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1.
BMC Oral Health ; 20(1): 359, 2020 12 11.
Artigo em Inglês | MEDLINE | ID: mdl-33308188

RESUMO

BACKGROUND: HIV infection is associated to different oral manifestations (including periodontal diseases), which have decreased with the advent of antiretroviral therapy (ART). Yet, the occurrence of periodontitis is still consistent among patients with HIV living in sub Saharan-Africa, with limited evidence on the driven factors and mitigating measures in these settings. We aimed at evaluating the occurrence of periodontitis and its associated immunological and virological factors in patients with HIV living in Yaoundé, Cameroon. METHODS: We included 165 (44 ART-naïve and 121 ART-experienced) patients > 18 years old attending the Yaoundé Central Hospital and the Chantal BIYA International Reference Centre, from January-April 2018. The periodontal status was assessed by measuring the clinical attachment loss, periodontal pocket depth, plaques index and gingival bleeding index. CD4+/CD8+ cells and viremia were measured using the fluorescence-activated cell sorting method (FACS Calibur) and the Abbott m2000 RT HIV-1 RNA kit respectively. A standard-questionnaire concerning participants' medical records and oral hygiene methods was filled. Data was analyzed and p < 0.05 considered statistically significant. RESULTS: There was a significantly high prevalence of periodontitis in the ART-naïve (53.2%) compared to the ART-experienced group (37.3%), with a twofold increased risk of the ART-naïve population presenting with periodontitis than the ART-experienced population (OR 2.06, p = 0.03). More importantly, ART-naïve, patients with CD4 < 200 cells presented with higher risk of having periodontitis compared to those with higher CD4-values, with a threefold difference (OR 3.21). Worth noting, males presented with a higher risk of having clinical attachment loss (OR 6.07). There was no significant association between the occurrence of periodontitis and the CD8 (p = 0.45) or viremia (p = 0.10). CONCLUSION: In the Cameroonian context, a considerable number of adults infected with HIV suffer from periodontitis regardless of their treatment profile. Nonetheless, ART-naïve patients have a higher risk, indicating the protective role of ART. Interestingly, severely immune-compromised patients and men are vulnerable to periodontitis, thereby highlighting the need for clinicians to refer patients for regular periodontal screening especially male patients and those with low CD4. Such measures could greatly improve the quality of life of the population living with HIV in Cameroon.


Assuntos
Infecções por HIV , Periodontite , Adolescente , Adulto , Contagem de Linfócito CD4 , Camarões/epidemiologia , Infecções por HIV/complicações , Infecções por HIV/tratamento farmacológico , Infecções por HIV/epidemiologia , Humanos , Masculino , Bolsa Periodontal/epidemiologia , Periodontite/epidemiologia , Qualidade de Vida , Carga Viral
2.
Med Sci Monit ; 25: 9712-9720, 2019 Dec 18.
Artigo em Inglês | MEDLINE | ID: mdl-31852008

RESUMO

BACKGROUND The interplay between obesity and periodontitis has been widely examined. While obesity was reported as a risk factor for periodontitis, the inverse relationship is still little explored. Therefore, we aimed to determine whether periodontitis and toothbrushing frequency affect the onset of obesity. MATERIAL AND METHODS This cohort study included 1619 employees of a business enterprise headquartered in Tokyo, who in 2002 and 2006 underwent in prescribed annual health checks, both general and dental-specific, and who were not obese in 2002 (body mass index <25). The response variable was obesity (or absence) at 4 years, while the explanatory variables were presence/absence of periodontal pockets and toothbrushing frequency in 2002; their relationships were examined by multiple logistic regression analysis. RESULTS Subjects with periodontal pockets ≥4 mm showed a significantly higher odds ratio (OR) for onset of obesity at 4 years than those without periodontal pockets [OR: 1.59, 95% CI (confidence interval): 1.08-2.35, p<0.05]. Similarly, subjects who brushed their teeth ≥3 times/day had a significantly lower obesity OR than those who brushed ≤1 time/day (OR: 0.49, 95% CI: 0.28-0.85, p<0.01). CONCLUSIONS The presence of periodontal pockets and toothbrushing frequency are significantly associated with the onset of obesity. Periodontal pockets ≥4 mm are associated with increased risk of obesity, while frequent toothbrushing (≥3 times/day) appears to reduce the risk of obesity.


Assuntos
Obesidade/epidemiologia , Periodontite/epidemiologia , Escovação Dentária/estatística & dados numéricos , Adulto , Estudos de Coortes , Feminino , Humanos , Masculino , Pessoa de Meia-Idade , Obesidade/complicações , Bolsa Periodontal/complicações , Bolsa Periodontal/epidemiologia , Periodontite/complicações , Adulto Jovem
3.
Rev Saude Publica ; 53: 105, 2019.
Artigo em Inglês, Português | MEDLINE | ID: mdl-31826174

RESUMO

OBJECTIVE: To evaluate the factors associated with tooth loss in adults from the position and number of teeth lost in the dental arches. METHODS: This is a cross-sectional, population-based study with adults participating in the epidemiological survey of oral health of São Paulo in 2015. The outcome of the study was tooth loss, assessed by the proposed classification, namely: I) lost up to 12 back teeth; II) lost up to 12 teeth (including front teeth); and III) lost more than 12 teeth. A four-block analysis was conducted, supported by a conceptual theoretical model adapted for tooth loss. For the multinomial logistic regression, "individuals who did not lose teeth due to caries or periodontal disease" was used as reference (p < 0.05). RESULTS: Of 6,051 adults evaluated, 25.3% (n = 1,530) were classified in category I, 32.7% (n = 1,977) in II, 9.4% (n = 568) in III, and 1.9% (n = 117) were edentulous. Lower income and schooling, the perception of need for treatment and the last appointment motivated by routine, pain or extraction were associated with tooth loss, regardless of the classification. The negative evaluation of the dental service was associated with individuals who lost up to 12 teeth, both front and back. The presence of women and periodontal pocket were associated with tooth loss of up to 12 teeth, including front, and more than 12 teeth. Caries were associated with adults who lost up to 12 teeth, including front teeth. CONCLUSION: The proposed classification allowed the identification of differences between the associated factors. Thus, the need to consider such classification in future studies is evident.


Assuntos
Perda de Dente/epidemiologia , Adulto , Fatores Etários , Brasil/epidemiologia , Estudos Transversais , Cárie Dentária/epidemiologia , Cárie Dentária/fisiopatologia , Feminino , Humanos , Masculino , Saúde Bucal , Doenças Periodontais/classificação , Bolsa Periodontal/epidemiologia , Bolsa Periodontal/fisiopatologia , Fatores de Risco , Fatores Sexuais , Fatores Socioeconômicos , Perda de Dente/etiologia
4.
J Am Med Dir Assoc ; 20(12): 1654.e1-1654.e9, 2019 12.
Artigo em Inglês | MEDLINE | ID: mdl-31409558

RESUMO

OBJECTIVES: Studies examining the associations between oral health and disability have limited oral health measures. We investigated the association of a range of objectively and subjectively assessed oral health markers with disability and physical function in older age. DESIGN, SETTING, AND PARTICIPANTS: Cross-sectional analyses were based on the British Regional Heart Study (BRHS) comprising men aged 71 to 92 years (n = 2147) from 24 British towns, and the Health, Aging, and Body Composition (HABC) Study comprising men and women aged 71 to 80 years (n = 3075) from the United States. Assessments included oral health (periodontal disease, tooth count, dry mouth, and self-rated oral health), disability, and physical function (grip strength, gait speed, and chair stand test). RESULTS: In the BRHS, dry mouth, tooth loss, and cumulative oral health problems (≥3 problems) were associated with mobility limitations and problems with activities of daily living and instrumental activities of daily living; these remained significant after adjustment for confounding variables (for ≥3 dry mouth symptoms, odds ratio (OR) 2.68, 95% confidence interval (CI) 1.94-3.69; OR 1.76, 95% CI 1.15-2.69; OR 2.90, 95% CI 2.01, 4.18, respectively). Similar results were observed in the HABC Study. Dry mouth was associated with the slowest gait speed in the BRHS, and the weakest grip strength in the HABC Study (OR 1.75, 95% CI 1.22, 2.50; OR 2.43, 95% CI 1.47-4.01, respectively). CONCLUSIONS AND IMPLICATIONS: Markers of poor oral health, particularly dry mouth, poor self-rated oral health, and the presence of more than 1 oral health problem, were associated with disability and poor physical function in older populations. Prospective investigations of these associations and underlying pathways are needed.


Assuntos
Avaliação da Deficiência , Teste de Esforço , Força da Mão , Saúde Bucal , Velocidade de Caminhada , Atividades Cotidianas , Idoso , Idoso de 80 Anos ou mais , Estudos de Coortes , Estudos Transversais , Assistência Odontológica/estatística & dados numéricos , Feminino , Humanos , Arcada Edêntula/epidemiologia , Masculino , Limitação da Mobilidade , Bolsa Periodontal/epidemiologia , Perda de Dente/epidemiologia , Reino Unido/epidemiologia , Estados Unidos/epidemiologia , Xerostomia/epidemiologia
5.
Health Care Women Int ; 40(7-9): 776-787, 2019.
Artigo em Inglês | MEDLINE | ID: mdl-30901282

RESUMO

Imprisoned women represent a growing population worldwide with important health needs. In this study, we aimed to analyze the impact of oral health conditions on the quality of life of female inmates in a maximum security correctional facility. Participants were examined and answered the OHIP-14 questionnaire. A total of 305 inmates were included in the study. Prevalence of untreated caries was 84%. Worse quality of life was associated with dental caries, dental pain, deep periodontal pocket, prosthetic use, and age. Sociodental indicators should be incorporated into healthcare and health policies in order to promote wellbeing among this vulnerable population.


Assuntos
Cárie Dentária/epidemiologia , Saúde Bucal/estatística & dados numéricos , Bolsa Periodontal/epidemiologia , Prisioneiros/estatística & dados numéricos , Adulto , Brasil/epidemiologia , Estudos Transversais , Feminino , Nível de Saúde , Humanos , Pessoa de Meia-Idade , Prevalência , Qualidade de Vida , Inquéritos e Questionários , Adulto Jovem
6.
Acta Odontol Scand ; 77(5): 371-379, 2019 Jul.
Artigo em Inglês | MEDLINE | ID: mdl-30806117

RESUMO

OBJECTIVE: To investigate whether alcohol use is associated with deepened periodontal pockets and whether this association is dependent on age, gender or socioeconomic position (SEP). MATERIAL AND METHODS: This cross-sectional study, based on the Health 2000 Survey, consisted of dentate, non-smoking Finnish adults aged 30-65 years (n = 3059). The outcome was the number of teeth with deepened (≥4 mm) periodontal pockets. The exposure was self-reported alcohol use assessed as amount, frequency, and use over the risk limit. Zero-inflated negative binomial regression models were used to estimate relative risks (RRs) and 95% confidence intervals (95% CI). RESULTS: In this study, alcohol use did not consistently associate with the number of teeth with deepened periodontal pockets. An association with the number of teeth with deepened periodontal pockets was found among men, older participants, and those participants belonging to basic or intermediate educational groups. An association with poor periodontal health was observed among men or older participants who belonged to the basic or intermediate educational group, whereas such associations were not observed among those participants belonging to the higher educational group. CONCLUSIONS: The association between alcohol use and periodontal health appears to be confounded by individual characteristics such as age, gender, and especially one's SEP.


Assuntos
Consumo de Bebidas Alcoólicas/epidemiologia , Nível de Saúde , Bolsa Periodontal/epidemiologia , Adulto , Idoso , Comorbidade , Estudos Transversais , Feminino , Finlândia/epidemiologia , Inquéritos Epidemiológicos , Humanos , Masculino , Pessoa de Meia-Idade , Índice Periodontal
7.
BMC Oral Health ; 19(1): 5, 2019 01 07.
Artigo em Inglês | MEDLINE | ID: mdl-30616605

RESUMO

BACKGROUND: In addition to numerous general health problems, drug dependents manifest various oral health disorders. Our aim was to investigate the oral health status and its determinants among in-treatment opiate dependents. METHODS: As part of a comprehensive cross-sectional survey on opiate dependents admitted to methadone maintenance centers in Tehran, Iran, we conducted a clinical study in two centers from different socioeconomic areas. A trained dentist conducted face to face interviews and clinical oral examinations based on World Health Organization (WHO) criteria for Decayed, Missing, Filled Teeth (DMFT) index and Community Periodontal Index (CPI) on volunteer patients. Student's t-test, Mann-Whitney U, Kruskal Wallis, and Chi2 tests, in addition to linear and logistic regression models served for statistical analysis (p < 0.05). RESULTS: A total of 217 patients (98% men), with a mean age of 43.6 years (SD 12.3) participated in the study. Opium was the main drug of abuse reported by 70% of the participants followed by crystalline heroin (22%). Of the participants, 24.4% were totally edentulous. The mean DMFT score of participants was 20.3 (SD 7.8). Missing teeth comprised the main part of the index followed by decayed and filled teeth. Older patients (p < 0.001) and the patients with a lower socioeconomic status (p = 0.01) had higher DMFT scores. None of the dentate patients had a healthy periodontium. Maximum CPI mostly consisted of shallow pockets (66%) followed by calculus in 15%, deep pockets in 11%, and bleeding in 8% of the participants. Older participants (p = 0.02) and those who started drug abuse at a younger age (p = 0.01) were more likely to develop periodontal pockets. CONCLUSIONS: Opiate dependents had a poor oral health status in terms of the dentition status and periodontal health. Missing teeth comprised the main part of their dental caries history and none had a healthy periodontium. Oral health care should be integrated into the package of general health services available in treatment centers.


Assuntos
Cárie Dentária/epidemiologia , Transtornos Relacionados ao Uso de Opioides/complicações , Saúde Bucal , Adolescente , Adulto , Estudos Transversais , Índice CPO , Cárie Dentária/etiologia , Feminino , Nível de Saúde , Humanos , Irã (Geográfico)/epidemiologia , Masculino , Transtornos Relacionados ao Uso de Opioides/epidemiologia , Índice Periodontal , Bolsa Periodontal/epidemiologia , Bolsa Periodontal/etiologia , Prevalência , Fatores de Risco , Inquéritos e Questionários , Adulto Jovem
8.
J Periodontal Res ; 54(3): 259-265, 2019 Jun.
Artigo em Inglês | MEDLINE | ID: mdl-30450546

RESUMO

OBJECTIVE: The aim of this clinical trial was to assess the relationship between periodontal bacterial burden and coronary heart disease (CHD) in Japanese population. BACKGROUND: Many epidemiological reports suggest that periodontitis is a risk factor for CHD; however, the influence of each periodontal bacterium and periodontal condition in Japanese CHD patients is unclear. METHODS: We studied 897 patients with cardiovascular diseases in Tokyo Medical and Dental University Hospital from May 2012 to August 2015. The subjects were divided into six groups according to age and the existence of CHD (46-60 years with CHD (n = 56): Group YC, 61-70 years with CHD (n = 106): Group MC, over 70 years with CHD (n = 177): Group EC, 46-60 years without CHD (n = 152): Group YN, 61-70 years without CHD (n = 216): Group MN, and over 70 years without CHD (n = 190): Group EN). RESULTS: We found that the patients in Groups MC and EC had deeper periodontal pocket compared to the patients in Group YN (P < 0.05), although there was no statistical difference of pocket depth between Group YC and Groups MC and EC. Many subjects in Group EC had high anti-Porphyromonas gingivalis and anti-Prevotella intermedia antibodies in comparison to Group EN (P < 0.05). The CHD patients generally had worse oral condition than the non-CHD patients. Elderly with CHD had a higher level of serum anti-Porphyromonas gingivalis antibody and anti-Prevotella intermedia antibody than those without CHD. CONCLUSION: Increased periodontal infection was found in Japanese CHD patients compared to non-CHD patients.


Assuntos
Doença das Coronárias/etiologia , Bolsa Periodontal/complicações , Periodontite/complicações , Fatores Etários , Idoso , Anticorpos Antibacterianos/sangue , Grupo com Ancestrais do Continente Asiático , Doença das Coronárias/epidemiologia , Doença das Coronárias/microbiologia , Feminino , Humanos , Japão/epidemiologia , Masculino , Pessoa de Meia-Idade , Bolsa Periodontal/epidemiologia , Bolsa Periodontal/microbiologia , Periodontite/epidemiologia , Periodontite/microbiologia , Periodonto/microbiologia , Porphyromonas gingivalis/imunologia , Prevotella intermedia/imunologia , Fatores de Risco
9.
PLoS One ; 13(11): e0208096, 2018.
Artigo em Inglês | MEDLINE | ID: mdl-30500840

RESUMO

Few studies and epidemiological surveys are carried out in populations geographically and culturally isolated, such as rural and riverine communities. Riverine populations represent one of the typical populations of the Amazon region. This study aimed to evaluate the impact of dental caries and periodontal disease on the quality of life of adolescents and young adults from an urban area and from two riverine communities of the Amazon region located at different distances from the urban area. The occurrence of dental caries and periodontal disease was examined through the Decayed, Missing, Filled (DMFT) Index and the Community Periodontal Index (CPI). The impact of oral health conditions on quality of life was examined through the Oral Health Impact Profile (OHIP-14) questionnaire. The data were collected from 564 individuals (15-25 years old): 212 residents of the urban area of Abaetetuba-Pará-Brazil, were compared to 186 inhabitants of the nearest riverine community (Maracapucu) and 166 of another riverine community (Tucumanduba River) located further from the city. The OHIP-14 was analyzed as a dependent outcome, while dental caries, bleeding, calculus, the presence of periodontal pockets, as well as sex and age were analyzed as independent variables through Poisson analysis in a multilevel model. The worst indicators of OHIP-14 and the highest DMFT scores were found in the riverine populations, especially those from the riverine community farthest from the urban area. Based on the adjusted multivariate model, variables such as the contextual variable (location, RR 1.31), and individual demographic variables (sex and age), DMFT (RR 1.53), and the presence of periodontal pockets (RR 1.15) were significantly related to the OHIP (p<0.001). Our results confirm that dental caries and periodontal disease negatively impact oral health-related quality of life; however, these diseases seem to impact the individuals from remote communities more significantly.


Assuntos
Saúde Bucal , Qualidade de Vida , Adolescente , Adulto , Brasil/epidemiologia , Cálculos/epidemiologia , Estudos Transversais , Índice CPO , Assistência Odontológica , Cárie Dentária/epidemiologia , Inquéritos de Saúde Bucal , Feminino , Humanos , Masculino , Índice Periodontal , Bolsa Periodontal/epidemiologia , População Rural , Inquéritos e Questionários , População Urbana , Adulto Jovem
11.
Chin J Dent Res ; 21(3): 195-203, 2018.
Artigo em Inglês | MEDLINE | ID: mdl-30255170

RESUMO

OBJECTIVE: To investigate the periodontal health status and associated factors of adolescents aged 12 to 15 years old in China. METHODS: A cross-sectional national oral health survey was conducted in 2015-2016. The multi-stage stratified cluster sampling was used to select participants in all 31 provinces, autonomous regions and municipalities in the mainland of China. Each participant received a clinical assessment including periodontal bleeding and calculus, and 15-year-old adolescents received additional examinations including for periodontal pocket depth and attachment loss, using the latest criteria from the Oral Health Survey Basic Methods, as recommended by the World Health Organization (WHO). A self-answered structured questionnaire was designed to collect the data of background information and associated risk factors. RESULTS: A total of 118,514 adolescents (14.0 ± 1.09 years old) completed all the oral examinations and the questionnaire. The prevalence of periodontal bleeding and calculus was 61.0% and 67.3% respectively. In the group of 15 year olds, 6.5% adolescents had periodontal pocket and 0.5% had attachment loss. Molars were often involved and, furthermore, calculus also occurred on lower incisors. The periodontal status of adolescents became worse as they grew up. The condition of girls was significantly better than boys. CONCLUSION: This survey illustrated a brief picture of periodontal status of adolescents in China showing that gingival bleeding and calculus were very common and frequent. Further actions on oral health education were necessary, especially for those in lower socio-economic classes.


Assuntos
Cálculos Dentários/epidemiologia , Hemorragia Gengival/epidemiologia , Perda da Inserção Periodontal/epidemiologia , Bolsa Periodontal/epidemiologia , Adolescente , Criança , China/epidemiologia , Estudos Transversais , Inquéritos de Saúde Bucal , Feminino , Conhecimentos, Atitudes e Prática em Saúde , Humanos , Masculino , Doenças Periodontais/epidemiologia , Índice Periodontal , Fatores de Risco , População Rural/estatística & dados numéricos , Distribuição por Sexo , População Urbana/estatística & dados numéricos
12.
Chin J Dent Res ; 21(4): 241-247, 2018.
Artigo em Inglês | MEDLINE | ID: mdl-30264040

RESUMO

OBJECTIVE: To assess the current periodontal status of 35 to 44-year-olds from the Chinese population and to analyse potential influence factors on periodontal disease. METHODS: The data of subjects were collected from both urban and rural areas of all 31 provinces, autonomous regions and municipalities of the mainland of China, as part of the 4th National Oral Health Survey. All subjects were aged 35 to 44 years old. In total, 4,410 subjects were enrolled in the present study. Each subject was asked to undergo a professional oral examination and to fill in a questionnaire. Periodontal health status was evaluated by probe bleeding, calculus, periodontal pocket depth and clinical attachment loss. The data were analysed using the chi-square test and binary logistic regression analysis. RESULTS: The prevalence of probe bleeding and calculus was 87.4% and 96.7% respectively among the 35 to 44-year-old population. Prevalence of shallow pockets (4 mm ≤ PD < 6 mm) and deep pockets (PD ≥ 6 mm) was 45.8% and 6.9% respectively among 35 to 44-year-old people. In addition, prevalence of clinical attachment loss (CAL > 3 mm) was 33.2%. Gender, educational level, smoking, teeth brushing frequency, dental floss and toothpick use were found relevant to periodontal condition. CONCLUSION: Periodontal disease was highly prevalent among 35 to 44-year-old Chinese adults. Gender, educational level, smoking, teeth brushing frequency, toothpick and dental floss use could be potential influence factors of periodontal health status.


Assuntos
Cálculos Dentários/epidemiologia , Escolaridade , Doenças Periodontais/epidemiologia , Bolsa Periodontal/epidemiologia , Fumar/epidemiologia , Escovação Dentária/estatística & dados numéricos , Adulto , China/epidemiologia , Dispositivos para o Cuidado Bucal Domiciliar , Inquéritos de Saúde Bucal , Feminino , Hemorragia Gengival/epidemiologia , Humanos , Modelos Logísticos , Masculino , Higiene Bucal/estatística & dados numéricos , Prevalência , Fatores de Risco , Fatores Sexuais
13.
PLoS One ; 13(9): e0203777, 2018.
Artigo em Inglês | MEDLINE | ID: mdl-30212507

RESUMO

OBJECTIVE: This study aimed to assess the oral impact on daily performance and its association with sociodemographic characteristics, tooth pain, need for prosthesis, and periodontal disease of adults in the state of São Paulo, Brazil. METHODS: This was a cross-sectional epidemiological study with secondary data obtained from the Oral Health Conditions Project- 2015 conducted in 163 municipalities in the state of São Paulo with the participation of 17,560 individuals. This study evaluated adults in the age-range between 35-44 years (n = 5,855), selected by means of probabilistic cluster sampling in two stages. The outcome variable was the OIDP (Oral Impacts on Daily Performances), obtained by using this instrument to assess daily activities (eating, speaking, oral hygiene, relaxation, sports practice, smile, study/work, social contact, and sleep). The independent variables were collected and grouped into three blocks: Block 1 (sex, age group, and ethnic group); Block 2 (household income and education); and Block 3 (tooth pain, need for prosthesis, bleeding, calculus, and periodontal pockets). A hierarchical multiple logistic regression analysis was performed considering the complex cluster sampling plan. Each observation was assigned a specific weight, depending on the location, which resulted in weighted frequencies adjusted for the effect of outlining. RESULTS: the female sex (p<0.0001), ethnic group black/mulatto (p<0.0001), low household income (p = 0.0112), up to 8 years of education (p<0.0001), tooth pain (p<0.0001), presence of bleeding (p<0.0001), and presence of periodontal pockets (p<0.0001) had greater oral impact on daily performance. CONCLUSION: sociodemographic characteristics, tooth pain, and presence of periodontal disease were associated with oral impact on daily performance of the adult population in the state of São Paulo, Brazil.


Assuntos
Atividades Cotidianas , Saúde Bucal/estatística & dados numéricos , Doenças Periodontais/patologia , Adulto , Brasil/epidemiologia , Estudos Transversais , Demografia , Escolaridade , Feminino , Hemorragia/complicações , Hemorragia/diagnóstico , Hemorragia/epidemiologia , Hemorragia/patologia , Humanos , Renda , Modelos Logísticos , Masculino , Razão de Chances , Saúde Bucal/etnologia , Dor/diagnóstico , Dor/etiologia , Doenças Periodontais/epidemiologia , Doenças Periodontais/etnologia , Bolsa Periodontal/complicações , Bolsa Periodontal/diagnóstico , Bolsa Periodontal/epidemiologia , Próteses e Implantes/estatística & dados numéricos , Qualidade de Vida , Fatores Sexuais
14.
Sci Rep ; 8(1): 7496, 2018 05 14.
Artigo em Inglês | MEDLINE | ID: mdl-29760403

RESUMO

This cross-sectional study investigated the relationship between periodontal condition and ultrasound-diagnosed non-alcoholic fatty liver disease (NAFLD) in a Japanese oral health check population. A total of 1226 consecutive participant were enrolled in the study. Abdominal ultrasonography was applied to diagnose NAFLD. Of the study participants, 339 (27.7%) had ultrasonography-diagnosed NAFLD. The participants with NAFLD had a significantly higher prevalence of probing pocket depth (PPD) ≥ 4 mm (86.7%) than those without NAFLD (72.9%) (p < 0.05). After adjusting for gender, age, Brinkman index, regular exercise habits, body mass index, number of teeth present, presence of periodontitis, blood pressure, and serum parameters, there was a statistically significant difference in the adjusted odds ratios of having PPD ≥ 4 mm for NAFLD (Odds ratio = 1.881, 95% confidence interval 1.184-2.987, p < 0.01). Having PPD ≥ 4 mm may be a risk factor for ultrasound-diagnosed NAFLD in this cross-sectional study of a Japanese oral health check population.


Assuntos
Hepatopatia Gordurosa não Alcoólica/diagnóstico por imagem , Hepatopatia Gordurosa não Alcoólica/epidemiologia , Bolsa Periodontal/epidemiologia , Adulto , Índice de Massa Corporal , Estudos Transversais , Feminino , Humanos , Japão/epidemiologia , Masculino , Pessoa de Meia-Idade , Hepatopatia Gordurosa não Alcoólica/etiologia , Razão de Chances , Bolsa Periodontal/complicações , Prevalência , Ultrassonografia
15.
Acta Odontol Scand ; 76(5): 305-313, 2018 Jul.
Artigo em Inglês | MEDLINE | ID: mdl-29546776

RESUMO

OBJECTIVE: We assessed dental and periodontal health in adults aged ≥30 years living in southern and northern Finland as part of the Health 2000/2011 Surveys (BRIF8901). MATERIAL AND METHODS: Clinical findings in 2000 (n = 2967) and 2011 (n = 1496) included the presence of teeth and number of teeth with caries, fillings, fractures or periodontal pockets. RESULTS: Edentulousness decreased in all age groups. The prevalence of those with no caries increased from 67% to 69% in men and from 80% to 85% in women, and of those with no periodontal pocketing from 26% to 30% in men and from 39% to 42% in women. In 2011, the mean number of decayed teeth was 0.8 in men and 0.3 in women, and the corresponding mean numbers of teeth with deepened periodontal pockets 5.6 and 3.7. The gender difference had levelled concerning edentulousness, number of teeth and DMF teeth, but still existed in the occurrence of caries and periodontal pocketing. CONCLUSION: The findings were in line with other population-based reports in the 2000s. However, periodontal health in Finland seems not to be as good as in many European countries and in the USA.


Assuntos
Cárie Dentária/epidemiologia , Saúde Bucal/estatística & dados numéricos , Doenças Periodontais/epidemiologia , Adulto , Idoso , Feminino , Finlândia/epidemiologia , Humanos , Masculino , Pessoa de Meia-Idade , Índice Periodontal , Bolsa Periodontal/epidemiologia , Prevalência , Fatores Sexuais , Inquéritos e Questionários , Adulto Jovem
16.
BMC Oral Health ; 18(1): 8, 2018 01 10.
Artigo em Inglês | MEDLINE | ID: mdl-29321070

RESUMO

BACKGROUND: Dental diseases are among the most frequently reported health problems in drug abusers. However, few studies have been conducted on oral health of methamphetamine (meth) abusers in China. The aim of the present study was to investigate the caries and periodontal health profile of former meth abusers in Eastern China. METHODS: A cross-sectional study was conducted on 162 former meth abusers in the male Zhoushan Compulsory Detoxification Center. A standardized questionnaire, which collected information about age, drug-use duration / pattern, oral hygiene habit and systemic diseases, was administered. Then, a dental examination was performed to investigate the severity of dental caries and periodontal diseases. In evaluating dental caries, the prevalence of dental caries, the scores of decayed teeth (DT), missing teeth (MT), filled teeth (FT), and decayed, missing, filled teeth (DMFT) were recorded. In evaluating periodontal diseases, community periodontal index (CPI), and the prevalence of gingival bleeding, dental calculus, periodontal pocket and loose teeth, were recorded. Additionally, the non-parametric test was adopted to analyze the potential risk factors via SPSS. RESULTS: All the participants abused meth by inhalation. The mean scores of DT, MT, FT and DMFT in the former meth users were 2.72 ± 2.78, 3.07 ± 3.94, 0.33 ± 1.03 and 6.13 ± 5.20 respectively. The prevalence of gingival bleeding, dental calculus, periodontal pocket and loose teeth was 97.53%, 95.68%, 51.23% and 9.26% respectively. The DT, DMFT and CPI scores in those who had abused meth for longer than 4 years were significantly higher than those who abused for less than 4 years (P = 0.039, 0.045, P < 0.001, respectively). The DT score in those who brushed their teeth more than twice a day were significantly lower than those who brushed less (P = 0.018). CONCLUSIONS: The status of caries and periodontal diseases among former male meth users in Eastern China was poor. Prolonged drug abuse and lower frequency of tooth brushing may be the risk factors of their poor status of caries and periodontal diseases.


Assuntos
Transtornos Relacionados ao Uso de Anfetaminas/complicações , Cárie Dentária/etiologia , Doenças Periodontais/etiologia , Adulto , China/epidemiologia , Estudos Transversais , Índice CPO , Cárie Dentária/epidemiologia , Humanos , Masculino , Metanfetamina , Pessoa de Meia-Idade , Doenças Periodontais/epidemiologia , Índice Periodontal , Bolsa Periodontal/epidemiologia , Bolsa Periodontal/etiologia , Prevalência , Fatores de Risco , Inquéritos e Questionários , População Urbana , Adulto Jovem
17.
Int J Dent Hyg ; 16(2): 210-218, 2018 May.
Artigo em Inglês | MEDLINE | ID: mdl-28618120

RESUMO

AIM: The purpose of this retrospective study was to determine the results of 10 years of supportive periodontal treatment(SPT) following active periodontal therapy(APT). Probing pocket depth(PPD), bleeding on probing(BOP), tooth loss(TL)and the effects of two patient-related factors, smoking and gender were evaluated. METHODS: This retrospective study examined patients who underwent APT and SPT for adult periodontitis. Analyses were conducted using site-, tooth- and patient-level information. Mean values were calculated, and parametric and nonparametric analyses were conducted as appropriate to assess the results of APT and SPT. RESULTS: There was a significant improvement in BOP and PPD after APT. After 10 years, 9.3% of the patients adhered to the SPT protocol. The improvement in BOP and PPD was maintained, with no additional improvement in the clinical parameters at the 10-year follow-up. Furthermore, differences between non-smokers and smokers were found. After the 10-year follow-up, smokers had a significantly higher percentage of sites with a PPD of 4 mm or higher; the mean PPD was also significantly higher in smokers. A significant difference was also found between males and females during SPT for the percentage of sites with BOP and the percentage of sites with a PPD≥6 mm. A minority of patients(18.5%) did not lose teeth, and it was found that molars are the teeth most likely to be lost. The mean number of teeth lost was 2.6 during 10-year follow-up. CONCLUSION: This study indicates that with regard to bleeding on probing and probing pocket depth, patients receiving supportive periodontal treatment maintain their periodontal condition. However, in this group of adherent maintenance patients, tooth loss was most prevalent for molar teeth.


Assuntos
Bolsa Periodontal/epidemiologia , Periodontite/terapia , Perda de Dente/epidemiologia , Adulto , Feminino , Humanos , Masculino , Pessoa de Meia-Idade , Índice Periodontal , Estudos Retrospectivos , Fatores de Risco , Fumar/efeitos adversos , Resultado do Tratamento
18.
J Clin Periodontol ; 45(2): 196-203, 2018 02.
Artigo em Inglês | MEDLINE | ID: mdl-29178189

RESUMO

AIM: To explore the association between toothbrushing behaviour and change in periodontal pocketing among adults. METHODS: We pooled data from 1,025 adults, aged 30-89 years, who participated in two national surveys in Finland (Health 2000 and Health 2011, BRIF8901) and reported their toothbrushing frequency. A cumulative measure of regular toothbrushing was created by counting the number of times participants reported brushing twice or more daily across the two surveys (ranging from 0 to 2). The association between toothbrushing behaviour and the number of teeth with periodontal pocket depth (PPD) ≥4 mm over 11 years was assessed in linear regression models adjusting for confounders. RESULTS: There was a clear dose-response relationship between toothbrushing frequency (either at baseline or follow-up) and change in number of teeth with PPD ≥ 4 mm. There was also evidence of a cumulative effect of regular toothbrushing on change in number of teeth with PPD ≥ 4 mm. Participants who reported brushing twice or more a day in both surveys developed 1.99 (95% CI: 1.02-2.95) fewer teeth with PPD ≥ 4 mm than those who did not report this behaviour in any survey. CONCLUSION: This 11-year prospective study showed that toothbrushing behaviour was associated with smaller increments in the number of teeth with periodontal pocketing.


Assuntos
Bolsa Periodontal/prevenção & controle , Escovação Dentária , Adulto , Idoso , Idoso de 80 Anos ou mais , Feminino , Finlândia/epidemiologia , Humanos , Modelos Lineares , Estudos Longitudinais , Masculino , Pessoa de Meia-Idade , Bolsa Periodontal/epidemiologia , Estudos Prospectivos , Inquéritos e Questionários , Escovação Dentária/estatística & dados numéricos
19.
J Periodontal Res ; 53(3): 324-333, 2018 Jun.
Artigo em Inglês | MEDLINE | ID: mdl-29105779

RESUMO

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


Assuntos
Periodontite Agressiva/terapia , Saúde Bucal/estatística & dados numéricos , Perda de Dente/terapia , Adolescente , Adulto , Periodontite Agressiva/diagnóstico , Periodontite Agressiva/epidemiologia , Perda do Osso Alveolar/epidemiologia , Placa Dentária/epidemiologia , Placa Dentária/terapia , Feminino , Seguimentos , Hong Kong/epidemiologia , Humanos , Masculino , Perda da Inserção Periodontal , Índice Periodontal , Bolsa Periodontal/classificação , Bolsa Periodontal/epidemiologia , Qualidade de Vida , Estudos Retrospectivos , Inquéritos e Questionários , Perda de Dente/diagnóstico , Perda de Dente/epidemiologia , Resultado do Tratamento , Adulto Jovem
20.
J Periodontal Res ; 53(3): 362-368, 2018 Jun.
Artigo em Inglês | MEDLINE | ID: mdl-29226321

RESUMO

OBJECTIVES: We assessed the association between periodontal disease status and metabolic syndrome (MetS) and its individual components in Korean adults over 50 years old. MATERIAL AND METHODS: In the Dong-gu study, 5078 men and women aged over 50 years were included. They underwent a questionnaire survey, physical assessment, biochemical assessment and periodontal assessment. The percentages of sites with periodontal probing depth ≥4 mm, and clinical attachment loss ≥4 mm were recorded for each participant. Periodontal disease was also classified by the Centers for Disease Control and Prevention/American Academy of Periodontology definition of periodontitis and the American Academy of Periodontology definition (1999). MetS was defined by the 2009 guidelines of the International Diabetes Federation. This study used multivariate negative binominal regression analysis to assess the association between the severity of periodontitis and MetS, after age, smoking habits, alcohol consumption and physical activity related factors were adjusted for. RESULTS: Prevalence of MetS was 32.3%, 36.2% and 45.9% among men with no or mild, moderate and severe periodontitis, respectively. The severity of periodontitis was positively associated with the prevalent MetS in men but not in women. In men, severe periodontitis showed a higher risk of MetS than those with no or mild periodontitis (relative risk 1.43, 95% confidence interval 1.17-1.73) after adjusting for confounders. Periodontal probing depth was positively associated with the prevalence of MetS in both genders. In the analysis separated by individual MetS components, periodontitis severity was positively associated with hypertriglyceridemia and low high-density lipoprotein cholesterol in men, while positively associated with low high-density lipoprotein cholesterol and abdominal obesity in women. CONCLUSION: Increasing the severity of periodontitis was associated with the risk of prevalent MetS in Korean adults. This result confirmed that periodontal inflammation might be a contributive factor of MetS.


Assuntos
Síndrome Metabólica/complicações , Síndrome Metabólica/epidemiologia , Periodontite/complicações , Periodontite/epidemiologia , Índice de Gravidade de Doença , Fatores Etários , Idoso , Idoso de 80 Anos ou mais , Consumo de Bebidas Alcoólicas , Colesterol/sangue , Estudos Transversais , Exercício Físico , Feminino , Humanos , Hipertrigliceridemia , Masculino , Síndrome Metabólica/sangue , Pessoa de Meia-Idade , Análise Multivariada , Obesidade Abdominal , Perda da Inserção Periodontal/complicações , Perda da Inserção Periodontal/epidemiologia , Doenças Periodontais/complicações , Doenças Periodontais/epidemiologia , Índice Periodontal , Bolsa Periodontal/complicações , Bolsa Periodontal/epidemiologia , Prevalência , Análise de Regressão , República da Coreia/epidemiologia , Fatores de Risco , Fumar/epidemiologia , Inquéritos e Questionários
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