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1.
Rev. Odontol. Araçatuba (Impr.) ; 41(3): 29-32, set./dez. 2020.
Artigo em Português | LILACS, BBO - Odontologia | ID: biblio-1121740

RESUMO

Introdução: O SARS-CoV-2 apresenta-se como um tipo de coronavírus que teve seus primeiros relatos no fim do ano de 2019, sendo declarado como uma emergência de saúde pública internacional no início do ano 2020 pela Organização mundial de saúde. Trata-se de um vírus com alto potencial de transmissibilidade, dessa forma novas medidas e protocolos de biossegurança foram empregadas durante o atendimento odontológico, com a finalidade de minimizar os danos e riscos aos profissionais e pacientes. Objetivo: Relatar as principais medidas de proteção e recomendações que devem existir em ambientes que prestam atendimentos odontológicos durante a pandemia de Covid-19. Metodologia: Foi realizada revisão de artigos presentes nas bases de dados Pubmed e Scielo do ano de 2020, assim como nos manuais atuais de biossegurança em atendimentos odontológicos. Foram utilizados os descritores COVID-19 e Dentistry, e em adicional foram utilizados 14 documentos, sendo 8 artigos e 6 manuais oficiais sobre o tema. Conclusão: Medidas de proteção devem ser empregadas durante o atendimento odontológico, sendo importante que durante a pandemia do COVID-19 haja um reforço na biossegurança dos cirurgiões dentistas, para minimizar dessa forma o risco de contágio(AU)


Introduction: SARS-CoV-2 presents itself as a type of coronavirus that had its first reports at the end of 2019, being declared as an international public health emergency at the beginning of 2020 by the WHO. It is a virus with a high potential for transmissibility, so new biosafety measures and protocols were used during dental care, in order to minimize the damage and risks to professionals and patients. Objective: To report the main protection measures and recommendations that should exist in environments that provide dental care during the Covid-19 pandemic. Methodology: A review of articles in the Pubmed and Scielo databases for the year 2020 was carried out, as well as in the current biosafety manuals for dental care. The descriptors COVID-19 and Dentistry were used, and in addition 14 documents were used, 8 articles and 6 official manuals on the subject. Conclusion: Protective measures should be used during dental care, it is important that during the COVID-19 pandemic there is a reinforcement in the biosafety of dental surgeons, in order to minimize the risk of contagion(AU)


Assuntos
Assistência Odontológica , Infecções por Coronavirus , Coronavirus , Contenção de Riscos Biológicos , Protocolos
2.
Rev. Odontol. Araçatuba (Impr.) ; 41(3): 48-54, set./dez. 2020. ilus
Artigo em Português | LILACS, BBO - Odontologia | ID: biblio-1121747

RESUMO

A Disostose Cleidocraniana (DC), também conhecida como Displasia Cleidocraniana (DCC), é uma doença autossômica de caráter dominante, relatada pela primeira vez no século XVIII, sendo descrita em 1897 por Pierre Marie e Paul Sainton, relacionando-a a fatores genéticos. Suas manifestações clínicas apresentam-se através do desenvolvimento tardio de estruturas e defeitos ósseos, anormalidades estomatognáticas e craniofaciais. O diagnóstico baseia-se nas características clínicas e imaginológicas e o tratamento odontológico geralmente é cirúrgico, envolvendo a exodontia de unidades supranumerárias e decíduas, em associação com a abordagem ortodôntica. Este trabalho possui como objetivo, relatar o caso clínico sobre as principais manifestações bucais evidenciadas em uma paciente jovem diagnosticado com Displasia Cleidocraniana, bem como demonstrar a importância do diagnóstico preciso para auxílio no sucesso do tratamento e qualidade de vida do paciente(AU)


Cleidocranial Dysostosis (CD), also known as Cleidocranial Dysplasia (DCC), is an autosomal dominant disease, first reported in the 18th century, being described in 1897 by Pierre Marie and Paul Sainton, relating it to genetic factors. Its clinical manifestations appear through the late development of bone structures and defects, stomatognathic and craniofacial abnormalities. The diagnosis is based on clinical and imaging characteristics and dental treatment is usually surgical, involving the extraction of supernumerary and deciduous units, in association with the orthodontic approach. This work aims to report the clinical case about the main oral manifestations evidenced in a young patient diagnosed with Cleidocranial Dysplasia, as well as to demonstrate the importance of accurate diagnosis to aid in the success of the treatment and quality of life of the patient(AU)


Assuntos
Assistência Odontológica , Displasia Cleidocraniana , Anormalidades Craniofaciais , Procedimentos Cirúrgicos Bucais
3.
Artigo em Inglês | MEDLINE | ID: mdl-33023050

RESUMO

At the end of 2019, a new disease -COVID-19-was identified, and a few months later, the World Health Organization announced a pandemic. It is now known that SARS-CoV-2 is highly contagious and most confirmed infections are mild to moderate. The situation is particularly difficult for dentists due to the high risk of virus transmission in the dental surgery. Complications including, but not limited to, problems with the respiratory and cardiovascular systems have been reported in patients with SARS-CoV-2. Several changes in the coagulation system, such as lower platelet numbers or increased prothrombin time, as well as increased D-dimer and fibrinogen, were observed. This review is intended to systematize the knowledge on the treatment of patients with congenital bleeding disorders (CBD) during the SARS-CoV-2 pandemic. Extensive literature research was conducted into COVID-19 and the general medical and dental treatment of patients with CBD. Case studies, research results and recommendations of international societies were used in the study. The results of this research are presented in the form of recommendations for the treatment of patients with coagulopathies. It should be remembered that the impact of COVID-19 on the health condition of patients with CBD is unknown to date.


Assuntos
Transtornos Herdados da Coagulação Sanguínea/terapia , Infecções por Coronavirus/epidemiologia , Assistência Odontológica , Pandemias , Pneumonia Viral/epidemiologia , Humanos
4.
Oral Health Prev Dent ; 18(1): 843-854, 2020 10 02.
Artigo em Inglês | MEDLINE | ID: mdl-33028052

RESUMO

PURPOSE: Currently, there is no consensus on recommendations for manual toothbrushing techniques between dentists, oral health therapists and dental companies. The aim of this systematic review is to identify and assess the quality of evidence of the effectiveness of manual toothbrushing techniques in the existing literature. METHODS: A broad search was conducted on the electronic databases Medline via Ovid, PubMed and EBSCO Dentistry & Oral Sciences. Included studies examined manual toothbrushing technique efficiency. Articles were assessed utilising the Cochrane Collaboration's tool for assessing risk of bias. Thirteen studies met the inclusion criteria and were included in this review. These included five randomised controlled trials (RCT), seven experimental non-randomised control studies and one in vitro study. RESULTS: Of the 3190 articles identified, 40 were relevant to manual toothbrushing and 13 were included in the final review. Studies indicating statistically significantly superior plaque removal for a given technique were Bass (one), modified Bass (one), Charter's (two), Fones (two), scrub (two), roll (one), modified Stillman (one), toothpick method (one). Four studies exhibited no statistically significant difference in effectiveness of plaque removal. Unfortunately, considerable variation was found between studies, making a definitive conclusion impossible in terms of an ideal manual toothbrushing technique that would promote plaque removal and reduce gingivitis. CONCLUSION: There is still insufficient evidence for suggesting that one toothbrushing method is more effective than another in plaque removal and reduction of gingivitis. Excessive variability in many aspects of the design and methodology of the selected studies hinder conclusions on an ideal manual toothbrushing technique. Experimental randomised controlled trials that follow the CONSORT guidelines are required to provide adequate-quality evidence and make any definitive conclusions on the relative effectiveness of manual toothbrushing techniques.


Assuntos
Placa Dentária , Gengivite , Assistência Odontológica , Placa Dentária/prevenção & controle , Gengivite/prevenção & controle , Humanos , Saúde Bucal , Escovação Dentária
5.
Stomatologiia (Mosk) ; 99(5): 69-73, 2020.
Artigo em Russo | MEDLINE | ID: mdl-33034180

RESUMO

The purpose of the study was to evaluate the efficacy of vacuum-gradient therapy in reducing orthodontic treatment time. MATERIALS AND METHODS: The study comprised 57 patients aged from 25 to 35 years (mean age 28.8±4.6 years) with teeth crowding divided into two groups. In group 1 (n=29) orthodontic correction was combined with vacuum-gradient therapy by means of modified «AVLT-Desna¼ device, while patients in group 2 (n=28) underwent orthodontic correction alone. Microhaemo- and lymphocirculation was studied by laser Doppler flowmetry. RESULTS: Lymph draining and microhaemocirculation are impaired by teeth crowding. Orthodontic correction influences on microhaemo- and lymphocirculation of periodontal tissue on tooth movement and improves mechanisms of haemodynamic regulation. CONCLUSIONS: The method of vacuum-gradient therapy combined with complex malocclusion correction allows to accelerate orthodontic treatment and to improve microcirculation in the moved teeth area.


Assuntos
Má Oclusão , Dente , Adulto , Assistência Odontológica , Humanos , Técnicas de Movimentação Dentária , Vácuo , Adulto Jovem
6.
J Contemp Dent Pract ; 21(6): 657-665, 2020 Jun 01.
Artigo em Inglês | MEDLINE | ID: mdl-33025935

RESUMO

AIM: The present study aimed to investigate the total number of visits required to conclude root canal treatments (RCTs) as well as the motivations associated to the choice of dentists practicing in low-income areas of Brazil. MATERIALS AND METHODS: A total of 3,103 questionnaires were electronically and individually delivered to professionals of Salvador, Sergipe, and Alagoas (Brazil). The questionnaire encompassed sociodemographic data and questions regarding the number of sessions required to conclude RCT. Also, postoperative pain, professional qualification, the use of technological resources, and time for one-visit treatment were evaluated. Data were analyzed using Chi-square and Poisson regression analyses (p < 0.05). RESULTS: A total of 326 responses were obtained with higher prevalence of specialists in the field of endodontics (36.8%). Dentists reported greater preference for rotary instrumentation (Alagoas 54.6%, Aracaju 62.1%, and Salvador 83.5%), and most of the participants reported multiple visits to treat root canals with the necrotic pulp tissue associated or not to periapical radiolucency, excluding Salvador (53.8%). Dentists who graduated in public dental schools were less likely to perform RCT of necrotic teeth with periapical lesion in one clinical appointment (p = 0.034). The single-session therapy was positively associated to continuing education attendance (p = 0.004) and to the occurrence of clinical complications (p < 0.001). Dentists who graduated in lato sensu programs were more likely to conclude RCT in less than 60 minutes (p < 0.001), although the occurrence of postoperative pain was more likely observed upon this scenario (p < 0.001). CONCLUSION: Despite the social inequalities in the analyzed area, professionals have been seeking for knowledge by means of continuing education programs and the implementation of technological resources in their clinical routine, although this fact has poorly influenced the acceleration of RCT. Clinical significances: The total number of visits to conclude endodontic treatment may be influenced by both professional and biological parameters such as the attendance to postgraduation programs and the use of technology as well as to the biological condition of the pulp and the occurrence of postoperative complications.


Assuntos
Endodontia , Tratamento do Canal Radicular , Brasil/epidemiologia , Assistência Odontológica , Necrose da Polpa Dentária , Humanos
7.
J Contemp Dent Pract ; 21(6): 701-709, 2020 Jun 01.
Artigo em Inglês | MEDLINE | ID: mdl-33025943

RESUMO

AIM: To systematically review the comparative differences in the performance and timeliness of conventional orthodontic treatment with that of corticotomy-assisted accelerated orthodontic treatment. DATA SOURCES: The electronic databases PubMed and Google Scholar were searched from January 2007 to January 2018 in English, with manual searches of reference lists and gray literature. Thirty-six articles were included in the study with inclusion criteria as prospective clinical studies of patients treated with fixed conventional appliance and the intervention was the corticotomy-assisted accelerated orthodontic treatment method. STUDY SELECTION: Two reviewers assessed independently the eligibility of the included articles. One investigator abstracted study design information, intervention details, and harms data from all included studies into a standardized evidence table. The accuracy of these data was checked by the second investigator. We resolved any disagreements through discussion with other authors. RESULTS: Different aspects of the corticotomy-assisted accelerated orthodontics treatment method were investigated including risk factors, advantages, and disadvantages as compared to that of conventional orthodontic treatment. CONCLUSION: There is limited available evidence about effectiveness of corticotomy-assisted accelerated orthodontics. Although the current review indicates that the corticotomy-assisted accelerated orthodontic treatment method can fasten the treatment duration by 2.2-3 folds compared to conventional orthodontic treatment, furthermore, the level of evidence needs well-conducted prospective research with big sample size to draw valid conclusions. CLINICAL SIGNIFICANCE: Orthodontic treatment is a time-consuming process and due to noncompliance of patients, research has found different methods to accelerate the treatment, thus reducing the total treatment duration. Use of accelerated orthodontic techniques is expected to help clinicians in better treatment decisions for noncompliant patients.


Assuntos
Ortodontia , Técnicas de Movimentação Dentária , Assistência Odontológica , Humanos , Aparelhos Ortodônticos Fixos , Estudos Prospectivos
8.
Compend Contin Educ Dent ; 41(9): e10-e11, 2020 Oct.
Artigo em Inglês | MEDLINE | ID: mdl-33001662

RESUMO

Occasionally, a patient may present with an intraoral tattoo, such as the patient in this instance who presented with one on the lower orolabial mucosa. Both extraoral and intraoral tattooing could be considered a potential indicator of risk-taking behaviors and possible increased risk of mental health or sleep disorders in this patient population. This article discusses risks of ornamental tattooing and the role oral healthcare providers can play in early identification of possible systemic diseases.


Assuntos
Boca , Tatuagem , Assistência Odontológica , Humanos , Saúde Mental , Assunção de Riscos
9.
J Dent Hyg ; 94(5): 38-43, 2020 Oct.
Artigo em Inglês | MEDLINE | ID: mdl-33008948

RESUMO

Purpose: Dental caries is a chronic childhood disease disproportionately affecting children from low socioeconomic backgrounds. Free preventive oral health events sponsored by dental organizations are frequently under enrolled. The purpose of this study was to explore parental perceptions and barriers to participation in preventive dental care programs for their children.Methods: The transtheoretical model and social cognitive theory were used to design this qualitative case study. Open-ended questions were used to interview 20 purposefully sampled participants regarding their perceptions of free preventive dental care programs. Interviews were audio recorded, data were transcribed verbatim, coded, and analyzed thematically until saturation.Results: Two male and 18 female parents ranging in age from 22 to 49 years, with at least one child enrolled in a Title 1 New York City public elementary school, agreed to participate. Nine themes emerged from the data addressing the primary research question on the perceived barriers preventing parents from allowing their children to attend a free preventative dental care program. The themes included too busy, afraid, lack of trust, cultural differences, lack of awareness of the program, cost of care, money, negative childhood experiences and lack of dental insurance.Conclusion: Results from this study demonstrate the need to understand barriers to full enrollment in preventive oral health programs. Particular attention should be given to cultural differences between the program providers and the local residents. Preventative oral health program organizers need to explore multiple communication options to notify parents of upcoming programs.


Assuntos
Cárie Dentária/prevenção & controle , Criança , Assistência Odontológica , Feminino , Humanos , Masculino , Cidade de Nova Iorque , Saúde Bucal , Pais
10.
Am J Dent ; 33(5): 248-250, 2020 Oct.
Artigo em Inglês | MEDLINE | ID: mdl-33017527

RESUMO

PURPOSE: To review the literature on the use of povidone prior to dental treatment for the reduction of viruses in the oral cavity. METHODS: PubMed and Cochrane databases published from January 2019 to June 2020 were reviewed. Studies that met the inclusion criteria were reviewed by two authors separately. A qualitative review of the data was performed. RESULTS: There were no randomized controlled trials or clinical observation studies on the curative or preventive effect of povidone against COVID-19, but there are clinical trial protocols in the recruitment process. The use of a dose between 0.2% to 2.5% is recommended four times a day for 15-30 seconds. CLINICAL SIGNIFICANCE: Povidone mouthwash could be a viable solution before dental care that should be studied to reduce the viral load off COVID-19.


Assuntos
Infecções por Coronavirus , Antissépticos Bucais/uso terapêutico , Pandemias , Pneumonia Viral , Povidona , Betacoronavirus , Assistência Odontológica , Humanos , Carga Viral
11.
Zhonghua Kou Qiang Yi Xue Za Zhi ; 55(10): 778-782, 2020 Oct 09.
Artigo em Chinês | MEDLINE | ID: mdl-33045791

RESUMO

Minimally invasive surgery develops rapidly in the periodontal treatments, especially in the periodontal regenerative treatment, in recent years. It supplements, to a certain extent, the insufficiency of the conventional periodontal regenerative treatment. The minimally invasive surgery has many advantages such as enhancing the healing process, reducing surgical chair time and minimizing patient discomfort, etc. It has been proved to improve the clinical effect and provide additional benefits compared to conventional approaches. At present, there are many studies on minimally invasive techniques used in tooth extraction or implant placement in China, but there are few reports on the application of periodontal minimally invasive surgical techniques. Thus based on the reviews of the literatures, this article describes the applications, advantages, indications, microsurgical instruments of minimally invasive periodontal surgery on the treatment of intrabony defect, including various minimally invasive surgical procedures. The review also demonstrates the therapeutic effects and research progress of minimally invasive periodontal surgery combined with biomaterials used in the treatments of intrabony defect. The present article may also provide reference for clinicians applying minimally invasive surgeries to treat intrabony defects.


Assuntos
Regeneração Tecidual Guiada Periodontal , Procedimentos Cirúrgicos Minimamente Invasivos , China , Assistência Odontológica , Humanos , Microcirurgia
12.
Hua Xi Kou Qiang Yi Xue Za Zhi ; 38(5): 532-536, 2020 Oct 01.
Artigo em Chinês | MEDLINE | ID: mdl-33085237

RESUMO

OBJECTIVE: To evaluate the efficacy of scaling and root planing (SRP) with a periodontal endoscope in the treatment of residual pockets in patients with periodontitis after initial periodontal therapy. METHODS: Patients with residual pockets [probing depth (PD)≥5 mm] were included and randomly assigned to the endoscope group (SRP with a periodontal endoscope) or SRP group (SRP alone). The PD, attachment loss (AL), and bleeding on probing (BOP) of residual pockets were recorded before treatment and at 3 and 6 months after treatment. Data were analyzed with SPSS 20.0 software. RESULTS: Compared with the baseline values, the percentage of PD≥5 mm sites, PD, AL, and BOP (+)% in the endoscope group and SRP group at 3 and 6 months after treatment decreased (P<0.05). Compared with the values at 3 months after treatment, the percentage of PD≥5 mm sites, PD, AL, and BOP (+)% at 3 and 6 months after treatment decreased in the endoscope group (P<0.05), whereas no statistical difference in these values was observed in the SRP group (P>0.05). Compared with those in the SRP group, the percentage of PD≥5 mm sites and PD at 3 and 6 months after treatment and AL and BOP (+)% at 6 months after treatment in the endoscope group decreased (P<0.05). CONCLUSIONS: SRP with a periodontal endoscope shows a better effect in improving the PD, AL, and BOP of residual pockets (PD≥5 mm) in patients with periodontitis after initial periodontal therapy and has advantages in improving the long-term curative effect of this therapy.


Assuntos
Raspagem Dentária , Periodontite , Assistência Odontológica , Endoscópios , Humanos , Aplainamento Radicular
13.
Pediatr Dent ; 42(5): 387-391, 2020 Sep 15.
Artigo em Inglês | MEDLINE | ID: mdl-33087224

RESUMO

Purpose: The purpose of this study was to determine differences in dental services received between rural and urban residents in a national sample of children with private insurance. Methods: This was a retrospective study of deidentified claims data from a major national private insurer. Children younger than 18 years of age enrolled throughout 2018 and who had at least one visit to the dentist that year were included. Differences in the frequency of dental procedures received were determined by chi-square tests. Multilevel logistic regression was used to evaluate the effect of individual-level and ZIP Code-level covariates, including rurality, on the odds of receiving a preventive dental service or having a tooth extracted. Results: A total of 603,064 children, with an average age of 10.2±4.4 (standard deviation) years, visited a dentist, and 6.52 percent lived in a rural area. In a multilevel logistic regression correcting for patient age, patient gender, ZIP Code average income, and dental provider density, rurality was positively associated with receiving a tooth extraction (odds ratio [OR] equals 1.06; P<0.001) and negatively associated with receiving a preventive service (OR equals 0.85; P<0.001). Female gender was a negative predictor of preventive services and a predictor of having a tooth extracted. Conclusion: Children living in rural areas had reduced rates of preventive dental care and higher rates of tooth extraction than their nonrural counterparts.


Assuntos
Utilização de Instalações e Serviços , População Rural , Adolescente , Criança , Pré-Escolar , Assistência Odontológica , Feminino , Humanos , Seguro Saúde , Estudos Retrospectivos , Estados Unidos
14.
Evid Based Dent ; 21(3): 79, 2020 09.
Artigo em Inglês | MEDLINE | ID: mdl-32978529

RESUMO

Data sources Medline via PubMed, Scopus, Science Direct, Scielo and Google Scholar were searched without language restriction until 28 May 2020.Study selection Publications on the topic of biosafety measures before, during and after dental practice from observational studies, systematic reviews and literature reviews were included, while letters to the editor, individual opinions and books were excluded.Data extraction and synthesis The authors used a narrative review to describe the findings and grouped them into two categories: those considerations before dental care and those during dental consultation.Results The review was based on 43 publications. Of those, 23 were recent reviews, guidelines, protocols and recommendations from national and international organisations; three were COVID-related original studies and the remainder were pre-COVID publications on handpieces, surface contamination, ventilation, aerosols and airborne spread, ultrasonics, hand washing and dental pain management.Conclusions Patients should conform to COVID-19 screening protocols in order to receive dental care and follow all the procedures in place to prevent transmission while in the dental office.


Assuntos
Betacoronavirus , Infecções por Coronavirus , Assistência Odontológica , Controle de Infecções , Pandemias , Pneumonia Viral , Infecções por Coronavirus/prevenção & controle , Infecções por Coronavirus/transmissão , Humanos , Controle de Infecções/métodos , Pneumonia Viral/prevenção & controle , Pneumonia Viral/transmissão
15.
Sante Publique ; 32(2): 247-251, 2020 09 15.
Artigo em Francês | MEDLINE | ID: mdl-32989954

RESUMO

The COVID-19 Coronavirus epidemic started in December 2019 in China, and progressed very quickly in France. Its consequences were the implementation of national measures such as the containment of the population, but also a disorganization of the healthcare system, in particular concerning oral care. Indeed, dental procedures produce aerosols which can be loaded with viral particles, and as such, constitute a major contamination route by the virus. At the request of the Conference of Deans of the Faculties of Odontology, the National College of University Dentists in Public Health (CNCDUSP) set up a working group in order to issue recommendations for oral care in the context of the COVID-19 epidemic, given the specific risks faced by practitioners. Considering the lack of awareness of the specifics of dentistry in the medical world and among decision-makers, and given the speed with which national measures to fight the epidemic were implemented, the recommendations of the CNCDUSP had to be drawn up rigorously and quickly before being released to the profession. They take into account epidemiological data related to the virus, the specificities of oral care, and thus propose protective measures for dental surgery professionals.The necessary adaptation of the healthcare system during an epidemic will certainly make it possible to learn lessons from this health crisis.


Assuntos
Infecções por Coronavirus/epidemiologia , Assistência Odontológica/organização & administração , Epidemias , Pneumonia Viral/epidemiologia , França/epidemiologia , Humanos , Pandemias
16.
J Appl Oral Sci ; 28: e20200358, 2020.
Artigo em Inglês | MEDLINE | ID: mdl-32997092

RESUMO

The rapid and abrupt transmission pattern of the SARS-CoV-2 unleashed the current COVID-19 pandemic, as recognized by the World Health Organization in March 2020. Considering the high risk of transmission of the virus in dental environments and the specificities in clinical practice, COVID-19 posed immediate challenges for dental care and education. Due to the need to establish infection prevention and control guidance in dental health settings to enable a safe clinical practice, this review aims to list the challenges and perspectives in managing dental care in services and schools. This review employed materials collected from PubMed and the main guidelines and studies on the novel coronavirus to provide an overview of the clinical procedures and decisions made by health care personnel in dental offices and dental schools. We expect the COVID-19 scenario to promote significant changes in clinical practice and dental education; dentists should seek specific and particular regulations for dental practice established by their state or country. Biosafety checklists are strongly recommended for appointments at dental services and face-to-face activities in dental schools.


Assuntos
Infecções por Coronavirus/epidemiologia , Assistência Odontológica/organização & administração , Odontologia/organização & administração , Educação em Odontologia , Pneumonia Viral/epidemiologia , Betacoronavirus , Infecções por Coronavirus/prevenção & controle , Humanos , Pandemias/prevenção & controle , Pneumonia Viral/prevenção & controle
18.
Orv Hetil ; 161(36): 1506-1513, 2020 09.
Artigo em Húngaro | MEDLINE | ID: mdl-32886625

RESUMO

INTRODUCTION: The number of organ transplants is being on the rise. State-of-the-art immunosuppressive therapies and modern peri- and postoperative care have significantly increased life expectancy of transplanted patients, therefore, dentists and oral surgeons may encounter these patients more frequently. Although the number of successful transplants in Hungary has recently exceeded ten thousand; there is still no dental treatment protocol for these patients. AIM: The authors aimed to review and analyse the international literature about the perioperative dental care of transplanted patients based on good practice and evidence-based care protocols. MATERIAL AND METHOD: A review and comparative analysis of the English and Hungarian literature between 2010 and 2019 was conducted in relation to the objective pursued. RESULTS: The number of scientific papers in this topic is limited and their level of evidence is low. In our paper, the risk factors of transplantation and the cornerstones of perioperative, early and late postoperative dental management are described. Organ-specific considerations and possible oral manifestations of the applied medications are also presented. CONCLUSION: Lifelong administered immunosuppressive medications and the resulting artificially weakened immune system require increased attention from dentists and other healthcare professionals during patient aftercare. Close cooperation between the treating physician/surgeon and the dentist is essential to maintain patient safety. Moreover, inflammatory disorders may put the patients at increased risk, so maintaining good oral hygiene is essential. Regular dental check-ups, early detection and adequate therapy can be the cornerstones of long-term uncomplicated survival. Orv Hetil. 2020; 161(36): 1506-1513.


Assuntos
Assistência Odontológica , Transplante de Órgãos , Protocolos Clínicos , Humanos , Hungria
19.
Artigo em Inglês | MEDLINE | ID: mdl-32987661

RESUMO

The aim of the study was to evaluate the impact of the coronavirus pandemic on the willingness, anxiety and concerns of Italian people on undergoing dental appointments. An anonymous survey was posted online on social media on 11 May 2020 and was completed by 1003 respondents in one week. Multiple correspondence analysis and multiple logistic regression were used to evaluate the association between socio-demographic characteristics, dental care access, contagion fear of severe acute respiratory syndrome coronavirus-2 (SARS-CoV-2), trust in dentists regarding sanitization procedures and perception of the impact of the risk of contagion on dental care. Subjects with a high level of education, attending public dental offices and that are used to go to dental offices for urgent care would not feel comfortable in undergoing a dental appointment and would prefer to postpone or cancel dental visits, waiting for a decrease in the number of the contagions. Moreover, the risk of canceling or postponing the appointment at the dentist was 1.59 times greater in those who claimed to be strongly influenced by SARS-CoV-2. Fear of coronavirus disease (COVID-19), new cases decrease and the not urgent nature of dental visits influenced more than the lowered income household on upcoming or resuming dental appointments. In the next months, despite the forecasted economic crisis caused by coronavirus pandemic, fear and anxiety generated by the spread of the virus will impact more than the lowered familiar income with regards to access to dental care.


Assuntos
Infecções por Coronavirus/epidemiologia , Assistência Odontológica/estatística & dados numéricos , Pneumonia Viral/epidemiologia , Ansiedade , Betacoronavirus , Humanos , Itália/epidemiologia , Pandemias , Fatores Socioeconômicos
20.
Oral Health Prev Dent ; 18(1): 693-699, 2020 Sep 04.
Artigo em Inglês | MEDLINE | ID: mdl-32895651

RESUMO

PURPOSE: Few longitudinal studies on changes of decayed, missing, or filled teeth (DMFT) counts in a population have been reported. This study aimed to evaluate the changes in DMFT counts in Ljubljana citizens in a 30-year period. MATERIALS AND METHODS: 238 dentate subjects that attended the third epidemiological study were invited. Ninety 45-95-year-old subjects (37.8%) responded to our invitation. Two (2.2%) edentulous subjects were excluded. Among the dentate subjects there were 28 men and 60 women. They were divided in six age groups with mean age of 45, 55, 65, 75, 85, and 95 years. The number of subjects in each age group was: 29, 12, 21, 18, 7, and 1, respectively. For evaluation of the state of teeth we used the DMFT index. RESULTS: The average DMFT value for 45-95-year-old population was 19.3. Mean DMFT counts in all comparable age groups (45-, 55- and 65-years) decreased in 30 years. In 45 year olds they decreased from 17.5 to 15.7, in 55-year-olds they decreased from 20.4 to 19.2, and in 65 year olds they decreased from 22.5 to 20.7. An increase of the average number of present teeth (for 6.4 teeth in average) from the first to the fourth study in subjects of the same age was seen. CONCLUSION: Dental health in Slovenia has improved in 30 years. Average DMFT counts in subjects of the same age (45-, 55- and 65-years) have decreased. Ljubljana citizens have less decayed, less missing and more filled teeth than 30 years ago.


Assuntos
Cárie Dentária , Idoso , Idoso de 80 Anos ou mais , Índice CPO , Assistência Odontológica , Feminino , Humanos , Estudos Longitudinais , Masculino , Pessoa de Meia-Idade , Eslovênia
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