptics used for temporary obturation in endodontics. Points containing calcium hydroxide (Roeko and Hygienic), and chlorhexidine (Roeko) were tested and gutta-percha points served as control (Meta Dental Corp.). The following microorganisms were studied: Streptococcus mutans (Sm), Enterococcus faecalis (Ef), Staphylococcus aureus (Sta), Candida albicans (Ca), Fusobacterium nucleatum (Fn) ATCC 25586, Porphyromonas gingivalis (Pg) ATCC 33277, and Prevotella intermedia (Pi) ATCC 25611. The experiments were organized in three stages: 1st stage: one point of each kind was placed on agar plates previously seeded with microorganisms. 2nd stage: Another group of points was immersed in broth for 24 hours and placed on the seeded agar. Samples were then incubated at 37 degrees in the conditions of oxygen and for the time required by each microorganism. The zones of bacterial inhibition around each point were measured. The pH values of the broths were recorded. 3rd stage: the immersion broths were inoculated with suspensions of microorganisms, incubated, seeded on plates by dissemination and incubated. CFU counts were performed. RESULTS: points containing chlorhexidine showed inhibition zones with every microorganism in the 1st stage and, in the 2nd stage, with most of the microorganisms studied, except for Fn and Pi. Calcium hydroxide containing points did not inhibit any of the microorganisms assessed. Broth pH values did not exhibit any changes. CFU counts of the broths in which chlorhexidine points had been immersed showed total inhibition for all the microorganisms. The differences between materials were statistically significant (p<0.05) (ANOVA). In the conditions of this study, chlorhexidine-containing points proved to be effective against most of the tested strains.

7.
Bol. Asoc. Argent. Odontol. Niños ; 32(1): 21-24, mar. 2003. ilus
Artigo em Espanhol | BINACIS | ID: bin-6388

RESUMO

La actinomicosis cervicofacial es una enfermedad endógena no contagiosa, supurativa y generalmente localizada con tendencia a la fistulización. Sus agentes etiológicos son bacterias del género Actinomyces cuyo hábitat natural son zonas con baja tensión de oxígeno de la cavidad bucal. La causa desencadenante para que se produzca es el trauma quirúrgico accidental. Es considerada una enfermedad de la edad adulta, sin embargo nuestra experiencia nos permite asegurar que también se produce en la niñez, a partir de la presencia de dientes en la cavidad bucal. El objetivo de esta comunicación es presentar dos casos clínicos de niños derivados a la Cátedra de Microbiología de la FOUBA para realizar el diagnóstico microbiológico de actinomicosis (AU)


Assuntos
Humanos , Masculino , Adolescente , Feminino , Actinomicose Cervicofacial/diagnóstico , Actinomicose Cervicofacial/epidemiologia , Actinomicose/diagnóstico , Actinomicose/epidemiologia , Actinomicose/prevenção & controle , Doenças da Boca/etiologia , Doenças da Boca/fisiopatologia , Actinomicose Cervicofacial/microbiologia , Argentina/epidemiologia , Faculdades de Odontologia
8.
Bol. Asoc. Argent. Odontol. Niños ; 32(1): 21-24, mar. 2003. ilus
Artigo em Espanhol | LILACS | ID: lil-335944

RESUMO

La actinomicosis cervicofacial es una enfermedad endógena no contagiosa, supurativa y generalmente localizada con tendencia a la fistulización. Sus agentes etiológicos son bacterias del género Actinomyces cuyo hábitat natural son zonas con baja tensión de oxígeno de la cavidad bucal. La causa desencadenante para que se produzca es el trauma quirúrgico accidental. Es considerada una enfermedad de la edad adulta, sin embargo nuestra experiencia nos permite asegurar que también se produce en la niñez, a partir de la presencia de dientes en la cavidad bucal. El objetivo de esta comunicación es presentar dos casos clínicos de niños derivados a la Cátedra de Microbiología de la FOUBA para realizar el diagnóstico microbiológico de actinomicosis


Assuntos
Humanos , Masculino , Adolescente , Feminino , Actinomicose Cervicofacial , Actinomicose , Actinomicose Cervicofacial , Argentina , Faculdades de Odontologia , Doenças da Boca
9.
Bol. Asoc. Argent. Odontol. Niños ; 30(3): 17-21, sept. 2001. ilus
Artigo em Espanhol | BINACIS | ID: bin-9320

RESUMO

La atención odontológica requiere de condiciones asépticas y para lograrlas se deben implementar medidas referidas a la protección personal, empleo criterioso de los antisépticos, desinfectantes, métodos adecuados de esterilización y tratamiento de residuos patogénicos. Para esta tercera parte, el protocolo propuesto contiene las acciones postatención que incluyen el tratamiento del material de un solo uso, del equipo, de las superficies de aerolización, de las impresiones, modelos, cubetas y del instrumental hasta completar la esterilización considerando los métodos de control de calidad (AU)


Assuntos
Controle de Infecções Dentárias/métodos , Desinfecção/métodos , Esterilização/métodos , Assistência Odontológica/normas , Resíduos Odontológicos , Eliminação de Resíduos de Serviços de Saúde/métodos , Controle de Qualidade , Medição de Risco , Descontaminação/métodos , Equipamentos Odontológicos/normas , Instrumentos Odontológicos/normas , Materiais para Moldagem Odontológica/normas , Assepsia/métodos
10.
Bol. Asoc. Argent. Odontol. Niños ; 30(3): 17-21, sept. 2001. ilus
Artigo em Espanhol | LILACS | ID: lil-299028

RESUMO

La atención odontológica requiere de condiciones asépticas y para lograrlas se deben implementar medidas referidas a la protección personal, empleo criterioso de los antisépticos, desinfectantes, métodos adecuados de esterilización y tratamiento de residuos patogénicos. Para esta tercera parte, el protocolo propuesto contiene las acciones postatención que incluyen el tratamiento del material de un solo uso, del equipo, de las superficies de aerolización, de las impresiones, modelos, cubetas y del instrumental hasta completar la esterilización considerando los métodos de control de calidad


Assuntos
Assistência Odontológica/normas , Controle de Infecções Dentárias/métodos , Desinfecção/métodos , Esterilização/métodos , Assepsia , Equipamentos Odontológicos , Instrumentos Odontológicos , Resíduos Odontológicos , Descontaminação/métodos , Eliminação de Resíduos de Serviços de Saúde/métodos , Materiais para Moldagem Odontológica/normas , Controle de Qualidade , Medição de Risco
11.
Bol. Asoc. Argent. Odontol. Niños ; 30(2): 18-23, jun. 2001. ilus
Artigo em Espanhol | BINACIS | ID: bin-10047

RESUMO

Para el control de la infección en la clínica odontológica se deben considerar los riesgos generales y los propios para cada especialidad. La atención odontológica requiere de condiciones asépticas y para lograrlas han sido implementadas medidas referidas a la protección personal, empleo criterioso de los antisépticos, desinfectantes, métodos adecuados de esterilización y tratamiento de residuos patogénicos. Para esta segunda parte, el protocolo propuesto contiene las acciones durante la atención y comunes a todas las disciplinas en el que se incluyen: el examen para arribar a un diagnóstico según niveles de riesgo, el control de la infección bucal a nivel supragingival y dentario y el refuerzo del hospedero (AU)


Assuntos
Controle de Infecções Dentárias/métodos , Assistência Odontológica/normas , Assepsia/métodos , Medidas de Segurança , Eliminação de Resíduos de Serviços de Saúde/métodos , Esterilização/métodos , Desinfecção/métodos , Auxiliares de Odontologia/normas , Exposição Ocupacional , Descontaminação/métodos , Medição de Risco
12.
Bol. Asoc. Argent. Odontol. Niños ; 30(2): 18-23, jun. 2001. ilus
Artigo em Espanhol | LILACS | ID: lil-288868

RESUMO

Para el control de la infección en la clínica odontológica se deben considerar los riesgos generales y los propios para cada especialidad. La atención odontológica requiere de condiciones asépticas y para lograrlas han sido implementadas medidas referidas a la protección personal, empleo criterioso de los antisépticos, desinfectantes, métodos adecuados de esterilización y tratamiento de residuos patogénicos. Para esta segunda parte, el protocolo propuesto contiene las acciones durante la atención y comunes a todas las disciplinas en el que se incluyen: el examen para arribar a un diagnóstico según niveles de riesgo, el control de la infección bucal a nivel supragingival y dentario y el refuerzo del hospedero


Assuntos
Assepsia , Assistência Odontológica/normas , Controle de Infecções Dentárias/métodos , Auxiliares de Odontologia/normas , Descontaminação/métodos , Desinfecção/métodos , Eliminação de Resíduos de Serviços de Saúde/métodos , Esterilização/métodos , Exposição Ocupacional , Medição de Risco , Medidas de Segurança
13.
Bol. Asoc. Argent. Odontol. Niños ; 30(1): 11-5, mar. 2001. ilus
Artigo em Espanhol | BINACIS | ID: bin-10076

RESUMO

La atención Odontológica requiere de condiciones asépticas y para lograrlas se deben implementar medidas referidas a la protección personal, empleo criterioso de los antisépticos, desinfectantes, métodos adecuedos de esterilización y tratamiento de residuos patogénicos. El protocolo propuesto para esta primera parte incluye las inmunizaciones recomendadas para el equipo de salud. En la preparación previa a la atención, se describen la indumentaria apropiada, las características de los métodos utilizados como barrera, la preparación personal del operador y ayudante, el tratamiento del equipo dental y la organización de la mesa de trabajo. Dentro del marco de control de la infección la confección de la historia médico-odontológica y de dieta es de importancia en la futura relación paciente-profesional. Es aconsejable la adecuación y actualización permanente de los protocolos de bioseguridad (AU)


Assuntos
Desinfecção/métodos , Esterilização/métodos , Controle de Infecções Dentárias/métodos , Medidas de Segurança , Eliminação de Resíduos de Serviços de Saúde/métodos , Resíduos Odontológicos , Infecções por HIV/prevenção & controle , Infecções por HIV/transmissão , Hepatite B/prevenção & controle , Hepatite B/transmissão , Transmissão de Doença Infecciosa/prevenção & controle
14.
Bol. Asoc. Argent. Odontol. Niños ; 30(1): 11-5, mar. 2001. ilus
Artigo em Espanhol | LILACS | ID: lil-288813

RESUMO

La atención Odontológica requiere de condiciones asépticas y para lograrlas se deben implementar medidas referidas a la protección personal, empleo criterioso de los antisépticos, desinfectantes, métodos adecuedos de esterilización y tratamiento de residuos patogénicos. El protocolo propuesto para esta primera parte incluye las inmunizaciones recomendadas para el equipo de salud. En la preparación previa a la atención, se describen la indumentaria apropiada, las características de los métodos utilizados como barrera, la preparación personal del operador y ayudante, el tratamiento del equipo dental y la organización de la mesa de trabajo. Dentro del marco de control de la infección la confección de la historia médico-odontológica y de dieta es de importancia en la futura relación paciente-profesional. Es aconsejable la adecuación y actualización permanente de los protocolos de bioseguridad


Assuntos
Controle de Infecções Dentárias/métodos , Desinfecção/métodos , Esterilização/métodos , Resíduos Odontológicos , Transmissão de Doença Infecciosa/prevenção & controle , Eliminação de Resíduos de Serviços de Saúde/métodos , Hepatite B/prevenção & controle , Hepatite B/transmissão , Infecções por HIV/prevenção & controle , Infecções por HIV/transmissão , Medidas de Segurança
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