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1.
Braz. j. oral sci ; 20: e219022, jan.-dez. 2021. ilus
Artigo em Inglês | LILACS, BBO - Odontologia | ID: biblio-1254545

RESUMO

Minimally invasive dentistry is based on conservative techniques for the treatment of initial caries lesions, the so-called white spot lesions. One of the conservative maneuvers includes the use of enamel resin infiltrant: a low viscosity material that penetrates the enamel pores to stop lesion progression. Aim: Therefore, this case report aimed to describe the clinical case of a 28-year-old female patient under routine consultation, in which a radiographic examination showed the presence of two incipient caries lesions in the left upper premolars. Methods: The application of a resin infiltrating agent (Icon®, DMG ­ Hamburg, Germany) was chosen as treatment to stop caries lesions progression. Conclusion: The use of this conservative technique can be considered a promising approach for the prevention of dental tissue wear, and the resin infiltrant is considered an effective material


Assuntos
Humanos , Feminino , Resinas Compostas , Cárie Dentária , Tratamento Conservador
2.
Braz. j. oral sci ; 20: e212755, jan.-dez. 2021. ilus
Artigo em Inglês | LILACS, BBO - Odontologia | ID: biblio-1254632

RESUMO

Aim: To investigate restorative decisions made by dentists and to examine what demographic characteristics are associated with the decisions for managing approximal and occlusal lesions. Methods: A questionnaire was randomly sent to 900 Palestinian dentists. It noted the demographic details of the dentists and the years of experience. The questionnaire evaluated the respondents for their treatment decisions regarding approximal and occlusal carious lesions. The data was analyzed using the IBM SPSS statistics for windows. The associations between gender and years of experience of the respondents and their restorative decisions were assessed. Results: The response rate was 58.2%. For occlusal carious lesions, 93.9% of the respondents would postpone operative treatment until the lesion was in dentine (grade 3 to 5). For approximal lesions, intervention was deemed appropriate by 92.6% of the respondents when there was radiographic evidence of a carious lesion reaching the DEJ or deeper. Around 53% preferred to prepare approximal lesions according to the traditional principles of cavity preparation. For both approximal and occlusal lesions, the participants opted for resin composites. Statistically, there was a significant association between the restorative decisions with the years since graduation and gender. Conclusion: The study showed variations between the treatment decisions of Palestinian dentists. The subjects chose conservative treatment plans but still adhered to traditional learned practices especially when cavity preparation for approximal lesions was concerned. The years since graduation and gender played a significant role in the choice of treatment opted for. Resin composites seemed to be a popular choice for treatment


Assuntos
Humanos , Masculino , Feminino , Características da População , Inquéritos e Questionários , Resinas Compostas , Padrões de Prática Odontológica , Cárie Dentária , Preparo da Cavidade Dentária
3.
Braz. j. oral sci ; 20: e211359, jan.-dez. 2021. ilus
Artigo em Inglês | LILACS, BBO - Odontologia | ID: biblio-1252506

RESUMO

Aim: To evaluate the effects of an intervention for the prevention of obesity on the prevalence of dental caries disease in Spanish children. Methods: Two cities participated intervention study nested in a cohort IDEFICS (Identification and prevention of dietary and lifestyle induced health effects in children and infants): Huesca, where there was a 2-year intervention, which encouraged less sugar consumption; and Zaragoza (control). The prevalence of caries was evaluated by examining the 1st permanent molars in the 7-11 age range, using the ICDAS (International Caries Detection and Assessment System). These teeth erupt at 6 years of age and at the baseline (2007-2008) were free of caries because they were not present in the oral cavity. As outcomes, white spots were selected, combining the ICDAS criteria 1 and 2, and untreated caries, combining criteria 4, 5 and 6. Their association with socioeconomic variables, BMI (Body Mass Index), frequency of sugar intake, sex and parents' perceptions of their children, was investigated. To do so, the chi-square test was applied (p<0.05). Results: The sample consisted of 281 children. The prevalence of white spots and untreated caries was higher in Huesca, despite the intervention. There was no association between the outcomes and the variables studied (p>0.05). Conclusion: The intervention for the prevention of obesity did not exert any association with the prevalence of caries in Spanish children


Assuntos
Humanos , Masculino , Feminino , Criança , Saúde Bucal , Cárie Dentária/epidemiologia , Obesidade
4.
Braz. j. oral sci ; 20: e211606, jan.-dez. 2021. tab
Artigo em Inglês | LILACS, BBO - Odontologia | ID: biblio-1253158

RESUMO

Aim: The present study sought to investigate dental caries experience and its association with sociodemographic, postnatal and breastfeeding variables in children in the agerange from 6 to 71 months of age, in the Xingu Indigenous Park, Mato Grosso, Brazil. Methods: This was an analytical cross-sectional study that used secondary data pertaining to 402 indigenous children of the Low, Middle and Eastern Xingu regions, who participated in the Oral Health Epidemiological Survey in 2013. The dependent variable was dental caries, dichotomized by the median (dmf-t≤1 and dmf-t>1). The data of independent variables were obtained by means of instruments of the Local Health Information System of the Xingu Indigenous Special Sanitary District (DSEI). Raw analyses were performed to test the association of the independent variables with the dependent variable. The variables were tested in the multiple logistic regression model. Results: The mean value of the dmf-t index was 2.60 and the prevalence of affected children was 51%. In the multiple analysis, only children older than 36 months (OR: 6.64; CI95%: 4.11 to 10.73) and those that were breastfed for a longer period of time (OR: 1.88; CI95%: 1.16 to 3.02) showed significant association with the dmf-t>1 index. Conclusion: Childhood dental caries among indigenous children was associated with age and breastfeeding prolonged for over 26 months, therefore, pointing out the need to offer dental follow-up care at earlier ages


Assuntos
Humanos , Masculino , Feminino , Pré-Escolar , Aleitamento Materno , Índios Sul-Americanos , Saúde Bucal , Cárie Dentária
5.
Braz. j. oral sci ; 20: e210328, jan.-dez. 2021. ilus
Artigo em Inglês | LILACS, BBO - Odontologia | ID: biblio-1253738

RESUMO

Aim: The in vitro study evaluated the effect of different concentrations of green tea extract solution (GT) on the bonding durability of etch-and-rinse adhesive system to caries dentin affected (CAD). Methods: Dentinal surfaces of human third molars were polished and submitted to a microbiological caries induction protocol for 14 days. After removal of the infected dentin layer, the samples were randomly divided into 4 groups (n= 10), according to the concentration of GT solution applied in CAD, after acid etching: 0.05%; 0.2%; 2% and NT (no treatment ­ control). After application of a etch-and-rinse adhesive system (Adper Single Bond 2, 3M ESPE), composite resin restorations were performed on the dentin. After 24 hours, the resin-dentin blocks were sectioned 1mm2 specimens, which were subjected to the microtensile test immediately or after 6 months of storage in water. Data were submitted to two-way ANOVA for randomized blocks and Tukey test (α= 5%). Results: There was no effect of double interaction (p= 0.934). The application of 0.2% GT promoted a statistically significant increase in dentin bond strength values in comparison to the condition where GT was not used (p=0.012). There was a significant decrease of bond strength after 6 months of storage, regardless of dentin pretreatment (p = 0.007). The G test identified that there was no statistical difference regarding failure mode (p= 0.326). Conclusion: The concentration of 0.2% improved the bond strength of an etch-and-rinse adhesive system to caries affected dentin, however, none of dentin pretreatments could prevent the decrease in bond strength over time


Assuntos
Resistência à Tração , Camellia sinensis , Cárie Dentária , Dentina
6.
Braz. j. oral sci ; 20: e211168, jan.-dez. 2021. ilus
Artigo em Inglês | LILACS, BBO - Odontologia | ID: biblio-1254279

RESUMO

Aim: The aim of this study was to evaluate caries diagnosis and treatment decisions made by undergraduate dental students based on ICDAS or Nyvad criteria. Methods: Twelve students analyzed 90 digital photographs of permanent teeth at different clinical stages of carious lesion development and chose among different treatments in three different assessments: when there was no knowledge of the criteria (described as "No knowledge (N)"; when there was theoretical knowledge of the criteria (described as "Theoretical knowledge (T)" and when there was theoretical knowledge, clinical experience about dental caries and the criteria (described as "Theoretical and clinical knowledge (TC)". For "T" and "TC" the students were randomized into two experimental groups ­ ICDAS or Nyvad (experimental units: 6 students/group). The reference standard was established cooperatively by two experienced researchers. Criteria performance was evaluated by sensitivity, specificity, AUC, and Kappa statistics. Treatment decision was described in percentage by contingency tables and Spearman's correlation with the reference standard. Results: The first assessment demonstrated a high percentage of operative treatment even for initial enamel lesions based on ICDAS criteria and treatment was proposed for both active and inactive lesions, according to the Nyvad criteria. In the second assessment, the students continued recommending treatments for initial or inactive lesions, but less frequently. In the third assessment, treatment decisions presented greater cohesion in relation to the assigned classification criterion. The criteria presented no differences between them in terms of diagnostic in the third assessment. Conclusion: Clinical experience may improve caries detection and treatment decisions with the use of ICDAS and Nyvad criteria


Assuntos
Ensino , Cárie Dentária/diagnóstico por imagem
7.
Pediatr Dent ; 43(4): 276-281, 2021 Jul 15.
Artigo em Inglês | MEDLINE | ID: mdl-34467843

RESUMO

Purpose: Childhood caries is a highly prevalent disease that is intricately connected to diet and other social and behavioral factors. While it has been established that breastfeeding confers many health benefits for children, previous research found no consensus on the relationship between breastfeeding and caries. The purpose of this study was to examine the relationship between early childhood caries (ECC) and the length of time breastfeeding using the National Health and Nutrition Examination Survey (NHANES). Methods: Four cycles of NHANES (2011 to 2018) were analyzed, including 3,234 children ages two to five years. The association between breastfeeding duration and incidence of ECC and severe earlychildhood caries (S-ECC) was evaluated using logistic regression, adjusting for age, ethnicity, education, income, last dental visit, and sugar-sweetened beverages. Results: In the study population, 16.9 percent had ECC and 12.2 percent had S-ECC. Breastfeeding six months to one year, one to two years, or over two years was not associated with higher odds of ECC or S-ECC than breastfeeding for zero to six months after adjusting for covariates. Conclusions: There was no statistically significant relationship between breastfeeding and early childhood caries, and breastfeeding duration was not associated with increased caries risk. More research from well-controlled analytical studies is needed to establish or refute a relationship between breastfeeding and ECC.


Assuntos
Aleitamento Materno , Cárie Dentária , Criança , Pré-Escolar , Cárie Dentária/epidemiologia , Suscetibilidade à Cárie Dentária , Feminino , Humanos , Inquéritos Nutricionais , Prevalência , Fatores de Risco
8.
Pediatr Dent ; 43(4): 290-295, 2021 Jul 15.
Artigo em Inglês | MEDLINE | ID: mdl-34467846

RESUMO

Purpose: The purpose of this study was to evaluate the treatment outcomes of multisurface caries in primary molars treated with intracoronal restorations versus stainless steel crowns (SSCs) through a retrospective split-mouth study. Methods: Dental records were screened for patients who had treatment of one primary molar with a multisurface restoration and one primary molar with an SSC. Teeth were followed until a loss to follow-up, exfoliation, or failure. Results: A total of 988 primary molars were evaluated, with a mean follow-up time of 22 months. The survival probabilities for: SSCs were 95.5 percent at one year of service and 92.8 percent at two years of service; and for intracoronal restorations were 92.0 percent at one year of service and 80.0 percent at two years of service. Overall survival analysis showed SSCs to be significantly more successful than restorations (P<0.001), particularly in children treated at ages four years and younger (P<0.001). No statistically significant difference (P=0.10) was found for children treated at ages five years and older. Conclusions: Stainless steel crowns have a higher survival probability versus restorations for multisurface caries. In children ages four years and younger, more aggressive treatment of multi-surface caries with SSCs should be considered, as conservative treatment leads to an increased need for retreatment.


Assuntos
Cárie Dentária , Aço Inoxidável , Criança , Pré-Escolar , Coroas , Cárie Dentária/terapia , Falha de Restauração Dentária , Restauração Dentária Permanente , Humanos , Dente Molar , Estudos Retrospectivos , Dente Decíduo
9.
Pediatr Dent ; 43(4): 296-300, 2021 Jul 15.
Artigo em Inglês | MEDLINE | ID: mdl-34467847

RESUMO

Purpose: The purpose of the present study was to evaluate the individual susceptibility of four different types of OXIS contact areas (open [O], point [X], straight [I], and curved [S]) to approximal caries in children. Methods: A retrospective cohort study was performed using clinical photographs and cone-beam computed tomography images of children, available from January 1, 2014, to August 31, 2015, showing the presence of at least one caries-free contact area between the primary molars. A single calibrated examiner scored 1,102 selected contacts using OXIS criteria from the occlusal view and subsequently evaluated the same contacts with a minimum follow-up period of one year for the presence of approximal caries. Results: Of the 1,102 contacts, 259 (23.5 percent) were found to be carious or restored due to approximal caries. Multivariate logistic regression analysis showed that only the type of contact played a significant role in caries prevalence (P<0.05). The odds ratios of OXIS contacts for the development of approximal caries were: S contact-147.4 (95 percent confidence interval [95% CI] equals 19.7 to 1101.7); I contact-24.5 (95% CI equals 3.4 to 177.9); X contact-1.1 (95% CI equals 1.0 to 12.5); and O contact-1.00 (reference). Conclusions: Among the OXIS contacts, the S type was most susceptible to approximal caries due to its complex morphology. The broad contact areas, namely, I and S types, are at greater risk for approximal caries in primary molars than O and X contacts.


Assuntos
Suscetibilidade à Cárie Dentária , Cárie Dentária , Criança , Cárie Dentária/epidemiologia , Cárie Dentária/etiologia , Fumarato de Formoterol , Humanos , Estudos Retrospectivos , Fatores de Risco
10.
Cien Saude Colet ; 26(suppl 2): 3647-3655, 2021.
Artigo em Português | MEDLINE | ID: mdl-34468659

RESUMO

Fluoridation is considered an effective and wide-ranging measure in combatting dental caries. Despite being mandatory in Brazil since 1974, the implementation continues to be unequal throughout the country. The objective was to describe and analyze fluorine levels in the waters of the public supply grid of the 2nd macro region of the state of Pernambuco in municipalities with 50,000 inhabitants or more. This is a descriptive study based on a comparison of data from Pernambuco Sanitation Company (Compesa), the Vigifluor Project, the Water Quality Surveillance Information System for Human Consumption (Sisagua) the Brazilian Institute of Geography and Statistics (IBGE) and the National Sanitation Information System (SNIS), on the fluoridation of water in municipalities of the 2nd health macro region of Pernambuco. Although the municipalities studied do not have artificial fluoridation, significant levels of natural fluorine were found in the sources that supply the regions. However, these levels of fluorine do not remain constant in the waters of the supply network of the municipalities studied, therefore there is no effective prevention against caries. Artificial fluoridation is an effective measure in preventing caries and should therefore be expanded in regions that are not yet fluoridated.


Assuntos
Cárie Dentária , Fluoretos , Brasil , Cidades , Cárie Dentária/epidemiologia , Cárie Dentária/prevenção & controle , Fluoretação , Fluoretos/análise , Humanos , Abastecimento de Água
11.
Pediatr Dent ; 43(4): 287-289, 2021 Jul 15.
Artigo em Inglês | MEDLINE | ID: mdl-34467845

RESUMO

Purpose: The purpose of this study was to assess the relationship between the number of teeth present at 12 months and decayed, missing, or filled surfaces (dmfs) at 30 and 48 months. Methods: Data are from a longitudinal, multisite study with clinical dental examinations conducted at 12, 30, and 48 months of age. Spearman correlation and chi-square tests assessed relationships between teeth present at 12 months and dmfs at 30 (n equals 1,062) and 48 months (n equals 985). Results: Spearman correlations were weak but significant for both 30- and 48-month time points (R equals 0.066, P=0.032; R equals 0.093, P=0.004, respectively). Mantel-Haenszel chi-square analyses of categories of teeth present at 12 months (zero, one to four, five to eight, and greater than or equal to nine) and categories of dmfs at 30 and 48 months (zero, one to two, three to five, six to 15, and greater than or equal to 16) revealed nonsignificant (P=0.326) relationship with 30-month dmfs but a significant (P=0.013) relationship with 48-month dmfs. Conclusion: Results suggest that early tooth eruption is weakly associated with an occurrence of early childhood caries.


Assuntos
Cárie Dentária , Erupção Dentária , Distribuição de Qui-Quadrado , Pré-Escolar , Cárie Dentária/epidemiologia , Suscetibilidade à Cárie Dentária , Humanos , Estudos Longitudinais
12.
Community Dent Health ; 38(3): 158-160, 2021 Aug 31.
Artigo em Inglês | MEDLINE | ID: mdl-34473431

RESUMO

Since the discovery of the caries preventive benefits of fluoride, it has been the cornerstone of preventive programs for children and adults. Water fluoridation, the controlled addition of a precise amount of fluoride to community water systems to the level beneficial for dental health, is one of the most effective and safe means to deliver fluoride (McDonagh et al., 2000; National Health and Medical Research Council, 2017). In 1999, the US Centers for Disease Control and Prevention (CDC) named fluoridation of drinking water as one of ten great public health achievements in the 20th Century, alongside vaccination, control of infectious diseases, a decline in death from coronary heart disease and other accomplishments (CDC, 2011). This is a remarkable recognition of the impact of dental conditions and the importance of a dental preventive program.


Assuntos
Cárie Dentária , Fluoretação , Adulto , Criança , Cárie Dentária/prevenção & controle , Fluoretos , Humanos , Saúde Pública
13.
Shanghai Kou Qiang Yi Xue ; 30(3): 278-282, 2021 Jun.
Artigo em Chinês | MEDLINE | ID: mdl-34476445

RESUMO

PURPOSE: To investigate the effect of improved atraumatic restorative treatment(ART) with high-strength glass ionomer cement in the treatment of primary caries in children. METHODS: From August 2018 to May 2019, 262 children with primary tooth caries who were treated in Children's Hospital of Nanjing Medical University were selected into our study, prospectively. The children were divided into two groups, randomly: ART group (131 cases, 177 teeth) and control group (131 cases, 178 teeth). Children in the control group were treated with conventional cavity preparation and composite resin filling, while those in the ART group were treated with improved high-intensity glass ionomer. The curative effect and satisfaction degree were compared between the two groups. SPSS 19.0 software package was used for data analysis. RESULTS: The overall curative effect in the ART group was better than that of the control group. The cooperation degree of the 2~4 years old children in the ART group was significantly higher than that of the control group(P<0.05). The cooperation degree of the 5 years old children between the two groups had no significant differences(P>0.05). Both groups of children accepted 12 months of follow-up. Three months after treatment, the rate of secondary caries in the ART group was significantly lower than that in the control group, but it was not statistically significant(P>0.05). Six and 12 months after treatment, the rate of secondary caries in the ART group were significantly lower than that in the control group(P<0.05), and the satisfaction of parents in the ART group was significantly higher than that in the control group (P<0.05). CONCLUSIONS: Improved ART with high-intensity glass ionomer cement is more likely accepted by children and their parents, with more willing to accept and cooperate with the treatment. Not only is it easy to operate, but also has a reliable curative effect in children.


Assuntos
Tratamento Dentário Restaurador sem Trauma , Cárie Dentária , Criança , Pré-Escolar , Cárie Dentária/terapia , Suscetibilidade à Cárie Dentária , Preparo da Cavidade Dentária , Restauração Dentária Permanente , Cimentos de Ionômeros de Vidro/uso terapêutico , Humanos
14.
J Prosthet Dent ; 126(3): 276-359, 2021 Sep.
Artigo em Inglês | MEDLINE | ID: mdl-34489050

RESUMO

The Scientific Investigation Committee of the American Academy of Restorative Dentistry offers this review of the 2020 professional literature in restorative dentistry to inform busy dentists regarding noteworthy scientific and clinical progress over the past year. Each member of the committee brings discipline-specific expertise to this work to cover this broad topic. Specific subject areas addressed include prosthodontics; periodontics, alveolar bone, and peri-implant tissues; implant dentistry; dental materials and therapeutics; occlusion and temporomandibular disorders (TMDs); sleep-related breathing disorders; oral medicine and oral and maxillofacial surgery; and dental caries and cariology. The authors focused their efforts on reporting information likely to influence day-to-day dental treatment decisions with a keen eye on future trends in the profession. With the tremendous volume of dentistry and related literature being published today, this review cannot possibly be comprehensive. The purpose is to update interested readers and provide important resource material for those interested in pursuing greater detail. It remains our intent to assist colleagues in navigating the extensive volume of important information being published annually. It is our hope that readers find this work useful in successfully managing the dental patients they encounter.


Assuntos
Cárie Dentária , Assistência Odontológica , Materiais Dentários , Humanos , Periodontia , Prostodontia , Estados Unidos
15.
Zhongguo Yi Xue Ke Xue Yuan Xue Bao ; 43(4): 590-594, 2021 Aug.
Artigo em Chinês | MEDLINE | ID: mdl-34494531

RESUMO

Objective To investigate the oral health status and awareness of urban children in Lhasa,aiming to provide a data basis for the prevention and treatment of children's caries and the promotion of oral health education. Methods A total of 504 Tibetan students were selected by cluster sampling from 2 primary schools in Chengguan District of Lhasa.All the participants were required to take oral health examination and complete a questionnaire about oral health awareness and behavior. Results The caries prevalence rate and mean decayed-missing-filled tooth(DMFT)of permanent teeth were 75.00% and 2.18±1.91,respectively.The rates of pit and fissure sealant and filling of permanent teeth were 3.77% and 6.81%,respectively.The caries prevalence rate of first permanent molars was 47.62%.The mean DMFT of permanent teeth and caries prevalence rate of first permanent molar were significantly higher in female group(P=0.001 and P=0.007,respectively).The prevalence rate of dental fluorosis was 61.51%,and the detection rate of dental calculus was 71.83%.Multivariate logistic regression analysis showed that prevalence of caries was influenced by many independent factors including gender,oral health awareness,intention of dental intervention,and dental experience. Conclusion High caries prevalence rate,low filling rate,and poor oral hygiene and health awareness were found among the primary school students in Lhasa,which require continuous dentistry investment and oral health education for the local students and their parents.


Assuntos
Cárie Dentária , Saúde Bucal , Criança , Índice CPO , Cárie Dentária/epidemiologia , Feminino , Humanos , Higiene Bucal , Prevalência , Instituições Acadêmicas , Estudantes , Inquéritos e Questionários
16.
J Appl Oral Sci ; 29: e20200778, 2021.
Artigo em Inglês | MEDLINE | ID: mdl-34495103

RESUMO

OBJECTIVE: this study evaluated the mineral and microbiological response of biofilms originating from different types of saliva inoculum with distinct levels of caries activity. METHODOLOGY: the biofilms grown over enamel specimens originated from saliva collected from a single donor or five donors with two distinct levels of caries activity (caries-active and caries-free) or from pooling saliva from ten donors (five caries-active and five caries-free). The percentage surface hardness change (%SHC) and microbiological counts served as outcome variables. RESULTS: the caries activity of donors did not affect the %SHC values. Inoculum from five donors compared to a single donor showed higher %SHC values (p=0.019). Higher lactobacilli counts were observed when saliva from caries-active donors was used as the inoculum (p=0.017). Pooled saliva from both caries activity levels showed higher mutans streptococci counts (p<0.017). CONCLUSION: Overall, pooled saliva increased the mineral response of the derived biofilms, but all the inoculum conditions formed cariogenic biofilms and caries lesions independently of caries activity.


Assuntos
Cárie Dentária , Saliva , Biofilmes , Suscetibilidade à Cárie Dentária , Humanos , Minerais , Streptococcus mutans
17.
Braz Oral Res ; 35: e071, 2021.
Artigo em Inglês | MEDLINE | ID: mdl-34495135

RESUMO

This study investigated the factors associated with new carious lesions in one-to five-year-old children with developmental disabilities. This was a retrospective cohort that evaluated 64 dental charts of individuals with caries or fillings in their first dental appointment. The dependent variable was the occurrence of a new carious lesion or restoration. Gender, age, mother's education, sugar consumption, oral hygiene, mouth breathing, reports of xerostomia, gingival status, use of psychotropic drugs, use of asthma drugs, history of asthma, bronchitis, reflux or seizures and having at least one sibling were covariates. Cox proportional hazards regression model was used to estimate the raw and adjusted hazard ratios with their respective 95% confidence interval. The average time that individuals remained free of dental caries/restoration was 79.49 months (95%CI: 64.37 to 92.61). Increase in sucrose consumption increased the rate of caries recurrence (HR = 1.16; 95%CI: 1.04 to 1.30). Individuals who had poor oral hygiene had higher rate of new dental caries (HR = 3.88; 95%CI: 1.22 to 12.37) compared to those with good oral hygiene. The presence of mouth breathing decreased the rate of recurrence of the disease when compared to the nasal breathing (HR = 0.32; 95%CI: 0.15 to 0.70). Oral health-related behaviors and nasal respiration influenced the rate of dental caries recurrence in individuals with developmental disabilities.


Assuntos
Cárie Dentária , Criança , Pré-Escolar , Cárie Dentária/epidemiologia , Deficiências do Desenvolvimento/epidemiologia , Humanos , Lactente , Estudos Longitudinais , Higiene Bucal , Estudos Retrospectivos
18.
Zhonghua Kou Qiang Yi Xue Za Zhi ; 56(9): 849-856, 2021 Sep 09.
Artigo em Chinês | MEDLINE | ID: mdl-34496532

RESUMO

Caries of children under 3 years old has such characteristics as early onset, multiple tooth involvement and rapid development. It may affect the mastication and digestive functions of the children, as well as oral and systemic development, and may become a risk factor for systemic diseases. In order to standardize the prevention and treatment of the caries of the infants and toddlers, to fully utilize the existing medical resources to prevent caries, to reduce the incidence rate and to increase the treatment rate, and to improve the oral health statuses of the infants and toddlers in China, the Society of Pediatric Dentistry and the Society of Preventive Dentistry of the Chinese Stomatological Association convened experts of pediatric dentistry and preventive dentistry from 19 universities and hospitals to conduct profound discussions on this topic, and finally developed the present guideline on diagnosis, prevention, clinical practice and effect evaluation for caries of children under 3 years old suitable to China's conditions.


Assuntos
Suscetibilidade à Cárie Dentária , Cárie Dentária , Pré-Escolar , China , Cárie Dentária/diagnóstico , Cárie Dentária/prevenção & controle , Humanos , Lactente , Odontopediatria , Odontologia Preventiva
19.
Zhonghua Kou Qiang Yi Xue Za Zhi ; 56(9): 857-865, 2021 Sep 09.
Artigo em Chinês | MEDLINE | ID: mdl-34496533

RESUMO

Objective: To study prospectively the caries characteristics of the children who suffered severe early childhood caries (S-ECC) and received dental caries treatment under general anesthesia and to explore the related risk factors of caries recurrence after treatment. Methods: During December 2012 to August 2014, eighty-three children aged 2-4 years with S-ECC who underwent one caries treatment session under general anesthesia in Peking University School and Hospital of Stomatology participated in this study. Data of demographics, clinical characteristics, dietary and oral hygiene habits of the participants were collected before the treatment and 1-, 7- and 13-months after the treatment. All data were then analyzed to find out whether the factors were related to caries relapse. Results: Among the 70 children who completed 7-13 months follow-up, twenty-nine children (41%) remained caries-free and 41 children (59%) had a few caries recurrence during the observation period. All the teeth suffered different variation of caries recurrence except mandibular deciduous incisors. As for the types of caries recurrence after caries treatment under general anesthesia, the maxillary deciduous incisors usually showed secondary caries (new caries/secondary caries numbers were 1/12), the canines and first deciduous molars occurred both secondary and new caries (new caries/secondary caries numbers in canines were 12/6, in first deciduous molars were 16/12) and the second deciduous molars usually presented new caries (new caries/secondary caries numbers were 19/5). After treatment, the prone tooth surfaces of caries recurrence from high to low were: adjacent surfaces of deciduous molars (37 surfaces), occlusal surface of deciduous molars (28 surfaces), adjacent surfaces of deciduous canines (13 surfaces), buccal and lingual surfaces of deciduous molars (12 surfaces), labial and lingual surfaces of deciduous incisors (10 surfaces), labial and lingual surfaces of deciduous canines (8 surfaces) and adjacent surfaces of deciduous incisors (5 surfaces). There were no significant differences in the children's demographics and clinical characteristics between relapse and non-relapse groups (P>0.05). Patients in the relapse group had higher sugar intake frequencies than those in the non-relapse group at both 7- and 13-month follow-ups (P<0.05). Conclusions: Children of 2-4 years old with S-ECC have a high risk of caries recurrence after caries treatment under general anesthesia and need to recieve regular oral examination. During the follow-ups, the prevention and treatment of new and secondary caries of deciduous molars and secondary caries of deciduous incisors should be focused on. High frequency of sugar intake is an important risk factor of recurrent caries for children with S-ECC after caries treatment.


Assuntos
Cárie Dentária , Anestesia Geral , Pré-Escolar , Cárie Dentária/epidemiologia , Suscetibilidade à Cárie Dentária , Humanos , Recidiva Local de Neoplasia , Estudos Prospectivos , Dente Decíduo
20.
BMC Pediatr ; 21(1): 380, 2021 09 03.
Artigo em Inglês | MEDLINE | ID: mdl-34479530

RESUMO

BACKGROUND: Vitamin D is traditionally associated with the metabolism of calcium and phosphorus, a process essential for the mineralization of hard tissue such as bone or tooth. Deficiency of this vitamin is a problem worldwide, however. Given the possibly significant role of Vitamin D in odontogenesis in children, the objective of our study was to determine the influence of vitamin D levels in the blood on dental anomalies in children between 6 and 10 years of age, by means of 25-hydroxy vitamin D tests performed during pregnancy and the first years of life. METHODS: The data analyzed were sourced from data belonging to the INMA-Asturias birth cohort, a prospective cohort study initiated in 2004 as part of the INMA Project. The 25-hydroxy vitamin D (25(OH)D) test was performed with samples from 188 children in the INMA-Asturias birth cohort with a dental examination performed between 6 and 10 years of age. The samples were taken at three stages: in the mother at 12 weeks of gestation, and subsequently in the child at 4 and 8 years of age. Diet, nutritional and oro-dental hygiene habits were also analyzed by means of questionnaires. RESULTS: The results indicate a significant association between caries and correct or incorrect brushing technique. With incorrect brushing technique, the prevalence of caries was 48.89%, but this dropped to 22.38% with correct brushing technique. An association was also found between tooth decay and frequency of sugar intake. The prevalence of caries was 24.54% with occasional sugar intake, but this rose to 56% with regular sugar intake. On the other hand, levels < 20 ng/ml in both mother and child at 8 years of age would also be risk factors (ORgest = 2.51(1.01-6.36) and OR8years = 3.45(1.14-11.01)) for the presence of caries in children. The risk of caries practically tripled where 25(OH) D values were < 20 ng/ml. CONCLUSIONS: Although incorrect brushing technique and regular sugar consumption was found to be the main cause of caries in the children, the low concentrations of vitamin D in the blood of the pregnant mothers may have magnified this correlation, indicating that the monitoring of vitamin D levels during pregnancy should be included in antenatal programmes. It is particularly striking that 50% of the children were deficient in vitamin D at the age of 4, and that dental floss was practically absent from regular cleaning routines.


Assuntos
Cárie Dentária , Deficiência de Vitamina D , Adulto , Criança , Cárie Dentária/epidemiologia , Cárie Dentária/etiologia , Suscetibilidade à Cárie Dentária , Feminino , Humanos , Gravidez , Estudos Prospectivos , Vitamina D , Deficiência de Vitamina D/diagnóstico , Deficiência de Vitamina D/epidemiologia , Vitaminas
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