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1.
Periodontol 2000 ; 84(1): 202-214, 2020 10.
Artigo em Inglês | MEDLINE | ID: mdl-32844412

RESUMO

Upwards of 1 in 10 adults worldwide may be affected by severe periodontitis, making the disease more prevalent than cardiovascular disease. Despite its global scope, its impact on pain, oral function, and the wellbeing of individuals, and the disproportionate burden of disease and the socioeconomic impact on communities, the perception that periodontal disease is a public health problem remains low. Although there have been substantial improvements in our understanding of the etiology of periodontal disease and how we can prevent and control it, these advances have been primarily focused on individual, patient-focused approaches. The prevention of periodontal disease depends on improving currently available individual interventions and on determining what public health interventions can be effective and sustainable under real-life conditions. Currently, public health approaches for periodontal disease prevention and control are lacking. This review traces the historical strategies for prevention of periodontal disease in an epidemiologic transition context, using a modified model developed for cardiovascular disease, and presents a possible public health approach. Improving periodontal disease prevention and control will need to take into consideration the core activities of a public health approach: assessment, policy development, and assurance.


Assuntos
Doenças Periodontais/epidemiologia , Doenças Periodontais/prevenção & controle , Periodontite/epidemiologia , Periodontite/prevenção & controle , Adulto , Humanos , Saúde Pública
2.
Rev. inf. cient ; 99(4): 349-358, jul.-ago. 2020. tab
Artigo em Espanhol | LILACS | ID: biblio-1139195

RESUMO

RESUMEN Introducción: Las enfermedades periodontales son un problema de salud bucal, y para prevenirlas es esencial el cuidado de las encías. Objetivo: Precisar la percepción de pacientes afectados sobre esta enfermedad para sustentar la sistematización de las bases teóricas dirigidas a la preparación de estudiantes de Estomatología y estomatólogos generales integrales en formación respecto al tema. Método: Se realizó un estudio descriptivo, prospectivo y transversal en la Clínica Estomatológica Docente "Julio Antonio Mella" adscrita la Universidad de Ciencias Médicas Guantánamo. Se encuestaron 25 pacientes con diagnóstico de enfermedad periodontal para indagar su percepción sobre la enfermedad. Los resultados se resumieron mediante frecuencias absolutas y se expresaron mediante tablas. Resultados: Lo más común es que los pacientes revelaran una opinión desfavorable en relación con los temas: expresión de una empobrecida educación sobre esta enfermedad (n=22), actitud insuficiente para el autocuidado de las encías (n=22) e Insatisfacciones con las acciones educativas en función de su prevención (n=14). Conclusiones: Los pacientes revelan una inadecuada percepción de la enfermedad periodontal lo que sustenta la sistematización de las bases teóricas para la comprensión de la necesidad de desarrollar en ellos una cultura del cuidado de las encías por una salud periodontal. Además, se reitera el valor del estomatólogo, la familia, la escuela, los medios y la comunidad como agentes sociales responsable de la educación de la población en función de la prevención de las enfermedades periodontales.


ABSTRACT Introduction: Periodontal diseases are caused by an inadequate oral health, and to prevent them, gum care is essential. Objective: To specify the perception of affected patients about this disease in order to support the systematization of the theoretical bases directed to the preparation in the subject of students of stomatology and comprehensive general stomatologists in training. Method: A descriptive, prospective and cross-sectional study was carried out in the Stomatological Teaching Clinic "Julio A. Mella", a branch of the University of Medical Sciences of Guantanamo. Twenty-five patients with diagnosis of periodontal disease were surveyed to as cert a in their perception of the disease. The results were summarized by means of absolute frequencies and expressed in tables. Results: it was common that patients revealed an un favor able opinion regarding the following topics: absolute lack of knowledge about this disease (n=22), insufficient posture of the patients about gum self-care (n=22) and dissatisfaction with educational actions in terms of prevention (n=14). Conclusions: Patients reveal an inadequate perception of periodontal disease which supports the systematization of the theoretical bases for the understanding of the need to develop in them a culture of gum care for a good periodontal health. Furthermore, the value of the stomatologist, the family, the school, the media and the community as social agents responsible for the education of the population in terms of the prevention of periodontal diseases is reiterated.


Assuntos
Humanos , Percepção , Doenças Periodontais/prevenção & controle , Educação de Pacientes como Assunto/métodos , Epidemiologia Descritiva , Estudos Transversais , Estudos Prospectivos
3.
Periodontol 2000 ; 84(1): 84-101, 2020 10.
Artigo em Inglês | MEDLINE | ID: mdl-32844411

RESUMO

Substance abuse affects more than one sixth of the world's population. More importantly, the nature of the abuse and the type of addictive substances available to individuals is increasing exponentially. All substances with abusive potential impact both the human immuno-inflammatory system and oral microbial communities, and therefore play a critical role in the etiopathogenesis of periodontal diseases. Evidence strongly supports the efficacy of professionally delivered cessation counseling. Dentists, dental therapists, and hygienists are ideally placed to deliver this therapy, and to spearhead efforts to provide behavioral and pharmacologic support for cessation. The purpose of this review is to examine the biologic mechanisms underlying their role in disease causation, to understand the pharmacologic and behavioral basis for their habituation, and to investigate the efficacy of population-based and personalized interventions in prevention of periodontal disease.


Assuntos
Doenças Periodontais/prevenção & controle , Abandono do Hábito de Fumar , Produtos do Tabaco , Higienistas Dentários , Humanos , Tabaco
4.
Periodontol 2000 ; 84(1): 35-44, 2020 10.
Artigo em Inglês | MEDLINE | ID: mdl-32844413

RESUMO

It is well established that dental plaque on teeth leads to gingivitis and periodontitis, and that several mechanical and chemical methods of plaque control can prevent gingivitis. The aim of the current review is to summarize and synthesize the available scientific evidence supporting practices for mechanical oral hygiene to prevent periodontal diseases. Evidence for contemporary practices of mechanical oral hygiene to prevent periodontal disease relies on studies of gingivitis patients. General recommendations concerning the ideal oral hygiene devices and procedures are still inconclusive. However, toothbrushing and interdental cleaning remain the mainstays of prevention of periodontal diseases. The primary approach requires individually tailored instruction for implementation of a systematic oral hygiene regimen.


Assuntos
Placa Dentária/prevenção & controle , Gengivite/prevenção & controle , Doenças Periodontais/prevenção & controle , Dispositivos para o Cuidado Bucal Domiciliar , Humanos , Higiene Bucal , Escovação Dentária
5.
Periodontol 2000 ; 84(1): 161-175, 2020 10.
Artigo em Inglês | MEDLINE | ID: mdl-32844414

RESUMO

Probiotics have been considered as an adjunct to prevent and treat a variety of diseases. The ease of administration of probiotics and the fact that no adverse outcomes have been reported in the literature has promoted increasing interest from the research community for this preventive approach in a number of diseases, including periodontal diseases. Several preliminary human clinical trials have been conducted and have yielded promising results. Vaccination is another biological strategy considered for use in the prevention of periodontal diseases. To date, no vaccine trials have been conducted in humans to determine if this strategy would prevent alveolar bone loss or bacterial colonization by target pathogens. Although the available research appears promising, the current body of evidence is incomplete for both strategies. This review attempts to summarize the present status of these 2 biological strategies for the prevention of periodontal diseases.


Assuntos
Perda do Osso Alveolar , Doenças Periodontais/prevenção & controle , Probióticos/uso terapêutico , Vacinas , Humanos
6.
Periodontol 2000 ; 84(1): 102-123, 2020 10.
Artigo em Inglês | MEDLINE | ID: mdl-32844420

RESUMO

There is increasing public interest in natural or herbal-based healthcare products. This trend is not only visible in supermarkets and dental practices, but also in the scientific world. An improving number of clinical trials are being conducted to validate the claims made about these products in regards to periodontal health. Among single component preparations, Aloe vera and green tea are the most studied natural ingredients. Concerning polyherbal mixtures, triphala has garnered great interest. The effects of these natural products on periodontal health is encouraging, with almost all studies showing an inhibitory effect on plaque accumulation and an improvement in gingival health. However, more studies are needed to be able to design clinical guidelines to guide the use of these natural products in periodontal practice. For most of these products, few studies are available and, moreover, the available studies are limited in duration, the number of participants, and the specific composition of the natural product is often not described in detail.


Assuntos
Placa Dentária/tratamento farmacológico , Placa Dentária/prevenção & controle , Gengivite , Doenças Periodontais/prevenção & controle , Humanos , Antissépticos Bucais , Cremes Dentais
7.
Periodontol 2000 ; 84(1): 9-13, 2020 10.
Artigo em Inglês | MEDLINE | ID: mdl-32844421

RESUMO

It is widely accepted that common diseases of the oral cavity, such as gingivitis and periodontitis, are preventable. Based on a large body of scientific evidence, a number of preventive strategies are known to prevent these diseases, but only if routinely implemented. Unfortunately, while most preventive strategies are theoretically simple to understand, they are often difficult to employ in practice at individual and public health levels. This volume of Periodontology 2000 provides the most current information on the state of the science and the evidence base supporting a preventive perspective for the management of periodontal disease, including evidence for proven interventions as well as cutting-edge ideas for potential future interventions. In addition to well-established and scientifically proven approaches (tooth and implant cleansing, topical chemotherapeutics, reduction in risk factors such as tobacco smoking), a number of new ideas are now under investigation, including antioxidant agents, probiotics, vaccines, and slow-release alternative chemotherapeutics. Furthermore, there are new ideas to alter patient behaviors with the aim to improve adherence to preventive strategies. Finally, examples from implementation science and public health are provided that suggest novel approaches to bring new ideas into clinical practice.


Assuntos
Gengivite , Doenças Periodontais/prevenção & controle , Periodontite , Humanos , Saúde Pública , Fatores de Risco
8.
Periodontol 2000 ; 84(1): 134-144, 2020 10.
Artigo em Inglês | MEDLINE | ID: mdl-32844423

RESUMO

It is well established that periodontal infection control, by means of adequate oral hygiene such as daily toothbrushing and interdental cleaning, is essential for prevention of periodontal disease. Evidence suggests that oral health behavioral intervention is more effective if based on a theoretic framework that includes behavioral change techniques based on goals and planning and on feedback and monitoring. This review focuses on factors that influence behavioral changes in oral hygiene measures (both obstacles and facilitators) and a person-centered approach to treatment planning and communication with patients. A person-centered model of oral hygiene is presented that can be integrated into periodontal treatment using different behavioral techniques.


Assuntos
Doenças Periodontais/prevenção & controle , Doenças Periodontais/terapia , Periodontite , Humanos , Controle de Infecções , Higiene Bucal , Escovação Dentária
9.
Periodontol 2000 ; 84(1): 69-83, 2020 10.
Artigo em Inglês | MEDLINE | ID: mdl-32844424

RESUMO

As a result of aging populations, in the future, dental practitioners will be caring for more older adults than ever before. These older adults, especially in developed countries, will demand a greater number of dental services, driven by increased tooth retention and an expectation of excellent oral healthcare throughout the life course. Further, the global rise in the prevalence and incidence of chronic diseases will increase the risk and/or severity of oral diseases and add a layer of complexity to the management of oral diseases in older adults. More older adults will be at a higher risk of periodontal disease and root caries as a result of reduced tooth loss and edentulism. This article reviews information on periodontitis and root caries, oral diseases which reflect the cumulative risk of the individual, and which are best addressed through prevention. Oral healthcare providers must embrace the concept of lifelong emphasis on prevention, as well as participation as active members of a healthcare team which provides healthcare for older adults in various settings (eg, hospital/clinic-based care, community-based settings, and long-term care facilities). National guidelines that address oral health are being considered by some countries, and if these are implemented they will increase the accessibility to oral health for older adults. In parallel to this, revisions of existing older adult insurance schemes (eg, the inclusion of routine oral healthcare in the US Medicare program) would promote the maintenance of a functional dentition that is pain-free and conducive to general health. The opportunity exists to implement a holistic approach to oral health that will align oral health with general health and emphasize that true health can only be achieved with the inclusion of oral health.


Assuntos
Cárie Dentária/epidemiologia , Cárie Dentária/prevenção & controle , Cárie Dentária/terapia , Doenças Periodontais/epidemiologia , Doenças Periodontais/prevenção & controle , Doenças Periodontais/terapia , Idoso , Odontólogos , Humanos , Medicare , Saúde Bucal , Papel Profissional , Estados Unidos
10.
Sante Publique ; Vol. 32(1): 87-95, 2020 Jun 18.
Artigo em Francês | MEDLINE | ID: mdl-32706229

RESUMO

CONTEXT: The demography of dentist-surgeons in the Centre-Val de Loire region is far inferior to the national average and characterized by many territorial inequalities of health. The aim of this study is to provide details concerning the dental hygienic care-seeking consumption habits in this region based on one dental care treatment, dental scaling, which allows for the mechanical elimination of dental plaque in order to prevent periodontal diseases. METHOD: This retrospective study is based on data from several databases of the National Health Insurance Cross-Schemes Information System (Sniiram) for the year 2016, analyzed by the Statistical Institute of Liberal Health Professionals. RESULTS: It can be observed that less scaling treatments have been sought out in this region in comparison with metropolitan France and certain territories which also face difficulties in terms of care treatment offers and scaling treatment inferior to the regional average. Although the care offer is unequally distributed, it seems to have little influence on the number of treatment acts consumed per patient and notably scaling treatments. Inversely, indicators of wealth or poverty do have an impact on treatment consumption HBJD001. CONCLUSION: This study suggests that the consumption of scaling treatment is independent from the dental care offers, but linked to the social gradient of the population. It points to the deficit in the consumption of this treatment in comparison to metropolitan France. The potential role of the HBJD001 treatment as a marker of the trajectory of preventive health care as well as the necessity of the adjustment of the zones determined by the ARS are put forward.


Assuntos
Assistência Odontológica/estatística & dados numéricos , Aceitação pelo Paciente de Cuidados de Saúde/estatística & dados numéricos , Doenças Periodontais/prevenção & controle , Bases de Dados Factuais , França , Humanos , Programas Nacionais de Saúde , Estudos Retrospectivos , Fatores Socioeconômicos
11.
J Periodontol ; 91 Suppl 1: S50-S55, 2020 10.
Artigo em Inglês | MEDLINE | ID: mdl-32432812

RESUMO

Medicine and dentistry need to treat the individual not the "average patient." This personalized or precision approach to health care involves correctly diagnosing and properly classifying people to effectively customize prevention, diagnosis, and treatment. This is not a trivial undertaking. Achieving precision health requires making sense of big data, both at the population level and at the molecular level. The latter can include genetic, epigenetic, transcriptomic, proteomic, metabolomic data, and microbiome data. This biological information can augment established clinical measurements and supplement data on socioeconomic status, lifestyle, behaviors, and environmental conditions. Here, the central thesis is that, with sufficient data and appropriate methods, it is possible to segregate symptom-based and phenotypically based categories of patients into clinically and biologically similar groups. These groups are likely to have different clinical trajectories and benefit from different treatments. Additionally, such groups are optimal for investigations seeking to unveil the genomic basis of periodontal disease susceptibility. Analysis of these complex data to produce actionable and replicable health and disease categories requires appropriately sophisticated bioinformatics approaches and thorough validation in diverse patient samples and populations. Successful research programs will need to consider both population-level and well-controlled deep phenotyping approaches. Biologically informed stratification of periodontal disease is both feasible and desirable. Ultimately, this approach can accelerate the development of precision health through improvements in research and clinical applications.


Assuntos
Microbiota , Doenças Periodontais , Genômica , Humanos , Microbiota/genética , Saúde Bucal , Doenças Periodontais/diagnóstico , Doenças Periodontais/genética , Doenças Periodontais/prevenção & controle , Proteômica
12.
Braz Oral Res ; 34(supp1 1): e025, 2020.
Artigo em Inglês | MEDLINE | ID: mdl-32294678

RESUMO

Dental plaque removal and the understanding of risk factors, risk indicators and social determinants are important components in the prevention of periodontal disease. Periodontal diseases and dental caries are largely preventable conditions, but require a "common risk factor approach" with non-communicable diseases with the purpose of improving their prevention and control, and positive impact on health. The aim of this consensus was to identify the evidence and gaps in periodontal prevention in Latin American, and to propose individual and collective recommendations for the population, health professionals, dental practice and government. The prevention of periodontal diseases in Latin America has mainly been focused on oral hygiene instruction, use of toothbrushes and interproximal devices, but in some patients, it is necessary to use adjuncts to these measures, such as antimicrobial and/or probiotic products that are backed by broad scientific evidence. Some evidence has shown that there are inadequate knowledge, attitudes and practices among patients, dentist and other health professionals. The prevention of periodontal diseases and caries should be adopted as a healthy lifestyle routine, because of their local and systemic effects. Recently, new empowerment strategies have been proposed in order to generate behavioral changes. Periodontal diseases can often be prevented, or controlled by joined efforts between government health systems, scientific associations, universities, health professionals, private companies and communities. In conclusion, the relations between periodontal diseases, caries, healthy lifestyles and NCD's offer an ideal opportunity to change Latin American prevention strategies at both the individual level and population levels.


Assuntos
Pessoal de Saúde/normas , Doenças Periodontais/prevenção & controle , Humanos , América Latina , Saúde Bucal , Guias de Prática Clínica como Assunto , Padrões de Prática Odontológica , Fatores de Risco
13.
Appl Environ Microbiol ; 86(12)2020 06 02.
Artigo em Inglês | MEDLINE | ID: mdl-32276980

RESUMO

The human oral cavity is a complex ecosystem, and the alterations in salivary microbial communities are associated with both oral and nonoral diseases. The Mediterranean diet (MD) is a healthy dietary pattern useful for both prevention and treatment of several diseases. To further explore the effects of the MD on human health, in this study, we investigated the changes in the salivary microbial communities in overweight/obese subjects after an individually tailored MD-based nutritional intervention. Healthy overweight and obese subjects were randomized between two intervention groups. The MD group (Med-D group) increased their MD adherence during 8 weeks of intervention while the control diet (control-D) group did not change their dietary habits. The salivary microbiota was assessed at baseline and after 4 and 8 weeks of intervention. Despite no observed changes in the overall salivary microbiota composition, we found a significant decrease in the relative abundances of species-level operational taxonomic units annotated as Porphyromonas gingivalis, Prevotella intermedia, and Treponema denticola in the Med-D group compared to that in the control-D group after 8 weeks of intervention, which are known to be associated with periodontal disease. Such variations were significantly linked to dietary variables such as MD adherence rates and intakes of animal versus vegetable proteins. In addition, increased levels of Streptococcus cristatus were observed in the Med-D group, which has been reported as an antagonistic taxon inhibiting P. gingivalis gene expression. Our findings suggest that an MD-based nutritional intervention may be implicated in reducing periodontal bacteria, and an MD may be a dietary strategy supportive of oral homeostasis.IMPORTANCE Changes in dietary behavior with increased adherence to a Mediterranean diet can determine a reduction of periodontopathogenic bacterial abundances in the saliva of overweight subjects with cardiometabolic risk due to an unhealthy lifestyle, without any change in individual energy intake, nutrient intake, and physical activity.


Assuntos
Dieta Mediterrânea , Obesidade , Sobrepeso , Doenças Periodontais/prevenção & controle , Saliva/microbiologia , Adulto , Fenômenos Fisiológicos Bacterianos , Feminino , Humanos , Masculino , Pessoa de Meia-Idade , Doenças Periodontais/microbiologia , Distribuição Aleatória , Adulto Jovem
14.
BMC Vet Res ; 16(1): 90, 2020 Mar 18.
Artigo em Inglês | MEDLINE | ID: mdl-32188446

RESUMO

BACKGROUND: Periodontal disease remains one of the dog's most common health issues, even though it is largely preventable by tooth brushing. Implementation of daily tooth brushing would not only improve animal welfare, but also reduce veterinary costs for the owner. There is a paucity of studies investigating attitudes, opinions and practices of dog owners, veterinarians, and veterinary nurses regarding preventative dental home care in dogs. The objective of this study was to investigate these parameters in Sweden, thereby providing a basis for improved prophylactic strategies. METHODS: Validated questionnaire surveys were distributed to all Swedish dog owners (n = 209,263), veterinarians (n = 3657) and veterinary nurses (n = 1650) with e-mail addresses in the national registry. The response rates were 32% for dog owners and veterinarians, and 38% for veterinary nurses. The survey questions concerned attitudes, opinions and practices regarding dental home care, including whether dog owners received information concerning dental home care or not, and if this information resulted in implementation. RESULTS: Attitudes, opinions and practices regarding dental home care are presented for Swedish dog owners, veterinarians, and veterinary nurses. A fundamental finding was that the absolute majority of Swedish dog owners do not perform adequate prophylactic dental home care. Considerable discrepancies were identified in the opinions of veterinary health practitioners and dog owners regarding attitudes towards dental home care and conveying of information. Several areas for improvement in the communication between dog owners and veterinary health practitioners concerning dental home care were identified. CONCLUSION: Our results illustrates the need for validated methods to increase dog owner compliance with dental home care recommendations. We also see a need of further education, regarding canine dental home care, among veterinarians, veterinary nurses, and dog owners. The results from this unique study constitute an important foundation for future development of prophylactic strategies, with the ultimate goal to improve dental health, and thereby animal welfare, in dogs.


Assuntos
Técnicos em Manejo de Animais , Assistência Odontológica/veterinária , Doenças do Cão/prevenção & controle , Doenças Periodontais/veterinária , Médicos Veterinários , Animais , Coleta de Dados , Doenças do Cão/epidemiologia , Cães , Humanos , Propriedade , Doenças Periodontais/epidemiologia , Doenças Periodontais/prevenção & controle , Inquéritos e Questionários , Suécia/epidemiologia
15.
N Z Vet J ; 68(3): 178-186, 2020 May.
Artigo em Inglês | MEDLINE | ID: mdl-32028869

RESUMO

Equine dentistry is a rapidly developing clinical specialty. It has benefitted from key advances in anatomical and physiological research, development of equipment and instrumentation, utilisation of standing sedation and anaesthesia protocols, a change towards minimally invasive surgical techniques, and the introduction of restorative and endodontic techniques translated from techniques used in human and canine dentistry. Anatomical research has provided further insight into the endodontic system of incisors and cheek teeth and how it changes throughout development with age. Studies of the periodontium have demonstrated a rich vascular supply and repair capacity. Routine dental visits are increasingly being performed utilising sedation and clinical instruments for routine examinations. Equipment has become more efficient, battery-operated and miniaturised giving benefits to both equine dental maintenance work and advanced techniques, assisting the transition to minimally invasive techniques, and the development of endodontic and restorative dentistry. Diagnosis has also benefitted from advances in equipment such as patient-side digital radiography systems, high definition oroscopy, and small diameter flexible fibrescopes that are capable of visualising inside a pulp canal. Dental units combining endodontic high- and low-speed drills, suction and air or water flush are becoming increasingly used and adapted for equine use. Sedative combinations and standing anaesthesia protocols have meant that revisions of traditional techniques, as well as novel techniques, can be performed with almost no requirement for general anaesthesia. Equine dentistry can only continue to advance in this way if there is early identification of dental disease through clinical oral examinations, leading to a system based on prophylaxis, as in human dentistry. This necessitates a change in attitude of the public and industry in general to a proactive approach, with early intervention based on examination and diagnostic findings of practitioners and not necessarily based on the clinical signs displayed by the patient.


Assuntos
Odontologia/veterinária , Doenças dos Cavalos , Doenças Dentárias/veterinária , Animais , Cárie Dentária/veterinária , Odontologia/métodos , Doenças dos Cavalos/diagnóstico , Doenças dos Cavalos/prevenção & controle , Doenças dos Cavalos/terapia , Cavalos , Doenças Periodontais/diagnóstico , Doenças Periodontais/prevenção & controle , Doenças Periodontais/terapia , Doenças Periodontais/veterinária , Doenças Dentárias/diagnóstico , Doenças Dentárias/prevenção & controle , Doenças Dentárias/terapia
16.
Sci Rep ; 10(1): 153, 2020 01 13.
Artigo em Inglês | MEDLINE | ID: mdl-31932596

RESUMO

People with intellectual disability have a higher risk of oral health problems. This study assessed the clinical oral health status and behaviors and treatment needs of people living in an institution in Padang, West Sumatra, Indonesia. We quantified oral health status of 65 individuals with intellectual disability using Oral Hygiene Index Simplified (OHIs), Angle's classification of malocclusion, Community Periodontal Index and Treatment Need (CPITN), and decay index and also recorded their brushing behavior. We found that males had significantly lower OHIs (p < 0.001), more malocclusion (p < 0.001), greater caries number (p < 0.001), greater CPITN (p = 0.001) and higher need of dental treatment (p < 0.01) than females. Additionally, we found that high caries number was associated with poor OHIS, malocclusion, periodontal disease, and dependent brushing behavior (p < 0.001). The findings of this study imply that there is a gap in appropriate oral health care in individuals with intellectual disability. There should be a greater focus on providing appropriate oral health education to people with intellectual disability, improving the health literacy and quality of care of caregivers, and providing more dentists with specialized training in special needs dentistry.


Assuntos
Cuidadores/psicologia , Criança Institucionalizada/educação , Assistência Odontológica para Pessoas com Deficiências/organização & administração , Necessidades e Demandas de Serviços de Saúde/normas , Deficiência Intelectual/fisiopatologia , Higiene Bucal/normas , Doenças Periodontais/prevenção & controle , Adolescente , Adulto , Assistência Odontológica para Pessoas com Deficiências/normas , Feminino , Humanos , Indonésia/epidemiologia , Deficiência Intelectual/epidemiologia , Masculino , Pessoa de Meia-Idade , Adulto Jovem
17.
J Am Geriatr Soc ; 68(2): 411-416, 2020 02.
Artigo em Inglês | MEDLINE | ID: mdl-31479533

RESUMO

The oral cavity is exposed to the external environment and from a very young age is colonized by infectious agents. Under certain circumstances including poor oral hygiene, dry mouth, trauma, and the use of antibiotics, oral infections can occur. They can result in damage to the oral cavity including teeth and their support structures. Oral infections can also lead to the extension of infection into surrounding tissues and to systemic infections. Chronic oral infection is a recognized risk factor for heart disease. Older adults are at high risk for oral infections and associated complications. Tooth loss, for which infection is the most significant cause, leads to cosmetic changes and a decreased ability to masticate certain foods that can lead to malnutrition. Chronic oral infections and the manipulation of teeth and supporting structures can lead to the hematogenous spread of infection including the infection of artificial joints and endocardial implants. Good oral hygiene, the use of fluoride, regular dental care, and the appropriate use of antibiotics can all reduce oral infections and their associated complications. J Am Geriatr Soc 68:411-416, 2020.


Assuntos
Coinfecção/prevenção & controle , Odontologia Geriátrica/métodos , Saúde Bucal/normas , Higiene Bucal/métodos , Idoso , Antibioticoprofilaxia/métodos , Cárie Dentária/complicações , Cárie Dentária/prevenção & controle , Complicações do Diabetes/prevenção & controle , Humanos , Doenças Periodontais/complicações , Doenças Periodontais/prevenção & controle
18.
Rheumatology (Oxford) ; 59(5): 988-996, 2020 05 01.
Artigo em Inglês | MEDLINE | ID: mdl-31504982

RESUMO

OBJECTIVE: There is a relationship between RA and periodontal disease. We aimed to investigate if a good oral hygiene could improve activity of RA. METHODS: The patients with RA according to ACR/EULAR 2010 criteria and included in the French early arthritis ESPOIR cohort were included in a randomized nested study into: (i) intervention group: general recommendations of good oral hygiene including teeth brushing, daily antiseptic mouthwash and twice a year scaling; and (ii) control group: no intervention. The primary end point was the delta DAS28-ESR. RESULTS: Four hundred and seventy-two patients were randomized (238 in intervention and 234 in control). 92/238 from the intervention group accepted the procedure and 81 had a first visit to the dentist. 56% of patients had periodontal disease at baseline. Duration of RA was 9.0±0.7 years. Baseline DAS28-ESR was 2.7±1.3. After a median duration of 24 months, delta DAS28-ESR was -0.17±1.29 and -0.09±1.28 in intervention and control groups, respectively (mean difference (complier average causal effect): -0.37 (95% CI -1.12, 0.37), P = 0.33). In the intervention group, there was a significant decrease of the bacteria involved in the red complex: Porphyromonas gingivalis (P = 0.002), Tannerella forsythia (P = 0.002) and Treponema denticola (P = 0.019). The patients with baseline periodontal disease and those who became negative for one red complex bacterium had a slightly more important decrease of DAS28-ESR. CONCLUSION: Oral hygiene instruction together with regular scaling and polishing of the teeth significantly decreased the load of periodontal pathogens but did not decrease RA activity. This intervention should be tested in patients with earlier RA and more active disease. TRIAL REGISTRATION: ClinicalTrials.gov, http://clinicaltrials.gov, NCT01831648.


Assuntos
Artrite Reumatoide/diagnóstico , Higiene Bucal/efeitos adversos , Doenças Periodontais/prevenção & controle , Adulto , Fatores Etários , Artrite Reumatoide/tratamento farmacológico , Artrite Reumatoide/microbiologia , Feminino , França , Humanos , Incidência , Masculino , Pessoa de Meia-Idade , Higiene Bucal/métodos , Educação de Pacientes como Assunto , Doenças Periodontais/microbiologia , Doenças Periodontais/fisiopatologia , Prognóstico , Medição de Risco , Papel (figurativo) , Índice de Gravidade de Doença , Fatores Sexuais
19.
Rev. ADM ; 76(6): 332-335, nov.-dic. 2019.
Artigo em Espanhol | LILACS | ID: biblio-1087510

RESUMO

La salud bucal está relacionada con varios factores que son considerados dañinos o protectores para poder estar en un equilibrio de la salud, desde el punto de vista preventivo debemos de enfocarnos cada vez más a aquellos factores protectores, como lo es la nutrición, ya que el alimentarnos adecuadamente nos ayuda a estar sanos, no solamente de la cavidad bucal sino de todo nuestro cuerpo. Una de las ciencias que ha tenido un creciente avance para el entendimiento de este fenómeno es la nutrigenómica, ya que nos ayuda a entender como los alimentos y sus contenidos desde el punto de vista genético colaboran a tener una mejor salud (AU)


Oral health is related to several factors that are considered harmful or protective to be in a balance of health, from the preventive point of view we must focus increasingly on those protective factors, such as nutrition, since to feed ourselves properly helps us to be healthy, not only of the oral cavity but of our whole body. One of the sciences that has had a growing advance for the understanding of this phenomenon is the nutriogenomic, since it helps us to understand how foods and their contents from the genetic point of view collaborate to have a better health (AU)


Assuntos
Humanos , Saúde Bucal , Odontologia , Nutrigenômica , Doenças Periodontais/prevenção & controle , Doenças Cardiovasculares/prevenção & controle , Doença Crônica/prevenção & controle
20.
PLoS One ; 14(11): e0225453, 2019.
Artigo em Inglês | MEDLINE | ID: mdl-31751411

RESUMO

BACKGROUND: Oral self-care plays an important role in maintaining oral health and preventing the occurrence of oral diseases. The association between good oral care and good oral hygiene is well known. However, the adherence to a proper daily oral hygiene regimen generally remains poor, so the prevalence of oral diseases remains high. Periodontal disease is the most common oral disease in the population. To enhance the adherence to good oral hygiene behaviors for patients with periodontal disease, we developed a personalized and evidence-based mobile application as an intervention tool for the purpose of initiating and improving good oral self-care. OBJECTIVE: The objective of this study was to demonstrate the systematic development process and content of the oral self-care mobile application, OSCA. METHODS: The systematic development process of OSCA consists of three phases: behavioral diagnosis, intervention design, and assessment of OSCA. Firstly, behavioral problem of oral self-care was identified by the experts in periodontics care. Secondly, the intervention functions and the mode of delivery were designed based on the capability-opportunity-motivation behavioral model, which is the underpinning model behind the behavior change wheel framework. Thirdly, the developed app was evaluated by the experts through a heuristics evaluation checklist by adopting Morville's Honeycomb model, and the final version of OSCA was assessed by the patients with periodontal disease using the System Usability Scale (SUS). RESULTS: The problems of target behavior were identified and incorporated into the design of intervention functions. For the beta version of the OSCA, experts proposed four main suggestions to improve the usefulness. Experts evaluated the beta and final versions of the app using a heuristics evaluation checklist, providing mean scores of 4.38 and 4.62, respectively. For usability testing, 87 participants completed both the specified tasks and the SUS questionnaire, providing an SUS median score of 77.5 (IQR = 12.5) and an overall mean completion time of 12.22 minutes for the specified tasks. The mean scores of the intervention functions for capability establishment, motivation enhancement, and opportunity creation were 6.13, 5.88, and 6.06, respectively. CONCLUSIONS: The study presents a rigorous design process of developing an evidence-based and personalized mobile application for oral self-care. The results of the expert evaluation confirmed the validated design and the participants were satisfied with the designed app.


Assuntos
Doenças Periodontais/prevenção & controle , Desenvolvimento de Programas , Avaliação de Programas e Projetos de Saúde , Autocuidado , Adulto , Idoso , Prática Clínica Baseada em Evidências , Feminino , Humanos , Masculino , Pessoa de Meia-Idade , Aplicativos Móveis , Inquéritos e Questionários
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