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1.
Braz Oral Res ; 34: e097, 2020.
Artigo em Inglês | MEDLINE | ID: mdl-32813835

RESUMO

This study aimed to map evidence-based guidelines for oral care of the dependent elders and perform the cross-cultural adaptation to Brazilian Portuguese. Initially, a systematized review was conducted in Medline, Scielo, Scopus, Web of Science, and Google Scholar databases without restrictions in search period or type of study. Articles in English, Spanish, and Brazilian Portuguese describing evidence-based guidelines for oral care, including oral hygiene recommendations, of institutionalized dependent elders were included as long as they presented an evaluation of evident quality. The guideline that met inclusion criteria was submitted to cross-cultural adaptation after obtaining permission from the original authors. Two hundred and nineteen references were found. Three selected articles described evidence-based guidelines for oral care, but the Oral Health Care Guideline for Older People in Long-term Care Institutions (OGOLI), originally developed and implemented in the Netherlands, was selected. It was based on evidence level A2 and consensus of experts and met the quality requirements of the Appraisal of Guidelines for Research & Evaluation (AGREE). This guideline presents oral care recommendations for elders with different levels of dependence in activities of daily living to be performed by caregivers and nursing staff. The adaptation of the OGOLI was mainly on the attributions of care providers, given the differences in professional regulations between Brazil and the Netherlands. The cross-cultural equivalence between OGOLI and its Brazilian Portuguese version was verified.

3.
SAGE Open Med ; 7: 2050312119874232, 2019.
Artigo em Inglês | MEDLINE | ID: mdl-31588360

RESUMO

Objective: This study evaluated the perception of users of complete dentures (successful cases) provided by the public health service throughout the course from tooth loss to rehabilitation. Methods: A total of 11 individuals who received their complete dentures through the public health service were interviewed according to a qualitative approach based on three pre-established topics: (1) tooth loss, (2) living without teeth, and (3) living with dentures. The obtained material was submitted to content analysis. Results: Individuals associated the socioeconomic status with lifelong oral health experiences and difficulty to access oral treatment. Tooth loss was the solution to pain and sometimes perceived as a natural event of life. Living without teeth was a negative surprise that resulted in physical and psychological impairments. The period of adaptation to dentures represented suffering and required psychological efforts to be successful. Conclusion: The dentures represented a reward for the suffering and recovered normal function, appearance, and socialization.

4.
Cien Saude Colet ; 24(1): 147-158, 2019 Jan.
Artigo em Português | MEDLINE | ID: mdl-30698249

RESUMO

The scope of this study was to evaluate dissatisfaction with dental services among dentate and edentulous elderly Brazilians and its association with contextual and individual variables. The data from the National Oral Health Survey conducted in 2010 and contextual variables related to cities were used. Descriptive, bivariate and multilevel analysis was conducted among 1,989 elderly individuals. Of these, 11.2% of dentate and 22.1% of edentulous elderly people were dissatisfied. Among the dentate individuals, dissatisfaction was associated with contextual variables (location of municipality, human development index, GINI Index, the presence of Dental Specialty Centers and the coverage of oral health in public service) and persons related to health care and oral health conditions. For the edentulous individuals, no associated contextual variables were identified. Only the motive for the use of the service and satisfaction with teeth and mouth were associated with dissatisfaction with dental services. A considerable prevalence of dissatisfaction with the services was identified, being higher among edentulous elderly Brazilians. Among dentate elderly Brazilians, an association with contextual variables was detected.


Assuntos
Assistência Odontológica/normas , Boca Edêntula/terapia , Saúde Bucal , Satisfação do Paciente/estatística & dados numéricos , Idoso , Brasil , Inquéritos de Saúde Bucal , Feminino , Humanos , Masculino , Pessoa de Meia-Idade , Análise Multinível , Qualidade da Assistência à Saúde
5.
Cien Saude Colet ; 24(1): 253-260, 2019 Jan.
Artigo em Português | MEDLINE | ID: mdl-30698258

RESUMO

The scope of this study was to identify if the absence of functional dentition (FD) is associated with a lack of commitment to oral functions/daily activities among Brazilian adults. For this purpose, data from the National Survey of Oral Health (referred to as SB Brasil 2010) was used. FD was evaluated by the criterion proposed by the WHO (at least 20 teeth in the mouth). The Oral Impacts on Daily Performance (OIDP) questionnaire was used to evaluate daily activities/oral functions. Descriptive, bivariate (chi-squared) and multiple (logistic regression) analysis was conducted, and the odds ratio estimated with a 95% confidence interval (OR/CI95%). The research evaluated 9,564 adults, of which 2,200 adults (20.5%) were considered to have poor FD, and at least one of the daily activities/oral functions evaluated had an impact among 55% of adults. The lack of FD between adults was associated (p ≤ 0.05) with the impact on speech (1.88/1.33-2.64) and being ashamed to smile or talk (1.35/1.00-1.83). A considerable prevalence of lack of FD was identified, this absence being associated with the lack of commitment to the daily activities/oral functions. Dental rehabilitation of patients with a lack of FD should consider the restoration of these lost oral functions (speech and being ashamed to smile or talk).


Assuntos
Dentição , Saúde Bucal/estatística & dados numéricos , Doenças Dentárias/epidemiologia , Perda de Dente/epidemiologia , Adulto , Brasil/epidemiologia , Inquéritos de Saúde Bucal , Feminino , Humanos , Modelos Logísticos , Masculino , Prevalência , Vergonha , Sorriso/psicologia , Fala/fisiologia , Inquéritos e Questionários , Doenças Dentárias/psicologia , Doenças Dentárias/reabilitação , Perda de Dente/psicologia , Perda de Dente/reabilitação
6.
Ciênc. Saúde Colet ; 24(1): 253-260, ene. 2019. tab, graf
Artigo em Português | LILACS-Express | LILACS | ID: biblio-974799

RESUMO

Resumo Objetivou-se identificar se a falta de dentição funcional (DF) está associada com o comprometimento das funções bucais/atividades diárias entre adultos brasileiros. Para isto, foram utilizados dados da Pesquisa Nacional de Saúde Bucal - SB Brasil 2010. A DF foi avaliada pelo critério proposto pela Organização Mundial de Saúde (pelo menos 20 dentes na boca). O instrumento Impactos Odontológicos nos Desempenhos Diários (IODD) foi utilizado para avaliar as atividades diárias/funções bucais. Análises descritivas, bivariadas (Qui-quadrado) e múltiplas (Regressão Logística) foram realizadas, sendo estimado o odds ratio e o intervalo de confiança 95% (OR/IC95%). Foram incluídos e avaliados 9564 adultos. Foram considerados sem DF 2200 adultos (20,5%). Tiveram impacto em pelo menos uma das atividades diárias/funções bucais avaliadas, 55,0% dos adultos. A falta de DF entre adultos foi associada (p ≤ 0,05) com o impacto na fala (1,88/1,33-2,64) e vergonha ao sorrir ou falar (1,35/1,00-1,83). Uma prevalência considerável de falta de DF foi identificada, esta ausência foi associada às atividades diárias/funções bucais (fala e vergonha ao sorrir e falar). A reabilitação dentária de pacientes sem DF deve considerar a devolução destas funções bucais perdidas (fala e vergonha ao sorrir ou falar).


Abstract The scope of this study was to identify if the absence of functional dentition (FD) is associated with a lack of commitment to oral functions/daily activities among Brazilian adults. For this purpose, data from the National Survey of Oral Health (referred to as SB Brasil 2010) was used. FD was evaluated by the criterion proposed by the WHO (at least 20 teeth in the mouth). The Oral Impacts on Daily Performance (OIDP) questionnaire was used to evaluate daily activities/oral functions. Descriptive, bivariate (chi-squared) and multiple (logistic regression) analysis was conducted, and the odds ratio estimated with a 95% confidence interval (OR/CI95%). The research evaluated 9,564 adults, of which 2,200 adults (20.5%) were considered to have poor FD, and at least one of the daily activities/oral functions evaluated had an impact among 55% of adults. The lack of FD between adults was associated (p ≤ 0.05) with the impact on speech (1.88/1.33-2.64) and being ashamed to smile or talk (1.35/1.00-1.83). A considerable prevalence of lack of FD was identified, this absence being associated with the lack of commitment to the daily activities/oral functions. Dental rehabilitation of patients with a lack of FD should consider the restoration of these lost oral functions (speech and being ashamed to smile or talk).

7.
Ciênc. Saúde Colet ; 24(1): 147-158, ene. 2019. tab
Artigo em Português | LILACS-Express | LILACS | ID: biblio-974801

RESUMO

Resumo Avaliou-se a insatisfação com os serviços odontológicos entre idosos brasileiros dentados e edentados e sua associação com variáveis contextuais e individuais. Foram utilizados os dados do Levantamento Nacional de Saúde bucal realizado em 2010 e dados contextuais referentes aos municípios. Análises descritivas, bivariadas e multinível foram realizadas. Incluiu-se 1.989 idosos. Destes, 11,2% dos idosos dentados e 22,1% dos edentados estavam insatisfeitos. Entre os dentados, a insatisfação foi associada com variáveis contextuais (localização do município, índice de desenvolvimento humano, Índice de GINI, presença de Centro de Especialidades Odontológicas e cobertura das equipes de saúde bucal) e individuais pertencentes à atenção à saúde e condições de saúde bucal. Para os idosos edentados, não foi identificado associação com variáveis contextuais. Apenas o motivo do uso do serviço e a satisfação com dentes e boca foram associados. Identificou-se uma prevalência considerável de insatisfação com os serviços, sendo maior entre os idosos edentados. Entre os idosos dentados, foi observado associação com variáveis contextuais.


Abstract The scope of this study was to evaluate dissatisfaction with dental services among dentate and edentulous elderly Brazilians and its association with contextual and individual variables. The data from the National Oral Health Survey conducted in 2010 and contextual variables related to cities were used. Descriptive, bivariate and multilevel analysis was conducted among 1,989 elderly individuals. Of these, 11.2% of dentate and 22.1% of edentulous elderly people were dissatisfied. Among the dentate individuals, dissatisfaction was associated with contextual variables (location of municipality, human development index, GINI Index, the presence of Dental Specialty Centers and the coverage of oral health in public service) and persons related to health care and oral health conditions. For the edentulous individuals, no associated contextual variables were identified. Only the motive for the use of the service and satisfaction with teeth and mouth were associated with dissatisfaction with dental services. A considerable prevalence of dissatisfaction with the services was identified, being higher among edentulous elderly Brazilians. Among dentate elderly Brazilians, an association with contextual variables was detected.

8.
Braz Oral Res ; 32: e100, 2018 Oct 25.
Artigo em Inglês | MEDLINE | ID: mdl-30379209

RESUMO

This study investigated factors that affect the use of complete conventional mandibular dentures (CCMD) by patients of the Brazilian Public Health Service. For this, two hundred and thirty one subjects who received CCMD in the Primary Health Care of the Public Health Service in Belo Horizonte - Brazil were evaluated and divided in Group 1 - irregular/non-wear; Group 2 - regular wear. Multivariate logistic regression analysis was used to create predictive models for CCMD non-wear and included socio-demographic and biological variables, technical quality of CCMD, and user satisfaction. The prevalence of CCMD non-wear was 41.10%. The mean score of CCMD quality was 54.97 (0-100). Not wearing the CCMD was significantly associated with user satisfaction and technical quality (p < 0.05). The lack of retention of the CCMD was the most important factor in the evaluation of satisfaction and quality. The final predictive model (specificity = 92.65%; AROC = 0.8759) for not wearing the CCMD retained the variables CCMD stability (OR = 0.888; 95%CI = 0.827-0.954), freeway space (OR = 0.916; 95%CI = 0.860-0.976), satisfaction with speech (OR = 0.694; 95%CI = 0.612-0.786), and irregular CCMD edges (OR = 3.185; 95%CI = 1.478-6.864). Socio-demographic and biological variables were not associated with patients not wearing the CCMD, whereas technical quality and user satisfaction were strongly associated.


Assuntos
Desgaste de Restauração Dentária/estatística & dados numéricos , Prótese Total Inferior/estatística & dados numéricos , Atenção Primária à Saúde/estatística & dados numéricos , Adulto , Distribuição por Idade , Idoso , Idoso de 80 Anos ou mais , Brasil , Estudos Transversais , Retenção de Dentadura/estatística & dados numéricos , Feminino , Humanos , Modelos Logísticos , Masculino , Pessoa de Meia-Idade , Satisfação do Paciente/estatística & dados numéricos , Qualidade de Vida , Distribuição por Sexo , Estatísticas não Paramétricas
9.
Prosthes. Esthet. Sci ; 7(28): 72-79, jul-set 2018. ilus, tab, graf
Artigo em Português | BBO - Odontologia | ID: biblio-946485

RESUMO

O hidrocolóide irreversível por sua baixa estabilidade dimensional requer vertimento imediato do gesso. A fim de tornar sua utilização mais versátil, tem-se proposto formulações que indicam a possibilidade de vertimento do gesso no molde em até 5 dias após a moldagem. O objetivo neste estudo foi investigar o efeito do tempo de espera de armazenamento do molde na estabilidade dimensional linear do hidrocolóide irreversível (Hydrogum 5®, Zhermack). Para tal, foi confeccionado um modelo mestre em cromo-cobalto, com quatro pilares cilíndricos localizados na região de caninos e molares. Desse modelo mestre foram obtidos 40 moldes, que foram distribuídos em 4 grupos (n = 10), de acordo com os tempos de espera para vertimento do gesso tipo IV (Herostone®, Vigodent): imediatamente, 1, 3 e 5 dias após a moldagem. Os moldes foram mantidos em cuba umidificadora a 23° C. Para avaliação da estabilidade dimensional dos moldes obtidos, realizou-se a medição linear das distâncias, com paquímetro digital, entre os pilares dos modelos na região de caninos (pilares A e B) e de molares (pilares C e D), de modo que foram mensuradas as distâncias AB, AC, AD, BD, BC e CD e comparadas com as do modelo mestre. A alteração dimensional foi de -0,20 a +0,33 mm, indicando, portanto, contração e expansão, mas com excelente replicabilidade em relação ao modelo mestre. A análise de variância a dois critérios e o teste de Tukey demonstraram que o tempo de armazenamento influenciou a alteração dimensional, havendo diferença entre os dias 1 (contração) e 5 (expansão) (p = 0,039), independentemente da localização. Não houve diferença nas alterações dimensionais nas distâncias comparadas (p = 0,081), independentemente dos tempos estudados. Os resultados demonstraram que as medidas do modelo mestre foram replicadas de maneira excelente em todos os tempos decorridos da moldagem, sendo possível considerar que através de moldes de Hydrogum 5®, mesmo cinco dias após o procedimento de moldagem, podem ser obtidos modelos de gesso com estabilidade dimensional aceitável. (AU)


Irreversible hydrocolloid due to its low dimensional stability requires immediate plaster casting. In order to make its use more versatile, formulations have been proposed which indicate a possibility of casting the gypsum in the mold within 5 days after a molding. The objective of this study was to investigate the effect of mold storage time on linear dimensional stability of irreversible hydrocolloid (Hydrogum 5®, Zhermack). For this, a master model was made in chrome-cobalt, with four cylindrical pillars located in the region of canines and molars. From this master model, 40 molds were obtained, which were distributed in 4 groups (n = 10), according to waiting times for cast type IV gypsum (Herostone®, Vigodent): 1, 3 and 5 days after the molding. The molds were kept in a humidifier container at 23 ° C. To evaluate the dimensional stability of the molds obtained, perform a linear measurement of the distances, with digital caliper, between the pillars of the models in the region of canines (A and B pillars) and molars (columns C and D), so that they were measured as AB, AC, AD, BD,BC and CD distances and compared as a model. The dimensional change was from -0.20 to +0.33 mm, indicating, therefore, contraction and expansion, but with excellent replicability in relation to the master model. An analysis of variance at two criteria and Tukey's tests demonstrated the storage time influenced the dimensional change, with difference between days 1 (contraction) and 5 (expansion) (p = 0.039), regardless of location. There were no differences in size at the distances compared (p = 0.081), regardless of the times studied. The results are shown as measurements of the master model with excellent replicates at all times after molding, it being possible to assume that by means of Hydrogum 5® molds, even five days after the molding procedure, of plaster with acceptable dimensional stability. (AU)


Assuntos
Sulfato de Cálcio/análise , Materiais para Moldagem Odontológica , Materiais Dentários , Alginatos
10.
PLoS One ; 13(7): e0200503, 2018.
Artigo em Inglês | MEDLINE | ID: mdl-30044849

RESUMO

BACKGROUND: This study deals with management of a group of elderly patients with a history of leprosy and hand deformities by a multidisciplinary team of dentists and occupational therapists. Assistive technology devices have been developed to allow such patients to obtain independence in oral self-care and can be a cost-effective approach to improving oral care in this population. The objective of this study was to describe the development of assistive devices to facilitate daily oral hygiene in older people with enduring leprosy-related impairments. METHODOLOGY: Case study realized among elders with a history of leprosy residents in a former isolation colony in Betim, Minas Gerais, Brazil. The elders were evaluated for dependence on others for denture hygiene and mouthwash using the Daily Oral Hygiene Activity Index (ADOH). Those deemed partially or completely dependent on others were eligible for an intervention based on assistive technology. We adopted a personalized approach to each case, taking into account medical history, physical impairment and living environment. Six months after the intervention, the participants were assessed again using the ADOH and an unstructured interview about use of the devices. PRINCIPAL FINDINGS: Assistive devices for denture hygiene and mouthwash were developed for 16 elders. These devices facilitated oral hygiene in most patients and there was no worsening in any of the cases. Patients' report suggested they were satisfied with the devices provided. CONCLUSIONS: This study demonstrated that assistive devices can facilitate oral hygiene activities in leprosy patients. It also reinforces the importance of using a multidisciplinary team for the rehabilitation of these patients.


Assuntos
Hospitais de Dermatologia Sanitária de Patologia Tropical , Hanseníase/reabilitação , Higiene Bucal/instrumentação , Autocuidado/instrumentação , Equipamentos de Autoajuda/economia , Atividades Cotidianas , Idoso , Idoso de 80 Anos ou mais , Brasil , Análise Custo-Benefício , Dentaduras , Estudos de Viabilidade , Feminino , Humanos , Hanseníase/complicações , Masculino , Higiene Bucal/economia , Higiene Bucal/métodos , Equipe de Assistência ao Paciente , Autocuidado/economia , Autocuidado/métodos
11.
Int J Paediatr Dent ; 28(4): 400-409, 2018 Jul.
Artigo em Inglês | MEDLINE | ID: mdl-29726042

RESUMO

BACKGROUND: The use of dental care services contributes to the improvement of children's healthy behaviors, reducing the prevalence of future dental problems. In this way, the purpose of this study was to describe the use of dental care service during early childhood and the possible socioeconomic inequalities in this use. DESIGN: Data from the Brazilian Oral Health Survey (SB Brasil, 2010) were used. Interviews with the children's parents and clinical examinations with the children were conducted in a 5-year-old representative sample. Descriptive, bivariate and multiple hierarchical statistical analyses were applied. RESULTS: Of the 7241 children included, 3812 (53.2%) had used dental care services at least once in their lifetimes, and 1872 (48.8%) had used services for check-up/prevention. The use of dental services was greater among children with a higher family income (P < 0.05). The use of check-ups was lower among children with non-White skin color (Black and Browns) and among those who did not live in state capitals (P < 0.05). Clinical conditions and self-perception were also associated with the use (P < 0.05). CONCLUSION: Socioeconomic differences in the general use of dental care and in its use for check-ups were identified during early childhood, indicating the presence of inequalities.


Assuntos
Assistência Odontológica/estatística & dados numéricos , Disparidades em Assistência à Saúde/estatística & dados numéricos , Aceitação pelo Paciente de Cuidados de Saúde/estatística & dados numéricos , Pré-Escolar , Assistência Odontológica/economia , Feminino , Disparidades em Assistência à Saúde/economia , Humanos , Renda , Masculino , Qualidade de Vida , Fatores Socioeconômicos , Inquéritos e Questionários
12.
Caries Res ; 52(4): 323-330, 2018.
Artigo em Inglês | MEDLINE | ID: mdl-29444502

RESUMO

Since there is no consensus about whether starch increases the cariogenic potential of sucrose, we used a validated 3-species biofilm model to evaluate if starch combined with sucrose provokes higher root dentine demineralization than sucrose alone. Biofilms (n = 18) composed by Streptococcus mutans (the most cariogenic bacteria), Actinomces naeslundii (which has amylolytic activity), and Streptococcus gordonii (which binds salivary amylase) were formed on root dentine slabs under exposure 8 ×/day to one of the following treatments: 0.9% NaCl, 1% starch, 10% sucrose, or a combination of 1% starch and 10% sucrose. Before each treatment, biofilms were pretreated with human whole saliva for 1 min. The pH of the culture medium was measured daily as an indicator of biofilm acidogenicity. After 96 h of growth, the biofilms were collected, and the biomass, bacteria viability, and polysaccharides were analyzed. Dentine demineralization was assessed by surface hardness loss (% SHL). Biofilm bioarchitecture was analyzed using confocal laser scanning microscopy. Treatment with a starch and sucrose combination provoked higher (p = 0.01) dentine demineralization than sucrose alone (% SHL = 53.2 ± 7.0 vs. 43.2 ± 8.7). This was supported by lower pH values (p = 0.007) of the culture medium after daily exposure to the starch and sucrose combination compared with sucrose (4.89 ± 0.29 vs. 5.19 ± 0.32). Microbiological and biochemical findings did not differ between biofilms treated with the combination of starch and sucrose and sucrose alone (p > 0.05). Our findings give support to the hypothesis that a starch and sucrose combination is more cariogenic for root dentine than sucrose alone.


Assuntos
Dentina/fisiopatologia , Sacarose na Dieta/efeitos adversos , Cárie Radicular/etiologia , Amido/efeitos adversos , Desmineralização do Dente/etiologia , Raiz Dentária/fisiopatologia , Actinomyces/fisiologia , Animais , Biofilmes/crescimento & desenvolvimento , Bovinos , Dentina/diagnóstico por imagem , Dentina/microbiologia , Dureza , Humanos , Concentração de Íons de Hidrogênio , Microscopia Confocal , Modelos Animais , Cárie Radicular/diagnóstico por imagem , Cárie Radicular/microbiologia , Saliva/fisiologia , Streptococcus gordonii/fisiologia , Streptococcus mutans/fisiologia , Propriedades de Superfície , Raiz Dentária/diagnóstico por imagem , Raiz Dentária/microbiologia
13.
Braz. oral res. (Online) ; 32: e100, 2018. tab
Artigo em Inglês | LILACS-Express | LILACS | ID: biblio-974449

RESUMO

Abstract This study investigated factors that affect the use of complete conventional mandibular dentures (CCMD) by patients of the Brazilian Public Health Service. For this, two hundred and thirty one subjects who received CCMD in the Primary Health Care of the Public Health Service in Belo Horizonte - Brazil were evaluated and divided in Group 1 - irregular/non-wear; Group 2 - regular wear. Multivariate logistic regression analysis was used to create predictive models for CCMD non-wear and included socio-demographic and biological variables, technical quality of CCMD, and user satisfaction. The prevalence of CCMD non-wear was 41.10%. The mean score of CCMD quality was 54.97 (0-100). Not wearing the CCMD was significantly associated with user satisfaction and technical quality (p < 0.05). The lack of retention of the CCMD was the most important factor in the evaluation of satisfaction and quality. The final predictive model (specificity = 92.65%; AROC = 0.8759) for not wearing the CCMD retained the variables CCMD stability (OR = 0.888; 95%CI = 0.827-0.954), freeway space (OR = 0.916; 95%CI = 0.860-0.976), satisfaction with speech (OR = 0.694; 95%CI = 0.612-0.786), and irregular CCMD edges (OR = 3.185; 95%CI = 1.478-6.864). Socio-demographic and biological variables were not associated with patients not wearing the CCMD, whereas technical quality and user satisfaction were strongly associated.

14.
Prosthes. Lab. Sci ; 6(24): 92-98, jul.-set. 2017. ilus, tab
Artigo em Português | BBO - Odontologia | ID: biblio-877656

RESUMO

O objetivo deste trabalho foi comparar, por meio de medições tridimensionais, modelos de gesso obtidos a partir de duas técnicas de moldagem preliminar: godiva (GG) e dupla moldagem com alginato (GA). Para isso, foi utilizado um modelo padrão metálico com três cilindros posicionados na região de molares esquerdo (A) e direito (B) e na região de papila incisiva (C). Para GG foi realizada a moldagem convencional com material plastificado entre 60-65°C. Para GA foi utilizada a técnica da mínima pressão equalizada, com a primeira moldagem realizada seguindo a proporção indicada pelo fabricante e a segunda com aumento de 25% na quantidade de água. Para avaliação da distorção, os modelos de gesso de cada grupo foram submetidos às medições tridimensionais em equipamento por coordenadas (n=10/grupo). O plano de nivelamento foi considerado no topo dos três cilindros e o centro de origem pela simetria dos cilindros A e B, permitindo a aferição da distância entre os cilindros (AB e BC), o diâmetro de cada cilindro (A, B e C) e a altura do palato. Os dados foram analisados por ANOVA 2 fatores e teste de Tukey (α=0.05). houve influência da interação do material de moldagem e localização das medidas (p0.05) entre os grupos, GG resultou em maior alteração dimensional nas mensurações dos diâmetros A, B e C. GG e GA não diferiram na estabilidade dimensional, portanto sendo consideradas técnicas clinicamente viáveis.


The aim of this study was to compare, through three-dimensional measurements, stone casts obtained by two preliminary impression techniques: compound (CG) and double-alginate (AG) impression. for this purpose, a metal pattern model with three cylinders positioned in the left (A) and right (B) molars and incisal papilla (C) regions was used. for CG, conventional impression with plasticized material between 60-65°C was carried out. for AG, the equalized minimum pressure technique was used with the first impression taken according to the proportion indicated by the manufacturer, and the second with 25% increase in the water quantity. To evaluate the distortion, the stone casts of each group were submitted to three-dimensional measurements in equipment by coordinates (n=10/group). The leveling plane was considered at the top of the three cylinders, and the center of origin by A and B cylinders symmetry, which allowed measurement of the distance between the cylinders (AB and BC), diameter of each cylinder (A, B and C) and palate height. The data were evaluated by two-way ANOVA and Tukey tests (α=0.05). There was influence on the interaction of impression material and location of the measurements (p0.05) between the groups, CG resulted in greater dimensional change in the measurements of A, B and C diameters. CG and AG did not differ in dimensional stability, thus being considered clinically feasible techniques.


Assuntos
Humanos , Alginatos , Materiais para Moldagem Odontológica , Técnica de Moldagem Odontológica , Materiais Dentários
15.
J Craniofac Surg ; 28(4): e360-e363, 2017 Jun.
Artigo em Inglês | MEDLINE | ID: mdl-28277482

RESUMO

Eye defects can lead to emotional, psychological, and social changes, impacting negatively the quality of life of the patient. When these structures cannot be satisfactorily repaired by reconstructive surgery, the prosthetic rehabilitation is the better treatment option to restore lost ocular anatomy and promote the social integration of the individual. The aim of this clinical report is to report and discuss a case of ocular prosthesis confection eviscerated patient with opening limitation eyelid and shortening of the distance between palpebral commissure, to obtain a more natural and comfortable to the patient ocular rehabilitation.


Assuntos
Olho Artificial , Implantação de Prótese/instrumentação , Procedimentos Cirúrgicos Reconstrutivos/instrumentação , Pálpebras , Humanos , Masculino , Pessoa de Meia-Idade , Desenho de Prótese , Implantação de Prótese/métodos , Qualidade de Vida , Procedimentos Cirúrgicos Reconstrutivos/métodos
16.
Cien Saude Colet ; 21(11): 3407-3415, 2016 Nov.
Artigo em Português | MEDLINE | ID: mdl-27828574

RESUMO

The objective is to estimate the prevalence of self-perception of the need for a full dental prosthesis among toothless elderly Brazilians aged 65 to 74, as well as identify the associated factors. It is a cross-sectional study based on the national survey of oral health conditions of the Brazilian population, called SB Brazil - 2010. The dependent variable was the self-perceived need for full dental prosthesis, considering the purchase of new or replacement of the existing prosthesis. Descriptive bivariate and multiple analyses were conducted on 3514 elderly people, of which 2039 (55%) elderly self-perceived the need for a full denture. The self-perception of the need for a full denture was higher among those who needed dental prosthesis and who were dissatisfied with their oral health conditions. In addition to the high prevalence of self-perception of the need for prosthesis identified, the results identified that normative and subjective conditions of oral health remained associated with this self-perception among elderly Brazilians.


Assuntos
Prótese Total , Doenças da Boca/epidemiologia , Boca Edêntula/epidemiologia , Saúde Bucal/estatística & dados numéricos , Idoso , Brasil/epidemiologia , Estudos Transversais , Inquéritos de Saúde Bucal , Autoavaliação Diagnóstica , Feminino , Humanos , Masculino , Análise Multivariada , Prevalência
17.
Ciênc. saúde coletiva ; 21(11): 3407-3415, Nov. 2016. tab
Artigo em Português | LILACS | ID: biblio-828488

RESUMO

Resumo Propõe-se estimar a prevalência da autopercepção da necessidade de prótese dentária total entre idosos (65 a 74 anos) brasileiros desdentados, assim como identificar seus fatores associados. Trata-se de estudo transversal com base no inquérito nacional das condições de Saúde Bucal da população brasileira, denominado SB Brasil – 2010. A variável dependente foi a autopercepção da necessidade de prótese dentária total, considerando a aquisição de prótese nova ou substituição da existente. Foram conduzidas análises descritivas, bivariadas e múltiplas. Foram incluídos 3514 idosos, destes, 2039 (55,0%) perceberam a necessidade de prótese total. A autopercepção da necessidade de prótese total foi maior entre os que necessitavam de prótese dentária inferior e que estavam insatisfeitos com as suas condições de saúde bucal. Além da alta prevalência da autopercepção da necessidade de prótese identificada, os resultados permitiram identificar que condições normativas e subjetivas de saúde bucal se mantiveram associadas a esta autopercepção entre idosos brasileiros.


Abstract The objective is to estimate the prevalence of self-perception of the need for a full dental prosthesis among toothless elderly Brazilians aged 65 to 74, as well as identify the associated factors. It is a cross-sectional study based on the national survey of oral health conditions of the Brazilian population, called SB Brazil – 2010. The dependent variable was the self-perceived need for full dental prosthesis, considering the purchase of new or replacement of the existing prosthesis. Descriptive bivariate and multiple analyses were conducted on 3514 elderly people, of which 2039 (55%) elderly self-perceived the need for a full denture. The self-perception of the need for a full denture was higher among those who needed dental prosthesis and who were dissatisfied with their oral health conditions. In addition to the high prevalence of self-perception of the need for prosthesis identified, the results identified that normative and subjective conditions of oral health remained associated with this self-perception among elderly Brazilians.


Assuntos
Humanos , Masculino , Feminino , Idoso , Prótese Total , Doenças da Boca/epidemiologia , Boca Edêntula/epidemiologia , Saúde Bucal/estatística & dados numéricos , Brasil/epidemiologia , Estudos Transversais , Inquéritos de Saúde Bucal , Autoavaliação Diagnóstica , Análise Multivariada , Prevalência
19.
J Contemp Dent Pract ; 16(7): 531-6, 2015 07 01.
Artigo em Inglês | MEDLINE | ID: mdl-26329406

RESUMO

INTRODUCTION: The surface free energy of conditioned-dentin is one of the factors that interfere with monomeric infiltration of the interfibrillar spaces. Saturation of the tooth matrix with different substances may modulate this energy and, consequently, the wettability of the dentin. AIM: To evaluate the influence of different substances used to saturate conditioned-dentin on surface free energy (SFE) of this substrate. MATERIALS AND METHODS: Dentin blocks (4 × 7 × 1 mm, n = 6/ group), obtained from the roots of bovine incisors, were etched using phosphoric acid for 15 seconds, rinsed and gently dried. The surfaces were treated for 60 seconds with: ultra-purified water (H20-control); ethanol (EtOH), acetone (ACT), chlorhexidine (CHX), ethylenediaminetetraacetic acid (EDTA); or sodium hypochlorite (NaOCl). The tooth surfaces were once again dried with absorbent paper and prepared for SFE evaluation using three standards: water, formamide and bromonaphthalene. Analysis of variance (ANOVA) and Dunnet's tests (a = 0.05) were applied to the data. RESULTS: Ethylenediaminetetraacetic acid was the only substance that caused a change to the contact angle for the standards water and formamide, while only EtOH influenced the angles formed between formamide and the dentin surface. None of the substances exerted a significant effect for bromonaphtha-lene. In comparison to the control, only EDTA and NaOCl altered both polar components of the SFE. Total SFE was increased by saturation of the collagen matrix by EDTA and reduced when NaOCl was used. CONCLUSION: Saturation of the collagen matrix by EDTA and EtOH changed the surface free energy of the dentin. In addition, the use of NaOCl negatively interfered with the properties evaluated. CLINICAL SIGNIFICANCE: The increase of surface free energy and wettability of the dentin surface would allow higher penetration of the the adhesive system, which would be of importance to the clinical success of resin-dentin union.


Assuntos
Colágeno/efeitos dos fármacos , Dentina/efeitos dos fármacos , Irrigantes do Canal Radicular/farmacologia , Solventes/farmacologia , Acetona/farmacologia , Condicionamento Ácido do Dente/métodos , Animais , Bovinos , Clorexidina/farmacologia , Colágeno/ultraestrutura , Dentina/ultraestrutura , Ácido Edético/farmacologia , Etanol/farmacologia , Formamidas/química , Teste de Materiais , Naftalenos/química , Ácidos Fosfóricos/química , Hipoclorito de Sódio/farmacologia , Tensão Superficial , Água/química , Molhabilidade
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