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1.
BMC Oral Health ; 24(1): 255, 2024 Feb 20.
Artigo em Inglês | MEDLINE | ID: mdl-38378507

RESUMO

BACKGROUND: Edentulism is one of the most commonly encountered conditions affecting the oral cavity. Dental implants have emerged as a widely accepted treatment option prosthodontically. However, lack of public awareness and the cost of the treatment act as barriers to limit their applicability. OBJECTIVES: To investigate the perception, sentiments, and level of awareness toward dental implants among the general population in Sulaimaniyah City, Iraq. MATERIALS AND METHODS: A questionnaire-based survey was conducted on 1132 participants in Sulaimaniyah City, Iraq, from February 15, 2023, till August 15, 2023, to collect their sociodemographic data, knowledge and attitudes toward dental implants for their missing tooth/teeth. RESULTS: The mean age of participants was 41.3 ± 14.6 years, and most (30.7%) belong to the age group 31-44 years. Also, most of them were males (63.6%), married (75.3%), educated (91.3%), from rural areas (82.3%), and had > 1 missing tooth (75%). Regarding the participants' knowledge of dental implants, most had information (78.4%)/heard about it (83.3%), mainly from dentists (43.6%); however, least of them (21.5%) /their family members (43%) had replaced missing teeth by dental implants. Additionally, the participant's attitudes toward the dental implant indicated that most of them were interested in replacing their missing teeth (88.8%) but did not do it due to financial reasons (87%) and considered replacement as a significant (92.5%) and safe process (79.2%). Also, most of them thought there was no substantial difference between artificial and natural tooth appearance/function (47.9%), preferred the delayed implant for dental implant (47.7%), and would like to do an implant due to problems in dental appearance, speech, or dental function (81.5%). Finally, significant/highly significant differences were seen between each participant's factor (age, gender, marital status, education level, and residency) with most items of attitude/awareness toward dental implants. CONCLUSIONS: Most participants were aware of the knowledge and attitude of dental implants for replacing missing tooth/teeth, especially males, married ones, educated individuals, and those from urban areas; however, financial problems are the main obstacle. Additionally, the delayed implant is preferable for replacing missing tooth/teeth using dental implants among studied individuals.


Assuntos
Implantes Dentários , Perda de Dente , Masculino , Humanos , Adulto , Pessoa de Meia-Idade , Feminino , Iraque , Atitude Frente a Saúde , Conhecimentos, Atitudes e Prática em Saúde , Perda de Dente/terapia , Percepção
2.
BMC Geriatr ; 22(1): 820, 2022 10 24.
Artigo em Inglês | MEDLINE | ID: mdl-36280835

RESUMO

BACKGROUND: Tooth loss has been reportedly associated with shorter disability-free life expectancy (DFLE). However, no study has explored whether oral self-care offsets reduction in DFLE. The present study aimed to assess the association between oral self-care and DFLE in older individuals with tooth loss. METHODS: Data on the 13-year follow-up from a cohort study of 14,206 older Japanese adults aged ≥ 65 years in 2006 were analyzed. Information on the number of remaining teeth was collected using a questionnaire, and the participants were then categorized into three groups (0-9, 10-19, and ≥ 20 teeth). Additionally, "0-9" and "10-19" groups were divided into two subgroups based on whether they practiced oral self-care. DFLE was defined as the average number of years a person could expect to live without disability, and was calculated by the multistate life table method based on a Markov model. RESULTS: DFLE (95% confidence interval) was 19.0 years (18.7-19.4) for 0-9 teeth, 20.1 (19.7-20.5) for 10-19 teeth, and 21.6 (21.2-21.9) for ≥ 20 teeth for men. For women, DFLE was 22.6 (22.3-22.9), 23.5 (23.1-23.8), and 24.7 (24.3-25.1), respectively. Practicing oral self-care was associated with longer DFLE, by 1.6-1.9 years with brushing ≥ 2 times a day in people with 0-9 and 10-19 teeth, and by 3.0-3.1 years with the use of dentures in those with 0-9 teeth. CONCLUSIONS: Practicing oral self-care is associated with an increase in DFLE in older people with tooth loss.


Assuntos
Pessoas com Deficiência , Perda de Dente , Masculino , Humanos , Feminino , Idoso , Expectativa de Vida , Perda de Dente/epidemiologia , Perda de Dente/terapia , Estudos de Coortes , Expectativa de Vida Saudável , Autocuidado , Estudos Prospectivos , Japão/epidemiologia
3.
Zhonghua Kou Qiang Yi Xue Za Zhi ; 57(8): 874-879, 2022 Aug 09.
Artigo em Chinês | MEDLINE | ID: mdl-35970785

RESUMO

Periodontitis is a common chronic infectious disease, so as to be the leading cause of tooth loss in adults. Numerous studies have confirmed the interrelationship between periodontitis and systemic diseases. However, evidence-based reviews reporting the interrelationship between them and treatment strategies for periodontitis with systemic diseases were still absent currently. Therefore, based on evidence-based medical researches in recent years, this article will summarize the interrelationship between periodontitis and systemic diseases, and briefly state the treatment strategies for periodontitis with systemic diseases.


Assuntos
Periodontite , Perda de Dente , Adulto , Humanos , Periodontite/complicações , Periodontite/terapia , Perda de Dente/complicações , Perda de Dente/terapia
4.
J Periodontol ; 93(1): 45-56, 2022 01.
Artigo em Inglês | MEDLINE | ID: mdl-34405417

RESUMO

BACKGROUND: To evaluate periodontal disease progression (PDP) and potentially detectable effects of a single episode of scaling and root planing (se-SRP) in subjects lacking professional dental care and oral hygiene practices for >40 years. METHODS: In 2013, se-SRP was offered to all available subjects from the original cohort of 480 males initially established in 1970. From a total of 75 attending the previous examination in 2010 (baseline), 27 consented to receive the intervention while 18 declined and served as controls. Clinical data were recorded again in 2014 (follow-up) similarly to the previous surveys (1970 to 2010). RESULTS: Subjects' mean age in 2010 was 62.5 (± 3.6, test) and 61.9 (± 3.8, control) years. At follow-up, both groups presented with elevated tooth loss of 1.2 (from 15.5 ± 9.0, test) and 1.5 (from 17.9 ± 6.6, control) resulting in 1,392 (test) and 1,061 (control) sites available for further analysis. In both groups, clinical attachment level (CAL) loss and probing depths (PD) deteriorated. PD increase of 0.22 mm (± 1.70) in the test group was significantly higher compared with the control group (0.08 mm ± 1.30) (P <0.0001) demonstrating unaffected PDP. Computed estimates of further PDP revealed CAL and PD reductions in subjects aged ≥40 years. Specifically, the latter was positively correlated with tooth loss in subjects aged ≥40 years (P = 0.69, P = 0.0012) and ≥50 years (r = 0.62, P <0.0001). CONCLUSION: se-SRP in previously untreated periodontitis subjects aged ≥50 years may be ineffective in reducing PDP thus demanding advanced preventive measures, treatment in the first half of life, and sustained access to supportive care.


Assuntos
Raspagem Dentária , Perda de Dente , Raspagem Dentária/métodos , Progressão da Doença , Feminino , Seguimentos , Humanos , Masculino , Perda da Inserção Periodontal/tratamento farmacológico , Bolsa Periodontal/tratamento farmacológico , Aplainamento Radicular/métodos , Sri Lanka , Chá , Perda de Dente/terapia
5.
Transplant Proc ; 52(8): 2558-2562, 2020 Oct.
Artigo em Inglês | MEDLINE | ID: mdl-32249056

RESUMO

Patients eligible for solid organ transplant often lose their teeth and show numerous caries as well as periodontal and mucous membrane pathologies. The conventional methods of restoring teeth, including bridges and removable dentures, may result in progress of periodontal disease or even the creation of local source of general infection. Dental implants are not recognized as a therapeutic method in solid organ transplant recipients receiving immunosuppression because of the possibility of implant osseointegration disorders and suspicion as to the possibility of dysfunction of the transplanted organ and the spread of systemic infection. The authors present a case of the patient after liver transplant receiving immunosuppression treatment, who benefits from dental implants because of tooth loss. Three dental implants introduced because of the conventional loading protocol were healed and have osseointegrated without complication. Dental crown supported on them have restored the dental arches of the patient with good esthetic and functional effect. The results of treatment were stable in the 2-year follow-up period. No local signs of infection or general health disturbance were found. The function of the transplanted liver was unaffected.


Assuntos
Implantes Dentários , Transplante de Fígado/efeitos adversos , Doenças Periodontais/terapia , Complicações Pós-Operatórias/terapia , Perda de Dente/terapia , Seguimentos , Humanos , Terapia de Imunossupressão/efeitos adversos , Masculino , Pessoa de Meia-Idade , Osseointegração , Doenças Periodontais/etiologia , Complicações Pós-Operatórias/etiologia , Perda de Dente/etiologia , Resultado do Tratamento
6.
Prensa méd. argent ; 106(2): 96-102, 20200000. fig
Artigo em Inglês | LILACS, BINACIS | ID: biblio-1369351

RESUMO

Nowadays, a lot of people need in reconstruction of the teeth in connection with their loss. Before prosthetics or any other manipulations, a person wants to quickly see the aesthetic appearance of his future tooth. At the moment, many dentists use the option of verbal explanation to the patient, what will look like a smile or a front row of teeth after treatment, but the visual representation of the person remains aside. But now this can be achieved with the help of "Digital smile design", which shows the person the final result of the dentition. This technology has a number of advantages. Some of them are the rapid creation of a prototype model and high accuracy in the manufacture of work. Thanks to these technologies, communication between the specialist and the patient has been facilitated. The digital smile design has simplified the doctor's work process and reduced patient data processing time. From now on, achieving aesthetic results in the reconstruction of teeth for the dentist is not a problem.


Assuntos
Humanos , Tomada de Decisões Assistida por Computador , Perda de Dente/terapia , Planejamento de Dentadura/métodos , Planejamento de Prótese Dentária/métodos , Desenho Assistido por Computador , Estudo de Prova de Conceito
7.
Rev. Salusvita (Online) ; 39(1): 141-151, 2020.
Artigo em Português | LILACS | ID: biblio-1140266

RESUMO

Hoje em dia no consultório a indicação de uma prótese fixa em cantilever, ainda gera muitas dúvidas, levando o clinico inseguro, muitas vezes a sua contra indicação. Com intuito de esclarecer as características relacionadas à prótese parcial fixa em cantilever realizou- -se uma revisão de literatura. Uma busca foi realizada nas bases de dados Scielo e Pubmed usando-se as palavras-chaves: Prótese fixa, cantilever, dentes suportes. Os artigos dentro do escopo do estudo foram selecionados e pode-se concluir que estas próteses são uma excelente alternativa conservadora para restabelecimento de dentes perdidos, porém para obtenção de resultados satisfatórios com boa longevidade, especial atenção deve ser desprendida aos princípios biomecânicos dos preparos e um controle rigoroso de placa bacteriana deve ser estabelecido.


Actuality the use of Fixed Partial Denture with Cantilever until causes many doubts, making de dentist do not indicate this treatment. To making clear the characteristics relation to this prosthesis, was done a literature review. A search was performed in the Scielo and Pubmed databases using the keywords: Fixed prosthesis, cantilever, supporting teeth. The articles within the scope of the study were selected and it can be concluded that these were an alternative excellent to reestablish the follow teeth, therefore to obtain the good results with respect long-term prosthetic appliances, special attention should be dispensed to the biomechanics principles and optimal hygiene with plaque control should be established.


Assuntos
Humanos , Prótese Parcial Fixa , Perda de Dente/terapia , Dente Suporte
8.
J Endod ; 45(12S): S57-S65, 2019 Dec.
Artigo em Inglês | MEDLINE | ID: mdl-31623910

RESUMO

Teeth are vital sensory organs that contribute to our daily activities of living. Unfortunately, teeth can be lost for several reasons including trauma, caries, and periodontal disease. Although dental trauma injuries and caries are more frequently encountered in a younger population, tooth loss because of periodontal disease occurs in the older population. In the dental implant era, the trend sometimes seems to be to extract compromised teeth and replace them with dental implants. However, the long-term prognosis of teeth might not be comparable with the prognosis of dental implants. Complications, failures, and diseases such as peri-implantitis are not uncommon, and, despite popular belief, implants are not 99% successful. Other treatment options that aim to save compromised or diseased teeth such as endodontic treatment, periodontal treatment, intentional replantation, and autotransplantation should be considered on an individual basis. These treatments have competing success rates to dental implants but, more importantly, retain the natural tooth in the dentition for a longer period of time. These options are important to discuss in detail during treatment planning with patients in order to clarify any misconceptions about teeth and dental implants. In the event a tooth does have to be extracted, procedures such as decoronation and orthodontic extrusion might be useful to preserve hard and soft tissues for future dental implant placement. Regardless of the treatment modality, it is critical that strict maintenance and follow-up protocols are implemented and that treatment planning is ethically responsible and evidence based.


Assuntos
Implantes Dentários , Peri-Implantite , Doenças Periodontais , Perda de Dente , Dente , Humanos , Perda de Dente/terapia
9.
BMC Cardiovasc Disord ; 19(1): 98, 2019 04 27.
Artigo em Inglês | MEDLINE | ID: mdl-31029089

RESUMO

BACKGROUND: The association between dental health and coronary artery disease (CAD) remains a topic of debate. This study aimed to investigate the association between dental health and obstructive CAD using multiple dental indices. METHODS: Eighty-eight patients (mean age: 65 years, 86% male) were prospectively enrolled before undergoing coronary CT angiography (n = 52) or invasive coronary angiography (n = 36). Obstructive CAD was defined as luminal stenosis of ≥50% for the left main coronary artery or ≥ 70% for the other epicardial coronary arteries. All patients underwent thorough dental examinations to evaluate 7 dental health indices, including the sum of decayed and filled teeth, the ratio of no restoration, the community periodontal index of treatment needs, clinical attachment loss, the total dental index, the panoramic topography index, and number of lost teeth. RESULTS: Forty patients (45.4%) had obstructive CAD. Among the 7 dental health indices, only the number of lost teeth was significantly associated with obstructive CAD, with patients who had obstructive CAD having significantly more lost teeth than patients without obstructive CAD (13.08 ± 10.4 vs. 5.44 ± 5.74, p < 0.001). The number of lost teeth was correlated with the number of obstructed coronary arteries (p < 0.001). Multiple binary logistic regression analysis revealed that having ≥10 lost teeth was independently associated with the presence of obstructive CAD (odds ratio: 8.02, 95% confidence interval: 1.80-35.64; p = 0.006). CONCLUSIONS: Tooth loss was associated with the presence of obstructive CAD in patients undergoing coronary evaluation. Larger longitudinal studies are needed to determine whether there is a causal relationship between tooth loss and CAD.


Assuntos
Estenose Coronária/complicações , Saúde Bucal , Perda de Dente/complicações , Idoso , Angiografia por Tomografia Computadorizada , Angiografia Coronária/métodos , Estenose Coronária/diagnóstico por imagem , Cárie Dentária/diagnóstico , Cárie Dentária/terapia , Restauração Dentária Permanente , Feminino , Humanos , Masculino , Pessoa de Meia-Idade , Tomografia Computadorizada Multidetectores , Índice Periodontal , Radiografia Panorâmica , Medição de Risco , Fatores de Risco , Seul , Índice de Gravidade de Doença , Perda de Dente/diagnóstico , Perda de Dente/terapia
10.
Int J Prosthodont ; 32(32): 214-216, 2019.
Artigo em Inglês | MEDLINE | ID: mdl-30856651

RESUMO

Patients presenting both severe maxillary atrophy and dental malposition require a multidisciplinary treatment approach to achieve optimal esthetic and functional results. This case history report demonstrates how digital treatment planning and teeth set-up can serve as a reference for surgical, orthodontic, and prosthodontic procedures, leading to an all-ceramic full-arch implant-supported fixed prosthesis.


Assuntos
Periodontite Crônica/complicações , Periodontite Crônica/terapia , Prótese Dentária Fixada por Implante/métodos , Planejamento de Assistência ao Paciente , Equipe de Assistência ao Paciente , Impressão Tridimensional , Adulto , Estética Dentária , Feminino , Humanos , Má Oclusão/complicações , Atrofia Periodontal/etiologia , Perda de Dente/etiologia , Perda de Dente/terapia
11.
J Investig Med ; 67(3): 669-673, 2019 03.
Artigo em Inglês | MEDLINE | ID: mdl-30344140

RESUMO

There is mixed evidence regarding the impact of poor dental health on cardiovascular disease and other health outcomes. Our objective was to determine the outcomes associated with poor dental health among hospitalized patients with and without diabetes mellitus (DM) at our institution. We enrolled a consecutive sample of adult patients admitted to an academic medical center. We gathered demographic, health and dental information, reviewed their medical records and then examined their teeth. We analyzed data using SPSS V.24. There was a high prevalence of dental loss among all hospitalized patients. Older age (p<0.001), smoking (p=0.034), having DM (p=0.001) and lower frequency of teeth brushing (p<0.001) were predictors of having a lower number of healthy teeth. Among DM and non-DM patients, fewer remaining healthy teeth was associated with presence of heart disease (p=0.025 and 0.003, respectively). Patients with diabetes mellitus (DM) had a higher prevalence of stroke (p=0.006) while patients without DM had a higher number of discharge medications (p=0.001) associated with having fewer number of healthy teeth. There was no correlation between number of healthy teeth and the length or frequency of hospitalization. Patients with DM are more likely to have fewer number of healthy teeth compared with non-DM patients. Fewer number of healthy teeth was associated with higher prevalence of heart disease in both DM and non-DM patients and with more discharge medications in non-DM patients.


Assuntos
Diabetes Mellitus/diagnóstico , Diabetes Mellitus/epidemiologia , Hospitalização/tendências , Perda de Dente/diagnóstico , Perda de Dente/epidemiologia , Adulto , Idoso , Estudos Transversais , Diabetes Mellitus/terapia , Feminino , Humanos , Masculino , Pessoa de Meia-Idade , Fatores de Risco , Perda de Dente/terapia , Resultado do Tratamento
12.
J Prosthodont ; 28(1): e434-e439, 2019 Jan.
Artigo em Inglês | MEDLINE | ID: mdl-29067787

RESUMO

PURPOSE: To determine the impact of removable partial dental prostheses on satisfying the daily functioning and quality of life (QoL) of adult patients with different distributions of missing posterior teeth. MATERIALS AND METHODS: A cross-sectional interventional study was carried out on 80 patients having variously distributed posteriorly shortened and interrupted arches. Treatment comprised provision of partial dentures by senior dental students, supervised by senior clinical teachers who had knowledge of the potential benefits of the shortened dental arch (SDA) concept. The Oral Impacts on Daily Performance Index was completed before and 6 months after prosthetic treatment across groups comprising Kennedy Classes I, II, and III arches. Analysis included descriptive statistics and associations and comparisons between variables. RESULTS: Mean age of patients was 57.4 years (SD = 13.1), many were retired (72.2%), and a majority were females (60%). Most patients lived in urban areas (95%), and were largely unemployed (63.3%). At pretreatment, only 31.3% of patients reported having good dental health and satisfaction with their current oral state, while 82.5% said they had a great need for treatment. The negative oral impacts that were most frequently experienced were those of eating (67.5%), smiling (50%), and being emotionally disturbed (63.8%). Post-treatment, 76.3% indicated good oral health and satisfaction with no significant differences between the 3 Kennedy groups. Any further negative impacts were reported mostly for Kennedy Classes I and II. CONCLUSIONS: Overall, significant reductions of negative impacts were observed following treatment with dentures, across the 3 Kennedy groups, with respect to improved function, satisfaction, and oral health-related QoL. The findings confirm the reliance by partially dentate patients in all 3 Kennedy groups on dentures for improved oral health, although the possible benefits of the SDA concept as an alternative treatment option was not specifically explored.


Assuntos
Prótese Parcial Removível/psicologia , Qualidade de Vida/psicologia , Atividades Cotidianas/psicologia , Adulto , Idoso , Idoso de 80 Anos ou mais , Estudos Transversais , Feminino , Humanos , Masculino , Pessoa de Meia-Idade , África do Sul , Inquéritos e Questionários , Perda de Dente/psicologia , Perda de Dente/terapia
13.
Epidemiol Serv Saude ; 27(4): e2018102, 2018 12 13.
Artigo em Inglês, Português | MEDLINE | ID: mdl-30570034

RESUMO

OBJECTIVE: to analyze factors associated with the need for dental treatment in adults due to dental caries and tooth loss. METHODS: this was a cross-sectional study with a random sample of adults attending Fluminense Federal University School of Dentistry outpatient clinics, in Niterói, RJ, between July and December 2013; we used data collected from clinical records; a questionnaire was administered in interviews; logistic regression analysis was performed to obtain crude and adjusted odds ratios (OR). RESULTS: 212 individuals participated, 71.7% were women; the prevalence of need for dental treatment was 56.1% (95%CI 49.4;62.7); need for treatment was lower in individuals with higher family income (OR=0.53 - 95%CI 0.28;0.98), and higher in women (OR=2.28 - 95%CI 1.21;4.32). CONCLUSION: prevalence of need for treatment in adults was high, especially in women and people with lower family income.


Assuntos
Assistência Odontológica/estatística & dados numéricos , Cárie Dentária/terapia , Perda de Dente/terapia , Adolescente , Adulto , Brasil/epidemiologia , Estudos Transversais , Cárie Dentária/epidemiologia , Feminino , Humanos , Renda , Modelos Logísticos , Masculino , Pessoa de Meia-Idade , Prevalência , Fatores Sexuais , Fatores Socioeconômicos , Inquéritos e Questionários , Perda de Dente/epidemiologia , Adulto Jovem
14.
Cient. dent. (Ed. impr.) ; 15(3): 201-208, sept.-dic. 2018. tab
Artigo em Espanhol | IBECS | ID: ibc-182253

RESUMO

El objetivo de este trabajo es revisar la literatura científica disponible sobre las consideraciones odotológicas y las manifestaciones orales que pueden presentar los pacientes con EPOC. Para ello se revisaron los artículos disponibles en Pubmed. De los resultados destacamos que los principales factores de riesgo de la EPOC son el tabaco y la edad. En España se prevé un aumento de pacientes con EPOC debido al envejecimiento paulatino de la población. En la práctica odontológica hay un promedio de 130 pacientes con EPOC de cada 2.000 pacientes que acuden a la consulta. El dentista debe llevar a cabo el tratamiento odontológico siguiendo las consideraciones pre, intra y postoperatorias propuestas para los pacientes con EPOC, e identificar aquellos que son inestables para posponer la cita o considerar su hospitalización. Las lesiones orales más frecuentes son la enfermedad periodontal, xerostomía, caries, y erosiones del esmalte. Conclusiones: Dada la alta prevalencia de la EPOC es necesario tener en cuenta ciertas precauciones a la hora de realizar el tratamiento dental y las contraindicaciones farmacológicas en estos pacientes. El dentista debe estar familiarizado con esta enfermedad y promover la salud oral en estos pacientes


The aim purpose of this work was to review the available scientific literature on the odontologic considerations and oral lesions that can present a patient with COPD. In order to do so, the available articles were checked in Pubmed. The principal risk factors for COPD include smoking and age. In Spain, an increase in the number of patients with COPD is expected due to the gradual aging of the population. In dental practice there is an average of 130 patients with COPD out of every 2000 patients who come to the dental clinic. The dentist must carry out the dental treatment following the considerations proposed for patients with COPD and identify the unstable patients to postpone the dental appointment or consider their hospitalization. The most frequent oral lesions are periodontal disease, xerostomia, caries and enamel erosions. Conclusions: Given the high prevalence of COPD, it is necessary to take into account certain precautions when performing dental treatment and pharmacological contraindications in these patients. The dentist should be familiar with this illness and promote the oral health in these patients


Assuntos
Humanos , Doença Pulmonar Obstrutiva Crônica/complicações , Perda de Dente/complicações , Perda de Dente/terapia , Doença Pulmonar Obstrutiva Crônica/epidemiologia , Doença Pulmonar Obstrutiva Crônica/fisiopatologia
15.
Rev. Círc. Argent. Odontol ; 76(226): 11-16, jul. 2018. ilus
Artigo em Espanhol | LILACS | ID: biblio-1122038

RESUMO

La pérdida de piezas permanentes en el sector anterior sigue siendo una preocupación clínica en el tratamiento odontológico de niños y adolescentes. Es importante destacar que la pubertad y la adolescencia son etapas donde las relaciones con los pares son de suma importancia. Las restauraciones protéticas convencionales no cumplen las expectativas estéticas, pero siguen siendo el tratamiento de elección, ya que los implantes solo pueden ser realizados una vez finalizados el crecimiento y el desarrollo. Los sistemas adhesivos mediante cinta de fibra de vidrio han simplificado el trabajo, brindando una alternativa intermedia conservadora y estética. El objetivo de este trabajo es presentar la resolución clínica en dos pacientes que concurrieron a la Cátedra de Odontología Integral Niños luego de haber sufrido traumatismos que provocaron la pérdida de piezas dentarias permanentes logrando la restitución de la longitud de arco, la devolución de la estética y la fonación con la colocación de una prótesis tipo Maryland, realizada con cinta de fibra de vidrio preimpregnada con resina compuesta (AU)


Premature loss of anterior permanent teeth is still a cause for concern in dental treatment of children and adolescents. Social relationships with peers are particularly important during puberty and adolescence. Removable prosthesis has always been a choice but they may not satisfy patients' esthetic expectations and dental implants can only be placed after the jaw has finished growing. Adhesive directly bonded splints with glass fibers reinforced composite resins can be an alternative to conventional space maintainers. The aim of this report is to describe the treatment of two patients who attended at the Department of Comprehensive Children´s Dentistry after suffering traumatic dental injuries using bridges as an approach to restore arch length, esthetics and function (AU)


Assuntos
Humanos , Masculino , Feminino , Adolescente , Perda de Dente/terapia , Resinas Compostas , Assistência Odontológica para Crianças/métodos , Estética Dentária , Argentina , Faculdades de Odontologia , Avulsão Dentária/terapia , Condicionamento Ácido do Dente , Colagem Dentária , Cimentação , Prótese Parcial , Polimerização , Vidro
17.
Med Oral Patol Oral Cir Bucal ; 23(2): e203-e210, 2018 Mar 01.
Artigo em Inglês | MEDLINE | ID: mdl-29476679

RESUMO

BACKGROUND: This study aimed to explore the association between tooth loss and social determinants, health self-perceptions, OIDP and self-concept of dental treatment need in middle-aged adults with diabetes and hypertension. MATERIAL AND METHODS: A cross-sectional study was developed with 212 hypertensive and diabetic middle-aged adults (50-65 years). Data were collected from clinical examinations (DMFT) and a questionnaire regarding socioeconomic status, dental health assistance, self-perceptions of oral and general health, OIDP, and the self-concept of dental treatment need. Tooth loss was dichotomized considering the cutoff point of 12 (Model I) or 24 missing teeth (Model II). Data were analyzed using Chi-square, Fisher's exact test and logistic regression (p≤0.05). RESULTS: Tooth loss was significantly associated with variables such as last dental visit, reason for dental visit, OIDP, perception of dental treatment need, and general self-perception (Model I). Schooling, last dental visit, oral health self-perception and perception of dental treatment need were significantly associated with tooth loss in the Model II. When Model 1 and 2 were adjusted, they demonstrated that last dental visit and perception of dental treatment need were predictor variables. CONCLUSIONS: The annual dental visit and the self-concept of dental treatment need were associated with tooth loss, demonstrating that these variables reduce the tooth loss prevalence.


Assuntos
Complicações do Diabetes/etiologia , Complicações do Diabetes/terapia , Hipertensão/complicações , Perda de Dente/etiologia , Perda de Dente/terapia , Atividades Cotidianas , Idoso , Atitude Frente a Saúde , Estudos Transversais , Feminino , Humanos , Masculino , Pessoa de Meia-Idade , Saúde Bucal , Autoimagem , Determinantes Sociais da Saúde
18.
Am J Orthod Dentofacial Orthop ; 153(2): 278-289, 2018 Feb.
Artigo em Inglês | MEDLINE | ID: mdl-29407506

RESUMO

A 49-year-old woman with several missing and periodontically compromised teeth was referred to the orthodontic department of National Health Insurance Service Ilsan Hospital by the periodontic department for interdisciplinary treatment. Multiple posterior teeth had been extracted 10 days earlier. Her chief complaint was crowding of the anterior teeth, and she wanted to improve both esthetics and function. Orthodontic, periodontic, and prosthodontic treatments were undertaken in the proper timing and sequence with an interdisciplinary approach. As a result, improved periodontal health and a stable occlusion and vertical dimension were achieved. Although there were limited teeth and alveolar bone for anchorage, good esthetic and functional treatment results were obtained through the application of temporary anchorage devices and proper biomechanics.


Assuntos
Comunicação Interdisciplinar , Periodontia/métodos , Periodontite/complicações , Prostodontia/métodos , Perda de Dente/complicações , Cefalometria , Estética Dentária , Feminino , Humanos , Pessoa de Meia-Idade , Periodontite/diagnóstico por imagem , Periodontite/terapia , Radiografia Dentária , Radiografia Panorâmica , Perda de Dente/diagnóstico por imagem , Perda de Dente/terapia
19.
J Periodontal Res ; 53(3): 324-333, 2018 Jun.
Artigo em Inglês | MEDLINE | ID: mdl-29105779

RESUMO

BACKGROUND AND OBJECTIVE: Risk for deterioration in treated aggressive periodontitis (AgP) individuals remained unclear. This retrospective cohort study investigated 7-26 years of periodontal outcomes and oral health-related quality of life (OHRQoL) of young adults with advanced periodontitis. MATERIAL AND METHODS: Eighty-nine previously treated patients with AgP were re-examined. Clinical and radiographic parameters before treatment discontinuation and at re-examination were compared. OHRQoL at re-call was assessed with the short-form Oral Health Impact Profile (OHIP-14S). RESULTS: None of the subjects adhered to suggested periodontal therapy and maintenance after discharge. Mean percentage of sites with probing pocket depth (PPD) ≥6 mm at re-examination was 4.5 ± 5.9%. A total of 182 teeth had been lost over time. Tooth loss rate was 0.14/patient/year. From 68 subjects with documented favorable treatment outcomes, higher percentage of sites with PPD ≥6 mm at re-examination and higher radiographic proximal bone loss was associated with current smoking status. Patients with AgP with <20 teeth at re-call had worse OHRQoL than those with ≥20 teeth. Patients with higher full-mouth mean PPD also reported poorer OHRQoL. CONCLUSION: Treatment in patients with AgP who smoke and neglect proper supportive care, risk periodontal disease progression. Substantial tooth loss and higher full-mouth mean PPD led to poorer OHRQoL in this cohort.


Assuntos
Periodontite Agressiva/terapia , Saúde Bucal/estatística & dados numéricos , Perda de Dente/terapia , Adolescente , Adulto , Periodontite Agressiva/diagnóstico , Periodontite Agressiva/epidemiologia , Perda do Osso Alveolar/epidemiologia , Placa Dentária/epidemiologia , Placa Dentária/terapia , Feminino , Seguimentos , Hong Kong/epidemiologia , Humanos , Masculino , Perda da Inserção Periodontal , Índice Periodontal , Bolsa Periodontal/classificação , Bolsa Periodontal/epidemiologia , Qualidade de Vida , Estudos Retrospectivos , Inquéritos e Questionários , Perda de Dente/diagnóstico , Perda de Dente/epidemiologia , Resultado do Tratamento , Adulto Jovem
20.
CCM ; 21(1)2017. tab
Artigo em Espanhol | CUMED | ID: cum-75765

RESUMO

Introducción: la rehabilitación protésica se extiende más allá del diente individual o del área desdentada única, comprende la restauración de la normalidad de las relaciones de los músculos y dientes, de modo que se devuelva la salud bucal, tiene como objetivo la sustitución de los dientes, cuando se encuentran perdidos o ausentes, por medios artificiales capaces de restablecer la función masticatoria, estética y fonética.Objetivos: identificar la necesidad real y sentida de prótesis estomatológica en pacientes mayores de 15 años del Policlínico Universitario III René Vallejo Ortiz.Métodos: se realizó un estudio descriptivo transversal donde del universo de 19 760 personas se examinaron 500 personas que representaron la muestra la cual se escogió de forma aleatoria; se realizó el examen bucal y formulario, se contó con el consentimiento de todos los pacientes seleccionados.Resultados: el sexo femenino representó el 60% de los examinados y el grupo de 35-59 años el 45%. El 56% de los examinados necesitó tratamiento, las prótesis parciales fueron las más necesitadas con 62,5%, el sexo femenino mostró una necesidad real del 64,3% y la necesidad sentida de prótesis estomatológica fue del 51,8%, mayor en el sexo femenino con el 68,9% y en el grupo de edad de 35-59 años con el 56,7%.Conclusiones: más de la mitad de la población examinada necesitó tratamiento protésico de tipo parcial, la necesidad real y sentida de tratamiento fue más notoria en el sexo femenino y en el grupo de edad de 35 a 59 años.(AU)


Introduction: prosthetic rehabilitation extends beyond the individual tooth or the single area without teeth, which includes restoring the normality of the relations of muscles and teeth, as well as the proper oral health, substituting the teeth absent by artificial means and achieving the masticatory, aesthetics and phonetics function.Objective: to identify the real need for stomatology prosthesis in patients older than 15 years of René Vallejo Ortiz University Polyclinic IIIMethod: a cross-sectional descriptive study was done. Of a total of 19.760 individuals, 500 of them were randomly selected, representing the sample. The oral examination was performed considering the informed consent of all patients.Results: the female sex represented 60% and the group of 35-59 years 45%; 56% of the patients needed treatment, partial dentures were the most needed with 62.5%, the female sex showed a real need of 64.3% and the felt need for the prosthesis represented 51.8%, higher in the female sex with 68.9% and in the age group between 35-59 (56.7%).Conclusions: more than half of the population required partial-type prosthetic treatment, the real and felt need for treatment was more evident in the female sex and in the age groupbetween 35-59.


Assuntos
Adulto , Reabilitação Bucal , Prótese Dentária , Saúde Bucal , Perda de Dente/terapia
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