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2.
J Hypertens ; 38(10): 2018-2027, 2020 Oct.
Artigo em Inglês | MEDLINE | ID: mdl-32890278

RESUMO

BACKGROUND: Cardiovascular diseases (CVD) including hypertension, are characterized by underlying systemic inflammation. Periodontitis, which can impact the systemic inflammatory burden has recently been linked to high blood pressure (BP). However, the relationship of gingival bleeding, as an easily accessible marker of periodontal disorder, with hypertension, remains unclear. METHODS: Survey-based propensity score matching (PSM) incorporating major confounders shared between hypertension and periodontal diseases was applied to cross-sectional NHANES III data from 5396 adults at least 30 years old who underwent BP measurement and periodontal examination, identifying two matched groups with and without gingival bleeding. The association of bleeding gums with SBP (mmHg) and high/uncontrolled BP was then assessed with generalized additive models incorporating inflammatory markers. Stratification by periodontal status (healthy; gingivitis; stable periodontitis; unstable periodontitis) was performed. Variables importance was estimated using machine learning. RESULTS: Gingival bleeding (gingivitis; unstable periodontitis) was independently associated with +2.6 mmHg (P < 0.001) SBP compared with no bleeding (healthy periodontium; stable periodontitis), and with greater odds (OR = 1.42; 95% CI = 1.19-1.68; P < 0.001) of high/uncontrolled BP. Participants with unstable periodontitis had higher SBP than those with stable periodontitis (+2.1 mmHg; P < 0.001) or gingivitis (+5.3 mmHg; P < 0.001). Unstable periodontitis and gingivitis were consistently associated with increased risk of high/uncontrolled BP (OR = 1.65, 95% CI = 2.14-1.82; OR = 1.49, 95% CI = 1.22-1.82, respectively). Inflammatory markers allowed a maximum of 12% gain in the models' predictive power. CONCLUSION: Gingival bleeding contributes to shaping the relationship between periodontal diseases and BP, but the burden represented by periodontitis is also crucial. Periodontal evaluation might be of importance in difficult to control hypertension.

3.
Prog Orthod ; 21(1): 32, 2020 Sep 14.
Artigo em Inglês | MEDLINE | ID: mdl-32924097

RESUMO

BACKGROUND: The loss of third-order information in pre-adjusted brackets due to torsional play is a problem in clinical orthodontics. The aim of this study was to evaluate the impact of slot height, archwire height, width and edge bevel's radius on the torsional play for three brackets/archwire systems. METHODS: Ninety brackets with a 0.022 × 0.028 in. slot with McLaughlin-Bennett-Trevisi prescription from three different manufacturers were selected, and the slot's height and depth were measured using a profile projector. Sixty stainless-steel rectangular archwires from three different manufacturers were sectioned and observed with a SEM to measure their height, width, and radius of edge bevel. The recorded data were used to calculate the theoretical torsional play between different slot-archwire combinations. One-way ANOVA was used to compare the measurements within different bracket types and among different manufacturers. RESULTS: Slot height was usually oversized. Archwire's height was usually undersized, but oversized wires were also observed. The radius edge bevel was the most variable parameter. A certain degree of torsional play is always present that differs from one bracket type to another of the same producer and that can even be doubled from one manufacturer to another. CONCLUSIONS: Due to production tolerance, differences between the nominal values and the real dimensions of any components of a slot/archwire system are common. This results in a torsional play that limits torque expression. The archwire's edge bevel plays an important role in torque expression, and clearer information should be provided by the manufacturers regarding this aspect.


Assuntos
Braquetes Ortodônticos , Fios Ortodônticos , Desenho de Aparelho Ortodôntico , Aço Inoxidável , Torque
4.
High Blood Press Cardiovasc Prev ; 27(4): 281-289, 2020 Aug.
Artigo em Inglês | MEDLINE | ID: mdl-32500479

RESUMO

High blood pressure (BP) and periodontitis are two highly prevalent conditions worldwide with a significant impact on cardiovascular disease (CVD) complications. Poor periodontal health is associated with increased prevalence of hypertension and may have an influence on BP control. Risk factors such as older age, male gender, non-Caucasian ethnicity, smoking, overweight/obesity, diabetes, low socioeconomic status, and poor education have been considered the common denominators underpinning this relationship. However, recent evidence indicates that the association between periodontitis and hypertension is independent of common risk factors and may in fact be causal in nature. Low-grade systemic inflammation and redox imbalance, in particular, represent the major underlying mechanisms in this relationship. Neutrophil dysfunction, imbalance in T cell subtypes, oral-gut dysbiosis, hyperexpression of proinflammatory genes, and increased sympathetic outflow are some of the pathogenetic events involved. In addition, novel findings indicate that common genetic bases might shape the immune profile towards this clinical phenotype, offering a rationale for potential therapeutic and prevention strategies of public health interest. This review summarizes recent advances, knowledge gaps and possible future directions in the field.


Assuntos
Pressão Sanguínea , Hipertensão/epidemiologia , Periodontite/epidemiologia , Periodonto/microbiologia , Disbiose , Interações Hospedeiro-Patógeno , Humanos , Hipertensão/diagnóstico , Hipertensão/imunologia , Hipertensão/fisiopatologia , Periodontite/diagnóstico , Periodontite/imunologia , Periodontite/microbiologia , Prevalência , Prognóstico , Medição de Risco , Fatores de Risco
5.
J Hypertens ; 2020 Jun 22.
Artigo em Inglês | MEDLINE | ID: mdl-32576741

RESUMO

BACKGROUND: Cardiovascular diseases (CVD) including hypertension, are characterized by underlying systemic inflammation. Periodontitis, which can impact the systemic inflammatory burden has recently been linked to high blood pressure (BP). However, the relationship of gingival bleeding, as an easily accessible marker of periodontal disorder, with hypertension, remains unclear. METHODS: Survey-based propensity score matching (PSM) incorporating major confounders shared between hypertension and periodontal diseases was applied to cross-sectional NHANES III data from 5396 adults at least 30 years old who underwent BP measurement and periodontal examination, identifying two matched groups with and without gingival bleeding. The association of bleeding gums with SBP (mmHg) and high/uncontrolled BP was then assessed with generalized additive models incorporating inflammatory markers. Stratification by periodontal status (healthy; gingivitis; stable periodontitis; unstable periodontitis) was performed. Variables importance was estimated using machine learning. RESULTS: Gingival bleeding (gingivitis; unstable periodontitis) was independently associated with +2.6 mmHg (P < 0.001) SBP compared with no bleeding (healthy periodontium; stable periodontitis), and with greater odds (OR = 1.42; 95% CI = 1.19-1.68; P < 0.001) of high/uncontrolled BP. Participants with unstable periodontitis had higher SBP than those with stable periodontitis (+2.1 mmHg; P < 0.001) or gingivitis (+5.3 mmHg; P < 0.001). Unstable periodontitis and gingivitis were consistently associated with increased risk of high/uncontrolled BP (OR = 1.65, 95% CI = 2.14-1.82; OR = 1.49, 95% CI = 1.22-1.82, respectively). Inflammatory markers allowed a maximum of 12% gain in the models' predictive power. CONCLUSION: Gingival bleeding contributes to shaping the relationship between periodontal diseases and BP, but the burden represented by periodontitis is also crucial. Periodontal evaluation might be of importance in difficult to control hypertension.

6.
Pain Res Manag ; 2020: 3932476, 2020.
Artigo em Inglês | MEDLINE | ID: mdl-32351638

RESUMO

Recent studies showed an evident correlation between the stomatognathic system and the visual system. These results suggest that subjects who are affected by both temporomandibular (TMD) disorders and refractive disorders present with altered control of pericranial musculature tone and higher open-eye electromyographic (EMG) values. The objective of this work was to evaluate the effects of standard vision correction on EMG in subjects suffering from TMD compared with application of the same vision treatments to non-TMD subjects. 40 subjects were enrolled in this study. The test group included 20 myopic subjects and also included patients with TMD. The control group included 20 healthy myopic subjects. All of the participants underwent a complete ocular examination and a sEMG analysis. The results showed that TMD subjects with vision disorders that are corrected with standard glasses present EMG values that are significantly higher than those presented by non-TMD subjects with vision disorders and standard glasses. Infact, in TMD subjects, eye correction did not have a positive effect on the stomatognathic or pericranial musculature.


Assuntos
Músculos Faciais/fisiopatologia , Miopia/complicações , Sistema Estomatognático/fisiopatologia , Transtornos da Articulação Temporomandibular/complicações , Transtornos da Articulação Temporomandibular/fisiopatologia , Adulto , Eletromiografia/métodos , Óculos , Feminino , Humanos , Masculino , Miopia/terapia , Adulto Jovem
7.
Pain Res Manag ; 2020: 9465080, 2020.
Artigo em Inglês | MEDLINE | ID: mdl-32399132

RESUMO

[This corrects the article DOI: 10.1155/2019/5646143.].

8.
Curr Pharm Des ; 26(22): 2620-2629, 2020.
Artigo em Inglês | MEDLINE | ID: mdl-32242777

RESUMO

Systemic inflammation is a common denominator to a variety of cardiovascular (CV) and non-CV diseases and relative risk factors, including hypertension and its control, metabolic diseases, rheumatic disorders, and those affecting the gastrointestinal tract. Besides medications, a non-pharmacological approach encompassing lifestyle changes and other complementary measures is mentioned in several updated guidelines on the management of these conditions. We performed an updated narrative review on the mechanisms behind the systemic impact of inflammation and the role of non-pharmacological, complementary measures centered on lowering systemic phlogosis for preserving or restoring a good global health. The central role of genetics in shaping the immune response is discussed in conjunction with that of the microbiome, highlighting the interdependence and mutual influences between the human genome and microbial integrity, diversity, and functions. Several plausible strategies to modulate inflammation and restore balanced crosstalk between the human genome and the microbiome are then recapitulated, including dietary measures, active lifestyle, and other potential approaches to manipulate the resident microbial community. To date, evidence from high-quality human studies is sparse to allow the unconditioned inclusion of understudied, though plausible solutions against inflammation into public health strategies for global wellness. This gap claims further focused, well-designed research targeted at unravelling the mechanisms behind future personalized medicine.

9.
Case Rep Dent ; 2020: 9873761, 2020.
Artigo em Inglês | MEDLINE | ID: mdl-32231810

RESUMO

Obstructive sleep apnea syndrome (OSAS) is one of the most challenging diseases to treat in medicine. Here, the authors describe a case of OSAS treated with a lingual elevator of Balercia (ELIBA®). The patient, a forty-five-year-old Caucasian male, had a chief complaint of numerous episodes of nocturnal apnea. After several visits with specialists, a polysomnographic examination was performed, in which the patient's apnea hypopnea index (AHI) was 30.4, and a lingual elevator was prescribed. The lingual elevator helped to keep the patient's tongue in the correct position and prevented the tongue from reverting back to the soft tissue spaces in the mouth. After six months of treatment with the lingual elevator and dietary adjustments, the patient's AHI decreased to 11.6. This simple yet customizable approach is a comfortable and easy option for patients to reduce night apnea episodes.

10.
J Hypertens ; 38(1): 150-158, 2020 01.
Artigo em Inglês | MEDLINE | ID: mdl-31503133

RESUMO

OBJECTIVE: Observational evidence supports an inverse association between hypovitaminosis D and blood pressure (BP), but intervention data have failed to demonstrate beneficial effects of vitamin D supplementation on BP. Following the downwards redefinition of hypertension treatment targets and the need to better identify individuals at greater risk for uncontrolled BP, our aim was to test the association of serum vitamin D levels with the definition of uncontrolled BP according to European guidelines in treated hypertensive adults. METHODS: We retrospectively analyzed cross-sectional, nationally representative data from treated hypertensive adults aged at least 18 years with available serum 25 (OH)D measurements. BP was examined as continuous (mmHg) and categorical (at or above treatment goal, as recommended by guidelines) variable; BP means and odds ratios for uncontrolled BP according to vitamin D levels were calculated using progressively adjusted models. RESULTS: Treated hypertensive adults with vitamin D deficiency had higher mean BP (+2.4/3.5 mmHg; P < 0.01) and 25-29% higher risk of uncontrolled BP compared to those with vitamin levels at least 75 nmol/l. These results were confirmed across age, sex, and racial/ethnic strata. Vitamin D insufficiency was associated with higher BP by 0.5/2.4 mmHg, but not with an increased risk of uncontrolled hypertension. CONCLUSIONS: 25 (OH)D levels might indicate host-specific features related to poor BP control. The attempt to use a biomarker of exposure as an indicator of need for treatment risks to be misleading.

11.
J Clin Periodontol ; 47(2): 160-172, 2020 02.
Artigo em Inglês | MEDLINE | ID: mdl-31680283

RESUMO

AIM: Periodontitis is a relapsing-remitting disease. Compared with bleeding on probing (BoP), expression of disease activity, periodontal inflamed surface area (PISA), incorporates chronic disease parameters. We tested the association of PISA and BoP with blood pressure (BP) in NHANES III. MATERIALS AND METHODS: A total of 8,614 subjects (≥30 years) with complete periodontal and BP examinations were enrolled. PISA was derived from periodontal probing depth and BoP. The association of PISA and BoP with high/uncontrolled BP was examined by multiple-adjusted models. Inflammatory markers were tested as possible mediators. A machine learning (ML) approach was used to define the relative importance of PISA and BoP and estimate the power of BP status prediction. RESULTS: Compared to no inflammation, severe PISA and BoP were associated with 43% (p < .001) and 32% (p = .006) higher odds of high/uncontrolled BP (≥130/80 mmHg), and with higher systolic BP by ≈4 (p < .001) and 5 (p < .001) mmHg, respectively. Inflammatory markers appeared to mediate this association with various extents, without threshold effect. BoP predicted high/uncontrolled BP more efficiently than PISA using ML. CONCLUSION: PISA and BoP describe the association of periodontal inflammation and hypertension with subtle differences. The contribution of local inflammation to the global inflammatory burden might explain the observed findings.


Assuntos
Hipertensão/complicações , Periodontite/complicações , Pressão Sanguínea , Humanos , Inflamação/complicações , Inquéritos Nutricionais
12.
Pain Res Manag ; 2019: 6256179, 2019.
Artigo em Inglês | MEDLINE | ID: mdl-31885756

RESUMO

Background: Tenderness of masseters and temporalis can be considered a relevant tool for diagnosis of myo-type craniofacial pain disorders, but a limit of pain score systems is that they are based on subjective pain perception. Surface electromyography (sEMG) is a noninvasive and reliable tool for recording muscle activity. Therefore, we investigated whether a correlation exists between tenderness on masseters and temporalis, assessed by subjective pain scale, and muscles activity, evaluated by sEMG, in patients with painful temporomandibular disorder (TMD) and concurrent tension-type headache (TTH). Methods: A cross-sectional study on fifty adult volunteer patients with TMD and TTH, who underwent tenderness protocol according to Diagnostic Criteria for TMD (DC/TMD) guidelines, was conducted followed by sEMG recording of temporalis and masseters. Pearson's correlation was performed to investigate the correlation between muscular activity and subjective pain scores. Results: An overall moderate correlation between muscle tenderness and sEMG values (y = 1 + 1.2 · x; r 2 = 0.62; p < 0.0001), particularly in the temporalis, was observed. Segregation of data occurred according to tenderness and sEMG values. At the highest pain score, the mean sEMG absolute value was higher at the temporalis than the masseters. Conclusions: Our study provides evidence that subjective pain perception can be objectively quantified at a magnitude proportional to pain severity. At greater tenderness scores, higher sEMG activity at the level of temporalis could help discriminate clinically prevalent TTH versus prevalent TMD. sEMG confirms to be an accurate tool to reliably objectify the subjective perception of pain. When combined with clinical evaluation and patients' symptoms, sEMG increases diagnostic sensitivity in the field of myo-type craniofacial pain disorders. This trial is registered with NCT02789085.


Assuntos
Eletromiografia/métodos , Medição da Dor/métodos , Transtornos da Articulação Temporomandibular/diagnóstico , Cefaleia do Tipo Tensional/diagnóstico , Adolescente , Adulto , Estudos Transversais , Feminino , Humanos , Masculino , Músculos da Mastigação/fisiopatologia , Mialgia/diagnóstico , Mialgia/fisiopatologia , Percepção da Dor/fisiologia , Transtornos da Articulação Temporomandibular/fisiopatologia , Cefaleia do Tipo Tensional/fisiopatologia
13.
Pain Res Manag ; 2019: 5646143, 2019.
Artigo em Inglês | MEDLINE | ID: mdl-31198477

RESUMO

Background: Temporomandibular joint dysfunction (TMD) therapy remains an open challenge for modern dentistry. Herein, we propose a new neuromuscular lingual device able to reduce signs and symptoms of TMD in female patients with chronic orofacial pain. Methods: 50 females with myofascial TMD according to RDC/TMD were randomly assigned to study (n = 25) and control groups (n = 25). At T0, both groups received sEMG/KNG and pain evaluation by the VAS scale. The study group received the ELIBA device (lingual elevator by Balercia) constructed under ULF-TENS (ultra-low-frequency transcoutaneous electrical nervous stimulation). Subjects were instructed to use ELIBA at least for 16 h/day. After 6 months (T1), both groups underwent to sEMG/KNG and VAS revaluation. Results: T1 study group compared to controls showed a significant reduction in total (p < 0.0001) and mean (p < 0.0001) sEMG values, as well as a significant increase in both maximum vertical mouth opening (p=0.003) and maximum velocity in mouth opening (p=0.003) and closing (p < 0.0001). Interestingly, a significant reduction in pain measured by VAS (p < 0.0001) was reported. Conclusions: After 6 months, the ELIBA device is able to significantly reduce TMD-associated myogenous pain and to promote the enhancement of sEMG/KNG values. Practical Implications: ELIBA can be considered as a new device, potentially useful for head-neck pain relief in patients suffering from chronic TMD. In addition, its use promotes a muscles relaxation inducing freeway space increase. This characteristic makes it particularly useful for rehabilitation of patients with not enough space for construction of conventional orthotics or neuromuscular bites.


Assuntos
Aparelhos Ortodônticos , Transtornos da Articulação Temporomandibular/terapia , Estimulação Elétrica Nervosa Transcutânea/instrumentação , Adolescente , Adulto , Feminino , Humanos , Pessoa de Meia-Idade
14.
J Periodontol ; 90(8): 866-876, 2019 08.
Artigo em Inglês | MEDLINE | ID: mdl-31090063

RESUMO

BACKGROUND: Increasing evidence links periodontal microbiota to several systemic conditions, including high blood pressure (BP). Antibodies to oral pathogens can be considered an indirect assessment of periodontal bacterial burden. We aimed at assessing the relationship between systemic exposure to periodontal microbiota, expressed in terms of relative antibodies, and BP, using data from the third National Health and Nutrition Examination Survey (NHANES III). METHODS: We analyzed cross-sectional, nationally representative data from 7,928 adults aged ≥40 years who underwent determination of BP and serum antibodies to 21 periodontal microorganisms. BP was examined as both continuous (mmHg) and binary (≷130/80 mmHg, i.e. normal/controlled or high/uncontrolled BP) variables. Pearson and Spearman correlations restricted maximum likelihood, crude and adjusted generalized additive models, and a machine learning approach based on gradient boosting modeling were combined to verify any association between antibodies to periodontal microbiota and BP. RESULTS: Antibodies to Campylobacter rectus, Veillonella parvula, Prevotella melaninogenica were consistently associated with high/uncontrolled BP by about +3 mmHg of systolic and +2 mmHg of diastolic BP and with 10% to 13% higher odds of high/uncontrolled BP, as well as with more active periodontal disease and greater changes in clinical parameters of periodontitis. Antibodies to C. rectus resulted in the strongest association with BP. CONCLUSIONS: There is an association between systemic exposure to periodontal microbiota and BP. Understanding the pathogenetic mechanisms that shape such relationships, and the relative potential impact on personalized medicine, is the challenge of future research.


Assuntos
Hipertensão , Periodontite , Adulto , Pressão Sanguínea , Estudos Transversais , Humanos , Inquéritos Nutricionais
15.
J Med Case Rep ; 13(1): 68, 2019 Mar 04.
Artigo em Inglês | MEDLINE | ID: mdl-30832711

RESUMO

In the publication of this article [1], there is an error in the Family Name and Given Name of the authors since these were interchanged.

16.
Clin Exp Dent Res ; 5(6): 670-676, 2019 12.
Artigo em Inglês | MEDLINE | ID: mdl-31890304

RESUMO

Background: Neutral zone (NZ) is a specific area in the oral cavity where muscular opposite forces are null. NZ represents the ideal zone for prosthesis placement. In this study, we compared digital implant planning using conventional technique and using NZ registration through piezography. Methods: Sixty-tree implants were digitally planned. Angular deviation differences between traditional planned and NZ-planned implants were calculated. In addition, interferences with soft tissues (i.e., tongue and cheeks) were evaluated. Results: We observed a significant difference between traditional technique and piezographic approach in terms of implants angulation (p = .003), independent of site. A 4.7% of the planned abutments with traditional technique were placed outside the NZ, causing conflict with soft tissues in the digital model. Conclusions: Compared with traditional technique, piezography allows a significantly different exploitation of the nonconflict area, which potentially translates into better management of soft tissues and improved functionality of the implants.


Assuntos
Implantação Dentária Endo-Óssea/métodos , Técnica de Moldagem Odontológica , Imageamento Tridimensional/métodos , Planejamento de Assistência ao Paciente , Cirurgia Assistida por Computador/métodos , Adulto , Tomografia Computadorizada de Feixe Cônico , Dente Suporte , Implantação Dentária Endo-Óssea/instrumentação , Feminino , Humanos , Masculino , Pessoa de Meia-Idade , Modelos Anatômicos , Projetos Piloto , Cirurgia Assistida por Computador/instrumentação
17.
Cranio ; 37(2): 129-135, 2019 Mar.
Artigo em Inglês | MEDLINE | ID: mdl-29143566

RESUMO

OBJECTIVE: To compare the clinical efficacy of two techniques for fabricating a Bimler device by assessing the patient's surface electromyography (sEMG) activity at rest before treatment and six months after treatment. METHODS: Twenty-four patients undergoing orthodontic treatment were enrolled in the study; 12 formed the test group and wore a Bimler device fabricated with a Myoprint impression using neuromuscular orthodontic technique and 12 formed the control group and were treated by traditional orthodontic technique with a wax bite in protrusion. The "rest" sEMG of each patient was recorded prior to treatment and six months after treatment. RESULTS: The neuromuscular-designed Bimler device was more comfortable and provided better treatment results than the traditional Bimler device. CONCLUSION: This study suggests that the patient group subjected to neuromuscular orthodontic treatment had a treatment outcome with more relaxed masticatory muscles and better function versus the traditional orthodontic treatment.


Assuntos
Eletromiografia , Má Oclusão de Angle Classe II/terapia , Músculos da Mastigação/fisiopatologia , Desenho de Aparelho Ortodôntico/métodos , Aparelhos Ortodônticos Funcionais , Ortodontia/métodos , Criança , Feminino , Humanos , Masculino , Má Oclusão de Angle Classe II/fisiopatologia , Resultado do Tratamento
18.
Hypertension ; 72(6): 1365-1373, 2018 12.
Artigo em Inglês | MEDLINE | ID: mdl-30540406

RESUMO

Periodontal disease is a chronic inflammatory disorder of the tissues surrounding the teeth, with evidence of systemic effects. Some studies showed the benefit of periodontal therapy on blood pressure (BP), but the impact of periodontitis on BP control is unknown. We retrospectively analyzed cross-sectional, nationally representative data from treated hypertensive adults aged ≥30 years with and without periodontitis. BP was examined as both continuous (mm Hg) and categorical (treatment goal achievement status according to guidelines: at goal and above goal) variable according to the presence or absence of periodontitis and its clinical parameters (probing depth, clinical attachment loss, and disease severity [mild, moderate, and severe]). Systolic BP means and odds ratios for uncontrolled BP according to the presence and severity of periodontitis were calculated using progressively adjusted models. Among treated hypertensive adults, mean systolic BP was about 2.3 to 3 mm Hg higher in the presence of periodontitis ( P<0.0001). Periodontitis was associated with unsuccessful antihypertensive treatment after multiple adjustments, with higher odds by disease severity. A good periodontal health is associated with better systolic BP profile during antihypertensive therapy by about 2.3 to 3 mm Hg and with lower odds of antihypertensive treatment failure. Dedicated studies are needed to test the impact of periodontal therapy on BP and the long-term effects on cardiovascular outcomes of this complementary approach to systemic health.


Assuntos
Anti-Hipertensivos/uso terapêutico , Pressão Sanguínea/fisiologia , Hipertensão/epidemiologia , Saúde Bucal , Doenças Periodontais/epidemiologia , Adulto , Idoso , Comorbidade , Estudos Transversais , Feminino , Inquéritos Epidemiológicos , Humanos , Hipertensão/tratamento farmacológico , Hipertensão/fisiopatologia , Masculino , Pessoa de Meia-Idade , Doenças Periodontais/fisiopatologia , Prevalência , Estudos Retrospectivos
19.
Oral Health Prev Dent ; 16(4): 315-325, 2018.
Artigo em Inglês | MEDLINE | ID: mdl-30027160

RESUMO

PURPOSE: To investigate the short- and long-term effects of different combinations of dietary instructions on cariogenic food intake and salivary cariogenic bacteria (Streptococcus mutans [SM] and Lactobacillus [LB]). MATERIALS AND METHODS: In this randomised 2-arm parallel study, 75 6-year-old subjects were assigned to repeated (group A; 19M/19F) or isolated (group B; 17M/20F) verbal and/or written dietary advice (VWDA), with foods classified by cariogenic potential. Both groups underwent a baseline salivary test for SM/LB, kept a monthly food diary, and attended 4 weekly visits (T1-T4). At T1-T2; group A only received VDA. At T3, both groups received VWDA. At T4, participants handed in their food diaries and underwent another salivary test. After 1 year (T5), subjects were recalled for weekly food diary monitoring and salivary testing. Relative risk (RR) of high-to-low SM/LB density was calculated at T4 and T5. RESULTS: Comparing groups A and B, VDA determined an increase in the intake of weakly cariogenic food (p < 0.05) and a decrease in that of intermediately cariogenic food (p < 0.05). After VWDA, a statistically significant increase in intake of weakly cariogenic food and a statistically significant decrease in the RR of high-density SM/LB colonies occurred in both groups. At T5, group A showed less intake of highly cariogenic food than did group B (p = 0.05) and persistent, although non-significant, reduction in the RR of high-density SM/LB colonies. CONCLUSIONS: Reinforcement measures on behavioural changes towards a noncariogenic diet not only help maintain long-lasting, healthier eating habits, but also decrease the cariogenic bacterial load in the short term, which tends to persist over time.


Assuntos
Cárie Dentária/prevenção & controle , Dieta , Higiene Bucal , Saliva/microbiologia , Criança , Índice CPO , Cárie Dentária/microbiologia , Feminino , Humanos , Lactobacillus/isolamento & purificação , Masculino , Streptococcus mutans/isolamento & purificação
20.
J Med Case Rep ; 11(1): 336, 2017 Dec 02.
Artigo em Inglês | MEDLINE | ID: mdl-29195511

RESUMO

BACKGROUND: Managing orthodontic treatment is often very difficult for the orthodontist. Many devices are used during the orthopedic phase of orthodontic treatment, always with different functions. We describe a case of orthodontic management treated with the Equilibrator O.S.A. device (equilibrator designed by Ovidi, Santi, and Aprile for Eptamed SRL; Cesena, Italy; www.eptamed.com ). CASE PRESENTATION: A healthy 10-year-old white boy presented with a skeletal class II, division 1 malocclusion, molar class II, exhibiting an overjet of 7 mm prior to treatment. For treatment, we only used the Equilibrator O.S.A. device. CONCLUSIONS: We successfully treated an orthopedic/orthodontic case with a particular device that we describe here.


Assuntos
Má Oclusão de Angle Classe II/terapia , Aparelhos Ortodônticos Funcionais , Ortodontia Corretiva/métodos , Criança , Humanos , Masculino , Má Oclusão de Angle Classe II/diagnóstico , Contenções Ortodônticas , Resultado do Tratamento
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