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1.
J Indian Soc Pedod Prev Dent ; 38(3): 222-231, 2020.
Artigo em Inglês | MEDLINE | ID: mdl-33004719

RESUMO

Context: Dental anxiety and fear is not only a psychological problem but also a dental health problem. It is important to understand how the cognitive elements influence child's dental anxiety/fear and interact with their oral health. Objective: This study was conducted among children to determine the association between cognitive vulnerability (CV) with dental fear and their oral health status. Settings and Design: A cross-sectional study was conducted among 500 schoolchildren aged 12-15 years in Bengaluru city. Methodology: The schools and participants were selected by cluster random and systematic random sampling method, respectively. Cognitive vulnerability and Index of Dental Anxiety and Fear (IDAF-4C+) were assessed by a self-administered questionnaire. Oral health status was recorded using the World Health Organization 2013 proforma for children. Statistical Analysis Used: Chi-square test, Student's t-test, Spearman's correlation, and multivariate hierarchical linear regression were used in this study. The statistical significance was considered at P < 0.05. Results: Nearly half of the study participants had cognitive perceptions, dental anxiety/fear, phobia, and stimulus toward dental treatment. Majority had dental caries and gingival bleeding. Cognitive vulnerability, dental anxiety/fear, phobia, and stimulus were independent of the age and gender and were associated with socioeconomic status. A significant correlation was found between participants' CV, IDAF-4C+, dental caries, and gingival bleeding. Cognitive vulnerability was a significant predictor of dental caries and gingival bleeding. Dental anxiety/fear and dental phobia were significant predictors of dental caries. Conclusion: Oral health status was significantly poorer and was associated with CV, dental anxiety/fear, phobia, and stimulus. Cognitive elements together with dental fear influenced oral health.


Assuntos
Ansiedade ao Tratamento Odontológico/epidemiologia , Cárie Dentária/epidemiologia , Adolescente , Criança , Cognição , Estudos Transversais , Medo , Humanos , Índia/epidemiologia , Saúde Bucal
2.
J Indian Soc Pedod Prev Dent ; 38(3): 238-246, 2020.
Artigo em Inglês | MEDLINE | ID: mdl-33004721

RESUMO

Background: Controlling cariogenic biofilm formation by plant extracts could add to preventive strategies to dental caries. Objective: To evaluate in vitro the role of Aerva Sanguinolenta ethanolic extract on biofilm-induced microbial human enamel demineralization. Methodology: The prepared enamel sections of study group (SG), positive control group (PCG), and negative control group (NCG) were immersed in 2 ml of 0.2% ethanolic extract of A. sanguinolenta, 0.12% chlorhexidine, and distilled water, respectively, for 2 min before subjecting to closed batch culture technique utilizing mono- or dual-species culture media of Streptococcus mutans and Lactobacillus acidophilus. Quantification of biofilm and demineralization of enamel was performed by crystal violet (CV) assay and scanning electron microscope (SEM) attached to energy-dispersive X-ray analysis, respectively. Statistical Analysis: Two-way ANOVA and Tukey's test were used for analysis. Results: CV assay of biofilm recorded the highest and lowest optical absorbance value in NC3 (2.728660) and PC3 (0.364200), respectively. Thus, biofilm formation is highest in NCG and lowest among PCG. Surface roughness and porosity in enamel are greatest among NCG and lowest among SG as evident by SEM. Wt% of calcium (S3 47.7170) and phosphorus ion (S3 22.7330) was highest in SG, closely resembling that of B enamel (Ca = 41.9530, P = 19.6650). Wt% of oxygen is lowest in SG (S3 28.8920) and resembles baseline O2 (37.4950). Thus, the amount of biofilm formation is moderate and amount of demineralization of enamel is least among SGs. Conclusion: Enamel exposed to 2 ml of 0.2% solution of A. sanguinolenta for 2 min could fairly inhibit formation of biofilm and positively inhibit underlying demineralization in cariogenic environment.


Assuntos
Amaranthaceae , Cárie Dentária , Desmineralização do Dente/prevenção & controle , Biofilmes , Esmalte Dentário , Humanos , Extratos Vegetais/farmacologia
3.
Br Dent J ; 229(7): 411-416, 2020 10.
Artigo em Inglês | MEDLINE | ID: mdl-33037360

RESUMO

The COVID-19 pandemic resulted in severe limitation and closure of dental practices in many countries. Outside of the acute (peak) phases of the disease, dentistry has begun to be practised again. However, there is emerging evidence that SARS-CoV-2 can be transmitted via airborne routes, carrying implications for dental procedures that produce aerosol. At the time of writing, additional precautions are required when a procedure considered to generate aerosol is undertaken.This paper aims to present evidence-based treatments that remove or reduce the generation of aerosols during the management of carious lesions. It maps aerosol generating procedures (AGPs), where possible, to alternative non-AGPs or low AGPs. This risk reduction approach overcomes the less favourable outcomes associated with temporary solutions or extraction-only approaches. Even if this risk reduction approach for aerosol generation becomes unnecessary in the future, these procedures are not only suitable but desirable for use as part of general dental care post-COVID-19.


Assuntos
Infecções por Coronavirus , Cárie Dentária , Pandemias , Pneumonia Viral , Aerossóis , Betacoronavirus , Cárie Dentária/prevenção & controle , Humanos
4.
Hua Xi Kou Qiang Yi Xue Za Zhi ; 38(5): 525-531, 2020 Oct 01.
Artigo em Chinês | MEDLINE | ID: mdl-33085236

RESUMO

OBJECTIVE: The aim of this study is to treat calcified root canal and assess the accuracy of guided endodontics using laser melting templates. METHODS: Two cases with calcified anterior teeth were treated with laser melting templates. Cone beam computed tomography (CBCT) was used to scan the maxillary teeth of patients before surgery to establish the root canal system model. The maxillary impression of the patient was made and it was scanned by a 3D scanner. The CBCT scans were matched with surface scans of plaster model. Mimics 19.0 and 3-matic 11.0 software were used to design the virtual planning to access cavities. The templates were produced by laser melting 3D printing. Access cavity was prepared under the guidance of laser melting template. Then the deviations of planned and prepared cavities in three dimensions and angle were measured. RESULTS: The two teeth obtained satisfactory results. The first case had a angle deviation of 1.77°, a drilling base deviation of 0.403-0.497 mm, and a tip of 0.433-0.537 mm. The second case had a angle deviation of 3.26°, a drill base deviation of 0.18-0.347 mm, and a tip of 0.310-0.463 mm. CONCLUSIONS: Laser melting template-guided endodontics is an effective technique for the treatment of calcified root canal and can be used as a new strategy for the treatment of calcified canal.


Assuntos
Cárie Dentária , Endodontia , Cavidade Pulpar , Humanos , Lasers , Tratamento do Canal Radicular
5.
Hua Xi Kou Qiang Yi Xue Za Zhi ; 38(5): 576-582, 2020 Oct 01.
Artigo em Chinês | MEDLINE | ID: mdl-33085245

RESUMO

Veillonella species, known as the early colonizer of oral biofilm, are prevalent in oral microbiota. Seven Veillonella species have been isolated from oral cavity. Their distribution varies not only with different people but also with different sites in the oral cavity. Oral Veillonella are associated with oral diseases. They contribute to the adhesion of Streptococcus mutans and consume the lactate generated by streptococci. Veillonella species play an important role in the occurrence and development of periodontal diseases by providing adhesion sites for Porphyromonas gingivalis and boosting immune responses. The production of lipopolysaccharide and H2S is related to other oral diseases, such as pulpitis, periapical periodontitis, and halitosis. Several studies have been conducted on the relationship between Veillonella and oral diseases and the interaction between Veillonella and other pathological microorganisms, but limited knowledge is available at the molecular level. This article reviews the research progress in the relationship between Veillonella and oral infectious diseases, such as dental caries and periodontal diseases.


Assuntos
Cárie Dentária , Veillonella , Humanos , Streptococcus , Streptococcus mutans
6.
Shanghai Kou Qiang Yi Xue ; 29(4): 405-409, 2020 Aug.
Artigo em Chinês | MEDLINE | ID: mdl-33089291

RESUMO

PORPOSE: To establish a prospective cohort of kindergarten children and longitudinally study the causes of early childhood caries. METHODS: Cluster random sampling was used to select a kindergarten in the urban and suburban areas of Pudong New District of Shanghai, a total of 240 small-class children joined the study. Chi-square test, analysis of variance, binomial logistic regression model and general linear regression model was used to analyze caries of the cohort children at baseline and 1 year after follow-up with SPSS 21.0 software package. RESULTS: In the first two years of this cohort study, the follow-up rate was 88.3%, the caries rate in the first year of baseline and follow-up were 58.3% and 69.8%, and the mean dmft values were 3.1±4.2 and 4.5±4.9, respectively. 56.1% of children had new caries. Logistic regression results showed that children who lived in the suburbs (P=0.010) and ate candy more frequently (P=0.036) had higher rates of new caries. The results of general linear regression equation showed that children in the suburbs (P<0.001), those who did not use fluoridated toothpaste (P=0.003) and those who ate candy more frequently (P=0.002) had higher new mean dmft values. CONCLUSIONS: Living in the suburbs, not using fluoride toothpaste and eating candy more frequently are important risk factors for new caries in preschool children in Pudong New District of Shanghai.


Assuntos
Cárie Dentária , Criança , Pré-Escolar , China/epidemiologia , Estudos de Coortes , Índice CPO , Cárie Dentária/epidemiologia , Humanos , Prevalência , Estudos Prospectivos , Fatores de Risco
7.
J Contemp Dent Pract ; 21(6): 621-625, 2020 Jun 01.
Artigo em Inglês | MEDLINE | ID: mdl-33025929

RESUMO

AIM: The present study aimed to assess the efficacy of different dental varnishes in prevention of demineralization of enamel along the orthodontic brackets. MATERIALS AND METHODS: A total of 60 premolars that do not have caries and were extracted for orthodontic purposes were used in this study. Transbond™ Plus was used to bond premolar brackets onto the treated surface of enamel. The teeth were then divided into three groups. Group I: Profluorid varnish, group II: CPP-ACP varnish, and group III: Duraflor™ varnish. A Vickers diamond indenter was used to assess the microhardness of the surface of enamel at baseline, fourth day, and seventh day. RESULTS: A slightly meaner surface microhardness (SMH; 334.20 ± 2.10) was seen in group III when compared with group I (332.16 ± 3.02) and group II (330.40 ± 2.02). The mean SMH was 342.02 ± 0.82 in group I on the fourth day which was slightly higher than that of the baseline values, followed by group III (339.48 ± 0.34) and group II (336.64 ± 1.14). No statistically significant differences were noted between the groups. A higher mean microhardness of 349.84 ± 0.66 was seen in group I on the seventh day, followed by group III (342.26 ± 1.08) and group II (338.18 ± 1.08). A statistically highly significant difference was seen between the groups. CONCLUSION: The present study concluded Profluorid varnish to have maximum potential to reduce demineralization of enamel followed by Duraflor and casein phosphopeptide-amorphous calcium phosphate (CPP-ACP) group. CLINICAL SIGNIFICANCE: A most common clinical challenge encountered in orthodontic clinical practice is enamel demineralization or white spot lesion (WSL) development throughout the fixed appliance treatment. Thus, the information about several available varnishes is important to prevent demineralization in regular dental practice.


Assuntos
Cárie Dentária , Braquetes Ortodônticos , Desmineralização do Dente , Dente Pré-Molar , Esmalte Dentário , Humanos , Braquetes Ortodônticos/efeitos adversos
8.
Stomatologiia (Mosk) ; 99(5): 11-18, 2020.
Artigo em Russo | MEDLINE | ID: mdl-33034171

RESUMO

PURPOSE OF THE STUDY: The aim of the work is a spectroscopic investigation and comparison of the molecular composition of dentine and gingival fluids as well as of their diagnostic potential for the preventive screening of dentin caries. MATERIAL AND METHODS: Applying infrared spectroscopy including synchrotron radiation the samples of biological fluids taken from the oral cavity (dentine fluid, fluid from the gingival sulcus and blood) were studied for the patients with the progressive dentine caries. The part of this research was undertaken with the infrared microspectroscopy beamline at the Australian Synchrotron. RESULTS: Dentine and gingival fluids were shown to have no less complicated composition than the blood serum. Having all this in mind, in spite that these two fluids are derivatives of the blood serum, and a majority of the molecular groups observed in all of the three fluids can be detected in their IR-spectra, it follows that there is a number of signature modes that are in fact present in the IR spectra of only dentine and gingival fluids. This fact indicates at the molecular exchange between them under certain conditions. It means the high diagnostic potential in the study of the pathologic processes occurring in the oral fluid of a human. We have observed and fixed an increase of thiocyanates and esters in the samples of both dentine and gingival fluids under the development of dentin caries. CONCLUSION: Utilization of the gingival fluid for screening taking into account that its sampling is not such a complicated challenge as dentine fluid sampling will promote a transition to the personalized medicine, the development of high-technology healthcare and technology of the health preservation as a whole.


Assuntos
Cárie Dentária , Dentina , Austrália , Cárie Dentária/diagnóstico , Cárie Dentária/prevenção & controle , Gengiva , Humanos , Análise Espectral
9.
Nihon Koshu Eisei Zasshi ; 67(9): 573-581, 2020.
Artigo em Japonês | MEDLINE | ID: mdl-33041283

RESUMO

Objectives The present study examined factors that affect learning about dental caries and periodontal disease before or after graduation or completion of training for dietitians and registered dietitians.Methods A questionnaire survey was conducted with members of the Aomori Prefectural Dietetic Association between October and November 2019, and 276 participants were included in the analysis. A multiple logistic regression analysis was performed to assess the characteristics associated with learning about dental caries and periodontal disease; odds ratios (ORs) and 95% confidence intervals (95% CIs) were calculated. The following independent variables were assessed: age (<30, 30-39, 40-49, 50-59, or ≥60 years), license (dietitian or registered dietitian), and occupational field (medical institution [nutrition management or food service], administrative agency, nursing care insurance facility, school-related work, training instructor in training facility for dietitians and registered dietitians, or other).Results The multiple logistic regression analysis showed that dietitians and registered dietitians who had learned about dental caries and periodontal disease during training tended to be below the age of 40 years and have a registered dietitian license (dental caries: OR=2.79, 95% CI=1.08-7.24; periodontal disease: OR=6.51, 95% CI=1.71-24.84). Furthermore, dietitians and registered dietitians who had learned about dental caries and periodontal disease after graduation or training completion tended to be over the age of 40, have studied at a training facility (dental caries: OR=3.21, 95% CI=1.65-6.27; periodontal disease: OR=3.06, 95% CI=1.32-7.12), and be employed in the field of school-related work (dental caries: OR=4.23, 95% CI=1.03-17.27; periodontal disease: OR=5.56, 95% CI=1.15-26.98).Conclusions To facilitate increased cooperation among practitioners in the fields of nutrition and dental health, necessary opportunities for learning about dental caries and periodontal disease alongside experts should be provided to those who do not have a registered dietitian license and have not studied at training facilities.


Assuntos
Cárie Dentária , Dietética/educação , Educação Continuada/métodos , Educação em Saúde Bucal , Aprendizagem , Nutricionistas/educação , Doenças Periodontais , Adulto , Currículo , Feminino , Humanos , Pessoa de Meia-Idade , Inquéritos e Questionários
10.
BMC Oral Health ; 20(1): 285, 2020 10 17.
Artigo em Inglês | MEDLINE | ID: mdl-33069219

RESUMO

BACKGROUND: Severe Early Childhood Caries (S-ECC) is an aggressive form of tooth decay that often requires pediatric dental rehabilitative surgery. The Early Childhood Oral Health Impact Scale (ECOHIS) measures oral health-related quality of life (OHRQL). The purpose of this study was to determine whether there is an association between ECOHIS scores and surgery wait times for children undergoing dental treatment for S-ECC under general anesthesia (GA). METHODS: The hypothesis was that there is no present association between wait times and ECOHIS score. Children under 72 months of age with S-ECC were recruited on the day of their slated dental surgery under GA. Parents/caregivers completed a questionnaire that included the ECOHIS. Data were merged with other ECOHIS scores from a previous study. Wait times were acquired from the Patient Access Registry Tool (PART) database. Data analysis included descriptive statistics and bivariate analyses. A p-value of ≤0.05 was considered statistically significant; 95% confidence intervals (CIs) were reported for each correlation coefficient. This study was approved by the University of Manitoba's Health Research Ethics Board. RESULTS: Overall, 200 children participated, the majority of whom were Indigenous (63%) and resided in Winnipeg (52.5%). The mean age was 47.6 ± 13.8 months and 50.5% were female. Analyses showed ECOHIS scores were not significantly correlated with children's wait times. Observed correlations between ECOHIS and children's wait times were low and not statistically significant, ranging from ρ = 0.11 for wait times and child impact section (CIS) scores (95% CI: - 0.04, 0.26; p = 0.14), ρ = - 0.08 for family impact section (FIS) scores (95% CI: - 0.23, 0.07; p = 0.28), and ρ = 0.04 for total ECOHIS scores (95% CI: - 0.11, 0.19; p = 0.56). CONCLUSION: No significant associations were observed between ECOHIS scores and wait times. In fact, those with worse OHRQL appeared to wait longer for surgery. ECOHIS scores could, however, still be used to help prioritize children for dental surgery to ensure that they receive timely access to dental care under GA. This is essential given the challenges posed by COVID-19 on timely access to surgical care.


Assuntos
Cárie Dentária/diagnóstico , Saúde Bucal/estatística & dados numéricos , Qualidade de Vida/psicologia , Listas de Espera , Betacoronavirus , Criança , Pré-Escolar , Infecções por Coronavirus/epidemiologia , Cárie Dentária/epidemiologia , Feminino , Humanos , Masculino , Pandemias , Pneumonia Viral/epidemiologia
11.
Medicine (Baltimore) ; 99(41): e22508, 2020 Oct 09.
Artigo em Inglês | MEDLINE | ID: mdl-33031289

RESUMO

RATIONALE: Vitamin D-dependent rickets type I (VDDR-I) is a rare form of rickets, which is an autosomal recessive disease caused by 1α-hydroxylase enzyme deficiency. However, long-term dental management and microscopic morphology of teeth remain largely unclear. PATIENT CONCERNS: We report the case of a 10-year-old Chinese boy complaining of yellowish-brown teeth with extensive caries. DIAGNOSES: Clinical and laboratory examinations were performed, and VDDR-I was confirmed. Scanning electron microscopy confirmed amelogenesis imperfecta. INTERVENTIONS: The patient had been taking drugs intervention for VDDR-I from the age of 3 years. The decayed teeth were treated, and metal-preformed crowns were placed to prevent further impairment. Sequence tooth extraction and remineralization therapy were also performed. OUTCOMES: After 3 years of follow-up, the patient exhibited normal tooth replacement and an acceptable oral hygiene status. However, the new erupted teeth had amelogenesis imperfecta. LESSONS: This case is the first to confirm amelogenesis imperfecta in a patient with VDDR-I that was not prevented by drug intervention. Importantly, it provides evidence that long-term dental intervention in patients with VDDR-I can result in an acceptable oral hygiene status. Therefore, early and long-term dental intervention is necessary in VDDR-I patients.


Assuntos
Amelogênese Imperfeita/terapia , Cárie Dentária/terapia , Raquitismo Hipofosfatêmico Familiar/complicações , Amelogênese Imperfeita/etiologia , Criança , Coroas , Cárie Dentária/etiologia , Restauração Dentária Permanente , Humanos , Masculino , Higiene Bucal , Extração Seriada
12.
J Contemp Dent Pract ; 21(6): 626-631, 2020 Jun 01.
Artigo em Inglês | MEDLINE | ID: mdl-33025930

RESUMO

AIM: To evaluate the microtensile bond strength (µTBS) and the fracture modes of four bulk-fill resin composites (Tetric EvoCeram Bulk Fill/Ivoclar Vivadent, Filtek Bulk Fill/3M ESPE, Venus Bulk Fill/Heraus Kulzer, and Filtek Bulk Fill Flow/3M ESPE) and one conventional incrementally filled resin composite (Filtek Z250/3M ESPE) inserted in class I cavities, after 24 hours and 6 months of water storage. MATERIALS AND METHODS: In all, 30 sound human extracted molars were divided into five restorative groups. Standardized class I cavities were prepared and restored following the manufacturer's instructions. The restored teeth were then assigned into one of the storage times (24 hours or 6 months). The molars were then cut into 1 mm2 sticks and submitted to µTBS. All fractured specimens were analyzed under a stereomicroscope (40×). Data were submitted to analysis of variance (ANOVA) and the Tukey post hoc test was applied for comparison between groups; and paired t test for comparison within storage times (p = 0.05). RESULTS: After 24 hours of storage, statistically significant differences were observed between Filtek Z250 and Filtek Bulk Fill Flow groups. However, after 6 months, no statistical differences were observed between groups. Additionally, no differences were observed for the µTBS between the storage times. Adhesive failures were the most frequent fracture mode after 24 hours (54%) and 6 months (43%), the resin cohesive fracture mode showed 16% for 24 hours and 14% for 6 months, the dentin cohesive fracture mode showed 14% for 24 hours and 26% for 6 months, and the mixed fracture mode showed 16% for 24 hours and 17% for 6 months. CONCLUSION: Bulk-fill resin composites obtained similar µTBS in high C-factor cavities as conventional incrementally filled resin composites. No bond strength reduction was observed after 6 months of storage. CLINICAL SIGNIFICANCE: Single increment restorations in high C-factor cavities with bulk-fill resin composites did not reduce µTBS after 24 hours or 6 months of storage. The comparable results to the conventional incrementally filled resin composites and the reduction in the operative time, make the bulk-fill resin composites a restorative option for posterior teeth restorations.


Assuntos
Cárie Dentária , Humanos , Dente Molar
13.
J Contemp Dent Pract ; 21(7): 733-740, 2020 Jul 01.
Artigo em Inglês | MEDLINE | ID: mdl-33020355

RESUMO

AIM: Phytomedicine has been commonly practiced as a form of traditional medicine in various cultures for the treatment of oral diseases. Recently, it has gained importance as an alternative to conventional treatment. Several extracts of plants and fruits have been recently evaluated for their potential activity against microorganisms involved in the development of dental caries. The purpose of this study was to evaluate the antimicrobial activity and antiadherent effect of the crude organic extract (COE) and three partitions (aqueous, butanolic, and chloroformic) of Psidium guajava (guava) leaves on a cariogenic biofilm model. MATERIALS AND METHODS: Guava leaves were obtained from the mountains of northern Peru, where they grow wild and free of pesticides. The antimicrobial activity of the COEs and partitions against Streptococcus mutans and Streptococcus gordonii was determined by measuring the inhibition halos, while the effect on biofilm adhesion was determined by measuring the optical density using spectrophotometry. RESULTS: An antibacterial effect of the COE and chloroformic partition against S. gordonii (p < 0.05) was found, as was a significant effect on biofilm adherence, with a minimum inhibitory concentration (MIC) of 0.78 mg/mL, which was maintained throughout the 7 days of evaluation. CONCLUSION: We conclude that the COEs and their chloroformic partition have antimicrobial and antibiotic effects against this strain of S. gordonii, making them of particular interest for evaluation as a promising alternative for the prevention of dental caries. CLINICAL SIGNIFICANCE: By knowing the antimicrobial effect of Psidium guajava, this substance can be effectively used in products aimed to prevent dental caries and periodontal disease.


Assuntos
Anti-Infecciosos/farmacologia , Cárie Dentária/tratamento farmacológico , Psidium , Biofilmes , Humanos , Peru , Folhas de Planta
14.
J Contemp Dent Pract ; 21(7): 748-755, 2020 Jul 01.
Artigo em Inglês | MEDLINE | ID: mdl-33020357

RESUMO

AIM: The association between oral health and overall health has been broadly documented in the past few years and is supported by a rapidly growing body of evidence. Interventional studies were able to establish a linkage between dental intervention and its influence on medical situations. This study tried to determine whether the overall health of a subject may be correlated to radiographically noticeable dental pathology. There was a need to test a null theory of whether subjects having good oral health state had fewer systemic illnesses. MATERIALS AND METHODS: This was a retrospective panoramic radiographic study of 400 radiographs of 200 women and 200 men. Subjects were divided into a control group of subjects with no medical history, and a second group with patients who had presented with a medical history. A panoramic radiograph was observed for periapical radiolucency, caries, remaining teeth, remaining root, horizontal, and vertical bone loss. The oral index (OI) was calculated and correlated with the medical status of the patient. RESULTS: Men demonstrated a higher incidence of horizontal bone loss and missing teeth. On the contrary, women showed higher incidences of vertical bone loss, compromised periapical index, and a greater number of root canal treated teeth. Patients having a medical history had a significant percentage of the increased number of periapical lesions, tooth loss, poor quality root canal treatment, and periapical index. Patients with both diabetes mellitus (DM) and hypertension [HTN (61.3%)], anemia (75%), prostate disease (100%), and disabilities such as hearing impairment and mental retardation (100%) had significantly higher percentages of the bad OI. CONCLUSION: Most patients with medical history demonstrated a significantly poor OI than those with no medical history. The present research contributes to scientific works by probing the relationship between oral health and the overall well-being. Increasing the sample size and interventional studies are needed as an extension of the current research. CLINICAL SIGNIFICANCE: Panoramic radiograph is commonly practiced as a screening radiograph in a dental setup. By calculating an OI of each patient based on certain dental conditions, it can help in revealing the burden of medical diseases on oral health and vice versa.


Assuntos
Cárie Dentária , Doenças da Boca , Feminino , Humanos , Masculino , Radiografia Panorâmica , Estudos Retrospectivos , Tratamento do Canal Radicular
15.
J Contemp Dent Pract ; 21(7): 792-797, 2020 Jul 01.
Artigo em Inglês | MEDLINE | ID: mdl-33020365

RESUMO

AIM: To compare and evaluate the caries preventive effectiveness of resin infiltrant (ICON), casein phosphopeptide-amorphous calcium phosphate (CPP-ACP) (GC Tooth Mousse), and nanohydroxyapatite (Aclaim) on incipient enamel lesions. MATERIALS AND METHODS: A total of 60 human maxillary incisors extracted for periodontal reasons were included in this study. The sectioning was done at the middle third region of the crown for the 60 samples with approximate dimensions of 5 × 5 × 5 mm). In order to create the artificial enamel lesions, the samples were demineralized by placing in a beaker containing the prepared demineralizing solution for 14 days. The study samples were then divided into four groups that are resin infiltrant (group I), CPP-ACP (group II), nanohydroxyapatite (group III), and control (group IV) with 15 enamel samples in each group. The caries preventive efficacy of each group was evaluated using a confocal laser scanning microscope. RESULTS: The mean values after demineralization of enamel samples in demineralizing solution are 245 µm for resin infiltrant (group I), 246 µm for CPP-ACP (group II), 250 µm for nanohydroxyapatite (group III), and 247 µm for control (group IV). After remineralizing the enamel samples for a period of 30 days, the results are group I (resin infiltrant) 158 µm > group II (CPP-ACP) 28.8µm ≥ group III (nanohydroxyapatite) 26.3 µm. After subjecting it to demineralizing solution again for 14 days, the amount of material that was resistant to acid attack was group I (resin infiltrant) 114 µm (72%) > group III (CPP-ACP) 16.4 µm (57%) ≥ group III (nanohydroxyapatite) 13.8 µm (50%). The untreated control group showed increased progression of lesion and least resistance to acid challenge. CONCLUSION: Based on the results from this in vitro study, it can be concluded that when compared to the two remineralizing agents the resin infiltrant showed better caries preventive effectiveness. CLINICAL SIGNIFICANCE: Resin infiltrants have a favorable penetration potential in subsurface or incipient enamel lesions.


Assuntos
Cárie Dentária/prevenção & controle , Dente , Esmalte Dentário , Humanos , Remineralização Dentária
16.
J Contemp Dent Pract ; 21(7): 808-814, 2020 Jul 01.
Artigo em Inglês | MEDLINE | ID: mdl-33020368

RESUMO

AIM: This literature review aims to update the evidence for prevention of white spot lesion (WSL) using orthodontic sealants among patients with fixed orthodontic appliances. BACKGROUND: As a major issue among orthodontists, prolonged treatment duration increases the risk of plaque development around orthodontic brackets and bands. In consequence, this can lead to heightened risk for caries development and higher possibility of WSL development around fixed orthodontic brackets. RESULTS: Increased prevalence of WSLs generally occurs during orthodontic treatment. This review explored various products of orthodontic sealants used to prevent WSL. Orthodontic sealants do not require patient compliance and thus will further lessen the burden among orthodontists as well as support enamel surface for a long period of time during treatment. Certain factors, however, are considered important in the efficacy of these sealants, such as antibacterial activity, color stability, resistance to acid and brush abrasion, and their effect on shear bond strength (SBS). CONCLUSION: The review showed that the use of orthodontic sealants in preventing WSLs during and after fixed orthodontic treatment is significantly effective. However, the bioactive glass is deemed more effective against WSL development due to its ability to immediately repair enamel surface, low cytotoxicity, and high biocompatibility. Moreover, clinical studies on bioactive glass are still needed to determine its acceptability among patients with fixed orthodontic appliance. CLINICAL SIGNIFICANCE: Development of WSL around the orthodontic brackets during treatment is a difficult task among orthodontists. As such, this review explored various strategies to effectively combat WSL development for good oral health and esthetics during orthodontic treatment.


Assuntos
Cárie Dentária/etiologia , Cárie Dentária/prevenção & controle , Braquetes Ortodônticos/efeitos adversos , Ortodontia , Materiais Dentários , Estética Dentária , Humanos
17.
J Indian Soc Pedod Prev Dent ; 38(3): 266-273, 2020.
Artigo em Inglês | MEDLINE | ID: mdl-33004725

RESUMO

Aim: This longitudinal, observational study was conducted in the schools of Yamunanagar, Haryana, to evaluate and compare the predictive value of formal type of caries risk assessment using reduced Cariogram software, including only seven factors and informal type among 8-9 years' school-going children. Methods: A.total of 111 school-going children were included in the study. Risk profile for each child was created using cariogram as well as informal factors. The same children were scheduled for re-examination at an interval of 9 and 18 months. The caries status was recorded again using the Collapsed International Caries Detection and Assessment System (ICDAS) concept. Statistical Analysis: The precoded data were transferred to the computer and analyzed using the SPSS software (version 17.0). Data were analyzed for the identification of children with lesion progression and numbers of lesions progressing using the Transition Scoring System. Results: Cariogram being a multifactorial model gives significant individual weightage to each etiological factor causing dental caries as compared to informal caries risk assessment which though easy to implement yet unstructured unlike cariogram and thus does not guarantee consistent implementation. Conclusion: Cariogram is a perfect option for patient motivation and supports the clinician in decision making for planning preventive strategies for the patients. Along with this, a combination of the factors for informal caries risk assessment can help in making a simple yet multifactorial model which can be applied in daily practice.


Assuntos
Cárie Dentária/diagnóstico , Criança , Humanos , Medição de Risco , Instituições Acadêmicas , Software
18.
J Dent Hyg ; 94(5): 14-21, 2020 Oct.
Artigo em Inglês | MEDLINE | ID: mdl-33008945

RESUMO

Purpose: Children of Hispanic seasonal or migrant farmworkers in the United States (US) experience high rates of Early Childhood Caries (ECC) and have high rates of untreated dental caries. The purpose of this study was to explore Hispanic seasonal farmworker caregivers' beliefs and/or perceptions regarding ECC their children's oral health.Methods: A qualitative explanatory model interview approach was used with a purposive sample of Hispanic parents/caregivers, working and residing in Orange and Ulster Counties, New York. The Explanatory Model Interview Catalogue (EMIC) was used as a guide to the semi-structured, recorded interviews conducted in locations selected by the participants. The texts were independently read and thematically analyzed by two researchers.Results: A total of 20 parents/caregivers consented to participate. Six themes were identified for the components of the EMIC and included: etiology: eating candy/sweets (65%); sign/symptoms of decay: tooth color change (50%); pathophysiology: not brushing daily (75%); course of disease/impact on daily life: appearance (40%); impact of caries on child's future health: affects child until adult teeth erupt (25%); treatment for pain: tooth brushing (55%). Over half of the respondents (55%) indicated that getting dental care for their children was a priority.Conclusion: Results from this study showed that Hispanic seasonal farmworkers have a desire to maintain their children's oral health. However, they lacked knowledge in some key concepts related to the disease process and prevention of ECC. Caregivers need additional oral health education with consideration for oral health literacy.


Assuntos
Cuidadores , Cárie Dentária , Adulto , Criança , Pré-Escolar , Fazendeiros , Hispano-Americanos , Humanos , New York , Estações do Ano
19.
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
20.
San Salvador; Guillermo Alfonso Aguirre Escobar; Primera Edición; 08.10.2020. 70 p.
Não convencional em Espanhol | LILACS | ID: biblio-1122047

RESUMO

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


Assuntos
Humanos , Inquéritos de Saúde Bucal , Saúde Bucal , Inquéritos Epidemiológicos , Índice de Higiene Oral , Índice Periodontal , Cárie Dentária , Fluorose Dentária
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