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1.
Rev. ADM ; 77(5): 247-251, sept.-oct. 2020. tab, graf
Artigo em Espanhol | LILACS | ID: biblio-1146814

RESUMO

Introducción: Se ha documentado que, para tener mejores resultados en el control del biofilm oral, es necesario el uso de controles químicos, antes o después del cepillado dental. Entre éstos, encontramos los enjuagues de aceites esenciales. Objetivo: Determinar la actividad del enjuague con aceites esenciales antes o después del cepillado, en el control del biofilm dental. Material y métodos: El estudio se realizó con 27 voluntarios. Los participantes fueron seleccionados y agrupados. El grupo 1 fue el control, que empleó su técnica de cepillado habitual y dos grupos experimentales que, además del cepillado con dentífrico, usaron un enjuague de aceites esenciales durante ocho días, ya sea antes (grupo 2) o después del cepillado dental (grupo 3). La cuantificación del número de superficies teñidas en los tres grupos, tanto el estado inicial como posterior al uso de los enjuagues, se hizo con el índice de O'Leary y un revelador de placa tritonal, el cual permitió la observación del biofilm de forma clínica, así como su grado de patogenicidad. Resultados y conclusión: El análisis estadístico estableció que no existe diferencia significativa entre no usar y usar el enjuague con aceites esenciales antes o después del cepillado (AU)


Introduction: It has been documented that, to have better results in the control of oral biofilm, it is necessary to use chemical control, before or after tooth brushing. Among these, we find the essential oil rinses. Objective: To determine the activity of the rinse with essential oils before or after brushing, in the control of the dental biofilm. Material and methods: The study was conducted with 27 volunteers. The participants were selected and grouped. Group 1 was the control, which used its usual brushing technique and two experimental groups that, in addition to brushing with toothpaste, used a mouthwash of essential oils, for eight days, either before (group 2) or after tooth brushing (group number 3). For the quantification of the number of stained surfaces in the three groups, to record both the initial and subsequent state of the use of the rinses, it was done with the O'Leary index and a tritonal developer, which allowed the observation of the biofilm of clinical form, as well as its degree of pathogenicity. Results and conclusion: The statistical analysis established that there is no significant difference between not using and using the rinse with essential oils before or after brushing (AU)


Assuntos
Humanos , Masculino , Feminino , Adolescente , Adulto , Óleos Voláteis , Biofilmes , Antissépticos Bucais/uso terapêutico , Escovação Dentária , Índice de Higiene Oral , Análise Estatística , Estudos Prospectivos , Análise de Variância , Estudos Longitudinais , Placa Dentária , México
2.
Rev. habanera cienc. méd ; 19(5): e3079, sept.-oct. 2020. ilus
Artigo em Espanhol | LILACS, CUMED | ID: biblio-1144687

RESUMO

RESUMEN Introducción: los agrandamientos gingivales suelen tratarse a través de terapias quirúrgicas de gingivectomías; su tratamiento no quirúrgico mecánico también es una opción sobre todo en los casos de gingivitis asociada a la pubertad como consecuencia de los cambios hormonales. Objetivo: describir el tratamiento no quirúrgico de una paciente de 12 años con agrandamiento gingival asociado a la pubertad y lesiones gingivales inducidas por biofilm dental. Presentación del caso: el caso presentó un agrandamiento gingival leve localizado que remitió al cabo de un mes a la primera fase de tratamiento, después de tres sesiones de fisioterapias con la remoción de biofilm calcificado se obtuvo una reducción del porcentaje del índice de higiene oral sin requerir intervención quirúrgica. A los cuatro años de seguimiento se observó reducción completa del agrandamiento gingival y bolsas periodontales. Conclusiones: la terapia periodontal mecánica es una alternativa eficaz en la reducción de la inflamación gingival inducida por hormonas durante la pubertad sin la necesidad de requerir intervenciones quirúrgicas para el tratamiento del agrandamiento gingival. Otras alternativas como las gingivectomías son aplicables; sin embargo requieren procedimientos más complejos, costosos y aumento de la morbilidad del paciente; en ese sentido el tratamiento mecánico no quirúrgico se muestra como una opción viable(AU)


ABSTRACT Introduction: Gingival enlargement is usually treated with gingivectomy as an alternative to surgery; however, non-surgical mechanical treatment is another option especially in cases of gingivitis associated with puberty as a result of hormonal changes. Objective: To describe the non-surgical treatment of a 12-year-old patient with gingival enlargement associated with puberty and gingival lesions induced by dental biofilm. Case presentation: The patient presented a localized mild gingival enlargement that relapsed to the first phase of treatment after one month. Three months after physiotherapy sessions with removal of calcified biofilm, a reduction in the percentage of oral hygiene index to "good" was obtained; therefore, surgical treatment was not required. Four years later, there was a complete reduction in gingival enlargement and periodontal pockets. Conclusions: Mechanical periodontal therapy is an effective alternative to reduce gingival inflammation induced by hormones during puberty not requiring surgical intervention to treat gingival enlargement. Other alternatives such as gingivectomies are performed; however, they require more complex, expensive procedures and they can also increase patient morbidity. In that sense, the uniqueness of the non-surgical mechanical treatment is chosen as a feasible option(AU)


Assuntos
Humanos , Feminino , Criança , Índice de Higiene Oral , Puberdade , Placa Dentária/terapia , Desbridamento Periodontal/métodos , Hipertrofia Gengival/terapia
3.
San Salvador; Guillermo Alfonso Aguirre Escobar; Primera Edición; 08.10.2020. 67 p.
Não convencional em Espanhol | LILACS, BISSAL | ID: biblio-1122047

RESUMO

Introducción: Considerando la revisión bibliográfica realizada y los datos oficiales disponibles, se podría afirmar que El Salvador sufre un analfabetismo epidemiológico en lo referente a las principales afecciones del Sistema Estomatognático, debido entre otras múltiples causas a la carencia o limitado número de estudios con rigor científico-metodológico, que reflejen la situación global de las principales afecciones del Sistema Estomatognático en diferentes grupos etarios. Ante ello, se realiza la primera encuesta de salud bucal a nivel nacional, apegada a lo establecido metodológicamente por la OMS, criterios actualizados y considerando muestras representativas de diferentes edades, zonas geográficas del país y condiciones sociodemográficas. Objetivos: Determinar la condición de salud bucal y las necesidades de tratamiento de la población salvadoreña a través de la aplicación de diferentes indicadores epidemiológicos, caracterizar la población según condición sociodemográfica, identificar sus conocimientos y prácticas en salud bucal. Metodología: El diseño corresponde a un estudio observacional, descriptivo y transversal, característico de una encuesta de salud oral y metodología Pathfinder según OMS. El trabajo de campo se efectuó en 24 municipios de El Salvador, entre 2016 y 2017. La muestra total fue de 3881 salvadoreños, de ambos sexos, distribuidos en seis grupos etarios (2-5, 5-6, 6-12, 13-17,18-30, 31-45 y 60 a más), siguiendo la técnica de muestreo estratificado por conglomerados sugerida por el Manual de Encuestas de Salud Bucodental de la OMS, 2013. Los datos fueron analizados en SPSS V25, donde fueron calculadas las medias, desviaciones estándar y porcentajes de las variables analizadas.


Assuntos
Humanos , Inquéritos de Saúde Bucal , Saúde Bucal , Inquéritos Epidemiológicos , Índice de Higiene Oral , Índice Periodontal , Cárie Dentária , Fluorose Dentária
4.
Artigo em Inglês | MEDLINE | ID: mdl-32872648

RESUMO

The study aimed to determine if oral hygiene influences not only oral health but also potentially metabolic disorders such as overweight or obesity. Participants were 94 patients: 40 with increased body mass and 54 with normal body mass. The methods included dental examination, a questionnaire concerning hygienic habits and an assessment of selected salivary inflammatory markers. The new parameter named "cleaning index" (describing the interaction between average time of tooth brushing in minutes and its frequency per day) significantly correlated with Body Mass Index (RSpearman = 0.300). The multivariate regression model incorporating cleaning index, approximal plaque index, receptor 1 for tumor necrosis factor-alpha (TNFα-R1) and interleukin-15 (IL-15) had a high power to predict overweight or obesity (AUC = 0.894). Patients with poor oral hygiene (approximal plaque index >40%) were more than eight times more likely to suffer from obesity than patients with good oral hygiene. Cleaning index higher than 4 decreased the odds by about 85%. Oral hygiene habits, adjusted by salivary concentrations of selected inflammatory markers may allow predicting effectively overweight or obesity risk. Early proper dental prophylaxis and treatment could lead to the better prevention of metabolic disorders.


Assuntos
Higiene Bucal , Sobrepeso , Saliva , Adulto , Índice de Massa Corporal , Quimiocina CCL2/análise , Citocinas/análise , Índice de Placa Dentária , Feminino , Humanos , Interleucina-15/análise , Masculino , Pessoa de Meia-Idade , Obesidade/epidemiologia , Obesidade/imunologia , Saúde Bucal , Índice de Higiene Oral , Sobrepeso/epidemiologia , Sobrepeso/imunologia , Doenças Periodontais/diagnóstico , Doenças Periodontais/epidemiologia , Doenças Periodontais/imunologia , Valor Preditivo dos Testes , Saliva/química , Adulto Jovem
5.
Oral Health Prev Dent ; 18(1): 427-432, 2020.
Artigo em Inglês | MEDLINE | ID: mdl-32515412

RESUMO

PURPOSE: To analyse the effect of information technologies on improving the frequency of the use of dental floss among adolescents. MATERIALS AND METHODS: A randomised, controlled clinical trial was conducted with 291 adolescents (mean age: 16.1 years) in three phases. Phase I involved the application of a questionnaire and clinical examinations using the simplified Oral Hygiene Index and gingival bleeding index. In phase II, the adolescents were randomly allocated to four groups: oral counseling (OR) and the use of an application (App) for smartphones; OR without the app; video (VD) and app; and VD without app. Messages were set through the app for 30 days. Phase III involved the second administration of the questionnaire and clinical examination. The frequency of dental floss use was evaluated in phases I and III. The groups were categorised into the use of technology (VD and/or App) and non-use of technology (OR alone). RESULTS: Statistically significant reductions in the clinical indices were found with all educational methods (p < 0.005) and improvements were found in the use of dental floss (p < 0.001). Moreover, information technologies were associated with an improvement in the frequency of dental floss use (p < 0.033). CONCLUSION: All methods were effective at improving clinical indicators. The use of information technologies can be considered an effective tool for improving dental floss use among adolescents.


Assuntos
Placa Dentária , Gengivite , Tecnologia da Informação , Adolescente , Dispositivos para o Cuidado Bucal Domiciliar , Índice de Placa Dentária , Humanos , Índice de Higiene Oral
6.
Spec Care Dentist ; 40(4): 335-343, 2020 Jul.
Artigo em Inglês | MEDLINE | ID: mdl-32488889

RESUMO

AIM: To assess the effectiveness of different parenting interventions for improving oral hygiene of cerebral palsy (CP) children aged 4-12 years. METHODOLOGY AND RESULTS: A randomized controlled trial was done among 60 CP children and parents visiting a tertiary care center in New Delhi. The study population was randomly assigned to experimental or control group (30 in each group). Parents/caregivers in the experimental group (Group 1) received video-based dental health education (DHE) and the control group (Group 2) received conventional DHE. Each group also received two telephonic reinforcements at fourth and eighth week after the first intervention at baseline. The groups were assessed for sociodemographic, familial factors, medical history, oral hygiene practices, and oral hygiene status. At 3-month follow-up, the mean reduction in simplified oral hygiene index (OHI-S), plaque index (PI), and gingival index (GI) scores was 0.27, 0.17, and 0.09, respectively, in Group 1 (P-value < .05). The mean reductions seen in Group 2 were 0.03 in OHI-S, 0.14 in PI, and 0.04 in GI index (P-value < .05, except for GI score: P-value = .6). CONCLUSION: Video-based DHE is effective and brings about significant improvement in oral hygiene status and oral health among CP children.


Assuntos
Paralisia Cerebral , Higiene Bucal , Criança , Pré-Escolar , Índice de Placa Dentária , Humanos , Índice de Higiene Oral , Poder Familiar
7.
J Dent Hyg ; 94(2): 27-36, 2020 Apr.
Artigo em Inglês | MEDLINE | ID: mdl-32354849

RESUMO

Purpose: Measurement of dental plaque is frequently used as an indicator of overall oral health. The purpose of this study was to compare a manual (visual) plaque scoring system (University of Mississippi Oral Hygiene Index, UM-OHI) with an innovative automated digital scoring system.Methods: Mechanically ventilated, intensive care unit (ICU) patients (n=79) were the study population. Informed consent was given by the subject's legally authorized representative. Digital images of dental plaque were taken using an intraoral camera; and the quantity of dental plaque was scored using the UM-OHI and with a digitized automated scoring system. Distributions of dental plaque scores from both methods were plotted. Pearson correlation coefficients and intra-class coefficients were calculated between the two methods.Results: Participant mean age was 57.3 years; respiratory failure was the most prevalent admission diagnosis (55.7%). The mean percentage of dental plaque calculated by the manual method was found to be remarkably higher (67.3% ± 18.7%) than the percentage of dental plaque calculated by the automated scoring method (23.7% ± 15.2%) (p<0.0001). Despite remarkably different distributions of plaque scores, both the automated and manual scoring systems demostrated relatively high correlation (r=0.62) and good reliability (ICC=0.63).Conclusion: The automated digital scoring system resulted in a significantly lower overall percentage of total dental plaque as compared to the UM-OHI manual scoring system. While the automated digital scoring system may be more precise than a manual (visual) scoring system, its use should be weighed against the added effort, cost, and expertise required for the method. Further study is needed to determine whether an automated digital scoring system can be commercialized and is warranted for use outside of research settings.


Assuntos
Placa Dentária , Índice de Placa Dentária , Humanos , Pessoa de Meia-Idade , Índice de Higiene Oral , Índice Periodontal , Reprodutibilidade dos Testes
8.
Stomatologiia (Mosk) ; 99(2): 40-44, 2020.
Artigo em Russo | MEDLINE | ID: mdl-32441074

RESUMO

The aim of the study was to assess the efficacy of parodontax complex anti-inflammatory toothpaste with fluorine for treatment of moderate catarrhal gingivitis. MATERIAL AND METHODS: Within 6 weeks a group of students was observed, which was divided into 2 subgroups depending on the activity of the carious process and with characteristic changes in crystalloscopy of the oral fluid. Clinical trials of parodontax anti-inflammatory toothpaste with fluorine were conducted. The properties declared by the manufacturer were evaluated using clinical, biochemical, laboratory studies, and criteria-based assessment of crystalloscopic features of the oral fluid. RESULTS: The study revealed a statistically significant correlation of the cleaning ability of the hygiene product and crystalloscopic properties of saliva and changes in the clinical picture of chronic catarrhal gingivitis. With the inclusion of a comprehensive anti-inflammatory toothpaste containing fluorine and natural herbal extracts, a shift in the acid-base balance of the oral fluid to the alkaline side was recorded. CONCLUSION: The improvement in the oral hygiene indices and the resolution of inflammatory processes in periodontal tissues prove the efficacy of comprehensive treatment of chronic gingivitis including parodontax toothpaste.


Assuntos
Placa Dentária , Gengivite , Índice de Placa Dentária , Fluoretos , Humanos , Índice de Higiene Oral , Cremes Dentais
9.
Rev. cient. odontol ; 8(1): e002-e002, ene.-abr. 2020.
Artigo em Espanhol | LILACS, LIPECS | ID: biblio-1095469

RESUMO

Objetivo: Determinar la prevalencia de enfermedades bucodentales en niños de 6, 12 y 15 años en Islay, Arequipa. Materiales y métodos: Estudio observacional, descriptivo y transversal. La muestra estuvo conformada por 360 estudiantes de 6, 12 y 15 años, de ambos sexos, que cumplieron los criterios de inclusión. El nivel de confianza se determinó en un 95% y el margen de error en un 5%. Para evaluar las patologías orales, se utilizó los índices de IHO-S, IHOS-M, IPC-M, CPOD, ceod, el de la OMS y el de Dean. Los estudiantes fueron examinados visual y clínicamente. Resultados: Con referencia al IHO-S: buena higiene,72,5% en deciduos, 63,3% en permanentes; regular higiene, 27,5% en deciduos, 35,0% en permanentes; mala higiene, 1,7% en permanentes, existe diferencia significativa en cuanto a la edad. El CPOD fue de 6,71 cariados, 0,14 perdidos, 1,44 obturados y un promedio de 8,29; existe diferencia significativa según la edad. De acuerdo con el IPC-M, el 81,4% padece de gingivitis; el 57,5%, periodontitis; el 4,2%, periodontitis severa, y hay diferencias significativas según la edad. Las maloclusiones: oclusión normal, 38,9%; maloclusión leve, 38,6%, y moderada o severa, 22,5%; el 61,1% padece de maloclusiones. Respecto de la fluorosis, el 34,7% no presentó lesión; fluorosis cuestionable, 15%; fluorosis muy leve, 30,3%; fluorosis leve, 11,7%; fluorosis moderada, 1,1%; la prevalencia fue del 58,1%. Conclusiones: La prevalencia de enfermedades bucodentales es elevada y el riesgo de caries dental es alto. Se observa una regular y mala higiene en la dentición permanente. El porcentaje de gingivitis es alto. Las maloclusiones están en el rango de leve a moderado. La fluorosis dental está en un rango de muy leve. (AU)


Objective: To determine the prevalence of oral diseases in children 6, 12 and 15 years old in Islay, Arequipa. Materials and methods: Observational, descriptive and cross-sectional study. The sample consisted of 360 students of 6, 12 and 15 years of age of both sexes who met the inclusion criteria. The level of confidence was determined at 95% and the margin of error at 5%. To evaluate oral pathologies, the OHI-S, OHI-M, mPI/PI, DMFT, DMFS, the WHO and the Dean index were used. The students were examined visually and clinically. Results: Regarding IHO-S: good hygiene was observed in 72.5% in deciduous and 63.3% in permanent teeth; regular hygiene was found in 27.5% in deciduous and 35.0% in permanent teeth with poor hygiene in 1.7% in permanent teeth and significant differences in age. The CPOD showed 6.71 carious, 0.14 lost, 1.44 blocked and an average of 8.29 with significant differences in relation toage. According to the IPC-M, 81.4% had gingivitis, 57.5% periodontitis, 4.2 % severe periodontitis, with significant differences for age. Malocclusions included: normal occlusion 38.9%, mild malocclusion 38.6% and moderate or severe 22.5%; 61.1 % had malocclusions. In relation to fluorosis, 34.7% had no lesion, 15% questionable fluorosis, 30.3% very mild fluorosis, 11.7% mild fluorosis, and 1.1% moderate fluorosis with a prevalence of 58.1%. Conclusions: The prevalence of oral diseases and the risk of dental caries are high in children, with regular and poor hygiene being observed in permanent dentition. The percentage of gingivitis is high. The prevalence of malocclusions ranges from mild to moderate while the prevalence of dental fluorosisis is low. (AU)


Assuntos
Humanos , Masculino , Feminino , Criança , Adolescente , Índice de Higiene Oral , Índice Periodontal , Índice CPO , Cárie Dentária , Má Oclusão , Doenças da Boca , Epidemiologia Descritiva , Estudos Transversais , Estudos Observacionais como Assunto
10.
Rev. cuba. estomatol ; 57(1): e2063, ene.-mar. 2020. tab, graf
Artigo em Espanhol | LILACS, CUMED | ID: biblio-1126485

RESUMO

RESUMEN Introducción: La salud bucal en el adulto joven es un derecho humano básico, y su contribución es fundamental para el goce de buena calidad de vida. Objetivo: Determinar la salud bucal en una escuela de formación profesional policial peruana en el período de julio a agosto del 2017. Métodos: Estudio observacional descriptivo de corte transversal. La muestra estuvo conformada por 276 adultos jóvenes seleccionados aleatoriamente, cumpliendo criterios de inclusión y exclusión, según las normas éticas en investigación científica. Se evaluó la salud bucal mediante una ficha epidemiológica con los indicadores: índice CPOD, índice de significancia de caries dental (SIC), índice de higiene oral simplificado (IHO-S) y el índice de necesidad y situación de prótesis dental de la OMS. La evaluación se realizó con luz natural por un observador calibrado. Los datos se analizaron en el programa STATA v 14 mediante tablas de distribución de frecuencias y figuras. Resultados: La prevalencia de caries dental fue de 63,76 por ciento (CPOD= 3,86; SIC= 9,64), IHO-S: 2,02 (DS= 0,41). La prótesis parcial fija fue la que más se usó y se necesitó en ambos maxilares. Conclusiones: La experiencia de caries dental fue moderada, la condición de higiene oral fue regular, y la prótesis parcial fija fue la que más se necesitó y se uso en ambos maxilares. Aunque los indicadores son alentadores, aún urge la necesidad de implementar políticas sanitarias en salud bucal en la comunidad policial(AU)


ABSTRACT Introduction: The oral health of young adults is a basic human right, and its contribution is fundamental for the enjoyment of a good quality of life. Objective: Determine oral health at a Peruvian police academy from July to August 2017. Methods: An observational descriptive cross-sectional study was conducted. The sample was 276 young adults randomly selected according to inclusion and exclusion criteria and in compliance with the ethical standards of scientific research. Oral health was evaluated with the aid of an epidemiological card containing the following indicators: CPOD index, dental caries significance (DCS) index, simplified oral hygiene index (OHI-S), and WHO dental prosthesis need and situation. The evaluation was conducted by a qualified observer under natural light. Data were processed with the software STATA v 14, using frequency distribution tables and figures. Results: Dental caries prevalence was 63.76 percent (CPOD= 3.86; DCS= 9.64), OHI-S: 2.02 (SD= 0.41). Fixed partial dentures were the most commonly used, and they were required in both jaws. Conclusions: Dental caries experience was moderate, oral hygiene status was fair, and fixed partial dentures were the most commonly required for both jaws. Although the indicators are heartening, there is still an urgent need to implement oral health policies in the police community(AU)


Assuntos
Humanos , Masculino , Adulto Jovem , Instituições Acadêmicas/ética , Saúde Bucal/educação , Cárie Dentária/epidemiologia , Prótese Parcial Fixa/efeitos adversos , Peru , Qualidade de Vida , Índice de Higiene Oral , Epidemiologia Descritiva , Estudos Transversais , Estudo Observacional
11.
J Oral Sci ; 62(1): 89-92, 2020.
Artigo em Inglês | MEDLINE | ID: mdl-31996531

RESUMO

The oral hygiene and oral status of children with severe disabilities with both nutritional and respiratory complications who were institutionalized at Karugamonoie (KNI), a facility for children with disabilities, were investigated in this study. Their oral hygiene management was solely dependent on caregivers and nurses at the institution. Thirty children (13 females, 17 males; average age, 7.6 years) who had a tracheotomy and feeding tube (gastrostomy, nasogastric, or jejunostomy feeding tube) were included in the study. As for oral characteristics, poor control of tongue movement, anterior open-bite, abnormal strain of facial muscles, dry mouth, and swallowing dysfunction were found in 63.3%, 63.3%, 13.3%, 20.0%, and 100.0%, of the children, respectively. The mean ± standard deviation Decayed, Missing, Filled Teeth score was 0.13 ± 0.57. The Gingival Index (GI) showed that the children had mild (53.3%) to moderate (46.7%) gingivitis. The Simplified Oral Hygiene Index was excellent in 50.0% of the children, good in 23.3%, fair in 20.0%, and poor in 6.7% of the children. These indices were satisfactory in general except for GI management, which may have been hampered by abnormal oral functions and anterior open-bite. In conclusion, oral hygiene management of children with nutritional and respiratory complications at KNI was shown to be of high quality even without on-site intervention by dental specialists.


Assuntos
Cárie Dentária , Deficiência Intelectual , Criança , Criança Institucionalizada , Índice CPO , Feminino , Humanos , Masculino , Saúde Bucal , Higiene Bucal , Índice de Higiene Oral
12.
J Periodontol ; 91(1): 65-73, 2020 01.
Artigo em Inglês | MEDLINE | ID: mdl-31364777

RESUMO

BACKGROUND: Oral cavity is a reservoir of various respiratory pathogens, and poor oral hygiene is associated with an increase in anaerobic bacteria in oral cavity. In addition, it positively relates higher risk of developing pneumonia and increased pneumonia-related mortality. However, the association between poor oral hygiene and increase in obligate anaerobes in the lungs of pneumonia patients is unclear. METHODS: A total of 39 patients with pneumonia in whom bronchoscopic examination and oral hygiene evaluation were performed were prospectively enrolled. The microbiota of the bronchoalveolar lavage fluid (BALF) directly obtained from the pneumonia lesion was analysed by the clone library analysis. In addition, oral hygiene evaluations were performed using oral hygiene index (OHI), tongue coating score, oral dryness, and community periodontal index of treatment needs (CPITN). The association between the detection of oral streptococci and obligate anaerobes and oral hygiene status was evaluated. RESULTS: Using the clone library analysis of BALF, the phylotypes of oral streptococci and obligate anaerobes were detected in 31 (79.5%) and 26 (66.7%) patients, respectively. Increased oral dryness, OHI, and CPITN, but not the tongue coating score, significantly correlated with higher rate of detection of obligate anaerobes, although no significant associations between the detection of oral streptococci in the lungs and each oral hygiene evaluation were observed. Significantly higher number of obligate anaerobes were detected in the lungs in patients with total oral hygiene score of ≥ 5 (P = 0.008). CONCLUSION: Poor oral hygiene is associated with increased obligate anaerobes in the lungs of patients with pneumonia.


Assuntos
Bactérias Anaeróbias , Pneumonia , Líquido da Lavagem Broncoalveolar , Humanos , Higiene Bucal , Índice de Higiene Oral , Streptococcus
13.
J Am Med Dir Assoc ; 21(2): 281-283, 2020 02.
Artigo em Inglês | MEDLINE | ID: mdl-31780411

RESUMO

Good oral hygiene has an impact on the overall health of residents in long-term care; however, significant improvement is needed in nursing homes. A "boots on the ground" project was developed that incorporates Mouth Care without a Battle, an evidence-based approach to person-centered daily mouth care, into 22 New York State nursing homes using a coaching model with part-time dental hygienists. This report discusses implementation of the quality improvement project, which improved the quality of daily mouth care provided to nursing home residents, as well as changed the knowledge and attitudes of the staff providing their care, all supported by regional dental hygienist coaches.


Assuntos
Higienistas Dentários , Casas de Saúde , Saúde Bucal , Higiene Bucal/educação , Assistência Centrada no Paciente , Idoso , Odontologia Baseada em Evidências , Feminino , Conhecimentos, Atitudes e Prática em Saúde , Humanos , Masculino , New York , Índice de Higiene Oral , Melhoria de Qualidade
14.
Odontoestomatol ; 21(34): 27-32, Jul-Dic. 2019.
Artigo em Espanhol | LILACS, InstitutionalDB | ID: biblio-1024967

RESUMO

Objetivo: Determinar el Índice de Higiene Oral en escolares de 12 años, de la Parroquia Checa del Cantón Cuenca, Provincia del Azuay ­ Ecuador, 2016. Materiales y métodos: Estudio descriptivo de corte transversal; la técnica empleada para determinar el estado del perfil epidemiológico fue observacional. Los indicadores se lograron obtener por una encuesta estructurada. Resultados: De los 109 escolares de 12 años encuestados se observó un ligero predominio del sexo femenino (58%) sobre el sexo masculino (42%). Además, se determinó que el 47,7% presenta una buena higiene oral, el 36,7% una higiene oral excelente, el 14,7% una higiene oral regular y el 0,9% una mala higiene oral, dando como resultado que más de la mitad de los escolares presentan un IHO bueno y excelente. Conclusión: Existe un mayor número de escolares con higiene oral buena sin encontrar variación significativa en cuanto al sexo masculino con el femenino.


Objective: To determine the Oral Hygiene Index in schoolchildren aged 12,from the Checa parish of Canton Cuenca, Province of Azuay, Ecuador, 2016. Materials and methods: Descriptive crosssectional study; the observational technique was applied to determinethe state of the epidemiological profile. The indicators were obtained through astructured survey. Results: In the 109 schoolchildren surveyed, there was as light predominance of females (58%) over males (42%). In addition, 47.7% presented good oral hygiene, 36.7% excellent oral hygiene, 14.7% regular oralhygiene and 0.9% poor oral hygiene, therefore, over half the students presenta good or excellent OHI. Conclusion: Most schoolchildren have good oral hygiene, and there are no significant variations in terms of sex.


Objetivo: Determinar o Índice de Higiene Oral em escolares de 12 anos, da Vila Checa do cidade de Cuenca, Estado de Azuay- Equador, 2016. Materiais e métodos: Estudo descritivo transversal; A técnica utilizada para determinar o status do perfil epidemiológico foi observacional. Os indicadores foram obtidos por meio de uma pesquisa estruturada. Resultados: Dos 109 escolares de 12 anos pesquisados, observouse discreto predomínio do sexo feminino (58%) em relação ao sexo masculino (42%). Além disso, determinou-se que 47,7% apresentavam boa higiene bucal, 36,7% excelente higiene bucal, 14,7% higiene bucal regular e 0,9% má higiene bucal, resultando em mais da metade dos estudantes apresentam um bom e excelente IHO.Conclusão: Existe um número maior de escolares com boa higiene bucal sem encontrar variação significativa no sexo masculino com o feminino.


Assuntos
Humanos , Índice de Higiene Oral , Criança , Equador
15.
Pediatr. aten. prim ; 21(84): e173-e178, oct.-dic. 2019.
Artigo em Espanhol | IBECS | ID: ibc-191971

RESUMO

La caries dental es una enfermedad infecciosa caracterizada por la destrucción de los tejidos duros dentarios. Es la enfermedad infantil crónica más común, pero es prevenible y curable. La salud bucodental se define como la ausencia de dolor orofacial, llagas bucales, infecciones, caries y enfermedades periodontales. Disponer de una buena salud bucodental es fundamental para gozar de una buena salud y buena calidad de vida. Se realiza un estudio descriptivo de la higiene y salud bucodental de una población pediátrica


Dental caries is an infectious disease characterized by the destruction of hard dental tissues. It is the most common chronic disease in children, yet it is preventable and curable. Oral health is defined as the absence of orofacial pain, mouth sores, infections, caries and periodontal disease. A good oral health is essential to enjoy a good overall health and quality of life. We performed a descriptive study of the oral health and hygiene in a paediatric population


Assuntos
Humanos , Masculino , Feminino , Pré-Escolar , Criança , Adolescente , Saúde Bucal/classificação , Cárie Dentária/epidemiologia , Higiene Bucal/classificação , Comportamento Alimentar/classificação , Açúcares da Dieta/análise , Saúde Bucal/educação , Hábitos , Epidemiologia Descritiva , Índice de Higiene Oral , Inquéritos de Saúde Bucal/estatística & dados numéricos , Cárie Dentária/prevenção & controle
16.
Biomed Res Int ; 2019: 7420345, 2019.
Artigo em Inglês | MEDLINE | ID: mdl-31781639

RESUMO

Aims: Matrix metalloproteinases (MMPs) are a group of calcium-dependent zinc-containing proteinases acting both physiologically and in pathological conditions. The aim of this study was to evaluate the concentration of MMP-2, MMP-8, and MMP-9 and their inhibitors TIMP-1 and TIMP-2 of unstimulated whole saliva (UWS) in correlation with the oral health in juvenile idiopathic arthritis (JIA) children. Methods: The study population comprised 34 JIA patients and 34 age- and sex-matched controls (C). They were divided into two groups: with mixed dentition (MD) and with permanent dentition (PD). Dental caries (DMFT/dmft), unstimulated salivary flow rate (SF), and gingival inflammation (Gingival Index (GI) and Papilla Bleeding Index (PBI)) and oral hygiene (Simplified Oral Hygiene Index (OHI-S)) indices were evaluated. Saliva samples were tested with the enzyme-linked immunosorbent assay (ELISA) for MMP-2, MMP-8, MMP-9, TIMP-1, and TIMP-2. Data were statistically analysed with the Mann-Whitney U test and Spearman's rank correlation (p < 0.05). Results: There were no differences in dental hygiene or dental and periodontal status between the JIA and C groups. The MMP-9 concentration was higher in the whole JIA group compared with C (p=0.005) and JIA MD groups (p=0.038). A positive correlation of MMP-2 with the OHI-S index and a negative correlation of MMP-2 with SF were found in JIA. MMP-9 and its tissue inhibitor TIMP-1 had a positive mean correlation with the GI. A high correlation of MMP-8 with the number of decayed teeth (D) in JIA MD patients (p=0.037) was revealed. In the JIA-PD patients, there was a positive correlation of MMP-2, -8, and -9 levels with gingival inflammation indices and a negative correlation of MMP-2 and 8 with the SF. Conclusions: Despite a comparable clinical oral status of affected and unaffected children, in the JIA patients, a statistically significantly increased level of MMP-9 was found. In reference to the periodontal status, the role of MMPs increased in children with permanent dentition, whereas in reference to dental caries, the period of mixed dentition (MD) was critical.


Assuntos
Artrite Juvenil/complicações , Artrite Juvenil/metabolismo , Metaloproteinases da Matriz/análise , Saliva/química , Saliva/enzimologia , Adolescente , Criança , Cárie Dentária , Feminino , Gengivite , Humanos , Masculino , Metaloproteinase 2 da Matriz/análise , Metaloproteinase 8 da Matriz/análise , Metaloproteinase 9 da Matriz/análise , Higiene Bucal , Índice de Higiene Oral , Índice Periodontal , Inibidor Tecidual de Metaloproteinase-1/análise , Inibidor Tecidual de Metaloproteinase-2/análise
17.
Niger J Clin Pract ; 22(8): 1157-1162, 2019 Aug.
Artigo em Inglês | MEDLINE | ID: mdl-31417061

RESUMO

Background: The aims of this study are to present sociodemographic and familial characteristics, clinical and systemic findings, dental treatment needs, and concomitant dental anomalies in patients with amelogenesis imperfecta (AI) and to evaluate time-varying conditions in these long-term follow-up patients. Materials and Methods: Records of patients with AI who were examined in the Department of Pediatric Dentistry between 1999 and 2017 were reviewed. Information about sociodemographic characteristics, history of AI and consanguinity in family, systemic conditions, reasons for referral to the clinic, oral hygiene habits and gingival health, occlusion findings, and performed treatments were gathered. Dental anomalies in radiographs were also evaluated. Baseline and final situations of the patients were assessed. Statistical analyses were performed. Results: Of 75 patients aged 3-15 years with follow-ups up to 12 years, 34 had AI in their families and 15 were born from consanguineous marriages. Nephrocalcinosis has been observed in 5 patients. Main reasons for referral to the clinic were related to esthetic and hypersensitivity concerns. Twenty-two patients had gingivitis, and during follow-up process, gingival problems could not be completely prevented due to poor oral hygiene habits. Vertical dimension loss, open-bite, and cross-bite were seen in 16, 15, and 10 patients, respectively. Of the patients, 63% experienced restorative, 33% stainless steel crown, 17% endodontic, 8% prosthetic treatments, and 24% had retreatment needs. Concomitant dental anomalies were dens invaginatus, taurodontism, ectopic eruption, delayed eruption, hypodontia, and pulpal calcification. Conclusion: Early diagnosis and interventions considering the time-varying conditions with long-term follow-ups provide significant improvements in clinical maintenance of patients with AI.


Assuntos
Amelogênese Imperfeita/diagnóstico por imagem , Amelogênese Imperfeita/terapia , Esmalte Dentário/anormalidades , Reabilitação Bucal/métodos , Radiografia Panorâmica , Adolescente , Amelogênese Imperfeita/genética , Criança , Pré-Escolar , Cárie Dentária/terapia , Sensibilidade da Dentina/epidemiologia , Sensibilidade da Dentina/terapia , Estética Dentária , Feminino , Gengivite/epidemiologia , Humanos , Masculino , Má Oclusão , Nefrocalcinose/epidemiologia , Nefrocalcinose/terapia , Índice de Higiene Oral , Aço Inoxidável
18.
Braz Oral Res ; 33: e022, 2019 07 01.
Artigo em Inglês | MEDLINE | ID: mdl-31269111

RESUMO

Oral hygiene, which is measured by the status of plaque-free tooth surfaces, is essential for the promotion of oral health. This study aimed to determine the social predictors of good oral hygiene for children in a suburban population in Nigeria. This was a secondary analysis of data. The study participants were 8- to 16-year-old children who were residents in Ile-Ife, which is a suburban population in Nigeria. Information on the age, gender, socioeconomic status, family structure, number of siblings and birth rank of each study participant was retrieved from the an interviewer-administered questionnaire. Oral hygiene status was determined through a simplified-oral hygiene index (OHI-S) and categorized as good, fair and poor. The association between oral hygiene status and sociodemographic variables was determined. The predictors of good oral hygiene were determined using a binomial regression analysis. Data on 2,107 individuals were retrieved, of which 44.8% had good oral hygiene and 17.1% had poor oral hygiene. The odds of having good oral hygiene were reduced for children who were 13 to 16 years old (p = 0.02) or male (P=0.002) and children with low socioeconomic status (p ≤ 0.001). The odds of having good oral hygiene increased for children who were last-born compared with those who were first-born (p = 0.02). Age, gender, socioeconomic status and birth-rank were significant social predictive factors of oral hygiene status among the study population. Based on these findings, targeted interventions can be conducted to improve the oral hygiene status of children and adolescents with these social profiles.


Assuntos
Cárie Dentária/epidemiologia , Higiene Bucal/estatística & dados numéricos , Adolescente , Fatores Etários , Criança , Estudos Transversais , Cárie Dentária/prevenção & controle , Feminino , Humanos , Masculino , Nigéria/epidemiologia , Saúde Bucal , Índice de Higiene Oral , Fatores Sexuais , Classe Social , Inquéritos e Questionários
19.
Pediatr. aten. prim ; 21(82): e47-e59, abr.-jun. 2019. graf
Artigo em Espanhol | IBECS | ID: ibc-184586

RESUMO

Introducción: la caries dental es una enfermedad crónica, con elevada prevalencia en preescolares españoles. La falta de higiene, la alimentación inadecuada y las algias dentarias son problemas de salud frecuentes en nuestra zona básica de salud según los resultados del análisis de situación de salud. El objetivo de este trabajo es estudiar la prevalencia de caries dental en niños de tres a cinco años en nuestra zona básica de salud mediante un estudio descriptivo transversal. Material y métodos: se realiza la inspección bucodental por dentista y la recogida de datos por higienista dental en escolares de primer, segundo y tercer curso de Educación Infantil. La variable principal estudiada es la presencia de caries. Los datos son registrados en fichas individuales y volcados en una base de datos elaborada en el programa SPSS, donde se realiza el análisis descriptivo de los mismos. Resultados: de 150 niños escolarizados en educación infantil en la zona, se revisan 121 que acuden a clase el día que se realiza la revisión (80,7%). En primer curso un 46% de los niños presentan caries, en segundo un 40,5% y en tercero encontramos un 77,3% de niños con caries en dientes temporales y un 20,8% en definitivos. Conclusiones: las cifras de caries en nuestra zona básica de salud son altas, muy superiores a los datos nacionales. Es necesario aumentar las actividades preventivas en la primera infancia, en especial en las zonas de menor nivel social como la nuestra


Introduction: dental caries is a chronic disease with a high prevalence in Spanish young children. A poor oral hygiene, inadequate dietary habits and toothaches are frequent problems in our health district based on a previous situation analysis of health. Our objective was to perform a cross-sectional descriptive study to assess the prevalence of dental caries in children aged 3 to 5 years in our health district. Materials and methods: a dentist performed an oral and dental evaluation while a dental hygienist collected data in children enrolled in years 1, 2 and 3 of preschool. The primary outcome was the presence of caries. The data were collected in individual forms and subsequently entered in a database created with the software SPSS, which we also used to perform the descriptive analysis of the data. Results: of the 150 children enrolled in preschool in our health district, we assessed 121 that attended school on the day that we carried out the checkups (80.7%). We found caries in deciduous teeth in 46% of children enrolled in year 1, 40.5% of children in year 2 and 77.3% of children in year 3, and in permanent teeth in 20.8% of children in year 3. Conclusions: the prevalence of caries was much higher in our health district compared to the previously reported nationwide prevalence. We need to increase the preventive interventions targeted to early childhood, especially in disadvantaged areas like our health district


Assuntos
Humanos , Masculino , Feminino , Pré-Escolar , Cárie Dentária/epidemiologia , Índice de Higiene Oral , Comportamento Alimentar/classificação , Doenças Dentárias/epidemiologia , Dentição Permanente , Dente Decíduo , Fatores de Risco , Fatores Socioeconômicos , Estudos Transversais
20.
Oral Health Prev Dent ; 17(2): 117-124, 2019.
Artigo em Inglês | MEDLINE | ID: mdl-30968067

RESUMO

PURPOSE: To assess the quality of toothbrushing of children with intellectual disability (ID). MATERIALS AND METHODS: One hundred thirty-six children, 68 with ID (SG = study group) and 68 non-ID (CG = control group), were paired. Their caregivers completed a questionnaire about socioeconomic and demographic characteristics and another about oral hygiene habits. The toothbrushing technique and position adopted were documented and the duration of the procedure was measured. A modification of the Simplified Oral Hygiene Index (SM-OHI) was used to classify the quality of brushing as: adequate, when all the teeth had SM-OHI 0 or 1; or inadequate, when at least one tooth had SM-OHI 2 or 3. The Kolmogorov-Smirnov test was used to assess the normality of data distribution for age, duration of brushing and SM-OHI. Fisher's exact test and the chi-squared test were applied to assess the association between ID and oral hygiene habits or characteristics of toothbrushing. To compare the duration of brushing groups, the Mann-Whitney test was applied. Student's t-test for independent samples was applied to compare mean MS-OHI. RESULTS: Mothers were the main persons performing children's toothbrushing in SG. They reported a higher daily brushing frequency, longer toothbrushing duration of children in the SG, SG children had lower SM-OHI scores and were thus rated as having adequate toothbrushing, in contrast to the CG (p < 0.001, p < 0.001; p = 0.012; p < 0.001; p < 0.001, respectively). CONCLUSION: Toothbrushing provided by caregivers for ID children was more effective than toothbrushing carried out by non-ID children of the same age and gender.


Assuntos
Deficiência Intelectual , Escovação Dentária/normas , Adolescente , Estudos de Casos e Controles , Criança , Pré-Escolar , Feminino , Promoção da Saúde , Humanos , Masculino , Mães , Saúde Bucal , Higiene Bucal , Índice de Higiene Oral , Fatores de Tempo
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