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1.
Med. oral patol. oral cir. bucal (Internet) ; 26(1): e114-e117, ene. 2021. tab
Artigo em Inglês | IBECS | ID: ibc-197133

RESUMO

BACKGROUND: Odontology practice has been severely compromised by the pandemic caused by COVID-19 and Spain is one of the countries with higher incidence. Our aim with this study is to find out the number of cases and type of odonto-stomatological emergencies (OSE) treated in four dental clinics of the Madrid capital area and region (CAM) in the period covered between March 17th and 4th of May. MATERIAL AND METHODS: We search the cases in the demographic/epidemiological databases of the CAM regional government and the Illustrious Official College of Dentists and Stomatologists of the First Region (Madrid). RESULTS: We found that the most prevalent pathology was acute apical periodontitis whereas odontogenic abscess showed the lowest frequency. Prosthetic-orthodontic OSE represented 14% of cases. CONCLUSIONS: In this period of time, the most prevalent pathology acute apical periodontitis, odontogenic abscess reported the lowest frequency and prosthetic-orthodontic treatments were the third in number of cases. Most of OSE were resolved, without referring the patient to a hospital emergency department


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Assuntos
Humanos , Masculino , Feminino , Lactente , Pré-Escolar , Criança , Adolescente , Adulto Jovem , Adulto , Pessoa de Meia-Idade , Idoso , Idoso de 80 Anos ou mais , Infecções por Coronavirus/epidemiologia , Clínicas Odontológicas/estatística & dados numéricos , Doenças da Boca/epidemiologia , Pandemias , Assistência Ambulatorial/estatística & dados numéricos , Espanha/epidemiologia , Fatores de Tempo
2.
PLoS One ; 15(12): e0244446, 2020.
Artigo em Inglês | MEDLINE | ID: mdl-33382762

RESUMO

OBJECTIVES: Oral potentially malignant disorders (OPMDs) encompass histologically benign, dysplastic, and cancerous lesions that are often indistinguishable by appearance and inconsistently managed. We assessed the potential impact of test-and-treat pathways enabled by a point-of-care test for OPMD characterization. MATERIALS AND METHODS: We constructed a decision-analytic model to compare life expectancy of test-treat strategies for 60-year-old patients with OPMDs in the primary dental setting, based on a trial for a point-of-care cytopathology tool (POCOCT). Eight strategies of OPMD detection and evaluation were compared, involving deferred evaluation (no further characterization), prompt OPMD characterization using POCOCT measurements, or the commonly recommended usual care strategy of routine referral for scalpel biopsy. POCOCT pathways differed in threshold for additional intervention, including surgery for any dysplasia or malignancy, or for only moderate or severe dysplasia or cancer. Strategies with initial referral for biopsy also reflected varied treatment thresholds in current practice between surgery and surveillance of mild dysplasia. Sensitivity analysis was performed to assess the impact of variation in parameter values on model results. RESULTS: Requisite referral for scalpel biopsy offered the highest life expectancy of 20.92 life-years compared with deferred evaluation (+0.30 life-years), though this outcome was driven by baseline assumptions of limited patient adherence to surveillance using POCOCT. POCOCT characterization and surveillance offered only 0.02 life-years less than the most biopsy-intensive strategy, while resulting in 27% fewer biopsies. When the probability of adherence to surveillance and confirmatory biopsy was ≥ 0.88, or when metastasis rates were lower than reported, POCOCT characterization extended life-years (+0.04 life-years) than prompt specialist referral. CONCLUSION: Risk-based OPMD management through point-of-care cytology may offer a reasonable alternative to routine referral for specialist evaluation and scalpel biopsy, with far fewer biopsies. In patients who adhere to surveillance protocols, POCOCT surveillance may extend life expectancy beyond biopsy and follow up visual-tactile inspection.


Assuntos
Técnicas de Apoio para a Decisão , Assistência Odontológica/organização & administração , Neoplasias Bucais/diagnóstico , Sistemas Automatizados de Assistência Junto ao Leito/organização & administração , Lesões Pré-Cancerosas/diagnóstico , Biópsia/economia , Biópsia/estatística & dados numéricos , Tomada de Decisão Clínica , Simulação por Computador , Análise Custo-Benefício , Procedimentos Clínicos/economia , Procedimentos Clínicos/organização & administração , Assistência Odontológica/economia , Clínicas Odontológicas/economia , Clínicas Odontológicas/organização & administração , Clínicas Odontológicas/estatística & dados numéricos , Diagnóstico Diferencial , Feminino , Humanos , Expectativa de Vida , Masculino , Pessoa de Meia-Idade , Mucosa Bucal/patologia , Neoplasias Bucais/mortalidade , Neoplasias Bucais/patologia , Neoplasias Bucais/prevenção & controle , Sistemas Automatizados de Assistência Junto ao Leito/economia , Lesões Pré-Cancerosas/patologia , Lesões Pré-Cancerosas/terapia , Encaminhamento e Consulta/economia , Encaminhamento e Consulta/organização & administração , Encaminhamento e Consulta/estatística & dados numéricos , Medição de Risco/métodos
3.
Ciênc. Saúde Colet ; 24(12): 4643-4654, dez. 2019. tab
Artigo em Português | LILACS | ID: biblio-1055728

RESUMO

Resumo Objetivou-se avaliar a atenção secundária em endodontia em um Centro de Especialidades Odontológicas (CEO) de Belo Horizonte (MG). A coleta de dados utilizou dois formulários: (1) sobre o tratamento endodôntico, preenchido pelos endodontistas; (2) sobre o tratamento restaurador, com dados dos prontuários. O programa SPSS 19.0 foi utilizado para analisar os resultados por meio de frequência e percentis. Foram finalizados 452 tratamentos endodônticos em pacientes adultos. Os pacientes apresentaram mediana de 39 anos de idade, a maioria era do sexo feminino (69,7%) e apresentou guia de referência da atenção básica (96,2%). A maior parte dos tratamentos endodônticos foi realizada em pré-molares superiores (23,7%), seguida de molares inferiores (22,3%), utilizando técnica mista (74,1%) e em única sessão (64,2%). O encaminhamento para o tratamento restaurador foi para o CEO em 81,2% dos casos e finalizado em 24,1% casos (n = 109). A contrarreferência após o tratamento restaurador ocorreu em 58,7% dos casos finalizados. É necessário um planejamento conjunto do tratamento odontológico entre a atenção básica e secundária e, dentro desta última, entre as especialidades, além de um adequado processo de referência e contrarreferência, visando garantir a integralidade do cuidado e a eficiência e eficácia do serviço.


Abstract This study aimed to evaluate secondary endodontic care at a Dental Specialties Center (DSC) in Belo Horizonte, MG. Data collection used two forms: (1) on endodontic treatment, completed by the endodontists (2) on the restorative treatment, with data from the medical records. The SPSS 22.0 program was used to analyze the results using frequency and percentiles. In total, 452 endodontic procedures were completed in adult patients. The patients had a median of 39 years of age, most were female (69.7%) and had a primary care referral order (96.2%). Most endodontic treatments were performed in upper premolars (23.7%) followed by lower molars (22.3%), using a mixed technique (74.1%) and in a single session (64.2%). The referral for restorative treatment was for the DSC in 81.2% of cases and finished in 24.1% (n = 109). The counter-referral following restorative treatment occurred in 58.7% of the completed cases. It is necessary to jointly plan the dental treatment between primary and secondary care and, within the latter, among the specialties, in addition to an adequate referral and counter-referral process aimed at ensuring comprehensive care and efficient and effective service.


Assuntos
Humanos , Masculino , Feminino , Adulto , Atenção Secundária à Saúde/estatística & dados numéricos , Endodontia Regenerativa/estatística & dados numéricos , Brasil , Saúde Bucal , Estudos Transversais , Clínicas Odontológicas/estatística & dados numéricos
4.
Ethiop J Health Sci ; 29(6): 719-726, 2019 Nov.
Artigo em Inglês | MEDLINE | ID: mdl-31741642

RESUMO

Background: Dental anxiety and fear make the dental operation and the treatment difficult. Beside that it causes the delays or absence in the dental appointments so it leads to problems for oral and dental health. The aim of this study was to investigate the frequency of dental anxiety, the factors affecting dental anxiety and the effects of dental anxiety on oral dental health of the participants. Methodology: We conducted a hospital-based, cross-sectional study among 342 patients attending the outpatient clinic of a tertiary dentistry hospital. Dental anxiety and trait anxiety levels of the participants measured using MDAS and STAI scales. We conducted the student t-test, One-way Anova and Tukey's post hoc for the analysis of our data. The Pearson's correlation analysis has been used for the analysis of two different quantitative data obtain from MDAS and STAI scales. Results: The age average of 342 participant of our research was 34,41±11,78. 59,1% of our participants was women. (n=202) Dental anxiety was existing in the 42,1% of the participants (n=144). 56,4% of the participants have had a hard and painful dental treatment experiences. 15,2% of our participants (n=52) had MDAS 19 point or more. Conclusions: High and statistically significant dental anxiety scores have been detected for the patients who are women, housewives, who had uneasy and painful dental treatment stories, who have personel inclinations to the anxiety. Examinations directed to the factors which would increase the dental anxiety, may prevent possible complications and also the risk carried by the patients related to the dental health may be estimated with the help of this kind of examinations.


Assuntos
Atitude Frente a Saúde , Ansiedade ao Tratamento Odontológico/psicologia , Clínicas Odontológicas/estatística & dados numéricos , Medo/psicologia , Pacientes/psicologia , Procedimentos Cirúrgicos Operatórios/psicologia , Adulto , Fatores Etários , Idoso , Idoso de 80 Anos ou mais , Estudos Transversais , Feminino , Humanos , Masculino , Pessoa de Meia-Idade , Fatores Sexuais , Inquéritos e Questionários
5.
Cien Saude Colet ; 24(12): 4643-4654, 2019 Dec.
Artigo em Português, Inglês | MEDLINE | ID: mdl-31778514

RESUMO

This study aimed to evaluate secondary endodontic care at a Dental Specialties Center (DSC) in Belo Horizonte, MG. Data collection used two forms: (1) on endodontic treatment, completed by the endodontists (2) on the restorative treatment, with data from the medical records. The SPSS 22.0 program was used to analyze the results using frequency and percentiles. In total, 452 endodontic procedures were completed in adult patients. The patients had a median of 39 years of age, most were female (69.7%) and had a primary care referral order (96.2%). Most endodontic treatments were performed in upper premolars (23.7%) followed by lower molars (22.3%), using a mixed technique (74.1%) and in a single session (64.2%). The referral for restorative treatment was for the DSC in 81.2% of cases and finished in 24.1% (n = 109). The counter-referral following restorative treatment occurred in 58.7% of the completed cases. It is necessary to jointly plan the dental treatment between primary and secondary care and, within the latter, among the specialties, in addition to an adequate referral and counter-referral process aimed at ensuring comprehensive care and efficient and effective service.


Assuntos
Endodontia Regenerativa/estatística & dados numéricos , Atenção Secundária à Saúde/estatística & dados numéricos , Adulto , Brasil , Estudos Transversais , Clínicas Odontológicas/estatística & dados numéricos , Feminino , Humanos , Masculino , Saúde Bucal
6.
Clin Exp Dent Res ; 5(4): 413-419, 2019 08.
Artigo em Inglês | MEDLINE | ID: mdl-31452952

RESUMO

Increased concerns about the safety of amalgam restorations in children have resulted in many dental schools emphasizing the teaching of alternative dental materials. This study investigated the current teaching of different dental materials for use in posterior teeth in the United States predoctoral pediatric dentistry programs. In 2011, the authors invited the chairs of the predoctoral pediatric dentistry departments in all accredited dental schools at that time (N = 57) to participate in an internet-based survey. Descriptive statistics were calculated to describe the frequency of using different restorative materials. Regression models were developed to explore the factors related to the use of dental restorations in predoctoral pediatric clinics. Among the 44 dental schools that responded (77% response rate), 74% used amalgam, and 93% used composite in primary posterior teeth. Glass ionomer was used by 61% of the schools in primary posterior teeth. Placing amalgam in primary posterior teeth was associated with programs that treated more 3-5-year-old patients (ß = .302, p < .043), whereas the use of glass ionomer was associated with having students serving at off-site satellite dental clinics (ß = .015, p < .012). In general, having departments with chairs who had positive attitudes towards Minimal Invasive Dentistry (MID) used composite (ß = .091, p < .0001) and glass ionomer (ß = 103, p < .0001) more frequently and were less likely to use amalgam (ß = -.077, p < .005) in primary posterior teeth. Although teaching MID concepts in predoctoral pediatric clinics in dental schools is increasing, the use of amalgam in posterior primary and permanent teeth is still widely practiced.


Assuntos
Amálgama Dentário/uso terapêutico , Dentística Operatória/tendências , Educação em Odontologia/tendências , Odontopediatria/tendências , Resinas Acrílicas/uso terapêutico , Adolescente , Criança , Pré-Escolar , Resinas Compostas/uso terapêutico , Clínicas Odontológicas/estatística & dados numéricos , Clínicas Odontológicas/tendências , Dentística Operatória/educação , Dentística Operatória/métodos , Dentística Operatória/estatística & dados numéricos , Educação em Odontologia/estatística & dados numéricos , Humanos , Odontopediatria/educação , Odontopediatria/métodos , Odontopediatria/estatística & dados numéricos , Faculdades de Odontologia/estatística & dados numéricos , Faculdades de Odontologia/tendências , Dióxido de Silício/uso terapêutico , Dente Decíduo , Estados Unidos
7.
Niger Postgrad Med J ; 26(3): 158-163, 2019.
Artigo em Inglês | MEDLINE | ID: mdl-31441453

RESUMO

Background: An early first dental clinic appointment offers the prospect of prompt preventative care and parental education regarding the oral health of the child. The evidence-based recommendation by dental professionals all over the world is that a child should visit a dentist before or by 1 year of age. Aim: This study aimed to determine the chronological age at and the purpose for a first dental clinic visit amongst children aged 16 years and below attending the Paediatric Dental Clinic at the Lagos University Teaching Hospital (LUTH). Materials and Methods: This was a retrospective study conducted amongst children who attended the Paediatric Dental Clinic at the LUTH between January 2017 and December 2018. Data on age at first dental visit, reasons for attending and other information relevant to the study were collected. Descriptive statistics and Chi-square analysis were conducted, and the level of significance was set at P < 0.05. Results: A total of 1157 children were studied, comprising 580 (50.5%) males and 577 (49.9%) females. Their mean age on their first dental visit was 7.9 ± 3.7 years. Most of the children (31.4%) had their first dental visits at 7 and 9 years, and 0.8% of the children had their first dental visit below the age of 1 year. The most common reason for visiting the dental clinic was dental pain (33.1%). A higher proportion of the children (911 [79.0%]) had their first dental visit for therapeutic purposes, whereas 246 (21.0%) children visited the dental clinic for preventive care. Sex and age at first dental visit were statistically significantly associated with the reason for attendance (P < 0.001). Conclusion: Most children had their first dental visit between the ages of 7 and 9 years, mainly because of pain. It is necessary to create more awareness among parents/caregivers and to establish the concept of dental home.


Assuntos
Assistência Odontológica para Crianças/estatística & dados numéricos , Clínicas Odontológicas/estatística & dados numéricos , Visita a Consultório Médico/estatística & dados numéricos , Saúde Bucal , Pediatria/estatística & dados numéricos , Adolescente , Criança , Pré-Escolar , Feminino , Hospitais de Ensino , Humanos , Masculino , Nigéria , Estudos Retrospectivos
8.
Int Endod J ; 52(2): 158-168, 2019 Feb.
Artigo em Inglês | MEDLINE | ID: mdl-30107035

RESUMO

AIM: To study patient- and tooth-specific characteristics of teeth indicated for root canal treatment, in the public dental service of the county of Västra Götaland, Sweden. METHODOLOGY: During a designated 8-week period, general dental practitioners working at 20 different public dental clinics consecutively registered indications for undertaking root canal treatment. The patients' subjective level of pain was also registered (visual analogue scale) at the very first appointment. The following information was retrieved from computerized dental records and radiographs: gender, age, number of remaining teeth, tooth group, previous restoration, number of restored surfaces, dental caries and tooth substance loss. Gender and age were compared using both descriptive and analytical statistics. RESULTS: The material comprised 243 teeth in 243 patients: 128 (52.7%) women and 115 (47.3%) men, mean age 48.3 years. Molar teeth predominated (47.7%). Most of the teeth (83.5%) had previously been restored and exhibited significant loss of tooth substance, more than a third of the crown (71.3%). Dental caries was present in 127 teeth (62.9%). Dental trauma was implicated in only seven cases (2.9%). Initial treatment was frequently undertaken at an emergency visit, for relief of symptoms (64.9%). The most commonly registered indication was pulpal necrosis with apical periodontitis (38.1%), followed by pulpitis (37.7%). Retreatment of a root filled tooth was reported in 18 teeth (7.4%). CONCLUSIONS: In the general Public Dental Service of Sweden, root canal treatment is most frequently undertaken in molars. The primary indication is relief of symptoms. Retreatment of root filled teeth is uncommon.


Assuntos
Clínicas Odontológicas/estatística & dados numéricos , Padrões de Prática Odontológica/estatística & dados numéricos , Tratamento do Canal Radicular/estatística & dados numéricos , Adolescente , Adulto , Idoso , Idoso de 80 Anos ou mais , Coroas/estatística & dados numéricos , Cárie Dentária/epidemiologia , Cárie Dentária/terapia , Necrose da Polpa Dentária/epidemiologia , Necrose da Polpa Dentária/terapia , Restauração Dentária Permanente/estatística & dados numéricos , Feminino , Humanos , Masculino , Pessoa de Meia-Idade , Dente Molar , Periodontite Periapical/epidemiologia , Periodontite Periapical/terapia , Pulpite/epidemiologia , Pulpite/terapia , Retratamento/estatística & dados numéricos , Obturação do Canal Radicular/estatística & dados numéricos , Inquéritos e Questionários , Suécia , Adulto Jovem
9.
J Dent Educ ; 82(9): 980-988, 2018 Sep.
Artigo em Inglês | MEDLINE | ID: mdl-30173195

RESUMO

There is growing interest in developing more efficient, patient-centered, and cost-effective models of dental care delivery using teams of professionals. The aims of this small pilot study were to assess the number of patient visits, type and number of procedures performed, and clinic revenues generated by an intraprofessional team of dental, dental hygiene, and dental therapy students and to determine the students' and patients' perceptions of this model of care. Sixteen senior students from three student cohorts (dental, dental hygiene, and dental therapy) at the University of Minnesota piloted a team-based dental delivery model from January to April 2015. The group was named the Team Care Clinic (TCC), and the team for each clinical session consisted of one dental student, three dental hygiene students, and one dental therapy student. Data were collected from the school's database to determine the number of patient visits, type and number of procedures performed, and clinic revenue generated by the TCC. Focus groups were used to assess student perceptions of the experience, and patient satisfaction surveys were administered to assess the patients' experience. The TCC students were given twice as many patients as non-TCC students, and they managed them effectively. Working as a team, the TCC student providers completed twice as many procedures per patient encounter as non-TCC students. Patients and students said their experiences in the TCC were positive, and students expressed a preference for team-based care delivery. The results of the study suggest the team-based dental care delivery model is promising. Team-based care delivery may allow providers to accomplish more during a patient appointment and increase provider satisfaction.


Assuntos
Clínicas Odontológicas/métodos , Equipe de Assistência ao Paciente , Faculdades de Odontologia/organização & administração , Assistência Odontológica/métodos , Assistência Odontológica/organização & administração , Assistência Odontológica/estatística & dados numéricos , Clínicas Odontológicas/organização & administração , Clínicas Odontológicas/estatística & dados numéricos , Higienistas Dentários , Grupos Focais , Humanos , Satisfação do Paciente , Projetos Piloto , Desenvolvimento de Programas , Avaliação de Programas e Projetos de Saúde , Estudantes de Odontologia , Estudantes de Ciências da Saúde
10.
Dent Med Probl ; 55(1): 63-68, 2018.
Artigo em Inglês | MEDLINE | ID: mdl-30152637

RESUMO

BACKGROUND: Most dental visits are made to seek dental care to relieve dental pain. However, the factors associated with behavior regarding dental visits due to pain are not fully understood. OBJECTIVES: The objective of this study was to assess the factors associated with dental pain related to last dental visit among adults. MATERIAL AND METHODS: The data was obtained from a cross-sectional study conducted on adults, aged 18-69 years, who visited public and private dental clinics in Dammam, Saudi Arabia. A pilot-tested, self-administered questionnaire was employed for data collection. Dental pain related to last dental visit was a dependent variable in the study. Gender, age, nationality, income and education levels, time since last dental attendance, type of dental clinic visited, and chronic systemic disease were important independent variables. The Pearson's χ2 test and multiple logistic regression analysis were used. RESULTS: The participants returned 671 questionnaires. Most of the participants were females (75.4%), and the majority (68.0%) attended private dental clinics. The prevalence of dental pain as the reason of last dental visit was 70.4%. A logistic regression model showed that odds ratio for subjects who visited the dentist due to pain in ≤1 year was 0.34 (95% CI = 0.24, 0.49) compared with patients who visited the dentist in >1 year. Similarly, male gender (OR = 0.64; 95% CI = 0.42, 0.97) subjects aged ≤35 years (OR = 0.61; 95% CI = 0.40, 0.95) were less likely to make pain-related dental appointments than females and individuals over 35 years. The respondents who attended private dental clinics were 1.56 (95% CI = 1.12, 2.37) times more likely to visit the dentist because of pain than those who attended a public clinic. CONCLUSIONS: Delayed dental visits, female gender, age over 35 years, and private clinic attendance were significant factors associated with dental consultations motivated by pain.


Assuntos
Agendamento de Consultas , Serviços de Saúde Bucal , Odontalgia/epidemiologia , Adolescente , Adulto , Fatores Etários , Idoso , Estudos Transversais , Clínicas Odontológicas/estatística & dados numéricos , Feminino , Humanos , Masculino , Pessoa de Meia-Idade , Prevalência , Setor Privado/estatística & dados numéricos , Setor Público/estatística & dados numéricos , Arábia Saudita/epidemiologia , Fatores Sexuais , Inquéritos e Questionários , Adulto Jovem
11.
BMC Oral Health ; 18(1): 119, 2018 07 04.
Artigo em Inglês | MEDLINE | ID: mdl-29973262

RESUMO

BACKGROUND: Dental caries is the most common dental health problem caused by the interaction of bacteria on tooth enamel. Risk factors for dental caries include salivary composition and inadequate fluoride. However, other factors, such as standard of living, behavior, hygiene, eating habits, social status and socio-demographic factors, also contribute to the evolution of caries. Therefore, this study aimed to determine the prevalence of dental caries and associated factors among patients attending the dental clinic in Debre Tabor General Hospital in North West Ethiopia. METHOD: An institution based cross-sectional study was conducted among 280 systematically selected patients attending Debre Tabor General Hospital dental clinic from May 8-20, 2017. The data were collected using pre-tested questionnaire and oral examination by a qualified dental professional. Basic hygienic procedures were observed during an oral examination. The teeth were examined for dental caries by the presence of decay, missing and filled teeth. The data were entered into Epi-Info version 3.5 and cleaned and analyzed using SPSS version 20. Descriptive summary of the data and logistic regression were used to identify possible predictors using odds ratio with 95% confidence interval and P-value of 0.05. RESULTS: A total of 280 subjects participated in the study; among whom 129 (46.1%) were female and nearly two-thirds of the respondents 208 (74.3%) attended formal education. The study revealed k8that the overall prevalence of dental caries was 78.2%. Dental caries was lower among respondents who had good oral hygiene status (AOR = 0.05, 95% CI, 0.02, 0.81). Dental caries was higher among participants who earned less than 5000 Eth Birr per month (AOR = 8.43, 95% CI, 2.6, 27.2). Dental caries was lower among respondents who had good knowledge (AOR = 0.51, 95% CI, 0.03, 0.64). CONCLUSIONS: Prevalence of dental caries was high and found public health problem. Socioeconomic status, educational level, and poor oral hygiene practices were associated factors for dental caries. Health promotion about oral hygiene and integration of services are supremely important for the prevention of the problem of dental caries.


Assuntos
Cárie Dentária/epidemiologia , Clínicas Odontológicas/estatística & dados numéricos , Adulto , Estudos Transversais , Índice CPO , Cárie Dentária/etiologia , Etiópia/epidemiologia , Feminino , Hospitais Gerais/estatística & dados numéricos , Humanos , Masculino , Higiene Bucal , Prevalência , Fatores de Risco , Fatores Socioeconômicos , Inquéritos e Questionários , Adulto Jovem
12.
Pan Afr Med J ; 29: 151, 2018.
Artigo em Inglês | MEDLINE | ID: mdl-30050615

RESUMO

Introduction: Oral health is part of general health and should not be considered in isolation, as it contributes to the individual's health related quality of life. The study aimed at assessing the pattern of attendance to the dental clinic using dental records of patients. Methods: This was a retrospective study of 6008 retrieved case notes from the dental clinic of Federal College of Dental Technology and Therapy, Enugu, from June, 2016 to May, 2017. Data on age, sex and occupation were retrieved from the dental records of the institution. Association between age, sex, occupation and patient flow to dental clinic was determined. Results: More females (55.7%) than males (44.3%) attended the dental clinic within the study period. Also, those aged 16 to 30 years (39.5%) and school pupils/students (40.8%) attended dental clinic the most when compared to other attendees. Patient flow was greatest in the first quarter of the year (27.1%), followed by the third quarter (26.1%). However, patient flow was least in the last quarter (20.9%). There was significant association between age (P < 0.001), occupation (P = 0.03) and patient flow to dental clinic in yearly quarters. Conclusion: Being an adolescent or young adult and being a student were significantly associated with patient flow to the dental clinic in yearly quarters in the study area. Patient flow was greatest in the first quarter and least in the last quarter of the year. There is need to increase dental awareness, especially for preventive visit among older age group and non-students in the populace.


Assuntos
Assistência Odontológica/estatística & dados numéricos , Clínicas Odontológicas/estatística & dados numéricos , Saúde Bucal , Qualidade de Vida , Adolescente , Adulto , Fatores Etários , Idoso , Idoso de 80 Anos ou mais , Criança , Pré-Escolar , Feminino , Humanos , Lactente , Masculino , Nigéria , Estudos Retrospectivos , Fatores Sexuais , Estudantes/estatística & dados numéricos , Adulto Jovem
13.
Gac. sanit. (Barc., Ed. impr.) ; 32(3): 262-268, mayo-jun. 2018. tab
Artigo em Espanhol | IBECS | ID: ibc-174129

RESUMO

Objetivo: Determinar la percepción de hombres que tienen sexo con hombres (HSH) sobre la aplicación de la prueba rápida del virus de la inmunodeficiencia humana (VIH) 1/2 en el consultorio odontológico, y evaluar el estigma y la discriminación asociados a la orientación sexual percibidos en la consulta odontológica. Método: Estudio transversal mediante cuestionario autoadministrado y estructurado de tipo analítico contestado anónimamente por 185 HSH en México. Además de las variables sociodemográficas, la percepción sobre los servicios y los prestadores de servicios odontológicos, y sobre la aplicación de la prueba rápida anti VIH-1/2, se diseñó y exploró mediante una escala psicométrica tipo Likert la percepción del estigma y la discriminación asociados a la orientación sexual. El análisis estadístico incluyó análisis factorial y análisis de clusters no jerárquico. Resultados: El 86,5% se mostró a favor de la aplicación de la prueba del VIH-1/2 en la consulta odontológica. El 91,9% considera importante que el odontólogo esté capacitado y sensibilizado para realizar la prueba. El análisis factorial reveló dos factores: experiencias de estigma y discriminación en la consulta odontológica, y sentimientos de preocupación por la actitud del odontólogo o su personal hacia su orientación sexual. El análisis de clusters identificó tres grupos: usuarios que no han experimentado estigma ni discriminación (90,3%); usuarios que no han experimentado estigma ni discriminación, pero que sienten una ligera preocupación (8,1%); y usuarios que han experimentado algún tipo de estigma y discriminación, y sienten preocupación (1,6%). Conclusión: La consulta odontológica podría representar una ubicación para realizar la prueba rápida del VIH-1/2, contribuyendo en el diagnóstico temprano de la infección


Objective: To explore the attitudes of men who have sex with men (MSM) towards the implementation of rapid HIV-1/2 testing in the dental practice, and to evaluate MSM's perceptions of stigma and discrimination related to sexual orientation by dental care professionals. Methods: Cross-sectional study using a self-administered, anonymous, structured analytical questionnaire answered by 185 MSM in Mexico. The survey included sociodemographic variables, MSM's perceptions towards public and private dental providers, and dental services, as well as their perception towards rapid HIV-1/2 testing in the dental practice. In addition, the perception of stigma and discrimination associated with their sexual orientation was explored by designing a psychometric Likert-type scale. The statistical analysis included factor analysis and non-hierarchical cluster analysis. Results: 86.5% of the respondents expressed their willingness to take a rapid HIV-1/2 screening test during their dental visit. Nevertheless, 91.9% of them considered it important that dental professionals must be well-trained before administering any rapid HIV-1/2 tests. Factor analysis revealed two factors: experiences of sexual orientation stigma and discrimination in dental settings, and feelings of concern about the attitude of the dentist and dental staff towards their sexual orientation. Based on these factors and cluster analysis, three user profiles were identified: users who have not experienced stigma and discrimination (90.3%); users who have not experienced stigma and discrimination, but feel a slight concern (8.1%), and users who have experienced some form of discrimination and feel concern (1.6%). Conclusion: The dental practice may represent a potential location for rapid HIV-1/2 testing contributing to early HIV infection diagnosis


Assuntos
Humanos , Masculino , Homossexualidade Masculina/estatística & dados numéricos , Infecções por HIV/psicologia , Sorodiagnóstico da AIDS/métodos , Assistência Odontológica/estatística & dados numéricos , Soropositividade para HIV/psicologia , Clínicas Odontológicas/estatística & dados numéricos , Estigma Social , Discriminação Social/estatística & dados numéricos , Estudos Transversais , Inquéritos e Questionários , Psicometria/métodos
14.
J Appl Oral Sci ; 26: e20170141, 2018 Apr 05.
Artigo em Inglês | MEDLINE | ID: mdl-29641749

RESUMO

OBJECTIVE: Staphylococcus aureus strains can be disseminated during dental treatments and occasionally lead to the contamination and infection of patients and dentists, which is an important public health problem. The dynamics of the airborne propagation and the genetic diversity of S. aureus isolated in an academic dental clinic environment were investigated using isoenzyme typing. Materials and MethodsThe isoenzymes of 44 previously reported isolates were obtained from fresh cultures and extracted using glass beads. Nine isoenzymes were investigated using multilocus enzyme electrophoresis (MLEE). The genetic diversity and relationship among the strains (electrophoretic type - ET) were determined using statistics previously described by Nei25 (1972) and the SAHN grouping method (UPGMA algorithm). RESULTS: Clonal pattern analyses indicated a high level of genetic polymorphism occurring among the 33 ETs, which were grouped into five taxa. Each taxon presented one or more clusters that were moderately related and that contained two or more identical/highly related isolates, revealing seasonal airborne propagation in these dental clinic environments. CONCLUSIONS: These data suggest the occurrence of active microevolutionary processes in S. aureus as well as the possibility of environmental propagation during a 14-month time span. Such findings are important to show that multiuser academic dental clinics can retain certain strains that are spreadable to different niches.


Assuntos
Clínicas Odontológicas/estatística & dados numéricos , Estações do Ano , Staphylococcus aureus/genética , Staphylococcus aureus/isolamento & purificação , Técnicas de Tipagem Bacteriana/métodos , Análise por Conglomerados , Infecção Hospitalar/microbiologia , Contaminação de Equipamentos , Variação Genética , Isoenzimas/isolamento & purificação , Tipagem de Sequências Multilocus/métodos , Polimorfismo Genético , Valores de Referência , Infecções Estafilocócicas/microbiologia , Staphylococcus aureus/enzimologia , Fatores de Tempo
15.
Ciênc. Saúde Colet ; 23(1): 287-294, Jan. 2018. tab, graf
Artigo em Português | LILACS | ID: biblio-890478

RESUMO

Resumo O objetivo deste estudo foi identificar os fatores associados ao não comparecimento dos usuários ao tratamento ortodôntico, em três centros de especialidades odontológicas regionais (CEO-R) localizados no estado do Ceará. Metodologia: Os dados foram extraídos de prontuários de pacientes que concluíram o tratamento ortodôntico. Foi calculada a taxa de ausências, com o objetivo de estabelecer um coeficiente de faltas entre os municípios. A fim de descrever o padrão geográfico da ocorrência, foram construídos mapas temáticos baseados nas distribuições. Para as associações entre a variável desfecho (falta ao tratamento) e as independentes (sexo, idade, quebra de aparelho, mudança de profissional, renda e local de residência do usuário), utilizou-se a análise de regressão logística múltipla com p ≤ 0,05. Resultados: Foram examinados 237 prontuários em 20 municípios, com 8.283 consultas ortodônticas realizadas e 2.665 (32,17%) faltas. Apresentou diferença estatisticamente significativa a variável mudança de profissional. Conclusão: O maior número de faltas foi associado à mudança de profissional.


Abstract The aim of this study was to identify the factors associated with the users failing to keep orthodontic treatment appointments (absences), in three regional dental specialty centers (CEO-R) located in the State of Ceará. Methodology: This was a cross-sectional epidemiological study with secondary data source of 3 CEO-R, from which 237 medical records of complete orthodontic treatments were examined, with 8.283 appointments and 2.665 (32.17%) missing appointments. Data collection was standardized by an electronic questionnaire.. Factors associated with users missing appointments were calculated by means of absence rates and thematic maps were constructed based on distributions of the geographical pattern of occurrence. To evaluate the association between the outcome variable (absence from treatment) and the independent variables (sex, age, breakage of appliance, change of professional, income and place of user's residence) multiple logistic regression analysis was used with p ≤ 0.05. Results: There were high absence rates for both city headquarters and non-headquarter CEO-Rs. The variable change of professional showed statistical significance, in relation to the number of absences. Conclusion: The highest number of absences was associated with change of professional.


Assuntos
Humanos , Masculino , Feminino , Adolescente , Ortodontia Corretiva , Agendamento de Consultas , Clínicas Odontológicas/estatística & dados numéricos , Pacientes não Comparecentes/estatística & dados numéricos , Ortodontia , Modelos Logísticos , Fatores Sexuais , Estudos Transversais , Inquéritos e Questionários , Fatores Etários
16.
Int Dent J ; 68(3): 171-175, 2018 Jun.
Artigo em Inglês | MEDLINE | ID: mdl-28913887

RESUMO

OBJECTIVES: Brazil is one of the largest countries in the world, in terms of geography and population. Most Brazilians reside in the south and south-eastern regions, with notable numbers in the regions' megacities, such as São Paulo city. Healthcare provision in such a complex environment is difficult. Thus, a clear understanding of the distribution - or rather, the maldistribution - of these services is fundamental for optimising the allocation of human and financial resources to areas of greatest privation. The present study aimed to determine the distribution of primary dental clinics in São Paulo city. METHODS: A total of 4,101 primary dental clinics in São Paulo city were identified and geocoded. Clinic locations were integrated with the city's 19,128 constituent census tracts - each containing sociodemographic data for the 11,252,204 residents - using Geographic Information Systems (GIS). RESULTS: Approximately two-thirds (64.8%) of the population resided within 0.5 km of a primary dental clinic, and a further 23.9% were within 1 km. Populations more than 1 km out were typically characterised as sociodemographically disadvantaged. Primary dental clinics were also more sparsely distributed in the city's peripheral census tracts than central census tracts. CONCLUSION: Primary dental clinics are maldistributed in São Paulo city, with disadvantaged populations having less spatial access than their advantaged counterparts.


Assuntos
Assistência Odontológica/estatística & dados numéricos , Clínicas Odontológicas/estatística & dados numéricos , Acesso aos Serviços de Saúde , Brasil/epidemiologia , Demografia , Humanos , Fatores Socioeconômicos
17.
J Cancer Educ ; 33(2): 340-345, 2018 04.
Artigo em Inglês | MEDLINE | ID: mdl-27631717

RESUMO

In Kuwait, the age-standardized incidence rate (per 100,000) for oral cancer is 1.5 and the mortality rate is 0.4. Early detection of oral cancer combined with appropriate treatment greatly improves the chances of cure and the quality of life. However, little is known about patient awareness of this disease and the ability to identify early signs, particularly among high-risk groups. Hence, the aim of this study is to assess dental patients' awareness and knowledge of mouth cancer and beliefs and perceptions about risk factors. A self-administered questionnaire was used to collect information from a convenience sample of outpatients attending the dental admission clinic. The questionnaire included questions to ascertain information on socio-demographic characteristics, knowledge of risk factors, and signs of oral cancer as well as sources of information regarding the same. Data were analyzed using the Statistical Package for the Social Sciences for Windows 19.0. A total of 160 questionnaires were distributed out of which 136 completed questionnaires were returned and used for the study. The mean knowledge score for oral cancer risk factors was found to be 5.2 ± 2.7 out of ten while that of signs and symptoms was 3.4 ± 2.7 out of eight. When the knowledge of risk factors of oral cancer was taken into consideration along with variables, significant difference was seen only in sex with women having better knowledge (p = 0.03). Knowledge about signs and symptoms of oral cancer revealed a highly significant difference with the level of education (p = 0.03). Family, friends, and colleagues were mentioned as the main source of information regarding oral cancer. Our findings suggest that knowledge regarding oral cancer risk factors, signs, and symptoms was found to be lacking among the dental patients which emphasizes the need for patient education at the dental centers as well as public awareness programs.


Assuntos
Clínicas Odontológicas/estatística & dados numéricos , Conhecimentos, Atitudes e Prática em Saúde , Neoplasias Bucais/diagnóstico , Qualidade de Vida , Faculdades de Odontologia/estatística & dados numéricos , Adolescente , Adulto , Idoso , Escolaridade , Feminino , Humanos , Kuweit , Masculino , Pessoa de Meia-Idade , Neoplasias Bucais/psicologia , Fatores de Risco , Inquéritos e Questionários , Universidades , Adulto Jovem
18.
Cien Saude Colet ; 23(1): 287-294, 2018 Jan.
Artigo em Português, Inglês | MEDLINE | ID: mdl-29267832

RESUMO

The aim of this study was to identify the factors associated with the users failing to keep orthodontic treatment appointments (absences), in three regional dental specialty centers (CEO-R) located in the State of Ceará. METHODOLOGY: This was a cross-sectional epidemiological study with secondary data source of 3 CEO-R, from which 237 medical records of complete orthodontic treatments were examined, with 8.283 appointments and 2.665 (32.17%) missing appointments. Data collection was standardized by an electronic questionnaire.. Factors associated with users missing appointments were calculated by means of absence rates and thematic maps were constructed based on distributions of the geographical pattern of occurrence. To evaluate the association between the outcome variable (absence from treatment) and the independent variables (sex, age, breakage of appliance, change of professional, income and place of user's residence) multiple logistic regression analysis was used with p ≤ 0.05. RESULTS: There were high absence rates for both city headquarters and non-headquarter CEO-Rs. The variable change of professional showed statistical significance, in relation to the number of absences. CONCLUSION: The highest number of absences was associated with change of professional.


Assuntos
Agendamento de Consultas , Clínicas Odontológicas/estatística & dados numéricos , Pacientes não Comparecentes/estatística & dados numéricos , Ortodontia Corretiva , Adolescente , Fatores Etários , Estudos Transversais , Feminino , Humanos , Modelos Logísticos , Masculino , Ortodontia , Fatores Sexuais , Inquéritos e Questionários
19.
J Dent Educ ; 81(8): eS88-eS96, 2017 Aug.
Artigo em Inglês | MEDLINE | ID: mdl-28765460

RESUMO

This article examines the current safety net activities of dental schools and reviews strategies by which schools could care for more poor and low-income patients. The primary data come from the annual Survey of Dental Education, a joint American Dental Education Association (ADEA) and American Dental Association (ADA) activity. The analyses use descriptive statistics and are intended to give ballpark estimates of patients treated under varying clinical scenarios. Some 107.4 million people are underserved in comparison to utilization rates for middle-income Americans. In 2013-14, pre- and postdoctoral students treated about 1,176,000 disadvantaged patients. This is an estimate; the actual value may be 25% above or below this number. The impact of potential strategies for schools to provide more care to poor and low-income patients are discussed; these are larger class size, more community-based education, a required one-year residency program, and schools' becoming part of publicly funded safety net clinics. While dental schools cannot solve the access problem, they could have a major impact if the payment and delivery strategies discussed were implemented. This article was written as part of the project "Advancing Dental Education in the 21st Century."


Assuntos
Odontologia Comunitária/educação , Odontologia Comunitária/estatística & dados numéricos , Clínicas Odontológicas/estatística & dados numéricos , Disparidades em Assistência à Saúde/estatística & dados numéricos , Faculdades de Odontologia/estatística & dados numéricos , Educação em Odontologia/estatística & dados numéricos , Acesso aos Serviços de Saúde , Humanos , Internato e Residência , Pobreza , Estados Unidos
20.
Stomatologiia (Mosk) ; 96(3): 14-17, 2017.
Artigo em Russo | MEDLINE | ID: mdl-28617400

RESUMO

The aim of the study was to assess the treatment of teeth wedge defects in different age groups. Records of 383 patients (125 males and 258 females aged 22-85 years) treated in outpatient dental facilities with different ownership forms. It is shown that the medical care of patients with wedge-shaped teeth defects routinely consists of remineralization therapy and restoration of anatomical teeth shape regardless of the form of ownership. The extensiveness of dental rehabilitation as well as the use of more modern technologies are typical for private clinics and 96-100% of patients finished their treatment there. In the state and departmental institutions complete rehabilitation of wedge-shaped defects was provided in 45.5-58.0% and 54.3-83.9, respectively. The paper also highlights the drawbacks of primary medical documentation identified in medical institutions of all forms of ownership.


Assuntos
Clínicas Odontológicas/estatística & dados numéricos , Abrasão Dentária/terapia , Erosão Dentária/terapia , Adulto , Fatores Etários , Idoso , Documentação , Feminino , Humanos , Masculino , Pessoa de Meia-Idade , Aparelhos Ortodônticos , Federação Russa , Abrasão Dentária/prevenção & controle , Abrasão Dentária/reabilitação , Erosão Dentária/prevenção & controle , Erosão Dentária/reabilitação , Remineralização Dentária/métodos , Adulto Jovem
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