Your browser doesn't support javascript.
loading
Mostrar: 20 | 50 | 100
Resultados 1 - 20 de 21
Filtrar
1.
Braz Oral Res ; 35: e110, 2021.
Artigo em Inglês | MEDLINE | ID: mdl-34816898

RESUMO

To evaluate the knowledge of Brazilian dentists of sports doping through the development, validation and application of the Brazilian Knowledge Scale about Sports Doping in Dentistry (B-KSSDD). A scale with 12 items was developed to assess a dentist's ability to determine whether the use of a medication characterised sports doping according to the World Anti-Doping Agency. A preliminary study to validate the B-KSSDD was carried out with 135 dentists, allowing the evaluation of ceiling and floor effects, convergent and discriminant validity, test-retest reliability and internal consistency of the instrument. A sample size calculation using the results of the preliminary study and the B-KSSDD was completed online using SurveyMonkey® by 270 participants from all regions of the country. The B-KSSDD showed evidence of convergent and discriminant validity, good temporal stability (ICC = 0.75) and internal consistency (alpha = 0.89). In the main study, the participants obtained an average score of 4.19/12 points on the B-KSSDD, suggesting that these professionals have insufficient knowledge about sports doping. The age of participants showed a negative association with knowledge about doping, while frequency of treating athletes and frequency of performing surgeries showed positive associations with knowledge about doping. The dentists had insufficient knowledge of the subject. Age of participants and frequency with which they attend to athletes are associated with knowledge about sports doping. Professional updating and education policies on doping are necessary for dentists, as athlete patients are at risk for severe sporting and financial penalties.

2.
Dent Traumatol ; 2021 Oct 26.
Artigo em Inglês | MEDLINE | ID: mdl-34698435

RESUMO

BACKGROUND/AIMS: Traumatic dental injuries (TDI) are a public health problem and the search for information becomes essential to help in their management. The aim of this study was to search existing TDI applications (Apps) to critically describe the characteristics and main information found in them regarding TDI. METHODOLOGY: Searches were performed in the Play Store (Android) and App Store (iOS), using MeSH terms, synonyms and terms related to dental emergencies and TDI, in English, Spanish and Portuguese. Apps with information on the management of post-TDI emergencies or TDI prevention were included. The type of operating system (Android/iOS), cost (free/paid), target audience (dentist/patient), age of classification (free/>17 years old), language, star rating (1★ to 5★), number of downloads and post-download ratings, type of dentition (primary/permanent), reference used for classification according to TDI type and management (International Association for Dental Traumatology/Andreasen/others/not reported), and available content (prevention/emergency management/preservation/illustrations) were evaluated. RESULTS: Among 486 apps, 13 were eligible: 11 for Android and 2 for iOS. Most were free (92.3%), for patients (38.4%) and had a free age classification (90.9%). The main language was English (53.8%), and most of the Apps either had no information on star ratings (46.1%) or received 4★ (23.1%). The number of downloads was not reported (23.1%) or was fewer than 100 (23.1%). Most of the Apps were for permanent teeth (61.5%) and had explanations about dental management for TDI emergencies (92.3%) and multiple TDIs (61.5%). Most Apps addressed the importance of monitoring TDIs (76.9%) and contained illustrative images (76.9%). However, many did not report the TDI classification (46.1%), and 38.5% reported TDI prevention. CONCLUSIONS: Information on dental trauma management according to dental injury, inclusion of images, target audience, type of TDI and their prevention varied in the available Apps. However, most were focused on permanent teeth and addressed several TDI in English language only.

3.
Rev. Cient. CRO-RJ (Online) ; 5(1): 58-63, Jan.-Apr. 2020.
Artigo em Inglês | LILACS, BBO - Odontologia | ID: biblio-1130177

RESUMO

The purpose of this case report was to describe the surgical exposure and orthodontic management of an unerupted and ectopic maxillary right central incisor after trauma to the primary predecessor. Case report: An 11-year-old girl was referred to the Pediatric Dentistry Clinic due to eruption failure of the maxillary right central incisor. Radiographs showed the impacted central incisor located below the anterior nasal spine and its apex parallel to the palatal plane and the presence of an odontoma. General surgery was performed to remove the odontoma and two perforations in the crown of the impacted tooth were made to carry out orthodontic traction. Correct alignment was achieved after 18 months and no significant clinical or radiographic alterations were founded. Conclusion: The orthodontic management was performed successfully, and a positive esthetic outcome combined with adequate occlusion demonstrated the satisfactory results of this case.


Objetivo: O objetivo deste relato de caso foi descrever a exposição cirúrgica e o tratamento ortodôntico de um incisivo central superior direito ectópico e não irrompido após trauma do predecessor decíduo. Relato do caso: Uma menina de 11 anos de idade foi encaminhada à Clínica de Odontopediatria devido ao atraso na erupção do incisivo central superior direito. As radiografias mostraram o incisivo central impactado localizado abaixo da espinha nasal anterior e seu ápice paralelo ao plano palatino e a presença de um odontoma. A cirurgia para remoção do odontoma foi realizada sob anestesia geral e duas perfurações na coroa do dente impactado foram realizadas para a tração ortodôntica. O alinhamento correto foi alcançado após 18 meses e não foram encontradas alterações clínicas ou radiográficas significativas. Conclusão: O manejo ortodôntico foi realizado com sucesso, e um resultado estético positivo combinado à oclusão adequada demonstrou os resultados satisfatórios deste caso.


Assuntos
Ortodontia , Cirurgia Bucal , Dente , Doenças Dentárias , Dente não Erupcionado , Odontoma , Doenças Estomatognáticas , Criança , Traumatismos Dentários , Incisivo
4.
Rev. Cient. CRO-RJ (Online) ; 5(1): 87-91, Jan.-Apr. 2020.
Artigo em Inglês | LILACS, BBO - Odontologia | ID: biblio-1139982

RESUMO

The management of fractured permanent teeth due to dental trauma in young patients is a challenge that requires an efficient approach. Objective: Describe a conservative and multidisciplinary treatment of a case of dental trauma in a 13 years-old boy. Case report: At clinical examination was verified enamel and dentin fracture in the left upper central incisor and a fracture with pulp exposure in the right upper lateral incisor, with subgingival extension of its margin at lingual surface, and no swelling or tooth displacement was observed. At radiographic evaluation, no pulp or periradicular disturbances were verified. It was proposed the surgical lengthening of the clinical crown of the right upper lateral incisor for later performing endodontic treatment. It was decided to make direct composite resin restorations in both fractured teeth, instead of doing a prosthetic treatment in the affected lateral incisor, such as the placement of a full ceramic crown, in an attempt to perform a less invasive treatment, mainly due to the age of the patient. At a two years follow-up visit was observed the maintenance of the health of periapical tissues and the absence of clinical alterations. Conclusion: The restorations were kept in good conditions and aesthetics was considered satisfactory by professionals, patient and parents.


Introdução: O manejo de dentes permanentes fraturados por traumatismo dentário em pacientes jovens é desafiador e requer uma abordagem eficiente. Objetivo: Descrever o tratamento conservador e multidisciplinar em um caso de traumatismo dentário de um menino de 13 anos de idade. Relato do caso: Ao exame clínico foi verificada uma fratura de esmalte e dentina no incisivo central superior esquerdo e uma fratura complicada no incisivo lateral superior direito, com extensão subgengival da margem na face palatina, e não foram observados edema ou deslocamento dentário. Ao exame radiográfico, não foram verificadas alterações pulpares ou perirradiculares. Foi proposta realização de aumento da coroa clínica do incisivo lateral superior direito para posterior realização do tratamento endodôntico. Para os dois dentes traumatizados foi proposta a realização de restauração direta com resina composta, proporcionando um tratamento menos invasivo ao incisivo lateral superior direito, ao invés de submetê-lo a um tratamento protético, como a colocação de uma coroa total cerâmica, principalmente devido à pouca idade do paciente. Na visita de dois anos de acompanhamento, observou-se a manutenção da saúde dos tecidos periapicais e ausência de alterações clínicas. Conclusão: As restaurações se mantiveram em boas condições e a estética foi considerada satisfatória pelos profissionais, paciente e pais.


Assuntos
Traumatismos Dentários , Dentição Permanente , Doenças Dentárias , Fraturas dos Dentes , Doenças Estomatognáticas , Adolescente , Tratamento Conservador , Incisivo
5.
Rev. Cient. CRO-RJ (Online) ; 5(2): 61-64, May-Aug. 2020.
Artigo em Inglês | LILACS, BBO - Odontologia | ID: biblio-1254131

RESUMO

Introduction: Dentigerous cyst is an odontogenic cyst lesion surrounding the crown of an unerupted or impacted tooth in the jaw. Objective: The aim of this case report is to describe the treatment planning and follow-up of a dentigerous cyst associated with the impaction of the permanent mandibular right canine tooth in an 11-year-old female. Case report: Radiographic assessment revealed a radiolucent unilocular round-shaped lesion localized in the mandibular symphysis. Enucleation was performed and the affected tooth was removed under general anesthesia. The patient is under follow-up due to orthodontic treatment. The affected area healed without complications. Conclusion: Two and a half years after the enucleation, the cyst had totally disappeared, and no recurrences were observed. Bone remodeling and neoformation were noticed.


Introdução: O cisto dentígero é uma lesão odontogênica ao redor da coroa de um dente não irrompido ou impactado na mandíbula. Objetivo: O objetivo deste relato de caso é descrever o plano do tratamento e o acompanhamento de um cisto dentígero associado à impactação do canino permanente inferior direito em uma criança do gênero feminino de 11 anos de idade. Relato do caso: A avaliação radiográfica revelou lesão unilocular radiolúcida de forma arredondada, localizada na sínfise mandibular. A enucleação foi realizada e o dente afetado foi removido sob anestesia geral. A paciente encontra-se em acompanhamento devido o tratamento ortodôntico. A área afetada curou sem complicações. Conclusão: Dois anos e meio após a enucleação, o cisto desapareceu totalmente e não houve recidivas. Remodelação óssea e neoformação foram observadas.


Assuntos
Feminino , Cistos Odontogênicos , Planejamento de Assistência ao Paciente , Dente Impactado , Cisto Dentígero , Cistos Maxilomandibulares , Criança , Dente Canino
6.
Dent Traumatol ; 36(3): 218-236, 2020 Jun.
Artigo em Inglês | MEDLINE | ID: mdl-31724811

RESUMO

BACKGROUND/AIMS: Understanding the risk factors for dental injuries is essential to develop prevention strategies. The aim of this study was to perform a systematic review and meta-analysis to determine whether people with special needs (SN) have a higher incidence of traumatic dental injury (TDI). MATERIALS AND METHODS: Electronic searches were performed with no language or date restrictions in the following databases: PubMed, Lilacs, BBO, Scopus, Web of Science, Cochrane Library and Open Gray. According to the PECOS strategy, observational studies that investigated subjects with and without SN and its association with TDI episodes were included. Quality assessment and bias control were carried out according to Fowkes and Fulton guidelines. A meta-analysis was performed by sub-grouping studies according to the type of SN, with the odds ratio (OR) also being calculated (P ≤ .05). The evidence was quality tested using the GRADE approach. RESULTS: After titles and abstracts were examined, and full texts were read, 28 studies were included in the qualitative synthesis and 27 in the meta-analysis. Three studies were classified with high methodological quality and the others had methodological problems. No associations were determined between TDI and autism spectrum disorder, epilepsy and mental disability (OR 1.12 [0.70, 1.78], OR 1.28 [0.13, 12.27] and OR 1.04 [0.20, 5.35], respectively, P > .05). A positive association (P < .05) was found between TDI and hyperactivity disorder, cerebral palsy, 21 trisomy, various conditions of SN and in pooled results (OR 2.67 [1.22, 5.87], OR 1.89 [1.06, 3.37], OR 6.18 [2.24, 17.05], OR 1.69 [1.18, 2.41], OR 1.61 [1.16; 2.22], respectively).The certainty of evidence ranged from very low to low. CONCLUSIONS: In general, people with SN had a higher chance of having TDI with very low certainty of evidence. People with ADHD and cerebral palsy had a higher chance of TDI.


Assuntos
Transtorno do Deficit de Atenção com Hiperatividade , Transtorno do Espectro Autista , Paralisia Cerebral , Traumatismos Dentários/epidemiologia , Humanos , Fatores de Risco
7.
Int J Paediatr Dent ; 30(2): 171-180, 2020 Mar.
Artigo em Inglês | MEDLINE | ID: mdl-31710730

RESUMO

BACKGROUND: Several factors can influence the oral health. AIM: To explore the clinical factors, individual characteristics, and environmental factors (religious-spiritual coping-RSC, sense of coherence [SOC], and socio-economic status) related to oral status and impact on oral health-related quality of life (OHRQoL) of children/adolescents (C/A). DESIGN: This study evaluated C/A up to 15 years old and their caregivers. Number of decayed (NDT) and missing teeth (NMT); history of dental trauma; caregiver's RSC and SOC, socio-economic factors, and OHRQoL were evaluated. Theoretical model exploring the direct and indirect effects was tested using a structural equation analysis. RESULTS: For younger group (0-6 years), having more NDT or more NMT had a greater impact on the OHRQoL (ß = 0.382, ß = 0.203, respectively). In the oldest group (7-15 years), a higher SOC had an inverse relationship with the impact on the family OHRQoL (ß=-0.201). The higher the age of the C/A, the lower the NDT (ß=-0.235), and the higher the family income the lower, the need for social benefit (ß = 0.275). Indirect relationships were observed between schooling with social benefit and OHRQoL in younger group. The family income indirectly influenced the OHRQoL in oldest group. CONCLUSIONS: Quality of life is affected directly and indirectly by environmental characteristics, oral status, and the age of patients.


Assuntos
Senso de Coerência , Perda de Dente , Adolescente , Criança , Estudos Transversais , Humanos , Saúde Bucal , Qualidade de Vida
8.
Artigo em Inglês | LILACS, BBO - Odontologia | ID: biblio-1101306

RESUMO

Abstract Objective: To evaluate traumatic dental injuries (TDI) in primary teeth and the association of gender and age with different injuries. Material and Methods: Records of patients with TDI in primary teeth were included. The following parameters were registered: gender and age, place of trauma, cause of trauma, affected tissue and tooth, number of injured teeth, type of injury, and gingival and bone damage. A logistic regression analysis was performed to explore the interaction between gender and age on the occurrence of types of injuries (p≤0.05). Results: The total of 721 records were evaluated and 370 records were included, being 61.6% boys and 60.5% children aged 0-3 years old, with 658 primary teeth affected. The support tissue was most affected (496/658), followed by dental tissue (139/658). Enamel/dentine fracture with pulp exposure (n=51) and intrusion (n=131) were the most common injuries of dental and support tissues, respectively. In general, boys suffered more traumas than girls, regardless of the age range. As for concussion, logistic regression confirms that gender and age are also influencers. Girls (OR=1.822, CI = 1.050-3.164, p=0.033) in the 4-6 year age group (OR=2.15, CI = 1.239-3.747, p=0.007) are more likely to have concussions. Children age 4-6 years were less likely to suffer an intrusion (OR=0.496; CI = 0.278-0.886; p=0.018). Conclusion: Gender and age influence concussion and intrusion in the primary teeth.


Assuntos
Humanos , Masculino , Feminino , Recém-Nascido , Lactente , Pré-Escolar , Criança , Dente Decíduo , Ferimentos e Lesões , Fatores de Risco , Traumatismos Dentários/diagnóstico , Dentina , Brasil/epidemiologia , Modelos Logísticos , Criança , Estudos Retrospectivos
9.
Rev. Cient. CRO-RJ (Online) ; 4(1): 16-20, Jan.-Apr. 2019.
Artigo em Inglês | LILACS, BBO - Odontologia | ID: biblio-1024151

RESUMO

Introduction: Hypnosis is a technique that involves inducing a special state of consciousness in which the conscious mind relaxes while the unconscious mind manifests itself by working the imagination. Objective : To perform a literature review to evaluate the different techniques used to induce hypnosis and the need for its use in dental care, as well as, its results. Sources of data: A bibliographic search was performed in the Google Academic and PubMed databases to identify studies for review. There was no restriction on language or year. Inclusion criteria were studies that addressed the topic of interest. Synthesis of data : Hypnosis aims to improve care by controlling patients' anxiety, fear and phobias. However, its use is little known by patients and professionals in the context of dental treatment. There are two techniques of hypnosis, namely essential hypnosis and hypnosis by object fixation. The main indications are the need to control the patient's fear and anxiety during dental treatment and to prepare the patients before performing surgical procedures. It can be used in association with local anesthetics, but this combination is not essential. Conclusion : Hypnosis can be effective at controlling patients' feelings related to dental care, being the hypnosis by object fixation the most used technique with this purpose. It is considered easy, quick, painless, with low costs and accessible to any dentist who has completed specific training in this field.


Introdução: A hipnose é uma técnica que envolve a indução de um estado especial de consciência em que a mente consciente relaxa enquanto a mente inconsciente se manifesta trabalhando a imaginação. Objetivo : Realizar uma revisão de literatura para avaliar as diferentes técnicas utilizadas para induzir a hipnose e a necessidade de seu uso no atendimento odontológico, bem como, seus resultados. Fontes de dados : Uma pesquisa bibliográfica foi realizada nas bases de dados Google Acadêmico e PubMed para identificar estudos para revisão. Não houve restrição de idioma ou ano. Os critérios de inclusão foram os estudos que abordaram o tema de interesse. Síntese dos dados: A hipnose visa melhorar o atendimento, controlando a ansiedade, o medo e as fobias dos pacientes. Entretanto, seu uso é pouco conhecido pelos pacientes e profissionais no contexto do tratamento odontológico. Existem duas técnicas de hipnose, a saber, hipnose essencial e hipnose por fixação objetal. As principais indicações são a necessidade de controlar o medo e a ansiedade do paciente durante o tratamento odontológico e preparar os pacientes antes de realizar procedimentos cirúrgicos. Pode ser usado em associação com anestésicos locais, mas essa combinação não é essencial. Conclusão : A hipnose pode ser eficaz no controle dos sentimentos dos pacientes relacionados ao atendimento odontológico, sendo a hipnose pela fixação do objeto a técnica mais utilizada para esse fim. É considerado fácil, rápido, indolor, com baixos custos e acessível a qualquer dentista que tenha completado o treinamento específico neste campo.


Assuntos
Hipnose em Odontologia , Assistência Odontológica , Ansiedade ao Tratamento Odontológico
10.
Rev. Cient. CRO-RJ (Online) ; 4(1): 120-124, Jan.-Apr. 2019.
Artigo em Inglês | LILACS, BBO - Odontologia | ID: biblio-1024363

RESUMO

Objective: The purpose of this study was to report on the management of two complicated crown fractures of the permanent incisors and how the treatment of these injuries influences quality of life related to oral health (QHRQoL). Case report : In the first case, pulpectomy was performed because of pulp necrosis and complete rhizogenesis. In the second case, pulpotomy was performed, as the pulp had vitality and the tooth had incomplete rhizogenesis. Fragment bonding was carried out in both cases. QHRQoL was assessed before and one week after treatment. In case 1, scores varied from 32 to 9 in the CPQ 11-14, from 42 to 12 in the P-CPQ, and from 24 to 4 in the FIS. In case 2, scores varied from 38 to 20 in the CPQ 8-10 , from 94 to 28 in the P-CPQ, and from 39 to 10 in the FIS. Conclusion : Fragment bonding is an efficient solution, as well as endodontic therapy. Furthermore, dental trauma treatment improved the quality of life of children and their families and could be observed one week after treatment.


Objetivo: O objetivo do estudo foi relatar o manejo de duas fraturas complicadas de incisivos permanentes e como o tratamento destas lesões dentárias influencia a qualidade de vida relacionada à saúde bucal (QHRQoL). Relato de caso: No primeiro caso, foi realizada pulpectomia devido necrose pulpar e rizogênese completa. No segundo caso, a pulpotomia foi realizada, pois, a polpa apresentava vitalidade e o dente rizogênese incompleta. A colagem dos fragmentos foi realizada emambos os casos. QHRQoL foi avaliada antes e uma semana após o tratamento. No caso 1, os escores variaram de 32 a 9 no CPQ 11-14 , de 42 a 12 no P-CPQ e de 24 a 4 no FIS. No caso 2, os escores variaram de 38 a 20 no CPQ 8-10 , de 94 a 28 no P- CPQ e de 39 a 10 no FIS. Conclusã : A colagem de fragmentos é uma solução eficiente, assim como a terapia endodôntica. Além disso o tratamento do traumatismo dentário promoveu uma melhora na qualidade de vida das crianças e suas famílias, e podendo ser observado uma semana após o tratamento.


Assuntos
Traumatismos Dentários , Qualidade de Vida , Criança , Dentição Permanente , Incisivo
11.
J Clin Pediatr Dent ; 43(1): 5-10, 2019.
Artigo em Inglês | MEDLINE | ID: mdl-30289364

RESUMO

This retrospective study aimed to evaluate the dental trauma profile in primary and permanent teeth from patients between 0 and 15 years old who attended the Faculty of Dentistry of the Federal University of Rio de Janeiro. Data regarding gender, age, trauma classification, tooth type, and affected tissues were obtained from dental records. The data were analyzed descriptively and by the χ2 test (p < 0.05). Data associated with 333 traumatized teeth (70% primary and 30% permanent teeth) were included. The mean ages of children with affected primary and permanent teeth were 3.35 ± 2.02 and 9.09 ± 2.43 years, respectively. Males presented more permanent teeth with trauma (64.4%) than primary ones (55.6%; p = 0.085). The upper central incisors, both primary (68.9%) and permanent (69.4%), were the teeth most commonly affected. Primary teeth showed a higher frequency (p < 0.001) of supportive tissue trauma (73.3%) and lower frequency (p = 0.001) of hard tissue trauma (40.7%) than those in permanent ones (51.5% and 60.6%, respectively). The most frequent trauma in the supportive tissue was subluxation (27.2%) and permanent lateral luxation (42.0%). In the hard tissues, permanent teeth presented a higher prevalence of trauma than primary ones (p = 0.001), however this difference was not statistical significant when each type of fracture injury was evaluated individually (p > 0.005). With affected primary teeth, there was a greater frequency of trauma in the gingival mucosa (31.0%; p = 0.022); in the permanent ones, traumatic lesions in the chin region were the most prevalent (20.8%; p = 0.009). Trauma was recurrent in 26.3% of primary teeth and in 20.2% permanent teeth. Therefore, primary and permanent teeth showed distinct trauma profiles, suggesting that distinct preventive and therapeutic approaches are needed for these two groups.


Assuntos
Traumatismos Dentários , Adolescente , Criança , Pré-Escolar , Humanos , Lactente , Recém-Nascido , Masculino , Estudos Retrospectivos , Dente Decíduo
12.
Rev. Cient. CRO-RJ (Online) ; 4(3): 54-62, 2019.
Artigo em Inglês | LILACS, BBO - Odontologia | ID: biblio-1052432

RESUMO

Objective: to identify the characteristics of the demands for emergency services relatedto pain in health units in the city of Piraí, Rio de Janeiro; the degree of satisfaction andthe perceptions of users about the service provided when the need is linked toemergency situations related to dental pain. Methods: Users of public health unitsanswered, between May 2013 and November 2014, through questionnaires, dataregarding sex, age, monthly family income, economic class, experiences in emergencyservices and a McGill pain questionnaire validated for the Portuguese language. Thedata were analyzed descriptively and using the Chi-square test (p<0.05). Results: 137users were included (40.22 ± 15.74 years), 73.7% female, 59.9% from class C and 43.8%with an income between ½ and 1 minimum wage. Of the total, 54% felt some painrelated to oral problems in the last 12 months before the questionnaire and of these,71.6% were seen at the service, 58% did not find it difficult to get care, 68.9% solved theproblem and 73% were satisfied with the service provided. Only 37.2% of users did notreport social damage at work or at leisure caused by dental pain. The age group wasassociated with pain related to oral problems in the last 12 months (p=0.02) and theneed for emergency consultations in the same period (p=0.005). Conclusions: Themajority of individuals who are attended in public service being female, the economicclass and the predominant family income were, respectively, class C and of ½ to 1minimum wage; Toothache and pain when drinking cold or hot liquids were the mostcommon complaints in the last 12 months; There is an association between age andpresence of dental pain and the need for urgent treatment; and participants in thisstudy are considered to have been satisfactorily treated in most cases.


Objetivo: identificar as características das demandas por serviços de emergênciarelacionados à dor nas unidades de saúde da cidade de Piraí, Rio de Janeiro; o grau desatisfação e as percepções dos usuários sobre o serviço prestado quando a necessidadeestá ligada a situações de urgência relacionadas à dor dentária. Métodos: Usuários dasunidades públicas de saúde responderam, durante maio de 2013 até novembro de 2014,através de questionários, dados referentes a sexo, idade, renda familiar mensal, classeeconômica, experiências nos serviços de emergência e um questionário McGill para dorvalidado para a língua portuguesa. Os dados foram analisados descritivamente e peloteste Qui-quadrado (p<0,05). Resultados: Foram incluídos 137 usuários (40,22 ± 15,74anos), 73,7% do sexo feminino, 59,9% da classe C e 43,8% com renda entre ½ e 1 saláriomínimo. Do total, 54% sentiram alguma dor relacionada a problemas bucais nos últimos12 meses antes do questionário e destes, 71,6% foram atendidos no serviço, 58% nãoencontraram dificuldades para obter atendimento, 68,9% resolveram o problema e73% estavam satisfeitos com o serviço prestado. Apenas 37,2% dos usuários nãorelataram prejuízo social no trabalho ou no lazer causado por dor dentária. A faixa etáriaesteve associada à dor relacionada a problemas bucais nos últimos 12 meses (p=0,02)e à necessidade de consultas de emergência no mesmo período (p=0,005). Conclusão:A maioria dos indivíduos atendidos em serviço público era do sexo feminino, a classeeconômica e a renda familiar predominante eram, respectivamente, classe C e de ½ a 1salário mínimo; Dor de dente e dor ao beber líquidos frios ou quentes foram as queixasmais comuns nos últimos 12 meses; Existe associação entre idade e presença de dordentária e necessidade de tratamento urgente; os participantes deste estudo seconsideraram satisfatoriamente atendidos na maioria dos casos.


Assuntos
Saúde Bucal , Percepção Social , Odontalgia , Distribuição de Qui-Quadrado
13.
Dent Traumatol ; 34(6): 445-454, 2018 Dec.
Artigo em Inglês | MEDLINE | ID: mdl-30207628

RESUMO

BACKGROUND/AIMS: Strategies for the prevention of traumatic dental injuries (TDI) should consider the risk factors involved for each population studied. The aim of this study was to perform a critical review regarding the risk factors for TDI in the Brazilian population. MATERIALS AND METHODS: A systematic literature search was performed in the MEDLINE, Scopus, Web of Science, Lilacs, and BBO databases using MeSH terms, synonyms, and keywords, with no language or date restrictions. In the first step, all relevant studies identified, regardless of the type of statistical analysis performed, were grouped according to their geographic location. In a second step, the studies using Andreasen's criteria to classify the injuries and multivariate analysis to identify the risk factors for TDI in Brazilian subjects were included for data extraction. RESULTS: The search strategy initially identified 3373 articles. However, only 108 articles assessed TDI with predisposing factors and were included in the first step. From those, 28 were deemed eligible for inclusion in the second step. No consensus related to the relationship between gender and TDI in the primary dentition was achieved. Nonetheless, males were found to be more prone to trauma in the permanent dentition. Overjet, inadequate lip sealing and anterior open bite increased the risk for TDI, both in primary and permanent dentitions. Social environment was related to trauma only in primary dentition. For permanent dentition, dental caries, obesity, binge drinking, and drug use were identified as considerable risk factors for TDI. CONCLUSION: The risk factors for TDI in the Brazilian population are similar to those found worldwide. However, some differences can be observed, such as gender and socioeconomic indicators as predisposing factors.


Assuntos
Traumatismos Dentários/epidemiologia , Traumatismos Dentários/etiologia , Brasil/epidemiologia , Humanos , Fatores de Risco
14.
Acta Odontol Scand ; 76(8): 567-571, 2018 Nov.
Artigo em Inglês | MEDLINE | ID: mdl-29909718

RESUMO

OBJECTIVE: This retrospective study analyse the profile of intrusion in deciduous (DT) and permanent teeth (PT), the occurrence of healing complications (HC), type of treatments and predisposing factors. METHODS: The records of patients attended from 2005 to 2011 were analysed. Records of patients who had one or more intruded DT or PT were included in the study. Data collected from dental records included age, gender, attendance (immediate/mediate), healing complications and type of treatment. A Chi-square test and Logistic regression (p ≤ .05) were performed to evaluate the associations between the type of teeth and presence of HC, as well as to explore the interactions between predisposing factors. RESULTS: The intrusion prevalence was 9.98% in DT and 2.45% in PT. Partial intrusion (57.3%) with palatal direction of the crown (61.8%) was most prevalent in DT, while complete intrusion (56.7%) with buccal direction of the crown (58.1%) was predominant for PT. Mobility was the most common HC in DT compared to root resorption in PT. Minimally invasive treatments were the most common therapy for DT compared to invasive treatments for PT. PT demonstrated increased HC when compared to DT (p = .004). A logistic regression illustrated that the level of intrusion and crown direction during the trauma did not influence the occurrence of HC (p > .05). CONCLUSION: Intrusion's profile in DT and PT are different. PT showed more HC than DT, however the level of intrusion and crown direction were not associated with the presence of HC.


Assuntos
Dentição Permanente , Incisivo/lesões , Avulsão Dentária/epidemiologia , Fraturas dos Dentes/epidemiologia , Dente Decíduo/lesões , Criança , Necrose da Polpa Dentária/epidemiologia , Feminino , Humanos , Masculino , Estudos Retrospectivos , Reabsorção da Raiz/etiologia , Descoloração de Dente/epidemiologia , Erupção Dentária , Raiz Dentária/lesões
15.
Rev. Cient. CRO-RJ (Online) ; 3(1): 23-28, Jan.-Apr. 2018.
Artigo em Inglês | LILACS, BBO - Odontologia | ID: biblio-1021147

RESUMO

Introduction: Mouth guards are devices used to prevent injuries during sports activities. Objective: The aim of this study is to evaluate the knowledge of paediatric patients and their guardians about mouth guards. Methods: Paediatric patients from 9 to 15 years old and their guardians who sought care in the Paediatric Clinic of the Dentistry School were invited to participate. Their knowledge about mouth guards was collected through a two-part questionnaire with open and closed ended questions. The first part of the questionnaire contained sociodemographic questions and a main question about what a mouth guard is. The second part was solely about mouth guards and was applied immediately after an explanation about mouth guards at the end of the first part. All data collected were tabulated and analysed descriptively. Results: A total of 122 guardians were interviewed; 39.3% had children who practised some type of sports activity and 32% reported a trauma episode. Most (54.9%) did not know what a mouth guard was but, after explanation, 57.4% had seen someone using one. A total of 33 paediatric patients were interviewed, 60.6% of whom practised some sport; 27.3% of these had already suffered some type of dental trauma during the activity. None of the interviewees used a mouth guard during their sports activity, although 97% believed that using a mouth guard was important and 78.8% believed that the protector did not interfere with the activity. Conclusion: Guardians and paediatric patients have little knowledge about mouth guards.


Introdução: Os protetores bucais são usados para prevenir lesões durante atividades esportivas. Objetivo: O objetivo deste estudo é avaliar o conhecimento sobre os protetores bucais dos pacientes pediátricos e seus responsáveis. Métodos: Pacientes pediátricos de 9 a 15 anos, que procuraram atendimento na Clínica Pediátrica da Faculdade de Odontologia e seus responsáveis foram convidados a participar. Seu conhecimento sobre protetores bucais foi coletado através de um questionário em duas partes com perguntas abertas e fechadas. A primeira parte do questionário continha algumas questões sociodemográficas e uma questão principal sobre o que é um protetores bucais. A segunda parte era apenas sobre protetores bucais e foi aplicada imediatamente após uma explicação sobre os protetores bucais no final da primeira parte. Todos os dados coletados foram tabulados e analisados de forma descritiva. Resultado: Um total de 122 guardiões foram entrevistados, 39.3% tiveram crianças que praticavam algum tipo de atividade esportiva e 32% relataram um episódio de trauma. A maioria (54.9%) não sabia o que é um protetor bucal, mas após a explicação, 57.4% tinham visto alguém usando um. Um total de 33 pacientes pediátricos foram entrevistados, 60.6% praticaram algum esporte e 27.3% deles já sofreram algum tipo de trauma dental durante a atividade. Nenhum dos entrevistados usa um protetor bucal durante a atividade esportiva, embora 97% acreditem que usar um protetor bucal é importante e 78.8% acreditam que o protetor não interfere com a atividade. Conclusão: Em conclusão, os guardiões e pacientes pediátricos têm pouco conhecimento sobre os protetores bucais.


Assuntos
Protetores Bucais , Traumatismos em Atletas/prevenção & controle , Adolescente , Traumatismos Dentários/prevenção & controle , Prevenção de Doenças
16.
J Dent Child (Chic) ; 84(3): 149-151, 2017 Sep 15.
Artigo em Inglês | MEDLINE | ID: mdl-29282172

RESUMO

This is a case report on the management of a vital lateral incisor with a radiolucent cervical area associated with the presence of necrotic pulp due to a dens invaginatus (DI) type III. A nine-year-old boy presented to a university pediatric dental clinic with dental trauma. The examination showed poor oral hygiene, an uncomplicated fracture in the permanent maxillary left central incisor, and a fistula near the permanent maxillary right lateral incisor. A radiograph showed that the right lateral incisor had incomplete root development and a type III DI. Although sensitive to thermal pulp testing, tracing of the fistula indicated that the radiolucent area was associated with the DI, extending laterally to the periodontal ligament. Endodontic treatment was performed only in the invagination, keeping the root canal of the lateral incisor vital. After two years of follow-up, complete root formation and injury repair associated with invagination were observed.


Assuntos
Dens in Dente/patologia , Dens in Dente/terapia , Necrose da Polpa Dentária/terapia , Incisivo/lesões , Periodontite Periapical/patologia , Periodontite Periapical/terapia , Criança , Dens in Dente/complicações , Necrose da Polpa Dentária/complicações , Humanos , Masculino , Obturação do Canal Radicular
17.
Dent Traumatol ; 33(1): 4-12, 2017 Feb.
Artigo em Inglês | MEDLINE | ID: mdl-27439566

RESUMO

BACKGROUND/AIM: The association between trauma and caries is still controversial in the literature. The aim of this study was to evaluate the possible association between caries and dental trauma through a systematic review with meta-analysis. DESIGN: A systematic literature search was performed in PubMed, Lilacs, BBO, Scopus, Web of Science, Cochrane Library, and Open Grey databases. The MeSH terms used were 'Tooth injuries', 'Tooth fractures', 'Tooth avulsion', 'Tooth movement'; 'Dental caries'; 'DMF index'; and 'Tooth demineralization'. MeSH synonyms, related terms, and free terms were included. The inclusion criteria comprised clinical investigations of subjects with and without caries that had suffered dental trauma. Quality assessment and bias control were carried out. Meta-analysis was performed using the comprehensive meta-analysis software (version 3.2). Heterogeneity was assessed using the I2 index, and the odds ratio was also calculated (P < 0.05). RESULTS: From 1290 abstracts, seven met the inclusion criteria. All studies had high methodological quality and five were included in the meta-analysis. The results demonstrated a positive association (P < 0.001) between dental trauma and dental caries in permanent teeth [OR: 1.490, 95%, CI: 1.209-1.835]. However, for children with primary teeth, the results showed a negative association (P = 0.006) between dental trauma and caries [OR: 0.706, 95%, CI: 0.550-0.906]. CONCLUSIONS: The results demonstrated positive and negative association between the presence of caries and dental trauma in permanent and primary teeth, respectively.


Assuntos
Cárie Dentária/complicações , Traumatismos Dentários/etiologia , Humanos , Fatores de Risco
18.
Rio de Janeiro; s.n; 2017. 177 p. tab, ilus.
Tese em Português | BBO - Odontologia | ID: biblio-1005029

RESUMO

Objetivou-se estudar o traumatismo orofacial em crianças e adolescentes por meio da avaliação de(a): (I) fatores clínicos, características individuais e fatores ambientais relacionados à saúde bucal na qualidade de vida de crianças e adolescentes; (II) literatura sobre os fatores de risco para os Traumatismos dentários (TD) na população brasileira; (III) evidências científicas que suportem a presença de cárie dental como um fator predisponente aos TD; (IV) frequência e dos fatores predisponentes ao TD nos dentes decíduos (DD); (V) intrusões, ocorrência de sequelas, tratamentos e fatores predisponentes; (VI) injúrias aos tecidos moles decorrentes de traumatismo orofacial em crianças e adolescentes; (VII) conhecimento dos responsáveis e pacientes, entre 9 e 15 anos, sobre protetores bucais. Foram confeccionados 2 revisões, sendo uma narrativa e outra sistemática e 5 estudos observacionais. Os resultados encontrados foram: (I) qualidade de vida é influenciada direta e indiretamente por características ambientais, pela saúde bucal e pelas características individuais dos pacientes; (II) fatores de risco para TD no Brasil são semelhantes aos de outras populações, no entanto não existe um consenso sobre a predisposição por gênero e fatores socioeconômicos nos DD; (III) a cárie teve uma correlação positiva com TD em dentes permanentes (DP) (OR=1,490; 95%, IC:1,209­1,835; p<0.001) e uma correlação negativa em DD (OR=0,706; 95%, IC:0,550­0,906; p=0.006); (IV) A fratura de esmalte / dentina com exposição da polpa (n = 51) e intrusão (n = 131) foram as lesões mais comuns no tecido dentário e de suporte, respectivamente. Meninas (OR= ,822; IC=1,050-3,164; p=0,033) na faixa etária de 4­6 anos (OR = 2,15; IC =1,239­3,747; p=0,007) possuíram mais chances de sofrer concussão. Crianças, entre 4-6 anos, possuem menor chance de sofrer intrusão (OR=0,496; IC=0,278­0,886; p=0,018); (V) DP possuem significativamente mais sequelas do que DD (p=0,004), além disso, o nível de intrusão e a direção da coroa não influenciaram a ocorrência de sequelas (p>0,05); (VI) Meninos (65,6%) e crianças de 0 a 3 anos (39,7%) apresentaram mais lesões em tecidos moles. A busca pelo cuidado imediato foi estatisticamente influenciada pela presença dessas injúrias (p <0,05); (VII) 54,9% dos cuidadores não sabiam o que era um protetor bucal e nenhum dos adolescentes entrevistados utiliza protetor bucal durante atividade esportiva. Conclui-se que a qualidade de vida é influenciada direta e indiretamente por características ambientais, pela saúde bucal e pelas características individuais dos pacientes; os fatores de risco para o Brasil são semelhantes aos encontrados ao redor do mundo, com exceção do gênero e fatores socioeconômicos para DD; a cárie possui uma relação positiva com TD nos DP e negativa com os DD; o gênero e a idade são considerados fatores de risco para concussão e intrusão nos DD; o nível de intrusão e deslocamento da coroa não influenciaram as sequelas, porém DP possuem mais sequelas do que DD; as injúrias aos tecidos moles influenciou a busca por cuidado imediato, sendo mais frequentes em meninos e crianças mais novas; cuidadores e adolescentes possuem pouco conhecimento sobre protetores bucais. (AU)


This study aimed to study orofacial trauma in children and adolescents by evaluating (a): (I) clinical factors, individual characteristics and environmental factors related to oral health in the quality of life of children and adolescents;; (II) literature on the risk factors for dental trauma (DT) in the Brazilian population; (III) scientific evidence to support the presence of dental caries as a predisposing factor to DT; (IV) frequency and factors predisposing to DT in primary teeth (pT); (V) intrusions, occurrence of sequels, treatments and predisposing factors; (VI) soft tissue injuries due to orofacial trauma in children and adolescents; (VII) knowledge of those responsible and patients, between 9 and 15 years, on mouth guards. Two reviews were made, one narrative and one systematic and five observational studies. The results were: (I) quality of life is influenced directly and indirectly by environmental characteristics, oral health and individual characteristics of patients; (II) risk factors for DT in Brazil are similar to those of other populations, however, there is no consensus on the predisposition for gender and socioeconomic factors in pT; (III) caries had a positive correlation with TD in permanent teeth (PT) (OR = 0.496, 95%, CI: 1.209-1.835, p <0.001) and a negative correlation in pT (OR = 0.706, 95%, CI 0.550-0.906, p = 0.006); (IV) Enamel/dentine fracture with pulp exposure (n=51) and intrusion (n=131) were the most common injuries of dental and support tissues, respectively. Girls (OR = 822, CI = 1.050-3.164, p = 0.033) in the 4-6 year age group (OR = 2.15, CI = 1.239- 3.747, p = 0.007) were more likely to suffer concussion; (V) PT have significantly more sequelae than pT (p = 0.004), in addition, the level of intrusion and the direction of the crown did not influence the occurrence of sequelae (P> 0.05); (VI) Boys (65.6%) and children 0-3 years old (39.7%) had more soft tissue lesions. The search for immediate care was statistically influenced by the presence of these injuries (p <0.05); (VII) 54.9% of caregivers did not know what a mouthguard was, and none of the adolescents interviewed used a mouthguard during sports activities. It is concluded that the quality of life is influenced directly and indirectly by environmental characteristics, oral health and individual characteristics of patients; The risk factors for Brazil are similar to those found around the world, except for gender and socioeconomic factors for pT; Caries has a positive relationship with DT in PT and negative with pT; Gender and age are considered risk factors for concussion and intrusion in pT; The level of intrusion and displacement of the crown did not influence the sequelae, but DP had more sequelae than pT; The soft tissue injuries influenced the search for immediate care, being more frequent in boys and younger children; Caregivers and adolescents have little knowledge about mouth guards. (AU)


Assuntos
Humanos , Masculino , Feminino , Criança , Adolescente , Qualidade de Vida , Saúde Bucal , Traumatismos Dentários/etiologia , Senso de Coerência , Fatores de Risco
19.
Dent Traumatol ; 32(1): 48-51, 2016 Feb.
Artigo em Inglês | MEDLINE | ID: mdl-26360926

RESUMO

BACKGROUND/AIM: Soft tissue injuries (STI) are common in children and adolescents. This retrospective study evaluated the frequency of STI, gender, type of injury, and its location in pediatric patients, comparing the different age groups and how the presence of these lesions influences the pursuit for immediate care. MATERIAL AND METHODS: Medical records of patients 0-15 years old who had been treated between 2005 and 2013 at the Dental Trauma Surveillance Center, School of Dentistry, Universidade Federal do Rio de Janeiro were included in this study. Records with incomplete data and those in which the patient took more than 2 weeks to seek attendance were excluded. The data collected included the age and gender of the patient, the frequency, type and location of the injury, and immediate treatment (<24 h). Data were analyzed descriptively and with the chi-square test (P ≤ 0.05). RESULTS: Of the 543 patients who met the eligibility criteria, 56.2% had STI, and males (65.6%), and the age group of 0-3 years (39.7%) were the most affected. The concomitant presence of lesions in the intra- and extra-oral region was the most frequent in all age groups. In the extra-oral region, contusion (20.7%) and abrasion (19.3%) were more common to the upper lip and laceration to the lower lip (18.4%). In the intra-oral region, the injury was more frequent to the gums (41%), while the lips were the most affected by abrasion (12.2%) and laceration (24.9%). Regardless of the age groups, the pursuit for immediate care was statistically influenced by the presence of soft tissue lesions (P < 0.05). CONCLUSION: We conclude that there is a high prevalence of STI in the study sample; the lesions were more common in boys and in patients aged 0-3 years. The presence of STI proved to be a determining factor for the pursuit for immediate care.


Assuntos
Traumatismos Maxilofaciais/epidemiologia , Traumatismos Maxilofaciais/terapia , Lesões dos Tecidos Moles/epidemiologia , Lesões dos Tecidos Moles/terapia , Adolescente , Brasil/epidemiologia , Criança , Pré-Escolar , Feminino , Humanos , Lactente , Recém-Nascido , Masculino , Prevalência , Estudos Retrospectivos , Fatores Sexuais
20.
Rev. Bras. Odontol. Leg. RBOL ; 3(2): 83-91, 2016. tab
Artigo em Português | LILACS | ID: biblio-831255

RESUMO

Introdução: É dever do cirurgião-dentista ser capaz de identificar lesões provenientes de abuso sexual infantil, uma vez que grande parte das mesmas ocorrem nos campos de trabalho deste profissional. Objetivos: O presente trabalho visa, por meio de revisão da literatura, apontar o papel do dentista ao se deparar com lesões provenientes de abuso sexual infantil. Material e método: Informações provenientes de legislação e literatura especializada nacional, relativas ao tema, foram compiladas. Visto que, em suagraduação, os cirurgiões-dentistas recebem pouca ou nenhuma base referente às principais manifestações físicas e psicológicas em situações de abuso sexual, muitos acabam por não conseguirem diagnosticar e, consequentemente, não cumprem seu papel de notificar casos suspeitos, seja por medoou por desconhecer sua obrigação diante deste tipo de violência. Resultados e conclusão: É necessárioque profissionais da Odontologia sejam conscientizados durante sua graduação, para que, depois deformados, não sejam omissos. Portanto, é de extrema importância que o tema passe a compor o plano deensino de todas as instituições, especialmente nas disciplinas de Odontologia Legal e Odontopediatria.


Introduction: All dentists must be able to diagnose lesions from child sexual abuse, once many of the moccur in the working fields of this professional. Objectives: This study aims, through literature review, topoint out the role of the dentist when faced with injuries from child sexual abuse. Method: Information from legislation and national literature on the subject was compiled. Since at her graduation, dentists receivelittle or no basis concerning the main physical and psychological manifestations in sexual abuse situation,and many end up failing to diagnose and therefore do not fulfill their role to notify suspected cases, eitherby fear or by ignoring its obligation on this type of violence. Results and conclusion: Dental professionalsmust be prepared during dental school, so as not to fail after graduation. Therefore, it is of utmostimportance that the issue become part of the teaching plan of all institutions, especially in the disciplines offorensic dentistry and pediatric dentistry.


Assuntos
Abuso Sexual na Infância/diagnóstico , Notificação de Abuso , Odontologia Legal/métodos , Responsabilidade Social
SELEÇÃO DE REFERÊNCIAS
DETALHE DA PESQUISA
...