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1.
Ned Tijdschr Tandheelkd ; 128(7-8): 359-364, 2021 Jul.
Artigo em Holandês | MEDLINE | ID: mdl-34242381

RESUMO

Children are born with healthy mouths. The goal of primary prevention is to maintain this healthy situation. Starting primary prevention as early as possible, preferably at the moment of eruption of the primary teeth, is recommended. Estimating the caries risk, for example, with the help of a system such as the NOCTP method, is an important tool for deciding the check-up interval, bitewing interval and other care interventions. Prevention is always key. Active lesions may require another treatment, too, in addition to prevention. Inactive lesions as well as cleansable cavitated lesions do not require invasive treatment. Non-cleansable cavitated lesions are candidates for invasive treatment such as slicing as part of a non-restorative caries treatment (NRCT), Hall crowns or conventional restorations. The child's well-being is always the most important factor in choosing the right treatment.


Assuntos
Suscetibilidade à Cárie Dentária , Cárie Dentária , Criança , Coroas , Cárie Dentária/prevenção & controle , Humanos , Dente Decíduo
2.
Ned Tijdschr Tandheelkd ; 128(7-8): 388-394, 2021 Jul.
Artigo em Holandês | MEDLINE | ID: mdl-34242385

RESUMO

Diet and nutrition play a fundamental role in general health and oral health in children and adults. Dietary guidelines have been developed to provide evidence-based recommendations for populations promoting a diet that meets the best nutritional requirements and prevents diet-related diseases such as overweight, obesity, diabetes and dental caries. Lifestyle and dietary habits are strongly influenced by the (social) media and the products on offer in the supermarkets. Knowledge of the field of the development of foodstuffs and lifestyle trends contributes to effective, appropriate and individualised advice for a healthy mouth in children. Sugar-free flavoured waters with aroma are a good alternative to fizzy drinks, they are tooth friendly and promote a healthy weight.


Assuntos
Cárie Dentária , Saúde Bucal , Criança , Cárie Dentária/epidemiologia , Cárie Dentária/prevenção & controle , Dieta , Humanos , Estilo de Vida , Política Nutricional
3.
Ned Tijdschr Tandheelkd ; 128(7-8): 395-401, 2021 Jul.
Artigo em Holandês | MEDLINE | ID: mdl-34242386

RESUMO

The new Dutch clinical practice guideline Oral Care for Children and Young People advises parents to visit the oral care professional before or from the eruption of the first tooth, because oral care starts with the first deciduous tooth. However, this is not yet standard for everyone. Still, almost all parents of newborns (> 95%) visit well-baby clinics with their newborn. This article describes how well-baby clinics and oral care can collaborate and how in the Netherlands, young children and their parents can be contacted earlier for (preventive) dental care. There are a few examples of projects in which well-child clinics and oral care collaborate, such as the Gezonde Peutermonden project (toddlers' healthy mouths project), the GigaGaaf project (giga whole project) and the case of a practice in Haarlem, in the Schalkwijk district. Because these projects are still in progress, it is not yet clear whether a collaboration between well-child clinics and oral care will also have an effect on the caries prevalence in children.


Assuntos
Cárie Dentária , Odontologia Preventiva , Adolescente , Criança , Cuidado da Criança , Pré-Escolar , Cárie Dentária/epidemiologia , Cárie Dentária/prevenção & controle , Humanos , Lactente , Recém-Nascido , Países Baixos , Saúde Bucal , Pais
4.
Georgian Med News ; (314): 70-77, 2021 May.
Artigo em Russo | MEDLINE | ID: mdl-34248030

RESUMO

Diseases of the oral cavity are considered as a health problem for the population of the whole world, in particular, Ukraine. Purpose of the study - to analyze the risk factors, legislative, financial, personnel support for the prevention and treatment of oral diseases of the population of Ukraine; to develop a national conceptual model for the organization of dental care. State statistics data, regulatory documents, scientific sources; methods of systems approach and analysis, conceptual modeling, graphic. A low standard of living is typical for 23.1% of the population of Ukraine; high levels of tobacco smoking, alcohol consumption, sugar consumption, insufficient amount of fruits and vegetables in the diet are common in the population. Low fluoride content in drinking water is a threat to the development of caries. The legal regulation of oral health needs improvement. A national conceptual model of the organization of dental care has been developed on the basis of an analysis of world experience and WHO recommendations, the main components of the model are determined: improving geographical and financial accessibility; improving quality; preventive focus; state regulation. The world experience in the provision of dental care and the national characteristics of the health care system made it possible to substantiate and develop a conceptual model for organizing dental care for the population of Ukraine.


Assuntos
Atenção à Saúde , Cárie Dentária , Assistência Odontológica , Cárie Dentária/epidemiologia , Cárie Dentária/prevenção & controle , Humanos , Saúde Bucal , Ucrânia
5.
J Biol Regul Homeost Agents ; 35(2 Suppl. 1): 227-240, 2021.
Artigo em Inglês | MEDLINE | ID: mdl-34281321

RESUMO

White spot lesions (WSL) are demineralizations of the enamel found on the tooth surfaces. WSL are considered incipient non-cavitated caries caused by bacterial plaque activity. Subjects with malocclusion such as dental crowding and fixed orthodontic appliances have a greater number of retention sites and consequently difficulty in cleaning and greater predisposition to caries. In fact, WSL are a frequent side effect of orthodontic fixed treatments. The prevention and resolution of this problem is the goal of any orthodontist because untreated WSL can lead to the formation of deeper dental caries and restorative treatment with consequent compromise of patient satisfaction with the aesthetic result obtained at the end of the orthodontic treatment. This review is intended not only for orthodontists but also for general and pediatric dentists who want to learn how to correctly prevent, and treat this unsightly problem. On the market there are many products sold to achieve this goal, some of them can be managed independently by the patient at home, others require the intervention of the dentist. The purpose of this literature review is to understand how these substances work, to identify with which of the currently most widespread the best results have been obtained and then to provide useful information to guide the clinician in choosing the most suitable one for the patient.


Assuntos
Cárie Dentária , Ortodontia , Cariostáticos , Criança , Assistência Odontológica , Cárie Dentária/etiologia , Cárie Dentária/prevenção & controle , Odontólogos , Humanos
6.
Oral Health Prev Dent ; 19(1): 383-389, 2021 Jan 07.
Artigo em Inglês | MEDLINE | ID: mdl-34259431

RESUMO

PURPOSE: To investigate the practices, knowledge and opinions of French dental students (FDSs) in various domains of minimal intervention (MI) in cariology. MATERIALS AND METHODS: A cross-sectional, questionnaire-based study was conducted in spring 2018 among all fifth-year French dental students (FDSs) from the 16 French dental schools. The present article focuses on restorative management. Statistical analyses (descriptive, chi-squared) were performed. RESULTS: The response rate was 84.5%. Overall, 97.4% of respondents would have operatively intervened for proximal and 83% for occlusal carious lesions, respectively, while non-or micro-invasive intervention would have been possible. Interestingly, 15% would completely open the occlusal fissures. For both occlusal and proximal lesions requiring a restoration, composite resin was indicated by over 95% of the respondents. In a clinical case, 51.6% of FDSs who rightly diagnosed an enamel carious lesion would operatively intervene. When FDSs could not diagnose the type of carious lesions, a high proportion of invasive actions were also reported (40%). FDSs who read scientific articles were more likely to consider the high importance of not filling sound teeth unnecessarily (p = 0.033). CONCLUSION: FDSs do not have sufficient awareness of MI guidelines regarding occlusal and proximal restorative thresholds. Efforts are required in dental schools to teach FDSs to postpone invasive/restorative strategies to later stages of carious progression. There is a need to strengthen prevention techniques and non-invasive options in the teaching of MI in cariology.


Assuntos
Cárie Dentária , Restauração Dentária Permanente , Estudos Transversais , Cárie Dentária/prevenção & controle , Dentina , Humanos , Estudantes de Odontologia
7.
BMC Oral Health ; 21(1): 329, 2021 07 01.
Artigo em Inglês | MEDLINE | ID: mdl-34210281

RESUMO

BACKGROUND: Comprehensive caries care has shown effectiveness in controlling caries progression and improving health outcomes by controlling caries risk, preventing initial-caries lesions progression, and patient satisfaction. To date, the caries-progression control effectiveness of the patient-centred risk-based CariesCare International (CCI) system, derived from ICCMS™ for the practice (2019), remains unproven. With the onset of the COVID-19 pandemic a previously planned multi-centre RCT shifted to this "Caries OUT" study, aiming to assess in a single-intervention group in children, the caries-control effectiveness of CCI adapted for the pandemic with non-aerosols generating procedures (non-AGP) and reducing in-office time. METHODS: In this 1-year multi-centre single-group interventional trial the adapted-CCI effectiveness will be assessed in one single group in terms of tooth-surface level caries progression control, and secondarily, individual-level caries progression control, children's oral-health behaviour change, parents' and dentists' process acceptability, and costs exploration. A sample size of 258 3-5 and 6-8 years old patients was calculated after removing half from the previous RCT, allowing for a 25% dropout, including generally health children (27 per centre). The single-group intervention will be the adapted-CCI 4D-cycle caries care, with non-AGP and reduced in-office appointments' time. A trained examiner per centre will conduct examinations at baseline, at 5-5.5 months (3 months after basic management), 8.5 and 12 months, assessing the child's CCI caries risk and oral-health behaviour, visually staging and assessing caries-lesions severity and activity without air-drying (ICDAS-merged Epi); fillings/sealants; missing/dental-sepsis teeth, and tooth symptoms, synthetizing together with parent and external-trained dental practitioner (DP) the patient- and tooth-surface level diagnoses and personalised care plan. DP will deliver the adapted-CCI caries care. Parents' and dentists' process acceptability will be assessed via Treatment-Evaluation-Inventory questionnaires, and costs in terms of number of appointments and activities. Twenty-one centres in 13 countries will participate. DISCUSSION: The results of Caries OUT adapted for the pandemic will provide clinical data that could help support shifting the caries care in children towards individualised oral-health behaviour improvement and tooth-preserving care, improving health outcomes, and explore if the caries progression can be controlled during the pandemic by conducting non-AGP and reducing in-office time. TRIAL REGISTRATION: Retrospectively-registered-ClinicalTrials.gov-NCT04666597-07/12/2020: https://register.clinicaltrials.gov/prs/app/action/SelectProtocol?sid=S000AGM4&selectaction=Edit&uid=U00019IE&ts=2&cx=uwje3h . Protocol-version 2: 27/01/2021.


Assuntos
COVID-19 , Cárie Dentária , Adolescente , Adulto , Idoso , Criança , Pré-Escolar , Cárie Dentária/epidemiologia , Cárie Dentária/prevenção & controle , Suscetibilidade à Cárie Dentária , Odontólogos , Humanos , Pessoa de Meia-Idade , Estudos Multicêntricos como Assunto , Pandemias/prevenção & controle , Papel Profissional , Estudos Retrospectivos , SARS-CoV-2 , Adulto Jovem
8.
Medicine (Baltimore) ; 100(25): e26369, 2021 Jun 25.
Artigo em Inglês | MEDLINE | ID: mdl-34160409

RESUMO

BACKGROUND: Diseases of the oral cavity (OC) with an infectious trigger such as caries and periodontal disease are extremely common in the general population and can also have effects at the cardiovascular level. The oral salivary flow, with its buffering capacity, is able to regulate the pH of the OC and, therefore, significantly contribute to the ecological balance of the microenvironment in which the oral microbiome (OM) develops. On the other side, when the quality/quantity of salivary flow is altered it is supposed the disruption of this balance with the potential increase in oral pathogens and triggered diseases. Among the endogenous substances able to exert a significant effect on the salivary flow and its characteristics, carnosine (Car), a dipeptide originally isolated in skeletal muscle, represents, thanks to the known buffering properties, a promising principle. METHODS: We aimed this protocol to evaluate the quantitative/qualitative characteristics of the salivary flow in healthy volunteer subjects (n = 20) and in subjects suffering from common OC pathologies (n = 40), before and after 7 days of supplementation with SaliflussTM (Metis Healthcare srl, Milan, Italy), a Class I medical device on the market as 400 mg mucoadhesive oral tablets that has Car as the main ingredient. DISCUSSION: Combining the characteristics of saliva with the OM and comparing them with OC pathologies, we expect to clarify their reciprocal relationship and, using quantitative proteomics techniques, to help clarify the mechanism of action of Car.


Assuntos
Carnosina/administração & dosagem , Cárie Dentária/dietoterapia , Gengivite/dietoterapia , Periodontite/dietoterapia , Saliva/química , Administração Bucal , Adolescente , Adulto , Doenças Cardiovasculares/etiologia , Doenças Cardiovasculares/prevenção & controle , Cárie Dentária/complicações , Cárie Dentária/prevenção & controle , Suplementos Nutricionais , Gengivite/microbiologia , Gengivite/prevenção & controle , Voluntários Saudáveis , Humanos , Concentração de Íons de Hidrogênio , Masculino , Microbiota/fisiologia , Mucosa Bucal/microbiologia , Periodontite/microbiologia , Periodontite/prevenção & controle , Saliva/metabolismo , Comprimidos , Adulto Jovem
9.
Artigo em Alemão | MEDLINE | ID: mdl-34115151

RESUMO

For a few decades, a decrease in the caries burden in all age groups has been observed in Germany. The regular use of fluoride preparations is described as the main reason for the caries decline. It is well established that topical fluoride application directly to the tooth surfaces in the oral cavity, in particular fluoride-containing toothpastes and fluoride varnishes, is responsible for the decline. Several mechanisms of action, such as the formation of a calcium fluoride layer, remineralization, and the effects on bacterial plaque, were determined to be responsible for the overall clinical effect. All these mechanisms can be effective on enamel and root dentin in patients of all ages. There is a dose-response relationship between the fluoride concentration in the applied preparations and the average caries reduction achieved.There are no general toxicological concerns about topical fluoride application. Fluoride toothpastes should be used from the eruption of the first deciduous tooth. The amount of toothpaste used should be limited to the recommended volumes to avoid the development of enamel fluorosis. The professionally performed application of highly concentrated fluoride varnishes, in addition to having a high caries-inhibiting effectiveness, also exhibits advantages in cases of increased caries risk and existing demineralization. This is also the case for the application on root dentin, where significant primary and secondary preventive effects have been demonstrated by application of highly concentrated fluoride preparations.


Assuntos
Cárie Dentária , Fluoretos , Cariostáticos , Cárie Dentária/prevenção & controle , Suscetibilidade à Cárie Dentária , Alemanha , Humanos , Cremes Dentais
10.
Artigo em Alemão | MEDLINE | ID: mdl-34156484

RESUMO

The oral health of the population in Germany has improved in recent years; however, older people, especially those with frailty and in need of care, have not benefited adequately from this development. Yet, good oral health can make a relevant contribution to better coping with the challenges of frailty and the need for long-term care. Limited access to dental care, and in some cases reduced cooperation and poorer oral hygiene, increases the risk of caries, periodontal diseases, and loss of teeth as well as leads to a higher prevalence of edentulism in comparison to the general population.This paper provides an overview of the dental situation of older people based on previously published data from the population representative Fifth German Oral Health Study (DMS V), which was collected in 2014. The mean number of missing teeth was 11.1 among 65- to 74-year-olds. Older seniors (75-100 years) with care needs (äSmP) had worse oral health than those without care needs (äSoP). Thus, on average, äSoP had 11.8 teeth, whereas äSmP had only 5.7 teeth. The proportion of edentulous 65-74-year-olds had halved since 1997 to 12.4%. Among the äS, 32.8% were edentulous (äSmP: 53.7%, äSoP: 26.7%). More than 75% of the äSmP had removable prosthetic restorations (äSoP: 51.7%). Against this background, this paper identifies interfaces where an equal opportunity connection of these population groups to a dental care structure could be established. These include acute geriatric hospital wards and the development of more far-reaching concepts in outreach care to improve care for those affected and to facilitate care.


Assuntos
Cárie Dentária , Doenças Periodontais , Idoso , Assistência Odontológica , Cárie Dentária/epidemiologia , Cárie Dentária/prevenção & controle , Alemanha/epidemiologia , Humanos , Saúde Bucal , Prevalência
11.
Artigo em Alemão | MEDLINE | ID: mdl-34097073

RESUMO

To describe the current epidemiological trends in the dental caries experiences of children in Germany, oral health data was primarily presented on the basis of the Epidemiological Studies Accompanying Group Prophylaxis (DAJ study) for the 2015/16 schoolyear. Caries data of 301,684 children from three different age groups were available. The trends in caries development were based on previous national and regional studies conducted in Germany.Caries in the primary dentition occur very early (approx. 10-17% of 3­year-olds) and are still widespread among 6­ to 7­year-olds (approx. 40-60%). The proportion of unrestored decayed primary teeth is very high (3-year-olds: 73.9%; 6 to 7­year-olds: 42.5%). There has also been no significant improvement among 6­ to 7­year-olds in the last 10 years. The values for the 3­year-olds that were nationally examined for the first time in the DAJ study are in the range of previous regional studies from recent decades. Caries prevalence among the 6­ to 7­year-olds shows a regional convergence. Among the 12-year-olds, mean caries experience in the permanent dentition has fallen by about 80% in the last 20 years. Regarding oral health in this age group, Germany ranks highest among countries worldwide.There is still a substantial need for oral health improvement in the primary dentition of children in Germany. Recently implemented preventive measures already focus on tackling this problem. Further improvements in caries prevention similar to those in the permanent dentition are feasible and expected.


Assuntos
Cárie Dentária , Saúde Bucal , Criança , Pré-Escolar , Índice CPO , Cárie Dentária/epidemiologia , Cárie Dentária/prevenção & controle , Alemanha/epidemiologia , Humanos , Prevalência
12.
Artigo em Alemão | MEDLINE | ID: mdl-34114055

RESUMO

Public health promotes health through organised efforts of society. Oral and maxillofacial diseases and conditions are important public health problems due to the large burden of disease and oral health inequity caused by social determinants. Caries, periodontitis, traumatic dental injuries or carcinomas of the mouth and throat can be reduced by increased public health efforts. One example for a highly effective public health measure like the health-promoting modification of the product range is the addition of fluoride to toothpastes, which is largely responsible for the impressive caries decline.However, the full potential of dental public health is not yet unlocked. It therefore appears necessary to create structures such as an "oral health institution" at the federal level and through statutory mandate. Its assignment should be "oral health for all" through changes in the social and economic environments to make them conducive to oral health. By this, the already established individual and group prophylaxis would be complemented with a population-based approach. The institution's tasks on the federal and on the federal states level should be to influence policies relevant to oral health, communication, collaboration, advanced training and research. Subdivisions of the proposed institution could provide oral health education for groups not yet reached. This would be an essential contribution to effectively addressing existing oral health problems across the population as well as for deprived and vulnerable groups.


Assuntos
Cárie Dentária , Saúde Bucal , Cárie Dentária/epidemiologia , Cárie Dentária/prevenção & controle , Alemanha/epidemiologia , Humanos , Saúde Pública , Cremes Dentais
13.
Artigo em Alemão | MEDLINE | ID: mdl-34125288

RESUMO

In 1996, the German Dental Association (BZÄK) defined oral health goals for the dental profession in Germany for the first time. The third revision of the goals for the year 2030 is now based on new oral epidemiological studies. The formerly tooth-oriented focus of the objectives has been expanded to include both disease-related as well as oral health-promoting and preventive objective areas in the sense of an integrative perspective of primary, secondary and tertiary prevention. This paper presents a sample of the updated oral health goals specifically related to the reduction of caries in children and periodontal disease in adults, but also to the improvement of oral health behaviour of the population and the implementation of group prophylactic measures. The current situation is assessed and recommendations for action are made.By 2030, the primary dentition of 3­year-olds should be at least 90% caries-free. A dmft-value (caries index of the primary dentition) of maximum 0.4 is being targeted. The permanent teeth of 12-year-olds should also be at least 90% caries-free, and the DMFT (caries index of the permanent teeth) should be kept at 0.5. Severe periodontal diseases are to be reduced to 10% in 35-44-year-olds and to 20% in 65-74-year-olds; the 2020 goals in this regard are thus adressed once again. The oral health behaviour of the population should be further improved and group prophylactic measures strengthened.The basis for achieving the 2030 oral health goals is the commitment of the relevant actors in the health system and health policy as well as an appropriate use of resources.


Assuntos
Cárie Dentária , Periodontite , Adulto , Criança , Pré-Escolar , Estudos Transversais , Índice CPO , Cárie Dentária/epidemiologia , Cárie Dentária/prevenção & controle , Suscetibilidade à Cárie Dentária , Alemanha/epidemiologia , Objetivos , Humanos , Saúde Bucal , Prevalência
14.
Artigo em Inglês | MEDLINE | ID: mdl-34070347

RESUMO

In cross-sectional studies, parental health literacy (HL) is associated with children's oral health. It is unclear, however, whether HL influences pediatric outcomes. We examined the relationship of HL with change over time in parental oral health knowledge, beliefs, and behaviors, as well as pediatric oral health outcomes. We used longitudinal data from a study designed to reduce dental decay in American Indian children (N = 579). At baseline and annually for three years, parents answered questions assessing HL; oral health knowledge, beliefs, and behaviors; and pediatric oral health status. The number of decayed, missing, and filled tooth surfaces (dmfs) was computed based on annual dental evaluations. Linear mixed models showed that HL was significantly associated with all constructs, except dmfs, at their reference time points and persistently across the three-year study period. HL predicted change over time in only one variable, parents' belief that children's oral health is determined by chance or luck. HL is strongly associated with oral health knowledge, beliefs, behaviors, and status prospectively but is not a key driver of change over time in these oral health constructs.


Assuntos
Cárie Dentária , Letramento em Saúde , Nativos Estadunidenses , Criança , Saúde da Criança , Estudos Transversais , Cárie Dentária/epidemiologia , Cárie Dentária/prevenção & controle , Humanos , Saúde Bucal
15.
J Am Dent Assoc ; 152(7): 560-566, 2021 Jul.
Artigo em Inglês | MEDLINE | ID: mdl-34176570

RESUMO

BACKGROUND AND OVERVIEW: Severely molar-incisor hypomineralization (MIH)-affected teeth are prone to develop early posteruptive enamel breakdown (PEB) and caries. A novel conservative interim approach for the prevention of this complication is presented. CASE DESCRIPTION: A 6-year-old boy with strong hypersensitivity and extensive brown opacities in the partially erupted mandibular permanent first molars (PFMs) was diagnosed with MIH. Constant hygiene and dietary counseling were followed by the application of luted orthodontic bands and glass ionomer sealants to protect PFMs from caries and PEB until the complete eruption of the teeth. After 36 months, the PFMs were completely erupted, with no caries and PEB, and the cooperation of the child increased. CONCLUSIONS AND PRACTICAL IMPLICATIONS: Temporary strategies are useful to preserve MIH-affected PFMs. With the methodology described, the hypersensitivity decreased and the patient reached a good degree of cooperation, making possible definitive rehabilitative considerations.


Assuntos
Cárie Dentária , Hipoplasia do Esmalte Dentário , Criança , Cárie Dentária/prevenção & controle , Esmalte Dentário , Hipoplasia do Esmalte Dentário/etiologia , Hipoplasia do Esmalte Dentário/prevenção & controle , Humanos , Incisivo , Masculino , Dente Molar , Prevalência
16.
BMC Oral Health ; 21(1): 302, 2021 06 14.
Artigo em Inglês | MEDLINE | ID: mdl-34126984

RESUMO

BACKGROUND: The number and proportion of older people globally is growing faster than that of any other age group. At the same time the number of people retaining some of their own teeth is rising. There significant differences between those living in care and their community dwelling peers, with evidence showing those in care having fewer teeth and significantly higher levels of dental decay. There are numerous Cochrane reviews linking the use of fluoride to a reduction in dental decay, however, the majority of research on effectiveness has been conducted on children and consequently, children and adolescents tend to be the main recipients of fluoride interventions. There are to date no studies comparing the effectiveness of fluoride interventions in older people in care homes in the UK. However, prior to developing an appropriate protocol for full-scale trial comparing clinical effectiveness of fluoride interventions, there are a number of trial feasibility and statistical parameters that need to be clarified. METHODS: This trial is a single centre, multi-site randomised controlled assessor blind parallel group (three groups) trial, with the primary objective of establishing the feasibility, practicability and compliance of fluoride interventions to prevent dental decay in care homes. Secondary and tertiary objectives will aim to explore the acceptability of the interventions from resident, care home and dental services perspectives, and estimate the efficacy of the three different fluoride treatments. DISCUSSION: This feasibility trial will produce new knowledge and add value to a landscape that is under researched. Although the efficacy of fluoride interventions is proven, the feasibility of dental research and prevention in this vulnerable group and in the complex care home setting is novel. This work will not only add to our understanding of the interface of dental care and social care but will also contribute to our broader understanding on undertaking research in care home settings. Dental care for older people has been a longstanding issue, and the events of this past year has shone a light on the vulnerabilities of those residing in care homes and so this research is landing at a pivotal time. Trial registration EudraCT Registration 2017-002248-34. Registered 20th February 2018 https://www.clinicaltrialsregister.eu/ctr-search/search?query=2017-002248-34 .


Assuntos
Cárie Dentária , Tentilhões , Adolescente , Idoso , Animais , Criança , Cárie Dentária/prevenção & controle , Estudos de Viabilidade , Fluoretos/uso terapêutico , Humanos , Ensaios Clínicos Controlados Aleatórios como Assunto , Resultado do Tratamento
17.
Braz Oral Res ; 35(suppl 01): e054, 2021.
Artigo em Inglês | MEDLINE | ID: mdl-34076078

RESUMO

Dental caries remains highly prevalent in Latin American and Caribbean countries (LACC). However, this disease can be controlled through interventions that implement evidence-based strategies in an affordable manner and that target all population groups instead of the most affluent only. Therefore, the aim of this report was to summarize the main scientifically documented community interventions and strategies based on restriction of sugars consumption, use of fluoride, and the use of occlusal sealants for caries control in LACC. A critical literature review was carried out in a systematic manner that included defined search strategies, independent review of the identified publications, and compilation of results in this report. Three systematic searches were conducted using the PubMed, LILACS, and SciELO databases to identify studies related to community interventions and strategies for caries control in LACC. Of the 37 publications identified, twenty-six focused on fluoride use, eight on occlusal sealant use, and three on the restriction of sugar consumption. Documented community interventions for sugars restriction were scarce in the region and were based on food supplementation, sugar replacement, and education. Thus, local and/or national policies should prioritize investment in upstream, coherent, and integrated population-wide policies such as taxes on sugary drinks and stronger regulation of advertising and promotion of sugary foods and drinks mainly targeting children. The main fluoride-based strategies used drinking water, refined domestic salt, cow milk, toothpaste and, to a lesser extent, mouth-rinses, acidulated phosphate fluoride (APF) gels, and varnishes to deliver fluoride to the population. Evidence of fluoride use was seen in Argentina, Belize, Bolivia, Brazil, Chile, Colombia, Costa Rica, Cuba, Dominican Republic, Ecuador, El Salvador, Guatemala, Haiti, Honduras, Mexico, Nicaragua, Panama, Paraguay, Peru, Uruguay, and Venezuela. Studies reporting the use of occlusal sealants were mainly located in Brazil, Chile, Colombia, Costa Rica, Peru, Mexico, and Venezuela. Community interventions restricting sugar consumption should be implemented at the individual level and through public policies. The use of fluoride must be monitored at the local, regional, and national levels so as to achieve maximum anti-caries effect while also minimizing the risk of dental fluorosis. Moreover, fluoridated water and salt programs, used as a mutually exclusive community level strategy for caries control, should expand their benefits to reach non-covered areas of the LACC while also simultaneously providing adequate surveillance of the fluoride concentration delivered to the population. Regulating the concentration of soluble fluoride (for anti-caries effect) in dentifrice formulations is also necessary in order to provide the population with an effective strategy for disease control. Targeting culturally appropriate, economically sustainable caries control interventions to rural populations and native ethnic groups such as indigenous people, quilombolas (African-origin), and riverside Amazonian people remains a crucial challenge.


Assuntos
Cariostáticos , Cárie Dentária , Argentina , Brasil , Região do Caribe , Cariostáticos/uso terapêutico , Criança , Chile , Colômbia , Cárie Dentária/epidemiologia , Cárie Dentária/prevenção & controle , Suscetibilidade à Cárie Dentária , Guatemala , Humanos , América Latina/epidemiologia , México , Nicarágua , Panamá , Peru , Uruguai
18.
Braz Oral Res ; 35(suppl 01): e053, 2021.
Artigo em Inglês | MEDLINE | ID: mdl-34076077

RESUMO

Identifying the risk factors for dental caries is vital in epidemiology and clinical practices for developing effective preventive strategies, both, at the individual and collective levels. Different causality/determination models have been proposed to understand the development process of dental caries. In the present review, we designed a model inspired by the world-known social determinants models proposed in the 90s and more recently in the 10s, wherein the contextual factors are placed more externally and encompass the individual factors. The contextual factors included those related to the cultural and societal values, as well as the social and health government policies. The individual factors were classified into the following categories: socioeconomic (social class, occupation, income, and education level), demographic characteristics (age, sex, and ethnicity), behavioral factors (non-use of fluoride dentifrice, sugar consumption, poor oral hygiene, and lack of preventive dental care), and biological factors (recent caries experience/active caries lesions, biofilm retentive factors, developmental defects of the enamel, disabilities, saliva amount and quality, cariogenic biofilm). Each of these variables was addressed, while focusing on the current evidence from studies conducted in Latin American and Caribbean countries (LACC). Based on the proposed model, educational aspects were addressed, and individual caries risk assessment and management decisions were proposed; further, implications for public health policies and clinical practice were described. The identification of modifiable risk factors for dental caries should be the basis for multi-strategy actions that consider the diversity of Latin American communities.


Assuntos
Cárie Dentária , Região do Caribe , Cárie Dentária/epidemiologia , Cárie Dentária/etiologia , Cárie Dentária/prevenção & controle , Fluoretos , Humanos , América Latina/epidemiologia , Fatores de Risco
19.
Wiad Lek ; 74(6): 1493-1498, 2021.
Artigo em Inglês | MEDLINE | ID: mdl-34159944

RESUMO

OBJECTIVE: The aim: Calculate the antagonistic activity of representatives of the oral biotope. PATIENTS AND METHODS: Materials and methods: The mathematical techniques used in biotechnology and dentistry. The calculations were carried out on the basis of the research data obtained by the investigators from Ukrainian Medical Stomatological Academy (UMSA) (Poltava). RESULTS: Results: The paper shows that the oral biocenosis is a group of microorganisms that have similar characteristics within the group, but different outside. This may indicate to the relationships between the bacteria, existing within such groups. A graphical demonstration of the associates of the oral biotope with different DMF represents their growth phases depending on the intensity of dental caries. The different slope and phases of the logistic curve of their growth may indicate certain relationships arising between groups of microorganisms. CONCLUSION: Conclusions: The symbiotic relationships within the oral biocenosis can be manifested by the antagonism, as indicated by the index of antagonistic activity, which in most cases can be calculated. Antagonistic activity can be determined more precisely, for which special techniques have been developed. Antagonistic activity of associates of biocenosis can serve as an indicator of the "conditionally pathogenic - pathogenic" transformation. Data on antagonistic activity can be used in oral hygiene activities and treatment of dental caries to impact the oral microbiocenosis. Data on antagonistic activity may have a predictive value.


Assuntos
Cárie Dentária , Bactérias , Cárie Dentária/prevenção & controle , Humanos
20.
BMC Oral Health ; 21(1): 283, 2021 06 02.
Artigo em Inglês | MEDLINE | ID: mdl-34078349

RESUMO

BACKGROUND: Toothbrushing is an important yet neglected behaviour that affects the oral health of preschool children. Little is reported on parental supervision, an essential aspect of routine effective toothbrushing in this age group. The aim of this study was to evaluate pre-schoolers' toothbrushing behaviour including parental involvement and its association with their oral health. METHODS: This was a cross-sectional study. A total of 92 preschool children (4-6 years) were invited to participate with their parents/guardians. Nine parameters of toothbrushing behaviour were assessed from parental responses (questionnaire) and observation of child and parents/guardians (video recording). Oral examination included recording plaque, gingival and dental caries indices. BORIS software was used to assess toothbrushing parameters and Smart PLS was used to perform association with a second-generation multivariate analysis to create models with and without confounding factors. RESULTS: Girls were slightly more (53%) than boys (47%). Children aged 4 years were slightly more in number (38%), followed by 6-year-olds and 5-year-olds. Nearly, 90% parents had tertiary education and 46% had more than 2 children. Differences were recorded in the reported and observed behaviour. Thirty-five percent parents/guardians reported using pea-size toothpaste amount but only 28% were observed. Forty percent reported to brush for 30 s-1 min, however 51% were observed to brush for 1-2 min. Half the children were observed to use fluoridated toothpaste (F < 1000 ppm) under parental supervision (11%). The mean (SD) plaque score reduction after toothbrushing was 10.80 (2.46), mean pre-brushing plaque score was 90.3 (10.2), mean gingival index was 0.89 (0.65) and mean dental caries status (ICDAS(1-6)) was 18.87 (12.39). Toothbrushing behaviour in terms of toothbrushing technique, duration, pattern and frequency, toothbrush type and grip type, toothpaste type and amount, post-brushing mouth rinsing and parental involvement contributed significantly to plaque score change (86%), dental caries status (73%), gingival index (66%) and pre-brushing plaque score (31%). The significant confounding variables had a small influence on oral health of preschool children. CONCLUSIONS: Preschool children's toothbrushing behaviour was inadequate while their oral health was poor, with a significant association between the two parameters.


Assuntos
Cárie Dentária , Placa Dentária , Criança , Pré-Escolar , Estudos Transversais , Cárie Dentária/epidemiologia , Cárie Dentária/prevenção & controle , Feminino , Humanos , Masculino , Saúde Bucal , Escovação Dentária
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