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2.
Hua Xi Kou Qiang Yi Xue Za Zhi ; 38(1): 90-94, 2020 Feb 01.
Artigo em Chinês | MEDLINE | ID: mdl-32037773

RESUMO

With the development of industrial robot technology, robotics has entered the medical field, and the research and development of new robots for many medical applications have become a significant research direction in global robotics. Robots are widely used in various aspects of dentistry, such as prosthodontics, orthodontics, implants, endodontics, and oral surgery. This article mainly introduces the application of robots in stomatology from the above five aspects.


Assuntos
Medicina Bucal , Ortodontia , Robótica , Cirurgia Bucal , Assistência Odontológica , Humanos
3.
J Oral Sci ; 62(1): 32-35, 2020.
Artigo em Inglês | MEDLINE | ID: mdl-31996520

RESUMO

This study aimed at determining whether oral health behavior differs between patients regularly checked by male and female dentists. The analysis was based on a cross-sectional survey of 354 Japanese community residents (median age = 54 years; 145 men and 209 women) conducted in a municipality from January to February 2017. Data on demographic characteristics and factors associated with oral health behavior were obtained through self-administered questionnaires. The association between regular dentist gender and patients' regular dental care check-up and interdental cleaning performance was examined after adjusting for potential confounders. Among respondents, 88.7% and 11.3% reported having male and female regular dentists, respectively. In a multivariate logistic regression model, patients regularly checked by female dentists had an increased likelihood of visiting their dentist for dental care check-up at least once every year (odds ratio [OR] = 2.23, 95% confidence interval [CI] = 1.09-4.55)and using an interdental cleaner (OR = 2.62, 95% CI = 1.03-6.71) compared to those regularly checked by male dentists. Patients regularly checked by female dentists tended to have more preventive oral health behaviors than those regularly checked by male dentists. These findings suggest that dentist gender has important clinical implications for patients' oral health behavior.


Assuntos
Assistência Odontológica , Odontólogos , Estudos Transversais , Feminino , Comportamentos Relacionados com a Saúde , Humanos , Masculino , Pessoa de Meia-Idade , Saúde Bucal , Fatores Sexuais , Inquéritos e Questionários
4.
Am J Orthod Dentofacial Orthop ; 157(1): 19-28, 2020 Jan.
Artigo em Inglês | MEDLINE | ID: mdl-31901273

RESUMO

INTRODUCTION: Owing to access to high-quality medical care, more medically compromised patients are seeking orthodontic therapy, including those at risk of developing infective endocarditis (IE). The current guidelines for orthodontic therapy and IE are few. The objective of this review is to provide an evidence-based update on the relationship between orthodontic procedures and IE in children. METHODS: A comprehensive review of the English language literature available through PubMed, Ovid Medline, and Google Scholar without any limits of years of publication was conducted to analyze the evidence regarding IE and orthodontics. LITERATURE REVIEW: A necessary prerequisite for IE is bacteremia. Although the only orthodontic procedure included in the current American Heart Association guidelines is the placement of bands, placement of separators has also been found to lead to significant bacteremia. Procedures with possible clinical significance include removal of expanders, placement of separators, and placement of bands. Because of the unavailability of high-quality evidence, elective invasive procedures prone to causing bacteremia should be avoided. CONCLUSIONS: Evidence regarding orthodontic treatment and IE is limited because of ethical considerations of conducting trials in patients who are at risk for IE. Clinical interpretation based on a comprehensive review of the available literature is therefore essential. CLINICAL IMPLICATIONS: Before initiating orthodontic therapy in cardiac patients, the patient's IE risk is best determined by referring to the current American Heart Association guidelines and through consultation with the patient's cardiologist. Procedures that can lead to tissue injury or bacteremia should be avoided. Oral hygiene must be reinforced because inflammation influences bacteremia.


Assuntos
Bacteriemia , Endocardite Bacteriana , Endocardite , Antibioticoprofilaxia , Criança , Assistência Odontológica , Humanos , Estados Unidos
6.
Head Face Med ; 16(1): 1, 2020 Jan 27.
Artigo em Inglês | MEDLINE | ID: mdl-31987041

RESUMO

INTRODUCTION: Cone-Beam Computed Tomography (CBCT) images can be superimposed, allowing three-dimensional (3D) evaluation of craniofacial growth/treatment effects. Limitations of 3D superimposition techniques are related to imaging quality, software/hardware performance, reference areas chosen, and landmark points/volumes identification errors. The aims of this research are to determine/compare the intra-rater reliability generated by three 3D superimposition methods using CBCT images, and compare the changes observed in treated cases by these methods. METHODS: Thirty-six growing individuals (11-14 years old) were selected from patients that received orthodontic treatment. Before and after treatment (average 24 months apart) CBCTs were analyzed using three superimposition methods. The superimposed scans with the two voxel-based methods were used to construct surface models and quantify differences using SlicerCMF software, while distances in the landmark-derived method were calculated using Excel. 3D linear measurements of the models superimposed with each method were then compared. RESULTS: Repeated measurements with each method separately presented good to excellent intraclass correlation coefficient (ICC ≥ 0.825). ICC values were the lowest when comparing the landmark-based method and both voxel-based methods. Moderate to excellent agreement was observed when comparing the voxel-based methods against each other. The landmark-based method generated the highest measurement error. CONCLUSIONS: Findings indicate good to excellent intra-examiner reliability of the three 3D superimposition methods when assessed individually. However, when assessing reliability among the three methods, ICC demonstrated less powerful agreement. The measurements with two of the three methods (CMFreg/Slicer and Dolphin) showed similar mean differences; however, the accuracy of the results could not be determined.


Assuntos
Tomografia Computadorizada de Feixe Cônico , Imagem Tridimensional , Dente , Adolescente , Cefalometria , Criança , Assistência Odontológica , Humanos , Ortodontia , Reprodutibilidade dos Testes , Dente/diagnóstico por imagem
7.
Spec Care Dentist ; 40(1): 10-25, 2020 Jan.
Artigo em Inglês | MEDLINE | ID: mdl-31750559

RESUMO

AIMS: To identify the nonpharmacological patient-support techniques (nPSTs) reported, used or recommended for people with intellectual-developmental-disorders (IDD) to receive dental treatment; to identify their active ingredients and evaluate their effectiveness by adopting an existing taxonomy of behavior-change techniques (BCTs). METHODS AND RESULTS: Following a protocol, a search strategy was undertaken using Medline, Embase, Cochrane Library, Scopus, Cinahl, and Psychinfo (EBSCO). Selection criteria were applied, with review and extraction in duplicate. A comprehensive list of nPSTs were identified and coded by their constituent behavior-change techniques (BCTs), where BCT-taxonomy-Version-1 criteria were satisfied. Quality assessment was undertaken and effectiveness of BCTs reported. From 915 screened articles, 23 were included. In 207 instances nPSTs were identified, representing 46 distinct nPST techniques, such as positive-reinforcement (n = 18) and tell-show-do (n = 9). Of the 207 nPST codes, 135 were coded as BCTs (65.2%). The most commonly coded BCT was demonstration of the behavior (BCT6.1; n = 25). Considering studies of interventions (n = 11), all were at moderate to critical risk of bias. No interventions or outcome measures were comparable across studies. CONCLUSION: This is the first review to bring together techniques dentists use in practice and theory-driven BCTs. A significant overlap between nPSTs and BCTs was evident supporting the use of BCT taxonomy to code dental interventions. No strong evidence supporting any intervention was identified.


Assuntos
Terapia Comportamental , Assistência Odontológica , Deficiência Intelectual , Humanos
8.
J Oral Rehabil ; 47(2): 270-280, 2020 Feb.
Artigo em Inglês | MEDLINE | ID: mdl-31638281

RESUMO

The objective of this systematic review was (a) to establish the prevalence of temporomandibular disorders (TMDs) in patients seeking orthodontic treatment and (b) to determine the association between the presence of TMD and sex, age and malocclusion. A systematic literature search was performed according to PRISMA guidelines from 1969 to 2019 using the PubMed and LIVIVO databases. Eight study articles met the inclusion and exclusion criteria. An additional three contributions were identified through manual searching of the reference lists of retrieved articles. The methodological quality of the 11 articles was assessed with the Joanna Briggs Institute Critical Appraisal Checklist for prevalence studies. TMD prevalence ranged from 21.1% to 73.3%. The frequency of painful TMD signs/symptoms varied from 3.4% to 65.7%, while non-painful signs/symptoms ranged from 3.1% to 40.8%. The percentage of males and females presenting with TMD varied from 10.6% to 68.1% and 21.2 to 72.4%, respectively. In all studies, TMD prevalence was higher among females. The majority of articles reported more TMD signs/symptoms in individuals older than 18 years as compared to younger ones (≤18 years). While in four studies no association between TMD and malocclusion was found, another three investigations indicated that TMD may be related to certain occlusal traits. The TMD prevalence in patients seeking orthodontic treatment was high, with many individuals presenting painful TMD signs/symptoms. Female and older patients appear to have a greater occurrence of TMD. Although no strong association between TMD and malocclusion was established, several occlusal traits were implicated.


Assuntos
Má Oclusão , Transtornos da Articulação Temporomandibular , Assistência Odontológica , Feminino , Humanos , Masculino , Dor , Prevalência
9.
Spec Care Dentist ; 40(1): 41-48, 2020 Jan.
Artigo em Inglês | MEDLINE | ID: mdl-31691985

RESUMO

OBJECTIVE: To improve knowledge of oral health among the hearing impaired in Saudi Arabia using videos with detailed oral hygiene instructions in Arabic sign language. METHODS: Videos of oral hygiene instructions in Arabic sign language were produced under the supervision of a periodontist. Fifty male subjects above 18 years of age were chosen randomly from different deaf schools in Jazan, Saudi Arabia and divided into two groups as follows: Group 1 received printed booklets with oral hygiene instructions, and Group 2 received videos of the same instructions in Arabic sign language. Knowledge regarding oral health and hygiene practice was evaluated with the aid of a questionnaire before and after 4 weeks. RESULTS: The estimated marginal mean of the knowledge regarding oral hygiene in Group 1 was 3.37, which was slightly increased to 4.40 after 4 weeks of general instructions. The estimated marginal mean in Group 2 was 3.70 before the distribution of the videos, which was significantly increased to 11 after 4 weeks (P < .001). CONCLUSION: Videos of oral hygiene instructions in Arabic sign language had immensely improved knowledge regarding oral health and hygiene practices in the deaf/hearing impaired patients in this study.


Assuntos
Higiene Bucal , Línguas de Sinais , Adolescente , Adulto , Assistência Odontológica , Humanos , Masculino , Saúde Bucal , Arábia Saudita
10.
Eur J Dent Educ ; 24(1): 109-120, 2020 Feb.
Artigo em Inglês | MEDLINE | ID: mdl-31618492

RESUMO

INTRODUCTION: In the United Kingdom, policy and guidance changes regarding the role of dental therapists (DTs) were implemented in recent years with a view to changing dental care to a more preventive-focussed, teamwork approach. However, success in the adoption of this model of working has been varied. AIMS: Adopting a realist approach, our aim was, to examine the use of DTs in general dental practices in Wales, exploring what works, why, how and in what circumstances. MATERIALS AND METHODS: The research comprised two stages. (a) A structured literature search, dual-coding papers for high-level factors describing the conditions or context(s) under which the mechanisms operated to produce outcomes. From this, we derived theories about how skill-mix operates in the general dental service. (b) Six case studies of general dental practices (three with a dental therapist/three without a dental therapist) employing a range of skill-mix models incorporating semi-structured interviews with all team members. We used the case studies/interviews to explore and refine the theories derived from the literature. RESULTS: Eighty-four papers were coded. From this coding, we identified seven theories which reflected factors influencing general dental practices within three broad contexts: the dental practice as a business, as a healthcare provider and as a workplace. We tested these theories in interviews with 38 dental team members across the six care studies. As a result, we amended five of the theories. CONCLUSION: Our analysis provides theory about outcomes that DTs may facilitate and the mechanisms that may assist the work of DTs within different contexts of general dental practice.


Assuntos
Assistência Odontológica , Odontologia Geral , Pessoal de Saúde , Humanos , Reino Unido , Local de Trabalho
11.
Acta Odontol Scand ; 78(1): 13-19, 2020 Jan.
Artigo em Inglês | MEDLINE | ID: mdl-31287346

RESUMO

Objective: To estimate the prevalence of dental anxiety, and to explore factors that may increase the risk of reporting dental anxiety among 18-year-old Norwegians in 2016. A further objective was to report changes in dental anxiety since 1996.Material and methods: An anonymous survey from a strategic sample of upper secondary students (n = 351) in 2016 with high response rate (93%) was compared with the results of an investigation of a similar population conducted in 1996.Results: The prevalence of dental anxiety and dental distrust was reduced from 1996 to 2016. Dental Fear Survey (DFS) from 19 to 8% (p < .001), and Dental Belief Survey (DBS) from 15 to 6% (p < .001). Geer Fear Scale (GFS) which measure phobic anxiety did not show a similar reduction (17 versus 15%, p = .37). Phobic anxiety, avoidance behaviour, self-reported poor oral health and previous experiences of pain were all associated with dental anxiety.Conclusion: The prevalence of dental anxiety was reduced from 1996 to 2016, but 8% still report dental anxiety. Proper pain management and use of behavioural management techniques still needs to be highlighted to prevent development of dental anxiety, avoidance behaviour and poor oral health.


Assuntos
Ansiedade ao Tratamento Odontológico/epidemiologia , Medo , Adolescente , Ansiedade ao Tratamento Odontológico/etiologia , Ansiedade ao Tratamento Odontológico/psicologia , Assistência Odontológica/psicologia , Humanos , Noruega/epidemiologia , Saúde Bucal , Dor/epidemiologia , Dor/psicologia , Prevalência , Odontologia em Saúde Pública , Fatores de Risco , Inquéritos e Questionários
13.
Am J Orthod Dentofacial Orthop ; 156(6): 791-799, 2019 Dec.
Artigo em Inglês | MEDLINE | ID: mdl-31784012

RESUMO

INTRODUCTION: The aim of this study was to evaluate the trends and rates of Medicaid-funded orthodontic treatment provided by orthodontists to children younger than 18 years in Oklahoma. METHODS: Enrollment and claims data were evaluated from the Oklahoma Medicaid program for a 7-year period, January 2010 through December 2016. Medicaid total enrollment data by age, sex, race or ethnicity, and county were included. Claims data were collected both for any dental services and comprehensive orthodontic treatment for adolescents. Descriptive statistics were used for the study variables. Proportions and odds ratios were calculated and compared using a chi-square test. RESULTS: Children aged between 15 and 18 years received orthodontic treatment more frequently than children aged between 6 and 14 years. Females received orthodontic treatment more frequently than males. Caucasians received orthodontic treatment more frequently than other races. Children who live in rural areas received orthodontic treatment more frequently than those living in urban areas. CONCLUSIONS: Comprehensive orthodontic patients are more likely to be Caucasian females between the ages of 15 and 18 years living in rural areas. The Hispanic community is growing significantly in the Medicaid population. Access to care is still a problem faced by many.


Assuntos
Medicaid , Ortodontia Corretiva , Adolescente , Criança , Assistência Odontológica , Feminino , Hispano-Americanos , Humanos , Masculino , Oklahoma , Ortodontia Corretiva/economia , Ortodontia Corretiva/estatística & dados numéricos , Estados Unidos
14.
Shanghai Kou Qiang Yi Xue ; 28(4): 388-390, 2019 Aug.
Artigo em Chinês | MEDLINE | ID: mdl-31792479

RESUMO

PURPOSE: To evaluate the dental quality comprehensively by data model of efficacy coefficient based on the principle of multi-objective programming. METHODS: The correlation index of dental medical quality was selected by Delphi method, while the index weight was determined by the scale of the analytic hierarchy process. Then efficacy coefficient method was used to evaluate the dental quality of Shanghai Stomatological Hospital in a certain period. RESULTS: During the period of 2016-2017, the D value of the efficiency coefficient was 84.92, 83.41, 86.99 and 81.98, respectively, which demonstrated that the overall quality of the hospital was in good condition. CONCLUSIONS: The efficiency coefficient method can objectively reflect the comprehensive level of medical quality, which can provide a strong support for comprehensive evaluation and control of the quality of dental hospital.


Assuntos
Assistência Odontológica , Qualidade da Assistência à Saúde , China , Técnica Delfos
15.
RECIIS (Online) ; 13(4): 887-895, out.-dez. 2019. ilus
Artigo em Português | LILACS | ID: biblio-1047673

RESUMO

Este relato objetiva apresentar o processo de desenvolvimento de um material escrito e ilustrado voltado para o dentista atuante em Unidades de Terapia intensiva, bem como os motivos e justificativas que levaram à decisão de sua necessidade. O cirurgião-dentista tem ampliado sua área de atuação e, por isso, necessita de materiais didáticos que forneçam uma base para essa nova forma de pensar a Odontologia, com um caráter integral e multiprofissional. Por não haver contato dos cirurgiões-dentistas com o ambiente hospitalar durante a graduação, salvo raras exceções, o material didático nesta área foi planejado para abranger desde os conhecimentos básicos até situações que envolvem maior conhecimento para a tomada de decisão. A metodologia utilizada foi o levantamento bibliográfico e a montagem de material escrito na forma de manual, além da produção e tratamento de fotografias ilustrativas, obtidas em um Hospital Universitário durante o processo de cuidado odontológico de pacientes críticos.


This report aims to present the process of developing a written and illustrated material for the dentist in intensive care units, as well as the reasons and justifications that led to the decision of their need. The dental surgeon has expanded his area of practice and, therefore, needs didactic materials that provide a basis for this new way of thinking about Dentistry, with an integral and multiprofessional character. Due to the lack of contact between dental surgeons and the hospital environment during graduation, with few exceptions, the teaching material in this area was designed to cover everything from basic knowledge to situations involving greater knowledge for decision making. The methodology used was the bibliographical survey and the assembly of written material in manual form, as well as the production and treatment of illustrative photographs obtained at a University Hospital during the dental care process of critical patients.


Este relato tiene como objetivo presentar el proceso de desarrollo de un material escrito e ilustrado orientado hacia el dentista actuante en Unidades de Terapia intensiva, así como los motivos y justificaciones que llevaron a la decisión de su necesidad. El cirujano-dentista ha ampliado su área de actuación y, por eso, necesita materiales didácticos que proveen una base para esa nueva forma de pensar la Odontología, con un carácter integral y multiprofesional. Por no haber contacto de los cirujanos-dentistas con el ambiente hospitalario durante la graduación, salvo raras excepciones, el material didáctico en esta área fue planeado para abarcar desde los conocimientos básicos hasta situaciones que involucran mayor conocimiento para la toma de decisión. La metodología utilizada fue el levantamiento bibliográfico y el montaje de material escrito en la forma de manual, además de la producción y tratamiento de fotografías ilustrativas, obtenidas en un Hospital Universitario durante el proceso de cuidado odontológico de pacientes críticos.


Assuntos
Humanos , Materiais de Ensino , Desenvolvimento de Pessoal , Comunicação Interdisciplinar , Equipe Hospitalar de Odontologia , Dicionários Odontológicos como Assunto , Assistência Odontológica , Contenção de Riscos Biológicos , Serviços de Saúde Bucal , Odontólogos , Fotografia , Unidades de Terapia Intensiva
16.
Eur J Paediatr Dent ; 20(4): 285-289, 2019 Dec.
Artigo em Inglês | MEDLINE | ID: mdl-31850770

RESUMO

AIM: Over the past two decades, improvements in both the safety of anaesthetic agents and the techniques of operative dentistry have resulted in the popularity of "day-case anaesthesia". The aim of this study was to evaluate the stress felt by parents of children undergoing dental treatment. The study also aimed to compare the stress felt by parents of children undergoing chairside treatment to the stress felt by parents of children who received their treatment under general anaesthesia. MATERIALS AND METHODS: Study Design: Stress among parents was assessed subjectively using the Modified Dental Anxiety Stress (MDAS) questionnaire and objectively using a pulse oximeter to record the heart rate. The sample comprised of 60 parents of children aged between 4 and 7 years who were divided into three groups. Group A comprised of 20 sets of parents of children who underwent complete dental treatment without any pharmacological behaviour management. Group B comprised of 20 sets of parents of children who were treated at the dental chair with N2O used as pharmacological behaviour management. Group C comprised of 20 sets of parents of children who underwent dental rehabilitation under general anaesthesia. Objective signs were recorded preoperatively, during the procedure and post-operatively. RESULTS: Dental treatment is a stressful experience for a parent. The introduction of a pharmacological method of behaviour management seems to significantly increase the stress felt by the parent. CONCLUSIONS: A significant increase in heart rate was observed among parents whose children were under treatment.


Assuntos
Anestesia Dentária , Anestesia Geral , Criança , Pré-Escolar , Ansiedade ao Tratamento Odontológico , Assistência Odontológica , Humanos , Pais
17.
Zhonghua Kou Qiang Yi Xue Za Zhi ; 54(12): 793-797, 2019 Dec 09.
Artigo em Chinês | MEDLINE | ID: mdl-31874476

RESUMO

With the improvement of people's living standards and oral health education, the demand for orthodontic treatment is increasing. The comprehensive goal of orthodontic treatment is not only to obtain esthetic dentition and appearance, but also to obtain oral health, general health and mental and psychological health. Therefore, how to effectively prevent the risks in orthodontic treatment is particularly important, and it is also an important content that orthodontists must master. In this paper, the prevention of related risks in orthodontic treatment was discussed.


Assuntos
Assistência Odontológica , Ortodontia Corretiva , Gestão de Riscos , Estética Dentária , Humanos , Má Oclusão/terapia
18.
Zhonghua Kou Qiang Yi Xue Za Zhi ; 54(12): 798-802, 2019 Dec 09.
Artigo em Chinês | MEDLINE | ID: mdl-31874477

RESUMO

Clear aligner, as a transparent and removable appliance, offers an alternative to conventional fixed appliance to patients with high demands for esthetics and comfort. Meanwhile, the rapid development of materials and techniques has made clear aligner more widely used in orthodontics. However, there are still several concerns and risks in clinical practice of clear aligners, which may result in unfavorable outcomes. Herein, we have discussed the clinical risks of clear aligner therapy, and provided some targeted strategies, in order to promote the clinical application of clear aligners.


Assuntos
Má Oclusão/terapia , Desenho de Aparelho Ortodôntico , Aparelhos Ortodônticos Removíveis , Assistência Odontológica , Estética Dentária , Humanos
19.
Zhonghua Kou Qiang Yi Xue Za Zhi ; 54(12): 803-807, 2019 Dec 09.
Artigo em Chinês | MEDLINE | ID: mdl-31874478

RESUMO

Facial aesthetic defect is obviously different from facial aesthetic standard. Orthodontic treatment may expose or even magnify other facial aesthetic defects while solving patients' main problems. There are many aesthetic traps in facial bone structure, soft tissue and teeth. Orthodontists should comprehensively recognize patients' dentofacial aesthetic defects. When solving major problems, we should keep an eye on the changes of minor problems and other uncontrollable factors. Potential risks should be clearly recognized and prevented.


Assuntos
Estética Dentária , Má Oclusão/terapia , Ortodontia Corretiva , Gestão de Riscos , Assistência Odontológica , Humanos
20.
Zhonghua Kou Qiang Yi Xue Za Zhi ; 54(12): 815-818, 2019 Dec 09.
Artigo em Chinês | MEDLINE | ID: mdl-31874480

RESUMO

In recent years, more and more female adult patients complained the aesthetic problems such as the decline of face fullness during the treatment. In the course of 2-3 years of orthodontic treatment, the age-related change of the facial bone structure in the adult is limited, and therefore, the shape change mainly depends on the change of the soft tissue. In this paper, the factors such as age-increasing factors, the structural factors of the face,the width of the arch and the change of the occlusal height were analyzed to explore the changes of facial soft tissue and related factors in the treatment with a view to providing a reference for clinical application.


Assuntos
Fatores Etários , Estética Dentária , Face , Ortodontia , Adulto , Cefalometria , Assistência Odontológica , Ossos Faciais , Feminino , Humanos , Má Oclusão
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