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1.
Artigo em Inglês | MEDLINE | ID: mdl-31574897

RESUMO

This study was designed to examine national trends and evaluate social determinants of health that were associated with the provision of dental services in emergency rooms in the United States between 2007 and 2014. A pooled cross-sectional database of emergency department (ED) visits combined the 2007-2014 waves of the Nationwide Emergency Department Sample. A total of 3,761,958 ED visits with dental conditions were extracted and the principal diagnosis was identified. A series of modified Poisson regression models were used to assess the relationship between patient sociodemographic factors and hospital characteristics, and the likelihood of visiting the ED for a nontraumatic dental reason. Unadjusted descriptive results indicated that there was no apparent increase in the percentage of patients who visited an ED with nontraumatic dental conditions (NTDCs) between 2007 and 2014. The greatest users of EDs for NTDCs were among those who were uninsured and Medicaid beneficiaries relative to persons privately insured. ED visitors were more likely to reside in lower socioeconomic areas (when compared with visitors in the top quartile of the income distribution). Patients in all other age groups were more likely to seek care in an ED for NTDCs relative to those 65 years of age or older. Multiple strategies are required to reduce the use of EDs for routine dental care. This approach will require an interprofessional dialogue and solutions that reduce barriers to receiving dental care.


Assuntos
Serviço Hospitalar de Emergência/estatística & dados numéricos , Doenças Estomatognáticas/epidemiologia , Adolescente , Adulto , Idoso , Criança , Pré-Escolar , Estudos Transversais , Assistência Odontológica , Feminino , Humanos , Renda , Cobertura do Seguro , Masculino , Pessoa de Meia-Idade , Estados Unidos/epidemiologia , Adulto Jovem
2.
JNMA J Nepal Med Assoc ; 57(217): 184-188, 2019.
Artigo em Inglês | MEDLINE | ID: mdl-31477960

RESUMO

INTRODUCTION: Poor dental hygiene has been associated with various perinatal complications in studies done worldwide but few studies in Nepal have explored the knowledge of pregnant ladies regarding dental hygiene. The aim of the study was to know the knowledge and practices of pregnant women regarding oral health in a tertiary care center in Nepal. METHODS: A qualitative study was carried out in Nobel Medical College and Teaching Hospital from January 15, 2018 to June 15, 2018 after approval from the Institutional Review Committee of Nobel Medical College. Convenience sampling was done. Fifty pregnant women admitted in antenatal ward were interviewed regarding their knowledge of dental care in pregnancy, the common dental problems they faced and the treatment taken. A predesigned proforma was used and results were analyzed using SPSS version 17. RESULTS: Twenty two (44%) patients reported dental problems during pregnancy. Bleeding gums was seen in 7 (14%) and toothache in 7 (14%) were commonly reported dental problems. Forty seven (94%) patients acknowledged that routine dental care was needed for health, only 6 (12%) were aware that poor dental health could affect baby weight. Oral health not seen as priority in 24 (48%) was the main barrier to seeking dental care in pregnancy followed by costs of treatment in 18 (36%) and safety concerns in pregnancy in 8 (16%) cases. CONCLUSIONS: Though dental problems were a common occurrence in pregnancy, utilization of services was low for the same. The participants reported significant barriers to obtaining dental care including lack of knowledge about the importance of maternal oral health and the treatment costs.


Assuntos
Conhecimentos, Atitudes e Prática em Saúde , Saúde Bucal/normas , Higiene Bucal/estatística & dados numéricos , Complicações na Gravidez/epidemiologia , Doenças Estomatognáticas/epidemiologia , Adolescente , Adulto , Assistência Odontológica/estatística & dados numéricos , Feminino , Humanos , Nepal , Higiene Bucal/normas , Gravidez , Complicações na Gravidez/prevenção & controle , Doenças Estomatognáticas/prevenção & controle , Centros de Atenção Terciária , Adulto Jovem
3.
Br J Oral Maxillofac Surg ; 57(7): 632-637, 2019 09.
Artigo em Inglês | MEDLINE | ID: mdl-31200980

RESUMO

This epidemiological study was designed to find out the incidence and factors associated with the occurrence of intraosseous lesions diagnosed at a Reference Centre in Brazil. We included all patients diagnosed with intraosseous lesions (cyst, tumour, bone-associated lesion, and periapical disease) during the period 2006-2017, and analysed the association between some sociodemographic and clinical variables and the types of lesion. There was a total of 290 intraosseous lesions, the most common being odontogenic cysts. There was a significant association between age and odontogenic tumours (p=0.001). In relation to the histopathological diagnosis, root cysts were the most common (n=57), followed by dentigerous cysts (n=26). The lesions studied were seen most often in women between the second and fourth decades of life, odontogenic cysts being the most common type found. We know of few publications of similar epidemiological work, either in Brazil or in the rest of the world, so we suggest that more such studies are made.


Assuntos
Cisto Dentígero/patologia , Cistos Odontogênicos/epidemiologia , Tumores Odontogênicos/epidemiologia , Doenças Estomatognáticas/epidemiologia , Adolescente , Adulto , Idoso , Idoso de 80 Anos ou mais , Biópsia , Brasil/epidemiologia , Criança , Pré-Escolar , Cisto Dentígero/epidemiologia , Feminino , Humanos , Lactente , Recém-Nascido , Masculino , Pessoa de Meia-Idade , Cistos Odontogênicos/patologia , Tumores Odontogênicos/patologia , Estudos Retrospectivos , Doenças Estomatognáticas/patologia , Adulto Jovem
4.
J Zoo Wildl Med ; 50(1): 16-22, 2019 03 01.
Artigo em Inglês | MEDLINE | ID: mdl-31120658

RESUMO

Disorders of the oral cavity are conditions reported by veterinarians that impact the health and welfare of large felids in human care. There have been no studies documenting the prevalence of these conditions and species affected in Australian zoos. A review of the medical records of lions (Panthera leo), tigers (Panthera tigris), cheetahs (Acinonyx jubatus), jaguars (Puma onca), snow leopards (Panthera uncia), Persian leopards (Panthera pardus saxicolor), and cougars (Puma concolor) from 10 Australian zoos and an online survey of zoo professionals from Australian and New Zealand zoos was performed to determine the recorded prevalence of disorders of the oral cavity in these species. Preliminary assessments were also made to determine if there was an association between the occurrence of tooth fractures and diet, feeding practices, species, sex, and age of the animal. The study also examined associations of these conditions with behavior, such as fighting, and husbandry practices, such as the provision of enrichment items. The review found that tooth fractures were common in tigers and lions greater than 8 yr of age. Animal caregivers attributed this to animals chewing on large, hard pieces of bone in some instances, but this could not be verified. Instances of bones being lodged between canine teeth were observed and appeared to be related to the feeding of bones of inappropriate size. Based on these findings, it is recommended that guidelines for bone size fed be developed and that animals over the age of 8 yr receive regular dental examinations under general anesthesia.


Assuntos
Felidae , Doenças Estomatognáticas/veterinária , Animais , Animais de Zoológico , Austrália/epidemiologia , Feminino , Masculino , Boca/patologia , Nova Zelândia/epidemiologia , Estudos Retrospectivos , Doenças Estomatognáticas/epidemiologia , Doenças Estomatognáticas/etiologia
5.
Rev. Odontol. Araçatuba (Impr.) ; 40(1): 52-55, jan.-abr. 2019. tab, graf
Artigo em Português | LILACS, BBO - Odontologia | ID: biblio-995188

RESUMO

A grande quantidade de patologias com características clínicas semelhantes possibilita a coexistência de vários diagnósticos diferenciais frente a uma única lesão na mucosa bucal. Muitas vezes a realização de exames complementares, como a biópsia, torna-se mandatória para confirmação do diagnóstico sugestivo. Realizar levantamento dos laudos histopatológicos provenientes de biópsias executadas em uma clínica-escola odontológica no período entre 2011 e 2018. A partir dos prontuários odontológicos, as informações foram coletadas e tabuladas. Foram determinadas a frequência de cada lesão em relação ao total e ao seu próprio grupo de doenças e as características dos indivíduos. Um total de 106 diagnósticos de 105 pacientes (idade média 47,5 anos), sendo a maioria do sexo feminino (68 indivíduos - 64,8%) e leucoderma (67 indivíduos - 63,8%), foram avaliados. Em relação aos grupos de doenças, o mais representativo foi o das neoplasias benignas epiteliais ou mesenquimais (35 casos - 33%), seguido pelo dos processos proliferativos não neoplásicos (30 casos - 28,3%). Quanto aos diagnósticos, foram observados 25 diferentes, nos quais se destacaram o fibroma (30 casos - 28,3%) e a hiperplasia fibrosa inflamatória (22 casos - 20,8%). Não foi constatada nenhuma patologia maligna. Traçar o perfil epidemiológico de certo grupo de indivíduos pode muitas vezes facilitar os diagnósticos, além de auxiliar na implementação de medidas de prevenção e na orientação dos assuntos a serem abordados nos cursos das instituições de ensino superior(AU)


A large number of pathologies with similar clinical features may allow coexistence of several differential diagnoses in a single lesion on the buccal mucosa. According to the clinical picture, complementary exams such as biopsy are often mandatory to confirm the suggestive diagnosis. To carry out a survey of histopathological diagnoses from biopsies performed in a dental school clinic in the period from 2011 to 2018. Information from dental records was gathered and tabulated. The frequency of each lesion was determined in relation to the total and its own group of diseases as well as the epidemiological characteristics of the individuals. A total of 106 diagnoses from 105 patients (mean age 47.5 years) were evaluated, being the majority of them female (68 individuals - 64.8%) and white (67 individuals - 63.8%). In relation to the groups of diseases, epithelial or mesenchymal benign neoplasms (35 cases - 33%) were the most representative, followed by nonneoplastic proliferative processes (30 cases - 28.3%). Regarding the diagnoses, 25 different ones were observed, in which fibroma (30 cases - 28.3%) and inflammatory fibrous hyperplasia (22 cases - 20.8%) were more prevalent. No malignant pathology was found. To describe the epidemiological profile of a population can often facilitate diagnoses, besides assisting in the implementation of preventive measures and in the definition of graduate and post-graduate courses' scope(AU)


Assuntos
Doenças Estomatognáticas/patologia , Mucosa Bucal/lesões , Mucosa Bucal/patologia , Biópsia , Doenças Estomatognáticas/epidemiologia
6.
Medicine (Baltimore) ; 98(13): e14771, 2019 Mar.
Artigo em Inglês | MEDLINE | ID: mdl-30921181

RESUMO

The relationship between dental diseases and the prevalence of digestive system cancers remains unclear. The aim of the present study was to examine the prevalence of dental diseases in patients treated for digestive system cancers.The medical and dental records of patients treated for digestive system cancers were retrospectively reviewed, and the results obtained (decayed/filled/missing teeth [DMFT] indices and community periodontal index [CPI] codes) were compared with data from the national survey of dental diseases in order to investigate the relationship between oral health and digestive system cancers.DMFT, D, and F indices were significantly lower, while the M index was slightly higher in digestive system cancer patients than in the national survey. The proportions of individuals with more than 20 residual teeth and denture wearers were significantly lower in cancer patients than in the national survey. The prevalence of periodontitis (CPI codes 3 and 4) and severe periodontitis (CPI code 4) were significantly higher in cancer patients than in the national survey.The present results showed that digestive system cancers were closely associated with multi-tooth loss and/or a low denture-wearing rate. The prevalence of severe periodontitis was also found to be higher in cancer patients. These results suggest that periodontitis and associated multi-tooth loss play a potential role in digestive system cancers.


Assuntos
Neoplasias do Sistema Digestório/epidemiologia , Doenças Periodontais/complicações , Periodontite/complicações , Doenças Estomatognáticas/epidemiologia , Idoso , Feminino , Humanos , Japão/epidemiologia , Masculino , Saúde Bucal/estatística & dados numéricos , Saúde Bucal/tendências , Doenças Periodontais/diagnóstico , Doenças Periodontais/epidemiologia , Índice Periodontal , Periodontite/diagnóstico , Periodontite/epidemiologia , Prevalência , Estudos Retrospectivos , Doenças Estomatognáticas/complicações , Perda de Dente/complicações , Perda de Dente/epidemiologia
7.
J Dent ; 82: 66-70, 2019 03.
Artigo em Inglês | MEDLINE | ID: mdl-30769080

RESUMO

OBJECTIVES: To investigate the prevalence of Combination Syndrome, and to investigate if provision of a mandibular removable partial denture has any influence on the prevalence of Combination Syndrome. METHOD: Patients attending Kings College London Dental Institute, Guys Hospital who wore maxillary conventional complete dentures opposing mandibular anterior teeth only, with or without mandibular partial dentures were examined by one examiner. Oral health, residual alveolar ridge and denture quality were assessed. Features putatively associated with Combination Syndrome were recorded. Patient ratings of dentures were recorded. RESULTS: 99 patients were recruited who were wearing maxillary removable complete dentures opposing only mandibular anterior teeth. Of these, 64 patients wore mandibular removable partial dentures and 35 patients did not. Only 8 patients displayed two features of Combination Syndrome and 38 patients displayed one feature of Combination Syndrome, excessive resorption of the anterior maxillary sextant. These findings are not compatible with previous research which suggested that the five features of Combination Syndrome were prevalent in patients wearing maxillary complete dentures opposing mandibular anterior teeth. CONCLUSIONS: Evidence supporting the existence of Combination Syndrome was not discovered in this research. Prevalence of Combination Syndrome appeared to be low or non-existent. Patient treatment modalities and teaching in relation to Combination Syndrome may need to be modified.


Assuntos
Maxila , Doenças Estomatognáticas/epidemiologia , Idoso , Idoso de 80 Anos ou mais , Prótese Total , Prótese Parcial Removível , Feminino , Humanos , Londres/epidemiologia , Masculino , Maxila/patologia , Pessoa de Meia-Idade , Prevalência , Síndrome
8.
J Eval Clin Pract ; 25(1): 142-147, 2019 Feb.
Artigo em Inglês | MEDLINE | ID: mdl-30280467

RESUMO

RATIONALE, AIMS, AND OBJECTIVES: Inadequate awareness of oral health and related disciplines appears to be common among medical practitioners. This study was designed to evaluate the awareness of oral medicine (OM) specialty and its scope of practice among Jordanian medical practitioners and to outline potential strategies for improvement where appropriate. METHOD: A specially designed questionnaire was electronically distributed to Jordanian medical practitioners and thereafter via personal interviews to improve the response rate. The questionnaire comprised nine questions and covered demographical details and characteristics of participants, in addition to their awareness of OM and agreement to refer a group of common oral and dental conditions to OM specialists. Pearson Chi-square tests were used to examine the significance of association between the variables of respondents and awareness of OM. Significance level was set at P values < 0.05. RESULTS: A total of 1492 respondents completed the questionnaire, of which 779 (52.2%) were aware of OM as an independent specialty. Age group, higher degrees in medicine, country of graduation, and the specialty type were significant determinants of OM awareness level. Oral ulceration and other mucosal pathology, including fungal infections, were the most likely conditions to be referred to OM specialists while participants had apparent problems separating the scope of practice of OM from other dental disciplines. CONCLUSION: This study provides evidence on the profound interdisciplinary gap between medicine and dentistry and highlights the importance of more focused education and training in oral health-related disciplines to be provided to clinicians and medical trainees as described.


Assuntos
Barreiras de Comunicação , Educação Médica/normas , Comunicação Interdisciplinar , Saúde Bucal , Doenças Estomatognáticas , Adulto , Atitude do Pessoal de Saúde , Odontologia/métodos , Feminino , Humanos , Jordânia/epidemiologia , Masculino , Determinação de Necessidades de Cuidados de Saúde , Saúde Bucal/normas , Saúde Bucal/estatística & dados numéricos , Doenças Estomatognáticas/epidemiologia , Doenças Estomatognáticas/prevenção & controle
9.
Support Care Cancer ; 27(5): 1891-1899, 2019 May.
Artigo em Inglês | MEDLINE | ID: mdl-30203360

RESUMO

PURPOSE: More attention has been focused on the long-term side effects of treatment protocols since impressive advances in childhood cancer treatment have resulted in a growing population of patients. The purpose of this study was to investigate the disturbances of dento-facial development in children who were long-term survivors of childhood malignancies. METHODS: Fifty-three children (mean age, 10 years + 4 months) in long-term remission underwent oral/dental and radiographic examinations after completion of therapy. Crown and root malformations, gingival/periodontal status, enamel defects, discolorations, decayed and unerupted teeth, premature apexifications, agenesis, maximal interincisal opening and lateral movement of jaws, and soft tissue abnormalities were noted. Caries were evaluated by the decayed-missing-filled teeth (DMFT) index. Forty healthy children (mean age, 12 years + 4 months) belonging to the same age group and socioeconomic community were served as controls. All participants in the study were evaluated in terms of craniofacial development. RESULTS: The data of the study showed that higher prevalence of root malformation, unerupted teeth, and enamel hypoplasia were detected as a consequence of childhood cancer and/or antineoplastic therapy. Although no differences of craniofacial growth and development were observed between groups (P > 0.05), plaque and gingival index scores were statistically higher in the study group (P < 0.05). CONCLUSION: A range of variations in dental structures is recognized as a side effect of childhood cancer therapy in long-term survivors of pediatric malignancies that may affect their quality of life.


Assuntos
Anormalidades da Boca/epidemiologia , Neoplasias/epidemiologia , Doenças Estomatognáticas/epidemiologia , Sobreviventes/estatística & dados numéricos , Anormalidades Dentárias/epidemiologia , Adolescente , Antineoplásicos/administração & dosagem , Antineoplásicos/efeitos adversos , Estudos de Casos e Controles , Criança , Pré-Escolar , Cárie Dentária/epidemiologia , Cárie Dentária/etiologia , Feminino , Humanos , Lactente , Masculino , Anormalidades da Boca/etiologia , Neoplasias/tratamento farmacológico , Índice Periodontal , Qualidade de Vida , Doenças Estomatognáticas/etiologia , Anormalidades Dentárias/etiologia , Odontopatias
10.
Med Mol Morphol ; 52(3): 123-134, 2019 Sep.
Artigo em Inglês | MEDLINE | ID: mdl-30382358

RESUMO

We performed an epidemiological, clinical and histopathological analysis of oral lymphoid lesions (OLLs) during a 47-year period. Data regarding patient age, sex, duration, location, symptomatology, type of growth, implantation, staining, presence of ulceration and bleeding of all cases were compiled from the clinical data. For the histopathological analyses, all slides stained by H/E were reassessed. During the analyzed period, 14,565 patients with oral and maxillofacial lesions were diagnosed, with 45 cases diagnosed as OLLs. The most prevalent location was the tongue. Females were more affected, and the mean age was 40.8 years. OLLs presented a heterogeneous frequency, with the prevalence of reactive lesions (42.3%) followed by developmental lesions (35.6%). Among the reactive lesions, foreign body granulomas were the most common. Regarding diagnosed neoplasms, malignant represented 13.2% of the cases. The average time of evolution of OLLs in general was of 22.2 months. Regarding the histopathological characteristics, the presence of primary lymphoid follicles was observed in 37.8% of the cases, while inflammatory infiltrates were diffuse in 66.7% and epimyoepithelial islands were observed in 13.3%. Our study concludes that OLLs involves a broad spectrum of lesions that share the presence of the lymphoid component, which can range from indolent to more aggressive behavior.


Assuntos
Doenças Linfáticas/epidemiologia , Doenças Estomatognáticas/epidemiologia , Adulto , Idoso , Brasil/epidemiologia , Criança , Feminino , Humanos , Doenças Linfáticas/patologia , Masculino , Pessoa de Meia-Idade , Prevalência , Doenças Estomatognáticas/patologia , Doenças da Língua/epidemiologia , Doenças da Língua/patologia , Adulto Jovem
11.
Indian J Dent Res ; 29(6): 820-829, 2018.
Artigo em Inglês | MEDLINE | ID: mdl-30589014

RESUMO

Background: At a population level, there are no systematic data to correlate the pattern of prevalence of noncommunicable diseases (NCD) with oral disease burden in South Asian countries. The influence of the age, gender, and geographical distribution on these diseases is not reported. We attempt to provide a population level correlation of occurrence using the Global Burden of Disease approach. Materials and Methods: Using the data from the Global Burden of Diseases, 2016, the occurrence of oral diseases (dental caries of permanent teeth, edentulism (including severe tooth loss), and periodontal diseases) and various NCDs, based on geographical region, gender and age groups were collected and subjected to correlation statistics. Statistical Package for Social Services (Version 23) was used to analyze the results. P ≤ 0.05 was considered as statistically significant. Results: Geographical location and age had a significant role in the occurrence of dental diseases. There was a considerable difference in rates of dental diseases and NCD prevalence in the various regions of Asia-Pacific. It was observed that for most of the NCDs, there was a linear significant relationship for edentulism as well as periodontal diseases with high statistical significance. Discussion: The factors that contribute to the discrepancies, phenomenon, and relationship between the oral diseases and NCDs are discussed. The current state of the importance of oral health, in maintaining overall health is discussed. Methods by which policymakers could bring about a change by utilizing the principles of "Overton window" for mobilizing the support of people are presented.


Assuntos
Efeitos Psicossociais da Doença , Doenças não Transmissíveis/epidemiologia , Doenças Estomatognáticas/epidemiologia , Ásia Sudeste/epidemiologia , Saúde Global , Política de Saúde , Humanos , Boca Edêntula/epidemiologia , Saúde Bucal , Ilhas do Pacífico/epidemiologia , Doenças Periodontais/epidemiologia , Prevalência
12.
CMAJ ; 190(49): E1434-E1440, 2018 12 10.
Artigo em Inglês | MEDLINE | ID: mdl-30530610

RESUMO

BACKGROUND: Indigenous youth have higher rates of chronic health conditions interfering with healthy development, including high rates of ear, dental, chest and musculoskeletal pain, as well as headache, arthritis and mental health issues. This study explores differences in pain-related diagnoses in First Nations and non-First Nations children. METHODS: Data from a study population of age- and sex-matched First Nations and non-First Nations children and youth were accessed from a specific region of Atlantic Canada. The primary objective of the study was to compare diagnosis rates of painful conditions and specialist visits between cohorts. The secondary objective was to determine whether there were correlations between early physical pain exposure and pain in adolescence (physical and mental health). RESULTS: Although ear- and throat-related diagnoses were more likely in the First Nations group than in the non-First Nations group (ear 67.3% v. 56.8%, p < 0.001; throat 89.3% v. 78.8%, p < 0.001, respectively), children in the First Nations group were less likely to see a relevant specialist (ear 11.8% v. 15.5%, p < 0.001; throat 12.7% v. 16.1%, p < 0.001, respectively). First Nations newborns were more likely to experience an admission to the neonatal intensive care unit (NICU) than non-First Nations newborns (24.4% v. 18.4%, p < 0.001, respectively). Non-First Nations newborns experiencing an NICU admission were more likely to receive a mental health diagnosis in adolescence, but the same was not found with the First Nations group (3.4% v. 5.7%, p < 0.03, respectively). First Nations children with a diagnosis of an ear or urinary tract infection in early childhood were almost twice as likely to have a diagnosis of headache or abdominal pain as adolescents (odds ratio [OR] 1.9, 95% confidence interval [CI] 1.1-3.0, and OR 1.7, 95% CI 1.2-2.3, respectively). INTERPRETATION: First Nations children were diagnosed with more pain than non-First Nations children, but did not access specific specialists or mental health services, and were not diagnosed with mental health conditions, at the same rate as their non-First Nations counterparts. Discrepancies in pain-related diagnoses and treatment are evident in these specific comparative cohorts. Community-based health care access and treatment inquiries are required to determine ways to improve care delivery for common childhood conditions that affect health and development.


Assuntos
Disparidades nos Níveis de Saúde , Disparidades em Assistência à Saúde/etnologia , Índios Norte-Americanos/estatística & dados numéricos , Saúde Mental , Dor/etnologia , Encaminhamento e Consulta/estatística & dados numéricos , Adolescente , Canadá/epidemiologia , Estudos de Casos e Controles , Criança , Pré-Escolar , Diabetes Mellitus/epidemiologia , Diabetes Mellitus/etnologia , Feminino , Fraturas Ósseas/epidemiologia , Fraturas Ósseas/etnologia , Humanos , Lactente , Recém-Nascido , Unidades de Terapia Intensiva Neonatal/estatística & dados numéricos , Masculino , Otite/epidemiologia , Otite/etnologia , Dor/epidemiologia , Manejo da Dor , Doenças Estomatognáticas/epidemiologia , Doenças Estomatognáticas/etnologia
13.
BMC Health Serv Res ; 18(1): 921, 2018 Dec 03.
Artigo em Inglês | MEDLINE | ID: mdl-30509254

RESUMO

BACKGROUND: Over the past two decades, there has been a decrease in dental diseases in Australia; however, the number of preventable dental hospital admissions has not diminished. This review reports on the factors associated with preventable dental hospital admissions in Australia. METHODS: A search of five databases was conducted using Medical subject headings/Emtree terms and Index terms. All original studies, published between January1965 and March 2018 in English, based on the Australian population, and examining the prevalence of oral conditions as a cause for emergency department presentations and hospital admissions were included. The mixed method appraisal tool was used to evaluate the included studies. RESULTS: Eleven cross-sectional studies met inclusion and exclusion criteria. All the studies, except one from Tasmania, were from Western Australia. The most common reasons for preventable dental hospital admissions were dental caries, followed by embedded or impacted teeth. Malignant neoplasms were reported as main causes of preventable dental hospital admissions in the older population. CONCLUSIONS: Most studies on preventable dental hospital admissions were from one Australian state (Western Australia). Further research is required to determine the national prevalence and incidence of preventable dental hospital admissions. A periodic audit of preventable dental hospital admission data is needed for delivery of a fair and effective dental services.


Assuntos
Hospitalização , Doenças Estomatognáticas/epidemiologia , Austrália/epidemiologia , Estudos Transversais , Serviço Hospitalar de Emergência , Humanos , Incidência , Tasmânia/epidemiologia
14.
Indian J Dent Res ; 29(5): 622-626, 2018.
Artigo em Inglês | MEDLINE | ID: mdl-30409943

RESUMO

Background: The study investigated the common dental conditions of children seen in a Nigerian tertiary hospital. The referral patterns were also determined to know how many of the patients had sought care at the lower levels of health before visiting a tertiary hospital. Methods: All the children aged 0-15 years seen at the Dental hospital, Obafemi Awolowo University Teaching Hospitals Complex, Ile-Ife, Nigeria over a 4-year period were included in the study. Information retrieved from their case notes including patterns of referral, presenting complaints, diagnosis, and treatment were extracted from the case records of the patients. Treatment plans for patients seen at this tertiary hospital were categorized into primary, secondary, and tertiary health-care services. Results: A total of 1,866 children sought treatment over a 4-year period at this tertiary hospital of which 1715 (91.9%) sought treatment without referral from lower levels of care. Only 102 (5.4%) children were referred from primary health care (PHC) centers. Six hundred and seventy-five (36.2%) children presented with pain while 502 (26.9%) attended for a "check-up." Furthermore, 779 (41.8%) children were diagnosed with periodontal disease (including gingivitis) and 539 (28.9%) with dental caries. Scaling and polishing with oral hygiene instruction was the most common treatment recommended. Only 5% of children seen at this tertiary health facility required specialized oral health-care services provided by tertiary health institutions. Conclusions: The range of oral health care needed and service provided by and for patients who visited this tertiary health-care institution can be effectively provided in a primary or secondary oral health-care delivery center. The poor integration of oral health care into PHC services in Osun State burdens the tertiary health-care institutions to provide nonspecialized oral health-care services.


Assuntos
Assistência à Saúde/estatística & dados numéricos , Assistência Odontológica para Crianças , Serviços de Saúde Bucal/estatística & dados numéricos , Saúde Bucal/estatística & dados numéricos , Doenças Estomatognáticas/epidemiologia , Doenças Estomatognáticas/terapia , Centros de Atenção Terciária/estatística & dados numéricos , Atenção Terciária à Saúde , Adolescente , Criança , Pré-Escolar , Feminino , Necessidades e Demandas de Serviços de Saúde/estatística & dados numéricos , Humanos , Lactente , Masculino , Nigéria/epidemiologia , Encaminhamento e Consulta/estatística & dados numéricos , Doenças Estomatognáticas/diagnóstico , Fatores de Tempo
15.
Br Dent J ; 225(8): 757-761, 2018 10 26.
Artigo em Inglês | MEDLINE | ID: mdl-30361599

RESUMO

Introduction: Child neglect has a significant impact on children's physical and emotional health and development with lifelong consequences. Dental decay can lead to maxillofacial space infections which can have life-threatening complications and may indicate that a child has suffered dental neglect. Aims and method: In this retrospective audit, we reviewed children below sixteen years who were admitted under oral and maxillofacial surgery for incision and drainage of a dental/facial abscess, under general anaesthesia, between January 2015 and January 2017, to understand if they had experienced dental neglect. We also assessed if they were or had been known to Children's Social Services (SS) before hospital admission. Results: Twenty-seven children were included in the study, eleven children (40%), were known to social services (SS). On average 3.2 teeth were extracted with an average hospital stay of 2.5 days. Discussion: Our data indicate that a significant number of children admitted for maxillofacial space infection are already known to social services. Conclusion: Our recommendation is that all children admitted with dental/maxillofacial space infections, where dental neglect may be present, should be discussed with the local safeguarding team.


Assuntos
Abscesso/etiologia , Maus-Tratos Infantis/diagnóstico , Doenças Estomatognáticas/etiologia , Abscesso/epidemiologia , Abscesso/cirurgia , Adolescente , Fatores Etários , Criança , Pré-Escolar , Feminino , Hospitalização/estatística & dados numéricos , Humanos , Londres/epidemiologia , Masculino , Estudos Retrospectivos , Fatores de Risco , Doenças Estomatognáticas/epidemiologia , Doenças Estomatognáticas/cirurgia
16.
Zoo Biol ; 37(5): 354-359, 2018 Sep.
Artigo em Inglês | MEDLINE | ID: mdl-30070397

RESUMO

The lion (Panthera leo) is an iconic resident of zoos and wild animal parks throughout the world. Regular assessment of the morbidity of captive lions is necessary to address wellness concerns and improve the healthcare and management of this vulnerable species. In an effort to understand disease morbidity broadly and guide future inquiries into captive lion health, we distributed a questionnaire that emphasized diseases of organ systems rather than individual diagnoses. We sent the questionnaire to 108 American Zoo and Aquarium Association (AZA) institutions housing lions between 2001 and 2016. Fifty-six facilities responded of which 32 responses had usable data for 111 lions. Responses were compiled and analyzed with respect to age, class, and sex. Neoplasia, renal disease, and dental disease were the most common causes of morbidity in these captive lions. Older animals generally experienced a higher prevalence of multiple types of disease. Three cases of hypertrophic cardiomyopathies (HCM) were reported in nearly 40% (3/8) of cardiovascular diseases and 3% (3/111) of disease cases overall, which is the first report of HCM in lions, to the authors' knowledge. There is a relative paucity of literature on lion and large felid cardiovascular conditions, which suggests that this may be an understudied area of lion health. This broad assessment of morbidities present in captive lion populations aimed to identify key areas for further research and screenings. Management priorities of captive lions should include prevention strategies for dental disease and trauma, frequent screening for renal disease and neoplasia, and further research into cardiovascular health.


Assuntos
Leões , Morbidade , Envelhecimento , Animais , Animais de Zoológico , Doenças Cardiovasculares/mortalidade , Doenças Cardiovasculares/veterinária , Causas de Morte , Coleta de Dados , Feminino , Nefropatias/epidemiologia , Nefropatias/veterinária , Masculino , Neoplasias/epidemiologia , Neoplasias/veterinária , América do Norte/epidemiologia , Doenças Estomatognáticas/epidemiologia , Doenças Estomatognáticas/veterinária
17.
Eur J Paediatr Dent ; 19(3): 226-232, 2018 Sep.
Artigo em Inglês | MEDLINE | ID: mdl-30063156

RESUMO

AIM: The aim of this study was to estimate the prevalence of oral health problems in leukaemic paediatric patients in the United Arab Emirates (UAE) and correlate it to the phase of chemotherapy. MATERIALS AND METHODS: Medical records of 120 paediatric leukaemic patients (age below 15 years) in the UAE were reviewed for the occurrence of oral health problems. Records from the three main hospitals that provide cancer therapy were accessed after obtaining the required permissions. RESULTS: The overall prevalence of oral health problems in leukaemic patients in our study is 60%. The most common oral health problem recorded in the patients&#x2019; records was oral mucositis and ulceration (52.4%) followed by dental caries and oral candidiasis accounting for 18.3% and 14.2% respectively. Other oral health problems recorded were gingivitis and gingival bleeding, herpetic gingivostomatitis, poor oral hygiene, and facial palsy. The peak occurrence of most oral problems was during phase IV (maintenance). Oral health problems were more common among patients who received treatment and follow-up locally rather than abroad. STATISTICS: Collected data were analysed using statistical software International Business Machines (IBM) Statistical Package for Social Sciences (SPSS, version 20, Chicago, SPSS Inc). Descriptive statistics were performed to describe the characteristics of the study population. The association between oral health problems and other risk factors was analysed using the Chi-squared test. A P-value of &#x3C;0.05 was considered statistically significant. CONCLUSION: This is the first study to describe oral health problems and its correlation to the phase of chemotherapy in leukaemic paediatric patients in the UAE. Oral health problems as a result of leukaemia and its management are both variable and unavoidable. Therefore, oral and dental care is of critical importance in maintaining the overall wellbeing of the patient before, during, and after treatment. This can be achieved by close liaison between the oncology and dental teams.


Assuntos
Leucemia/complicações , Saúde Bucal , Doenças Estomatognáticas/epidemiologia , Adolescente , Criança , Feminino , Humanos , Leucemia/terapia , Masculino , Prevalência , Estudos Retrospectivos , Emirados Árabes Unidos/epidemiologia
18.
Am J Phys Anthropol ; 167(3): 441-457, 2018 11.
Artigo em Inglês | MEDLINE | ID: mdl-30129143

RESUMO

OBJECTIVES: Odontogenic abscesses are one of the most common dental diseases causing maxillofacial skeletal lesions. They affect the individual's ability to maintain the dental structures necessary to obtain adequate nutrition for survival and reproduction. In this study, the prevalence and pattern of odontogenic abscesses in relation to age, sex, matriline, and living periods were investigated in adult rhesus macaque skeletons of the free-ranging colony on Cayo Santiago, Puerto Rico. MATERIALS AND METHODS: The skulls used for this study were from the skeletons of 752 adult rhesus macaques, aged 8-31 years, and born between 1951 and 2000. They came from 66 matrilines ranging from 1 to 88 individuals. Fistulae or skeletal lesions caused by odontogenic abscesses drainage, carious lesions, tooth fractures, tooth loss, and alveolar resorption were evaluated visually. RESULTS: Seventy-two specimens (9.57%) had odontogenic abscesses of varying severity. Males had a significantly higher prevalence than females. The prevalence of odontogenic abscesses in several matrilines was significantly higher than in the population as a whole. Animals born between 1950 and 1965 tended to have a higher prevalence of odontogenic abscesses than those born in later periods. DISCUSSION: These results suggest that oral pathologies, such as dental and periodontal abscesses in rhesus macaques are fairly common, which may indicate familial effects interwoven with ecological and social factors. The closeness of the rhesus and human genomes allows insights to understand of the epidemiology of these diseases in the human population. Further assessment of the role played by environmental and familial factors on rhesus oral health and disease are warranted.


Assuntos
Abscesso , Macaca mulatta , Doenças Estomatognáticas , Abscesso/epidemiologia , Abscesso/veterinária , Processo Alveolar , Animais , Feminino , Masculino , Prevalência , Porto Rico/epidemiologia , Fatores de Risco , Doenças Estomatognáticas/epidemiologia , Doenças Estomatognáticas/veterinária
19.
AIDS ; 32(17): 2497-2505, 2018 11 13.
Artigo em Inglês | MEDLINE | ID: mdl-30096069

RESUMO

OBJECTIVES: This study explores the association between combination antiretroviral therapy (cART) and oral health outcomes (dental and periodontal) among perinatally HIV-infected (PHIV) youth. METHODS: We conducted a cross-sectional study of oral health among PHIV youth participating in the Oral Health substudy of the Pediatric HIV/AIDS Cohort Study (PHACS). Dentists at research sites were trained/calibrated on how to perform a standardized oral mucosal, dental and periodontal examination. They assessed the decayed-missing-filled-surfaces and teeth index (DMFS/T). The number of decayed surfaces and teeth and the number of teeth with gingival bleeding on probing for each participant were derived from the examination. Data for analysis included lifetime measurements of CD4 cell count and viral load, sociodemographic information and current/past history of ART. RESULTS: Among 209 PHIV youth, 95% were on ART at the time of enrolment. Among 143 PHIV youth on the same cART for at least 1 year, we found that the mean decayed teeth score of those receiving cART containing an integrase inhibitor was 86% higher than that of those on cART without an integrase inhibitor after adjusting for age, lifetime proportion of unsuppressed viral load and CD4 cell count nadir. Initiating protease inhibitors before age 6 years was associated with a significantly lower DMFT score than participants who initiated at age 6 years and older. CONCLUSION: Our study revealed that PHIV youth who received cART containing an integrase inhibitor had a significantly higher number of untreated active caries than those on cART without an integrase inhibitor. This may warrant closer dental surveillance of those receiving an integrase inhibitor.


Assuntos
Antirretrovirais/administração & dosagem , Terapia Antirretroviral de Alta Atividade/métodos , Infecções por HIV/complicações , Infecções por HIV/tratamento farmacológico , Doenças Periodontais/epidemiologia , Doenças Estomatognáticas/epidemiologia , Adolescente , Contagem de Linfócito CD4 , Estudos Transversais , Feminino , Humanos , Masculino , Doenças Periodontais/patologia , Doenças Estomatognáticas/patologia , Carga Viral , Adulto Jovem
20.
Arch Argent Pediatr ; 116(4): e560-e566, 2018 Aug 01.
Artigo em Inglês, Espanhol | MEDLINE | ID: mdl-30016033

RESUMO

Cleidocranial dysplasia is an autosomal dominant skeletal dysplasia caused by mutations in the RUNX2 gene; its prevalence has been estimated at 1/1 000 000 newborn infants. This study presents 37 patients (22 girls) assessed between 1992 and 2016 at the Skeletal Dysplasias Multidisciplinary Clinics of Hospital Garrahan, Argentina. FINDINGS: 35% of positive family history; median age at the time of diagnosis: 2.61 years old; positive radiological findings in the skull and pubis: 95%; in the clavicles: 100%. Dental and hearing complications were common. Auxology: boys had a median height of -1.81 SD (-3.26 to 0.2) and girls had a median height of -1.36 SD (-4.28 to 1.36). Five out of 13 patients were short for parental height. Adult height (median): 162.8 cm in boys and 149.2 cm in girls. No evident alterations were observed in the sitting height/height ratio. One patient had true macrocephaly; 12 (32%), relative macrocephaly. Intrafamily variability was described in terms of height.


Assuntos
Estatura/fisiologia , Displasia Cleidocraniana/fisiopatologia , Transtornos da Audição/epidemiologia , Doenças Estomatognáticas/epidemiologia , Adolescente , Argentina , Criança , Pré-Escolar , Displasia Cleidocraniana/diagnóstico por imagem , Displasia Cleidocraniana/genética , Subunidade alfa 1 de Fator de Ligação ao Core/genética , Feminino , Transtornos da Audição/etiologia , Hospitais Pediátricos , Humanos , Lactente , Recém-Nascido , Masculino , Megalencefalia/epidemiologia , Megalencefalia/etiologia , Mutação , Estudos Retrospectivos , Doenças Estomatognáticas/etiologia
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